code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Services delivered under an outpatient occupational therapy plan of care,,,,,0 ,,Services delivered under an outpatient physical therapy plan of care,,,,,0 ,,Services delivered under an outpatient speech language pathology plan of care,,,,,0 ,,"Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the same day of the Procedure or Other Service",,,,,0 ,,Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System,,,,,0 ,,"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a te",,,,,0 APC,0732,"Inj, brixadi, 7 days or less",,,,,0 APC,0733,"Inj brixadi, more than 7 day",,,,,0 APC,0759,"Naltrexone, depot form",,,,,0 APC,0763,"Inj, bupivacaine liposome",,,,,0 APC,0764,Ketorolac tromethamine inj,,,,,0 APC,0801,"Inj, methylpred sod succ 5mg",,,,,0 APC,0944,Gammagard liquid injection,,,,,0 APC,1468,"Inj, abilify maintena, 1 mg",,,,,0 APC,1511,New Technology - Level 11 ($901 - $1000),,,,,0 APC,1521,New Technology - Level 21 ($1901-$2000),,,,,0 APC,1522,New Technology - Level 22 ($2001-$2500),,,,,0 APC,1685,"Darbepoetin alfa, non-esrd",,,,,0 APC,2050,Cath coronary drug-delivery,,,,,0 APC,2616,"Brachytx, non-str,Yttrium-90",,,,,0 APC,2634,"Brachytx, non-str, HA, I-125",,,,,0 APC,2639,"Brachytx, non-stranded,I-125",,,,,0 APC,2640,"Brachytx, stranded, P-103",,,,,0 APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,0 APC,5012,Clinic Visits and Related Services,,,,,0 APC,5021,Level 1 Type A ED Visits,,,,,0 APC,5022,Level 2 Type A ED Visits,,,,,0 APC,5023,Level 3 Type A ED Visits,,,,,0 APC,5024,Level 4 Type A ED Visits,,,,,0 APC,5025,Level 5 Type A ED Visits,,,,,0 APC,5041,Critical Care,,,,,0 APC,5051,Level 1 Skin Procedures,,,,,0 APC,5052,Level 2 Skin Procedures,,,,,0 APC,5053,Level 3 Skin Procedures,,,,,0 APC,5054,Level 4 Skin Procedures,,,,,0 APC,5055,Level 5 Skin Procedures,,,,,0 APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5111,Level 1 Musculoskeletal Procedures,,,,,0 APC,5112,Level 2 Musculoskeletal Procedures,,,,,0 APC,5113,Level 3 Musculoskeletal Procedures,,,,,0 APC,5114,Level 4 Musculoskeletal Procedures,,,,,0 APC,5115,Level 5 Musculoskeletal Procedures,,,,,0 APC,5116,Level 6 Musculoskeletal Procedures,,,,,0 APC,5151,Level 1 Airway Endoscopy,,,,,0 APC,5153,Level 3 Airway Endoscopy,,,,,0 APC,5154,Level 4 Airway Endoscopy,,,,,0 APC,5155,Level 5 Airway Endoscopy,,,,,0 APC,5161,Level 1 ENT Procedures,,,,,0 APC,5162,Level 2 ENT Procedures,,,,,0 APC,5163,Level 3 ENT Procedures,,,,,0 APC,5164,Level 4 ENT Procedures,,,,,0 APC,5165,Level 5 ENT Procedures,,,,,0 APC,5181,Level 1 Vascular Procedures,,,,,0 APC,5182,Level 2 Vascular Procedures,,,,,0 APC,5183,Level 3 Vascular Procedures,,,,,0 APC,5184,Level 4 Vascular Procedures,,,,,0 APC,5191,Level 1 Endovascular Procedures,,,,,0 APC,5192,Level 2 Endovascular Procedures,,,,,0 APC,5193,Level 3 Endovascular Procedures,,,,,0 APC,5194,Level 4 Endovascular Procedures,,,,,0 APC,5200,Implantation Wireless PA Pressure Monitor,,,,,0 APC,5212,Level 2 Electrophysiologic Procedures,,,,,0 APC,5213,Level 3 Electrophysiologic Procedures,,,,,0 APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0 APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0 APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0 APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0 APC,5231,Level 1 ICD and Similar Procedures,,,,,0 APC,5232,Level 2 ICD and Similar Procedures,,,,,0 APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0 APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0 APC,5243,Level 3 Blood Product Exchange and Related Services,,,,,0 APC,5301,Level 1 Upper GI Procedures,,,,,0 APC,5302,Level 2 Upper GI Procedures,,,,,0 APC,5303,Level 3 Upper GI Procedures,,,,,0 APC,5311,Level 1 Lower GI Procedures,,,,,0 APC,5312,Level 2 Lower GI Procedures,,,,,0 APC,5313,Level 3 Lower GI Procedures,,,,,0 APC,5331,Complex GI Procedures,,,,,0 APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5361,Level 1 Laparoscopy and Related Services,,,,,0 APC,5362,Level 2 Laparoscopy and Related Services,,,,,0 APC,5371,Level 1 Urology and Related Services,,,,,0 APC,5372,Level 2 Urology and Related Services,,,,,0 APC,5373,Level 3 Urology and Related Services,,,,,0 APC,5374,Level 4 Urology and Related Services,,,,,0 APC,5375,Level 5 Urology and Related Services,,,,,0 APC,5376,Level 6 Urology and Related Services,,,,,0 APC,5377,Level 7 Urology and Related Services,,,,,0 APC,5378,Level 8 Urology and Related Services,,,,,0 APC,5401,Dialysis,,,,,0 APC,5411,Level 1 Gynecologic Procedures,,,,,0 APC,5412,Level 2 Gynecologic Procedures,,,,,0 APC,5413,Level 3 Gynecologic Procedures,,,,,0 APC,5414,Level 4 Gynecologic Procedures,,,,,0 APC,5415,Level 5 Gynecologic Procedures,,,,,0 APC,5416,Level 6 Gynecologic Procedures,,,,,0 APC,5431,Level 1 Nerve Procedures,,,,,0 APC,5432,Level 2 Nerve Procedures,,,,,0 APC,5441,Level 1 Nerve Injections,,,,,0 APC,5442,Level 2 Nerve Injections,,,,,0 APC,5443,Level 3 Nerve Injections,,,,,0 APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0 APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0 APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0 APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0 APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0 APC,5471,Implantation of Drug Infusion Device,,,,,0 APC,5481,Laser Eye Procedures,,,,,0 APC,5491,Level 1 Intraocular Procedures,,,,,0 APC,5492,Level 2 Intraocular Procedures,,,,,0 APC,5493,Level 3 Intraocular Procedures,,,,,0 APC,5494,Level 4 Intraocular Procedures,,,,,0 APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5521,Level 1 Imaging without Contrast,,,,,0 APC,5522,Level 2 Imaging without Contrast,,,,,0 APC,5523,Level 3 Imaging without Contrast,,,,,0 APC,5524,Level 4 Imaging without Contrast,,,,,0 APC,5571,Level 1 Imaging with Contrast,,,,,0 APC,5572,Level 2 Imaging with Contrast,,,,,0 APC,5573,Level 3 Imaging with Contrast,,,,,0 APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0 APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0 APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0 APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0 APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5622,Level 2 Radiation Therapy,,,,,0 APC,5623,Level 3 Radiation Therapy,,,,,0 APC,5624,Level 4 Radiation Therapy,,,,,0 APC,5626,Level 6 Radiation Therapy,,,,,0 APC,5627,Level 7 Radiation Therapy,,,,,0 APC,5661,Therapeutic Nuclear Medicine,,,,,0 APC,5671,Level 1 Pathology,,,,,0 APC,5672,Level 2 Pathology,,,,,0 APC,5673,Level 3 Pathology,,,,,0 APC,5674,Level 4 Pathology,,,,,0 APC,5691,Level 1 Drug Administration,,,,,0 APC,5692,Level 2 Drug Administration,,,,,0 APC,5693,Level 3 Drug Administration,,,,,0 APC,5694,Level 4 Drug Administration,,,,,0 APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0 APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0 APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0 APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0 APC,5731,Level 1 Minor Procedures,,,,,0 APC,5732,Level 2 Minor Procedures,,,,,0 APC,5733,Level 3 Minor Procedures,,,,,0 APC,5734,Level 4 Minor Procedures,,,,,0 APC,5735,Level 5 Minor Procedures,,,,,0 APC,5741,Level 1 Electronic Analysis of Devices,,,,,0 APC,5742,Level 2 Electronic Analysis of Devices,,,,,0 APC,5743,Level 3 Electronic Analysis of Devices,,,,,0 APC,5781,Resuscitation and Cardioversion,,,,,0 APC,5791,Pulmonary Treatment,,,,,0 APC,5821,Level 1 Health and Behavior Services,,,,,0 APC,5822,Level 2 Health and Behavior Services,,,,,0 APC,5823,Level 3 Health and Behavior Services,,,,,0 APC,5871,Dental Procedures,,,,,0 APC,7048,Alteplase recombinant,,,,,0 APC,9073,Buprenorph xr 100 mg or less,,,,,0 APC,9143,Inj acetaminophen -fresenius,,,,,0 APC,9201,Rabies ig ht&sol human im/sc,,,,,0 APC,9239,Buprenorphine xr over 100 mg,,,,,0 APC,9286,Belatacept injection,,,,,0 APC,9336,Inj truxima 10 mg,,,,,0 APC,9360,"Inj heparin, pfizer, 1000u",,,,,0 APC,9483,"Inj, atezolizumab,10 mg",,,,,0 APC,9522,RBC leukoreduced irradiated,,,,,0 APC,9530,Plate pheres leukoredu irrad,,,,,0 APC,9536,Platelets pheresis path redu,,,,,0 APC,N700,Non-OPPS Clinic Services,,,,,0 APC,N800,Clinical Diagnostic Lab Services,,,,,0 APC,N801,Therapy Services,,,,,0 APC,N804,Mammography Services,,,,,0 APC,N811,"Observation, Other",,,,,0 APC,N900,Non-covered Services,,,,,0 APC,N902,Packaged Services,,,,,0 APC,N905,Not Recognized by OPPS,,,,,0 CDM,100006_270,Noncdm Charge Record Medical Supplies,10424.7,10424.7,,,0 CDM,100009_270,Noncdm Charge Record Medical Supplies,730.4,730.4,,,0 CDM,100037_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,10004,Noncdm Charge Record,281.0,281.0,,,0 CDM,100040_C1762_278,Noncdm Charge Record Medical Supplies,1576.38,1576.38,,,0 CDM,100040_C1762_636,Noncdm Charge Record Pharmacy,1476.18,1476.18,,,0 CDM,100062_C1889_278,Noncdm Charge Record Medical Supplies,5043.5,5043.5,,,0 CDM,100065_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,10010_31722006331,Famotidine: 50 Ml In 1 Bottle (31722-063-31),22.14,22.14,,,0 CDM,10010_68180015001,Famotidine: 50 Ml In 1 Bottle (68180-150-01),1.49,1.49,,,0 CDM,10010_68382044405,"Famotidine: 50 Ml In 1 Bottle, Plastic (68382-444-05)",27.3,27.3,,,0 CDM,10010_70954031610,Famotidine: 50 Ml In 1 Bottle (70954-316-10),21.97,21.97,,,0 CDM,10011_00172572860,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (0172-5728-60)",8.76,8.76,,,0 CDM,10011_00172572870,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5728-70)",8.76,8.76,,,0 CDM,10011_67877084201,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (67877-842-01)",8.76,8.76,,,0 CDM,100129_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,10012_00172572970,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5729-70)",16.56,16.56,,,0 CDM,10012_50268030411,NDC Description Not Available,11.77,11.77,,,0 CDM,10012_65862086001,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (65862-860-01)",16.77,16.77,,,0 CDM,100131_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,100178_C1896_275,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,100180_C1777_275,Noncdm Charge Record Medical Supplies,5255.52,5255.52,,,0 CDM,100211_270,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,100212_270,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,100213_270,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,100214_270,Noncdm Charge Record Medical Supplies,6733.65,6733.65,,,0 CDM,100218_24571010806,Prismasol Bgk0/2.5: 2 Bag In 1 Case (24571-108-06) / 5 L In 1 Bag,288.4,288.4,,,0 CDM,100219_24571010506,Prismasol Bgk4/2.5: 2 Bag In 1 Case (24571-105-06) / 5 L In 1 Bag,126.09,126.09,,,0 CDM,100220_24571010206,Prismasol Bgk2/0: 2 Bag In 1 Case (24571-102-06) / 5 L In 1 Bag,288.4,288.4,,,0 CDM,100222_24571010306,Prismasol Bgk2/3.5: 2 Bag In 1 Case (24571-103-06) / 5 L In 1 Bag,288.4,288.4,,,0 CDM,100222_C1777_275,Noncdm Charge Record Medical Supplies,5211.56,5211.56,,,0 CDM,100229_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,100230_C1762_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,100230_C1762_636,Noncdm Charge Record Pharmacy,3749.2,3749.2,,,0 CDM,100232_C1887_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,100245_C1729_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,10024_72578005616,Felbamate: 90 Tablet In 1 Bottle (72578-056-16),10.64,10.64,,,0 CDM,10025_72578005716,Felbamate: 90 Tablet In 1 Bottle (72578-057-16),10.36,10.36,,,0 CDM,100260_270,Noncdm Charge Record Medical Supplies,636.33,636.33,,,0 CDM,100270_270,Noncdm Charge Record Medical Supplies,336.6,336.6,,,0 CDM,100272_63833082502,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),179.01,179.01,,,0 CDM,100277_270,Noncdm Charge Record Medical Supplies,466.46,466.46,,,0 CDM,100278_270,Noncdm Charge Record Medical Supplies,531.06,531.06,,,0 CDM,100279_270,Noncdm Charge Record Medical Supplies,514.8,514.8,,,0 CDM,100292_270,Noncdm Charge Record Medical Supplies,386.1,386.1,,,0 CDM,100314_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,100335_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,100344_59572098401,"Istodax: 1 Kit In 1 Carton (59572-984-01) * 2.2 Ml In 1 Vial, Glass (59572-962-10) * 2.4 Ml In 1 Vial, Glass (59572-973-02)",79.07,79.07,,,0 CDM,100344_63323092688,"Romidepsin: 1 Kit In 1 Carton (63323-926-88) * 2 Ml In 1 Vial, Single-Dose (63323-925-17) * 2.2 Ml In 1 Vial, Single-Dose (63323-922-03)",78.32,78.32,,,0 CDM,100347_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,100348_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,100349_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,100356_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100357_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100358_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100358_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100359_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100360_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100361_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,100362_C1889_278,Noncdm Charge Record Medical Supplies,194.42,194.42,,,0 CDM,100365_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,100366_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,10036_55513053001,NDC Description Not Available,4.54,4.54,,,0 CDM,100377_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,100378_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,10037_50268031411,NDC Description Not Available,11.31,11.31,,,0 CDM,10037_50268031415,"Finasteride: 50 Blister Pack In 1 Box (50268-314-15) / 1 Tablet, Film Coated In 1 Blister Pack (50268-314-11)",11.33,11.33,,,0 CDM,10037_65862014930,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (65862-149-30)",11.32,11.32,,,0 CDM,100380_58980078011,NDC Description Not Available,107.12,107.12,,,0 CDM,100380_58980078021,NDC Description Not Available,135.02,135.02,,,0 CDM,100387_C1729_278,Noncdm Charge Record Medical Supplies,124.28,124.28,,,0 CDM,100388_C1729_278,Noncdm Charge Record Medical Supplies,136.4,136.4,,,0 CDM,100389_C1729_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,100390_C1729_278,Noncdm Charge Record Medical Supplies,113.3,113.3,,,0 CDM,100393_61958090101,Cayston: 2 Carton In 1 Package (61958-0901-1) / 1 Kit In 1 Carton * 1 Ml In 1 Vial * 1 Ml In 1 Ampule,615.22,615.22,,,0 CDM,100404_C1758_278,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,10040_272,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,10040_C1769_272,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,10040_C1769_278,Noncdm Charge Record Medical Supplies,39.74,39.74,,,0 CDM,100417_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,10041_00054001120,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0011-20) / 1 Tablet In 1 Blister Pack,12.95,12.95,,,0 CDM,10041_50268032111,NDC Description Not Available,20.51,20.51,,,0 CDM,100426_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,100435_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,100439_C1874_278,Noncdm Charge Record Medical Supplies,9737.2,9737.2,,,0 CDM,10043_00054001020,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20) / 1 Tablet In 1 Blister Pack,6.79,6.79,,,0 CDM,10043_50268032011,NDC Description Not Available,14.55,14.55,,,0 CDM,10043_53746064101,Flecainide Acetate: 100 Tablet In 1 Bottle (53746-641-01),9.09,9.09,,,0 CDM,10043_62559038001,Flecainide Acetate: 100 Tablet In 1 Bottle (62559-380-01),6.18,6.18,,,0 CDM,100446_C1874_278,Noncdm Charge Record Medical Supplies,9737.2,9737.2,,,0 CDM,100449_C1874_278,Noncdm Charge Record Medical Supplies,7493.2,7493.2,,,0 CDM,10044_00172541146,Fluconazole: 30 TABLET in 1 BOTTLE (0172-5411-46),31.93,31.93,,,0 CDM,10044_00172541160,Fluconazole: 100 TABLET in 1 BOTTLE (0172-5411-60),29.87,29.87,,,0 CDM,10044_00904650061,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61) / 1 Tablet In 1 Blister Pack,35.02,35.02,,,0 CDM,10044_50268033711,NDC Description Not Available,34.37,34.37,,,0 CDM,10044_55111014401,Fluconazole: 100 Tablet In 1 Bottle (55111-144-01),30.56,30.56,,,0 CDM,10044_68084072811,NDC Description Not Available,86.52,86.52,,,0 CDM,10045_00904650106,Fluconazole: 50 Blister Pack In 1 Carton (0904-6501-06) / 1 Tablet In 1 Blister Pack,5.95,5.95,,,0 CDM,10045_00904650161,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61) / 1 Tablet In 1 Blister Pack,56.57,56.57,,,0 CDM,10045_16714069301,Fluconazole: 30 Tablet In 1 Bottle (16714-693-01),0.34,0.34,,,0 CDM,10045_16714069302,Fluconazole: 100 Tablet In 1 Bottle (16714-693-02),43.52,43.52,,,0 CDM,10045_50268033911,NDC Description Not Available,58.2,58.2,,,0 CDM,10045_62559099330,Fluconazole: 30 Tablet In 1 Bottle (62559-993-30),50.9,50.9,,,0 CDM,10045_63739011510,"Fluconazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-115-10) / 10 Tablet In 1 Blister Pack",7.75,7.75,,,0 CDM,10045_68084073511,NDC Description Not Available,153.66,153.66,,,0 CDM,10045_70710114003,Fluconazole: 30 Tablet In 1 Bottle (70710-1140-3),51.6,51.6,,,0 CDM,100461_C1713_278,Noncdm Charge Record Medical Supplies,878.76,878.76,,,0 CDM,100480_C1894_278,Noncdm Charge Record Medical Supplies,136.4,136.4,,,0 CDM,100481_C1751_278,Noncdm Charge Record Medical Supplies,427.9,427.9,,,0 CDM,100494_C1887_278,Noncdm Charge Record Medical Supplies,135.85,135.85,,,0 CDM,100495_C1729_278,Noncdm Charge Record Medical Supplies,113.28,113.28,,,0 CDM,100496_C1729_278,Noncdm Charge Record Medical Supplies,113.3,113.3,,,0 CDM,100497_C1729_278,Noncdm Charge Record Medical Supplies,113.3,113.3,,,0 CDM,10049_00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,80.34,80.34,,,0 CDM,10049_25021018466,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,173.35,173.35,,,0 CDM,10049_25021018467,Fluconazole: 10 Pouch In 1 Carton (25021-184-67) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,98.16,98.16,,,0 CDM,10049_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.94,38.94,,,0 CDM,10049_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,30.35,30.35,,,0 CDM,100502_C1729_278,Noncdm Charge Record Medical Supplies,124.27,124.27,,,0 CDM,100505_C2625_278,Noncdm Charge Record Medical Supplies,306.62,306.62,,,0 CDM,100506_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,100508_C2625_278,Noncdm Charge Record Medical Supplies,420.2,420.2,,,0 CDM,100509_00023392102,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.4,16.4,,,0 CDM,100509_C2625_278,Noncdm Charge Record Medical Supplies,300.85,300.85,,,0 CDM,10050_00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,45.46,45.46,,,0 CDM,10050_25021018467,Fluconazole: 10 Pouch In 1 Carton (25021-184-67) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,95.18,95.18,,,0 CDM,10050_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,30.23,30.23,,,0 CDM,100510_C2625_278,Noncdm Charge Record Medical Supplies,193.6,193.6,,,0 CDM,100513_C2625_278,Noncdm Charge Record Medical Supplies,193.6,193.6,,,0 CDM,100516_C2625_278,Noncdm Charge Record Medical Supplies,193.6,193.6,,,0 CDM,100517_C2625_278,Noncdm Charge Record Medical Supplies,352.0,352.0,,,0 CDM,100519_C2625_278,Noncdm Charge Record Medical Supplies,193.6,193.6,,,0 CDM,10051_23155086003,Flucytosine: 30 Capsule In 1 Bottle (23155-860-03),295.87,295.87,,,0 CDM,10051_42794000908,Flucytosine: 30 Capsule In 1 Bottle (42794-009-08),135.21,135.21,,,0 CDM,10051_50268033111,NDC Description Not Available,354.11,354.11,,,0 CDM,10051_59651033101,Flucytosine: 100 Capsule In 1 Bottle (59651-331-01),295.86,295.86,,,0 CDM,100528_C1768_278,Noncdm Charge Record Medical Supplies,5690.3,5690.3,,,0 CDM,10052_23155086103,Flucytosine: 30 Capsule In 1 Bottle (23155-861-03),548.31,548.31,,,0 CDM,10052_42794001008,Flucytosine: 30 Capsule In 1 Bottle (42794-010-08),254.68,254.68,,,0 CDM,10052_43386077001,Flucytosine: 100 Capsule In 1 Bottle (43386-770-01),568.57,568.57,,,0 CDM,10052_50268033211,NDC Description Not Available,666.82,666.82,,,0 CDM,10052_50268033212,Flucytosine: 20 Blister Pack In 1 Box (50268-332-12) / 1 Capsule In 1 Blister Pack (50268-332-11),666.75,666.75,,,0 CDM,10052_59651033201,Flucytosine: 100 Capsule In 1 Bottle (59651-332-01),552.8,552.8,,,0 CDM,10052_60687061011,NDC Description Not Available,677.75,677.75,,,0 CDM,100532_C1768_278,Noncdm Charge Record Medical Supplies,5690.3,5690.3,,,0 CDM,10053_45963060955,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",180.71,180.71,,,0 CDM,100543_270,Noncdm Charge Record Medical Supplies,380.78,380.78,,,0 CDM,10054_50268033011,NDC Description Not Available,4.9,4.9,,,0 CDM,10054_68084028811,NDC Description Not Available,1.53,1.53,,,0 CDM,100551_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,100554_270,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,100558_C1889_278,Noncdm Charge Record Medical Supplies,1208.53,1208.53,,,0 CDM,100560_C1769_278,Noncdm Charge Record Medical Supplies,281.57,281.57,,,0 CDM,100561_C1769_278,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,100568_270,Noncdm Charge Record Medical Supplies,412.28,412.28,,,0 CDM,100573_C1732_278,Noncdm Charge Record Medical Supplies,2909.5,2909.5,,,0 CDM,100610_00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",17.24,17.24,,,0 CDM,100610_00023114502,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.95,15.95,,,0 CDM,100611_00067120176,NDC Description Not Available,90.55,90.55,,,0 CDM,100611_00067815202,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-02) / 50 G In 1 Tube,51.83,51.83,,,0 CDM,100611_00067815203,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-03) / 100 G In 1 Tube,81.76,81.76,,,0 CDM,100611_00067815204,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-04) / 150 G In 1 Tube,121.54,121.54,,,0 CDM,100611_00113118901,Good Sense Arthritis Pain: 1 Tube In 1 Carton (0113-1189-01) / 100 G In 1 Tube,42.31,42.31,,,0 CDM,100611_00536129434,Diclofenac Sodium: 1 Tube In 1 Carton (0536-1294-34) / 50 G In 1 Tube,38.11,38.11,,,0 CDM,100611_21922000909,Diclofenac Sodium: 1 Tube In 1 Carton (21922-009-09) / 100 G In 1 Tube,210.12,210.12,,,0 CDM,100611_43598097710,Diclofenac Sodium: 1 Tube In 1 Carton (43598-977-10) / 100 G In 1 Tube,51.67,51.67,,,0 CDM,100611_45802016000,Diclofenac Sodium: 1 Tube In 1 Carton (45802-160-00) / 100 G In 1 Tube,64.89,64.89,,,0 CDM,100611_45802095301,Diclofenac Sodium: 1 Tube In 1 Carton (45802-953-01) / 100 G In 1 Tube,52.7,52.7,,,0 CDM,100611_50580057401,Motrin Arthritis Pain: 1 Tube In 1 Carton (50580-574-01) / 50 G In 1 Tube,18.44,18.44,,,0 CDM,100611_58602060407,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07) / 100 G In 1 Tube,43.12,43.12,,,0 CDM,100611_63481068447,Voltaren: 1 TUBE in 1 CARTON (63481-684-47) / 100 g in 1 TUBE,233.81,233.81,,,0 CDM,100611_69097052444,Diclofenac Sodium: 1 Tube In 1 Carton (69097-524-44) / 100 G In 1 Tube,189.52,189.52,,,0 CDM,100611_70677112501,Arthritis Pain: 1 Tube In 1 Carton (70677-1125-1) / 100 G In 1 Tube,52.02,52.02,,,0 CDM,100611_76282010339,Diclofenac Sodium: 1 Tube In 1 Carton (76282-103-39) / 100 G In 1 Tube,15.45,15.45,,,0 CDM,100611_76282066339,Diclofenac Sodium: 1 Tube In 1 Carton (76282-663-39) / 100 G In 1 Tube,15.45,15.45,,,0 CDM,100614_82347040504,NDC Description Not Available,45.97,45.97,,,0 CDM,100623_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,100637_270,Noncdm Charge Record Medical Supplies,1089.0,1089.0,,,0 CDM,100648_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,100649_C1725_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,10065_00187320447,Efudex: 1 Tube In 1 Carton (0187-3204-47) / 40 G In 1 Tube,6.18,6.18,,,0 CDM,10065_16714017801,Fluorouracil: 1 Tube In 1 Carton (16714-178-01) / 40 G In 1 Tube,1214.05,1214.05,,,0 CDM,10065_51672411806,Fluorouracil: 1 Tube In 1 Carton (51672-4118-6) / 40 G In 1 Tube,1387.41,1387.41,,,0 CDM,10065_75907009540,Fluorouracil: 1 Tube In 1 Carton (75907-095-40) / 40 G In 1 Tube,928.03,928.03,,,0 CDM,100675_270,Noncdm Charge Record Medical Supplies,320.92,320.92,,,0 CDM,100692_C1751_278,Noncdm Charge Record Medical Supplies,190.3,190.3,,,0 CDM,10069_00904578461,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61) / 1 Capsule In 1 Blister Pack,5.43,5.43,,,0 CDM,10069_16714072002,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),7.63,7.63,,,0 CDM,10069_50111064701,Fluoxetine: 100 Capsule In 1 Bottle (50111-647-01),8.8,8.8,,,0 CDM,10069_50228011301,Fluoxetine: 100 Capsule In 1 Bottle (50228-113-01),6.66,6.66,,,0 CDM,10069_65862019201,Fluoxetine: 100 Capsule In 1 Bottle (65862-192-01),9.33,9.33,,,0 CDM,100704_C1725_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,10070_00904578561,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61) / 1 Capsule In 1 Blister Pack,8.67,8.67,,,0 CDM,10070_16714072102,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),9.19,9.19,,,0 CDM,10070_50228011401,Fluoxetine: 100 Capsule In 1 Bottle (50228-114-01),9.56,9.56,,,0 CDM,10070_65862019301,Fluoxetine: 100 Capsule In 1 Bottle (65862-193-01),9.29,9.29,,,0 CDM,100716_C1887_278,Noncdm Charge Record Medical Supplies,1407.13,1407.13,,,0 CDM,100717_C1887_278,Noncdm Charge Record Medical Supplies,1705.2,1705.2,,,0 CDM,100718_C1887_278,Noncdm Charge Record Medical Supplies,1276.22,1276.22,,,0 CDM,100728_C1768_278,Noncdm Charge Record Medical Supplies,2247.3,2247.3,,,0 CDM,100730_C1768_278,Noncdm Charge Record Medical Supplies,3654.2,3654.2,,,0 CDM,100740_00009379401,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",1287.89,1287.89,,,0 CDM,100740_00009379422,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-22) / 10 Ml In 1 Vial, Single-Dose",1280.85,1280.85,,,0 CDM,100740_67457036610,"Ibutilide Fumarate: 1 Vial, Glass In 1 Carton (67457-366-10) / 10 Ml In 1 Vial, Glass",1344.15,1344.15,,,0 CDM,100745_68462071182,NDC Description Not Available,87.34,87.34,,,0 CDM,100752_C1876_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,100765_C1750_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,100775_C1894_278,Noncdm Charge Record Medical Supplies,101.3,101.3,,,0 CDM,100776_C1893_278,Noncdm Charge Record Medical Supplies,16.22,16.22,,,0 CDM,100779_270,Noncdm Charge Record Medical Supplies,878.53,878.53,,,0 CDM,100782_270,Noncdm Charge Record Medical Supplies,520.3,520.3,,,0 CDM,100797_270,Noncdm Charge Record Medical Supplies,3316.5,3316.5,,,0 CDM,100822_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,100825_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,100845_270,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 CDM,10084_60505016601,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0166-1),7.11,7.11,,,0 CDM,10085_60505016501,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),8.55,8.55,,,0 CDM,100882_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,100893_270,Noncdm Charge Record Medical Supplies,485.48,485.48,,,0 CDM,100894_270,Noncdm Charge Record Medical Supplies,342.36,342.36,,,0 CDM,100901_C1788_278,Noncdm Charge Record Medical Supplies,562.1,562.1,,,0 CDM,100968_270,Noncdm Charge Record Medical Supplies,371.8,371.8,,,0 CDM,100980_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,100980_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,100981_272,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,100981_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,100981_C1889_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,100988_270,Noncdm Charge Record Medical Supplies,844.8,844.8,,,0 CDM,100989_C2625_278,Noncdm Charge Record Medical Supplies,193.6,193.6,,,0 CDM,100995_00054040713,"Ritonavir: 30 TABLET, FILM COATED in 1 BOTTLE (0054-0407-13)",32.96,32.96,,,0 CDM,100995_31722059730,Ritonavir: 30 Tablet In 1 Bottle (31722-597-30),33.4,33.4,,,0 CDM,100995_60687042095,NDC Description Not Available,40.56,40.56,,,0 CDM,100995_65862068730,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",33.38,33.38,,,0 CDM,101009_270,Noncdm Charge Record Medical Supplies,848.1,848.1,,,0 CDM,10100_00270111101,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-01) / 10 Ml In 1 Vial, Single-Dose",25.73,25.73,,,0 CDM,10100_00270111102,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-02) / 15 Ml In 1 Vial, Single-Dose",26.79,26.79,,,0 CDM,10100_00270111103,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-03) / 20 Ml In 1 Vial, Single-Dose",25.25,25.25,,,0 CDM,10100_00270111104,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-04) / 5 Ml In 1 Vial, Single-Dose",30.59,30.59,,,0 CDM,10100_00270111170,"Prohance: 5 Vial, Pharmacy Bulk Package In 1 Box (0270-1111-70) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.57,20.57,,,0 CDM,101011_270,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,10101_42023017301,NDC Description Not Available,311.58,311.58,,,0 CDM,10101_42023017325,"Ganciclovir: 25 Vial, Single-Dose In 1 Carton (42023-173-25) / 10 Ml In 1 Vial, Single-Dose (42023-173-01)",311.23,311.23,,,0 CDM,10101_70436008955,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,100.66,100.66,,,0 CDM,101027_00597011630,"Mirapex: 1 BOTTLE, PLASTIC in 1 CARTON (0597-0116-30) / 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC",16.32,16.32,,,0 CDM,101045_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,101064_C1713_278,Noncdm Charge Record Medical Supplies,254.32,254.32,,,0 CDM,101066_270,Noncdm Charge Record Medical Supplies,740.3,740.3,,,0 CDM,101070_270,Noncdm Charge Record Medical Supplies,740.3,740.3,,,0 CDM,101075_270,Noncdm Charge Record Medical Supplies,1608.2,1608.2,,,0 CDM,101079_270,Noncdm Charge Record Medical Supplies,1896.4,1896.4,,,0 CDM,10109_00338050741,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),22.6,22.6,,,0 CDM,10111_00338050941,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0509-41),17.59,17.59,,,0 CDM,10112_00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),9.05,9.05,,,0 CDM,101141_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,101145_C1713_278,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,101164_C1713_278,Noncdm Charge Record Medical Supplies,151.8,151.8,,,0 CDM,101259_270,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,101262_270,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,101263_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,101303_270,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,101304_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,101306_270,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,10130_00904670961,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61) / 1 Tablet In 1 Blister Pack,4.81,4.81,,,0 CDM,101315_270,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,101316_270,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,101351_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,101360_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,101361_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,101365_C1876_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,101366_C1876_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,101368_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,10137_70720095036,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2268.86,2268.86,,,0 CDM,101383_C1726_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,101403_270,Noncdm Charge Record Medical Supplies,404.8,404.8,,,0 CDM,101411_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,101462_C1769_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,101472_270,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,10147_270,Noncdm Charge Record Medical Supplies,123.34,123.34,,,0 CDM,10150_270,Noncdm Charge Record Medical Supplies,4.4,4.4,,,0 CDM,101515_C1713_278,Noncdm Charge Record Medical Supplies,851.95,851.95,,,0 CDM,101518_270,Noncdm Charge Record Medical Supplies,914.1,914.1,,,0 CDM,101520_272,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,101520_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,101530_270,Noncdm Charge Record Medical Supplies,1527.9,1527.9,,,0 CDM,101553_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101554_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101555_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101570_C1755_278,Noncdm Charge Record Medical Supplies,1428.92,1428.92,,,0 CDM,101571_C1755_278,Noncdm Charge Record Medical Supplies,1428.9,1428.9,,,0 CDM,101573_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,101575_270,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,101576_270,Noncdm Charge Record Medical Supplies,598.4,598.4,,,0 CDM,101580_C1768_278,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,101591_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,101592_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,101592_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,101594_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101595_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101596_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101604_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,101605_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,101606_C1776_278,Noncdm Charge Record Medical Supplies,2673.0,2673.0,,,0 CDM,101620_L8509_274,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,101621_L8509_274,Noncdm Charge Record Medical Supplies,428.12,428.12,,,0 CDM,101622_L8509_274,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,10162_10147092205,Haloperidol Decanoate: 5 Ampule In 1 Box (10147-0922-5) / 1 Ml In 1 Ampule,106.78,106.78,,,0 CDM,10162_63323047101,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-471-01) / 1 Ml In 1 Vial,111.24,111.24,,,0 CDM,10162_70069038401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",111.45,111.45,,,0 CDM,101637_C1753_272,Noncdm Charge Record Medical Supplies,1686.3,1686.3,,,0 CDM,101637_C1753_278,Noncdm Charge Record Medical Supplies,1686.3,1686.3,,,0 CDM,10163_10147092103,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,111.76,111.76,,,0 CDM,10163_63323046901,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-469-01) / 1 Ml In 1 Vial,117.2,117.2,,,0 CDM,101645_C1894_278,Noncdm Charge Record Medical Supplies,1102.23,1102.23,,,0 CDM,101742_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,101743_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,101745_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,101747_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,101748_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,101749_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,101750_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,10176_00069005801,Heparin Sodium: 25 Vial In 1 Container (0069-0058-01) / 10 Ml In 1 Vial (0069-0058-02),1.37,1.37,,,0 CDM,10176_00069005802,NDC Description Not Available,1.44,1.44,,,0 CDM,10176_00409272002,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2720-31)",1.4,1.4,,,0 CDM,10176_00409272003,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",1.12,1.12,,,0 CDM,10176_00409272030,NDC Description Not Available,7.08,7.08,,,0 CDM,10176_00409272031,NDC Description Not Available,1.43,1.43,,,0 CDM,10176_00781354010,NDC Description Not Available,1.57,1.57,,,0 CDM,10176_00781354310,NDC Description Not Available,1.03,1.03,,,0 CDM,10176_25021040001,Heparin Sodium: 25 Vial In 1 Carton (25021-400-01) / 1 Ml In 1 Vial,10.22,10.22,,,0 CDM,10176_25021040010,Heparin Sodium: 25 Vial In 1 Carton (25021-400-10) / 10 Ml In 1 Vial,1.41,1.41,,,0 CDM,10176_63323054001,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,17.33,17.33,,,0 CDM,10176_63323054005,NDC Description Not Available,2.84,2.84,,,0 CDM,10176_63323054007,NDC Description Not Available,1.13,1.13,,,0 CDM,10176_63323054011,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,3.27,3.27,,,0 CDM,10176_63323054015,Heparin Sodium: 25 Vial In 1 Tray (63323-540-15) / 10 Ml In 1 Vial (63323-540-05),3.13,3.13,,,0 CDM,10176_63323054033,NDC Description Not Available,1.0,1.0,,,0 CDM,10176_63323054057,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (63323-540-57) / 10 Ml In 1 Vial, Multi-Dose",1.18,1.18,,,0 CDM,10176_63739093114,NDC Description Not Available,1.33,1.33,,,0 CDM,10176_67457037212,NDC Description Not Available,10.3,10.3,,,0 CDM,10176_67457038431,NDC Description Not Available,1.12,1.12,,,0 CDM,10176_67457038510,NDC Description Not Available,1.6,1.6,,,0 CDM,10176_71288040210,NDC Description Not Available,1.75,1.75,,,0 CDM,10177_00409272101,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",4.89,4.89,,,0 CDM,10177_00409272130,NDC Description Not Available,1.61,1.61,,,0 CDM,10177_00641041037,NDC Description Not Available,1.88,1.88,,,0 CDM,10177_25021040301,Heparin Sodium: 25 Vial In 1 Carton (25021-403-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 CDM,10177_63323054201,Heparin Sodium: 25 Vial In 1 Tray (63323-542-01) / 1 Ml In 1 Vial,3.3,3.3,,,0 CDM,10177_63323054207,Heparin Sodium: 25 Vial In 1 Tray (63323-542-07) / 5 Ml In 1 Vial,2.23,2.23,,,0 CDM,10177_63323054209,NDC Description Not Available,2.93,2.93,,,0 CDM,10177_63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),3.37,3.37,,,0 CDM,101793_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,101805_270,Noncdm Charge Record Medical Supplies,7755.0,7755.0,,,0 CDM,101805_C2618_270,Noncdm Charge Record Medical Supplies,7755.0,7755.0,,,0 CDM,101810_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,101813_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,101813_C1713_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,101813_C1762_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,101813_C1889_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,10181_00069005903,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),2.99,2.99,,,0 CDM,10181_00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",1.75,1.75,,,0 CDM,10181_00409272330,NDC Description Not Available,1.81,1.81,,,0 CDM,10181_00641040037,NDC Description Not Available,2.23,2.23,,,0 CDM,10181_00781354510,NDC Description Not Available,1.34,1.34,,,0 CDM,10181_25021040201,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01) / 1 Ml In 1 Vial,1.29,1.29,,,0 CDM,10181_63323004710,Heparin Sodium: 25 Vial In 1 Tray (63323-047-10) / 10 Ml In 1 Vial (63323-047-01),1.48,1.48,,,0 CDM,10181_63323026201,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,3.66,3.66,,,0 CDM,10181_63323026203,NDC Description Not Available,3.56,3.56,,,0 CDM,10181_63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),3.16,3.16,,,0 CDM,10181_63323026209,NDC Description Not Available,1.04,1.04,,,0 CDM,10181_63323026211,NDC Description Not Available,3.57,3.57,,,0 CDM,10181_63323026226,Heparin Sodium: 25 Vial In 1 Tray (63323-262-26) / 1 Ml In 1 Vial (63323-262-09),24.14,24.14,,,0 CDM,10181_63323026255,Heparin Sodium: 25 Vial In 1 Tray (63323-262-55) / 1 Ml In 1 Vial,0.96,0.96,,,0 CDM,10181_63739095311,NDC Description Not Available,2.9,2.9,,,0 CDM,10181_67457037412,NDC Description Not Available,2.58,2.58,,,0 CDM,10181_71288040301,NDC Description Not Available,1.63,1.63,,,0 CDM,10181_72603041201,NDC Description Not Available,1.39,1.39,,,0 CDM,101825_C1887_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,101835_C1894_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,101843_C1889_278,Noncdm Charge Record Medical Supplies,1196.8,1196.8,,,0 CDM,101849_C1889_278,Noncdm Charge Record Medical Supplies,180.68,180.68,,,0 CDM,101861_270,Noncdm Charge Record Medical Supplies,407.8,407.8,,,0 CDM,101876_270,Noncdm Charge Record Medical Supplies,411.52,411.52,,,0 CDM,101879_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,101880_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,101881_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,101882_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,101883_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,101884_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,101932_C1889_278,Noncdm Charge Record Medical Supplies,194.73,194.73,,,0 CDM,101933_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,101934_C1889_278,Noncdm Charge Record Medical Supplies,239.88,239.88,,,0 CDM,101936_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,101937_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,101946_C1893_278,Noncdm Charge Record Medical Supplies,49.15,49.15,,,0 CDM,101961_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,101970_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,101971_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,101976_270,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,101984_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,101991_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,101_00904677361,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61) / 10 Tablet In 1 Blister Pack",0.52,0.52,,,0 CDM,102006_C1776_278,Noncdm Charge Record Medical Supplies,1012.0,1012.0,,,0 CDM,102028_C1781_278,Noncdm Charge Record Medical Supplies,2921.6,2921.6,,,0 CDM,102040_636,Noncdm Charge Record Pharmacy,9113.44,9113.44,,,0 CDM,102040_C1768_278,Noncdm Charge Record Medical Supplies,9732.8,9732.8,,,0 CDM,102043_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,102044_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,10204_10702005501,Hydrocodone Bitartrate And Homatropine Methylbromide: 100 Tablet In 1 Bottle (10702-055-01),5.15,5.15,,,0 CDM,10204_10702005503,Hydrocodone Bitartrate And Homatropine Methylbromide: 30 Tablet In 1 Bottle (10702-055-03),5.15,5.15,,,0 CDM,10204_64950020610,"Hydrocodone Bitartrate And Homatropine Methylbromide: 100 Tablet In 1 Bottle, Plastic (64950-206-10)",5.05,5.05,,,0 CDM,102061_C1874_278,Noncdm Charge Record Medical Supplies,17968.5,17968.5,,,0 CDM,102097_C1874_278,Noncdm Charge Record Medical Supplies,17968.5,17968.5,,,0 CDM,10209_00009001201,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),0.86,0.86,,,0 CDM,10209_50268040511,NDC Description Not Available,3.97,3.97,,,0 CDM,10209_59762007301,Hydrocortisone: 50 Tablet In 1 Bottle (59762-0073-1),1.0,1.0,,,0 CDM,10210_62559013807,Hydrocortisone: 7 Bottle In 1 Box (62559-138-07) / 60 Ml In 1 Bottle (62559-138-11),92.76,92.76,,,0 CDM,102121_C1874_278,Noncdm Charge Record Medical Supplies,6375.6,6375.6,,,0 CDM,102124_C1874_278,Noncdm Charge Record Medical Supplies,6375.6,6375.6,,,0 CDM,102176_270,Noncdm Charge Record Medical Supplies,80.38,80.38,,,0 CDM,102177_270,Noncdm Charge Record Medical Supplies,80.32,80.32,,,0 CDM,102178_270,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,102183_270,Noncdm Charge Record Medical Supplies,1350.8,1350.8,,,0 CDM,102185_C1760_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,102222_270,Noncdm Charge Record Medical Supplies,900.94,900.94,,,0 CDM,102230_L8509_274,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,102254_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,102265_C1732_278,Noncdm Charge Record Medical Supplies,3522.2,3522.2,,,0 CDM,102269_C1769_278,Noncdm Charge Record Medical Supplies,20.9,20.9,,,0 CDM,102275_C1894_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,102279_C1713_278,Noncdm Charge Record Medical Supplies,227.5,227.5,,,0 CDM,10227_00574722406,Hydromorphone Hydrochloride: 6 Packet In 1 Box (0574-7224-06) / 1 Suppository In 1 Packet,25.15,25.15,,,0 CDM,102280_270,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 CDM,102281_C1768_278,Noncdm Charge Record Medical Supplies,489.5,489.5,,,0 CDM,102282_270,Noncdm Charge Record Medical Supplies,564.3,564.3,,,0 CDM,102285_Q0481_274,Noncdm Charge Record Medical Supplies,9047.5,9047.5,,,0 CDM,102292_C1713_278,Noncdm Charge Record Medical Supplies,1728.1,1728.1,,,0 CDM,102296_C1713_278,Noncdm Charge Record Medical Supplies,1226.85,1226.85,,,0 CDM,102298_C1887_278,Noncdm Charge Record Medical Supplies,2764.3,2764.3,,,0 CDM,102313_C2617_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,102322_C1762_278,Noncdm Charge Record Medical Supplies,82.34,82.34,,,0 CDM,102324_C1762_278,Noncdm Charge Record Medical Supplies,59.29,59.29,,,0 CDM,102333_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,102335_270,Noncdm Charge Record Medical Supplies,805.2,805.2,,,0 CDM,102336_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,102337_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,102345_C1769_278,Noncdm Charge Record Medical Supplies,73.9,73.9,,,0 CDM,10235_00904704606,"Hydroxychloroquine Sulfate: 50 Blister Pack In 1 Carton (0904-7046-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.41,5.41,,,0 CDM,10235_00904704661,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.88,5.88,,,0 CDM,10235_16714011001,"Hydroxychloroquine Sulfate: 100 Tablet, Film Coated In 1 Bottle (16714-110-01)",15.08,15.08,,,0 CDM,10235_50268041211,NDC Description Not Available,15.07,15.07,,,0 CDM,10235_63739077710,"Hydroxychloroquine Sulfate: 10 Blister Pack In 1 Box, Unit-Dose (63739-777-10) / 10 Tablet, Film Coated In 1 Blister Pack",15.29,15.29,,,0 CDM,10235_68084026911,NDC Description Not Available,15.21,15.21,,,0 CDM,102366_C1876_278,Noncdm Charge Record Medical Supplies,3119.05,3119.05,,,0 CDM,10236_00904693961,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack,4.05,4.05,,,0 CDM,10236_68084028411,NDC Description Not Available,3.63,3.63,,,0 CDM,102372_C1887_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,102380_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,102382_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,102384_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,102392_C1876_278,Noncdm Charge Record Medical Supplies,4067.8,4067.8,,,0 CDM,102399_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,102401_270,Noncdm Charge Record Medical Supplies,965.49,965.49,,,0 CDM,102404_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,102414_C1781_278,Noncdm Charge Record Medical Supplies,1666.5,1666.5,,,0 CDM,102417_270,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,102424_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,102454_C1874_278,Noncdm Charge Record Medical Supplies,5003.74,5003.74,,,0 CDM,102455_C1874_278,Noncdm Charge Record Medical Supplies,5003.9,5003.9,,,0 CDM,102456_C1874_278,Noncdm Charge Record Medical Supplies,5003.53,5003.53,,,0 CDM,102457_C1874_278,Noncdm Charge Record Medical Supplies,5003.74,5003.74,,,0 CDM,102460_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,102461_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,102464_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,102466_C1769_272,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,102466_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,102467_270,Noncdm Charge Record Medical Supplies,490.6,490.6,,,0 CDM,10246_00121091400,"Childrens Ibuprofen Oral Suspension: 10 Tray In 1 Case (0121-0914-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0914-05)",0.86,0.86,,,0 CDM,10246_00121091405,NDC Description Not Available,0.85,0.85,,,0 CDM,10246_60687074340,NDC Description Not Available,0.92,0.92,,,0 CDM,10246_63739079801,"Childrens Ibuprofen Oral Suspension: 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",0.89,0.89,,,0 CDM,10246_68094049459,NDC Description Not Available,0.98,0.98,,,0 CDM,10246_68094049461,"Childrens Ibuprofen: 10 Tray In 1 Case (68094-494-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-494-59)",0.99,0.99,,,0 CDM,10246_68094050359,NDC Description Not Available,1.6,1.6,,,0 CDM,10246_68094060059,NDC Description Not Available,1.03,1.03,,,0 CDM,102470_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,102472_270,Noncdm Charge Record Medical Supplies,353.1,353.1,,,0 CDM,10248_10019092501,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",154.94,154.94,,,0 CDM,10248_10019092582,NDC Description Not Available,158.91,158.91,,,0 CDM,10248_63323014210,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",179.98,179.98,,,0 CDM,10249_10019092602,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",143.03,143.03,,,0 CDM,10249_10019092616,NDC Description Not Available,158.98,158.98,,,0 CDM,102501_C1894_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,102502_C1894_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,102506_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,102507_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,102513_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,102514_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,102520_C1889_278,Noncdm Charge Record Medical Supplies,1259.5,1259.5,,,0 CDM,102521_C1889_278,Noncdm Charge Record Medical Supplies,1329.9,1329.9,,,0 CDM,102523_C1889_278,Noncdm Charge Record Medical Supplies,1190.2,1190.2,,,0 CDM,102528_C1769_278,Noncdm Charge Record Medical Supplies,48.53,48.53,,,0 CDM,102529_C1769_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,102537_C1887_272,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,102537_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,102538_C1753_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,102546_A4648_278,Noncdm Charge Record Medical Supplies,155.1,155.1,,,0 CDM,102552_C1758_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,102559_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,102560_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,102561_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,102563_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,102568_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,102576_C1713_278,Noncdm Charge Record Medical Supplies,1537.8,1537.8,,,0 CDM,102596_C1713_278,Noncdm Charge Record Medical Supplies,288.34,288.34,,,0 CDM,102602_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,102608_C1750_278,Noncdm Charge Record Medical Supplies,268.35,268.35,,,0 CDM,102609_C1750_278,Noncdm Charge Record Medical Supplies,299.1,299.1,,,0 CDM,102610_270,Noncdm Charge Record Medical Supplies,498.3,498.3,,,0 CDM,102621_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,102647_C1757_278,Noncdm Charge Record Medical Supplies,5197.5,5197.5,,,0 CDM,102659_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,102662_C1894_278,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,10266_17238042406,Indocyanine Green: 1 KIT in 1 CARTON (17238-424-06),60.77,60.77,,,0 CDM,10266_17478070102,"IC-Green: 1 KIT in 1 CARTON (17478-701-02) * 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE * 10 mL in 1 AMPULE",283.27,283.27,,,0 CDM,10266_66259014601,NDC Description Not Available,246.61,246.61,,,0 CDM,10266_70100042401,NDC Description Not Available,53.14,53.14,,,0 CDM,10266_70100042402,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02) / 1 Kit In 1 Package * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 10 Ml In 1 Vial, Plastic (0409-4887-17)",91.67,91.67,,,0 CDM,102672_C1889_278,Noncdm Charge Record Medical Supplies,1575.2,1575.2,,,0 CDM,102672_C2625_278,Noncdm Charge Record Medical Supplies,1587.5,1587.5,,,0 CDM,10267_00409111301,"Indomethacin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1113-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",155.53,155.53,,,0 CDM,10267_63323065903,Indomethacin: 1 Vial In 1 Carton (63323-659-03) / 1 Ml In 1 Vial,1307.47,1307.47,,,0 CDM,102682_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,102683_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,102684_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,102689_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,102690_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,102698_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,102712_C1889_278,Noncdm Charge Record Medical Supplies,1962.4,1962.4,,,0 CDM,102715_C1889_278,Noncdm Charge Record Medical Supplies,1347.5,1347.5,,,0 CDM,102717_C1889_278,Noncdm Charge Record Medical Supplies,1936.0,1936.0,,,0 CDM,102718_C1889_278,Noncdm Charge Record Medical Supplies,1948.1,1948.1,,,0 CDM,102725_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,102728_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,102731_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,102751_270,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,102759_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,102762_270,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,102766_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,102768_C1713_278,Noncdm Charge Record Medical Supplies,646.8,646.8,,,0 CDM,102781_C1892_278,Noncdm Charge Record Medical Supplies,57.2,57.2,,,0 CDM,102788_C1889_278,Noncdm Charge Record Medical Supplies,1547.7,1547.7,,,0 CDM,102789_C1817_278,Noncdm Charge Record Medical Supplies,1547.7,1547.7,,,0 CDM,102789_C1889_278,Noncdm Charge Record Medical Supplies,1547.7,1547.7,,,0 CDM,102790_C1817_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,102790_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,102804_C1887_278,Noncdm Charge Record Medical Supplies,309.47,309.47,,,0 CDM,102805_C1887_278,Noncdm Charge Record Medical Supplies,304.81,304.81,,,0 CDM,102807_C1887_278,Noncdm Charge Record Medical Supplies,507.36,507.36,,,0 CDM,102809_C1769_278,Noncdm Charge Record Medical Supplies,296.85,296.85,,,0 CDM,102814_C1887_278,Noncdm Charge Record Medical Supplies,146.46,146.46,,,0 CDM,102836_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,102836_C1889_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,102837_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,102840_270,Noncdm Charge Record Medical Supplies,3854.52,3854.52,,,0 CDM,102843_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,10284_00002831501,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",0.96,0.96,,,0 CDM,10284_00002831517,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-17) / 3 Ml In 1 Vial, Multi-Dose",3.21,3.21,,,0 CDM,10284_00169183411,Novolin N: 1 Vial In 1 Carton (0169-1834-11) / 10 Ml In 1 Vial,1.07,1.07,,,0 CDM,10286_00002871501,"Humulin 70/30: 1 Vial, Multi-Dose In 1 Carton (0002-8715-01) / 10 Ml In 1 Vial, Multi-Dose",3.01,3.01,,,0 CDM,10286_00169183711,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.04,1.04,,,0 CDM,102878_C1889_278,Noncdm Charge Record Medical Supplies,3150.4,3150.4,,,0 CDM,10289,Noncdm Charge Record,250.0,250.0,,,0 CDM,10289_00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",6.71,6.71,,,0 CDM,10289_00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 CDM,10289_00002821517,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",5.49,5.49,,,0 CDM,10289_00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,1.37,1.37,,,0 CDM,102918_C1713_278,Noncdm Charge Record Medical Supplies,614.9,614.9,,,0 CDM,102929_C1887_278,Noncdm Charge Record Medical Supplies,5542.9,5542.9,,,0 CDM,102933_C1757_278,Noncdm Charge Record Medical Supplies,511.74,511.74,,,0 CDM,102939_C1713_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,102940_C1713_278,Noncdm Charge Record Medical Supplies,512.05,512.05,,,0 CDM,102945_C1713_278,Noncdm Charge Record Medical Supplies,395.45,395.45,,,0 CDM,102951_C1713_278,Noncdm Charge Record Medical Supplies,148.44,148.44,,,0 CDM,102952_270,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,102952_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,102959_C1887_278,Noncdm Charge Record Medical Supplies,44.0,44.0,,,0 CDM,102961_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,102962_C1894_278,Noncdm Charge Record Medical Supplies,61.38,61.38,,,0 CDM,102963_C1894_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,102972_C1769_278,Noncdm Charge Record Medical Supplies,19.43,19.43,,,0 CDM,102979_C1766_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,102982_C1757_278,Noncdm Charge Record Medical Supplies,1875.5,1875.5,,,0 CDM,102983_C9359_278,Noncdm Charge Record Medical Supplies,1194.6,1194.6,,,0 CDM,102983_C9359_636,Noncdm Charge Record Pharmacy,1118.58,1118.58,,,0 CDM,102997_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,1029_00168005615,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0056-15) / 15 G In 1 Tube,221.45,221.45,,,0 CDM,1029_52817082415,"Betamethasone Dipropionate Usp, 0.05%: 1 Tube In 1 Carton (52817-824-15) / 15 G In 1 Tube",221.66,221.66,,,0 CDM,1029_63629932301,Betamethasone Dipropionate: 1 Tube In 1 Carton (63629-9323-1) / 15 G In 1 Tube,169.95,169.95,,,0 CDM,103009_C1713_278,Noncdm Charge Record Medical Supplies,150.15,150.15,,,0 CDM,103022_270,Noncdm Charge Record Medical Supplies,391.6,391.6,,,0 CDM,103025_C1713_278,Noncdm Charge Record Medical Supplies,365.06,365.06,,,0 CDM,103027_C1766_278,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,103032_C1766_278,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 CDM,103040_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,103045_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103046_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103047_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103048_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103049_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103051_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,103097_C1789_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,103098_C1789_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,103100_C1789_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,103162_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,103163_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,103164_C1751_278,Noncdm Charge Record Medical Supplies,251.51,251.51,,,0 CDM,103171_C1769_272,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,103171_C1769_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,103173_C1894_278,Noncdm Charge Record Medical Supplies,57.36,57.36,,,0 CDM,10319_00407141110,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",70.09,70.09,,,0 CDM,10319_00407141120,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-20) / 20 Ml In 1 Vial, Glass",11.28,11.28,,,0 CDM,1031_00168004015,Betamethasone Valerate: 15 G In 1 Tube (0168-0040-15),100.94,100.94,,,0 CDM,103217_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,103218_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,103222_C1776_278,Noncdm Charge Record Medical Supplies,2651.0,2651.0,,,0 CDM,103230_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,10323_00407141403,"10 BOTTLE, GLASS in 1 BOX (0407-1414-03) / 150 mL in 1 BOTTLE, GLASS",3.9,3.9,,,0 CDM,10323_00407141408,NDC Description Not Available,4.36,4.36,,,0 CDM,10323_00407141460,"10 BOTTLE, GLASS in 1 BOX (0407-1414-60) / 100 mL in 1 BOTTLE, GLASS",4.35,4.35,,,0 CDM,10323_00407141476,"Omnipaque: 10 Bottle, Glass In 1 Box (0407-1414-76) / 125 Ml In 1 Bottle, Glass",2.28,2.28,,,0 CDM,10323_00407141482,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-82) / 50 Ml In 1 Bottle, Plastic",5.5,5.5,,,0 CDM,10323_00407141484,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-84) / 100 Ml In 1 Bottle, Plastic",5.59,5.59,,,0 CDM,10323_00407141486,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-86) / 150 Ml In 1 Bottle, Plastic",5.2,5.2,,,0 CDM,10323_00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",6.91,6.91,,,0 CDM,10323_00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",4.22,4.22,,,0 CDM,10323_00407141493,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",3.95,3.95,,,0 CDM,103277_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,103277_C1889_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,103279_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,103333_270,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,103335_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,103336_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,103339_C1751_278,Noncdm Charge Record Medical Supplies,144.27,144.27,,,0 CDM,10333_00019095305,"Conray: 25 Vial, Glass In 1 Box (0019-0953-05) / 50 Ml In 1 Vial, Glass",2.2,2.2,,,0 CDM,103365_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103366_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103367_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,103368_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,103371_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103374_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103375_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103377_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103381_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103382_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,103387_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,103388_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,103394_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,103395_270,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103396_270,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103397_C1769_278,Noncdm Charge Record Medical Supplies,331.1,331.1,,,0 CDM,103398_C1894_278,Noncdm Charge Record Medical Supplies,331.1,331.1,,,0 CDM,1033_00168003315,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),73.13,73.13,,,0 CDM,103408_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,103411_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,103416_270,Noncdm Charge Record Medical Supplies,105.6,105.6,,,0 CDM,103449_C1773_278,Noncdm Charge Record Medical Supplies,2722.72,2722.72,,,0 CDM,103450_C1773_278,Noncdm Charge Record Medical Supplies,2594.9,2594.9,,,0 CDM,103451_C1773_278,Noncdm Charge Record Medical Supplies,2594.9,2594.9,,,0 CDM,103456_C1757_278,Noncdm Charge Record Medical Supplies,562.1,562.1,,,0 CDM,103457_270,Noncdm Charge Record Medical Supplies,1204.5,1204.5,,,0 CDM,103462_C1894_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,103470_270,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,103482_J7301_278,Noncdm Charge Record Medical Supplies,1276.0,1276.0,,,0 CDM,103483_C1788_278,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,103484_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,103494_C1874_278,Noncdm Charge Record Medical Supplies,3958.9,3958.9,,,0 CDM,103496_C1874_278,Noncdm Charge Record Medical Supplies,3958.9,3958.9,,,0 CDM,103499_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,103504_C1887_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,103506_C1887_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,103512_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,103525_C2628_278,Noncdm Charge Record Medical Supplies,2506.9,2506.9,,,0 CDM,103547_270,Noncdm Charge Record Medical Supplies,926.2,926.2,,,0 CDM,103548_270,Noncdm Charge Record Medical Supplies,926.2,926.2,,,0 CDM,103557_C1894_278,Noncdm Charge Record Medical Supplies,1102.2,1102.2,,,0 CDM,103583_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,10358_67457022005,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",58.36,58.36,,,0 CDM,103600_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103603_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,103605_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,103610_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,103611_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,103612_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,103617_C9359_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,103617_C9359_636,Noncdm Charge Record Pharmacy,1730.4,1730.4,,,0 CDM,103620_C1713_278,Noncdm Charge Record Medical Supplies,741.4,741.4,,,0 CDM,103630_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,103633_C1713_278,Noncdm Charge Record Medical Supplies,1729.2,1729.2,,,0 CDM,103635_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,103643_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,103644_270,Noncdm Charge Record Medical Supplies,438.86,438.86,,,0 CDM,103647_270,Noncdm Charge Record Medical Supplies,1136.19,1136.19,,,0 CDM,103648_270,Noncdm Charge Record Medical Supplies,1136.3,1136.3,,,0 CDM,103649_270,Noncdm Charge Record Medical Supplies,1136.21,1136.21,,,0 CDM,10364_50268045011,NDC Description Not Available,20.43,20.43,,,0 CDM,10364_60687029995,NDC Description Not Available,14.42,14.42,,,0 CDM,103650_270,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,103651_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,103652_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,10368_00093321930,Ketoconazole: 1 Tube In 1 Carton (0093-3219-30) / 30 G In 1 Tube,180.33,180.33,,,0 CDM,10368_00168009930,Ketoconazole: 1 Tube In 1 Carton (0168-0099-30) / 30 G In 1 Tube,187.67,187.67,,,0 CDM,10368_16714095501,Ketoconazole: 1 Tube In 1 Carton (16714-955-01) / 15 G In 1 Tube,226.6,226.6,,,0 CDM,10368_16714095502,Ketoconazole: 1 Tube In 1 Carton (16714-955-02) / 30 G In 1 Tube,364.83,364.83,,,0 CDM,10369_35573043302,Ketoconazole: 100 Tablet In 1 Bottle (35573-433-02),14.18,14.18,,,0 CDM,10369_64380082706,Ketoconazole: 100 Tablet In 1 Bottle (64380-827-06),1.67,1.67,,,0 CDM,10371_00093031401,"Ketorolac Tromethamine: 100 Tablet, Film Coated In 1 Bottle (0093-0314-01)",7.72,7.72,,,0 CDM,10371_60687010411,NDC Description Not Available,26.32,26.32,,,0 CDM,10371_70710171001,"Ketorolac Tromethamine: 100 Tablet, Film Coated In 1 Bottle (70710-1710-1)",6.97,6.97,,,0 CDM,103720_270,Noncdm Charge Record Medical Supplies,1136.3,1136.3,,,0 CDM,10372_00409012501,NDC Description Not Available,2.36,2.36,,,0 CDM,10372_00409226720,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-20) / 20 Ml In 1 Vial, Multi-Dose",7.75,7.75,,,0 CDM,10372_00409233924,NDC Description Not Available,39.14,39.14,,,0 CDM,10372_17478042020,"Labetalol Hydrochloride: 1 VIAL, MULTI-DOSE in 1 BOX (17478-420-20) / 20 mL in 1 VIAL, MULTI-DOSE",11.33,11.33,,,0 CDM,10372_36000032001,NDC Description Not Available,11.12,11.12,,,0 CDM,103739_C1889_278,Noncdm Charge Record Medical Supplies,1563.1,1563.1,,,0 CDM,10373_00591060501,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0605-01)",1.89,1.89,,,0 CDM,103758_C1884_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,103758_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,103759_C1884_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,103759_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,10375_60687046111,NDC Description Not Available,0.59,0.59,,,0 CDM,103760_C1889_278,Noncdm Charge Record Medical Supplies,302.6,302.6,,,0 CDM,103766_C1893_278,Noncdm Charge Record Medical Supplies,40.41,40.41,,,0 CDM,103768_C1769_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,103778_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,103779_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,103780_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,103783_270,Noncdm Charge Record Medical Supplies,669.9,669.9,,,0 CDM,103784_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,103785_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,103786_C1766_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,103787_C1713_278,Noncdm Charge Record Medical Supplies,159.47,159.47,,,0 CDM,103788_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,103789_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,10380_00904598426,NDC Description Not Available,137.87,137.87,,,0 CDM,10380_45802041954,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (45802-419-54)",119.48,119.48,,,0 CDM,10380_51672130005,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (51672-1300-5)",154.38,154.38,,,0 CDM,10380_63044048409,"Ammonium Lactate: 225 g in 1 BOTTLE, PLASTIC (63044-484-09)",129.78,129.78,,,0 CDM,103830_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103831_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103832_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103833_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103834_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103835_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103836_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103837_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103838_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103840_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103841_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103842_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103843_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103845_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103846_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103847_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103848_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103849_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,103852_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,10385_270,Noncdm Charge Record Medical Supplies,3531.0,3531.0,,,0 CDM,10385_C1813_278,Noncdm Charge Record Medical Supplies,3531.0,3531.0,,,0 CDM,103861_C2630_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,103869_C1724_278,Noncdm Charge Record Medical Supplies,4928.0,4928.0,,,0 CDM,103877_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,103890_00597005801,Flomax: 100 CAPSULE in 1 BOTTLE (0597-0058-01),15.37,15.37,,,0 CDM,103890_00904640161,100 BLISTER PACK in 1 CARTON (0904-6401-61) / 1 CAPSULE in 1 BLISTER PACK,15.36,15.36,,,0 CDM,103890_51079029401,NDC Description Not Available,15.45,15.45,,,0 CDM,103890_65862059801,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (65862-598-01),15.76,15.76,,,0 CDM,103890_68084029901,"Tamsulosin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-299-01) / 1 Capsule In 1 Blister Pack (68084-299-11)",15.45,15.45,,,0 CDM,103890_68084029911,NDC Description Not Available,15.22,15.22,,,0 CDM,103890_72603011501,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (72603-115-01),15.23,15.23,,,0 CDM,103909_C1813_278,Noncdm Charge Record Medical Supplies,5653.18,5653.18,,,0 CDM,103926_C1887_278,Noncdm Charge Record Medical Supplies,2517.9,2517.9,,,0 CDM,103927_C1887_278,Noncdm Charge Record Medical Supplies,1824.9,1824.9,,,0 CDM,103940_07985407724,NDC Description Not Available,0.95,0.95,,,0 CDM,103940_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,103947_C1725_278,Noncdm Charge Record Medical Supplies,1230.27,1230.27,,,0 CDM,103948_C1725_278,Noncdm Charge Record Medical Supplies,1230.07,1230.07,,,0 CDM,103949_C1725_278,Noncdm Charge Record Medical Supplies,1230.35,1230.35,,,0 CDM,10394_24208050505,"Levobunolol Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-505-05) / 5 Ml In 1 Bottle, Dropper",87.32,87.32,,,0 CDM,103950_C1725_278,Noncdm Charge Record Medical Supplies,1230.14,1230.14,,,0 CDM,103977_270,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,103978_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,103980_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,103981_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,103988_270,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,103999_270,Noncdm Charge Record Medical Supplies,1072.5,1072.5,,,0 CDM,103_45802073200,NDC Description Not Available,1.98,1.98,,,0 CDM,103_51672211500,NDC Description Not Available,3.83,3.83,,,0 CDM,104010_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104011_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104012_71858004004,Tirosint: 3 Blister Pack In 1 Carton (71858-0040-4) / 10 Capsule In 1 Blister Pack,6.52,6.52,,,0 CDM,104012_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104014_270,Noncdm Charge Record Medical Supplies,1748.61,1748.61,,,0 CDM,104033_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,104039_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,104051_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,104060_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,104062_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,104063_C1713_278,Noncdm Charge Record Medical Supplies,90.2,90.2,,,0 CDM,104071_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,104083_C2625_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,104084_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104087_C9359_278,Noncdm Charge Record Medical Supplies,2152.7,2152.7,,,0 CDM,104096_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,104097_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,104102_C1721_275,Noncdm Charge Record Medical Supplies,18326.0,18326.0,,,0 CDM,104106_C1722_275,Noncdm Charge Record Medical Supplies,15969.8,15969.8,,,0 CDM,104109_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,104116_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104117_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104125_C1713_278,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,104136_C9361_278,Noncdm Charge Record Medical Supplies,4073.3,4073.3,,,0 CDM,104138_L8509_274,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,104163_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,104164_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,104172_C2631_278,Noncdm Charge Record Medical Supplies,1084.65,1084.65,,,0 CDM,104174_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,104181_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,104182_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,104207,Noncdm Charge Record,250.0,250.0,,,0 CDM,104207_00143959501,NDC Description Not Available,0.36,0.36,,,0 CDM,104207_00409427902,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",1.1,1.1,,,0 CDM,104207_00409427916,NDC Description Not Available,0.53,0.53,,,0 CDM,104207_00409471312,NDC Description Not Available,1.38,1.38,,,0 CDM,104207_00409471332,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),2.78,2.78,,,0 CDM,104207_00409471342,NDC Description Not Available,3.09,3.09,,,0 CDM,104207_00409471375,NDC Description Not Available,1.44,1.44,,,0 CDM,104207_55150016102,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",5.18,5.18,,,0 CDM,104207_55150016205,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",4.3,4.3,,,0 CDM,104207_55150016330,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",0.77,0.77,,,0 CDM,104207_63323049204,NDC Description Not Available,7.16,7.16,,,0 CDM,104207_63323049207,NDC Description Not Available,2.25,2.25,,,0 CDM,104207_63323049208,NDC Description Not Available,2.54,2.54,,,0 CDM,104207_63323049209,NDC Description Not Available,4.48,4.48,,,0 CDM,104207_63323049227,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",5.68,5.68,,,0 CDM,104207_63323049237,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-492-37) / 30 Ml In 1 Vial, Single-Dose (63323-492-07)",1.71,1.71,,,0 CDM,104207_63323049257,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",3.84,3.84,,,0 CDM,104207_63323049297,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),2.58,2.58,,,0 CDM,104207_65282160501,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1) / 5 Ml In 1 Ampule,1.79,1.79,,,0 CDM,104207_70756064125,Lidocaine Hydrochloride: 25 Vial In 1 Carton (70756-641-25) / 5 Ml In 1 Vial,2.09,2.09,,,0 CDM,104207_70756064185,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,2.1,2.1,,,0 CDM,104207_71351002105,NDC Description Not Available,2.15,2.15,,,0 CDM,104207_72603035001,NDC Description Not Available,7.21,7.21,,,0 CDM,104207_73293000101,NDC Description Not Available,2.1,2.1,,,0 CDM,104207_73293000102,Lidocaine Hydrochloride: 10 Vial In 1 Box (73293-0001-2) / 5 Ml In 1 Vial (73293-0001-1),2.13,2.13,,,0 CDM,104208_00143959401,NDC Description Not Available,1.28,1.28,,,0 CDM,104208_00409206605,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",1.47,1.47,,,0 CDM,104208_55150016505,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05) / 5 Ml In 1 Vial, Single-Dose",1.45,1.45,,,0 CDM,104208_63323020801,NDC Description Not Available,1.49,1.49,,,0 CDM,104208_63323049504,NDC Description Not Available,1.85,1.85,,,0 CDM,104251_Q4116_278,Noncdm Charge Record Medical Supplies,97.63,97.63,,,0 CDM,104251_Q4116_636,Noncdm Charge Record Pharmacy,91.41,91.41,,,0 CDM,10426_00409317701,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",0.07,0.07,,,0 CDM,10426_63323048101,NDC Description Not Available,0.16,0.16,,,0 CDM,10427_00409000701,NDC Description Not Available,0.05,0.05,,,0 CDM,10427_00409317801,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.06,0.06,,,0 CDM,10427_00409317802,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3178-17)",0.09,0.09,,,0 CDM,10427_00409317803,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3178-18)",0.04,0.04,,,0 CDM,10427_00409317817,NDC Description Not Available,0.11,0.11,,,0 CDM,10427_63323048203,NDC Description Not Available,0.13,0.13,,,0 CDM,10427_63323048205,NDC Description Not Available,0.16,0.16,,,0 CDM,10427_63323048217,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-17) / 10 Ml In 1 Vial, Multi-Dose (63323-482-01)",0.19,0.19,,,0 CDM,10427_63323048227,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-27) / 20 Ml In 1 Vial, Multi-Dose (63323-482-03)",1.08,1.08,,,0 CDM,10428_63323048701,NDC Description Not Available,0.6,0.6,,,0 CDM,10428_63323048703,NDC Description Not Available,0.26,0.26,,,0 CDM,10428_63323048707,NDC Description Not Available,0.37,0.37,,,0 CDM,10428_63323048717,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-17) / 10 Ml In 1 Vial, Single-Dose (63323-487-01)",0.49,0.49,,,0 CDM,10428_63323048731,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-487-31) / 30 Ml In 1 Vial, Single-Dose (63323-487-03)",0.2,0.2,,,0 CDM,10428_63323048737,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",0.22,0.22,,,0 CDM,10429_00409120901,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01) / 5 Ml In 1 Ampule (0409-1209-10),0.28,0.28,,,0 CDM,10429_00409120965,Lidocaine Hydrochloride And Epinephrine: 800 Ampule In 1 Case (0409-1209-65) / 5 Ml In 1 Ampule (0409-1209-70),0.42,0.42,,,0 CDM,10429_00409318101,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3181-01) / 30 Ml In 1 Vial, Single-Dose (0409-3181-11)",0.14,0.14,,,0 CDM,10429_63323048801,NDC Description Not Available,0.27,0.27,,,0 CDM,10429_63323048807,NDC Description Not Available,0.15,0.15,,,0 CDM,10429_63323048817,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-488-17) / 10 Ml In 1 Vial, Single-Dose (63323-488-01)",0.28,0.28,,,0 CDM,10430_00409318201,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3182-11)",0.36,0.36,,,0 CDM,10430_00409318202,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3182-21)",0.38,0.38,,,0 CDM,10430_00409318203,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3182-31)",0.22,0.22,,,0 CDM,10430_00409318211,NDC Description Not Available,0.36,0.36,,,0 CDM,10430_63323048303,NDC Description Not Available,0.54,0.54,,,0 CDM,10430_63323048327,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27) / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",0.58,0.58,,,0 CDM,10431_00409318301,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3183-01) / 20 Ml In 1 Vial, Single-Dose (0409-3183-11)",1.24,1.24,,,0 CDM,10431_63323048902,NDC Description Not Available,4.62,4.62,,,0 CDM,10431_63323048917,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",3.69,3.69,,,0 CDM,10431_63323048927,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-27) / 20 Ml In 1 Vial, Single-Dose (63323-489-02)",2.88,2.88,,,0 CDM,104324_270,Noncdm Charge Record Medical Supplies,448.8,448.8,,,0 CDM,104331_C1889_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,104334_C1889_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,104335_C1889_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,10434_00115146853,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (0115-1468-53) / 5 g in 1 TUBE,28.84,28.84,,,0 CDM,10434_00115146860,Lidocaine and Prilocaine: 5 TUBE in 1 CARTON (0115-1468-60) / 5 g in 1 TUBE,28.84,28.84,,,0 CDM,10434_00168035705,NDC Description Not Available,36.05,36.05,,,0 CDM,10434_00168035730,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0168-0357-30) / 30 G In 1 Tube,64.93,64.93,,,0 CDM,10434_00168035755,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0168-0357-55) / 5 G In 1 Tube (0168-0357-05),36.05,36.05,,,0 CDM,10434_00574204230,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0574-2042-30) / 30 G In 1 Tube,65.04,65.04,,,0 CDM,10434_00591207026,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (0591-2070-26) / 5 g in 1 TUBE,31.93,31.93,,,0 CDM,10434_50383066730,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (50383-667-30) / 30 g in 1 TUBE,191.58,191.58,,,0 CDM,10434_62332058204,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04) / 5 G In 1 Tube,32.96,32.96,,,0 CDM,10434_62332058231,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-31) / 30 G In 1 Tube,130.81,130.81,,,0 CDM,104356_270,Noncdm Charge Record Medical Supplies,1557.6,1557.6,,,0 CDM,104359_270,Noncdm Charge Record Medical Supplies,951.5,951.5,,,0 CDM,104359_C1889_278,Noncdm Charge Record Medical Supplies,951.5,951.5,,,0 CDM,104360_270,Noncdm Charge Record Medical Supplies,4207.5,4207.5,,,0 CDM,104366_270,Noncdm Charge Record Medical Supplies,331.92,331.92,,,0 CDM,1043_00832051189,NDC Description Not Available,5.74,5.74,,,0 CDM,104402_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104429_270,Noncdm Charge Record Medical Supplies,4581.5,4581.5,,,0 CDM,10442_39822015101,Liothyronine Sodium: 1 Vial In 1 Carton (39822-0151-1) / 1 Ml In 1 Vial,1089.3,1089.3,,,0 CDM,104431_270,Noncdm Charge Record Medical Supplies,4122.8,4122.8,,,0 CDM,10443_00093217901,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2179-01),7.92,7.92,,,0 CDM,10443_16714016601,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),5.63,5.63,,,0 CDM,104459_270,Noncdm Charge Record Medical Supplies,1136.21,1136.21,,,0 CDM,104462_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104496_Q0499_274,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 CDM,104500_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,104528_C1726_278,Noncdm Charge Record Medical Supplies,3041.5,3041.5,,,0 CDM,104536_V2785_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,104539_270,Noncdm Charge Record Medical Supplies,333.93,333.93,,,0 CDM,104549_C1729_278,Noncdm Charge Record Medical Supplies,263.02,263.02,,,0 CDM,104553_270,Noncdm Charge Record Medical Supplies,169.47,169.47,,,0 CDM,104555_00078041761,NDC Description Not Available,45.61,45.61,,,0 CDM,104556_00054047221,Everolimus: 60 Tablet In 1 Bottle (0054-0472-21),38.11,38.11,,,0 CDM,104556_51991038199,NDC Description Not Available,36.07,36.07,,,0 CDM,104556_67877072033,NDC Description Not Available,36.16,36.16,,,0 CDM,104565_00054032756,Fluticasone Propionate And Salmeterol: 1 Pouch In 1 Carton (0054-0327-56) / 1 Inhaler In 1 Pouch / 60 Powder In 1 Inhaler,27.12,27.12,,,0 CDM,104571_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,104576_50268077211,NDC Description Not Available,18.97,18.97,,,0 CDM,104576_60687075011,NDC Description Not Available,18.56,18.56,,,0 CDM,104576_62559026530,Tranexamic Acid: 30 Tablet In 1 Bottle (62559-265-30),18.87,18.87,,,0 CDM,104576_69918030130,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),19.3,19.3,,,0 CDM,104583_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104584_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104585_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104591_C1759_278,Noncdm Charge Record Medical Supplies,1213.3,1213.3,,,0 CDM,104593_C1759_278,Noncdm Charge Record Medical Supplies,4220.73,4220.73,,,0 CDM,1045_53746057101,Bethanechol Chloride: 100 Tablet In 1 Bottle (53746-571-01),3.09,3.09,,,0 CDM,104601_C1759_272,Noncdm Charge Record Medical Supplies,4068.9,4068.9,,,0 CDM,104601_C1759_278,Noncdm Charge Record Medical Supplies,4068.9,4068.9,,,0 CDM,104604_65649030302,Xifaxan: 60 Tablet In 1 Bottle (65649-303-02),239.54,239.54,,,0 CDM,104604_65649030303,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03) / 10 Tablet In 1 Blister Pack,236.16,236.16,,,0 CDM,104610_Q4133_278,Noncdm Charge Record Medical Supplies,101.74,101.74,,,0 CDM,104614_270,Noncdm Charge Record Medical Supplies,1405.8,1405.8,,,0 CDM,104622_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104623_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,104625_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,104626_C1874_278,Noncdm Charge Record Medical Supplies,6697.72,6697.72,,,0 CDM,104627_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,104629_C1768_278,Noncdm Charge Record Medical Supplies,2018.5,2018.5,,,0 CDM,104638_C1889_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,104639_C1889_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,104641_C1889_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,104656_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,104658_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104659_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104660_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104661_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104662_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104663_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,104664_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,104665_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,10466_00904685261,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61) / 1 Tablet In 1 Blister Pack,1.03,1.03,,,0 CDM,104674_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,104676_C1713_278,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,10467_00409677811,NDC Description Not Available,7.21,7.21,,,0 CDM,10467_00641600101,NDC Description Not Available,8.24,8.24,,,0 CDM,10467_00641604401,NDC Description Not Available,2.06,2.06,,,0 CDM,10467_00641604801,NDC Description Not Available,1.37,1.37,,,0 CDM,104686_C1713_278,Noncdm Charge Record Medical Supplies,229.08,229.08,,,0 CDM,104692_00019118881,"Sodium Chloride: 20 Box In 1 Carton (0019-1188-81) / 1 Syringe, Plastic In 1 Box / 125 Ml In 1 Syringe, Plastic",58.67,58.67,,,0 CDM,104692_06380710001,NDC Description Not Available,1.07,1.07,,,0 CDM,104692_06380710011,NDC Description Not Available,12.69,12.69,,,0 CDM,104692_06380710055,NDC Description Not Available,1.55,1.55,,,0 CDM,104692_08290306545,NDC Description Not Available,2.02,2.02,,,0 CDM,104692_08290306546,NDC Description Not Available,2.22,2.22,,,0 CDM,104692_08290306547,NDC Description Not Available,2.19,2.19,,,0 CDM,104692_08290306553,NDC Description Not Available,4.31,4.31,,,0 CDM,104692_08452100026,NDC Description Not Available,2.41,2.41,,,0 CDM,104692_08881570123,NDC Description Not Available,1.91,1.91,,,0 CDM,104692_64253020230,"Sodium Chloride: 60 Syringe, Plastic In 1 Box (64253-202-30) / 10 Ml In 1 Syringe, Plastic",5.15,5.15,,,0 CDM,104698_270,Noncdm Charge Record Medical Supplies,1438.8,1438.8,,,0 CDM,104714_C1819_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,104715_C1874_278,Noncdm Charge Record Medical Supplies,2957.9,2957.9,,,0 CDM,104716_C1874_278,Noncdm Charge Record Medical Supplies,2957.9,2957.9,,,0 CDM,104723_74676590601,"Trelstar: 1 Kit In 1 Carton (74676-5906-1) * 2 Ml In 1 Vial, Single-Dose (74676-5906-0) * 2 Ml In 1 Syringe",2130.9,2130.9,,,0 CDM,10475_00009722401,NDC Description Not Available,9419.57,9419.57,,,0 CDM,10475_00009722402,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),9419.58,9419.58,,,0 CDM,104764_59762100101,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",30.64,30.64,,,0 CDM,104764_68382052001,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",1.79,1.79,,,0 CDM,104772_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,104773_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,104790_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,104814_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104815_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104816_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104817_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104818_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104819_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104820_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104821_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104822_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104823_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104824_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104825_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104826_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104827_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104828_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104829_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,104834_C1769_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,104836_C1769_278,Noncdm Charge Record Medical Supplies,47.27,47.27,,,0 CDM,104837_C1769_278,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,104839_C1769_278,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,10483_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,104840_C1776_278,Noncdm Charge Record Medical Supplies,5876.2,5876.2,,,0 CDM,104841_C9359_278,Noncdm Charge Record Medical Supplies,4017.2,4017.2,,,0 CDM,104850_C1726_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,104851_C1726_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,104854_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,104864_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,104877_67877071931,Everolimus: 6 Blister Pack In 1 Carton (67877-719-31) / 10 Tablet In 1 Blister Pack (67877-719-33),36.31,36.31,,,0 CDM,104877_67877071933,NDC Description Not Available,36.17,36.17,,,0 CDM,104896_C1769_270,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,104896_C1769_278,Noncdm Charge Record Medical Supplies,47.28,47.28,,,0 CDM,104903_C1766_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,104904_C1766_278,Noncdm Charge Record Medical Supplies,309.1,309.1,,,0 CDM,10490_270,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,104910_C1776_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,104911_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,104912_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,104924_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,104931_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,104936_C1713_278,Noncdm Charge Record Medical Supplies,2288.0,2288.0,,,0 CDM,104938_C1766_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,104943_C1713_278,Noncdm Charge Record Medical Supplies,403.48,403.48,,,0 CDM,104947_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,104959_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104960_C2617_278,Noncdm Charge Record Medical Supplies,119.98,119.98,,,0 CDM,104961_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104962_00121115430,NDC Description Not Available,6.59,6.59,,,0 CDM,104962_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104963_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104964_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104965_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104966_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104968_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104972_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104973_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104974_C2617_278,Noncdm Charge Record Medical Supplies,119.98,119.98,,,0 CDM,104975_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,104978_C9359_278,Noncdm Charge Record Medical Supplies,669.9,669.9,,,0 CDM,104987_C1887_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,104990_270,Noncdm Charge Record Medical Supplies,630.3,630.3,,,0 CDM,104991_270,Noncdm Charge Record Medical Supplies,630.3,630.3,,,0 CDM,104992_270,Noncdm Charge Record Medical Supplies,2970.0,2970.0,,,0 CDM,104_51672211600,NDC Description Not Available,2.78,2.78,,,0 CDM,105011_50383018902,"Gatifloxacin: 1 BOTTLE, DROPPER in 1 CARTON (50383-189-02) / 2.5 mL in 1 BOTTLE, DROPPER",426.17,426.17,,,0 CDM,105011_61314067225,"Gatifloxacin: 1 Bottle, Dropper In 1 Carton (61314-672-25) / 2.5 Ml In 1 Bottle, Dropper",426.02,426.02,,,0 CDM,105030_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,105031_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,105032_270,Noncdm Charge Record Medical Supplies,1215.67,1215.67,,,0 CDM,105043_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,10506_C1769_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,105087_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,105095_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,105101_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105104_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105106_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,105107_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,105112_C1874_278,Noncdm Charge Record Medical Supplies,5482.4,5482.4,,,0 CDM,10512_C1769_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,105142_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,105143_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,105152_C1887_278,Noncdm Charge Record Medical Supplies,2764.3,2764.3,,,0 CDM,105171_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105173_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105176_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105177_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105178_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105180_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,105181_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,10518_04167936503,NDC Description Not Available,0.7,0.7,,,0 CDM,10518_04167936513,NDC Description Not Available,9.27,9.27,,,0 CDM,105199_270,Noncdm Charge Record Medical Supplies,564.3,564.3,,,0 CDM,105215_270,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,105219_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,105220_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,105221_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,10522_54288010902,"Melphalan Hydrochloride: 1 Kit In 1 Carton (54288-109-02) * 10 Ml In 1 Vial, Single-Dose (54288-106-01) * 10 Ml In 1 Vial, Single-Use (54288-107-01)",594.95,594.95,,,0 CDM,10522_63323076020,"Melphalan: 1 Kit In 1 Carton (63323-760-20) * 10 Ml In 1 Vial, Single-Dose (63323-761-20) * 10 Ml In 1 Vial, Single-Use (63323-732-10)",473.16,473.16,,,0 CDM,105257_C1781_278,Noncdm Charge Record Medical Supplies,9163.0,9163.0,,,0 CDM,105261_C1773_278,Noncdm Charge Record Medical Supplies,1025.2,1025.2,,,0 CDM,105266_C1769_278,Noncdm Charge Record Medical Supplies,191.34,191.34,,,0 CDM,105268_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,105269_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,105270_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,105272_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105274_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,105275_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,105279_C1766_278,Noncdm Charge Record Medical Supplies,309.1,309.1,,,0 CDM,105281_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,105316_Q4186_250,Noncdm Charge Record Pharmacy,294.41,294.41,,,0 CDM,105316_Q4186_278,Noncdm Charge Record Medical Supplies,314.42,314.42,,,0 CDM,105316_Q4186_636,Noncdm Charge Record Pharmacy,294.41,294.41,,,0 CDM,105317_Q4186_250,Noncdm Charge Record Pharmacy,279.52,279.52,,,0 CDM,105317_Q4186_278,Noncdm Charge Record Medical Supplies,297.83,297.83,,,0 CDM,105317_Q4186_636,Noncdm Charge Record Pharmacy,279.52,279.52,,,0 CDM,105318_272,Noncdm Charge Record Medical Supplies,302.28,302.28,,,0 CDM,105318_Q4186_250,Noncdm Charge Record Pharmacy,283.04,283.04,,,0 CDM,105318_Q4186_278,Noncdm Charge Record Medical Supplies,287.45,287.45,,,0 CDM,105318_Q4186_636,Noncdm Charge Record Pharmacy,283.04,283.04,,,0 CDM,10531_00054458111,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",28.32,28.32,,,0 CDM,10531_00378354752,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",13.16,13.16,,,0 CDM,105332_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,105333_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,105339_C1894_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,10533_54092018981,Pentasa: 240 Capsule In 1 Bottle (54092-189-81),13.14,13.14,,,0 CDM,105353_L8509_274,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,105354_L8509_274,Noncdm Charge Record Medical Supplies,381.7,381.7,,,0 CDM,105357_C1769_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,105358_270,Noncdm Charge Record Medical Supplies,631.4,631.4,,,0 CDM,10535_21922004501,NDC Description Not Available,87.99,87.99,,,0 CDM,10535_45802009846,Mesalamine: 60 Ml In 1 Bottle (45802-098-46),87.55,87.55,,,0 CDM,10535_45802009851,Mesalamine: 7 Bottle In 1 Carton (45802-098-51) / 60 Ml In 1 Bottle,87.55,87.55,,,0 CDM,105360_270,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,10537_00338130501,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",19.85,19.85,,,0 CDM,10537_10019095301,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",20.15,20.15,,,0 CDM,10537_10019095362,NDC Description Not Available,20.89,20.89,,,0 CDM,105392_L8509_274,Noncdm Charge Record Medical Supplies,545.6,545.6,,,0 CDM,105394_L8509_274,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,105395_L8509_274,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,105396_L8509_274,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,105397_L8509_274,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,105398_L8509_274,Noncdm Charge Record Medical Supplies,447.7,447.7,,,0 CDM,105407_L8509_274,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,105412_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,105423_44183010630,Doxepin Hydrochloride: 30 Tablet In 1 Bottle (44183-106-30),58.71,58.71,,,0 CDM,105425_62541040210,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-402-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",1.54,1.54,,,0 CDM,105426_62541040310,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-403-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",13.51,13.51,,,0 CDM,105427_62541040410,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-404-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",21.89,21.89,,,0 CDM,105428_62541040510,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-405-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",27.25,27.25,,,0 CDM,105433_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,105441_C1713_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,105449_270,Noncdm Charge Record Medical Supplies,908.05,908.05,,,0 CDM,105451_270,Noncdm Charge Record Medical Supplies,1519.1,1519.1,,,0 CDM,105458_06425344421,NDC Description Not Available,10.82,10.82,,,0 CDM,105459_C1776_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,105462_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,105463_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,10546_17478038020,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",75.88,75.88,,,0 CDM,10546_67457021720,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",62.67,62.67,,,0 CDM,105473_00904530016,NDC Description Not Available,4.12,4.12,,,0 CDM,105473_05280048826,NDC Description Not Available,3.09,3.09,,,0 CDM,105478_C1713_278,Noncdm Charge Record Medical Supplies,879.72,879.72,,,0 CDM,105479_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,105480_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,105481_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,105482_00121202410,NDC Description Not Available,216.28,216.28,,,0 CDM,105482_00131541072,"Vimpat: 200 Ml In 1 Bottle, Glass (0131-5410-72)",138.92,138.92,,,0 CDM,105482_67877073295,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),142.99,142.99,,,0 CDM,105486_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,105488_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,105525_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,10552_23155007101,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),0.99,0.99,,,0 CDM,10552_60687068011,NDC Description Not Available,3.52,3.52,,,0 CDM,105537_C1713_278,Noncdm Charge Record Medical Supplies,631.4,631.4,,,0 CDM,10553_60687066911,NDC Description Not Available,1.7,1.7,,,0 CDM,105540_270,Noncdm Charge Record Medical Supplies,366.46,366.46,,,0 CDM,105554_270,Noncdm Charge Record Medical Supplies,519.51,519.51,,,0 CDM,105562_C1730_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,105580_C1769_278,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,105586_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,105588_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,105589_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,105603_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,105617_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,105628_C1894_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,105629_C1894_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,105630_C1894_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,105631_C1894_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,105633_00409154101,NDC Description Not Available,44.6,44.6,,,0 CDM,105633_00409174610,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10) / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",21.42,21.42,,,0 CDM,105633_00409174630,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-30) / 30 Ml In 1 Vial, Single-Dose (0409-1746-71)",40.4,40.4,,,0 CDM,105633_00409174671,NDC Description Not Available,49.52,49.52,,,0 CDM,105633_00409904201,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01) / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",16.11,16.11,,,0 CDM,105633_63323046802,NDC Description Not Available,48.12,48.12,,,0 CDM,105633_63323046817,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-468-17) / 10 Ml In 1 Vial, Single-Dose (63323-468-01)",26.67,26.67,,,0 CDM,105634_00409174910,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10) / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",19.74,19.74,,,0 CDM,105634_00409174929,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-29) / 30 Ml In 1 Vial, Single-Dose (0409-1749-71)",27.55,27.55,,,0 CDM,105634_00409174970,NDC Description Not Available,29.53,29.53,,,0 CDM,105634_00409174971,NDC Description Not Available,25.75,25.75,,,0 CDM,105634_00409904501,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9045-01) / 10 Ml In 1 Vial, Single-Dose (0409-9045-11)",7.13,7.13,,,0 CDM,105634_63323046201,NDC Description Not Available,50.1,50.1,,,0 CDM,105634_63323046217,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-462-17) / 10 Ml In 1 Vial, Single-Dose (63323-462-04)",27.01,27.01,,,0 CDM,105634_63323046231,"Sensorcaine Mpf: 5 Vial, Single-Dose In 1 Box (63323-462-31) / 30 Ml In 1 Vial, Single-Dose (63323-462-02)",29.87,29.87,,,0 CDM,105634_63323046237,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-462-37) / 30 Ml In 1 Vial, Single-Dose (63323-462-01)",43.28,43.28,,,0 CDM,105635_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,105636_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,105637_00409103630,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1036-30) / 30 mL in 1 VIAL, SINGLE-DOSE",7.35,7.35,,,0 CDM,105637_63323026001,NDC Description Not Available,12.31,12.31,,,0 CDM,105637_63323026037,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-260-37) / 30 Ml In 1 Vial, Single-Dose (63323-260-01)",20.28,20.28,,,0 CDM,105638_63323029401,NDC Description Not Available,47.38,47.38,,,0 CDM,105638_63323029427,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-294-27) / 20 Ml In 1 Vial, Single-Dose (63323-294-01)",40.05,40.05,,,0 CDM,105639_00143933010,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9330-10) / 10 Ml In 1 Vial, Single-Dose (0143-9330-01)",7.0,7.0,,,0 CDM,105639_00143933301,NDC Description Not Available,4.12,4.12,,,0 CDM,105639_00409115901,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01) / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",8.49,8.49,,,0 CDM,105639_00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",9.11,9.11,,,0 CDM,105639_00409115909,NDC Description Not Available,6.86,6.86,,,0 CDM,105639_00409115918,NDC Description Not Available,8.55,8.55,,,0 CDM,105639_00409115919,NDC Description Not Available,9.11,9.11,,,0 CDM,105639_00409155910,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10) / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",9.56,9.56,,,0 CDM,105639_00409155919,NDC Description Not Available,20.6,20.6,,,0 CDM,105639_55150016830,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",11.33,11.33,,,0 CDM,105639_63323046401,NDC Description Not Available,10.3,10.3,,,0 CDM,105639_63323046402,NDC Description Not Available,32.96,32.96,,,0 CDM,105639_63323046417,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-464-17) / 10 Ml In 1 Vial, Single-Dose (63323-464-01)",28.4,28.4,,,0 CDM,105640_00143932901,NDC Description Not Available,47.57,47.57,,,0 CDM,105640_00143933101,NDC Description Not Available,5.84,5.84,,,0 CDM,105640_00143933401,NDC Description Not Available,11.18,11.18,,,0 CDM,105640_00409116201,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01) / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",10.04,10.04,,,0 CDM,105640_00409116202,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",9.4,9.4,,,0 CDM,105640_00409116218,NDC Description Not Available,10.31,10.31,,,0 CDM,105640_00409116219,NDC Description Not Available,8.79,8.79,,,0 CDM,105640_00409156010,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10) / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",18.15,18.15,,,0 CDM,105640_00409156018,NDC Description Not Available,19.79,19.79,,,0 CDM,105640_00409156029,"Marcaine: 10 Vial, Single-Dose In 1 Carton (0409-1560-29) / 30 Ml In 1 Vial, Single-Dose (0409-1560-19)",18.06,18.06,,,0 CDM,105640_55150016910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",11.5,11.5,,,0 CDM,105640_55150017030,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",10.63,10.63,,,0 CDM,105640_63323046601,NDC Description Not Available,20.6,20.6,,,0 CDM,105640_63323046603,NDC Description Not Available,22.66,22.66,,,0 CDM,105644_00024582315,NDC Description Not Available,543.89,543.89,,,0 CDM,105644_00024582411,"Jevtana: 1 Kit In 1 Carton (0024-5824-11) * 5.7 Ml In 1 Vial, Glass (0024-5823-15) * 5.7 Ml In 1 Vial, Glass (0024-5822-01)",571.41,571.41,,,0 CDM,105655_C1889_278,Noncdm Charge Record Medical Supplies,1607.1,1607.1,,,0 CDM,105659_C1778_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,105659_C1897_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,105674_L8614_278,Noncdm Charge Record Medical Supplies,24664.2,24664.2,,,0 CDM,105715_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,10571_00517074001,NDC Description Not Available,129.01,129.01,,,0 CDM,10571_00517074020,"Methylergonovine Maleate: 20 Vial, Single-Dose In 1 Carton (0517-0740-20) / 1 Ml In 1 Vial, Single-Dose (0517-0740-01)",122.2,122.2,,,0 CDM,10571_51991014499,NDC Description Not Available,84.12,84.12,,,0 CDM,10572_27437005056,Methergine: 28 Tablet In 1 Bottle (27437-050-56),269.34,269.34,,,0 CDM,10572_69238160502,Methylergonovine Maleate: 12 Tablet In 1 Bottle (69238-1605-2),242.9,242.9,,,0 CDM,10572_69238160508,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),242.79,242.79,,,0 CDM,105779_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105780_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105781_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105782_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105783_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105785_C1713_278,Noncdm Charge Record Medical Supplies,196.9,196.9,,,0 CDM,10578_43598012925,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Carton (43598-129-25) / 2 Ml In 1 Vial, Single-Dose (43598-129-01)",1.3,1.3,,,0 CDM,10581_00009000302,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02) / 4 Ml In 1 Vial,2.05,2.05,,,0 CDM,10581_00009075801,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.05,1.05,,,0 CDM,10581_00143985001,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.0,1.0,,,0 CDM,10581_43598012811,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",0.95,0.95,,,0 CDM,105822_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105823_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105824_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105825_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105826_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,105827_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105828_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105829_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,105830_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105831_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,105833_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,105852_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,105857_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,105858_270,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,105858_C1889_270,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,105858_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,105860_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,105861_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,105862_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,105865_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,105870_C1713_278,Noncdm Charge Record Medical Supplies,2675.2,2675.2,,,0 CDM,105871_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,10587_00185505001,Metolazone: 100 Tablet In 1 Bottle (0185-5050-01),7.55,7.55,,,0 CDM,10587_51079002301,NDC Description Not Available,11.87,11.87,,,0 CDM,10587_69292056201,Metolazone: 100 Tablet In 1 Bottle (69292-562-01),9.27,9.27,,,0 CDM,105884_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,10588_00185005501,Metolazone: 100 Tablet In 1 Bottle (0185-0055-01),8.76,8.76,,,0 CDM,10588_51079002401,NDC Description Not Available,13.2,13.2,,,0 CDM,10588_60687063511,NDC Description Not Available,14.63,14.63,,,0 CDM,10588_69292056401,Metolazone: 100 Tablet In 1 Bottle (69292-564-01),11.01,11.01,,,0 CDM,105899_00548560100,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5601-00) / .3 Ml In 1 Syringe,6.52,6.52,,,0 CDM,105899_00703853023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8530-23) / .3 mL in 1 SYRINGE (0703-8530-21),8.59,8.59,,,0 CDM,105899_00781323801,NDC Description Not Available,10.04,10.04,,,0 CDM,105899_16714000601,NDC Description Not Available,8.42,8.42,,,0 CDM,105899_25021041070,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-70) / .3 Ml In 1 Syringe,3.88,3.88,,,0 CDM,105899_63323053313,NDC Description Not Available,4.46,4.46,,,0 CDM,105899_63323055921,NDC Description Not Available,4.69,4.69,,,0 CDM,105899_63323055963,NDC Description Not Available,4.35,4.35,,,0 CDM,105899_63323055965,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-65) / 1 Syringe In 1 Blister Pack (63323-559-63) / .3 Ml In 1 Syringe,4.46,4.46,,,0 CDM,105899_63323055993,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-93) / 1 Syringe In 1 Blister Pack (63323-559-21) / .3 Ml In 1 Syringe,4.12,4.12,,,0 CDM,105900_00548560200,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5602-00) / .4 Ml In 1 Syringe,6.43,6.43,,,0 CDM,105900_00781324602,NDC Description Not Available,10.05,10.05,,,0 CDM,105900_16714001601,NDC Description Not Available,8.51,8.51,,,0 CDM,105900_25021041076,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-76) / .4 Ml In 1 Syringe,3.93,3.93,,,0 CDM,105900_63323053508,NDC Description Not Available,4.38,4.38,,,0 CDM,105900_63323056421,NDC Description Not Available,4.4,4.4,,,0 CDM,105900_63323056463,NDC Description Not Available,4.35,4.35,,,0 CDM,105900_71839011010,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-110-10) / .4 Ml In 1 Syringe,10.04,10.04,,,0 CDM,105901_00075062101,NDC Description Not Available,8.93,8.93,,,0 CDM,105901_00548560300,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,6.74,6.74,,,0 CDM,105901_00781325603,NDC Description Not Available,10.08,10.08,,,0 CDM,105901_00781325666,Enoxaparin Sodium: 10 Syringe In 1 Carton (0781-3256-66) / .6 Ml In 1 Syringe (0781-3256-03),10.13,10.13,,,0 CDM,105901_16714002601,NDC Description Not Available,8.53,8.53,,,0 CDM,105901_25021041077,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-77) / .6 Ml In 1 Syringe,4.32,4.32,,,0 CDM,105901_63323056621,NDC Description Not Available,4.38,4.38,,,0 CDM,105901_63323056663,NDC Description Not Available,4.08,4.08,,,0 CDM,105901_63323060708,NDC Description Not Available,4.12,4.12,,,0 CDM,105901_71288043484,NDC Description Not Available,6.5,6.5,,,0 CDM,105901_71839011110,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-111-10) / .6 Ml In 1 Syringe,10.09,10.09,,,0 CDM,105901_72603018501,NDC Description Not Available,8.55,8.55,,,0 CDM,105902_00781326204,NDC Description Not Available,10.06,10.06,,,0 CDM,105902_16714003601,NDC Description Not Available,8.7,8.7,,,0 CDM,105902_16714003610,Enoxaparin Sodium: 10 Syringe In 1 Carton (16714-036-10) / .8 Ml In 1 Syringe (16714-036-01),8.84,8.84,,,0 CDM,105902_25021041078,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-78) / .8 Ml In 1 Syringe,4.25,4.25,,,0 CDM,105902_63323053101,NDC Description Not Available,9.86,9.86,,,0 CDM,105902_63323058421,NDC Description Not Available,4.39,4.39,,,0 CDM,105902_63323058463,NDC Description Not Available,3.99,3.99,,,0 CDM,105902_72603019501,NDC Description Not Available,8.61,8.61,,,0 CDM,105903_00703858023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8580-23) / 1 mL in 1 SYRINGE (0703-8580-21),8.76,8.76,,,0 CDM,105903_00781326805,NDC Description Not Available,10.08,10.08,,,0 CDM,105903_16714004601,NDC Description Not Available,8.44,8.44,,,0 CDM,105903_25021041071,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-71) / 1 Ml In 1 Syringe,3.8,3.8,,,0 CDM,105903_63323058621,NDC Description Not Available,4.38,4.38,,,0 CDM,105903_63323058663,NDC Description Not Available,4.34,4.34,,,0 CDM,105903_71839011310,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-113-10) / 1 Ml In 1 Syringe,10.08,10.08,,,0 CDM,105903_72603020501,NDC Description Not Available,8.45,8.45,,,0 CDM,105904_00703861023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8610-23) / .8 mL in 1 SYRINGE (0703-8610-21),8.6,8.6,,,0 CDM,105904_16714005601,NDC Description Not Available,8.63,8.63,,,0 CDM,105904_25021041170,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-70) / .8 Ml In 1 Syringe,4.31,4.31,,,0 CDM,105904_63323065521,NDC Description Not Available,4.41,4.41,,,0 CDM,105904_71839011510,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-115-10) / .8 Ml In 1 Syringe,10.07,10.07,,,0 CDM,10592_00245086070,"Vandazole: 1 Tube, With Applicator In 1 Carton (0245-0860-70) / 70 G In 1 Tube, With Applicator",587.87,587.87,,,0 CDM,10592_00781707787,"Metronidazole: 1 Tube, With Applicator In 1 Carton (0781-7077-87) / 70 G In 1 Tube, With Applicator",551.05,551.05,,,0 CDM,10592_16714055701,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01) / 70 G In 1 Tube, With Applicator",559.46,559.46,,,0 CDM,10592_21922003923,"Metronidazole Vaginal Gel, 0.75%: 1 Tube, With Applicator In 1 Carton (21922-039-23) / 70 G In 1 Tube, With Applicator",551.05,551.05,,,0 CDM,10594_25010030515,Demser: 100 Capsule In 1 Bottle (25010-305-15),1977.41,1977.41,,,0 CDM,10594_68682031001,Metyrosine: 100 Capsule In 1 Bottle (68682-310-01),1433.04,1433.04,,,0 CDM,10595_50742023901,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-239-01),7.88,7.88,,,0 CDM,10595_62559082001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-820-01),9.17,9.17,,,0 CDM,10596_50742024001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-240-01),10.89,10.89,,,0 CDM,10596_62756095601,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62756-956-01),10.91,10.91,,,0 CDM,105970_00259160501,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1605-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",19.32,19.32,,,0 CDM,105970_46783016101,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-161-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",16.92,16.92,,,0 CDM,105971_00259161001,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1610-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",13.13,13.13,,,0 CDM,105971_46783016001,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-160-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.8,12.8,,,0 CDM,10599_00316022515,Desenex: 43 G In 1 Container (0316-0225-15),16.48,16.48,,,0 CDM,10599_00316022530,Desenex: 85 G In 1 Container (0316-0225-30),23.74,23.74,,,0 CDM,10599_08019652856,NDC Description Not Available,363.86,363.86,,,0 CDM,10599_10135072085,Miconazole Nitrate Antifungal Powder: 85 G In 1 Bottle (10135-720-85),19.46,19.46,,,0 CDM,105_45802073000,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),2.0,2.0,,,0 CDM,105_45802073030,Acetaminophen Pain Reliever Fever Reducer: 12 Blister Pack In 1 Carton (45802-730-30) / 1 Suppository In 1 Blister Pack,2.14,2.14,,,0 CDM,105_45802073032,Acetaminophen Pain Reliever Fever Reducer: 50 Blister Pack In 1 Carton (45802-730-32) / 1 Suppository In 1 Blister Pack,1.99,1.99,,,0 CDM,105_45802073033,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33) / 1 Suppository In 1 Blister Pack,2.06,2.06,,,0 CDM,106020_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,106023_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,10602_00904541501,"Miconazole 3 Combination Pack: 1 Kit In 1 Package, Combination (0904-5415-01) * 3 Suppository In 1 Blister Pack * 9 G In 1 Tube",12.36,12.36,,,0 CDM,10602_70677122601,Foster And Thrive Miconazole 3: 1 Kit In 1 Carton (70677-1226-1) * 3 Blister Pack In 1 Kit (0113-6650-00) / 1 Suppository In 1 Blister Pack * 1 Tube In 1 Kit (0113-8123-00) / 9 G In 1 Tube,11.33,11.33,,,0 CDM,10603_61269073607,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),5.15,5.15,,,0 CDM,106043_C1713_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,106044_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,106045_270,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,106049_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106061_43386070002,"Sodium Sulfate, Potassium Sulfate, Magnesium Sulfate: 1 Bottle In 1 Container (43386-700-02) / 177 Ml In 1 Bottle",212.18,212.18,,,0 CDM,106061_52268001101,NDC Description Not Available,243.08,243.08,,,0 CDM,106061_52268001201,"Suprep Bowel Prep: 2 Bottle, Plastic In 1 Carton (52268-012-01) / 177.4 Ml In 1 Bottle, Plastic",251.35,251.35,,,0 CDM,106061_64380011601,"Sodium Sulfate, Potassium Sulfate And Magnesium Sulfate Oral: 2 Bottle In 1 Carton (64380-116-01) / 177 Ml In 1 Bottle (64380-116-02)",212.6,212.6,,,0 CDM,106063_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,106096_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,10609_00245021111,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),6.18,6.18,,,0 CDM,10609_00904681761,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61) / 1 Tablet In 1 Blister Pack,1.03,1.03,,,0 CDM,10609_60687038711,NDC Description Not Available,1.35,1.35,,,0 CDM,106106_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106107_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106108_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106109_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,10610_00245021201,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01) / 1 Tablet In 1 Blister Pack (0245-0212-89),16.04,16.04,,,0 CDM,10610_00245021211,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0212-11),15.45,15.45,,,0 CDM,10610_00245021289,NDC Description Not Available,16.0,16.0,,,0 CDM,10610_00904681861,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61) / 1 Tablet In 1 Blister Pack,2.98,2.98,,,0 CDM,10610_42291056190,Midodrine Hydrochloride: 90 Tablet In 1 Bottle (42291-561-90),6.7,6.7,,,0 CDM,10610_51079045301,NDC Description Not Available,7.61,7.61,,,0 CDM,10610_60687039811,NDC Description Not Available,3.25,3.25,,,0 CDM,10610_63739014510,"Midodrine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-145-10) / 10 Tablet In 1 Blister Pack",1.32,1.32,,,0 CDM,106110_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106112_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106113_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106114_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106116_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106120_10511300102,"Cysview: 1 Kit In 1 Carton (10511-3001-2) * 50 Ml In 1 Syringe, Plastic * 50 Ml In 1 Vial, Glass",2989.06,2989.06,,,0 CDM,10612_70842016001,NDC Description Not Available,6.25,6.25,,,0 CDM,10612_70842016010,Minocin: 10 Vial In 1 Carton (70842-160-10) / 1 Injection In 1 Vial (70842-160-01),6.23,6.23,,,0 CDM,106144_270,Noncdm Charge Record Medical Supplies,431.2,431.2,,,0 CDM,106145_270,Noncdm Charge Record Medical Supplies,1267.2,1267.2,,,0 CDM,106147_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,106154_C1776_278,Noncdm Charge Record Medical Supplies,1130.8,1130.8,,,0 CDM,106155_C1776_278,Noncdm Charge Record Medical Supplies,1174.8,1174.8,,,0 CDM,106156_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,106157_C1713_278,Noncdm Charge Record Medical Supplies,403.7,403.7,,,0 CDM,106158_C1713_278,Noncdm Charge Record Medical Supplies,402.23,402.23,,,0 CDM,106159_C1713_278,Noncdm Charge Record Medical Supplies,401.5,401.5,,,0 CDM,106161_270,Noncdm Charge Record Medical Supplies,34.1,34.1,,,0 CDM,106176_00378876516,NDC Description Not Available,7.87,7.87,,,0 CDM,106176_00378876593,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (0378-8765-93) / 1 Film In 1 Pouch (0378-8765-16),18.54,18.54,,,0 CDM,106176_12496120201,NDC Description Not Available,21.4,21.4,,,0 CDM,106176_12496120203,"Suboxone: 30 Pouch In 1 Carton (12496-1202-3) / 1 Film, Soluble In 1 Pouch (12496-1202-1)",19.57,19.57,,,0 CDM,106176_47781035503,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-355-03) / 1 Film In 1 Pouch (47781-355-11),17.51,17.51,,,0 CDM,106176_47781035511,NDC Description Not Available,16.49,16.49,,,0 CDM,106177_00378876716,NDC Description Not Available,31.89,31.89,,,0 CDM,106177_12496120801,NDC Description Not Available,36.97,36.97,,,0 CDM,106177_12496120803,"Suboxone: 30 Pouch In 1 Carton (12496-1208-3) / 1 Film, Soluble In 1 Pouch (12496-1208-1)",38.97,38.97,,,0 CDM,106177_47781035703,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-357-03) / 1 Film In 1 Pouch (47781-357-11),31.93,31.93,,,0 CDM,106177_47781035711,NDC Description Not Available,31.4,31.4,,,0 CDM,106177_50742036401,NDC Description Not Available,33.12,33.12,,,0 CDM,106177_50742036430,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (50742-364-30) / 1 Film In 1 Pouch (50742-364-01),32.96,32.96,,,0 CDM,106228_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106243_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,106249_24208079535,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35) / 3.5 G In 1 Tube,72.02,72.02,,,0 CDM,106249_61314063136,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),158.62,158.62,,,0 CDM,106249_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,106251_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,106257_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,106261_C1713_278,Noncdm Charge Record Medical Supplies,322.44,322.44,,,0 CDM,106262_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,106271_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,106278_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,106280_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,10628_00025145134,Cytotec: 100 Blister Pack In 1 Carton (0025-1451-34) / 1 Tablet In 1 Blister Pack,18.14,18.14,,,0 CDM,10628_60687073511,NDC Description Not Available,8.91,8.91,,,0 CDM,10629_10135074660,Misoprostol: 60 Tablet In 1 Bottle (10135-746-60),2.83,2.83,,,0 CDM,10629_43386016106,Misoprostol: 60 Tablet In 1 Bottle (43386-161-06),5.15,5.15,,,0 CDM,10629_59762500802,Misoprostol: 100 Tablet In 1 Bottle (59762-5008-2),4.36,4.36,,,0 CDM,10629_60687074601,Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11),9.78,9.78,,,0 CDM,10629_60687074611,NDC Description Not Available,9.77,9.77,,,0 CDM,10629_70954044410,Misoprostol: 60 Tablet In 1 Bottle (70954-444-10),5.15,5.15,,,0 CDM,10630_00143927901,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",456.67,456.67,,,0 CDM,106319_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,10631_00143913601,"Mitomycin: 1 Vial In 1 Box (0143-9136-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",118.96,118.96,,,0 CDM,10631_00143928001,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9280-01) / 80 Ml In 1 Vial",463.76,463.76,,,0 CDM,10632_16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,444.37,444.37,,,0 CDM,10632_25021025020,Mitomycin: 1 Vial In 1 Carton (25021-250-20) / 10 Ml In 1 Vial,84.46,84.46,,,0 CDM,106347_C1713_278,Noncdm Charge Record Medical Supplies,162.22,162.22,,,0 CDM,106348_00409475503,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03) / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",1.29,1.29,,,0 CDM,106348_00409475518,NDC Description Not Available,1.35,1.35,,,0 CDM,106348_00641607801,NDC Description Not Available,1.02,1.02,,,0 CDM,106348_00641607825,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),1.03,1.03,,,0 CDM,106348_00641608001,NDC Description Not Available,0.42,0.42,,,0 CDM,106348_00641608025,Ondansetron: 25 Vial In 1 Carton (0641-6080-25) / 2 Ml In 1 Vial (0641-6080-01),0.67,0.67,,,0 CDM,106348_16729029805,Ondansetron: 20 Ml In 1 Vial (16729-298-05),0.84,0.84,,,0 CDM,106348_23155054731,NDC Description Not Available,0.51,0.51,,,0 CDM,106348_36000001225,"Ondansetron Hydrochloride: 25 Vial, Single-Dose In 1 Carton (36000-012-25) / 2 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 CDM,106348_60505613000,NDC Description Not Available,0.66,0.66,,,0 CDM,106348_60505613005,"Ondansetron: 25 Vial, Single-Use In 1 Carton (60505-6130-5) / 2 Ml In 1 Vial, Single-Use (60505-6130-0)",0.26,0.26,,,0 CDM,106348_63323037302,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),2.33,2.33,,,0 CDM,106348_70860077641,NDC Description Not Available,0.52,0.52,,,0 CDM,106348_72266012401,Ondansetron: 1 Vial In 1 Carton (72266-124-01) / 20 Ml In 1 Vial,0.52,0.52,,,0 CDM,106349_16729029805,Ondansetron: 20 Ml In 1 Vial (16729-298-05),0.85,0.85,,,0 CDM,106349_23155054931,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,0.97,0.97,,,0 CDM,106349_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,106363_00409427801,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4278-01) / 50 Ml In 1 Vial, Single-Dose (0409-4278-16)",2.76,2.76,,,0 CDM,106363_C1888_278,Noncdm Charge Record Medical Supplies,3027.2,3027.2,,,0 CDM,106364_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,106366_C1887_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,106370_270,Noncdm Charge Record Medical Supplies,3106.45,3106.45,,,0 CDM,106384_C1713_278,Noncdm Charge Record Medical Supplies,58.58,58.58,,,0 CDM,106388_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,106389_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,106393_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,106401_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,106408_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106409_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,106415_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106428_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,106446_270,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,106447_270,Noncdm Charge Record Medical Supplies,432.3,432.3,,,0 CDM,106450_270,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,106453_24571011106,Prismasol B22Gk4/0: 2 Bag In 1 Case (24571-111-06) / 5 L In 1 Bag,18.03,18.03,,,0 CDM,106459_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,10648_270,Noncdm Charge Record Medical Supplies,5.5,5.5,,,0 CDM,106490_00597035509,Pradaxa: 1 Bottle In 1 Carton (0597-0355-09) / 60 Capsule In 1 Bottle,14.31,14.31,,,0 CDM,106490_00597035556,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56) / 1 Capsule In 1 Blister Pack,14.32,14.32,,,0 CDM,106490_31722062160,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-621-60),13.61,13.61,,,0 CDM,106491_00597036082,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82) / 1 Capsule In 1 Blister Pack,14.33,14.33,,,0 CDM,106491_31722062260,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-622-60),13.58,13.58,,,0 CDM,106491_60687075232,Dabigatran Etexilate: 20 Blister Pack In 1 Carton (60687-752-32) / 1 Capsule In 1 Blister Pack (60687-752-33),51.71,51.71,,,0 CDM,106498_C1725_278,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,106505_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,106508_C1817_278,Noncdm Charge Record Medical Supplies,6943.2,6943.2,,,0 CDM,106511_C1766_278,Noncdm Charge Record Medical Supplies,1311.2,1311.2,,,0 CDM,106518_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,106519_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,106525_C1889_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,106526_C1889_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,106529_270,Noncdm Charge Record Medical Supplies,422.5,422.5,,,0 CDM,106543_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,106546_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,106549_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,106556_C2628_278,Noncdm Charge Record Medical Supplies,737.0,737.0,,,0 CDM,106557_C2628_278,Noncdm Charge Record Medical Supplies,737.0,737.0,,,0 CDM,10655_27808008201,"Morphine Sulfate: 1 Bottle, Unit-Dose In 1 Carton (27808-082-01) / 30 Ml In 1 Bottle, Unit-Dose",1.78,1.78,,,0 CDM,10655_27808008202,"Morphine Sulfate: 1 Bottle, Unit-Dose In 1 Carton (27808-082-02) / 120 Ml In 1 Bottle, Unit-Dose",2.27,2.27,,,0 CDM,106560_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,106571_C1769_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,106580_C1887_278,Noncdm Charge Record Medical Supplies,3688.3,3688.3,,,0 CDM,106581_C1887_278,Noncdm Charge Record Medical Supplies,1824.9,1824.9,,,0 CDM,106583_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,106587_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,106589_C1776_278,Noncdm Charge Record Medical Supplies,918.08,918.08,,,0 CDM,106590_C1769_278,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,106597_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,106600_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,106606_C1876_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,106614_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,106634_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106635_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106636_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106637_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106645_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,106646_C1874_278,Noncdm Charge Record Medical Supplies,6697.7,6697.7,,,0 CDM,106649_270,Noncdm Charge Record Medical Supplies,658.9,658.9,,,0 CDM,106671_C1781_278,Noncdm Charge Record Medical Supplies,15306.5,15306.5,,,0 CDM,106674_C2628_278,Noncdm Charge Record Medical Supplies,1988.8,1988.8,,,0 CDM,106682_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,106685_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,106686_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,106697_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,106707_270,Noncdm Charge Record Medical Supplies,2181.3,2181.3,,,0 CDM,106718_270,Noncdm Charge Record Medical Supplies,435.6,435.6,,,0 CDM,106726_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,106739_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106742_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,106747_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,10674_00093101042,Mupirocin: 1 Tube In 1 Carton (0093-1010-42) / 22 G In 1 Tube,308.03,308.03,,,0 CDM,10674_45802011222,Mupirocin: 1 Tube In 1 Carton (45802-112-22) / 22 G In 1 Tube,40.53,40.53,,,0 CDM,10674_51672131200,Mupirocin: 1 Tube In 1 Carton (51672-1312-0) / 22 G In 1 Tube,89.74,89.74,,,0 CDM,10674_68462018022,Mupirocin: 22 G In 1 Tube (68462-180-22),154.13,154.13,,,0 CDM,106761_00299596230,"Dysport: 1 Vial In 1 Carton (0299-5962-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.12,0.12,,,0 CDM,106761_15054053006,"Dysport: 1 Vial In 1 Carton (15054-0530-6) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.63,21.63,,,0 CDM,106765_C1887_278,Noncdm Charge Record Medical Supplies,233.2,233.2,,,0 CDM,106766_C1887_278,Noncdm Charge Record Medical Supplies,233.2,233.2,,,0 CDM,106773_62856038901,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",348.25,348.25,,,0 CDM,106777_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,106778_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,106782_C2621_275,Noncdm Charge Record Medical Supplies,9455.6,9455.6,,,0 CDM,106783_00006306100,"Emend: 1 Vial, Single-Dose In 1 Carton (0006-3061-00) / 5 Ml In 1 Vial, Single-Dose (0006-3061-01)",9.32,9.32,,,0 CDM,106783_00006306101,NDC Description Not Available,9.34,9.34,,,0 CDM,106783_00143938401,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",1.82,1.82,,,0 CDM,106783_16714024801,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 CDM,106783_43598094811,Fosaprepitant: 1 Vial In 1 Carton (43598-948-11) / 1 Ml In 1 Vial,0.1,0.1,,,0 CDM,106783_55150029901,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (55150-299-01) / 5 Ml In 1 Vial, Single-Dose",1.87,1.87,,,0 CDM,106783_71839010401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (71839-104-01) / 5 Ml In 1 Vial, Single-Dose",8.32,8.32,,,0 CDM,106783_72205005401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",7.33,7.33,,,0 CDM,106783_83634077610,Fosaprepitant: 1 Vial In 1 Carton (83634-776-10) / 5 Ml In 1 Vial,1.15,1.15,,,0 CDM,106790_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,106795_C1713_278,Noncdm Charge Record Medical Supplies,686.4,686.4,,,0 CDM,106796_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,106801_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,106802_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,106804_55513073001,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",67.01,67.01,,,0 CDM,106819_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,106822_C1894_278,Noncdm Charge Record Medical Supplies,50.08,50.08,,,0 CDM,106823_C1766_278,Noncdm Charge Record Medical Supplies,388.3,388.3,,,0 CDM,106835_270,Noncdm Charge Record Medical Supplies,864.6,864.6,,,0 CDM,106844_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,10685_00406117001,"Naltrexone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0406-1170-01)",15.45,15.45,,,0 CDM,10685_62135024260,"Naltrexone Hydrochloride: 60 Tablet, Film Coated In 1 Bottle (62135-242-60)",32.44,32.44,,,0 CDM,10685_68084029111,NDC Description Not Available,14.57,14.57,,,0 CDM,106880_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,106882_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106888_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,106889_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,106892_270,Noncdm Charge Record Medical Supplies,681.45,681.45,,,0 CDM,106947_C1788_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,106970_C1732_272,Noncdm Charge Record Medical Supplies,2909.5,2909.5,,,0 CDM,106970_C1732_278,Noncdm Charge Record Medical Supplies,2909.49,2909.49,,,0 CDM,106973_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,106974_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,106984_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,10705_39822120105,Neomycin And Polymyxin B Sulfates: 50 Ampule In 1 Carton (39822-1201-5) / 1 Ml In 1 Ampule,50.98,50.98,,,0 CDM,107066_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,107079_C1768_278,Noncdm Charge Record Medical Supplies,10148.6,10148.6,,,0 CDM,107088_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,10708_00998063006,"Maxitrol: 5 mL in 1 BOTTLE, PLASTIC (0998-0630-06)",489.25,489.25,,,0 CDM,10708_61314063006,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",158.62,158.62,,,0 CDM,107094_C1880_278,Noncdm Charge Record Medical Supplies,1819.43,1819.43,,,0 CDM,107096_C1769_278,Noncdm Charge Record Medical Supplies,292.6,292.6,,,0 CDM,107104_C1769_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,107113_C1751_278,Noncdm Charge Record Medical Supplies,50.6,50.6,,,0 CDM,107127_270,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,10712_42806050109,Nicardipine Hydrochloride: 90 Capsule In 1 Bottle (42806-501-09),56.65,56.65,,,0 CDM,10712_68462012090,Nicardipine Hydrochloride: 90 Capsule In 1 Bottle (68462-120-90),56.24,56.24,,,0 CDM,107131_270,Noncdm Charge Record Medical Supplies,129.8,129.8,,,0 CDM,107158_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,107170_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,107190_270,Noncdm Charge Record Medical Supplies,229.35,229.35,,,0 CDM,107190_C1713_278,Noncdm Charge Record Medical Supplies,229.08,229.08,,,0 CDM,107191_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,107192_C9359_278,Noncdm Charge Record Medical Supplies,3210.9,3210.9,,,0 CDM,107192_C9359_636,Noncdm Charge Record Pharmacy,3052.23,3052.23,,,0 CDM,107196_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,10722_23155051200,"Nimodipine: 10 Blister Pack In 1 Carton (23155-512-00) / 10 Capsule, Liquid Filled In 1 Blister Pack",66.4,66.4,,,0 CDM,10722_23155051211,NDC Description Not Available,66.37,66.37,,,0 CDM,107231_270,Noncdm Charge Record Medical Supplies,1345.02,1345.02,,,0 CDM,107234_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,107242_270,Noncdm Charge Record Medical Supplies,3613.5,3613.5,,,0 CDM,107243_270,Noncdm Charge Record Medical Supplies,3523.3,3523.3,,,0 CDM,107246_C1897_278,Noncdm Charge Record Medical Supplies,1108.8,1108.8,,,0 CDM,107249_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,10724_00185012201,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),11.52,11.52,,,0 CDM,10724_16714043901,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (16714-439-01),12.66,12.66,,,0 CDM,10724_60687063311,NDC Description Not Available,12.66,12.66,,,0 CDM,10724_68084044611,NDC Description Not Available,12.45,12.45,,,0 CDM,10724_70756040411,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (70756-404-11),14.7,14.7,,,0 CDM,107250_C1768_278,Noncdm Charge Record Medical Supplies,1328.8,1328.8,,,0 CDM,107254_C1776_278,Noncdm Charge Record Medical Supplies,2868.8,2868.8,,,0 CDM,107266_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,107275_C1762_278,Noncdm Charge Record Medical Supplies,3077.8,3077.8,,,0 CDM,107278_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,107279_C9359_278,Noncdm Charge Record Medical Supplies,6123.23,6123.23,,,0 CDM,107279_C9359_636,Noncdm Charge Record Pharmacy,4686.5,4686.5,,,0 CDM,107284_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,107304_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,107310_C1876_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,107320_C9361_278,Noncdm Charge Record Medical Supplies,3544.75,3544.75,,,0 CDM,107323_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,107329_C1889_278,Noncdm Charge Record Medical Supplies,674.85,674.85,,,0 CDM,10733264,Noncdm Charge Record,19209.0,19209.0,,,0 CDM,107339_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,107340_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,107366_C1713_278,Noncdm Charge Record Medical Supplies,73.31,73.31,,,0 CDM,107391_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,107448_270,Noncdm Charge Record Medical Supplies,1624.65,1624.65,,,0 CDM,107470_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107471_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107479_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,10747_00555021110,Norethindrone Acetate: 50 Tablet In 1 Bottle (0555-0211-10),9.61,9.61,,,0 CDM,10747_68462030450,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),9.73,9.73,,,0 CDM,107482_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,107501_C1813_278,Noncdm Charge Record Medical Supplies,17017.0,17017.0,,,0 CDM,107511_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,107514_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,107515_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,107517_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,10752_16714036504,Elinest: 6 Blister Pack In 1 Carton (16714-365-04) / 1 Kit In 1 Blister Pack,2.08,2.08,,,0 CDM,107616_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107624_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,107633_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,107638_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,107660_00093365621,NDC Description Not Available,191.06,191.06,,,0 CDM,107660_42858075040,Buprenorphine: 4 Pouch In 1 Carton (42858-750-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,232.58,232.58,,,0 CDM,107660_50742037201,NDC Description Not Available,296.6,296.6,,,0 CDM,107660_59011075004,Butrans: 4 Pouch In 1 Carton (59011-750-04) / 1 Patch In 1 Pouch / 168 H In 1 Patch,386.25,386.25,,,0 CDM,107661_00093365721,NDC Description Not Available,413.72,413.72,,,0 CDM,107661_42858049340,Buprenorphine: 4 Pouch In 1 Carton (42858-493-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,348.39,348.39,,,0 CDM,107661_50742037401,NDC Description Not Available,450.11,450.11,,,0 CDM,107661_69238120302,Buprenorphine: 4 Pouch In 1 Carton (69238-1203-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,450.11,450.11,,,0 CDM,107662_42858083940,Buprenorphine: 4 Pouch In 1 Carton (42858-839-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,616.87,616.87,,,0 CDM,107662_50742037601,NDC Description Not Available,797.22,797.22,,,0 CDM,107662_69238120502,Buprenorphine: 4 Pouch In 1 Carton (69238-1205-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,797.22,797.22,,,0 CDM,107667_C9359_278,Noncdm Charge Record Medical Supplies,847.73,847.73,,,0 CDM,107667_C9359_636,Noncdm Charge Record Pharmacy,576.8,576.8,,,0 CDM,107668_60687075811,NDC Description Not Available,18.38,18.38,,,0 CDM,107668_63402030430,"Latuda: 30 Tablet, Film Coated In 1 Bottle (63402-304-30)",204.97,204.97,,,0 CDM,107668_65162088003,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-880-03)",193.11,193.11,,,0 CDM,107668_65862095430,Lurasidone Hydrochloride: 30 Tablet In 1 Bottle (65862-954-30),184.01,184.01,,,0 CDM,107668_67877063930,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-639-30)",183.97,183.97,,,0 CDM,107668_72205020830,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-208-30)",178.73,178.73,,,0 CDM,107668_C1788_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,10766_270,Noncdm Charge Record Medical Supplies,132.0,132.0,,,0 CDM,107670_00456040001,NDC Description Not Available,25.26,25.26,,,0 CDM,107670_00456040010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0400-10) / 20 Ml In 1 Vial, Single-Dose (0456-0400-01)",26.68,26.68,,,0 CDM,107670_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,107671_00456060001,NDC Description Not Available,16.84,16.84,,,0 CDM,107671_00456060010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",17.83,17.83,,,0 CDM,107675_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,107680_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,107681_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,107682_C1889_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,10768_C1768_278,Noncdm Charge Record Medical Supplies,2192.3,2192.3,,,0 CDM,107691_C1887_278,Noncdm Charge Record Medical Supplies,1117.6,1117.6,,,0 CDM,107692_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,107693_C1889_278,Noncdm Charge Record Medical Supplies,1217.78,1217.78,,,0 CDM,107694_C1889_278,Noncdm Charge Record Medical Supplies,1243.18,1243.18,,,0 CDM,107695_C1889_278,Noncdm Charge Record Medical Supplies,1227.19,1227.19,,,0 CDM,107696_C1889_278,Noncdm Charge Record Medical Supplies,1178.1,1178.1,,,0 CDM,107697_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,107708_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107727_C1760_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,107728_C1760_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,107732_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,107737_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,107741_C1713_278,Noncdm Charge Record Medical Supplies,232.24,232.24,,,0 CDM,107745_C9359_278,Noncdm Charge Record Medical Supplies,2271.5,2271.5,,,0 CDM,107745_C9359_636,Noncdm Charge Record Pharmacy,2126.95,2126.95,,,0 CDM,107746_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,107747_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,107750_00944270002,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-02) / 10 Ml In 1 Bottle, Glass (0944-2700-08)",366.68,366.68,,,0 CDM,107750_00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",199.08,199.08,,,0 CDM,107750_00944270005,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",209.22,209.22,,,0 CDM,107750_00944270006,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",201.28,201.28,,,0 CDM,107750_00944270007,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",209.52,209.52,,,0 CDM,107750_00944270010,NDC Description Not Available,204.19,204.19,,,0 CDM,107750_00944270011,NDC Description Not Available,209.69,209.69,,,0 CDM,107750_00944270012,NDC Description Not Available,207.99,207.99,,,0 CDM,107750_00944270013,NDC Description Not Available,209.52,209.52,,,0 CDM,107750_13533080015,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15) / 25 Ml In 1 Vial, Glass (13533-800-16)",209.53,209.53,,,0 CDM,107750_13533080024,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",209.52,209.52,,,0 CDM,107750_13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",209.52,209.52,,,0 CDM,107750_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",209.52,209.52,,,0 CDM,107750_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",209.53,209.53,,,0 CDM,107750_44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",209.53,209.53,,,0 CDM,107750_76125090001,"Gammaked: 1 Vial, Glass In 1 Carton (76125-900-01) / 10 Ml In 1 Vial, Glass (76125-900-02)",209.53,209.53,,,0 CDM,107754_270,Noncdm Charge Record Medical Supplies,1373.83,1373.83,,,0 CDM,107755_C1713_278,Noncdm Charge Record Medical Supplies,2601.13,2601.13,,,0 CDM,107757_C1813_278,Noncdm Charge Record Medical Supplies,14507.59,14507.59,,,0 CDM,107761_C1713_278,Noncdm Charge Record Medical Supplies,358.05,358.05,,,0 CDM,107782_270,Noncdm Charge Record Medical Supplies,1257.94,1257.94,,,0 CDM,107784_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,10778_68084022011,NDC Description Not Available,21.59,21.59,,,0 CDM,10779_16714016001,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",17.48,17.48,,,0 CDM,10779_68084022101,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",18.02,18.02,,,0 CDM,10779_68084022111,NDC Description Not Available,18.01,18.01,,,0 CDM,107842_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,107843_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,107844_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,107846_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,107848_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107854_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,107855_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,107856_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,107857_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,107859_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,107860_270,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,107874_C1776_278,Noncdm Charge Record Medical Supplies,2863.3,2863.3,,,0 CDM,107875_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,107876_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,107877_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,107878_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,107883_C1887_278,Noncdm Charge Record Medical Supplies,169.95,169.95,,,0 CDM,107884_C1887_278,Noncdm Charge Record Medical Supplies,350.2,350.2,,,0 CDM,107885_C1887_278,Noncdm Charge Record Medical Supplies,351.45,351.45,,,0 CDM,107886_C1887_278,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,107888_C1887_278,Noncdm Charge Record Medical Supplies,362.45,362.45,,,0 CDM,107889_C1887_278,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,107895_C1766_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,107910_C1886_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,107911_270,Noncdm Charge Record Medical Supplies,427.9,427.9,,,0 CDM,107912_270,Noncdm Charge Record Medical Supplies,2038.3,2038.3,,,0 CDM,107921_270,Noncdm Charge Record Medical Supplies,774.4,774.4,,,0 CDM,107922_270,Noncdm Charge Record Medical Supplies,1015.3,1015.3,,,0 CDM,10793641,Noncdm Charge Record,7655.0,7655.0,,,0 CDM,107937_270,Noncdm Charge Record Medical Supplies,3455.1,3455.1,,,0 CDM,107938_270,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,107954_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,107955_270,Noncdm Charge Record Medical Supplies,364.1,364.1,,,0 CDM,107956_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,107975_270,Noncdm Charge Record Medical Supplies,35475.0,35475.0,,,0 CDM,107981_C1889_278,Noncdm Charge Record Medical Supplies,7444.8,7444.8,,,0 CDM,107982_270,Noncdm Charge Record Medical Supplies,5923.5,5923.5,,,0 CDM,108004_Q4133_636,Noncdm Charge Record Pharmacy,251.15,251.15,,,0 CDM,108021_00143938601,NDC Description Not Available,0.51,0.51,,,0 CDM,108021_00264410090,Acetaminophen: 24 Container In 1 Case (0264-4100-90) / 100 Ml In 1 Container,0.35,0.35,,,0 CDM,108021_00781315606,NDC Description Not Available,1.58,1.58,,,0 CDM,108021_24201010001,NDC Description Not Available,0.47,0.47,,,0 CDM,108021_24201011001,NDC Description Not Available,0.36,0.36,,,0 CDM,108021_31722020531,NDC Description Not Available,0.47,0.47,,,0 CDM,108021_36000030660,Acetaminophen: 40 Bag In 1 Carton (36000-306-60) / 100 Ml In 1 Bag,0.41,0.41,,,0 CDM,108021_43825010201,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",2.05,2.05,,,0 CDM,108021_55150030701,NDC Description Not Available,0.81,0.81,,,0 CDM,108021_63323043400,Acetaminophen: 20 Bag In 1 Case (63323-434-00) / 100 Ml In 1 Bag (63323-434-41),0.41,0.41,,,0 CDM,108021_63323043441,NDC Description Not Available,0.41,0.41,,,0 CDM,108021_67457094010,Acetaminophen: 24 Bag In 1 Carton (67457-940-10) / 100 Ml In 1 Bag,1.62,1.62,,,0 CDM,108022_C1713_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,108027_55111067911,NDC Description Not Available,53.85,53.85,,,0 CDM,108027_55150023100,NDC Description Not Available,44.88,44.88,,,0 CDM,108027_67457058300,NDC Description Not Available,46.35,46.35,,,0 CDM,108027_67457058400,NDC Description Not Available,46.35,46.35,,,0 CDM,108028_55111068011,NDC Description Not Available,30.91,30.91,,,0 CDM,108028_55150023200,NDC Description Not Available,20.91,20.91,,,0 CDM,108028_67457058400,NDC Description Not Available,30.91,30.91,,,0 CDM,108029_55111068110,Fondaparinux Sodium: 10 Syringe In 1 Carton (55111-681-10) / .8 Ml In 1 Syringe (55111-681-11),23.18,23.18,,,0 CDM,108029_55150023300,NDC Description Not Available,18.73,18.73,,,0 CDM,108029_67457058500,NDC Description Not Available,23.18,23.18,,,0 CDM,108036_270,Noncdm Charge Record Medical Supplies,661.1,661.1,,,0 CDM,108040_270,Noncdm Charge Record Medical Supplies,409.2,409.2,,,0 CDM,108040_L8613_278,Noncdm Charge Record Medical Supplies,409.2,409.2,,,0 CDM,108044_L8613_278,Noncdm Charge Record Medical Supplies,686.4,686.4,,,0 CDM,108045_L8613_278,Noncdm Charge Record Medical Supplies,686.4,686.4,,,0 CDM,108046_C1713_278,Noncdm Charge Record Medical Supplies,235.4,235.4,,,0 CDM,108048_C1887_278,Noncdm Charge Record Medical Supplies,2764.3,2764.3,,,0 CDM,108049_60793070102,NDC Description Not Available,71.4,71.4,,,0 CDM,108049_60793070110,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),83.79,83.79,,,0 CDM,108049_60793070204,NDC Description Not Available,117.08,117.08,,,0 CDM,108049_C1887_278,Noncdm Charge Record Medical Supplies,2764.3,2764.3,,,0 CDM,108050_60793070102,NDC Description Not Available,57.12,57.12,,,0 CDM,108050_60793070204,NDC Description Not Available,59.81,59.81,,,0 CDM,108054_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,108060_66658023001,"Synagis: .5 Ml In 1 Vial, Single-Dose (66658-230-01)",4501.1,4501.1,,,0 CDM,108065_50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",171.56,171.56,,,0 CDM,108065_50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",185.4,185.4,,,0 CDM,108066_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,108078_10454071010,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-710-10) / .5 Ml In 1 Vial, Single-Use",45.56,45.56,,,0 CDM,108079_10454071210,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-712-10) / 2 Ml In 1 Vial, Single-Use",32.29,32.29,,,0 CDM,108088_00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",217.46,217.46,,,0 CDM,108088_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",217.39,217.39,,,0 CDM,108088_44206043690,NDC Description Not Available,217.45,217.45,,,0 CDM,108088_44206043791,NDC Description Not Available,217.46,217.46,,,0 CDM,108088_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",217.45,217.45,,,0 CDM,108088_44206043892,NDC Description Not Available,217.46,217.46,,,0 CDM,108096_00143902201,NDC Description Not Available,32.44,32.44,,,0 CDM,108096_00143902202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",30.19,30.19,,,0 CDM,108096_00310072010,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",239.68,239.68,,,0 CDM,108096_00310772010,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",75.7,75.7,,,0 CDM,108096_00781353201,NDC Description Not Available,224.69,224.69,,,0 CDM,108096_00781353212,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",224.69,224.69,,,0 CDM,108096_00781905512,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",15.14,15.14,,,0 CDM,108096_16714007002,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16714-070-02) / 5 Ml In 1 Syringe, Glass (16714-070-01)",189.48,189.48,,,0 CDM,108096_16729043630,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16729-436-30) / 5 Ml In 1 Syringe, Glass (16729-436-31)",178.96,178.96,,,0 CDM,108096_16729043631,NDC Description Not Available,4.17,4.17,,,0 CDM,108096_25021047174,Fulvestrant: 2 Syringe In 1 Carton (25021-471-74) / 5 Ml In 1 Syringe,37.85,37.85,,,0 CDM,108096_43598026202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",40.65,40.65,,,0 CDM,108096_43598026211,NDC Description Not Available,43.26,43.26,,,0 CDM,108096_43598026223,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",41.76,41.76,,,0 CDM,108096_63323071501,NDC Description Not Available,123.6,123.6,,,0 CDM,108096_63323071505,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",123.6,123.6,,,0 CDM,108096_70121146302,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70121-1463-2) / 5 Ml In 1 Syringe, Glass (70121-1463-3)",9.41,9.41,,,0 CDM,108096_70860021174,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70860-211-74) / 5 Ml In 1 Syringe, Glass (70860-211-41)",23.84,23.84,,,0 CDM,1080_00536135501,Biscolax: 100 SUPPOSITORY in 1 CARTON (0536-1355-01),0.44,0.44,,,0 CDM,1080_00574705012,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12) / 1 Suppository In 1 Blister Pack,1.34,1.34,,,0 CDM,1080_00574705050,Bisacodyl: 50 Blister Pack In 1 Carton (0574-7050-50) / 1 Suppository In 1 Blister Pack,1.04,1.04,,,0 CDM,1080_08142102103,NDC Description Not Available,6.08,6.08,,,0 CDM,1080_57237032721,Bisacodyl: 3 Blister Pack In 1 Carton (57237-327-21) / 4 Suppository In 1 Blister Pack (57237-327-04),2.06,2.06,,,0 CDM,1080_57648000201,The Magic Bullet: 100 Suppository In 1 Carton (57648-002-01),1.13,1.13,,,0 CDM,1080_57896044312,Bisacodyl: 2 Blister Pack In 1 Carton (57896-443-12) / 6 Suppository In 1 Blister Pack (57896-443-66),0.97,0.97,,,0 CDM,1080_57896044401,BISACODYL: 4 BLISTER PACK in 1 CARTON (57896-444-01) / 25 SUPPOSITORY in 1 BLISTER PACK,0.39,0.39,,,0 CDM,1080_57896044412,BISACODYL: 2 BLISTER PACK in 1 CARTON (57896-444-12) / 6 SUPPOSITORY in 1 BLISTER PACK,0.88,0.88,,,0 CDM,1080_71399846002,Onelax: 12 Blister Pack In 1 Box (71399-8460-2) / 1 Suppository In 1 Blister Pack,0.85,0.85,,,0 CDM,108118_00143931501,NDC Description Not Available,6.68,6.68,,,0 CDM,108118_00143972201,NDC Description Not Available,25.84,25.84,,,0 CDM,108118_25021013281,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,26.89,26.89,,,0 CDM,108119_00143931601,NDC Description Not Available,4.23,4.23,,,0 CDM,108119_00143972101,NDC Description Not Available,13.29,13.29,,,0 CDM,108119_00409333001,NDC Description Not Available,12.88,12.88,,,0 CDM,108119_25021013282,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,23.84,23.84,,,0 CDM,108119_25021013283,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,15.96,15.96,,,0 CDM,10811_00327000110,Clorpactin Wcs-90: 5 Vial In 1 Box (0327-0001-10) / 2 G In 1 Vial,7.21,7.21,,,0 CDM,108120_00143931701,NDC Description Not Available,0.23,0.23,,,0 CDM,108120_00143972001,NDC Description Not Available,8.97,8.97,,,0 CDM,108120_00409444401,NDC Description Not Available,5.2,5.2,,,0 CDM,108120_25021013283,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,15.67,15.67,,,0 CDM,108120_36000004824,Levofloxacin: 150 Ml In 1 Bag (36000-048-24),9.33,9.33,,,0 CDM,108120_44567043724,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,18.82,18.82,,,0 CDM,108121_00206886201,NDC Description Not Available,27.49,27.49,,,0 CDM,108121_00206886202,Zosyn In Galaxy Containers: 12 Bag In 1 Box (0206-8862-02) / 100 Ml In 1 Bag (0206-8862-01),27.53,27.53,,,0 CDM,108121_00338963801,NDC Description Not Available,27.39,27.39,,,0 CDM,108121_00338963812,Zosyn: 12 Bag In 1 Carton (0338-9638-12) / 100 Ml In 1 Bag (0338-9638-01),27.4,27.4,,,0 CDM,108122_00409036701,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01) / 4 Ml In 1 Vial, Multi-Dose",9.85,9.85,,,0 CDM,108122_25021024504,Docetaxel: 1 Vial In 1 Carton (25021-245-04) / 4 Ml In 1 Vial,5.75,5.75,,,0 CDM,108122_45963076552,"Docetaxel: 1 Vial, Glass In 1 Carton (45963-765-52) / 4 Ml In 1 Vial, Glass",24.58,24.58,,,0 CDM,108122_67457078108,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-781-08) / 8 Ml In 1 Vial, Multi-Dose",37.93,37.93,,,0 CDM,108127,Noncdm Charge Record,143.61,143.61,,,0 CDM,108127_49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",182.89,182.89,,,0 CDM,108127_49281086078,NDC Description Not Available,184.37,184.37,,,0 CDM,108131_00641616701,NDC Description Not Available,6.96,6.96,,,0 CDM,108131_23155029031,NDC Description Not Available,6.58,6.58,,,0 CDM,108131_23155029032,NDC Description Not Available,6.32,6.32,,,0 CDM,108131_23155029041,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-41) / 2 Ml In 1 Vial, Glass (23155-290-31)",6.24,6.24,,,0 CDM,108131_23155029042,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-42) / 4 Ml In 1 Vial, Glass (23155-290-32)",7.06,7.06,,,0 CDM,108131_23155078531,NDC Description Not Available,2.38,2.38,,,0 CDM,108131_23155078541,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-785-41) / 2 Ml In 1 Vial, Glass (23155-785-31)",4.77,4.77,,,0 CDM,108131_23155078631,NDC Description Not Available,2.37,2.37,,,0 CDM,108131_23155078641,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-786-41) / 4 Ml In 1 Vial, Glass (23155-786-31)",4.74,4.74,,,0 CDM,108132_25021011487,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,15.15,15.15,,,0 CDM,108133_23155029032,NDC Description Not Available,6.57,6.57,,,0 CDM,108133_23155078631,NDC Description Not Available,1.58,1.58,,,0 CDM,10813_00121482705,NDC Description Not Available,26.98,26.98,,,0 CDM,10813_00904682805,NDC Description Not Available,18.17,18.17,,,0 CDM,10813_64950035405,NDC Description Not Available,24.73,24.73,,,0 CDM,10813_66689040101,NDC Description Not Available,29.96,29.96,,,0 CDM,108140_C1889_278,Noncdm Charge Record Medical Supplies,3061.02,3061.02,,,0 CDM,108142_C1889_278,Noncdm Charge Record Medical Supplies,3061.3,3061.3,,,0 CDM,10814_00406055201,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (0406-0552-01),2.06,2.06,,,0 CDM,10814_00406055223,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),1.95,1.95,,,0 CDM,10814_00406055262,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),1.87,1.87,,,0 CDM,10814_00904696661,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61) / 1 Tablet In 1 Blister Pack,1.37,1.37,,,0 CDM,10814_10702001850,Oxycodone Hydrochloride: 500 Tablet In 1 Bottle (10702-018-50),2.01,2.01,,,0 CDM,10814_42858000101,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-001-01)",0.33,0.33,,,0 CDM,10814_42858000110,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10) / 10 Tablet In 1 Blister Pack,2.15,2.15,,,0 CDM,10814_49999089990,Oxycodone Hydchloride: 90 Tablet In 1 Bottle (49999-899-90),6.18,6.18,,,0 CDM,10814_57664022388,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (57664-223-88),1.54,1.54,,,0 CDM,10814_68084035411,NDC Description Not Available,1.96,1.96,,,0 CDM,108150_C1889_278,Noncdm Charge Record Medical Supplies,3061.3,3061.3,,,0 CDM,108152_C1889_278,Noncdm Charge Record Medical Supplies,3061.3,3061.3,,,0 CDM,108153_C1889_278,Noncdm Charge Record Medical Supplies,3061.3,3061.3,,,0 CDM,108165_C1889_278,Noncdm Charge Record Medical Supplies,3590.4,3590.4,,,0 CDM,108175_C1889_278,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,108237_C1889_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,108244_C1889_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,108245_C1889_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,108247_C1768_278,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,108256_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,108262_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,108264_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,108267_C1758_278,Noncdm Charge Record Medical Supplies,68.12,68.12,,,0 CDM,108272_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,108274_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,108280_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,108285_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,108354_270,Noncdm Charge Record Medical Supplies,1674.2,1674.2,,,0 CDM,108357_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,108361_270,Noncdm Charge Record Medical Supplies,80.65,80.65,,,0 CDM,108362_270,Noncdm Charge Record Medical Supplies,32983.5,32983.5,,,0 CDM,108393_A4648_278,Noncdm Charge Record Medical Supplies,56.1,56.1,,,0 CDM,10839_10572010001,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),100.94,100.94,,,0 CDM,10839_43386009019,Gavilyte G Tm: 274.31 G In 1 Bottle (43386-090-19),115.36,115.36,,,0 CDM,10839_52268010001,"Golytely: 4 L In 1 Bottle, Plastic (52268-100-01)",100.94,100.94,,,0 CDM,10839_64380076621,Polyethylene Glycol 3350 And Electrolytes With Lemon Flavor: 4 L In 1 Jug (64380-766-21),259.56,259.56,,,0 CDM,108405_A4300_278,Noncdm Charge Record Medical Supplies,55.11,55.11,,,0 CDM,108407_C1713_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,108407_C1713_636,Noncdm Charge Record Pharmacy,1874.6,1874.6,,,0 CDM,108407_C9359_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,108407_C9359_636,Noncdm Charge Record Pharmacy,1854.61,1854.61,,,0 CDM,108409_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,108412_270,Noncdm Charge Record Medical Supplies,11036.3,11036.3,,,0 CDM,108414_270,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,108415_C2618_278,Noncdm Charge Record Medical Supplies,6314.0,6314.0,,,0 CDM,108422_00003085722,Sprycel: 1 Bottle In 1 Carton (0003-0857-22) / 30 Tablet In 1 Bottle,2631.14,2631.14,,,0 CDM,108423_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,108479_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,108481_C1768_278,Noncdm Charge Record Medical Supplies,4567.2,4567.2,,,0 CDM,108501_C1751_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,108531_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,108545_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,108548_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,108549_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,108550_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,108552_C1713_278,Noncdm Charge Record Medical Supplies,445.5,445.5,,,0 CDM,108557_C1713_278,Noncdm Charge Record Medical Supplies,90.75,90.75,,,0 CDM,108558_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,10855_00904567761,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5677-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.76,8.76,,,0 CDM,10855_16714018201,"Paroxetine: 30 Tablet, Film Coated In 1 Bottle (16714-182-01)",9.68,9.68,,,0 CDM,10855_68084004511,NDC Description Not Available,9.05,9.05,,,0 CDM,108561_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,10856_50268064211,NDC Description Not Available,8.19,8.19,,,0 CDM,10856_68084004611,NDC Description Not Available,9.78,9.78,,,0 CDM,108575_270,Noncdm Charge Record Medical Supplies,1115.52,1115.52,,,0 CDM,108623_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,108628_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,108643_C1713_278,Noncdm Charge Record Medical Supplies,1009.8,1009.8,,,0 CDM,108651_270,Noncdm Charge Record Medical Supplies,1010.9,1010.9,,,0 CDM,108680_C1897_278,Noncdm Charge Record Medical Supplies,1108.8,1108.8,,,0 CDM,108681_C1778_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,108682_270,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,108682_C1782_272,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,108713_270,Noncdm Charge Record Medical Supplies,459.8,459.8,,,0 CDM,108720_A4648_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,108725_C1894_272,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,108725_C1894_278,Noncdm Charge Record Medical Supplies,35.16,35.16,,,0 CDM,108740_00338358048,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3580-48),26.25,26.25,,,0 CDM,108740_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108741_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108742_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108743_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108744_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108745_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108746_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108747_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108748_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108749_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108750_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108751_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108752_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108753_C1725_272,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108753_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108755_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108756_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108757_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108758_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108759_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108760_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108761_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108762_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108763_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108764_C1725_272,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108764_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108765_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108766_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108767_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108768_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108770_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108771_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108772_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108773_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108774_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108775_C1725_272,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108775_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108776_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108777_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108778_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108779_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108780_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108781_17156021001,"Datscan: 1 Vial, Glass In 1 Container (17156-210-01) / 2.5 Ml In 1 Vial, Glass",4921.82,4921.82,,,0 CDM,108782_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108783_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108784_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108785_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108786_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108787_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108788_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108789_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108790_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108791_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108792_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108793_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108794_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108795_C1889_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,108799_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,108800_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,108801_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,108802_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,108811_270,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,108814_C1778_278,Noncdm Charge Record Medical Supplies,6976.2,6976.2,,,0 CDM,108818_270,Noncdm Charge Record Medical Supplies,9240.0,9240.0,,,0 CDM,108835_C1892_278,Noncdm Charge Record Medical Supplies,74.8,74.8,,,0 CDM,108836_C1892_278,Noncdm Charge Record Medical Supplies,75.68,75.68,,,0 CDM,108841_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,108842_49401010101,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,121.34,121.34,,,0 CDM,108843_49401010201,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,40.09,40.09,,,0 CDM,108844_Q4100_278,Noncdm Charge Record Medical Supplies,4609.0,4609.0,,,0 CDM,108845_Q4100_278,Noncdm Charge Record Medical Supplies,7290.25,7290.25,,,0 CDM,108847_Q4100_278,Noncdm Charge Record Medical Supplies,21651.52,21651.52,,,0 CDM,108848_Q4100_278,Noncdm Charge Record Medical Supplies,34639.28,34639.28,,,0 CDM,108849_Q4100_278,Noncdm Charge Record Medical Supplies,4821.3,4821.3,,,0 CDM,108852_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108853_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,108856_07007456091,NDC Description Not Available,2.72,2.72,,,0 CDM,108862_C1713_278,Noncdm Charge Record Medical Supplies,112.54,112.54,,,0 CDM,108878_C1874_278,Noncdm Charge Record Medical Supplies,4731.1,4731.1,,,0 CDM,108879_270,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,108885_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,108889_C1880_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,108898_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,108907_00409020110,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-10) / 8 Ml In 1 Vial, Multi-Dose",11.06,11.06,,,0 CDM,108907_62332067802,"Docetaxel: 1 Vial, Single-Dose In 1 Carton (62332-678-02) / 2 Ml In 1 Vial, Single-Dose",40.03,40.03,,,0 CDM,108907_66758005002,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-02) / 8 Ml In 1 Vial, Multi-Dose",39.23,39.23,,,0 CDM,108915_C1769_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,108922_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,108923_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,108934_C1894_278,Noncdm Charge Record Medical Supplies,62.74,62.74,,,0 CDM,108936_A4300_278,Noncdm Charge Record Medical Supplies,408.1,408.1,,,0 CDM,108937_A4300_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,108938_A4300_278,Noncdm Charge Record Medical Supplies,1358.57,1358.57,,,0 CDM,108940_270,Noncdm Charge Record Medical Supplies,302.66,302.66,,,0 CDM,108941_270,Noncdm Charge Record Medical Supplies,542.52,542.52,,,0 CDM,108942_C1776_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,108943_C1776_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,108944_270,Noncdm Charge Record Medical Supplies,367.71,367.71,,,0 CDM,108945_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,108947_C1713_278,Noncdm Charge Record Medical Supplies,167.86,167.86,,,0 CDM,108948_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,108953_C1778_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,10900_00338102541,Penicillin G Potassium: 50 Ml In 1 Bag (0338-1025-41),9.27,9.27,,,0 CDM,109034_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,14.42,14.42,,,0 CDM,109034_51754050201,NDC Description Not Available,16.5,16.5,,,0 CDM,109055_270,Noncdm Charge Record Medical Supplies,2572.9,2572.9,,,0 CDM,109056_270,Noncdm Charge Record Medical Supplies,2703.67,2703.67,,,0 CDM,109062_270,Noncdm Charge Record Medical Supplies,1247.4,1247.4,,,0 CDM,109074_C1757_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,1090_00121091030,NDC Description Not Available,5.39,5.39,,,0 CDM,1090_00149003956,NDC Description Not Available,7.9,7.9,,,0 CDM,1090_00536128636,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",0.62,0.62,,,0 CDM,10910_00409080101,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",5125.09,5125.09,,,0 CDM,109115_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109120_270,Noncdm Charge Record Medical Supplies,3136.1,3136.1,,,0 CDM,109124_270,Noncdm Charge Record Medical Supplies,933.9,933.9,,,0 CDM,109125_270,Noncdm Charge Record Medical Supplies,1125.3,1125.3,,,0 CDM,109142_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109145_C1776_278,Noncdm Charge Record Medical Supplies,3098.7,3098.7,,,0 CDM,109163_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,109168_L8509_274,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,109168_L8509_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,109176_270,Noncdm Charge Record Medical Supplies,3315.4,3315.4,,,0 CDM,109177_270,Noncdm Charge Record Medical Supplies,567.6,567.6,,,0 CDM,10917_00472024260,Permethrin: 1 Tube In 1 Carton (0472-0242-60) / 60 G In 1 Tube,445.99,445.99,,,0 CDM,10917_16714089701,Permethrin: 1 Tube In 1 Container (16714-897-01) / 60 G In 1 Tube,436.74,436.74,,,0 CDM,109183_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,109185_C1713_278,Noncdm Charge Record Medical Supplies,2604.8,2604.8,,,0 CDM,10918_00113095516,good sense lice treatment: 1 BOTTLE in 1 CARTON (0113-0955-16) / 59 mL in 1 BOTTLE,9.27,9.27,,,0 CDM,10918_06373612002,NDC Description Not Available,16.36,16.36,,,0 CDM,10918_06373612003,NDC Description Not Available,13.39,13.39,,,0 CDM,10918_49348015078,Sunmark Lice Treatment: 1 Bottle In 1 Carton (49348-150-78) / 59 Ml In 1 Bottle,11.33,11.33,,,0 CDM,109192_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,109195_C1776_278,Noncdm Charge Record Medical Supplies,2798.4,2798.4,,,0 CDM,109196_C1713_278,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,109201_C1713_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,109201_C1776_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,109208_C1887_278,Noncdm Charge Record Medical Supplies,313.1,313.1,,,0 CDM,109212_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,109212_C1893_278,Noncdm Charge Record Medical Supplies,15.43,15.43,,,0 CDM,109213_C1893_278,Noncdm Charge Record Medical Supplies,32.38,32.38,,,0 CDM,109214_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,109225_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,109232_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,109236_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,109242_C1776_278,Noncdm Charge Record Medical Supplies,247.5,247.5,,,0 CDM,109246_C1713_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,109253_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,109254_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,109255_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,109256_C1713_278,Noncdm Charge Record Medical Supplies,821.7,821.7,,,0 CDM,109267_C1769_278,Noncdm Charge Record Medical Supplies,1574.03,1574.03,,,0 CDM,109271_C1874_278,Noncdm Charge Record Medical Supplies,4731.1,4731.1,,,0 CDM,109272_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109276_C1788_278,Noncdm Charge Record Medical Supplies,404.8,404.8,,,0 CDM,109298_270,Noncdm Charge Record Medical Supplies,468.97,468.97,,,0 CDM,109302_Q4100_278,Noncdm Charge Record Medical Supplies,2739.0,2739.0,,,0 CDM,109303_Q4100_278,Noncdm Charge Record Medical Supplies,9897.8,9897.8,,,0 CDM,109304_Q4100_278,Noncdm Charge Record Medical Supplies,11311.02,11311.02,,,0 CDM,109305_Q4100_278,Noncdm Charge Record Medical Supplies,25563.06,25563.06,,,0 CDM,109306_Q4100_278,Noncdm Charge Record Medical Supplies,1049.4,1049.4,,,0 CDM,109311_270,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,109312_C1874_278,Noncdm Charge Record Medical Supplies,8373.2,8373.2,,,0 CDM,109320_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109324_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,109333_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,109356_272,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,109356_L8509_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,109358_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,109360_270,Noncdm Charge Record Medical Supplies,1045.48,1045.48,,,0 CDM,109361_270,Noncdm Charge Record Medical Supplies,1045.79,1045.79,,,0 CDM,109362_270,Noncdm Charge Record Medical Supplies,1042.8,1042.8,,,0 CDM,109369_C1713_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,109370_C1713_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,109372_C1713_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,109373_C1713_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,109374_C1713_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,109375_C1713_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,109376_C1713_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,109383_C1713_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,109384_C1713_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,109385_C1713_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,109386_C1713_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,109402_72205026030,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-260-30),37.1,37.1,,,0 CDM,109403_62332023330,"Vilazodone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (62332-233-30)",30.3,30.3,,,0 CDM,109403_72205026130,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-261-30),36.24,36.24,,,0 CDM,109404_72205026230,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-262-30),37.08,37.08,,,0 CDM,109416_270,Noncdm Charge Record Medical Supplies,466.4,466.4,,,0 CDM,109445_C1880_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,109446_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,109448_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,10945_66993006602,Phenoxybenzamine Hydrochloride: 100 Capsule In 1 Bottle (66993-066-02),466.59,466.59,,,0 CDM,109467_06210333302,NDC Description Not Available,5.99,5.99,,,0 CDM,109472_C1776_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,109473_C1776_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,10947_00143956401,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,1106.65,1106.65,,,0 CDM,10947_00143956410,Phentolamine Mesylate: 10 Vial In 1 Box (0143-9564-10) / 1 Ml In 1 Vial,1211.28,1211.28,,,0 CDM,10947_51224001220,Phentolamine Mesylate: 1 Vial In 1 Carton (51224-012-20) / 1 Injection In 1 Vial,1038.24,1038.24,,,0 CDM,10947_68094010120,Phentolamine Mesylate: 1 Vial In 1 Carton (68094-101-20) / 1 Injection In 1 Vial,1038.18,1038.18,,,0 CDM,109550_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109602_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,109632_270,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,109636_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,109644_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,109664_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,109714_C1725_278,Noncdm Charge Record Medical Supplies,310.2,310.2,,,0 CDM,109729_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,109733_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,109737_C1713_278,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,109747_C1713_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,109756_C1788_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,109757_C1788_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,109758_C1788_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,109776_00093112589,"Abiraterone Acetate: 120 Tablet, Film Coated In 1 Bottle (0093-1125-89)",116.82,116.82,,,0 CDM,109776_00143959721,Abiraterone: 120 Tablet In 1 Bottle (0143-9597-21),110.64,110.64,,,0 CDM,109784_270,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,109788_C1713_278,Noncdm Charge Record Medical Supplies,1729.2,1729.2,,,0 CDM,109792_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,109793_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,109853_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,109909_59676027801,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",209.59,209.59,,,0 CDM,109945_270,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,109972_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,110012_C1760_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,110013_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,110014_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,110017_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,11001_C1769_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,110041_C1776_278,Noncdm Charge Record Medical Supplies,22284.9,22284.9,,,0 CDM,11005_C1769_278,Noncdm Charge Record Medical Supplies,18.87,18.87,,,0 CDM,110064_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,11008_C1769_278,Noncdm Charge Record Medical Supplies,36.38,36.38,,,0 CDM,11009_C1769_278,Noncdm Charge Record Medical Supplies,16.45,16.45,,,0 CDM,110104_270,Noncdm Charge Record Medical Supplies,9687.33,9687.33,,,0 CDM,110106_270,Noncdm Charge Record Medical Supplies,8072.9,8072.9,,,0 CDM,110123_C1713_278,Noncdm Charge Record Medical Supplies,250.8,250.8,,,0 CDM,110134_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,110136_C1762_278,Noncdm Charge Record Medical Supplies,224.4,224.4,,,0 CDM,110136_C1762_636,Noncdm Charge Record Pharmacy,210.12,210.12,,,0 CDM,110175_C1889_278,Noncdm Charge Record Medical Supplies,1265.37,1265.37,,,0 CDM,110176_C1889_278,Noncdm Charge Record Medical Supplies,1276.28,1276.28,,,0 CDM,110177_C1889_278,Noncdm Charge Record Medical Supplies,1243.55,1243.55,,,0 CDM,110178_C1889_278,Noncdm Charge Record Medical Supplies,1265.37,1265.37,,,0 CDM,110179_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,110196_C1773_278,Noncdm Charge Record Medical Supplies,3548.42,3548.42,,,0 CDM,110197_C1773_278,Noncdm Charge Record Medical Supplies,3518.9,3518.9,,,0 CDM,11019_00071374066,Dilantin: 100 Capsule In 1 Bottle (0071-3740-66),6.18,6.18,,,0 CDM,110231_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,110238_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,110239_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,110246_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,110249_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,11024_00187170405,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05) / 100 TABLET in 1 BOTTLE,211.89,211.89,,,0 CDM,11024_16714097302,Phytonadione: 1 Bottle In 1 Carton (16714-973-02) / 30 Tablet In 1 Bottle,237.19,237.19,,,0 CDM,11024_60687038111,NDC Description Not Available,283.8,283.8,,,0 CDM,11024_69097099902,Phytonadione: 30 Tablet In 1 Bottle (69097-999-02),223.14,223.14,,,0 CDM,11024_70710101401,Phytonadione: 1 Bottle In 1 Carton (70710-1014-1) / 100 Tablet In 1 Bottle,232.12,232.12,,,0 CDM,11024_70710101403,Phytonadione: 30 Tablet In 1 Bottle (70710-1014-3),235.46,235.46,,,0 CDM,11024_76282074030,Phytonadione: 1 Bottle In 1 Carton (76282-740-30) / 30 Tablet In 1 Bottle,30.3,30.3,,,0 CDM,110250_50458058001,NDC Description Not Available,78.15,78.15,,,0 CDM,110250_50458058010,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",83.98,83.98,,,0 CDM,110250_50458058030,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-580-30)",82.25,82.25,,,0 CDM,110250_50458058090,"Xarelto: 90 Tablet, Film Coated In 1 Bottle (50458-580-90)",86.18,86.18,,,0 CDM,110250_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110251_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110252_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110253_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110254_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,110257_43066015010,Nexterone: 100 Ml In 1 Bag (43066-150-10),30.02,30.02,,,0 CDM,110262_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110272_270,Noncdm Charge Record Medical Supplies,712.8,712.8,,,0 CDM,110273_270,Noncdm Charge Record Medical Supplies,368.29,368.29,,,0 CDM,110277_270,Noncdm Charge Record Medical Supplies,863.5,863.5,,,0 CDM,110278_270,Noncdm Charge Record Medical Supplies,1051.42,1051.42,,,0 CDM,11027_C1769_278,Noncdm Charge Record Medical Supplies,23.1,23.1,,,0 CDM,110283_C1713_278,Noncdm Charge Record Medical Supplies,187.01,187.01,,,0 CDM,110284_270,Noncdm Charge Record Medical Supplies,503.8,503.8,,,0 CDM,110285_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,110286_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,110290_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,110293_C1773_278,Noncdm Charge Record Medical Supplies,3541.04,3541.04,,,0 CDM,110297_270,Noncdm Charge Record Medical Supplies,507.1,507.1,,,0 CDM,110298_270,Noncdm Charge Record Medical Supplies,984.5,984.5,,,0 CDM,110304_C1713_278,Noncdm Charge Record Medical Supplies,2391.4,2391.4,,,0 CDM,110305_C1713_278,Noncdm Charge Record Medical Supplies,2391.4,2391.4,,,0 CDM,110312_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,110313_C1713_278,Noncdm Charge Record Medical Supplies,232.65,232.65,,,0 CDM,110315_C1713_278,Noncdm Charge Record Medical Supplies,232.38,232.38,,,0 CDM,110316_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,110320_C1713_278,Noncdm Charge Record Medical Supplies,167.93,167.93,,,0 CDM,110321_C1713_278,Noncdm Charge Record Medical Supplies,340.72,340.72,,,0 CDM,110322_C1713_278,Noncdm Charge Record Medical Supplies,311.85,311.85,,,0 CDM,110326_C1713_278,Noncdm Charge Record Medical Supplies,829.95,829.95,,,0 CDM,110327_C1713_278,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,11033_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,110353_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,110356_C1713_278,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,110360_52015008001,"Dificid: 1 Bottle In 1 Carton (52015-080-01) / 20 Tablet, Film Coated In 1 Bottle",1090.28,1090.28,,,0 CDM,110376_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,110380_C1781_278,Noncdm Charge Record Medical Supplies,1751.75,1751.75,,,0 CDM,110386_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,110390_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,110397_270,Noncdm Charge Record Medical Supplies,559.9,559.9,,,0 CDM,110403_C1713_278,Noncdm Charge Record Medical Supplies,232.38,232.38,,,0 CDM,110404_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,110410_C1893_278,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,110411_C1732_272,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,110411_C1732_278,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,110427_00186077739,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39) / 10 Tablet In 1 Blister Pack",32.64,32.64,,,0 CDM,110427_00186077760,Brilinta: 60 Tablet In 1 Bottle (0186-0777-60),32.64,32.64,,,0 CDM,110440_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,110446_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,11044_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,110453_C1776_278,Noncdm Charge Record Medical Supplies,4543.0,4543.0,,,0 CDM,110465_C1713_278,Noncdm Charge Record Medical Supplies,403.7,403.7,,,0 CDM,110475_C1874_278,Noncdm Charge Record Medical Supplies,6028.0,6028.0,,,0 CDM,110489_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,110501_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,110508_270,Noncdm Charge Record Medical Supplies,1376.1,1376.1,,,0 CDM,110509_270,Noncdm Charge Record Medical Supplies,1377.77,1377.77,,,0 CDM,110512_270,Noncdm Charge Record Medical Supplies,752.5,752.5,,,0 CDM,110516_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110517_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,110518_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,110521_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,110524_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,110535_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,110554_C1713_278,Noncdm Charge Record Medical Supplies,3123.27,3123.27,,,0 CDM,11057_C1769_278,Noncdm Charge Record Medical Supplies,87.98,87.98,,,0 CDM,11058_C1769_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,110623_C1757_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,110628_C1889_278,Noncdm Charge Record Medical Supplies,3388.0,3388.0,,,0 CDM,11062_00338081104,Potassium Chloride In Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0811-04),47.12,47.12,,,0 CDM,11062_C1769_278,Noncdm Charge Record Medical Supplies,39.69,39.69,,,0 CDM,11063_00409711309,Potassium Chloride in Lactated Ringers and Dextrose: 12 POUCH in 1 CASE (0409-7113-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAG,11.33,11.33,,,0 CDM,11063_C1769_272,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,11063_C1769_278,Noncdm Charge Record Medical Supplies,40.34,40.34,,,0 CDM,110651_270,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,110657_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,110661_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,110663_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,110664_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,110675_00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",9.48,9.48,,,0 CDM,110679_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,11070_C1769_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,110710_C1758_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,110711_C1758_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,11071_C1769_278,Noncdm Charge Record Medical Supplies,47.91,47.91,,,0 CDM,110725_270,Noncdm Charge Record Medical Supplies,393.8,393.8,,,0 CDM,110730_270,Noncdm Charge Record Medical Supplies,331.1,331.1,,,0 CDM,110731_270,Noncdm Charge Record Medical Supplies,419.1,419.1,,,0 CDM,110735_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,110740_270,Noncdm Charge Record Medical Supplies,361.9,361.9,,,0 CDM,110747_C1887_278,Noncdm Charge Record Medical Supplies,507.25,507.25,,,0 CDM,110748_C1887_272,Noncdm Charge Record Medical Supplies,506.0,506.0,,,0 CDM,110748_C1887_278,Noncdm Charge Record Medical Supplies,507.52,507.52,,,0 CDM,11074_00338070948,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48) / 100 Ml In 1 Bag,3.34,3.34,,,0 CDM,11074_00990707426,Potassium Chloride: 24 Pouch In 1 Case (0990-7074-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,4.09,4.09,,,0 CDM,11074_14789010916,NDC Description Not Available,34.08,34.08,,,0 CDM,11074_65219001200,NDC Description Not Available,3.09,3.09,,,0 CDM,11074_C1769_278,Noncdm Charge Record Medical Supplies,74.95,74.95,,,0 CDM,110751_00074347303,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,5053.01,5053.01,,,0 CDM,110751_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,110753_C1769_272,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,110753_C1769_278,Noncdm Charge Record Medical Supplies,65.16,65.16,,,0 CDM,110754_C1769_278,Noncdm Charge Record Medical Supplies,973.5,973.5,,,0 CDM,110755_C1769_278,Noncdm Charge Record Medical Supplies,1212.2,1212.2,,,0 CDM,110767_C1893_272,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,110767_C1893_278,Noncdm Charge Record Medical Supplies,39.19,39.19,,,0 CDM,110768_C1893_278,Noncdm Charge Record Medical Supplies,38.91,38.91,,,0 CDM,110769_C1893_278,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,110771_C1893_278,Noncdm Charge Record Medical Supplies,40.86,40.86,,,0 CDM,110772_C1893_278,Noncdm Charge Record Medical Supplies,40.42,40.42,,,0 CDM,110773_C1893_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,110775_C1893_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,110776_C1893_278,Noncdm Charge Record Medical Supplies,42.17,42.17,,,0 CDM,110777_C1893_278,Noncdm Charge Record Medical Supplies,46.55,46.55,,,0 CDM,11077_00338070341,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-41) / 50 Ml In 1 Bag,1.65,1.65,,,0 CDM,11077_00990707714,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.16,2.16,,,0 CDM,11077_14789010708,NDC Description Not Available,10.82,10.82,,,0 CDM,110781_270,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,110783_C1769_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,11079_00338070348,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,0.88,0.88,,,0 CDM,11079_00990707726,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,1.1,1.1,,,0 CDM,110801_C1725_278,Noncdm Charge Record Medical Supplies,310.2,310.2,,,0 CDM,110808_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,110809_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,11081_00264786500,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00) / 1000 Ml In 1 Container,2.16,2.16,,,0 CDM,11081_00338069104,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04) / 1000 Ml In 1 Bag,4.33,4.33,,,0 CDM,110822_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,11082_00338069504,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0695-04) / 1000 Ml In 1 Bag,2.31,2.31,,,0 CDM,11082_00990711609,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7116-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,1.8,1.8,,,0 CDM,110917_C1887_278,Noncdm Charge Record Medical Supplies,1130.8,1130.8,,,0 CDM,110969_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,110970_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,110989_63323063150,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-50) / 50 Ml In 1 Vial, Single-Use",48.84,48.84,,,0 CDM,110994_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,110998_00004082205,"Tamiflu: 1 Bottle, Glass In 1 Carton (0004-0822-05) / 60 Ml In 1 Bottle, Glass",86.37,86.37,,,0 CDM,110998_00093818064,Oseltamivir Phosphate: 1 Bottle In 1 Carton (0093-8180-64) / 60 Ml In 1 Bottle,87.14,87.14,,,0 CDM,110998_00527513762,"Oseltamivir Phosphate: 1 Bottle, Plastic In 1 Carton (0527-5137-62) / 60 Ml In 1 Bottle, Plastic",89.04,89.04,,,0 CDM,110998_27241013909,Oseltamivir Phosphate: 1 Pouch In 1 Carton (27241-139-09) / 1 Bottle In 1 Pouch / 60 Ml In 1 Bottle,80.54,80.54,,,0 CDM,110998_68180067801,"Oseltamivir Phosphate: 1 Bottle, Glass In 1 Carton (68180-678-01) / 60 Ml In 1 Bottle, Glass",76.86,76.86,,,0 CDM,110998_72205006078,"Oseltamivir Phosphate: 60 Ml In 1 Bottle, Glass (72205-060-78)",85.31,85.31,,,0 CDM,110998_76282073952,Oseltamivir Phosphate: 1 Bottle In 1 Carton (76282-739-52) / 60 Ml In 1 Bottle,12.1,12.1,,,0 CDM,110998_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,1110000001,Hc Room Private Routine Daily,2111.0,2111.0,,,0 CDM,1110000002,Hc Private Room Telemetry Daily,2111.0,2111.0,,,0 CDM,1110000003,Hc Private Room Antepartum Daily,2111.0,2111.0,,,0 CDM,1110000004,Hc Room Private Routine Rollins Daily,2503.0,2503.0,,,0 CDM,1110000005,Hc Room Private Routine Daily Ltac,3652.0,3652.0,,,0 CDM,111014_270,Noncdm Charge Record Medical Supplies,37950.0,37950.0,,,0 CDM,111016_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,11105_00037682410,Epifoam: 1 Canister In 1 Carton (0037-6824-10) / 10 G In 1 Canister,117.42,117.42,,,0 CDM,111063_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111065_C1781_278,Noncdm Charge Record Medical Supplies,1884.3,1884.3,,,0 CDM,111072_270,Noncdm Charge Record Medical Supplies,521.4,521.4,,,0 CDM,111072_68982018201,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 5 Ml In 1 Vial (68982-182-01),3.75,3.75,,,0 CDM,111073_68982018202,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 10 Ml In 1 Vial (68982-182-02),3.75,3.75,,,0 CDM,111074_270,Noncdm Charge Record Medical Supplies,406.63,406.63,,,0 CDM,111081_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,111085_C1762_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,111085_C1762_636,Noncdm Charge Record Pharmacy,2451.4,2451.4,,,0 CDM,111095_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,111096_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,11110_00904589161,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61) / 1 Tablet In 1 Blister Pack",10.37,10.37,,,0 CDM,11110_60687016911,NDC Description Not Available,11.42,11.42,,,0 CDM,11111_00904589261,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61) / 1 Tablet In 1 Blister Pack",8.81,8.81,,,0 CDM,11111_60687017811,NDC Description Not Available,11.72,11.72,,,0 CDM,11112_00904589361,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61) / 1 Tablet In 1 Blister Pack",15.32,15.32,,,0 CDM,11112_50268066711,NDC Description Not Available,15.46,15.46,,,0 CDM,11112_60505017009,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-0170-9),17.32,17.32,,,0 CDM,111132_L8613_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,111133_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,11113_49884023183,"Praziquantel: 6 Tablet, Film Coated In 1 Bottle (49884-231-83)",323.29,323.29,,,0 CDM,111140_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,111153_00501340004,NDC Description Not Available,6.18,6.18,,,0 CDM,111153_07430000070,NDC Description Not Available,4.12,4.12,,,0 CDM,111166_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,111175_Q4132_278,Noncdm Charge Record Medical Supplies,164.47,164.47,,,0 CDM,111176_Q4133_278,Noncdm Charge Record Medical Supplies,156.25,156.25,,,0 CDM,111182_C1713_278,Noncdm Charge Record Medical Supplies,399.3,399.3,,,0 CDM,111193_270,Noncdm Charge Record Medical Supplies,459.39,459.39,,,0 CDM,111194_270,Noncdm Charge Record Medical Supplies,460.35,460.35,,,0 CDM,111211_270,Noncdm Charge Record Medical Supplies,147.4,147.4,,,0 CDM,111244_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,111245_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,111252_Q4186_278,Noncdm Charge Record Medical Supplies,740.9,740.9,,,0 CDM,111252_Q4186_636,Noncdm Charge Record Pharmacy,544.21,544.21,,,0 CDM,111260_270,Noncdm Charge Record Medical Supplies,361.9,361.9,,,0 CDM,111290_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,111292_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,11129_50268068611,NDC Description Not Available,3.5,3.5,,,0 CDM,11129_68084020211,NDC Description Not Available,3.32,3.32,,,0 CDM,111301_C2625_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,111302_C1887_278,Noncdm Charge Record Medical Supplies,288.2,288.2,,,0 CDM,111330_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,111331_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,111347_270,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,111348_51144005001,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",546.64,546.64,,,0 CDM,111353_C2624_278,Noncdm Charge Record Medical Supplies,27720.0,27720.0,,,0 CDM,11138_00574722612,Compro: 12 Packet In 1 Carton (0574-7226-12) / 1 Suppository In 1 Packet,45.36,45.36,,,0 CDM,111422_270,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,111423_270,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,111427_C1887_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,111430_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,111437_11704037001,"Cyanokit: 1 VIAL, GLASS in 1 CARTON (11704-370-01) / 250 mL in 1 VIAL, GLASS",0.18,0.18,,,0 CDM,111437_50633031011,"Cyanokit: 1 Vial, Glass In 1 Carton (50633-310-11) / 250 Ml In 1 Vial, Glass",0.12,0.12,,,0 CDM,111437_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,111438_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,111439_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,11143_00713053612,Promethegan: 12 Suppository In 1 Box (0713-0536-12),63.86,63.86,,,0 CDM,11143_45802075800,NDC Description Not Available,63.69,63.69,,,0 CDM,11143_45802075830,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-758-30) / 1 Suppository In 1 Blister Pack (45802-758-00),63.86,63.86,,,0 CDM,111440_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,111449_00132019012,Pedia-Lax: 6 Applicator In 1 Carton (0132-0190-12) / 4 Ml In 1 Applicator,0.34,0.34,,,0 CDM,11144_00713052606,NDC Description Not Available,44.21,44.21,,,0 CDM,11144_00713052612,Promethegan: 12 Suppository In 1 Box (0713-0526-12),46.67,46.67,,,0 CDM,11144_45802075900,NDC Description Not Available,59.43,59.43,,,0 CDM,11144_45802075930,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-759-30) / 1 Suppository In 1 Blister Pack (45802-759-00),63.86,63.86,,,0 CDM,111464_25021082667,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67) / 100 Ml In 1 Bag,64.89,64.89,,,0 CDM,111464_25021082682,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-82) / 100 Ml In 1 Bag,189.13,189.13,,,0 CDM,111485_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,111486_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,111492_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,111509_C1776_278,Noncdm Charge Record Medical Supplies,654.5,654.5,,,0 CDM,111510_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111514_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111515_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111540_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,111541_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,111543_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111544_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111545_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,111546_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111547_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111548_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111549_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111553_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,111562_C1713_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,111564_C1831_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,111564_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,111565_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,111566_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,111567_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,111571_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,111586_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,111592_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,111597_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,111605_270,Noncdm Charge Record Medical Supplies,759.0,759.0,,,0 CDM,111610_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,111610_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,111610_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,111614_C1751_278,Noncdm Charge Record Medical Supplies,208.08,208.08,,,0 CDM,111616_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,111617_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,111627_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,111628_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,111629_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,111631_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,111632_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,111634_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,111642_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,111657_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111720_C1762_278,Noncdm Charge Record Medical Supplies,4988.28,4988.28,,,0 CDM,111720_C1762_636,Noncdm Charge Record Pharmacy,4671.05,4671.05,,,0 CDM,111745_C1713_278,Noncdm Charge Record Medical Supplies,3428.7,3428.7,,,0 CDM,111745_C1762_278,Noncdm Charge Record Medical Supplies,3428.7,3428.7,,,0 CDM,111745_C1762_636,Noncdm Charge Record Pharmacy,3210.51,3210.51,,,0 CDM,111753_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,111765_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111773_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,111775_C1713_278,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,111799_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,111915_270,Noncdm Charge Record Medical Supplies,493.9,493.9,,,0 CDM,111919_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,111925_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,111927_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,111934_C1781_278,Noncdm Charge Record Medical Supplies,613.8,613.8,,,0 CDM,111935_C1781_278,Noncdm Charge Record Medical Supplies,803.0,803.0,,,0 CDM,111936_C1781_278,Noncdm Charge Record Medical Supplies,557.8,557.8,,,0 CDM,111937_C1781_278,Noncdm Charge Record Medical Supplies,895.4,895.4,,,0 CDM,111938_C1781_278,Noncdm Charge Record Medical Supplies,1428.9,1428.9,,,0 CDM,111939_C1781_278,Noncdm Charge Record Medical Supplies,1952.5,1952.5,,,0 CDM,111941_C1781_278,Noncdm Charge Record Medical Supplies,447.7,447.7,,,0 CDM,111946_C1887_278,Noncdm Charge Record Medical Supplies,822.72,822.72,,,0 CDM,111949_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,111950_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,111952_C1887_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,111953_C1713_278,Noncdm Charge Record Medical Supplies,1995.4,1995.4,,,0 CDM,111958_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,111959_C1713_278,Noncdm Charge Record Medical Supplies,1199.92,1199.92,,,0 CDM,111965_C2618_278,Noncdm Charge Record Medical Supplies,2438.33,2438.33,,,0 CDM,111966_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111967_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111968_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111969_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111970_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111971_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111972_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111973_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111974_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111975_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111976_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111978_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111979_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111980_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111981_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111984_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111985_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111986_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111987_C1725_272,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111987_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111988_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111989_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111992_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111993_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111994_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111997_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111998_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,111999_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,1120000001,Hc Ob Private Room Daily,2111.0,2111.0,,,0 CDM,112000_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112001_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112002_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112003_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112006_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112010_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112011_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112012_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112013_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112015_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112020_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112023_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112024_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112025_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112026_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112028_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,112030_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,112037_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,112038_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,112048_270,Noncdm Charge Record Medical Supplies,728.2,728.2,,,0 CDM,112060_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,112061_270,Noncdm Charge Record Medical Supplies,698.5,698.5,,,0 CDM,112104_C1732_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,112107_C2618_278,Noncdm Charge Record Medical Supplies,2453.22,2453.22,,,0 CDM,11210_00121094816,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),21.63,21.63,,,0 CDM,11210_43598089116,NDC Description Not Available,24.72,24.72,,,0 CDM,11210_63739016434,"Potassium Chloride: 5 Tray In 1 Case (63739-164-34) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (63739-164-74)",36.05,36.05,,,0 CDM,112117_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,112126_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,112129_270,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,112146_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,112149_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,112151_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,112152_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,112153_270,Noncdm Charge Record Medical Supplies,495.67,495.67,,,0 CDM,112154_C1713_278,Noncdm Charge Record Medical Supplies,58.51,58.51,,,0 CDM,112158_270,Noncdm Charge Record Medical Supplies,900.94,900.94,,,0 CDM,112169_C1753_278,Noncdm Charge Record Medical Supplies,1091.2,1091.2,,,0 CDM,112170_C1887_278,Noncdm Charge Record Medical Supplies,746.9,746.9,,,0 CDM,112171_C1887_278,Noncdm Charge Record Medical Supplies,900.9,900.9,,,0 CDM,11218_C1729_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,112197_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112198_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112199_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,11219_C1729_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,112200_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112201_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112202_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112204_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112205_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112206_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112207_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112208_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112209_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112210_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,112213_270,Noncdm Charge Record Medical Supplies,884.4,884.4,,,0 CDM,112214_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,112227_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,112229_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112231_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112235_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,112236_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,112237_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112241_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112243_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,112245_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112247_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112249_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112251_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112252_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112254_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,112255_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,11225_C1750_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,112269_270,Noncdm Charge Record Medical Supplies,1491.6,1491.6,,,0 CDM,11226_C1729_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,112277_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,11227_C1729_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,112280_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,112295_C1776_278,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,11229_C1729_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,11230_C1729_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,112317_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,112322_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,112325_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,112326_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,112327_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,112328_C1889_278,Noncdm Charge Record Medical Supplies,211.75,211.75,,,0 CDM,112334_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,112335_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,112336_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,112397_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,112399_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,11239_00904662261,Pyridostigmine Bromide: 100 Blister Pack In 1 Carton (0904-6622-61) / 1 Tablet In 1 Blister Pack,2.27,2.27,,,0 CDM,11239_68084049411,NDC Description Not Available,5.99,5.99,,,0 CDM,11240_00187301330,"Mestinon: 30 Tablet, Extended Release In 1 Bottle (0187-3013-30)",165.83,165.83,,,0 CDM,11240_47781033530,"Pyridostigmine Bromide: 30 Tablet, Extended Release In 1 Bottle (47781-335-30)",84.8,84.8,,,0 CDM,112424_270,Noncdm Charge Record Medical Supplies,3856.6,3856.6,,,0 CDM,112459_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,112460_C1896_275,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,11246_00480372001,"Pyrimethamine: 100 Tablet In 1 Bottle, Plastic (0480-3720-01)",3082.28,3082.28,,,0 CDM,11246_43598067230,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (43598-672-30)",2872.73,2872.73,,,0 CDM,112476_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,112515_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,112520_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,112522_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,112530_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,112555_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,11257,Noncdm Charge Record,143.82,143.82,,,0 CDM,11257_49281024658,NDC Description Not Available,1237.13,1237.13,,,0 CDM,11257_49281024858,NDC Description Not Available,1051.63,1051.63,,,0 CDM,11257_49281025251,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",1027.73,1027.73,,,0 CDM,112596_C1768_278,Noncdm Charge Record Medical Supplies,9086.0,9086.0,,,0 CDM,112602_C1831_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,112602_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,112618_C1713_278,Noncdm Charge Record Medical Supplies,58.52,58.52,,,0 CDM,112619_C1713_278,Noncdm Charge Record Medical Supplies,58.54,58.54,,,0 CDM,112620_C1713_278,Noncdm Charge Record Medical Supplies,58.58,58.58,,,0 CDM,112627_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,112628_C2625_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,112675_C2623_272,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,112675_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,112676_C2623_278,Noncdm Charge Record Medical Supplies,2052.48,2052.48,,,0 CDM,112698_270,Noncdm Charge Record Medical Supplies,2800.6,2800.6,,,0 CDM,112702_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,112703_16714088701,Clobazam: 100 Tablet In 1 Bottle (16714-887-01),59.33,59.33,,,0 CDM,112703_51991090001,Clobazam: 100 Tablet In 1 Bottle (51991-900-01),40.57,40.57,,,0 CDM,112703_60687042311,NDC Description Not Available,10.19,10.19,,,0 CDM,112703_60687042321,"Clobazam: 30 Blister Pack In 1 Box, Unit-Dose (60687-423-21) / 1 Tablet In 1 Blister Pack (60687-423-11)",8.45,8.45,,,0 CDM,112703_67386031401,Onfi: 1 Bottle In 1 Carton (67386-314-01) / 100 Tablet In 1 Bottle,107.32,107.32,,,0 CDM,112703_69238130501,Clobazam: 100 Tablet In 1 Bottle (69238-1305-1),65.99,65.99,,,0 CDM,112704_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,112706_270,Noncdm Charge Record Medical Supplies,2209.9,2209.9,,,0 CDM,112728_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,112731_270,Noncdm Charge Record Medical Supplies,800.8,800.8,,,0 CDM,112735_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,112739_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,112742_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,112743_C1776_278,Noncdm Charge Record Medical Supplies,4543.0,4543.0,,,0 CDM,112752_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,112781_57884325101,Bupivacaine: 10 Vial In 1 Carton (57884-3251-1) / 10 Ml In 1 Vial,6.12,6.12,,,0 CDM,112781_65250013304,Exparel: 4 Vial In 1 Carton (65250-133-04) / 10 Ml In 1 Vial (65250-133-10),5.64,5.64,,,0 CDM,112781_65250013310,NDC Description Not Available,5.43,5.43,,,0 CDM,112781_65250026609,Exparel: 10 Vial In 1 Carton (65250-266-09) / 20 Ml In 1 Vial (65250-266-20),6.69,6.69,,,0 CDM,112786_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,112787_00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",42.91,42.91,,,0 CDM,112787_67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",31.72,31.72,,,0 CDM,112797_270,Noncdm Charge Record Medical Supplies,2272.22,2272.22,,,0 CDM,112809_270,Noncdm Charge Record Medical Supplies,391.6,391.6,,,0 CDM,112810_C1781_278,Noncdm Charge Record Medical Supplies,375.04,375.04,,,0 CDM,112811_270,Noncdm Charge Record Medical Supplies,750.15,750.15,,,0 CDM,112834_50458057801,NDC Description Not Available,78.11,78.11,,,0 CDM,112834_50458057810,"Xarelto: 10 Blister Pack In 1 Carton (50458-578-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-578-01)",83.52,83.52,,,0 CDM,112834_50458057830,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-578-30)",82.37,82.37,,,0 CDM,112835_50458057901,NDC Description Not Available,78.26,78.26,,,0 CDM,112835_50458057910,"Xarelto: 10 Blister Pack In 1 Carton (50458-579-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-579-01)",83.41,83.41,,,0 CDM,112835_50458057930,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-579-30)",82.47,82.47,,,0 CDM,112835_50458057989,"Xarelto: 1000 Tablet, Film Coated In 1 Bottle (50458-579-89)",82.2,82.2,,,0 CDM,112840_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,112851_C1762_278,Noncdm Charge Record Medical Supplies,1546.6,1546.6,,,0 CDM,112856_270,Noncdm Charge Record Medical Supplies,350.84,350.84,,,0 CDM,11286_272,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,11286_65862029084,Ribavirin: 84 Capsule In 1 Bottle (65862-290-84),34.34,34.34,,,0 CDM,11286_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,112883_C1768_278,Noncdm Charge Record Medical Supplies,2314.4,2314.4,,,0 CDM,112895_C1874_278,Noncdm Charge Record Medical Supplies,5003.79,5003.79,,,0 CDM,112902_270,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,112904_C1776_278,Noncdm Charge Record Medical Supplies,372.9,372.9,,,0 CDM,11290_00013530117,Mycobutin: 100 Capsule In 1 Bottle (0013-5301-17),84.17,84.17,,,0 CDM,11290_10135073801,Rifabutin: 100 Capsule In 1 Bottle (10135-738-01),41.84,41.84,,,0 CDM,11290_59762135001,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),63.07,63.07,,,0 CDM,11290_70954004110,Rifabutin: 100 Capsule In 1 Bottle (70954-041-10),63.04,63.04,,,0 CDM,112912_270,Noncdm Charge Record Medical Supplies,459.8,459.8,,,0 CDM,112915_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,112916_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,11291_00068059701,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01) / 10 Ml In 1 Vial, Glass",676.7,676.7,,,0 CDM,11291_00068059901,"Rifadin Iv Novaplus: 1 Vial, Glass In 1 Carton (0068-0599-01) / 10 Ml In 1 Vial, Glass",592.25,592.25,,,0 CDM,11291_63323035120,"Rifampin: 1 Vial In 1 Box (63323-351-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",475.73,475.73,,,0 CDM,112922_C1713_278,Noncdm Charge Record Medical Supplies,871.2,871.2,,,0 CDM,112923_C1713_278,Noncdm Charge Record Medical Supplies,839.3,839.3,,,0 CDM,11292_60687057511,NDC Description Not Available,7.21,7.21,,,0 CDM,112932_C1713_278,Noncdm Charge Record Medical Supplies,985.6,985.6,,,0 CDM,112933_270,Noncdm Charge Record Medical Supplies,1303.56,1303.56,,,0 CDM,112936_50881000560,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1094.43,1094.43,,,0 CDM,112937_50881001060,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",1221.98,1221.98,,,0 CDM,11293_42806079960,Rifampin: 60 Capsule In 1 Bottle (42806-799-60),21.03,21.03,,,0 CDM,11293_60687058611,NDC Description Not Available,4.9,4.9,,,0 CDM,11293_68180065906,Rifampin: 30 Capsule In 1 Bottle (68180-659-06),16.54,16.54,,,0 CDM,11293_68180065907,Rifampin: 60 Capsule In 1 Bottle (68180-659-07),16.29,16.29,,,0 CDM,11293_C1773_278,Noncdm Charge Record Medical Supplies,414.75,414.75,,,0 CDM,112946_C1713_278,Noncdm Charge Record Medical Supplies,347.6,347.6,,,0 CDM,112961_C1713_278,Noncdm Charge Record Medical Supplies,70.99,70.99,,,0 CDM,112964_C1713_278,Noncdm Charge Record Medical Supplies,71.01,71.01,,,0 CDM,112971_C1713_278,Noncdm Charge Record Medical Supplies,1729.2,1729.2,,,0 CDM,112992_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,112993_270,Noncdm Charge Record Medical Supplies,709.5,709.5,,,0 CDM,112995_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,113024_C1874_278,Noncdm Charge Record Medical Supplies,26956.6,26956.6,,,0 CDM,113026_270,Noncdm Charge Record Medical Supplies,480.61,480.61,,,0 CDM,113027_270,Noncdm Charge Record Medical Supplies,531.3,531.3,,,0 CDM,113030_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,113031_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113033_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113035_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113035_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113036_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113036_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113037_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113037_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113038_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113038_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113039_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113040_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113040_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113041_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,113043_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,113047_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,113048_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,113051_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,113052_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,113053_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,113057_C1781_278,Noncdm Charge Record Medical Supplies,2941.4,2941.4,,,0 CDM,113059_C1781_278,Noncdm Charge Record Medical Supplies,5905.9,5905.9,,,0 CDM,113060_25021046810,Levothyroxine Sodium: 1 Vial In 1 Carton (25021-468-10) / 5 Ml In 1 Vial,408.91,408.91,,,0 CDM,113060_42023020101,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose",456.8,456.8,,,0 CDM,113060_63323064907,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose",436.27,436.27,,,0 CDM,113060_63323064916,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-16) / 5 Ml In 1 Vial, Single-Dose",456.8,456.8,,,0 CDM,113064_C1874_278,Noncdm Charge Record Medical Supplies,26956.6,26956.6,,,0 CDM,113080_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,113081_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,113082_00487278401,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",2.74,2.74,,,0 CDM,113082_00487590199,"S2: 30 Pouch In 1 Carton (0487-5901-99) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",2.94,2.94,,,0 CDM,113084_270,Noncdm Charge Record Medical Supplies,744.7,744.7,,,0 CDM,113088_00006482701,NDC Description Not Available,757.74,757.74,,,0 CDM,113089_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,113098_C1713_278,Noncdm Charge Record Medical Supplies,110.0,110.0,,,0 CDM,113099_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,113107_270,Noncdm Charge Record Medical Supplies,1015.3,1015.3,,,0 CDM,113126_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,113142_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,113149_C1776_278,Noncdm Charge Record Medical Supplies,8815.4,8815.4,,,0 CDM,113160_270,Noncdm Charge Record Medical Supplies,2703.8,2703.8,,,0 CDM,113168_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,113192_270,Noncdm Charge Record Medical Supplies,119.47,119.47,,,0 CDM,113194_Q4100_278,Noncdm Charge Record Medical Supplies,62.51,62.51,,,0 CDM,113198_Q4104_278,Noncdm Charge Record Medical Supplies,35.87,35.87,,,0 CDM,113209_C1776_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,113212_270,Noncdm Charge Record Medical Supplies,1649.52,1649.52,,,0 CDM,113213_270,Noncdm Charge Record Medical Supplies,2915.0,2915.0,,,0 CDM,113218_C1773_278,Noncdm Charge Record Medical Supplies,243.1,243.1,,,0 CDM,113223_C9361_278,Noncdm Charge Record Medical Supplies,3972.02,3972.02,,,0 CDM,113226_C1894_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,113227_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,113231_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,113237_C1894_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,113259_C9361_278,Noncdm Charge Record Medical Supplies,2585.99,2585.99,,,0 CDM,113260_C1713_278,Noncdm Charge Record Medical Supplies,2288.0,2288.0,,,0 CDM,113261_270,Noncdm Charge Record Medical Supplies,3283.5,3283.5,,,0 CDM,113267_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,113268_C1768_278,Noncdm Charge Record Medical Supplies,3653.1,3653.1,,,0 CDM,113270_C1769_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,113285_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,113288_270,Noncdm Charge Record Medical Supplies,2807.2,2807.2,,,0 CDM,113297_C1713_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,113312_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,113324_C1713_278,Noncdm Charge Record Medical Supplies,52.69,52.69,,,0 CDM,113325_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113326_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113327_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113328_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113329_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113330_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113331_C1713_278,Noncdm Charge Record Medical Supplies,234.08,234.08,,,0 CDM,113332_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113334_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,113335_C1713_278,Noncdm Charge Record Medical Supplies,717.48,717.48,,,0 CDM,113336_C1713_278,Noncdm Charge Record Medical Supplies,1199.88,1199.88,,,0 CDM,113340_270,Noncdm Charge Record Medical Supplies,693.07,693.07,,,0 CDM,113341_270,Noncdm Charge Record Medical Supplies,682.0,682.0,,,0 CDM,113346_270,Noncdm Charge Record Medical Supplies,2101.0,2101.0,,,0 CDM,113348_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,113351_C1713_278,Noncdm Charge Record Medical Supplies,1698.4,1698.4,,,0 CDM,113378_270,Noncdm Charge Record Medical Supplies,1527.9,1527.9,,,0 CDM,113387_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,11340_60505343803,Selegiline Hydrochloride: 60 Tablet In 1 Bottle (60505-3438-3),7.62,7.62,,,0 CDM,113420_C1713_278,Noncdm Charge Record Medical Supplies,221.1,221.1,,,0 CDM,113421_C1713_278,Noncdm Charge Record Medical Supplies,221.1,221.1,,,0 CDM,113431_C1713_278,Noncdm Charge Record Medical Supplies,236.5,236.5,,,0 CDM,113439_C1713_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,113441_270,Noncdm Charge Record Medical Supplies,1966.8,1966.8,,,0 CDM,113443_270,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,113449_C1769_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,113458_C1788_278,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,113460_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,113462_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,113477_14789033015,Levetiracetam In Sodium Chloride: 10 Bag In 1 Carton (14789-330-15) / 100 Ml In 1 Bag (14789-330-08),0.72,0.72,,,0 CDM,113477_43598063710,Levetiracetam: 10 Bag In 1 Carton (43598-637-10) / 100 Ml In 1 Bag (43598-637-52),1.15,1.15,,,0 CDM,113477_43598063752,NDC Description Not Available,1.14,1.14,,,0 CDM,113477_43598075952,NDC Description Not Available,0.01,0.01,,,0 CDM,113477_44567050301,NDC Description Not Available,0.43,0.43,,,0 CDM,113477_67457026600,NDC Description Not Available,0.82,0.82,,,0 CDM,113477_67457026610,Levetiracetam: 10 Bag In 1 Carton (67457-266-10) / 100 Ml In 1 Bag (67457-266-00),0.7,0.7,,,0 CDM,113482_270,Noncdm Charge Record Medical Supplies,396.94,396.94,,,0 CDM,11350_16714061301,"Sertraline Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16714-613-01)",10.3,10.3,,,0 CDM,113518_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,11351_16714061205,"Sertraline Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (16714-612-05)",10.03,10.03,,,0 CDM,113522_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,113525_Q4100_278,Noncdm Charge Record Medical Supplies,144.38,144.38,,,0 CDM,113525_Q4100_636,Noncdm Charge Record Pharmacy,193.12,193.12,,,0 CDM,113526_C1762_278,Noncdm Charge Record Medical Supplies,3502.4,3502.4,,,0 CDM,113540_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,113551_270,Noncdm Charge Record Medical Supplies,3712.5,3712.5,,,0 CDM,113556_270,Noncdm Charge Record Medical Supplies,3283.5,3283.5,,,0 CDM,113561_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,113576_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,113577_00713056431,Nitroglycerin: 1 Tube In 1 Carton (0713-0564-31) / 30 G In 1 Tube,3.86,3.86,,,0 CDM,113584_270,Noncdm Charge Record Medical Supplies,1853.5,1853.5,,,0 CDM,113587_65162087903,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-879-03)",192.51,192.51,,,0 CDM,113587_67877063830,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-638-30)",183.97,183.97,,,0 CDM,113587_68180067006,Lurasidone Hydrochloride: 30 Tablet In 1 Bottle (68180-670-06),184.17,184.17,,,0 CDM,113587_72205020730,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-207-30)",182.07,182.07,,,0 CDM,113589_270,Noncdm Charge Record Medical Supplies,368.69,368.69,,,0 CDM,113592_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,11359_12165010001,Grafco Applicator 15 Cm: 100 Stick In 1 Tube (12165-100-01),0.93,0.93,,,0 CDM,11359_12870000101,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1) / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,3.06,3.06,,,0 CDM,11359_12870000102,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2) / 100 Mg In 1 Applicator,2.98,2.98,,,0 CDM,113605_C1713_278,Noncdm Charge Record Medical Supplies,1065.84,1065.84,,,0 CDM,113621_65649055204,Relistor: 7 Blister Pack In 1 Carton (65649-552-04) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,8.7,8.7,,,0 CDM,113621_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,113622_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,113624_270,Noncdm Charge Record Medical Supplies,2722.5,2722.5,,,0 CDM,113627_270,Noncdm Charge Record Medical Supplies,574.2,574.2,,,0 CDM,113637_C1726_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113638_C1758_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,113643_270,Noncdm Charge Record Medical Supplies,521.4,521.4,,,0 CDM,113646_C1769_278,Noncdm Charge Record Medical Supplies,29.66,29.66,,,0 CDM,113647_C1781_278,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,113648_C1781_278,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,113649_C1781_278,Noncdm Charge Record Medical Supplies,159.54,159.54,,,0 CDM,113651_C1781_278,Noncdm Charge Record Medical Supplies,353.1,353.1,,,0 CDM,113652_C1781_278,Noncdm Charge Record Medical Supplies,1676.4,1676.4,,,0 CDM,113657_51167020001,"Kalydeco: 4 Blister Pack In 1 Carton (51167-200-01) / 14 Tablet, Film Coated In 1 Blister Pack",1846.02,1846.02,,,0 CDM,113663_270,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,113669_270,Noncdm Charge Record Medical Supplies,759.0,759.0,,,0 CDM,113672_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,113676_C1768_278,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,113678_270,Noncdm Charge Record Medical Supplies,533.5,533.5,,,0 CDM,113684_270,Noncdm Charge Record Medical Supplies,1007.36,1007.36,,,0 CDM,113689_270,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,11368_00270055615,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,542.96,542.96,,,0 CDM,11368_63323057901,NDC Description Not Available,1.54,1.54,,,0 CDM,113704_270,Noncdm Charge Record Medical Supplies,3999.6,3999.6,,,0 CDM,113705_270,Noncdm Charge Record Medical Supplies,3999.6,3999.6,,,0 CDM,113706_270,Noncdm Charge Record Medical Supplies,3999.6,3999.6,,,0 CDM,113718_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,113727_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,113728_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,113735_270,Noncdm Charge Record Medical Supplies,441.1,441.1,,,0 CDM,113741_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113750_C1713_278,Noncdm Charge Record Medical Supplies,623.7,623.7,,,0 CDM,113752_270,Noncdm Charge Record Medical Supplies,333.3,333.3,,,0 CDM,113757_C1776_278,Noncdm Charge Record Medical Supplies,460.66,460.66,,,0 CDM,113758_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,113767_C1713_278,Noncdm Charge Record Medical Supplies,52.43,52.43,,,0 CDM,113768_C1713_278,Noncdm Charge Record Medical Supplies,52.39,52.39,,,0 CDM,113769_C1713_278,Noncdm Charge Record Medical Supplies,52.66,52.66,,,0 CDM,113770_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113771_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,113774_C1713_278,Noncdm Charge Record Medical Supplies,97.53,97.53,,,0 CDM,113776_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,113780_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,113781_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,113783_C1713_278,Noncdm Charge Record Medical Supplies,229.08,229.08,,,0 CDM,113784_C1713_278,Noncdm Charge Record Medical Supplies,229.04,229.04,,,0 CDM,113785_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,113789_C1887_278,Noncdm Charge Record Medical Supplies,19.07,19.07,,,0 CDM,113790_C1887_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,113799_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,113800_C1713_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,113801_C1713_278,Noncdm Charge Record Medical Supplies,1052.33,1052.33,,,0 CDM,113802_C1713_278,Noncdm Charge Record Medical Supplies,1060.89,1060.89,,,0 CDM,113803_270,Noncdm Charge Record Medical Supplies,393.8,393.8,,,0 CDM,113805_C1894_272,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,113805_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,113806_Q4186_278,Noncdm Charge Record Medical Supplies,246.4,246.4,,,0 CDM,113806_Q4186_636,Noncdm Charge Record Pharmacy,228.4,228.4,,,0 CDM,113815_C1892_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,113826_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113827_C1713_278,Noncdm Charge Record Medical Supplies,365.0,365.0,,,0 CDM,113828_C1713_278,Noncdm Charge Record Medical Supplies,364.98,364.98,,,0 CDM,113829_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113830_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113832_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113834_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113835_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113836_C1713_278,Noncdm Charge Record Medical Supplies,365.04,365.04,,,0 CDM,113837_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113838_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,113841_C1713_278,Noncdm Charge Record Medical Supplies,186.45,186.45,,,0 CDM,113842_C1713_278,Noncdm Charge Record Medical Supplies,186.18,186.18,,,0 CDM,113843_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,113844_270,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,113845_58394063703,"Benefix: 1 Kit In 1 Carton (58394-637-03) * 5 Ml In 1 Vial, Single-Use (58394-137-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01)",3.6,3.6,,,0 CDM,113845_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,11386_C1766_278,Noncdm Charge Record Medical Supplies,34.1,34.1,,,0 CDM,113872_C1887_278,Noncdm Charge Record Medical Supplies,31.87,31.87,,,0 CDM,113885_270,Noncdm Charge Record Medical Supplies,3712.5,3712.5,,,0 CDM,113886_270,Noncdm Charge Record Medical Supplies,567.6,567.6,,,0 CDM,113888_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,113889_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,113890_270,Noncdm Charge Record Medical Supplies,706.2,706.2,,,0 CDM,113891_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,113899_C1713_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,113922_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,113930_C1778_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,113931_C1778_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,113933_C1897_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,113934_C1897_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,113949_L8614_278,Noncdm Charge Record Medical Supplies,24901.8,24901.8,,,0 CDM,11394_00121059515,NDC Description Not Available,21.08,21.08,,,0 CDM,11394_00121119000,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-1190-00) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1190-30)",19.85,19.85,,,0 CDM,11394_00121119030,NDC Description Not Available,20.31,20.31,,,0 CDM,113959_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,113960_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,113962_C1889_278,Noncdm Charge Record Medical Supplies,6860.48,6860.48,,,0 CDM,113963_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,113966_C1886_278,Noncdm Charge Record Medical Supplies,5698.0,5698.0,,,0 CDM,113968_270,Noncdm Charge Record Medical Supplies,669.81,669.81,,,0 CDM,113993_C1713_278,Noncdm Charge Record Medical Supplies,1412.4,1412.4,,,0 CDM,113998_C1758_278,Noncdm Charge Record Medical Supplies,44.0,44.0,,,0 CDM,113999_C1758_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,113_00527105001,"AcetaZOLAMIDE: 100 TABLET in 1 BOTTLE, PLASTIC (0527-1050-01)",12.04,12.04,,,0 CDM,113_00904666361,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61) / 1 Tablet In 1 Blister Pack,2.41,2.41,,,0 CDM,113_60687061911,NDC Description Not Available,15.16,15.16,,,0 CDM,113_64380083406,Acetazolamide: 100 Tablet In 1 Bottle (64380-834-06),9.38,9.38,,,0 CDM,113_70756072111,Acetazolamide: 100 Tablet In 1 Bottle (70756-721-11),9.51,9.51,,,0 CDM,113_72578015001,Acetazolamide: 100 Tablet In 1 Bottle (72578-150-01),9.97,9.97,,,0 CDM,1140000001,Hc Private Psych Room Daily,3225.0,3225.0,,,0 CDM,114000_C1758_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,114002_270,Noncdm Charge Record Medical Supplies,711.7,711.7,,,0 CDM,114007_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,114027_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,114032_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,11403_00264220100,Sodium Chloride: 16 Container In 1 Case (0264-2201-00) / 1000 Ml In 1 Container,33.05,33.05,,,0 CDM,11403_00264220110,Sodium Chloride: 16 Container In 1 Case (0264-2201-10) / 500 Ml In 1 Container,32.73,32.73,,,0 CDM,11403_00264738850,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-50) / 2000 Ml In 1 Container,30.5,30.5,,,0 CDM,11403_00264738860,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60) / 3000 Ml In 1 Container,33.8,33.8,,,0 CDM,11403_00338004727,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27) / 3000 Ml In 1 Bag,36.05,36.05,,,0 CDM,11403_00338004729,Sodium Chloride: 2 Bag In 1 Carton (0338-0047-29) / 5000 Ml In 1 Bag,32.04,32.04,,,0 CDM,11403_00338004744,Sodium Chloride: 14 Bag In 1 Carton (0338-0047-44) / 1000 Ml In 1 Bag,32.11,32.11,,,0 CDM,11403_00338004746,Sodium Chloride: 6 Bag In 1 Carton (0338-0047-46) / 2000 Ml In 1 Bag,28.77,28.77,,,0 CDM,11403_00338004747,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-47) / 3000 Ml In 1 Bag,32.53,32.53,,,0 CDM,11403_00338004802,"Sodium Chloride: 24 Bottle, Plastic In 1 Carton (0338-0048-02) / 250 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 CDM,11403_00338004803,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03) / 500 Ml In 1 Bottle, Plastic",34.93,34.93,,,0 CDM,11403_00338004804,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04) / 1000 Ml In 1 Bottle, Plastic",34.43,34.43,,,0 CDM,11403_00409713809,"Sodium Chloride: 12 BOTTLE, PLASTIC in 1 CASE (0409-7138-09) / 1000 mL in 1 BOTTLE, PLASTIC",36.05,36.05,,,0 CDM,11403_00990613803,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-03) / 500 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 CDM,11403_00990713836,"Sodium Chloride: 9 Bottle, Plastic In 1 Case (0990-7138-36) / 1500 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 CDM,11403_00990797205,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05) / 1000 Ml In 1 Bag,19.83,19.83,,,0 CDM,11403_00990797208,Sodium Chloride: 4 Pouch In 1 Case (0990-7972-08) / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,35.72,35.72,,,0 CDM,114042_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,114047_C1781_278,Noncdm Charge Record Medical Supplies,3511.2,3511.2,,,0 CDM,114057_C1713_278,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,114058_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,114062_C1713_278,Noncdm Charge Record Medical Supplies,172.23,172.23,,,0 CDM,114083_C1713_278,Noncdm Charge Record Medical Supplies,186.18,186.18,,,0 CDM,114100_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,114102_C1884_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114102_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114103_C1884_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114103_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114104_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114106_270,Noncdm Charge Record Medical Supplies,1401.03,1401.03,,,0 CDM,114108_C1889_278,Noncdm Charge Record Medical Supplies,306.9,306.9,,,0 CDM,114109_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,114112_270,Noncdm Charge Record Medical Supplies,785.4,785.4,,,0 CDM,114113_270,Noncdm Charge Record Medical Supplies,410.3,410.3,,,0 CDM,114115_C1713_278,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,114118_C1713_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,114118_C1883_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,114134_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,114146_C1713_278,Noncdm Charge Record Medical Supplies,688.6,688.6,,,0 CDM,114154_C1813_278,Noncdm Charge Record Medical Supplies,17017.0,17017.0,,,0 CDM,114159_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,114169_C1769_278,Noncdm Charge Record Medical Supplies,277.26,277.26,,,0 CDM,114173_C1767_278,Noncdm Charge Record Medical Supplies,23639.0,23639.0,,,0 CDM,114174_C1778_278,Noncdm Charge Record Medical Supplies,5197.5,5197.5,,,0 CDM,114175_C1778_278,Noncdm Charge Record Medical Supplies,3003.0,3003.0,,,0 CDM,114178_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,114185_C1894_278,Noncdm Charge Record Medical Supplies,56.53,56.53,,,0 CDM,114186_C1894_278,Noncdm Charge Record Medical Supplies,56.45,56.45,,,0 CDM,114187_C1894_278,Noncdm Charge Record Medical Supplies,56.5,56.5,,,0 CDM,114188_C1894_278,Noncdm Charge Record Medical Supplies,56.83,56.83,,,0 CDM,11418_00002734901,NDC Description Not Available,330.29,330.29,,,0 CDM,11418_55566180101,"Zomacton: 1 Kit In 1 Carton (55566-1801-1) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 5 Ml In 1 Vial",247.45,247.45,,,0 CDM,114192_270,Noncdm Charge Record Medical Supplies,391.05,391.05,,,0 CDM,114209_C1884_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114209_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114210_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114212_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,114213_C1889_278,Noncdm Charge Record Medical Supplies,1588.77,1588.77,,,0 CDM,114214_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114215_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,114216_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114217_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,114218_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114219_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,11421_50268072411,NDC Description Not Available,6.26,6.26,,,0 CDM,11421_68084065401,"Sotalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-654-01) / 1 Tablet In 1 Blister Pack (68084-654-11)",8.24,8.24,,,0 CDM,11421_68084065411,NDC Description Not Available,6.49,6.49,,,0 CDM,114221_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114223_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114224_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114225_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114226_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114227_C1884_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114227_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114228_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114229_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114230_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114231_C1889_278,Noncdm Charge Record Medical Supplies,2132.9,2132.9,,,0 CDM,114232_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,114233_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114235_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114237_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114238_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114240_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114243_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114244_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114246_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,114247_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,114253_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,114256_C1758_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,114258_270,Noncdm Charge Record Medical Supplies,995.5,995.5,,,0 CDM,114259_C1892_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,114262_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114263_C1713_278,Noncdm Charge Record Medical Supplies,298.08,298.08,,,0 CDM,114264_C1713_278,Noncdm Charge Record Medical Supplies,399.3,399.3,,,0 CDM,114266_Q4121_278,Noncdm Charge Record Medical Supplies,133.27,133.27,,,0 CDM,114269_C1769_278,Noncdm Charge Record Medical Supplies,37.45,37.45,,,0 CDM,114271_C1880_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,114317_Q4125_278,Noncdm Charge Record Medical Supplies,102.37,102.37,,,0 CDM,114322_270,Noncdm Charge Record Medical Supplies,521.4,521.4,,,0 CDM,114376_270,Noncdm Charge Record Medical Supplies,797.5,797.5,,,0 CDM,114377_C1889_278,Noncdm Charge Record Medical Supplies,1178.1,1178.1,,,0 CDM,114378_270,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,114378_L8612_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,114378_V2785_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,114390_270,Noncdm Charge Record Medical Supplies,981.2,981.2,,,0 CDM,114393_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114394_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114395_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114396_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,114397_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,114398_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,11441_00121074710,NDC Description Not Available,39.04,39.04,,,0 CDM,11441_00121074740,"Sucralfate: 4 TRAY in 1 CASE (0121-0747-40) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE (0121-0747-10)",44.29,44.29,,,0 CDM,11441_00121097410,NDC Description Not Available,38.94,38.94,,,0 CDM,11441_00904726966,NDC Description Not Available,30.99,30.99,,,0 CDM,11441_00904747066,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",29.77,29.77,,,0 CDM,11441_50268073211,NDC Description Not Available,43.95,43.95,,,0 CDM,11441_50268074511,NDC Description Not Available,30.99,30.99,,,0 CDM,11441_60687073842,NDC Description Not Available,39.52,39.52,,,0 CDM,11441_63739019372,NDC Description Not Available,35.45,35.45,,,0 CDM,11441_68094004359,NDC Description Not Available,39.09,39.09,,,0 CDM,11441_69339014801,NDC Description Not Available,44.12,44.12,,,0 CDM,11442_62135043690,Sucralfate: 90 Tablet In 1 Bottle (62135-436-90),17.92,17.92,,,0 CDM,114456_270,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 CDM,114458_270,Noncdm Charge Record Medical Supplies,1679.7,1679.7,,,0 CDM,114458_C1889_270,Noncdm Charge Record Medical Supplies,1679.7,1679.7,,,0 CDM,114479_C2625_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,114481_C1769_278,Noncdm Charge Record Medical Supplies,37.4,37.4,,,0 CDM,114486_C9361_278,Noncdm Charge Record Medical Supplies,4073.3,4073.3,,,0 CDM,114488_270,Noncdm Charge Record Medical Supplies,1784.2,1784.2,,,0 CDM,114494_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,114505_270,Noncdm Charge Record Medical Supplies,1212.2,1212.2,,,0 CDM,114509_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,114517_C1713_278,Noncdm Charge Record Medical Supplies,168.3,168.3,,,0 CDM,114519_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,114521_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,114521_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,114530_270,Noncdm Charge Record Medical Supplies,756.8,756.8,,,0 CDM,114533_C1713_278,Noncdm Charge Record Medical Supplies,2116.4,2116.4,,,0 CDM,114535_C1713_278,Noncdm Charge Record Medical Supplies,162.68,162.68,,,0 CDM,114536_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,114537_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,114538_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,114539_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114541_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,114543_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,114545_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,114558_270,Noncdm Charge Record Medical Supplies,530.2,530.2,,,0 CDM,114559_270,Noncdm Charge Record Medical Supplies,1202.3,1202.3,,,0 CDM,114560_C1713_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,114563_C1713_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,114589_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,114590_270,Noncdm Charge Record Medical Supplies,360.25,360.25,,,0 CDM,114595_270,Noncdm Charge Record Medical Supplies,412.5,412.5,,,0 CDM,114604_C1725_278,Noncdm Charge Record Medical Supplies,156.26,156.26,,,0 CDM,114606_C1713_278,Noncdm Charge Record Medical Supplies,54.35,54.35,,,0 CDM,114615_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,114621_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,114622_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,114625_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,114629_C1876_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,11463_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,114643_270,Noncdm Charge Record Medical Supplies,1072.5,1072.5,,,0 CDM,114652_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,114655_270,Noncdm Charge Record Medical Supplies,588.5,588.5,,,0 CDM,114656_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,114657_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,114659_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,114660_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,114693_270,Noncdm Charge Record Medical Supplies,503.8,503.8,,,0 CDM,114694_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,114695_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,114696_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,114703_C1769_278,Noncdm Charge Record Medical Supplies,26.45,26.45,,,0 CDM,114724_270,Noncdm Charge Record Medical Supplies,674.3,674.3,,,0 CDM,114726_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,11473_C1894_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,114745_C1762_278,Noncdm Charge Record Medical Supplies,2163.7,2163.7,,,0 CDM,114752_270,Noncdm Charge Record Medical Supplies,1456.4,1456.4,,,0 CDM,114778_L1930_274,Noncdm Charge Record Medical Supplies,398.42,398.42,,,0 CDM,114782_L1932_274,Noncdm Charge Record Medical Supplies,1584.16,1584.16,,,0 CDM,114787_L5450_274,Noncdm Charge Record Medical Supplies,204.54,204.54,,,0 CDM,114791_L8420_274,Noncdm Charge Record Medical Supplies,44.0,44.0,,,0 CDM,114793_L0172_274,Noncdm Charge Record Medical Supplies,253.0,253.0,,,0 CDM,114794_L0174_274,Noncdm Charge Record Medical Supplies,453.2,453.2,,,0 CDM,114799_L1686_274,Noncdm Charge Record Medical Supplies,1644.5,1644.5,,,0 CDM,114800_L3980_274,Noncdm Charge Record Medical Supplies,499.4,499.4,,,0 CDM,114801_L1830_274,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,114802_L1833_274,Noncdm Charge Record Medical Supplies,941.6,941.6,,,0 CDM,114803_L1832_274,Noncdm Charge Record Medical Supplies,1361.43,1361.43,,,0 CDM,114806_L1820_274,Noncdm Charge Record Medical Supplies,214.5,214.5,,,0 CDM,114810_L0650_274,Noncdm Charge Record Medical Supplies,1611.5,1611.5,,,0 CDM,114811_L0637_274,Noncdm Charge Record Medical Supplies,2419.31,2419.31,,,0 CDM,114814_L0642_274,Noncdm Charge Record Medical Supplies,531.3,531.3,,,0 CDM,114817_L4396_274,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,114818_L4387_274,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,114821_L4361_274,Noncdm Charge Record Medical Supplies,491.04,491.04,,,0 CDM,114827_L3670_274,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,114830_L0464_274,Noncdm Charge Record Medical Supplies,2650.9,2650.9,,,0 CDM,114831_L0472_274,Noncdm Charge Record Medical Supplies,766.7,766.7,,,0 CDM,114832_L0457_274,Noncdm Charge Record Medical Supplies,1268.99,1268.99,,,0 CDM,114833_L0456_274,Noncdm Charge Record Medical Supplies,1765.5,1765.5,,,0 CDM,114834_L3809_274,Noncdm Charge Record Medical Supplies,405.45,405.45,,,0 CDM,114835_L3807_274,Noncdm Charge Record Medical Supplies,403.92,403.92,,,0 CDM,114836_L3908_274,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114845_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,114847_270,Noncdm Charge Record Medical Supplies,1104.4,1104.4,,,0 CDM,114881_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,114883_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,114886_C1713_278,Noncdm Charge Record Medical Supplies,372.9,372.9,,,0 CDM,114886_C1776_278,Noncdm Charge Record Medical Supplies,372.9,372.9,,,0 CDM,114894_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,114895_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,114896_C1713_278,Noncdm Charge Record Medical Supplies,2391.4,2391.4,,,0 CDM,114898_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,114900_C1713_278,Noncdm Charge Record Medical Supplies,283.52,283.52,,,0 CDM,114901_C1713_278,Noncdm Charge Record Medical Supplies,335.66,335.66,,,0 CDM,114904_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,114905_C1713_278,Noncdm Charge Record Medical Supplies,63.25,63.25,,,0 CDM,114906_C1713_278,Noncdm Charge Record Medical Supplies,62.98,62.98,,,0 CDM,114907_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,114909_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,114910_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,114911_C1713_278,Noncdm Charge Record Medical Supplies,284.57,284.57,,,0 CDM,114913_C1713_278,Noncdm Charge Record Medical Supplies,162.74,162.74,,,0 CDM,114914_C1713_278,Noncdm Charge Record Medical Supplies,162.62,162.62,,,0 CDM,114915_C1713_278,Noncdm Charge Record Medical Supplies,162.64,162.64,,,0 CDM,114916_C1713_278,Noncdm Charge Record Medical Supplies,162.55,162.55,,,0 CDM,114917_C1713_278,Noncdm Charge Record Medical Supplies,162.43,162.43,,,0 CDM,114927_C1713_278,Noncdm Charge Record Medical Supplies,199.1,199.1,,,0 CDM,114931_C1776_278,Noncdm Charge Record Medical Supplies,3843.4,3843.4,,,0 CDM,114935_C1713_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,114936_C1713_278,Noncdm Charge Record Medical Supplies,229.21,229.21,,,0 CDM,114938_C1729_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114939_C1729_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114940_C1729_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114941_C1729_278,Noncdm Charge Record Medical Supplies,93.5,93.5,,,0 CDM,114942_C1729_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114943_C1729_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,114944_C1729_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,114952_C1757_278,Noncdm Charge Record Medical Supplies,8231.3,8231.3,,,0 CDM,114956_270,Noncdm Charge Record Medical Supplies,1734.7,1734.7,,,0 CDM,114957_C1887_278,Noncdm Charge Record Medical Supplies,24.24,24.24,,,0 CDM,114960_270,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,114962_270,Noncdm Charge Record Medical Supplies,386.13,386.13,,,0 CDM,114966_270,Noncdm Charge Record Medical Supplies,1773.2,1773.2,,,0 CDM,114967_270,Noncdm Charge Record Medical Supplies,695.2,695.2,,,0 CDM,114990_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,114991_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,114992_C1726_278,Noncdm Charge Record Medical Supplies,310.4,310.4,,,0 CDM,114993_C1758_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,114994_C1758_278,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,114996_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,114997_C1884_278,Noncdm Charge Record Medical Supplies,5502.84,5502.84,,,0 CDM,114998_270,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,114_00143900601,"Acetazolamide: 1 Vial In 1 Carton (0143-9006-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",135.07,135.07,,,0 CDM,114_00143950301,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",189.61,189.61,,,0 CDM,114_23155031331,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",163.13,163.13,,,0 CDM,114_39822019001,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",130.18,130.18,,,0 CDM,114_67457085350,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,172.14,172.14,,,0 CDM,1150000001,Hc Hospice Private Room Daily,2111.0,2111.0,,,0 CDM,115000_C1769_278,Noncdm Charge Record Medical Supplies,37.4,37.4,,,0 CDM,115001_C1769_278,Noncdm Charge Record Medical Supplies,29.7,29.7,,,0 CDM,115002_C1769_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,11500_00406996001,Temazepam: 100 Capsule In 1 Bottle (0406-9960-01),35.85,35.85,,,0 CDM,11500_00904643604,Temazepam: 30 Blister Pack In 1 Carton (0904-6436-04) / 1 Capsule In 1 Blister Pack,17.11,17.11,,,0 CDM,11500_63739000333,"Temazepam: 3 Blister Pack In 1 Box, Unit-Dose (63739-003-33) / 10 Capsule In 1 Blister Pack",20.81,20.81,,,0 CDM,11500_68084054911,NDC Description Not Available,30.1,30.1,,,0 CDM,115010_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,115016_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,115017_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,115030_270,Noncdm Charge Record Medical Supplies,1624.65,1624.65,,,0 CDM,115035_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,115045_C1781_278,Noncdm Charge Record Medical Supplies,6321.7,6321.7,,,0 CDM,115046_C1713_278,Noncdm Charge Record Medical Supplies,2676.3,2676.3,,,0 CDM,115055_C1874_278,Noncdm Charge Record Medical Supplies,6979.5,6979.5,,,0 CDM,115069_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,11507_00143937501,NDC Description Not Available,1.49,1.49,,,0 CDM,11507_00143974601,NDC Description Not Available,17.14,17.14,,,0 CDM,11507_59923061501,NDC Description Not Available,8.15,8.15,,,0 CDM,11507_63323066500,NDC Description Not Available,31.84,31.84,,,0 CDM,11507_63323066501,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",83.65,83.65,,,0 CDM,11508_00527131801,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1318-01),19.57,19.57,,,0 CDM,11508_62559072101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-721-01),20.17,20.17,,,0 CDM,115090_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,11509_00527131101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1311-01),22.66,22.66,,,0 CDM,11509_62559072201,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-722-01),23.56,23.56,,,0 CDM,115104_C1758_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,115106_270,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,115106_C1713_278,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,115106_L8613_278,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,115107_270,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,115112_C1769_278,Noncdm Charge Record Medical Supplies,52.25,52.25,,,0 CDM,115117_L8613_278,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,115118_C1713_278,Noncdm Charge Record Medical Supplies,665.5,665.5,,,0 CDM,11511_51672130200,"Terconazole: 1 Tube, With Applicator In 1 Carton (51672-1302-0) / 20 G In 1 Tube, With Applicator",147.29,147.29,,,0 CDM,115129_C1725_278,Noncdm Charge Record Medical Supplies,1230.41,1230.41,,,0 CDM,115130_C1725_278,Noncdm Charge Record Medical Supplies,1229.92,1229.92,,,0 CDM,115131_C1725_278,Noncdm Charge Record Medical Supplies,1231.63,1231.63,,,0 CDM,115132_C1725_278,Noncdm Charge Record Medical Supplies,1230.68,1230.68,,,0 CDM,115133_C1725_278,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,115134_C1725_278,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,115141_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,115144_C1781_278,Noncdm Charge Record Medical Supplies,583.0,583.0,,,0 CDM,115149_270,Noncdm Charge Record Medical Supplies,5227.2,5227.2,,,0 CDM,115153_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,11517_17478004532,Tetracaine: 25 AMPULE in 1 CARTON (17478-045-32) / 2 mL in 1 AMPULE,328.57,328.57,,,0 CDM,115202_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,115206_C1894_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,115208_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,115235_C1769_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,115236_C1887_278,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,115237_C1887_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,115238_C1887_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,115242_C1781_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,115243_C1781_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,115245_C1781_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,115246_C1781_278,Noncdm Charge Record Medical Supplies,515.9,515.9,,,0 CDM,115247_C1781_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,115248_C1781_278,Noncdm Charge Record Medical Supplies,793.1,793.1,,,0 CDM,115250_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,115252_C1781_278,Noncdm Charge Record Medical Supplies,152.9,152.9,,,0 CDM,115253_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,115254_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,115256_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,115259_270,Noncdm Charge Record Medical Supplies,457.6,457.6,,,0 CDM,115261_C1894_278,Noncdm Charge Record Medical Supplies,72.54,72.54,,,0 CDM,115263_270,Noncdm Charge Record Medical Supplies,983.4,983.4,,,0 CDM,115264_270,Noncdm Charge Record Medical Supplies,1312.2,1312.2,,,0 CDM,115265_270,Noncdm Charge Record Medical Supplies,1637.9,1637.9,,,0 CDM,115279_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,115281_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,115283_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,115296_C1817_278,Noncdm Charge Record Medical Supplies,3619.0,3619.0,,,0 CDM,115312_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,115319_270,Noncdm Charge Record Medical Supplies,1551.0,1551.0,,,0 CDM,115322_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,115324_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,115325_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,115327_270,Noncdm Charge Record Medical Supplies,632.5,632.5,,,0 CDM,115337_270,Noncdm Charge Record Medical Supplies,471.9,471.9,,,0 CDM,115339_C1887_278,Noncdm Charge Record Medical Supplies,159.06,159.06,,,0 CDM,115340_C1726_278,Noncdm Charge Record Medical Supplies,3003.0,3003.0,,,0 CDM,115344_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,115346_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,115352_270,Noncdm Charge Record Medical Supplies,1406.9,1406.9,,,0 CDM,115353_270,Noncdm Charge Record Medical Supplies,645.87,645.87,,,0 CDM,115354_270,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,115360_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,115361_270,Noncdm Charge Record Medical Supplies,900.9,900.9,,,0 CDM,115363_270,Noncdm Charge Record Medical Supplies,1773.2,1773.2,,,0 CDM,115379_C1765_278,Noncdm Charge Record Medical Supplies,505.01,505.01,,,0 CDM,115404_C2618_278,Noncdm Charge Record Medical Supplies,2613.25,2613.25,,,0 CDM,115409_270,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,115448_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,115454_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,115467_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,115499_270,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,115502_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,115503_270,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,115541_C1762_278,Noncdm Charge Record Medical Supplies,3077.8,3077.8,,,0 CDM,115543_C1887_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,115544_C1887_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,115546_C1769_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,115550_C1751_278,Noncdm Charge Record Medical Supplies,254.1,254.1,,,0 CDM,115580_C1769_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,115590_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,115591_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,11559_C1887_278,Noncdm Charge Record Medical Supplies,80.22,80.22,,,0 CDM,11560_C1887_278,Noncdm Charge Record Medical Supplies,80.32,80.32,,,0 CDM,11561_60758080205,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-802-05) / 5 Ml In 1 Bottle, Dropper",13.25,13.25,,,0 CDM,11561_61314022605,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",54.37,54.37,,,0 CDM,11561_64980051305,Timolol Maleate: 1 Bottle In 1 Carton (64980-513-05) / 5 Ml In 1 Bottle,54.59,54.59,,,0 CDM,11561_70069070101,Timolol Maleate: 1 Bottle In 1 Carton (70069-701-01) / 5 Ml In 1 Bottle,19.42,19.42,,,0 CDM,11562_17478028810,"Timolol Maleate: 1 BOTTLE, DROPPER in 1 CARTON (17478-288-10) / 5 mL in 1 BOTTLE, DROPPER",61.8,61.8,,,0 CDM,11562_61314022705,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",61.8,61.8,,,0 CDM,11562_64980051405,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,61.8,61.8,,,0 CDM,11564_C1887_278,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,115650_270,Noncdm Charge Record Medical Supplies,157.26,157.26,,,0 CDM,115651_C1788_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,11565_39822041201,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,22.28,22.28,,,0 CDM,11565_39822041206,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,19.9,19.9,,,0 CDM,11565_C1887_278,Noncdm Charge Record Medical Supplies,80.1,80.1,,,0 CDM,11566_00065064835,TobraDex: 1 TUBE in 1 CARTON (0065-0648-35) / 3.5 g in 1 TUBE,986.77,986.77,,,0 CDM,11566_00078087601,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1173.17,1173.17,,,0 CDM,115674_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,11567_00574403105,"Tobramycin And Dexamethasone: 5 Ml In 1 Bottle, Plastic (0574-4031-05)",328.57,328.57,,,0 CDM,11567_24208029505,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-05) / 5 Ml In 1 Bottle, Dropper",438.78,438.78,,,0 CDM,11567_61314064705,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-05) / 5 Ml In 1 Bottle,524.27,524.27,,,0 CDM,11567_61314064725,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25) / 2.5 Ml In 1 Bottle,261.62,261.62,,,0 CDM,11568_C1887_278,Noncdm Charge Record Medical Supplies,80.58,80.58,,,0 CDM,11578_00187516420,Retin-A: 1 Tube In 1 Carton (0187-5164-20) / 20 G In 1 Tube,86.52,86.52,,,0 CDM,11578_16714025001,Tretinoin: 1 Tube In 1 Carton (16714-250-01) / 20 G In 1 Tube,496.46,496.46,,,0 CDM,11578_51672139500,Tretinoin: 1 Tube In 1 Carton (51672-1395-0) / 20 G In 1 Tube,474.06,474.06,,,0 CDM,11580_00378808615,Tretinoin: 1 Tube In 1 Carton (0378-8086-15) / 15 G In 1 Tube,368.59,368.59,,,0 CDM,11584_00003049420,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",10.28,10.28,,,0 CDM,11588_59212000201,Dyrenium: 100 Capsule In 1 Bottle (59212-002-01),63.86,63.86,,,0 CDM,11588_66993083102,Triamterene: 100 Capsule In 1 Bottle (66993-831-02),43.03,43.03,,,0 CDM,115897_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,115898_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,115900_Q4104_278,Noncdm Charge Record Medical Supplies,23.65,23.65,,,0 CDM,115915_C1713_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,115920_C1769_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,115921_C1769_278,Noncdm Charge Record Medical Supplies,47.18,47.18,,,0 CDM,115922_C1769_278,Noncdm Charge Record Medical Supplies,73.73,73.73,,,0 CDM,115923_C1769_278,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,115932_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,115933_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,115938_C1713_278,Noncdm Charge Record Medical Supplies,334.4,334.4,,,0 CDM,115940_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,115941_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,115942_C1713_278,Noncdm Charge Record Medical Supplies,285.8,285.8,,,0 CDM,115943_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,115944_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,115945_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,115951_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115952_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115953_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115954_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115955_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115956_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,115958_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,11595_61314004475,"Trifluridine: 1 Bottle, Plastic In 1 Carton (61314-044-75) / 7.5 Ml In 1 Bottle, Plastic",803.4,803.4,,,0 CDM,115966_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,115968_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,11596_24208031510,"Polymyxin B Sulfate And Trimethoprim: 1 Bottle, Dropper In 1 Carton (24208-315-10) / 10 Ml In 1 Bottle, Dropper",48.41,48.41,,,0 CDM,11596_61314062810,"Polymyxin B Sulfate And Trimethoprim: 10 Ml In 1 Bottle, Plastic (61314-628-10)",62.83,62.83,,,0 CDM,11596_70069031101,Polymyxin B Sulfate And Trimethoprim Sulfate: 1 Bottle In 1 Carton (70069-311-01) / 10 Ml In 1 Bottle,42.23,42.23,,,0 CDM,115972_C1713_278,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 CDM,1160000001,Hc Room Private Detox,3225.0,3225.0,,,0 CDM,116024_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116025_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116035_58914011210,Viokace: 1 BOTTLE in 1 CARTON (58914-112-10) / 100 TABLET in 1 BOTTLE,13.97,13.97,,,0 CDM,116035_73562010410,Viokace: 1 Bottle In 1 Carton (73562-104-10) / 100 Tablet In 1 Bottle,18.29,18.29,,,0 CDM,116041_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116042_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116043_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116044_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116048_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116051_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116054_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,116115_C1898_275,Noncdm Charge Record Medical Supplies,622.05,622.05,,,0 CDM,116116_C1898_275,Noncdm Charge Record Medical Supplies,683.73,683.73,,,0 CDM,11611_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,116122_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,116128_C1785_275,Noncdm Charge Record Medical Supplies,5106.44,5106.44,,,0 CDM,116129_C1785_275,Noncdm Charge Record Medical Supplies,5194.06,5194.06,,,0 CDM,116133_C1785_275,Noncdm Charge Record Medical Supplies,3979.8,3979.8,,,0 CDM,116137_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,116138_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,116140_C1713_278,Noncdm Charge Record Medical Supplies,159.5,159.5,,,0 CDM,116142_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,116143_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,116145_C1874_278,Noncdm Charge Record Medical Supplies,4312.0,4312.0,,,0 CDM,11620_00904716723,"Urea Cream 40%: 1 Bottle, Plastic In 1 Carton (0904-7167-23) / 28.35 G In 1 Bottle, Plastic",135.96,135.96,,,0 CDM,11620_44523061701,"Urea: 1 Bottle, Plastic In 1 Carton (44523-617-01) / 28.35 G In 1 Bottle, Plastic",373.89,373.89,,,0 CDM,11620_50268087228,Urea: 28.35 G In 1 Tube (50268-872-28),373.63,373.63,,,0 CDM,11620_54295030815,"Urea: 1 Bottle, Plastic In 1 Carton (54295-308-15) / 28 G In 1 Bottle, Plastic",373.89,373.89,,,0 CDM,116210_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,116221_C1887_278,Noncdm Charge Record Medical Supplies,19.36,19.36,,,0 CDM,116222_C1887_278,Noncdm Charge Record Medical Supplies,19.43,19.43,,,0 CDM,11624_00591315901,Ursodiol: 100 Capsule In 1 Bottle (0591-3159-01),26.48,26.48,,,0 CDM,11624_00904716806,Ursodiol: 50 Blister Pack In 1 Carton (0904-7168-06) / 1 Capsule In 1 Blister Pack,21.2,21.2,,,0 CDM,11624_00904716861,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61) / 1 Capsule In 1 Blister Pack,19.01,19.01,,,0 CDM,11624_10702023701,Ursodiol: 100 Capsule In 1 Bottle (10702-237-01),26.52,26.52,,,0 CDM,11624_42291092301,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),26.5,26.5,,,0 CDM,11624_60687010011,NDC Description Not Available,27.57,27.57,,,0 CDM,11624_69238154001,Ursodiol: 100 Capsule In 1 Bottle (69238-1540-1),27.05,27.05,,,0 CDM,116273_C1768_278,Noncdm Charge Record Medical Supplies,3466.79,3466.79,,,0 CDM,11627_00143916401,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01) / 10.25 G In 1 Vial, Pharmacy Bulk Package",15.48,15.48,,,0 CDM,11627_00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",42.4,42.4,,,0 CDM,11627_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",43.55,43.55,,,0 CDM,11627_63323031461,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61) / 100 Ml In 1 Bottle,40.8,40.8,,,0 CDM,11627_70594004801,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (70594-048-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",42.88,42.88,,,0 CDM,11627_71288002675,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (71288-026-75) / 95 Ml In 1 Vial, Pharmacy Bulk Package",46.01,46.01,,,0 CDM,116281_C1713_278,Noncdm Charge Record Medical Supplies,58.58,58.58,,,0 CDM,116283_C1713_278,Noncdm Charge Record Medical Supplies,403.7,403.7,,,0 CDM,116286_C1713_278,Noncdm Charge Record Medical Supplies,129.43,129.43,,,0 CDM,11628_00121086720,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (0121-0867-20) / 10 Capsule In 1 Blister Pack,112.89,112.89,,,0 CDM,11628_23155085878,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78) / 10 Capsule In 1 Blister Pack,112.87,112.87,,,0 CDM,11628_62559039020,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (62559-390-20) / 10 Capsule In 1 Blister Pack,112.88,112.88,,,0 CDM,11628_62559039050,Vancomycin Hydrochloride: 50 Capsule In 1 Bottle (62559-390-50),113.03,113.03,,,0 CDM,11628_68180016611,NDC Description Not Available,112.92,112.92,,,0 CDM,116290_C1874_278,Noncdm Charge Record Medical Supplies,22036.3,22036.3,,,0 CDM,116295_C2618_278,Noncdm Charge Record Medical Supplies,2415.37,2415.37,,,0 CDM,116296_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,11630_52536009605,NDC Description Not Available,30.73,30.73,,,0 CDM,11630_52536010605,Vancomycin Hydrochloride For Oral Solution: 1 Kit In 1 Carton (52536-106-05) * 7.5 G In 1 Bottle (52536-096-05) * 145 Ml In 1 Bottle (52536-086-05),24.75,24.75,,,0 CDM,11630_65628020605,Firvanq: 1 Kit In 1 Carton (65628-206-05) * 7.5 G In 1 Bottle * 145 Ml In 1 Bottle,14.71,14.71,,,0 CDM,116314_270,Noncdm Charge Record Medical Supplies,1393.56,1393.56,,,0 CDM,116315_270,Noncdm Charge Record Medical Supplies,900.9,900.9,,,0 CDM,116321_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,116326_C1713_278,Noncdm Charge Record Medical Supplies,1036.0,1036.0,,,0 CDM,11632_00338355148,Vancomycin Hydrochloride: 100 Ml In 1 Bag (0338-3551-48),33.61,33.61,,,0 CDM,116341_270,Noncdm Charge Record Medical Supplies,2112.0,2112.0,,,0 CDM,116342_270,Noncdm Charge Record Medical Supplies,1081.3,1081.3,,,0 CDM,116343_C2625_278,Noncdm Charge Record Medical Supplies,84.84,84.84,,,0 CDM,116345_25021005301,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,0.62,0.62,,,0 CDM,116345_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),2.76,2.76,,,0 CDM,116345_70069002101,NDC Description Not Available,0.9,0.9,,,0 CDM,11634_00143923401,NDC Description Not Available,22.32,22.32,,,0 CDM,11634_00409163221,NDC Description Not Available,31.87,31.87,,,0 CDM,11634_00703291401,NDC Description Not Available,26.93,26.93,,,0 CDM,11634_00703291403,"Vecuronium Bromide: 10 VIAL, SINGLE-USE in 1 CARTON (0703-2914-03) / 10 mL in 1 VIAL, SINGLE-USE (0703-2914-01)",27.16,27.16,,,0 CDM,11634_55150023501,NDC Description Not Available,13.53,13.53,,,0 CDM,11634_55150023502,NDC Description Not Available,16.92,16.92,,,0 CDM,11634_67457043800,NDC Description Not Available,24.72,24.72,,,0 CDM,11634_67457043810,Vecuronium Bromide: 10 Vial In 1 Carton (67457-438-10) / 10 Ml In 1 Vial (67457-438-00),21.63,21.63,,,0 CDM,116361_270,Noncdm Charge Record Medical Supplies,852.68,852.68,,,0 CDM,116368_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,116386_Q0479_274,Noncdm Charge Record Medical Supplies,13305.6,13305.6,,,0 CDM,11642_C1893_278,Noncdm Charge Record Medical Supplies,34.5,34.5,,,0 CDM,11643_C1894_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,116553_C2618_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,116567_C1762_278,Noncdm Charge Record Medical Supplies,5106.2,5106.2,,,0 CDM,116569_C1762_278,Noncdm Charge Record Medical Supplies,10065.0,10065.0,,,0 CDM,116569_C1762_636,Noncdm Charge Record Pharmacy,9424.5,9424.5,,,0 CDM,116571_C1762_278,Noncdm Charge Record Medical Supplies,11027.5,11027.5,,,0 CDM,116572_C9361_278,Noncdm Charge Record Medical Supplies,2585.86,2585.86,,,0 CDM,116573_C9361_278,Noncdm Charge Record Medical Supplies,2586.1,2586.1,,,0 CDM,116574_C9361_278,Noncdm Charge Record Medical Supplies,3972.1,3972.1,,,0 CDM,116575_270,Noncdm Charge Record Medical Supplies,3300.0,3300.0,,,0 CDM,116577_C1713_278,Noncdm Charge Record Medical Supplies,744.7,744.7,,,0 CDM,116580_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,116582_C1889_278,Noncdm Charge Record Medical Supplies,4081.0,4081.0,,,0 CDM,116585_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,116596_50242014501,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",37.58,37.58,,,0 CDM,116630_270,Noncdm Charge Record Medical Supplies,1348.6,1348.6,,,0 CDM,116631_270,Noncdm Charge Record Medical Supplies,1369.72,1369.72,,,0 CDM,116632_270,Noncdm Charge Record Medical Supplies,1348.6,1348.6,,,0 CDM,116644_C1781_278,Noncdm Charge Record Medical Supplies,7966.2,7966.2,,,0 CDM,11664_00832121101,Jantoven: 100 Blister Pack In 1 Carton (0832-1211-01) / 1 Tablet In 1 Blister Pack (0832-1211-89),2.27,2.27,,,0 CDM,11664_00832121189,NDC Description Not Available,1.95,1.95,,,0 CDM,116673_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,116674_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,116675_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,116693_C1776_278,Noncdm Charge Record Medical Supplies,2656.5,2656.5,,,0 CDM,116802_04910040007,NDC Description Not Available,2.0,2.0,,,0 CDM,116802_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,116807_00641615101,NDC Description Not Available,0.76,0.76,,,0 CDM,116807_00641615125,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",0.79,0.79,,,0 CDM,116807_63323085303,NDC Description Not Available,0.93,0.93,,,0 CDM,116807_63323085325,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-853-25) / 1 Ml In 1 Vial, Single-Dose (63323-853-03)",0.93,0.93,,,0 CDM,116808_63323085403,NDC Description Not Available,0.6,0.6,,,0 CDM,116809_00409263401,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-01) / 1 Ml In 1 Vial, Single-Dose (0409-2634-10)",8.59,8.59,,,0 CDM,116809_00409263405,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-05) / 5 Ml In 1 Vial, Single-Dose (0409-2634-25)",3.62,3.62,,,0 CDM,116809_00409263410,NDC Description Not Available,8.36,8.36,,,0 CDM,116809_00409263425,NDC Description Not Available,3.15,3.15,,,0 CDM,116809_00409263450,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",3.98,3.98,,,0 CDM,116809_00703001801,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,3.43,3.43,,,0 CDM,116809_00703011001,NDC Description Not Available,5.63,5.63,,,0 CDM,116809_00703011003,Hydromorphone Hydrochloride: 10 Vial In 1 Carton (0703-0110-03) / 1 Ml In 1 Vial (0703-0110-01),5.77,5.77,,,0 CDM,116809_00703011301,NDC Description Not Available,3.0,3.0,,,0 CDM,116809_17478054005,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-05) / 5 mL in 1 AMPULE,2.39,2.39,,,0 CDM,116809_17478054050,Hydromorphone Hydrochloride: 1 VIAL in 1 CARTON (17478-540-50) / 50 mL in 1 VIAL,9.19,9.19,,,0 CDM,116809_63323085103,NDC Description Not Available,8.44,8.44,,,0 CDM,116809_63323085107,NDC Description Not Available,4.81,4.81,,,0 CDM,116809_63323085110,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",7.82,7.82,,,0 CDM,116809_63323085150,"Hydromorphone Hydrochloride: 50 Ml In 1 Vial, Single-Dose (63323-851-50)",5.33,5.33,,,0 CDM,116825_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,116828_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,116829_C1889_278,Noncdm Charge Record Medical Supplies,211.75,211.75,,,0 CDM,116830_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,116832_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,116833_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,116841_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,116842_00469260130,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",66.37,66.37,,,0 CDM,116842_68180015106,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-151-06)",59.74,59.74,,,0 CDM,116842_70710115903,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1159-3)",59.74,59.74,,,0 CDM,116842_70710115909,"Mirabegron: 90 Tablet, Extended Release In 1 Bottle (70710-1159-9)",59.74,59.74,,,0 CDM,116843_00469260230,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",66.34,66.34,,,0 CDM,116843_68180015206,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-152-06)",59.74,59.74,,,0 CDM,116843_70710116003,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1160-3)",59.39,59.39,,,0 CDM,116843_70710116009,"Mirabegron: 90 Tablet, Extended Release In 1 Bottle (70710-1160-9)",59.74,59.74,,,0 CDM,116849_270,Noncdm Charge Record Medical Supplies,50.6,50.6,,,0 CDM,116854_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,116856_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,116858_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,116859_C1887_278,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,116860_C1887_278,Noncdm Charge Record Medical Supplies,634.7,634.7,,,0 CDM,116863_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,116865_C1887_278,Noncdm Charge Record Medical Supplies,3102.6,3102.6,,,0 CDM,116866_C1887_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,116869_C1817_278,Noncdm Charge Record Medical Supplies,14622.3,14622.3,,,0 CDM,116870_C1817_278,Noncdm Charge Record Medical Supplies,14622.3,14622.3,,,0 CDM,116871_C1817_278,Noncdm Charge Record Medical Supplies,14622.3,14622.3,,,0 CDM,116874_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,116875_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,116879_C1778_278,Noncdm Charge Record Medical Supplies,8162.0,8162.0,,,0 CDM,116881_C1781_278,Noncdm Charge Record Medical Supplies,1202.3,1202.3,,,0 CDM,116890_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,116894_270,Noncdm Charge Record Medical Supplies,47850.0,47850.0,,,0 CDM,116902_270,Noncdm Charge Record Medical Supplies,122.1,122.1,,,0 CDM,116919_C1874_278,Noncdm Charge Record Medical Supplies,22036.3,22036.3,,,0 CDM,11691_49702021301,NDC Description Not Available,7.52,7.52,,,0 CDM,11691_49702021326,"Retrovir: 5 Vial, Single-Use In 1 Carton (49702-213-26) / 20 Ml In 1 Vial, Single-Use (49702-213-01)",7.01,7.01,,,0 CDM,11692_49702021120,Retrovir: 100 Capsule In 1 Bottle (49702-211-20),11.67,11.67,,,0 CDM,11692_65862010701,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),7.26,7.26,,,0 CDM,116947_00409036701,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01) / 4 Ml In 1 Vial, Multi-Dose",9.31,9.31,,,0 CDM,11694_C1729_278,Noncdm Charge Record Medical Supplies,104.72,104.72,,,0 CDM,116961_270,Noncdm Charge Record Medical Supplies,514.93,514.93,,,0 CDM,116998_270,Noncdm Charge Record Medical Supplies,980.1,980.1,,,0 CDM,1170000001,Hc Private Oncology Room Daily,2111.0,2111.0,,,0 CDM,117002_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,117004_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,117005_278,Noncdm Charge Record Medical Supplies,14968.8,14968.8,,,0 CDM,117005_636,Noncdm Charge Record Pharmacy,14016.24,14016.24,,,0 CDM,117005_C1768_278,Noncdm Charge Record Medical Supplies,14968.8,14968.8,,,0 CDM,117005_C1889_278,Noncdm Charge Record Medical Supplies,14968.8,14968.8,,,0 CDM,117007_C1734_278,Noncdm Charge Record Medical Supplies,4951.1,4951.1,,,0 CDM,11701_00904608261,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61) / 1 Tablet In 1 Blister Pack,0.38,0.38,,,0 CDM,11701_13668000701,Zolpidem Tartrate: 100 Tablet In 1 Bottle (13668-007-01),16.14,16.14,,,0 CDM,11701_16714062101,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",17.08,17.08,,,0 CDM,11701_42291096301,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (42291-963-01)",16.42,16.42,,,0 CDM,11701_60687083811,NDC Description Not Available,0.68,0.68,,,0 CDM,11701_68084018911,NDC Description Not Available,6.19,6.19,,,0 CDM,117021_00592860311,NDC Description Not Available,0.17,0.17,,,0 CDM,117029_00143951901,NDC Description Not Available,13.32,13.32,,,0 CDM,117029_00143951910,Methotrexate: 10 Vial In 1 Carton (0143-9519-10) / 2 Ml In 1 Vial,14.01,14.01,,,0 CDM,117029_00703367101,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",25.44,25.44,,,0 CDM,117029_00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",11.88,11.88,,,0 CDM,117029_16729027730,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,17.62,17.62,,,0 CDM,117029_61703040841,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",6.54,6.54,,,0 CDM,117047_76075010101,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",137.81,137.81,,,0 CDM,117058_C1763_278,Noncdm Charge Record Medical Supplies,2182.4,2182.4,,,0 CDM,117070_270,Noncdm Charge Record Medical Supplies,514.9,514.9,,,0 CDM,117071_270,Noncdm Charge Record Medical Supplies,514.91,514.91,,,0 CDM,117072_270,Noncdm Charge Record Medical Supplies,514.82,514.82,,,0 CDM,117077_C1830_270,Noncdm Charge Record Medical Supplies,1338.7,1338.7,,,0 CDM,117078_C1762_278,Noncdm Charge Record Medical Supplies,5106.2,5106.2,,,0 CDM,117079_C1762_278,Noncdm Charge Record Medical Supplies,11027.5,11027.5,,,0 CDM,117080_C1887_272,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,117080_C1887_278,Noncdm Charge Record Medical Supplies,19.04,19.04,,,0 CDM,11710_C2617_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,11712_C2617_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,117130_C1874_278,Noncdm Charge Record Medical Supplies,22036.3,22036.3,,,0 CDM,117132_C1874_278,Noncdm Charge Record Medical Supplies,8373.2,8373.2,,,0 CDM,117179_270,Noncdm Charge Record Medical Supplies,785.4,785.4,,,0 CDM,117180_C1781_278,Noncdm Charge Record Medical Supplies,23006.5,23006.5,,,0 CDM,11718_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,117214_A4648_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,117215_C1781_278,Noncdm Charge Record Medical Supplies,331.18,331.18,,,0 CDM,117219_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,117220_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,117221_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,117222_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,117223_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,117234_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,117235_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,117236_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,117241_C1713_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,117241_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,117309_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,117310_270,Noncdm Charge Record Medical Supplies,390.03,390.03,,,0 CDM,117311_C1894_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,117312_C1894_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,117331_270,Noncdm Charge Record Medical Supplies,434.13,434.13,,,0 CDM,117339_C1887_278,Noncdm Charge Record Medical Supplies,1916.2,1916.2,,,0 CDM,11733_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,11733_C1893_278,Noncdm Charge Record Medical Supplies,15.7,15.7,,,0 CDM,117340_00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),10.01,10.01,,,0 CDM,117340_00409189303,NDC Description Not Available,22.12,22.12,,,0 CDM,117340_C1887_278,Noncdm Charge Record Medical Supplies,1900.07,1900.07,,,0 CDM,117344_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,11734_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,11734_C1893_278,Noncdm Charge Record Medical Supplies,15.64,15.64,,,0 CDM,117350_C1874_278,Noncdm Charge Record Medical Supplies,12713.8,12713.8,,,0 CDM,117351_00469012599,Xtandi: 1 Bottle In 1 Carton (0469-0125-99) / 120 Capsule In 1 Bottle,409.94,409.94,,,0 CDM,117352_00456120130,"Linzess: 1 Bottle In 1 Carton (0456-1201-30) / 30 Capsule, Gelatin Coated In 1 Bottle",78.2,78.2,,,0 CDM,117352_C1874_278,Noncdm Charge Record Medical Supplies,12713.8,12713.8,,,0 CDM,11735_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,11735_C1893_278,Noncdm Charge Record Medical Supplies,15.75,15.75,,,0 CDM,11736_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,11736_C1893_278,Noncdm Charge Record Medical Supplies,15.66,15.66,,,0 CDM,117371_C1751_278,Noncdm Charge Record Medical Supplies,342.06,342.06,,,0 CDM,117372_C1751_278,Noncdm Charge Record Medical Supplies,331.14,331.14,,,0 CDM,11737_C1887_278,Noncdm Charge Record Medical Supplies,804.16,804.16,,,0 CDM,117382_270,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,117458_270,Noncdm Charge Record Medical Supplies,900.9,900.9,,,0 CDM,117470_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,117495_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,117497_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,117506_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,117514_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,117515_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,117516_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,117522_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,117523_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,117527_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,117530_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,117553_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,117568_C1874_278,Noncdm Charge Record Medical Supplies,16730.89,16730.89,,,0 CDM,117570_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,117571_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,117572_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,117573_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,11758_C1769_278,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,117592_76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,103.59,103.59,,,0 CDM,117593_C1776_278,Noncdm Charge Record Medical Supplies,3626.7,3626.7,,,0 CDM,117594_C2623_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,117596_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,117617_C1724_278,Noncdm Charge Record Medical Supplies,5228.3,5228.3,,,0 CDM,117618_C1887_278,Noncdm Charge Record Medical Supplies,2702.7,2702.7,,,0 CDM,117620_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,11764_C1894_278,Noncdm Charge Record Medical Supplies,90.2,90.2,,,0 CDM,117678_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,117679_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,117680_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,117683_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,117684_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,117685_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,117686_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,117690_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,117692_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,117695_270,Noncdm Charge Record Medical Supplies,617.27,617.27,,,0 CDM,117696_270,Noncdm Charge Record Medical Supplies,2392.5,2392.5,,,0 CDM,117707_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,117712_C1713_278,Noncdm Charge Record Medical Supplies,2459.6,2459.6,,,0 CDM,117714_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,117717_C1713_278,Noncdm Charge Record Medical Supplies,1758.9,1758.9,,,0 CDM,117727_A4648_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,117732_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,117734_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,117741_C1892_278,Noncdm Charge Record Medical Supplies,56.1,56.1,,,0 CDM,117742_C1892_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,117743_C1892_278,Noncdm Charge Record Medical Supplies,56.31,56.31,,,0 CDM,117744_C1892_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,117745_C1892_278,Noncdm Charge Record Medical Supplies,56.34,56.34,,,0 CDM,117746_C1892_278,Noncdm Charge Record Medical Supplies,56.36,56.36,,,0 CDM,117747_C1892_278,Noncdm Charge Record Medical Supplies,72.45,72.45,,,0 CDM,117748_C1892_278,Noncdm Charge Record Medical Supplies,56.55,56.55,,,0 CDM,117749_C1892_278,Noncdm Charge Record Medical Supplies,72.5,72.5,,,0 CDM,117750_C1892_278,Noncdm Charge Record Medical Supplies,56.44,56.44,,,0 CDM,117751_C1892_278,Noncdm Charge Record Medical Supplies,56.39,56.39,,,0 CDM,117764_270,Noncdm Charge Record Medical Supplies,6663.2,6663.2,,,0 CDM,117764_C2618_270,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,117764_C2618_278,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,117765_270,Noncdm Charge Record Medical Supplies,6658.16,6658.16,,,0 CDM,117779_270,Noncdm Charge Record Medical Supplies,3308.97,3308.97,,,0 CDM,117780_Q4100_278,Noncdm Charge Record Medical Supplies,37.71,37.71,,,0 CDM,117780_Q4100_636,Noncdm Charge Record Pharmacy,36.6,36.6,,,0 CDM,117791_C1769_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,117794_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,117795_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,117796_C2623_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,117797_270,Noncdm Charge Record Medical Supplies,18140.1,18140.1,,,0 CDM,117799_C2628_278,Noncdm Charge Record Medical Supplies,1414.49,1414.49,,,0 CDM,117800_270,Noncdm Charge Record Medical Supplies,951.68,951.68,,,0 CDM,117801_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,117809_C1768_278,Noncdm Charge Record Medical Supplies,5524.2,5524.2,,,0 CDM,117810_C1778_278,Noncdm Charge Record Medical Supplies,8162.0,8162.0,,,0 CDM,117811_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,117832_C1874_278,Noncdm Charge Record Medical Supplies,4732.2,4732.2,,,0 CDM,117834_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,117836_C1769_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,117839_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,117842_72694095401,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",45285.77,45285.77,,,0 CDM,117852_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,117853_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,117854_C1722_275,Noncdm Charge Record Medical Supplies,30800.0,30800.0,,,0 CDM,117857_C1776_278,Noncdm Charge Record Medical Supplies,4681.6,4681.6,,,0 CDM,117858_C1776_278,Noncdm Charge Record Medical Supplies,4681.6,4681.6,,,0 CDM,117859_C1776_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,117873_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,117875_C1889_278,Noncdm Charge Record Medical Supplies,1740.15,1740.15,,,0 CDM,117876_C1889_278,Noncdm Charge Record Medical Supplies,2099.9,2099.9,,,0 CDM,117895_C1729_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,117896_C1729_278,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,117913_C1714_278,Noncdm Charge Record Medical Supplies,5066.6,5066.6,,,0 CDM,117947_C1725_278,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,117951_C1725_278,Noncdm Charge Record Medical Supplies,1273.8,1273.8,,,0 CDM,117954_C1874_278,Noncdm Charge Record Medical Supplies,5619.9,5619.9,,,0 CDM,117962_C1887_278,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,117963_C1887_272,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,117963_C1887_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,117967_C1894_278,Noncdm Charge Record Medical Supplies,1289.2,1289.2,,,0 CDM,117974_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,11797_270,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,117987_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,117988_C1781_278,Noncdm Charge Record Medical Supplies,1725.9,1725.9,,,0 CDM,117993_C1874_278,Noncdm Charge Record Medical Supplies,1936.0,1936.0,,,0 CDM,1180000001,Hc Rehab Private Room Daily,3164.0,3164.0,,,0 CDM,118019_C1776_278,Noncdm Charge Record Medical Supplies,4681.6,4681.6,,,0 CDM,118025_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,118026_C1725_278,Noncdm Charge Record Medical Supplies,2079.0,2079.0,,,0 CDM,118027_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,118030_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,118036_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118037_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118057_C1713_278,Noncdm Charge Record Medical Supplies,369.46,369.46,,,0 CDM,118064_C1713_278,Noncdm Charge Record Medical Supplies,2391.4,2391.4,,,0 CDM,118066_270,Noncdm Charge Record Medical Supplies,953.7,953.7,,,0 CDM,118067_270,Noncdm Charge Record Medical Supplies,953.7,953.7,,,0 CDM,118068_C1713_278,Noncdm Charge Record Medical Supplies,121.24,121.24,,,0 CDM,118069_C1713_278,Noncdm Charge Record Medical Supplies,121.22,121.22,,,0 CDM,118071_C1713_278,Noncdm Charge Record Medical Supplies,52.62,52.62,,,0 CDM,118072_C1713_278,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,118073_C1713_278,Noncdm Charge Record Medical Supplies,335.68,335.68,,,0 CDM,118074_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,118075_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,118076_C1713_278,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,118079_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,118094_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,118097_C1713_278,Noncdm Charge Record Medical Supplies,10772.3,10772.3,,,0 CDM,118099_C1886_278,Noncdm Charge Record Medical Supplies,6776.0,6776.0,,,0 CDM,118100_L8641_278,Noncdm Charge Record Medical Supplies,1346.18,1346.18,,,0 CDM,118107_C1887_278,Noncdm Charge Record Medical Supplies,1948.1,1948.1,,,0 CDM,118109_Q4100_278,Noncdm Charge Record Medical Supplies,814.0,814.0,,,0 CDM,118110_C1887_278,Noncdm Charge Record Medical Supplies,27.45,27.45,,,0 CDM,118112_C1874_278,Noncdm Charge Record Medical Supplies,16731.0,16731.0,,,0 CDM,118113_C1874_278,Noncdm Charge Record Medical Supplies,4732.2,4732.2,,,0 CDM,118115_C1887_278,Noncdm Charge Record Medical Supplies,1894.2,1894.2,,,0 CDM,118116_B4087_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,118125_C1713_278,Noncdm Charge Record Medical Supplies,2657.6,2657.6,,,0 CDM,118146_270,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,118171_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,118172_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,118173_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118174_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118175_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118176_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118187_272,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,118187_B4088_278,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,118202_270,Noncdm Charge Record Medical Supplies,2227.5,2227.5,,,0 CDM,118212_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118213_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118217_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,118218_C1713_278,Noncdm Charge Record Medical Supplies,1736.9,1736.9,,,0 CDM,118220_C1762_278,Noncdm Charge Record Medical Supplies,2602.6,2602.6,,,0 CDM,118220_C1762_636,Noncdm Charge Record Pharmacy,2436.98,2436.98,,,0 CDM,118227_C1813_278,Noncdm Charge Record Medical Supplies,17017.0,17017.0,,,0 CDM,118233_270,Noncdm Charge Record Medical Supplies,8250.0,8250.0,,,0 CDM,118241_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,118244_C1886_278,Noncdm Charge Record Medical Supplies,6776.0,6776.0,,,0 CDM,118249_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,118251_C1733_272,Noncdm Charge Record Medical Supplies,1032.9,1032.9,,,0 CDM,118251_C1733_278,Noncdm Charge Record Medical Supplies,1032.95,1032.95,,,0 CDM,118252_C1733_278,Noncdm Charge Record Medical Supplies,1455.3,1455.3,,,0 CDM,118262_270,Noncdm Charge Record Medical Supplies,620.4,620.4,,,0 CDM,118265_C1732_272,Noncdm Charge Record Medical Supplies,5119.4,5119.4,,,0 CDM,118265_C1732_278,Noncdm Charge Record Medical Supplies,5119.34,5119.34,,,0 CDM,118266_C1732_278,Noncdm Charge Record Medical Supplies,4877.4,4877.4,,,0 CDM,11826_C1766_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,118270_C1732_272,Noncdm Charge Record Medical Supplies,5119.4,5119.4,,,0 CDM,118270_C1732_278,Noncdm Charge Record Medical Supplies,5119.36,5119.36,,,0 CDM,118272_C1757_278,Noncdm Charge Record Medical Supplies,18480.0,18480.0,,,0 CDM,118284_270,Noncdm Charge Record Medical Supplies,3045.9,3045.9,,,0 CDM,118303_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,118315_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,118316_C1769_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,118317_C1894_278,Noncdm Charge Record Medical Supplies,95.7,95.7,,,0 CDM,118321_270,Noncdm Charge Record Medical Supplies,2810.15,2810.15,,,0 CDM,118332_C1753_278,Noncdm Charge Record Medical Supplies,1091.2,1091.2,,,0 CDM,118342_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,118361_C1729_278,Noncdm Charge Record Medical Supplies,318.08,318.08,,,0 CDM,118393_V2785_278,Noncdm Charge Record Medical Supplies,6853.0,6853.0,,,0 CDM,118393_V2785_636,Noncdm Charge Record Pharmacy,6416.9,6416.9,,,0 CDM,118394_V2785_278,Noncdm Charge Record Medical Supplies,7007.0,7007.0,,,0 CDM,118394_V2785_636,Noncdm Charge Record Pharmacy,6561.1,6561.1,,,0 CDM,118415_270,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,118418_270,Noncdm Charge Record Medical Supplies,729.3,729.3,,,0 CDM,118424_C1874_278,Noncdm Charge Record Medical Supplies,16731.0,16731.0,,,0 CDM,118433_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,118437_Q4186_278,Noncdm Charge Record Medical Supplies,217.8,217.8,,,0 CDM,118443_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,118444_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,118456_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118459_C1874_278,Noncdm Charge Record Medical Supplies,2463.88,2463.88,,,0 CDM,118460_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,118466_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,118467_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,118470_C1713_278,Noncdm Charge Record Medical Supplies,2676.3,2676.3,,,0 CDM,118472_C1713_278,Noncdm Charge Record Medical Supplies,2459.6,2459.6,,,0 CDM,118475_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,118477_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,118478_C1776_278,Noncdm Charge Record Medical Supplies,1524.15,1524.15,,,0 CDM,118484_C1874_278,Noncdm Charge Record Medical Supplies,4732.2,4732.2,,,0 CDM,118489_C1776_278,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,118491_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,118493_C1762_278,Noncdm Charge Record Medical Supplies,1246.3,1246.3,,,0 CDM,118495_C1776_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,118516_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,118520_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,118521_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,118526_270,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,118533_C1751_278,Noncdm Charge Record Medical Supplies,191.38,191.38,,,0 CDM,118534_270,Noncdm Charge Record Medical Supplies,1302.4,1302.4,,,0 CDM,118536_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,118539_270,Noncdm Charge Record Medical Supplies,1343.01,1343.01,,,0 CDM,118540_270,Noncdm Charge Record Medical Supplies,1343.1,1343.1,,,0 CDM,118542_C1713_278,Noncdm Charge Record Medical Supplies,2094.4,2094.4,,,0 CDM,118547_C1751_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,118550_270,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,118555_C1781_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,118556_C1781_278,Noncdm Charge Record Medical Supplies,152.9,152.9,,,0 CDM,118574_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118575_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118576_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118577_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118578_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118579_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,11857_C1751_278,Noncdm Charge Record Medical Supplies,178.27,178.27,,,0 CDM,118580_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,118586_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,118587_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,118588_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,118589_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,118596_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,118597_270,Noncdm Charge Record Medical Supplies,1485.0,1485.0,,,0 CDM,118599_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,11859_C1751_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,118600_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,118603_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,118604_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118605_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118606_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118607_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118628_270,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 CDM,118644_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,118646_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,118647_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,118650_C1894_278,Noncdm Charge Record Medical Supplies,101.24,101.24,,,0 CDM,118651_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,118652_C1894_278,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,118653_C1894_278,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,118654_C1894_278,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,11865_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,118662_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,118666_C1894_278,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,118667_C1894_278,Noncdm Charge Record Medical Supplies,1102.24,1102.24,,,0 CDM,118672_C1874_278,Noncdm Charge Record Medical Supplies,6144.6,6144.6,,,0 CDM,118678_Q4125_278,Noncdm Charge Record Medical Supplies,217.68,217.68,,,0 CDM,118678_Q4125_636,Noncdm Charge Record Pharmacy,7.06,7.06,,,0 CDM,118679_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118708_C1713_278,Noncdm Charge Record Medical Supplies,276.1,276.1,,,0 CDM,118709_C1713_278,Noncdm Charge Record Medical Supplies,276.1,276.1,,,0 CDM,118710_C1713_278,Noncdm Charge Record Medical Supplies,276.1,276.1,,,0 CDM,118729_C1887_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,118741_C1874_278,Noncdm Charge Record Medical Supplies,3931.4,3931.4,,,0 CDM,118742_C1874_278,Noncdm Charge Record Medical Supplies,3931.4,3931.4,,,0 CDM,118760_270,Noncdm Charge Record Medical Supplies,475.2,475.2,,,0 CDM,118795_C1757_278,Noncdm Charge Record Medical Supplies,916.3,916.3,,,0 CDM,118796_C1757_278,Noncdm Charge Record Medical Supplies,1578.5,1578.5,,,0 CDM,118799_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,118815_C1732_278,Noncdm Charge Record Medical Supplies,1536.7,1536.7,,,0 CDM,118817_C1751_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,11885_C1766_278,Noncdm Charge Record Medical Supplies,110.0,110.0,,,0 CDM,11886_C1766_278,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,118898_C1887_278,Noncdm Charge Record Medical Supplies,3811.5,3811.5,,,0 CDM,118899_270,Noncdm Charge Record Medical Supplies,77.39,77.39,,,0 CDM,118900_270,Noncdm Charge Record Medical Supplies,77.37,77.37,,,0 CDM,118941_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,118942_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118946_C1831_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,118946_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,118951_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,118960_C1817_278,Noncdm Charge Record Medical Supplies,13613.6,13613.6,,,0 CDM,118964_C1724_278,Noncdm Charge Record Medical Supplies,5844.3,5844.3,,,0 CDM,118969_C1767_278,Noncdm Charge Record Medical Supplies,23870.0,23870.0,,,0 CDM,118972_L8690_278,Noncdm Charge Record Medical Supplies,7033.4,7033.4,,,0 CDM,118974_L8690_270,Noncdm Charge Record Medical Supplies,7033.4,7033.4,,,0 CDM,118981_C1817_278,Noncdm Charge Record Medical Supplies,13613.6,13613.6,,,0 CDM,118982_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,118988_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,118995_270,Noncdm Charge Record Medical Supplies,722.7,722.7,,,0 CDM,119002_C9361_278,Noncdm Charge Record Medical Supplies,2585.82,2585.82,,,0 CDM,119007_00406833001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8330-01)",11.44,11.44,,,0 CDM,119007_00406833023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",12.17,12.17,,,0 CDM,119007_00406833062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8330-62)",12.36,12.36,,,0 CDM,119007_00904655861,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6558-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.42,5.42,,,0 CDM,119007_C1887_278,Noncdm Charge Record Medical Supplies,89.06,89.06,,,0 CDM,119012_00591039719,"Diclofenac Sodium And Misoprostol: 90 Tablet, Delayed Release In 1 Bottle, Plastic (0591-0397-19)",11.99,11.99,,,0 CDM,119037_C1713_278,Noncdm Charge Record Medical Supplies,665.92,665.92,,,0 CDM,119038_C1766_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,119040_00003089321,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",43.26,43.26,,,0 CDM,119040_00003089331,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31) / 10 Tablet, Film Coated In 1 Blister Pack",43.3,43.3,,,0 CDM,119043_270,Noncdm Charge Record Medical Supplies,965.8,965.8,,,0 CDM,119047_C1769_278,Noncdm Charge Record Medical Supplies,361.9,361.9,,,0 CDM,119049_C1769_278,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,119050_00378876616,NDC Description Not Available,998.16,998.16,,,0 CDM,119050_47781035603,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-356-03) / 1 Film In 1 Pouch (47781-356-11),31.93,31.93,,,0 CDM,119050_47781035611,NDC Description Not Available,31.71,31.71,,,0 CDM,119051_00378876816,NDC Description Not Available,66.61,66.61,,,0 CDM,119053_270,Noncdm Charge Record Medical Supplies,422.59,422.59,,,0 CDM,119060_C1874_278,Noncdm Charge Record Medical Supplies,6168.8,6168.8,,,0 CDM,119065_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,119079_270,Noncdm Charge Record Medical Supplies,1059.3,1059.3,,,0 CDM,119080_270,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,119109_00069100101,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1001-01)",437.75,437.75,,,0 CDM,119134_C1889_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,119135_C1889_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,119136_C1889_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,119141_270,Noncdm Charge Record Medical Supplies,395.86,395.86,,,0 CDM,119146_00409189003,NDC Description Not Available,1.6,1.6,,,0 CDM,119149_00074438010,"Nimbex: 10 mL in 1 VIAL, MULTI-DOSE (0074-4380-10)",75.85,75.85,,,0 CDM,119149_63323041701,NDC Description Not Available,49.44,49.44,,,0 CDM,119149_70069016101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial,54.25,54.25,,,0 CDM,119149_71288072096,"Cisatracurium Besylate: 10 Vial, Single-Dose In 1 Carton (71288-720-96) / 5 Ml In 1 Vial, Single-Dose (71288-720-95)",14.42,14.42,,,0 CDM,119168_59651008630,"Darunavir: 30 Tablet, Film Coated In 1 Bottle (59651-086-30)",271.92,271.92,,,0 CDM,119168_59676056630,"Prezista: 30 Tablet, Film Coated In 1 Bottle, Plastic (59676-566-30)",311.19,311.19,,,0 CDM,119168_60687081911,NDC Description Not Available,44.3,44.3,,,0 CDM,119168_68180034606,"Darunavir: 30 Tablet, Film Coated In 1 Bottle (68180-346-06)",271.92,271.92,,,0 CDM,119168_72205018530,"Darunavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (72205-185-30)",271.92,271.92,,,0 CDM,119175_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,119211_C1753_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,119215_270,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,119224_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,119246_00406831501,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8315-01)",6.06,6.06,,,0 CDM,119246_00406831523,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",6.76,6.76,,,0 CDM,119246_00406831562,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8315-62)",7.21,7.21,,,0 CDM,119246_00904655761,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.96,4.96,,,0 CDM,119246_42858051501,"Ms Contin: 100 Tablet In 1 Bottle, Plastic (42858-515-01)",19.88,19.88,,,0 CDM,119246_63304045001,"Morphine Sulfate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (63304-450-01)",6.08,6.08,,,0 CDM,119248_00406839001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8390-01)",33.17,33.17,,,0 CDM,119248_00406839023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8390-23)",27.53,27.53,,,0 CDM,119248_00406839062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8390-62)",27.66,27.66,,,0 CDM,119248_42858080401,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-804-01)",4.04,4.04,,,0 CDM,119255_10481011208,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",52.53,52.53,,,0 CDM,119255_48783011208,"Monsels Solution: 14 G In 1 Vial, Single-Dose (48783-112-08)",50.48,50.48,,,0 CDM,119257_C2628_278,Noncdm Charge Record Medical Supplies,594.38,594.38,,,0 CDM,119264_C1887_278,Noncdm Charge Record Medical Supplies,1088.94,1088.94,,,0 CDM,119275_C1725_278,Noncdm Charge Record Medical Supplies,176.0,176.0,,,0 CDM,119284_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119289_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,11931,Noncdm Charge Record,146.79,146.79,,,0 CDM,119311_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119312_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119313_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119315_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119319_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,11931_49281054758,NDC Description Not Available,80.41,80.41,,,0 CDM,119324_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,119342_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,119353_270,Noncdm Charge Record Medical Supplies,999.9,999.9,,,0 CDM,119354_270,Noncdm Charge Record Medical Supplies,999.9,999.9,,,0 CDM,119355_270,Noncdm Charge Record Medical Supplies,999.9,999.9,,,0 CDM,119356_C1769_278,Noncdm Charge Record Medical Supplies,75.91,75.91,,,0 CDM,119357_C1769_278,Noncdm Charge Record Medical Supplies,75.94,75.94,,,0 CDM,119359_L8509_274,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,119369_L8509_274,Noncdm Charge Record Medical Supplies,253.0,253.0,,,0 CDM,119370_L8509_274,Noncdm Charge Record Medical Supplies,248.16,248.16,,,0 CDM,11940_C2617_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,11952_C1729_278,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,119614_00003089421,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",42.41,42.41,,,0 CDM,119614_00003089431,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31) / 10 Tablet, Film Coated In 1 Blister Pack",42.67,42.67,,,0 CDM,119632_C1789_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,119670_C1750_278,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,119671_C1750_278,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,119672_C1750_278,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,119684_C1889_278,Noncdm Charge Record Medical Supplies,3003.0,3003.0,,,0 CDM,119701_C1889_278,Noncdm Charge Record Medical Supplies,2849.0,2849.0,,,0 CDM,119810_C1713_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,119842_00407141308,NDC Description Not Available,5.72,5.72,,,0 CDM,119842_00407141310,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10) / 10 Ml In 1 Vial, Glass",42.12,42.12,,,0 CDM,119842_00407141351,"10 BOTTLE, GLASS in 1 BOX (0407-1413-51) / 50 mL in 1 BOTTLE, GLASS",2.06,2.06,,,0 CDM,119842_00407141359,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",5.65,5.65,,,0 CDM,119842_00407141361,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",8.29,8.29,,,0 CDM,119842_00407141363,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",4.92,4.92,,,0 CDM,119842_00407141365,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-65) / 150 Ml In 1 Bottle, Plastic",3.35,3.35,,,0 CDM,119842_00407141387,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-87) / 100 Ml In 1 Bottle, Plastic",3.86,3.86,,,0 CDM,119843_00407141208,NDC Description Not Available,3.38,3.38,,,0 CDM,119843_00407141220,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",16.44,16.44,,,0 CDM,119843_00407141230,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-30) / 50 Ml In 1 Bottle, Plastic",3.39,3.39,,,0 CDM,119843_00407141238,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",37.29,37.29,,,0 CDM,119867_75987005006,Ravicti: 1 Bottle In 1 Carton (75987-050-06) / 25 Ml In 1 Bottle,2462.36,2462.36,,,0 CDM,119913_00023585318,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",17.0,17.0,,,0 CDM,119913_59762011701,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",15.11,15.11,,,0 CDM,119913_60687055633,NDC Description Not Available,22.07,22.07,,,0 CDM,11991_C1766_278,Noncdm Charge Record Medical Supplies,78.1,78.1,,,0 CDM,11992_C1766_278,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,1200000002,Hc General Room With Telemetry Daily,3529.0,3529.0,,,0 CDM,12001_C1887_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,120086_50242008801,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",94.09,94.09,,,0 CDM,120087_50242008701,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",96.2,96.2,,,0 CDM,120105_270,Noncdm Charge Record Medical Supplies,1544.52,1544.52,,,0 CDM,12010_C1766_278,Noncdm Charge Record Medical Supplies,5.61,5.61,,,0 CDM,12011_C1766_278,Noncdm Charge Record Medical Supplies,6.6,6.6,,,0 CDM,120121_C1751_278,Noncdm Charge Record Medical Supplies,208.97,208.97,,,0 CDM,120122_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,120156_270,Noncdm Charge Record Medical Supplies,616.55,616.55,,,0 CDM,120201_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,120202_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,120297_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,120329_C1889_278,Noncdm Charge Record Medical Supplies,3060.75,3060.75,,,0 CDM,120333_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,120334_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,120335_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,120335_C1762_636,Noncdm Charge Record Pharmacy,1009.4,1009.4,,,0 CDM,120352_270,Noncdm Charge Record Medical Supplies,677.6,677.6,,,0 CDM,120354_270,Noncdm Charge Record Medical Supplies,2176.62,2176.62,,,0 CDM,120358_C1713_278,Noncdm Charge Record Medical Supplies,73.26,73.26,,,0 CDM,120365_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,120366_C1713_278,Noncdm Charge Record Medical Supplies,8890.2,8890.2,,,0 CDM,120367_C1713_278,Noncdm Charge Record Medical Supplies,9335.7,9335.7,,,0 CDM,120396_Q4100_278,Noncdm Charge Record Medical Supplies,1255.1,1255.1,,,0 CDM,120397_Q4100_278,Noncdm Charge Record Medical Supplies,1094.5,1094.5,,,0 CDM,120402_270,Noncdm Charge Record Medical Supplies,434.5,434.5,,,0 CDM,120413_C1781_278,Noncdm Charge Record Medical Supplies,683.1,683.1,,,0 CDM,120414_C1781_278,Noncdm Charge Record Medical Supplies,563.2,563.2,,,0 CDM,120461_270,Noncdm Charge Record Medical Supplies,1303.5,1303.5,,,0 CDM,120467_C1874_278,Noncdm Charge Record Medical Supplies,3542.0,3542.0,,,0 CDM,120468_C1874_278,Noncdm Charge Record Medical Supplies,3542.0,3542.0,,,0 CDM,120469_C1874_278,Noncdm Charge Record Medical Supplies,3638.25,3638.25,,,0 CDM,120470_C1874_278,Noncdm Charge Record Medical Supplies,3542.0,3542.0,,,0 CDM,120479_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,120482_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,120484_C1713_278,Noncdm Charge Record Medical Supplies,52.43,52.43,,,0 CDM,120485_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,120486_C1713_278,Noncdm Charge Record Medical Supplies,52.43,52.43,,,0 CDM,120487_C1713_278,Noncdm Charge Record Medical Supplies,52.36,52.36,,,0 CDM,120488_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,120518_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,120532_C1776_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,120544_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,120553_C1785_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,120556_C2630_278,Noncdm Charge Record Medical Supplies,3049.2,3049.2,,,0 CDM,120558_C2630_278,Noncdm Charge Record Medical Supplies,3049.2,3049.2,,,0 CDM,120563_C1769_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,120565_C1769_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,120568_C1767_278,Noncdm Charge Record Medical Supplies,28066.5,28066.5,,,0 CDM,120569_C1778_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,120571_C2621_275,Noncdm Charge Record Medical Supplies,9362.24,9362.24,,,0 CDM,120572_C2621_275,Noncdm Charge Record Medical Supplies,9259.98,9259.98,,,0 CDM,120612_C1751_278,Noncdm Charge Record Medical Supplies,274.99,274.99,,,0 CDM,120613_C1751_278,Noncdm Charge Record Medical Supplies,258.5,258.5,,,0 CDM,120617_Q4133_278,Noncdm Charge Record Medical Supplies,164.47,164.47,,,0 CDM,120617_Q4133_636,Noncdm Charge Record Pharmacy,154.01,154.01,,,0 CDM,120636_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,120637_C1787_278,Noncdm Charge Record Medical Supplies,3811.5,3811.5,,,0 CDM,120643_270,Noncdm Charge Record Medical Supplies,940.5,940.5,,,0 CDM,120644_C2627_278,Noncdm Charge Record Medical Supplies,63.7,63.7,,,0 CDM,120645_C1893_278,Noncdm Charge Record Medical Supplies,94.06,94.06,,,0 CDM,120649_L8509_274,Noncdm Charge Record Medical Supplies,646.8,646.8,,,0 CDM,120650_L8509_274,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,120651_L8509_274,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,120660_C1887_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,120661_C1887_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,120662_C1887_278,Noncdm Charge Record Medical Supplies,233.2,233.2,,,0 CDM,120663_C1887_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,120664_C1887_278,Noncdm Charge Record Medical Supplies,233.2,233.2,,,0 CDM,120668_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,120686_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,120690_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,120696_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,120704_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,120708_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,12070_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,120711_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,120712_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,120725_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120726_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120727_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120728_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120729_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120730_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120733_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120734_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120735_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120736_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,120737_270,Noncdm Charge Record Medical Supplies,656.7,656.7,,,0 CDM,120738_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,120740_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,120741_C1874_278,Noncdm Charge Record Medical Supplies,3837.88,3837.88,,,0 CDM,120742_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,120743_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,120744_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,120751_270,Noncdm Charge Record Medical Supplies,709.5,709.5,,,0 CDM,120760_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120761_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120763_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120770_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120776_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120806_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120830_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120833_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120834_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120835_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120836_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120837_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120839_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120840_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120842_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120844_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120845_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120848_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120852_C2617_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,120880_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120886_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120887_C2617_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,120917_C1830_270,Noncdm Charge Record Medical Supplies,1338.7,1338.7,,,0 CDM,120937_270,Noncdm Charge Record Medical Supplies,45.1,45.1,,,0 CDM,120940_270,Noncdm Charge Record Medical Supplies,6191.9,6191.9,,,0 CDM,120941_270,Noncdm Charge Record Medical Supplies,6191.9,6191.9,,,0 CDM,12094_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,120954_270,Noncdm Charge Record Medical Supplies,1067.0,1067.0,,,0 CDM,12095_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,120968_C1713_278,Noncdm Charge Record Medical Supplies,1416.25,1416.25,,,0 CDM,120987_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,12098_00480331001,"Theophylline: 100 Tablet, Extended Release In 1 Bottle (0480-3310-01)",7.72,7.72,,,0 CDM,120993_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,120994_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,120995_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,1210000001,Hc Room Semi-Private Routine,2105.0,2105.0,,,0 CDM,121045_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,121051_C1889_278,Noncdm Charge Record Medical Supplies,1243.18,1243.18,,,0 CDM,121052_C1889_278,Noncdm Charge Record Medical Supplies,1221.12,1221.12,,,0 CDM,121053_C1889_278,Noncdm Charge Record Medical Supplies,1221.0,1221.0,,,0 CDM,121054_C1889_278,Noncdm Charge Record Medical Supplies,1177.37,1177.37,,,0 CDM,121055_278,Noncdm Charge Record Medical Supplies,1768.07,1768.07,,,0 CDM,121055_C1884_278,Noncdm Charge Record Medical Supplies,1767.7,1767.7,,,0 CDM,121055_C1889_278,Noncdm Charge Record Medical Supplies,1745.76,1745.76,,,0 CDM,121056_278,Noncdm Charge Record Medical Supplies,1767.7,1767.7,,,0 CDM,121056_C1889_278,Noncdm Charge Record Medical Supplies,1759.41,1759.41,,,0 CDM,121057_C1889_278,Noncdm Charge Record Medical Supplies,1742.03,1742.03,,,0 CDM,121058_C1889_278,Noncdm Charge Record Medical Supplies,1753.34,1753.34,,,0 CDM,121059_C1889_278,Noncdm Charge Record Medical Supplies,1732.42,1732.42,,,0 CDM,121060_C1889_278,Noncdm Charge Record Medical Supplies,2102.1,2102.1,,,0 CDM,121064_C1887_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,121066_J7297_278,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,121066_J7297_636,Noncdm Charge Record Pharmacy,1066.85,1066.85,,,0 CDM,121074_C1713_278,Noncdm Charge Record Medical Supplies,162.67,162.67,,,0 CDM,121075_C1713_278,Noncdm Charge Record Medical Supplies,298.09,298.09,,,0 CDM,121076_C1713_278,Noncdm Charge Record Medical Supplies,268.03,268.03,,,0 CDM,121077_C1713_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,121078_C1713_278,Noncdm Charge Record Medical Supplies,268.03,268.03,,,0 CDM,121079_C1713_278,Noncdm Charge Record Medical Supplies,267.85,267.85,,,0 CDM,121080_C1713_278,Noncdm Charge Record Medical Supplies,270.8,270.8,,,0 CDM,121081_C1713_278,Noncdm Charge Record Medical Supplies,268.12,268.12,,,0 CDM,121082_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,121130_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,121136_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,121150_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,121152_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,121153_C1776_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,121155_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,121159_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,121160_C1713_278,Noncdm Charge Record Medical Supplies,73.51,73.51,,,0 CDM,121161_C1713_278,Noncdm Charge Record Medical Supplies,73.4,73.4,,,0 CDM,121162_C1713_278,Noncdm Charge Record Medical Supplies,73.44,73.44,,,0 CDM,121168_C1886_278,Noncdm Charge Record Medical Supplies,4449.5,4449.5,,,0 CDM,121178_C1776_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,121197_C1713_278,Noncdm Charge Record Medical Supplies,334.4,334.4,,,0 CDM,121201_C1887_278,Noncdm Charge Record Medical Supplies,160.32,160.32,,,0 CDM,121208_C1769_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,121211_C1769_278,Noncdm Charge Record Medical Supplies,96.17,96.17,,,0 CDM,121212_C1769_278,Noncdm Charge Record Medical Supplies,172.19,172.19,,,0 CDM,121215_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,121216_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,121223_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,121227_C1776_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,121230_270,Noncdm Charge Record Medical Supplies,476.29,476.29,,,0 CDM,121249_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121250_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121252_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121253_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121254_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121255_C2623_278,Noncdm Charge Record Medical Supplies,2052.54,2052.54,,,0 CDM,121256_C2623_278,Noncdm Charge Record Medical Supplies,2544.35,2544.35,,,0 CDM,121257_C2623_278,Noncdm Charge Record Medical Supplies,2544.33,2544.33,,,0 CDM,121258_C2623_278,Noncdm Charge Record Medical Supplies,2544.3,2544.3,,,0 CDM,121259_C2623_278,Noncdm Charge Record Medical Supplies,2544.4,2544.4,,,0 CDM,121266_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,121268_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,121270_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,121271_C1713_278,Noncdm Charge Record Medical Supplies,229.35,229.35,,,0 CDM,121274_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,121276_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,121294_C1713_278,Noncdm Charge Record Medical Supplies,520.3,520.3,,,0 CDM,121297_C1887_278,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,121304_J7296_636,Noncdm Charge Record Pharmacy,1184.5,1184.5,,,0 CDM,121310_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,121312_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,121316_C1714_278,Noncdm Charge Record Medical Supplies,5066.6,5066.6,,,0 CDM,121317_C1885_278,Noncdm Charge Record Medical Supplies,6598.9,6598.9,,,0 CDM,121318_C1730_272,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,121318_C1730_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,121322_C1786_275,Noncdm Charge Record Medical Supplies,4142.6,4142.6,,,0 CDM,121323_C1889_278,Noncdm Charge Record Medical Supplies,1575.2,1575.2,,,0 CDM,121325_C1725_278,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,121327_C1725_278,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,121330_C1730_278,Noncdm Charge Record Medical Supplies,1398.1,1398.1,,,0 CDM,121332_C1769_278,Noncdm Charge Record Medical Supplies,189.93,189.93,,,0 CDM,121334_C1887_278,Noncdm Charge Record Medical Supplies,969.1,969.1,,,0 CDM,121335_C1874_278,Noncdm Charge Record Medical Supplies,16343.8,16343.8,,,0 CDM,121339_C1894_278,Noncdm Charge Record Medical Supplies,1500.4,1500.4,,,0 CDM,121340_270,Noncdm Charge Record Medical Supplies,476.29,476.29,,,0 CDM,121341_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,121342_C1874_278,Noncdm Charge Record Medical Supplies,6697.82,6697.82,,,0 CDM,121343_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,121344_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,121345_270,Noncdm Charge Record Medical Supplies,1934.9,1934.9,,,0 CDM,121355_Q4166_278,Noncdm Charge Record Medical Supplies,20.05,20.05,,,0 CDM,121356_Q4166_278,Noncdm Charge Record Medical Supplies,25.44,25.44,,,0 CDM,121356_Q4166_636,Noncdm Charge Record Pharmacy,22.35,22.35,,,0 CDM,121357_Q4166_278,Noncdm Charge Record Medical Supplies,34.75,34.75,,,0 CDM,121357_Q4166_636,Noncdm Charge Record Pharmacy,32.54,32.54,,,0 CDM,121358_Q4166_278,Noncdm Charge Record Medical Supplies,43.45,43.45,,,0 CDM,121358_Q4166_636,Noncdm Charge Record Pharmacy,40.68,40.68,,,0 CDM,121359_Q4118_278,Noncdm Charge Record Medical Supplies,3.8,3.8,,,0 CDM,121359_Q4118_636,Noncdm Charge Record Pharmacy,3.38,3.38,,,0 CDM,121366_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,121368_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,121377_270,Noncdm Charge Record Medical Supplies,2361.7,2361.7,,,0 CDM,121379_270,Noncdm Charge Record Medical Supplies,476.3,476.3,,,0 CDM,121380_C1789_278,Noncdm Charge Record Medical Supplies,2905.86,2905.86,,,0 CDM,121381_270,Noncdm Charge Record Medical Supplies,476.3,476.3,,,0 CDM,121384_C1831_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,121384_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,121386_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,121389_270,Noncdm Charge Record Medical Supplies,805.2,805.2,,,0 CDM,12140_C1887_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,12141_C1766_270,Noncdm Charge Record Medical Supplies,9.9,9.9,,,0 CDM,12141_C1766_272,Noncdm Charge Record Medical Supplies,9.53,9.53,,,0 CDM,12141_C1766_278,Noncdm Charge Record Medical Supplies,9.44,9.44,,,0 CDM,121428_00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,12.02,12.02,,,0 CDM,121431_C1889_278,Noncdm Charge Record Medical Supplies,7682.4,7682.4,,,0 CDM,121434_270,Noncdm Charge Record Medical Supplies,2476.92,2476.92,,,0 CDM,121435_C1787_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,121436_C1778_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,121438_C1778_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,121439_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,121440_C1820_278,Noncdm Charge Record Medical Supplies,24740.1,24740.1,,,0 CDM,121441_C1820_278,Noncdm Charge Record Medical Supplies,1301.3,1301.3,,,0 CDM,121442_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,121447_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,121451_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,121454_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,121455_270,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,121456_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,121457_270,Noncdm Charge Record Medical Supplies,4802.6,4802.6,,,0 CDM,121458_C1781_278,Noncdm Charge Record Medical Supplies,2231.9,2231.9,,,0 CDM,121461_C1781_278,Noncdm Charge Record Medical Supplies,1725.9,1725.9,,,0 CDM,121477_270,Noncdm Charge Record Medical Supplies,555.5,555.5,,,0 CDM,121485_C1887_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,121505_00517117101,NDC Description Not Available,3.39,3.39,,,0 CDM,121505_54288010301,NDC Description Not Available,6.43,6.43,,,0 CDM,121505_54288010310,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,5.03,5.03,,,0 CDM,121508_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,121512_250,Noncdm Charge Record Pharmacy,126.02,126.02,,,0 CDM,121512_Q4180_250,Noncdm Charge Record Pharmacy,107.74,107.74,,,0 CDM,121512_Q4180_278,Noncdm Charge Record Medical Supplies,122.13,122.13,,,0 CDM,121512_Q4180_636,Noncdm Charge Record Pharmacy,126.02,126.02,,,0 CDM,121516_270,Noncdm Charge Record Medical Supplies,1934.9,1934.9,,,0 CDM,121518_C2623_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,121519_C1884_278,Noncdm Charge Record Medical Supplies,5236.0,5236.0,,,0 CDM,121526_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,121527_270,Noncdm Charge Record Medical Supplies,861.3,861.3,,,0 CDM,121529_00032301613,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",54.83,54.83,,,0 CDM,121539_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,121541_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121543_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121547_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,121549_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121553_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121556_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,121558_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121560_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,121581_C1874_278,Noncdm Charge Record Medical Supplies,4731.1,4731.1,,,0 CDM,121583_C1781_278,Noncdm Charge Record Medical Supplies,4752.0,4752.0,,,0 CDM,121584_C1781_278,Noncdm Charge Record Medical Supplies,6707.8,6707.8,,,0 CDM,121587_C1713_278,Noncdm Charge Record Medical Supplies,2794.0,2794.0,,,0 CDM,121588_C1713_278,Noncdm Charge Record Medical Supplies,2431.0,2431.0,,,0 CDM,121590_C1713_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,121591_C1713_278,Noncdm Charge Record Medical Supplies,3404.5,3404.5,,,0 CDM,121592_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,121597_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,121598_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,121599_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,121600_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,121601_C1713_278,Noncdm Charge Record Medical Supplies,4042.5,4042.5,,,0 CDM,121601_C1776_278,Noncdm Charge Record Medical Supplies,4042.5,4042.5,,,0 CDM,121603_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,121614_Q4118_278,Noncdm Charge Record Medical Supplies,3.94,3.94,,,0 CDM,121614_Q4118_636,Noncdm Charge Record Pharmacy,3.69,3.69,,,0 CDM,121618_C1776_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,12161_C1751_278,Noncdm Charge Record Medical Supplies,149.6,149.6,,,0 CDM,121646_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,121648_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,12164_C1889_278,Noncdm Charge Record Medical Supplies,157.08,157.08,,,0 CDM,121651_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,121652_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,121653_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,12165_C1889_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,121662_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,121663_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,12166_C1889_278,Noncdm Charge Record Medical Supplies,157.18,157.18,,,0 CDM,121673_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,121675_C1713_278,Noncdm Charge Record Medical Supplies,11258.45,11258.45,,,0 CDM,121678_C1830_270,Noncdm Charge Record Medical Supplies,1338.7,1338.7,,,0 CDM,121679_270,Noncdm Charge Record Medical Supplies,1603.8,1603.8,,,0 CDM,12167_C1889_278,Noncdm Charge Record Medical Supplies,157.17,157.17,,,0 CDM,121680_270,Noncdm Charge Record Medical Supplies,1603.8,1603.8,,,0 CDM,121681_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,121688_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,121691_270,Noncdm Charge Record Medical Supplies,3864.3,3864.3,,,0 CDM,121693_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,121695_C1776_278,Noncdm Charge Record Medical Supplies,1705.0,1705.0,,,0 CDM,121706_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,121707_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,121708_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,121709_C1874_278,Noncdm Charge Record Medical Supplies,5402.1,5402.1,,,0 CDM,121726_C1781_278,Noncdm Charge Record Medical Supplies,15153.6,15153.6,,,0 CDM,121732_00143952501,NDC Description Not Available,138.02,138.02,,,0 CDM,121732_00338955712,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12) / 100 Ml In 1 Bag,121.54,121.54,,,0 CDM,121732_00409117401,NDC Description Not Available,215.45,215.45,,,0 CDM,121732_00409117410,Precedex: 10 Bottle In 1 Tray (0409-1174-10) / 100 Ml In 1 Bottle (0409-1174-01),216.3,216.3,,,0 CDM,121732_00409159601,NDC Description Not Available,205.8,205.8,,,0 CDM,121732_00409159610,Precedex: 10 Carton In 1 Case (0409-1596-10) / 1 Bottle In 1 Carton (0409-1596-01) / 100 Ml In 1 Bottle,116.24,116.24,,,0 CDM,121732_00409166010,Precedex: 10 Bottle In 1 Tray (0409-1660-10) / 100 Ml In 1 Bottle (0409-1660-35),123.23,123.23,,,0 CDM,121732_00409166022,NDC Description Not Available,114.74,114.74,,,0 CDM,121732_00409166035,NDC Description Not Available,216.3,216.3,,,0 CDM,121732_25021061551,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 10 Bottle In 1 Carton (25021-615-51) / 100 Ml In 1 Bottle,216.3,216.3,,,0 CDM,121732_42023018701,NDC Description Not Available,345.67,345.67,,,0 CDM,121732_43066055712,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 12 Bag In 1 Carton (43066-557-12) / 100 Ml In 1 Bag,346.08,346.08,,,0 CDM,121732_43598097511,NDC Description Not Available,346.08,346.08,,,0 CDM,121732_66794023502,NDC Description Not Available,137.32,137.32,,,0 CDM,121732_67457092500,NDC Description Not Available,354.72,354.72,,,0 CDM,121740_Q4166_278,Noncdm Charge Record Medical Supplies,45.45,45.45,,,0 CDM,121740_Q4166_636,Noncdm Charge Record Pharmacy,42.56,42.56,,,0 CDM,121741_Q4166_278,Noncdm Charge Record Medical Supplies,54.25,54.25,,,0 CDM,121742_Q4166_278,Noncdm Charge Record Medical Supplies,46.33,46.33,,,0 CDM,121743_Q4166_278,Noncdm Charge Record Medical Supplies,72.2,72.2,,,0 CDM,121744_Q4166_278,Noncdm Charge Record Medical Supplies,57.85,57.85,,,0 CDM,121750_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,121764_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121765_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121766_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121767_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121768_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121769_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121770_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121771_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121772_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121773_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121774_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121775_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121776_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121777_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121778_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121779_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121780_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121781_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121782_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121784_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121785_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121786_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121787_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121788_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,12178_C1729_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,121790_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121791_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121792_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121794_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121795_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121822_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121825_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121826_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121827_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121828_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121829_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121830_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121831_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121832_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121833_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121834_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121835_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121836_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121838_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121839_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,12183_C1894_278,Noncdm Charge Record Medical Supplies,61.53,61.53,,,0 CDM,121840_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121841_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121842_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121843_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121844_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121845_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121846_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121847_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121848_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121849_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121850_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121851_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121852_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121853_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121854_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121855_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121856_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121858_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121859_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121860_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121861_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121862_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121863_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121864_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121865_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121866_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121867_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121868_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121869_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121870_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121871_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121872_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121873_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121874_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121875_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121876_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121877_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,121884_C1729_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,121900_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,121908_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,121910_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,121911_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,121915_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,121954_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,121955_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,121963_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,121968_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,121973_C1889_278,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,121982_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,121983_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,121984_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,121985_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,121986_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,121987_270,Noncdm Charge Record Medical Supplies,1072.5,1072.5,,,0 CDM,121990_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,121994_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,121995_270,Noncdm Charge Record Medical Supplies,973.5,973.5,,,0 CDM,121997_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,121999_C1767_278,Noncdm Charge Record Medical Supplies,44668.16,44668.16,,,0 CDM,122014_C1776_278,Noncdm Charge Record Medical Supplies,5882.8,5882.8,,,0 CDM,122020_C1713_278,Noncdm Charge Record Medical Supplies,3952.3,3952.3,,,0 CDM,122023_C1886_278,Noncdm Charge Record Medical Supplies,6776.0,6776.0,,,0 CDM,122024_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,122027_270,Noncdm Charge Record Medical Supplies,1554.3,1554.3,,,0 CDM,122031_270,Noncdm Charge Record Medical Supplies,1464.1,1464.1,,,0 CDM,122039_270,Noncdm Charge Record Medical Supplies,1013.1,1013.1,,,0 CDM,12203_16714065501,Venlafaxine: 100 Tablet In 1 Bottle (16714-655-01),7.04,7.04,,,0 CDM,12203_57664039288,Venlafaxine: 100 Tablet In 1 Bottle (57664-392-88),6.89,6.89,,,0 CDM,12203_68084089695,NDC Description Not Available,6.83,6.83,,,0 CDM,12203_68382001801,Venlafaxine: 100 Tablet In 1 Bottle (68382-018-01),2.95,2.95,,,0 CDM,122043_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,122046_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,12204_68382002001,Venlafaxine: 100 Tablet In 1 Bottle (68382-020-01),7.4,7.4,,,0 CDM,122051_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,122055_C1768_278,Noncdm Charge Record Medical Supplies,2780.8,2780.8,,,0 CDM,122060_C1713_278,Noncdm Charge Record Medical Supplies,58.48,58.48,,,0 CDM,12206_68084085611,NDC Description Not Available,7.85,7.85,,,0 CDM,12207_00093914801,Venlafaxine Hydrochloride: 100 Tablet In 1 Bottle (0093-9148-01),7.15,7.15,,,0 CDM,12207_16714065601,Venlafaxine: 100 Tablet In 1 Bottle (16714-656-01),6.98,6.98,,,0 CDM,12207_68084084411,NDC Description Not Available,7.09,7.09,,,0 CDM,122082_270,Noncdm Charge Record Medical Supplies,1427.25,1427.25,,,0 CDM,122085_270,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,122104_270,Noncdm Charge Record Medical Supplies,1062.6,1062.6,,,0 CDM,122105_270,Noncdm Charge Record Medical Supplies,754.6,754.6,,,0 CDM,122106_270,Noncdm Charge Record Medical Supplies,754.6,754.6,,,0 CDM,122107_C1713_278,Noncdm Charge Record Medical Supplies,11528.0,11528.0,,,0 CDM,122117_C1713_278,Noncdm Charge Record Medical Supplies,2431.0,2431.0,,,0 CDM,12211_50242010039,NDC Description Not Available,197.52,197.52,,,0 CDM,12211_50242010040,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,187.58,187.58,,,0 CDM,122121_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,122122_63833038602,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",6.44,6.44,,,0 CDM,122124_C1713_278,Noncdm Charge Record Medical Supplies,2612.5,2612.5,,,0 CDM,122151_270,Noncdm Charge Record Medical Supplies,105.56,105.56,,,0 CDM,122153_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,122157_C1889_278,Noncdm Charge Record Medical Supplies,2610.3,2610.3,,,0 CDM,122160_C1771_278,Noncdm Charge Record Medical Supplies,2888.6,2888.6,,,0 CDM,122169_270,Noncdm Charge Record Medical Supplies,2028.4,2028.4,,,0 CDM,122170_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,122180_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,122182_C1769_278,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,122185_00409116502,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1165-02) / 30 Ml In 1 Vial, Single-Dose (0409-1165-19)",17.54,17.54,,,0 CDM,122185_00409158210,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1582-10) / 10 Ml In 1 Vial, Single-Dose (0409-1582-18)",3.88,3.88,,,0 CDM,122185_55150017110,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-171-10) / 10 Ml In 1 Vial, Single-Dose",13.37,13.37,,,0 CDM,122187_00143971801,NDC Description Not Available,17.15,17.15,,,0 CDM,122187_00338601137,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6011-37) / 200 Ml In 1 Bag,37.72,37.72,,,0 CDM,122187_25021031387,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-87) / 200 Ml In 1 Bag,11.71,11.71,,,0 CDM,122187_55150028801,NDC Description Not Available,16.4,16.4,,,0 CDM,122188_00143937401,NDC Description Not Available,0.32,0.32,,,0 CDM,122188_00143937410,Milrinone Lactate: 10 Vial In 1 Carton (0143-9374-10) / 20 Ml In 1 Vial (0143-9374-01),6.5,6.5,,,0 CDM,122188_00143970910,Milrinone Lactate: 10 Vial In 1 Box (0143-9709-10) / 20 Ml In 1 Vial (0143-9709-01),10.92,10.92,,,0 CDM,122188_00143971001,NDC Description Not Available,13.54,13.54,,,0 CDM,122188_00143971010,Milrinone Lactate: 10 Vial In 1 Box (0143-9710-10) / 10 Ml In 1 Vial (0143-9710-01),13.52,13.52,,,0 CDM,122188_00409021202,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Carton (0409-0212-02) / 20 Ml In 1 Vial, Single-Dose (0409-0212-11)",12.25,12.25,,,0 CDM,122188_00409021210,NDC Description Not Available,17.28,17.28,,,0 CDM,122188_00409021211,NDC Description Not Available,12.27,12.27,,,0 CDM,122188_63323061701,NDC Description Not Available,14.39,14.39,,,0 CDM,122188_63323061710,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",34.08,34.08,,,0 CDM,122188_63323061720,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",20.76,20.76,,,0 CDM,122188_72485050101,NDC Description Not Available,6.7,6.7,,,0 CDM,122190_270,Noncdm Charge Record Medical Supplies,1551.0,1551.0,,,0 CDM,122191_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,122192_C1894_272,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,122192_C1894_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,122194_C1894_272,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,122194_C1894_278,Noncdm Charge Record Medical Supplies,41.8,41.8,,,0 CDM,122196_00143937601,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9376-01) / 5 Ml In 1 Vial",2.11,2.11,,,0 CDM,122196_00143951001,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",3.65,3.65,,,0 CDM,122196_00143951101,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9511-01) / 25 Ml In 1 Vial",3.11,3.11,,,0 CDM,122196_00143951201,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9512-01) / 50 Ml In 1 Vial",3.2,3.2,,,0 CDM,122196_16729011408,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",3.9,3.9,,,0 CDM,122196_16729011411,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 CDM,122196_16729011431,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 CDM,122196_63323010401,NDC Description Not Available,5.17,5.17,,,0 CDM,122196_63323010405,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",4.94,4.94,,,0 CDM,122196_63323010406,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",5.11,5.11,,,0 CDM,122196_63323010425,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",5.25,5.25,,,0 CDM,122196_63323010450,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",4.67,4.67,,,0 CDM,122198_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,122202_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,122205_270,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,122206_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122213_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,122219_C1831_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,122219_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,122222_270,Noncdm Charge Record Medical Supplies,810.21,810.21,,,0 CDM,122222_C1819_270,Noncdm Charge Record Medical Supplies,811.8,811.8,,,0 CDM,122223_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,122228_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,122231_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122232_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122233_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122236_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,122237_A4648_278,Noncdm Charge Record Medical Supplies,116.66,116.66,,,0 CDM,122242_C1874_278,Noncdm Charge Record Medical Supplies,8042.1,8042.1,,,0 CDM,122251_C1713_278,Noncdm Charge Record Medical Supplies,196.75,196.75,,,0 CDM,122253_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,122255_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,122256_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,122259_C1713_278,Noncdm Charge Record Medical Supplies,686.4,686.4,,,0 CDM,122264_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,122267_00641614901,NDC Description Not Available,1.94,1.94,,,0 CDM,122267_00641614910,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Carton (0641-6149-10) / 10 Ml In 1 Vial, Multi-Dose (0641-6149-01)",1.93,1.93,,,0 CDM,122267_51754122001,NDC Description Not Available,3.97,3.97,,,0 CDM,122267_70069080601,NDC Description Not Available,1.8,1.8,,,0 CDM,122267_76014000333,NDC Description Not Available,3.96,3.96,,,0 CDM,122267_76045038313,NDC Description Not Available,16.22,16.22,,,0 CDM,122267_C1713_278,Noncdm Charge Record Medical Supplies,540.1,540.1,,,0 CDM,122289_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,122290_C1713_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,122291_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,122294_C1883_275,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,122297_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,1222_00143932801,NDC Description Not Available,23.04,23.04,,,0 CDM,1222_00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",4.94,4.94,,,0 CDM,1222_00409115918,NDC Description Not Available,8.24,8.24,,,0 CDM,1222_00409115919,NDC Description Not Available,9.27,9.27,,,0 CDM,1222_00409116001,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1160-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1160-18)",5.78,5.78,,,0 CDM,1222_00409116018,NDC Description Not Available,6.8,6.8,,,0 CDM,1222_55150016710,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10) / 10 Ml In 1 Vial, Single-Dose",11.33,11.33,,,0 CDM,1222_55150016830,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",11.33,11.33,,,0 CDM,1222_63323046501,NDC Description Not Available,10.3,10.3,,,0 CDM,1222_63323046557,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-465-57) / 50 Ml In 1 Vial, Multi-Dose (63323-465-01)",21.38,21.38,,,0 CDM,122302_270,Noncdm Charge Record Medical Supplies,412.5,412.5,,,0 CDM,122304_270,Noncdm Charge Record Medical Supplies,1996.5,1996.5,,,0 CDM,122308_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122312_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,122338_270,Noncdm Charge Record Medical Supplies,6583.5,6583.5,,,0 CDM,122352_270,Noncdm Charge Record Medical Supplies,2145.0,2145.0,,,0 CDM,122358_270,Noncdm Charge Record Medical Supplies,1920.63,1920.63,,,0 CDM,122363_59011041010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-410-10)",23.13,23.13,,,0 CDM,122363_59011041020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",23.81,23.81,,,0 CDM,122365_59011041510,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-415-10)",33.94,33.94,,,0 CDM,122365_59011041520,"Oxycontin: 2 Blister Pack In 1 Carton (59011-415-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",35.0,35.0,,,0 CDM,122366_59011042010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",43.06,43.06,,,0 CDM,122366_59011042020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",44.38,44.38,,,0 CDM,122368_59011044010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-440-10)",73.67,73.67,,,0 CDM,122368_59011044020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",76.14,76.14,,,0 CDM,1223_00143932901,NDC Description Not Available,23.38,23.38,,,0 CDM,1223_00143932910,"Bupivacaine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (0143-9329-10) / 50 Ml In 1 Vial, Multi-Dose (0143-9329-01)",47.59,47.59,,,0 CDM,1223_00143933401,NDC Description Not Available,13.39,13.39,,,0 CDM,1223_00409116218,NDC Description Not Available,10.09,10.09,,,0 CDM,1223_00409116219,NDC Description Not Available,2.06,2.06,,,0 CDM,1223_00409116301,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1163-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1163-18)",5.16,5.16,,,0 CDM,1223_00409161050,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1610-50) / 50 Ml In 1 Vial, Multi-Dose",1.54,1.54,,,0 CDM,1223_55150016910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",3.6,3.6,,,0 CDM,1223_55150017030,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",10.42,10.42,,,0 CDM,1223_55150025050,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-250-50) / 50 Ml In 1 Vial, Multi-Dose",2.75,2.75,,,0 CDM,1223_63323046603,NDC Description Not Available,22.66,22.66,,,0 CDM,122453_270,Noncdm Charge Record Medical Supplies,703.68,703.68,,,0 CDM,122454_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,122457_C1713_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,122459_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,122471_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,122474_C1785_275,Noncdm Charge Record Medical Supplies,5227.5,5227.5,,,0 CDM,122476_C1786_275,Noncdm Charge Record Medical Supplies,4113.38,4113.38,,,0 CDM,122477_C1786_275,Noncdm Charge Record Medical Supplies,4142.6,4142.6,,,0 CDM,122492_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,122494_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,122497_270,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,122498_270,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,122501_270,Noncdm Charge Record Medical Supplies,592.17,592.17,,,0 CDM,122502_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,122504_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,122505_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,122506_270,Noncdm Charge Record Medical Supplies,592.2,592.2,,,0 CDM,122508_270,Noncdm Charge Record Medical Supplies,1213.29,1213.29,,,0 CDM,122509_270,Noncdm Charge Record Medical Supplies,1108.8,1108.8,,,0 CDM,122511_270,Noncdm Charge Record Medical Supplies,1963.5,1963.5,,,0 CDM,122512_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,122513_270,Noncdm Charge Record Medical Supplies,471.27,471.27,,,0 CDM,122514_270,Noncdm Charge Record Medical Supplies,499.31,499.31,,,0 CDM,122517_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,122519_C1874_278,Noncdm Charge Record Medical Supplies,8042.1,8042.1,,,0 CDM,122520_C1874_278,Noncdm Charge Record Medical Supplies,8042.1,8042.1,,,0 CDM,122522_250,Noncdm Charge Record Pharmacy,71.03,71.03,,,0 CDM,122522_C1776_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,122522_Q4100_250,Noncdm Charge Record Pharmacy,71.07,71.07,,,0 CDM,122522_Q4100_278,Noncdm Charge Record Medical Supplies,73.44,73.44,,,0 CDM,122522_Q4100_636,Noncdm Charge Record Pharmacy,66.51,66.51,,,0 CDM,122524_250,Noncdm Charge Record Pharmacy,79.24,79.24,,,0 CDM,122524_Q4100_278,Noncdm Charge Record Medical Supplies,84.62,84.62,,,0 CDM,122524_Q4100_636,Noncdm Charge Record Pharmacy,79.24,79.24,,,0 CDM,122540_C1713_278,Noncdm Charge Record Medical Supplies,162.54,162.54,,,0 CDM,122541_C1713_278,Noncdm Charge Record Medical Supplies,162.43,162.43,,,0 CDM,122552_270,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,122554_270,Noncdm Charge Record Medical Supplies,957.0,957.0,,,0 CDM,122555_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,122556_270,Noncdm Charge Record Medical Supplies,918.5,918.5,,,0 CDM,122558_270,Noncdm Charge Record Medical Supplies,675.44,675.44,,,0 CDM,122559_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122567_C1726_278,Noncdm Charge Record Medical Supplies,832.7,832.7,,,0 CDM,122574_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,122575_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,122588_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,122597_C1750_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,122599_C1750_278,Noncdm Charge Record Medical Supplies,391.6,391.6,,,0 CDM,12259_C1769_278,Noncdm Charge Record Medical Supplies,74.19,74.19,,,0 CDM,122601_C1781_278,Noncdm Charge Record Medical Supplies,383.9,383.9,,,0 CDM,122602_270,Noncdm Charge Record Medical Supplies,600.6,600.6,,,0 CDM,122603_270,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,122604_270,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,122606_270,Noncdm Charge Record Medical Supplies,768.9,768.9,,,0 CDM,122612_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,122614_57894035001,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",98.9,98.9,,,0 CDM,122614_C1713_278,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,122639_C1876_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122639_C1889_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122640_C1876_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122640_C1889_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122643_C1725_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122643_C1889_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122645_C1876_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122645_C1889_278,Noncdm Charge Record Medical Supplies,12346.4,12346.4,,,0 CDM,122648_00517065001,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",4.44,4.44,,,0 CDM,122742_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,122745_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,122749_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122764_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,122784_49702022813,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",326.14,326.14,,,0 CDM,1227_C1769_278,Noncdm Charge Record Medical Supplies,22.96,22.96,,,0 CDM,122803_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,122806_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,122811_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,122813_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,122814_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,122815_C1776_278,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,122830_C1897_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,122834_C1778_278,Noncdm Charge Record Medical Supplies,4774.0,4774.0,,,0 CDM,122837_C1781_278,Noncdm Charge Record Medical Supplies,401.5,401.5,,,0 CDM,122849_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122851_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122853_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122856_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122861_C1725_278,Noncdm Charge Record Medical Supplies,1314.92,1314.92,,,0 CDM,122863_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122866_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122873_C1725_278,Noncdm Charge Record Medical Supplies,1286.21,1286.21,,,0 CDM,122875_C1725_278,Noncdm Charge Record Medical Supplies,1244.23,1244.23,,,0 CDM,122876_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122877_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122885_C1725_278,Noncdm Charge Record Medical Supplies,1249.6,1249.6,,,0 CDM,122887_C1725_278,Noncdm Charge Record Medical Supplies,1244.73,1244.73,,,0 CDM,122889_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122897_C1725_278,Noncdm Charge Record Medical Supplies,1270.72,1270.72,,,0 CDM,122899_C1725_278,Noncdm Charge Record Medical Supplies,1280.4,1280.4,,,0 CDM,122901_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,122906_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,122909_42858058640,Buprenorphine: 4 Pouch In 1 Carton (42858-586-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,502.64,502.64,,,0 CDM,122909_50742037501,NDC Description Not Available,649.24,649.24,,,0 CDM,122916_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,122929_270,Noncdm Charge Record Medical Supplies,509.3,509.3,,,0 CDM,122932_C1887_278,Noncdm Charge Record Medical Supplies,80.61,80.61,,,0 CDM,122939_C1893_278,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,122940_270,Noncdm Charge Record Medical Supplies,1752.3,1752.3,,,0 CDM,122943_C1713_278,Noncdm Charge Record Medical Supplies,529.1,529.1,,,0 CDM,122944_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,122945_270,Noncdm Charge Record Medical Supplies,2862.2,2862.2,,,0 CDM,122946_C1713_278,Noncdm Charge Record Medical Supplies,2794.0,2794.0,,,0 CDM,122959_C1725_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,122968_16729034810,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16729-348-10)",183.86,183.86,,,0 CDM,122968_60687076911,NDC Description Not Available,18.43,18.43,,,0 CDM,122968_65162008203,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-082-03)",194.38,194.38,,,0 CDM,122971_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,122988_270,Noncdm Charge Record Medical Supplies,380.6,380.6,,,0 CDM,122999_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,122_00409330703,Acetylcysteine: 3 Vial In 1 Carton (0409-3307-03) / 30 Ml In 1 Vial (0409-3307-11),4.25,4.25,,,0 CDM,122_00517750401,NDC Description Not Available,21.93,21.93,,,0 CDM,122_00517750425,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25) / 4 Ml In 1 Vial, Glass",44.8,44.8,,,0 CDM,122_63323069130,Acetylcysteine: 3 Vial In 1 Carton (63323-691-30) / 30 Ml In 1 Vial (63323-691-22),11.52,11.52,,,0 CDM,122_63323069310,Acetylcysteine: 3 Vial In 1 Carton (63323-693-10) / 10 Ml In 1 Vial (63323-693-22),65.58,65.58,,,0 CDM,122_63323069504,Acetylcysteine: 25 Vial In 1 Carton (63323-695-04) / 4 Ml In 1 Vial (63323-695-22),24.72,24.72,,,0 CDM,123000_C1713_278,Noncdm Charge Record Medical Supplies,245.33,245.33,,,0 CDM,123001_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,123003_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,123007_270,Noncdm Charge Record Medical Supplies,534.6,534.6,,,0 CDM,123012_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,123016_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,123020_C1751_278,Noncdm Charge Record Medical Supplies,172.71,172.71,,,0 CDM,123021_C1751_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,123022_C1751_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,123039_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,123041_C1887_278,Noncdm Charge Record Medical Supplies,19.07,19.07,,,0 CDM,123043_C1887_278,Noncdm Charge Record Medical Supplies,473.0,473.0,,,0 CDM,123049_00143953201,NDC Description Not Available,56.34,56.34,,,0 CDM,123049_00143953225,Dexmedetomidine Hcl: 25 Vial In 1 Carton (0143-9532-25) / 2 Ml In 1 Vial (0143-9532-01),56.56,56.56,,,0 CDM,123049_42023014625,Dexmedetomidine Hydrochloride: 25 Vial In 1 Carton (42023-146-25) / 2 Ml In 1 Vial,23.06,23.06,,,0 CDM,123049_55150020902,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02) / 2 Ml In 1 Vial,27.42,27.42,,,0 CDM,123049_66794023002,NDC Description Not Available,22.66,22.66,,,0 CDM,123049_66794023042,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (66794-230-42) / 2 Ml In 1 Vial, Glass (66794-230-02)",22.66,22.66,,,0 CDM,123049_66794023302,NDC Description Not Available,2.58,2.58,,,0 CDM,123062_270,Noncdm Charge Record Medical Supplies,4101.9,4101.9,,,0 CDM,123065_270,Noncdm Charge Record Medical Supplies,487.3,487.3,,,0 CDM,123070_00143909801,"Bortezomib: 1 Vial In 1 Carton (0143-9098-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",4.26,4.26,,,0 CDM,123070_43598042660,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",30.99,30.99,,,0 CDM,123070_50742048401,"Bortezomib: 1 Vial In 1 Carton (50742-484-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",37.08,37.08,,,0 CDM,123070_55150033701,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.48,5.48,,,0 CDM,123070_70710141101,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70710-1411-1) / 3.5 Ml In 1 Vial, Single-Dose",15.34,15.34,,,0 CDM,123070_70860022510,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70860-225-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",24.66,24.66,,,0 CDM,123070_71288011810,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (71288-118-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.14,5.14,,,0 CDM,123076_L8509_274,Noncdm Charge Record Medical Supplies,248.6,248.6,,,0 CDM,123089_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,123095_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,123102_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,123103_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,123106_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,123112_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,123113_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,123115_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,123120_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,123123_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,123139_270,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,123144_C1713_278,Noncdm Charge Record Medical Supplies,243.48,243.48,,,0 CDM,123145_C1713_278,Noncdm Charge Record Medical Supplies,168.13,168.13,,,0 CDM,123147_270,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,123157_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,123160_C1882_275,Noncdm Charge Record Medical Supplies,27912.5,27912.5,,,0 CDM,123161_C1882_275,Noncdm Charge Record Medical Supplies,29106.0,29106.0,,,0 CDM,123162_C1882_275,Noncdm Charge Record Medical Supplies,27315.75,27315.75,,,0 CDM,123163_C1882_275,Noncdm Charge Record Medical Supplies,29106.0,29106.0,,,0 CDM,123165_C1721_275,Noncdm Charge Record Medical Supplies,18587.8,18587.8,,,0 CDM,123166_C1721_275,Noncdm Charge Record Medical Supplies,19996.9,19996.9,,,0 CDM,123167_C1721_275,Noncdm Charge Record Medical Supplies,18587.8,18587.8,,,0 CDM,123169_C1722_275,Noncdm Charge Record Medical Supplies,16435.65,16435.65,,,0 CDM,123170_C1722_275,Noncdm Charge Record Medical Supplies,16321.99,16321.99,,,0 CDM,123179_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,123261_C1769_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,123270_C1781_278,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,123300_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,123309_C1713_278,Noncdm Charge Record Medical Supplies,2431.0,2431.0,,,0 CDM,123314_C1713_278,Noncdm Charge Record Medical Supplies,1724.8,1724.8,,,0 CDM,123316_C1713_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,123319_C1713_278,Noncdm Charge Record Medical Supplies,186.34,186.34,,,0 CDM,123323_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,123324_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,123325_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,123330_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,123331_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,123373_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,123455_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,123468_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,123497_C1729_278,Noncdm Charge Record Medical Supplies,120.02,120.02,,,0 CDM,123507_270,Noncdm Charge Record Medical Supplies,136.43,136.43,,,0 CDM,123542_270,Noncdm Charge Record Medical Supplies,1273.8,1273.8,,,0 CDM,123549_C1713_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,123550_270,Noncdm Charge Record Medical Supplies,1691.76,1691.76,,,0 CDM,123552_C1713_278,Noncdm Charge Record Medical Supplies,2431.0,2431.0,,,0 CDM,123554_C1713_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,123555_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,123557_C1713_278,Noncdm Charge Record Medical Supplies,229.14,229.14,,,0 CDM,123558_270,Noncdm Charge Record Medical Supplies,229.17,229.17,,,0 CDM,123558_C1713_278,Noncdm Charge Record Medical Supplies,229.09,229.09,,,0 CDM,123561_C1751_278,Noncdm Charge Record Medical Supplies,106.66,106.66,,,0 CDM,123562_C1751_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,123563_C1751_278,Noncdm Charge Record Medical Supplies,106.56,106.56,,,0 CDM,123568_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,123572_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,123573_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,123574_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,123580_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,123584_C1713_278,Noncdm Charge Record Medical Supplies,350.9,350.9,,,0 CDM,123590_270,Noncdm Charge Record Medical Supplies,381.72,381.72,,,0 CDM,123595_C1874_278,Noncdm Charge Record Medical Supplies,22036.3,22036.3,,,0 CDM,123638_C1751_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,123639_C1751_278,Noncdm Charge Record Medical Supplies,155.1,155.1,,,0 CDM,123641_C1751_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,123646_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,123659_C1889_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,123660_C1889_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,123661_C1889_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,123662_C1889_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,123672_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,123685_270,Noncdm Charge Record Medical Supplies,2165.9,2165.9,,,0 CDM,123691_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123692_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123693_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123694_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123695_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123696_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,123700_C1769_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,123701_C1769_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,12370_00143959310,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9593-10) / 10 Ml In 1 Vial (0143-9593-01),87.09,87.09,,,0 CDM,12370_00143968901,NDC Description Not Available,110.4,110.4,,,0 CDM,12370_00143968910,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),110.42,110.42,,,0 CDM,12370_55150018301,NDC Description Not Available,91.87,91.87,,,0 CDM,12370_55150018302,NDC Description Not Available,82.67,82.67,,,0 CDM,12370_55150018310,"Nicardipine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-183-10) / 10 Ml In 1 Vial, Single-Dose (55150-183-01)",91.85,91.85,,,0 CDM,123722_C1713_278,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,123727_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,123732_C1713_278,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,123735_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,123736_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,123737_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,123738_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,123739_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123740_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123743_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123746_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123748_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123749_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123750_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123752_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123753_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123754_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123755_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123756_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,123787_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,123789_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,123790_C2623_278,Noncdm Charge Record Medical Supplies,2052.42,2052.42,,,0 CDM,123792_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123795_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123797_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123798_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123800_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123801_C2623_278,Noncdm Charge Record Medical Supplies,2052.27,2052.27,,,0 CDM,123802_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123803_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123804_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,123824_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123826_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123827_C1876_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,123828_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123829_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123831_C1876_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,123832_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123833_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123834_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123835_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123836_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123837_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123840_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123841_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123843_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123845_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,123867_Q4100_278,Noncdm Charge Record Medical Supplies,115.76,115.76,,,0 CDM,123867_Q4100_636,Noncdm Charge Record Pharmacy,60.37,60.37,,,0 CDM,123876_Q4186_278,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,123876_Q4186_636,Noncdm Charge Record Pharmacy,412.0,412.0,,,0 CDM,123890_C1781_278,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,123892_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,123893_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,123897_270,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,123900_270,Noncdm Charge Record Medical Supplies,7.33,7.33,,,0 CDM,123903_270,Noncdm Charge Record Medical Supplies,1614.77,1614.77,,,0 CDM,123919_270,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,123920_270,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,123997_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,123_00409330811,NDC Description Not Available,4.12,4.12,,,0 CDM,123_00517760401,NDC Description Not Available,29.77,29.77,,,0 CDM,123_00517760425,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7604-25) / 4 Ml In 1 Vial, Glass",29.95,29.95,,,0 CDM,123_63323069030,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),7.32,7.32,,,0 CDM,123_63323069210,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10) / 10 Ml In 1 Vial (63323-692-22),12.72,12.72,,,0 CDM,123_63323069404,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),33.96,33.96,,,0 CDM,1240000001,Hc Room Semi-Private Psych,3198.0,3198.0,,,0 CDM,124000_C1880_278,Noncdm Charge Record Medical Supplies,574.2,574.2,,,0 CDM,124001_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124002_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124003_C1725_272,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124003_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124004_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124005_C1725_278,Noncdm Charge Record Medical Supplies,312.37,312.37,,,0 CDM,124006_C1725_272,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124006_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124007_C1725_278,Noncdm Charge Record Medical Supplies,312.33,312.33,,,0 CDM,124008_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124009_C1725_272,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124009_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124010_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,124047_C1725_278,Noncdm Charge Record Medical Supplies,244.75,244.75,,,0 CDM,124063_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,124065_C2625_278,Noncdm Charge Record Medical Supplies,207.17,207.17,,,0 CDM,124069_C1766_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,124070_C1769_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,124073_C1769_278,Noncdm Charge Record Medical Supplies,95.7,95.7,,,0 CDM,124075_C1766_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,124076_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,124077_C1766_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,124078_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,124079_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,124080_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,124081_C1894_272,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,124081_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,124125_270,Noncdm Charge Record Medical Supplies,534.6,534.6,,,0 CDM,124135_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,124139_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124140_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124141_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124142_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,124143_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124144_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124146_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,124147_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124149_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124150_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,124151_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124152_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124153_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124154_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124155_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124157_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124158_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124163_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124164_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,124165_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124166_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124167_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124168_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124170_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124171_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124175_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124177_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,124230_270,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,124248_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124250_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124270_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124271_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124277_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124278_270,Noncdm Charge Record Medical Supplies,1446.5,1446.5,,,0 CDM,124280_270,Noncdm Charge Record Medical Supplies,1650.0,1650.0,,,0 CDM,124292_C1894_278,Noncdm Charge Record Medical Supplies,41.73,41.73,,,0 CDM,124295_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,124297_C1894_278,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,124298_C1894_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,124299_C1894_278,Noncdm Charge Record Medical Supplies,61.38,61.38,,,0 CDM,124302_C1769_278,Noncdm Charge Record Medical Supplies,304.7,304.7,,,0 CDM,124312_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,124314_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124315_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,124318_270,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,124349_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,124358_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,124362_270,Noncdm Charge Record Medical Supplies,545.6,545.6,,,0 CDM,124363_270,Noncdm Charge Record Medical Supplies,545.6,545.6,,,0 CDM,124367_270,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,124375_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,124388_C1751_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,124389_C1766_278,Noncdm Charge Record Medical Supplies,50.6,50.6,,,0 CDM,124392_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,124395_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,124401_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,124406_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,124409_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,124410_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,124422_17478029010,"Tobramycin: 1 BOTTLE, DROPPER in 1 CARTON (17478-290-10) / 5 mL in 1 BOTTLE, DROPPER",52.53,52.53,,,0 CDM,124422_61314064305,"Tobramycin: 5 Ml In 1 Bottle, Plastic (61314-643-05)",122.57,122.57,,,0 CDM,124422_70069013101,Tobramycin: 1 Bottle In 1 Carton (70069-131-01) / 5 Ml In 1 Bottle,7.04,7.04,,,0 CDM,124431_C1752_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,124440_270,Noncdm Charge Record Medical Supplies,422.68,422.68,,,0 CDM,124441_62856027230,Fycompa: 30 Tablet In 1 Bottle (62856-272-30),79.12,79.12,,,0 CDM,124441_69616027230,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),89.55,89.55,,,0 CDM,124444_69616027830,Fycompa: 30 Tablet In 1 Bottle (69616-278-30),169.18,169.18,,,0 CDM,124488_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,124497_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,124501_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,124518_270,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,124524_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,124529_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,124530_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,124531_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,124537_64764073030,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-730-30)",70.77,70.77,,,0 CDM,124538_64764075030,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-750-30)",57.07,57.07,,,0 CDM,124539_C1729_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,124543_V2632_276,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,124557_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,124561_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,124563_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,124584_C1887_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,124586_C1887_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,124589_C1887_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,124590_C1757_278,Noncdm Charge Record Medical Supplies,623.7,623.7,,,0 CDM,124592_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,124593_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,124594_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,124596_C1887_278,Noncdm Charge Record Medical Supplies,784.26,784.26,,,0 CDM,124597_C1887_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,124598_C1887_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,124599_C1887_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,124600_C1769_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,124604_C1769_278,Noncdm Charge Record Medical Supplies,169.32,169.32,,,0 CDM,124605_C1769_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,124606_C1769_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,124609_C1894_278,Noncdm Charge Record Medical Supplies,1500.34,1500.34,,,0 CDM,124613_C1874_278,Noncdm Charge Record Medical Supplies,10498.4,10498.4,,,0 CDM,124614_C1874_278,Noncdm Charge Record Medical Supplies,6394.3,6394.3,,,0 CDM,124633_270,Noncdm Charge Record Medical Supplies,109.98,109.98,,,0 CDM,124644_C2628_278,Noncdm Charge Record Medical Supplies,2646.6,2646.6,,,0 CDM,124657_66215050115,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15) / 15 Tablet, Film Coated In 1 Blister Pack",1494.72,1494.72,,,0 CDM,124657_66215050130,"Opsumit: 1 Bottle In 1 Carton (66215-501-30) / 30 Tablet, Film Coated In 1 Bottle",1451.78,1451.78,,,0 CDM,124668_05846800903,NDC Description Not Available,71.21,71.21,,,0 CDM,124685_50242013801,"Actemra: 1 Syringe, Glass In 1 Box (50242-138-01) / .9 Ml In 1 Syringe, Glass",16.42,16.42,,,0 CDM,124709_C1769_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,124710_C1769_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,124716_63459091001,NDC Description Not Available,3.6,3.6,,,0 CDM,124716_63459091011,"Granix: 1 Blister Pack In 1 Carton (63459-910-11) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.58,3.58,,,0 CDM,124716_63459091012,NDC Description Not Available,3.57,3.57,,,0 CDM,124716_63459091015,"Granix: 10 Blister Pack In 1 Carton (63459-910-15) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.6,3.6,,,0 CDM,124716_63459091211,"Granix: 1 Blister Pack In 1 Carton (63459-912-11) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.6,3.6,,,0 CDM,124717_63459091201,NDC Description Not Available,3.6,3.6,,,0 CDM,124717_63459091211,"Granix: 1 Blister Pack In 1 Carton (63459-912-11) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.59,3.59,,,0 CDM,124717_63459091212,NDC Description Not Available,3.59,3.59,,,0 CDM,124717_63459091215,"Granix: 10 Blister Pack In 1 Carton (63459-912-15) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.6,3.6,,,0 CDM,124717_63459091217,"Granix: 1 Syringe, Glass In 1 Carton (63459-912-17) / .8 Ml In 1 Syringe, Glass (63459-912-18)",2.46,2.46,,,0 CDM,124718_C1713_278,Noncdm Charge Record Medical Supplies,1459.7,1459.7,,,0 CDM,124720_270,Noncdm Charge Record Medical Supplies,797.5,797.5,,,0 CDM,124722_C1898_275,Noncdm Charge Record Medical Supplies,691.08,691.08,,,0 CDM,124724_C1725_278,Noncdm Charge Record Medical Supplies,880.0,880.0,,,0 CDM,124725_270,Noncdm Charge Record Medical Supplies,514.8,514.8,,,0 CDM,124747_L8699_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,124764_00573287193,Preparation H: 1 Tube In 1 Carton (0573-2871-93) / 28 G In 1 Tube,11.57,11.57,,,0 CDM,124764_00573287194,Preparation H: 1 Tube In 1 Carton (0573-2871-94) / 57 G In 1 Tube,22.07,22.07,,,0 CDM,124764_45802018816,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16) / 57 G In 1 Tube,5.15,5.15,,,0 CDM,124764_70677110801,Foster And Thrive Hemorrhoidal: 1 Tube In 1 Carton (70677-1108-1) / 57 G In 1 Tube,3.09,3.09,,,0 CDM,124767_50242007001,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",203.86,203.86,,,0 CDM,124768_14537081775,Acd A: 12 Bag In 1 Carton (14537-817-75) / 750 Ml In 1 Bag,359.54,359.54,,,0 CDM,124768_14537096775,Acd A: 12 Bag In 1 Case (14537-967-75) / 750 Ml In 1 Bag,309.15,309.15,,,0 CDM,124776_270,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,124776_C1889_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,124777_Q0481_274,Noncdm Charge Record Medical Supplies,9147.6,9147.6,,,0 CDM,124778_Q0477_274,Noncdm Charge Record Medical Supplies,8232.4,8232.4,,,0 CDM,124779_C1889_278,Noncdm Charge Record Medical Supplies,154561.0,154561.0,,,0 CDM,124779_L8699_278,Noncdm Charge Record Medical Supplies,154561.0,154561.0,,,0 CDM,124779_Q0508_278,Noncdm Charge Record Medical Supplies,154561.0,154561.0,,,0 CDM,124791_270,Noncdm Charge Record Medical Supplies,232.1,232.1,,,0 CDM,1247_270,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,124840_00002771501,NDC Description Not Available,4.81,4.81,,,0 CDM,124859_00002871501,"Humulin 70/30: 1 Vial, Multi-Dose In 1 Carton (0002-8715-01) / 10 Ml In 1 Vial, Multi-Dose",3.22,3.22,,,0 CDM,124888_63402020430,Aptiom: 30 Tablet In 1 Bottle (63402-204-30),188.1,188.1,,,0 CDM,124890_63402020830,Aptiom: 30 Tablet In 1 Bottle (63402-208-30),183.34,183.34,,,0 CDM,124917_00085432402,"Noxafil: 60 Tablet, Coated In 1 Bottle (0085-4324-02)",296.3,296.3,,,0 CDM,124917_50268068311,NDC Description Not Available,204.06,204.06,,,0 CDM,124917_60687052311,NDC Description Not Available,204.04,204.04,,,0 CDM,124917_70748025807,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",267.34,267.34,,,0 CDM,124917_72319002302,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",266.78,266.78,,,0 CDM,124929_00407294301,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-01) / 10 Ml In 1 Vial, Glass",2.16,2.16,,,0 CDM,124929_00407294302,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-02) / 15 Ml In 1 Vial, Glass",2.16,2.16,,,0 CDM,124929_00407294305,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-05) / 20 Ml In 1 Vial, Glass",2.15,2.15,,,0 CDM,124929_67684200103,Dotarem: 10 Vial In 1 Package (67684-2001-3) / 20 Ml In 1 Vial,1.55,1.55,,,0 CDM,124962_00641602201,NDC Description Not Available,4.12,4.12,,,0 CDM,124962_00641602225,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),4.09,4.09,,,0 CDM,124962_63323073911,NDC Description Not Available,3.99,3.99,,,0 CDM,124962_63323073912,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",4.12,4.12,,,0 CDM,124962_67457043300,NDC Description Not Available,0.03,0.03,,,0 CDM,124963_00641602110,Famotidine: 10 Vial In 1 Carton (0641-6021-10) / 20 Ml In 1 Vial (0641-6021-01),10.92,10.92,,,0 CDM,124963_00641602325,Famotidine: 25 Vial In 1 Carton (0641-6023-25) / 4 Ml In 1 Vial (0641-6023-01),5.15,5.15,,,0 CDM,124963_63323073803,NDC Description Not Available,4.12,4.12,,,0 CDM,124963_63323073806,NDC Description Not Available,4.12,4.12,,,0 CDM,124963_63323073911,NDC Description Not Available,3.86,3.86,,,0 CDM,124963_67457044800,NDC Description Not Available,4.08,4.08,,,0 CDM,124987_00093598619,NDC Description Not Available,382.85,382.85,,,0 CDM,124987_00093598627,Epinephrine: 2 Container In 1 Carton (0093-5986-27) / 1 Syringe In 1 Container (0093-5986-19) / .3 Ml In 1 Syringe,416.81,416.81,,,0 CDM,124987_00115169430,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.94,296.94,,,0 CDM,124987_00115169449,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.98,296.98,,,0 CDM,124987_49502010201,NDC Description Not Available,225.26,225.26,,,0 CDM,124987_49502010202,"Epinephrine: 2 Container In 1 Carton (49502-102-02) / 1 Syringe, Glass In 1 Container (49502-102-01) / .3 Ml In 1 Syringe, Glass",450.8,450.8,,,0 CDM,125059_270,Noncdm Charge Record Medical Supplies,1691.8,1691.8,,,0 CDM,125061_270,Noncdm Charge Record Medical Supplies,690.8,690.8,,,0 CDM,125068_270,Noncdm Charge Record Medical Supplies,2800.6,2800.6,,,0 CDM,125070_270,Noncdm Charge Record Medical Supplies,1210.99,1210.99,,,0 CDM,125074_00310620530,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",84.08,84.08,,,0 CDM,125074_66993045630,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-456-30)",80.22,80.22,,,0 CDM,125075_00310621030,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",84.36,84.36,,,0 CDM,125075_00310621039,"Farxiga: 3 Blister Pack In 1 Carton (0310-6210-39) / 10 Tablet, Film Coated In 1 Blister Pack",84.09,84.09,,,0 CDM,125075_66993045730,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",80.25,80.25,,,0 CDM,125078_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,125079_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,125082_C1781_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,125092_270,Noncdm Charge Record Medical Supplies,351.81,351.81,,,0 CDM,125100_270,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,125102_270,Noncdm Charge Record Medical Supplies,160.82,160.82,,,0 CDM,125194_C1894_278,Noncdm Charge Record Medical Supplies,21.88,21.88,,,0 CDM,125198_270,Noncdm Charge Record Medical Supplies,974.7,974.7,,,0 CDM,125217_270,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,125220_C1757_278,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,125221_C1894_278,Noncdm Charge Record Medical Supplies,1540.55,1540.55,,,0 CDM,125251_270,Noncdm Charge Record Medical Supplies,2032.07,2032.07,,,0 CDM,125257_C1750_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,125258_C1750_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,125259_C1750_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,125369_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,125371,Noncdm Charge Record,1089.0,1089.0,,,0 CDM,125371_270,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,125373_C1769_278,Noncdm Charge Record Medical Supplies,138.5,138.5,,,0 CDM,125380_C1788_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,125381_C1725_278,Noncdm Charge Record Medical Supplies,451.0,451.0,,,0 CDM,125382_C1894_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,125383_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,125386_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,125388_C1729_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,125389_C1769_272,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,125389_C1769_278,Noncdm Charge Record Medical Supplies,18.63,18.63,,,0 CDM,125390_C1769_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,125392_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,125397_C1752_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,125398_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,125405_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,125406_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,125409_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,125410_C1751_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,125417_C1769_278,Noncdm Charge Record Medical Supplies,83.11,83.11,,,0 CDM,125419_C1766_278,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,125424_C1773_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,125425_C1757_278,Noncdm Charge Record Medical Supplies,512.76,512.76,,,0 CDM,125426_C1874_278,Noncdm Charge Record Medical Supplies,4860.17,4860.17,,,0 CDM,125428_270,Noncdm Charge Record Medical Supplies,77.37,77.37,,,0 CDM,125429_00085433101,"Noxafil: 1 Vial, Glass In 1 Carton (0085-4331-01) / 16.7 Ml In 1 Vial, Glass",1311.28,1311.28,,,0 CDM,125429_42023019501,"Posaconazole: 1 Vial, Glass In 1 Carton (42023-195-01) / 16.7 Ml In 1 Vial, Glass",1208.71,1208.71,,,0 CDM,125429_55150038801,"Posaconazole: 1 Vial, Single-Dose In 1 Carton (55150-388-01) / 16.7 Ml In 1 Vial, Single-Dose",1316.55,1316.55,,,0 CDM,125429_63323068517,"Posaconazole: 1 Vial, Single-Dose In 1 Carton (63323-685-17) / 16.7 Ml In 1 Vial, Single-Dose",1165.96,1165.96,,,0 CDM,125429_67457066520,"Posaconazole: 1 Vial, Glass In 1 Carton (67457-665-20) / 16.7 Ml In 1 Vial, Glass",1243.49,1243.49,,,0 CDM,125429_68462090401,Posaconazole: 1 Vial In 1 Carton (68462-904-01) / 16.7 Ml In 1 Vial,1017.98,1017.98,,,0 CDM,125429_68462091101,Posaconazole: 1 Vial In 1 Carton (68462-911-01) / 16.7 Ml In 1 Vial,983.53,983.53,,,0 CDM,125430_63833038702,"Kcentra: 1 Kit In 1 Carton (63833-387-02) * 40 Ml In 1 Vial, Single-Use (63833-397-01) * 40 Ml In 1 Vial, Single-Use (63833-761-40)",6.31,6.31,,,0 CDM,125430_63833039701,NDC Description Not Available,6.49,6.49,,,0 CDM,125504_11994001104,"Definity: 4 Vial, Glass In 1 Carton (11994-011-04) / 1.5 Ml In 1 Vial, Glass",606.62,606.62,,,0 CDM,125504_11994001116,"Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass",746.69,746.69,,,0 CDM,125508_00065064435,TOBREX: 3.5 g in 1 TUBE (0065-0644-35),927.0,927.0,,,0 CDM,125508_00078081301,Tobrex: 3.5 G In 1 Tube (0078-0813-01),1102.1,1102.1,,,0 CDM,12552_00143974401,NDC Description Not Available,3.91,3.91,,,0 CDM,12556_50580053504,NDC Description Not Available,106.09,106.09,,,0 CDM,12556_69339015201,NDC Description Not Available,18.13,18.13,,,0 CDM,125604_42023015901,NDC Description Not Available,6.47,6.47,,,0 CDM,125604_42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),6.46,6.46,,,0 CDM,125604_42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,3.57,3.57,,,0 CDM,125604_42023016899,Adrenalin: 1 Vial In 1 Carton (42023-168-99) / 30 Ml In 1 Vial,3.61,3.61,,,0 CDM,125604_54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,3.7,3.7,,,0 CDM,125604_54288060001,Epinephrine: 1 Vial In 1 Carton (54288-600-01) / 10 Ml In 1 Vial,3.23,3.23,,,0 CDM,125604_76329906000,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,3.06,3.06,,,0 CDM,125686_00002766901,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",171.94,171.94,,,0 CDM,125720_73090042001,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 CDM,125721_73090042101,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-421-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 CDM,125741_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,125743_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,125744_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,125757_C1752_278,Noncdm Charge Record Medical Supplies,261.75,261.75,,,0 CDM,125758_C1769_278,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,125761_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,125762_C1729_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,125764_C1769_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,125772_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,125775_C1887_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,125778_270,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,125779_C1887_278,Noncdm Charge Record Medical Supplies,135.74,135.74,,,0 CDM,12580_00378797062,NDC Description Not Available,6.98,6.98,,,0 CDM,12580_00378797064,NDC Description Not Available,7.0,7.0,,,0 CDM,12580_00378797093,Ipratropium Bromide: 1 Pouch In 1 Carton (0378-7970-93) / 30 Ampule In 1 Pouch (0378-7970-64) / 2.5 Ml In 1 Ampule,7.21,7.21,,,0 CDM,12580_00487980100,NDC Description Not Available,0.96,0.96,,,0 CDM,12580_00487980101,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01) / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",1.39,1.39,,,0 CDM,12580_00487980130,"Ipratropium Bromide: 1 Pouch In 1 Carton (0487-9801-30) / 30 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.15,5.15,,,0 CDM,12580_60687039479,NDC Description Not Available,1.29,1.29,,,0 CDM,12580_76204010001,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,8.33,8.33,,,0 CDM,12580_76204010060,Ipratropium Bromide: 2 Pouch In 1 Carton (76204-100-60) / 30 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.09,6.09,,,0 CDM,125864_270,Noncdm Charge Record Medical Supplies,684.2,684.2,,,0 CDM,125865_C1725_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,125866_C1725_278,Noncdm Charge Record Medical Supplies,354.2,354.2,,,0 CDM,125903_270,Noncdm Charge Record Medical Supplies,810.6,810.6,,,0 CDM,125917_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,125918_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,125919_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,125920_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,125921_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,125923_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,125926_C1732_272,Noncdm Charge Record Medical Supplies,3153.7,3153.7,,,0 CDM,125926_C1732_278,Noncdm Charge Record Medical Supplies,3153.7,3153.7,,,0 CDM,125927_C1759_272,Noncdm Charge Record Medical Supplies,4068.9,4068.9,,,0 CDM,125927_C1759_278,Noncdm Charge Record Medical Supplies,4068.9,4068.9,,,0 CDM,125928_C1773_278,Noncdm Charge Record Medical Supplies,2779.7,2779.7,,,0 CDM,125929_C1773_278,Noncdm Charge Record Medical Supplies,2803.9,2803.9,,,0 CDM,125930_C1773_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,125937_C1769_278,Noncdm Charge Record Medical Supplies,470.11,470.11,,,0 CDM,125938_C1769_278,Noncdm Charge Record Medical Supplies,470.43,470.43,,,0 CDM,125944_C1725_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,125946_C1725_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,125951_C1894_278,Noncdm Charge Record Medical Supplies,459.8,459.8,,,0 CDM,125952_C1894_278,Noncdm Charge Record Medical Supplies,461.27,461.27,,,0 CDM,125954_C1894_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,125955_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,125956_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,125978_C1762_278,Noncdm Charge Record Medical Supplies,2181.87,2181.87,,,0 CDM,125978_C1762_636,Noncdm Charge Record Pharmacy,2044.04,2044.04,,,0 CDM,125990_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,1260000001,Hc Room Semi Private Detox,3198.0,3198.0,,,0 CDM,126027_270,Noncdm Charge Record Medical Supplies,455.4,455.4,,,0 CDM,126112_00078059251,Tasigna: 28 Capsule In 1 Blister Pack (0078-0592-51),143.38,143.38,,,0 CDM,126113_31722001490,Droxidopa: 90 Capsule In 1 Bottle (31722-014-90),132.59,132.59,,,0 CDM,126113_67386082019,Northera: 90 Capsule In 1 Bottle (67386-820-19),176.58,176.58,,,0 CDM,126113_72205007290,Droxidopa: 90 Capsule In 1 Bottle (72205-072-90),84.1,84.1,,,0 CDM,126114_31722001590,Droxidopa: 90 Capsule In 1 Bottle (31722-015-90),255.99,255.99,,,0 CDM,126152_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,126153_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,126157_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,126158_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,126159_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,126160_270,Noncdm Charge Record Medical Supplies,1021.92,1021.92,,,0 CDM,126166_C1725_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,126168_C1725_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,126172_C1725_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,126173_C1725_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,126174_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,126175_C1725_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,126177_C1725_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,126178_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,126179_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,126180_C1725_278,Noncdm Charge Record Medical Supplies,177.65,177.65,,,0 CDM,126181_C1725_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,126184_270,Noncdm Charge Record Medical Supplies,605.0,605.0,,,0 CDM,126185_270,Noncdm Charge Record Medical Supplies,471.99,471.99,,,0 CDM,126186_270,Noncdm Charge Record Medical Supplies,656.7,656.7,,,0 CDM,126187_270,Noncdm Charge Record Medical Supplies,66.17,66.17,,,0 CDM,126190_V2632_276,Noncdm Charge Record Medical Supplies,183.64,183.64,,,0 CDM,126194_51079097801,NDC Description Not Available,2.59,2.59,,,0 CDM,126195_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,126195_C1889_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,126196_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,126219_64764030020,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",69.2,69.2,,,0 CDM,126226_00009008601,Depo-Testosterone: 1 Vial In 1 Carton (0009-0086-01) / 1 Ml In 1 Vial,0.88,0.88,,,0 CDM,126226_00009041701,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.58,0.58,,,0 CDM,126226_00143965901,Testosterone Cypionate: 1 Ml In 1 Vial (0143-9659-01),0.39,0.39,,,0 CDM,126226_00409656201,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.47,0.47,,,0 CDM,126226_00574082001,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 CDM,126226_47781091193,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (47781-911-93) / 1 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 CDM,126226_55150027701,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (55150-277-01) / 1 Ml In 1 Vial, Glass",0.41,0.41,,,0 CDM,126226_69097080232,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 CDM,126226_70700028922,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,0.42,0.42,,,0 CDM,126228,Noncdm Charge Record,149.35,149.35,,,0 CDM,126228_00006489700,"Pedvaxhib: 10 Vial, Single-Dose In 1 Carton (0006-4897-00) / .5 Ml In 1 Vial, Single-Dose (0006-4897-01)",131.84,131.84,,,0 CDM,126228_00006489701,NDC Description Not Available,129.28,129.28,,,0 CDM,126234_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,126235_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,126240_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,126243_C1769_278,Noncdm Charge Record Medical Supplies,11.0,11.0,,,0 CDM,126244_57970010001,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,41.84,41.84,,,0 CDM,126244_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,126247_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,126249_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,126250_C1776_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,126257_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,126267_270,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,126277_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126278_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126279_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126283_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126284_C1725_278,Noncdm Charge Record Medical Supplies,353.1,353.1,,,0 CDM,126285_66658023401,NDC Description Not Available,796.07,796.07,,,0 CDM,126285_66658023407,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07) / .67 Ml In 1 Syringe, Glass",851.81,851.81,,,0 CDM,126285_C1725_278,Noncdm Charge Record Medical Supplies,344.3,344.3,,,0 CDM,126290_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126291_C1725_278,Noncdm Charge Record Medical Supplies,357.5,357.5,,,0 CDM,126292_C1725_278,Noncdm Charge Record Medical Supplies,344.3,344.3,,,0 CDM,126297_C1725_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,126298_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,1262_00517250201,NDC Description Not Available,140.31,140.31,,,0 CDM,1262_00517250210,"Caffeine And Sodium Benzoate: 10 Vial, Single-Dose In 1 Box (0517-2502-10) / 2 Ml In 1 Vial, Single-Dose (0517-2502-01)",145.66,145.66,,,0 CDM,126300_C1725_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,126301_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,126304_C1725_278,Noncdm Charge Record Medical Supplies,304.33,304.33,,,0 CDM,126305_C1725_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,126306_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,126307_C1725_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,126309_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,126312_C1725_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,126313_C1725_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,126336_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126338_C1889_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126339_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126340_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126341_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126342_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126344_Q4116_278,Noncdm Charge Record Medical Supplies,50.08,50.08,,,0 CDM,126344_Q4116_636,Noncdm Charge Record Pharmacy,48.38,48.38,,,0 CDM,126345_Q4116_278,Noncdm Charge Record Medical Supplies,51.67,51.67,,,0 CDM,126345_Q4116_636,Noncdm Charge Record Pharmacy,15480.9,15480.9,,,0 CDM,126346_C1762_278,Noncdm Charge Record Medical Supplies,10065.55,10065.55,,,0 CDM,126358_C2630_278,Noncdm Charge Record Medical Supplies,4216.3,4216.3,,,0 CDM,126359_C2630_278,Noncdm Charge Record Medical Supplies,4216.3,4216.3,,,0 CDM,126361_C2630_278,Noncdm Charge Record Medical Supplies,4216.3,4216.3,,,0 CDM,126367_C1769_278,Noncdm Charge Record Medical Supplies,224.4,224.4,,,0 CDM,126369_C1769_278,Noncdm Charge Record Medical Supplies,316.8,316.8,,,0 CDM,126393_67919004199,NDC Description Not Available,1898.04,1898.04,,,0 CDM,126394_67919004002,"Sivextro: 10 Vial, Glass In 1 Carton (67919-040-02) / 4 Ml In 1 Vial, Glass",7.56,7.56,,,0 CDM,126394_67919004099,NDC Description Not Available,7.64,7.64,,,0 CDM,126397_00006360301,NDC Description Not Available,34.44,34.44,,,0 CDM,126397_00006360361,"Isentress: 60 Packet In 1 Carton (0006-3603-61) / 1 Granule, For Suspension In 1 Packet (0006-3603-01)",36.05,36.05,,,0 CDM,126397_270,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,126404_00054038225,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0382-25),33.73,33.73,,,0 CDM,126405_00054038325,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25),30.97,30.97,,,0 CDM,126405_43975030810,CYCLOPHOSPHAMIDE: 100 CAPSULE in 1 BOTTLE (43975-308-10),29.71,29.71,,,0 CDM,126405_54879002201,Cyclophosphamide: 100 Capsule In 1 Bottle (54879-022-01),8.58,8.58,,,0 CDM,126405_62332061931,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-619-31),29.73,29.73,,,0 CDM,126405_69097051707,Cyclophosphamide: 100 Capsule In 1 Bottle (69097-517-07),31.98,31.98,,,0 CDM,126410_270,Noncdm Charge Record Medical Supplies,1383.8,1383.8,,,0 CDM,126411_270,Noncdm Charge Record Medical Supplies,1364.04,1364.04,,,0 CDM,126412_270,Noncdm Charge Record Medical Supplies,1364.0,1364.0,,,0 CDM,126413_270,Noncdm Charge Record Medical Supplies,1364.0,1364.0,,,0 CDM,126423_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,126430_270,Noncdm Charge Record Medical Supplies,828.52,828.52,,,0 CDM,126443_270,Noncdm Charge Record Medical Supplies,2922.89,2922.89,,,0 CDM,126444_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,126448_C1778_278,Noncdm Charge Record Medical Supplies,4543.0,4543.0,,,0 CDM,126453_42858035340,Buprenorphine: 4 Pouch In 1 Carton (42858-353-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,325.11,325.11,,,0 CDM,126453_50742037301,NDC Description Not Available,420.17,420.17,,,0 CDM,126453_50742037304,Buprenorphine: 4 Pouch In 1 Carton (50742-373-04) / 1 Patch In 1 Pouch / 168 H In 1 Patch,420.15,420.15,,,0 CDM,126453_69238150502,Buprenorphine: 4 Pouch In 1 Carton (69238-1505-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,420.24,420.24,,,0 CDM,126463_C1781_278,Noncdm Charge Record Medical Supplies,613.8,613.8,,,0 CDM,126464_C1781_278,Noncdm Charge Record Medical Supplies,803.0,803.0,,,0 CDM,126465_C1781_278,Noncdm Charge Record Medical Supplies,895.4,895.4,,,0 CDM,126466_C1781_278,Noncdm Charge Record Medical Supplies,1428.9,1428.9,,,0 CDM,126470_72893000201,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,118.75,118.75,,,0 CDM,126480_L8509_274,Noncdm Charge Record Medical Supplies,521.68,521.68,,,0 CDM,126481_L8509_274,Noncdm Charge Record Medical Supplies,515.9,515.9,,,0 CDM,126489_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,126497_270,Noncdm Charge Record Medical Supplies,1877.7,1877.7,,,0 CDM,126499_C1820_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,126501_270,Noncdm Charge Record Medical Supplies,607.01,607.01,,,0 CDM,126514_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,126545_C1894_278,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,126546_C1894_278,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,126550_C1776_278,Noncdm Charge Record Medical Supplies,1308.25,1308.25,,,0 CDM,126560_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,126561_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,126564_L8509_274,Noncdm Charge Record Medical Supplies,529.1,529.1,,,0 CDM,126574_C1769_278,Noncdm Charge Record Medical Supplies,37.45,37.45,,,0 CDM,126576_C1781_278,Noncdm Charge Record Medical Supplies,5682.6,5682.6,,,0 CDM,126578_C1874_278,Noncdm Charge Record Medical Supplies,4210.8,4210.8,,,0 CDM,126579_42367054032,Ryanodex Dantrolene Sodium: 1 Vial In 1 Carton (42367-540-32) / 20 Ml In 1 Vial,7729.34,7729.34,,,0 CDM,126579_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,126582_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,126587_270,Noncdm Charge Record Medical Supplies,1491.7,1491.7,,,0 CDM,126587_C1726_270,Noncdm Charge Record Medical Supplies,1486.83,1486.83,,,0 CDM,126591_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,126603_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,126605_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,126606_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,126623_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,126626_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,126627_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,126630_00597015237,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37) / 1 Tablet, Film Coated In 1 Blister Pack",88.12,88.12,,,0 CDM,126632_00597015330,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0153-30)",47.92,47.92,,,0 CDM,126636_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,126653_70842014003,"Orbactiv: 3 Vial, Glass In 1 Carton (70842-140-03) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (70842-140-01)",71.74,71.74,,,0 CDM,126660_C9359_278,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,126667_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,126670_C1733_272,Noncdm Charge Record Medical Supplies,6468.0,6468.0,,,0 CDM,126670_C1733_278,Noncdm Charge Record Medical Supplies,6468.0,6468.0,,,0 CDM,126671_270,Noncdm Charge Record Medical Supplies,3360.5,3360.5,,,0 CDM,126672_270,Noncdm Charge Record Medical Supplies,1910.7,1910.7,,,0 CDM,126673_270,Noncdm Charge Record Medical Supplies,2635.62,2635.62,,,0 CDM,126676_C1889_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,126701_C1887_278,Noncdm Charge Record Medical Supplies,19.25,19.25,,,0 CDM,126702_C1887_278,Noncdm Charge Record Medical Supplies,19.43,19.43,,,0 CDM,126703_C1887_278,Noncdm Charge Record Medical Supplies,784.3,784.3,,,0 CDM,126705_C1887_278,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,126706_C1887_272,Noncdm Charge Record Medical Supplies,943.8,943.8,,,0 CDM,126706_C1887_278,Noncdm Charge Record Medical Supplies,943.81,943.81,,,0 CDM,126709_C1769_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,126710_C1769_272,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126710_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126711_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126713_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126715_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,126716_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,126717_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,126725_C1725_278,Noncdm Charge Record Medical Supplies,1189.1,1189.1,,,0 CDM,126729_C1893_278,Noncdm Charge Record Medical Supplies,442.51,442.51,,,0 CDM,126749_270,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,126757_C1729_278,Noncdm Charge Record Medical Supplies,330.0,330.0,,,0 CDM,126758_C1729_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,126763_C1894_278,Noncdm Charge Record Medical Supplies,148.63,148.63,,,0 CDM,126764_270,Noncdm Charge Record Medical Supplies,828.3,828.3,,,0 CDM,126769_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126770_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,126771_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126772_49702023113,"Triumeq: 30 Tablet, Film Coated In 1 Bottle (49702-231-13)",544.15,544.15,,,0 CDM,126772_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,126774_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,126775_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,126788_270,Noncdm Charge Record Medical Supplies,1479.5,1479.5,,,0 CDM,126789_C1726_270,Noncdm Charge Record Medical Supplies,1397.0,1397.0,,,0 CDM,126800_V2790_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,126834_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126835_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126836_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126837_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126838_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126839_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,126843_270,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,126847_00069623702,"Octagam Immune Globulin (Human): 1 Bottle, Glass In 1 Carton (0069-6237-02) / 200 Ml In 1 Bottle, Glass (0069-6237-01)",239.68,239.68,,,0 CDM,126847_68982085002,"Octagam Immune Globulin (Human): 50 Ml In 1 Bottle, Glass (68982-850-02)",230.84,230.84,,,0 CDM,126847_68982085003,"Octagam Immune Globulin (Human): 100 Ml In 1 Bottle, Glass (68982-850-03)",230.87,230.87,,,0 CDM,126847_68982085004,"Octagam Immune Globulin (Human): 200 Ml In 1 Bottle, Glass (68982-850-04)",230.87,230.87,,,0 CDM,126847_68982085005,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",230.86,230.86,,,0 CDM,126847_Q4160_278,Noncdm Charge Record Medical Supplies,182.88,182.88,,,0 CDM,126857_59651042011,Sildenafil Citrate: 1 Bottle In 1 Carton (59651-420-11) / 112 Ml In 1 Bottle,285.5,285.5,,,0 CDM,126857_59762205801,Sildenafil: 1 Bottle In 1 Carton (59762-2058-1) / 112 Ml In 1 Bottle,286.34,286.34,,,0 CDM,126857_72205005976,Sildenafil Citrate: 1 Bottle In 1 Carton (72205-059-76) / 112 Ml In 1 Bottle,143.17,143.17,,,0 CDM,126862_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,126863_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,126864_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,126865_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,126866_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,126876_C1726_278,Noncdm Charge Record Medical Supplies,975.7,975.7,,,0 CDM,126878_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,126879_C1762_636,Noncdm Charge Record Pharmacy,2523.5,2523.5,,,0 CDM,126888_C1887_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,126992_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,126993_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,126996_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,126997_C1874_278,Noncdm Charge Record Medical Supplies,4859.98,4859.98,,,0 CDM,126998_C1874_278,Noncdm Charge Record Medical Supplies,5402.1,5402.1,,,0 CDM,127034_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,127036_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,127037_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,127040_270,Noncdm Charge Record Medical Supplies,807.4,807.4,,,0 CDM,127041_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,127042_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,127045_C1713_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,127046_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,127048_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127049_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127049_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127050_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127050_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127051_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127055_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127059_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127065_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127065_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127066_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127066_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127068_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127071_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,127072_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127073_C1889_278,Noncdm Charge Record Medical Supplies,211.75,211.75,,,0 CDM,127075_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127076_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127081_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,127083_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,127085_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127086_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127088_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127094_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127095_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127096_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127097_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127099_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127100_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127101_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127102_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127103_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127104_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127105_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127108_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127109_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127110_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127111_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127112_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127113_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,127116_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,127117_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,127121_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127122_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127126_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127127_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127128_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127129_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127131_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127132_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127133_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127134_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127135_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,127137_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,127138_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,127155_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127156_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127156_C1762_636,Noncdm Charge Record Pharmacy,1009.4,1009.4,,,0 CDM,127166_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,127171_A4648_278,Noncdm Charge Record Medical Supplies,756.83,756.83,,,0 CDM,127172_A4648_278,Noncdm Charge Record Medical Supplies,770.77,770.77,,,0 CDM,127173_A4648_278,Noncdm Charge Record Medical Supplies,765.6,765.6,,,0 CDM,127174_A4648_278,Noncdm Charge Record Medical Supplies,753.76,753.76,,,0 CDM,127176_C2617_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,127177_C2617_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,127178_C2617_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,127196_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127198_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127199_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127205_270,Noncdm Charge Record Medical Supplies,979.0,979.0,,,0 CDM,127206_270,Noncdm Charge Record Medical Supplies,3449.6,3449.6,,,0 CDM,127207_270,Noncdm Charge Record Medical Supplies,946.0,946.0,,,0 CDM,127208_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,127209_C1876_278,Noncdm Charge Record Medical Supplies,23261.7,23261.7,,,0 CDM,127210_C1874_278,Noncdm Charge Record Medical Supplies,27318.5,27318.5,,,0 CDM,127214_270,Noncdm Charge Record Medical Supplies,348.7,348.7,,,0 CDM,127216_C1713_278,Noncdm Charge Record Medical Supplies,485.1,485.1,,,0 CDM,127235_270,Noncdm Charge Record Medical Supplies,924.95,924.95,,,0 CDM,127236_C1725_278,Noncdm Charge Record Medical Supplies,199.15,199.15,,,0 CDM,127245_C1729_278,Noncdm Charge Record Medical Supplies,911.9,911.9,,,0 CDM,127249_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,12724_16714079501,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),45.6,45.6,,,0 CDM,12724_16714079502,Terbinafine: 100 Tablet In 1 Bottle (16714-795-02),48.23,48.23,,,0 CDM,12724_51991052601,Terbinafine Hydrochloride: 100 Tablet In 1 Bottle (51991-526-01),47.15,47.15,,,0 CDM,127251_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127252_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127254_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,127257_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127261_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127262_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127263_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127271_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127272_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127273_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127274_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127277_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127278_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127279_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127280_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127282_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127283_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127284_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127285_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127286_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127287_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,127298_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127304_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,127306_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127307_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127308_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127309_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127310_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127311_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127312_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127313_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127316_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127317_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127319_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127320_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127321_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127322_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127323_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127324_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127325_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127326_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127327_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127328_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127329_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127330_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127331_00597010051,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51) / 10 Spray, Metered In 1 Cartridge",324.45,324.45,,,0 CDM,127331_00597010061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-61) / 60 Spray, Metered In 1 Cartridge",1303.98,1303.98,,,0 CDM,127332_61364018103,"Rapivab: 3 VIAL, GLASS in 1 CARTON (61364-181-03) / 20 mL in 1 VIAL, GLASS (61364-181-01)",6.85,6.85,,,0 CDM,127332_72769018101,NDC Description Not Available,5.25,5.25,,,0 CDM,127332_72769018103,"Rapivab: 3 Vial, Glass In 1 Carton (72769-181-03) / 20 Ml In 1 Vial, Glass (72769-181-01)",4.08,4.08,,,0 CDM,127344_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127348,Noncdm Charge Record,143.65,143.65,,,0 CDM,127348_58160097602,NDC Description Not Available,953.96,953.96,,,0 CDM,127348_58160097606,NDC Description Not Available,967.17,967.17,,,0 CDM,127348_58160097620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),576.8,576.8,,,0 CDM,127349_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,127350_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,127351_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,127352_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,127355_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127356_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,127357_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,127358_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,127359_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,127362_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,127367_00006003310,NDC Description Not Available,61.04,61.04,,,0 CDM,127367_00006003313,"Belsomra: 1 Blister Pack In 1 Case (0006-0033-13) / 3 Tablet, Film Coated In 1 Blister Pack",60.98,60.98,,,0 CDM,127367_00006003330,"Belsomra: 3 Case In 1 Carton (0006-0033-30) / 1 Blister Pack In 1 Case (0006-0033-10) / 10 Tablet, Film Coated In 1 Blister Pack",64.12,64.12,,,0 CDM,127369_00006033510,NDC Description Not Available,60.96,60.96,,,0 CDM,127372_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127380_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127381_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127392_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127393_59922063101,"Auryxia: 200 Tablet, Film Coated In 1 Bottle (59922-631-01)",1.18,1.18,,,0 CDM,127393_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127411_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127412_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127413_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127414_61958140101,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",43.08,43.08,,,0 CDM,127417_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127418_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,127422_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127423_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127424_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127425_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127428_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127429_00904673204,Colchicine: 30 Blister Pack In 1 Carton (0904-6732-04) / 1 Capsule In 1 Blister Pack,24.1,24.1,,,0 CDM,127429_60687035895,NDC Description Not Available,29.5,29.5,,,0 CDM,127433_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127436_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,127445_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,127447_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,127449_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127450_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127451_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127452_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127453_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127454_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127455_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127456_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127458_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,127461_270,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,127462_270,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,127463_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,127468_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,127469_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,127484_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127485_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127486_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127487_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127488_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127489_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,12748_32909018702,"E-Z-Paque: 12 Bottle, Plastic In 1 Carton (32909-187-02) / 355 Ml In 1 Bottle, Plastic",13.67,13.67,,,0 CDM,127490_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127491_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127492_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127493_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127494_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127495_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127496_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127498_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127503_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127504_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,127509_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,127514_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127515_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127518_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,127520_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127521_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127522_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127523_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127529_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127530_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127531_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127532_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127533_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127534_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127535_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127537_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127538_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127539_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127540_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127546_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127549_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127562_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127573_00944500101,"Obizur: 1 Kit In 1 Carton (0944-5001-01) * 1 Ml In 1 Vial, Glass (0944-5011-01) * 1 Ml In 1 Syringe, Glass (0944-0011-01)",7.29,7.29,,,0 CDM,127576_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127577_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127584_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127586_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127587_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127589_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,127596_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127598_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127600_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127604_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127605_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127606_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,127608_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127611_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127612_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127617_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127618_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127619_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127620_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127622_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127624_C1776_278,Noncdm Charge Record Medical Supplies,134.75,134.75,,,0 CDM,127625_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127626_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127627_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127633_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127635_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127636_00517102001,NDC Description Not Available,59.89,59.89,,,0 CDM,127636_00517102025,"Vasopressin: 25 Vial, Single-Dose In 1 Carton (0517-1020-25) / 1 Ml In 1 Vial, Single-Dose (0517-1020-01)",210.41,210.41,,,0 CDM,127636_00548970100,Vasopressin: 1 Vial In 1 Carton (0548-9701-00) / 1 Ml In 1 Vial,145.02,145.02,,,0 CDM,127636_42023016401,NDC Description Not Available,348.66,348.66,,,0 CDM,127636_42023016410,Vasostrict: 10 Vial In 1 Carton (42023-164-10) / 1 Ml In 1 Vial (42023-164-01),320.02,320.02,,,0 CDM,127636_42023016425,Vasostrict: 25 Vial In 1 Carton (42023-164-25) / 1 Ml In 1 Vial (42023-164-01),349.64,349.64,,,0 CDM,127636_43598091406,Vasopressin: 25 Vial In 1 Carton (43598-914-06) / 1 Ml In 1 Vial (43598-914-11),99.52,99.52,,,0 CDM,127636_43598091411,NDC Description Not Available,99.52,99.52,,,0 CDM,127636_43598091425,Vasopressin: 25 Vial In 1 Carton (43598-914-25) / 1 Ml In 1 Vial (43598-914-11),99.52,99.52,,,0 CDM,127636_55150037000,NDC Description Not Available,324.45,324.45,,,0 CDM,127636_55150037001,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01) / 1 Ml In 1 Vial, Multi-Dose",276.64,276.64,,,0 CDM,127636_55150037024,"Vasopressin: 25 Vial, Multi-Dose In 1 Carton (55150-370-24) / 1 Ml In 1 Vial, Multi-Dose",324.45,324.45,,,0 CDM,127636_55150037025,"Vasopressin: 25 Vial, Multi-Dose In 1 Carton (55150-370-25) / 1 Ml In 1 Vial, Multi-Dose",298.71,298.71,,,0 CDM,127636_63323093000,NDC Description Not Available,98.95,98.95,,,0 CDM,127636_63323093001,"Vasopressin: 25 Vial, Single-Dose In 1 Tray (63323-930-01) / 1 Ml In 1 Vial, Single-Dose (63323-930-00)",99.51,99.51,,,0 CDM,127636_65219003900,NDC Description Not Available,74.85,74.85,,,0 CDM,127636_65219003901,"Vasopressin: 25 Vial, Single-Dose In 1 Tray (65219-039-01) / 1 Ml In 1 Vial, Single-Dose (65219-039-00)",99.91,99.91,,,0 CDM,127636_70121164205,Vasopressin: 25 Vial In 1 Carton (70121-1642-5) / 1 Ml In 1 Vial (70121-1642-1),454.49,454.49,,,0 CDM,127638_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127639_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127640_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127642_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,127649_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127663_00409729511,NDC Description Not Available,1.11,1.11,,,0 CDM,127668_00781304072,NDC Description Not Available,30.86,30.86,,,0 CDM,127668_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,127671_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127672_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127678_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,127679_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,127680_C1776_278,Noncdm Charge Record Medical Supplies,458.98,458.98,,,0 CDM,127681_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,127682_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127683_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127684_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127685_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127686_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,127687_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127688_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127689_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127690_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127694_00409166020,Precedex: 10 Vial In 1 Carton (0409-1660-20) / 20 Ml In 1 Vial (0409-1660-22),25.59,25.59,,,0 CDM,127694_00409166022,NDC Description Not Available,28.12,28.12,,,0 CDM,127694_00781349380,NDC Description Not Available,41.2,41.2,,,0 CDM,127694_63323067102,NDC Description Not Available,30.9,30.9,,,0 CDM,127694_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127695_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127696_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,127697_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,127703_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,127706_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,127711_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,127718_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,127720_C2625_278,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,127721_C2625_278,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,127728_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,127735_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127736_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127737_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127743_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127744_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127745_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,127749_00641610301,NDC Description Not Available,114.76,114.76,,,0 CDM,127749_00641610310,Robaxin: 10 Vial In 1 Carton (0641-6103-10) / 10 Ml In 1 Vial (0641-6103-01),121.2,121.2,,,0 CDM,127749_00641610325,Robaxin: 25 Vial In 1 Carton (0641-6103-25) / 10 Ml In 1 Vial (0641-6103-01),121.51,121.51,,,0 CDM,127749_00641621701,NDC Description Not Available,8.55,8.55,,,0 CDM,127749_00641621710,Robaxin: 10 Vial In 1 Carton (0641-6217-10) / 10 Ml In 1 Vial (0641-6217-01),28.84,28.84,,,0 CDM,127749_25021067510,Methocarbamol: 25 Vial In 1 Carton (25021-675-10) / 10 Ml In 1 Vial,36.1,36.1,,,0 CDM,127749_43598083911,NDC Description Not Available,34.4,34.4,,,0 CDM,127749_43598083936,Methocarbamol: 10 Vial In 1 Carton (43598-839-36) / 10 Ml In 1 Vial (43598-839-11),43.26,43.26,,,0 CDM,127749_55150022310,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10) / 10 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 CDM,127749_63323077810,Methocarbamol: 25 Vial In 1 Carton (63323-778-10) / 10 Ml In 1 Vial (63323-778-21),43.26,43.26,,,0 CDM,127749_63323077821,NDC Description Not Available,32.22,32.22,,,0 CDM,127749_70069010101,NDC Description Not Available,26.75,26.75,,,0 CDM,127749_70069010125,Methocarbamol: 25 Vial In 1 Carton (70069-101-25) / 10 Ml In 1 Vial,26.78,26.78,,,0 CDM,127749_71288071611,NDC Description Not Available,39.0,39.0,,,0 CDM,127757_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127758_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127759_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127760_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127761_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127762_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127763_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127765_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127766_55513016001,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),325.97,325.97,,,0 CDM,127766_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127772_44206030001,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",42.19,42.19,,,0 CDM,127772_44206030090,NDC Description Not Available,40.87,40.87,,,0 CDM,127777_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127778_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127781_270,Noncdm Charge Record Medical Supplies,1710.5,1710.5,,,0 CDM,127782_270,Noncdm Charge Record Medical Supplies,1710.5,1710.5,,,0 CDM,127784_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,127785_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,127786_270,Noncdm Charge Record Medical Supplies,1007.6,1007.6,,,0 CDM,127806_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,127807_C1769_278,Noncdm Charge Record Medical Supplies,655.6,655.6,,,0 CDM,127808_270,Noncdm Charge Record Medical Supplies,797.5,797.5,,,0 CDM,127818_270,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,127819_C9359_278,Noncdm Charge Record Medical Supplies,694.26,694.26,,,0 CDM,127827_C1713_278,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,127829_270,Noncdm Charge Record Medical Supplies,3315.26,3315.26,,,0 CDM,127839_C1713_278,Noncdm Charge Record Medical Supplies,4723.4,4723.4,,,0 CDM,127841_67919003001,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",34.72,34.72,,,0 CDM,127843_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,127844_270,Noncdm Charge Record Medical Supplies,1183.6,1183.6,,,0 CDM,127846_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,127856_C1713_278,Noncdm Charge Record Medical Supplies,3149.3,3149.3,,,0 CDM,127858_C1713_278,Noncdm Charge Record Medical Supplies,1105.13,1105.13,,,0 CDM,127859_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,127862_270,Noncdm Charge Record Medical Supplies,930.6,930.6,,,0 CDM,127863_C1713_278,Noncdm Charge Record Medical Supplies,1144.18,1144.18,,,0 CDM,127865_C1713_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,127886_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,127901_C1713_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,127909_64896066201,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-662-01)",13.18,13.18,,,0 CDM,127916_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,127922_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,127925_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,127929_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,127934_C1713_278,Noncdm Charge Record Medical Supplies,734.08,734.08,,,0 CDM,127935_C1713_278,Noncdm Charge Record Medical Supplies,671.0,671.0,,,0 CDM,127946_C1713_278,Noncdm Charge Record Medical Supplies,353.1,353.1,,,0 CDM,127949_C1713_278,Noncdm Charge Record Medical Supplies,2359.58,2359.58,,,0 CDM,127950_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,127953_250,Noncdm Charge Record Pharmacy,179.8,179.8,,,0 CDM,127953_Q4180_250,Noncdm Charge Record Pharmacy,11.27,11.27,,,0 CDM,127953_Q4180_278,Noncdm Charge Record Medical Supplies,179.51,179.51,,,0 CDM,127953_Q4180_636,Noncdm Charge Record Pharmacy,179.8,179.8,,,0 CDM,127964_00006302601,NDC Description Not Available,137.83,137.83,,,0 CDM,127964_00006302602,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),137.65,137.65,,,0 CDM,127964_00006302604,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),112.15,112.15,,,0 CDM,127984_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,127986_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,127990_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127991_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,127995_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127996_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127997_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,127999_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,1280000001,Hc Room Semi-Private Rehab,3038.0,3038.0,,,0 CDM,128001_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,128007_270,Noncdm Charge Record Medical Supplies,797.03,797.03,,,0 CDM,128008_270,Noncdm Charge Record Medical Supplies,797.09,797.09,,,0 CDM,128009_270,Noncdm Charge Record Medical Supplies,797.07,797.07,,,0 CDM,128010_270,Noncdm Charge Record Medical Supplies,1836.97,1836.97,,,0 CDM,128011_Q4180_278,Noncdm Charge Record Medical Supplies,127.01,127.01,,,0 CDM,128011_Q4180_636,Noncdm Charge Record Pharmacy,155.92,155.92,,,0 CDM,128016_270,Noncdm Charge Record Medical Supplies,1184.7,1184.7,,,0 CDM,128017_270,Noncdm Charge Record Medical Supplies,1184.7,1184.7,,,0 CDM,128018_270,Noncdm Charge Record Medical Supplies,1178.1,1178.1,,,0 CDM,128019_270,Noncdm Charge Record Medical Supplies,1184.7,1184.7,,,0 CDM,128023_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,128025_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,128027_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,128028_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,128030_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,128034_270,Noncdm Charge Record Medical Supplies,547.8,547.8,,,0 CDM,128035_270,Noncdm Charge Record Medical Supplies,547.8,547.8,,,0 CDM,128036_C1713_278,Noncdm Charge Record Medical Supplies,2337.5,2337.5,,,0 CDM,128038_C1713_278,Noncdm Charge Record Medical Supplies,2049.3,2049.3,,,0 CDM,12803_68084092895,NDC Description Not Available,10.33,10.33,,,0 CDM,128048_270,Noncdm Charge Record Medical Supplies,405.9,405.9,,,0 CDM,128049_270,Noncdm Charge Record Medical Supplies,412.5,412.5,,,0 CDM,128050_270,Noncdm Charge Record Medical Supplies,844.8,844.8,,,0 CDM,128054_00069018721,Ibrance: 21 Capsule In 1 Bottle (0069-0187-21),959.62,959.62,,,0 CDM,128057_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,128071_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,128073_C1713_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,128077_C1713_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,128078_C1713_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,128082_C1713_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,128091_C1713_278,Noncdm Charge Record Medical Supplies,1071.4,1071.4,,,0 CDM,128092_C1713_278,Noncdm Charge Record Medical Supplies,1071.4,1071.4,,,0 CDM,128102_62856072005,NDC Description Not Available,10.21,10.21,,,0 CDM,128105_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128106_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128109_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128110_C1874_278,Noncdm Charge Record Medical Supplies,2957.9,2957.9,,,0 CDM,128111_270,Noncdm Charge Record Medical Supplies,1356.3,1356.3,,,0 CDM,128114_C1758_278,Noncdm Charge Record Medical Supplies,25.3,25.3,,,0 CDM,128118_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,128137_C1751_278,Noncdm Charge Record Medical Supplies,250.73,250.73,,,0 CDM,128147_00378647016,NDC Description Not Available,82.45,82.45,,,0 CDM,128147_00378647044,Scopolamine: 24 Pouch In 1 Carton (0378-6470-44) / 1 Patch In 1 Pouch / 3 D In 1 Patch,82.45,82.45,,,0 CDM,128147_00591225854,NDC Description Not Available,87.55,87.55,,,0 CDM,128147_10019055303,Transderm Scop: 10 Pouch In 1 Box (10019-553-03) / 1 Patch In 1 Pouch / 3 D In 1 Patch,91.72,91.72,,,0 CDM,128147_10019055390,Transderm Scop: 1 Patch In 1 Pouch (10019-553-90) / 3 D In 1 Patch,91.81,91.81,,,0 CDM,128147_50742050501,NDC Description Not Available,73.02,73.02,,,0 CDM,128147_50742050524,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24) / 1 Patch, Extended Release In 1 Pouch",82.4,82.4,,,0 CDM,128162_C1894_278,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,128163_00456270001,NDC Description Not Available,403.63,403.63,,,0 CDM,128163_00456270010,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",418.8,418.8,,,0 CDM,128166_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,128175_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,128176_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,128177_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,128178_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,128179_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,128187_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,128191_C1713_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,128192_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,128193_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,128196_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,128197_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,128198_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,128209_00469052001,NDC Description Not Available,462.99,462.99,,,0 CDM,128209_00469052014,Cresemba: 4 Carton In 1 Carton (0469-0520-14) / 14 Blister Pack In 1 Carton (0469-0520-02) / 1 Capsule In 1 Blister Pack,436.72,436.72,,,0 CDM,128211_00469042001,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.45,4.45,,,0 CDM,128211_00469042099,"Cresemba: 10 Carton In 1 Carton (0469-0420-99) / 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.24,4.24,,,0 CDM,128229_00023585801,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,2323.86,2323.86,,,0 CDM,128243_C1769_278,Noncdm Charge Record Medical Supplies,272.78,272.78,,,0 CDM,128244_C1894_278,Noncdm Charge Record Medical Supplies,247.54,247.54,,,0 CDM,128262_C1874_278,Noncdm Charge Record Medical Supplies,6697.79,6697.79,,,0 CDM,128294_270,Noncdm Charge Record Medical Supplies,4450.6,4450.6,,,0 CDM,128308_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,128328_00143931801,NDC Description Not Available,62.48,62.48,,,0 CDM,128328_00143931810,Norepinephrine Bitartrate: 10 Vial In 1 Carton (0143-9318-10) / 4 Ml In 1 Vial (0143-9318-01),62.66,62.66,,,0 CDM,128328_00409337504,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04) / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",87.24,87.24,,,0 CDM,128328_00409337514,NDC Description Not Available,56.14,56.14,,,0 CDM,128328_00703115303,"Norepinephrine Bitartrate: 10 VIAL, SINGLE-USE in 1 CARTON (0703-1153-03) / 4 mL in 1 VIAL, SINGLE-USE (0703-1153-01)",78.28,78.28,,,0 CDM,128328_00781375575,NDC Description Not Available,82.14,82.14,,,0 CDM,128328_00781375595,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (0781-3755-95) / 4 Ml In 1 Vial, Single-Dose (0781-3755-75)",81.88,81.88,,,0 CDM,128328_67457085200,NDC Description Not Available,55.81,55.81,,,0 CDM,128328_72078000200,NDC Description Not Available,37.1,37.1,,,0 CDM,128328_72078000204,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (72078-002-04) / 4 Ml In 1 Vial, Single-Dose (72078-002-00)",75.54,75.54,,,0 CDM,128338_C1767_278,Noncdm Charge Record Medical Supplies,54285.0,54285.0,,,0 CDM,128339_270,Noncdm Charge Record Medical Supplies,10213.5,10213.5,,,0 CDM,128375_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128376_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128377_C1789_278,Noncdm Charge Record Medical Supplies,2887.5,2887.5,,,0 CDM,128378_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128379_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128380_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128385_C1789_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,128386_C1789_278,Noncdm Charge Record Medical Supplies,2873.64,2873.64,,,0 CDM,128394_C1789_278,Noncdm Charge Record Medical Supplies,1362.9,1362.9,,,0 CDM,128408_C1726_278,Noncdm Charge Record Medical Supplies,2786.3,2786.3,,,0 CDM,128409_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,128432_43598085130,Deferasirox: 30 Tablet In 1 Bottle (43598-851-30),3.12,3.12,,,0 CDM,128447_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128452_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128457_C1713_278,Noncdm Charge Record Medical Supplies,603.27,603.27,,,0 CDM,128473_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,128516_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,128523_270,Noncdm Charge Record Medical Supplies,749.1,749.1,,,0 CDM,128528_C1713_270,Noncdm Charge Record Medical Supplies,787.6,787.6,,,0 CDM,128537_C1713_278,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,128540_31722005360,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (31722-053-60)",38.4,38.4,,,0 CDM,128540_50742036260,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (50742-362-60)",34.42,34.42,,,0 CDM,128540_55513080060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",38.03,38.03,,,0 CDM,128541_55513081060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-810-60)",43.25,43.25,,,0 CDM,128553_C1874_278,Noncdm Charge Record Medical Supplies,22036.3,22036.3,,,0 CDM,128554_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,128555_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,128562_C1751_278,Noncdm Charge Record Medical Supplies,191.17,191.17,,,0 CDM,128563_C1751_278,Noncdm Charge Record Medical Supplies,73.97,73.97,,,0 CDM,128564_C1883_275,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,128565_C1767_278,Noncdm Charge Record Medical Supplies,15400.0,15400.0,,,0 CDM,128566_C1767_278,Noncdm Charge Record Medical Supplies,26950.0,26950.0,,,0 CDM,128567_C1894_278,Noncdm Charge Record Medical Supplies,69.48,69.48,,,0 CDM,128570_C1730_278,Noncdm Charge Record Medical Supplies,170.54,170.54,,,0 CDM,128572_C1713_278,Noncdm Charge Record Medical Supplies,722.7,722.7,,,0 CDM,128573_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,128574_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,128577_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,128578_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,128579_C1713_278,Noncdm Charge Record Medical Supplies,234.08,234.08,,,0 CDM,128581_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,128582_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,128583_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,128584_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,128585_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,128587_C1713_278,Noncdm Charge Record Medical Supplies,162.47,162.47,,,0 CDM,128588_270,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,128588_C1713_278,Noncdm Charge Record Medical Supplies,162.47,162.47,,,0 CDM,128589_C1713_278,Noncdm Charge Record Medical Supplies,162.63,162.63,,,0 CDM,128590_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,128591_C1713_278,Noncdm Charge Record Medical Supplies,156.25,156.25,,,0 CDM,128595_C1887_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,128596_C1887_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,128598_270,Noncdm Charge Record Medical Supplies,721.6,721.6,,,0 CDM,128600_C1769_272,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,128600_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,128601_C1769_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,128602_C1769_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,128607_C1887_278,Noncdm Charge Record Medical Supplies,149.6,149.6,,,0 CDM,128609_C1874_278,Noncdm Charge Record Medical Supplies,5590.2,5590.2,,,0 CDM,128612_C1874_278,Noncdm Charge Record Medical Supplies,5590.2,5590.2,,,0 CDM,128613_C1874_278,Noncdm Charge Record Medical Supplies,5590.2,5590.2,,,0 CDM,128614_C1874_278,Noncdm Charge Record Medical Supplies,5336.1,5336.1,,,0 CDM,128747_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,128748_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,128751_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,128754_C1713_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,128755_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,128759_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,128769_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,128773_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128775_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128777_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,128781_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128783_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128786_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,128787_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,128788_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,128789_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,128790_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,128792_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,128793_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128812_C1889_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,128813_C1713_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,128813_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,128814_C1713_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,128814_C1889_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,128842_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128864_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128865_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128866_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128869_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,12886_00781602346,Clarithromycin: 100 Ml In 1 Bottle (0781-6023-46),35.74,35.74,,,0 CDM,12886_00781602352,Clarithromycin: 50 Ml In 1 Bottle (0781-6023-52),77.25,77.25,,,0 CDM,128871_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,128872_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,128874_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,128875_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128876_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128877_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128878_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,12887_17433987600,NDC Description Not Available,14.22,14.22,,,0 CDM,128880_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,128883_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128884_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,128886_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,128891_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,128892_270,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,128903_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,128906_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,128907_270,Noncdm Charge Record Medical Supplies,541.2,541.2,,,0 CDM,128948_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128949_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128950_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,128962_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,128963_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,128973_C1769_272,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,128973_C1769_278,Noncdm Charge Record Medical Supplies,406.95,406.95,,,0 CDM,128975_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129001_C1726_278,Noncdm Charge Record Medical Supplies,975.7,975.7,,,0 CDM,129012_270,Noncdm Charge Record Medical Supplies,2626.8,2626.8,,,0 CDM,129020_270,Noncdm Charge Record Medical Supplies,8415.0,8415.0,,,0 CDM,129021_270,Noncdm Charge Record Medical Supplies,5200.47,5200.47,,,0 CDM,129027_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129117_270,Noncdm Charge Record Medical Supplies,1411.3,1411.3,,,0 CDM,129119_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,129120_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,129122_C1887_278,Noncdm Charge Record Medical Supplies,473.0,473.0,,,0 CDM,129123_C1887_278,Noncdm Charge Record Medical Supplies,473.0,473.0,,,0 CDM,129126_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129127_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129132_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,129135_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,129138_270,Noncdm Charge Record Medical Supplies,1640.2,1640.2,,,0 CDM,129139_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,129140_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,129163_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129164_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129165_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129166_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129167_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129169_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129171_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129176_C1713_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,129178_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129179_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129180_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129199_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,129200_C1724_278,Noncdm Charge Record Medical Supplies,2720.47,2720.47,,,0 CDM,129201_C1724_278,Noncdm Charge Record Medical Supplies,2753.4,2753.4,,,0 CDM,129202_C1724_278,Noncdm Charge Record Medical Supplies,2698.08,2698.08,,,0 CDM,129203_C1724_278,Noncdm Charge Record Medical Supplies,2687.3,2687.3,,,0 CDM,129205_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,129208_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129209_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129210_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129211_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,129212_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,129239_C1781_278,Noncdm Charge Record Medical Supplies,905.3,905.3,,,0 CDM,129240_C1781_278,Noncdm Charge Record Medical Supplies,1433.3,1433.3,,,0 CDM,129241_C1781_278,Noncdm Charge Record Medical Supplies,2256.1,2256.1,,,0 CDM,129247_C1760_272,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,129247_C1760_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,129248_C1889_278,Noncdm Charge Record Medical Supplies,3962.2,3962.2,,,0 CDM,129249_C1713_278,Noncdm Charge Record Medical Supplies,3962.2,3962.2,,,0 CDM,129250_C1889_278,Noncdm Charge Record Medical Supplies,3962.2,3962.2,,,0 CDM,129254_C1889_278,Noncdm Charge Record Medical Supplies,3962.2,3962.2,,,0 CDM,129284_270,Noncdm Charge Record Medical Supplies,901.04,901.04,,,0 CDM,129293_270,Noncdm Charge Record Medical Supplies,475.2,475.2,,,0 CDM,129302_C1768_278,Noncdm Charge Record Medical Supplies,2955.7,2955.7,,,0 CDM,129303_270,Noncdm Charge Record Medical Supplies,13521.2,13521.2,,,0 CDM,129307_270,Noncdm Charge Record Medical Supplies,6257.93,6257.93,,,0 CDM,129308_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,129310_270,Noncdm Charge Record Medical Supplies,794.2,794.2,,,0 CDM,129312_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,129313_270,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,12933_00378204601,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2046-01)",16.08,16.08,,,0 CDM,12933_00781210301,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),16.58,16.58,,,0 CDM,12933_00904709761,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,5.29,5.29,,,0 CDM,12933_16714009901,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),16.48,16.48,,,0 CDM,12933_51079081801,NDC Description Not Available,16.05,16.05,,,0 CDM,12933_68084045011,NDC Description Not Available,16.03,16.03,,,0 CDM,129344_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,129345_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,129346_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,129347_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,12934_00904662461,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,7.78,7.78,,,0 CDM,12934_51079002801,NDC Description Not Available,16.07,16.07,,,0 CDM,12934_64380072206,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),16.18,16.18,,,0 CDM,12934_68084045101,"Tacrolimus: 100 Blister Pack In 1 Box, Unit-Dose (68084-451-01) / 1 Capsule In 1 Blister Pack (68084-451-11)",16.07,16.07,,,0 CDM,12934_68084045111,NDC Description Not Available,16.08,16.08,,,0 CDM,129353_C1776_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,129355_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129356_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129357_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129358_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129359_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,12935_00469301601,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,246.33,246.33,,,0 CDM,129368_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,129369_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129370_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129371_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129372_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129373_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129375_270,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,129375_C1713_278,Noncdm Charge Record Medical Supplies,73.46,73.46,,,0 CDM,129376_C1713_278,Noncdm Charge Record Medical Supplies,73.49,73.49,,,0 CDM,129377_C1713_278,Noncdm Charge Record Medical Supplies,73.6,73.6,,,0 CDM,129378_C1713_278,Noncdm Charge Record Medical Supplies,73.59,73.59,,,0 CDM,129379_C1713_278,Noncdm Charge Record Medical Supplies,73.56,73.56,,,0 CDM,129381_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,129382_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,129383_C1776_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,129385_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,129387_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129388_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129390_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129392_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,129397_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,129399_C1776_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,129400_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,129409_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,129413_270,Noncdm Charge Record Medical Supplies,434.5,434.5,,,0 CDM,129413_59676061001,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",863.81,863.81,,,0 CDM,129418_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,129419_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,129422_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,129423_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,129424_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,129430_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129431_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129432_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129433_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129434_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129437_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129438_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129439_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129440_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129441_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129453_61314031801,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,3.9,3.9,,,0 CDM,129453_61314031805,NDC Description Not Available,3.8,3.8,,,0 CDM,129454_61314032601,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,2.26,2.26,,,0 CDM,129454_61314032605,NDC Description Not Available,2.24,2.24,,,0 CDM,129457_C1889_278,Noncdm Charge Record Medical Supplies,6673.33,6673.33,,,0 CDM,129460_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129463_C1889_278,Noncdm Charge Record Medical Supplies,196.35,196.35,,,0 CDM,129466_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,129467_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129468_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129469_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129471_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129472_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129473_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129474_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129477_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129478_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129481_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,129482_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,129485_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,129486_C1713_278,Noncdm Charge Record Medical Supplies,95.12,95.12,,,0 CDM,129487_C1713_278,Noncdm Charge Record Medical Supplies,109.29,109.29,,,0 CDM,129488_C1713_278,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,129495_270,Noncdm Charge Record Medical Supplies,2640.0,2640.0,,,0 CDM,129499_C1713_278,Noncdm Charge Record Medical Supplies,369.4,369.4,,,0 CDM,129500_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,129501_C1713_278,Noncdm Charge Record Medical Supplies,369.44,369.44,,,0 CDM,129511_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129518_C1713_278,Noncdm Charge Record Medical Supplies,454.85,454.85,,,0 CDM,129519_C1713_278,Noncdm Charge Record Medical Supplies,293.7,293.7,,,0 CDM,129520_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,129521_C1713_278,Noncdm Charge Record Medical Supplies,446.6,446.6,,,0 CDM,129523_C1713_278,Noncdm Charge Record Medical Supplies,121.22,121.22,,,0 CDM,129525_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,129526_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,129528_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129529_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129532_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,129536_C1730_278,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,129537_C1732_278,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,129538_C1887_278,Noncdm Charge Record Medical Supplies,192.43,192.43,,,0 CDM,129539_C1887_278,Noncdm Charge Record Medical Supplies,192.43,192.43,,,0 CDM,129540_C1766_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,129541_C1892_278,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,129567_C2621_275,Noncdm Charge Record Medical Supplies,9455.6,9455.6,,,0 CDM,129579_270,Noncdm Charge Record Medical Supplies,1600.5,1600.5,,,0 CDM,129581_270,Noncdm Charge Record Medical Supplies,2154.9,2154.9,,,0 CDM,129601_63323059303,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",1092.83,1092.83,,,0 CDM,129629_C1729_278,Noncdm Charge Record Medical Supplies,113.3,113.3,,,0 CDM,129633_C1982_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,129634_C1982_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,129638_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,129639_C1769_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,129640_270,Noncdm Charge Record Medical Supplies,3318.98,3318.98,,,0 CDM,129646_00597015561,"Stiolto Respimat: 1 Cartridge In 1 Carton (0597-0155-61) / 60 Spray, Metered In 1 Cartridge",1195.83,1195.83,,,0 CDM,129647_50242005121,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",220.78,220.78,,,0 CDM,129647_50242005306,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",228.27,228.27,,,0 CDM,129651_00264420452,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,4.83,4.83,,,0 CDM,129651_00338170840,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1708-40) / 50 Ml In 1 Bag,13.64,13.64,,,0 CDM,129651_00409523901,NDC Description Not Available,17.52,17.52,,,0 CDM,129651_00409672911,NDC Description Not Available,17.37,17.37,,,0 CDM,129651_00409672924,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),17.33,17.33,,,0 CDM,129651_44567042024,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,7.4,7.4,,,0 CDM,129651_47335099201,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,14.16,14.16,,,0 CDM,129651_63323010602,NDC Description Not Available,13.83,13.83,,,0 CDM,129651_67457055300,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-553-00) / 50 Ml In 1 Bag,14.17,14.17,,,0 CDM,129651_70121171901,NDC Description Not Available,13.6,13.6,,,0 CDM,129651_83634050041,NDC Description Not Available,0.12,0.12,,,0 CDM,129652_00264420654,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4206-54) / 100 Ml In 1 Container,1.88,1.88,,,0 CDM,129652_00338171540,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1715-40) / 100 Ml In 1 Bag,3.36,3.36,,,0 CDM,129652_00409412101,NDC Description Not Available,4.38,4.38,,,0 CDM,129652_00409672923,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag (0409-6729-41),4.32,4.32,,,0 CDM,129652_00409672941,NDC Description Not Available,4.18,4.18,,,0 CDM,129652_44567042124,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-421-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.03,2.03,,,0 CDM,129652_47335099202,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-02) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.67,2.67,,,0 CDM,129652_63323010600,NDC Description Not Available,4.34,4.34,,,0 CDM,129652_63323010601,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-01) / 100 Ml In 1 Bag (63323-106-00),4.25,4.25,,,0 CDM,129652_67457055400,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-554-00) / 100 Ml In 1 Bag,3.49,3.49,,,0 CDM,129652_70121172001,NDC Description Not Available,3.3,3.3,,,0 CDM,129653_00409205001,NDC Description Not Available,0.66,0.66,,,0 CDM,129653_00409672903,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),0.63,0.63,,,0 CDM,129653_63323010615,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,0.67,0.67,,,0 CDM,129654_63323010610,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-10) / 1000 Ml In 1 Bag,0.5,0.5,,,0 CDM,129657_55513019001,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,1310.91,1310.91,,,0 CDM,129658_55513019201,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,1294.17,1294.17,,,0 CDM,129658_70114010101,Udenyca: 1 Syringe In 1 Carton (70114-101-01) / .6 Ml In 1 Syringe,1322.09,1322.09,,,0 CDM,129671_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,129682_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,129683_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,129684_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129685_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129689_55513020901,NDC Description Not Available,2.74,2.74,,,0 CDM,129689_55513092401,NDC Description Not Available,4.74,4.74,,,0 CDM,129689_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,129690_55513020901,NDC Description Not Available,2.64,2.64,,,0 CDM,129690_55513020991,Neupogen: 1 Syringe In 1 Box (55513-209-91) / .8 Ml In 1 Syringe,2.74,2.74,,,0 CDM,129694_C1751_278,Noncdm Charge Record Medical Supplies,194.7,194.7,,,0 CDM,129696_L8614_278,Noncdm Charge Record Medical Supplies,29357.9,29357.9,,,0 CDM,129697_L8614_278,Noncdm Charge Record Medical Supplies,30998.0,30998.0,,,0 CDM,129698_L8614_278,Noncdm Charge Record Medical Supplies,29357.9,29357.9,,,0 CDM,129699_C1769_278,Noncdm Charge Record Medical Supplies,904.2,904.2,,,0 CDM,129703_C1725_278,Noncdm Charge Record Medical Supplies,446.6,446.6,,,0 CDM,129704_C1725_278,Noncdm Charge Record Medical Supplies,446.6,446.6,,,0 CDM,129706_C1894_278,Noncdm Charge Record Medical Supplies,749.1,749.1,,,0 CDM,129713_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129714_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129715_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,129720_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129732_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129733_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129741_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129742_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129751_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129752_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129753_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129754_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129755_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129756_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129759_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129760_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129761_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129762_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129763_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,129764,Noncdm Charge Record,250.0,250.0,,,0 CDM,129764_55513005701,NDC Description Not Available,33.49,33.49,,,0 CDM,129766,Noncdm Charge Record,250.0,250.0,,,0 CDM,129766_55513002101,NDC Description Not Available,31.12,31.12,,,0 CDM,129766_55513002104,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),33.48,33.48,,,0 CDM,129768,Noncdm Charge Record,250.0,250.0,,,0 CDM,129768_55513002301,NDC Description Not Available,18.81,18.81,,,0 CDM,129768_55513002501,NDC Description Not Available,19.14,19.14,,,0 CDM,129774,Noncdm Charge Record,250.0,250.0,,,0 CDM,129774_55513002501,NDC Description Not Available,19.23,19.23,,,0 CDM,129778,Noncdm Charge Record,250.0,250.0,,,0 CDM,129778_55513002701,NDC Description Not Available,19.13,19.13,,,0 CDM,129778_55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,19.13,19.13,,,0 CDM,129780,Noncdm Charge Record,250.0,250.0,,,0 CDM,129780_55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,18.82,18.82,,,0 CDM,129781_55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,19.13,19.13,,,0 CDM,129781_55513011101,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,18.82,18.82,,,0 CDM,129782_55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,19.13,19.13,,,0 CDM,129782_55513003201,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,19.13,19.13,,,0 CDM,129819_270,Noncdm Charge Record Medical Supplies,5177.7,5177.7,,,0 CDM,129821_C1734_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,129822_C1734_278,Noncdm Charge Record Medical Supplies,5616.42,5616.42,,,0 CDM,129836_C1776_278,Noncdm Charge Record Medical Supplies,2918.3,2918.3,,,0 CDM,129837_C1776_278,Noncdm Charge Record Medical Supplies,2868.8,2868.8,,,0 CDM,129842_C1713_278,Noncdm Charge Record Medical Supplies,2402.4,2402.4,,,0 CDM,129848_10122062001,NDC Description Not Available,47.22,47.22,,,0 CDM,129848_10122062010,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",47.19,47.19,,,0 CDM,129850_C1713_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,129851_C1713_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,129858_C1713_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,129859_C1713_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,129860_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,129862_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,129863_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,129864_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,129865_270,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,129866_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,129871_C1713_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,129876_C1776_278,Noncdm Charge Record Medical Supplies,3469.4,3469.4,,,0 CDM,129884_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,129887_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,129902_C1713_278,Noncdm Charge Record Medical Supplies,1140.7,1140.7,,,0 CDM,129903_C1713_278,Noncdm Charge Record Medical Supplies,1140.7,1140.7,,,0 CDM,129904_C1713_278,Noncdm Charge Record Medical Supplies,1140.7,1140.7,,,0 CDM,129905_C1713_278,Noncdm Charge Record Medical Supplies,1140.7,1140.7,,,0 CDM,129907_C1713_278,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,129908_270,Noncdm Charge Record Medical Supplies,1238.6,1238.6,,,0 CDM,129911_00078065920,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",47.65,47.65,,,0 CDM,129912_00078077720,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",49.57,49.57,,,0 CDM,129913_00078069620,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",49.48,49.48,,,0 CDM,129914_270,Noncdm Charge Record Medical Supplies,1175.9,1175.9,,,0 CDM,129915_270,Noncdm Charge Record Medical Supplies,1675.3,1675.3,,,0 CDM,129918_270,Noncdm Charge Record Medical Supplies,431.2,431.2,,,0 CDM,129922_270,Noncdm Charge Record Medical Supplies,1441.0,1441.0,,,0 CDM,129923_270,Noncdm Charge Record Medical Supplies,832.7,832.7,,,0 CDM,129925_17478044708,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (17478-447-08)",229.69,229.69,,,0 CDM,129925_270,Noncdm Charge Record Medical Supplies,375.1,375.1,,,0 CDM,129925_49411005208,"Amicar: 236.5 Ml In 1 Bottle, Plastic (49411-052-08)",255.65,255.65,,,0 CDM,129925_52817081508,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",252.17,252.17,,,0 CDM,129927_270,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,129930_270,Noncdm Charge Record Medical Supplies,476.85,476.85,,,0 CDM,129931_C1713_278,Noncdm Charge Record Medical Supplies,159.13,159.13,,,0 CDM,129934_270,Noncdm Charge Record Medical Supplies,457.6,457.6,,,0 CDM,129935_C1713_278,Noncdm Charge Record Medical Supplies,3637.7,3637.7,,,0 CDM,129937_C1713_278,Noncdm Charge Record Medical Supplies,3637.7,3637.7,,,0 CDM,129938_C1713_278,Noncdm Charge Record Medical Supplies,3637.7,3637.7,,,0 CDM,129947_C1713_278,Noncdm Charge Record Medical Supplies,3286.8,3286.8,,,0 CDM,129948_C1713_278,Noncdm Charge Record Medical Supplies,3286.8,3286.8,,,0 CDM,129951_68992301001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",5.92,5.92,,,0 CDM,129953_C1713_278,Noncdm Charge Record Medical Supplies,1453.1,1453.1,,,0 CDM,129957_C1713_278,Noncdm Charge Record Medical Supplies,1724.8,1724.8,,,0 CDM,129958_C1713_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,129960_C1713_278,Noncdm Charge Record Medical Supplies,1885.4,1885.4,,,0 CDM,129963_C1713_278,Noncdm Charge Record Medical Supplies,1326.6,1326.6,,,0 CDM,129964_C1713_278,Noncdm Charge Record Medical Supplies,1397.0,1397.0,,,0 CDM,129969_C1713_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,129972_C1713_278,Noncdm Charge Record Medical Supplies,1397.0,1397.0,,,0 CDM,129973_C1713_278,Noncdm Charge Record Medical Supplies,1326.6,1326.6,,,0 CDM,129977_C1713_278,Noncdm Charge Record Medical Supplies,671.0,671.0,,,0 CDM,129996_C1713_278,Noncdm Charge Record Medical Supplies,64.9,64.9,,,0 CDM,129997_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,130002_C1713_278,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,130003_C1713_278,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,130004_C1713_278,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,130005_C1713_278,Noncdm Charge Record Medical Supplies,441.1,441.1,,,0 CDM,13000_270,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,130017_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,130018_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,130019_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,130021_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,130026_C1713_278,Noncdm Charge Record Medical Supplies,213.4,213.4,,,0 CDM,130027_C1713_278,Noncdm Charge Record Medical Supplies,213.62,213.62,,,0 CDM,130029_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,13002_270,Noncdm Charge Record Medical Supplies,611.05,611.05,,,0 CDM,130030_C1713_278,Noncdm Charge Record Medical Supplies,229.11,229.11,,,0 CDM,130037_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,130038_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,130046_C1713_278,Noncdm Charge Record Medical Supplies,1083.5,1083.5,,,0 CDM,130048_C1713_278,Noncdm Charge Record Medical Supplies,1083.5,1083.5,,,0 CDM,130049_C1713_278,Noncdm Charge Record Medical Supplies,1083.5,1083.5,,,0 CDM,130050_C1713_278,Noncdm Charge Record Medical Supplies,1083.5,1083.5,,,0 CDM,130051_C1713_278,Noncdm Charge Record Medical Supplies,189.2,189.2,,,0 CDM,130058_270,Noncdm Charge Record Medical Supplies,2673.66,2673.66,,,0 CDM,130059_270,Noncdm Charge Record Medical Supplies,2296.8,2296.8,,,0 CDM,130060_270,Noncdm Charge Record Medical Supplies,1310.1,1310.1,,,0 CDM,130061_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,130062_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,130064_C1776_278,Noncdm Charge Record Medical Supplies,11627.0,11627.0,,,0 CDM,130065_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,13006_270,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,130071_C1889_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,130073_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,130074_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,130077_270,Noncdm Charge Record Medical Supplies,807.4,807.4,,,0 CDM,130078_C9359_278,Noncdm Charge Record Medical Supplies,614.81,614.81,,,0 CDM,130078_C9359_636,Noncdm Charge Record Pharmacy,575.68,575.68,,,0 CDM,130080_270,Noncdm Charge Record Medical Supplies,891.0,891.0,,,0 CDM,130082_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130084_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,130085_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,130089_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,130091_C1713_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,130092_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,130095_270,Noncdm Charge Record Medical Supplies,624.68,624.68,,,0 CDM,130097_C1769_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,130100_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,130101_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,130102_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,130105_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,130108_C1894_278,Noncdm Charge Record Medical Supplies,179.3,179.3,,,0 CDM,130109_C1874_278,Noncdm Charge Record Medical Supplies,1936.0,1936.0,,,0 CDM,130141_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,130188_C1789_278,Noncdm Charge Record Medical Supplies,1593.9,1593.9,,,0 CDM,130191_00186077660,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),32.3,32.3,,,0 CDM,130199_C1789_278,Noncdm Charge Record Medical Supplies,1593.9,1593.9,,,0 CDM,130246_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,130253_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,130254_00597016061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0160-61) / 60 Spray, Metered In 1 Cartridge",1303.98,1303.98,,,0 CDM,130270_270,Noncdm Charge Record Medical Supplies,534.6,534.6,,,0 CDM,13031_10361075003,NDC Description Not Available,7.02,7.02,,,0 CDM,13031_32909075003,"E-Z-Paque: 24 Bottle, Plastic In 1 Carton (32909-750-03) / 176 G In 1 Bottle, Plastic",13.47,13.47,,,0 CDM,130322_C1713_278,Noncdm Charge Record Medical Supplies,254.1,254.1,,,0 CDM,130327_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,130329_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,130332_68094004501,NDC Description Not Available,8.33,8.33,,,0 CDM,130332_68094004558,Morphine Sulfate: 50 Bag In 1 Case (68094-045-58) / 1 Syringe In 1 Bag / .5 Ml In 1 Syringe (68094-045-01),12.36,12.36,,,0 CDM,130332_68094075458,Morphine Sulfate: 50 BAG in 1 CASE (68094-754-58) / 1 SYRINGE in 1 BAG / .5 mL in 1 SYRINGE (68094-754-01),9.27,9.27,,,0 CDM,130334_270,Noncdm Charge Record Medical Supplies,412.5,412.5,,,0 CDM,130338_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,130342_00169266015,"Tresiba: 5 Syringe, Plastic In 1 Carton (0169-2660-15) / 3 Ml In 1 Syringe, Plastic",0.26,0.26,,,0 CDM,130390_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,130401_C1822_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,130404_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,13040_270,Noncdm Charge Record Medical Supplies,346.88,346.88,,,0 CDM,130412_270,Noncdm Charge Record Medical Supplies,1188.0,1188.0,,,0 CDM,130423_C1732_272,Noncdm Charge Record Medical Supplies,1679.7,1679.7,,,0 CDM,130423_C1732_278,Noncdm Charge Record Medical Supplies,1679.71,1679.71,,,0 CDM,130425_C1769_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,130425_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,130426_C1894_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130427_C1894_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130428_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,130430_L8509_274,Noncdm Charge Record Medical Supplies,517.0,517.0,,,0 CDM,130432_L8509_274,Noncdm Charge Record Medical Supplies,517.0,517.0,,,0 CDM,130436_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,130438_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,130442_C1887_278,Noncdm Charge Record Medical Supplies,80.12,80.12,,,0 CDM,130443_C1894_278,Noncdm Charge Record Medical Supplies,749.1,749.1,,,0 CDM,130445_00597019705,"Praxbind: 2 Vial, Single-Dose In 1 Carton (0597-0197-05) / 50 Ml In 1 Vial, Single-Dose",6083.51,6083.51,,,0 CDM,13044_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,130453_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,130458_00904711906,Calcium Acetate: 50 Blister Pack In 1 Carton (0904-7119-06) / 1 Capsule In 1 Blister Pack,4.08,4.08,,,0 CDM,130458_00904711961,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61) / 1 Capsule In 1 Blister Pack,6.07,6.07,,,0 CDM,130458_68084047911,NDC Description Not Available,5.81,5.81,,,0 CDM,130458_68094004459,NDC Description Not Available,4.37,4.37,,,0 CDM,130463_15054004301,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",159.28,159.28,,,0 CDM,130477_C1713_278,Noncdm Charge Record Medical Supplies,174.35,174.35,,,0 CDM,130478_C1713_278,Noncdm Charge Record Medical Supplies,192.18,192.18,,,0 CDM,130479_C1713_278,Noncdm Charge Record Medical Supplies,189.12,189.12,,,0 CDM,130480_C1713_278,Noncdm Charge Record Medical Supplies,191.64,191.64,,,0 CDM,130481_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,130482_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,130483_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,130485_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,130487_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,130488_270,Noncdm Charge Record Medical Supplies,922.59,922.59,,,0 CDM,130489_L8680_278,Noncdm Charge Record Medical Supplies,338.07,338.07,,,0 CDM,130490_L8680_278,Noncdm Charge Record Medical Supplies,986.42,986.42,,,0 CDM,130491_L8680_278,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,130494_L8680_278,Noncdm Charge Record Medical Supplies,1225.47,1225.47,,,0 CDM,130496_L8680_278,Noncdm Charge Record Medical Supplies,1291.57,1291.57,,,0 CDM,130497_L8680_278,Noncdm Charge Record Medical Supplies,913.0,913.0,,,0 CDM,130498_L8680_278,Noncdm Charge Record Medical Supplies,966.35,966.35,,,0 CDM,130499_270,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,130501_270,Noncdm Charge Record Medical Supplies,797.17,797.17,,,0 CDM,130509_C1887_278,Noncdm Charge Record Medical Supplies,192.38,192.38,,,0 CDM,130524_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130525_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130534_270,Noncdm Charge Record Medical Supplies,445.5,445.5,,,0 CDM,130540_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,130542_270,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,130544_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,130545_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,130549_C1713_278,Noncdm Charge Record Medical Supplies,4727.8,4727.8,,,0 CDM,130550_C1713_278,Noncdm Charge Record Medical Supplies,4727.8,4727.8,,,0 CDM,130556_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,130559_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,130577_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,130640_270,Noncdm Charge Record Medical Supplies,3589.3,3589.3,,,0 CDM,130641_270,Noncdm Charge Record Medical Supplies,2599.3,2599.3,,,0 CDM,130642_270,Noncdm Charge Record Medical Supplies,2434.24,2434.24,,,0 CDM,130643_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,130651_C1813_278,Noncdm Charge Record Medical Supplies,14785.1,14785.1,,,0 CDM,130652_C1813_278,Noncdm Charge Record Medical Supplies,19104.8,19104.8,,,0 CDM,130654_C1813_278,Noncdm Charge Record Medical Supplies,22976.25,22976.25,,,0 CDM,130655_C1813_278,Noncdm Charge Record Medical Supplies,17017.0,17017.0,,,0 CDM,130656_C1813_278,Noncdm Charge Record Medical Supplies,18763.8,18763.8,,,0 CDM,130657_C1813_278,Noncdm Charge Record Medical Supplies,16677.65,16677.65,,,0 CDM,130658_C1813_278,Noncdm Charge Record Medical Supplies,18551.22,18551.22,,,0 CDM,130673_C1751_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,130673_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,130673_C1889_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,130674_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,130675_C1889_278,Noncdm Charge Record Medical Supplies,4122.8,4122.8,,,0 CDM,130679_C1889_278,Noncdm Charge Record Medical Supplies,3689.4,3689.4,,,0 CDM,130682_C1889_278,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,130683_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,130684_C1884_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,130684_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,130685_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,130686_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,130688_C1730_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,130690_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,130691_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,130692_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,130695_C1898_275,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,130697_C1896_275,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,130698_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,1306_00409163140,NDC Description Not Available,53.54,53.54,,,0 CDM,1306_00409492811,NDC Description Not Available,74.16,74.16,,,0 CDM,1306_00409492834,Calcium Chloride: 10 Carton In 1 Container (0409-4928-34) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,65.53,65.53,,,0 CDM,1306_64253090030,NDC Description Not Available,40.57,40.57,,,0 CDM,1306_76329330401,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1) / 10 Ml In 1 Syringe,45.39,45.39,,,0 CDM,130704_C1769_278,Noncdm Charge Record Medical Supplies,377.16,377.16,,,0 CDM,130705_C1769_278,Noncdm Charge Record Medical Supplies,411.05,411.05,,,0 CDM,130710_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130716_C1876_278,Noncdm Charge Record Medical Supplies,2790.7,2790.7,,,0 CDM,130722_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130748_C1876_278,Noncdm Charge Record Medical Supplies,2790.7,2790.7,,,0 CDM,13074_270,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,13075_C1889_278,Noncdm Charge Record Medical Supplies,5236.0,5236.0,,,0 CDM,130761_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130762_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,13076_270,Noncdm Charge Record Medical Supplies,519.75,519.75,,,0 CDM,130776_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130778_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,13077_C1889_278,Noncdm Charge Record Medical Supplies,5236.0,5236.0,,,0 CDM,130780_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130786_C1876_278,Noncdm Charge Record Medical Supplies,2790.7,2790.7,,,0 CDM,130790_C1876_278,Noncdm Charge Record Medical Supplies,2462.35,2462.35,,,0 CDM,130792_C1876_278,Noncdm Charge Record Medical Supplies,2462.9,2462.9,,,0 CDM,130793_C1713_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,130823_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,130834_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,130835_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,130837_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,130841_C1725_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,130842_270,Noncdm Charge Record Medical Supplies,442.33,442.33,,,0 CDM,130844_270,Noncdm Charge Record Medical Supplies,3960.0,3960.0,,,0 CDM,130845_270,Noncdm Charge Record Medical Supplies,765.02,765.02,,,0 CDM,130846_270,Noncdm Charge Record Medical Supplies,770.48,770.48,,,0 CDM,130849_270,Noncdm Charge Record Medical Supplies,2379.3,2379.3,,,0 CDM,130850_270,Noncdm Charge Record Medical Supplies,1408.0,1408.0,,,0 CDM,130852_270,Noncdm Charge Record Medical Supplies,3701.5,3701.5,,,0 CDM,130853_270,Noncdm Charge Record Medical Supplies,338.91,338.91,,,0 CDM,130855_270,Noncdm Charge Record Medical Supplies,1495.12,1495.12,,,0 CDM,130860_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,130868_C1874_278,Noncdm Charge Record Medical Supplies,4730.92,4730.92,,,0 CDM,130869_C1874_278,Noncdm Charge Record Medical Supplies,4731.1,4731.1,,,0 CDM,13086_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,130870_C1874_278,Noncdm Charge Record Medical Supplies,6697.9,6697.9,,,0 CDM,130871_C1889_624,Noncdm Charge Record Medical Supplies,1509.2,1509.2,,,0 CDM,130873_C1874_278,Noncdm Charge Record Medical Supplies,92400.0,92400.0,,,0 CDM,130873_C1874_624,Noncdm Charge Record Medical Supplies,92400.0,92400.0,,,0 CDM,130879_C1894_278,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,130883_C1874_278,Noncdm Charge Record Medical Supplies,5402.1,5402.1,,,0 CDM,130885_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,130886_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,130888_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,130896_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,130906_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,130907_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,130917_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,130920_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,130921_C1889_278,Noncdm Charge Record Medical Supplies,6930.0,6930.0,,,0 CDM,130922_C1889_278,Noncdm Charge Record Medical Supplies,6930.0,6930.0,,,0 CDM,130934_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,130938_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130941_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130942_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,130955_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,130965_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,130966_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,131042_270,Noncdm Charge Record Medical Supplies,595.98,595.98,,,0 CDM,131055_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,131056_270,Noncdm Charge Record Medical Supplies,3300.0,3300.0,,,0 CDM,131058_C1889_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,131059_C1889_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,131060_C1889_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,131063_C1889_278,Noncdm Charge Record Medical Supplies,53900.0,53900.0,,,0 CDM,131063_L8699_278,Noncdm Charge Record Medical Supplies,53900.0,53900.0,,,0 CDM,131065_C1766_278,Noncdm Charge Record Medical Supplies,76.37,76.37,,,0 CDM,131078_C1781_278,Noncdm Charge Record Medical Supplies,609.4,609.4,,,0 CDM,131079_C1781_278,Noncdm Charge Record Medical Supplies,609.4,609.4,,,0 CDM,131080_270,Noncdm Charge Record Medical Supplies,6583.5,6583.5,,,0 CDM,131083_L8613_278,Noncdm Charge Record Medical Supplies,600.6,600.6,,,0 CDM,131084_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,131085_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,131086_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,131087_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,131088_270,Noncdm Charge Record Medical Supplies,1593.9,1593.9,,,0 CDM,131117_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,131132_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,131149_C1884_278,Noncdm Charge Record Medical Supplies,21872.4,21872.4,,,0 CDM,131169_270,Noncdm Charge Record Medical Supplies,339.9,339.9,,,0 CDM,131172_270,Noncdm Charge Record Medical Supplies,1714.96,1714.96,,,0 CDM,131175_C1887_278,Noncdm Charge Record Medical Supplies,2029.5,2029.5,,,0 CDM,131216_270,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,131217_270,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,131218_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,131219_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,131221_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,131225_270,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,131226_270,Noncdm Charge Record Medical Supplies,1162.7,1162.7,,,0 CDM,131229_C1726_278,Noncdm Charge Record Medical Supplies,96.45,96.45,,,0 CDM,131230_C1887_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,131234_C1769_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,131246_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,131247_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,131248_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,131253_00597010860,Pradaxa: 10 Blister Pack In 1 Carton (0597-0108-60) / 6 Capsule In 1 Blister Pack,14.32,14.32,,,0 CDM,131256_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,131258_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,131263_00006542302,NDC Description Not Available,565.35,565.35,,,0 CDM,131263_00006542312,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12) / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",564.1,564.1,,,0 CDM,131263_00006542505,NDC Description Not Available,735.94,735.94,,,0 CDM,131263_00006542515,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5425-15) / 5 Ml In 1 Vial, Single-Dose (0006-5425-05)",927.88,927.88,,,0 CDM,131271_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,131272_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,131273_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,131274_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,131277_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,131278_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,131293_61874011511,NDC Description Not Available,198.69,198.69,,,0 CDM,131293_61874011520,"Vraylar: 2 Blister Pack In 1 Carton (61874-115-20) / 10 Capsule, Gelatin Coated In 1 Blister Pack (61874-115-11)",208.88,208.88,,,0 CDM,131294_61874013011,NDC Description Not Available,198.24,198.24,,,0 CDM,131294_61874013020,"Vraylar: 2 Blister Pack In 1 Carton (61874-130-20) / 10 Capsule, Gelatin Coated In 1 Blister Pack (61874-130-11)",209.09,209.09,,,0 CDM,131294_61874013030,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-130-30)",208.58,208.58,,,0 CDM,131295_61874014530,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-145-30)",208.65,208.65,,,0 CDM,1312_00143918001,NDC Description Not Available,0.42,0.42,,,0 CDM,1312_00143918025,Calcium Gluconate: 25 Vial In 1 Carton (0143-9180-25) / 10 Ml In 1 Vial (0143-9180-01),0.43,0.43,,,0 CDM,1312_63323036001,NDC Description Not Available,0.43,0.43,,,0 CDM,1312_63323036003,NDC Description Not Available,0.31,0.31,,,0 CDM,1312_63323036005,NDC Description Not Available,0.23,0.23,,,0 CDM,1312_63323036019,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-19) / 10 Ml In 1 Vial, Plastic (63323-360-01)",0.43,0.43,,,0 CDM,1312_63323036059,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-59) / 50 Ml In 1 Vial, Plastic (63323-360-03)",0.23,0.23,,,0 CDM,1312_63323036061,"Calcium Gluconate: 20 Vial, Plastic In 1 Tray (63323-360-61) / 100 Ml In 1 Vial, Plastic (63323-360-05)",0.23,0.23,,,0 CDM,1312_70069072801,NDC Description Not Available,0.23,0.23,,,0 CDM,1312_70069072820,"Calcium Gluconate: 20 Vial, Plastic In 1 Carton (70069-728-20) / 100 Ml In 1 Vial, Plastic (70069-728-01)",0.23,0.23,,,0 CDM,1312_80830167408,NDC Description Not Available,0.23,0.23,,,0 CDM,131300_00574985510,Budesonide: 1 Bottle In 1 Carton (0574-9855-10) / 100 Capsule In 1 Bottle,3.99,3.99,,,0 CDM,131300_60687059633,NDC Description Not Available,58.4,58.4,,,0 CDM,131300_68382072001,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (68382-720-01)",89.61,89.61,,,0 CDM,131306_53436008401,NDC Description Not Available,142.76,142.76,,,0 CDM,131306_53436008430,"Veltassa: 30 Packet In 1 Carton (53436-084-30) / 1 Powder, For Suspension In 1 Packet (53436-084-01)",148.15,148.15,,,0 CDM,131307_53436016801,NDC Description Not Available,128.9,128.9,,,0 CDM,131307_53436016830,"Veltassa: 30 Packet In 1 Carton (53436-168-30) / 1 Powder, For Suspension In 1 Packet (53436-168-01)",130.27,130.27,,,0 CDM,131308_53436025201,NDC Description Not Available,140.29,140.29,,,0 CDM,131315_59385002101,NDC Description Not Available,29.05,29.05,,,0 CDM,131316_59385002201,NDC Description Not Available,29.11,29.11,,,0 CDM,131317_59385002301,NDC Description Not Available,45.73,45.73,,,0 CDM,131318_59385002401,NDC Description Not Available,59.15,59.15,,,0 CDM,131319_59385002501,NDC Description Not Available,66.3,66.3,,,0 CDM,131321_59385002701,NDC Description Not Available,71.79,71.79,,,0 CDM,131322_270,Noncdm Charge Record Medical Supplies,590.7,590.7,,,0 CDM,131322_55513007801,Imlygic: 1 Vial In 1 Carton (55513-078-01) / 1 Ml In 1 Vial,285.38,285.38,,,0 CDM,131323_55513007901,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,164.47,164.47,,,0 CDM,131325_270,Noncdm Charge Record Medical Supplies,1162.67,1162.67,,,0 CDM,131327_270,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,13132_50268078911,NDC Description Not Available,24.27,24.27,,,0 CDM,13132_68084030911,NDC Description Not Available,22.37,22.37,,,0 CDM,131335_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,131336_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,131337_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,13133_00378427577,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-4275-77)",25.75,25.75,,,0 CDM,13133_00904656561,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61) / 1 Tablet, Film Coated In 1 Blister Pack",10.28,10.28,,,0 CDM,13133_16714069803,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (16714-698-03)",23.86,23.86,,,0 CDM,13133_31722070430,"Valacyclovir: 30 Tablet, Film Coated In 1 Bottle (31722-704-30)",26.04,26.04,,,0 CDM,13133_50268078811,NDC Description Not Available,21.56,21.56,,,0 CDM,13133_51079009301,NDC Description Not Available,26.07,26.07,,,0 CDM,13133_63739007710,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.88,5.88,,,0 CDM,13133_68084021511,NDC Description Not Available,14.34,14.34,,,0 CDM,131341_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,131342_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,131343_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,131344_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,131354,Noncdm Charge Record,250.0,250.0,,,0 CDM,131356_61958190101,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",576.87,576.87,,,0 CDM,131360_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,131361_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,131362_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,131363_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,131364_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,131368_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,131369_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,131374_270,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 CDM,131375_270,Noncdm Charge Record Medical Supplies,530.2,530.2,,,0 CDM,131378_C1713_278,Noncdm Charge Record Medical Supplies,6494.4,6494.4,,,0 CDM,131379_C1713_278,Noncdm Charge Record Medical Supplies,9317.0,9317.0,,,0 CDM,131380_C1713_278,Noncdm Charge Record Medical Supplies,3411.1,3411.1,,,0 CDM,131383_C1713_278,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,131384_C1713_278,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,131385_C1713_278,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,131387_C1713_278,Noncdm Charge Record Medical Supplies,182.6,182.6,,,0 CDM,131388_C1713_278,Noncdm Charge Record Medical Supplies,188.1,188.1,,,0 CDM,131392_270,Noncdm Charge Record Medical Supplies,661.1,661.1,,,0 CDM,131393_270,Noncdm Charge Record Medical Supplies,703.18,703.18,,,0 CDM,131394_270,Noncdm Charge Record Medical Supplies,709.5,709.5,,,0 CDM,131395_270,Noncdm Charge Record Medical Supplies,720.5,720.5,,,0 CDM,131398_270,Noncdm Charge Record Medical Supplies,815.1,815.1,,,0 CDM,131399_270,Noncdm Charge Record Medical Supplies,815.1,815.1,,,0 CDM,131400_270,Noncdm Charge Record Medical Supplies,889.76,889.76,,,0 CDM,131401_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,131403_270,Noncdm Charge Record Medical Supplies,983.4,983.4,,,0 CDM,131404_270,Noncdm Charge Record Medical Supplies,1051.47,1051.47,,,0 CDM,131409_57894050505,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",181.59,181.59,,,0 CDM,131409_57894050520,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",180.52,180.52,,,0 CDM,131417_270,Noncdm Charge Record Medical Supplies,529.1,529.1,,,0 CDM,131419_270,Noncdm Charge Record Medical Supplies,450.06,450.06,,,0 CDM,131422_270,Noncdm Charge Record Medical Supplies,861.3,861.3,,,0 CDM,131428_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,131434_270,Noncdm Charge Record Medical Supplies,531.3,531.3,,,0 CDM,131435_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,131438_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,131443_C1713_278,Noncdm Charge Record Medical Supplies,120.63,120.63,,,0 CDM,131449_270,Noncdm Charge Record Medical Supplies,1461.9,1461.9,,,0 CDM,131454_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,131458_C1713_278,Noncdm Charge Record Medical Supplies,52.43,52.43,,,0 CDM,131459_C1713_278,Noncdm Charge Record Medical Supplies,52.62,52.62,,,0 CDM,131460_C1713_278,Noncdm Charge Record Medical Supplies,52.56,52.56,,,0 CDM,131461_C1713_278,Noncdm Charge Record Medical Supplies,52.38,52.38,,,0 CDM,131462_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,131463_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,131464_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,131465_C1713_278,Noncdm Charge Record Medical Supplies,63.14,63.14,,,0 CDM,131467_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,131468_C1713_278,Noncdm Charge Record Medical Supplies,234.06,234.06,,,0 CDM,131469_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,131470_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,131471_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,131472_C1713_278,Noncdm Charge Record Medical Supplies,234.13,234.13,,,0 CDM,131477_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,131479_C1713_278,Noncdm Charge Record Medical Supplies,283.43,283.43,,,0 CDM,131480_C1713_278,Noncdm Charge Record Medical Supplies,283.43,283.43,,,0 CDM,131481_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,131484_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,131485_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,131486_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,131487_C1713_278,Noncdm Charge Record Medical Supplies,283.25,283.25,,,0 CDM,131488_C1713_278,Noncdm Charge Record Medical Supplies,329.63,329.63,,,0 CDM,131490_C1713_278,Noncdm Charge Record Medical Supplies,329.63,329.63,,,0 CDM,131497_C1713_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,131499_00009499201,NDC Description Not Available,0.34,0.34,,,0 CDM,131499_00409488303,NDC Description Not Available,101.06,101.06,,,0 CDM,131499_00781343346,NDC Description Not Available,93.73,93.73,,,0 CDM,131499_00781343395,Linezolid: 10 Bag In 1 Carton (0781-3433-95) / 300 Ml In 1 Bag (0781-3433-46),93.73,93.73,,,0 CDM,131499_57664068331,NDC Description Not Available,93.73,93.73,,,0 CDM,131499_63323071303,NDC Description Not Available,57.68,57.68,,,0 CDM,131499_66794021963,NDC Description Not Available,27.26,27.26,,,0 CDM,131499_66794023643,Linezolid: 10 Bag In 1 Carton (66794-236-43) / 300 Ml In 1 Bag (66794-236-63),17.19,17.19,,,0 CDM,131499_66794023663,NDC Description Not Available,17.3,17.3,,,0 CDM,131499_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,131501_00143987101,"Cladribine: 1 Vial In 1 Box, Unit-Dose (0143-9871-01) / 10 Ml In 1 Vial",144.48,144.48,,,0 CDM,131501_63323014010,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",131.72,131.72,,,0 CDM,131503_00074438220,"Nimbex: 20 mL in 1 VIAL, SINGLE-DOSE (0074-4382-20)",1284.41,1284.41,,,0 CDM,131503_00781315380,NDC Description Not Available,1231.32,1231.32,,,0 CDM,131503_63323041801,NDC Description Not Available,1170.15,1170.15,,,0 CDM,131503_63323041820,Cisatracurium: 10 Vial In 1 Carton (63323-418-20) / 20 Ml In 1 Vial (63323-418-01),1170.13,1170.13,,,0 CDM,131503_70069015101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-151-01) / 20 Ml In 1 Vial,1170.08,1170.08,,,0 CDM,131503_70069015110,Cisatracurium Besylate: 10 Vial In 1 Carton (70069-151-10) / 20 Ml In 1 Vial,1170.08,1170.08,,,0 CDM,131503_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,131504_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,131505_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,131506_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,131509_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,131511_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,131512_C1713_278,Noncdm Charge Record Medical Supplies,1199.92,1199.92,,,0 CDM,131513_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,131514_00003229111,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-2291-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",18.05,18.05,,,0 CDM,131514_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,131515_C1713_278,Noncdm Charge Record Medical Supplies,1199.88,1199.88,,,0 CDM,131516_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,131522_C1713_278,Noncdm Charge Record Medical Supplies,371.14,371.14,,,0 CDM,131524_C1713_278,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,131529_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,131530_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,131531_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,131532_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,131533_C1713_278,Noncdm Charge Record Medical Supplies,267.96,267.96,,,0 CDM,131534_00409127303,NDC Description Not Available,110.23,110.23,,,0 CDM,131534_00409127332,Diazepam: 10 Cartridge In 1 Carton (0409-1273-32) / 2 Ml In 1 Cartridge (0409-1273-03),109.08,109.08,,,0 CDM,131534_00641624401,NDC Description Not Available,34.66,34.66,,,0 CDM,131534_69339013603,NDC Description Not Available,42.89,42.89,,,0 CDM,131534_76045020400,NDC Description Not Available,43.75,43.75,,,0 CDM,131534_C1713_278,Noncdm Charge Record Medical Supplies,267.99,267.99,,,0 CDM,131535_C1713_278,Noncdm Charge Record Medical Supplies,268.24,268.24,,,0 CDM,131536_C1713_278,Noncdm Charge Record Medical Supplies,268.07,268.07,,,0 CDM,131537_C1713_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,131538_C1713_278,Noncdm Charge Record Medical Supplies,267.85,267.85,,,0 CDM,131539_C1713_278,Noncdm Charge Record Medical Supplies,268.12,268.12,,,0 CDM,131540_C1713_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,131541_C1713_278,Noncdm Charge Record Medical Supplies,162.43,162.43,,,0 CDM,131542_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,131543_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,131544_C1713_278,Noncdm Charge Record Medical Supplies,162.66,162.66,,,0 CDM,131545_C1713_278,Noncdm Charge Record Medical Supplies,162.43,162.43,,,0 CDM,131546_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,131547_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,131548_C1713_278,Noncdm Charge Record Medical Supplies,162.52,162.52,,,0 CDM,131550_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131551_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131552_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131553_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131556_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131557_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131558_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131559_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131560_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,131571_C1769_278,Noncdm Charge Record Medical Supplies,32.78,32.78,,,0 CDM,131577_10019007901,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (10019-079-01) / 1 Injection In 1 Vial, Multi-Dose",57.8,57.8,,,0 CDM,131577_60505622800,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",80.29,80.29,,,0 CDM,131577_63459034804,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",61.05,61.05,,,0 CDM,131581_25682000701,"Kanuma: 1 Vial, Glass In 1 Carton (25682-007-01) / 10 Ml In 1 Vial, Glass",1261.96,1261.96,,,0 CDM,131614_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,131616_00143919201,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,261.33,261.33,,,0 CDM,131616_63323087550,Foscarnet: 1 Bottle In 1 Carton (63323-875-50) / 250 Ml In 1 Bottle,261.87,261.87,,,0 CDM,131616_76310002411,NDC Description Not Available,280.86,280.86,,,0 CDM,131616_76310002415,NDC Description Not Available,279.98,279.98,,,0 CDM,131617_C1751_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,131618_C1887_278,Noncdm Charge Record Medical Supplies,70.4,70.4,,,0 CDM,131619_00409428301,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4283-01) / 5 Ampule In 1 Cello Pack (0409-4283-25) / 5 Ml In 1 Ampule (0409-4283-11),1.04,1.04,,,0 CDM,131619_00409428311,NDC Description Not Available,1.43,1.43,,,0 CDM,131619_00409428325,NDC Description Not Available,3.64,3.64,,,0 CDM,131619_C1751_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,131620_00013111421,Cyklokapron: 10 Vial In 1 Box (0013-1114-21) / 10 Ml In 1 Vial (0013-1114-20),86.45,86.45,,,0 CDM,131620_39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,13.39,13.39,,,0 CDM,131620_67457019700,NDC Description Not Available,313.12,313.12,,,0 CDM,131620_72485051001,NDC Description Not Available,42.6,42.6,,,0 CDM,131620_81284061100,NDC Description Not Available,21.77,21.77,,,0 CDM,131620_81284061110,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10) / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",12.84,12.84,,,0 CDM,131620_81284061200,NDC Description Not Available,5.78,5.78,,,0 CDM,131620_81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",14.87,14.87,,,0 CDM,131623_C1894_278,Noncdm Charge Record Medical Supplies,170.5,170.5,,,0 CDM,131626_00069020901,NDC Description Not Available,1.03,1.03,,,0 CDM,131626_00069020910,Propofol: 10 Vial In 1 Carton (0069-0209-10) / 20 Ml In 1 Vial (0069-0209-01),1.09,1.09,,,0 CDM,131626_00069023420,Propofol: 20 Vial In 1 Carton (0069-0234-20) / 50 Ml In 1 Vial,4.64,4.64,,,0 CDM,131626_00069024801,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,0.93,0.93,,,0 CDM,131626_00409469924,Propofol: 10 Vial In 1 Tray (0409-4699-24) / 100 Ml In 1 Vial (0409-4699-54),1.18,1.18,,,0 CDM,131626_00409469930,Propofol: 5 Vial In 1 Carton (0409-4699-30) / 20 Ml In 1 Vial (0409-4699-50),0.93,0.93,,,0 CDM,131626_00409469933,Propofol: 20 Vial In 1 Tray (0409-4699-33) / 50 Ml In 1 Vial (0409-4699-53),1.0,1.0,,,0 CDM,131626_00409469954,NDC Description Not Available,0.93,0.93,,,0 CDM,131626_00409601002,NDC Description Not Available,0.93,0.93,,,0 CDM,131626_00641619410,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6194-10) / 20 Ml In 1 Vial, Single-Use (0641-6194-01)",1.27,1.27,,,0 CDM,131626_00641619520,"Propofol: 20 Vial, Single-Use In 1 Carton (0641-6195-20) / 50 Ml In 1 Vial, Single-Use (0641-6195-01)",1.29,1.29,,,0 CDM,131626_00641619610,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6196-10) / 100 Ml In 1 Vial, Single-Use (0641-6196-01)",1.26,1.26,,,0 CDM,131626_16714069001,NDC Description Not Available,1.03,1.03,,,0 CDM,131626_25021060820,Propofol: 25 Vial In 1 Carton (25021-608-20) / 20 Ml In 1 Vial,4.43,4.43,,,0 CDM,131626_25021060851,Propofol: 10 Vial In 1 Carton (25021-608-51) / 100 Ml In 1 Vial,1.27,1.27,,,0 CDM,131626_43598054910,Propofol Injectable Emulsion: 10 Vial In 1 Carton (43598-549-10) / 100 Ml In 1 Vial (43598-549-52),1.21,1.21,,,0 CDM,131626_43598054952,NDC Description Not Available,1.21,1.21,,,0 CDM,131626_63323026922,NDC Description Not Available,1.75,1.75,,,0 CDM,131626_63323026925,NDC Description Not Available,1.61,1.61,,,0 CDM,131626_63323026929,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),1.51,1.51,,,0 CDM,131626_63323026937,Diprivan: 10 Vial In 1 Box (63323-269-37) / 20 Ml In 1 Vial (63323-269-25),0.62,0.62,,,0 CDM,131626_63323026950,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),2.55,2.55,,,0 CDM,131626_63323026957,Diprivan: 20 Vial In 1 Box (63323-269-57) / 50 Ml In 1 Vial (63323-269-23),0.65,0.65,,,0 CDM,131626_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),1.44,1.44,,,0 CDM,131626_63323026967,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),0.9,0.9,,,0 CDM,131626_63323026978,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.3,1.3,,,0 CDM,131632_00409909309,NDC Description Not Available,8.13,8.13,,,0 CDM,131632_00409909335,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),2.8,2.8,,,0 CDM,131632_00409909412,NDC Description Not Available,6.88,6.88,,,0 CDM,131632_00409909416,NDC Description Not Available,3.56,3.56,,,0 CDM,131632_00409909418,NDC Description Not Available,6.05,6.05,,,0 CDM,131632_00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",7.21,7.21,,,0 CDM,131632_00409909441,NDC Description Not Available,3.75,3.75,,,0 CDM,131632_00641602701,NDC Description Not Available,0.69,0.69,,,0 CDM,131632_00641602725,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25) / 2 Ml In 1 Vial (0641-6027-01),9.27,9.27,,,0 CDM,131632_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),5.15,5.15,,,0 CDM,131632_00641624701,NDC Description Not Available,7.84,7.84,,,0 CDM,131632_63323080611,NDC Description Not Available,9.55,9.55,,,0 CDM,131632_63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",4.32,4.32,,,0 CDM,131632_63323080801,NDC Description Not Available,9.42,9.42,,,0 CDM,131636_00074611413,Depakote Sprinkles: 100 Capsule In 1 Bottle (0074-6114-13),8.06,8.06,,,0 CDM,131636_270,Noncdm Charge Record Medical Supplies,6963.0,6963.0,,,0 CDM,131636_55111053201,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",4.06,4.06,,,0 CDM,131636_63739099510,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10) / 10 Capsule In 1 Blister Pack",3.07,3.07,,,0 CDM,131636_68084031311,NDC Description Not Available,5.06,5.06,,,0 CDM,131638_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,131640_C1767_278,Noncdm Charge Record Medical Supplies,27720.0,27720.0,,,0 CDM,131653_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,131654_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,131655_C1889_278,Noncdm Charge Record Medical Supplies,50050.0,50050.0,,,0 CDM,131658_C1769_278,Noncdm Charge Record Medical Supplies,128.15,128.15,,,0 CDM,131660_270,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,131683_C1893_278,Noncdm Charge Record Medical Supplies,1544.4,1544.4,,,0 CDM,131684_C1893_278,Noncdm Charge Record Medical Supplies,1544.4,1544.4,,,0 CDM,131685_C1893_278,Noncdm Charge Record Medical Supplies,1544.4,1544.4,,,0 CDM,131689_A4648_278,Noncdm Charge Record Medical Supplies,124.27,124.27,,,0 CDM,131716_270,Noncdm Charge Record Medical Supplies,1415.7,1415.7,,,0 CDM,131720_00259162001,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1620-01) / 200 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.63,12.63,,,0 CDM,131728_C1781_278,Noncdm Charge Record Medical Supplies,3490.67,3490.67,,,0 CDM,131732_C1781_278,Noncdm Charge Record Medical Supplies,1497.1,1497.1,,,0 CDM,131735_C1781_278,Noncdm Charge Record Medical Supplies,2494.8,2494.8,,,0 CDM,131738_C1781_278,Noncdm Charge Record Medical Supplies,2422.2,2422.2,,,0 CDM,131753_270,Noncdm Charge Record Medical Supplies,620.48,620.48,,,0 CDM,131757_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,131761_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,131774_C1889_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,131775_C1889_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,131778_C1787_278,Noncdm Charge Record Medical Supplies,1755.6,1755.6,,,0 CDM,131779_C1894_278,Noncdm Charge Record Medical Supplies,1500.4,1500.4,,,0 CDM,131780_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,13184_60687049311,NDC Description Not Available,6.18,6.18,,,0 CDM,131863_270,Noncdm Charge Record Medical Supplies,1481.7,1481.7,,,0 CDM,131877_270,Noncdm Charge Record Medical Supplies,1065.9,1065.9,,,0 CDM,131891_C1889_278,Noncdm Charge Record Medical Supplies,1740.2,1740.2,,,0 CDM,131892_C1889_278,Noncdm Charge Record Medical Supplies,1745.59,1745.59,,,0 CDM,131964_C1894_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,131967_270,Noncdm Charge Record Medical Supplies,402.05,402.05,,,0 CDM,131968_270,Noncdm Charge Record Medical Supplies,400.54,400.54,,,0 CDM,131969_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,13197_C1729_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,131982_50474047009,"Briviact: 100 Blister Pack In 1 Carton (50474-470-09) / 1 Tablet, Film Coated In 1 Blister Pack",103.52,103.52,,,0 CDM,131983_50474057009,"Briviact: 100 Blister Pack In 1 Carton (50474-570-09) / 1 Tablet, Film Coated In 1 Blister Pack",103.06,103.06,,,0 CDM,131984_50474067066,"Briviact: 1 Bottle In 1 Carton (50474-670-66) / 60 Tablet, Film Coated In 1 Bottle",103.52,103.52,,,0 CDM,131985_50474077009,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09) / 1 Tablet, Film Coated In 1 Blister Pack",101.77,101.77,,,0 CDM,131994_270,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,132030_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,132050_270,Noncdm Charge Record Medical Supplies,658.9,658.9,,,0 CDM,132052_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,132053_C1887_278,Noncdm Charge Record Medical Supplies,822.64,822.64,,,0 CDM,132057_C1887_278,Noncdm Charge Record Medical Supplies,822.8,822.8,,,0 CDM,132071_C1757_278,Noncdm Charge Record Medical Supplies,18480.0,18480.0,,,0 CDM,132072_C1894_278,Noncdm Charge Record Medical Supplies,1540.55,1540.55,,,0 CDM,132085_C1766_278,Noncdm Charge Record Medical Supplies,47.43,47.43,,,0 CDM,132086_C1751_278,Noncdm Charge Record Medical Supplies,191.23,191.23,,,0 CDM,132087_C1751_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,132088_C1766_278,Noncdm Charge Record Medical Supplies,112.2,112.2,,,0 CDM,132092_C1900_275,Noncdm Charge Record Medical Supplies,2633.4,2633.4,,,0 CDM,132093_C1900_275,Noncdm Charge Record Medical Supplies,2633.4,2633.4,,,0 CDM,132095_C1769_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,132096_C1769_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,132099_270,Noncdm Charge Record Medical Supplies,1188.11,1188.11,,,0 CDM,13210_270,Noncdm Charge Record Medical Supplies,502.7,502.7,,,0 CDM,132111_C1713_278,Noncdm Charge Record Medical Supplies,79.67,79.67,,,0 CDM,132112_270,Noncdm Charge Record Medical Supplies,79.64,79.64,,,0 CDM,132112_C1713_278,Noncdm Charge Record Medical Supplies,79.66,79.66,,,0 CDM,132144_C1874_278,Noncdm Charge Record Medical Supplies,25956.7,25956.7,,,0 CDM,132151_C1713_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,132152_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,132152_C1713_278,Noncdm Charge Record Medical Supplies,79.75,79.75,,,0 CDM,132156_C1874_278,Noncdm Charge Record Medical Supplies,27318.5,27318.5,,,0 CDM,132158_270,Noncdm Charge Record Medical Supplies,10213.5,10213.5,,,0 CDM,132166_270,Noncdm Charge Record Medical Supplies,3171.63,3171.63,,,0 CDM,132169_270,Noncdm Charge Record Medical Supplies,3011.75,3011.75,,,0 CDM,13216_270,Noncdm Charge Record Medical Supplies,1382.7,1382.7,,,0 CDM,13216_C1763_278,Noncdm Charge Record Medical Supplies,1382.7,1382.7,,,0 CDM,13216_C1889_278,Noncdm Charge Record Medical Supplies,1382.77,1382.77,,,0 CDM,132171_270,Noncdm Charge Record Medical Supplies,2652.1,2652.1,,,0 CDM,132172_270,Noncdm Charge Record Medical Supplies,3155.9,3155.9,,,0 CDM,132175_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,132176_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,132177_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,132187_C1750_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,132226_270,Noncdm Charge Record Medical Supplies,925.05,925.05,,,0 CDM,132228_C1898_275,Noncdm Charge Record Medical Supplies,662.11,662.11,,,0 CDM,132229_C1898_275,Noncdm Charge Record Medical Supplies,670.41,670.41,,,0 CDM,132231_C1893_272,Noncdm Charge Record Medical Supplies,34.1,34.1,,,0 CDM,132231_C1893_278,Noncdm Charge Record Medical Supplies,31.3,31.3,,,0 CDM,132238_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,132240_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,132241_C1882_275,Noncdm Charge Record Medical Supplies,25209.8,25209.8,,,0 CDM,132242_C1882_275,Noncdm Charge Record Medical Supplies,25814.91,25814.91,,,0 CDM,132247_C1721_275,Noncdm Charge Record Medical Supplies,18041.96,18041.96,,,0 CDM,132248_C1721_275,Noncdm Charge Record Medical Supplies,17969.29,17969.29,,,0 CDM,132249_C1722_275,Noncdm Charge Record Medical Supplies,15432.72,15432.72,,,0 CDM,132250_C1722_275,Noncdm Charge Record Medical Supplies,15731.1,15731.1,,,0 CDM,13226_270,Noncdm Charge Record Medical Supplies,603.9,603.9,,,0 CDM,132274_L8499_274,Noncdm Charge Record Medical Supplies,72.44,72.44,,,0 CDM,132276_L8509_274,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,132277_L8509_274,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,132279_L8509_274,Noncdm Charge Record Medical Supplies,517.0,517.0,,,0 CDM,132284_59310061031,"Cinqair: 1 Vial, Single-Use In 1 Carton (59310-610-31) / 10 Ml In 1 Vial, Single-Use",27.69,27.69,,,0 CDM,132287_C1760_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,132288_C1760_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,132316_270,Noncdm Charge Record Medical Supplies,520.3,520.3,,,0 CDM,132317_270,Noncdm Charge Record Medical Supplies,4504.5,4504.5,,,0 CDM,132318_270,Noncdm Charge Record Medical Supplies,2841.3,2841.3,,,0 CDM,132329_C1887_278,Noncdm Charge Record Medical Supplies,811.91,811.91,,,0 CDM,13232_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,132332_270,Noncdm Charge Record Medical Supplies,1471.93,1471.93,,,0 CDM,132333_270,Noncdm Charge Record Medical Supplies,345.4,345.4,,,0 CDM,132334_270,Noncdm Charge Record Medical Supplies,640.2,640.2,,,0 CDM,132335_24208053920,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20) * 2 Ml In 1 Vial * 2 Ml In 1 Ampule,29.01,29.01,,,0 CDM,13234_270,Noncdm Charge Record Medical Supplies,691.9,691.9,,,0 CDM,132354_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,132355_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,132359_68727080001,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),2813.14,2813.14,,,0 CDM,132359_68727080002,Defitelio: 25 Ml In 1 Carton (68727-800-02),2813.15,2813.15,,,0 CDM,132363_C1753_272,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,132363_C1753_278,Noncdm Charge Record Medical Supplies,1121.47,1121.47,,,0 CDM,132365_C1889_278,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,132366_C1889_278,Noncdm Charge Record Medical Supplies,7700.92,7700.92,,,0 CDM,132368_C1889_278,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,132369_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,132370_63037013725,NDC Description Not Available,3.09,3.09,,,0 CDM,132397_61958200201,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",316.14,316.14,,,0 CDM,132397_61958200202,Descovy: 30 Tablet In 1 Blister Pack (61958-2002-2),317.58,317.58,,,0 CDM,132408_62295332207,NDC Description Not Available,0.41,0.41,,,0 CDM,132408_69374095710,NDC Description Not Available,1.01,1.01,,,0 CDM,132408_70004081012,NDC Description Not Available,4.5,4.5,,,0 CDM,132408_70092104646,NDC Description Not Available,0.76,0.76,,,0 CDM,132408_71266901001,NDC Description Not Available,1.0,1.0,,,0 CDM,132408_71266901101,NDC Description Not Available,0.39,0.39,,,0 CDM,13240_270,Noncdm Charge Record Medical Supplies,625.9,625.9,,,0 CDM,132427_00074057611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11) / 1 Tablet, Film Coated In 1 Blister Pack",544.5,544.5,,,0 CDM,132427_00074057622,"Venclexta: 120 Tablet, Film Coated In 1 Bottle (0074-0576-22)",179.47,179.47,,,0 CDM,13242_270,Noncdm Charge Record Medical Supplies,625.9,625.9,,,0 CDM,132436_24571011605,NDC Description Not Available,1545.0,1545.0,,,0 CDM,132436_24571011606,Phoxillum Bk4/2.5: 2 Bag In 1 Case (24571-116-06) / 5 L In 1 Bag,288.4,288.4,,,0 CDM,132437_24571011705,NDC Description Not Available,288.4,288.4,,,0 CDM,132437_24571011706,Phoxillum B22K4/0: 2 Bag In 1 Case (24571-117-06) / 5 L In 1 Bag,288.4,288.4,,,0 CDM,13244_270,Noncdm Charge Record Medical Supplies,607.2,607.2,,,0 CDM,132461_C1751_278,Noncdm Charge Record Medical Supplies,526.9,526.9,,,0 CDM,132462_270,Noncdm Charge Record Medical Supplies,2351.8,2351.8,,,0 CDM,132463_270,Noncdm Charge Record Medical Supplies,1724.83,1724.83,,,0 CDM,132490_270,Noncdm Charge Record Medical Supplies,7920.0,7920.0,,,0 CDM,132491_270,Noncdm Charge Record Medical Supplies,7920.0,7920.0,,,0 CDM,132492_270,Noncdm Charge Record Medical Supplies,9452.55,9452.55,,,0 CDM,132493_270,Noncdm Charge Record Medical Supplies,9452.54,9452.54,,,0 CDM,132494_270,Noncdm Charge Record Medical Supplies,7920.0,7920.0,,,0 CDM,132499_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,132500_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132501_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132502_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132504_70594004201,NDC Description Not Available,34.5,34.5,,,0 CDM,132505_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,132513_270,Noncdm Charge Record Medical Supplies,7275.4,7275.4,,,0 CDM,132514_270,Noncdm Charge Record Medical Supplies,7275.4,7275.4,,,0 CDM,132518_270,Noncdm Charge Record Medical Supplies,1650.0,1650.0,,,0 CDM,132520_270,Noncdm Charge Record Medical Supplies,3888.5,3888.5,,,0 CDM,132521_270,Noncdm Charge Record Medical Supplies,4686.0,4686.0,,,0 CDM,132522_270,Noncdm Charge Record Medical Supplies,4686.0,4686.0,,,0 CDM,132535_C1062_278,Noncdm Charge Record Medical Supplies,5772.8,5772.8,,,0 CDM,132536_C1062_278,Noncdm Charge Record Medical Supplies,5772.8,5772.8,,,0 CDM,132543_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,132553_C1889_278,Noncdm Charge Record Medical Supplies,53900.0,53900.0,,,0 CDM,132562_C1894_278,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,132563_C1757_278,Noncdm Charge Record Medical Supplies,9914.3,9914.3,,,0 CDM,132564_C1757_278,Noncdm Charge Record Medical Supplies,9914.3,9914.3,,,0 CDM,132565_C1757_278,Noncdm Charge Record Medical Supplies,9914.3,9914.3,,,0 CDM,132566_43598072511,NDC Description Not Available,31.29,31.29,,,0 CDM,132566_65219025700,NDC Description Not Available,14.63,14.63,,,0 CDM,132566_C1757_278,Noncdm Charge Record Medical Supplies,9914.3,9914.3,,,0 CDM,132590_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132591_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132592_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,132610_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,132611_C1764_278,Noncdm Charge Record Medical Supplies,7461.3,7461.3,,,0 CDM,132613_50242091701,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",217.23,217.23,,,0 CDM,132613_50242091801,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",218.48,218.48,,,0 CDM,132618_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,132619_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132621_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132622_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132623_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132624_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132625_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,132626_C1887_278,Noncdm Charge Record Medical Supplies,149.6,149.6,,,0 CDM,132663_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,132664_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,132664_C1782_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,132666_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,132668_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,132671_C1757_278,Noncdm Charge Record Medical Supplies,9317.0,9317.0,,,0 CDM,132674_C1757_278,Noncdm Charge Record Medical Supplies,9317.0,9317.0,,,0 CDM,132678_270,Noncdm Charge Record Medical Supplies,7590.0,7590.0,,,0 CDM,132695_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,132696_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,132697_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,132698_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,132701_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,132704_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,132705_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,132706_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,132707_C1889_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,132708_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,132712_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,132713_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,132715_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,132716_C1889_278,Noncdm Charge Record Medical Supplies,1986.6,1986.6,,,0 CDM,132718_270,Noncdm Charge Record Medical Supplies,785.4,785.4,,,0 CDM,132720_270,Noncdm Charge Record Medical Supplies,1303.5,1303.5,,,0 CDM,132726_270,Noncdm Charge Record Medical Supplies,589.27,589.27,,,0 CDM,132727_270,Noncdm Charge Record Medical Supplies,606.12,606.12,,,0 CDM,132728_270,Noncdm Charge Record Medical Supplies,589.58,589.58,,,0 CDM,132729_270,Noncdm Charge Record Medical Supplies,814.01,814.01,,,0 CDM,132730_270,Noncdm Charge Record Medical Supplies,520.13,520.13,,,0 CDM,132731_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,132732_270,Noncdm Charge Record Medical Supplies,814.02,814.02,,,0 CDM,132733_270,Noncdm Charge Record Medical Supplies,1005.4,1005.4,,,0 CDM,132734_270,Noncdm Charge Record Medical Supplies,433.4,433.4,,,0 CDM,132735_270,Noncdm Charge Record Medical Supplies,520.28,520.28,,,0 CDM,132736_270,Noncdm Charge Record Medical Supplies,623.7,623.7,,,0 CDM,132737_270,Noncdm Charge Record Medical Supplies,1005.4,1005.4,,,0 CDM,132739_C2628_278,Noncdm Charge Record Medical Supplies,2533.3,2533.3,,,0 CDM,132740_C2628_278,Noncdm Charge Record Medical Supplies,2533.3,2533.3,,,0 CDM,132744_76075010201,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",137.34,137.34,,,0 CDM,132745_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,132746_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132748_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,132777_270,Noncdm Charge Record Medical Supplies,3288.89,3288.89,,,0 CDM,132787_270,Noncdm Charge Record Medical Supplies,1485.0,1485.0,,,0 CDM,132788_270,Noncdm Charge Record Medical Supplies,1092.3,1092.3,,,0 CDM,132790_270,Noncdm Charge Record Medical Supplies,917.25,917.25,,,0 CDM,132791_270,Noncdm Charge Record Medical Supplies,917.35,917.35,,,0 CDM,132818_270,Noncdm Charge Record Medical Supplies,887.7,887.7,,,0 CDM,132822_270,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,132830_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132831_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132832_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132833_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132834_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,132841_61958220101,"Epclusa: 28 Tablet, Film Coated In 1 Bottle, Plastic (61958-2201-1)",3850.14,3850.14,,,0 CDM,132841_72626270101,"Sofosbuvir And Velpatasvir: 2 Blister Pack In 1 Carton (72626-2701-1) / 14 Tablet, Film Coated In 1 Blister Pack",1236.0,1236.0,,,0 CDM,132889_C1750_278,Noncdm Charge Record Medical Supplies,766.7,766.7,,,0 CDM,132909_C1713_278,Noncdm Charge Record Medical Supplies,42442.4,42442.4,,,0 CDM,132913_C2643_278,Noncdm Charge Record Medical Supplies,68560.8,68560.8,,,0 CDM,132918_C1887_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,132925_C2617_278,Noncdm Charge Record Medical Supplies,147.4,147.4,,,0 CDM,132926_C2617_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,132927_C2617_278,Noncdm Charge Record Medical Supplies,147.4,147.4,,,0 CDM,132928_C2617_278,Noncdm Charge Record Medical Supplies,147.4,147.4,,,0 CDM,132929_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132930_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132931_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132932_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132933_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132934_C1781_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132934_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132935_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132936_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132937_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,132944_C1889_278,Noncdm Charge Record Medical Supplies,2992.0,2992.0,,,0 CDM,132949_C1817_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,132949_C1889_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,132950_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,132965_C1725_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,132966_C1725_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,132995_270,Noncdm Charge Record Medical Supplies,2214.43,2214.43,,,0 CDM,132996_270,Noncdm Charge Record Medical Supplies,2325.4,2325.4,,,0 CDM,132996_C1814_270,Noncdm Charge Record Medical Supplies,2325.4,2325.4,,,0 CDM,133008_C1766_278,Noncdm Charge Record Medical Supplies,29.49,29.49,,,0 CDM,133009_C1874_278,Noncdm Charge Record Medical Supplies,12713.8,12713.8,,,0 CDM,133010_C1874_278,Noncdm Charge Record Medical Supplies,14514.5,14514.5,,,0 CDM,133013_C1874_278,Noncdm Charge Record Medical Supplies,15328.5,15328.5,,,0 CDM,133017_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,133019_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133020_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133021_C1884_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133021_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133022_C1884_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133022_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133023_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133024_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133025_C1889_278,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,133027_270,Noncdm Charge Record Medical Supplies,436.7,436.7,,,0 CDM,133029_270,Noncdm Charge Record Medical Supplies,458.48,458.48,,,0 CDM,13302_270,Noncdm Charge Record Medical Supplies,388.43,388.43,,,0 CDM,133030_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,133032_C1817_278,Noncdm Charge Record Medical Supplies,12866.7,12866.7,,,0 CDM,133037_270,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,133037_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,133040_C1889_278,Noncdm Charge Record Medical Supplies,28644.0,28644.0,,,0 CDM,133042_C1889_278,Noncdm Charge Record Medical Supplies,28644.0,28644.0,,,0 CDM,133055_270,Noncdm Charge Record Medical Supplies,640.2,640.2,,,0 CDM,133056_C1781_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,133057_C1781_278,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,133106_C1889_278,Noncdm Charge Record Medical Supplies,1524.6,1524.6,,,0 CDM,133111_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,133112_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,133115_270,Noncdm Charge Record Medical Supplies,728.2,728.2,,,0 CDM,133122_C1751_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,133123_C1751_278,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,133124_C1751_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,133127_C1757_278,Noncdm Charge Record Medical Supplies,2352.9,2352.9,,,0 CDM,133128_C1757_278,Noncdm Charge Record Medical Supplies,3472.7,3472.7,,,0 CDM,133129_C1757_278,Noncdm Charge Record Medical Supplies,10302.6,10302.6,,,0 CDM,13312_C1894_278,Noncdm Charge Record Medical Supplies,157.48,157.48,,,0 CDM,133130_C1757_278,Noncdm Charge Record Medical Supplies,10302.6,10302.6,,,0 CDM,133131_C1757_278,Noncdm Charge Record Medical Supplies,10302.6,10302.6,,,0 CDM,133132_C1757_278,Noncdm Charge Record Medical Supplies,8762.6,8762.6,,,0 CDM,133133_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,133134_C1721_275,Noncdm Charge Record Medical Supplies,18326.0,18326.0,,,0 CDM,133135_C1722_275,Noncdm Charge Record Medical Supplies,15969.8,15969.8,,,0 CDM,133136_C1757_278,Noncdm Charge Record Medical Supplies,2764.3,2764.3,,,0 CDM,13314_C1894_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,133164_270,Noncdm Charge Record Medical Supplies,734.8,734.8,,,0 CDM,133166_270,Noncdm Charge Record Medical Supplies,1438.8,1438.8,,,0 CDM,133168_270,Noncdm Charge Record Medical Supplies,1136.3,1136.3,,,0 CDM,133169_270,Noncdm Charge Record Medical Supplies,1136.3,1136.3,,,0 CDM,133170_270,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,133171_270,Noncdm Charge Record Medical Supplies,623.7,623.7,,,0 CDM,133174_270,Noncdm Charge Record Medical Supplies,1219.9,1219.9,,,0 CDM,133178_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,133179_C1887_278,Noncdm Charge Record Medical Supplies,784.3,784.3,,,0 CDM,133180_C1887_278,Noncdm Charge Record Medical Supplies,784.3,784.3,,,0 CDM,133187_C1750_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,13318_C1894_278,Noncdm Charge Record Medical Supplies,157.36,157.36,,,0 CDM,133196_C1726_278,Noncdm Charge Record Medical Supplies,752.4,752.4,,,0 CDM,133197_C1726_278,Noncdm Charge Record Medical Supplies,752.58,752.58,,,0 CDM,133210_V2787_276,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133212_V2787_276,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,133213_V2787_276,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,133220_C1874_278,Noncdm Charge Record Medical Supplies,5475.8,5475.8,,,0 CDM,133221_C1874_278,Noncdm Charge Record Medical Supplies,4855.4,4855.4,,,0 CDM,133222_C1874_278,Noncdm Charge Record Medical Supplies,4855.4,4855.4,,,0 CDM,133225_C1874_278,Noncdm Charge Record Medical Supplies,5475.8,5475.8,,,0 CDM,133226_C1874_278,Noncdm Charge Record Medical Supplies,4855.4,4855.4,,,0 CDM,133228_270,Noncdm Charge Record Medical Supplies,47850.0,47850.0,,,0 CDM,133246_C1767_278,Noncdm Charge Record Medical Supplies,46196.7,46196.7,,,0 CDM,133273_270,Noncdm Charge Record Medical Supplies,592.25,592.25,,,0 CDM,133273_C1889_270,Noncdm Charge Record Medical Supplies,581.9,581.9,,,0 CDM,133281_L3260_274,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,133286_270,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,133293_270,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,133297_C1781_278,Noncdm Charge Record Medical Supplies,251.59,251.59,,,0 CDM,133298_C1781_278,Noncdm Charge Record Medical Supplies,251.58,251.58,,,0 CDM,133301_636,Noncdm Charge Record Pharmacy,12862.64,12862.64,,,0 CDM,133301_C1762_278,Noncdm Charge Record Medical Supplies,13736.8,13736.8,,,0 CDM,133301_C1768_278,Noncdm Charge Record Medical Supplies,13736.8,13736.8,,,0 CDM,133301_C1768_636,Noncdm Charge Record Pharmacy,12862.64,12862.64,,,0 CDM,133301_C1889_636,Noncdm Charge Record Pharmacy,12862.64,12862.64,,,0 CDM,133306_C1766_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,133307_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133308_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133309_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133310_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133311_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133313_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133315_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133316_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133317_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133318_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133319_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133320_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133321_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133322_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133323_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133324_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133325_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133326_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133327_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133328_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133329_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133330_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133331_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133332_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133333_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133334_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133335_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133336_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133337_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133338_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133339_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133340_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133341_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133342_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133343_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133344_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133345_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133346_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133347_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133348_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133349_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133350_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133351_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133352_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133353_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133354_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,133363_270,Noncdm Charge Record Medical Supplies,980.1,980.1,,,0 CDM,133364_270,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,13336_270,Noncdm Charge Record Medical Supplies,1208.9,1208.9,,,0 CDM,133371_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133372_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133373_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133374_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133375_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133377_C1757_272,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,133377_C1757_278,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,133379_270,Noncdm Charge Record Medical Supplies,1551.0,1551.0,,,0 CDM,133380_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,133382_C1874_278,Noncdm Charge Record Medical Supplies,5590.2,5590.2,,,0 CDM,133383_C1874_278,Noncdm Charge Record Medical Supplies,5590.2,5590.2,,,0 CDM,133385_C1874_278,Noncdm Charge Record Medical Supplies,5082.0,5082.0,,,0 CDM,133396_C1768_278,Noncdm Charge Record Medical Supplies,194.7,194.7,,,0 CDM,133399_C1874_278,Noncdm Charge Record Medical Supplies,6144.6,6144.6,,,0 CDM,133400_C1874_278,Noncdm Charge Record Medical Supplies,5475.8,5475.8,,,0 CDM,133401_C1874_278,Noncdm Charge Record Medical Supplies,4855.4,4855.4,,,0 CDM,133403_C1874_278,Noncdm Charge Record Medical Supplies,6144.6,6144.6,,,0 CDM,133445_270,Noncdm Charge Record Medical Supplies,640.2,640.2,,,0 CDM,133447_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133448_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133449_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133450_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133451_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133452_C1776_278,Noncdm Charge Record Medical Supplies,2502.5,2502.5,,,0 CDM,133453_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133454_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,133460_C1898_275,Noncdm Charge Record Medical Supplies,673.86,673.86,,,0 CDM,133472_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,133478_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,133488_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,133489_C1713_278,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,133490_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,133491_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,133494_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,133495_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,133496_C1894_278,Noncdm Charge Record Medical Supplies,1441.0,1441.0,,,0 CDM,133497_C1894_278,Noncdm Charge Record Medical Supplies,1441.0,1441.0,,,0 CDM,133498_C1894_272,Noncdm Charge Record Medical Supplies,1441.0,1441.0,,,0 CDM,133498_C1894_278,Noncdm Charge Record Medical Supplies,1441.0,1441.0,,,0 CDM,133499_C1767_278,Noncdm Charge Record Medical Supplies,30461.2,30461.2,,,0 CDM,133500_C1787_278,Noncdm Charge Record Medical Supplies,1755.6,1755.6,,,0 CDM,133528_C1757_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,133529_C1757_278,Noncdm Charge Record Medical Supplies,317.08,317.08,,,0 CDM,133530_C1757_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,133532_C1757_278,Noncdm Charge Record Medical Supplies,244.99,244.99,,,0 CDM,133533_C1757_278,Noncdm Charge Record Medical Supplies,229.62,229.62,,,0 CDM,133534_C1757_278,Noncdm Charge Record Medical Supplies,239.98,239.98,,,0 CDM,133543_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133544_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133546_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133547_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133552_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133553_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133554_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133555_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,133556_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133557_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133558_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,133560_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133561_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133563_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133564_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,133568_C1887_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,133569_C1887_278,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,133570_C1887_278,Noncdm Charge Record Medical Supplies,81.96,81.96,,,0 CDM,133580_270,Noncdm Charge Record Medical Supplies,373.97,373.97,,,0 CDM,13358_00093811956,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (0093-8119-56)",45.84,45.84,,,0 CDM,13358_42291041630,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (42291-416-30)",47.12,47.12,,,0 CDM,133593_C2623_278,Noncdm Charge Record Medical Supplies,2544.3,2544.3,,,0 CDM,133612_C1729_278,Noncdm Charge Record Medical Supplies,235.4,235.4,,,0 CDM,133621_C1781_278,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,133623_C1894_278,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,133631_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,133632_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,133633_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,133634_C1776_278,Noncdm Charge Record Medical Supplies,11627.0,11627.0,,,0 CDM,133635_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,133638_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,133639_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,133640_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133645_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133646_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133647_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133648_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133651_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133652_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133658_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,133661_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,133664_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133665_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,133666_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133673_C1713_278,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,133682_270,Noncdm Charge Record Medical Supplies,372.62,372.62,,,0 CDM,13368_C1725_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,133690_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,133694_C1713_278,Noncdm Charge Record Medical Supplies,499.4,499.4,,,0 CDM,133695_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,133696_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,133697_C1713_278,Noncdm Charge Record Medical Supplies,722.7,722.7,,,0 CDM,133702_C1713_278,Noncdm Charge Record Medical Supplies,1274.9,1274.9,,,0 CDM,133704_C1713_278,Noncdm Charge Record Medical Supplies,2394.7,2394.7,,,0 CDM,133707_C1713_278,Noncdm Charge Record Medical Supplies,2814.9,2814.9,,,0 CDM,133709_C1713_278,Noncdm Charge Record Medical Supplies,2814.9,2814.9,,,0 CDM,133710_C1713_278,Noncdm Charge Record Medical Supplies,3219.7,3219.7,,,0 CDM,133714_C1713_278,Noncdm Charge Record Medical Supplies,2601.5,2601.5,,,0 CDM,133716_C1713_278,Noncdm Charge Record Medical Supplies,2601.5,2601.5,,,0 CDM,133720_C1713_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,133721_C1713_278,Noncdm Charge Record Medical Supplies,2563.0,2563.0,,,0 CDM,133726_C1713_278,Noncdm Charge Record Medical Supplies,1684.1,1684.1,,,0 CDM,133727_C1713_278,Noncdm Charge Record Medical Supplies,1819.4,1819.4,,,0 CDM,133731_C1713_278,Noncdm Charge Record Medical Supplies,1414.6,1414.6,,,0 CDM,133732_C1713_278,Noncdm Charge Record Medical Supplies,1414.6,1414.6,,,0 CDM,133733_C1713_278,Noncdm Charge Record Medical Supplies,1414.6,1414.6,,,0 CDM,133735_C1713_278,Noncdm Charge Record Medical Supplies,1549.9,1549.9,,,0 CDM,13373_00941043352,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0433-52),165.83,165.83,,,0 CDM,13373_00941043355,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0433-55),183.96,183.96,,,0 CDM,13373_00941045901,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0459-01),414.58,414.58,,,0 CDM,13373_00941045905,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0459-05),161.66,161.66,,,0 CDM,133741_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,133742_C1713_278,Noncdm Charge Record Medical Supplies,52.62,52.62,,,0 CDM,133743_C1713_278,Noncdm Charge Record Medical Supplies,52.62,52.62,,,0 CDM,133744_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,133745_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,133746_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,133747_C1713_278,Noncdm Charge Record Medical Supplies,63.25,63.25,,,0 CDM,133749_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,133752_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,133754_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,133755_C1713_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,133756_C1713_278,Noncdm Charge Record Medical Supplies,234.12,234.12,,,0 CDM,133772_C1713_278,Noncdm Charge Record Medical Supplies,399.3,399.3,,,0 CDM,133774_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,133775_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,133776_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,133785_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,133786_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,133787_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,133789_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133790_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133791_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133794_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133795_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133796_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133797_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133798_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133799_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,133802_C1713_278,Noncdm Charge Record Medical Supplies,268.03,268.03,,,0 CDM,133803_C1713_278,Noncdm Charge Record Medical Supplies,268.12,268.12,,,0 CDM,133804_C1713_278,Noncdm Charge Record Medical Supplies,268.03,268.03,,,0 CDM,133808_C1713_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,133812_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,133813_C1713_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,133815_C1713_278,Noncdm Charge Record Medical Supplies,162.51,162.51,,,0 CDM,133816_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,133817_C1713_278,Noncdm Charge Record Medical Supplies,162.52,162.52,,,0 CDM,133818_C1713_278,Noncdm Charge Record Medical Supplies,162.7,162.7,,,0 CDM,133819_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,133820_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,133821_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133823_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133824_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133825_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133826_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133827_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133828_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133829_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133830_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133831_C1713_278,Noncdm Charge Record Medical Supplies,156.2,156.2,,,0 CDM,133838_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,133840_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,133841_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,133842_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,133845_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133846_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133851_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133854_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133855_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133856_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133858_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,133859_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,133860_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,133861_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,133863_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,133868_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,133871_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,133875_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,133888_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,133900_270,Noncdm Charge Record Medical Supplies,624.68,624.68,,,0 CDM,133903_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,133905_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133907_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,133910_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,133911_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,133913_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,133915_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,133916_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,133919_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,133921_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133923_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133924_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133925_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133926_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,133928_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,133929_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,133931_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133934_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,133936_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133937_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133938_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,133942_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,133944_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,133945_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,133949_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,133950_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,133954_270,Noncdm Charge Record Medical Supplies,1361.8,1361.8,,,0 CDM,133955_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,133956_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,133961_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,133962_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,133963_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,133964_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133965_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,133968_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,133969_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,13396_270,Noncdm Charge Record Medical Supplies,735.9,735.9,,,0 CDM,133971_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,133972_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,133999_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,133999_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,1340000001,Hc Room Three And Four Beds Psych,3198.0,3198.0,,,0 CDM,134000_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,134001_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134007_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,134010_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,134011_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134012_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134013_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134014_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134015_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134016_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134017_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134018_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134019_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134030_01184517105,NDC Description Not Available,0.77,0.77,,,0 CDM,134044_C1831_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,134044_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,134045_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,134046_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,134050_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134051_00944755001,NDC Description Not Available,4.9,4.9,,,0 CDM,134051_00944755102,"Vonvendi: 1 Kit In 1 Carton (0944-7551-02) * 5 Ml In 1 Vial, Single-Dose (0944-7550-01) * 5 Ml In 1 Vial, Glass (64764-515-50)",4.9,4.9,,,0 CDM,134052_00944755302,"Vonvendi: 1 Kit In 1 Carton (0944-7553-02) * 10 Ml In 1 Vial, Single-Dose (0944-7552-01) * 10 Ml In 1 Vial, Glass (64764-516-10)",4.9,4.9,,,0 CDM,134054_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134059_00517037401,NDC Description Not Available,14.66,14.66,,,0 CDM,134059_00517037405,Provayblue: 5 Ampule In 1 Carton (0517-0374-05) / 10 Ml In 1 Ampule (0517-0374-01),12.55,12.55,,,0 CDM,134059_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,134060_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134066_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134067_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134068_63323047801,NDC Description Not Available,0.89,0.89,,,0 CDM,134068_63323047827,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.23,0.23,,,0 CDM,134069_00009074630,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,1.42,1.42,,,0 CDM,134069_00009737611,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,1.32,1.32,,,0 CDM,134069_00548570100,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00) / 1 Ml In 1 Syringe,0.08,0.08,,,0 CDM,134069_55150033001,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (55150-330-01) / 1 Ml In 1 Syringe,2.02,2.02,,,0 CDM,134069_66993037179,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (66993-371-79) / 1 Ml In 1 Syringe,2.77,2.77,,,0 CDM,134069_67457088700,NDC Description Not Available,0.96,0.96,,,0 CDM,134069_67457088799,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),0.99,0.99,,,0 CDM,134070_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134071_25208000201,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,19.9,19.9,,,0 CDM,134072_14789010202,Tirofiban Hydrochloride: 1 Bag In 1 Carton (14789-102-02) / 250 Ml In 1 Bag,13.84,13.84,,,0 CDM,134072_14789010210,Tirofiban Hydrochloride: 2 Bag In 1 Carton (14789-102-10) / 250 Ml In 1 Bag,13.84,13.84,,,0 CDM,134072_25208000202,Aggrastat: 1 Container In 1 Carton (25208-002-02) / 250 Ml In 1 Container,29.74,29.74,,,0 CDM,134072_25208090202,Aggrastat: 1 Container In 1 Carton (25208-902-02) / 250 Ml In 1 Container,15.88,15.88,,,0 CDM,134072_55150043001,Tirofiban: 1 Pouch In 1 Carton (55150-430-01) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,19.65,19.65,,,0 CDM,134075_00641620501,NDC Description Not Available,65.52,65.52,,,0 CDM,134075_00641620510,Naloxone Hydrochloride: 10 Syringe In 1 Carton (0641-6205-10) / 2 Ml In 1 Syringe (0641-6205-01),68.11,68.11,,,0 CDM,134075_55150034501,Naloxone Hydrochloride: 1 Syringe In 1 Box (55150-345-01) / 2 Ml In 1 Syringe,70.16,70.16,,,0 CDM,134075_76329146901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,70.47,70.47,,,0 CDM,134075_76329336901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,67.95,67.95,,,0 CDM,134077_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134078_58394063503,"Benefix: 1 Kit In 1 Carton (58394-635-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-135-03)",3.58,3.58,,,0 CDM,134079_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134080_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134081_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134085_C1713_278,Noncdm Charge Record Medical Supplies,75.84,75.84,,,0 CDM,134089_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134090_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134091_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134098_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134099_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134100_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134101_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134102_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134103_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134104_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,134110_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,134111_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,134112_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,134119_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134120_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134121_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134122_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134125_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134126_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134127_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134137_70004025340,NDC Description Not Available,2.05,2.05,,,0 CDM,134137_70092116037,NDC Description Not Available,173.04,173.04,,,0 CDM,134141_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134143_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134145_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134147_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,134148_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,134150_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134154_C1776_278,Noncdm Charge Record Medical Supplies,566.5,566.5,,,0 CDM,134155_C1776_278,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,134159_70004092059,NDC Description Not Available,57.68,57.68,,,0 CDM,134167_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,134172_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,134173_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,134174_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,134175_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134176_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134177_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134178_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134180_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134182_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134183_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,134188_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,134191_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,134195_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134196_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,134197_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,134199_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,134211_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,134219_C1767_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,134220_C1820_278,Noncdm Charge Record Medical Supplies,33264.0,33264.0,,,0 CDM,134221_C1787_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134223_270,Noncdm Charge Record Medical Supplies,1719.3,1719.3,,,0 CDM,134233_00078091105,NDC Description Not Available,33.58,33.58,,,0 CDM,134272_C1713_278,Noncdm Charge Record Medical Supplies,2390.3,2390.3,,,0 CDM,134304_C1776_278,Noncdm Charge Record Medical Supplies,2798.4,2798.4,,,0 CDM,134312_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134314_C1713_278,Noncdm Charge Record Medical Supplies,319.85,319.85,,,0 CDM,134315_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,134319_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,134321_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,134322_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,134323_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,134325_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,134327_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,134328_270,Noncdm Charge Record Medical Supplies,880.0,880.0,,,0 CDM,134336_70092128108,NDC Description Not Available,714.1,714.1,,,0 CDM,134338_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,134340_00409765005,NDC Description Not Available,2.46,2.46,,,0 CDM,134340_00409765062,Heparin Sodium: 24 Pouch In 1 Case (0409-7650-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7650-52),2.46,2.46,,,0 CDM,134340_63323051701,NDC Description Not Available,1.66,1.66,,,0 CDM,134344_270,Noncdm Charge Record Medical Supplies,1732.5,1732.5,,,0 CDM,134349_C1713_278,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,134350_C1713_278,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,134352_42192060806,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",26.02,26.02,,,0 CDM,134352_42192060840,"Gabapentin: 40 Cup, Unit-Dose In 1 Box (42192-608-40) / 6 Ml In 1 Cup, Unit-Dose",25.75,25.75,,,0 CDM,134355_C1713_278,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,134360_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,134362_270,Noncdm Charge Record Medical Supplies,1183.6,1183.6,,,0 CDM,134373_C1713_278,Noncdm Charge Record Medical Supplies,1096.7,1096.7,,,0 CDM,134376_C1713_278,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,134379_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,13437_04056511182,NDC Description Not Available,29.87,29.87,,,0 CDM,134389_C1713_278,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,134394_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,134397_270,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,134400_C1713_278,Noncdm Charge Record Medical Supplies,631.4,631.4,,,0 CDM,134408_270,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,134410_C1052_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,134411_C1052_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,134413_L8699_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,134414_L8699_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,134415_L8699_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,134416_L8699_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,134419_270,Noncdm Charge Record Medical Supplies,6719.27,6719.27,,,0 CDM,134419_C2618_270,Noncdm Charge Record Medical Supplies,6633.0,6633.0,,,0 CDM,134420_270,Noncdm Charge Record Medical Supplies,6834.3,6834.3,,,0 CDM,134428_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,134429_C1889_278,Noncdm Charge Record Medical Supplies,21560.0,21560.0,,,0 CDM,134430_C1889_278,Noncdm Charge Record Medical Supplies,21560.0,21560.0,,,0 CDM,134431_C1889_278,Noncdm Charge Record Medical Supplies,21560.0,21560.0,,,0 CDM,134432_C1889_278,Noncdm Charge Record Medical Supplies,21560.0,21560.0,,,0 CDM,134433_C1889_278,Noncdm Charge Record Medical Supplies,21560.0,21560.0,,,0 CDM,134450_C1894_278,Noncdm Charge Record Medical Supplies,1500.4,1500.4,,,0 CDM,134451_C1894_278,Noncdm Charge Record Medical Supplies,1500.4,1500.4,,,0 CDM,134454_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134455_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134456_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134457_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134458_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134459_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134460_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134461_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134462_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134463_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134464_00338964712,Vasopressin In 0.9% Sodium Chloride: 12 Bag In 1 Carton (0338-9647-12) / 100 Ml In 1 Bag,16.22,16.22,,,0 CDM,134464_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,134465_C1820_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,134466_C1778_278,Noncdm Charge Record Medical Supplies,512.6,512.6,,,0 CDM,134467_C1778_278,Noncdm Charge Record Medical Supplies,5013.9,5013.9,,,0 CDM,134469_270,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,134474_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,134475_C1713_278,Noncdm Charge Record Medical Supplies,2359.57,2359.57,,,0 CDM,134485_C1781_278,Noncdm Charge Record Medical Supplies,2213.2,2213.2,,,0 CDM,134486_C1781_278,Noncdm Charge Record Medical Supplies,2213.2,2213.2,,,0 CDM,134487_C1781_278,Noncdm Charge Record Medical Supplies,1174.8,1174.8,,,0 CDM,134488_C1781_278,Noncdm Charge Record Medical Supplies,1196.8,1196.8,,,0 CDM,134489_C1781_278,Noncdm Charge Record Medical Supplies,1225.4,1225.4,,,0 CDM,134492_C1713_278,Noncdm Charge Record Medical Supplies,27.16,27.16,,,0 CDM,134493_C1713_278,Noncdm Charge Record Medical Supplies,27.18,27.18,,,0 CDM,134494_C1713_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,134495_C1713_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,134496_C1713_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,134498_C1713_278,Noncdm Charge Record Medical Supplies,697.4,697.4,,,0 CDM,134499_C1713_278,Noncdm Charge Record Medical Supplies,582.01,582.01,,,0 CDM,134502_C1713_278,Noncdm Charge Record Medical Supplies,697.4,697.4,,,0 CDM,134505_C1713_278,Noncdm Charge Record Medical Supplies,64.53,64.53,,,0 CDM,134509_C1889_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,134512_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134518_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134519_70004092459,NDC Description Not Available,28.5,28.5,,,0 CDM,13451_C1769_278,Noncdm Charge Record Medical Supplies,25.13,25.13,,,0 CDM,134522_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,134525_C1889_278,Noncdm Charge Record Medical Supplies,193.32,193.32,,,0 CDM,134526_C9359_278,Noncdm Charge Record Medical Supplies,2602.6,2602.6,,,0 CDM,134527_C9359_278,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,134527_C9359_636,Noncdm Charge Record Pharmacy,3154.89,3154.89,,,0 CDM,134528_C9359_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,134529_70004092444,NDC Description Not Available,57.16,57.16,,,0 CDM,134529_C9359_278,Noncdm Charge Record Medical Supplies,1829.3,1829.3,,,0 CDM,134529_C9359_636,Noncdm Charge Record Pharmacy,1712.89,1712.89,,,0 CDM,134532_C9359_278,Noncdm Charge Record Medical Supplies,569.8,569.8,,,0 CDM,134533_C9359_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,134534_C9359_636,Noncdm Charge Record Pharmacy,1261.75,1261.75,,,0 CDM,134536_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,134542_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,134544_00338011220,Norepinephrine Bitartrate: 20 Bag In 1 Carton (0338-0112-20) / 250 Ml In 1 Bag,51.3,51.3,,,0 CDM,134544_70092903417,NDC Description Not Available,34.11,34.11,,,0 CDM,134544_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134546_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134547_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134548_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134549_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134558_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134562_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134563_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134565_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,134572_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,134573_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,134575_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134576_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134577_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134579_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134580_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134581_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134582_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134583_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134587_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134588_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134589_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134590_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134591_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134592_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134594_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134597_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134598_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134605_44567064001,NDC Description Not Available,135.6,135.6,,,0 CDM,134605_69374052825,NDC Description Not Available,28.41,28.41,,,0 CDM,134605_70004077140,NDC Description Not Available,308.59,308.59,,,0 CDM,134605_81298965901,NDC Description Not Available,115.05,115.05,,,0 CDM,134608_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134610_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134612_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134613_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134614_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134615_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134636_270,Noncdm Charge Record Medical Supplies,434.5,434.5,,,0 CDM,134643_C1713_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,134644_C1713_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,134645_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,134646_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,134648_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,134649_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,134650_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,134651_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,134652_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,134653_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,134654_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,134657_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,134660_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,134661_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,134662_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,134663_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,134663_70004092359,NDC Description Not Available,48.07,48.07,,,0 CDM,134663_70092905405,NDC Description Not Available,48.07,48.07,,,0 CDM,134664_270,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,134665_70092117405,NDC Description Not Available,149.43,149.43,,,0 CDM,134665_70092917405,NDC Description Not Available,149.49,149.49,,,0 CDM,134671_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,134672_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,134673_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,134676_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,134677_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,134678_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,134680_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,134688_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134689_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134690_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134691_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134692_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134693_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134694_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134695_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134696_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134697_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134698_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134699_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134700_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134701_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134702_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134703_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134704_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134705_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134706_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134707_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134708_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134709_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134710_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,134713_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134715_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,134725_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,134740_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,134744_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134746_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134747_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134748_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134750_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,134763_270,Noncdm Charge Record Medical Supplies,708.39,708.39,,,0 CDM,134764_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,134766_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,134767_270,Noncdm Charge Record Medical Supplies,2443.1,2443.1,,,0 CDM,134768_270,Noncdm Charge Record Medical Supplies,2443.1,2443.1,,,0 CDM,134771_270,Noncdm Charge Record Medical Supplies,2702.15,2702.15,,,0 CDM,134773_270,Noncdm Charge Record Medical Supplies,451.2,451.2,,,0 CDM,134789_C1713_278,Noncdm Charge Record Medical Supplies,2766.5,2766.5,,,0 CDM,134793_C1713_278,Noncdm Charge Record Medical Supplies,1929.4,1929.4,,,0 CDM,134798_C1713_278,Noncdm Charge Record Medical Supplies,1038.4,1038.4,,,0 CDM,134800_270,Noncdm Charge Record Medical Supplies,2128.62,2128.62,,,0 CDM,134802_270,Noncdm Charge Record Medical Supplies,2128.61,2128.61,,,0 CDM,134802_C1713_270,Noncdm Charge Record Medical Supplies,2128.5,2128.5,,,0 CDM,134803_270,Noncdm Charge Record Medical Supplies,2128.62,2128.62,,,0 CDM,134805_270,Noncdm Charge Record Medical Supplies,2128.78,2128.78,,,0 CDM,134806_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,134814_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134815_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134818_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134819_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134820_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134821_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,134833_Q4116_278,Noncdm Charge Record Medical Supplies,53.21,53.21,,,0 CDM,134853_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,134854_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,134855_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,134857_C1730_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,134858_C1769_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,134861_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,134867_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,134870_C1776_278,Noncdm Charge Record Medical Supplies,586.3,586.3,,,0 CDM,134873_C1776_278,Noncdm Charge Record Medical Supplies,6285.4,6285.4,,,0 CDM,134877_C1776_278,Noncdm Charge Record Medical Supplies,9875.8,9875.8,,,0 CDM,134879_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,134881_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,134883_270,Noncdm Charge Record Medical Supplies,3300.0,3300.0,,,0 CDM,134885_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,134886_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,134887_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,134889_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,134893_C1820_278,Noncdm Charge Record Medical Supplies,17286.5,17286.5,,,0 CDM,134894_C1883_275,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,134895_C1778_278,Noncdm Charge Record Medical Supplies,5751.9,5751.9,,,0 CDM,134896_C1778_278,Noncdm Charge Record Medical Supplies,5751.9,5751.9,,,0 CDM,134897_C1897_278,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,134899_57894005427,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",37.48,37.48,,,0 CDM,134901_C1820_278,Noncdm Charge Record Medical Supplies,1897.5,1897.5,,,0 CDM,134902_270,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,134902_C1778_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,134902_C1889_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,134903_270,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,134903_C1889_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,134922_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,134934_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,13493_C1894_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,134942_C1889_278,Noncdm Charge Record Medical Supplies,3248.06,3248.06,,,0 CDM,134943_C1713_278,Noncdm Charge Record Medical Supplies,3283.47,3283.47,,,0 CDM,134943_C1781_278,Noncdm Charge Record Medical Supplies,3249.4,3249.4,,,0 CDM,134956_270,Noncdm Charge Record Medical Supplies,655.6,655.6,,,0 CDM,134957_270,Noncdm Charge Record Medical Supplies,1088.84,1088.84,,,0 CDM,13495_C1894_272,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,13495_C1894_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,134998_270,Noncdm Charge Record Medical Supplies,1006.5,1006.5,,,0 CDM,134999_270,Noncdm Charge Record Medical Supplies,1006.5,1006.5,,,0 CDM,135003_270,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,135007_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,135008_270,Noncdm Charge Record Medical Supplies,2450.66,2450.66,,,0 CDM,135022_C1889_278,Noncdm Charge Record Medical Supplies,254.87,254.87,,,0 CDM,135032_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,135034_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,135041_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,135043_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,135056_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,135057_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,135063_270,Noncdm Charge Record Medical Supplies,9577.08,9577.08,,,0 CDM,135064_270,Noncdm Charge Record Medical Supplies,2613.97,2613.97,,,0 CDM,135065_270,Noncdm Charge Record Medical Supplies,18722.0,18722.0,,,0 CDM,135067_270,Noncdm Charge Record Medical Supplies,4645.3,4645.3,,,0 CDM,135068_270,Noncdm Charge Record Medical Supplies,9761.4,9761.4,,,0 CDM,135069_C1713_278,Noncdm Charge Record Medical Supplies,2143.84,2143.84,,,0 CDM,135071_C1781_278,Noncdm Charge Record Medical Supplies,1483.9,1483.9,,,0 CDM,135073_C1713_278,Noncdm Charge Record Medical Supplies,2143.9,2143.9,,,0 CDM,135074_270,Noncdm Charge Record Medical Supplies,2679.57,2679.57,,,0 CDM,135076_270,Noncdm Charge Record Medical Supplies,6257.9,6257.9,,,0 CDM,135077_C1713_278,Noncdm Charge Record Medical Supplies,1822.7,1822.7,,,0 CDM,135079_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,13507_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,135081_C1713_278,Noncdm Charge Record Medical Supplies,159.5,159.5,,,0 CDM,135086_C1776_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,135090_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135093_C1776_278,Noncdm Charge Record Medical Supplies,2233.0,2233.0,,,0 CDM,135094_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,1350_00536252525,Capsaicin: 1 Tube In 1 Carton (0536-2525-25) / 60 G In 1 Tube,36.03,36.03,,,0 CDM,1350_50268019560,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60) / 60 G In 1 Tube,36.05,36.05,,,0 CDM,135101_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,135104_C1776_278,Noncdm Charge Record Medical Supplies,1650.0,1650.0,,,0 CDM,135110_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,135111_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,135113_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,135115_25208000104,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",31.67,31.67,,,0 CDM,135115_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,135116_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,135119_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,135121_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,135122_C1776_278,Noncdm Charge Record Medical Supplies,7120.02,7120.02,,,0 CDM,135123_C1776_278,Noncdm Charge Record Medical Supplies,7121.4,7121.4,,,0 CDM,135124_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,135131_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,135133_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,135171_270,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,135172_C1887_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,135173_C1887_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,135174_C1887_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,135175_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,135176_C1763_278,Noncdm Charge Record Medical Supplies,954.8,954.8,,,0 CDM,135177_C1763_278,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,135178_C1763_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,135183_C1894_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,135184_C1894_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,135195_61958230101,"Vemlidy: 30 Tablet In 1 Bottle, Plastic (61958-2301-1)",208.49,208.49,,,0 CDM,135213_270,Noncdm Charge Record Medical Supplies,794.2,794.2,,,0 CDM,135214_270,Noncdm Charge Record Medical Supplies,886.6,886.6,,,0 CDM,135228_270,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,135229_270,Noncdm Charge Record Medical Supplies,2082.3,2082.3,,,0 CDM,135231_C1778_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,135232_C1897_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,135233_C1883_275,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135234_C1778_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,135235_C1787_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,135243_270,Noncdm Charge Record Medical Supplies,9347.8,9347.8,,,0 CDM,135244_C1876_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,135247_C1778_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,135248_C1713_278,Noncdm Charge Record Medical Supplies,22.53,22.53,,,0 CDM,135251_Q4137_278,Noncdm Charge Record Medical Supplies,138.05,138.05,,,0 CDM,135251_Q4137_636,Noncdm Charge Record Pharmacy,10.82,10.82,,,0 CDM,135253_C1762_278,Noncdm Charge Record Medical Supplies,2710.09,2710.09,,,0 CDM,135253_C1762_636,Noncdm Charge Record Pharmacy,2537.58,2537.58,,,0 CDM,135268_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,135281_270,Noncdm Charge Record Medical Supplies,1551.0,1551.0,,,0 CDM,135284_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,135287_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,135293_C1776_278,Noncdm Charge Record Medical Supplies,694.1,694.1,,,0 CDM,135296_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,135297_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,135298_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,135299_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135301_C1713_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,135303_C1776_278,Noncdm Charge Record Medical Supplies,11434.5,11434.5,,,0 CDM,135306_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,135339_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,135340_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135344_270,Noncdm Charge Record Medical Supplies,1222.1,1222.1,,,0 CDM,135347_270,Noncdm Charge Record Medical Supplies,666.6,666.6,,,0 CDM,135348_270,Noncdm Charge Record Medical Supplies,627.0,627.0,,,0 CDM,135349_270,Noncdm Charge Record Medical Supplies,679.17,679.17,,,0 CDM,135353_270,Noncdm Charge Record Medical Supplies,6982.8,6982.8,,,0 CDM,135354_270,Noncdm Charge Record Medical Supplies,6982.8,6982.8,,,0 CDM,135355_270,Noncdm Charge Record Medical Supplies,6982.8,6982.8,,,0 CDM,135358_270,Noncdm Charge Record Medical Supplies,4367.0,4367.0,,,0 CDM,135359_270,Noncdm Charge Record Medical Supplies,4366.94,4366.94,,,0 CDM,135360_270,Noncdm Charge Record Medical Supplies,4367.0,4367.0,,,0 CDM,135361_270,Noncdm Charge Record Medical Supplies,4356.0,4356.0,,,0 CDM,135364_270,Noncdm Charge Record Medical Supplies,1960.2,1960.2,,,0 CDM,135365_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,135366_270,Noncdm Charge Record Medical Supplies,4534.2,4534.2,,,0 CDM,135367_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135369_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135370_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135371_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135372_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135374_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,135375_270,Noncdm Charge Record Medical Supplies,3781.8,3781.8,,,0 CDM,135376_270,Noncdm Charge Record Medical Supplies,3781.8,3781.8,,,0 CDM,135377_270,Noncdm Charge Record Medical Supplies,3909.73,3909.73,,,0 CDM,135378_270,Noncdm Charge Record Medical Supplies,3613.5,3613.5,,,0 CDM,135380_270,Noncdm Charge Record Medical Supplies,3613.5,3613.5,,,0 CDM,135381_270,Noncdm Charge Record Medical Supplies,441.1,441.1,,,0 CDM,135383_270,Noncdm Charge Record Medical Supplies,554.95,554.95,,,0 CDM,135386_270,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,135387_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,135388_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135389_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135390_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135392_C1884_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135392_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135393_C1884_278,Noncdm Charge Record Medical Supplies,2291.67,2291.67,,,0 CDM,135394_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135395_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135396_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135397_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135398_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135399_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135400_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135401_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135402_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135403_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135404_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135405_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135407_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135408_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135409_C1889_278,Noncdm Charge Record Medical Supplies,2291.42,2291.42,,,0 CDM,135410_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135412_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135413_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135414_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135415_C1889_278,Noncdm Charge Record Medical Supplies,2291.3,2291.3,,,0 CDM,135429_C1889_278,Noncdm Charge Record Medical Supplies,2418.9,2418.9,,,0 CDM,135433_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135434_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135437_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135440_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135441_C1889_278,Noncdm Charge Record Medical Supplies,3569.66,3569.66,,,0 CDM,135443_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135444_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135445_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135448_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135450_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135451_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135453_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135454_C1889_278,Noncdm Charge Record Medical Supplies,3569.64,3569.64,,,0 CDM,135455_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135456_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135458_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135459_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135460_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135461_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135462_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135463_C1889_278,Noncdm Charge Record Medical Supplies,3569.5,3569.5,,,0 CDM,135479_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,135481_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135482_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135484_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135486_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135487_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135488_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135517_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135518_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135519_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135521_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135522_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,13554_C1893_278,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,13556_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,13556_C1893_278,Noncdm Charge Record Medical Supplies,15.77,15.77,,,0 CDM,135593_C1776_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,135608_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,135612_270,Noncdm Charge Record Medical Supplies,1527.9,1527.9,,,0 CDM,135620_C1713_278,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,135621_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,135629_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,135630_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,135632_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,135633_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,135637_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135639_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135640_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135641_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135642_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135643_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,135649_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,135650_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,135662_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,135663_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135664_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135665_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135667_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135668_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135669_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135671_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135675_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135676_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135677_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,135692_270,Noncdm Charge Record Medical Supplies,532.4,532.4,,,0 CDM,135699_C1713_278,Noncdm Charge Record Medical Supplies,1152.8,1152.8,,,0 CDM,13570_270,Noncdm Charge Record Medical Supplies,1580.72,1580.72,,,0 CDM,13572_270,Noncdm Charge Record Medical Supplies,1580.84,1580.84,,,0 CDM,135730_V2632_276,Noncdm Charge Record Medical Supplies,218.88,218.88,,,0 CDM,135746_270,Noncdm Charge Record Medical Supplies,1973.68,1973.68,,,0 CDM,135747_270,Noncdm Charge Record Medical Supplies,2591.81,2591.81,,,0 CDM,135748_270,Noncdm Charge Record Medical Supplies,387.17,387.17,,,0 CDM,135749_270,Noncdm Charge Record Medical Supplies,387.13,387.13,,,0 CDM,135762_C1778_278,Noncdm Charge Record Medical Supplies,12012.0,12012.0,,,0 CDM,135765_C1732_272,Noncdm Charge Record Medical Supplies,1679.7,1679.7,,,0 CDM,135765_C1732_278,Noncdm Charge Record Medical Supplies,1679.71,1679.71,,,0 CDM,135768_C1769_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,135769_C1769_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,135771_C1725_278,Noncdm Charge Record Medical Supplies,197.27,197.27,,,0 CDM,1357_00904617261,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61) / 1 Tablet In 1 Blister Pack,3.93,3.93,,,0 CDM,1357_75834022101,Carbamazepine: 100 Tablet In 1 Bottle (75834-221-01),5.75,5.75,,,0 CDM,135801_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,135803_C1725_278,Noncdm Charge Record Medical Supplies,244.2,244.2,,,0 CDM,135815_C1887_278,Noncdm Charge Record Medical Supplies,111.1,111.1,,,0 CDM,135816_C1887_278,Noncdm Charge Record Medical Supplies,319.55,319.55,,,0 CDM,135817_C1887_278,Noncdm Charge Record Medical Supplies,23.1,23.1,,,0 CDM,135822_270,Noncdm Charge Record Medical Supplies,328.68,328.68,,,0 CDM,135823_270,Noncdm Charge Record Medical Supplies,416.26,416.26,,,0 CDM,135831_C1769_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,135839_C1817_278,Noncdm Charge Record Medical Supplies,12866.7,12866.7,,,0 CDM,135840_C1817_278,Noncdm Charge Record Medical Supplies,12866.7,12866.7,,,0 CDM,135841_C1817_278,Noncdm Charge Record Medical Supplies,12866.7,12866.7,,,0 CDM,135842_C1817_278,Noncdm Charge Record Medical Supplies,12866.7,12866.7,,,0 CDM,135843_C1768_278,Noncdm Charge Record Medical Supplies,4276.8,4276.8,,,0 CDM,135845_C1781_278,Noncdm Charge Record Medical Supplies,4750.9,4750.9,,,0 CDM,135848_C1713_278,Noncdm Charge Record Medical Supplies,1340.9,1340.9,,,0 CDM,135850_C1713_278,Noncdm Charge Record Medical Supplies,1397.0,1397.0,,,0 CDM,135852_C1713_278,Noncdm Charge Record Medical Supplies,1340.9,1340.9,,,0 CDM,135860_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,135861_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,135862_C1713_278,Noncdm Charge Record Medical Supplies,53.63,53.63,,,0 CDM,135863_270,Noncdm Charge Record Medical Supplies,523.32,523.32,,,0 CDM,135864_270,Noncdm Charge Record Medical Supplies,671.55,671.55,,,0 CDM,13586_270,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,135879_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,135885_270,Noncdm Charge Record Medical Supplies,1387.1,1387.1,,,0 CDM,135886_270,Noncdm Charge Record Medical Supplies,1468.5,1468.5,,,0 CDM,135902_C1713_278,Noncdm Charge Record Medical Supplies,4515.5,4515.5,,,0 CDM,135906_270,Noncdm Charge Record Medical Supplies,10236.6,10236.6,,,0 CDM,135908_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,13590_270,Noncdm Charge Record Medical Supplies,392.68,392.68,,,0 CDM,135914_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,135929_C1713_278,Noncdm Charge Record Medical Supplies,64.9,64.9,,,0 CDM,135936_C1713_278,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,135944_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,135945_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,135946_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,135950_C1713_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,135962_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,135965_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,135967_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,135968_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,135969_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,135973_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135974_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135975_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135976_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135977_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135978_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135979_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135980_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135981_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135984_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,135991_C1713_278,Noncdm Charge Record Medical Supplies,214.5,214.5,,,0 CDM,135992_C1713_278,Noncdm Charge Record Medical Supplies,214.5,214.5,,,0 CDM,1359_00904662735,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35) / 15 Ml In 1 Bottle,8.24,8.24,,,0 CDM,1359_04203710478,NDC Description Not Available,28.7,28.7,,,0 CDM,1359_04203710479,NDC Description Not Available,36.05,36.05,,,0 CDM,1359_07811273621,NDC Description Not Available,28.84,28.84,,,0 CDM,1359_07811273623,NDC Description Not Available,21.63,21.63,,,0 CDM,1359_70677115301,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1) * 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,14.42,14.42,,,0 CDM,1359_70677115401,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,1.03,1.03,,,0 CDM,136007_C1887_278,Noncdm Charge Record Medical Supplies,317.12,317.12,,,0 CDM,136008_C1887_278,Noncdm Charge Record Medical Supplies,325.44,325.44,,,0 CDM,136009_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136010_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136011_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136012_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136016_C1757_278,Noncdm Charge Record Medical Supplies,9317.0,9317.0,,,0 CDM,136018_C1887_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,136019_C1887_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,136020_C1769_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136021_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136023_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136024_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136025_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136026_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136027_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,136028_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,136029_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,136032_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,136034_C1713_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,136035_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,136044_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,136045_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,136047_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,136049_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,136050_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,136051_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136053_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,136059_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136060_270,Noncdm Charge Record Medical Supplies,433.43,433.43,,,0 CDM,136061_270,Noncdm Charge Record Medical Supplies,623.86,623.86,,,0 CDM,136073_270,Noncdm Charge Record Medical Supplies,1538.71,1538.71,,,0 CDM,136074_270,Noncdm Charge Record Medical Supplies,482.9,482.9,,,0 CDM,136075_270,Noncdm Charge Record Medical Supplies,413.6,413.6,,,0 CDM,136076_270,Noncdm Charge Record Medical Supplies,419.13,419.13,,,0 CDM,136077_270,Noncdm Charge Record Medical Supplies,1144.53,1144.53,,,0 CDM,136078_270,Noncdm Charge Record Medical Supplies,1063.7,1063.7,,,0 CDM,136079_270,Noncdm Charge Record Medical Supplies,350.9,350.9,,,0 CDM,136081_270,Noncdm Charge Record Medical Supplies,342.12,342.12,,,0 CDM,136088_270,Noncdm Charge Record Medical Supplies,537.9,537.9,,,0 CDM,136094_270,Noncdm Charge Record Medical Supplies,608.41,608.41,,,0 CDM,136097_270,Noncdm Charge Record Medical Supplies,500.55,500.55,,,0 CDM,136103_270,Noncdm Charge Record Medical Supplies,1031.29,1031.29,,,0 CDM,136105_270,Noncdm Charge Record Medical Supplies,381.26,381.26,,,0 CDM,136106_270,Noncdm Charge Record Medical Supplies,920.72,920.72,,,0 CDM,136107_270,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,136120_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136121_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136126_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136128_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,136129_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136130_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136132_C1893_278,Noncdm Charge Record Medical Supplies,250.8,250.8,,,0 CDM,136133_C1893_278,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,136135_C1893_278,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,136136_C1732_272,Noncdm Charge Record Medical Supplies,2576.2,2576.2,,,0 CDM,136136_C1732_278,Noncdm Charge Record Medical Supplies,2576.2,2576.2,,,0 CDM,136137_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,136140_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,136147_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136153_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136158_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136160_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,136163_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136166_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,136222_C1887_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,136223_C1887_278,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,136225_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,136226_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,136227_C1887_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,136230_C1725_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,136232_C1893_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,136233_C1893_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,136234_C1894_278,Noncdm Charge Record Medical Supplies,37.4,37.4,,,0 CDM,136244_C1876_278,Noncdm Charge Record Medical Supplies,1469.6,1469.6,,,0 CDM,136246_C1876_278,Noncdm Charge Record Medical Supplies,1641.2,1641.2,,,0 CDM,136250_C1876_278,Noncdm Charge Record Medical Supplies,1469.6,1469.6,,,0 CDM,136260_C1876_278,Noncdm Charge Record Medical Supplies,5382.3,5382.3,,,0 CDM,136261_270,Noncdm Charge Record Medical Supplies,744.35,744.35,,,0 CDM,136263_C1889_278,Noncdm Charge Record Medical Supplies,951.5,951.5,,,0 CDM,136268_270,Noncdm Charge Record Medical Supplies,2722.5,2722.5,,,0 CDM,136269_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,136282_C1713_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,136285_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,136286_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,136288_C1713_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,136292_270,Noncdm Charge Record Medical Supplies,1156.1,1156.1,,,0 CDM,136297_270,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,136298_C1729_278,Noncdm Charge Record Medical Supplies,67.1,67.1,,,0 CDM,136299_C1729_278,Noncdm Charge Record Medical Supplies,67.1,67.1,,,0 CDM,136301_C1769_278,Noncdm Charge Record Medical Supplies,361.9,361.9,,,0 CDM,136304_C1713_278,Noncdm Charge Record Medical Supplies,8761.5,8761.5,,,0 CDM,136314_270,Noncdm Charge Record Medical Supplies,756.8,756.8,,,0 CDM,136316_270,Noncdm Charge Record Medical Supplies,8415.0,8415.0,,,0 CDM,136317_C1894_278,Noncdm Charge Record Medical Supplies,75.72,75.72,,,0 CDM,136318_C1894_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,136319_C1894_278,Noncdm Charge Record Medical Supplies,75.74,75.74,,,0 CDM,136322_L8514_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,136353_C1887_278,Noncdm Charge Record Medical Supplies,31.82,31.82,,,0 CDM,136354_270,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 CDM,136355_270,Noncdm Charge Record Medical Supplies,266.15,266.15,,,0 CDM,136355_C1729_278,Noncdm Charge Record Medical Supplies,266.2,266.2,,,0 CDM,136355_C1750_278,Noncdm Charge Record Medical Supplies,266.2,266.2,,,0 CDM,136359_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,136375_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,136376_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,136377_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,136391_C1823_278,Noncdm Charge Record Medical Supplies,39270.0,39270.0,,,0 CDM,136392_C1887_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,136395_C1823_278,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,136398_270,Noncdm Charge Record Medical Supplies,1115.45,1115.45,,,0 CDM,136400_270,Noncdm Charge Record Medical Supplies,887.7,887.7,,,0 CDM,136407_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,136412_C1874_278,Noncdm Charge Record Medical Supplies,3606.17,3606.17,,,0 CDM,136439_270,Noncdm Charge Record Medical Supplies,554.52,554.52,,,0 CDM,136440_270,Noncdm Charge Record Medical Supplies,920.7,920.7,,,0 CDM,136448_270,Noncdm Charge Record Medical Supplies,1897.5,1897.5,,,0 CDM,13645_C1887_278,Noncdm Charge Record Medical Supplies,80.08,80.08,,,0 CDM,136508_270,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,136514_270,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,136515_270,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,136517_C1776_278,Noncdm Charge Record Medical Supplies,2767.6,2767.6,,,0 CDM,136518_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,136585_C1730_272,Noncdm Charge Record Medical Supplies,183.7,183.7,,,0 CDM,136585_C1730_278,Noncdm Charge Record Medical Supplies,183.48,183.48,,,0 CDM,136587_C1889_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,136588_C1889_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,136595_C1887_278,Noncdm Charge Record Medical Supplies,158.27,158.27,,,0 CDM,136631_270,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,136632_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136633_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136634_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136635_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136636_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136637_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136638_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136639_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136640_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136641_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136642_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136643_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136644_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136645_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136646_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136647_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136648_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136649_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136650_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136651_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136652_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136653_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136654_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136655_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136656_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136657_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136658_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136659_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136660_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136661_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136662_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136663_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136665_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136666_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136667_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136668_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136669_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136670_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136671_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136672_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136673_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136674_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136675_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136676_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136677_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136678_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136679_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136680_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136681_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136682_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136683_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136684_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136685_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136686_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136687_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,136689_C1750_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,136690_C1750_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,136692_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,136698_C1769_278,Noncdm Charge Record Medical Supplies,35.09,35.09,,,0 CDM,136700_C1874_278,Noncdm Charge Record Medical Supplies,4210.8,4210.8,,,0 CDM,136732_C1713_278,Noncdm Charge Record Medical Supplies,697.4,697.4,,,0 CDM,136760_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,136764_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136766_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136767_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,136773_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136792_C1769_278,Noncdm Charge Record Medical Supplies,993.3,993.3,,,0 CDM,13679_C1725_278,Noncdm Charge Record Medical Supplies,288.2,288.2,,,0 CDM,136807_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,136808_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,136810_270,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,136812_C1730_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,136813_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,136814_C1730_278,Noncdm Charge Record Medical Supplies,886.6,886.6,,,0 CDM,136817_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136818_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136819_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,13681_C1893_278,Noncdm Charge Record Medical Supplies,15.81,15.81,,,0 CDM,136821_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136822_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136853_270,Noncdm Charge Record Medical Supplies,334.56,334.56,,,0 CDM,136855_C1887_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,136856_C1887_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,136858_270,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,136860_270,Noncdm Charge Record Medical Supplies,633.12,633.12,,,0 CDM,136861_270,Noncdm Charge Record Medical Supplies,631.47,631.47,,,0 CDM,136868_270,Noncdm Charge Record Medical Supplies,727.1,727.1,,,0 CDM,136869_270,Noncdm Charge Record Medical Supplies,548.9,548.9,,,0 CDM,136872_C1713_278,Noncdm Charge Record Medical Supplies,2960.1,2960.1,,,0 CDM,136882_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136883_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136884_C1713_278,Noncdm Charge Record Medical Supplies,378.4,378.4,,,0 CDM,136894_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,136900_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,136905_69374099715,NDC Description Not Available,64.89,64.89,,,0 CDM,136905_70004054135,NDC Description Not Available,112.51,112.51,,,0 CDM,136905_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136906_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136907_70092123903,NDC Description Not Available,5.66,5.66,,,0 CDM,136907_70092162303,NDC Description Not Available,26.12,26.12,,,0 CDM,136907_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136908_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136909_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136910_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136911_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136912_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136913_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136914_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136915_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136916_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136917_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136918_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136919_C1776_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,13691_00074364103,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,4154.11,4154.11,,,0 CDM,136920_C1776_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,136921_00143931801,NDC Description Not Available,62.35,62.35,,,0 CDM,136921_44567064201,NDC Description Not Available,341.49,341.49,,,0 CDM,136921_81298965801,NDC Description Not Available,170.49,170.49,,,0 CDM,136922_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136926_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136928_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136929_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136930_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136931_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136932_70092133807,NDC Description Not Available,53.61,53.61,,,0 CDM,136932_70092933807,NDC Description Not Available,55.88,55.88,,,0 CDM,136932_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136933_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136934_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136935_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136936_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,136939_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,136942_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136947_69374054350,NDC Description Not Available,359.32,359.32,,,0 CDM,136947_70004008544,NDC Description Not Available,34.31,34.31,,,0 CDM,136947_71266510001,NDC Description Not Available,21.12,21.12,,,0 CDM,136947_71266510201,NDC Description Not Available,18.61,18.61,,,0 CDM,136947_71266510301,NDC Description Not Available,33.92,33.92,,,0 CDM,136947_71285604401,NDC Description Not Available,34.32,34.32,,,0 CDM,136947_71506002859,NDC Description Not Available,22.31,22.31,,,0 CDM,136965_70004080740,NDC Description Not Available,275.87,275.87,,,0 CDM,136965_71266513001,NDC Description Not Available,75.58,75.58,,,0 CDM,136965_71266523001,NDC Description Not Available,247.94,247.94,,,0 CDM,136967_00641624001,NDC Description Not Available,64.89,64.89,,,0 CDM,136967_43598094511,NDC Description Not Available,5.44,5.44,,,0 CDM,136967_76045038313,NDC Description Not Available,64.89,64.89,,,0 CDM,136970_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136971_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136972_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136973_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136979_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136980_70004092644,NDC Description Not Available,48.67,48.67,,,0 CDM,136980_71285706001,NDC Description Not Available,48.67,48.67,,,0 CDM,136980_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136981_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136982_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136983_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136984_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,136985_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,137007_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,137008_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,137009_00006302500,"Zinplava: 1 Vial, Single-Dose In 1 Carton (0006-3025-00) / 40 Ml In 1 Vial, Single-Dose (0006-3025-01)",84.82,84.82,,,0 CDM,137012_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,137013_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,137018_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,137022_C1776_278,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,137023_C1776_278,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,137024_C1776_278,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,137025_C1776_278,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,137026_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,137028_C1713_278,Noncdm Charge Record Medical Supplies,1256.2,1256.2,,,0 CDM,137031_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137032_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137033_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137034_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137035_66794015501,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-155-01)",814.07,814.07,,,0 CDM,137035_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137036_C1776_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,137037_66794015601,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-156-01)",627.57,627.57,,,0 CDM,137038_66794015701,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",628.29,628.29,,,0 CDM,13703_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,137040_00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",79.31,79.31,,,0 CDM,137040_00409739182,NDC Description Not Available,79.21,79.21,,,0 CDM,137040_00517730501,NDC Description Not Available,65.23,65.23,,,0 CDM,137040_63323017005,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-170-05) / 5 Ml In 1 Vial, Single-Dose",70.01,70.01,,,0 CDM,137040_63323088101,NDC Description Not Available,107.11,107.11,,,0 CDM,137040_63323088116,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-881-16) / 15 Ml In 1 Vial, Single-Dose (63323-881-01)",105.84,105.84,,,0 CDM,137040_63323088401,NDC Description Not Available,68.97,68.97,,,0 CDM,137040_63323088406,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-884-06) / 5 Ml In 1 Vial, Single-Dose (63323-884-01)",72.92,72.92,,,0 CDM,137040_63323088601,NDC Description Not Available,102.47,102.47,,,0 CDM,137046_270,Noncdm Charge Record Medical Supplies,2391.39,2391.39,,,0 CDM,13705_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,137060_270,Noncdm Charge Record Medical Supplies,838.2,838.2,,,0 CDM,137061_Q4116_278,Noncdm Charge Record Medical Supplies,53.21,53.21,,,0 CDM,137066_10122051003,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",2789.21,2789.21,,,0 CDM,137071_00409163015,NDC Description Not Available,0.55,0.55,,,0 CDM,137071_00409491011,NDC Description Not Available,2.05,2.05,,,0 CDM,137071_00409491111,NDC Description Not Available,1.16,1.16,,,0 CDM,137071_00409491134,"Atropine Sulfate: 10 Carton In 1 Package (0409-4911-34) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4911-11)",0.72,0.72,,,0 CDM,137071_64253040030,NDC Description Not Available,0.43,0.43,,,0 CDM,137071_76329334001,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,0.49,0.49,,,0 CDM,137079_C1757_278,Noncdm Charge Record Medical Supplies,18480.0,18480.0,,,0 CDM,13707_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,13709_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,137100_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,137120_C1713_278,Noncdm Charge Record Medical Supplies,710.6,710.6,,,0 CDM,137124_270,Noncdm Charge Record Medical Supplies,1183.6,1183.6,,,0 CDM,137125_270,Noncdm Charge Record Medical Supplies,1183.6,1183.6,,,0 CDM,137126_270,Noncdm Charge Record Medical Supplies,1183.6,1183.6,,,0 CDM,137132_270,Noncdm Charge Record Medical Supplies,1403.6,1403.6,,,0 CDM,137135_C1713_278,Noncdm Charge Record Medical Supplies,1223.2,1223.2,,,0 CDM,137137_C1713_278,Noncdm Charge Record Medical Supplies,1096.7,1096.7,,,0 CDM,137145_C1713_278,Noncdm Charge Record Medical Supplies,1097.01,1097.01,,,0 CDM,137146_C1713_278,Noncdm Charge Record Medical Supplies,1096.98,1096.98,,,0 CDM,137148_C1713_278,Noncdm Charge Record Medical Supplies,1096.7,1096.7,,,0 CDM,137170_06253000011,NDC Description Not Available,4.47,4.47,,,0 CDM,137175_C1713_278,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,137186_270,Noncdm Charge Record Medical Supplies,530.57,530.57,,,0 CDM,137186_C1713_278,Noncdm Charge Record Medical Supplies,524.7,524.7,,,0 CDM,137186_C1889_278,Noncdm Charge Record Medical Supplies,524.7,524.7,,,0 CDM,137186_Q4100_278,Noncdm Charge Record Medical Supplies,525.58,525.58,,,0 CDM,137187_270,Noncdm Charge Record Medical Supplies,582.18,582.18,,,0 CDM,137187_C1713_278,Noncdm Charge Record Medical Supplies,579.7,579.7,,,0 CDM,137187_C1889_278,Noncdm Charge Record Medical Supplies,579.7,579.7,,,0 CDM,137187_Q4100_278,Noncdm Charge Record Medical Supplies,1049.06,1049.06,,,0 CDM,137189_270,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,137197_C1766_278,Noncdm Charge Record Medical Supplies,127.85,127.85,,,0 CDM,137198_C1766_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,137202_270,Noncdm Charge Record Medical Supplies,100.1,100.1,,,0 CDM,137202_C1889_278,Noncdm Charge Record Medical Supplies,100.1,100.1,,,0 CDM,137203_C1889_278,Noncdm Charge Record Medical Supplies,100.1,100.1,,,0 CDM,137214_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,137241_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137270_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137272_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137279_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137280_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137281_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137283_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137289_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137290_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137298_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137299_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137300_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137309_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137310_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137311_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137312_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137317_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137323_C1884_278,Noncdm Charge Record Medical Supplies,23508.1,23508.1,,,0 CDM,137324_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137325_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137327_C1884_278,Noncdm Charge Record Medical Supplies,21930.7,21930.7,,,0 CDM,137332_C1884_278,Noncdm Charge Record Medical Supplies,23508.1,23508.1,,,0 CDM,137335_C2596_278,Noncdm Charge Record Medical Supplies,5220.6,5220.6,,,0 CDM,137339_C1757_278,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,137342_C1757_278,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,137420_00121131411,NDC Description Not Available,2.18,2.18,,,0 CDM,137421_00121197121,NDC Description Not Available,1.91,1.91,,,0 CDM,137430_C1767_278,Noncdm Charge Record Medical Supplies,40810.0,40810.0,,,0 CDM,137439_270,Noncdm Charge Record Medical Supplies,1289.2,1289.2,,,0 CDM,137444_00456120304,"Linzess: 1 Bottle In 1 Carton (0456-1203-04) / 4 Capsule, Gelatin Coated In 1 Bottle",78.07,78.07,,,0 CDM,137444_00456120330,"Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle",77.85,77.85,,,0 CDM,137446_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,137450_C1788_278,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,137459_C1731_278,Noncdm Charge Record Medical Supplies,261.8,261.8,,,0 CDM,137472_270,Noncdm Charge Record Medical Supplies,1302.4,1302.4,,,0 CDM,137477_C1889_624,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,137486_C1713_278,Noncdm Charge Record Medical Supplies,733.7,733.7,,,0 CDM,137488_C1760_278,Noncdm Charge Record Medical Supplies,355.6,355.6,,,0 CDM,137491_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,137497_C1889_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,137507_C1889_278,Noncdm Charge Record Medical Supplies,21708.87,21708.87,,,0 CDM,137514_270,Noncdm Charge Record Medical Supplies,2318.65,2318.65,,,0 CDM,137522_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,137524_C1757_278,Noncdm Charge Record Medical Supplies,4304.3,4304.3,,,0 CDM,137525_C1757_278,Noncdm Charge Record Medical Supplies,4304.3,4304.3,,,0 CDM,137526_C1757_278,Noncdm Charge Record Medical Supplies,4304.3,4304.3,,,0 CDM,137527_C1887_278,Noncdm Charge Record Medical Supplies,2029.5,2029.5,,,0 CDM,137528_C1887_278,Noncdm Charge Record Medical Supplies,2029.5,2029.5,,,0 CDM,137549_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137551_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137553_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137554_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137556_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137557_C1889_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137561_C1725_278,Noncdm Charge Record Medical Supplies,4639.8,4639.8,,,0 CDM,137582_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,137583_270,Noncdm Charge Record Medical Supplies,1724.8,1724.8,,,0 CDM,137585_270,Noncdm Charge Record Medical Supplies,2290.12,2290.12,,,0 CDM,137586_270,Noncdm Charge Record Medical Supplies,1646.04,1646.04,,,0 CDM,137588_270,Noncdm Charge Record Medical Supplies,816.2,816.2,,,0 CDM,137604_C1769_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,137605_C1894_278,Noncdm Charge Record Medical Supplies,42.0,42.0,,,0 CDM,137609_C1732_272,Noncdm Charge Record Medical Supplies,1678.6,1678.6,,,0 CDM,137609_C1732_278,Noncdm Charge Record Medical Supplies,1678.6,1678.6,,,0 CDM,137614_C1887_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,137615_C1887_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,137617_C1893_278,Noncdm Charge Record Medical Supplies,196.9,196.9,,,0 CDM,137619_C1759_278,Noncdm Charge Record Medical Supplies,5236.0,5236.0,,,0 CDM,137628_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,137629_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,137634_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,137638_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,137653_270,Noncdm Charge Record Medical Supplies,2803.9,2803.9,,,0 CDM,137655_270,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,137659_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,137660_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,137663_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,137664_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,137666_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,137670_C1874_278,Noncdm Charge Record Medical Supplies,731.5,731.5,,,0 CDM,137676_270,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,137676_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,137677_270,Noncdm Charge Record Medical Supplies,108.63,108.63,,,0 CDM,137677_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,137677_C1894_278,Noncdm Charge Record Medical Supplies,107.68,107.68,,,0 CDM,137678_270,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,137678_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,137678_C1894_278,Noncdm Charge Record Medical Supplies,108.1,108.1,,,0 CDM,137679_270,Noncdm Charge Record Medical Supplies,108.34,108.34,,,0 CDM,137679_278,Noncdm Charge Record Medical Supplies,104.22,104.22,,,0 CDM,137679_C1894_272,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,137679_C1894_278,Noncdm Charge Record Medical Supplies,106.8,106.8,,,0 CDM,137680_C1889_278,Noncdm Charge Record Medical Supplies,23100.0,23100.0,,,0 CDM,137694_270,Noncdm Charge Record Medical Supplies,6963.0,6963.0,,,0 CDM,137695_270,Noncdm Charge Record Medical Supplies,6963.0,6963.0,,,0 CDM,137696_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,137697_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,137699_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,137702_L8606_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,137704_C1887_278,Noncdm Charge Record Medical Supplies,3073.4,3073.4,,,0 CDM,137705_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,137710_C1713_270,Noncdm Charge Record Medical Supplies,411.58,411.58,,,0 CDM,137714_270,Noncdm Charge Record Medical Supplies,695.2,695.2,,,0 CDM,137720_C1713_278,Noncdm Charge Record Medical Supplies,986.7,986.7,,,0 CDM,137729_270,Noncdm Charge Record Medical Supplies,3044.62,3044.62,,,0 CDM,137733_C1894_278,Noncdm Charge Record Medical Supplies,114.43,114.43,,,0 CDM,137734_270,Noncdm Charge Record Medical Supplies,1607.1,1607.1,,,0 CDM,137735_270,Noncdm Charge Record Medical Supplies,1607.1,1607.1,,,0 CDM,137738_C1884_278,Noncdm Charge Record Medical Supplies,24131.8,24131.8,,,0 CDM,137741_270,Noncdm Charge Record Medical Supplies,1598.3,1598.3,,,0 CDM,137742_270,Noncdm Charge Record Medical Supplies,2086.7,2086.7,,,0 CDM,137743_270,Noncdm Charge Record Medical Supplies,3493.6,3493.6,,,0 CDM,137744_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,137746_270,Noncdm Charge Record Medical Supplies,127.38,127.38,,,0 CDM,137751_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,137761_C1892_278,Noncdm Charge Record Medical Supplies,74.8,74.8,,,0 CDM,137777_270,Noncdm Charge Record Medical Supplies,570.92,570.92,,,0 CDM,137785_270,Noncdm Charge Record Medical Supplies,1722.6,1722.6,,,0 CDM,137786_270,Noncdm Charge Record Medical Supplies,1518.0,1518.0,,,0 CDM,137787_V2632_276,Noncdm Charge Record Medical Supplies,229.85,229.85,,,0 CDM,137791_C1776_278,Noncdm Charge Record Medical Supplies,6448.75,6448.75,,,0 CDM,137791_C1778_278,Noncdm Charge Record Medical Supplies,6448.93,6448.93,,,0 CDM,137791_C1889_278,Noncdm Charge Record Medical Supplies,6448.86,6448.86,,,0 CDM,137794_270,Noncdm Charge Record Medical Supplies,2098.8,2098.8,,,0 CDM,137797_44087353501,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",239.29,239.29,,,0 CDM,137814_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,137824_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,137828_C1887_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,137829_C1887_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,137831_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137832_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137833_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137834_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137835_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137836_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137837_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137838_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137839_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137840_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137841_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137842_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137843_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137844_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137845_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137846_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137847_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137851_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137852_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137853_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137854_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137855_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137856_C1874_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,137860_C1889_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,137861_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,137862_C1889_278,Noncdm Charge Record Medical Supplies,6468.0,6468.0,,,0 CDM,137869_00143971901,NDC Description Not Available,16.48,16.48,,,0 CDM,137870_14789012207,NDC Description Not Available,191.58,191.58,,,0 CDM,137870_17478025310,"AK-FLUOR: 12 VIAL, SINGLE-DOSE in 1 PACKAGE (17478-253-10) / 5 mL in 1 VIAL, SINGLE-DOSE",307.53,307.53,,,0 CDM,137877_270,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,137893_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,137895_C1889_278,Noncdm Charge Record Medical Supplies,11550.0,11550.0,,,0 CDM,137896_50242015001,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",149.21,149.21,,,0 CDM,137896_C1751_278,Noncdm Charge Record Medical Supplies,11550.0,11550.0,,,0 CDM,137896_C1889_278,Noncdm Charge Record Medical Supplies,11550.0,11550.0,,,0 CDM,137905_C1769_278,Noncdm Charge Record Medical Supplies,141.17,141.17,,,0 CDM,137911_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,137927_270,Noncdm Charge Record Medical Supplies,1353.0,1353.0,,,0 CDM,1380000001,Hc Room Semi-Priv 3/4 Rehab,2715.0,2715.0,,,0 CDM,138050_C1827_278,Noncdm Charge Record Medical Supplies,45430.0,45430.0,,,0 CDM,138051_C1827_278,Noncdm Charge Record Medical Supplies,10010.0,10010.0,,,0 CDM,138054_C1757_278,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,138057_C1894_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,138058_C1773_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,138058_C1787_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,138059_C1894_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,138060_C1894_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,138061_C1786_275,Noncdm Charge Record Medical Supplies,12089.0,12089.0,,,0 CDM,138079_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,138081_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,138083_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,138085_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,138086_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,138099_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,138101_270,Noncdm Charge Record Medical Supplies,1405.8,1405.8,,,0 CDM,138103_C1769_278,Noncdm Charge Record Medical Supplies,27.3,27.3,,,0 CDM,138116_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,13811_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,138128_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,138134_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,138136_270,Noncdm Charge Record Medical Supplies,721.6,721.6,,,0 CDM,138137_270,Noncdm Charge Record Medical Supplies,556.66,556.66,,,0 CDM,138138_270,Noncdm Charge Record Medical Supplies,549.87,549.87,,,0 CDM,138141_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138144_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138145_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138149_Q4100_278,Noncdm Charge Record Medical Supplies,2.51,2.51,,,0 CDM,138149_Q4100_636,Noncdm Charge Record Pharmacy,2.35,2.35,,,0 CDM,138150_Q4100_278,Noncdm Charge Record Medical Supplies,1372.8,1372.8,,,0 CDM,138151_Q4100_278,Noncdm Charge Record Medical Supplies,18.79,18.79,,,0 CDM,138152_Q4100_278,Noncdm Charge Record Medical Supplies,18.79,18.79,,,0 CDM,138153_Q4100_278,Noncdm Charge Record Medical Supplies,18.79,18.79,,,0 CDM,138153_Q4100_636,Noncdm Charge Record Pharmacy,17.59,17.59,,,0 CDM,138154_Q4100_278,Noncdm Charge Record Medical Supplies,13.58,13.58,,,0 CDM,138154_Q4100_636,Noncdm Charge Record Pharmacy,12.72,12.72,,,0 CDM,138155_Q4100_636,Noncdm Charge Record Pharmacy,12.72,12.72,,,0 CDM,138156_Q4100_278,Noncdm Charge Record Medical Supplies,13.6,13.6,,,0 CDM,138157_A7034_278,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 CDM,138157_C1729_278,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 CDM,138157_C1889_278,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 CDM,138158_C1713_278,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 CDM,138158_C1889_278,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 CDM,138159_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138161_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138162_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138164_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138165_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138170_C1874_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,138171_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,138172_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,138173_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138174_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138175_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138176_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138177_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138178_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138179_C1874_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,138180_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138181_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138182_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138183_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138184_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138185_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138186_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138187_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138188_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138189_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138190_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138191_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138192_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138193_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138194_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138195_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138196_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138197_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138198_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138199_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138200_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138201_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138202_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138203_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138204_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138205_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138206_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138207_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138208_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138209_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138211_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138212_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138213_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138214_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138215_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138216_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138217_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138218_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138219_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138220_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138221_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138222_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138223_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138224_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138225_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138226_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138227_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138228_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138229_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138230_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138231_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138232_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138233_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138234_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138235_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138236_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138237_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138238_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138239_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138241_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138242_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138243_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138244_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138245_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138246_C1874_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,138253_C1713_278,Noncdm Charge Record Medical Supplies,2359.5,2359.5,,,0 CDM,138254_C1713_278,Noncdm Charge Record Medical Supplies,1262.8,1262.8,,,0 CDM,138255_C1894_272,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,138255_C1894_278,Noncdm Charge Record Medical Supplies,35.09,35.09,,,0 CDM,138256_C1713_278,Noncdm Charge Record Medical Supplies,2004.38,2004.38,,,0 CDM,138287_C1713_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,138289_C1713_278,Noncdm Charge Record Medical Supplies,170.5,170.5,,,0 CDM,138299_C1757_278,Noncdm Charge Record Medical Supplies,8454.6,8454.6,,,0 CDM,138301_270,Noncdm Charge Record Medical Supplies,2062.5,2062.5,,,0 CDM,138301_C1889_270,Noncdm Charge Record Medical Supplies,2062.5,2062.5,,,0 CDM,138302_270,Noncdm Charge Record Medical Supplies,2062.5,2062.5,,,0 CDM,138307_270,Noncdm Charge Record Medical Supplies,600.6,600.6,,,0 CDM,138310_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,138312_270,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 CDM,138312_C1765_270,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 CDM,138312_C1889_272,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 CDM,138312_C1890_270,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 CDM,138315_270,Noncdm Charge Record Medical Supplies,1782.0,1782.0,,,0 CDM,138315_C1889_270,Noncdm Charge Record Medical Supplies,1782.0,1782.0,,,0 CDM,138315_C2614_272,Noncdm Charge Record Medical Supplies,1782.0,1782.0,,,0 CDM,138316_270,Noncdm Charge Record Medical Supplies,1782.0,1782.0,,,0 CDM,138319_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,138321_270,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,138340_C9359_278,Noncdm Charge Record Medical Supplies,4853.73,4853.73,,,0 CDM,138340_C9359_636,Noncdm Charge Record Pharmacy,4449.03,4449.03,,,0 CDM,138350_270,Noncdm Charge Record Medical Supplies,1564.2,1564.2,,,0 CDM,138362_270,Noncdm Charge Record Medical Supplies,3685.8,3685.8,,,0 CDM,138363_270,Noncdm Charge Record Medical Supplies,399.46,399.46,,,0 CDM,138364_270,Noncdm Charge Record Medical Supplies,402.69,402.69,,,0 CDM,138365_270,Noncdm Charge Record Medical Supplies,398.58,398.58,,,0 CDM,138366_270,Noncdm Charge Record Medical Supplies,399.78,399.78,,,0 CDM,138368_270,Noncdm Charge Record Medical Supplies,1065.9,1065.9,,,0 CDM,138373_C1874_278,Noncdm Charge Record Medical Supplies,3542.0,3542.0,,,0 CDM,138381_C1730_278,Noncdm Charge Record Medical Supplies,2263.8,2263.8,,,0 CDM,138390_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,138390_C1894_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,138412_C1725_278,Noncdm Charge Record Medical Supplies,290.95,290.95,,,0 CDM,138413_C1725_278,Noncdm Charge Record Medical Supplies,291.13,291.13,,,0 CDM,138432_C1725_278,Noncdm Charge Record Medical Supplies,291.5,291.5,,,0 CDM,138436_C1725_278,Noncdm Charge Record Medical Supplies,291.5,291.5,,,0 CDM,138462_C1725_278,Noncdm Charge Record Medical Supplies,291.5,291.5,,,0 CDM,138484_C2623_278,Noncdm Charge Record Medical Supplies,2148.3,2148.3,,,0 CDM,138485_C2623_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,138487_C2623_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138489_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138491_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138493_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138495_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138497_C2623_278,Noncdm Charge Record Medical Supplies,2148.3,2148.3,,,0 CDM,138498_C2623_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,138500_C2623_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138502_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138504_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138506_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138508_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138510_C2623_278,Noncdm Charge Record Medical Supplies,2148.3,2148.3,,,0 CDM,138511_C2623_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,138513_C2623_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138515_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138517_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138519_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138525_C2623_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138526_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138528_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138530_C2623_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138532_C1874_278,Noncdm Charge Record Medical Supplies,3996.3,3996.3,,,0 CDM,138533_C1874_278,Noncdm Charge Record Medical Supplies,4458.3,4458.3,,,0 CDM,138534_C1874_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138535_C1874_278,Noncdm Charge Record Medical Supplies,3534.3,3534.3,,,0 CDM,138536_C1874_278,Noncdm Charge Record Medical Supplies,3996.3,3996.3,,,0 CDM,138537_C1874_278,Noncdm Charge Record Medical Supplies,3996.3,3996.3,,,0 CDM,138538_C1874_278,Noncdm Charge Record Medical Supplies,4458.3,4458.3,,,0 CDM,138539_C1874_278,Noncdm Charge Record Medical Supplies,3072.3,3072.3,,,0 CDM,138540_C1874_278,Noncdm Charge Record Medical Supplies,3534.3,3534.3,,,0 CDM,138541_C1874_278,Noncdm Charge Record Medical Supplies,3996.3,3996.3,,,0 CDM,138543_C1887_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,138544_C1887_278,Noncdm Charge Record Medical Supplies,1167.1,1167.1,,,0 CDM,138545_C1887_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,13855_C1729_278,Noncdm Charge Record Medical Supplies,94.44,94.44,,,0 CDM,138563_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138564_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138565_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138566_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138568_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138569_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138570_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138571_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138572_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138573_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138574_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138575_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138576_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138579_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138580_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138581_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138584_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138585_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138586_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138587_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138588_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138589_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138590_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138591_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138592_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138593_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138594_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138595_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138596_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138597_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138598_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138599_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,13859_C1729_278,Noncdm Charge Record Medical Supplies,94.95,94.95,,,0 CDM,138600_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138602_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138603_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138604_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138605_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138606_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138607_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138608_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138609_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138610_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138611_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138612_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138613_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138614_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138615_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138616_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138618_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138619_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,138628_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138629_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138630_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138631_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138633_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138634_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,138636_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,138637_C1884_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,138637_C1889_278,Noncdm Charge Record Medical Supplies,1367.6,1367.6,,,0 CDM,138638_C1889_278,Noncdm Charge Record Medical Supplies,1521.58,1521.58,,,0 CDM,138639_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,138640_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,138641_C1889_278,Noncdm Charge Record Medical Supplies,1521.54,1521.54,,,0 CDM,138642_C1889_278,Noncdm Charge Record Medical Supplies,1367.5,1367.5,,,0 CDM,138643_C1889_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,138645_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,138649_270,Noncdm Charge Record Medical Supplies,1303.5,1303.5,,,0 CDM,138651_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,138655_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,138656_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,138658_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,138676_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,138687_C1725_278,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,138689_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,138690_C1725_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,138691_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,138700_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138701_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138705_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138707_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138709_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138712_C1789_278,Noncdm Charge Record Medical Supplies,1578.5,1578.5,,,0 CDM,138714_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138715_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138716_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138717_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138718_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138719_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138720_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138721_C1789_278,Noncdm Charge Record Medical Supplies,1622.6,1622.6,,,0 CDM,138722_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138723_C1789_278,Noncdm Charge Record Medical Supplies,1612.19,1612.19,,,0 CDM,138724_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138725_C1789_278,Noncdm Charge Record Medical Supplies,1578.5,1578.5,,,0 CDM,138726_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138727_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138728_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,138731_C1726_278,Noncdm Charge Record Medical Supplies,897.6,897.6,,,0 CDM,138732_C1726_278,Noncdm Charge Record Medical Supplies,897.58,897.58,,,0 CDM,138733_C1726_278,Noncdm Charge Record Medical Supplies,897.6,897.6,,,0 CDM,138741_270,Noncdm Charge Record Medical Supplies,1031.49,1031.49,,,0 CDM,138742_270,Noncdm Charge Record Medical Supplies,1032.53,1032.53,,,0 CDM,138743_270,Noncdm Charge Record Medical Supplies,1343.1,1343.1,,,0 CDM,138761_C1820_278,Noncdm Charge Record Medical Supplies,24740.1,24740.1,,,0 CDM,138762_C1787_278,Noncdm Charge Record Medical Supplies,2849.0,2849.0,,,0 CDM,138810_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,138810_C1894_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,138817_270,Noncdm Charge Record Medical Supplies,920.7,920.7,,,0 CDM,138826_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,138827_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,138828_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,138830_270,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,138838_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138839_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138840_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138842_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138843_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138844_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,138851_C1769_278,Noncdm Charge Record Medical Supplies,18.72,18.72,,,0 CDM,138852_C1769_272,Noncdm Charge Record Medical Supplies,11.0,11.0,,,0 CDM,138852_C1769_278,Noncdm Charge Record Medical Supplies,11.01,11.01,,,0 CDM,138853_C1894_278,Noncdm Charge Record Medical Supplies,35.14,35.14,,,0 CDM,138854_C1733_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,138863_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138869_C1874_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138869_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138871_C1874_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138873_Q4100_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138875_Q4100_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138878_C1874_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138879_Q4100_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,138881_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,138882_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,138883_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,138884_C2623_278,Noncdm Charge Record Medical Supplies,2052.05,2052.05,,,0 CDM,138906_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,138918_C1762_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,138918_C1762_636,Noncdm Charge Record Pharmacy,671.56,671.56,,,0 CDM,138929_270,Noncdm Charge Record Medical Supplies,1353.96,1353.96,,,0 CDM,138930_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,138931_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,138932_C1887_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,138933_C1887_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,138934_C1747_278,Noncdm Charge Record Medical Supplies,1324.4,1324.4,,,0 CDM,138941_C1769_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,138942_C1769_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,138948_C2625_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,138950_C2625_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,138951_C2625_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,138952_C2625_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,138953_C1874_278,Noncdm Charge Record Medical Supplies,6979.5,6979.5,,,0 CDM,138954_C2625_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,138959_270,Noncdm Charge Record Medical Supplies,712.8,712.8,,,0 CDM,138963_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,138964_C2617_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,138973_65219002920,"Thiotepa: 1 Vial In 1 Carton (65219-029-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1098.18,1098.18,,,0 CDM,138973_72205004601,"Thiotepa: 1 Vial, Glass In 1 Box (72205-046-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",1562.08,1562.08,,,0 CDM,138974_50242013201,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",257.78,257.78,,,0 CDM,138979_270,Noncdm Charge Record Medical Supplies,1249.6,1249.6,,,0 CDM,138985_270,Noncdm Charge Record Medical Supplies,6435.0,6435.0,,,0 CDM,138986_C1767_278,Noncdm Charge Record Medical Supplies,17286.5,17286.5,,,0 CDM,138990_C1713_278,Noncdm Charge Record Medical Supplies,315.7,315.7,,,0 CDM,138993_C1713_278,Noncdm Charge Record Medical Supplies,315.7,315.7,,,0 CDM,139007_71506001458,NDC Description Not Available,22.66,22.66,,,0 CDM,139009_C1729_278,Noncdm Charge Record Medical Supplies,116.6,116.6,,,0 CDM,139009_C1874_278,Noncdm Charge Record Medical Supplies,115.94,115.94,,,0 CDM,139009_C2617_278,Noncdm Charge Record Medical Supplies,116.12,116.12,,,0 CDM,139017_C1713_278,Noncdm Charge Record Medical Supplies,1421.06,1421.06,,,0 CDM,139019_270,Noncdm Charge Record Medical Supplies,609.4,609.4,,,0 CDM,139020_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,139022_C1889_278,Noncdm Charge Record Medical Supplies,3704.8,3704.8,,,0 CDM,139025_C1889_278,Noncdm Charge Record Medical Supplies,2140.6,2140.6,,,0 CDM,139026_C1889_278,Noncdm Charge Record Medical Supplies,2140.6,2140.6,,,0 CDM,139028_C1889_278,Noncdm Charge Record Medical Supplies,2140.6,2140.6,,,0 CDM,139034_270,Noncdm Charge Record Medical Supplies,801.9,801.9,,,0 CDM,139035_C1713_278,Noncdm Charge Record Medical Supplies,785.7,785.7,,,0 CDM,139036_C1713_278,Noncdm Charge Record Medical Supplies,939.4,939.4,,,0 CDM,139041_270,Noncdm Charge Record Medical Supplies,930.6,930.6,,,0 CDM,139042_C1713_278,Noncdm Charge Record Medical Supplies,6306.3,6306.3,,,0 CDM,139085_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139086_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,139088_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139091_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139092_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139093_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139096_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,139097_C1713_278,Noncdm Charge Record Medical Supplies,465.85,465.85,,,0 CDM,139151_C1713_278,Noncdm Charge Record Medical Supplies,671.0,671.0,,,0 CDM,139157_270,Noncdm Charge Record Medical Supplies,881.65,881.65,,,0 CDM,139161_C9359_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,139161_C9359_636,Noncdm Charge Record Pharmacy,1874.6,1874.6,,,0 CDM,139162_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,139163_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,139164_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,139165_C9359_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,139165_C9359_636,Noncdm Charge Record Pharmacy,1802.5,1802.5,,,0 CDM,139169_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,139172_C1766_278,Noncdm Charge Record Medical Supplies,1493.8,1493.8,,,0 CDM,139173_C1766_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,139174_C1766_278,Noncdm Charge Record Medical Supplies,2502.5,2502.5,,,0 CDM,139175_C1766_278,Noncdm Charge Record Medical Supplies,2502.5,2502.5,,,0 CDM,139176_C1887_278,Noncdm Charge Record Medical Supplies,4612.3,4612.3,,,0 CDM,139178_C1757_278,Noncdm Charge Record Medical Supplies,3826.9,3826.9,,,0 CDM,139181_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,139182_270,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139212_V2632_276,Noncdm Charge Record Medical Supplies,211.2,211.2,,,0 CDM,139213_V2632_276,Noncdm Charge Record Medical Supplies,1563.1,1563.1,,,0 CDM,139219_V2632_276,Noncdm Charge Record Medical Supplies,777.7,777.7,,,0 CDM,139237_C1773_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,139238_C1773_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,139239_C1894_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,139255_C1713_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,139256_C1713_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,139270_C1713_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,139271_C1713_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,139272_C1713_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,139299_C1751_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,139302_C1713_278,Noncdm Charge Record Medical Supplies,2613.6,2613.6,,,0 CDM,139309_C1713_278,Noncdm Charge Record Medical Supplies,1153.9,1153.9,,,0 CDM,139314_00338955350,NDC Description Not Available,18.81,18.81,,,0 CDM,139323_04858200155,NDC Description Not Available,0.15,0.15,,,0 CDM,139346_00078069802,NDC Description Not Available,832.81,832.81,,,0 CDM,139352_00310450012,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,210.73,210.73,,,0 CDM,139352_00310461150,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,193.5,193.5,,,0 CDM,139357_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,139358_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,139395_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,139396_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,139397_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,139402_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,139403_C1713_278,Noncdm Charge Record Medical Supplies,124.74,124.74,,,0 CDM,139405_C1713_278,Noncdm Charge Record Medical Supplies,124.67,124.67,,,0 CDM,139422_C1713_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,13946_C2617_278,Noncdm Charge Record Medical Supplies,387.1,387.1,,,0 CDM,139473_C1713_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,139476_C1713_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,13948_C2617_278,Noncdm Charge Record Medical Supplies,387.14,387.14,,,0 CDM,13950_C2617_278,Noncdm Charge Record Medical Supplies,387.2,387.2,,,0 CDM,139522_C1894_278,Noncdm Charge Record Medical Supplies,134.27,134.27,,,0 CDM,139523_C1874_278,Noncdm Charge Record Medical Supplies,2957.9,2957.9,,,0 CDM,139524_C2625_278,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,139531_C1713_270,Noncdm Charge Record Medical Supplies,1150.6,1150.6,,,0 CDM,139532_C1713_278,Noncdm Charge Record Medical Supplies,710.32,710.32,,,0 CDM,139533_C1713_278,Noncdm Charge Record Medical Supplies,741.4,741.4,,,0 CDM,139534_C1713_278,Noncdm Charge Record Medical Supplies,741.4,741.4,,,0 CDM,139535_C1713_278,Noncdm Charge Record Medical Supplies,741.68,741.68,,,0 CDM,13956_C2617_278,Noncdm Charge Record Medical Supplies,387.2,387.2,,,0 CDM,139584_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,139585_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,139586_C1713_278,Noncdm Charge Record Medical Supplies,465.74,465.74,,,0 CDM,139587_C1713_278,Noncdm Charge Record Medical Supplies,465.74,465.74,,,0 CDM,13958_C2617_278,Noncdm Charge Record Medical Supplies,387.2,387.2,,,0 CDM,139604_270,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,139618_C1887_278,Noncdm Charge Record Medical Supplies,1181.54,1181.54,,,0 CDM,139619_C1982_278,Noncdm Charge Record Medical Supplies,11935.0,11935.0,,,0 CDM,139620_55292070254,NDC Description Not Available,64.91,64.91,,,0 CDM,139620_55292070255,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),58.28,58.28,,,0 CDM,139625_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,139626_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,139627_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,139633_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,139634_50242010801,"Rituxan Hycela: 1 Vial, Single-Dose In 1 Carton (50242-108-01) / 11.7 Ml In 1 Vial, Single-Dose",116.13,116.13,,,0 CDM,139634_63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",116.13,116.13,,,0 CDM,139636_C1713_278,Noncdm Charge Record Medical Supplies,232.65,232.65,,,0 CDM,139642_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,139669_C1713_278,Noncdm Charge Record Medical Supplies,1642.3,1642.3,,,0 CDM,139679_C1713_278,Noncdm Charge Record Medical Supplies,2394.7,2394.7,,,0 CDM,139682_C1713_278,Noncdm Charge Record Medical Supplies,2394.7,2394.7,,,0 CDM,139683_C1713_278,Noncdm Charge Record Medical Supplies,2394.7,2394.7,,,0 CDM,139691_C1713_278,Noncdm Charge Record Medical Supplies,1642.3,1642.3,,,0 CDM,139692_C1713_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,139721_C1713_278,Noncdm Charge Record Medical Supplies,1810.6,1810.6,,,0 CDM,139743_270,Noncdm Charge Record Medical Supplies,752.4,752.4,,,0 CDM,139745_270,Noncdm Charge Record Medical Supplies,752.4,752.4,,,0 CDM,139747_270,Noncdm Charge Record Medical Supplies,828.3,828.3,,,0 CDM,139763_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139766_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139772_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139773_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139774_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139779_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139780_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139784_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139786_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139787_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139793_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,13979_42291008830,Acitretin: 30 Capsule In 1 Bottle (42291-088-30),138.67,138.67,,,0 CDM,139801_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139802_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139803_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139804_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,139807_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,13980_62332074130,Acitretin: 30 Capsule In 1 Bottle (62332-741-30),112.44,112.44,,,0 CDM,13981_16714019401,Lamotrigine: 100 Tablet In 1 Bottle (16714-194-01),15.54,15.54,,,0 CDM,13981_16714070001,Lamotrigine: 100 Tablet In 1 Bottle (16714-700-01),15.45,15.45,,,0 CDM,139830_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139831_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139832_C1713_278,Noncdm Charge Record Medical Supplies,645.15,645.15,,,0 CDM,139846_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139850_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139867_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139869_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139876_C1713_278,Noncdm Charge Record Medical Supplies,645.7,645.7,,,0 CDM,139892_C1713_278,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,139909_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,139911_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,139912_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,139913_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,139918_C1713_278,Noncdm Charge Record Medical Supplies,685.3,685.3,,,0 CDM,139930_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,139936_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,139937_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,139938_C1713_278,Noncdm Charge Record Medical Supplies,717.42,717.42,,,0 CDM,139944_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,139951_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,140024_C1713_278,Noncdm Charge Record Medical Supplies,378.95,378.95,,,0 CDM,140078_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,140079_270,Noncdm Charge Record Medical Supplies,524.7,524.7,,,0 CDM,140103_C1713_278,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,140107_270,Noncdm Charge Record Medical Supplies,5056.7,5056.7,,,0 CDM,140108_270,Noncdm Charge Record Medical Supplies,4719.0,4719.0,,,0 CDM,140109_270,Noncdm Charge Record Medical Supplies,2451.9,2451.9,,,0 CDM,140134_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,140195_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140196_C1769_278,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,140197_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,140198_C1769_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,140199_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,140200_C2623_278,Noncdm Charge Record Medical Supplies,2387.0,2387.0,,,0 CDM,140201_C1874_278,Noncdm Charge Record Medical Supplies,6602.2,6602.2,,,0 CDM,140202_C1874_278,Noncdm Charge Record Medical Supplies,6602.2,6602.2,,,0 CDM,140203_C1874_278,Noncdm Charge Record Medical Supplies,6602.2,6602.2,,,0 CDM,140205_C1874_278,Noncdm Charge Record Medical Supplies,6602.2,6602.2,,,0 CDM,140206_C1874_278,Noncdm Charge Record Medical Supplies,6602.2,6602.2,,,0 CDM,140207_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140210_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140212_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140214_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140215_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140216_C1874_278,Noncdm Charge Record Medical Supplies,18621.9,18621.9,,,0 CDM,140217_C1725_278,Noncdm Charge Record Medical Supplies,196.57,196.57,,,0 CDM,140223_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,140225_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,140227_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,140245_270,Noncdm Charge Record Medical Supplies,466.4,466.4,,,0 CDM,140246_C1982_278,Noncdm Charge Record Medical Supplies,11935.0,11935.0,,,0 CDM,140253_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,140254_C1769_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,140263_C1894_278,Noncdm Charge Record Medical Supplies,461.19,461.19,,,0 CDM,140266_C1766_278,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,140273_270,Noncdm Charge Record Medical Supplies,993.3,993.3,,,0 CDM,140277_C1776_278,Noncdm Charge Record Medical Supplies,4928.0,4928.0,,,0 CDM,140280_C1776_278,Noncdm Charge Record Medical Supplies,4928.0,4928.0,,,0 CDM,140300_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,140308_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,140328_C1889_278,Noncdm Charge Record Medical Supplies,1521.48,1521.48,,,0 CDM,140329_C1889_278,Noncdm Charge Record Medical Supplies,1521.41,1521.41,,,0 CDM,140332_C1874_278,Noncdm Charge Record Medical Supplies,5316.02,5316.02,,,0 CDM,140333_C1874_278,Noncdm Charge Record Medical Supplies,5496.7,5496.7,,,0 CDM,140345_C1889_278,Noncdm Charge Record Medical Supplies,63140.0,63140.0,,,0 CDM,140365_270,Noncdm Charge Record Medical Supplies,1298.0,1298.0,,,0 CDM,140366_270,Noncdm Charge Record Medical Supplies,1081.3,1081.3,,,0 CDM,140367_270,Noncdm Charge Record Medical Supplies,1081.31,1081.31,,,0 CDM,140368_270,Noncdm Charge Record Medical Supplies,1298.0,1298.0,,,0 CDM,140374_270,Noncdm Charge Record Medical Supplies,709.5,709.5,,,0 CDM,140384_C1889_278,Noncdm Charge Record Medical Supplies,52360.0,52360.0,,,0 CDM,140385_C1889_278,Noncdm Charge Record Medical Supplies,52360.0,52360.0,,,0 CDM,140386_C1889_278,Noncdm Charge Record Medical Supplies,52360.0,52360.0,,,0 CDM,140387_C1889_278,Noncdm Charge Record Medical Supplies,52360.0,52360.0,,,0 CDM,140391_270,Noncdm Charge Record Medical Supplies,4455.0,4455.0,,,0 CDM,140397_C1769_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,140398_C1769_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,14041_C1889_278,Noncdm Charge Record Medical Supplies,376.48,376.48,,,0 CDM,14045_C1729_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,140461_C1713_278,Noncdm Charge Record Medical Supplies,694.53,694.53,,,0 CDM,140472_270,Noncdm Charge Record Medical Supplies,930.6,930.6,,,0 CDM,140473_270,Noncdm Charge Record Medical Supplies,761.2,761.2,,,0 CDM,140475_270,Noncdm Charge Record Medical Supplies,5056.7,5056.7,,,0 CDM,140479_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,140480_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,140499_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,140501_C1769_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,140502_C1766_278,Noncdm Charge Record Medical Supplies,80.27,80.27,,,0 CDM,140506_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,140525_C1713_278,Noncdm Charge Record Medical Supplies,1223.2,1223.2,,,0 CDM,140526_C1713_278,Noncdm Charge Record Medical Supplies,1334.3,1334.3,,,0 CDM,140534_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140536_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140554_270,Noncdm Charge Record Medical Supplies,5056.7,5056.7,,,0 CDM,140556_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,140561_L8509_274,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,140564_C1713_278,Noncdm Charge Record Medical Supplies,1547.7,1547.7,,,0 CDM,140565_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140568_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,140569_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140570_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140571_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140572_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140573_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140574_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140575_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,140583_C1713_278,Noncdm Charge Record Medical Supplies,631.4,631.4,,,0 CDM,140584_C1713_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,140588_270,Noncdm Charge Record Medical Supplies,3861.0,3861.0,,,0 CDM,140589_270,Noncdm Charge Record Medical Supplies,1188.0,1188.0,,,0 CDM,140590_C1713_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,140591_C1713_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,140620_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140622_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140623_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140624_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140625_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140626_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140628_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140629_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140630_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140631_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140632_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140633_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140634_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140634_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140635_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140636_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140637_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140638_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140639_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140640_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,140647_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140648_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140649_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140650_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140651_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140652_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140653_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140654_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140655_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140656_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140657_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140658_C1889_278,Noncdm Charge Record Medical Supplies,225.5,225.5,,,0 CDM,140659_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140659_C1889_278,Noncdm Charge Record Medical Supplies,227.86,227.86,,,0 CDM,140660_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140660_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140663_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140666_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140671_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140672_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140674_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,140676_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140677_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,140688_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140689_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140691_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140692_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140693_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140694_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140695_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140696_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140697_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140698_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140713_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140714_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140715_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140716_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140720_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140722_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140723_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140725_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140726_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140727_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140728_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140729_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140730_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140732_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140734_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140735_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140736_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140737_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140738_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140739_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140740_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140741_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140742_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140743_C1713_278,Noncdm Charge Record Medical Supplies,772.04,772.04,,,0 CDM,140744_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140746_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140747_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140748_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140749_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140750_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140751_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140752_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140753_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140756_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,140758_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140759_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140760_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140762_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140763_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140764_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140766_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140767_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,140768_C1713_278,Noncdm Charge Record Medical Supplies,623.7,623.7,,,0 CDM,140779_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140780_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140781_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140782_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140783_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140784_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140788_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140789_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140790_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,140794_C1821_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140794_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140795_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140796_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140797_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140797_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140798_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140798_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140799_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140800_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140800_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140801_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140804_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140807_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140814_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,140816_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,140817_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,140826_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140827_C1776_278,Noncdm Charge Record Medical Supplies,914.94,914.94,,,0 CDM,140828_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140829_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140832_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140833_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,140834_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,140839_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140840_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140848_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,140849_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,140850_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,140851_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,140853_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140855_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140856_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,140858_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140860_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140861_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140862_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140863_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140864_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140865_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140866_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140867_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140868_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140869_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140870_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140871_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140872_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140873_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140874_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140875_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140876_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140877_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140878_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140884_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,140885_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,140886_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140887_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140896_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,140898_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,14089_270,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,140907_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,140909_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,14090_00904775127,NDC Description Not Available,17.6,17.6,,,0 CDM,14090_07214000021,NDC Description Not Available,75.19,75.19,,,0 CDM,14090_07214003868,NDC Description Not Available,20.84,20.84,,,0 CDM,140910_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140911_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140915_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,140920_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,140952_Q4118_278,Noncdm Charge Record Medical Supplies,3.56,3.56,,,0 CDM,140952_Q4118_636,Noncdm Charge Record Pharmacy,3.33,3.33,,,0 CDM,140953_Q4103_278,Noncdm Charge Record Medical Supplies,6.32,6.32,,,0 CDM,140966_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,140967_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140968_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140969_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140970_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140972_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140973_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140974_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140975_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140976_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140977_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140978_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140979_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140980_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140981_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140983_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140984_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140985_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140986_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140987_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140988_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140989_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140991_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140993_C1776_278,Noncdm Charge Record Medical Supplies,985.6,985.6,,,0 CDM,140994_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140996_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140997_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140998_C1776_278,Noncdm Charge Record Medical Supplies,934.04,934.04,,,0 CDM,140999_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,140_C1769_278,Noncdm Charge Record Medical Supplies,18.92,18.92,,,0 CDM,141000_C1776_278,Noncdm Charge Record Medical Supplies,922.65,922.65,,,0 CDM,141001_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141002_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141003_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141005_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141006_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141007_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141008_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141009_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141010_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141012_C1776_278,Noncdm Charge Record Medical Supplies,953.62,953.62,,,0 CDM,141014_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141015_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141016_270,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141016_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141018_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141019_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141020_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141021_C1776_278,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,141023_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141024_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141025_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141026_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141027_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141028_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141029_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141031_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141032_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141035_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,14103_C1760_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,141046_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141049_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141050_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141053_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141055_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141056_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141058_270,Noncdm Charge Record Medical Supplies,906.4,906.4,,,0 CDM,141061_270,Noncdm Charge Record Medical Supplies,1710.5,1710.5,,,0 CDM,141063_270,Noncdm Charge Record Medical Supplies,1710.5,1710.5,,,0 CDM,141064_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,141065_C9359_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141066_C9359_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,141070_C1753_278,Noncdm Charge Record Medical Supplies,1117.08,1117.08,,,0 CDM,141076_270,Noncdm Charge Record Medical Supplies,1298.0,1298.0,,,0 CDM,141080_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141081_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141082_C1713_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141082_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141084_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,141085_C1819_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141086_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,141090_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141091_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141092_C1819_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141094_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141099_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141102_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,141103_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,141104_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,141105_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141106_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141110_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141111_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141112_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141113_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141114_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,141115_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,141117_C1889_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,141118_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,141119_C1889_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,141121_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,141122_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,141125_C1762_636,Noncdm Charge Record Pharmacy,1009.4,1009.4,,,0 CDM,141128_C1713_278,Noncdm Charge Record Medical Supplies,199.1,199.1,,,0 CDM,141129_C1713_278,Noncdm Charge Record Medical Supplies,517.0,517.0,,,0 CDM,141132_270,Noncdm Charge Record Medical Supplies,583.75,583.75,,,0 CDM,141133_270,Noncdm Charge Record Medical Supplies,583.75,583.75,,,0 CDM,141134_270,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,141135_270,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,141136_270,Noncdm Charge Record Medical Supplies,664.4,664.4,,,0 CDM,141137_270,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,141138_270,Noncdm Charge Record Medical Supplies,650.1,650.1,,,0 CDM,141141_270,Noncdm Charge Record Medical Supplies,584.03,584.03,,,0 CDM,141143_270,Noncdm Charge Record Medical Supplies,1852.4,1852.4,,,0 CDM,141144_C1713_278,Noncdm Charge Record Medical Supplies,1657.15,1657.15,,,0 CDM,141146_C1713_278,Noncdm Charge Record Medical Supplies,2855.6,2855.6,,,0 CDM,141149_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,141151_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,141152_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,141153_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,141154_C1776_278,Noncdm Charge Record Medical Supplies,3141.6,3141.6,,,0 CDM,141156_270,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,141158_270,Noncdm Charge Record Medical Supplies,455.4,455.4,,,0 CDM,141159_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,141161_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,141162_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,141163_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,141167_C1713_278,Noncdm Charge Record Medical Supplies,628.1,628.1,,,0 CDM,141168_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,141171_C1713_278,Noncdm Charge Record Medical Supplies,1895.3,1895.3,,,0 CDM,141172_C1713_278,Noncdm Charge Record Medical Supplies,1369.5,1369.5,,,0 CDM,141173_C1713_278,Noncdm Charge Record Medical Supplies,1369.5,1369.5,,,0 CDM,141183_C1713_278,Noncdm Charge Record Medical Supplies,2601.5,2601.5,,,0 CDM,141192_C1713_278,Noncdm Charge Record Medical Supplies,1233.1,1233.1,,,0 CDM,141195_C1713_278,Noncdm Charge Record Medical Supplies,1684.1,1684.1,,,0 CDM,141196_C1713_278,Noncdm Charge Record Medical Supplies,1819.4,1819.4,,,0 CDM,141200_C1713_278,Noncdm Charge Record Medical Supplies,2264.9,2264.9,,,0 CDM,141202_C1713_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,141204_C1713_278,Noncdm Charge Record Medical Supplies,1151.7,1151.7,,,0 CDM,141206_C1713_278,Noncdm Charge Record Medical Supplies,1369.87,1369.87,,,0 CDM,141217_C1713_278,Noncdm Charge Record Medical Supplies,3283.5,3283.5,,,0 CDM,141218_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,141219_C1713_278,Noncdm Charge Record Medical Supplies,98.45,98.45,,,0 CDM,141220_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,141221_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,141222_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,141224_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,141225_C1713_278,Noncdm Charge Record Medical Supplies,63.07,63.07,,,0 CDM,141228_C1713_278,Noncdm Charge Record Medical Supplies,165.92,165.92,,,0 CDM,141229_C1713_278,Noncdm Charge Record Medical Supplies,165.92,165.92,,,0 CDM,141239_C1713_278,Noncdm Charge Record Medical Supplies,165.85,165.85,,,0 CDM,141240_C1713_278,Noncdm Charge Record Medical Supplies,165.91,165.91,,,0 CDM,141241_C1713_278,Noncdm Charge Record Medical Supplies,165.96,165.96,,,0 CDM,141242_C1713_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,141243_C1713_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,141254_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,141256_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,141258_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,141261_C1713_278,Noncdm Charge Record Medical Supplies,689.7,689.7,,,0 CDM,141262_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,141264_C1713_278,Noncdm Charge Record Medical Supplies,298.1,298.1,,,0 CDM,141266_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141267_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141268_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141269_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141270_C1713_278,Noncdm Charge Record Medical Supplies,397.14,397.14,,,0 CDM,141271_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141272_C1713_278,Noncdm Charge Record Medical Supplies,397.14,397.14,,,0 CDM,141273_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141274_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141275_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141276_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141277_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141278_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141279_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141280_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141281_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,141283_C1713_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,141287_C1713_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,141290_C1713_278,Noncdm Charge Record Medical Supplies,163.9,163.9,,,0 CDM,141293_C1713_278,Noncdm Charge Record Medical Supplies,162.64,162.64,,,0 CDM,141294_C1713_278,Noncdm Charge Record Medical Supplies,1071.4,1071.4,,,0 CDM,141295_270,Noncdm Charge Record Medical Supplies,481.8,481.8,,,0 CDM,141297_270,Noncdm Charge Record Medical Supplies,3445.2,3445.2,,,0 CDM,141298_C1776_278,Noncdm Charge Record Medical Supplies,8516.2,8516.2,,,0 CDM,141299_C1776_278,Noncdm Charge Record Medical Supplies,8516.2,8516.2,,,0 CDM,141300_C1776_278,Noncdm Charge Record Medical Supplies,8516.2,8516.2,,,0 CDM,141301_C1776_278,Noncdm Charge Record Medical Supplies,8516.2,8516.2,,,0 CDM,141302_C1776_278,Noncdm Charge Record Medical Supplies,8516.2,8516.2,,,0 CDM,141303_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,141304_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,141305_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,141306_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,141310_270,Noncdm Charge Record Medical Supplies,362.31,362.31,,,0 CDM,141311_C1889_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,14132_45802046564,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),109.18,109.18,,,0 CDM,14132_63646001004,"Ketoconazole: 120 Ml In 1 Bottle, Plastic (63646-010-04)",85.29,85.29,,,0 CDM,141330_C9359_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,141331_C9359_278,Noncdm Charge Record Medical Supplies,3369.22,3369.22,,,0 CDM,141331_C9359_636,Noncdm Charge Record Pharmacy,2859.8,2859.8,,,0 CDM,141332_C9359_278,Noncdm Charge Record Medical Supplies,5236.0,5236.0,,,0 CDM,141333_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,141349_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141350_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141353_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141371_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141373_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141376_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141378_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141389_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141398_C1889_278,Noncdm Charge Record Medical Supplies,2060.3,2060.3,,,0 CDM,141406_C1713_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,141415_270,Noncdm Charge Record Medical Supplies,595.1,595.1,,,0 CDM,141418_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141419_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141423_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,141430_C1776_278,Noncdm Charge Record Medical Supplies,11627.0,11627.0,,,0 CDM,141432_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,141442_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,141449_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141460_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141461_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141462_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141468_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,141472_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141479_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141480_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141486_C1776_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,141488_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141491_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141499_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141501_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141502_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141503_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141504_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141506_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141507_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141508_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141509_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,141514_C1776_278,Noncdm Charge Record Medical Supplies,975.33,975.33,,,0 CDM,141517_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141518_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141521_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,141525_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,141533_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141535_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141542_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,141544_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141545_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141546_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141547_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141548_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141552_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141554_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141555_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141556_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141557_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141558_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141559_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141560_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141561_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141562_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141564_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,141567_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141569_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,141570_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,141571_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,141572_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,141575_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,141576_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141578_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141580_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141581_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141582_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141583_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141584_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141585_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141586_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141587_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,141588_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,141589_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,141590_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,141592_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,141593_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,141594_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,141595_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,141598_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141599_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,141600_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,141601_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141602_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141603_C1713_278,Noncdm Charge Record Medical Supplies,391.53,391.53,,,0 CDM,141604_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,141605_C1713_278,Noncdm Charge Record Medical Supplies,717.2,717.2,,,0 CDM,141607_270,Noncdm Charge Record Medical Supplies,525.8,525.8,,,0 CDM,141609_270,Noncdm Charge Record Medical Supplies,586.19,586.19,,,0 CDM,141613_270,Noncdm Charge Record Medical Supplies,561.0,561.0,,,0 CDM,141615_270,Noncdm Charge Record Medical Supplies,1700.6,1700.6,,,0 CDM,141616_270,Noncdm Charge Record Medical Supplies,413.6,413.6,,,0 CDM,141617_270,Noncdm Charge Record Medical Supplies,614.9,614.9,,,0 CDM,141618_270,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,141619_270,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,141620_270,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,141624_270,Noncdm Charge Record Medical Supplies,471.9,471.9,,,0 CDM,141625_270,Noncdm Charge Record Medical Supplies,1676.4,1676.4,,,0 CDM,141626_270,Noncdm Charge Record Medical Supplies,1015.18,1015.18,,,0 CDM,141627_270,Noncdm Charge Record Medical Supplies,3269.2,3269.2,,,0 CDM,141629_270,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,141630_270,Noncdm Charge Record Medical Supplies,1526.8,1526.8,,,0 CDM,141631_270,Noncdm Charge Record Medical Supplies,1613.7,1613.7,,,0 CDM,141633_270,Noncdm Charge Record Medical Supplies,1593.9,1593.9,,,0 CDM,141634_270,Noncdm Charge Record Medical Supplies,3987.5,3987.5,,,0 CDM,141635_270,Noncdm Charge Record Medical Supplies,994.4,994.4,,,0 CDM,141638_270,Noncdm Charge Record Medical Supplies,489.84,489.84,,,0 CDM,141651_C1713_278,Noncdm Charge Record Medical Supplies,3637.7,3637.7,,,0 CDM,141653_C1713_278,Noncdm Charge Record Medical Supplies,2944.7,2944.7,,,0 CDM,141660_270,Noncdm Charge Record Medical Supplies,596.2,596.2,,,0 CDM,141665_C1713_278,Noncdm Charge Record Medical Supplies,1477.3,1477.3,,,0 CDM,141668_C1713_278,Noncdm Charge Record Medical Supplies,2160.4,2160.4,,,0 CDM,141673_270,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,141674_270,Noncdm Charge Record Medical Supplies,2756.6,2756.6,,,0 CDM,141678_270,Noncdm Charge Record Medical Supplies,4554.0,4554.0,,,0 CDM,141679_270,Noncdm Charge Record Medical Supplies,2128.5,2128.5,,,0 CDM,141680_270,Noncdm Charge Record Medical Supplies,2128.5,2128.5,,,0 CDM,141681_270,Noncdm Charge Record Medical Supplies,2128.5,2128.5,,,0 CDM,141682_270,Noncdm Charge Record Medical Supplies,8131.2,8131.2,,,0 CDM,141685_C1713_278,Noncdm Charge Record Medical Supplies,680.9,680.9,,,0 CDM,141688_C1713_278,Noncdm Charge Record Medical Supplies,407.55,407.55,,,0 CDM,141691_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,141692_C1713_278,Noncdm Charge Record Medical Supplies,407.37,407.37,,,0 CDM,141700_C1713_278,Noncdm Charge Record Medical Supplies,64.9,64.9,,,0 CDM,141701_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,141702_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,141705_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141706_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141707_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141708_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141709_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141710_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141711_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141712_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141713_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141714_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141716_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141717_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141722_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,141724_C1713_278,Noncdm Charge Record Medical Supplies,1083.5,1083.5,,,0 CDM,141725_C1713_278,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,141726_C1713_278,Noncdm Charge Record Medical Supplies,505.72,505.72,,,0 CDM,141727_C1713_278,Noncdm Charge Record Medical Supplies,506.0,506.0,,,0 CDM,141728_C1713_278,Noncdm Charge Record Medical Supplies,506.0,506.0,,,0 CDM,141729_C1713_278,Noncdm Charge Record Medical Supplies,300.85,300.85,,,0 CDM,141730_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,141731_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,141733_C1713_278,Noncdm Charge Record Medical Supplies,300.85,300.85,,,0 CDM,141734_C1713_278,Noncdm Charge Record Medical Supplies,300.85,300.85,,,0 CDM,141740_270,Noncdm Charge Record Medical Supplies,1107.7,1107.7,,,0 CDM,141744_270,Noncdm Charge Record Medical Supplies,393.8,393.8,,,0 CDM,141747_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141748_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,141750_C1776_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,141779_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,141780_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,141781_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,141795_C1776_278,Noncdm Charge Record Medical Supplies,1586.2,1586.2,,,0 CDM,141800_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,141801_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,141813_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141814_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141815_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141820_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141826_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,141829_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,141831_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,141841_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141852_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,141855_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141857_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,141858_Q4158_636,Noncdm Charge Record Pharmacy,765.8,765.8,,,0 CDM,141859_Q4158_278,Noncdm Charge Record Medical Supplies,102.3,102.3,,,0 CDM,141859_Q4158_636,Noncdm Charge Record Pharmacy,95.79,95.79,,,0 CDM,141860_Q4158_278,Noncdm Charge Record Medical Supplies,85.49,85.49,,,0 CDM,141860_Q4158_636,Noncdm Charge Record Pharmacy,80.05,80.05,,,0 CDM,141861_270,Noncdm Charge Record Medical Supplies,702.9,702.9,,,0 CDM,141884_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,141889_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,141891_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,141892_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,141893_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,141894_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,141897_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141898_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141899_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141900_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141901_C1776_278,Noncdm Charge Record Medical Supplies,2374.17,2374.17,,,0 CDM,141903_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141906_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,14190_49348044172,Sunmark Hydrocortisone Plus: 1 Tube In 1 Carton (49348-441-72) / 28.4 G In 1 Tube,4.12,4.12,,,0 CDM,14190_51672201302,Hydrocortisone With Aloe: 1 Tube In 1 Carton (51672-2013-2) / 28.4 G In 1 Tube,5.99,5.99,,,0 CDM,141918_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,141919_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,141926_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,141927_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,141936_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141937_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141938_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141939_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141940_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141941_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141954_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,141955_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,141956_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,141958_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141959_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141960_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141961_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141962_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141963_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141968_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141970_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141971_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,141972_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141973_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141974_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141975_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141976_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141977_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141979_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141980_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,141981_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141982_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,141985_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,141986_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,142006_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142008_C1713_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,142010_C1713_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,142011_C1713_278,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,142013_C1713_278,Noncdm Charge Record Medical Supplies,243.1,243.1,,,0 CDM,142014_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142015_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142016_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142017_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142018_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142019_270,Noncdm Charge Record Medical Supplies,652.3,652.3,,,0 CDM,142020_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142021_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142022_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142024_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,142040_C1713_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,142042_C1713_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,142043_C1713_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,142045_C1713_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,142050_C1713_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,142051_C1713_278,Noncdm Charge Record Medical Supplies,229.53,229.53,,,0 CDM,142053_C1713_278,Noncdm Charge Record Medical Supplies,229.62,229.62,,,0 CDM,142054_C1713_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,142055_C1713_278,Noncdm Charge Record Medical Supplies,229.62,229.62,,,0 CDM,142057_C1713_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,142066_C1713_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,142067_C1713_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,142068_C1713_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,142069_C1713_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,142078_270,Noncdm Charge Record Medical Supplies,5061.59,5061.59,,,0 CDM,142088_270,Noncdm Charge Record Medical Supplies,524.79,524.79,,,0 CDM,142090_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,142091_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,142092_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,142093_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,142096_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142097_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142098_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,142101_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,142102_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,142104_C1776_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,142105_C1776_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,142109_C1776_278,Noncdm Charge Record Medical Supplies,8808.8,8808.8,,,0 CDM,142114_C1776_278,Noncdm Charge Record Medical Supplies,6861.8,6861.8,,,0 CDM,142115_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,142116_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,142118_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,142119_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,142122_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,142126_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142127_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142129_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,142131_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142133_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,142134_C1757_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,142135_C1757_278,Noncdm Charge Record Medical Supplies,7698.9,7698.9,,,0 CDM,142136_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,142145_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,142151_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,142153_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,142155_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,142156_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,142167_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,142171_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,142172_C1713_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,142173_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,142174_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,142185_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,142187_270,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,142188_270,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,142190_270,Noncdm Charge Record Medical Supplies,72.6,72.6,,,0 CDM,142192_270,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,142197_C1768_278,Noncdm Charge Record Medical Supplies,5005.0,5005.0,,,0 CDM,142200_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,142206_270,Noncdm Charge Record Medical Supplies,1257.3,1257.3,,,0 CDM,142208_270,Noncdm Charge Record Medical Supplies,812.57,812.57,,,0 CDM,142210_C1726_278,Noncdm Charge Record Medical Supplies,265.1,265.1,,,0 CDM,142213_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,142214_270,Noncdm Charge Record Medical Supplies,1450.9,1450.9,,,0 CDM,142217_C1773_278,Noncdm Charge Record Medical Supplies,20.9,20.9,,,0 CDM,142220_C1773_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,142221_C1874_278,Noncdm Charge Record Medical Supplies,7923.3,7923.3,,,0 CDM,142223_C1899_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,142226_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,142237_C1713_278,Noncdm Charge Record Medical Supplies,1606.0,1606.0,,,0 CDM,142238_C1713_278,Noncdm Charge Record Medical Supplies,1606.0,1606.0,,,0 CDM,142260_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,142262_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,142267_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,142279_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,142308_C1713_278,Noncdm Charge Record Medical Supplies,552.75,552.75,,,0 CDM,14232_16714069501,Fluconazole: 1 Bottle In 1 Carton (16714-695-01) / 35 Ml In 1 Bottle,25.41,25.41,,,0 CDM,14233_00049345019,Diflucan: 1 Bottle In 1 Carton (0049-3450-19) / 35 Ml In 1 Bottle,16.03,16.03,,,0 CDM,14233_16714069601,Fluconazole: 1 Bottle In 1 Carton (16714-696-01) / 35 Ml In 1 Bottle,89.65,89.65,,,0 CDM,14233_59762503001,Fluconazole: 1 Bottle In 1 Carton (59762-5030-1) / 35 Ml In 1 Bottle,67.64,67.64,,,0 CDM,142375_270,Noncdm Charge Record Medical Supplies,613.04,613.04,,,0 CDM,142377_C1884_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142377_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142378_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,142379_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142381_C1884_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142381_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142382_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142383_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,142384_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,142385_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,142386_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,142387_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,142388_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,142389_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,142390_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,142391_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,142392_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142393_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,142400_270,Noncdm Charge Record Medical Supplies,102.3,102.3,,,0 CDM,142405_C1768_278,Noncdm Charge Record Medical Supplies,1058.2,1058.2,,,0 CDM,142406_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,142407_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,142408_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,142409_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,142410_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,142411_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,142412_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,142413_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,142417_C1751_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,142422_C1713_278,Noncdm Charge Record Medical Supplies,457.05,457.05,,,0 CDM,142424_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,142425_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,142432_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,142498_C1713_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,142498_C1713_636,Noncdm Charge Record Pharmacy,1434.79,1434.79,,,0 CDM,142498_C9359_278,Noncdm Charge Record Medical Supplies,1532.3,1532.3,,,0 CDM,142498_C9359_636,Noncdm Charge Record Pharmacy,1434.79,1434.79,,,0 CDM,142499_L8614_278,Noncdm Charge Record Medical Supplies,24664.2,24664.2,,,0 CDM,142501_C1767_278,Noncdm Charge Record Medical Supplies,25102.0,25102.0,,,0 CDM,142502_C1883_275,Noncdm Charge Record Medical Supplies,2849.0,2849.0,,,0 CDM,142509_C1789_278,Noncdm Charge Record Medical Supplies,1605.45,1605.45,,,0 CDM,142510_270,Noncdm Charge Record Medical Supplies,355.16,355.16,,,0 CDM,142516_C2621_275,Noncdm Charge Record Medical Supplies,8708.7,8708.7,,,0 CDM,142518_C2621_275,Noncdm Charge Record Medical Supplies,9116.1,9116.1,,,0 CDM,142520_C2623_278,Noncdm Charge Record Medical Supplies,3149.3,3149.3,,,0 CDM,142521_C1813_278,Noncdm Charge Record Medical Supplies,8169.7,8169.7,,,0 CDM,142526_270,Noncdm Charge Record Medical Supplies,355.13,355.13,,,0 CDM,142574_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,142579_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,142581_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,142617_Q4133_278,Noncdm Charge Record Medical Supplies,164.63,164.63,,,0 CDM,142618_C1762_278,Noncdm Charge Record Medical Supplies,20642.6,20642.6,,,0 CDM,142620_C9359_278,Noncdm Charge Record Medical Supplies,1146.08,1146.08,,,0 CDM,142620_C9359_636,Noncdm Charge Record Pharmacy,1073.26,1073.26,,,0 CDM,142622_C9359_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,142625_C1713_278,Noncdm Charge Record Medical Supplies,815.1,815.1,,,0 CDM,142626_270,Noncdm Charge Record Medical Supplies,745.8,745.8,,,0 CDM,142632_270,Noncdm Charge Record Medical Supplies,638.73,638.73,,,0 CDM,142638_C1713_278,Noncdm Charge Record Medical Supplies,680.9,680.9,,,0 CDM,142639_C1713_278,Noncdm Charge Record Medical Supplies,407.37,407.37,,,0 CDM,142646_270,Noncdm Charge Record Medical Supplies,658.9,658.9,,,0 CDM,142647_270,Noncdm Charge Record Medical Supplies,815.96,815.96,,,0 CDM,142649_C1713_278,Noncdm Charge Record Medical Supplies,216.88,216.88,,,0 CDM,142650_C1713_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,142652_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,142653_C1776_278,Noncdm Charge Record Medical Supplies,2849.0,2849.0,,,0 CDM,142655_C1776_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,142657_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,142662_C1822_275,Noncdm Charge Record Medical Supplies,26627.19,26627.19,,,0 CDM,142662_C1882_275,Noncdm Charge Record Medical Supplies,29106.0,29106.0,,,0 CDM,142663_C1721_275,Noncdm Charge Record Medical Supplies,18955.39,18955.39,,,0 CDM,142664_C1722_275,Noncdm Charge Record Medical Supplies,17182.55,17182.55,,,0 CDM,14266_16714019601,Lamotrigine: 60 Tablet In 1 Bottle (16714-196-01),19.14,19.14,,,0 CDM,14266_29300011316,"Lamotrigine: 60 Tablet In 1 Bottle, Plastic (29300-113-16)",19.06,19.06,,,0 CDM,142939_C1887_278,Noncdm Charge Record Medical Supplies,4612.3,4612.3,,,0 CDM,142941_270,Noncdm Charge Record Medical Supplies,2622.16,2622.16,,,0 CDM,142942_270,Noncdm Charge Record Medical Supplies,356.99,356.99,,,0 CDM,142945_270,Noncdm Charge Record Medical Supplies,550.0,550.0,,,0 CDM,142948_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,142950_270,Noncdm Charge Record Medical Supplies,799.7,799.7,,,0 CDM,142951_270,Noncdm Charge Record Medical Supplies,457.6,457.6,,,0 CDM,142955_270,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,142956_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,142960_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,142965_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,142966_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,142967_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,142968_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,142969_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143021_270,Noncdm Charge Record Medical Supplies,1452.0,1452.0,,,0 CDM,143023_C1889_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,143024_C1713_278,Noncdm Charge Record Medical Supplies,1226.87,1226.87,,,0 CDM,143025_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,143026_270,Noncdm Charge Record Medical Supplies,1937.1,1937.1,,,0 CDM,143037_270,Noncdm Charge Record Medical Supplies,2013.0,2013.0,,,0 CDM,143038_C1758_278,Noncdm Charge Record Medical Supplies,29.7,29.7,,,0 CDM,143045_C1892_278,Noncdm Charge Record Medical Supplies,56.25,56.25,,,0 CDM,143046_C1762_278,Noncdm Charge Record Medical Supplies,2888.6,2888.6,,,0 CDM,143047_C1762_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,143049_C1713_278,Noncdm Charge Record Medical Supplies,434.5,434.5,,,0 CDM,143065_270,Noncdm Charge Record Medical Supplies,1023.0,1023.0,,,0 CDM,143070_270,Noncdm Charge Record Medical Supplies,1778.7,1778.7,,,0 CDM,143071_270,Noncdm Charge Record Medical Supplies,2425.5,2425.5,,,0 CDM,143074_270,Noncdm Charge Record Medical Supplies,2403.76,2403.76,,,0 CDM,143077_C1787_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,143078_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,143079_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,143080_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,143081_C1725_278,Noncdm Charge Record Medical Supplies,5313.0,5313.0,,,0 CDM,143086_270,Noncdm Charge Record Medical Supplies,9007.64,9007.64,,,0 CDM,143094_C1713_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,143094_C9359_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,143094_C9359_636,Noncdm Charge Record Pharmacy,1002.19,1002.19,,,0 CDM,143105_L8509_274,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,143107_270,Noncdm Charge Record Medical Supplies,678.7,678.7,,,0 CDM,143108_C1768_278,Noncdm Charge Record Medical Supplies,4099.7,4099.7,,,0 CDM,143108_C1889_278,Noncdm Charge Record Medical Supplies,4099.7,4099.7,,,0 CDM,143111_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,143115_C1817_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143116_C1817_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143116_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143117_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143118_C1817_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143118_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143119_C1817_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143119_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143120_C1817_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143120_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143122_C1889_278,Noncdm Charge Record Medical Supplies,26180.0,26180.0,,,0 CDM,143123_C1889_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,143124_C1889_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,143124_C1893_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,143125_C1889_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,143125_C1893_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,143129_C1760_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,143130_C1760_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,143145_270,Noncdm Charge Record Medical Supplies,1912.0,1912.0,,,0 CDM,143148_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,143152_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143154_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143156_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143157_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143160_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,143161_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,143165_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,143166_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143167_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143178_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143184_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,143185_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,143186_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,143191_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,143194_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,143195_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,143196_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,143197_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,143198_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143199_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143200_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143200_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143201_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143201_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,143202_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,143204_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143205_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143210_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143211_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143212_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143215_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143216_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143217_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143218_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143219_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143224_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143225_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143232_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,143238_C1889_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,143239_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,143242_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,143244_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,143249_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143250_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143251_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143252_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143253_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143254_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143255_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143256_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143258_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143262_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,143269_A4300_278,Noncdm Charge Record Medical Supplies,118.8,118.8,,,0 CDM,143270_A4300_278,Noncdm Charge Record Medical Supplies,181.01,181.01,,,0 CDM,143276_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,143278_270,Noncdm Charge Record Medical Supplies,1775.4,1775.4,,,0 CDM,143280_270,Noncdm Charge Record Medical Supplies,973.5,973.5,,,0 CDM,143288_C1713_278,Noncdm Charge Record Medical Supplies,1381.6,1381.6,,,0 CDM,143291_C1713_278,Noncdm Charge Record Medical Supplies,2990.9,2990.9,,,0 CDM,143295_C1713_278,Noncdm Charge Record Medical Supplies,836.0,836.0,,,0 CDM,143298_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143300_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,143302_C1713_278,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,143319_C1713_278,Noncdm Charge Record Medical Supplies,1665.4,1665.4,,,0 CDM,143323_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,143324_C1713_278,Noncdm Charge Record Medical Supplies,517.22,517.22,,,0 CDM,143325_C1713_278,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,143327_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,143330_C1713_278,Noncdm Charge Record Medical Supplies,1894.2,1894.2,,,0 CDM,143331_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,143336_C1713_278,Noncdm Charge Record Medical Supplies,1820.5,1820.5,,,0 CDM,143342_270,Noncdm Charge Record Medical Supplies,980.1,980.1,,,0 CDM,143343_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,143345_C1713_278,Noncdm Charge Record Medical Supplies,347.6,347.6,,,0 CDM,143349_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,143350_C1713_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,143351_C1713_278,Noncdm Charge Record Medical Supplies,728.2,728.2,,,0 CDM,143354_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,143360_C1713_278,Noncdm Charge Record Medical Supplies,2413.4,2413.4,,,0 CDM,143367_270,Noncdm Charge Record Medical Supplies,596.2,596.2,,,0 CDM,143368_C1713_278,Noncdm Charge Record Medical Supplies,5362.5,5362.5,,,0 CDM,143371_C1713_278,Noncdm Charge Record Medical Supplies,3489.2,3489.2,,,0 CDM,143383_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,143384_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,143385_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,143387_C1713_278,Noncdm Charge Record Medical Supplies,468.05,468.05,,,0 CDM,143388_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,143391_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,143399_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143400_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143405_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143413_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,143421_C2623_278,Noncdm Charge Record Medical Supplies,3033.8,3033.8,,,0 CDM,143422_C2623_278,Noncdm Charge Record Medical Supplies,3033.8,3033.8,,,0 CDM,143423_C2623_278,Noncdm Charge Record Medical Supplies,3033.8,3033.8,,,0 CDM,143424_C2623_278,Noncdm Charge Record Medical Supplies,3495.8,3495.8,,,0 CDM,143425_C2623_278,Noncdm Charge Record Medical Supplies,3495.8,3495.8,,,0 CDM,143426_C2623_278,Noncdm Charge Record Medical Supplies,3495.8,3495.8,,,0 CDM,143427_C2623_278,Noncdm Charge Record Medical Supplies,3495.8,3495.8,,,0 CDM,143428_C2623_278,Noncdm Charge Record Medical Supplies,3495.8,3495.8,,,0 CDM,143435_C1889_278,Noncdm Charge Record Medical Supplies,2673.0,2673.0,,,0 CDM,143440_C1762_278,Noncdm Charge Record Medical Supplies,2710.4,2710.4,,,0 CDM,143443_C1762_278,Noncdm Charge Record Medical Supplies,2710.12,2710.12,,,0 CDM,143444_C1762_278,Noncdm Charge Record Medical Supplies,1840.3,1840.3,,,0 CDM,143445_C1762_636,Noncdm Charge Record Pharmacy,1723.19,1723.19,,,0 CDM,143446_C1762_636,Noncdm Charge Record Pharmacy,1723.19,1723.19,,,0 CDM,143448_C1762_278,Noncdm Charge Record Medical Supplies,1882.1,1882.1,,,0 CDM,143457_C1762_278,Noncdm Charge Record Medical Supplies,3854.4,3854.4,,,0 CDM,143457_C1762_636,Noncdm Charge Record Pharmacy,3609.12,3609.12,,,0 CDM,143462_C1762_278,Noncdm Charge Record Medical Supplies,1031.8,1031.8,,,0 CDM,143462_C1762_636,Noncdm Charge Record Pharmacy,966.14,966.14,,,0 CDM,143468_270,Noncdm Charge Record Medical Supplies,416.21,416.21,,,0 CDM,143469_C1713_270,Noncdm Charge Record Medical Supplies,1098.9,1098.9,,,0 CDM,143478_C1768_278,Noncdm Charge Record Medical Supplies,5735.4,5735.4,,,0 CDM,143481_C1713_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,143482_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143483_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,143484_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,143488_270,Noncdm Charge Record Medical Supplies,9900.0,9900.0,,,0 CDM,143491_270,Noncdm Charge Record Medical Supplies,10890.0,10890.0,,,0 CDM,143492_Q4158_272,Noncdm Charge Record Medical Supplies,120.72,120.72,,,0 CDM,143492_Q4158_278,Noncdm Charge Record Medical Supplies,102.35,102.35,,,0 CDM,143492_Q4158_636,Noncdm Charge Record Pharmacy,92.21,92.21,,,0 CDM,143493_Q4158_278,Noncdm Charge Record Medical Supplies,85.11,85.11,,,0 CDM,143493_Q4158_636,Noncdm Charge Record Pharmacy,79.69,79.69,,,0 CDM,143513_L8509_274,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,143542_C1713_278,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,143545_C1713_278,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,143546_C1713_278,Noncdm Charge Record Medical Supplies,1116.5,1116.5,,,0 CDM,143577_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,143578_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,143693_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,143694_C1874_278,Noncdm Charge Record Medical Supplies,6152.3,6152.3,,,0 CDM,143695_C1874_278,Noncdm Charge Record Medical Supplies,6152.3,6152.3,,,0 CDM,143698_C1757_278,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,143699_C1757_278,Noncdm Charge Record Medical Supplies,18480.0,18480.0,,,0 CDM,143700_C1894_278,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,143701_C1785_275,Noncdm Charge Record Medical Supplies,18818.8,18818.8,,,0 CDM,143702_C1786_275,Noncdm Charge Record Medical Supplies,14491.4,14491.4,,,0 CDM,143706_624,Noncdm Charge Record Medical Supplies,58520.0,58520.0,,,0 CDM,143706_C1889_278,Noncdm Charge Record Medical Supplies,58520.0,58520.0,,,0 CDM,143706_C1889_624,Noncdm Charge Record Medical Supplies,58520.0,58520.0,,,0 CDM,143723_270,Noncdm Charge Record Medical Supplies,47850.0,47850.0,,,0 CDM,143729_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,143730_C1889_624,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,143731_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,143732_270,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,143733_270,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,143734_270,Noncdm Charge Record Medical Supplies,545.77,545.77,,,0 CDM,143735_270,Noncdm Charge Record Medical Supplies,467.5,467.5,,,0 CDM,143747_270,Noncdm Charge Record Medical Supplies,775.67,775.67,,,0 CDM,143748_270,Noncdm Charge Record Medical Supplies,474.65,474.65,,,0 CDM,143750_C1713_278,Noncdm Charge Record Medical Supplies,655.6,655.6,,,0 CDM,143751_C1713_278,Noncdm Charge Record Medical Supplies,1144.0,1144.0,,,0 CDM,143753_270,Noncdm Charge Record Medical Supplies,828.3,828.3,,,0 CDM,143758_270,Noncdm Charge Record Medical Supplies,1769.9,1769.9,,,0 CDM,143765_C1713_278,Noncdm Charge Record Medical Supplies,781.18,781.18,,,0 CDM,143783_C1789_278,Noncdm Charge Record Medical Supplies,2302.3,2302.3,,,0 CDM,143795_C1884_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143795_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143798_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,143799_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143800_C1884_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143803_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143804_C1884_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143805_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143806_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143807_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143808_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143809_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143810_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143811_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143812_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143813_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,143814_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143815_C1889_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,143816_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143817_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143818_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143819_C1713_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143819_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143820_C1884_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143820_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143821_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143822_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143823_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143824_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143825_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,143826_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143827_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143828_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143829_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143830_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143831_C1889_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,143832_C1884_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143832_C1889_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,143835_C1757_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,143836_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,143837_C1769_278,Noncdm Charge Record Medical Supplies,654.5,654.5,,,0 CDM,143842_270,Noncdm Charge Record Medical Supplies,5148.0,5148.0,,,0 CDM,143843_270,Noncdm Charge Record Medical Supplies,5148.0,5148.0,,,0 CDM,143844_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,143845_C1761_278,Noncdm Charge Record Medical Supplies,7292.01,7292.01,,,0 CDM,143846_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,143847_C1761_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,143851_C1767_278,Noncdm Charge Record Medical Supplies,20790.0,20790.0,,,0 CDM,143852_C1778_278,Noncdm Charge Record Medical Supplies,4199.8,4199.8,,,0 CDM,143854_C1787_278,Noncdm Charge Record Medical Supplies,1056.0,1056.0,,,0 CDM,143855_270,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,143857_C1769_278,Noncdm Charge Record Medical Supplies,11.0,11.0,,,0 CDM,143861_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,143871_C1762_278,Noncdm Charge Record Medical Supplies,5201.9,5201.9,,,0 CDM,143872_C1762_278,Noncdm Charge Record Medical Supplies,5201.9,5201.9,,,0 CDM,143874_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143877_C1776_278,Noncdm Charge Record Medical Supplies,11627.0,11627.0,,,0 CDM,143878_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,143881_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,143889_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143890_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,143897_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,143901_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,143902_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,143903_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143904_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143905_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143906_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143907_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143908_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143909_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143910_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143912_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,143916_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143918_270,Noncdm Charge Record Medical Supplies,909.7,909.7,,,0 CDM,143923_C1713_278,Noncdm Charge Record Medical Supplies,790.3,790.3,,,0 CDM,143930_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143931_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143932_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143933_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143934_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143935_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143936_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,143937_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143943_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143945_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,143947_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143950_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143951_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143955_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143956_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,143969_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143970_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,143972_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143973_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143974_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143975_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143976_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143977_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143978_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143979_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,143980_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,143986_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,143987_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,143990_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,143991_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,143992_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,143997_270,Noncdm Charge Record Medical Supplies,2079.0,2079.0,,,0 CDM,144000_C1889_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,144003_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,144007_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,144008_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144010_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144011_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144014_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,144016_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144024_C1889_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,144025_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144027_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,144032_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,144039_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,144040_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,144041_C1889_278,Noncdm Charge Record Medical Supplies,5159.0,5159.0,,,0 CDM,144050_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,144051_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144052_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,144053_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,144063_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144064_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144064_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144065_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144068_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144071_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,144073_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144084_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,144085_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,144086_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,144087_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,144088_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,144100_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144101_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,144127_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144128_C1889_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,144137_C1884_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,144137_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,144138_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,144139_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,144142_C1889_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,144145_C1713_278,Noncdm Charge Record Medical Supplies,618.75,618.75,,,0 CDM,144145_C1889_278,Noncdm Charge Record Medical Supplies,618.57,618.57,,,0 CDM,144146_C1713_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,144146_C1889_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,144147_C1713_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,144147_C1889_278,Noncdm Charge Record Medical Supplies,618.57,618.57,,,0 CDM,144150_270,Noncdm Charge Record Medical Supplies,11036.3,11036.3,,,0 CDM,144160_C1899_278,Noncdm Charge Record Medical Supplies,3388.0,3388.0,,,0 CDM,144161_C1899_278,Noncdm Charge Record Medical Supplies,3388.0,3388.0,,,0 CDM,144170_270,Noncdm Charge Record Medical Supplies,659.96,659.96,,,0 CDM,144171_C1713_278,Noncdm Charge Record Medical Supplies,781.46,781.46,,,0 CDM,144172_C1817_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144172_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144172_C1894_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144172_L8699_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144173_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144173_C1894_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144174_C1760_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144174_C1817_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144174_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144174_C1894_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144174_L8699_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144175_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144176_C1760_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144176_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144176_C1894_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144176_L8699_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144177_C1889_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144177_L8699_278,Noncdm Charge Record Medical Supplies,29414.0,29414.0,,,0 CDM,144178_C2630_272,Noncdm Charge Record Medical Supplies,5852.0,5852.0,,,0 CDM,144178_C2630_278,Noncdm Charge Record Medical Supplies,5852.0,5852.0,,,0 CDM,144180_C2630_272,Noncdm Charge Record Medical Supplies,5852.0,5852.0,,,0 CDM,144180_C2630_278,Noncdm Charge Record Medical Supplies,5852.0,5852.0,,,0 CDM,144186_C1713_270,Noncdm Charge Record Medical Supplies,1415.7,1415.7,,,0 CDM,144188_270,Noncdm Charge Record Medical Supplies,1138.5,1138.5,,,0 CDM,144188_C1713_270,Noncdm Charge Record Medical Supplies,1138.5,1138.5,,,0 CDM,144235_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144236_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144238_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144239_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144240_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144241_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144242_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144243_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144244_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,144269_270,Noncdm Charge Record Medical Supplies,4380.2,4380.2,,,0 CDM,144272_270,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,144282_C1713_278,Noncdm Charge Record Medical Supplies,686.4,686.4,,,0 CDM,144286_C1713_278,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,144297_C1713_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,144303_C1713_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,144304_C1713_278,Noncdm Charge Record Medical Supplies,301.03,301.03,,,0 CDM,144305_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,144307_C1713_278,Noncdm Charge Record Medical Supplies,257.95,257.95,,,0 CDM,144308_C1713_278,Noncdm Charge Record Medical Supplies,258.13,258.13,,,0 CDM,144309_C1713_278,Noncdm Charge Record Medical Supplies,255.64,255.64,,,0 CDM,144310_270,Noncdm Charge Record Medical Supplies,2195.6,2195.6,,,0 CDM,144314_270,Noncdm Charge Record Medical Supplies,444.4,444.4,,,0 CDM,144324_270,Noncdm Charge Record Medical Supplies,610.46,610.46,,,0 CDM,144327_C1892_278,Noncdm Charge Record Medical Supplies,250.8,250.8,,,0 CDM,144353_C1768_278,Noncdm Charge Record Medical Supplies,7983.8,7983.8,,,0 CDM,144353_C1889_278,Noncdm Charge Record Medical Supplies,7983.8,7983.8,,,0 CDM,144360_270,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,144360_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,144363_270,Noncdm Charge Record Medical Supplies,448.8,448.8,,,0 CDM,144364_270,Noncdm Charge Record Medical Supplies,573.1,573.1,,,0 CDM,144365_270,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,144365_C1713_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,144367_C1713_278,Noncdm Charge Record Medical Supplies,2505.8,2505.8,,,0 CDM,144368_C1713_278,Noncdm Charge Record Medical Supplies,2505.8,2505.8,,,0 CDM,144371_C1713_278,Noncdm Charge Record Medical Supplies,226.6,226.6,,,0 CDM,144378_C1713_278,Noncdm Charge Record Medical Supplies,599.5,599.5,,,0 CDM,144379_C1713_278,Noncdm Charge Record Medical Supplies,599.5,599.5,,,0 CDM,144381_C1713_278,Noncdm Charge Record Medical Supplies,599.5,599.5,,,0 CDM,144384_624,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144384_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144384_C1889_624,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144385_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144386_624,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144386_C1889_278,Noncdm Charge Record Medical Supplies,46200.0,46200.0,,,0 CDM,144431_C1764_278,Noncdm Charge Record Medical Supplies,6622.0,6622.0,,,0 CDM,144432_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,144433_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,144434_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,144435_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,144437_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144438_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144439_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144440_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144441_L8614_278,Noncdm Charge Record Medical Supplies,6895.9,6895.9,,,0 CDM,144444_270,Noncdm Charge Record Medical Supplies,2145.0,2145.0,,,0 CDM,144445_C1889_278,Noncdm Charge Record Medical Supplies,12012.0,12012.0,,,0 CDM,144445_Q4100_278,Noncdm Charge Record Medical Supplies,12012.0,12012.0,,,0 CDM,144446_C1874_278,Noncdm Charge Record Medical Supplies,29256.7,29256.7,,,0 CDM,144448_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,144449_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,144450_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,144453_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,144456_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,144458_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,144459_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,144462_270,Noncdm Charge Record Medical Supplies,3217.5,3217.5,,,0 CDM,144471_C1768_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,144472_C1768_278,Noncdm Charge Record Medical Supplies,1321.1,1321.1,,,0 CDM,144479_270,Noncdm Charge Record Medical Supplies,723.8,723.8,,,0 CDM,144480_270,Noncdm Charge Record Medical Supplies,518.96,518.96,,,0 CDM,144481_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,144486_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144487_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144488_C1760_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144489_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,144501_C1820_278,Noncdm Charge Record Medical Supplies,26804.8,26804.8,,,0 CDM,144505_C1787_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,144506_270,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,144506_C1820_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,144508_270,Noncdm Charge Record Medical Supplies,1899.75,1899.75,,,0 CDM,144509_270,Noncdm Charge Record Medical Supplies,1254.03,1254.03,,,0 CDM,144510_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,144511_270,Noncdm Charge Record Medical Supplies,1955.8,1955.8,,,0 CDM,144517_C1733_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,144523_270,Noncdm Charge Record Medical Supplies,1748.27,1748.27,,,0 CDM,144524_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,144526_272,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,144526_B4088_278,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,144528_272,Noncdm Charge Record Medical Supplies,507.1,507.1,,,0 CDM,144528_B4087_278,Noncdm Charge Record Medical Supplies,507.1,507.1,,,0 CDM,144528_C1889_278,Noncdm Charge Record Medical Supplies,507.1,507.1,,,0 CDM,144555_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144556_272,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144556_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144557_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144558_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144559_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,144564_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,144566_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,144567_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,144588_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,144590_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,1445_00143926201,NDC Description Not Available,2.29,2.29,,,0 CDM,1445_00143926225,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),2.3,2.3,,,0 CDM,1445_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),2.9,2.9,,,0 CDM,1445_00781345170,NDC Description Not Available,13.65,13.65,,,0 CDM,1445_60505614200,NDC Description Not Available,4.68,4.68,,,0 CDM,1445_63323023701,NDC Description Not Available,3.86,3.86,,,0 CDM,1445_63323023710,Cefazolin: 25 Vial In 1 Carton (63323-237-10) / 3 Ml In 1 Vial (63323-237-01),3.81,3.81,,,0 CDM,144602_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,144617_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,144618_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,144623_272,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,144623_B4087_278,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,144625_272,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,144625_B4087_278,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,144662_270,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,144664_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,144677_270,Noncdm Charge Record Medical Supplies,3999.6,3999.6,,,0 CDM,144682_270,Noncdm Charge Record Medical Supplies,3059.1,3059.1,,,0 CDM,144683_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,1446_00143926101,NDC Description Not Available,1.82,1.82,,,0 CDM,1446_00143926110,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9261-10) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9261-01)",1.84,1.84,,,0 CDM,144703_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,14471_24208048510,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10) / 10 Ml In 1 Bottle, Dropper",159.55,159.55,,,0 CDM,14471_42571014126,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26) / 10 Ml In 1 Bottle,240.97,240.97,,,0 CDM,14471_61314001910,Dorzolamide Hydrochloride: 10 Ml In 1 Bottle (61314-019-10),241.02,241.02,,,0 CDM,14471_72266019701,Dorzolamide Hydrochloride: 1 Bottle In 1 Carton (72266-197-01) / 10 Ml In 1 Bottle,64.89,64.89,,,0 CDM,144733_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,144736_C1603_278,Noncdm Charge Record Medical Supplies,4797.1,4797.1,,,0 CDM,144737_270,Noncdm Charge Record Medical Supplies,9007.67,9007.67,,,0 CDM,144742_270,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,144743_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144744_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144745_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144746_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144747_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144750_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144752_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144753_C1874_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,144757_Q4116_278,Noncdm Charge Record Medical Supplies,416.59,416.59,,,0 CDM,144763_270,Noncdm Charge Record Medical Supplies,620.4,620.4,,,0 CDM,144765_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,144767_C1883_275,Noncdm Charge Record Medical Supplies,916.3,916.3,,,0 CDM,144768_C1883_275,Noncdm Charge Record Medical Supplies,916.3,916.3,,,0 CDM,144769_C1897_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,144770_C1778_278,Noncdm Charge Record Medical Supplies,4150.3,4150.3,,,0 CDM,144771_C1778_278,Noncdm Charge Record Medical Supplies,4150.3,4150.3,,,0 CDM,144773_C1787_278,Noncdm Charge Record Medical Supplies,918.5,918.5,,,0 CDM,144775_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,144780_270,Noncdm Charge Record Medical Supplies,2227.5,2227.5,,,0 CDM,144791_C1776_278,Noncdm Charge Record Medical Supplies,868.21,868.21,,,0 CDM,144792_C1776_278,Noncdm Charge Record Medical Supplies,868.2,868.2,,,0 CDM,144815_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,144820_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,144822_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,144825_C1713_278,Noncdm Charge Record Medical Supplies,126.13,126.13,,,0 CDM,144828_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,144830_270,Noncdm Charge Record Medical Supplies,2557.5,2557.5,,,0 CDM,144836_270,Noncdm Charge Record Medical Supplies,3877.5,3877.5,,,0 CDM,144837_270,Noncdm Charge Record Medical Supplies,2046.0,2046.0,,,0 CDM,144838_270,Noncdm Charge Record Medical Supplies,2046.0,2046.0,,,0 CDM,144839_270,Noncdm Charge Record Medical Supplies,2046.0,2046.0,,,0 CDM,144840_C1889_278,Noncdm Charge Record Medical Supplies,4188.8,4188.8,,,0 CDM,144841_C1889_278,Noncdm Charge Record Medical Supplies,4188.8,4188.8,,,0 CDM,144842_C1889_278,Noncdm Charge Record Medical Supplies,4188.8,4188.8,,,0 CDM,144843_C1889_278,Noncdm Charge Record Medical Supplies,4188.8,4188.8,,,0 CDM,144845_A2007_278,Noncdm Charge Record Medical Supplies,60.98,60.98,,,0 CDM,144845_A2007_636,Noncdm Charge Record Pharmacy,54.91,54.91,,,0 CDM,144846_A2007_278,Noncdm Charge Record Medical Supplies,67.23,67.23,,,0 CDM,144848_A2007_278,Noncdm Charge Record Medical Supplies,364.86,364.86,,,0 CDM,144849_A2007_278,Noncdm Charge Record Medical Supplies,162.29,162.29,,,0 CDM,144850_Q4100_278,Noncdm Charge Record Medical Supplies,28.8,28.8,,,0 CDM,144852_Q4100_278,Noncdm Charge Record Medical Supplies,13013.0,13013.0,,,0 CDM,144853_Q4100_278,Noncdm Charge Record Medical Supplies,36.28,36.28,,,0 CDM,144854_Q4100_278,Noncdm Charge Record Medical Supplies,3834.6,3834.6,,,0 CDM,144854_Q4100_636,Noncdm Charge Record Pharmacy,7.18,7.18,,,0 CDM,144856_A2007_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,144857_A2007_278,Noncdm Charge Record Medical Supplies,62.58,62.58,,,0 CDM,144858_A2007_278,Noncdm Charge Record Medical Supplies,263.53,263.53,,,0 CDM,144858_A2007_636,Noncdm Charge Record Pharmacy,216.93,216.93,,,0 CDM,144859_A2007_278,Noncdm Charge Record Medical Supplies,166.56,166.56,,,0 CDM,144859_A2007_636,Noncdm Charge Record Pharmacy,141.11,141.11,,,0 CDM,144861_A2007_278,Noncdm Charge Record Medical Supplies,121.58,121.58,,,0 CDM,144862_A2007_278,Noncdm Charge Record Medical Supplies,187.6,187.6,,,0 CDM,144862_A2007_636,Noncdm Charge Record Pharmacy,161.5,161.5,,,0 CDM,144863_A2007_278,Noncdm Charge Record Medical Supplies,82.14,82.14,,,0 CDM,1448_00143992390,Cefazolin: 2.2 Ml In 1 Vial (0143-9923-90),8.24,8.24,,,0 CDM,1448_25021010010,Cefazolin: 25 Vial In 1 Carton (25021-100-10) / 2.2 Ml In 1 Vial,6.18,6.18,,,0 CDM,1448_44567070625,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",6.51,6.51,,,0 CDM,144903_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,144904_270,Noncdm Charge Record Medical Supplies,591.87,591.87,,,0 CDM,144906_270,Noncdm Charge Record Medical Supplies,591.88,591.88,,,0 CDM,144907_270,Noncdm Charge Record Medical Supplies,592.08,592.08,,,0 CDM,144908_L8509_274,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,144918_C1713_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,144948_C1713_278,Noncdm Charge Record Medical Supplies,4304.3,4304.3,,,0 CDM,144949_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,144950_C1713_278,Noncdm Charge Record Medical Supplies,4853.2,4853.2,,,0 CDM,144951_C1713_278,Noncdm Charge Record Medical Supplies,5026.86,5026.86,,,0 CDM,144952_270,Noncdm Charge Record Medical Supplies,1050.89,1050.89,,,0 CDM,144956_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,144957_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,144958_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,144959_C1889_278,Noncdm Charge Record Medical Supplies,11088.0,11088.0,,,0 CDM,144983_270,Noncdm Charge Record Medical Supplies,1303.5,1303.5,,,0 CDM,144984_C1894_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,144985_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,144986_C1826_278,Noncdm Charge Record Medical Supplies,3657.5,3657.5,,,0 CDM,144987_C1826_278,Noncdm Charge Record Medical Supplies,3657.5,3657.5,,,0 CDM,144988_C1778_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,144990_C1826_278,Noncdm Charge Record Medical Supplies,29260.0,29260.0,,,0 CDM,144991_C1605_275,Noncdm Charge Record Medical Supplies,20405.0,20405.0,,,0 CDM,144991_C1786_275,Noncdm Charge Record Medical Supplies,20405.0,20405.0,,,0 CDM,144992_C1605_275,Noncdm Charge Record Medical Supplies,12089.0,12089.0,,,0 CDM,144993_C1826_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,144994_C1826_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,144995_C1762_636,Noncdm Charge Record Pharmacy,4577.32,4577.32,,,0 CDM,144996_C1762_278,Noncdm Charge Record Medical Supplies,4888.4,4888.4,,,0 CDM,144996_C1762_636,Noncdm Charge Record Pharmacy,4577.32,4577.32,,,0 CDM,144997_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,145006_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,145010_Q4100_278,Noncdm Charge Record Medical Supplies,3.34,3.34,,,0 CDM,145011_Q4100_278,Noncdm Charge Record Medical Supplies,6.39,6.39,,,0 CDM,145011_Q4100_636,Noncdm Charge Record Pharmacy,2.57,2.57,,,0 CDM,145029_270,Noncdm Charge Record Medical Supplies,2178.0,2178.0,,,0 CDM,145037_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,145037_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,145041_270,Noncdm Charge Record Medical Supplies,1438.07,1438.07,,,0 CDM,145044_C1771_278,Noncdm Charge Record Medical Supplies,2888.6,2888.6,,,0 CDM,145049_270,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,145050_270,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,145051_270,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,145053_270,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,145054_270,Noncdm Charge Record Medical Supplies,789.8,789.8,,,0 CDM,145055_C1817_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,145055_C1889_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,145069_270,Noncdm Charge Record Medical Supplies,1654.4,1654.4,,,0 CDM,145071_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,145072_A9506_270,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 CDM,145078_270,Noncdm Charge Record Medical Supplies,750.2,750.2,,,0 CDM,145079_270,Noncdm Charge Record Medical Supplies,1277.1,1277.1,,,0 CDM,145086_270,Noncdm Charge Record Medical Supplies,1068.1,1068.1,,,0 CDM,145089_270,Noncdm Charge Record Medical Supplies,1347.5,1347.5,,,0 CDM,145090_C1886_278,Noncdm Charge Record Medical Supplies,7408.58,7408.58,,,0 CDM,145091_C1886_278,Noncdm Charge Record Medical Supplies,7408.5,7408.5,,,0 CDM,145092_C1062_278,Noncdm Charge Record Medical Supplies,2137.99,2137.99,,,0 CDM,145093_C1062_278,Noncdm Charge Record Medical Supplies,2138.3,2138.3,,,0 CDM,145095_C1820_278,Noncdm Charge Record Medical Supplies,22330.0,22330.0,,,0 CDM,145096_270,Noncdm Charge Record Medical Supplies,3531.0,3531.0,,,0 CDM,145100_C1889_278,Noncdm Charge Record Medical Supplies,8085.0,8085.0,,,0 CDM,145193_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,145208_270,Noncdm Charge Record Medical Supplies,3316.5,3316.5,,,0 CDM,145209_270,Noncdm Charge Record Medical Supplies,4257.0,4257.0,,,0 CDM,145213_270,Noncdm Charge Record Medical Supplies,3490.3,3490.3,,,0 CDM,145214_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145215_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145216_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145217_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145219_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,145220_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,145221_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,145224_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,145225_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,145227_270,Noncdm Charge Record Medical Supplies,1336.5,1336.5,,,0 CDM,145232_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,145233_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,145248_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,145256_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,145258_270,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,145258_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,145259_270,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,145259_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,145260_270,Noncdm Charge Record Medical Supplies,1270.5,1270.5,,,0 CDM,145260_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,145261_270,Noncdm Charge Record Medical Supplies,1203.4,1203.4,,,0 CDM,145263_270,Noncdm Charge Record Medical Supplies,581.9,581.9,,,0 CDM,145275_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145276_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145278_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145279_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145280_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145281_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145282_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,145283_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,145284_C1887_278,Noncdm Charge Record Medical Supplies,784.3,784.3,,,0 CDM,145285_C1725_278,Noncdm Charge Record Medical Supplies,1612.6,1612.6,,,0 CDM,145286_C1757_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,145287_C1766_278,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,145300_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,145304_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,145307_270,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,145307_C1889_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,145310_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,145311_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,145313_C1766_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,145315_C1766_272,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,145315_C1766_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,145316_270,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,145316_C1889_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,145323_C1713_278,Noncdm Charge Record Medical Supplies,738.06,738.06,,,0 CDM,145326_C1713_278,Noncdm Charge Record Medical Supplies,3472.7,3472.7,,,0 CDM,145329_C1713_278,Noncdm Charge Record Medical Supplies,3038.42,3038.42,,,0 CDM,145365_C1713_278,Noncdm Charge Record Medical Supplies,4505.6,4505.6,,,0 CDM,145369_C1769_278,Noncdm Charge Record Medical Supplies,947.1,947.1,,,0 CDM,145370_C1769_278,Noncdm Charge Record Medical Supplies,947.1,947.1,,,0 CDM,145372_C1769_278,Noncdm Charge Record Medical Supplies,947.1,947.1,,,0 CDM,145375_C1769_278,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,145376_C1769_278,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,145378_C1713_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,145380_C1713_278,Noncdm Charge Record Medical Supplies,911.53,911.53,,,0 CDM,145392_C1713_278,Noncdm Charge Record Medical Supplies,1262.8,1262.8,,,0 CDM,145396_C1713_278,Noncdm Charge Record Medical Supplies,3938.55,3938.55,,,0 CDM,145415_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,145416_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,145420_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,145425_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145437_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,145439_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,145440_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,145442_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,145444_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,145445_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,145447_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,145455_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,145456_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,145457_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,145458_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,145459_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,145460_C1713_278,Noncdm Charge Record Medical Supplies,1053.74,1053.74,,,0 CDM,145461_C1713_278,Noncdm Charge Record Medical Supplies,4423.1,4423.1,,,0 CDM,145462_C1713_278,Noncdm Charge Record Medical Supplies,4423.1,4423.1,,,0 CDM,145464_C1713_278,Noncdm Charge Record Medical Supplies,4549.6,4549.6,,,0 CDM,145465_C1713_278,Noncdm Charge Record Medical Supplies,4549.6,4549.6,,,0 CDM,145466_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,145467_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,145468_C1713_278,Noncdm Charge Record Medical Supplies,3203.2,3203.2,,,0 CDM,145469_C1713_278,Noncdm Charge Record Medical Supplies,3206.5,3206.5,,,0 CDM,145470_C1713_278,Noncdm Charge Record Medical Supplies,3206.5,3206.5,,,0 CDM,145471_C1713_278,Noncdm Charge Record Medical Supplies,318.97,318.97,,,0 CDM,145472_C1713_278,Noncdm Charge Record Medical Supplies,722.7,722.7,,,0 CDM,145473_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,145474_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,145475_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,145476_C1713_278,Noncdm Charge Record Medical Supplies,722.7,722.7,,,0 CDM,145480_C1713_278,Noncdm Charge Record Medical Supplies,1995.4,1995.4,,,0 CDM,145482_C1713_278,Noncdm Charge Record Medical Supplies,2569.6,2569.6,,,0 CDM,145486_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145487_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145488_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145489_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145490_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145491_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,145493_L8641_278,Noncdm Charge Record Medical Supplies,1346.09,1346.09,,,0 CDM,145494_L8641_278,Noncdm Charge Record Medical Supplies,1346.4,1346.4,,,0 CDM,145496_C1713_278,Noncdm Charge Record Medical Supplies,38.34,38.34,,,0 CDM,145497_C1889_278,Noncdm Charge Record Medical Supplies,66220.0,66220.0,,,0 CDM,145498_278,Noncdm Charge Record Medical Supplies,66220.0,66220.0,,,0 CDM,145498_C1889_278,Noncdm Charge Record Medical Supplies,66220.0,66220.0,,,0 CDM,145499_C1889_278,Noncdm Charge Record Medical Supplies,66220.0,66220.0,,,0 CDM,145502_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,145503_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,145504_C1776_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,145505_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,145506_C1713_278,Noncdm Charge Record Medical Supplies,73.33,73.33,,,0 CDM,145507_C1713_278,Noncdm Charge Record Medical Supplies,73.26,73.26,,,0 CDM,14550_50268076411,NDC Description Not Available,5.64,5.64,,,0 CDM,14550_59746038306,Terazosin: 100 Capsule In 1 Bottle (59746-383-06),5.61,5.61,,,0 CDM,145511_C1884_278,Noncdm Charge Record Medical Supplies,23027.4,23027.4,,,0 CDM,14551_50268076511,NDC Description Not Available,5.48,5.48,,,0 CDM,14551_C1898_275,Noncdm Charge Record Medical Supplies,696.85,696.85,,,0 CDM,14553_50268076611,NDC Description Not Available,5.71,5.71,,,0 CDM,14553_59746038506,Terazosin: 100 Capsule In 1 Bottle (59746-385-06),5.76,5.76,,,0 CDM,14553_C1898_275,Noncdm Charge Record Medical Supplies,694.77,694.77,,,0 CDM,14555_C1898_275,Noncdm Charge Record Medical Supplies,701.64,701.64,,,0 CDM,145561_C1884_278,Noncdm Charge Record Medical Supplies,24213.2,24213.2,,,0 CDM,145562_C1884_278,Noncdm Charge Record Medical Supplies,24213.2,24213.2,,,0 CDM,145567_C1820_278,Noncdm Charge Record Medical Supplies,36806.0,36806.0,,,0 CDM,145568_270,Noncdm Charge Record Medical Supplies,627.0,627.0,,,0 CDM,145569_C1787_278,Noncdm Charge Record Medical Supplies,1755.6,1755.6,,,0 CDM,145573_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,145577_270,Noncdm Charge Record Medical Supplies,1138.5,1138.5,,,0 CDM,145578_270,Noncdm Charge Record Medical Supplies,3283.5,3283.5,,,0 CDM,145584_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,145592_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145598_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145599_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145602_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145605_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145608_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,145619_C1889_278,Noncdm Charge Record Medical Supplies,2239.6,2239.6,,,0 CDM,145620_C1889_278,Noncdm Charge Record Medical Supplies,2239.6,2239.6,,,0 CDM,145678_C1874_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145679_C1874_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145680_C1874_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145681_C1874_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145682_C1874_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,145683_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,145684_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,145686_270,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,145687_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,145688_C1820_278,Noncdm Charge Record Medical Supplies,39189.7,39189.7,,,0 CDM,145689_C1820_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,145699_270,Noncdm Charge Record Medical Supplies,1302.4,1302.4,,,0 CDM,145772_C1889_278,Noncdm Charge Record Medical Supplies,1509.2,1509.2,,,0 CDM,145773_C1874_278,Noncdm Charge Record Medical Supplies,44660.0,44660.0,,,0 CDM,145774_C1889_278,Noncdm Charge Record Medical Supplies,44660.0,44660.0,,,0 CDM,145774_Q4100_278,Noncdm Charge Record Medical Supplies,44660.0,44660.0,,,0 CDM,145779_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,145780_270,Noncdm Charge Record Medical Supplies,788.7,788.7,,,0 CDM,145781_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,145787_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,145788_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,145789_270,Noncdm Charge Record Medical Supplies,650.1,650.1,,,0 CDM,145790_C1722_275,Noncdm Charge Record Medical Supplies,31955.0,31955.0,,,0 CDM,145792_C1896_275,Noncdm Charge Record Medical Supplies,8300.6,8300.6,,,0 CDM,145793_270,Noncdm Charge Record Medical Supplies,2640.0,2640.0,,,0 CDM,145794_270,Noncdm Charge Record Medical Supplies,1980.0,1980.0,,,0 CDM,145795_270,Noncdm Charge Record Medical Supplies,1980.0,1980.0,,,0 CDM,145857_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,145858_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,145864_C1768_278,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,145865_270,Noncdm Charge Record Medical Supplies,2875.4,2875.4,,,0 CDM,145868_C1766_278,Noncdm Charge Record Medical Supplies,916.67,916.67,,,0 CDM,145902_C1713_278,Noncdm Charge Record Medical Supplies,859.43,859.43,,,0 CDM,145956_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,145984_C1889_278,Noncdm Charge Record Medical Supplies,1617.3,1617.3,,,0 CDM,145985_C1889_278,Noncdm Charge Record Medical Supplies,2305.46,2305.46,,,0 CDM,145986_C1889_278,Noncdm Charge Record Medical Supplies,2331.41,2331.41,,,0 CDM,145987_C1884_278,Noncdm Charge Record Medical Supplies,2114.48,2114.48,,,0 CDM,145987_C1889_278,Noncdm Charge Record Medical Supplies,2266.23,2266.23,,,0 CDM,145994_63323048801,NDC Description Not Available,2.75,2.75,,,0 CDM,145997_00121076616,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16) / 473 Ml In 1 Bottle,1.08,1.08,,,0 CDM,145997_00121476605,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",9.61,9.61,,,0 CDM,146003_59148004580,Abilify Maintena: 1 Kit In 1 Carton (59148-045-80) * 1.5 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.43,17.43,,,0 CDM,146004_59148007280,Abilify Maintena: 1 Kit In 1 Carton (59148-072-80) * 1.9 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.49,17.49,,,0 CDM,146012_42023015901,NDC Description Not Available,10.49,10.49,,,0 CDM,146012_42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),14.09,14.09,,,0 CDM,146012_54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,3.91,3.91,,,0 CDM,146012_54288060001,Epinephrine: 1 Vial In 1 Carton (54288-600-01) / 10 Ml In 1 Vial,3.28,3.28,,,0 CDM,146047_C1713_278,Noncdm Charge Record Medical Supplies,4530.2,4530.2,,,0 CDM,146048_C1713_278,Noncdm Charge Record Medical Supplies,5547.3,5547.3,,,0 CDM,146057_C1776_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146057_C1874_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146057_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146058_C1776_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146058_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146059_C1874_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146059_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146060_C1776_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146060_C1889_278,Noncdm Charge Record Medical Supplies,49280.0,49280.0,,,0 CDM,146064_270,Noncdm Charge Record Medical Supplies,2392.5,2392.5,,,0 CDM,146065_C1713_278,Noncdm Charge Record Medical Supplies,1464.28,1464.28,,,0 CDM,146072_68727074502,Vyxeos: 40 Ml In 1 Carton (68727-745-02),587.38,587.38,,,0 CDM,146075_C1776_278,Noncdm Charge Record Medical Supplies,16170.0,16170.0,,,0 CDM,146076_C1713_278,Noncdm Charge Record Medical Supplies,4543.0,4543.0,,,0 CDM,146076_C1776_278,Noncdm Charge Record Medical Supplies,4543.0,4543.0,,,0 CDM,146077_C1713_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146077_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146078_C1776_278,Noncdm Charge Record Medical Supplies,2926.0,2926.0,,,0 CDM,146084_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,146085_C1713_278,Noncdm Charge Record Medical Supplies,1817.2,1817.2,,,0 CDM,146086_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,146090_C1776_278,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,146093_270,Noncdm Charge Record Medical Supplies,5722.2,5722.2,,,0 CDM,146094_C1889_278,Noncdm Charge Record Medical Supplies,6844.2,6844.2,,,0 CDM,146096_C1772_278,Noncdm Charge Record Medical Supplies,16632.0,16632.0,,,0 CDM,146097_C1772_278,Noncdm Charge Record Medical Supplies,16632.0,16632.0,,,0 CDM,146111_C1781_278,Noncdm Charge Record Medical Supplies,769.9,769.9,,,0 CDM,146112_C1781_278,Noncdm Charge Record Medical Supplies,769.57,769.57,,,0 CDM,146113_C1781_278,Noncdm Charge Record Medical Supplies,769.69,769.69,,,0 CDM,146115_C1781_278,Noncdm Charge Record Medical Supplies,769.55,769.55,,,0 CDM,146118_C1781_278,Noncdm Charge Record Medical Supplies,3927.0,3927.0,,,0 CDM,146120_C1882_275,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 CDM,146123_C1822_278,Noncdm Charge Record Medical Supplies,33859.0,33859.0,,,0 CDM,146124_C1787_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146125_C1787_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146127_C1751_278,Noncdm Charge Record Medical Supplies,176.0,176.0,,,0 CDM,146129_C1751_278,Noncdm Charge Record Medical Supplies,212.3,212.3,,,0 CDM,146130_C1757_278,Noncdm Charge Record Medical Supplies,2594.9,2594.9,,,0 CDM,146131_C1757_278,Noncdm Charge Record Medical Supplies,3826.9,3826.9,,,0 CDM,146132_C1757_278,Noncdm Charge Record Medical Supplies,3826.9,3826.9,,,0 CDM,146135_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,146135_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,146137_C1894_278,Noncdm Charge Record Medical Supplies,1289.2,1289.2,,,0 CDM,146138_C1874_278,Noncdm Charge Record Medical Supplies,5496.7,5496.7,,,0 CDM,146139_C1874_278,Noncdm Charge Record Medical Supplies,4774.0,4774.0,,,0 CDM,146149_C1889_624,Noncdm Charge Record Medical Supplies,53900.0,53900.0,,,0 CDM,146152_270,Noncdm Charge Record Medical Supplies,1437.7,1437.7,,,0 CDM,146163_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,146164_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,146165_270,Noncdm Charge Record Medical Supplies,1254.0,1254.0,,,0 CDM,146166_00008010001,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",6041.32,6041.32,,,0 CDM,146166_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,146169_C1762_278,Noncdm Charge Record Medical Supplies,8930.9,8930.9,,,0 CDM,146173_C9361_278,Noncdm Charge Record Medical Supplies,2548.7,2548.7,,,0 CDM,146174_C1757_278,Noncdm Charge Record Medical Supplies,18480.0,18480.0,,,0 CDM,146177_C1889_278,Noncdm Charge Record Medical Supplies,1609.3,1609.3,,,0 CDM,146178_C1713_278,Noncdm Charge Record Medical Supplies,1609.3,1609.3,,,0 CDM,146179_C1713_278,Noncdm Charge Record Medical Supplies,1609.3,1609.3,,,0 CDM,146179_C1889_278,Noncdm Charge Record Medical Supplies,1689.6,1689.6,,,0 CDM,146180_C1713_278,Noncdm Charge Record Medical Supplies,1609.3,1609.3,,,0 CDM,146180_C1889_278,Noncdm Charge Record Medical Supplies,1609.3,1609.3,,,0 CDM,146182_270,Noncdm Charge Record Medical Supplies,2131.8,2131.8,,,0 CDM,146183_C1874_278,Noncdm Charge Record Medical Supplies,4860.17,4860.17,,,0 CDM,146184_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146185_C1874_278,Noncdm Charge Record Medical Supplies,4210.55,4210.55,,,0 CDM,146186_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146187_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146188_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146189_C1874_278,Noncdm Charge Record Medical Supplies,4210.8,4210.8,,,0 CDM,146190_C1874_278,Noncdm Charge Record Medical Supplies,4860.0,4860.0,,,0 CDM,146191_C1874_278,Noncdm Charge Record Medical Supplies,4859.96,4859.96,,,0 CDM,146192_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146193_C1874_278,Noncdm Charge Record Medical Supplies,5402.1,5402.1,,,0 CDM,146194_C1874_278,Noncdm Charge Record Medical Supplies,4859.92,4859.92,,,0 CDM,146195_C1874_278,Noncdm Charge Record Medical Supplies,4859.98,4859.98,,,0 CDM,146196_C1874_278,Noncdm Charge Record Medical Supplies,4859.91,4859.91,,,0 CDM,146198_C1874_278,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,146213_270,Noncdm Charge Record Medical Supplies,29700.0,29700.0,,,0 CDM,146216_270,Noncdm Charge Record Medical Supplies,1247.4,1247.4,,,0 CDM,146217_C1713_278,Noncdm Charge Record Medical Supplies,23870.0,23870.0,,,0 CDM,146225_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,146226_C1733_272,Noncdm Charge Record Medical Supplies,13013.0,13013.0,,,0 CDM,146226_C1733_278,Noncdm Charge Record Medical Supplies,13013.0,13013.0,,,0 CDM,146227_C1733_278,Noncdm Charge Record Medical Supplies,13013.0,13013.0,,,0 CDM,146228_C1766_272,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,146228_C1766_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,146229_70842012001,NDC Description Not Available,31.96,31.96,,,0 CDM,146229_70842012006,"Vabomere: 6 Vial, Single-Dose In 1 Carton (70842-120-06) / 2 G In 1 Vial, Single-Dose (70842-120-01)",30.52,30.52,,,0 CDM,146231_00008451001,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",535.62,535.62,,,0 CDM,14626_75834015801,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),5.61,5.61,,,0 CDM,146308_C1713_278,Noncdm Charge Record Medical Supplies,1177.0,1177.0,,,0 CDM,146310_270,Noncdm Charge Record Medical Supplies,3088.8,3088.8,,,0 CDM,146312_C1713_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,146313_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146314_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146315_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146316_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146319_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146325_C1713_278,Noncdm Charge Record Medical Supplies,5465.9,5465.9,,,0 CDM,146328_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146329_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,14632_00378415101,"Tramadol Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-4151-01)",2.82,2.82,,,0 CDM,14632_00904717961,Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7179-61) / 1 Tablet In 1 Blister Pack,0.93,0.93,,,0 CDM,14632_00904749661,"Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7496-61) / 1 Tablet, Coated In 1 Blister Pack",0.6,0.6,,,0 CDM,14632_29300035501,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",2.93,2.93,,,0 CDM,14632_60687079511,NDC Description Not Available,0.65,0.65,,,0 CDM,14632_68084080801,"Tramadol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-808-01) / 1 Tablet, Coated In 1 Blister Pack (68084-808-11)",3.6,3.6,,,0 CDM,14632_68084080811,NDC Description Not Available,3.39,3.39,,,0 CDM,146332_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146334_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146335_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146336_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146337_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146338_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,146340_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146341_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146342_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146343_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146344_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146345_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146346_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,14634_44206053211,"Cytogam: 1 VIAL, GLASS in 1 CARTON (44206-532-11) / 50 mL in 1 VIAL, GLASS (44206-532-90)",3662.04,3662.04,,,0 CDM,14634_49591053250,NDC Description Not Available,4342.94,4342.94,,,0 CDM,14634_49591053251,"Cytogam: 1 Vial, Glass In 1 Carton (49591-532-51) / 50 Ml In 1 Vial, Glass (49591-532-50)",4342.9,4342.9,,,0 CDM,14634_70257053251,"Cytogam: 1 VIAL, GLASS in 1 CARTON (70257-532-51) / 50 mL in 1 VIAL, GLASS (70257-532-50)",4342.91,4342.91,,,0 CDM,146357_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,146358_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,146359_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,146360_C2623_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,146362_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,146363_C2623_278,Noncdm Charge Record Medical Supplies,2279.2,2279.2,,,0 CDM,146364_C2623_278,Noncdm Charge Record Medical Supplies,2510.2,2510.2,,,0 CDM,146365_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,146366_C2623_278,Noncdm Charge Record Medical Supplies,2048.2,2048.2,,,0 CDM,14643_55513047801,NDC Description Not Available,14.65,14.65,,,0 CDM,14643_59676032000,NDC Description Not Available,29.66,29.66,,,0 CDM,14643_59676032004,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",16.52,16.52,,,0 CDM,146449_C1874_278,Noncdm Charge Record Medical Supplies,3946.8,3946.8,,,0 CDM,146452_C1874_278,Noncdm Charge Record Medical Supplies,3946.5,3946.5,,,0 CDM,146453_C1874_278,Noncdm Charge Record Medical Supplies,2957.9,2957.9,,,0 CDM,146455_C1874_278,Noncdm Charge Record Medical Supplies,3946.43,3946.43,,,0 CDM,146456_C1874_278,Noncdm Charge Record Medical Supplies,2463.72,2463.72,,,0 CDM,146472_C1713_278,Noncdm Charge Record Medical Supplies,1053.8,1053.8,,,0 CDM,146473_C1713_278,Noncdm Charge Record Medical Supplies,4423.1,4423.1,,,0 CDM,146476_C1713_278,Noncdm Charge Record Medical Supplies,3206.5,3206.5,,,0 CDM,146477_C1713_278,Noncdm Charge Record Medical Supplies,3206.5,3206.5,,,0 CDM,146478_C1713_278,Noncdm Charge Record Medical Supplies,3325.3,3325.3,,,0 CDM,146490_C1713_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,146493_270,Noncdm Charge Record Medical Supplies,3742.2,3742.2,,,0 CDM,146497_C1713_278,Noncdm Charge Record Medical Supplies,63.07,63.07,,,0 CDM,146499_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,146500_C1713_278,Noncdm Charge Record Medical Supplies,283.25,283.25,,,0 CDM,146501_C1713_278,Noncdm Charge Record Medical Supplies,283.43,283.43,,,0 CDM,146502_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,146503_C1713_278,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,146507_C1713_278,Noncdm Charge Record Medical Supplies,1200.1,1200.1,,,0 CDM,146508_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,146509_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,146510_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,146511_C1713_278,Noncdm Charge Record Medical Supplies,469.7,469.7,,,0 CDM,146514_C1713_278,Noncdm Charge Record Medical Supplies,397.1,397.1,,,0 CDM,146519_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,146528_C1776_278,Noncdm Charge Record Medical Supplies,4030.4,4030.4,,,0 CDM,146529_C1776_278,Noncdm Charge Record Medical Supplies,4030.4,4030.4,,,0 CDM,146530_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,146532_C1713_278,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,146537_C1713_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,146538_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,146544_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,146545_C1776_278,Noncdm Charge Record Medical Supplies,7415.1,7415.1,,,0 CDM,146552_270,Noncdm Charge Record Medical Supplies,931.7,931.7,,,0 CDM,146558_270,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,146560_C1889_278,Noncdm Charge Record Medical Supplies,22951.5,22951.5,,,0 CDM,146561_C1889_278,Noncdm Charge Record Medical Supplies,19698.8,19698.8,,,0 CDM,146562_C1889_278,Noncdm Charge Record Medical Supplies,19440.3,19440.3,,,0 CDM,146564_C1713_278,Noncdm Charge Record Medical Supplies,430.98,430.98,,,0 CDM,146565_C1713_278,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,146568_C1713_278,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,146569_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146569_C1889_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146570_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146570_C1889_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146572_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146572_C1889_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146573_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146573_C1889_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,146574_C1889_278,Noncdm Charge Record Medical Supplies,162.91,162.91,,,0 CDM,146575_C1889_278,Noncdm Charge Record Medical Supplies,90.75,90.75,,,0 CDM,146577_C1889_278,Noncdm Charge Record Medical Supplies,90.42,90.42,,,0 CDM,146578_C1889_278,Noncdm Charge Record Medical Supplies,90.2,90.2,,,0 CDM,146579_C1725_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146586_C1725_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,146589_C1725_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,146592_C1725_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,146593_C1725_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,146595_C1725_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,146601_C1766_278,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,146602_272,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,146602_C1766_272,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,146602_C1766_278,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,146616_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,146625_C1889_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,146628_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146629_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146630_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146632_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146635_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146636_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146637_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146638_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146639_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146640_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146641_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146642_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146647_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146648_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146654_270,Noncdm Charge Record Medical Supplies,3960.0,3960.0,,,0 CDM,146654_C2618_270,Noncdm Charge Record Medical Supplies,3960.0,3960.0,,,0 CDM,146654_C2618_278,Noncdm Charge Record Medical Supplies,7920.0,7920.0,,,0 CDM,146655_C2618_270,Noncdm Charge Record Medical Supplies,6187.5,6187.5,,,0 CDM,146659_C2618_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,146660_270,Noncdm Charge Record Medical Supplies,4455.0,4455.0,,,0 CDM,146660_C2618_278,Noncdm Charge Record Medical Supplies,13365.0,13365.0,,,0 CDM,146663_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,146673_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,146674_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,146678_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,146680_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,146684_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,146685_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,146686_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,146688_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146689_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146690_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146691_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146692_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146693_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146694_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146696_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146697_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146701_C1887_278,Noncdm Charge Record Medical Supplies,4612.3,4612.3,,,0 CDM,146702_C1887_278,Noncdm Charge Record Medical Supplies,4612.3,4612.3,,,0 CDM,146703_C1733_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,146708_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,146713_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146718_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146720_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146722_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146723_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146724_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146725_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146727_C1713_278,Noncdm Charge Record Medical Supplies,1360.33,1360.33,,,0 CDM,146728_C1713_278,Noncdm Charge Record Medical Supplies,2763.89,2763.89,,,0 CDM,146729_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,146730_C1713_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,146731_C1713_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,146732_C1713_278,Noncdm Charge Record Medical Supplies,1241.48,1241.48,,,0 CDM,146733_C1713_278,Noncdm Charge Record Medical Supplies,1236.2,1236.2,,,0 CDM,146734_C1713_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,146736_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,146738_C1889_278,Noncdm Charge Record Medical Supplies,6314.0,6314.0,,,0 CDM,146739_C1821_278,Noncdm Charge Record Medical Supplies,6314.0,6314.0,,,0 CDM,146739_C1889_278,Noncdm Charge Record Medical Supplies,6314.0,6314.0,,,0 CDM,146742_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,146765_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,146777_C1713_278,Noncdm Charge Record Medical Supplies,103.4,103.4,,,0 CDM,146780_270,Noncdm Charge Record Medical Supplies,9900.0,9900.0,,,0 CDM,146781_270,Noncdm Charge Record Medical Supplies,472.25,472.25,,,0 CDM,146782_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,146788_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146792_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146794_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146795_C1713_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,146797_270,Noncdm Charge Record Medical Supplies,538.63,538.63,,,0 CDM,146800_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146801_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146802_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146803_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146804_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,146807_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146808_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146811_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146813_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146814_270,Noncdm Charge Record Medical Supplies,118.8,118.8,,,0 CDM,146816_270,Noncdm Charge Record Medical Supplies,795.3,795.3,,,0 CDM,146817_270,Noncdm Charge Record Medical Supplies,900.9,900.9,,,0 CDM,146818_270,Noncdm Charge Record Medical Supplies,650.1,650.1,,,0 CDM,146820_A4648_278,Noncdm Charge Record Medical Supplies,116.64,116.64,,,0 CDM,146821_270,Noncdm Charge Record Medical Supplies,1470.52,1470.52,,,0 CDM,146822_C1769_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,146823_A4648_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,146824_A4648_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,146825_A4648_278,Noncdm Charge Record Medical Supplies,116.6,116.6,,,0 CDM,146826_A4648_278,Noncdm Charge Record Medical Supplies,116.74,116.74,,,0 CDM,146827_A4648_278,Noncdm Charge Record Medical Supplies,116.67,116.67,,,0 CDM,146828_A4648_278,Noncdm Charge Record Medical Supplies,116.64,116.64,,,0 CDM,146829_A4648_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,146830_A4648_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,146832_A4648_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,146835_A4648_278,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,146838_A4648_278,Noncdm Charge Record Medical Supplies,116.6,116.6,,,0 CDM,146839_A4648_278,Noncdm Charge Record Medical Supplies,116.6,116.6,,,0 CDM,146849_C1889_278,Noncdm Charge Record Medical Supplies,60060.0,60060.0,,,0 CDM,146854_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,146855_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,146856_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,146857_C1889_278,Noncdm Charge Record Medical Supplies,1367.3,1367.3,,,0 CDM,146858_C1889_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146863_C1884_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146863_C1889_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146864_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,146865_C1889_278,Noncdm Charge Record Medical Supplies,1521.67,1521.67,,,0 CDM,146867_C1884_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146867_C1889_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146869_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,146871_C1889_278,Noncdm Charge Record Medical Supplies,1521.3,1521.3,,,0 CDM,146873_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,146875_C1889_278,Noncdm Charge Record Medical Supplies,1923.35,1923.35,,,0 CDM,146878_C1889_278,Noncdm Charge Record Medical Supplies,1731.03,1731.03,,,0 CDM,146879_C1889_278,Noncdm Charge Record Medical Supplies,1959.1,1959.1,,,0 CDM,146880_C1889_278,Noncdm Charge Record Medical Supplies,1959.1,1959.1,,,0 CDM,146881_C1889_278,Noncdm Charge Record Medical Supplies,2099.9,2099.9,,,0 CDM,146882_C1889_278,Noncdm Charge Record Medical Supplies,2099.9,2099.9,,,0 CDM,146883_C1889_278,Noncdm Charge Record Medical Supplies,2085.38,2085.38,,,0 CDM,146897_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,146901_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146902_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146907_C1713_278,Noncdm Charge Record Medical Supplies,2049.3,2049.3,,,0 CDM,146909_C1776_278,Noncdm Charge Record Medical Supplies,2713.7,2713.7,,,0 CDM,146925_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,146927_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,146928_C1713_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,146931_C1713_278,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,146932_C1713_278,Noncdm Charge Record Medical Supplies,398.75,398.75,,,0 CDM,146936_C1713_278,Noncdm Charge Record Medical Supplies,163.9,163.9,,,0 CDM,146937_C1713_278,Noncdm Charge Record Medical Supplies,163.9,163.9,,,0 CDM,146940_C1713_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,146941_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,146942_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146943_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146943_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146945_C1889_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146948_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,146949_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,146951_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,146952_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,146954_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146955_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,146956_C1894_272,Noncdm Charge Record Medical Supplies,68.2,68.2,,,0 CDM,146956_C1894_278,Noncdm Charge Record Medical Supplies,68.22,68.22,,,0 CDM,146957_C1894_278,Noncdm Charge Record Medical Supplies,1500.4,1500.4,,,0 CDM,146960_270,Noncdm Charge Record Medical Supplies,930.6,930.6,,,0 CDM,146966_C1713_278,Noncdm Charge Record Medical Supplies,4505.6,4505.6,,,0 CDM,146968_C1713_278,Noncdm Charge Record Medical Supplies,4972.0,4972.0,,,0 CDM,146970_270,Noncdm Charge Record Medical Supplies,882.2,882.2,,,0 CDM,146973_C1713_278,Noncdm Charge Record Medical Supplies,1699.5,1699.5,,,0 CDM,146974_C1713_278,Noncdm Charge Record Medical Supplies,2776.4,2776.4,,,0 CDM,146977_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,146980_C1713_278,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,146990_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146992_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146994_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,146996_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,146998_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,147000_C1889_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,147002_C1889_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,147007_C1889_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,147008_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147010_C1889_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,147011_C1889_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,147012_C1713_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,147012_C1889_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,147013_C1826_278,Noncdm Charge Record Medical Supplies,31010.74,31010.74,,,0 CDM,147014_C1787_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147014_C1826_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147015_C1826_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147018_270,Noncdm Charge Record Medical Supplies,2296.8,2296.8,,,0 CDM,147019_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147022_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147023_C1713_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,147027_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,147028_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147029_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,14702_05155200556,NDC Description Not Available,29.87,29.87,,,0 CDM,147036_C1713_278,Noncdm Charge Record Medical Supplies,438.9,438.9,,,0 CDM,147037_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147038_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147046_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,147047_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,147048_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,147049_270,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,147055_C1713_278,Noncdm Charge Record Medical Supplies,229.53,229.53,,,0 CDM,147056_C1713_278,Noncdm Charge Record Medical Supplies,229.72,229.72,,,0 CDM,147057_C1713_278,Noncdm Charge Record Medical Supplies,229.74,229.74,,,0 CDM,147058_C1713_278,Noncdm Charge Record Medical Supplies,229.53,229.53,,,0 CDM,147059_C1713_278,Noncdm Charge Record Medical Supplies,229.46,229.46,,,0 CDM,147061_C1713_278,Noncdm Charge Record Medical Supplies,1838.1,1838.1,,,0 CDM,147065_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,147066_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,147069_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,147070_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,147073_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,147075_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,147076_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,147077_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,147078_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,147079_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,147080_C1769_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,147086_270,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 CDM,147090_270,Noncdm Charge Record Medical Supplies,1394.8,1394.8,,,0 CDM,147091_C1713_278,Noncdm Charge Record Medical Supplies,113.85,113.85,,,0 CDM,147096_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147097_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147100_270,Noncdm Charge Record Medical Supplies,1887.61,1887.61,,,0 CDM,147102_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147104_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147108_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147110_C1889_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147111_C1713_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147111_C1889_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147112_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,147113_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147114_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147116_C1729_278,Noncdm Charge Record Medical Supplies,31.46,31.46,,,0 CDM,147117_C1729_278,Noncdm Charge Record Medical Supplies,31.27,31.27,,,0 CDM,147118_C1729_278,Noncdm Charge Record Medical Supplies,31.26,31.26,,,0 CDM,147119_C1729_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,147122_C1757_278,Noncdm Charge Record Medical Supplies,12227.6,12227.6,,,0 CDM,147123_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147124_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147125_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147126_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147127_C1757_278,Noncdm Charge Record Medical Supplies,14861.0,14861.0,,,0 CDM,147128_C1889_278,Noncdm Charge Record Medical Supplies,1923.9,1923.9,,,0 CDM,147132_Q4100_278,Noncdm Charge Record Medical Supplies,35.98,35.98,,,0 CDM,147132_Q4100_636,Noncdm Charge Record Pharmacy,31.32,31.32,,,0 CDM,147136_270,Noncdm Charge Record Medical Supplies,17820.0,17820.0,,,0 CDM,147137_270,Noncdm Charge Record Medical Supplies,17820.0,17820.0,,,0 CDM,147141_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147147_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,147150_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147151_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147152_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147155_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147158_C1776_278,Noncdm Charge Record Medical Supplies,2532.2,2532.2,,,0 CDM,147161_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147162_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147175_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147176_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147178_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147180_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147182_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147183_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147186_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147187_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147190_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147191_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147194_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147196_C1713_278,Noncdm Charge Record Medical Supplies,116.86,116.86,,,0 CDM,147197_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,147198_C1776_278,Noncdm Charge Record Medical Supplies,3098.7,3098.7,,,0 CDM,147200_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147201_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,147202_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147206_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,147207_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,14720_51991073520,Granisetron Hydrochloride: 2 Blister Pack In 1 Carton (51991-735-20) / 10 Tablet In 1 Blister Pack,212.9,212.9,,,0 CDM,14720_51991073599,NDC Description Not Available,212.97,212.97,,,0 CDM,14720_69452035060,NDC Description Not Available,212.77,212.77,,,0 CDM,147211_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147216_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,147222_C1713_278,Noncdm Charge Record Medical Supplies,1547.7,1547.7,,,0 CDM,147225_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,147226_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,147228_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,147229_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,147230_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,147231_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,147232_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,147233_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,147234_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,147240_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147241_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,147242_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,147246_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,147250_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147251_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147253_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147255_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147259_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147260_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147262_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147263_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147264_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147265_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147267_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147268_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147269_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147270_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147271_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147276_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147278_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,147279_C1713_278,Noncdm Charge Record Medical Supplies,1216.6,1216.6,,,0 CDM,147282_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,147289_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147294_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,147295_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,147297_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,147298_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,147312_C1889_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147313_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,147315_C1713_278,Noncdm Charge Record Medical Supplies,2127.4,2127.4,,,0 CDM,147316_C1713_278,Noncdm Charge Record Medical Supplies,1117.6,1117.6,,,0 CDM,147318_270,Noncdm Charge Record Medical Supplies,990.0,990.0,,,0 CDM,147320_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147321_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147322_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147323_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147324_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147325_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147330_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,147331_C1889_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,147332_270,Noncdm Charge Record Medical Supplies,906.4,906.4,,,0 CDM,147333_270,Noncdm Charge Record Medical Supplies,906.4,906.4,,,0 CDM,147335_C9359_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,147336_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147337_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147339_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147340_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147342_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,147346_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147347_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147348_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147349_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147350_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147351_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147352_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147353_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147355_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147356_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147357_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147358_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,147359_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,14735_C1769_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,147360_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147362_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147363_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147364_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,147365_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147366_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147370_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147371_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,147372_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,147373_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,147374_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,147376_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,147377_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,147380_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,147381_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,147382_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,147383_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,147388_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147389_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147392_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147393_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147395_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147396_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147397_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147398_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147399_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147400_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147401_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147437_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,147462_C1889_278,Noncdm Charge Record Medical Supplies,8855.0,8855.0,,,0 CDM,147463_C1889_278,Noncdm Charge Record Medical Supplies,8855.0,8855.0,,,0 CDM,147464_C1889_278,Noncdm Charge Record Medical Supplies,8855.0,8855.0,,,0 CDM,147465_C1889_278,Noncdm Charge Record Medical Supplies,8855.0,8855.0,,,0 CDM,147466_C1889_278,Noncdm Charge Record Medical Supplies,8855.0,8855.0,,,0 CDM,147478_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,147479_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,147480_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,147481_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,147486_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,147487_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,147488_C1713_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,147489_C1713_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,147490_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,147491_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,147492_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,147493_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,147494_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,147495_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,147496_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,147497_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,147498_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,147499_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,147500_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,147503_270,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,147506_C1713_278,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,147508_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147509_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,147512_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,147513_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,147517_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147518_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147520_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147521_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147522_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147523_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147525_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,147527_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,147528_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,147529_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,147530_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,147534_C1713_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,147541_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147543_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147549_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147553_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147561_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147562_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147563_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147564_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147565_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147566_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,147571_C1713_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,147573_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,147574_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,147576_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,147577_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,147585_C1887_278,Noncdm Charge Record Medical Supplies,608.3,608.3,,,0 CDM,147593_C1769_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,147594_270,Noncdm Charge Record Medical Supplies,9685.5,9685.5,,,0 CDM,147595_C1776_278,Noncdm Charge Record Medical Supplies,25.67,25.67,,,0 CDM,147602_270,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,147603_270,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,147604_270,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,147607_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,147610_C1769_272,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,147610_C1769_278,Noncdm Charge Record Medical Supplies,12.44,12.44,,,0 CDM,147613_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,147615_C1713_278,Noncdm Charge Record Medical Supplies,103.5,103.5,,,0 CDM,147626_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,147627_C1713_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,147628_270,Noncdm Charge Record Medical Supplies,3982.0,3982.0,,,0 CDM,147629_270,Noncdm Charge Record Medical Supplies,3982.0,3982.0,,,0 CDM,147630_270,Noncdm Charge Record Medical Supplies,3982.0,3982.0,,,0 CDM,147631_270,Noncdm Charge Record Medical Supplies,6982.8,6982.8,,,0 CDM,147634_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,147636_270,Noncdm Charge Record Medical Supplies,796.4,796.4,,,0 CDM,147637_270,Noncdm Charge Record Medical Supplies,796.4,796.4,,,0 CDM,147638_270,Noncdm Charge Record Medical Supplies,796.4,796.4,,,0 CDM,147639_270,Noncdm Charge Record Medical Supplies,4356.0,4356.0,,,0 CDM,147640_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,147641_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,147646_C1713_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,147649_270,Noncdm Charge Record Medical Supplies,1543.3,1543.3,,,0 CDM,147651_C1760_272,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,147651_C1760_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,147653_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,147654_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,147655_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,147656_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,147659_Q4100_278,Noncdm Charge Record Medical Supplies,36.19,36.19,,,0 CDM,147660_Q4100_278,Noncdm Charge Record Medical Supplies,141.35,141.35,,,0 CDM,147663_Q4100_278,Noncdm Charge Record Medical Supplies,43.63,43.63,,,0 CDM,147664_Q4100_278,Noncdm Charge Record Medical Supplies,27.69,27.69,,,0 CDM,147667_270,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,147670_C1769_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,147671_C1753_278,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,147676_270,Noncdm Charge Record Medical Supplies,1013.1,1013.1,,,0 CDM,147677_C1889_278,Noncdm Charge Record Medical Supplies,1712.7,1712.7,,,0 CDM,147685_270,Noncdm Charge Record Medical Supplies,1587.3,1587.3,,,0 CDM,147687_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,147690_C1769_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,147691_270,Noncdm Charge Record Medical Supplies,1092.3,1092.3,,,0 CDM,147692_C1730_278,Noncdm Charge Record Medical Supplies,443.52,443.52,,,0 CDM,147693_C1887_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,147695_C1769_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,147696_C1894_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,147697_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,147698_C1893_278,Noncdm Charge Record Medical Supplies,15.0,15.0,,,0 CDM,147699_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,147699_C1893_278,Noncdm Charge Record Medical Supplies,15.01,15.01,,,0 CDM,147700_C1893_278,Noncdm Charge Record Medical Supplies,14.92,14.92,,,0 CDM,147701_C1893_272,Noncdm Charge Record Medical Supplies,16.28,16.28,,,0 CDM,147701_C1893_278,Noncdm Charge Record Medical Supplies,14.98,14.98,,,0 CDM,147702_C1893_278,Noncdm Charge Record Medical Supplies,15.09,15.09,,,0 CDM,147704_270,Noncdm Charge Record Medical Supplies,1760.0,1760.0,,,0 CDM,147707_270,Noncdm Charge Record Medical Supplies,1716.0,1716.0,,,0 CDM,147708_270,Noncdm Charge Record Medical Supplies,1716.0,1716.0,,,0 CDM,147709_270,Noncdm Charge Record Medical Supplies,2372.7,2372.7,,,0 CDM,147711_C1887_278,Noncdm Charge Record Medical Supplies,4612.3,4612.3,,,0 CDM,147713_C1887_278,Noncdm Charge Record Medical Supplies,1180.3,1180.3,,,0 CDM,147714_C1887_278,Noncdm Charge Record Medical Supplies,599.5,599.5,,,0 CDM,147718_C1769_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,147719_C1769_278,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,147720_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,147721_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,147722_C1766_278,Noncdm Charge Record Medical Supplies,862.4,862.4,,,0 CDM,147726_C1602_278,Noncdm Charge Record Medical Supplies,11453.2,11453.2,,,0 CDM,147726_C1713_278,Noncdm Charge Record Medical Supplies,11453.2,11453.2,,,0 CDM,147727_C1602_278,Noncdm Charge Record Medical Supplies,6348.51,6348.51,,,0 CDM,147727_C1602_636,Noncdm Charge Record Pharmacy,5944.13,5944.13,,,0 CDM,147728_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,147729_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,147730_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,147731_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,147741_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147742_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147743_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147748_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147750_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147751_C2628_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147751_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147752_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147753_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147754_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147755_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147757_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147758_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147759_C9610_278,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 CDM,147765_Q0481_278,Noncdm Charge Record Medical Supplies,9013.4,9013.4,,,0 CDM,147766_C1889_278,Noncdm Charge Record Medical Supplies,141472.1,141472.1,,,0 CDM,147767_270,Noncdm Charge Record Medical Supplies,66485.1,66485.1,,,0 CDM,147770_C1893_278,Noncdm Charge Record Medical Supplies,28.79,28.79,,,0 CDM,147773_C1726_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147774_C1726_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147775_C1726_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147776_C1726_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,147787_C1725_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,147788_C1725_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,147789_C1725_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,147790_C1725_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,147791_C1725_278,Noncdm Charge Record Medical Supplies,7238.0,7238.0,,,0 CDM,147792_C1887_278,Noncdm Charge Record Medical Supplies,254.1,254.1,,,0 CDM,147795_C1769_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,147797_C1769_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,147799_C1874_278,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,147802_C1874_278,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,147832_C1769_278,Noncdm Charge Record Medical Supplies,22.73,22.73,,,0 CDM,147833_270,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,147833_C1889_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,147833_L8610_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,147838_272,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,147850_C1757_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,147867_270,Noncdm Charge Record Medical Supplies,1194.6,1194.6,,,0 CDM,147868_270,Noncdm Charge Record Medical Supplies,1191.3,1191.3,,,0 CDM,147869_C1769_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,147871_270,Noncdm Charge Record Medical Supplies,818.4,818.4,,,0 CDM,147872_C1769_278,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,147873_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,147875_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,147876_C2617_278,Noncdm Charge Record Medical Supplies,253.0,253.0,,,0 CDM,147878_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,147886_C9359_278,Noncdm Charge Record Medical Supplies,1017.5,1017.5,,,0 CDM,147886_C9359_636,Noncdm Charge Record Pharmacy,952.75,952.75,,,0 CDM,147928_270,Noncdm Charge Record Medical Supplies,495.0,495.0,,,0 CDM,147929_C1733_278,Noncdm Charge Record Medical Supplies,9779.0,9779.0,,,0 CDM,14792_55111017915,Tizanidine: 150 Tablet In 1 Bottle (55111-179-15),4.75,4.75,,,0 CDM,14792_68084077595,NDC Description Not Available,0.95,0.95,,,0 CDM,147931_C1769_272,Noncdm Charge Record Medical Supplies,180.4,180.4,,,0 CDM,147931_C1769_278,Noncdm Charge Record Medical Supplies,54.32,54.32,,,0 CDM,147935_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,14793_00904641861,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61) / 1 Tablet In 1 Blister Pack,4.25,4.25,,,0 CDM,14793_50268076011,NDC Description Not Available,4.93,4.93,,,0 CDM,14793_68084064511,NDC Description Not Available,5.34,5.34,,,0 CDM,147947_270,Noncdm Charge Record Medical Supplies,533.5,533.5,,,0 CDM,147948_270,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,147949_270,Noncdm Charge Record Medical Supplies,1043.9,1043.9,,,0 CDM,147950_270,Noncdm Charge Record Medical Supplies,882.2,882.2,,,0 CDM,147951_270,Noncdm Charge Record Medical Supplies,451.0,451.0,,,0 CDM,147952_270,Noncdm Charge Record Medical Supplies,1593.9,1593.9,,,0 CDM,147953_270,Noncdm Charge Record Medical Supplies,2333.1,2333.1,,,0 CDM,147954_270,Noncdm Charge Record Medical Supplies,2333.1,2333.1,,,0 CDM,147955_270,Noncdm Charge Record Medical Supplies,2987.6,2987.6,,,0 CDM,147956_270,Noncdm Charge Record Medical Supplies,2558.6,2558.6,,,0 CDM,147958_270,Noncdm Charge Record Medical Supplies,530.2,530.2,,,0 CDM,147966_270,Noncdm Charge Record Medical Supplies,533.5,533.5,,,0 CDM,147971_C1713_278,Noncdm Charge Record Medical Supplies,3286.8,3286.8,,,0 CDM,147972_C1713_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,147990_270,Noncdm Charge Record Medical Supplies,2128.5,2128.5,,,0 CDM,148004_C1713_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,148006_C1713_278,Noncdm Charge Record Medical Supplies,97.35,97.35,,,0 CDM,148010_C1713_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,148012_C1713_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,148013_C1713_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,148021_C1713_278,Noncdm Charge Record Medical Supplies,301.4,301.4,,,0 CDM,148022_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,148024_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,148025_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,148026_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,148027_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,148028_C1713_278,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 CDM,148030_270,Noncdm Charge Record Medical Supplies,1497.1,1497.1,,,0 CDM,148031_270,Noncdm Charge Record Medical Supplies,2060.3,2060.3,,,0 CDM,148036_C1713_278,Noncdm Charge Record Medical Supplies,49.78,49.78,,,0 CDM,148045_C1759_278,Noncdm Charge Record Medical Supplies,5383.43,5383.43,,,0 CDM,148047_270,Noncdm Charge Record Medical Supplies,1203.4,1203.4,,,0 CDM,148067_C1762_278,Noncdm Charge Record Medical Supplies,20642.6,20642.6,,,0 CDM,148070_270,Noncdm Charge Record Medical Supplies,1275.59,1275.59,,,0 CDM,148071_270,Noncdm Charge Record Medical Supplies,2704.28,2704.28,,,0 CDM,148076_270,Noncdm Charge Record Medical Supplies,468.6,468.6,,,0 CDM,148085_C1052_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,148086_C1052_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,148089_270,Noncdm Charge Record Medical Supplies,2372.7,2372.7,,,0 CDM,148094_C1874_278,Noncdm Charge Record Medical Supplies,4466.0,4466.0,,,0 CDM,148099_270,Noncdm Charge Record Medical Supplies,2372.7,2372.7,,,0 CDM,148104_Q4100_278,Noncdm Charge Record Medical Supplies,27.52,27.52,,,0 CDM,148106_C1769_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,148107_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,148108_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,148120_270,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,148146_C1887_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,148147_C1887_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,148148_C1759_278,Noncdm Charge Record Medical Supplies,3831.3,3831.3,,,0 CDM,148161_C1766_278,Noncdm Charge Record Medical Supplies,96.25,96.25,,,0 CDM,148162_C1766_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,148214_270,Noncdm Charge Record Medical Supplies,503.8,503.8,,,0 CDM,14825_00456430001,Monurol: 1 PACKET in 1 CARTON (0456-4300-01) / 1 POWDER in 1 PACKET (0456-4300-08),394.49,394.49,,,0 CDM,14825_69097057967,"Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (69097-579-67) / 1 Granule, For Solution In 1 Dose Pack",361.58,361.58,,,0 CDM,14825_70700026894,Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (70700-268-94) / 1 Powder In 1 Dose Pack,361.53,361.53,,,0 CDM,14825_70700026899,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),361.53,361.53,,,0 CDM,148300_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,148301_C8000_278,Noncdm Charge Record Medical Supplies,9232.3,9232.3,,,0 CDM,148304_C8000_278,Noncdm Charge Record Medical Supplies,9232.3,9232.3,,,0 CDM,148305_C8000_278,Noncdm Charge Record Medical Supplies,9232.3,9232.3,,,0 CDM,148308_C1757_278,Noncdm Charge Record Medical Supplies,14784.0,14784.0,,,0 CDM,14845_00338100702,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,6.38,6.38,,,0 CDM,14845_00409780911,NDC Description Not Available,5.98,5.98,,,0 CDM,14846_00338100902,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02) / 250 Ml In 1 Bag,4.28,4.28,,,0 CDM,14846_00409781011,NDC Description Not Available,4.48,4.48,,,0 CDM,14869_00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.02,0.02,,,0 CDM,14869_00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.08,0.08,,,0 CDM,14879_270,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,14893_C1887_278,Noncdm Charge Record Medical Supplies,1645.6,1645.6,,,0 CDM,14895_C1887_278,Noncdm Charge Record Medical Supplies,79.81,79.81,,,0 CDM,14953_00121101605,NDC Description Not Available,148.87,148.87,,,0 CDM,14953_00173054700,Mepron: 42 Pouch In 1 Dose Pack (0173-0547-00) / 5 Ml In 1 Pouch,143.46,143.46,,,0 CDM,14953_00904706441,NDC Description Not Available,69.87,69.87,,,0 CDM,14953_50268008611,NDC Description Not Available,148.9,148.9,,,0 CDM,14953_60687053440,NDC Description Not Available,128.23,128.23,,,0 CDM,14953_63739020301,"Atovaquone: 5 Ml In 1 Cup, Unit-Dose (63739-203-01)",293.91,293.91,,,0 CDM,14953_66689006201,NDC Description Not Available,148.92,148.92,,,0 CDM,14953_68462042169,Atovaquone: 42 Pouch In 1 Carton (68462-421-69) / 5 Ml In 1 Pouch,148.84,148.84,,,0 CDM,14953_81033010405,NDC Description Not Available,83.18,83.18,,,0 CDM,14979_00409397701,NDC Description Not Available,0.52,0.52,,,0 CDM,15061_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,15062_270,Noncdm Charge Record Medical Supplies,1650.0,1650.0,,,0 CDM,150703_00574113304,Spironolactone: 118 Ml In 1 Bottle (0574-1133-04),57.25,57.25,,,0 CDM,150703_46287002001,Carospir: 473 Ml In 1 Bottle (46287-020-01),31.59,31.59,,,0 CDM,150703_46287002004,Carospir: 118 Ml In 1 Bottle (46287-020-04),68.9,68.9,,,0 CDM,150703_46287002020,NDC Description Not Available,73.47,73.47,,,0 CDM,150703_46287002050,"Carospir: 10 Cup, Unit-Dose In 1 Carton (46287-020-50) / 5 Ml In 1 Cup, Unit-Dose",92.7,92.7,,,0 CDM,150703_69238202708,Spironolactone: 118 Ml In 1 Bottle (69238-2027-8),62.69,62.69,,,0 CDM,150704_59310030240,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-302-40) / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",924.87,924.87,,,0 CDM,150705_59310030480,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80) / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",1239.88,1239.88,,,0 CDM,150727_00456045801,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0458-01),4.13,4.13,,,0 CDM,150727_42192032901,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),3.77,3.77,,,0 CDM,150727_75834031101,Niva Thyroid: 100 Tablet In 1 Bottle (75834-311-01),1.46,1.46,,,0 CDM,150728_00456045901,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0459-01),4.46,4.46,,,0 CDM,150728_75834031201,Niva Thyroid: 100 Tablet In 1 Bottle (75834-312-01),4.21,4.21,,,0 CDM,150819,Noncdm Charge Record,145.04,145.04,,,0 CDM,150819_58160081912,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),700.4,700.4,,,0 CDM,150819_58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),855.93,855.93,,,0 CDM,150862_00006307503,NDC Description Not Available,1076.56,1076.56,,,0 CDM,150863_00006307601,NDC Description Not Available,1076.86,1076.86,,,0 CDM,150863_00006307602,"Prevymis: 4 Dose Pack In 1 Carton (0006-3076-02) / 7 Tablet, Film Coated In 1 Dose Pack (0006-3076-01)",593.28,593.28,,,0 CDM,150863_00006307603,NDC Description Not Available,1075.05,1075.05,,,0 CDM,150863_00006307604,"Prevymis: 14 Blister Pack In 1 Carton (0006-3076-04) / 1 Tablet, Film Coated In 1 Blister Pack (0006-3076-03)",1130.68,1130.68,,,0 CDM,150864_00006500301,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5003-01) / 12 Ml In 1 Vial, Single-Dose (0006-5003-02)",893.52,893.52,,,0 CDM,150864_00006500302,NDC Description Not Available,893.45,893.45,,,0 CDM,150864_00006500401,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5004-01) / 24 Ml In 1 Vial, Single-Dose (0006-5004-02)",1563.54,1563.54,,,0 CDM,150865_00006500301,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5003-01) / 12 Ml In 1 Vial, Single-Dose (0006-5003-02)",937.82,937.82,,,0 CDM,150865_00006500401,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5004-01) / 24 Ml In 1 Vial, Single-Dose (0006-5004-02)",1641.48,1641.48,,,0 CDM,150865_00006500402,NDC Description Not Available,1641.48,1641.48,,,0 CDM,150871_47426020101,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",8.37,8.37,,,0 CDM,150888,Noncdm Charge Record,250.0,250.0,,,0 CDM,150888_00310173030,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",467.76,467.76,,,0 CDM,150906_50242093001,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-930-01) / 2 Ml In 1 Vial, Single-Use",138.37,138.37,,,0 CDM,150908_50242092301,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-923-01) / 1 Ml In 1 Vial, Single-Use",138.37,138.37,,,0 CDM,15091_05155200516,NDC Description Not Available,242.05,242.05,,,0 CDM,150963_12496010001,Sublocade: 1 Pouch In 1 Carton (12496-0100-1) / 1 Syringe In 1 Pouch (12496-0100-2) / 1 Solution In 1 Syringe (12496-0100-5),3767.74,3767.74,,,0 CDM,150963_12496010005,NDC Description Not Available,3767.74,3767.74,,,0 CDM,150964_12496030001,Sublocade: 1 Pouch In 1 Carton (12496-0300-1) / 1 Syringe In 1 Pouch (12496-0300-2) / 1 Solution In 1 Syringe (12496-0300-5),1370.09,1370.09,,,0 CDM,151079_68547050102,"Giapreza: 1 Vial, Single-Dose In 1 Carton (68547-501-02) / 1 Ml In 1 Vial, Single-Dose",4021.91,4021.91,,,0 CDM,151108_00003373413,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",77.18,77.18,,,0 CDM,151115_13533070501,Prolastin-C Liquid: 1 Vial In 1 Carton (13533-705-01) / 20 Ml In 1 Vial (13533-705-11),0.03,0.03,,,0 CDM,15113_00054016325,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0054-0163-25),14.33,14.33,,,0 CDM,15113_00093733401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),14.42,14.42,,,0 CDM,15113_16729009401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (16729-094-01),14.14,14.14,,,0 CDM,15113_51079072101,NDC Description Not Available,14.29,14.29,,,0 CDM,15113_60687049411,NDC Description Not Available,1.76,1.76,,,0 CDM,15113_64380072606,"Mycophenolate Mofetil: 100 Capsule In 1 Bottle, Plastic (64380-726-06)",14.82,14.82,,,0 CDM,15113_67877026601,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (67877-266-01),14.41,14.41,,,0 CDM,15119_00074445604,"Ultane: 250 Ml In 1 Bottle, Plastic (0074-4456-04)",732.84,732.84,,,0 CDM,151255_00409233924,NDC Description Not Available,39.29,39.29,,,0 CDM,151255_00409233934,Labetalol Hydrochloride: 10 Carton In 1 Package (0409-2339-34) / 1 Cartridge In 1 Carton / 4 Ml In 1 Cartridge (0409-2339-24),38.83,38.83,,,0 CDM,151255_65302050304,NDC Description Not Available,32.96,32.96,,,0 CDM,151258_69488000301,Lutathera: 1 Vial In 1 Package (69488-003-01) / 20.5 Ml In 1 Vial,593.49,593.49,,,0 CDM,151328_61958250101,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",577.21,577.21,,,0 CDM,151328_61958250103,Biktarvy: 30 Tablet In 1 Blister Pack (61958-2501-3),576.94,576.94,,,0 CDM,15168_00121496705,NDC Description Not Available,2.58,2.58,,,0 CDM,15168_48433021905,NDC Description Not Available,2.43,2.43,,,0 CDM,15168_48433021940,"Senna Syrup: 40 Cup, Unit-Dose In 1 Box (48433-219-40) / 5 Ml In 1 Cup, Unit-Dose (48433-219-05)",2.58,2.58,,,0 CDM,15184_270,Noncdm Charge Record Medical Supplies,72.05,72.05,,,0 CDM,15274_C1751_278,Noncdm Charge Record Medical Supplies,245.24,245.24,,,0 CDM,15284_00069305101,NDC Description Not Available,107.12,107.12,,,0 CDM,15327_00378563059,"Sumatriptan Succinate: 9 Tablet, Film Coated In 1 Bottle, Plastic (0378-5630-59)",97.64,97.64,,,0 CDM,15327_16714079601,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01) / 9 Tablet In 1 Blister Pack,97.25,97.25,,,0 CDM,15327_55111029136,Sumatriptan Succinate: 36 Tablet In 1 Bottle (55111-291-36),97.49,97.49,,,0 CDM,15327_62756052088,"Sumatriptan Succinate: 100 Tablet, Film Coated In 1 Bottle (62756-520-88)",97.46,97.46,,,0 CDM,15327_65862014636,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36) / 9 Tablet In 1 Blister Pack,97.51,97.51,,,0 CDM,15327_69452034460,NDC Description Not Available,85.49,85.49,,,0 CDM,15328_69452034560,NDC Description Not Available,89.74,89.74,,,0 CDM,15337_C1769_278,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,15339_16571020310,"Diclofenac Sodium: 100 Tablet, Delayed Release In 1 Bottle (16571-203-10)",2.73,2.73,,,0 CDM,15341_270,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,15342_270,Noncdm Charge Record Medical Supplies,237.6,237.6,,,0 CDM,15349_16571040110,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),8.76,8.76,,,0 CDM,15371_00225052547,NDC Description Not Available,3.15,3.15,,,0 CDM,15406_C1757_278,Noncdm Charge Record Medical Supplies,63.56,63.56,,,0 CDM,15426_00143936801,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9368-01) / 20 Ml In 1 Vial",13.68,13.68,,,0 CDM,15426_00143955301,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9553-01) / 20 Ml In 1 Vial",25.23,25.23,,,0 CDM,15426_25021081530,Leucovorin Calcium: 1 Vial In 1 Carton (25021-815-30) / 20 Ml In 1 Vial,39.12,39.12,,,0 CDM,15426_63323071050,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,23.7,23.7,,,0 CDM,15426_67457052920,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",41.69,41.69,,,0 CDM,15426_71288016230,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-162-30) / 20 Ml In 1 Vial, Single-Dose",23.96,23.96,,,0 CDM,15427_00941043052,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0430-52),165.83,165.83,,,0 CDM,15427_00941043055,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0430-55),183.96,183.96,,,0 CDM,15427_00941045705,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0457-05),182.32,182.32,,,0 CDM,15427_00941045708,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0457-08),108.15,108.15,,,0 CDM,15428_00941040901,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0409-01),140.6,140.6,,,0 CDM,15428_00941040907,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0409-07),175.09,175.09,,,0 CDM,15428_00941042452,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0424-52),179.76,179.76,,,0 CDM,15428_00941042455,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0424-55),216.3,216.3,,,0 CDM,15442_C1769_278,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 CDM,15446_270,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,15455_C1750_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,15472_C1894_278,Noncdm Charge Record Medical Supplies,485.98,485.98,,,0 CDM,15511_270,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,15530_C1751_278,Noncdm Charge Record Medical Supplies,25.3,25.3,,,0 CDM,15599_270,Noncdm Charge Record Medical Supplies,625.9,625.9,,,0 CDM,15661_16714063101,Alendronate Sodium: 30 Tablet In 1 Bottle (16714-631-01),10.56,10.56,,,0 CDM,15723_00093106001,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1060-01),11.33,11.33,,,0 CDM,15723_00245001389,NDC Description Not Available,12.42,12.42,,,0 CDM,15723_50268072511,NDC Description Not Available,12.41,12.41,,,0 CDM,15723_60505015900,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (60505-0159-0),12.36,12.36,,,0 CDM,15723_69584084210,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (69584-842-10),11.33,11.33,,,0 CDM,15737_C1751_278,Noncdm Charge Record Medical Supplies,37.4,37.4,,,0 CDM,15738_60505082306,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6) / 30 Spray, Metered In 1 Bottle, Glass",427.45,427.45,,,0 CDM,15746_16714081601,"Bicalutamide: 30 Tablet, Film Coated In 1 Bottle (16714-816-01)",65.84,65.84,,,0 CDM,15746_16714081602,"Bicalutamide: 100 Tablet, Film Coated In 1 Bottle (16714-816-02)",66.16,66.16,,,0 CDM,15746_16729002310,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),66.15,66.15,,,0 CDM,15746_47335048583,"Bicalutamide: 30 Tablet, Film Coated In 1 Bottle (47335-485-83)",66.95,66.95,,,0 CDM,15746_47335048588,"Bicalutamide: 100 Tablet, Film Coated In 1 Bottle (47335-485-88)",66.8,66.8,,,0 CDM,15747_00378363201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3632-01)",7.7,7.7,,,0 CDM,15747_00781522201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5222-01)",6.76,6.76,,,0 CDM,15747_270,Noncdm Charge Record Medical Supplies,723.2,723.2,,,0 CDM,15747_68084085411,NDC Description Not Available,6.51,6.51,,,0 CDM,15747_68382009301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-093-01)",7.21,7.21,,,0 CDM,15747_72888003501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",6.39,6.39,,,0 CDM,15748_00093729601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",7.13,7.13,,,0 CDM,15748_00378363401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3634-01)",7.34,7.34,,,0 CDM,15748_00781522401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5224-01)",5.79,5.79,,,0 CDM,15748_00904630361,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",6.26,6.26,,,0 CDM,15748_51079093201,NDC Description Not Available,5.55,5.55,,,0 CDM,15748_68382009501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-095-01)",7.72,7.72,,,0 CDM,15748_68462016501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-165-01)",6.41,6.41,,,0 CDM,15748_72888003701,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-037-01)",5.43,5.43,,,0 CDM,15749_00904630261,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6302-61)",7.48,7.48,,,0 CDM,15749_65862014401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-144-01)",3.43,3.43,,,0 CDM,15749_68382009401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-094-01)",7.4,7.4,,,0 CDM,15749_72888003601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-036-01)",6.38,6.38,,,0 CDM,15778_C1894_278,Noncdm Charge Record Medical Supplies,76.94,76.94,,,0 CDM,15780_C1887_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,15796_42806014731,"Azithromycin: 15 Ml In 1 Bottle, Plastic (42806-147-31)",104.54,104.54,,,0 CDM,15796_59651000715,Azithromycin: 1 Bottle In 1 Carton (59651-007-15) / 15 Ml In 1 Bottle,93.22,93.22,,,0 CDM,15796_59762311001,Azithromycin: 1 Bottle In 1 Carton (59762-3110-1) / 15 Ml In 1 Bottle,79.82,79.82,,,0 CDM,15797_00069313019,Zithromax: 1 Bottle In 1 Carton (0069-3130-19) / 22.5 Ml In 1 Bottle,120.51,120.51,,,0 CDM,15797_00093202694,Azithromycin: 22.5 Ml In 1 Bottle (0093-2026-94),31.93,31.93,,,0 CDM,15797_42806015033,"Azithromycin: 22.5 Ml In 1 Bottle, Plastic (42806-150-33)",32.96,32.96,,,0 CDM,15797_42806015134,"Azithromycin: 30 Ml In 1 Bottle, Plastic (42806-151-34)",46.97,46.97,,,0 CDM,15797_59762313001,Azithromycin: 1 Bottle In 1 Carton (59762-3130-1) / 22.5 Ml In 1 Bottle,51.57,51.57,,,0 CDM,15797_59762314001,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1) / 30 Ml In 1 Bottle,52.53,52.53,,,0 CDM,15816_00121063800,"Guaifenesin Dm: 10 Tray In 1 Case (0121-0638-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0638-05)",8.24,8.24,,,0 CDM,15816_00121063805,NDC Description Not Available,8.82,8.82,,,0 CDM,15816_00121127600,"Guaifenesin Dm: 10 Tray In 1 Case (0121-1276-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1276-10)",8.76,8.76,,,0 CDM,15816_00121127610,NDC Description Not Available,7.23,7.23,,,0 CDM,15816_63739050501,NDC Description Not Available,8.91,8.91,,,0 CDM,15816_63739050601,NDC Description Not Available,7.5,7.5,,,0 CDM,15837_270,Noncdm Charge Record Medical Supplies,1518.0,1518.0,,,0 CDM,15852_00409381512,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",40.72,40.72,,,0 CDM,15858_00338104702,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1047-02) / 250 Ml In 1 Bottle, Glass",88.58,88.58,,,0 CDM,15859_00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",95.0,95.0,,,0 CDM,15875_L4396_274,Noncdm Charge Record Medical Supplies,84.94,84.94,,,0 CDM,15876_L4396_274,Noncdm Charge Record Medical Supplies,84.78,84.78,,,0 CDM,15877_L4396_274,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,15880_00904658304,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04) / 1 Tablet, Film Coated In 1 Blister Pack",33.11,33.11,,,0 CDM,15880_60687072011,NDC Description Not Available,29.37,29.37,,,0 CDM,15880_64380071003,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (64380-710-03)",25.76,25.76,,,0 CDM,15881_49702020548,Epivir: 240 Ml In 1 Bottle (49702-205-48),4.99,4.99,,,0 CDM,15881_57237027424,Lamivudine: 240 Ml In 1 Bottle (57237-274-24),45.36,45.36,,,0 CDM,15916_C1751_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,1592_C1762_278,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,15950_00436093616,Dakins Half: 473 Ml In 1 Bottle (0436-0936-16),14.19,14.19,,,0 CDM,15950_39328006325,NDC Description Not Available,14.27,14.27,,,0 CDM,15982_00338107702,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,31.59,31.59,,,0 CDM,15982_00409372432,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-3724-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-3724-11),19.83,19.83,,,0 CDM,15996_00054355344,Methadone Hydrochloride: 1 Bottle In 1 Carton (0054-3553-44) / 30 Ml In 1 Bottle,13.93,13.93,,,0 CDM,16005_00555080802,"Tretinoin: 100 Capsule, Liquid Filled In 1 Bottle (0555-0808-02)",134.65,134.65,,,0 CDM,16005_68084007511,NDC Description Not Available,109.3,109.3,,,0 CDM,16013101_76125015002,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-02) / 2 Ml In 1 Vial, Glass (76125-150-03)",921.52,921.52,,,0 CDM,16013101_76125015010,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-10) / 10 Ml In 1 Vial, Glass (76125-150-11)",785.16,785.16,,,0 CDM,16013101_76125015011,NDC Description Not Available,864.66,864.66,,,0 CDM,160131_49281019020,"Imogam Rabies-Ht: 1 Vial, Single-Dose In 1 Carton (49281-190-20) / 2 Ml In 1 Vial, Single-Dose (49281-190-58)",1095.2,1095.2,,,0 CDM,160131_76125015002,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-02) / 2 Ml In 1 Vial, Glass (76125-150-03)",807.37,807.37,,,0 CDM,160131_76125015003,NDC Description Not Available,899.51,899.51,,,0 CDM,160131_76125015010,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-10) / 10 Ml In 1 Vial, Glass (76125-150-11)",817.9,817.9,,,0 CDM,160131_76125015011,NDC Description Not Available,879.3,879.3,,,0 CDM,160136_00409012001,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (0409-0120-01) / 7 Ml In 1 Vial, Single-Dose",0.62,0.62,,,0 CDM,160136_16729043445,Daptomycin: 10 Vial In 1 Carton (16729-434-45) / 7 Ml In 1 Vial,2.26,2.26,,,0 CDM,160136_25021017915,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,0.84,0.84,,,0 CDM,160136_25021017916,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,0.84,0.84,,,0 CDM,160136_25021017966,Daptomycin: 1 Vial In 1 Carton (25021-179-66) / 7 Ml In 1 Vial,0.77,0.77,,,0 CDM,160136_25021017967,Daptomycin: 10 Vial In 1 Carton (25021-179-67) / 7 Ml In 1 Vial,0.76,0.76,,,0 CDM,160136_70594005301,"Daptomycin: 1 Vial, Single-Use In 1 Carton (70594-053-01) / 7 Ml In 1 Vial, Single-Use",0.63,0.63,,,0 CDM,160136_72603014701,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-147-01) / 7 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 CDM,160158_00074339930,Norvir: 30 Packet In 1 Carton (0074-3399-30) / 1 Powder In 1 Packet,37.08,37.08,,,0 CDM,160164_62327044404,NDC Description Not Available,644.78,644.78,,,0 CDM,160186_67157010150,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50) / 50 Ml In 1 Vial, Glass",30.69,30.69,,,0 CDM,160202_00264310311,Cefazolin Sodium: 24 Container In 1 Case (0264-3103-11) / 50 Ml In 1 Container,28.35,28.35,,,0 CDM,160210_10122061001,NDC Description Not Available,14.71,14.71,,,0 CDM,160213_00023050601,"Refresh Classic: 30 Vial, Single-Use In 1 Carton (0023-0506-01) / .4 Ml In 1 Vial, Single-Use",0.15,0.15,,,0 CDM,160213_00023050650,"Refresh Classic: 50 Vial, Single-Use In 1 Carton (0023-0506-50) / .4 Ml In 1 Vial, Single-Use",0.73,0.73,,,0 CDM,160215_71740011230,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30) / 30 Ml In 1 Bottle, With Applicator",15.61,15.61,,,0 CDM,160215_75834028030,"Potassium Iodide: 30 Ml In 1 Bottle, With Applicator (75834-280-30)",8.85,8.85,,,0 CDM,160216_00781315894,NDC Description Not Available,9.37,9.37,,,0 CDM,160216_00781915895,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-9158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-9158-94)",9.66,9.66,,,0 CDM,160216_16729027503,NDC Description Not Available,9.37,9.37,,,0 CDM,160216_70860040241,NDC Description Not Available,2.51,2.51,,,0 CDM,160216_71288042710,NDC Description Not Available,1.21,1.21,,,0 CDM,160216_71288042711,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (71288-427-11) / 5 Ml In 1 Vial, Single-Dose (71288-427-10)",1.21,1.21,,,0 CDM,160221_70727049725,Rhopressa: 1 Bottle In 1 Carton (70727-497-25) / 2.5 Ml In 1 Bottle,208.06,208.06,,,0 CDM,160225_23155019331,"Colistimethate Sodium: 1 Vial, Glass In 1 Carton (23155-193-31) / 4 Ml In 1 Vial, Glass",91.26,91.26,,,0 CDM,160225_42023010701,Coly-Mycin M: 1 Vial In 1 Carton (42023-107-01) / 2 Ml In 1 Vial,121.16,121.16,,,0 CDM,160225_63323039306,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,91.99,91.99,,,0 CDM,160225_70594002301,"Colistimethate: 1 Vial, Glass In 1 Vial (70594-023-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass",120.05,120.05,,,0 CDM,160225_70594002304,"Colistimethate: 12 Vial, Glass In 1 Carton (70594-023-04) / 1 Injection, Powder, For Solution In 1 Vial, Glass",62.21,62.21,,,0 CDM,160225_70594002309,"Colistimethate: 1 Vial In 1 Carton (70594-023-09) / 1 Injection, Powder, For Solution In 1 Vial",44.77,44.77,,,0 CDM,160229_71266635001,NDC Description Not Available,69.66,69.66,,,0 CDM,160229_71266636001,NDC Description Not Available,72.19,72.19,,,0 CDM,160236_65628020405,Firvanq: 1 Kit In 1 Carton (65628-204-05) * 3.75 G In 1 Bottle * 147 Ml In 1 Bottle,18.54,18.54,,,0 CDM,16023_270,Noncdm Charge Record Medical Supplies,477.4,477.4,,,0 CDM,16025_270,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,160302_00310008828,"Daliresp: 1 Blister Pack In 1 Box, Unit-Dose (0310-0088-28) / 28 Tablet In 1 Blister Pack",64.59,64.59,,,0 CDM,160302_31722067631,NDC Description Not Available,55.92,55.92,,,0 CDM,160302_31722067635,NDC Description Not Available,55.93,55.93,,,0 CDM,160302_42571036983,Roflumilast: 28 Tablet In 1 Bottle (42571-369-83),37.91,37.91,,,0 CDM,160302_72205020111,NDC Description Not Available,56.07,56.07,,,0 CDM,160302_72205020113,NDC Description Not Available,56.11,56.11,,,0 CDM,160302_72205020132,Roflumilast: 2 Blister Pack In 1 Carton (72205-201-32) / 14 Tablet In 1 Blister Pack (72205-201-13),56.1,56.1,,,0 CDM,160308_00527197174,"Cocaine Hydrochloride Nasal: 1 Bottle, Glass In 1 Carton (0527-1971-74) / 4 Ml In 1 Bottle, Glass",4.98,4.98,,,0 CDM,160308_64950036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",6.62,6.62,,,0 CDM,160308_70839036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (70839-362-04) / 4 Ml In 1 Bottle, Glass",7.95,7.95,,,0 CDM,160363_70324022701,NDC Description Not Available,81.7,81.7,,,0 CDM,160372_71019008503,NDC Description Not Available,202.91,202.91,,,0 CDM,160372_71285701801,NDC Description Not Available,56.26,56.26,,,0 CDM,160372_72196701801,NDC Description Not Available,167.52,167.52,,,0 CDM,160379_00143959301,NDC Description Not Available,91.83,91.83,,,0 CDM,160379_70092154746,NDC Description Not Available,14.1,14.1,,,0 CDM,160505,Noncdm Charge Record,152.0,152.0,,,0 CDM,160505_13533031805,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),841.1,841.1,,,0 CDM,16052_60505025701,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),10.07,10.07,,,0 CDM,16052_60687072111,NDC Description Not Available,7.76,7.76,,,0 CDM,160551_25021018510,Ganciclovir: 25 Vial In 1 Carton (25021-185-10) / 10 Ml In 1 Vial,111.16,111.16,,,0 CDM,16066_C1766_278,Noncdm Charge Record Medical Supplies,76.91,76.91,,,0 CDM,160676_00002418230,"Olumiant: 30 Tablet, Film Coated In 1 Bottle (0002-4182-30)",396.4,396.4,,,0 CDM,16070_00054004544,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (0054-0045-44) / 345 Spray In 1 Bottle, Spray",402.7,402.7,,,0 CDM,16070_16714052601,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (16714-526-01) / 345 Spray, Metered In 1 Bottle, Spray",290.48,290.48,,,0 CDM,16070_24208039830,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (24208-398-30) / 345 Spray, Metered In 1 Bottle, Spray",164.63,164.63,,,0 CDM,16070_60505082601,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (60505-0826-1) / 345 Spray, Metered In 1 Bottle, Spray",402.73,402.73,,,0 CDM,160713_00069130501,NDC Description Not Available,5.92,5.92,,,0 CDM,160713_00069130510,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",4.77,4.77,,,0 CDM,160715_00069130701,NDC Description Not Available,5.78,5.78,,,0 CDM,160715_00069130710,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.63,7.63,,,0 CDM,160716_00069130801,NDC Description Not Available,6.33,6.33,,,0 CDM,160716_00069130810,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",6.14,6.14,,,0 CDM,160717_00069130901,NDC Description Not Available,10.03,10.03,,,0 CDM,160717_00069130904,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",8.39,8.39,,,0 CDM,160753_00143955101,NDC Description Not Available,290.29,290.29,,,0 CDM,160753_00143955110,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),290.2,290.2,,,0 CDM,160753_42658002101,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,185.43,185.43,,,0 CDM,160753_42658002102,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02) / 4 Ml In 1 Vial,173.02,173.02,,,0 CDM,160779_71369002015,"Doptelet: 1 Blister Pack In 1 Carton (71369-020-15) / 15 Tablet, Film Coated In 1 Blister Pack (71369-020-16)",1780.61,1780.61,,,0 CDM,160779_71369002016,NDC Description Not Available,1695.72,1695.72,,,0 CDM,160804_00641612501,NDC Description Not Available,11.8,11.8,,,0 CDM,160804_63323045400,NDC Description Not Available,12.36,12.36,,,0 CDM,160804_63323045401,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-454-01) / 1 Ml In 1 Vial, Single-Dose (63323-454-00)",12.36,12.36,,,0 CDM,16081_60505324603,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (60505-3246-3)",25.24,25.24,,,0 CDM,16087_C1768_278,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,160931_00069100201,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",423.81,423.81,,,0 CDM,160969_70255001002,"Mektovi: 1 Bottle In 1 Carton (70255-010-02) / 180 Tablet, Film Coated In 1 Bottle",325.09,325.09,,,0 CDM,160971_70255002504,NDC Description Not Available,19.14,19.14,,,0 CDM,16117_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,16119_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,16124_67877028660,Riluzole: 60 Tablet In 1 Bottle (67877-286-60),125.77,125.77,,,0 CDM,16205_16729003510,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",48.24,48.24,,,0 CDM,16205_62559067030,Arimidex: 30 Tablet In 1 Bottle (62559-670-30),235.61,235.61,,,0 CDM,16205_68382020906,"Anastrozole: 30 Tablet, Coated In 1 Bottle (68382-209-06)",48.62,48.62,,,0 CDM,16218_00054312041,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41) / 15 Ml In 1 Bottle, Glass",10.75,10.75,,,0 CDM,16218_30698091115,Rocaltrol: 15 Ml In 1 Bottle (30698-911-15),15.46,15.46,,,0 CDM,16218_64980044715,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15) / 15 Ml In 1 Bottle, Glass",28.6,28.6,,,0 CDM,1622_00555003302,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),1.37,1.37,,,0 CDM,1622_51079037501,NDC Description Not Available,2.26,2.26,,,0 CDM,1622_51079037520,Chlordiazepoxide Hydrochloride: 100 Blister Pack In 1 Carton (51079-375-20) / 1 Capsule In 1 Blister Pack (51079-375-01),2.06,2.06,,,0 CDM,1623_00555015902,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),1.61,1.61,,,0 CDM,1623_00555015904,Chlordiazepoxide Hydrochloride: 500 Capsule In 1 Bottle (0555-0159-04),1.03,1.03,,,0 CDM,1623_51079014101,NDC Description Not Available,2.4,2.4,,,0 CDM,1623_60687080711,NDC Description Not Available,2.91,2.91,,,0 CDM,1624_00555015802,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0158-02),1.27,1.27,,,0 CDM,1624_51079037401,NDC Description Not Available,3.46,3.46,,,0 CDM,16254_70720095130,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2154.77,2154.77,,,0 CDM,162615_76075010301,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",148.71,148.71,,,0 CDM,162620_00409492120,NDC Description Not Available,2.77,2.77,,,0 CDM,162620_76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,5.44,5.44,,,0 CDM,162632_47335017795,Ilumya: 1 Ml In 1 Carton (47335-177-95),361.18,361.18,,,0 CDM,162634_00378087116,NDC Description Not Available,119.47,119.47,,,0 CDM,162634_00378087199,Clonidine: 4 Pouch In 1 Carton (0378-0871-99) / 1 Patch In 1 Pouch (0378-0871-16) / 7 D In 1 Patch,119.48,119.48,,,0 CDM,162634_51862045301,NDC Description Not Available,119.48,119.48,,,0 CDM,162634_52817061004,"Clonidine Transdermal System Usp, 0.1 Mg/Day: 4 Pouch In 1 Carton (52817-610-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",282.22,282.22,,,0 CDM,162634_75907002311,NDC Description Not Available,119.48,119.48,,,0 CDM,162635_00378087216,NDC Description Not Available,200.89,200.89,,,0 CDM,162635_00378087299,Clonidine: 4 Pouch In 1 Carton (0378-0872-99) / 1 Patch In 1 Pouch (0378-0872-16) / 7 D In 1 Patch,200.85,200.85,,,0 CDM,162635_51862045401,NDC Description Not Available,201.29,201.29,,,0 CDM,162635_52817061104,"Clonidine Transdermal System Usp, 0.2 Mg/Day: 4 Pouch In 1 Carton (52817-611-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",474.98,474.98,,,0 CDM,162635_75907002411,NDC Description Not Available,59.56,59.56,,,0 CDM,162636_00378087316,NDC Description Not Available,279.06,279.06,,,0 CDM,162636_51862045501,NDC Description Not Available,279.13,279.13,,,0 CDM,162636_52817061204,"Clonidine Transdermal System Usp, 0.3 Mg/Day: 4 Pouch In 1 Carton (52817-612-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",659.2,659.2,,,0 CDM,162638_00143916201,NDC Description Not Available,12.84,12.84,,,0 CDM,162638_00143916210,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10) / 1025 Mg In 1 Vial (0143-9162-01),12.12,12.12,,,0 CDM,162638_00143935701,NDC Description Not Available,31.94,31.94,,,0 CDM,162638_00143935710,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",30.91,30.91,,,0 CDM,162638_00409653301,"10 VIAL in 1 TRAY (0409-6533-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6533-11)",35.02,35.02,,,0 CDM,162638_00409653311,NDC Description Not Available,39.76,39.76,,,0 CDM,162638_00409653321,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",33.92,33.92,,,0 CDM,162638_00409653331,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-31) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-59)",6.8,6.8,,,0 CDM,162638_00409653359,NDC Description Not Available,8.21,8.21,,,0 CDM,162638_00409653361,NDC Description Not Available,9.61,9.61,,,0 CDM,162638_16714030901,NDC Description Not Available,34.76,34.76,,,0 CDM,162638_63323028401,NDC Description Not Available,32.27,32.27,,,0 CDM,162638_63323028420,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),34.43,34.43,,,0 CDM,162638_67457034000,NDC Description Not Available,34.18,34.18,,,0 CDM,162638_67457034001,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-340-01) / 20 Ml In 1 Vial (67457-340-00),34.36,34.36,,,0 CDM,162638_70436002182,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.18,6.18,,,0 CDM,162638_71288002320,NDC Description Not Available,12.07,12.07,,,0 CDM,162638_71288002321,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (71288-023-21) / 20 Ml In 1 Vial, Single-Dose (71288-023-20)",12.98,12.98,,,0 CDM,162639_00143916301,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9163-01) / 5.13 G In 1 Vial, Pharmacy Bulk Package",15.7,15.7,,,0 CDM,162639_00409650949,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-6509-49) / 100 Ml In 1 Vial, Pharmacy Bulk Package",6.6,6.6,,,0 CDM,162639_16714051701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (16714-517-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Pharmacy Bulk Package",26.26,26.26,,,0 CDM,162641_00310110501,NDC Description Not Available,110.48,110.48,,,0 CDM,162648_67457083306,Fulphila: 1 Syringe In 1 Carton (67457-833-06) / .6 Ml In 1 Syringe,860.05,860.05,,,0 CDM,162648_83257000541,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,413.11,413.11,,,0 CDM,162671_65757050003,Aristada Initio: 1 Syringe In 1 Carton (65757-500-03) / 2.4 Ml In 1 Syringe,8.66,8.66,,,0 CDM,162718_00143938001,NDC Description Not Available,1.3,1.3,,,0 CDM,162718_44567061101,NDC Description Not Available,1.3,1.3,,,0 CDM,162718_44567061110,Midazolam In Sodium Chloride: 10 Bag In 1 Carton (44567-611-10) / 100 Ml In 1 Bag (44567-611-01),1.3,1.3,,,0 CDM,162765,Noncdm Charge Record,141.89,141.89,,,0 CDM,162765_43528000301,NDC Description Not Available,622.47,622.47,,,0 CDM,162765_43528000305,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),638.6,638.6,,,0 CDM,162881_42747076101,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",568.15,568.15,,,0 CDM,162886_71336100001,"Onpattro: 1 Vial, Single-Dose In 1 Carton (71336-1000-1) / 5 Ml In 1 Vial, Single-Dose",242.14,242.14,,,0 CDM,162998_71773005001,NDC Description Not Available,6.17,6.17,,,0 CDM,162998_71773005005,"Xerava: 1 Vial, Glass In 1 Carton (71773-050-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.74,6.74,,,0 CDM,162998_71773005012,"Xerava: 12 Vial, Glass In 1 Carton (71773-050-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.53,6.53,,,0 CDM,16299_00904535431,Banophen: 1 Tube In 1 Carton (0904-5354-31) / 28 G In 1 Tube,15.47,15.47,,,0 CDM,16299_01093919844,NDC Description Not Available,1.03,1.03,,,0 CDM,16299_45802035803,Diphenhydramine Hcl And Zinc Acetate: 1 Tube In 1 Carton (45802-358-03) / 28 G In 1 Tube,14.42,14.42,,,0 CDM,16299_49348085472,Sunmark Anti-Itch: 1 Tube In 1 Carton (49348-854-72) / 28.4 G In 1 Tube,17.58,17.58,,,0 CDM,163010_00006306901,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",254.7,254.7,,,0 CDM,163072_00407141509,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1415-09) / 500 Ml In 1 Bottle, Plastic",38.66,38.66,,,0 CDM,163109_00264319311,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3193-11) / 50 Ml In 1 Container,42.57,42.57,,,0 CDM,163112_00264312311,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3123-11) / 50 Ml In 1 Container,81.52,81.52,,,0 CDM,163115_00264319511,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3195-11) / 50 Ml In 1 Container,32.18,32.18,,,0 CDM,163117_00264312511,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3125-11) / 50 Ml In 1 Container,72.58,72.58,,,0 CDM,163119_00264310511,Cefazolin Sodium: 24 Container In 1 Case (0264-3105-11) / 50 Ml In 1 Container,15.96,15.96,,,0 CDM,1634_63323047701,NDC Description Not Available,0.24,0.24,,,0 CDM,1634_63323047727,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.54,0.54,,,0 CDM,16369_25021012120,"Cefepime: 10 Vial In 1 Carton (25021-121-20) / 1 Injection, Powder, For Solution In 1 Vial",12.88,12.88,,,0 CDM,16369_44567024010,Cefepime: 10 Vial In 1 Carton (44567-240-10) / 20 Ml In 1 Vial,13.48,13.48,,,0 CDM,16369_60505614400,NDC Description Not Available,37.7,37.7,,,0 CDM,16369_60505614404,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6144-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",73.13,73.13,,,0 CDM,16369_60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.66,36.66,,,0 CDM,16371_00409973501,NDC Description Not Available,10.01,10.01,,,0 CDM,16371_00409973510,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",3.09,3.09,,,0 CDM,16371_44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,6.05,6.05,,,0 CDM,16371_60505614500,NDC Description Not Available,30.26,30.26,,,0 CDM,16371_60505614504,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.44,36.44,,,0 CDM,16371_60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",33.34,33.34,,,0 CDM,16371_60505614704,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",7.21,7.21,,,0 CDM,16371_63323034021,NDC Description Not Available,3.65,3.65,,,0 CDM,164486_50458057701,NDC Description Not Available,39.13,39.13,,,0 CDM,164486_50458057710,"Xarelto: 10 Blister Pack In 1 Box, Unit-Dose (50458-577-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-577-01)",41.89,41.89,,,0 CDM,164486_50458057760,"Xarelto: 60 Tablet, Film Coated In 1 Bottle (50458-577-60)",41.12,41.12,,,0 CDM,164487_67877072133,NDC Description Not Available,24.03,24.03,,,0 CDM,164488,Noncdm Charge Record,250.0,250.0,,,0 CDM,164488_50242021401,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",116.69,116.69,,,0 CDM,164488_50242021501,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",105.66,105.66,,,0 CDM,164488_50242021586,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-86) / 1 Ml In 1 Syringe, Glass",114.12,114.12,,,0 CDM,164508_63323020500,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-00) / 100 Ml In 1 Vial, Single-Dose (63323-205-31)",235.25,235.25,,,0 CDM,164508_63323020531,NDC Description Not Available,235.25,235.25,,,0 CDM,164576_61755000801,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",72.85,72.85,,,0 CDM,164612_71715000101,NDC Description Not Available,11.21,11.21,,,0 CDM,164612_71715000102,"Nuzyra: 10 Vial, Glass In 1 Carton (71715-001-02) / 10 Ml In 1 Vial, Glass (71715-001-01)",11.46,11.46,,,0 CDM,164613_71715000221,"Nuzyra: 1 Blister Pack In 1 Carton (71715-002-21) / 6 Tablet, Film Coated In 1 Blister Pack (71715-002-28)",1138.41,1138.41,,,0 CDM,164810_70114010101,Udenyca: 1 Syringe In 1 Carton (70114-101-01) / .6 Ml In 1 Syringe,807.02,807.02,,,0 CDM,164817_00069022701,"Lorbrena: 30 Tablet, Film Coated In 1 Bottle (0069-0227-01)",29.92,29.92,,,0 CDM,164916_66658051001,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-510-01) / 20 Ml In 1 Vial, Single-Use",834.8,834.8,,,0 CDM,16498_270,Noncdm Charge Record Medical Supplies,948.2,948.2,,,0 CDM,164996_00409351511,NDC Description Not Available,35.11,35.11,,,0 CDM,1649_00641139731,NDC Description Not Available,130.58,130.58,,,0 CDM,1649_00641139735,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1397-35) / 1 Ml In 1 Ampule (0641-1397-31),124.63,124.63,,,0 CDM,1649_00641139831,NDC Description Not Available,83.89,83.89,,,0 CDM,1649_00641139835,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),75.92,75.92,,,0 CDM,1649_55150031801,NDC Description Not Available,124.94,124.94,,,0 CDM,1649_55150031825,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (55150-318-25) / 1 Ml In 1 Ampule (55150-318-01),125.14,125.14,,,0 CDM,1649_55150031901,NDC Description Not Available,72.1,72.1,,,0 CDM,165020_67684190101,Lipiodol: 1 Ampule In 1 Carton (67684-1901-1) / 10 Ml In 1 Ampule,2704.78,2704.78,,,0 CDM,165020_67684190102,Lipiodol: 1 Vial In 1 Carton (67684-1901-2) / 10 Ml In 1 Vial,1733.14,1733.14,,,0 CDM,1653_00832030000,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0300-00)",12.7,12.7,,,0 CDM,1653_00832601700,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6017-00)",9.01,9.01,,,0 CDM,1653_00904712961,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7129-61) / 1 Tablet, Film Coated In 1 Blister Pack",14.54,14.54,,,0 CDM,1653_16714004701,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-047-01)",13.87,13.87,,,0 CDM,1653_50268016211,NDC Description Not Available,17.22,17.22,,,0 CDM,1653_60687041911,NDC Description Not Available,18.05,18.05,,,0 CDM,1653_69238105401,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1054-1)",13.15,13.15,,,0 CDM,1654_69238106001,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1060-1)",53.62,53.62,,,0 CDM,16561_C1894_278,Noncdm Charge Record Medical Supplies,13.14,13.14,,,0 CDM,1656_00832030100,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",5.56,5.56,,,0 CDM,1656_00904713061,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7130-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.49,4.49,,,0 CDM,1656_69238105601,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1056-1)",5.56,5.56,,,0 CDM,1656_72205010491,"Chlorpromazine Hydrochloride: 100 Tablet, Sugar Coated In 1 Bottle (72205-104-91)",8.01,8.01,,,0 CDM,1657_00832601900,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6019-00)",33.3,33.3,,,0 CDM,1657_00904713161,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7131-61) / 1 Tablet, Film Coated In 1 Blister Pack",34.08,34.08,,,0 CDM,1657_16714004901,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-049-01)",31.93,31.93,,,0 CDM,1657_50268016411,NDC Description Not Available,39.08,39.08,,,0 CDM,16617_C1894_272,Noncdm Charge Record Medical Supplies,12.83,12.83,,,0 CDM,16617_C1894_278,Noncdm Charge Record Medical Supplies,12.77,12.77,,,0 CDM,166186_59137023101,"Gleolan: 1 Vial, Single-Dose In 1 Carton (59137-231-01) / 1 Powder, For Solution In 1 Vial, Single-Dose",8483.4,8483.4,,,0 CDM,166186_71469023101,"Gleolan: 1 Vial, Single-Dose In 1 Carton (71469-231-01) / 1 Powder, For Solution In 1 Vial, Single-Dose",8365.23,8365.23,,,0 CDM,1661_00904690061,Chlorthalidone: 100 Blister Pack In 1 Carton (0904-6900-61) / 1 Tablet In 1 Blister Pack,8.85,8.85,,,0 CDM,1661_43598017001,Chlorthalidone: 100 Tablet In 1 Bottle (43598-170-01),4.38,4.38,,,0 CDM,1661_50268016711,NDC Description Not Available,8.24,8.24,,,0 CDM,1661_51079005801,NDC Description Not Available,7.09,7.09,,,0 CDM,1661_51079005820,Chlorthalidone: 100 Blister Pack In 1 Carton (51079-058-20) / 1 Tablet In 1 Blister Pack (51079-058-01),8.24,8.24,,,0 CDM,1661_60687031795,NDC Description Not Available,7.18,7.18,,,0 CDM,166223_00713035102,NDC Description Not Available,19.22,19.22,,,0 CDM,166223_23155029431,NDC Description Not Available,35.82,35.82,,,0 CDM,166223_23155029441,Prochlorperazine Edisylate: 25 Vial In 1 Package (23155-294-41) / 2 Ml In 1 Vial (23155-294-31),35.6,35.6,,,0 CDM,166223_23155029442,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),24.58,24.58,,,0 CDM,166223_23155049731,NDC Description Not Available,25.16,25.16,,,0 CDM,166223_25021079002,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,22.24,22.24,,,0 CDM,166223_25021079003,Prochlorperazine Edisylate: 25 Vial In 1 Carton (25021-790-03) / 2 Ml In 1 Vial,23.18,23.18,,,0 CDM,166223_43066009001,NDC Description Not Available,22.91,22.91,,,0 CDM,166223_55150036001,"Prochlorperazine Edisylate: 1 Vial, Multi-Dose In 1 Carton (55150-360-01) / 2 Ml In 1 Vial, Multi-Dose",39.14,39.14,,,0 CDM,166223_67457064000,NDC Description Not Available,72.82,72.82,,,0 CDM,166223_70860077841,NDC Description Not Available,27.81,27.81,,,0 CDM,166223_72266020401,NDC Description Not Available,19.68,19.68,,,0 CDM,166228_00703066601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",245.34,245.34,,,0 CDM,166229_42023020701,Treprostinil: 1 Vial In 1 Carton (42023-207-01) / 20 Ml In 1 Vial,151.4,151.4,,,0 CDM,166232_00143924701,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",770.96,770.96,,,0 CDM,166233_00143924801,"Dexrazoxane: 1 Vial In 1 Box (0143-9248-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",206.86,206.86,,,0 CDM,166233_72266010101,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,513.5,513.5,,,0 CDM,166233_72611071601,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",614.91,614.91,,,0 CDM,166235_50458056001,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,36.74,36.74,,,0 CDM,166235_50458056101,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,36.75,36.75,,,0 CDM,166236_50458056201,Invega Sustenna: 1 Syringe In 1 Kit (50458-562-01) / .75 Ml In 1 Syringe,36.75,36.75,,,0 CDM,166237_50458056301,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,35.73,35.73,,,0 CDM,166238_50458056401,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,35.32,35.32,,,0 CDM,166250_63323020801,NDC Description Not Available,1.5,1.5,,,0 CDM,166250_63323020805,"Lidocaine: 25 Vial, Single-Dose In 1 Tray (63323-208-05) / 5 Ml In 1 Vial, Single-Dose (63323-208-01)",1.69,1.69,,,0 CDM,166252_00409132305,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",2.39,2.39,,,0 CDM,166252_00409132315,NDC Description Not Available,2.46,2.46,,,0 CDM,166252_00409490311,NDC Description Not Available,2.66,2.66,,,0 CDM,166252_00409490334,Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-4903-34) / 1 Syringe In 1 Carton / 5 Ml In 1 Syringe (0409-4903-11),2.73,2.73,,,0 CDM,166252_76329339001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,3.6,3.6,,,0 CDM,166255,Noncdm Charge Record,139.2,139.2,,,0 CDM,166255_58160081543,NDC Description Not Available,550.23,550.23,,,0 CDM,166256_55513071001,Prolia: 1 Syringe In 1 Carton (55513-710-01) / 1 Ml In 1 Syringe,72.95,72.95,,,0 CDM,166256_55513071021,Prolia: 1 Syringe In 1 Carton (55513-710-21) / 1 Ml In 1 Syringe,74.17,74.17,,,0 CDM,166312_67457082312,NDC Description Not Available,34.81,34.81,,,0 CDM,166312_67457082399,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",34.81,34.81,,,0 CDM,16632_50268064011,NDC Description Not Available,2.75,2.75,,,0 CDM,16632_68084004411,NDC Description Not Available,9.61,9.61,,,0 CDM,166340_44567062001,NDC Description Not Available,0.85,0.85,,,0 CDM,166340_44567062024,Calcium Gluconate In Sodium Chloride: 24 Pouch In 1 Carton (44567-620-24) / 1 Bag In 1 Pouch (44567-620-01) / 50 Ml In 1 Bag,0.85,0.85,,,0 CDM,166340_65219016201,NDC Description Not Available,0.85,0.85,,,0 CDM,166341_71266802001,NDC Description Not Available,1276.17,1276.17,,,0 CDM,166531_58468022501,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",1852.2,1852.2,,,0 CDM,166579_69374051101,NDC Description Not Available,19.57,19.57,,,0 CDM,166579_71266907002,NDC Description Not Available,2.69,2.69,,,0 CDM,166611_70594004201,NDC Description Not Available,34.5,34.5,,,0 CDM,166611_70594004203,Vancomycin: 12 Bag In 1 Carton (70594-042-03) / 200 Ml In 1 Bag (70594-042-01),34.5,34.5,,,0 CDM,166612_70594004301,NDC Description Not Available,33.07,33.07,,,0 CDM,166612_70594004302,Vancomycin: 6 Bag In 1 Carton (70594-043-02) / 300 Ml In 1 Bag (70594-043-01),33.3,33.3,,,0 CDM,166645_54288010502,NDC Description Not Available,1827.11,1827.11,,,0 CDM,166645_54288010515,Dehydrated Alcohol: 10 Ampule In 1 Carton (54288-105-15) / 5 Ml In 1 Ampule (54288-105-02),1811.8,1811.8,,,0 CDM,166680_50458002800,NDC Description Not Available,1591.35,1591.35,,,0 CDM,166680_50458002802,"Spravato: 2 Blister Pack In 1 Kit (50458-028-02) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",975.6,975.6,,,0 CDM,166682_50458002800,NDC Description Not Available,681.86,681.86,,,0 CDM,166682_50458002803,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2902.35,2902.35,,,0 CDM,166686_00187301220,Mestinon: 473 Ml In 1 Bottle (0187-3012-20),69.12,69.12,,,0 CDM,166686_66689040601,NDC Description Not Available,114.67,114.67,,,0 CDM,166686_69238173102,Pyridostigmine Bromide: 473 Ml In 1 Bottle (69238-1731-2),49.56,49.56,,,0 CDM,166686_70954014810,Pyridostigmine: 473 Ml In 1 Bottle (70954-148-10),45.49,45.49,,,0 CDM,166705_50242091701,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",218.48,218.48,,,0 CDM,166705_50242091801,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",219.27,219.27,,,0 CDM,166723_70727052925,"Rocklatan: 1 Bottle, Plastic In 1 Carton (70727-529-25) / 2.5 Ml In 1 Bottle, Plastic",1529.55,1529.55,,,0 CDM,166797_00264446010,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-10) / 1 Container In 1 Carton / 500 Ml In 1 Container,58.71,58.71,,,0 CDM,166797_00264446030,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-30) / 1 Container In 1 Carton / 250 Ml In 1 Container,85.49,85.49,,,0 CDM,166797_00338051909,Intralipid: 250 Ml In 1 Bag (0338-0519-09),203.75,203.75,,,0 CDM,166797_00338051958,Intralipid: 100 Ml In 1 Bag (0338-0519-58),135.96,135.96,,,0 CDM,166797_65219053101,NDC Description Not Available,38.82,38.82,,,0 CDM,166797_65219053301,NDC Description Not Available,80.36,80.36,,,0 CDM,166797_65219053901,NDC Description Not Available,38.4,38.4,,,0 CDM,166800_39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),202.63,202.63,,,0 CDM,166807_63323082004,NDC Description Not Available,112.53,112.53,,,0 CDM,167741_44567053001,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,270.2,270.2,,,0 CDM,167781_50242007701,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",192.62,192.62,,,0 CDM,167848_55513088002,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),28.96,28.96,,,0 CDM,167848_55513099802,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",29.7,29.7,,,0 CDM,167874_63323088510,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10) / 5 Ml In 1 Vial, Single-Dose",273.62,273.62,,,0 CDM,167874_63323088514,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-14) / 5 Ml In 1 Vial, Single-Dose",234.02,234.02,,,0 CDM,167927_71837584301,NDC Description Not Available,152.5,152.5,,,0 CDM,168176,Noncdm Charge Record,250.0,250.0,,,0 CDM,168176_00173089242,Nucala: 1 Syringe In 1 Carton (0173-0892-42) / 1 Ml In 1 Syringe,154.68,154.68,,,0 CDM,168184_50242010501,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",310.35,310.35,,,0 CDM,16839_00081073088,NDC Description Not Available,5.49,5.49,,,0 CDM,16839_00472017934,Triple Antibiotic: 1 TUBE in 1 CARTON (0472-0179-34) / 14 g in 1 TUBE,5.49,5.49,,,0 CDM,16839_00713026831,Triple Antibiotic: 1 Tube In 1 Carton (0713-0268-31) / 28.4 G In 1 Tube,3.76,3.76,,,0 CDM,16839_00904073431,Triple Antibiotic: 1 Tube In 1 Carton (0904-0734-31) / 28 G In 1 Tube,3.09,3.09,,,0 CDM,16839_45802014301,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-01) / 14 G In 1 Tube,4.28,4.28,,,0 CDM,16839_45802014303,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03) / 28 G In 1 Tube,6.28,6.28,,,0 CDM,16885_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,16886_270,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,168883,Noncdm Charge Record,145.16,145.16,,,0 CDM,168883_00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",409.94,409.94,,,0 CDM,168883_00006468101,NDC Description Not Available,405.01,405.01,,,0 CDM,168888_50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",197.0,197.0,,,0 CDM,168888_55513020601,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,171.37,171.37,,,0 CDM,168888_55513020701,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,168.49,168.49,,,0 CDM,168896_70594004401,NDC Description Not Available,30.31,30.31,,,0 CDM,168896_70594004402,Vancomycin: 6 Bag In 1 Carton (70594-044-02) / 400 Ml In 1 Bag (70594-044-01),34.12,34.12,,,0 CDM,168901_00409230822,NDC Description Not Available,0.52,0.52,,,0 CDM,168904_00409230504,NDC Description Not Available,1.19,1.19,,,0 CDM,168904_00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",1.1,1.1,,,0 CDM,168904_00409230516,NDC Description Not Available,3.43,3.43,,,0 CDM,168904_55390013702,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,2.03,2.03,,,0 CDM,168914_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,5.89,5.89,,,0 CDM,168914_00002822201,NDC Description Not Available,2.75,2.75,,,0 CDM,168915_00069873001,NDC Description Not Available,47.02,47.02,,,0 CDM,168927_00264937588,Sodium Chloride: 10 Ml In 1 Ampule (0264-9375-88),4.12,4.12,,,0 CDM,168927_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),17.51,17.51,,,0 CDM,168927_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),21.63,21.63,,,0 CDM,168927_00338004910,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10) / 25 Ml In 1 Bag,12.36,12.36,,,0 CDM,168927_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,10.3,10.3,,,0 CDM,168927_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,10.3,10.3,,,0 CDM,168927_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,10.3,10.3,,,0 CDM,168927_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,11.16,11.16,,,0 CDM,168927_00409488801,NDC Description Not Available,7.92,7.92,,,0 CDM,168927_00409488802,NDC Description Not Available,8.41,8.41,,,0 CDM,168927_00409488803,NDC Description Not Available,5.5,5.5,,,0 CDM,168927_00409488806,NDC Description Not Available,8.13,8.13,,,0 CDM,168927_00409488810,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-10) / 10 Ml In 1 Vial, Single-Dose (0409-4888-02)",3.6,3.6,,,0 CDM,168927_00409488812,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-12) / 10 Ml In 1 Vial, Single-Dose (0409-4888-01)",9.27,9.27,,,0 CDM,168927_00409488820,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20) / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",5.52,5.52,,,0 CDM,168927_00409488850,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50) / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",3.09,3.09,,,0 CDM,168927_00641049717,NDC Description Not Available,3.72,3.72,,,0 CDM,168927_14789013307,NDC Description Not Available,6.18,6.18,,,0 CDM,168927_14789013407,NDC Description Not Available,84.56,84.56,,,0 CDM,168927_63323018600,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-00) / 100 Ml In 1 Vial, Single-Dose",45.5,45.5,,,0 CDM,168927_63323018601,NDC Description Not Available,4.33,4.33,,,0 CDM,168927_63323018602,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-02) / 2 Ml In 1 Vial, Single-Dose (63323-186-04)",4.39,4.39,,,0 CDM,168927_63323018603,NDC Description Not Available,8.8,8.8,,,0 CDM,168927_63323018604,NDC Description Not Available,4.6,4.6,,,0 CDM,168927_63323018610,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10) / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",4.53,4.53,,,0 CDM,168927_63323018620,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-20) / 20 Ml In 1 Vial, Single-Dose (63323-186-03)",9.2,9.2,,,0 CDM,168927_65282150501,Sodium Chloride: 5 Tray In 1 Carton (65282-1505-1) / 5 Ampule In 1 Tray / 5 Ml In 1 Ampule,4.12,4.12,,,0 CDM,168930_55513013201,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",217.99,217.99,,,0 CDM,168938_00338012612,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,142.39,142.39,,,0 CDM,16894_C2617_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,16896_C2617_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,168991_44567062101,NDC Description Not Available,0.85,0.85,,,0 CDM,168994_52652500101,Katerzia: 1 Bottle In 1 Carton (52652-5001-1) / 150 Ml In 1 Bottle,38.04,38.04,,,0 CDM,16904_272,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16904_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16906_270,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,16906_272,Noncdm Charge Record Medical Supplies,50.1,50.1,,,0 CDM,16906_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16906_C1889_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16908_270,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16908_272,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16908_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16908_C1889_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,16910_272,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,16910_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,169190_00013111421,Cyklokapron: 10 Vial In 1 Box (0013-1114-21) / 10 Ml In 1 Vial (0013-1114-20),122.57,122.57,,,0 CDM,169190_25021041882,Tranexamic Acid: 10 Bag In 1 Carton (25021-418-82) / 100 Ml In 1 Bag,74.16,74.16,,,0 CDM,169190_51754010801,Tranexamic Acid In Sodium Chloride: 100 Ml In 1 Bag (51754-0108-1),88.97,88.97,,,0 CDM,169190_51754010803,Tranexamic Acid In Sodium Chloride: 1000 Ml In 1 Case (51754-0108-3),90.31,90.31,,,0 CDM,169190_80830232901,NDC Description Not Available,87.29,87.29,,,0 CDM,16930_06809412059,NDC Description Not Available,10.3,10.3,,,0 CDM,169436_25021067377,Glydo: 10 Syringe In 1 Carton (25021-673-77) / 11 Ml In 1 Syringe,27.81,27.81,,,0 CDM,169436_76329301105,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5) / 5 Ml In 1 Vial, Single-Use",25.79,25.79,,,0 CDM,169436_76329301205,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5) / 5 Ml In 1 Vial, Single-Use",27.73,27.73,,,0 CDM,169436_76329301305,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3013-5) / 10 Ml In 1 Vial, Single-Use",30.79,30.79,,,0 CDM,169436_76329301505,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3015-5) / 20 Ml In 1 Vial, Single-Use",44.09,44.09,,,0 CDM,1700000001,Hc Nursery Room Daily,1421.0,1421.0,,,0 CDM,170110_55513013201,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",154.11,154.11,,,0 CDM,170110_83257000311,NDC Description Not Available,144.25,144.25,,,0 CDM,170110_83257000412,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",148.18,148.18,,,0 CDM,170115_50242005121,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",209.02,209.02,,,0 CDM,170115_50242005306,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",232.24,232.24,,,0 CDM,170115_63459010310,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",206.98,206.98,,,0 CDM,170115_63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",205.35,205.35,,,0 CDM,170119_70594004101,NDC Description Not Available,38.97,38.97,,,0 CDM,170123_67457099115,Ogivri: 1 Vial In 1 Carton (67457-991-15) / 15 Ml In 1 Vial,226.0,226.0,,,0 CDM,170123_83257000111,Ogivri: 1 Vial In 1 Carton (83257-001-11) / 15 Ml In 1 Vial,145.18,145.18,,,0 CDM,17012_16714090801,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-908-01) / 30 Powder, For Solution In 1 Vial, Single-Dose",68.75,68.75,,,0 CDM,17012_63323013720,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",177.64,177.64,,,0 CDM,17012_71288010720,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",126.0,126.0,,,0 CDM,170139_00641624601,NDC Description Not Available,7.21,7.21,,,0 CDM,170139_43598017205,NDC Description Not Available,4.12,4.12,,,0 CDM,170139_71863020205,NDC Description Not Available,0.52,0.52,,,0 CDM,1701_00904741844,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",4.12,4.12,,,0 CDM,1701_01093995659,NDC Description Not Available,3.96,3.96,,,0 CDM,1701_50804016438,"Citroma: 296 Ml In 1 Bottle, Plastic (50804-164-38)",3.1,3.1,,,0 CDM,1701_71399005101,Onelax Saline Laxative: 296 Ml In 1 Bottle (71399-0051-1),3.93,3.93,,,0 CDM,1701_71399788901,Magnesium Citrate Saline Laxative: 296 Ml In 1 Bottle (71399-7889-1),4.12,4.12,,,0 CDM,17025_270,Noncdm Charge Record Medical Supplies,481.8,481.8,,,0 CDM,170273_51167033101,"Trikafta: 4 Blister Pack In 1 Carton (51167-331-01) / 1 Kit In 1 Blister Pack * 14 Tablet, Film Coated In 1 Blister Pack (51167-431-14) * 7 Tablet, Film Coated In 1 Blister Pack (51167-531-07)",1367.11,1367.11,,,0 CDM,170294_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),3.3,3.3,,,0 CDM,170294_70069002101,NDC Description Not Available,2.27,2.27,,,0 CDM,170294_76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",2.47,2.47,,,0 CDM,17029_270,Noncdm Charge Record Medical Supplies,479.6,479.6,,,0 CDM,170335_59572071101,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",95.91,95.91,,,0 CDM,170439_00487990130,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30) / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",1.2,1.2,,,0 CDM,170446_04467710202,NDC Description Not Available,2.55,2.55,,,0 CDM,170496_51144002001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",85.13,85.13,,,0 CDM,170497_51144003001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",86.8,86.8,,,0 CDM,170526_65597040601,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",64.37,64.37,,,0 CDM,1710000001,Hc Nursery 1 Room Daily,2289.0,2289.0,,,0 CDM,17106_270,Noncdm Charge Record Medical Supplies,580.65,580.65,,,0 CDM,17154_C1768_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,17156_C1768_278,Noncdm Charge Record Medical Supplies,567.6,567.6,,,0 CDM,171634_00069030501,"Trazimera: 1 Kit In 1 Kit (0069-0305-01) * 20 Ml In 1 Vial, Multi-Dose (0069-0306-01) * 20 Ml In 1 Vial (0069-0307-01)",197.59,197.59,,,0 CDM,171636_00069034201,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",151.63,151.63,,,0 CDM,171638_00006385601,NDC Description Not Available,4.29,4.29,,,0 CDM,171638_00006385602,"Recarbrio: 25 Vial, Single-Dose In 1 Carton (0006-3856-02) / 20 Ml In 1 Vial, Single-Dose (0006-3856-01)",4.27,4.27,,,0 CDM,171639_00069023801,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",163.51,163.51,,,0 CDM,171639_00069024901,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",116.67,116.67,,,0 CDM,171639_63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",177.19,177.19,,,0 CDM,171653_55566840301,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",7.85,7.85,,,0 CDM,171664_59630026601,NDC Description Not Available,6.95,6.95,,,0 CDM,171664_59630026610,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",6.58,6.58,,,0 CDM,171671_71699005030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",170.44,170.44,,,0 CDM,171674_71699010030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-100-30)",165.78,165.78,,,0 CDM,171676_71699020030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-200-30)",170.4,170.4,,,0 CDM,171681_00169782501,"Novoeight: 1 Kit In 1 Kit (0169-7825-01) * 4 Ml In 1 Vial, Glass (0169-7829-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.05,5.05,,,0 CDM,171682_00169785001,"Novoeight: 1 Kit In 1 Kit (0169-7850-01) * 4 Ml In 1 Vial, Glass (0169-7851-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 CDM,171683_00169781001,"Novoeight: 1 Kit In 1 Kit (0169-7810-01) * 4 Ml In 1 Vial, Glass (0169-7811-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 CDM,171684_00169781501,"Novoeight: 1 Kit In 1 Kit (0169-7815-01) * 4 Ml In 1 Vial, Glass (0169-7855-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 CDM,171685_00169782001,"Novoeight: 1 Kit In 1 Kit (0169-7820-01) * 4 Ml In 1 Vial, Glass (0169-7821-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 CDM,171686_00169783001,"Novoeight: 1 Kit In 1 Kit (0169-7830-01) * 4 Ml In 1 Vial, Glass (0169-7831-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 CDM,171689_71336100101,"Givlaari: 1 Vial, Single-Use In 1 Carton (71336-1001-1) / 1 Ml In 1 Vial, Single-Use",270.71,270.71,,,0 CDM,171693_72060014240,Caplyta: 30 Capsule In 1 Bottle (72060-142-40),239.65,239.65,,,0 CDM,1720000001,Hc Nursery 2 Room Daily,4110.0,4110.0,,,0 CDM,1720000002,Noncdm Charge Record,3328.0,3328.0,,,0 CDM,172063_67386013051,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",43.7,43.7,,,0 CDM,172078_46287002415,"Potassium Phosphates: 1 Vial, Single-Dose In 1 Carton (46287-024-15) / 15 Ml In 1 Vial, Single-Dose",161.71,161.71,,,0 CDM,172090_72618300002,"Nurtec Odt: 1 Blister Pack In 1 Carton (72618-3000-2) / 8 Tablet, Orally Disintegrating In 1 Blister Pack",514.59,514.59,,,0 CDM,172266_10631040701,Proctosol-Hc: 1 Tube In 1 Carton (10631-407-01) / 28.35 G In 1 Tube,314.84,314.84,,,0 CDM,172266_62559043130,Hydrocortisone: 1 Tube In 1 Carton (62559-431-30) / 30 G In 1 Tube,299.73,299.73,,,0 CDM,172266_64980032430,Proctozone-Hc: 1 Tube In 1 Carton (64980-324-30) / 30 G In 1 Tube,314.99,314.99,,,0 CDM,172266_69315031228,Procto-Med Hc: 1 Tube In 1 Carton (69315-312-28) / 28 G In 1 Tube,302.82,302.82,,,0 CDM,172272_00037682315,Proctofoam Ns: 1 Canister In 1 Carton (0037-6823-15) / 15 G In 1 Canister,116.39,116.39,,,0 CDM,172276_54766077804,"Analpram Hc: 28.4 G In 1 Tube, With Applicator (54766-778-04)",1176.26,1176.26,,,0 CDM,17228_C1889_278,Noncdm Charge Record Medical Supplies,1248.81,1248.81,,,0 CDM,1726_270,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,17285_63323076210,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10) / 4 Ml In 1 Vial,25.49,25.49,,,0 CDM,17287_270,Noncdm Charge Record Medical Supplies,933.9,933.9,,,0 CDM,1730000001,Hc Nursery 3 Room Daily,8000.0,8000.0,,,0 CDM,1730000002,Noncdm Charge Record,10002.0,10002.0,,,0 CDM,173130_55513067001,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",123.6,123.6,,,0 CDM,173133_68803072205,"Tissueblue: 10 Pouch In 1 Carton (68803-722-05) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",655.08,655.08,,,0 CDM,173136_55292032020,"Isturisa: 20 Tablet, Coated In 1 Blister Pack (55292-320-20)",544.63,544.63,,,0 CDM,173136_55292032060,"Isturisa: 60 Tablet, Coated In 1 Blister Pack (55292-320-60)",544.62,544.62,,,0 CDM,173222_24338026010,NDC Description Not Available,418.03,418.03,,,0 CDM,173263_51144000160,Tukysa: 60 Tablet In 1 Bottle (51144-001-60),2.23,2.23,,,0 CDM,173264_51144000260,Tukysa: 60 Tablet In 1 Bottle (51144-002-60),4.46,4.46,,,0 CDM,173274_14789025007,NDC Description Not Available,125.66,125.66,,,0 CDM,173274_14789025010,Emerphed: 10 Vial In 1 Carton (14789-250-10) / 10 Ml In 1 Vial (14789-250-07),112.2,112.2,,,0 CDM,173274_42023024301,"Ephedrine Sulfate: 10 Ml In 1 Vial, Single-Dose (42023-243-01)",18.77,18.77,,,0 CDM,173279_55135013201,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",82.13,82.13,,,0 CDM,173322_57894050301,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",136.17,136.17,,,0 CDM,173366_72493010140,NDC Description Not Available,683.2,683.2,,,0 CDM,173366_72493010303,"Jelmyto: 1 Kit In 1 Carton (72493-103-03) * 1 Powder, For Solution In 1 Vial, Single-Dose (72493-101-40) * 20 Ml In 1 Vial, Single-Dose (72493-102-20)",731.4,731.4,,,0 CDM,1735_270,Noncdm Charge Record Medical Supplies,860.14,860.14,,,0 CDM,173604_68727071201,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",450.48,450.48,,,0 CDM,173649_00024591500,NDC Description Not Available,4700.92,4700.92,,,0 CDM,173649_00024591502,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5915-02) / 2 Ml In 1 Syringe, Glass (0024-5915-00)",4700.92,4700.92,,,0 CDM,17377_27808000201,"Risperidone: 30 Ml In 1 Bottle, Unit-Dose (27808-002-01)",43.92,43.92,,,0 CDM,17377_50458059601,Risperidone: 30 Ml In 1 Bottle (50458-596-01),31.6,31.6,,,0 CDM,17377_65162067384,Risperidone: 30 Ml In 1 Bottle (65162-673-84),21.94,21.94,,,0 CDM,17377_72162203703,Risperidone: 30 Ml In 1 Bottle (72162-2037-3),40.34,40.34,,,0 CDM,17378_23155021631,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",891.87,891.87,,,0 CDM,17379_55150020720,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",4.86,4.86,,,0 CDM,17379_63323050701,NDC Description Not Available,0.52,0.52,,,0 CDM,17379_63323050719,NDC Description Not Available,2.37,2.37,,,0 CDM,17380_00409139121,NDC Description Not Available,8.96,8.96,,,0 CDM,17380_00409139122,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),8.96,8.96,,,0 CDM,17380_00781309895,Meropenem: 10 Vial In 1 Carton (0781-3098-95) / 30 Ml In 1 Vial (0781-3098-94),13.22,13.22,,,0 CDM,17380_55150020830,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",4.76,4.76,,,0 CDM,17380_63323050801,NDC Description Not Available,2.55,2.55,,,0 CDM,17380_63323050821,NDC Description Not Available,4.76,4.76,,,0 CDM,17380_63323050830,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),2.56,2.56,,,0 CDM,17380_63323050831,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),4.75,4.75,,,0 CDM,17387_42291008430,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (42291-084-30)",27.17,27.17,,,0 CDM,17387_50111078910,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-789-10)",67.34,67.34,,,0 CDM,17387_69452017313,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (69452-173-13)",67.9,67.9,,,0 CDM,173999_69396002301,Dibucaine: 1 Tube In 1 Box (69396-023-01) / 28.4 G In 1 Tube,3.09,3.09,,,0 CDM,1740000001,Hc Nursery 4 Room Daily,9000.0,9000.0,,,0 CDM,1740000002,Noncdm Charge Record,12743.0,12743.0,,,0 CDM,17403_31722050560,Nevirapine: 60 Tablet In 1 Bottle (31722-505-60),39.14,39.14,,,0 CDM,17403_33342000409,Nevirapine: 60 Tablet In 1 Bottle (33342-004-09),39.14,39.14,,,0 CDM,17405,Noncdm Charge Record,250.0,250.0,,,0 CDM,17405_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,6.74,6.74,,,0 CDM,17405_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,1.03,1.03,,,0 CDM,17405_00002771401,NDC Description Not Available,16.71,16.71,,,0 CDM,17405_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.62,0.62,,,0 CDM,17405_00024592410,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",4.12,4.12,,,0 CDM,17405_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,4.46,4.46,,,0 CDM,174181_00074165801,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-1658-01) / 1 Ml In 1 Vial, Single-Dose",30.52,30.52,,,0 CDM,1742_00009311601,Cleocin T: 1 BOTTLE in 1 CARTON (0009-3116-01) / 30 mL in 1 BOTTLE,263.16,263.16,,,0 CDM,1742_00168020130,Clindamycin Phosphate: 1 Bottle In 1 Carton (0168-0201-30) / 30 Ml In 1 Bottle,80.07,80.07,,,0 CDM,1742_21922000221,"Clindamycin Phoaphate Topical Solution Usp, 1%: 1 Bottle In 1 Carton (21922-002-21) / 30 Ml In 1 Bottle",147.29,147.29,,,0 CDM,1742_45802056201,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-01) / 30 Ml In 1 Bottle, With Applicator",98.03,98.03,,,0 CDM,1742_45802056202,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-02) / 60 Ml In 1 Bottle, With Applicator",208.96,208.96,,,0 CDM,174417_00409492811,NDC Description Not Available,51.82,51.82,,,0 CDM,174417_00517671001,NDC Description Not Available,87.34,87.34,,,0 CDM,174417_00517671010,"Calcium Chloride: 10 Vial, Glass In 1 Box (0517-6710-10) / 10 Ml In 1 Vial, Glass",87.45,87.45,,,0 CDM,174418_00009001103,NDC Description Not Available,88.24,88.24,,,0 CDM,174418_00009082501,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,51.59,51.59,,,0 CDM,174492_00225081047,"Neo-Synephrine Maximum: 15 Ml In 1 Bottle, Spray (0225-0810-47)",4.12,4.12,,,0 CDM,17451_61269041020,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",72.69,72.69,,,0 CDM,17466_00378351510,"Mirtazapine: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0378-3515-10)",9.82,9.82,,,0 CDM,17466_00904651961,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.87,9.87,,,0 CDM,17466_51079008601,NDC Description Not Available,9.06,9.06,,,0 CDM,17466_68084011911,NDC Description Not Available,3.63,3.63,,,0 CDM,17469_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,1746_C1713_278,Noncdm Charge Record Medical Supplies,1112.1,1112.1,,,0 CDM,17471_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,174729_00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",10.3,10.3,,,0 CDM,174729_00409508413,NDC Description Not Available,10.33,10.33,,,0 CDM,174729_44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",10.82,10.82,,,0 CDM,17477_270,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,17477_C1757_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,17477_C1889_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,17482_00527239519,"Azithromycin: 1 Blister Pack In 1 Carton (0527-2395-19) / 3 Tablet, Film Coated In 1 Blister Pack",52.45,52.45,,,0 CDM,17482_00904735104,"Azithromycin: 30 Blister Pack In 1 Carton (0904-7351-04) / 1 Tablet, Film Coated In 1 Blister Pack",9.69,9.69,,,0 CDM,17482_50111078810,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-788-10)",54.9,54.9,,,0 CDM,17482_50111078855,"Azithromycin: 1 Blister Pack In 1 Carton (50111-788-55) / 3 Tablet, Film Coated In 1 Blister Pack",51.5,51.5,,,0 CDM,17482_60687075311,NDC Description Not Available,23.31,23.31,,,0 CDM,17482_68180086211,"Azithromycin: 1 Blister Pack In 1 Carton (68180-862-11) / 3 Tablet, Film Coated In 1 Blister Pack",46.5,46.5,,,0 CDM,17482_69452017272,"Azithromycin: 3 Blister Pack In 1 Carton (69452-172-72) / 3 Tablet, Film Coated In 1 Blister Pack",49.49,49.49,,,0 CDM,175130_00409131203,NDC Description Not Available,24.32,24.32,,,0 CDM,175130_00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),24.38,24.38,,,0 CDM,1751_C1713_278,Noncdm Charge Record Medical Supplies,650.1,650.1,,,0 CDM,175216_00409490234,Dextrose: 10 Carton In 1 Container (0409-4902-34) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-4902-64),47.98,47.98,,,0 CDM,175216_00409490264,NDC Description Not Available,72.1,72.1,,,0 CDM,175216_00409751716,"Dextrose: 10 Carton In 1 Container (0409-7517-16) / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",70.04,70.04,,,0 CDM,175216_00409751766,NDC Description Not Available,67.98,67.98,,,0 CDM,175216_76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,46.72,46.72,,,0 CDM,175219_76045010610,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-106-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass",3.1,3.1,,,0 CDM,175231_00409553434,NDC Description Not Available,37.08,37.08,,,0 CDM,175231_51754501201,NDC Description Not Available,21.63,21.63,,,0 CDM,175232_00409662522,NDC Description Not Available,42.23,42.23,,,0 CDM,175232_00409662530,NDC Description Not Available,40.17,40.17,,,0 CDM,175232_00409663724,NDC Description Not Available,75.19,75.19,,,0 CDM,175232_00409663734,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34) / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,47.38,47.38,,,0 CDM,175232_51754500101,NDC Description Not Available,37.8,37.8,,,0 CDM,175232_63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",107.12,107.12,,,0 CDM,175232_72603020901,NDC Description Not Available,45.32,45.32,,,0 CDM,175232_76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,77.9,77.9,,,0 CDM,1754_69238110903,Clomipramine Hcl: 30 Capsule In 1 Bottle (69238-1109-3),39.5,39.5,,,0 CDM,1754_69238110909,Clomipramine Hcl: 90 Capsule In 1 Bottle (69238-1109-9),40.68,40.68,,,0 CDM,175560_00409592201,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5922-01) / 20 Ml In 1 Vial, Single-Dose (0409-5922-16)",45.35,45.35,,,0 CDM,175560_00409592216,NDC Description Not Available,45.98,45.98,,,0 CDM,175682_00338050748,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),9.08,9.08,,,0 CDM,175765_25021030266,amiodarone hydrochloride: 10 SYRINGE in 1 CARTON (25021-302-66) / 3 mL in 1 SYRINGE,11.27,11.27,,,0 CDM,17594_00407222201,10 VIAL in 1 BOX (0407-2222-01) / 50 mL in 1 VIAL,4.97,4.97,,,0 CDM,17594_00407222202,"10 BOTTLE, GLASS in 1 BOX (0407-2222-02) / 100 mL in 1 BOTTLE, GLASS",10.21,10.21,,,0 CDM,17594_65219038110,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-10) / 100 Ml In 1 Bottle, Plastic (65219-381-03)",4.42,4.42,,,0 CDM,17594_65219038150,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-50) / 150 Ml In 1 Bottle, Plastic (65219-381-05)",3.44,3.44,,,0 CDM,17595_00407222301,10 VIAL in 1 BOX (0407-2223-01) / 50 mL in 1 VIAL,4.96,4.96,,,0 CDM,17595_00407222302,"10 BOTTLE, GLASS in 1 BOX (0407-2223-02) / 100 mL in 1 BOTTLE, GLASS",4.96,4.96,,,0 CDM,17595_00407222303,"10 BOTTLE, GLASS in 1 BOX (0407-2223-03) / 150 mL in 1 BOTTLE, GLASS",4.56,4.56,,,0 CDM,17595_00407222317,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",18.33,18.33,,,0 CDM,17595_00407222362,"Visipaque: 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-62) / 50 mL in 1 BOTTLE, PLASTIC",8.52,8.52,,,0 CDM,17595_00407222364,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-64) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 CDM,17595_00407222366,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-66) / 150 Ml In 1 Bottle, Plastic",4.56,4.56,,,0 CDM,1759_13107031901,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (13107-319-01),7.21,7.21,,,0 CDM,1759_51672404201,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4042-1),4.29,4.29,,,0 CDM,1760_00378004001,"Clorazepate Dipotassium: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0040-01)",10.3,10.3,,,0 CDM,1760_13107032001,"Clorazepate Dipotassium: 100 Tablet In 1 Bottle, Plastic (13107-320-01)",6.51,6.51,,,0 CDM,1760_51672404301,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4043-1),3.88,3.88,,,0 CDM,176329_00574052174,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),16.63,16.63,,,0 CDM,17639_C1781_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,17654_270,Noncdm Charge Record Medical Supplies,556.46,556.46,,,0 CDM,17654_C1762_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,17654_C1763_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,17654_C1768_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,17654_C1889_278,Noncdm Charge Record Medical Supplies,560.12,560.12,,,0 CDM,17654_Q4100_278,Noncdm Charge Record Medical Supplies,554.4,554.4,,,0 CDM,17656_Q4100_278,Noncdm Charge Record Medical Supplies,319.0,319.0,,,0 CDM,17658_Q4100_278,Noncdm Charge Record Medical Supplies,349.31,349.31,,,0 CDM,17660_Q4100_278,Noncdm Charge Record Medical Supplies,568.76,568.76,,,0 CDM,176652,Noncdm Charge Record,145.21,145.21,,,0 CDM,176652_58160084243,NDC Description Not Available,197.76,197.76,,,0 CDM,1767_00536126511,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-11) / 14.17 G In 1 Tube,5.15,5.15,,,0 CDM,1767_00536126595,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-95) / 28 G In 1 Tube,8.45,8.45,,,0 CDM,1767_01093956633,NDC Description Not Available,14.42,14.42,,,0 CDM,1767_04110059419,NDC Description Not Available,1.03,1.03,,,0 CDM,1767_45802043411,Clotrimazole: 1 Tube In 1 Carton (45802-434-11) / 28 G In 1 Tube,30.9,30.9,,,0 CDM,1767_49348027972,Sunmark Clotrimazole: 1 Tube In 1 Carton (49348-279-72) / 30 G In 1 Tube,26.93,26.93,,,0 CDM,1767_51672200201,Clotrimazole: 1 Tube In 1 Carton (51672-2002-1) / 15 G In 1 Tube,30.9,30.9,,,0 CDM,1767_51672200202,Clotrimazole: 1 Tube In 1 Carton (51672-2002-2) / 30 G In 1 Tube,39.97,39.97,,,0 CDM,1767_68462018117,Clotrimazole: 15 G In 1 Tube (68462-181-17),71.89,71.89,,,0 CDM,1767_70677100201,Clotrimazole 1% Athletes Foot: 1 Tube In 1 Carton (70677-1002-1) / 30 G In 1 Tube,17.51,17.51,,,0 CDM,176805_00409117603,NDC Description Not Available,26.09,26.09,,,0 CDM,176808_00641605401,NDC Description Not Available,12.46,12.46,,,0 CDM,176808_00641605425,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6054-25) / 1 Ml In 1 Vial (0641-6054-01),12.36,12.36,,,0 CDM,176817_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,176817_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,176817_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,176817_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,176817_00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),35.96,35.96,,,0 CDM,176817_00338055318,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),35.95,35.95,,,0 CDM,176817_00409710168,NDC Description Not Available,36.05,36.05,,,0 CDM,176817_00409710169,NDC Description Not Available,36.05,36.05,,,0 CDM,176817_17271070103,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),36.05,36.05,,,0 CDM,176818_00338055111,Dextrose: 50 Ml In 1 Bag (0338-0551-11),36.05,36.05,,,0 CDM,176818_00338055118,Dextrose: 100 Ml In 1 Bag (0338-0551-18),36.05,36.05,,,0 CDM,176818_00409710066,Dextrose: 10 Pouch In 1 Case (0409-7100-66) / 5 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-7100-68),36.05,36.05,,,0 CDM,17686_270,Noncdm Charge Record Medical Supplies,1274.91,1274.91,,,0 CDM,1768_10135067181,Clotrimazole: 1 Bottle In 1 Carton (10135-671-81) / 10 Ml In 1 Bottle,121.54,121.54,,,0 CDM,1768_51672203701,Clotrimazole: 1 Bottle In 1 Carton (51672-2037-1) / 10 Ml In 1 Bottle,162.74,162.74,,,0 CDM,176928_70257005105,NDC Description Not Available,219.99,219.99,,,0 CDM,176928_70257005151,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",219.99,219.99,,,0 CDM,1769_49348079376,Clotrimazole: 1 Tube In 1 Carton (49348-793-76) / 45 G In 1 Tube,23.69,23.69,,,0 CDM,1769_51672200306,Clotrimazole: 1 Tube In 1 Carton (51672-2003-6) / 45 G In 1 Tube,28.84,28.84,,,0 CDM,17715_270,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,17719_270,Noncdm Charge Record Medical Supplies,412.5,412.5,,,0 CDM,177206,Noncdm Charge Record,145.18,145.18,,,0 CDM,177206_13533063603,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03) / .5 Ml In 1 Syringe, Glass (13533-636-30)",382.13,382.13,,,0 CDM,177206_13533063630,NDC Description Not Available,382.13,382.13,,,0 CDM,177347,Noncdm Charge Record,145.25,145.25,,,0 CDM,177347_58160082643,NDC Description Not Available,344.02,344.02,,,0 CDM,177347_58160082652,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),66.95,66.95,,,0 CDM,177517_63323085203,NDC Description Not Available,7.21,7.21,,,0 CDM,177517_76045000901,NDC Description Not Available,19.17,19.17,,,0 CDM,177518_76045001001,NDC Description Not Available,29.87,29.87,,,0 CDM,177954_67457086301,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01) / 1 Ml In 1 Vial,4.33,4.33,,,0 CDM,178044_13533063402,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",1604.74,1604.74,,,0 CDM,17837_00054074287,"Albuterol Sulfate: 1 Canister In 1 Carton (0054-0742-87) / 200 Aerosol, Metered In 1 Canister",1.72,1.72,,,0 CDM,17837_00085113204,"Proventil HFA: 1 CANISTER in 1 CARTON (0085-1132-04) / 200 AEROSOL, METERED in 1 CANISTER",2.03,2.03,,,0 CDM,17837_00093317431,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (0093-3174-31) / 200 Aerosol, Metered In 1 Inhaler",1.85,1.85,,,0 CDM,17837_00173068220,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-20) / 200 Aerosol, Metered In 1 Inhaler",1.1,1.1,,,0 CDM,17837_00173068224,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24) / 60 Aerosol, Metered In 1 Inhaler",0.47,0.47,,,0 CDM,17837_00781729685,"Albuterol Sulfate: 1 Canister In 1 Carton (0781-7296-85) / 200 Aerosol, Metered In 1 Canister",0.86,0.86,,,0 CDM,17837_59310057922,"PROAIR: 1 INHALER in 1 CARTON (59310-579-22) / 200 AEROSOL, METERED in 1 INHALER",2.0,2.0,,,0 CDM,17837_66993001968,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68) / 200 Aerosol, Metered In 1 Inhaler",1.1,1.1,,,0 CDM,17837_68180096301,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01) / 200 Aerosol, Metered In 1 Canister",1.98,1.98,,,0 CDM,17837_69097014260,Albuterol Sulfate: 1 Canister In 1 Carton (69097-142-60) / 200 Inhalant In 1 Canister,1.33,1.33,,,0 CDM,178396_69339015705,NDC Description Not Available,24.87,24.87,,,0 CDM,17845_C1773_278,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,17847_C1773_278,Noncdm Charge Record Medical Supplies,414.77,414.77,,,0 CDM,17849_C1757_278,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 CDM,17851_C1757_278,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 CDM,17853_C1757_278,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 CDM,178664_66302020603,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,20.37,20.37,,,0 CDM,17881_17478071511,"Brimonidine: 1 BOTTLE, DROPPER in 1 CARTON (17478-715-11) / 10 mL in 1 BOTTLE, DROPPER",2.06,2.06,,,0 CDM,17881_24208041105,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-05) / 5 Ml In 1 Bottle, Dropper",64.97,64.97,,,0 CDM,17881_24208041110,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-10) / 10 Ml In 1 Bottle, Dropper",31.95,31.95,,,0 CDM,17881_61314014305,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-05) / 5 Ml In 1 Bottle,63.9,63.9,,,0 CDM,17881_61314014310,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-10) / 10 Ml In 1 Bottle,234.97,234.97,,,0 CDM,17881_61314014315,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-15) / 15 Ml In 1 Bottle,353.29,353.29,,,0 CDM,17881_70069023101,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01) / 5 Ml In 1 Bottle,37.1,37.1,,,0 CDM,17881_70069023201,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-232-01) / 10 Ml In 1 Bottle,30.03,30.03,,,0 CDM,178847_00009003905,NDC Description Not Available,3.48,3.48,,,0 CDM,178847_00009003930,NDC Description Not Available,3.22,3.22,,,0 CDM,178848,Noncdm Charge Record,250.0,250.0,,,0 CDM,178848_00009004722,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),1.8,1.8,,,0 CDM,178848_00009004725,NDC Description Not Available,1.74,1.74,,,0 CDM,178848_00009004726,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-26) / 2 Ml In 1 Vial (0009-0047-27),1.69,1.69,,,0 CDM,178848_00009004727,NDC Description Not Available,1.69,1.69,,,0 CDM,178849_00009000302,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02) / 4 Ml In 1 Vial,2.14,2.14,,,0 CDM,178849_00009075801,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.05,1.05,,,0 CDM,178850_00009001820,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,1.49,1.49,,,0 CDM,178899,Noncdm Charge Record,143.0,143.0,,,0 CDM,178899_58160095509,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",679.8,679.8,,,0 CDM,178998_00009001612,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0016-12) / 4 Ml In 1 Vial, Single-Dose",108.84,108.84,,,0 CDM,179000_00009001103,NDC Description Not Available,85.14,85.14,,,0 CDM,179000_00009001104,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",88.88,88.88,,,0 CDM,179000_00009082501,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,60.14,60.14,,,0 CDM,179231_60687057640,NDC Description Not Available,23.91,23.91,,,0 CDM,179231_60687057686,"Midazolam Hydrochloride: 3 Tray In 1 Case (60687-576-86) / 10 Cup, Unit-Dose In 1 Tray (60687-576-46) / 5 Ml In 1 Cup, Unit-Dose (60687-576-40)",22.24,22.24,,,0 CDM,179231_68094076459,NDC Description Not Available,22.17,22.17,,,0 CDM,179292_13533080020,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",174.58,174.58,,,0 CDM,179292_13533080021,NDC Description Not Available,174.83,174.83,,,0 CDM,179293_13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",175.2,175.2,,,0 CDM,179293_13533080072,NDC Description Not Available,174.34,174.34,,,0 CDM,179294_13533080024,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",174.64,174.64,,,0 CDM,179294_13533080025,NDC Description Not Available,175.0,175.0,,,0 CDM,179340_00065074114,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14) / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",57.75,57.75,,,0 CDM,17936_00904637761,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6377-61) / 1 Tablet, Film Coated In 1 Blister Pack",46.0,46.0,,,0 CDM,17936_60505311100,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0) / 10 Tablet, Film Coated In 1 Blister Pack",44.21,44.21,,,0 CDM,17936_68084072311,NDC Description Not Available,34.04,34.04,,,0 CDM,17937_00904637661,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6376-61) / 1 Tablet, Film Coated In 1 Blister Pack",47.64,47.64,,,0 CDM,17937_60505311300,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0) / 10 Tablet, Film Coated In 1 Blister Pack",65.5,65.5,,,0 CDM,17937_60505311303,"30 TABLET, FILM COATED in 1 BOTTLE (60505-3113-3)",59.26,59.26,,,0 CDM,179440_00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.53,2.53,,,0 CDM,179440_00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",0.25,0.25,,,0 CDM,17946_00054317644,"Dexamethasone Intensol: 30 Ml In 1 Bottle, Glass (0054-3176-44)",28.02,28.02,,,0 CDM,179538_00074364203,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,5053.18,5053.18,,,0 CDM,17961_31722050960,Zidovudine: 12 Bottle In 1 Case (31722-509-60) / 60 Tablet In 1 Bottle,7.21,7.21,,,0 CDM,179672_62756006040,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,49.51,49.51,,,0 CDM,179672_66215040201,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,45.15,45.15,,,0 CDM,179672_67457058810,Epoprostenol: 1 Vial In 1 Carton (67457-588-10) / 10 Ml In 1 Vial,37.85,37.85,,,0 CDM,180266_00409490014,Sodium Bicarbonate: 10 Carton In 1 Package (0409-4900-14) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe (0409-4900-24),102.12,102.12,,,0 CDM,180266_51754500101,NDC Description Not Available,38.11,38.11,,,0 CDM,180266_76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,77.36,77.36,,,0 CDM,180373_60793070505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-705-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",338.65,338.65,,,0 CDM,180521_62756005940,Epoprostenol: 1 Vial In 1 Carton (62756-059-40) / 10 Ml In 1 Vial,38.11,38.11,,,0 CDM,180521_66215040301,Veletri: 1 Vial In 1 Carton (66215-403-01) / 10 Ml In 1 Vial,101.29,101.29,,,0 CDM,180555_64950034205,NDC Description Not Available,42.19,42.19,,,0 CDM,18098_C1751_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,181217_00409128303,NDC Description Not Available,21.34,21.34,,,0 CDM,181217_00409128304,NDC Description Not Available,14.42,14.42,,,0 CDM,181217_00409128305,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),14.56,14.56,,,0 CDM,181217_00409426401,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-4264-01) / .5 Ml In 1 Syringe (0409-4264-11),8.58,8.58,,,0 CDM,181217_00409426411,NDC Description Not Available,12.34,12.34,,,0 CDM,181217_76045000996,NDC Description Not Available,20.6,20.6,,,0 CDM,181296_00409255201,Hydromorphone Hydrochloride: 10 Ampule In 1 Carton (0409-2552-01) / 1 Ml In 1 Ampule (0409-2552-11),5.15,5.15,,,0 CDM,181318_00942064104,Acd-A: 1000 Ml In 1 Bag (0942-0641-04),42.88,42.88,,,0 CDM,181566_50242003706,NDC Description Not Available,363.98,363.98,,,0 CDM,181566_50242012047,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",375.74,375.74,,,0 CDM,18192_25021067167,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-67) / 200 Ml In 1 Bag,0.46,0.46,,,0 CDM,18192_25021067187,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-87) / 200 Ml In 1 Bag,0.84,0.84,,,0 CDM,18192_43066015401,NDC Description Not Available,0.65,0.65,,,0 CDM,18192_55150019520,"Ropivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-195-20) / 20 Ml In 1 Vial, Single-Dose",1.46,1.46,,,0 CDM,18192_55150019699,"Ropivacaine Hydrochloride: 1 Bottle, Glass In 1 Carton (55150-196-99) / 100 Ml In 1 Bottle, Glass",1.3,1.3,,,0 CDM,18192_63323028507,NDC Description Not Available,5.28,5.28,,,0 CDM,18192_63323028520,Naropin: 5 Ampule In 1 Box (63323-285-20) / 20 Ml In 1 Ampule (63323-285-06),1.7,1.7,,,0 CDM,18192_63323028523,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",1.23,1.23,,,0 CDM,18192_63323028551,NDC Description Not Available,0.83,0.83,,,0 CDM,18192_63323028563,Naropin: 24 Bag In 1 Case (63323-285-63) / 200 Ml In 1 Bag (63323-285-04),0.97,0.97,,,0 CDM,18192_63323028564,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),0.88,0.88,,,0 CDM,18192_63323028565,Naropin: 12 Bottle In 1 Case (63323-285-65) / 100 Ml In 1 Bottle (63323-285-51),1.17,1.17,,,0 CDM,18192_63323028567,Naropin: 12 Bottle In 1 Case (63323-285-67) / 100 Ml In 1 Bottle (63323-285-55),5.73,5.73,,,0 CDM,18193_63323028703,NDC Description Not Available,0.78,0.78,,,0 CDM,18195_63323028603,NDC Description Not Available,0.53,0.53,,,0 CDM,18195_63323028605,NDC Description Not Available,2.37,2.37,,,0 CDM,18195_63323028611,NDC Description Not Available,0.94,0.94,,,0 CDM,18195_63323028620,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.73,0.73,,,0 CDM,18195_63323028623,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-23) / 20 Ml In 1 Vial, Single-Dose (63323-286-05)",0.95,0.95,,,0 CDM,18195_63323028630,"Naropin: 1 Vial, Single-Dose In 1 Box (63323-286-30) / 30 Ml In 1 Vial, Single-Dose",0.52,0.52,,,0 CDM,18195_63323028635,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-35) / 30 Ml In 1 Vial, Single-Dose (63323-286-11)",0.7,0.7,,,0 CDM,18195_63323028695,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95) / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.26,0.26,,,0 CDM,18195_70069006401,Ropivacaine Hydrochloride: 1 Vial In 1 Carton (70069-064-01) / 30 Ml In 1 Vial,0.25,0.25,,,0 CDM,18195_70069006410,Ropivacaine Hydrochloride: 10 Vial In 1 Carton (70069-064-10) / 30 Ml In 1 Vial,0.26,0.26,,,0 CDM,18195_70069006425,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (70069-064-25) / 30 Ml In 1 Vial,0.25,0.25,,,0 CDM,18201_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,18203_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,1821_00254200801,"Colchicine: 100 Tablet, Film Coated In 1 Bottle, Plastic (0254-2008-01)",24.5,24.5,,,0 CDM,1821_00904712004,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.68,20.68,,,0 CDM,1821_42292005401,NDC Description Not Available,40.17,40.17,,,0 CDM,1821_50268018711,NDC Description Not Available,25.74,25.74,,,0 CDM,1821_60687038911,NDC Description Not Available,39.61,39.61,,,0 CDM,1821_60687072711,NDC Description Not Available,40.07,40.07,,,0 CDM,1821_66993016502,"Colchicine: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (66993-165-02)",29.48,29.48,,,0 CDM,1821_67877058901,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),24.02,24.02,,,0 CDM,18232_10572030201,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",115.36,115.36,,,0 CDM,18232_64380076921,"Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride With Lemon Flavor: 4 L In 1 Jug (64380-769-21)",259.56,259.56,,,0 CDM,182336_00944265603,Gammagard S/D: 1 Kit In 1 Carton (0944-2656-03) * 96 Ml In 1 Bottle (0338-0001-77) * 96 Ml In 1 Bottle (64764-512-96) * 100 Ml In 1 Bottle (0944-2657-07),277.17,277.17,,,0 CDM,182337_00944265804,Gammagard S/D: 1 Kit In 1 Carton (0944-2658-04) * 192 Ml In 1 Bottle (0338-0001-37) * 192 Ml In 1 Bottle (64764-511-92) * 200 Ml In 1 Bottle (0944-2659-08),277.19,277.19,,,0 CDM,18268_270,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,182700_00641612501,NDC Description Not Available,10.3,10.3,,,0 CDM,18288_16714052902,"Bisoprolol Fumarate: 100 Tablet, Film Coated In 1 Bottle (16714-529-02)",8.18,8.18,,,0 CDM,18288_50268012711,NDC Description Not Available,4.05,4.05,,,0 CDM,18288_52817027030,"Bisoprolol: 30 Tablet, Film Coated In 1 Bottle (52817-270-30)",8.12,8.12,,,0 CDM,18288_60687067911,NDC Description Not Available,5.33,5.33,,,0 CDM,18288_70954045510,Bisoprolol Fumarate: 30 Tablet In 1 Bottle (70954-455-10),6.78,6.78,,,0 CDM,18292_50268075511,NDC Description Not Available,1.31,1.31,,,0 CDM,18293_00054007725,"Torsemide: 100 Tablet In 1 Bottle, Plastic (0054-0077-25)",2.94,2.94,,,0 CDM,18293_50268075611,NDC Description Not Available,2.67,2.67,,,0 CDM,18293_68084053911,NDC Description Not Available,2.73,2.73,,,0 CDM,18294_23155087401,Torsemide: 100 Tablet In 1 Bottle (23155-874-01),10.72,10.72,,,0 CDM,18294_50111091801,Torsemide: 100 Tablet In 1 Bottle (50111-918-01),11.09,11.09,,,0 CDM,18294_50268075711,NDC Description Not Available,8.24,8.24,,,0 CDM,18302_00409337904,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",16.87,16.87,,,0 CDM,18302_00409339004,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3390-04) / 20 Ml In 1 Vial, Single-Use (0409-3390-11)",15.14,15.14,,,0 CDM,18302_00409339011,NDC Description Not Available,15.04,15.04,,,0 CDM,18302_00781311491,NDC Description Not Available,20.98,20.98,,,0 CDM,18302_00781311495,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",18.39,18.39,,,0 CDM,18302_55150012150,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",10.51,10.51,,,0 CDM,18302_60505615900,NDC Description Not Available,19.23,19.23,,,0 CDM,18302_64679001202,NDC Description Not Available,24.49,24.49,,,0 CDM,18302_65219025905,NDC Description Not Available,11.35,11.35,,,0 CDM,18302_65219025945,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (65219-259-45) / 20 Ml In 1 Vial, Single-Use (65219-259-05)",11.33,11.33,,,0 CDM,18302_72485040401,NDC Description Not Available,19.42,19.42,,,0 CDM,18302_81284015300,NDC Description Not Available,6.41,6.41,,,0 CDM,18303_00781311390,NDC Description Not Available,22.19,22.19,,,0 CDM,18303_00781311395,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3113-95) / 15 Ml In 1 Vial, Single-Use (0781-3113-90)",22.32,22.32,,,0 CDM,18303_55150012030,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",7.72,7.72,,,0 CDM,183060_65302050410,NDC Description Not Available,21.63,21.63,,,0 CDM,183060_69374091910,NDC Description Not Available,51.63,51.63,,,0 CDM,18307_16714066302,Gabapentin: 500 Capsule In 1 Bottle (16714-663-02),5.62,5.62,,,0 CDM,18307_60687060211,NDC Description Not Available,4.39,4.39,,,0 CDM,183086_69374055950,NDC Description Not Available,59.7,59.7,,,0 CDM,183086_70092111850,NDC Description Not Available,59.5,59.5,,,0 CDM,18308_16714066201,Gabapentin: 100 Capsule In 1 Bottle (16714-662-01),3.72,3.72,,,0 CDM,18308_23155086701,Gabapentin: 100 Capsule In 1 Bottle (23155-867-01),2.67,2.67,,,0 CDM,18308_60687059111,NDC Description Not Available,3.96,3.96,,,0 CDM,18309_16714066102,Gabapentin: 500 Capsule In 1 Bottle (16714-661-02),1.89,1.89,,,0 CDM,18310_43547034406,Risperidone: 60 Tablet In 1 Bottle (43547-344-06),5.41,5.41,,,0 CDM,18311_00904636061,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6360-61)",25.34,25.34,,,0 CDM,18311_43547034206,Risperidone: 60 Tablet In 1 Bottle (43547-342-06),27.4,27.4,,,0 CDM,18312_00904636161,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6361-61)",29.94,29.94,,,0 CDM,18313_00904635961,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",15.71,15.71,,,0 CDM,18313_00904736261,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.54,1.54,,,0 CDM,18313_43547034106,Risperidone: 60 Tablet In 1 Bottle (43547-341-06),16.48,16.48,,,0 CDM,18313_50458030001,"Risperdal: 10 Blister Pack In 1 Box, Unit-Dose (50458-300-01) / 10 Tablet In 1 Blister Pack",21.22,21.22,,,0 CDM,18313_68084027201,"Risperidone: 100 Blister Pack In 1 Box, Unit-Dose (68084-272-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-272-11)",16.48,16.48,,,0 CDM,18313_68084027211,NDC Description Not Available,16.08,16.08,,,0 CDM,183144_00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",36.25,36.25,,,0 CDM,183144_69374097950,NDC Description Not Available,41.2,41.2,,,0 CDM,18315_00338107502,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1075-02) / 250 Ml In 1 Bag,86.72,86.72,,,0 CDM,18315_00409234731,NDC Description Not Available,34.68,34.68,,,0 CDM,183218_46287000660,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",112.03,112.03,,,0 CDM,183218_62559035660,NDC Description Not Available,111.95,111.95,,,0 CDM,183222_46287000604,Sodium Polystyrene Sulfonate: 120 Ml In 1 Bottle (46287-006-04),522.3,522.3,,,0 CDM,183489_00641620601,NDC Description Not Available,20.81,20.81,,,0 CDM,183489_76045000901,NDC Description Not Available,17.65,17.65,,,0 CDM,183489_76045000905,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05) / .5 mL in 1 SYRINGE (76045-009-03),18.31,18.31,,,0 CDM,183489_76045000906,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),17.87,17.87,,,0 CDM,183489_76045000996,NDC Description Not Available,18.09,18.09,,,0 CDM,183633_50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",39.67,39.67,,,0 CDM,18385_43547028810,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle (43547-288-10)",7.0,7.0,,,0 CDM,18385_68084069711,NDC Description Not Available,5.94,5.94,,,0 CDM,183905,Noncdm Charge Record,146.52,146.52,,,0 CDM,183905_58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),795.72,795.72,,,0 CDM,18398_00143939101,NDC Description Not Available,254.65,254.65,,,0 CDM,18398_67457019803,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-03) / 3 Ml In 1 Vial, Glass (67457-198-00)",264.81,264.81,,,0 CDM,18398_72078003400,NDC Description Not Available,242.66,242.66,,,0 CDM,183998_00023611201,"Zenpep: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, GLASS (0023-6112-01)",31.93,31.93,,,0 CDM,183998_73562011201,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",34.72,34.72,,,0 CDM,18400_00143939201,NDC Description Not Available,353.29,353.29,,,0 CDM,18400_67457019805,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-05) / 5 Ml In 1 Vial, Glass (67457-198-99)",521.23,521.23,,,0 CDM,184088_00023611601,"Zenpep: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, GLASS (0023-6116-01)",39.66,39.66,,,0 CDM,184088_73562011601,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",43.01,43.01,,,0 CDM,184170_73562011001,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",17.66,17.66,,,0 CDM,184215_73562011101,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",26.29,26.29,,,0 CDM,184391_69374098255,NDC Description Not Available,21.63,21.63,,,0 CDM,184391_71266908002,NDC Description Not Available,17.44,17.44,,,0 CDM,184391_71506007405,NDC Description Not Available,10.3,10.3,,,0 CDM,184665_55513088001,NDC Description Not Available,26.28,26.28,,,0 CDM,184665_55513099801,NDC Description Not Available,29.47,29.47,,,0 CDM,184711_69374092510,NDC Description Not Available,5.64,5.64,,,0 CDM,184819_65174046105,Sodium Iodide I 131 Diagnostic: 5 Capsule In 1 Vial (65174-461-05),45.1,45.1,,,0 CDM,184844_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),41.72,41.72,,,0 CDM,184844_69374098410,NDC Description Not Available,376.78,376.78,,,0 CDM,184959_06332325410,NDC Description Not Available,86.01,86.01,,,0 CDM,184995_01031031840,NDC Description Not Available,13.73,13.73,,,0 CDM,185007_05047465165,NDC Description Not Available,544.87,544.87,,,0 CDM,185011_01254723813,NDC Description Not Available,0.9,0.9,,,0 CDM,185011_69968006009,Polysporin First Aid Antibiotic: 144 Packet In 1 Carton (69968-0060-9) / .9 G In 1 Packet,1.03,1.03,,,0 CDM,185164_24338023005,NDC Description Not Available,212.0,212.0,,,0 CDM,185164_24338023012,"Nymalize: 12 Package In 1 Carton (24338-230-12) / 1 Syringe, Plastic In 1 Package (24338-230-05) / 5 Ml In 1 Syringe, Plastic",212.18,212.18,,,0 CDM,185164_24338023015,NDC Description Not Available,192.58,192.58,,,0 CDM,185331_50242024501,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",179.75,179.75,,,0 CDM,185332_50242026001,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",176.81,176.81,,,0 CDM,185350_49702025018,"Rukobia: 1 Bottle In 1 Carton (49702-250-18) / 60 Tablet, Film Coated, Extended Release In 1 Bottle",422.83,422.83,,,0 CDM,185448_64281011005,NDC Description Not Available,584.01,584.01,,,0 CDM,185456_50881001303,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,33.83,33.83,,,0 CDM,185456_73535020801,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,32.96,32.96,,,0 CDM,185485_70594005601,NDC Description Not Available,25.94,25.94,,,0 CDM,185485_70594005603,Vancomycin: 12 Bag In 1 Carton (70594-056-03) / 150 Ml In 1 Bag (70594-056-01),25.75,25.75,,,0 CDM,185486_70594005701,NDC Description Not Available,27.31,27.31,,,0 CDM,185486_70594005702,Vancomycin: 6 Bag In 1 Carton (70594-057-02) / 250 Ml In 1 Bag (70594-057-01),27.47,27.47,,,0 CDM,185501_70594005801,NDC Description Not Available,27.97,27.97,,,0 CDM,185501_70594005802,Vancomycin: 6 Bag In 1 Carton (70594-058-02) / 350 Ml In 1 Bag (70594-058-01),28.07,28.07,,,0 CDM,18551_00904630061,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",7.11,7.11,,,0 CDM,18551_68382009201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",7.13,7.13,,,0 CDM,18551_72888003401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-034-01)",5.87,5.87,,,0 CDM,185565_69945006401,"Detectnet: 1 Vial, Single-Use In 1 Can (69945-064-01) / 4 Ml In 1 Vial, Single-Use",2455.68,2455.68,,,0 CDM,185624_71773010005,NDC Description Not Available,4.85,4.85,,,0 CDM,185624_71773010012,"Xerava: 12 Carton In 1 Package (71773-100-12) / 1 Vial, Glass In 1 Carton (71773-100-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4.85,4.85,,,0 CDM,18601_C2625_278,Noncdm Charge Record Medical Supplies,152.9,152.9,,,0 CDM,18621_24208046325,Latanoprost: 1 Bottle In 1 Carton (24208-463-25) / 2.5 Ml In 1 Bottle,87.78,87.78,,,0 CDM,18621_59762033302,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2) / 2.5 Ml In 1 Bottle, Dropper",106.49,106.49,,,0 CDM,18621_61314054701,Latanoprost: 1 Bottle In 1 Carton (61314-547-01) / 2.5 Ml In 1 Bottle,342.89,342.89,,,0 CDM,18621_70069042101,Latanoprost: 1 Bottle In 1 Carton (70069-421-01) / 2.5 Ml In 1 Bottle,342.82,342.82,,,0 CDM,1865_C1766_278,Noncdm Charge Record Medical Supplies,32.77,32.77,,,0 CDM,18669_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,1871_C1766_278,Noncdm Charge Record Medical Supplies,32.56,32.56,,,0 CDM,18778_C2617_278,Noncdm Charge Record Medical Supplies,267.3,267.3,,,0 CDM,18786_60687029211,NDC Description Not Available,2.58,2.58,,,0 CDM,18844_270,Noncdm Charge Record Medical Supplies,68.2,68.2,,,0 CDM,18877_16714067102,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02) / 50 Ml In 1 Bottle, Plastic",20.28,20.28,,,0 CDM,18877_65162069179,Ondansetron: 50 Ml In 1 Bottle (65162-691-79),19.96,19.96,,,0 CDM,18891_C1781_278,Noncdm Charge Record Medical Supplies,88.0,88.0,,,0 CDM,18901_270,Noncdm Charge Record Medical Supplies,288.2,288.2,,,0 CDM,18905_270,Noncdm Charge Record Medical Supplies,1016.4,1016.4,,,0 CDM,18908_25021031002,Sodium Nitroprusside: 1 VIAL in 1 CARTON (25021-310-02) / 2 mL in 1 VIAL,61.24,61.24,,,0 CDM,18908_43598058723,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (43598-587-23) / 2 Ml In 1 Vial, Single-Dose",86.52,86.52,,,0 CDM,18908_72485010501,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (72485-105-01) / 2 Ml In 1 Vial, Single-Dose",86.52,86.52,,,0 CDM,18918_00904635161,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61) / 1 Tablet, Film Coated In 1 Blister Pack",53.14,53.14,,,0 CDM,18919_00904635261,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6352-61) / 1 Tablet, Film Coated In 1 Blister Pack",58.61,58.61,,,0 CDM,18920_68084034201,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",7.61,7.61,,,0 CDM,18920_68084034211,NDC Description Not Available,7.42,7.42,,,0 CDM,18920_69097012203,Topiramate: 60 Tablet In 1 Bottle (69097-122-03),9.07,9.07,,,0 CDM,18922_68084034401,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-344-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-344-11)",22.33,22.33,,,0 CDM,18922_68084034411,NDC Description Not Available,22.23,22.23,,,0 CDM,18922_69097012403,Topiramate: 60 Tablet In 1 Bottle (69097-124-03),24.76,24.76,,,0 CDM,18925_17478010730,Levofloxacin: 1 VIAL in 1 CARTON (17478-107-30) / 30 mL in 1 VIAL,71.58,71.58,,,0 CDM,18925_23155020131,"Levofloxacin: 1 VIAL, GLASS in 1 CARTON (23155-201-31) / 20 mL in 1 VIAL, GLASS",34.5,34.5,,,0 CDM,19080_C1726_278,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,19082_C1726_278,Noncdm Charge Record Medical Supplies,832.7,832.7,,,0 CDM,19084_C1894_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,19088_C1769_278,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,19097_C2629_278,Noncdm Charge Record Medical Supplies,4879.23,4879.23,,,0 CDM,19099_C2629_278,Noncdm Charge Record Medical Supplies,4855.08,4855.08,,,0 CDM,19125_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19127_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19129_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19133_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19141_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19176_00071015523,"Lipitor: 90 Tablet, Film Coated In 1 Bottle (0071-0155-23)",55.62,55.62,,,0 CDM,19176_00904629061,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.8,1.8,,,0 CDM,19177_60505258008,"Atorvastatin Calcium: 1000 Tablet, Film Coated In 1 Bottle (60505-2580-8)",20.6,20.6,,,0 CDM,19179_42291009430,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (42291-094-30) / 30 Ml In 1 Bottle, Spray",524.38,524.38,,,0 CDM,19179_59651021430,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (59651-214-30) / 200 Spray, Metered In 1 Bottle, Spray",379.04,379.04,,,0 CDM,19179_60505083305,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5) / 200 Spray, Metered In 1 Bottle, Spray",379.16,379.16,,,0 CDM,19180_00002850101,"Humulin R U-500: 1 Vial, Multi-Dose In 1 Carton (0002-8501-01) / 20 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 CDM,19201_C1887_278,Noncdm Charge Record Medical Supplies,4396.7,4396.7,,,0 CDM,19226_00093542088,Cabergoline: 1 Bottle In 1 Carton (0093-5420-88) / 8 Tablet In 1 Bottle,66.07,66.07,,,0 CDM,19226_23155082373,Cabergoline: 8 Tablet In 1 Bottle (23155-823-73),66.07,66.07,,,0 CDM,19226_50742011808,Cabergoline: 8 Tablet In 1 Bottle (50742-118-08),66.05,66.05,,,0 CDM,19226_59762100501,Cabergoline: 8 Tablet In 1 Bottle (59762-1005-1),66.05,66.05,,,0 CDM,19226_70512086008,Cabergoline: 8 Tablet In 1 Bottle (70512-860-08),66.09,66.09,,,0 CDM,19262_B4087_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,19302_C1894_278,Noncdm Charge Record Medical Supplies,85.19,85.19,,,0 CDM,19318_C1781_278,Noncdm Charge Record Medical Supplies,481.8,481.8,,,0 CDM,19333_00143972401,"Clonidine Hydrochloride: 10 Ml In 1 Vial, Single-Use (0143-9724-01)",179.23,179.23,,,0 CDM,19384_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,19436_32909076401,E-Z-Hd: 24 Bottle In 1 Carton (32909-764-01) / 340 G In 1 Bottle,25.28,25.28,,,0 CDM,19451,Noncdm Charge Record,202.71,202.71,,,0 CDM,19451_58160081043,NDC Description Not Available,22.66,22.66,,,0 CDM,19451_58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),23.69,23.69,,,0 CDM,19452_00065427401,"Pataday Twice A Day Relief: 1 Bottle, Plastic In 1 Carton (0065-4274-01) / 5 Ml In 1 Bottle, Plastic",53.56,53.56,,,0 CDM,19452_43598076507,"Olopatadine Hydrochloride Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (43598-765-07) / 5 Ml In 1 Bottle, Plastic",39.14,39.14,,,0 CDM,19452_58602000640,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40) / 5 Ml In 1 Bottle, Plastic",29.61,29.61,,,0 CDM,19452_70069001701,"Olopatadine: 1 Bottle, Plastic In 1 Carton (70069-017-01) / 5 Ml In 1 Bottle, Plastic",33.99,33.99,,,0 CDM,19452_70512052005,"Olopatadine Hcl: 1 Bottle, Plastic In 1 Carton (70512-520-05) / 5 Ml In 1 Bottle, Plastic",26.78,26.78,,,0 CDM,19484_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19486_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19488_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19490_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19492_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19496_270,Noncdm Charge Record Medical Supplies,447.68,447.68,,,0 CDM,19498_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,19520_270,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,19558_270,Noncdm Charge Record Medical Supplies,2149.4,2149.4,,,0 CDM,19560_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19562_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,19590_C1781_278,Noncdm Charge Record Medical Supplies,669.9,669.9,,,0 CDM,19604_42023010301,NDC Description Not Available,1083.56,1083.56,,,0 CDM,19636_17478020605,"Phenylephrine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-206-05) / 5 mL in 1 BOTTLE, DROPPER",180.25,180.25,,,0 CDM,19677_06373611189,NDC Description Not Available,16.52,16.52,,,0 CDM,19677_06373637882,NDC Description Not Available,16.56,16.56,,,0 CDM,19690_50486055032,Zilactin-B: 1 Tube In 1 Carton (50486-550-32) / 7 G In 1 Tube,6.18,6.18,,,0 CDM,19691_00283087131,"Hurricaine Topical Anesthetic: 1 Bottle, Plastic In 1 Box (0283-0871-31) / 28.4 G In 1 Bottle, Plastic",32.87,32.87,,,0 CDM,19696_00283067902,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),113.3,113.3,,,0 CDM,19702_270,Noncdm Charge Record Medical Supplies,294.8,294.8,,,0 CDM,19703_00078072910,Betoptic S: 1 Bottle In 1 Carton (0078-0729-10) / 10 Ml In 1 Bottle,1596.58,1596.58,,,0 CDM,19704_00065002315,"Miostat: 12 Vial, Glass In 1 Carton (0065-0023-15) / 1.5 Ml In 1 Vial, Glass",67.71,67.71,,,0 CDM,19713_00254101019,"Diazoxide: 1 Bottle, Dropper In 1 Carton (0254-1010-19) / 30 Ml In 1 Bottle, Dropper",176.13,176.13,,,0 CDM,19713_13517010030,"Diazoxide: 1 Bottle, Dropper In 1 Carton (13517-100-30) / 30 Ml In 1 Bottle, Dropper",178.19,178.19,,,0 CDM,19714_24208045705,"Diclofenac Sodium: 1 Bottle, Dropper In 1 Carton (24208-457-05) / 5 Ml In 1 Bottle, Dropper",63.02,63.02,,,0 CDM,19714_61314001405,Diclofenac Sodium: 1 Bottle In 1 Carton (61314-014-05) / 5 Ml In 1 Bottle,263.68,263.68,,,0 CDM,19714_61314001425,Diclofenac Sodium: 1 Bottle In 1 Carton (61314-014-25) / 2.5 Ml In 1 Bottle,161.71,161.71,,,0 CDM,19714_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,19716_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,19732_00037683015,Cortifoam: 1 Canister In 1 Carton (0037-6830-15) / 15 G In 1 Canister,133.58,133.58,,,0 CDM,19733_42571013725,Ketorolac Tromethamine: 5 Ml In 1 Bottle (42571-137-25),382.13,382.13,,,0 CDM,19733_60505100301,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-1) / 5 Ml In 1 Bottle, Dropper",385.22,385.22,,,0 CDM,19733_60505100302,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-2) / 10 Ml In 1 Bottle, Dropper",770.44,770.44,,,0 CDM,19733_61314012605,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05) / 5 Ml In 1 Bottle,310.98,310.98,,,0 CDM,19733_61314012610,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-10) / 10 Ml In 1 Bottle,757.05,757.05,,,0 CDM,19736_270,Noncdm Charge Record Medical Supplies,376.2,376.2,,,0 CDM,19736_67457088700,NDC Description Not Available,0.99,0.99,,,0 CDM,19736_67457088799,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),0.99,0.99,,,0 CDM,19746_11980077905,"Ocuflox: 1 Bottle, Dropper In 1 Carton (11980-779-05) / 5 Ml In 1 Bottle, Dropper",536.63,536.63,,,0 CDM,19746_17478071310,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10) / 5 mL in 1 BOTTLE, DROPPER",75.19,75.19,,,0 CDM,19746_60505056001,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (60505-0560-1) / 10 Ml In 1 Bottle, Dropper",145.23,145.23,,,0 CDM,19746_64980051505,"Ofloxacin: 1 Bottle, Plastic In 1 Carton (64980-515-05) / 5 Ml In 1 Bottle, Plastic",253.38,253.38,,,0 CDM,19746_70756060730,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (70756-607-30) / 5 Ml In 1 Bottle, Dropper",253.38,253.38,,,0 CDM,19750_270,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,19750_L8610_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,19752_270,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,19752_C1784_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,19764_270,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,19764_C1784_278,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,19768_270,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,19768_L8610_278,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,19775_01000673002,NDC Description Not Available,11.33,11.33,,,0 CDM,19775_05898060530,NDC Description Not Available,32.7,32.7,,,0 CDM,19779_05898060880,NDC Description Not Available,36.05,36.05,,,0 CDM,1977_270,Noncdm Charge Record Medical Supplies,880.0,880.0,,,0 CDM,19791_00065041130,Betadine: 1 Bottle In 1 Carton (0065-0411-30) / 30 Ml In 1 Bottle,55.62,55.62,,,0 CDM,19809_42571013252,Cromolyn Sodium: 96 Carton In 1 Carton (42571-132-52) / 1 Tray In 1 Carton / 8 Ampule In 1 Tray / 5 Ml In 1 Ampule (42571-132-21),23.36,23.36,,,0 CDM,19809_42571013295,NDC Description Not Available,23.36,23.36,,,0 CDM,19809_81665010496,Cromolyn Sodium: 12 Pouch In 1 Carton (81665-104-96) / 8 Ampule In 1 Pouch / 5 Ml In 1 Ampule,12.63,12.63,,,0 CDM,19813_58394063403,"Benefix: 1 Kit In 1 Carton (58394-634-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-134-03)",4.2,4.2,,,0 CDM,19818_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,19832_270,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,19834_270,Noncdm Charge Record Medical Supplies,580.8,580.8,,,0 CDM,19836_270,Noncdm Charge Record Medical Supplies,1269.4,1269.4,,,0 CDM,1985_00409409211,NDC Description Not Available,135.37,135.37,,,0 CDM,1985_51754010301,NDC Description Not Available,73.66,73.66,,,0 CDM,1985_51754010304,"Cupric Chloride: 25 Vial, Single-Dose In 1 Carton (51754-0103-4) / 10 Ml In 1 Vial, Single-Dose",56.65,56.65,,,0 CDM,1985_70069050601,NDC Description Not Available,67.1,67.1,,,0 CDM,19882_00049496030,"Zoloft: 30 Tablet, Film Coated In 1 Bottle (0049-4960-30)",62.83,62.83,,,0 CDM,19928_65162008774,"Itraconazole: 150 Ml In 1 Bottle, Glass (65162-087-74)",176.47,176.47,,,0 CDM,2000000001,Hc Icu Room Daily,9778.0,9778.0,,,0 CDM,20001_C2629_278,Noncdm Charge Record Medical Supplies,4797.1,4797.1,,,0 CDM,20038_00527181843,Sumatriptan: 6 Blister Pack In 1 Carton (0527-1818-43) / .1 Ml In 1 Blister Pack,293.41,293.41,,,0 CDM,20044_270,Noncdm Charge Record Medical Supplies,1138.5,1138.5,,,0 CDM,2007_00143962101,NDC Description Not Available,29.87,29.87,,,0 CDM,2007_00517003101,NDC Description Not Available,31.64,31.64,,,0 CDM,2007_00517003125,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",31.93,31.93,,,0 CDM,2007_25021050201,Cyanocobalamin: 25 Vial In 1 Carton (25021-502-01) / 1 Ml In 1 Vial,11.52,11.52,,,0 CDM,2007_63323004400,NDC Description Not Available,29.66,29.66,,,0 CDM,2007_70512084001,NDC Description Not Available,16.48,16.48,,,0 CDM,2007_71288030301,NDC Description Not Available,7.48,7.48,,,0 CDM,2007_71288030302,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",7.21,7.21,,,0 CDM,2010000001,Hc Icu Surg Room Daily,9778.0,9778.0,,,0 CDM,20109_C1766_278,Noncdm Charge Record Medical Supplies,70.4,70.4,,,0 CDM,20110_C1889_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,20111_C1766_278,Noncdm Charge Record Medical Supplies,86.9,86.9,,,0 CDM,20112_C1889_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,20155_C1773_278,Noncdm Charge Record Medical Supplies,1339.49,1339.49,,,0 CDM,20156_61703031922,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",5.22,5.22,,,0 CDM,20156_63323012020,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",4.42,4.42,,,0 CDM,20156_71288010920,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (71288-109-20) / 20 Ml In 1 Vial, Single-Dose",5.52,5.52,,,0 CDM,20156_C1725_278,Noncdm Charge Record Medical Supplies,354.2,354.2,,,0 CDM,20157_C1773_272,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,20157_C1773_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,20158_C1893_278,Noncdm Charge Record Medical Supplies,15.65,15.65,,,0 CDM,20160_C1893_278,Noncdm Charge Record Medical Supplies,15.43,15.43,,,0 CDM,20161_C1893_278,Noncdm Charge Record Medical Supplies,337.7,337.7,,,0 CDM,20172_C1893_278,Noncdm Charge Record Medical Supplies,15.66,15.66,,,0 CDM,20174_C1887_278,Noncdm Charge Record Medical Supplies,80.19,80.19,,,0 CDM,20176_C1769_278,Noncdm Charge Record Medical Supplies,74.58,74.58,,,0 CDM,20178_C1769_278,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,2017_51079064401,NDC Description Not Available,3493.76,3493.76,,,0 CDM,20184_C1769_272,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,20184_C1769_278,Noncdm Charge Record Medical Supplies,48.59,48.59,,,0 CDM,20186_C1769_278,Noncdm Charge Record Medical Supplies,65.02,65.02,,,0 CDM,20188_C1769_278,Noncdm Charge Record Medical Supplies,73.81,73.81,,,0 CDM,20190_C1769_278,Noncdm Charge Record Medical Supplies,74.02,74.02,,,0 CDM,20204_270,Noncdm Charge Record Medical Supplies,468.6,468.6,,,0 CDM,20249_270,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,2025_00065039602,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02) / 2 Ml In 1 Bottle, Plastic",146.26,146.26,,,0 CDM,2025_24208073501,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01) / 2 Ml In 1 Bottle, Dropper",58.71,58.71,,,0 CDM,2025_24208073506,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-06) / 15 Ml In 1 Bottle, Dropper",138.02,138.02,,,0 CDM,2025_61314039601,Cyclopentolate Hydrochloride: 2 Ml In 1 Bottle (61314-396-01),60.76,60.76,,,0 CDM,20269_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,20294_C1769_278,Noncdm Charge Record Medical Supplies,39.66,39.66,,,0 CDM,20298_C1769_278,Noncdm Charge Record Medical Supplies,127.62,127.62,,,0 CDM,2033_50268018911,NDC Description Not Available,0.71,0.71,,,0 CDM,20418_C1769_278,Noncdm Charge Record Medical Supplies,39.89,39.89,,,0 CDM,20446_13668045301,Anagrelide: 100 Capsule In 1 Bottle (13668-453-01),39.88,39.88,,,0 CDM,20472_00143931001,NDC Description Not Available,9.29,9.29,,,0 CDM,20472_00143931101,NDC Description Not Available,4.24,4.24,,,0 CDM,20472_00143950601,NDC Description Not Available,26.3,26.3,,,0 CDM,20472_00143950701,NDC Description Not Available,27.69,27.69,,,0 CDM,20472_00409669501,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-01) / 10 Ml In 1 Vial, Single-Dose (0409-6695-11)",17.89,17.89,,,0 CDM,20472_00409669502,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-02) / 20 Ml In 1 Vial, Single-Dose (0409-6695-12)",18.45,18.45,,,0 CDM,20472_00409669511,NDC Description Not Available,24.72,24.72,,,0 CDM,20472_00409669512,NDC Description Not Available,27.81,27.81,,,0 CDM,20472_55150022110,"Etomidate: 10 Vial, Single-Dose In 1 Carton (55150-221-10) / 10 Ml In 1 Vial, Single-Dose",34.96,34.96,,,0 CDM,20472_65219044501,NDC Description Not Available,20.83,20.83,,,0 CDM,20472_65219044702,NDC Description Not Available,15.06,15.06,,,0 CDM,20472_67457090200,NDC Description Not Available,29.36,29.36,,,0 CDM,20472_72266014601,NDC Description Not Available,17.0,17.0,,,0 CDM,20510_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,20540_C2617_278,Noncdm Charge Record Medical Supplies,387.0,387.0,,,0 CDM,20542_C1726_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,20566_50268052511,NDC Description Not Available,11.18,11.18,,,0 CDM,20566_50268052515,"Meloxicam: 50 Blister Pack In 1 Box, Unit-Dose (50268-525-15) / 1 Tablet In 1 Blister Pack (50268-525-11)",11.33,11.33,,,0 CDM,20566_68382005001,Meloxicam: 100 Tablet In 1 Bottle (68382-050-01),11.37,11.37,,,0 CDM,20585_00574052074,Actidose: 120 Ml In 1 Tube (0574-0520-74),17.25,17.25,,,0 CDM,2060000001,Hc Intermediate Icu Room Daily,4890.0,4890.0,,,0 CDM,2060000002,Hc Intermediate Icu Telemetry Room Daily,4890.0,4890.0,,,0 CDM,2060000003,Hc Intermediate Icu Room Daily Ltac,4890.0,4890.0,,,0 CDM,20620_C1768_278,Noncdm Charge Record Medical Supplies,793.1,793.1,,,0 CDM,207119_58468003001,NDC Description Not Available,4525.23,4525.23,,,0 CDM,207119_58468003002,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",4887.35,4887.35,,,0 CDM,207221_54828000101,NDC Description Not Available,4950.0,4950.0,,,0 CDM,207241_63020053330,"Iclusig: 30 Tablet, Film Coated In 1 Bottle (63020-533-30)",3003.84,3003.84,,,0 CDM,207266_72874000101,"Cerianna: 50 Ml In 1 Vial, Multi-Dose (72874-001-01)",4156.6,4156.6,,,0 CDM,207267_73607000201,"Artesunate: 1 Injection, Powder, For Solution In 1 Vial (73607-002-01)",111.91,111.91,,,0 CDM,207267_73607001111,"Artesunate: 2 Kit In 1 Carton (73607-011-11) / 1 Kit In 1 Kit * 1 Injection, Powder, For Solution In 1 Vial (73607-002-01) * 1 Solution In 1 Vial (73607-003-02)",111.91,111.91,,,0 CDM,207279_00469062599,Xtandi: 1 Bottle In 1 Carton (0469-0625-99) / 120 Tablet In 1 Bottle,179.22,179.22,,,0 CDM,207294_00069102902,Xeljanz: 1 Bottle In 1 Carton (0069-1029-02) / 240 Ml In 1 Bottle (0069-1029-01),437.84,437.84,,,0 CDM,207333_00517100401,NDC Description Not Available,1.17,1.17,,,0 CDM,207357_25682002501,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",478.14,478.14,,,0 CDM,207357_25682002801,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",527.69,527.69,,,0 CDM,20740_C1880_278,Noncdm Charge Record Medical Supplies,2579.5,2579.5,,,0 CDM,207507_00069131101,NDC Description Not Available,6.49,6.49,,,0 CDM,207507_00069131110,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",6.64,6.64,,,0 CDM,207507_55513047801,NDC Description Not Available,7.17,7.17,,,0 CDM,207533_74527002202,"Margenza: 1 Vial, Single-Dose In 1 Carton (74527-022-02) / 10 Ml In 1 Vial, Single-Dose (74527-022-01)",117.32,117.32,,,0 CDM,207617_55513032601,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",177.19,177.19,,,0 CDM,207636_73336007530,"Gemtesa: 30 Tablet, Film Coated In 1 Bottle (73336-075-30)",70.04,70.04,,,0 CDM,207638_71266629001,NDC Description Not Available,57.49,57.49,,,0 CDM,207727_00006502801,"Verquvo: 14 Tablet, Film Coated In 1 Bottle (0006-5028-01)",97.39,97.39,,,0 CDM,207777_44087500003,Tepmetko: 3 Blister Pack In 1 Carton (44087-5000-3) / 10 Tablet In 1 Blister Pack,1669.12,1669.12,,,0 CDM,207807_61755001301,"Evkeeza: 1 Vial, Single-Use In 1 Carton (61755-013-01) / 2.3 Ml In 1 Vial, Single-Use",333.17,333.17,,,0 CDM,207908_70842022501,Kimyrsa: 1 Vial In 1 Carton (70842-225-01) / 40 Ml In 1 Vial,109.94,109.94,,,0 CDM,20802_270,Noncdm Charge Record Medical Supplies,915.28,915.28,,,0 CDM,20812_270,Noncdm Charge Record Medical Supplies,188.1,188.1,,,0 CDM,20812_C1889_278,Noncdm Charge Record Medical Supplies,188.1,188.1,,,0 CDM,208203_79952011001,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",487.98,487.98,,,0 CDM,208211_00173089803,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,561.55,561.55,,,0 CDM,208319_47426030102,"Zynrelef: 1 Carton In 1 Kit (47426-301-02) / 1 Vial, Single-Dose In 1 Carton (47426-301-04) / 14 Ml In 1 Vial, Single-Dose (47426-301-06)",653.02,653.02,,,0 CDM,208333_57894050101,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",49.15,49.15,,,0 CDM,20887_00143963701,NDC Description Not Available,74.79,74.79,,,0 CDM,20887_00143963710,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (0143-9637-10) / 5 Ml In 1 Vial, Single-Dose (0143-9637-01)",74.79,74.79,,,0 CDM,20887_00143978501,NDC Description Not Available,73.25,73.25,,,0 CDM,20887_00143978510,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10) / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",73.4,73.4,,,0 CDM,20887_70860078405,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (70860-784-05) / 5 Ml In 1 Vial, Single-Dose (70860-784-41)",20.61,20.61,,,0 CDM,20887_70860078441,NDC Description Not Available,17.23,17.23,,,0 CDM,2091_00143924501,NDC Description Not Available,24.74,24.74,,,0 CDM,2091_00143924510,"Dacarbazine: 10 Vial In 1 Carton (0143-9245-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9245-01)",24.2,24.2,,,0 CDM,2091_63323012800,NDC Description Not Available,21.46,21.46,,,0 CDM,2091_63323012820,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",26.4,26.4,,,0 CDM,209333_00536126328,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28) / 28 G In 1 Tube,10.59,10.59,,,0 CDM,209333_00713028031,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),12.57,12.57,,,0 CDM,209333_11527016351,Sheffield Bacitracin Zinc: 1 Tube In 1 Carton (11527-163-51) / 14 G In 1 Tube,58.71,58.71,,,0 CDM,209333_45802006001,Bacitracin: 1 Tube In 1 Carton (45802-060-01) / 14 G In 1 Tube,13.37,13.37,,,0 CDM,209333_49999014215,Bacitracin: 14 g in 1 TUBE (49999-142-15),18.54,18.54,,,0 CDM,209333_50090081500,Bacitracin: 1 Tube In 1 Carton (50090-0815-0) / 14 G In 1 Tube,17.51,17.51,,,0 CDM,209333_51672207501,Bacitracin Zinc: 1 Tube In 1 Carton (51672-2075-1) / 15 G In 1 Tube,17.53,17.53,,,0 CDM,209333_52959011315,Bacitracin Zinc: 14.17 g in 1 TUBE (52959-113-15),18.54,18.54,,,0 CDM,209352_00065042636,"Genteal Tears (Moderate): 1 Bottle, Dropper In 1 Carton (0065-0426-36) / 15 Ml In 1 Bottle, Dropper",0.21,0.21,,,0 CDM,209352_00065042915,"Systane Lubricant: 1 Bottle, Dropper In 1 Carton (0065-0429-15) / 15 Ml In 1 Bottle, Dropper",0.24,0.24,,,0 CDM,209352_00065143105,"Systane Ultra: 1 Bottle, Dropper In 1 Carton (0065-1431-05) / 10 Ml In 1 Bottle, Dropper",0.82,0.82,,,0 CDM,209352_49348009529,"Sunmark Dry Eye Relief: 1 Bottle, Plastic In 1 Carton (49348-095-29) / 15 Ml In 1 Bottle, Plastic",17.51,17.51,,,0 CDM,209352_50268004315,Artificial Tears: 15 Ml In 1 Bottle (50268-043-15),0.52,0.52,,,0 CDM,209352_57896018405,Gericare Artificial Tears Lubricant Eye: 1 BOTTLE in 1 CARTON (57896-184-05) / 15 mg in 1 BOTTLE,0.04,0.04,,,0 CDM,209352_77790002215,"Vista Gonio Eye Lubricant: 1 Bottle, Dropper In 1 Carton (77790-022-15) / 15 Ml In 1 Bottle, Dropper",0.52,0.52,,,0 CDM,209355_00641614501,NDC Description Not Available,1.03,1.03,,,0 CDM,209355_63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),3.29,3.29,,,0 CDM,209355_63323016502,NDC Description Not Available,3.1,3.1,,,0 CDM,209355_67457041800,NDC Description Not Available,0.08,0.08,,,0 CDM,209355_67457041900,NDC Description Not Available,0.95,0.95,,,0 CDM,209355_67457042200,NDC Description Not Available,0.42,0.42,,,0 CDM,209355_67457042300,NDC Description Not Available,0.98,0.98,,,0 CDM,209355_76045021000,NDC Description Not Available,3.26,3.26,,,0 CDM,209360_00641037621,NDC Description Not Available,2.57,2.57,,,0 CDM,209360_00641037625,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),1.87,1.87,,,0 CDM,209360_63323066400,NDC Description Not Available,12.73,12.73,,,0 CDM,209360_72485010101,NDC Description Not Available,6.85,6.85,,,0 CDM,209365_58160084243,NDC Description Not Available,197.76,197.76,,,0 CDM,209372_00781326995,"Ephedrine Sulfate: 10 Vial, Single-Dose In 1 Carton (0781-3269-95) / 1 Ml In 1 Vial, Single-Dose (0781-3269-71)",212.89,212.89,,,0 CDM,209372_42023021601,NDC Description Not Available,125.66,125.66,,,0 CDM,209372_43598072511,NDC Description Not Available,32.11,32.11,,,0 CDM,209372_65219025700,NDC Description Not Available,16.69,16.69,,,0 CDM,209378_00143915701,NDC Description Not Available,1.69,1.69,,,0 CDM,209378_00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",18.3,18.3,,,0 CDM,209378_00409610204,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",9.36,9.36,,,0 CDM,209378_00409610210,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",5.15,5.15,,,0 CDM,209378_00409610218,NDC Description Not Available,6.31,6.31,,,0 CDM,209378_00409610219,NDC Description Not Available,18.21,18.21,,,0 CDM,209378_00409610220,NDC Description Not Available,4.93,4.93,,,0 CDM,209378_00409610227,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-27) / 10 Ml In 1 Vial, Single-Dose (0409-6102-37)",4.75,4.75,,,0 CDM,209378_00409610235,NDC Description Not Available,14.77,14.77,,,0 CDM,209378_00409610236,NDC Description Not Available,6.52,6.52,,,0 CDM,209378_00409610237,NDC Description Not Available,4.71,4.71,,,0 CDM,209378_16729050203,NDC Description Not Available,3.09,3.09,,,0 CDM,209378_23155047331,NDC Description Not Available,11.52,11.52,,,0 CDM,209378_25021031102,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,8.55,8.55,,,0 CDM,209378_36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",4.78,4.78,,,0 CDM,209378_36000028325,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",2.58,2.58,,,0 CDM,209378_63323028001,NDC Description Not Available,9.12,9.12,,,0 CDM,209378_63323028002,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),9.27,9.27,,,0 CDM,209378_71288020302,NDC Description Not Available,4.29,4.29,,,0 CDM,209378_71288020304,NDC Description Not Available,3.03,3.03,,,0 CDM,209378_71288020310,NDC Description Not Available,1.72,1.72,,,0 CDM,209378_72603013301,NDC Description Not Available,11.77,11.77,,,0 CDM,209385_00270111101,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-01) / 10 Ml In 1 Vial, Single-Dose",25.14,25.14,,,0 CDM,209389,Noncdm Charge Record,147.29,147.29,,,0 CDM,209389_58160082043,NDC Description Not Available,183.86,183.86,,,0 CDM,209389_58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),122.57,122.57,,,0 CDM,209389_58160082101,NDC Description Not Available,305.91,305.91,,,0 CDM,209389_58160082143,NDC Description Not Available,286.13,286.13,,,0 CDM,209401_63323016101,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",16.45,16.45,,,0 CDM,209406_00009074630,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,1.52,1.52,,,0 CDM,209406_00009737611,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,0.92,0.92,,,0 CDM,209406_00548570100,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00) / 1 Ml In 1 Syringe,0.08,0.08,,,0 CDM,209406_55150033001,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (55150-330-01) / 1 Ml In 1 Syringe,1.75,1.75,,,0 CDM,209406_66993037179,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (66993-371-79) / 1 Ml In 1 Syringe,2.77,2.77,,,0 CDM,209406_67457088700,NDC Description Not Available,0.99,0.99,,,0 CDM,209408_00409117603,NDC Description Not Available,25.83,25.83,,,0 CDM,209408_00409117630,Demerol: 10 Cartridge In 1 Carton (0409-1176-30) / 1 Ml In 1 Cartridge (0409-1176-03),25.75,25.75,,,0 CDM,209408_00641605201,NDC Description Not Available,13.9,13.9,,,0 CDM,209421_00409117803,NDC Description Not Available,29.99,29.99,,,0 CDM,209421_00409117830,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),29.87,29.87,,,0 CDM,209421_00409141811,NDC Description Not Available,53.84,53.84,,,0 CDM,209421_00641605301,NDC Description Not Available,17.12,17.12,,,0 CDM,209421_00641605325,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),11.33,11.33,,,0 CDM,209434_65649055102,"Relistor: 1 Vial, Single-Dose In 1 Carton (65649-551-02) / .6 Ml In 1 Vial, Single-Dose",6.8,6.8,,,0 CDM,209434_65649055103,Relistor: 7 Blister Pack In 1 Carton (65649-551-03) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,5.8,5.8,,,0 CDM,209434_65649055204,Relistor: 7 Blister Pack In 1 Carton (65649-552-04) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,8.67,8.67,,,0 CDM,209435_00409341401,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",4.77,4.77,,,0 CDM,209435_00409341418,NDC Description Not Available,4.72,4.72,,,0 CDM,209435_00409341421,NDC Description Not Available,5.06,5.06,,,0 CDM,209435_00703450201,NDC Description Not Available,9.06,9.06,,,0 CDM,209435_23155024031,NDC Description Not Available,7.49,7.49,,,0 CDM,209435_83634077941,NDC Description Not Available,6.18,6.18,,,0 CDM,20943_00069406189,"Zithromax: 50 Blister Pack In 1 Box, Unit-Dose (0069-4061-89) / 1 Tablet, Film Coated In 1 Blister Pack",14.95,14.95,,,0 CDM,20943_00904735006,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.39,5.39,,,0 CDM,20943_00904735061,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.93,8.93,,,0 CDM,20943_50111078751,"Azithromycin: 1 Blister Pack In 1 Carton (50111-787-51) / 6 Tablet, Film Coated In 1 Blister Pack",27.98,27.98,,,0 CDM,20943_50268007411,NDC Description Not Available,4.64,4.64,,,0 CDM,20943_51224002206,"Azithromycin Dihydrate: 1 Blister Pack In 1 Carton (51224-022-06) / 6 Tablet, Film Coated In 1 Blister Pack",28.07,28.07,,,0 CDM,20943_60687074211,NDC Description Not Available,6.49,6.49,,,0 CDM,20943_65862064169,"Azithromycin: 1 Blister Pack In 1 Carton (65862-641-69) / 6 Tablet, Film Coated In 1 Blister Pack",27.96,27.96,,,0 CDM,20943_68180086111,"Azithromycin: 6 Tablet, Film Coated In 1 Blister Pack (68180-861-11)",27.63,27.63,,,0 CDM,209440_00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),9.99,9.99,,,0 CDM,209440_00409189303,NDC Description Not Available,21.99,21.99,,,0 CDM,209440_00641612701,NDC Description Not Available,10.95,10.95,,,0 CDM,209440_00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",11.0,11.0,,,0 CDM,209440_63323045100,NDC Description Not Available,11.99,11.99,,,0 CDM,209449_00409189101,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1891-01) / 1 Ml In 1 Cartridge (0409-1891-03),8.52,8.52,,,0 CDM,209449_00409189103,NDC Description Not Available,19.48,19.48,,,0 CDM,209449_00409189113,NDC Description Not Available,17.23,17.23,,,0 CDM,209449_00641612501,NDC Description Not Available,10.87,10.87,,,0 CDM,209449_00641612525,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25) / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",13.36,13.36,,,0 CDM,209449_63323045400,NDC Description Not Available,12.58,12.58,,,0 CDM,209449_76045000501,NDC Description Not Available,12.42,12.42,,,0 CDM,209476_00641617501,NDC Description Not Available,7.45,7.45,,,0 CDM,209476_00641617510,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6175-10) / 1 Ml In 1 Vial, Single-Dose (0641-6175-01)",7.78,7.78,,,0 CDM,209476_00703331104,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3311-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3311-01)",7.91,7.91,,,0 CDM,209476_63323037600,NDC Description Not Available,10.75,10.75,,,0 CDM,209476_63323037601,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-376-01) / 1 Ml In 1 Vial, Single-Dose (63323-376-00)",10.82,10.82,,,0 CDM,209477_00078018201,Sandostatin: 10 Ampule In 1 Package (0078-0182-01) / 1 Ml In 1 Ampule (0078-0182-61),28.58,28.58,,,0 CDM,209477_00078018261,NDC Description Not Available,28.58,28.58,,,0 CDM,209477_00641617601,NDC Description Not Available,7.52,7.52,,,0 CDM,209477_00641617610,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6176-10) / 1 Ml In 1 Vial, Single-Dose (0641-6176-01)",7.57,7.57,,,0 CDM,209477_63323037700,NDC Description Not Available,10.7,10.7,,,0 CDM,209477_63323037701,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",10.75,10.75,,,0 CDM,209477_68462089701,NDC Description Not Available,7.88,7.88,,,0 CDM,209477_68462089710,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10) / 1 Ml In 1 Vial (68462-897-01),7.89,7.89,,,0 CDM,209489_00121048905,NDC Description Not Available,30.43,30.43,,,0 CDM,209489_00121097800,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0978-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-0978-10)",17.17,17.17,,,0 CDM,209489_00121097810,NDC Description Not Available,16.41,16.41,,,0 CDM,209489_00121173010,NDC Description Not Available,16.42,16.42,,,0 CDM,209489_00121173030,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-1730-30) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",11.33,11.33,,,0 CDM,209489_00904732466,NDC Description Not Available,13.39,13.39,,,0 CDM,209489_60687083042,NDC Description Not Available,11.93,11.93,,,0 CDM,209489_69339015201,NDC Description Not Available,7.42,7.42,,,0 CDM,20952_16571076209,Levocarnitine: 9 Blister Pack In 1 Carton (16571-762-09) / 10 Tablet In 1 Blister Pack,3.83,3.83,,,0 CDM,20952_50383017290,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90) / 10 TABLET in 1 BLISTER PACK,3.55,3.55,,,0 CDM,20952_54482014407,Carnitor: 10 Blister Pack In 1 Carton (54482-144-07) / 9 Tablet In 1 Blister Pack,5.0,5.0,,,0 CDM,20952_70954049210,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10) / 10 Tablet In 1 Blister Pack,3.95,3.95,,,0 CDM,20952_C1765_278,Noncdm Charge Record Medical Supplies,567.03,567.03,,,0 CDM,20954_00143985201,NDC Description Not Available,109.32,109.32,,,0 CDM,20954_00143985210,"Levocarnitine: 10 Vial, Single-Use In 1 Carton (0143-9852-10) / 5 Ml In 1 Vial, Single-Use (0143-9852-01)",154.5,154.5,,,0 CDM,20954_00517104501,NDC Description Not Available,115.73,115.73,,,0 CDM,20954_54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,164.19,164.19,,,0 CDM,209569_00409492120,NDC Description Not Available,2.95,2.95,,,0 CDM,209569_00409493301,"Epinephrine: 10 Carton In 1 Package (0409-4933-01) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4933-11)",3.09,3.09,,,0 CDM,209569_00409493311,NDC Description Not Available,3.6,3.6,,,0 CDM,209569_42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),5.97,5.97,,,0 CDM,209569_69374092510,NDC Description Not Available,3.28,3.28,,,0 CDM,209569_76329331601,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,4.22,4.22,,,0 CDM,209569_76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,5.45,5.45,,,0 CDM,209579_25021080601,Haloperidol: 10 Vial In 1 Carton (25021-806-01) / 1 Ml In 1 Vial,20.16,20.16,,,0 CDM,209579_63323047400,NDC Description Not Available,22.99,22.99,,,0 CDM,209579_63323047401,Haloperidol: 25 Vial In 1 Tray (63323-474-01) / 1 Ml In 1 Vial (63323-474-00),18.56,18.56,,,0 CDM,209579_67457042600,NDC Description Not Available,5.07,5.07,,,0 CDM,209579_67457042612,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),5.0,5.0,,,0 CDM,209579_76045073701,NDC Description Not Available,17.51,17.51,,,0 CDM,209582_00409128303,NDC Description Not Available,20.61,20.61,,,0 CDM,209582_00409255201,Hydromorphone Hydrochloride: 10 Ampule In 1 Carton (0409-2552-01) / 1 Ml In 1 Ampule (0409-2552-11),5.62,5.62,,,0 CDM,209582_00409255211,NDC Description Not Available,8.5,8.5,,,0 CDM,209587_00409189001,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),9.95,9.95,,,0 CDM,209587_00409189003,NDC Description Not Available,19.11,19.11,,,0 CDM,209587_00409189013,NDC Description Not Available,15.39,15.39,,,0 CDM,209587_63323045200,NDC Description Not Available,11.26,11.26,,,0 CDM,209587_76045000401,NDC Description Not Available,11.73,11.73,,,0 CDM,209587_76045000410,NDC Description Not Available,13.73,13.73,,,0 CDM,209596_00065401303,"VIGAMOX: 1 BOTTLE, PLASTIC in 1 CARTON (0065-4013-03) / 3 mL in 1 BOTTLE, PLASTIC",753.08,753.08,,,0 CDM,209596_00378543035,Moxifloxacin: 1 Bottle In 1 Carton (0378-5430-35) / 3 Ml In 1 Bottle,603.58,603.58,,,0 CDM,209596_00781713593,"Moxifloxacin Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (0781-7135-93) / 3 Ml In 1 Bottle, Plastic",628.31,628.31,,,0 CDM,209596_62332050503,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (62332-505-03) / 3 Ml In 1 Bottle,603.51,603.51,,,0 CDM,209596_72266015801,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (72266-158-01) / 3 Ml In 1 Bottle,50.3,50.3,,,0 CDM,209597_00113030410,"Good Sense Nasal: 1 Bottle, Spray In 1 Carton (0113-0304-10) / 30 Ml In 1 Bottle, Spray",9.27,9.27,,,0 CDM,209597_00573119120,"DRISTAN 12 HR: 1 BOTTLE, SPRAY in 1 CARTON (0573-1191-20) / 15 mL in 1 BOTTLE, SPRAY",5.15,5.15,,,0 CDM,209597_01093941433,NDC Description Not Available,4.11,4.11,,,0 CDM,209597_02390001252,NDC Description Not Available,5.15,5.15,,,0 CDM,209597_07003013995,NDC Description Not Available,4.12,4.12,,,0 CDM,209597_45802041059,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",4.12,4.12,,,0 CDM,209602_00074463701,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-4637-01) / 1 Ml In 1 Vial, Single-Dose",14.7,14.7,,,0 CDM,209602_16729031063,"Paricalcitol: 1 Vial, Single-Dose In 1 Carton (16729-310-63) / 1 Ml In 1 Vial, Single-Dose",9.1,9.1,,,0 CDM,209607_10572010001,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),93.16,93.16,,,0 CDM,209607_43386005019,Gavilyte-N: 438.4 G In 1 Bottle (43386-050-19),100.94,100.94,,,0 CDM,209607_43386009019,Gavilyte G Tm: 274.31 G In 1 Bottle (43386-090-19),109.59,109.59,,,0 CDM,209607_52268010001,"Golytely: 4 L In 1 Bottle, Plastic (52268-100-01)",83.21,83.21,,,0 CDM,209607_64380076921,"Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride With Lemon Flavor: 4 L In 1 Jug (64380-769-21)",218.12,218.12,,,0 CDM,209613_00591321726,NDC Description Not Available,1.58,1.58,,,0 CDM,209613_00591321730,Testosterone: 30 Packet In 1 Carton (0591-3217-30) / 5 G In 1 Packet (0591-3217-26),0.77,0.77,,,0 CDM,209613_00591352426,NDC Description Not Available,0.68,0.68,,,0 CDM,209613_21922001902,"Testosterone Gel, 1%: 30 Packet In 1 Carton (21922-019-02) / 5 G In 1 Packet",0.62,0.62,,,0 CDM,209613_64380015201,NDC Description Not Available,0.54,0.54,,,0 CDM,209622_00536114397,Rugby Petrolatum Hydrating Skin Protectant: 100 G In 1 Jar (0536-1143-97),7.21,7.21,,,0 CDM,209622_00536114398,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),15.27,15.27,,,0 CDM,209622_04628750816,NDC Description Not Available,28.76,28.76,,,0 CDM,209622_07214003147,NDC Description Not Available,23.41,23.41,,,0 CDM,209622_07214045231,NDC Description Not Available,7.54,7.54,,,0 CDM,209622_07214063377,NDC Description Not Available,7.21,7.21,,,0 CDM,209622_71399510101,Hydrophor: 454 G In 1 Jar (71399-5101-1),12.36,12.36,,,0 CDM,209622_71399510102,Hydrophor: 100 G In 1 Jar (71399-5101-2),6.18,6.18,,,0 CDM,209682_00023024004,1 TUBE in 1 CARTON (0023-0240-04) / 3.5 g in 1 TUBE,10.3,10.3,,,0 CDM,209682_00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,12.2,12.2,,,0 CDM,209682_00023066704,Refresh P.M.: 1 Tube In 1 Carton (0023-0667-04) / 3.5 G In 1 Tube,10.51,10.51,,,0 CDM,209682_00065050935,Systane Nighttime: 1 Tube In 1 Carton (0065-0509-35) / 3.5 G In 1 Tube,9.34,9.34,,,0 CDM,209682_00065051801,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01) / 3.5 G In 1 Tube,8.99,8.99,,,0 CDM,209682_00904648838,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38) / 3.5 G In 1 Tube,6.18,6.18,,,0 CDM,209682_01011902239,NDC Description Not Available,8.24,8.24,,,0 CDM,209682_17478006235,Artificial Tears: 1 TUBE in 1 CARTON (17478-062-35) / 3.5 g in 1 TUBE,9.09,9.09,,,0 CDM,209683_60432046608,"Dexamethasone: 1 BOTTLE, GLASS in 1 BOX (60432-466-08) / 237 mL in 1 BOTTLE, GLASS",2.45,2.45,,,0 CDM,209683_64980050924,"Dexamethasone: 237 Ml In 1 Bottle, Plastic (64980-509-24)",2.43,2.43,,,0 CDM,209688_00074379902,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,376.47,376.47,,,0 CDM,209700_00904667967,Major Bacitracin Zinc: 144 Packet In 1 Carton (0904-6679-67) / .9 G In 1 Packet,1.03,1.03,,,0 CDM,209700_00904702367,Major Bacitracin: 144 Packet In 1 Carton (0904-7023-67) / .9 G In 1 Packet,0.52,0.52,,,0 CDM,209700_45802006000,NDC Description Not Available,0.9,0.9,,,0 CDM,209700_45802006070,Bacitracin: 144 Packet In 1 Carton (45802-060-70) / .9 G In 1 Packet,0.97,0.97,,,0 CDM,209700_57896014509,NDC Description Not Available,44.25,44.25,,,0 CDM,209701_00591354160,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3541-60)",7.04,7.04,,,0 CDM,209701_50228017501,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50228-175-01)",5.29,5.29,,,0 CDM,209702_00264310511,Cefazolin Sodium: 24 Container In 1 Case (0264-3105-11) / 50 Ml In 1 Container,15.8,15.8,,,0 CDM,209703_00143985601,NDC Description Not Available,2.05,2.05,,,0 CDM,209703_00143985625,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",1.62,1.62,,,0 CDM,209703_00409733513,NDC Description Not Available,1.57,1.57,,,0 CDM,209703_00409733520,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-21)",1.54,1.54,,,0 CDM,209703_00409733521,NDC Description Not Available,1.63,1.63,,,0 CDM,209703_00781320990,NDC Description Not Available,38.84,38.84,,,0 CDM,209703_25021010720,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20) / 1 Injection, Powder, For Solution In 1 Vial",2.78,2.78,,,0 CDM,209703_60505614900,NDC Description Not Available,42.32,42.32,,,0 CDM,209709_00008121130,"Pristiq Extended-Release: 30 Tablet, Extended Release In 1 Bottle, Plastic (0008-1211-30)",63.09,63.09,,,0 CDM,209709_00054040022,"Desvenlafaxine: 90 Tablet, Film Coated, Extended Release In 1 Bottle (0054-0400-22)",43.08,43.08,,,0 CDM,209709_60687060711,NDC Description Not Available,9.2,9.2,,,0 CDM,209709_72888014330,"Desvenlafaxine: 30 Tablet, Extended Release In 1 Package (72888-143-30)",39.66,39.66,,,0 CDM,209717_00597005345,GlucaGen: 10 VIAL in 1 CARTON (0597-0053-45) / 1 mL in 1 VIAL,641.67,641.67,,,0 CDM,209717_63323058282,"Glucagon: 1 Kit In 1 Kit (63323-582-82) * 1 Ml In 1 Vial, Single-Dose (63323-583-13) * 1 Ml In 1 Syringe, Glass (63323-185-82)",880.75,880.75,,,0 CDM,209717_63323058313,NDC Description Not Available,1210.25,1210.25,,,0 CDM,209717_63323059303,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",870.05,870.05,,,0 CDM,209717_63323059403,"Glucagon: 1 Kit In 1 Carton (63323-594-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-06) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",700.61,700.61,,,0 CDM,209717_63323059603,NDC Description Not Available,800.87,800.87,,,0 CDM,209717_63323059606,NDC Description Not Available,840.32,840.32,,,0 CDM,209717_63323059608,NDC Description Not Available,643.13,643.13,,,0 CDM,209717_63323059611,NDC Description Not Available,567.29,567.29,,,0 CDM,209722_68220011310,"Levsin Sl: 100 Tablet, Orally Disintegrating In 1 Bottle (68220-113-10)",12.36,12.36,,,0 CDM,209724_00009001820,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,36.48,36.48,,,0 CDM,209724_00009069801,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.03,1.03,,,0 CDM,209724_00143985101,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",0.91,0.91,,,0 CDM,209724_43598013074,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",0.7,0.7,,,0 CDM,209724_63323026530,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",0.76,0.76,,,0 CDM,209731_00009004722,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),44.54,44.54,,,0 CDM,209731_00009004725,NDC Description Not Available,40.47,40.47,,,0 CDM,209731_00009004726,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-26) / 2 Ml In 1 Vial (0009-0047-27),42.18,42.18,,,0 CDM,209731_00009004727,NDC Description Not Available,42.18,42.18,,,0 CDM,209731_00143975401,NDC Description Not Available,22.45,22.45,,,0 CDM,209731_00143975425,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Carton (0143-9754-25) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (0143-9754-01)",27.98,27.98,,,0 CDM,209731_43598012901,NDC Description Not Available,26.2,26.2,,,0 CDM,209731_63323025803,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-258-03) / 2 Ml In 1 Vial, Single-Dose (63323-258-01)",46.24,46.24,,,0 CDM,209742_00009003906,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-06) / 1 Ml In 1 Vial,3.22,3.22,,,0 CDM,209742_00009003928,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),4.3,4.3,,,0 CDM,209742_00009003930,NDC Description Not Available,3.94,3.94,,,0 CDM,209742_00009003933,NDC Description Not Available,4.15,4.15,,,0 CDM,209742_00143975301,NDC Description Not Available,2.13,2.13,,,0 CDM,209742_43598012745,NDC Description Not Available,2.6,2.6,,,0 CDM,209742_63323025503,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-255-03) / 1 Ml In 1 Vial, Single-Dose (63323-255-01)",3.32,3.32,,,0 CDM,209756_50268058411,NDC Description Not Available,20.67,20.67,,,0 CDM,209757_00904720861,"Nifedipine: 100 Blister Pack In 1 Carton (0904-7208-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.12,4.12,,,0 CDM,209757_50268059711,NDC Description Not Available,3.34,3.34,,,0 CDM,209757_50742026001,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-260-01)",3.3,3.3,,,0 CDM,209757_62175026037,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (62175-260-37)",3.17,3.17,,,0 CDM,209757_67877075701,"Nifedipine: 100 Tablet, Extended Release In 1 Bottle (67877-757-01)",5.02,5.02,,,0 CDM,209757_68084059711,NDC Description Not Available,5.95,5.95,,,0 CDM,209758_00904708106,"Nifedipine: 50 Blister Pack In 1 Carton (0904-7081-06) / 1 Tablet, Extended Release In 1 Blister Pack",2.38,2.38,,,0 CDM,209758_50268059811,NDC Description Not Available,5.35,5.35,,,0 CDM,209758_50268059815,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-598-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-598-11)",8.24,8.24,,,0 CDM,209758_50742026101,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-261-01)",7.96,7.96,,,0 CDM,209758_62175026137,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (62175-261-37)",8.24,8.24,,,0 CDM,209758_68084059811,NDC Description Not Available,7.28,7.28,,,0 CDM,209759_50742026201,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-262-01)",9.27,9.27,,,0 CDM,209759_68084060311,NDC Description Not Available,13.46,13.46,,,0 CDM,209760_00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.27,16.27,,,0 CDM,209760_00023923201,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",16.22,16.22,,,0 CDM,209762_00245531689,NDC Description Not Available,2.34,2.34,,,0 CDM,209762_00245531701,"Klor-Con M: 100 Blister Pack In 1 Carton (0245-5317-01) / 1 Tablet, Extended Release In 1 Blister Pack (0245-5317-89)",2.25,2.25,,,0 CDM,209762_00245531711,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5317-11)",2.06,2.06,,,0 CDM,209762_00245531789,NDC Description Not Available,2.23,2.23,,,0 CDM,209762_00574027500,NDC Description Not Available,1.37,1.37,,,0 CDM,209762_00832532411,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (0832-5324-11)",2.11,2.11,,,0 CDM,209762_00904721661,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7216-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.2,1.2,,,0 CDM,209762_00904729261,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7292-61) / 1 Tablet, Extended Release In 1 Blister Pack",1.57,1.57,,,0 CDM,209762_63629107201,"Potassium Chloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (63629-1072-1)",2.21,2.21,,,0 CDM,209762_63739097210,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-972-10) / 10 Tablet, Extended Release In 1 Blister Pack",2.49,2.49,,,0 CDM,209762_68084063201,"Potassium Chloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-632-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-632-11)",2.56,2.56,,,0 CDM,209763_60687022611,NDC Description Not Available,8.8,8.8,,,0 CDM,209766_13668058130,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),274.5,274.5,,,0 CDM,209766_31722064630,"Tadalafil: 30 Tablet, Film Coated In 1 Bottle (31722-646-30)",274.53,274.53,,,0 CDM,209766_43598057860,"Tadalafil: 60 Tablet, Film Coated In 1 Bottle (43598-578-60)",274.53,274.53,,,0 CDM,209766_50268073911,NDC Description Not Available,259.78,259.78,,,0 CDM,209766_69097052603,"Tadalafil: 60 Tablet, Film Coated In 1 Bottle (69097-526-03)",274.52,274.52,,,0 CDM,209768_60793021721,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-217-21) * 20 Ml In 1 Vial, Glass (60793-317-01) * 20 Ml In 1 Vial, Glass (60793-221-09)",1408.01,1408.01,,,0 CDM,209769_60793021505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-215-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",297.98,297.98,,,0 CDM,209769_60793031501,NDC Description Not Available,312.09,312.09,,,0 CDM,209769_60793070505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-705-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",347.11,347.11,,,0 CDM,209773_00641615101,NDC Description Not Available,13.69,13.69,,,0 CDM,209773_00641615125,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",25.96,25.96,,,0 CDM,209773_63323085303,NDC Description Not Available,14.65,14.65,,,0 CDM,209773_76045001001,NDC Description Not Available,10.39,10.39,,,0 CDM,209773_76045001011,Dilaudid: 10 Syringe In 1 Carton (76045-010-11) / 1 Ml In 1 Syringe (76045-010-01),9.97,9.97,,,0 CDM,209784_00409131203,NDC Description Not Available,15.65,15.65,,,0 CDM,209784_00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),14.42,14.42,,,0 CDM,209784_00409336510,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-3365-10) / 1 Ml In 1 Vial, Single-Dose (0409-3365-11)",4.14,4.14,,,0 CDM,209784_00409336511,NDC Description Not Available,8.93,8.93,,,0 CDM,209784_00641615101,NDC Description Not Available,13.56,13.56,,,0 CDM,209784_00641615125,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",13.39,13.39,,,0 CDM,209784_63323085303,NDC Description Not Available,9.27,9.27,,,0 CDM,209795_63323031801,"Granisetron: 1 Vial, Single-Use In 1 Box (63323-318-01) / 1 Ml In 1 Vial, Single-Use",8.65,8.65,,,0 CDM,209795_67457086301,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01) / 1 Ml In 1 Vial,4.33,4.33,,,0 CDM,209797_00409128304,NDC Description Not Available,14.42,14.42,,,0 CDM,209797_00409128305,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),18.28,18.28,,,0 CDM,209797_00409426411,NDC Description Not Available,19.57,19.57,,,0 CDM,209808_00409230504,NDC Description Not Available,1.48,1.48,,,0 CDM,209808_00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",1.05,1.05,,,0 CDM,209808_00409230516,NDC Description Not Available,2.82,2.82,,,0 CDM,209808_00641605701,NDC Description Not Available,1.54,1.54,,,0 CDM,209808_23155060031,NDC Description Not Available,4.12,4.12,,,0 CDM,209808_76045000100,NDC Description Not Available,2.58,2.58,,,0 CDM,209811_00409230504,NDC Description Not Available,1.49,1.49,,,0 CDM,209811_00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",1.27,1.27,,,0 CDM,209811_00409230516,NDC Description Not Available,2.95,2.95,,,0 CDM,209811_00409230521,NDC Description Not Available,1.03,1.03,,,0 CDM,209811_00409230550,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",0.87,0.87,,,0 CDM,209811_00409258704,NDC Description Not Available,1.03,1.03,,,0 CDM,209811_00409258705,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2587-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2587-04)",0.41,0.41,,,0 CDM,209811_00641605601,NDC Description Not Available,1.03,1.03,,,0 CDM,209811_00641605701,NDC Description Not Available,1.41,1.41,,,0 CDM,209811_00641605725,Midazolam: 25 Vial In 1 Carton (0641-6057-25) / 2 Ml In 1 Vial (0641-6057-01),1.43,1.43,,,0 CDM,209811_00641605901,NDC Description Not Available,1.25,1.25,,,0 CDM,209811_00641605910,Midazolam: 10 Vial In 1 Carton (0641-6059-10) / 5 Ml In 1 Vial (0641-6059-01),1.19,1.19,,,0 CDM,209811_00641620901,NDC Description Not Available,1.51,1.51,,,0 CDM,209811_00641620925,Midazolam: 25 Vial In 1 Carton (0641-6209-25) / 2 Ml In 1 Vial (0641-6209-01),2.47,2.47,,,0 CDM,209811_00641621001,NDC Description Not Available,1.23,1.23,,,0 CDM,209811_00641628101,NDC Description Not Available,0.62,0.62,,,0 CDM,209811_00641628125,Midazolam: 25 Vial In 1 Carton (0641-6281-25) / 2 Ml In 1 Vial (0641-6281-01),0.55,0.55,,,0 CDM,209811_23155060031,NDC Description Not Available,2.22,2.22,,,0 CDM,209811_23155060041,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41) / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",2.35,2.35,,,0 CDM,209811_25021065502,Midazolam: 10 Vial In 1 Carton (25021-655-02) / 2 Ml In 1 Vial,0.52,0.52,,,0 CDM,209811_55390012510,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,0.95,0.95,,,0 CDM,209811_55390013702,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,1.09,1.09,,,0 CDM,209811_55390013705,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,0.52,0.52,,,0 CDM,209811_57664063343,MIDAZOLAM: 10 VIAL in 1 CARTON (57664-633-43) / 2 mL in 1 VIAL (57664-633-40),1.03,1.03,,,0 CDM,209811_63323041115,NDC Description Not Available,2.51,2.51,,,0 CDM,209811_63323041118,NDC Description Not Available,2.85,2.85,,,0 CDM,209811_63323041125,Midazolam: 25 Vial In 1 Tray (63323-411-25) / 5 Ml In 1 Vial (63323-411-18),2.83,2.83,,,0 CDM,209811_70860060041,NDC Description Not Available,1.9,1.9,,,0 CDM,209812,Noncdm Charge Record,142.87,142.87,,,0 CDM,209812_49281021510,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",159.65,159.65,,,0 CDM,209812_49281021558,NDC Description Not Available,159.65,159.65,,,0 CDM,209812_49281021588,NDC Description Not Available,170.98,170.98,,,0 CDM,209815_00409030201,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",4.96,4.96,,,0 CDM,209815_16729015131,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,1.1,1.1,,,0 CDM,209815_63323076210,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10) / 4 Ml In 1 Vial,7.63,7.63,,,0 CDM,209816_00574006915,Glutose: 37.5 g in 1 TUBE (0574-0069-15),4.1,4.1,,,0 CDM,209816_00574006930,Glutose: 3 TUBE in 1 CARTON (0574-0069-30) / 37.5 g in 1 TUBE,4.12,4.12,,,0 CDM,20986_V2632_276,Noncdm Charge Record Medical Supplies,203.87,203.87,,,0 CDM,20994_C1776_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,20996_C1776_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,20998_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,2100000001,Hc Icu Card Room Daily,9778.0,9778.0,,,0 CDM,2100000002,Noncdm Charge Record,12685.67,12685.67,,,0 CDM,21044_00074364203,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,6360.76,6360.76,,,0 CDM,21044_00074366303,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,3909.03,3909.03,,,0 CDM,21044_62935075680,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,6360.76,6360.76,,,0 CDM,21045_00074334603,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5024.19,5024.19,,,0 CDM,210490_00527512162,"Nystatin Oral Suspension: 1 BOTTLE, DROPPER in 1 CARTON (0527-5121-62) / 60 mL in 1 BOTTLE, DROPPER",25.75,25.75,,,0 CDM,210494_00591315901,Ursodiol: 100 Capsule In 1 Bottle (0591-3159-01),26.52,26.52,,,0 CDM,210529_00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),277.12,277.12,,,0 CDM,21057_00904628361,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6283-61) / 1 Tablet, Film Coated In 1 Blister Pack",40.34,40.34,,,0 CDM,21057_60505311000,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0) / 10 Tablet, Film Coated In 1 Blister Pack",40.19,40.19,,,0 CDM,21057_60505311008,"Olanzapine: 1000 Tablet, Film Coated In 1 Bottle (60505-3110-8)",39.72,39.72,,,0 CDM,210581_51552072002,Nifedipine: 5 G In 1 Container (51552-0720-2),0.99,0.99,,,0 CDM,21061_00904726361,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.6,3.6,,,0 CDM,21061_60687072211,NDC Description Not Available,7.67,7.67,,,0 CDM,21061_68462013801,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (68462-138-01)",8.1,8.1,,,0 CDM,21062_00378623201,"Citalopram: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-6232-01)",6.18,6.18,,,0 CDM,21062_00904608561,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.23,9.23,,,0 CDM,21062_13668001001,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (13668-010-01)",9.56,9.56,,,0 CDM,21062_13668001005,"Citalopram: 500 Tablet, Film Coated In 1 Bottle (13668-010-05)",9.27,9.27,,,0 CDM,21063_00069315083,Zithromax: 10 Vial In 1 Carton (0069-3150-83) / 5 Ml In 1 Vial (0069-3150-84),26.39,26.39,,,0 CDM,21063_00069315084,NDC Description Not Available,20.6,20.6,,,0 CDM,21063_25021018066,Azithromycin: 10 Vial In 1 Carton (25021-180-66) / 5 Ml In 1 Vial,12.36,12.36,,,0 CDM,21063_55150017410,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",38.46,38.46,,,0 CDM,21063_63323039801,NDC Description Not Available,31.69,31.69,,,0 CDM,21063_63323039810,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),31.93,31.93,,,0 CDM,21063_70860010010,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",21.63,21.63,,,0 CDM,21063_70860010041,NDC Description Not Available,21.02,21.02,,,0 CDM,21063_70860012541,NDC Description Not Available,14.95,14.95,,,0 CDM,21063_70860012566,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66) / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",14.83,14.83,,,0 CDM,210754,Noncdm Charge Record,250.0,250.0,,,0 CDM,210754_00078100060,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",29.41,29.41,,,0 CDM,210788_71258002201,"Pylarify: 50 Ml In 1 Vial, Multi-Dose (71258-022-01)",927.1,927.1,,,0 CDM,210852,Noncdm Charge Record,144.07,144.07,,,0 CDM,210852_00005200001,NDC Description Not Available,1120.49,1120.49,,,0 CDM,210852_00005200002,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),1172.79,1172.79,,,0 CDM,210852_00005200010,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),1163.31,1163.31,,,0 CDM,210935_68727090001,NDC Description Not Available,115.94,115.94,,,0 CDM,210935_68727090003,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03) / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",126.81,126.81,,,0 CDM,211011_00310304000,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00) / 2 Ml In 1 Vial, Glass",33.06,33.06,,,0 CDM,211034_58468042601,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1) / 10 Ml In 1 Vial, Single-Dose",51.09,51.09,,,0 CDM,21107_C1889_278,Noncdm Charge Record Medical Supplies,376.43,376.43,,,0 CDM,21108_00074368303,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5052.92,5052.92,,,0 CDM,211211_51144000301,Tivdak: 1 Vial In 1 Carton (51144-003-01) / 4 Ml In 1 Vial,228.95,228.95,,,0 CDM,211215_50881000705,Opzelura: 1 Tube In 1 Carton (50881-007-05) / 60 G In 1 Tube,5055.24,5055.24,,,0 CDM,21135_24208034205,"Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump",887.86,887.86,,,0 CDM,21135_60505081500,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0) / 50 Spray In 1 Bottle, Spray",227.77,227.77,,,0 CDM,211466_80803015350,"Fyarro: 1 Vial, Single-Use In 1 Carton (80803-153-50) / 20 Ml In 1 Vial, Single-Use",163.93,163.93,,,0 CDM,211471_64764080028,"Livtencity: 1 Bottle In 1 Carton (64764-800-28) / 28 Tablet, Coated In 1 Bottle",961.76,961.76,,,0 CDM,211471_64764080056,"Livtencity: 1 Bottle In 1 Carton (64764-800-56) / 56 Tablet, Coated In 1 Bottle",946.45,946.45,,,0 CDM,211538_00074231030,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",817.82,817.82,,,0 CDM,21153_C1752_278,Noncdm Charge Record Medical Supplies,150.7,150.7,,,0 CDM,211540_73475304105,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",71.93,71.93,,,0 CDM,211549_00069532103,NDC Description Not Available,200.09,200.09,,,0 CDM,211554,Noncdm Charge Record,250.0,250.0,,,0 CDM,21155_C1752_278,Noncdm Charge Record Medical Supplies,150.7,150.7,,,0 CDM,211578_74725010025,"Illuccix: 1 Kit In 1 Carton (74725-100-25) * 2.5 Ml In 1 Vial, Multi-Dose (74725-102-25) * 6.4 Ml In 1 Vial, Multi-Dose (74725-103-64) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial,",1696.55,1696.55,,,0 CDM,21157_00904726461,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7264-61) / 1 Tablet, Film Coated In 1 Blister Pack",7.21,7.21,,,0 CDM,21157_60687073311,NDC Description Not Available,18.03,18.03,,,0 CDM,21157_68084086701,"Oxcarbazepine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-867-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-867-11)",18.28,18.28,,,0 CDM,21157_68462013901,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (68462-139-01)",16.22,16.22,,,0 CDM,21157_C1781_278,Noncdm Charge Record Medical Supplies,548.9,548.9,,,0 CDM,211612_80446040101,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",501.11,501.11,,,0 CDM,212698_44567084001,NDC Description Not Available,5.33,5.33,,,0 CDM,212698_60505623100,NDC Description Not Available,6.58,6.58,,,0 CDM,21287_57237018090,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (57237-180-90),10.64,10.64,,,0 CDM,21288_60687059211,NDC Description Not Available,4.12,4.12,,,0 CDM,21288_68462033390,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-333-90),12.12,12.12,,,0 CDM,212898_69488001061,"Pluvicto: 1 Vial, Glass In 1 Package (69488-010-61) / 7.5 Ml In 1 Vial, Glass",449.55,449.55,,,0 CDM,21290_68462033190,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-331-90),12.1,12.1,,,0 CDM,212996_00069531702,NDC Description Not Available,601.33,601.33,,,0 CDM,213190_71336100301,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",11801.41,11801.41,,,0 CDM,213198_00074501501,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",40.42,40.42,,,0 CDM,2131_13925050530,Dapsone: 2 BLISTER PACK in 1 CARTON (13925-505-30) / 15 TABLET in 1 BLISTER PACK,11.11,11.11,,,0 CDM,2131_49938010130,Dapsone: 2 Blister Pack In 1 Carton (49938-101-30) / 15 Tablet In 1 Blister Pack,12.36,12.36,,,0 CDM,2131_64980056601,Dapsone: 100 Tablet In 1 Bottle (64980-566-01),7.21,7.21,,,0 CDM,2131_64980056603,Dapsone: 30 Tablet In 1 Bottle (64980-566-03),11.33,11.33,,,0 CDM,2131_70954013610,Dapsone: 30 Tablet In 1 Bottle (70954-136-10),10.86,10.86,,,0 CDM,2131_70954013620,Dapsone: 100 Tablet In 1 Bottle (70954-136-20),7.38,7.38,,,0 CDM,2132_49938010230,Dapsone: 2 Blister Pack In 1 Carton (49938-102-30) / 15 Tablet In 1 Blister Pack,9.84,9.84,,,0 CDM,2132_64980056703,Dapsone: 30 Tablet In 1 Bottle (64980-567-03),8.89,8.89,,,0 CDM,2132_70954013510,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),8.89,8.89,,,0 CDM,2132_70954013520,Dapsone: 100 Tablet In 1 Bottle (70954-135-20),7.94,7.94,,,0 CDM,21374_00904707861,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.06,2.06,,,0 CDM,21374_51079037901,NDC Description Not Available,14.29,14.29,,,0 CDM,21374_51079037920,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",14.25,14.25,,,0 CDM,21374_60687043811,NDC Description Not Available,2.74,2.74,,,0 CDM,21374_64380072506,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",14.68,14.68,,,0 CDM,2140000001,Hc Intermediate Ccu Room Daily,4890.0,4890.0,,,0 CDM,214973_43825020001,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",2348.4,2348.4,,,0 CDM,215006_52652800101,Zonisade: 1 Bottle In 1 Carton (52652-8001-1) / 150 Ml In 1 Bottle,127.36,127.36,,,0 CDM,215008_81284031500,NDC Description Not Available,1730.4,1730.4,,,0 CDM,215008_81284031505,Bludigo: 5 Ampule In 1 Carton (81284-315-05) / 5 Ml In 1 Ampule (81284-315-00),1346.75,1346.75,,,0 CDM,21507_04116700881,NDC Description Not Available,29.87,29.87,,,0 CDM,21509_00093762056,"Letrozole: 30 Tablet, Film Coated In 1 Bottle (0093-7620-56)",64.89,64.89,,,0 CDM,21509_50268047611,NDC Description Not Available,65.08,65.08,,,0 CDM,215254_00310453530,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,301.4,301.4,,,0 CDM,215259_57894045001,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",78.39,78.39,,,0 CDM,215260_57894044901,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",85.65,85.65,,,0 CDM,215264,Noncdm Charge Record,145.72,145.72,,,0 CDM,215264_58160082703,NDC Description Not Available,660.22,660.22,,,0 CDM,215264_58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),509.85,509.85,,,0 CDM,215309_72903085301,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",157.32,157.32,,,0 CDM,215343_00053016016,"Hemgenix: 1 Kit In 1 Carton (0053-0160-16) * 1 Injection, Suspension In 1 Vial, Glass (0053-0099-01)",7210000.0,7210000.0,,,0 CDM,215750_72960011201,"Daxxify: 1 Vial, Single-Use In 1 Carton (72960-112-01) / 1.2 Ml In 1 Vial, Single-Use",10.63,10.63,,,0 CDM,216122_73150015006,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",172.59,172.59,,,0 CDM,216179_62856021201,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",3.41,3.41,,,0 CDM,216179_62856021501,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",3.15,3.15,,,0 CDM,216754_44567084001,NDC Description Not Available,5.41,5.41,,,0 CDM,21688_00904637361,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.33,0.33,,,0 CDM,21688_43547026810,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",9.03,9.03,,,0 CDM,21689_00904637461,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6374-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.47,2.47,,,0 CDM,21689_60687058811,NDC Description Not Available,2.51,2.51,,,0 CDM,21690_62332003331,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (62332-033-31)",6.81,6.81,,,0 CDM,21690_68462025601,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-256-01)",8.91,8.91,,,0 CDM,217193_64406010901,"Qalsody: 1 Vial, Single-Use In 1 Carton (64406-109-01) / 15 Ml In 1 Vial, Single-Use",293.34,293.34,,,0 CDM,217378_58284029601,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-296-01) / .27 Ml In 1 Syringe, Glass",43.98,43.98,,,0 CDM,217379_58284022801,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-228-01) / .36 Ml In 1 Syringe, Glass",32.98,32.98,,,0 CDM,217419_00316023475,"Sarna: 222 Ml In 1 Bottle, Pump (0316-0234-75)",46.35,46.35,,,0 CDM,217425_51759052010,"Uzedy: 1 Syringe, Glass In 1 Carton (51759-520-10) / .28 Ml In 1 Syringe, Glass",56.56,56.56,,,0 CDM,217464_10122016002,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-160-02) / 10 Ml In 1 Vial, Single-Dose (10122-160-01)",511.1,511.1,,,0 CDM,217464_10122016502,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-165-02) / 2.5 Ml In 1 Vial, Single-Dose",536.63,536.63,,,0 CDM,217541_82705001001,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",127.34,127.34,,,0 CDM,217542_82705000201,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",303.94,303.94,,,0 CDM,217577_69932000201,NDC Description Not Available,1594.77,1594.77,,,0 CDM,217879_70842024001,"Rezzayo: 1 Vial In 1 Carton (70842-240-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.1,24.1,,,0 CDM,217971_50242012501,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",4283.66,4283.66,,,0 CDM,217971_50242012701,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",5601.18,5601.18,,,0 CDM,217984_73475310203,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",74.9,74.9,,,0 CDM,218002_50474098079,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-980-79) / 2 Ml In 1 Vial, Glass",53.41,53.41,,,0 CDM,218002_50474098386,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-983-86) / 6 Ml In 1 Vial, Glass",53.51,53.51,,,0 CDM,21800_50268074211,NDC Description Not Available,2.3,2.3,,,0 CDM,21810_65862003660,"Lamivudine And Zidovudine: 60 Tablet, Film Coated In 1 Bottle (65862-036-60)",52.73,52.73,,,0 CDM,21823_00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.77,0.77,,,0 CDM,21823_50268063011,NDC Description Not Available,12.97,12.97,,,0 CDM,21823_60687032711,NDC Description Not Available,13.53,13.53,,,0 CDM,21824_00904664061,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.03,2.03,,,0 CDM,21824_50268063211,NDC Description Not Available,23.19,23.19,,,0 CDM,21824_60687034911,NDC Description Not Available,23.48,23.48,,,0 CDM,21824_67877025001,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (67877-250-01)",24.72,24.72,,,0 CDM,21825_00904664161,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6641-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.79,3.79,,,0 CDM,21825_16714045501,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16714-455-01)",44.74,44.74,,,0 CDM,21825_50268063311,NDC Description Not Available,43.33,43.33,,,0 CDM,218261_55566105001,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),37080.0,37080.0,,,0 CDM,21827_62756022483,"Tiagabine Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (62756-224-83)",16.65,16.65,,,0 CDM,21827_72205008530,Tiagabine Hydrochloride: 30 Tablet In 1 Bottle (72205-085-30),28.58,28.58,,,0 CDM,218286,Noncdm Charge Record,143.0,143.0,,,0 CDM,218286_70461032303,"Flucelvax Quadrivalent: 10 SYRINGE, GLASS in 1 CARTON (70461-323-03) / .5 mL in 1 SYRINGE, GLASS (70461-323-04)",129.78,129.78,,,0 CDM,218286_70461032304,NDC Description Not Available,129.78,129.78,,,0 CDM,218292,Noncdm Charge Record,124.0,124.0,,,0 CDM,218292_58160090941,NDC Description Not Available,84.46,84.46,,,0 CDM,218306_00069034401,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",1276.17,1276.17,,,0 CDM,21835_C1887_272,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,21835_C1887_278,Noncdm Charge Record Medical Supplies,27.47,27.47,,,0 CDM,21837_C1887_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,218573_68547011110,"Xacduro: 1 Kit In 1 Carton (68547-111-10) * 5 Ml In 1 Vial, Single-Dose (68547-211-20) * 2.5 Ml In 1 Vial, Single-Dose (68547-311-30)",684.95,684.95,,,0 CDM,218588_49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,1223.64,1223.64,,,0 CDM,218588_49281057515,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,1284.41,1284.41,,,0 CDM,218606_68982026102,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-02) / 40 Ml In 1 Vial, Glass (68982-261-82)",7.62,7.62,,,0 CDM,218606_68982026182,NDC Description Not Available,7.79,7.79,,,0 CDM,218607_68982026101,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-01) / 20 Ml In 1 Vial, Glass (68982-261-81)",7.61,7.61,,,0 CDM,218607_68982026181,NDC Description Not Available,7.79,7.79,,,0 CDM,218712_00069252201,NDC Description Not Available,424.49,424.49,,,0 CDM,218712_00069252202,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",348.12,348.12,,,0 CDM,218712_00069449402,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",428.17,428.17,,,0 CDM,218748_00338071224,Daptomycin In Sodium Chloride: 24 Bag In 1 Carton (0338-0712-24) / 50 Ml In 1 Bag,119.07,119.07,,,0 CDM,218749_00338071424,Daptomycin In Sodium Chloride: 24 Bag In 1 Carton (0338-0714-24) / 50 Ml In 1 Bag,140.21,140.21,,,0 CDM,2189_C1751_278,Noncdm Charge Record Medical Supplies,137.83,137.83,,,0 CDM,21900_00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",153.04,153.04,,,0 CDM,219057_00338071612,Daptomycin In Sodium Chloride: 12 Bag In 1 Carton (0338-0716-12) / 100 Ml In 1 Bag,244.16,244.16,,,0 CDM,219058_00338071812,Daptomycin In Sodium Chloride: 12 Bag In 1 Carton (0338-0718-12) / 100 Ml In 1 Bag,284.84,284.84,,,0 CDM,219107_82737007301,"Aphexda: 1 Vial, Glass In 1 Carton (82737-073-01) / 1.7 Ml In 1 Vial, Glass",235.24,235.24,,,0 CDM,21911_C1894_278,Noncdm Charge Record Medical Supplies,39.55,39.55,,,0 CDM,219301_00409963015,NDC Description Not Available,13.7,13.7,,,0 CDM,219318_71904030001,"Opfolda: 4 Bottle, Plastic In 1 Bottle, Plastic (71904-300-01) / 1 Capsule In 1 Bottle, Plastic",142.66,142.66,,,0 CDM,219321_71904020001,"Pombiliti Atga: 1 Vial, Glass In 1 Carton (71904-200-01) / 105 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",214.48,214.48,,,0 CDM,219387_00078116861,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",42.24,42.24,,,0 CDM,219396_81033006620,Likmez: 200 Ml In 1 Bottle (81033-066-20),58.97,58.97,,,0 CDM,219579_44567040201,NDC Description Not Available,141.77,141.77,,,0 CDM,219579_44567040206,"Meropenem: 6 Vial In 1 Carton (44567-402-06) / 1 Injection, Powder, For Solution In 1 Vial (44567-402-01)",142.3,142.3,,,0 CDM,219635_70114034001,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",93.88,93.88,,,0 CDM,21987_C1769_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,21989_C1729_278,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,22005_C1769_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,220251_50242093001,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-930-01) / 2 Ml In 1 Vial, Single-Use",62265.56,62265.56,,,0 CDM,220297_70114013001,Udenyca: 1 Syringe In 1 Carton (70114-130-01) / .6 Ml In 1 Syringe,860.05,860.05,,,0 CDM,22071_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,220760_00338012404,Vancomycin Hydrochloride: 300 Ml In 1 Bag (0338-0124-04),200.94,200.94,,,0 CDM,220760_70594004301,NDC Description Not Available,99.91,99.91,,,0 CDM,220766_00338012204,Vancomycin Hydrochloride: 250 Ml In 1 Bag (0338-0122-04),196.82,196.82,,,0 CDM,22079_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,22120,Noncdm Charge Record,143.87,143.87,,,0 CDM,22120_50632001001,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",1756.67,1756.67,,,0 CDM,22120_58160096412,"RabAvert: 1 KIT in 1 CARTON (58160-964-12) * 1 mL in 1 VIAL, GLASS (58160-966-01) * 1 mL in 1 SYRINGE (58160-967-02)",1639.76,1639.76,,,0 CDM,22131_C1725_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,221403_55513006901,NDC Description Not Available,5297.14,5297.14,,,0 CDM,221403_55513007701,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),4737.63,4737.63,,,0 CDM,221404_55513005901,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),35.91,35.91,,,0 CDM,22142_00904629461,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.73,15.73,,,0 CDM,22142_16714005202,Clopidogrel: 90 Tablet In 1 Bottle (16714-052-02),25.08,25.08,,,0 CDM,22142_16714005210,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),17.84,17.84,,,0 CDM,22142_16714005211,"Clopidogrel: 100 Tablet In 1 Box, Unit-Dose (16714-052-11)",17.84,17.84,,,0 CDM,22142_65862035730,"Clopidogrel: 30 Tablet, Film Coated In 1 Bottle (65862-357-30)",25.02,25.02,,,0 CDM,22142_65862035790,"Clopidogrel: 90 Tablet, Film Coated In 1 Bottle (65862-357-90)",24.72,24.72,,,0 CDM,22142_68084053611,NDC Description Not Available,24.62,24.62,,,0 CDM,22143_00093729056,"Raloxifene Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (0093-7290-56)",25.75,25.75,,,0 CDM,22143_50268069411,NDC Description Not Available,25.75,25.75,,,0 CDM,22143_60687026611,NDC Description Not Available,26.44,26.44,,,0 CDM,22143_72241001022,"Raloxifene Hydrochloride: 30 Tablet, Coated In 1 Bottle (72241-010-22)",25.71,25.71,,,0 CDM,22165_272,Noncdm Charge Record Medical Supplies,78.1,78.1,,,0 CDM,22165_C1769_278,Noncdm Charge Record Medical Supplies,77.16,77.16,,,0 CDM,221678_08765176030,NDC Description Not Available,3.09,3.09,,,0 CDM,221681_47426040101,NDC Description Not Available,8.11,8.11,,,0 CDM,221724_82959011201,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",131.85,131.85,,,0 CDM,221726_82959011101,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",149.94,149.94,,,0 CDM,22173_C1766_278,Noncdm Charge Record Medical Supplies,8.8,8.8,,,0 CDM,22175_C1894_278,Noncdm Charge Record Medical Supplies,109.04,109.04,,,0 CDM,22177_C1889_278,Noncdm Charge Record Medical Supplies,210.1,210.1,,,0 CDM,22179_C1887_278,Noncdm Charge Record Medical Supplies,80.41,80.41,,,0 CDM,22181_C1887_278,Noncdm Charge Record Medical Supplies,80.27,80.27,,,0 CDM,22185_00517071001,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,32.78,32.78,,,0 CDM,22185_25021082902,Fomepizole: 1 Vial In 1 Carton (25021-829-02) / 1.5 Ml In 1 Vial,26.76,26.76,,,0 CDM,221894,Noncdm Charge Record,141.74,141.74,,,0 CDM,221894_70461065403,"Flucelvax: 10 Syringe, Glass In 1 Carton (70461-654-03) / .5 Ml In 1 Syringe, Glass (70461-654-04)",140.08,140.08,,,0 CDM,221894_70461065404,NDC Description Not Available,140.08,140.08,,,0 CDM,221896,Noncdm Charge Record,136.06,136.06,,,0 CDM,221896_70461002403,"Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04)",317.24,317.24,,,0 CDM,221896_70461002404,NDC Description Not Available,287.94,287.94,,,0 CDM,221900,Noncdm Charge Record,142.17,142.17,,,0 CDM,221900_58160088441,NDC Description Not Available,84.47,84.47,,,0 CDM,221900_58160088452,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),84.47,84.47,,,0 CDM,221910_05093009802,NDC Description Not Available,1.44,1.44,,,0 CDM,221946_00002940101,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",9.83,9.83,,,0 CDM,22203_C1893_278,Noncdm Charge Record Medical Supplies,33.96,33.96,,,0 CDM,22205_C1893_278,Noncdm Charge Record Medical Supplies,34.8,34.8,,,0 CDM,22221_C1773_278,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,22223_C1773_278,Noncdm Charge Record Medical Supplies,414.75,414.75,,,0 CDM,22239_270,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,22240_00078049461,NDC Description Not Available,458.1,458.1,,,0 CDM,22240_00078049471,TOBI: 56 POUCH in 1 CARTON (0078-0494-71) / 4 AMPULE in 1 POUCH (0078-0494-91) / 5 mL in 1 AMPULE (0078-0494-61),578.25,578.25,,,0 CDM,22240_00093408563,Tobramycin: 56 Ampule In 1 Carton (0093-4085-63) / 5 Ml In 1 Ampule,464.22,464.22,,,0 CDM,22240_16714011902,NDC Description Not Available,480.99,480.99,,,0 CDM,22240_16714011903,Tobramycin Inhalation Solution: 14 Pouch In 1 Carton (16714-119-03) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule (16714-119-02),484.16,484.16,,,0 CDM,22240_68180096204,NDC Description Not Available,509.61,509.61,,,0 CDM,22240_68180096256,Tobramycin: 56 Pouch In 1 Carton (68180-962-56) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule,487.01,487.01,,,0 CDM,22240_70756060444,NDC Description Not Available,89.88,89.88,,,0 CDM,22240_70756060456,Tobramycin: 14 Pouch In 1 Carton (70756-604-56) / 4 Ampule In 1 Pouch (70756-604-44) / 5 Ml In 1 Ampule,464.25,464.25,,,0 CDM,22243_00006007131,"PROPECIA: 30 TABLET, FILM COATED in 1 BOTTLE (0006-0071-31)",14.42,14.42,,,0 CDM,222459_57894024030,"Lazcluze: 1 Bottle In 1 Carton (57894-240-30) / 30 Tablet, Film Coated In 1 Bottle",874.64,874.64,,,0 CDM,222472_00069243201,NDC Description Not Available,493.37,493.37,,,0 CDM,22248_270,Noncdm Charge Record Medical Supplies,1056.0,1056.0,,,0 CDM,22253_C1769_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,22257_24208041005,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (24208-410-05) / 5 Ml In 1 Bottle, Dropper",219.95,219.95,,,0 CDM,22257_50383002505,Ofloxacin: 1 BOTTLE in 1 CARTON (50383-025-05) / 5 mL in 1 BOTTLE,618.03,618.03,,,0 CDM,22257_69238161503,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (69238-1615-3) / 5 Ml In 1 Bottle, Dropper",567.34,567.34,,,0 CDM,22257_70756060915,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (70756-609-15)",391.16,391.16,,,0 CDM,22257_72603018601,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (72603-186-01)",567.44,567.44,,,0 CDM,22289_16714039101,Cefdinir: 30 CAPSULE in 1 BOTTLE (16714-391-01),18.54,18.54,,,0 CDM,22289_16714039102,Cefdinir: 60 CAPSULE in 1 BOTTLE (16714-391-02),18.54,18.54,,,0 CDM,22289_60687069911,NDC Description Not Available,14.53,14.53,,,0 CDM,22289_67877054360,Cefdinir: 60 Capsule In 1 Bottle (67877-543-60),18.46,18.46,,,0 CDM,22289_68180071160,Cefdinir: 60 Capsule In 1 Bottle (68180-711-60),18.51,18.51,,,0 CDM,223001_00469342510,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,39.55,39.55,,,0 CDM,22333_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,22435_C1769_278,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,22437_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,22439_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,22443_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,22451_C1751_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,22456_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,22461_C1769_278,Noncdm Charge Record Medical Supplies,23.1,23.1,,,0 CDM,22464_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,22472_00338006910,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,5.37,5.37,,,0 CDM,22472_00409379301,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3793-01) / 1 Ml In 1 Vial, Single-Dose (0409-3793-19)",12.85,12.85,,,0 CDM,22472_00409379319,NDC Description Not Available,12.87,12.87,,,0 CDM,22472_62332059901,NDC Description Not Available,8.04,8.04,,,0 CDM,22472_63323016100,NDC Description Not Available,15.12,15.12,,,0 CDM,22472_63323016112,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (63323-161-12) / 1 Ml In 1 Vial, Single-Dose (63323-161-21)",3.09,3.09,,,0 CDM,22472_63323016121,NDC Description Not Available,3.28,3.28,,,0 CDM,22472_70860070041,NDC Description Not Available,8.24,8.24,,,0 CDM,22473,Noncdm Charge Record,250.0,250.0,,,0 CDM,22473_55390048101,Ketorolac Tromethamine: 10 VIAL in 1 BOX (55390-481-01) / 1 mL in 1 VIAL,2.58,2.58,,,0 CDM,22473_63323016200,NDC Description Not Available,12.36,12.36,,,0 CDM,22473_63323016201,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",12.55,12.55,,,0 CDM,22473_63323016223,NDC Description Not Available,2.06,2.06,,,0 CDM,22473_70512084301,NDC Description Not Available,3.6,3.6,,,0 CDM,22474_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,22482_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,22486_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,22509_31722072610,"Montelukast Sodium: 1000 Tablet, Film Coated In 1 Bottle (31722-726-10)",20.6,20.6,,,0 CDM,22509_68084087511,NDC Description Not Available,19.57,19.57,,,0 CDM,22560_00121085320,"Sulfamethoxazole And Trimethoprim: 10 Cup, Unit-Dose In 1 Tray (0121-0853-20) / 20 Ml In 1 Cup, Unit-Dose",56.23,56.23,,,0 CDM,22560_00121085340,NDC Description Not Available,62.02,62.02,,,0 CDM,22560_09999003576,NDC Description Not Available,26.99,26.99,,,0 CDM,22560_50383082316,Sulfamethoxazole and Trimethoprim: 473 mL in 1 BOTTLE (50383-823-16),32.96,32.96,,,0 CDM,22560_65862049647,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),33.54,33.54,,,0 CDM,22560_66993072757,"Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle, Plastic (66993-727-57)",27.06,27.06,,,0 CDM,22567_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,22569_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,22573_C1769_278,Noncdm Charge Record Medical Supplies,100.1,100.1,,,0 CDM,22575_C1769_278,Noncdm Charge Record Medical Supplies,100.1,100.1,,,0 CDM,22576_270,Noncdm Charge Record Medical Supplies,640.2,640.2,,,0 CDM,22579_C1884_278,Noncdm Charge Record Medical Supplies,381.7,381.7,,,0 CDM,22579_C1889_278,Noncdm Charge Record Medical Supplies,375.35,375.35,,,0 CDM,22580_270,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,22581_C1884_278,Noncdm Charge Record Medical Supplies,382.07,382.07,,,0 CDM,22581_C1889_278,Noncdm Charge Record Medical Supplies,376.59,376.59,,,0 CDM,22584_270,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,22592_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,22594_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,22602_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,22608_270,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,2263_270,Noncdm Charge Record Medical Supplies,95.51,95.51,,,0 CDM,22680_C1766_278,Noncdm Charge Record Medical Supplies,68.22,68.22,,,0 CDM,22715_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,22716_270,Noncdm Charge Record Medical Supplies,729.85,729.85,,,0 CDM,22719_57237018290,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (57237-182-90),9.18,9.18,,,0 CDM,22719_60687058111,NDC Description Not Available,2.97,2.97,,,0 CDM,22719_68462033290,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-332-90),12.02,12.02,,,0 CDM,22736_C1889_278,Noncdm Charge Record Medical Supplies,1092.3,1092.3,,,0 CDM,22744_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,22748_270,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,22782_00093001006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0010-06)",12.05,12.05,,,0 CDM,22782_16571012606,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (16571-126-06)",11.94,11.94,,,0 CDM,22782_29300023916,"Tolterodine Tartrate: 60 Tablet In 1 Bottle, Plastic (29300-239-16)",11.97,11.97,,,0 CDM,22782_31722080560,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (31722-805-60)",11.94,11.94,,,0 CDM,22782_33342009709,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-097-09)",12.46,12.46,,,0 CDM,22782_59762017006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (59762-0170-6)",11.95,11.95,,,0 CDM,22783_00093001805,"Tolterodine Tartrate: 500 Tablet, Film Coated In 1 Bottle (0093-0018-05)",12.36,12.36,,,0 CDM,22783_33342009809,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",12.58,12.58,,,0 CDM,22854_C1762_278,Noncdm Charge Record Medical Supplies,2163.7,2163.7,,,0 CDM,22854_C1762_636,Noncdm Charge Record Pharmacy,2026.01,2026.01,,,0 CDM,22860_C1762_278,Noncdm Charge Record Medical Supplies,624.97,624.97,,,0 CDM,22860_C1762_636,Noncdm Charge Record Pharmacy,585.31,585.31,,,0 CDM,2286_50742011301,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (50742-113-01),7.21,7.21,,,0 CDM,22890_C1762_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,22896_C1762_278,Noncdm Charge Record Medical Supplies,1047.2,1047.2,,,0 CDM,22953_00065027510,"Azopt: 1 BOTTLE, PLASTIC in 1 CARTON (0065-0275-10) / 10 mL in 1 BOTTLE, PLASTIC",1485.26,1485.26,,,0 CDM,22953_00781601470,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (0781-6014-70) / 10 Ml In 1 Bottle, Plastic",1319.43,1319.43,,,0 CDM,22953_68682046410,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (68682-464-10) / 10 Ml In 1 Bottle, Plastic",1334.88,1334.88,,,0 CDM,22982_24208048610,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10) / 10 Ml In 1 Bottle, Dropper",243.12,243.12,,,0 CDM,22982_42571014726,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26) / 10 Ml In 1 Bottle,439.81,439.81,,,0 CDM,22982_50383023310,"Dorzolamide Hydrochloride and Timolol Maleate: 1 BOTTLE, DROPPER in 1 BOX (50383-233-10) / 10 mL in 1 BOTTLE, DROPPER",441.87,441.87,,,0 CDM,22982_65862094601,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01) / 10 Ml In 1 Bottle, Dropper",439.81,439.81,,,0 CDM,22982_70069005101,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01) / 10 Ml In 1 Bottle,90.47,90.47,,,0 CDM,22982_71921022610,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10) / 10 Ml In 1 Bottle, Dispensing",441.87,441.87,,,0 CDM,22982_82584060510,"Cosopt: 1 Bottle, Dropper In 1 Carton (82584-605-10) / 10 Ml In 1 Bottle, Dropper",1047.51,1047.51,,,0 CDM,22992_00781187431,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (0781-1874-31)",21.63,21.63,,,0 CDM,22994_00378251278,"Capecitabine: 120 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2512-78)",14.08,14.08,,,0 CDM,22994_16729007329,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",14.11,14.11,,,0 CDM,22994_55111049704,Capecitabine: 120 Tablet In 1 Bottle (55111-497-04),14.08,14.08,,,0 CDM,23000_270,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,23000_272,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,23000_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,23002_B4087_278,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,23048_C1768_278,Noncdm Charge Record Medical Supplies,1432.2,1432.2,,,0 CDM,23063_00316022975,"Sarna: 222 Ml In 1 Bottle, Pump (0316-0229-75)",33.99,33.99,,,0 CDM,23063_00536126812,"Rugby Anti-Itch: 212 G In 1 Bottle, Pump (0536-1268-12)",22.74,22.74,,,0 CDM,23082_00078033184,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",11043.18,11043.18,,,0 CDM,23124_270,Noncdm Charge Record Medical Supplies,1056.0,1056.0,,,0 CDM,23128_55150015410,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.83,0.83,,,0 CDM,23128_55150015520,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.97,0.97,,,0 CDM,23128_63323032503,NDC Description Not Available,0.81,0.81,,,0 CDM,23128_63323032509,NDC Description Not Available,0.76,0.76,,,0 CDM,23128_63323032510,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.18,1.18,,,0 CDM,23128_63323032520,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-20) / 20 Ml In 1 Vial, Single-Dose (63323-325-09)",0.76,0.76,,,0 CDM,23150_00591288201,"Verapamil Hydrochloride: 100 Capsule, Delayed Release Pellets In 1 Bottle, Plastic (0591-2882-01)",6.52,6.52,,,0 CDM,23154_270,Noncdm Charge Record Medical Supplies,103.4,103.4,,,0 CDM,23156_270,Noncdm Charge Record Medical Supplies,103.4,103.4,,,0 CDM,23158_270,Noncdm Charge Record Medical Supplies,112.2,112.2,,,0 CDM,23162_270,Noncdm Charge Record Medical Supplies,112.2,112.2,,,0 CDM,23164_270,Noncdm Charge Record Medical Supplies,103.4,103.4,,,0 CDM,2322_00054817925,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,0.18,0.18,,,0 CDM,23250_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,23252_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,23255_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,23257_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,2325_00054818125,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8181-25) / 1 Tablet In 1 Blister Pack,0.34,0.34,,,0 CDM,23261_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,2326_00054817625,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.23,0.23,,,0 CDM,2327_00054418425,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4184-25)",0.26,0.26,,,0 CDM,2327_00054817525,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.27,0.27,,,0 CDM,2327_00904726661,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 CDM,23287_C1769_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,23289_C1769_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,2328_00054418625,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.24,0.24,,,0 CDM,2328_00054818325,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 CDM,23319_C1773_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,2331_00641036721,NDC Description Not Available,0.57,0.57,,,0 CDM,2331_00641036725,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),0.61,0.61,,,0 CDM,2331_55150030401,NDC Description Not Available,1.8,1.8,,,0 CDM,2331_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),3.08,3.08,,,0 CDM,2331_63323051610,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),0.72,0.72,,,0 CDM,2331_67457042000,NDC Description Not Available,0.19,0.19,,,0 CDM,2331_67457042010,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (67457-420-10) / 10 Ml In 1 Vial (67457-420-00),0.19,0.19,,,0 CDM,2331_70069002101,NDC Description Not Available,2.24,2.24,,,0 CDM,2331_72572012201,NDC Description Not Available,0.41,0.41,,,0 CDM,2332_00641614501,NDC Description Not Available,0.97,0.97,,,0 CDM,2332_00641614601,NDC Description Not Available,0.25,0.25,,,0 CDM,2332_00641614625,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-6146-25) / 5 Ml In 1 Vial (0641-6146-01),0.26,0.26,,,0 CDM,2332_63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),3.16,3.16,,,0 CDM,2332_63323016502,NDC Description Not Available,3.34,3.34,,,0 CDM,2332_63323016505,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",1.5,1.5,,,0 CDM,2332_63323016530,"Dexamethasone Sodium Phosphate: 1 Vial, Multi-Dose In 1 Box (63323-165-30) / 30 Ml In 1 Vial, Multi-Dose",1.48,1.48,,,0 CDM,2332_67457041800,NDC Description Not Available,0.09,0.09,,,0 CDM,2332_67457041805,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05) / 5 Ml In 1 Vial (67457-418-00),0.41,0.41,,,0 CDM,2332_67457041900,NDC Description Not Available,0.96,0.96,,,0 CDM,2332_67457041901,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-419-01) / 1 Ml In 1 Vial (67457-419-00),0.84,0.84,,,0 CDM,2332_67457042200,NDC Description Not Available,0.41,0.41,,,0 CDM,2332_67457042254,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-422-54) / 5 Ml In 1 Vial (67457-422-00),0.4,0.4,,,0 CDM,2332_67457042300,NDC Description Not Available,0.96,0.96,,,0 CDM,2332_67457042312,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),0.86,0.86,,,0 CDM,23341_270,Noncdm Charge Record Medical Supplies,713.9,713.9,,,0 CDM,23343_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,23345_270,Noncdm Charge Record Medical Supplies,530.2,530.2,,,0 CDM,2335_24208072002,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper",232.97,232.97,,,0 CDM,23365_00088210201,NDC Description Not Available,19.99,19.99,,,0 CDM,23390_270,Noncdm Charge Record Medical Supplies,1746.8,1746.8,,,0 CDM,23415_270,Noncdm Charge Record Medical Supplies,636.9,636.9,,,0 CDM,23419_C1887_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,23425_270,Noncdm Charge Record Medical Supplies,152.9,152.9,,,0 CDM,23443_270,Noncdm Charge Record Medical Supplies,750.75,750.75,,,0 CDM,23450_270,Noncdm Charge Record Medical Supplies,525.16,525.16,,,0 CDM,23450_C1713_278,Noncdm Charge Record Medical Supplies,512.6,512.6,,,0 CDM,23450_C1889_278,Noncdm Charge Record Medical Supplies,512.4,512.4,,,0 CDM,23452_270,Noncdm Charge Record Medical Supplies,526.22,526.22,,,0 CDM,23452_C1713_278,Noncdm Charge Record Medical Supplies,512.6,512.6,,,0 CDM,23452_C1889_278,Noncdm Charge Record Medical Supplies,512.34,512.34,,,0 CDM,23461_00496088205,Lmx4: 5 G In 1 Tube (0496-0882-05),29.97,29.97,,,0 CDM,23461_00496088206,Lmx4: 5 Tube In 1 Carton (0496-0882-06) / 5 G In 1 Tube (0496-0882-05),29.88,29.88,,,0 CDM,23461_00496088230,Lmx4: 30 G In 1 Tube (0496-0882-30),194.67,194.67,,,0 CDM,23461_24357070105,NDC Description Not Available,15.31,15.31,,,0 CDM,23461_24357070106,Anecream: 5 Tube In 1 Carton (24357-701-06) / 5 G In 1 Tube (24357-701-05),15.42,15.42,,,0 CDM,23461_24357070130,Anecream: 1 Tube In 1 Carton (24357-701-30) / 30 G In 1 Tube,108.15,108.15,,,0 CDM,23461_39328002405,NDC Description Not Available,35.14,35.14,,,0 CDM,23461_39328002430,Lidocaine: 1 Tube In 1 Carton (39328-024-30) / 30 G In 1 Tube,212.87,212.87,,,0 CDM,23461_39328002455,Lidocaine: 5 Tube In 1 Carton (39328-024-55) / 5 G In 1 Tube,35.14,35.14,,,0 CDM,23461_42291039930,Lidocaine: 1 Tube In 1 Carton (42291-399-30) / 30 G In 1 Tube,121.13,121.13,,,0 CDM,23461_71399004903,Asper Flex: 1 Package In 1 Carton (71399-0049-3) / 30 G In 1 Package,51.61,51.61,,,0 CDM,2357_00264752000,Dextrose: 12 Container In 1 Case (0264-7520-00) / 1000 Ml In 1 Container,35.41,35.41,,,0 CDM,2357_00264752010,Dextrose: 24 Container In 1 Case (0264-7520-10) / 500 Ml In 1 Container,36.05,36.05,,,0 CDM,2357_00264752020,Dextrose: 24 Container In 1 Case (0264-7520-20) / 250 Ml In 1 Container,35.42,35.42,,,0 CDM,2357_00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),35.46,35.46,,,0 CDM,2357_00338002303,Dextrose: 500 Ml In 1 Bag (0338-0023-03),35.7,35.7,,,0 CDM,2357_00338002304,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),35.72,35.72,,,0 CDM,2357_00990793002,Dextrose: 24 Pouch In 1 Case (0990-7930-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,36.05,36.05,,,0 CDM,2357_00990793009,Dextrose: 12 Pouch In 1 Case (0990-7930-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,34.23,34.23,,,0 CDM,2357_63323082424,NDC Description Not Available,36.05,36.05,,,0 CDM,2357_63323082426,NDC Description Not Available,36.05,36.05,,,0 CDM,23589_C1789_278,Noncdm Charge Record Medical Supplies,677.6,677.6,,,0 CDM,2359_00990793519,Dextrose: 12 Pouch In 1 Case (0990-7935-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,23605_C1751_278,Noncdm Charge Record Medical Supplies,72.51,72.51,,,0 CDM,23607_C1751_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,23617_25021082850,Leucovorin Calcium: 1 Vial In 1 Carton (25021-828-50) / 50 Ml In 1 Vial,43.26,43.26,,,0 CDM,23617_63323071100,Leucovorin Calcium: 1 Vial In 1 Box (63323-711-00) / 50 Ml In 1 Vial,31.09,31.09,,,0 CDM,23617_71288016450,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-164-50) / 50 Ml In 1 Vial, Single-Dose",33.08,33.08,,,0 CDM,2361_00409177510,"Dextrose: 10 Carton In 1 Package (0409-1775-10) / 1 Syringe, Plastic In 1 Carton / 10 Ml In 1 Syringe, Plastic (0409-1775-40)",47.72,47.72,,,0 CDM,2364_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),41.75,41.75,,,0 CDM,2364_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),35.62,35.62,,,0 CDM,2364_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),35.76,35.76,,,0 CDM,2364_00338001710,Dextrose: 4 Bag In 1 Pouch (0338-0017-10) / 25 Ml In 1 Bag,36.05,36.05,,,0 CDM,2364_00338001711,Dextrose: 4 Bag In 1 Pouch (0338-0017-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,2364_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,33.95,33.95,,,0 CDM,2364_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.06,36.06,,,0 CDM,2364_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,35.81,35.81,,,0 CDM,2364_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,35.62,35.62,,,0 CDM,2364_00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,34.27,34.27,,,0 CDM,2364_00338006230,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.37,36.37,,,0 CDM,2364_00338958801,NDC Description Not Available,36.05,36.05,,,0 CDM,2364_00409792203,Dextrose: 24 POUCH in 1 CASE (0409-7922-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG,36.05,36.05,,,0 CDM,2364_00409792230,Dextrose: 24 BAG in 1 CASE (0409-7922-30) / 500 mL in 1 BAG,36.05,36.05,,,0 CDM,2364_00990792202,Dextrose: 24 Pouch In 1 Case (0990-7922-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,60.32,60.32,,,0 CDM,2364_00990792203,Dextrose: 24 Pouch In 1 Case (0990-7922-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,27.04,27.04,,,0 CDM,2364_00990792209,Dextrose: 12 Pouch In 1 Case (0990-7922-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.72,35.72,,,0 CDM,2364_00990792225,Dextrose: 24 BAG in 1 CASE (0990-7922-25) / 250 mL in 1 BAG,35.92,35.92,,,0 CDM,2364_00990792261,Dextrose: 32 Pouch In 1 Case (0990-7922-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,36.05,36.05,,,0 CDM,2364_00990792313,Dextrose: 48 Pouch In 1 Case (0990-7923-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,2364_00990792323,Dextrose: 48 Pouch In 1 Case (0990-7923-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,34.23,34.23,,,0 CDM,2364_00990792337,Dextrose: 20 Pouch In 1 Case (0990-7923-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,35.87,35.87,,,0 CDM,2364_63323062404,NDC Description Not Available,36.26,36.26,,,0 CDM,2364_63323062405,NDC Description Not Available,36.05,36.05,,,0 CDM,2364_63323062407,NDC Description Not Available,36.05,36.05,,,0 CDM,2364_63323062474,Dextrose: 30 Bag In 1 Case (63323-624-74) / 250 Ml In 1 Bag (63323-624-04),36.05,36.05,,,0 CDM,2364_65219023801,NDC Description Not Available,43.59,43.59,,,0 CDM,2364_65219045805,NDC Description Not Available,36.05,36.05,,,0 CDM,2364_65219046005,NDC Description Not Available,36.05,36.05,,,0 CDM,2367_00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),36.05,36.05,,,0 CDM,2367_00338978901,NDC Description Not Available,36.05,36.05,,,0 CDM,2367_00990712007,Dextrose: 6 Pouch In 1 Case (0990-7120-07) / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,36.05,36.05,,,0 CDM,2367_00990791819,Dextrose: 12 Pouch In 1 Case (0990-7918-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,23694_C1758_278,Noncdm Charge Record Medical Supplies,215.6,215.6,,,0 CDM,23702_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,23796_57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",248.04,248.04,,,0 CDM,23796_57894016001,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",117.42,117.42,,,0 CDM,23814_68462040444,NDC Description Not Available,25.75,25.75,,,0 CDM,2381_C1751_278,Noncdm Charge Record Medical Supplies,640.24,640.24,,,0 CDM,23840_270,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,23872_50268047711,NDC Description Not Available,21.63,21.63,,,0 CDM,23872_70748012906,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-129-06)",59.34,59.34,,,0 CDM,23873_23155004403,Leflunomide: 30 Tablet In 1 Bottle (23155-044-03),59.05,59.05,,,0 CDM,23873_50268047811,NDC Description Not Available,21.63,21.63,,,0 CDM,23876_00409741903,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),174.02,174.02,,,0 CDM,23876_00409741914,NDC Description Not Available,173.6,173.6,,,0 CDM,23878_57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",276.24,276.24,,,0 CDM,23968_00004029809,Cellcept: 4 Vial In 1 Carton (0004-0298-09) / 20 Ml In 1 Vial,467.1,467.1,,,0 CDM,23968_00004029830,NDC Description Not Available,467.1,467.1,,,0 CDM,23968_17478095740,Mycophenolate Mofetil: 4 Vial In 1 Carton (17478-957-40) / 20 Ml In 1 Vial,420.35,420.35,,,0 CDM,23968_42023017204,Mycophenolate Mofetil: 4 Vial In 1 Carton (42023-172-04) / 20 Ml In 1 Vial,314.15,314.15,,,0 CDM,23968_71288080320,NDC Description Not Available,273.84,273.84,,,0 CDM,23968_71288080321,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",297.89,297.89,,,0 CDM,2401_00409321312,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",12.36,12.36,,,0 CDM,2404_00172392560,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),0.45,0.45,,,0 CDM,2404_51079028401,NDC Description Not Available,0.85,0.85,,,0 CDM,2405_00140000501,"Valium: 1 Bottle, Plastic In 1 Carton (0140-0005-01) / 100 Tablet In 1 Bottle, Plastic",22.66,22.66,,,0 CDM,2405_00172392670,Diazepam: 500 Tablet In 1 Bottle (0172-3926-70),0.82,0.82,,,0 CDM,2405_51079028501,NDC Description Not Available,1.1,1.1,,,0 CDM,2412_00536121195,Dibucaine Topical Anesthetic 1% Hemorrhoidal: 1 Tube In 1 Box (0536-1211-95) / 28 G In 1 Tube,6.18,6.18,,,0 CDM,2412_45802005003,dibucaine: 1 TUBE in 1 CARTON (45802-050-03) / 28 g in 1 TUBE,6.18,6.18,,,0 CDM,2412_57896013101,Dibucaine: 1 Tube In 1 Box (57896-131-01) / 28 G In 1 Tube,7.11,7.11,,,0 CDM,2412_71399282901,Dibucaine: 28 G In 1 Tube (71399-2829-1),4.12,4.12,,,0 CDM,24147_C1769_278,Noncdm Charge Record Medical Supplies,771.1,771.1,,,0 CDM,24149_C1769_278,Noncdm Charge Record Medical Supplies,771.1,771.1,,,0 CDM,24155_C1887_278,Noncdm Charge Record Medical Supplies,135.3,135.3,,,0 CDM,2417_00517198001,NDC Description Not Available,158.11,158.11,,,0 CDM,2417_14789001007,NDC Description Not Available,115.88,115.88,,,0 CDM,2417_17478001502,Dicyclomine: 5 AMPULE in 1 CARTON (17478-015-02) / 2 mL in 1 AMPULE,312.3,312.3,,,0 CDM,2417_63323084221,NDC Description Not Available,167.59,167.59,,,0 CDM,2417_70436014780,Dicyclomine Hydrochloride: 2 Ml In 1 Vial (70436-147-80),167.21,167.21,,,0 CDM,2417_72266012701,NDC Description Not Available,99.71,99.71,,,0 CDM,2417_72266012705,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",106.09,106.09,,,0 CDM,24189_C1769_278,Noncdm Charge Record Medical Supplies,771.1,771.1,,,0 CDM,24190_C2617_278,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,24268_00904645061,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.62,6.62,,,0 CDM,24268_13668010501,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle (13668-105-01)",15.45,15.45,,,0 CDM,24268_68084059201,"Isosorbide Mononitrate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-592-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-592-11)",7.21,7.21,,,0 CDM,2431_C1751_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,24325_57782039726,"Cromolyn Sodium: 1 Bottle In 1 Carton (57782-397-26) / 200 Spray, Metered In 1 Bottle",46.35,46.35,,,0 CDM,24329_00264958720,Heparin Sodium In Dextrose: 24 Container In 1 Case (0264-9587-20) / 250 Ml In 1 Container,2.67,2.67,,,0 CDM,24329_00409452002,NDC Description Not Available,1.84,1.84,,,0 CDM,24329_00409779362,Heparin Sodium And Dextrose: 24 Pouch In 1 Case (0409-7793-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7793-52),1.65,1.65,,,0 CDM,24329_63323052301,NDC Description Not Available,1.62,1.62,,,0 CDM,24419_60505325006,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (60505-3250-6)",56.22,56.22,,,0 CDM,24423_C1766_278,Noncdm Charge Record Medical Supplies,246.95,246.95,,,0 CDM,2442_00641141031,NDC Description Not Available,12.61,12.61,,,0 CDM,2442_00641618401,NDC Description Not Available,5.86,5.86,,,0 CDM,2442_00781305972,NDC Description Not Available,14.36,14.36,,,0 CDM,24431_C1894_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,24434_00078079061,NDC Description Not Available,820.7,820.7,,,0 CDM,24434_00078081181,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0811-81) * 6 Ml In 1 Vial (0078-0790-61) * 2 Ml In 1 Syringe,870.97,870.97,,,0 CDM,24435_00078081881,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,570.47,570.47,,,0 CDM,24436_00078080461,NDC Description Not Available,536.73,536.73,,,0 CDM,24436_00078082581,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),569.53,569.53,,,0 CDM,24438_00378410591,"Abacavir Sulfate: 1 Bottle, Plastic In 1 Carton (0378-4105-91) / 60 Tablet, Film Coated In 1 Bottle, Plastic",36.2,36.2,,,0 CDM,24438_50268004911,NDC Description Not Available,36.21,36.21,,,0 CDM,24438_51079020401,NDC Description Not Available,36.17,36.17,,,0 CDM,24438_65862007360,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (65862-073-60)",36.18,36.18,,,0 CDM,24438_68084002111,NDC Description Not Available,36.2,36.2,,,0 CDM,24438_68084002121,"Abacavir: 30 Blister Pack In 1 Box, Unit-Dose (68084-021-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-021-11)",36.05,36.05,,,0 CDM,24438_69097051403,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (69097-514-03)",34.82,34.82,,,0 CDM,24439_31722056224,Abacavir: 240 Ml In 1 Bottle (31722-562-24),70.74,70.74,,,0 CDM,2444_00904592161,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61) / 1 Tablet In 1 Blister Pack,4.78,4.78,,,0 CDM,2444_16714059001,Digoxin: 100 Tablet In 1 Bottle (16714-590-01),7.61,7.61,,,0 CDM,2444_60687054011,NDC Description Not Available,2.8,2.8,,,0 CDM,2445_00904592261,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61) / 1 Tablet In 1 Blister Pack,5.76,5.76,,,0 CDM,24467_05483800530,NDC Description Not Available,41.42,41.42,,,0 CDM,24467_07132180230,NDC Description Not Available,39.14,39.14,,,0 CDM,24473_00093206506,Cilostazol: 60 Tablet In 1 Bottle (0093-2065-06),6.88,6.88,,,0 CDM,24473_50268017611,NDC Description Not Available,7.6,7.6,,,0 CDM,24500_00025152034,Celebrex: 100 Blister Pack In 1 Carton (0025-1520-34) / 1 Capsule In 1 Blister Pack,43.29,43.29,,,0 CDM,24500_00904650261,Celecoxib: 100 Blister Pack In 1 Carton (0904-6502-61) / 1 Capsule In 1 Blister Pack,15.78,15.78,,,0 CDM,24500_50268016811,NDC Description Not Available,15.76,15.76,,,0 CDM,24500_60687043611,NDC Description Not Available,16.64,16.64,,,0 CDM,24500_72241002305,Celecoxib: 100 Capsule In 1 Bottle (72241-023-05),16.59,16.59,,,0 CDM,24501_00025152534,Celebrex: 100 Blister Pack In 1 Carton (0025-1525-34) / 1 Capsule In 1 Blister Pack,71.06,71.06,,,0 CDM,24501_00904650361,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61) / 1 Capsule In 1 Blister Pack,27.35,27.35,,,0 CDM,24501_50268016911,NDC Description Not Available,8.37,8.37,,,0 CDM,24501_60687044711,NDC Description Not Available,8.36,8.36,,,0 CDM,24513_59676034000,NDC Description Not Available,59.87,59.87,,,0 CDM,24513_59676034001,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",66.07,66.07,,,0 CDM,24521_00904644961,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61) / 1 Tablet, Extended Release In 1 Blister Pack",5.52,5.52,,,0 CDM,24521_50742017501,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle, Plastic (50742-175-01)",12.23,12.23,,,0 CDM,24583_C1769_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,24585_58468008001,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",2648.84,2648.84,,,0 CDM,24663_C1757_278,Noncdm Charge Record Medical Supplies,138.37,138.37,,,0 CDM,24665_272,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,24665_C1729_270,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,24665_C1729_278,Noncdm Charge Record Medical Supplies,26.38,26.38,,,0 CDM,24695_71288011610,NDC Description Not Available,7.35,7.35,,,0 CDM,24695_71288011611,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",6.81,6.81,,,0 CDM,24702_00904679104,Modafinil: 30 Blister Pack In 1 Carton (0904-6791-04) / 1 Tablet In 1 Blister Pack,39.47,39.47,,,0 CDM,24702_50268057011,NDC Description Not Available,86.54,86.54,,,0 CDM,24702_57237015430,Modafinil: 30 Tablet In 1 Bottle (57237-154-30),77.12,77.12,,,0 CDM,24702_57237015490,Modafinil: 90 Tablet In 1 Bottle (57237-154-90),79.08,79.08,,,0 CDM,24702_65862060130,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),93.46,93.46,,,0 CDM,24702_68084062111,NDC Description Not Available,94.94,94.94,,,0 CDM,24702_69452034213,"Modafinil: 30 Tablet In 1 Bottle, Plastic (69452-342-13)",79.18,79.18,,,0 CDM,24702_72578000506,Modafinil: 30 Tablet In 1 Bottle (72578-005-06),79.52,79.52,,,0 CDM,24702_72578000516,Modafinil: 90 Tablet In 1 Bottle (72578-005-16),78.93,78.93,,,0 CDM,24723_C1750_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,24725_C1752_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,2474_00093032101,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0321-01)",8.37,8.37,,,0 CDM,2475_00093031801,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",3.59,3.59,,,0 CDM,2475_50228048101,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-481-01),3.47,3.47,,,0 CDM,2476_00093031901,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",6.19,6.19,,,0 CDM,2476_50228048201,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-482-01),5.25,5.25,,,0 CDM,2477_00093032001,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0320-01)",7.21,7.21,,,0 CDM,24807_270,Noncdm Charge Record Medical Supplies,1138.5,1138.5,,,0 CDM,24914_00378204501,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2045-01)",5.21,5.21,,,0 CDM,24914_00904662361,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,1.12,1.12,,,0 CDM,24914_16729004101,Tacrolimus: 100 Capsule In 1 Bottle (16729-041-01),1.99,1.99,,,0 CDM,24914_51079081701,NDC Description Not Available,1.48,1.48,,,0 CDM,24914_68084044911,NDC Description Not Available,1.99,1.99,,,0 CDM,24915_00093414645,NDC Description Not Available,11.93,11.93,,,0 CDM,24915_00378969152,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52) / 25 Ampule In 1 Pouch (0378-9691-62) / 3 Ml In 1 Ampule,12.49,12.49,,,0 CDM,24915_00378969162,NDC Description Not Available,12.29,12.29,,,0 CDM,24915_66993002227,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-022-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-022-35) / 3 mL in 1 VIAL, SINGLE-DOSE",12.01,12.01,,,0 CDM,24915_76204080001,Levalbuterol: 30 Pouch In 1 Carton (76204-800-01) / 1 Ampule In 1 Pouch (76204-800-11) / 3 Ml In 1 Ampule,3.63,3.63,,,0 CDM,24915_76204080011,NDC Description Not Available,3.65,3.65,,,0 CDM,24916_00093414845,NDC Description Not Available,8.04,8.04,,,0 CDM,24916_00093414856,"Levalbuterol: 6 Pouch In 1 Carton (0093-4148-56) / 5 Vial, Single-Dose In 1 Pouch (0093-4148-45) / 3 Ml In 1 Vial, Single-Dose",8.05,8.05,,,0 CDM,24916_35573044525,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",7.77,7.77,,,0 CDM,24916_66993002327,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-023-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-023-35) / 3 mL in 1 VIAL, SINGLE-DOSE",7.97,7.97,,,0 CDM,24916_76204090001,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.4,2.4,,,0 CDM,24916_76204090011,NDC Description Not Available,2.42,2.42,,,0 CDM,24916_76204090025,Levalbuterol: 1 Pouch In 1 Carton (76204-900-25) / 25 Ampule In 1 Pouch (76204-900-15) / 3 Ml In 1 Ampule,2.4,2.4,,,0 CDM,24932_00024279201,NDC Description Not Available,26.91,26.91,,,0 CDM,24932_00024279210,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",27.52,27.52,,,0 CDM,24932_00143929801,NDC Description Not Available,7.06,7.06,,,0 CDM,24932_00143929810,"Sodium Ferric Gluconate Complex In Sucrose: 10 Vial, Single-Dose In 1 Carton (0143-9298-10) / 5 Ml In 1 Vial, Single-Dose (0143-9298-01)",7.1,7.1,,,0 CDM,24932_00143957001,NDC Description Not Available,27.38,27.38,,,0 CDM,24932_00143957010,Sodium Ferric Gluconate Complex In Sucrose: 10 Vial In 1 Carton (0143-9570-10) / 5 Ml In 1 Vial (0143-9570-01),27.46,27.46,,,0 CDM,24951_C1889_278,Noncdm Charge Record Medical Supplies,678.15,678.15,,,0 CDM,24959_C1889_278,Noncdm Charge Record Medical Supplies,678.15,678.15,,,0 CDM,24984_04110082073,NDC Description Not Available,14.42,14.42,,,0 CDM,24995_C1889_278,Noncdm Charge Record Medical Supplies,678.15,678.15,,,0 CDM,2500000004_A9270_637,Noncdm Charge Record Pharmacy,2.94,2.94,,,0 CDM,2500000004_J0589_636,Noncdm Charge Record Pharmacy,10.38,10.38,,,0 CDM,2500000004_J1010_636,Noncdm Charge Record Pharmacy,1.06,1.06,,,0 CDM,2500000004_J2710_636,Noncdm Charge Record Pharmacy,2.06,2.06,,,0 CDM,2500000004_J3420_636,Noncdm Charge Record Pharmacy,29.87,29.87,,,0 CDM,2500000005_250,Noncdm Charge Record Pharmacy,1.03,1.03,,,0 CDM,2500000006_250,Noncdm Charge Record Pharmacy,18.85,18.85,,,0 CDM,25005_00004026129,"Cellcept: 1 Bottle, Plastic In 1 Carton (0004-0261-29) / 225 Ml In 1 Bottle, Plastic",46.69,46.69,,,0 CDM,25005_23155084851,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (23155-848-51) / 225 Ml In 1 Bottle, Plastic",40.82,40.82,,,0 CDM,25005_66689030708,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (66689-307-08) / 250 Ml In 1 Bottle, Plastic",40.81,40.81,,,0 CDM,25005_67877023022,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",42.0,42.0,,,0 CDM,25005_69238159502,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (69238-1595-2) / 225 Ml In 1 Bottle, Plastic",40.83,40.83,,,0 CDM,25011_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,25036_C1894_278,Noncdm Charge Record Medical Supplies,138.28,138.28,,,0 CDM,2508_00641037621,NDC Description Not Available,3.96,3.96,,,0 CDM,2508_00641037625,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),3.43,3.43,,,0 CDM,250_00378827031,NDC Description Not Available,2.05,2.05,,,0 CDM,250_00378827052,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-52) / 25 Ampule In 1 Pouch (0378-8270-62) / 3 Ml In 1 Ampule,1.74,1.74,,,0 CDM,250_00378827062,NDC Description Not Available,1.72,1.72,,,0 CDM,250_00378827064,NDC Description Not Available,1.78,1.78,,,0 CDM,250_00378827093,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-93) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.72,1.72,,,0 CDM,250_00487950100,NDC Description Not Available,1.0,1.0,,,0 CDM,250_00487950101,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",1.06,1.06,,,0 CDM,250_00591379730,Albuterol Sulfate: 30 VIAL in 1 CARTON (0591-3797-30) / 3 mL in 1 VIAL,1.49,1.49,,,0 CDM,250_00591379760,Albuterol Sulfate: 60 VIAL in 1 CARTON (0591-3797-60) / 3 mL in 1 VIAL,1.49,1.49,,,0 CDM,250_47335070348,NDC Description Not Available,1.66,1.66,,,0 CDM,250_47335070352,Albuterol Sulfate: 6 Pouch In 1 Carton (47335-703-52) / 5 Vial In 1 Pouch / 3 Ml In 1 Vial,1.75,1.75,,,0 CDM,250_60687039579,NDC Description Not Available,0.45,0.45,,,0 CDM,250_76204020001,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.87,1.87,,,0 CDM,250_76204020025,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-25) / 25 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.82,1.82,,,0 CDM,250_76204020030,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.79,1.79,,,0 CDM,25118_58657067501,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",16.22,16.22,,,0 CDM,25118_62135030801,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",16.0,16.0,,,0 CDM,25118_65862007601,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",16.51,16.51,,,0 CDM,25119_16714065202,"100 TABLET, FILM COATED in 1 BOTTLE (16714-652-02)",18.97,18.97,,,0 CDM,25119_68084007001,"Ciprofloxacin: 100 Blister Pack In 1 Box, Unit-Dose (68084-070-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-070-11)",11.33,11.33,,,0 CDM,25119_68084007011,NDC Description Not Available,11.2,11.2,,,0 CDM,2511_00121097810,NDC Description Not Available,25.29,25.29,,,0 CDM,25120_00143992950,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (0143-9929-50)",20.35,20.35,,,0 CDM,25120_59651087350,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",20.6,20.6,,,0 CDM,25120_65862007850,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",20.29,20.29,,,0 CDM,2515_00054319446,Diphenoxylate Hydrochloride And Atropine Sulfate: 1 Bottle In 1 Carton (0054-3194-46) / 60 Ml In 1 Bottle,25.29,25.29,,,0 CDM,2516_00025006131,Lomotil: 100 Tablet In 1 Bottle (0025-0061-31),13.13,13.13,,,0 CDM,2516_00378041501,"Diphenoxylate Hydrochloride and Atropine Sulfate: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0415-01)",3.09,3.09,,,0 CDM,2516_00406123601,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),2.52,2.52,,,0 CDM,2516_00406123610,Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle (0406-1236-10),3.09,3.09,,,0 CDM,2516_00832059011,Diphenoxylate hydrochloride and atropine sulfate: 100 TABLET in 1 BOTTLE (0832-0590-11),3.85,3.85,,,0 CDM,2516_59762106101,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (59762-1061-1),3.09,3.09,,,0 CDM,2516_62559049001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (62559-490-01),3.09,3.09,,,0 CDM,2516_69315091001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (69315-910-01),2.02,2.02,,,0 CDM,2516_69315091010,Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle (69315-910-10),2.36,2.36,,,0 CDM,2516_71205090930,Diphenoxylate Hydrochloride And Atropine Sulfate: 30 Tablet In 1 Bottle (71205-909-30),0.82,0.82,,,0 CDM,2516_71205090955,Diphenoxylate Hydrochloride And Atropine Sulfate: 500 Tablet In 1 Bottle (71205-909-55),0.79,0.79,,,0 CDM,2516_75826010700,"Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle, Plastic (75826-107-00)",0.42,0.42,,,0 CDM,251_50383074120,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",1.86,1.86,,,0 CDM,251_69374030920,NDC Description Not Available,1.44,1.44,,,0 CDM,251_69374033005,NDC Description Not Available,1.73,1.73,,,0 CDM,25206_270,Noncdm Charge Record Medical Supplies,6.6,6.6,,,0 CDM,2522_C1894_278,Noncdm Charge Record Medical Supplies,50.6,50.6,,,0 CDM,25238_51079091701,NDC Description Not Available,19.39,19.39,,,0 CDM,25290_C1757_278,Noncdm Charge Record Medical Supplies,138.05,138.05,,,0 CDM,25292_C1757_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,25294_C1757_278,Noncdm Charge Record Medical Supplies,138.5,138.5,,,0 CDM,25296_C1757_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,25298_C1757_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,2530_00115107201,Dipyridamole: 100 Tablet In 1 Bottle (0115-1072-01),11.07,11.07,,,0 CDM,25318_272,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,25318_C1769_272,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,25318_C1769_278,Noncdm Charge Record Medical Supplies,22.01,22.01,,,0 CDM,25320_C1766_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,25322_C1769_278,Noncdm Charge Record Medical Supplies,22.02,22.02,,,0 CDM,25342_C1725_278,Noncdm Charge Record Medical Supplies,354.2,354.2,,,0 CDM,25354_62135045230,Doxercalciferol: 30 Capsule In 1 Bottle (62135-452-30),82.17,82.17,,,0 CDM,25354_C2617_278,Noncdm Charge Record Medical Supplies,66.0,66.0,,,0 CDM,2535_00093312701,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),10.3,10.3,,,0 CDM,2536_00093312901,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3129-01),12.16,12.16,,,0 CDM,2537_00025273231,"Norpace Cr: 100 Capsule, Extended Release In 1 Bottle (0025-2732-31)",18.54,18.54,,,0 CDM,25408_00143953301,"Allopurinol Sodium: 1 Vial In 1 Box, Unit-Dose (0143-9533-01) / 25 Ml In 1 Vial",5784.48,5784.48,,,0 CDM,25408_67457018750,"Aloprim: 1 Vial, Glass In 1 Carton (67457-187-50) / 25 Ml In 1 Vial, Glass",9856.07,9856.07,,,0 CDM,25424_00904693181,Polyethylene Glycol 3350: 100 Packet In 1 Carton (0904-6931-81) / 17 G In 1 Packet,1.64,1.64,,,0 CDM,25424_00904693186,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),1.38,1.38,,,0 CDM,25424_11523726808,Miralax: 24 Packet In 1 Carton (11523-7268-8) / 17 G In 1 Packet,1.32,1.32,,,0 CDM,25424_62559015717,NDC Description Not Available,1.43,1.43,,,0 CDM,25424_63739019861,Sky Peg3350: 30 Pouch In 1 Carton (63739-198-61) / 17 G In 1 Pouch (63739-198-62),1.49,1.49,,,0 CDM,25424_63739076001,NDC Description Not Available,1.49,1.49,,,0 CDM,25449_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,2550000001_Q9963_255,Noncdm Charge Record Pharmacy,0.95,0.95,,,0 CDM,2550000001_Q9967_255,Noncdm Charge Record Pharmacy,2.69,2.69,,,0 CDM,25501_C1752_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,25519_68084027011,NDC Description Not Available,14.05,14.05,,,0 CDM,2551_00832712211,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (0832-7122-11)",3.09,3.09,,,0 CDM,2551_60687021111,NDC Description Not Available,3.14,3.14,,,0 CDM,25520_00904635861,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",14.28,14.28,,,0 CDM,25525_C1751_278,Noncdm Charge Record Medical Supplies,36.3,36.3,,,0 CDM,25528_33342005407,Pioglitazone: 30 Tablet In 1 Bottle (33342-054-07),25.46,25.46,,,0 CDM,25528_60687039111,NDC Description Not Available,4.46,4.46,,,0 CDM,25528_65862051230,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-512-30),25.28,25.28,,,0 CDM,25529_16714064601,Pioglitazone: 30 Tablet In 1 Bottle (16714-646-01),38.11,38.11,,,0 CDM,25529_65862051330,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-513-30),33.6,33.6,,,0 CDM,2552_00832712301,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0832-7123-01) / 1 Tablet, Delayed Release In 1 Blister Pack (0832-7123-89)",3.86,3.86,,,0 CDM,2552_00832712311,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (0832-7123-11)",7.29,7.29,,,0 CDM,2552_00832712389,NDC Description Not Available,1.95,1.95,,,0 CDM,2552_29300013901,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-139-01)",6.2,6.2,,,0 CDM,2552_62756079788,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-797-88)",6.28,6.28,,,0 CDM,2552_68084077611,NDC Description Not Available,5.98,5.98,,,0 CDM,2553_00832712489,NDC Description Not Available,2.77,2.77,,,0 CDM,2553_29300014001,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",11.52,11.52,,,0 CDM,2553_68084078211,NDC Description Not Available,11.49,11.49,,,0 CDM,25557_A4300_278,Noncdm Charge Record Medical Supplies,949.81,949.81,,,0 CDM,25559_A4300_278,Noncdm Charge Record Medical Supplies,88.2,88.2,,,0 CDM,25563_270,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,255A957801,"Hc Injection, Gadobenate Dimeglumine (Multihance Multipack), Per Ml",19.57,19.57,,,0 CDM,255A957801_A9578_255,"Hc Injection, Gadobenate Dimeglumine (Multihance Multipack), Per Ml",19.57,19.57,,,0 CDM,255A957901,Hc Gadolinium Per Ml,12.36,12.36,,,0 CDM,255Q996501,"Hc Isovue 100 Per Ml -Low Osmolar Contrast Material, 100-199Mg/Ml Iodine Concentrate",2.06,2.06,,,0 CDM,255Q996601,"Hc Isovue 200 Per Ml -Low Osmolar Contrast Material, 200-299Mg/Ml Iodine Concentrate",3.09,3.09,,,0 CDM,255Q996701,"Hc Isovue 300 Per Ml -Low Osmolar Contrast Material, 300-399Mg/Ml Iodine Concentrate",4.12,4.12,,,0 CDM,255Q996701_Q9967_255,"Hc Isovue 300 Per Ml -Low Osmolar Contrast Material, 300-399Mg/Ml Iodine Concentrate",4.09,4.09,,,0 CDM,25604_C1751_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,2560_C1768_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,2569_00121093505,NDC Description Not Available,6.18,6.18,,,0 CDM,2569_00121187010,NDC Description Not Available,7.53,7.53,,,0 CDM,2569_63739097601,NDC Description Not Available,2.72,2.72,,,0 CDM,25720_C1768_278,Noncdm Charge Record Medical Supplies,908.6,908.6,,,0 CDM,25798_00264193310,Trophamine: 12 Container In 1 Case (0264-1933-10) / 500 Ml In 1 Container,16.76,16.76,,,0 CDM,25798_00264934155,TrophAmine: 6 CARTON in 1 CASE (0264-9341-55) / 1 CONTAINER in 1 CARTON / 500 mL in 1 CONTAINER,153.33,153.33,,,0 CDM,25820_42799080601,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01) / 10 Tablet In 1 Blister Pack,17.92,17.92,,,0 CDM,25892_47335089060,NDC Description Not Available,45.11,45.11,,,0 CDM,25893_47335089160,NDC Description Not Available,45.48,45.48,,,0 CDM,25893_50268076111,NDC Description Not Available,16.84,16.84,,,0 CDM,25893_50268076112,"Temozolomide: 20 Blister Pack In 1 Box, Unit-Dose (50268-761-12) / 1 Capsule In 1 Blister Pack (50268-761-11)",16.82,16.82,,,0 CDM,25893_67877053814,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),51.24,51.24,,,0 CDM,25894_47335089260,NDC Description Not Available,45.47,45.47,,,0 CDM,25894_50268076211,NDC Description Not Available,13.77,13.77,,,0 CDM,25894_65162080351,Temozolomide: 1 Bottle In 1 Carton (65162-803-51) / 5 Capsule In 1 Bottle,51.86,51.86,,,0 CDM,258J703001,Hc Normal Saline 1000Cc,429.51,429.51,,,0 CDM,25953_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,25954_270,Noncdm Charge Record Medical Supplies,452.04,452.04,,,0 CDM,2595_00409582011,NDC Description Not Available,0.9,0.9,,,0 CDM,25980_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,25982_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,25984_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,2608_00904705261,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7052-61) / 1 Capsule In 1 Blister Pack,2.59,2.59,,,0 CDM,2608_51079043601,NDC Description Not Available,2.11,2.11,,,0 CDM,2609636001,"Hc Iv Infusion, Hydration, 31-60 Min",765.0,765.0,,,0 CDM,2609636101,"Hc Iv Infusion, Hydration, Ea Add Hour",210.0,210.0,,,0 CDM,2609636501,"Hc Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour",1164.0,1164.0,,,0 CDM,2609636601,"Hc Iv Infusion, Therap/Proph/Diagnost,Initial,Ea Add Hour",210.0,210.0,,,0 CDM,2609636701,"Hc Iv Infusion, Therap/Proph/Diagnost,Add Infusion,1St Hour",567.0,567.0,,,0 CDM,2609636801,"Hc Iv Infusion, Therap/Proph/Diagnost,Concurrent Infusion",331.0,331.0,,,0 CDM,2609636901,"Hc Subcut Infusion, Therap/Proph/Diagnost,Initial,1St Hour",1754.0,1754.0,,,0 CDM,26096370PB,"Hc Pbb Subcut Infusion, Therap/Proph/Diagnost,Ea Add Hour",236.0,236.0,,,0 CDM,2609637101,"Hc Subq Infusion, Therap/Proph/Diagnost,Ea Add Pump W/Estab New Site",795.0,795.0,,,0 CDM,2609637201,"Hc Injection,Therap/Proph/Diagnost, Im Or Subcut",288.0,288.0,,,0 CDM,2609637401,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug",620.0,620.0,,,0 CDM,2609637501,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Ea Add, New Drug",343.0,343.0,,,0 CDM,2609637601,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Ea Add, Same Drug",343.0,343.0,,,0 CDM,2609637701,Hc Appl On-Body Injector For Timed Subq Injection,836.0,836.0,,,0 CDM,2609637902,Hc Drd Inj Fluor Lapband Adj,6039.0,6039.0,,,0 CDM,2609652101,"Hc Refilling/Maintenance, Portable Pump",1446.0,1446.0,,,0 CDM,260G013801,"Hc Iv Infusion Of Cipaglucosidase Alfa-Atga, Including Provider/Supplier Acquisition And Clinical Su",1795.0,1795.0,,,0 CDM,2611_00904705361,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7053-61) / 1 Capsule In 1 Blister Pack,3.48,3.48,,,0 CDM,2611_51079043701,NDC Description Not Available,3.0,3.0,,,0 CDM,2612_51079043801,NDC Description Not Available,3.26,3.26,,,0 CDM,2614_54838051240,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",4.39,4.39,,,0 CDM,2614_60432065104,"DOXEPIN HYDROCHLORIDE: 118 mL in 1 BOTTLE, PLASTIC (60432-651-04)",3.6,3.6,,,0 CDM,2616_00069303020,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 CDM,2616_63323088330,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",28.32,28.32,,,0 CDM,2619_00143909301,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9093-01) / 25 Ml In 1 Vial,227.56,227.56,,,0 CDM,2619_00143927701,Adriamycin: 1 Vial In 1 Box (0143-9277-01) / 25 Ml In 1 Vial,227.53,227.53,,,0 CDM,2619_67457043650,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,210.94,210.94,,,0 CDM,26224_00378668877,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle, Plastic (0378-6688-77)",18.54,18.54,,,0 CDM,26224_50268058511,NDC Description Not Available,14.4,14.4,,,0 CDM,26224_60687058511,NDC Description Not Available,13.68,13.68,,,0 CDM,26224_60687072511,NDC Description Not Available,13.84,13.84,,,0 CDM,26224_65862055990,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-559-90)",18.54,18.54,,,0 CDM,26224_68084064301,"Pantoprazole Sodium: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-643-01) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-643-11)",13.54,13.54,,,0 CDM,26225_00904647461,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61) / 1 Tablet, Delayed Release In 1 Blister Pack",14.74,14.74,,,0 CDM,26225_50268063911,NDC Description Not Available,14.48,14.48,,,0 CDM,26225_51079005101,NDC Description Not Available,18.79,18.79,,,0 CDM,26225_65862056090,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-560-90)",19.57,19.57,,,0 CDM,26226_00008092351,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,21.88,21.88,,,0 CDM,26226_00008092355,Protonix I.V.: 10 Carton In 1 Package (0008-0923-55) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,21.97,21.97,,,0 CDM,26226_00008092360,Protonix I.V.: 25 Carton In 1 Package (0008-0923-60) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,21.81,21.81,,,0 CDM,26226_00143928401,NDC Description Not Available,28.11,28.11,,,0 CDM,26226_00143928410,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9284-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9284-01)",28.17,28.17,,,0 CDM,26226_00143930001,NDC Description Not Available,12.13,12.13,,,0 CDM,26226_00143930010,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9300-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9300-01)",12.27,12.27,,,0 CDM,26226_00781323294,NDC Description Not Available,22.05,22.05,,,0 CDM,26226_25021075110,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,15.14,15.14,,,0 CDM,26226_55150020200,NDC Description Not Available,30.66,30.66,,,0 CDM,26226_55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",30.74,30.74,,,0 CDM,26226_65219043301,NDC Description Not Available,21.11,21.11,,,0 CDM,26226_66794025802,NDC Description Not Available,21.18,21.18,,,0 CDM,26226_66794025841,Pantoprazole Sodium I.V.: 1 Vial In 1 Carton (66794-258-41) / 10 Ml In 1 Vial,21.13,21.13,,,0 CDM,26226_67850015000,NDC Description Not Available,17.72,17.72,,,0 CDM,26226_71288060010,NDC Description Not Available,12.76,12.76,,,0 CDM,26226_71288060011,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (71288-600-11) / 10 Ml In 1 Vial, Single-Dose (71288-600-10)",12.79,12.79,,,0 CDM,26226_72603012801,NDC Description Not Available,25.35,25.35,,,0 CDM,26226_72603012810,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (72603-128-10) / 10 Ml In 1 Vial, Single-Dose (72603-128-01)",25.24,25.24,,,0 CDM,2622_00143938101,NDC Description Not Available,90.85,90.85,,,0 CDM,2622_16714064401,NDC Description Not Available,100.9,100.9,,,0 CDM,2622_63323013002,NDC Description Not Available,111.53,111.53,,,0 CDM,2622_63323013003,NDC Description Not Available,90.81,90.81,,,0 CDM,2622_63323013011,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),112.19,112.19,,,0 CDM,2622_63323013013,Doxy 100: 10 Vial In 1 Tray (63323-130-13) / 10 Ml In 1 Vial (63323-130-03),90.72,90.72,,,0 CDM,2622_66794023702,NDC Description Not Available,108.56,108.56,,,0 CDM,2622_66794023741,Doxycycline: 10 Vial In 1 Carton (66794-237-41) / 10 Ml In 1 Vial,108.28,108.28,,,0 CDM,2622_67457043700,NDC Description Not Available,62.75,62.75,,,0 CDM,2625_00904043004,"Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0430-04) / 1 Tablet, Coated In 1 Blister Pack",16.43,16.43,,,0 CDM,2625_00904043006,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06) / 1 Tablet, Coated In 1 Blister Pack",9.27,9.27,,,0 CDM,2625_27808023401,Doxycycline Hyclate: 50 Tablet In 1 Bottle (27808-234-01),22.27,22.27,,,0 CDM,2625_50268027911,NDC Description Not Available,19.29,19.29,,,0 CDM,2625_62584069311,NDC Description Not Available,20.37,20.37,,,0 CDM,26315_C2618_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,26336_60505619702,"Sirolimus: 1 Bottle, Glass In 1 Carton (60505-6197-2) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 CDM,26336_69238159403,"Sirolimus: 1 Carton In 1 Kit (69238-1594-3) / 1 Bottle, Glass In 1 Carton (69238-1594-6) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 CDM,26336_69238159406,NDC Description Not Available,97.46,97.46,,,0 CDM,26336_72205009978,"Sirolimus: 1 Bottle, Glass In 1 Carton (72205-099-78) / 60 Ml In 1 Bottle, Glass",100.97,100.97,,,0 CDM,26371_51079092301,NDC Description Not Available,6.23,6.23,,,0 CDM,26371_68084028211,NDC Description Not Available,3.42,3.42,,,0 CDM,26429_16729023701,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (16729-237-01)",9.27,9.27,,,0 CDM,26429_43547027310,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-273-10)",8.43,8.43,,,0 CDM,26429_68462025801,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-258-01)",9.24,9.24,,,0 CDM,26431_58468466301,"Cerezyme: 1 Vial, Glass In 1 Carton (58468-4663-1) / 10 Ml In 1 Vial, Glass",106.11,106.11,,,0 CDM,26546_00004080085,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85) / 10 Capsule In 1 Blister Pack,65.55,65.55,,,0 CDM,26546_00527459313,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4593-13) / 10 Capsule In 1 Blister Pack,55.67,55.67,,,0 CDM,26546_31722063231,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),55.5,55.5,,,0 CDM,26546_33342025866,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66) / 10 Capsule In 1 Blister Pack,55.64,55.64,,,0 CDM,26546_64380079901,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),55.56,55.56,,,0 CDM,26546_72205004411,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11) / 10 Capsule In 1 Blister Pack,55.67,55.67,,,0 CDM,26547_27241004910,Entacapone: 100 Tablet In 1 Bottle (27241-049-10),16.36,16.36,,,0 CDM,26547_50268029511,NDC Description Not Available,21.63,21.63,,,0 CDM,26547_60687018811,NDC Description Not Available,17.82,17.82,,,0 CDM,26547_60687018821,"Entacapone: 30 Blister Pack In 1 Box, Unit-Dose (60687-188-21) / 1 Tablet, Film Coated In 1 Blister Pack (60687-188-11)",17.92,17.92,,,0 CDM,26547_62332047831,"Entacapone: 100 Tablet, Film Coated In 1 Bottle (62332-478-31)",15.01,15.01,,,0 CDM,2654_00143951401,NDC Description Not Available,10.15,10.15,,,0 CDM,2654_00517970201,NDC Description Not Available,24.17,24.17,,,0 CDM,2654_00517970225,"Droperidol: 25 Vial, Single-Dose In 1 Tray (0517-9702-25) / 2 Ml In 1 Vial, Single-Dose",11.29,11.29,,,0 CDM,26550_10888713602,PROGESTERONE: 100 CAPSULE in 1 BOTTLE (10888-7136-2),7.47,7.47,,,0 CDM,26551_00054008013,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (0054-0080-13)",73.13,73.13,,,0 CDM,26551_59651051630,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (59651-516-30)",72.94,72.94,,,0 CDM,26551_69097031602,Exemestane: 30 Tablet In 1 Bottle (69097-316-02),46.99,46.99,,,0 CDM,2661_270,Noncdm Charge Record Medical Supplies,1855.7,1855.7,,,0 CDM,26703_16714006701,Carbidopa: 100 Tablet In 1 Bottle (16714-067-01),59.74,59.74,,,0 CDM,26816_00904605161,Levetiracetam: 100 BLISTER PACK in 1 CARTON (0904-6051-61) / 1 TABLET in 1 BLISTER PACK,9.27,9.27,,,0 CDM,26816_68084085911,NDC Description Not Available,2.15,2.15,,,0 CDM,26817_00378561578,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle, Plastic (0378-5615-78)",11.77,11.77,,,0 CDM,26817_16714003501,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",12.55,12.55,,,0 CDM,26817_16714035502,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle (16714-355-02)",12.04,12.04,,,0 CDM,26817_31722053712,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (31722-537-12)",12.63,12.63,,,0 CDM,26817_51079082101,NDC Description Not Available,11.92,11.92,,,0 CDM,26817_60687065711,NDC Description Not Available,2.02,2.02,,,0 CDM,26817_65862024608,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (65862-246-08)",12.55,12.55,,,0 CDM,26817_68180011309,"Levetiracetam: 90 Tablet, Film Coated In 1 Bottle (68180-113-09)",12.67,12.67,,,0 CDM,26854_50268057611,NDC Description Not Available,96.3,96.3,,,0 CDM,26854_55111011230,"Moxifloxacin: 30 Tablet, Film Coated In 1 Bottle (55111-112-30)",97.85,97.85,,,0 CDM,26854_65862060330,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",98.14,98.14,,,0 CDM,26965_00904668108,Dofetilide: 40 Blister Pack In 1 Carton (0904-6681-08) / 1 Capsule In 1 Blister Pack,22.34,22.34,,,0 CDM,26965_16714084001,"Dofetilide: 60 CAPSULE in 1 BOTTLE, PLASTIC (16714-840-01)",31.93,31.93,,,0 CDM,26965_69452013117,Dofetilide: 60 Capsule In 1 Bottle (69452-131-17),35.12,35.12,,,0 CDM,26965_72205003960,Dofetilide: 60 Capsule In 1 Bottle (72205-039-60),35.11,35.11,,,0 CDM,26966_00069581043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43) / 1 Capsule In 1 Blister Pack,47.38,47.38,,,0 CDM,26966_00904668208,Dofetilide: 40 Blister Pack In 1 Carton (0904-6682-08) / 1 Capsule In 1 Blister Pack,22.54,22.54,,,0 CDM,26966_42291041260,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-412-60)",30.86,30.86,,,0 CDM,26966_69452013217,Dofetilide: 60 Capsule In 1 Bottle (69452-132-17),35.02,35.02,,,0 CDM,26967_00069582043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5820-43) / 1 Capsule In 1 Blister Pack,47.49,47.49,,,0 CDM,26967_00904668308,Dofetilide: 40 Blister Pack In 1 Carton (0904-6683-08) / 1 Capsule In 1 Blister Pack,22.72,22.72,,,0 CDM,26967_42291041360,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-413-60)",30.9,30.9,,,0 CDM,26967_72205004160,Dofetilide: 60 Capsule In 1 Bottle (72205-041-60),35.12,35.12,,,0 CDM,2700000001_270,Noncdm Charge Record Medical Supplies,322.59,322.59,,,0 CDM,2700000001_A4648_270,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,2700000047,Hc Oxygen - O2 Adm/Daily,199.1,199.1,,,0 CDM,2700000047_270,Hc Oxygen - O2 Adm/Daily,198.88,198.88,,,0 CDM,2700000047_A9270_270,Hc Oxygen - O2 Adm/Daily,199.1,199.1,,,0 CDM,2700000048,Hc Neonatal Oxygen Adm/Daily,199.1,199.1,,,0 CDM,2700000049,Hc Smoothie Berry Readi-Cat 2 Item# (61904),11.0,11.0,,,0 CDM,2700000049_270,Hc Smoothie Berry Readi-Cat 2 Item# (61904),11.0,11.0,,,0 CDM,2700000050,Hc Tray Vad Driveline Stabilization Item# (105552),108.9,108.9,,,0 CDM,2700000050_270,Hc Tray Vad Driveline Stabilization Item# (105552),108.9,108.9,,,0 CDM,2700000051,Hc Bolus 30 X 30 X 1.0 Cm W Skin Item# (108012),411.4,411.4,,,0 CDM,2700000052,Hc Nitric Oxide Therapy Per Day,7131.3,7131.3,,,0 CDM,2700000052_270,Hc Nitric Oxide Therapy Per Day,7103.39,7103.39,,,0 CDM,2700000053_270,Noncdm Charge Record Medical Supplies,1334.22,1334.22,,,0 CDM,2700000053_C1713_270,Noncdm Charge Record Medical Supplies,3357.75,3357.75,,,0 CDM,2700000053_C1886_270,Noncdm Charge Record Medical Supplies,11951.5,11951.5,,,0 CDM,2700000053_C1889_270,Noncdm Charge Record Medical Supplies,13860.0,13860.0,,,0 CDM,2700000054_270,Noncdm Charge Record Medical Supplies,737.38,737.38,,,0 CDM,2700000055,Hc Cd34 Selection Reagent,11600.6,11600.6,,,0 CDM,2700000056,Hc Vistaseal Fibrin Sealant Human 10Ml Item# (132332),1515.8,1515.8,,,0 CDM,2700000057,Hc Vistaseal Fibrin Sealant Human 2Ml Item# (132333),355.3,355.3,,,0 CDM,2700000058,Hc Vistaseal Fibrin Sealant Human 4Ml Item# (132334),658.9,658.9,,,0 CDM,2700131_270,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,2700132332,Hc Vistaseal Fibrin Sealant Human 10Ml Item# (132332),1471.8,1471.8,,,0 CDM,2700132332_270,Hc Vistaseal Fibrin Sealant Human 10Ml Item# (132332),1471.8,1471.8,,,0 CDM,2700132333,Hc Vistaseal Fibrin Sealant Human 2Ml Item# (132333),345.4,345.4,,,0 CDM,2700132334,Hc Vistaseal Fibrin Sealant Human 4Ml Item# (132334),640.2,640.2,,,0 CDM,27023_01093920444,NDC Description Not Available,25.49,25.49,,,0 CDM,27023_51672208001,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-1) / 15 G In 1 Tube,28.88,28.88,,,0 CDM,27023_51672208002,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-2) / 30 G In 1 Tube,43.26,43.26,,,0 CDM,27024_C1889_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,27024_L8610_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,27030_270,Noncdm Charge Record Medical Supplies,603.77,603.77,,,0 CDM,27049_60687071111,NDC Description Not Available,4.97,4.97,,,0 CDM,27049_62756018388,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (62756-183-88)",3.43,3.43,,,0 CDM,27239_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,27241_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,27245_C1766_278,Noncdm Charge Record Medical Supplies,29.64,29.64,,,0 CDM,27247_C1766_278,Noncdm Charge Record Medical Supplies,29.61,29.61,,,0 CDM,27261_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,27279_C1887_272,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,27279_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,27283_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,27295_C1887_278,Noncdm Charge Record Medical Supplies,1645.6,1645.6,,,0 CDM,27297_00409258511,NDC Description Not Available,5.92,5.92,,,0 CDM,27299_00143956725,"Cefuroxime: 25 Vial In 1 Carton (0143-9567-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9567-01)",9.66,9.66,,,0 CDM,27299_00143997790,NDC Description Not Available,12.7,12.7,,,0 CDM,27301_C1769_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,27311_C1892_278,Noncdm Charge Record Medical Supplies,78.1,78.1,,,0 CDM,27314_44087100502,"Saizen: 1 Kit In 1 Carton (44087-1005-2) * 3 Ml In 1 Vial, Glass * 3.5 Ml In 1 Vial, Glass",1775.72,1775.72,,,0 CDM,27314_55566180101,"Zomacton: 1 Kit In 1 Carton (55566-1801-1) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 5 Ml In 1 Vial",1211.78,1211.78,,,0 CDM,27315_C1894_278,Noncdm Charge Record Medical Supplies,40.51,40.51,,,0 CDM,27325,Noncdm Charge Record,149.8,149.8,,,0 CDM,27325_58160082043,NDC Description Not Available,122.84,122.84,,,0 CDM,27325_58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),123.11,123.11,,,0 CDM,27325_58160082111,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),155.53,155.53,,,0 CDM,27326_270,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,27331_C1889_278,Noncdm Charge Record Medical Supplies,10716.2,10716.2,,,0 CDM,27336_270,Noncdm Charge Record Medical Supplies,226.6,226.6,,,0 CDM,27340_270,Noncdm Charge Record Medical Supplies,185.82,185.82,,,0 CDM,27352_270,Noncdm Charge Record Medical Supplies,536.8,536.8,,,0 CDM,27354_270,Noncdm Charge Record Medical Supplies,596.3,596.3,,,0 CDM,27390_00641612701,NDC Description Not Available,11.06,11.06,,,0 CDM,27390_00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",11.06,11.06,,,0 CDM,27418_52244010010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-100-10)",15.45,15.45,,,0 CDM,27419_52244020010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-200-10)",22.71,22.71,,,0 CDM,27421_52244030010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-300-10)",27.81,27.81,,,0 CDM,27430_13925051501,NDC Description Not Available,650.96,650.96,,,0 CDM,27430_13925051510,Pentamidine Isethionate: 10 Vial In 1 Tray (13925-515-10) / 300 Mg In 1 Vial,650.96,650.96,,,0 CDM,27430_23155074831,NDC Description Not Available,403.5,403.5,,,0 CDM,27430_39822305001,NDC Description Not Available,405.82,405.82,,,0 CDM,27430_39822305002,Pentamidine Isethionate: 10 Vial In 1 Carton (39822-3050-2) / 3 Ml In 1 Vial,405.82,405.82,,,0 CDM,27430_63323011301,NDC Description Not Available,686.56,686.56,,,0 CDM,27430_63323011310,Pentam 300: 10 Vial In 1 Tray (63323-113-10) / 3 Ml In 1 Vial (63323-113-01),699.66,699.66,,,0 CDM,27431_00338006301,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",351.31,351.31,,,0 CDM,27431_00338006701,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",610.73,610.73,,,0 CDM,27431_16714074201,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-742-01) / 10 Ml In 1 Vial, Single-Dose",1197.72,1197.72,,,0 CDM,27431_43598028335,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-283-35) / 10 Ml In 1 Vial, Single-Dose",540.6,540.6,,,0 CDM,27431_43598054125,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-541-25) / 25 Ml In 1 Vial, Single-Dose",596.81,596.81,,,0 CDM,27431_47335004940,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1151.31,1151.31,,,0 CDM,27431_70710153001,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",815.69,815.69,,,0 CDM,27431_70710153101,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",830.79,830.79,,,0 CDM,27431_72603010301,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",1158.25,1158.25,,,0 CDM,27457_65162098904,NDC Description Not Available,64.89,64.89,,,0 CDM,27459_00378464216,NDC Description Not Available,40.99,40.99,,,0 CDM,27459_65162099304,NDC Description Not Available,64.89,64.89,,,0 CDM,27461_00378464016,NDC Description Not Available,40.89,40.89,,,0 CDM,27461_00378464026,Estradiol: 8 Pouch In 1 Carton (0378-4640-26) / 1 Patch In 1 Pouch (0378-4640-16) / 3.5 D In 1 Patch,41.2,41.2,,,0 CDM,27461_00781716783,Estradiol: 8 Pouch In 1 Carton (0781-7167-83) / 1 Patch In 1 Pouch (0781-7167-58) / 3.5 D In 1 Patch,49.44,49.44,,,0 CDM,27461_68968341001,NDC Description Not Available,88.24,88.24,,,0 CDM,27464_270,Noncdm Charge Record Medical Supplies,949.33,949.33,,,0 CDM,27467_55566280000,NDC Description Not Available,2179.48,2179.48,,,0 CDM,27467_55566280001,Cervidil: 1 Pouch In 1 Carton (55566-2800-1) / 10 Mg In 1 Pouch (55566-2800-0),2282.51,2282.51,,,0 CDM,27471_00378910216,NDC Description Not Available,6.89,6.89,,,0 CDM,27472_00378910416,NDC Description Not Available,6.89,6.89,,,0 CDM,27473_50742051501,NDC Description Not Available,229.18,229.18,,,0 CDM,27474_00378911216,NDC Description Not Available,7.98,7.98,,,0 CDM,27475_00378911616,NDC Description Not Available,8.65,8.65,,,0 CDM,274L380801,"Hc Whfo, Rigid W/O Joints",783.2,783.2,,,0 CDM,274L390601,Hc Who W/O Joints Cf,112.2,112.2,,,0 CDM,274L850101,Hc Tracheostomy Speaking Valve,116.6,116.6,,,0 CDM,274L850101_L8501_274,Hc Tracheostomy Speaking Valve,116.6,116.6,,,0 CDM,27634_00078051005,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0510-05)",4.22,4.22,,,0 CDM,27634_16714006301,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-063-01)",1.92,1.92,,,0 CDM,27635_16571068101,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16571-681-01)",2.83,2.83,,,0 CDM,27635_16714006401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-064-01)",5.84,5.84,,,0 CDM,27635_51672412401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (51672-4124-1)",6.63,6.63,,,0 CDM,27635_60687058311,NDC Description Not Available,14.42,14.42,,,0 CDM,27644_16714096401,"Aspirin And Dipyridamole: 60 Capsule, Extended Release In 1 Bottle (16714-964-01)",30.21,30.21,,,0 CDM,27644_65162059606,Aspirin And Extended-Release Dipyridamole: 60 Capsule In 1 Bottle (65162-596-06),30.15,30.15,,,0 CDM,27663_17238090011,Bioglo: 100 Packet In 1 Box (17238-900-11) / 1 Mg In 1 Packet (17238-900-99),1.03,1.03,,,0 CDM,27663_17238090030,Bioglo: 300 Packet In 1 Box (17238-900-30) / 1 Mg In 1 Packet (17238-900-99),0.99,0.99,,,0 CDM,27663_17238090099,NDC Description Not Available,1.03,1.03,,,0 CDM,27666_00283061026,Hurricaine: 25 Applicator In 1 Box (0283-0610-26) / .492 G In 1 Applicator (0283-0610-43),9.36,9.36,,,0 CDM,27666_00283061043,NDC Description Not Available,8.22,8.22,,,0 CDM,27694_55111015830,"Omeprazole: 30 Capsule, Delayed Release In 1 Bottle (55111-158-30)",15.11,15.11,,,0 CDM,27697_00378773293,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",20.08,20.08,,,0 CDM,27697_16714020010,NDC Description Not Available,20.34,20.34,,,0 CDM,27697_57237007710,"Ondansetron: 3 Blister Pack In 1 Carton (57237-077-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 CDM,27697_62756024064,"Ondansetron: 3 Blister Pack In 1 Dose Pack (62756-240-64) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 CDM,27697_65862039010,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 CDM,27697_68462015713,"Ondansetron: 30 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-157-13)",20.86,20.86,,,0 CDM,27697_68462015740,NDC Description Not Available,20.85,20.85,,,0 CDM,27735_00270014957,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,0.78,0.78,,,0 CDM,27735_00270014960,Cystografin: 10 Bottle In 1 Package (0270-0149-60) / 100 Ml In 1 Bottle,1.33,1.33,,,0 CDM,27737_00270131525,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",5.2,5.2,,,0 CDM,27737_00270131530,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-30) / 50 Ml In 1 Vial, Single-Dose",1.69,1.69,,,0 CDM,27737_00270131535,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,4.28,4.28,,,0 CDM,27737_00270131541,ISOVUE: 10 BOTTLE in 1 BOX (0270-1315-41) / 200 mL in 1 BOTTLE,3.5,3.5,,,0 CDM,27770_24208034205,"Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump",887.86,887.86,,,0 CDM,27780_50268081611,NDC Description Not Available,4.37,4.37,,,0 CDM,27780_60687023011,NDC Description Not Available,2.96,2.96,,,0 CDM,27780_68462013001,Zonisamide: 100 Capsule In 1 Bottle (68462-130-01),5.95,5.95,,,0 CDM,27780_69097086107,Zonisamide: 100 Capsule In 1 Bottle (69097-861-07),7.72,7.72,,,0 CDM,2780000001_270,Noncdm Charge Record Medical Supplies,386.91,386.91,,,0 CDM,2780000001_278,Noncdm Charge Record Medical Supplies,741.33,741.33,,,0 CDM,2780000001_A4649_278,Noncdm Charge Record Medical Supplies,8939.7,8939.7,,,0 CDM,2780000001_C1713_278,Noncdm Charge Record Medical Supplies,1077.4,1077.4,,,0 CDM,2780000001_C1726_278,Noncdm Charge Record Medical Supplies,732.23,732.23,,,0 CDM,2780000001_C1729_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,2780000001_C1730_278,Noncdm Charge Record Medical Supplies,2640.0,2640.0,,,0 CDM,2780000001_C1752_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,2780000001_C1753_278,Noncdm Charge Record Medical Supplies,2252.8,2252.8,,,0 CDM,2780000001_C1760_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,2780000001_C1762_278,Noncdm Charge Record Medical Supplies,1320.73,1320.73,,,0 CDM,2780000001_C1765_278,Noncdm Charge Record Medical Supplies,1208.17,1208.17,,,0 CDM,2780000001_C1767_278,Noncdm Charge Record Medical Supplies,28066.5,28066.5,,,0 CDM,2780000001_C1768_278,Noncdm Charge Record Medical Supplies,3546.12,3546.12,,,0 CDM,2780000001_C1769_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,2780000001_C1769_278,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,2780000001_C1771_278,Noncdm Charge Record Medical Supplies,3004.1,3004.1,,,0 CDM,2780000001_C1773_278,Noncdm Charge Record Medical Supplies,1450.53,1450.53,,,0 CDM,2780000001_C1776_278,Noncdm Charge Record Medical Supplies,2283.12,2283.12,,,0 CDM,2780000001_C1778_278,Noncdm Charge Record Medical Supplies,1380.32,1380.32,,,0 CDM,2780000001_C1781_278,Noncdm Charge Record Medical Supplies,479.23,479.23,,,0 CDM,2780000001_C1782_278,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 CDM,2780000001_C1786_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,2780000001_C1787_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,2780000001_C1789_278,Noncdm Charge Record Medical Supplies,1680.31,1680.31,,,0 CDM,2780000001_C1813_278,Noncdm Charge Record Medical Supplies,16338.3,16338.3,,,0 CDM,2780000001_C1820_278,Noncdm Charge Record Medical Supplies,16247.0,16247.0,,,0 CDM,2780000001_C1874_278,Noncdm Charge Record Medical Supplies,19940.92,19940.92,,,0 CDM,2780000001_C1876_278,Noncdm Charge Record Medical Supplies,9817.32,9817.32,,,0 CDM,2780000001_C1887_278,Noncdm Charge Record Medical Supplies,18975.0,18975.0,,,0 CDM,2780000001_C1889_278,Noncdm Charge Record Medical Supplies,4248.62,4248.62,,,0 CDM,2780000001_C1894_278,Noncdm Charge Record Medical Supplies,607.2,607.2,,,0 CDM,2780000001_C2617_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,2780000001_C2623_278,Noncdm Charge Record Medical Supplies,2052.6,2052.6,,,0 CDM,2780000001_C2625_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,2780000001_C9250_278,Noncdm Charge Record Medical Supplies,1471.8,1471.8,,,0 CDM,2780000001_L3251_278,Noncdm Charge Record Medical Supplies,171.97,171.97,,,0 CDM,2780000001_L8613_278,Noncdm Charge Record Medical Supplies,620.95,620.95,,,0 CDM,2780000001_L8614_278,Noncdm Charge Record Medical Supplies,2005.3,2005.3,,,0 CDM,2780000001_Q4100_278,Noncdm Charge Record Medical Supplies,1302.96,1302.96,,,0 CDM,2780000005_C1769_278,Noncdm Charge Record Medical Supplies,6.6,6.6,,,0 CDM,2780000006_278,Noncdm Charge Record Medical Supplies,32024.3,32024.3,,,0 CDM,2780000006_C1889_278,Noncdm Charge Record Medical Supplies,3404.5,3404.5,,,0 CDM,2780000054_270,Noncdm Charge Record Medical Supplies,238.32,238.32,,,0 CDM,2780000054_278,Noncdm Charge Record Medical Supplies,17248.0,17248.0,,,0 CDM,2780000054_C1713_278,Noncdm Charge Record Medical Supplies,1321.6,1321.6,,,0 CDM,2780000054_C1724_278,Noncdm Charge Record Medical Supplies,13475.0,13475.0,,,0 CDM,2780000054_C1725_278,Noncdm Charge Record Medical Supplies,537.9,537.9,,,0 CDM,2780000054_C1726_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,2780000054_C1750_278,Noncdm Charge Record Medical Supplies,989.06,989.06,,,0 CDM,2780000054_C1751_278,Noncdm Charge Record Medical Supplies,6906.43,6906.43,,,0 CDM,2780000054_C1757_278,Noncdm Charge Record Medical Supplies,5388.14,5388.14,,,0 CDM,2780000054_C1758_278,Noncdm Charge Record Medical Supplies,69.02,69.02,,,0 CDM,2780000054_C1760_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,2780000054_C1762_278,Noncdm Charge Record Medical Supplies,3338.5,3338.5,,,0 CDM,2780000054_C1763_278,Noncdm Charge Record Medical Supplies,7675.8,7675.8,,,0 CDM,2780000054_C1764_278,Noncdm Charge Record Medical Supplies,6622.0,6622.0,,,0 CDM,2780000054_C1767_278,Noncdm Charge Record Medical Supplies,19637.75,19637.75,,,0 CDM,2780000054_C1768_278,Noncdm Charge Record Medical Supplies,3587.26,3587.26,,,0 CDM,2780000054_C1769_278,Noncdm Charge Record Medical Supplies,2293.32,2293.32,,,0 CDM,2780000054_C1771_278,Noncdm Charge Record Medical Supplies,4796.37,4796.37,,,0 CDM,2780000054_C1776_278,Noncdm Charge Record Medical Supplies,2583.85,2583.85,,,0 CDM,2780000054_C1778_278,Noncdm Charge Record Medical Supplies,2935.24,2935.24,,,0 CDM,2780000054_C1781_278,Noncdm Charge Record Medical Supplies,700.31,700.31,,,0 CDM,2780000054_C1784_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,2780000054_C1788_278,Noncdm Charge Record Medical Supplies,1052.7,1052.7,,,0 CDM,2780000054_C1789_278,Noncdm Charge Record Medical Supplies,2448.6,2448.6,,,0 CDM,2780000054_C1813_278,Noncdm Charge Record Medical Supplies,29682.58,29682.58,,,0 CDM,2780000054_C1815_278,Noncdm Charge Record Medical Supplies,30376.5,30376.5,,,0 CDM,2780000054_C1820_278,Noncdm Charge Record Medical Supplies,19154.93,19154.93,,,0 CDM,2780000054_C1874_278,Noncdm Charge Record Medical Supplies,10327.47,10327.47,,,0 CDM,2780000054_C1876_278,Noncdm Charge Record Medical Supplies,4934.05,4934.05,,,0 CDM,2780000054_C1883_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,2780000054_C1884_278,Noncdm Charge Record Medical Supplies,5852.0,5852.0,,,0 CDM,2780000054_C1887_278,Noncdm Charge Record Medical Supplies,4829.44,4829.44,,,0 CDM,2780000054_C1889_278,Noncdm Charge Record Medical Supplies,6665.02,6665.02,,,0 CDM,2780000054_C1894_278,Noncdm Charge Record Medical Supplies,747.06,747.06,,,0 CDM,2780000054_C2617_278,Noncdm Charge Record Medical Supplies,247.13,247.13,,,0 CDM,2780000054_C2618_278,Noncdm Charge Record Medical Supplies,10395.0,10395.0,,,0 CDM,2780000054_C2623_278,Noncdm Charge Record Medical Supplies,2987.6,2987.6,,,0 CDM,2780000054_C2625_278,Noncdm Charge Record Medical Supplies,627.0,627.0,,,0 CDM,2780000054_C9361_278,Noncdm Charge Record Medical Supplies,3972.1,3972.1,,,0 CDM,2780000054_L8613_274,Noncdm Charge Record Medical Supplies,599.5,599.5,,,0 CDM,2780000054_L8613_278,Noncdm Charge Record Medical Supplies,615.31,615.31,,,0 CDM,2780000054_L8614_278,Noncdm Charge Record Medical Supplies,458.15,458.15,,,0 CDM,2780000054_L8699_278,Noncdm Charge Record Medical Supplies,1560.73,1560.73,,,0 CDM,2780000054_Q4100_278,Noncdm Charge Record Medical Supplies,2774.46,2774.46,,,0 CDM,2780000054_Q4158_278,Noncdm Charge Record Medical Supplies,41.01,41.01,,,0 CDM,2780141860_Q4158_636,Noncdm Charge Record Pharmacy,79.7,79.7,,,0 CDM,27838_00264180031,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,36.05,36.05,,,0 CDM,27838_00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,38.29,38.29,,,0 CDM,27838_00264180036,Sodium Chloride: 116 Container In 1 Case (0264-1800-36) / 25 Ml In 1 Container,35.05,35.05,,,0 CDM,27838_00264580210,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,19.78,19.78,,,0 CDM,27838_00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,16.86,16.86,,,0 CDM,27838_00264780001,Sodium Chloride: 10 CONTAINER in 1 CARTON (0264-7800-01) / 500 mL in 1 CONTAINER,18.02,18.02,,,0 CDM,27838_00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,9.12,9.12,,,0 CDM,27838_00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,20.48,20.48,,,0 CDM,27838_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,37.19,37.19,,,0 CDM,27838_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),34.97,34.97,,,0 CDM,27838_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),18.48,18.48,,,0 CDM,27838_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),35.07,35.07,,,0 CDM,27838_00338004910,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10) / 25 Ml In 1 Bag,36.05,36.05,,,0 CDM,27838_00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,33.69,33.69,,,0 CDM,27838_00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,30.84,30.84,,,0 CDM,27838_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,36.01,36.01,,,0 CDM,27838_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,36.16,36.16,,,0 CDM,27838_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,35.89,35.89,,,0 CDM,27838_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,37.59,37.59,,,0 CDM,27838_00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),36.05,36.05,,,0 CDM,27838_00338055318,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),36.05,36.05,,,0 CDM,27838_00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),39.42,39.42,,,0 CDM,27838_00338954303,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),18.87,18.87,,,0 CDM,27838_00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),22.76,22.76,,,0 CDM,27838_00338954305,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),9.01,9.01,,,0 CDM,27838_00338979101,NDC Description Not Available,36.29,36.29,,,0 CDM,27838_00409488802,NDC Description Not Available,36.05,36.05,,,0 CDM,27838_00409488803,NDC Description Not Available,33.0,33.0,,,0 CDM,27838_00409488806,NDC Description Not Available,36.05,36.05,,,0 CDM,27838_00409488820,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20) / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",36.05,36.05,,,0 CDM,27838_00409798361,Sodium Chloride: 32 POUCH in 1 CASE (0409-7983-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,36.05,36.05,,,0 CDM,27838_00990798302,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,37.87,37.87,,,0 CDM,27838_00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,19.6,19.6,,,0 CDM,27838_00990798309,Sodium Chloride: 12 Pouch In 1 Case (0990-7983-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.13,35.13,,,0 CDM,27838_00990798355,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,23.57,23.57,,,0 CDM,27838_00990798361,Sodium Chloride: 32 Pouch In 1 Case (0990-7983-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,34.45,34.45,,,0 CDM,27838_00990798413,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,37.43,37.43,,,0 CDM,27838_00990798420,Sodium Chloride: 12 Pouch In 1 Case (0990-7984-20) / 4 Bag In 1 Pouch / 25 Ml In 1 Bag,36.05,36.05,,,0 CDM,27838_00990798423,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,34.42,34.42,,,0 CDM,27838_00990798436,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-36) / 4 Bag In 1 Pouch / 50 Ml In 1 Bag,36.35,36.35,,,0 CDM,27838_00990798437,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,37.81,37.81,,,0 CDM,27838_09999003911,NDC Description Not Available,32.27,32.27,,,0 CDM,27838_17271070102,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),35.25,35.25,,,0 CDM,27838_17271070103,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),39.18,39.18,,,0 CDM,27838_17271070105,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),36.89,36.89,,,0 CDM,27838_17271070106,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),18.31,18.31,,,0 CDM,27838_17271070107,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),18.44,18.44,,,0 CDM,27838_63323018601,NDC Description Not Available,36.32,36.32,,,0 CDM,27838_63323018610,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10) / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",36.05,36.05,,,0 CDM,27838_63323062310,Sodium Chloride: 10 BAG in 1 BOX (63323-623-10) / 1000 mL in 1 BAG,36.05,36.05,,,0 CDM,27838_63323062353,Sodium Chloride: 50 Ml In 1 Bag (63323-623-53),36.05,36.05,,,0 CDM,27838_63323062361,Sodium Chloride: 100 Ml In 1 Bag (63323-623-61),36.05,36.05,,,0 CDM,27838_63323062374,Sodium Chloride: 250 Ml In 1 Bag (63323-623-74),36.05,36.05,,,0 CDM,27838_65219022201,NDC Description Not Available,36.05,36.05,,,0 CDM,27838_65219022401,NDC Description Not Available,18.02,18.02,,,0 CDM,27838_65219047005,NDC Description Not Available,36.47,36.47,,,0 CDM,27838_65219047205,NDC Description Not Available,18.79,18.79,,,0 CDM,27838_65219047405,NDC Description Not Available,36.05,36.05,,,0 CDM,27838_65219047410,Sodium Chloride: 10 Bag In 1 Case (65219-474-10) / 1000 Ml In 1 Bag (65219-474-05),28.84,28.84,,,0 CDM,27838_76297000122,NDC Description Not Available,41.89,41.89,,,0 CDM,27838_76297000132,NDC Description Not Available,35.67,35.67,,,0 CDM,27857_42291089790,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-897-90)",15.03,15.03,,,0 CDM,27857_65862052790,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-527-90)",15.02,15.02,,,0 CDM,27857_68084069811,NDC Description Not Available,13.48,13.48,,,0 CDM,27858_00008083322,"Effexor Xr: 90 Capsule, Extended Release In 1 Bottle (0008-0833-22)",79.1,79.1,,,0 CDM,27858_00904707761,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7077-61) / 1 Capsule, Extended Release In 1 Blister Pack",1.89,1.89,,,0 CDM,27858_42291089890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-898-90)",16.84,16.84,,,0 CDM,27858_65862052890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-528-90)",16.87,16.87,,,0 CDM,27858_68084070911,NDC Description Not Available,15.11,15.11,,,0 CDM,27860_60505706100,NDC Description Not Available,2.06,2.06,,,0 CDM,27898_00054350049,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49) / 100 Ml In 1 Bottle,3.57,3.57,,,0 CDM,27898_00121090315,NDC Description Not Available,13.39,13.39,,,0 CDM,27898_00121495015,NDC Description Not Available,23.49,23.49,,,0 CDM,27898_16714009701,Lidocaine Hydrochloride: 100 mL in 1 BOTTLE (16714-097-01),2.06,2.06,,,0 CDM,27898_17856600204,"Lidocaine Hydrochloride: 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-6002-4) / 5 mL in 1 CUP, UNIT-DOSE (17856-6002-8)",7.21,7.21,,,0 CDM,27898_50383036315,NDC Description Not Available,4.12,4.12,,,0 CDM,27898_50383077504,"Lidocaine Hydrochloride: 100 mL in 1 BOTTLE, PLASTIC (50383-775-04)",7.06,7.06,,,0 CDM,27898_50383077515,NDC Description Not Available,3.9,3.9,,,0 CDM,27898_62135071215,NDC Description Not Available,63.27,63.27,,,0 CDM,27898_62135071242,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (62135-712-42),35.91,35.91,,,0 CDM,27898_62135087151,NDC Description Not Available,95.79,95.79,,,0 CDM,27898_66267096200,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (66267-962-00),2.06,2.06,,,0 CDM,27898_72888012515,NDC Description Not Available,7.05,7.05,,,0 CDM,27898_72888012526,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),6.01,6.01,,,0 CDM,278A464801,Hc Marker Gold Fiducial 18G 20Cm Item# (108393),51.7,51.7,,,0 CDM,278A464801_A4648_278,Hc Marker Gold Fiducial 18G 20Cm Item# (108393),51.61,51.61,,,0 CDM,278A464802,Hc Marker Rectal Shadowform 10 Cm Item# (125933),19.8,19.8,,,0 CDM,278C171502,Hc Brachytherapy Needles,141.9,141.9,,,0 CDM,278C171502_C1715_278,Hc Brachytherapy Needles,141.67,141.67,,,0 CDM,278C171502_C1717_278,Hc Brachytherapy Needles,141.9,141.9,,,0 CDM,278C171503,Hc Prostate Stabilization Needle,374.0,374.0,,,0 CDM,278C171702,Hc Hdr Ir-192 Brachytx Per Source,815.1,815.1,,,0 CDM,278C171702_C1717_278,Hc Hdr Ir-192 Brachytx Per Source,813.95,813.95,,,0 CDM,278C171902,"Hc Brachytx Ns, Radioactive Material Ir-192",815.1,815.1,,,0 CDM,278C172801,Hc Prostate Seeding Kit 5/St Item# (17245),25.3,25.3,,,0 CDM,278C188901,Hc Spaceoar Prostate Radio Therapy 10Ml Item# (117298),5710.1,5710.1,,,0 CDM,278C188901_C1889_278,Hc Spaceoar Prostate Radio Therapy 10Ml Item# (117298),5695.0,5695.0,,,0 CDM,278C262501,Hc Stent Advanix Bil 10Frx9 Item# (99213),206.8,206.8,,,0 CDM,278C263402,Hc Seed Iodine Agx100 For Eye Item# (122080),276.1,276.1,,,0 CDM,278C263402_C2634_278,Hc Seed Iodine Agx100 For Eye Item# (122080),276.1,276.1,,,0 CDM,278C263801,Hc Brachth Seed Str Iod Per Sourc,130.9,130.9,,,0 CDM,278C263902,"Hc Brachy Source, Iodine-125",101.2,101.2,,,0 CDM,278C263903,"Hc Brachther Seed,Nonstrnd, Iodine 125",101.2,101.2,,,0 CDM,278C263903_C2639_278,"Hc Brachther Seed,Nonstrnd, Iodine 125",101.2,101.2,,,0 CDM,278C264001,"Hc Brachth Sd,Str Pall103 Per Sou",211.2,211.2,,,0 CDM,278C264001_C2640_278,"Hc Brachth Sd,Str Pall103 Per Sou",211.2,211.2,,,0 CDM,278C264101,Hc Palladium-103 Brachytherapy Se,188.1,188.1,,,0 CDM,278C264201,"Hc Brachythrpysrc,Str,Cesium131",349.8,349.8,,,0 CDM,278C264301,Hc Bracytx- Nonstranded Cs 131,378.4,378.4,,,0 CDM,2790000001_270,Noncdm Charge Record Medical Supplies,535.92,535.92,,,0 CDM,2790000001_279,Noncdm Charge Record Medical Supplies,773.29,773.29,,,0 CDM,2790000001_A2007_279,Noncdm Charge Record Medical Supplies,4072.2,4072.2,,,0 CDM,2790000001_C1713_278,Noncdm Charge Record Medical Supplies,3068.06,3068.06,,,0 CDM,2790000001_C1713_279,Noncdm Charge Record Medical Supplies,5123.25,5123.25,,,0 CDM,2790000001_C1776_278,Noncdm Charge Record Medical Supplies,5775.0,5775.0,,,0 CDM,2790000001_C1787_270,Noncdm Charge Record Medical Supplies,2640.0,2640.0,,,0 CDM,2790000001_C1889_278,Noncdm Charge Record Medical Supplies,1650.0,1650.0,,,0 CDM,27905_00378912116,NDC Description Not Available,51.69,51.69,,,0 CDM,27905_47781042411,NDC Description Not Available,76.57,76.57,,,0 CDM,27905_47781042447,Fentanyl System: 5 Pouch In 1 Carton (47781-424-47) / 1 Patch In 1 Pouch (47781-424-11),76.22,76.22,,,0 CDM,27905_60505708100,NDC Description Not Available,76.22,76.22,,,0 CDM,27906_00378912216,NDC Description Not Available,94.98,94.98,,,0 CDM,27906_47781042611,NDC Description Not Available,140.12,140.12,,,0 CDM,27906_47781042647,Fentanyl System: 5 Pouch In 1 Carton (47781-426-47) / 1 Patch In 1 Pouch (47781-426-11),140.08,140.08,,,0 CDM,27907_00378912316,NDC Description Not Available,145.0,145.0,,,0 CDM,27907_47781042711,NDC Description Not Available,213.86,213.86,,,0 CDM,27907_60505700802,Fentanyl: 5 Pouch In 1 Carton (60505-7008-2) / 1 Patch In 1 Pouch (60505-7008-0) / 72 H In 1 Patch,214.09,214.09,,,0 CDM,27908_00378912416,NDC Description Not Available,192.48,192.48,,,0 CDM,27908_00406900076,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9000-76) / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,192.61,192.61,,,0 CDM,27908_00406910076,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9100-76) / 1 Patch In 1 Pouch / 72 H In 1 Patch,192.46,192.46,,,0 CDM,27908_47781042811,NDC Description Not Available,283.84,283.84,,,0 CDM,27908_60505708400,NDC Description Not Available,284.28,284.28,,,0 CDM,27932_270,Noncdm Charge Record Medical Supplies,1314.5,1314.5,,,0 CDM,27994_00536140894,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94) / 15 Ml In 1 Bottle, Dropper",8.47,8.47,,,0 CDM,27994_50268067815,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),12.05,12.05,,,0 CDM,27_270,Noncdm Charge Record Medical Supplies,11.0,11.0,,,0 CDM,28011_64980040906,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (64980-409-06) / 60 Ml In 1 Bottle, Plastic",23.69,23.69,,,0 CDM,28048_16864068003,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),23.69,23.69,,,0 CDM,2805_00132011946,"Fleet: 133 mL in 1 BOTTLE, WITH APPLICATOR (0132-0119-46)",1.54,1.54,,,0 CDM,2805_00132020140,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.06,2.06,,,0 CDM,28159_00002445301,NDC Description Not Available,72.1,72.1,,,0 CDM,28159_00093524519,NDC Description Not Available,51.48,51.48,,,0 CDM,28159_00093524565,"Olanzapine: 30 Blister Pack In 1 Carton (0093-5245-65) / 1 Tablet, Orally Disintegrating In 1 Blister Pack (0093-5245-19)",51.5,51.5,,,0 CDM,28159_13668008630,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-086-30)",50.47,50.47,,,0 CDM,28159_55111026279,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-262-79)",6.19,6.19,,,0 CDM,28159_60505327500,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",51.48,51.48,,,0 CDM,28159_60505327503,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (60505-3275-3)",51.49,51.49,,,0 CDM,28159_64380017201,NDC Description Not Available,51.41,51.41,,,0 CDM,28160_00093524619,NDC Description Not Available,75.15,75.15,,,0 CDM,28160_13668008830,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-088-30)",73.32,73.32,,,0 CDM,28160_55111026379,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-263-79)",10.8,10.8,,,0 CDM,28188_00234057541,"Hibiclens: 118 Ml In 1 Bottle, Pump (0234-0575-41)",5.15,5.15,,,0 CDM,28203_00591267911,NDC Description Not Available,33.78,33.78,,,0 CDM,28203_00591267930,Lidocaine: 30 Pouch In 1 Carton (0591-2679-30) / 1 G In 1 Pouch (0591-2679-11),33.92,33.92,,,0 CDM,28203_00591352511,NDC Description Not Available,33.85,33.85,,,0 CDM,28203_00603188010,NDC Description Not Available,37.07,37.07,,,0 CDM,28203_42291047711,NDC Description Not Available,48.46,48.46,,,0 CDM,28203_42291049511,NDC Description Not Available,48.47,48.47,,,0 CDM,28203_42858011830,Lidocaine 5%: 30 POUCH in 1 PACKAGE (42858-118-30) / 1 PATCH in 1 POUCH,9.27,9.27,,,0 CDM,28203_61959000101,NDC Description Not Available,114.61,114.61,,,0 CDM,28203_65162079104,NDC Description Not Available,37.07,37.07,,,0 CDM,28203_65162079108,Lidocaine: 30 Pouch In 1 Carton (65162-791-08) / 1 Patch In 1 Pouch (65162-791-04),37.08,37.08,,,0 CDM,28203_82347050504,NDC Description Not Available,12.35,12.35,,,0 CDM,28203_82347050505,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5) / 14 G In 1 Pouch (82347-0505-4),12.34,12.34,,,0 CDM,28224_00009513803,"Zyvox: 30 Blister Pack In 1 Box, Unit-Dose (0009-5138-03) / 1 Tablet, Film Coated In 1 Blister Pack",27.14,27.14,,,0 CDM,28224_00904655304,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04) / 1 Tablet, Film Coated In 1 Blister Pack",658.64,658.64,,,0 CDM,28224_31722074920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",662.17,662.17,,,0 CDM,28224_60687030911,NDC Description Not Available,455.42,455.42,,,0 CDM,28224_67877041920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (67877-419-20)",662.29,662.29,,,0 CDM,28224_67877041933,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33) / 10 Tablet, Film Coated In 1 Blister Pack",654.98,654.98,,,0 CDM,28224_67877041984,"Linezolid: 3 Blister Pack In 1 Carton (67877-419-84) / 10 Tablet, Film Coated In 1 Blister Pack",662.24,662.24,,,0 CDM,28225_59762130804,Linezolid: 150 Ml In 1 Bottle (59762-1308-4),21.72,21.72,,,0 CDM,28228_00054006258,"Citalopram: 1 Bottle, Plastic In 1 Carton (0054-0062-58) / 240 Ml In 1 Bottle, Plastic",70.66,70.66,,,0 CDM,28235_13925052201,Pentamidine Isethionate: 1 Vial In 1 Carton (13925-522-01) / 300 Mg In 1 Vial,650.96,650.96,,,0 CDM,28235_39822303001,NDC Description Not Available,405.82,405.82,,,0 CDM,28235_39822303002,"Pentamidine Isethionate: 1 Vial, Single-Dose In 1 Carton (39822-3030-2) / 6 Ml In 1 Vial, Single-Dose (39822-3030-1)",405.82,405.82,,,0 CDM,28278_00904710761,Rivastigmine Tartrate: 100 Blister Pack In 1 Carton (0904-7107-61) / 1 Capsule In 1 Blister Pack,14.22,14.22,,,0 CDM,28278_33342008909,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (33342-089-09),14.53,14.53,,,0 CDM,28278_72241001103,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (72241-011-03),14.51,14.51,,,0 CDM,28279_33342009009,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (33342-090-09),13.93,13.93,,,0 CDM,28279_72241001203,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (72241-012-03),14.22,14.22,,,0 CDM,28282_00088222033,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33) / 10 Ml In 1 Vial, Glass",1.3,1.3,,,0 CDM,28282_00088502101,"1 VIAL, GLASS in 1 PACKAGE (0088-5021-01) / 10 mL in 1 VIAL, GLASS",6.09,6.09,,,0 CDM,2833_272,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,2833_C1758_278,Noncdm Charge Record Medical Supplies,14.16,14.16,,,0 CDM,28372_00115132019,"Colesevelam Hydrochloride: 180 Tablet, Film Coated In 1 Bottle (0115-1320-19)",14.42,14.42,,,0 CDM,28372_00713093681,"Colesevelam Hydrochloride: 180 Tablet, Film Coated In 1 Bottle (0713-0936-81)",14.27,14.27,,,0 CDM,28372_27808019001,Colesevelam Hydrochloride: 180 Tablet In 1 Bottle (27808-190-01),14.31,14.31,,,0 CDM,28372_51660099628,"Colesevelam hydrochloride: 180 TABLET, FILM COATED in 1 BOTTLE (51660-996-28)",13.39,13.39,,,0 CDM,28372_60687038595,NDC Description Not Available,14.39,14.39,,,0 CDM,28384_00254203601,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0254-2036-01),3.43,3.43,,,0 CDM,28384_00406012501,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0125-01),3.4,3.4,,,0 CDM,28384_00406012523,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0125-23),4.12,4.12,,,0 CDM,28400_00053765320,NDC Description Not Available,7.42,7.42,,,0 CDM,28400_00264785000,Sterile Water: 12 Container In 1 Case (0264-7850-00) / 1000 Ml In 1 Container,32.59,32.59,,,0 CDM,28400_00264785010,Sterile Water: 24 Container In 1 Case (0264-7850-10) / 500 Ml In 1 Container,20.69,20.69,,,0 CDM,28400_00264785020,Sterile Water: 24 Container In 1 Case (0264-7850-20) / 250 Ml In 1 Container,28.26,28.26,,,0 CDM,28400_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),23.37,23.37,,,0 CDM,28400_00338001306,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),22.71,22.71,,,0 CDM,28400_00409488717,NDC Description Not Available,36.05,36.05,,,0 CDM,28400_00409488723,NDC Description Not Available,36.05,36.05,,,0 CDM,28400_00409488724,NDC Description Not Available,13.73,13.73,,,0 CDM,28400_00409488725,NDC Description Not Available,18.02,18.02,,,0 CDM,28400_00908000052,NDC Description Not Available,36.05,36.05,,,0 CDM,28400_00990711807,Sterile Water: 6 Bag In 1 Case (0990-7118-07) / 2000 Ml In 1 Bag,18.02,18.02,,,0 CDM,28400_00990799009,Sterile Water: 12 Pouch In 1 Case (0990-7990-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,28400_63323017876,Sterile Water: 10 Bag In 1 Case (63323-178-76) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,28400_63323018509,NDC Description Not Available,13.52,13.52,,,0 CDM,28400_65219018701,NDC Description Not Available,36.05,36.05,,,0 CDM,28408_00378335016,NDC Description Not Available,83.43,83.43,,,0 CDM,28409_00378335216,NDC Description Not Available,83.43,83.43,,,0 CDM,28558_74676590200,NDC Description Not Available,2131.07,2131.07,,,0 CDM,28558_74676590201,"Trelstar: 1 Kit In 1 Carton (74676-5902-1) * 2 Ml In 1 Vial, Single-Dose (74676-5902-0) * 2 Ml In 1 Syringe",2131.07,2131.07,,,0 CDM,28605_00990767003,Normosol-R: 24 Bag In 1 Case (0990-7670-03) / 500 Ml In 1 Bag,16.04,16.04,,,0 CDM,28605_00990767009,Normosol-R: 12 Bag In 1 Case (0990-7670-09) / 1000 Ml In 1 Bag,21.63,21.63,,,0 CDM,28643_50268059711,NDC Description Not Available,4.81,4.81,,,0 CDM,28774_00093681519,NDC Description Not Available,34.31,34.31,,,0 CDM,28774_00093681545,NDC Description Not Available,34.71,34.71,,,0 CDM,28774_00093681573,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",35.71,35.71,,,0 CDM,28774_00115168774,Budesonide Inhalation: 6 Pouch In 1 Carton (0115-1687-74) / 5 Vial In 1 Pouch (0115-1687-76) / 2 Ml In 1 Vial,33.99,33.99,,,0 CDM,28774_00487960101,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,34.96,34.96,,,0 CDM,28774_00487960130,Budesonide: 30 Pouch In 1 Carton (0487-9601-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,21.51,21.51,,,0 CDM,28774_16714001805,NDC Description Not Available,33.82,33.82,,,0 CDM,28774_16714001830,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-018-30) / 5 Ampule In 1 Pouch (16714-018-05) / 2 Ml In 1 Ampule,36.0,36.0,,,0 CDM,28774_47335063148,NDC Description Not Available,12.3,12.3,,,0 CDM,28774_69097031886,NDC Description Not Available,34.19,34.19,,,0 CDM,28775_00093681619,NDC Description Not Available,24.98,24.98,,,0 CDM,28775_00093681645,NDC Description Not Available,40.17,40.17,,,0 CDM,28775_00186198904,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1989-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.3,44.3,,,0 CDM,28775_00487970101,Budesonide: 6 Pouch In 1 Carton (0487-9701-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.23,40.23,,,0 CDM,28775_00487970130,Budesonide: 30 Pouch In 1 Carton (0487-9701-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,22.63,22.63,,,0 CDM,28775_00781751687,Budesonide: 6 Pouch In 1 Carton (0781-7516-87) / 5 Ampule In 1 Pouch (0781-7516-14) / 2 Ml In 1 Ampule (0781-7516-72),39.9,39.9,,,0 CDM,28775_16714001905,NDC Description Not Available,39.96,39.96,,,0 CDM,28775_47335063248,NDC Description Not Available,13.06,13.06,,,0 CDM,28775_47335063249,Budesonide: 6 Pouch In 1 Carton (47335-632-49) / 5 Ampule In 1 Pouch (47335-632-48) / 2 Ml In 1 Ampule,13.13,13.13,,,0 CDM,28775_60687052479,NDC Description Not Available,40.29,40.29,,,0 CDM,28775_68180098405,NDC Description Not Available,39.96,39.96,,,0 CDM,28775_68180098430,Budesonide Inhalation: 6 Pouch In 1 Carton (68180-984-30) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.17,40.17,,,0 CDM,28775_76282064138,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (76282-641-38) / 5 Ampule In 1 Pouch (76282-641-37) / 2 Ml In 1 Ampule,9.33,9.33,,,0 CDM,28810_24208063562,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-635-62) / 10 Ml In 1 Bottle, Dropper",362.87,362.87,,,0 CDM,28810_61314064511,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 10 Ml In 1 Bottle, Plastic (61314-645-11)",378.01,378.01,,,0 CDM,28813_03172293947,NDC Description Not Available,3.09,3.09,,,0 CDM,28815_05192728650,NDC Description Not Available,90.64,90.64,,,0 CDM,28836_00121043130,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",1.99,1.99,,,0 CDM,28836_60687042945,NDC Description Not Available,2.25,2.25,,,0 CDM,28836_69339015301,NDC Description Not Available,2.06,2.06,,,0 CDM,28842_00074310832,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,7.43,7.43,,,0 CDM,28842_00093901819,NDC Description Not Available,3.77,3.77,,,0 CDM,28842_23155083711,NDC Description Not Available,4.31,4.31,,,0 CDM,28842_51862045801,NDC Description Not Available,4.09,4.09,,,0 CDM,28843_00074310932,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,30.15,30.15,,,0 CDM,28843_00093902019,NDC Description Not Available,19.66,19.66,,,0 CDM,28843_51862046001,NDC Description Not Available,19.67,19.67,,,0 CDM,28844_00074726950,Gengraf: 1 Bottle In 1 Carton (0074-7269-50) / 50 Ml In 1 Bottle,29.97,29.97,,,0 CDM,28844_00172731320,Cyclosporine: 1 Bottle In 1 Package (0172-7313-20) / 50 Ml In 1 Bottle,21.49,21.49,,,0 CDM,28849_00037682210,Proctofoam Hc: 1 Canister In 1 Carton (0037-6822-10) / 10 G In 1 Canister,807.48,807.48,,,0 CDM,2888_00574402435,Erythromycin: 1 Tube In 1 Carton (0574-4024-35) / 3.5 G In 1 Tube,64.89,64.89,,,0 CDM,2888_00574402450,Erythromycin: 50 Tube In 1 Carton (0574-4024-50) / 1 G In 1 Tube,30.9,30.9,,,0 CDM,2888_17478007035,Erythromycin: 1 TUBE in 1 CARTON (17478-070-35) / 3.5 g in 1 TUBE,66.96,66.96,,,0 CDM,2888_24208091019,Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube,44.3,44.3,,,0 CDM,2888_24208091055,Erythromycin: 1 Tube In 1 Carton (24208-910-55) / 3.5 G In 1 Tube,68.85,68.85,,,0 CDM,2888_48102005711,Erythromycin: 50 Tube In 1 Carton (48102-057-11) / 1 G In 1 Tube,42.26,42.26,,,0 CDM,2888_72485067031,Erythromycin: 50 Tube In 1 Carton (72485-670-31) / 1 G In 1 Tube,72.16,72.16,,,0 CDM,2888_72485067035,Erythromycin: 1 Tube In 1 Carton (72485-670-35) / 3.5 G In 1 Tube,104.19,104.19,,,0 CDM,28899_00406851523,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8515-23),7.74,7.74,,,0 CDM,28899_68084097511,NDC Description Not Available,5.64,5.64,,,0 CDM,28899_68094000559,NDC Description Not Available,2.39,2.39,,,0 CDM,28899_68094000561,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (68094-005-61) / 10 Tablet In 1 Blister Pack (68094-005-59),2.17,2.17,,,0 CDM,2889_13668060601,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",41.65,41.65,,,0 CDM,2889_24338010213,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (24338-102-13)",50.3,50.3,,,0 CDM,2889_52536010303,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (52536-103-03)",39.09,39.09,,,0 CDM,2889_75834024201,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (75834-242-01)",47.59,47.59,,,0 CDM,2889_75834024230,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",46.6,46.6,,,0 CDM,2890_75834024330,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-243-30)",71.93,71.93,,,0 CDM,28911_23155064941,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",1334.88,1334.88,,,0 CDM,28911_23155079041,"Carmustine: 1 Kit In 1 Carton (23155-790-41) * 3 Ml In 1 Vial (23155-789-31) * 30 Ml In 1 Vial, Single-Dose (23155-788-31)",1291.69,1291.69,,,0 CDM,28911_43598062857,"Carmustine: 1 Kit In 1 Carton (43598-628-57) * 3 Ml In 1 Vial (43598-860-11) * 30 Ml In 1 Vial, Single-Dose (43598-861-11)",1854.0,1854.0,,,0 CDM,28913_05047463698,NDC Description Not Available,9.08,9.08,,,0 CDM,28913_08065183004,NDC Description Not Available,12.04,12.04,,,0 CDM,28913_08065183055,NDC Description Not Available,17.67,17.67,,,0 CDM,28913_08065183085,NDC Description Not Available,15.61,15.61,,,0 CDM,28913_08544636971,NDC Description Not Available,10.14,10.14,,,0 CDM,28917_08065183150,NDC Description Not Available,1146.39,1146.39,,,0 CDM,28923_08065183905,NDC Description Not Available,820.05,820.05,,,0 CDM,2893_C1887_278,Noncdm Charge Record Medical Supplies,3.3,3.3,,,0 CDM,28947_00143967401,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),4.38,4.38,,,0 CDM,28947_00409114001,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",4.7,4.7,,,0 CDM,28947_42023018201,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,8.75,8.75,,,0 CDM,28947_67457021202,"Argatroban: 1 Vial, Glass In 1 Carton (67457-212-02) / 2.5 Ml In 1 Vial, Glass",8.83,8.83,,,0 CDM,28958_00008104110,"Rapamune: 100 Blister Pack In 1 Carton (0008-1041-10) / 1 Tablet, Sugar Coated In 1 Blister Pack",148.53,148.53,,,0 CDM,28958_00904724804,"Sirolimus: 30 Blister Pack In 1 Carton (0904-7248-04) / 1 Tablet, Film Coated In 1 Blister Pack",42.23,42.23,,,0 CDM,28958_50268071811,NDC Description Not Available,126.26,126.26,,,0 CDM,28958_55111065301,Sirolimus: 100 Tablet In 1 Bottle (55111-653-01),61.41,61.41,,,0 CDM,28964_00904635361,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6353-61) / 1 Tablet, Film Coated In 1 Blister Pack",88.68,88.68,,,0 CDM,28995_70010049101,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-491-01)",3.09,3.09,,,0 CDM,2899_24338013402,E.E.S: 100 Ml In 1 Bottle (24338-134-02),162.74,162.74,,,0 CDM,2899_69238150301,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (69238-1503-1),182.65,182.65,,,0 CDM,2899_75834029501,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),157.96,157.96,,,0 CDM,2903_00409647644,"Erythrocin Lactobionate: 10 Vial, Patent Delivery System In 1 Tray (0409-6476-44) / 100 Ml In 1 Vial, Patent Delivery System (0409-6476-54)",211.38,211.38,,,0 CDM,2903_00409648201,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),257.83,257.83,,,0 CDM,2903_00409648211,NDC Description Not Available,236.88,236.88,,,0 CDM,2903_14789011605,"Erythromycin Lactobionate: 5 Vial, Glass In 1 Box (14789-116-05) / 10 Ml In 1 Vial, Glass (14789-116-07)",432.6,432.6,,,0 CDM,2903_14789011607,NDC Description Not Available,566.15,566.15,,,0 CDM,29048_16714063301,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-633-01) / 4 Tablet In 1 Blister Pack,73.33,73.33,,,0 CDM,29048_270,Noncdm Charge Record Medical Supplies,51.7,51.7,,,0 CDM,29048_69543013120,Alendronate: 2 BLISTER PACK in 1 CARTON (69543-131-20) / 10 TABLET in 1 BLISTER PACK,74.16,74.16,,,0 CDM,29071_14789060007,NDC Description Not Available,145.39,145.39,,,0 CDM,29071_14789060010,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",144.48,144.48,,,0 CDM,29071_63323063703,NDC Description Not Available,165.19,165.19,,,0 CDM,29071_63323063710,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (63323-637-10) / 10 Ml In 1 Vial, Single-Dose (63323-637-03)",157.96,157.96,,,0 CDM,29071_68382099701,NDC Description Not Available,102.53,102.53,,,0 CDM,29071_68382099710,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),103.21,103.21,,,0 CDM,29071_70121148301,NDC Description Not Available,61.43,61.43,,,0 CDM,29071_70121148307,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",53.03,53.03,,,0 CDM,29072_16714063201,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-632-01) / 4 Tablet In 1 Blister Pack,74.16,74.16,,,0 CDM,29072_65862032804,Alendronate Sodium: 1 Blister Pack In 1 Carton (65862-328-04) / 4 Tablet In 1 Blister Pack,74.16,74.16,,,0 CDM,29132_00517231001,NDC Description Not Available,2.73,2.73,,,0 CDM,29132_00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.72,2.72,,,0 CDM,29132_00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",2.37,2.37,,,0 CDM,29132_00517234010,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",2.52,2.52,,,0 CDM,29132_00517234025,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",2.53,2.53,,,0 CDM,29169_42192060806,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",20.43,20.43,,,0 CDM,29272_50742024930,"Diltiazem Hydrochloride: 30 Capsule, Extended Release In 1 Bottle (50742-249-30)",4.92,4.92,,,0 CDM,29280_50419042301,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),2868.82,2868.82,,,0 CDM,29280_50419042401,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),1788.08,1788.08,,,0 CDM,29280_J7298_278,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),3053.6,3053.6,,,0 CDM,29287_00135020001,Abreva: 2 G In 1 Tube (0135-0200-01),45.73,45.73,,,0 CDM,29287_00766080155,NDC Description Not Available,55.62,55.62,,,0 CDM,29287_61269098135,Docosanol: 1 Tube In 1 Package (61269-981-35) / 2 G In 1 Tube,52.06,52.06,,,0 CDM,29313_50633011012,"Crofab: 2 Vial, Glass In 1 Carton (50633-110-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-110-11)",7905.51,7905.51,,,0 CDM,2931_00517042001,"Estradiol Valerate: 1 Vial, Multi-Dose In 1 Carton (0517-0420-01) / 5 Ml In 1 Vial, Multi-Dose",59.2,59.2,,,0 CDM,29335_63323060400,NDC Description Not Available,48.62,48.62,,,0 CDM,29421_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,29424_00168025815,Clotrimazole And Betamethasone Dipropionate: 15 G In 1 Tube (0168-0258-15),73.13,73.13,,,0 CDM,29424_00472037915,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (0472-0379-15) / 15 G In 1 Tube,139.72,139.72,,,0 CDM,29424_16714049601,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-496-01) / 15 G In 1 Tube,134.96,134.96,,,0 CDM,29424_51672404801,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-4048-1) / 15 G In 1 Tube,111.24,111.24,,,0 CDM,29427_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,29434_00904659204,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04) / 1 Capsule, Extended Release In 1 Blister Pack",39.2,39.2,,,0 CDM,29434_13668018930,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",34.39,34.39,,,0 CDM,29434_13668018990,"Tolterodine Tartrate: 90 Capsule, Extended Release In 1 Bottle (13668-189-90)",34.2,34.2,,,0 CDM,29434_43975032203,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (43975-322-03)",28.97,28.97,,,0 CDM,29434_60687031911,NDC Description Not Available,43.43,43.43,,,0 CDM,29435_00009519101,"Detrol La: 30 Capsule, Extended Release In 1 Bottle (0009-5191-01)",59.74,59.74,,,0 CDM,29435_00904659304,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6593-04) / 1 Capsule, Extended Release In 1 Blister Pack",41.14,41.14,,,0 CDM,29435_13668019030,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-190-30)",34.32,34.32,,,0 CDM,29435_43975032303,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (43975-323-03)",28.95,28.95,,,0 CDM,29435_60687033011,NDC Description Not Available,43.26,43.26,,,0 CDM,29443_00168041630,Tacrolimus: 1 Tube In 1 Carton (0168-0416-30) / 30 G In 1 Tube,938.84,938.84,,,0 CDM,29443_16729042210,Tacrolimus: 1 Tube In 1 Carton (16729-422-10) / 30 G In 1 Tube,1043.39,1043.39,,,0 CDM,29443_21922001105,Tacrolimus: 1 Tube In 1 Carton (21922-011-05) / 30 G In 1 Tube,1190.94,1190.94,,,0 CDM,29443_45802070000,Tacrolimus: 1 Tube In 1 Carton (45802-700-00) / 30 G In 1 Tube,432.6,432.6,,,0 CDM,29443_68462053435,Tacrolimus: 1 Tube In 1 Carton (68462-534-35) / 30 G In 1 Tube,939.23,939.23,,,0 CDM,29449_10454071110,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",40.19,40.19,,,0 CDM,29455_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,29464_00409381412,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3814-12) / 10 Ml In 1 Vial, Glass (0409-3814-11)",41.0,41.0,,,0 CDM,29464_00641602010,Duramorph: 10 Ampule In 1 Carton (0641-6020-10) / 10 Ml In 1 Ampule (0641-6020-01),125.57,125.57,,,0 CDM,2951_00386000102,NDC Description Not Available,115.36,115.36,,,0 CDM,2951_00386000103,NDC Description Not Available,131.84,131.84,,,0 CDM,29681_L4396_274,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,29709_C1729_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,29713_C1769_278,Noncdm Charge Record Medical Supplies,42.35,42.35,,,0 CDM,29739_L8509_274,Noncdm Charge Record Medical Supplies,113.3,113.3,,,0 CDM,29762_270,Noncdm Charge Record Medical Supplies,1726.82,1726.82,,,0 CDM,29778_00904626945,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45) / 1 Capsule In 1 Blister Pack,11.95,11.95,,,0 CDM,29778_63739098832,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32) / 10 Capsule In 1 Blister Pack",12.04,12.04,,,0 CDM,29778_65862070260,Ziprasidone Hydrochloride: 60 Capsule In 1 Bottle (65862-702-60),32.34,32.34,,,0 CDM,29779_68084010411,NDC Description Not Available,30.61,30.61,,,0 CDM,29780_16714083701,Ziprasidone: 60 Capsule In 1 Bottle (16714-837-01),38.8,38.8,,,0 CDM,29780_68084010511,NDC Description Not Available,37.08,37.08,,,0 CDM,29781_00904627245,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6272-45) / 1 Capsule In 1 Blister Pack,11.94,11.94,,,0 CDM,29781_16714083801,Ziprasidone: 60 Capsule In 1 Bottle (16714-838-01),38.8,38.8,,,0 CDM,29781_50268081411,NDC Description Not Available,11.6,11.6,,,0 CDM,29781_68084010611,NDC Description Not Available,37.08,37.08,,,0 CDM,29786828,Noncdm Charge Record,370.0,370.0,,,0 CDM,29796_C1783_278,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 CDM,29796_C1783_636,Noncdm Charge Record Pharmacy,460.41,460.41,,,0 CDM,29805_10019005561,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,557.53,557.53,,,0 CDM,29805_10019067010,Brevibloc: 10 Bag In 1 Carton (10019-670-10) / 250 Ml In 1 Bag,540.75,540.75,,,0 CDM,29805_10019067210,Brevibloc: 10 Bag In 1 Carton (10019-672-10) / 250 Ml In 1 Bag,648.9,648.9,,,0 CDM,29805_25021030884,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84) / 250 Ml In 1 Bag,691.61,691.61,,,0 CDM,29805_44567045001,NDC Description Not Available,401.99,401.99,,,0 CDM,29805_55150042001,NDC Description Not Available,604.61,604.61,,,0 CDM,29805_67457065725,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25) / 250 Ml In 1 Bag,1039.27,1039.27,,,0 CDM,29805_70121171601,NDC Description Not Available,648.9,648.9,,,0 CDM,29806_65862045860,"Galantamine: 60 Tablet, Film Coated In 1 Bottle (65862-458-60)",10.64,10.64,,,0 CDM,29806_68084072911,NDC Description Not Available,14.86,14.86,,,0 CDM,29818_C1889_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,29858_00904632206,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.62,1.62,,,0 CDM,29858_00904632261,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",3.58,3.58,,,0 CDM,29858_50268054011,NDC Description Not Available,3.72,3.72,,,0 CDM,29858_50742061501,"Metoprolol Succinate: 100 Tablet, Extended Release In 1 Bottle (50742-615-01)",3.35,3.35,,,0 CDM,29858_51079016901,NDC Description Not Available,3.71,3.71,,,0 CDM,29858_60687039011,NDC Description Not Available,4.04,4.04,,,0 CDM,29858_67877059001,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (67877-590-01)",4.64,4.64,,,0 CDM,29880_270,Noncdm Charge Record Medical Supplies,638.88,638.88,,,0 CDM,29886_270,Noncdm Charge Record Medical Supplies,2461.88,2461.88,,,0 CDM,29940_C1781_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,29956_C1768_278,Noncdm Charge Record Medical Supplies,793.1,793.1,,,0 CDM,2995_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,29960_C1768_278,Noncdm Charge Record Medical Supplies,195.8,195.8,,,0 CDM,2999_00065053001,Eye Stream: 30 Ml In 1 Bottle (0065-0530-01),24.72,24.72,,,0 CDM,3000000002,Noncdm Charge Record,227.56,227.56,,,0 CDM,30018_00065050935,Systane Nighttime: 1 Tube In 1 Carton (0065-0509-35) / 3.5 G In 1 Tube,9.27,9.27,,,0 CDM,30018_00065051801,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01) / 3.5 G In 1 Tube,8.59,8.59,,,0 CDM,30032_270,Noncdm Charge Record Medical Supplies,4158.0,4158.0,,,0 CDM,3003641501,"Hc Chg Collection Venous Blood,Venipuncture - Draw Charge",36.0,36.0,,,0 CDM,3003641502,"Hc Collection Venous Blood,Venipuncture - Bundled Charge",36.0,36.0,,,0 CDM,3003641601,Hc Chg Collection Capillary Blood Specimen - Draw Charge,52.0,52.0,,,0 CDM,3003820701,Hc Hpc Cryopreservation/Storage,15780.5,15780.5,,,0 CDM,30070_00904632361,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.38,4.38,,,0 CDM,30070_50268054111,NDC Description Not Available,3.59,3.59,,,0 CDM,30070_51079017001,NDC Description Not Available,3.32,3.32,,,0 CDM,30070_60687040211,NDC Description Not Available,4.05,4.05,,,0 CDM,30071_00904632461,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6324-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",6.6,6.6,,,0 CDM,30071_50268054211,NDC Description Not Available,5.75,5.75,,,0 CDM,30071_60687041311,NDC Description Not Available,6.03,6.03,,,0 CDM,3008016501,"Hc Valproic Acid Free, Total And Free",113.0,113.0,,,0 CDM,3008028501,Hc Assay Of Voriconazole - Voriconazole Level,113.0,113.0,,,0 CDM,3008030501,Hc Drug Test Prsmv 1 Or More,65.5,65.5,,,0 CDM,3008030701,Hc Drug Screen - Amphetamines Screen,115.5,115.5,,,0 CDM,3008030702,Hc Drug Screen - Barbiturate Screen Urine Random,115.5,115.5,,,0 CDM,3008030703,Hc Drug Screen - Benzodiazepine Screen Urine Random,115.5,115.5,,,0 CDM,3008030704,Hc Drug Screen - Cocaine Screen Urine Random,115.5,115.5,,,0 CDM,3008030705,Hc Drug Screen - Marijuana Metabolite Screen Urine Random,115.5,115.5,,,0 CDM,3008030706,Hc Drug Screen - Opiate Screen Urine Random,115.5,115.5,,,0 CDM,3008030707,Hc Drug Screen - Toxicology Drug Screen Urine,115.5,115.5,,,0 CDM,3008030708,Hc Drug Screen - Chain Of Custody Urine Drug Screen,115.5,115.5,,,0 CDM,3008030709,Hc Drug Screen - Drug Screen Whole Blood,115.5,115.5,,,0 CDM,3008030710,Hc Drug Screen - Ethyl Glucuronide Screen Urine,115.5,115.5,,,0 CDM,3008030711,Hc Drug Screen - Pain Management Doa Panel 1 Urine,115.5,115.5,,,0 CDM,3008030712,Hc Drug Screen - Pain Management Doa Panel 2 Urine,115.5,115.5,,,0 CDM,3008030713,Hc Drug Screen - Toxicology Drug Screen Serum,115.5,115.5,,,0 CDM,3008030714,"Hc Drug Screen -Panel 9, Meconium",115.5,115.5,,,0 CDM,3008030715,Hc Drug Screen - Fentanyl Screen Urine Random,115.5,115.5,,,0 CDM,3008033201,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Fluvoxamine Level,299.0,299.0,,,0 CDM,30081001PB,Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy,74.0,74.0,,,0 CDM,3008122004,Hc Cftr Gene Analysis Common Variants - Cystic Fibrosis Mutation,2701.0,2701.0,,,0 CDM,3008124001,Hc F2 Gene Analysis 20210G >A Variant - Prothrombin Gene Mutation,454.0,454.0,,,0 CDM,3008124101,Hc F5 Coagulation Factor V Anal Leiden Variant - Factor V Leiden,1508.5,1508.5,,,0 CDM,3008125601,Hc Hfe Hemochromatosis Gene Anal Common Variants - Hemochromatosis Mut,352.5,352.5,,,0 CDM,3008125702,Hc Hba1/Hba2 Gene - Alpha Globin Common Mutation,352.5,352.5,,,0 CDM,3008126501,Hc Comparative Anal Str Markers Patient&Comp Spec - Additional Charge,1973.0,1973.0,,,0 CDM,3008126502,Hc Comparative Anal Str Markers Patient&Comp Spec -Hla Chimerism Initial Post Transplnt Assess,1973.0,1973.0,,,0 CDM,3008126702,Hc Chimerism W/Comp To Baseline W/O Cell Selection -Hla Chimeris Study Complete Analysis,1907.5,1907.5,,,0 CDM,3008126802,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study T(Cd3) Cell Analysis,2396.0,2396.0,,,0 CDM,3008126803,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study Myeloid(Cd33) Analysis,2396.0,2396.0,,,0 CDM,3008126804,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study B Cell(Cd19) Analysis,2396.0,2396.0,,,0 CDM,3008207501,Hc Breathalyzer - Alcohol Test,115.5,115.5,,,0 CDM,3008213901,"Hc Amino Acids, 6+ Quant - Amino Acid Quant",521.5,521.5,,,0 CDM,3008227401,Hc Blood Occult Feces 1-3 Simult Determ Immunoassay Scr,113.0,113.0,,,0 CDM,3008230601,Hc Assay Of Vitamin D 25 - Vitamin D 25 Hydroxy,262.0,262.0,,,0 CDM,3008233001,"Hc Assay Of Calcium, Ionized - Blood Gas Calcium Ionized",285.0,285.0,,,0 CDM,3008237501,Hc Assay Blood Carbon Monoxide - Carboxyhemoglobin Blood Gases,77.0,77.0,,,0 CDM,3008237502,Hc Assay Blood Carbon Monoxide - Poct Carboxyhemoglobin Blood Gas,77.0,77.0,,,0 CDM,3008243501,Hc Assay Of Blood Chloride - Blood Gas Chloride,108.0,108.0,,,0 CDM,3008256501,Hc Assay Of Creatinine - Creatinine Blood,52.0,52.0,,,0 CDM,3008280001,Hc Blood Ph - Blood Gases Ph Only,187.0,187.0,,,0 CDM,3008280002,Hc Blood Ph - Blood Gases Ph Venous,187.0,187.0,,,0 CDM,3008280501,"Hc Blood Gases: Ph, Po2 & Pco2 - W/O2 Saturation",664.0,664.0,,,0 CDM,3008294701,"Hc Assay Quantitative,Blood Glucose - Blood Gas Glucose",97.0,97.0,,,0 CDM,3008296201,Hc Glucose Blood Test With Device Poct,52.0,52.0,,,0 CDM,3008305003,"Hc Blood Methemoglobin, Quant - Blood Gas Methemoglobin",165.5,165.5,,,0 CDM,3008305101,Hc Assay Of Plasma Hemoglobin - Mcs Mechanical Circulatory Support Hemoglobin Plasma,48.0,48.0,,,0 CDM,3008360508,Hc Assay Of Lactic Acid - Poct Lactic Acid (Lactate) Arterial,234.0,234.0,,,0 CDM,3008392101,Hc Organic Acid Single Quant - Orotic Acid Urine Random,210.0,210.0,,,0 CDM,3008499901,Hc Potassium Body Fluid,83.5,83.5,,,0 CDM,3008499904,Hc Unlisted Chemistry Procedure - Potassium Feces,83.5,83.5,,,0 CDM,3008635601,"Hc Mononuclear Cell Antigen, Quantitative, Nos, Ea Antigen - T-Cell Lymphocyte Subsets, Bronch",317.5,317.5,,,0 CDM,3008635602,"Hc Mononuclear Cell Antigen, Quantitative, Nos, Ea Antigen - Mononuclear Cell Ag, Quant",317.5,317.5,,,0 CDM,3008648101,"Hc Tuberculosis Test, Cmiarm, Enumeration-Gamma-Tcells - T-Spot Tuberculosis Test",710.5,710.5,,,0 CDM,3008680301,Hc Hepatitis C Ab Test - Employee Exposure Panel,335.0,335.0,,,0 CDM,3008685001,Hc Rbc Antibody Screen - Antibody Screen,225.5,225.5,,,0 CDM,3008689101,Hc Autologous Blood Or Component -Cellsaver,2065.5,2065.5,,,0 CDM,3008690401,"Hc Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat",143.5,143.5,,,0 CDM,3008690402,"Hc Blood Typing Antigen Screen Patient Plasma/Unit - Blood Typing, Pat",143.5,143.5,,,0 CDM,3008692301,Hc Electronic Crossmatch,244.0,244.0,,,0 CDM,3008694501,Hc Irradiation Of Blood - Each Unit,143.5,143.5,,,0 CDM,3008738901,"Hc Iaad, Immunoassay Tech, W/Hiv-1 - Hiv-2 Ab - Hiv Antigen Ab Combo, Single Result",192.5,192.5,,,0 CDM,3008738902,Noncdm Charge Record,37.5,37.5,,,0 CDM,3008738903,Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single - Focus Hiv Screen,192.5,192.5,,,0 CDM,3008762501,Hc Human Papillomavirus Types 16 & 18 Only (Hpv) Genotype,121.0,121.0,,,0 CDM,3008766201,"Hc Iadna, Zika Virus, Amp Probe Tech - Zika Virus Qualitative By Pcr Urine Random",119.5,119.5,,,0 CDM,3008766202,"Hc Iadna, Zika Virus, Amp Probe Tech - Zika Virus Qualitative By Pcr",119.5,119.5,,,0 CDM,3008780601,"Hc Iaadi, Direct Optical, Obs, Hiv Antigens - Hiv Rapid Ag+Ab Combo",144.5,144.5,,,0 CDM,3008780602,Noncdm Charge Record,47.88,47.88,,,0 CDM,3008836301,Hc Exam/Selection Of Retrieved Archival - Tissues For Molecular Analysis (Kras),42.5,42.5,,,0 CDM,3008905001,"Hc Cell Count,Misc Body Fluids - Body Fluid Cell Count",164.5,164.5,,,0 CDM,3008905102,Hc Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff,64.0,64.0,,,0 CDM,3008906001,"Hc Exam,Synovial Fluid Crystals - Synovial Fluid Crystal",204.5,204.5,,,0 CDM,3008912502,Hc Specimen Fat Stain - Fecal Qualitative Fat Stain,133.0,133.0,,,0 CDM,3008919001,Hc Nasal Smear For Eosinophils - Eosinophil Smear,148.0,148.0,,,0 CDM,3008922001,Hc Sputum Obtaining Spec Aerosol Induced Tx Spx,416.5,416.5,,,0 CDM,3009900001,Hc Handling Fee For Spec Proc,85.0,85.0,,,0 CDM,300G048003,Hc Drug Screening Cannabinoids Natural - Cannabinoid Confirmation Urine,234.0,234.0,,,0 CDM,300G048004,Hc Drug Screening Cannabinoids Natural - Thc Confirmation Urine Random,234.0,234.0,,,0 CDM,300G048005,Hc Drug Screening Cannabinoids Natural - Buprenophine Confirmation,234.0,234.0,,,0 CDM,300G048006,Hc Drug Screening Cocaine - Methadone,234.0,234.0,,,0 CDM,300G048101,"Hc Drug Test Definitive 8-14 Classes -Pain Management Doa Panel1, Urine",469.0,469.0,,,0 CDM,300G048201,"Hc Drug Test Definitive 15-21 Classes - Pain Management Doa Panel2, Urine",702.0,702.0,,,0 CDM,300S362001,Hc Newborn Metabolic Screening Panel,365.0,365.0,,,0 CDM,3010000001,Noncdm Charge Record,116.82,116.82,,,0 CDM,30148_00004003822,"Valcyte: 1 Bottle, Plastic In 1 Carton (0004-0038-22) / 60 Tablet, Film Coated In 1 Bottle, Plastic",382.41,382.41,,,0 CDM,30148_16714076501,"Valganciclovir: 60 TABLET, FILM COATED in 1 BOTTLE (16714-765-01)",238.96,238.96,,,0 CDM,30148_31722083260,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle (31722-832-60)",232.71,232.71,,,0 CDM,30148_50268078711,NDC Description Not Available,538.69,538.69,,,0 CDM,30148_55111076260,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle (55111-762-60)",232.72,232.72,,,0 CDM,30148_63739007633,"Valganciclovir: 3 Blister Pack In 1 Box, Unit-Dose (63739-076-33) / 10 Tablet, Film Coated In 1 Blister Pack",183.88,183.88,,,0 CDM,30148_65862075360,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),248.51,248.51,,,0 CDM,30148_68084096518,NDC Description Not Available,53.56,53.56,,,0 CDM,30148_68084096595,NDC Description Not Available,551.54,551.54,,,0 CDM,30156_C1815_278,Noncdm Charge Record Medical Supplies,5305.3,5305.3,,,0 CDM,30171_C1769_272,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,30171_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,30173_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,30175_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,30177_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,3018004801,Hc Basic Metabolic Panel Calcium Total - Bundled Charge,224.0,224.0,,,0 CDM,3018005001,Hc General Health Panel - Bundled Charge,382.0,382.0,,,0 CDM,3018005101,Hc Electrolyte Panel - Bundled Charge,132.5,132.5,,,0 CDM,3018005301,"Hc Metabolic Panel,Comprehensive - Bundled Charge",287.0,287.0,,,0 CDM,3018005501,Hc Obstetric Panel - Bundled Charge,618.0,618.0,,,0 CDM,3018006101,Hc Lipid Panel - Bundled Charge,218.5,218.5,,,0 CDM,3018006102,Hc Lipid Panel - Lipoprotien Analysis By Nmr,40.0,40.0,,,0 CDM,3018006103,Hc Lipid Panel - Extended,218.5,218.5,,,0 CDM,3018006901,Hc Renal Function Panel - Bundled Charge,163.0,163.0,,,0 CDM,3018007401,"Hc Hepatitis Panel,Acute - Bundled Charge",717.0,717.0,,,0 CDM,3018007601,Hc Hepatic Function Panel - Bundled Charge,154.5,154.5,,,0 CDM,3018014301,Hc Assay Of Acetaminophen - Acetaminophen Level,115.5,115.5,,,0 CDM,3018014501,Hc Drug Assay Adalimumab - Anser Ada (Adalimumab) Prometheus Tx And Dx,364.5,364.5,,,0 CDM,3018015001,Hc Assay Of Amikacin - Amikacin Random,419.0,419.0,,,0 CDM,3018015002,Hc Assay Of Amikacin - Amikacin Peak,419.0,419.0,,,0 CDM,3018015003,Hc Assay Of Amikacin - Amikacin Trough,419.0,419.0,,,0 CDM,3018015118,Hc Quantitation Drug Not Elsewhere Specified - Amiodarone Level,98.0,98.0,,,0 CDM,3018015601,Hc Assay Of Carbamazepine Total - Carbamazepine Total,399.5,399.5,,,0 CDM,3018015602,Hc Carbamazepine Free + Total Level,399.5,399.5,,,0 CDM,3018015603,Hc Carbamazepine Epoxide And Total Level,399.5,399.5,,,0 CDM,3018015701,"Hc Assay Of Assay Carbamazepine, Free - Carbamazepine Free + Total Level",128.5,128.5,,,0 CDM,3018015801,Hc Assay Of Cyclosporine - Cyclosporine,140.5,140.5,,,0 CDM,3018015901,Hc Assay Of Clozapine - Clozapine,56.5,56.5,,,0 CDM,3018016201,Hc Drug Screen Quantitative Digoxin Total - Digoxin,367.0,367.0,,,0 CDM,3018016202,Hc Assay Of Digoxin Total - Digoxin,367.0,367.0,,,0 CDM,3018016402,Hc Drug Screen Quant Dipropylacetic Acid Total - Valproic Acid Total,311.5,311.5,,,0 CDM,3018016404,Hc Assay Of Dipropylacetic Acid Total - Valproic Acid Level,311.5,311.5,,,0 CDM,3018016405,"Hc Assay Of Dipropylacetic Acid Total - Valproic Acid Level, Total And Free",311.5,311.5,,,0 CDM,3018016801,Hc Assay Of Ethosuximide - Ethosuximide Level,442.0,442.0,,,0 CDM,3018016901,Hc Everolimus Level,106.5,106.5,,,0 CDM,3018017001,Hc Assay Of Gentamicin - Gentamicin Trough,456.0,456.0,,,0 CDM,3018017002,Hc Assay Of Gentamicin - Gentamicin Random,456.0,456.0,,,0 CDM,3018017003,Hc Assay Of Gentamicin - Gentamicin Peak,456.0,456.0,,,0 CDM,3018017101,Hc Gabapentin Level,59.0,59.0,,,0 CDM,3018017501,Hc Lamotrigine Level,34.0,34.0,,,0 CDM,3018017601,Hc Assay Of Lidocaine - Lidocaine Level,410.5,410.5,,,0 CDM,3018017701,Hc Levetiracetam Level,143.5,143.5,,,0 CDM,3018017801,Hc Assay Of Lithium - Lithium Level,196.0,196.0,,,0 CDM,3018017901,Hc Assay Of Salicylate - Salicylate Level,115.5,115.5,,,0 CDM,3018018001,Hc Mycophenolic Acid Level,24.0,24.0,,,0 CDM,3018018002,Hc Mycophenolic Acid And Metabolites,33.5,33.5,,,0 CDM,3018018301,Hc Oxcarbazepine Level,108.0,108.0,,,0 CDM,3018018401,Hc Assay Of Phenobarbital - Phenobarbital Level,324.0,324.0,,,0 CDM,3018018402,Hc Phenobarbitol - Phenobarbital Level For Primidone,324.0,324.0,,,0 CDM,3018018502,"Hc Assay Of Phenytoin, Total - Phenytoin Total",367.0,367.0,,,0 CDM,3018018601,"Hc Assay Of Phenytoin, Free - Phenytoin Free",378.5,378.5,,,0 CDM,3018018801,Hc Assay Of Primidone - Primidone Level,459.5,459.5,,,0 CDM,3018019201,Hc Assay Of Procainamide W Metabolites - Procainamide + Napa,108.0,108.0,,,0 CDM,3018019401,Hc Assay Of Quinidine - Quinidine Level,399.5,399.5,,,0 CDM,3018019502,Hc Assay Of Sirolimus - Sirolimus (Rapmycin Level),234.0,234.0,,,0 CDM,3018019701,Hc Assay Of Tacrolimus - Tacrolimus Level,378.5,378.5,,,0 CDM,3018019801,Hc Assay Of Theophylline - Theophylline Level,384.0,384.0,,,0 CDM,3018020001,Hc Assay Of Tobramycin - Tobramycin Level Peak,413.5,413.5,,,0 CDM,3018020002,Hc Assay Of Tobramycin - Tobramycin Level Random,413.5,413.5,,,0 CDM,3018020003,Hc Assay Of Tobramycin - Tobramycin Level Trough,413.5,413.5,,,0 CDM,3018020101,Hc Assay Of Topiramate - Topiramate Level,306.0,306.0,,,0 CDM,3018020201,Hc Assay Of Vancomycin - Vancomycin Level Trough,311.5,311.5,,,0 CDM,3018020202,Hc Assay Of Vancomycin - Vancomycin Level Random,311.5,311.5,,,0 CDM,3018020203,Hc Assay Of Vancomycin - Vancomycin Level Peak,311.5,311.5,,,0 CDM,3018020421,Hc Assay Of Methotrexate - Methotrexate Level,98.0,98.0,,,0 CDM,3018029901,Hc Quantitation Drug Not Elsewhere Specified - Busulfan Level,113.0,113.0,,,0 CDM,3018029911,Hc Quantitation Drug Not Elsewhere Specified - Zonisamide Level,113.0,113.0,,,0 CDM,3018029919,Hc Quantitation Drug Not Elsewhere Specified - 5 Fluorocytosine Level,113.0,113.0,,,0 CDM,3018029920,Hc Quantitation Drug Not Elsewhere Specified - Apixaban Level,113.0,113.0,,,0 CDM,3018029922,Hc Quantitation Drug Not Elsewhere Specified - Fluconazole Level,113.0,113.0,,,0 CDM,3018029923,Hc Quantitation Drug Not Elsewhere Specified - Rivaroxaban Level,113.0,113.0,,,0 CDM,3018029924,Hc Quantitation Drug Not Elsewhere Specified - Carbamazepine Epoxide And Total Level,113.0,113.0,,,0 CDM,3018029925,Hc Quantitation Drug Not Elsewhere Specified - Ander Ust,113.0,113.0,,,0 CDM,3018032001,Hc Drug Screen Quantitative Alcohols - Ethanol Urine,247.0,247.0,,,0 CDM,3018032002,Hc Drug Screen Quantitative Alcohols - Ethanol,247.0,247.0,,,0 CDM,3018032005,Hc Drug Screen Quantitative Alcohols - Isopropyl,247.0,247.0,,,0 CDM,3018032306,"Hc Alkaloids Not Otherwise Specified - Nicotine And Metabolites Level, Blood",510.5,510.5,,,0 CDM,3018032307,Hc Alkaloids Not Otherwise Specified - Nicotine Urine Random,510.5,510.5,,,0 CDM,3018032401,"Hc Drug Screen Quant Amphetamines 1 Or 2 - Amphetamine, Blood, Quant Confirmation",129.5,129.5,,,0 CDM,3018032402,Noncdm Charge Record,140.0,140.0,,,0 CDM,3018032502,Hc Drug Screen Quant Amphetamines 3 Or 4 - Amphetamine Confirm Urine Random,162.0,162.0,,,0 CDM,3018032905,Hc Acetaminophen Assay - Acetaminophen Level,234.0,234.0,,,0 CDM,3018033502,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Amitriptyline Lvl,234.0,234.0,,,0 CDM,3018033503,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Desipramine Lvl,234.0,234.0,,,0 CDM,3018033504,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Doxepin&Nordox,234.0,234.0,,,0 CDM,3018033505,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Imipramine Level,234.0,234.0,,,0 CDM,3018033506,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Nortriptyline Lvl,234.0,234.0,,,0 CDM,3018033513,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Clomipramine Level,234.0,234.0,,,0 CDM,3018033801,Hc Antidepressants Not Otherwised Specified -Venlafexine Level,151.5,151.5,,,0 CDM,3018033802,Hc Antidepressants Not Otherwised Specified -Trazodone Level,151.5,151.5,,,0 CDM,3018033905,Hc Antiepileptics Not Otherwise Specified 1-3 - Clobazam Level,321.0,321.0,,,0 CDM,3018033906,Hc Antiepileptics Not Otherwise Specified 1-3 - Perampanel Level,321.0,321.0,,,0 CDM,3018033907,Hc Antiepileptics Not Otherwise Specified 1-3 - Felbatol Level,321.0,321.0,,,0 CDM,3018033908,Hc Antiepileptics Not Otherwise Specified 1-3 - Vigabatrin Level,321.0,321.0,,,0 CDM,3018034503,Hc Drug Screening Barbiturates - Pentobarbital Level,234.0,234.0,,,0 CDM,3018034504,"Hc Drug Screening Barbiturates - Barbiturate, Confirm Urine Random",234.0,234.0,,,0 CDM,3018034505,"Hc Drug Screening Barbiturates - Barbiturate, Confirmation",234.0,234.0,,,0 CDM,3018034602,Hc Drug Screening Benzodiazepines 1-12 - Clonazepam Level,234.0,234.0,,,0 CDM,3018034607,Hc Drug Screening Benzodiazepines 1-12 - Benzodiazepine Confirm Urine Random,234.0,234.0,,,0 CDM,3018034608,Hc Drug Screening Benzodiazepines 1-12 - Benzodiazepine Confirmation,234.0,234.0,,,0 CDM,3018034609,Hc Drug Screening Benzodiazepines 1-12 - Lorazepam Level,234.0,234.0,,,0 CDM,3018034610,Hc Drug Screening Benzodiazepines 1-12 - Clorazepate Level,234.0,234.0,,,0 CDM,3018035303,Hc Drug Screening Cocaine - Cocaine Confirmation Urine Random,234.0,234.0,,,0 CDM,3018035304,"Hc Drug Screening Cocaine - Cocaine, Blood, Confirmation",234.0,234.0,,,0 CDM,3018035901,Hc Drug Screening Opiates 1 Or More - Methylenedioxy Amphetamines Confirm Random Urine,234.0,234.0,,,0 CDM,3018035902,Hc Drug Screening Opiates 1 Or More - Methylenedioxy Amphetamines Confirm,234.0,234.0,,,0 CDM,3018036103,"Hc Drug Screening Opiates 1 Or More - Pain Management Doa Panel2, Urine",234.0,234.0,,,0 CDM,3018036104,"Hc Drug Screening Opiates 1 Or More - Pain Management Doa Panel1, Urine",234.0,234.0,,,0 CDM,3018036105,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation Random Urine,234.0,234.0,,,0 CDM,3018036106,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation,234.0,234.0,,,0 CDM,3018036501,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation Random Urine Oxycodone,234.0,234.0,,,0 CDM,3018036502,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation - Oxycodone,234.0,234.0,,,0 CDM,3018036601,Hc Drug Screening Opiates 1 Or More - Pregabalin Level,234.0,234.0,,,0 CDM,3018037301,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 -Tramadol And Metabolites Level Urine Random,234.0,234.0,,,0 CDM,3018037505,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Coumadin Level,270.0,270.0,,,0 CDM,3018037506,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Dexamethasone Level,270.0,270.0,,,0 CDM,3018037507,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Mitotane Level,270.0,270.0,,,0 CDM,3018037508,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Acetazolamide Level,270.0,270.0,,,0 CDM,3018037703,Hc Drug/Substance Defin Qual/Quant Nos 7+ - Diuretic Panel Urine Random,388.5,388.5,,,0 CDM,3018037704,Hc Drug/Substance Defin Qual/Quant Nos 7+ - Sufonylurea Hypoglycemics,388.5,388.5,,,0 CDM,3018201002,Hc Ketone Bodies Serum Quantitative - Beta Hydroxybutyrate,181.5,181.5,,,0 CDM,3018202401,Hc Assay Of Acth - Acth,391.5,391.5,,,0 CDM,3018204001,Hc Assay Of Serum Albumin - Albumin,76.0,76.0,,,0 CDM,3018204002,"Hc Assay Of Serum, Plasma, Whole Blood - Albumin",76.0,76.0,,,0 CDM,3018204203,Hc Assay Of Albumin - Albumin Body Fluid,52.0,52.0,,,0 CDM,3018204204,Hc Assay Of Albumin - Other Source Each Specimen,52.0,52.0,,,0 CDM,3018204301,"Hc Microalbumin, Quantitative - Microalbumin 24Hr Urine",163.0,163.0,,,0 CDM,3018204302,"Hc Microalbumin, Quantitative - Microalbumin Random Urine",163.0,163.0,,,0 CDM,3018204303,"Hc Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio",163.0,163.0,,,0 CDM,3018207701,"Hc Alcohol, Medical Only",133.0,133.0,,,0 CDM,3018208501,Hc Assay Of Aldolase - Aldolase,210.0,210.0,,,0 CDM,3018208802,Hc Assay Of Aldosterone - Aldosterone,523.5,523.5,,,0 CDM,3018210301,"Hc Alpha-1-Antitrypsin, Total - Alpha-1-Antitrypsin",281.0,281.0,,,0 CDM,3018210501,"Hc Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker",349.5,349.5,,,0 CDM,3018210502,"Hc Alpha-Fetoprotein, Serum - Alpha Fetoprotein, Maternal",349.5,349.5,,,0 CDM,3018210702,Hc Alpha-Fetoprotein Afp-L3Fraction Isoform And Total Protein,205.5,205.5,,,0 CDM,3018210801,Hc Assay Of Aluminum - Aluminum Level,352.5,352.5,,,0 CDM,3018212701,"Hc Amino Acid, Single Qual - Glutamine",541.0,541.0,,,0 CDM,3018213101,"Hc Amino Acids, Single Quantitation - Cystine Urine Quantitative",953.0,953.0,,,0 CDM,3018213501,"Hc Assay, Aminolevulinic Acid - Aminolevulinic Acid 24Hr",348.0,348.0,,,0 CDM,3018213902,"Hc Amino Acids, 6+ Quant - Amino Acids, Plasma",521.5,521.5,,,0 CDM,3018214001,Hc Assay Of Ammonia - Ammonia,211.0,211.0,,,0 CDM,3018215001,Hc Assay Of Amylase - Amylase Body Fluid,149.0,149.0,,,0 CDM,3018215002,Noncdm Charge Record,161.0,161.0,,,0 CDM,3018215005,Hc Assay Of Amylase - Amylase,149.0,149.0,,,0 CDM,3018215007,Hc Assay Of Amylase - Amylase Isoenzymes,149.0,149.0,,,0 CDM,3018215701,Hc Assay Of Androstenedione - Androstenedione,293.0,293.0,,,0 CDM,3018216401,Hc Angiotensin I Enzyme Test - Angiotensin Converting Enzyme,303.5,303.5,,,0 CDM,3018216402,Hc Angiotensin I Enzyme Test - Angiotensin Convert Enzyme Csf,303.5,303.5,,,0 CDM,3018216601,Hc Assay Of Anti-Mullerian Hormone (Amh),106.5,106.5,,,0 CDM,3018217202,Hc Assay Of Apolipoprotein - Lipoprotein Each,80.5,80.5,,,0 CDM,3018217501,Hc Assay Of Arsenic - Arsenic 24 Hour Urine,391.5,391.5,,,0 CDM,3018217504,"Hc Assay Of Arsenic - Heavy Metals Panel, Urine",391.5,391.5,,,0 CDM,3018218001,Hc Assay Of Ascorbic Acid - Vitamin C,189.5,189.5,,,0 CDM,3018223202,Hc Beta-2 Protein - Beta 2 Microglobulin,335.0,335.0,,,0 CDM,3018223401,Hc Beta-Amyloid; 1-42 (Abeta 42),423.5,423.5,,,0 CDM,3018223901,"Hc Bile Acids, Total - Bile Acids, Total",353.5,353.5,,,0 CDM,3018224701,Hc Bilirubin Total - Bilirubin Total And Direct,114.5,114.5,,,0 CDM,3018224702,Hc Bilirubin Total - Bilirubin Body Fluid,114.5,114.5,,,0 CDM,3018224703,Hc Bilirubin Total - Bilirubin Total,114.5,114.5,,,0 CDM,3018224704,Hc Bilirubin Total - Bilirubin Neonatal,114.5,114.5,,,0 CDM,3018224705,"Hc Bilirubin Total - Bilirubin Total, Cord Blood",114.5,114.5,,,0 CDM,3018224801,Hc Bilirubin Direct - Bilirubin Direct,123.0,123.0,,,0 CDM,3018227001,"Hc Blood Occult,By Peroxid,Feces,Single, Colorectal Screen - Occult Bld",76.0,76.0,,,0 CDM,3018227003,Hc Occult Blood Feces - Poct Occult Blood Stool,76.0,76.0,,,0 CDM,3018227101,Hc Occult Blood By Peroxidase Activity Other Source,48.0,48.0,,,0 CDM,3018227201,"Hc Occult Blood By Peroxidase Activity, Feces. 1-3 Simult Determ",48.0,48.0,,,0 CDM,3018230001,Hc Assay Of Cadmium - Cadmium 24 Hr Urine,475.5,475.5,,,0 CDM,3018230601,"Hc Assay Of Vit D,Calcifediol W Fractions, If Performed - Vitamin D 25",262.0,262.0,,,0 CDM,3018230801,Hc Assay Of Calcitonin - Calcitonin,189.5,189.5,,,0 CDM,3018231001,"Hc Assay Of Calcium, Total - Calcium",122.0,122.0,,,0 CDM,3018233001,"Hc Assay Of Calcium, Ionized - Calcium Ionized",285.0,285.0,,,0 CDM,3018233002,"Hc Assay Of Calcium, Ionized - Poct Calcium Ionized",285.0,285.0,,,0 CDM,3018234001,Hc Assay Of Calcium In Urine - Calcium Random Urine,143.5,143.5,,,0 CDM,3018234002,Hc Assay Of Calcium In Urine - Calcium Timed Urine,143.5,143.5,,,0 CDM,3018236501,"Hc Calculus Assay,Infrared Spectr - Kidney Stone Analysis",199.0,199.0,,,0 CDM,3018237401,Hc Assay Blood Carbon Dioxide - Co2 Total,113.0,113.0,,,0 CDM,3018237501,Hc Assay Blood Carbon Monoxide - Carboxyhemoglobin,77.0,77.0,,,0 CDM,3018237801,Hc Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 CDM,3018237802,Hc Carcinoembryonic Antigen - Body Fluids Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 CDM,3018237803,Hc Carcinoembryonic Antigen - Serum Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 CDM,3018237902,Hc Assay Of Carnitine - Carnitine Total And Free Each Specimen,162.0,162.0,,,0 CDM,3018237903,Hc Assay Of Carnitine - Carnitine Level Urine Random,162.0,162.0,,,0 CDM,3018238001,"Hc Assay Of Carotene - Carotene, Serum",239.5,239.5,,,0 CDM,3018238201,"Hc Assay, Urine Catecholamines - Catecholamines, Urine, Total",123.0,123.0,,,0 CDM,3018238401,"Hc Assay, Three Catecholamines - Catecholamine 24 Hr Urine",519.0,519.0,,,0 CDM,3018238402,"Hc Assay, Three Catecholamines - Catecholamines Fractionated Pl",519.0,519.0,,,0 CDM,3018239001,Hc Assay Of Ceruloplasmin - Ceruloplasmin,234.0,234.0,,,0 CDM,3018243501,Hc Assay Of Blood Chloride - Chloride,108.0,108.0,,,0 CDM,3018243502,Hc Assay Of Blood Chloride - Poct Chloride,108.0,108.0,,,0 CDM,3018243601,Hc Assay Of Urine Chloride - Chloride Urine Random,114.5,114.5,,,0 CDM,3018243603,Hc Assay Of Urine Chloride - Chloride Urine Random Or Timed,114.5,114.5,,,0 CDM,3018243801,Hc Assay Other Fluid Chlorides - Chloride Body Fluid,56.5,56.5,,,0 CDM,3018243805,Hc Assay Other Fluid Chlorides - Chloride Other Source,56.5,56.5,,,0 CDM,3018246502,"Hc Assay, Bld/Serum Cholesterol - Cholesterol Total",101.0,101.0,,,0 CDM,3018248001,"Hc Assay, Serum Cholinesterase - Pseudocholinesterase",177.5,177.5,,,0 CDM,3018249501,Hc Assay Of Chromium - Chromium Level,418.0,418.0,,,0 CDM,3018249502,Hc Assay Of Chromium - Chromium Body Fluid,418.0,418.0,,,0 CDM,3018250701,Hc Assay Of Citrate - Citrate 24 Hour Urine,570.0,570.0,,,0 CDM,3018252302,"Hc Assay For Collagen Cross Links - N-Telopeptide, Urine",422.5,422.5,,,0 CDM,3018252502,Hc Assay Of Copper - Copper 24Hr Urine,262.5,262.5,,,0 CDM,3018252504,"Hc Assay Of Copper - Copper, Serum",262.5,262.5,,,0 CDM,3018253001,"Hc Cortisol, Free - Cortisol 24Hr Urinary Free",159.0,159.0,,,0 CDM,3018253301,Hc Total Cortisol - Cortisol,337.5,337.5,,,0 CDM,3018253302,Hc Total Cortisol - Acth Stimulation Baseline,337.5,337.5,,,0 CDM,3018253303,Hc Total Cortisol - Acth Stimulation 30 Minutes,337.5,337.5,,,0 CDM,3018254001,Hc Assay Of Creatine - Creatine,262.5,262.5,,,0 CDM,3018254203,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Ada(Adalimumab) Prometheus Tx And Dx,266.5,266.5,,,0 CDM,3018254204,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Ust,266.5,266.5,,,0 CDM,3018254205,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Vdz,266.5,266.5,,,0 CDM,3018254221,Hc Quantitation Drug Not Elsewhere Specified - Bromide Level,266.5,266.5,,,0 CDM,3018255001,Hc Assay Of Ck (Cpk) - Creatine Kinase Ck Total,149.0,149.0,,,0 CDM,3018255302,Hc Creatine Kinase Mb Fraction - Ckmb,246.0,246.0,,,0 CDM,3018256501,Hc Assay Of Creatinine - Creatinine Serum,52.0,52.0,,,0 CDM,3018256503,Hc Assay Of Creatinine - Poct Creatinine Blood,52.0,52.0,,,0 CDM,3018256504,Hc Assay Of Creatinine - Creatinine Blood,52.0,52.0,,,0 CDM,3018257001,Hc Assay Of Urine Creatinine - Creatinine Random Urine,96.0,96.0,,,0 CDM,3018257002,Hc Assay Of Urine Creatinine - Creatinine Timed Urine,96.0,96.0,,,0 CDM,3018257004,"Hc Assay Of Urine Creatinine - Creatinine, Urine, 24 Hour",96.0,96.0,,,0 CDM,3018257005,Hc Assay Of Urine Creatinine - Creatinine Other Source,96.0,96.0,,,0 CDM,3018257006,"Hc Assay Of Urine Creatinine - Creatinine Random Urine, Leukotriene E4",96.0,96.0,,,0 CDM,3018257501,"Hc Creatinine Clearance Test - Creatinine Clearance, Urine, 24 Hour",208.0,208.0,,,0 CDM,3018258501,Hc Assay Of Cryofibrinogen - Cryofibrinogen,22.0,22.0,,,0 CDM,3018259501,Hc Assay Of Cryoglobulin - Cryoglobulin,147.0,147.0,,,0 CDM,3018260001,Hc Assay Of Cyanide - Cyanide Level,404.0,404.0,,,0 CDM,3018260701,Hc Vitamin B-12 - Vitamin B12,213.0,213.0,,,0 CDM,3018260801,Hc B-12 Binding Capacity - B-12 Binding Capacity,302.5,302.5,,,0 CDM,3018262701,Hc Dehydroepiandrosterone-Sulfate - Dhea-Sulfate,461.5,461.5,,,0 CDM,3018263302,"Hc Desoxycorticosterone - Deoxycorticosterone, 11-",629.0,629.0,,,0 CDM,3018263401,Hc Deoxycortisol - 11-Deoxycortisol,597.5,597.5,,,0 CDM,3018263801,Hc Dibucaine Number,257.0,257.0,,,0 CDM,3018265301,Hc Pancreatic Elastase - Fecal,97.0,97.0,,,0 CDM,3018266401,Hc Electrophoretic Test - Immunofixation Electrophoresis,226.5,226.5,,,0 CDM,3018266801,Hc Assay Of Erythropoietin - Erythropoietin,390.5,390.5,,,0 CDM,3018267201,"Hc Assay Of Estrogen - Estrogens, Total",177.5,177.5,,,0 CDM,3018267902,Hc Assay Of Estrone - Estrone,185.0,185.0,,,0 CDM,3018269301,Hc Assay Of Ethylene Glycol - Ethylene Glycol,153.5,153.5,,,0 CDM,3018271001,"Hc Fats/Lipids, Feces, Quantitative - Fecal Fat Quantitative",171.0,171.0,,,0 CDM,3018272501,"Hc Assay Of Blood Fatty Acids - Fatty Acids, Free",277.5,277.5,,,0 CDM,3018272801,Hc Assay Of Ferritin - Ferritin,185.0,185.0,,,0 CDM,3018273101,Hc Assay Of Fetal Fibronectin - Fetal Fibronectin,1207.0,1207.0,,,0 CDM,3018274601,Hc Blood Folic Acid Serum - Folate,311.5,311.5,,,0 CDM,3018274701,"Hc Assay Of Folic Acid, Rbc - Folate Rbc",364.5,364.5,,,0 CDM,3018278401,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Immunoglobulins",203.5,203.5,,,0 CDM,3018278402,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Igg",203.5,203.5,,,0 CDM,3018278403,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Igm",203.5,203.5,,,0 CDM,3018278404,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Iga",203.5,203.5,,,0 CDM,3018278501,Hc Assay Of Gammaglobulin Ige - Immunoglobulin Ige,348.0,348.0,,,0 CDM,3018278701,"Hc Igg1, 2, 3 Or 4, Each - Igg 1",91.5,91.5,,,0 CDM,3018278702,"Hc Igg1, 2, 3 Or 4, Each - Igg 2",91.5,91.5,,,0 CDM,3018278703,"Hc Igg1, 2, 3 Or 4, Each - Igg 3",91.5,91.5,,,0 CDM,3018278704,"Hc Igg1, 2, 3 Or 4, Each - Igg 4",91.5,91.5,,,0 CDM,3018280301,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Arterial",177.5,177.5,,,0 CDM,3018280302,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Cord Venous",177.5,177.5,,,0 CDM,3018280303,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Capillary",177.5,177.5,,,0 CDM,3018280304,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Venous",177.5,177.5,,,0 CDM,3018280305,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Cord Arterial",177.5,177.5,,,0 CDM,3018280306,"Hc Blood Gases: Ph, Po2 & Pco2 - Poct Arterial Blood Gas",177.5,177.5,,,0 CDM,3018280307,"Hc Blood Gases: Ph, Po2 & Pco2 - Poct Venous Blood Gas",177.5,177.5,,,0 CDM,3018281001,"Hc Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial",193.5,193.5,,,0 CDM,3018281002,"Hc Blood Gases, O2 Sat Only - Oxygen Saturation, Venous",193.5,193.5,,,0 CDM,3018282001,Hc Hemoglobin-Oxygen Affinity - Hemoglobin-Oxygen Affinity,88.0,88.0,,,0 CDM,3018294101,Hc Assay Of Gastrin - Gastrin,140.5,140.5,,,0 CDM,3018294301,Hc Assay Of Glucagon - Glucagon,546.0,546.0,,,0 CDM,3018294501,"Hc Assay Glucose, Body Fluid - Glucose Csf",85.0,85.0,,,0 CDM,3018294502,"Hc Assay Glucose, Body Fluid - Glucose Body Fluid",85.0,85.0,,,0 CDM,3018294503,"Hc Assay Glucose, Body Fluid - Glucose 24 Hour Urine",85.0,85.0,,,0 CDM,3018294504,"Hc Assay Glucose, Body Fluid - Glucose Urine Random",85.0,85.0,,,0 CDM,3018294701,"Hc Assay Quantitative,Blood Glucose - Glucose",97.0,97.0,,,0 CDM,3018294702,"Hc Assay Quantitative,Blood Glucose - Poct Glucose",97.0,97.0,,,0 CDM,3018294703,"Hc Assay Quantitative,Blood Glucose - Blood Gas Poct Glucose",97.0,97.0,,,0 CDM,3018294705,"Hc Assay Quantitative,Blood Glucose - Gtt Fasting",97.0,97.0,,,0 CDM,3018294801,"Hc Assay Quantitative,Blood Glucose - Poct Glucometer",40.5,40.5,,,0 CDM,3018295001,Hc Glucose Test - Gtt 1 Hour,100.0,100.0,,,0 CDM,3018295004,Hc Glucose Test - Ltt 2 Hr,100.0,100.0,,,0 CDM,3018295007,Hc Glucose Test - Gtt 2 Hour,100.0,100.0,,,0 CDM,3018295101,Hc Glucose Tolerance Test (Gtt) - Gtt 2 Hour,272.0,272.0,,,0 CDM,3018295102,Hc Glucose Tolerance Test (Gtt) - Bundled Charge,272.0,272.0,,,0 CDM,3018295201,Hc Gtt-Added Samples - Gtt 3 Hour,97.0,97.0,,,0 CDM,3018295501,Hc Assay Of G6Pd Enzyme - Glucose 6 Phosphate Dehydrogenase,168.5,168.5,,,0 CDM,3018296201,Hc Glucose Blood Test With Device - Poct Glucose,52.0,52.0,,,0 CDM,3018297701,Hc Assay Of Ggt - Gamma Gt,156.5,156.5,,,0 CDM,3018298504,Hc Glycated Protein - Fructosamine,318.0,318.0,,,0 CDM,3018300101,Hc Gonadotropin (Fsh) - Fsh,384.0,384.0,,,0 CDM,3018300201,Hc Gonadotropin (Lh) - Luteinizing Hormone,384.0,384.0,,,0 CDM,3018300301,Hc Assay Growth Hormone (Hgh) - Growth Hormone,185.0,185.0,,,0 CDM,3018300302,Hc Assay Growth Hormone (Hgh) - Growth Hormone Timed,185.0,185.0,,,0 CDM,3018301001,"Hc Assay Of Haptoglobin, Quant - Haptoglobin",91.5,91.5,,,0 CDM,3018301501,Hc Heavy Metal Screen - Heavy Metals Screen,390.5,390.5,,,0 CDM,3018301801,"Hc Quantitative Screen, Metals - Cobalt",185.0,185.0,,,0 CDM,3018301806,"Hc Quantitative Screen, Metals - Thallium, Serum",185.0,185.0,,,0 CDM,3018302001,Hc Hemoglobin Electrophoresis - Hemoglobin Electrophoresis,211.0,211.0,,,0 CDM,3018302101,Hc Hemoglobin Chromotography - Hemoglobinopathy Eval,113.0,113.0,,,0 CDM,3018302103,"Hc Hemoglobin Chromotography - Hemoglobin S, Reflex Toe Rbc Sol",113.0,113.0,,,0 CDM,3018302601,"Hc Hemoglobin Copper Sulfate - Poct Hemoglobin Copper Sulfate, Nonauto",13.0,13.0,,,0 CDM,3018303601,Hc Glycosylated Hemoglobin Test - Hemoglobin A1C,146.0,146.0,,,0 CDM,3018303602,"Hc Glycosylated Hemoglobin Test - Poct Glycated Hemoglobin, Total",146.0,146.0,,,0 CDM,3018305001,"Hc Blood Methemoglobin, Quant - Methemoglobin",165.5,165.5,,,0 CDM,3018305002,"Hc Blood Methemoglobin, Quant - Poct Methemoglobin",165.5,165.5,,,0 CDM,3018305101,Hc Assay Of Plasma Hemoglobin - Hemoglobin Plasma,48.0,48.0,,,0 CDM,3018307001,"Hc Assay Of Hemosiderin, Qual - Hemosiderin Urine",112.0,112.0,,,0 CDM,3018308801,Hc Assay Of Histamine - Histamine,607.0,607.0,,,0 CDM,3018308802,Hc Assay Of Histamine - Histamine Urine Timed,607.0,607.0,,,0 CDM,3018309001,Hc Assay Of Homocystine - Homocysteine Total,318.0,318.0,,,0 CDM,3018349701,"Hc Assay Of 5-Hiaa - 5 Hiaa Quant,24Hr Urine",272.0,272.0,,,0 CDM,3018349801,Hc Assay Of Progesterone 17-D - 17-Hydroxyprogesterone,197.0,197.0,,,0 CDM,3018351609,"Hc Immunoassay Nonantibody - Tissue Transglutaminase, Iga",63.0,63.0,,,0 CDM,3018351610,"Hc Immunoassay Nonantibody - Tissue Transglutaminase, Igg",63.0,63.0,,,0 CDM,3018351611,"Hc Immunoassay Nonantibody - Antihistone, Igg",63.0,63.0,,,0 CDM,3018351612,"Hc Immunoassay Nonantibody - Antisoluble Liver Antigen, Igg",63.0,63.0,,,0 CDM,3018351613,Hc Immunoassay Nonantibody - Anti-Gliadin Iga Ab,63.0,63.0,,,0 CDM,3018351614,Hc Immunoassay Nonantibody - Anti-Gliadin Igg Ab,63.0,63.0,,,0 CDM,3018351615,Hc Immunoassay Nonantibody - Celiac Disease Dual Antigen Screen,63.0,63.0,,,0 CDM,3018351616,Hc Immunoassay Nonantibody - Rna Polymerase Iii Antibody Igg,63.0,63.0,,,0 CDM,3018351617,"Hc Immunoassay Nonantibody - Mitochondrial Antibodies, M2, Igg",63.0,63.0,,,0 CDM,3018351618,Hc Immunoassay Nonantibody - Mpo/Pr-3 Antibody Panel,63.0,63.0,,,0 CDM,3018351619,"Hc Immunoassay Nonantibody - Parietal Cell Antibody, Igg",63.0,63.0,,,0 CDM,3018351620,Hc Immunoassay Nonantibody - Myeloperox Ab Reflex,63.0,63.0,,,0 CDM,3018351621,Hc Immunoassay Nonantibody - Polymyositis And Dermatomyositis Panel,63.0,63.0,,,0 CDM,3018351622,Hc Immunoassay Nonantibody - Polymyositis Panel,63.0,63.0,,,0 CDM,3018351623,Hc Immunoassay Nonantibody - Dermatomyositis Panel,63.0,63.0,,,0 CDM,3018351624,Hc Immunoassay Nonantibody -Systemic Sclerosis Comprehensive Panel,63.0,63.0,,,0 CDM,3018351625,"Hc Immunoassay Nonantibody -Serine Proteinase 3, Igg",63.0,63.0,,,0 CDM,3018351626,Hc Immunoassay Nonantibody - 68 Kd Hsp 70 Antibody,63.0,63.0,,,0 CDM,3018351627,"Hc Immunoassay Nonantibody - Smooth Muscle Antibody, Igg",63.0,63.0,,,0 CDM,3018351628,Hc Immunoassay Nonantibody - Periprosthetic Joint Infection Detection,63.0,63.0,,,0 CDM,3018351630,Hc Immunoassay Nonantibody - 21-Hydroxylase Autoantibodies,63.0,63.0,,,0 CDM,3018351631,Hc Immunoassay Nonantibody - Ribosomal P Protein Antibody,63.0,63.0,,,0 CDM,3018351632,Hc Immunoassay Nonantibody - Interstitial Lung Disease Panel,63.0,63.0,,,0 CDM,3018351633,Hc Immunoassay Nonantibody - Derm Elisa,63.0,63.0,,,0 CDM,3018351904,Hc Ria Nonantibody - 21 Hydroxylase Antibody,285.0,285.0,,,0 CDM,3018351905,Hc Ria Nonantibody - Encephalopathy Autoimmune Evaluation Csf,285.0,285.0,,,0 CDM,3018351906,Hc Ria Nonantibody - Encephalopathy Autoimmune Evaluation Serum,285.0,285.0,,,0 CDM,3018351907,Hc Ria Nonantibody - Acetylcholine Receptor Binding Antibody,285.0,285.0,,,0 CDM,3018351908,Hc Ria Nonantibody - Antiacetylcholine Receptor Ganglionic Neuronal,285.0,285.0,,,0 CDM,3018351909,Hc Ria Nonantibody - Ach Receptor Muscle Modulating Ab,285.0,285.0,,,0 CDM,3018351910,Hc Ria Nonantibody - Antiboltage Gated K Channel Csf,285.0,285.0,,,0 CDM,3018351911,Hc Ria Nonantibody - Acetyl Receptor,285.0,285.0,,,0 CDM,3018351912,"Hc Ria Nonantibody - Immunoassay Quant, Ria",285.0,285.0,,,0 CDM,3018351913,Hc Ria Nonantibody - Pancreatic Polypeptide,285.0,285.0,,,0 CDM,3018351914,Hc Ria Nonantibody - Trypsin Level,285.0,285.0,,,0 CDM,3018351915,Hc Ria Nonantibody - Alpha Subunit Of Pituitary Glycoprotein Hormones,285.0,285.0,,,0 CDM,3018351916,Hc Ria Nonantibody - Paraneoplastic Autoab Evaluation,285.0,285.0,,,0 CDM,3018351917,Hc Ria Nonantibody - Ach Receptor Binding Ab,285.0,285.0,,,0 CDM,3018351918,Hc Ria Nonantibody - Antimuscle-Specific Receptor Tyrosine Kinase,285.0,285.0,,,0 CDM,3018351919,Hc Immunoassay Analyte Quant Radioimmunoassay - Endothelin 1,285.0,285.0,,,0 CDM,3018352001,Hc Immunoassay Quant Nos Nonab - Anti Glomerular Basement Membr,275.5,275.5,,,0 CDM,3018352003,Hc Immunoassay Quant Nos Nonab - Tryptase,275.5,275.5,,,0 CDM,3018352005,Hc Immunoassay Analyte Quantitative Nos - Thrombin Antithrombin Complexes,275.5,275.5,,,0 CDM,3018352006,Hc Immunoassay Analyte Quantitative Nos - Markers Of Coagulation And Hemostatic Activ,275.5,275.5,,,0 CDM,3018352007,Hc Immunoassay Analyte Quantitative Nos - Prothrombin Fragment 1.2,275.5,275.5,,,0 CDM,3018352008,Hc Immunoassay Analyte Quantitative Nos - Substance P,275.5,275.5,,,0 CDM,3018352009,"Hc Immunoassay Analyte Quantitative Nos - Pancreatic Elastase, Fecal",275.5,275.5,,,0 CDM,3018352010,Hc Immunoassay Analyte Quantitative Nos - Fibrospect Hcv Prometheus,275.5,275.5,,,0 CDM,3018352011,Hc Immunoassay Analyte Quantitative Nos - Fibrospect Nash Prometheus,275.5,275.5,,,0 CDM,3018352012,Hc Immunoassay Analyte Quantitative Nos - Fibrospect Nash Prometheus,275.5,275.5,,,0 CDM,3018352013,Hc Immunoassay Analyte Quantitative Nos - Acetyl Receptor Antibody,275.5,275.5,,,0 CDM,3018352014,Hc Immunoassay Analyte Quantitative Nos - Paraneoplastic Autoab Evaluation,275.5,275.5,,,0 CDM,3018352015,Hc Immunoassay Analyte Quantitative Nos - Inhibin B,275.5,275.5,,,0 CDM,3018352016,Hc Immunoassay Analyte Quantitative Nos - Ach Receptor Striational Ab,275.5,275.5,,,0 CDM,3018352017,Hc Immunoassay Analyte Quantitative Nos -Acetylcholine Receptor Ab Panel W/Musk Reflux,275.5,275.5,,,0 CDM,3018352019,Hc Immunoassay Analyte Quantitative Nos - Interleukin 6,275.5,275.5,,,0 CDM,3018352020,Hc Immunoassay Analyte Quantitative Nos - Tumor Necrosis Factor-Alpha,275.5,275.5,,,0 CDM,3018352021,Hc Immunoassay Quant Nos Nonab - Interleukin 2 Soluble Recptor,275.5,275.5,,,0 CDM,3018352022,Hc Immunoassay Quant Nos Nonab - Mannose Ninding Lectin,275.5,275.5,,,0 CDM,3018352023,Hc Immunoassay Analyte Quantitative Nos -Tsh Receptor Antibody,275.5,275.5,,,0 CDM,3018352026,Hc Immunoassay Analyte Quantitative Nos - Galop Autoantibody,275.5,275.5,,,0 CDM,3018352027,Hc Immunoassay Analyte Quantitative Nos - Tau And Abeta42 Panel Csf,275.5,275.5,,,0 CDM,3018352028,Hc Immunoassay Analyte Quantitative Nos - Antimullerian Hormone,275.5,275.5,,,0 CDM,3018352029,Hc Immunoassay Analyte Quantitative Nos - Adamts13 Antibody,275.5,275.5,,,0 CDM,3018352030,Hc Miscellaneous Lab Charge,275.5,275.5,,,0 CDM,3018352031,Hc Immunoassay Analyte Quantitative Nos - Mitochondria M2,275.5,275.5,,,0 CDM,3018352032,Hc Immunoassay Analyte Quantitative Nos - Sacch Cerevisiae Igg,275.5,275.5,,,0 CDM,3018352038,Hc Immunoassay Analyte Quantitative Nos - Vascular Endothelial Growth Factor,275.5,275.5,,,0 CDM,3018352039,Hc Immunoassay Analyte Quantitative Nos - Vegf-D,275.5,275.5,,,0 CDM,3018352040,Hc Immunoassay Analyte Quantitative Nos - Vwf Propeptide Antigen,275.5,275.5,,,0 CDM,3018352041,Hc Immunoassay Analyte Quantitative Nos - Vwf Collagen Iii Binding,275.5,275.5,,,0 CDM,3018352042,Hc Immunoassay Analyte Quantitative Nos - Vwf Collagen Iv Binding,275.5,275.5,,,0 CDM,3018352043,Hc Immunoassay Analyte Quantitative Nos - Ibd Sgi Diagnostic Prometheus,275.5,275.5,,,0 CDM,3018352044,Hc Immunoassay Analyte Quantitative Nos - Crohn's Prognostic Prometheus,275.5,275.5,,,0 CDM,3018352503,"Hc Assay Of Insulin,Total - Insulin, Total",97.0,97.0,,,0 CDM,3018354002,Hc Assay Of Iron - Iron,147.0,147.0,,,0 CDM,3018355001,Hc Iron Binding Test - Iron And Iron Binding Capacity Panel - Sr Or Pl,189.5,189.5,,,0 CDM,3018360501,Hc Assay Of Lactic Acid - Lactate Csf,234.0,234.0,,,0 CDM,3018360502,Hc Assay Of Lactic Acid - Lactate,234.0,234.0,,,0 CDM,3018360506,"Hc Assay Of Lactic Acid - Lactic Acid, Venous, Whole Blood",234.0,234.0,,,0 CDM,3018360507,Hc Assay Of Lactic Acid - Poct Lactate Csf,234.0,234.0,,,0 CDM,3018360509,"Hc Assay Of Lactic Acid - Blood Gas Lactic Acid, Arterial",234.0,234.0,,,0 CDM,3018361501,Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl,143.5,143.5,,,0 CDM,3018361502,Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase,143.5,143.5,,,0 CDM,3018361503,"Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase, Csf",143.5,143.5,,,0 CDM,3018362501,Hc Assay Of Ldh Isoenzymes - Lactate Dehydrogenase Isoenzms,247.0,247.0,,,0 CDM,3018365501,Hc Assay Of Lead - Lead 24Hr Urine,257.0,257.0,,,0 CDM,3018365503,Hc Assay Of Lead - Lead Blood,257.0,257.0,,,0 CDM,3018369001,Hc Assay Of Lipase - Lipase,153.5,153.5,,,0 CDM,3018369002,Hc Assay Of Lipase - Lipase Body Fluid,153.5,153.5,,,0 CDM,3018369501,Hc Assay Lipoprotein (A),58.5,58.5,,,0 CDM,3018370401,"Hc Lipoprotein, Blood, By Nmr Spect - Lipoprotein Nmr",62.0,62.0,,,0 CDM,3018371801,"Hc Assay Of Blood Lipoprotein,Hdl Cholest - Hdl Cholesterol",178.5,178.5,,,0 CDM,3018372101,"Hc Assay Of Blood Lipoprotein,Ldl Cholest - Ldl Cholesterol Direct",205.5,205.5,,,0 CDM,3018373501,Hc Assay Of Magnesium - Magnesium,119.5,119.5,,,0 CDM,3018373502,Hc Assay Of Magnesium - Magnesium Urine,119.5,119.5,,,0 CDM,3018373503,Hc Assay Of Magnesium - Magnesium 24Hr Urine,119.5,119.5,,,0 CDM,3018378501,Hc Assay Of Manganese - Manganese,367.0,367.0,,,0 CDM,3018378901,Hc Thiopurin Methyltrans Rbc,43.5,43.5,,,0 CDM,3018382501,Hc Assay Of Mercury - Mercury 24 Hour Urine,337.5,337.5,,,0 CDM,3018382502,"Hc Assay Of Mercury - Heavy Metals, Blood",337.5,337.5,,,0 CDM,3018382503,"Hc Assay Of Mercury - Mercury, Blood",337.5,337.5,,,0 CDM,3018383501,Hc Assay Of Metanephrines - Metanephrines 24Hr Urine,353.5,353.5,,,0 CDM,3018383502,Hc Assay Of Metanephrines - Metanephrines Plasma,353.5,353.5,,,0 CDM,3018387301,"Hc Myelin Basic Protein,Csf - Myelin Basic Protein Csf",356.0,356.0,,,0 CDM,3018387401,Hc Assay Of Myoglobin - Myoglobin Serum,275.5,275.5,,,0 CDM,3018387402,Hc Assay Of Myoglobin - Myoglobin Urine Quantitative,275.5,275.5,,,0 CDM,3018388001,Hc Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp),109.11500000000001,109.11500000000001,,,0 CDM,3018388003,Hc Natriuretic Peptide - Pro B-Type Natriuretic Peptide (Pbnp),109.095,109.095,,,0 CDM,3018388301,"Hc Nephelometry, Not Specified - Immunoglobulin Free Lt Chains Blood",197.0,197.0,,,0 CDM,3018388302,"Hc Nephelometry, Not Specified - Kappa / Lambda Light Chains, Urine",197.0,197.0,,,0 CDM,3018388303,"Hc Nephelometry, Not Specified - Kappa Light Chains, Blood",197.0,197.0,,,0 CDM,3018388304,"Hc Nephelometry, Not Specified - Lambda Light Chains, Urine",197.0,197.0,,,0 CDM,3018391501,Hc 5 Nucleotidase,237.0,237.0,,,0 CDM,3018391601,Hc Oligoclonal Immunoglobulin - Oligoclonal Banding,183.0,183.0,,,0 CDM,3018391801,Hc Assay Organic Acids Quantitative - Organic Acids Urine,382.0,382.0,,,0 CDM,3018392101,"Hc Assay Sngl Organic Acid, Quantitative - Methylmalonic Acid, Serum",210.0,210.0,,,0 CDM,3018393001,Hc Assay Of Blood Osmolality - Osmolality,149.0,149.0,,,0 CDM,3018393501,Hc Assay Of Urine Osmolality - Osmolality Urine,153.5,153.5,,,0 CDM,3018393701,Hc Assay Of Osteocalcin - Osteocalcin,608.5,608.5,,,0 CDM,3018394501,Hc Assay Of Oxalate - Oxalate 24Hr Urine,272.0,272.0,,,0 CDM,3018395101,Hc Oncoprotein; Des-Gamma-Carboxy-Prothrombin (Dcp),205.5,205.5,,,0 CDM,3018397001,Hc Assay Of Parathormone - Pth Intact,831.5,831.5,,,0 CDM,3018397002,"Hc Assay Of Parathormone - Pth Intact, Interoperative",831.5,831.5,,,0 CDM,3018398601,Hc Ph Body Fluid Nos - Ph Body Fluid,90.5,90.5,,,0 CDM,3018398605,Hc Ph Body Fluid Nos - Poct Vaginal Ph,90.5,90.5,,,0 CDM,3018403001,Hc Assay Of Blood Pku - Phenylalanine Screen,129.5,129.5,,,0 CDM,3018406001,"Hc Assay Phosphatase Acid, Total - Acid Phosphatase, Total",45.5,45.5,,,0 CDM,3018407501,Hc Assay Alkal Phosphatase - Alkaline Phosphatase,122.0,122.0,,,0 CDM,3018407502,Hc Assay Alkal Phosphatase - Alkaline Phosphatase Iso Panel,122.0,122.0,,,0 CDM,3018408001,"Hc Assay Alkal Phosphatase,Isoenzymes - Alkaline Phosphatase,Isoenzymes",153.5,153.5,,,0 CDM,3018408002,Hc Alkaline Phosphatase Isoenzymes Bone Specific,153.5,153.5,,,0 CDM,3018408101,Hc Phosphatidylglycerol - Phosphatidylglycerol,348.0,348.0,,,0 CDM,3018410004,Hc Assay Of Inorganic Phosphorus - Phosphorus,161.0,161.0,,,0 CDM,3018410501,Hc Assay Of Urine Phosphorus - Phosphorus Random Urine,122.0,122.0,,,0 CDM,3018410503,Hc Assay Of Urine Phosphorus - Phosphorus Timed Urine,122.0,122.0,,,0 CDM,3018411001,Hc Porphobilinogen Urine Quant Timed,165.5,165.5,,,0 CDM,3018411002,Hc Porphobilinogen Urine Random,165.5,165.5,,,0 CDM,3018411201,"Hc Placenta Alpha Microglobulin-1, Rupture Of Membrane",577.0,577.0,,,0 CDM,3018412001,Hc Porphyrins Quant And Fract - Total Urine Timed,311.5,311.5,,,0 CDM,3018413201,Hc Assay Of Serum Potassium - Potassium,105.5,105.5,,,0 CDM,3018413202,Hc Assay Of Potassium - Blood Gas Potassium,105.5,105.5,,,0 CDM,3018413203,Hc Assay Of Potassium - Potassium,105.5,105.5,,,0 CDM,3018413204,Hc Assay Of Potassium - Poct Potassium,105.5,105.5,,,0 CDM,3018413301,Hc Assay Of Urine Potassium - Potassium Body Fluid,4.5,4.5,,,0 CDM,3018413303,Hc Assay Of Urine Potassium - Potassium Random Urine,100.0,100.0,,,0 CDM,3018413304,"Hc Assay Of Urine Potassium - Potassium,Timed Urine",100.0,100.0,,,0 CDM,3018413305,Hc Assay Of Urine Potassium - Potassium 24 Hour Urine,100.0,100.0,,,0 CDM,3018413401,Hc Assay Of Prealbumin - Prealbumin,303.5,303.5,,,0 CDM,3018414301,Hc Assay Of 17-Hydroxypregnenolone - 17-Hydroxypregnenolone,461.5,461.5,,,0 CDM,3018414401,Hc Assay Of Progesterone - Progesterone,194.5,194.5,,,0 CDM,3018414501,Hc Procalcitonin (Pct),222.0,222.0,,,0 CDM,3018414601,Hc Assay Of Prolactin - Prolactin,384.0,384.0,,,0 CDM,3018414602,Hc Prolactin Level With Dilution,384.0,384.0,,,0 CDM,3018414603,Hc Prolactin - Macroprolactin Level,384.0,384.0,,,0 CDM,3018415301,"Hc Prostate Specific Antigen,Total - Psa",244.0,244.0,,,0 CDM,3018415302,"Hc Prostate Specific Antigen,Total - Psa Total And Free",244.0,244.0,,,0 CDM,3018415304,"Hc Prostate Specific Antigen,Total - Prostate Health Index",244.0,244.0,,,0 CDM,3018415401,Hc Free Psa,285.0,285.0,,,0 CDM,3018415501,Hc Protein Tot Xcpt Refractometry Serum - Protein Total,90.5,90.5,,,0 CDM,3018415502,Hc Protein Tot Xcpt Refractometry Serum - Fabry Disease Test,90.5,90.5,,,0 CDM,3018415601,Hc Protein Tot Xcpt Refractometry Urine - Protein Random Urine,57.5,57.5,,,0 CDM,3018415603,Hc Protein Tot Xcpt Refractometry Urine - Protein 24 Hour Urine,57.5,57.5,,,0 CDM,3018415604,"Hc Protein Tot Xcpt Refractometry Urine - Protein / Creatinine Ratio, U",57.5,57.5,,,0 CDM,3018415701,Hc Protein Tot Xcpt Refractometry Oth Src - Protein Csf,83.5,83.5,,,0 CDM,3018415702,Hc Protein Tot Xcpt Refractometry Oth Src - Protein Body Fluid,83.5,83.5,,,0 CDM,3018416501,"Hc Protein E-Phoresis, Serum - Protein Electrophoresis Serum",234.0,234.0,,,0 CDM,3018416601,Hc Protein E-Phoresis/Urine/Csf - Protein Electrophoresis Urine,236.0,236.0,,,0 CDM,3018416602,Hc Protein E-Phoresis/Urine/Csf - Protein Electrophoresis Urine W/Immunofixation,236.0,236.0,,,0 CDM,3018418203,"Hc Protein - Westblot- .Amphiphysin Immunoblot, Csf",433.0,433.0,,,0 CDM,3018418204,"Hc Protein - Westblot-.Anna-1 Immunoblot, Csf",433.0,433.0,,,0 CDM,3018418205,"Hc Protein - Westblot-.Anna-2 Immunoblot, Csf",433.0,433.0,,,0 CDM,3018418206,Hc Protein - Westblot -Anticollapsin Response Mediator Protien 5,433.0,433.0,,,0 CDM,3018418207,"Hc Protein - Westblot-.Pca-1 Immunoblot, Csf",433.0,433.0,,,0 CDM,3018418208,"Hc Protein, Western Blot Test, W Band Id - Liver Cytosolic Antigen Type 1 (Lc-1) Antibody, Igg",433.0,433.0,,,0 CDM,3018418209,"Hc Protein, Western Blot Test, W Band Id - Interstitial Lung Disease Panel",433.0,433.0,,,0 CDM,3018418210,"Hc Protein, Western Blot Test, W Band Id - Polymysositis And Dermatomyositis Panel",433.0,433.0,,,0 CDM,3018420601,Hc Assay Of Proinsulin - Proinsulin,368.0,368.0,,,0 CDM,3018420701,Hc Assay Of Vitamin B-6 - Vitamin B6,573.5,573.5,,,0 CDM,3018421001,Hc Assay Of Pyruvate - Pyruvic Acid,72.0,72.0,,,0 CDM,3018421002,Hc Assay Of Pyruvate - Poct Pyruvic Brain Micro D,72.0,72.0,,,0 CDM,3018423801,"Hc Assay, Non-Endocrine Receptor - Acetylcholine Receptor, Binding",349.5,349.5,,,0 CDM,3018423804,"Hc Assay, Non-Endocrine Receptor- Interleukin-2, Alpha Chain",349.5,349.5,,,0 CDM,3018423805,"Hc Assay, Non-Endocrine Receptor - Soluble Transferrin Receptor",349.5,349.5,,,0 CDM,3018424401,Hc Assay Of Renin - Renin Direct Assay,287.0,287.0,,,0 CDM,3018424402,Hc Assay Of Renin - Renin Activity,287.0,287.0,,,0 CDM,3018425201,Hc Assay Of Vitamin B-2 - Vitamin B2 (Riboflavin) Level,430.0,430.0,,,0 CDM,3018425502,Hc Assay Of Selenium - Selenium Level,522.5,522.5,,,0 CDM,3018426002,Hc Assay Of Serotonin - Serotonin Level,262.5,262.5,,,0 CDM,3018427001,Hc Assay Of Sex Hormone Binding Globulin - Sex Hormone Binding Globulin,447.5,447.5,,,0 CDM,3018429501,Hc Assay Of Sodium - Sodium,113.0,113.0,,,0 CDM,3018429502,Hc Assay Of Sodium - Blood Gas Sodium,113.0,113.0,,,0 CDM,3018429503,Hc Assay Of Sodium - Poct Sodium,113.0,113.0,,,0 CDM,3018430001,Hc Assay Of Urine Sodium - Sodium Random Urine,85.0,85.0,,,0 CDM,3018430002,Hc Assay Of Urine Sodium - Sodium Timed Urine,85.0,85.0,,,0 CDM,3018430003,Hc Assay Of Urine Sodium - Sodium 24 Hour Urine,85.0,85.0,,,0 CDM,3018430201,"Hc Assay Of Sodium, Other Source - Sodium Body Fluid",97.0,97.0,,,0 CDM,3018430202,"Hc Assay Of Sodium, Other Source - Sodium Stool (Feces)",97.0,97.0,,,0 CDM,3018430203,"Hc Assay Of Sodium, Other Source - Sodium Electrolyte Stool (Feces)",97.0,97.0,,,0 CDM,3018430502,Hc Assay Of Somatomedin - Somatomedin C,156.5,156.5,,,0 CDM,3018430701,Hc Assay Of Somatostatin - Somatostatin,378.5,378.5,,,0 CDM,3018431101,Hc Spectrophotometry - Porphyrin Total,56.5,56.5,,,0 CDM,3018431102,Hc Spectrophotometry - Phospholipids,56.5,56.5,,,0 CDM,3018431103,Hc Spectrophotometry - Cholesterol Body Fluid,56.5,56.5,,,0 CDM,3018431501,Hc Body Fluid Specific Gravity - Specific Gravity Body Fluid,65.5,65.5,,,0 CDM,3018440202,Hc Assay Of Testosterone - Testosterone Free,213.5,213.5,,,0 CDM,3018440301,Hc Assay Of Total Testosterone - Testosterone Total,523.5,523.5,,,0 CDM,3018440302,Hc Assay Of Total Testosterone - Testosterone Total And Free,430.0,430.0,,,0 CDM,3018442502,"Hc Assay Of Vitamin B-1 - Vitamin B1 Level, Whole Blood",435.0,435.0,,,0 CDM,3018443101,Hc Thromboxane Metabolite - Aspirin Works,141.5,141.5,,,0 CDM,3018443201,Hc Assay Of Thyroglobulin - Thyroglobulin,329.5,329.5,,,0 CDM,3018443601,Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone) Level,153.5,153.5,,,0 CDM,3018443602,"Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone), Total And Free",153.5,153.5,,,0 CDM,3018443603,"Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone), T3 Uptake And Index",153.5,153.5,,,0 CDM,3018443901,Hc Assay Of Free Thyroxine - T4 Free,181.5,181.5,,,0 CDM,3018443902,"Hc Assay Of Free Thyroxine - T4, Total And Free",181.5,181.5,,,0 CDM,3018443903,Hc Assay Of Free Thyroxine -Free T4 By Equilibrium Dialysis,181.5,181.5,,,0 CDM,3018444201,Hc Assay Of Thyroxine Bndng Globulin - Thyroxine Binding Globulin,263.5,263.5,,,0 CDM,3018444301,Hc Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone,201.5,201.5,,,0 CDM,3018444302,Hc Assay Thyroid Stim Hormone - Tsh Reflex Order Ft4 If Tsh Is Abnormal,201.5,201.5,,,0 CDM,3018444303,Hc Assay Thyroid Stim Hormone - Tsh Chronic Urticaria Index Panel,201.5,201.5,,,0 CDM,3018444501,Hc Assay Of Thyroid Stim Immunoglobulins (Tsi) - Thyroid Stimulating Im,465.5,465.5,,,0 CDM,3018444601,Hc Assay Of Vitamin E - Vitamin E (Tocopherol) Level,291.5,291.5,,,0 CDM,3018445001,Hc Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot),122.0,122.0,,,0 CDM,3018446001,Hc Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt),123.0,123.0,,,0 CDM,3018446601,Hc Assay Of Transferrin - Transferrin Level,272.0,272.0,,,0 CDM,3018447801,Hc Assay Of Triglycerides - Triglycerides,134.0,134.0,,,0 CDM,3018447802,Hc Assay Of Triglycerides - Triglycerides Body Fluid,134.0,134.0,,,0 CDM,3018447901,Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T3 Uptake,58.5,58.5,,,0 CDM,3018447902,Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T3 Uptake And Fti,58.5,58.5,,,0 CDM,3018447903,"Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T4, T3 Uptake And Index",58.5,58.5,,,0 CDM,3018448001,"Hc Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)",272.0,272.0,,,0 CDM,3018448101,Hc Triiodothyronine Free Assay (Ft-3) - T3 Free,353.5,353.5,,,0 CDM,3018448201,Hc Triiodothyronine T3 Reverse - T3 Reverse,221.0,221.0,,,0 CDM,3018448402,"Hc Assay Of Troponin, Quant - Troponin I",300.5,300.5,,,0 CDM,3018448403,"Hc Assay Of Troponin, Quant -Poct Troponin I",300.5,300.5,,,0 CDM,3018451002,"Hc Assay Tyrosine - Phenylalanine And Tyrosine, Dried Blood Spot",52.0,52.0,,,0 CDM,3018452001,"Hc Assay Urea Nitrogen, Quan - Blood Urea Nitrogen",97.0,97.0,,,0 CDM,3018452005,"Hc Assay Urea Nitrogen, Quan - Urea Nitrogen, Body Fluid",97.0,97.0,,,0 CDM,3018454001,Hc Assay Urine Urea-N - Urea Nitrogen Timed Urine,113.0,113.0,,,0 CDM,3018454002,"Hc Assay Urine Urea-N - Urea Nitrogen, Urine",113.0,113.0,,,0 CDM,3018454003,"Hc Assay Urine Urea-N - Urea Nitrogen, Random Urine",113.0,113.0,,,0 CDM,3018455001,"Hc Assay Of Uric Acid, Blood - Uric Acid",105.5,105.5,,,0 CDM,3018456001,"Hc Assay Of Uric Acid, Other Source - Uric Acid Timed Urine",113.0,113.0,,,0 CDM,3018456002,"Hc Assay Of Uric Acid, Other Source - Uric Acid Body Fluid",113.0,113.0,,,0 CDM,3018456003,"Hc Assay Of Uric Acid, Blood, Other Source - Uric Acid, Urine, 24 Hour",113.0,113.0,,,0 CDM,3018456005,"Hc Assay Of Uric Acid, Other Source - Uric Acid Random Urine",113.0,113.0,,,0 CDM,3018458301,Hc Assay Of Urobilinogen Urine Semiquan - Urobilinogen Semiquant Urine,16.5,16.5,,,0 CDM,3018458501,Hc Assay Of Urine Vma - Vma 24 Hour Urine,161.0,161.0,,,0 CDM,3018458601,Hc Assay Of Vip - Vasoactive Intestinal Polypeptide (Vip),359.0,359.0,,,0 CDM,3018458801,Hc Assay Of Vasopressin - Arginine Vasopressin Hormone,272.0,272.0,,,0 CDM,3018459001,Hc Assay Of Vitamin A - Vitamin A Level,247.0,247.0,,,0 CDM,3018459701,Hc Assay Of Vitamin K - Vitamin K Level,165.5,165.5,,,0 CDM,3018460001,Hc Assay Of Volatiles - Volatile Compounds,646.5,646.5,,,0 CDM,3018463001,Hc Assay Of Zinc - Zinc Level,239.5,239.5,,,0 CDM,3018463003,Hc Assay Of Zinc - Zinc 24Hour Urine,239.5,239.5,,,0 CDM,3018463004,"Hc Assay Of Zinc - Zinc, Creatinine Ration, Random Urine",239.5,239.5,,,0 CDM,3018468101,Hc Assay Of C-Peptide - C-Peptide,329.5,329.5,,,0 CDM,3018470202,"Hc Chorionic Gonadotropin, Quant - Beta Hcg Quantitative Blood",147.0,147.0,,,0 CDM,3018470301,"Hc Chorionic Gonadotropin, Qual - Hcg Qualitative Urine",147.0,147.0,,,0 CDM,3018470302,"Hc Chorionic Gonadotropin, Qual - Hcg Pregnancy Test Qualitative",147.0,147.0,,,0 CDM,3018470303,"Hc Chorionic Gonadotropin, Qual - Pregnancy Screen Serum Qualitative",147.0,147.0,,,0 CDM,3018499901,Hc Clinical Chemistry Test - Osmolality Stool,83.5,83.5,,,0 CDM,3018679005,"Hc Antibody, Virus, Nos - Htlv I/Ii Antibody With Reflex Confirm",121.0,121.0,,,0 CDM,3018682501,"Hc Hla Crossmatch, Non-Cytotoxic, 1St Serum/Samp Or Dil - Hla Allo Flow Crossmatch",936.0,936.0,,,0 CDM,3018682502,"Hc Hla Crossmatch, Non-Cytotoxic, 1St Serum/Samp Or Dil - Hla Auto Flow Crossmatch",936.0,936.0,,,0 CDM,30186_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,3018708801,Hc Bacterial Culture - Charge Urine Identification,154.5,154.5,,,0 CDM,3018708802,Hc Bacterial Culture - Ui$ Preliminary Report,154.5,154.5,,,0 CDM,3018708803,"Hc Bacterial Culture - Poct Urine W/Isolation And Presumptive Id, Each Isolate",154.5,154.5,,,0 CDM,30188_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,30190_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,30192_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,30194_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,30196_C1768_278,Noncdm Charge Record Medical Supplies,870.1,870.1,,,0 CDM,301G010301,Hc Prostate Specific Antigen Scr,329.5,329.5,,,0 CDM,301G048001,Hc Drug Test Definitive Drug Id Method Per Day 1-7 Drug Class(Es),234.0,234.0,,,0 CDM,301G048101,Hc Drug Test Definitive Drug Id Method Per Day 8-14 Drug Class(Es),469.0,469.0,,,0 CDM,301G048201,Hc Drug Test Definitive Drug Id Method Per Day 15-21 Drug Class(Es),702.0,702.0,,,0 CDM,301G048301,Hc Drug Test Definitive Drug Id Method Per Day 22+ Drug Class(Es),936.0,936.0,,,0 CDM,3020000002,Noncdm Charge Record,160.6,160.6,,,0 CDM,30202_C1768_278,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,30204_C1768_278,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,30206_C1768_278,Noncdm Charge Record Medical Supplies,597.3,597.3,,,0 CDM,3021_C2627_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,3022_270,Noncdm Charge Record Medical Supplies,341.01,341.01,,,0 CDM,30242_C1889_278,Noncdm Charge Record Medical Supplies,2818.2,2818.2,,,0 CDM,30244_C1889_278,Noncdm Charge Record Medical Supplies,2818.2,2818.2,,,0 CDM,30246_C1889_278,Noncdm Charge Record Medical Supplies,2818.2,2818.2,,,0 CDM,30248_C1889_278,Noncdm Charge Record Medical Supplies,2818.2,2818.2,,,0 CDM,30261_C1729_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,30278_C1781_278,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 CDM,3028151501,"Hc Infectious Disease, Bacterial Vaginosis And Vaginitis, Real-Time Pcr Amplification Of Dna Markers",730.0,730.0,,,0 CDM,30282_C1781_278,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 CDM,302860030U,Hc Allergen Spec Ige - Allergen Mite: Dermatophagoides Pteronyssinus,43.5,43.5,,,0 CDM,3028600310,Hc Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige,43.5,43.5,,,0 CDM,3028600323,Hc Allergen Spec Ige - Allergen Bermuda Grass Ige,43.5,43.5,,,0 CDM,3028600326,Hc Allergen Spec Ige - Allergen Bluegrass Ige,43.5,43.5,,,0 CDM,3028600358,Hc Allergen Spec Ige - Allergen Cladosporium Herbarum Ige,43.5,43.5,,,0 CDM,3028600362,"Hc Allergen Spec Ige - Allergen Cockroach, American Ige",43.5,43.5,,,0 CDM,3028600369,Hc Allergen Spec Ige - Allergen Cottonwood Tree Ige,43.5,43.5,,,0 CDM,302860037S,Hc Allergen Spec Ige - Allergen Alternaria Tenuis,43.5,43.5,,,0 CDM,3028600386,Hc Allergen Spec Ige - Allergen Elm Tree Ige,43.5,43.5,,,0 CDM,302860038A,Hc Allergen Spec Ige - Allergen Bahia Grass Ige,43.5,43.5,,,0 CDM,302860038K,"Hc Allergen Spec Ige - Allergen Cat Hair/Dander,Stan",43.5,43.5,,,0 CDM,302860038Z,Hc Allergen Spec Ige - Allergen Dog Dander,43.5,43.5,,,0 CDM,302860039B,Hc Allergen Spec Ige - Allergen Egg White Ige,43.5,43.5,,,0 CDM,302860039Q,Hc Allergen Spec Ige - Allergen Johnson Grass Ige,43.5,43.5,,,0 CDM,30286003AB,Hc Allergen Spec Ige - Allergen Multi Inhalant Screen,43.5,43.5,,,0 CDM,30286003AH,"Hc Allergen Spec Ige - Allergen Oak,White Ige",43.5,43.5,,,0 CDM,30286003AQ,Hc Allergen Spec Ige - Allergen Penicillium Ige,43.5,43.5,,,0 CDM,30286003O3,"Hc Allergen Spec Ige - Allergen Pigweed, Rough Ige",43.5,43.5,,,0 CDM,30286003R0,"Hc Allergen Spec Ige - Allergen Hickory, White Ige",43.5,43.5,,,0 CDM,30286003Z3,"Hc Allergen Spec Ige - Allergen Ragweed, Short/Common Ige",43.5,43.5,,,0 CDM,30286003ZZ,Hc Allergen Spec Ige - Allergen Specific Ige,43.5,43.5,,,0 CDM,3028602101,Hc Wbc Antibody Identification - Anti-Neutrophil Antibody,147.0,147.0,,,0 CDM,3028602201,Hc Platelet Antibodies - Heparin-Induced Platelet Antibody,433.0,433.0,,,0 CDM,3028602202,"Hc Platelet Antibodies - Platelet Antibodies, Indirect",433.0,433.0,,,0 CDM,3028602203,Hc Platelet Antibodies - Serotonin Release Assay (Sra) For Hit,433.0,433.0,,,0 CDM,3028602204,"Hc Platelet Antibodies - Serotonin Release Assay, Lmwh",433.0,433.0,,,0 CDM,3028602301,"Hc Immunoglobulin Assay - Platelet Associated Antibodies, Direct",302.5,302.5,,,0 CDM,3028603801,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies),293.0,293.0,,,0 CDM,3028603802,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies)-Centromere,293.0,293.0,,,0 CDM,3028603803,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies)-W/O Path Rev,293.0,293.0,,,0 CDM,3028603902,Hc Antinuclear Antibodies Titer - Ana Titer,114.5,114.5,,,0 CDM,3028603903,Hc Antinuclear Antibodies Titer - Ana Titer W/O Path Review,114.5,114.5,,,0 CDM,3028603904,Hc Antinuclear Antibodies Titer - Ana Anti Hep2 Nuclear Igg,114.5,114.5,,,0 CDM,3028604101,Hc Acetylcholine Receptor Binding Antibody,105.5,105.5,,,0 CDM,3028604301,Hc Acetylcholine Receptor Modulating Antibody,119.5,119.5,,,0 CDM,3028606001,Hc Antistreptolysin O Titer - Antistreptolysin O Titer,83.5,83.5,,,0 CDM,3028606301,Hc Antistreptolysin O Screen - Anti-Streptolysin O,31.5,31.5,,,0 CDM,3028614001,Hc C-Reactive Protein - C-Reactive Protein,140.5,140.5,,,0 CDM,3028614002,Hc C-Reactive Protein - Ibd Sgi Diagnostic Prometheus,140.5,140.5,,,0 CDM,3028614003,Hc C-Reactive Protein - Periprosthetic Joint Infection Detection,140.5,140.5,,,0 CDM,3028614101,"Hc C-Reactive Protein,High Sensitivity - Crp High Sensitivity",272.0,272.0,,,0 CDM,3028614102,"Hc C-Reactive Protein,High Sensitivity - Monitor Crohn's Disease",272.0,272.0,,,0 CDM,3028614602,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein 1 Abs Igg+Igm",534.5,534.5,,,0 CDM,3028614603,"Hc Beta 2 Glycoprotein I Antibody,Ea - B2Gp1Igg + B2Gp1Igm",534.5,534.5,,,0 CDM,3028614604,"Hc Beta 2 Glycoprotein I Antibody,Ea - Lupus",534.5,534.5,,,0 CDM,3028614605,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Igg",534.5,534.5,,,0 CDM,3028614606,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Igm",534.5,534.5,,,0 CDM,3028614607,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Iga",534.5,534.5,,,0 CDM,3028614702,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Iga",594.0,594.0,,,0 CDM,3028614703,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igg",594.0,594.0,,,0 CDM,3028614704,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igm",594.0,594.0,,,0 CDM,3028614705,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igg + Igm",594.0,594.0,,,0 CDM,3028614706,Hc Cardiolipin Antibody - Anticardiolipin Antibody Igg + Igm,594.0,594.0,,,0 CDM,3028614707,Hc Cardiolipin Antibody - Lupus,594.0,594.0,,,0 CDM,3028614802,Hc Phospholipid Antibody - Antiphosphatidylserine Antibodies,260.0,260.0,,,0 CDM,3028614803,Hc Phospholipid Antibody - Antiphosphatidylserine Antibodies Igg + Igm,260.0,260.0,,,0 CDM,3028615601,Hc Cold Agglutinin Screen - Cold Agglutinin Screen,170.0,170.0,,,0 CDM,3028615701,"Hc Cold Agglutinin, Titer - Cold Agglutinin Titer",205.5,205.5,,,0 CDM,3028616001,"Hc Complement, Antigen - C4 Complement",287.0,287.0,,,0 CDM,3028616002,"Hc Complement, Antigen - C3 Complement",287.0,287.0,,,0 CDM,3028616003,"Hc Complement, Antigen - C2 Complement",287.0,287.0,,,0 CDM,3028616004,"Hc Complement, Antigen - C1 Esterase Inhibitor",287.0,287.0,,,0 CDM,3028616005,"Hc Complement, Antigen - C3 + C4 Complement",287.0,287.0,,,0 CDM,3028616102,"Hc Complement/Function Activity - C1 Esterase Inhibitor, Functional",73.0,73.0,,,0 CDM,3028616103,Hc Complement/Function Activity - Functional C1 Esterase Inhibitor Level,73.0,73.0,,,0 CDM,3028616201,"Hc Complement, Total (Ch50) - Complement Total",479.0,479.0,,,0 CDM,3028616202,"Hc Complement, Total (Ch50) - Total Complement Activity Enzyme",479.0,479.0,,,0 CDM,3028620001,Hc Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy,186.0,186.0,,,0 CDM,3028620002,Hc Cyclic Cirullinated Peptide Antibody - Anti Cyclic Citrullinated Peptide Antibdy Igg,186.0,186.0,,,0 CDM,3028620003,Hc Cyclic Cirullinated Peptide Antibody - Interstitial Lung Disease Panel,186.0,186.0,,,0 CDM,3028621501,"Hc Deoxyribonuclease, Antibody - Anti Dnase B Antibody",319.0,319.0,,,0 CDM,3028621502,"Hc Deoxyribonuclease, Antibody - Dnase B Antibody",319.0,319.0,,,0 CDM,3028622501,"Hc Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded",329.5,329.5,,,0 CDM,3028622502,"Hc Dna Antibody, Natv/2 Strand - Anti Nuclear Antibody Screen",329.5,329.5,,,0 CDM,3028622503,"Hc Dna Antibody, Natv/2 Strand - Anti Nuclear Antibody Screen W/Reflux",329.5,329.5,,,0 CDM,3028623501,Hc Nuclear Antigen Antibody - Sjogrens Syndrome-A Ext Nu Ab,181.5,181.5,,,0 CDM,3028623502,Hc Nuclear Antigen Antibody - Sjogrens Syndrome-B Ext Nuc Ab,181.5,181.5,,,0 CDM,3028623503,Hc Nuclear Antigen Antibody - Anti Jo-1 Igg,181.5,181.5,,,0 CDM,3028623504,Hc Nuclear Antigen Antibody - Scleroderma (Scl-70) Antibody,181.5,181.5,,,0 CDM,3028623507,"Hc Nuclear Antigen Antibody - Ribonucleic Protein Antibody, Igg",181.5,181.5,,,0 CDM,3028623508,Hc Nuclear Antigen Antibody - Sm Antibody,181.5,181.5,,,0 CDM,3028623509,Hc Nuclear Antigen Antibody - Anti Smith Igg,181.5,181.5,,,0 CDM,3028623510,Hc Nuclear Antigen Antibody - Anti Centromere Igg,181.5,181.5,,,0 CDM,3028623511,Hc Nuclear Antigen Antibody - Anti Ssa Igg,181.5,181.5,,,0 CDM,3028623512,Hc Nuclear Antigen Antibody - Anti Ssb Igg,181.5,181.5,,,0 CDM,3028623513,Hc Nuclear Antigen Antibody - Extractable Nuclear Antigen Panel,181.5,181.5,,,0 CDM,3028623514,Hc Nuclear Antigen Antibody - Anti Nuclear Antibody Screen,181.5,181.5,,,0 CDM,3028623515,Hc Nuclear Antigen Antibody - Anti Nuclear Antibody Screen W/Reflex,181.5,181.5,,,0 CDM,3028623516,"Hc Nuclear Antigen Antibody - Anti Chromatin, Igg",181.5,181.5,,,0 CDM,3028623517,Hc Nuclear Antigen Antibody - Myositis Extended Panel,181.5,181.5,,,0 CDM,3028623518,Hc Nuclear Antigen Antibody - Polymyositis And Dermatomyositis Panel,181.5,181.5,,,0 CDM,3028623519,Hc Nuclear Antigen Antibody - Polymyositis Panel,181.5,181.5,,,0 CDM,3028623520,Hc Nuclear Antigen Antibody - Interstitial Lung Disease Panel,181.5,181.5,,,0 CDM,3028623521,Hc Nuclear Antigen Antibody - Myositis Ena Each Additional,181.5,181.5,,,0 CDM,3028623523,Hc Nuclear Antigen Antibody - Sclerosis,181.5,181.5,,,0 CDM,3028625504,Hc Fluorescent Antibody; Screen - Parietal Cell Ab,125.0,125.0,,,0 CDM,3028625505,Hc Fluorescent Antibody; Screen - Smooth Muscle Ab,125.0,125.0,,,0 CDM,3028625506,"Hc Fluorescent Antibody; Screen - Dna (Ds) Antibody, Crithidia Ifa",125.0,125.0,,,0 CDM,3028625507,Hc Fluorescent Antibody; Screen - Anti Endoysial Antibodies,125.0,125.0,,,0 CDM,3028625508,Hc Fluorescent Antibody; Screen - Nmo/Aqp4 Igg Facs,125.0,125.0,,,0 CDM,3028625509,Hc Fluorescent Antibody; Screen - Phospholipase A2 Receptor Ab Igg,125.0,125.0,,,0 CDM,3028625510,Hc Fluorescent Antibody; Screen - Lgi1-Igg Antibody Cba Csf,125.0,125.0,,,0 CDM,3028625511,Hc Fluorescent Antibody; Screen - Caspr2-Igg Antibody Cba Csf,125.0,125.0,,,0 CDM,3028625512,Hc Fluorescent Antibody; Screen - Dppx Antibody Cba,125.0,125.0,,,0 CDM,3028625513,Hc Fluorescent Antibody; Screen - Gfap Cba,125.0,125.0,,,0 CDM,3028625514,Hc Fluorescent Antibody; Screen - Mgiur1 Antibody Cba,125.0,125.0,,,0 CDM,3028625515,"Hc Fluorescent Antibody; Screen - Dppx Antibody Cba, Csf",125.0,125.0,,,0 CDM,3028625516,Hc Fluorescent Antibody; Screen - Encephalopathy Autoimmune Evaluation Csf,125.0,125.0,,,0 CDM,3028625517,Hc Fluorescent Antibody; Screen - Paraneoplastic Autoantibody Eval Csf,125.0,125.0,,,0 CDM,3028625518,Hc Fluorescent Antibody; Screen - Cns Demyelinating Disease Evaluation,125.0,125.0,,,0 CDM,3028625519,Hc Fluorescent Antibody; Screen - Myelin Oligodendrocyte Glycoprotein Igg,125.0,125.0,,,0 CDM,3028625520,Hc Fluorescent Antibody; Screen - Florescent Antibody Each,125.0,125.0,,,0 CDM,3028625521,Hc Fluorescent Antibody; Screen - Csf Enceph Addon,125.0,125.0,,,0 CDM,3028625522,Hc Fluorescent Antibody; Screen - Csf Paraneo Addon,125.0,125.0,,,0 CDM,3028625523,"Hc Fluorescent Antibody; Screen - Parietal Cell Antibody, Igg",125.0,125.0,,,0 CDM,3028625524,Hc Fluorescent Antibody; Screen - Anti-Neutrophil Cytoab Pan,125.0,125.0,,,0 CDM,3028625525,Hc Fluorescent Antibody; Screen - Nmda Receptor Antibody,125.0,125.0,,,0 CDM,3028625526,Hc Fluorescent Antibody; Screen - Ampa-Receptor Antibody Cba,125.0,125.0,,,0 CDM,3028625527,Hc Fluorescent Antibody; Screen - Gaba-B-Receptor Antibody Cba,125.0,125.0,,,0 CDM,3028625528,Hc Fluorescent Antibody; Screen - Lgi1-Igg Antibody Cba,125.0,125.0,,,0 CDM,3028625529,Hc Fluorescent Antibody; Screen - Caspr2-Igg Antibody Cba,125.0,125.0,,,0 CDM,3028625530,Hc Fluorescent Antibody; Screen - Ampa-Receptor Antibody Cba Csf,125.0,125.0,,,0 CDM,3028625531,Hc Fluorescent Antibody; Screen - Nmda Receptor Antibody Csf,125.0,125.0,,,0 CDM,3028625604,Hc Fluorescent Antibody; Titer - Anti Endomysial Antibodies,137.0,137.0,,,0 CDM,3028625605,Hc Fluorescent Antibody; Titer - Phospholipase A2 Receptor Ab Igg Titer,137.0,137.0,,,0 CDM,3028625606,"Hc Fluorescent Antibody; Titer - Nif Ifa Titer, Csf",137.0,137.0,,,0 CDM,3028625607,Hc Fluorescent Antibody; Titer - Nif Ifa Titer,137.0,137.0,,,0 CDM,3028625608,Hc Fluorescent Antibody; Titer - Ampa Receptor Antibody If Titer,137.0,137.0,,,0 CDM,3028625609,"Hc Fluorescent Antibody; Titer - Smooth Muscle Ab, Igg",137.0,137.0,,,0 CDM,3028625610,"Hc Fluorescent Antibody; Titer - Smooth Muscle Ab, Igg, Titer",137.0,137.0,,,0 CDM,3028625611,Hc Fluorescent Antibody; Titer - Anca Titer,137.0,137.0,,,0 CDM,3028625612,Hc Fluorescent Antibody; Titer - Nmo/Aqp4 Igg Facs Titer,137.0,137.0,,,0 CDM,3028625613,Hc Fluorescent Antibody; Titer - Dppx Antibody Ifa Titer,137.0,137.0,,,0 CDM,3028625614,Hc Fluorescent Antibody; Titer - Gfap Ifa Titer,137.0,137.0,,,0 CDM,3028625615,Hc Fluorescent Antibody; Titer - Mgiur1 Antibody Ifa Titer,137.0,137.0,,,0 CDM,3028625616,"Hc Fluorescent Antibody; Titer - Dppx Antibody Ifa Titer, Csf",137.0,137.0,,,0 CDM,3028625617,"Hc Fluorescent Antibody; Titer - Gfap Ifa Titer, Csf",137.0,137.0,,,0 CDM,3028625618,"Hc Fluorescent Antibody; Titer - Mgiur1 Antibody Ifa Titer, Csf",137.0,137.0,,,0 CDM,3028625619,"Hc Fluorescent Antibody; Titer - Ampa Receptor Antibody If Titer, Csf",137.0,137.0,,,0 CDM,3028625620,Hc Fluorescent Antibody; Titer - Smooth Muscle Ab Titer,137.0,137.0,,,0 CDM,3028625621,Hc Fluorescent Antibody; Titer - Striated Muscle Ab Titer,137.0,137.0,,,0 CDM,3028625622,Hc Fluorescent Antibody; Titer - Paraneoplastic Ab Titer,137.0,137.0,,,0 CDM,3028625623,Hc Fluorescent Antibody; Titer - Gbm Ab Titer,137.0,137.0,,,0 CDM,3028625624,"Hc Fluorescent Antibody; Titer - P- Dna (Ds) Antibody, Crithidia Ifa Titer",137.0,137.0,,,0 CDM,3028625625,Hc Fluorescent Antibody; Titer - Parietal Cell Ab Titer,137.0,137.0,,,0 CDM,3028625626,Hc Fluorescent Antibody; Titer - Iglon5 Ifa Titer,137.0,137.0,,,0 CDM,3028625627,"Hc Fluorescent Antibody; Titer - Iglon5 Ifa Titer, Csf",137.0,137.0,,,0 CDM,3028630001,"Hc Immunoassay, Tumor Antigen, Ca 15-3 - Cancer Antigen 15-3",385.0,385.0,,,0 CDM,3028630002,"Hc Immunoassay, Tumor Antigen, Ca 15-3 - Cancer Antigen 27.29",385.0,385.0,,,0 CDM,3028630101,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9",225.5,225.5,,,0 CDM,3028630102,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen Gi 19-9",225.5,225.5,,,0 CDM,3028630103,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen Gi (Ca 19-9), Body Fluid",225.5,225.5,,,0 CDM,3028630401,"Hc Immunoassay, Tumor Antigen, Ca 125 - Ca 125",439.5,439.5,,,0 CDM,3028630801,"Hc Heterophile Antibodies,Screen - Mononucleosis Screen",139.5,139.5,,,0 CDM,3028631601,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - Chromogranin A",225.5,225.5,,,0 CDM,3028631602,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - P2Psa Prostate Health Index",225.5,225.5,,,0 CDM,3028631603,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - Angiotensin Ii Type 1 Receptor Ant",225.5,225.5,,,0 CDM,3028631704,"Hc Immunoassay,Infect Agent,Quant - Strep Pneumoniae Antibody Serotypes",101.0,101.0,,,0 CDM,3028631705,"Hc Immunoassay,Infect Agent,Quant - Pneumococcal Antibody (23 Serotypes)",101.0,101.0,,,0 CDM,3028631706,"Hc Immunoassay,Infect Agent,Quant - Rabies Titer",101.0,101.0,,,0 CDM,3028631707,"Hc Immunoassay,Infect Agent,Quant - Diphtheria Antibody Igg",101.0,101.0,,,0 CDM,3028631708,"Hc Immunoassay,Infect Agent,Quant - Tetanus Antibody",101.0,101.0,,,0 CDM,3028631709,"Hc Immunoassay,Infect Agent,Quant - Haemophilus Influenzae B Antibody",101.0,101.0,,,0 CDM,3028632001,Hc Immunoelectrophoresis Bld - Serum,384.0,384.0,,,0 CDM,3028632501,"Hc Immunolectrophoresis, Other Fluids, W/ Concentration - Urine",120.5,120.5,,,0 CDM,3028633101,Hc Immunodiffusion Ouchterlony - Hyper Pneumo Extended Panel,287.0,287.0,,,0 CDM,3028633102,Hc Immunodiffusion Ouchterlony - Hyper Pneumo Serology,287.0,287.0,,,0 CDM,3028633201,Hc Immune Complex Assay - C1Q Binding Assay,572.5,572.5,,,0 CDM,3028633202,Hc Immune Complex Assay - Raji Cell Immune Complexes,572.5,572.5,,,0 CDM,3028633401,"Hc Immunofixation Electrophoresis, Serum - Ifix",529.0,529.0,,,0 CDM,3028633501,Hc Immunfix E-Phorsis/Urine/Csf - Beta 2 Transferrin Cerebrospinal Fluid,439.5,439.5,,,0 CDM,3028633502,Hc Immunfix E-Phorsis/Urine/Csf - Protein Electrophoesis W/Immunofixation,439.5,439.5,,,0 CDM,3028633503,Hc Immunfix E-Phorsis/Urine/Csf - Immunofixation Urine,439.5,439.5,,,0 CDM,3028633601,Hc Inhibin A - Inhibin A,311.0,311.0,,,0 CDM,3028633701,Hc Insulin Antibodies - Insulin Antibody,504.0,504.0,,,0 CDM,3028634001,Hc Intrinsic Factor Antibody - Intrinsic Factor Blocking Antibody,364.5,364.5,,,0 CDM,3028634101,Hc Islet Cell Antibody - Anti-Islet Cell Ab,299.5,299.5,,,0 CDM,3028634102,Hc Islet Cell Antibody - Islet Cell Antibody Igg,299.5,299.5,,,0 CDM,3028634103,Hc Islet Cell Antibody - Glutamic Acid Decarbyl Antibody,299.5,299.5,,,0 CDM,3028634104,Hc Islet Cell Antibody - Antiglutamic Acid Decarboxylase (Gad65),299.5,299.5,,,0 CDM,3028634105,"Hc Islet Cell Antibody - Encephalopathy Autoimmune Eval, Serum",299.5,299.5,,,0 CDM,3028634106,"Hc Islet Cell Antibody - Encephalopathy Autoimmune Eval, Csf",299.5,299.5,,,0 CDM,3028634107,Hc Islet Cell Antibody - Antigad65 Csf,299.5,299.5,,,0 CDM,3028635302,Hc Lymphocyte Transformation - Lymphocyte Antigen And Mitogen Panel,398.0,398.0,,,0 CDM,3028635501,"Hc B Cells, Total Count - B Cells, Total Count",334.0,334.0,,,0 CDM,3028635502,"Hc B Cells, Total Count - T/B/Nk Cells Quantitative Lymphocyte Subset",334.0,334.0,,,0 CDM,3028635503,"Hc B Cells, Total Count - T/B/Nk Cells By Flow To Monitor Anti Cd20",334.0,334.0,,,0 CDM,3028635701,"Hc Nk Cells, Total Count - Natural Killer Cell Count",334.0,334.0,,,0 CDM,3028635901,"Hc T Cells, Total Count - T Cells, Total Count",405.0,405.0,,,0 CDM,3028635902,"Hc T Cells, Total Count - Cd4 T-Cell, Quantitative Lymphocyte Subset",405.0,405.0,,,0 CDM,3028635903,"Hc T Cells, Total Count - Cd4/Cd8 T-Cells, Quantitative Lymphocyte Subset",405.0,405.0,,,0 CDM,3028635904,"Hc T Cells, Total Count - T/B/Nk Cells, Quantitative Lymphocyte Subset",405.0,405.0,,,0 CDM,3028635905,"Hc T Cells, Total Count - Post Allo Congenital",405.0,405.0,,,0 CDM,3028635906,"Hc T Cells, Total Count - Allogenic Stem Cells With Cd3",405.0,405.0,,,0 CDM,3028635907,"Hc T Cells, Total Count - Allogenic Stem Cells With T-Cells",405.0,405.0,,,0 CDM,3028635908,"Hc T Cells, Total Count - T/B/Nk Cells By Flow To Monitor Anticd20",405.0,405.0,,,0 CDM,3028636001,Hc T Cell Absolute Count/Ratio - T-Helper Cells Cd4/Cd8 %,1079.5,1079.5,,,0 CDM,3028636002,"Hc T Cell Absolute Count/Ratio - Cd4/C8 T-Cells, Quantitative Lymphocyte Subset",1079.5,1079.5,,,0 CDM,3028636003,"Hc T Cell Absolute Count/Ratio - T/B/Nk Cells, Quantitative Lymphocyte Subset",1079.5,1079.5,,,0 CDM,3028636004,Hc T Cell Absolute Count/Ratio - Post Allo Congenital,1079.5,1079.5,,,0 CDM,3028636005,Hc T Cell Absolute Count/Ratio - Allogenic Stem Cells With T-Cells,1079.5,1079.5,,,0 CDM,3028636006,Hc T Cell Absolute Count/Ratio - T/B/Nk Cells By Flow To Monitor Anticd20,1079.5,1079.5,,,0 CDM,3028636102,"Hc T Cell Absolute Count - Cd4 T-Cell, Quantitative Lymphocyte Subset",554.0,554.0,,,0 CDM,3028636601,Hc Muscle-Specific Kinase Antibody (Musk),878.0,878.0,,,0 CDM,3028636702,"Hc Stem Cells, Total Count - Quant Cd34",334.0,334.0,,,0 CDM,3028636703,"Hc Stem Cells, Total Count - Allogenic Stem Cells With Cd3",334.0,334.0,,,0 CDM,3028636704,"Hc Stem Cells, Total Count - Allogenic Stem Cells With T-Cells",334.0,334.0,,,0 CDM,3028637602,Hc Microsomal Antibody - Thyroid Peroxidase Antibody,348.0,348.0,,,0 CDM,3028637603,Hc Microsomal Antibody - Liver Kidney Microsome Antibody,348.0,348.0,,,0 CDM,3028637604,Hc Microsomal Antibody - Chronic Urticaria Index Panel,348.0,348.0,,,0 CDM,3028638201,"Hc Neutralization Test, Viral - Rabies Antibody Titer",190.5,190.5,,,0 CDM,3028640301,"Hc Particle Agglutination Test, Screen - Bacterial Antigen Detection",1302.5,1302.5,,,0 CDM,3028640302,"Hc Particle Agglutination Test, Screen - Cryptococcal Antigen",1302.5,1302.5,,,0 CDM,3028640303,"Hc Particle Agglutination Test, Screen - Cryptococcal Antigen - Csf",1302.5,1302.5,,,0 CDM,3028640602,"Hc Particle Agglutination Test, Titer - Cryptococcus Antigen Titer",266.5,266.5,,,0 CDM,3028640605,"Hc Particle Agglutination Test, Titer - Cryptococcus Antigen Titer - Csf",266.5,266.5,,,0 CDM,3028643101,"Hc Rheumatoid Factor, Quant - Rheumatoid Factor",153.5,153.5,,,0 CDM,3028643103,"Hc Rheumatoid Factor, Quant - Interstitial Lung Disease Panel",153.5,153.5,,,0 CDM,3028648001,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test",710.5,710.5,,,0 CDM,3028648002,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test, Cell Mediated Immunity Antigen",710.5,710.5,,,0 CDM,3028648003,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Quantiferon? Tb Gold Plus",710.5,710.5,,,0 CDM,3028658001,Hc Tb Intradermal Test - Tb Skin Test,74.0,74.0,,,0 CDM,3028659201,Hc Syphilis Test Non Treponemal Antibody Qual - Vdrl Csf,90.5,90.5,,,0 CDM,3028659202,Hc Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp,90.5,90.5,,,0 CDM,3028659302,"Hc Syphilis Test, Quantitative - Rapid Plasmin Reagin (Syphilis) Titer",115.5,115.5,,,0 CDM,3028660301,"Hc Adenovirus, Antibody - Adenovirus Antibodies",311.5,311.5,,,0 CDM,3028660601,Hc Aspergillus Antibody - Aspergillus Abs,244.0,244.0,,,0 CDM,3028660602,Hc Aspergillus Antibody - Aspergillus Abs,244.0,244.0,,,0 CDM,3028660603,Hc Aspergillus Antibody - Fungal Antibodies,244.0,244.0,,,0 CDM,3028660604,Hc Aspergillus Antibody - Hypersensitivity Pneumonitis Panel,244.0,244.0,,,0 CDM,3028660903,"Hc Bacterium, Antibody - T. Candidus Antibody",281.0,281.0,,,0 CDM,3028661102,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igg",231.5,231.5,,,0 CDM,3028661103,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igm",231.5,231.5,,,0 CDM,3028661104,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igg Titer",231.5,231.5,,,0 CDM,3028661105,"Hc Bartonella, Antibody - Bartonella Henselae Ab Panel - Igg Igm",231.5,231.5,,,0 CDM,3028661201,"Hc Blastomyces, Antibody - Blastomyces Antibodies",213.5,213.5,,,0 CDM,3028661202,"Hc Blastomyces, Antibody - Fungal Antibodies",213.5,213.5,,,0 CDM,3028661701,"Hc Lyme Disease Antibody, Confirmatory - Lyme Disease, Western Blot",125.0,125.0,,,0 CDM,3028661702,"Hc Lyme Disease Antibody, Confirmatory - B. Burgdorferi Antibodies Wb",125.0,125.0,,,0 CDM,3028661802,Hc Lyme Disease Antibody - B. Burgdorferi Antibodies,405.0,405.0,,,0 CDM,3028661803,"Hc Lyme Disease Antibody - Lyme Disease (Borrelia Burgdorferi), Quant",405.0,405.0,,,0 CDM,3028661804,"Hc Ab, Borrelia Burgdorferi (Lyme) - B Burgdorferi Igg And Igm",405.0,405.0,,,0 CDM,3028661805,"Hc Ab, Borrelia Burgdorferi (Lyme) - Borrelia Burgdorferi Antibody With Reflex To Igg A",405.0,405.0,,,0 CDM,3028661806,"Hc Ab, Borrelia Burgdorferi (Lyme) - Lyme Antibodies Total Csf",405.0,405.0,,,0 CDM,3028661807,"Hc Ab, Borrelia Burgdorferi (Lyme) - Borrelia Burgdorferi Antibody",405.0,405.0,,,0 CDM,3028662201,"Hc Brucella, Antibody - Brucella Species Antibody",225.5,225.5,,,0 CDM,3028663102,"Hc Chlamydia, Antibody - Chlamydia Igg Titers",213.5,213.5,,,0 CDM,3028663202,"Hc Chlamydia, Igm, Antibody - Chlamydia Antibody Panel, Igg/Igm",211.0,211.0,,,0 CDM,3028663501,"Hc Coccidioides, Antibody - Coccidioides Antibodies",225.5,225.5,,,0 CDM,3028663502,"Hc Coccidioides, Antibody - Fungal Antibodies",225.5,225.5,,,0 CDM,3028663503,"Hc Coccidioides, Antibody - Coccidioides Antibody Reflexive Panel",225.5,225.5,,,0 CDM,3028663504,"Hc Coccidioides, Antibody - Coccidioides Titer",225.5,225.5,,,0 CDM,3028663505,"Hc Coccidioides, Antibody - Coccidioides Ab By Immunodiffusion",225.5,225.5,,,0 CDM,3028663506,"Hc Coccidioides, Antibody - Phenylalanine And Tyrosine, Dried Blood Spot",225.5,225.5,,,0 CDM,3028663802,Hc Q Fever Antibody - Coxiella Burnetii Igg Phase I And Ii,293.0,293.0,,,0 CDM,3028663803,Hc Q Fever Antibody - C. Burnetii (Q-Fever) Igg Phase I Titer,293.0,293.0,,,0 CDM,3028664401,Hc Cmv Antibody - Cmv Igg,100.0,100.0,,,0 CDM,3028664402,Hc Cmv Antibody - Donor Anticytomegalyvirus,100.0,100.0,,,0 CDM,3028664403,Hc Cmv Antibody - Cmv Antibody Total,100.0,100.0,,,0 CDM,3028664404,Hc Cmv Antibody - Cmv Neg Req,100.0,100.0,,,0 CDM,3028664405,Hc Cmv Antibody - Cytomegalovirus Antibody Igg,100.0,100.0,,,0 CDM,3028664502,"Hc Cmv Antibody, Igm - Cytomegalovirus Antibody, Igm",143.5,143.5,,,0 CDM,3028665103,"Hc Encephalitis Californ Antbdy - Encephalitis, California Arbovirus Antibody Igg",287.0,287.0,,,0 CDM,3028665203,Hc Encephaltis East Eqne Anbdy - Csf Arbo Virus Igg,287.0,287.0,,,0 CDM,3028665204,Hc Encephaltis East Eqne Anbdy - Arbo East,287.0,287.0,,,0 CDM,3028665303,Hc Encephaltis St Louis Antbody - Arbovirus Antibodies Igg,287.0,287.0,,,0 CDM,3028665304,Hc Encephaltis St Louis Antbody - Csf Arbovirus Antibodies Igg,287.0,287.0,,,0 CDM,3028665403,Hc Encephaltis West Eqne Antbdy - Arbovirus Antibodies Igg,287.0,287.0,,,0 CDM,3028665404,Hc Encephaltis West Eqne Antbdy - Csf Arbovirus Antibodies Igg,287.0,287.0,,,0 CDM,3028665802,Hc Enterovirus Antibody - Echovirus Antibodies,317.5,317.5,,,0 CDM,3028665803,Hc Enterovirus Antibody - Echovirus Antibody Type,317.5,317.5,,,0 CDM,3028665804,Hc Enterovirus Antibody - Coxsackie B Virus Antibodies,317.5,317.5,,,0 CDM,3028665805,Hc Enterovirus Antibody - Coxsackie B,317.5,317.5,,,0 CDM,3028666401,Hc Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab,367.0,367.0,,,0 CDM,3028666402,Hc Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Antibodies Vca Igg+Ebna Igg+Vc,367.0,367.0,,,0 CDM,3028666503,Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Panel,430.0,430.0,,,0 CDM,3028666505,"Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg+Ebna Igg+Vc",430.0,430.0,,,0 CDM,3028666602,Hc Ehrlichia Antibody - Ehrlichia Chaffeensis Antibodies Igg Igm,157.5,157.5,,,0 CDM,3028667112,"Hc Fungus, Antibody - Saccharomyces Cerevisiae Antibodies, Igg And Iga",83.5,83.5,,,0 CDM,3028668202,"Hc Helminth, Antibody - Echinococcus Antibody, Igg",271.0,271.0,,,0 CDM,3028668203,"Hc Helminth, Antibody - Toxacara Antibody Total",271.0,271.0,,,0 CDM,3028668204,"Hc Helminth, Antibody - Schistosoma Antibody, Igg",271.0,271.0,,,0 CDM,3028668206,"Hc Helminth, Antibody - Strongyloides Serology",271.0,271.0,,,0 CDM,3028668207,"Hc Helminth, Antibody - Toxacara Canis",271.0,271.0,,,0 CDM,3028668901,Hc Htlv/Hiv Confirmatory Test - Hiv-1 Western Blot,746.5,746.5,,,0 CDM,3028668902,Hc Htlv Or Hiv Antibody Confirmatory Test - Anti Htlv1 Confirmation,746.5,746.5,,,0 CDM,3028668903,Hc Htlv Or Hiv Antibody Confirmatory Test - Htlv1,746.5,746.5,,,0 CDM,3028668904,Hc Htlv Or Hiv Antibody Confirmatory Test - Donor Htlv I/Ii Antibody Supplement,746.5,746.5,,,0 CDM,3028669202,"Hc Hepatitis, Delta Agent - Hepatitis Delta Agent",405.0,405.0,,,0 CDM,3028669403,"Hc Herpes Simplex Test, Unspecified Type - Herpes Simplex Virus Type 1/2 Combined Antibody",189.5,189.5,,,0 CDM,3028669501,"Hc Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody",319.0,319.0,,,0 CDM,3028669502,"Hc Herpes Simplex Test, Type 1 - Herpes Simplex Virus 1 Ab Igg + Herpes Simplex",319.0,319.0,,,0 CDM,3028669601,"Hc Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody",418.0,418.0,,,0 CDM,3028669602,"Hc Herpes Simplex Test, Type 2 - Herpes Simplex Virus 1 Antibody Igg + Herpes Simplex",418.0,418.0,,,0 CDM,3028669801,Hc Histoplasma - Histoplasma Antibodies,206.5,206.5,,,0 CDM,3028669802,Hc Histoplasma - Fungal Antibodies,206.5,206.5,,,0 CDM,3028670103,Hc Hiv-1 - Hiv 1/2 Ab Differentiation Supplemental,213.5,213.5,,,0 CDM,3028670105,Hc Hiv-1 - Focus Hiv Confirmatory,213.5,213.5,,,0 CDM,3028670202,Hc Hiv-2 - Hiv-1/2 Antibodies Differential Supplemental,108.0,108.0,,,0 CDM,3028670204,Hc Hiv-2 - Focus Hiv Confirmatory,108.0,108.0,,,0 CDM,3028670301,"Hc Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 And 2 Screen",329.5,329.5,,,0 CDM,3028670302,"Hc Hiv-1/Hiv-2, Single Assay - Donor Screen Panel Bcw",329.5,329.5,,,0 CDM,3028670303,"Hc Hiv-1/Hiv-2, Single Assay - Donor Screen Panel With Cmv Bcw",329.5,329.5,,,0 CDM,3028670401,"Hc Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total",287.0,287.0,,,0 CDM,3028670402,"Hc Hep B Core Ab Test, Total - Donor Hepatitis B Core Ab Supplement",287.0,287.0,,,0 CDM,3028670403,"Hc Hep B Core Ab Test, Total - Hepatitis B Diagnostic Profile",287.0,287.0,,,0 CDM,3028670501,"Hc Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm",284.0,284.0,,,0 CDM,3028670502,"Hc Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm Acute Titer",284.0,284.0,,,0 CDM,3028670601,Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody,269.0,269.0,,,0 CDM,3028670602,Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody Quantification,203.5,203.5,,,0 CDM,3028670603,Hc Hepatitis B Surface Ab Test - Hepatitis B Diagnostic Profile,269.0,269.0,,,0 CDM,3028670701,Hc Hepatitis Be Ab Test - Hepatitis B E Antibody,283.0,283.0,,,0 CDM,3028670801,"Hc Hepatitis A Antibody Haab - Hepatitis A Antibody, Total",299.5,299.5,,,0 CDM,3028670802,Hc Hepatitis A Antibody Haab - Hepatitis A Antibody Igg+ Ig,299.5,299.5,,,0 CDM,3028670901,"Hc Hepatitis Antibody Haab Igm Antibody - Hepatitis A Antibody, Igm",272.0,272.0,,,0 CDM,3028670902,"Hc Hepatitis Antibody Haab Igm Antibody - Hepatitis A Antibody Total, +Igm",272.0,272.0,,,0 CDM,3028671002,Hc Influenza Virus - Influenza Type B Antibody,497.5,497.5,,,0 CDM,3028671006,Hc Influenza Virus - Influenza Type A Antibody,497.5,497.5,,,0 CDM,3028671101,Hc Jc Virus - Csf Jc Virus By Prc,139.5,139.5,,,0 CDM,3028671301,Hc Legionella - Legionella Pneumophila Totl Ab,367.0,367.0,,,0 CDM,3028671702,Hc Leishmania - Leishmania Antibody Igg (Visceral Leishmaniasis),163.0,163.0,,,0 CDM,3028672701,Hc Lymph Choriomeningitis - Lymphocytic Choriomeningitis Antibody,153.5,153.5,,,0 CDM,3028673503,Hc Mumps - Mumps Antibody,317.935,317.935,,,0 CDM,3028673802,"Hc Mycoplasma - Mycoplasma Pneumoniae Antibody, Igg",319.0,319.0,,,0 CDM,3028673803,Hc Mycoplasma - Mycoplasma Antibody,319.0,319.0,,,0 CDM,3028674401,Hc Nocardia - Nocardia Antibody,72.0,72.0,,,0 CDM,3028674701,"Hc Parvovirus - Parvovirus B19 Antibody, Igg And Igm",364.5,364.5,,,0 CDM,3028675303,"Hc Protozoa, Not Elsewhere - Trypanosoma Cruzi Antibody, Igg",299.5,299.5,,,0 CDM,3028675304,"Hc Protozoa, Not Elsewhere - Trypanosoma Cruzi Antibody, Igm",299.5,299.5,,,0 CDM,3028675305,"Hc Protozoa, Not Elsewhere - Entamoeba Histolytica Antibody Igg",299.5,299.5,,,0 CDM,3028675701,Hc Rickettsia - Rickettsia Rickettsii Antibody,164.5,164.5,,,0 CDM,3028675703,Hc Rickettsia - Typhus Serology,164.5,164.5,,,0 CDM,3028675704,Hc Rickettsia - Rocy Mountain Spotted Fever Serology Rickettsia R,164.5,164.5,,,0 CDM,3028675705,Hc Rickettsia - Rickettsia Typhi (Typhus Fever) Antibody -Igg,164.5,164.5,,,0 CDM,3028675706,Hc Rickettsia - Rickettsia Typhi (Typhus Fever) Antibody -Igm,164.5,164.5,,,0 CDM,3028676201,"Hc Rubella - Rubella Antibody, Igm",284.0,284.0,,,0 CDM,3028676202,"Hc Rubella - Rubella Antibody, Igg",209.0,209.0,,,0 CDM,3028676503,Hc Rubeola - Rubeola Measles Antibody Igg,49.0,49.0,,,0 CDM,3028676902,Hc Sars-Cov-2 Covid-19 Antibody - C4 Complement Level,204.5,204.5,,,0 CDM,3028676903,Hc Sars-Cov-2 Covid-19 Antibody - C3+C4 Complement Level,204.5,204.5,,,0 CDM,3028676904,Hc Sars-Cov-2 Covid-19 Antibody - C3 Complement Level,204.5,204.5,,,0 CDM,3028676905,Hc Sars-Cov-2 Covid-19 Antibody - Sars-Cov-2 (Covid-19) Antibody Igg,204.5,204.5,,,0 CDM,3028677701,Hc Toxoplasma - Toxoplasma Gondii Igg Antibody,281.0,281.0,,,0 CDM,3028677703,"Hc Toxoplasma - Toxoplasma Gondii Antibody, Igg/Igm",281.0,281.0,,,0 CDM,3028677801,"Hc Toxoplasma, Igm - Toxoplasma Gondii Antibody, Igm",346.0,346.0,,,0 CDM,3028677802,"Hc Toxoplasma, Igm - Toxoplasma Gondii Antibody, Igg/Igm",346.0,346.0,,,0 CDM,3028678003,Hc Antibody Treponema Pallidum - Syphilis Antibody Igg And Igm Total,163.0,163.0,,,0 CDM,3028678004,Hc Antibody Treponema Pallidum - Donor,163.0,163.0,,,0 CDM,3028678005,Hc Antibody Treponema Pallidum - Particle Agglutination,163.0,163.0,,,0 CDM,3028678006,Hc Antibody Treponema Pallidum - Donor Syphilis Antibody Total,163.0,163.0,,,0 CDM,3028678007,Hc Antibody Treponema Pallidum - Fta-Abs,163.0,163.0,,,0 CDM,3028678008,Hc Antibody Treponema Pallidum - Donor Syphilis Confirmatory,163.0,163.0,,,0 CDM,3028678402,Hc Trichinella - Trichinella Igg Serology,300.5,300.5,,,0 CDM,3028678701,Hc Varicella-Zoster - Varicella-Zoster Virus Antibody Igg,188.0,188.0,,,0 CDM,3028678801,"Hc West Nile Virus Ab, Igm - West Nile Antibodies, Igg And Igm",234.0,234.0,,,0 CDM,3028678802,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody, Igm",234.0,234.0,,,0 CDM,3028678803,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody Serology",234.0,234.0,,,0 CDM,3028678804,"Hc West Nile Virus Ab, Igm - West Nile Ab Csf Igm",234.0,234.0,,,0 CDM,3028678805,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody Igg",234.0,234.0,,,0 CDM,3028678901,"Hc West Nile Virus Antibody - West Nile Virus Antibody, Igg",163.0,163.0,,,0 CDM,3028678902,Hc West Nile Virus Antibody - West Nile Virus Serology,163.0,163.0,,,0 CDM,3028678903,"Hc West Nile Virus Antibody - West Nile Virus Antibody, Igm",163.0,163.0,,,0 CDM,3028678904,Hc West Nile Virus Antibody - Arbo Virus,163.0,163.0,,,0 CDM,3028678905,Hc West Nile Virus Antibody - Arbo Wn,163.0,163.0,,,0 CDM,3028679001,"Hc Antibody, Virus, Nos - Hepatitis A Antibody Total + Igm",121.0,121.0,,,0 CDM,3028679002,"Hc Antibody, Virus, Nos - Anti-Hepatitis A Virus Igg",121.0,121.0,,,0 CDM,3028679004,"Hc Antibody, Virus, Nos - Dengue Fever Virus Igg Antibody",121.0,121.0,,,0 CDM,3028679006,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibody Igm",121.0,121.0,,,0 CDM,3028679007,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibody Igg",121.0,121.0,,,0 CDM,3028679008,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibodies Igg And Igm",121.0,121.0,,,0 CDM,3028679009,"Hc Antibody, Virus, Nos - Human Hepesvirus 6 Antibody",121.0,121.0,,,0 CDM,3028679010,"Hc Antibody, Virus, Nos - Htlv I/Ii Antibody With Reflex Confirm",121.0,121.0,,,0 CDM,3028679011,"Hc Antibody, Virus, Nos - Donor",121.0,121.0,,,0 CDM,3028679012,"Hc Antibody, Virus, Nos - Htlv I/Ii Antibody",121.0,121.0,,,0 CDM,3028679013,"Hc Antibody, Virus, Nos - Covid19 Antibody",121.0,121.0,,,0 CDM,3028680001,Hc Thyroglobulin Antibody - Anti-Thyroglobulin Ab,376.5,376.5,,,0 CDM,3028680002,Hc Thyroglobulin Antibody - Thyroglobulin,376.5,376.5,,,0 CDM,3028680003,Hc Thyroglobulin Antibody - Thyroglobulin Antibody,376.5,376.5,,,0 CDM,3028680004,Hc Thyroglobulin Antibody - Chronic Urticaria Panel,376.5,376.5,,,0 CDM,3028680301,Hc Hepatitis C Ab Test - Hepatitis C Antibody,335.0,335.0,,,0 CDM,3028680302,Hc Hepatitis C Ab Test - Donor Screen Panel Bcw,335.0,335.0,,,0 CDM,3028680303,Hc Hepatitis C Ab Test - Donor Screen Panel With Cmv Bcw,335.0,335.0,,,0 CDM,3028680304,Hc Hepatitis C Ab Test - Donor Hepatitis C Antibody Supplemental,335.0,335.0,,,0 CDM,3028680306,Hc Hepatitis C Ab Test - Focus Hcv Screen,335.0,335.0,,,0 CDM,3028681201,"Hc Hla Typing, A,B,Or C /Single - Hla-B27 Antigen",725.0,725.0,,,0 CDM,3028681302,"Hc Hla Typing, A,B,Or C /Multi - Abc Loci",1331.0,1331.0,,,0 CDM,3028681303,"Hc Hla Typing, A,B,Or C /Multi - Hla Abc Type",1331.0,1331.0,,,0 CDM,3028681701,"Hc Hla Typing, Dr/Dq,Multi Antgn - Hla Typing, Dr/Dq, Multiple Antigens",1679.0,1679.0,,,0 CDM,3028682601,"Hc Hla Crossmatch, Non-Cytotoxic, Serum/Samp - Hla Auto Flow Crossmatch Ea Addl",205.5,205.5,,,0 CDM,3028682602,"Hc Hla Crossmatch, Non-Cytotoxic, Serum/Samp - Hla Allo Flow Crossmatch Ea Addl",205.5,205.5,,,0 CDM,3028682801,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Antibody Screen",521.5,521.5,,,0 CDM,3028682802,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Monthly Antibody Profile",521.5,521.5,,,0 CDM,3028682803,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Post Transplant Monitoring Dsa",521.5,521.5,,,0 CDM,3028682804,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Plt Refractory Ab Screen",521.5,521.5,,,0 CDM,3028682901,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Post Tx Ab Monitoring To Identify/Fla",277.5,277.5,,,0 CDM,3028682902,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Donor Specific Evaluation",277.5,277.5,,,0 CDM,3028682903,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Ab Screen",277.5,277.5,,,0 CDM,3028682904,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Bm Crossmatch Report",277.5,277.5,,,0 CDM,3028683001,"Hc Antibody, To Hla Class I, Solid Phase Assays, Qual - Hla Class I Antibody Specificity Phenotype P",655.0,655.0,,,0 CDM,3028683101,"Hc Antibody, To Hla Class Ii, Solid Phase Assays, Qual - Hla Class Ii Antibody Specificity Phenotype",655.0,655.0,,,0 CDM,3028683201,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual - Hla Class I Antibody Specificity",1192.5,1192.5,,,0 CDM,3028683202,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Post-Tx Antibody Monitoring To Identify",1192.5,1192.5,,,0 CDM,3028683203,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Ab Spec Class I Flow",1192.5,1192.5,,,0 CDM,3028683204,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Monthly Antibody Profile",1192.5,1192.5,,,0 CDM,3028683205,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Post Transplant Monitoring Dsa",1192.5,1192.5,,,0 CDM,3028683206,Hc Hla Antibodyhigh Def Qual Panel For Ab Id,1192.5,1192.5,,,0 CDM,3028683301,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Class Ii Antibody Specificity",1082.5,1082.5,,,0 CDM,3028683302,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Post-Tx Antibody Monitoring To Identify And F",1082.5,1082.5,,,0 CDM,3028683303,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Ab Spec Class Ii Flow",1082.5,1082.5,,,0 CDM,3028683304,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Monthly Antibody Profile",1082.5,1082.5,,,0 CDM,3028683305,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Post Transplant Monitoring Dsa",1082.5,1082.5,,,0 CDM,3028683401,"Hc Ab Hla, Solid Phase Assay, Semi Quant, Hla Class I - Hla Class I Antibody Specificity Dilution St",3354.0,3354.0,,,0 CDM,3028683501,"Hc Ab To Hla, Solid Phase Assay, Semi Quant Hla Class Ii- Hla Class Ii Antibody Specificity Dilution",3028.5,3028.5,,,0 CDM,3028684901,Hc Unlisted Immunology Procedure - Cadaveric Donor,197.98000000000002,197.98000000000002,,,0 CDM,3028684902,Hc Unlisted Immunology Procedure - Call Back Charge,198.0,198.0,,,0 CDM,3028684903,Hc Unlisted Immunology Procedure - Unlisted Immunology Procedure,198.0,198.0,,,0 CDM,3028684904,Hc Unlisted Immunology Procedure - Extended Antiphospholipid Profile,198.0,198.0,,,0 CDM,3028684905,Hc Unlisted Immunology Procedure - Antiprothrombin Antibody,198.0,198.0,,,0 CDM,3028685001,Hc Rbc Antibody Screen - Antibody Screen Rbc,225.5,225.5,,,0 CDM,3028685002,Hc Rbc Antibody Screen - Antibody Screen Gel,225.5,225.5,,,0 CDM,3028685003,Hc Rbc Antibody Screen - Antibody Screen Eluate,225.5,225.5,,,0 CDM,3028685004,Hc Rbc Antibody Screen - Antibody Screen Eluate Gel,225.5,225.5,,,0 CDM,3028685005,Hc Rbc Antibody Screen - Cold Antibody Screen,225.5,225.5,,,0 CDM,3028686001,"Hc Rbc Antibody Elution - Antibody Elution (Rbc), Each Elution",484.0,484.0,,,0 CDM,3028687001,"Hc Rbc Antibody Identification - Antibody Id, Rbc, Ea Panel, Ea Serum Technique",808.5,808.5,,,0 CDM,3028688001,Hc Antihuman Globulin Direct Ea Antiserum - Infant,262.0,262.0,,,0 CDM,3028688002,Hc Antihuman Globulin Direct Ea Antiserum - Direct,262.0,262.0,,,0 CDM,3028688003,Hc Antihuman Globulin Direct Ea Antiserum - Igg Gel,262.0,262.0,,,0 CDM,3028688004,Hc Antihuman Globulin Direct Ea Antiserum - C3 Gel,262.0,262.0,,,0 CDM,3028688005,Hc Antihuman Globulin Direct Ea Antiserum - Igg,262.0,262.0,,,0 CDM,3028688006,Hc Antihuman Globulin Direct Ea Antiserum - C3,262.0,262.0,,,0 CDM,3028688501,Hc Antihuman Globulin Indir Qual Ea Reagent Red Cell - Indirect,453.5,453.5,,,0 CDM,3028688601,Hc Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer,481.0,481.0,,,0 CDM,3028690101,Hc Blood Typing Serologic Rh - Abo/Rh Type,143.5,143.5,,,0 CDM,3028690501,"Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Pt Blood Typing, Rbc",703.0,703.0,,,0 CDM,3028692002,"Hc Crossmatch - Immediate Spin Saline Replacement, Each Unit",213.0,213.0,,,0 CDM,3028692004,Hc Crossmatch Prewarm - Incubation Technique Ea Unit,213.0,213.0,,,0 CDM,3028692101,Hc Crossmatch Prewarm - Incubation Technique Ea Unit,421.0,421.0,,,0 CDM,3028692201,Hc Crossmatch - Antiglobulin Interpretation,453.5,453.5,,,0 CDM,3028692202,Hc Crossmatch - Ahg Gel Interpretation,453.5,453.5,,,0 CDM,3028692203,Hc Crossmatch - Ref Lab Ahg Interpretation,453.5,453.5,,,0 CDM,3028692204,Hc Crossmatch - Saline Replacement Ahg Interpretation,453.5,453.5,,,0 CDM,3028692205,Hc Crossmatch - Prewarm Gel Interpretation,453.5,453.5,,,0 CDM,3028692206,Hc Crossmatch - Ahg Donor Recipient Major Crossmatch,453.5,453.5,,,0 CDM,3028692701,Hc Fresh Frozen Plasma - Thawing,491.0,491.0,,,0 CDM,3028693101,"Hc Frozen Blood, Each Unit; Thawing - Washed Blood Process",984.0,984.0,,,0 CDM,3028697001,Hc Pretx Rbc Ab Inc With Chemical Treatment Dithiothreitol,125.0,125.0,,,0 CDM,3028697201,Hc Reticulocyte Separation/Hypotonic Wash,394.0,394.0,,,0 CDM,3028697501,Hc Antibody Neutralization,198.0,198.0,,,0 CDM,3028697802,"Hc Red Cell Antibody Auto Absorption, Warm Each",115.5,115.5,,,0 CDM,3028697803,"Hc Red Cell Antibody Allo Absorption, Each",115.5,115.5,,,0 CDM,3028697804,"Hc Red Cell Antibody Auto Absorption, Cold Each",115.5,115.5,,,0 CDM,3028698501,Hc Splitting Of Blood Product - Neonate,481.0,481.0,,,0 CDM,3028698502,Hc Splitting Of Blood Product - Adult,481.0,481.0,,,0 CDM,302J928001,Hc Ag Scrn W/Antisera Ea Un,927.0,927.0,,,0 CDM,30347_C1889_278,Noncdm Charge Record Medical Supplies,5859.7,5859.7,,,0 CDM,30349_C1889_278,Noncdm Charge Record Medical Supplies,8162.0,8162.0,,,0 CDM,30401_C1894_272,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,30401_C1894_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,30405_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,30423_C1766_278,Noncdm Charge Record Medical Supplies,6.6,6.6,,,0 CDM,30428_C1817_278,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 CDM,3042_C1788_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,30430_C1817_278,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 CDM,30438_C1817_278,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 CDM,30440_C1817_278,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 CDM,30454_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,30456_270,Noncdm Charge Record Medical Supplies,1128.6,1128.6,,,0 CDM,30458_270,Noncdm Charge Record Medical Supplies,1129.15,1129.15,,,0 CDM,30479_42806060022,Oxcarbazepine: 1 Bottle In 1 Carton (42806-600-22) / 250 Ml In 1 Bottle,41.2,41.2,,,0 CDM,30479_50268064905,NDC Description Not Available,19.65,19.65,,,0 CDM,30479_65162064978,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78) / 250 Ml In 1 Bottle,24.61,24.61,,,0 CDM,30479_68094012359,NDC Description Not Available,24.87,24.87,,,0 CDM,30479_70377011711,Oxcarbazepine: 1 Bottle In 1 Carton (70377-117-11) / 250 Ml In 1 Bottle,48.8,48.8,,,0 CDM,30479_72603025201,Oxcarbazepine: 1 Bottle In 1 Carton (72603-252-01) / 250 Ml In 1 Bottle,24.88,24.88,,,0 CDM,3050000001,Noncdm Charge Record,190.09,190.09,,,0 CDM,30578_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30580_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30582_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30584_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,3058500401,Hc Blood Count - Automated Differential,111.0,111.0,,,0 CDM,3058500402,Hc Blood Eosinophiil Count - Automated Differential,111.0,111.0,,,0 CDM,3058500701,"Hc Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential",65.0,65.0,,,0 CDM,3058500801,Hc Blood Smear Exam W/O Diff - Rbc Morphology (Schistocyte),65.0,65.0,,,0 CDM,3058500802,Hc Blood Smear Exam W/O Diff - Rbc Morphology,65.0,65.0,,,0 CDM,3058501301,Hc Spun Microhematocrit - Body Fluid,51.0,51.0,,,0 CDM,3058501302,Hc Spun Microhematocrit - Csf,51.0,51.0,,,0 CDM,3058501401,Hc Hematocrit - Hematocrit,51.0,51.0,,,0 CDM,3058501405,Hc Hematocrit - Poct Blood Gas Hematocrit,51.0,51.0,,,0 CDM,3058501406,Hc Hematocrit - Poct Blood Gas Hematocrit Arterial,51.0,51.0,,,0 CDM,3058501407,Hc Hematocrit - Poct Blood Gas Hematocrit Venous,51.0,51.0,,,0 CDM,3058501801,Hc Hemoglobin - Hemoglobin,51.0,51.0,,,0 CDM,3058501805,Hc Hemoglobin - Blood Gas Hemoglobin Arterial,51.0,51.0,,,0 CDM,3058501806,Hc Hemoglobin - Blood Gas Hemoglobin Venous,51.0,51.0,,,0 CDM,3058501807,Hc Hemoglobin - Blood Gas Hemoglobin Venous Pump,51.0,51.0,,,0 CDM,3058501808,Hc Hemoglobin - Poct Hemoglobin,51.0,51.0,,,0 CDM,3058501809,Hc Hemoglobin - Poct Hemoglobin Venous,51.0,51.0,,,0 CDM,3058501810,Hc Hemoglobin - Poct Hemoglobin Arterial,51.0,51.0,,,0 CDM,30585018PB,Hc Pbb Hemoglobin,51.0,51.0,,,0 CDM,3058502501,Hc Complete Cbc & Auto Diff Wbc - Bundled Charge,114.0,114.0,,,0 CDM,3058502502,Hc Complete Cbc & Auto Diff Wbc,114.0,114.0,,,0 CDM,3058502701,Hc Complete Cbc - Cbc,104.5,104.5,,,0 CDM,3058504101,Hc Red Blood Cell (Rbc) Count - Red Blood Cell Count,58.5,58.5,,,0 CDM,3058504501,"Hc Reticulocyte Count, Auto - Reticulocytes",76.0,76.0,,,0 CDM,3058504802,Hc Leukocyte (Wbc) Count - Eosinophil Count,55.5,55.5,,,0 CDM,3058504803,Hc Leukocyte (Wbc) Count - White Blood Count,55.5,55.5,,,0 CDM,3058504902,Hc Platelet Count - Platelet Count,79.5,79.5,,,0 CDM,3058504903,Hc Platelet Count - Platelet Count Citrated Plasma,79.5,79.5,,,0 CDM,3058504904,Hc Platelet Count - Platelet Aggregation,79.5,79.5,,,0 CDM,3058504905,Hc Platelet Count - Ristocetin Induced Platelet Aggregation,79.5,79.5,,,0 CDM,3058504906,Hc Platelet Count - Platelet Inhibitor Aggregation,79.5,79.5,,,0 CDM,3058506001,Hc Blood Smear Interpretation - Lab Blood Smear Interpretation,261.0,261.0,,,0 CDM,3058509701,"Hc Bone Marrow,Smear Interpretation - Bone Marrow Cell Differential",680.0,680.0,,,0 CDM,3058513001,Hc Chromogenic Substrate Assay - Factor Viii Level,188.5,188.5,,,0 CDM,3058513002,Hc Chromogenic Substrate Assay - Factor Xi Level,188.5,188.5,,,0 CDM,3058513003,Hc Chromogenic Substrate Assay - Factor X Level,188.5,188.5,,,0 CDM,3058513004,Hc Chromogenic Substrate Assay - Markers Of Coagulation,188.5,188.5,,,0 CDM,3058513005,Hc Chromogenic Substrate Assay - Prothrombin Fragments,188.5,188.5,,,0 CDM,3058513006,Hc Chromogenic Substrate Assay -Thrombin Antithrombin Complex,188.5,188.5,,,0 CDM,3058513008,Hc Chromogenic Substrate Assay -Fibrin Monomer,188.5,188.5,,,0 CDM,3058521001,Hc Clot Factor Ii Prothrom Spec - Factor 2 Activity,204.5,204.5,,,0 CDM,3058522001,Hc Clot Factor V Test - Factor 5 Activity,274.5,274.5,,,0 CDM,3058523001,Hc Clot Factor Vii Proconvertin - Factor 7 Activity,230.5,230.5,,,0 CDM,3058524001,Hc Clot Factor Viii Ahg 1 Stage - Factor 8 Activity,277.5,277.5,,,0 CDM,3058524002,Hc Clot Factor Viii Ahg 1 Stage - Von Willebrand Panel,277.5,277.5,,,0 CDM,3058524501,Hc Clot Factor Viii Vw Ristocetin - Ristocetin Cofactor,356.0,356.0,,,0 CDM,3058524502,Hc Clot Factor Viii Vw Ristocetin - Von Willebrand,356.0,356.0,,,0 CDM,3058524602,Hc Clot Factor Viii Vw Antigen - Von Willebrand Profile,353.5,353.5,,,0 CDM,3058524603,Hc Clot Factor Viii Vw Antigen - Von Willebrand Antigen,353.5,353.5,,,0 CDM,3058524701,Hc Von Willebrand Factor Multimers,356.0,356.0,,,0 CDM,3058525001,Hc Clot Factor Ix Ptc/Chrstmas - Factor 9 Activity,291.5,291.5,,,0 CDM,3058526001,Hc Clot Factor X Stuart-Prower - Factor 10 Activity,275.5,275.5,,,0 CDM,3058526002,Hc Clot Factor X Stuart-Power - Chromogenic Factor X Level,275.5,275.5,,,0 CDM,3058527001,Hc Clot Factor Xi Pta - Factor Xi (11) Level,277.5,277.5,,,0 CDM,3058528001,Hc Clotting Factor Xii Hageman - Factor Xii (12) Activity,303.5,303.5,,,0 CDM,3058529002,Hc Clotting Factor Xiii Fibrin Stab - Factor Xiii (13) Quantitative Level,127.5,127.5,,,0 CDM,3058529201,Hc Clot Factor Fletcher Fact - Prekallikrein Factor Activity,402.5,402.5,,,0 CDM,3058530003,"Hc Antithrombin Iii Test,Activ - Antithrombin Iii, Dabigatran Level",183.0,183.0,,,0 CDM,3058530004,"Hc Antithrombin Iii Test,Activ - Antithrombin Iii Activity Assay",183.0,183.0,,,0 CDM,3058530005,"Hc Antithrombin Iii Test,Activ - Thrombosis Screen (Protein C, Protein S, Antithrombin)",183.0,183.0,,,0 CDM,3058530101,"Hc Antithrombin Iii Test,Antigen - Antithrombin Iii Ag",126.0,126.0,,,0 CDM,3058530102,Hc Clotting Inhibitrs Antithrombn Iii Antigen Assay - Antithrombin Antigen,126.0,126.0,,,0 CDM,3058530201,"Hc Clot Inhib Protein C,Antigen - Protein C Antigen Total",188.5,188.5,,,0 CDM,3058530301,"Hc Clot Inhib Protein C,Activ - Protein C Activity",214.5,214.5,,,0 CDM,3058530302,"Hc Clot Inhib Protein C,Activ - Thrombosis Screen (Protein C, Protein S, Antithrombin)",214.5,214.5,,,0 CDM,3058530501,"Hc Clot Inhib Protein S,Total - Protein S,Total & Free",182.0,182.0,,,0 CDM,3058530502,"Hc Clot Inhib Protein S,Total - Protein S Antigen Total",182.0,182.0,,,0 CDM,3058530601,"Hc Clot Inhib Protein S,Free - Protein S Activity",238.5,238.5,,,0 CDM,3058530602,"Hc Clot Inhib Protein S,Free - Protein S Antigen Free",238.5,238.5,,,0 CDM,3058530603,"Hc Clot Inhib Protein S,Free - Protein S Antigen Profile, Free + Total",238.5,238.5,,,0 CDM,3058530604,"Hc Clot Inhib Protein S,Free - Protein S Free",238.5,238.5,,,0 CDM,3058530605,"Hc Clot Inhib Protein S,Free - Thrombosis Screen (Protein C, Protein S, Antithrombin)",238.5,238.5,,,0 CDM,3058530701,Hc Activated Prot C (Apc) Resistnce Assay - Apc Resistance,433.0,433.0,,,0 CDM,3058533501,Hc Factor Inhibitor Test - Bethesda Inhibitor,205.5,205.5,,,0 CDM,3058533502,Hc Factor Inhibitor Test - Bethesda Inhibitor Human,205.5,205.5,,,0 CDM,3058533503,Hc Factor Inhibitor Test - Bethesda Inhibitor + Factor Viii Level,205.5,205.5,,,0 CDM,3058533504,Hc Factor Inhibitor Test - Adamts13 Inhibitor,205.5,205.5,,,0 CDM,3058534701,"Hc Coagulation Time, Activated - Activated Clotting Time",79.5,79.5,,,0 CDM,3058534702,"Hc Poct Coagulation Time, Activated - Activated Clotting Time (Act) Hr",79.5,79.5,,,0 CDM,3058534703,"Hc Poct Coagulation Time, Activated - Activated Clotting Time (Act) Lr",79.5,79.5,,,0 CDM,3058536201,"Hc Fibrin Degrad Products, Agglutination - Fibrin Split Products",116.5,116.5,,,0 CDM,3058536601,"Hc Fibrin Degrad Products,Paracoag - Fibrin Monomer",96.0,96.0,,,0 CDM,3058536602,"Hc Fibrin Degrad Products,Paracoag - Markers Of Coagulation And Hemostatic Activation",96.0,96.0,,,0 CDM,3058537801,"Hc Fibrin Degradproducts,D-Dimer, Qual - D-Dimer,Semiquant",116.5,116.5,,,0 CDM,3058537901,"Hc Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative",162.0,162.0,,,0 CDM,3058537902,"Hc Fibrin Degradproducts,D-Dimer, Quant - Markers Of Coag And Hemostatic Activation",162.0,162.0,,,0 CDM,3058538401,"Hc Fibrinogen, Activity - Fibrinogen,Quantitative",141.5,141.5,,,0 CDM,3058538402,"Hc Fibrinogen, Activity - Fibrinogen Level",141.5,141.5,,,0 CDM,3058538501,"Hc Fibrinogen, Antigen - Fibrinogen Antigen",141.5,141.5,,,0 CDM,3058539601,"Hc Clotting Assay, Whole Blood - Thromboelastograph Clotting Profile",1798.0,1798.0,,,0 CDM,3058539602,"Hc Clotting Assay, Whole Blood - Intem",1798.0,1798.0,,,0 CDM,3058539603,"Hc Clotting Assay, Whole Blood - Extem",1798.0,1798.0,,,0 CDM,3058539604,"Hc Clotting Assay, Whole Blood - Fibtem",1798.0,1798.0,,,0 CDM,3058539605,"Hc Clotting Assay, Whole Blood - Heptem",1798.0,1798.0,,,0 CDM,3058539606,"Hc Clotting Assay, Whole Blood - Aptem",1798.0,1798.0,,,0 CDM,3058539703,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each - Vwf Gpibm Activity",246.76,246.76,,,0 CDM,3058541001,Hc Fibrinolytic Antiplasmin - Alpha-2 Antiplasmin Assay,404.0,404.0,,,0 CDM,3058541501,"Hc Fibrinolytic Plasminogen,Activtr - Plasminogen Activator Inhibitor-1",181.5,181.5,,,0 CDM,3058542001,Hc Fibrinolytic Plasminogen - Plasminogen Assay,112.0,112.0,,,0 CDM,3058544101,Hc Heinz Bodies; Direct - Heinz Body Stain,72.0,72.0,,,0 CDM,3058544501,"Hc Heinz Bodies; Induced - Heinz Bodies, Induced",100.0,100.0,,,0 CDM,3058546001,"Hc Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain",50.0,50.0,,,0 CDM,3058546002,"Hc Hemoglobin Fetal,Diff Lysis -Fetal Cell Stain",50.0,50.0,,,0 CDM,3058546003,"Hc Hemoglobin Fetal,Diff Lysis -Rosette Screen Test For Fmh",50.0,50.0,,,0 CDM,3058546101,"Hc Hemoglobin Fetal,Rosette - Fetal Bleed Screen",119.5,119.5,,,0 CDM,3058552001,Hc Heparin Assay - Low Molecular Wgt Heparin,208.0,208.0,,,0 CDM,3058552002,Hc Heparin Assay - Hdr Slope Poct,208.0,208.0,,,0 CDM,3058552003,Hc Heparin Assay - Heparin Level - Heparin Level Anti Factor Xa,208.0,208.0,,,0 CDM,3058552004,Hc Heparin Assay - Fondaparinux Level,208.0,208.0,,,0 CDM,3058552005,Hc Heparin Assay - Fondaparinux (Anti-Xa),208.0,208.0,,,0 CDM,3058552501,Hc Heparin Neutralizatn - Heparin Neutralization,187.0,187.0,,,0 CDM,3058552502,"Hc Heparin Neutralizatn - Activated Partial Thromboplastin Time (Aptt), Hepz",187.0,187.0,,,0 CDM,3058553001,Hc Heparin-Protamine Tolerance - Poct Heparin Dose Response,36.0,36.0,,,0 CDM,3058554001,Hc Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase,106.5,106.5,,,0 CDM,3058554903,Hc Muramidase - Lysozyme Level,277.5,277.5,,,0 CDM,3058557604,Hc Blood Platelet Aggregation - P2Y12 Verify Now Assay,329.5,329.5,,,0 CDM,3058557605,Hc Blood Platelet Aggregation - Platelet Aggregation,329.5,329.5,,,0 CDM,3058557606,Hc Blood Platelet Aggregation - Platelet Function Assay - Epi,329.5,329.5,,,0 CDM,3058557607,Hc Blood Platelet Aggregation - Choa Platelet Aggregation,329.5,329.5,,,0 CDM,3058557608,Hc Blood Platelet Aggregation - Platelet Function Assay - Adp,329.5,329.5,,,0 CDM,3058557609,Hc Blood Platelet Aggregation - Heparin Induced Thrombin,329.5,329.5,,,0 CDM,3058559702,"Hc Phospholipid Neutralization,Platelet - Hexagon Phase Neutralization",277.5,277.5,,,0 CDM,3058561001,Hc Prothrombin Time - Protime-Inr,73.0,73.0,,,0 CDM,3058561002,Hc Prothrombin Time - Prothrombin Mixing Study,73.0,73.0,,,0 CDM,3058561005,"Hc Poct Prothrombin Time - Protime-Inr, Fingerstick",73.0,73.0,,,0 CDM,3058561006,Hc Prothrombin Time - Prothrombin Time,73.0,73.0,,,0 CDM,3058561007,Hc Prothrombin Time - Cs Dic Profile,73.0,73.0,,,0 CDM,3058561008,Hc Prothrombin Time - Lupus Anticoagulant Panel,73.0,73.0,,,0 CDM,3058561102,"Hc Prothrombin Test,Substi,Fractn - Prothrombin Time Mixing Study",58.5,58.5,,,0 CDM,3058561303,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm Patient",157.5,157.5,,,0 CDM,3058561304,"Hc Russell Viper Venom, Diluted - Lupus Anticoagulant Panel",157.5,157.5,,,0 CDM,3058561305,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm",157.5,157.5,,,0 CDM,3058561306,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Screen Mix",157.5,157.5,,,0 CDM,3058561307,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm Mix",157.5,157.5,,,0 CDM,3058563501,Hc Reptilase Test - Reptilase Time,159.0,159.0,,,0 CDM,3058565201,"Hc Rbc Sed Rate, Auto - Sedimentation Rate, Automated",65.5,65.5,,,0 CDM,3058566001,Hc Rbc Sickle Cell Test - Sickle Cell Screen,96.0,96.0,,,0 CDM,3058566002,Hc Rbc Sickle Cell Test - Unit Hgbs,96.0,96.0,,,0 CDM,3058566003,Hc Rbc Sickle Cell Test - Hemoglobin S Screen Patient,96.0,96.0,,,0 CDM,3058566004,Hc Rbc Sickle Cell Test - Sickle Solubility Bill,96.0,96.0,,,0 CDM,3058566005,Hc Rbc Sickle Cell Test - Screen Hbs Sickl Ea Unit,96.0,96.0,,,0 CDM,3058567001,"Hc Thrombin Time, Plasma - Thrombin Time",103.5,103.5,,,0 CDM,3058567002,"Hc Thrombin Time, Plasma - Lupus Anticoagulant Panel",83.5,83.5,,,0 CDM,3058573001,Hc Thromboplas Time Partial - Aptt,107.5,107.5,,,0 CDM,3058573003,Hc Thromboplas Time Partial - Ptt Sct Confirm,107.5,107.5,,,0 CDM,3058573004,Hc Thromboplas Time Partial - Lupus,107.5,107.5,,,0 CDM,3058573005,Hc Thromboplas Time Partial - Partial Thromboplastin Time,107.5,107.5,,,0 CDM,3058573006,Hc Thromboplas Time Partial - Cs Dic Profile,107.5,107.5,,,0 CDM,3058573007,"Hc Thromboplas Time Partial - Activated Partial Thrombolastin (Aptt), Hepz",107.5,107.5,,,0 CDM,3058573008,Hc Thromboplas Time Partial - Lupus Anticoagulant Panel,107.5,107.5,,,0 CDM,3058573202,Hc Thromboplas Time Part Plasma Frac - Ptt Mixing Study,96.0,96.0,,,0 CDM,3058573203,Hc Thromboplas Time Part Plasma Frac - Sct Screen Mix,96.0,96.0,,,0 CDM,3058573204,Hc Thromboplas Time Part Plasma Frac - Sct Confirm Mix,96.0,96.0,,,0 CDM,3058573205,Hc Thromboplas Time Part Plasma Frac - Activated Partial Thromboplastin(Atpp) Time Mixing Study,96.0,96.0,,,0 CDM,3058581001,"Hc Blood Viscosity Examination - Viscosity, Serum",187.0,187.0,,,0 CDM,3058581002,"Hc Blood Viscosity Examination - Viscosity, Plasma",187.0,187.0,,,0 CDM,30586_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30588_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30590_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,30592_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,305G032801,Hc Fecal Blood Scrn Immunoassay,114.0,114.0,,,0 CDM,3060000001,Noncdm Charge Record,259.5,259.5,,,0 CDM,3065_270,Noncdm Charge Record Medical Supplies,371.74,371.74,,,0 CDM,3066_270,Noncdm Charge Record Medical Supplies,1031.8,1031.8,,,0 CDM,30679_270,Noncdm Charge Record Medical Supplies,590.7,590.7,,,0 CDM,3068144501,Hc Genomic Sequencing 5-50,2298.5,2298.5,,,0 CDM,3068151301,Hc Bacterial Vaginitis By Rna,602.0,602.0,,,0 CDM,3068151501,Hc Multiplex Vaginal Panel By Pcr,730.0,730.0,,,0 CDM,3068363001,"Hc Lactoferrin, Fecal, Qualitative",246.0,246.0,,,0 CDM,3068701501,Hc Concentration Infection Agents,129.5,129.5,,,0 CDM,3068701502,Hc Concentration Infection Agents-Charge Specimen Centrifugation,129.5,129.5,,,0 CDM,3068701503,Hc Concentration Infection Agents-Blood Parasites,129.5,129.5,,,0 CDM,3068704001,Hc Culture - Bacterial Blood,189.5,189.5,,,0 CDM,3068704002,Hc Culture Bacterial Blood - Blood Culture Bacterial/Yeast,189.5,189.5,,,0 CDM,3068704003,"Hc Culture Bacterial Blood - Blood Culture Barteonella/Hacek, Using Isolator",189.5,189.5,,,0 CDM,3068704004,Hc Culture Bacterial Blood - Blood Culture Legionella,189.5,189.5,,,0 CDM,3068704005,Hc Culture Bacterial Blood - Blood Culture Neonate Bacterial/Yeast Culture,189.5,189.5,,,0 CDM,3068704006,Hc Culture Bacterial Blood - Stem Cell Culture,189.5,189.5,,,0 CDM,3068704007,Hc Culture Bacterial Blood - Blood Product Culture,189.5,189.5,,,0 CDM,3068704501,Hc Culture - Fecal(Stool) Culture Bacterial,177.5,177.5,,,0 CDM,3068704601,"Hc Stool Culture, Addl Pathogens - Campylobacter Culture, Stool",115.5,115.5,,,0 CDM,3068704602,"Hc Stool Culture, Addl Pathogens - Yersinia Culture, Fecal (Stool)",115.5,115.5,,,0 CDM,3068704603,"Hc Stool Culture, Addl Pathogens - Ecoli Culture, Fecal (Stool)",115.5,115.5,,,0 CDM,3068704604,"Hc Stool Culture, Addl Pathogens - Vibrio Culture, Fecal (Stool)",115.5,115.5,,,0 CDM,3068704605,"Hc Stool Culture, Addl Pathogens - Fecal (Stool) Plate, Additional",115.5,115.5,,,0 CDM,3068707001,Hc Culture Bacterial - Body Fluid Culture Aerobi + Anaerobic Bacterial,163.0,163.0,,,0 CDM,3068707002,Hc Culture Bacterial - Body Fluid Culture In Bottles,163.0,163.0,,,0 CDM,3068707003,Hc Culture Bacterial - Catherter Tip Culture Bacterial/Yeast,163.0,163.0,,,0 CDM,3068707004,Hc Culture Bacterial - Cerebrospinal Fluid Culture Bacterial,163.0,163.0,,,0 CDM,3068707005,Hc Culture Bacterial - Eye Culture Bacterial Aerobic Only,163.0,163.0,,,0 CDM,3068707006,Hc Culture Bacterial - Eye Donor Cornea Rim Culture Bacteria,163.0,163.0,,,0 CDM,3068707007,Hc Culture Bacterial - Eye Fluid Culture Aerobic And Anaerobic,163.0,163.0,,,0 CDM,3068707008,Hc Culture Bacterial - Respiratory Cystic Fibrosis Bacterial Culture,163.0,163.0,,,0 CDM,3068707009,Hc Culture Bacterial - Respiratory Bacterial Culture,163.0,163.0,,,0 CDM,3068707010,Hc Culture Bacterial - Respiratory Aerobic And Anaerobic Sinus Bacterial,163.0,163.0,,,0 CDM,3068707011,Hc Culture Bacterial - Respiratory Upper Bacterial Culture,163.0,163.0,,,0 CDM,3068707012,Hc Culture Bacterial - Tissue Culture Aerobic And Anaerobic Bacterial,163.0,163.0,,,0 CDM,3068707013,Hc Culture Bacterial - Wound/Abscess Aerobic And Anaerobic Bacterial Culture,163.0,163.0,,,0 CDM,3068707014,Hc Culture Bacterial - Wound/Abscess Supreficial Bacterial Culture,163.0,163.0,,,0 CDM,3068707015,Hc Culture Bacterial - Throat,163.0,163.0,,,0 CDM,3068707016,Hc Culture Bacterial - Equipment,163.0,163.0,,,0 CDM,3068707017,Hc Culture Bacterial - Ear,163.0,163.0,,,0 CDM,3068707018,Hc Culture Bacterial - Genital,163.0,163.0,,,0 CDM,3068707019,Hc Culture Bacterial - Tissue,163.0,163.0,,,0 CDM,3068707020,Hc Culture Bacterial - Mrsa,163.0,163.0,,,0 CDM,3068707021,Hc Culture Bacterial - Aerobic Culture,163.0,163.0,,,0 CDM,3068707022,Hc Endo Gi Culture H-Pylori,163.0,163.0,,,0 CDM,3068707023,Hc Culture Bacterial - Bone,163.0,163.0,,,0 CDM,3068707101,Hc Culture - Respiratory Culture Bacterial Quantitative,65.0,65.0,,,0 CDM,3068707102,Hc Culture - Respiratory Culture Bacterial Quantitative Minibal,65.0,65.0,,,0 CDM,3068707103,Hc Culture - Blind Bronch Quant Culture,65.0,65.0,,,0 CDM,3068707501,Hc Culture - Bacterial Anaerobic,179.5,179.5,,,0 CDM,3068707601,Hc Culture -Anaerobic Identification - Vitek,139.5,139.5,,,0 CDM,3068707602,Hc Culture - Culture Anaerobic Identification,139.5,139.5,,,0 CDM,3068707706,Hc Culture - Culture Aerobic Identification,139.5,139.5,,,0 CDM,3068707707,Hc Culture - Gram Negative Identification (Vitek),139.5,139.5,,,0 CDM,3068707708,Hc Culture - Gram Positive Identification (Vitek),139.5,139.5,,,0 CDM,3068708101,Hc Bacteria Culture Screen - Legionella Culture,129.5,129.5,,,0 CDM,3068708104,Hc Bacteria Culture Screen - Helicobacter Pylori Rapid Urea,129.5,129.5,,,0 CDM,3068708105,Hc Bacteria Culture Screen - Bacterial Screen Culture,129.5,129.5,,,0 CDM,3068708106,Hc Bacteria Culture Screen - Carbapenemase-Producer Surveillance,129.5,129.5,,,0 CDM,3068708107,Hc Bacteria Culture Screen - Eye Culture Amoeba,129.5,129.5,,,0 CDM,3068708108,Hc Bacteria Culture Screen - Genital Group B Strptococcus Culture,129.5,129.5,,,0 CDM,3068708109,Hc Bacteria Culture Screen - Mrsa/Mssa Surgical Screen,129.5,129.5,,,0 CDM,3068708110,Hc Bacteria Culture Screen - Methicillin Resistant Staphylococcus Areus Culture,129.5,129.5,,,0 CDM,3068708111,Hc Bacteria Culture Screen - Neisseria Gonorrheae Culture,129.5,129.5,,,0 CDM,3068708112,Hc Bacteria Culture Screen - Respiratory Legionella Culture,129.5,129.5,,,0 CDM,3068708113,Hc Bacteria Culture Screen - Respiratory Beta Steptococcus Culture,129.5,129.5,,,0 CDM,3068708114,Hc Bacteria Culture Screen - Sterility Check,14.0,14.0,,,0 CDM,3068708116,Hc Bacteria Culture Screen - Trichomonas Culture,129.5,129.5,,,0 CDM,3068708117,Hc Bacteria Culture Screen - Vanc Resis Enterococcus Screen,129.5,129.5,,,0 CDM,3068708118,Hc Bacteria Culture Screen - Gbs (Pen Allergic) Culture,129.5,129.5,,,0 CDM,3068708601,Hc Bacterial Culture - Urine Culture + Colony Count,186.0,186.0,,,0 CDM,3068708602,Hc Bacterial Culture - Urine Cystoscopic Culture Low Colony Count,186.0,186.0,,,0 CDM,3068708603,Hc Bacterial Culture - Urine Neonatal Culture Low Colony Count,186.0,186.0,,,0 CDM,3068710101,"Hc Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous",132.5,132.5,,,0 CDM,3068710201,Hc Fungal Culture - Body Fluid Culture Fungal,162.0,162.0,,,0 CDM,3068710202,Hc Fungal Culture - Cerebrospinal Fuid Culture Fungal,162.0,162.0,,,0 CDM,3068710203,Hc Fungal Culture - Eye Culture Fungal,162.0,162.0,,,0 CDM,3068710204,Hc Fungal Culture - Fecal(Stool) Culture Yeast,162.0,162.0,,,0 CDM,3068710206,Hc Fungal Culture - Respiratory Fungal Culture,162.0,162.0,,,0 CDM,3068710207,Hc Fungal Culture - Respiratory Culture Yeast,162.0,162.0,,,0 CDM,3068710208,Hc Fungal Culture - Tissue Fungal Culture,162.0,162.0,,,0 CDM,3068710209,Hc Fungal Culture - Urine Culture Fungal,162.0,162.0,,,0 CDM,3068710210,Hc Fungal Culture - Urine Culture Yeast,162.0,162.0,,,0 CDM,3068710211,Hc Fungal Culture - Urine Neonatal Fungal Culture,162.0,162.0,,,0 CDM,3068710213,Hc Candida Culture,162.0,162.0,,,0 CDM,3068710301,Hc Fungal Culture - Blood Culture Systemic Fungal,170.0,170.0,,,0 CDM,3068710601,Hc Fungal Culture - Charge Yeast Identification,189.5,189.5,,,0 CDM,3068710602,Hc Fungal Culture - Yeast Identification (Vitek),189.5,189.5,,,0 CDM,3068710701,"Hc Fungus Identification, Mold - Fungal Identification, Mold",175.0,175.0,,,0 CDM,3068710901,Hc Mycoplasma Culture - Mycoplasma / Ureaplasma Culture,279.5,279.5,,,0 CDM,3068711601,Hc Mycobacteria Culture - Afb Blood Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068711602,Hc Mycobacteria Culture - Afb Body Fluid Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068711603,Hc Mycobacteria Culture - Afb Cerebrospinal Fluid Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068711604,Hc Mycobacteria Culture - Afb Eye Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068711605,Hc Mycobacteria Culture - Afb Respiratory Acid Fast Bacilli Culture,125.0,125.0,,,0 CDM,3068711606,Hc Mycobacteria Culture - Afb Tissue Culture Tb/Afb,125.0,125.0,,,0 CDM,3068711607,Hc Mycobacteria Culture - Afb Urine Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068711608,Hc Mycobacteria Culture - Afb Wound/Abscess Acid Fast Bacilli Culture,125.0,125.0,,,0 CDM,3068711609,Hc Mycobacteria Culture - Afb Feces(Stool) Culture Acid Fast Bacilli,125.0,125.0,,,0 CDM,3068714701,Hc Culture Typing - Charge Pbp2 (Mrsa),92.5,92.5,,,0 CDM,3068714702,Hc Culture Typing - Ecoli 0157 Latex,92.5,92.5,,,0 CDM,3068714703,Hc Culture Typing - Staphylococcus Identification,92.5,92.5,,,0 CDM,3068714704,Hc Culture Typing - Strep A Latex,92.5,92.5,,,0 CDM,3068714705,Hc Culture Typing - Strep B Latex,92.5,92.5,,,0 CDM,3068714706,Hc Culture Typing - Strep C Latex,92.5,92.5,,,0 CDM,3068714707,Hc Culture Typing - Strep F Latex,92.5,92.5,,,0 CDM,3068714708,Hc Culture Typing - Strep G Latex,92.5,92.5,,,0 CDM,3068714709,Hc Culture Typing - Streptococcus Typing (Latex),92.5,92.5,,,0 CDM,3068714901,Hc Culture Typing- Charge Dna Probe Identification,318.0,318.0,,,0 CDM,3068715001,Hc Culture Typing - Ctx-M-Ppp Detected,144.5,144.5,,,0 CDM,3068715002,Hc Culture Typing - Imp-M-Ppp Detected,144.5,144.5,,,0 CDM,3068715003,Hc Culture Typing - Kpc-M-Ppp Detected,144.5,144.5,,,0 CDM,3068715004,Hc Culture Typing - Ndm-M-Ppp Detected,144.5,144.5,,,0 CDM,3068715005,Hc Culture Typing - Oxa-48-Like-Ppp Detected,144.5,144.5,,,0 CDM,3068715006,Hc Group B Strep By Pcr,144.5,144.5,,,0 CDM,3068716901,"Hc Macroscopic Exam, Parasite - Parasite Identification",83.5,83.5,,,0 CDM,3068717601,Hc Tissue Homogenazation - Culture,106.5,106.5,,,0 CDM,3068717701,Hc Ova And Parasites Smears - Ova And Parasite Examination,153.5,153.5,,,0 CDM,3068718101,"Hc Susceptibility Studies, Agar Dilution Method - E-Test",88.0,88.0,,,0 CDM,3068718102,"Hc Susceptibility Studies, Agar Dilution Method",88.0,88.0,,,0 CDM,3068718402,"Hc Susceptibility Studies, Disk Method - Per Plate <=12",73.0,73.0,,,0 CDM,3068718501,"Hc Susceptibility Studies, Enzyme Detection",88.0,88.0,,,0 CDM,3068718601,"Hc Susceptibility Studies, Micro Or Agar Dilution",163.0,163.0,,,0 CDM,3068718602,"Hc Susceptibility Studies, Micro Or Agar Dilution - Fungal",163.0,163.0,,,0 CDM,3068718603,"Hc Susceptibility Studies, Micro Or Agar Dilution - Afb Rapid Growing",163.0,163.0,,,0 CDM,3068718604,"Hc Susceptibility Studies, Micro Or Agar Dilution - Non Tb",163.0,163.0,,,0 CDM,3068718605,"Hc Mic Susceptibility Studies, Micro Or Agar Dilution - Fungal Referral",163.0,163.0,,,0 CDM,3068718801,"Hc Susceptibility Studies, Macrobroth Dilution Method - Non-Tb",50.0,50.0,,,0 CDM,3068720501,Hc Smear - Gram Stain,58.5,58.5,,,0 CDM,3068720502,Hc Smear - Gram Stain By Cytospin,58.5,58.5,,,0 CDM,3068720601,"Hc Smear,Fluor Stain,Interp - Afb Stain",106.5,106.5,,,0 CDM,3068720602,"Hc Smear,Fluor Stain,Interp - Fungal Stain",106.5,106.5,,,0 CDM,3068720603,"Hc Smear,Fluor Stain,Interp -Parasite Stain-Cryptosporidium Exam",106.5,106.5,,,0 CDM,3068720604,"Hc Smear,Fluor Stain,Interp -Parasite Stain-Fecal Microsporidium Exam",106.5,106.5,,,0 CDM,3068720701,"Hc Smear,Inclusion Bodies/Parasites,Interp - Malaria Smear",122.0,122.0,,,0 CDM,3068720702,"Hc Smear,Inclusion Bodies/Parasites,Interp - Modified Trichrome Stain",122.0,122.0,,,0 CDM,3068720703,"Hc Smear,Inclusion Bodies/Parasites,Interp - Blood Parasites And Check For Duplicate",122.0,122.0,,,0 CDM,3068720901,"Hc Smear, Ova And Parasite - Fecal Ova And Parasite Exam",193.5,193.5,,,0 CDM,3068720902,"Hc Smear, Ova And Parasite - Trichrome Stain",193.5,193.5,,,0 CDM,3068720903,"Hc Smear, Ova And Parasite - O&P Direct Smear/Conc/Identification",193.5,193.5,,,0 CDM,3068721001,"Hc Smear,Stain,Wet Mnt,Interp - Wet Prep Genital",88.0,88.0,,,0 CDM,3068721002,"Hc Smear,Stain,Wet Mnt,Interp - Wet Prep Vaginal/Genital",88.0,88.0,,,0 CDM,3068721003,"Hc Smear,Stain,Wet Mnt,Interp - Koh Prep",88.0,88.0,,,0 CDM,3068722001,Hc Tissue Exam By Koh - Koh Prep,65.5,65.5,,,0 CDM,3068725201,Hc Virus Isolation - Body Fluid Culture Viral,397.0,397.0,,,0 CDM,3068725202,Hc Virus Isolation - Eye Culture Viral,397.0,397.0,,,0 CDM,3068725203,Hc Virus Isolation - Respiratory Culture Viral,397.0,397.0,,,0 CDM,3068725204,Hc Virus Isolation - Tissue Culture Viral,397.0,397.0,,,0 CDM,3068725205,Hc Virus Isolation - Urine Culture Viral,397.0,397.0,,,0 CDM,3068725206,Hc Virus Isolation - Wound/Abcess Culture Viral,397.0,397.0,,,0 CDM,3068725401,"Hc Virus Isolation - Cytomegalovirus(Cmv), Rapid Culture",156.5,156.5,,,0 CDM,3068725402,"Hc Virus Isolation - Viral Respiratory, Rapid Culture",156.5,156.5,,,0 CDM,3068725403,Hc Virus Isolation - Herpes Simplex Virus/Varicella -Zoster Virus,156.5,156.5,,,0 CDM,3068725501,"Hc Virus Id,Non-Immunologic Method - Hsv Culture",390.5,390.5,,,0 CDM,3068726002,"Hc Inf Agent, Fluor, Adenovirus - Respiratory Virus Antigens Panel",52.0,52.0,,,0 CDM,3068728101,"Hc Pneumocystis Carinii Ag, Dfa - Pneumocystis Smear By Dfa",203.5,203.5,,,0 CDM,3068729001,"Hc Varicella Ag, Dfa - Varicella Zoster Dfa Direct Antigen",203.5,203.5,,,0 CDM,3068729901,"Hc Ag Detection Nos, Fluor - Toxic Shock Syndrome Antigen",162.0,162.0,,,0 CDM,3068730002,"Hc Infectious Ag, Dfa, Polyvalent, Ea - Cryptosporidium And Giardia Fa",88.0,88.0,,,0 CDM,3068730501,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact,188.5,188.5,,,0 CDM,3068730502,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact Ag,188.5,188.5,,,0 CDM,3068730503,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact Bal,188.5,188.5,,,0 CDM,3068732401,Hc Iaad Ia Clostridium Difficile Toxin - C. Difficile Toxins (By Eia),290.5,290.5,,,0 CDM,3068732801,Hc Iaad Ia Cryptosporidium - Ova And Parasite Screen,50.0,50.0,,,0 CDM,3068732902,Hc Iaad Ia Giardia - Giardia Lamblia Antigen (By Eia),147.0,147.0,,,0 CDM,3068733801,Hc Iaad Ia Hpylori Stool - Helicobacter Pylori Antigen Stool,159.0,159.0,,,0 CDM,3068734001,Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen,189.5,189.5,,,0 CDM,3068734002,Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Diagnostic Profile,189.5,189.5,,,0 CDM,3068734003,Hc Iaad Ia Hepatitis B Surface Antigen - Donor Screen Panel With Cmv Bcw,189.5,189.5,,,0 CDM,3068734004,Hc Iaad Ia Hepatitis B Surface Antigen - Donor Screen Panel Bcw,189.5,189.5,,,0 CDM,3068735001,Hc Iaad Ia Hepatitis Be Antigen - Hepatitis B E Antigen,213.0,213.0,,,0 CDM,3068738501,Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen Urine,348.5,348.5,,,0 CDM,3068738502,"Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen, Serum",348.5,348.5,,,0 CDM,3068738503,Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen Urine Random,348.5,348.5,,,0 CDM,3068742001,Hc Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen,217.5,217.5,,,0 CDM,3068742501,Hc Iaad Ia Rotavirus - Rotavirus Antigen Stool,213.5,213.5,,,0 CDM,3068742502,Hc Iaad Ia Rotavirus - Rotavirus Antigen Detection,213.5,213.5,,,0 CDM,3068742702,"Hc Shiga Toxin Eia, Infectious Agent 1",33.5,33.5,,,0 CDM,3068742703,"Hc Shiga Toxin Eia, Infectious Agent 2",33.5,33.5,,,0 CDM,3068744901,"Hc Iaad Ia Mult Step Method Nos Each Organism - Legionella Antigen, Ur",162.0,162.0,,,0 CDM,3068744902,Hc Iaad Ia Mult Step Method Nos Each Organism - Fungitell (1-3)-Beta-D-Glucan,162.0,162.0,,,0 CDM,3068744903,"Hc Iaad Ia Mult Step Method Nos Each Organism - Legionella Antigen, Urine Random",162.0,162.0,,,0 CDM,3068744904,Hc Iaad Ia Mult Step Method Nos Each Organism -Campylobacter (By Eia),162.0,162.0,,,0 CDM,3068747101,"Hc Bartonella, Dna, Amp Probe - Bartonella, Dna, Amp Probe",529.0,529.0,,,0 CDM,3068748102,"Hc Candida, Rna, Amp Probe - Candida Rna, Pcr",148.0,148.0,,,0 CDM,3068748301,Hc Infectious Agent Detection By Nucleic Acid - Csf Meningitis/Encephalitis Panogen Pcr,1073.0,1073.0,,,0 CDM,3068748603,"Hc Chylmd Pneum, Dna, Amp Probe - Pneumonia Pathogen Panel",149.0,149.0,,,0 CDM,3068748604,"Hc Chylmd Pneum, Dna, Amp Probe - Respiratory Pathogen Panel By Pcr",149.0,149.0,,,0 CDM,3068749101,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr",206.5,206.5,,,0 CDM,3068749102,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Trachomatis Rna",206.5,206.5,,,0 CDM,3068749103,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia And Gonorrhea Rna",206.5,206.5,,,0 CDM,3068749104,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia, Gonorrhoeae, Trichomonas Rna",206.5,206.5,,,0 CDM,3068749301,"Hc Clostridium Difficile - Nucleic Acid, Amp Probe - C. Diff Pcr",163.0,163.0,,,0 CDM,3068749302,"Hc Clostridium Difficile - Nucleic Acid, Amp Probe - C. Diff Toxin Assay Fecal",163.0,163.0,,,0 CDM,3068749601,"Hc Cytomeg, Dna, Amp Probe - Cytomegalovirus Dna Probe, Amplified",97.0,97.0,,,0 CDM,3068749701,"Hc Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr",743.5,743.5,,,0 CDM,3068749702,"Hc Cytomeg, Dna, Quant - Cytomegalovirus Viral Load Quantitative, Pcr",743.5,743.5,,,0 CDM,3068749703,"Hc Cytomeg, Dna, Quant - Csf Cmv Quantitation",743.5,743.5,,,0 CDM,3068749704,"Hc Cytomeg, Dna, Quant - Cmv Quantitative Misc Speciment",743.5,743.5,,,0 CDM,3068749801,"Hc, Enterovirus Probe&Revrs Trns - Enterovirus Dna Probe, Amplified",239.5,239.5,,,0 CDM,3068749802,"Hc, Enterovirus Probe&Revrs Trns - Enterovirus Rna Probe, Pcr",239.5,239.5,,,0 CDM,3068749803,"Hc, Enterovirus Probe&Revrs Trns - Cerebrospinal Fluid Enterovirus Pcr",239.5,239.5,,,0 CDM,3068750501,Hc Enteric Viral Pcr,410.0,410.0,,,0 CDM,3068750502,Hc Enteric Parasite Pcr,410.0,410.0,,,0 CDM,3068750503,Hc Enteric Bacterial Pcr,410.0,410.0,,,0 CDM,3068750601,Hc Enteric Bacterial Pcr,839.0,839.0,,,0 CDM,3068750602,Hc Enteric Extended Bacterial Pcr,839.0,839.0,,,0 CDM,3068750701,"Hc, Iadna-Dna/Rna Probe Tq 12-25 - Gastrointestinal Pathogen Panel",1123.0,1123.0,,,0 CDM,3068751602,"Hc Hepatitis B , Dna, Amp Probe - Hepatitis B Dna Probe, Amplified, Donor",154.5,154.5,,,0 CDM,3068751702,"Hc Hepatitis B , Dna, Quant - Hepatitis B Dna Probe, Direct",375.5,375.5,,,0 CDM,3068751703,"Hc Hepatitis B , Dna, Quant - Hepatitis B Quantification Patient Dna And P",375.5,375.5,,,0 CDM,3068752102,"Hc Iadna Hepatitis C Amplified Probe&Revrse Transcr - Hepatitis C, Donor",154.5,154.5,,,0 CDM,3068752201,Hc Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr,566.0,566.0,,,0 CDM,3068752202,Hc Iadna Hepatitis C Quant & Reverse Transcription - Hepatitis C Bdna,566.0,566.0,,,0 CDM,3068752203,Hc Iadna Hepatitis C Quant & Reverse Transcription - Focus Hcv Confirmatory Test,566.0,566.0,,,0 CDM,3068752901,"Hc Hsv, Dna, Amp Probe - Hsv Pcr",349.5,349.5,,,0 CDM,3068752902,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Virus Dna Pcr, Lesion",349.5,349.5,,,0 CDM,3068752903,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Virus Dna Pcr, Neonatal",349.5,349.5,,,0 CDM,3068752904,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Dna",349.5,349.5,,,0 CDM,3068752905,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Dna",349.5,349.5,,,0 CDM,3068752906,"Hc Hsv, Dna, Amp Probe - Hsv Dna Misc",349.5,349.5,,,0 CDM,3068752907,"Hc Hsv, Dna, Amp Probe - Csf Herpes Simplex Dna",349.5,349.5,,,0 CDM,3068753001,"Hc Hsv, Dna, Quant - Hsv Dna, Quantitative",307.0,307.0,,,0 CDM,3068753002,"Hc Hsv, Dna, Quant - Hsv Dna, Quantitative, Csf",307.0,307.0,,,0 CDM,3068753302,"Hc Hhv-6, Dna, Quant - Hpv Dna, Quantitative",638.5,638.5,,,0 CDM,3068753303,"Hc Hhv-6, Dna, Quant - Hhv-6 Dna Quantitative Pcr, Plasma",638.5,638.5,,,0 CDM,3068753304,"Hc Hhv-6, Dna, Quant - Hhv-6 Dna Quantitative Pcr, Csf",638.5,638.5,,,0 CDM,3068753401,"Hc Hiv-1, Dna, Dir Probe - Hiv-1 Dna Probe, Direct",587.5,587.5,,,0 CDM,3068753501,"Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Probe, Amplified",154.5,154.5,,,0 CDM,3068753502,Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Pcr Qualitative Neonatal,154.5,154.5,,,0 CDM,3068753503,"Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Probe, Amplified, Donor",154.5,154.5,,,0 CDM,3068753602,"Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv Rna, Quantitative, Pcr",675.5,675.5,,,0 CDM,3068753603,Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Viral Load By Pcr,675.5,675.5,,,0 CDM,3068753604,"Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv Rna, Quantitative, Pcr",675.5,675.5,,,0 CDM,3068754101,Hc Legionella Pneumonia - Amplified Probe,149.0,149.0,,,0 CDM,3068755601,"Hc M.Tuberculo, Dna, Amp Probe - M. Tuberculosis Dna Probe, Amplified",183.0,183.0,,,0 CDM,3068755602,"Hc M.Tuberculo, Dna, Amp Probe - Mycobacterium Tb Prc, Respiratory",183.0,183.0,,,0 CDM,3068756401,Hc Mtb Rifampin Rst Amp Prb Tq - Mycobacterium Tb Pcr Respiratory,213.0,213.0,,,0 CDM,3068758103,"Hc M.Pneumon, Dna, Amp Probe - Pneumomia Pathogen Panel",149.0,149.0,,,0 CDM,3068758104,"Hc M.Pneumon, Dna, Amp Probe - Respiratory Pathogen Panel By Pcr",149.0,149.0,,,0 CDM,3068759101,"Hc N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr",190.5,190.5,,,0 CDM,3068759102,"Hc N.Gonorrhoeae, Dna, Amp Prob - Neisseria Gonorrhea Rna Probe Pcr, Amplified",190.5,190.5,,,0 CDM,3068759103,"Hc N.Gonorrhoeae, Dna, Amp Prob - Chlamydia And Gonorrhea Rna",190.5,190.5,,,0 CDM,3068759104,"Hc N.Gonorrhoeae, Dna, Amp Prob - Chlamydia, Gonorrhea Trichomonas Rna",190.5,190.5,,,0 CDM,3068759105,"Hc N.Gonorrhoeae, Dna, Amp Prob - Neisseria Gonorrhea Dna Probe Pcr, Amplified",190.5,190.5,,,0 CDM,3068759301,"Hc Monkeypox Virus Dna, Ql Pcr",306.0,306.0,,,0 CDM,3068759401,Hc Pneumcysts Jirovecii Amp Prb - Pneumocystis Jirovecii Dna,97.0,97.0,,,0 CDM,3068762402,Hc Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pcr,115.5,115.5,,,0 CDM,3068762601,"Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Hpv, Separately Reported High-Risk Types",195.0,195.0,,,0 CDM,3068763101,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Influenza/Rsv Panel,391.5,391.5,,,0 CDM,3068763102,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Pneumonia Pathogen Panel,391.5,391.5,,,0 CDM,3068763103,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Respiratory Pathogen Panel By Pcr,391.5,391.5,,,0 CDM,3068763201,"Hc Respiratory Virus - Incl Multiplex Amp Probe Technique, 6-11 Targets",921.5,921.5,,,0 CDM,3068763302,Hc Iadna Respiratry Probe & Rev Trnscr 12-25 Target - Respiratory Virus Panel By Pcr,1123.0,1123.0,,,0 CDM,3068763303,Hc Iadna Respiratry Probe & Rev Trnscr 12-25 Target - Upper Respiratory Pathogen Panel,1123.0,1123.0,,,0 CDM,3068763501,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr,200.5,200.5,,,0 CDM,3068763502,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Simplexa Sars-Cov-2 Rt Pcr,200.5,200.5,,,0 CDM,3068763503,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Genexpert Sars-Cov-2 By Pcr,200.5,200.5,,,0 CDM,3068763504,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Eplex Sars-Cov-2 By Pcr,200.5,200.5,,,0 CDM,3068763505,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Respiratory Pathogen Panel By Pcr,200.5,200.5,,,0 CDM,3068763701,"Hc Iadna, Sars-Cov-2 Covid19 - Influenza Virus Tupes A & B/ Resp Syncytial Virus, Multiplex Amp Prob",200.5,200.5,,,0 CDM,3068764102,"Hc Mrsa, Dna, Amp Probe - Mrsa Screen By Pcr",197.0,197.0,,,0 CDM,3068765101,"Hc Strep A, Dna, Amp Probe - Strep A Dna Probe, Amplification",97.0,97.0,,,0 CDM,3068765302,"Hc Strep B, Dna, Amp Probe - Group B Strep By Pcr",164.5,164.5,,,0 CDM,3068766101,"Hc Iadna, Trichomonas Vaginalis, Amp Prob Tech- Trichomonas Vaginalis Rna",121.0,121.0,,,0 CDM,3068766102,"Hc Iadna, Trichomonas Vaginalis, Amp Prob Tech- Chlamydia, Gonorrhoeae, Trichomonas Rna",121.0,121.0,,,0 CDM,3068779801,"Hc Detect Agent Nos, Dna, Amp - West Nile Virus Csf",306.0,306.0,,,0 CDM,3068779805,"Hc Detect Agent Nos, Dna, Amp - Respiratory Culture Quantitative Minibal",306.0,306.0,,,0 CDM,3068779806,"Hc Detect Agent Nos, Dna, Amp - Afb Drug Resistance Markers",306.0,306.0,,,0 CDM,3068779807,"Hc Detect Agent Nos, Dna, Amp - Afb Line Probe Assay",306.0,306.0,,,0 CDM,3068779808,"Hc Detect Agent Nos, Dna, Amp - Pneumonia Pathogen Panel",306.0,306.0,,,0 CDM,3068779809,"Hc Detect Agent Nos, Dna, Amp - Varicella Zoster Virus Dna Pcr, Lesion",306.0,306.0,,,0 CDM,3068779811,"Hc Detect Agent Nos, Dna, Amp - Poct Ebola",306.0,306.0,,,0 CDM,3068779812,"Hc Detect Agent Nos, Dna, Amp - Pneumocytstis Jirovecii Dna",306.0,306.0,,,0 CDM,3068779813,"Hc Detect Agent Nos, Dna, Amp - Parovirus B19 By Pcr",306.0,306.0,,,0 CDM,3068779814,"Hc Detect Agent Nos, Dna, Amp - Toxoplasma Gondii Dna By Pcr",306.0,306.0,,,0 CDM,3068779815,"Hc Detect Agent Nos, Dna, Amp - Urogenital Ureaplasma/Mycoplasma By Pcr",306.0,306.0,,,0 CDM,3068779816,"Hc Detect Agent Nos, Dna, Amp - Urogenital Ureaplasma/Mycoplasma By Pcr, Donor",306.0,306.0,,,0 CDM,3068779817,"Hc Detect Agent Nos, Dna, Amp - West Nile Virus",306.0,306.0,,,0 CDM,3068779818,"Hc Detect Agent Nos, Dna, Amp - Csf Jc Virus By Pcr",306.0,306.0,,,0 CDM,3068779819,"Hc Detect Agent Nos, Dna, Amp - Ebola Blood Poct",306.0,306.0,,,0 CDM,3068779820,"Hc Detect Agent Nos, Dna, Amp - Poct Ebola Zaire Virus Urine Qual Pcr",306.0,306.0,,,0 CDM,3068779821,"Hc Detect Agent Nos, Dna, Amp - Mycobacterium Tb Pcr Respiratory",306.0,306.0,,,0 CDM,3068779822,"Hc Detect Agent Nos, Dna, Amp - Pjp Dna",306.0,306.0,,,0 CDM,3068779823,"Hc Detect Agent Nos, Dna, Amp - Vzvon Csf By Pcr",306.0,306.0,,,0 CDM,3068779824,"Hc Detect Agent Nos, Dna, Amp - Vzvon Miscellaneous By Pcr",306.0,306.0,,,0 CDM,3068779825,"Hc Detect Agent Nos, Dna, Amp - Pain Management Doa Panel 1, Urine",306.0,306.0,,,0 CDM,3068779826,"Hc Detect Agent Nos, Dna, Amp - Pain Management Doa Panel 2, Urine",306.0,306.0,,,0 CDM,3068779827,"Hc Detect Agent Nos, Dna, Amp - Pain Management Doa Panel 2, Urine",306.0,306.0,,,0 CDM,3068779828,"Hc Detect Agent Nos, Dna, Amp - Mysoline Level",306.0,306.0,,,0 CDM,3068779829,"Hc Detect Agent Nos, Dna, Amp - Catecholamines Fract Urine Timed",306.0,306.0,,,0 CDM,3068779830,"Hc Detect Agent Nos, Dna, Amp - Cortisol, Saliva",306.0,306.0,,,0 CDM,3068779831,"Hc Detect Agent Nos, Dna, Amp - Chronic Urticaria Index Panel",306.0,306.0,,,0 CDM,3068779832,"Hc Detect Agent Nos, Dna, Amp - Mtb Rifampin Pcr",306.0,306.0,,,0 CDM,3068779833,"Hc Detect Agent Nos, Dna, Amp - Jc Virus By Pcr",306.0,306.0,,,0 CDM,3068779834,"Hc Detect Agent Nos, Dna, Amp - Global Fever Special Pathogen Panel",306.0,306.0,,,0 CDM,3068779901,"Hc Detect Agent Nos, Dna, Quant - Jc Polyoma Virus Dna, Csf, Quantitative",544.0,544.0,,,0 CDM,3068779902,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus Dna, Quantitative",544.0,544.0,,,0 CDM,3068779903,"Hc Detect Agent Nos, Dna, Quant - Varicella Zoster Dna, Quantitative",544.0,544.0,,,0 CDM,3068779904,"Hc Detect Agent Nos, Dna, Quant - Bk Virus, Dna, Urine, Quantitative",544.0,544.0,,,0 CDM,3068779905,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus (Ebv), Csf Ebv Quantition",544.0,544.0,,,0 CDM,3068779906,"Hc Detect Agent Nos, Dna, Quant - Bk Virus, Dna, From Whole Blood, Report",544.0,544.0,,,0 CDM,3068779907,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus (Ebv), Ebv Dna Quantition",544.0,544.0,,,0 CDM,3068779908,"Hc Detect Agent Nos, Dna, Quant - Hev Qr Pcr",544.0,544.0,,,0 CDM,3068779909,"Hc Detect Agent Nos, Dna, Quant - Parvovirus B19 By Quantitative Pcr",544.0,544.0,,,0 CDM,3068779910,"Hc Detect Agent Nos, Dna, Quant - Bk Virus By Quantitative Pcr Urine Random",544.0,544.0,,,0 CDM,3068780102,"Hc Detect Agent, Mult Orgs, Dna, Amp - Donor Nat Hbv/Hcv/Hiv Bcw",353.5,353.5,,,0 CDM,3068780103,"Hc Detect Agent, Mult Orgs, Dna, Amp - Global Fever Special Pathogen Panel",353.5,353.5,,,0 CDM,3068780402,"Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu A Antigen",190.5,190.5,,,0 CDM,3068780403,"Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu Bantigen",190.5,190.5,,,0 CDM,3068788001,Hc Strep A Assay W/Optic - Rapid Strep A Screen,218.5,218.5,,,0 CDM,3068789902,Hc Agent Nos Assay W/Optic - Pneumococcol Antigen Urine Random,129.5,129.5,,,0 CDM,3068789903,Hc Agent Nos Assay W/Optic - Cerebrospinal Fluid Cryptococcal Antigen,129.5,129.5,,,0 CDM,3068789904,Hc Agent Nos Assay W/Optic - Malaria Screen,129.5,129.5,,,0 CDM,3068789905,Hc Agent Nos Assay W/Optic - Cryptococcal Antigen Titer With Charge,129.5,129.5,,,0 CDM,3068789906,Hc Agent Nos Assay W/Optic - Shig Toxin Test,129.5,129.5,,,0 CDM,3068789907,Hc Agent Nos Assay W/Optic - Cryptococcal Antigen Blood,129.5,129.5,,,0 CDM,3068790101,"Hc Iahana, Hiv-1, Rev Transcriptase/Protease Regions - Hiv-1, Genotype",1352.5,1352.5,,,0 CDM,3068790201,"Hc Iagana, Hepatitis C Virus - Hepatitis C Virus Genotype",1308.0,1308.0,,,0 CDM,3068790601,"Hc Iagan, Hiv-1, Other Region - Hiv-1-Integrase Inhibitor Resistance",266.5,266.5,,,0 CDM,3068791001,"Hc Iagan, Cytomegalovirus - Cmv Resistance Testing",1569.0,1569.0,,,0 CDM,3068791201,"Hc Iagana, Hepatitis B Virus - Hepatitis B Genotype",1569.0,1569.0,,,0 CDM,3068799901,Hc Unlist. Microbiology Proced.,735.5,735.5,,,0 CDM,3068799902,Autocheck 12 Ct 1-2 Kits,735.5,735.5,,,0 CDM,3068799903,Autocheck 12 Ct 3+ Kits,735.5,735.5,,,0 CDM,3068799904,Autocheck 24 Ct 1-2 Kits,735.5,735.5,,,0 CDM,3068799906,Noncdm Charge Record,349.51,349.51,,,0 CDM,3068799907,Noncdm Charge Record,330.0,330.0,,,0 CDM,3068799908,Noncdm Charge Record,325.0,325.0,,,0 CDM,3068799910,Hc Unlist. Microbiology Proced. - Trofile Dna Hiv-1 Co Receptor Tropism Assay,735.5,735.5,,,0 CDM,3068799911,Hc Unlist. Microbiology Proced. - Trofile Hiv-1 Co Receptor Tropism Assay,735.5,735.5,,,0 CDM,3068799912,Hc Unlist. Microbiology Proced. - Jc Virus By Pcr Serum/Plasma Qnt,735.5,735.5,,,0 CDM,30687_C1769_278,Noncdm Charge Record Medical Supplies,10.34,10.34,,,0 CDM,30689_C1769_272,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,30689_C1769_278,Noncdm Charge Record Medical Supplies,19.97,19.97,,,0 CDM,30693_C1769_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,306U000201,Hc Sars Cov2 Non Cdc Pcr,243.5,243.5,,,0 CDM,306U000301,Hc Sars Cov2 Non Cdc Pcr,243.5,243.5,,,0 CDM,3070000001,Noncdm Charge Record,126.0,126.0,,,0 CDM,3071_00121053005,NDC Description Not Available,4.15,4.15,,,0 CDM,3071_03932815705,NDC Description Not Available,3.79,3.79,,,0 CDM,3071_05026833611,NDC Description Not Available,4.53,4.53,,,0 CDM,3071_05852600557,NDC Description Not Available,4.23,4.23,,,0 CDM,3071_06373915770,NDC Description Not Available,3.54,3.54,,,0 CDM,30727_C2625_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,30731_C1769_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,30739_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,3073_C1768_278,Noncdm Charge Record Medical Supplies,766.7,766.7,,,0 CDM,30741_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,30743_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,30745_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,30747_C1894_278,Noncdm Charge Record Medical Supplies,91.22,91.22,,,0 CDM,30749_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,3074_C1768_278,Noncdm Charge Record Medical Supplies,766.26,766.26,,,0 CDM,30753_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,30755_C1894_278,Noncdm Charge Record Medical Supplies,91.09,91.09,,,0 CDM,30767_270,Noncdm Charge Record Medical Supplies,355.55,355.55,,,0 CDM,30779_C1726_278,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,3078100001,"Hc Urinalysis, Non-Auto W/ Scope - Urinalysis Dip Stick",83.5,83.5,,,0 CDM,3078100101,"Hc Urinalysis, Auto, W/Scope - Urinalysis Microscopic",74.0,74.0,,,0 CDM,3078100102,"Hc Urinalysis, Auto, W/Scope - Bundled Charge",74.0,74.0,,,0 CDM,3078100103,"Hc Urinalysis, Auto, W/Scope - Urine Culture C&S , Colony Count If Abnormal Urinalysis",74.0,74.0,,,0 CDM,3078100201,Hc Urinalysis Nonauto W/O Scope - Ur-Ua+Cult Manual Method,63.0,63.0,,,0 CDM,3078100202,Hc Urinalysis Nonauto W/O Scope - Urinalysis Manual Method,63.0,63.0,,,0 CDM,3078100211,Hc Urinalysis Nonauto W/O Scope - Poct Urinalysis Dipstick,63.0,63.0,,,0 CDM,3078100301,"Hc Urinalysis, Auto, W/O Scope - Urinalysis Dip Stick",83.5,83.5,,,0 CDM,3078100302,"Hc Urinalysis, Auto, W/O Scope - Ph Urine Random",83.5,83.5,,,0 CDM,3078100303,"Hc Urinalysis, Auto, W/O Scope - Specific Gravity Urine",83.5,83.5,,,0 CDM,3078100304,"Hc Urinalysis, Auto, W/O Scope - Protien Urine Qualitative",83.5,83.5,,,0 CDM,3078100305,"Hc Urinalysis, Auto, W/O Scope - Glucose Urine Qualitative",83.5,83.5,,,0 CDM,3078100306,"Hc Urinalysis, Auto, W/O Scope - Ketone Urine Qualitative",83.5,83.5,,,0 CDM,3078100307,"Hc Urinalysis, Auto, W/O Scope - Blood Urine Qualitative",83.5,83.5,,,0 CDM,3078100308,"Hc Urinalysis, Auto, W/O Scope - Urobilnogen Urine Qualitative",83.5,83.5,,,0 CDM,3078100309,"Hc Urinalysis, Auto, W/O Scope - Nitrite Urine Qualitative",83.5,83.5,,,0 CDM,3078100310,"Hc Urinalysis, Auto, W/O Scope - Leukocyte Esterase Urine Qualitative",83.5,83.5,,,0 CDM,3078100311,"Hc Urinalysis, Auto, W/O Scope - Urinalysis Chem Only",83.5,83.5,,,0 CDM,30781003PB,"Hc Pbb Urinalysis, Auto, W/O Scope",83.5,83.5,,,0 CDM,3078100502,Hc Urinalysis - Ketones Urine,22.0,22.0,,,0 CDM,3078101501,Hc Urinalysis - Urinalysis Microscopic,72.0,72.0,,,0 CDM,3078102501,Hc Urine Pregnancy Test - Pregnancy Urine,127.5,127.5,,,0 CDM,3078102502,Hc Urine Pregnancy Test - Human Chorionic Gonadotropin Qualitative Urine Random,127.5,127.5,,,0 CDM,3078102503,Hc Urine Pregnancy Test - Poct Pregnancy Urine,127.5,127.5,,,0 CDM,3078105001,"Hc Volume/Weight Measurement For Timed Collection, Each",65.5,65.5,,,0 CDM,30783_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,30801_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,30803_C1726_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,30805_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,30825_C1889_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,3089_C1758_278,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 CDM,3090035U01,"Hc Ref Neurology - Prion Disease- 14-3-3 Protein Tau, Total, Csf",1726.0,1726.0,,,0 CDM,30919_270,Noncdm Charge Record Medical Supplies,55.02,55.02,,,0 CDM,30949_270,Noncdm Charge Record Medical Supplies,425.7,425.7,,,0 CDM,30951_270,Noncdm Charge Record Medical Supplies,425.7,425.7,,,0 CDM,3095_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,3098016101,"Hc Carbamazepine -10,11-Epoxide",68.5,68.5,,,0 CDM,3098016701,Hc Felbatol Level,68.5,68.5,,,0 CDM,3098018101,Hc Flecainide Level,68.5,68.5,,,0 CDM,3098018701,Hc Posaconazole Level,121.0,121.0,,,0 CDM,3098018901,Hc Itraconazole,33.5,33.5,,,0 CDM,3098020301,Hc Ref Drug Screen Quantitative Zonisamide,42.5,42.5,,,0 CDM,3098021001,Hc Rufinamide,99.0,99.0,,,0 CDM,3098023001,Hc Assay Of Infliximab,107.5,107.5,,,0 CDM,3098023501,Hc Assay Of Lacosamide - Lacosamide Level,163.5,163.5,,,0 CDM,3098028001,Hc Vedolizumab Level,141.5,141.5,,,0 CDM,3098029901,Hc Ref Pentobarbital Level,113.0,113.0,,,0 CDM,3098032101,Hc Alcohol Biomarkers 1Or2 - Ethyl Glucuronide Sulfate Confirm Urine Random,114.0,114.0,,,0 CDM,3098032102,Hc Alcohol Biomarkers 1Or2 - Phosphatidylethanol Level,114.0,114.0,,,0 CDM,3098035401,"Hc Ref Drug Screening - Fentanyl, Urine",317.5,317.5,,,0 CDM,3098110501,"Hc Ref Lab Hpa-1 Antigen Genotyping, Ssp",448.5,448.5,,,0 CDM,3098117001,"Hc Abl1, Gene Analysis - Bcr/Abl1 Kinase Domain Mut",2221.0,2221.0,,,0 CDM,3098135201,"Hc Ref Tp53 Somatic Mutation, Prognostic",915.0,915.0,,,0 CDM,3098147901,Hc Ref Unlisted Molecular Procedure - Leber Optic Neuropathy Screening,1065.5,1065.5,,,0 CDM,3098201701,"Hc Acylcarnitines,Quant,Each Spec - Acylcarnitines, Quant",340.5,340.5,,,0 CDM,3098204002,Hc Albumin/Igg Syn Indx,76.0,76.0,,,0 CDM,3098204201,Hc Assy Of Albumin - Other Source,52.0,52.0,,,0 CDM,3098208801,Hc Ref Assay Of Aldosterone - Aldosterone,523.5,523.5,,,0 CDM,3098210301,"Hc Alpha-1-Antitrypsin, Total - Alpha-1-Antitrypsin",281.0,281.0,,,0 CDM,3098210401,Hc Alpha-1-Antitrypsin Phenotype,531.0,531.0,,,0 CDM,3098223401,Hc Ref Beta-Amyloid 1-42 (Abeta 42) - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 CDM,3098239701,Hc Chemiluminescent Assay,108.0,108.0,,,0 CDM,3098239702,Hc Alpha Subunit Pit Glyco Horm,108.0,108.0,,,0 CDM,3098252301,"Hc Ref Assay For Collagen Cross Links - N-Telopeptide, Urine",422.5,422.5,,,0 CDM,3098253301,"Hc Total Cortisol - Cortisol, Saliva",337.5,337.5,,,0 CDM,3098254201,Hc 6 Mp Metabolites,266.5,266.5,,,0 CDM,3098254202,Hc Quant - Single Stat/Mobile Pha,266.5,266.5,,,0 CDM,3098255301,"Hc Ref Creatine Kinase Mb Fraction - Creatine Kinase, Mb",246.0,246.0,,,0 CDM,3098256501,Hc Ref Assay Of Creatinine - Creatinine For Cystatin C,52.0,52.0,,,0 CDM,3098261001,Hc Cystatin C,156.5,156.5,,,0 CDM,3098264201,Hc 5-A-Dihydrotestosterone (Dht),185.0,185.0,,,0 CDM,3098265201,"Hc Assay, Dihydroxyvitamin D W/Fractions, If Performed - Vitamin D 1-25",777.0,777.0,,,0 CDM,3098265701,"Hc Enzyme Activity Blood, Cultured Or Tissue - Nos - Ea Specimen",700.0,700.0,,,0 CDM,3098265702,"Hc Enzyme Activity Blood, Cultured Or Tissue -Nos-Lysosomal Acid Lipase Activity,Dbs, Ea Specimen",700.0,700.0,,,0 CDM,3098267001,Hc Assay Of Estradiol - Estradiol,284.0,284.0,,,0 CDM,3098268101,Hc Assay Of Estradiol - Estradiol; Free,134.0,134.0,,,0 CDM,3098270501,Hc Ref Fecal Qualitative Fat Stain,19.5,19.5,,,0 CDM,3098272601,"Hc Long Chain Fatty Acids - Fatty Acids, Long Chain",448.5,448.5,,,0 CDM,3098278401,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Immunoglobulins",203.5,203.5,,,0 CDM,3098278407,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Celiac Reflex Pnl",203.5,203.5,,,0 CDM,3098278501,Hc Ref Assay Of Gammaglobulin Ige - Immunoglobulin Ige,348.0,348.0,,,0 CDM,3098278701,Hc Immunoglobulin - Each Subclas,91.5,91.5,,,0 CDM,3098300601,Hc Ref Agvhd Pre-Symptomatic Algorithm,210.0,210.0,,,0 CDM,3098300602,Hc Ref Agvhd Symptomatic Onset Algorithm,210.0,210.0,,,0 CDM,3098300603,Hc Ref Agvhd Post-Treatment Algorithm,210.0,210.0,,,0 CDM,3098301301,"Hc H. Pylori;Breath Test, Non-Isotope - H Pylori Breath Test",185.0,185.0,,,0 CDM,3098351601,"Hc Ref Immumoassay Nonantibody - Hmgcr Antibody, Igg",63.0,63.0,,,0 CDM,3098351602,"Hc Ref Immunoassay Nonantibody - Myelin Associated Glycoprotien, Ab, Igm",63.0,63.0,,,0 CDM,3098351603,"Hc Ref Immunoassay Nonantibody - Ganglioside Antibodies, Combined Igg/Igm",63.0,63.0,,,0 CDM,3098352001,Hc Ref Agvhd Pre-Symptomatic Algorithm,275.5,275.5,,,0 CDM,3098352002,Hc Ref Agvhd Symptomatic Onset Algorithm,275.5,275.5,,,0 CDM,3098352003,Hc Ref Agvhd Post-Treatment Algorithm,275.5,275.5,,,0 CDM,3098352004,"Hc Ref Phospho-Tau 217, Plasma",275.5,275.5,,,0 CDM,3098352901,Hc Interleukin 6,73.0,73.0,,,0 CDM,3098388001,Hc Ref Natriuretic Peptide - Pro B-Type Natriuretic Peptide (Pbnp),109.0,109.0,,,0 CDM,3098388301,"Hc Nephelometry, Not Specified - Alpha 2 Macroglobulin",197.0,197.0,,,0 CDM,3098399201,"Hc Ref Phencyclidine (Pcp), Serum Or Plasma, Quantitive",252.5,252.5,,,0 CDM,3098399202,"Hc Ref Phencyclidine (Pcp), Urine, Quantitive",252.5,252.5,,,0 CDM,3098399301,Hc Enz Activity - Calprotectin Feces,459.0,459.0,,,0 CDM,3098415001,"Hc Assay Of Prostaglandin - Prostaglandin D2, Urine 24 Hour",770.5,770.5,,,0 CDM,3098415002,Hc Assay Of Prostaglandin - Prostaglandin D2 (Pg D2) Urine Random,770.5,770.5,,,0 CDM,3098418201,"Hc Ref Protein - Westblot-14-3-3 Protein Tau, Total, Csf",433.0,433.0,,,0 CDM,3098424401,Hc Ref Assay Of Renin - Renin Activity,287.0,287.0,,,0 CDM,3098431101,Hc Ref Spectrophotometry - Adenosine Deaminase In Pleural Fluid,56.5,56.5,,,0 CDM,3098439301,Hc Ref Tau Phosphorylated Each - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 CDM,3098439302,"Hc Ref Tau Phosphorylated Each - Phospho-Tau 217, Plasma",454.0,454.0,,,0 CDM,3098439401,Hc Ref Total Tau (Ttau) - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 CDM,3098443001,"Hc Assay Of Thiocyanate - Thiocyanate, Serum",498.5,498.5,,,0 CDM,3098443201,Hc Ref Assay Of Thyroglobulin - Thyroglobulin,329.5,329.5,,,0 CDM,3098443301,"Hc Thiopurine Methyltransferase, Rbc",700.0,700.0,,,0 CDM,3098448401,"Hc Ref Assay Of Troponin, Quant - Troponin T",300.5,300.5,,,0 CDM,3098539001,"Hc Platelet Trans Electron Micoscopy, Interp & Rpt",56.5,56.5,,,0 CDM,3098539701,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each -Adamts-13 Activity",247.0,247.0,,,0 CDM,3098539702,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each -Adamts-13 Activity W/Reflex Study",247.0,247.0,,,0 CDM,3098539703,Hc Ref Adamts13 Activity By Eliad At Emory,247.0,247.0,,,0 CDM,3098541501,"Hc Ref Fibrinolytic Plasminogen,Activtr - Plasminogen Activator Inhibitor-1 - Referral",181.5,181.5,,,0 CDM,3098566001,"Hc Rbc Sickle Cell Test - Sickle Cell, Reduction",96.0,96.0,,,0 CDM,3098600301,Hc Ref Allergen Spec Ige - Allergen Specific Ige,43.5,43.5,,,0 CDM,3098600302,"Hc Ref Allergen Spec Ige - Crude Allergen Extract, Peanut Cmpnts Ige",43.5,43.5,,,0 CDM,3098600801,"Hc Rast - Alpha-Gal (Galactose-Alpha-1,3-Galactose) Ige",87.0,87.0,,,0 CDM,3098600802,"Hc Ref Allergen Spec Ige - Recomb/Purified - Allergen, Peanut Cmpnts Ige",87.0,87.0,,,0 CDM,3098601501,"Hc Actin (Smooth Muscle) Antibody, Each",49.0,49.0,,,0 CDM,3098602102,Hc Wbc Antibody Identification - Granulocyte(Leukocyte) Antibody Screen,147.0,147.0,,,0 CDM,3098602205,Hc Platelet Antibodies -Platelet Ag Typing(Serology),433.0,433.0,,,0 CDM,3098602206,Hc Platelet Crossmatch Incompatibility Screen,433.0,433.0,,,0 CDM,3098603601,"Hc Antineutrophil Cytoplasm Antibody(Anca) Ifa, Each Antibody",50.0,50.0,,,0 CDM,3098605301,"Hc Aquaporin-4 Antibody Flow Cytometry, Facs, Each",50.0,50.0,,,0 CDM,3098605302,"Hc Aquaporin-4 Antibody, Flow Cytometry, Facs, Csf, Each",50.0,50.0,,,0 CDM,3098605303,"Hc Aquaporin-4 Antibody Titer, Flow Cytometry, Facs, Each",50.0,50.0,,,0 CDM,3098605304,"Hc Aquaporin-4 Antibody Titer, Flow Cytometry, Facs, Csf Each",50.0,50.0,,,0 CDM,3098625601,Hc Ref Fluorescent Antibody; Titer - Dna (Ds) (Crithidia Luciliae) Ab Igg By Ifa,137.0,137.0,,,0 CDM,3098625602,Hc Ref Pde10A Ab Ifa Titer,137.0,137.0,,,0 CDM,3098625603,Hc Ref Trim46 Ab Cba,137.0,137.0,,,0 CDM,3098625604,Hc Ref Trim46 Ab Ifa Titer,137.0,137.0,,,0 CDM,3098625605,"Hc Ref Pde10A Ab Ifa Titer, Csf",137.0,137.0,,,0 CDM,3098625606,"Hc Ref Trim46 Ab Cba, Csf",137.0,137.0,,,0 CDM,3098625607,"Hc Ref Trim46 Ab Ifa Titer, Csf",137.0,137.0,,,0 CDM,3098625608,"Hc Ref Pca-1 Titer, Csf",137.0,137.0,,,0 CDM,3098625802,"Hc Gliadin (Deamidated) (Dgp) Antibody, Igg",49.0,49.0,,,0 CDM,3098630501,Hc Human Epididymis Protein 4 (He4) - Human Epididymis Protein 4,352.5,352.5,,,0 CDM,3098631701,"Hc Ref Immunoassay,Infect Agent,Quant - 14-3-3 Protein Tau, Total, Csf",101.0,101.0,,,0 CDM,3098634301,Hc Leukocyte Histamine Release (Lhr) - Chronic Urticaria Index Panel,63.0,63.0,,,0 CDM,3098635201,Hc Ref Immuknow Immune Cell Function,377.5,377.5,,,0 CDM,3098635202,Hc Ref Cmv T Cell Immunity,377.5,377.5,,,0 CDM,3098635501,"Hc Ref B Cells, Total Count - B Cell Subset Analysis",334.0,334.0,,,0 CDM,3098635601,"Hc Ref Mononuclear Cell Antigen, Quant, Nos, Ea Antigen - B Cell Subset Analysis",317.5,317.5,,,0 CDM,3098636301,"Hc Myelin Oligodendrocyte Glycoprotien-Igg1 Antibody Flow Cytometry (Facs), Each",50.0,50.0,,,0 CDM,3098636302,"Hc Myelin Oligodendrocyte Glycoprotien-Igg1 Antibody Titer, Flow Cytometry (Facs), Each",50.0,50.0,,,0 CDM,3098636401,"Hc Tissue Transglutaminase , Iga",49.0,49.0,,,0 CDM,3098636402,"Hc Tissue Transglutaminase , Igg",49.0,49.0,,,0 CDM,3098638101,"Hc Mitochondrial M2 Antibody, Igg",106.5,106.5,,,0 CDM,3098658101,Hc Ref Pneumococcal Antibody 14 Serotypes,50.0,50.0,,,0 CDM,3098658102,Hc Ref Pneumococcal Antibody 23 Serotypes,98.0,98.0,,,0 CDM,3098659601,Hc Paraneoplastic Autoantibody Evaluation,77.0,77.0,,,0 CDM,3098678001,Hc Ref Treponema Pallidum Antibody By Tp-Pa,163.0,163.0,,,0 CDM,3098685001,Hc Rbc Antibody Screen -Ref Lab Antibody Screen Each Serum,225.5,225.5,,,0 CDM,3098686001,"Hc Rbc Antibody Elution -Ref Lab Antibody Elution (Rbc), Each Elution",484.0,484.0,,,0 CDM,3098687001,"Hc Rbc Antibody Identification - Ref Lab Antibody Id, Rbc, Ea Panel, Ea Serum Technique",808.5,808.5,,,0 CDM,3098688001,"Hc Antihuman Globulin Direct Ea Antiserum -Ref Lab Direct, Each Antiserum",262.0,262.0,,,0 CDM,3098688501,Hc Antihuman Globulin Indir Qual Ea Reagent Red Cell - Ref Lab Indirect,453.5,453.5,,,0 CDM,3098688601,Hc Antihuman Globulin Indirect Ea Antibody Titer - Ref Lab Antibody Titer,481.0,481.0,,,0 CDM,3098690001,Hc Blood Typing Serologic Abo - Abo/Rh Type,262.0,262.0,,,0 CDM,3098690002,Hc Blood Typing Serologic Abo - Donor Abo/Rh Type,262.0,262.0,,,0 CDM,3098690003,Hc Blood Typing Serologic Abo - Ref Lab Abo/Rh Type,262.0,262.0,,,0 CDM,3098690004,Hc Blood Typing Serologic Abo - Infant/Cord,262.0,262.0,,,0 CDM,3098690102,Hc Blood Typing Serologic Rh - Ref Lab Abo/Rh Type,143.5,143.5,,,0 CDM,3098690201,"Hc Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Each Antigen Test",703.0,703.0,,,0 CDM,3098690202,"Hc Ref Blood Type - Rbc Antigen Negative Each, Unit",703.0,703.0,,,0 CDM,3098690203,Hc Ref Blood Type - Rare/ Uncommon Ph,703.0,703.0,,,0 CDM,3098690204,Hc Ref Blood Type -Molecular Type/Antigen,703.0,703.0,,,0 CDM,3098690403,"Hc Ref Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat",143.5,143.5,,,0 CDM,3098690501,Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Ref Lab Phenotype Each,703.0,703.0,,,0 CDM,3098690601,"Hc Ref Lab Bb Rh Phenotyping, Complete",143.5,143.5,,,0 CDM,3098690602,"Hc Ref Bb Rh Phenotyping, Pt Testing, Complete",143.5,143.5,,,0 CDM,3098692001,"Hc Crossmatch - Immediate Spin Interpretation, Each Unit",213.0,213.0,,,0 CDM,3098692003,"Hc Ref Crossmatch - Immediate Spin Saline Replacement, Each Unit",213.0,213.0,,,0 CDM,3098692702,Hc Fresh Frozen Plasma - Thawing Cryo,491.0,491.0,,,0 CDM,3098694001,"Hc Ref Lab Bb Hemlysins And Agglutinins; Auto, Screen, Each",65.5,65.5,,,0 CDM,3098694101,Hc Ref Lab Bb Hemlysins And Agglutinins; Incubated,97.0,97.0,,,0 CDM,3098696501,Hc Cryoprecipitate - Pooling,421.0,421.0,,,0 CDM,3098697001,Hc Chemical Treatment Dithiothreitol,125.0,125.0,,,0 CDM,3098697002,Hc Chemical Treatment Edta Glycine Acid,125.0,125.0,,,0 CDM,3098697003,Hc Ref Lab Bb Pretreament Chemical/Drug,125.0,125.0,,,0 CDM,3098697004,Hc Bb Pretreament Chemical Treatment Chloroquin Reduction,125.0,125.0,,,0 CDM,3098697101,Hc Enzyme Treatment Of Rbc Each Panel,703.0,703.0,,,0 CDM,3098697102,Hc Enzyme Treatment Of Rbc Each Cell,703.0,703.0,,,0 CDM,3098697201,Hc Ref Lab Bb Reticulocyte Separation By Density,394.0,394.0,,,0 CDM,3098697501,Hc Ref Lab Bb Incubation Chemical/Drug,198.0,198.0,,,0 CDM,3098697601,Hc Ref Lab Bb Dilution Of Serum Each Aliquot,125.0,125.0,,,0 CDM,3098697701,"Hc Ref Blood Bank -Rbc Antibody Id - Incubation W/Inhibitors, Each",421.0,421.0,,,0 CDM,3098697801,"Hc Ref Lab Bb Red Cell Antibody Absorption, Each",115.5,115.5,,,0 CDM,3098699901,Hc Abo Discrepancy Workup,72.0,72.0,,,0 CDM,3098699902,"Hc Ref Thawing Rare Reagent Red Cells, Per Cell",72.0,72.0,,,0 CDM,3098701501,Hc Ref Fecal Microsporidium Exam,129.5,129.5,,,0 CDM,3098707701,Hc Ref Helis Bacteria Identification,139.5,139.5,,,0 CDM,3098708101,Hc Ref Bacteria Culture Screen - Acanthamoeba And Naegleria Culture,129.5,129.5,,,0 CDM,3098708102,Hc Ref Helicobacter Pylori Culture,129.5,129.5,,,0 CDM,3098715001,Hc Ref Helis H Pylori-Clarithro Resistance Pcr,144.5,144.5,,,0 CDM,3098715301,Hc Ref Helis Aerobe Ident By Sequencing,368.0,368.0,,,0 CDM,3098716901,"Hc Ref Parasite Examination, Macroscopic",83.5,83.5,,,0 CDM,3098717601,Hc Ref Helis Tissue Processing,106.5,106.5,,,0 CDM,3098717701,Hc Ref Ova And Parasites Smears - Ova And Parasite Examination,153.5,153.5,,,0 CDM,3098718101,Hc Ref Helis Susceptibility,88.0,88.0,,,0 CDM,3098718601,Hc Ref Helis Susceptibility- Mic,163.0,163.0,,,0 CDM,3098718801,"Hc Susceptibility Studies, Macrobroth Dilution Method",50.0,50.0,,,0 CDM,3098718802,"Hc Susceptibility Studies, Macrobroth Dilution Method - Mold Sens Charge",50.0,50.0,,,0 CDM,3098718803,"Hc Susceptibility Studies, Macrobroth Dilution Method - Njh Single Drug Mic",50.0,50.0,,,0 CDM,3098720701,Hc Ref Fecal Microsporidium Exam,122.0,122.0,,,0 CDM,3098720901,"Hc Ref Smear, Ova And Parasite - O&P Direct Smear/Conc/Identification",193.5,193.5,,,0 CDM,3098725201,"Hc Ref Virus Isolation, Cytopathic - Culture, Herpes Simplex Virus",397.0,397.0,,,0 CDM,3098725301,"Hc Ref Virus Isolation, Centrifuge, - Culture, Herpes Simplex Virus, Each",253.5,253.5,,,0 CDM,3098734101,Hc Donor Iaad Ia Hepatitis B Surface Ag Neutralization - Hepatitis B Surface Confirm,134.0,134.0,,,0 CDM,3098742601,"Hc Sars Cov-2 - Antigen Detection By Ia, Qual Or Semiquant",126.0,126.0,,,0 CDM,3098747101,"Hc Ref Bartonella, Dna, Amp Probe - Bartonella Species By Pcr",529.0,529.0,,,0 CDM,3098755101,Hc Ref Afb Dna Detection - Identification,134.0,134.0,,,0 CDM,3098755601,Hc Ref Afb Dna Detection - Identification,183.0,183.0,,,0 CDM,3098756301,Hc Urogenital Ureaplasma/Mycoplasma Pcr,149.0,149.0,,,0 CDM,3098759401,Hc Ref Pneumocystis Jirovecii Dna,97.0,97.0,,,0 CDM,3098763506,Hc Covid-19 Lab Test Non-Cdc - Arup Sars-Cov-2 By Pcr,200.5,200.5,,,0 CDM,3098763507,Hc Quest Covid-19 Rna Naat - Quest Sars-Cov-2 Rna(Covid-19) Qualitative Naat,200.5,200.5,,,0 CDM,3098763508,Hc Quest Covid-19 Rna Naat - Mayo Sars-Cov-2 Rna Naat,200.5,200.5,,,0 CDM,3098763510,Hc Quest Covid-19 Rna Naat - Arup Sars-Cov-2 By Pcr,200.5,200.5,,,0 CDM,3098779801,"Hc Detect Agent Nos, Dna, Amp - Mysoline Level -Tropheryma Whipplei Pcr",306.0,306.0,,,0 CDM,3098779802,"Hc Ref Detect Agent Nos, Dna, Amp - Global Fever Special Pathogen Panel",306.0,306.0,,,0 CDM,3098779824,"Hc Ref Detect Agent Nos, Dna, Amp - Csf Gondii Dna By Pcr",306.0,306.0,,,0 CDM,3098779825,Hc Ref Bordetella Pertussis Pcr,306.0,306.0,,,0 CDM,3098779826,Hc Ref Bordetella Parapertussis Pcr,306.0,306.0,,,0 CDM,3098779911,"Hc Ref Detect Agent Nos, Dna/Rna -Human Herpesvirus 8 By Quantitative Pcr",544.0,544.0,,,0 CDM,3098780101,"Hc Ref Detect Agent, Mult Orgs, Dna, Amp - Global Fever Special Pathogen Panel",353.5,353.5,,,0 CDM,3098780102,Hc Ref Bacterial Dna Detection - Identification,353.5,353.5,,,0 CDM,3098780103,Hc Ref Fungal Dna Detection - Identification,353.5,353.5,,,0 CDM,3098790001,"Hc Infectious Agent Drug Susceptibility Phenotype Prediction, Genotype",1044.5,1044.5,,,0 CDM,3098837701,Hc Ref Fish For Biliary Tract Malignancy,646.5,646.5,,,0 CDM,3098905104,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 1",64.0,64.0,,,0 CDM,3098905105,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 2",64.0,64.0,,,0 CDM,3098905106,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 3",64.0,64.0,,,0 CDM,3098905107,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 4",64.0,64.0,,,0 CDM,3098905108,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Shunt(Evd)",64.0,64.0,,,0 CDM,3098906002,"Hc Exam,Synovial Fluid Crystals - Body Fluid Crystals",204.5,204.5,,,0 CDM,3098906003,"Hc Exam,Synovial Fluid Crystals - Body Fluid Crystals W/O Path",204.5,204.5,,,0 CDM,3100_270,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,31025_00703321301,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 CDM,31025_00703321601,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3216-01) / 16.7 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 CDM,31025_00703321801,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3218-01) / 50 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 CDM,31025_16714013701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.16,1.16,,,0 CDM,31025_23155088431,"Paclitaxel Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (23155-884-31) / 50 Ml In 1 Vial, Multi-Dose",1.32,1.32,,,0 CDM,31025_25021025550,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,0.85,0.85,,,0 CDM,31025_61703034222,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-22) / 16.7 Ml In 1 Vial, Multi-Dose",1.19,1.19,,,0 CDM,31025_61703034250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.0,1.0,,,0 CDM,31025_62332062250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (62332-622-50) / 50 Ml In 1 Vial, Multi-Dose",2.14,2.14,,,0 CDM,31025_63323076316,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-16) / 16.7 Ml In 1 Vial, Multi-Dose",1.86,1.86,,,0 CDM,31025_63323076350,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",1.8,1.8,,,0 CDM,3108112001,"Hc Calr, Gene Analysis, Common Variants - Idh1 Common Variants",617.0,617.0,,,0 CDM,3108112101,"Hc Calr, Gene Analysis, Common Variants - Idh2 Common Variants",943.5,943.5,,,0 CDM,3108120601,"Hc Bcr/Abl 1 (T(9;22) Translocation Analysis, Major Breakpoint",1508.5,1508.5,,,0 CDM,3108120701,"Hc Bcr/Abl 1 (T(9;22) Translocation Analysis, Minor Breakpoint",1330.0,1330.0,,,0 CDM,3108121001,"Hc Braf, Gene Analysis, V600 Variants -V-Raf Murine Sarcoma",1207.0,1207.0,,,0 CDM,3108121801,"Hc Calr, Gene Analysis, Common Variants -Cebpa Gene Analysis Full Gene Sequence",888.0,888.0,,,0 CDM,3108121901,"Hc Calr, Gene Analysis, Common Variants- Exon 9 Variants",823.5,823.5,,,0 CDM,3108121902,"Hc Calr, Gene Analysis, Common Variants - Calreticulin (Calr) Mutation",823.5,823.5,,,0 CDM,3108122301,"Hc Cftr Gene Analysis; Full Sequence - Pancreatitis Sequencing Panel (Cftr, Ctrc, Prss1)",2422.5,2422.5,,,0 CDM,3108122501,"Hc Cyp2C19, Gene Analysis,Common-Variants",1114.5,1114.5,,,0 CDM,3108122701,"Hc Cyp2C9, Gene Analysis, Common Variants - Cytochrome P450 2C19 (Cyp2C19)",1179.5,1179.5,,,0 CDM,3108122901,Hc Cytogen Microarray Analysis Constitutional,5260.5,5260.5,,,0 CDM,3108123501,"Hc Egfr, Gene Analysi, Common Variants -Mutation Analysis",2459.5,2459.5,,,0 CDM,3108124501,Hc Flt3 Itd - Mutation Dectection,737.0,737.0,,,0 CDM,3108124601,Hc Flt3 Tkd - Mutation Dectection,369.0,369.0,,,0 CDM,3108125901,Hc Hba1/Hba2 Gene - Alpha Globin Gene Sequencing,2201.5,2201.5,,,0 CDM,3108126101,"Hc Igh, Gene Rearrangement Analysis, Amplified Methodology - Immunoglobulin Heavy",1820.5,1820.5,,,0 CDM,3108126301,"Hc Igh, Variable Region Somatic Mutation Analysis - Gene Rearrangement",2707.5,2707.5,,,0 CDM,3108126401,"Hc Igk, Gene Rearrangement Analysis-Immunoglobulin Kappa",1371.0,1371.0,,,0 CDM,3108127001,"Hc Jak2, Gene Analysis, P.Vai617Phe Variant - Janus Kinase 2",842.5,842.5,,,0 CDM,3108127002,"Hc Jak2, Gene Analysis, P.Vai617Phe Variant - Jak2 V617F Mutation Analysis",842.5,842.5,,,0 CDM,3108127201,Hc Kit Gene Analysis Targeted Sequence Analysis,1210.0,1210.0,,,0 CDM,3108127301,Hc D816V Mutation By Pcr,556.0,556.0,,,0 CDM,3108127501,"Hc Kras, Gene Analysis, Variants In Exon 2 - Kristen Rat Sarcoma",1330.0,1330.0,,,0 CDM,3108127801,Hc Bcl2 By Pcr,1005.5,1005.5,,,0 CDM,3108127901,Hc Jak2 (Janus Kinase 2) Exon 12 Mutation By Pcr,825.0,825.0,,,0 CDM,3108128301,"Hc Ifnl3,Gene Analysis, Rs12979860 Variant - Il28B Associated Variants 2Snp",880.5,880.5,,,0 CDM,3108128701,Hc Mgmt Promoter Methlation - Detection,694.5,694.5,,,0 CDM,3108128801,Hc Ref Mlh1 Gene Analysis; Promoter Methylat Analy - Mlh1 Methyalation Pcr,706.5,706.5,,,0 CDM,3108129101,"Hc Mthfr,Gene Analysis, Variants - Methylenetetrahydrofolate Reductase Mutation",299.0,299.0,,,0 CDM,3108130501,Hc Myd88 L265P Mutation Detection By Pcr,780.5,780.5,,,0 CDM,3108130601,Hc Nudt15 Gene Analysis Common Variants - Tmpt And Nudt15,319.0,319.0,,,0 CDM,3108131001,Hc Npm1 Mutation Detection By Pcr,1099.0,1099.0,,,0 CDM,3108131101,"Hc Nras, Gene Analysis, Variants In Exon 2/3 - Nras Tier 1",1995.0,1995.0,,,0 CDM,3108131501,"Hc Pml/Raralpha, Translocation Analysis, Common Breakpoints",1906.5,1906.5,,,0 CDM,3108131601,"Hc Pml/Raralpha, Translocation Analysis, Single Breakpoints",2904.5,2904.5,,,0 CDM,3108133501,"Hc Tpmt, Gene Analysis, Common Variants - Tmpt Genetics Prometheus",977.5,977.5,,,0 CDM,3108133502,"Hc Tpmt, Gene Analysis, Common Variants - Tmpt And Nudt15",977.5,977.5,,,0 CDM,3108133801,Hc Mpl Mutation Detection,669.0,669.0,,,0 CDM,3108134201,"Hc Trg, Gene Arrangement Analysis - T Cell Antigen Receptor",1851.0,1851.0,,,0 CDM,3108135501,"Hc Vkorc1, Gene Analysis, Variants - Warfarin Mutation Analysis",694.0,694.0,,,0 CDM,3108137001,Hc Hla Class I & Ii Typ; Low Resolution - Hla Deceased Donor Type Report,4098.0,4098.0,,,0 CDM,3108137002,Hc Hla Class I & Ii Typ; Low Resolution - Hla Class I And Ii Type By Low Resolution,4098.0,4098.0,,,0 CDM,3108137201,"Hc Hla Class I Typing, Low Resolution, Complete - Hla Class I Molecular Typing",2029.5,2029.5,,,0 CDM,3108137202,"Hc Hla Class I Typing, Low Resolution, Complete - Hla Class I Type Low Resolution",2029.5,2029.5,,,0 CDM,3108137401,"Hc Hla Class I Typing, Low Resolution, One Antigen Equivalent Ea - Hlab27 Dna Low Res",378.5,378.5,,,0 CDM,3108137402,Hc Hla-B27 Genotyping,219.0,219.0,,,0 CDM,3108137501,"Hc Hla Class Ii Typing, Low Res - Hla Class Ii Molecular Typing",2028.5,2028.5,,,0 CDM,3108137502,"Hc Hla Class Ii Typing, Low Res - Hla Class Ii Type Low Resolution",2028.5,2028.5,,,0 CDM,3108137601,"Hc Hla Class Ii Typing, Low Res, One Locus",817.0,817.0,,,0 CDM,3108137901,Hc Hla Class I Typing; High Resolution - Hla Abc Sequencing,1084.0,1084.0,,,0 CDM,3108137902,Hc Hla Class I Typing; High Resolution - Hla Class I Tye High Resolution,1084.0,1084.0,,,0 CDM,3108137903,Hc Hla Class I Typing; High Resolution - Hla Bm Report,1084.0,1084.0,,,0 CDM,3108138001,"Hc Hla Class I Typing; High Resolution, One Locus - Hla Single Antigen Type Class I",690.0,690.0,,,0 CDM,3108138201,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Drb1 Mol. High Resolution",1136.0,1136.0,,,0 CDM,3108138202,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Class Ii Type High Resolution",1136.0,1136.0,,,0 CDM,3108138203,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Bm Report",1136.0,1136.0,,,0 CDM,3108138301,"Hc Hla Class Ii Typing, High Resolution, One Allele Or Allele Group - Hla Narcolepsy Panel",718.5,718.5,,,0 CDM,3108138302,"Hc Hla Class Ii Typing, High Resolution, One Allele Or Allele Group - Hla Single Antigen Type Class",718.5,718.5,,,0 CDM,3108140001,Hc Molecular Pathology Procedure Level 1 - Ref Lab Platelet Antigen Typing (Hpa1A),802.0,802.0,,,0 CDM,3108140102,Hc Molecular Pathology Procedure Level 2 - Leber Optic Neuropathy Screen,700.0,700.0,,,0 CDM,3108140103,Hc Molecular Pathology Procedure Level 2 - Crohn's Prognostic Prometheus,700.0,700.0,,,0 CDM,3108140104,Hc Molecular Pathology Procedure Level 2 - Cbfb-Myh11 Inv(16) Detection,700.0,700.0,,,0 CDM,3108140105,Hc Molecular Pathology Procedure Level 2 - Runx1-Runx1T1?(Aml1-Eto)?T(8;21),700.0,700.0,,,0 CDM,3108140106,"Hc Molecular Pathology Procedure Level 2 - Apolipoprotein E (Apoe) Genotyping, Alzheimer Disease Ris",700.0,700.0,,,0 CDM,3108140201,Hc Mopath Procedure Level 3,1611.5,1611.5,,,0 CDM,3108140301,Hc Molecular Pathology Procedure Level 4 - Bcr/Abl1 Kinase Domain Mutation,319.0,319.0,,,0 CDM,3108140302,Hc Molecular Pathology Procedure Level 4 - Red Cell Genotyping Panel,319.0,319.0,,,0 CDM,3108140303,Hc Molecular Pathology Procedure Level 4 - Tier Ii Molecular,319.0,319.0,,,0 CDM,3108140304,Hc Molecular Pathology Procedure Level 4 - Rcta Procedure,319.0,319.0,,,0 CDM,3108140305,Hc Molecular Pathology Procedure Level 4 - Level 4 Molecular Procedure,319.0,319.0,,,0 CDM,3108140306,Hc Molecular Pathology Procedure Level 4 - Vwf Exon 28 Sequence Analysis,319.0,319.0,,,0 CDM,3108140401,Hc Molecular Pathology Procedure Level 5 - Pancreatitis Sequencing Panel,3308.0,3308.0,,,0 CDM,3108140402,Hc Mopath Procedure Level 5 - Molecular Pathology Procedure Level 5,3308.0,3308.0,,,0 CDM,3108140501,"Hc Molecular Pathology Procedure Level 6 - Pancreatitis Sequencing Panel(Cftr, Ctrc, Prss1)",1462.5,1462.5,,,0 CDM,3108140502,Hc Molecular Pathology Procedure Level 6 - Ibd Sgi Diagnostic Prometheus,20.5,20.5,,,0 CDM,3108140701,Hc Molecular Pathology Level 8 - Mdx - Level 8 >50Exons,2728.0,2728.0,,,0 CDM,3108140702,Hc X-Linked Intellectual Dblt Genomic Seq Analys - Hemophilia A (F8) Sequencing,2728.0,2728.0,,,0 CDM,3108145501,Hc Target Genomic Seq >51Genes,9318.5,9318.5,,,0 CDM,3108145502,Hc Myeloid Malignancies Mutation Panel Ngs,9318.5,9318.5,,,0 CDM,3108147901,Hc Unlisted Molecular Procedure - Opa3 Gene Deletion Duplication,1065.5,1065.5,,,0 CDM,3108147902,Hc Unlisted Molecular Procedure - Il28B Associated Bariants 2Snp,1065.5,1065.5,,,0 CDM,3108147903,Hc Unlisted Molecular Procedure - Opa3 Full Gene Sequencing,1065.5,1065.5,,,0 CDM,3108147904,Hc Unlisted Molecular Procedure - Warfarin Mutation Analysis,1065.5,1065.5,,,0 CDM,3108147905,Hc Unlisted Molecular Procedure - Partial D Analysis,1065.5,1065.5,,,0 CDM,3108147906,Hc Unlisted Molecular Procedure - Weak D Analysis,1065.5,1065.5,,,0 CDM,3108147907,Hc Unlisted Molecular Procedure - Red Cell Genotyping Panel,1065.5,1065.5,,,0 CDM,3108147908,Hc Unlisted Molecular Procedure - Ref Lab Miscellaneous Molecular Testing,1065.5,1065.5,,,0 CDM,3108147909,"Hc Ref Unlisted Molecular Procedure -Epor Mutation Detection, Sequuencing",1065.5,1065.5,,,0 CDM,3108147910,Hc Unlisted Molecular Procedure - Csf3R Mutation Analysis,1065.5,1065.5,,,0 CDM,3108147911,Hc Unlisted Molecular Procedure - Vwd Platelet-Type Sequence Analysis,1065.5,1065.5,,,0 CDM,3108147912,Hc Unlisted Molecular Procedure - Tumor Mutation Panel,2278.5,2278.5,,,0 CDM,3108147913,"Hc Ref Unlisted Molecular Procedure - Epor Mutation Detection, Sequencing",1065.5,1065.5,,,0 CDM,3108147914,Hc Unlisted Molecular Procedure - Ibd Sgi Diagnostic Prometheus,23.0,23.0,,,0 CDM,3108147915,Hc Unlisted Molecular Procedure ? Sca27B,1065.5,1065.5,,,0 CDM,3108147916,Hc Unlisted Molecular Procedure - Bcr-Abl1,1065.5,1065.5,,,0 CDM,3108151101,"Hc Fetal Congenital Abnormalities - Afp,Hcg,Ue3, Dia Maternal Serum",987.0,987.0,,,0 CDM,3108763509,Hc Sars-Cov-2 Covid-19 Amp Prb - Coronavirus Covid19 Miscellaneous By Pcr,200.5,200.5,,,0 CDM,3108763601,"Hc Iadna, Sars-Cov-2 Covid19 - Influenza Virus Tupes A & B, Multiplex Amp Probe Tech",200.5,200.5,,,0 CDM,3108824001,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Freeze",148.0,148.0,,,0 CDM,3108824002,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study Comp Analysis",148.0,148.0,,,0 CDM,3108824003,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study T(Cd3) Cell Analysis",148.0,148.0,,,0 CDM,3108824004,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study Myeloid(Cd33) Analysis",148.0,148.0,,,0 CDM,3108824005,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study B Cell(Cd19) Analysis",148.0,148.0,,,0 CDM,3108824006,"Hc Cryopreservation,Freeze/Storage-Each Cell- Tissue",148.0,148.0,,,0 CDM,3108827101,"Hc Cytogenetics, Dna Probe - Alk, Fish",505.0,505.0,,,0 CDM,3108827103,"Hc Cytogenetics, Dna Probe - Molecular Cytogen, Dna Probe",505.0,505.0,,,0 CDM,3108827501,"Hc Cytogenetics, 100-300 - Bcr/Abl1, Fish",250.0,250.0,,,0 CDM,3108829101,Hc Cytogenetics; Interp & Report,419.0,419.0,,,0 CDM,3108836001,"Hc Morphometric Analysis, Tumor Immumochem - Ihc Quant Tumor Manual Ea Ab Stain",342.5,342.5,,,0 CDM,3108836101,Hc Morphometric Analsis Immunohistochemistry Tumor Quant - Comp-Assisted Ea Ab Stn,611.5,611.5,,,0 CDM,3108836102,Hc Morphometric Analsis Immunohistochemistry Tumor Quant - Receptor Comp-Assisted Ea Ab Stn,611.5,611.5,,,0 CDM,3108836801,Hc Ish -Ea Probe Single - Manual Initial,611.5,611.5,,,0 CDM,3108836901,Hc Ish -Ea Probe Single - Manual Each Additional,271.0,271.0,,,0 CDM,3108838001,"Hc Microdissection, Laser Capture - Human Epididymis Protein",266.5,266.5,,,0 CDM,3108872001,Hc Bilirubin Total Transcutane,48.0,48.0,,,0 CDM,310U000501,Hc Sars-Cov-2 Covid-19 Amp Prb - Coronavirus Covid19 By Pcr Add-On,82.5,82.5,,,0 CDM,31115_C1768_278,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,31119_C1768_278,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,31126_C1776_278,Noncdm Charge Record Medical Supplies,372.53,372.53,,,0 CDM,31158_00023917705,"Alphagan P: 1 Bottle, Dropper In 1 Carton (0023-9177-05) / 5 Ml In 1 Bottle, Dropper",897.13,897.13,,,0 CDM,31158_60505056401,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0564-1) / 5 Ml In 1 Bottle, Dropper",691.13,691.13,,,0 CDM,31158_61314014405,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-144-05) / 5 Ml In 1 Bottle,691.13,691.13,,,0 CDM,31158_82182077305,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (82182-773-05) / 5 Ml In 1 Bottle, Dropper",691.1,691.1,,,0 CDM,31171_C1894_278,Noncdm Charge Record Medical Supplies,34.1,34.1,,,0 CDM,3117_270,Noncdm Charge Record Medical Supplies,9.9,9.9,,,0 CDM,3118127701,Hc Cancer Micro Arrays,5260.5,5260.5,,,0 CDM,3118810401,"Hc Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp",261.0,261.0,,,0 CDM,3118810601,"Hc Cytopath Fl Nongyn Filter - Lab Cytopath Fluids,Filter,Interp",261.0,261.0,,,0 CDM,3118810801,"Hc Cytopath Concentrate Tech - Lab Cytopath Fluids,Concentratn,Interp",177.5,177.5,,,0 CDM,3118810802,"Hc Cytopath Fluids,Concentratn,Interp - Lab Cytopath Fluids,Concentratn,Int",177.5,177.5,,,0 CDM,3118811201,"Hc Cytopath Cell Enhance Tech - Lab Cytopath, Cell Enhance Tech",414.5,414.5,,,0 CDM,3118811202,Hc Cytopath Cell Enhance Tech - Lab Cytopath Liquid Base Non-Gyn,414.5,414.5,,,0 CDM,3118814201,Hc Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer,148.0,148.0,,,0 CDM,3118814202,Hc Cytopath C/V Liquid Based - Lab Cytopath Cerv/Vag Liquid Base Gyn Scrn,148.0,148.0,,,0 CDM,3118814302,Hc Cytopath C/V Liquid Base Redo - Lab Cytopath Cerv/Vag Liquid Redo,304.5,304.5,,,0 CDM,3118816002,"Hc Cytopath Smear Other Source - Lab Cytopath,Othr Sourc,Screen,Interp Non-Gyn",228.5,228.5,,,0 CDM,3118816101,"Hc Cytopath Smear Other Source - Lab Cytopath,Othr Sourc,Prep,Scrn,Int",351.5,351.5,,,0 CDM,3118816401,"Hc Cytopath Slides - Cytopath Cerv/Vag, Bethesda System",114.0,114.0,,,0 CDM,3118817201,"Hc Cytp Dx Eval Fna 1St Ea Site - Lab Evaluation Of Fna Smear, First",342.5,342.5,,,0 CDM,3118817301,Hc Cytopath Eval Fna Report - Lab Interpretation Of Fna Smear,352.5,352.5,,,0 CDM,3118817701,"Hc Cytp Fna Eval Ea Addl - Lab Evaluation Of Fna Smear, Ea Add Eval",22.0,22.0,,,0 CDM,3118818404,"Hc Flowcytometry/ Tech Component, 1 Marker - Lab Flowcytometry/Tech Cmp",611.5,611.5,,,0 CDM,3118818501,"Hc Flowcytometry/Tech Component, Add-On - Lab Flowcytometry/Tech Cmp",79.5,79.5,,,0 CDM,3118823003,"Hc Tissue Culture, Lymphocyte - Chromosome Analysis Constitutional",1362.5,1362.5,,,0 CDM,3118823301,Hc Tissue Cult-Solid Tissue Biopsy Non-Neoplastic,944.5,944.5,,,0 CDM,3118823701,Hc Tissue Culture - Bone Marrow,2013.5,2013.5,,,0 CDM,3118823901,Hc Tissue Culture - Solid Tumor,3832.5,3832.5,,,0 CDM,3118826401,Hc Chromosome Count 20-25 Cells Neoplastic,3248.5,3248.5,,,0 CDM,3118828501,"Hc Chromosome Analysis; Additional Cells Counted, Ea Study",388.5,388.5,,,0 CDM,3118833301,"Hc Cytologic Consult Intraop Initial - Touch Prep Original , Initial",1357.0,1357.0,,,0 CDM,3118833401,"Hc Cytologic Consult Intraop Addl - Touch Prep Original , Each Addl",101.0,101.0,,,0 CDM,3118837701,Hc Fish Multiplex Probe,646.5,646.5,,,0 CDM,311G012301,Hc Cyto - Auto Thp - Man. Scrn,462.5,462.5,,,0 CDM,311P300001,Hc Gyn Tech Screen M'care,172.0,172.0,,,0 CDM,311P300002,Hc Gyn Tech Screen M'care/Waive,172.0,172.0,,,0 CDM,3120751T01,Hc Dgtz Glass Mcrscp Sld Level Ii Surg Path,40.5,40.5,,,0 CDM,3120752T01,Hc Dgtz Glass Mcrscp Sld Level Iii Surg Path,40.5,40.5,,,0 CDM,3120753T01,Hc Dgtz Glass Mcrscp Sld Level Iv Surg Path,40.5,40.5,,,0 CDM,3120754T01,Hc Dgtz Glass Mcrscp Sld Level V Surg Path,40.5,40.5,,,0 CDM,3120755T01,Hc Dgtz Glass Mcrscp Sld Level Vi Surg Path,40.5,40.5,,,0 CDM,3120756T01,Hc Dgtz Glass Mcrscp Sld Spec Stain Grp I Microorg,98.0,98.0,,,0 CDM,3120757T01,Hc Dgtz Glass Mcrscp Sld Spec Stain Grp Ii All Oth,98.0,98.0,,,0 CDM,3120758T01,Hc Dgtz Glass Mcrscp Sld Spec Stain Hchem Stain,85.0,85.0,,,0 CDM,3120759T01,Hc Dgtz Glas Mcrscp Sld Spec Stn Grp Iii Nzm Const,98.0,98.0,,,0 CDM,31209_00078035834,Diovan: 90 Tablet In 1 Bottle (0078-0358-34),39.14,39.14,,,0 CDM,31209_31722015290,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (31722-152-90)",17.51,17.51,,,0 CDM,31209_60687062311,NDC Description Not Available,3.15,3.15,,,0 CDM,31210_00078035934,Diovan: 90 Tablet In 1 Bottle (0078-0359-34),42.23,42.23,,,0 CDM,31210_00378581477,"Valsartan: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-5814-77)",18.81,18.81,,,0 CDM,31210_31722015390,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (31722-153-90)",18.82,18.82,,,0 CDM,31210_33342006410,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (33342-064-10)",7.72,7.72,,,0 CDM,31210_42291085890,Valsartan: 90 Tablet In 1 Bottle (42291-858-90),18.8,18.8,,,0 CDM,31210_50268074811,NDC Description Not Available,5.41,5.41,,,0 CDM,3128826201,Hc Chromosome Analysis (Karotype) Constitutional 15-20 Cell,3515.0,3515.0,,,0 CDM,3128826202,Hc Chromosome Analysis (Karotype) 15-20 Cell,3515.0,3515.0,,,0 CDM,3128830001,"Hc Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I",83.5,83.5,,,0 CDM,3128830002,"Hc Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I - Oral Path",83.5,83.5,,,0 CDM,3128830201,"Hc Surg Path,Level Ii - Lab Surg Path,Level Ii",199.0,199.0,,,0 CDM,3128830202,"Hc Surg Path,Level Ii - Lab Surg Path,Level Ii, Oral Path",199.0,199.0,,,0 CDM,3128830401,"Hc Surg Path,Level Iii - Lab Surg Path,Level Iii",241.5,241.5,,,0 CDM,3128830403,"Hc Surg Path,Level Iii - Lab Surg Path,Level Iii, Oral Path",241.5,241.5,,,0 CDM,3128830501,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv",419.0,419.0,,,0 CDM,3128830503,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Renal Biopsy",419.0,419.0,,,0 CDM,3128830504,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Muscle Biopsy",419.0,419.0,,,0 CDM,3128830505,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Nerve Biopsy",419.0,419.0,,,0 CDM,3128830506,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Oral Path",419.0,419.0,,,0 CDM,3128830701,"Hc Surg Path,Level V - Lab Surg Path,Level V",611.5,611.5,,,0 CDM,3128830703,"Hc Surg Path,Level V - Lab Surg Path,Level V - Oral Path",611.5,611.5,,,0 CDM,3128830901,"Hc Surg Path,Level Vi - Lab Surg Path,Level Vi",1357.0,1357.0,,,0 CDM,3128831101,"Hc Decalcify Tissue - Lab Surg Path,Level Iii",58.5,58.5,,,0 CDM,3128831102,"Hc Decalcify Tissue - Lab Surg Path,Level Iv",58.5,58.5,,,0 CDM,3128831103,"Hc Decalcify Tissue - Lab Surg Path,Level V",58.5,58.5,,,0 CDM,3128831104,"Hc Decalcify Tissue - Lab Surg Path,Level Vi",58.5,58.5,,,0 CDM,3128831105,Hc Decalcify Tissue - Lab Decalcify Tissue,58.5,58.5,,,0 CDM,3128831106,"Hc Decalcify Tissue - Lab Surg Path,Level Iii, Oral Path",58.5,58.5,,,0 CDM,3128831107,"Hc Decalcify Tissue - Lab Surg Path,Level Iv, Oral Path",58.5,58.5,,,0 CDM,3128831108,"Hc Decalcify Tissue - Lab Surg Path,Level V, Oral Path",58.5,58.5,,,0 CDM,3128831109,"Hc Decalcify Tissue - Lab Surg Path,Level Vi, Oral Path",58.5,58.5,,,0 CDM,3128831110,"Hc Decalcify Tissue - Lab Decalcify Tissue, Oral Path",58.5,58.5,,,0 CDM,3128831201,"Hc Special Stains,Group I - Lab Special Stains,Group I",394.0,394.0,,,0 CDM,3128831202,"Hc Special Stains,Group I - Bundled Charge",394.0,394.0,,,0 CDM,3128831203,"Hc Special Stains,Group I - Lab Special Stains,Group I, Oral Path",394.0,394.0,,,0 CDM,3128831301,"Hc Special Stains,Group Ii - Lab Special Stains,Group Ii",328.5,328.5,,,0 CDM,3128831302,"Hc Special Stains,Group Ii - Bundled Charge",328.5,328.5,,,0 CDM,3128831303,"Hc Special Stains,Group Ii - Lab Special Stains,Group Ii, Oral Path",328.5,328.5,,,0 CDM,3128831304,"Hc Special Stains,Group Ii - Renal Biopsy",328.5,328.5,,,0 CDM,3128831305,"Hc Special Stains,Group Ii - Muscle Biopsy",328.5,328.5,,,0 CDM,3128831306,"Hc Special Stains,Group Ii - Nerve Biopsy",328.5,328.5,,,0 CDM,3128831307,"Hc Special Stains,Group Ii - Iron Biopsy",328.5,328.5,,,0 CDM,3128831401,Hc Special Stain I&R Histochemical W/Frozen Tissu,242.5,242.5,,,0 CDM,3128831901,Hc Enzyme Histochemistry - Lab Enzyme Histochemistry,1357.0,1357.0,,,0 CDM,3128832301,Hc Microslide Consult W Slide Prep - Consultation And Report On Referred Material W Sld Prep,243.5,243.5,,,0 CDM,3128833101,"Hc Path Consult In Surg,W Frz Sec - Bundled Charge",342.5,342.5,,,0 CDM,3128833102,"Hc Path Consult In Surg,W Frz Sec - Frozen Section Original",342.5,342.5,,,0 CDM,3128833201,"Hc Path Consult In Surg,W Addn Frz Sec - Block",133.0,133.0,,,0 CDM,3128833202,"Hc Path Consult In Surg,W Addn Frz Sec - Block - Fs H&E Slide",133.0,133.0,,,0 CDM,3128833203,"Hc Path Consult Intraop Addl - Lab Path Consult In Surg,W Addn Frz Sec",133.0,133.0,,,0 CDM,3128833401,Hc Intraop Cyto Path Consult 2 - Lab Intraoperative Cyto Path Consult,101.0,101.0,,,0 CDM,3128834101,Hc Immunohisto Antb Addl Slide - Lab Imhistochem/Cytchm Ea Addl Ant Sld,98.0,98.0,,,0 CDM,3128834102,Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Bundled Charge,98.0,98.0,,,0 CDM,3128834103,Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Ihc Stain Addl,98.0,98.0,,,0 CDM,3128834104,"Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Ihc Stain Addl, Oral Path",98.0,98.0,,,0 CDM,3128834201,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Bundled Charge,342.5,342.5,,,0 CDM,3128834202,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Immunocytochemistry, Initial",342.5,342.5,,,0 CDM,3128834203,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Muscle Biopsy,342.5,342.5,,,0 CDM,3128834204,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Nerve Biopsy,342.5,342.5,,,0 CDM,3128834205,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Immunocytochemistry, Initial - Oral Path",342.5,342.5,,,0 CDM,3128834401,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Ihc Stain Multiplex, Per Spec",646.5,646.5,,,0 CDM,3128834601,"Hc Immunofluorescent Study,Indirect - Anti Ribonucleic Acid",611.5,611.5,,,0 CDM,3128834602,"Hc Immunofluorescent Study,Direct - Immunofluorescence Ea Direct",611.5,611.5,,,0 CDM,3128834603,"Hc Immunofluorescent Study,Direct - Renal Biopsy, Each",611.5,611.5,,,0 CDM,3128834801,Hc Electron Microscopy Dx- Electron Micoscopy Diagnostic,1357.0,1357.0,,,0 CDM,3128834802,Hc Electron Microscopy Dx- Electron Micoscopy Diagnostic - Renal Biopsy,1357.0,1357.0,,,0 CDM,3128835001,Hc Immunofluorescence - Immunofluorescence Each Additional,96.0,96.0,,,0 CDM,3128835002,"Hc Immunofluorescence - Crohn's Prognostic Prometheus, Each Addl",96.0,96.0,,,0 CDM,3128835003,Hc Immunofluorescence - Ibd Sgi Diagnostic Prometheus,96.0,96.0,,,0 CDM,3128835801,Hc Morphomet Analysis - Tumor,611.5,611.5,,,0 CDM,3128836401,"Hc In Situ Hybridization(Ish), Per Specimen, Each Addl Single Probe Stain",244.0,244.0,,,0 CDM,3128836501,"Hc In Situ Hybridization(Ish), Per Specimen, Initial Single Probe Stain",633.5,633.5,,,0 CDM,3128837701,"Hc M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb - Her-2 / Neu, Fish",646.5,646.5,,,0 CDM,31310_50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,220.29,220.29,,,0 CDM,31310_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,347.83,347.83,,,0 CDM,31310_50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",318.37,318.37,,,0 CDM,31310_50242008527,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",509.75,509.75,,,0 CDM,31432_50633012011,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",11823.58,11823.58,,,0 CDM,31432_50633012012,NDC Description Not Available,10931.22,10931.22,,,0 CDM,31432_50633012111,NDC Description Not Available,10931.39,10931.39,,,0 CDM,314G041601,Hc Prostate Biopsy 10-12,562.5,562.5,,,0 CDM,31578_00378699252,Albuterol Sulfate: 5 POUCH in 1 CARTON (0378-6992-52) / 5 VIAL in 1 POUCH (0378-6992-98) / 3 mL in 1 VIAL,3.84,3.84,,,0 CDM,31605,Noncdm Charge Record,1687.0,1687.0,,,0 CDM,31684_00904682104,"Tenofovir Disoproxil Fumarate: 30 Blister Pack In 1 Carton (0904-6821-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.45,20.45,,,0 CDM,31684_31722053530,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (31722-535-30)",146.26,146.26,,,0 CDM,31684_42291080030,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (42291-800-30)",20.28,20.28,,,0 CDM,31684_50268075811,NDC Description Not Available,20.41,20.41,,,0 CDM,31684_61958040101,"Viread: 30 Tablet, Coated In 1 Bottle, Plastic (61958-0401-1)",180.25,180.25,,,0 CDM,31684_64380071404,Tenofovir Disoproxil Fumarate: 30 Tablet In 1 Bottle (64380-714-04),146.14,146.14,,,0 CDM,31684_65862042130,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (65862-421-30)",138.02,138.02,,,0 CDM,31708_74676590400,NDC Description Not Available,2194.93,2194.93,,,0 CDM,31708_74676590401,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",2075.22,2075.22,,,0 CDM,3173_C1766_278,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,3177_81643927001,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",1984.51,1984.51,,,0 CDM,3178_270,Noncdm Charge Record Medical Supplies,669.91,669.91,,,0 CDM,31863_00406052201,Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle (0406-0522-01),9.81,9.81,,,0 CDM,31863_00406052223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0522-23),9.84,9.84,,,0 CDM,31863_00406052262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0522-62),10.19,10.19,,,0 CDM,31863_00904709461,Oxycodone And Acetaminophen: 100 Blister Pack In 1 Carton (0904-7094-61) / 1 Tablet In 1 Blister Pack,3.49,3.49,,,0 CDM,31863_50268064511,NDC Description Not Available,9.9,9.9,,,0 CDM,31863_50268064515,Oxycodone And Acetaminophen: 50 Blister Pack In 1 Box (50268-645-15) / 1 Tablet In 1 Blister Pack (50268-645-11),10.3,10.3,,,0 CDM,31863_68084069911,NDC Description Not Available,9.94,9.94,,,0 CDM,31876_00591251260,"Bosentan: 60 Tablet, Film Coated In 1 Bottle (0591-2512-60)",796.71,796.71,,,0 CDM,31899_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,31901_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,31906_67457032325,Moxifloxacin Hydrochloride: 1 Bag In 1 Carton (67457-323-25) / 250 Ml In 1 Bag,49.57,49.57,,,0 CDM,31908_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31910_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31912_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31914_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31916_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31918_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,31921_00548560700,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5607-00) / 1 Ml In 1 Syringe,6.52,6.52,,,0 CDM,31921_16714006601,NDC Description Not Available,8.98,8.98,,,0 CDM,31921_25021041171,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-71) / 1 Ml In 1 Syringe,3.84,3.84,,,0 CDM,31921_63323058921,NDC Description Not Available,4.4,4.4,,,0 CDM,31922_00006384371,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",288.67,288.67,,,0 CDM,31922_00143939801,NDC Description Not Available,86.52,86.52,,,0 CDM,31922_00143939810,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",86.52,86.52,,,0 CDM,31922_00409351021,NDC Description Not Available,194.15,194.15,,,0 CDM,31922_00409351022,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (0409-3510-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-3510-21)",194.67,194.67,,,0 CDM,31922_43598090111,NDC Description Not Available,216.3,216.3,,,0 CDM,31922_43598090158,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (43598-901-58) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (43598-901-11)",216.3,216.3,,,0 CDM,31922_55150028209,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-09) / 1 Injection In 1 Vial, Single-Dose",94.44,94.44,,,0 CDM,31922_55150028220,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",141.4,141.4,,,0 CDM,31922_60505619600,NDC Description Not Available,253.29,253.29,,,0 CDM,31922_60505619604,Ertapenem: 10 Vial In 1 Carton (60505-6196-4) / 20 Ml In 1 Vial (60505-6196-0),253.38,253.38,,,0 CDM,31922_72266015901,NDC Description Not Available,173.04,173.04,,,0 CDM,31922_72266015905,"Ertapenem: 5 Vial, Single-Dose In 1 Carton (72266-159-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (72266-159-01)",173.04,173.04,,,0 CDM,31948_C1887_278,Noncdm Charge Record Medical Supplies,54.56,54.56,,,0 CDM,31952_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31968_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,3196_270,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,31970_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31972_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31974_C1887_278,Noncdm Charge Record Medical Supplies,60.47,60.47,,,0 CDM,31976_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31978_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31980_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,31982_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,3198818401,"Hc Ref Flowcytometry/ Tech Component, 1 Marker - Mrd Flow",611.5,611.5,,,0 CDM,3198818501,"Hc Ref Flowcytometry/Tech Component, Add-On - Mrd Flow",79.5,79.5,,,0 CDM,3198834601,"Hc Immunofluorescent Study,Direct - Crohn's Prognostic Prometheus",611.5,611.5,,,0 CDM,3198834602,"Hc Immunofluorescent Study,Direct - Ibd Sgi Diagnostic Prometheus",611.5,611.5,,,0 CDM,3198838101,Hc Microdissection - Manual,457.0,457.0,,,0 CDM,31992_C1887_278,Noncdm Charge Record Medical Supplies,60.28,60.28,,,0 CDM,31998_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,3199_270,Noncdm Charge Record Medical Supplies,334.96,334.96,,,0 CDM,3200000001,Noncdm Charge Record,856.56,856.56,,,0 CDM,3200042T01,Hc Ct Cerebral Perfusion,1692.0,1692.0,,,0 CDM,3200075T01,"Hc Transcather Plcmt Stent(S) Carotid Artery Incl Rs&I, Initial Vessel",12346.0,12346.0,,,0 CDM,3200694T01,"Hc Mg Specimen Radiograph 3D Reconstruction, Breast",885.0,885.0,,,0 CDM,3200898T01,"Hc Noninvasive Prostate Cancer Estimation Map, Incl Visualization Of Margin Volume&Location, W/Margi",2808.0,2808.0,,,0 CDM,3201003601,Hc Localization Device Plcmnt W/Img Guidance Ea Add,1536.0,1536.0,,,0 CDM,32012_C1887_278,Noncdm Charge Record Medical Supplies,60.45,60.45,,,0 CDM,3201908101,Hc Bx Breast W Device 1St Lesion Stereotactic Guide,2731.0,2731.0,,,0 CDM,3201908201,Hc Bx Breast W Device Addl Lesion Stereotact Guide,1881.0,1881.0,,,0 CDM,3201908401,Hc Bx Breast W Device Addl Lesion Ultrasound Guide,1881.0,1881.0,,,0 CDM,3202736901,Hc Injection Contrast Knee Arthrography Or Contrst Enhnce Ct/Mri,936.0,936.0,,,0 CDM,32032_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,32036_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,3204450001,Hc Introduction Of Long Gastrointestinal Tube,2769.0,2769.0,,,0 CDM,3205043101,"Hc Injection Procedure For Antegrade Nephrostogram And/Or Ureterogram, Complete Diagnostic Procedure",2010.0,2010.0,,,0 CDM,3206232801,Hc Spinal Puncture Lumbar - Dx - W/Fluoro Or Ct,4752.0,4752.0,,,0 CDM,3206232901,Hc Spinal Puncture Lumbar - Therapeutic For Drainage,2579.0,2579.0,,,0 CDM,3207003001,Hc X-Ray Eye For Foreign Body - Xr Eye Foreign Body,438.0,438.0,,,0 CDM,3207010001,Hc X-Ray Jaw <4 Vw - Xr Mandible < 4 Views,382.0,382.0,,,0 CDM,3207011001,Hc X-Ray Jaw 4+ Vw - Xr Mandible 4+ Views,478.0,478.0,,,0 CDM,3207014001,Hc X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views,434.0,434.0,,,0 CDM,3207015001,Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views,555.0,555.0,,,0 CDM,3207016001,Hc X-Ray Nasal Bones - Xr Nasal Bones,377.0,377.0,,,0 CDM,3207020001,Hc X-Ray Orbits - Xr Orbits Complete 4+ Views,70.0,70.0,,,0 CDM,3207021002,Hc X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views,417.0,417.0,,,0 CDM,3207022001,Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views,552.0,552.0,,,0 CDM,3207025001,Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views,468.0,468.0,,,0 CDM,3207026001,Hc X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views,659.0,659.0,,,0 CDM,32070300PB,Hc X-Ray Teeth Single - Xr Teeth 1 View,204.0,204.0,,,0 CDM,32070310PB,Hc Pbb X-Ray Teeth Partial - Xr Teeth Patriant,738.0,738.0,,,0 CDM,32070320PB,Hc Pbb Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth,738.0,738.0,,,0 CDM,32070328PB,Hc Pbb X-Ray Tmj Unilat - Xr Temporomandibular Joint Open And Closed Lt,373.0,373.0,,,0 CDM,3207033001,Hc X-Ray Tmj Bilat - Xr Temporomandibular Joint Open And Closed Bil,570.0,570.0,,,0 CDM,3207035501,Hc Panoramic X-Ray Of Jaws - Xr Panorex,271.0,271.0,,,0 CDM,3207036001,Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue,438.0,438.0,,,0 CDM,3207110003,Hc X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views,434.0,434.0,,,0 CDM,3207111001,Hc X-Ray Ribs 3 Vw Bilat - Xr Ribs 3 Views Bilateral,567.0,567.0,,,0 CDM,3207112001,Hc X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views,447.0,447.0,,,0 CDM,3207113001,Hc X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views,485.0,485.0,,,0 CDM,3207202001,Hc X-Ray Spine One View - Xr Spine,312.0,312.0,,,0 CDM,3207204002,Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views,443.0,443.0,,,0 CDM,3207205001,Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views,642.0,642.0,,,0 CDM,3207205201,Hc Radex Spine Cervical 6 Or More Views - Xr C-Spine Complete 6+ Views,779.0,779.0,,,0 CDM,3207207001,Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views,455.0,455.0,,,0 CDM,3207207201,Hc X-Ray Thoracic Spine+Swim 3 Vw - Xr Thoracic Spine 3 Views,523.0,523.0,,,0 CDM,3207207401,Hc X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views,569.0,569.0,,,0 CDM,3207208001,Hc Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views,342.0,342.0,,,0 CDM,3207208101,Hc Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw,235.0,235.0,,,0 CDM,3207208201,Hc Radex X-Ray Exam Entire Spi 2/3 Vw - Xr Entire Spine 2 Or 3 Vw,388.0,388.0,,,0 CDM,3207208301,Hc Radex X-Ray Exam Entire Spi 4/5 Vw - Xr Entire Spine 4 Or 5 Vw,738.0,738.0,,,0 CDM,3207208401,Hc Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw,738.0,738.0,,,0 CDM,3207210001,Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views,475.0,475.0,,,0 CDM,3207211001,Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views,561.0,561.0,,,0 CDM,3207211401,Hc X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending,647.0,647.0,,,0 CDM,3207212002,Hc X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 2 Or 3 Views W/ Flex Ext,331.0,331.0,,,0 CDM,3207217001,Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views,388.0,388.0,,,0 CDM,3207219001,Hc X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views,468.0,468.0,,,0 CDM,3207220002,Hc X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints <3 Views,388.0,388.0,,,0 CDM,3207220201,Hc X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views,434.0,434.0,,,0 CDM,3207222001,Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views,394.0,394.0,,,0 CDM,3207228501,"Hc X-Ray,C/T,Disk,Superv/Interpret - Fl Cervical Spine Discogram",10421.0,10421.0,,,0 CDM,3207229501,Hc Discography Lumbar Spine - Fl Lumbar Spine Discogram,10421.0,10421.0,,,0 CDM,3207300003,Hc X-Ray Clavicle - Xr Clavicle,363.0,363.0,,,0 CDM,3207301003,Hc X-Ray Scapula - Xr Scapula,377.0,377.0,,,0 CDM,3207302004,Hc X-Ray Shoulder 1 Vw - Xr Shoulder 1 View,343.0,343.0,,,0 CDM,3207303004,Hc X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views,397.0,397.0,,,0 CDM,3207305001,Hc X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral,453.0,453.0,,,0 CDM,3207306004,Hc X-Ray Humerus - Xr Humerus,394.0,394.0,,,0 CDM,3207307004,Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views,359.0,359.0,,,0 CDM,3207308004,Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views,394.0,394.0,,,0 CDM,3207309003,Hc X-Ray Forearm 2 Vw - Xr Forearm 2 Views,363.0,363.0,,,0 CDM,3207309203,"Hc X-Ray Arm, Infant - Xr Upper Extremity 2+ Views Infant",388.0,388.0,,,0 CDM,3207310004,Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views,351.0,351.0,,,0 CDM,3207311004,Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views,378.0,378.0,,,0 CDM,3207312004,Hc X-Ray Hand 2 Vw - Xr Hand 2 Views,388.0,388.0,,,0 CDM,3207313004,Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views,402.0,402.0,,,0 CDM,3207314004,Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views,304.0,304.0,,,0 CDM,3207350103,Hc Hip 1 View Uni Incls Pelvis,235.0,235.0,,,0 CDM,3207350202,Hc X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Right,235.0,235.0,,,0 CDM,3207350203,Hc Hip 2-3 View Uni Incls Pelvis,235.0,235.0,,,0 CDM,3207350303,Hc Hip 2-3 View Uni Incls Pelvis,388.0,388.0,,,0 CDM,3207352101,Hc X-Ray Exam Hips Bi 2 Vws - Xr Hips Bilat 2 Vw W/ Or W/O Pelvis,388.0,388.0,,,0 CDM,3207352201,Hc X-Ray Exam Hips Bi 3-4 Vws - Xr Hips Bilat 3-4 Vw W/ Or W/O Pelvis,438.0,438.0,,,0 CDM,3207352301,Hc X-Ray Exam Hips Bi 5+ Vws - Xr Hips Bilat 5+ Vw W/ Or W/O Pelvis,527.0,527.0,,,0 CDM,3207355103,Hc Radiologic Examination Femur 1 View - Xr Femur 1 Vw,235.0,235.0,,,0 CDM,3207355204,Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw,235.0,235.0,,,0 CDM,3207356004,Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views,373.0,373.0,,,0 CDM,3207356203,Hc X-Ray Knee 3 View - Xr Knee 3 Views Bilateral,402.0,402.0,,,0 CDM,3207356204,Hc X-Ray Knee 3 View - Xr Knee 3 Views,402.0,402.0,,,0 CDM,3207356404,Hc X-Ray Knee 4+ View - Xr Knee 4+ Views,452.0,452.0,,,0 CDM,3207356502,Hc X-Ray Knee Standing - Xr Knees Anteroposterior Standing,235.0,235.0,,,0 CDM,3207359003,"Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views",373.0,373.0,,,0 CDM,3207359204,"Hc X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant",235.0,235.0,,,0 CDM,3207360003,Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views,351.0,351.0,,,0 CDM,3207361003,Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views,378.0,378.0,,,0 CDM,3207362003,Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views,351.0,351.0,,,0 CDM,3207363004,Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views,378.0,378.0,,,0 CDM,3207365007,Hc X-Ray Heel - Xr Calcaneus 2 Views,344.0,344.0,,,0 CDM,3207366003,Hc X-Ray Toe(S) - Xr Toes 2+ Views,304.0,304.0,,,0 CDM,3207401802,Hc Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View,359.0,359.0,,,0 CDM,3207401901,Hc Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw,574.0,574.0,,,0 CDM,3207402101,Hc Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views,645.0,645.0,,,0 CDM,3207402201,"Hc X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View",759.0,759.0,,,0 CDM,3207419001,Hc X-Ray Peritoneum - Ir Guided Peritoneogram W Contrast,1784.0,1784.0,,,0 CDM,3207421001,Hc Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx,1061.0,1061.0,,,0 CDM,3207422001,Hc Esophagram - Fl Esophagus Barium Swallow,513.0,513.0,,,0 CDM,3207422101,Hc Hd Barium Swallow(Esophgram),765.0,765.0,,,0 CDM,3207423001,Hc Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech,1298.0,1298.0,,,0 CDM,3207423501,"Hc Removal Of Foreign Body(S), Esophagealw/ Use Of Balloon Cath, R&I",1640.0,1640.0,,,0 CDM,3207424001,Hc X-Ray Upper Gi Delay - Fl Upper Gi Incl Kub Single Contrast,1518.0,1518.0,,,0 CDM,3207424601,Hc Contrst X-Ray Uppr Gi Tract - Fl Upper Gi With Double Cont W/O Kub,1632.0,1632.0,,,0 CDM,3207424801,Hc Ugi-Rad Study Multi Serial Img,1518.0,1518.0,,,0 CDM,3207425001,Hc X-Ray Exam Of Small Bowel - Fl Small Bowel Series,1233.0,1233.0,,,0 CDM,3207425101,Hc X-Ray Exam Of Small Bowel - Fl Small Bowel Series Enteroclysis Tube,1761.0,1761.0,,,0 CDM,3207427001,Hc X-Ray Colon Contrast - Fl Barium Enema Single Contrast Water Soluble,1674.0,1674.0,,,0 CDM,3207428001,Hc X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast,2242.0,2242.0,,,0 CDM,3207428301,Hc Therapeutic Enema,738.0,738.0,,,0 CDM,3207430001,Hc X-Ray Oper Cholangiogram - Xr Cholangiogram Intraoperative,294.0,294.0,,,0 CDM,3207430101,Hc X-Ray Oper Cholangio Addnl Set - Xr Cholangiogram Intraoperative Add,281.0,281.0,,,0 CDM,3207432801,Hc X-Ray For Bile Duct Endoscopy - Fl Ercp Biliary Duct,1995.0,1995.0,,,0 CDM,3207432901,Hc X-Ray For Pancreas Endoscopy - Fl Ercp Pancreatic Duct,1443.0,1443.0,,,0 CDM,3207433001,Hc X-Ray Bile/Pancreas Endoscopy - Fl Ercp Biliary And Pancreas,2680.0,2680.0,,,0 CDM,3207434001,Hc X-Ray Guide For Gi Tube - Fl Feeding Tube Placement Long,2101.0,2101.0,,,0 CDM,3207436001,Hc X-Ray Guide Gi Dilation - Fl Guided Intraluminal Dilation Strictures,2415.0,2415.0,,,0 CDM,3207436002,Hc X-Ray Guide Gi Dilation - Ir Intraluminal Dilation Strict W Fl Guide,2415.0,2415.0,,,0 CDM,3207436301,Hc X-Ray Bile Duct Dilation - Ir Biliary Dilation,4521.0,4521.0,,,0 CDM,3207440002,Hc X-Ray Iv Pyelogram (Ivp) - Fl Intravenous Pyelogram,1478.0,1478.0,,,0 CDM,3207442001,Hc X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde,1944.0,1944.0,,,0 CDM,3207442501,Hc X-Ray Antegrade Pyelogram Tube - Fl Guided Nephrostogram,1784.0,1784.0,,,0 CDM,3207443001,"Hc X-Ray Cystogram, Min 3 View - Fl Cystogram 3V",976.0,976.0,,,0 CDM,3207445001,Hc X-Ray Urethrocystogram - Xr Cystourethrogram,1210.0,1210.0,,,0 CDM,3207445501,Hc Voiding Urethrocystogram,1784.0,1784.0,,,0 CDM,3207474001,Hc X-Ray Hysterosalpingogram - Xr Hysterosalpingogram,1784.0,1784.0,,,0 CDM,3207474201,Hc Transcervical Cath Fallopian T,2055.0,2055.0,,,0 CDM,3207477501,Hc Perineogram (Eg. Vaginogram),769.0,769.0,,,0 CDM,3207560001,Hc Aorto Thoracic W/O Serial,10421.0,10421.0,,,0 CDM,3207560503,Hc Contrast Exam Thoracic Aorta - By Serialography W/ Rs&I,10421.0,10421.0,,,0 CDM,3207562501,Hc Contrast Exam Abdominl Aorta - Aortography By Serialogrphy W/Rs&I,10421.0,10421.0,,,0 CDM,3207563001,Hc X-Ray Aorta Leg Arteries - Ir Angio Abdom Aorta & Bilat Iliofemoral,10421.0,10421.0,,,0 CDM,3207571001,Hc Angio Extremity Unilat - Ir Angiogram Extremity Left,10421.0,10421.0,,,0 CDM,3207571003,Hc Angio Extremity Unilat - Ir Angiogram Extremity Right,10421.0,10421.0,,,0 CDM,3207574601,Hc Angio Pulmonary Nonselective,10421.0,10421.0,,,0 CDM,3207580105,"Hc Lymphangiography, Extremity Only, Unilateral",3053.0,3053.0,,,0 CDM,3207580301,Hc Lymphangio Extrem Bilat - Ir Lymphangiogram Extremity Bilateral,3287.0,3287.0,,,0 CDM,3207580505,Hc Lymphangio Abd/Pelv Unilat - Ir Lymphangiogram Abdomen Pelvis,3207.0,3207.0,,,0 CDM,3207580702,Hc Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat,10421.0,10421.0,,,0 CDM,3207580901,Hc Nonvascular Shuntogram - Ir Nonvascular Shuntogram,900.0,900.0,,,0 CDM,3207581001,Hc Splenoportography,10421.0,10421.0,,,0 CDM,3207582001,Hc Venogram Extrem Unilat - Ir Venogram Extremity,2663.0,2663.0,,,0 CDM,3207582201,"Hc Venogram Extrem Bilat - Ir Venogram Extremity, Bilateral",2663.0,2663.0,,,0 CDM,3207582501,Hc Venogram Infer Vena Cava - Ir Veno Caval Inferior W Serialography,10421.0,10421.0,,,0 CDM,3207582701,Hc Venogram Super Vena Cava - Ir Veno Caval Superior W Serialography,6583.0,6583.0,,,0 CDM,3207583101,Hc Venogram Renal Unilat - Ir Venogram Renal,10421.0,10421.0,,,0 CDM,3207583301,Hc Venogram Renal Bilat - Ir Venogram Renal Bilateral,10421.0,10421.0,,,0 CDM,3207586001,"Hc Venogram Sinus/Jugular - Ir Venogram Venous Sinus, Jugular",10421.0,10421.0,,,0 CDM,3207586002,"Hc Venogram Sinus/Jugular - Ir Venogram Venous Sinus, Jugular Addl",10421.0,10421.0,,,0 CDM,3207587001,Hc Venogram Super Sag Sinus - Ir Venogram Superior Sagittal Sinus,6583.0,6583.0,,,0 CDM,3207587201,"Hc Venography, Epidural, Radiological S&I",1596.0,1596.0,,,0 CDM,3207588001,Hc Venogram Orbital - Ir Venogram Orbital,10421.0,10421.0,,,0 CDM,3207588701,Hc Vein X-Ray Liver W/O Hemodyn - Ir Perc Transhepatic Porto Wo Hemo Ev,6786.0,6786.0,,,0 CDM,3207589101,Hc Vein X-Ray Liver - Ir Venogram Hepatic Wo Hemodynamic Evaluation,10421.0,10421.0,,,0 CDM,3207589301,Hc Venous Sampling By Catheter - Ir Venous Sampling Catheterization,10421.0,10421.0,,,0 CDM,3207589302,Hc Venous Sampling By Catheter - Ir Venous Sampling Catheterization Ea Addl,10421.0,10421.0,,,0 CDM,3207589401,Hc X-Rays Transcath Therapy - Ir Transcatheter Therapy Embolization,15916.0,15916.0,,,0 CDM,3207589801,Hc Angio Thru Existing Cath F/U,2562.0,2562.0,,,0 CDM,3207590201,"Hc Mechanical Removal, Intraluminal Obstr Material, Cv Device Through Device Lumen, Radiologic S&I",883.0,883.0,,,0 CDM,3207595601,Hc Aaa Repair Thor. W/ Lt Subclav,2857.0,2857.0,,,0 CDM,3207595701,Hc Aaa Thoracic Not W/ Lsub,2447.0,2447.0,,,0 CDM,3207595801,Hc Aaa Thoracic Descending,1633.0,1633.0,,,0 CDM,3207595901,Hc Aaa Distal Extension Thoracic,1432.0,1432.0,,,0 CDM,3207597001,Hc Vascular Biopsy - Ir Transcatheter Biopsy,7810.0,7810.0,,,0 CDM,3207598401,Hc Xray Control Catheter Change,1842.0,1842.0,,,0 CDM,3207598402,Hc Change Perc Drainage Cath,1842.0,1842.0,,,0 CDM,3207598901,Hc Abscess Drainage Under X-Ray - Ir Ct Guidance For Abscess Drain,2964.0,2964.0,,,0 CDM,3207600001,Hc Fluoroscopy <1 Hr Phys/Qhp - Ir Cvc Reposition W Fl Guidance,738.0,738.0,,,0 CDM,3207600004,Hc Fluoroscopy <1 Hr Phys/Qhp - Fl Less Than 1 Hour Intraoperative,738.0,738.0,,,0 CDM,3207601001,Hc X-Ray Nose-Rectum Child F.B. - Xr Nose To Rectum Foreign Body Peds,976.0,976.0,,,0 CDM,3207608003,"Hc X-Ray Fistula, Abscess Or Sinus Tract",1784.0,1784.0,,,0 CDM,3207608005,"Hc X-Ray Fistula,Abscess,Sinus Tract - Fl Fistula Sinus Tract",1784.0,1784.0,,,0 CDM,3207612501,Hc Video/Cineradiography Add On,452.0,452.0,,,0 CDM,3207649903,Hc Body Composition Dxa 1+ Site(S,1481.0,1481.0,,,0 CDM,3207700101,Hc Fluoroguide For Vein Device - Fl Guided Venous Access,515.0,515.0,,,0 CDM,3207700201,Hc X-Ray Fluoroscopic Guidance For Needle Placement,404.0,404.0,,,0 CDM,3207700267,Hc Needle Localization By Xray - Fl Guided Aspiration Hip Left,404.0,404.0,,,0 CDM,3207700268,Hc Needle Localization By Xray - Fl Guided Aspiration Hip Right,404.0,404.0,,,0 CDM,3207700273,Hc Needle Localization By Xray - Fl Guided Injection Hip Left,404.0,404.0,,,0 CDM,3207700301,Hc Fluorscopic Guidance Spinal Injection - Ir Disc Aspiration,371.0,371.0,,,0 CDM,3207707201,Hc X-Rays For Bone Age - Xr Bone Age Extended,388.0,388.0,,,0 CDM,3207707301,"Hc X-Rays, Bone Length Studies - Xr Lower Extremity Leg Length Eval",267.0,267.0,,,0 CDM,3207707401,"Hc X-Rays, Bone Survey, Limited - Xr Bone Survey Limited",388.0,388.0,,,0 CDM,3207707501,"Hc X-Rays, Bone Survey Complete - Xr Bone Survey Complete",506.0,506.0,,,0 CDM,3207707601,"Hc X-Rays, Bone Survey, Infant - Xr Bone Survey Infant",402.0,402.0,,,0 CDM,3207708002,Hc Dxa Bone Density Axial - Dexa Bone Density,804.0,804.0,,,0 CDM,3207708101,Hc Dxa Bone Density/Peripheral - Dexa Bone Density Extremity,237.0,237.0,,,0 CDM,3207708501,Hc Dxa Bone Density Study - Dexa Bone Density Axial Skeleton W Vfa,388.0,388.0,,,0 CDM,3207708601,Hc Fracture Assessment Via Dxa - Dexa Bone Density Spine Fracture,235.0,235.0,,,0 CDM,3207826601,"Hc Gastric Empty Img Study W/Sb And Colon Transit, Multiple Days",2505.0,2505.0,,,0 CDM,3208_60758088010,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-10) / 10 Ml In 1 Bottle, Dropper",614.91,614.91,,,0 CDM,3209261201,"Hc Slp Endoscopic Eval,Swallow,Cine/Video",268.0,268.0,,,0 CDM,3209261601,"Hc Slp Endos Eval,Swal+Laryn Sen Tst,Cine/Vid",937.0,937.0,,,0 CDM,320C975601,Hc Fluorescence Lymph Mapping W/ Icg,1010.43,1010.43,,,0 CDM,320C977601,Hc Fluorescence Bile Duct Imaging W/ Icg,1063.0,1063.0,,,0 CDM,3210_C1887_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,32128_50268066811,NDC Description Not Available,17.35,17.35,,,0 CDM,32128_55111027490,Pravastatin Sodium: 90 Tablet In 1 Bottle (55111-274-90),17.51,17.51,,,0 CDM,32128_60505132309,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-1323-9),17.51,17.51,,,0 CDM,3215_55150026705,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",111.24,111.24,,,0 CDM,3217590101,Hc Remove Cva Device Obstruct - Ir Catheter Obstruction Removal,1300.0,1300.0,,,0 CDM,32182_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,3218_00527178801,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1788-01)",15.86,15.86,,,0 CDM,3218_00904715761,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7157-61) / 1 Tablet, Film Coated In 1 Blister Pack",25.74,25.74,,,0 CDM,3218_50268036611,NDC Description Not Available,26.96,26.96,,,0 CDM,3218_70954027310,Fluphenazine Hydrochloride: 100 Tablet In 1 Bottle (70954-273-10),15.82,15.82,,,0 CDM,3219_00527179101,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1791-01)",42.23,42.23,,,0 CDM,3219_00904716061,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7160-61) / 1 Tablet, Film Coated In 1 Blister Pack",54.9,54.9,,,0 CDM,3219_60687076111,NDC Description Not Available,21.74,21.74,,,0 CDM,3220_00904715861,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7158-61) / 1 Tablet, Film Coated In 1 Blister Pack",32.04,32.04,,,0 CDM,3220_24979013701,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (24979-137-01)",24.52,24.52,,,0 CDM,32212_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,32214_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,32215_55111067811,NDC Description Not Available,41.61,41.61,,,0 CDM,32215_55150023000,NDC Description Not Available,25.96,25.96,,,0 CDM,32215_67457058200,NDC Description Not Available,39.41,39.41,,,0 CDM,32215_67457058210,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",1.03,1.03,,,0 CDM,3221_68462033701,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (68462-337-01)",33.22,33.22,,,0 CDM,3227304003,Hc Arthrogram Of Shoulder - Xr Shoulder Arthrogram Left,1349.0,1349.0,,,0 CDM,3227308501,Hc Arthrogram Of Elbow - Xr Elbow Arthrogram Left,1349.0,1349.0,,,0 CDM,3227311503,Hc Arthrogram Of Wrist - Xr Wrist Arthrogram,842.0,842.0,,,0 CDM,3227352503,Hc Arthrogram Of Hip - Xr Hip Arthrogram,1349.0,1349.0,,,0 CDM,3227358004,Hc Arthrogram Of Knee Joint - Xr Knee Arthrogram,1202.0,1202.0,,,0 CDM,3227361501,Hc Arthrogram Of Ankle - Xr Ankle Arthrogram,1020.0,1020.0,,,0 CDM,32298_00056051030,"SUSTIVA: 30 TABLET, FILM COATED in 1 BOTTLE (0056-0510-30)",141.11,141.11,,,0 CDM,32298_65862004930,"Efavirenz: 30 Tablet, Film Coated In 1 Bottle (65862-049-30)",134.93,134.93,,,0 CDM,322G026001,"Hc Inj Sacroiliac Joint, Provision Of Anesth, Steriod And/Or Other Agent, W/Wo Arthrography",3148.0,3148.0,,,0 CDM,32302_270,Noncdm Charge Record Medical Supplies,820.6,820.6,,,0 CDM,3232_39822110001,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1) / 10 Ml In 1 Vial, Multi-Dose",3.07,3.07,,,0 CDM,3232_63323018410,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",4.87,4.87,,,0 CDM,32370_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,3237322501,Hc Mr Angio Upper Extrem - Ir Angiogram Brachial Retrograde Left,2468.0,2468.0,,,0 CDM,3237436301,Hc X-Ray Bile Duct Dilation - Ir Biliary Dilation,4521.0,4521.0,,,0 CDM,3237562502,Hc Contrast Exam Abdominl Aorta - Ir Aortagram Abdomnl Serialogram Chg,10421.0,10421.0,,,0 CDM,3237563001,Noncdm Charge Record,1278.0,1278.0,,,0 CDM,3237563002,Hc X-Ray Aorta Leg Arteries - Ir Angio Abdom Aorta & Bilat Iliofemoral,10421.0,10421.0,,,0 CDM,3237570501,Hc Angio Spinal Selectv - Ir Angiogram Spinal Selective,10421.0,10421.0,,,0 CDM,3237571003,Hc Angio Extremity Unilat - Ir Angiogram Extremity Left Charge,10421.0,10421.0,,,0 CDM,3237571004,Hc Angio Extremity Unilat - Ir Angiogram Extremity Right Charge,10421.0,10421.0,,,0 CDM,3237571601,Hc Angio Extermity Bilat - Ir Angiogram Extremity Bilateral,10421.0,10421.0,,,0 CDM,3237571602,Hc Angio Extermity Bilat - Ir Angiogram Extremity Bilateral Charge,10421.0,10421.0,,,0 CDM,3237572601,Hc Angio Visceral Selectv/Subselec - Ir Angio Visceral Selective,10421.0,10421.0,,,0 CDM,3237572602,Hc Angio Visceral Selectv/Subselec - Ir Angio Visceral Selective Chg,10421.0,10421.0,,,0 CDM,3237573105,Hc Angio Adrenal Unilat Select - Angiogram Adrenal Selective,10421.0,10421.0,,,0 CDM,3237573302,Hc Angio Adrenal Bilat Select - Ir Angiogram Adrenal Selective Bilat,8687.0,8687.0,,,0 CDM,3237573601,Hc Angio Pelvis - Ir Angio Pelvic Selective Or Supraselective,10421.0,10421.0,,,0 CDM,3237574105,Hc Angio Pulmon Unilat Select - Ir Angiogram Pulmonary Selective,10421.0,10421.0,,,0 CDM,3237574302,Hc Angio Pulmon Bilat Select - Ir Angiogram Pulmonary Selective Bilat,10421.0,10421.0,,,0 CDM,3237575601,Hc Angio Intern Mammary - Ir Angiogram Internal Mammary,10421.0,10421.0,,,0 CDM,3237577401,Hc Angio Ea Addnl Selectv Vessel - Ir Angio Selective Ea Addl Vessel,6086.0,6086.0,,,0 CDM,3237577402,Hc Angio Ea Addnl Selectv Vessel - Ir Angio Selective Ea Addl Vessel Ch,6086.0,6086.0,,,0 CDM,3237582002,Hc Venogram Extrem Unilat - Ir Venogram Lower Extremity Left Chg,2663.0,2663.0,,,0 CDM,3237582004,Hc Venogram Extrem Unilat - Ir Venogram Lower Extremity Right Chg,2663.0,2663.0,,,0 CDM,3237582007,Hc Venogram Extrem Unilat - Ir Venogram Extremity Left Charge,2663.0,2663.0,,,0 CDM,3237582008,Hc Venogram Extrem Unilat - Ir Venogram Extremity Right Charge,2663.0,2663.0,,,0 CDM,3237582204,Hc Venogram Extrem Bilat - Ir Venogram Extremity Bilateral Charge,2663.0,2663.0,,,0 CDM,3237582501,Hc Venogram Infer Vena Cava - Ir Veno Caval Inferior W Serialography,10421.0,10421.0,,,0 CDM,3237582701,Hc Venogram Super Vena Cava - Ir Veno Caval Superior W Serialography,6583.0,6583.0,,,0 CDM,3237582702,Hc Venogram Super Vena Cava - Ir Veno Caval Superior W Serialography Ch,6583.0,6583.0,,,0 CDM,3237588501,Hc Vein X-Ray Liver W/Hemodynam - Ir Perc Transhep Porto W Hemo Evl Chg,10421.0,10421.0,,,0 CDM,3237588502,Hc Vein X-Ray Liver W/Hemodynam - Ir Perc Transhepatic Porto W Hemo Evl,10421.0,10421.0,,,0 CDM,3237588901,Hc Vein X-Ray Liver W/Hemodynam - Ir Veno Hepatic W Hemodynamic Eval,10421.0,10421.0,,,0 CDM,3237589301,Hc Venous Sampling By Catheter - Ir Venous Sampling Catheterization,10421.0,10421.0,,,0 CDM,3237598403,Hc Xray Control Catheter Change - Ir Gj Tube Change Charge,1842.0,1842.0,,,0 CDM,32376_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,32380_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,32382_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,3240000001,Noncdm Charge Record,337.0,337.0,,,0 CDM,3247104502,Hc Radiologic Exam Chest Single View - Xr Chest 1 View,157.5,157.5,,,0 CDM,3247104601,Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views,260.0,260.0,,,0 CDM,3247104701,Hc Chest X-Ray 3 Views,311.5,311.5,,,0 CDM,3247104801,Hc Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views,339.5,339.5,,,0 CDM,3247110103,"Hc X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws W/ Chest Anteroposterior",509.0,509.0,,,0 CDM,3247111101,"Hc X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior",649.0,649.0,,,0 CDM,324_00228202710,Alprazolam: 100 Tablet In 1 Bottle (0228-2027-10),2.46,2.46,,,0 CDM,324_00228202750,Alprazolam: 500 Tablet In 1 Bottle (0228-2027-50),3.05,3.05,,,0 CDM,324_00781106101,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),2.5,2.5,,,0 CDM,324_00781106105,Alprazolam: 500 Tablet In 1 Bottle (0781-1061-05),2.46,2.46,,,0 CDM,324_59762371901,Alprazolam: 100 Tablet In 1 Bottle (59762-3719-1),2.17,2.17,,,0 CDM,324_60687037711,NDC Description Not Available,1.32,1.32,,,0 CDM,32512_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,32516_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,3252_270,Noncdm Charge Record Medical Supplies,907.5,907.5,,,0 CDM,32532_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,32534_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,3254_C1751_278,Noncdm Charge Record Medical Supplies,180.8,180.8,,,0 CDM,32554_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,32582_C1769_272,Noncdm Charge Record Medical Supplies,10.27,10.27,,,0 CDM,32582_C1769_278,Noncdm Charge Record Medical Supplies,11.24,11.24,,,0 CDM,32583_270,Noncdm Charge Record Medical Supplies,809.6,809.6,,,0 CDM,32589_61703032418,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18) / 10 Ml In 1 Vial, Single-Dose",60.8,60.8,,,0 CDM,32589_67457043010,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10) / 10 Ml In 1 Vial,116.81,116.81,,,0 CDM,325_00228202910,Alprazolam: 100 Tablet In 1 Bottle (0228-2029-10),3.25,3.25,,,0 CDM,325_00228202950,Alprazolam: 500 Tablet In 1 Bottle (0228-2029-50),3.7,3.7,,,0 CDM,325_00781107701,Alprazolam: 100 Tablet In 1 Bottle (0781-1077-01),2.71,2.71,,,0 CDM,325_59762372001,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),2.6,2.6,,,0 CDM,325_60687038811,NDC Description Not Available,1.56,1.56,,,0 CDM,325_65862067701,Alprazolam: 100 Tablet In 1 Bottle (65862-677-01),3.15,3.15,,,0 CDM,32624_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,32628_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,32630_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,32632_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,32634_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,32640_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,32700_00023923201,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",16.22,16.22,,,0 CDM,32710_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,32723_270,Noncdm Charge Record Medical Supplies,488.4,488.4,,,0 CDM,32751_270,Noncdm Charge Record Medical Supplies,530.31,530.31,,,0 CDM,32751_C1889_278,Noncdm Charge Record Medical Supplies,512.27,512.27,,,0 CDM,32755_C1776_278,Noncdm Charge Record Medical Supplies,372.9,372.9,,,0 CDM,32757_C1776_278,Noncdm Charge Record Medical Supplies,347.6,347.6,,,0 CDM,32759_C1776_278,Noncdm Charge Record Medical Supplies,347.98,347.98,,,0 CDM,32811_C1750_278,Noncdm Charge Record Medical Supplies,774.4,774.4,,,0 CDM,32827_00574012225,Ez Char: 25 G In 1 Bottle (0574-0122-25),18.02,18.02,,,0 CDM,32855_61703032618,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-326-18) / 10 Ml In 1 Vial, Single-Dose",59.1,59.1,,,0 CDM,32855_67457044610,Pamidronate Disodium: 1 Vial In 1 Carton (67457-446-10) / 10 Ml In 1 Vial,8.58,8.58,,,0 CDM,32893_62935075680,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,1116.52,1116.52,,,0 CDM,32905_270,Noncdm Charge Record Medical Supplies,538.88,538.88,,,0 CDM,3291_00143915701,NDC Description Not Available,1.73,1.73,,,0 CDM,3291_00143915710,"Furosemide: 10 Vial, Single-Dose In 1 Carton (0143-9157-10) / 10 Ml In 1 Vial, Single-Dose (0143-9157-01)",1.26,1.26,,,0 CDM,3291_00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",18.27,18.27,,,0 CDM,3291_00409610204,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",6.68,6.68,,,0 CDM,3291_00409610210,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",5.36,5.36,,,0 CDM,3291_00409610218,NDC Description Not Available,6.36,6.36,,,0 CDM,3291_00409610219,NDC Description Not Available,17.87,17.87,,,0 CDM,3291_00409610220,NDC Description Not Available,5.11,5.11,,,0 CDM,3291_00409610225,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-25) / 2 Ml In 1 Vial, Single-Dose (0409-6102-35)",14.44,14.44,,,0 CDM,3291_00409610226,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-26) / 4 Ml In 1 Vial, Single-Dose (0409-6102-36)",6.42,6.42,,,0 CDM,3291_00409610227,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-27) / 10 Ml In 1 Vial, Single-Dose (0409-6102-37)",4.41,4.41,,,0 CDM,3291_00409610235,NDC Description Not Available,14.68,14.68,,,0 CDM,3291_00409610236,NDC Description Not Available,6.75,6.75,,,0 CDM,3291_00409610237,NDC Description Not Available,4.42,4.42,,,0 CDM,3291_23155047331,NDC Description Not Available,10.61,10.61,,,0 CDM,3291_23155047332,NDC Description Not Available,7.57,7.57,,,0 CDM,3291_23155047333,NDC Description Not Available,3.47,3.47,,,0 CDM,3291_36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",4.72,4.72,,,0 CDM,3291_36000028325,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",2.58,2.58,,,0 CDM,3291_36000028425,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25) / 10 Ml In 1 Vial, Single-Dose",1.6,1.6,,,0 CDM,3291_55150032201,NDC Description Not Available,11.33,11.33,,,0 CDM,3291_55150032301,NDC Description Not Available,7.56,7.56,,,0 CDM,3291_55150032401,NDC Description Not Available,3.45,3.45,,,0 CDM,3291_63323028001,NDC Description Not Available,9.08,9.08,,,0 CDM,3291_63323028002,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),8.0,8.0,,,0 CDM,3291_71288020302,NDC Description Not Available,4.3,4.3,,,0 CDM,3291_71288020303,"Furosemide: 25 Vial, Single-Dose In 1 Carton (71288-203-03) / 2 Ml In 1 Vial, Single-Dose (71288-203-02)",4.12,4.12,,,0 CDM,3291_71288020310,NDC Description Not Available,1.72,1.72,,,0 CDM,3291_72603013301,NDC Description Not Available,11.4,11.4,,,0 CDM,3291_72603013325,Furosemide: 25 Vial In 1 Carton (72603-133-25) / 2 Ml In 1 Vial (72603-133-01),11.58,11.58,,,0 CDM,3291_72603025101,NDC Description Not Available,5.24,5.24,,,0 CDM,3291_72603047401,NDC Description Not Available,3.64,3.64,,,0 CDM,32927_V2632_276,Noncdm Charge Record Medical Supplies,209.0,209.0,,,0 CDM,3293_68094086759,NDC Description Not Available,6.7,6.7,,,0 CDM,3294_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,32953_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,32955_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,32959_00026382125,"Kovaltry: 1 Kit In 1 Box (0026-3821-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-01)",4.55,4.55,,,0 CDM,3295_00054829925,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25) / 10 Tablet In 1 Blister Pack,2.68,2.68,,,0 CDM,32961_00026382425,"Kovaltry: 1 Kit In 1 Box (0026-3824-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-01)",4.32,4.32,,,0 CDM,32961_00026482401,NDC Description Not Available,2.59,2.59,,,0 CDM,3296_00054830125,Furosemide: 10 Blister Pack In 1 Carton (0054-8301-25) / 10 Tablet In 1 Blister Pack,5.53,5.53,,,0 CDM,33008_00904659604,"Voriconazole: 30 Blister Pack In 1 Carton (0904-6596-04) / 1 Tablet, Film Coated In 1 Blister Pack",35.02,35.02,,,0 CDM,33008_16714019801,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-198-01)",64.77,64.77,,,0 CDM,33008_51079016401,NDC Description Not Available,47.07,47.07,,,0 CDM,33009_00781566831,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (0781-5668-31)",169.68,169.68,,,0 CDM,33009_00904702404,"Voriconazole: 30 Blister Pack In 1 Carton (0904-7024-04) / 1 Tablet, Film Coated In 1 Blister Pack",13.78,13.78,,,0 CDM,33009_16714019901,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-199-01)",247.78,247.78,,,0 CDM,33009_43547037803,"Voriconazole: 30 Tablet, Coated In 1 Bottle (43547-378-03)",90.64,90.64,,,0 CDM,33009_51079016501,NDC Description Not Available,188.13,188.13,,,0 CDM,33009_63739000833,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33) / 10 Tablet In 1 Blister Pack",85.44,85.44,,,0 CDM,33010_00049319001,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01) / 20 Ml In 1 Vial, Single-Use",15.93,15.93,,,0 CDM,33010_00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",14.35,14.35,,,0 CDM,33010_00781341694,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",27.51,27.51,,,0 CDM,33010_65219019030,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (65219-190-30) / 20 Ml In 1 Vial, Single-Dose",12.98,12.98,,,0 CDM,33010_70436002980,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",27.5,27.5,,,0 CDM,33010_70594006701,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (70594-067-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 CDM,33015_C1769_278,Noncdm Charge Record Medical Supplies,86.9,86.9,,,0 CDM,33017_C1769_278,Noncdm Charge Record Medical Supplies,138.48,138.48,,,0 CDM,33019_C1769_278,Noncdm Charge Record Medical Supplies,138.42,138.42,,,0 CDM,33025_C1769_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,33027_C1769_278,Noncdm Charge Record Medical Supplies,98.37,98.37,,,0 CDM,33071_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,33083_00245021311,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),34.57,34.57,,,0 CDM,33083_00904681907,Midodrine Hydrochloride: 30 Blister Pack In 1 Carton (0904-6819-07) / 1 Tablet In 1 Blister Pack,3.36,3.36,,,0 CDM,33083_50268056311,NDC Description Not Available,4.81,4.81,,,0 CDM,33083_60687040995,NDC Description Not Available,4.84,4.84,,,0 CDM,33088_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,33111_C1769_278,Noncdm Charge Record Medical Supplies,180.19,180.19,,,0 CDM,33153_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,33157_C1876_278,Noncdm Charge Record Medical Supplies,1586.2,1586.2,,,0 CDM,33159_C1876_278,Noncdm Charge Record Medical Supplies,1586.2,1586.2,,,0 CDM,33167_C1773_278,Noncdm Charge Record Medical Supplies,1008.7,1008.7,,,0 CDM,33168_C1889_278,Noncdm Charge Record Medical Supplies,6220.5,6220.5,,,0 CDM,33169_C1757_278,Noncdm Charge Record Medical Supplies,511.96,511.96,,,0 CDM,33171_C1757_278,Noncdm Charge Record Medical Supplies,511.99,511.99,,,0 CDM,33175_00049392020,NDC Description Not Available,145.14,145.14,,,0 CDM,33175_43598084811,NDC Description Not Available,123.62,123.62,,,0 CDM,33175_43598084858,"Ziprasidone Mesylate: 1 Vial, Single-Dose In 1 Carton (43598-848-58) / 1 Ml In 1 Vial, Single-Dose",123.08,123.08,,,0 CDM,33175_72266016001,NDC Description Not Available,71.82,71.82,,,0 CDM,33175_72266016010,"Ziprasidone Mesylate: 10 Vial, Single-Dose In 1 Carton (72266-160-10) / 1 Ml In 1 Vial, Single-Dose (72266-160-01)",142.14,142.14,,,0 CDM,33175_72266016041,NDC Description Not Available,43.17,43.17,,,0 CDM,33187_C1766_278,Noncdm Charge Record Medical Supplies,104.7,104.7,,,0 CDM,3319640101,"Hc Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im",797.0,797.0,,,0 CDM,3319640201,Hc Chemother Hormon Antineopl Sub-Q/Im,428.0,428.0,,,0 CDM,3319640502,"Hc Intralesional Chemotherapy Admin, <=7 Lesions",222.0,222.0,,,0 CDM,3319640602,"Hc Intralesional Chemotherapy Admin,7+ Lesions",827.0,827.0,,,0 CDM,3319640901,"Hc Chemother, Iv Push, Sngl Drug",1184.0,1184.0,,,0 CDM,3319641101,"Hc Chemotherapy, Iv Push, Ea Addl Drug",681.0,681.0,,,0 CDM,3319642001,"Hc Chemotherapy Admin, Intra-Arterial, Push Technique",1340.0,1340.0,,,0 CDM,3319644601,"Hc Chemotherapy, Peritoneal Cavity Via Indwelling Port/Catheter",1340.0,1340.0,,,0 CDM,3319645001,"Hc Chemotherapy,Cns,W/Lumbar Puncture (Intrathecal)",1340.0,1340.0,,,0 CDM,33196450PB,"Hc Pbb Chemother,Cns,W/Lumbar Puncture",1340.0,1340.0,,,0 CDM,3319654201,"Hc Chemotherapy Inject, Subarachnoid/Intraventricular Via Subq Reservoir",827.0,827.0,,,0 CDM,3319654901,"Hc Chemotherapy, Unspecified Procedure",121.0,121.0,,,0 CDM,33227_00781183101,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (0781-1831-01)",13.34,13.34,,,0 CDM,33227_00781183120,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1831-20)",13.67,13.67,,,0 CDM,33227_16714029601,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-296-01)",13.66,13.66,,,0 CDM,33227_16714047701,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-477-01)",13.67,13.67,,,0 CDM,33227_42571016101,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (42571-161-01)",13.61,13.61,,,0 CDM,33227_65862050220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-502-20)",13.64,13.64,,,0 CDM,33228_00143924920,Amoxicillin And Clavulanate Potassium: 20 Tablet In 1 Bottle (0143-9249-20),18.35,18.35,,,0 CDM,33228_00781185220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1852-20)",18.28,18.28,,,0 CDM,33228_16714001401,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-014-01)",18.66,18.66,,,0 CDM,33228_16714001402,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-014-02)",17.7,17.7,,,0 CDM,33228_16714047802,"Amoxicillin and Clavulanate Potassium: 100 TABLET, FILM COATED in 1 BOTTLE (16714-478-02)",17.52,17.52,,,0 CDM,33228_42571016242,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-162-42)",18.22,18.22,,,0 CDM,33228_60687080311,NDC Description Not Available,27.58,27.58,,,0 CDM,33228_65862050301,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",17.73,17.73,,,0 CDM,33228_65862050320,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",18.76,18.76,,,0 CDM,33228_81964022114,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",19.28,19.28,,,0 CDM,33230_00143998250,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (0143-9982-50),6.18,6.18,,,0 CDM,33230_00143998275,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (0143-9982-75),2.06,2.06,,,0 CDM,33230_16714029301,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),23.92,23.92,,,0 CDM,33230_16714029302,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (16714-293-02),23.67,23.67,,,0 CDM,33230_16714029303,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (16714-293-03),22.06,22.06,,,0 CDM,33230_65862053450,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (65862-534-50),27.81,27.81,,,0 CDM,33230_65862053475,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (65862-534-75),24.6,24.6,,,0 CDM,33230_66685101201,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (66685-1012-1),20.48,20.48,,,0 CDM,33256_270,Noncdm Charge Record Medical Supplies,14355.0,14355.0,,,0 CDM,33278_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33280_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33282_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33284_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33286_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33288_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33290_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33300_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33306_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33308_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33314_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33316_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33318_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33320_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33322_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,3333_C2617_278,Noncdm Charge Record Medical Supplies,387.2,387.2,,,0 CDM,3334941101,"Hc Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc",4900.0,4900.0,,,0 CDM,33355875PB,"Hc Pbb Percut/Needle Insert,Prostate,Radioisot",7377.0,7377.0,,,0 CDM,33355920PB,Hc Pbb Placement Needle Pelvic Organ Radioelement Appl,12461.0,12461.0,,,0 CDM,3336179601,"Hc Stereotactic Radiosurgery, 1 Simple Cranial Lesion",3598.0,3598.0,,,0 CDM,3337701401,Hc Ct Scan For Therapy Guide,1102.5,1102.5,,,0 CDM,33377014PB,Hc Ct Scan For Therapy Guide,1102.5,1102.5,,,0 CDM,33377261PB,Hc Therapeutic Rad Tx Plan/Simple,652.0,652.0,,,0 CDM,3337726201,Hc Therapeutic Rad Tx Plan/Intermediate,873.0,873.0,,,0 CDM,3337726301,Hc Therapeutic Rad Tx Plan/Complex,1370.0,1370.0,,,0 CDM,33377280PB,Hc Therapeutic Radiology Simulation-Aided Field Setting; Simple,1881.0,1881.0,,,0 CDM,33377285PB,Hc Therap Radia Simulation Interm,2363.0,2363.0,,,0 CDM,33377290PB,Hc Therap Rad Simulation Complex,2889.0,2889.0,,,0 CDM,33377293PB,Hc Resp Gating - Respiratory Motionn Mgmt Simul,2263.0,2263.0,,,0 CDM,33377295PB,Hc Therap Radia Simulation 3-D,9945.0,9945.0,,,0 CDM,3337730001,Hc Radiation Therapy Dose Plan - Nm Therapy Sir Spheres,722.0,722.0,,,0 CDM,33377301PB,Hc Intens Mod Rad Plan Incl,11781.0,11781.0,,,0 CDM,33377306PB,Hc Teletxisodose-Simp W/Dosimetry,1117.0,1117.0,,,0 CDM,33377307PB,Hc Teletxisodose-Comp W/Dosimetry,1956.0,1956.0,,,0 CDM,3337731601,Hc Brachy Isodos-Simp W/Dosimetry,722.0,722.0,,,0 CDM,33377317PB,Hc Brachy Isodos-Inter W/Dosimtry,1956.0,1956.0,,,0 CDM,33377318PB,Hc Brachy Isodose-Comp W/Dosimtry,1956.0,1956.0,,,0 CDM,33377321PB,Hc Sp Tele Port Plan Total Body,1956.0,1956.0,,,0 CDM,33377331PB,Hc Sp Dosimetry Presc Tr Phys,722.0,722.0,,,0 CDM,33377332PB,Hc Treatment Devices Simple,722.0,722.0,,,0 CDM,3337733301,Hc Treatment Devices Interm,1117.0,1117.0,,,0 CDM,33377334PB,Hc Treatment Devices Complex,1956.0,1956.0,,,0 CDM,3337733601,Hc Cont Med Physics Con Per Week,1270.0,1270.0,,,0 CDM,33377336PB,Hc Cont Med Physics Con Per Week,1270.0,1270.0,,,0 CDM,33377338PB,Hc Mlc Devices Imrt,2102.0,2102.0,,,0 CDM,33377370PB,Hc Sp Med Rad Physics Consult,1256.0,1256.0,,,0 CDM,33377371PB,Hc Gamma-Multisource Colbalt 600,98785.0,98785.0,,,0 CDM,33377372PB,Hc Stereotac Radiosgry Line.Accel,66499.0,66499.0,,,0 CDM,33377373PB,Hc Sbrt Delivery 5 Or Less,11518.0,11518.0,,,0 CDM,33377385PB,Hc Imrt- Simple - Incl Guid/Trac,3389.0,3389.0,,,0 CDM,3337738601,Hc Imrt-Complex Incl Guid/Trk,3389.0,3389.0,,,0 CDM,33377386PB,Hc Imrt-Complex Incl Guid/Trk,3389.0,3389.0,,,0 CDM,33377387PB,Hc Guidance For Radiaj Tx Dlvr - Us Guidance Targeted Volume Rtd,1034.0,1034.0,,,0 CDM,33377402PB,Hc Rad Tx Delivery >=1 Mev Simple,742.0,742.0,,,0 CDM,33377407PB,Hc Rad Tx Delivery - >=1 Mev;Inte,971.0,971.0,,,0 CDM,33377412PB,"Hc Radiation Tx Delivery, => 1 Mev; Complex",1305.0,1305.0,,,0 CDM,33377417PB,Hc Therapeutic Rad Port Image(S),264.0,264.0,,,0 CDM,33377424PB,Hc Radtx X-Ray Interop-Sngl Sessn,66499.0,66499.0,,,0 CDM,3337743501,Hc Trt Mgt Sbrt <=5 Frac,1156.0,1156.0,,,0 CDM,33377470PB,"Hc Special Treatment Procedure (Eg, Total Body Irradiation, Hemibody Radiation, Per Oral Or Endocavi",4722.0,4722.0,,,0 CDM,3337752301,"Hc Proton Delivery, Intermediate",5210.0,5210.0,,,0 CDM,33377523PB,Hc Pt Proton Treatmnt Del-Interm,5210.0,5210.0,,,0 CDM,3337752501,Hc Proton Treatment Del-Complex,5992.0,5992.0,,,0 CDM,3337775001,Hc Infusion Or Instillation Rad S,1305.0,1305.0,,,0 CDM,3337776101,Hc Intracavitary Radioele Simple,3389.0,3389.0,,,0 CDM,33377763PB,Hc Intracavitary Radio Complex,7626.0,7626.0,,,0 CDM,3337777801,Hc Intersttl Radioel Cmplx Sh -,4667.0,4667.0,,,0 CDM,33377790PB,Hc Super - Hand - Loading Radio,220.0,220.0,,,0 CDM,3337779901,Hc Hdr Brachytherapy Preplanning,315.0,315.0,,,0 CDM,33414_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,33418_C1729_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,33497_C1769_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,33499_270,Noncdm Charge Record Medical Supplies,962.41,962.41,,,0 CDM,33512_00904642661,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.43,15.43,,,0 CDM,33512_43547028110,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-281-10)",15.45,15.45,,,0 CDM,33512_68084061711,NDC Description Not Available,15.54,15.54,,,0 CDM,33513_00904642761,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6427-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.15,15.15,,,0 CDM,33513_43547028210,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-282-10)",16.14,16.14,,,0 CDM,33513_65862037501,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-375-01)",17.58,17.58,,,0 CDM,33513_65862037505,"Escitalopram: 500 Tablet, Film Coated In 1 Bottle (65862-375-05)",17.51,17.51,,,0 CDM,33513_68084061811,NDC Description Not Available,16.53,16.53,,,0 CDM,33533_C1713_278,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,33534_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,33538_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33541_00078042315,Diovan: 30 Tablet In 1 Bottle (0078-0423-15),32.57,32.57,,,0 CDM,33541_00378580793,"Valsartan: 30 Tablet, Film Coated In 1 Bottle, Plastic (0378-5807-93)",14.6,14.6,,,0 CDM,33541_31722015130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (31722-151-30)",14.55,14.55,,,0 CDM,33541_42291085630,Valsartan: 30 Tablet In 1 Bottle (42291-856-30),30.62,30.62,,,0 CDM,33541_55111073130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (55111-731-30)",6.44,6.44,,,0 CDM,33541_60687061211,NDC Description Not Available,3.3,3.3,,,0 CDM,33550_C1730_272,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,33550_C1730_278,Noncdm Charge Record Medical Supplies,157.28,157.28,,,0 CDM,33552_C1730_272,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,33552_C1730_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,33554_C1731_272,Noncdm Charge Record Medical Supplies,1313.4,1313.4,,,0 CDM,33554_C1731_278,Noncdm Charge Record Medical Supplies,1313.4,1313.4,,,0 CDM,33559_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,33561_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,33591_00024515010,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",886.3,886.3,,,0 CDM,33591_00024515411,NDC Description Not Available,876.67,876.67,,,0 CDM,3359599101,Hc Refilling/Maintenance Of Implantable Pump Or Resv For Rx - Spinal Or Brain,1373.0,1373.0,,,0 CDM,3359641301,"Hc Chemotherapy, Iv Infusion, <=1 Hr, Sgl Or Initial Drug",1634.0,1634.0,,,0 CDM,3359641501,"Hc Chemotherapy, Iv Infusion, Ea Addl Hr",378.0,378.0,,,0 CDM,3359641601,Hc Chemotherapy Initiation Prolonged Infusion >8 Hrs W/Pump,1776.0,1776.0,,,0 CDM,3359641701,"Hc Chemotherapy, Iv Infusion, Each Sequential Infusion Diff Drug >=1 Hr",811.0,811.0,,,0 CDM,3359642201,"Hc Chemother,Ia Infusn Tech,<1 Hr",890.0,890.0,,,0 CDM,3359642301,"Hc Chemother,Ia Infusn Tech,Ea Hr,1-8Hr",125.0,125.0,,,0 CDM,3359642501,"Hc Chemotherapy Admin, Intra-Arterial, Infusion >8 Hours, Use Of Portable Or Implantable Pump",1296.0,1296.0,,,0 CDM,33658_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,33669_62935022104,NDC Description Not Available,1116.52,1116.52,,,0 CDM,33669_62935022305,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),1116.52,1116.52,,,0 CDM,33669_62935022710,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,1108.6,1108.6,,,0 CDM,33716_L8509_274,Noncdm Charge Record Medical Supplies,459.53,459.53,,,0 CDM,33718_L8509_274,Noncdm Charge Record Medical Supplies,456.1,456.1,,,0 CDM,33720_L8509_274,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,33804_C1769_272,Noncdm Charge Record Medical Supplies,6.05,6.05,,,0 CDM,33804_C1769_278,Noncdm Charge Record Medical Supplies,6.11,6.11,,,0 CDM,33862_00781194339,"Amoxicillin And Clavulanate Potassium: 40 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-39)",29.87,29.87,,,0 CDM,33862_00781194382,"Amoxicillin And Clavulanate Potassium: 28 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-82)",29.87,29.87,,,0 CDM,33886_61703032518,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-325-18) / 10 Ml In 1 Vial, Single-Dose",102.56,102.56,,,0 CDM,34034_00004035009,"Pegasys: 1 Vial, Single-Use In 1 Box (0004-0350-09) / 1 Ml In 1 Vial, Single-Use",2525.56,2525.56,,,0 CDM,34060_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,3406_270,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,3407802001,Hc Thyroid Met Uptake - Nm Thyroid Cancer Uptake,462.0,462.0,,,0 CDM,3407807501,Hc Adrenal Nuclear Imaging - Nm Adrenal,3694.0,3694.0,,,0 CDM,3407810201,"Hc Bone Marrow Imaging, Ltd - Nm Bone Marrow Limited",1109.0,1109.0,,,0 CDM,3407863001,Hc Csf Fluid Scan Cisternography - Nm Brain Cisternogram,2321.0,2321.0,,,0 CDM,3407866001,Hc Nuclear Exam Of Tear Flow - Nm Dacryocystogram,1126.0,1126.0,,,0 CDM,3407944501,Hc Nuclear Rx Intra-Arterial - Nm Radiopharm Therapy By Int-Art Partic,959.0,959.0,,,0 CDM,34089_31722013130,"Dutasteride: 30 Capsule, Liquid Filled In 1 Bottle (31722-131-30)",21.81,21.81,,,0 CDM,34089_42806054909,"Dutasteride: 90 Capsule, Liquid Filled In 1 Bottle (42806-549-09)",22.4,22.4,,,0 CDM,34089_42806054930,"Dutasteride: 30 Capsule, Liquid Filled In 1 Bottle (42806-549-30)",21.8,21.8,,,0 CDM,3408_270,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,3410332T01,Hc Mibg Planar & Spect,3886.0,3886.0,,,0 CDM,34153_00904710304,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04) / 1 Tablet In 1 Blister Pack,39.72,39.72,,,0 CDM,34153_00904710310,Ezetimibe: 20 Blister Pack In 1 Carton (0904-7103-10) / 1 Tablet In 1 Blister Pack,22.97,22.97,,,0 CDM,34153_16714081302,Ezetimibe: 90 Tablet In 1 Bottle (16714-813-02),36.48,36.48,,,0 CDM,34153_16729043310,Ezetimibe: 30 Tablet In 1 Bottle (16729-433-10),40.77,40.77,,,0 CDM,34153_50228037990,Ezetimibe: 90 Tablet In 1 Bottle (50228-379-90),41.18,41.18,,,0 CDM,34153_50268029811,NDC Description Not Available,44.64,44.64,,,0 CDM,34153_50268029812,"Ezetimibe: 20 Blister Pack In 1 Box, Unit-Dose (50268-298-12) / 1 Tablet In 1 Blister Pack (50268-298-11)",44.48,44.48,,,0 CDM,34153_51660020030,Ezetimibe: 30 Tablet In 1 Bottle (51660-200-30),37.08,37.08,,,0 CDM,34153_51660020090,Ezetimibe: 90 Tablet In 1 Bottle (51660-200-90),37.08,37.08,,,0 CDM,34153_59651005290,Ezetimibe: 90 Tablet In 1 Bottle (59651-052-90),37.8,37.8,,,0 CDM,34153_60687037311,NDC Description Not Available,44.67,44.67,,,0 CDM,34153_68382077316,Ezetimibe: 90 Tablet In 1 Bottle (68382-773-16),41.2,41.2,,,0 CDM,34153_69238115403,Ezetimibe: 30 Tablet In 1 Bottle (69238-1154-3),41.2,41.2,,,0 CDM,3417801301,Hc Thyroid Imaging W/Blood Flow - Nm Thyroid Scan,1109.0,1109.0,,,0 CDM,3417801401,Hc Thyroid Imaging W/Blood Flow - Nm Thyroid Uptake Stimulation Suppres,2462.0,2462.0,,,0 CDM,3417801801,Hc Thyroid Met Imaging Body - Nm Thyroid Whole Body Tumor,2607.0,2607.0,,,0 CDM,3417807001,Hc Parathyroid Planar Imaging - Nm Parathyroid,1109.0,1109.0,,,0 CDM,3417807101,Hc Parathyroid Planar Imaging W/Wo Subtraction - Nm Parathyroid Spect,4194.0,4194.0,,,0 CDM,3417807201,Hc Parathyrd Planar W/Spect&Ct - Nm/Ct Parathyroid Spect,4194.0,4194.0,,,0 CDM,3417819502,Hc Lymphatics & Lymph Glands Imaging - Nm Lymphoscintigram,2130.0,2130.0,,,0 CDM,3417820101,Hc Liver Imaging - Nm Liver,1109.0,1109.0,,,0 CDM,3417821501,Hc Liver And Spleen Imaging - Nm Liver Spleen,1401.0,1401.0,,,0 CDM,3417822601,Hc Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function,1869.0,1869.0,,,0 CDM,3417822702,Hc Hepatobil Syst Image W/Drug - Nm Hepatobiliary,1869.0,1869.0,,,0 CDM,3417825801,"Hc Esophageal Motility Study, Imaging - Nm Esophagus Motility",1109.0,1109.0,,,0 CDM,3417826401,Hc Gastric Emptying Imaging Study - Nm Gastric Emptying Solid,2019.0,2019.0,,,0 CDM,3417827801,Hc Acute Gi Blood Loss Imaging - Nm Gastrointestinal Bleeding,2418.0,2418.0,,,0 CDM,3417829001,Hc Bowel Imaging - Nm Meckels Diverticulum,1580.0,1580.0,,,0 CDM,3417830001,"Hc Bone Imaging, Limited Area - Nm Bone Limited",1309.0,1309.0,,,0 CDM,3417830601,"Hc Bone Imaging, Whole Body - Nm Bone Whole Body",2117.0,2117.0,,,0 CDM,3417831501,"Hc Bone Imaging, 3 Phase - Nm Bone Whole Body 3 Phase",2391.0,2391.0,,,0 CDM,3417832001,Hc Bone Imaging (Spect) - Nm Bone Tomogram,4772.0,4772.0,,,0 CDM,3417845101,Hc Ht Muscle Image Spect Sing - Nm Heart Perfusion Spect Rest,3820.0,3820.0,,,0 CDM,34178451PB,Hc Pbb Myocardial Spect Single Study At Rest Or Stress,3820.0,3820.0,,,0 CDM,3417845201,Hc Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress & Rest,5897.0,5897.0,,,0 CDM,34178452PB,Hc Pbb Myocardial Spect Multiple Studies,5897.0,5897.0,,,0 CDM,3417845301,Hc Ht Muscle Image Planar Sing - Nm Heart Perfusion Single,2624.0,2624.0,,,0 CDM,34178453PB,Hc Ht Muscle Image Planar Sing - Nm Heart Perfusion Single,2624.0,2624.0,,,0 CDM,3417847202,Hc Gated Heart Planar Single - Nm Heart Blood Pool Muga With Rvef,2822.0,2822.0,,,0 CDM,34178472PB,"Hc Pbb Gated Heart, Planar Single",2822.0,2822.0,,,0 CDM,3417847301,Hc Gated Heart Multiple - Nm Heart Blood Pool Eject Frac Wall Muga Mult,4233.0,4233.0,,,0 CDM,3417857902,Hc Lung Ventilation Imaging - Nm Lung Ventilation Aerosol Multiple,1727.0,1727.0,,,0 CDM,3417858001,Hc Lung Perfusion Imaging - Nm Lung Perfusion Particulate,1727.0,1727.0,,,0 CDM,3417858201,Hc Lung Ventilat&Perfus Imaging - Nm Lung Ventilation Perfusion,2002.0,2002.0,,,0 CDM,3417859701,Hc Lung Perfusion Differential - Nm Quant Diff Pulmonary Perfusion,3409.0,3409.0,,,0 CDM,3417859801,Hc Lung Perf&Ventilat Diferentl - Nm Quant Diff Pulmonary Perfuse Vent,3409.0,3409.0,,,0 CDM,3417860101,Hc Brain Image W/Flow < 4 Views - Nm Brain With Flow Less Than 4 Views,2364.0,2364.0,,,0 CDM,3417860601,Hc Brain Image W/Flow 4 + Views - Nm Brain With Flow 4 Or More Views,2967.0,2967.0,,,0 CDM,3417864501,Hc Csf Shunt Evaluation - Nm Shunt Patency,1638.0,1638.0,,,0 CDM,3417870701,Hc K Flow/Funct Image W/O Drug - Nm Kidney Flow/Funct Wo Pharmacol Int,2240.0,2240.0,,,0 CDM,3417870803,Hc K Flow/Funct Image W/Drug - Nm Kidney Flow/Funct W Pharmacol Inter,2325.0,2325.0,,,0 CDM,3417870901,Hc K Flow/Funct Image Multiple - Nm Kidney Flow/Func W/Wo Pharmacol Int,2392.0,2392.0,,,0 CDM,3417880001,"Hc Tumor Imaging, Limited Area - Nm Tumor Localization Limited",1678.0,1678.0,,,0 CDM,3417880102,"Hc Tumor Imaging, Mult Areas - Nm Tumor Localization Multiple Areas",1914.0,1914.0,,,0 CDM,3417880203,Hc Tumor Imaging Whole Body - Nm Tumor Localization Whole Body,2098.0,2098.0,,,0 CDM,3417880301,Hc Tumor Imaging (3D) - Nm Tumor Localization Spect,2858.0,2858.0,,,0 CDM,3417880401,Hc Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days,2648.0,2648.0,,,0 CDM,3417880504,Noncdm Charge Record Radiopharmaceuticals,1664.0,1664.0,,,0 CDM,3417880801,Hc Injec Proc Radiopharm Loc,1265.0,1265.0,,,0 CDM,3417883001,Hc Tumor Loc Spectct 1 Area 1 Day,3907.0,3907.0,,,0 CDM,3417883001_78830_636,Hc Tumor Loc Spectct 1 Area 1 Day,3498.91,3498.91,,,0 CDM,3417883101,Hc Tumor Loc Spectct 1Area 2+Days,4772.0,4772.0,,,0 CDM,3417883201,Hc Tumor Loc Spectct 2+Areas 1Day,5560.0,5560.0,,,0 CDM,3423_00713068315,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-15) / 15 G In 1 Tube,178.17,178.17,,,0 CDM,3423_45802005611,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-11) / 30 G In 1 Tube,356.22,356.22,,,0 CDM,3423_45802005635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35) / 15 G In 1 Tube,178.11,178.11,,,0 CDM,3424_00713068215,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0682-15) / 15 G In 1 Tube,116.98,116.98,,,0 CDM,3424_45802004635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-046-35) / 15 G In 1 Tube,178.19,178.19,,,0 CDM,34257155PB,Hc Insertion Of Uterine Tandem/Vaginal Ovoids Brachytx,9463.0,9463.0,,,0 CDM,3425_63323017301,NDC Description Not Available,12.76,12.76,,,0 CDM,3425_63323017302,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),13.78,13.78,,,0 CDM,3426_00409120703,"Gentamicin Sulfate: 25 Vial, Single-Dose In 1 Tray (0409-1207-03) / 2 Ml In 1 Vial, Single-Dose (0409-1207-13)",11.78,11.78,,,0 CDM,3426_00409120713,NDC Description Not Available,12.91,12.91,,,0 CDM,3426_55150040201,NDC Description Not Available,10.98,10.98,,,0 CDM,3426_55150040225,"Gentamicin: 25 Vial, Multi-Dose In 1 Carton (55150-402-25) / 2 Ml In 1 Vial, Multi-Dose (55150-402-01)",10.66,10.66,,,0 CDM,3426_63323001001,NDC Description Not Available,17.54,17.54,,,0 CDM,3426_63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),18.11,18.11,,,0 CDM,3426_63323001003,NDC Description Not Available,13.37,13.37,,,0 CDM,3426_63323001020,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),13.76,13.76,,,0 CDM,34272_70004026032,NDC Description Not Available,147.86,147.86,,,0 CDM,34272_70092110836,NDC Description Not Available,191.09,191.09,,,0 CDM,34272_70324065201,NDC Description Not Available,125.66,125.66,,,0 CDM,34277767PB,Hc Pbb Hdr Brachytx 2.0Cm Or 1Channl,1305.0,1305.0,,,0 CDM,3427776801,Hc Hdr Brachytx >2.0Cm/>=2 Chanl,1702.0,1702.0,,,0 CDM,3427777001,"Hc Hdr Brachytherapy, 1 Channel",4667.0,4667.0,,,0 CDM,3427777101,Hc Hdr Brachytx-2-12 Channels,4667.0,4667.0,,,0 CDM,3427777201,Hc Hdr Brachytx-Over 12 Channels,4667.0,4667.0,,,0 CDM,3427778901,Hc Surface Application Of Low Dose Rate Radionuclide Source,470.0,470.0,,,0 CDM,3427900509,Hc Radiopharm Therapy Oral,959.0,959.0,,,0 CDM,3427910101,Hc Nuclear Rx Iv Admin - Nm Bone Treatment Therapy,959.0,959.0,,,0 CDM,3427944501,Hc Nuclear Rx Intra-Arterial - Nm Radiopharm Therapy By Int-Art Partic,959.0,959.0,,,0 CDM,3428_24208058060,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60) / 5 Ml In 1 Bottle, Dropper",154.5,154.5,,,0 CDM,3428_61314063305,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (61314-633-05) / 5 Ml In 1 Bottle, Dropper",78.28,78.28,,,0 CDM,3430000001,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.0,4893.0,,,0 CDM,3430000001_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.0,4893.0,,,0 CDM,3430000001_A9503_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 CDM,3430000001_A9520_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 CDM,3430000001_A9537_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 CDM,3430000001_A9586_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.0,4893.0,,,0 CDM,3430000001_A9592_343,Hc Rx 343 Diagnostic Radiopharmaceuticals,4382.65,4382.65,,,0 CDM,3430000002_A9595_343,Noncdm Charge Record Radiopharmaceuticals,789.67,789.67,,,0 CDM,3430000002_A9608_343,Noncdm Charge Record Radiopharmaceuticals,1065.63,1065.63,,,0 CDM,3430_00395100392,"Humco Gentian Violet 1%: 59 Ml In 1 Bottle, Plastic (0395-1003-92)",29.87,29.87,,,0 CDM,34318_C1889_278,Noncdm Charge Record Medical Supplies,9101.4,9101.4,,,0 CDM,3431_00395100592,"Humco Gentian Violet 2%: 59 Ml In 1 Bottle, Plastic (0395-1005-92)",3.47,3.47,,,0 CDM,34369_00904736806,Aripiprazole: 50 Blister Pack In 1 Carton (0904-7368-06) / 1 Tablet In 1 Blister Pack,0.99,0.99,,,0 CDM,34369_16714014301,Aripiprazole: 30 Tablet In 1 Bottle (16714-143-01),97.2,97.2,,,0 CDM,34369_50268008911,NDC Description Not Available,93.56,93.56,,,0 CDM,34369_50268008915,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-089-15) / 1 Tablet In 1 Blister Pack (50268-089-11)",102.08,102.08,,,0 CDM,34369_60687017911,NDC Description Not Available,101.96,101.96,,,0 CDM,34369_63739007410,"Aripiprazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-074-10) / 10 Tablet In 1 Blister Pack",21.81,21.81,,,0 CDM,34370_16714014401,Aripiprazole: 30 Tablet In 1 Bottle (16714-144-01),99.82,99.82,,,0 CDM,34370_16714078601,Aripiprazole: 30 TABLET in 1 BOTTLE (16714-786-01),86.52,86.52,,,0 CDM,34370_50268009011,NDC Description Not Available,107.53,107.53,,,0 CDM,34370_50268009012,"Aripiprazole: 20 Blister Pack In 1 Box, Unit-Dose (50268-090-12) / 1 Tablet In 1 Blister Pack (50268-090-11)",110.21,110.21,,,0 CDM,34370_63739007833,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-078-33) / 10 Tablet In 1 Blister Pack",30.21,30.21,,,0 CDM,34376_C1768_278,Noncdm Charge Record Medical Supplies,801.9,801.9,,,0 CDM,3437_C1751_278,Noncdm Charge Record Medical Supplies,28.59,28.59,,,0 CDM,34384_C1889_278,Noncdm Charge Record Medical Supplies,9101.4,9101.4,,,0 CDM,343A464101,Hc Rp: I-123 Mibg,8111.0,8111.0,,,0 CDM,343A950201,Hc Rp: Tc-99M Tetrofosmin Per Study Dose,714.0,714.0,,,0 CDM,343A950201_17156002630,"Myoview: 5 Vial In 1 Kit (17156-026-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",714.0,714.0,,,0 CDM,343A950201_A9502_343,Hc Rp: Tc-99M Tetrofosmin Per Study Dose,714.0,714.0,,,0 CDM,343A9505PB,Hc Thallium Tl-201 Per Mci,402.0,402.0,,,0 CDM,343A951001,Hc Technetium Tc-99M Disofenin (Hepatolite) Injection,509.0,509.0,,,0 CDM,343A951601,Hc Rp: I-123 Capsule/100 Uci,246.0,246.0,,,0 CDM,343A952001,Noncdm Charge Record,1638.57,1638.57,,,0 CDM,343A952901,"Hc 1-131 Sodium Iodide Solution, Diagnostic, Per Mci",356.0,356.0,,,0 CDM,343A953801,Hc Tc-99M Pyp/Dose - 25 Mci,230.0,230.0,,,0 CDM,343A953901,Hc Rp: Tc-99M Pentetate Per Study Dose-25 Mci,175.0,175.0,,,0 CDM,343A954001,Hc Rp Tc-99M Maa/Ds-10 Mci,189.0,189.0,,,0 CDM,343A954101,"Hc Rp:Tc-99M Sulfur Colloid, Diagnostic, Per Study Dose Up To 20 Mci",356.0,356.0,,,0 CDM,343A955201,Noncdm Charge Record,1314.27,1314.27,,,0 CDM,343A955501,Hc Rubidium-82/Dose To 60 Mci,2602.0,2602.0,,,0 CDM,343A955701,Hc Rp: Tc-99M Bicisate Dose To 25 Mci,4057.0,4057.0,,,0 CDM,343A956001,Hc Tc-99M Rbc/Dose-30 Mci,2521.0,2521.0,,,0 CDM,343A9560PB,Hc Tc-99M Rbc/Dose-30 Mci,2521.0,2521.0,,,0 CDM,343A956101,Hc Tc99M Oxidronate Up To 30 Mc,135.0,135.0,,,0 CDM,343A956201,Hc Rp: Tc-99M Mag 3/Dose-15 Mci,1270.0,1270.0,,,0 CDM,343A956701,Hc Rp: Tc-99M Dtpa Aerosol 75 Mci,256.0,256.0,,,0 CDM,343A956901,Hc Tc99M Ceretec Wbc/125 Mci,7787.0,7787.0,,,0 CDM,343A957201,Hc Rp: In-111 Octreoscan/1 Mci,12977.0,12977.0,,,0 CDM,343A958601_A9586_343,Noncdm Charge Record Radiopharmaceuticals,5979.67,5979.67,,,0 CDM,343A958701,Hc Gallium Ga-68 Dotatate 0.1 Mci,317.0,317.0,,,0 CDM,343A958701_A9587_343,Hc Gallium Ga-68 Dotatate 0.1 Mci,317.0,317.0,,,0 CDM,3440000001,Hc Rx Therapeutic Radiopharmaceuticals,68453.0,68453.0,,,0 CDM,34418_00904636345,"Divalproex Sodium: 80 Blister Pack In 1 Carton (0904-6363-45) / 1 Tablet, Extended Release In 1 Blister Pack",5.43,5.43,,,0 CDM,34418_00904636361,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6363-61) / 1 Tablet, Extended Release In 1 Blister Pack",4.07,4.07,,,0 CDM,34418_68084031011,NDC Description Not Available,4.42,4.42,,,0 CDM,34488_C1758_278,Noncdm Charge Record Medical Supplies,56.1,56.1,,,0 CDM,344A951701,Hc I-131 Ther Capsule/Mci,228.0,228.0,,,0 CDM,344A954301,"Hc Rp: Yttrium Y-90 Ibritumomab Tiuxetan, Per Dose, Up To 40 Mci",111451.0,111451.0,,,0 CDM,344A956301,Hc Rp: P-32 Sodium Phosphate/Mci,6010.0,6010.0,,,0 CDM,344A969901,Hc Rp: I-131 Mibg (Therapy),18024.0,18024.0,,,0 CDM,34505_00406012301,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0123-01),2.28,2.28,,,0 CDM,34505_00406012323,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0123-23),2.93,2.93,,,0 CDM,34505_27808003501,"Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (27808-035-01)",2.42,2.42,,,0 CDM,34544_00406012423,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0124-23),3.17,3.17,,,0 CDM,34544_00406012462,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0124-62),3.09,3.09,,,0 CDM,34550,Noncdm Charge Record,189.38,189.38,,,0 CDM,34550_58160081143,NDC Description Not Available,422.0,422.0,,,0 CDM,34550_58160081152,Pediarix: 10 Syringe In 1 Carton (58160-811-52) / .5 Ml In 1 Syringe (58160-811-43),421.27,421.27,,,0 CDM,3465_270,Noncdm Charge Record Medical Supplies,335.5,335.5,,,0 CDM,34711_00054017613,Buprenorphine: 30 Tablet In 1 Bottle (0054-0176-13),14.03,14.03,,,0 CDM,34711_00904715404,Buprenorphine: 30 Blister Pack In 1 Carton (0904-7154-04) / 1 Tablet In 1 Blister Pack,7.72,7.72,,,0 CDM,34711_60687048111,NDC Description Not Available,8.12,8.12,,,0 CDM,34711_72888018230,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (72888-182-30),8.7,8.7,,,0 CDM,34712_00054017713,Buprenorphine: 30 Tablet In 1 Bottle (0054-0177-13),3.48,3.48,,,0 CDM,34712_60687049211,NDC Description Not Available,1.9,1.9,,,0 CDM,34712_62756046083,Buprenorphine: 30 Tablet In 1 Bottle (62756-460-83),3.81,3.81,,,0 CDM,34713_62175045232,Buprenorphine And Naloxone: 30 Tablet In 1 Bottle (62175-452-32),21.12,21.12,,,0 CDM,34808_270,Noncdm Charge Record Medical Supplies,680.59,680.59,,,0 CDM,34814_24208063110,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-631-10) / 10 Ml In 1 Bottle, Dropper",362.78,362.78,,,0 CDM,34826_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,34830_270,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,34830_C1729_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,34830_C1889_278,Noncdm Charge Record Medical Supplies,751.2,751.2,,,0 CDM,34880_270,Noncdm Charge Record Medical Supplies,3749.5,3749.5,,,0 CDM,34896_L8613_278,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,34897_16571076924,Escitalopram Oxalate: 240 Ml In 1 Bottle (16571-769-24),63.26,63.26,,,0 CDM,34897_54838055170,"Escitalopram: 240 mL in 1 BOTTLE, PLASTIC (54838-551-70)",69.01,69.01,,,0 CDM,34897_65162070588,Escitalopram Oxalate: 240 Ml In 1 Bottle (65162-705-88),46.96,46.96,,,0 CDM,34898_270,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,3493_00338028947,Glycine: 3000 Ml In 1 Bag (0338-0289-47),86.52,86.52,,,0 CDM,34952_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,3497_00143958701,NDC Description Not Available,15.56,15.56,,,0 CDM,3497_00143968001,NDC Description Not Available,29.32,29.32,,,0 CDM,3497_00143968025,Glycopyrrolate: 25 Vial In 1 Carton (0143-9680-25) / 5 Ml In 1 Vial (0143-9680-01),18.53,18.53,,,0 CDM,3497_00143968101,NDC Description Not Available,22.62,22.62,,,0 CDM,3497_00143968125,Glycopyrrolate: 25 Vial In 1 Carton (0143-9681-25) / 2 Ml In 1 Vial (0143-9681-01),23.39,23.39,,,0 CDM,3497_00143968201,NDC Description Not Available,12.24,12.24,,,0 CDM,3497_00143968225,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),13.59,13.59,,,0 CDM,3497_00517460125,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",42.78,42.78,,,0 CDM,3497_00517460225,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4602-25) / 2 Ml In 1 Vial, Single-Dose",113.77,113.77,,,0 CDM,3497_00517460525,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",110.98,110.98,,,0 CDM,3497_00781382596,Glycopyrrolate: 25 Vial In 1 Carton (0781-3825-96) / 1 Ml In 1 Vial (0781-3825-71),12.36,12.36,,,0 CDM,3497_00781382975,NDC Description Not Available,49.44,49.44,,,0 CDM,3497_16714053601,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,13.39,13.39,,,0 CDM,3497_43547054301,NDC Description Not Available,11.76,11.76,,,0 CDM,3497_43547054325,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-543-25) / 1 Ml In 1 Vial, Single-Dose (43547-543-01)",9.06,9.06,,,0 CDM,3497_43547054401,NDC Description Not Available,12.05,12.05,,,0 CDM,3497_43547063901,NDC Description Not Available,18.3,18.3,,,0 CDM,3497_43547063925,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-639-25) / 1 Ml In 1 Vial, Single-Dose (43547-639-01)",12.25,12.25,,,0 CDM,3497_51754600101,NDC Description Not Available,18.75,18.75,,,0 CDM,3497_63323057802,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (63323-578-02) / 2 Ml In 1 Vial, Single-Dose (63323-578-04)",69.42,69.42,,,0 CDM,3497_63323057803,NDC Description Not Available,37.7,37.7,,,0 CDM,3497_63323057804,NDC Description Not Available,48.41,48.41,,,0 CDM,3497_70121139405,Glycopyrrolate: 25 Vial In 1 Carton (70121-1394-5) / 1 Ml In 1 Vial (70121-1394-1),70.02,70.02,,,0 CDM,3497_70700016722,NDC Description Not Available,42.87,42.87,,,0 CDM,3497_70860078141,NDC Description Not Available,2.93,2.93,,,0 CDM,3497_70860078142,NDC Description Not Available,22.52,22.52,,,0 CDM,34990_C1887_272,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,34990_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,34992_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,3500711T01,"Hc Noninvasive Arterial Plaque Analysis, Data Prep, Transmission",209.0,209.0,,,0 CDM,3500712T01,"Hc Noninvasive Arterial Plaque Analysis, Quantification, Composition, Assessment",209.0,209.0,,,0 CDM,3500713T01,"Hc Noninvasive Arterial Plaque Analysis, Data Review, Interpretation, Report",209.0,209.0,,,0 CDM,3500944T01,Hc 3D Contour Simulation Of Target Liver Lesion(S) And Margin(S) For Image-Guided Percutaneous Micro,667.0,667.0,,,0 CDM,3500946T01,"Hc Orthopedic Implant Movement Analysis, Paired Ct Examination, Including Data Acquisition, Data Pre",293.0,293.0,,,0 CDM,35009_C1729_278,Noncdm Charge Record Medical Supplies,94.52,94.52,,,0 CDM,3501000901,Hc Fna Biopsy-Ct Guidance 1St Lesion,2754.0,2754.0,,,0 CDM,3501001001,Hc Fna Bx-Ct Guid Each Add Lesion,834.0,834.0,,,0 CDM,3501710601,Hc Destruct Vascular Lesions < 10 Sq Cm,1079.0,1079.0,,,0 CDM,35027_A4648_278,Noncdm Charge Record Medical Supplies,118.8,118.8,,,0 CDM,35032_C1769_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,35047_C1819_278,Noncdm Charge Record Medical Supplies,53.98,53.98,,,0 CDM,35049_C1819_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,35050_270,Noncdm Charge Record Medical Supplies,1791.8,1791.8,,,0 CDM,35051_C1819_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,35053_C1819_278,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,3506228201,"Hc Inj/Inf Of Neurolytic Substance, W Or W/O Oth Tx, Epidural L/S",2383.0,2383.0,,,0 CDM,3506463201,Hc Nerve Destruction Plantar Common Digital Nerve,814.0,814.0,,,0 CDM,3507426301,Hc Ct Colonography Screening - Ct Colonography Screening,1210.5,1210.5,,,0 CDM,3507637601,Hc 3D Rendering W/Interp & Postprocess Supervision - Ct 3D Reconstruct,2188.0,2188.0,,,0 CDM,3507637701,Hc 3D Rendering W/Interp&Postproc Diff Work Station - Ct 3D Reconstruct,1086.0,1086.0,,,0 CDM,3507637702,Hc 3D Render W/Intrp Postproces - 3D Rendering On An Indep Workstation,1086.0,1086.0,,,0 CDM,3507701101,Hc Ct Scan For Localization - Ct Guidance For Stereotactic Localization,1721.5,1721.5,,,0 CDM,3507701201,Hc Ct Guidance Needle Placement,1102.5,1102.5,,,0 CDM,3507701208,Hc Ct Guidance Needle Placement - Ct Guided Needle Biopsy Bone Chg,1102.5,1102.5,,,0 CDM,3507701242,Hc Ct Guidance Needle Placement - Ct Guided Percutaneous Biopsy Thyroid,1102.5,1102.5,,,0 CDM,3507701243,Hc Ct Guidance Needle Placement - Ct Guidance For Needle Placement,1102.5,1102.5,,,0 CDM,3507701311,Hc Ct Guide For Tissue Ablation,1102.5,1102.5,,,0 CDM,35126_61314064175,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 7.5 Ml In 1 Bottle, Plastic (61314-641-75)",613.88,613.88,,,0 CDM,35126_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,35128_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,35130_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,35134_00904677961,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6779-61) / 1 Tablet, Coated In 1 Blister Pack",5.88,5.88,,,0 CDM,35134_50268070911,NDC Description Not Available,4.87,4.87,,,0 CDM,35134_60687024511,NDC Description Not Available,25.36,25.36,,,0 CDM,35134_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,35135_16714099001,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-990-01)",31.31,31.31,,,0 CDM,35135_60687025611,NDC Description Not Available,24.97,24.97,,,0 CDM,35135_65862029590,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (65862-295-90)",31.17,31.17,,,0 CDM,35136_70377000911,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle, Plastic (70377-009-11)",32.27,32.27,,,0 CDM,35136_72205000590,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (72205-005-90)",32.22,32.22,,,0 CDM,35156_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,3517045001,"Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast",1160.0,1160.0,,,0 CDM,3517046001,Hc Ct Scan Head Contrast - Ct Head W Contrast,1700.0,1700.0,,,0 CDM,3517047001,Hc Ct Scan Head Combo - Ct Head W Wo Contrast,2072.5,2072.5,,,0 CDM,3517048001,"Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont",1160.0,1160.0,,,0 CDM,3517048002,"Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Auditory Canals Wo Cont",1160.0,1160.0,,,0 CDM,3517048101,Hc Ct Scan Skull Contrast - Ct Orbits/Sella W Iv Contrast,1778.5,1778.5,,,0 CDM,3517048102,Hc Ct Scan Skull Contrast - Ct Auditory Canals/Posterior Fossa W Iv Cnt,1778.5,1778.5,,,0 CDM,3517048201,Hc Ct Scan Skull Combo - Ct Orbits/Sella W And Wo Iv Contrast,2133.0,2133.0,,,0 CDM,3517048601,"Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast",1160.0,1160.0,,,0 CDM,3517048602,"Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Facial Bones Wo Cont",1160.0,1160.0,,,0 CDM,3517048701,"Hc Ct Scan, Face/Jaw Contrast - Ct Sinus W Contrast",1752.5,1752.5,,,0 CDM,3517048702,"Hc Ct Scan, Face/Jaw Contrast - Ct Sinus Facial Bones W Contrast",1752.5,1752.5,,,0 CDM,3517048801,Hc Ct Scans Face/Jaw Combo - Ct Sinus W Wo Contrast,2121.5,2121.5,,,0 CDM,3517049001,"Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont",1160.0,1160.0,,,0 CDM,3517049101,Hc Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast,1778.5,1778.5,,,0 CDM,3517049102,Hc Ct Neck Tissue Contrast - Pet Ct Soft Tissue Neck W Contrast,1778.5,1778.5,,,0 CDM,3517049201,Hc Ct Neck Tissue Combo - Ct Soft Tissue Neck W Wo Contrast,2133.0,2133.0,,,0 CDM,3517049601,"Hc Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast",1646.0,1646.0,,,0 CDM,3517049801,"Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast",1646.0,1646.0,,,0 CDM,35171_C1894_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,35175_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,35184_29300041301,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",4.66,4.66,,,0 CDM,35184_50268019011,NDC Description Not Available,1.49,1.49,,,0 CDM,35184_68084075395,NDC Description Not Available,0.49,0.49,,,0 CDM,35207_C1769_278,Noncdm Charge Record Medical Supplies,973.58,973.58,,,0 CDM,3520877T01,Hc Augmnt Analysis Chest Ct Img Data To Provide Categorical Diagnostic Subtype Classification Of Ild,1405.0,1405.0,,,0 CDM,3520878T01,Hc Augmnt Analysis Chest Ct Img Data To Provide Categorical Diagnostic Subtype Classification Of Ild,1405.0,1405.0,,,0 CDM,35209_00023916330,"Restasis: 30 Vial, Single-Use In 1 Tray (0023-9163-30) / .4 Ml In 1 Vial, Single-Use",23.38,23.38,,,0 CDM,35209_00378876058,"Cyclosporine: 6 Pouch In 1 Carton (0378-8760-58) / 5 Vial, Single-Use In 1 Pouch (0378-8760-98) / .4 Ml In 1 Vial, Single-Use",21.94,21.94,,,0 CDM,35209_00378876098,NDC Description Not Available,22.08,22.08,,,0 CDM,35209_10702080803,"Cyclosporine: 30 Vial, Single-Use In 1 Tray (10702-808-03) / .4 Ml In 1 Vial, Single-Use",25.42,25.42,,,0 CDM,35209_60505620201,Cyclosporine: 30 Vial In 1 Tray (60505-6202-1) / .4 Ml In 1 Vial,21.78,21.78,,,0 CDM,35209_73043000501,"Cyclosporine: 3 Pouch In 1 Carton (73043-005-01) / 10 Vial, Single-Use In 1 Pouch / .4 Ml In 1 Vial, Single-Use",6.92,6.92,,,0 CDM,35215_C2628_278,Noncdm Charge Record Medical Supplies,1906.3,1906.3,,,0 CDM,35233_C1769_278,Noncdm Charge Record Medical Supplies,16.43,16.43,,,0 CDM,35235_C1769_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,35236_62935030330,Eligard: 1 Kit In 1 Carton (62935-303-30) * .5 Ml In 1 Syringe (62935-305-29) * .5 Ml In 1 Syringe (62935-304-30),1116.52,1116.52,,,0 CDM,35236_62935030640,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,1116.52,1116.52,,,0 CDM,35237_C1769_278,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,35239_C1769_272,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,35239_C1769_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,35243_C1893_278,Noncdm Charge Record Medical Supplies,35.34,35.34,,,0 CDM,3527125001,"Hc Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast",1160.0,1160.0,,,0 CDM,3527125002,"Hc Pet Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast",1160.0,1160.0,,,0 CDM,3527126002,Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast,2063.5,2063.5,,,0 CDM,3527126003,Hc Cat Scan Of Chest Contrast - Pet Ct Chest W Contrast,2063.5,2063.5,,,0 CDM,3527127001,Hc Cat Scan Of Chest Combo - Ct Chest W Wo Contrast,2522.0,2522.0,,,0 CDM,3527127101,"Hc Ct, Thorax, Low Dose For Lung Cancer Screening, W/O Contrast",146.0,146.0,,,0 CDM,3527127501,"Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont",2005.0,2005.0,,,0 CDM,3527127502,"Hc Ct Angio, Chest, Combo, Incl Image - Pet Ct Chest Angio W And Wo Iv Cont",2005.0,2005.0,,,0 CDM,3527212501,"Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast",1160.0,1160.0,,,0 CDM,3527212601,Hc Ct Scan Cerv Spine Contrast - Ct Cervical Spine W Contrast,2054.0,2054.0,,,0 CDM,3527212701,Hc Ct Scan Cerv Sp Combo - Ct Cervical Spine W Wo Contrast,2486.5,2486.5,,,0 CDM,3527212801,"Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast",1160.0,1160.0,,,0 CDM,3527212901,Hc Ct Scan Dorsal Sp Contrast - Ct Thoracic Spine W Contrast,2054.0,2054.0,,,0 CDM,3527213001,Hc Ct Scan Dorsal Sp Combo - Ct Thoracic Spine W Wo Contrast,2447.0,2447.0,,,0 CDM,3527213101,"Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast",1160.0,1160.0,,,0 CDM,3527213201,Hc Ct Scan Lumbar Sp Contrast - Ct Lumbar Spine W Contrast,2054.0,2054.0,,,0 CDM,3527213301,Hc Ct Scan Lumbar Sp Combo - Ct Lumbar Spine W Wo Contrast,2447.0,2447.0,,,0 CDM,3527219101,"Hc Ct Angio, Pelvis, Combo, Incl Img - Ct Pelvis Angio W And Wo Iv Cont",1927.0,1927.0,,,0 CDM,3527219201,"Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast",1160.0,1160.0,,,0 CDM,3527219301,Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast,1983.5,1983.5,,,0 CDM,3527219401,Hc Ct Scan Of Pelvis Combo - Ct Pelvis W Wo Contrast,2385.0,2385.0,,,0 CDM,3527320013,Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Wo Iv Contrast,1160.0,1160.0,,,0 CDM,3527320014,Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Wo Iv Contrast Bilat,1160.0,1160.0,,,0 CDM,3527320117,Hc Ct Scan Of Arm Contrast - Ct Upper Extremity W Iv Contrast,1766.5,1766.5,,,0 CDM,3527320118,Hc Ct Scan Of Arm Contrast - Ct Upper Extremity W Iv Contrast Bilat,1766.5,1766.5,,,0 CDM,3527320213,Hc Ct Scan Of Arm Combo - Ct Upper Extremity W And Wo Iv Contrast,2138.5,2138.5,,,0 CDM,3527320603,"Hc Ct Angio,Upper Extrem,Combo - Ct Upper Ext Angio W And Wo Iv Cont",1694.0,1694.0,,,0 CDM,3527320604,"Hc Ct Angio,Upper Extrem,Combo - Ct Upper Ext Angio W And Wo Iv Cont",1694.0,1694.0,,,0 CDM,3527370013,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Wo Iv Contrast",1160.0,1160.0,,,0 CDM,3527370014,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Wo Iv Contrast Bilat",1160.0,1160.0,,,0 CDM,3527370015,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Hip Wo Iv Contrast",1160.0,1160.0,,,0 CDM,3527370113,Hc Ct Scan Lower Ext - Ct W Iv Contrast Bilat,1768.5,1768.5,,,0 CDM,3527370114,Hc Ct Scan Lower Ext - Ct W Iv Contrast,1768.5,1768.5,,,0 CDM,3527370210,Hc Ct Scan Lower Ext- Ct W And Wo Iv Contrast,2138.5,2138.5,,,0 CDM,3527370603,Hc Ct Angio Lwr Extr W/O&W/Dye - Ct Lower Ext Angio W And Wo Iv Cont,1694.0,1694.0,,,0 CDM,3527415001,Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast,1160.0,1160.0,,,0 CDM,3527416001,Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast,2019.5,2019.5,,,0 CDM,3527417001,Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast,2444.5,2444.5,,,0 CDM,3527417401,Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast,1927.0,1927.0,,,0 CDM,3527417402,Hc Pet Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast,1927.0,1927.0,,,0 CDM,3527417501,Hc Ct Angio Abdom W/O & W/Dye - Ct Angiogram Abdomen W Contrast,1145.5,1145.5,,,0 CDM,3527417601,Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast,1982.0,1982.0,,,0 CDM,3527417602,Hc Pet Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast,1982.0,1982.0,,,0 CDM,3527417701,Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast,3563.0,3563.0,,,0 CDM,3527417702,Hc Pet Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast,3563.0,3563.0,,,0 CDM,3527417801,Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast,3935.5,3935.5,,,0 CDM,3527426101,Hc Ct Colonography Dx - Ct Colonography Diagnostic Wo Contrast,811.0,811.0,,,0 CDM,3527426201,Hc Ct Colonography Dx W/Dye - Ct Colonography W/ & W/O Cont Diagnostic,1945.0,1945.0,,,0 CDM,3527557101,Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast,90.0,90.0,,,0 CDM,3527557102,Hc Ct Hrt W/O Dye W/Ca Test - Pet Heart Calcium Scoring Wo Contrast,90.0,90.0,,,0 CDM,3527557201,Hc Ct Hrt W/3D Image - Ct Heart Structure Morphology With Contrast,2447.0,2447.0,,,0 CDM,3527557301,Hc Ct Hrt W/3D Image Congen - Ct Hrt Struct Morph Cong Hrt Dis W/ Cont,2447.0,2447.0,,,0 CDM,3527557401,Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram,2447.0,2447.0,,,0 CDM,3527557402,Hc Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct,2447.0,2447.0,,,0 CDM,3527558001,Hc Ct Fractional Flow Reserve (Ffr-Ct),2153.5,2153.5,,,0 CDM,3527563501,Hc Ct Angio Abdominal Arteries - Ct Angio Aorta & Bilat Iliofemoral Run,1234.0,1234.0,,,0 CDM,35285_C1889_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,35287_C1889_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,35289_C1884_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,35289_C1889_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,35295_C1889_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,35297_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35299_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35301_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35303_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35305_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35307_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35311_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35313_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35315_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,35321_C1893_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,35323_C1893_278,Noncdm Charge Record Medical Supplies,35.42,35.42,,,0 CDM,35325_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,35327_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,35331_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,35337_C1889_278,Noncdm Charge Record Medical Supplies,447.83,447.83,,,0 CDM,35339_C1889_278,Noncdm Charge Record Medical Supplies,448.52,448.52,,,0 CDM,35355_270,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,35363_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,35389_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,35391_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,35403_C1729_278,Noncdm Charge Record Medical Supplies,124.3,124.3,,,0 CDM,35405_C1729_278,Noncdm Charge Record Medical Supplies,124.26,124.26,,,0 CDM,35407_C1729_278,Noncdm Charge Record Medical Supplies,124.26,124.26,,,0 CDM,35409_C1729_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,35411_C1729_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,35413_C1729_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,35415_C1729_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,35419_C2625_278,Noncdm Charge Record Medical Supplies,157.29,157.29,,,0 CDM,35421_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,3542_00121148800,"Guaifenesin: 10 Tray In 1 Case (0121-1488-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1488-10)",2.0,2.0,,,0 CDM,3542_00121148810,NDC Description Not Available,1.88,1.88,,,0 CDM,3542_00121174405,NDC Description Not Available,2.06,2.06,,,0 CDM,3542_81033010210,NDC Description Not Available,2.08,2.08,,,0 CDM,35488_00781232206,NDC Description Not Available,45.9,45.9,,,0 CDM,35488_00781232246,Aprepitant: 2 Capsule In 1 Dose Pack (0781-2322-46),45.91,45.91,,,0 CDM,35488_68462058458,Aprepitant: 2 Capsule In 1 Dose Pack (68462-584-58),45.92,45.92,,,0 CDM,35489_68462058540,NDC Description Not Available,45.91,45.91,,,0 CDM,35499_C1750_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,35503_C1887_278,Noncdm Charge Record Medical Supplies,23.1,23.1,,,0 CDM,35640_43598033011,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",46.45,46.45,,,0 CDM,35640_55111068507,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",71.39,71.39,,,0 CDM,35640_67457039054,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,50.69,50.69,,,0 CDM,35640_69367019050,Zoledronic Acid: 1 Vial In 1 Carton (69367-190-50) / 5 Ml In 1 Vial,374.59,374.59,,,0 CDM,35640_72603019801,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (72603-198-01) / 5 Ml In 1 Vial, Glass",83.17,83.17,,,0 CDM,35654_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,35676_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,35678_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,35682_C1769_278,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,35684_C1769_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,35686_49884031152,NDC Description Not Available,17.72,17.72,,,0 CDM,35686_59746001032,"Risperidone: 3 Blister Pack In 1 Carton (59746-010-32) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",17.72,17.72,,,0 CDM,35687_49884031552,NDC Description Not Available,20.74,20.74,,,0 CDM,35687_59746002022,"Risperidone: 7 Blister Pack In 1 Carton (59746-020-22) / 4 Tablet, Orally Disintegrating In 1 Blister Pack",19.86,19.86,,,0 CDM,35688_59746003022,"Risperidone: 7 Blister Pack In 1 Carton (59746-030-22) / 4 Tablet, Orally Disintegrating In 1 Blister Pack",32.14,32.14,,,0 CDM,35699_00078093926,Vigamox: 1 Bottle In 1 Carton (0078-0939-26) / 3 Ml In 1 Bottle,869.32,869.32,,,0 CDM,35775_58468004001,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0040-1) / 7 Ml In 1 Vial, Glass",508.69,508.69,,,0 CDM,35790_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,35812_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,35828_C1887_278,Noncdm Charge Record Medical Supplies,265.1,265.1,,,0 CDM,3583_00904678261,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61) / 1 Tablet In 1 Blister Pack,0.92,0.92,,,0 CDM,35856_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,3585_00121058104,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),1.2,1.2,,,0 CDM,35866_65862045660,"Alprazolam: 60 Tablet, Extended Release In 1 Bottle (65862-456-60)",12.88,12.88,,,0 CDM,35886_270,Noncdm Charge Record Medical Supplies,375.1,375.1,,,0 CDM,35891_00065042915,"Systane Lubricant: 1 Bottle, Dropper In 1 Carton (0065-0429-15) / 15 Ml In 1 Bottle, Dropper",7.83,7.83,,,0 CDM,3589_270,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,35943_00245531911,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5319-11)",1.79,1.79,,,0 CDM,35950_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,3597638001,"Hc Ct Scan,Limited/Localized F/U Study - Ct Limited Follow Up",1102.5,1102.5,,,0 CDM,3597_270,Noncdm Charge Record Medical Supplies,3.3,3.3,,,0 CDM,3600000020,Hc Or Case Level 1 - One Minute,172.0,172.0,,,0 CDM,3600000021,Hc Or Case Level 2 - One Minute,180.0,180.0,,,0 CDM,3600000022,Hc Or Case Level 3 - One Minute,186.0,186.0,,,0 CDM,3600000023,Hc Or Case Level 4 - One Minute,200.0,200.0,,,0 CDM,3600000024,Hc Or Case Level 5 - One Minute,212.0,212.0,,,0 CDM,3600000025,Hc Or Case Level 6 - One Minute,226.0,226.0,,,0 CDM,3600000026,Hc Or Case Level 7 - One Minute,241.0,241.0,,,0 CDM,3600000031,Hc Heart Transplant Pump Team,6339.0,6339.0,,,0 CDM,3600000032,Hc Liver/Lung Trans Addl Hr >5,1394.0,1394.0,,,0 CDM,3600000034,Hc Heart Transplant Addl Hour >5,1394.0,1394.0,,,0 CDM,3600000035,Hc Pump Team Stand By,6656.0,6656.0,,,0 CDM,3600000036,Hc Cell Saver Non-Cardiac Standby,2646.0,2646.0,,,0 CDM,3600000037,Hc Life Support System/Vads,6656.0,6656.0,,,0 CDM,3600000038,Hc Limb Perfusion,2252.0,2252.0,,,0 CDM,3600000039,Hc Pump Team/Open Heart,6656.0,6656.0,,,0 CDM,3600000040,Hc Cell Saver Cardiac Autotrans.,3330.0,3330.0,,,0 CDM,3600000041,Hc Cell Saver Non-Cardiac Autotra,4056.0,4056.0,,,0 CDM,3600000042,Hc Liver/Lung Transplant,6339.0,6339.0,,,0 CDM,3600000043,Hc Re-Exploration,2252.0,2252.0,,,0 CDM,3600000044,Hc Life Support Syst Add'l Hrs >5,2252.0,2252.0,,,0 CDM,3600000045,Hc Intraperitoneal Hyperthermic P,2608.0,2608.0,,,0 CDM,3600000046,Hc Lung Lavage,5641.0,5641.0,,,0 CDM,3600000047,Hc Perf Ecmo Initial Day,7442.0,7442.0,,,0 CDM,3600000050,Perfusion Services - Level 1,6970.0,6970.0,,,0 CDM,3600000051,Perfusion Services - Level 2,7663.0,7663.0,,,0 CDM,3600000052,Perfusion Services - Level 3,8429.0,8429.0,,,0 CDM,3600000053,Perfusion Services - Level 4,9276.0,9276.0,,,0 CDM,3600000054,Hc Ecmo Initial Day Veno Arterial,5632.0,5632.0,,,0 CDM,3600000055,Hc Ecmo Initial Day Veno Venous,5632.0,5632.0,,,0 CDM,3600000056,Hc Ecmo Insertion >6Yo Open,2420.0,2420.0,,,0 CDM,3600000057,Hc Ecmo Insertion >6Yo Percutan,2420.0,2420.0,,,0 CDM,3600000058,Hc Ecmo Insertion >6Yo Sternotomy,2420.0,2420.0,,,0 CDM,3600000059,Hc Ecmo Removal >6Yo Open,2420.0,2420.0,,,0 CDM,3600000060,Hc Ecmo Removal >6Yo Percutaneous,2420.0,2420.0,,,0 CDM,3600000061,Hc Ecmo Removal >6Yo Sternotomy,2420.0,2420.0,,,0 CDM,3600000062,Hc Ecmo Reposition >6Yo Open,2420.0,2420.0,,,0 CDM,3600000063,Hc Ecmo Reposition >6Yo Percutan,2420.0,2420.0,,,0 CDM,3600000064,Hc Ecmo Reposition>6Yo Sternotomy,3198.0,3198.0,,,0 CDM,3600000065,Hc Ecmovenoarterialmgmtdailymaint,7442.0,7442.0,,,0 CDM,3600000066,Hc Ecmovenovenousmgmtdailymaint,7442.0,7442.0,,,0 CDM,3600000067,Noncdm Charge Record,2179.47,2179.47,,,0 CDM,3600569T01,Hc Tricuspid Valve Rpr - Perc In,12982.0,12982.0,,,0 CDM,3600570T01,Hc Tricuspid Valve Rpr - Perc Ad,12982.0,12982.0,,,0 CDM,3601_C1762_278,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,3603301701,"Hc Pericardial Drain W/O Congenital Cardiac Anomaly, Incl Fluoro/Us",1459.0,1459.0,,,0 CDM,3603375001,"Hc Bt Shunt Closure, Subclavian To Pulmonary Artery",29988.0,29988.0,,,0 CDM,3603388001,Hc Endovascular Repair Descending Thoracic Aorta,7548.0,7548.0,,,0 CDM,3603395201,Hc Insert Peripheral Cannula Ecmo W/Fluoro,2420.0,2420.0,,,0 CDM,3603396701,Hc Cath Insert Intra-Aortic Balloon Asst Device,1414.0,1414.0,,,0 CDM,3603396801,Hc Removal Intra-Aortic Balloon Assist Device,334.0,334.0,,,0 CDM,3603399001,"Hc Insert Ventricular Assist Device, Left Heart, Arterial Access Only",4276.0,4276.0,,,0 CDM,3603399101,"Hc Insert Ventricular Assist Device (Vad), Left Heart Art/Vein Access, W/Transseptal Punct",4276.0,4276.0,,,0 CDM,3603399201,"Hc Remove Left Heart Ventricular Assist Device, Different Session",4276.0,4276.0,,,0 CDM,3603399301,"Hc Reposition Left Heart Ventricular Assist Device, Different Session",4276.0,4276.0,,,0 CDM,3603399902,Hc Insert Dual Chamber Leadless Pacemaker,16348.0,16348.0,,,0 CDM,3603399903,Hc Basilica Aortic Leaflet Lacera,36525.0,36525.0,,,0 CDM,3603399904,Hc Tran Tricuspid Valve Replacement W/O Bypass,12982.0,12982.0,,,0 CDM,3603399907,Hc Tricuspid Valve,38352.0,38352.0,,,0 CDM,3603399910,Hc Cv Tavr Transcarotid,36525.0,36525.0,,,0 CDM,3603399911,Hc Cv Tavr Transcaval,36525.0,36525.0,,,0 CDM,3603399912,Hc Transcath Mitral Cerclage,36525.0,36525.0,,,0 CDM,3603399913,Hc Iabp Repositioning,4276.0,4276.0,,,0 CDM,3603470101,Hc Aaa Repair Aortic Graft Only,29880.0,29880.0,,,0 CDM,3603470201,Hc Aaa Rpr Aortic/Iliac Balln Occ,4577.0,4577.0,,,0 CDM,3603470301,Hc Aaa Rpr Graft Aorto-Uni-Iliac,5893.0,5893.0,,,0 CDM,3603470501,Hc Aaa Repair Graft Aorto-Bi-Iliac,52500.0,52500.0,,,0 CDM,3603470601,Hc Aaa Graft Aorto-Bifurcation-Iliac Rupture,10874.0,10874.0,,,0 CDM,3603470701,Hc Repair Iliac Artery Ilio-Iliac Tube,2976.0,2976.0,,,0 CDM,3603470801,Hc Repair Iliac Artery Ilio-Iliac Tube Rupture,2976.0,2976.0,,,0 CDM,3603470901,Hc Placement Extension Prosthesis Per Vessel Treated,3473.0,3473.0,,,0 CDM,3603481201,"Hc Open Femoral Art Exp, By Groin, Unilateral",1774.0,1774.0,,,0 CDM,36046_00338070434,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34) / 1000 Ml In 1 Bag,3.25,3.25,,,0 CDM,3604739901,Hc Mr Ablation Liver Cryotherapy,5139.0,5139.0,,,0 CDM,3604799901,Hc Unlisted Procedure - Perc Biliary Dil W/O Stent,6310.0,6310.0,,,0 CDM,3604799902,Hc Unlisted Procedure - Manometry Of Billiary Tract,6310.0,6310.0,,,0 CDM,3604899901,Hc Percutaneous Pancreatic Mass Ablation,11936.0,11936.0,,,0 CDM,3606069901,Hc Rfa Adrenal Mass,8118.0,8118.0,,,0 CDM,3606069902,Hc Mri Ablation Endocrine,8118.0,8118.0,,,0 CDM,36092_59651024130,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (59651-241-30)",1313.66,1313.66,,,0 CDM,360S290001,Hc Euh Davinci Xi Dual #Sk1801 P,0.01,0.01,,,0 CDM,3610200T01,Hc Sacroplasty Unilateral Injection,13738.0,13738.0,,,0 CDM,3610201T01,Hc Sacroplasty Bilateral Inj,13738.0,13738.0,,,0 CDM,3610234T01,"Hc Transluminal Peripheral Atherectomy, Open/Percutaneous, Incl Radiological S&I, Renal Artery",30883.0,30883.0,,,0 CDM,3610235T01,Hc Trluml Perip Athrc Visceral - Ir Atherectomy Each Visceral Artery,39307.0,39307.0,,,0 CDM,3610237T01,"Hc Arthrectomy Braciocephalic Trunk And Branches, Each Vessel",21667.0,21667.0,,,0 CDM,3610238T01,Hc Atherectomy Lliac Artery S&I - Each Vessel,9592.0,9592.0,,,0 CDM,3610275T01,Hc Perc Lamino/Laminectomy Indirect Image Guide Lumbar Decompression,10635.0,10635.0,,,0 CDM,3610339T01,Hc Renal Symp Denervation-Bilat,18433.0,18433.0,,,0 CDM,3610440T01,Hc Cryo Upper Ext Periph Nerve,12235.0,12235.0,,,0 CDM,3610441T01,"Hc Cryoablation, Incl Img Guid; Lower Extremity Distal/Peripheral Nerve",12235.0,12235.0,,,0 CDM,3610442T01,Hc Cryo Nerve Plexus/Truncal,12235.0,12235.0,,,0 CDM,3610581T01,"Hc Ablation, Breast Tumor(S), Cryotherapy, Imaging Guidance, Unilateral",9774.0,9774.0,,,0 CDM,3610600T01,"Hc Ablation, Irreversible Electroporation; 1 Or More Tumors Per Organ, Including Imaging Guidance, P",27070.0,27070.0,,,0 CDM,3610620T01,"Hc Endovascular Venous Arterialization, Tibial/Peroneal Vein W/Transcatheter Placement Of Intravascu",32771.0,32771.0,,,0 CDM,3610645T01,"Hc Transcath Implantation, Coronary Sinus Reduction Device Incl Vascular Access/Closure, Right Heart",40098.0,40098.0,,,0 CDM,3610646T01,Hc Ttvi Tricuspid Valve Implant,40461.0,40461.0,,,0 CDM,3610646T02,Hc Ttvi Tricuspd Val Rplc W/O Byp,13696.0,13696.0,,,0 CDM,3610673T01,"Hc Ablation, Benign Thyroid Nodule(S), Percutaneous, Laser, Including Imaging Guidance",4494.0,4494.0,,,0 CDM,3610707T01,Hc Injection(S) Bone-Substitute Material,7323.0,7323.0,,,0 CDM,3610744T01,"Hc Insert Bioprosthetic Valve,Open,Femoral Vein, Duplex Us Img, Incl Auto/Nonautogenous Patch Graft",12335.0,12335.0,,,0 CDM,3610775T01,"Hc Arthrodesis, Sacroiliac Joint, Percutaneous, W/Image Guidance, Incl Placement Intra-Articular Imp",68315.0,68315.0,,,0 CDM,3610902T01,"Hc Qtc Interval Derived By Augmentative Algorithmic Analysis Of Input From An External, Patient-Acti",355.0,355.0,,,0 CDM,3610913T01,"Hc Perq Tcath Therapeutic Drug Delivery By Intracoronary Drug-Delivery Balloon, Imaging Si&R, Single",13684.0,13684.0,,,0 CDM,3610914T01,"Hc Perq Tcath Therapeutic Drug Delivery By Intracoronary Drug-Delivery Balloon, Separate Target Lesi",22371.0,22371.0,,,0 CDM,3610915T01,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",76948.0,76948.0,,,0 CDM,3610916T01,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",53871.0,53871.0,,,0 CDM,3610917T01,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",19862.0,19862.0,,,0 CDM,3610918T01,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",19862.0,19862.0,,,0 CDM,3610919T01,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Pulse,8734.0,8734.0,,,0 CDM,3610920T01,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Singl,8734.0,8734.0,,,0 CDM,3610921T01,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Singl,8734.0,8734.0,,,0 CDM,3610922T01,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Dual,8734.0,8734.0,,,0 CDM,3610923T01,Hc Removal And Replacement Of Permanent Cardiac Contractility Modulation-Defibrillation Pulse Genera,53871.0,53871.0,,,0 CDM,3610924T01,"Hc Repositioning Previously Impl Ccm-D Transvenous Electrode(S)/Lead(S), Incl Fluoro Guidance, Progr",1484.0,1484.0,,,0 CDM,3610925T01,Hc Relocation Of Skin Pocket For Implanted Cardiac Contractility Modulation-Defibrillation Pulse Gen,4558.0,4558.0,,,0 CDM,3610933T01,"Hc Tcath Implantation, Wireless Left Atrial Pressure Sensor, Long-Term Left Atrial Pressure Monitori",7719.0,7719.0,,,0 CDM,3611000401,"Hc Fine Needle Aspiration Biopsy, W/O Imaging Guidance; Each Add'l Lesion",323.0,323.0,,,0 CDM,3611000501,Hc Fna Biopsy-Us Guidance 1St Lesion,2754.0,2754.0,,,0 CDM,36110005PB,Hc Pbb Fna Biopsy-Us Guidance 1St Lesion,2754.0,2754.0,,,0 CDM,3611000601,Hc Fna Biopsy-Us Guidance Each Add Lesion,834.0,834.0,,,0 CDM,36110006PB,Hc Pbb Fna Biopsy-Us Guidance Each Add Lesion,834.0,834.0,,,0 CDM,3611002101,Hc Fine Needle Asp;W/O Imaging Guidance,1294.0,1294.0,,,0 CDM,36110021PB,Hc Pbb Fine Needle Asp;W/O Imaging Guidance,1294.0,1294.0,,,0 CDM,3611002201,Noncdm Charge Record,1443.0,1443.0,,,0 CDM,3611003001,"Hc Image-Guided Catheter Fluid Collection Drainage, Soft Tissue",5400.0,5400.0,,,0 CDM,3611003501,Hc Perq Sft Tiss Loc Device Plmt 1St Les W/Gdnce,1843.0,1843.0,,,0 CDM,3611003601,Hc Localization Device Plcmnt W/Img Guidance Ea Addl,1536.0,1536.0,,,0 CDM,3611006001,Hc Incision And Drainage Of Abscess - Simple Or Single,1547.0,1547.0,,,0 CDM,3611006101,Hc Incision And Drainage Of Abscess - Complicated Or Multi,2623.0,2623.0,,,0 CDM,3611012001,Hc Remove Foreign Body Simple,1294.0,1294.0,,,0 CDM,3611014001,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collec",5400.0,5400.0,,,0 CDM,3611016001,Hc Puncture Drainage Of Lesion,1308.0,1308.0,,,0 CDM,3611120001,"Hc Removal Of Skin Tags, Up To 15",600.0,600.0,,,0 CDM,3611140001,"Hc Exc Skin Benig <.5 Cm Trunk,Arm,Leg",2522.0,2522.0,,,0 CDM,3611144101,"Hc Exc Skin Benig 0.6-1 Cm Face,Facial",2522.0,2522.0,,,0 CDM,3611144201,"Hc Exc Skin Benig 1.1-2 Cm Face,Facial",3287.0,3287.0,,,0 CDM,3611144301,"Hc Exc Skin Benig 2.1-3 Cm Face,Facial",4484.0,4484.0,,,0 CDM,3611144401,"Hc Exc Skin Benig 3.1- 4 Cm Face,Facial",4678.0,4678.0,,,0 CDM,3611144601,"Hc Exc Skin Benig >4 Cm Face,Facial",8059.0,8059.0,,,0 CDM,3611164201,"Hc Exc Skin Malig 1.1-2 Cm Face,Facial",1940.0,1940.0,,,0 CDM,3611190001,"Hc Injection Into Skin Lesions, Up To 7",677.0,677.0,,,0 CDM,3611198201,Hc Removal Non-Biodegradable Drug Delivery Implant,1566.0,1566.0,,,0 CDM,3611202001,Hc Closure Superf Wnd Dehis Simple,2316.0,2316.0,,,0 CDM,3611205201,"Hc Layr Clos Wnd Face,Facial 2.5-5 Cm",1148.0,1148.0,,,0 CDM,3611205301,"Hc Layr Clos Wnd Face,Facial 5.1-7.5 Cm",1268.0,1268.0,,,0 CDM,3611526001,"Hc Full Thick Grft Nos,Ear,Lid <20 Sqcm",4828.0,4828.0,,,0 CDM,3611573301,"Hc Muscle, Myocutaneous, Or Fasciocutaneous Flap; Head And Neck With Named Vascular Pedicle",9435.0,9435.0,,,0 CDM,3611576901,"Hc Grafting Of Autologous Soft Tissue, Other, Harvested By Direct Excision",9435.0,9435.0,,,0 CDM,3611582201,Hc Revision Of Upper Eyelid,5458.0,5458.0,,,0 CDM,3611582301,Hc Rev Upper Eyelid W Excess Skin,5458.0,5458.0,,,0 CDM,3611725001,Hc Chemical Cauterization Of Granulation Tissue,3011.0,3011.0,,,0 CDM,3611900001,Hc Punc/Aspir Breast Cyst,2754.0,2754.0,,,0 CDM,3611900101,"Hc Puct/Aspir Breast Cyst,Each Addn",445.0,445.0,,,0 CDM,3611908101,Hc Bx Breast W Device 1St Lesion Stereotactic Guide,2731.0,2731.0,,,0 CDM,3611908201,Hc Bx Breast W Device Addl Lesion Stereotact Guide,1881.0,1881.0,,,0 CDM,3611908301,Hc Bx Breast W Device 1St Lesion Ultrasound Guide,2731.0,2731.0,,,0 CDM,3611908401,Hc Bx Breast W Device Addl Lesion Ultrasound Guide,1881.0,1881.0,,,0 CDM,3611910001,"Hc Biopsy Of Breast, Needle Core",5400.0,5400.0,,,0 CDM,3611912501,"Hc Excision Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Sing",10568.0,10568.0,,,0 CDM,3611928101,Hc Perq Device Placemt Breast Loc 1St Les W Guidnce,1394.0,1394.0,,,0 CDM,3611928201,Hc Perq Device Placemt Breast Loc Ea Les W Guidnce,264.0,264.0,,,0 CDM,3611928301,Hc Perq Breast Loc Device Placemt 1St Strtctc Guid,1394.0,1394.0,,,0 CDM,3611928401,Hc Perq Breast Loc Device Placemt Ea Lesion Strtctc,264.0,264.0,,,0 CDM,3611928501,Hc Perq Breast Loc Device Placemt 1St Lesio Us Imag,1394.0,1394.0,,,0 CDM,3611928601,Hc Perq Breast Loc Device Placemt Each Les Us Image,264.0,264.0,,,0 CDM,3611928701,Hc Perq Breast Loc Device Placemt 1St Lesio Mr Guid,1394.0,1394.0,,,0 CDM,3611928801,Hc Perq Breast Loc Device Placemt Add Lesio Mr Guid,264.0,264.0,,,0 CDM,3611929601,Hc Place Postop Breast Cath For Rad,3419.0,3419.0,,,0 CDM,3611949902,Hc Breast Tumor Ablation,6341.0,6341.0,,,0 CDM,3612020601,"Hc Needle Biopsy,Muscle",5400.0,5400.0,,,0 CDM,3612022001,"Hc Bone Biopsy,Trocar/Needle Superf",5400.0,5400.0,,,0 CDM,3612022501,"Hc Bone Biopsy,Trocar/Needle Deep",8104.0,8104.0,,,0 CDM,3612050001,Hc Inject Sinus Tract Theraputic,4299.0,4299.0,,,0 CDM,3612050101,Hc Inject Sinus Tract For Dx W Xray,721.0,721.0,,,0 CDM,3612052001,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,4363.0,4363.0,,,0 CDM,3612052601,Hc Carpal Tunnel Injection,1160.0,1160.0,,,0 CDM,3612055001,Hc Inject Tendon Sheath/Ligament,1282.0,1282.0,,,0 CDM,3612055101,Hc Inject Tendon Origin/Insert,1282.0,1282.0,,,0 CDM,3612055201,"Hc Inject Trigger Point, 1 Or 2",1282.0,1282.0,,,0 CDM,3612055301,"Hc Pbb Inject Trigger Points, > 3",1282.0,1282.0,,,0 CDM,3612056001,Hc Dry Needling 1 Or 2 Muscles,83.0,83.0,,,0 CDM,3612056101,Hc Dry Needling 3 Or More Muscles,83.0,83.0,,,0 CDM,3612060001,Hc Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,3612060401,Hc Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt,1730.0,1730.0,,,0 CDM,3612060501,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,1321.0,1321.0,,,0 CDM,3612060601,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,1945.0,1945.0,,,0 CDM,3612061001,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,3612061101,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,2138.0,2138.0,,,0 CDM,3612061201,Hc Aspirat/Injection Ganglion Cyst(S),1254.0,1254.0,,,0 CDM,3612066001,"Hc Application Of Cranial Tongs, Caliper Or Frame Incl Removal",6281.0,6281.0,,,0 CDM,3612066501,"Hc Cranial Frame, Tong Or Halo Removal By Another Individual",1436.0,1436.0,,,0 CDM,3612098201,Hc Ablation Bone Tumor Rf Perq W/Img Gdn When Done,13725.0,13725.0,,,0 CDM,3612098301,Hc Ablatj Bone Tumor Cryoablation Perq W/Img Gdn When Prfmd,23597.0,23597.0,,,0 CDM,3612099901,Hc Unlisted Proc Musc/Skel Syst,4218.0,4218.0,,,0 CDM,3612099902,Hc Ablation Musculoskeletal Mass,4218.0,4218.0,,,0 CDM,3612099903,Hc Sclerotherapy Inj Soft Tissue,4218.0,4218.0,,,0 CDM,3612099905,Hc Mr Ablation Muscleskeltal Mass,4218.0,4218.0,,,0 CDM,3612101101,Hc Excision Tumor Soft Tiss Face/Scalp Subq < 2Cm,4472.0,4472.0,,,0 CDM,3612161501,Hc Excision First And/Or Cervical Rib,24322.0,24322.0,,,0 CDM,3612189901,Hc Radiofrequency Ablation - Neck,5335.0,5335.0,,,0 CDM,3612192001,"Hc Biopsy, Soft Tissue Of Back Or Flank; Superficial",4472.0,4472.0,,,0 CDM,3612251001,Hc Perq Vertebroplasty Uni/Bi Injx Cervicothoracic,6943.0,6943.0,,,0 CDM,3612251101,Hc Perq Vertebroplasty Uni/Bi Injection Lumbosacral,6943.0,6943.0,,,0 CDM,3612251201,Hc Vertebroplasty Each Addl Cervicothor/Lumbosacral,6564.0,6564.0,,,0 CDM,3612251301,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation,14331.0,14331.0,,,0 CDM,3612251401,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr,14331.0,14331.0,,,0 CDM,3612251501,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each,16580.0,16580.0,,,0 CDM,3612306501,"Hc Biopsy Soft Tissue Of Shoulder, Superficial",4924.0,4924.0,,,0 CDM,3612335001,Hc Inj Proc Shoulder Arthrography/Ct/Mri,693.0,693.0,,,0 CDM,3612422001,Hc Injection For Elbow Arthrogram,733.0,733.0,,,0 CDM,3612435701,"Hc Tenotomy, Elbow, Lateral Or Medial, Perc",2621.0,2621.0,,,0 CDM,3612524601,Hc Injection For Wrist Arthrogram,874.0,874.0,,,0 CDM,3612605501,Hc Tendon Sheath Incision,4455.0,4455.0,,,0 CDM,3612606001,"Hc Tenotomy Single, Each Digit",6975.0,6975.0,,,0 CDM,3612709301,"Hc Injection Hip Arthrogram, W/O Anesthesia",984.0,984.0,,,0 CDM,3612709501,"Hc Injection Procedure For Hip Arthrography, W/Anes Bilat",881.0,881.0,,,0 CDM,3612709602,"Hc Injection,Sacroiliac Joint, Anesthetic/Steroid W/Img, Incl Arthrography When Perf",650.0,650.0,,,0 CDM,3612727801,"Hc Arthrodesis, Sacroiliac Joint, Percutaneous, W/Image Guidance, Including Placement Of Intra-Artic",49058.0,49058.0,,,0 CDM,3612729901,Hc Percutaneous Acetabuloplasty,5334.0,5334.0,,,0 CDM,3612729902,Hc Hip Joint Nerve Destruction,5457.0,5457.0,,,0 CDM,3612759901,Hc Patellar Tenotomy,4057.0,4057.0,,,0 CDM,3612760501,"Hc Tenotomy Achilles Tendon, Local Anesthesia",8340.0,8340.0,,,0 CDM,3612764801,Hc Injection Procedure Ankle Arthrogram,669.0,669.0,,,0 CDM,3612801001,"Hc Tenotomy Perc Toe, Singl Tendon",6975.0,6975.0,,,0 CDM,3612819001,"Hc Remv Foot Foreign Body,Subcutaneous",5400.0,5400.0,,,0 CDM,3612882001,"Hc Amputation, Toe; Metatarsophalangeal Joint",7367.0,7367.0,,,0 CDM,3612889901,Hc Us Plantar Fascia Tenotomy,675.0,675.0,,,0 CDM,3612982701,"Hc Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair",18813.0,18813.0,,,0 CDM,3613046501,Hc Repair Of Nasal Vestibular Stenosis,15400.0,15400.0,,,0 CDM,3613052001,"Hc Septoplasty Or Submucous Resection, With Or Without Cartilage Scoring, Contouring Or Replacement",8466.0,8466.0,,,0 CDM,3613063001,Hc Repair Nasal Septal Perforations,8466.0,8466.0,,,0 CDM,3613093001,"Hc Fracture Nasal Inferior Turbinate(S), Therapeutic",8466.0,8466.0,,,0 CDM,3613157601,Hc Laryngoscopy Flexible With Biopsy(Ies),3007.0,3007.0,,,0 CDM,3613157901,"Hc Laryngoscopy,Flex/Rigid+Stroboscopy",1087.0,1087.0,,,0 CDM,3613240001,Hc Needle Biopsy Pleura,2731.0,2731.0,,,0 CDM,3613240501,"Hc Percut Bx, Lung/Mediastinum",4467.0,4467.0,,,0 CDM,3613240801,Hc Cn Lung/Mediastinum Bx W/Img,5048.0,5048.0,,,0 CDM,3613255001,Hc Insertion Indwelling Tunneled Pleural Catheter,12474.0,12474.0,,,0 CDM,3613255101,"Hc Tube Thoracostomy Includes Connection To Drainage System, Open",4548.0,4548.0,,,0 CDM,3613255102,"Hc Tube Thoracostomy Includes Connection To Drainage System, Open",4548.0,4548.0,,,0 CDM,3613255201,Hc Removal Of Indwelling Tunneled Pleural Catheter With Cuff,2769.0,2769.0,,,0 CDM,3613255301,"Hc Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult",4900.0,4900.0,,,0 CDM,3613255401,Hc Thoracentesis Needle/Cath Pleura W/O Imaging,435.0,435.0,,,0 CDM,3613255501,Hc Thoracentesis Needle/Cath Pleura W/Imaging,3131.0,3131.0,,,0 CDM,3613255601,Hc Perq Drainage Pleura Insert Cath W/O Imaging,6247.0,6247.0,,,0 CDM,3613255701,Hc Perq Drainage Pleura Insert Cath W/Imaging,6575.0,6575.0,,,0 CDM,3613256001,"Hc Instillation, Via Chest Tube/Cath, Chemical Pleurodesis For Persistent Pneumothorax",2769.0,2769.0,,,0 CDM,3613256101,"Hc Instill Via Chest Tube Agent For Fibrinolysis, 1St Day",1400.0,1400.0,,,0 CDM,3613256201,"Hc Instill Via Chest Tube Agent For Fibrinolysis, Subsequent",1400.0,1400.0,,,0 CDM,3613299401,"Hc Ablation Tx, Reduc Or Eradicatio Of 1> Pulm Tumors Lung, Cryoablation, Unilat",12388.0,12388.0,,,0 CDM,3613299801,"Hc Perq Radiofreq Ablation Tx, Pul Tumor",11936.0,11936.0,,,0 CDM,3613299901,Hc Unlisted Respiratory Procedure,5335.0,5335.0,,,0 CDM,3613325401,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Limited (Eg, Modified Maze Procedure)",31860.0,31860.0,,,0 CDM,3613325501,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Extensive (Eg, Maze Procedure); W/O Cardio",42480.0,42480.0,,,0 CDM,3613325601,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Extensive (Eg, Maze Procedure); W/Cardiopu",42480.0,42480.0,,,0 CDM,3613342601,"Hc Valvuloplasty, Mitral Valve, W/Cardiopulmonary Bypass W/Prosthetic Ring",41040.0,41040.0,,,0 CDM,3613346301,"Hc Valvuloplasty, Tricuspid Valve, Without Ring Insertion",42480.0,42480.0,,,0 CDM,3613347501,Hc Replacement Pulmonary Valve,37485.0,37485.0,,,0 CDM,3613351001,"Hc Coronary Artery Bypass, Vein Only; Single Coronary Venous Graft",50490.0,50490.0,,,0 CDM,3613351101,"Hc Coronary Artery Bypass, Vein Only; 2 Coronary Venous Grafts",51238.0,51238.0,,,0 CDM,3613351201,"Hc Coronary Artery Bypass, Vein Only; 3 Coronary Venous Grafts",51238.0,51238.0,,,0 CDM,3613351301,"Hc Coronary Artery Bypass, Vein Only; 4 Coronary Venous Grafts",52921.0,52921.0,,,0 CDM,3613351401,"Hc Coronary Artery Bypass, Vein Only; 5 Coronary Venous Grafts",52921.0,52921.0,,,0 CDM,3613351601,"Hc Coronary Artery Bypass, Vein Only; 6 Or More Coronary Venous Grafts",54417.0,54417.0,,,0 CDM,3613353301,"Hc Coronary Artery Bypass, Using Arterial Graft(S); Single Arterial Graft",49929.0,49929.0,,,0 CDM,3613353401,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 2 Coronary Arterial Grafts",51238.0,51238.0,,,0 CDM,3613353501,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 3 Coronary Arterial Grafts",51238.0,51238.0,,,0 CDM,3613353601,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 4 Or More Coronary Arterial Grafts",52921.0,52921.0,,,0 CDM,3613375001,"Hc Bt Shunt Closure, Subclavian To Pulmonary Artery",29988.0,29988.0,,,0 CDM,3613388101,Hc Thoracic Descending Not,6490.0,6490.0,,,0 CDM,3613388301,Hc Thoracic Aorta-Proximal Extension,4805.0,4805.0,,,0 CDM,3613388601,"Hc Aaa Thoracic Distal Extension, Post Repair",4156.0,4156.0,,,0 CDM,3613389701,Hc Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta,1726.0,1726.0,,,0 CDM,3613390001,"Hc Percu Pulm Artery Revasc By Stent, Initial, Normal Unilateral",25477.0,25477.0,,,0 CDM,3613390101,"Hc Percu Pulm Artery Revasc By Stent, Initial Normal Bilateral",25477.0,25477.0,,,0 CDM,3613390201,"Hc Percu Pulm Artery Revasc By Stent, Initial Abnormal Unilateral",41226.0,41226.0,,,0 CDM,3613390301,"Hc Percu Pulm Artery Revasc By Stent, Initial Abnormal Bilateral",25477.0,25477.0,,,0 CDM,3613390401,"Hc Percu Pulm Artery Revasc By Stent, Normal Or Abnormal, Each Add'l",14707.0,14707.0,,,0 CDM,3613399701,"Hc Removal Of Percutaneous Right Heart Ventricular Assist Device, Venous Cannula, At Separate And Di",4276.0,4276.0,,,0 CDM,3613399915,Hc Lvad Stenting,24620.0,24620.0,,,0 CDM,3613399916,"Hc Percutaneous Transcatheter Closure Of Paravalvular Leak; Initial Occlusion Device, Tricuspid Valv",40098.0,40098.0,,,0 CDM,3613420101,Hc Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art,5389.0,5389.0,,,0 CDM,3613470401,Hc Aaa Rpr Graft Aorto-Uni-Iliac Rupture,5893.0,5893.0,,,0 CDM,3613470701,Hc Repair Iliac Artery Ilio-Iliac Tube,2976.0,2976.0,,,0 CDM,3613471001,Hc Delayed Placement Distal Or Proximal Ext Endovasc Repair- 1St Vessel Treated,52500.0,52500.0,,,0 CDM,3613471101,Hc Delayed Placement Distal Or Proximal Ext Endovasc Repair- Ea Addl Vessel Treated,1104.0,1104.0,,,0 CDM,3613471201,Hc Transcatheter Delivery Enh Fixation Device(S) To Endograft W/R&I,3473.0,3473.0,,,0 CDM,3613471301,"Hc Perq Access Closer Of Femoral Artery 12Fr>, Incl Us Guid",1303.0,1303.0,,,0 CDM,3613471701,"Hc Endovasc Repair Aort-Iliac Art Endograft Plcmt W/Aaa, Unilat",4919.0,4919.0,,,0 CDM,3613471801,"Hc Endovasc Repair W/O Aorto-Iliac Endgrft, For Other Than Rupt, Unilateral",4919.0,4919.0,,,0 CDM,3613480801,Hc Endovascular Plcmnt Of Iliac Art Occlusion Device,1104.0,1104.0,,,0 CDM,3613484101,Hc Aaa Graft Fenestrated 1 Vessel,6076.0,6076.0,,,0 CDM,3613484201,Hc Aaa Graft Fenestrated 2 Vessels,6076.0,6076.0,,,0 CDM,3613484301,Hc Aaa Graft Fenestrated 3 Vessels,6076.0,6076.0,,,0 CDM,3613484401,Hc Aaa Graft Fenestrated 4 Vessels,6076.0,6076.0,,,0 CDM,3613484501,Hc Aaa Iliac Graft Fenestrated 1 Vessel,6076.0,6076.0,,,0 CDM,3613484601,Hc Aaa Iliac Graft Fenestrated 2 Vessels,6076.0,6076.0,,,0 CDM,3613484701,Hc Aaa Iliac Graft Fenestrated 3 Vessels,6076.0,6076.0,,,0 CDM,3613484801,Hc Aaa Iliac Graft Fenestrated 4 Or More Vessels,6076.0,6076.0,,,0 CDM,3613500101,Hc Dir Rpr Aneurysm Carotid-Subclavian Artery,5943.0,5943.0,,,0 CDM,3613508101,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision",28800.0,28800.0,,,0 CDM,3613508201,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured",28800.0,28800.0,,,0 CDM,3613509101,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Viseral Vessels",28800.0,28800.0,,,0 CDM,3613509201,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured,Viseral Vessels",28800.0,28800.0,,,0 CDM,3613510201,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Iliac Vessels",28800.0,28800.0,,,0 CDM,3613510301,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured, Iliac Vessels",48000.0,48000.0,,,0 CDM,3613513101,Hc Dir Rpr Aneurysm & Graft Iliac Artery,7268.0,7268.0,,,0 CDM,3613514101,Hc Dir Rpr Aneurysm & Graft Common Femoral Artery,5769.0,5769.0,,,0 CDM,3613525601,Hc Repair Blood Vessel Vein Graft Lower Extremity,12566.0,12566.0,,,0 CDM,3613530101,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Carotid, Vertebral, Subclavian, By Ne",24750.0,24750.0,,,0 CDM,3613530201,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Superficial Femoral Artery",34155.0,34155.0,,,0 CDM,3613530301,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Popliteal Artery",34155.0,34155.0,,,0 CDM,3613530401,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Tibioperoneal Trunk Artery",34155.0,34155.0,,,0 CDM,3613530501,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Tibial Or Peroneal Artery, Initial Ve",34155.0,34155.0,,,0 CDM,3613530601,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Each Additional Tibial Or Peroneal Ar",17078.0,17078.0,,,0 CDM,3613534101,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Mesenteric, Celiac, Or Renal",39600.0,39600.0,,,0 CDM,3613535501,"Hc Thromboendarterectomy Incl Patch Graft, If Performed, Iliofemoral",22650.0,22650.0,,,0 CDM,3613537101,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Common Femoral",29700.0,29700.0,,,0 CDM,3613537201,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Deep (Profunda) Femoral",29700.0,29700.0,,,0 CDM,3613539001,"Hc Reoperation, Carotid, Thromboendarterectomy, More Than 1 Month After Original Operation",24750.0,24750.0,,,0 CDM,3613554001,"Hc Bypass Graft W/Vein, Aortobifemoral",48000.0,48000.0,,,0 CDM,3613555601,"Hc Bypass Graft W/Vein, Femoral-Popliteal",36240.0,36240.0,,,0 CDM,3613557101,"Hc Bypass Graft W/Vein, Popliteal-Tibial, Peroneal Artery Or Other Distal Vessels",36240.0,36240.0,,,0 CDM,3613564601,"Hc Bypass Graft W/Other Than Vein, Aortobifemoral",48000.0,48000.0,,,0 CDM,3613565601,"Hc Bypass Graft W/Other Than Vein, Femoral Popliteal",36240.0,36240.0,,,0 CDM,3613567101,"Hc Bypass Graft W/Other Than Vein, Popliteal-Tibial Or Peroneal Artery",36240.0,36240.0,,,0 CDM,3613600001,Hc Place Needle In Vein,124.0,124.0,,,0 CDM,3613600201,Hc Injection Rx Extremity Pseudoaneurysm,892.0,892.0,,,0 CDM,3613600501,"Hc Injection Proc,Extremity,Venography",362.0,362.0,,,0 CDM,3613601001,"Hc Place Cath In Vein,Svc,Ivc",2117.0,2117.0,,,0 CDM,3613601101,"Hc Place Cath In Vein,Select",1275.0,1275.0,,,0 CDM,3613601201,"Hc Cath Place Cath In Vein,Subselect(2Nd Order Or More)",1582.0,1582.0,,,0 CDM,3613601301,"Hc Ir Cath Placement, Right Heart Or Main Pulmonary Artery",1210.0,1210.0,,,0 CDM,3613601401,Hc Place Cath In Lt/Rt Pulm Art,1357.0,1357.0,,,0 CDM,3613601501,Hc Place Cath In Subsegmt Pulm Art,1582.0,1582.0,,,0 CDM,3613614001,Hc Place Cath Extrem Artery,1597.0,1597.0,,,0 CDM,3613616001,Hc Place Cath Aorta Via Translumbar,1273.0,1273.0,,,0 CDM,3613620001,Hc Place Cath Aorta,2631.0,2631.0,,,0 CDM,3613621501,"Hc Place Cath Selective Art,Neck, Each 1St Order",3315.0,3315.0,,,0 CDM,3613621601,"Hc Cath Place Cath Subselect Art,Neck, Initial 2Nd Order",3819.0,3819.0,,,0 CDM,3613621701,"Hc Cath Place Cath Subsubselect Art,Neck, Initial 3Rd Order Or More",4549.0,4549.0,,,0 CDM,3613621801,"Hc Cath Placement, Arterial System, Addl 2Nd, 3Rd Or More, Thoracic/Brachiocephalic Branch",739.0,739.0,,,0 CDM,3613622101,Hc Cath Nonslctv Cath Thor Aorta Angio Intr/Xtrcranl Art,11541.0,11541.0,,,0 CDM,3613622201,Hc Slctv Cath Carotid/Innom Art Angio Xtrcranl Art,10513.0,10513.0,,,0 CDM,3613622301,Hc Slctv Cath Carotid/Innom Art Angio Intrcranl Art,14548.0,14548.0,,,0 CDM,3613622401,Hc Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art,14548.0,14548.0,,,0 CDM,3613622501,Hc Slctv Cath Subclavian Art Angio Vertebral Artery,10421.0,10421.0,,,0 CDM,3613622601,Hc Slctv Cath Vertebral Art Angio Vertebral Artery,14548.0,14548.0,,,0 CDM,3613622701,Hc Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ,15296.0,15296.0,,,0 CDM,3613622801,Hc Slctv Cath Intrcrnl Brnch Angio Intrl Carot/Vert,6073.0,6073.0,,,0 CDM,3613624501,"Hc Cath Place Cath Select Art,Abd/Pel, Each 1St Order",3509.0,3509.0,,,0 CDM,3613624601,"Hc Cath Place Cath Subselect Art,Abd/Pel, Initial 2Nd Order",3819.0,3819.0,,,0 CDM,3613624701,"Hc Place Cath Subsubselect Art,Abd/Pel, Initial 3Rd Order Or More",4549.0,4549.0,,,0 CDM,3613624801,"Hc Cath Placement, Arterial System, Addl 2Nd, 3Rd Or More, Abdominal/Pelvic/Lower Extremity Artery B",739.0,739.0,,,0 CDM,3613625101,Hc Slctv Cath 1Stord W/Wo Art Punct/Fluoro/S&I Uni,10421.0,10421.0,,,0 CDM,3613625201,Hc Slctv Cath 1Stord W/Wo Art Punct/Fluor/S&I Bilat,10421.0,10421.0,,,0 CDM,3613625301,Hc Supslctv Cath 2Nd+Ord Renl&Acces Artery/S&I Uni,11129.0,11129.0,,,0 CDM,3613625401,Hc Supslctv Cath 2Nd+Ord Renl&Acces Arter/S&I Bilat,11368.0,11368.0,,,0 CDM,3613629901,Hc Inj Of Vad Device,434.0,434.0,,,0 CDM,3613641001,Hc Venipuncture 3 Years/> Phys/Qhp Skill - Midline Insertion,80.0,80.0,,,0 CDM,3613646501,Hc Njx Noncmpnd Sclerosant Single Incmptnt Vein,5054.0,5054.0,,,0 CDM,3613646601,Hc Njx Noncmpnd Sclerosant Multiple Incmptnt Veins,5054.0,5054.0,,,0 CDM,3613646801,"Hc Injection(S) Of Sclerosant For Spider Veins (Telangiectasia), Limb Or Trunk",1105.0,1105.0,,,0 CDM,3613647001,"Hc Injection Therapy Vein,One Vein",1206.0,1206.0,,,0 CDM,3613647101,"Hc Injection Therapy Vein,Mult Veins",1294.0,1294.0,,,0 CDM,3613647501,"Hc Endovenous Rf, 1St Vein",8498.0,8498.0,,,0 CDM,3613647601,"Hc Endovenous Rf, Vein Add-On",7398.0,7398.0,,,0 CDM,3613647801,"Hc Endovenous Laser, 1St Vein",6514.0,6514.0,,,0 CDM,3613647901,Hc Endovenous Laser Vein Addon,5243.0,5243.0,,,0 CDM,3613648101,Hc Percut Portal Vein Catheterization,3125.0,3125.0,,,0 CDM,3613648201,Hc Endoven Ablti Ther Chem Adhesive 1St Vein,14451.0,14451.0,,,0 CDM,3613650001,Hc Venous Select Sampling W Cath,1142.0,1142.0,,,0 CDM,3613651001,Neo Uvc Line Insertion,522.0,522.0,,,0 CDM,3613651101,"Hc Therapeutic Apheresis,White Blood Cells",6005.0,6005.0,,,0 CDM,3613651201,"Hc Therapeutic Apheresis, For Red Blood Cells - Red Cross Ther Erythrocytapher",6005.0,6005.0,,,0 CDM,3613655501,Hc Insert Non-Tunneled Centrally Inserted Cv Cath < 5 Y/O,4943.0,4943.0,,,0 CDM,3613655601,Hc Insert Non-Tunneled Centrally Inserted Cv Cath >= 5 Y/O,4943.0,4943.0,,,0 CDM,3613655701,Hc Insert Tunneled Cv Cath W/O Port Or Pump < 5 Y/O,12879.0,12879.0,,,0 CDM,3613655801,Hc Insert Tunneled Cv Cath W/O Port Or Pump >= 5 Y/O,12879.0,12879.0,,,0 CDM,3613656101,Hc Insert Tunneled Centrally Inserted Cv Cath With Port >= 5 Y/O,12879.0,12879.0,,,0 CDM,3613656301,Hc Insert Tunneled Cv Cath With Pump,15232.0,15232.0,,,0 CDM,3613656501,"Hc Insert Tunneled Cv Cath W 2 Access Sites, W/O Pump Or Port",12879.0,12879.0,,,0 CDM,3613656601,"Hc Insert Tunneled Cv Cath W 2 Access Sites, W/ Pump Or Port",21746.0,21746.0,,,0 CDM,3613656801,"Hc Insert Picc W/O Sub-Q Port, W/O Img <5 Y/O",4943.0,4943.0,,,0 CDM,3613656901,"Hc Insert Picc W/O Sub-Q Port, W/O Img >= 5 Y/O",4707.0,4707.0,,,0 CDM,3613657101,Hc Insert Picc W/ Sub-Q Port >= 5 Y/O,12879.0,12879.0,,,0 CDM,3613657201,Hc Picc W/O Port W/Img Guid <5,2942.0,2942.0,,,0 CDM,3613657301,"Hc Ins Picc W/O Port Or Pump, Incl Img >= 5 Y/O",5191.0,5191.0,,,0 CDM,3613657501,"Hc Repair Cv Cath W/O Subq Port Or Pump, Central Or Peripheral Site",2769.0,2769.0,,,0 CDM,3613657601,"Hc Repair Cv Cath W/Subq Port Or Pump, Central Or Peripheral Site",4943.0,4943.0,,,0 CDM,3613657801,"Hc Replace Cv Cath, Catheter Only W Subq Pump Or Port",12879.0,12879.0,,,0 CDM,3613658001,"Hc Replace Cv Cath, Complete, Non-Tunneled, W/O Subq Port Or Pump",4943.0,4943.0,,,0 CDM,3613658101,"Hc Replace Cv Cath, Complete, Tunneled, W/O Subq Port Or Pump",12879.0,12879.0,,,0 CDM,3613658201,"Hc Replacement, Complete, Tunneled Centrally Inserted Central Venous Access Device, W/Subcutaneous P",12879.0,12879.0,,,0 CDM,3613658401,"Hc Replace Picc, Complete W/O Port Or Pump, Incl Img",4943.0,4943.0,,,0 CDM,3613658501,"Hc Replace Picc, Complete, W/ Port",12879.0,12879.0,,,0 CDM,3613658901,Hc Removal Tunneled Cv Cath W/O Subq Port Or Pump,2769.0,2769.0,,,0 CDM,3613659001,"Hc Removal Tunneled Cv Cath W Subq Port Or Pump, Central Or Peripheral",5012.0,5012.0,,,0 CDM,3613659101,Hc Chg Collect Blood From Implant Venous Access Device - Draw Charge,524.0,524.0,,,0 CDM,3613659201,Hc Chg Collect Blood From Catheter Venous Nos - Draw Charge,524.0,524.0,,,0 CDM,3613659202,Hc Collect Blood From Catheter Venous Nos - Bundled Charge,524.0,524.0,,,0 CDM,3613659301,Hc Declot By Thrombolytic Agent Implant Device/Cath,1147.0,1147.0,,,0 CDM,3613659501,"Hc Mech Remov Pericath Obstr Cv Dev Via Separate Ven Access, Fibrin Sheath",12879.0,12879.0,,,0 CDM,3613659601,Hc Mech Remov Intralum Obstr Cv Dev Thru Lumen,5330.0,5330.0,,,0 CDM,3613659701,Hc Reposition Venous Catheter,4943.0,4943.0,,,0 CDM,3613659801,"Hc Contrast Inj Cent Ven Cath, Inc Flouro",994.0,994.0,,,0 CDM,3613660001,Hc Chg Withdrawal Of Arterial Blood - Draw Charge,524.0,524.0,,,0 CDM,3613666001,"Hc Umbilical Artery Catherization, Newborn, Insertion",522.0,522.0,,,0 CDM,3613681801,"Hc Arteriovenous Anastomosis, Open, Upper Arm Cephalic Vein Transposition",11689.0,11689.0,,,0 CDM,3613681901,"Hc Arteriovenous Anastomosis, Open, Upper Arm Basilic Vein Transposition",11689.0,11689.0,,,0 CDM,3613682001,"Hc Arteriovenous Anastomosis, Open, Forearm Vein Transposition",11689.0,11689.0,,,0 CDM,3613682101,"Hc Arteriovenous Anastomosis, Open; Direct, Any Site",7150.0,7150.0,,,0 CDM,3613682501,Hc Creation Of Arteriovenous Fistula By Other Than Direct Arteriovenous Anastomosis; Autogenous Graf,12335.0,12335.0,,,0 CDM,3613683001,Hc Insert Cannula Nonautogenou,8701.0,8701.0,,,0 CDM,3613683201,"Hc Revision - Open Arteriovenous Fistula Graft, W/O Thromb",8701.0,8701.0,,,0 CDM,3613683601,"Hc Percu Avf Creation, Upper Extremity, Single Access",41226.0,41226.0,,,0 CDM,3613683701,"Hc Percu Avf Creation, Upper Extremity, Multi Access",41226.0,41226.0,,,0 CDM,3613690101,Hc Intro Cath Dialysis Circuit Dx Angrph Fluor S&I,1919.0,1919.0,,,0 CDM,3613690201,Hc Intro Cath Dialysis Circuit W/Trluml Balo Angiop,7233.0,7233.0,,,0 CDM,3613690301,Hc Intro Cath Dialysis Circuit W/Tcat Plmt Iv Stent,8875.0,8875.0,,,0 CDM,3613690401,Hc Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph,7233.0,7233.0,,,0 CDM,3613690501,Hc Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop,8875.0,8875.0,,,0 CDM,3613690601,Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt Iv Stent,13451.0,13451.0,,,0 CDM,3613690701,Hc Trluml Balo Angiop Ctr Dialysis Seg W/Img S&I,6886.0,6886.0,,,0 CDM,3613690801,Hc Tcat Plmt Iv Stent Ctr Dialysis Seg W/Img S&I,8687.0,8687.0,,,0 CDM,3613690901,Hc Dialyis Circuit Vasc Emboli Occls Evasc Img S&I,8687.0,8687.0,,,0 CDM,3613718201,Hc Insert Transven Intrahep Portosys Shunt,34155.0,34155.0,,,0 CDM,3613718301,Hc Revis Transven Intrahep Portosys Shunt,18417.0,18417.0,,,0 CDM,3613718401,Hc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 CDM,3613718501,Hc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra Sbsq,1094.0,1094.0,,,0 CDM,3613718601,Hc Sec Prq Trluml Thrmbc N-Coronary N-Intracranial,1640.0,1640.0,,,0 CDM,3613718701,"Hc Percut Mech Thrombectomy, Venous",11000.0,11000.0,,,0 CDM,3613718801,"Hc Percut Mech Thrombectomy, Venous, Repeat",6514.0,6514.0,,,0 CDM,3613719101,Hc Ins Intrvas Vc Filtr W/Wo Vas Acs Vsl Selxn Rs&I,11000.0,11000.0,,,0 CDM,3613719201,"Hc Reposition, Intravascular Vena Cava Filter, Endovascular Approach W/Vascular Access, Vessel Selec",4814.0,4814.0,,,0 CDM,3613719301,Hc Rtrvl Intrvas Vc Filtr W/Wo Acs Vsl Selxn Rs&I,4814.0,4814.0,,,0 CDM,3613719701,Hc Prq Transcatheter Rtrvl Intrvas Fb With Imaging,8811.0,8811.0,,,0 CDM,3613720001,Hc Transcatheter Biopsy,11000.0,11000.0,,,0 CDM,3613721101,Hc Thrombolysis Arterial Infusion Icra Rs&I Init Tx,11000.0,11000.0,,,0 CDM,3613721201,Hc Thrombolysis Venous Infusion W/Imaging Init Tx,11645.0,11645.0,,,0 CDM,3613721301,Hc Thrombolysis Art/Venous Infsn W/Image Subsq Tx,9177.0,9177.0,,,0 CDM,3613721401,Hc Cessation Thrombolytic Thrpy W/Catheter Removal,6514.0,6514.0,,,0 CDM,3613721501,Hc Tcat Iv Stent Crv Crtd Art Embolic Protecj,24150.0,24150.0,,,0 CDM,3613721601,Hc Tcat Iv Stent Crv Crtd Art W/O Embolic Protecj,6339.0,6339.0,,,0 CDM,3613722001,"Hc Revascularize Iliac Artery,Angioplasty, Initial Vessel",6886.0,6886.0,,,0 CDM,3613722101,"Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel",8687.0,8687.0,,,0 CDM,3613722201,"Hc Revascularize Iliac Artery,Angioplasty, Ea Add Vessel",8048.0,8048.0,,,0 CDM,3613722301,"Hc Revascularize Iliac Artery,Angioplasty/Stent, Ea Add Vessel",8048.0,8048.0,,,0 CDM,3613722401,"Hc Revascularize Fem/Pop Artery,Angioplasty",6886.0,6886.0,,,0 CDM,3613722501,"Hc Revascularize Fem/Pop Artery,Angioplasty/Atherectomy",8687.0,8687.0,,,0 CDM,3613722601,"Hc Revascularize Fem/Pop Artery,Angioplasty/Stent",8687.0,8687.0,,,0 CDM,3613722701,"Hc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy",13302.0,13302.0,,,0 CDM,3613722801,"Hc Revascularize Tibial/Peron Artery,Angioplasty Initial",8687.0,8687.0,,,0 CDM,3613722901,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial",11152.0,11152.0,,,0 CDM,3613723001,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial",10950.0,10950.0,,,0 CDM,3613723101,"Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init",11919.0,11919.0,,,0 CDM,3613723201,"Hc Revascularize Tibial/Peron Artery,Angioplasty Ea Add",9106.0,9106.0,,,0 CDM,3613723301,"Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Ea Add",14797.0,14797.0,,,0 CDM,3613723402,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Ea Add Vessel",12521.0,12521.0,,,0 CDM,3613723601,Hc Open/Perq Placement Intravascular Stent Initial,8687.0,8687.0,,,0 CDM,3613723701,Hc Open/Perq Placement Intravascular Stent Ea Addl,8723.0,8723.0,,,0 CDM,3613723801,Hc Open/Perq Placement Intravascular Stent Same 1St,8687.0,8687.0,,,0 CDM,3613723901,Hc Open/Perq Placemt Intravasc Stent Same Ea Addl,8723.0,8723.0,,,0 CDM,3613724101,Hc Vascular Embolization Or Occlusion Venous Rs&I,11753.0,11753.0,,,0 CDM,3613724201,Hc Vascular Embolization Or Occlusion Arterial Rs&I,11753.0,11753.0,,,0 CDM,3613724301,Hc Vascular Embolize/Occlude Organ Tumor Infarct,19358.0,19358.0,,,0 CDM,3613724401,Hc Vascular Embolization Or Occlusion Hemorrhage,11753.0,11753.0,,,0 CDM,3613724601,Hc Trlml Balo Angiop Open/Perq Img S&I 1St Art,7233.0,7233.0,,,0 CDM,3613724701,Hc Trlml Balo Angiop Open/Perq Img S&I Ea Addl Art,3616.0,3616.0,,,0 CDM,3613724801,Hc Trlml Balo Angiop Open/Perq W/Img S&I 1St Vein,7233.0,7233.0,,,0 CDM,3613724901,Hc Trlml Balo Angiop Open/Perq W/Img S&I Addl Vein,1808.0,1808.0,,,0 CDM,3613725201,Hc Intravascular Us Noncoronary Rs&I Intial Vessel,4221.0,4221.0,,,0 CDM,3613725301,Hc Intravascular Us Noncoronary Rs&I Addl Vessel,4221.0,4221.0,,,0 CDM,3613760701,Hc Ligation Or Banding Av Graft,4814.0,4814.0,,,0 CDM,3613776501,Hc Phleb Veins - Extrem - To 20,12009.0,12009.0,,,0 CDM,3613776601,Hc Phleb Veins - Extrem 20+,12009.0,12009.0,,,0 CDM,3613779901,Hc Chg Vascular Surgery Procedure Unlist,1964.0,1964.0,,,0 CDM,3613779904,"Hc Unlisted Procedure, Vascular Surgery - Veno-Veno Bypass, Liver",1964.0,1964.0,,,0 CDM,3613820001,Hc Injection Proc For Splenoportography,1960.0,1960.0,,,0 CDM,3613822001,Hc Chg Bone Marrow; Aspiration Only,5400.0,5400.0,,,0 CDM,3613822101,"Hc Bone Marrow Bx, Needle/Trocar",5759.0,5759.0,,,0 CDM,3613822201,Hc Diagnostic Bone Marrow Biopsies & Aspirations,6479.0,6479.0,,,0 CDM,3613823201,Hc Bone Marrow Harvest Transplantation Autologous,8738.0,8738.0,,,0 CDM,3613824201,Hc Allogeneic Lymphocyte Infusions,5652.0,5652.0,,,0 CDM,3613850501,"Hc Needle Biopsy, Lymph Node(S), Superficial",5400.0,5400.0,,,0 CDM,36138505PB,"Hc Needle Biopsy, Lymph Node(S), Superficial",5400.0,5400.0,,,0 CDM,3613879001,Hc Injection For Lymphatic Xray,1390.0,1390.0,,,0 CDM,3613879201,Hc Inj Radioactive Tracer Identify Sentinel Node,1275.0,1275.0,,,0 CDM,3613879401,Hc Cannulation Thoracic Duct,1127.0,1127.0,,,0 CDM,3613890001,"Hc Intraoperative Identification Of Sentinel Lymph Node(S) Incl Inj, Non-Radioactive Dye When Perfor",22080.0,22080.0,,,0 CDM,3613899901,Hc Lymph Node Ablation Non Rf,6310.0,6310.0,,,0 CDM,3613899902,Hc Lymphatic Systems Pta,8318.0,8318.0,,,0 CDM,36141112PB,"Hc Pbb Excision Of Lesion Of Tongue W/Closure, Anterior 2/3",9206.0,9206.0,,,0 CDM,3614240001,"Hc Biopsy Salivary Gland,Needle",5400.0,5400.0,,,0 CDM,36142_C1884_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,3614328401,"Hc Laparoscopy, Surg, Esoph Sphincter Augmentation - Incl Cruroplasty When Perf",4066.0,4066.0,,,0 CDM,3614375201,Hc Placement Ng/Og Tube By Physician,1103.0,1103.0,,,0 CDM,3614376101,"Hc Reposition Gastrostomy Tube - Gastrostomy Tube, Change / Reposition",4273.0,4273.0,,,0 CDM,3614376201,Hc G-Tube Replace W/O Guidance,1252.0,1252.0,,,0 CDM,3614400501,Hc Enterolysis (Freeing Of Intestinal Adhesion),26565.0,26565.0,,,0 CDM,3614420501,"Hc Laparoscopy,Surg, Colectomy, Partial W/Remvl Terminal Ileum W/Ileocolostomy",47067.0,47067.0,,,0 CDM,3614479901,Hc Unlisted Procedure - Repair Enterocutaneous Fistula,7572.0,7572.0,,,0 CDM,3614632001,"Hc Excision Thrombosed Hemorrhoid, External",3487.0,3487.0,,,0 CDM,3614660401,"Hc Anoscopy,W/Dilation - Endoscopy, Anus",2923.0,2923.0,,,0 CDM,3614691601,"Hc Cryosurgery, Anal Lesion(S)",604.0,604.0,,,0 CDM,3614693001,"Hc Destruction Of Internal Hemorrhoid(S), Thermal Energy",3084.0,3084.0,,,0 CDM,3614700001,"Hc Needle Biopsy Liver - Needle Biopsy, Liver",5400.0,5400.0,,,0 CDM,3614738001,Hc Open Liver Tumor >=1 Ablation Rf,7015.0,7015.0,,,0 CDM,3614738101,"Hc Ablation, Open, Of 1 Or More Liver Tumor(S), Cryosurgical",7127.0,7127.0,,,0 CDM,3614738201,"Hc Ablation, 1 Or More Liver Tumor(S), Percutaneous, Radiofrequency",11936.0,11936.0,,,0 CDM,3614738301,Hc Ablation 1/> Liver Tumor Perq Cryoablation,11936.0,11936.0,,,0 CDM,3614739901,"Hc Unlisted Procedure, Liver - Filtration, Liver",1850.0,1850.0,,,0 CDM,3614749001,"Hc Cholecystostomy,Percutaneous, Complete",6310.0,6310.0,,,0 CDM,3614753101,Hc Njx Cholangio Prq W/Img Gid Rs&I Existing Access,1349.0,1349.0,,,0 CDM,3614753201,Hc Njx Cholangiography Prq W/Img Gid Rs&I New Access,8344.0,8344.0,,,0 CDM,3614753301,Hc Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl,8203.0,8203.0,,,0 CDM,3614753401,Hc Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext,8203.0,8203.0,,,0 CDM,3614753501,Hc Conv Ext Bil Drg Cath To Int-Ext Bil Drg Cath,6310.0,6310.0,,,0 CDM,3614753601,Hc Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I,6310.0,6310.0,,,0 CDM,3614753701,Hc Removal Biliary Drg Catheter Req Fluor Gid Rs&I,1400.0,1400.0,,,0 CDM,3614753801,Hc Plmt Bile Duct Stent Prq Existing Access,15516.0,15516.0,,,0 CDM,3614753901,Hc Plmt Bile Duct Stent Prq New Access W/O Sep Cath,25285.0,25285.0,,,0 CDM,3614754001,Hc Plmt Bile Duct Stent Prq New Access W/Sep Cath,26095.0,26095.0,,,0 CDM,3614754201,Hc Balloon Dilat Biliary Duct/Ampulla Prq Each Duct,5258.0,5258.0,,,0 CDM,3614754301,Hc Endoluminal Bx Biliary Tree Prq Any Meth Sng/Mlt,5258.0,5258.0,,,0 CDM,3614754401,Hc Removal Biliary Duct &/Glbldr Calculi Perq Rs&I,6954.0,6954.0,,,0 CDM,3614755201,Hc Biliary Endo Prq T-Tube Dx W/Collect Spec Brush,8035.0,8035.0,,,0 CDM,3614755301,"Hc Biliary Endoscopy Percut,Biopsy",8035.0,8035.0,,,0 CDM,3614755401,"Hc Biliary Endoscopy,Percut,W/Rem, Stone(S)",12382.0,12382.0,,,0 CDM,3614755501,"Hc Biliary Endoscopy Percut,Dil Strict",8035.0,8035.0,,,0 CDM,3614755601,"Hc Biliary Endoscopy Percut,Dil+Stent",9099.0,9099.0,,,0 CDM,3614760001,Hc Cholecystectomy,21252.0,21252.0,,,0 CDM,3614799901,Hc Percutaneous Bile Duct Ablation,11936.0,11936.0,,,0 CDM,3614810201,"Hc Needle Biopsy Of Pancreas - Needle Biopsy, Pancreas",2731.0,2731.0,,,0 CDM,3614900001,"Hc Exploratory Laparotomy, Exploratory Celiotomy W/W/O Biopsy(S)",2688.0,2688.0,,,0 CDM,3614900201,Hc Reopening Of Recent Laparotomy,3639.0,3639.0,,,0 CDM,3614908201,Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance,1400.0,1400.0,,,0 CDM,36149082PB,Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance,1400.0,1400.0,,,0 CDM,3614908301,Hc Abdom Paracentesis Dx/Ther W Imaging Guidance,1400.0,1400.0,,,0 CDM,3614918001,"Hc Percut Biopsy, Abdominal Mass",5400.0,5400.0,,,0 CDM,3614918501,Hc Sclerotherapy Fluid Collection Prq W/Img Gid,5400.0,5400.0,,,0 CDM,3614940001,Hc Air/Contrast Inject Into Peritoneal Cavity,1889.0,1889.0,,,0 CDM,3614940501,Hc Image-Guide Fluid Collxn Drainage Cath Visc Perq,3275.0,3275.0,,,0 CDM,3614940601,Hc Img-Guide Fluid Collxn Drainag Cath Periton Perq,4099.0,4099.0,,,0 CDM,3614940701,Hc Image Fluid Collxn Drainag Cath Transrec/Vaginal,2731.0,2731.0,,,0 CDM,3614941801,Hc Insertion Tunnel Intraperitoneal Cath W Image Guidance,13079.0,13079.0,,,0 CDM,3614941901,Hc Insertion Tunnel Intraperitoneal Cath W Subq Port,12009.0,12009.0,,,0 CDM,3614942201,Hc Removal Tunneled Intraperitoneal Catheter,5551.0,5551.0,,,0 CDM,3614942301,Hc Drainage Catheter Exchange,3501.0,3501.0,,,0 CDM,3614942401,"Hc Contrast Inj,Abscess/Cyst Via Cath Tube",680.0,680.0,,,0 CDM,3614942501,Hc Insert Abdomen-Venous Shunt,5510.0,5510.0,,,0 CDM,3614942601,Hc Revise Abdomen-Venous Shunt,14970.0,14970.0,,,0 CDM,3614942701,Hc Inject Abdominal-Venous Shunt,365.0,365.0,,,0 CDM,3614942801,Hc Ligation Of Abd-Venous Shunt,12009.0,12009.0,,,0 CDM,3614942901,Hc Removal Of Peritoneal-Venous Shunt,12879.0,12879.0,,,0 CDM,3614944001,Hc Insert Gastrostomy Tube Percutaneous,6234.0,6234.0,,,0 CDM,3614944101,Hc Insert Duodenostomy/Jejunostomy Tube Percutaneous,6234.0,6234.0,,,0 CDM,3614944201,Hc Insert Cecostomy/Other Colonic Tube Percutaneous,9521.0,9521.0,,,0 CDM,3614944601,Hc Convert Gastrostomy-Gastro-Jejunostomy Tube Percutaneous,6234.0,6234.0,,,0 CDM,3614945001,Hc Replace Gastrostomy/Cecostomy Tube Percutaneous,2769.0,2769.0,,,0 CDM,3614945101,Hc Replace Duodenostomy/Jejunostomy Tube Percutaneous,2769.0,2769.0,,,0 CDM,3614945201,Hc Replacement Gastro-Jejunostomy Tube Percutaneous,2769.0,2769.0,,,0 CDM,3614946001,Hc Obstructive Material Removal From Gi Tube,1400.0,1400.0,,,0 CDM,3614946501,Hc Contrast Injection Percutaneouos Radiologic Eval Gi Tube,687.0,687.0,,,0 CDM,3614959101,"Hc Repair Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis, T",10305.0,10305.0,,,0 CDM,3614959201,"Hc Repair Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis ,",15164.0,15164.0,,,0 CDM,3614999901,Hc Repo/Revis Peritoneal Cath,7572.0,7572.0,,,0 CDM,3614999902,Hc Ct Bx Spleen Perc,7572.0,7572.0,,,0 CDM,3614999903,Hc Repo/Revis Peritoneal Cath,7572.0,7572.0,,,0 CDM,3614999904,Hc Unlisted Ablation Abdomen,7572.0,7572.0,,,0 CDM,3615020001,"Hc Biopsy Of Kidney,Percutaneous, Trocar Or Needle",8104.0,8104.0,,,0 CDM,3615038201,"Hc Change Ureter Stent, Percut",10606.0,10606.0,,,0 CDM,3615038401,Hc Removal Via Snare Of Dwelling Ureteral Stent Via Perc Approach R&I,8630.0,8630.0,,,0 CDM,3615038501,Hc Change Ureteral Stent Via Transureth,4365.0,4365.0,,,0 CDM,3615038601,Hc Remove Ureteral Stent Via Transureth,4365.0,4365.0,,,0 CDM,3615038701,Hc Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath,6921.0,6921.0,,,0 CDM,3615038901,Hc Remove Renal Tube W/Fluoro,1520.0,1520.0,,,0 CDM,3615039001,Hc Percut Drain/Inject Renal Cyst,5400.0,5400.0,,,0 CDM,3615039101,Hc Instillation(S) Of Therapeutic Agent Into Renal Pelvis And/Or Ureter Through Established Nephrost,650.0,650.0,,,0 CDM,3615039601,Hc Whitaker Test Via Pcn Tube,2803.0,2803.0,,,0 CDM,3615043001,Hc Njx Px Antegrde Nephrosgrm &/Urtrgrm New Access,2010.0,2010.0,,,0 CDM,3615043101,Hc Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess,2010.0,2010.0,,,0 CDM,3615043201,Hc Plmt Nephrostomy Cath Prq New Access Rs&I,4365.0,4365.0,,,0 CDM,3615043301,Hc Plmt Nephroureteral Cath Prq New Access Rs&I,4365.0,4365.0,,,0 CDM,3615043401,Hc Convert Nephrostomy Cath To Nephrourtrl Cath Prq,1520.0,1520.0,,,0 CDM,3615043501,Hc Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I,3005.0,3005.0,,,0 CDM,3615043601,"Hc Ir Neph Tract Dilation, Existing",7301.0,7301.0,,,0 CDM,3615055101,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",14031.0,14031.0,,,0 CDM,3615055501,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",25522.0,25522.0,,,0 CDM,3615056101,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",14031.0,14031.0,,,0 CDM,3615059201,Hc Perc Radiofreq Ablate Renal Tumor,23597.0,23597.0,,,0 CDM,3615059301,Hc Ablation Renal Tumor Unilateral Perq Cryotherapy,23597.0,23597.0,,,0 CDM,3615060601,Hc Endoluminal Bx Urtr &/Rnl Pelvis Nonendoscopic,4828.0,4828.0,,,0 CDM,3615068401,"Hc Inject Indwell Cath,Ureter X-Ray",391.0,391.0,,,0 CDM,3615068801,Hc Ureterostomy Tube Change Via Ileal Conduit,6921.0,6921.0,,,0 CDM,3615069001,Hc Ureteropyelography - Inject Proc Ilieal Conduit,659.0,659.0,,,0 CDM,3615069301,Hc Plmt Urtrl Stent Prq Pre-Existing Nfros Tract,7044.0,7044.0,,,0 CDM,3615069401,Hc Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath,8822.0,8822.0,,,0 CDM,3615069501,Hc Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath,9355.0,9355.0,,,0 CDM,3615070501,Hc Ureteral Embolization/Occlusion W/Img Gid Rs&I,754.0,754.0,,,0 CDM,3615070601,Hc Balloon Dilat Ureteral Stricture W/Img Gid Rs&I,3637.0,3637.0,,,0 CDM,3615110001,"Hc Aspiration Bladder, By Needle",3005.0,3005.0,,,0 CDM,3615110201,Hc Aspiration Bladder Insert Suprapubic Catheter,8630.0,8630.0,,,0 CDM,3615160001,Hc Cystography/Vcug - Injection For Bladder X-Ray,530.0,530.0,,,0 CDM,3615161001,Hc Inject For Retrograde Urethrocystography,588.0,588.0,,,0 CDM,3615170101,"Hc Insert,Non-Indwelling Bladder Catheter",524.0,524.0,,,0 CDM,3615170201,"Hc Insert,Temp Indwelling Bladder Catheter,Simple",524.0,524.0,,,0 CDM,3615170501,"Hc Change Of Bladder Tube,Simple",1184.0,1184.0,,,0 CDM,3615171001,"Hc Change Of Bladder Tube,Complicated",1833.0,1833.0,,,0 CDM,3615172001,Hc Bladder Instillation Of Anticarcinogenic Agent,987.0,987.0,,,0 CDM,3615179801,"Hc Meas,Post-Void Res,Us,Non-Imaging",179.0,179.0,,,0 CDM,36151_50242004062,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",114.12,114.12,,,0 CDM,3615200101,Hc Cystourethroscopy With Irrigation And Evacuation Of Multiple Obstructing Clots,9520.0,9520.0,,,0 CDM,3615389901,Hc Ablation Renal Non Rf Cryo,2324.0,2324.0,,,0 CDM,3615415001,Hc Circumcision W/Dorsal Penile Or Ring Block,199.0,199.0,,,0 CDM,3615445001,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching,626.0,626.0,,,0 CDM,3615570001,"Hc Biopsy Of Prostate,Needle/Punch",8630.0,8630.0,,,0 CDM,3615587401,Hc Transperinl Plcmt Of Biod Mtrl,10228.0,10228.0,,,0 CDM,3615589901,Hc Mri Ablation Prostate,23713.0,23713.0,,,0 CDM,3615589902,"Hc Unlisted Procedure, Male Genital System - Testicular Sperm Extraction (Tese)",2875.0,2875.0,,,0 CDM,36157156PB,Hc Pbb Insertion Vaginal Radiation Afterloading Apparatus Brachytx Device,6277.0,6277.0,,,0 CDM,3615742001,"Hc Colposcopy,Entire Vagina",1348.0,1348.0,,,0 CDM,3615750501,Hc Endocervical Curettage,2404.0,2404.0,,,0 CDM,3615755801,Hc Dilation/Curettage Of Cervical Stump,7396.0,7396.0,,,0 CDM,3615810001,Hc Endometrial Samp (Biop) W/Wo Endocervical Sampling (Biop) W/O Cervical Dilation,524.0,524.0,,,0 CDM,3615812001,"Hc Dilation/Curettage,Diagnostic And/Or Therapeutic",8359.0,8359.0,,,0 CDM,3615830001,Hc Insert Intrauterine Device (Iud),426.0,426.0,,,0 CDM,3615834001,Hc Cath/Inject Contrast Sis Or Hysterosalpingogram,681.0,681.0,,,0 CDM,3615834501,"Hc Reopen Fallopian Tube,Transcerv Cath",10666.0,10666.0,,,0 CDM,3615858001,"Hc Transcervical Ablation Of Uterine Fibroid(S), Including Intraoperative Ultrasound Guidance And Mo",20968.0,20968.0,,,0 CDM,3615860001,"Hc Ligation/Transection, Fallopian Tubes Abdominal/Vaginal",7396.0,7396.0,,,0 CDM,3615860501,"Hc Ligation/Transection, Fallopian Tubes Abdominal/Vaginal, Postpartum, Same Stay, Separate Procedur",2348.0,2348.0,,,0 CDM,3615901201,"Cordocentesis, Intrauterine, Any Method",2256.0,2256.0,,,0 CDM,3615910001,Hc Hysterectomy,5683.0,5683.0,,,0 CDM,3615916001,Hc D&C After Delivery,5395.0,5395.0,,,0 CDM,3615920001,Hc Insertion Of Cervical Dilator,1439.0,1439.0,,,0 CDM,3615935001,Hc Hysterorrhaphy(Repair) Of Ruptured Uterus,1916.0,1916.0,,,0 CDM,3615941201,Hc External Cephalic Version W Or W/O Tocolysis,5395.0,5395.0,,,0 CDM,3615952501,Hc Subtotal Or Total Hysterectomy After Cesarean Delivery,19458.0,19458.0,,,0 CDM,3615981201,"Hc Treatment Of Incomplete Abortion, Any Trimester, Surgical",10666.0,10666.0,,,0 CDM,3615982101,"Hc Treatment Of Missed Abortion, Completed Surgically, Second Trimester",10666.0,10666.0,,,0 CDM,3615983001,"Hc Treatment Of Septic Abortion, Completed Surgically",11483.0,11483.0,,,0 CDM,3615984001,"Hc Induced Abortion, By Dilation And Curettage",10666.0,10666.0,,,0 CDM,3615984101,"Hc Induced Abortion, By Dilation And Evacuation",10666.0,10666.0,,,0 CDM,3615985501,Hc Induced Ab By Vaginal Suppositories W Or W/O Cervical Dilation,11483.0,11483.0,,,0 CDM,3616010001,"Hc Biopsy Of Thyroid,Percut",2754.0,2754.0,,,0 CDM,3616030001,"Hc Inj/Aspiration, Thyroid Cyst",2754.0,2754.0,,,0 CDM,3616066001,"Hc Ablation Of 1 Or More Thyroid Nodule(S), One Lobe Or The Isthmus, Percutaneous, Including Imaging",4472.0,4472.0,,,0 CDM,36160_00338113003,Premasol - Sulfite-Free (Amino Acid): 500 Ml In 1 Bag (0338-1130-03),19.39,19.39,,,0 CDM,36160_00338113004,Premasol - Sulfite-Free (Amino Acid): 1000 Ml In 1 Bag (0338-1130-04),19.43,19.43,,,0 CDM,36160_00338113006,Premasol - Sulfite-Free (Amino Acid): 2000 Ml In 1 Bag (0338-1130-06),21.48,21.48,,,0 CDM,3616105001,Hc Cervical Puncture W/O Inj,3352.0,3352.0,,,0 CDM,3616105501,Hc Cisternal/Lateral C1-C2 Puncture W/Injection,4661.0,4661.0,,,0 CDM,3616107001,Hc Brain Shunt Tube/Reserv Injectn,2769.0,2769.0,,,0 CDM,3616110701,Hc Burr Hole(S) For Ventricular Puncture,4370.0,4370.0,,,0 CDM,3616162301,"Hc Endovasc Temp Balloon Occlus,Head/Nck",11753.0,11753.0,,,0 CDM,3616162401,"Hc Perm Occlusion/Embolization,Percut,Cns",12165.0,12165.0,,,0 CDM,3616162601,Hc Percut Cath Occlusion Or Embolization Non Cns Lesn,11753.0,11753.0,,,0 CDM,3616163001,Hc Pta Intracranial Balloon Angioplasty,9720.0,9720.0,,,0 CDM,3616163501,Hc Intracranial Balloon Angioplsty W/Stent,10325.0,10325.0,,,0 CDM,3616164001,"Hc Pta Intracranial-Vasospasm, Initial Vessel",9720.0,9720.0,,,0 CDM,3616164101,"Hc Pta Intracranial-Vasospasm, Ea Addl Vessel, Same Family",7291.0,7291.0,,,0 CDM,3616164201,"Hc Pta Intracranial-Vasospasm, Ea Addl Vessel, Different Family",8507.0,8507.0,,,0 CDM,3616164501,Hc Perq Art Trluml M-Thrombec &/Nfs Intracranial,30188.0,30188.0,,,0 CDM,3616165001,Hc Evasc Intracranial Prolng Admn Rx Agent Art 1St,22908.0,22908.0,,,0 CDM,3616165101,Hc Evasc Intracranial Prolng Admn Rx Agent Art Addl,11454.0,11454.0,,,0 CDM,3616171501,"Hc Mri Guided High Intensity Focused Ultrasound (Mrgfus), Stereotactic Ablation Of Target, Intracran",34418.0,34418.0,,,0 CDM,3616173501,"Hc Creation Of Lesion By Stereotactic Method, Incl Burr Hole, Subcortical Struct",7752.0,7752.0,,,0 CDM,3616173601,"Hc Laser Interstitial Thermal Therapy (Litt) Of Lesion, Single Trajectory For 1 Simple Lesion",4370.0,4370.0,,,0 CDM,3616173701,"Hc Laser Interstitial Thermal Therapy (Litt) Of Lesion, Multiple Traj For Multiple Or Complex Lesion",5462.0,5462.0,,,0 CDM,3616178101,"Hc Stereotactic Comp Assist Proc,Cranial,Intradural",1015.0,1015.0,,,0 CDM,3616179601,"Hc Stereotactic Radiosurgery, 1 Simple Cranial Lesion",3598.0,3598.0,,,0 CDM,3616186301,Hc Neuro Stimulator Implant Subcortical 1St Array,5925.0,5925.0,,,0 CDM,3616186401,Hc Neuro Stimulator Implant Subcortical Each Addl Array,1158.0,1158.0,,,0 CDM,3616188001,Hc Revision/Remove Intracranial Neurostimulator Electrodes,6343.0,6343.0,,,0 CDM,3616226401,"Hc Lysis Epidural Adhesion Using Solution Inj, Mult Adhesiolysis Sessions, 1 Day",2567.0,2567.0,,,0 CDM,3616226701,Hc Percut Aspiration Vertebral Disc,5400.0,5400.0,,,0 CDM,3616226702,Hc Percut Aspiration Intervertebral Disc Or Paravertebral Tissue Dx,5400.0,5400.0,,,0 CDM,3616226801,"Hc Percutaneous Aspiration, Spinal Cord Cyst Or Syrinx",5816.0,5816.0,,,0 CDM,3616227001,"Hc Spinal Puncture,Lumbar,Diagnostic",3352.0,3352.0,,,0 CDM,3616227201,"Hc Spinal Puncture,Therapeutic Drainage",2205.0,2205.0,,,0 CDM,3616227301,"Hc Inj,Lumb Epidur,Blood/Clot Patch",3352.0,3352.0,,,0 CDM,3616228401,Hc Injection Procedure Myelography/Ct Lumbar,1707.0,1707.0,,,0 CDM,3616229001,"Hc Inject Diskogram,Lumbar,Ea Level",242.0,242.0,,,0 CDM,3616229101,"Hc Injection Procedure For Discography, Each Level, Cervical Or Thoracic",2201.0,2201.0,,,0 CDM,3616230201,Hc Myelography Via Lumbar Injection Rs&I Cervical,2517.0,2517.0,,,0 CDM,3616230301,Hc Myelography Via Lumbar Injection Rs&I Thoracic,2517.0,2517.0,,,0 CDM,3616230401,Hc Myelography Via Lumbar Inject Rs&I Lumbosacral,2517.0,2517.0,,,0 CDM,3616230501,Hc Myelography Via Lumbar Injection Rs&I 2+ Regions,2517.0,2517.0,,,0 CDM,3616232001,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn,3125.0,3125.0,,,0 CDM,3616232101,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,3352.0,3352.0,,,0 CDM,3616232201,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,3352.0,3352.0,,,0 CDM,3616232301,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,3352.0,3352.0,,,0 CDM,3616232601,Hc Njx Dx/Ther Sbst Intrlmnr Lmbar/Sac W/O Img Gdn,4710.0,4710.0,,,0 CDM,3616232701,Hc Njx Dx/Ther Sbst Intrlmnr Lmbar/Sac W/Img Gdn,4710.0,4710.0,,,0 CDM,3616235501,Hc Removal Previously Implanted Intrathecal/Epidural Cath,4950.0,4950.0,,,0 CDM,3616236201,"Hc Implant/Replace Intrathecal/Eepidural Drug Infusion, Programmable Pump",54301.0,54301.0,,,0 CDM,3616236501,Hc Removal Subq Reservoir/Pump Intrathecal/Epidural Infusion,16074.0,16074.0,,,0 CDM,3616236701,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/O Reprg/Refil,869.0,869.0,,,0 CDM,3616236801,Hc Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg,1383.0,1383.0,,,0 CDM,3616236901,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil,1224.0,1224.0,,,0 CDM,3616237001,Hc Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp,1224.0,1224.0,,,0 CDM,3616365001,Hc Neuro Stimulator Plmt Epidural,6460.0,6460.0,,,0 CDM,3616366101,Hc Removal Spinal Neurostim Electrode Percu Array Incl Fluor,4950.0,4950.0,,,0 CDM,3616366201,Hc Removal Spinal Neurostim Electrode Plate/Paddle Incl Fluor,4950.0,4950.0,,,0 CDM,3616366301,Hc Revision Incl Rplcmt Spinal Neurostim Electrode Percu Array Incl Fluoro,17375.0,17375.0,,,0 CDM,3616366401,Hc Revision Incl Rplcmt Spinal Neurostim Electrode Plate/Paddle Incl Fluoro,17375.0,17375.0,,,0 CDM,3616368501,"Hc Insrt/Rplc Spnl Neurostm Pulse Gen,Recvr,Direct/Induct Coupling",82975.0,82975.0,,,0 CDM,3616368801,Hc Revision/Rmvl Implanted Spinal Neurostim Generator/Receiver,9233.0,9233.0,,,0 CDM,3616440001,"Hc Inject Nerve Block,Trigeminal",1282.0,1282.0,,,0 CDM,3616440501,"Hc Inject Nerve Block,Great Occipital",1282.0,1282.0,,,0 CDM,3616440801,Hc Inject Vagus Nerve Block,1325.0,1325.0,,,0 CDM,3616441501,"Hc Inj,Anes Agent,Brachial Plexus,Single",4710.0,4710.0,,,0 CDM,3616441701,"Hc Inject Nerv Blck,Axillary Nerv",3352.0,3352.0,,,0 CDM,3616441801,"Hc Inject Nerv Blck,Suprascap N.",3352.0,3352.0,,,0 CDM,3616442001,"Hc Inject Nerv Blck,Intercostal,One",3352.0,3352.0,,,0 CDM,3616442101,"Hc Inject Nerv Blck,Intercost,Multpl",3703.0,3703.0,,,0 CDM,3616442501,"Hc Inject Nerv Blck,Ilioingu/Iliohyp",3352.0,3352.0,,,0 CDM,3616443001,"Hc Inject Nerv Blck,Pudendal",3352.0,3352.0,,,0 CDM,3616443501,"Hc Inject Nerv Blck,Paracervical",2910.0,2910.0,,,0 CDM,3616444501,"Hc Inj,Anes Agent,Sciatic Nerve,Single",3352.0,3352.0,,,0 CDM,3616444701,"Hc Inj,Anes Agent,Femoral Nerve,Single",3352.0,3352.0,,,0 CDM,3616445001,"Hc Inject Nerv Blck,Othr Periph Nerv",2910.0,2910.0,,,0 CDM,3616445101,Hc Nerve Block Si Joint Bilateral,2242.0,2242.0,,,0 CDM,3616445401,Hc Genicular Nerve Branch(Min 3),2579.0,2579.0,,,0 CDM,3616445501,Hc Inject Anes/Steroid Plantar Common Digital Nerve,1325.0,1325.0,,,0 CDM,3616446101,"Hc Paravertebral Block (Pvb), Thoracic, Single Injection Site, Includes Imaging Guidance",2091.0,2091.0,,,0 CDM,3616446201,"Hc Paravertebral Block (Pvb), Thoracic, Second And Any Additional Injection Site(S), Includes Imagin",1046.0,1046.0,,,0 CDM,3616446601,"Hc Thoracic Fascial Plane Block, Unilateral; By Injection(S), Including Imaging Guidance, When Perfo",222.0,222.0,,,0 CDM,3616446701,"Hc Thoracic Fascial Plane Block, Unilateral; By Continuous Infusion(S), Including Imaging Guidance,",255.0,255.0,,,0 CDM,3616446801,"Hc Thoracic Fascial Plane Block, Bilateral; By Injection(S), Including Imaging Guidance, When Perfor",246.0,246.0,,,0 CDM,3616446901,"Hc Thoracic Fascial Plane Block, Bilateral; By Continuous Infusion(S), Including Imaging Guidance, W",268.0,268.0,,,0 CDM,3616447301,"Hc Lower Extremity Fascial Plane Block, Unilateral; By Injection(S), Including Imaging Guidance, Whe",198.0,198.0,,,0 CDM,3616447401,"Hc Lower Extremity Fascial Plane Block, Unilateral; By Continuous Infusion(S), Including Imaging Gui",246.0,246.0,,,0 CDM,3616447901,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level",3544.0,3544.0,,,0 CDM,3616448001,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,Ea Add Level",1979.0,1979.0,,,0 CDM,3616448301,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level",3352.0,3352.0,,,0 CDM,3616448401,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,Ea Add Level",1373.0,1373.0,,,0 CDM,3616448601,Hc Tap Block Unilateral By Injection(S),6616.0,6616.0,,,0 CDM,3616448801,Hc Tap Block Bilateral By Injection(S),6616.0,6616.0,,,0 CDM,3616449001,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1St Level",4710.0,4710.0,,,0 CDM,3616449101,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 2Nd Level",1025.0,1025.0,,,0 CDM,3616449201,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, Add Level",520.0,520.0,,,0 CDM,3616449301,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level",4710.0,4710.0,,,0 CDM,3616449401,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 2Nd Level",937.0,937.0,,,0 CDM,3616449501,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, Add Level",1025.0,1025.0,,,0 CDM,3616450501,"Hc Injection, Anesthetic Agent, Sphenopalatine Ganglion",1196.0,1196.0,,,0 CDM,3616451001,"Hc Inject Nerv Blck,Stellate Ganglion",3352.0,3352.0,,,0 CDM,3616451701,"Hc Injection, Anesthetic Agent, Superior Hypogastric Plexus",4393.0,4393.0,,,0 CDM,3616452001,"Hc Inject Nerv Blck,Paravert Sympath",3352.0,3352.0,,,0 CDM,3616453001,"Hc Inject Nerv Blck,Celiac Plexus",4710.0,4710.0,,,0 CDM,3616455501,Hc Percutaneous Implantation Of Neurostimulator Electrodes; Peripheral Nerve,17924.0,17924.0,,,0 CDM,3616460001,"Hc Trigeminal Nerve Destruction, Supraorbital, Infra, Mental Or Inf Alveolar Branch",2001.0,2001.0,,,0 CDM,3616461001,"Hc Destruction By Neurolytic Agent, Trigeminal Nerve; Second And Third Division Branches At Foramen",5197.0,5197.0,,,0 CDM,3616461501,Hc Chemodenervation Facial/Trigem/Cerv Muscle Migraine,938.0,938.0,,,0 CDM,3616462001,Hc Intercostal Nerve Destruction,2001.0,2001.0,,,0 CDM,3616462401,Hc Genicular Nerve Destruction,3640.0,3640.0,,,0 CDM,3616462501,Hc Rf Ablation - Si Joint W/Imag,7094.0,7094.0,,,0 CDM,3616462801,Hc Thermal Destruction Intraosseous Bvn 1St 2 Lumbar/Sacral,34758.0,34758.0,,,0 CDM,3616462901,Hc Thermal Destruction Intraosseous Bvn Ea Add'l Lumbar/Sacral,17379.0,17379.0,,,0 CDM,3616463001,Hc Pudendal Nerve Destruction,4710.0,4710.0,,,0 CDM,3616463301,"Hc Nerve Destruction Cerv/Thoracic, Single Facet Joint",4036.0,4036.0,,,0 CDM,3616463401,"Hc Nerve Destruction Cerv/Thoracic, Each Addl Facet Joint",518.0,518.0,,,0 CDM,3616463501,Hc Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral,4135.0,4135.0,,,0 CDM,3616463601,Hc Lum/Sacral Nerve Destruction By Neurolytic Agent Ea Add,1471.0,1471.0,,,0 CDM,3616464001,Hc Destruct By Neuro Agent; Other Periph Nerve,4710.0,4710.0,,,0 CDM,3616464002,Noncdm Charge Record,1740.0,1740.0,,,0 CDM,3616468001,Hc Destruction Rx Celiac Plexus Nerve,4710.0,4710.0,,,0 CDM,3616468101,Hc Superior Hypogastric Nerve Destruction,3667.0,3667.0,,,0 CDM,3616499901,Hc Pulsed/<80 Celsius Rf Nervetx,2998.0,2998.0,,,0 CDM,3616499902,Hc Cervplexus/Phrenic Nerve Block,2998.0,2998.0,,,0 CDM,3616499903,Hc Pulsed/<80 Celsius Rf Nervetx,2998.0,2998.0,,,0 CDM,3616499904,Hc Ganglion Impar Nerve Block,2998.0,2998.0,,,0 CDM,3616499905,Hc Percutaneous Cordotomy,2998.0,2998.0,,,0 CDM,3616499906,Hc Synovial Cyst Aspiration/Rupture,4916.0,4916.0,,,0 CDM,3616522201,"Hc Remv F.B.,Eye,Cornea,Slit Lamp",336.0,336.0,,,0 CDM,3616540001,Hc Excis Cornea Lesn,5998.0,5998.0,,,0 CDM,3616541001,Hc Biopsy Of Cornea,2222.0,2222.0,,,0 CDM,3616542001,Hc Excis Pterygium,1111.0,1111.0,,,0 CDM,3616542601,"Hc Excis Pterygium,W Graft",1111.0,1111.0,,,0 CDM,3616543501,Hc Curette/Treat Cornea,1111.0,1111.0,,,0 CDM,3616573001,"Hc Corneal Transplant,Penetrating",10682.0,10682.0,,,0 CDM,3616575001,"Hc Corneal Transplant,Penetrat,Aphakia",6348.0,6348.0,,,0 CDM,3616575501,"Hc Corneal Transplant,Pen,Pseudoaphak",6348.0,6348.0,,,0 CDM,3616577801,Hc Place Amniotic Membra Ocular Surface W/O Sutures,6348.0,6348.0,,,0 CDM,3616577901,Hc Place Amniotic Membrane Ocular Surface Sutured,6348.0,6348.0,,,0 CDM,3616580001,Hc Paracentsis Ant Chamb Eye Aspir Aqueous Spx,6348.0,6348.0,,,0 CDM,3616581501,"Hc Drain Ant Chmbr,Remv Blood",6348.0,6348.0,,,0 CDM,3616593001,"Hc Removal,Blood Clot,Ant Segment,Eye",2500.0,2500.0,,,0 CDM,3616602001,"Hc Injection,Ant Chamber,Eye,Air/Liquid",6732.0,6732.0,,,0 CDM,3616625001,Hc Revis/Repair Op Wound Anter Sgmt,926.0,926.0,,,0 CDM,3616671001,"Hc Destruc,Ciliary Body,Cyclophotocoag",6487.0,6487.0,,,0 CDM,3616677001,Hc Resec Cyst/Lesn Iris/Ciliary Body,1019.0,1019.0,,,0 CDM,3616702801,Hc Inject Intravitreal Pharmcologic,531.0,531.0,,,0 CDM,3616710701,Hc Repair Retinal Detachment Scleral Buckling,2585.0,2585.0,,,0 CDM,3616710801,Hc Rpr Retinal Dtchmnt W/Vitrectomy Any Meth,6599.0,6599.0,,,0 CDM,3616711001,"Hc Repair Detacd Retina,Inject Air/Gas",6732.0,6732.0,,,0 CDM,3616712001,"Hc Remv Post Eye Implnt Mater,Extraocul",6732.0,6732.0,,,0 CDM,3616714501,"Hc Prophylaxis Retina Detach,Photocoag",191.0,191.0,,,0 CDM,3616722801,Hc Treatment Extensive Retinopathy Photocoagulation,177.0,177.0,,,0 CDM,3616741301,"Hc Explore Eye Socket,Remv F.B.",681.0,681.0,,,0 CDM,3616751501,"Hc Inj,Ther Agent Into Tenon's Capsule",1111.0,1111.0,,,0 CDM,3616770001,Hc Drainage Of Eyelid Abscess,821.0,821.0,,,0 CDM,3616771001,Hc Severing Of Tarsorrhaphy,729.0,729.0,,,0 CDM,3616771501,Hc Incision Of Eyelid Fold,741.0,741.0,,,0 CDM,3616780001,"Hc Excis Chalazion,Single",59.0,59.0,,,0 CDM,3616781001,Hc Incisional Biopsy Eyelid Skin & Lid Margin,58.0,58.0,,,0 CDM,3616782001,"Hc Revise Eyelashes,Forceps",522.0,522.0,,,0 CDM,3616782501,Hc Revise Eyelashes,2334.0,2334.0,,,0 CDM,3616784001,Hc Remove Eyelid Lesn (Not Chalazion),2581.0,2581.0,,,0 CDM,3616787501,Hc Temp Closure Eyelid By Suture,1174.0,1174.0,,,0 CDM,3616788001,Hc Revision Of Eyelid,1196.0,1196.0,,,0 CDM,3616790001,Hc Repair Brow Ptosis,1296.0,1296.0,,,0 CDM,3616790101,"Hc Fix Lid Ptosis,Frontalis Musc,Sut",1296.0,1296.0,,,0 CDM,3616790301,"Hc Fix Lid Ptosis,Levatr Resec,Intern",1296.0,1296.0,,,0 CDM,3616790401,"Hc Fix Lid Ptosis,Levatr Resec,Extern",1296.0,1296.0,,,0 CDM,3616791401,"Hc Fix Ectropion,Suture",2037.0,2037.0,,,0 CDM,3616791601,"Hc Fix Ectropion,Excis Tarsal Wedge",462.0,462.0,,,0 CDM,3616792101,"Hc Fix Entropion,Suture",2777.0,2777.0,,,0 CDM,3616792401,"Hc Fix Entropion,Extensv Lid Repair",2777.0,2777.0,,,0 CDM,3616793501,"Hc Suture Eyelid Wound,Full Thick",5074.0,5074.0,,,0 CDM,3616796101,"Hc Revision Of Eyelid,< 1/4 Lid Margin",3518.0,3518.0,,,0 CDM,3616796601,"Hc Revision Of Eyelid,> 1/4 Lid Margin",3518.0,3518.0,,,0 CDM,3616797101,"Hc Reconstruc Eyelid,<2/3,One Stage",3518.0,3518.0,,,0 CDM,3616797501,"Hc Reconstruc Eyelid,Second Stage",3518.0,3518.0,,,0 CDM,3616810001,Hc Biopsy Of Conjunctiva,2148.0,2148.0,,,0 CDM,3616811001,"Hc Excis Conjunc Lesn,=<1 Cm",1111.0,1111.0,,,0 CDM,3616811501,"Hc Excis Conjunc Lesn,>1 Cm",2148.0,2148.0,,,0 CDM,3616813501,Hc Destruc Conjunc Lesn,2777.0,2777.0,,,0 CDM,3616832001,"Hc Revise Conjunc,Conjunc Grft",1500.0,1500.0,,,0 CDM,3616832601,"Hc Revise Conjunc,Fix Cul-De-Sac+Grft",1111.0,1111.0,,,0 CDM,3616844001,Hc Incise Tear Duct Opening,5015.0,5015.0,,,0 CDM,3616870001,Hc Repair Tear Ducts,1607.0,1607.0,,,0 CDM,3616881501,"Hc Probe Nasolac Duct,Insert Tube/Stent",3562.0,3562.0,,,0 CDM,3616884001,Hc Explore Lacrimal Canaliculi,245.0,245.0,,,0 CDM,3616930001,"Hc Otoplasty, Protruding Ear, With Or Without Size Reduction",8466.0,8466.0,,,0 CDM,3619297201,Hc Percutaneous Transluminal Coronary Lithotripsy,6872.0,6872.0,,,0 CDM,3619637301,"Hc Therapeutic, Prophylactic, Dx Injection - Intra-Arterial",650.0,650.0,,,0 CDM,3619657001,"Hc Photodynamic Therapy, First 30 Minutes",317.0,317.0,,,0 CDM,361C800101,"Hc 3D Anatomical Segmentation Imaging For Preoperative Planning, Data Preparation And Transmission,",243.0,243.0,,,0 CDM,361C976401,Hc Intravasclithotripsy/Pta,10106.0,10106.0,,,0 CDM,361C976501,"Hc Intravasc Lithotripsy/Stent Placement(S), Incl Angioplasty",20213.0,20213.0,,,0 CDM,361C976601,Hc Intravasclitho/Atherectomy,20213.0,20213.0,,,0 CDM,361C976701,"Hc Revasc Ev W/Ivl And Translum Stent Plcmt, Atherectomy",32518.0,32518.0,,,0 CDM,361C977201,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Angioplasty",25429.0,25429.0,,,0 CDM,361C977301,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Transluminal Stent Plcmt,",40674.0,40674.0,,,0 CDM,361C977401,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Atherectomy, Angioplasty",40674.0,40674.0,,,0 CDM,361C977501,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Transluminal Stent Plcmt &",41226.0,41226.0,,,0 CDM,361C978001,Hc Insertion Of Central Venous Catheter Through Central Venous Occlusion Via Inferior And Superior A,24003.0,24003.0,,,0 CDM,361C979601,Hc Repair Of Enterocutaneous Fistula Small Intestine Or Colon (Excluding Anorectal Fistula) With Plu,7569.0,7569.0,,,0 CDM,361C979701,Hc Vascular Embolization Or Occlusion Procedure With Use Of A Pressure-Generating Catheter; Tumors/O,46160.0,46160.0,,,0 CDM,361G026901,"Hc Plcmnt Of Vascular Closure Device, Venous Or Arterial Access Site",1456.0,1456.0,,,0 CDM,3623824001,Hc Transplant Allogeneic Hematopoietic Cells Per Donor,8738.0,8738.0,,,0 CDM,3623824101,Hc Trnsplj Autologous Hematopoietic Cells Per Donor,8738.0,8738.0,,,0 CDM,3623824301,Hc Transplant Hematopoietic Progenitor Cell (Hpc); Hpc Boost,4832.0,4832.0,,,0 CDM,36252_61958060101,"Emtriva: 30 Capsule In 1 Bottle, Plastic (61958-0601-1)",77.32,77.32,,,0 CDM,36252_65862030130,Emtricitabine: 30 Capsule In 1 Bottle (65862-301-30),69.68,69.68,,,0 CDM,36252_69097064202,Emtricitabine: 30 Capsule In 1 Bottle (69097-642-02),69.78,69.78,,,0 CDM,36438_00904651061,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6510-61) / 1 Tablet In 1 Blister Pack,77.85,77.85,,,0 CDM,36438_00904736761,Aripiprazole: 100 Blister Pack In 1 Carton (0904-7367-61) / 1 Tablet In 1 Blister Pack,24.45,24.45,,,0 CDM,36438_16714014201,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),113.44,113.44,,,0 CDM,36438_50268008811,NDC Description Not Available,105.18,105.18,,,0 CDM,36438_60687016811,NDC Description Not Available,100.94,100.94,,,0 CDM,36438_63739007010,"Aripiprazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-070-10) / 10 Tablet In 1 Blister Pack",24.43,24.43,,,0 CDM,36438_65162089709,Aripiprazole: 90 Tablet In 1 Bottle (65162-897-09),115.36,115.36,,,0 CDM,364_00904704206,Amantadine Hydrochloride: 50 Blister Pack In 1 Carton (0904-7042-06) / 1 Capsule In 1 Blister Pack,6.18,6.18,,,0 CDM,364_00904704261,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7042-61) / 1 Capsule In 1 Blister Pack,4.32,4.32,,,0 CDM,364_50268006911,NDC Description Not Available,12.56,12.56,,,0 CDM,364_62332024631,Amantadine: 100 Capsule In 1 Bottle (62332-246-31),7.0,7.0,,,0 CDM,36577_00053720102,"Zemaira: 1 Kit In 1 Carton (0053-7201-02) * 20 Ml In 1 Vial, Single-Dose (0053-7211-01) * 20 Ml In 1 Vial, Single-Dose (0053-7653-20)",13.53,13.53,,,0 CDM,36591_00703409401,"Palonosetron Hydrochloride: 1 Vial, Single-Use In 1 Carton (0703-4094-01) / 5 Ml In 1 Vial, Single-Use",15.14,15.14,,,0 CDM,36591_00781331275,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",120.02,120.02,,,0 CDM,36591_00781341575,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3415-75) / 5 Ml In 1 Vial, Single-Dose",122.47,122.47,,,0 CDM,36591_16714083401,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",126.4,126.4,,,0 CDM,36591_55111069407,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",21.12,21.12,,,0 CDM,36591_60505619301,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,59.07,59.07,,,0 CDM,36591_69543037101,NDC Description Not Available,31.42,31.42,,,0 CDM,36591_69543037110,Palonosetron Hydrochloride: 10 Carton In 1 Box (69543-371-10) / 1 Vial In 1 Carton (69543-371-01) / 5 Ml In 1 Vial,30.76,30.76,,,0 CDM,36591_83634077705,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (83634-777-05) / 5 Ml In 1 Vial, Single-Dose",6.49,6.49,,,0 CDM,365_00121064610,"Amantadine Hydrochloride: 10 Tray In 1 Case (0121-0646-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",13.62,13.62,,,0 CDM,365_60687079742,NDC Description Not Available,17.96,17.96,,,0 CDM,36612_00904677861,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61) / 1 Tablet, Coated In 1 Blister Pack",4.35,4.35,,,0 CDM,36612_13668017990,"Rosuvastatin Calcium: 90 Tablet, Coated In 1 Bottle (13668-179-90)",32.32,32.32,,,0 CDM,36612_16714098801,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",30.94,30.94,,,0 CDM,36612_60687023411,NDC Description Not Available,25.68,25.68,,,0 CDM,36630_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,36631_00023927705,"Acular Ls: 1 Bottle, Dropper In 1 Carton (0023-9277-05) / 5 Ml In 1 Bottle, Dropper",1224.67,1224.67,,,0 CDM,36631_60758077305,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60758-773-05) / 5 Ml In 1 Bottle, Dropper",262.66,262.66,,,0 CDM,36632_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,36634_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,36638_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,36762_C1781_278,Noncdm Charge Record Medical Supplies,557.7,557.7,,,0 CDM,36764_C1781_278,Noncdm Charge Record Medical Supplies,1360.7,1360.7,,,0 CDM,36768_C1729_278,Noncdm Charge Record Medical Supplies,278.16,278.16,,,0 CDM,36775_00591333119,"Bupropion Hydrochloride Xl: 90 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3331-19)",18.88,18.88,,,0 CDM,36775_00904708404,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04) / 1 Tablet, Extended Release In 1 Blister Pack",5.43,5.43,,,0 CDM,36775_00904708461,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61) / 1 Tablet, Extended Release In 1 Blister Pack",7.79,7.79,,,0 CDM,36775_00904750561,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7505-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.83,6.83,,,0 CDM,36775_16729044310,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",18.84,18.84,,,0 CDM,36775_16729044315,"Bupropion Hydrochloride: 90 Tablet, Extended Release In 1 Bottle (16729-443-15)",18.84,18.84,,,0 CDM,36775_42806041430,"Bupropion Hydrochloride Xl: 30 Tablet, Extended Release In 1 Bottle, Plastic (42806-414-30)",15.48,15.48,,,0 CDM,36775_50268014011,NDC Description Not Available,28.07,28.07,,,0 CDM,36775_60687031211,NDC Description Not Available,16.81,16.81,,,0 CDM,36775_60687078211,NDC Description Not Available,7.66,7.66,,,0 CDM,36775_68180031906,"Bupropion Hydrochloride Xl: 30 Tablet, Extended Release In 1 Bottle (68180-319-06)",17.18,17.18,,,0 CDM,36775_68180031909,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",17.2,17.2,,,0 CDM,36902_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,36916_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,36920_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,36924_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,36959_00245014489,NDC Description Not Available,26.17,26.17,,,0 CDM,36966_47335032213,"Memantine Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (47335-322-13)",21.63,21.63,,,0 CDM,36976_00536122858,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",3.12,3.12,,,0 CDM,36976_07811201103,NDC Description Not Available,4.14,4.14,,,0 CDM,36976_07811201104,NDC Description Not Available,7.21,7.21,,,0 CDM,3697_00517090101,NDC Description Not Available,64.89,64.89,,,0 CDM,3697_00517090125,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-0901-25) / 1 Ml In 1 Vial, Single-Dose",64.51,64.51,,,0 CDM,3697_00641623101,NDC Description Not Available,29.56,29.56,,,0 CDM,3697_55150040001,NDC Description Not Available,17.88,17.88,,,0 CDM,3697_63323061400,NDC Description Not Available,61.15,61.15,,,0 CDM,3697_63323061421,NDC Description Not Available,15.18,15.18,,,0 CDM,36982_29300015501,"Alfuzosin Hydrochloride: 100 Tablet, Extended Release In 1 Bottle, Plastic (29300-155-01)",15.24,15.24,,,0 CDM,36982_47335095688,"Alfuzosin Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (47335-956-88)",15.29,15.29,,,0 CDM,36982_57237011490,"Alfuzosin Hydrochloride: 90 Tablet, Film Coated, Extended Release In 1 Bottle (57237-114-90)",15.23,15.23,,,0 CDM,36983_16729029310,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (16729-293-10)",15.56,15.56,,,0 CDM,36983_42291045490,"Eplerenone: 90 Tablet, Coated In 1 Bottle (42291-454-90)",16.18,16.18,,,0 CDM,36983_51991087733,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",15.52,15.52,,,0 CDM,36983_51991087790,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (51991-877-90)",15.5,15.5,,,0 CDM,36983_59762171001,"100 BLISTER PACK in 1 CARTON (59762-1710-1) / 1 TABLET, FILM COATED in 1 BLISTER PACK",14.63,14.63,,,0 CDM,36983_60687045111,NDC Description Not Available,17.99,17.99,,,0 CDM,36987_68462012801,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),2.0,2.0,,,0 CDM,3698_51079007401,NDC Description Not Available,1.54,1.54,,,0 CDM,36_C1726_278,Noncdm Charge Record Medical Supplies,832.7,832.7,,,0 CDM,3700000002,Hc General Anesthesia Time - Each Incremental 1 Minute,41.0,41.0,,,0 CDM,3700000003,Hc Regional Anesthesia Time - Initial Base Charge,478.0,478.0,,,0 CDM,3700000005,Hc Monitored Anesthesia Care Anesthesia Time - Initial Base Charge,537.0,537.0,,,0 CDM,3700000012,Hc Moderate Sedation Time - Initial 15 Minutes 5/> Years,11.0,11.0,,,0 CDM,3700000014,Hc An Epidural Block Charge,1981.0,1981.0,,,0 CDM,3700000015,Hc An Peripheral Block Charge,2047.0,2047.0,,,0 CDM,3700000016,Hc An Spinal Block Charge,2776.0,2776.0,,,0 CDM,3700000017,Hc Anesthesia Cse Block Charge,2576.0,2576.0,,,0 CDM,3700000018,Hc Blood Patch,371.0,371.0,,,0 CDM,3700000020,Hc Technician Time - 15 Min,333.0,333.0,,,0 CDM,3700000025,Hc General Anesthesia Time - Initial 30 Mins,1229.0,1229.0,,,0 CDM,3700000026,Hc General Anesthesia Time - Each Additional 15 Min,613.0,613.0,,,0 CDM,3700000027,Hc Anesthesia Basic Fee B,1853.0,1853.0,,,0 CDM,3700000028,Hc Anesthesia Basic Fee C,4174.0,4174.0,,,0 CDM,3700000029,Hc Swan Ganz Mult-Pacing,2911.0,2911.0,,,0 CDM,3700000030,Hc Swan Ganz Pace Port,1502.0,1502.0,,,0 CDM,3700000034,Non Operating Rm Anesthesia Time - Each Incremental One Minute,11.0,11.0,,,0 CDM,3700000035,Hc Anesthesia Convert To C-Section,2854.0,2854.0,,,0 CDM,3700000036,Noncdm Charge Record,699.77,699.77,,,0 CDM,3709915101,Hc Mod Sed Same Phys/Qhp Initial 15 Mins <5 Yrs,678.0,678.0,,,0 CDM,3709915201,Hc Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,240.0,240.0,,,0 CDM,3709915301,Hc Mod Sed Same Phys/Qhp Each Addl 15 Mins,240.0,240.0,,,0 CDM,3709915601,Hc Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,240.0,240.0,,,0 CDM,3709915701,Hc Mod Sed Other Phys/Qhp Each Addl 15 Mins,240.0,240.0,,,0 CDM,37104_C1730_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,37118_C1726_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,37120_C1726_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,3719915201,Hc Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,240.0,240.0,,,0 CDM,3719915301,Hc Mod Sed Same Phys/Qhp Each Addl 15 Mins,240.0,240.0,,,0 CDM,3725_51672201002,Hydrocortisone: 1 Tube In 1 Carton (51672-2010-2) / 28.4 G In 1 Tube,5.89,5.89,,,0 CDM,3726_45802043803,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03) / 28 G In 1 Tube,4.12,4.12,,,0 CDM,3727_00168008031,Hydrocortisone: 30 G In 1 Tube (0168-0080-31),39.98,39.98,,,0 CDM,3727_00472033730,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-30) / 30 G In 1 Tube,40.06,40.06,,,0 CDM,3727_45802000403,Hydrocortisone: 1 Tube In 1 Carton (45802-004-03) / 28 G In 1 Tube,39.14,39.14,,,0 CDM,3728_00039485932,NDC Description Not Available,7.21,7.21,,,0 CDM,3728_00096073204,Aquanil Hc: 118 G In 1 Bottle (0096-0732-04),16.48,16.48,,,0 CDM,3729_45802093716,Hydrocortisone: 59 Ml In 1 Bottle (45802-937-16),192.61,192.61,,,0 CDM,3731_00168002031,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31) / 28.35 G In 1 Tube,7.38,7.38,,,0 CDM,3731_45802027603,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03) / 28 G In 1 Tube,4.12,4.12,,,0 CDM,3732_00168014630,Hydrocortisone: 29 G In 1 Tube (0168-0146-30),39.96,39.96,,,0 CDM,3732_45802001402,Hydrocortisone: 1 Tube In 1 Carton (45802-014-02) / 20 G In 1 Tube,17.73,17.73,,,0 CDM,3732_63629252801,Hydrocortisone: 1 Tube In 1 Carton (63629-2528-1) / 20 G In 1 Tube,17.87,17.87,,,0 CDM,3733_00009003101,Cortef: 100 Tablet In 1 Bottle (0009-0031-01),5.55,5.55,,,0 CDM,3733_00904718861,Hydrocortisone: 100 Blister Pack In 1 Carton (0904-7188-61) / 1 Tablet In 1 Blister Pack,6.05,6.05,,,0 CDM,3733_50268040611,NDC Description Not Available,7.21,7.21,,,0 CDM,3733_59762007401,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),2.06,2.06,,,0 CDM,3733_60687058211,NDC Description Not Available,4.6,4.6,,,0 CDM,3733_64380097106,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",3.86,3.86,,,0 CDM,37346_C1769_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,3738_00574709012,Hydrocortisone Acetate: 12 Packet In 1 Box (0574-7090-12) / 1 Suppository In 1 Packet,51.92,51.92,,,0 CDM,3738_00713050306,NDC Description Not Available,81.64,81.64,,,0 CDM,3738_10135075124,Hydrocortisone Acetate: 24 Suppository In 1 Carton (10135-751-24),13.42,13.42,,,0 CDM,3738_16571067621,Hydrocortisone Acetate: 12 Suppository In 1 Carton (16571-676-21),81.65,81.65,,,0 CDM,3738_39328002924,Hydrocortisone Acetate: 24 Suppository In 1 Carton (39328-029-24),7.63,7.63,,,0 CDM,3738_42494030124,Hydrocortisone Acetate: 24 SUPPOSITORY in 1 BOX (42494-301-24),77.25,77.25,,,0 CDM,3738_42494034112,Hydrocortisone Acetate: 1 Blister Pack In 1 Box (42494-341-12) / 12 Suppository In 1 Blister Pack,51.5,51.5,,,0 CDM,3738_50268041111,NDC Description Not Available,51.93,51.93,,,0 CDM,3738_69367024312,Hydrocortisone Acetate: 12 Suppository In 1 Carton (69367-243-12),51.5,51.5,,,0 CDM,3738_75834014706,NDC Description Not Available,81.37,81.37,,,0 CDM,373_270,Noncdm Charge Record Medical Supplies,7.7,7.7,,,0 CDM,37500_270,Noncdm Charge Record Medical Supplies,1414.6,1414.6,,,0 CDM,37502_270,Noncdm Charge Record Medical Supplies,1297.34,1297.34,,,0 CDM,37512_C1766_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,37514_C1766_278,Noncdm Charge Record Medical Supplies,159.38,159.38,,,0 CDM,37516_C1766_278,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,37520_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37522_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37524_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37526_C1887_272,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37526_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,3752_00363087143,"473 mL in 1 BOTTLE, PLASTIC (0363-0871-43)",7.21,7.21,,,0 CDM,3752_49348017934,Sunmark Hydrogen Peroxide 3 Percent: 118 Ml In 1 Bottle (49348-179-34),2.06,2.06,,,0 CDM,3752_49348017937,Sunmark Hydrogen Peroxide 3 Percent: 236 Ml In 1 Bottle (49348-179-37),2.06,2.06,,,0 CDM,37578_00065079515,Bss: 15 Ml In 1 Bottle (0065-0795-15),52.88,52.88,,,0 CDM,37578_00065079550,Bss: 500 Ml In 1 Bottle (0065-0795-50),118.64,118.64,,,0 CDM,3757_00409128303,NDC Description Not Available,3.38,3.38,,,0 CDM,3757_00409128317,NDC Description Not Available,1.93,1.93,,,0 CDM,3757_00409128331,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),1.94,1.94,,,0 CDM,3757_00409426411,NDC Description Not Available,2.73,2.73,,,0 CDM,3757_76045000996,NDC Description Not Available,3.6,3.6,,,0 CDM,3758_00409336501,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",1.44,1.44,,,0 CDM,3758_00409336511,NDC Description Not Available,0.45,0.45,,,0 CDM,3758_00641234141,Hydromorphone Hydrochloride: 20 Vial In 1 Carton (0641-2341-41) / 20 Ml In 1 Vial (0641-2341-39),0.23,0.23,,,0 CDM,37592_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37594_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,37606_C1766_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,3760_00406324301,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),1.66,1.66,,,0 CDM,3760_42858030101,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",0.42,0.42,,,0 CDM,3760_42858030125,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25) / 25 Tablet In 1 Blister Pack,0.68,0.68,,,0 CDM,3760_60687057901,"Hydromorphone Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-579-01) / 1 Tablet In 1 Blister Pack (60687-579-11)",1.03,1.03,,,0 CDM,3760_60687057911,NDC Description Not Available,2.37,2.37,,,0 CDM,3761_00406324401,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),2.53,2.53,,,0 CDM,3761_42858030201,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",1.23,1.23,,,0 CDM,3761_42858030225,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25) / 25 Tablet In 1 Blister Pack,0.98,0.98,,,0 CDM,3761_60687059011,NDC Description Not Available,2.54,2.54,,,0 CDM,37635_13668013510,"Escitalopram: 1000 Tablet, Film Coated In 1 Bottle (13668-135-10)",14.88,14.88,,,0 CDM,37635_65862037301,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",16.62,16.62,,,0 CDM,37635_65862037305,"Escitalopram: 500 Tablet, Film Coated In 1 Bottle (65862-373-05)",16.16,16.16,,,0 CDM,37636_270,Noncdm Charge Record Medical Supplies,445.5,445.5,,,0 CDM,37638_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,37642_00009076004,Cleocin Pediatric: 1 Bottle In 1 Carton (0009-0760-04) / 100 Ml In 1 Bottle,21.63,21.63,,,0 CDM,37642_16714048301,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01) / 100 Ml In 1 Bottle,67.16,67.16,,,0 CDM,37642_16714048302,"Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle, Plastic In 1 Carton (16714-483-02) / 100 Ml In 1 Bottle, Plastic",47.38,47.38,,,0 CDM,37648_60687048011,NDC Description Not Available,4.89,4.89,,,0 CDM,37648_60687076811,NDC Description Not Available,6.73,6.73,,,0 CDM,37690_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,3769_00517420101,NDC Description Not Available,114.78,114.78,,,0 CDM,3769_00517420125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-4201-25) / 1 Ml In 1 Vial, Single-Dose (0517-4201-01)",117.34,117.34,,,0 CDM,3770_00517560125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",98.88,98.88,,,0 CDM,3771_17856015001,Hydroxyzine Hydrochloride: 5 mL in 1 CUP (17856-0150-1),1.03,1.03,,,0 CDM,3771_54838050280,"Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle, Plastic (54838-502-80)",10.12,10.12,,,0 CDM,3771_60432015004,"Hydroxyzine Hydrochloride: 118 mL in 1 BOTTLE, PLASTIC (60432-150-04)",6.18,6.18,,,0 CDM,3771_60432015016,"Hydroxyzine Hydrochloride: 473 mL in 1 BOTTLE, PLASTIC (60432-150-16)",3.91,3.91,,,0 CDM,3771_62135050247,Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle (62135-502-47),22.87,22.87,,,0 CDM,3771_62135075047,Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle (62135-750-47),32.74,32.74,,,0 CDM,3771_63629185501,Hydroxyzine Hydrochloride: 120 mL in 1 BOTTLE (63629-1855-1),3.09,3.09,,,0 CDM,3772_16714008110,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),2.03,2.03,,,0 CDM,3772_23155050001,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),2.4,2.4,,,0 CDM,3772_59651049901,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (59651-499-01)",1.7,1.7,,,0 CDM,37800_C1898_275,Noncdm Charge Record Medical Supplies,673.75,673.75,,,0 CDM,37814_C1781_278,Noncdm Charge Record Medical Supplies,237.6,237.6,,,0 CDM,37822_C1768_278,Noncdm Charge Record Medical Supplies,976.8,976.8,,,0 CDM,37824_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,37826_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,37828_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,3782_54838050615,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",19.83,19.83,,,0 CDM,3782_62135051352,Hyoscyamine Sulfate: 20 Ml In 1 Bottle (62135-513-52),71.84,71.84,,,0 CDM,37830_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,37848_00121231615,NDC Description Not Available,14.4,14.4,,,0 CDM,37848_66689002301,NDC Description Not Available,19.57,19.57,,,0 CDM,37866_C1876_278,Noncdm Charge Record Medical Supplies,1570.8,1570.8,,,0 CDM,37894_71288016750,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",12.48,12.48,,,0 CDM,37918_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,37952_C1753_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,37970_C1769_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,38048_270,Noncdm Charge Record Medical Supplies,1320.0,1320.0,,,0 CDM,38062_00378420178,"Mycophenolic Acid: 120 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0378-4201-78)",16.48,16.48,,,0 CDM,38062_00904678504,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6785-04) / 1 Tablet, Delayed Release In 1 Blister Pack",17.94,17.94,,,0 CDM,38062_16729026129,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-261-29)",16.48,16.48,,,0 CDM,38062_67877042612,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (67877-426-12)",16.51,16.51,,,0 CDM,38062_68084090711,NDC Description Not Available,18.03,18.03,,,0 CDM,38100_00904706704,"Cinacalcet: 30 Blister Pack In 1 Carton (0904-7067-04) / 1 Tablet, Film Coated In 1 Blister Pack",124.71,124.71,,,0 CDM,38100_16729044010,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-10)",111.02,111.02,,,0 CDM,38100_16729044015,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",111.05,111.05,,,0 CDM,38100_31722010330,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (31722-103-30)",110.52,110.52,,,0 CDM,38100_42291045930,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (42291-459-30)",111.15,111.15,,,0 CDM,38100_50268015311,NDC Description Not Available,111.78,111.78,,,0 CDM,38100_55513007330,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",116.33,116.33,,,0 CDM,38100_60687052511,NDC Description Not Available,111.84,111.84,,,0 CDM,38100_64380088304,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",110.87,110.87,,,0 CDM,38100_67877050330,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (67877-503-30)",110.49,110.49,,,0 CDM,38100_69097041002,Cinacalcet: 30 Tablet In 1 Bottle (69097-410-02),110.51,110.51,,,0 CDM,38100_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,38103_00049316044,Vfend: 1 Bottle In 1 Carton (0049-3160-44) / 75 Ml In 1 Bottle,248.25,248.25,,,0 CDM,38103_59762093503,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3) / 75 Ml In 1 Bottle,349.9,349.9,,,0 CDM,38220_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,38222_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,38224_00228277811,"Propranolol Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (0228-2778-11)",7.21,7.21,,,0 CDM,38224_00527411637,"Propranolol Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (0527-4116-37)",7.21,7.21,,,0 CDM,38224_60687021511,NDC Description Not Available,7.86,7.86,,,0 CDM,38245_00116400508,Lactulose: 237 Ml In 1 Bottle (0116-4005-08),35.02,35.02,,,0 CDM,38245_00116400516,Lactulose: 473 Ml In 1 Bottle (0116-4005-16),73.41,73.41,,,0 CDM,38245_00121087316,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),77.62,77.62,,,0 CDM,38245_00121115430,NDC Description Not Available,6.59,6.59,,,0 CDM,38245_00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),75.8,75.8,,,0 CDM,38245_45963043864,Enulose: 473 Ml In 1 Bottle (45963-438-64),83.36,83.36,,,0 CDM,38245_45963043965,Constulose: 946 Ml In 1 Bottle (45963-439-65),77.16,77.16,,,0 CDM,38245_64980059248,Lactulose Solution: 473 Ml In 1 Bottle (64980-592-48),79.07,79.07,,,0 CDM,3824_C1758_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,38263_00002759701,Zyprexa Intramuscular: 1 Vial In 1 Carton (0002-7597-01) / 2 Ml In 1 Vial,25.08,25.08,,,0 CDM,38263_00781315972,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,35.56,35.56,,,0 CDM,38263_31722030801,Olanzapine: 1 Vial In 1 Carton (31722-308-01) / 2 Ml In 1 Vial,14.96,14.96,,,0 CDM,38263_55150030801,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.74,14.74,,,0 CDM,38270_00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",10.1,10.1,,,0 CDM,38270_10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",7.29,7.29,,,0 CDM,38270_10019093950,NDC Description Not Available,8.0,8.0,,,0 CDM,38270_10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",5.8,5.8,,,0 CDM,38270_16714085701,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01) / 50 Ml In 1 Vial, Single-Dose",9.4,9.4,,,0 CDM,38270_25021024851,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51) / 50 Ml In 1 Vial,5.47,5.47,,,0 CDM,38270_81298811201,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8112-1) / 50 Ml In 1 Vial, Single-Dose",5.31,5.31,,,0 CDM,38271_00781323394,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",14.62,14.62,,,0 CDM,38271_10019093801,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",8.0,8.0,,,0 CDM,38271_10019095501,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",15.85,15.85,,,0 CDM,38271_16714085901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-859-01) / 25 Ml In 1 Vial, Single-Dose",14.92,14.92,,,0 CDM,38271_65219013520,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-135-20) / 25 Ml In 1 Vial, Single-Dose",7.79,7.79,,,0 CDM,38271_81298811001,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8110-1) / 25 Ml In 1 Vial, Single-Dose",5.1,5.1,,,0 CDM,38274_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,38294_C1887_278,Noncdm Charge Record Medical Supplies,81.1,81.1,,,0 CDM,38303_25021081230,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,9.98,9.98,,,0 CDM,38303_55150025930,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",14.18,14.18,,,0 CDM,38303_63323096321,NDC Description Not Available,7.93,7.93,,,0 CDM,38303_70069078801,NDC Description Not Available,4.0,4.0,,,0 CDM,38303_70069078804,Acetylcysteine: 4 Vial In 1 Carton (70069-788-04) / 30 Ml In 1 Vial,4.0,4.0,,,0 CDM,38303_70594011101,NDC Description Not Available,3.61,3.61,,,0 CDM,38303_70594011102,Acetylcysteine: 4 Vial In 1 Carton (70594-111-02) / 30 Ml In 1 Vial (70594-111-01),4.33,4.33,,,0 CDM,38303_72611086001,NDC Description Not Available,2.67,2.67,,,0 CDM,38303_72611086004,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (72611-860-04) / 30 Ml In 1 Vial, Single-Dose (72611-860-01)",2.67,2.67,,,0 CDM,38306_C1894_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,38315_68180096411,NDC Description Not Available,66.51,66.51,,,0 CDM,38315_68180096412,Tiotropium Bromide: 3 Blister Pack In 1 Carton (68180-964-12) / 10 Capsule In 1 Blister Pack,66.47,66.47,,,0 CDM,38328_C1894_278,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,38334_C1769_278,Noncdm Charge Record Medical Supplies,39.88,39.88,,,0 CDM,38338_C1893_278,Noncdm Charge Record Medical Supplies,144.14,144.14,,,0 CDM,38340_C1893_278,Noncdm Charge Record Medical Supplies,147.94,147.94,,,0 CDM,38342_C1893_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,3836_C1892_278,Noncdm Charge Record Medical Supplies,68.2,68.2,,,0 CDM,38372_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,38374_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,38479_00093541719,NDC Description Not Available,10.82,10.82,,,0 CDM,38480_00093541919,NDC Description Not Available,28.42,28.42,,,0 CDM,38488_00121072104,Fluoxetine: 120 Ml In 1 Bottle (0121-0721-04),22.61,22.61,,,0 CDM,38488_00121472105,NDC Description Not Available,21.88,21.88,,,0 CDM,38488_00832603212,Fluoxetine Hydrochloride: 1 Bottle In 1 Carton (0832-6032-12) / 120 Ml In 1 Bottle,24.33,24.33,,,0 CDM,38488_60687024440,NDC Description Not Available,22.46,22.46,,,0 CDM,38488_60687084540,NDC Description Not Available,20.38,20.38,,,0 CDM,38488_62135073045,NDC Description Not Available,394.27,394.27,,,0 CDM,38488_65862030612,"Fluoxetine: 120 Ml In 1 Bottle, Glass (65862-306-12)",21.12,21.12,,,0 CDM,38488_70954060005,NDC Description Not Available,18.67,18.67,,,0 CDM,38488_70954060010,"Fluoxetine Hydrochloride: 120 Ml In 1 Bottle, Plastic (70954-600-10)",37.46,37.46,,,0 CDM,38494_58468004101,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0041-1) / 1 Ml In 1 Vial, Glass",481.43,481.43,,,0 CDM,3850_C1781_278,Noncdm Charge Record Medical Supplies,521.4,521.4,,,0 CDM,38595_54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),47.5,47.5,,,0 CDM,38595_54643565002,Infuvite Adult: 1 Kit In 1 Carton (54643-5650-2) * 50 Ml In 1 Vial (54643-5661-2) * 50 Ml In 1 Vial (54643-5663-2),40.17,40.17,,,0 CDM,38595_61703043401,NDC Description Not Available,49.44,49.44,,,0 CDM,38626_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,38650_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,38652_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,38701_24208078055,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55) / 3.5 G In 1 Tube,205.0,205.0,,,0 CDM,38703_17478054202,Adenosine: 10 Vial In 1 Carton (17478-542-02) / 2 Ml In 1 Vial,0.46,0.46,,,0 CDM,38703_63323065102,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",8.17,8.17,,,0 CDM,38703_67457085500,NDC Description Not Available,4.45,4.45,,,0 CDM,38703_67457085502,"Adenosine: 10 Vial, Single-Dose In 1 Carton (67457-855-02) / 2 Ml In 1 Vial, Single-Dose (67457-855-00)",27.12,27.12,,,0 CDM,38703_72078003300,NDC Description Not Available,4.32,4.32,,,0 CDM,38756_C1887_278,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 CDM,38764_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,38768_C1750_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,38774_C1750_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,3879_62559051101,"Indapamide: 100 Tablet, Film Coated In 1 Bottle (62559-511-01)",2.83,2.83,,,0 CDM,38830_23155053825,Doxercalciferol: 50 Capsule In 1 Bottle (23155-538-25),28.5,28.5,,,0 CDM,38964_C2617_278,Noncdm Charge Record Medical Supplies,442.2,442.2,,,0 CDM,38966_C2617_278,Noncdm Charge Record Medical Supplies,437.8,437.8,,,0 CDM,38968_C2617_278,Noncdm Charge Record Medical Supplies,437.8,437.8,,,0 CDM,38972_270,Noncdm Charge Record Medical Supplies,634.7,634.7,,,0 CDM,38974_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,38992_C1733_278,Noncdm Charge Record Medical Supplies,1639.0,1639.0,,,0 CDM,3900000001,Noncdm Charge Record,1317.0,1317.0,,,0 CDM,3900000002,Hc Red Cross Proc Plt Pher,1156.0,1156.0,,,0 CDM,3900000004,Hc Transf Rx Invest Unit,941.0,941.0,,,0 CDM,3901_69344010233,Indocin: 30 Suppository In 1 Box (69344-102-33),912.43,912.43,,,0 CDM,3901_70710185206,NDC Description Not Available,979.52,979.52,,,0 CDM,3901_70710185207,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7) / 6 Suppository In 1 Blister Pack (70710-1852-6),849.75,849.75,,,0 CDM,3901_70710195807,Indomethacin: 5 Blister Pack In 1 Carton (70710-1958-7) / 6 Suppository In 1 Blister Pack (70710-1958-6),862.26,862.26,,,0 CDM,39054_270,Noncdm Charge Record Medical Supplies,2564.1,2564.1,,,0 CDM,39062_C1768_278,Noncdm Charge Record Medical Supplies,215.87,215.87,,,0 CDM,39063_65649030103,Xifaxan: 30 Tablet In 1 Bottle (65649-301-03),45.84,45.84,,,0 CDM,39066_270,Noncdm Charge Record Medical Supplies,1999.8,1999.8,,,0 CDM,3908689001,Hc Autologous Blood Or Component -Collec Processing And Storage,855.5,855.5,,,0 CDM,3908690501,Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Ref Lab Antigen Typing,703.0,703.0,,,0 CDM,3908690601,"Hc Ref Lab Bb Rh Phenotyping, Complete",143.5,143.5,,,0 CDM,3908694102,Hc Bb Hemlysins And Agglutinins; Incubated - Donath-Landsteiner,97.0,97.0,,,0 CDM,3908697801,"Hc Ref Lab Bb Red Cell Antibody Absorption, Each",115.5,115.5,,,0 CDM,3908699902,Hc Granulocyte Apheresis,72.0,72.0,,,0 CDM,3908699903,Hc Red Cell Processing,72.0,72.0,,,0 CDM,3908699904,Hc Plateletpheresis,72.0,72.0,,,0 CDM,3908699905,"Hc Thawing Rare Reagent Red Cells, Per Cell",72.0,72.0,,,0 CDM,39088_L8614_278,Noncdm Charge Record Medical Supplies,29357.9,29357.9,,,0 CDM,3908_C1768_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,39090_270,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,39092_270,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,39098_270,Noncdm Charge Record Medical Supplies,891.0,891.0,,,0 CDM,390C950701,Hc Thawed Apheresis Conv Plasma Covid-19,851.0,851.0,,,0 CDM,390P901001,"Hc Blood (Whole), For Transfusion, Per Unit",1040.5,1040.5,,,0 CDM,390P901101,"Hc Blood, Split Unit",805.5,805.5,,,0 CDM,390P901201,"Hc Red Cross Processing - Pooled Cryoprecipitate, Each Unit",1470.0,1470.0,,,0 CDM,390P901202,"Hc Red Cross Processing - Cryoprecipitate, Single",1470.0,1470.0,,,0 CDM,390P901601,Hc Red Cross Prod Leukocytes Reduced Flt Rbc,881.5,881.5,,,0 CDM,390P901701,"Hc Red Cross Proc Ffp (Single Donor), Frozen Within 8Hrs, Each Unit",171.0,171.0,,,0 CDM,390P901702,Hc Thawed Aph Conv Pls Covid-19,171.0,171.0,,,0 CDM,390P902101,"Hc Red Cross Proc Red Blood Cells, Each Unit",720.5,720.5,,,0 CDM,390P902201,"Hc Red Cross Proc Washed, Red Blood Cells, Each Unit",1546.5,1546.5,,,0 CDM,390P902601,"Hc Pooled Cryoprecipitate, Pathogen Reduced, Each Unit - Ifc10",694.0,694.0,,,0 CDM,390P902602,"Hc Pooled Cryoprecipitate, Pathogen Reduced, Each Unit - Fc15",1262.5,1262.5,,,0 CDM,390P903401,Hc Plasmarichplatelet Bma-Mc Each Unit,1733.5,1733.5,,,0 CDM,390P903501,"Hc Platelets. Pheresis, Leukocytes Reduced, Each Unit",2290.5,2290.5,,,0 CDM,390P903701,"Hc Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit",3009.0,3009.0,,,0 CDM,390P903901,"Hc Red Cross Proc- Red Blood Cells, Deglycerolized, Each Unit",1784.5,1784.5,,,0 CDM,390P904001,"Hc Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit Lf",629.0,629.0,,,0 CDM,390P904002,"Hc Prbc, Irr, Leuko",629.0,629.0,,,0 CDM,390P904401,"Hc Red Cross Proc Cryoprecipitate Reduced Super, Each Unit",242.5,242.5,,,0 CDM,390P905201,"Hc Arc Hla Matched Products Leukocytes Reduced, Aph/Pheresis, Each Unit",3308.0,3308.0,,,0 CDM,390P905601,"Hc Whole Blood, Leukocytes Reduced, Irradiated, Each Unit",349.5,349.5,,,0 CDM,390P905901,"Hc Fresh Frozen Plasma 8 - 24 Hours Of Collection, Each Unit",343.0,343.0,,,0 CDM,390P907301,"Hc Platelets, Pheresis, Pathogen Reduced, Each Unit",1212.5,1212.5,,,0 CDM,3913643001,Hc Blood Transfusion Service,1684.0,1684.0,,,0 CDM,3913644001,Hc Transfus Blood Age <2 Yrs,1120.0,1120.0,,,0 CDM,39136_00574200815,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",98.93,98.93,,,0 CDM,39136_00574200830,"Nystop: 30 G In 1 Bottle, Plastic (0574-2008-30)",194.04,194.04,,,0 CDM,39136_00832046515,"Nyamyc: 1 Bottle, Plastic In 1 Carton (0832-0465-15) / 15 G In 1 Bottle, Plastic",134.93,134.93,,,0 CDM,39136_16714076901,"Nystatin: 15 G In 1 Bottle, Plastic (16714-769-01)",88.58,88.58,,,0 CDM,39136_68308015215,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",79.17,79.17,,,0 CDM,39136_68308015230,"Nystatin: 30 G In 1 Bottle, Plastic (68308-152-30)",146.44,146.44,,,0 CDM,39136_69315030615,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",83.7,83.7,,,0 CDM,39136_69315030630,"Nystatin: 30 G In 1 Bottle, Plastic (69315-306-30)",167.89,167.89,,,0 CDM,39136_75907006030,"Nystatin: 30 G In 1 Bottle, Plastic (75907-060-30)",146.41,146.41,,,0 CDM,39202_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39216_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39232_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,39240_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39242_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39250_C1769_272,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39250_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39252_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,39254_64980052660,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",595.58,595.58,,,0 CDM,39255_16714053401,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-534-01)",252.35,252.35,,,0 CDM,39265_00703423901,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",22.2,22.2,,,0 CDM,39265_00703424401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",25.06,25.06,,,0 CDM,39265_00703424601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",29.83,29.83,,,0 CDM,39265_00703424801,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 CDM,39265_16729029512,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (16729-295-12) / 60 Ml In 1 Vial, Multi-Dose",24.76,24.76,,,0 CDM,39265_50742044745,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (50742-447-45) / 45 Ml In 1 Vial, Multi-Dose",92.45,92.45,,,0 CDM,39265_54288016401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",14.92,14.92,,,0 CDM,39265_54288016501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",35.42,35.42,,,0 CDM,39265_54288016601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-166-01) / 45 Ml In 1 Vial, Multi-Dose",31.61,31.61,,,0 CDM,39265_54288016701,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-167-01) / 60 Ml In 1 Vial, Multi-Dose",34.79,34.79,,,0 CDM,39265_55150033501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",19.84,19.84,,,0 CDM,39265_55150038601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",17.17,17.17,,,0 CDM,39265_61703026205,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-262-05) / 45 Ml In 1 Vial, Multi-Dose",21.18,21.18,,,0 CDM,39265_61703033918,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",12.88,12.88,,,0 CDM,39265_61703033922,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",29.18,29.18,,,0 CDM,39265_61703033950,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",20.15,20.15,,,0 CDM,39265_61703033956,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",19.46,19.46,,,0 CDM,39275_00904645261,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6452-61) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",5.66,5.66,,,0 CDM,39275_00904704304,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04) / 1 Capsule, Delayed Release In 1 Blister Pack",4.93,4.93,,,0 CDM,39275_00904704361,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7043-61) / 1 Capsule, Delayed Release In 1 Blister Pack",6.13,6.13,,,0 CDM,39275_51991074690,"Duloxetine Delayed-Release: 90 Capsule, Delayed Release Pellets In 1 Bottle (51991-746-90)",24.76,24.76,,,0 CDM,39275_60687072311,NDC Description Not Available,29.46,29.46,,,0 CDM,39276_00904645361,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6453-61) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",21.63,21.63,,,0 CDM,39276_00904704461,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.26,5.26,,,0 CDM,39276_27241009809,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (27241-098-09)",28.21,28.21,,,0 CDM,39276_57237001830,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (57237-018-30)",28.31,28.31,,,0 CDM,39276_57237001890,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (57237-018-90)",28.25,28.25,,,0 CDM,39276_60687073411,NDC Description Not Available,27.79,27.79,,,0 CDM,39276_68180029506,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (68180-295-06)",28.27,28.27,,,0 CDM,39276_68180029509,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",27.81,27.81,,,0 CDM,39277_00904704561,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.9,5.9,,,0 CDM,39277_60687074501,"Duloxetine: 100 Blister Pack In 1 Carton (60687-745-01) / 1 Capsule, Delayed Release In 1 Blister Pack (60687-745-11)",27.81,27.81,,,0 CDM,39277_60687074511,NDC Description Not Available,27.81,27.81,,,0 CDM,39278_00093414719,NDC Description Not Available,8.01,8.01,,,0 CDM,39278_00093414756,"Levalbuterol: 30 Pouch In 1 Carton (0093-4147-56) / 1 Vial, Single-Dose In 1 Pouch (0093-4147-19) / .5 Ml In 1 Vial, Single-Dose",8.04,8.04,,,0 CDM,39278_00378699331,NDC Description Not Available,8.07,8.07,,,0 CDM,39278_00378699393,Levalbuterol: 30 Pouch In 1 Carton (0378-6993-93) / 1 Vial In 1 Pouch (0378-6993-31) / .5 Ml In 1 Vial,8.01,8.01,,,0 CDM,39368_C1733_278,Noncdm Charge Record Medical Supplies,1638.98,1638.98,,,0 CDM,39514_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,39516_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,39520_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,39522_C1887_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,39524_C1887_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,3953_C1894_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,39540_C1887_278,Noncdm Charge Record Medical Supplies,31.88,31.88,,,0 CDM,39558_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,39575_54092019112,Pentasa: 120 Capsule In 1 Bottle (54092-191-12),26.26,26.26,,,0 CDM,39575_63304008913,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (63304-089-13)",23.63,23.63,,,0 CDM,3961_48433023015,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),42.96,42.96,,,0 CDM,39744_00143968401,NDC Description Not Available,3.51,3.51,,,0 CDM,39744_00143968410,"Flumazenil: 10 Vial, Multi-Dose In 1 Box (0143-9684-10) / 5 Ml In 1 Vial, Multi-Dose (0143-9684-01)",19.06,19.06,,,0 CDM,39744_00143978401,NDC Description Not Available,21.26,21.26,,,0 CDM,39744_00143978410,"Flumazenil: 10 Vial, Multi-Dose In 1 Box (0143-9784-10) / 5 Ml In 1 Vial, Multi-Dose (0143-9784-01)",13.95,13.95,,,0 CDM,39744_36000014801,NDC Description Not Available,23.54,23.54,,,0 CDM,39744_63323042405,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05) / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",29.47,29.47,,,0 CDM,39786_32909011500,"Varibar Nectar: 240 mL in 1 BOTTLE, PLASTIC (32909-115-00)",28.22,28.22,,,0 CDM,39786_32909081455,"Tagitol V: 24 Box In 1 Case (32909-814-55) / 3 Bottle, Glass In 1 Box / 20 Ml In 1 Bottle, Glass",81.85,81.85,,,0 CDM,39878_270,Noncdm Charge Record Medical Supplies,211.2,211.2,,,0 CDM,39878_C1889_278,Noncdm Charge Record Medical Supplies,211.2,211.2,,,0 CDM,3990_00023608201,NDC Description Not Available,63.37,63.37,,,0 CDM,3990_00023608210,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",68.2,68.2,,,0 CDM,39918_00409357811,NDC Description Not Available,11.13,11.13,,,0 CDM,39918_36000024201,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",5.72,5.72,,,0 CDM,39918_63323030601,NDC Description Not Available,12.72,12.72,,,0 CDM,39918_63323030602,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",13.99,13.99,,,0 CDM,39918_63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",5.66,5.66,,,0 CDM,39918_67457042800,NDC Description Not Available,5.23,5.23,,,0 CDM,39918_67457047300,NDC Description Not Available,7.58,7.58,,,0 CDM,3996_C1768_278,Noncdm Charge Record Medical Supplies,766.7,766.7,,,0 CDM,39998_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,399P902201,Hc Autologous Blood Per Unit,1546.5,1546.5,,,0 CDM,40004_C1769_278,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 CDM,40009_51079059901,NDC Description Not Available,6.0,6.0,,,0 CDM,40010_00378306677,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3066-77)",20.6,20.6,,,0 CDM,40010_50268031111,NDC Description Not Available,18.54,18.54,,,0 CDM,40010_51079060801,NDC Description Not Available,18.55,18.55,,,0 CDM,40010_65862076990,"Fenofibrate: 90 Tablet, Coated In 1 Bottle (65862-769-90)",20.6,20.6,,,0 CDM,40010_69097045805,Fenofibrate: 90 Tablet In 1 Bottle (69097-458-05),20.6,20.6,,,0 CDM,400291_00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,36.05,36.05,,,0 CDM,400291_00264180036,Sodium Chloride: 116 Container In 1 Case (0264-1800-36) / 25 Ml In 1 Container,36.05,36.05,,,0 CDM,400291_00264580200,Sodium Chloride: 12 Container In 1 Case (0264-5802-00) / 1000 Ml In 1 Container,31.66,31.66,,,0 CDM,400291_00264580210,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,14.42,14.42,,,0 CDM,400291_00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,22.77,22.77,,,0 CDM,400291_00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,9.01,9.01,,,0 CDM,400291_00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,16.93,16.93,,,0 CDM,400291_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,36.05,36.05,,,0 CDM,400291_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),23.0,23.0,,,0 CDM,400291_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),16.92,16.92,,,0 CDM,400291_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),33.68,33.68,,,0 CDM,400291_00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400291_00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,24.77,24.77,,,0 CDM,400291_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,29.87,29.87,,,0 CDM,400291_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,27.73,27.73,,,0 CDM,400291_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400291_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,29.85,29.85,,,0 CDM,400291_00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),23.77,23.77,,,0 CDM,400291_00338954303,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),17.36,17.36,,,0 CDM,400291_00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),18.02,18.02,,,0 CDM,400291_00338954305,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),8.69,8.69,,,0 CDM,400291_00338979101,NDC Description Not Available,23.95,23.95,,,0 CDM,400291_00409798330,NDC Description Not Available,18.02,18.02,,,0 CDM,400291_00990798302,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,27.64,27.64,,,0 CDM,400291_00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,17.14,17.14,,,0 CDM,400291_00990798309,Sodium Chloride: 12 Pouch In 1 Case (0990-7983-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,34.98,34.98,,,0 CDM,400291_00990798355,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,18.32,18.32,,,0 CDM,400291_00990798361,Sodium Chloride: 32 Pouch In 1 Case (0990-7983-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,18.88,18.88,,,0 CDM,400291_00990798413,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400291_00990798423,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,400291_09999003911,NDC Description Not Available,22.07,22.07,,,0 CDM,400291_17271070105,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),15.33,15.33,,,0 CDM,400291_17271070106,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),16.69,16.69,,,0 CDM,400291_17271070107,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),13.28,13.28,,,0 CDM,400291_63323062376,Sodium Chloride: 1000 Ml In 1 Bag (63323-623-76),9.01,9.01,,,0 CDM,400291_65219047205,NDC Description Not Available,18.02,18.02,,,0 CDM,400291_65219047220,Sodium Chloride: 20 Bag In 1 Case (65219-472-20) / 500 Ml In 1 Bag (65219-472-05),19.09,19.09,,,0 CDM,400291_76297000132,NDC Description Not Available,36.05,36.05,,,0 CDM,400292_00338004303,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),36.05,36.05,,,0 CDM,400292_00338004304,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),36.05,36.05,,,0 CDM,400292_00990798509,Sodium Chloride: 12 Pouch In 1 Case (0990-7985-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,36.05,36.05,,,0 CDM,400293_00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,36.05,36.05,,,0 CDM,400293_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),36.05,36.05,,,0 CDM,400293_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),35.69,35.69,,,0 CDM,400293_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),35.5,35.5,,,0 CDM,400293_00338001710,Dextrose: 4 Bag In 1 Pouch (0338-0017-10) / 25 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338001711,Dextrose: 4 Bag In 1 Pouch (0338-0017-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338006230,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00338007010,Dextrose: 10 Bag In 1 Carton (0338-0070-10) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00990792203,Dextrose: 24 Pouch In 1 Case (0990-7922-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_00990792209,Dextrose: 12 Pouch In 1 Case (0990-7922-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400293_63323062404,NDC Description Not Available,36.05,36.05,,,0 CDM,400294_00338008904,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400295_00338008504,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400296_00264775000,Lactated Ringers: 12 Container In 1 Case (0264-7750-00) / 1000 Ml In 1 Container,22.86,22.86,,,0 CDM,400296_00264775010,Lactated Ringers: 24 Container In 1 Case (0264-7750-10) / 500 Ml In 1 Container,36.05,36.05,,,0 CDM,400296_00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),31.01,31.01,,,0 CDM,400296_00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),32.51,32.51,,,0 CDM,400296_00990795309,Lactated Ringers: 12 Pouch In 1 Case (0990-7953-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,30.46,30.46,,,0 CDM,400296_09999003912,NDC Description Not Available,35.63,35.63,,,0 CDM,400296_09999003918,NDC Description Not Available,33.5,33.5,,,0 CDM,400296_17271071007,Lactated Ringers: 10 Bag In 1 Carton (17271-710-07) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400296_63323016425,NDC Description Not Available,36.05,36.05,,,0 CDM,400296_63323016426,NDC Description Not Available,36.05,36.05,,,0 CDM,400296_65219047905,NDC Description Not Available,35.09,35.09,,,0 CDM,400302_00264752020,Dextrose: 24 Container In 1 Case (0264-7520-20) / 250 Ml In 1 Container,35.81,35.81,,,0 CDM,400302_00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),35.31,35.31,,,0 CDM,400302_00338002303,Dextrose: 500 Ml In 1 Bag (0338-0023-03),36.05,36.05,,,0 CDM,400302_00338002304,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),34.51,34.51,,,0 CDM,400302_00990793002,Dextrose: 24 Pouch In 1 Case (0990-7930-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,36.05,36.05,,,0 CDM,400302_00990793009,Dextrose: 12 Pouch In 1 Case (0990-7930-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,400302_63323082426,NDC Description Not Available,36.05,36.05,,,0 CDM,400484_60687058601,"Rifampin: 100 Blister Pack In 1 Box, Unit-Dose (60687-586-01) / 1 Capsule In 1 Blister Pack (60687-586-11)",24.72,24.72,,,0 CDM,400625_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,4.74,4.74,,,0 CDM,400634_00338113004,Premasol - Sulfite-Free (Amino Acid): 1000 Ml In 1 Bag (0338-1130-04),515.0,515.0,,,0 CDM,400720_00944270005,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",215.82,215.82,,,0 CDM,400720_00944270006,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",209.52,209.52,,,0 CDM,400720_00944270011,NDC Description Not Available,4316.39,4316.39,,,0 CDM,400720_00944270012,NDC Description Not Available,8380.85,8380.85,,,0 CDM,400829_61958290102,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.91,14.91,,,0 CDM,400931001_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,1.93,1.93,,,0 CDM,400931001_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,1.37,1.37,,,0 CDM,400931001_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.22,0.22,,,0 CDM,400931001_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,0.69,0.69,,,0 CDM,400931002_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.41,3.41,,,0 CDM,400931002_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.4,0.4,,,0 CDM,400931002_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,1.65,1.65,,,0 CDM,400931003_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,2.36,2.36,,,0 CDM,400931003_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.28,0.28,,,0 CDM,400931003_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,1.15,1.15,,,0 CDM,400931004_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,5.24,5.24,,,0 CDM,400931004_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.58,0.58,,,0 CDM,400931004_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,2.16,2.16,,,0 CDM,400931010_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,1.33,1.33,,,0 CDM,400931010_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.25,0.25,,,0 CDM,400931011_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,1.76,1.76,,,0 CDM,400931011_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,1.54,1.54,,,0 CDM,400931011_00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,1.03,1.03,,,0 CDM,400931011_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.26,0.26,,,0 CDM,400931011_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,0.77,0.77,,,0 CDM,400931012_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,2.56,2.56,,,0 CDM,400931012_00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,3.09,3.09,,,0 CDM,400931012_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.33,0.33,,,0 CDM,400931012_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,1.54,1.54,,,0 CDM,400931013_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,4.15,4.15,,,0 CDM,400931013_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.69,0.69,,,0 CDM,400931013_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,2.06,2.06,,,0 CDM,400931014_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,1.58,1.58,,,0 CDM,400931_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,2.02,2.02,,,0 CDM,400931_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.23,0.23,,,0 CDM,400931_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,0.75,0.75,,,0 CDM,4009_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,4011908101,Hc Bx Breast W Device 1St Lesion Stereotactic Guide,2731.0,2731.0,,,0 CDM,40120_64406000801,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",53.7,53.7,,,0 CDM,40160_C1894_278,Noncdm Charge Record Medical Supplies,36.33,36.33,,,0 CDM,4017609801,"Hc X-Ray Exam, Breast Specimen - Mammo Breast Specimen",916.0,916.0,,,0 CDM,4017706103,Hc Breast Tomosynthesis Uni - Mammo Breast Diagnostic Tomosynthesis,241.0,241.0,,,0 CDM,4017706507,Hc Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic,495.0,495.0,,,0 CDM,4017706602,Hc Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral,551.0,551.0,,,0 CDM,401G027901,"Hc Diagnostic Digital Breast Tomosynthesis, Unilateral",308.0,308.0,,,0 CDM,401G027902,"Hc Diagnostic Digital Breast Tomosynthesis, Bilateral",308.0,308.0,,,0 CDM,4020000001,Noncdm Charge Record,1212.0,1212.0,,,0 CDM,40202_270,Noncdm Charge Record Medical Supplies,118.8,118.8,,,0 CDM,4021000601,Hc Fna Biopsy-Us Guidance Each Add Lesion,834.0,834.0,,,0 CDM,4022759901,Hc Baker Cyst Fenestration,675.0,675.0,,,0 CDM,40267_06373603751,NDC Description Not Available,16.74,16.74,,,0 CDM,40270_270,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 CDM,4027598901,Hc Abscess Drainage Under X-Ray - Us Guided Abscess Drain,2964.0,2964.0,,,0 CDM,4027650602,"Hc Us, Head, Real Time - Us Head",1754.0,1754.0,,,0 CDM,4027653601,Hc Us Head/Neck Soft Tissue,1679.0,1679.0,,,0 CDM,4027653605,"Hc Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue",1679.0,1679.0,,,0 CDM,40276536PB,Hc Us Head/Neck Soft Tissue,1679.0,1679.0,,,0 CDM,4027660401,"Hc Us, Chest,Real Time - Us Chest",650.0,650.0,,,0 CDM,40276604PB,"Hc Pbb Us, Chest,Real Time",650.0,650.0,,,0 CDM,4027664101,Hc Ultrasound Breast Complete - Us Breast Bilateral Complete,568.0,568.0,,,0 CDM,4027664104,Hc Us Breast Unilat.Complete,568.0,568.0,,,0 CDM,4027664201,Hc Chg Us Breast Uni Real Time With Image Limited,568.0,568.0,,,0 CDM,4027664203,Hc Ultrasound Breast Limited - Us Breast Bilateral Limited,568.0,568.0,,,0 CDM,4027670001,"Hc Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen",2352.0,2352.0,,,0 CDM,4027670501,"Hc Chg Us, Abdomen Limited",1709.0,1709.0,,,0 CDM,4027670506,"Hc Us, Abdomen Limited - Us Abdomen Limited",1709.0,1709.0,,,0 CDM,4027670601,Hc Us Abdl Aorta Screen Aaa - Us Abdomen Aortic Aneurysm Screening,834.0,834.0,,,0 CDM,4027677002,"Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Retroperitoneum",2277.0,2277.0,,,0 CDM,4027677501,"Hc Us, Retroperitnl Abd, Ltd - Us Urinary Bladder Limited",1694.0,1694.0,,,0 CDM,4027677502,"Hc Us, Retroperitnl Abd, Ltd - Us Retroperitoneum Limited",1694.0,1694.0,,,0 CDM,4027677601,"Hc Us,Transplanted Kidney, Real Time/ Doppler - Us Kidney Transplant",1128.0,1128.0,,,0 CDM,4027680101,"Hc Chg Us, Ob < 14 Wks, Single Fetus",983.0,983.0,,,0 CDM,4027680201,"Hc Chg Us, Ob < 14 Wks, Add'l Fetus",528.0,528.0,,,0 CDM,4027680202,"Hc Us, Ob < 14 Wks, Add'l Fetus - Us Ob < 14 Weeks Single Or First Gest",528.0,528.0,,,0 CDM,4027680501,Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest,983.0,983.0,,,0 CDM,4027681001,Hc Ob Us >/= 14 Wks Addl Fetus - Us Ob 14+ Weeks Each Additional Gest,558.0,558.0,,,0 CDM,4027681501,Hc Ob Us Limited Fetus(S) - Us Ob Limited 1+ Fetuses,947.0,947.0,,,0 CDM,4027681601,Hc Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach,568.0,568.0,,,0 CDM,4027681701,Hc Transvaginal Us Obstetric - Us Ob Transvaginal,947.0,947.0,,,0 CDM,4027681801,Hc Fetal Biop Profile W/Nst - Us Fetal Biophys Prof W Non Stress Test,947.0,947.0,,,0 CDM,4027681901,Hc Fetal Biop Profil W/O Nst - Us Fetal Biophys Prof Wo Non Stress Test,947.0,947.0,,,0 CDM,4027681902,Hc Fetal Biop Profil W/O Nst - Us Fetal Biophys Prof Wo Non Stress Test Multi,947.0,947.0,,,0 CDM,40276819PB,"Hc Pbb Fetal Biophys Prof,W/O Nst",947.0,947.0,,,0 CDM,4027682001,Hc Doppler Fetal Umbilical Artery - Us Umbilical Artery Doppler,478.0,478.0,,,0 CDM,4027682102,Hc Doppler Fetal Mid Cerebral Artery,552.0,552.0,,,0 CDM,4027682702,Hc Sono Fetal Heart Doppler,258.0,258.0,,,0 CDM,4027683001,"Hc Echography,Transvaginal - Us Pelvis Transvaginal",1898.0,1898.0,,,0 CDM,4027683003,Hc Us Non-Ob Pelvis Transvag Nc,1898.0,1898.0,,,0 CDM,4027683101,"Hc Sono Exam, Hysterosonography - Us Pelvis Hysterosonography Doppler",947.0,947.0,,,0 CDM,4027685601,"Hc Echo,Pelvic (Nonobstetric) - Us Pelvis",1898.0,1898.0,,,0 CDM,4027685703,Hc Sono Pelvis Limited - Us Pelvis Limited,1222.0,1222.0,,,0 CDM,4027687001,"Hc Echo,Scrotum & Contents - Us Scrotum",1842.0,1842.0,,,0 CDM,4027687201,"Hc Echo,Transrectal - Us Transrectal",1228.0,1228.0,,,0 CDM,4027687202,"Hc Echo,Transrectal - Us Prostate Transrectal",1228.0,1228.0,,,0 CDM,4027687301,"Hc Echo,Transrectal,Prostate Vol - Us Prostate Transrectal Volume",1517.0,1517.0,,,0 CDM,4027688121,Hc Us Ext Non Vascular Complete,1709.0,1709.0,,,0 CDM,4027688122,Hc Us Ext Non Vasc Complete Bilat,1709.0,1709.0,,,0 CDM,4027688201,"Hc Chg Us,Extremity,Nonvascular,Real-Time Image,Limited",1709.0,1709.0,,,0 CDM,4027688301,"Hc Us Nerve(S) Per Extremity, Comprehensive",312.0,312.0,,,0 CDM,4027693201,Hc Sono Guide Heart Biopsy - Us Guided Heart Biopsy,1270.0,1270.0,,,0 CDM,40276932PB,Hc Sono Guide Heart Biopsy - Us Guided Heart Biopsy,1270.0,1270.0,,,0 CDM,4027693601,Hc Us Guide Compression Repair Of Arterial Pseudoaneurysm/ Avf,2214.0,2214.0,,,0 CDM,4027693701,"Hc Us Guide, Vascular Access - Xr Peripheral Intravenous Line (Piv)",254.0,254.0,,,0 CDM,4027693702,"Hc Us Guide, Vascular Access - Us Guidance Insert Iv",254.0,254.0,,,0 CDM,4027693703,"Hc Us Guide, Vascular Access - Dx Rad Us Guidance Insert Iv",254.0,254.0,,,0 CDM,40276937PB,"Hc Pbb Us Guide, Vascular Access",254.0,254.0,,,0 CDM,4027694011,Hc Us Guide Tissue Ablation,946.0,946.0,,,0 CDM,4027694201,Hc Us Guidance For Needle Placement,1583.0,1583.0,,,0 CDM,4027694218,Hc Echo Guide For Biopsy - Us Guided Thyroid Biopsy,1583.0,1583.0,,,0 CDM,4027694232,Hc Echo Guide For Biopsy - Us Guidance Needle Placement,1583.0,1583.0,,,0 CDM,4027694243,Hc Us Guidance For Needle Plcmnt,1583.0,1583.0,,,0 CDM,40276942PB,Hc Pbb Sono Guide Needle Biopsy,1583.0,1583.0,,,0 CDM,4027694601,Hc Us Guided Amniocentesis,717.0,717.0,,,0 CDM,4027696501,Hc Sono Guide Radioelemt Applic - Us Guide Interstitial Radioelmnt Appl,440.0,440.0,,,0 CDM,4027698101,Hc Us Elastography Parenchyma,570.0,570.0,,,0 CDM,4027699802,"Hc Ultrasonic Guidance, Intraoperative - Us Intraoperative",742.0,742.0,,,0 CDM,4027699902,Hc Unlisted Ultrasound Procedure - Us Penis Soft Tissue,568.0,568.0,,,0 CDM,4027_51079008301,NDC Description Not Available,4.64,4.64,,,0 CDM,4027_64950021703,Isoniazid: 30 Tablet In 1 Bottle (64950-217-03),11.38,11.38,,,0 CDM,4029120001,Hc Liver Elastography- W/O Imag,550.0,550.0,,,0 CDM,4029388801,Hc Intracranial Limited Study - Us Head Doppler Limited,2361.0,2361.0,,,0 CDM,4029389201,Hc Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj,296.0,296.0,,,0 CDM,4029397601,Hc Vascular Study - Us Abdomen Doppler Limited,2285.0,2285.0,,,0 CDM,4029398001,"Hc Penile Vascular Study,Complete - Us Penis Doppler Complete",325.0,325.0,,,0 CDM,4029399801,Hc Vascular Us Carotid Imt Study,1408.0,1408.0,,,0 CDM,40320_55111062930,"Eszopiclone: 30 Tablet, Coated In 1 Bottle (55111-629-30)",42.09,42.09,,,0 CDM,40320_65862096701,"Eszopiclone: 100 Tablet, Film Coated In 1 Bottle (65862-967-01)",42.1,42.1,,,0 CDM,40320_65862096730,"Eszopiclone: 30 Tablet, Film Coated In 1 Bottle (65862-967-30)",42.11,42.11,,,0 CDM,40322_65862096901,"Eszopiclone: 100 Tablet, Film Coated In 1 Bottle (65862-969-01)",42.23,42.23,,,0 CDM,40344_270,Noncdm Charge Record Medical Supplies,998.85,998.85,,,0 CDM,4034_00548950200,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00) / 5 Ml In 1 Vial,865.2,865.2,,,0 CDM,4034_14789001505,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05) / 5 Ml In 1 Vial, Single-Dose",1483.2,1483.2,,,0 CDM,4034_14789001507,NDC Description Not Available,1483.2,1483.2,,,0 CDM,4034_69918073501,NDC Description Not Available,1038.24,1038.24,,,0 CDM,4034_69918073510,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (69918-735-10) / 5 Ml In 1 Vial, Single-Dose",1038.24,1038.24,,,0 CDM,4034_72485011301,NDC Description Not Available,302.82,302.82,,,0 CDM,4034_72485011310,Isoproterenol Hydrochloride: 10 Ampule In 1 Carton (72485-113-10) / 5 Ml In 1 Ampule (72485-113-01),302.82,302.82,,,0 CDM,40369_16714024501,NDC Description Not Available,100.94,100.94,,,0 CDM,40369_16714024530,Mesalamine: 5 Blister Pack In 1 Pouch (16714-245-30) / 6 Suppository In 1 Blister Pack (16714-245-01),128.13,128.13,,,0 CDM,40369_58914050101,NDC Description Not Available,93.16,93.16,,,0 CDM,40369_58914050156,Canasa: 30 Suppository In 1 Box (58914-501-56),99.46,99.46,,,0 CDM,40369_59762011801,NDC Description Not Available,12.03,12.03,,,0 CDM,40369_64980028203,Mesalamine: 5 Package In 1 Carton (64980-282-03) / 6 Suppository In 1 Package,102.03,102.03,,,0 CDM,4037706304,Hc Breast Tomosynthesis - Mammo Breast Screening Tomosynthesis - Bilateral,198.0,198.0,,,0 CDM,4037706305,Hc Breast Tomosynthesis - Mammo Breast Screening Tomosynthesis - Unilateral,198.0,198.0,,,0 CDM,4037706701,Hc Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral,229.5,229.5,,,0 CDM,4037706704,Hc Scr Mammo Bi Incl Cad - Mammo Breast Screening Unilateral,229.5,229.5,,,0 CDM,4039585201,Hc Ot Range Of Motion Measurements Rpt - Hand,202.0,202.0,,,0 CDM,403_00409434616,NDC Description Not Available,31.54,31.54,,,0 CDM,403_00409434673,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",31.89,31.89,,,0 CDM,403_00517919101,NDC Description Not Available,33.7,33.7,,,0 CDM,403_00517919125,"Aminocaproic Acid: 25 Vial, Multi-Dose In 1 Tray (0517-9191-25) / 20 Ml In 1 Vial, Multi-Dose (0517-9191-01)",39.14,39.14,,,0 CDM,40406_270,Noncdm Charge Record Medical Supplies,453.75,453.75,,,0 CDM,40408_C1781_278,Noncdm Charge Record Medical Supplies,236.5,236.5,,,0 CDM,40448_C1874_278,Noncdm Charge Record Medical Supplies,14553.0,14553.0,,,0 CDM,40458_C1874_278,Noncdm Charge Record Medical Supplies,14553.0,14553.0,,,0 CDM,40475_00517430001,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,39.63,39.63,,,0 CDM,40475_00781353191,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",36.62,36.62,,,0 CDM,40475_60505623004,"Paclitaxel Protein-Bound Particles For Injectable Suspension (Albumin-Bound): 1 Vial, Single-Use In 1 Carton (60505-6230-4) / 20 Ml In 1 Vial, Single-Use",39.72,39.72,,,0 CDM,40475_68817013450,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",39.15,39.15,,,0 CDM,4047842901,Hc Pet/Ct Cardiacmetabolic Eval,6427.0,6427.0,,,0 CDM,4047843001,Hc Myocrd Img Pet Rst/St W/Ct-Sgl,6427.0,6427.0,,,0 CDM,4047843101,Hc Myocrd Img Pet Rst/St W/Ct-Mul,9367.0,9367.0,,,0 CDM,4047843201,"Hc Myocardial Imaging, Pet, Combined Perfusion W/Metabolic Evaluation Study",9210.0,9210.0,,,0 CDM,4047843301,Hc Myocrd Img Pet 2Rtracer W/Ct,8425.0,8425.0,,,0 CDM,4047843401,Hc Quant Myocard Blood Flow Pet,1049.0,1049.0,,,0 CDM,4047845901,Hc Heart Muscle Imaging (Pet) - Nm Pet Myocardial Metabolic Evaluation,6256.0,6256.0,,,0 CDM,4047849101,Hc Heart Image (Pet) Single - Nm Pet Myocardial Perfusion Single,5791.0,5791.0,,,0 CDM,4047849201,Hc Heart Image (Pet) Multiple - Nm Pet Myocardial Perfusion Multiple,8441.0,8441.0,,,0 CDM,4047849202,Hc Chg Heart Image (Pet) Multiple - Pet Myocardial Perfusion Multiple,8441.0,8441.0,,,0 CDM,4047849901,Hc Pet Le Vascular Study,8594.0,8594.0,,,0 CDM,4047860802,Hc Brain Imaging (Pet) - Pt Brain Metabolic,10886.0,10886.0,,,0 CDM,4047881102,Hc Pet Imaging Limited Area Chest Head/Neck - Pt/Ct Chest,9266.0,9266.0,,,0 CDM,4047881104,Hc Pet Mr Tumor Imaging Limited,9266.0,9266.0,,,0 CDM,4047881201,Hc Pet Mr Skull Base To Mid Thigh,9266.0,9266.0,,,0 CDM,4047881301,Hc Tumor Imaging Pet Whole Body,9266.0,9266.0,,,0 CDM,4047881401,Hc Pet Imaging Ct For Attenuation Limited Area,9918.0,9918.0,,,0 CDM,4047881501,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh,9918.0,9918.0,,,0 CDM,4047881502,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh Initial,9918.0,9918.0,,,0 CDM,4047881503,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh Subsq,9918.0,9918.0,,,0 CDM,4047881602,Hc Pet Imaging For Ct Attenuation Whole Body - Pt/Ct Bone Whole Body Initial,9918.0,9918.0,,,0 CDM,4047881603,Hc Pet Imaging For Ct Attenuation Whole Body - Pt/Ct Bone Whole Body Subsq,9918.0,9918.0,,,0 CDM,4047899901,Hc Pet Ct Whole Body Ltd Facbc,7519.0,7519.0,,,0 CDM,40573_70720072310,"Prialt: 1 Vial, Glass In 1 Carton (70720-723-10) / 20 Ml In 1 Vial, Glass",7.81,7.81,,,0 CDM,40574_70720072010,"Prialt: 1 Vial, Glass In 1 Carton (70720-720-10) / 1 Ml In 1 Vial, Glass",27.39,27.39,,,0 CDM,4062_C1887_278,Noncdm Charge Record Medical Supplies,60.32,60.32,,,0 CDM,4063_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,4064_50268044811,NDC Description Not Available,3.34,3.34,,,0 CDM,4065_68084008311,NDC Description Not Available,4.81,4.81,,,0 CDM,40661_58468035701,"Campath: 1 Vial, Single-Use In 1 Carton (58468-0357-1) / 1 Ml In 1 Vial, Single-Use",0.06,0.06,,,0 CDM,40661_58468035703,"Campath: 3 Vial, Single-Use In 1 Carton (58468-0357-3) / 1 Ml In 1 Vial, Single-Use",0.03,0.03,,,0 CDM,40698_00173071920,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20) / 120 Aerosol, Metered In 1 Inhaler",9.95,9.95,,,0 CDM,40698_66993007996,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96) / 120 Aerosol, Metered In 1 Inhaler",9.37,9.37,,,0 CDM,40699_00173072020,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20) / 120 Aerosol, Metered In 1 Inhaler",15.4,15.4,,,0 CDM,40699_66993008096,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-080-96) / 120 Aerosol, Metered In 1 Inhaler",14.57,14.57,,,0 CDM,40722_C1769_278,Noncdm Charge Record Medical Supplies,74.71,74.71,,,0 CDM,40726_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,40728_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,40760_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,407_00409592101,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",15.45,15.45,,,0 CDM,407_00409592116,NDC Description Not Available,63.94,63.94,,,0 CDM,40800007_00409488717,NDC Description Not Available,4.38,4.38,,,0 CDM,40800007_00409488723,NDC Description Not Available,5.97,5.97,,,0 CDM,40800007_64764051192,NDC Description Not Available,315.7,315.7,,,0 CDM,4080003037_00409127632,Fentanyl Citrate: 10 CARTRIDGE in 1 CARTON (0409-1276-32) / 2 mL in 1 CARTRIDGE (0409-1276-03),7.14,7.14,,,0 CDM,4080003037_00409909332,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),4.7,4.7,,,0 CDM,4080003037_00409909335,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),3.81,3.81,,,0 CDM,4080003037_00409909345,NDC Description Not Available,3.38,3.38,,,0 CDM,4080003037_00409909412,NDC Description Not Available,6.33,6.33,,,0 CDM,4080003037_00409909416,NDC Description Not Available,11.33,11.33,,,0 CDM,4080003037_00409909418,NDC Description Not Available,3.91,3.91,,,0 CDM,4080003037_00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",6.33,6.33,,,0 CDM,4080003037_00409909425,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25) / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",3.81,3.81,,,0 CDM,4080003037_00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",4.94,4.94,,,0 CDM,4080003037_00409909441,NDC Description Not Available,6.25,6.25,,,0 CDM,4080003037_00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",93.73,93.73,,,0 CDM,4080003037_00641602701,NDC Description Not Available,9.2,9.2,,,0 CDM,4080003037_00641602725,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25) / 2 Ml In 1 Vial (0641-6027-01),9.27,9.27,,,0 CDM,4080003037_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),9.01,9.01,,,0 CDM,4080003037_00641624701,NDC Description Not Available,7.81,7.81,,,0 CDM,4080003037_00641624725,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6247-25) / 1 Ml In 1 Vial (0641-6247-01),7.4,7.4,,,0 CDM,4080003037_17478003025,FENTANYL CITRATE: 25 AMPULE in 1 CARTON (17478-030-25) / 2 mL in 1 AMPULE,2.06,2.06,,,0 CDM,4080003037_63323080601,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",10.01,10.01,,,0 CDM,4080003037_63323080602,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-02) / 2 Ml In 1 Vial, Single-Dose (63323-806-12)",9.78,9.78,,,0 CDM,4080003037_63323080611,NDC Description Not Available,10.03,10.03,,,0 CDM,4080003037_63323080612,NDC Description Not Available,10.02,10.02,,,0 CDM,4080003037_63323080613,NDC Description Not Available,5.0,5.0,,,0 CDM,4080003037_63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",5.88,5.88,,,0 CDM,4080003037_63323080801,NDC Description Not Available,9.09,9.09,,,0 CDM,4080003037_71286200301,NDC Description Not Available,1.03,1.03,,,0 CDM,4080122_65174066030,"Technetium Tc 99M Medronate: 30 Injection, Powder, For Solution In 1 Carton (65174-660-30)",132.12,132.12,,,0 CDM,40801_62935045345,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),1116.52,1116.52,,,0 CDM,40801_62935046150,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,1097.51,1097.51,,,0 CDM,408100_00121131400,"Acetaminophen: 10 Tray In 1 Case (0121-1314-00) / 10 Cup, Unit-Dose In 1 Tray / 10.15 Ml In 1 Cup, Unit-Dose (0121-1314-11)",7.11,7.11,,,0 CDM,408100_00121131411,NDC Description Not Available,7.51,7.51,,,0 CDM,408100_00121197100,"Acetaminophen: 10 Tray In 1 Case (0121-1971-00) / 10 Cup, Unit-Dose In 1 Tray / 20.3 Ml In 1 Cup, Unit-Dose (0121-1971-21)",6.57,6.57,,,0 CDM,408100_00121197121,NDC Description Not Available,4.99,4.99,,,0 CDM,408100_00121282321,NDC Description Not Available,23.4,23.4,,,0 CDM,408100_00904732103,NDC Description Not Available,5.26,5.26,,,0 CDM,408100_68094003059,NDC Description Not Available,5.94,5.94,,,0 CDM,408100_68094023159,NDC Description Not Available,3.49,3.49,,,0 CDM,408100_68094023161,"Acetaminophen: 10 Tray In 1 Case (68094-231-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-231-59)",3.78,3.78,,,0 CDM,408100_81033000220,NDC Description Not Available,10.34,10.34,,,0 CDM,408101_25021068220,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-682-20) / 20 Ml In 1 Vial,13.9,13.9,,,0 CDM,408101_55150043801,NDC Description Not Available,10.3,10.3,,,0 CDM,408101_55150043810,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (55150-438-10) / 20 Ml In 1 Vial, Multi-Dose",4.12,4.12,,,0 CDM,408101_69374098255,NDC Description Not Available,21.63,21.63,,,0 CDM,408101_70092142743,NDC Description Not Available,4.12,4.12,,,0 CDM,408101_71266908002,NDC Description Not Available,12.09,12.09,,,0 CDM,408101_71506007405,NDC Description Not Available,21.63,21.63,,,0 CDM,408184819_65174046105,Sodium Iodide I 131 Diagnostic: 5 Capsule In 1 Vial (65174-461-05),154.52,154.52,,,0 CDM,4081_270,Noncdm Charge Record Medical Supplies,527.51,527.51,,,0 CDM,40840026_00069020901,NDC Description Not Available,0.93,0.93,,,0 CDM,40840026_00069020910,Propofol: 10 Vial In 1 Carton (0069-0209-10) / 20 Ml In 1 Vial (0069-0209-01),1.12,1.12,,,0 CDM,40840026_00069023401,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,1.16,1.16,,,0 CDM,40840026_00069023420,Propofol: 20 Vial In 1 Carton (0069-0234-20) / 50 Ml In 1 Vial,1.75,1.75,,,0 CDM,40840026_00069024801,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.13,1.13,,,0 CDM,40840026_00069024810,Propofol: 10 Vial In 1 Carton (0069-0248-10) / 100 Ml In 1 Vial,3.65,3.65,,,0 CDM,40840026_00409469933,Propofol: 20 Vial In 1 Tray (0409-4699-33) / 50 Ml In 1 Vial (0409-4699-53),1.93,1.93,,,0 CDM,40840026_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),0.96,0.96,,,0 CDM,40840057_45567055501,Kit For The Preparation Of Technetium Tc99M Sestamibi: 5 Vial In 1 Carton (45567-0555-1) / 10 Ml In 1 Vial,325.48,325.48,,,0 CDM,40840061_09999408440,NDC Description Not Available,278.1,278.1,,,0 CDM,40840072_09999408600,NDC Description Not Available,270.21,270.21,,,0 CDM,40840076_09999900218,NDC Description Not Available,216.64,216.64,,,0 CDM,40840092_09999408596,NDC Description Not Available,443.0,443.0,,,0 CDM,40840101_17156002630,"Myoview: 5 Vial In 1 Kit (17156-026-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",540.63,540.63,,,0 CDM,40840104_45567045501,"Kit For The Preparation Of Technetium Tc 99M Mebrofenin: 5 Vial, Multi-Dose In 1 Kit (45567-0455-1) / 10 Ml In 1 Vial, Multi-Dose",220.82,220.82,,,0 CDM,40840105_09999408587,NDC Description Not Available,174.0,174.0,,,0 CDM,40840107_11994000602,"Neurolite: 2 Kit In 1 Package, Combination (11994-006-02) / 1 Kit In 1 Kit * 1 Injection In 1 Vial (11994-002-01) * 1 Ml In 1 Vial (11994-004-01)",3160.04,3160.04,,,0 CDM,40840109_69945009620,"Technescan Mag3: 5 Vial In 1 Cello Pack (69945-096-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",960.0,960.0,,,0 CDM,40840110_17156002205,Ceretec: 5 Vial In 1 Tray (17156-022-05) / 5 Ml In 1 Vial,5888.0,5888.0,,,0 CDM,40840111_69488000140,"Netspot: 1 Kit In 1 Kit (69488-001-40) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",140.04,140.04,,,0 CDM,40840115_11994009001,Technelite: 1 Vial In 1 Carton (11994-090-01) / 12 Ml In 1 Vial,10.44,10.44,,,0 CDM,40840116,"Kit For The Preparation Of Lymphoseek (Technetium Tc 99M Tilmanocept): 1 Kit In 1 Carton (65857-425-05) / 1 Kit In 1 Kit * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65857-400-01)",2294.0,2294.0,,,0 CDM,40840116_65857042505,"Kit For The Preparation Of Lymphoseek (Technetium Tc 99M Tilmanocept): 1 Kit In 1 Carton (65857-425-05) / 1 Kit In 1 Kit * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65857-400-01)",1185.35,1185.35,,,0 CDM,40840117_09999408592,NDC Description Not Available,1609.0,1609.0,,,0 CDM,40840117_17156002205,Ceretec: 5 Vial In 1 Tray (17156-022-05) / 5 Ml In 1 Vial,4043.09,4043.09,,,0 CDM,40840119_69945006820,"Ultratag Rbc: 5 Cello Pack In 1 Box (69945-068-20) / 1 Kit In 1 Cello Pack (69945-068-10) * .6 Ml In 1 Syringe, Glass * 1 Ml In 1 Syringe, Glass * 9.5 Mg In 1 Vial, Glass",1963.18,1963.18,,,0 CDM,40840120_65174027030,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",508.53,508.53,,,0 CDM,40840123_17156002101,Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01) / 1 Ml In 1 Vial,7412.34,7412.34,,,0 CDM,40840124_17156025108,"Indium Dtpa In 111: 1.5 Ml In 1 Vial, Glass (17156-251-08)",2963.03,2963.03,,,0 CDM,40840126_50419020801,"Xofigo: 6 Ml In 1 Vial, Single-Dose (50419-208-01)",283.99,283.99,,,0 CDM,40840127_69932000101,NDC Description Not Available,1348.36,1348.36,,,0 CDM,40840128_49609010101,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",1352.7,1352.7,,,0 CDM,40840129_00002120001,NDC Description Not Available,6786.58,6786.58,,,0 CDM,40840130_09999408582,NDC Description Not Available,29163.32,29163.32,,,0 CDM,40840130_C2616_278,NDC Description Not Available,30879.2,30879.2,,,0 CDM,40841000_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,59.43,59.43,,,0 CDM,40842001_09999420100,NDC Description Not Available,2024.71,2024.71,,,0 CDM,40902_C1769_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,40904_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,40906_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,40908_C1894_272,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,40908_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,40917_69784081001,"Sodium Phenylacetate And Sodium Benzoate: 1 Vial, Single-Dose In 1 Carton (69784-810-01) / 50 Ml In 1 Vial, Single-Dose",9064.0,9064.0,,,0 CDM,40966_270,Noncdm Charge Record Medical Supplies,1082.4,1082.4,,,0 CDM,4096_C1762_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,4100000002,Hc Rt High Flow Oxygen Therapy Setup,1292.0,1292.0,,,0 CDM,4100000003,Hc Rt Surfactant Administration,255.0,255.0,,,0 CDM,41003_00132007912,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),0.42,0.42,,,0 CDM,41003_00132007924,Fleet: 24 SUPPOSITORY in 1 JAR (0132-0079-24),0.34,0.34,,,0 CDM,41003_58980041012,Stratuscare Adult Glycerin: 12 Suppository In 1 Jar (58980-410-12),0.77,0.77,,,0 CDM,41020_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,4103150001,Hc Insert Emergency Endotrach Airway,1175.0,1175.0,,,0 CDM,4103150201,Hc Tracheotomy Tube Change Prior To Estab Of Fistula Tract,585.0,585.0,,,0 CDM,4103172001,"Hc Catheter Aspiration, Nasotracheal",883.0,883.0,,,0 CDM,4103172002,"Hc Catheter Aspiration, Minibal",883.0,883.0,,,0 CDM,4103660001,"Hc Arterial Puncture, Withdrawal Of Arterial Blood For Diagnosis",524.0,524.0,,,0 CDM,4103662001,Hc Arterial Line Insertion,475.0,475.0,,,0 CDM,41074_C1880_278,Noncdm Charge Record Medical Supplies,1482.8,1482.8,,,0 CDM,41082_C1769_278,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,41086_C1725_278,Noncdm Charge Record Medical Supplies,540.1,540.1,,,0 CDM,41088_C1725_278,Noncdm Charge Record Medical Supplies,584.22,584.22,,,0 CDM,41090_C1725_278,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,4109295001,Hc Rt Heart/Lung Resuscitation (Cpr),1510.0,1510.0,,,0 CDM,4109400201,"Hc Rt Vent Assist Mgmt, Inpatient, Initial Day Adult",1638.0,1638.0,,,0 CDM,4109400202,"Hc Rt Vent Assist Mgmt, Inpatient, Initial Day Infant",1638.0,1638.0,,,0 CDM,4109400203,Hc Rt High Freq Oscillation Intital Day,1638.0,1638.0,,,0 CDM,4109400302,"Hc Rt Vent Assist Mgmt, Inpatient, Subq Day Adult",998.0,998.0,,,0 CDM,4109400303,"Hc Rt Vent Assist Mgmt, Inpatient, Subq Day Neonate-Infant",998.0,998.0,,,0 CDM,4109461001,Hc Rt Intrapulmonary Surfactant Administj Phys/Qhp,222.0,222.0,,,0 CDM,4109464001,"Hc Rt Nonpressurized Inhalation Tx, Initial",308.0,308.0,,,0 CDM,4109464002,"Hc Rt Nonpressurized Inhalation Tx, Subsequent",308.0,308.0,,,0 CDM,4109464005,"Hc Rt Nonpressurized Inhalation Tx, Subsequent",308.0,308.0,,,0 CDM,4109464006,"Hc Rt Nonpressurized Inhalation Tx, Metered Dose Inhaler, Initial",308.0,308.0,,,0 CDM,4109464007,"Hc Rt Nonpressurized Inhalation Tx, Metered Dose Inhaler, Subsequent",308.0,308.0,,,0 CDM,4109464008,"Hc Rt Nonpressurized Inhalation Tx, Aerosol, Initial",308.0,308.0,,,0 CDM,4109464009,"Hc Rt Nonpressurized Inhalation Tx, Aerosol, Subsequent",308.0,308.0,,,0 CDM,4109464010,"Hc Rt Nonpressurized Inhalation Tx, Aerosol Cont, 1St Hour",308.0,308.0,,,0 CDM,4109464011,"Hc Rt Nonpressurized Inhalation Tx, Aerosol Cont, Each Addl Hour",308.0,308.0,,,0 CDM,4109464012,"Hc Rt Neonate Nonpressurized Inhalation Tx, Aerosol, Initial",308.0,308.0,,,0 CDM,4109464013,"Hc Rt Neonate Nonpressurized Inhalation Tx, Aerosol, Subsequent",308.0,308.0,,,0 CDM,4109464014,"Hc Rt Nonpressurized Inhalation Tx, Pep, Initial",308.0,308.0,,,0 CDM,4109464015,"Hc Rt Nonpressurized Inhalation Tx, Pep, Subsequent",308.0,308.0,,,0 CDM,4109464016,"Hc Rt Neonate Nonpressurized Inhalation Tx, Metered Dose Inhaler, Initial",308.0,308.0,,,0 CDM,4109464017,"Hc Rt Neonate Nonpressurized Inhalation Tx, Sputum, Initial",308.0,308.0,,,0 CDM,4109464018,"Hc Rt Neonate Nonpressurized Inhalation Tx, Sputum, Subsequent",308.0,308.0,,,0 CDM,4109464019,"Hc Rt Nonpressurized Inhalation Tx, Aerosol Cont, 1St Hour (Epo)",308.0,308.0,,,0 CDM,4109464020,"Hc Rt Nonpressurized Inhalation Tx, Aerosol Cont, Each Addl Hour (Epo)",308.0,308.0,,,0 CDM,4109464021,Hc Rt Pressurized/Nonpressurized Inhalation Treatment - Initial,308.0,308.0,,,0 CDM,4109464022,Hc Rt Pressurized/Nonpressurized Inhalation Treatment - Subsequent,308.0,308.0,,,0 CDM,4109464201,Hc Aerosol Inhalatn Pentamidine,307.0,307.0,,,0 CDM,4109464401,"Hc Rt Continuous Inhalation Tx, 1St Hr",317.0,317.0,,,0 CDM,4109464501,"Hc Rt Continuous Inhalation Tx, Each Add Hr",317.0,317.0,,,0 CDM,4109466001,Hc Rt Cpap Non-Emergent,1026.0,1026.0,,,0 CDM,4109466002,Hc Rt Cpap Non-Emergent Subseq Day,1026.0,1026.0,,,0 CDM,4109466003,Hc Rt Cpap Emergent,1026.0,1026.0,,,0 CDM,4109466004,Hc Rt Cpap Emergent Subseq Day,1026.0,1026.0,,,0 CDM,4109466005,Hc Rt Nasal Cpap,1026.0,1026.0,,,0 CDM,4109466006,Hc Rt Bipap Non-Emergent,1026.0,1026.0,,,0 CDM,4109466007,Hc Rt Bipap Non-Emergent Subseq Day,1026.0,1026.0,,,0 CDM,4109466008,Hc Rt Bipap Emergent,1026.0,1026.0,,,0 CDM,4109466009,Hc Rt Ezpap Treatment,1026.0,1026.0,,,0 CDM,4109466010,Hc Rt Neonate Bipap Non-Emergent,1026.0,1026.0,,,0 CDM,4109466401,Hc Rt Patient Demo/Educ,402.0,402.0,,,0 CDM,4109466701,"Hc Rt Chest Wall Manipulation, Initial",446.0,446.0,,,0 CDM,4109466702,"Hc Rt Chest Wall Manipulation, Pep - Initial",446.0,446.0,,,0 CDM,4109466703,"Hc Rt Neonate Chest Wall Manipulation, Initial",446.0,446.0,,,0 CDM,4109466801,"Hc Rt Chest Wall Manipulation,Subsequent",283.0,283.0,,,0 CDM,4109466802,"Hc Rt Chest Wall Manipulation, Pep Subsequent",283.0,283.0,,,0 CDM,4109476201,"Hc Rt Noninvasv Oxygen Satut,Continuous",961.0,961.0,,,0 CDM,4109753001,"Hc Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 CDM,4109753002,"Hc Rt Home O2 Evaluation, Each 15-Minutes",203.0,203.0,,,0 CDM,4109946501,Hc Rt Delivery/Birthing Room Resuscitation,1024.0,1024.0,,,0 CDM,410G023701,Hc Therapeutic Procd Strg Endur,201.0,201.0,,,0 CDM,410G023801,"Hc Oth Resp Proc, Indiv",201.0,201.0,,,0 CDM,410G023901,"Hc Rt Oth Resp Proc, Group",201.0,201.0,,,0 CDM,41114_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,41116_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,41122_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,41124_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,41126_C1887_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,41130_272,Noncdm Charge Record Medical Supplies,526.9,526.9,,,0 CDM,41130_B4087_278,Noncdm Charge Record Medical Supplies,529.26,529.26,,,0 CDM,41132_270,Noncdm Charge Record Medical Supplies,565.4,565.4,,,0 CDM,41132_272,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,41132_B4087_278,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,41132_C1889_278,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,41137_00270516414,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",30.64,30.64,,,0 CDM,41137_00270516415,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose",22.71,22.71,,,0 CDM,41142_00597008717,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17) / 200 Aerosol, Metered In 1 Canister",19.86,19.86,,,0 CDM,41144_00143936101,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.47,6.47,,,0 CDM,41144_00469325010,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",8.09,8.09,,,0 CDM,41144_16714016401,NDC Description Not Available,8.09,8.09,,,0 CDM,41144_16714016410,Micafungin: 10 Vial In 1 Carton (16714-164-10) / 5 Ml In 1 Vial (16714-164-01),8.09,8.09,,,0 CDM,41144_42023022901,NDC Description Not Available,6.47,6.47,,,0 CDM,41144_42023022910,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-229-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 CDM,41144_63323072801,NDC Description Not Available,2.08,2.08,,,0 CDM,41144_63323072810,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 CDM,41144_70594003601,"Micafungin: 1 Vial, Glass In 1 Carton (70594-036-01) / 5 Ml In 1 Vial, Glass",2.25,2.25,,,0 CDM,41147_16714071701,"Entecavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (16714-717-01)",160.53,160.53,,,0 CDM,41147_31722083330,Entecavir: 30 Tablet In 1 Bottle (31722-833-30),160.69,160.69,,,0 CDM,41147_42806065830,"Entecavir: 30 Tablet In 1 Bottle, Plastic (42806-658-30)",160.24,160.24,,,0 CDM,41147_60687021695,NDC Description Not Available,80.34,80.34,,,0 CDM,41147_65862084130,Entecavir: 1 Bottle In 1 Carton (65862-841-30) / 30 Tablet In 1 Bottle,160.7,160.7,,,0 CDM,41148_C1769_278,Noncdm Charge Record Medical Supplies,34.1,34.1,,,0 CDM,4120000001,Noncdm Charge Record,3126.2,3126.2,,,0 CDM,41293,Noncdm Charge Record,144.68,144.68,,,0 CDM,41293_58160084201,NDC Description Not Available,202.91,202.91,,,0 CDM,41293_58160084243,NDC Description Not Available,188.37,188.37,,,0 CDM,41293_58160084252,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),198.57,198.57,,,0 CDM,41294_25021024202,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,629.43,629.43,,,0 CDM,41294_63323019202,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,748.45,748.45,,,0 CDM,41376_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,41378_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,41382_00378911916,NDC Description Not Available,73.13,73.13,,,0 CDM,41382_00378911998,Fentanyl: 5 Pouch In 1 Carton (0378-9119-98) / 1 Patch In 1 Pouch (0378-9119-16) / 72 H In 1 Patch,73.13,73.13,,,0 CDM,41382_00406911276,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9112-76) / 1 Patch In 1 Pouch / 72 H In 1 Patch,73.13,73.13,,,0 CDM,41382_47781042311,NDC Description Not Available,73.14,73.14,,,0 CDM,41382_60505708000,NDC Description Not Available,73.13,73.13,,,0 CDM,41386_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,41390_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,4139918301,Hc Rt Phys/Qhp Attn&Supvj Hyprbaric Oxygen Tx /Session,4758.0,4758.0,,,0 CDM,413G027701,"Hc Hbot, Full Body Chamber, 30M - Elective",1025.0,1025.0,,,0 CDM,41406_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,41496_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,41500_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,41530_C1760_278,Noncdm Charge Record Medical Supplies,323.54,323.54,,,0 CDM,41548_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,41552_270,Noncdm Charge Record Medical Supplies,850.3,850.3,,,0 CDM,41554_270,Noncdm Charge Record Medical Supplies,850.3,850.3,,,0 CDM,4155_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,41560_270,Noncdm Charge Record Medical Supplies,180.4,180.4,,,0 CDM,41570_270,Noncdm Charge Record Medical Supplies,476.3,476.3,,,0 CDM,41576_C2625_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,41582_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,41600_270,Noncdm Charge Record Medical Supplies,633.6,633.6,,,0 CDM,41602_C1769_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,41604_C1769_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,41610_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,41623_52817083004,Levocarnitine: 118 Ml In 1 Bottle (52817-830-04),7.11,7.11,,,0 CDM,41652_00781348170,NDC Description Not Available,8.06,8.06,,,0 CDM,41652_00781348192,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (0781-3481-92) / 10 Ml In 1 Vial, Single-Dose (0781-3481-70)",11.28,11.28,,,0 CDM,41652_63323096010,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",11.18,11.18,,,0 CDM,4166_270,Noncdm Charge Record Medical Supplies,1525.48,1525.48,,,0 CDM,41740_270,Noncdm Charge Record Medical Supplies,37.4,37.4,,,0 CDM,41787_67457016200,NDC Description Not Available,338.05,338.05,,,0 CDM,41787_67457016202,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-162-02) / 2 Ml In 1 Vial, Multi-Dose (67457-162-00)",241.36,241.36,,,0 CDM,41793_24201020101,NDC Description Not Available,333.2,333.2,,,0 CDM,41793_67457016300,NDC Description Not Available,321.68,321.68,,,0 CDM,41793_67457016302,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-163-02) / 2 Ml In 1 Vial, Multi-Dose (67457-163-00)",337.84,337.84,,,0 CDM,41796_C1892_278,Noncdm Charge Record Medical Supplies,29.63,29.63,,,0 CDM,41822_00904670606,"Omega-3-Acid Ethyl Esters: 50 Blister Pack In 1 Carton (0904-6706-06) / 1 Capsule, Liquid Filled In 1 Blister Pack",14.58,14.58,,,0 CDM,41822_31722093612,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (31722-936-12)",9.35,9.35,,,0 CDM,41822_42291065712,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42291-657-12)",8.24,8.24,,,0 CDM,41822_42806055212,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42806-552-12)",7.77,7.77,,,0 CDM,41822_60687012711,NDC Description Not Available,13.22,13.22,,,0 CDM,41822_65162003416,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (65162-034-16)",7.97,7.97,,,0 CDM,41831_00168020437,Lidocaine: 1 Tube In 1 Carton (0168-0204-37) / 35.44 G In 1 Tube,1081.5,1081.5,,,0 CDM,41831_16714087801,Lidocaine: 1 Tube In 1 Carton (16714-878-01) / 35.44 G In 1 Tube,980.53,980.53,,,0 CDM,41831_33342040535,Lidocaine: 1 Tube In 1 Carton (33342-405-35) / 35.44 G In 1 Tube,1086.65,1086.65,,,0 CDM,41831_51672302002,Lidocaine: 1 Tube In 1 Carton (51672-3020-2) / 30 G In 1 Tube,824.0,824.0,,,0 CDM,41831_51672302009,Lidocaine: 1 Tube In 1 Carton (51672-3020-9) / 35.44 G In 1 Tube,1141.48,1141.48,,,0 CDM,41831_64380078932,Lidocaine: 35.44 G In 1 Tube (64380-789-32),1134.95,1134.95,,,0 CDM,41831_68462041820,Lidocaine: 1 Tube In 1 Carton (68462-418-20) / 35.44 G In 1 Tube,1141.24,1141.24,,,0 CDM,41831_70752011303,Lidocaine: 1 Tube In 1 Carton (70752-113-03) / 35.44 G In 1 Tube,1141.24,1141.24,,,0 CDM,41832_50268071711,NDC Description Not Available,51.88,51.88,,,0 CDM,41832_60687041611,NDC Description Not Available,73.13,73.13,,,0 CDM,41832_65162035109,Sildenafil: 90 Tablet In 1 Bottle (65162-351-09),72.12,72.12,,,0 CDM,41850_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,41868_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,41876_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,41878_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,41880_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,41882_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,41899_00713057460,Metronidazole: 1 Tube In 1 Carton (0713-0574-60) / 60 G In 1 Tube,999.41,999.41,,,0 CDM,41899_62332063060,Metronidazole: 1 Tube In 1 Carton (62332-630-60) / 60 G In 1 Tube,963.74,963.74,,,0 CDM,4200000007,Noncdm Charge Record,147.5,147.5,,,0 CDM,42034_C1874_278,Noncdm Charge Record Medical Supplies,5003.82,5003.82,,,0 CDM,42036_C1874_278,Noncdm Charge Record Medical Supplies,5003.9,5003.9,,,0 CDM,42064_00832125011,"Ramelteon: 100 Tablet, Film Coated In 1 Bottle (0832-1250-11)",50.43,50.43,,,0 CDM,42064_43598074101,Ramelteon: 100 Tablet In 1 Bottle (43598-741-01),52.71,52.71,,,0 CDM,42064_43598074130,Ramelteon: 30 Tablet In 1 Bottle (43598-741-30),51.8,51.8,,,0 CDM,42064_50268070811,NDC Description Not Available,51.84,51.84,,,0 CDM,42064_50268070815,Ramelteon: 50 Blister Pack In 1 Box (50268-708-15) / 1 Tablet In 1 Blister Pack (50268-708-11),52.53,52.53,,,0 CDM,42064_52817023510,"Ramelteon: 100 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-10)",50.29,50.29,,,0 CDM,42064_52817023530,"Ramelteon: 30 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-30)",50.28,50.28,,,0 CDM,42064_60687069211,NDC Description Not Available,16.86,16.86,,,0 CDM,42064_64764080530,"Rozerem: 30 Tablet, Film Coated In 1 Bottle (64764-805-30)",55.62,55.62,,,0 CDM,42064_70010002803,Ramelteon: 30 Tablet In 1 Bottle (70010-028-03),44.29,44.29,,,0 CDM,42064_70710134401,Ramelteon: 100 Tablet In 1 Bottle (70710-1344-1),50.05,50.05,,,0 CDM,42064_70710134403,Ramelteon: 30 Tablet In 1 Bottle (70710-1344-3),50.92,50.92,,,0 CDM,42066_C2625_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,4209091201,Hc Pt Biofeedback Training 1St 15 Minutes,123.0,123.0,,,0 CDM,4209091301,Hc Pt Biofeedback Training Addl 15 Minutes,123.0,123.0,,,0 CDM,4209599201,"Hc Pt Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 CDM,4209701001,Hc Pt Hot Or Cold Packs Therapy,35.0,35.0,,,0 CDM,4209701201,Hc Pt Mechanical Traction Therapy,153.0,153.0,,,0 CDM,4209701401,Hc Pt Electric Stimulation Therapy (Unattended),175.0,175.0,,,0 CDM,4209701601,Hc Pt Vasopneumatic Device Therapy,38.0,38.0,,,0 CDM,4209702201,Hc Pt Whirlpool Therapy,124.0,124.0,,,0 CDM,4209703201,"Hc Pt Electrical Stimulation (Manual), Each 15 Minutes",135.0,135.0,,,0 CDM,4209703301,"Hc Pt Electric Current Therapy - Iontophoresis, Each 15 Minutes",135.0,135.0,,,0 CDM,4209703501,"Hc Pt Ultrasound Therapy - Ultrasound, Each 15 Minutes",112.0,112.0,,,0 CDM,4209703901,Hc Pt Fluidotherapy,124.0,124.0,,,0 CDM,4209711001,"Hc Pt Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 CDM,4209711201,"Hc Pt Neuromuscular Reeducation,1+ Areas, Each 15 Minutes",182.0,182.0,,,0 CDM,4209711301,"Hc Pt Aquatic Therapy/Exercises, Each 15 Minutes",169.0,169.0,,,0 CDM,4209711601,"Hc Pt Gait Training Therapy, Each 15 Minutes",161.0,161.0,,,0 CDM,4209712401,"Hc Pt Massage Therapy, Each 15 Minutes",136.0,136.0,,,0 CDM,4209712901,"Hc Pt Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 CDM,4209713001,"Hc Pt Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 CDM,4209714001,"Hc Pt Manual Therapy Tech, 1+Regions,Each Addl 15 Minutes",202.0,202.0,,,0 CDM,4209715001,Hc Pt Group Therapeutic Procedures,161.0,161.0,,,0 CDM,4209716101,Hc Pt Physical Therapy Evaluation Low Complex 20 Mins,417.0,417.0,,,0 CDM,4209716201,Hc Pt Physical Therapy Evaluation Mod Complex 30 Mins,480.0,480.0,,,0 CDM,4209753001,"Hc Pt Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 CDM,4209753301,"Hc Pt Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 CDM,4209753501,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 CDM,4209753502,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes -Lymphadema,204.0,204.0,,,0 CDM,4209753503,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes -Adapt Equip Trgn,204.0,204.0,,,0 CDM,4209754201,"Hc Pt Wheelchair Mngement Training, Ea 15 Min",160.0,160.0,,,0 CDM,4209755001,Hc Pt Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,156.0,156.0,,,0 CDM,4209755101,Hc Pt Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,84.0,84.0,,,0 CDM,4209755201,Hc Pt Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional P,37.0,37.0,,,0 CDM,4209759701,Hc Pt Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 CDM,4209759801,Hc Pt Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 CDM,4209760201,"Hc Pt Non-Selective Debridement W/O Anesthesia, Per Session",802.0,802.0,,,0 CDM,4209775001,"Hc Pt Physical Performance Test, Each 15 Minutes",228.0,228.0,,,0 CDM,4209775501,Hc Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min,297.0,297.0,,,0 CDM,4209776001,"Hc Pt Orthotic Mgmt And Training, Each 15 Min",130.0,130.0,,,0 CDM,4209776002,"Hc Pt Orthotic Mgmt And Training, Each 15 Min - Splinting Treatment",130.0,130.0,,,0 CDM,4209776101,"Hc Pt Prosthetic Training, Initial Prosthetic(S), Each 15 Minutes",127.0,127.0,,,0 CDM,4209776301,Hc Pt Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,92.0,92.0,,,0 CDM,4209896601,Hc Pt Hc Pro Phone 5-10 Min,23.0,23.0,,,0 CDM,4209896801,Hc Pt Hc Pro Phone 21-30 Min,69.0,69.0,,,0 CDM,420G028101,Hc Pt Elec Stim Unattend For Press,308.0,308.0,,,0 CDM,420G028301,Hc Pt Elec Stim Other Than Wound,308.0,308.0,,,0 CDM,42119_00054062263,Dicyclomine Hydrochloride: 473 Ml In 1 Bottle (0054-0622-63),8.53,8.53,,,0 CDM,42144_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,42160_272,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,42160_C1762_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,42160_C1762_636,Noncdm Charge Record Pharmacy,374.92,374.92,,,0 CDM,42162_00071101268,Lyrica: 90 Capsule In 1 Bottle (0071-1012-68),43.86,43.86,,,0 CDM,42162_00904699104,Pregabalin: 30 Blister Pack In 1 Carton (0904-6991-04) / 1 Capsule In 1 Blister Pack,5.72,5.72,,,0 CDM,42162_00904699161,Pregabalin: 100 Blister Pack In 1 Carton (0904-6991-61) / 1 Capsule In 1 Blister Pack,3.39,3.39,,,0 CDM,42162_60687047311,NDC Description Not Available,5.84,5.84,,,0 CDM,42162_62332011990,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),20.99,20.99,,,0 CDM,42162_71205086930,Pregabalin: 30 Capsule In 1 Bottle (71205-869-30),0.67,0.67,,,0 CDM,42162_72205001190,Pregabalin: 90 Capsule In 1 Bottle (72205-011-90),30.4,30.4,,,0 CDM,42162_76282056890,Pregabalin: 90 Capsule In 1 Bottle (76282-568-90),0.12,0.12,,,0 CDM,42163_00071101341,Lyrica: 100 Blister Pack In 1 Carton (0071-1013-41) / 1 Capsule In 1 Blister Pack,48.18,48.18,,,0 CDM,42163_00904699261,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61) / 1 Capsule In 1 Blister Pack,3.17,3.17,,,0 CDM,42163_60687048411,NDC Description Not Available,5.33,5.33,,,0 CDM,42164_00071101441,Lyrica: 100 Blister Pack In 1 Carton (0071-1014-41) / 1 Capsule In 1 Blister Pack,48.14,48.14,,,0 CDM,42164_00904700061,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61) / 1 Capsule In 1 Blister Pack,3.23,3.23,,,0 CDM,42164_31722061290,Pregabalin: 90 Capsule In 1 Bottle (31722-612-90),31.95,31.95,,,0 CDM,42164_60687049511,NDC Description Not Available,5.88,5.88,,,0 CDM,42165_00071101541,Lyrica: 100 Blister Pack In 1 Carton (0071-1015-41) / 1 Capsule In 1 Blister Pack,48.18,48.18,,,0 CDM,42165_00904700161,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61) / 1 Capsule In 1 Blister Pack,3.64,3.64,,,0 CDM,42165_60687050611,NDC Description Not Available,5.83,5.83,,,0 CDM,42165_76282057190,Pregabalin: 90 Capsule In 1 Bottle (76282-571-90),0.2,0.2,,,0 CDM,42166_00071101641,Lyrica: 100 Blister Pack In 1 Carton (0071-1016-41) / 1 Capsule In 1 Blister Pack,48.17,48.17,,,0 CDM,42166_00904700261,Pregabalin: 100 Blister Pack In 1 Carton (0904-7002-61) / 1 Capsule In 1 Blister Pack,3.71,3.71,,,0 CDM,42166_60687051711,NDC Description Not Available,5.55,5.55,,,0 CDM,42219_68094002959,NDC Description Not Available,9.48,9.48,,,0 CDM,42219_68094012959,NDC Description Not Available,11.27,11.27,,,0 CDM,42260_C1713_278,Noncdm Charge Record Medical Supplies,183.7,183.7,,,0 CDM,42262_C1713_278,Noncdm Charge Record Medical Supplies,183.7,183.7,,,0 CDM,42296_270,Noncdm Charge Record Medical Supplies,2422.2,2422.2,,,0 CDM,42304_270,Noncdm Charge Record Medical Supplies,1363.48,1363.48,,,0 CDM,42348_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,42348_C1893_278,Noncdm Charge Record Medical Supplies,16.02,16.02,,,0 CDM,42358_C1725_278,Noncdm Charge Record Medical Supplies,381.7,381.7,,,0 CDM,4236_25021068220,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-682-20) / 20 Ml In 1 Vial,60.68,60.68,,,0 CDM,4236_42023011310,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,23.87,23.87,,,0 CDM,4236_55150043801,NDC Description Not Available,72.93,72.93,,,0 CDM,4236_55150043810,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (55150-438-10) / 20 Ml In 1 Vial, Multi-Dose",18.58,18.58,,,0 CDM,4236_65219018401,NDC Description Not Available,15.79,15.79,,,0 CDM,4236_67457018100,NDC Description Not Available,32.96,32.96,,,0 CDM,4236_71266908002,NDC Description Not Available,14.44,14.44,,,0 CDM,4236_71266908004,NDC Description Not Available,13.88,13.88,,,0 CDM,4236_71506007405,NDC Description Not Available,21.41,21.41,,,0 CDM,4237_00143950901,NDC Description Not Available,53.28,53.28,,,0 CDM,4237_00143950910,Ketamine Hydrochloride: 10 Vial In 1 Box (0143-9509-10) / 5 Ml In 1 Vial (0143-9509-01),52.64,52.64,,,0 CDM,4237_00409004005,NDC Description Not Available,31.06,31.06,,,0 CDM,4237_00409205105,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Box (0409-2051-05) / 5 Ml In 1 Vial, Multi-Dose (0409-2051-15)",35.95,35.95,,,0 CDM,4237_00409205115,NDC Description Not Available,34.64,34.64,,,0 CDM,42388_C1894_278,Noncdm Charge Record Medical Supplies,104.46,104.46,,,0 CDM,4238_00143950801,NDC Description Not Available,23.47,23.47,,,0 CDM,4238_00143950810,Ketamine Hydrochloride: 10 Vial In 1 Box (0143-9508-10) / 10 Ml In 1 Vial (0143-9508-01),18.37,18.37,,,0 CDM,4238_09999002816,NDC Description Not Available,2.33,2.33,,,0 CDM,4238_25021068310,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-683-10) / 10 Ml In 1 Vial,4.12,4.12,,,0 CDM,4238_42023011410,Ketalar: 10 Vial In 1 Carton (42023-114-10) / 10 Ml In 1 Vial,30.38,30.38,,,0 CDM,4238_65219018801,NDC Description Not Available,40.43,40.43,,,0 CDM,4238_65219018810,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-188-10) / 10 Ml In 1 Vial (65219-188-01),42.78,42.78,,,0 CDM,4238_71266907002,NDC Description Not Available,2.77,2.77,,,0 CDM,42390_C1894_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,42392_C1894_272,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,42392_C1894_278,Noncdm Charge Record Medical Supplies,106.67,106.67,,,0 CDM,4239715001,Hc Pt Group Therapeutic Procedures - Group >=2,161.0,161.0,,,0 CDM,4239715002,Hc Ot Group Therapeutic Procedures - Group >=2,161.0,161.0,,,0 CDM,4239715003,Hc Pt Group Aquatic Therapeutic Procedures - Group >=2,161.0,161.0,,,0 CDM,4240000001,Noncdm Charge Record,1457.0,1457.0,,,0 CDM,4249716101,Hc Pt Physical Therapy Evaluation Low Complex 20 Mins,417.0,417.0,,,0 CDM,4249716201,Hc Pt Physical Therapy Evaluation Mod Complex 30 Mins,480.0,480.0,,,0 CDM,4249716301,Hc Pt Physical Therapy Evaluation High Complex 45 Mins,551.0,551.0,,,0 CDM,4249716401,Hc Pt Physical Therapy Re-Eval Est Plan Care 20 Mins,203.0,203.0,,,0 CDM,42497164PB,Hc Pt Physical Therapy Re-Eval Est Plan Care 20 Mins,203.0,203.0,,,0 CDM,42520_270,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,42536_C1894_278,Noncdm Charge Record Medical Supplies,705.1,705.1,,,0 CDM,42714_C2628_278,Noncdm Charge Record Medical Supplies,737.0,737.0,,,0 CDM,42780_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,42782_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,42784_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,42786_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,42788_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,42876_270,Noncdm Charge Record Medical Supplies,198.0,198.0,,,0 CDM,42894_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,42898_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,42898_C1762_636,Noncdm Charge Record Pharmacy,1009.4,1009.4,,,0 CDM,42900_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,42900_C1762_636,Noncdm Charge Record Pharmacy,1009.4,1009.4,,,0 CDM,42902_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,42912_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,42914_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,42916_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,42918_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,42920_C1889_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,42924_270,Noncdm Charge Record Medical Supplies,3283.5,3283.5,,,0 CDM,42932_C1768_278,Noncdm Charge Record Medical Supplies,976.8,976.8,,,0 CDM,42934_C1768_278,Noncdm Charge Record Medical Supplies,976.58,976.58,,,0 CDM,42936_C1768_278,Noncdm Charge Record Medical Supplies,976.8,976.8,,,0 CDM,42938_C1768_278,Noncdm Charge Record Medical Supplies,1328.8,1328.8,,,0 CDM,42940_C1768_278,Noncdm Charge Record Medical Supplies,1328.8,1328.8,,,0 CDM,42942_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,42944_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,42946_C1768_278,Noncdm Charge Record Medical Supplies,1940.4,1940.4,,,0 CDM,42948_C1768_278,Noncdm Charge Record Medical Supplies,932.82,932.82,,,0 CDM,42952_C1768_278,Noncdm Charge Record Medical Supplies,932.85,932.85,,,0 CDM,42954_C1768_278,Noncdm Charge Record Medical Supplies,4065.6,4065.6,,,0 CDM,42956_C1768_278,Noncdm Charge Record Medical Supplies,4065.6,4065.6,,,0 CDM,42958_C1768_278,Noncdm Charge Record Medical Supplies,4065.6,4065.6,,,0 CDM,42964_C1768_278,Noncdm Charge Record Medical Supplies,4065.6,4065.6,,,0 CDM,42974_C1894_278,Noncdm Charge Record Medical Supplies,188.1,188.1,,,0 CDM,4299781001,"Hc Acupuncture, 1 Or More Needles; W/O Electrical Stimulation, Initial 15 Min, Personal One-On-One C",72.0,72.0,,,0 CDM,4299781101,"Hc Acupuncture, 1 Or More Needles; W/O Electrical Stimulation, Ea Add'l 15 Min, Personal One-On-One",37.0,37.0,,,0 CDM,4299781301,"Hc Acupuncture, 1 Or More Needles; W/Electrical Stimulation, Initial 15 Min, Personal One-On-One Con",72.0,72.0,,,0 CDM,4299781401,"Hc Acupuncture, 1 Or More Needles; W/Electrical Stimulation, Ea Add'l 15 Min, Personal One-On-One Co",37.0,37.0,,,0 CDM,43016_270,Noncdm Charge Record Medical Supplies,15.5,15.5,,,0 CDM,43022_270,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,43022_C1750_278,Noncdm Charge Record Medical Supplies,268.4,268.4,,,0 CDM,43022_C1889_278,Noncdm Charge Record Medical Supplies,268.22,268.22,,,0 CDM,43026_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,4302958101,Hc Appl Mlt-Layer Venous Wound Compress Below Knee,685.0,685.0,,,0 CDM,4309091201,Hc Pt Biofeedback Training 1St 15 Minutes,123.0,123.0,,,0 CDM,4309091301,Hc Pt Biofeedback Training Addl 15 Minutes,123.0,123.0,,,0 CDM,4309599201,"Hc Ot Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 CDM,4309612501,"Hc Ot Standardized Cognitive Performance Testing, Per Hour",270.0,270.0,,,0 CDM,4309701001,Hc Ot Hot Or Cold Packs Therapy,35.0,35.0,,,0 CDM,4309701401,Hc Ot Electric Stimulation Therapy (Unattended),175.0,175.0,,,0 CDM,4309701801,Hc Ot Paraffin Bath Therapy,118.0,118.0,,,0 CDM,4309702202,Hc Ot Fluidotherapy,124.0,124.0,,,0 CDM,4309703201,"Hc Ot Electrical Stimulation (Manual), Each 15 Minutes",135.0,135.0,,,0 CDM,4309703301,"Hc Ot Electric Current Therapy - Iontophoresis, Each 15 Minutes",135.0,135.0,,,0 CDM,4309703401,"Hc Ot Contrast Bath Therapy-Contrast Bath, Each 15 Minutes",91.0,91.0,,,0 CDM,4309703501,"Hc Ot Ultrasound Therapy - Ultrasound, Each 15 Minutes",112.0,112.0,,,0 CDM,4309703902,Hc Ot Fluidotherapy,124.0,124.0,,,0 CDM,4309711001,"Hc Ot Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 CDM,4309711201,"Hc Ot Neuromuscular Reeducation,1+ Areas, Each 15 Minutes",182.0,182.0,,,0 CDM,4309712401,"Hc Ot Massage Therapy, Each 15 Minutes",136.0,136.0,,,0 CDM,4309712901,"Hc Ot Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 CDM,4309713001,"Hc Ot Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 CDM,4309714001,"Hc Ot Manual Therapy Tech, 1+Regions,Each Addl 15 Minutes",202.0,202.0,,,0 CDM,4309715001,Hc Ot Group Therapeutic Procedures,161.0,161.0,,,0 CDM,4309753001,"Hc Ot Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 CDM,4309753301,"Hc Ot Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 CDM,4309753501,Hc Ot Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 CDM,4309753701,Hc Ot Community/Work Reintegration Trainj Ea 15 Min,204.0,204.0,,,0 CDM,4309754201,"Hc Ot Wheelchair Mngement Training, Ea 15 Min",160.0,160.0,,,0 CDM,4309755001,Hc Ot Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,156.0,156.0,,,0 CDM,4309755101,Hc Ot Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,84.0,84.0,,,0 CDM,4309755201,Hc Ot Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional P,37.0,37.0,,,0 CDM,4309759701,Hc Ot Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 CDM,4309759801,Hc Ot Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 CDM,4309760201,"Hc Ot Non-Selective Debridement W/O Anesthesia, Per Session",802.0,802.0,,,0 CDM,4309775501,Hc Ot Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min,297.0,297.0,,,0 CDM,4309776001,"Hc Ot Orthotic Mgmt And Training, Each 15 Min",130.0,130.0,,,0 CDM,4309776101,"Hc Ot Prosthetic Training, Initial Prosthetic(S), Each 15 Minutes",127.0,127.0,,,0 CDM,4309776301,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,92.0,92.0,,,0 CDM,4309776302,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min - Splinting,92.0,92.0,,,0 CDM,4309776303,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min - Ckout Orth/Pros Issued,92.0,92.0,,,0 CDM,430G028301,Hc Ot Elec Stim Other Than Wound,308.0,308.0,,,0 CDM,4318_00264775000,Lactated Ringers: 12 Container In 1 Case (0264-7750-00) / 1000 Ml In 1 Container,32.42,32.42,,,0 CDM,4318_00264775010,Lactated Ringers: 24 Container In 1 Case (0264-7750-10) / 500 Ml In 1 Container,32.16,32.16,,,0 CDM,4318_00264775020,Lactated Ringers: 24 Container In 1 Case (0264-7750-20) / 250 Ml In 1 Container,36.05,36.05,,,0 CDM,4318_00338011702,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),36.05,36.05,,,0 CDM,4318_00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),33.69,33.69,,,0 CDM,4318_00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),34.9,34.9,,,0 CDM,4318_00990795303,Lactated Ringers: 24 Pouch In 1 Case (0990-7953-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,27.42,27.42,,,0 CDM,4318_00990795309,Lactated Ringers: 12 Pouch In 1 Case (0990-7953-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,32.34,32.34,,,0 CDM,4318_09999003912,NDC Description Not Available,33.57,33.57,,,0 CDM,4318_09999003918,NDC Description Not Available,30.78,30.78,,,0 CDM,4318_63323016425,NDC Description Not Available,36.05,36.05,,,0 CDM,4318_63323016426,NDC Description Not Available,36.05,36.05,,,0 CDM,4318_65219047905,NDC Description Not Available,35.76,35.76,,,0 CDM,4318_65219047910,Lactated Ringers: 10 Bag In 1 Case (65219-479-10) / 1000 Ml In 1 Bag (65219-479-05),29.76,29.76,,,0 CDM,43391_31722055612,"Lopinavir And Ritonavir: 120 Tablet, Film Coated In 1 Bottle (31722-556-12)",33.27,33.27,,,0 CDM,43426_06014629157,NDC Description Not Available,71.34,71.34,,,0 CDM,43426_06014629312,NDC Description Not Available,37.44,37.44,,,0 CDM,43426_73090800002,NDC Description Not Available,71.59,71.59,,,0 CDM,43472_00591292754,"Levalbuterol Tartrate Hfa Inhalation: 1 Inhaler In 1 Carton (0591-2927-54) / 200 Aerosol, Metered In 1 Inhaler",1.29,1.29,,,0 CDM,4349716501,Hc Ot Occupational Therapy Eval Low Complex 30 Mins,483.0,483.0,,,0 CDM,4349716502,Hc Ot Occupational Therapy Eval Low Complex 30 Mins -Driving Eval,483.0,483.0,,,0 CDM,4349716601,Hc Ot Occupational Therapy Eval Mod Complex 45 Mins,555.0,555.0,,,0 CDM,4349716701,Hc Ot Occupational Therapy Eval High Complex 60 Mins,639.0,639.0,,,0 CDM,4349716702,Hc Ot Occupational Therapy Eval High Complex 60 Mins - Driving,639.0,639.0,,,0 CDM,4349716801,Hc Ot Occupational Ther Re-Eval Est Plan Care 30 Mins,203.0,203.0,,,0 CDM,4349_270,Noncdm Charge Record Medical Supplies,727.1,727.1,,,0 CDM,4349_C1762_278,Noncdm Charge Record Medical Supplies,727.1,727.1,,,0 CDM,4349_C1763_278,Noncdm Charge Record Medical Supplies,727.1,727.1,,,0 CDM,4349_C1889_278,Noncdm Charge Record Medical Supplies,731.22,731.22,,,0 CDM,4349_Q4100_278,Noncdm Charge Record Medical Supplies,727.1,727.1,,,0 CDM,43548_54092025410,NDC Description Not Available,0.26,0.26,,,0 CDM,43548_54092025490,"Fosrenol: 9 Bottle In 1 Package (54092-254-90) / 10 Tablet, Chewable In 1 Bottle (54092-254-10)",0.26,0.26,,,0 CDM,43556_00054005746,Digoxin: 60 Ml In 1 Bottle (0054-0057-46),25.38,25.38,,,0 CDM,43556_69292060560,Digoxin: 1 Bottle In 1 Carton (69292-605-60) / 60 Ml In 1 Bottle,23.15,23.15,,,0 CDM,435_60687043311,NDC Description Not Available,1.87,1.87,,,0 CDM,436_00904741161,Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7411-61) / 1 Tablet In 1 Blister Pack,2.58,2.58,,,0 CDM,436_60687044411,NDC Description Not Available,2.51,2.51,,,0 CDM,43717_76329630005,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5) / 4 Ml In 1 Vial,130.81,130.81,,,0 CDM,4373_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,4374_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,4375_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,4376_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,4392_00143955401,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,31.68,31.68,,,0 CDM,4392_00703514001,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5140-01) / 10 mL in 1 VIAL, SINGLE-USE",43.26,43.26,,,0 CDM,4392_25021081430,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,41.44,41.44,,,0 CDM,4392_67457052810,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",39.17,39.17,,,0 CDM,4392_71288016120,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",34.23,34.23,,,0 CDM,4393_00143955201,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",18.61,18.61,,,0 CDM,4393_00703514501,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",13.66,13.66,,,0 CDM,4393_25021081630,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,40.28,40.28,,,0 CDM,4393_67457053035,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.4,18.4,,,0 CDM,4393_71288016330,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-163-30) / 17.5 Ml In 1 Vial, Single-Dose",15.68,15.68,,,0 CDM,4395_42806013324,Leucovorin Calcium: 24 Tablet In 1 Bottle (42806-133-24),30.01,30.01,,,0 CDM,4398_00054849619,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19) / 10 Tablet In 1 Blister Pack,10.09,10.09,,,0 CDM,4398_00555048402,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),8.35,8.35,,,0 CDM,4398_42806035830,Leucovorin Calcium: 30 Tablet In 1 Bottle (42806-358-30),6.07,6.07,,,0 CDM,44012_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,44014_270,Noncdm Charge Record Medical Supplies,1868.9,1868.9,,,0 CDM,4401_C1769_278,Noncdm Charge Record Medical Supplies,9.9,9.9,,,0 CDM,44028_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,44030_C1887_278,Noncdm Charge Record Medical Supplies,27.47,27.47,,,0 CDM,44038_C1769_278,Noncdm Charge Record Medical Supplies,89.52,89.52,,,0 CDM,44040_C1887_278,Noncdm Charge Record Medical Supplies,80.34,80.34,,,0 CDM,44042_C1769_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,44044_C1769_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,44046_C1769_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,4409250701,"Hc Slp Speech/Hearing Therapy, Individual",169.0,169.0,,,0 CDM,44092507PB,"Hc Slp Speech/Hearing Therapy, Individual",169.0,169.0,,,0 CDM,4409250801,"Hc Slp Speech/Hearing Therapy, Group",89.0,89.0,,,0 CDM,4409251101,Hc Slp Nasopharyngoscopy,434.0,434.0,,,0 CDM,4409252001,Hc Slp Laryngeal Function Studies,365.0,365.0,,,0 CDM,4409252601,Hc Slp Oral Function Therapy,202.0,202.0,,,0 CDM,44092526PB,Hc Slp Oral Function Therapy,202.0,202.0,,,0 CDM,4409259701,Hc Voice Prosthetic Evalution,456.0,456.0,,,0 CDM,44092597PB,Hc Slp Eval Voice Prosthetic Device,456.0,456.0,,,0 CDM,4409260901,"Hc Slp Ther Srvc, Speech Gen Dev Use, W/Prog",396.0,396.0,,,0 CDM,44092_C2618_278,Noncdm Charge Record Medical Supplies,8470.0,8470.0,,,0 CDM,4409610501,Hc Slp Assessment Of Aphasia,448.0,448.0,,,0 CDM,4409612501,Hc Slp Standardized Cognitive Performance Testing,270.0,270.0,,,0 CDM,4409712901,"Hc Slp Cognitive Function Therapy Sp, Initial 15 Minutes",164.0,164.0,,,0 CDM,4409713001,"Hc Slp Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 CDM,4409753301,"Hc Slp Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 CDM,4409753501,Hc Slp Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 CDM,4409755001,Hc Speech Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Per,156.0,156.0,,,0 CDM,4409755101,Hc Speech Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Per,84.0,84.0,,,0 CDM,4409755201,Hc Speech Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Function,37.0,37.0,,,0 CDM,4415_270,Noncdm Charge Record Medical Supplies,781.0,781.0,,,0 CDM,4420_00074434119,Synthroid: 1000 Tablet In 1 Bottle (0074-4341-19),4.51,4.51,,,0 CDM,4420_51079044401,NDC Description Not Available,0.88,0.88,,,0 CDM,4420_60687045311,NDC Description Not Available,1.07,1.07,,,0 CDM,4421_00074455211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11) / 10 Tablet In 1 Blister Pack",5.15,5.15,,,0 CDM,4421_60687046411,NDC Description Not Available,1.03,1.03,,,0 CDM,4422_00074518211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-5182-11) / 10 Tablet In 1 Blister Pack",6.2,6.2,,,0 CDM,4423_00074662411,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11) / 10 Tablet In 1 Blister Pack",6.74,6.74,,,0 CDM,4424_00074706811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11) / 10 Tablet In 1 Blister Pack",6.16,6.16,,,0 CDM,4425_00074706911,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11) / 10 Tablet In 1 Blister Pack",5.66,5.66,,,0 CDM,4425_60687053011,NDC Description Not Available,3.09,3.09,,,0 CDM,4426_00074714811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11) / 10 Tablet In 1 Blister Pack",5.66,5.66,,,0 CDM,44378,Noncdm Charge Record,2742.0,2742.0,,,0 CDM,4440000001,Noncdm Charge Record,1584.0,1584.0,,,0 CDM,4448_17478071110,Lidocaine: 1 TUBE in 1 CARTON (17478-711-10) / 5 mL in 1 TUBE,29.87,29.87,,,0 CDM,4448_17478071130,"Lidocaine: 1 TUBE, WITH APPLICATOR in 1 CARTON (17478-711-30) / 30 mL in 1 TUBE, WITH APPLICATOR",462.47,462.47,,,0 CDM,4449252101,Hc Slp Evaluation Of Speech Fluency (Stutter Clutter),242.0,242.0,,,0 CDM,4449252201,Hc Slp Evaluation Of Speech Sound Production Articulate,242.0,242.0,,,0 CDM,4449252301,Hc Slp Eval Speech Sound Product Language Comprehension,408.0,408.0,,,0 CDM,4449252401,Hc Slp Behavioral & Qualit Analysis Voice And Resonance,206.0,206.0,,,0 CDM,4449260501,"Hc Eval,Non-Speech Gen Aug/Alt Commun Dev",533.0,533.0,,,0 CDM,4449260701,"Hc Slp Eval,Speech-Gen Aug/Alt Comm Dev,1St Hr",533.0,533.0,,,0 CDM,4449260801,"Hc Slp Eval,Speech-Gen Aug/Alt Comm Dev,Addl 30",117.0,117.0,,,0 CDM,4449261001,"Hc Slp Eval,Oral & Pharyngeal Swallow Function",597.0,597.0,,,0 CDM,4449261101,"Hc Slp Eval,Swallow Function,Cine/Video Record",597.0,597.0,,,0 CDM,44492611PB,"Hc Slp Eval,Swallow Function,Cine/Video Record",597.0,597.0,,,0 CDM,4449261201,"Hc Slp Endoscopic Eval,Swallow,Cine/Video",268.0,268.0,,,0 CDM,4449261401,"Hc Slp Endoscop Eval,Laryng Sens Test,Cine/Vid",268.0,268.0,,,0 CDM,4449261801,Hc Slp Eval Rx N-Sp-Gen Augmt Alt Commun Dev Add 30 Min,288.0,288.0,,,0 CDM,4449612501,"Hc Slp Standardized Cognitive Performance Testing, Per Hour",270.0,270.0,,,0 CDM,4450_00054350547,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),173.04,173.04,,,0 CDM,4450_00121097251,"Lidocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (0121-0972-51) / 50 Ml In 1 Bottle, Glass",25.8,25.8,,,0 CDM,4450_00527600480,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (0527-6004-80) / 50 Ml In 1 Bottle,232.88,232.88,,,0 CDM,4450_63739099764,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (63739-997-64) / 50 Ml In 1 Bottle,143.17,143.17,,,0 CDM,4450_64679046550,NDC Description Not Available,173.04,173.04,,,0 CDM,4450_70954051810,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (70954-518-10) / 50 Ml In 1 Bottle,232.78,232.78,,,0 CDM,4451_00409427501,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4275-01) / 50 Ml In 1 Vial, Multi-Dose (0409-4275-16)",0.08,0.08,,,0 CDM,4452_00143957701,NDC Description Not Available,0.02,0.02,,,0 CDM,4452_00409427601,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.04,0.04,,,0 CDM,4452_00409427602,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.03,0.03,,,0 CDM,4452_00409427616,NDC Description Not Available,0.04,0.04,,,0 CDM,4452_00409427617,NDC Description Not Available,0.27,0.27,,,0 CDM,4452_31722011650,NDC Description Not Available,0.06,0.06,,,0 CDM,4452_55150025110,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",0.19,0.19,,,0 CDM,4452_55150025220,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-252-20) / 20 Ml In 1 Vial, Multi-Dose",0.08,0.08,,,0 CDM,4452_63323020101,NDC Description Not Available,0.56,0.56,,,0 CDM,4452_63323020102,Lidocaine: 25 Vial In 1 Tray (63323-201-02) / 2 Ml In 1 Vial (63323-201-01),0.56,0.56,,,0 CDM,4452_63323020103,NDC Description Not Available,0.11,0.11,,,0 CDM,4452_63323020110,Lidocaine: 25 Vial In 1 Tray (63323-201-10) / 10 Ml In 1 Vial (63323-201-03),0.12,0.12,,,0 CDM,4452_63323048501,NDC Description Not Available,0.08,0.08,,,0 CDM,4452_63323048503,NDC Description Not Available,0.06,0.06,,,0 CDM,4452_63323048527,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-27) / 20 Ml In 1 Vial, Multi-Dose (63323-485-01)",0.08,0.08,,,0 CDM,4452_63323048541,NDC Description Not Available,0.09,0.09,,,0 CDM,4452_63323048557,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-57) / 50 Ml In 1 Vial, Multi-Dose (63323-485-03)",0.05,0.05,,,0 CDM,4452_70756064482,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-644-82) / 2 Ml In 1 Vial,0.3,0.3,,,0 CDM,4452_70756064586,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-645-86) / 10 Ml In 1 Vial,0.16,0.16,,,0 CDM,4454_00409427701,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.03,0.03,,,0 CDM,4454_00409427702,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4277-17)",0.17,0.17,,,0 CDM,4454_00409427716,NDC Description Not Available,0.03,0.03,,,0 CDM,4454_55150025410,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",0.1,0.1,,,0 CDM,4454_55150025520,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",0.07,0.07,,,0 CDM,4454_63323020202,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.29,0.29,,,0 CDM,4454_63323048601,NDC Description Not Available,0.11,0.11,,,0 CDM,4454_63323048602,NDC Description Not Available,0.08,0.08,,,0 CDM,4454_63323048605,NDC Description Not Available,0.03,0.03,,,0 CDM,4454_63323048617,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.09,0.09,,,0 CDM,4454_63323048627,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.09,0.09,,,0 CDM,4454_63323048657,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",0.03,0.03,,,0 CDM,4500000001,Hc Minor Procedure,445.0,445.0,,,0 CDM,4500000002,Hc Emerg Dept Left W/O Being Seen,0.01,0.01,,,0 CDM,4500000003,Hc Emerg Dept Registered In Error,0.01,0.01,,,0 CDM,4500000004,Hc Emerg Dept Suture Removal,0.01,0.01,,,0 CDM,4500000005,Hc Emergency Dept No Charge,0.01,0.01,,,0 CDM,4500000006,Hc Intermediate Procedure,880.0,880.0,,,0 CDM,4500000007,Hc Major Procedure,1315.0,1315.0,,,0 CDM,45000_270,Noncdm Charge Record Medical Supplies,1312.24,1312.24,,,0 CDM,4501006001,Hc Incision And Drainage Of Abscess - Simple Or Single,1547.0,1547.0,,,0 CDM,4501008001,Hc Drain Pilonidal Cyst Simpl,2091.0,2091.0,,,0 CDM,4501008101,Hc Drain Pilonidal Cyst Complic,2091.0,2091.0,,,0 CDM,4501014001,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection",5400.0,5400.0,,,0 CDM,4501016001,Hc Puncture Drainage Of Lesion,1308.0,1308.0,,,0 CDM,4501104201,Noncdm Charge Record,1125.0,1125.0,,,0 CDM,4501105501,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion,677.0,677.0,,,0 CDM,4501110401,Hc Punch Bx Skin Sgl Lesion,836.0,836.0,,,0 CDM,4501120001,"Hc Removal Of Skin Tags, Up To 15",600.0,600.0,,,0 CDM,4501142301,Hc Exc Skin Benig 2.1-3 Cm Remaindr Body,5575.0,5575.0,,,0 CDM,4501173001,Hc Removal Of Nail Plate,1620.0,1620.0,,,0 CDM,4501174001,Hc Drain Blood From Under Nail,276.0,276.0,,,0 CDM,4501175001,Hc Removal Of Nail Bed,724.0,724.0,,,0 CDM,4501176001,Hc Reconstruc Of Nail Bed,4156.0,4156.0,,,0 CDM,4501198201,Hc Removal Non-Biodegradable Drug Delivery Implant,1566.0,1566.0,,,0 CDM,4501200101,Hc Resuperf Wnd Body <2.5Cm,343.0,343.0,,,0 CDM,4501200201,Hc Resup Npterf Wnd Body 2.6-7.5 Cm,383.0,383.0,,,0 CDM,4501200401,Hc Resuperf Wnd Body 7.6-12.5 Cm,588.0,588.0,,,0 CDM,4501200501,Hc Resuperf Wnd Body 12.6-20 Cm,805.0,805.0,,,0 CDM,4501200601,Hc Resuperf Wnd Body 20.1-30 Cm,976.0,976.0,,,0 CDM,4501201101,Hc Resuperf Wnd Face <2.5 Cm,343.0,343.0,,,0 CDM,4501201301,Hc Resuperf Wnd Face 2.6-5 Cm,371.0,371.0,,,0 CDM,4501201401,Hc Resuperf Wnd Face 5.1-7.5 Cm,398.0,398.0,,,0 CDM,4501201501,Hc Resuperf Wnd Face 7.6-12.5 Cm,426.0,426.0,,,0 CDM,4501201601,Hc Resuperf Wnd Face 12.6-20 Cm,445.0,445.0,,,0 CDM,4501202001,Hc Closure Superf Wnd Dehis Simple,2316.0,2316.0,,,0 CDM,4501203101,"Hc Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm",933.0,933.0,,,0 CDM,4501203201,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 2.6-7.5 Cm",988.0,988.0,,,0 CDM,4501203401,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 7.5-12.5 Cm",1043.0,1043.0,,,0 CDM,4501203501,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 12.6 - 20 Cm",1090.0,1090.0,,,0 CDM,4501203601,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 20.1 - 30 Cm",2070.0,2070.0,,,0 CDM,4501204101,Hc Layr Clos Wnd Rest Body <2.5 Cm,393.0,393.0,,,0 CDM,4501204201,Hc Layr Clos Wnd Rest Body 2.6-7.5 Cm,897.0,897.0,,,0 CDM,4501204401,Hc Layr Clos Wnd Rest Body 7.6-12.5 Cm,1090.0,1090.0,,,0 CDM,4501204701,Hc Layr Clos Wnd Rest Body >30.0 Cm,5458.0,5458.0,,,0 CDM,4501205101,"Hc Layr Clos Wnd Face,Facial <2.5 Cm",933.0,933.0,,,0 CDM,4501205201,"Hc Layr Clos Wnd Face,Facial 2.5-5 Cm",1148.0,1148.0,,,0 CDM,4501205301,"Hc Layr Clos Wnd Face,Facial 5.1-7.5 Cm",1268.0,1268.0,,,0 CDM,4501205401,"Hc Layr Clos Wnd Face,Facial 7.6-12.5 Cm",1400.0,1400.0,,,0 CDM,4501205501,"Hc Layr Clos Wnd Face,Facial 12.6-20 Cm",1615.0,1615.0,,,0 CDM,4501312001,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm",897.0,897.0,,,0 CDM,4501312101,"Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm",1820.0,1820.0,,,0 CDM,4501312201,"Hc Complex Repair Scalp, Arms, Legs Each Addl 5Cm",673.0,673.0,,,0 CDM,4501313201,"Hc Repair Complex Wnd Head,Fac,Hand 2.6-7.5 Cm",1784.0,1784.0,,,0 CDM,4501315101,"Hc Recmpl Wnd Lid,Nos,Ear 1.1-2.5 Cm",1655.0,1655.0,,,0 CDM,4501315301,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Addl 5 Cm Or Less",775.0,775.0,,,0 CDM,4501602001,Hc Dress/Debrid Small Burn No Anes,71.0,71.0,,,0 CDM,4502055201,"Hc Inject Trigger Point, 1 Or 2",1282.0,1282.0,,,0 CDM,4502055301,"Hc Injection(S); Single Or Multiple Trigger Point(S), 3 Or More Muscles",1282.0,1282.0,,,0 CDM,4502060001,Hc Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,4502060501,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,1321.0,1321.0,,,0 CDM,4502060601,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,1945.0,1945.0,,,0 CDM,4502061001,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,4502061101,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,2138.0,2138.0,,,0 CDM,4502065001,"Hc Insertion Of Wire Or Pin With Application Of Skeletal Traction, Including Removal",8971.0,8971.0,,,0 CDM,4502101101,Hc Excision Tumor Soft Tiss Face/Scalp Subq < 2Cm,4472.0,4472.0,,,0 CDM,4502131501,Hc Closed Treatment Of Nasal Bone Fracture With Manipulation; Without Stabilization,4010.0,4010.0,,,0 CDM,4502148001,Hc Reset Dislocated Jaw Initial Or Subsequent,505.0,505.0,,,0 CDM,4502149701,Hc Interdental Wiring For Condition Other Than Fx,4010.0,4010.0,,,0 CDM,4502354501,Hc Closed Treatment Of Acromioclavicular Dislocation With Manipulation,603.0,603.0,,,0 CDM,4502360501,"Hc Closed Treatment Of Proximal Humeral Fracture; With Manipulation, With Or Without Skeletal Tracti",4226.0,4226.0,,,0 CDM,4502365001,"Hc Closesd Treatment Of Shoulder Dislocation W/Manipulation, W/O Anes",545.0,545.0,,,0 CDM,4502365501,Hc Closed Treatment Of Shoulder Dislocation W/Manipulation Req Anesth,4424.0,4424.0,,,0 CDM,4502460001,"Hc Treatment Of Closed Elbow Dislocation, W/O Anesthesia",1117.0,1117.0,,,0 CDM,4502464001,"Hc Closed Treatment Of Radial Head Subluxationin Child, Nursemaid Elbow, W/Manip",545.0,545.0,,,0 CDM,4502465501,Hc Closed Treatment Of Radial Head Or Neck Fracture; With Manipulation,4455.0,4455.0,,,0 CDM,4502467501,Hc Closed Tx Ulnar Fracture Prox End W Manipulation,4226.0,4226.0,,,0 CDM,4502550001,Hc Closed Treatment Of Radial Shaft Fracture; Without Manipulation,620.0,620.0,,,0 CDM,4502552001,Hc Closed Treatment Of Radial Shaft Fracture And Closed Treatment Of Dislocation Of Distal Radioulna,4417.0,4417.0,,,0 CDM,4502560001,Hc Closed Rx Dist Rad/Ulna Fx,620.0,620.0,,,0 CDM,4502560501,"Hc Closed Treatment Of Distal Radial/Ulna Fracture, W/Manipul",85.0,85.0,,,0 CDM,4502567501,Hc Closed Treatment Of Distal Radioulnar Dislocation W/Manipulation,1460.0,1460.0,,,0 CDM,4502660501,"Hc Closed Treatment Of Metacarpal Fracture, Single, W/Manip, Each Bone",871.0,871.0,,,0 CDM,4502674201,"Hc Closed Treatment Of Articular Fracture, Involving Metacarpophalangeal Or Interphalangeal Joint; W",4226.0,4226.0,,,0 CDM,4502677001,"Hc Closed Treatment Of Interphalangeal Joing Dislocation, W/Manip, W/O Anesth",515.0,515.0,,,0 CDM,4502725001,"Hc Closed Treatment Of Hip Dislocation, Traumatic, W/O Anesth",2210.0,2210.0,,,0 CDM,4502725201,"Hc Closed Treatment Of Hip Dislocation, Traumatic, Requiring Anesthesia",4226.0,4226.0,,,0 CDM,4502725601,"Hc Treatment Of Spontaneous Hip Dislocation, By Abduction, Splint Or Traction; W/O Anesthesia, W/O M",662.0,662.0,,,0 CDM,4502733101,"Hc Arthrotomy,Knee;Incl Joint Exploration,Bx/Rmvl Loose Foreign Bodies",8512.0,8512.0,,,0 CDM,4502756001,"Hc Closed Treatment Of Patellar Dislocation, W/O Anesth",545.0,545.0,,,0 CDM,4502775001,Hc Closed Treatment Of Tibial Shaft Fracture (With Or Without Fibular Fracture); Without Manipulatio,620.0,620.0,,,0 CDM,4502775201,"Hc Closed Treatment, Tibial Shaft Fracture W/W/O Fibular Fracture W/Manipulation W/W/O Skeletal Trac",4438.0,4438.0,,,0 CDM,4502776001,Hc Closed Treatment Of Medial Malleolus Fracture; Without Manipulation,620.0,620.0,,,0 CDM,4502776201,"Hc Closed Treatment Of Medial Malleolus Fracture; With Manipulation, With Or Without Skin Or Skeleta",4455.0,4455.0,,,0 CDM,4502778101,"Hc Closed Treatment, Proximal Fibula/Shaft Fracture W/Manipulation",4438.0,4438.0,,,0 CDM,4502778601,Hc Closed Rx Dist Fibula Fx,646.0,646.0,,,0 CDM,4502778801,"Hc Closed Treatment Of Distal Fibular Fracture, W/Manip",992.0,992.0,,,0 CDM,4502780801,Hc Closed Treatment Of Bimalleolar Ankle Fracture; Without Manipulation,620.0,620.0,,,0 CDM,4502781001,Hc Closed Treatment Of Bimalleolar Ankle Fracture; With Manipulation,4173.0,4173.0,,,0 CDM,4502781601,Hc Closed Rx Trimalleolar Fx,662.0,662.0,,,0 CDM,4502781801,"Hc Closed Rx Trimalleolar Fx,Manip",4438.0,4438.0,,,0 CDM,4502782501,"Hc Closed Tx Of Fracture Of Weight Bearing Articular Portion Of Distal Tibia, W/W/O Anesthesia; W/Sk",4417.0,4417.0,,,0 CDM,4502851501,"Hc Closed Treatment Toe Fracture, W/Manipulatn",545.0,545.0,,,0 CDM,4502866001,"Hc Closed Treatment, Toe Dislocation W/O Anesthesia",531.0,531.0,,,0 CDM,4502910501,Hc Application Of Long Arm Splint,384.0,384.0,,,0 CDM,4502912501,"Hc Application Forearm Splint,Static",384.0,384.0,,,0 CDM,4502912601,"Hc Apply Forearm Splint,Dynamic",336.0,336.0,,,0 CDM,4502913001,Hc Application Finger Splint Static,362.0,362.0,,,0 CDM,4502934501,Hc Apply Long Leg Cast,733.0,733.0,,,0 CDM,4502940501,Hc Application Short Leg Cast,821.0,821.0,,,0 CDM,4502950501,Hc Application Long Leg Splint,384.0,384.0,,,0 CDM,4502951501,Hc Application Lower Leg Splint,384.0,384.0,,,0 CDM,4503030001,"Hc Remove Nasal Foreign Body, Intranasal",208.0,208.0,,,0 CDM,4503090101,"Hc Control Nasal Hemorrhage, Anterior, Simple - Any Method",450.0,450.0,,,0 CDM,4503090301,"Hc Ctrl Nosebleed,Anter,Complex",359.0,359.0,,,0 CDM,4503090501,"Hc Ctrl Nosebleed,Post,W/Packs &/Or Caut",343.0,343.0,,,0 CDM,4503090601,"Hc Control Nasal Hemorrhage, Posterior, Subsequent",343.0,343.0,,,0 CDM,4503150001,Hc Insert Emergency Endotrach Airway,1175.0,1175.0,,,0 CDM,4503152501,"Hc Laryngoscopy Direct, With Or Without Tracheoscopy; Diagnostic, Except Newborn",4463.0,4463.0,,,0 CDM,4503255101,"Hc Tube Thoracostomy Includes Connection To Drainage System, Open",4548.0,4548.0,,,0 CDM,4503520601,"Hc Repair Blood Vessel, Direct; Upper Extremity",7554.0,7554.0,,,0 CDM,4504180001,Hc I&D Abscess -Cyst-Hema Dentoalveolar Structures,452.0,452.0,,,0 CDM,4504270001,Hc Inc/Drain Peritonsil Abscess,996.0,996.0,,,0 CDM,4504376201,"Hc Replacement, Gastrostomy Tube, Perq, Incl Removal, W/O Imaging/Endoscopic Guidance; Not Requiring",1252.0,1252.0,,,0 CDM,4504376301,"Hc Replacement, Gastrostomy Tube, Perq, Incl Removal, W/O Imaging/Endoscopic Guidance; Requiring Rev",650.0,650.0,,,0 CDM,4504605001,"Hc I&D Perianal Abscess,Superficial",1137.0,1137.0,,,0 CDM,4504660001,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,282.0,282.0,,,0 CDM,4504908201,Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance,1400.0,1400.0,,,0 CDM,4504945001,Hc Replace Gastrostomy/Cecostomy Tube Percutaneous,2769.0,2769.0,,,0 CDM,4505104001,"Hc Cystostomy, Cystotomy With Drainage",5357.0,5357.0,,,0 CDM,4505170001,"Hc Bladder Irrigation, Simple, Lavage/Instillation",1283.0,1283.0,,,0 CDM,4505170101,"Hc Insert,Non-Indwelling Bladder Catheter",524.0,524.0,,,0 CDM,4505170201,"Hc Insert,Temp Indwelling Bladder Catheter,Simple",524.0,524.0,,,0 CDM,4505170501,"Hc Change Of Bladder Tube,Simple",1184.0,1184.0,,,0 CDM,4505200501,"Hc Cystourethroscopy W/Ureteral Catheterization, W/W/O Irrigation, Instillation Or Ureteropyelograph",5653.0,5653.0,,,0 CDM,4505411501,Hc Removal Foreign Body From Deep Penile Tissue,8040.0,8040.0,,,0 CDM,4505422001,"Hc Irrigation Corpus Cavernosa, Priapism",987.0,987.0,,,0 CDM,4505423501,"Hc Inject Corpora Cavern,Pharm Agnt",672.0,672.0,,,0 CDM,4505443501,Hc Corpora Cavernosa-Glans Penis Fistulization For Priapism,8666.0,8666.0,,,0 CDM,4505640501,Hc I&D Of Vulva/Perineum Abscess,507.0,507.0,,,0 CDM,4505642001,Hc I&D Bartholin Gland Abscess,507.0,507.0,,,0 CDM,4505674001,Hc Excision Of Bartholin's Gland Or Cyst,8221.0,8221.0,,,0 CDM,4505720001,"Hc Colporrhaphy, Suture, Injury Of Vagina (Nonobstetrical)",7396.0,7396.0,,,0 CDM,4505940901,"Hc Obstetrical Care,Vaginal Delivery Only",11459.0,11459.0,,,0 CDM,4506440001,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Trigeminal Nerve, Each Branch",779.0,779.0,,,0 CDM,4506445001,"Hc Inject Nerv Blck,Othr Periph Nerv",2910.0,2910.0,,,0 CDM,45064_C1768_278,Noncdm Charge Record Medical Supplies,7098.3,7098.3,,,0 CDM,4506522201,"Hc Removal Of Foreign Body, External Eye; Corneal, W/Slit Lamp",336.0,336.0,,,0 CDM,4506702801,Hc Inject Intravitreal Pharmcologic,531.0,531.0,,,0 CDM,4506770001,"Hc Blepharotomy, Drainage Of Abscess, Eyelid",821.0,821.0,,,0 CDM,4506793801,"Hc Removal Of Embedded Foreign Body, Eyelid",730.0,730.0,,,0 CDM,4506920001,Hc Removal Foreign Body From External Auditory Canal; W/O General Anesthesia,208.0,208.0,,,0 CDM,4506920501,Hc Removal Foreign Body From External Auditory Canal; W/General Anesthesia,4472.0,4472.0,,,0 CDM,4506920901,"Hc Removal Impacted Cerumen Using Irrigation/Lavage, Unilateral",222.0,222.0,,,0 CDM,4506921001,Hc Removal Impacted Cerumen (Separate Procedure) One Or Both Ears,359.0,359.0,,,0 CDM,4506_270,Noncdm Charge Record Medical Supplies,514.8,514.8,,,0 CDM,45090_C1713_278,Noncdm Charge Record Medical Supplies,148.5,148.5,,,0 CDM,4509295001,Hc Heart/Lung Resuscitation (Cpr),1510.0,1510.0,,,0 CDM,4509296001,Hc Cardioversion Electric Ext - Cardioversion External,2677.0,2677.0,,,0 CDM,4509637301,"Hc Therapeutic, Prophylactic, Dx Injection - Intra-Arterial",650.0,650.0,,,0 CDM,45098_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,4509928101,Hc Emergency Department Level 1 Visit Limited/Minor Prob,605.0,605.0,,,0 CDM,4509928201,Hc Emergency Department Level 2 Visit Low/Moder Severity,958.0,958.0,,,0 CDM,4509928301,Hc Emergency Department Level 3 Visit Moderate Severity,1513.0,1513.0,,,0 CDM,4509928401,Hc Emergency Department Level 4 Visit High/Urgent Severity,2018.0,2018.0,,,0 CDM,4509928501,Hc Emergency Department Level 5 Visit High Severity&Threat Func,2522.0,2522.0,,,0 CDM,4509929101,"Hc Critical Care, E/M 30-74 Minutes",3026.0,3026.0,,,0 CDM,4509929201,"Hc Critical Care, Addl 30 Min",1513.0,1513.0,,,0 CDM,45104_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,45106_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,45108_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,45110_C1713_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,45112_C1713_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,45116_C1713_278,Noncdm Charge Record Medical Supplies,273.35,273.35,,,0 CDM,45118_C1713_278,Noncdm Charge Record Medical Supplies,273.46,273.46,,,0 CDM,45130_C1713_278,Noncdm Charge Record Medical Supplies,382.8,382.8,,,0 CDM,45134_C1781_278,Noncdm Charge Record Medical Supplies,1195.7,1195.7,,,0 CDM,45160_C1713_278,Noncdm Charge Record Medical Supplies,117.7,117.7,,,0 CDM,45164_C1713_278,Noncdm Charge Record Medical Supplies,117.42,117.42,,,0 CDM,45168_C1713_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,45170_C1713_278,Noncdm Charge Record Medical Supplies,281.6,281.6,,,0 CDM,45186_C1713_278,Noncdm Charge Record Medical Supplies,211.2,211.2,,,0 CDM,45188_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45190_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45192_C1713_278,Noncdm Charge Record Medical Supplies,242.04,242.04,,,0 CDM,45194_C1713_278,Noncdm Charge Record Medical Supplies,242.05,242.05,,,0 CDM,45196_C1713_278,Noncdm Charge Record Medical Supplies,242.12,242.12,,,0 CDM,45198_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45200_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45206_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45210_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45214_C1713_278,Noncdm Charge Record Medical Supplies,375.1,375.1,,,0 CDM,45218_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45220_C1713_278,Noncdm Charge Record Medical Supplies,242.0,242.0,,,0 CDM,45268_C1713_278,Noncdm Charge Record Medical Supplies,179.3,179.3,,,0 CDM,45272_C1713_278,Noncdm Charge Record Medical Supplies,257.75,257.75,,,0 CDM,45274_C1713_278,Noncdm Charge Record Medical Supplies,257.75,257.75,,,0 CDM,45276_C1713_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,45280_C1781_278,Noncdm Charge Record Medical Supplies,398.2,398.2,,,0 CDM,45324_270,Noncdm Charge Record Medical Supplies,415.56,415.56,,,0 CDM,45326_270,Noncdm Charge Record Medical Supplies,415.74,415.74,,,0 CDM,4532_270,Noncdm Charge Record Medical Supplies,650.1,650.1,,,0 CDM,45330_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,45332_270,Noncdm Charge Record Medical Supplies,415.6,415.6,,,0 CDM,45334_270,Noncdm Charge Record Medical Supplies,415.56,415.56,,,0 CDM,45336_270,Noncdm Charge Record Medical Supplies,415.76,415.76,,,0 CDM,4533_270,Noncdm Charge Record Medical Supplies,361.9,361.9,,,0 CDM,45416_C1894_278,Noncdm Charge Record Medical Supplies,20.02,20.02,,,0 CDM,45418_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,45420_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,45422_C1766_278,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,45448_C1887_278,Noncdm Charge Record Medical Supplies,80.5,80.5,,,0 CDM,45520_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45522_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45524_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45526_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45546_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,45548_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,45550_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,4560_00093031101,Loperamide Hydrochloride: 100 Capsule In 1 Bottle (0093-0311-01),4.88,4.88,,,0 CDM,4560_51079069001,NDC Description Not Available,2.11,2.11,,,0 CDM,4560_60687022911,NDC Description Not Available,2.73,2.73,,,0 CDM,45650_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,45652_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,45654_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,45656_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,45684_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,45686_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,45688_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,45696_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,45698_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,45716_C1894_278,Noncdm Charge Record Medical Supplies,178.2,178.2,,,0 CDM,4571_00121077001,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01) / 30 Ml In 1 Bottle, Dropper",3.63,3.63,,,0 CDM,4571_50383070530,Lorazepam: 1 BOTTLE in 1 CARTON (50383-705-30) / 30 mL in 1 BOTTLE,2.62,2.62,,,0 CDM,45720_C1776_278,Noncdm Charge Record Medical Supplies,17122.6,17122.6,,,0 CDM,45720_L8699_278,Noncdm Charge Record Medical Supplies,17122.73,17122.73,,,0 CDM,45722_L8699_278,Noncdm Charge Record Medical Supplies,29739.6,29739.6,,,0 CDM,45726_270,Noncdm Charge Record Medical Supplies,360.8,360.8,,,0 CDM,4572_00093342501,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",2.4,2.4,,,0 CDM,4572_00187006301,Ativan: 100 Tablet In 1 Bottle (0187-0063-01),148.32,148.32,,,0 CDM,4572_00591024001,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0240-01)",2.16,2.16,,,0 CDM,4572_00904600761,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61) / 1 Tablet In 1 Blister Pack,0.35,0.35,,,0 CDM,4572_13107008305,Lorazepam: 500 Tablet In 1 Bottle (13107-083-05),3.09,3.09,,,0 CDM,4572_43063005706,"Lorazepam: 6 TABLET in 1 BOTTLE, PLASTIC (43063-057-06)",6.18,6.18,,,0 CDM,4572_60687062711,NDC Description Not Available,0.73,0.73,,,0 CDM,4572_69315090401,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),2.18,2.18,,,0 CDM,4573_00093342601,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",3.04,3.04,,,0 CDM,4573_00093342605,"Lorazepam: 500 Tablet In 1 Bottle, Plastic (0093-3426-05)",3.04,3.04,,,0 CDM,4573_00591024101,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0241-01)",3.02,3.02,,,0 CDM,4573_00591024105,"Lorazepam: 500 TABLET in 1 BOTTLE, PLASTIC (0591-0241-05)",3.09,3.09,,,0 CDM,4573_00904600861,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61) / 1 Tablet In 1 Blister Pack,0.42,0.42,,,0 CDM,4573_13107008405,Lorazepam: 500 Tablet In 1 Bottle (13107-084-05),2.83,2.83,,,0 CDM,4573_55289048702,"Lorazepam: 2 TABLET in 1 BOTTLE, PLASTIC (55289-487-02)",49.96,49.96,,,0 CDM,4573_55289048704,"Lorazepam: 4 TABLET in 1 BOTTLE, PLASTIC (55289-487-04)",1.29,1.29,,,0 CDM,4573_55289048779,"Lorazepam: 1 TABLET in 1 BOTTLE, PLASTIC (55289-487-79)",80.34,80.34,,,0 CDM,4573_60687063811,NDC Description Not Available,0.59,0.59,,,0 CDM,4573_63304077301,Lorazepam: 100 Tablet In 1 Bottle (63304-773-01),0.47,0.47,,,0 CDM,4573_69315090501,Lorazepam: 100 Tablet In 1 Bottle (69315-905-01),2.85,2.85,,,0 CDM,4573_69315090505,Lorazepam: 500 Tablet In 1 Bottle (69315-905-05),2.69,2.69,,,0 CDM,4573_72789035630,"Lorazepam: 30 Tablet In 1 Bottle, Plastic (72789-356-30)",1.31,1.31,,,0 CDM,45742_270,Noncdm Charge Record Medical Supplies,389.95,389.95,,,0 CDM,45756_C1713_278,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,45830_C1769_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,45864_270,Noncdm Charge Record Medical Supplies,886.6,886.6,,,0 CDM,45878_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45880_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45882_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,45900_270,Noncdm Charge Record Medical Supplies,810.24,810.24,,,0 CDM,45904_270,Noncdm Charge Record Medical Supplies,435.6,435.6,,,0 CDM,4600_00591037101,"Loxapine: 100 Capsule In 1 Bottle, Plastic (0591-0371-01)",6.95,6.95,,,0 CDM,46072_270,Noncdm Charge Record Medical Supplies,1188.0,1188.0,,,0 CDM,4609401002,Hc Breathing Capacity Test - Spirometry Without Bronchodilator,848.0,848.0,,,0 CDM,4609401003,Hc Breathing Capacity Test - Breathing Capacity Test,848.0,848.0,,,0 CDM,4609401004,Hc Breathing Capacity Test - Spirometry,848.0,848.0,,,0 CDM,4609406001,Hc Eval Of Bronchospasm - Spirometry With Bronchodilator,1438.0,1438.0,,,0 CDM,4609407001,"Hc Eval Of Bronchospasm,Prolonged - Bronchial Challenge W Methacholine",2472.0,2472.0,,,0 CDM,4609415002,"Hc Vital Capacity Test - Vital Capacity Test, Total",848.0,848.0,,,0 CDM,4609420001,Hc Lung Function Test (Mbc/Mvv) - Trans-Diaphragmatic Pressure,592.0,592.0,,,0 CDM,4609437501,Hc Respiratory Flow Volume Loop - Flow Volume Loop,826.0,826.0,,,0 CDM,46094375PB,Hc Pbb Respiratory Flow Volume Loop,826.0,826.0,,,0 CDM,4609445201,Hc Hast W/Report - High Altitude Simulation Test,336.0,336.0,,,0 CDM,4609461701,"Hc Exercise Test For Bronchospasm, Incl Pre/Post-Spirometry And Pulse Oximetry W/Ecg",365.0,365.0,,,0 CDM,4609461801,Hc Pulm Stress Testg Simp Or Comp (Six Minute Walk Test),652.0,652.0,,,0 CDM,4609462101,"Hc Cardiopulmonary Exercise Testing - Complex Stress Test, Metobolic",1676.0,1676.0,,,0 CDM,46094664PB,"Hc Pbb Demo &/Or Eval,Pt Use,Aerosol Device",402.0,402.0,,,0 CDM,4609468101,"Hc Rt Exhaled Air Analysis: O2, Co2",1672.0,1672.0,,,0 CDM,4609469001,"Hc Indirect Calorimetry, Rest",1275.0,1275.0,,,0 CDM,4609472601,Hc Pulm Funct Tst Plethysmograp - Plethysmography,1438.0,1438.0,,,0 CDM,4609472602,Hc Pulm Funct Tst Plethysmograp - Body Plethysmographic Lung Volumes,1438.0,1438.0,,,0 CDM,4609472702,Hc Pulm Function Test By Gas - Gas Dilution Or Washout - Lung Volumes,848.0,848.0,,,0 CDM,4609472801,Hc Airway Resistance By Imp Oscillmetry,1438.0,1438.0,,,0 CDM,4609472901,Hc Diffusing Capacity - Carbon Monoxide Diffusing Capacity,1719.0,1719.0,,,0 CDM,4609475001,Hc Pulmonary Compliance Study - Pulmonary Compliance Study,1702.0,1702.0,,,0 CDM,4609476001,"Hc Noninvasive Pulse Oximetry, Oxygen Saturation, Single Determination",124.0,124.0,,,0 CDM,4609476003,"Hc Neonate Noninvasive Pulse Oximetry, Oxygen Saturation, Single Determination",124.0,124.0,,,0 CDM,4609476101,"Hc Noninvasive Pulse Oximetry, Oxygen Saturation, Multiple Determn, With Exercise",202.0,202.0,,,0 CDM,46094761PB,"Hc Pbb Noninvasv Oxygen Satur,Multiple",202.0,202.0,,,0 CDM,4609476201,"Hc Rt Noninvasive Oxygen Saturation, Continuous Oximetry",961.0,961.0,,,0 CDM,4609478001,Hc Car Seat/Bed Testing W/Interp & Report 60 Min,161.0,161.0,,,0 CDM,4609478101,Hc Car Seat/Bed Testng W/Interp & Report +30Min,80.0,80.0,,,0 CDM,4609479901,Hc Hi Flow Oxygen Delivery,1438.0,1438.0,,,0 CDM,4609479902,Hc Nitric Oxide Challenge,1438.0,1438.0,,,0 CDM,4609479903,Hc Apnea Test,1438.0,1438.0,,,0 CDM,4609479904,Hc End - Tidal Co2 Measurement,1438.0,1438.0,,,0 CDM,4609479905,Hc Maximal Resp Pressures - (Mip/Mep),592.0,592.0,,,0 CDM,46095012PB,Hc Pbb Nitric Oxide Expired Gas Determination,109.0,109.0,,,0 CDM,46124_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,46126_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,46128_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,46132_C1725_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,46236_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,469_00781340485,NDC Description Not Available,15.54,15.54,,,0 CDM,469_00781340495,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3404-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3404-85)",15.47,15.47,,,0 CDM,469_00781940485,NDC Description Not Available,15.55,15.55,,,0 CDM,4710211T01,"Hc Speech Audiometry Threshold, Automated; With Speech Recognition",108.0,108.0,,,0 CDM,47146_C1772_278,Noncdm Charge Record Medical Supplies,14254.9,14254.9,,,0 CDM,47172_C1894_278,Noncdm Charge Record Medical Supplies,566.5,566.5,,,0 CDM,4719251701,"Hc Vestibular Evoked Myogenic Potential (Vemp) Testing, With Interpretation And Report; Cervical (Cv",432.0,432.0,,,0 CDM,4719253701,Hc Caloric Vestibular Test W/Rec Bi Bithermal,515.0,515.0,,,0 CDM,4719253801,Hc Caloric Vestibular Test W/Rec Bi Monothermal,385.0,385.0,,,0 CDM,4719254001,Hc Aud Basic Vestibular Evaluation,1201.0,1201.0,,,0 CDM,4719254101,Hc Aud Spont Nyst Test W/Rec,497.0,497.0,,,0 CDM,4719254201,Hc Aud Posit Nyst Test W/Rec,497.0,497.0,,,0 CDM,4719254501,Hc Oscillating Tracking Test - Oscillating Tracking Test,707.0,707.0,,,0 CDM,4719254601,Hc Sinusoidal Vertical Axis Rotational Testing,473.0,473.0,,,0 CDM,4719254701,Hc Use Of Vertical Electrodes,196.0,196.0,,,0 CDM,4719254801,"Hc Cdp-Sot, 6 Conditions Including Interpretation And Report",336.0,336.0,,,0 CDM,4719254901,Hc Cdp-Sot 6 Conditions W/I&R W/Mct & Adt,373.0,373.0,,,0 CDM,4719255001,Hc Tympanometry And Reflex Threshold Measurements,461.0,461.0,,,0 CDM,4719255101,"Hc Screening Test, Pure Tone, Air Only",261.0,261.0,,,0 CDM,47192551PB,"Hc Pbb Pure Tone Hearing Test, Air",261.0,261.0,,,0 CDM,4719255201,"Hc Pure Tone Audiometry, Air",390.0,390.0,,,0 CDM,47192552PB,"Hc Pbb Pure Tone Audiometry, Air",390.0,390.0,,,0 CDM,4719255301,"Hc Audiometry, Air & Bone",765.0,765.0,,,0 CDM,4719255501,Hc Speech Threshold Audiometry,271.0,271.0,,,0 CDM,4719255601,"Hc Speech Audiometry, Complete",336.0,336.0,,,0 CDM,4719255701,Hc Comprehensive Hearing Test,913.0,913.0,,,0 CDM,4719256501,"Hc Stenger Test, Pure Tone",239.0,239.0,,,0 CDM,4719256701,Hc Tympanometry,420.0,420.0,,,0 CDM,4719256801,Hc Acoustic Reflex Testing,317.0,317.0,,,0 CDM,4719257001,Hc Acoustic Immit Test Tympanometry/Acoust Reflex/Decay,482.0,482.0,,,0 CDM,4719257901,Hc Visual Audiometry (Vra),907.0,907.0,,,0 CDM,4719258201,Hc Conditioning Play Audiometry,461.0,461.0,,,0 CDM,4719258401,Hc Electrocochleography,581.0,581.0,,,0 CDM,4719258601,"Hc Auditory Evoked Potential, Limited",1448.0,1448.0,,,0 CDM,4719258701,"Hc Evoked Auditory Test,Limited",860.0,860.0,,,0 CDM,4719258801,"Hc Evoked Auditory Test,Comprehsv",1091.0,1091.0,,,0 CDM,4719260301,"Hc Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog",349.0,349.0,,,0 CDM,4719260401,"Hc Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog",349.0,349.0,,,0 CDM,47192610PB,"Hc Pbb Eval,Oral & Pharyngeal Swallow Function",597.0,597.0,,,0 CDM,4719262001,"Hc Auditory Function, 60 Min",437.0,437.0,,,0 CDM,4719262101,"Hc Auditory Function, + 15 Min",108.0,108.0,,,0 CDM,4719262601,"Hc Eval Auditory Rehab Status, 1St Hour",349.0,349.0,,,0 CDM,4719265001,"Hc Auditor Evoked Potentials, Screening W/Stimuli & Analysis",335.0,335.0,,,0 CDM,4719265201,"Hc Auditor Evoked Potentials; Threshold Estimation, Multiple Freq, I&Rpt",635.0,635.0,,,0 CDM,4719265301,"Hc Auditor Evoked Potentials; Neurodiagnostic, W/I&Rpt",635.0,635.0,,,0 CDM,4720_00409216817,NDC Description Not Available,0.83,0.83,,,0 CDM,4720_00409216877,"Magnesium Sulfate: 25 Vial, Plastic In 1 Tray (0409-2168-77) / 20 Ml In 1 Vial, Plastic (0409-2168-17)",0.88,0.88,,,0 CDM,4720_63323006401,NDC Description Not Available,5.05,5.05,,,0 CDM,4720_63323006402,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",4.36,4.36,,,0 CDM,4720_63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",4.8,4.8,,,0 CDM,4720_63323006404,NDC Description Not Available,2.16,2.16,,,0 CDM,4720_63323006411,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",1.69,1.69,,,0 CDM,4720_63323006421,NDC Description Not Available,2.59,2.59,,,0 CDM,4720_63323006423,"Magnesium Sulfate: 25 Vial, Glass In 1 Tray (63323-064-23) / 2 Ml In 1 Vial, Glass (63323-064-21)",2.58,2.58,,,0 CDM,4720_63323064201,NDC Description Not Available,2.02,2.02,,,0 CDM,4720_63323064202,NDC Description Not Available,1.99,1.99,,,0 CDM,4720_63323064220,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-642-20) / 20 Ml In 1 Vial, Single-Dose (63323-642-01)",1.96,1.96,,,0 CDM,4720_63323064250,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-642-50) / 50 Ml In 1 Vial, Single-Dose (63323-642-02)",2.19,2.19,,,0 CDM,47244_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,472_00409372001,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",6.44,6.44,,,0 CDM,472_00409372010,NDC Description Not Available,6.44,6.44,,,0 CDM,472_00781340880,NDC Description Not Available,12.09,12.09,,,0 CDM,472_00781340895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",15.17,15.17,,,0 CDM,472_00781940880,NDC Description Not Available,15.1,15.1,,,0 CDM,472_00781940895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9408-80)",15.12,15.12,,,0 CDM,472_25021013720,"Ampicillin: 10 Vial In 1 Carton (25021-137-20) / 1 Injection, Powder, For Solution In 1 Vial",8.09,8.09,,,0 CDM,472_44567010310,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",11.88,11.88,,,0 CDM,472_55150011420,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",14.35,14.35,,,0 CDM,472_72485042201,NDC Description Not Available,7.69,7.69,,,0 CDM,472_72485042210,"Ampicillin Sodium: 10 Vial In 1 Carton (72485-422-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-422-01)",7.66,7.66,,,0 CDM,47376_C1894_278,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,47380_C2617_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,47382_C1769_278,Noncdm Charge Record Medical Supplies,281.72,281.72,,,0 CDM,473_65219001401,NDC Description Not Available,9.27,9.27,,,0 CDM,47484_C1874_278,Noncdm Charge Record Medical Supplies,4112.9,4112.9,,,0 CDM,47486_C1874_278,Noncdm Charge Record Medical Supplies,4113.18,4113.18,,,0 CDM,4749_00338035702,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),216.3,216.3,,,0 CDM,4749_00338035703,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),270.84,270.84,,,0 CDM,4749_00990771513,NDC Description Not Available,83.22,83.22,,,0 CDM,474_00409371801,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",10.04,10.04,,,0 CDM,474_00781340778,NDC Description Not Available,6.56,6.56,,,0 CDM,474_00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",7.36,7.36,,,0 CDM,474_00781940778,NDC Description Not Available,2.74,2.74,,,0 CDM,474_44567010110,"Ampicillin: 10 Vial In 1 Tray (44567-101-10) / 1 Injection, Powder, For Solution In 1 Vial",6.21,6.21,,,0 CDM,474_65219001601,NDC Description Not Available,5.77,5.77,,,0 CDM,474_72603022101,NDC Description Not Available,7.18,7.18,,,0 CDM,47502_C1893_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,47504_C1893_278,Noncdm Charge Record Medical Supplies,147.91,147.91,,,0 CDM,4750_00409403101,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01) / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",12.69,12.69,,,0 CDM,4750_00409403116,NDC Description Not Available,12.36,12.36,,,0 CDM,4750_63323002401,NDC Description Not Available,23.47,23.47,,,0 CDM,4750_63323002425,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",2.58,2.58,,,0 CDM,47546_C1887_272,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,47546_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,47568_C1893_278,Noncdm Charge Record Medical Supplies,34.35,34.35,,,0 CDM,47570_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,47572_C1887_278,Noncdm Charge Record Medical Supplies,80.2,80.2,,,0 CDM,47588_C1887_278,Noncdm Charge Record Medical Supplies,1081.3,1081.3,,,0 CDM,47598_C2617_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,47731_C1874_278,Noncdm Charge Record Medical Supplies,4113.18,4113.18,,,0 CDM,47732_C1874_278,Noncdm Charge Record Medical Supplies,4112.9,4112.9,,,0 CDM,47733_C1874_278,Noncdm Charge Record Medical Supplies,4113.04,4113.04,,,0 CDM,47751_C1751_278,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,47752_C1751_278,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,47753_C1751_278,Noncdm Charge Record Medical Supplies,611.6,611.6,,,0 CDM,47754_C1751_278,Noncdm Charge Record Medical Supplies,149.6,149.6,,,0 CDM,47767_270,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,47804_C1772_278,Noncdm Charge Record Medical Supplies,14254.9,14254.9,,,0 CDM,47864_270,Noncdm Charge Record Medical Supplies,425.7,425.7,,,0 CDM,47876_270,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,47887_Q0506_274,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,47892_Q0501_274,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 CDM,47895_Q0508_274,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,47898_C1889_278,Noncdm Charge Record Medical Supplies,9262.0,9262.0,,,0 CDM,4790000001,Hc Hearing Screen,388.0,388.0,,,0 CDM,47913_270,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,47914_270,Noncdm Charge Record Medical Supplies,708.33,708.33,,,0 CDM,47916_C1768_278,Noncdm Charge Record Medical Supplies,2733.1,2733.1,,,0 CDM,47917_C1768_278,Noncdm Charge Record Medical Supplies,3397.17,3397.17,,,0 CDM,47923_C1766_278,Noncdm Charge Record Medical Supplies,78.1,78.1,,,0 CDM,47933_270,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,4800000006,Noncdm Charge Record,1371.89,1371.89,,,0 CDM,4800266T01,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Total System",21917.0,21917.0,,,0 CDM,4800267T01,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Lead Only, Unilateral",7386.0,7386.0,,,0 CDM,4800268T01,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Pulse Generator Only",18942.0,18942.0,,,0 CDM,4800269T01,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Total System",12924.0,12924.0,,,0 CDM,4800270T01,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Lead Only, Unilateral",7386.0,7386.0,,,0 CDM,4800271T01,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Pulse Generator Only",7386.0,7386.0,,,0 CDM,4800272T01,"Hc Interrogation Device Eval (In Person), Carotid Sinus Baroreflex Activation System",467.0,467.0,,,0 CDM,4800273T01,"Hc Interrogation Device Eval (In Person), Carotid Sinus Baroreflex Activation System,?W/Programming",467.0,467.0,,,0 CDM,4800408T01,Hc Insert/Replace Ccm System,55296.0,55296.0,,,0 CDM,4800409T01,Hc Insert/Replace Ccm Gen/Only,55296.0,55296.0,,,0 CDM,4800410T01,Hc Insert Ccm Lead (Atrial) Only,19566.0,19566.0,,,0 CDM,4800411T01,Hc Insert Ccm Lead (Vent) Only,19566.0,19566.0,,,0 CDM,4800412T01,Hc Removal Ccm Sys (Gen) Only,8257.0,8257.0,,,0 CDM,4800413T01,Hc Removal Ccm Lead (Atrial/Vent),8257.0,8257.0,,,0 CDM,4800414T01,Hc Rmvl/Repl Ccm Sys (Gen) Only,55296.0,55296.0,,,0 CDM,4800415T01,Hc Repos. Ccm Lead (Atrial/Vent),1300.0,1300.0,,,0 CDM,4800416T01,Hc Ccm Pocket Relocation,4117.0,4117.0,,,0 CDM,4800417T01,Hc Program Ccm Device (In Person),102.0,102.0,,,0 CDM,4800418T01,Hc Intg/Ccm Device (In Person),102.0,102.0,,,0 CDM,4800424T01,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Complete System",85737.0,85737.0,,,0 CDM,4800425T01,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Sensing Lead Only",32718.0,32718.0,,,0 CDM,4800426T01,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Stimulation Lead Only",32718.0,32718.0,,,0 CDM,4800427T01,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Pulse Generator Only",85737.0,85737.0,,,0 CDM,4800428T01,"Hc Removal Neurostimulator, Sleep Apnea, Pulse Generator Only",9537.0,9537.0,,,0 CDM,4800429T01,"Hc Removal Neurostimulator System, Sleep Apnea, Sensing Lead Only",9537.0,9537.0,,,0 CDM,4800430T01,"Hc Removal Neurostimulator, Sleep Apnea, Stimulation Lead Only",9537.0,9537.0,,,0 CDM,4800431T01,"Hc Removal/Replacement Neurostimulator, Sleep Apnea, Pulse Generator Only",85737.0,85737.0,,,0 CDM,4800432T01,"Hc Reposition Neurostimulator, Sleep Apnea, Stimulation Lead Only",9537.0,9537.0,,,0 CDM,4800433T01,"Hc Reposition Neurostimulator, Sleep Apnea, Sensing Lead Only",9537.0,9537.0,,,0 CDM,4800502T01,Hc Cta Ffr - Data Prep/Transmission,1294.0,1294.0,,,0 CDM,4800503T01,Hc Cta Ffr - Analysis,3016.0,3016.0,,,0 CDM,4800515T01,"Hc Insertion Wireless Cardiac Stimulator Lft Vent Pacing, Complete System",36758.0,36758.0,,,0 CDM,4800516T01,Hc Insert Wireless Cardiac Stimulator For Left Ventricular Pacing Electrode Only,12373.0,12373.0,,,0 CDM,4800517T01,"Hc Ep Insert Wireless Cardiac Stimulator Lv, Interrog/Progr/Img/Interp",12373.0,12373.0,,,0 CDM,4800518T01,Hc Removal Battery &/Or Transmitter Of Wireless Cardiac Stimulator For Left Ventricular Pacing,6386.0,6386.0,,,0 CDM,4800519T01,"Hc Removal/Replacemnt Wireless Cardiac Stimulator, Pulse Gen Components, Bat /Or Trans",6386.0,6386.0,,,0 CDM,4800520T01,"Hc Rmvl/Repl Wireless Cardiac Stimulator For Left Ventricular Pacing, Bat &/Or Trans, New Electrode",36758.0,36758.0,,,0 CDM,4800521T01,"Hc Interrogation Device Eval, In Person, Wireless Cardiac Stimulator For Left Ventricular Pacing",71.0,71.0,,,0 CDM,4800522T01,"Hc Programng Device Eval, In Person, Wireless Cardiac Stimulator For Left Ventricular Pacing",153.0,153.0,,,0 CDM,4800571T01,"Hc Insertion/Replacement Of Icd System W/Substernal Electrode(S), Incl All Imaging Guidance And Elec",75230.0,75230.0,,,0 CDM,4800572T01,Hc Insertion Of Substernal Implantable Defibrillator Electrode,19427.0,19427.0,,,0 CDM,4800573T01,Hc Removal Of Substernal Implantable Defibrillator Electrode,8980.0,8980.0,,,0 CDM,4800574T01,Hc Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode,8980.0,8980.0,,,0 CDM,4800575T01,Hc Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System W/Subs,86.0,86.0,,,0 CDM,4800576T01,Hc Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System W/Su,86.0,86.0,,,0 CDM,4800577T01,Hc Electrophysiologic Evaluation Of Icd System W/Substernal Electrode,3129.0,3129.0,,,0 CDM,4800578T01,"Hc Interrogation Device Evaluation(S) (Remote), Up To 90 Days, Substernal Lead Implantable Cardiover",102.0,102.0,,,0 CDM,4800579T01,"Hc Interrogation Device Evaluation(S) (Remote), Up To 90 Days, Substernal Lead Implantable Cardiover",99.0,99.0,,,0 CDM,4800580T01,Hc Removal Of Substernal Implantable Defibrillator Pulse Generator Only,8980.0,8980.0,,,0 CDM,4800614T01,Hc Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator,53901.0,53901.0,,,0 CDM,4800650T01,Hc Prgrmg Device Eval (Remote) Scrms W/Iterative Adj Of Implantable Device To Test The Function Of T,117.0,117.0,,,0 CDM,4800795T01,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 CDM,4800796T01,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 CDM,4800797T01,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 CDM,4800798T01,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 CDM,4800799T01,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 CDM,48007_270,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,4800800T01,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 CDM,4800801T01,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 CDM,4800802T01,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 CDM,4800803T01,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 CDM,4800804T01,Hc Prgrmg Device Eval (In Person) Ldls Pm Sys 2Chmbr W/Iterative Adj Of Implantable Device To Test T,114.0,114.0,,,0 CDM,4800823T01,"Hc Transcatheter Insertion Of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including I",44603.0,44603.0,,,0 CDM,4800824T01,"Hc Transcatheter Removal Of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Ima",7296.0,7296.0,,,0 CDM,4800825T01,"Hc Transcatheter Removal And Replacement Of Permanent Single-Chamber Leadless Pacemaker, Right Atria",44603.0,44603.0,,,0 CDM,4800826T01,Hc Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To,99.0,99.0,,,0 CDM,4800861T01,Hc Removal Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing; Both Comp,8989.0,8989.0,,,0 CDM,4800862T01,"Hc Relocation Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Includ",4174.0,4174.0,,,0 CDM,4800863T01,"Hc Relocation Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Includ",4174.0,4174.0,,,0 CDM,4800864T01,"Hc Low-Intensity Extracorporeal Shock Wave Therapy Involving Corpus Cavernosum, Low Energy",687.0,687.0,,,0 CDM,4800926T01,"Hc Programming Device Evaluation (In Person), Including Review And Report, Implantable Ccm-D System",104.0,104.0,,,0 CDM,4800927T01,"Hc Interrogation Device Evaluation (In Person), Per Patient Encounter, Implantable Ccm-D System",104.0,104.0,,,0 CDM,4800929T01,"Hc Interrogation Device Evaluation (Remote), Up To 90 Days, Ccm-D System, Remote Data Acquisition(S)",104.0,104.0,,,0 CDM,4800930T01,"Hc Electrophysiologic Eval Of Ccm-D Leads, Incl Defibrillation-Threshold Eval, At Time Of Initial Im",2914.0,2914.0,,,0 CDM,4800931T01,"Hc Electrophysiologic Eval Of Ccm-D Leads, Incl Defibrillation-Threshold Eval, Separate From Initial",2914.0,2914.0,,,0 CDM,48021_C9359_278,Noncdm Charge Record Medical Supplies,1889.8,1889.8,,,0 CDM,48021_C9359_636,Noncdm Charge Record Pharmacy,1769.54,1769.54,,,0 CDM,48025_C1768_278,Noncdm Charge Record Medical Supplies,5728.8,5728.8,,,0 CDM,4803320601,Hc Ep Inser Hart Pacer Xvenous Atrial,8442.0,8442.0,,,0 CDM,4803320701,Hc Ep Inser Hart Pacer Xvenous Ventr,8442.0,8442.0,,,0 CDM,4803320801,Hc Ep Inser Hart Pacer Xvenous Atr/Ventr,8442.0,8442.0,,,0 CDM,4803321001,Hc Ep Inser Heart Temp Pacer One Chmbr,6097.0,6097.0,,,0 CDM,4803321101,Hc Ep Inser Heart Temp Pacer Dual Chmbr,6097.0,6097.0,,,0 CDM,4803321201,Hc Ep Insert Pulse Gener One Chmbr,6097.0,6097.0,,,0 CDM,4803321301,Hc Ep Insert Pulse Gener Dual Chmbr,8442.0,8442.0,,,0 CDM,4803321401,Hc Ep Upgrade Of Pacemaker System,8442.0,8442.0,,,0 CDM,4803321501,Hc Ep Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode,1848.0,1848.0,,,0 CDM,4803321601,Hc Ep Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb,6097.0,6097.0,,,0 CDM,4803321701,Hc Ep Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb,6097.0,6097.0,,,0 CDM,4803321801,Hc Ep Rpr 1 Transvns Eltrd Prm Pm/Pacing Implntbl Dfb,5333.0,5333.0,,,0 CDM,4803322001,Hc Ep Ins Pacemaker Pulse Gen Only W/Exist Mult Leads,15399.0,15399.0,,,0 CDM,4803322101,Hc Ep Ins Pacemaker Pulse Gen Only W/Exist Mult Leads,15399.0,15399.0,,,0 CDM,4803322201,Hc Ep Relocation Of Skin Pocket For Pacemaker,3023.0,3023.0,,,0 CDM,4803322301,Hc Ep Relocate Skin Pocket Implantable Defibrillator,3199.0,3199.0,,,0 CDM,4803322401,Hc Ep Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen,8442.0,8442.0,,,0 CDM,4803322501,Hc Ep Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen,2595.0,2595.0,,,0 CDM,4803322601,Hc Ep Reposit Prev Implanted Cardiac Electrode,4814.0,4814.0,,,0 CDM,4803322701,Hc Ep Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead,6097.0,6097.0,,,0 CDM,4803322801,Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen 2 Lead Sys,8442.0,8442.0,,,0 CDM,4803322901,Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead,15399.0,15399.0,,,0 CDM,4803323101,Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Multileads,27757.0,27757.0,,,0 CDM,4803323301,Hc Ep Remv Perm Pacer Generator,6097.0,6097.0,,,0 CDM,4803323401,"Hc Ep Remv Transven Pacer Electrode,1 Lead",5333.0,5333.0,,,0 CDM,4803323501,"Hc Ep Remv Transven Pacer Electrode,2 Lead",5333.0,5333.0,,,0 CDM,4803324001,Hc Ep Insj Implntbl Defib Pulse Gen W/1 Existing Ld,19965.0,19965.0,,,0 CDM,4803324101,Hc Ep Removal Implantable Defib Pulse Generator Only,5333.0,5333.0,,,0 CDM,4803324401,Hc Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj,5333.0,5333.0,,,0 CDM,4803324901,Hc Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr,16328.0,16328.0,,,0 CDM,4803326201,Hc Ep Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead,19965.0,19965.0,,,0 CDM,4803326301,Hc Ep Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld,19965.0,19965.0,,,0 CDM,4803326401,Hc Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld,16328.0,16328.0,,,0 CDM,4803327001,Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd,27757.0,27757.0,,,0 CDM,4803327101,Hc Ep Insj Of Subq Implantable Defibrillator Electrode,6097.0,6097.0,,,0 CDM,4803327201,Hc Ep Rmvl Of Subq Implantable Defibrillator Electrode,5333.0,5333.0,,,0 CDM,4803327301,Hc Ep Repos Previously Implanted Subq Implantable Dfb,5333.0,5333.0,,,0 CDM,4803327401,Hc Insert Or Replace Leadless Ppm Rt Vent,16348.0,16348.0,,,0 CDM,4803327501,Hc Removal Leadless Ppm Rt Vent,4822.0,4822.0,,,0 CDM,4803327601,"Hc Insertion Of Phrenic Nerve Stimulator System, Including Vessel Catheterization, All Imaging Guida",108001.0,108001.0,,,0 CDM,4803327701,Hc Insertion Of Phrenic Nerve Stimulator Transvenous Sensing Lead,28450.0,28450.0,,,0 CDM,4803327801,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 CDM,4803327901,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 CDM,4803328001,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 CDM,4803328101,Hc Repositioning Of Phrenic Nerve Stimulator Transvenous Lead(S),7789.0,7789.0,,,0 CDM,4803328501,Hc Insert Cardiac Rhythm Monitor Incl Programming,8685.0,8685.0,,,0 CDM,4803328601,Hc Removal Cardiac Rhythm Monitor,591.0,591.0,,,0 CDM,4803328701,"Hc Removal And Replacement Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imagin",71081.0,71081.0,,,0 CDM,4803328801,"Hc Removal And Replacement Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imagin",31182.0,31182.0,,,0 CDM,4803328901,Hc Cardiomem W/Calibrat Sensor,32982.0,32982.0,,,0 CDM,4803588301,"Hc Revision, Femoral Anastomosis, Synthetic Arterial Bypass Graft, Groin, Open W/Nonautogenous Patch",12335.0,12335.0,,,0 CDM,4803718401,Hc Ep Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 CDM,48047_270,Noncdm Charge Record Medical Supplies,653.4,653.4,,,0 CDM,48062_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,4807698401,"Hc Ultrasound, Intraoperative Thoracic Aorta, Diagnostic",742.0,742.0,,,0 CDM,4807698701,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Placement And Manipulation Of T",1228.0,1228.0,,,0 CDM,4807698801,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Placement, Manipulation Of Tran",1119.0,1119.0,,,0 CDM,4807698901,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Interpretation And Report Only",928.0,928.0,,,0 CDM,4809295001,Hc Heart/Lung Resuscitation (Cpr),1510.0,1510.0,,,0 CDM,4809296001,Hc Cardioversion Electric Ext - Cardioversion External,2677.0,2677.0,,,0 CDM,4809296006,"Hc Ep Cardioversion, Elective;Extern",2677.0,2677.0,,,0 CDM,4809296101,Hc Cardioversion Electric Int - Cardioversion Internal,2209.0,2209.0,,,0 CDM,4809297701,Hc Thrombolysis By Intravenous Infusion,2111.0,2111.0,,,0 CDM,4809326005,Hc Ep Prgrmg Dev Eval Implantable Subq Lead Dfb System,73.0,73.0,,,0 CDM,4809326102,Hc Interrogate Subq Defib - Card Device In Clinic - Subq Icd,73.0,73.0,,,0 CDM,4809326801,Hc Xtrnl Pt Activ Ecg Transmis W/R&I 4 Cm Trunk,Arm,Leg",5810.0,5810.0,,,0 CDM,4901142001,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia 0.5 Cm/Less",4862.0,4862.0,,,0 CDM,4901142101,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia 0.6 To 1.0 Cm",4862.0,4862.0,,,0 CDM,4901142201,Hc Exc Skin Benig 1.1-2 Cm Remaindr Body,4862.0,4862.0,,,0 CDM,4901142301,Hc Exc Skin Benig 2.1-3 Cm Remaindr Body,4862.0,4862.0,,,0 CDM,4901142401,Hc Exc Skin Benig 3.1-4 Cm Remaindr Body,5810.0,5810.0,,,0 CDM,4901142601,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia Ovr 4.0 Cm",5507.0,5507.0,,,0 CDM,4901144001,"Hc Excision, Other Benign Lesion Incl Margins, Except Skin Tag, Face, Ears, Eyelids, Nose, Lips, Muc",4609.0,4609.0,,,0 CDM,4901144101,"Hc Exc Skin Benig 0.6-1 Cm Face,Facial",4862.0,4862.0,,,0 CDM,4901144201,"Hc Exc Skin Benig 1.1-2 Cm Face,Facial",4862.0,4862.0,,,0 CDM,4901144301,"Hc Exc Skin Benig 2.1-3 Cm Face,Facial",4407.0,4407.0,,,0 CDM,4901144401,"Hc Excision, Benign Lesion Incl Margins, Except Skin Tag, Face/Ears/Eyelids/Nose/Lips/Mucous Membran",4609.0,4609.0,,,0 CDM,4901144601,"Hc Excision,Other Benign Lesion Incl Margins,Except Skin Tag,Face/Ears/Eyelids/Nose/Lips/Mucous Memb",5507.0,5507.0,,,0 CDM,4901145001,"Hc Exc Skin/Subq Tissue For Hidradenitis, Axillary W/Simple Or Intermediate Repair",5810.0,5810.0,,,0 CDM,4901146201,"Hc Exc Skin/Subq Tissue For Hidradenitis, Inguinal W/Simple Or Intermediate Repair",5810.0,5810.0,,,0 CDM,4901146301,"Hc Exc Skin Sub Tissue For Hidradentitis, Infuinal W/Complex Repair",5810.0,5810.0,,,0 CDM,4901147001,"Hc Exc Skin Sub Tissue For Hidradenitis, Perianal,Perineal,Orumbilical;Sim/Interm",5507.0,5507.0,,,0 CDM,4901160101,"Hc Exc Skin Malig 0.6-1 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 CDM,4901160201,"Hc Exc Skin Malig 1.1-2 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 CDM,4901160301,"Hc Exc Skin Malig 2.1-3 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 CDM,4901160401,"Hc Exc Skin Malig 3.1-4 Cm Trunk,Arm,Leg",5810.0,5810.0,,,0 CDM,4901160601,"Hc Exc Skin Malig >4 Cm Trunk,Arm,Leg",5810.0,5810.0,,,0 CDM,4901162101,"Hc Exc,Malig Les Inc Margn,Sclp,Nck,Hnd,Ft,Genitalia;Excsd Dia 0.6-1.0Cm",4862.0,4862.0,,,0 CDM,4901162201,"Hc Exc,Malig Les Inc Margn,Sclp,Nck,Hnd,Ft,Genitalia;Excsd Dia 1.1-2.0Cm",4862.0,4862.0,,,0 CDM,4901162301,Hc Exc Skin Malig 2.1-3 Cm Remaindr Body,4862.0,4862.0,,,0 CDM,4901162401,Hc Exc Skin Malig 3.1-4 Cm Remaindr Body,5810.0,5810.0,,,0 CDM,4901162601,Hc Exc Skin Malig >4 Cm Remaindr Body,5810.0,5810.0,,,0 CDM,4901164001,"Hc Excision, Malignant Lesion Incl Margins/Face/Ears/Eyelids/Nose/Lips; Excised Diameter 0.5 Cm Or L",4609.0,4609.0,,,0 CDM,4901164101,"Hc Excision, Malignant Lesion Incl Margins/Face/Ears/Eyelids/Nose/Lips; Excised Diameter 0.6 To 1.0",4609.0,4609.0,,,0 CDM,4901164201,"Hc Exc Skin Malig 1.1-2 Cm Face,Facial",4862.0,4862.0,,,0 CDM,4901164301,"Hc Exc Skin Malig 2.1-3 Cm Face,Facial",4862.0,4862.0,,,0 CDM,4901164401,"Hc Exc Skin Malig 3.1-4 Cm Face,Facial",5810.0,5810.0,,,0 CDM,4901164601,"Hc Excision, Malig Lesion Incl Margins, Face, Ears, Eyelids, Nose, Lips >4.0 Cm",5507.0,5507.0,,,0 CDM,4901173001,Hc Removal Of Nail Plate,4862.0,4862.0,,,0 CDM,4901175001,Hc Removal Of Nail Bed,4862.0,4862.0,,,0 CDM,4901175501,Hc Biopsy Of Nail Unit,4609.0,4609.0,,,0 CDM,4901176001,Hc Reconstruc Of Nail Bed,8661.0,8661.0,,,0 CDM,4901177001,"Hc Excision Pilonidal Cyst Or Sinus, Simple",9074.0,9074.0,,,0 CDM,4901177101,"Hc Excision Pilonidal Cyst Or Sinus, Extensive",6653.0,6653.0,,,0 CDM,4901177201,Hc Excision Of Pilonidal Cyst Or Sinus; Complicated,6653.0,6653.0,,,0 CDM,4901190001,"Hc Injection Into Skin Lesions, Up To 7",8661.0,8661.0,,,0 CDM,4901197001,Hc Prelacement Of Tissue Expander With Permanent Prosthesis,7906.0,7906.0,,,0 CDM,4901197101,Hc Removal Of Tissue Expander W/O Insertion Of Prosthesis,5778.0,5778.0,,,0 CDM,4901198101,"Hc Insertion, Drug-Delivery Implant",8661.0,8661.0,,,0 CDM,4901198201,"Hc Removal, Non-Biodegradable Drug Delivery Implant",8209.0,8209.0,,,0 CDM,4901200101,Hc Simple Repair Superficial Wound Scalp Neck Axillae External Genitalia 2.5 Cm,4609.0,4609.0,,,0 CDM,4901200201,Hc Simple Repair Superficial Wound Scalp Neck Axillae 2.5-7.5 Cm,5810.0,5810.0,,,0 CDM,4901201101,"Hc Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes, 2",5507.0,5507.0,,,0 CDM,4901202001,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure,4609.0,4609.0,,,0 CDM,4901203101,Hc Layer Closure Of Wounds Of Scalp Axillae Trunk &/Or Extremities Up To 2.5 Cm,8661.0,8661.0,,,0 CDM,4901203201,"Hc Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm",8661.0,8661.0,,,0 CDM,4901203401,"Hc Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm",5810.0,5810.0,,,0 CDM,4901203501,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities, 12.6-20.0Cm",5507.0,5507.0,,,0 CDM,4901204101,Hc Layr Clos Wnd Rest Body <2.5 Cm,4862.0,4862.0,,,0 CDM,4901204201,Hc Layr Clos Wnd Rest Body 2.6-7.5 Cm,8661.0,8661.0,,,0 CDM,4901204401,Hc Layer Closure Of Wounds Of Neck Hands Feet &/Or External Genitialia 7.5-12.5 Cm,5507.0,5507.0,,,0 CDM,4901205101,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes, =< 2.5 C",8209.0,8209.0,,,0 CDM,4901205201,"Hc Layr Clos Wnd Face,Facial 2.5-5 Cm",8661.0,8661.0,,,0 CDM,4901205301,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; 5.1 Cm T",5507.0,5507.0,,,0 CDM,4901205401,"Hc Layr Clos Wnd Face,Facial 7.6-12.5 Cm",5507.0,5507.0,,,0 CDM,4901205701,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.",5518.0,5518.0,,,0 CDM,4901310001,"Hc Repair,Complex,Trunk;1.1Cm To 2.5 Cm",5810.0,5810.0,,,0 CDM,4901310101,Hc Repair Complex Trunk 2.5-7.5 Cm,6653.0,6653.0,,,0 CDM,4901310201,"Hc Repair,Complex,Trunk;Ea Addl 5Cm Or Less",4862.0,4862.0,,,0 CDM,4901312001,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm",5507.0,5507.0,,,0 CDM,4901312101,"Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm",6653.0,6653.0,,,0 CDM,4901312201,"Hc Rep,Skin,Scalp/Extrem+5 Cm/<",4862.0,4862.0,,,0 CDM,4901313101,"Hc Recmpl Wnd Head,Fac,Hand 1.1-2.5 Cm",5810.0,5810.0,,,0 CDM,4901313201,"Hc Repair Complex Wnd Head,Fac,Hand 2.6-7.5 Cm",6653.0,6653.0,,,0 CDM,4901313301,"Hc Repair,Complex,Forhd,Chks,Chn,Mth,Nck,Axll,Gntlia;Ea Addl 5Cm Or Less",4862.0,4862.0,,,0 CDM,4901315101,Hc Repair Complex Eyelids Nose Ears Lips 1.0-2.5 Cm,6653.0,6653.0,,,0 CDM,4901315201,Hc Repair Complex Eyelids Nose Ears Lips 2.5-7.5 Cm,6653.0,6653.0,,,0 CDM,4901315301,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Add'l 5 Cm Or Less",6318.0,6318.0,,,0 CDM,4901316001,Hc Secondary Closure Of Surgical Wound Dehiscence Extensive Or Eomplicated,5810.0,5810.0,,,0 CDM,4901400001,Hc Adjacent Tissue Transfer Of Rearrangement Trunk Defect Up To 10 Sq Cm,5810.0,5810.0,,,0 CDM,4901400101,Hc Adjacent Tissue Transfer Or Rearrangment Trunk Defect 10 Sq Cm To 30 Sq Cm,7906.0,7906.0,,,0 CDM,4901402001,Hc Adjacent Tissue Transfer/Rearrangment Scalp Arms Legs Defect Up To 10 Sq Cm,6653.0,6653.0,,,0 CDM,4901402101,Hc Adjacent Tissue Transfer Or Rearrangment Scalp Arms Legs Defect 10-30 Sq Cm,7906.0,7906.0,,,0 CDM,4901404001,Hc Adj Tissue Transfer/Rearrangement 0-10Sqcm,6905.0,6905.0,,,0 CDM,4901404101,Hc Adj Tissue Trans/Rearange Forehead Cheek Chin Mouth Neck 10-30 Sq Cm,7906.0,7906.0,,,0 CDM,4901406001,Hc Adj Tissue Tran/Rearrangment Eyelids Nose Ears Lips Defect Up To 10 Sq Cm,7906.0,7906.0,,,0 CDM,4901406101,"Hc Adjacent Tissue Transfer/Rearrangement, Eyelids/Nose/Ears/Lips,?10.1?Sq Cm-30.0?Sq Cm",7906.0,7906.0,,,0 CDM,4901430101,Hc Adjacent Tissue Transfer 30.1 To 60.0 Sq Cm,16385.0,16385.0,,,0 CDM,4901430201,Hc Adjacent Tissue Transfer Each Additional 30.0 Sq Cm,13654.0,13654.0,,,0 CDM,4901500201,"Hc Surg Prep Recpnt Site By Exc Opn Wnds,Scar,Trnk,Arm,Lg;1St 100Sqcm Infnt/Child",6905.0,6905.0,,,0 CDM,4901500301,"Hc Surg Prep Recpnt Site Exc Opn Wnds,Scar,Trnk,Arm,Lg;Ea Adl 100Sqcm Infnt/Child",5778.0,5778.0,,,0 CDM,4901500401,"Hc Surg Prep Recpnt Site,Scar,Fc,Sclp,Eyeld,Mth,Nck,Ear;1St 100Sqcm Infnt/Child",6905.0,6905.0,,,0 CDM,4901505001,"Hc Pinch Graft, Single Or Multiple, To Cover Small Ulcer, Tip Of Digit, Or Other Minimal Open Area (",5810.0,5810.0,,,0 CDM,4901510001,"Hc Split-Thckns Autogft,Trnk,Arm,Leg;1St 100Sq Cm/Less/1% Body Area Infant/Child",5810.0,5810.0,,,0 CDM,4901510101,"Hc Split-Thckns Autogft,Trnk,Arm,Leg;Ea Add'l 100Sq Cm/1% Body Area Infant/Child",6653.0,6653.0,,,0 CDM,4901511501,"Hc Epidermal Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet, And",5753.0,5753.0,,,0 CDM,4901512001,"Hc Split Autograft,Face, Scalp,Hand,Mouth,Neck,Orbits,Genitalia,Feet =<100 Sqcm",5753.0,5753.0,,,0 CDM,4901520001,Hc Full Thick Graft Free Incl Direct Closure Of Donor Site Trunk;Up To 20 Sqcm,6588.0,6588.0,,,0 CDM,4901520101,Hc Full Thick Graft Free Incl Direct Closure Of Donor Site Trunk;Ea Addl 20 Sqcm,5753.0,5753.0,,,0 CDM,4901522001,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Sclp,Arm,Leg;20Sqcm Or Less",6905.0,6905.0,,,0 CDM,4901522101,"Hc Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Scalp/Arms, And/Or Legs; Each",6905.0,6905.0,,,0 CDM,4901524001,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Forhd,Chk,Chn;20Sqcm Or Less",7906.0,7906.0,,,0 CDM,4901524101,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Forhd,Chk,Chn;Ea Add'l 20Sqcm",7906.0,7906.0,,,0 CDM,4901526001,"Hc Full Thick Grft Nos,Ear,Lid <20 Sqcm",6905.0,6905.0,,,0 CDM,4901527101,"Hc App Of Skn Sub Gft To Trnk,Arm,Leg,Tot Wnd Sfc Area/100 Sq Cm,1St 25 Sq Cm/Less",4815.0,4815.0,,,0 CDM,4901527501,Hc App-Skingraft-Feet-1St 25Sq Cm,5778.0,5778.0,,,0 CDM,4901527701,Hc Apply Skin Sub-1St 100 Sq Cm,4815.0,4815.0,,,0 CDM,4901557201,"Hc Formation Of Direct/Tubed Pedicle, W/W/O Transfer, Scalp, Arms, Legs",7906.0,7906.0,,,0 CDM,4901557401,Hc Formation Pedicle W/W/O Trans Forehead Cheeks Chin Mouth Neck Ax Gent Hand/Feet,7906.0,7906.0,,,0 CDM,4901557601,"Hc Formation Of Direct Or Tubed Pedicle, With Or Without Transfer; Eyelids, Nose, Ears, Lips, Or Int",7906.0,7906.0,,,0 CDM,4901561001,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Scalp, Arms, Or Legs",6588.0,6588.0,,,0 CDM,4901562001,"Hc Delay Of Flap Or Sectioning Of Flap;Frhd,Chk,Chn,Nck,Axll,Gntl,Hnd,Or Feet",9791.0,9791.0,,,0 CDM,4901563001,"Hc Delay Of Flap Or Sectioning Of Flap;At Eyelids,Nose,Ears,Or Lips",7906.0,7906.0,,,0 CDM,4901573001,Hc Midface Flap With Preservation Of Vascular Pedicle(S),7906.0,7906.0,,,0 CDM,4901573101,Hc Forehead Flap W/Preservation Of Vascular Pedicle,7906.0,7906.0,,,0 CDM,4901573301,"Hc Muscle, Myocutaneous, Fasciocutaneous Flap, Head And Neck W/Named Vascular Pedicle",7906.0,7906.0,,,0 CDM,4901573401,"Hc Muscle,Myocutaneous Flap,Trunk",7906.0,7906.0,,,0 CDM,4901573601,"Hc Muscle,Myocutaneous Flap,Upper Extremity",7906.0,7906.0,,,0 CDM,4901573801,"Hc Muscle,Myocutaneous Flap,Lower Extremity",7906.0,7906.0,,,0 CDM,4901574001,Hc Flap; Island Pedicle,6905.0,6905.0,,,0 CDM,4901575001,Hc Flap;Neurovascular Pedicle,6905.0,6905.0,,,0 CDM,4901575601,Hc Free Muscle Or Myocutaneous Flap With Microvascular Anastomosis,7906.0,7906.0,,,0 CDM,4901576001,"Hc Graft, Composite Including Primary Closure, Donor Area",6905.0,6905.0,,,0 CDM,4901576901,Hc Grafting Of Autologous Soft Tiss By Direct Exc,9325.0,9325.0,,,0 CDM,4901577001,Hc Derma-Fat-Fascia Graft,7906.0,7906.0,,,0 CDM,4901577101,Hc Grafting Of Autologous Fat By Lipo 50 Cc Or Less,9325.0,9325.0,,,0 CDM,4901577201,Hc Grafting Of Autologous Fat By Lipo Ea Addl 50 Cc,9325.0,9325.0,,,0 CDM,4901577301,Hc Grafting Of Autologous Fat By Lipo 25 Cc Or Less,9791.0,9791.0,,,0 CDM,4901577701,"Hc Implntatn Of Bio Implnt(Eg,Acellr Derml Mtrx)For Sft Tis Renfcmnt(Eg,Brst,Trnk)",7906.0,7906.0,,,0 CDM,4901577801,Hc Implantation Absorbable Mesh/Other Prosthesis For Delayed Closure Of Defect(S) Due To Soft Tissue,6653.0,6653.0,,,0 CDM,4901582001,"Hc Blepharoplasty, Lower Eyelids",6653.0,6653.0,,,0 CDM,4901582101,"Hc Blepharoplasty, Lower Eyelid W/Excess Skin",6653.0,6653.0,,,0 CDM,4901582201,Hc Revision Of Upper Eyelid,6653.0,6653.0,,,0 CDM,4901582301,Hc Rev Upper Eyelid W Excess Skin,9383.0,9383.0,,,0 CDM,4901582801,"Hc Rhytidectomy; Cheek, Chin, & Neck",6307.0,6307.0,,,0 CDM,4901582901,Hc Rhytidectomy; Superficial Musculoaponeurotic System (Smas) Flap,8893.0,8893.0,,,0 CDM,4901583001,"Hc Exc,Excessive Skin & Subcut Tiss;Abdomen,Infraumbilical Panniculectomy",7906.0,7906.0,,,0 CDM,4901583201,Hc Exc Excessive Skin And Subcutaneous Tissue; Thighs,7906.0,7906.0,,,0 CDM,4901583301,"Hc Excision, Excessive Skin And Subcutaneous Tissue, Includes Lipectomy, Leg",6588.0,6588.0,,,0 CDM,4901583601,"Hc Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); Arm",6588.0,6588.0,,,0 CDM,4901583701,"Hc Excision, Excessive Skin & Subcutaneous Tissue, Forearm Or Hand",6905.0,6905.0,,,0 CDM,4901583801,"Hc Excision, Excessive Skin And Subcutaneous Tissue; Submental Fat Pad",5753.0,5753.0,,,0 CDM,4901583901,"Hc Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); Other Area",7906.0,7906.0,,,0 CDM,4901584001,Hc Facial Nerve Paralysis Free Fascia Grafts,7811.0,7811.0,,,0 CDM,4901584701,"Hc Excision, Excessive Skin And Subcutaneous Tissue, Abdomen",7418.0,7418.0,,,0 CDM,4901585001,"Hc Removal Of Sutures Under Anesthesia, Same Surgeon",4609.0,4609.0,,,0 CDM,4901585101,Hc Removal Of Sutures Or Staples Requiring Anesthesia,4609.0,4609.0,,,0 CDM,4901585201,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local),4609.0,4609.0,,,0 CDM,4901587701,Hc Suction Assited Lipectomy; Trunk,6653.0,6653.0,,,0 CDM,4901587801,"Hc Suction Assisted Lipectomy, Upper Extremity",6653.0,6653.0,,,0 CDM,4901587901,"Hc Suction Assisted Lipectomy, Lower Extremity",6653.0,6653.0,,,0 CDM,4901700001,"Hc Destr,Premalig Lesions;1St Lesion",4609.0,4609.0,,,0 CDM,4901711001,Hc Destruction Benign Lesions Up To 14,4609.0,4609.0,,,0 CDM,4901725001,Hc Chemical Cauterization Of Granulation Tissue,4862.0,4862.0,,,0 CDM,4901728201,Hc Destr Malig Les Face Ears Eyelids Nose Lips Mucous Memb 1.1 To 2.0 Cm,4862.0,4862.0,,,0 CDM,4901799901,Hc Unlisted Procedure Skin Mucous Memb Subcutaneous Tissue,9383.0,9383.0,,,0 CDM,4901902001,Hc Explo/Drain Breast Abscess,5810.0,5810.0,,,0 CDM,4901910101,"Hc Biopsy Of Breast; Open, Incisional",5507.0,5507.0,,,0 CDM,4901911001,Hc Nipple Exploration W/W/O Exc Solitary Papilloma Lactiferous Duct,6905.0,6905.0,,,0 CDM,4901912001,"Hc Exc Cyst,Fibrd,Oth Bngn/Malig Tmr,Abrrnt Tis,Duct,Nip,Arlr Les,M/F 1Or More Les",6653.0,6653.0,,,0 CDM,4901912501,"Hc Exc Breast Les Id By Pre-Op Placmnt Of Rad Marker,Open; Sngl Les",6653.0,6653.0,,,0 CDM,4901912601,"Hc Excision Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Each",6318.0,6318.0,,,0 CDM,4901930001,"Hc Mastectomy,For Gynecomastia",9791.0,9791.0,,,0 CDM,4901930101,"Hc Mastectomy,Partial;",7906.0,7906.0,,,0 CDM,4901930201,"Hc Mastectomy,Partial;W/Axillary Lymphadenectmy",15440.0,15440.0,,,0 CDM,4901930301,"Hc Mastectomy,Simple,Complete",9791.0,9791.0,,,0 CDM,4901930701,"Hc Mastectomy,Modf Rad,Incl Axillary Lymph Nodes,Wwo Pect Minr,Excld Peact Mj Musc",16385.0,16385.0,,,0 CDM,4901931601,Hc Mastopexy,9791.0,9791.0,,,0 CDM,4901931801,Hc Reduction Mammaplasty,9791.0,9791.0,,,0 CDM,4901932501,Hc Mammaplasty Augmentation W/Prosthetic Implant,16385.0,16385.0,,,0 CDM,4901932801,Hc Removal Intact Mammary Implant,5778.0,5778.0,,,0 CDM,4901933001,Hc Removal Mammary Implant Unilateral,5778.0,5778.0,,,0 CDM,4901934001,Hc Immed Insert Breast Prosthesis Follow Mastopexy Mastectmy Or In Reconstrct,6905.0,6905.0,,,0 CDM,4901934201,Hc Delay Insert Breast Prosthesis Follow Mastopexy Mastectmy Or In Reconstruct,7906.0,7906.0,,,0 CDM,4901935001,Hc Reconstrcution Of Nipple/Areola Incl Grafts Unilateral,9791.0,9791.0,,,0 CDM,4901935701,Hc Breast Reconst Immediat Or Delayed W/Tisexpand Incl Sub Sequent Expansion,11148.0,11148.0,,,0 CDM,4901936101,Hc Breast Reconstruction W/Latissimus Dorsi Flap,9290.0,9290.0,,,0 CDM,4901936601,Hc Breast Reconstrct W/Other Technique,11148.0,11148.0,,,0 CDM,4901937001,"Hc Open Periprosthetic Capsulotomy, Breast",9791.0,9791.0,,,0 CDM,4901937101,"Hc Periprosthetic Capsulectomy, Breast",10780.0,10780.0,,,0 CDM,4901938001,Hc Revision Of Reconstructed Breast,11148.0,11148.0,,,0 CDM,4902020501,"Hc Biopsy, Muscle; Deep",6307.0,6307.0,,,0 CDM,4902022501,"Hc Biopsy, Bone, Trocar, Or Needle; Deep",5230.0,5230.0,,,0 CDM,4902024001,"Hc Bx,Bone,Open;Superficial",5810.0,5810.0,,,0 CDM,4902024501,Hc Biopsy Incisional Deep Humerous Ischium Femur,6653.0,6653.0,,,0 CDM,4902025001,"Hc Biopsy, Vertebral Body, Open; Thoracic",6307.0,6307.0,,,0 CDM,4902052001,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,4862.0,4862.0,,,0 CDM,4902052501,Hc Removal Foreign Body Muscle Complicated,6653.0,6653.0,,,0 CDM,4902052601,Hc Inject Carpal Tunnel,4862.0,4862.0,,,0 CDM,4902055001,Hc Inject Tendon Sheath/Ligament,4862.0,4862.0,,,0 CDM,4902055101,Hc Injection(S); Single Tendon Origin/Insertion,4609.0,4609.0,,,0 CDM,4902055201,"Hc Injection(S); Single Or Multiple Trigger Point(S), 1 Or 2 Muscle(S)",4862.0,4862.0,,,0 CDM,4902055301,"Hc Injection(S); Single Or Multiple Trigger Point(S), 3 Or More Muscles",4862.0,4862.0,,,0 CDM,4902060001,Hc Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,4862.0,4862.0,,,0 CDM,4902060501,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,4862.0,4862.0,,,0 CDM,4902060601,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,4862.0,4862.0,,,0 CDM,4902061001,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,4862.0,4862.0,,,0 CDM,4902061101,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,4862.0,4862.0,,,0 CDM,4902061201,Hc Aspirat/Injection Ganglion Cyst(S),4862.0,4862.0,,,0 CDM,4902065001,Hc Insert Wire Pin Skeletal Traction W/Removal,6653.0,6653.0,,,0 CDM,4902067001,"Hc Removal Of Implant, Superficial",4862.0,4862.0,,,0 CDM,4902068001,Hc Removal Buried Wire Pin Screw Deep,9074.0,9074.0,,,0 CDM,4902069001,"Hc Application Of A Uniplane,Unilateral,External Fixation System",5810.0,5810.0,,,0 CDM,4902069201,"Hc Applic Of Multiplane,Unilateral,External Fixation System",6653.0,6653.0,,,0 CDM,4902069301,Hc Adjust Or Revise Of External Fixation System Req Anes W/W/O New Rings Or Bars,6588.0,6588.0,,,0 CDM,4902069401,Hc Removal Under Anes Of External Fixation System,4862.0,4862.0,,,0 CDM,4902069601,"Hc Application, Multiplane, Unilat, External Fixation W/Stereotactic Computer-Assisted Adjustment In",13654.0,13654.0,,,0 CDM,4902090001,"Hc Bone Graft,Any Donor Area;Minor Or Small",7906.0,7906.0,,,0 CDM,4902090201,"Hc Bone Graft,Any Donor Area;Major Or Large",9791.0,9791.0,,,0 CDM,4902091201,Hc Cartilage Graft;Nasal Septum,6653.0,6653.0,,,0 CDM,4902092401,"Hc Tendon Graft,From A Distance",9791.0,9791.0,,,0 CDM,4902097201,"Hc Free Osteocutan Flap W/Microvasc Anastom, Metatarsal",8241.0,8241.0,,,0 CDM,4902098201,Hc Ablation Bone Tumor Rf Perq W/Img Gdn When Done,8446.0,8446.0,,,0 CDM,4902099901,"Asc Only Unlisted Procedure Musculoskeletal Sys General Head Inc Exc, Report Attached",6588.0,6588.0,,,0 CDM,4902101101,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subcut Less Than 2Cm",4862.0,4862.0,,,0 CDM,4902101201,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subcut 2Cm Or Grtrm",5810.0,5810.0,,,0 CDM,4902101301,"Hc Excision, Tumor, Soft Tissue, Face & Scalp, Subfascial <2 Cm",5810.0,5810.0,,,0 CDM,4902101401,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subfasc,2Cm Or Grtr",5810.0,5810.0,,,0 CDM,4902101501,"Hc Radical Resection Of Tumor, Soft Tissue Of Face Or Scalp, Less Than 2 Cm",6653.0,6653.0,,,0 CDM,4902101601,"Hc Rad Resct,Tumor Malig Neo,Sft Tiss,Face/Scalp,Grtr Thn 2Cm",16385.0,16385.0,,,0 CDM,4902102501,"Hc Excision Of Bone, Mandible",5753.0,5753.0,,,0 CDM,4902102601,"Hc Excision Of Bone , Facial Bone(S)",5753.0,5753.0,,,0 CDM,4902102901,Hc Removal By Contouring Of Benign Tumor Of Facial Bone,5753.0,5753.0,,,0 CDM,4902103001,Hc Excision Of Benign Tumor Or Cyst Of Maxilla Or Zygoma By Enucleation And Curettage,6588.0,6588.0,,,0 CDM,4902103201,Hc Excision Of Maxillary Torus Palatinus,6588.0,6588.0,,,0 CDM,4902104001,"Hc Excision Of Benign Tumor Or Cyst Of Mandible, By Enucleation And/Or Curettage",5753.0,5753.0,,,0 CDM,4902104601,"Hc Excision Of Benign Tumor Or Cyst Of Mandible, Requiring Intra-Oral Osteotomy",5753.0,5753.0,,,0 CDM,4902114201,"Hc Reconstruction Midface, Lefort I, 2 Pieces, Segment Movement In Any Direction, Without Bone Graft",13100.0,13100.0,,,0 CDM,4902118101,"Hc Reconstruction By Contouring Of Benign Tumor Of Cranial Bones, Extracranial",15440.0,15440.0,,,0 CDM,4902120801,"Hc Osteoplasty, Facial Bones, Augmentation",12866.0,12866.0,,,0 CDM,4902121001,"Hc Graft, Bone; Nasal, Maxillary Or Malar Areas (Includes Obtaining Graft)",11697.0,11697.0,,,0 CDM,4902123501,Hc Graft; Ear Cartilage Autograft To Nose Or Ear,15440.0,15440.0,,,0 CDM,4902128001,Hc Medial Canthopexy,11148.0,11148.0,,,0 CDM,4902128201,Hc Lateral Canthopexy,9290.0,9290.0,,,0 CDM,4902131501,"Hc Closed Treatment, Nasal Bone Fracture; W/O Stabilization",5810.0,5810.0,,,0 CDM,4902132001,Hc Nasal Fracture Closed Reduction Complicated,5810.0,5810.0,,,0 CDM,4902132501,Hc Open Treatment Of Nasal Fracture; Uncomplicated,7811.0,7811.0,,,0 CDM,4902133701,Hc Closed Treat Of Nasal Septal Fract W/W/O Stabilization,5810.0,5810.0,,,0 CDM,4902136501,"Hc Open Treat Of Complifx(S)-Malar Area,Inczygomatic Arch & Malar Tripod",12316.0,12316.0,,,0 CDM,4902139001,Hc Open Tx Orbit Floor Fract; Periobit App W/Alloplastc Or Other Implant,15440.0,15440.0,,,0 CDM,4902140701,Hc Open Tx Fract Orbit Except Blowout; W/Implant,11148.0,11148.0,,,0 CDM,4902146201,"Hc Open Treatment Of Mandibular Fracture, With Interdental Fixation",9290.0,9290.0,,,0 CDM,4902146501,"Hc Open Trtmnt, Mandibular, Condylar Fracture",8159.0,8159.0,,,0 CDM,4902148001,"Hc Closed Treatment Of Temporomandibular Dislocation,Initial Or Subsequent",4609.0,4609.0,,,0 CDM,4902149701,Hc Interdental Wiring For Condition Other Than Fx,5507.0,5507.0,,,0 CDM,4902149901,"Hc Unlisted Procedure Head, Report Attached",11148.0,11148.0,,,0 CDM,4902149902,"Asc Only Unlisted Procedure, Musculoskeletal Procedure, Head ? Transoral Resection Of Styloid Proces",11148.0,11148.0,,,0 CDM,4902150101,Hc Drainage Neck/Thorax,5810.0,5810.0,,,0 CDM,4902155201,"Hc Excision, Tumor, Soft Tissue Of Neck/Anterior Thorax, Subq; 3 Cm Or Greater",13791.0,13791.0,,,0 CDM,4902155401,"Hc Exc,Tumor,Subfascl,Nck/Ant Thorax,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902155501,"Hc Exc Tumor,Sft Tiss Neck/Ant Thorax,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 CDM,4902155601,"Hc Exc,Tumor,Sft Tiss Neck/Ant Thorax,Subfascl;Less Thn 5Cm",5810.0,5810.0,,,0 CDM,4902155801,"Hc Radical Resection Tumor, Neck Or Ant Thorax => 5Cm",13654.0,13654.0,,,0 CDM,4902160001,"Hc Excision Of Rib, Partial",5507.0,5507.0,,,0 CDM,4902160101,Hc Excision Of Chest Wall Tumor Including Rib(S),5507.0,5507.0,,,0 CDM,4902192001,"Hc Biopsy, Soft Tissue Of Back Or Flank; Superficial",4609.0,4609.0,,,0 CDM,4902192501,"Hc Biopsy, Soft Tissue Of Back Or Flank; Deep",5507.0,5507.0,,,0 CDM,4902193001,"Hc Excision,Tumor,Soft Tissue Of Back/Flank,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 CDM,4902193101,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902193201,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subfscl;Less Thn 5Cm",15440.0,15440.0,,,0 CDM,4902193301,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902193501,"Hc Radical Resention Of Tumor,Soft Tissue Of Back/Flan;Less Thn 5Cm",6588.0,6588.0,,,0 CDM,4902193601,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Back Or Flank;5Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902251001,Hc Perq Vertebroplasty Uni/Bi Injx Cervicothoracic,16385.0,16385.0,,,0 CDM,4902251101,Hc Perq Vertebroplasty Uni/Bi Injection Lumbosacral,16385.0,16385.0,,,0 CDM,4902251201,Hc Vertebroplasty Each Addl Cervicothor/Lumbosacral,16385.0,16385.0,,,0 CDM,4902251301,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation,10290.0,10290.0,,,0 CDM,4902251401,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr,10290.0,10290.0,,,0 CDM,4902251501,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each,10290.0,10290.0,,,0 CDM,4902290001,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subfascl;Less Thn 5Cm",9791.0,9791.0,,,0 CDM,4902290101,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902290201,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subcut;Less Thn 3Cm",12994.0,12994.0,,,0 CDM,4902290301,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subcut;Grtr Thn 3Cm",13791.0,13791.0,,,0 CDM,4902290501,"Hc Rad Resctn Tumor,Malig Neo,Sft Tiss Abd Wall;5Cm Or Grtr",13654.0,13654.0,,,0 CDM,4902299901,"Asc Only Unlisted Procedure - Abdomen, Musculoskeletal System",6588.0,6588.0,,,0 CDM,4902300001,"Hc Removal Of Subdeltoid Calcareous Deposits, Open",5810.0,5810.0,,,0 CDM,4902302001,Hc Capsular Contracture Release (Severe Type Procedure),5507.0,5507.0,,,0 CDM,4902303001,"Hc Incision And Drainage, Shoulder Area; Deep Abscess Or Hematoma",4609.0,4609.0,,,0 CDM,4902303101,Hc I&D Deep Absc Infec Bursa,6307.0,6307.0,,,0 CDM,4902304001,"Hc Arthrtmy,Glenohumeral Joint,Incl Explrtn,Drain/Remvl Of Foreign Body",6653.0,6653.0,,,0 CDM,4902306501,"Hc Biopsy Soft Tissue Of Shoulder Area, Superficial",4862.0,4862.0,,,0 CDM,4902306601,"Hc Biopsy,Soft Tissue Of Shoulder Area; Deep",5810.0,5810.0,,,0 CDM,4902307101,"Hc Exc,Tumor,Sft Tiss Shoulder Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902307301,Hc Exc Tumor Soft Tissue Shoulder Subfascial 5+Cm,16385.0,16385.0,,,0 CDM,4902307501,"Hc Exc,Tumor,Sft Tiss Of Shoulder Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 CDM,4902307601,"Hc Exc,Tumor,Sft Tiss Of Shoulder Area,Subfscl;Less Thn 5Cm",5810.0,5810.0,,,0 CDM,4902307701,"Hc Radical Resection Of Tumor, Sarcoma, Soft Tissue Of Shoulder Area, <5 Cm",7906.0,7906.0,,,0 CDM,4902307801,"Hc Radical Resection Of Tumor, Soft Tissue, Shoulder Area =>5 Cm",7906.0,7906.0,,,0 CDM,4902312001,Hc Claviculectomy; Partial,9383.0,9383.0,,,0 CDM,4902312501,Hc Claviculectomy; Total,11148.0,11148.0,,,0 CDM,4902314001,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor Of Clavicle Or Scapula",7811.0,7811.0,,,0 CDM,4902315001,Hc Exc/Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus,8159.0,8159.0,,,0 CDM,4902315601,Hc Excision/Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus W/ Allograft,11148.0,11148.0,,,0 CDM,4902318001,"Hc Partial Excision Bone, Clavicle",7811.0,7811.0,,,0 CDM,4902318201,"Hc Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone, Scapula",7811.0,7811.0,,,0 CDM,4902318401,"Hc Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone (Eg, Osteomyelitis), Proxi",9061.0,9061.0,,,0 CDM,4902320001,"Hc Radical Resection Of Tumor, Clavicle",9290.0,9290.0,,,0 CDM,4902321001,Hc Radical Resection Of Tumor;Scapula,10290.0,10290.0,,,0 CDM,4902322001,"Hc Radical Resection Of Tumor, Proximal Humerus",8576.0,8576.0,,,0 CDM,4902333001,"Hc Removal Of Foreign Body, Shoulder; Subcutaneous",4377.0,4377.0,,,0 CDM,4902333301,"Hc Removal Of Foreign Body, Shoulder; Deep (Subfascial Or Intramuscular)",4377.0,4377.0,,,0 CDM,4902339501,"Hc Muscle Transfer,Any Type,Shoulder Or Upper Arm; Single",11148.0,11148.0,,,0 CDM,4902339701,"Hc Muscle Transfer,Any Type,Shoulder Or Upper Arm; Multiple",15440.0,15440.0,,,0 CDM,4902340501,"Hc Tenotomy, Shoulder Area,? Single Tendon",6905.0,6905.0,,,0 CDM,4902340601,"Hc Tenotomy, Shoulder Area; Multiple Tendons Through Same Incision",6905.0,6905.0,,,0 CDM,4902341001,Hc Repair Of Ruptured Musculotendinous Cuff Open;Acute,11148.0,11148.0,,,0 CDM,4902341201,Hc Repair Of Ruptured Musculotendinous Cuff; Chronic,15440.0,15440.0,,,0 CDM,4902342001,"Hc Reconstrctn Complete Shoulder (Rotator) Cuff Avulsion, Chronic",15440.0,15440.0,,,0 CDM,4902343001,Hc Tenodesis Of Long Tendon Of Biceps,9791.0,9791.0,,,0 CDM,4902345001,"Hc Capsulorrhaphy, Anterior; Putti-Platt Procedure Or Magnuson Type Operation",11148.0,11148.0,,,0 CDM,4902345501,"Hc Capsulorrhaphy, Anterior W/ Labral Repair",15440.0,15440.0,,,0 CDM,4902346001,"Hc Capsulorrhaphy, Anterior, Any Type; With Bone Block",9290.0,9290.0,,,0 CDM,4902346201,"Hc Capsulorrhaphy, Anterior, Any Type W/Coracoid Process Transfer",15440.0,15440.0,,,0 CDM,4902346501,"Hc Capsulorrhaphy, Glenohumeral Joint, Posterior, With Or Without Bone Block",11148.0,11148.0,,,0 CDM,4902346601,"Hc Capsulorrhaphy,Glenohmrl Jnt,Any Type Multi-Directnl Instability",15440.0,15440.0,,,0 CDM,4902347001,"Hc Arthroplasty, Glenohumeral Joint; Hemiarthroplasty",15440.0,15440.0,,,0 CDM,4902347201,"Hc Arthroplasty, Glenohumeral Joint, Total Shoulder, Glenoid/Proximal Humeral Replacement",15440.0,15440.0,,,0 CDM,4902347301,"Hc Revise Total Shoulder,One Component",12866.0,12866.0,,,0 CDM,4902347401,"Hc Revise,Total Shoulder,Both Component",12866.0,12866.0,,,0 CDM,4902348001,"Hc Osteotomy, Clavicle, W W/O Internal Fixation",9791.0,9791.0,,,0 CDM,4902348501,"Hc Osteotomy, Clavicle, With Or Without Internal Fixation; With Bone Graft For Nonunion Or Malunion",12866.0,12866.0,,,0 CDM,4902351501,"Hc Opn Tx Claicular Fraccture,Incl Internal Fixation,When Performed",6653.0,6653.0,,,0 CDM,4902355001,"Hc Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic",6653.0,6653.0,,,0 CDM,4902355201,"Hc Open Treatment Of Acromioclavicular Dislocation,Acute Or Chronic W/Fascial Graft",9791.0,9791.0,,,0 CDM,4902357001,Hc Closed Treatment Of Scapular Fracture; Without Manipulation,4609.0,4609.0,,,0 CDM,4902358501,Hc Open Treatment Of Scapular Fraccture W W/O Internal Fixation,7906.0,7906.0,,,0 CDM,4902361501,"Hc Opn Tx Prox Humerl Fx Inc Intrnl Fix, Whn Prfmd,Incl Rpr Tuberosty,Whn Prfmd",9791.0,9791.0,,,0 CDM,4902361601,"Hc Open Treatment, Proximal Humeral Fracture, Incl Internal Fixation, Incl Repair Of Tuberosity(S),",8159.0,8159.0,,,0 CDM,4902363001,Hc Open Treatment Of Greater Humeral Tuberosity Fracture Incl Internal Fixation,8893.0,8893.0,,,0 CDM,4902365501,Hc Closed Treatment Of Shoulder Dislocation W/Manipulation Requiring Anesthesia,4609.0,4609.0,,,0 CDM,4902370001,"Hc Manip Under Ane,Shoulder Jt,Includ App Of Fix Apparatus",4862.0,4862.0,,,0 CDM,4902392901,"Asc Only Unlisted Procedure, Shoulder",8531.0,8531.0,,,0 CDM,4902393001,"Hc Incision And Drainage, Upper Arm Or Elbow Area; Deep Abscess Or Hematoma",4617.0,4617.0,,,0 CDM,4902393501,"Hc Incision, Deep, W/Opening Of Bone Cortex, Humerus Or Elbow",5810.0,5810.0,,,0 CDM,4902400001,"Hc Arthrotmy,Elbow,Incl Explor,Drain/Rmvl Of Foreign Body",8241.0,8241.0,,,0 CDM,4902400601,"Hc Arthrotomy, Elbow, W/ Capsular Excision For Capsular Release",9791.0,9791.0,,,0 CDM,4902406601,"Hc Bx,Soft Tissue Upper Arm/Elbow Area;Deep",5810.0,5810.0,,,0 CDM,4902407101,Hc Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm,13791.0,13791.0,,,0 CDM,4902407301,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, =>5 Cm",13654.0,13654.0,,,0 CDM,4902407501,Hc Exc Tumor Soft Tiss Upper Arm/Elbow Subq <3Cm,5810.0,5810.0,,,0 CDM,4902407601,"Hc Exc,Tumor,Sft Tiss Up Arm/Elbow,Subfscl,Im;Less Thn 5Cm",5810.0,5810.0,,,0 CDM,4902407701,"Hc Radical Resection Of Tumor, Soft Tissue Of Upper Arm Or Elbow Area, <5 Cm",6588.0,6588.0,,,0 CDM,4902407901,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Up Area Or Elbow Area;5Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902410101,"Hc Arth,Elbow W/Jt Explor W/W/O Biopsy W/W/O Rmvl Of Loose/Foreign Body",8241.0,8241.0,,,0 CDM,4902410201,"Hc Arthrotomy, Elbow; With Synovectomy",8241.0,8241.0,,,0 CDM,4902410501,"Hc Excision, Olecranon Bursa",6653.0,6653.0,,,0 CDM,4902411001,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Humerus",5810.0,5810.0,,,0 CDM,4902412001,Hc Excision/Curettage Bone Cyst/Benign Tumor Head/Neck Of Radius/Olecranon Process,6653.0,6653.0,,,0 CDM,4902413001,"Hc Excision, Radial Head",6653.0,6653.0,,,0 CDM,4902413801,"Hc Sequestrectomy, Olecranon Process",5810.0,5810.0,,,0 CDM,4902414001,"Hc Partial Exc Bone, Humerus",6653.0,6653.0,,,0 CDM,4902414701,"Hc Partial Exc Bone, Olecranon Process",5810.0,5810.0,,,0 CDM,4902414901,"Hc Radcl Resect Capsule Sft Tis&Htrtpc Bone,Elbow W/Contractr Release",8241.0,8241.0,,,0 CDM,4902415001,"Hc Radical Resection Of Tumor, Shaft Or Distal Humerus",6307.0,6307.0,,,0 CDM,4902415501,Hc Resection Of Elbow Joint (Arthrectomy),6307.0,6307.0,,,0 CDM,4902416001,"Hc Removal Of Prosthesis, Incl Debridement/Synovectomy, Humeral/Ulnar Components",5810.0,5810.0,,,0 CDM,4902416401,"Hc Removal Of Prosthesis, Incl Debridement And Synovectomy, Radial Head",6653.0,6653.0,,,0 CDM,4902420001,"Hc Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneous",4617.0,4617.0,,,0 CDM,4902420101,"Hc Rmvl Foreign Body,Upper Arm/Elbow Area;Deep",5507.0,5507.0,,,0 CDM,4902430101,"Hc Muscle Or Tendon Transfer, Any Type, Upper Arm Or Elbow, Single",9372.0,9372.0,,,0 CDM,4902430501,"Hc Tendon Lengthening, Upper Arm/Elbow,Each Tendon",9791.0,9791.0,,,0 CDM,4902431001,"Hc Tenotomy,Open,Elbow To Shoulder,Each Tendon",6653.0,6653.0,,,0 CDM,4902433201,"Hc Tenolysis,Triceps",6653.0,6653.0,,,0 CDM,4902434001,Hc Tenodesis Of Biceps Tendon At Elbow,6653.0,6653.0,,,0 CDM,4902434101,"Hc Rpr Tendon,Mscl,Upper Arm/Elbow,Ea Tendon Or Mscl,Primry Or Scndry",6653.0,6653.0,,,0 CDM,4902434201,"Hc Reinsert Ruptured Bi/Triceps Tendon,Distal,W/W/O Tendon Gft",6653.0,6653.0,,,0 CDM,4902434301,"Hc Repair Lateral Collateral Ligament,Elbow,W/Local Tissue",6653.0,6653.0,,,0 CDM,4902434401,"Hc Reconstruction Lateral Collateral Ligament, Elbow W/Tendon Graft",6307.0,6307.0,,,0 CDM,4902434501,"Hc Repair Medial Collateral Ligament, Elbow, With Local Tissue",6653.0,6653.0,,,0 CDM,4902434601,"Hc Reconstruct Medial Collateral Ligament,Elbow,W/Tendon Graft",6653.0,6653.0,,,0 CDM,4902435701,"Hc Tenotomy, Elbow, Lateral Or Medial, Perc",16385.0,16385.0,,,0 CDM,4902435801,"Hc Tenotomy,Elbow,Lateral Or Medial;Debridmnt,Sft Tiss &/Or Bone,Open",16385.0,16385.0,,,0 CDM,4902435901,"Hc Tenotomy,Elbow,Latrl/Medial;Debrid,Sft Tiss &/Or Bone,Opn W/Tndn Rpr/Reattch",16385.0,16385.0,,,0 CDM,4902436001,"Hc Arthroplasty, Elbow W/Membrane",11148.0,11148.0,,,0 CDM,4902436301,"Hc Arthroplasty, Elbow W/ Distal Humerus, Proximal Ulnar Prosthetic Replacement",15440.0,15440.0,,,0 CDM,4902436501,"Hc Arthroplasty, Radial Head",11148.0,11148.0,,,0 CDM,4902436601,"Hc Arthroplasty,Radial Head With Implant",11148.0,11148.0,,,0 CDM,4902437101,"Hc Revise Total Elbow,Both Component",11148.0,11148.0,,,0 CDM,4902440001,"Hc Osteotomy, Humerus, W/W/O Internal Fixation",8159.0,8159.0,,,0 CDM,4902443001,"Hc Repair Of Nonunion Or Malunion, Humerus; Without Graft",6588.0,6588.0,,,0 CDM,4902443501,"Hc Repair, Nonunion/Malunion, Humerus, W/ Iliac Or Other Autograft",9791.0,9791.0,,,0 CDM,4902451501,"Hc Open Treatment Of Humeral Shaft Fracture W/Plate/Sccrews, W/W/O Cerclage",9791.0,9791.0,,,0 CDM,4902451601,"Hc Tx Humeral Shaft Fx,W/Insert Intramed Implant Wwo Cerclage &/Or Locking Screws",8159.0,8159.0,,,0 CDM,4902454501,"Hc Open Treatment, Humeral Supracondylar/Transcondylar Fracture, Incl Internal Fixation, W/O Interco",8159.0,8159.0,,,0 CDM,4902454601,"Hc Open Treatment, Humeral Supracondylar/Transcondylar Fracture Incl Internal Fixation W/Intercondyl",11148.0,11148.0,,,0 CDM,4902457501,"Hc Opn Tx Humrl Epicond Fx,Medial/Lateral Incl Fix,Whn Prfmd",7906.0,7906.0,,,0 CDM,4902457601,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation",4617.0,4617.0,,,0 CDM,4902457901,"Hc Open Treatment Of Humeral Condylar Fracture, Medial Or Lateral Incl Internal Fixation, When Perfo",7906.0,7906.0,,,0 CDM,4902458601,Hc Open Treatment Of Periarticular Fracture And/Or Dislocation Of The Elbow,9791.0,9791.0,,,0 CDM,4902463501,Hc Open Treatment Of Monteggia Type Of Fracture Dislocation At Elbow Incl Internal Fixation,7906.0,7906.0,,,0 CDM,4902465001,Hc Closed Treatment Of Radial Head Or Neck Fracture; W/O Manipulation,4609.0,4609.0,,,0 CDM,4902466501,"Hc Opn Tx Radial Head/Neck Fx,Incl Intrnl Fix/Radial Head Exc,Whn Prfmd",9791.0,9791.0,,,0 CDM,4902466601,"Hc Opn Tx Radl Hd/Nck Fx,Inc Intrn Fix/Radl Hd Exc,Whn Prfmd;W/Radl Hd Prosth Rplc",9791.0,9791.0,,,0 CDM,4902468501,"Hc Opn Tx Ulnar Fx Proximl End,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902499901,"Hc Unlisted Procedure, Humerus Or Elbow",11148.0,11148.0,,,0 CDM,4902499902,Asc Only Unlisted Procedure - Humerus Or Elbow - Elbow Autograft Transfer,11148.0,11148.0,,,0 CDM,4902500001,"Hc Inc,Extensor Tendon Sheath,Wrist",6653.0,6653.0,,,0 CDM,4902502001,"Hc Decompression Fasciotomy, Forearm And/Or Wrist, Flexor Or Extensor Compartment; W/O Debridement,",6307.0,6307.0,,,0 CDM,4902502301,"Hc Decompression Fasciotomy, Forearm And/Or Wrist, Flexor Or Extensor Compartment; W/Debridement Of",6949.0,6949.0,,,0 CDM,4902502801,"Hc Incision And Drainage, Forearm And/Or Wrist; Deep Abscess Or Hematoma",4862.0,4862.0,,,0 CDM,4902503501,"Hc Incision, Deep, Bone Cortex, Forearm And/Or Wrist",5507.0,5507.0,,,0 CDM,4902506501,"Hc Biopsy, Soft Tissue Of Forearm And/Or Wrist; Superficial",4609.0,4609.0,,,0 CDM,4902506601,"Hc Bx,Soft Tissue Forearm &/Or Wrist;Deep",5810.0,5810.0,,,0 CDM,4902507101,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3+Cm,13791.0,13791.0,,,0 CDM,4902507301,"Hc Exc,Tumor,Sft Tiss Forearm &/Or Wrist Area,Subfscl;3Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902507501,Hc Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm,5810.0,5810.0,,,0 CDM,4902507601,Hc Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm,6653.0,6653.0,,,0 CDM,4902507701,"Hc Radical Resection Of Tumor, Soft Tissue Of Forearm And/Or Wrist Area; Less Than 3 Cm",7906.0,7906.0,,,0 CDM,4902507801,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Forearm &/Or Wrist Area;3Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902508501,"Hc Capsulotomy, Wrist",8868.0,8868.0,,,0 CDM,4902510101,"Hc Arthrotomy, Wrist Joint; W/Joint Exploration, W/W/O Biopsy, W/W/O Removal Of Loose Or Foreign Bod",6653.0,6653.0,,,0 CDM,4902510701,"Hc Arthrotomy,Distal Radioulnar Jnt Inc Repair Triangular Cartilage,Complex",6653.0,6653.0,,,0 CDM,4902510901,"Hc Excision Of Tendon, Forearm And/Or Wrist, Flexor Or Extensor, Each",6653.0,6653.0,,,0 CDM,4902511101,"Hc Excision Of Ganglion, Wrist; Primary",6653.0,6653.0,,,0 CDM,4902511201,Hc Excis Recurrent Ganglion Wrist,8241.0,8241.0,,,0 CDM,4902511501,"Hc Radical Excision Of Bursa, Synovia Of Wrist, Or Forearm Tendon Sheaths; Flexors",9791.0,9791.0,,,0 CDM,4902511601,Hc Rad Exc Bursa Synovia Wrist/Forearm Tend Sheaths; Ext-Transpos Dorsal Ret,9791.0,9791.0,,,0 CDM,4902511801,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment",5810.0,5810.0,,,0 CDM,4902511901,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment; With Resection Of Distal Ulna",5810.0,5810.0,,,0 CDM,4902512001,Hc Excision/Curettage Bone Cyt Or Benign Tumor Of Radious Or Ulna,6307.0,6307.0,,,0 CDM,4902512601,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor, Radius Or Ulna W/Allograft",6307.0,6307.0,,,0 CDM,4902513501,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor, Carpal Bones W/Autograft",6307.0,6307.0,,,0 CDM,4902515001,"Hc Partial Excision Of Bone, Ulna",5810.0,5810.0,,,0 CDM,4902515101,Hc Partial Excision Of Bone; Radius,5507.0,5507.0,,,0 CDM,4902517001,"Hc Radical Resection Of Tumor, Radius Or Ulna",6588.0,6588.0,,,0 CDM,4902521001,Hc Carpectomy-One Bone,6653.0,6653.0,,,0 CDM,4902521501,Hc Carpectomy All Bones Of Proximal Row,9791.0,9791.0,,,0 CDM,4902523001,Hc Radial Styloidectomy,8241.0,8241.0,,,0 CDM,4902524001,Hc Excision Distal Ulna Partial Or Complete,8241.0,8241.0,,,0 CDM,4902524801,"Hc Exploration With Removal Of Deep Foreign Body, Forearm Or Wrist",5507.0,5507.0,,,0 CDM,4902525001,Hc Removal Of Wrist Prosthesis,4609.0,4609.0,,,0 CDM,4902525901,"Hc Manipulation, Wrist, Under Anesthesia",6307.0,6307.0,,,0 CDM,4902526001,"Hc Reforearm Tend/Musc,Flex,Prim,Ea",8241.0,8241.0,,,0 CDM,4902526301,"Hc Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, Single, Each Tendon Or Muscle",5507.0,5507.0,,,0 CDM,4902526501,"Hc Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, With Free Graft, Each Tendon O",6307.0,6307.0,,,0 CDM,4902527001,"Hc Repair, Tendon/Muscle, Extensor, Forearm And/Or Wrist; Primary, Single, Each Tendon/Muscle",7811.0,7811.0,,,0 CDM,4902527501,"Hc Repair,Tendon Sheath,Extensor,Forearm &/Or Wrist,W/Free Graft",8241.0,8241.0,,,0 CDM,4902528001,"Hc Lengthening/Shortening Flexor/Extensor Tendor, Forearm And/Or Wrist Single Tend",7811.0,7811.0,,,0 CDM,4902529001,"Hc Tenotomy, Open, Flexor Or Extensor Tendon, Forearm And/Or Wrist, Single, Each Tendon",6307.0,6307.0,,,0 CDM,4902529501,"Hc Lexor/Extensor Tendon, Forearm And/Or Wrist, Single Ea Tendon",6653.0,6653.0,,,0 CDM,4902530001,Hc Tenodesis At Wrist; Flexors Of Fingers,6307.0,6307.0,,,0 CDM,4902530101,Hc Tenodesis At Wrist; Extensors Of Fingers,6307.0,6307.0,,,0 CDM,4902531001,"Hc Tendon Transplant/Transfer,Flexor/Extensor, Forearm/Wrist Single Ea",7906.0,7906.0,,,0 CDM,4902531201,"Hc Tendon Transp/Transfer,Flex/Extensor,Forearm/Wrist,Single W/Tendon Grafts",9791.0,9791.0,,,0 CDM,4902532001,"Hc Capsulorrhaphy/Reccon,Wrist,Opn For Carpal Instability",6653.0,6653.0,,,0 CDM,4902533201,"Hc Arthroplasty, Wrist, W/W/O Interposition, W/W/O External Or Internal Fixation",11148.0,11148.0,,,0 CDM,4902533701,"Hc Reconstruct Unstabledistal Ulna/Radioul-Nar Joint, 2Ndryby Soft Tissu Stabil",11148.0,11148.0,,,0 CDM,4902535001,"Hc Osteotomy,Radius; Distal Third",7906.0,7906.0,,,0 CDM,4902536001,Hc Osteotomy-Ulna,7906.0,7906.0,,,0 CDM,4902536501,"Hc Osteotomy, Radius And Ulna",6588.0,6588.0,,,0 CDM,4902539001,"Hc Osteoplasty,Radius Or Ulna; Shortening",7906.0,7906.0,,,0 CDM,4902539201,"Hc Osteoplasty,Radius And Ulna; Shortening",7906.0,7906.0,,,0 CDM,4902540001,"Hc Repair, Nonunion/Malunion, Radius Or Ulna W/O Graft",7906.0,7906.0,,,0 CDM,4902540501,"Hc Repair Of Nonunion Or Malunion, Radius Or Ulna W/ Autograft",9791.0,9791.0,,,0 CDM,4902541501,Hc Repair Of Nonunion/Malunion Radius & Ulna; W/O Graft,7906.0,7906.0,,,0 CDM,4902542001,"Hc Repair Of Nonunion/Malunion,Radius & Ulna;Wautograft",8159.0,8159.0,,,0 CDM,4902543001,Hc Insertion Of Vascular Pedicle Into Carpal Bone,6653.0,6653.0,,,0 CDM,4902544001,"Hc Repair Of Nonunion,Scaphoid Carpal Bone,Wwo Radial Styloidectomy",9791.0,9791.0,,,0 CDM,4902544601,Hc Arthrop W/Prosth Replace; Distal Radius & Partial Or Entire Carpus,15440.0,15440.0,,,0 CDM,4902544701,Hc Repair Intercarp/Carp-Metacarp Jt,11148.0,11148.0,,,0 CDM,4902544801,"Hc Arthroplasty, Intercarpal Or Carpometacarpal Joints; Suspension, Including Transfer Or Transplant",11148.0,11148.0,,,0 CDM,4902544901,"Hc Revision Of Arthroplasty, Including Removal Of Implant, Wrist Joint",11148.0,11148.0,,,0 CDM,4902549101,Hc Prophylactic Treatment W/W/O Methymethacrylate; Ulna,6588.0,6588.0,,,0 CDM,4902550501,Hc Closed Treatment Of Radial Shaft Fracture; With Manipulation,4617.0,4617.0,,,0 CDM,4902551501,"Hc Opn Tx Radial Shaft Fx,Incl Internl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902552501,"Hc Open Trmt, Radial Shaft Fracture Incl Internal Fixation, Closed Trmt, Distal Radioular",9325.0,9325.0,,,0 CDM,4902552601,"Hc Opn Radl Shft Fx,Intrn&Opn Distl Radlnr Dislc,Intrn Fix,Rpr Triag Fibrcrt Cmplx",9290.0,9290.0,,,0 CDM,4902553001,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation,4398.0,4398.0,,,0 CDM,4902554501,"Hc Open Treatment, Ulnar Shaft Fracture Incl Internal Fixation, When Performed",6336.0,6336.0,,,0 CDM,4902556501,"Hc Closed Treatment, Radial And Ulnar Shaft Fractures W/Manipulation",5810.0,5810.0,,,0 CDM,4902557401,"Hc Open Treatment Of Radial And Ulnar Shaft Fractures, W/Internal Fixation, When Performed",7906.0,7906.0,,,0 CDM,4902557501,"Hc Open Treatment Of Radial, Ulnar Shaft Fractures W/Internal Fixation",7906.0,7906.0,,,0 CDM,4902560501,"Hc Closed Rx Dist Rad/Ulna Fx,Manipul",6653.0,6653.0,,,0 CDM,4902560601,"Hc Percut Skeletal Fix, Distal Radius Fx",9074.0,9074.0,,,0 CDM,4902560701,"Hc Open Rx Distal Radius Fx, Extra-Articular",9383.0,9383.0,,,0 CDM,4902560801,"Hc Open Rx Distal Radius Fx, Intra-Articular, 2 Frag",11148.0,11148.0,,,0 CDM,4902560901,"Hc Open Rx Distal Radius Fx, Intra-Articular, 3+ Frag",11148.0,11148.0,,,0 CDM,4902562801,"Hc Opn Tx Carpal Scaphoid Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902563501,"Hc Closed Treatment, Carpal Bone Fracture W/Manipulation, Each Bone",4862.0,4862.0,,,0 CDM,4902564501,"Hc Open Treatment Of Carpal Bone Fracture, Each Bone",6307.0,6307.0,,,0 CDM,4902565101,Hc Percutaneous Skeletal Fixation Of Ulnar Styloid Fracture,6307.0,6307.0,,,0 CDM,4902565201,Hc Open Treatment Of Ulnar Styloid Fracture,6307.0,6307.0,,,0 CDM,4902567001,"Hc Open Treatment, Radiocarpal/Intercarpal Dislocation, 1 Or More Bones",6653.0,6653.0,,,0 CDM,4902567101,Hc Percutaneous Skeletal Fixation Of Distal Radioulnar Dislocation,4609.0,4609.0,,,0 CDM,4902567501,Hc Closed Treatment Of Distal Radioulnar Dislocation With Manipulation,4815.0,4815.0,,,0 CDM,4902567601,"Hc Open Treatment Of Distal Radioulnar Dislocation, Acute Or Chronic",6905.0,6905.0,,,0 CDM,4902568501,Hc Open Treatment Of Trans-Scaphoperilunar Type Of Fracture Dislocation,6653.0,6653.0,,,0 CDM,4902580001,"Hc Arthrodesis,Wrist;Complete,Wo Bone Graft",9791.0,9791.0,,,0 CDM,4902581001,"Hc Arthrodesis, Wrist Joint With Iliac Or Other Autograft",11148.0,11148.0,,,0 CDM,4902582001,"Hc Arthrodesis, Wrist; Limited, Without Bone Graft",8159.0,8159.0,,,0 CDM,4902582501,"Hc Arthrodesis, Wrist; With Autograft",11148.0,11148.0,,,0 CDM,4902583001,"Hc Arthrodesis, Distal Radioulnar Joint With Segmental Resection Of Ulna, W/W/O Bone Graft",8446.0,8446.0,,,0 CDM,4902599901,Asc Only Unlisted Procedure - Forearm Or Wrist - Open Distal Radius Core Decompression,6949.0,6949.0,,,0 CDM,4902601001,"Hc Drain Finger Abscess,Simple",4862.0,4862.0,,,0 CDM,4902602001,"Hc Drainage Of Tendon Sheath, Digit And/Or Palm, Each",5130.0,5130.0,,,0 CDM,4902603401,"Hc Incision, Bone Cortex, Hand Or Finger, Osteomyelitis Or Bone Abscess",5810.0,5810.0,,,0 CDM,4902604001,"Hc Fasciotomy,Palmar;Percutaneous",8241.0,8241.0,,,0 CDM,4902604501,"Hc Fasciotomy, Palmear, For Dupuytren's Contracture; Open, Partial",6653.0,6653.0,,,0 CDM,4902605501,Hc Incise Finger Tendon Sheath,9074.0,9074.0,,,0 CDM,4902607001,"Hc Arthrotomy, With Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Carpometacarpal Join",5810.0,5810.0,,,0 CDM,4902607501,Hc Explore & Treat Metacarpo-Phal Jt,8241.0,8241.0,,,0 CDM,4902608001,"Hc Explore/Treat Interphalangeal Jt,Ea",8241.0,8241.0,,,0 CDM,4902610501,"Hc Arthrotomy With Biopsy; Metacarpophalangeal Joint, Each",4609.0,4609.0,,,0 CDM,4902611001,"Hc Arthrotomy With Biopsy; Interphalangeal Joint, Each",4609.0,4609.0,,,0 CDM,4902611101,"Hc Exc,Tumor Or Vasclr Malform,Soft Tiss Hand/Finger,Subcut;1.5 Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902611301,"Hc Exc,Tumor,Sft Tiss Or Vasclr Malform,Hand/Fngr,Subfscl;1.5Mc Or Grtr",13791.0,13791.0,,,0 CDM,4902611501,Hc Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5Cm,5810.0,5810.0,,,0 CDM,4902611601,"Hc Exc,Tumor,Sft Tiss,Or Vasclr Malform,Hand/Finger,Subfscl,Im;Less Thn 1.5Cm",5810.0,5810.0,,,0 CDM,4902611701,"Hc Radical Resection Of Tumor, Soft Tissue, Hand Or Finger, < 3 Cm",7906.0,7906.0,,,0 CDM,4902611801,"Hc Radical Resection Of Tumor, Soft Tissue Of Hand Or Finger, 3 Cm Or Greater",6905.0,6905.0,,,0 CDM,4902612101,"Hc Fasctmy,Palm Only,Wwo Zplasty,Oth Loc Tiss Rearragmnt,Or Skin Gft",8159.0,8159.0,,,0 CDM,4902612301,"Hc Part Palmar Fasciec,Open 1 Digit",9791.0,9791.0,,,0 CDM,4902612501,"Hc Part Palmar Fasciec,Open Addnl Digit",9791.0,9791.0,,,0 CDM,4902613501,"Hc Synovectomy, Metacarpophalangeal Joint Incl Intrinsic Release And Extensor Hood Reconstruction, E",8241.0,8241.0,,,0 CDM,4902614501,"Hc Synovectmy,Tendon Sheath,Radical,Flexor Tendon,Palm&/Or Finger,Ea Tendon",6653.0,6653.0,,,0 CDM,4902616001,"Hc Excis Tendon Sheath Lesion, Hand/Finger",6653.0,6653.0,,,0 CDM,4902617001,"Hc Excision Of Tendon, Palm, Flexor Or Extensor, Single, Each Tendon",6307.0,6307.0,,,0 CDM,4902618001,"Hc Exc Tendon,Finger,Flexor/Extensor,Ea Tendon",6653.0,6653.0,,,0 CDM,4902618501,"Hc Sesamoidectomy, Thumb Or Finger",7826.0,7826.0,,,0 CDM,4902620001,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Metacarpal,5507.0,5507.0,,,0 CDM,4902620501,Hc Exc/Curett Bone Cyst/Benign Tumor Of Metacarpal W/Autograft,6307.0,6307.0,,,0 CDM,4902621001,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal, Middle, Or Distal Phalanx Of Fing",5507.0,5507.0,,,0 CDM,4902621501,"Hc Excision/Curettage Of Bone Cyst Or Benign Tumor Of Proximal, Middle/Distal Phalanx Of Finger W/Au",6307.0,6307.0,,,0 CDM,4902623001,Hc Partial Exc Bone;Metacarpal,12994.0,12994.0,,,0 CDM,4902623501,Hc Partial Excision Of Bone; Proximal Or Middle Phalanx Of Finger,6653.0,6653.0,,,0 CDM,4902623601,Hc Partial Excision Of Bone; Distal Phalanx Of Finger,6653.0,6653.0,,,0 CDM,4902625001,"Hc Radical Resect Tumor,Metacarpal",6653.0,6653.0,,,0 CDM,4902626001,"Hc Radical Resection Of Tumor, Proximal Or Middle Phalanx Of Finger",7906.0,7906.0,,,0 CDM,4902632001,Hc Removal Of Implant From Finger Or Hand,5810.0,5810.0,,,0 CDM,4902634001,"Hc Manipulation,Finger Joint,Under Anesthesia,Each Joint",4862.0,4862.0,,,0 CDM,4902635001,"Hc Repair Flexor Tendon,Hand,W/O Graft,Ea",4862.0,4862.0,,,0 CDM,4902635201,"Hc Repair/Advancement, Flexor Tendon, Not In Zone 2 Digital Flexor Tendon Sheath; Secondary W/Free G",7811.0,7811.0,,,0 CDM,4902635601,"Hc Repair Flex Tendon,Zone 2,Hand",9791.0,9791.0,,,0 CDM,4902635701,"Hc Repair Flex Tendon,Zone 2,Secon,Hand,Ea",9791.0,9791.0,,,0 CDM,4902635801,Hc Flexor Tend Repair/Advance Single In Noman's Land; Sec W/Free Graft,8159.0,8159.0,,,0 CDM,4902637001,"Hc Rpr/Advnc Profundus Tendon,W/Intact Superfcls Tendon;Primry,Ea Tendon",7811.0,7811.0,,,0 CDM,4902637201,"Hc Rpr/Advnc Profundus Tndn,W/Intact Superfcls Tndn;2Ndry W/Free Grft,Ea Tndn",7811.0,7811.0,,,0 CDM,4902637301,"Hc Repair Or Advancement Of Profundus Tendon, With Intact Superficialis Tendon; Secondary Without Fr",6653.0,6653.0,,,0 CDM,4902639001,"Hc Excision Flexor Tendon, W/Implantation Synthetic Rod For Delayed Tendon Graft, Hand/Finger, Each",7811.0,7811.0,,,0 CDM,4902639201,"Hc Rmvl Synthetic Rod/Insertion Flexor Tendon Graft, Hand/Finger Incl Obtaining Graft, Each Rod",6307.0,6307.0,,,0 CDM,4902641001,"Hc Repair,Extensor Tndn,Hand,Primry/Secndry;Wo Free Graft,Ea Tendon",6653.0,6653.0,,,0 CDM,4902641201,Hc Extensor Tend Repair Dorsum Hand Single Prim/Seccond W Free Graft Ea Tend,6653.0,6653.0,,,0 CDM,4902641801,"Hc Repair Exten Tendon,Dorsum Fingr,Ea",8241.0,8241.0,,,0 CDM,4902642001,"Hc Repair, Extensor Tendon, Finger, Primary Or Secondary With Free Graft, Each Tendon",8241.0,8241.0,,,0 CDM,4902642601,"Hc Rpr Extensr Tndn,Centl Slip,2Ndry;Use Loc Tiss(S),Incl Laterl Band(S),Ea Finger",6653.0,6653.0,,,0 CDM,4902643201,"Hc Closed Treatment Of Distal Extensor Tendon Insertion, W/W/O Percutaneous Pinning",6307.0,6307.0,,,0 CDM,4902643301,"Hc Repair Of Extensor Tendon, Distal Insertion, Primary Or Secondary; Without Graft",6653.0,6653.0,,,0 CDM,4902643701,"Hc Realign Extensor Tendon,Hand,Ea Tendon",7906.0,7906.0,,,0 CDM,4902644001,"Hc Tenolysis,Flexor Tendon; Palm/Finger;Ea Tendon",6653.0,6653.0,,,0 CDM,4902644201,"Hc Tenolysis, Simple Flexor Tendon; Palm And Finger Each Tend",7906.0,7906.0,,,0 CDM,4902644501,"Hc Tenolysis Ext Tendon,Hand/Finger,Ea",6653.0,6653.0,,,0 CDM,4902644901,"Hc Tenolysis, Complex, Extensor Tendon, Finger Incl Forearm, Each Tendon",6653.0,6653.0,,,0 CDM,4902645001,"Hc Tenotomy,Flexor,Palm,Open,Ea Tendon",6653.0,6653.0,,,0 CDM,4902645501,"Hc Tenotomy,Flexor,Finger,Ipen,Ea Tendon",6307.0,6307.0,,,0 CDM,4902646001,"Hc Tenotomy, Extensor, Hand Or Finger, Open, Each Tendon",6307.0,6307.0,,,0 CDM,4902647101,"Hc Tenodesis;Proximal Interphalangeal Joint,Ea Joint",5810.0,5810.0,,,0 CDM,4902647601,"Hc Lengthening Tendon,Extensor,Hand Or Finger,Ea Tendon",4862.0,4862.0,,,0 CDM,4902647801,"Hc Lengthening Tendon,Flexor,Hand/Finger,Ea Tendon",4815.0,4815.0,,,0 CDM,4902647901,"Hc Shortening Of Tendon, Flexor, Hand Or Finger, Each Tendon",4815.0,4815.0,,,0 CDM,4902648001,"Hc Transfer/Tplant Tndn,Carpometacarpal /Dorsum Of Hand;Wo Free Grft,Ea Tndn",6653.0,6653.0,,,0 CDM,4902648301,"Hc Transfer/Transplant Of Tendon, Carpometacarpal Or Dorsum Of Hand Each Tendon",7906.0,7906.0,,,0 CDM,4902648501,"Hc Transfer/Tplant Tendon,Palmar;Wo Free Tendon Graft,Ea Tendon",5810.0,5810.0,,,0 CDM,4902648901,"Hc Transfer/Transport Of Tendon, Palmar W/Free Tendon Graft, Each Tendon",6307.0,6307.0,,,0 CDM,4902649001,"Hc Opponensplasty;Superficialis Tendon Transfer Type,Ea Tendon",6653.0,6653.0,,,0 CDM,4902649201,"Hc Opponensplasty;Tendon Transfer W/Graft,Ea Tendon",6653.0,6653.0,,,0 CDM,4902649701,Hc Transfer Tendon To Resotre Intrinsic Function;Ring&Sm Finger,7906.0,7906.0,,,0 CDM,4902649801,Hc Tendon Transfer To Restore Intrinsic Funtion; All Four Fingers,8159.0,8159.0,,,0 CDM,4902649901,"Hc Correction Claw Finger, Other Methods",7906.0,7906.0,,,0 CDM,4902650001,"Hc Recon Tendon Pulley,Ea Tendon;W/Local Tissues",8241.0,8241.0,,,0 CDM,4902650201,"Hc Tendon Pulley Reconstruction, Each Tendon With Tendon/Fascial Graft",7811.0,7811.0,,,0 CDM,4902651001,"Hc Cross Intrinsic Transfer,Ea Tendon",6653.0,6653.0,,,0 CDM,4902651601,Hc Capsulodesis Metacarpopalangeal Joint;Single Digit,4862.0,4862.0,,,0 CDM,4902651701,Hc Capsulodesis For M-P Jt Stabilization; Two Digits,6588.0,6588.0,,,0 CDM,4902651801,Hc Capsulodesis For M-P Jt Estabilization; Three Or Four Digits,7906.0,7906.0,,,0 CDM,4902652001,Hc Release Mc-P Jt Contracture,6653.0,6653.0,,,0 CDM,4902652501,"Hc Capsulectomy Or Capsulotomy; Interphalangeal Joint, Each Joint",6653.0,6653.0,,,0 CDM,4902653001,"Hc Arthroplasty, Metacarpophalangeal Joint; Each Joint",6307.0,6307.0,,,0 CDM,4902653101,"Hc Arthoplasty, Metacarpophalangeal Joint;W/Prosthetic Implant,Ea Joint",15440.0,15440.0,,,0 CDM,4902653501,"Hc Arthroplasty, Interphalangeal Joint, Each Joint",9383.0,9383.0,,,0 CDM,4902653601,"Hc Arthroplasty, Interphalangeal Joint, W/Prosthetic Implant, Each Joint",8893.0,8893.0,,,0 CDM,4902654001,"Hc Fix Collat Lig,Mc-P Jt,I-P Jt",8241.0,8241.0,,,0 CDM,4902654101,"Hc Reconstruct,Collateral Ligmnt,Met Jnt,Sng,W/Tendon/Fascial Gft",12994.0,12994.0,,,0 CDM,4902654201,"Hc Prim Repair Collateral Lig, Metacarpop Joint W Local Tissue",7811.0,7811.0,,,0 CDM,4902654501,"Hc Reconstruct Collateral Lig Interphalangeal Jt, Single Includ Graft Ea Jt",7811.0,7811.0,,,0 CDM,4902654601,"Hc Repair Non-Union,Metacarpal/Phalanx Incl Obtaining Bone Graft W/Wo External/Internal Fixation",9791.0,9791.0,,,0 CDM,4902654801,"Hc Repair/Recconstruction, Finger Volar Plate, Interphalangeal Joint",9791.0,9791.0,,,0 CDM,4902656101,Hc Repair Of Syndatyly Each Web Space; With Skin Flaps & Grafts,6588.0,6588.0,,,0 CDM,4902656201,Hc Repair Of Syndatyly Each Web Space; Complex,9791.0,9791.0,,,0 CDM,4902656501,"Hc Osteotomy; Metacarpal, Each",6588.0,6588.0,,,0 CDM,4902656701,"Hc Osteotomy, Phalanx Of Finger, Each",9383.0,9383.0,,,0 CDM,4902656801,"Hc Osteoplasty,Lengthen,Metacarpal Or Phalanx",6653.0,6653.0,,,0 CDM,4902659101,"Hc Repair, Intrinsic Muscles Of Hand, Each Muscle",6588.0,6588.0,,,0 CDM,4902659301,"Hc Release,Intrinsic Muscles Of Hand,Ea Muscle",6588.0,6588.0,,,0 CDM,4902659601,"Hc Excision Of Constricting Ring Of Finger, With Multiple Z-Plasties",5518.0,5518.0,,,0 CDM,4902660001,"Hc Closed Treatment Of Metacarpal Fracture, Single W/O Manipulation Ea Bone",5507.0,5507.0,,,0 CDM,4902660801,"Hc Closed Rx Metacarpal Fx,Percut",9791.0,9791.0,,,0 CDM,4902661501,Hc Open Tx Metacarpal Fracture Single Ea Bone,9791.0,9791.0,,,0 CDM,4902665001,"Hc Percut Skeletal Fix Carpometacarpal Fx Disloc,Thumb,W/Manip",5810.0,5810.0,,,0 CDM,4902666501,"Hc Opn Tx Carpometacarpal Fx Disloc,Thumb,Incl Intrnl Fix,Whn Prfmd",8241.0,8241.0,,,0 CDM,4902667501,"Hc Closed Treatment Of Carpometacarpal Dislocation, Other Than Thumb, With Manipulation, Each Joint;",5507.0,5507.0,,,0 CDM,4902667601,"Hc Percut Fix Carpometacar Disloc,Non-Thumb",5810.0,5810.0,,,0 CDM,4902668501,"Hc Opn Tx Carpometacarpal Disloc,Oth Thn Thumb;Incl Intrnl Fix,Whn Prfmd,Ea Joint",6653.0,6653.0,,,0 CDM,4902668601,"Hc Open Treatment Of Carpometacarpal Dislocation, Not Incl Thumb, Complex, Multi Or Delayed Reductio",7906.0,7906.0,,,0 CDM,4902670501,Hc Closed Treat Metacarpophalangeal Disloc Sngl W/Manip Requiring Anesthesia,5810.0,5810.0,,,0 CDM,4902672001,"Hc Closed Treatment Of Phalangeal Shaft Fracture, Proximal Or Middle Phalanx, Finger Or Thumb W/O Ma",8209.0,8209.0,,,0 CDM,4902672501,Hc Close Treat Phalang Shaft Fx Prox/Mdle Phalanx Fing/Thumb W/Manip W/O Skin/Skel,8209.0,8209.0,,,0 CDM,4902672701,Hc Percut Rx Prox/Mid Fing Shft Fx,12994.0,12994.0,,,0 CDM,4902673501,Hc Open Tx Phalangeal Shaft Fracture Prox/Middle Ea,8241.0,8241.0,,,0 CDM,4902674201,"Hc Close Rx Fingr Articular Fx,Manip",5810.0,5810.0,,,0 CDM,4902674601,Hc Open Tx Articular Fracture Mcp/Ip Joint Ea,9383.0,9383.0,,,0 CDM,4902675001,Hc Closed Treatment Of Distal Phalangeal Fx Finger/Thumb W/O Manipulation,4609.0,4609.0,,,0 CDM,4902675601,Hc Percutaneous Skeletal Fix Distal Phalangeal Fx Finger/Thumb Ea,5810.0,5810.0,,,0 CDM,4902676501,Hc Open Tx Distal Phalangeal Fracture Each,8241.0,8241.0,,,0 CDM,4902677601,"Hc Percutaneous Skeletal Fixation Of Interphalangeal Joint Dislocation, Single W/ Manipulation",5810.0,5810.0,,,0 CDM,4902678501,"Hc Open Treatment, Interphalangeal Joint Dislocation, Incl Internal Fixation, Single",5507.0,5507.0,,,0 CDM,4902684101,Hc Arthrodesis Carpometacarpal Jt Thumb W/W/O Internal Fix,7811.0,7811.0,,,0 CDM,4902684301,"Hc Arthodesis,Carpometacarpal Jnt,Digit,Oth Thn Thumb,Each;No",6307.0,6307.0,,,0 CDM,4902684401,Hc Arthodesis Carpometacarpal Jt Digits Other Than Thumb; W/Autograft,6588.0,6588.0,,,0 CDM,4902685001,Hc Arthodesis Metacarpophalangeal Jt W/W/O Internal Fix,8241.0,8241.0,,,0 CDM,4902685201,Hc Arthodesis Metacarpophalangeal Jt W/W/O Int Fix W/Autograft,9791.0,9791.0,,,0 CDM,4902686001,Hc Fusion Finger Joint,6653.0,6653.0,,,0 CDM,4902686101,"Hc Arthrodesis, Interphalangeal Joint, W Or W/O Internal Fixation, Ea Addl",5810.0,5810.0,,,0 CDM,4902686201,Hc Arthrodesis Interphalangeal Jt W/W/O Int Fix W/Autograft,8241.0,8241.0,,,0 CDM,4902691001,Hc Amputation Metacarpal W./Finger/Thumb Single W/W/O Interosseous Transfer,6653.0,6653.0,,,0 CDM,4902695101,Hc Amputation Finger/Thumb,5810.0,5810.0,,,0 CDM,4902695201,Hc Amputation Finger/Thumb+Flaps,8241.0,8241.0,,,0 CDM,4902699001,"Hc Incision And Drainage, Pelvis Or Hip Joint Area; Deep Abscess Or Hematoma",8167.0,8167.0,,,0 CDM,4902699101,"Hc Ncision And Drainage, Pelvis Or Hip Joint Area; Infected Bursa",4609.0,4609.0,,,0 CDM,4902700001,"Hc Tenotomy,Adductor Of Hip,Percutaneous",9074.0,9074.0,,,0 CDM,4902700501,"Hc Tenotomy, Hip Flexor(S), Open",9791.0,9791.0,,,0 CDM,4902700601,"Hc Tenotomy, Abductors And/Or Extensor(S) Of Hip, Open",9791.0,9791.0,,,0 CDM,4902703601,"Hc Cpslctmy/Cpsltmy Of Hip,W/W/O Exc Htrtpc Bone,W/Relse Hip Flex Mscl",9791.0,9791.0,,,0 CDM,4902704001,"Hc Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial",4862.0,4862.0,,,0 CDM,4902704301,"Hc Exc,Tumor,Sft Tiss Pelvis & Hip Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902704501,"Hc Excision, Tumor, Soft Tissue Of Pelvis And Hip Area, Subfascial, 5 Cm Or Greater",13654.0,13654.0,,,0 CDM,4902704701,"Hc Exc,Tumor,Sft Tiss Pelvis & Hip Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 CDM,4902704901,"Hc Radical Resection Of Tumor, Soft Tissue Of Pelvis And Hip Area, < 5 Cm",7906.0,7906.0,,,0 CDM,4902705901,"Hc Radical Resection Of Tumor, Soft Tissue Of Pelvis And Hip Area, 5 Cm Or Greater",13654.0,13654.0,,,0 CDM,4902706201,Hc Excision; Trochanteric Bursa Or Calcification,11148.0,11148.0,,,0 CDM,4902707101,"Hc Partial Exc,Wing Of Ilium,Symphysis Pubis/Grt Trchntr Femur;Deep",13057.0,13057.0,,,0 CDM,4902707501,"Hc Rad Resect Tumor;Wing Of Ilium,One Pubic/Ischial Ramus/Symph Pubis",10290.0,10290.0,,,0 CDM,4902708601,"Hc Removal Of Foreign Body, Pelvis Or Hip, Subcutaneous Tissue",4609.0,4609.0,,,0 CDM,4902708701,"Hc Removal Of Foreign Body, Pelvis Or Hip; Deep",6588.0,6588.0,,,0 CDM,4902709501,Hc Injection Procedure For Hip Arthrography; W/Anesthesia,4377.0,4377.0,,,0 CDM,4902709601,"Hc Injection,Sacroiliac Joint, Anesthetic/Steroid W/Img, Incl Arthrography When Perf",4377.0,4377.0,,,0 CDM,4902709701,"Hc Release Or Recession,Hamstring,Proximal",7906.0,7906.0,,,0 CDM,4902713001,"Hc Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 CDM,4902713201,"Hc Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 CDM,4902713401,"Hc Revision, Total Hip Arthroplasty, Both Components, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 CDM,4902713701,"Hc Revision, Total Hip Arthroplasty, Acetabular Component Only, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 CDM,4902713801,"Hc Revision, Total Hip Arthroplasty, Femoral Component Only, W/W/O Allograft",12866.0,12866.0,,,0 CDM,4902725201,"Hc Closed Treatment Of Hip Dislocation, Traumatic, Requiring Anesthesia",5753.0,5753.0,,,0 CDM,4902729901,"Asc Only Unlisted Procedure, Pelvis Or Hip - Percutaneous Acetabuloplasty",10290.0,10290.0,,,0 CDM,4902729902,"Asc Only Unlisted Procedure, Pelvis Or Hip - Gluteus Medius/Minimus Repair",10290.0,10290.0,,,0 CDM,4902729903,"Asc Only Unlisted Procedure, Pelvis Or Hip - Hip Core Decompression",10290.0,10290.0,,,0 CDM,4902730101,"Hc Inc/Drain,Deep Abscess,Bursa/Hematoma,Thigh/Knee Region",6653.0,6653.0,,,0 CDM,4902730301,"Hc Incision,Deep W/Opening Of Bone Cortex, Femur Or Knee",5507.0,5507.0,,,0 CDM,4902730501,"Hc Fasciotomy, Iliotibial (Tenotomy), Open",5507.0,5507.0,,,0 CDM,4902730601,"Hc Tenotomy,Percutaneous,Adductor/Hamstring;Single Tendon",6653.0,6653.0,,,0 CDM,4902730701,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Multiple Tendons",6653.0,6653.0,,,0 CDM,4902731001,"Hc Arthrotomy, Knee, With Exploration, Drainage, Or Removal Of Foreign Body",7811.0,7811.0,,,0 CDM,4902732301,Hc Biopsy Soft Tissue Of Thigh Or Knee Area; Superficial,4862.0,4862.0,,,0 CDM,4902732401,"Hc Bx,Soft Tissue Thigh/Knee Area;Deep",4609.0,4609.0,,,0 CDM,4902732701,Hc Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm,5810.0,5810.0,,,0 CDM,4902732801,Hc Exc Tumor Soft Tissue Thigh/Knee Subfasc <5Cm,7906.0,7906.0,,,0 CDM,4902732901,Hc Rad Resect Tumor Soft Tissue Thigh/Knee <5Cm,8159.0,8159.0,,,0 CDM,4902733001,"Hc Arthrotomy, Knee; With Synovial Biopsy Only",8241.0,8241.0,,,0 CDM,4902733101,"Hc Arthrotomy,Knee;Incl Joint Exploration,Bx/Rmvl Loose Foreign Bodies",7811.0,7811.0,,,0 CDM,4902733401,"Hc Arthrotomy,W/Synovectomy Knee;Anterior Or Posterior",9791.0,9791.0,,,0 CDM,4902733501,"Hc Arthrotomy, With Synovectomy, Knee; Anterior And Posterior Including Popliteal Area",8159.0,8159.0,,,0 CDM,4902733701,Hc Excison Tumor Soft Tissue Thigh/Knee Subq 3+Cm,13791.0,13791.0,,,0 CDM,4902733901,Hc Exc Tumor Soft Tissue Thigh/Knee Subfasc 5+Cm,16385.0,16385.0,,,0 CDM,4902734001,"Hc Excision, Prepatellar Bursa",6307.0,6307.0,,,0 CDM,4902734501,Hc Exc Synovial Cyst Popliteal Space (Baker's Cyst),8241.0,8241.0,,,0 CDM,4902734701,"Hc Excision Lesion Menisucus Or Capsle Cyst,Ganglion,Knee",9791.0,9791.0,,,0 CDM,4902735001,Hc Patellectomy Or Hemipatellectomy,9791.0,9791.0,,,0 CDM,4902735501,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Femur,6653.0,6653.0,,,0 CDM,4902735601,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Femur; With Allograft,9791.0,9791.0,,,0 CDM,4902736001,"Hc Partial Exc Bone,Femur,Proximal Tibia &/Or Fibula",9383.0,9383.0,,,0 CDM,4902736401,Hc Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/>,16385.0,16385.0,,,0 CDM,4902736501,"Hc Radical Resection Of Tumor,Femur Or Knee",10290.0,10290.0,,,0 CDM,4902737201,"Hc Removal Of Foreign Body, Deep Thigh Region Or Knee Area",12316.0,12316.0,,,0 CDM,4902738001,Hc Suture Of Infrapatellar Tendon; Primary,4862.0,4862.0,,,0 CDM,4902738101,Hc Suture Infrapatellar Tendon; Second Reconstruct Includ Fascial/Tendon Graft,7906.0,7906.0,,,0 CDM,4902738501,Hc Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary,9074.0,9074.0,,,0 CDM,4902738601,Hc Suture Quad/Hamstring Muscle Rupture; Second Recon Includ Fascial/Tendon Graft,7906.0,7906.0,,,0 CDM,4902739101,"Hc Tenotomy, Open, Hamstring, Knee To Hip; Multiple Tendons, 1 Leg",5753.0,5753.0,,,0 CDM,4902740301,"Hc Arthrotomy With Meniscus Repair, Knee",9791.0,9791.0,,,0 CDM,4902740501,"Hc Repair, Primary, Torn Ligament And/Or Capsule, Knee; Collateral",9791.0,9791.0,,,0 CDM,4902740901,"Hc Repair Primary Torn Lig And/Or Cap, Knee; Coll & Cruciate Ligaments",9791.0,9791.0,,,0 CDM,4902741501,"Hc Osteochondral Allograft,Knee,Open",13057.0,13057.0,,,0 CDM,4902741601,"Hc Osteochndrl Autogrft(S),Knee,Opn",16385.0,16385.0,,,0 CDM,4902741801,Hc Anterior Tibial Tubercleplasty,7906.0,7906.0,,,0 CDM,4902742001,Hc Reconstruction Dislocating Patella;,7906.0,7906.0,,,0 CDM,4902742201,Hc Recon Disloc Patella;W/Extensor Realignmnt &/Or Muscle Advancmnt/Release,15440.0,15440.0,,,0 CDM,4902742501,Hc Lateral Retinacular Release Open,12994.0,12994.0,,,0 CDM,4902742701,"Hc Ligamentous Reconstruction (Augmentation), Knee; Extra-Articular",7906.0,7906.0,,,0 CDM,4902742801,"Hc Ligamentous Reconstruction, Knee; Intr-Articular (Open)",9791.0,9791.0,,,0 CDM,4902742901,"Hc Ligamentous Reconstruction, Knee; Intra-Articular & Extra-Articular",9791.0,9791.0,,,0 CDM,4902743001,Hc Quadricepsplasty (Bennett Or Thompson Type),9791.0,9791.0,,,0 CDM,4902743501,"Hc Capsulotomy, Posterior Capsular Release, Knee",8901.0,8901.0,,,0 CDM,4902743701,"Hc Arthroplasty, Patella; W/O Prosthesis",9791.0,9791.0,,,0 CDM,4902743801,"Hc Arthroplasty, Patella; With Prosthesis",11148.0,11148.0,,,0 CDM,4902744501,"Hc Arthroplasty, Knee, Hinge Prosthesis",10881.0,10881.0,,,0 CDM,4902744601,Hc Arthroplasty Knee Condyle & Plateau; Medial Or Lateral Compartment,15440.0,15440.0,,,0 CDM,4902744701,"Hc Arthroplasty, Knee, Condyle&Plateau; Medial&Lateral Compartments W/W/O Patella Resurfacing",12866.0,12866.0,,,0 CDM,4902745001,Hc Osteotomy Femur Shaft/Supracondylar; With Fixation,10290.0,10290.0,,,0 CDM,4902745501,"Hc Osteotomy Prox Tibia, Includ Fibular Exc/Osteotomy;Before Epiphyseal Closure",10290.0,10290.0,,,0 CDM,4902745701,"Hc Osteotomy Prox Tibia, Includ Fibular Exc/Osteotomy; After Epiphyseal Closure",11148.0,11148.0,,,0 CDM,4902748601,Hc Revision Total Knee Arthroplasty W/W/O Allograft; One Component,15440.0,15440.0,,,0 CDM,4902748701,"Hc Revision, Total Knee Arthroplasty, W/W/O Allograft; Femoral&Entire Tibial Component",12866.0,12866.0,,,0 CDM,4902750901,"Hc Percut.Skel.Fixat.Offemoral Fx,W/ Or W/Ointercondylar Exten-Sion",7906.0,7906.0,,,0 CDM,4902752001,Hc Closed Treatment Of Patellar Fracture W/O Manipulation,4862.0,4862.0,,,0 CDM,4902752401,Hc Open Treat Patellar Frax W/Int Fix &/Or Partial/Comp Patell & Soft Tiss Repair,7906.0,7906.0,,,0 CDM,4902753501,"Hc Open Treatment Of Tibial Fracture, Proximal; Unicondylar, Incl Internal Fixation",6588.0,6588.0,,,0 CDM,4902753801,"Hc Closed Treatment Of Intercondylar Spine(S) And/Or Tuberosity Fracture(S) Of Knee, W/W/O Manipulat",5252.0,5252.0,,,0 CDM,4902754001,"Hc Opn Tx Intercondylr Spine &/Or Tuberosity Fx Knee,Incl Intrnl Fix,Whn Prfmd",11148.0,11148.0,,,0 CDM,4902756601,"Hc Open Treatment Of Patellar Dislocation, With Or Without Partial Or Total Patellectomy",6070.0,6070.0,,,0 CDM,4902757001,Hc Manip Knee Jt Under Gen Anesthesia,4862.0,4862.0,,,0 CDM,4902759601,"Hc Amputate Thigh,Re-Amputatn",7906.0,7906.0,,,0 CDM,4902759901,Hc Baker Cyst Fenestration,11148.0,11148.0,,,0 CDM,4902759902,Asc Only Unlisted Procedure - Femur Or Knee - Percutaneous Tenotomy Of Patella Tendon,11148.0,11148.0,,,0 CDM,4902759903,Asc Only Unlisted Procedure - Femur Or Knee - Knee Autograft Transfer,11148.0,11148.0,,,0 CDM,4902759904,Asc Only Unlisted Procedure - Femur Or Knee - Subchondroplasty Knee,11148.0,11148.0,,,0 CDM,4902759905,Asc Only Unlisted Procedure - Femur Or Knee - Open Knee Medial Release,10135.0,10135.0,,,0 CDM,4902760001,"Hc Decompression Fasciotomy, Leg; Anterior And/Or Lateral Compartments Only",6653.0,6653.0,,,0 CDM,4902760101,"Hc Decompression Fasciotomy, Leg; Posterior Compartments Only",6307.0,6307.0,,,0 CDM,4902760201,"Hc Decomp Fasciotomy, Leg; Anterior And/Or Lateral And Posterior Compartments",6653.0,6653.0,,,0 CDM,4902760301,Hc Drain Lower Leg Deep Absc/Hematoma,5810.0,5810.0,,,0 CDM,4902760401,"Hc Incision & Drainage, Leg Or Ankle; Infected Bursa",6905.0,6905.0,,,0 CDM,4902760501,"Hc Tenotomy Achilles Tendon, Local Anesthesia",4862.0,4862.0,,,0 CDM,4902760601,"Hc Tenotomy Achilles Tendon, Subcutaneous; General Anesthesia",4862.0,4862.0,,,0 CDM,4902760701,"Hc Incision, Leg Or Ankle",5507.0,5507.0,,,0 CDM,4902761001,"Hc Arthrotomy, Ankle, Including Exploration, Drainage, Or Removal Of Foreign Body",5507.0,5507.0,,,0 CDM,4902761201,"Hc Arthrotomy,Posterior Capsular Release,Ankle,Wwo Ahilles Tendon Lengthening",6307.0,6307.0,,,0 CDM,4902761501,"Hc Rad Resect Tumor,Sft Tiss Of Leg Or Ankle Area;Less Thn 5Cm",6588.0,6588.0,,,0 CDM,4902761601,Hc Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/>,16385.0,16385.0,,,0 CDM,4902761801,"Hc Exc,Tumor,Sft Tiss Leg/Ankle Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 CDM,4902761901,"Hc Exc,Tumor Sft Tiss Leg Or Ankle Area,Subfascial,Im;Less Thn 5Cm",6653.0,6653.0,,,0 CDM,4902762001,Hc Arthrotomy Ankle W/Jt Explor W/Wo Biopsy W/Wo Rmvl Of Loose/Foreign Body,7811.0,7811.0,,,0 CDM,4902762501,"Hc Arthrotomy, With Synovectomy, Ankle",9791.0,9791.0,,,0 CDM,4902763001,"Hc Excision Of Lesion Of Tendon Sheath Or Capsule,Leg And/Or Ankle",6653.0,6653.0,,,0 CDM,4902763201,"Hc Exc,Tumor,Sft Tiss Leg Or Ankle Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 CDM,4902763401,Hc Exc Tumor Soft Tissue Leg/Ankle Subfasc 5+Cm,16385.0,16385.0,,,0 CDM,4902763501,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Tibia Or Fibula,7906.0,7906.0,,,0 CDM,4902763701,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor W/Autograft,7906.0,7906.0,,,0 CDM,4902763801,Hc Excision Or Currettage Of Bone Cyst Or Benign Tumor W/Allograft,7906.0,7906.0,,,0 CDM,4902764001,Hc Partial Removal Of Tibia,5810.0,5810.0,,,0 CDM,4902764101,Hc Partial Excision Of Bone; Fibula,5810.0,5810.0,,,0 CDM,4902764501,Hc Radical Resection Of Tumor;Tibia,8576.0,8576.0,,,0 CDM,4902764601,Hc Radical Resection Of Tumor; Fibula,7796.0,7796.0,,,0 CDM,4902765001,"Hc Repair Achilles Tendon,Primary",7906.0,7906.0,,,0 CDM,4902765201,Hc Repair Prim Open/Percutaneous Rupt Achilles Tendon W/Graft,7906.0,7906.0,,,0 CDM,4902765401,"Hc Repair Achilles Tendon,Secondary",6653.0,6653.0,,,0 CDM,4902765601,Hc Repair Fascial Defecct Of Leg,5507.0,5507.0,,,0 CDM,4902765801,"Hc Repair,Flexor Tendon,Leg; Primary,W/O Graft, Ea Tendon",4862.0,4862.0,,,0 CDM,4902765901,"Hc Repair,Flexor Tendon,Leg; Secondary,Wwo Graft,Ea Tendon",5810.0,5810.0,,,0 CDM,4902766401,"Hc Repair,Extensor Tendon,Leg; Primary Wo Graft,Ea Tendon",5810.0,5810.0,,,0 CDM,4902766501,"Hc Repair,Extensor Tendon,Leg;Secondary,Wwo Graft,Ea Tendon",5810.0,5810.0,,,0 CDM,4902767501,"Hc Repair,Dislocating Peroneal Tendons;Wo Fibular Osteotomy",5810.0,5810.0,,,0 CDM,4902767601,"Hc Repair, Dislocating Peroneal Tendons With Fibular Osteotomy",7906.0,7906.0,,,0 CDM,4902768001,"Hc Tenolysis,Flexor/Extensor Tendon,Leg &/Or Ankle;Single,Ea Tendon",6653.0,6653.0,,,0 CDM,4902768101,"Hc Tenolysis, Flexor/Extensor Tendon, Leg And/Or Ankle; Multiple Tendons",5507.0,5507.0,,,0 CDM,4902768501,"Hc Lengthening/Shortening Tendon, Leg/Ankle; Single Tendon",6653.0,6653.0,,,0 CDM,4902768601,"Hc Lengthening/Shortening Tendon,Leg/Ankle; Multiple Tendons,Ea",6307.0,6307.0,,,0 CDM,4902768701,Hc Gastrocnemius Recession,7906.0,7906.0,,,0 CDM,4902769001,Hc Transfer/Transplant Single Tendon; Superficial,8241.0,8241.0,,,0 CDM,4902769101,Hc Xfer Single Deep Low Leg Tendon,8241.0,8241.0,,,0 CDM,4902769201,Hc Transfer Or Transplant Of Single Tendon; Each Additional Tendon,6307.0,6307.0,,,0 CDM,4902769501,"Hc Repair,Primary,Disrupted Ligament,Ankle;Collateral",5810.0,5810.0,,,0 CDM,4902769801,"Hc Repair Collat Ankle Ligmnt,Secondary",6905.0,6905.0,,,0 CDM,4902770001,Hc Arthroplasty-Ankle,9290.0,9290.0,,,0 CDM,4902770201,Hc Arthroplasty Ankle W/Implant,10617.0,10617.0,,,0 CDM,4902770301,"Hc Arthroplasty, Ankle; Revision, Total Ankle",10617.0,10617.0,,,0 CDM,4902770501,Hc Osteotomy; Tibia,5753.0,5753.0,,,0 CDM,4902772001,"Hc Repair Of Nonunion Or Malunion, Tibia; Without Graft",13096.0,13096.0,,,0 CDM,4902772201,Hc Repair Of Nonunion/Malunion Tibia W/Sliding Graft,13654.0,13654.0,,,0 CDM,4902772401,Hc Repair Of Non/Malunion Tibia By Synostosis W Iliac Or Other Autograft,8576.0,8576.0,,,0 CDM,4902772601,Hc Rfibula Nonunion/Malunion W Int Fixation,16385.0,16385.0,,,0 CDM,4902775901,"Hc Treatment Of Tibial Shaft Fracture W/W/O Fibular Fracture, Intramedullary Implant W/W/O Interlock",9791.0,9791.0,,,0 CDM,4902776601,"Hc Opn Tx Medial Malleolus Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902776701,Hc Clsd Tx Posterior Malleolus Fx;W/O Manip,4862.0,4862.0,,,0 CDM,4902776901,"Hc Opn Tx Posterior Malleolus Fx,Incl Internal Fx,When Performed",16385.0,16385.0,,,0 CDM,4902778001,Hc Closed Treatment Of Proximal Fibula/Shaft Fracture; W/O Manipulation,4609.0,4609.0,,,0 CDM,4902778401,"Hc Opn Tx Proximal Fibula/Shaft Fx,Incl Intrnl Fix,Whn Prfmd",6307.0,6307.0,,,0 CDM,4902778601,Hc Closed Rx Dist Fibula Fx,4862.0,4862.0,,,0 CDM,4902779201,"Hc Opn Tx Distal Fibular Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902780801,Hc Closed Treatment Of Bimalleolar Ankle Fx W/O Manipulation,4609.0,4609.0,,,0 CDM,4902781001,Hc Closed Treatment Of Bimalleolar Ankle Fracture; With Manipulation,4609.0,4609.0,,,0 CDM,4902781401,"Hc Opn Tx Bimalleolar Ankl Fx, Incl Intrnl Fix,Whn Prfmd",7906.0,7906.0,,,0 CDM,4902781801,"Hc Closed Rx Trimalleolar Fx,Manip",4862.0,4862.0,,,0 CDM,4902782201,"Hc Opn Tx Trimlr Ank Fx,Inc Intrn Fix,Whn Prfmd,Medl&/Or Lat Malls;Wo Fix Post Lip",7906.0,7906.0,,,0 CDM,4902782301,"Hc Open Treatment, Trimalleolar Ankle Fracture Incl Internal Fixation, Medial/Lateral Malleolus W/Fi",7906.0,7906.0,,,0 CDM,4902782601,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Fib Only",6588.0,6588.0,,,0 CDM,4902782701,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Tib Only",7906.0,7906.0,,,0 CDM,4902782801,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Fib&Tib",9791.0,9791.0,,,0 CDM,4902782901,Hc Open Tx Distal Tibiofibular Joint Disruption,6905.0,6905.0,,,0 CDM,4902783001,"Hc Closed Treatment Of Proximal Tibiofibular Joint Dislocation, Without Anesthesia",4609.0,4609.0,,,0 CDM,4902787001,"Hc Arthrodesis, Ankle, Open",9791.0,9791.0,,,0 CDM,4902787101,"Hc Arthodesis, Tibiofibular Jt, Proximal Or Distal",9791.0,9791.0,,,0 CDM,4902788001,"Hc Amputation, Leg, Through Tibia And Fibula",5989.0,5989.0,,,0 CDM,4902789301,"Hc Decompression Fasciotomy, Leg; Posterior Compartment(S) Only, With Debridement Of Nonviable Muscl",6588.0,6588.0,,,0 CDM,4902789401,"Hc Decompression Fasciotomy, Leg; Anterior And/Or Lateral, And Posterior Compartment(S), With Debrid",7906.0,7906.0,,,0 CDM,4902789901,Hc Unlisted Procedure Leg Or Ankle,9800.0,9800.0,,,0 CDM,4902789902,Asc Only Unlisted Procedure - Ankle Compact Grafting And Cartilage Autograft Implantation,9800.0,9800.0,,,0 CDM,4902789903,"Asc Only Unlisted Procedure, Leg Or Ankle - Talus Ocd Open Repair/Reconstruction",9800.0,9800.0,,,0 CDM,4902789904,"Asc Only Unlisted Procedure, Leg Or Ankle - Hemi-Talus Osteochondral Lesion Excision And Bulk Allogr",9800.0,9800.0,,,0 CDM,4902789905,"Asc Only Unlisted Procedure, Leg Or Ankle - Talus Osteochondral Lesion Compaction Grafting And Carti",9800.0,9800.0,,,0 CDM,4902800201,"Hc Incision And Drainage Below Fascia, With Or Without Tendon Sheath Involvement, Foot; Single Bursa",6307.0,6307.0,,,0 CDM,4902800301,"Hc Incision And Drainage Below Fascia, W/W/O Tendon Sheath Involvement, Foot; Multiple Areas",6318.0,6318.0,,,0 CDM,4902800501,Hc Deep Incis Foot Bone Infectn,6653.0,6653.0,,,0 CDM,4902800801,Hc Fasciotomy Foot And/Or Toe,6653.0,6653.0,,,0 CDM,4902802001,"Hc Arthrotmy,Inc Explor,Drain/Rmvl Loose/Foreign Bdy;Inter/Tarsometatarsal Jnt",6905.0,6905.0,,,0 CDM,4902802201,"Hc Arthrotomy, Including Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Metatarsophalan",6905.0,6905.0,,,0 CDM,4902802401,"Hc Arthrotomy, Including Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Interphalangeal",6905.0,6905.0,,,0 CDM,4902803501,"Hc Release, Tarsal Tunnel, Posterior Tibial Nerve Decompression",8241.0,8241.0,,,0 CDM,4902803901,"Hc Exc,Tumor,Sft Tiss Foot Or Toe,Subcut;1.5Cm Or Grtr",5810.0,5810.0,,,0 CDM,4902804101,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subfascial, =>1.5 Cm",5507.0,5507.0,,,0 CDM,4902804301,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; < 1.5 Cm",5810.0,5810.0,,,0 CDM,4902804501,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subfascial < 1.5 Cm",6653.0,6653.0,,,0 CDM,4902804601,"Hc Radical Resection Of Tumor, Soft Tissue Of Foot Or Toe, Less Than 3 Cm",6588.0,6588.0,,,0 CDM,4902804701,"Hc Rad Resect,Tumor,Malig Neo,Foot Or Toe;3Cm Or Grtr",16385.0,16385.0,,,0 CDM,4902805501,"Hc Neurectomy, Intrinsic Musculature Of Foot",7811.0,7811.0,,,0 CDM,4902806001,"Hc Fasciectomy,Plantar Fascia;Partial",5810.0,5810.0,,,0 CDM,4902806201,"Hc Fasciectomy, Plantar Fascia; Radical",6307.0,6307.0,,,0 CDM,4902807201,"Hc Synovectomy; Metatarsophalangeal Joint, Each",6307.0,6307.0,,,0 CDM,4902808001,"Hc Excision,Interdigital (Morton) Neuroma,Single,Each",6653.0,6653.0,,,0 CDM,4902808801,"Hc Synovectomy Tendon Sheath, Foot; Extensor",5507.0,5507.0,,,0 CDM,4902809001,"Hc Excision Lesion,Tendon,Tendon Sheath/Capsule; Foot",6653.0,6653.0,,,0 CDM,4902809201,"Hc Excision Of Lesion, Tendon, Tendon Sheath, Or Capsule (Including Synovectomy) (Eg, Cyst Or Gangli",6653.0,6653.0,,,0 CDM,4902810001,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Talus Or Calcaneus",5507.0,5507.0,,,0 CDM,4902810201,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Talus Or Calcaneus With Iliac Or Other Autogr",6653.0,6653.0,,,0 CDM,4902810301,Hc Excision/Currett Bone Cyst/Benign Tumor Talus Or Calaneus; W/Allograft,6653.0,6653.0,,,0 CDM,4902810401,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tarsal Or Metatarsal, Except Talus Or Calcane",5507.0,5507.0,,,0 CDM,4902810601,Hc Exc/Curet Bone Cyst/Benign Tumor Tarsal/Metat Bones Ex Talus/Cal; W/Iliac/Autog,6653.0,6653.0,,,0 CDM,4902811001,Hc Ostectomy Partial Excision Fifth Metatarsal Head,6653.0,6653.0,,,0 CDM,4902811201,"Hc Ostectomy, Complete Excision, Other Metatarsal Head (2Nd, 3Rd Or 4Th)",6653.0,6653.0,,,0 CDM,4902811301,Hc Ostectomy Complete Excision; Fifth Metatarsal Head,6307.0,6307.0,,,0 CDM,4902811601,Hc Ostectomy-Excision Of Tarsal Coalition,7906.0,7906.0,,,0 CDM,4902811801,"Hc Ostectomy, Calcaneus",8241.0,8241.0,,,0 CDM,4902811901,Hc Removal Of Heel Spur,9791.0,9791.0,,,0 CDM,4902812001,Hc Part Remv Talus Or Calcaneus,12994.0,12994.0,,,0 CDM,4902812201,Hc Part Remv Othr Tarsal/Metatarsal,6653.0,6653.0,,,0 CDM,4902812401,Hc Part Remv Phalanx Of Toe,7906.0,7906.0,,,0 CDM,4902817101,"Hc Radical Resection Of Tumor, Tarsal",6307.0,6307.0,,,0 CDM,4902817301,Hc Radical Resection Of Tumor; Metatarsal,6307.0,6307.0,,,0 CDM,4902817501,Hc Radical Resection Of Tumor; Phalanx Of Toe,6307.0,6307.0,,,0 CDM,4902819001,"Hc Removal Of Foreign Body, Foot; Subcutaneous",4609.0,4609.0,,,0 CDM,4902819201,"Hc Removal Of Foreign Body, Foot; Deep",5507.0,5507.0,,,0 CDM,4902819301,Hc Removal Of Foreign Body; Complicated,7811.0,7811.0,,,0 CDM,4902820001,"Hc Repair,Tendon,Flexor,Foot;Prim/Secondary,Wo Free Graft,Ea Tendon",6653.0,6653.0,,,0 CDM,4902820201,Hc Repair/Suture Of Tendon Foot Flexor Single; Second W/Free Graft Ea Tend,6653.0,6653.0,,,0 CDM,4902820801,"Hc Repair,Tendon,Extensor,Foot/Prim/Secondary,Ea Tendon",6653.0,6653.0,,,0 CDM,4902821001,"Hc Repairsuture Of Tendon Foot Extensor, Single; Second W/Free Graft Each Tendon",6307.0,6307.0,,,0 CDM,4902822501,"Hc Tenolysis,Extensor,Foot;Single Tendon",4609.0,4609.0,,,0 CDM,4902823001,"Hc Tenotomy,Open,Tendon Flexor;Foot,Single/Multiple Tendon(S)",6653.0,6653.0,,,0 CDM,4902823201,"Hc Tenotomy, Open, Tendon Flexor, Toe, Single Tendon",6653.0,6653.0,,,0 CDM,4902823401,"Hc Tenotomy,Open,Extensor,Foot/Toe,Ea Tendon",5810.0,5810.0,,,0 CDM,4902823801,"Hc Recon,Posterior Tibial Tndn W/Exc Acessory Tarsal Navicular Bone",7906.0,7906.0,,,0 CDM,4902825001,Hc Division Of Plantar Fascia And Muscle,6653.0,6653.0,,,0 CDM,4902826201,"Hc Capsulotomy,Midfoot;Extensv,Incl Poster Talotibial Capsltmy & Tendon(S) Lengt",9791.0,9791.0,,,0 CDM,4902827001,"Hc Capsulotomy Mt-P Jt,Foot,Each",6653.0,6653.0,,,0 CDM,4902828001,"Hc Syndactylization, Toes",6653.0,6653.0,,,0 CDM,4902828501,"Hc Repair Of Hammertoe,One",6653.0,6653.0,,,0 CDM,4902828801,"Hc Ostectomy Partial Exostectomy/Condylectomy Metatarsal Head,Ea Met Head",6588.0,6588.0,,,0 CDM,4902828901,Hc Repair Hallux Rigidus,6653.0,6653.0,,,0 CDM,4902829101,Hc Hallux Rigidus W/Cheilectomy 1St Mp Jt W/Implt,7906.0,7906.0,,,0 CDM,4902829201,"Hc Correct Bunion,Keller/Mcbride/Mayo",5810.0,5810.0,,,0 CDM,4902829601,"Hc Correct Bunion,Metatarsal Osteotomy",6653.0,6653.0,,,0 CDM,4902829701,"Hc Correct Bunion,Lapidus Type",6653.0,6653.0,,,0 CDM,4902829801,Hc Keller Mcbridge/Mayo Type Proced; By Phalanx Osteotomy,6653.0,6653.0,,,0 CDM,4902829901,"Hc Correct,Hallux Valgus,Wwo Sesamoidctmy;By Dbl Osteotomy",11148.0,11148.0,,,0 CDM,4902830001,Hc Osteotomy Heel Bone,6905.0,6905.0,,,0 CDM,4902830201,"Hc Osteotomy, Talus",6905.0,6905.0,,,0 CDM,4902830401,"Hc Osteotomy,Tarsal Bones,Oth Than Calcaneus/Talus;",5753.0,5753.0,,,0 CDM,4902830501,"Hc Osteotomy,Tarsal Bones,Oth Than Calcaneus/Talus;W/Autograft",7906.0,7906.0,,,0 CDM,4902830601,"Hc Osteotomy,Wwo Length,Shorten/Angular Corr,Metatarsal;1St Met",8241.0,8241.0,,,0 CDM,4902830801,"Hc Osteotomy,Wwo Length,Shorten/Angular Corr,Metatarsal;Oth Than 1St Met,Ea",5810.0,5810.0,,,0 CDM,4902830901,"Hc Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metatarsal; Multiple",7811.0,7811.0,,,0 CDM,4902831001,"Hc Osteotomy, Shortening, Angular Or Rotational Correction; Proximal Phalanx, First Toe",6307.0,6307.0,,,0 CDM,4902831201,Hc Osteotomy For Short Angular/Rotational Corr; Other Phalanges Any Toe,6307.0,6307.0,,,0 CDM,4902831301,"Hc Recon,Angular Deform Toe,Soft Tiss Procedures Only",6905.0,6905.0,,,0 CDM,4902831501,"Hc Remov Sesamoid Bone,1St Toe",8241.0,8241.0,,,0 CDM,4902832001,"Hc Repair,Nonunion/Malunion; Tarsal Bones",8241.0,8241.0,,,0 CDM,4902832201,Hc Repair Of Nonunion/Malunion; Metatarsal W/Wo Bone Graft,8241.0,8241.0,,,0 CDM,4902840001,Hc Closed Treatment Of Calcaneal Fracture; W/O Manipulation,4609.0,4609.0,,,0 CDM,4902841501,"Hc Open Treatment,Calcaneal Fracture, Incl Internal Fixation, When Performed",7906.0,7906.0,,,0 CDM,4902844501,"Hc Opn Tx Talus Fx,Incl Intrnl Fix,Whn Prfmd",7906.0,7906.0,,,0 CDM,4902844601,"Hc Opn Osteochndrl Autogrft,Talus",16385.0,16385.0,,,0 CDM,4902845001,Hc Treatment Of Tarsal Bone Fracture (Except Talus/Alcaneus); W/O Manipulation,6653.0,6653.0,,,0 CDM,4902845501,"Hc Treatment Of Tarsal Bone Fracture W/Manipulation, Each",6307.0,6307.0,,,0 CDM,4902846501,"Hc Opn Tx Tarsl Bone Fx,Incl Intrnl Fix,Whn Prfmd,Ea",6653.0,6653.0,,,0 CDM,4902847001,"Hc Closed Treatment Of Metatarsal Fx; W/O Manipulation, Each",6653.0,6653.0,,,0 CDM,4902848501,Hc Open Treatment Metatarsal Fracture Each,8241.0,8241.0,,,0 CDM,4902849601,Hc Percutaneouos Skeletal Fix Of Fx Great Toe Phalanx/Phalanges W/Manipulation,5507.0,5507.0,,,0 CDM,4902850501,"Hc Opn Tx Fx Grt Toe Phalanx/Phalanges,Incl Intrnl Fix,Whn Prfmd",6307.0,6307.0,,,0 CDM,4902851001,Hc Closed Rx Toe Fx,6336.0,6336.0,,,0 CDM,4902852501,"Hc Opn Tx Fx Phalanx/Phalanges,Oth Thn Grt Toe,Incl Intrnl Fix,Whn Prfmd,Ea",6653.0,6653.0,,,0 CDM,4902855501,"Hc Opn Tx Tarsal Bone Disloc,Incl Intrnl Fix,Whn Prfmd",5810.0,5810.0,,,0 CDM,4902857601,Hc Percutaneous Skeletal Fx Of Talotarsal Jt Disloc W/Manipulation,7906.0,7906.0,,,0 CDM,4902858501,"Hc Open Treatment Of Talotarsal Joint Dislocation, Includes Internal Fixation",6307.0,6307.0,,,0 CDM,4902860501,Hc Closed Treatment Of Tarsometatarsal Joint Dislocation; Requiring Anesthesia,4862.0,4862.0,,,0 CDM,4902860601,"Hc Percutaneous Skeletal Fixation Of Tarsometatarsal Joint Dislocation, With Manipulation",5810.0,5810.0,,,0 CDM,4902861501,"Hc Opn Tx Tarsometatrsl Jt Disloc,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902864501,"Hc Opn Tx Metatarsphlngl Jt Disloc,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 CDM,4902866601,"Hc Percutaneous Skeletal Fixation Of Interphalangeal Joint Dislocation, With Manipulation",6588.0,6588.0,,,0 CDM,4902867501,"Hc Open Treatment Of Interphalangeal Joint Dislocation, Incl Internal Fixation",7906.0,7906.0,,,0 CDM,4902871501,Hc Arthrodesis; Triple,8159.0,8159.0,,,0 CDM,4902872501,"Hc Fusion Foot Bones,Subtalar",9791.0,9791.0,,,0 CDM,4902873001,"Hc Arthodesis, Midtarsal/Tarsometatarsal, Multiple/Transverse",9791.0,9791.0,,,0 CDM,4902873501,"Hc Arthrodesis,Midtarsal/Tarsometatarsal,Multi/Transverse;W/Osteotomy",9791.0,9791.0,,,0 CDM,4902873701,"Hc Arthrodesis,W/Tndn Length & Advancemnt,Midtarsal,Tarsal Navicular-Cuneiform",11148.0,11148.0,,,0 CDM,4902874001,"Hc Arthrodesis Midtarsal Or Tarsometatarsal, Single Joint",9791.0,9791.0,,,0 CDM,4902875001,"Hc Fusion Big Toe,Mt-P Jt",8241.0,8241.0,,,0 CDM,4902875501,Hc Arthrodesis Great Toe; Interphalangeal Joint,7811.0,7811.0,,,0 CDM,4902876001,"Hc Arthrodesis,W/Extnsr Hallcius Longus Trnsfr 1St Met Nck,Grt Toe,Interphlngl Jnt",8241.0,8241.0,,,0 CDM,4902880501,"Hc Amputation, Foot; Transmetatarsal",6307.0,6307.0,,,0 CDM,4902882001,"Hc Amputation Toe,Mt-P Jt",5810.0,5810.0,,,0 CDM,4902882501,Hc Amputation Toe; Interphalangeal Joint,5507.0,5507.0,,,0 CDM,4902889901,Asc Only Unlisted Procedure - Foot Or Toes - Microfracture Ocd,10290.0,10290.0,,,0 CDM,4902889902,Asc Only Unlisted Procedure - Foot Or Toes - Open Interpositional Arthroplasty/Pinning Of Mtp Joint,10290.0,10290.0,,,0 CDM,4902889903,Asc Only Unlisted Procedure - Foot Or Toes - Metatarsal Head Chondral Defect Microfracture,10290.0,10290.0,,,0 CDM,4902912501,Hc Application Of Short Arm Splint (Forearm To Hand); Static,4609.0,4609.0,,,0 CDM,4902913001,"Hc Application Of Finger Splint, Static",4609.0,4609.0,,,0 CDM,4902934501,Hc Apply Long Leg Cast,4862.0,4862.0,,,0 CDM,4902951501,Hc Apply Lower Leg Splint,4862.0,4862.0,,,0 CDM,4902980501,"Hc Arthroscopy,Shoulder,Diagnostic,Wwo Synovial Biopsy",8718.0,8718.0,,,0 CDM,4902980601,"Hc Arthroscopy,Shoulder,Surgical;Capsulorrhaphy",11309.0,11309.0,,,0 CDM,4902980701,"Hc Arthroscopy,Shoulder,Surgical;Repair Of Slap Lesion",11309.0,11309.0,,,0 CDM,4902981901,Hc Arthroscopy Shoulder Surgical; With Rmvl Of Loose Body Or Foreign Body,8718.0,8718.0,,,0 CDM,4902982001,"Hc Arthroscopy, Shoulder, Surgical; Synovectomy, Partial",8718.0,8718.0,,,0 CDM,4902982101,"Hc Arthroscopy, Shoulder Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 CDM,4902982201,"Hc Arthroscopy, Shoulder Surgical; Debridement, Limited",8718.0,8718.0,,,0 CDM,4902982301,"Hc Arthroscopy, Shoulder Surgical; Debridement, Extensive",8718.0,8718.0,,,0 CDM,4902982401,"Hc Arthroscopy,Shoulder,Surg;Distal Claviculectomy Incl Distal Articular Surface",9445.0,9445.0,,,0 CDM,4902982501,Hc Arthroscopy Shoulder Surgical; W/Lysis/Resection Of Adhesions W/Wo Manip,8718.0,8718.0,,,0 CDM,4902982601,Hc Arth Shoulder Surg; Decompress/Subacromlian Space/Part Acrom/W/Wo Coracoam,8718.0,8718.0,,,0 CDM,4902982701,"Hc Arthroscopy,Shoulder,Surgical;W/Rotator Cuff Repair",11309.0,11309.0,,,0 CDM,4902982801,"Hc Arthroscopy,Shoulder,Surgical;Biceps Tenodesis",13882.0,13882.0,,,0 CDM,4902983401,"Hc Arthroscopy Elbow, Surgical; W/Rmvl Of Loose Body Or Foreign Body",8718.0,8718.0,,,0 CDM,4902983601,"Hc Arthroscopy Elbow Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 CDM,4902983801,"Hc Arthrosccopy Elbow Surgical; Debridement, Extensive",8718.0,8718.0,,,0 CDM,4902984001,"Hc Arthroscopy, Wrist, Diagnostic, W/W/O Synovial Biopsy",8264.0,8264.0,,,0 CDM,4902984301,"Hc Arthroscopy Wrist Surgical; For Infection, Lavage And Drainage",8264.0,8264.0,,,0 CDM,4902984401,"Hc Arthroscopy, Wrist, Surgical; Synovectomy, Partial",8718.0,8718.0,,,0 CDM,4902984501,"Hc Arthroscopy Wrist Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 CDM,4902984601,"Hc Arthroscopy, Wrist, Surg; For Excision &/Or Repair Of Tri- Angular Fibrocartil",8718.0,8718.0,,,0 CDM,4902984701,"Hc Arthroscopy, Wrist, Surgical, Internal Fixation For Fracture/Instability",8718.0,8718.0,,,0 CDM,4902984801,"Hc Endoscopy,Wrist Surg W/Release Of Transverse Carpal Ligament",13882.0,13882.0,,,0 CDM,4902985001,Hc Arthros Aided Treat Intercond Spine/Tuberos Fx Knee W/Wo Manip W/O Int/Ext Fx,8718.0,8718.0,,,0 CDM,4902985101,Hc Arthroscopically Aided Treatment Of Intercondylar Spine(S) And/Or Tuberosity Fracture(S) Of The K,8264.0,8264.0,,,0 CDM,4902985501,"Hc Arthroscopc Aid Tx Tibial Fx,Prox;Unicondylr,Incl Intrnl Fix,Whn Prfmd",8718.0,8718.0,,,0 CDM,4902986101,"Hc Arthroscopy, Hip, Surgical; With Removal Of Loose Body Or Foreign Body",8225.0,8225.0,,,0 CDM,4902986201,"Hc Arthrscpy,Hp,Srg/W/Dbrdmnt/Shvng Artclr Crtlg,Abrsn Arthrplsty,&/Or Resct Lbrm",13158.0,13158.0,,,0 CDM,4902986601,"Hc Arthroscopy,Knee,Surgical;Osteochondral Autograft(S)",11063.0,11063.0,,,0 CDM,4902986801,"Hc Arthroscopy, Knee, Surgical, Meniscal Transplantation Incl Arthrotomy For Meniscal Insert, Medial",11063.0,11063.0,,,0 CDM,4902987001,Hc Arthrosopy Knee Diagnostic W/Wo Synovial Biopsy,8718.0,8718.0,,,0 CDM,4902987101,"Hc Arthrosccopy Knee Surgical; For Infection, Lavage/Drainage",8264.0,8264.0,,,0 CDM,4902987301,"Hc Arthroscopy,Knee,Surgical;W/Lateral Release",8718.0,8718.0,,,0 CDM,4902987401,Hc Arthroscopy Knee Surgical; Rmvl Loose Body/Foreign Body,8718.0,8718.0,,,0 CDM,4902987501,"Hc Arthroscopy Knee Surgical; Synovectomy, Limited",8718.0,8718.0,,,0 CDM,4902987601,"Hc Arthroscopy Knee Surgical; Synovectomy, Major, Two Or More Compartments",8718.0,8718.0,,,0 CDM,4902987701,Hc Arthroscopy Knee Surgical; Debridement/Shaving Of Articular Cartilage,8718.0,8718.0,,,0 CDM,4902987901,Hc Abrasion Arthrplsty Or Mltple Drilling Or Microfracture,8718.0,8718.0,,,0 CDM,4902988001,Hc Arthro Knee Surgical; W/Meniscectomy (Medial/Lateral Includ Any Meniscal Shav,8718.0,8718.0,,,0 CDM,4902988101,Hc Arthro Knee Surg; W/Meniscectomy (Med Or Lateral Includ Any Meniscal Shav),11309.0,11309.0,,,0 CDM,4902988201,Hc Arthroscopy Knee Surgical; W/Meniscus Repair (Medial Or Lateral),11309.0,11309.0,,,0 CDM,4902988301,Hc Arthroscopy Knee Surgical; W/Meniscus Repair (Medial & Lateral),8718.0,8718.0,,,0 CDM,4902988401,"Hc Knee Scope,Lysis Of Adhesns",8718.0,8718.0,,,0 CDM,4902988501,Hc Arthroscopy Knee Surg; Drill Osteochrondritis W/Bone Grafting W/Wo Int/Fixation,8718.0,8718.0,,,0 CDM,4902988701,"Hc Arthroscopy, Knee, Surgical; Drilling For Intact Osteochondritis Dissecans Lesion W/Internal Fixa",8264.0,8264.0,,,0 CDM,4902988801,Hc Arthroscop Aided Anterior Cruciate Ligament Repair/Aug Or Reconstruction,11309.0,11309.0,,,0 CDM,4902988901,Hc Arthroscop Aided Posterior Cruciate Ligament Repair/Aug Or Reconstruction,8718.0,8718.0,,,0 CDM,4902989101,"Hc Ankle Scope,Excis Osteochon Defct",8718.0,8718.0,,,0 CDM,4902989201,"Hc Arthroscpclly Aid Rpr Lg Ostchndrts Les,Tlr Dome Fx,Tibl Fx,Wwo Intrnl Fix",8718.0,8718.0,,,0 CDM,4902989401,"Hc Arthroscopy Ankle, Surgical; W/Rmvl Of Loose Body Or Foreign Body",8718.0,8718.0,,,0 CDM,4902989501,"Hc Arthroscopy, Ankle (Tibiotalar And Fibulotalar Joints), Surgical, Synovectomy, Partial",8264.0,8264.0,,,0 CDM,4902989701,"Hc Arthroscopy, Ankle Surgical; Debridement, Limited",8718.0,8718.0,,,0 CDM,4902989801,"Hc Arthroscopy Ankle Surgical; Debridement, Extensive",8718.0,8718.0,,,0 CDM,4902989901,"Hc Arthroscopy, Ankle (Tibiotalar And Fibulotalar Joints), Surgical; With Ankle Arthrodesis",8718.0,8718.0,,,0 CDM,4902990101,"Hc Arthroscopy, Metacarpophalangeal Joint, Surgical, With Debridement",8264.0,8264.0,,,0 CDM,4902990601,"Hc Arthroscopy,Subtalar Jnt,Surg;W/Debridement",13158.0,13158.0,,,0 CDM,4902990701,"Hc Arthroscopy,Subtalar Jnt,Surg;W/Subtalar Arthrodesis",13158.0,13158.0,,,0 CDM,4902991401,"Hc Arthroscopy, Hip, Surgical W/Femoroplasty, Treatment Of Cam Lesion",13882.0,13882.0,,,0 CDM,4902991501,"Hc Arthroscopy, Hip, Surgical, With Acetabuloplasty",13158.0,13158.0,,,0 CDM,4902991601,"Hc Arthroscopy, Hip, Surgical; With Labral Repair",13882.0,13882.0,,,0 CDM,4902999901,"Hc Unlisted Procedure,Arthroscopy",8295.0,8295.0,,,0 CDM,4902999902,Asc Only Unlisted Procedure - Arthroscopic Scapulothoracic Decompression,8295.0,8295.0,,,0 CDM,4902999903,Asc Only Unlisted Procedure - Arthroscopic Elbow Ostectomy,8295.0,8295.0,,,0 CDM,4902999904,Asc Only Unlisted Procedure - Arthroscopic Remplissage,8295.0,8295.0,,,0 CDM,4902999905,Asc Only Unlisted Procedure - Arthroscopic Anterior Interval Release,8295.0,8295.0,,,0 CDM,4902999906,Asc Only Unlisted Procedure - Arthroscopic Lower Trapezius Tendon Transfer (Elhassan Technique),8295.0,8295.0,,,0 CDM,4902999907,Asc Only Unlisted Procedure - Arthroscopic Scapholunate Reconstruction With Palmaris Longus Graft &,8295.0,8295.0,,,0 CDM,4902999908,Asc Only Unlisted Procedure - Arthroscopic Superior Capsular Reconstruction,8295.0,8295.0,,,0 CDM,4902999909,Asc Only Unlisted Procedure - Spinoglenoid Cyst Decompression,8295.0,8295.0,,,0 CDM,4902999910,Asc Only Unlisted Procedure - Arthroscopic Radial Styloidectomy,8295.0,8295.0,,,0 CDM,4902999911,Asc Only Unlisted Procedure - Arthroscopic Lateral Or Medial Meniscus Trephination,8295.0,8295.0,,,0 CDM,4902999912,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Pectoralis Minor Release,8295.0,8295.0,,,0 CDM,4902999913,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Suprascapular Nerve Decompression/Neurolysi,8295.0,8295.0,,,0 CDM,4902999914,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Brachial Plexus Neurolysis,8295.0,8295.0,,,0 CDM,4902999915,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Microfracture-Shoulder,8295.0,8295.0,,,0 CDM,4902999916,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Shoulder Regeneten Patch,8295.0,8295.0,,,0 CDM,4902999917,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Osteochondroma Excision,8295.0,8295.0,,,0 CDM,4902999918,Asc Only Unlisted Procedure - Arthroscopic Arthroplasty Interposition Intercarpal/Carpometacarpal Jo,8295.0,8295.0,,,0 CDM,4902999919,Asc Only Unlisted Procedure - Arthroscopic Trochanteric Bursectomy,8295.0,8295.0,,,0 CDM,4902999920,Asc Only Unlisted Procedure - Arthroscopic Iliopsoas Lengthening/Release Of Muscle,8295.0,8295.0,,,0 CDM,4902999921,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Core Decompression Shoulder,8295.0,8295.0,,,0 CDM,4902999922,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Hip Capsular Plication,8295.0,8295.0,,,0 CDM,4902999923,Asc Only Unlisted Procedure - Arthroscopic - Superior Interval Release,8295.0,8295.0,,,0 CDM,4902999924,Asc Only Unlisted Procedure - Arthroscopic Resection Baker's Cyst,8295.0,8295.0,,,0 CDM,4902999925,Asc Only Unlisted Procedure - Arthroscopic Knee Heteroptopic Ossification Removal,8295.0,8295.0,,,0 CDM,4902999926,Asc Only Unlisted Procedure - Arthroscopic Capsular Release,8295.0,8295.0,,,0 CDM,4902999927,Asc Only Unlisted Procedure - Arthroscopic - Endoscopic Calcaneoplasty,8295.0,8295.0,,,0 CDM,4902999928,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Pectoralis Minor Release + Brachial Plexus,8295.0,8295.0,,,0 CDM,4902999929,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Suprascapular And Spinoglenoid Notch Cyst E,8295.0,8295.0,,,0 CDM,4902999930,Asc Only Unlisted Procedure - Arthroscopy - Endoscopic Gluteus Medius And Minimus Tear Repair,8295.0,8295.0,,,0 CDM,4902999931,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Implant Removal,8295.0,8295.0,,,0 CDM,4902999932,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Capsulotomy Wrist,8295.0,8295.0,,,0 CDM,4902999933,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Perimeniscal Cyst Decompression/Cauterizati,8295.0,8295.0,,,0 CDM,4902999934,"Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Drilling And Placement Bone Allograft, Mino",8295.0,8295.0,,,0 CDM,4902999935,"Asc Only Unlisted Procedure - Arthroscopic Debridement With Bone Graft Placement, Knee",8295.0,8295.0,,,0 CDM,4902999936,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Capsular Release And Microfracture,8295.0,8295.0,,,0 CDM,4902999937,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Capsular Release Wrist",8295.0,8295.0,,,0 CDM,4902999938,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Long Head Biceps Superior Capsular Reconstru",8295.0,8295.0,,,0 CDM,4902999939,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Axillary Nerve Neurolysis",8295.0,8295.0,,,0 CDM,4903010001,"Hc Biopsy, Intranasal",4377.0,4377.0,,,0 CDM,4903011701,Hc Excis/Dest Intranas Lesion; Int App,6653.0,6653.0,,,0 CDM,4903011801,"Hc Excision/Destruction, Intranasal Lesion, Lateral Rhinotomy",6307.0,6307.0,,,0 CDM,4903012501,"Hc Excision Dermoid Cyst, Nose, Complex, Under Bone Or Cartilage",5810.0,5810.0,,,0 CDM,4903013001,"Hc Excision Inferior Turbinate,Partial/Complete,Any Method",6653.0,6653.0,,,0 CDM,4903014001,"Hc Excision Turbinate,Submucous",5810.0,5810.0,,,0 CDM,4903015001,"Hc Rhinectomy, Partial",7906.0,7906.0,,,0 CDM,4903031001,"Hc Removal Foreign Body, Intranasal; Requiring General Anesthesia",4609.0,4609.0,,,0 CDM,4903040001,"Hc Rhinoplasty, Primary, Lateral/Alar Cartilages And/Or Elevation, Nasal Tip",9791.0,9791.0,,,0 CDM,4903041001,"Hc Rhinoplasty, Primary, Complete, External Parts Incl Bony Pyramid, Lateral&Alar Cartilages, Elevat",11148.0,11148.0,,,0 CDM,4903042001,"Hc Rhinoplasty, Primary; Including Major Septal Repair",9290.0,9290.0,,,0 CDM,4903043001,"Hc Rhinoplasty, Secondary; Minor Revision",6588.0,6588.0,,,0 CDM,4903045001,"Hc Revis Nose,Secondary,Major",15440.0,15440.0,,,0 CDM,4903046201,"Hc Rhinoplasty For Nasal Deformity Secondary To Congenital Cleft Lip And/Or Palate, Including Colume",13791.0,13791.0,,,0 CDM,4903046501,Hc Repair Nasal Cavity Stenosis,13791.0,13791.0,,,0 CDM,4903046801,Hc Rpr Nsl Vlv Collapse Subq/Sbmcsl Lat Wall Implt,13071.0,13071.0,,,0 CDM,4903046901,"Hc Repair Of Nasal Valve Collapse With Low Energy, Temperature-Controlled Subcutaneous/Submucosal Re",13791.0,13791.0,,,0 CDM,4903052001,Hc Repair Of Nasal Septum,8241.0,8241.0,,,0 CDM,4903054001,"Hc Repair Choanal Atresia, Intranasal",9290.0,9290.0,,,0 CDM,4903056001,Hc Lysis Intranasal Synechia,5810.0,5810.0,,,0 CDM,4903058001,Hc Repair Fistula; Oromaxillary,8241.0,8241.0,,,0 CDM,4903060001,Hc Repair Fistula; Oronasal,7811.0,7811.0,,,0 CDM,4903063001,Hc Repair Nasal Septum Perforatn,12994.0,12994.0,,,0 CDM,4903080201,"Hc Ablatn,Sft Tis Infer Turbint,Uni/Bi,Any Methd;Intramural",4862.0,4862.0,,,0 CDM,4903090101,"Hc Control Nasal Hemorrhage, Anterior, Simple (Limited Cautery And/Or Packing) Any Method",4377.0,4377.0,,,0 CDM,4903090301,"Hc Control Nasal Hemorrhage, Anterior, Complex (Extensive Cautery And/Or Packing) Any Method",4377.0,4377.0,,,0 CDM,4903090501,"Hc Control Nasal Hemorrhage, Posterior, With Posterior Nasal Packs And/Or Cautery, Any Method; Initi",4377.0,4377.0,,,0 CDM,4903093001,"Hc Fracture Nasal Inferior Turbinate(S), Therapeutic",8241.0,8241.0,,,0 CDM,4903099901,"Asc Only Unlisted Procedure, Nose",8576.0,8576.0,,,0 CDM,4903099902,"Asc Only Unlisted Procedure, Nose ? Middle Turbinate Resection",8576.0,8576.0,,,0 CDM,4903099903,"Asc Only Unlisted Procedure, Nose ? Posterior Nasal Nerve Ablation",8576.0,8576.0,,,0 CDM,4903099904,"Asc Only Unlisted Procedure, Nose ? Nasal Floor Flap",8576.0,8576.0,,,0 CDM,4903099905,"Asc Only Unlisted Procedure, Nose ? Nasoseptal Flap",8576.0,8576.0,,,0 CDM,4903102001,"Hc Sinusotomy, Maxillary (Antrotomy), Intranasal",5507.0,5507.0,,,0 CDM,4903103201,"Hc Sinusotomy, Maxillary; Radical (Caldwell-Luc) W/Rmvl Of Antrochoanal Polyps",7811.0,7811.0,,,0 CDM,4903104001,"Hc Pterygomaxillary Fossa Surgery, Any Approach",7906.0,7906.0,,,0 CDM,4903107001,"Hc Sinusotomy Frontal; External, Simple (Trephine Operation)",5810.0,5810.0,,,0 CDM,4903107501,Hc Sinusotomy Frontal; Transorbital Unilateral (Mucocele/Osteoma Lynch Type),8159.0,8159.0,,,0 CDM,4903108701,"Hc Sinusotomy Frontal; Nonobliterative W/Osteoplastic Flap, Coronal Incision",9791.0,9791.0,,,0 CDM,4903120001,"Hc Ethmoidectomy; Intranasal, Anterior",5507.0,5507.0,,,0 CDM,4903120501,"Hc Ethmoidectomy; Extranasal, Total",6307.0,6307.0,,,0 CDM,4903122501,Hc Maxillectomy; Without Orbital Exenteration,10290.0,10290.0,,,0 CDM,4903123101,"Hc Nasal Endoscopy,Dx",4894.0,4894.0,,,0 CDM,4903123701,"Hc Nasal/Sinus Endoscopy,Bx/Rmv Polyp/Debrid",5849.0,5849.0,,,0 CDM,4903123801,"Hc Nasal/Sinus Endoscopy,W/Control Nasal Hem",4894.0,4894.0,,,0 CDM,4903123901,"Hc Nasal/Sinus Endoscopy,Surg Tear Duct",8295.0,8295.0,,,0 CDM,4903124001,"Hc Nasal/Sinus Endoscopy,Rmv Concha Bull",5849.0,5849.0,,,0 CDM,4903124101,Hc Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery,6348.0,6348.0,,,0 CDM,4903124301,"Hc Nasal/Sinus Endoscopy, Surgical; With Destruction By Cryoablation, Posterior Nasal Nerve",15400.0,15400.0,,,0 CDM,4903125301,Hc Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl,9445.0,9445.0,,,0 CDM,4903125401,Hc Nasal/Sinus Ndsc W/Partial Ethmoidectomy,6698.0,6698.0,,,0 CDM,4903125501,Hc Nasal/Sinus Ndsc W/Total Ethoidectomy,9445.0,9445.0,,,0 CDM,4903125601,"Hc Nasal/Sinus Endoscopy,Open Maxill Sinus",6698.0,6698.0,,,0 CDM,4903125701,Hc Nasal/Sinus Ndsc Total With Sphenoidotomy,9445.0,9445.0,,,0 CDM,4903125901,Hc Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl,9445.0,9445.0,,,0 CDM,4903126701,"Hc Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus",6698.0,6698.0,,,0 CDM,4903127601,Hc Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus,6698.0,6698.0,,,0 CDM,4903128701,"Hc Nasal/Sinus Endosscopy, Surgical W/Sphenoidotomy",6698.0,6698.0,,,0 CDM,4903128801,"Hc Nasal/Sinus Endoscopy,Remv Tiss Sphenoid",6698.0,6698.0,,,0 CDM,4903129001,"Hc Nasal/Sinus Endoscopy,Repair Csf Leak,Ethmoid",8718.0,8718.0,,,0 CDM,4903129101,"Hc Nasal/Sinus Endoscopy,Recsf Leak,Sphenoid",8718.0,8718.0,,,0 CDM,4903129201,"Hc Nasal/Sinus Endoscopy,Med/Inf Orbit Decompres",8295.0,8295.0,,,0 CDM,4903129301,Hc Nasal/Sinus Endoscopy Surg; W/Medial Orbital Wall/Inferior Orital Wall Decomp,8295.0,8295.0,,,0 CDM,4903129401,Hc Nasal/Sinus Endoscopy Surg; With Optic Nerve Decompression,7863.0,7863.0,,,0 CDM,4903129501,"Hc Nasal/Sinus Endoscopy, Surgical, With Dilation; Maxillary Sinus Ostium, Transnasal Or Via Canine",15790.0,15790.0,,,0 CDM,4903129601,"Hc Nasal/Sinus Endoscopy, Surgical, With Dilation; Frontal Sinus Ostium",14896.0,14896.0,,,0 CDM,4903129901,"Asc Only Unlisted Procedure, Accessory Sinuses - Excision Skull Base Tumor",16385.0,16385.0,,,0 CDM,4903129902,Asc Only Unlisted Procedure - Endoscopic Medial Maxillectomy,16385.0,16385.0,,,0 CDM,4903129903,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Mass",16385.0,16385.0,,,0 CDM,4903129904,"Asc Only Unlisted Procedure, Accessory Sinuses - Mucosal Graft",16385.0,16385.0,,,0 CDM,4903129905,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Tumor",16385.0,16385.0,,,0 CDM,4903129906,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Excision Encephocele Trans Pterygopalati",16385.0,16385.0,,,0 CDM,4903129907,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor",16385.0,16385.0,,,0 CDM,4903129908,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Middle Turbinate Resection",16385.0,16385.0,,,0 CDM,4903129909,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Mass",16385.0,16385.0,,,0 CDM,4903129910,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Of Nasal Septum",16385.0,16385.0,,,0 CDM,4903129911,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Repair Of Skull Base Defect/Meningocele",16385.0,16385.0,,,0 CDM,4903129912,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Intraorbital Tumor Resection",16385.0,16385.0,,,0 CDM,4903129913,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Posterior Ethmoidectomy",16385.0,16385.0,,,0 CDM,4903129914,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Partial Septectomy",16385.0,16385.0,,,0 CDM,4903129915,"Asc Only Unlisted Procedure, Accessory Sinuses - Pterygopalatine Fossa Biopsy",16385.0,16385.0,,,0 CDM,4903129916,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sino-Orbital Tumor",16385.0,16385.0,,,0 CDM,4903129917,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Inflammatory Proces",16385.0,16385.0,,,0 CDM,4903129918,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor With Orbital I",16385.0,16385.0,,,0 CDM,4903129919,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor With Orbital I",16385.0,16385.0,,,0 CDM,4903129920,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor Without Orbita",16385.0,16385.0,,,0 CDM,4903129921,"Asc Only Unlisted Procedure, Accessory Sinuses ? Endoscopic Superior Orbital Decompression",16385.0,16385.0,,,0 CDM,4903129922,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Septectomy",16385.0,16385.0,,,0 CDM,4903163601,"Hc Bronchscpy,Rigid/Flex,Wwo Fluor Guide;W/Plcmnt Bronchl Sten(S),Initial Bronchus",5544.0,5544.0,,,0 CDM,4903520601,"Hc Repair Blood Vessel, Direct; Upper Extremity",6450.0,6450.0,,,0 CDM,4903520701,"Hc Rebl Ves Direct,Hand/Fingr",6450.0,6450.0,,,0 CDM,4903522601,"Hc Repair Blood Vessel, Direct; Lower Extremity",3806.0,3806.0,,,0 CDM,4903523601,Hc Repair Blood Vessel W/Vein Graft; Upper Extremity,6450.0,6450.0,,,0 CDM,4903566101,Hc Bypass Graft W/Other Than Vein; Femoral-Femoral,8602.0,8602.0,,,0 CDM,4903570201,"Hc Exploration Not Followed By Surgical Repair, Artery; Upper Extremity",1122.0,1122.0,,,0 CDM,4903655601,Hc Insert Non-Tunneled Centrally Inserted Central Venous Cath >= 5 Y/O,4862.0,4862.0,,,0 CDM,4903655801,"Hc Insrt Tunnld Centrl Insrt Centrl Venous Cath,Wo Subcut Port/Pump >= 5 Y/O",5810.0,5810.0,,,0 CDM,4903656101,Hc Insert Tunneled Centrally Inserted Cv Cath With Port >= 5 Y/O,9074.0,9074.0,,,0 CDM,4903657301,"Hc Ins Picc W/O Port Or Pump, Incl Img >= 5 Y/O",6336.0,6336.0,,,0 CDM,4903657801,"Hc Replacement, Catheter Only, Of Central Venous Access Device W/Subcutaneous Port Or Pump, Central",5518.0,5518.0,,,0 CDM,4903658001,"Hc Rplc,Non-Tunld Cntr Insrt Cntrl Vnous Cath Wo Subcut Port/Pump,Same Vnous Accss",4609.0,4609.0,,,0 CDM,4903658201,"Hc Rplc Comp,Tunld Cntr Insrt Cntr Vnous Accss Dvc,W/Subcut Port,Same Venous Accss",6307.0,6307.0,,,0 CDM,4903658301,"Hc Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Access Device, W/Subq Pump",6307.0,6307.0,,,0 CDM,4903658501,"Hc Replace Picc, Complete, W/ Port",6653.0,6653.0,,,0 CDM,4903658901,Hc Removal Tunneled Cv Cath W/O Subq Port Or Pump,4862.0,4862.0,,,0 CDM,4903659001,"Hc Removal Tunneled Cv Cath W Subq Port Or Pump, Central Or Peripheral",4862.0,4862.0,,,0 CDM,4903659701,Hc Reposition Venous Catheter,4862.0,4862.0,,,0 CDM,4903659801,"Hc Contrst Inj Rad Eval Existng Cntrl Venous Acces Dvc,Incl Fluoro,Image Doc&Rpt",4377.0,4377.0,,,0 CDM,4903682101,"Hc Direct,Any Site (Eg, Cimino Type)(Separate Procedure)",5208.0,5208.0,,,0 CDM,4903682501,Hc Creation Of Art Fistula By Other Than Direct Arteriov Anastomosis; Autogen Graf,6450.0,6450.0,,,0 CDM,4903690201,Hc Intro Cath Dialysis Circuit W/Trluml Balo Angiop,4548.0,4548.0,,,0 CDM,4903760701,Hc Ligation Or Banding Av Graft,5208.0,5208.0,,,0 CDM,4903760901,"Hc Ligation Or Biopsy, Temporal Artery",5810.0,5810.0,,,0 CDM,4903761801,"Hc Ligation, Major Artery, Extremity",6450.0,6450.0,,,0 CDM,4903776101,"Hc Ligation Of Perforator Vein(S), Subfascial, Open, Including Ultrasound Guidance, 1 Leg",5507.0,5507.0,,,0 CDM,4903822001,Hc Diagnostic Bone Marrow Aspirations,4862.0,4862.0,,,0 CDM,4903823001,Hc Bone Marrow Harvesting For Transplantation,9384.0,9384.0,,,0 CDM,4903823201,Hc Bone Marrow Harvest Autolog,9290.0,9290.0,,,0 CDM,4903850001,"Hc Biopsy/Excision, Lymph Node(S)",5810.0,5810.0,,,0 CDM,4903850501,"Hc Needle Biopsy, Lymph Node(S), Superficial",4862.0,4862.0,,,0 CDM,4903851001,"Hc Biopsy Or Excision Of Lymph Node(S); Open,Deep Cervical Node(S)",5810.0,5810.0,,,0 CDM,4903852501,"Hc Biopsy Or Excision Of Lymph Node(S);Open,Deep Axillary Node(S)",6905.0,6905.0,,,0 CDM,4903853101,Hc Open Biopsy/Excision Inguinofemoral Nodes,5810.0,5810.0,,,0 CDM,4903855001,"Hc Excision Of Cystic Hygroma, Axillary/Cervical, W/O Deep Neurovascular Dissection",6307.0,6307.0,,,0 CDM,4903874501,Hc Axillary Lymphadenectomy; Complete,9791.0,9791.0,,,0 CDM,4903876001,"Hc Inguinofemoral Lymphadenectomy, Superficial, Including Cloquet's Node",5507.0,5507.0,,,0 CDM,4903890001,"Hc Intraoperative Identification Of Sentinel Lymph Node(S) Incl Inj, Non-Radioactive Dye",4815.0,4815.0,,,0 CDM,4903_00641605201,NDC Description Not Available,11.33,11.33,,,0 CDM,4904050001,"Hc Vermilionectomy (Lip Shave), With Mucosal Advancement",5507.0,5507.0,,,0 CDM,4904051001,Hc Excision Of Lip; Transverse Wedge Excision With Primary Closure,5507.0,5507.0,,,0 CDM,4904072001,"Hc Plastic Repair Of Cleft Lip/Nasal Deformity; Secondary, By Recreation Of Defect And Reclosure",12866.0,12866.0,,,0 CDM,4904081001,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth, Without Repair",5507.0,5507.0,,,0 CDM,4904081201,"Hc Excision Of Lesion Of Mucosa/Submucosa, Vestibule Of Mouth W/Simple Repair",4609.0,4609.0,,,0 CDM,4904101001,Hc Incision Of Lingual Frenum (Frenotomy),4609.0,4609.0,,,0 CDM,4904111201,Hc Excision Of Lesion Of Tongue With Closure; Anterior Two-Thirds,5507.0,5507.0,,,0 CDM,4904111501,Hc Excision Of Lingual Frenum (Frenectomy),4609.0,4609.0,,,0 CDM,4904152001,"Hc Frenoplasty,Surgical Revision Of Frenum",5507.0,5507.0,,,0 CDM,4904189901,"Asc Only Unlisted Procedure, Dentoalveolar Structures",9290.0,9290.0,,,0 CDM,4904210401,"Hc Excision, Lesion Of Palate, Uvula; Without Closure",5507.0,5507.0,,,0 CDM,4904214501,"Hc Palatopharyngoplasty (Eg, Uvulopalatopharyngoplasty, Uvulopharngoplasty)",9290.0,9290.0,,,0 CDM,4904228101,Hc Insertion Of Pin-Retained Palatal Prosthesis,6307.0,6307.0,,,0 CDM,4904231001,"Hc Drainage Of Abscess; Submaxillary Or Sublingual, Intraoral",4609.0,4609.0,,,0 CDM,4904233001,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral",5230.0,5230.0,,,0 CDM,4904241501,"Hc Excision Of Parotid Tumor/Parotid Gland; Lateral Lobe, W/Dissection And Preservation Of Facial Ne",12866.0,12866.0,,,0 CDM,4904244001,Hc Excision Of Submandibular (Submaxillary) Gland,5989.0,5989.0,,,0 CDM,4904280601,"Hc Biopsy, Nasopharynx, Survey For Unknown Primary Lesion",5753.0,5753.0,,,0 CDM,4904282001,"Hc Tonsillectomy And Adenoidectomy, Younger Than Age?12",7906.0,7906.0,,,0 CDM,4904282101,"Hc Remove Tonsils/Adenoids,12+ Y/O",11148.0,11148.0,,,0 CDM,4904282501,"Hc Tonsillectomy, Primary Or Secondary; Under Age 12",9791.0,9791.0,,,0 CDM,4904282601,"Hc Removal Of Tonsils,12+ Y/O",9791.0,9791.0,,,0 CDM,4904283001,"Hc Adenoidectomy, Primary, Younger Than Age 12",8159.0,8159.0,,,0 CDM,4904283101,"Hc Removal Adenoids,Primary,12+ Y/O",9791.0,9791.0,,,0 CDM,4904283601,"Hc Adenoidectomy, Secondary; Age 12 Or Over",9791.0,9791.0,,,0 CDM,4904320001,Hc Esophagoscopy Flexible Transoral Diagnostic - Esophagoscopy,3806.0,3806.0,,,0 CDM,4904320201,Hc Esophagoscopy Flexible Transoral With Biopsy - Esophagoscopy,3806.0,3806.0,,,0 CDM,4904322001,Hc Esophagoscopy Flex Balloon Dilat <30 Mm Diam - Esophagoscopy,3806.0,3806.0,,,0 CDM,4904322601,Hc Esoph Rigid/Flex; W/Insert Of Guide Wire Followed By Dilation Over Guide Wire,3806.0,3806.0,,,0 CDM,4904323101,Hc Esophagoscopy Flexible Transoral Ultrasound Exam - Esophagoscopy,4548.0,4548.0,,,0 CDM,4904323501,Hc Esophagogastroduodenoscopy Transoral Diagnostic,5045.0,5045.0,,,0 CDM,4904323601,Hc Esophagogastroduodenoscopy Submucosal Injection - Egd,4548.0,4548.0,,,0 CDM,4904323701,Hc Esophagogastroduodenoscopy Us Scope W/Adj Strxrs - Endo Us (Upper),4548.0,4548.0,,,0 CDM,4904323801,Hc Egd Intrmural Us Needle Aspirate/Biopsy Esophags - Endo Us (Upper),4548.0,4548.0,,,0 CDM,4904323901,Hc Egd Transoral Biopsy Single/Multiple - Egd,5045.0,5045.0,,,0 CDM,4904324101,Hc Edg Intraluminal Tube/Catheter Insertion,4548.0,4548.0,,,0 CDM,4904324201,Hc Egd Intrmural Needle Aspir/Biop Altered Anatomy - Endo Us (Upper),4548.0,4548.0,,,0 CDM,4904324401,Hc Egd Band Ligation Esophgeal/Gastric Varices - Egd,5045.0,5045.0,,,0 CDM,4904324501,Hc Egd Dilation Gastric/Duodenal Stricture - Egd,4548.0,4548.0,,,0 CDM,4904324601,Hc Egd Percutaneous Placement Gastrostomy Tube - Gastrostomy Tube Place,4548.0,4548.0,,,0 CDM,4904324701,Hc Egd Flexible Foreign Body Removal,4548.0,4548.0,,,0 CDM,4904324801,Hc Egd Insert Guide Wire Dilator Passage Esophagus - Egd,4548.0,4548.0,,,0 CDM,4904324901,Hc Egd Balloon Dilation Esophagus <30 Mm Diam - Egd,4548.0,4548.0,,,0 CDM,4904325101,Hc Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd,4548.0,4548.0,,,0 CDM,4904325301,"Hc Esophagogastroduodenoscopy, Flexible, Transoral W/Transendoscopic Ultrasound",7344.0,7344.0,,,0 CDM,4904325401,Hc Esophgastro-Endoscopic Mucosal Resection,5208.0,5208.0,,,0 CDM,4904325501,Hc Egd Transoral Control Bleeding Any Method - Egd,5045.0,5045.0,,,0 CDM,4904325901,Hc Egd Us Exam Surgical Alter Stom Duodenum/Jejunum - Endo Us (Upper),7102.0,7102.0,,,0 CDM,4904326001,Hc Ercp Dx Collection Specimen Brushing/Washing - Ercp,4548.0,4548.0,,,0 CDM,4904326101,"Hc Ercp,Biopsy - Ercp, Single Or Multiple",4548.0,4548.0,,,0 CDM,4904326201,"Hc Ercp,Sphincterotomy - Ercp",4548.0,4548.0,,,0 CDM,4904326401,Hc Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp,4548.0,4548.0,,,0 CDM,4904327001,Hc Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd,4548.0,4548.0,,,0 CDM,4904327401,Hc Ercp Stent Placement Biliary/Pancreatic Duct - Ercp,10794.0,10794.0,,,0 CDM,4904327501,Hc Ercp Remove Foreign Body/Stent Biliary/Panc Duct - Ercp,10794.0,10794.0,,,0 CDM,4904327601,Hc Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire - Ercp,10794.0,10794.0,,,0 CDM,4904329001,"Hc Egd, Flexible, Transoral W/Deployment Of Intragastric Bariatric Balloon",9445.0,9445.0,,,0 CDM,4904329101,"Hc Egd, Flexible, Transoral W/Removal Of Intragastric Bariatric Balloon(S)",3719.0,3719.0,,,0 CDM,4904345001,Hc Dilate Esophagus - Esophageal Dilation,4862.0,4862.0,,,0 CDM,4904346001,"Hc Esophagogastric Tamponade,Balloon - Tube Insertion",5078.0,5078.0,,,0 CDM,4904349901,Hc Esophagus Surg Procedure Unlisted,6905.0,6905.0,,,0 CDM,4904376201,Hc Replace/Remv G-Tube Wo Img,10466.0,10466.0,,,0 CDM,4904399901,Asc Only Unlisted Procedure - Stomach - Upper Gi Endoscopy Catheter Aspiration,5230.0,5230.0,,,0 CDM,4904411001,"Hc Excision,1 Or More Lesions,Small/Large Intestine Not Requiring Anastomosis/Exteriorization/Fistul",4815.0,4815.0,,,0 CDM,4904411101,"Hc Excision,1 Or More Lesions,Small/Large Intestine Not Requiring Anastomosis/Exteriorization/Fistul",4815.0,4815.0,,,0 CDM,4904418001,"Hc Laparoscopy,Surgical,Enterolysis",10651.0,10651.0,,,0 CDM,4904436001,Hc Endoscopy Upper Small Intestine - Enteroscopy,5849.0,5849.0,,,0 CDM,4904436101,"Hc Small Bowel Endoscopy,Biopsy - Enteroscopy",5849.0,5849.0,,,0 CDM,4904436401,"Hc Small Intestinal Endoscopy, Second Portion Of Duodenum W/Removal Of Tumor(S),Polyp(S)Lesion(S),Sn",5544.0,5544.0,,,0 CDM,4904436601,"Hc Small Bowel Endoscopy,>2Nd Prtn W/Control,Bleeding - Enteroscopy",5849.0,5849.0,,,0 CDM,4904436901,"Hc Small Bowel Endoscopy, >2Nd Prtn Ablate Lesn - Enteroscopy",5849.0,5849.0,,,0 CDM,4904437601,"Hc Small Bowel Scope,To Ileum,Diagnostic - Enteroscopy",5849.0,5849.0,,,0 CDM,4904437701,"Hc Sb Scope,To Ileum,Biopsy - Enteroscopy",5849.0,5849.0,,,0 CDM,4904437801,"Hc Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy",5849.0,5849.0,,,0 CDM,4904438001,Hc Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy,4894.0,4894.0,,,0 CDM,4904438101,"Hc Lleoscopy, Through Stoma W/Transendoscopic Balloon Dilation",4894.0,4894.0,,,0 CDM,4904438201,"Hc Ileoscopy Thru Stoma,Biopsy - Enteroscopy",4894.0,4894.0,,,0 CDM,4904438501,Hc Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx - Enteroscopy,4639.0,4639.0,,,0 CDM,4904438601,Hc Ndsc Eval Intstinal Pouch W/Bx Single/Multiple - Enteroscopy,4894.0,4894.0,,,0 CDM,4904438801,Hc Colonoscopy Stoma Dx Induding Collj Spec Spx - Colonoscopy,3011.0,3011.0,,,0 CDM,4904438901,"Hc Colonoscopy Thru Stoma,Biopsy - Colonoscopy",3011.0,3011.0,,,0 CDM,4904439001,Hc Colonoscopy Through Stoma; With Removal Of Foreign Body(S),4015.0,4015.0,,,0 CDM,4904439401,"Hc Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy",3011.0,3011.0,,,0 CDM,4904440301,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection,4015.0,4015.0,,,0 CDM,4904440401,"Hc Stoma-Colonoscopy, W/Directed Submucosal Inj, Any Subst",4015.0,4015.0,,,0 CDM,4904440701,Hc Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx - Endo Us (Lower),4015.0,4015.0,,,0 CDM,4904479901,"Hc Chromonendoscopy, Large Bowel",9791.0,9791.0,,,0 CDM,4904497001,"Hc Laparoscopy, Surgical, Appendectomy",10651.0,10651.0,,,0 CDM,4904500001,Hc Transrectal Drainage Of Pelvic Abscess,4609.0,4609.0,,,0 CDM,4904500501,"Hc Incision And Drainage Of Submucosal Abscess, Rectum",5507.0,5507.0,,,0 CDM,4904502001,"Hc Incision/Drainage Of Deep Supralevator, Pelvirectal, Or Retrorectal Abscess",5810.0,5810.0,,,0 CDM,4904510001,"Hc Biopsy Of Anorectal Wall, Anal Approach (Eg, Congenital Megacolon)",4862.0,4862.0,,,0 CDM,4904512301,"Hc Proctectomy, Partial W/O Anastomosis, Perineal Approach",13057.0,13057.0,,,0 CDM,4904517101,"Hc Exc Rectal Tumor,Transanal Apprch;Not Inc Muscularis Propria-Part Thickness",11148.0,11148.0,,,0 CDM,4904517201,"Hc Exc Rectal Tumor,Transanal Apprch;Not Inc Muscularis Propria-Full Thickness",16385.0,16385.0,,,0 CDM,4904519001,"Hc Destruction Of Rectal Tumor, Transanal Approach",15686.0,15686.0,,,0 CDM,4904530001,"Hc Proctosigmoidoscopy, Rigid; Diagnostic W/Wo Coll Specimen By Brush/Wash",3011.0,3011.0,,,0 CDM,4904530501,"Hc Proctosigmoidoscopy,Rigid; With Biopsy, Single Or Multiple",3011.0,3011.0,,,0 CDM,4904533001,Hc Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd - Endoscopy Sigmoid,3011.0,3011.0,,,0 CDM,4904533101,"Hc Sigmoidoscopy,Biopsy - Endoscopy Sigmoid Single Or Multiple",3011.0,3011.0,,,0 CDM,4904533201,"Hc Sigmoidoscopy, Flexible; W/Removal Of Foreign Body",3011.0,3011.0,,,0 CDM,4904533301,"Hc Sigmoidoscopy Flexible W/Removal Of Tumor(S), Polyp(S) Or Other Lesion(S) By Hot Biopsy Forceps",3011.0,3011.0,,,0 CDM,4904533401,Hc Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid,3011.0,3011.0,,,0 CDM,4904533501,"Hc Sigmoidoscopy,Flex,W/Dir Submuc Inject - Endoscopy Sigmoid",3011.0,3011.0,,,0 CDM,4904533801,"Hc Sigmoidoscopy,Remv Lesn,Snare - Endoscopy Sigmoid",3011.0,3011.0,,,0 CDM,4904534001,Hc Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid,3011.0,3011.0,,,0 CDM,4904534101,Hc Sigmoidoscopy W/Endoscopic Us Exam - Endo Us (Lower),3011.0,3011.0,,,0 CDM,4904534201,"Hc Sigmoidoscopy,Fine Needl Bx,Us Guided - Endoscopy Sigmoid",3011.0,3011.0,,,0 CDM,4904534901,Hc Sigmoid W Endo Mucosal Resec,5104.0,5104.0,,,0 CDM,4904535001,Hc Sigmoidoscopy Flx With With Band Ligation(S),5322.0,5322.0,,,0 CDM,4904537801,Hc Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy,3992.0,3992.0,,,0 CDM,4904537901,Hc Colonoscopy Flx W/Removal Of Foreign Body(S) - Colonoscopy,4798.0,4798.0,,,0 CDM,4904538001,Hc Colonoscopy W/Biopsy Single/Multiple - Colonoscopy,3992.0,3992.0,,,0 CDM,4904538101,Hc Colsc Flx With Directed Submucosal Njx Any Sbst - Colonoscopy,3599.0,3599.0,,,0 CDM,4904538201,Hc Colsc Flexible W/Control Bleeding Any Method - Colonoscopy,3599.0,3599.0,,,0 CDM,4904538401,Hc Colsc Flx W/Removal Lesion By Hot Bx Forceps - Colonoscopy,3599.0,3599.0,,,0 CDM,4904538501,Hc Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy,3992.0,3992.0,,,0 CDM,4904538601,Hc Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy,3599.0,3599.0,,,0 CDM,4904538801,Hc Colon-Ablation Tumor/Polyp(S)S,3599.0,3599.0,,,0 CDM,4904538901,Hc Colonoscopy Flx With Endoscopic Stent Placement,3599.0,3599.0,,,0 CDM,4904539001,Hc Colonoscopy Flx W/Endoscopic Mucosal Resection - Colonoscopy,5104.0,5104.0,,,0 CDM,4904539101,Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower),3599.0,3599.0,,,0 CDM,4904539801,Hc Colonoscopy Flexible With Band Ligation(S) - Colonoscopy,5364.0,5364.0,,,0 CDM,4904539901,"Asc Only Unlisted Procedure, Colon - Ostomy Dilation Under Sedation",9900.0,9900.0,,,0 CDM,4904550501,Hc Proctoplasty For Prolapse Of Mucous Membrane,5810.0,5810.0,,,0 CDM,4904590501,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local,4862.0,4862.0,,,0 CDM,4904591001,"Hc Dilation Of Rectal Stricture, Under Anesthesia Other Than Local",4609.0,4609.0,,,0 CDM,4904591501,Hc Rmvl Of Fecal Impaction Or Foreign Body (Sep Proc) Under Anesthesia,4862.0,4862.0,,,0 CDM,4904599001,"Hc Surg Diagnostic Exam, Anorectal",5810.0,5810.0,,,0 CDM,4904602001,Hc Placement Of Seton,6653.0,6653.0,,,0 CDM,4904603001,Hc Removal Of Anal Secton Other Marker,4862.0,4862.0,,,0 CDM,4904604001,Hc Incision/Drainage Of Ischiorectal And/Or Perirectal Abscess (Sep Proc),6653.0,6653.0,,,0 CDM,4904605001,"Hc Incision And Drainage, Perianal Absces, Superficial",4862.0,4862.0,,,0 CDM,4904606001,Hc Inc/Drain/Ischior/Intram Abscess W/Fistulec/Fistulo/Submus W/Wo Plcmnt Seton,5810.0,5810.0,,,0 CDM,4904608001,"Hc Sphincterotomy, Anal, Division Of Sphincter (Separate Procedure)",6653.0,6653.0,,,0 CDM,4904620001,"Hc Fissurectomy Inc Sphincterotomy,Whn Performed",5507.0,5507.0,,,0 CDM,4904622001,"Hc Exc Of Sngl External Papilla Or Tag,Anus",4862.0,4862.0,,,0 CDM,4904622101,"Hc Hemorrhoidectomy,Internal,By Rubber Band Ligation(S)",4862.0,4862.0,,,0 CDM,4904623001,"Hc Excision Of Multiple External Papillae Or Tags, Anus",4862.0,4862.0,,,0 CDM,4904625001,"Hc Hemorrhoidectomy,External,2 Or More Columns/Groups",6653.0,6653.0,,,0 CDM,4904625501,"Hc Hemorrhoidectomy,Internal And External,Single Column/Group",6653.0,6653.0,,,0 CDM,4904625701,"Hc Hemorrhoidectomy, Internal/External, Simple; W/Fissurectomy",6307.0,6307.0,,,0 CDM,4904626001,"Hc Hemorrhoidectomy, Internal And External,2 Or More Columns/Groups",6653.0,6653.0,,,0 CDM,4904626101,"Hc Hemorrhoidectomy Int/Ext, Complex/Extensive; W/Fissurectomy",7811.0,7811.0,,,0 CDM,4904627001,Hc Surgical Treatment Of Anal Fistula (Fistulect/Fistulot); Subcutaneous,6653.0,6653.0,,,0 CDM,4904627501,Hc Surgical Treatment Of Anal Fistula (Fistulectomy/Fistulotomy); Intersphincteric,7650.0,7650.0,,,0 CDM,4904628001,"Hc Surg Trmt Anal Fistula;Trans/Supra/Extra-Sphnctrc Or Mult,Inc Plc Seton,Whn Prf",8241.0,8241.0,,,0 CDM,4904628501,Hc Surgical Treatment Of Anal Fistula; Second Stage,4609.0,4609.0,,,0 CDM,4904628801,Hc Closure Of Anal Fistula W/Rectal Advancement Flap,9791.0,9791.0,,,0 CDM,4904632001,"Hc Excision Thrombosed Hemorrhoid, External",4862.0,4862.0,,,0 CDM,4904650001,"Hc Injection Of Sclerosing Solution, Hemorrhoids",4377.0,4377.0,,,0 CDM,4904650501,Hc Chemodenervation Of Internal Anal Sphencter,5778.0,5778.0,,,0 CDM,4904660001,"Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd - Endoscopy, Anus",8718.0,8718.0,,,0 CDM,4904660101,"Hc Anoscopy; Diagnostic W/High-Resolution Magnification (Hra) And Chemical Agent Enhancement, Includ",8264.0,8264.0,,,0 CDM,4904660401,"Hc Anoscopy,W/Dilation - Endoscopy, Anus",5849.0,5849.0,,,0 CDM,4904660601,"Hc Anoscopy And Biopsy - Endoscopy, Anus",4894.0,4894.0,,,0 CDM,4904660701,"Hc Anoscopy W High Res Magnification (Hra), W/Bx",4894.0,4894.0,,,0 CDM,4904661001,Hc Anoscopy; W/Rmvl Sngl Tumor/Polyp/Other Lesion By Hot Biopsy Forc/Bip Cautery,4639.0,4639.0,,,0 CDM,4904661501,"Hc Anoscopy; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S) Not Amenable To Removal By Hot",5544.0,5544.0,,,0 CDM,4904670001,"Hc Anoplasty, Plastic Operation For Stricture; Adult",6588.0,6588.0,,,0 CDM,4904670601,Hc Repair Of Anal Fistula With Fibrin Glue,4609.0,4609.0,,,0 CDM,4904670701,Hc Repair Anorectal Fist W/Plug (Sis),13791.0,13791.0,,,0 CDM,4904691001,"Hc Destruction Of Lesions/Anus, Simple; Electrodesiccation",5810.0,5810.0,,,0 CDM,4904692201,"Hc Destruction Of Lesions, Anus, Simple; Surgical Excision",4862.0,4862.0,,,0 CDM,4904692401,"Hc Destruction Of Lesions(S),Anus,Extensive",4862.0,4862.0,,,0 CDM,4904693001,Hc Destruction Of Internal Hemorrhoid(S) By Thermal Energy,9290.0,9290.0,,,0 CDM,4904694001,"Hc Currettage Or Cautery Anal Fissure,Inc Dilation Of Anal Sphincter;Initial",5507.0,5507.0,,,0 CDM,4904694501,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 1 - Band Ligation",6653.0,6653.0,,,0 CDM,4904694601,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 2+ - Band Ligation",4862.0,4862.0,,,0 CDM,4904694701,Hc Hemorrhoidopexy By Stapling,12994.0,12994.0,,,0 CDM,4904694801,Hc Int Hrhc Transanal Hroid Dartlzj 2+ W/Us Gdn,12376.0,12376.0,,,0 CDM,4904699901,"Hc Unlisted Procedure, Anus",5778.0,5778.0,,,0 CDM,4904699902,"Asc Only Unlisted Procedure, Anus ? Solesta Injection",5778.0,5778.0,,,0 CDM,4904699903,"Asc Only Unlisted Procedure, Anus ? Hemorrhoidectomy, External, Single Column/Group",5778.0,5778.0,,,0 CDM,4904737901,"Asc Only Unlisted Laparoscopic Procedure, Liver - Laparoscopic Wedge Liver Resections",8446.0,8446.0,,,0 CDM,4904756201,"Hc Laparoscopy,Surg;Cholecystectomy",16385.0,16385.0,,,0 CDM,4904756301,"Hc Laparoscopy,Surg;Cholecystectomy W/Cholangiography",16385.0,16385.0,,,0 CDM,4904756401,"Hc Laparoscopy,Surg;Cholecystectomy W/Exploration Of Common Duct",16385.0,16385.0,,,0 CDM,4904899901,Hc Eus Oe Fine Needle Aspiration,4815.0,4815.0,,,0 CDM,4904921501,Hc Excision Of Presacral Or Sacrococcygeal Tumor,9892.0,9892.0,,,0 CDM,4904925001,"Hc Umbilectomy, Omphalectomy, Excision Of Umbilicus (Sep Proc)",8159.0,8159.0,,,0 CDM,4904932001,"Hc Lap,Diagnostic Abdomen",8661.0,8661.0,,,0 CDM,4904932101,"Hc Laparoscopy,Surg;W/Bx (Sngl Or Multi)",8661.0,8661.0,,,0 CDM,4904932201,"Hc Laparoscopy,Surg;Abdomen,Peritoneum,& Omentum;W/Aspir Cavity Or Cyst",8209.0,8209.0,,,0 CDM,4904932401,"Hc Laparoscopy,Surg;W/Insert Tunneled Intraperitoneal Cath",16385.0,16385.0,,,0 CDM,4904932901,"Asc Only Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum - Laparoscopic Iud Removal",16385.0,16385.0,,,0 CDM,4904942201,Hc Removal Tunneled Intraperitoneal Catheter,4862.0,4862.0,,,0 CDM,4904945001,Hc Replace Gastrostomy/Cecostomy Tube Percutaneous,4862.0,4862.0,,,0 CDM,4904946001,Hc Repair Initial Incisional Or Ventral Hernia; Reducible,5252.0,5252.0,,,0 CDM,4904950501,"Hc Repair Ing Hernia,5+Y/O,Reducibl",8241.0,8241.0,,,0 CDM,4904950701,"Hc Repair Initial Inguinal Hernia, Age 5 Yrs Or Over; Incarcer/Strangulated",16385.0,16385.0,,,0 CDM,4904952001,"Hc Repair Recurrent Inguinal Hernia, Any Age, Reducible",15440.0,15440.0,,,0 CDM,4904952101,"Hc Repair Recurrent Inguinal Hernia, Any Age, Incarcerated Or Strangulated",16385.0,16385.0,,,0 CDM,4904952501,"Hc Repair Inguinal Hernai, Sliding, Any Age",8241.0,8241.0,,,0 CDM,4904955001,"Hc Repair Initial Femoral Hernia, Any Age;Reducible",9383.0,9383.0,,,0 CDM,4904956001,"Hc Repair Initial Incisional Or Ventral Hernia, Reducible",9791.0,9791.0,,,0 CDM,4904956101,"Hc Repair Incisional Hernia,Strang",16385.0,16385.0,,,0 CDM,4904956501,Hc Repair Recurrent Incisional/Ventral Hernia;Reducible,8159.0,8159.0,,,0 CDM,4904957001,Hc Repair Epigastric Hernia; Reducible,8241.0,8241.0,,,0 CDM,4904957201,"Hc Repair Epigastric Hernia, Preperitoneal Fat, Incarcerated Or Strangulated",16385.0,16385.0,,,0 CDM,4904958501,"Hc Repair Umbilical Hern,5+Y/O,Reduc",8241.0,8241.0,,,0 CDM,4904958701,"Hc Repair Umbilical Hern,5+Y/O,Strang",13791.0,13791.0,,,0 CDM,4904959101,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 CDM,4904959201,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",13791.0,13791.0,,,0 CDM,4904959301,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 CDM,4904959401,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",13791.0,13791.0,,,0 CDM,4904959501,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 CDM,4904959601,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",16385.0,16385.0,,,0 CDM,4904961301,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",8241.0,8241.0,,,0 CDM,4904961401,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",13791.0,13791.0,,,0 CDM,4904961501,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",8241.0,8241.0,,,0 CDM,4904961601,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",16385.0,16385.0,,,0 CDM,4904961701,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",9791.0,9791.0,,,0 CDM,4904961801,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",16385.0,16385.0,,,0 CDM,4904962101,"Hc Rpr Parastomal Hernia, Any Approach, Initial Or Recurrent, Incl Implant Mesh/Other Prosthesis, Wh",9791.0,9791.0,,,0 CDM,4904962201,"Hc Rpr Parastomal Hernia, Any Approach, Initial Or Recurrent, Incl Implant Mesh/Other Prosthesis, Wh",16385.0,16385.0,,,0 CDM,4904962301,"Hc Removal Total/Near Total Non-Infected Mesh/Other Prosthesis, Initial/Recurrent Anterior Abdominal",9791.0,9791.0,,,0 CDM,4904965001,"Hc Lap,Inguinal Hernia Repr,Initial",11234.0,11234.0,,,0 CDM,4904965101,"Hc Laparoscopy,Surg;Repair Recurrent Inguinal Hernia",12994.0,12994.0,,,0 CDM,4904965201,"Hc Laparoscopy,Surgical,Repair,Ventral,Umbilical,Spigelian Or Epigastric Hernia",13882.0,13882.0,,,0 CDM,4904965301,"Hc Laparoscopy,Surgical,Repair,Ventral,Umbilical,Incarcerated",13158.0,13158.0,,,0 CDM,4904965401,"Hc Laparoscopy,Surgical Repair,Incisional Hernia;Reducible",13882.0,13882.0,,,0 CDM,4904965501,"Hc Laparoscopy,Surgical Repair,Incisional Hernia;Incarcerated Or Strangulated",13158.0,13158.0,,,0 CDM,4905038901,Hc Remove Renal Tube W/Fluoro,5778.0,5778.0,,,0 CDM,4905043101,Hc Njx Px Antegrde Nfrosgrm/Urtrgrm Exstng Acess,4169.0,4169.0,,,0 CDM,4905043501,Hc Exchange Nephrostomy Catheter Prq W/Img Gid Rs/I,8893.0,8893.0,,,0 CDM,4905059001,Hc Fragment Kidney Stone/ Eswl,13791.0,13791.0,,,0 CDM,4905071501,"Hc Ureterolysis, With Or Without Repositioning Of Ureter For Retroperitoneal Fibrosis",8446.0,8446.0,,,0 CDM,4905094901,Asc Only Unlisted Procedure - Ureter - Laparoscopic Ureterolysis,8446.0,8446.0,,,0 CDM,4905104001,"Hc Cystostomy, Cystotomy With Drainage",9791.0,9791.0,,,0 CDM,4905105001,"Hc Cystolithotomy, Cystotomy With Removal Of Calculus, Without Vesical Neck Resection",8901.0,8901.0,,,0 CDM,4905110001,"Hc Aspiration Of Bladder, By Needle",6653.0,6653.0,,,0 CDM,4905110201,Hc Aspiration Bladder Insert Suprapubic Catheter,5810.0,5810.0,,,0 CDM,4905160001,Hc Injection Procedure For Cystography Or Voiding Urethrocystography,4377.0,4377.0,,,0 CDM,4905170201,Hc Insert Temporary Indwelling Bladder Cath;Simple,8661.0,8661.0,,,0 CDM,4905170301,"Hc Insert,Temp Indwelling Blad Cath,Comp",4862.0,4862.0,,,0 CDM,4905170501,Hc Change Of Cystostomy Tube; Simple,4609.0,4609.0,,,0 CDM,4905171501,Hc Endoscopic Injection/Implant,6698.0,6698.0,,,0 CDM,4905172001,Hc Bladder Instillation Of Anticarcinogenic Agent (Includ Retention Time),4377.0,4377.0,,,0 CDM,4905186001,"Hc Cystorrhaphy, Suture Of Bladder Wound, Injury Or Rupture; Simple",6588.0,6588.0,,,0 CDM,4905199001,"Hc Laparoscopy,Surg;Urethral Suspension For Stress Incontinence",9290.0,9290.0,,,0 CDM,4905200001,Hc Cystourethroscopy,11065.0,11065.0,,,0 CDM,4905200501,"Hc Cystourethroscopy W/Ureteral Catheterization, W/W/O Irrigation, Instillation Or Ureteropyelograph",10488.0,10488.0,,,0 CDM,4905220401,"Hc Cystourethroscopy,Biopsy",5849.0,5849.0,,,0 CDM,4905221401,Hc Cyst/W Fulguration Of Trigone/Blad Neck/Prostatic Fossa Ureth/Periuet Glands,5849.0,5849.0,,,0 CDM,4905222401,"Hc Cystourethroscopy,Fulgur <0.5 Cm Lesn",5849.0,5849.0,,,0 CDM,4905223401,"Hc Cystourethroscopy,Fulgur 0.5-2 Cm Lesn",5849.0,5849.0,,,0 CDM,4905223501,"Hc Cystourethroscopy,Fulgur 2-5 Cm Lesn",6698.0,6698.0,,,0 CDM,4905224001,"Hc Cystourethroscopy,Fulgur >5 Cm Lesn",6698.0,6698.0,,,0 CDM,4905226001,"Hc Cystoscopy,Dil Bladder,Gen Anesth",5849.0,5849.0,,,0 CDM,4905227501,"Hc Cystourethroscopy, With Internal Urethrotomy; Male",5849.0,5849.0,,,0 CDM,4905227601,"Hc Cystoscopy,Dir Vis Int Urethrotomy",6698.0,6698.0,,,0 CDM,4905228101,"Hc Cystoscopy,Dil Urethral Stricture",5849.0,5849.0,,,0 CDM,4905228701,Hc Cystourethroscopy Inj Chemodenervation Bladder,9445.0,9445.0,,,0 CDM,4905231001,"Hc Cystoscopy,Remv Calculus,Simple",9134.0,9134.0,,,0 CDM,4905231701,"Hc Remove Bladder Stone,<2.5 Cm",4894.0,4894.0,,,0 CDM,4905231801,Hc Litholapaxy: Crush/Frag Calculus By Means Blad/Rmvl Frag; Complicated/Lrg,5544.0,5544.0,,,0 CDM,4905233201,"Hc Cystoscopy,Insert Ureteral Stent",11065.0,11065.0,,,0 CDM,4905234101,Hc Cystourethroscoy;W/Tx Of Ureteral Stricture,6698.0,6698.0,,,0 CDM,4905234401,Hc Cystourethroscopy W/Ureteroscopy;W/Tx Of Ureteral Stricture,6698.0,6698.0,,,0 CDM,4905234501,Hc Cystourethroscopy With Ureteroscopy; With Treatment Of Ureteropelvic Junction Stricture,6698.0,6698.0,,,0 CDM,4905235101,"Hc Cysto/Uretero/Pyeloscopy, Dx",6698.0,6698.0,,,0 CDM,4905235201,"Hc Cystourethroscopy,W/Ureteroscopy &/Or Pyeloscopy;W/Rmvl/Manip Calculus",8295.0,8295.0,,,0 CDM,4905235301,Hc Cysto/Uretero/Pyeloscopy W/Lithotripsy,11065.0,11065.0,,,0 CDM,4905235401,Hc Cystourethroscopy W/Ureteroscopy And/Or Pyeloscopy; W/Biopsy And/Or Fulguration Of Ureteral Or Re,7863.0,7863.0,,,0 CDM,4905235601,Hc Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,13882.0,13882.0,,,0 CDM,4905244101,Hc Cystourethroscopy W/Insertion Of Permanent Adjustable Transprostatic Implant; Single Implant,10488.0,10488.0,,,0 CDM,4905244201,Hc Cystourethroscopy W/Insertion Of Permanent Adjustable Transprostatic Implant; Each Additional,10488.0,10488.0,,,0 CDM,4905260101,"Hc Electrosurgicaltur Of Prost, Includ Control Postoperative Bleed During",9791.0,9791.0,,,0 CDM,4905263001,"Hc Transurethral Resection,Residual/Regrowth Of Obstructive Prostate Tissue Incl Control Of Postoper",5753.0,5753.0,,,0 CDM,4905300001,"Hc Urethrotomy Or Urethrostomy, External; Pendulous Urethra",4609.0,4609.0,,,0 CDM,4905302001,"Hc Meatotomy, Cutting Of Meatus (Separate Procedure); Except Infant",4609.0,4609.0,,,0 CDM,4905320001,Hc Biopsy Of Urethra,4862.0,4862.0,,,0 CDM,4905323001,Hc Excision Of Urethral Diverticulum (Separate Procedure); Female,5507.0,5507.0,,,0 CDM,4905326001,"Hc Excision Or Fulguration; Urethral Polyp(S), Distal Urethra",8241.0,8241.0,,,0 CDM,4905327001,Hc Excision Or Fulguration; Sken's Glands,5810.0,5810.0,,,0 CDM,4905327501,Hc Excision Or Fulguration; Urethral Prolapse,5810.0,5810.0,,,0 CDM,4905345001,"Hc Urethromeatoplasty, With Mucosal Advancement",4377.0,4377.0,,,0 CDM,4905350001,"Hc Urethrolysis, Transvaginal, Secondary, Open, Incl Cystourethroscopy",11439.0,11439.0,,,0 CDM,4905360001,"Hc Dilation Urethral Stricture By Passage Of Sound/Urethral Dilator, Male; Initial",4609.0,4609.0,,,0 CDM,4905406001,"Hc Destruction Of Lesion(S), Penis, Simple; Surgical Excision",4609.0,4609.0,,,0 CDM,4905410001,Hc Biopsy Of Penis(Separate Procedure),4862.0,4862.0,,,0 CDM,4905411101,"Hc Excision Of Penile Plaque (Peyronie Disease), With Graft To 5 Cm In Length",5753.0,5753.0,,,0 CDM,4905411201,Hc Excision Penile Plaque (Peyronie Disease): W/Graft Grtr Than 5 Cm In Length,5753.0,5753.0,,,0 CDM,4905415001,Hc Circumcision W/Dorsal Penile Or Ring Block,4609.0,4609.0,,,0 CDM,4905416101,"Hc Circumcision,Surg Excision Oth Than Clamp,Device/Dorsal Slit;Older Thn 28 Days",5810.0,5810.0,,,0 CDM,4905416201,Hc Lysis Or Excision Of Penile Post-Circumcision Adhesions,5518.0,5518.0,,,0 CDM,4905416301,Hc Repair Incomplete Circumcision,5518.0,5518.0,,,0 CDM,4905416401,Hc Frenulotomy Of Penis,5518.0,5518.0,,,0 CDM,4905436001,Hc Plastic Operation On Penis To Correct Angulation,6588.0,6588.0,,,0 CDM,4905440001,Hc Insertion Of Penile Prosthesis; Non-Inflatable (Semi-Rigid),7906.0,7906.0,,,0 CDM,4905440501,"Hc Insert Multi-Component,Infltbl Penile Prosth,Inc Plcmnt Pump/Cylinder/Reservior",6588.0,6588.0,,,0 CDM,4905450501,"Hc Biopsy Of Testis, Incisional (Separate Procedure)",4862.0,4862.0,,,0 CDM,4905451201,Hc Excision Of Extraparenchymal Lesion Of Testis,5507.0,5507.0,,,0 CDM,4905452001,"Hc Orchiectomy, Simple, Incl Subcapsular W/W/O Testicular Prosthesis, Scrotal Or Inguinal Approach",6653.0,6653.0,,,0 CDM,4905453001,"Hc Orchiectomy, Radical, For Tumor; Inguinal Approach",8241.0,8241.0,,,0 CDM,4905453501,"Hc Orchiectomy, Radical For Tumor; W/Abdominal Exploration",9791.0,9791.0,,,0 CDM,4905466001,Hc Insertion Of Testicular Prosthesis,6905.0,6905.0,,,0 CDM,4905470001,"Hc Incis/Drain Scrotum/Testis,Epididym",5507.0,5507.0,,,0 CDM,4905483001,Hc Excision Of Local Lesion Of Epididymis,6653.0,6653.0,,,0 CDM,4905484001,"Hc Excision Of Spermatocele, With Or Without Epididymectomy",8241.0,8241.0,,,0 CDM,4905486001,Hc Epididymectomy; Unilateral,6307.0,6307.0,,,0 CDM,4905490001,"Hc Epididymovasostomy, Anastomosis Of Epididymis To Vas Deferens; Unilateral",7811.0,7811.0,,,0 CDM,4905500001,"Hc Puncture Aspiration Of Hydrocele, Tunica Vaginalis, W/W/O Inj Of Medication",4862.0,4862.0,,,0 CDM,4905504001,Hc Excision Of Hydrocele; Unilateral,6653.0,6653.0,,,0 CDM,4905504101,Hc Excision Of Hydrocele; Bilateral,8893.0,8893.0,,,0 CDM,4905511001,Hc Scrotal Exploration,6905.0,6905.0,,,0 CDM,4905512001,Hc Removal Of Foreign Body In Scrotum,5507.0,5507.0,,,0 CDM,4905515001,Hc Resection Of Scrotum,4862.0,4862.0,,,0 CDM,4905525001,"Hc Vasectomy, Unilateral/Bilateral Including Postoperative Semen Examinations",10780.0,10780.0,,,0 CDM,4905540001,"Hc Vasovasostomy, Vasovasorrhaphy",4862.0,4862.0,,,0 CDM,4905550001,"Hc Excision Of Hydrocele Of Spermatic Cord, Unilateral (Separate Procedure)",6307.0,6307.0,,,0 CDM,4905552001,Hc Excision Of Lesion Of Spermatic Cord (Separate Procedure),8241.0,8241.0,,,0 CDM,4905553001,Hc Excision Of Varicocele/Ligation Of Spermatic Veins For Varicocele; (Sep Proc),8241.0,8241.0,,,0 CDM,4905570001,"Hc Biopsy Of Prostate,Needle/Punch",5810.0,5810.0,,,0 CDM,4905570601,"Hc Biopsies, Prostate, Needle, Transperineal, Stereotactic Template Guided Saturation Sampling, Incl",6307.0,6307.0,,,0 CDM,4905586601,"Hc Lap,Surg Prostatect,Retropubc Radcl,Incl Nrv Sparing,Inc Robotc Assist,Whn Prfm",12866.0,12866.0,,,0 CDM,4905586701,"Hc Laparoscopy, Surgical Prostatectomy, Simple Subtotal, Includes Robotic Assistance, When Performed",15440.0,15440.0,,,0 CDM,4905587301,Hc Cryosurgical Ablation Of The Prostate,13791.0,13791.0,,,0 CDM,4905587501,"Hc Percut/Needle Insert,Prostate,Radioisot",16385.0,16385.0,,,0 CDM,4905587601,"Hc Place Radiother Device/Marker, Prostate",5778.0,5778.0,,,0 CDM,4905589901,"Asc Only Unlisted Procedure, Male Genital System",11148.0,11148.0,,,0 CDM,4905589902,"Asc Only Unlisted Procedure, Male Genital System - Spermatic Cord Denervation",11148.0,11148.0,,,0 CDM,4905589903,"Asc Only Unlisted Procedure, Male Genital System - Microsurgical Testicular Sperm Extraction",11148.0,11148.0,,,0 CDM,4905589904,"Asc Only Unlisted Procedure, Male Genital System - Microsurgical Epididymal? Sperm Aspiration (Mesa)",11148.0,11148.0,,,0 CDM,4905589905,"Asc Only Unlisted Procedure, Male Genital System - Percutaneous Epididymal Sperm Aspiration (Pesa)",11148.0,11148.0,,,0 CDM,4905592001,Hc Placement Needle Pelvic Organ Radioelement Appl,14275.0,14275.0,,,0 CDM,4905640501,Hc Incision And Drainage Of Vulva Or Perineal Abscess,5230.0,5230.0,,,0 CDM,4905644001,Hc Marsup Bartholin Gland Cyst,5810.0,5810.0,,,0 CDM,4905644101,Hc Lysis Of Labial Adhensions,4609.0,4609.0,,,0 CDM,4905650101,"Hc Destruction,Lesion(S),Vulva,Simple",4862.0,4862.0,,,0 CDM,4905651501,"Hc Destruction,Lesion(S),Vulva;Extensive",6653.0,6653.0,,,0 CDM,4905660501,"Hc Biopsy Of Vulva Or Perineum, 1 Lesion",4609.0,4609.0,,,0 CDM,4905660601,Hc Bx Vulva/Perineum;Ea Separate Additional Lesion(Lst Sep/Code Prmry Procedure),4609.0,4609.0,,,0 CDM,4905662001,Hc Part Simple Remv Vulva,11148.0,11148.0,,,0 CDM,4905670001,Hc Partial Removal Of Hymen,5778.0,5778.0,,,0 CDM,4905674001,Hc Excision Of Bartholin's Gland Or Cyst,6307.0,6307.0,,,0 CDM,4905680001,Hc Plastic Repair Of Introitus,5989.0,5989.0,,,0 CDM,4905681001,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical",8446.0,8446.0,,,0 CDM,4905706101,Hc Destruction Of Vaginal Lesion(S);Simple,4609.0,4609.0,,,0 CDM,4905706501,"Hc Destruction Of Vaginal Lesion(S), Extensive",4609.0,4609.0,,,0 CDM,4905710001,Hc Biopsy Of Vaginal Mucosa; Simple,4377.0,4377.0,,,0 CDM,4905710601,"Hc Vaginectomy,Partial Removal Of Vaginal Wall",6307.0,6307.0,,,0 CDM,4905712001,Hc Colpocleisis (Le Fort Type),8159.0,8159.0,,,0 CDM,4905713501,Hc Excision Of Vaginal Cyst Or Tumor,5753.0,5753.0,,,0 CDM,4905715501,Hc Insert Uterine Tandem &/Or Vaginal Ovoids For Clinical Brachytherapy,5230.0,5230.0,,,0 CDM,4905721001,"Hc Colpoperineorrhapy, Suture, Injury Of Vagina And/Or Perineum, Non Obstetrical",6905.0,6905.0,,,0 CDM,4905723001,Hc Plastic Repair Of Urethrocele,6588.0,6588.0,,,0 CDM,4905724001,Hc Anterior Colporraphy Rpr Cystocele W/Cysto,9290.0,9290.0,,,0 CDM,4905725001,"Hc Posterior Colporrhaphy, Repair Of Rectocele W/Wo Perineorrhaphy",9290.0,9290.0,,,0 CDM,4905726001,Hc Cmbnd Anterpost Colporraphy W/Cysto,9290.0,9290.0,,,0 CDM,4905726501,Hc Cmbnd Anterpost Colporraphy W/Cysto W/Ntrcl Rpr,12866.0,12866.0,,,0 CDM,4905728201,"Hc Colpopexy,Vaginal;Extra-Peritoneal Approach",9290.0,9290.0,,,0 CDM,4905728701,Hc Removal Or Revision Of Sling For Stress Incontinence,6588.0,6588.0,,,0 CDM,4905728801,Hc Sling Operation For Stress Incontinence,11148.0,11148.0,,,0 CDM,4905729501,Hc Revision Incl Removal Of Prosthetic Vaginal Graft; Vaginal Approach,9762.0,9762.0,,,0 CDM,4905730001,Hc Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach,6588.0,6588.0,,,0 CDM,4905740001,Hc Dilation Of Vagina Under Anesthesia (Other Than Local),5507.0,5507.0,,,0 CDM,4905741001,Hc Pelvic Examination Under Anesthesia,5507.0,5507.0,,,0 CDM,4905741501,Hc Removal Of Impacted Vaginal Foreign Body (Sep Proc) Under Anesthesia,5753.0,5753.0,,,0 CDM,4905742001,"Hc Colposcopy Of The Entire Vagina,W/Cervix If Present",4862.0,4862.0,,,0 CDM,4905745201,"Hc Colposcopy,Cervix W/Adj Vagina",4894.0,4894.0,,,0 CDM,4905745401,Hc Colposcopy Cervix Inc Upper/Adjacent Vagina;W/Bx Cervix&Endocervical Curettage,4639.0,4639.0,,,0 CDM,4905745601,Hc Colposcopy Of The Cervix Incl Upper/Adjacent Vagina;W/Endocervical Curettage,4639.0,4639.0,,,0 CDM,4905746001,Hc Colposcopy Of Cervix Incl Upper/Adjacent Vagina W/ Loop Electrode Biopsy,5849.0,5849.0,,,0 CDM,4905746101,Hc Colposcpy Cervix Incl Upper/Adjacent Vagina;W/Loop Electrode Conization Cervix,5544.0,5544.0,,,0 CDM,4905750001,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration",4609.0,4609.0,,,0 CDM,4905752001,"Hc Conization, Cervix, Fulguration, Dilation And Curettage, Repair, Cold Knife/Laser",5507.0,5507.0,,,0 CDM,4905752201,"Hc Conization, Cervix, Fulguration, Dilation And Curettage, Repair, Loop Electrode Excision",5507.0,5507.0,,,0 CDM,4905780001,"Hc Dilation Of Cervical Canal, Instrumental (Separate Procedure)",4609.0,4609.0,,,0 CDM,4905810001,Hc Endometrial Samp (Biop) W/Wo Endocervical Sampling (Biop) W/O Cervical Dilation,4609.0,4609.0,,,0 CDM,4905812001,"Hc Dilation And Curettage, Diagnostic And/Or Therapeutic (Nonobstetrical)",5507.0,5507.0,,,0 CDM,4905826001,"Hc Vaginal Hysterectomy,For Uterus 250 Gm/Less",13654.0,13654.0,,,0 CDM,4905826201,Hc Vaginal Hysterectomy; W/Removal Of Tube(S) And/Or Ovary(S),13654.0,13654.0,,,0 CDM,4905829101,"Hc Vaginal Hysterect,For Uterus Greater Than 250 Grams;W/Rmvl Tube(S)&/Or Ovary(S)",9290.0,9290.0,,,0 CDM,4905830001,Hc Insert Intrauterine Device,8661.0,8661.0,,,0 CDM,4905830101,Hc Remove Intrauterine Device,4862.0,4862.0,,,0 CDM,4905834001,Hc Cath/Inject Contrast Sis Or Hysterosalpingogram,5989.0,5989.0,,,0 CDM,4905835001,"Hc Chromotubation Of Oviduct, Including Materials",6653.0,6653.0,,,0 CDM,4905855201,"Hc Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(",10547.0,10547.0,,,0 CDM,4905855501,"Hc Hysteroscopy,Dx,Sep Proc",8661.0,8661.0,,,0 CDM,4905855801,"Hc Hysteroscopy,W/Endo Bx",8661.0,8661.0,,,0 CDM,4905855901,"Hc Hysteroscopy,Lysis Adhesions",8661.0,8661.0,,,0 CDM,4905856001,"Hc Hysteroscopy,Resect Septum",8661.0,8661.0,,,0 CDM,4905856101,"Hc Hysteroscopy,Rmv Myoma",8661.0,8661.0,,,0 CDM,4905856201,"Hc Hysteroscopy,Surg;W/Removal Of Impacted Foreign Body",8661.0,8661.0,,,0 CDM,4905856301,"Hc Hysteroscopy,W/Endometrial Ablation",13791.0,13791.0,,,0 CDM,4905857001,"Hc Laparscp,Surg,W/Total Hysterctmy,For Uterus 250G Or Less;",13654.0,13654.0,,,0 CDM,4905857101,"Hc Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(S)",13654.0,13654.0,,,0 CDM,4905857201,"Hc Laparscp,Surg,W/Total Hysterctmy,For Uterus Grtr Thn 250G;",13654.0,13654.0,,,0 CDM,4905857301,"Hc Laparoscopy, Surgical, W/Total Hysterectomy, Uterus Greater Than 250 G; With Removal Of Tube(S) A",13654.0,13654.0,,,0 CDM,4905857901,"Asc Only Unlisted Hysteroscopy Procedure, Uterus",8661.0,8661.0,,,0 CDM,4905857902,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopy Products Of Conception Removal,8661.0,8661.0,,,0 CDM,4905857903,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopic Cervical Polypectomy,8661.0,8661.0,,,0 CDM,4905857904,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopic Removal Of Calcification,8661.0,8661.0,,,0 CDM,4905860001,"Hc Ligation Or Transection Of Fallopian Tube(S) Abdominal Or Vaginal Approach, Unilateral Or Bilater",8910.0,8910.0,,,0 CDM,4905866001,"Hc Laparoscopy, Surgical With Lysis Of Adhesions",8893.0,8893.0,,,0 CDM,4905866101,"Hc Laparoscopy,Surg;W/Remvl Adnexal Structures",9383.0,9383.0,,,0 CDM,4905866201,"Hc Laparoscopy, Surgical W/Fulguration/Excision, Lesions Of The Ovary, Pelvic Viscera/Peritoneal Sur",9383.0,9383.0,,,0 CDM,4905867001,"Hc Laparoscopy,Surg;W/Fulguration Of Oviducts",8661.0,8661.0,,,0 CDM,4905867101,"Hc Laparoscopy,Surg;W/Occulsion Of Oviducts By Device",8661.0,8661.0,,,0 CDM,4905870001,"Hc Salpingectomy, Complete Or Partial, Unilateral Or Bilateral (Sep Proc)",9791.0,9791.0,,,0 CDM,4905892501,"Hc Ovarian Cystectomy, Unilateral Or Bilateral",11148.0,11148.0,,,0 CDM,4905899901,"Asc Unlisted Procedure, Female Genital System (Nonobstetrical) - Kenalog Injection For Labia Majora/",9791.0,9791.0,,,0 CDM,4905899902,"Asc Unlisted Procedure, Female Genital System (Nonobstetrical) - Excision Vaginal Cuff Lesion",9791.0,9791.0,,,0 CDM,4905981201,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically",9383.0,9383.0,,,0 CDM,4905982001,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester",9383.0,9383.0,,,0 CDM,4905984001,"Hc Induced Abortion, By Dilation And Curettage",8893.0,8893.0,,,0 CDM,4906021001,"Hc Partial Excision Thyroid,Unilat",6905.0,6905.0,,,0 CDM,4906022001,"Hc Total Thyroid Lobectomy, Unilateral; W/Wo Isthmusectomy",5753.0,5753.0,,,0 CDM,4906024001,Hc Thyroidectomy,9791.0,9791.0,,,0 CDM,4906025201,"Hc Thyroidectomy,Malig,Ltd Neck Surg",15440.0,15440.0,,,0 CDM,4906028001,Hc Excision Of Thyroglossal Duct Cyst Or Sinus,7811.0,7811.0,,,0 CDM,4906050001,Hc Explore Parathyroid Glands,7906.0,7906.0,,,0 CDM,4906107001,Hc Puncture Brain Shunt Tube/Reservior Asp/Injection,4609.0,4609.0,,,0 CDM,4906160001,Hc Resect Base Ant Cran Fossa/Extradurl,10290.0,10290.0,,,0 CDM,4906160701,Hc Resect Parasellar Fossa/Extradurl,10290.0,10290.0,,,0 CDM,4906227301,"Hc Injection,Epidural,Of Blood Or Clot Patch",4862.0,4862.0,,,0 CDM,4906229001,Hc Injection Px Discography Each Level Lumbar,4377.0,4377.0,,,0 CDM,4906232101,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4862.0,4862.0,,,0 CDM,4906232201,"Hc Injection(S), Diagnostic/Therapeutic, Not Including Neurolytic Substances, Incl Needle/Catheter P",4609.0,4609.0,,,0 CDM,4906232301,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4862.0,4862.0,,,0 CDM,4906232401,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thoracic W/O Img Gdn,4862.0,4862.0,,,0 CDM,4906232501,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Imgn Gdn,4862.0,4862.0,,,0 CDM,4906232701,Hc Njx Dx/Ther Sbst Intrlmnr Lmbar/Sac W/Img Gdn,4862.0,4862.0,,,0 CDM,4906232801,"Hc Spinal Puncture, Lumbar, Diagnostic; With Fluoroscopic Or Ct Guidance",4609.0,4609.0,,,0 CDM,4906236701,Hc Elect Analys Implt Ithcl/Edrl Pump W/O Reprgrmg,5230.0,5230.0,,,0 CDM,4906236801,Hc Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg,5507.0,5507.0,,,0 CDM,4906365001,Hc Neuro Stimulator Plmt Epidural,16385.0,16385.0,,,0 CDM,4906365501,"Hc Laminectomy Implant Neurostimulator Electrode(S),Plate/Paddle,Epidural",13654.0,13654.0,,,0 CDM,4906366101,"Hc Rmvl Spnl Neurostim Electrd Percut Array(S),Inc Fluro,Whn Prfrmd",12866.0,12866.0,,,0 CDM,4906366301,"Hc Revision Including Replacement, Spinal Neurostimulator Electrode Percutaneous Array(S), Including",12866.0,12866.0,,,0 CDM,4906368501,"Hc Insrt/Rplc Spnl Neurostm Pulse Gen,Recvr,Direct/Induct Coupling",6905.0,6905.0,,,0 CDM,4906368801,Hc Revision/Rmvl Of Implated Spinal Neurostimulator Pulse Generator/Receiver,4815.0,4815.0,,,0 CDM,4906440001,"Hc Inject Nerve Block,Trigeminal",4862.0,4862.0,,,0 CDM,4906440501,"Hc Inject Nerve Block,Great Occipital",4862.0,4862.0,,,0 CDM,4906441501,"Hc Inj,Anes Agent,Brachial Plexus,Single",4862.0,4862.0,,,0 CDM,4906441701,"Hc Inject Nerv Blck,Axillary Nerv",4862.0,4862.0,,,0 CDM,4906441801,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Suprascapular Nerve",4609.0,4609.0,,,0 CDM,4906442001,"Hc Inject Nerv Blck,Intercostal,One",4862.0,4862.0,,,0 CDM,4906442101,"Hc Inject Nerv Blck,Intercost,Multpl",4862.0,4862.0,,,0 CDM,4906442501,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Ilioinguinal, Iliohypogastric Nerves",4609.0,4609.0,,,0 CDM,4906443001,"Hc Inject Nerv Blck,Pudendal",4862.0,4862.0,,,0 CDM,4906444501,"Hc Inj,Anes Agent,Sciatic Nerve,Single",4862.0,4862.0,,,0 CDM,4906444701,"Hc Inj,Anes Agent,Femoral Nerve,Single",4862.0,4862.0,,,0 CDM,4906445001,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch",4862.0,4862.0,,,0 CDM,4906445101,Hc Nerve Block Si Joint,4631.0,4631.0,,,0 CDM,4906445401,Hc Genicular Nerve Branch(Min 3),4631.0,4631.0,,,0 CDM,4906446101,"Hc Paravertebral Block (Pvb), Thoracic Single Inj Site Incl Imaging",4631.0,4631.0,,,0 CDM,4906446201,"Hc Paravertebral Block (Pvb), Thoracic Second And Addl Inj Site(S) Incl Imaging",4631.0,4631.0,,,0 CDM,4906447301,"Hc Lower Extremity Fascial Plane Block, Unilateral; By Injection(S), Including Imaging Guidance, Whe",4862.0,4862.0,,,0 CDM,4906447901,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level",4862.0,4862.0,,,0 CDM,4906448001,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,Ea Add Level",4862.0,4862.0,,,0 CDM,4906448301,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level",4862.0,4862.0,,,0 CDM,4906448401,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,Ea Add Level",4862.0,4862.0,,,0 CDM,4906448601,Hc Tap Block Unilateral By Injection(S),4862.0,4862.0,,,0 CDM,4906448801,Hc Tap Block Bilateral By Injection(S),4862.0,4862.0,,,0 CDM,4906448901,Hc Tap Block Bilateral By Continuous Infusion(S),4862.0,4862.0,,,0 CDM,4906449001,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1St Level",4862.0,4862.0,,,0 CDM,4906449101,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 2Nd Level",4862.0,4862.0,,,0 CDM,4906449201,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, Add Level",5778.0,5778.0,,,0 CDM,4906449301,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level",4862.0,4862.0,,,0 CDM,4906449401,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 2Nd Level",4862.0,4862.0,,,0 CDM,4906449501,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, Add Level",4862.0,4862.0,,,0 CDM,4906450501,"Hc Injection, Anesthetic Agent, Sphenopalatine Ganglion",4862.0,4862.0,,,0 CDM,4906451001,"Hc Inject Nerv Blck,Stellate Ganglion",4862.0,4862.0,,,0 CDM,4906451701,"Hc Inj,Anes;Superior Hypogastric Plexus",5810.0,5810.0,,,0 CDM,4906452001,"Hc Inject Nerv Blck,Paravert Sympath",4862.0,4862.0,,,0 CDM,4906453001,"Hc Inject Nerv Blck,Celiac Plexus",4862.0,4862.0,,,0 CDM,4906455501,Hc Percutaneous Implantation Of Neurostimulator Electrodes; Peripheral Nerve,10989.0,10989.0,,,0 CDM,4906456101,Hc Percutaneous Implantation Of Neurostimulator Electrode Array; Sacral Nerve Including Image Guidan,6588.0,6588.0,,,0 CDM,4906457001,"Hc Removl Of Crnial Nrv(Eg,Vagus Nrv)Neurostimltr Electrde Array & Pulse Generator",13654.0,13654.0,,,0 CDM,4906458001,Hc Incision For Implantation Of Neurostimulator Electrodes; Neuromuscular,4609.0,4609.0,,,0 CDM,4906458101,"Hc Incision,Implant,Neuroelec,Sacral Nerve",7906.0,7906.0,,,0 CDM,4906458501,Hc Revision Or Removal Of Peripheral Neurostimulator Electrodes;Array,4609.0,4609.0,,,0 CDM,4906459001,Hc Implant Periph/Gastric Neurostim/Receiver,5810.0,5810.0,,,0 CDM,4906459501,Hc Revsn/Rmvl Of Peripheral/Gastric Neurostimulator Pulse Generator Or Receiver,4609.0,4609.0,,,0 CDM,4906460001,Hc Destruct Neurolyt Agnt/Trigmnl Nerve; Supraorb/Infraorb/Mntl/Infer Alveo Brnch,4862.0,4862.0,,,0 CDM,4906461201,"Hc Chemodenervation Of Muscle(S); Muscle(S) Innervated By Facial Nerve, Unilateral",4377.0,4377.0,,,0 CDM,4906462001,Hc Intercostal Nerve Destruction,4862.0,4862.0,,,0 CDM,4906462401,Hc Genicular Nerve Destruction,8936.0,8936.0,,,0 CDM,4906462501,"Hc Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, W/ Image Guidance",4390.0,4390.0,,,0 CDM,4906462801,"Hc Thermal Destruction Of Intraosseous Basivertebral Nerve, Including All Imaging Guidance; First 2",6905.0,6905.0,,,0 CDM,4906462901,Hc Thermal Destruction Intraosseous Bvn Ea Add'l Lumbar/Sacral,6905.0,6905.0,,,0 CDM,4906463001,Hc Destruction By Neurolytic Agent; Pudendal Nerve,5507.0,5507.0,,,0 CDM,4906463201,Hc Nerve Destruction Plantar Common Digital Nerve,8600.0,8600.0,,,0 CDM,4906463301,"Hc Nerve Destruction Cerv/Thoracic, Single Facet Joint",10780.0,10780.0,,,0 CDM,4906463401,"Hc Nerve Destruction Cerv/Thoracic, Each Addl Facet Joint",5778.0,5778.0,,,0 CDM,4906463501,Hc Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral,11148.0,11148.0,,,0 CDM,4906463601,Hc Lum/Sacral Nerve Destruction By Neurolytic Agent Ea Add,11148.0,11148.0,,,0 CDM,4906464001,Hc Destruct By Neuro Agent; Other Periph Nerve,4862.0,4862.0,,,0 CDM,4906464201,Hc Chemodenervation One Extremity 1-4 Muscle,4862.0,4862.0,,,0 CDM,4906464301,Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,4862.0,4862.0,,,0 CDM,4906464601,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscle(S),4609.0,4609.0,,,0 CDM,4906465001,Hc Chemodenervation Of Eccrine Glands;Both Axillae,4862.0,4862.0,,,0 CDM,4906468001,Hc Destruction Rx Celiac Plexus Nerve,5810.0,5810.0,,,0 CDM,4906470201,Hc Revise/Repair Finger/Toe Nerve,4862.0,4862.0,,,0 CDM,4906470401,Hc Neuroplasty; Nerve Of Hand Or Foot,4862.0,4862.0,,,0 CDM,4906470801,"Hc Neuroplasty Other Arm/Leg Nerve,Open",5810.0,5810.0,,,0 CDM,4906471201,"Hc Neuroplasty Sciatic Nerve,Open",5810.0,5810.0,,,0 CDM,4906471301,"Hc Neuroplasty Brachial Plexus,Open",5810.0,5810.0,,,0 CDM,4906471601,Hc Neuroplasty And/Or Transposition; Cranial Nerve,6307.0,6307.0,,,0 CDM,4906471801,Hc Revise Ulnar Nerve At Elbow,5810.0,5810.0,,,0 CDM,4906471901,Hc Neuroplasty And/Or Transposition; Ulnar Nerve At Wrist,5810.0,5810.0,,,0 CDM,4906472101,Hc Revise Median N/Carpal Tunnel Surg,9074.0,9074.0,,,0 CDM,4906472201,Hc Decompression; Unspecified Nerve(S) (Specify),4862.0,4862.0,,,0 CDM,4906472601,Hc Decompression; Plantar Digital Nerve,4609.0,4609.0,,,0 CDM,4906473601,Hc Transection Or Avulsion Of; Mental Nerve,5507.0,5507.0,,,0 CDM,4906474201,"Hc Transection Or Avulsion Of; Facial Nerve, Differential Or Complete",5810.0,5810.0,,,0 CDM,4906477101,"Hc Transection Or Avulsion Of Other Cranial Nerve, Extradural",5507.0,5507.0,,,0 CDM,4906477201,"Hc Transection Or Avulsion Of Other Spinal Nerve, Extradural",5810.0,5810.0,,,0 CDM,4906477401,"Hc Excision Of Neuroma, Cutaneous Nerve, Surgically Identifiable",5810.0,5810.0,,,0 CDM,4906477601,"Hc Excision Of Neuroma; Digital Nerve, 1 Or Both, Same Digit",6653.0,6653.0,,,0 CDM,4906478201,Hc Excise Hand/Foot Neuroma,6653.0,6653.0,,,0 CDM,4906478301,"Hc Exc Neuroma;Hand/Foot,Ea Add'l Nerve,Except Same Digit",5810.0,5810.0,,,0 CDM,4906478401,Hc Excise Major Peripheral Neuroma,6653.0,6653.0,,,0 CDM,4906478601,Hc Excision Of Neuroma; Sciatic Nerve,6307.0,6307.0,,,0 CDM,4906478701,Hc Implantation Of Nerve End Into Bone Or Muscle,5810.0,5810.0,,,0 CDM,4906478801,Hc Excision Of Neurofibroma Or Neurolemmoma; Cutaneous Nerve,6307.0,6307.0,,,0 CDM,4906479001,Hc Excision Of Neurofibroma Or Neurolemmoma; Major Peripheral Neve,6307.0,6307.0,,,0 CDM,4906479201,Hc Excision Of Neurofibroma Or Neurolemmoma; Extensive (Includ Malignant Type),6588.0,6588.0,,,0 CDM,4906482001,"Hc Sympathectomy, Digital Arteries, Each Digit",6307.0,6307.0,,,0 CDM,4906482101,"Hc Sympathectomy, Radial Artery",8159.0,8159.0,,,0 CDM,4906482201,Hc Sympathectomy; Ulnar Artery,6307.0,6307.0,,,0 CDM,4906483101,Hc Repair Of Digit Nerve,8241.0,8241.0,,,0 CDM,4906483201,"Hc Suture Digital Nerve,Hand/Foot;Ea Add'l Digital Nerve",4609.0,4609.0,,,0 CDM,4906483401,"Hc Suture Of 1 Nerve; Hand Or Foot, Common Sensory Nerve",5507.0,5507.0,,,0 CDM,4906485601,"Hc Suture Of Major Peripheral Nerve, Arm Or Leg, Except Sciatic; Includ Transpos",6905.0,6905.0,,,0 CDM,4906485701,Hc Repair Major Peripheral Nerve,6905.0,6905.0,,,0 CDM,4906485901,Hc Repair Addnl Maj Periph Nerve,5778.0,5778.0,,,0 CDM,4906486401,Hc Suture Of Facial Nerve; Extracranial,6588.0,6588.0,,,0 CDM,4906487401,Hc Suture Of Nerve; Req Extensive Mobilization Or Transposition Of Nerve,6307.0,6307.0,,,0 CDM,4906489001,"Hc Nerve Graft Incl Obtaining Graft, Single Strand, Hand Or Foot, Up To 4 Cm",5810.0,5810.0,,,0 CDM,4906489201,"Hc Nerve Graft (Includ Obtng Graft) Sngl Strand, Arm/Leg; Up To 4 Cm Length",5507.0,5507.0,,,0 CDM,4906489501,"Hc Nerve Graft (Includes Obtaining Graft), Multiple Strands (Cable), Hand Or Foot, Up To 4 Cm Length",6307.0,6307.0,,,0 CDM,4906490501,"Hc Nerve Pedicle Xfer,First Stage",5810.0,5810.0,,,0 CDM,4906490701,Hc Nerve Pedicle Transfer; Second Stage,4862.0,4862.0,,,0 CDM,4906491001,Hc Nerve Repair W/Allograft Or Synth,11148.0,11148.0,,,0 CDM,4906491101,"Hc Nerve Rpr;W/Autogenous Vein Graft,Ea Nerve",11148.0,11148.0,,,0 CDM,4906491201,Hc Nerve Repair W/Nerve Allograft First Strand,11148.0,11148.0,,,0 CDM,4906491301,Hc Nerve Repair W/Nerve Allograft Ea Addl Strand,9290.0,9290.0,,,0 CDM,4906499901,Asc Only Unlisted Procedure - Nervous System - Greater Occipital Nerve Pulsed Radiofrequency,10290.0,10290.0,,,0 CDM,4906499902,Asc Only Unlisted Procedure - Nervous System - Facet Cyst Aspiration,10290.0,10290.0,,,0 CDM,4906499903,Asc Only Unlisted Procedure - Nervous System - Suprascapular Nerve Pulsed Rfa,10290.0,10290.0,,,0 CDM,4906499904,Asc Only Unlisted Procedure - Nervous System - Erector Spinae Block With Ultrasound,10290.0,10290.0,,,0 CDM,4906499905,Asc Only Unlisted Procedure - Nervous System - Painful Hardware Injection,10290.0,10290.0,,,0 CDM,4906499906,Asc Only Unlisted Procedure - Nervous System - Ganglion Impar Block,10290.0,10290.0,,,0 CDM,4906499907,Asc Only Unlisted Procedure - Nervous System - Supraorbital Pulsed Rfa W/Us Guidance,10290.0,10290.0,,,0 CDM,4906499908,Asc Only Unlisted Procedure - Nervous System - Open Coronal Approach Anterior Cranial Base Resection,9355.0,9355.0,,,0 CDM,4906499909,"Asc Only Unlisted Procedure - Nervous System - Superficial Peroneal, Saphenous, Sural Nerve Pulsed R",9355.0,9355.0,,,0 CDM,4906499910,"Asc Only Unlisted Procedure - Nervous System - Superior Cluneal Nerve Block, Pulsed Rfa W/Fluoroscop",9355.0,9355.0,,,0 CDM,4906509301,Hc Evisceratiuon Of Ocular Contents With Implant,5364.0,5364.0,,,0 CDM,4906510101,Hc Enucleation Of Eye; W/O Implant,5364.0,5364.0,,,0 CDM,4906510301,"Hc Enucleation Of Eye With Implant, Muscles Not Attached To Implant",5364.0,5364.0,,,0 CDM,4906510501,"Hc Enucleation Of Eye; W/Implant, Muscles Attached To Implant",6644.0,6644.0,,,0 CDM,4906511001,Hc Exenteration Of Oorbit (Don't Includ Skin Graft) Rmvl Of Obital Contents; Only,7564.0,7564.0,,,0 CDM,4906511401,"Hc Exenteration Of Orbit, Removal Of Orbital Contents, W/Muscle Or Myocutaneous Flap",10476.0,10476.0,,,0 CDM,4906514001,"Hc Insertion Of Ocular Implant Secondary, After Enucleation, Muscles Attached To Implant",5364.0,5364.0,,,0 CDM,4906515001,Hc Reinsertion Of Ocular Implant; W/Wo Conjunctival Graft,4684.0,4684.0,,,0 CDM,4906515501,Hc Reinsert Ocular Implant; W/Use Frgn Mtrl Reinforce/Attach Muscles To Implant,5364.0,5364.0,,,0 CDM,4906517501,Hc Removal Of Ocular Implant,3920.0,3920.0,,,0 CDM,4906520501,"Hc Removal Of Foreign Body, External Eye; Conjunctival Superficial",3920.0,3920.0,,,0 CDM,4906522201,"Hc Removal Of Foreign Body, External Eye; Corneal, W/Slit Lamp",4684.0,4684.0,,,0 CDM,4906523501,"Hc Removal Of Foreign Body, Intraocular; From Anterior Chamber Of Eye Or Lens",4684.0,4684.0,,,0 CDM,4906526001,"Hc Rmvl Frgn Bdy/Intraocular; Post Seg/Magnetic Extract, Anterior/Post Route",5364.0,5364.0,,,0 CDM,4906526501,"Hc Rmvl Frgn Bdy/Intraocular; Frm Posterior Segment, Nonmagnetic Extraction",6644.0,6644.0,,,0 CDM,4906528001,"Hc Repair Of Lacreation; Cornea/Sclera, Perforating Not Involving Uveal Tissue",6644.0,6644.0,,,0 CDM,4906528501,Hc Repair Laceration; Cornea/Sclera Perforat W/Reposition/Resect Uveal Tissue,6644.0,6644.0,,,0 CDM,4906528601,Hc Repair Of Laceration; Application Of Tissue Glue/Wounds Of Cornea/Sclera,3920.0,3920.0,,,0 CDM,4906529001,"Hc Repair Of Wound, Extraocular Muscle, Tendon And/Or Tenon's Capsule",5364.0,5364.0,,,0 CDM,4906540001,Hc Excis Cornea Lesn,3920.0,3920.0,,,0 CDM,4906541001,Hc Biopsy Of Cornea,4684.0,4684.0,,,0 CDM,4906542001,Hc Excis Pterygium,4684.0,4684.0,,,0 CDM,4906542601,"Hc Excis Pterygium,W Graft",7564.0,7564.0,,,0 CDM,4906543001,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture",6982.0,6982.0,,,0 CDM,4906543501,Hc Curette/Treat Cornea,3920.0,3920.0,,,0 CDM,4906543601,"Hc Curette/Treat Cornea,Apply Chelate",5364.0,5364.0,,,0 CDM,4906571001,Hc Keratoplasty (Corneal Transplant); Lamellar,10476.0,10476.0,,,0 CDM,4906573001,"Hc Corneal Transplant,Penetrating",10476.0,10476.0,,,0 CDM,4906575001,"Hc Corneal Transplant,Penetrat,Aphakia",10476.0,10476.0,,,0 CDM,4906575501,"Hc Corneal Transplant,Pen,Pseudoaphak",10476.0,10476.0,,,0 CDM,4906575601,Hc Keratoplasty (Corneal Transplant);Endothelial,11118.0,11118.0,,,0 CDM,4906575701,Hc Backbench Preparation Of Corneal Tissue,3920.0,3920.0,,,0 CDM,4906577001,Hc Keratoprosthesis,10476.0,10476.0,,,0 CDM,4906577101,Hc Radial Keratotomy,5364.0,5364.0,,,0 CDM,4906577501,Hc Corneal Wedge Resection For Correction Of Surgically Induced Astigmatism,6644.0,6644.0,,,0 CDM,4906577801,Hc Place Amniotic Membra Ocular Surface W/O Sutures,4684.0,4684.0,,,0 CDM,4906577901,Hc Place Amniotic Membrane Ocular Surface Sutured,4684.0,4684.0,,,0 CDM,4906578001,"Hc Ocular Surface Recon;Amniotic Membrane Transplantation,Mulit Layers",7564.0,7564.0,,,0 CDM,4906578101,Hc Ocular Surface Reconstruction; Limbal Stem Cell Allograft,7564.0,7564.0,,,0 CDM,4906578201,Hc Ocular Surface Reconstruction;Limbal Conjunctival Autograft,7564.0,7564.0,,,0 CDM,4906580001,Hc Paracentesis Of Anterior Chamber Of Eye; W/Diagnostic Aspiration Of Aqueous,3920.0,3920.0,,,0 CDM,4906581001,Hc Paracent Ant; W/Rmvl Vitreus/Disciss Ant Hyaloid Membrane W/Wo Air Injection,5364.0,5364.0,,,0 CDM,4906581501,"Hc Paracentesis Of Anterior Chamber Of Eye, W/Rmvl Blood W/Wo Irrigation, &/Or Air Injection",4684.0,4684.0,,,0 CDM,4906582001,Hc Goniotomy,3920.0,3920.0,,,0 CDM,4906586501,"Hc Severing Adhesions Ant Segment Of Eye, Incis Technique; Goniosynechiae",3920.0,3920.0,,,0 CDM,4906587001,"Hc Severing Adhesions Ant Seg Of Eye; Anterior Synechiae, Except Goniosynechiae",6644.0,6644.0,,,0 CDM,4906587501,Hc Severing Adhesions Ant Seg Of Eye; Posterior Synechiae,6644.0,6644.0,,,0 CDM,4906590001,"Hc Removal Of Epithelial Downgrowth, Anterior Chamber Eye",7564.0,7564.0,,,0 CDM,4906592001,"Hc Removal Of Implanted Material, Anterior Segment Eye",10476.0,10476.0,,,0 CDM,4906593001,"Hc Removal,Blood Clot,Ant Segment,Eye",7564.0,7564.0,,,0 CDM,4906602001,"Hc Injection,Ant Chamber,Eye,Air/Liquid",3920.0,3920.0,,,0 CDM,4906603001,"Hc Injection, Anterior Chamber Of Eye, Medication",3920.0,3920.0,,,0 CDM,4906613001,"Hc Excision Of Lesion, Sclera",10171.0,10171.0,,,0 CDM,4906616001,"Hc Fistulization Sclera For Glucoma; Sclerectomy W/Punchscissors, W/Iridectomy",4684.0,4684.0,,,0 CDM,4906617001,Hc Fistuliz Of Sclera For Glaucoma; Trabeculectomy Ab Externo Absence Prev Surgery,6644.0,6644.0,,,0 CDM,4906617201,Hc Fist Sclera For Glaucoma; Trabeculectomy Ab Externo W/Scarr Prev Ocular Surg,6644.0,6644.0,,,0 CDM,4906617401,Hc Transluminal Dilation Of Aqueous Outflow Canal W/O Retention Of Device Or Stent,7564.0,7564.0,,,0 CDM,4906617501,Hc Transluminal Dilation Of Aqueous Outflow Canal; With Retention Of Device Or Stent,7564.0,7564.0,,,0 CDM,4906618001,"Hc Aqueous Shunt To Extraocular Reservoir (Eg, Molteno, Schocket, Denver-Krupin)",7564.0,7564.0,,,0 CDM,4906618301,"Hc Ins Of Ant Segment Aqueous Drainage Device, W/O Extraocular Res",11118.0,11118.0,,,0 CDM,4906618401,Hc Revj Shunt Extraocular Reservoir W/O Graft,4684.0,4684.0,,,0 CDM,4906618501,Hc Revision Of Aqueous Shunt To Extraocular Reservoir,4684.0,4684.0,,,0 CDM,4906622501,"Hc Repair Of Scleral Staphyloma, With Graft",6644.0,6644.0,,,0 CDM,4906625001,Hc Revis/Repair Op Wound Anter Sgmt,4684.0,4684.0,,,0 CDM,4906660001,Hc Iridectomy W/Corneoscleral Or Corneal Section; For Removal Of Lesion,5364.0,5364.0,,,0 CDM,4906662501,Hc Iridectomy W/Corneoscleral/Corneal Section; Peripheral For Glaucoma (Sep Proc),5364.0,5364.0,,,0 CDM,4906663001,"Hc Iridectomy, With Corneoscleral Or Corneal Section; Sector For Glaucoma",5364.0,5364.0,,,0 CDM,4906668001,"Hc Repair Of Iris, Ciliary Body (As For Iridodialysis)",5364.0,5364.0,,,0 CDM,4906668201,"Hc Suture Of Iris, Ciliary Body With Retrieval Of Suture Through Small Incision",4684.0,4684.0,,,0 CDM,4906668301,"Hc Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal Of Iris, When Pe",12176.0,12176.0,,,0 CDM,4906671001,"Hc Destruc,Ciliary Body,Cyclophotocoag",4684.0,4684.0,,,0 CDM,4906676101,Hc Iridotomy/Iridectomy By Laser Surgery (Per Session),3920.0,3920.0,,,0 CDM,4906676201,"Hc Iridoplasty By Photocoagulation, 1 Or More Sessions",1271.0,1271.0,,,0 CDM,4906677001,Hc Resec Cyst/Lesn Iris/Ciliary Body,3920.0,3920.0,,,0 CDM,4906682001,Hc Discission Secondary Membran Cat; Stab Incision On Tech (Ziegler/Wheeler Knife),3920.0,3920.0,,,0 CDM,4906682501,"Hc Repositioning Of Intraocular Lens Prosthesis, Requiring An Incision (Sep Proc)",6644.0,6644.0,,,0 CDM,4906683001,Hc Rmvl Secondary Membran Cat W/Corneo-Scleral Section W/Wo Iridectomy,6644.0,6644.0,,,0 CDM,4906684001,"Hc Removal Of Lens Material; Aspiration Technique, One Or More Stages",6644.0,6644.0,,,0 CDM,4906685001,"Hc Rmvl Lens Material; Phacofragmentation Technique, With Aspiration",10476.0,10476.0,,,0 CDM,4906685201,"Hc Rmvl Of Lens Material; Pars Plana Approach, W/Wo Vitrectomy",6644.0,6644.0,,,0 CDM,4906692001,Hc Removal Of Lens Material; Intracapsular,6644.0,6644.0,,,0 CDM,4906694001,Hc Removal Of Lens Material; Extracapsular,7564.0,7564.0,,,0 CDM,4906698201,"Hc Extracap Catarct Rmvl W/Insrt Intraoc Lens Prosth,Compx,Perfrm On Pts Amblyognc",10558.0,10558.0,,,0 CDM,4906698301,Hc Intracapsular Cataract Extraction W/Insertion Of Intraocular Lens Prosthesis,10558.0,10558.0,,,0 CDM,4906698401,Hc Extracapsular Cat Rmvl W/Insert Intraocular Lens Prosth Manual/Mech Technique,10558.0,10558.0,,,0 CDM,4906698501,Hc Insertion Of Intraocular Lens Prosthesis Not Assoc W/Concurrent Cataract Rmvl,8860.0,8860.0,,,0 CDM,4906698601,Hc Exchange Of Intraocular Lens,8860.0,8860.0,,,0 CDM,4906698901,"Hc Extracapsular Cataract Removal W/Insertion Of Intraocular Lens Prosthesis, Complex",13057.0,13057.0,,,0 CDM,4906699101,Hc Extracapsular Cataract Removal W/Insertion Of Intraocular Lens Prosthesis,13057.0,13057.0,,,0 CDM,4906699901,"Asc Only Unlisted Procedure, Anterior Segment Of Eye",4684.0,4684.0,,,0 CDM,4906699902,"Asc Only Unlisted Procedure, Anterior Segment Of Eye ? Gonioscopy Assisted Transluminal Trabeculotom",4684.0,4684.0,,,0 CDM,4906700501,Hc Rmvl Of Vitreous Anterior Approach; Partial Removal,6644.0,6644.0,,,0 CDM,4906701001,Hc Removal Of Vitreous Anterior Approach; Subtotal Rmvl W/Mechanical Vitrectomy,6644.0,6644.0,,,0 CDM,4906701501,"Hc Aspiration Or Release Of Vitreous, Subretinal Or Choroidal Fluid, Pars Plana Approach",3920.0,3920.0,,,0 CDM,4906702501,"Hc Inj Vitreous Substitute Pars Plana/Limbal Approach, W/Wo Aspiration (Sep Proc)",3920.0,3920.0,,,0 CDM,4906702701,"Hc Implant Intravtrl Drg Dlvry Sys,Incl Concomitant Rmvl Of Vitreous",6644.0,6644.0,,,0 CDM,4906702801,Hc Inject Intravitreal Pharmcologic,3920.0,3920.0,,,0 CDM,4906703601,"Hc Vitrectomy, Mechanical, Pars Plana Approach;",6644.0,6644.0,,,0 CDM,4906703901,Hc Vitrectomy/Mechanical/Pars Plana Approach; W/Focal Endolaser Photocoagulation,10476.0,10476.0,,,0 CDM,4906704001,Hc Vitrectomy/Mech/Pars Plana Approach; W/Endolaser Panretinal Phocoagulastion,10476.0,10476.0,,,0 CDM,4906704101,"Hc Vitrectomy,Mechncl,Pars Plana Appr;W/Rmvl Preretinal Cellulr Membrn",11118.0,11118.0,,,0 CDM,4906704201,"Hc Vitrectomy,Mechncl,Pars Plana Appr;W/Rmvl Intrnl Limtng Membrn Retina,Intraoclr",11118.0,11118.0,,,0 CDM,4906710701,Hc Repair Retinal Detachment Scleral Buckling,7564.0,7564.0,,,0 CDM,4906710801,Hc Rpr Retinal Dtchmnt W/Vitrectomy Any Meth,10476.0,10476.0,,,0 CDM,4906711001,"Hc Repair Detacd Retina,Inject Air/Gas",5364.0,5364.0,,,0 CDM,4906711301,"Hc Rpr Complx Retnl Detch,W/Vitrctm&Membrn Pelng,May Inc Tampnd,Crythrp,Rmvl Lens",11118.0,11118.0,,,0 CDM,4906711501,Hc Release Of Encircling Material,4548.0,4548.0,,,0 CDM,4906712001,"Hc Remv Post Eye Implnt Mater,Extraocul",4684.0,4684.0,,,0 CDM,4906712101,"Hc Removal Of Implanted Material, Posterior Segment; Intraocular",4684.0,4684.0,,,0 CDM,4906714501,"Hc Prophylaxis Retina Detach,Photocoag",3920.0,3920.0,,,0 CDM,4906720801,"Hc Destruct Localized Les Retina,1/More Sess;Cryotherapy,Diathermy",3920.0,3920.0,,,0 CDM,4906721001,"Hc Destruction Of Localized Lesion Of Retina, 1 Or More Sessions; Photocoagulation",3920.0,3920.0,,,0 CDM,4906721801,Hc Destruct Localized Lesion Of Retina 1/More Sess; Radiation By Implant Of Source,7564.0,7564.0,,,0 CDM,4906722801,Hc Treatment Extensive Retinopathy Photocoagulation,3920.0,3920.0,,,0 CDM,4906725501,Hc Scleral Reinforcement (Sep Procedure) W/Graft,5364.0,5364.0,,,0 CDM,4906731101,Hc Strabismus Surg/Recession/Resection Procedure;One Horizontal Muscle,5364.0,5364.0,,,0 CDM,4906731201,"Hc Strabismus Surg, Recession/Resection Procedure; Two Horizontal Muscles",6644.0,6644.0,,,0 CDM,4906731401,"Hc Strabismus Surg, Recess/Resect Proced; One Vertical Muscle (Excl Sup Oblique)",6644.0,6644.0,,,0 CDM,4906731601,Hc Strabismus Surg/Recess/Resect Proced; Two/More Vertical Muscles,6644.0,6644.0,,,0 CDM,4906731801,"Hc Strabismus Surgery, Any Procedure, Superior Oblique Muscle",6644.0,6644.0,,,0 CDM,4906732001,"Hc Transposition Procedure, Any Extraocular Muscle",6644.0,6644.0,,,0 CDM,4906733101,Hc Strabismus Surgery On Patient With Previous Eye Surgery Or Injury That Did Not Involve The Extrao,6644.0,6644.0,,,0 CDM,4906733201,Hc Strabismus Surg On Pt W/Scarring Extraocular Muscle/Restrictive Myopathy,6644.0,6644.0,,,0 CDM,4906733401,"Hc Strabismus Surg By Posterior Fx Suture Tech,Wwo Muscle Recession",6644.0,6644.0,,,0 CDM,4906733501,"Hc Placement Of Adjustable Suture(S), Strabismus Surgery, Incl Postoperative Adj Of Sutures",6644.0,6644.0,,,0 CDM,4906734001,Hc Strabismus Surgery Involving Exploration And/Or Repair Of Detached Extraocular Muscle(S),6450.0,6450.0,,,0 CDM,4906734301,Hc Release Of Extensive Scar Tissue W/O Detaching Extraocular Muscle,10476.0,10476.0,,,0 CDM,4906734501,Hc Chemodenervation Of Extraocular Muscle,3920.0,3920.0,,,0 CDM,4906734601,Hc Biopsy Of Extraocular Muscle,3920.0,3920.0,,,0 CDM,4906740001,"Hc Orbitotomy W/O Bone Flap, Frontal/Transconjunctival Approach, Exploration, W/W/O Biopsy",5364.0,5364.0,,,0 CDM,4906740501,Hc Orbitotomy W/O Bone Flap; W/Drainage Only,6644.0,6644.0,,,0 CDM,4906741201,Hc Orbitotomy W/O Bone Flap; W/Removal Of Lesion,7564.0,7564.0,,,0 CDM,4906741301,"Hc Explore Eye Socket,Remv F.B.",7564.0,7564.0,,,0 CDM,4906741401,Hc Orbitotomy W/O Bone Flap; W/Removal Of Bone For Decompression,6644.0,6644.0,,,0 CDM,4906741501,Hc Fine Needle Aspiration Of Orbital Contents,3920.0,3920.0,,,0 CDM,4906742001,"Hc Orbitotomy W/Bone Flap Or Window, Lateral Approach; W/Rmvl Of Lesion",7564.0,7564.0,,,0 CDM,4906743001,"Hc Orbitotomy W/Bone Flap Or Window, Lateral Approach; W/Removal Of Foreign Body",7564.0,7564.0,,,0 CDM,4906744001,"Hc Orbitotomy With Bone Flap Or Window, Lateral Approach; With Drainage",7564.0,7564.0,,,0 CDM,4906744501,"Hc Orbitotomy W/Bone Flap/Window, Lateral Approach; W/Rmvl Of Bone For Decompress",7564.0,7564.0,,,0 CDM,4906750001,Hc Retrobulbar Injection; Medication (Sep Proc Don't Include Supply Of Medication),3920.0,3920.0,,,0 CDM,4906751501,Hc Inj Of Medication/Other Substance Into Tenon's Capsule,3920.0,3920.0,,,0 CDM,4906755001,Hc Orbital Implant (Implant Outside Muscle Cone); Insertion,6644.0,6644.0,,,0 CDM,4906756001,Hc Orbital Implant (Implant Outside Muscle Cone) Removal Or Revision,4684.0,4684.0,,,0 CDM,4906757001,Hc Optic Nerve Decompression,6644.0,6644.0,,,0 CDM,4906759901,Asc Only Unlisted Procedure - Endoscopic Orbitotomy Tumor Removal,5364.0,5364.0,,,0 CDM,4906759902,Asc Only Unlisted Procedure - Orbitotomy Tumor Removal,5364.0,5364.0,,,0 CDM,4906770001,"Hc Blepharotomy, Drainage Of Abscess, Eyelid",4609.0,4609.0,,,0 CDM,4906771001,Hc Severing Of Tarsorrhaphy,4862.0,4862.0,,,0 CDM,4906771501,Hc Incision Of Eyelid Fold,3920.0,3920.0,,,0 CDM,4906780001,"Hc Excis Chalazion,Single",3920.0,3920.0,,,0 CDM,4906780101,"Hc Excision Of Chalazion; Multiple, Same Lid",3920.0,3920.0,,,0 CDM,4906780801,"Hc Excision Of Chalazion; Under Gen Anesth/Or Req Hospitalization, Sngle/Multple",4684.0,4684.0,,,0 CDM,4906781001,Hc Incisional Biopsy Eyelid Skin & Lid Margin,4862.0,4862.0,,,0 CDM,4906782001,"Hc Revise Eyelashes,Forceps",8661.0,8661.0,,,0 CDM,4906782501,Hc Revise Eyelashes,4862.0,4862.0,,,0 CDM,4906783001,Hc Correction Of Trichiasis; Incision Of Lid Margin,4684.0,4684.0,,,0 CDM,4906783501,"Hc Correction Of Trichiasis; Incision Of Lid Margin, W/Free Mucous Membrane Graft",4684.0,4684.0,,,0 CDM,4906784001,Hc Remove Eyelid Lesn (Not Chalazion),4862.0,4862.0,,,0 CDM,4906785001,Hc Destruction Of Lesion Of Lid Margin (Up To 1 Cm),4609.0,4609.0,,,0 CDM,4906787501,Hc Temp Closure Eyelid By Suture,4862.0,4862.0,,,0 CDM,4906788001,Hc Revision Of Eyelid,5364.0,5364.0,,,0 CDM,4906788201,"Hc Construction Of Intermarginal Adhesions, Median Tarsorrhaphy/Canthorrhaphy W/Transposition Of Tar",5364.0,5364.0,,,0 CDM,4906790001,Hc Repair Brow Ptosis,6644.0,6644.0,,,0 CDM,4906790101,"Hc Fix Lid Ptosis,Frontalis Musc,Sut",7564.0,7564.0,,,0 CDM,4906790301,"Hc Fix Lid Ptosis,Levatr Resec,Intern",6644.0,6644.0,,,0 CDM,4906790401,"Hc Fix Lid Ptosis,Levatr Resec,Extern",6644.0,6644.0,,,0 CDM,4906790801,"Hc Repair Of Blepharoptosis, Conjunctivo-Tarso-Muller's Muscle-Levator Resection",6644.0,6644.0,,,0 CDM,4906790901,Hc Reduction Of Overcorrection Of Ptosis,6644.0,6644.0,,,0 CDM,4906791101,Hc Correction Of Lid Retraction,5364.0,5364.0,,,0 CDM,4906791201,"Hc Correction Lagophthalmos,W/Implantation Upper Eyelid Lid Load",5364.0,5364.0,,,0 CDM,4906791401,"Hc Fix Ectropion,Suture",5364.0,5364.0,,,0 CDM,4906791601,"Hc Fix Ectropion,Excis Tarsal Wedge",6644.0,6644.0,,,0 CDM,4906791701,"Hc Repair Of Ectropion;Extensive (Eg, Tarsal Strip Operations)",6644.0,6644.0,,,0 CDM,4906792101,"Hc Fix Entropion,Suture",5364.0,5364.0,,,0 CDM,4906792401,"Hc Fix Entropion,Extensv Lid Repair",7315.0,7315.0,,,0 CDM,4906793501,"Hc Suture Of Recent Wound, Eyelid, Involving Lid Margin, Tarsus, And/Or Palpebral Conjunctiva Direct",4548.0,4548.0,,,0 CDM,4906793801,"Hc Removal Of Embedded Foreign Body, Eyelid",6982.0,6982.0,,,0 CDM,4906795001,Hc Canthoplasty,4684.0,4684.0,,,0 CDM,4906796101,"Hc Revision Of Eyelid,< 1/4 Lid Margin",5364.0,5364.0,,,0 CDM,4906796601,"Hc Revision Of Eyelid,> 1/4 Lid Margin",5364.0,5364.0,,,0 CDM,4906797101,"Hc Reconstruc Eyelid,<2/3,One Stage",5364.0,5364.0,,,0 CDM,4906797301,"Hc Reconstruction Of Eyelid, Full Thickness By Transfer Of Tarsoconjunctival Flap From Opposing Eyel",5364.0,5364.0,,,0 CDM,4906797401,Hc Reconst Eyelid Transfer Tarsoconjunc Flap Oppos Eyelid; Totl Eyelid/Upr 1 Stg,5364.0,5364.0,,,0 CDM,4906797501,"Hc Reconstruc Eyelid,Second Stage",5364.0,5364.0,,,0 CDM,4906799901,"Asc Only Unlisted Procedure, Eyelids",10476.0,10476.0,,,0 CDM,4906799902,Asc Only Unlisted Procedure - Eyelids - Remove Gold Weight,10171.0,10171.0,,,0 CDM,4906802001,"Hc Incision Of Conjunctiva, Drainage Of Cyst",3920.0,3920.0,,,0 CDM,4906810001,Hc Biopsy Of Conjunctiva,5364.0,5364.0,,,0 CDM,4906811001,"Hc Excis Conjunc Lesn,=<1 Cm",3920.0,3920.0,,,0 CDM,4906811501,"Hc Excis Conjunc Lesn,>1 Cm",4684.0,4684.0,,,0 CDM,4906813001,"Hc Excision Of Lesion, Conjunctiva With Adjacent Sclera",4684.0,4684.0,,,0 CDM,4906813501,Hc Destruc Conjunc Lesn,3920.0,3920.0,,,0 CDM,4906832001,Hc Conjunctivoplasty; W/Conjunctival Graft/Extensive Rearrangement,6644.0,6644.0,,,0 CDM,4906832601,"Hc Revise Conjunc,Fix Cul-De-Sac+Grft",6644.0,6644.0,,,0 CDM,4906833001,"Hc Reair Of Symblepharon; Conjunctivoplasty, W/O Graft",6644.0,6644.0,,,0 CDM,4906833501,Hc Repair Of Symblepharon; W/Free Graft Conjunctiva/Buccal Mucous Membrane,6644.0,6644.0,,,0 CDM,4906834001,"Hc Repair Of Symblepharon; Division Of Symblepharon, W/W/O Insertion Of Conformer/Contact Lens",6644.0,6644.0,,,0 CDM,4906836001,Hc Conjunctival Flap; Bridge Or Partial,4548.0,4548.0,,,0 CDM,4906836201,Hc Conjunctival Flap; Total,4548.0,4548.0,,,0 CDM,4906842001,"Hc Incision, Drainage Of Lacrimal Sac, Dacryocystotomy/Dacryocystostomy",7564.0,7564.0,,,0 CDM,4906844001,Hc Incise Tear Duct Opening,3920.0,3920.0,,,0 CDM,4906851001,Hc Biopsy Of Lacrimal Gland,3920.0,3920.0,,,0 CDM,4906852001,Hc Excision Of Lacrimal Sac (Dacryocystectomy),5364.0,5364.0,,,0 CDM,4906853001,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages",6982.0,6982.0,,,0 CDM,4906870001,Hc Repair Tear Ducts,4684.0,4684.0,,,0 CDM,4906872001,Hc Create Tear Sac-Nasal Fistula,6644.0,6644.0,,,0 CDM,4906875001,Hc Conjunctivorhinostomy (Fistuliz Conjunct To Nasal Cavity); W/Insert Tube/Stent),6644.0,6644.0,,,0 CDM,4906881001,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation;",3920.0,3920.0,,,0 CDM,4906881101,"Hc Probing Nasolacrimal Duct,W/W/O Irrigation;Require Gen Anesthesia",4684.0,4684.0,,,0 CDM,4906881501,"Hc Probe Nasolac Duct,Insert Tube/Stent",4684.0,4684.0,,,0 CDM,4906881601,"Hc Probing Nasolacrml Duct,Wwo Irrigatn;W/Translumnl Balloon Cath Dilation",7564.0,7564.0,,,0 CDM,4906884001,Hc Explore Lacrimal Canaliculi,6982.0,6982.0,,,0 CDM,4906911001,"Hc Excision External Ear; Partial, Simple Repair",4609.0,4609.0,,,0 CDM,4906914501,"Hc Excision Soft Tissue Lesion, External Auditory Canal",5507.0,5507.0,,,0 CDM,4906920001,Hc Removal Foreign Body From External Auditory Canal; W/O General Anesthesia,4609.0,4609.0,,,0 CDM,4906920501,Hc Removal Foreign Body From External Auditory Canal; W/General Anesthesia,4609.0,4609.0,,,0 CDM,4906921001,Hc Removal Impacted Cerumen (Separate Procedure) One Or Both Ears,4609.0,4609.0,,,0 CDM,4906942101,"Hc Incision Eardrum,Aspir,Gen Anesth",6653.0,6653.0,,,0 CDM,4906942401,Hc Ventilating Tube Removal Requiring General Anesthesia,8568.0,8568.0,,,0 CDM,4906943601,"Hc Create Eardrum Opening,Gen Anesth",6653.0,6653.0,,,0 CDM,4906962001,Hc Myringoplasty,8568.0,8568.0,,,0 CDM,4906963101,"Hc Tympanoplasty W/O Mastoidectomy Incl Canalplasty, Atticotomy And/Or Middle Ear Surgery, Initial O",9290.0,9290.0,,,0 CDM,4906963201,"Hc Tympanoplasty Without Mastoidectomy, Initial Or Revision; With Ossicular Chain Reconstruction",9801.0,9801.0,,,0 CDM,4906970601,"Hc Nasopharyngoscopy, Surgical, With Dilation Of Eustachian Tube; Bilateral",15400.0,15400.0,,,0 CDM,4907442001,"Hc Urography, Retrograde, W/Wo Kub",4377.0,4377.0,,,0 CDM,4907651201,"Hc Ophthalmic U/S,Diagnostic;B-Scan(Wwo Superimposed Non-Quant A-Scan)",3970.0,3970.0,,,0 CDM,4907687201,"Hc Echo,Transrectal - Us Transrectal",3970.0,3970.0,,,0 CDM,4907694201,Hc Sono Guide Needle Biopsy,1398.0,1398.0,,,0 CDM,4907700101,Hc Fluoroguide For Vein Device - Fl Guided Venous Access,1542.0,1542.0,,,0 CDM,4907731801,"Hc Brachytherapy Isodose Plan, Complex, Includes Basic Dosimetry",4377.0,4377.0,,,0 CDM,4907733201,Hc Treatment Devices Simple,4377.0,4377.0,,,0 CDM,4907776201,Hc Intracavitary Radioele Interm,4169.0,4169.0,,,0 CDM,4907776301,Hc Intracavitary Radio Complex,4377.0,4377.0,,,0 CDM,4907777101,Hc Hdr Brachytx-2-12 Channels,4377.0,4377.0,,,0 CDM,4907778901,Hc Surface Application Of Low Dose Rate Radionuclide Source,4377.0,4377.0,,,0 CDM,4909103501,Hc G-Esoph Reflex Test W/Electrode Placement,4862.0,4862.0,,,0 CDM,4909201801,"Hc Ophthalmological Exam/Eval Gener Anesthesia, Manip Glob/Other Manip; Complete",5989.0,5989.0,,,0 CDM,4909201901,"Hc Ophthalmological Exam/Eval Gen Anesthesia, Manip Glob/Other Manip; Limited",5989.0,5989.0,,,0 CDM,4909760501,"Hc Negative Pressure Wound Therapy, Utilizing Dme, Including Topical Application(S), Wound Assessmen",4609.0,4609.0,,,0 CDM,490C750001,"Hc Debridement, Bone Includ Epidermis, Dermis, Subq Tissue, Muscle/Fascia, If Performed, First 20 Sq",6905.0,6905.0,,,0 CDM,490C750101,"Hc Percutaneous Breast Biopsies, Stereotactic Guidance, W/Placement Breast Localization Device(S) ,",7906.0,7906.0,,,0 CDM,490C750201,"Hc Percutaneous Breast Biopsies, Magnetic Resonance Guidance, W/Placement Breast Localization Device",7906.0,7906.0,,,0 CDM,490C750301,Hc Open Biopsy/Excision Of Deep Cervical Node(S) W/Intraoperative Identification Of Sentinel Lymph N,6905.0,6905.0,,,0 CDM,490C750401,"Hc Percutaneous Vertebroplasties, Bone Biopsies Incl When Performed, First Cervicothoracic And Any A",16385.0,16385.0,,,0 CDM,490C750501,"Hc Percutaneous Vertebroplasties, Bone Biopsies Incl When Performed, First Lumbosacral And Any Addl",16385.0,16385.0,,,0 CDM,490C750601,"Hc Arthrodesis, Interphalangeal Joints, With Or Without Internal Fixation",9791.0,9791.0,,,0 CDM,490C750701,"Hc Percutaneous Vertebral Augmentations, First Thoracic And Any Addl Thoracic/Lumbar Vertebral Bodie",16385.0,16385.0,,,0 CDM,490C750801,"Hc Percutaneous Vertebral Augmentations, First Lumbar And Any Addl Thoracic/Lumbar Vertebral Bodies,",16385.0,16385.0,,,0 CDM,490C754501,"Hc Percutaneous Exchg Biliary Drainage Catheter W/Rmvl, Calculi/Debris From Biliary Duct(S) And/Or G",6905.0,6905.0,,,0 CDM,490C754901,Hc Change Ureterostomy Tube Or Externally Accessible Ureteral Stent Via Ileal Conduit W/Ureteral Str,4862.0,4862.0,,,0 CDM,490C755001,"Hc Cystourethroscopy, With Biopsy(Ies) With Adjunctive Blue Light Cystoscopy With Fluorescent Imagin",5849.0,5849.0,,,0 CDM,490C755401,Hc Cystourethroscopy With Adjunctive Blue Light Cystoscopy With Fluorescent Imaging Agent,5849.0,5849.0,,,0 CDM,490G010401,Hc Ca Screen;Flexi Sigmoidscope,3011.0,3011.0,,,0 CDM,490G010501,Hc Colorectal Scrn; Hi Risk Ind,4798.0,4798.0,,,0 CDM,490G012101,Hc Colon Ca Scrn Not Hi Rsk Ind,3599.0,3599.0,,,0 CDM,490G026001,"Hc Inj Sacroiliac Joint, Provision Of Anesth, Steriod And/Or Other Agent, W/Wo Arthrography",4862.0,4862.0,,,0 CDM,490G890701,Hc Pt Documnted Not To Hve Expernce W/Evnts For Four Outcme Measurs Prior To Dschg,0.01,0.01,,,0 CDM,490G890801,Hc Patient Documented To Have Received A Burn Prior To Discharge,0.01,0.01,,,0 CDM,490G890901,Hc Pr Patient Documented No Burn Prior To D/C,0.01,0.01,,,0 CDM,490G891001,Hc Pr Patient Documented To Have Experienced A Fall Within Asc,0.01,0.01,,,0 CDM,490G891101,Hc Pr Patient Documented Not To Have Experienced A Fall In Asc,0.01,0.01,,,0 CDM,490G891201,"Hc Pat Documntd To Hve Exp A Wrng Site,Wrng Side,Wrng Pt,Wrng Proc/Wrng Implt Evnt",0.01,0.01,,,0 CDM,490G891301,Hc Pr Patient Documented Not To Have Wrong Event,0.01,0.01,,,0 CDM,490G891401,Hc Pr Patient Documented To Have Experienced Hospital Transfer Or Admission Upon D/C From Asc,0.01,0.01,,,0 CDM,490G891501,Hc Pr Patient Not To Have Experienced Transfer To Hosp At D/C,0.01,0.01,,,0 CDM,490G891601,"Hc Pt W/Preoprtv Ord For Iv Antibiotc Ssi Prophylxis Antibiotc,Initiated On Time",0.01,0.01,,,0 CDM,490G891701,"Hc Pt W/Preoprtv Ord For Iv Antibiotic Ssi Prophylaxis, Antibiotic,Not Initiated On Time",0.01,0.01,,,0 CDM,490G891801,Hc Patient Without Preoperative Order For Iv Antibiotic Ssi Prophylaxis,0.01,0.01,,,0 CDM,490R010005,Hc Asc - Facility Fee - Breast Augmentation/Mastopexy Periareolar (Vertical & Inverted T) R0100050,5750.0,5750.0,,,0 CDM,490R010015,Hc Asc - Facility Fee - Breast Augmentation/Mastopexy Standard R0100150,6900.0,6900.0,,,0 CDM,490R010051,"Hc Asc - Facility Fee - Breast Implant Removal, Unilateral R01005",575.0,575.0,,,0 CDM,490R010081,Hc Asc - Facility Fee - Brachioplasty R01008,4025.0,4025.0,,,0 CDM,490R010086,Hc Asc - Facility Fee - Thighplasty(Non-Massive Weight Loss) R010086,4600.0,4600.0,,,0 CDM,490R010087,Hc Asc - Facility Fee - Thighplasty(Modified) R010087,5750.0,5750.0,,,0 CDM,490R010089,Hc Asc - Facility Fee - Minor Room Procedure - R010089,288.0,288.0,,,0 CDM,490R020001,Hc Asc - Facility Fee - Abdominoplasty (Mini)/Skin Only Tummy Tuck R02000,4025.0,4025.0,,,0 CDM,490R020011,Hc Asc - Facility Fee - Abdominoplasty (Full) R02001,6325.0,6325.0,,,0 CDM,490R020031,Hc Asc - Facility Fee - Asc Abdominoplasty Exparel R02003,414.0,414.0,,,0 CDM,490R020061,Hc Asc - Facility Fee - Abdominoplasty (Extended) R02006,8625.0,8625.0,,,0 CDM,490R040301,Hc Asc - Facility Fee - Fractional Resurfacing-Face R04030,920.0,920.0,,,0 CDM,490R040521,Hc Asc - Facility Fee - Co2 Laser Full Face R04052,2530.0,2530.0,,,0 CDM,490R040531,Hc Asc - Facility Fee - Co2 Laser Neck/Chest R04053,2300.0,2300.0,,,0 CDM,490R040571,Hc Asc - Facility Fee - Chin Implant R04057,575.0,575.0,,,0 CDM,490R040581,"Hc Asc - Facility Fee - Revision Procedure Within 1 Year, 2 Hr Or Less R04058",1294.0,1294.0,,,0 CDM,490R040611,"Hc Asc - Facility Fee - Scar Revision, Elective, Minimal R04061",575.0,575.0,,,0 CDM,490R040621,"Hc Asc - Facility Fee - Scar Revision, Elective, Moderate R04062",1035.0,1035.0,,,0 CDM,490R040631,"Hc Asc - Facility Fee - Scar Revision, Elective, Complex R04063",1438.0,1438.0,,,0 CDM,490R040681,Hc Asc - Facility Fee - Labiaplasty R04068,2300.0,2300.0,,,0 CDM,490R050001,Hc Asc - Facility Fee - Blepharoplasty (1 Eyelid) R05000,1380.0,1380.0,,,0 CDM,490R050011,Hc Asc - Facility Fee - Blepharoplasty (Bilateral Extensive) R05001,2875.0,2875.0,,,0 CDM,490R050021,Hc Asc - Facility Fee - Blepharoplasty (Bilateral) R05002,2300.0,2300.0,,,0 CDM,490R050031,Hc Asc - Facility Fee - Blepharoplasty (Upper Or Lower + 1 Upper Or Lower) R05003,4600.0,4600.0,,,0 CDM,490R050051,Hc Asc - Facility Fee - Quad Bleph R05005,5175.0,5175.0,,,0 CDM,490R050101,Hc Asc - Facility Fee - Ora Only R05010,230.0,230.0,,,0 CDM,490R050201,Hc Asc - Facility Fee - Ora W/Femto Or Other Services R05020,86.0,86.0,,,0 CDM,490R060031,Hc Asc - Facility Fee - Fat Graft-Small (Face) R06003,1725.0,1725.0,,,0 CDM,490R060041,Hc Asc - Facility Fee - Fat Graft-Medium (Face) R06004,2300.0,2300.0,,,0 CDM,490R070011,Hc Asc - Facility Fee - Lower Facelift/Brow Lift & Upper Or Lower Blephs R07001,16100.0,16100.0,,,0 CDM,490R070021,Hc Asc - Facility Fee - Lower Facelift/Brow Lift/Necklift & Upper Or Lower Blephs R07002,18400.0,18400.0,,,0 CDM,490R070031,Hc Asc - Facility Fee - Lower Facelift/Brow Lift/Necklift & Quad Blephs R07003,23000.0,23000.0,,,0 CDM,490R070051,Hc Asc - Facility Fee - Temporal Brow Lift R07005,3450.0,3450.0,,,0 CDM,490R070101,Hc Asc - Facility Fee - Earlobe Repair (Unilateral) R07010,460.0,460.0,,,0 CDM,490R070105,Hc Asc - Facility Fee - Earlobe Repair (Bilateral) R0701050,862.0,862.0,,,0 CDM,490R070111,Hc Asc - Facility Fee - Earlobe Reduction (Unilateral) R07011,575.0,575.0,,,0 CDM,490R070115,Hc Asc - Facility Fee - Earlobe Reduction (Bilateral) R0701150,1150.0,1150.0,,,0 CDM,490R070191,Hc Asc - Facility Fee - Bilateral Upper/Lower Blepharoplasty Fn R07019,5750.0,5750.0,,,0 CDM,490R080001,Hc Asc - Facility Fee - Ear Piercing R08000,115.0,115.0,,,0 CDM,490R080011,Hc Asc - Facility Fee - Skin Tags (Per Tag) R08001,34.0,34.0,,,0 CDM,490R080021,Hc Asc - Facility Fee - Skin Lesion W/Excision & No Closure (Per Lesion) R08002,86.0,86.0,,,0 CDM,490R080031,Hc Asc - Facility Fee - Skin Lesion W/Excision & Simple Closure (Per Lesion) R08003,230.0,230.0,,,0 CDM,490R080041,Hc Asc - Facility Fee - Skin Lesion W/Excision & Intermediate Closure (Per Lesion) R08004,460.0,460.0,,,0 CDM,490R090031,Hc Asc - Facility Fee - Forehead Lift R09003,5750.0,5750.0,,,0 CDM,490R090081,Hc Asc - Facility Fee - Body Contouring/Massive Weight Loss 1St Hour R09008,3450.0,3450.0,,,0 CDM,490R090091,Hc Asc - Facility Fee - Body Contouring/Massive Weight Loss Each Additional Hour R09009,2875.0,2875.0,,,0 CDM,490R099191,Hc Asc - Facility Fee - Gel Breast Implant R09919,1035.0,1035.0,,,0 CDM,490R099961,"Hc Asc - Facility Fee - Revision Procedure Within 1 Year, 1 Hr Or Less R09996",862.0,862.0,,,0 CDM,490R158201,Hc Asc - Facility Fee - Panniculectomy (Extended) R15820,7475.0,7475.0,,,0 CDM,490R158281,Hc Asc - Facility Fee - Facelift Midface/Short Scar (Limited) R15828,8625.0,8625.0,,,0 CDM,490R158291,Hc Asc - Facility Fee - Face/Neck Full/Extensive (Includes Sma) R15829,10925.0,10925.0,,,0 CDM,490R158301,Hc Asc - Facility Fee - Lip Lift R15830,1725.0,1725.0,,,0 CDM,490R193001,Hc Asc - Facility Fee - Gynecomastia (Excision Or Liposuction) R19300,3450.0,3450.0,,,0 CDM,490R193165,Hc Asc - Facility Fee - Mastopexy Standard R1931650,4600.0,4600.0,,,0 CDM,490R193181,Hc Asc - Facility Fee - Breast Reduction R19318,6900.0,6900.0,,,0 CDM,490R193251,Hc Asc - Facility Fee - Breast Augmentation With Implant R19325,1380.0,1380.0,,,0 CDM,490R193281,Hc Asc - Facility Fee - Removal Intact Mammary Implant R19328,1380.0,1380.0,,,0 CDM,490R193401,Hc Asc - Facility Fee - Breast Implant Exchange (Unilateral) R19340,2214.0,2214.0,,,0 CDM,490R193405,"Hc Asc - Facility Fee - Breast Implant Exchange(Bilateral,Eac) R1934050",2012.0,2012.0,,,0 CDM,490R304001,Hc Asc - Facility Fee - Rhinoplasty (Tip/Partial/Minor) R30400,5175.0,5175.0,,,0 CDM,490R304101,Hc Asc - Facility Fee - Rhinoplasty (Complete) R30410,5750.0,5750.0,,,0 CDM,490R304201,Hc Asc - Facility Fee - Septo-Rhinoplasty R30420,7475.0,7475.0,,,0 CDM,490R310001,Hc Asc - Facility Fee - Premium Lens R31000,224.0,224.0,,,0 CDM,490R310021,Hc Asc - Facility Fee - Standard R31002,1322.0,1322.0,,,0 CDM,490R310041,Hc Asc - Facility Fee - Astigmatic Keratotomy Femto R31004,920.0,920.0,,,0 CDM,490R310071,"Hc Asc - Facility Fee - Iol Premium Panoptix, Vivity R31007",1265.0,1265.0,,,0 CDM,490R310091,"Hc Asc - Facility Fee - Iol Symfony, Restore R31009",1150.0,1150.0,,,0 CDM,490R405001,Hc Asc - Facility Fee - Lip Reduction R405001,2300.0,2300.0,,,0 CDM,490R500101,Hc Asc - Facility Fee - Asc Prp Spine Injection R50010,1150.0,1150.0,,,0 CDM,490R900831,Hc Asc - Facility Fee - Surgical Bra R90083,108.0,108.0,,,0 CDM,490R900841,Hc Asc - Facility Fee - Surgical Binder Garment R90084,126.0,126.0,,,0 CDM,490RASC120,Hc Asc - Facility Fee Rasc120,2142.0,2142.0,,,0 CDM,490RASC150,Hc Asc - Facility Fee Rasc150,2401.0,2401.0,,,0 CDM,490RASC180,Hc Asc - Facility Fee Rasc180,2703.0,2703.0,,,0 CDM,490RASC210,Hc Asc - Facility Fee Rasc210,2975.0,2975.0,,,0 CDM,490RASC240,Hc Asc - Facility Fee Rasc240,3239.0,3239.0,,,0 CDM,490RASC270,Hc Asc - Facility Fee Rasc270,3505.0,3505.0,,,0 CDM,490RASC300,Hc Asc - Facility Fee Rasc300,3764.0,3764.0,,,0 CDM,490RASC330,Hc Asc - Facility Fee Rasc330,4031.0,4031.0,,,0 CDM,490RASC360,Hc Asc - Facility Fee Rasc360,4296.0,4296.0,,,0 CDM,490RASC390,Hc Asc - Facility Fee Rasc390,4567.0,4567.0,,,0 CDM,490RASC420,Hc Asc - Facility Fee Rasc420,4832.0,4832.0,,,0 CDM,490RASC450,Hc Asc - Facility Fee Rasc450,5104.0,5104.0,,,0 CDM,490RASC480,Hc Asc - Facility Fee Rasc480,5357.0,5357.0,,,0 CDM,490RASC601,Hc Asc - Facility Fee Rasc60,1617.0,1617.0,,,0 CDM,490RASC901,Hc Asc - Facility Fee Rasc90,1876.0,1876.0,,,0 CDM,49118_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,49119_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,49124_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,49125_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,49243_C1713_278,Noncdm Charge Record Medical Supplies,1427.8,1427.8,,,0 CDM,49245_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,49246_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,49295_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,49297_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,49314_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,49329_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,49342_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,49342_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,49351_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,49397_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,49497_C1751_278,Noncdm Charge Record Medical Supplies,693.82,693.82,,,0 CDM,49508_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,49517_270,Noncdm Charge Record Medical Supplies,1485.0,1485.0,,,0 CDM,4952_00054355563,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),1.38,1.38,,,0 CDM,4952_17856355505,"Methadone Hydrochloride: 5 Ml In 1 Cup, Unit-Dose (17856-3555-5)",8.68,8.68,,,0 CDM,4952_60687081840,NDC Description Not Available,10.57,10.57,,,0 CDM,4952_68094003159,NDC Description Not Available,7.61,7.61,,,0 CDM,4952_68094003162,"Methadone Hydrochloride: 3 Tray In 1 Case (68094-031-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-031-59)",8.67,8.67,,,0 CDM,4953_00054071020,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0710-20) / 100 Tablet In 1 Blister Pack,1.55,1.55,,,0 CDM,4953_00406577101,Methadone Hydrochloride: 100 Tablet In 1 Bottle (0406-5771-01),1.92,1.92,,,0 CDM,4953_00406577123,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),1.85,1.85,,,0 CDM,4953_00406577162,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5771-62),1.9,1.9,,,0 CDM,4953_00904653061,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61) / 1 Tablet In 1 Blister Pack,0.97,0.97,,,0 CDM,4953_00904741761,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7417-61) / 1 Tablet In 1 Blister Pack,1.08,1.08,,,0 CDM,4953_68084073811,NDC Description Not Available,1.59,1.59,,,0 CDM,49543_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,49545_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,4954_00054070920,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20) / 100 Tablet In 1 Blister Pack,1.35,1.35,,,0 CDM,4954_00406575523,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),1.56,1.56,,,0 CDM,4954_00406575562,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5755-62),1.69,1.69,,,0 CDM,49586_C1884_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,49587_C1766_272,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,49587_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,49591_270,Noncdm Charge Record Medical Supplies,3415.5,3415.5,,,0 CDM,49594_270,Noncdm Charge Record Medical Supplies,1333.2,1333.2,,,0 CDM,49602_A4648_278,Noncdm Charge Record Medical Supplies,7.6,7.6,,,0 CDM,49603_270,Noncdm Charge Record Medical Supplies,1113.2,1113.2,,,0 CDM,49607_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,4962_00574079101,"Methazolamide: 100 Tablet In 1 Bottle, Plastic (0574-0791-01)",19.91,19.91,,,0 CDM,4962_62559024101,Methazolamide: 100 Tablet In 1 Bottle (62559-241-01),29.49,29.49,,,0 CDM,4962_72603016701,Methazolamide: 100 Tablet In 1 Bottle (72603-167-01),28.58,28.58,,,0 CDM,4973_00054855025,Methotrexate Sodium: 10 Blister Pack In 1 Carton (0054-8550-25) / 10 Tablet In 1 Blister Pack,12.88,12.88,,,0 CDM,4973_00904714110,Methotrexate: 20 Blister Pack In 1 Carton (0904-7141-10) / 1 Tablet In 1 Blister Pack,12.91,12.91,,,0 CDM,4973_42291050501,Methotrexate: 100 Tablet In 1 Bottle (42291-505-01),12.84,12.84,,,0 CDM,4973_47335023583,Methotrexate: 100 Tablet In 1 Bottle (47335-235-83),12.85,12.85,,,0 CDM,4973_50268052711,NDC Description Not Available,12.85,12.85,,,0 CDM,4973_51079067001,NDC Description Not Available,22.49,22.49,,,0 CDM,49833_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,49836_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,4985_00517030110,"Methylene Blue: 10 VIAL, SINGLE-DOSE in 1 TRAY (0517-0301-10) / 1 mL in 1 VIAL, SINGLE-DOSE",21.09,21.09,,,0 CDM,4985_54288014701,Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial,765.44,765.44,,,0 CDM,4986_10702010101,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-101-01),3.6,3.6,,,0 CDM,4986_68084082311,NDC Description Not Available,7.9,7.9,,,0 CDM,4988_00115180001,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1800-01)",2.43,2.43,,,0 CDM,4988_00406114201,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),2.55,2.55,,,0 CDM,4988_68084080511,NDC Description Not Available,7.2,7.2,,,0 CDM,4992_59762005001,Methylprednisolone: 50 Tablet In 1 Bottle (59762-0050-1),3.34,3.34,,,0 CDM,4992_68382091818,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),3.32,3.32,,,0 CDM,4993_00603459321,"Methylprednisolone: 100 Tablet In 1 Bottle, Plastic (0603-4593-21)",3.46,3.46,,,0 CDM,4993_00904691461,Methylprednisolone: 100 Blister Pack In 1 Carton (0904-6914-61) / 1 Tablet In 1 Blister Pack,7.4,7.4,,,0 CDM,4993_42806040001,Methylprednisolone: 100 Tablet In 1 Bottle (42806-400-01),5.83,5.83,,,0 CDM,4993_68084014911,NDC Description Not Available,7.34,7.34,,,0 CDM,4993_68382091601,Methylprednisolone: 100 Tablet In 1 Bottle (68382-916-01),4.71,4.71,,,0 CDM,4995,Noncdm Charge Record,250.0,250.0,,,0 CDM,49958_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,4995_00009028002,"Depo-Medrol: 1 Vial, Multi-Dose In 1 Carton (0009-0280-02) / 5 Ml In 1 Vial, Multi-Dose",1.07,1.07,,,0 CDM,4995_00009028003,"Depo-Medrol: 10 Ml In 1 Vial, Multi-Dose (0009-0280-03)",1.06,1.06,,,0 CDM,4995_00009307301,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 CDM,4995_00009307303,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-03) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 CDM,4995_00009307322,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-22) / 1 Ml In 1 Vial, Single-Dose",1.68,1.68,,,0 CDM,4995_00009307323,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-23) / 1 Ml In 1 Vial, Single-Dose",1.23,1.23,,,0 CDM,4995_60219157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.04,1.04,,,0 CDM,4995_70121157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.02,1.02,,,0 CDM,4996,Noncdm Charge Record,250.0,250.0,,,0 CDM,4996_00009030602,"Depo-Medrol: 5 Ml In 1 Vial, Multi-Dose (0009-0306-02)",0.99,0.99,,,0 CDM,4996_00009347501,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 CDM,4996_00009347522,"Depo-Medrol: 1 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-22) / 1 mL in 1 VIAL, SINGLE-DOSE",1.07,1.07,,,0 CDM,4996_00009347523,"Depo-Medrol: 25 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-23) / 1 mL in 1 VIAL, SINGLE-DOSE",1.12,1.12,,,0 CDM,4996_60219157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 CDM,4996_70121155201,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1552-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 CDM,4996_70121157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 CDM,500000155_00944049304,NDC Description Not Available,500.58,500.58,,,0 CDM,500000155_44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",235.53,235.53,,,0 CDM,500000155_44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",486.68,486.68,,,0 CDM,500000156_00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),250.48,250.48,,,0 CDM,500000156_00944049506,NDC Description Not Available,250.8,250.8,,,0 CDM,500000156_44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",77.87,77.87,,,0 CDM,500000156_44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",77.87,77.87,,,0 CDM,500000157_00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,19.94,19.94,,,0 CDM,500000157_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),8.89,8.89,,,0 CDM,500000157_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),11.89,11.89,,,0 CDM,500000157_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),14.31,14.31,,,0 CDM,500000158_00338022103,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),41.54,41.54,,,0 CDM,500000158_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),64.89,64.89,,,0 CDM,500000159_00338035702,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),216.3,216.3,,,0 CDM,500000159_00338035703,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),271.92,271.92,,,0 CDM,500000160_00409403101,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01) / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",12.84,12.84,,,0 CDM,500000160_00409403116,NDC Description Not Available,12.74,12.74,,,0 CDM,5000012_00641036721,NDC Description Not Available,0.07,0.07,,,0 CDM,5000012_55150030401,NDC Description Not Available,1.88,1.88,,,0 CDM,5000012_55150030425,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (55150-304-25) / 1 Ml In 1 Vial (55150-304-01),1.87,1.87,,,0 CDM,5000012_63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),3.36,3.36,,,0 CDM,5000012_70069002101,NDC Description Not Available,2.28,2.28,,,0 CDM,5000012_70069002125,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),0.21,0.21,,,0 CDM,5000012_76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",2.61,2.61,,,0 CDM,5000021_00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,36.05,36.05,,,0 CDM,5000021_00264151032,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,35.77,35.77,,,0 CDM,5000021_00264751000,Dextrose: 12 Container In 1 Case (0264-7510-00) / 1000 Ml In 1 Container,35.44,35.44,,,0 CDM,5000021_00264751010,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,35.99,35.99,,,0 CDM,5000021_00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,35.96,35.96,,,0 CDM,5000021_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),36.05,36.05,,,0 CDM,5000021_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),36.05,36.05,,,0 CDM,5000021_00338006620,Dextrose: 20 Bag In 1 Carton (0338-0066-20) / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000021_00990792209,Dextrose: 12 Pouch In 1 Case (0990-7922-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000021_63323062406,NDC Description Not Available,36.05,36.05,,,0 CDM,5000021_63323062407,NDC Description Not Available,36.01,36.01,,,0 CDM,5000021_65219024001,NDC Description Not Available,36.05,36.05,,,0 CDM,5000021_65219046005,NDC Description Not Available,36.05,36.05,,,0 CDM,5000022_00264180031,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,36.05,36.05,,,0 CDM,5000022_00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,44.07,44.07,,,0 CDM,5000022_00264580210,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,47.68,47.68,,,0 CDM,5000022_00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,36.05,36.05,,,0 CDM,5000022_00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,39.74,39.74,,,0 CDM,5000022_00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,51.64,51.64,,,0 CDM,5000022_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,65.7,65.7,,,0 CDM,5000022_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),43.95,43.95,,,0 CDM,5000022_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),64.89,64.89,,,0 CDM,5000022_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),39.03,39.03,,,0 CDM,5000022_00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000022_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000022_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000022_00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),69.19,69.19,,,0 CDM,5000022_00338954303,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),85.13,85.13,,,0 CDM,5000022_00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),37.34,37.34,,,0 CDM,5000022_00338954305,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),42.45,42.45,,,0 CDM,5000022_00338954306,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-06),39.7,39.7,,,0 CDM,5000022_00338979101,NDC Description Not Available,56.91,56.91,,,0 CDM,5000022_17271070102,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),93.73,93.73,,,0 CDM,5000022_17271070103,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),75.81,75.81,,,0 CDM,5000022_17271070105,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),59.29,59.29,,,0 CDM,5000022_17271070106,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),48.31,48.31,,,0 CDM,5000022_17271070107,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),79.41,79.41,,,0 CDM,5000022_63323062353,Sodium Chloride: 50 Ml In 1 Bag (63323-623-53),36.05,36.05,,,0 CDM,5000022_63323062361,Sodium Chloride: 100 Ml In 1 Bag (63323-623-61),36.05,36.05,,,0 CDM,5000022_65219022201,NDC Description Not Available,51.85,51.85,,,0 CDM,5000022_65219022401,NDC Description Not Available,45.4,45.4,,,0 CDM,5000022_65219047005,NDC Description Not Available,70.04,70.04,,,0 CDM,5000022_65219047205,NDC Description Not Available,38.09,38.09,,,0 CDM,5000022_65219047405,NDC Description Not Available,42.06,42.06,,,0 CDM,5000022_76297000132,NDC Description Not Available,41.23,41.23,,,0 CDM,5000063_00409012001,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (0409-0120-01) / 7 Ml In 1 Vial, Single-Dose",0.62,0.62,,,0 CDM,5000063_00409593301,"Daptomycin: 1 VIAL, SINGLE-USE in 1 CARTON (0409-5933-01) / 7 mL in 1 VIAL, SINGLE-USE",0.62,0.62,,,0 CDM,5000063_16729043445,Daptomycin: 10 Vial In 1 Carton (16729-434-45) / 7 Ml In 1 Vial,2.35,2.35,,,0 CDM,5000063_25021017915,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,0.94,0.94,,,0 CDM,5000063_25021017916,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,0.92,0.92,,,0 CDM,5000063_25021017966,Daptomycin: 1 Vial In 1 Carton (25021-179-66) / 7 Ml In 1 Vial,0.75,0.75,,,0 CDM,5000063_25021017967,Daptomycin: 10 Vial In 1 Carton (25021-179-67) / 7 Ml In 1 Vial,0.75,0.75,,,0 CDM,5000063_70594005301,"Daptomycin: 1 Vial, Single-Use In 1 Carton (70594-053-01) / 7 Ml In 1 Vial, Single-Use",0.64,0.64,,,0 CDM,5000063_72603014701,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-147-01) / 7 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 CDM,5000105_00409909412,NDC Description Not Available,6.18,6.18,,,0 CDM,5000105_00409909416,NDC Description Not Available,4.04,4.04,,,0 CDM,5000105_00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",4.03,4.03,,,0 CDM,5000105_00409909441,NDC Description Not Available,3.87,3.87,,,0 CDM,5000105_00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",3.69,3.69,,,0 CDM,5000105_00641602701,NDC Description Not Available,9.27,9.27,,,0 CDM,5000105_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),4.34,4.34,,,0 CDM,5000105_00641624701,NDC Description Not Available,8.24,8.24,,,0 CDM,5000105_63323080611,NDC Description Not Available,9.27,9.27,,,0 CDM,5000105_63323080612,NDC Description Not Available,10.3,10.3,,,0 CDM,5000105_63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",4.33,4.33,,,0 CDM,5000210_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",51.13,51.13,,,0 CDM,5000217_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",58.58,58.58,,,0 CDM,5000218_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",50.43,50.43,,,0 CDM,5000219_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",55.79,55.79,,,0 CDM,5000220_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",42.22,42.22,,,0 CDM,5000221_00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",54.18,54.18,,,0 CDM,5000223_00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,36.05,36.05,,,0 CDM,5000223_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),35.08,35.08,,,0 CDM,5000223_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),36.05,36.05,,,0 CDM,5000223_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),34.77,34.77,,,0 CDM,5000223_00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,33.86,33.86,,,0 CDM,5000223_00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,35.64,35.64,,,0 CDM,5000223_00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,30.9,30.9,,,0 CDM,5000223_00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,35.92,35.92,,,0 CDM,5000223_00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,34.36,34.36,,,0 CDM,5000223_00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),36.05,36.05,,,0 CDM,5000223_00338956760,SODIUM CHLORIDE: 60 BAG in 1 CARTON (0338-9567-60) / 50 mL in 1 BAG,36.05,36.05,,,0 CDM,5000223_00338979101,NDC Description Not Available,34.92,34.92,,,0 CDM,5000223_00487430105,Sodium Chloride: 64 Bag In 1 Case (0487-4301-05) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_00990798302,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,33.93,33.93,,,0 CDM,5000223_00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_00990798355,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_00990798361,Sodium Chloride: 32 Pouch In 1 Case (0990-7983-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,34.16,34.16,,,0 CDM,5000223_00990798413,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_00990798436,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-36) / 4 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000223_17271070102,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),36.05,36.05,,,0 CDM,5000223_17271070105,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),36.05,36.05,,,0 CDM,5000223_65219046660,Sodium Chloride: 60 Bag In 1 Case (65219-466-60) / 50 Ml In 1 Bag (65219-466-05),36.05,36.05,,,0 CDM,5000223_65219046850,Sodium Chloride: 50 Bag In 1 Case (65219-468-50) / 100 Ml In 1 Bag (65219-468-05),36.05,36.05,,,0 CDM,5000223_76297000112,NDC Description Not Available,30.47,30.47,,,0 CDM,5000223_76297000122,NDC Description Not Available,36.05,36.05,,,0 CDM,5000224_00264151032,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,33.72,33.72,,,0 CDM,5000224_00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,32.16,32.16,,,0 CDM,5000224_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),34.57,34.57,,,0 CDM,5000224_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),36.05,36.05,,,0 CDM,5000224_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),36.05,36.05,,,0 CDM,5000224_00338001711,Dextrose: 4 Bag In 1 Pouch (0338-0017-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000224_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,35.65,35.65,,,0 CDM,5000224_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000224_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,35.38,35.38,,,0 CDM,5000224_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000224_00338006230,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.05,36.05,,,0 CDM,5000224_00338956948,Glucose: 48 BAG in 1 CARTON (0338-9569-48) / 100 mL in 1 BAG,36.05,36.05,,,0 CDM,5000224_00990792202,Dextrose: 24 Pouch In 1 Case (0990-7922-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,35.38,35.38,,,0 CDM,5000224_00990792306,Dextrose: 60 BAG in 1 CASE (0990-7923-06) / 50 mL in 1 BAG,36.05,36.05,,,0 CDM,5000224_00990792311,Dextrose: 60 BAG in 1 CASE (0990-7923-11) / 100 mL in 1 BAG,36.05,36.05,,,0 CDM,5000224_00990792323,Dextrose: 48 Pouch In 1 Case (0990-7923-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,35.2,35.2,,,0 CDM,5000224_00990792337,Dextrose: 20 Pouch In 1 Case (0990-7923-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,33.55,33.55,,,0 CDM,5000224_63323062404,NDC Description Not Available,36.05,36.05,,,0 CDM,5000224_65219023801,NDC Description Not Available,33.51,33.51,,,0 CDM,5000238_00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 CDM,5000238_00338050206,Clinisol: 2000 Ml In 1 Bag (0338-0502-06),515.0,515.0,,,0 CDM,5000238_00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),515.0,515.0,,,0 CDM,5000239_00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 CDM,5000239_00338050206,Clinisol: 2000 Ml In 1 Bag (0338-0502-06),515.0,515.0,,,0 CDM,5000245_00264450000,Plenamine: 8 Container In 1 Case (0264-4500-00) / 1000 Ml In 1 Container,515.0,515.0,,,0 CDM,5000245_00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 CDM,5000245_00338050206,Clinisol: 2000 Ml In 1 Bag (0338-0502-06),515.0,515.0,,,0 CDM,5000258_39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),216.3,216.3,,,0 CDM,5000269_00143957501,NDC Description Not Available,0.26,0.26,,,0 CDM,5000271_00409428301,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4283-01) / 5 Ampule In 1 Cello Pack (0409-4283-25) / 5 Ml In 1 Ampule (0409-4283-11),1.04,1.04,,,0 CDM,5000271_00409428311,NDC Description Not Available,2.52,2.52,,,0 CDM,5000271_00409428325,NDC Description Not Available,2.25,2.25,,,0 CDM,5000273_67457042200,NDC Description Not Available,174.06,174.06,,,0 CDM,5000286_00409665318,NDC Description Not Available,77.06,77.06,,,0 CDM,50002_270,Noncdm Charge Record Medical Supplies,1663.2,1663.2,,,0 CDM,5000359_00409258501,"Cefazolin: 25 Vial In 1 Carton (0409-2585-01) / 1 Injection, Powder, For Solution In 1 Vial (0409-2585-11)",1.57,1.57,,,0 CDM,5000363_00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",1.27,1.27,,,0 CDM,5000373_00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",64.38,64.38,,,0 CDM,5000373_63323040201,NDC Description Not Available,79.29,79.29,,,0 CDM,5000373_63323040203,NDC Description Not Available,59.08,59.08,,,0 CDM,5000373_63323040220,"Aztreonam: 10 Vial In 1 Tray (63323-402-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-01)",79.31,79.31,,,0 CDM,5000373_63323040230,"Aztreonam: 10 Vial In 1 Tray (63323-402-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-03)",58.97,58.97,,,0 CDM,5000374_00143926201,NDC Description Not Available,2.28,2.28,,,0 CDM,5000374_00143926225,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),2.28,2.28,,,0 CDM,5000374_00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),2.93,2.93,,,0 CDM,5000374_00781345170,NDC Description Not Available,13.65,13.65,,,0 CDM,5000374_60505614200,NDC Description Not Available,4.68,4.68,,,0 CDM,5000374_60505614205,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6142-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6142-0)",4.64,4.64,,,0 CDM,5000374_63323023701,NDC Description Not Available,3.77,3.77,,,0 CDM,5000377_00143987701,NDC Description Not Available,42.75,42.75,,,0 CDM,5000378_00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",10.3,10.3,,,0 CDM,5000378_00409508413,NDC Description Not Available,10.34,10.34,,,0 CDM,5000378_44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",10.82,10.82,,,0 CDM,5000392_60505623600,NDC Description Not Available,50.81,50.81,,,0 CDM,5000392_60505623606,"Deferoxamine Mesylate: 4 Injection, Powder, Lyophilized, For Solution In 1 Carton (60505-6236-6)",51.92,51.92,,,0 CDM,5000392_60505623800,NDC Description Not Available,42.52,42.52,,,0 CDM,5000392_63323059710,Deferoxamine: 1 Vial In 1 Box (63323-597-10) / 5.3 Ml In 1 Vial,56.0,56.0,,,0 CDM,50003_270,Noncdm Charge Record Medical Supplies,1663.17,1663.17,,,0 CDM,5000409_00049319001,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01) / 20 Ml In 1 Vial, Single-Use",8.24,8.24,,,0 CDM,5000420_00049319001,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01) / 20 Ml In 1 Vial, Single-Use",1.03,1.03,,,0 CDM,5000423_00009090218,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18) / 6 Ml In 1 Vial (0009-0902-11),5.15,5.15,,,0 CDM,5000426_09999001108,NDC Description Not Available,10.3,10.3,,,0 CDM,5000428_00409508216,"Tazicef: 25 Vial In 1 Carton (0409-5082-16) / 1 Injection, Powder, For Solution In 1 Vial (0409-5082-11)",1.65,1.65,,,0 CDM,5000431_09999001110,NDC Description Not Available,156.56,156.56,,,0 CDM,5000458_00264410090,Acetaminophen: 24 Container In 1 Case (0264-4100-90) / 100 Ml In 1 Container,0.34,0.34,,,0 CDM,5000458_00781315606,NDC Description Not Available,1.29,1.29,,,0 CDM,5000458_24201010001,NDC Description Not Available,0.32,0.32,,,0 CDM,5000458_43825010201,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",1.44,1.44,,,0 CDM,5000460_55150015410,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.52,0.52,,,0 CDM,5000465_00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",42.74,42.74,,,0 CDM,5000467_00049001381,NDC Description Not Available,3.6,3.6,,,0 CDM,5000473_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,85.73,85.73,,,0 CDM,5000473_51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,12.83,12.83,,,0 CDM,5000473_63323040703,Caffeine Citrate: 1 Vial In 1 Box (63323-407-03) / 3 Ml In 1 Vial,134.93,134.93,,,0 CDM,5000473_72485010401,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",43.26,43.26,,,0 CDM,5000474_63323036001,NDC Description Not Available,0.42,0.42,,,0 CDM,5000476_44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,2.32,2.32,,,0 CDM,5000479_00409508211,NDC Description Not Available,13.17,13.17,,,0 CDM,5000492_00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,1.03,1.03,,,0 CDM,5000492_25021018467,Fluconazole: 10 Pouch In 1 Carton (25021-184-67) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,190.55,190.55,,,0 CDM,5000492_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.92,38.92,,,0 CDM,5000492_25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,60.77,60.77,,,0 CDM,5000494_00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",0.69,0.69,,,0 CDM,5000495_42023017301,NDC Description Not Available,5.15,5.15,,,0 CDM,5000496_63323017302,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),19.83,19.83,,,0 CDM,5000499_00009001103,NDC Description Not Available,0.38,0.38,,,0 CDM,50004_270,Noncdm Charge Record Medical Supplies,935.13,935.13,,,0 CDM,5000502_00143967301,NDC Description Not Available,4.12,4.12,,,0 CDM,5000506_00781309895,Meropenem: 10 Vial In 1 Carton (0781-3098-95) / 30 Ml In 1 Vial (0781-3098-94),7.42,7.42,,,0 CDM,5000508_00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,9.46,9.46,,,0 CDM,5000508_00409015201,NDC Description Not Available,0.26,0.26,,,0 CDM,5000508_47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,0.23,0.23,,,0 CDM,5000514_55150012715,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",2.23,2.23,,,0 CDM,5000515_00049052023,NDC Description Not Available,1.65,1.65,,,0 CDM,5000518_00409337911,NDC Description Not Available,1.79,1.79,,,0 CDM,5000519_00409665106,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6651-06) / 10 Ml In 1 Vial, Single-Dose (0409-6651-19)",1.03,1.03,,,0 CDM,5000523_00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",1.54,1.54,,,0 CDM,5000524_49702021301,NDC Description Not Available,3.09,3.09,,,0 CDM,5000551_09999001228,NDC Description Not Available,0.62,0.62,,,0 CDM,5000558_00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 CDM,5000564_00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),36.05,36.05,,,0 CDM,5000587_00049052023,NDC Description Not Available,1.53,1.53,,,0 CDM,5000596_00409427601,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.48,0.48,,,0 CDM,5000596_00409427602,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.31,0.31,,,0 CDM,5000596_00409427616,NDC Description Not Available,0.37,0.37,,,0 CDM,5000596_55150025110,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",1.11,1.11,,,0 CDM,5000596_55150025220,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-252-20) / 20 Ml In 1 Vial, Multi-Dose",1.03,1.03,,,0 CDM,5000596_63323020103,NDC Description Not Available,1.03,1.03,,,0 CDM,5000596_63323048501,NDC Description Not Available,0.69,0.69,,,0 CDM,5000596_70756064586,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-645-86) / 10 Ml In 1 Vial,1.54,1.54,,,0 CDM,50005_270,Noncdm Charge Record Medical Supplies,935.08,935.08,,,0 CDM,5000604_00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",46.97,46.97,,,0 CDM,5000615_00019118827,"Sodium Chloride: 20 Box In 1 Carton (0019-1188-27) / 1 Syringe, Plastic In 1 Box / 125 Ml In 1 Syringe, Plastic",11.33,11.33,,,0 CDM,5000615_00264937588,Sodium Chloride: 10 Ml In 1 Ampule (0264-9375-88),7.72,7.72,,,0 CDM,5000615_00409488802,NDC Description Not Available,8.01,8.01,,,0 CDM,5000615_00409488803,NDC Description Not Available,5.59,5.59,,,0 CDM,5000615_06380710001,NDC Description Not Available,0.76,0.76,,,0 CDM,5000615_06380710011,NDC Description Not Available,10.65,10.65,,,0 CDM,5000615_08290306499,NDC Description Not Available,2.06,2.06,,,0 CDM,5000615_08290306546,NDC Description Not Available,2.26,2.26,,,0 CDM,5000615_08290306547,NDC Description Not Available,2.27,2.27,,,0 CDM,5000615_63323018601,NDC Description Not Available,4.33,4.33,,,0 CDM,5000615_63323018610,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10) / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",4.53,4.53,,,0 CDM,5000615_63323018620,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-20) / 20 Ml In 1 Vial, Single-Dose (63323-186-03)",7.15,7.15,,,0 CDM,5000644_00781340778,NDC Description Not Available,7.48,7.48,,,0 CDM,5000644_44567010110,"Ampicillin: 10 Vial In 1 Tray (44567-101-10) / 1 Injection, Powder, For Solution In 1 Vial",7.9,7.9,,,0 CDM,5000663_00338113004,Premasol - Sulfite-Free (Amino Acid): 1000 Ml In 1 Bag (0338-1130-04),515.0,515.0,,,0 CDM,5000667_00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 CDM,5000667_00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),515.0,515.0,,,0 CDM,5000669_54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),47.61,47.61,,,0 CDM,5000669_54643565002,Infuvite Adult: 1 Kit In 1 Carton (54643-5650-2) * 50 Ml In 1 Vial (54643-5661-2) * 50 Ml In 1 Vial (54643-5663-2),40.51,40.51,,,0 CDM,5000684_00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",236.53,236.53,,,0 CDM,5000684_00944270010,NDC Description Not Available,1359.49,1359.49,,,0 CDM,5000686_00409198503,NDC Description Not Available,9.49,9.49,,,0 CDM,5000686_00409198505,Lorazepam: 1 BLISTER PACK in 1 BOX (0409-1985-05) / 10 SYRINGE in 1 BLISTER PACK / 1 mL in 1 SYRINGE,3.77,3.77,,,0 CDM,5000686_00409198530,Lorazepam: 10 Cartridge In 1 Carton (0409-1985-30) / 1 Ml In 1 Cartridge (0409-1985-03),15.45,15.45,,,0 CDM,5000686_00409677802,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",7.09,7.09,,,0 CDM,5000686_00641600101,NDC Description Not Available,5.92,5.92,,,0 CDM,5000686_00641604401,NDC Description Not Available,3.63,3.63,,,0 CDM,5000686_00641604425,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),3.65,3.65,,,0 CDM,5000686_00641604801,NDC Description Not Available,2.06,2.06,,,0 CDM,5000686_00641620725,Lorazepam: 25 Vial In 1 Carton (0641-6207-25) / 1 Ml In 1 Vial (0641-6207-01),2.06,2.06,,,0 CDM,5000686_65219036801,NDC Description Not Available,2.73,2.73,,,0 CDM,5000686_76329826100,NDC Description Not Available,4.33,4.33,,,0 CDM,5000689_00703904001,NDC Description Not Available,1.03,1.03,,,0 CDM,5000690_63323081502,"Amikacin Sulfate: 10 Vial, Single-Dose In 1 Carton (63323-815-02) / 2 Ml In 1 Vial, Single-Dose (63323-815-21)",10.82,10.82,,,0 CDM,5000698_00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",0.69,0.69,,,0 CDM,5000724_00548950200,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00) / 5 Ml In 1 Vial,27.3,27.3,,,0 CDM,5000788_04910040007,NDC Description Not Available,2.06,2.06,,,0 CDM,5000809_63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",1.04,1.04,,,0 CDM,5000815_00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",0.69,0.69,,,0 CDM,5000817_00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",11.12,11.12,,,0 CDM,5000818_18657011704,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),23.69,23.69,,,0 CDM,5000854_42192060806,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",20.44,20.44,,,0 CDM,5000854_42192060816,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),29.22,29.22,,,0 CDM,5000854_42192060840,"Gabapentin: 40 Cup, Unit-Dose In 1 Box (42192-608-40) / 6 Ml In 1 Cup, Unit-Dose",17.7,17.7,,,0 CDM,5000854_65162069806,NDC Description Not Available,6.8,6.8,,,0 CDM,5000856_60687027562,NDC Description Not Available,20.17,20.17,,,0 CDM,5000856_60687027566,"Phenytoin: 5 Tray In 1 Case (60687-275-66) / 10 Cup, Unit-Dose In 1 Tray (60687-275-63) / 4 Ml In 1 Cup, Unit-Dose (60687-275-62)",19.06,19.06,,,0 CDM,5000856_66689003601,NDC Description Not Available,23.95,23.95,,,0 CDM,5000861_00173051900,"Flolan: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0173-0519-00)",486.16,486.16,,,0 CDM,5000889_09999720797,NDC Description Not Available,12.62,12.62,,,0 CDM,5000890_09999720798,NDC Description Not Available,27.3,27.3,,,0 CDM,5000969_00173051700,"Flolan: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0173-0517-00)",403.76,403.76,,,0 CDM,5000972_00121467505,NDC Description Not Available,4.28,4.28,,,0 CDM,5000973_00121094510,NDC Description Not Available,17.88,17.88,,,0 CDM,5000973_00121477610,"Megestrol Acetate: 10 mL in 1 CUP, UNIT-DOSE (0121-4776-10)",16.48,16.48,,,0 CDM,5000973_63739054972,NDC Description Not Available,15.09,15.09,,,0 CDM,5000973_66689002001,NDC Description Not Available,15.37,15.37,,,0 CDM,5000973_68094006359,NDC Description Not Available,19.47,19.47,,,0 CDM,5000973_68094025062,"Megestrol Acetate: 3 TRAY in 1 CASE (68094-250-62) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE (68094-250-59)",3.09,3.09,,,0 CDM,5000974_00121479905,NDC Description Not Available,31.74,31.74,,,0 CDM,5000974_00904726541,NDC Description Not Available,14.7,14.7,,,0 CDM,5000974_16714035801,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",24.1,24.1,,,0 CDM,5000974_50268047011,NDC Description Not Available,20.47,20.47,,,0 CDM,5000974_50268047013,Levetiracetam Levetiracetam: 30 Blister Pack In 1 Box (50268-470-13) / 5 Ml In 1 Blister Pack (50268-470-11),23.44,23.44,,,0 CDM,5000974_60687024940,NDC Description Not Available,24.32,24.32,,,0 CDM,5000974_63739015870,NDC Description Not Available,11.15,11.15,,,0 CDM,5000974_69339015705,NDC Description Not Available,23.71,23.71,,,0 CDM,5000978_09999720824,NDC Description Not Available,36.05,36.05,,,0 CDM,5000980_51672404709,Carbamazepine: 450 Ml In 1 Bottle (51672-4047-9),21.12,21.12,,,0 CDM,5000980_62135086759,NDC Description Not Available,373.04,373.04,,,0 CDM,5000980_68094000759,NDC Description Not Available,13.13,13.13,,,0 CDM,5000980_70954024010,Carbamazepine: 1 Bottle In 1 Carton (70954-240-10) / 450 Ml In 1 Bottle,13.43,13.43,,,0 CDM,5000981_66733094823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",196.05,196.05,,,0 CDM,5000981_66733095823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",195.56,195.56,,,0 CDM,5000986_17478054202,Adenosine: 10 Vial In 1 Carton (17478-542-02) / 2 Ml In 1 Vial,1.47,1.47,,,0 CDM,5000988_00338042418,Heparin Sodium In Sodium Chloride: 1 Bag In 1 Carton (0338-0424-18) / 500 Ml In 1 Bag,21.63,21.63,,,0 CDM,5000988_00338043103,Heparin Sodium In Sodium Chloride: 18 Bag In 1 Carton (0338-0431-03) / 500 Ml In 1 Bag,12.64,12.64,,,0 CDM,5000988_00409100501,NDC Description Not Available,12.32,12.32,,,0 CDM,5000988_00409762059,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),14.42,14.42,,,0 CDM,5000988_63323051901,NDC Description Not Available,18.02,18.02,,,0 CDM,5000990_00121103605,NDC Description Not Available,57.45,57.45,,,0 CDM,5000990_00121481105,NDC Description Not Available,32.96,32.96,,,0 CDM,5000990_64950034205,NDC Description Not Available,42.0,42.0,,,0 CDM,5000991_45802047201,NDC Description Not Available,65.92,65.92,,,0 CDM,5000991_45802047264,Hydrocortisone Acetate Pramoxine Hcl: 1 Tube In 1 Carton (45802-472-64) / 28.35 G In 1 Tube,566.5,566.5,,,0 CDM,5000991_45802047265,Hydrocortisone Acetate Pramoxine Hcl: 30 Tube In 1 Carton (45802-472-65) / 4 G In 1 Tube (45802-472-01),32.68,32.68,,,0 CDM,5000992_00069027702,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0277-02) / 10 Ml In 1 Vial, Single-Dose",38.7,38.7,,,0 CDM,5000992_00069035820,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0358-20) / 5 Ml In 1 Vial, Single-Dose",36.38,36.38,,,0 CDM,5000992_00069154220,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",12.97,12.97,,,0 CDM,5000992_00069303020,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",35.38,35.38,,,0 CDM,5000992_00069303120,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3031-20) / 10 Ml In 1 Vial, Single-Dose",39.14,39.14,,,0 CDM,5000992_00069303220,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",26.96,26.96,,,0 CDM,5000992_00069303420,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",13.38,13.38,,,0 CDM,5000992_00143908501,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9085-01) / 10 Ml In 1 Vial,29.87,29.87,,,0 CDM,5000992_00143908601,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9086-01) / 25 Ml In 1 Vial,27.37,27.37,,,0 CDM,5000992_25021020725,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,17.83,17.83,,,0 CDM,5000992_25021020751,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,25.71,25.71,,,0 CDM,5000992_45963073355,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-55) / 5 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 CDM,5000992_45963073357,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-57) / 10 Ml In 1 Vial, Single-Dose",41.97,41.97,,,0 CDM,5000992_45963073360,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",27.87,27.87,,,0 CDM,5000992_63323010161,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",27.32,27.32,,,0 CDM,5000992_63323088330,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",25.64,25.64,,,0 CDM,5000993_00003232711,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",417.97,417.97,,,0 CDM,5000993_00003232822,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",422.1,422.1,,,0 CDM,5000994_00003373413,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",75.86,75.86,,,0 CDM,5000994_00003377211,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",78.28,78.28,,,0 CDM,5000994_00003377412,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",77.24,77.24,,,0 CDM,5000995_25021020401,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,108.15,108.15,,,0 CDM,5000995_25021020405,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,85.22,85.22,,,0 CDM,5000995_45963060755,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",70.04,70.04,,,0 CDM,5000995_45963060756,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-56) / 5 Ml In 1 Vial, Single-Dose",54.53,54.53,,,0 CDM,5000996_50242013501,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",18.27,18.27,,,0 CDM,5000996_50242013601,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",14.98,14.98,,,0 CDM,5000996_50242013701,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",14.01,14.01,,,0 CDM,5001017_00121087316,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),45.84,45.84,,,0 CDM,5001017_00121115430,NDC Description Not Available,4.49,4.49,,,0 CDM,5001017_00121457715,NDC Description Not Available,6.18,6.18,,,0 CDM,5001017_00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),83.43,83.43,,,0 CDM,5001017_50383077930,NDC Description Not Available,7.53,7.53,,,0 CDM,5001017_50383077931,Lactulose: 4 TRAY in 1 CASE (50383-779-31) / 10 CUP in 1 TRAY (50383-779-30) / 30 mL in 1 CUP,8.67,8.67,,,0 CDM,5001017_50383077933,Lactulose: 10 TRAY in 1 CASE (50383-779-33) / 10 CUP in 1 TRAY / 30 mL in 1 CUP,7.86,7.86,,,0 CDM,5001017_81033024130,NDC Description Not Available,3.66,3.66,,,0 CDM,5001018_00338007225,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,4.05,4.05,,,0 CDM,5001018_00409379501,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3795-01) / 1 Ml In 1 Vial, Single-Dose (0409-3795-19)",13.96,13.96,,,0 CDM,5001018_00409379519,NDC Description Not Available,14.23,14.23,,,0 CDM,5001018_25021070101,Ketorolac Tromethamine: 25 Vial In 1 Carton (25021-701-01) / 1 Ml In 1 Vial,10.82,10.82,,,0 CDM,5001018_62332060001,NDC Description Not Available,4.12,4.12,,,0 CDM,5001018_63323016200,NDC Description Not Available,11.73,11.73,,,0 CDM,5001018_63323016201,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",14.69,14.69,,,0 CDM,5001018_63323016202,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",8.76,8.76,,,0 CDM,5001018_63323016203,NDC Description Not Available,8.76,8.76,,,0 CDM,5001018_63323016223,NDC Description Not Available,1.96,1.96,,,0 CDM,5001018_63323016225,NDC Description Not Available,1.03,1.03,,,0 CDM,5001018_68462075601,NDC Description Not Available,3.5,3.5,,,0 CDM,5001018_70512084301,NDC Description Not Available,3.5,3.5,,,0 CDM,5001018_70860070103,Ketorolac Tromethamine: 25 Vial In 1 Carton (70860-701-03) / 1 Ml In 1 Vial (70860-701-41),4.12,4.12,,,0 CDM,5001018_70860070141,NDC Description Not Available,4.12,4.12,,,0 CDM,5001018_72266011801,NDC Description Not Available,3.71,3.71,,,0 CDM,5001018_72266011925,Ketorolac Tromethamine: 25 Vial In 1 Carton (72266-119-25) / 2 Ml In 1 Vial (72266-119-01),2.0,2.0,,,0 CDM,5001018_72611072201,NDC Description Not Available,2.54,2.54,,,0 CDM,5001018_72611072225,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Carton (72611-722-25) / 1 Ml In 1 Vial, Single-Dose (72611-722-01)",2.58,2.58,,,0 CDM,5001019_00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",63.86,63.86,,,0 CDM,5001019_00409729511,NDC Description Not Available,63.81,63.81,,,0 CDM,5001019_00517250501,NDC Description Not Available,103.0,103.0,,,0 CDM,5001019_46287002410,"Potassium Phosphates: 10 Vial, Single-Dose In 1 Carton (46287-024-10) / 15 Ml In 1 Vial, Single-Dose",161.71,161.71,,,0 CDM,5001019_46287002415,"Potassium Phosphates: 1 Vial, Single-Dose In 1 Carton (46287-024-15) / 15 Ml In 1 Vial, Single-Dose",161.71,161.71,,,0 CDM,5001019_65219005209,NDC Description Not Available,103.59,103.59,,,0 CDM,5001019_65219005229,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-052-29) / 5 Ml In 1 Vial, Single-Dose (65219-052-09)",103.55,103.55,,,0 CDM,5001019_65219005409,NDC Description Not Available,111.09,111.09,,,0 CDM,5001019_65219005609,NDC Description Not Available,71.69,71.69,,,0 CDM,5001019_80830169101,NDC Description Not Available,111.58,111.58,,,0 CDM,5001019_80830169102,"Potassium Phosphates: 10 Vial, Single-Dose In 1 Carton (80830-1691-2) / 15 Ml In 1 Vial, Single-Dose (80830-1691-1)",108.15,108.15,,,0 CDM,5001019_80830169201,NDC Description Not Available,100.94,100.94,,,0 CDM,5001023_63323082000,Smoflipid: 10 Bag In 1 Case (63323-820-00) / 100 Ml In 1 Bag (63323-820-01),16.48,16.48,,,0 CDM,5001023_63323082001,NDC Description Not Available,95.16,95.16,,,0 CDM,5001023_63323082004,NDC Description Not Available,112.71,112.71,,,0 CDM,5001023_63323082005,NDC Description Not Available,3.35,3.35,,,0 CDM,5001031_00409234462,NDC Description Not Available,29.87,29.87,,,0 CDM,5001031_00409234468,NDC Description Not Available,27.81,27.81,,,0 CDM,5001033_00409582001,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-5820-01) / 5 Ml In 1 Vial, Single-Dose (0409-5820-11)",16.48,16.48,,,0 CDM,5001033_00409582011,NDC Description Not Available,0.86,0.86,,,0 CDM,5001034_00517117101,NDC Description Not Available,5.29,5.29,,,0 CDM,5001034_54288010301,NDC Description Not Available,11.98,11.98,,,0 CDM,5001034_54288010310,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,62.83,62.83,,,0 CDM,5001035_00409021210,NDC Description Not Available,15.45,15.45,,,0 CDM,5001035_63323061701,NDC Description Not Available,15.35,15.35,,,0 CDM,5001037_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),18.02,18.02,,,0 CDM,5001037_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),18.02,18.02,,,0 CDM,5001038_00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),18.9,18.9,,,0 CDM,5001038_00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),21.3,21.3,,,0 CDM,5001038_00990795309,Lactated Ringers: 12 Pouch In 1 Case (0990-7953-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,21.63,21.63,,,0 CDM,5001038_09999003918,NDC Description Not Available,32.85,32.85,,,0 CDM,5001038_65219047905,NDC Description Not Available,19.47,19.47,,,0 CDM,5001039_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),64.89,64.89,,,0 CDM,5001041_00143959401,NDC Description Not Available,1.02,1.02,,,0 CDM,5001041_00409132315,NDC Description Not Available,2.37,2.37,,,0 CDM,5001041_00409206605,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",1.55,1.55,,,0 CDM,5001041_00409206610,NDC Description Not Available,1.23,1.23,,,0 CDM,5001041_00409428202,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),1.1,1.1,,,0 CDM,5001041_00409428212,NDC Description Not Available,0.99,0.99,,,0 CDM,5001041_00409490311,NDC Description Not Available,2.75,2.75,,,0 CDM,5001041_55150016505,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05) / 5 Ml In 1 Vial, Single-Dose",1.47,1.47,,,0 CDM,5001041_63323020801,NDC Description Not Available,1.5,1.5,,,0 CDM,5001041_63323020805,"Lidocaine: 25 Vial, Single-Dose In 1 Tray (63323-208-05) / 5 Ml In 1 Vial, Single-Dose (63323-208-01)",1.44,1.44,,,0 CDM,5001041_63323049504,NDC Description Not Available,1.67,1.67,,,0 CDM,5001041_63323049507,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07) / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",1.59,1.59,,,0 CDM,5001041_63323049509,NDC Description Not Available,3.09,3.09,,,0 CDM,5001041_63323049527,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",3.69,3.69,,,0 CDM,5001041_63323049680,Xylocaine: 10 AMPULE in 1 CARTON (63323-496-80) / 2 mL in 1 AMPULE,2.06,2.06,,,0 CDM,5001041_72603050510,Lidocaine Hydrochloride: 10 Vial In 1 Carton (72603-505-10) / 5 Ml In 1 Vial (72603-505-01),1.22,1.22,,,0 CDM,5001041_76329339001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,3.66,3.66,,,0 CDM,5001056_50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",4.97,4.97,,,0 CDM,5001089_09999001784,NDC Description Not Available,36.05,36.05,,,0 CDM,5001131_76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,107.12,107.12,,,0 CDM,5001182_00409230821,NDC Description Not Available,0.1,0.1,,,0 CDM,5001182_00409230869,NDC Description Not Available,0.77,0.77,,,0 CDM,5001184_55150034501,Naloxone Hydrochloride: 1 Syringe In 1 Box (55150-345-01) / 2 Ml In 1 Syringe,67.98,67.98,,,0 CDM,5001184_76329146901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,71.41,71.41,,,0 CDM,5001184_76329336901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,71.48,71.48,,,0 CDM,5001189_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,381.44,381.44,,,0 CDM,5001202_00143959310,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9593-10) / 10 Ml In 1 Vial (0143-9593-01),87.55,87.55,,,0 CDM,5001202_00143968901,NDC Description Not Available,110.39,110.39,,,0 CDM,5001202_00143968910,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),110.39,110.39,,,0 CDM,5001202_55150018301,NDC Description Not Available,18.54,18.54,,,0 CDM,5001210_67457019803,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-03) / 3 Ml In 1 Vial, Glass (67457-198-00)",50.29,50.29,,,0 CDM,5001223_63323018730,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-187-30) / 30 Ml In 1 Vial, Single-Dose",19.57,19.57,,,0 CDM,5001236_71266861001,NDC Description Not Available,296.98,296.98,,,0 CDM,5001236_88888444445,NDC Description Not Available,721.0,721.0,,,0 CDM,5001237_50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,381.36,381.36,,,0 CDM,5001237_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,311.64,311.64,,,0 CDM,5001237_50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",381.62,381.62,,,0 CDM,5001238_09999002171,NDC Description Not Available,47.44,47.44,,,0 CDM,5001238_69374052950,NDC Description Not Available,47.44,47.44,,,0 CDM,5001238_70004030022,NDC Description Not Available,47.53,47.53,,,0 CDM,5001238_70092111450,NDC Description Not Available,46.02,46.02,,,0 CDM,5001238_71266911003,NDC Description Not Available,47.55,47.55,,,0 CDM,5001246_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,35.71,35.71,,,0 CDM,5001249_67457018120,Ketamine Hydrochloride: 10 VIAL in 1 CARTON (67457-181-20) / 20 mL in 1 VIAL (67457-181-00),204.9,204.9,,,0 CDM,5001274_50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,381.43,381.43,,,0 CDM,5001277_00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),147.77,147.77,,,0 CDM,5001277_00944049506,NDC Description Not Available,207.23,207.23,,,0 CDM,5001277_44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",51.99,51.99,,,0 CDM,5001277_68516521400,Albutein: 2 Bag In 1 Carton (68516-5214-0) / 500 Ml In 1 Bag (68516-5214-8),208.29,208.29,,,0 CDM,5001277_68516521800,NDC Description Not Available,157.18,157.18,,,0 CDM,5001277_68516521804,Albutein: 4 Bag In 1 Carton (68516-5218-4) / 250 Ml In 1 Bag (68516-5218-0),200.98,200.98,,,0 CDM,5001277_68516521900,NDC Description Not Available,229.69,229.69,,,0 CDM,5001277_68982062302,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",0.93,0.93,,,0 CDM,5001277_68982062303,"Albumin (Human): 500 Ml In 1 Bottle, Glass (68982-623-03)",371.6,371.6,,,0 CDM,5001277_76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),154.95,154.95,,,0 CDM,5001277_76125079026,NDC Description Not Available,157.92,157.92,,,0 CDM,5001292_05978122550,NDC Description Not Available,8.87,8.87,,,0 CDM,5001292_05978156430,NDC Description Not Available,8.89,8.89,,,0 CDM,5001292_05978166679,NDC Description Not Available,8.87,8.87,,,0 CDM,5001292_05978166685,NDC Description Not Available,10.23,10.23,,,0 CDM,5001292_05978166688,NDC Description Not Available,10.26,10.26,,,0 CDM,5001292_05978166690,NDC Description Not Available,9.27,9.27,,,0 CDM,5001292_05978166692,NDC Description Not Available,7.21,7.21,,,0 CDM,5001303_00409490234,Dextrose: 10 Carton In 1 Container (0409-4902-34) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-4902-64),59.43,59.43,,,0 CDM,5001303_00409490264,NDC Description Not Available,67.39,67.39,,,0 CDM,5001303_00409664802,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02) / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",18.38,18.38,,,0 CDM,5001303_00409664816,NDC Description Not Available,18.65,18.65,,,0 CDM,5001303_00409751766,NDC Description Not Available,70.4,70.4,,,0 CDM,5001303_76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,68.64,68.64,,,0 CDM,5001304_00245003660,Prevalite: 60 Packet In 1 Carton (0245-0036-60) / 5.5 G In 1 Packet (0245-0036-89),18.54,18.54,,,0 CDM,5001304_00245003689,NDC Description Not Available,18.45,18.45,,,0 CDM,5001304_27241013421,NDC Description Not Available,12.16,12.16,,,0 CDM,5001304_42806026698,NDC Description Not Available,12.08,12.08,,,0 CDM,5001304_42806027098,NDC Description Not Available,12.08,12.08,,,0 CDM,5001304_49884046564,NDC Description Not Available,12.36,12.36,,,0 CDM,5001304_51224001120,Cholestyramine: 60 Pouch In 1 Carton (51224-011-20) / 8.3 G In 1 Pouch,12.2,12.2,,,0 CDM,5001304_67877029809,NDC Description Not Available,12.1,12.1,,,0 CDM,5001304_67877042257,NDC Description Not Available,12.1,12.1,,,0 CDM,5001305_63323085203,NDC Description Not Available,18.0,18.0,,,0 CDM,5001305_76045000901,NDC Description Not Available,19.65,19.65,,,0 CDM,5001305_76045000905,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05) / .5 mL in 1 SYRINGE (76045-009-03),30.9,30.9,,,0 CDM,5001305_76045000911,Dilaudid: 10 Syringe In 1 Carton (76045-009-11) / 1 Ml In 1 Syringe (76045-009-01),24.65,24.65,,,0 CDM,5001305_76045000996,NDC Description Not Available,37.44,37.44,,,0 CDM,5001311_00003256016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2560-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",64.3,64.3,,,0 CDM,5001311_63323040101,NDC Description Not Available,78.11,78.11,,,0 CDM,5001311_63323040120,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",78.02,78.02,,,0 CDM,5001311_63323040121,NDC Description Not Available,59.06,59.06,,,0 CDM,5001312_00143992390,Cefazolin: 2.2 Ml In 1 Vial (0143-9923-90),8.72,8.72,,,0 CDM,5001312_44567070625,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",7.21,7.21,,,0 CDM,5001313_44567024010,Cefepime: 10 Vial In 1 Carton (44567-240-10) / 20 Ml In 1 Vial,12.36,12.36,,,0 CDM,5001313_60505614400,NDC Description Not Available,36.67,36.67,,,0 CDM,5001313_60505614404,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6144-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.56,36.56,,,0 CDM,5001313_60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.23,36.23,,,0 CDM,5001314_00409973501,NDC Description Not Available,10.87,10.87,,,0 CDM,5001314_00409973510,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",10.85,10.85,,,0 CDM,5001314_44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,10.55,10.55,,,0 CDM,5001314_60505614500,NDC Description Not Available,36.37,36.37,,,0 CDM,5001314_60505614504,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.31,36.31,,,0 CDM,5001314_60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.09,36.09,,,0 CDM,5001315_00409508216,"Tazicef: 25 Vial In 1 Carton (0409-5082-16) / 1 Injection, Powder, For Solution In 1 Vial (0409-5082-11)",9.39,9.39,,,0 CDM,5001315_25021012720,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",11.39,11.39,,,0 CDM,5001315_44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",10.04,10.04,,,0 CDM,5001316_00143985701,NDC Description Not Available,2.1,2.1,,,0 CDM,5001316_00409733211,NDC Description Not Available,1.57,1.57,,,0 CDM,5001316_00409733220,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-21)",1.54,1.54,,,0 CDM,5001316_00409733221,NDC Description Not Available,1.61,1.61,,,0 CDM,5001316_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",41.46,41.46,,,0 CDM,5001316_25021010610,"Ceftriaxone: 25 Vial In 1 Carton (25021-106-10) / 1 Injection, Powder, For Solution In 1 Vial",2.58,2.58,,,0 CDM,5001316_44567070125,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",3.35,3.35,,,0 CDM,5001316_60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",3.09,3.09,,,0 CDM,5001317_00143985601,NDC Description Not Available,1.57,1.57,,,0 CDM,5001317_00143985625,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",1.65,1.65,,,0 CDM,5001317_00409733503,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",1.54,1.54,,,0 CDM,5001317_00409733513,NDC Description Not Available,1.53,1.53,,,0 CDM,5001317_00409733520,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-21)",1.54,1.54,,,0 CDM,5001317_00409733521,NDC Description Not Available,1.56,1.56,,,0 CDM,5001317_00781320990,NDC Description Not Available,40.79,40.79,,,0 CDM,5001317_25021010720,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20) / 1 Injection, Powder, For Solution In 1 Vial",2.19,2.19,,,0 CDM,5001317_44567070225,"Ceftriaxone: 25 Vial In 1 Carton (44567-702-25) / 1 Injection, Powder, For Solution In 1 Vial",3.22,3.22,,,0 CDM,5001317_60505614900,NDC Description Not Available,40.32,40.32,,,0 CDM,5001318_00143956701,NDC Description Not Available,9.78,9.78,,,0 CDM,5001318_00143956725,"Cefuroxime: 25 Vial In 1 Carton (0143-9567-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9567-01)",9.78,9.78,,,0 CDM,5001318_00143997790,NDC Description Not Available,12.65,12.65,,,0 CDM,5001318_25021011920,Cefuroxime Sodium: 25 Vial In 1 Carton (25021-119-20) / 20 Ml In 1 Vial,11.84,11.84,,,0 CDM,5001321_00942064104,Acd-A: 1000 Ml In 1 Bag (0942-0641-04),46.87,46.87,,,0 CDM,5001322_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),36.05,36.05,,,0 CDM,5001323_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001327_00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",63.98,63.98,,,0 CDM,5001327_00409729511,NDC Description Not Available,63.86,63.86,,,0 CDM,5001335_00121075908,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.8,1.8,,,0 CDM,5001335_42799081501,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",1.74,1.74,,,0 CDM,5001335_50383004224,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.79,2.79,,,0 CDM,5001335_62135025037,Prednisolone: 240 Ml In 1 Bottle (62135-250-37),7.69,7.69,,,0 CDM,5001336_00264580200,Sodium Chloride: 12 Container In 1 Case (0264-5802-00) / 1000 Ml In 1 Container,18.02,18.02,,,0 CDM,5001336_00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),4.51,4.51,,,0 CDM,5001336_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),9.01,9.01,,,0 CDM,5001336_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),18.58,18.58,,,0 CDM,5001336_00990798309,Sodium Chloride: 12 Pouch In 1 Case (0990-7983-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,18.02,18.02,,,0 CDM,5001338_00548970100,Vasopressin: 1 Vial In 1 Carton (0548-9701-00) / 1 Ml In 1 Vial,252.35,252.35,,,0 CDM,5001371_00781940895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9408-80)",15.11,15.11,,,0 CDM,5001391_00143939801,NDC Description Not Available,86.52,86.52,,,0 CDM,5001400_00143931801,NDC Description Not Available,58.26,58.26,,,0 CDM,5001401_00143931801,NDC Description Not Available,49.53,49.53,,,0 CDM,5001401_44567064201,NDC Description Not Available,290.9,290.9,,,0 CDM,5001401_81298965801,NDC Description Not Available,281.19,281.19,,,0 CDM,5001407_00781309895,Meropenem: 10 Vial In 1 Carton (0781-3098-95) / 30 Ml In 1 Vial (0781-3098-94),25.75,25.75,,,0 CDM,5001412_00143935701,NDC Description Not Available,46.35,46.35,,,0 CDM,5001415_00409337904,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",27.49,27.49,,,0 CDM,5001416_09999002390,NDC Description Not Available,43.78,43.78,,,0 CDM,5001417_00143935501,NDC Description Not Available,34.68,34.68,,,0 CDM,5001420_63323028563,Naropin: 24 Bag In 1 Case (63323-285-63) / 200 Ml In 1 Bag (63323-285-04),0.84,0.84,,,0 CDM,5001423_00264450000,Plenamine: 8 Container In 1 Case (0264-4500-00) / 1000 Ml In 1 Container,515.0,515.0,,,0 CDM,5001424_00264450000,Plenamine: 8 Container In 1 Case (0264-4500-00) / 1000 Ml In 1 Container,515.0,515.0,,,0 CDM,5001427_57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",288.69,288.69,,,0 CDM,5001427_57894016001,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",117.42,117.42,,,0 CDM,5001428_00069080901,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",226.44,226.44,,,0 CDM,5001429_78206016201,"Renflexis: 1 Vial In 1 Carton (78206-162-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",24.86,24.86,,,0 CDM,5001444_00143931801,NDC Description Not Available,3.72,3.72,,,0 CDM,5001448_23155016641,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (23155-166-41) / 10 Ml In 1 Vial, Glass (23155-166-31)",43.26,43.26,,,0 CDM,5001472_76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,107.12,107.12,,,0 CDM,5001479_42023016401,NDC Description Not Available,764.98,764.98,,,0 CDM,5001480_09999002810,NDC Description Not Available,1664.48,1664.48,,,0 CDM,5001512_09999002498,NDC Description Not Available,16.12,16.12,,,0 CDM,5001518_23155021631,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",20.82,20.82,,,0 CDM,5001551_00264220300,Lactated Ringers: 16 Container In 1 Case (0264-2203-00) / 1000 Ml In 1 Container,448.17,448.17,,,0 CDM,5001564_00409434616,NDC Description Not Available,5.21,5.21,,,0 CDM,5001565_60505100501,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60505-1005-1) / 5 Ml In 1 Bottle, Dropper",1161.84,1161.84,,,0 CDM,5001565_60758080105,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-801-05) / 5 Ml In 1 Bottle, Dropper",23.69,23.69,,,0 CDM,5001565_60758080110,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-801-10) / 10 Ml In 1 Bottle, Dropper",31.06,31.06,,,0 CDM,5001565_61314022705,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",34.76,34.76,,,0 CDM,5001565_61314022715,"Timolol Maleate: 15 Ml In 1 Bottle, Plastic (61314-227-15)",176.13,176.13,,,0 CDM,5001565_64980051405,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,61.6,61.6,,,0 CDM,5001565_82260081305,"Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (82260-813-05) / 5 Ml In 1 Bottle, Dispensing",9.27,9.27,,,0 CDM,5001569_00407141403,"10 BOTTLE, GLASS in 1 BOX (0407-1414-03) / 150 mL in 1 BOTTLE, GLASS",4.02,4.02,,,0 CDM,5001569_00407141408,NDC Description Not Available,4.31,4.31,,,0 CDM,5001569_00407141448,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-48) / 500 Ml In 1 Bottle, Plastic",3.55,3.55,,,0 CDM,5001569_00407141472,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-72) / 500 Ml In 1 Bottle, Plastic",3.6,3.6,,,0 CDM,5001569_00407141482,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-82) / 50 Ml In 1 Bottle, Plastic",18.92,18.92,,,0 CDM,5001569_00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",16.85,16.85,,,0 CDM,5001569_00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",4.36,4.36,,,0 CDM,5001569_00407141493,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",4.04,4.04,,,0 CDM,5001575_00338012612,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,0.51,0.51,,,0 CDM,5001577_09999002532,NDC Description Not Available,8.76,8.76,,,0 CDM,5001577_63323055921,NDC Description Not Available,4.67,4.67,,,0 CDM,5001577_63323055963,NDC Description Not Available,4.34,4.34,,,0 CDM,5001577_63323055965,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-65) / 1 Syringe In 1 Blister Pack (63323-559-63) / .3 Ml In 1 Syringe,4.32,4.32,,,0 CDM,5001579_00409116502,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1165-02) / 30 Ml In 1 Vial, Single-Dose (0409-1165-19)",9.27,9.27,,,0 CDM,5001592_00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),36.05,36.05,,,0 CDM,5001592_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),36.05,36.05,,,0 CDM,5001592_09999003911,NDC Description Not Available,9.01,9.01,,,0 CDM,5001593_63323036005,NDC Description Not Available,0.23,0.23,,,0 CDM,5001594_63323036005,NDC Description Not Available,0.34,0.34,,,0 CDM,5001595_09999003162,NDC Description Not Available,749.84,749.84,,,0 CDM,5001595_43066015010,Nexterone: 100 Ml In 1 Bag (43066-150-10),149.97,149.97,,,0 CDM,5001596_63323001302,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",0.43,0.43,,,0 CDM,5001597_00008092360,Protonix I.V.: 25 Carton In 1 Package (0008-0923-60) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,22.06,22.06,,,0 CDM,5001605_61958290101,"Veklury: 1 VIAL, SINGLE-DOSE in 1 CARTON (61958-2901-1) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",1427.58,1427.58,,,0 CDM,5001615_69374095710,NDC Description Not Available,0.43,0.43,,,0 CDM,5001615_70092104646,NDC Description Not Available,0.81,0.81,,,0 CDM,5001615_71266901101,NDC Description Not Available,0.41,0.41,,,0 CDM,5001619_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),3.6,3.6,,,0 CDM,5001626_00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",1.37,1.37,,,0 CDM,5001630_00591257920,"Valganciclovir Hydrochloride For Oral: 100 Ml In 1 Bottle, Glass (0591-2579-20)",21.81,21.81,,,0 CDM,5001632_00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",0.52,0.52,,,0 CDM,5001636_00407141408,NDC Description Not Available,4.37,4.37,,,0 CDM,5001636_00407141482,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-82) / 50 Ml In 1 Bottle, Plastic",4.95,4.95,,,0 CDM,5001636_00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",4.42,4.42,,,0 CDM,5001636_00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",4.37,4.37,,,0 CDM,5001637_00143962201,"Labetalol Hydrochloride: 1 Vial In 1 Box, Unit-Dose (0143-9622-01) / 20 Ml In 1 Vial",26.99,26.99,,,0 CDM,5001637_00143962301,"Labetalol Hydrochloride: 1 Vial In 1 Box, Unit-Dose (0143-9623-01) / 40 Ml In 1 Vial",50.47,50.47,,,0 CDM,5001637_00409012501,NDC Description Not Available,16.76,16.76,,,0 CDM,5001637_00409012525,"Labetalol Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-0125-25) / 20 Ml In 1 Vial, Multi-Dose (0409-0125-01)",17.15,17.15,,,0 CDM,5001637_00409226754,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-54) / 40 Ml In 1 Vial, Multi-Dose",37.42,37.42,,,0 CDM,5001637_00409233924,NDC Description Not Available,38.9,38.9,,,0 CDM,5001637_00409233934,Labetalol Hydrochloride: 10 Carton In 1 Package (0409-2339-34) / 1 Cartridge In 1 Carton / 4 Ml In 1 Cartridge (0409-2339-24),17.46,17.46,,,0 CDM,5001637_17478042020,"Labetalol Hydrochloride: 1 VIAL, MULTI-DOSE in 1 BOX (17478-420-20) / 20 mL in 1 VIAL, MULTI-DOSE",8.51,8.51,,,0 CDM,5001637_36000032001,NDC Description Not Available,8.89,8.89,,,0 CDM,5001637_36000032201,NDC Description Not Available,9.14,9.14,,,0 CDM,5001637_36000032202,Labetalol Hydrochloride: 1 Vial In 1 Carton (36000-322-02) / 20 Ml In 1 Vial (36000-322-01),9.15,9.15,,,0 CDM,5001637_65302050304,NDC Description Not Available,30.6,30.6,,,0 CDM,5001637_72266010201,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01) / 20 Ml In 1 Vial, Multi-Dose",34.62,34.62,,,0 CDM,5001637_72266010301,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-103-01) / 40 Ml In 1 Vial, Multi-Dose",24.06,24.06,,,0 CDM,5001637_72266010341,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-103-41) / 40 Ml In 1 Vial, Multi-Dose",24.08,24.08,,,0 CDM,5001637_72603014601,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72603-146-01) / 20 Ml In 1 Vial, Multi-Dose",27.4,27.4,,,0 CDM,5001638_00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",79.14,79.14,,,0 CDM,5001638_00409739182,NDC Description Not Available,79.05,79.05,,,0 CDM,5001650_00338113004,Premasol - Sulfite-Free (Amino Acid): 1000 Ml In 1 Bag (0338-1130-04),14.42,14.42,,,0 CDM,5001654_00407141472,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-72) / 500 Ml In 1 Bottle, Plastic",2.86,2.86,,,0 CDM,5001654_00407141488,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-88) / 500 Ml In 1 Bottle, Plastic",3.84,3.84,,,0 CDM,5001654_00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",5.56,5.56,,,0 CDM,5001654_00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",3.93,3.93,,,0 CDM,5001659_00143927901,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",374.94,374.94,,,0 CDM,5001659_25021025150,Mitomycin: 1 Vial In 1 Carton (25021-251-50) / 40 Ml In 1 Vial,357.92,357.92,,,0 CDM,5001659_71288013850,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",344.23,344.23,,,0 CDM,5001661_71288013720,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-137-20) / 10 Ml In 1 Vial, Single-Dose",584.01,584.01,,,0 CDM,5001662_00990773037,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001663_09999002745,NDC Description Not Available,36.05,36.05,,,0 CDM,5001663_09999003201,NDC Description Not Available,29.18,29.18,,,0 CDM,5001664_00990773037,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001665_00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),35.17,35.17,,,0 CDM,5001687_00338102541,Penicillin G Potassium: 50 Ml In 1 Bag (0338-1025-41),9.27,9.27,,,0 CDM,5001704_00054042825,flucytosine: 100 CAPSULE in 1 BOTTLE (0054-0428-25),2682.67,2682.67,,,0 CDM,5001711_63323082001,NDC Description Not Available,95.28,95.28,,,0 CDM,5001715_00009021501,NDC Description Not Available,0.02,0.02,,,0 CDM,5001722_09999002794,NDC Description Not Available,46.32,46.32,,,0 CDM,5001723_00143935901,"Vancomycin Hydrochloride: 1 Injection, Powder, For Solution In 1 Bottle (0143-9359-01)",46.38,46.38,,,0 CDM,5001724_00069315083,Zithromax: 10 Vial In 1 Carton (0069-3150-83) / 5 Ml In 1 Vial (0069-3150-84),26.57,26.57,,,0 CDM,5001725_00517037401,NDC Description Not Available,20.42,20.42,,,0 CDM,5001725_00517037405,Provayblue: 5 Ampule In 1 Carton (0517-0374-05) / 10 Ml In 1 Ampule (0517-0374-01),20.27,20.27,,,0 CDM,5001727_00409230801,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-01) / 1 Ml In 1 Vial, Single-Dose (0409-2308-21)",2.34,2.34,,,0 CDM,5001727_00409230802,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",4.03,4.03,,,0 CDM,5001727_00409230821,NDC Description Not Available,2.66,2.66,,,0 CDM,5001727_00409230822,NDC Description Not Available,0.55,0.55,,,0 CDM,5001727_00409230869,NDC Description Not Available,0.88,0.88,,,0 CDM,5001727_00409259615,NDC Description Not Available,0.62,0.62,,,0 CDM,5001727_00641606001,NDC Description Not Available,0.6,0.6,,,0 CDM,5001733_00944049303,NDC Description Not Available,47.38,47.38,,,0 CDM,5001750_00013111401,NDC Description Not Available,54.01,54.01,,,0 CDM,5001773_42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,550.02,550.02,,,0 CDM,5001782_00168000415,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15) / 15 G In 1 Tube,13.39,13.39,,,0 CDM,5001782_00168000416,Triamcinolone Acetonide: 453.6 G In 1 Jar (0168-0004-16),86.52,86.52,,,0 CDM,5001782_16714098604,Triamcinolone Acetonide: 454 G In 1 Jar (16714-986-04),103.0,103.0,,,0 CDM,5001782_45802006405,Triamcinolone Acetonide: 454 G In 1 Jar (45802-064-05),83.43,83.43,,,0 CDM,5001782_67877025115,Triamcinolone Acetonide: 15 G In 1 Tube (67877-251-15),20.6,20.6,,,0 CDM,5001782_67877025145,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),113.04,113.04,,,0 CDM,50017_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,5001805_00143956410,Phentolamine Mesylate: 10 Vial In 1 Box (0143-9564-10) / 1 Ml In 1 Vial,1211.28,1211.28,,,0 CDM,5001806_00143956401,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,1211.28,1211.28,,,0 CDM,5001813_71449007851,NDC Description Not Available,0.8,0.8,,,0 CDM,5001818_00013111401,NDC Description Not Available,43.26,43.26,,,0 CDM,5001818_39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,14.83,14.83,,,0 CDM,5001818_43066000801,NDC Description Not Available,9.48,9.48,,,0 CDM,5001818_43066000810,"Tranexamic Acid: 10 Carton In 1 Box (43066-008-10) / 1 Vial, Single-Dose In 1 Carton / 10 Ml In 1 Vial, Single-Dose (43066-008-01)",14.08,14.08,,,0 CDM,5001818_61990061100,NDC Description Not Available,90.12,90.12,,,0 CDM,5001818_72485051001,NDC Description Not Available,24.76,24.76,,,0 CDM,5001818_81284061100,NDC Description Not Available,12.03,12.03,,,0 CDM,5001818_81284061200,NDC Description Not Available,3.99,3.99,,,0 CDM,5001818_81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",8.24,8.24,,,0 CDM,5001820_00409116202,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",61.99,61.99,,,0 CDM,5001824_00409021202,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Carton (0409-0212-02) / 20 Ml In 1 Vial, Single-Dose (0409-0212-11)",48.92,48.92,,,0 CDM,5001824_00409021211,NDC Description Not Available,49.1,49.1,,,0 CDM,5001826_00409272003,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",2.79,2.79,,,0 CDM,5001828_00409272003,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",2.79,2.79,,,0 CDM,5001830_00409272003,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",13.92,13.92,,,0 CDM,5001832_63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),14.2,14.2,,,0 CDM,5001835_63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),22.85,22.85,,,0 CDM,5001839_65250026620,NDC Description Not Available,174.42,174.42,,,0 CDM,5001856_00409330803,Acetylcysteine: 3 Vial In 1 Carton (0409-3308-03) / 30 Ml In 1 Vial (0409-3308-11),10.09,10.09,,,0 CDM,5001856_00409330811,NDC Description Not Available,9.58,9.58,,,0 CDM,5001856_00517760401,NDC Description Not Available,64.86,64.86,,,0 CDM,5001856_25021081230,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,99.95,99.95,,,0 CDM,5001856_63323069030,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),16.47,16.47,,,0 CDM,5001856_63323069210,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10) / 10 Ml In 1 Vial (63323-692-22),24.47,24.47,,,0 CDM,5001856_63323069404,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),79.4,79.4,,,0 CDM,5001860_00409116502,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1165-02) / 30 Ml In 1 Vial, Single-Dose (0409-1165-19)",9.91,9.91,,,0 CDM,5001865_72196701801,NDC Description Not Available,200.03,200.03,,,0 CDM,5001866_70324022701,NDC Description Not Available,129.78,129.78,,,0 CDM,5001876_42367057022,NDC Description Not Available,307.71,307.71,,,0 CDM,5001879_00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",6.64,6.64,,,0 CDM,5001887_00121085320,"Sulfamethoxazole And Trimethoprim: 10 Cup, Unit-Dose In 1 Tray (0121-0853-20) / 20 Ml In 1 Cup, Unit-Dose",31.93,31.93,,,0 CDM,5001887_50383082316,Sulfamethoxazole and Trimethoprim: 473 mL in 1 BOTTLE (50383-823-16),16.48,16.48,,,0 CDM,5001890_46287000660,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",46.35,46.35,,,0 CDM,5001890_62559035660,NDC Description Not Available,111.76,111.76,,,0 CDM,5001899_00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",12.69,12.69,,,0 CDM,5001899_10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",6.84,6.84,,,0 CDM,5001899_10019093950,NDC Description Not Available,8.0,8.0,,,0 CDM,5001899_10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",6.66,6.66,,,0 CDM,5001899_10019095616,NDC Description Not Available,10.15,10.15,,,0 CDM,5001899_16714085701,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01) / 50 Ml In 1 Vial, Single-Dose",9.74,9.74,,,0 CDM,5001899_25021024851,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51) / 50 Ml In 1 Vial,5.4,5.4,,,0 CDM,5001899_65219013120,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-131-20) / 50 Ml In 1 Vial, Single-Dose",5.36,5.36,,,0 CDM,5001899_70121123901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1239-1) / 50 Ml In 1 Vial, Single-Dose",9.01,9.01,,,0 CDM,5001899_72603032601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (72603-326-01) / 50 Ml In 1 Vial, Single-Dose",9.99,9.99,,,0 CDM,5001899_81298811201,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8112-1) / 50 Ml In 1 Vial, Single-Dose",102.24,102.24,,,0 CDM,5001900_00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",9.37,9.37,,,0 CDM,5001901_76075010101,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",134.62,134.62,,,0 CDM,5001903_00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",62.49,62.49,,,0 CDM,5001930_09999003089,NDC Description Not Available,123.53,123.53,,,0 CDM,5001940_00013111421,Cyklokapron: 10 Vial In 1 Box (0013-1114-21) / 10 Ml In 1 Vial (0013-1114-20),78.58,78.58,,,0 CDM,5001948_00548970100,Vasopressin: 1 Vial In 1 Carton (0548-9701-00) / 1 Ml In 1 Vial,6.2,6.2,,,0 CDM,5001961_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001961_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001961_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001961_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001961_00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001961_00338006230,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.05,36.05,,,0 CDM,5001970_71699020128,"Xcopri Titration Pack: 1 Kit In 1 Carton (71699-201-28) * 1 Tablet In 1 Blister Pack * 1 Tablet, Film Coated In 1 Blister Pack",160.68,160.68,,,0 CDM,5001971_71699020128,"Xcopri Titration Pack: 1 Kit In 1 Carton (71699-201-28) * 1 Tablet In 1 Blister Pack * 1 Tablet, Film Coated In 1 Blister Pack",160.53,160.53,,,0 CDM,5002002_63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),28.93,28.93,,,0 CDM,5002003_42023010501,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",75.78,75.78,,,0 CDM,5002010_00409909416,NDC Description Not Available,4.93,4.93,,,0 CDM,5002010_00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",5.07,5.07,,,0 CDM,5002010_00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),9.01,9.01,,,0 CDM,5002013_42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,477.92,477.92,,,0 CDM,5002041_09999003252,NDC Description Not Available,16.09,16.09,,,0 CDM,5002045_00013111421,Cyklokapron: 10 Vial In 1 Box (0013-1114-21) / 10 Ml In 1 Vial (0013-1114-20),86.52,86.52,,,0 CDM,5002045_39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,13.39,13.39,,,0 CDM,5002045_72485051001,NDC Description Not Available,24.72,24.72,,,0 CDM,5002045_81284061100,NDC Description Not Available,12.16,12.16,,,0 CDM,5002045_81284061110,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10) / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",12.36,12.36,,,0 CDM,5002045_81284061200,NDC Description Not Available,3.74,3.74,,,0 CDM,5002045_81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",8.24,8.24,,,0 CDM,5002100_70004025340,NDC Description Not Available,2.06,2.06,,,0 CDM,5002101_70004025340,NDC Description Not Available,2.05,2.05,,,0 CDM,5002111_63323020521,NDC Description Not Available,54.3,54.3,,,0 CDM,5002125_09999003497,NDC Description Not Available,27.31,27.31,,,0 CDM,5002133_69918090111,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-11) / 10 Ml In 1 Vial, Multi-Dose",347.11,347.11,,,0 CDM,5002140_70004025340,NDC Description Not Available,2.06,2.06,,,0 CDM,5002147_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),64.89,64.89,,,0 CDM,5002147_09999003913,NDC Description Not Available,24.88,24.88,,,0 CDM,5002155_60793070102,NDC Description Not Available,599.98,599.98,,,0 CDM,5002155_60793070204,NDC Description Not Available,712.98,712.98,,,0 CDM,5002156_65219059210,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",240.77,240.77,,,0 CDM,5002156_65219059420,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",241.42,241.42,,,0 CDM,5002159_42023016401,NDC Description Not Available,766.32,766.32,,,0 CDM,5002169_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,4.37,4.37,,,0 CDM,5002169_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.44,0.44,,,0 CDM,5002173_67877073295,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),123.68,123.68,,,0 CDM,5002175_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),36.05,36.05,,,0 CDM,5002175_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002191_00703001801,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,3.58,3.58,,,0 CDM,5002198_09999003793,NDC Description Not Available,1.93,1.93,,,0 CDM,5002203_52652195001,"Thyquidity: 1 Bottle, Glass In 1 Carton (52652-1950-1) / 100 Ml In 1 Bottle, Glass",31.93,31.93,,,0 CDM,5002204_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.6,3.6,,,0 CDM,5002205_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.4,3.4,,,0 CDM,5002205_00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,1.03,1.03,,,0 CDM,5002206_00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.2,3.2,,,0 CDM,5002206_00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,2.06,2.06,,,0 CDM,5002221_25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,34.44,34.44,,,0 CDM,5002221_72485010401,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",14.31,14.31,,,0 CDM,5002238_24571010506,Prismasol Bgk4/2.5: 2 Bag In 1 Case (24571-105-06) / 5 L In 1 Bag,120.6,120.6,,,0 CDM,5002263_00143953225,Dexmedetomidine Hcl: 25 Vial In 1 Carton (0143-9532-25) / 2 Ml In 1 Vial (0143-9532-01),88.64,88.64,,,0 CDM,5002264_00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,36.05,36.05,,,0 CDM,5002264_00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),36.05,36.05,,,0 CDM,5002264_00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),36.05,36.05,,,0 CDM,5002264_00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),36.05,36.05,,,0 CDM,5002264_00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002264_00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002264_00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002264_00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002264_00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,36.05,36.05,,,0 CDM,5002264_00338055111,Dextrose: 50 Ml In 1 Bag (0338-0551-11),36.05,36.05,,,0 CDM,5002287_00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",21.15,21.15,,,0 CDM,5002291_39822110001,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1) / 10 Ml In 1 Vial, Multi-Dose",3.09,3.09,,,0 CDM,5002291_63323018410,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",5.43,5.43,,,0 CDM,5002292_42192060806,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",4.6,4.6,,,0 CDM,5002307_25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,39.14,39.14,,,0 CDM,5002308_64380072206,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),13.75,13.75,,,0 CDM,5002315_00093342605,"Lorazepam: 500 Tablet In 1 Bottle, Plastic (0093-3426-05)",0.48,0.48,,,0 CDM,5002_00409341401,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",5.16,5.16,,,0 CDM,5002_00409341418,NDC Description Not Available,5.23,5.23,,,0 CDM,5002_00409341421,NDC Description Not Available,4.76,4.76,,,0 CDM,5002_00703450201,NDC Description Not Available,14.01,14.01,,,0 CDM,5002_00703450204,"Metoclopramide: 25 Vial, Single-Use In 1 Tray (0703-4502-04) / 2 Ml In 1 Vial, Single-Use (0703-4502-01)",14.42,14.42,,,0 CDM,5002_00703450291,NDC Description Not Available,12.87,12.87,,,0 CDM,5002_00703450293,"Metoclopramide: 10 Vial, Single-Use In 1 Carton (0703-4502-93) / 2 Ml In 1 Vial, Single-Use (0703-4502-91)",7.21,7.21,,,0 CDM,5002_23155024031,NDC Description Not Available,8.13,8.13,,,0 CDM,5002_23155024041,Metoclopramide: 25 Vial In 1 Carton (23155-240-41) / 2 Ml In 1 Vial (23155-240-31),8.09,8.09,,,0 CDM,5002_83634077941,NDC Description Not Available,5.27,5.27,,,0 CDM,50030_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,50031_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,50039_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,50040_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,50041_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,50042_C1776_278,Noncdm Charge Record Medical Supplies,1657.15,1657.15,,,0 CDM,50053_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,50076_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,50081_C1726_278,Noncdm Charge Record Medical Supplies,294.8,294.8,,,0 CDM,50089_C1769_278,Noncdm Charge Record Medical Supplies,189.29,189.29,,,0 CDM,500998_55150016613,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13) / 12.5 Ml In 1 Vial, Single-Dose",689.09,689.09,,,0 CDM,50104_C1726_278,Noncdm Charge Record Medical Supplies,467.5,467.5,,,0 CDM,50105_C1726_278,Noncdm Charge Record Medical Supplies,467.54,467.54,,,0 CDM,50106_C1726_278,Noncdm Charge Record Medical Supplies,467.55,467.55,,,0 CDM,5011_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,5015_270,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,5015_60687052611,NDC Description Not Available,1.8,1.8,,,0 CDM,5016_00904712661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61) / 1 Tablet In 1 Blister Pack,3.09,3.09,,,0 CDM,5016_50268053511,NDC Description Not Available,2.83,2.83,,,0 CDM,5016_60687055011,NDC Description Not Available,3.34,3.34,,,0 CDM,50189_C1893_278,Noncdm Charge Record Medical Supplies,15.65,15.65,,,0 CDM,5018_00264553532,Metronidazole: 6 Carton In 1 Case (0264-5535-32) / 4 Container In 1 Carton / 100 Ml In 1 Container,14.21,14.21,,,0 CDM,5018_00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,9.62,9.62,,,0 CDM,5018_00409015201,NDC Description Not Available,8.97,8.97,,,0 CDM,5018_00409781124,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24) / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),8.24,8.24,,,0 CDM,5018_25021013182,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.66,9.66,,,0 CDM,5018_47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,11.49,11.49,,,0 CDM,5018_80830246501,NDC Description Not Available,13.02,13.02,,,0 CDM,50190_C1887_278,Noncdm Charge Record Medical Supplies,31.82,31.82,,,0 CDM,50191_C1887_272,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,50191_C1887_278,Noncdm Charge Record Medical Supplies,31.84,31.84,,,0 CDM,50195_C1766_278,Noncdm Charge Record Medical Supplies,29.7,29.7,,,0 CDM,50199_C1887_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,50201_270,Noncdm Charge Record Medical Supplies,95.7,95.7,,,0 CDM,50202_C1893_278,Noncdm Charge Record Medical Supplies,45.99,45.99,,,0 CDM,50204_C1894_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,50207_C1894_278,Noncdm Charge Record Medical Supplies,61.53,61.53,,,0 CDM,50208_C1894_278,Noncdm Charge Record Medical Supplies,61.54,61.54,,,0 CDM,50209_C1894_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,50210_C1729_278,Noncdm Charge Record Medical Supplies,125.4,125.4,,,0 CDM,50278_270,Noncdm Charge Record Medical Supplies,601.67,601.67,,,0 CDM,50279_270,Noncdm Charge Record Medical Supplies,537.98,537.98,,,0 CDM,5027_270,Noncdm Charge Record Medical Supplies,112.2,112.2,,,0 CDM,50284_270,Noncdm Charge Record Medical Supplies,334.03,334.03,,,0 CDM,50285_270,Noncdm Charge Record Medical Supplies,328.9,328.9,,,0 CDM,50286_270,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,50287_270,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,50289_270,Noncdm Charge Record Medical Supplies,520.3,520.3,,,0 CDM,50303_L8690_278,Noncdm Charge Record Medical Supplies,4526.5,4526.5,,,0 CDM,50327_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,50339_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,50339_C9359_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,50339_C9359_636,Noncdm Charge Record Pharmacy,144.2,144.2,,,0 CDM,5039_00536137575,Miconazole Nitrate 2% Cream Antifungal: 1 Tube In 1 Box (0536-1375-75) / 28.3 G In 1 Tube,5.15,5.15,,,0 CDM,5039_51672200102,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2) / 30 G In 1 Tube,7.21,7.21,,,0 CDM,50400_C1874_278,Noncdm Charge Record Medical Supplies,3881.9,3881.9,,,0 CDM,50401_C1874_278,Noncdm Charge Record Medical Supplies,3958.9,3958.9,,,0 CDM,50402_C1874_278,Noncdm Charge Record Medical Supplies,3958.9,3958.9,,,0 CDM,50403_C1874_278,Noncdm Charge Record Medical Supplies,4189.9,4189.9,,,0 CDM,50404_C1874_278,Noncdm Charge Record Medical Supplies,4190.08,4190.08,,,0 CDM,50406_C1874_278,Noncdm Charge Record Medical Supplies,3959.09,3959.09,,,0 CDM,50407_C1874_278,Noncdm Charge Record Medical Supplies,3881.9,3881.9,,,0 CDM,5040_49348053077,"Sunmark Miconazole 7: 1 Tube, With Applicator In 1 Carton (49348-530-77) / 45 G In 1 Tube, With Applicator",11.33,11.33,,,0 CDM,5040_49348087277,Sunmark Miconazole 7: 1 Tube In 1 Carton (49348-872-77) / 45 G In 1 Tube,8.45,8.45,,,0 CDM,5040_51672203506,"Miconazole Nitrate: 1 Tube, With Applicator In 1 Carton (51672-2035-6) / 45 G In 1 Tube, With Applicator",11.47,11.47,,,0 CDM,5040_61269073041,"Miconazole 7: 1 Tube, With Applicator In 1 Carton (61269-730-41) / 45 G In 1 Tube, With Applicator",7.21,7.21,,,0 CDM,5040_61269073063,"Miconazole 7: 1 Tube, With Applicator In 1 Carton (61269-730-63) / 45 G In 1 Tube, With Applicator",7.21,7.21,,,0 CDM,5040_70677122201,"Foster And Thrive Miconazole: 1 Tube, With Applicator In 1 Carton (70677-1222-1) / 45 G In 1 Tube, With Applicator",9.27,9.27,,,0 CDM,5040_70677122501,Foster And Thrive Miconazole 7: 1 Tube In 1 Carton (70677-1225-1) / 45 G In 1 Tube,9.27,9.27,,,0 CDM,50410_C1874_278,Noncdm Charge Record Medical Supplies,4189.9,4189.9,,,0 CDM,50437_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,50438_C1894_278,Noncdm Charge Record Medical Supplies,91.23,91.23,,,0 CDM,50439_C1894_278,Noncdm Charge Record Medical Supplies,91.25,91.25,,,0 CDM,50441_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,50442_C1769_278,Noncdm Charge Record Medical Supplies,82.43,82.43,,,0 CDM,50443_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,50458_C1889_278,Noncdm Charge Record Medical Supplies,7068.6,7068.6,,,0 CDM,50471_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,50472_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,50494_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,50540_C1769_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,50542_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,50553_C1713_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,50613_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,50616_270,Noncdm Charge Record Medical Supplies,351.59,351.59,,,0 CDM,50617_270,Noncdm Charge Record Medical Supplies,857.45,857.45,,,0 CDM,50618_270,Noncdm Charge Record Medical Supplies,538.83,538.83,,,0 CDM,50619_270,Noncdm Charge Record Medical Supplies,510.4,510.4,,,0 CDM,50620_270,Noncdm Charge Record Medical Supplies,562.04,562.04,,,0 CDM,50621_270,Noncdm Charge Record Medical Supplies,479.6,479.6,,,0 CDM,50622_270,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,50624_270,Noncdm Charge Record Medical Supplies,510.4,510.4,,,0 CDM,50625_270,Noncdm Charge Record Medical Supplies,545.6,545.6,,,0 CDM,50626_270,Noncdm Charge Record Medical Supplies,510.4,510.4,,,0 CDM,50646_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50647_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50654_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50655_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50656_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50657_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,50665_C1713_278,Noncdm Charge Record Medical Supplies,315.7,315.7,,,0 CDM,50667_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,50668_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,50669_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,50671_C1713_278,Noncdm Charge Record Medical Supplies,2272.6,2272.6,,,0 CDM,50729_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,50730_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,50753_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,50756_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,50765_270,Noncdm Charge Record Medical Supplies,521.31,521.31,,,0 CDM,5086_48433020230,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",2.06,2.06,,,0 CDM,5087_70677109001,Foster And Thrive Ready To Use Mineral Oil Laxative: 1 Bottle In 1 Carton (70677-1090-1) / 133 Ml In 1 Bottle,11.48,11.48,,,0 CDM,50903_C1884_278,Noncdm Charge Record Medical Supplies,2502.5,2502.5,,,0 CDM,50908_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50909_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50914_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50915_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50916_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50917_C1876_278,Noncdm Charge Record Medical Supplies,2810.5,2810.5,,,0 CDM,50925_C1769_278,Noncdm Charge Record Medical Supplies,200.2,200.2,,,0 CDM,5100005_61703030906,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",74.41,74.41,,,0 CDM,5100005_61703030916,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",35.97,35.97,,,0 CDM,5100005_61703030926,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",61.09,61.09,,,0 CDM,5100006_00143939401,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0143-9394-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",9.93,9.93,,,0 CDM,5100006_00409018101,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",44.12,44.12,,,0 CDM,5100006_00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",43.45,43.45,,,0 CDM,5100006_00409018201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",39.24,39.24,,,0 CDM,5100006_00409018301,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",30.94,30.94,,,0 CDM,5100006_00409018701,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0187-01) / 50 Ml In 1 Vial, Single-Dose",94.28,94.28,,,0 CDM,5100006_16714093001,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (16714-930-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",34.48,34.48,,,0 CDM,5100006_25021023550,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,40.65,40.65,,,0 CDM,5100006_63323012553,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-125-53) / 25 Ml In 1 Vial, Single-Dose",30.35,30.35,,,0 CDM,5100006_67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",32.15,32.15,,,0 CDM,5100006_71288011450,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-114-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",39.76,39.76,,,0 CDM,5100006_71288011728,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",19.06,19.06,,,0 CDM,5100009_00703398501,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3985-01) / 10 Ml In 1 Vial, Single-Use",2.11,2.11,,,0 CDM,5100009_00703398601,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3986-01) / 20 Ml In 1 Vial, Single-Use",2.15,2.15,,,0 CDM,5100009_00781331570,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",9.47,9.47,,,0 CDM,5100009_00781331780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",5.43,5.43,,,0 CDM,5100009_00781931780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9317-80) / 20 Ml In 1 Vial, Single-Use",5.72,5.72,,,0 CDM,5100009_25021023320,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.08,1.08,,,0 CDM,5100009_60505613206,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,2.13,2.13,,,0 CDM,5100009_60505613207,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,2.14,2.14,,,0 CDM,5100009_61703036322,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",2.03,2.03,,,0 CDM,5100009_67457044220,Oxaliplatin: 1 Vial In 1 Carton (67457-442-20) / 20 Ml In 1 Vial,3.59,3.59,,,0 CDM,5100009_71288010120,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-20) / 20 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 CDM,5100009_72266016201,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (72266-162-01) / 20 Ml In 1 Vial, Single-Use",0.54,0.54,,,0 CDM,5100009_72603010101,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",4.28,4.28,,,0 CDM,5100010_00009008202,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-0082-02) / 15 Ml In 1 Vial, Single-Dose",35.07,35.07,,,0 CDM,5100010_00009111102,"Camptosar: 1 VIAL, SINGLE-DOSE in 1 CARTON (0009-1111-02) / 5 mL in 1 VIAL, SINGLE-DOSE",39.66,39.66,,,0 CDM,5100010_00009752905,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-05) / 15 Ml In 1 Vial, Single-Dose",31.78,31.78,,,0 CDM,5100010_00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",61.64,61.64,,,0 CDM,5100010_16714013101,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-131-01) / 5 Ml In 1 Vial, Single-Dose",42.72,42.72,,,0 CDM,5100010_25021023002,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,34.57,34.57,,,0 CDM,5100010_55150035401,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-354-01) / 15 Ml In 1 Vial, Single-Dose",28.47,28.47,,,0 CDM,5100010_60505612800,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",27.63,27.63,,,0 CDM,5100010_60505612801,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",25.56,25.56,,,0 CDM,5100010_60505627201,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6272-1) / 5 Ml In 1 Vial, Single-Use",26.01,26.01,,,0 CDM,5100010_61703034909,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",18.71,18.71,,,0 CDM,5100010_61703034916,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-16) / 2 Ml In 1 Vial, Single-Dose",32.98,32.98,,,0 CDM,5100011_55513095401,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",411.78,411.78,,,0 CDM,5100011_55513095601,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",428.15,428.15,,,0 CDM,5100012_16729027638,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (16729-276-38) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.67,23.67,,,0 CDM,5100012_25021021598,Fluorouracil: 1 Bottle In 1 Carton (25021-215-98) / 50 Ml In 1 Bottle,22.84,22.84,,,0 CDM,5100012_25021021599,Fluorouracil: 1 Bottle In 1 Carton (25021-215-99) / 100 Ml In 1 Bottle,22.04,22.04,,,0 CDM,5100012_62332075150,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-751-50) / 50 Ml In 1 Vial, Pharmacy Bulk Package",22.82,22.82,,,0 CDM,5100012_62332077931,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.51,23.51,,,0 CDM,5100012_63323011700,NDC Description Not Available,10.64,10.64,,,0 CDM,5100012_63323011701,NDC Description Not Available,11.14,11.14,,,0 CDM,5100012_63323011710,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",14.51,14.51,,,0 CDM,5100012_63323011720,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",11.81,11.81,,,0 CDM,5100012_63323011751,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-51) / 50 Ml In 1 Vial, Pharmacy Bulk Package",11.36,11.36,,,0 CDM,5100012_63323011761,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",11.89,11.89,,,0 CDM,5100012_63323011769,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-69) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.61,9.61,,,0 CDM,5100012_70700018622,NDC Description Not Available,21.34,21.34,,,0 CDM,5100012_70700018623,Fluorouracil: 10 Vial In 1 Carton (70700-186-23) / 10 Ml In 1 Vial (70700-186-22),41.38,41.38,,,0 CDM,5100012_70700018723,Fluorouracil: 10 Vial In 1 Carton (70700-187-23) / 20 Ml In 1 Vial (70700-187-22),39.4,39.4,,,0 CDM,5100012_70700018822,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.89,20.89,,,0 CDM,5100012_70700018922,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-189-22) / 100 Ml In 1 Vial, Pharmacy Bulk Package",22.89,22.89,,,0 CDM,5100021_00781323394,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",287.88,287.88,,,0 CDM,5100021_00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",11.85,11.85,,,0 CDM,5100021_10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",6.32,6.32,,,0 CDM,5100021_10019093950,NDC Description Not Available,7.2,7.2,,,0 CDM,5100021_10019095501,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",15.84,15.84,,,0 CDM,5100021_10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",6.73,6.73,,,0 CDM,5100021_16714085701,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01) / 50 Ml In 1 Vial, Single-Dose",9.33,9.33,,,0 CDM,5100044_16729030610,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",22.27,22.27,,,0 CDM,5100044_43598030562,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",8.65,8.65,,,0 CDM,5100044_63323077139,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (63323-771-39) / 30 Ml In 1 Vial, Single-Dose",5.19,5.19,,,0 CDM,5100044_71288011530,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.95,1.95,,,0 CDM,5100044_71288015395,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-153-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.69,1.69,,,0 CDM,5100044_72485020101,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",13.45,13.45,,,0 CDM,5100099_09999001116,NDC Description Not Available,6.87,6.87,,,0 CDM,5100154_00003712511,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",449.37,449.37,,,0 CDM,5100156_67457085200,NDC Description Not Available,78.28,78.28,,,0 CDM,5100156_72078000200,NDC Description Not Available,23.6,23.6,,,0 CDM,5100209_50242014201,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,1490.54,1490.54,,,0 CDM,5100209_50242015901,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,1490.41,1490.41,,,0 CDM,5100232_82705000201,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",273.98,273.98,,,0 CDM,5100244_57894046901,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",177.6,177.6,,,0 CDM,5100245_57894047001,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",156.17,156.17,,,0 CDM,51099242PB,Noncdm Charge Record,290.0,290.0,,,0 CDM,51099498PB,Noncdm Charge Record,130.0,130.0,,,0 CDM,5110_13668048450,Minocycline Hydrochloride: 50 Capsule In 1 Bottle (13668-484-50),12.26,12.26,,,0 CDM,5114_68084020511,NDC Description Not Available,7.62,7.62,,,0 CDM,5115_68084020411,NDC Description Not Available,5.8,5.8,,,0 CDM,5133_270,Noncdm Charge Record Medical Supplies,8910.0,8910.0,,,0 CDM,51421_L3670_274,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,51422_L3670_274,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,51425_C1768_278,Noncdm Charge Record Medical Supplies,2405.7,2405.7,,,0 CDM,51426_C1768_278,Noncdm Charge Record Medical Supplies,2405.7,2405.7,,,0 CDM,51427_C1768_278,Noncdm Charge Record Medical Supplies,2806.1,2806.1,,,0 CDM,51543_270,Noncdm Charge Record Medical Supplies,1059.3,1059.3,,,0 CDM,51544_C9359_278,Noncdm Charge Record Medical Supplies,1640.1,1640.1,,,0 CDM,51545_C9359_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,51546_C9359_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,51546_C9359_636,Noncdm Charge Record Pharmacy,865.2,865.2,,,0 CDM,51657_C1762_250,Noncdm Charge Record Pharmacy,585.04,585.04,,,0 CDM,51657_C1762_278,Noncdm Charge Record Medical Supplies,624.94,624.94,,,0 CDM,51657_C1762_636,Noncdm Charge Record Pharmacy,585.24,585.24,,,0 CDM,51673_C1713_278,Noncdm Charge Record Medical Supplies,232.65,232.65,,,0 CDM,51686_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,5168_00641612701,NDC Description Not Available,11.33,11.33,,,0 CDM,5168_63323045100,NDC Description Not Available,13.39,13.39,,,0 CDM,5170_76045000401,NDC Description Not Available,2.25,2.25,,,0 CDM,5172_00641612501,NDC Description Not Available,10.43,10.43,,,0 CDM,5176_00054023749,Morphine Sulfate: 100 Ml In 1 Bottle (0054-0237-49),2.13,2.13,,,0 CDM,5176_00054023763,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),1.37,1.37,,,0 CDM,5176_00121090405,NDC Description Not Available,4.28,4.28,,,0 CDM,5176_60687076040,NDC Description Not Available,3.92,3.92,,,0 CDM,5176_68094000159,NDC Description Not Available,3.89,3.89,,,0 CDM,5176_68094000162,"Morphine Sulfate: 3 Tray In 1 Case (68094-001-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-001-59)",5.15,5.15,,,0 CDM,5178_00054023524,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack,2.96,2.96,,,0 CDM,5178_00054023525,Morphine Sulfate: 100 Tablet In 1 Bottle (0054-0235-25),1.89,1.89,,,0 CDM,51819_C1769_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,51959_L3670_274,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,51960_C1769_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,51972_C1762_278,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,51972_C1762_636,Noncdm Charge Record Pharmacy,374.92,374.92,,,0 CDM,51973_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,51994_272,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,51994_C1773_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,51995_C1769_278,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,51998_C1762_278,Noncdm Charge Record Medical Supplies,1774.3,1774.3,,,0 CDM,51998_C1762_636,Noncdm Charge Record Pharmacy,1661.32,1661.32,,,0 CDM,52030_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,52031_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,52042_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,52043_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,52045_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,52067_270,Noncdm Charge Record Medical Supplies,607.14,607.14,,,0 CDM,52068_270,Noncdm Charge Record Medical Supplies,603.31,603.31,,,0 CDM,52069_270,Noncdm Charge Record Medical Supplies,607.5,607.5,,,0 CDM,52111_L1830_274,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,52112_L1830_274,Noncdm Charge Record Medical Supplies,41.52,41.52,,,0 CDM,52121_270,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 CDM,52131_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,52221_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,52352_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,52353_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,52360_C1768_278,Noncdm Charge Record Medical Supplies,2218.7,2218.7,,,0 CDM,52372_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52373_C1713_278,Noncdm Charge Record Medical Supplies,61.88,61.88,,,0 CDM,52374_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52375_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52376_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52378_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52379_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52384_C1713_278,Noncdm Charge Record Medical Supplies,61.97,61.97,,,0 CDM,52388_C1713_278,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,52389_C1713_278,Noncdm Charge Record Medical Supplies,53.19,53.19,,,0 CDM,52390_C1713_278,Noncdm Charge Record Medical Supplies,53.06,53.06,,,0 CDM,52391_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52392_270,Noncdm Charge Record Medical Supplies,53.27,53.27,,,0 CDM,52392_C1713_278,Noncdm Charge Record Medical Supplies,52.98,52.98,,,0 CDM,52393_C1713_278,Noncdm Charge Record Medical Supplies,53.13,53.13,,,0 CDM,52394_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52395_270,Noncdm Charge Record Medical Supplies,53.24,53.24,,,0 CDM,52395_C1713_278,Noncdm Charge Record Medical Supplies,53.08,53.08,,,0 CDM,52396_270,Noncdm Charge Record Medical Supplies,53.35,53.35,,,0 CDM,52396_C1713_278,Noncdm Charge Record Medical Supplies,52.98,52.98,,,0 CDM,52397_270,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52397_C1713_278,Noncdm Charge Record Medical Supplies,53.08,53.08,,,0 CDM,52398_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52399_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52400_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52402_C1713_278,Noncdm Charge Record Medical Supplies,53.08,53.08,,,0 CDM,52403_C1713_278,Noncdm Charge Record Medical Supplies,53.35,53.35,,,0 CDM,52404_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52405_C1781_278,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,52432_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,52523_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,52529_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,52531_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,52533_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,52534_C1713_278,Noncdm Charge Record Medical Supplies,1925.0,1925.0,,,0 CDM,52613_270,Noncdm Charge Record Medical Supplies,342.1,342.1,,,0 CDM,52614_270,Noncdm Charge Record Medical Supplies,342.1,342.1,,,0 CDM,52649_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,52650_C1713_278,Noncdm Charge Record Medical Supplies,53.1,53.1,,,0 CDM,52651_C1713_278,Noncdm Charge Record Medical Supplies,53.11,53.11,,,0 CDM,52652_270,Noncdm Charge Record Medical Supplies,53.17,53.17,,,0 CDM,52652_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52653_270,Noncdm Charge Record Medical Supplies,53.35,53.35,,,0 CDM,52653_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,52654_C1713_278,Noncdm Charge Record Medical Supplies,52.96,52.96,,,0 CDM,52658_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52659_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52660_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52662_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52663_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52666_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,52676_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,52677_270,Noncdm Charge Record Medical Supplies,452.01,452.01,,,0 CDM,52678_C1713_278,Noncdm Charge Record Medical Supplies,316.8,316.8,,,0 CDM,52706_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,52750_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,52763_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,52791_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,52792_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,52799_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,52816_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,52819_C1894_278,Noncdm Charge Record Medical Supplies,106.66,106.66,,,0 CDM,52828_A4648_278,Noncdm Charge Record Medical Supplies,87.98,87.98,,,0 CDM,52832_C1887_278,Noncdm Charge Record Medical Supplies,507.46,507.46,,,0 CDM,52842_C1769_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,52849_C1894_278,Noncdm Charge Record Medical Supplies,106.59,106.59,,,0 CDM,52862_C1889_278,Noncdm Charge Record Medical Supplies,142.78,142.78,,,0 CDM,52863_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,52865_C1766_278,Noncdm Charge Record Medical Supplies,57.2,57.2,,,0 CDM,52867_C1766_278,Noncdm Charge Record Medical Supplies,180.77,180.77,,,0 CDM,52868_C1766_278,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,53261_C1776_278,Noncdm Charge Record Medical Supplies,832.7,832.7,,,0 CDM,53263_C1889_278,Noncdm Charge Record Medical Supplies,6019.93,6019.93,,,0 CDM,5330_00904707007,Nadolol: 30 Blister Pack In 1 Carton (0904-7070-07) / 1 Tablet In 1 Blister Pack,12.96,12.96,,,0 CDM,5330_00904707061,Nadolol: 100 Blister Pack In 1 Carton (0904-7070-61) / 1 Tablet In 1 Blister Pack,15.36,15.36,,,0 CDM,5330_51079081220,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-812-20) / 1 TABLET in 1 BLISTER PACK (51079-812-01),22.4,22.4,,,0 CDM,5330_60687030295,NDC Description Not Available,13.27,13.27,,,0 CDM,5331_00904707107,Nadolol: 30 Blister Pack In 1 Carton (0904-7071-07) / 1 Tablet In 1 Blister Pack,2.55,2.55,,,0 CDM,5331_00904707161,Nadolol: 100 Blister Pack In 1 Carton (0904-7071-61) / 1 Tablet In 1 Blister Pack,17.75,17.75,,,0 CDM,5331_51079081320,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-813-20) / 1 TABLET in 1 BLISTER PACK (51079-813-01),22.66,22.66,,,0 CDM,5331_60687031395,NDC Description Not Available,14.36,14.36,,,0 CDM,5331_69238112409,Nadolol: 90 Tablet In 1 Bottle (69238-1124-9),19.57,19.57,,,0 CDM,5333_44567022110,"Nafcillin: 10 Vial In 1 Carton (44567-221-10) / 1 Powder, For Solution In 1 Vial",95.2,95.2,,,0 CDM,5333_55150012215,Nafcillin: 10 Vial In 1 Box (55150-122-15) / 4 Ml In 1 Vial,12.14,12.14,,,0 CDM,5334_00781312695,Nafcillin: 10 BOTTLE in 1 CARTON (0781-3126-95) / 100 mL in 1 BOTTLE (0781-3126-46),100.08,100.08,,,0 CDM,5334_55150012409,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-09) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.96,9.96,,,0 CDM,5334_55150012499,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",99.49,99.49,,,0 CDM,5334_70860011999,Nafcillin: 1 Bottle In 1 Carton (70860-119-99) / 100 Ml In 1 Bottle,86.52,86.52,,,0 CDM,5335_25021014010,Nafcillin: 10 Vial In 1 Carton (25021-140-10) / 8 Ml In 1 Vial,97.44,97.44,,,0 CDM,5335_44567022210,"Nafcillin: 10 Vial In 1 Carton (44567-222-10) / 1 Powder, For Solution In 1 Vial",95.28,95.28,,,0 CDM,5335_55150012315,Nafcillin: 10 Vial In 1 Box (55150-123-15) / 8 Ml In 1 Vial,54.09,54.09,,,0 CDM,5335_55150012316,Nafcillin: 10 Vial In 1 Box (55150-123-16) / 8 Ml In 1 Vial,101.95,101.95,,,0 CDM,5335_63323032820,Nafcillin: 10 Vial In 1 Carton (63323-328-20) / 8 Ml In 1 Vial (63323-328-21),124.97,124.97,,,0 CDM,5335_63323032821,NDC Description Not Available,124.98,124.98,,,0 CDM,5335_72485040601,NDC Description Not Available,44.51,44.51,,,0 CDM,5335_72485040610,"Nafcillin Sodium: 10 Vial In 1 Carton (72485-406-10) / 1 Injection, Powder, For Solution In 1 Vial",44.29,44.29,,,0 CDM,53397_270,Noncdm Charge Record Medical Supplies,827.46,827.46,,,0 CDM,53398_270,Noncdm Charge Record Medical Supplies,860.26,860.26,,,0 CDM,5339_00409146301,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01) / 1 Ml In 1 Ampule (0409-1463-71),18.47,18.47,,,0 CDM,5339_00409146349,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-49) / 1 Ml In 1 Ampule (0409-1463-69),16.48,16.48,,,0 CDM,5339_00409146369,NDC Description Not Available,16.48,16.48,,,0 CDM,5339_00409146371,NDC Description Not Available,18.62,18.62,,,0 CDM,5339_00409146461,NDC Description Not Available,14.74,14.74,,,0 CDM,5339_70069067101,NDC Description Not Available,25.17,25.17,,,0 CDM,5340_00409146761,NDC Description Not Available,9.66,9.66,,,0 CDM,53411_270,Noncdm Charge Record Medical Supplies,2597.1,2597.1,,,0 CDM,53478_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,53479_270,Noncdm Charge Record Medical Supplies,935.0,935.0,,,0 CDM,53500_270,Noncdm Charge Record Medical Supplies,427.9,427.9,,,0 CDM,53503_C1713_278,Noncdm Charge Record Medical Supplies,220.0,220.0,,,0 CDM,53504_C1713_278,Noncdm Charge Record Medical Supplies,219.45,219.45,,,0 CDM,53505_C1713_278,Noncdm Charge Record Medical Supplies,219.63,219.63,,,0 CDM,53506_C1713_278,Noncdm Charge Record Medical Supplies,219.63,219.63,,,0 CDM,53507_C1713_278,Noncdm Charge Record Medical Supplies,220.0,220.0,,,0 CDM,53516_C1713_278,Noncdm Charge Record Medical Supplies,219.63,219.63,,,0 CDM,53518_C1713_278,Noncdm Charge Record Medical Supplies,220.0,220.0,,,0 CDM,53519_C1713_278,Noncdm Charge Record Medical Supplies,219.63,219.63,,,0 CDM,53520_C1713_278,Noncdm Charge Record Medical Supplies,220.0,220.0,,,0 CDM,53522_C1713_278,Noncdm Charge Record Medical Supplies,220.0,220.0,,,0 CDM,53526_C1713_278,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,53527_C1713_278,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,53528_C1713_278,Noncdm Charge Record Medical Supplies,222.2,222.2,,,0 CDM,53529_C1713_278,Noncdm Charge Record Medical Supplies,221.65,221.65,,,0 CDM,53575_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53576_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53577_C1713_278,Noncdm Charge Record Medical Supplies,59.26,59.26,,,0 CDM,53578_C1713_278,Noncdm Charge Record Medical Supplies,59.09,59.09,,,0 CDM,53579_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53582_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53583_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53584_C1713_278,Noncdm Charge Record Medical Supplies,59.12,59.12,,,0 CDM,53585_C1713_278,Noncdm Charge Record Medical Supplies,59.3,59.3,,,0 CDM,53586_C1713_278,Noncdm Charge Record Medical Supplies,59.22,59.22,,,0 CDM,53587_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53588_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,53589_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,5373_00409121501,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",84.65,84.65,,,0 CDM,5373_00641613201,NDC Description Not Available,24.29,24.29,,,0 CDM,5373_36000030801,NDC Description Not Available,19.84,19.84,,,0 CDM,5373_36000030810,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",21.63,21.63,,,0 CDM,5373_67457029200,NDC Description Not Available,79.82,79.82,,,0 CDM,5373_67457029900,NDC Description Not Available,128.43,128.43,,,0 CDM,5373_67457064500,NDC Description Not Available,94.93,94.93,,,0 CDM,5373_70069007101,NDC Description Not Available,39.83,39.83,,,0 CDM,54174_270,Noncdm Charge Record Medical Supplies,1310.24,1310.24,,,0 CDM,54180_C1766_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,54210_270,Noncdm Charge Record Medical Supplies,425.7,425.7,,,0 CDM,54217_270,Noncdm Charge Record Medical Supplies,740.3,740.3,,,0 CDM,5472_39822031005,"Neomycin Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (39822-0310-5) / 1 Tablet In 1 Blister Pack (39822-0310-7)",6.18,6.18,,,0 CDM,5474_24208079062,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62) / 10 Ml In 1 Bottle, Dropper",220.63,220.63,,,0 CDM,5490_C1768_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,5497_C1769_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,55060_C1713_278,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,55066_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,55067_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,55079_Q4116_278,Noncdm Charge Record Medical Supplies,49.07,49.07,,,0 CDM,55214_270,Noncdm Charge Record Medical Supplies,837.12,837.12,,,0 CDM,55215_270,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,55216_270,Noncdm Charge Record Medical Supplies,828.85,828.85,,,0 CDM,55217_270,Noncdm Charge Record Medical Supplies,835.27,835.27,,,0 CDM,55262_C1762_278,Noncdm Charge Record Medical Supplies,2456.3,2456.3,,,0 CDM,55277_C1889_278,Noncdm Charge Record Medical Supplies,8308.3,8308.3,,,0 CDM,55282_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,55290_C1729_278,Noncdm Charge Record Medical Supplies,257.4,257.4,,,0 CDM,55311_270,Noncdm Charge Record Medical Supplies,462.0,462.0,,,0 CDM,5546_C1887_278,Noncdm Charge Record Medical Supplies,14.31,14.31,,,0 CDM,5558_00904722961,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61) / 1 Capsule In 1 Blister Pack,3.53,3.53,,,0 CDM,5558_60687042501,"Nifedipine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-425-01) / 1 CAPSULE in 1 BLISTER PACK (60687-425-11)",4.46,4.46,,,0 CDM,5599_00517481001,NDC Description Not Available,25.32,25.32,,,0 CDM,5599_00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",67.08,67.08,,,0 CDM,5603_43598043501,Nitroglycerin: 100 Tablet In 1 Bottle (43598-435-01),1.37,1.37,,,0 CDM,5603_72888013801,Nitroglycerin: 1 Bottle In 1 Carton (72888-138-01) / 100 Tablet In 1 Bottle,1.36,1.36,,,0 CDM,5604_00071041813,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13) / 25 Tablet In 1 Bottle,14.81,14.81,,,0 CDM,5604_43598043635,NDC Description Not Available,0.92,0.92,,,0 CDM,5604_58151031001,Nitrostat: 1 Bottle In 1 Carton (58151-310-01) / 100 Tablet In 1 Bottle,3.09,3.09,,,0 CDM,5604_58151031094,NDC Description Not Available,2.02,2.02,,,0 CDM,5604_59762330403,"Nitroglycerin: 4 Bottle, Glass In 1 Carton (59762-3304-3) / 25 Tablet In 1 Bottle, Glass",9.2,9.2,,,0 CDM,5604_68462063925,NDC Description Not Available,1.03,1.03,,,0 CDM,5604_69339017402,NDC Description Not Available,13.73,13.73,,,0 CDM,5604_70756001405,NDC Description Not Available,3.88,3.88,,,0 CDM,5606_00281032608,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08) / 1 G In 1 Packet,6.13,6.13,,,0 CDM,5674_00093081001,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0810-01),2.63,2.63,,,0 CDM,5674_50268060311,NDC Description Not Available,2.06,2.06,,,0 CDM,5674_51672400101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4001-1),2.68,2.68,,,0 CDM,5674_75907006901,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",2.5,2.5,,,0 CDM,5675_00093081101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),5.15,5.15,,,0 CDM,5675_51672400201,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4002-1),5.3,5.3,,,0 CDM,5675_60687029311,NDC Description Not Available,3.15,3.15,,,0 CDM,5675_75907007001,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-070-01)",4.98,4.98,,,0 CDM,5749_00713067815,Nystatin: 1 Tube In 1 Carton (0713-0678-15) / 15 G In 1 Tube,62.83,62.83,,,0 CDM,5749_45802005911,Nystatin: 1 Tube In 1 Carton (45802-059-11) / 30 G In 1 Tube,94.76,94.76,,,0 CDM,5749_45802005935,Nystatin: 1 Tube In 1 Carton (45802-059-35) / 15 G In 1 Tube,63.03,63.03,,,0 CDM,5750_00472016615,Nystatin: 1 Tube In 1 Carton (0472-0166-15) / 15 G In 1 Tube,62.83,62.83,,,0 CDM,5750_45802004811,Nystatin: 1 Tube In 1 Carton (45802-048-11) / 30 G In 1 Tube,94.76,94.76,,,0 CDM,5750_45802004835,Nystatin: 1 Tube In 1 Carton (45802-048-35) / 15 G In 1 Tube,63.01,63.01,,,0 CDM,5751_00121086802,"Nystatin: 60 Ml In 1 Bottle, Dropper (0121-0868-02)",13.39,13.39,,,0 CDM,5751_00121086805,NDC Description Not Available,8.0,8.0,,,0 CDM,5751_00121104516,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),8.8,8.8,,,0 CDM,5751_60687080040,NDC Description Not Available,6.2,6.2,,,0 CDM,5751_62135081305,NDC Description Not Available,45.08,45.08,,,0 CDM,5751_63739016070,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",5.99,5.99,,,0 CDM,5751_69315050460,Nystatin: 1 Bottle In 1 Package (69315-504-60) / 60 Ml In 1 Bottle,13.39,13.39,,,0 CDM,5754_68462031417,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (68462-314-17) / 15 G In 1 Tube,202.91,202.91,,,0 CDM,5755_51672127201,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1272-1) / 15 G In 1 Tube,67.5,67.5,,,0 CDM,5755_62332058515,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (62332-585-15) / 15 G In 1 Tube,149.35,149.35,,,0 CDM,5924_55150012715,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",5.47,5.47,,,0 CDM,5924_63323081301,NDC Description Not Available,4.98,4.98,,,0 CDM,5924_63323081320,"Oxacillin: 10 Vial, Single-Dose In 1 Carton (63323-813-20) / 20 Ml In 1 Vial, Single-Dose (63323-813-01)",1.54,1.54,,,0 CDM,593_C1894_272,Noncdm Charge Record Medical Supplies,12.83,12.83,,,0 CDM,593_C1894_278,Noncdm Charge Record Medical Supplies,12.93,12.93,,,0 CDM,5940_00406051201,Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle (0406-0512-01),5.15,5.15,,,0 CDM,5940_00406051205,Oxycodone And Acetaminophen: 500 Tablet In 1 Bottle (0406-0512-05),4.12,4.12,,,0 CDM,5940_00406051223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0512-23),4.97,4.97,,,0 CDM,5940_00406051262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0512-62),5.11,5.11,,,0 CDM,5940_00603499821,"Oxycodone and Acetaminophen: 100 TABLET in 1 BOTTLE, PLASTIC (0603-4998-21)",5.15,5.15,,,0 CDM,5940_42858010201,"Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (42858-102-01)",0.92,0.92,,,0 CDM,5940_50268064411,NDC Description Not Available,4.96,4.96,,,0 CDM,5940_60687064211,NDC Description Not Available,5.13,5.13,,,0 CDM,5940_60951060270,Endocet: 100 Tablet In 1 Bottle (60951-602-70),5.15,5.15,,,0 CDM,5943_01093941433,NDC Description Not Available,4.12,4.12,,,0 CDM,5943_02390001252,NDC Description Not Available,5.15,5.15,,,0 CDM,5943_45802041059,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",4.12,4.12,,,0 CDM,5944_42023011602,Pitocin: 25 Vial In 1 Carton (42023-116-02) / 10 Ml In 1 Vial,6.13,6.13,,,0 CDM,5944_42023011625,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,15.45,15.45,,,0 CDM,5944_63323001201,NDC Description Not Available,13.32,13.32,,,0 CDM,5944_63323001203,NDC Description Not Available,14.46,14.46,,,0 CDM,5944_63323001206,NDC Description Not Available,4.46,4.46,,,0 CDM,5944_63323001210,"Oxytocin: 25 Vial, Multi-Dose In 1 Tray (63323-012-10) / 10 Ml In 1 Vial, Multi-Dose (63323-012-06)",4.25,4.25,,,0 CDM,5944_63323001212,Oxytocin: 25 Vial In 1 Tray (63323-012-12) / 1 Ml In 1 Vial (63323-012-21),1.44,1.44,,,0 CDM,5944_63323001217,NDC Description Not Available,6.27,6.27,,,0 CDM,5987_270,Noncdm Charge Record Medical Supplies,372.9,372.9,,,0 CDM,5991_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,6000019_00069020910,Propofol: 10 Vial In 1 Carton (0069-0209-10) / 20 Ml In 1 Vial (0069-0209-01),1.29,1.29,,,0 CDM,6000019_63323026922,NDC Description Not Available,2.74,2.74,,,0 CDM,6000019_63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),1.3,1.3,,,0 CDM,6000034_09999001253,NDC Description Not Available,0.01,0.01,,,0 CDM,6000065_09999001273,NDC Description Not Available,0.53,0.53,,,0 CDM,6000076_09999001282,NDC Description Not Available,0.01,0.01,,,0 CDM,6000091_09999001296,NDC Description Not Available,0.01,0.01,,,0 CDM,6000099_09999001302,NDC Description Not Available,0.01,0.01,,,0 CDM,6000122_09999001332,NDC Description Not Available,1.03,1.03,,,0 CDM,6000150_09999001346,NDC Description Not Available,0.26,0.26,,,0 CDM,6000169_09999001362,NDC Description Not Available,0.01,0.01,,,0 CDM,6000171_09999001363,NDC Description Not Available,0.01,0.01,,,0 CDM,6000286_09999001449,NDC Description Not Available,1.03,1.03,,,0 CDM,6000293_09999001454,NDC Description Not Available,0.52,0.52,,,0 CDM,6000333_09999001488,NDC Description Not Available,0.01,0.01,,,0 CDM,6000377_09999001528,NDC Description Not Available,0.52,0.52,,,0 CDM,6000401_09999001541,NDC Description Not Available,0.01,0.01,,,0 CDM,6000418_09999001555,NDC Description Not Available,0.01,0.01,,,0 CDM,6000443_09999001575,NDC Description Not Available,0.01,0.01,,,0 CDM,6000452_09999001580,NDC Description Not Available,0.52,0.52,,,0 CDM,6000504_09999001612,NDC Description Not Available,0.52,0.52,,,0 CDM,6000506_09999001613,NDC Description Not Available,0.52,0.52,,,0 CDM,6000513_09999001617,NDC Description Not Available,0.02,0.02,,,0 CDM,6000567_09999001648,NDC Description Not Available,0.4,0.4,,,0 CDM,6000607_09999001671,NDC Description Not Available,1.03,1.03,,,0 CDM,6000658_09999001693,NDC Description Not Available,0.13,0.13,,,0 CDM,6000717_09999001722,NDC Description Not Available,0.01,0.01,,,0 CDM,6000733_09999001733,NDC Description Not Available,0.01,0.01,,,0 CDM,6000734_09999001734,NDC Description Not Available,0.01,0.01,,,0 CDM,6000736_09999001735,NDC Description Not Available,0.02,0.02,,,0 CDM,6000741_09999001738,NDC Description Not Available,0.01,0.01,,,0 CDM,6000846_09999001816,NDC Description Not Available,0.01,0.01,,,0 CDM,6000848_09999001817,NDC Description Not Available,0.01,0.01,,,0 CDM,6000863_09999001831,NDC Description Not Available,0.01,0.01,,,0 CDM,6000869_09999001833,NDC Description Not Available,1.03,1.03,,,0 CDM,6000901_09999001853,NDC Description Not Available,0.1,0.1,,,0 CDM,6000903_09999001855,NDC Description Not Available,0.03,0.03,,,0 CDM,6000905_09999001856,NDC Description Not Available,0.1,0.1,,,0 CDM,6000975_09999001906,NDC Description Not Available,1.03,1.03,,,0 CDM,6001091_09999002017,NDC Description Not Available,0.02,0.02,,,0 CDM,6001181_09999002112,NDC Description Not Available,0.04,0.04,,,0 CDM,6001228_09999002149,NDC Description Not Available,0.26,0.26,,,0 CDM,6001255_09999002169,NDC Description Not Available,0.06,0.06,,,0 CDM,6001260_09999002178,NDC Description Not Available,0.1,0.1,,,0 CDM,6001264_09999002184,NDC Description Not Available,0.01,0.01,,,0 CDM,6001270_09999002185,NDC Description Not Available,0.01,0.01,,,0 CDM,6001336_09999002248,NDC Description Not Available,1.03,1.03,,,0 CDM,6001389_00264934155,TrophAmine: 6 CARTON in 1 CASE (0264-9341-55) / 1 CONTAINER in 1 CARTON / 500 mL in 1 CONTAINER,515.0,515.0,,,0 CDM,6001390_00264934155,TrophAmine: 6 CARTON in 1 CASE (0264-9341-55) / 1 CONTAINER in 1 CARTON / 500 mL in 1 CONTAINER,515.0,515.0,,,0 CDM,6001399_09999002282,NDC Description Not Available,0.34,0.34,,,0 CDM,6001449_09999002455,NDC Description Not Available,0.29,0.29,,,0 CDM,6001449_09999002465,NDC Description Not Available,0.52,0.52,,,0 CDM,6001512_09999002473,NDC Description Not Available,1.03,1.03,,,0 CDM,6001547_09999002531,NDC Description Not Available,0.29,0.29,,,0 CDM,6001550_09999002534,NDC Description Not Available,0.09,0.09,,,0 CDM,6001554_09999002536,NDC Description Not Available,1.03,1.03,,,0 CDM,6001677_09999002671,NDC Description Not Available,1.03,1.03,,,0 CDM,6001704_09999002706,NDC Description Not Available,0.09,0.09,,,0 CDM,6001729_09999002729,NDC Description Not Available,0.26,0.26,,,0 CDM,6001752_09999002756,NDC Description Not Available,1.03,1.03,,,0 CDM,6001756_09999002759,NDC Description Not Available,0.01,0.01,,,0 CDM,6001773_09999002777,NDC Description Not Available,0.08,0.08,,,0 CDM,6001789_09999002804,NDC Description Not Available,1.03,1.03,,,0 CDM,6001791_09999002805,NDC Description Not Available,0.01,0.01,,,0 CDM,6001809_09999002818,NDC Description Not Available,1.03,1.03,,,0 CDM,6001828_09999002829,NDC Description Not Available,0.01,0.01,,,0 CDM,6001887_09999002871,NDC Description Not Available,0.37,0.37,,,0 CDM,6001894_09999002877,NDC Description Not Available,1.03,1.03,,,0 CDM,6001935_09999002906,NDC Description Not Available,0.2,0.2,,,0 CDM,6001947_09999002917,NDC Description Not Available,0.01,0.01,,,0 CDM,6001960_09999002925,NDC Description Not Available,0.82,0.82,,,0 CDM,6001977_09999002940,NDC Description Not Available,0.24,0.24,,,0 CDM,6001978_09999002941,NDC Description Not Available,0.24,0.24,,,0 CDM,6001993_09999002953,NDC Description Not Available,1.03,1.03,,,0 CDM,6002003_09999002955,NDC Description Not Available,0.01,0.01,,,0 CDM,6002005_09999002958,NDC Description Not Available,0.04,0.04,,,0 CDM,6002025_09999002974,NDC Description Not Available,0.09,0.09,,,0 CDM,6002062_09999002999,NDC Description Not Available,0.01,0.01,,,0 CDM,6002069_09999003002,NDC Description Not Available,0.02,0.02,,,0 CDM,6002073_09999003007,NDC Description Not Available,0.02,0.02,,,0 CDM,6002075_09999003008,NDC Description Not Available,0.01,0.01,,,0 CDM,6002089_09999003033,NDC Description Not Available,1.03,1.03,,,0 CDM,6002147_09999003093,NDC Description Not Available,0.04,0.04,,,0 CDM,6002151_09999003095,NDC Description Not Available,0.01,0.01,,,0 CDM,6002153_09999003096,NDC Description Not Available,0.34,0.34,,,0 CDM,6002202_09999003140,NDC Description Not Available,0.01,0.01,,,0 CDM,6002221_09999003153,NDC Description Not Available,1.03,1.03,,,0 CDM,6002225_09999003157,NDC Description Not Available,1.03,1.03,,,0 CDM,6002227_09999003158,NDC Description Not Available,0.52,0.52,,,0 CDM,6002229_09999003159,NDC Description Not Available,0.01,0.01,,,0 CDM,6002231_09999003160,NDC Description Not Available,0.17,0.17,,,0 CDM,6002232_09999003161,NDC Description Not Available,0.52,0.52,,,0 CDM,6002250_09999003180,NDC Description Not Available,1.03,1.03,,,0 CDM,6002282_09999003203,NDC Description Not Available,1.03,1.03,,,0 CDM,6002290_09999003209,NDC Description Not Available,1.03,1.03,,,0 CDM,6002297_09999003216,NDC Description Not Available,1.03,1.03,,,0 CDM,6002301_09999003218,NDC Description Not Available,0.19,0.19,,,0 CDM,6002324_09999003227,NDC Description Not Available,1.03,1.03,,,0 CDM,6002356_09999003244,NDC Description Not Available,0.01,0.01,,,0 CDM,6002404_09999003273,NDC Description Not Available,0.01,0.01,,,0 CDM,6002414_09999003276,NDC Description Not Available,0.01,0.01,,,0 CDM,6002430_09999003288,NDC Description Not Available,0.17,0.17,,,0 CDM,6002466_09999003323,NDC Description Not Available,0.84,0.84,,,0 CDM,6002479_09999003335,NDC Description Not Available,0.01,0.01,,,0 CDM,6002488_09999003340,NDC Description Not Available,1.03,1.03,,,0 CDM,6002497_09999003347,NDC Description Not Available,0.1,0.1,,,0 CDM,6002549_09999003390,NDC Description Not Available,0.02,0.02,,,0 CDM,6002592_09999003417,NDC Description Not Available,0.01,0.01,,,0 CDM,6002596_09999003419,NDC Description Not Available,0.01,0.01,,,0 CDM,6002599_63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),0.34,0.34,,,0 CDM,6002600_09999003423,NDC Description Not Available,0.01,0.01,,,0 CDM,6002605_09999003427,NDC Description Not Available,0.01,0.01,,,0 CDM,6002606_09999003428,NDC Description Not Available,0.77,0.77,,,0 CDM,6002611_09999003432,NDC Description Not Available,1.03,1.03,,,0 CDM,6002649_09999003455,NDC Description Not Available,0.01,0.01,,,0 CDM,6002651_09999003456,NDC Description Not Available,0.01,0.01,,,0 CDM,6002653_09999003458,NDC Description Not Available,0.42,0.42,,,0 CDM,6002707_09999003494,NDC Description Not Available,0.01,0.01,,,0 CDM,6002726_00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",9.72,9.72,,,0 CDM,6002738_09999003508,NDC Description Not Available,0.77,0.77,,,0 CDM,6002779_09999003539,NDC Description Not Available,0.52,0.52,,,0 CDM,6002781_09999003540,NDC Description Not Available,0.11,0.11,,,0 CDM,6002837_09999003577,NDC Description Not Available,0.01,0.01,,,0 CDM,6002848_09999003584,NDC Description Not Available,0.52,0.52,,,0 CDM,6002878_09999003612,NDC Description Not Available,0.01,0.01,,,0 CDM,6002909_09999003635,NDC Description Not Available,0.34,0.34,,,0 CDM,6002966_09999003683,NDC Description Not Available,1.03,1.03,,,0 CDM,6002997_09999003717,NDC Description Not Available,0.13,0.13,,,0 CDM,6003069_09999003784,NDC Description Not Available,0.01,0.01,,,0 CDM,6003163_09999003861,NDC Description Not Available,0.86,0.86,,,0 CDM,6003189_09999003885,NDC Description Not Available,0.01,0.01,,,0 CDM,6003215_09999003917,NDC Description Not Available,0.04,0.04,,,0 CDM,6003260_09999003937,NDC Description Not Available,1.03,1.03,,,0 CDM,6003261_09999003938,NDC Description Not Available,1.03,1.03,,,0 CDM,6003276_17156021001,"Datscan: 1 Vial, Glass In 1 Container (17156-210-01) / 2.5 Ml In 1 Vial, Glass",1.0,1.0,,,0 CDM,6003280_09999003955,NDC Description Not Available,0.52,0.52,,,0 CDM,6003281_09999003957,NDC Description Not Available,0.52,0.52,,,0 CDM,6003336_09999004002,NDC Description Not Available,0.26,0.26,,,0 CDM,6023_270,Noncdm Charge Record Medical Supplies,342.1,342.1,,,0 CDM,6030_00517400225,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),178.87,178.87,,,0 CDM,6035_270,Noncdm Charge Record Medical Supplies,358.6,358.6,,,0 CDM,603_C1762_278,Noncdm Charge Record Medical Supplies,1246.3,1246.3,,,0 CDM,603_C1762_636,Noncdm Charge Record Pharmacy,1166.99,1166.99,,,0 CDM,6040_59365512801,Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch,2316.47,2316.47,,,0 CDM,60418_270,Noncdm Charge Record Medical Supplies,165.21,165.21,,,0 CDM,60448_270,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,6085_00049053022,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-22) / 1 Powder, For Solution In 1 Vial",6.57,6.57,,,0 CDM,6085_00049053028,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",6.51,6.51,,,0 CDM,6085_00781613694,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",6.67,6.67,,,0 CDM,6085_70860012751,"Penicillin G Potassium: 1 Vial In 1 Carton (70860-127-51) / 1 Injection, Powder, For Solution In 1 Vial",6.98,6.98,,,0 CDM,6086_00049042005,NDC Description Not Available,5.51,5.51,,,0 CDM,6086_00049052022,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-22) / 1 Powder, For Solution In 1 Vial",6.1,6.1,,,0 CDM,6086_00049052023,NDC Description Not Available,6.34,6.34,,,0 CDM,6086_00049052083,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",6.55,6.55,,,0 CDM,6086_00049052084,NDC Description Not Available,6.1,6.1,,,0 CDM,6086_44567031110,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",2.06,2.06,,,0 CDM,6086_70860012620,"Penicillin G Potassium: 10 Vial In 1 Carton (70860-126-20) / 1 Injection, Powder, For Solution In 1 Vial (70860-126-41)",6.47,6.47,,,0 CDM,6086_70860012641,NDC Description Not Available,5.98,5.98,,,0 CDM,6086_72603021001,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",6.41,6.41,,,0 CDM,6091_00093412773,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),4.12,4.12,,,0 CDM,60949_J7300_278,Noncdm Charge Record Medical Supplies,1754.5,1754.5,,,0 CDM,6101908501,Hc Bx Breast W Device 1St Lesion Magnetic Res Guide,4099.0,4099.0,,,0 CDM,6101908601,Hc Bx Breast W Device Addl Lesion Magnet Res Guide,1881.0,1881.0,,,0 CDM,61033_C1769_278,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,6107155001,"Hc Mri, Chest - Mri Chest Wo Contrast",2066.5,2066.5,,,0 CDM,6107601401,Hc Mr Safety Implant And/Or Foreign Body Assessment By Trained Clinical Staff; Initial 15 Minutes,53.0,53.0,,,0 CDM,6107601501,Hc Mr Safety Implant And/Or Foreign Body Assessment By Trained Clinical Staff; Each Add'l 30 Minutes,106.0,106.0,,,0 CDM,6107601601,Hc Mr Safety Determination By Physician/Other Qhp Responsible For The Safety Of The Mr Procedure,190.0,190.0,,,0 CDM,6107601701,"Hc Mr Safety Medical Physics Exam Customization, Planning&Performance Mntrg, Medical Physicist/Mr Sa",522.0,522.0,,,0 CDM,6107601801,Hc Mr Safety Implant Electronics Preparation Under Supervision Of Physician Or Other Qhp,198.0,198.0,,,0 CDM,6107601901,Hc Mr Safety Implant Positioning And/Or Immobilization Under Supervision Of Physician Or Other Qhp,128.5,128.5,,,0 CDM,6107639001,Hc Mri Spectroscopy - Mr Spectroscopy,2562.5,2562.5,,,0 CDM,6107649801,Hc Mri Breast Abbreviated Screening,450.0,450.0,,,0 CDM,6107649802,Hc Mri Whole Body Screening,2066.5,2066.5,,,0 CDM,61076498PB,Hc Mri Planning,2066.5,2066.5,,,0 CDM,6107702134,Hc Mri Guide Needle Plcmt,1679.5,1679.5,,,0 CDM,6107702209,Hc Tissue Ablation Mr Guided,1648.0,1648.0,,,0 CDM,6110000001,Noncdm Charge Record,3603.0,3603.0,,,0 CDM,6110865T01,Hc Quantitative Mri Analysis Of The Brain W/O Diagnostic Mri,505.0,505.0,,,0 CDM,6110866T01,Hc Quantitative Mri Analysis Of The Brain W/Diagnostic Mri,505.0,505.0,,,0 CDM,6117055102,Hc Mri Brain - Mri Brain Wo Contrast,2066.5,2066.5,,,0 CDM,6117055202,Hc Mri Brain Contrast - Mri Brain W Contrast,2961.0,2961.0,,,0 CDM,6117055301,Hc Mri Brain Combo - Mr Pituitary W/Wo Iv Contrast,3431.0,3431.0,,,0 CDM,6117055302,Hc Mri Brain Combo - Mri Brain W Wo Contrast,3431.0,3431.0,,,0 CDM,6117055501,Hc Func Mri Brain - Mr Brain Neurofunctional Test W/ Physician Admin,2066.5,2066.5,,,0 CDM,6127214102,"Hc Mri, Cerv Spine - Mri Cervical Spine Wo Contrast",2066.5,2066.5,,,0 CDM,6127214201,"Hc Mri, Cerv Spine Contrast - Mri Cervical Spine W Contrast",2961.0,2961.0,,,0 CDM,6127214602,"Hc Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast",2066.5,2066.5,,,0 CDM,6127214701,"Hc Mri, Dorsal Spine Contrast - Mri Thoracic Spine W Contrast",2961.0,2961.0,,,0 CDM,6127214802,"Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast",2066.5,2066.5,,,0 CDM,6127214901,"Hc Mri, Lumbar Spine Contrast - Mri Lumbar Spine W Contrast",2961.0,2961.0,,,0 CDM,6127215601,"Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast",3431.0,3431.0,,,0 CDM,6127215701,"Hc Mri, Dorsal Spine Combo - Mri Thoracic Spine W Wo Contrast",3431.0,3431.0,,,0 CDM,6127215801,"Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast",3431.0,3431.0,,,0 CDM,612_04628750816,NDC Description Not Available,28.32,28.32,,,0 CDM,61369_C1713_278,Noncdm Charge Record Medical Supplies,568.7,568.7,,,0 CDM,6139_C1751_278,Noncdm Charge Record Medical Supplies,208.91,208.91,,,0 CDM,6140398T01,"Hc Mri Guided High Intensity Focused Ultrasound, Stereotactic Ablation",31012.0,31012.0,,,0 CDM,6140649T01,Hc Quantitive Magnetic Resonance For Analysis Of Tissue W/Mri Single Organ,770.0,770.0,,,0 CDM,6140889T01,"Hc Personalized Target Development For Accelerated, Repetitive High-Dose Functional Connectivity Mri",2623.0,2623.0,,,0 CDM,6140890T01,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 CDM,6140891T01,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 CDM,6140892T01,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 CDM,61432_270,Noncdm Charge Record Medical Supplies,465.3,465.3,,,0 CDM,6146171501,"Hc Mri Guided High Intensity Focused Ultrasound (Mrgfus), Stereotactic Ablation Of Target, Intracran",34418.0,34418.0,,,0 CDM,6147033601,"Hc Mri, Tmj - Mr Temporomandibular Joints Wo Iv Contrast",2066.5,2066.5,,,0 CDM,6147054001,"Hc Mri, Face, Neck - Mr Orbit Face Neck Wo Iv Contrast",2066.5,2066.5,,,0 CDM,6147054201,"Hc Mri, Face, Neck W/Contrast - Mr Orbit Face Neck W Iv Contrast",3022.0,3022.0,,,0 CDM,6147054301,"Hc Mri, Face, Neck, Combo - Mr Orbit Face Neck W And Wo Iv Contrast",3431.0,3431.0,,,0 CDM,6147155101,"Hc Mri, Chest, W/Contrast - Mri Chest W Contrast",3033.0,3033.0,,,0 CDM,6147155201,"Hc Mri, Chest, Combo - Mri Chest W Wo Contrast",3431.0,3431.0,,,0 CDM,6147219501,"Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast",2066.5,2066.5,,,0 CDM,6147219601,"Hc Mri, Pelvis W/Contrast - Mri Pelvis W Contrast",2468.0,2468.0,,,0 CDM,6147219701,"Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast",3431.0,3431.0,,,0 CDM,6147321807,Hc Mri Upp Ext W/O Cont,2066.5,2066.5,,,0 CDM,6147321907,Hc Mri Upp Ext With Cont,2468.0,2468.0,,,0 CDM,6147322007,Hc Mri Upp Ext Ww/O Cont,3022.0,3022.0,,,0 CDM,6147322108,Hc Mri Upper Joint W/O Cont,2138.5,2138.5,,,0 CDM,6147322217,Hc Mri Joint Upr Extrem W/Dye - Mr Upper Extrem W Fl Guide Injct Chg,3022.0,3022.0,,,0 CDM,6147322218,Hc Mri Joint Upr Extrem W/Dye - Mr Shldr Arthro W Fl Guide Injct Chg,3022.0,3022.0,,,0 CDM,6147322307,Hc Mri Upp Joint Ww/O Cont,3431.0,3431.0,,,0 CDM,6147371808,Hc Mri Le W/O Contrast Bilat,2066.5,2066.5,,,0 CDM,6147371907,Hc Mri Low Ext With Cont,2468.0,2468.0,,,0 CDM,6147372008,Hc Mri Low Ext Ww/O Cont,3022.0,3022.0,,,0 CDM,6147372103,Hc Mri Low Joint W/O Cont,2066.5,2066.5,,,0 CDM,6147372211,"Hc Mri, Joint W/Contrast - Mr W Iv Contrast",3022.0,3022.0,,,0 CDM,6147372305,Hc Mri Low Joint Ww/O Cont,3431.0,3431.0,,,0 CDM,6147418101,"Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast Mrcp",2066.5,2066.5,,,0 CDM,6147418102,"Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast",2066.5,2066.5,,,0 CDM,6147418202,"Hc Mri, Abdomen W/Contrast - Mri Abdomen W Contrast",3033.0,3033.0,,,0 CDM,6147418302,"Hc Mri, Abdomen, Combo - Mri Abdomen Renal W Wo Contrast",3431.0,3431.0,,,0 CDM,6147418303,"Hc Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast",3431.0,3431.0,,,0 CDM,6147555701,Hc Cardiac Mri For Morph - Mri Cardiac Morph & Funct Wo Iv Cont,2066.5,2066.5,,,0 CDM,6147555901,Hc Cardiac Mri W/Stress - Mri Card Morph & Funct Wo Iv Cont W Stress,2019.5,2019.5,,,0 CDM,6147556101,Hc Cardiac Mri Morph W/Dye - Mri Card Morph & Funct W & Wo Iv Cont,1903.5,1903.5,,,0 CDM,6147556301,Hc Card Mri W/Stress - Mri Card Morph & Funct W & Wo Iv Cont W Stress,2371.5,2371.5,,,0 CDM,6147556501,Hc Card Mri Veloc Flow Mapping - Mri Cardiac Velocity Flow Mapping,1648.0,1648.0,,,0 CDM,6147639101,Hc Mri Elastography,507.5,507.5,,,0 CDM,6147704601,Hc Mri Breast W/O Unilateral,3111.5,3111.5,,,0 CDM,6147704701,Hc Mri Breast W/O Bilateral,3431.0,3431.0,,,0 CDM,6147704801,"Hc Mri Breast W/Wo Incl Cad, Unilateral",3111.5,3111.5,,,0 CDM,6147704901,Hc Mri Breast W/Ow Incl Cad Bil,4272.5,4272.5,,,0 CDM,6147708401,Hc Magnetic Image Bone Marrow - Mr Bone Marrow Wo Iv Contrast,1857.5,1857.5,,,0 CDM,614C890301,Hc Mri Breast Uni W Contrast,3620.0,3620.0,,,0 CDM,614C890501,Hc Mri Breast Uni W/O W Contrast,4240.0,4240.0,,,0 CDM,614C890601,Hc Mri Breast Bil W Contrast,3839.5,3839.5,,,0 CDM,614C890801,Hc Mri Breast Bil W/O W Contrast,5108.5,5108.5,,,0 CDM,61524_C1713_278,Noncdm Charge Record Medical Supplies,45.1,45.1,,,0 CDM,61525_270,Noncdm Charge Record Medical Supplies,400.4,400.4,,,0 CDM,6157054401,"Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast",2066.5,2066.5,,,0 CDM,6157054501,"Hc Mr Angio, Head W/Contrast - Mr Head Angio W Iv Contrast",2559.5,2559.5,,,0 CDM,6157054601,"Hc Mr Angio, Head, Combo - Mr Head Angio W And Wo Iv Contrast",3431.0,3431.0,,,0 CDM,6157054701,"Hc Mr Angio, Neck - Mr Neck Angio Wo Iv Contrast",2066.5,2066.5,,,0 CDM,6157054801,"Hc Mr Angio, Neck W/Contrast - Mr Neck Angio W Iv Contrast",2747.5,2747.5,,,0 CDM,6157054901,"Hc Mr Angio, Neck, Combo - Mr Neck Angio W And Wo Iv Contrast",3431.0,3431.0,,,0 CDM,6157_00904659961,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.55,8.55,,,0 CDM,6157_68382059101,Perphenazine: 100 Tablet In 1 Bottle (68382-591-01),12.65,12.65,,,0 CDM,6158_00904660061,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6600-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.46,6.46,,,0 CDM,6167372501,Hc Mr Angio Lower Extrem (Mra) - Mr Lower Ext Angio Rt Wo Iv Cont,1614.5,1614.5,,,0 CDM,61706_J7298_278,Noncdm Charge Record Medical Supplies,1265.0,1265.0,,,0 CDM,61706_J7298_636,Noncdm Charge Record Pharmacy,1374.75,1374.75,,,0 CDM,61777_C1713_278,Noncdm Charge Record Medical Supplies,181.5,181.5,,,0 CDM,61868_C1763_278,Noncdm Charge Record Medical Supplies,168.3,168.3,,,0 CDM,61868_C1768_278,Noncdm Charge Record Medical Supplies,168.3,168.3,,,0 CDM,6187215903,Hc Mr Angio Spine (Mra) - Mr Spine Angio W Or Wo Iv Contrast,5473.0,5473.0,,,0 CDM,6187418501,Hc Mr Angio Abdomen (Mra) - Mr Abdomen Angio W Or Wo Iv Contrast,1849.5,1849.5,,,0 CDM,61894_270,Noncdm Charge Record Medical Supplies,858.0,858.0,,,0 CDM,618C890001,Hc Mr Angio Abdomen (Mra) - Mr Abdomen W/ Contrast,2603.5,2603.5,,,0 CDM,618C890101,Hc Mra Abd W/O Contrast,2054.5,2054.5,,,0 CDM,618C890201,Hc Mra Abd W/O W Contrast,3294.0,3294.0,,,0 CDM,618C890901,Hc Mr Chest (Mra) - Mr Chest Excluding Myocardium W/ Contrast,2603.5,2603.5,,,0 CDM,618C891001,Hc Mr Chest (Mra) - Mr Chest Excluding Myocardium W/O Contrast,2180.0,2180.0,,,0 CDM,618C891101,Hc Mra Chest W/O - W/Contrast,3026.0,3026.0,,,0 CDM,618C891201,Hc Mra Low Ext W/ Bilateral,2603.5,2603.5,,,0 CDM,618C891301,Hc Mra Low Ext W/O Contrast,2064.5,2064.5,,,0 CDM,618C891401,Hc Mra Low Ext W/O W Contrast,3296.0,3296.0,,,0 CDM,618C891801,Hc Mra Pelvis W/Contrast,2603.5,2603.5,,,0 CDM,618C891901,Hc Mra Pelvis W/O Contrast,2054.5,2054.5,,,0 CDM,618C892001,Hc Mra Pelvis W/O W Contr,3296.0,3296.0,,,0 CDM,618C893201,"Hc Mr Angio Spine (Mra) - Mr Spine Angio Wo Contrast, Spinal Canal",3620.0,3620.0,,,0 CDM,618C893301,Hc Mra Spinal Canal W/O +W/ Contr,5773.5,5773.5,,,0 CDM,618C893401,Hc Mra Upper Ext W/Contrast,2603.5,2603.5,,,0 CDM,618C893501,Hc Mr Angio - Mra W/O Contrast Upper Extremity,1947.5,1947.5,,,0 CDM,618C893601,Hc Mra Upper Ext W/O+W/ Contrast,3296.0,3296.0,,,0 CDM,6191_C1765_278,Noncdm Charge Record Medical Supplies,459.98,459.98,,,0 CDM,6193_10135062001,"Phenazopyridine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (10135-620-01)",5.66,5.66,,,0 CDM,6193_65162068110,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),9.87,9.87,,,0 CDM,6193_69367019101,Phenazopyridine Hydrochloride: 100 TABLET in 1 BOTTLE (69367-191-01),9.78,9.78,,,0 CDM,6194_42192080201,PHENAZOPYRIDINE HYDROCHLORIDE: 100 TABLET in 1 CONTAINER (42192-802-01),14.42,14.42,,,0 CDM,6194_65162068210,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),14.36,14.36,,,0 CDM,62124_C1758_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,62125_C1758_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,6212_00121094205,NDC Description Not Available,12.88,12.88,,,0 CDM,6212_00121188407,NDC Description Not Available,16.39,16.39,,,0 CDM,6212_64380016601,"Phenobarbital: 473 Ml In 1 Bottle, Plastic (64380-166-01)",3.2,3.2,,,0 CDM,62140_C2617_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,62145_C2617_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,6215_63739019210,Phenobarbital: 10 Blister Pack In 1 Box (63739-192-10) / 10 Tablet In 1 Blister Pack,2.1,2.1,,,0 CDM,6217_00904657561,Phenobarbital: 100 Blister Pack In 1 Carton (0904-6575-61) / 1 Tablet In 1 Blister Pack,1.64,1.64,,,0 CDM,6217_16571067301,Phenobarbital: 100 Tablet In 1 Bottle (16571-673-01),2.37,2.37,,,0 CDM,62186_C1713_278,Noncdm Charge Record Medical Supplies,449.9,449.9,,,0 CDM,6219_51293062701,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (51293-627-01)",3.09,3.09,,,0 CDM,6219_75826014110,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-141-10)",0.67,0.67,,,0 CDM,62210_C1713_278,Noncdm Charge Record Medical Supplies,39.97,39.97,,,0 CDM,6221_00641047721,NDC Description Not Available,191.11,191.11,,,0 CDM,6221_00641047725,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),158.34,158.34,,,0 CDM,6221_42494041601,NDC Description Not Available,147.56,147.56,,,0 CDM,6221_42494041625,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-416-25) / 1 Ml In 1 Vial",125.0,125.0,,,0 CDM,6221_42494044201,NDC Description Not Available,134.07,134.07,,,0 CDM,6221_42494044225,"Phenobarbital Sodium: 3 Vial In 1 Box, Unit-Dose (42494-442-25) / 1 Ml In 1 Vial",187.1,187.1,,,0 CDM,6221_54288013701,NDC Description Not Available,94.24,94.24,,,0 CDM,6221_54288013725,Phenobarbital Sodium: 25 Vial In 1 Carton (54288-137-25) / 1 Ml In 1 Vial (54288-137-01),132.36,132.36,,,0 CDM,62223_270,Noncdm Charge Record Medical Supplies,347.6,347.6,,,0 CDM,62231_C1713_278,Noncdm Charge Record Medical Supplies,507.1,507.1,,,0 CDM,62232_C1713_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,62242_C1713_278,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,6224_00641047621,NDC Description Not Available,115.23,115.23,,,0 CDM,6224_00641047625,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),133.83,133.83,,,0 CDM,6224_42494041501,NDC Description Not Available,108.77,108.77,,,0 CDM,6224_42494044101,NDC Description Not Available,98.88,98.88,,,0 CDM,6224_42494044125,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-441-25) / 1 Ml In 1 Vial",94.01,94.01,,,0 CDM,6224_54288013601,NDC Description Not Available,77.76,77.76,,,0 CDM,62271_V2790_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,62272_V2790_636,Noncdm Charge Record Pharmacy,930.09,930.09,,,0 CDM,62275_270,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,62302_C1713_278,Noncdm Charge Record Medical Supplies,85.8,85.8,,,0 CDM,62349_L8612_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,62357_C1713_278,Noncdm Charge Record Medical Supplies,2714.8,2714.8,,,0 CDM,62387_270,Noncdm Charge Record Medical Supplies,1758.9,1758.9,,,0 CDM,62388_270,Noncdm Charge Record Medical Supplies,1758.9,1758.9,,,0 CDM,6242_00641614201,NDC Description Not Available,0.03,0.03,,,0 CDM,6242_00641614225,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.03,0.03,,,0 CDM,6242_00641618801,NDC Description Not Available,0.03,0.03,,,0 CDM,6242_00641618810,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0641-6188-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0641-6188-01)",0.03,0.03,,,0 CDM,6242_00781345875,NDC Description Not Available,0.23,0.23,,,0 CDM,6242_00781345895,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-3458-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-3458-75)",0.16,0.16,,,0 CDM,6242_00781346670,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0781-3466-70) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 CDM,6242_00781922775,NDC Description Not Available,0.02,0.02,,,0 CDM,6242_00781922795,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-9227-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-9227-75)",0.04,0.04,,,0 CDM,6242_42023021401,NDC Description Not Available,0.04,0.04,,,0 CDM,6242_42023021410,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 CDM,6242_42023021501,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (42023-215-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 CDM,6242_51754402001,"Vazculep: 1 Vial, Pharmacy Bulk Package In 1 Carton (51754-4020-1) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 CDM,6242_55150030201,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (55150-302-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 CDM,6242_63323075100,NDC Description Not Available,0.03,0.03,,,0 CDM,6242_63323075105,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-751-05) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 CDM,6242_70756062386,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (70756-623-86) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 CDM,6242_76014000432,NDC Description Not Available,0.03,0.03,,,0 CDM,6242_81284021301,Phenylephrine Hydrochloride: 1 Vial In 1 Carton (81284-213-01) / 10 Ml In 1 Vial (81284-213-00),0.02,0.02,,,0 CDM,6243_00225080047,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",4.12,4.12,,,0 CDM,62446_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,6244_00225080547,"Neo-Synephrine Regular: 15 Ml In 1 Bottle, Spray (0225-0805-47)",4.12,4.12,,,0 CDM,6246_70756062925,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",146.28,146.28,,,0 CDM,6246_70756064935,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-649-35) / 15 Ml In 1 Bottle, Dropper",405.61,405.61,,,0 CDM,6246_75907012907,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (75907-129-07) / 2 Ml In 1 Bottle, Dropper",141.11,141.11,,,0 CDM,62533_C1713_278,Noncdm Charge Record Medical Supplies,50.6,50.6,,,0 CDM,62534_C1713_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,6256_42192061405,NDC Description Not Available,4.3,4.3,,,0 CDM,6257_00071036940,Dilantin: 100 Blister Pack In 1 Carton (0071-0369-40) / 1 Capsule In 1 Blister Pack,8.02,8.02,,,0 CDM,6257_58151011032,NDC Description Not Available,8.24,8.24,,,0 CDM,62687_270,Noncdm Charge Record Medical Supplies,441.1,441.1,,,0 CDM,62718_C1773_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,62796_C1769_278,Noncdm Charge Record Medical Supplies,48.4,48.4,,,0 CDM,6279_61314020315,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15) / 15 Ml In 1 Bottle,355.35,355.35,,,0 CDM,6279_69238174508,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1745-8) / 15 Ml In 1 Bottle,355.35,355.35,,,0 CDM,6279_70069018101,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01) / 15 Ml In 1 Bottle,334.36,334.36,,,0 CDM,6280_61314020415,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-204-15) / 15 Ml In 1 Bottle,363.59,363.59,,,0 CDM,6280_69238174608,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1746-8) / 15 Ml In 1 Bottle,17.69,17.69,,,0 CDM,62934_C1883_275,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,63105_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,6331_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),64.87,64.87,,,0 CDM,6331_09999003913,NDC Description Not Available,24.58,24.58,,,0 CDM,6340000001,"Hc Rx 634 (Epoetin <10,000 Units)",61.8,61.8,,,0 CDM,6348_270,Noncdm Charge Record Medical Supplies,93.5,93.5,,,0 CDM,6350000001,"Hc Rx 635 Epoetin >10,000 Units",67.98,67.98,,,0 CDM,63508_270,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,6360000003_J1745_636,Noncdm Charge Record Pharmacy,288.69,288.69,,,0 CDM,6360000004_57894050101,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",49.2,49.2,,,0 CDM,6360000004_J9061_636,Noncdm Charge Record Pharmacy,49.45,49.45,,,0 CDM,6360000004_J9177_636,Noncdm Charge Record Pharmacy,85.1,85.1,,,0 CDM,6360000004_J9380_636,Noncdm Charge Record Pharmacy,77.47,77.47,,,0 CDM,6360000007_A9513_344,Noncdm Charge Record Radiopharmaceuticals,566.53,566.53,,,0 CDM,63690585PB,Hc Pbb Bacillus Calmette-Guerin Vacc For Tb Live Perq,1437.88,1437.88,,,0 CDM,63690627PB,Hc Pbb Tick-Borne Enceph Vacc Inactivated 0.5Ml Im Use,1160.81,1160.81,,,0 CDM,63690632PB,Hc Pbb Hepa Vaccine Adult Dose For Intramuscular Use,317.24,317.24,,,0 CDM,63690636PB,Hc Pbb Hepa/Hepb Vaccine Adult Im,500.58,500.58,,,0 CDM,63690636PB_58160081543,NDC Description Not Available,500.58,500.58,,,0 CDM,63690651PB,Hc Pbb 9Vhpv Vacc 2/3 Dose Sched Im Use,1109.31,1109.31,,,0 CDM,63690653PB,Hc Iiv Adjuvanted Vaccine For Intramuscular Use,215.27,215.27,,,0 CDM,63690653PB_70461002403,"Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04)",215.27,215.27,,,0 CDM,63690653PB_70461002404,NDC Description Not Available,215.27,215.27,,,0 CDM,63690653PB_90653_636,Hc Iiv Adjuvanted Vaccine For Intramuscular Use,215.27,215.27,,,0 CDM,63690656PB,Hc Pbb Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use,72.1,72.1,,,0 CDM,63690656PB_58160088441,NDC Description Not Available,71.96,71.96,,,0 CDM,63690656PB_58160088452,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),72.1,72.1,,,0 CDM,63690656PB_70461002404,NDC Description Not Available,72.1,72.1,,,0 CDM,63690656PB_70461012303,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-123-03) / .5 mL in 1 SYRINGE, GLASS (70461-123-04)",72.1,72.1,,,0 CDM,63690661PB,Hc Cciiv3 Vaccine Abx Free 0.5 Ml For Im Use,80.34,80.34,,,0 CDM,63690673PB,Hc Pbb Riv3 Vaccine Preservative Free For Im Use,147.29,147.29,,,0 CDM,6369067701,Hc Pcv20 Vaccine For Intramuscular Use,1061.93,1061.93,,,0 CDM,6369067701_00005200001,NDC Description Not Available,1061.93,1061.93,,,0 CDM,6369067701_00005200010,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),1061.93,1061.93,,,0 CDM,63690682PB,Hc Pbb Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,311.06,311.06,,,0 CDM,63690686PB,Pbb Vaccine Only - Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use,23.69,23.69,,,0 CDM,63690686PB_58160088441,NDC Description Not Available,23.69,23.69,,,0 CDM,63690686PB_58160089041,NDC Description Not Available,23.69,23.69,,,0 CDM,63690686PB_58160090941,NDC Description Not Available,23.69,23.69,,,0 CDM,63690688PB,Hc Pbb Iiv4 Vacc Split Virus 0.5 Ml Dos For Im Use,77.25,77.25,,,0 CDM,63690694PB,Hc Aiiv4 Vacc Inactivated Prsrv Fr 0.5Ml Dos Im Use,280.16,280.16,,,0 CDM,63690694PB_90694_636,Hc Aiiv4 Vacc Inactivated Prsrv Fr 0.5Ml Dos Im Use,280.16,280.16,,,0 CDM,63690698PB,Hc Pbb Dtap-Ipv/Hib Vaccine For Intramuscular Use,457.32,457.32,,,0 CDM,63690700PB,"Hc Pbb Dtap Immunization, Im, <7 Yo",135.96,135.96,,,0 CDM,63690714PB,Hc Pbb Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use,139.05,139.05,,,0 CDM,63690732PB,Hc Pbb Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use,902.28,902.28,,,0 CDM,63690739PB,Hc Pbb Hepb Vaccine Adult 2/4 Dose Schedule For Im Use,579.89,579.89,,,0 CDM,6369074901,Hc Pbb Unlisted Vaccine/Toxoid - Meningococcal Mcv4O,1121.67,1121.67,,,0 CDM,63690750PB,Hc Hzv Zoster Vacc Recombinant Adjuvanted Im Use,757.05,757.05,,,0 CDM,63690750PB_58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),757.05,757.05,,,0 CDM,63690756PB,Hc Pbb Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,121.54,121.54,,,0 CDM,636A951301_A9513_344,Noncdm Charge Record Radiopharmaceuticals,559.0,559.0,,,0 CDM,636A960601_A9606_636,Noncdm Charge Record Pharmacy,0.01,0.01,,,0 CDM,636C939902,Hc Gene Cell Therapy - Amtagvi,2121800.0,2121800.0,,,0 CDM,636C939904,Hc Car-T Product - Car-T Aucatzyl,2163000.0,2163000.0,,,0 CDM,636C939905,Hc Car-T Product - Car-T Tecelra,2995240.0,2995240.0,,,0 CDM,636J0585PB,"Hc Cams Injection,Onabotulinumtoxina",16.48,16.48,,,0 CDM,636J0585PB_00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.74,15.74,,,0 CDM,636J0585PB_J0585_250,"Hc Cams Injection,Onabotulinumtoxina",16.48,16.48,,,0 CDM,636J0585PB_J0585_636,"Hc Cams Injection,Onabotulinumtoxina",17.0,17.0,,,0 CDM,636J1100PB_J1100_636,Noncdm Charge Record Pharmacy,1.03,1.03,,,0 CDM,636J1940PB,Hc Cams Furosemide Injection,4.12,4.12,,,0 CDM,636J339201,Hc Gene Cell Therapy - Casgevy (Frozen),9064000.0,9064000.0,,,0 CDM,636J339301,Hc Gene Cell Therapy - Zynteglo Beta Thal 20Ml,11536000.0,11536000.0,,,0 CDM,636J339401,Hc Gene Cell Therapy - Lyfgenia,12772000.0,12772000.0,,,0 CDM,636Q2035PB,"Hc Pbb Influenza Vacc, Split Virus, When Administered, 3 Yrs&Older, For Im Use (Afluria)",83.43,83.43,,,0 CDM,636Q204101,Hc Car-T Product - Car-T Yescarta (Fresh),2074749.6,2074749.6,,,0 CDM,636Q204101_Q2041_636,Hc Car-T Product - Car-T Yescarta (Fresh),1989094.8,1989094.8,,,0 CDM,636Q204101_Q2041_891,Hc Car-T Product - Car-T Yescarta (Fresh),2074749.6,2074749.6,,,0 CDM,636Q204201,Hc Car-T Product - Car-T Kymriah R/R (Frozen),2240569.3,2240569.3,,,0 CDM,636Q204202,Hc Car-T Product - Car-T Kymriah Dlbcl (Frozen),2240569.3,2240569.3,,,0 CDM,636Q205301,Hc Car-T Product - Car-T Tecartus Mcl,1903440.0,1903440.0,,,0 CDM,636Q205401,Hc Car-T Product - Car T Breyanzi (Fresh),2008405.24,2008405.24,,,0 CDM,636Q205401_Q2054_631,Hc Car-T Product - Car T Breyanzi (Fresh),2008405.24,2008405.24,,,0 CDM,636Q205401_Q2054_636,Hc Car-T Product - Car T Breyanzi (Fresh),2008405.24,2008405.24,,,0 CDM,636Q205401_Q2054_891,Hc Car-T Product - Car T Breyanzi (Fresh),2008405.24,2008405.24,,,0 CDM,636Q205501,Hc Car-T Product - Car T Abecma (Fresh),2053440.96,2053440.96,,,0 CDM,636Q205501_Q2055_891,Hc Car-T Product - Car T Abecma (Fresh),2053440.96,2053440.96,,,0 CDM,636Q205601,Hc Car-T Product - Car-T Carvykti Mm,2150868.66,2150868.66,,,0 CDM,636Q205601_Q2056_631,Hc Car-T Product - Car-T Carvykti Mm,2150868.66,2150868.66,,,0 CDM,636Q205601_Q2056_636,Hc Car-T Product - Car-T Carvykti Mm,2150868.66,2150868.66,,,0 CDM,636Q205601_Q2056_891,Hc Car-T Product - Car-T Carvykti Mm,2150868.66,2150868.66,,,0 CDM,636Q205701,Hc Car-T Product - Car-T Tecelra,2995240.0,2995240.0,,,0 CDM,6370000001_J0588_637,Noncdm Charge Record Pharmacy,22.09,22.09,,,0 CDM,63748_C1713_278,Noncdm Charge Record Medical Supplies,53.17,53.17,,,0 CDM,63751_C1713_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,6377_C1758_278,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,6393_63323036711,"POLYMYXIN B: 10 VIAL in 1 CARTON (63323-367-11) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (63323-367-01)",47.38,47.38,,,0 CDM,6393_70594004902,"Polymyxin B: 10 Vial, Glass In 1 Carton (70594-049-02) / 1 Injection, Powder, For Solution In 1 Vial, Glass",48.28,48.28,,,0 CDM,64110_270,Noncdm Charge Record Medical Supplies,1323.3,1323.3,,,0 CDM,6417_C1757_278,Noncdm Charge Record Medical Supplies,63.78,63.78,,,0 CDM,6418_C1757_278,Noncdm Charge Record Medical Supplies,63.77,63.77,,,0 CDM,6419_C1757_278,Noncdm Charge Record Medical Supplies,63.73,63.73,,,0 CDM,6420_00409329461,NDC Description Not Available,1.03,1.03,,,0 CDM,6420_00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",14.42,14.42,,,0 CDM,6420_00409818311,NDC Description Not Available,15.45,15.45,,,0 CDM,6420_00409818315,NDC Description Not Available,14.42,14.42,,,0 CDM,6420_51754200104,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4) / 20 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 CDM,6420_C1757_278,Noncdm Charge Record Medical Supplies,63.8,63.8,,,0 CDM,6423_270,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,6425_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,6426_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,6428_C1769_278,Noncdm Charge Record Medical Supplies,45.02,45.02,,,0 CDM,6429_00264194420,Potassium Chloride: 24 Container In 1 Case (0264-1944-20) / 250 Ml In 1 Container,0.41,0.41,,,0 CDM,6429_00409665119,NDC Description Not Available,1.89,1.89,,,0 CDM,6429_00409665305,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6653-05) / 20 Ml In 1 Vial, Single-Dose (0409-6653-18)",1.36,1.36,,,0 CDM,6429_00409665318,NDC Description Not Available,1.18,1.18,,,0 CDM,6429_14789013707,NDC Description Not Available,4.53,4.53,,,0 CDM,6429_63323096501,NDC Description Not Available,2.45,2.45,,,0 CDM,6429_63323096502,NDC Description Not Available,0.54,0.54,,,0 CDM,6429_63323096503,NDC Description Not Available,0.96,0.96,,,0 CDM,6429_63323096505,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-05) / 5 Ml In 1 Vial, Single-Dose (63323-965-01)",2.4,2.4,,,0 CDM,6429_63323096510,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-10) / 10 Ml In 1 Vial, Single-Dose (63323-965-03)",0.83,0.83,,,0 CDM,6429_63323096520,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",0.51,0.51,,,0 CDM,6429_63323096730,"Potassium Chloride: 25 Vial, Multi-Dose In 1 Tray (63323-967-30) / 30 Ml In 1 Vial, Multi-Dose (63323-967-01)",0.49,0.49,,,0 CDM,6432_C1781_278,Noncdm Charge Record Medical Supplies,694.1,694.1,,,0 CDM,6434_00245036001,"Klor-Con: 100 Packet In 1 Carton (0245-0360-01) / 1 Powder, For Solution In 1 Packet (0245-0360-89)",36.6,36.6,,,0 CDM,6434_00245036089,NDC Description Not Available,36.72,36.72,,,0 CDM,6434_00603155404,Potassium Chloride: 100 Pouch In 1 Carton (0603-1554-04) / 1.58 G In 1 Pouch (0603-1554-10),36.68,36.68,,,0 CDM,6434_00603155410,NDC Description Not Available,36.65,36.65,,,0 CDM,6434_00603155416,Potassium Chloride: 30 Pouch In 1 Carton (0603-1554-16) / 1.58 G In 1 Pouch (0603-1554-10),38.62,38.62,,,0 CDM,6434_60219161701,NDC Description Not Available,38.78,38.78,,,0 CDM,6434_64380087500,NDC Description Not Available,38.8,38.8,,,0 CDM,6434_69238161701,NDC Description Not Available,38.62,38.62,,,0 CDM,6434_69543045101,NDC Description Not Available,36.76,36.76,,,0 CDM,6434_72888002406,NDC Description Not Available,38.7,38.7,,,0 CDM,6455_00904110231,Major Povidone Iodine: 1 Tube In 1 Carton (0904-1102-31) / 28.35 G In 1 Tube,3.09,3.09,,,0 CDM,64612_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,64616,Noncdm Charge Record,2915.0,2915.0,,,0 CDM,6462_60977014127,NDC Description Not Available,375.07,375.07,,,0 CDM,64632_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,64633_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,64634_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,64635_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,64643,Noncdm Charge Record,2915.0,2915.0,,,0 CDM,64644_270,Noncdm Charge Record Medical Supplies,1749.0,1749.0,,,0 CDM,64665_270,Noncdm Charge Record Medical Supplies,1013.1,1013.1,,,0 CDM,64668_270,Noncdm Charge Record Medical Supplies,573.1,573.1,,,0 CDM,6468_00378110101,"Prazosin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-1101-01)",3.19,3.19,,,0 CDM,6468_00904702061,Prazosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7020-61) / 1 Capsule In 1 Blister Pack,5.68,5.68,,,0 CDM,6468_51079063001,NDC Description Not Available,6.28,6.28,,,0 CDM,6468_68084099611,NDC Description Not Available,3.83,3.83,,,0 CDM,6469_00904702161,Prazosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7021-61) / 1 Capsule In 1 Blister Pack,7.03,7.03,,,0 CDM,6469_51079063101,NDC Description Not Available,9.09,9.09,,,0 CDM,6470_51079063201,NDC Description Not Available,15.09,15.09,,,0 CDM,64829_270,Noncdm Charge Record Medical Supplies,2979.9,2979.9,,,0 CDM,6483_42658016005,Prednisolone: 100 Tablet In 1 Bottle (42658-160-05),50.64,50.64,,,0 CDM,6483_59651049101,Prednisolone: 100 Tablet In 1 Bottle (59651-491-01),60.15,60.15,,,0 CDM,6483_62135043730,Prednisolone: 30 Tablet In 1 Bottle (62135-437-30),60.56,60.56,,,0 CDM,64846_C1889_636,Noncdm Charge Record Pharmacy,18673.9,18673.9,,,0 CDM,64857_Q4116_278,Noncdm Charge Record Medical Supplies,49.07,49.07,,,0 CDM,6487_11980018005,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05) / 5 Ml In 1 Bottle, Dropper",694.21,694.21,,,0 CDM,6487_60758011905,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05) / 5 Ml In 1 Bottle, Dropper",189.74,189.74,,,0 CDM,6487_61314063705,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05) / 5 Ml In 1 Bottle, Plastic",199.61,199.61,,,0 CDM,6487_61314063710,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-10) / 10 Ml In 1 Bottle, Plastic",398.61,398.61,,,0 CDM,6487_61314063715,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-15) / 15 Ml In 1 Bottle, Plastic",575.77,575.77,,,0 CDM,6487_70748033202,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-02) / 5 Ml In 1 Bottle,190.5,190.5,,,0 CDM,6487_70748033204,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-04) / 15 Ml In 1 Bottle,570.62,570.62,,,0 CDM,64888_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,6489_24208071510,"Prednisolone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-715-10) / 10 Ml In 1 Bottle, Dropper",227.63,227.63,,,0 CDM,6492_00054372250,Prednisone: 120 Ml In 1 Bottle (0054-3722-50),2.88,2.88,,,0 CDM,6492_00054372263,Prednisone: 500 Ml In 1 Bottle (0054-3722-63),2.68,2.68,,,0 CDM,6493_59651048401,Prednisone: 100 Tablet In 1 Bottle (59651-484-01),0.93,0.93,,,0 CDM,6493_64380078206,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",1.32,1.32,,,0 CDM,64944_C1769_272,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,64944_C1769_278,Noncdm Charge Record Medical Supplies,82.57,82.57,,,0 CDM,6495_00054874025,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,0.22,0.22,,,0 CDM,64967_C1884_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,64968_C1884_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,64969_C1884_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,6496_59746017506,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.27,0.27,,,0 CDM,64970_C1884_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,64971_C1884_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,64981_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,65147_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,65178_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,65190_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,65213_C1776_278,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,65255_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,65256_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,65289_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,65290_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,65330_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,65349_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,6541_00024159601,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",8.83,8.83,,,0 CDM,6541_76385010201,Primaquine Phosphate: 100 Tablet In 1 Bottle (76385-102-01),6.5,6.5,,,0 CDM,65467_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,65501_C1874_278,Noncdm Charge Record Medical Supplies,5619.76,5619.76,,,0 CDM,65576_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,65584_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,65614_C1713_278,Noncdm Charge Record Medical Supplies,881.1,881.1,,,0 CDM,6561_00527136701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle (0527-1367-01)",13.44,13.44,,,0 CDM,6561_00591534701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",1.8,1.8,,,0 CDM,6562_00409190211,NDC Description Not Available,398.61,398.61,,,0 CDM,6562_14789090107,NDC Description Not Available,1366.66,1366.66,,,0 CDM,6562_14789090110,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",1483.2,1483.2,,,0 CDM,6563_14789090002,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-900-02) / 2 Ml In 1 Vial, Multi-Dose",1498.03,1498.03,,,0 CDM,6563_14789090007,NDC Description Not Available,1421.9,1421.9,,,0 CDM,65710_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65711_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65712_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65718_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65719_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65720_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65721_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65722_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65724_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,65733_C1713_278,Noncdm Charge Record Medical Supplies,201.3,201.3,,,0 CDM,65735_C1713_278,Noncdm Charge Record Medical Supplies,201.3,201.3,,,0 CDM,65799_270,Noncdm Charge Record Medical Supplies,20.9,20.9,,,0 CDM,6582_50268068511,NDC Description Not Available,3.09,3.09,,,0 CDM,6583_00904738106,Prochlorperazine Maleate: 50 Blister Pack In 1 Carton (0904-7381-06) / 1 Tablet In 1 Blister Pack,5.66,5.66,,,0 CDM,6583_50268068411,NDC Description Not Available,5.73,5.73,,,0 CDM,6590_C1769_278,Noncdm Charge Record Medical Supplies,14.27,14.27,,,0 CDM,65912_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,65914_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,65916_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,65918_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,65925_C1874_278,Noncdm Charge Record Medical Supplies,4113.12,4113.12,,,0 CDM,65929_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,6597_55150030610,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",8.76,8.76,,,0 CDM,6598_C1769_278,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,65999_C1876_278,Noncdm Charge Record Medical Supplies,1769.9,1769.9,,,0 CDM,66002_C1876_278,Noncdm Charge Record Medical Supplies,1806.2,1806.2,,,0 CDM,66028_C1887_278,Noncdm Charge Record Medical Supplies,5542.9,5542.9,,,0 CDM,66094_C1874_278,Noncdm Charge Record Medical Supplies,4742.1,4742.1,,,0 CDM,66119_C1713_278,Noncdm Charge Record Medical Supplies,186.19,186.19,,,0 CDM,66120_C1713_278,Noncdm Charge Record Medical Supplies,186.16,186.16,,,0 CDM,66121_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,66124_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,6618_00641092821,NDC Description Not Available,3.15,3.15,,,0 CDM,6618_00641092825,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0928-25) / 1 Ml In 1 Vial, Single-Dose (0641-0928-21)",3.42,3.42,,,0 CDM,6618_00641094831,NDC Description Not Available,2.27,2.27,,,0 CDM,6618_00641095521,NDC Description Not Available,2.83,2.83,,,0 CDM,6618_00641095525,Promethazine Hydrochloride: 25 Vial In 1 Carton (0641-0955-25) / 1 Ml In 1 Vial (0641-0955-21),3.13,3.13,,,0 CDM,6618_00641149531,NDC Description Not Available,3.5,3.5,,,0 CDM,6618_00641608201,NDC Description Not Available,5.72,5.72,,,0 CDM,6618_00641608401,NDC Description Not Available,5.76,5.76,,,0 CDM,6618_00641608425,Phenergan: 25 Vial In 1 Carton (0641-6084-25) / 1 Ml In 1 Vial (0641-6084-01),7.21,7.21,,,0 CDM,6618_39822552502,NDC Description Not Available,3.98,3.98,,,0 CDM,6619_00641092921,NDC Description Not Available,4.12,4.12,,,0 CDM,6619_00641092925,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0929-25) / 1 Ml In 1 Vial, Single-Dose (0641-0929-21)",4.12,4.12,,,0 CDM,6619_00641094935,Promethazine Hydrochloride: 25 Ampule In 1 Carton (0641-0949-35) / 1 Ml In 1 Ampule (0641-0949-31),2.2,2.2,,,0 CDM,6619_00641149631,NDC Description Not Available,2.25,2.25,,,0 CDM,6619_00641149635,Promethazine Hydrochloride: 25 Ampule In 1 Package (0641-1496-35) / 1 Ml In 1 Ampule (0641-1496-31),2.72,2.72,,,0 CDM,66200_270,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,6620_27808005102,Promethazine Hydrochloride: 473 Ml In 1 Bottle (27808-051-02),3.09,3.09,,,0 CDM,6620_60432060816,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",3.39,3.39,,,0 CDM,6620_64679060816,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (64679-608-16)",2.39,2.39,,,0 CDM,6620_70408014634,Promethazine Hydrochloride: 473 Ml In 1 Bottle (70408-146-34),3.83,3.83,,,0 CDM,6620_70752013812,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (70752-138-12)",3.56,3.56,,,0 CDM,66263_270,Noncdm Charge Record Medical Supplies,439.08,439.08,,,0 CDM,66264_C1762_278,Noncdm Charge Record Medical Supplies,893.2,893.2,,,0 CDM,66264_C1762_636,Noncdm Charge Record Pharmacy,836.36,836.36,,,0 CDM,66265_C1762_278,Noncdm Charge Record Medical Supplies,993.3,993.3,,,0 CDM,66265_C1762_636,Noncdm Charge Record Pharmacy,930.09,930.09,,,0 CDM,66266_270,Noncdm Charge Record Medical Supplies,1070.3,1070.3,,,0 CDM,66266_C1889_278,Noncdm Charge Record Medical Supplies,1077.14,1077.14,,,0 CDM,66272_270,Noncdm Charge Record Medical Supplies,1159.57,1159.57,,,0 CDM,66278_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,66279_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,66280_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,66282_C1781_278,Noncdm Charge Record Medical Supplies,895.4,895.4,,,0 CDM,66305_C9359_278,Noncdm Charge Record Medical Supplies,1553.2,1553.2,,,0 CDM,66306_C9359_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,66306_C9359_636,Noncdm Charge Record Pharmacy,360.5,360.5,,,0 CDM,66307_C9359_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,66307_C9359_636,Noncdm Charge Record Pharmacy,721.0,721.0,,,0 CDM,66308_C9359_278,Noncdm Charge Record Medical Supplies,1490.5,1490.5,,,0 CDM,66308_C9359_636,Noncdm Charge Record Pharmacy,1395.65,1395.65,,,0 CDM,66319_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66320_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66321_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66322_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66323_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66324_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66325_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,66327_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66328_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66329_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66331_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66332_C1776_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,66333_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66334_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66413_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,66419_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66420_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66421_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66422_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66423_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66424_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66425_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66426_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66428_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66430_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,66433_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,6644_17478026312,"Proparacaine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-263-12) / 15 mL in 1 BOTTLE, DROPPER",158.59,158.59,,,0 CDM,6644_24208073006,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06) / 15 Ml In 1 Bottle, Dropper",151.43,151.43,,,0 CDM,6644_61314001601,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01) / 15 Ml In 1 Bottle,158.62,158.62,,,0 CDM,6644_70069060101,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (70069-601-01) / 15 Ml In 1 Bottle,157.59,157.59,,,0 CDM,66456_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,6645_C1887_278,Noncdm Charge Record Medical Supplies,60.38,60.38,,,0 CDM,66518_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,66519_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,66520_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,6658_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,66605_C1762_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,66606_270,Noncdm Charge Record Medical Supplies,1784.23,1784.23,,,0 CDM,6662_67253065110,Propylthiouracil: 100 Tablet In 1 Bottle (67253-651-10),3.18,3.18,,,0 CDM,6662_68084096495,NDC Description Not Available,12.12,12.12,,,0 CDM,6662_70752017110,Propylthiouracil: 100 Tablet In 1 Bottle (70752-171-10),2.95,2.95,,,0 CDM,66733_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,66739_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66742_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,6677_63323022901,NDC Description Not Available,16.16,16.16,,,0 CDM,6677_63323022905,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",16.46,16.46,,,0 CDM,6677_63323022921,NDC Description Not Available,10.39,10.39,,,0 CDM,6677_63323022930,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",15.76,15.76,,,0 CDM,6677_63323022935,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-35) / 25 Ml In 1 Vial, Single-Dose",10.37,10.37,,,0 CDM,66827_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,66829_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,66833_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,66839_C1713_278,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,66841_C1713_278,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,66883_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,66884_C1776_278,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,66886_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66888_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,66889_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,66892_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,66894_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,66895_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66896_C1776_278,Noncdm Charge Record Medical Supplies,4042.5,4042.5,,,0 CDM,66897_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66900_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66902_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,66919_C1776_278,Noncdm Charge Record Medical Supplies,619.3,619.3,,,0 CDM,66926_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,66927_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,66943_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,66946_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,66947_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,66973_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,66975_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,66976_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,66977_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,66978_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,66988_C1713_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,66989_C1713_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,66992_C1713_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,66993_C1713_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,66994_C1713_278,Noncdm Charge Record Medical Supplies,392.33,392.33,,,0 CDM,6699_270,Noncdm Charge Record Medical Supplies,440.82,440.82,,,0 CDM,67004_C1713_278,Noncdm Charge Record Medical Supplies,73.48,73.48,,,0 CDM,67012_C1713_278,Noncdm Charge Record Medical Supplies,324.5,324.5,,,0 CDM,67032_270,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,67050_C1894_278,Noncdm Charge Record Medical Supplies,133.1,133.1,,,0 CDM,67053_C1894_278,Noncdm Charge Record Medical Supplies,52.8,52.8,,,0 CDM,67080_C1769_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,67081_C1769_278,Noncdm Charge Record Medical Supplies,23.1,23.1,,,0 CDM,67082_C1769_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,67084_C1769_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,67087_C1893_278,Noncdm Charge Record Medical Supplies,196.9,196.9,,,0 CDM,67088_C1893_278,Noncdm Charge Record Medical Supplies,50.05,50.05,,,0 CDM,67089_C1893_278,Noncdm Charge Record Medical Supplies,171.82,171.82,,,0 CDM,67090_C1893_278,Noncdm Charge Record Medical Supplies,165.48,165.48,,,0 CDM,67091_C1887_278,Noncdm Charge Record Medical Supplies,79.92,79.92,,,0 CDM,67092_C1887_278,Noncdm Charge Record Medical Supplies,80.58,80.58,,,0 CDM,67095_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,67105_C1725_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,67106_C1876_278,Noncdm Charge Record Medical Supplies,1769.9,1769.9,,,0 CDM,67116_C1760_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,67136_C1733_278,Noncdm Charge Record Medical Supplies,1054.9,1054.9,,,0 CDM,67137_C1733_278,Noncdm Charge Record Medical Supplies,1054.9,1054.9,,,0 CDM,67138_C1894_278,Noncdm Charge Record Medical Supplies,106.68,106.68,,,0 CDM,67140_C1894_278,Noncdm Charge Record Medical Supplies,106.54,106.54,,,0 CDM,67149_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,67151_C1894_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,67152_C1894_278,Noncdm Charge Record Medical Supplies,178.26,178.26,,,0 CDM,67159_270,Noncdm Charge Record Medical Supplies,573.1,573.1,,,0 CDM,67194_270,Noncdm Charge Record Medical Supplies,1302.4,1302.4,,,0 CDM,67195_270,Noncdm Charge Record Medical Supplies,1302.41,1302.41,,,0 CDM,67208_L4396_274,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,67211_C1769_272,Noncdm Charge Record Medical Supplies,444.95,444.95,,,0 CDM,67211_C1769_278,Noncdm Charge Record Medical Supplies,445.4,445.4,,,0 CDM,67212_C1769_278,Noncdm Charge Record Medical Supplies,44.0,44.0,,,0 CDM,67220_270,Noncdm Charge Record Medical Supplies,610.5,610.5,,,0 CDM,67222_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,67223_C1889_278,Noncdm Charge Record Medical Supplies,142.92,142.92,,,0 CDM,67224_C1889_278,Noncdm Charge Record Medical Supplies,142.92,142.92,,,0 CDM,67225_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,67226_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,67227_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,67237_C1889_272,Noncdm Charge Record Medical Supplies,2433.2,2433.2,,,0 CDM,67238_C1889_272,Noncdm Charge Record Medical Supplies,2417.8,2417.8,,,0 CDM,67306_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,67324_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,67329_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,67330_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,67331_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,67348_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,67349_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,67358_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,67359_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,67360_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,67361_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,67362_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,67370_C1713_278,Noncdm Charge Record Medical Supplies,1252.9,1252.9,,,0 CDM,6738_33342044711,Pyrazinamide: 100 Tablet In 1 Bottle (33342-447-11),22.6,22.6,,,0 CDM,6738_60687078911,NDC Description Not Available,25.12,25.12,,,0 CDM,6738_70954048410,Pyrazinamide: 60 Tablet In 1 Bottle (70954-484-10),23.31,23.31,,,0 CDM,67444_C1776_278,Noncdm Charge Record Medical Supplies,2273.7,2273.7,,,0 CDM,67445_C1776_278,Noncdm Charge Record Medical Supplies,333.3,333.3,,,0 CDM,6744_63323018000,NDC Description Not Available,92.47,92.47,,,0 CDM,6744_63323018001,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),93.77,93.77,,,0 CDM,67495_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,67525_270,Noncdm Charge Record Medical Supplies,628.8,628.8,,,0 CDM,67527_270,Noncdm Charge Record Medical Supplies,598.4,598.4,,,0 CDM,67601_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67602_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67603_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67604_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67605_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67606_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67607_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67608_C1776_278,Noncdm Charge Record Medical Supplies,2138.57,2138.57,,,0 CDM,67609_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67610_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67611_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67612_C1776_278,Noncdm Charge Record Medical Supplies,2167.0,2167.0,,,0 CDM,67613_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67614_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67615_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,67616_C1776_278,Noncdm Charge Record Medical Supplies,2002.0,2002.0,,,0 CDM,67617_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67618_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67619_C1776_278,Noncdm Charge Record Medical Supplies,1217.33,1217.33,,,0 CDM,67620_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67621_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67622_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67623_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,67673_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,67675_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,67676_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,67688_C1776_278,Noncdm Charge Record Medical Supplies,667.33,667.33,,,0 CDM,67690_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67691_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67693_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,67694_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67697_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67699_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67700_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67702_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67704_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67708_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67711_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67712_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67714_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67716_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67717_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67719_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67720_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67723_C1776_278,Noncdm Charge Record Medical Supplies,577.5,577.5,,,0 CDM,67728_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67729_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,67750_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,67753_C1713_278,Noncdm Charge Record Medical Supplies,84.98,84.98,,,0 CDM,67755_C1713_278,Noncdm Charge Record Medical Supplies,85.07,85.07,,,0 CDM,67757_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,67759_C1713_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,6777_42806051330,Quinidine Sulfate: 30 Tablet In 1 Bottle (42806-513-30),54.38,54.38,,,0 CDM,6777_C1781_278,Noncdm Charge Record Medical Supplies,1109.98,1109.98,,,0 CDM,67785_C1713_278,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,67909_270,Noncdm Charge Record Medical Supplies,514.93,514.93,,,0 CDM,67920_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,67934_C1776_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,6796_C1757_278,Noncdm Charge Record Medical Supplies,63.42,63.42,,,0 CDM,68113_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,68117_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,68200_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,68249_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,68250_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,68251_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,68368_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,68369_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,68373_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,68374_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,68376_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,68515_270,Noncdm Charge Record Medical Supplies,1091.2,1091.2,,,0 CDM,6851_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,68530_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,68535_C1713_278,Noncdm Charge Record Medical Supplies,282.7,282.7,,,0 CDM,68537_C1713_278,Noncdm Charge Record Medical Supplies,282.7,282.7,,,0 CDM,68555_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,68556_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,68559_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,68561_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,68563_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,68564_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,68565_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,68566_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,68567_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,68568_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,68569_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,68570_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,68571_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,6857_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,68582_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,68583_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,68586_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,68587_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,68590_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,68593_C1713_278,Noncdm Charge Record Medical Supplies,576.4,576.4,,,0 CDM,68618_C1713_278,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,68623_C1713_278,Noncdm Charge Record Medical Supplies,716.1,716.1,,,0 CDM,68625_C1713_278,Noncdm Charge Record Medical Supplies,793.1,793.1,,,0 CDM,6864_C1758_278,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 CDM,68661_C1713_278,Noncdm Charge Record Medical Supplies,885.5,885.5,,,0 CDM,68673_C1713_278,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,68675_C1713_278,Noncdm Charge Record Medical Supplies,395.08,395.08,,,0 CDM,68679_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,68694_C1713_278,Noncdm Charge Record Medical Supplies,254.1,254.1,,,0 CDM,68704_C1713_278,Noncdm Charge Record Medical Supplies,254.1,254.1,,,0 CDM,68706_C1713_278,Noncdm Charge Record Medical Supplies,261.25,261.25,,,0 CDM,68707_270,Noncdm Charge Record Medical Supplies,559.9,559.9,,,0 CDM,68709_270,Noncdm Charge Record Medical Supplies,1399.2,1399.2,,,0 CDM,68710_270,Noncdm Charge Record Medical Supplies,1397.0,1397.0,,,0 CDM,68713_270,Noncdm Charge Record Medical Supplies,342.82,342.82,,,0 CDM,68714_270,Noncdm Charge Record Medical Supplies,477.4,477.4,,,0 CDM,68719_270,Noncdm Charge Record Medical Supplies,2098.4,2098.4,,,0 CDM,68723_270,Noncdm Charge Record Medical Supplies,1494.17,1494.17,,,0 CDM,68725_270,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,68740_C1713_278,Noncdm Charge Record Medical Supplies,151.8,151.8,,,0 CDM,68743_C1713_278,Noncdm Charge Record Medical Supplies,152.35,152.35,,,0 CDM,68845_C1883_275,Noncdm Charge Record Medical Supplies,214.5,214.5,,,0 CDM,68861_270,Noncdm Charge Record Medical Supplies,336.6,336.6,,,0 CDM,68892_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68893_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68894_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68896_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68897_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68898_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68899_C1713_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68904_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68905_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68909_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,68910_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,6899_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,69130_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69233_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,69243_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,69300_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,69327_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,69328_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,69329_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,69395_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,693_00574703412,Aspirin: 12 Packet In 1 Carton (0574-7034-12) / 1 Suppository In 1 Packet,4.58,4.58,,,0 CDM,69404_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,6954_270,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,69562_C1885_278,Noncdm Charge Record Medical Supplies,4396.7,4396.7,,,0 CDM,69562_C1887_278,Noncdm Charge Record Medical Supplies,4396.7,4396.7,,,0 CDM,69597_270,Noncdm Charge Record Medical Supplies,510.4,510.4,,,0 CDM,6960_C1751_278,Noncdm Charge Record Medical Supplies,245.27,245.27,,,0 CDM,69664_C1713_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,69667_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,69668_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,69669_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,69670_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,69680_C1729_278,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,69680_C1889_278,Noncdm Charge Record Medical Supplies,754.17,754.17,,,0 CDM,69744_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69745_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69746_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69747_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69748_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69749_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69750_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69751_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,69778_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,69839_C1766_278,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,69920_270,Noncdm Charge Record Medical Supplies,2970.0,2970.0,,,0 CDM,69971_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,69975_C1713_278,Noncdm Charge Record Medical Supplies,185.9,185.9,,,0 CDM,69976_C1713_278,Noncdm Charge Record Medical Supplies,186.16,186.16,,,0 CDM,69978_C1762_278,Noncdm Charge Record Medical Supplies,1093.4,1093.4,,,0 CDM,69978_C1762_636,Noncdm Charge Record Pharmacy,1023.82,1023.82,,,0 CDM,70001_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,70003_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,70004_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,70006_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,700072_09999700072,NDC Description Not Available,19.68,19.68,,,0 CDM,70007_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,70009_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,70010_C1713_278,Noncdm Charge Record Medical Supplies,59.4,59.4,,,0 CDM,700168_00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",2.95,2.95,,,0 CDM,70019_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,700239_00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),51.59,51.59,,,0 CDM,700261_00409508211,NDC Description Not Available,15.45,15.45,,,0 CDM,7002901001,"Hc Apply Body Cast,Risser Jacket",716.0,716.0,,,0 CDM,7002913001,"Hc Apply Finger Splint,Static",362.0,362.0,,,0 CDM,7002934501,Hc Apply Long Leg Cast,733.0,733.0,,,0 CDM,7002951501,Hc Apply Lower Leg Splint,384.0,384.0,,,0 CDM,7003130_00395103116,NDC Description Not Available,37.08,37.08,,,0 CDM,700357_09999003934,NDC Description Not Available,6.56,6.56,,,0 CDM,700357_50268018711,NDC Description Not Available,4.12,4.12,,,0 CDM,700357_67877058901,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),3.55,3.55,,,0 CDM,700386_00074726950,Gengraf: 1 Bottle In 1 Carton (0074-7269-50) / 50 Ml In 1 Bottle,33.99,33.99,,,0 CDM,700427_00990793519,Dextrose: 12 Pouch In 1 Case (0990-7935-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,48.82,48.82,,,0 CDM,70060_C1768_278,Noncdm Charge Record Medical Supplies,976.8,976.8,,,0 CDM,700668_06425333335,NDC Description Not Available,7.22,7.22,,,0 CDM,700704_60687058211,NDC Description Not Available,3.24,3.24,,,0 CDM,700715_00009001103,NDC Description Not Available,80.1,80.1,,,0 CDM,700715_00009001104,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",80.34,80.34,,,0 CDM,700726_00904693961,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack,12.36,12.36,,,0 CDM,7007286_00517970201,NDC Description Not Available,4.06,4.06,,,0 CDM,70074_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,700782_44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",217.43,217.43,,,0 CDM,700782_44206043690,NDC Description Not Available,217.44,217.44,,,0 CDM,700782_44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",217.48,217.48,,,0 CDM,700782_44206043791,NDC Description Not Available,217.48,217.48,,,0 CDM,700782_44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",217.46,217.46,,,0 CDM,700782_44206043892,NDC Description Not Available,217.46,217.46,,,0 CDM,70078_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70079_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70080_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70081_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70085_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70086_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,700875_09999003987,NDC Description Not Available,180.05,180.05,,,0 CDM,700875_09999700875,NDC Description Not Available,26.93,26.93,,,0 CDM,700875_09999900218,NDC Description Not Available,267.04,267.04,,,0 CDM,700875_65628005001,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01) * 236 Ml In 1 Bottle, Plastic * .2 G In 1 Bottle, Glass * ",405.92,405.92,,,0 CDM,700875_65628005004,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-04) * 118 Ml In 1 Bottle, Plastic * .1 G In 1 Bottle, Glass * ",300.47,300.47,,,0 CDM,70087_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70092_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,700934_00054458111,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",14.63,14.63,,,0 CDM,70093_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70099_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70100_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,701026_68094000159,NDC Description Not Available,0.15,0.15,,,0 CDM,70102_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,701050_00641620501,NDC Description Not Available,67.98,67.98,,,0 CDM,70110017,Noncdm Charge Record,164.0,164.0,,,0 CDM,70115_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70117_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70119_C1789_278,Noncdm Charge Record Medical Supplies,1181.22,1181.22,,,0 CDM,70120007,Noncdm Charge Record,129.0,129.0,,,0 CDM,70121_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70122_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70123_C1789_278,Noncdm Charge Record Medical Supplies,1184.83,1184.83,,,0 CDM,70124_C1789_278,Noncdm Charge Record Medical Supplies,1175.08,1175.08,,,0 CDM,70125_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70126_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70127_C1789_278,Noncdm Charge Record Medical Supplies,1151.23,1151.23,,,0 CDM,70129_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,701308_71837584301,NDC Description Not Available,740.72,740.72,,,0 CDM,701308_71837584305,"Leukine: 5 Vial, Single-Dose In 1 Carton (71837-5843-5) / 1 Ml In 1 Vial, Single-Dose (71837-5843-1)",758.31,758.31,,,0 CDM,701321_50268071711,NDC Description Not Available,15.11,15.11,,,0 CDM,701337_00409662514,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14) / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",42.54,42.54,,,0 CDM,701337_00409662522,NDC Description Not Available,42.54,42.54,,,0 CDM,701337_51754500101,NDC Description Not Available,37.87,37.87,,,0 CDM,701337_51754500104,Sodium Bicarbonate: 25 Vial In 1 Carton (51754-5001-4) / 50 Ml In 1 Vial,37.87,37.87,,,0 CDM,701337_63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",107.43,107.43,,,0 CDM,701337_71449001140,NDC Description Not Available,70.35,70.35,,,0 CDM,701337_72603020901,NDC Description Not Available,45.42,45.42,,,0 CDM,701337_76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,78.48,78.48,,,0 CDM,701350_00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,11.77,11.77,,,0 CDM,701350_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,27.04,27.04,,,0 CDM,701350_63323053021,NDC Description Not Available,5.11,5.11,,,0 CDM,70136_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70138_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70142_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70143_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70144_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70145_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70146_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70147_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70148_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,7014_270,Noncdm Charge Record Medical Supplies,1487.2,1487.2,,,0 CDM,70150_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,701512_00409163221,NDC Description Not Available,317.24,317.24,,,0 CDM,701512_55150023501,NDC Description Not Available,12.36,12.36,,,0 CDM,70151_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,70161_270,Noncdm Charge Record Medical Supplies,333.85,333.85,,,0 CDM,70163_270,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,70165_270,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,70170875,Noncdm Charge Record,32.0,32.0,,,0 CDM,70170924,Noncdm Charge Record,32.0,32.0,,,0 CDM,70171_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70172_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70173_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,70193_270,Noncdm Charge Record Medical Supplies,1444.3,1444.3,,,0 CDM,70195_C1776_278,Noncdm Charge Record Medical Supplies,4415.4,4415.4,,,0 CDM,70197_270,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,70206_C1874_278,Noncdm Charge Record Medical Supplies,1624.7,1624.7,,,0 CDM,70207_C1874_278,Noncdm Charge Record Medical Supplies,1624.7,1624.7,,,0 CDM,7025_270,Noncdm Charge Record Medical Supplies,580.8,580.8,,,0 CDM,70262_00781717775,"Brimonidine: 1 Bottle, Dropper In 1 Carton (0781-7177-75) / 5 Ml In 1 Bottle, Dropper",701.17,701.17,,,0 CDM,70262_62332074905,Brimonidine Tartrate: 1 Bottle In 1 Carton (62332-749-05) / 5 Ml In 1 Bottle,799.28,799.28,,,0 CDM,70267_00078068361,Arranon: 50 Ml In 1 Vial (0078-0683-61),399.16,399.16,,,0 CDM,70267_43598014211,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",336.98,336.98,,,0 CDM,70267_70710172601,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",339.49,339.49,,,0 CDM,70287_00003218713,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",128.87,128.87,,,0 CDM,7028_00409196601,NDC Description Not Available,9.73,9.73,,,0 CDM,7028_00409196602,NDC Description Not Available,23.21,23.21,,,0 CDM,7028_00409196605,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-05) / 20 Ml In 1 Vial, Multi-Dose (0409-1966-01)",64.89,64.89,,,0 CDM,7028_00409196607,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-07) / 30 Ml In 1 Vial, Multi-Dose (0409-1966-02)",23.35,23.35,,,0 CDM,7028_63323092403,NDC Description Not Available,25.52,25.52,,,0 CDM,70306_00904736604,Aripiprazole: 30 Blister Pack In 1 Carton (0904-7366-04) / 1 Tablet In 1 Blister Pack,22.77,22.77,,,0 CDM,70306_13668021630,Aripiprazole: 30 Tablet In 1 Bottle (13668-216-30),115.67,115.67,,,0 CDM,70306_16714014101,Aripiprazole: 30 Tablet In 1 Bottle (16714-141-01),114.33,114.33,,,0 CDM,70306_50268008711,NDC Description Not Available,107.73,107.73,,,0 CDM,70306_60687015711,NDC Description Not Available,105.39,105.39,,,0 CDM,70306_63739006933,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-069-33) / 10 Tablet In 1 Blister Pack",36.42,36.42,,,0 CDM,7030_00904386575,NDC Description Not Available,0.77,0.77,,,0 CDM,7030_45802035758,NDC Description Not Available,4.12,4.12,,,0 CDM,70397_16729014617,"Quetiapine: 1000 Tablet, Film Coated In 1 Bottle (16729-146-17)",22.66,22.66,,,0 CDM,70397_50268063111,NDC Description Not Available,21.79,21.79,,,0 CDM,70405_63833061602,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",3.44,3.44,,,0 CDM,70406_63833061702,"Humate-P: 1 Kit In 1 Carton (63833-617-02) * 15 Ml In 1 Vial (63833-627-01) * 15 Ml In 1 Vial, Single-Dose (63833-765-55)",1.43,1.43,,,0 CDM,70406_63833062701,NDC Description Not Available,1.62,1.62,,,0 CDM,70434_42291077360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (42291-773-60)",23.14,23.14,,,0 CDM,70434_45963041806,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (45963-418-06)",25.75,25.75,,,0 CDM,70434_50228042360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",23.15,23.15,,,0 CDM,70434_60687054911,NDC Description Not Available,6.01,6.01,,,0 CDM,70434_70756070360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (70756-703-60)",23.32,23.32,,,0 CDM,70472_00254302902,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",24.09,24.09,,,0 CDM,70472_42291047660,Lubiprostone: 60 Capsule In 1 Bottle (42291-476-60),24.33,24.33,,,0 CDM,70472_63304035260,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (63304-352-60)",24.08,24.08,,,0 CDM,70472_64764024060,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-240-60)",26.76,26.76,,,0 CDM,70472_69339016398,NDC Description Not Available,56.76,56.76,,,0 CDM,70534_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,70536_00054327099,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99) / 120 Spray, Metered In 1 Bottle, Glass",95.9,95.9,,,0 CDM,70536_60505082901,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1) / 120 Spray, Metered In 1 Bottle, Spray",87.76,87.76,,,0 CDM,70545_23155089331,Methohexital Sodium: 1 Vial In 1 Carton (23155-893-31) / 500 Mg In 1 Vial,419.72,419.72,,,0 CDM,70545_42023010501,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.72,24.72,,,0 CDM,70561_C1713_278,Noncdm Charge Record Medical Supplies,395.45,395.45,,,0 CDM,70562_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,70563_C1713_278,Noncdm Charge Record Medical Supplies,73.46,73.46,,,0 CDM,70576_49591030013,NDC Description Not Available,132.53,132.53,,,0 CDM,70576_49591030051,"Winrho Sdf: 1 Vial, Glass In 1 Carton (49591-300-51) / 13 Ml In 1 Vial, Glass (49591-300-13)",89.54,89.54,,,0 CDM,70596_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,70597_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,70647_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,70648_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,70693_00002751101,"Humalog Mix75/25: 1 Vial, Multi-Dose In 1 Carton (0002-7511-01) / 10 Ml In 1 Vial, Multi-Dose",1.76,1.76,,,0 CDM,70700231_00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),36.05,36.05,,,0 CDM,70701335_55150016330,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",15.45,15.45,,,0 CDM,70701635_63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),14.42,14.42,,,0 CDM,70702884_00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",4.64,4.64,,,0 CDM,70702944_00338004804,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04) / 1000 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 CDM,70703118_00264310511,Cefazolin Sodium: 24 Container In 1 Case (0264-3105-11) / 50 Ml In 1 Container,21.37,21.37,,,0 CDM,70703572_00406051262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0512-62),5.15,5.15,,,0 CDM,70707445_00641605910,Midazolam: 10 Vial In 1 Carton (0641-6059-10) / 5 Ml In 1 Vial (0641-6059-01),1.24,1.24,,,0 CDM,70708_270,Noncdm Charge Record Medical Supplies,353.1,353.1,,,0 CDM,70710_C1769_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,70716_00573055620,Preparation H Medicated Wipes: 48 Cloth In 1 Pouch (0573-0556-20),0.19,0.19,,,0 CDM,70716_00904682960,Major Medi-Pads: 100 Packet In 1 Package (0904-6829-60) / 2.9 G In 1 Packet,0.05,0.05,,,0 CDM,70716_04138800730,NDC Description Not Available,0.05,0.05,,,0 CDM,70716_71399011001,Hemorrhoidal Hygiene Pads: 175 Ml In 1 Jar (71399-0110-1),0.05,0.05,,,0 CDM,70730_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70731_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70732_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70733_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70734_C1776_278,Noncdm Charge Record Medical Supplies,2053.33,2053.33,,,0 CDM,70735_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70736_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70737_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70738_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70739_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70740_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70741_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70742_C1776_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,70754_C1874_278,Noncdm Charge Record Medical Supplies,4312.0,4312.0,,,0 CDM,70773_16714035701,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (16714-357-01)",25.75,25.75,,,0 CDM,70773_60687066811,NDC Description Not Available,4.73,4.73,,,0 CDM,70773_65862031560,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (65862-315-60)",25.39,25.39,,,0 CDM,70773_68180011507,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (68180-115-07)",25.27,25.27,,,0 CDM,70781_49502090001,NDC Description Not Available,294.58,294.58,,,0 CDM,70790_270,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,70794_C1713_278,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,7082_270,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,70929_C1713_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,70930_C1713_278,Noncdm Charge Record Medical Supplies,143.73,143.73,,,0 CDM,70931_C1713_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,70933_C1713_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,70941_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70942_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70943_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70944_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70945_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70946_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70974_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,70975_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,70989_C1763_278,Noncdm Charge Record Medical Supplies,2371.6,2371.6,,,0 CDM,7100000008,Hc Extended Stay Recovery Room Time - Each Incremental 1 Minute,79.0,79.0,,,0 CDM,7100000011,Hc Extended Stay Recovery Hourly,100.0,100.0,,,0 CDM,7100000012,Hc Recovery Room Time - Each Incremental 1 Minute Level 1,34.0,34.0,,,0 CDM,7100000013,Hc Recovery Room Time - Each Incremental 1 Minute Level 2,36.0,36.0,,,0 CDM,7100000014,Hc Recovery Room Time - Each Incremental 1 Minute Level 3,41.0,41.0,,,0 CDM,7100000015,Hc Recovery Room Time - Each Incremental 1 Minute Level 4,46.0,46.0,,,0 CDM,7100000016,Hc Recovery Room Time - Each Incremental 1 Minute Level 5,50.0,50.0,,,0 CDM,7100000020,Hc Phase Ii Care Per Minute,34.0,34.0,,,0 CDM,7100000030,Hc Vaginal Recovery Initial 1St 30 Minutes,1229.0,1229.0,,,0 CDM,7100000031,Hc Vaginal Recovery - Each Additional 15 Minutes,613.0,613.0,,,0 CDM,7100000035,Hc Recovery Level Ii - (Outside Of Pacu) - One Minute,34.0,34.0,,,0 CDM,7100000036,Noncdm Charge Record,308.5,308.5,,,0 CDM,710079_10019005561,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,490.46,490.46,,,0 CDM,710079_44567045010,Esmolol Hydrochloride: 10 Bag In 1 Carton (44567-450-10) / 250 Ml In 1 Bag (44567-450-01),401.7,401.7,,,0 CDM,71015_C1713_278,Noncdm Charge Record Medical Supplies,1238.6,1238.6,,,0 CDM,71018_C1713_278,Noncdm Charge Record Medical Supplies,2422.2,2422.2,,,0 CDM,71121_C1769_278,Noncdm Charge Record Medical Supplies,411.4,411.4,,,0 CDM,71124_C1887_278,Noncdm Charge Record Medical Supplies,24.2,24.2,,,0 CDM,71125_C1887_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,71139_C1880_278,Noncdm Charge Record Medical Supplies,2579.5,2579.5,,,0 CDM,71140_C1894_278,Noncdm Charge Record Medical Supplies,17.28,17.28,,,0 CDM,71141_C1894_278,Noncdm Charge Record Medical Supplies,17.18,17.18,,,0 CDM,71142_C1894_278,Noncdm Charge Record Medical Supplies,17.23,17.23,,,0 CDM,71145_C1894_278,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,71147_C1894_278,Noncdm Charge Record Medical Supplies,35.2,35.2,,,0 CDM,71194_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71199_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71200_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71204_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71205_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71209_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71214_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71215_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71218_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71219_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71220_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71230_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71416_C1769_278,Noncdm Charge Record Medical Supplies,71.5,71.5,,,0 CDM,71423_C1776_278,Noncdm Charge Record Medical Supplies,654.5,654.5,,,0 CDM,71437_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,71505_270,Noncdm Charge Record Medical Supplies,4451.59,4451.59,,,0 CDM,71506_270,Noncdm Charge Record Medical Supplies,4322.72,4322.72,,,0 CDM,71507_270,Noncdm Charge Record Medical Supplies,4202.0,4202.0,,,0 CDM,71517_270,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,71520_C1768_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,71526_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,71528_C1713_278,Noncdm Charge Record Medical Supplies,321.89,321.89,,,0 CDM,71529_C1713_278,Noncdm Charge Record Medical Supplies,331.1,331.1,,,0 CDM,71543_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,7161_C1750_278,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,71639_C1713_278,Noncdm Charge Record Medical Supplies,1972.3,1972.3,,,0 CDM,71640_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,71657_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,71695_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,71703_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,71704_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,7172_C1757_278,Noncdm Charge Record Medical Supplies,62.44,62.44,,,0 CDM,717_00093078701,Atenolol: 100 Tablet In 1 Bottle (0093-0787-01),2.83,2.83,,,0 CDM,717_51079075901,NDC Description Not Available,2.87,2.87,,,0 CDM,717_68382002201,Atenolol: 100 Tablet In 1 Bottle (68382-022-01),2.53,2.53,,,0 CDM,71805_270,Noncdm Charge Record Medical Supplies,1582.9,1582.9,,,0 CDM,71840_L8699_278,Noncdm Charge Record Medical Supplies,3646.78,3646.78,,,0 CDM,71846_C1768_278,Noncdm Charge Record Medical Supplies,1629.1,1629.1,,,0 CDM,71847_C1768_278,Noncdm Charge Record Medical Supplies,1933.81,1933.81,,,0 CDM,71849_C1768_278,Noncdm Charge Record Medical Supplies,3654.2,3654.2,,,0 CDM,71852_C1768_278,Noncdm Charge Record Medical Supplies,4276.8,4276.8,,,0 CDM,71856_C1768_278,Noncdm Charge Record Medical Supplies,4405.64,4405.64,,,0 CDM,71861_C1726_278,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,71862_C1726_278,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,71864_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,71893_270,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,71919_270,Noncdm Charge Record Medical Supplies,1864.5,1864.5,,,0 CDM,71921_270,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,71973_C1713_278,Noncdm Charge Record Medical Supplies,552.2,552.2,,,0 CDM,71977_270,Noncdm Charge Record Medical Supplies,2061.48,2061.48,,,0 CDM,71983_C1713_278,Noncdm Charge Record Medical Supplies,1244.1,1244.1,,,0 CDM,71984_C1713_278,Noncdm Charge Record Medical Supplies,1996.5,1996.5,,,0 CDM,71985_C1713_278,Noncdm Charge Record Medical Supplies,3797.2,3797.2,,,0 CDM,71992_270,Noncdm Charge Record Medical Supplies,1291.03,1291.03,,,0 CDM,7200000001,Hc Circumcision,202.0,202.0,,,0 CDM,7200000003,Hc U34 Circumcision,186.0,186.0,,,0 CDM,7205900001,"Hc Amniocentesis,Diagnostic",3649.0,3649.0,,,0 CDM,7205902501,Hc Fetal Non-Stress Test,406.0,406.0,,,0 CDM,7205905001,Hc Fetal Monitor W/Report,788.0,788.0,,,0 CDM,7205930001,Hc Episiotomy/Vag Rpr Oth/Thn Attending,10665.0,10665.0,,,0 CDM,7205932001,"Hc Cerclage Of Cervix, During Pregnancy, Vaginal",10666.0,10666.0,,,0 CDM,7205941001,"Hc Obste Care,Vag Deliv+Postpartum",11459.0,11459.0,,,0 CDM,7205984101,Hc D & E Post Del Or Ab,10666.0,10666.0,,,0 CDM,7205987101,Hc Remove Cerclage Suture,10666.0,10666.0,,,0 CDM,72062_C1874_278,Noncdm Charge Record Medical Supplies,3749.9,3749.9,,,0 CDM,72062_C1884_278,Noncdm Charge Record Medical Supplies,3749.9,3749.9,,,0 CDM,72062_C1889_278,Noncdm Charge Record Medical Supplies,3749.9,3749.9,,,0 CDM,72063_C1784_278,Noncdm Charge Record Medical Supplies,3749.9,3749.9,,,0 CDM,72063_C1889_278,Noncdm Charge Record Medical Supplies,3749.9,3749.9,,,0 CDM,72089_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,7209921101,Hc Labor Triage Level One,114.0,114.0,,,0 CDM,7209921201,Hc Labor Triage Level Two,361.0,361.0,,,0 CDM,7209921301,Hc Labor Triage Level Three,399.0,399.0,,,0 CDM,7209921401,Hc Labor Triage Level Four,626.0,626.0,,,0 CDM,7209921501,Hc Labor Triage Level Five,900.0,900.0,,,0 CDM,72128_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,7215902001,Hc Fetal Contraction Stress Test,1013.0,1013.0,,,0 CDM,72170_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72171_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72172_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72173_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72174_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72175_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72176_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72177_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72178_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72179_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,72223_270,Noncdm Charge Record Medical Supplies,183.04,183.04,,,0 CDM,72227_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72229_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72230_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72233_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72235_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72236_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72237_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,72238_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,7223_270,Noncdm Charge Record Medical Supplies,551.3,551.3,,,0 CDM,72241_C1817_278,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 CDM,7224_43598021025,Ssd Cream: 25 G In 1 Tube (43598-210-25),32.84,32.84,,,0 CDM,7224_43598021040,Ssd Cream: 400 G In 1 Jar (43598-210-40),229.48,229.48,,,0 CDM,7224_43598021050,Ssd Cream: 50 G In 1 Tube (43598-210-50),53.56,53.56,,,0 CDM,7224_43598021055,Ssd Cream: 50 G In 1 Jar (43598-210-55),53.56,53.56,,,0 CDM,7224_43598021085,Ssd Cream: 85 G In 1 Tube (43598-210-85),95.57,95.57,,,0 CDM,7224_49999014320,SILVADENE: 1 TUBE in 1 CARTON (49999-143-20) / 20 g in 1 TUBE,66.95,66.95,,,0 CDM,7224_49999018525,Silver Sulfadiazine: 25 g in 1 TUBE (49999-185-25),101.04,101.04,,,0 CDM,7224_59762013102,Silver Sulfadiazine: 1 Tube In 1 Carton (59762-0131-2) / 25 G In 1 Tube,32.96,32.96,,,0 CDM,7224_59762013104,Silver Sulfadiazine: 400 G In 1 Jar (59762-0131-4),233.81,233.81,,,0 CDM,7224_61570013120,Silvadene: 1 Tube In 1 Carton (61570-131-20) / 20 G In 1 Tube,39.14,39.14,,,0 CDM,7224_61570013125,Silvadene: 1 Tube In 1 Carton (61570-131-25) / 25 G In 1 Tube,33.99,33.99,,,0 CDM,7224_61570013140,Silvadene: 400 G In 1 Jar (61570-131-40),213.21,213.21,,,0 CDM,7224_61570013155,Silvadene: 1 Tube In 1 Carton (61570-131-55) / 50 G In 1 Tube,55.62,55.62,,,0 CDM,7224_66267094420,NDC Description Not Available,35.02,35.02,,,0 CDM,7224_66267094520,NDC Description Not Available,55.62,55.62,,,0 CDM,7224_67877012425,Silver Sulfadiazine: 25 G In 1 Tube (67877-124-25),32.96,32.96,,,0 CDM,7224_67877012450,Silver Sulfadiazine: 50 G In 1 Jar (67877-124-50),54.59,54.59,,,0 CDM,72257_270,Noncdm Charge Record Medical Supplies,20.9,20.9,,,0 CDM,7225861101,"Hc Ligate Oviduct(S), During C-Section",584.0,584.0,,,0 CDM,7225899901,Hc Intrauterine Device Placement (Jada System),806.0,806.0,,,0 CDM,7225940901,"Hc Obstetrical Care,Vaginal Delivery Only",11459.0,11459.0,,,0 CDM,7225940902,"Hc Obstetrical Care,Vaginal Delivery Only Level 2",11459.0,11459.0,,,0 CDM,7225940903,"Hc Obstetrical Care,Vaginal Delivery Multiple",11459.0,11459.0,,,0 CDM,7225941401,Hc Deliver Of Placenta,5333.0,5333.0,,,0 CDM,7225951001,Hc Cesarean Delivery W Labor,13051.0,13051.0,,,0 CDM,7225951002,Hc Cesarean Del W Labor Multiple,13051.0,13051.0,,,0 CDM,7225951401,Hc Cesarean Delivery,13051.0,13051.0,,,0 CDM,7225951402,Hc Cesarean Delivery Multiple,13051.0,13051.0,,,0 CDM,7225951403,Hc Cesarean Delivery W Labor,13051.0,13051.0,,,0 CDM,7225951404,Hc Cesarean Del W Labor Multiple,13051.0,13051.0,,,0 CDM,7225951501,Hc Cesarean Delivery,13051.0,13051.0,,,0 CDM,7225951502,Hc Cesarean Delivery Multiple,13051.0,13051.0,,,0 CDM,7225961001,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery",12187.0,12187.0,,,0 CDM,7225961002,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery Multiples",12187.0,12187.0,,,0 CDM,7225961201,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery",12187.0,12187.0,,,0 CDM,7225961202,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery Multiples",12187.0,12187.0,,,0 CDM,7225961801,Hc Attempted Vbac Delivery,13752.0,13752.0,,,0 CDM,7225961802,Hc Attempted Vbac Delivery Multiple,13752.0,13752.0,,,0 CDM,72275_C1769_278,Noncdm Charge Record Medical Supplies,85.9,85.9,,,0 CDM,72276_C1769_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,7228_01093960244,NDC Description Not Available,8.45,8.45,,,0 CDM,7228_01990301021,NDC Description Not Available,4.42,4.42,,,0 CDM,7229946401,Hc Attendance At Delivery And Initial Stabilization Of Newborn,646.0,646.0,,,0 CDM,7229946501,Hc Delivery/Birthing Room Resuscitation,1024.0,1024.0,,,0 CDM,7230000001,Hc U34 Circumcision,186.0,186.0,,,0 CDM,72302_C1751_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,72320_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,72321_C1776_278,Noncdm Charge Record Medical Supplies,423.5,423.5,,,0 CDM,72322_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,72323_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,72324_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,72325_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,72383_270,Noncdm Charge Record Medical Supplies,1182.5,1182.5,,,0 CDM,72395_270,Noncdm Charge Record Medical Supplies,600.6,600.6,,,0 CDM,72397_C1772_278,Noncdm Charge Record Medical Supplies,15400.0,15400.0,,,0 CDM,72397_C1889_278,Noncdm Charge Record Medical Supplies,15400.0,15400.0,,,0 CDM,72397_L8699_278,Noncdm Charge Record Medical Supplies,15400.0,15400.0,,,0 CDM,72413_C1885_278,Noncdm Charge Record Medical Supplies,5074.3,5074.3,,,0 CDM,72420_270,Noncdm Charge Record Medical Supplies,10873.5,10873.5,,,0 CDM,72421_C1885_278,Noncdm Charge Record Medical Supplies,5074.3,5074.3,,,0 CDM,72422_C1885_278,Noncdm Charge Record Medical Supplies,5074.3,5074.3,,,0 CDM,72423_C1885_278,Noncdm Charge Record Medical Supplies,5074.3,5074.3,,,0 CDM,72447_C1757_278,Noncdm Charge Record Medical Supplies,437.8,437.8,,,0 CDM,72448_C1766_278,Noncdm Charge Record Medical Supplies,45.1,45.1,,,0 CDM,72449_270,Noncdm Charge Record Medical Supplies,502.64,502.64,,,0 CDM,7246_C1773_278,Noncdm Charge Record Medical Supplies,414.78,414.78,,,0 CDM,72475_C2618_278,Noncdm Charge Record Medical Supplies,5713.4,5713.4,,,0 CDM,7247_C1773_278,Noncdm Charge Record Medical Supplies,414.76,414.76,,,0 CDM,72482_C1894_278,Noncdm Charge Record Medical Supplies,178.2,178.2,,,0 CDM,72483_C1894_278,Noncdm Charge Record Medical Supplies,178.42,178.42,,,0 CDM,72490_C1762_278,Noncdm Charge Record Medical Supplies,1093.4,1093.4,,,0 CDM,72490_C1762_636,Noncdm Charge Record Pharmacy,1023.82,1023.82,,,0 CDM,72591_C1874_278,Noncdm Charge Record Medical Supplies,4312.0,4312.0,,,0 CDM,72610_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,72612_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,72627_C1725_278,Noncdm Charge Record Medical Supplies,689.7,689.7,,,0 CDM,72700_270,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,72738_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,72741_C1776_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,72801_C1769_278,Noncdm Charge Record Medical Supplies,176.0,176.0,,,0 CDM,72834_C1713_278,Noncdm Charge Record Medical Supplies,927.3,927.3,,,0 CDM,72835_C1713_278,Noncdm Charge Record Medical Supplies,997.7,997.7,,,0 CDM,72855_270,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,72873_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,72874_270,Noncdm Charge Record Medical Supplies,896.5,896.5,,,0 CDM,72957_C1894_278,Noncdm Charge Record Medical Supplies,55.55,55.55,,,0 CDM,72958_C1894_278,Noncdm Charge Record Medical Supplies,91.16,91.16,,,0 CDM,72964_C1768_278,Noncdm Charge Record Medical Supplies,163.9,163.9,,,0 CDM,72966_C1726_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,72967_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,72968_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,72969_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,72970_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,72972_270,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,72973_C1769_278,Noncdm Charge Record Medical Supplies,479.6,479.6,,,0 CDM,72983_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,72986_270,Noncdm Charge Record Medical Supplies,965.8,965.8,,,0 CDM,72992_270,Noncdm Charge Record Medical Supplies,817.14,817.14,,,0 CDM,7300000001,Noncdm Charge Record,487.0,487.0,,,0 CDM,73004_C1713_278,Noncdm Charge Record Medical Supplies,664.4,664.4,,,0 CDM,73010_C1768_278,Noncdm Charge Record Medical Supplies,136.64,136.64,,,0 CDM,7301_00409329905,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),17.26,17.26,,,0 CDM,7301_00409329915,NDC Description Not Available,12.2,12.2,,,0 CDM,7301_00409329916,NDC Description Not Available,7.3,7.3,,,0 CDM,7301_00409729973,"Sodium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-7299-73) / 20 Ml In 1 Vial, Single-Dose (0409-7299-83)",13.79,13.79,,,0 CDM,7301_00409729983,NDC Description Not Available,13.75,13.75,,,0 CDM,7301_69784023010,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",24.75,24.75,,,0 CDM,7301_69784023110,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",21.63,21.63,,,0 CDM,7306_00409555512,NDC Description Not Available,33.6,33.6,,,0 CDM,7306_51754501201,NDC Description Not Available,28.99,28.99,,,0 CDM,7306_63323008305,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-083-05) / 5 Ml In 1 Vial, Single-Dose (63323-083-03)",72.44,72.44,,,0 CDM,73071_270,Noncdm Charge Record Medical Supplies,1815.0,1815.0,,,0 CDM,73074_C1726_278,Noncdm Charge Record Medical Supplies,467.5,467.5,,,0 CDM,7309300501,"Hc Electrocardiogram, Tracing",270.0,270.0,,,0 CDM,7309300502,"Hc Electrocardiogram, Tracing - Ecg 12-Lead",270.0,270.0,,,0 CDM,7309304101,"Hc Rhythm Strip (Ecg), 1-3 Leads, Tracing Only",135.0,135.0,,,0 CDM,7309_00409662502,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02) / 50 mL in 1 VIAL,42.03,42.03,,,0 CDM,7309_00409662514,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14) / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",40.85,40.85,,,0 CDM,7309_00409662522,NDC Description Not Available,39.29,39.29,,,0 CDM,7309_00409662530,NDC Description Not Available,26.89,26.89,,,0 CDM,7309_00409663724,NDC Description Not Available,75.23,75.23,,,0 CDM,7309_51754500101,NDC Description Not Available,37.79,37.79,,,0 CDM,7309_51754500104,Sodium Bicarbonate: 25 Vial In 1 Carton (51754-5001-4) / 50 Ml In 1 Vial,35.76,35.76,,,0 CDM,7309_51754500105,Sodium Bicarbonate: 20 Vial In 1 Carton (51754-5001-5) / 50 Ml In 1 Vial,37.91,37.91,,,0 CDM,7309_51754501104,Sodium Bicarbonate: 25 Vial In 1 Carton (51754-5011-4) / 10 Ml In 1 Vial,33.39,33.39,,,0 CDM,7309_63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",85.21,85.21,,,0 CDM,7309_72603020901,NDC Description Not Available,41.68,41.68,,,0 CDM,7309_72603020925,Sodium Bicarbonate: 25 Vial In 1 Carton (72603-209-25) / 50 Ml In 1 Vial (72603-209-01),45.32,45.32,,,0 CDM,7309_76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,76.8,76.8,,,0 CDM,7310904T01,"Hc Electrocardiogram, Algorithmically Generated 12-Lead Ecg From A Reduced-Lead Ecg; Tracing Only",164.0,164.0,,,0 CDM,73187_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,7318_00264780200,Sodium Chloride: 12 Container In 1 Case (0264-7802-00) / 1000 Ml In 1 Container,36.05,36.05,,,0 CDM,7318_00264780210,Sodium Chloride: 24 Container In 1 Case (0264-7802-10) / 500 Ml In 1 Container,34.5,34.5,,,0 CDM,7318_00338004303,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),34.88,34.88,,,0 CDM,7318_00338004304,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),35.91,35.91,,,0 CDM,7318_00990773037,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,34.34,34.34,,,0 CDM,7318_00990798502,Sodium Chloride: 24 Pouch In 1 Case (0990-7985-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,29.5,29.5,,,0 CDM,7318_63323062600,Sodium Chloride: 50 Bag In 1 Case (63323-626-00) / 100 Ml In 1 Bag (63323-626-02),18.02,18.02,,,0 CDM,7318_63323062601,NDC Description Not Available,18.02,18.02,,,0 CDM,7318_63323062602,NDC Description Not Available,35.02,35.02,,,0 CDM,7318_63323062603,NDC Description Not Available,32.26,32.26,,,0 CDM,7318_63323062604,NDC Description Not Available,35.24,35.24,,,0 CDM,7319322503,"Hc Ext Ecg Record Contin 48 Hr, Record - Holter Monitor - Up To 48 Hour",720.0,720.0,,,0 CDM,7319322601,Hc Ecg Monit/Reprt Up To 48 Hrs - Holter Monitor - 24 Hour,1256.0,1256.0,,,0 CDM,7319324201,Hc External Ecg>48Hr<7D Recording,107.0,107.0,,,0 CDM,7319324601,Hc External Ecg>7D<15D Recording,177.0,177.0,,,0 CDM,7319327001,Hc Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor,99.0,99.0,,,0 CDM,7319327101,Hc Ecg/Monitoring And Analysis - Cardiac Event Monitor,254.0,254.0,,,0 CDM,731_00517040125,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.02,1.02,,,0 CDM,731_00517100401,NDC Description Not Available,1.2,1.2,,,0 CDM,731_00641600601,NDC Description Not Available,0.19,0.19,,,0 CDM,731_16729051243,"Atropine Sulfate: 10 Carton In 1 Box (16729-512-43) / 1 Vial, Multi-Dose In 1 Carton (16729-512-05) / 20 Ml In 1 Vial, Multi-Dose",0.38,0.38,,,0 CDM,731_16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 CDM,73202_C1789_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,7321_00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,35.56,35.56,,,0 CDM,7321_00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,35.94,35.94,,,0 CDM,7321_63323053021,NDC Description Not Available,36.05,36.05,,,0 CDM,73221_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,73229_270,Noncdm Charge Record Medical Supplies,720.66,720.66,,,0 CDM,7322_00409114112,NDC Description Not Available,9.95,9.95,,,0 CDM,7322_63323009301,NDC Description Not Available,19.91,19.91,,,0 CDM,7322_63323009330,"Sodium Chloride: 25 Vial, Plastic In 1 Tray (63323-093-30) / 30 Ml In 1 Vial, Plastic (63323-093-01)",5.54,5.54,,,0 CDM,7322_63323009502,NDC Description Not Available,17.57,17.57,,,0 CDM,7322_63323009903,NDC Description Not Available,19.61,19.61,,,0 CDM,7322_63323018730,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-187-30) / 30 Ml In 1 Vial, Single-Dose",19.57,19.57,,,0 CDM,73234_270,Noncdm Charge Record Medical Supplies,848.1,848.1,,,0 CDM,7325_00378698501,NDC Description Not Available,2.06,2.06,,,0 CDM,7325_00487930103,NDC Description Not Available,1.09,1.09,,,0 CDM,7325_00487930133,NDC Description Not Available,1.03,1.03,,,0 CDM,7325_07620430003,NDC Description Not Available,1.16,1.16,,,0 CDM,73266_270,Noncdm Charge Record Medical Supplies,3751.0,3751.0,,,0 CDM,73267_270,Noncdm Charge Record Medical Supplies,1008.7,1008.7,,,0 CDM,7327_00378699789,NDC Description Not Available,0.67,0.67,,,0 CDM,7327_00487900330,NDC Description Not Available,2.22,2.22,,,0 CDM,7327_00487900360,NDC Description Not Available,1.29,1.29,,,0 CDM,7327_05019014263,NDC Description Not Available,2.09,2.09,,,0 CDM,7327_07620402260,NDC Description Not Available,2.06,2.06,,,0 CDM,73303_270,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,7331_00536125391,Sodium Chloride Hypertonicity Ophthalmic: 1 Tube In 1 Carton (0536-1253-91) / 3.5 G In 1 Tube,44.29,44.29,,,0 CDM,7331_24208038555,Muro 128: 1 Tube In 1 Carton (24208-385-55) / 3.5 G In 1 Tube,69.01,69.01,,,0 CDM,7331_24208038556,Muro 128: 2 Tube In 1 Carton (24208-385-56) / 3.5 G In 1 Tube,53.56,53.56,,,0 CDM,7332_00536125494,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94) / 15 Ml In 1 Bottle,18.54,18.54,,,0 CDM,73339_C1776_278,Noncdm Charge Record Medical Supplies,1262.8,1262.8,,,0 CDM,73340_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73341_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73342_C1776_278,Noncdm Charge Record Medical Supplies,1236.81,1236.81,,,0 CDM,73343_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73344_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73345_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73346_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,73383_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,73385_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,73388_270,Noncdm Charge Record Medical Supplies,773.3,773.3,,,0 CDM,73389_270,Noncdm Charge Record Medical Supplies,773.3,773.3,,,0 CDM,73390_270,Noncdm Charge Record Medical Supplies,773.3,773.3,,,0 CDM,73399_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73400_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73403_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73407_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73408_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73417_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73423_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73424_C1889_278,Noncdm Charge Record Medical Supplies,674.85,674.85,,,0 CDM,73426_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73433_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73434_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73446_C1713_278,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,73446_C1889_278,Noncdm Charge Record Medical Supplies,618.38,618.38,,,0 CDM,73452_C1713_278,Noncdm Charge Record Medical Supplies,618.75,618.75,,,0 CDM,73452_C1889_278,Noncdm Charge Record Medical Supplies,618.6,618.6,,,0 CDM,73458_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73460_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73463_C1889_278,Noncdm Charge Record Medical Supplies,675.24,675.24,,,0 CDM,73464_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73465_C1713_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73465_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73467_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73468_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73470_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73471_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73473_C1889_278,Noncdm Charge Record Medical Supplies,675.03,675.03,,,0 CDM,73477_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73478_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73479_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73481_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,73483_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,734_00517101025,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-1010-25) / 1 mL in 1 VIAL, SINGLE-DOSE",0.7,0.7,,,0 CDM,734_16729052663,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-526-63) / 1 Ml In 1 Vial, Single-Dose",0.48,0.48,,,0 CDM,73525_270,Noncdm Charge Record Medical Supplies,863.88,863.88,,,0 CDM,73538_C1713_278,Noncdm Charge Record Medical Supplies,605.0,605.0,,,0 CDM,73540_C1713_278,Noncdm Charge Record Medical Supplies,668.8,668.8,,,0 CDM,7359_24208067004,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04) / 15 Ml In 1 Bottle, Dropper",220.42,220.42,,,0 CDM,7359_61314070101,"Sulfacetamide Sodium: 15 Ml In 1 Bottle, Plastic (61314-701-01)",200.85,200.85,,,0 CDM,73622_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,73623_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,73624_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,73625_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,73626_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,73627_C1713_278,Noncdm Charge Record Medical Supplies,1263.9,1263.9,,,0 CDM,7364_60267070550,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",385.8,385.8,,,0 CDM,73670_C1713_278,Noncdm Charge Record Medical Supplies,730.16,730.16,,,0 CDM,73671_C1713_278,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 CDM,73690_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,73691_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,736_00065030355,"1 BOTTLE, DROPPER in 1 CARTON (0065-0303-55) / 5 mL in 1 BOTTLE, DROPPER",219.44,219.44,,,0 CDM,736_00065081701,"Atropine Sulfate: 1 Bottle, Dropper In 1 Carton (0065-0817-01) / 5 Ml In 1 Bottle, Dropper",249.19,249.19,,,0 CDM,736_60219174802,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2) / 2 Ml In 1 Bottle, Dropper",142.91,142.91,,,0 CDM,736_60219174903,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3) / 5 Ml In 1 Bottle, Dropper",210.28,210.28,,,0 CDM,736_70756065225,Atropine Sulfate: 1 Bottle In 1 Carton (70756-652-25) / 5 Ml In 1 Bottle,210.18,210.18,,,0 CDM,73742_C1894_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,73743_270,Noncdm Charge Record Medical Supplies,658.9,658.9,,,0 CDM,73744_270,Noncdm Charge Record Medical Supplies,364.1,364.1,,,0 CDM,73745_270,Noncdm Charge Record Medical Supplies,640.2,640.2,,,0 CDM,73746_270,Noncdm Charge Record Medical Supplies,574.2,574.2,,,0 CDM,73747_C1726_278,Noncdm Charge Record Medical Supplies,310.29,310.29,,,0 CDM,73748_C1726_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,7374_C1766_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,73766_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,73767_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,73769_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,73770_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,73772_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,73775_C1713_278,Noncdm Charge Record Medical Supplies,3329.7,3329.7,,,0 CDM,73786_C1713_278,Noncdm Charge Record Medical Supplies,3329.7,3329.7,,,0 CDM,73797_C1713_278,Noncdm Charge Record Medical Supplies,2960.1,2960.1,,,0 CDM,73849_C1725_278,Noncdm Charge Record Medical Supplies,1401.4,1401.4,,,0 CDM,73864_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,73867_270,Noncdm Charge Record Medical Supplies,843.7,843.7,,,0 CDM,73868_270,Noncdm Charge Record Medical Supplies,613.8,613.8,,,0 CDM,73909_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,73911_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,73912_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,73955_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,73959_C1769_278,Noncdm Charge Record Medical Supplies,21.77,21.77,,,0 CDM,73961_272,Noncdm Charge Record Medical Supplies,361.11,361.11,,,0 CDM,73961_B4087_278,Noncdm Charge Record Medical Supplies,360.42,360.42,,,0 CDM,73962_C1725_278,Noncdm Charge Record Medical Supplies,540.1,540.1,,,0 CDM,74001_C1769_278,Noncdm Charge Record Medical Supplies,973.56,973.56,,,0 CDM,74002_C1889_278,Noncdm Charge Record Medical Supplies,210.1,210.1,,,0 CDM,74003_C1889_278,Noncdm Charge Record Medical Supplies,210.1,210.1,,,0 CDM,74007_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,74015_C1766_278,Noncdm Charge Record Medical Supplies,29.46,29.46,,,0 CDM,74028_C1813_278,Noncdm Charge Record Medical Supplies,22057.75,22057.75,,,0 CDM,74029_C1813_278,Noncdm Charge Record Medical Supplies,20655.95,20655.95,,,0 CDM,74033_C1726_278,Noncdm Charge Record Medical Supplies,379.5,379.5,,,0 CDM,74034_270,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,74037_C1757_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,74038_C1757_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,74039_C1757_278,Noncdm Charge Record Medical Supplies,172.7,172.7,,,0 CDM,74086_C1725_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,74087_C1725_278,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,7409570001,Hc Eeg Continuous Recording W/Video Eeg Tech,1061.0,1061.0,,,0 CDM,7409570601,Hc Eeg W/O Video 2-12Hr Intermittent Monitoring And Maint,1061.0,1061.0,,,0 CDM,7409570701,"Hc Eeg W/O Video 2-12Hr Continuous, Real-Time Monitoring And Maint",1061.0,1061.0,,,0 CDM,7409570801,Hc Eeg W/O Video Ea 12-26Hr Unmonitored,2038.0,2038.0,,,0 CDM,7409570901,Hc Eeg W/O Video Ea 12-26Hr Intermitent Monitoring And Maint,2038.0,2038.0,,,0 CDM,7409571001,"Hc Eeg W/O Video Ea 12-26Hr Continuous, Real-Time Monitoring And Maint",2038.0,2038.0,,,0 CDM,7409571101,Hc Veeg 2-12 Hr Unmonitored,1061.0,1061.0,,,0 CDM,7409571201,Hc Veeg 2-12 Hr Intermittent Monitoring And Maint,1061.0,1061.0,,,0 CDM,7409571301,"Hc Veeg 2-12 Hr Continuos, Real-Time Monitoring And Maint",2038.0,2038.0,,,0 CDM,7409571401,Hc Veeg Ea 12-26 Hr Unmonitered,2038.0,2038.0,,,0 CDM,7409571501,Hc Veeg Ea 12-26Hr Intermittent Monitoring,2038.0,2038.0,,,0 CDM,7409571601,"Hc Veeg Ea 12-26Hr Continuos, Real-Time Monitoring And Maint",3815.0,3815.0,,,0 CDM,7409571701,Hc Eeg Phys/Qhp 2-12 Hr Without Video,499.0,499.0,,,0 CDM,7409571801,Hc Eeg Phys/Qhp 2-12 Hr With Veeg,660.0,660.0,,,0 CDM,7409571901,Hc Eeg Phys/Qhp Ea Incr>12Hr<26Hr After 24Hr Wo Vid,775.0,775.0,,,0 CDM,7409572001,Hc Eeg Phys/Qhp Ea Incr>12Hr<26Hr After 24Hr W/Veeg,1021.0,1021.0,,,0 CDM,7409572101,Hc Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video,1018.0,1018.0,,,0 CDM,7409572301,Hc Eeg Complete Std Phys/Qhp>60 Hr<84 Hr W/O Video,1244.0,1244.0,,,0 CDM,7409572401,"Hc Eeg Phys/Qhp >60 Hours< 84 Hours Of Eeg Recording, With Video (Veeg)",1075.0,1075.0,,,0 CDM,7409572501,"Hc Eeg Phys/Qhp >84 Hours Of Eeg Recording, Without Video",987.0,987.0,,,0 CDM,7409572601,"Hc Eeg Phys/Qhp >84 Hours Of Eeg Recording, With Video (Veeg)",1378.0,1378.0,,,0 CDM,7409580501,Hc Multiple Sleep Latency Test,9686.0,9686.0,,,0 CDM,7409580601,"Hc Sleep Study, Unattended, Record Heart Rate/O2 Sat/Resp Anl/Sleep",2220.0,2220.0,,,0 CDM,7409580801,"Hc Polysomnography, Sleep Stage <4 Para, Attended",10440.0,10440.0,,,0 CDM,7409581001,"Hc Polysomnography, Sleep Stage >=4 Para, Attended",9509.0,9509.0,,,0 CDM,7409581101,Hc Pbb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd,9690.0,9690.0,,,0 CDM,7409581201,"Hc Eeg,Extended Monitoring,41-60 Minutes - Eeg",2211.0,2211.0,,,0 CDM,7409581301,"Hc Eeg,Extended Monitoring,61-119 Minutes - Eeg",2624.0,2624.0,,,0 CDM,7409581601,"Hc Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy Portable",1666.0,1666.0,,,0 CDM,7409581901,"Hc Eeg,W/Awake & Asleep Record - Hyper Stim",1995.0,1995.0,,,0 CDM,7409582202,"Hc Eeg,Coma/Sleep Record Only - Eeg In Coma/Sleep",2406.0,2406.0,,,0 CDM,7409582401,Hc Eeg Eval Cerebral Death - Eeg Cerebral Death Eval Only,1956.0,1956.0,,,0 CDM,7409582901,Hc Surgery Electrocorticogram - Electrocorticogram At Surgery,19291.0,19291.0,,,0 CDM,7409583601,Hc Ecog Implanted Brain Npgt W/Rec I&R <30 Days,105.0,105.0,,,0 CDM,7409592701,"Hc Somatosensory Test,Trunk/Head - Somatosensory Test",668.0,668.0,,,0 CDM,7409595401,Hc Eeg Monitor W Drg/Activation,1334.0,1334.0,,,0 CDM,7409595502,Hc Eeg During Surgery - Eeg During Nonintracranial Surgery,1473.0,1473.0,,,0 CDM,7409595701,Hc Digital Analysis Of Electroencephalogram (Eeg),2811.0,2811.0,,,0 CDM,7409595801,Hc Wada Activation Test Eeg,4991.0,4991.0,,,0 CDM,7409596101,Hc Eeg Or Cortical/Subcortical Mapping 1St Hr,2482.0,2482.0,,,0 CDM,7409596201,Hc Eeg Or Cortical/Subcortical Mapping Each Additional Hour,308.0,308.0,,,0 CDM,74109_C2628_278,Noncdm Charge Record Medical Supplies,1906.3,1906.3,,,0 CDM,74112_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,74113_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,74114_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,74120_C1788_278,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,7413_04628750001,NDC Description Not Available,2.29,2.29,,,0 CDM,7413_04628750030,NDC Description Not Available,11.0,11.0,,,0 CDM,7413_57896043516,SORBITOL: 473 mL in 1 BOTTLE (57896-435-16),2.06,2.06,,,0 CDM,74151_C1876_278,Noncdm Charge Record Medical Supplies,2406.8,2406.8,,,0 CDM,74194_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,74196_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,74197_C1876_278,Noncdm Charge Record Medical Supplies,1385.63,1385.63,,,0 CDM,74201_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,74202_C1876_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,74206_C1876_278,Noncdm Charge Record Medical Supplies,2626.8,2626.8,,,0 CDM,74298_270,Noncdm Charge Record Medical Supplies,1666.5,1666.5,,,0 CDM,74310_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,74344_A4648_278,Noncdm Charge Record Medical Supplies,120.04,120.04,,,0 CDM,74350_V2785_278,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 CDM,74350_V2785_636,Noncdm Charge Record Pharmacy,5047.0,5047.0,,,0 CDM,74366_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,7436_C1887_278,Noncdm Charge Record Medical Supplies,60.34,60.34,,,0 CDM,7437_63739054410,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10) / 10 Tablet In 1 Blister Pack",1.03,1.03,,,0 CDM,74393_270,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,74418_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,74419_C1776_278,Noncdm Charge Record Medical Supplies,313.07,313.07,,,0 CDM,74420_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,74421_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,74422_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,74464_270,Noncdm Charge Record Medical Supplies,502.68,502.68,,,0 CDM,74480_C1776_278,Noncdm Charge Record Medical Supplies,1235.3,1235.3,,,0 CDM,74483_C1713_278,Noncdm Charge Record Medical Supplies,1080.2,1080.2,,,0 CDM,74484_C1713_278,Noncdm Charge Record Medical Supplies,508.2,508.2,,,0 CDM,74489_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,74500_270,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,74501_270,Noncdm Charge Record Medical Supplies,363.0,363.0,,,0 CDM,74502_270,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,74503_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,74504_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,74541_270,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,74578_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,74579_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,74581_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,74582_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,74592_270,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,74711_270,Noncdm Charge Record Medical Supplies,2422.2,2422.2,,,0 CDM,74752_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,74753_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,74781_270,Noncdm Charge Record Medical Supplies,1301.3,1301.3,,,0 CDM,74784_C1894_278,Noncdm Charge Record Medical Supplies,90.25,90.25,,,0 CDM,74785_C1894_278,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,74795_C1893_278,Noncdm Charge Record Medical Supplies,32.08,32.08,,,0 CDM,74796_270,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,74796_C1893_278,Noncdm Charge Record Medical Supplies,15.08,15.08,,,0 CDM,74802_V2790_636,Noncdm Charge Record Pharmacy,1766.45,1766.45,,,0 CDM,74806_270,Noncdm Charge Record Medical Supplies,898.7,898.7,,,0 CDM,74810_C2625_278,Noncdm Charge Record Medical Supplies,1371.47,1371.47,,,0 CDM,74811_C2625_278,Noncdm Charge Record Medical Supplies,1371.56,1371.56,,,0 CDM,7484_00264785010,Sterile Water: 24 Container In 1 Case (0264-7850-10) / 500 Ml In 1 Container,16.48,16.48,,,0 CDM,7484_00264785020,Sterile Water: 24 Container In 1 Case (0264-7850-20) / 250 Ml In 1 Container,16.48,16.48,,,0 CDM,7484_00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),39.69,39.69,,,0 CDM,7484_00338001306,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),1.13,1.13,,,0 CDM,7484_00409488705,"25 VIAL, GLASS in 1 TRAY (0409-4887-05) / 1 mL in 1 VIAL, GLASS (0409-4887-31)",3.88,3.88,,,0 CDM,7484_00409488710,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10) / 10 Ml In 1 Vial, Plastic (0409-4887-17)",4.17,4.17,,,0 CDM,7484_00409488717,NDC Description Not Available,4.24,4.24,,,0 CDM,7484_00409488720,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-20) / 20 Ml In 1 Vial, Plastic (0409-4887-23)",6.37,6.37,,,0 CDM,7484_00409488723,NDC Description Not Available,6.14,6.14,,,0 CDM,7484_00409488724,NDC Description Not Available,7.59,7.59,,,0 CDM,7484_00409488725,NDC Description Not Available,9.5,9.5,,,0 CDM,7484_00409488750,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-50) / 50 Ml In 1 Vial, Plastic (0409-4887-24)",7.23,7.23,,,0 CDM,7484_00517302025,"Sterile Water: 25 Vial, Single-Dose In 1 Tray (0517-3020-25) / 20 Ml In 1 Vial, Single-Dose (0517-3020-01)",15.12,15.12,,,0 CDM,7484_00641614701,NDC Description Not Available,12.93,12.93,,,0 CDM,7484_00641614710,Sterile Water: 10 Vial In 1 Carton (0641-6147-10) / 10 Ml In 1 Vial (0641-6147-01),10.78,10.78,,,0 CDM,7484_63323017876,Sterile Water: 10 Bag In 1 Case (63323-178-76) / 1000 Ml In 1 Bag,18.54,18.54,,,0 CDM,7484_63323018500,NDC Description Not Available,24.59,24.59,,,0 CDM,7484_63323018507,NDC Description Not Available,17.62,17.62,,,0 CDM,7484_63323018508,NDC Description Not Available,24.16,24.16,,,0 CDM,7484_63323018509,NDC Description Not Available,17.77,17.77,,,0 CDM,7484_63323018510,Sterile Water: 25 Vial In 1 Tray (63323-185-10) / 10 Ml In 1 Vial (63323-185-07),18.4,18.4,,,0 CDM,7484_63323018520,Sterile Water: 25 Vial In 1 Tray (63323-185-20) / 20 Ml In 1 Vial (63323-185-08),24.45,24.45,,,0 CDM,7484_63323018550,Sterile Water: 25 Vial In 1 Tray (63323-185-50) / 50 Ml In 1 Vial (63323-185-09),31.42,31.42,,,0 CDM,7484_65219018701,NDC Description Not Available,15.17,15.17,,,0 CDM,74857_270,Noncdm Charge Record Medical Supplies,2942.5,2942.5,,,0 CDM,7485_00264210100,Sterile Water: 16 Container In 1 Case (0264-2101-00) / 1000 Ml In 1 Container,12.42,12.42,,,0 CDM,7485_00264210110,Sterile Water: 16 Container In 1 Case (0264-2101-10) / 500 Ml In 1 Container,14.42,14.42,,,0 CDM,7485_00338000344,Sterile Water: 14 Bag In 1 Carton (0338-0003-44) / 1000 Ml In 1 Bag,31.25,31.25,,,0 CDM,7485_00338000346,Sterile Water: 6 Bag In 1 Carton (0338-0003-46) / 2000 Ml In 1 Bag,256.78,256.78,,,0 CDM,7485_00338000347,Sterile Water: 4 Bag In 1 Carton (0338-0003-47) / 3000 Ml In 1 Bag,59.48,59.48,,,0 CDM,7485_00338000402,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02) / 250 Ml In 1 Bottle, Plastic",2.37,2.37,,,0 CDM,7485_00338000403,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03) / 500 Ml In 1 Bottle, Plastic",13.3,13.3,,,0 CDM,7485_00338000404,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04) / 1000 Ml In 1 Bottle, Plastic",11.63,11.63,,,0 CDM,7485_00990713909,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09) / 1000 Ml In 1 Bottle, Plastic",1.03,1.03,,,0 CDM,7485_00990797308,Sterile Water: 4 Pouch In 1 Case (0990-7973-08) / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,43.26,43.26,,,0 CDM,74865_270,Noncdm Charge Record Medical Supplies,521.9,521.9,,,0 CDM,74866_C1894_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,74888_C1776_278,Noncdm Charge Record Medical Supplies,1672.0,1672.0,,,0 CDM,74896_C1781_278,Noncdm Charge Record Medical Supplies,730.4,730.4,,,0 CDM,74897_C1781_278,Noncdm Charge Record Medical Supplies,407.0,407.0,,,0 CDM,74898_C1729_278,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 CDM,74899_C1757_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,74901_C1757_278,Noncdm Charge Record Medical Supplies,4196.5,4196.5,,,0 CDM,74908_270,Noncdm Charge Record Medical Supplies,2013.0,2013.0,,,0 CDM,74913_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,7500012_270,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,7503123101,"Hc Nasal Endoscopy,Dx",409.0,409.0,,,0 CDM,7503123801,"Hc Nasal/Sinus Endoscopy,W/Control Nasal Hem",3007.0,3007.0,,,0 CDM,7503151501,Hc Laryng Dir W Or W/O Trach Asp,1127.0,1127.0,,,0 CDM,7503152801,"Hc Laryngoscopy Direct W Or W/O Trach, W/ Dilation Initial",7565.0,7565.0,,,0 CDM,7503153601,"Hc Laryngoscopy, Direct,Operative W/Biopsy; W/Telesc",5774.0,5774.0,,,0 CDM,7503154001,"Hc Laryngoscopy, Direct, Operative, W/ Excision Tumor/Epiglott/Stri",7565.0,7565.0,,,0 CDM,7503154101,"Hc Laryngoscopy,Dirct,Op Scop,Exc Tumr",8590.0,8590.0,,,0 CDM,7503157001,"Hc Laryngoscopy,Dirct,Inj Vocal Cord",5774.0,5774.0,,,0 CDM,7503157101,"Hc Laryngoscopy,Direct,Scope,Inj Cords",5774.0,5774.0,,,0 CDM,7503157201,"Hc Laryngoscopy - Flex, W/Ablation Or Destruction Of Lesion(S), W/Laser Unilateral",4931.0,4931.0,,,0 CDM,7503157301,"Hc Laryngoscopy - Flex, W/Tx Injection, Unilateral",2575.0,2575.0,,,0 CDM,7503157401,"Hc Laryngoscopy - Flex, W/Injection For Augmentation, Unilateral",2575.0,2575.0,,,0 CDM,7503157501,"Hc Laryngoscopy,Flex Fiber,Diagnostic",668.0,668.0,,,0 CDM,7503159901,Hc Pbb Larynx Surg Proc Unlisted,375.0,375.0,,,0 CDM,7503160001,"Hc Tracheostomy, Planned",4687.0,4687.0,,,0 CDM,7503161201,"Hc Tracheal Puncture, Percutaneous W/ Transtracheal Aspiration/Inj",18857.0,18857.0,,,0 CDM,7503161301,"Hc Tracheostoma Revision, Simple, W/O Flap Rotation",9715.0,9715.0,,,0 CDM,7503161501,Hc Pbb Scope Thru Tracheostomy,1999.0,1999.0,,,0 CDM,7503162201,"Hc Bronchoscopy,Diagnostic, W/Cell Washing When Performed",3007.0,3007.0,,,0 CDM,7503162301,"Hc Bronchoscopy,Diagnostic W Brush",3126.0,3126.0,,,0 CDM,7503162401,"Hc Bronchoscopy, W/Bronchial Alveolar Lavage, W/Fluoro When Perf",3126.0,3126.0,,,0 CDM,7503162501,"Hc Bronchoscopy, W/Bronch Or Endobronch Biopsy(S), Sgl Or Multi Sites",3696.0,3696.0,,,0 CDM,7503162601,"Hc Bronchoscopy, Rigid/Flexible, Incl Fluoroscopic Guidance W/Placement, Fiducial Markers, Single Or",13425.0,13425.0,,,0 CDM,7503162701,"Hc Bronchoscopy,Computer Assist/Image-Guided Navigation",369.0,369.0,,,0 CDM,7503162801,"Hc Bronchoscopy,Transbronch Biopsy",5774.0,5774.0,,,0 CDM,7503162901,"Hc Bronchoscopy,Transbronch Needle Aspiration Biopsy(S), Trach, Main Stem/Lobar Bronchus(I)",5774.0,5774.0,,,0 CDM,7503163001,"Hc Bronchoscopy, W/Trach/Bronch Dilation Or Closed Reduc Of Frac",5774.0,5774.0,,,0 CDM,7503163101,"Hc Bronchoscopy, W/Plcment Of Tracheal Stent(S), Incl Trac/Dil As Req",8887.0,8887.0,,,0 CDM,7503163201,Hc Bronchoscopy W/Transbronchial Lung Bx Each Lobe,282.0,282.0,,,0 CDM,7503163301,Hc Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe,344.0,344.0,,,0 CDM,7503163401,"Hc Bronchoscopy W/Balloon Occlusion W/Assessment Of Air Leak, Administration Of Occlusive Substance",8887.0,8887.0,,,0 CDM,7503163501,"Hc Bronchoscopy,Removal Of Foreign Body",4065.0,4065.0,,,0 CDM,7503163601,"Hc Bronchoscopy, W/Plcmnt Of Bronchial Stent(S), Incl Fluoro, Initial",8887.0,8887.0,,,0 CDM,7503163701,"Hc Bronchoscopy, Each Additional Major Bronchus Stented, Incl Fluoro",414.0,414.0,,,0 CDM,7503163801,"Hc Bronchoscopy, W/Revision Of Trach/Bronch Stent, Incl Fluoro",8887.0,8887.0,,,0 CDM,7503164001,"Hc Bronchoscopy, W/Excision Of Tumor, Incl Fluoro",5774.0,5774.0,,,0 CDM,7503164101,"Hc Bronchoscopy, W/Destruction Of Tumor Or Relief Of Stenosis, Any Method Other Than Excision",5774.0,5774.0,,,0 CDM,7503164501,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,3424.0,3424.0,,,0 CDM,7503164601,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree Subsq,1576.0,1576.0,,,0 CDM,7503164701,"Hc Bronchscopy, W/Balloon Occlus, Insert Bronch Valve Initial Lobe",8887.0,8887.0,,,0 CDM,7503164801,"Hc Bronchscopy, Removal Bronchial Valve(S), Initial Lobe",5774.0,5774.0,,,0 CDM,7503164901,"Hc Bronch W/Fluoro Rmvl Bronchial Valve(S), Each Addl Lobe",3007.0,3007.0,,,0 CDM,7503165101,"Hc Bronchscopy, W/ Balloon Occlusion, Insert Bronch Valve(S), Ea Addl Lobe",4419.0,4419.0,,,0 CDM,7503165201,Hc Bronchscopy Ebus Guided Sampl 1/2 Node Station/Strux,5774.0,5774.0,,,0 CDM,7503165301,Hc Bronchscopy Ebus Guided Sampl 3/> Node Station/Strux,5774.0,5774.0,,,0 CDM,7503165401,"Hc Bronchscopy, Transendoscopic Ebus Dx/Tx Intervention Perph Lesion",4812.0,4812.0,,,0 CDM,7503166001,"Hc Bronchoscopy, W/Bronchial Thermaplasty 1 Lobe",8887.0,8887.0,,,0 CDM,7503166101,"Hc Bronchoscopy, Bronchial Thermaplsty >=2 Lobe",8887.0,8887.0,,,0 CDM,7503189901,Hc Tracheotomy Tube Change,411.0,411.0,,,0 CDM,7504297501,"Hc Drug-Induced Sleep Endoscopy W/Dynamic Eval, Dx",404.0,404.0,,,0 CDM,7504319301,"Hc Esophagoscopy Rigid Transoral With Biopsy, Single Or Multiple",3839.0,3839.0,,,0 CDM,7504319501,Hc Esophagoscopy Rigid Transoral Balloon Dilation - <30Mm,4224.0,4224.0,,,0 CDM,7504319701,Hc Esophagoscopy Flexible Transnasal Diagnostic - Collection Specimen,1879.0,1879.0,,,0 CDM,7504320001,Hc Esophagoscopy Flexible Transoral Diagnostic - Esophagoscopy,1879.0,1879.0,,,0 CDM,7504320101,Hc Esophagoscopy Flexible Transoral W Submucous Inj - Any Substance,2742.0,2742.0,,,0 CDM,7504320201,Hc Esophagoscopy Flexible Transoral With Biopsy - Esophagoscopy,1879.0,1879.0,,,0 CDM,7504320501,Hc Esphgoscopy Flex W/Band Ligation Esophgl Varices - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504321201,Hc Esophagoscopy-W/Placemnt Endoscopic Stent,6375.0,6375.0,,,0 CDM,7504321401,Hc Esophagoscopy Dilate Esophagus Balloon 30 Mm,2742.0,2742.0,,,0 CDM,7504321501,Hc Esophagoscopy Flexible Removal Foreign Body - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504321701,Hc Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504322001,Hc Esophagoscopy Flex Balloon Dilat <30 Mm Diam - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504322601,Hc Esophagoscopy Flexible Guide Wire Dilation - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504322701,Hc Esophagoscopy Flexible W Bleeding Control - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504322901,Hc Esophagoscopy Flex Transoral Lesion Ablation - Esophagoscopy,4991.0,4991.0,,,0 CDM,7504323102,Hc Esophagoscopy Flexible Transoral Ultrasound Exam - Esophagoscopy,2742.0,2742.0,,,0 CDM,7504323301,Hc Egd Esophagus Balloon Dilation 30 Mm Or Larger - Egd,3659.0,3659.0,,,0 CDM,7504323501,Hc Esophagogastroduodenoscopy Transoral Diagnostic,1879.0,1879.0,,,0 CDM,7504323502,Noncdm Charge Record,465.0,465.0,,,0 CDM,7504323601,Hc Esophagogastroduodenoscopy Submucosal Injection - Egd,2149.0,2149.0,,,0 CDM,7504323702,Hc Esophagogastroduodenoscopy Us Scope W/Adj Strxrs - Endo Us (Upper),3120.0,3120.0,,,0 CDM,7504323802,Hc Egd Intrmural Us Needle Aspirate/Biopsy Esophags - Endo Us (Upper),3740.0,3740.0,,,0 CDM,7504323901,Hc Egd Transoral Biopsy Single/Multiple - Egd,2149.0,2149.0,,,0 CDM,7504324001,Hc Egd Transoral Transmural Drainage Pseudocyst - Endo Us (Upper),6428.0,6428.0,,,0 CDM,7504324101,Hc Edg Intraluminal Tube/Catheter Insertion,2239.0,2239.0,,,0 CDM,7504324202,Hc Egd Intrmural Needle Aspir/Biop Altered Anatomy - Endo Us (Upper),4252.0,4252.0,,,0 CDM,7504324301,Hc Egd Injection Sclerosis Esophgl/Gastric Varices - Egd,3839.0,3839.0,,,0 CDM,7504324401,Hc Egd Band Ligation Esophgeal/Gastric Varices - Egd,3956.0,3956.0,,,0 CDM,7504324501,Hc Egd Dilation Gastric/Duodenal Stricture - Egd,2769.0,2769.0,,,0 CDM,7504324602,Hc Egd Percutaneous Placement Gastrostomy Tube - Gastrostomy Tube Place,3201.0,3201.0,,,0 CDM,7504324701,Hc Egd Flexible Foreign Body Removal,2796.0,2796.0,,,0 CDM,7504324801,Hc Egd Insert Guide Wire Dilator Passage Esophagus - Egd,2616.0,2616.0,,,0 CDM,7504324901,Hc Egd Balloon Dilation Esophagus <30 Mm Diam - Egd,2400.0,2400.0,,,0 CDM,7504325001,Hc Egd Flex Removal Lesion(S) By Hot Biopsy Forceps - Egd,2670.0,2670.0,,,0 CDM,7504325101,Hc Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd,3120.0,3120.0,,,0 CDM,7504325301,Hc Egd Us Guided Transmural Injxn/Fiducial Marker - Endo Us (Upper),4252.0,4252.0,,,0 CDM,7504325401,Hc Esophgastro-Endoscopic Mucosal Resection,4378.0,4378.0,,,0 CDM,7504325501,Hc Egd Transoral Control Bleeding Any Method - Egd,3201.0,3201.0,,,0 CDM,7504325701,Hc Egd W/Thermal Treatmt For Gerd,3731.0,3731.0,,,0 CDM,7504325902,Hc Egd Us Exam Surgical Alter Stom Duodenum/Jejunum - Endo Us (Upper),3632.0,3632.0,,,0 CDM,7504326001,Hc Ercp Dx Collection Specimen Brushing/Washing - Ercp,4991.0,4991.0,,,0 CDM,7504326101,"Hc Ercp,Biopsy - Ercp, Single Or Multiple",5289.0,5289.0,,,0 CDM,7504326201,"Hc Ercp,Sphincterotomy - Ercp",5289.0,5289.0,,,0 CDM,7504326301,Hc Ercp W/Pressure Measurement Sphincter Of Oddi - Ercp,5289.0,5289.0,,,0 CDM,7504326401,Hc Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp,5289.0,5289.0,,,0 CDM,7504326501,Hc Ercp Destruction/Lithotripsy Calculi Any Method - Ercp,6375.0,6375.0,,,0 CDM,7504326601,Hc Egd Endoscopic Stent Placement W/Wire& Dilation - Egd,3524.0,3524.0,,,0 CDM,7504327001,Hc Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd,3605.0,3605.0,,,0 CDM,7504327301,Hc Cholangioscopy,601.0,601.0,,,0 CDM,7504327401,Hc Ercp Stent Placement Biliary/Pancreatic Duct - Ercp,6375.0,6375.0,,,0 CDM,7504327501,Hc Ercp Remove Foreign Body/Stent Biliary/Panc Duct - Ercp,5289.0,5289.0,,,0 CDM,7504327601,Hc Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire - Ercp,6375.0,6375.0,,,0 CDM,7504327701,Hc Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea - Ercp,5289.0,5289.0,,,0 CDM,7504327801,Hc Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire - Ercp,5289.0,5289.0,,,0 CDM,7504329001,"Hc Egd, Flexible, Transoral W/Deployment Of Intragastric Bariatric Balloon",4807.0,4807.0,,,0 CDM,7504329101,"Hc Egd, Flexible, Transoral W/Removal Of Intragastric Bariatric Balloon(S)",2278.0,2278.0,,,0 CDM,7504345001,Hc Dilate Esophagus - Esophageal Dilation,4273.0,4273.0,,,0 CDM,7504345301,"Hc Dilate Esophagus,Over Guide - Esophageal Dilation",6234.0,6234.0,,,0 CDM,7504346001,"Hc Esophagogastric Tamponade,Balloon - Tube Insertion",1827.0,1827.0,,,0 CDM,7504349701,"Hc Poem Lower Esophageal Myotomy, Transoral",9131.0,9131.0,,,0 CDM,7504349901,Hc Pbb Esophagus Surg Procedure Unlisted,3305.0,3305.0,,,0 CDM,75043752PB,Hc Pbb Placement Ng/Og Tube By Physician,1103.0,1103.0,,,0 CDM,7504375301,"Hc Gastric Intubation/Aspiration, Therapeutic, Incl Lavage",695.0,695.0,,,0 CDM,7504376201,Hc Replace/Remv G-Tube Wo Img,1252.0,1252.0,,,0 CDM,7504388001,Hc Closure Of Gastrocolic Fistula,32292.0,32292.0,,,0 CDM,7504399901,Hc Egd/Stent Reposition,2161.0,2161.0,,,0 CDM,7504399902,"Hc G-Poem, Stomach",8655.0,8655.0,,,0 CDM,7504399903,Hc Endoscopic Tore,4146.0,4146.0,,,0 CDM,7504416001,Hc Ileo Ww/O Brushing,1860.0,1860.0,,,0 CDM,7504436002,Hc Endoscopy Upper Small Intestine - Enteroscopy,2161.0,2161.0,,,0 CDM,7504436102,"Hc Small Bowel Endoscopy,Biopsy - Enteroscopy",3153.0,3153.0,,,0 CDM,7504436301,Hc Sbe-Only Duo/Jejunum W/Rmvl Foreign Body(S),3153.0,3153.0,,,0 CDM,7504436402,"Hc Sb Endoscopy,Rmvl Lesn,Snare - Enteroscopy",3153.0,3153.0,,,0 CDM,7504436502,"Hc Sb Endoscopy,Rmvl Lesn, Hot Bx Forceps/Caut - Enteroscopy",3153.0,3153.0,,,0 CDM,7504436602,"Hc Sb Endoscopy,>2Nd Prtn W/Control,Bleeding - Enteroscopy",3153.0,3153.0,,,0 CDM,7504436902,"Hc Small Bowel Endoscopy, >2Nd Prtn Ablate Lesn - Enteroscopy",3153.0,3153.0,,,0 CDM,7504437002,"Hc Sb Scope,Place Transendoscopic Stent - Enteroscopy",7331.0,7331.0,,,0 CDM,7504437202,"Hc Sb Scope, >2Nd Prtn Place Percut Jejun Tube - Enteroscopy",3153.0,3153.0,,,0 CDM,7504437302,"Hc Sb Scope,Convrt Gastro To Jejun - Enteroscopy",3153.0,3153.0,,,0 CDM,7504437602,"Hc Sb Scope,To Ileum,Diagnostic - Enteroscopy",3153.0,3153.0,,,0 CDM,7504437702,"Hc Sb Scope,To Ileum,Biopsy - Enteroscopy",3153.0,3153.0,,,0 CDM,7504437802,"Hc Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy",3153.0,3153.0,,,0 CDM,7504438001,Hc Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy,2161.0,2161.0,,,0 CDM,7504438201,"Hc Ileoscopy Thru Stoma,Biopsy - Enteroscopy",2161.0,2161.0,,,0 CDM,7504438501,Hc Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx - Enteroscopy,2183.0,2183.0,,,0 CDM,7504438601,Hc Ndsc Eval Intstinal Pouch W/Bx Single/Multiple - Enteroscopy,2183.0,2183.0,,,0 CDM,7504438801,Hc Colonoscopy Stoma Dx Induding Collj Spec Spx - Colonoscopy,1997.0,1997.0,,,0 CDM,7504438901,"Hc Colonoscopy Thru Stoma,Biopsy - Colonoscopy",2427.0,2427.0,,,0 CDM,7504439101,Hc Colonoscopy Stoma Control Bleeding - Colonoscopy,2147.0,2147.0,,,0 CDM,7504439201,"Hc Stoma-Colonoscopy, W Rmvl Polyp(S), By Hot Biopsy",2467.0,2467.0,,,0 CDM,7504439401,"Hc Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy",2598.0,2598.0,,,0 CDM,7504440201,Hc Colonoscopy Stoma W/Endoscopic Stent Plcmt - Colonoscopy,6360.0,6360.0,,,0 CDM,7504440301,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection,2698.0,2698.0,,,0 CDM,7504440401,"Hc Stoma-Colonoscopy, W/Directed Submucosal Inj, Any Subst",3004.0,3004.0,,,0 CDM,7504440701,Hc Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx - Endo Us (Lower),3643.0,3643.0,,,0 CDM,7504450001,Hc Intro Long Gi Tube - Nasal Jejunal Feeding Tube,2769.0,2769.0,,,0 CDM,7504470501,Hc Colonoscopy With Fecal Microbiota For Instillation,3809.0,3809.0,,,0 CDM,7504479901,Hc Sbew/Fecal Transplt,2884.0,2884.0,,,0 CDM,7504479902,Hc Small Bowel,2884.0,2884.0,,,0 CDM,7504479903,Hc Egd Oe Colon,2884.0,2884.0,,,0 CDM,7504530001,"Hc Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid",81.0,81.0,,,0 CDM,7504530501,"Hc Proctosigmoidoscopy,Biopsy - Endoscopy Sigmoid",4178.0,4178.0,,,0 CDM,7504533001,Hc Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd - Endoscopy Sigmoid,370.0,370.0,,,0 CDM,7504533101,"Hc Sigmoidoscopy,Biopsy - Endoscopy Sigmoid Single Or Multiple",502.0,502.0,,,0 CDM,7504533201,Hc Sigmoidoscopy Flx W/Rmvl Foreign Body - Endoscopy Sigmoid,775.0,775.0,,,0 CDM,7504533301,Hc Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps - Endoscopy Sigmoid,683.0,683.0,,,0 CDM,7504533401,Hc Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid,881.0,881.0,,,0 CDM,7504533501,"Hc Sigmoidoscopy,Flex,W/Dir Submuc Inject - Endoscopy Sigmoid",458.0,458.0,,,0 CDM,7504533701,Hc Flex-Sig W/Decompress Volvulus Incl Plcmt Of Decomp Tube,925.0,925.0,,,0 CDM,7504533801,"Hc Sigmoidoscopy,Remv Lesn,Snare - Endoscopy Sigmoid",903.0,903.0,,,0 CDM,7504534001,Hc Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid,551.0,551.0,,,0 CDM,7504534102,Hc Sigmoidoscopy W/Endoscopic Us Exam - Endo Us (Lower),934.0,934.0,,,0 CDM,7504534201,"Hc Sigmoidoscopy,Fine Needl Bx,Us Guided - Endoscopy Sigmoid",4178.0,4178.0,,,0 CDM,7504534202,"Hc Sigmoidoscopy,Fine Needl Bx,Us Guided - Endo Us (Lower)",4178.0,4178.0,,,0 CDM,7504534601,Hc Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid,1238.0,1238.0,,,0 CDM,7504534701,Hc Sigmoidoscopy Flx Placement Of Endoscopic Stent - Endoscopy Sigmoid,1198.0,1198.0,,,0 CDM,7504534901,Hc Sigmoid W Endo Mucosal Resec,1550.0,1550.0,,,0 CDM,7504535001,Hc Sigmoidoscopy W Band Litigation,740.0,740.0,,,0 CDM,7504537801,Hc Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy,3307.0,3307.0,,,0 CDM,7504537902,Hc Colonoscopy Flx W/Removal Of Foreign Body(S) - Colonoscopy,4221.0,4221.0,,,0 CDM,7504538001,Hc Colonoscopy W/Biopsy Single/Multiple - Colonoscopy,3472.0,3472.0,,,0 CDM,7504538101,Hc Colsc Flx With Directed Submucosal Njx Any Sbst - Colonoscopy,3472.0,3472.0,,,0 CDM,7504538201,Hc Colsc Flexible W/Control Bleeding Any Method - Colonoscopy,4886.0,4886.0,,,0 CDM,7504538401,Hc Colsc Flx W/Removal Lesion By Hot Bx Forceps - Colonoscopy,3828.0,3828.0,,,0 CDM,7504538501,Hc Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy,4432.0,4432.0,,,0 CDM,7504538601,Hc Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy,3646.0,3646.0,,,0 CDM,7504538801,Hc Colon-Ablation Tumor/Polyp(S)S,5387.0,5387.0,,,0 CDM,7504538901,Hc Colonoscopy Flx With Endoscopic Stent Placement - Colonoscopy,5656.0,5656.0,,,0 CDM,7504539001,Hc Colonoscopy Flx W/Endoscopic Mucosal Resection - Colonoscopy,6236.0,6236.0,,,0 CDM,7504539101,Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower),4653.0,4653.0,,,0 CDM,7504539201,Hc Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al - Endo Us (Lower),5939.0,5939.0,,,0 CDM,7504539301,Hc Colonoscopy Flexible With Decompression - Colonoscopy,5130.0,5130.0,,,0 CDM,7504539801,Hc Colonoscopy Flexible With Band Ligation(S) - Colonoscopy,4020.0,4020.0,,,0 CDM,7504539901,"Hc Unlisted Procedure, Colon",3327.0,3327.0,,,0 CDM,7504552001,Hc Perirectal Injection Of Sclerosing Solution For Prolapse,2516.0,2516.0,,,0 CDM,7504590501,Hc Dilation Of Anal Sphincter (Separate Procedure) Under Anesthesia Other Than Local,3379.0,3379.0,,,0 CDM,75045990PB,"Hc Pbb Surg Diagnostic Exam, Anorectal",1137.0,1137.0,,,0 CDM,75046221PB,Hc Pbb Hemorrhoidectomy Internal Rubber Band Ligations,2822.0,2822.0,,,0 CDM,7504660001,"Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd - Endoscopy, Anus",282.0,282.0,,,0 CDM,7504660601,"Hc Anoscopy And Biopsy - Endoscopy, Anus",2923.0,2923.0,,,0 CDM,7504660701,"Hc Anoscopy W High Res Magnification (Hra), W/Bx",2183.0,2183.0,,,0 CDM,7504661001,Hc Anoscopy W/Removal Of Single Tumor/Polyp Or Other Lesion By Hot Biopsy Forceps Or Bipolar Cautery,7384.0,7384.0,,,0 CDM,7504694501,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 1 - Band Ligation",8211.0,8211.0,,,0 CDM,7504694601,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 2+ - Band Ligation",8211.0,8211.0,,,0 CDM,7504700001,"Hc Needle Biopsy Liver - Needle Biopsy, Liver",5400.0,5400.0,,,0 CDM,7504899901,Hc Eus Oe Fine Needle Aspiration,692.0,692.0,,,0 CDM,7505200001,Hc Cystourethroscopy,1520.0,1520.0,,,0 CDM,7506227301,"Hc Inj,Lumb Epidur,Blood/Clot Patch",3352.0,3352.0,,,0 CDM,7506232301,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,3352.0,3352.0,,,0 CDM,7506999001,Hc Procedure Canc Post-Anes,641.0,641.0,,,0 CDM,75073_C1876_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,75076_270,Noncdm Charge Record Medical Supplies,527.06,527.06,,,0 CDM,75076_C1713_278,Noncdm Charge Record Medical Supplies,518.65,518.65,,,0 CDM,75076_C1889_278,Noncdm Charge Record Medical Supplies,514.46,514.46,,,0 CDM,75077_270,Noncdm Charge Record Medical Supplies,530.17,530.17,,,0 CDM,75077_278,Noncdm Charge Record Medical Supplies,537.9,537.9,,,0 CDM,75077_C1713_278,Noncdm Charge Record Medical Supplies,512.42,512.42,,,0 CDM,75077_C1889_278,Noncdm Charge Record Medical Supplies,513.2,513.2,,,0 CDM,75087_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,7509101001,"Hc Esophageal Motility Study, Manometry - Motility Study, Esophageal",2586.0,2586.0,,,0 CDM,7509102001,Hc Gastric Motility (Manometric) Studies,2586.0,2586.0,,,0 CDM,7509103401,Hc Gastro Reflux Tst W Ph Probe,2271.0,2271.0,,,0 CDM,7509103501,Hc G-Esoph Reflex Test W/Electrode Placement,5215.0,5215.0,,,0 CDM,7509103701,Hc Gastroesophageal Function Test - Impedance Electrode(S),2414.0,2414.0,,,0 CDM,7509103802,"Hc Esoph Imped Funct Test > 1Hr - Esophageal Ph Monitoring, 24-Hour",2414.0,2414.0,,,0 CDM,7509104001,Hc Egd Esophageal Ballon Distension Study Dx - Endoflip,1983.0,1983.0,,,0 CDM,7509106501,Hc Breath Hydrogen/Methane Test - Breath Hydrogen Test,669.0,669.0,,,0 CDM,7509111001,Hc Gi Tract Capsule Endoscopy - Small Bowel Capsule Enteroscopy Via Ileum,5016.0,5016.0,,,0 CDM,7509111101,Hc Gi Tract Imaging Intraluminal Esophagus Wi&R,2384.0,2384.0,,,0 CDM,7509112001,Noncdm Charge Record,747.0,747.0,,,0 CDM,7509112201,Hc Anal Pressure Record - Anorectal Manometry,3420.0,3420.0,,,0 CDM,7509261101,"Hc Slp Eval,Swallow Function,Cine/Video Record",597.0,597.0,,,0 CDM,750G010401,Hc Pbb Ca Screen;Flexi Sigmoidscope,1033.0,1033.0,,,0 CDM,750G010501,Hc Pbb Colorectal Scrn; Hi Risk Ind,1579.0,1579.0,,,0 CDM,750G012001,Noncdm Charge Record,903.0,903.0,,,0 CDM,750G012101,Hc Pbb Colon Ca Scrn Not Hi Rsk Ind,2091.0,2091.0,,,0 CDM,750G045501,Hc Fecal Microbiota Transplant,759.0,759.0,,,0 CDM,75141_C1769_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,75142_C1874_278,Noncdm Charge Record Medical Supplies,8042.1,8042.1,,,0 CDM,75146_C1874_278,Noncdm Charge Record Medical Supplies,4741.92,4741.92,,,0 CDM,75147_C1874_278,Noncdm Charge Record Medical Supplies,4742.1,4742.1,,,0 CDM,75149_C1874_278,Noncdm Charge Record Medical Supplies,4742.1,4742.1,,,0 CDM,75151_C1874_278,Noncdm Charge Record Medical Supplies,4742.1,4742.1,,,0 CDM,75152_C1874_278,Noncdm Charge Record Medical Supplies,4742.1,4742.1,,,0 CDM,75173_C1751_278,Noncdm Charge Record Medical Supplies,196.45,196.45,,,0 CDM,75187_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,75192_270,Noncdm Charge Record Medical Supplies,591.88,591.88,,,0 CDM,75197_270,Noncdm Charge Record Medical Supplies,1835.89,1835.89,,,0 CDM,75244_C1894_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,75248_C1894_278,Noncdm Charge Record Medical Supplies,16.13,16.13,,,0 CDM,75249_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,75254_C1887_278,Noncdm Charge Record Medical Supplies,74.8,74.8,,,0 CDM,75260_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,75337_270,Noncdm Charge Record Medical Supplies,591.86,591.86,,,0 CDM,75346_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,7536_00143933801,NDC Description Not Available,4.94,4.94,,,0 CDM,7536_00409662902,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",8.37,8.37,,,0 CDM,7536_00781341170,NDC Description Not Available,8.61,8.61,,,0 CDM,7536_00781905370,NDC Description Not Available,85.33,85.33,,,0 CDM,7536_70069030101,NDC Description Not Available,3.68,3.68,,,0 CDM,7536_71288071910,NDC Description Not Available,2.2,2.2,,,0 CDM,75382_C1769_278,Noncdm Charge Record Medical Supplies,29.7,29.7,,,0 CDM,75383_C1769_278,Noncdm Charge Record Medical Supplies,14.36,14.36,,,0 CDM,75385_C1769_278,Noncdm Charge Record Medical Supplies,62.7,62.7,,,0 CDM,75395_C1893_278,Noncdm Charge Record Medical Supplies,30.77,30.77,,,0 CDM,75423_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,75424_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,75425_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,75426_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,75427_C2625_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,75428_C2625_278,Noncdm Charge Record Medical Supplies,157.27,157.27,,,0 CDM,75431_C1766_278,Noncdm Charge Record Medical Supplies,76.72,76.72,,,0 CDM,75439_270,Noncdm Charge Record Medical Supplies,403.9,403.9,,,0 CDM,75449_270,Noncdm Charge Record Medical Supplies,4026.05,4026.05,,,0 CDM,75450_270,Noncdm Charge Record Medical Supplies,2137.3,2137.3,,,0 CDM,75466_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,75467_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,75481_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,75482_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,75515_C1886_278,Noncdm Charge Record Medical Supplies,2673.0,2673.0,,,0 CDM,75516_270,Noncdm Charge Record Medical Supplies,6583.5,6583.5,,,0 CDM,75517_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,75517_C1713_278,Noncdm Charge Record Medical Supplies,208.21,208.21,,,0 CDM,75517_Q4100_278,Noncdm Charge Record Medical Supplies,208.45,208.45,,,0 CDM,75530_C1815_278,Noncdm Charge Record Medical Supplies,11157.3,11157.3,,,0 CDM,75531_C1815_278,Noncdm Charge Record Medical Supplies,14265.9,14265.9,,,0 CDM,75535_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,75537_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,7554_00185075701,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),18.2,18.2,,,0 CDM,7554_42806075760,Sulfadiazine: 60 Tablet In 1 Bottle (42806-757-60),72.78,72.78,,,0 CDM,75552_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,75561_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,75562_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,75564_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,75565_C1713_278,Noncdm Charge Record Medical Supplies,2973.85,2973.85,,,0 CDM,75567_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,7556_00703950301,NDC Description Not Available,27.15,27.15,,,0 CDM,7556_00703950303,"Sulfamethoxazole And Trimethoprim: 10 Vial, Single-Dose In 1 Carton (0703-9503-03) / 5 Ml In 1 Vial, Single-Dose (0703-9503-01)",27.06,27.06,,,0 CDM,7556_00703951401,NDC Description Not Available,46.56,46.56,,,0 CDM,7556_00703951403,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",46.26,46.26,,,0 CDM,7556_00703951491,NDC Description Not Available,45.96,45.96,,,0 CDM,7556_00703951493,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-93) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-91)",42.72,42.72,,,0 CDM,7556_67457077800,NDC Description Not Available,27.07,27.07,,,0 CDM,7556_70069036101,NDC Description Not Available,27.14,27.14,,,0 CDM,7556_70069036110,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-361-10) / 5 Ml In 1 Vial (70069-361-01),27.43,27.43,,,0 CDM,7556_70069036201,NDC Description Not Available,49.03,49.03,,,0 CDM,7556_70069036210,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10) / 10 Ml In 1 Vial (70069-362-01),49.24,49.24,,,0 CDM,75583_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,755_270,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,75603_C2625_278,Noncdm Charge Record Medical Supplies,1371.52,1371.52,,,0 CDM,7562_00013010110,Azulfidine: 1 Bottle In 1 Carton (0013-0101-10) / 100 Tablet In 1 Bottle,6.96,6.96,,,0 CDM,75666_270,Noncdm Charge Record Medical Supplies,1122.0,1122.0,,,0 CDM,75678_C1769_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,75711_C1713_278,Noncdm Charge Record Medical Supplies,64.51,64.51,,,0 CDM,75712_C1713_278,Noncdm Charge Record Medical Supplies,64.64,64.64,,,0 CDM,75720_C1713_278,Noncdm Charge Record Medical Supplies,22.49,22.49,,,0 CDM,75722_270,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,75746_C1713_278,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,75748_C1713_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,75750_C1713_278,Noncdm Charge Record Medical Supplies,97.68,97.68,,,0 CDM,75751_C1713_278,Noncdm Charge Record Medical Supplies,97.53,97.53,,,0 CDM,75752_C1713_278,Noncdm Charge Record Medical Supplies,97.62,97.62,,,0 CDM,75753_C1713_278,Noncdm Charge Record Medical Supplies,97.53,97.53,,,0 CDM,75759_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,75797_C1815_278,Noncdm Charge Record Medical Supplies,2301.38,2301.38,,,0 CDM,75798_C1815_278,Noncdm Charge Record Medical Supplies,11580.8,11580.8,,,0 CDM,75803_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75804_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75805_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75806_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75807_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75808_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75809_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75810_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,75811_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,7582_C1758_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,75873_270,Noncdm Charge Record Medical Supplies,416.9,416.9,,,0 CDM,75875_270,Noncdm Charge Record Medical Supplies,346.22,346.22,,,0 CDM,75886_C1766_278,Noncdm Charge Record Medical Supplies,1210.55,1210.55,,,0 CDM,75888_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,75889_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,75890_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,75895_C1817_278,Noncdm Charge Record Medical Supplies,13029.5,13029.5,,,0 CDM,75899_270,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,75915_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,75920_C1729_278,Noncdm Charge Record Medical Supplies,273.9,273.9,,,0 CDM,75937_C1887_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,75956_C1887_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,75962_270,Noncdm Charge Record Medical Supplies,854.7,854.7,,,0 CDM,75968_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,75969_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,75970_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,75971_270,Noncdm Charge Record Medical Supplies,452.1,452.1,,,0 CDM,75973_C1776_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,75974_C1776_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,75975_C1776_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,75976_C1776_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,75978_C1776_278,Noncdm Charge Record Medical Supplies,966.9,966.9,,,0 CDM,75979_C1776_278,Noncdm Charge Record Medical Supplies,966.9,966.9,,,0 CDM,75981_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75982_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75983_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75986_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75987_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75988_C1776_278,Noncdm Charge Record Medical Supplies,2503.6,2503.6,,,0 CDM,75_270,Noncdm Charge Record Medical Supplies,164.08,164.08,,,0 CDM,7600000022,Hc Nicu Laser Eye Room,1833.0,1833.0,,,0 CDM,7600000023,Hc Eye Exam Rop,258.0,258.0,,,0 CDM,76027_270,Noncdm Charge Record Medical Supplies,423.69,423.69,,,0 CDM,76040_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,76041_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,76044_C1729_278,Noncdm Charge Record Medical Supplies,287.1,287.1,,,0 CDM,76044_C1889_278,Noncdm Charge Record Medical Supplies,287.1,287.1,,,0 CDM,76046_C1889_278,Noncdm Charge Record Medical Supplies,7059.8,7059.8,,,0 CDM,76090_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76091_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76092_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76106_C1713_278,Noncdm Charge Record Medical Supplies,2952.4,2952.4,,,0 CDM,76107_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,7611002101,Hc Fine Needle Asp;W/O Imaging Guidance,1294.0,1294.0,,,0 CDM,7611006001,Hc Incision And Drainage Of Abscess - Simple Or Single,1547.0,1547.0,,,0 CDM,7611006102,Hc Incision And Drainage Of Abscess - Complicated Or Multi,2623.0,2623.0,,,0 CDM,76110061PB,Hc Incision And Drainage Of Abscess - Complicated Or Multi,2623.0,2623.0,,,0 CDM,7611012001,Hc Remove Foreign Body Simple,1294.0,1294.0,,,0 CDM,7611012101,Hc Foreign Body Removl Sub-Q Complicated,4924.0,4924.0,,,0 CDM,76110121PB,Hc Foreign Body Removl Sub-Q Complicated,4924.0,4924.0,,,0 CDM,7611016001,Hc Puncture Drainage Of Lesion,1308.0,1308.0,,,0 CDM,76110160PB,Hc Puncture Aspiration Hematoma,1308.0,1308.0,,,0 CDM,7611018001,"Hc Complex Drainage, Wound",8060.0,8060.0,,,0 CDM,7611100001,"Hc Debridement, Infected Skin, Up To 10% Bsa",1689.0,1689.0,,,0 CDM,7611104201,"Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm",1294.0,1294.0,,,0 CDM,76111042PB,"Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm",1294.0,1294.0,,,0 CDM,7611104301,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm",2456.0,2456.0,,,0 CDM,7611104401,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm",5400.0,5400.0,,,0 CDM,7611104501,"Hc Debridement, Skin, Sub-Q Tissue,Each Add 20 Sq Cm",1388.0,1388.0,,,0 CDM,7611104601,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Each Add 20 Sq Cm",1388.0,1388.0,,,0 CDM,7611104701,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Bone,Each Add 20 Sq Cm",1388.0,1388.0,,,0 CDM,7611105501,"Hc Trim Hyperkeratotic Skin Lesion, One",677.0,677.0,,,0 CDM,7611105601,"Hc Trim Benign Hyperkeratotic Skin Lesion,2-4",677.0,677.0,,,0 CDM,7611110201,"Hc Tangential Biopsy Of Skin, Single Lesion",780.0,780.0,,,0 CDM,7611110301,Hc Tangential Bx Skin; Each Addl,836.0,836.0,,,0 CDM,7611110401,Hc Punch Bx Skin Sgl Lesion,836.0,836.0,,,0 CDM,7611110501,Hc Punch Bx Skin Each Addl,836.0,836.0,,,0 CDM,7611110601,Hc Incisional Bx Skin Sgl Lesion,836.0,836.0,,,0 CDM,76111106PB,Hc Incisional Bx Skin Sgl Lesion,836.0,836.0,,,0 CDM,7611110701,Hc Incisional Bx Skin Ea Addl,836.0,836.0,,,0 CDM,7611140001,"Hc Exc Skin Benig <.5 Cm Trunk,Arm,Leg",2522.0,2522.0,,,0 CDM,7611140201,"Hc Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg",4063.0,4063.0,,,0 CDM,76111402PB,"Hc Pbb Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg",4063.0,4063.0,,,0 CDM,7611140301,"Hc Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg",2522.0,2522.0,,,0 CDM,76111403PB,"Hc Pbb Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg",2522.0,2522.0,,,0 CDM,7611140401,"Hc Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg",5912.0,5912.0,,,0 CDM,76111404PB,"Hc Pbb Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg",5912.0,5912.0,,,0 CDM,7611140601,"Hc Exc Skin Benig >4 Cm Trunk,Arm,Leg",9864.0,9864.0,,,0 CDM,7611142201,Hc Exc Skin Benig 1.1-2 Cm Remaindr Body,4878.0,4878.0,,,0 CDM,7611142301,Hc Exc Skin Benig 2.1-3 Cm Remaindr Body,5575.0,5575.0,,,0 CDM,7611142401,Hc Exc Skin Benig 3.1-4 Cm Remaindr Body,10795.0,10795.0,,,0 CDM,7611144101,"Hc Exc Skin Benig 0.6-1 Cm Face,Facial",2522.0,2522.0,,,0 CDM,7611144201,"Hc Exc Skin Benig 1.1-2 Cm Face,Facial",3287.0,3287.0,,,0 CDM,7611144301,"Hc Exc Skin Benig 2.1-3 Cm Face,Facial",4484.0,4484.0,,,0 CDM,7611144401,"Hc Exc Skin Benig 3.1- 4 Cm Face,Facial",4678.0,4678.0,,,0 CDM,7611162201,"Hc Exc,Malig Les Inc Margn,Sclp,Nck,Hnd,Ft,Genitalia;Excsd Dia 1.1-2.0Cm",1942.0,1942.0,,,0 CDM,7611162301,Hc Exc Skin Malig 2.1-3 Cm Remaindr Body,6223.0,6223.0,,,0 CDM,7611162401,Hc Exc Skin Malig 3.1-4 Cm Remaindr Body,9498.0,9498.0,,,0 CDM,7611162601,Hc Exc Skin Malig >4 Cm Remaindr Body,10487.0,10487.0,,,0 CDM,7611164301,"Hc Exc Skin Malig 2.1-3 Cm Face,Facial",3355.0,3355.0,,,0 CDM,7611164401,"Hc Exc Skin Malig 3.1-4 Cm Face,Facial",4390.0,4390.0,,,0 CDM,76111646PB,"Hc Pbb Exc Skin Malig >4 Cm Face,Facial",8319.0,8319.0,,,0 CDM,7611171901,Hc Trim Nondystro Nail(S),320.0,320.0,,,0 CDM,7611172001,"Hc Debridement Of Nail(S), 1-5",524.0,524.0,,,0 CDM,7611172101,"Hc Debridement Of Nails, 6 Or More",598.0,598.0,,,0 CDM,7611173001,Hc Removal Of Nail Plate,1620.0,1620.0,,,0 CDM,7611175001,Hc Removal Of Nail Bed,724.0,724.0,,,0 CDM,7611176001,Hc Reconstruc Of Nail Bed,4156.0,4156.0,,,0 CDM,7611176501,"Hc Excision Of Nail Fold, Toe",1145.0,1145.0,,,0 CDM,7611177001,"Hc Excision Pilonidal Cyst Or Sinus, Simple",7515.0,7515.0,,,0 CDM,76111900PB,"Hc Injection Into Skin Lesions, Up To 7",677.0,677.0,,,0 CDM,7611195001,Hc Subq Inj Filling Material 1 Cc Or Less,604.0,604.0,,,0 CDM,7611195101,Hc Subq Inj Filling Material 1.1-5.0 Cc,1762.0,1762.0,,,0 CDM,7611200201,Hc Resup Npterf Wnd Body 2.6-7.5 Cm,383.0,383.0,,,0 CDM,7611200701,Hc Simple Repair Of Superficial Wounds Of Body >30 Cm,1084.0,1084.0,,,0 CDM,7611201101,Hc Resuperf Wnd Face <2.5 Cm,343.0,343.0,,,0 CDM,7611203101,"Hc Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm",933.0,933.0,,,0 CDM,7611203201,"Hc Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm",988.0,988.0,,,0 CDM,7611203401,"Hc Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm",1043.0,1043.0,,,0 CDM,7611204101,Hc Layr Clos Wnd Rest Body <2.5 Cm,393.0,393.0,,,0 CDM,7611204201,Hc Layr Clos Wnd Rest Body 2.6-7.5 Cm,897.0,897.0,,,0 CDM,7611312101,"Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm",1820.0,1820.0,,,0 CDM,7611312201,"Hc Rep,Skin,Scalp/Extrem+5 Cm/<",673.0,673.0,,,0 CDM,7611313101,"Hc Recmpl Wnd Head,Fac,Hand 1.1-2.5 Cm",1655.0,1655.0,,,0 CDM,76113132PB,"Hc Repair Complex Wnd Head,Fac,Hand 2.6-7.5 Cm",1784.0,1784.0,,,0 CDM,7611315101,"Hc Recmpl Wnd Lid,Nos,Ear 1.1-2.5 Cm",1655.0,1655.0,,,0 CDM,7611315201,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6-7.5 Cm",1689.0,1689.0,,,0 CDM,7611316001,"Hc Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated",5054.0,5054.0,,,0 CDM,7611406001,"Hc Adjacent Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect?10?Sq Cm Or Le",4796.0,4796.0,,,0 CDM,7611512001,"Hc Split Autograft,Face, Scalp,Hand,Mouth,Neck,Orbits,Genitalia,Feet =<100 Sqcm",8978.0,8978.0,,,0 CDM,7611527101,Hc App-Skinsubstitute Graft-Trunk 1St 25Sqcm,4091.0,4091.0,,,0 CDM,7611527201,Hc App-Skingraft-Trunk 25Sqcm Ea Addl,3586.0,3586.0,,,0 CDM,7611527301,"Hc Apply Skin Substitute Graft To Trunk, Arms, Legs -1St 100 Sq Cm",6234.0,6234.0,,,0 CDM,7611527401,"Hc Apply Skin Substitute Graft To Trunk, Arms, Legs -Ea Addl 100 Sq Cm",5864.0,5864.0,,,0 CDM,7611527501,Hc App-Skingraft-Feet-1St 25Sq Cm,4091.0,4091.0,,,0 CDM,7611527601,Hc Ap-Skngrft-Ft25Sq Cm Ea Addl,3586.0,3586.0,,,0 CDM,7611527701,Hc Apply Skin Sub-1St 100 Sq Cm,6195.0,6195.0,,,0 CDM,7611562001,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Forehead, Cheeks, Chin, Neck, Axilla",4796.0,4796.0,,,0 CDM,7611585101,Hc Removal Of Sutures Or Staples Requiring Anesthesia,5242.0,5242.0,,,0 CDM,7611585201,"Hc Dressing Change,Not For Burn",1669.0,1669.0,,,0 CDM,7611585301,Hc Removal Of Sutures Or Staples Not Requiring Anesthesia,38.0,38.0,,,0 CDM,7611585401,Hc Removal Of Sutures And Staples Not Requiring Anesthesia,48.0,48.0,,,0 CDM,7611600001,"Hc Initial Treatment, First Degree Burn",524.0,524.0,,,0 CDM,7611602001,Hc Dress/Debrid Small Burn No Anes,71.0,71.0,,,0 CDM,7611602501,Hc Dress/Debrid Med Burn No Anesth,1294.0,1294.0,,,0 CDM,7611711001,Hc Destruction Benign Lesions Up To 14,524.0,524.0,,,0 CDM,7611725001,Hc Chemical Cauterization Of Granulation Tissue,3011.0,3011.0,,,0 CDM,76117250PB,Hc Chemical Cauterization Of Granulation Tissue,3011.0,3011.0,,,0 CDM,7611900001,Hc Punc/Aspir Breast Cyst,2754.0,2754.0,,,0 CDM,7611902001,Hc Explo/Drain Breast Abscess,8104.0,8104.0,,,0 CDM,7611910001,"Hc Biopsy Of Breast, Needle Core",5400.0,5400.0,,,0 CDM,76119101PB,"Hc Pbb Biopsy Of Breast, Incisional",10023.0,10023.0,,,0 CDM,7612020501,Hc Deep Muscle Biopsy,8502.0,8502.0,,,0 CDM,7612025101,"Hc Biopsy - Vertebral Body, Open, Lumbar Or Cervical",21055.0,21055.0,,,0 CDM,7612052001,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,4363.0,4363.0,,,0 CDM,76120526PB,Hc Pbb Inject Carpal Tunnel,1160.0,1160.0,,,0 CDM,76120550PB,Hc Pbb Inject Tendon Sheath/Ligament,1282.0,1282.0,,,0 CDM,76120551PB,Hc Pbb Inject Tendon Origin/Insert,1282.0,1282.0,,,0 CDM,76120552PB,"Hc Pbb Inject Trigger Point, 1 Or 2",1282.0,1282.0,,,0 CDM,7612055301,"Hc Inject Trigger Points, > 3",1282.0,1282.0,,,0 CDM,76120553PB,"Hc Pbb Inject Trigger Points, > 3",1282.0,1282.0,,,0 CDM,76120600PB,Hc Pbb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,76120604PB,Hc Pbb Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt,1730.0,1730.0,,,0 CDM,7612060501,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,1321.0,1321.0,,,0 CDM,76120605PB,Hc Pbb Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,1321.0,1321.0,,,0 CDM,7612060601,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,1945.0,1945.0,,,0 CDM,76120610PB,Hc Pbb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,1282.0,1282.0,,,0 CDM,76120611PB,Hc Pbb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,2138.0,2138.0,,,0 CDM,76120670PB,Hc Pbb Removal Superficial Implant,7354.0,7354.0,,,0 CDM,76120_270,Noncdm Charge Record Medical Supplies,526.9,526.9,,,0 CDM,7612101101,Hc Excision Tumor Soft Tiss Face/Scalp Subq < 2Cm,4472.0,4472.0,,,0 CDM,7612101601,"Hc Radical Resection Of Tumor, Soft Tissue Of Face Or Scalp; 2 Cm Or Greater",7473.0,7473.0,,,0 CDM,7612144001,Hc Closed Rx Dental Ridge Fx,7852.0,7852.0,,,0 CDM,7612155001,"Hc Biopsy, Soft Tissue, Neck/Thorax",5400.0,5400.0,,,0 CDM,7612155201,Hc Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm,7473.0,7473.0,,,0 CDM,7612155501,Hc Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm,4494.0,4494.0,,,0 CDM,76121555PB,Hc Pbb Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm,4494.0,4494.0,,,0 CDM,7612155801,"Hc Radical Resection Tumor, Neck Or Ant Thorax => 5Cm",6541.0,6541.0,,,0 CDM,76121_270,Noncdm Charge Record Medical Supplies,902.43,902.43,,,0 CDM,76122_270,Noncdm Charge Record Medical Supplies,1793.29,1793.29,,,0 CDM,7612303001,Hc I&D Shoulder Deep Absc/Hematom,10002.0,10002.0,,,0 CDM,7612357501,"Hc Closed Treatment Of Scapular Fracture W/Manipulation, W/W/O Skeletal Traction",4173.0,4173.0,,,0 CDM,7612366501,"Hc Closed Rx Shldr Disloc,Gr Tub Fx",4438.0,4438.0,,,0 CDM,76123_270,Noncdm Charge Record Medical Supplies,1928.56,1928.56,,,0 CDM,7612407101,Hc Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm,509.0,509.0,,,0 CDM,7612407501,Hc Exc Tumor Soft Tiss Upper Arm/Elbow Subq <3Cm,509.0,509.0,,,0 CDM,7612415201,"Hc Radical Resection Of Tumor, Radial Head Or Neck",17291.0,17291.0,,,0 CDM,7612450501,"Hc Closed Rx Mid Humerus Fx,Manipulatn",4173.0,4173.0,,,0 CDM,7612453501,"Hc Closed Rx Hum Supracondylr Fx,Manipu",4173.0,4173.0,,,0 CDM,7612456501,"Hc Closed Rx Humer Epicondylr Fx,Manip",4173.0,4173.0,,,0 CDM,7612460501,"Hc Closed Rx Elbow Dislocatn,Anesthesia",4226.0,4226.0,,,0 CDM,7612462001,Hc Closed Rx Monteggia Fx/Disloc Elbow,4173.0,4173.0,,,0 CDM,7612502801,"Hc Incision And Drainage-Forearm/Wrist, Deep Abscess Or Hematoma",9822.0,9822.0,,,0 CDM,76125260PB,"Hc Pbb Reforearm Tend/Musc,Flex,Prim,Ea",8660.0,8660.0,,,0 CDM,7612556501,"Hc Closed Treatment, Radial And Ulnar Shaft Fractures W/Manipulation",4173.0,4173.0,,,0 CDM,7612560501,"Hc Closed Rx Dist Rad/Ulna Fx,Manipul",85.0,85.0,,,0 CDM,7612563501,"Hc Closed Treatment, Carpal Bone Fracture W/Manipulation, Each Bone",4173.0,4173.0,,,0 CDM,7612601001,"Hc Drain Finger Abscess,Simple",524.0,524.0,,,0 CDM,7612601101,"Hc Drain Finger Abscess,Complicated",4345.0,4345.0,,,0 CDM,7612641801,"Hc Repair, Extensor Tendon, Finger, Primary/Secondary; W/O Free Graft, Each Tendon",4173.0,4173.0,,,0 CDM,7612660001,Hc Closed Rx Metacarpal Fx,603.0,603.0,,,0 CDM,7612664501,"Hc Treat Thumb Fx/Disloc,Manip",4237.0,4237.0,,,0 CDM,7612670001,Hc Closed Rx Mc-P Disloc,603.0,603.0,,,0 CDM,7612672501,"Hc Close Rx Prox/Mid Fing Shft Fx,Manip",603.0,603.0,,,0 CDM,7612675501,"Hc Close Rx Dist Fingr Fx,Manipulatn",620.0,620.0,,,0 CDM,7612695101,Hc Amputation Finger/Thumb,8660.0,8660.0,,,0 CDM,7612722001,Hc Closed Treatment Of Acetabulum Fracture(S); W/Manipulation,572.0,572.0,,,0 CDM,7612725601,Hc Closed Rx Spontaneous Hip Disloc,662.0,662.0,,,0 CDM,7612726501,"Hc Closed Rx, Spontaneous Hip Dislocation, By Abduction/Splint/Traction",603.0,603.0,,,0 CDM,7612726601,"Hc Closed Treatment, Post Hip Arthroplasty Dislocation; Requiring Regional Or General Anesthesia",4173.0,4173.0,,,0 CDM,7612732701,Hc Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm,753.0,753.0,,,0 CDM,7612736401,Hc Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/>,2536.0,2536.0,,,0 CDM,7612755001,Hc Closed Rx Knee Dislocatn,603.0,603.0,,,0 CDM,7612760301,Hc Drain Lower Leg Deep Absc/Hematoma,8060.0,8060.0,,,0 CDM,7612775001,Hc Closed Rx Tibia Shaft Fx,620.0,620.0,,,0 CDM,7612778601,Hc Closed Rx Dist Fibula Fx,646.0,646.0,,,0 CDM,7612781001,Hc Closed Tx Bimalleolar Ankle Fracture W Manip,4173.0,4173.0,,,0 CDM,7612781601,Hc Closed Rx Trimalleolar Fx,662.0,662.0,,,0 CDM,7612781801,"Hc Closed Rx Trimalleolar Fx,Manip",4438.0,4438.0,,,0 CDM,7612782501,"Hc Closed Rx Weight Bear Dist Tib,Manip",4417.0,4417.0,,,0 CDM,7612784001,Hc Closed Rx Ankle Dislocatn,603.0,603.0,,,0 CDM,76128124PB,Hc Pbb Part Remv Phalanx Of Toe,7556.0,7556.0,,,0 CDM,7612843501,"Hc Closed Rx Talus Fx,Manipulatn",4438.0,4438.0,,,0 CDM,76128820PB,"Hc Pbb Amputation Toe,Mt-P Jt",7367.0,7367.0,,,0 CDM,76128_270,Noncdm Charge Record Medical Supplies,3346.97,3346.97,,,0 CDM,7612934501,Hc Apply Long Leg Cast,733.0,733.0,,,0 CDM,7612940501,Hc Application Short Leg Cast,744.0,744.0,,,0 CDM,7612944502,Hc Application Rigid Total Contact Leg Cast,1191.0,1191.0,,,0 CDM,7612958001,Hc Strapping Unna Boot,685.0,685.0,,,0 CDM,7612958002,Hc Strapping Unna Boot Bilateral,685.0,685.0,,,0 CDM,7612958101,Hc Appl Mlt-Layer Venous Wound Compress Below Knee,685.0,685.0,,,0 CDM,76129884PB,"Hc Pbb Knee Scope,Lysis Of Adhesns",696.0,696.0,,,0 CDM,7613000001,"Hc Drainage Abscess Or Hematoma, Nasal",713.0,713.0,,,0 CDM,76130100PB,Hc Pbb Intranasal Biopsy,5278.0,5278.0,,,0 CDM,76130130PB,Hc Pbb Excision Turbinate,1413.0,1413.0,,,0 CDM,76130140PB,"Hc Pbb Excision Turbinate,Submucous",4472.0,4472.0,,,0 CDM,76130450PB,"Hc Pbb Revis Nose,Secondary,Major",2125.0,2125.0,,,0 CDM,76130520PB,Hc Pbb Repair Of Nasal Septum,8466.0,8466.0,,,0 CDM,76130560PB,Hc Pbb Lysis Intranasal Synechia,500.0,500.0,,,0 CDM,76130630PB,Hc Pbb Repair Nasal Septum Perforatn,8466.0,8466.0,,,0 CDM,7613090102,"Hc Control Nasal Hemorrhage, Anterior, Simple - Any Method",450.0,450.0,,,0 CDM,76130901PB,"Hc Pbb Control Nasal Hemorrhage, Anterior, Simple - Any Method",450.0,450.0,,,0 CDM,76131032PB,"Hc Sinusotomy, Maxillary; Radical (Caldwell-Luc) With Removal Of Antrochoanal Polyps",15400.0,15400.0,,,0 CDM,7613123101,"Hc Nasal Endoscopy,Dx",409.0,409.0,,,0 CDM,76131231PB,"Hc Pbb Nasal Endoscopy,Dx",409.0,409.0,,,0 CDM,7613123301,Hc Nasal/Sinus Endoscopy Diag W/Maxill,1118.0,1118.0,,,0 CDM,7613123701,"Hc Nasal/Sinus Endoscopy,Bx/Rmv Polyp/Debrid",3988.0,3988.0,,,0 CDM,76131237PB,"Hc Pbb Nasal/Sinus Endoscopy,Bx/Rmv Polyp/Debrid",3988.0,3988.0,,,0 CDM,76131238PB,"Hc Pbb Nasal/Sinus Endoscopy,W/Control Nasal Hem",3007.0,3007.0,,,0 CDM,76131299PB,Hc Pbb Sinus Surgery Proc Unlisted,3150.0,3150.0,,,0 CDM,76131502PB,Hc Pbb Tracheotomy Tube Change Prior To Estab Of Fistula Tract,585.0,585.0,,,0 CDM,76131505PB,"Hc Pbb Laryngoscopy,Indirect,Dx",478.0,478.0,,,0 CDM,7613157001,"Hc Laryngoscopy,Dirct,Inj Vocal Cord",5774.0,5774.0,,,0 CDM,7613157501,"Hc Laryngoscopy,Flex Fiber,Diagnostic",668.0,668.0,,,0 CDM,76131575PB,"Hc Pbb Laryngoscopy,Flex Fiber,Diagnostic",668.0,668.0,,,0 CDM,7613160301,"Hc Tracheostomy,Emerg,Xtrach",3832.0,3832.0,,,0 CDM,7613161301,"Hc Tracheostoma Revision; Simple, Without Flap Rotation",8466.0,8466.0,,,0 CDM,76131615PB,Hc Pbb Scope Thru Tracheostomy,1999.0,1999.0,,,0 CDM,7613162201,"Hc Bronchoscopy,Diagnostic",3007.0,3007.0,,,0 CDM,7613162401,"Hc Bronchoscopy,Diagnostic W Lavage",3126.0,3126.0,,,0 CDM,76131624PB,"Hc Pbb Bronchoscopy,Diagnostic W Lavage",3126.0,3126.0,,,0 CDM,76131627PB,"Hc Pbb Bronchoscopy,Computer Assist/Image-Guided Navigation",369.0,369.0,,,0 CDM,76131628PB,"Hc Pbb Bronchoscopy,Transbronch Biopsy",5774.0,5774.0,,,0 CDM,76131629PB,"Hc Pbb Bronchoscopy,Transbron Aspir Bx",5774.0,5774.0,,,0 CDM,76131636PB,Noncdm Charge Record,447.0,447.0,,,0 CDM,76131645PB,Hc Pbb Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,3424.0,3424.0,,,0 CDM,76131652PB,Hc Pbb Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux,5774.0,5774.0,,,0 CDM,76131654PB,Hc Pbb Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les,4812.0,4812.0,,,0 CDM,76131825PB,"Hc Pbb Surg Closure Trach/Fist,Plast Repr",9397.0,9397.0,,,0 CDM,7613255401,Hc Thoracentesis Needle/Cath Pleura W/O Imaging,435.0,435.0,,,0 CDM,7613520601,"Hc Repair Blood Vessel, Direct; Upper Extremity",7554.0,7554.0,,,0 CDM,76135207PB,"Hc Pbb Rebl Ves Direct,Hand/Fingr",708.0,708.0,,,0 CDM,76136000PB,Hc Pbb Place Needle In Vein,124.0,124.0,,,0 CDM,7613641501,"Hc Chg Collection Venous Blood,Venipuncture",36.0,36.0,,,0 CDM,7613643001,Noncdm Charge Record,1464.0,1464.0,,,0 CDM,76136471PB,Hc Pbb Injection Sclerosant Multiple Incmptnt Veins,1294.0,1294.0,,,0 CDM,7613651101,"Hc Ther Apheresis,White Blood Cells",6005.0,6005.0,,,0 CDM,7613651201,"Hc Therapeutic Apheresis, Red Blood Cells",6005.0,6005.0,,,0 CDM,7613651301,"Hc Ther Apheresis,Platelets",6005.0,6005.0,,,0 CDM,7613651401,"Hc Ther Apheresis,Plasma Pheresis",9330.0,9330.0,,,0 CDM,7613651601,Hc Ther Apheresis W/Extracorporeal Immunoadsorption-Liposober Column,17274.0,17274.0,,,0 CDM,7613652201,Hc Photopheresis - Extracorporea,8738.0,8738.0,,,0 CDM,7613656901,Hc Insert Picc W/O Sub-Q Port,4707.0,4707.0,,,0 CDM,76136573PB,"Hc Ins Picc W/O Port Or Pump, Incl Img >= 5 Y/O",5191.0,5191.0,,,0 CDM,7613659101,Hc Chg Collect Blood From Implant Venous Access Device,524.0,524.0,,,0 CDM,7613659201,Hc Chg Collect Blood From Catheter Venous Nos,524.0,524.0,,,0 CDM,76136592PB,Hc Pbb Chg Collect Blood From Catheter Venous Nos,524.0,524.0,,,0 CDM,7613659301,Hc Declot By Thrombolytic Agent Implant Device/Cath,1147.0,1147.0,,,0 CDM,76136593PB,Hc Pbb Declot By Thrombolytic Agent Implant Device/Cath,1147.0,1147.0,,,0 CDM,7613662001,"Hc Insert Cath,Art,Percut,Shortterm",475.0,475.0,,,0 CDM,7613668001,"Hc Insert Needle,Intraosseous Infusn",1833.0,1833.0,,,0 CDM,76136_C1889_278,Noncdm Charge Record Medical Supplies,1356.85,1356.85,,,0 CDM,7613779901,Hc Blood Collection From Established Arterial Catheter,50.0,50.0,,,0 CDM,76137_C1817_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,76137_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,7613822001,Hc Diagnostic Bone Marrow Aspirations,5400.0,5400.0,,,0 CDM,7613822101,"Hc Bone Marrow Bx, Needle/Trocar",5759.0,5759.0,,,0 CDM,7613822201,Hc Diagnostic Bone Marrow Biopsies & Aspirations,6479.0,6479.0,,,0 CDM,7613850001,"Hc Biopsy/Excision, Lymph Node(S)",10395.0,10395.0,,,0 CDM,7613851001,"Hc Biopsy Or Excision Of Lymph Node(S); Open,Deep Cervical Node(S)",9693.0,9693.0,,,0 CDM,76138_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,76140490PB,Hc Pbb Biopsy Of Lip,850.0,850.0,,,0 CDM,7614051001,Hc Excision Of Lip; Transverse Wedge Excision W/Primary Closure,4505.0,4505.0,,,0 CDM,7614052001,Hc Excision Of Lip; V-Excision W/Direct Linear Closure,9006.0,9006.0,,,0 CDM,7614065001,"Hc Repair Lip,Full Thick,Vermilion",1425.0,1425.0,,,0 CDM,7614080001,"Hc Drain Mouth Absc/Cyst/Hematoma,Simpl",1981.0,1981.0,,,0 CDM,7614080801,Hc Biopsy Of Mouth Lesion,2122.0,2122.0,,,0 CDM,76140808PB,Hc Pbb Biopsy Of Mouth Lesion,2122.0,2122.0,,,0 CDM,7614081001,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth, Without Repair",8950.0,8950.0,,,0 CDM,7614081201,"Hc Excision Lesion, Vestibule Of Mouth; W/Simple Repair",4840.0,4840.0,,,0 CDM,76140816PB,"Hc Pbb Excis Mouth Complex,Exc Thru Muscle",9397.0,9397.0,,,0 CDM,76140820PB,Hc Pbb Destruc Mouth Lesion/Scar,8466.0,8466.0,,,0 CDM,7614083101,Hc Closureof Laceration; Vestibule Of Mouth > 2.5Cm Or Complex,1412.0,1412.0,,,0 CDM,76141100PB,"Hc Pbb Biopsy Tongue,Anter 2/3",2122.0,2122.0,,,0 CDM,76141105PB,"Hc Pbb Biopsy Tongue,Poster 1/3",9715.0,9715.0,,,0 CDM,76141108PB,Hc Pbb Biopsy Of Floor Of Mouth,5987.0,5987.0,,,0 CDM,7614111201,Hc Excision Of Lesion Of Tongue With Closure; Anterior Two-Thirds,9206.0,9206.0,,,0 CDM,7614111401,Hc Excision Of Lesion Of Tongue With Closure; With Local Tongue Flap,8466.0,8466.0,,,0 CDM,7614111501,Hc Excision Of Lingual Frenum (Frenectomy),4088.0,4088.0,,,0 CDM,7614112001,Hc Glossectomy; Less Than One-Half Tongue,19257.0,19257.0,,,0 CDM,76141120PB,"Hc Pbb Part Removal Tongue,<1/2",19257.0,19257.0,,,0 CDM,7614125001,Noncdm Charge Record,231.0,231.0,,,0 CDM,7614183001,Hc Alveolectomy Incl Curettage,9397.0,9397.0,,,0 CDM,7614187401,"Hc Alveoloplasty, Each Quadrant (Specify)",7852.0,7852.0,,,0 CDM,76142100PB,Hc Pbb Biopsy Palate/Uvula,5569.0,5569.0,,,0 CDM,7614214001,"Hc Uvulectomy, Excision Of Uvula",8924.0,8924.0,,,0 CDM,7614233001,"Hc Sialolithotomy- Removal Of Stones From Saliva Gland, Uncomplicated",9397.0,9397.0,,,0 CDM,7614233501,"Hc Sialolithotomy- Removal Of Stones From Saliva Gland, Complicated",14180.0,14180.0,,,0 CDM,7614240501,Hc Biopsy Salivary Gland; Incisional,9715.0,9715.0,,,0 CDM,7614241001,"Hc Excision - Parotid Tumor Or Gland; Lateral Lobe, W/Nerve Dissection",14038.0,14038.0,,,0 CDM,7614241501,"Hc Excision Parotid Tumor/Gland, Lateral Lobe W/Dissect",14336.0,14336.0,,,0 CDM,7614245001,Hc Excision Of Sublingual Gland,15868.0,15868.0,,,0 CDM,7614266001,"Hc Dilation/Cath Of Salivary Duct,With Or Without Injection",1525.0,1525.0,,,0 CDM,7614270001,Hc Inc/Drain Peritonsil Abscess,996.0,996.0,,,0 CDM,76142800PB,Hc Pbb Biopsy Oropharynx,9715.0,9715.0,,,0 CDM,76142804PB,"Hc Pbb Biopsy Nasopharynx,Simple",9715.0,9715.0,,,0 CDM,7614281001,"Hc Excision Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues",8277.0,8277.0,,,0 CDM,7614284201,"Hc Radical Resection Of Tonsil, Pillars, Retromolar Trigone W/O Closure",14038.0,14038.0,,,0 CDM,76143752PB,Hc Pbb Placement Ng/Og Tube By Physician,1103.0,1103.0,,,0 CDM,76143762PB,Hc Replace/Remv G-Tube Wo Img,1252.0,1252.0,,,0 CDM,7614604001,Hc I&D Perirectal Abscess,9521.0,9521.0,,,0 CDM,7614605001,"Hc I&D Perianal Abscess,Superficial",1137.0,1137.0,,,0 CDM,7614608301,Hc Incise External Hemorrhoid,987.0,987.0,,,0 CDM,7614632001,"Hc Excision Thrombosed Hemorrhoid, External",3487.0,3487.0,,,0 CDM,7614660001,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,282.0,282.0,,,0 CDM,7614660401,"Hc Anoscopy,W/Dilation - Endoscopy, Anus",2923.0,2923.0,,,0 CDM,7614691601,"Hc Cryosurgery, Anal Lesion(S)",604.0,604.0,,,0 CDM,7614693001,"Hc Destruction Of Internal Hemorrhoid(S), Thermal Energy",3084.0,3084.0,,,0 CDM,7614908201,Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance,1400.0,1400.0,,,0 CDM,7614908301,Hc Abdom Paracentesis Dx/Ther W Imaging Guidance,1400.0,1400.0,,,0 CDM,76149320PB,"Hc Pbb Lap,Diagnostic Abdomen",1092.0,1092.0,,,0 CDM,76149321PB,"Hc Pbb Lap,Dx Surgical Abd W/Biopsy",1092.0,1092.0,,,0 CDM,7614950501,"Hc Repair Ing Hernia,5+Y/O,Reducibl",8568.0,8568.0,,,0 CDM,76149505PB,"Hc Pbb Repair Ing Hernia,5+Y/O,Reducibl",8568.0,8568.0,,,0 CDM,76149561PB,"Hc Pbb Repair Incisional Hernia,Strang",10313.0,10313.0,,,0 CDM,76149587PB,"Hc Pbb Repair Umbilical Hern,5+Y/O,Strang",1665.0,1665.0,,,0 CDM,76150200PB,"Hc Pbb Biopsy Of Kidney,Percutaneous",8104.0,8104.0,,,0 CDM,7615170201,"Hc Insert,Temp Indwelling Blad Cath,Simple",524.0,524.0,,,0 CDM,7615170301,"Hc Insert,Temp Indwelling Blad Cath,Comp",1544.0,1544.0,,,0 CDM,7615170501,"Hc Change Of Bladder Tube,Simple",1184.0,1184.0,,,0 CDM,76151720PB,Hc Pbb Instill Anticancer Agent In Bladder,987.0,987.0,,,0 CDM,7615179801,"Hc Meas,Post-Void Res,Us,Non-Imaging",179.0,179.0,,,0 CDM,76152000PB,Hc Pbb Cystourethroscopy,1520.0,1520.0,,,0 CDM,76152240PB,"Hc Pbb Cystourethroscopy,Fulgur >5 Cm Lesn",307.0,307.0,,,0 CDM,76152260PB,"Hc Pbb Cystoscopy,Dil Bladder,Gen Anesth",161.0,161.0,,,0 CDM,76152310PB,"Hc Pbb Cystoscopy,Remv Calculus,Simple",438.0,438.0,,,0 CDM,76152332PB,"Hc Pbb Cystoscopy,Insert Ureteral Stent",443.0,443.0,,,0 CDM,76152341PB,"Hc Pbb Cystoscopy,Tx Ureteral Stricture",1249.0,1249.0,,,0 CDM,76152351PB,"Hc Pbb Cysto/Uretero/Pyeloscopy, Dx",283.0,283.0,,,0 CDM,76152352PB,"Hc Pbb Cysto/Uretero/Pyeloscopy, Calculus Tx",332.0,332.0,,,0 CDM,76152356PB,Hc Pbb Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,393.0,393.0,,,0 CDM,76152_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76153200PB,Hc Pbb Biopsy Of Urethra,228.0,228.0,,,0 CDM,76153600PB,"Hc Pbb Dil Urethra Stric,Male,Initial",650.0,650.0,,,0 CDM,7615423501,"Hc Inject Corpora Cavern,Pharm Agnt",672.0,672.0,,,0 CDM,7615470001,"Hc Incis/Drain Scrotum/Testis,Epididym",5820.0,5820.0,,,0 CDM,7615510001,Hc Drainage Scrotal Wall Abscess,4484.0,4484.0,,,0 CDM,7615587401,"Hc Transperineal Plcmt Of Biodegradable Material, W/Img, Single Or Multi Inj",10228.0,10228.0,,,0 CDM,7615587501,"Hc Percut/Needle Insert,Prostate,Radioisot",7377.0,7377.0,,,0 CDM,76155876PB,"Hc Pbb Place Radiother Device/Marker, Prostate",2976.0,2976.0,,,0 CDM,76156605PB,"Hc Pbb Biopsy Vulva/Perineum,One Lesn",2114.0,2114.0,,,0 CDM,76157100PB,"Hc Pbb Biopsy Of Vagina,Simple",2114.0,2114.0,,,0 CDM,7615745201,"Hc Colposcopy,Cervix W/Adj Vagina",507.0,507.0,,,0 CDM,76157500PB,"Hc Pbb Biopsy Cervix, 1 Or More, Or Excision Of Lesion",2114.0,2114.0,,,0 CDM,76158100PB,Hc Pbb Biopsy Of Uterus Lining,524.0,524.0,,,0 CDM,76158301PB,Hc Pbb Remove Intrauterine Device,1219.0,1219.0,,,0 CDM,7615902501,Hc Fetal Non-Stress Test,406.0,406.0,,,0 CDM,76160210PB,"Hc Pbb Partial Excision Thyroid,Unilat",148.0,148.0,,,0 CDM,7616069901,Hc Rfa Thyroid Nodule,8118.0,8118.0,,,0 CDM,7616107001,Hc Puncture Brain Shunt Tube/Reservior Asp/Injection,2769.0,2769.0,,,0 CDM,76161799PB,Noncdm Charge Record,75.0,75.0,,,0 CDM,7616227001,"Hc Spinal Puncture,Lumbar,Diagnostic",3352.0,3352.0,,,0 CDM,76162270PB,"Hc Pbb Spinal Puncture,Lumbar,Diagnostic",3352.0,3352.0,,,0 CDM,76162272PB,"Hc Pbb Spinal Puncture,Therapeutic Drainage",2205.0,2205.0,,,0 CDM,7616227301,"Hc Inj,Lumb Epidur,Blood/Clot Patch",3352.0,3352.0,,,0 CDM,7616232201,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,3352.0,3352.0,,,0 CDM,7616232301,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,3352.0,3352.0,,,0 CDM,7616440501,"Hc Inject Nerv Blck,Great Occiptl",1282.0,1282.0,,,0 CDM,76164435PB,"Hc Pbb Inject Nerv Blck,Paracervical",2910.0,2910.0,,,0 CDM,7616444701,"Hc Inj,Anes Agent,Femoral Nerve,Single",3352.0,3352.0,,,0 CDM,7616445001,"Hc Inject Nerv Blck,Othr Periph Nerv",2910.0,2910.0,,,0 CDM,76164581PB,"Hc Pbb Incision,Implant,Neuroelec,Sacral Nerve",966.0,966.0,,,0 CDM,76164611PB,"Hc Pbb Chemodenervation Parotid/Submandibular Salivary Glands,Bilateral",721.0,721.0,,,0 CDM,76164612PB,Hc Pbb Chemodnrvtj Musc Musc Innervated Facial Nrv Unil,1078.0,1078.0,,,0 CDM,7616461501,"Hc Chemodenervation Of Muscle(S); Muscle(S) Innervated By Facial, Trigeminal, Cervical Spinal And Ac",938.0,938.0,,,0 CDM,7616461601,Hc Chemodenervation Muscle Neck Unilat For Dystonia,938.0,938.0,,,0 CDM,76164616PB,Hc Pbb Chemodenervation Muscle Neck Unilat For Dystonia,938.0,938.0,,,0 CDM,76164640PB,Hc Pbb Destruct By Neuro Agent; Other Periph Nerve,4710.0,4710.0,,,0 CDM,76164642PB,Hc Pbb Chemodenervation One Extremity 1-4 Muscle,3352.0,3352.0,,,0 CDM,76164643PB,Hc Pbb Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,1117.0,1117.0,,,0 CDM,7616464401,Hc Chemodenervation 1 Extremity 5 Or More Muscles,1916.0,1916.0,,,0 CDM,7616464501,Hc Chemodenervation 1 Extremity Ea Addl 5/> Muscles,638.0,638.0,,,0 CDM,7616464601,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscle(S),2242.0,2242.0,,,0 CDM,7616464701,Hc Chemodenervation Of Trunk 6 Or More Muscles,1916.0,1916.0,,,0 CDM,76164718PB,Hc Pbb Revise Ulnar Nerve At Elbow,1274.0,1274.0,,,0 CDM,76164721PB,Hc Pbb Revise Median N/Carpal Tunnel Surg,1274.0,1274.0,,,0 CDM,76164782PB,Hc Pbb Excise Hand/Foot Neuroma,363.0,363.0,,,0 CDM,76164784PB,Hc Pbb Excise Major Peripheral Neuroma,363.0,363.0,,,0 CDM,76164999PB,Hc Pbb Nervous System Surgery Unlisted,564.0,564.0,,,0 CDM,7616520501,"Hc Remv F.B.,Eye,Superf Conjunc",365.0,365.0,,,0 CDM,7616522001,"Hc Remv F.B.,Eye,Cornea,No Slit",1042.0,1042.0,,,0 CDM,7616522201,"Hc Remv F.B.,Eye,Cornea,Slit Lamp",336.0,336.0,,,0 CDM,76166_C1726_278,Noncdm Charge Record Medical Supplies,1555.4,1555.4,,,0 CDM,76168720PB,Hc Pbb Create Tear Sac-Nasal Fistula,470.0,470.0,,,0 CDM,7616900001,"Hc Drain Ext Ear Absc/Blood,Simple",1027.0,1027.0,,,0 CDM,7616910001,Hc Biopsy External Ear,697.0,697.0,,,0 CDM,7616911001,"Hc Excision External Ear; Partial, Simple Repair",7473.0,7473.0,,,0 CDM,7616920001,Hc Remv Ext Canal Foreign Body,208.0,208.0,,,0 CDM,7616920501,Noncdm Charge Record,499.0,499.0,,,0 CDM,7616920901,Hc Removal Impacted Cerumen Irrigation/Lvg Unilat,222.0,222.0,,,0 CDM,7616921001,Hc Remove Impacted Earwax,359.0,359.0,,,0 CDM,76169421PB,"Hc Pbb Incision Eardrum,Aspir,Gen Anesth",2001.0,2001.0,,,0 CDM,76169436PB,"Hc Pbb Create Eardrum Opening,Gen Anesth",2001.0,2001.0,,,0 CDM,76178_C2631_278,Noncdm Charge Record Medical Supplies,1137.4,1137.4,,,0 CDM,7619227301,"Hc Electroretinography (Erg), W/Interpretation And Report, Full Field",773.0,773.0,,,0 CDM,7619227401,"Hc Electroretinography (Erg), W/Interpretation And Report, Multifocal (Mferg)",401.0,401.0,,,0 CDM,76192511PB,Hc Nasopharyngoscopy With Endoscope,434.0,434.0,,,0 CDM,76194_270,Noncdm Charge Record Medical Supplies,591.88,591.88,,,0 CDM,7619652201,Hc Implant Pump Maintenance,1038.0,1038.0,,,0 CDM,7619652301,"Hc Irrigation, Implanted Vad Drug Delivery Device",286.0,286.0,,,0 CDM,7619759701,Hc Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 CDM,76197597PB,Hc Pbb Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 CDM,7619759801,Hc Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 CDM,76197598PB,Hc Pbb Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 CDM,7619760201,"Hc Wound Debridemnt, Non-Selective, Ea",802.0,802.0,,,0 CDM,7619760501,Hc Negative Pressure Wound Therapy50 Sq Cm,1228.0,1228.0,,,0 CDM,7619760701,Hc Neg Pressure Wound Therapy 50 Sq Cm,1294.0,1294.0,,,0 CDM,7619897001,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 5-10 Min",49.0,49.0,,,0 CDM,7619897101,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 11-20 Min",86.0,86.0,,,0 CDM,7619897202,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 21 Or More Min",133.0,133.0,,,0 CDM,7619902401,Noncdm Charge Record,444.0,444.0,,,0 CDM,76199202PB,Hc Pbb Office Outpatient New 15-29 Minutes,529.0,529.0,,,0 CDM,7619920301,Hc Pbb Office Outpatient New 30-44 Minutes,796.0,796.0,,,0 CDM,76199203PB,Hc Pbb Office Outpatient New 30-44 Minutes,796.0,796.0,,,0 CDM,7619920401,Hc Pbb Office Outpatient New 45-59 Minutes,1038.0,1038.0,,,0 CDM,76199204PB,Hc Pbb Office Outpatient New 45-59 Minutes,1038.0,1038.0,,,0 CDM,7619920501,Hc Pbb Office Outpatient New 60-74 Minutes,1352.0,1352.0,,,0 CDM,76199205PB,Hc Pbb Office Outpatient New 60-74 Minutes,1352.0,1352.0,,,0 CDM,7619921101,Hc Office Outpatient Visit 5 Minutes,114.0,114.0,,,0 CDM,76199211PB,Hc Pbb Office Outpatient Visit 5 Minutes,114.0,114.0,,,0 CDM,7619921201,Hc Office Outpatient Visit 10-19 Minutes,361.0,361.0,,,0 CDM,76199212PB,Hc Pbb Office Outpatient Visit 10-19 Minutes,361.0,361.0,,,0 CDM,7619921301,Hc Office Outpatient Visit 20-29 Minutes,399.0,399.0,,,0 CDM,76199213PB,Hc Pbb Office Outpatient Visit 20-29 Minutes,399.0,399.0,,,0 CDM,7619921401,Hc Office Outpatient Visit 30-39 Minutes,626.0,626.0,,,0 CDM,76199214PB,Hc Pbb Office Outpatient Visit 30-39 Minutes,626.0,626.0,,,0 CDM,7619921501,Hc Office Outpatient Visit 40-54 Minutes,900.0,900.0,,,0 CDM,76199215PB,Hc Pbb Office Outpatient Visit 40-54 Minutes,900.0,900.0,,,0 CDM,76199241PB,Noncdm Charge Record,243.0,243.0,,,0 CDM,76199242PB,Hc Pbb Office Consultation New/Estab Patient 30 Min,334.0,334.0,,,0 CDM,76199243PB,Hc Pbb Office Consultation New/Estab Patient 40 Min,414.0,414.0,,,0 CDM,76199244PB,Hc Pbb Office Consultation New/Estab Patient 60 Min,673.0,673.0,,,0 CDM,76199245PB,Hc Pbb Office Consultation New/Estab Patient 80 Min,917.0,917.0,,,0 CDM,7619935401,Hc Prolng Svc/Ofc/Outpt 1St Hour,494.0,494.0,,,0 CDM,7619935801,"Hc Prolonged Serv,No Contact,1St Hr",523.0,523.0,,,0 CDM,7619936001,Hc Phys Standby Svc Prolng Phys Attn Ea 30 Minutes,250.0,250.0,,,0 CDM,7619938101,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age <1Year,469.0,469.0,,,0 CDM,7619938201,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 1-4 Yrs,490.0,490.0,,,0 CDM,7619938301,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 5-11 Yrs,508.0,508.0,,,0 CDM,7619938401,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 12-17 Yrs,573.0,573.0,,,0 CDM,7619938501,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 18-39Yrs,557.0,557.0,,,0 CDM,7619938601,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 40-64Yrs,642.0,642.0,,,0 CDM,7619938701,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 65 Yrs&>,698.0,698.0,,,0 CDM,7619939101,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age <1,422.0,422.0,,,0 CDM,7619939201,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 1-,451.0,451.0,,,0 CDM,7619939301,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 5-,451.0,451.0,,,0 CDM,7619939401,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 12,490.0,490.0,,,0 CDM,7619939501,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 18,501.0,501.0,,,0 CDM,7619939601,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 40,532.0,532.0,,,0 CDM,7619939701,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 65,574.0,574.0,,,0 CDM,7619941701,Hc Prolng Off/Op E/M Ea 15 Min,130.0,130.0,,,0 CDM,7619941801,Hc Prolng Inpt/Obs E/M Ea 15 Min,167.0,167.0,,,0 CDM,7619945901,Hc Pelvic Examination,80.0,80.0,,,0 CDM,761C527101,Hc Apply Skin Sub - 1St 25 Sq Cm,2458.0,2458.0,,,0 CDM,761C527201,Hc Appl Skinsub Ea Ad 25 Sqcm Mc,2171.0,2171.0,,,0 CDM,761C527301,Hc Apply Skin Sub-1St 100 Sq Cm,12259.0,12259.0,,,0 CDM,761C527501,Hc Appl Skinsub-1St 25 Sqcm Mcare,2458.0,2458.0,,,0 CDM,761C527601,Hc Appl Skin Subaddl 25Sqcm Mcare,2171.0,2171.0,,,0 CDM,761C895701,Hc Prolongd Iv Inf Req Pump,1608.0,1608.0,,,0 CDM,761D027401,"Hc Bitewings, Four Images",742.0,742.0,,,0 CDM,761D033001,Hc Panoramic Radiographic Image,151.0,151.0,,,0 CDM,761D111001,Hc Prophylaxis - Adult,150.0,150.0,,,0 CDM,761D120601,Hc Topical Application Of Fluoride Varnish,62.0,62.0,,,0 CDM,761D426301,"Hc Bone Replacement Graft, First Site",1367.0,1367.0,,,0 CDM,761D426401,"Hc Bone Replacement Graft, Each Additional",1823.0,1823.0,,,0 CDM,761D434101,Hc Periodontal Scaling And Root Planing - 4 Or More Teeth Per Quadrant,435.0,435.0,,,0 CDM,761D435501,Hc Full Mouth Debridement,5467.0,5467.0,,,0 CDM,761D714001,"Hc Extraction, Erupted Tooth/Exposed Root, Elevation And/Or Forceps Removal, Per Tooth",170.0,170.0,,,0 CDM,761D721001,"Hc Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth Incl Elevation Of",170.0,170.0,,,0 CDM,761D722001,"Hc Removal Of Impacted Tooth - Soft Tissue, Per Tooth",911.0,911.0,,,0 CDM,761D723001,"Hc Removal Of Impacted Tooth - Partially Bony, Per Tooth",911.0,911.0,,,0 CDM,761D724001,"Hc Removal Of Impacted Tooth - Completely Bony, Per Tooth",911.0,911.0,,,0 CDM,761D725001,"Hc Removal Of Residual Tooth Roots, Cutting Procedure, Per Tooth",170.0,170.0,,,0 CDM,761D728601,Hc Incisional Biopsy Of Oral Tissue-Soft,473.0,473.0,,,0 CDM,761G041301,Hc Pelvic Ring Fracture Uni/Bil,840.0,840.0,,,0 CDM,761G046301,Hc Hosp Op Clinic Visit-Mcare Only,120.0,120.0,,,0 CDM,761G206201,Hc Pt E-Visit-Covid 11-20 Min,91.0,91.0,,,0 CDM,761G206301,Hc Pt E-Visit-Covid 21+ Min,140.0,140.0,,,0 CDM,761G206302,Hc Ot E-Visit-Covid 21+ Min,140.0,140.0,,,0 CDM,761G206303,Hc Sp E-Visit-Covid 21+ Min,140.0,140.0,,,0 CDM,761G208201,Hc Estpt Esketmn Adm 2Hrspost Obs,2178.0,2178.0,,,0 CDM,761G208301,Hc Estpt Esketmn Adm 2Hrspost Obs,3182.0,3182.0,,,0 CDM,761Z147301,Hc Delta Acute Care Visit,172.0,172.0,,,0 CDM,7620000002,Noncdm Charge Record,1856.0,1856.0,,,0 CDM,76232_270,Noncdm Charge Record Medical Supplies,141.26,141.26,,,0 CDM,76234_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,76238_C1776_278,Noncdm Charge Record Medical Supplies,1283.7,1283.7,,,0 CDM,76245_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,76246_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,76251_C1776_278,Noncdm Charge Record Medical Supplies,2556.4,2556.4,,,0 CDM,762G037801,Hc Observation Hourly,89.0,89.0,,,0 CDM,762G037802,Hc Observation Carve-Out - Radiology,89.0,89.0,,,0 CDM,762G037803,Hc Observation Carve-Out - Gastrointestinal,89.0,89.0,,,0 CDM,762G037804,Hb Observation Carve-Out - Cardiology,89.0,89.0,,,0 CDM,762G037805,Hc Observation Carve-Out - Respiratory,89.0,89.0,,,0 CDM,762G037808,Hc Observation Carve-Out - Radiology 2Hr Px,89.0,89.0,,,0 CDM,762G037809,Hb Observation Carve-Out Radiology 1 Hr Px,89.0,89.0,,,0 CDM,762G037810,Hb Observation Carve-Out - Neurology 1 Hr Px,89.0,89.0,,,0 CDM,762G037811,Hb Observation Carve-Out - Cardiology 1 Hr Px,89.0,89.0,,,0 CDM,762G037812,Hb Observation Carve-Out - Cardiology 3 Hr Px,89.0,89.0,,,0 CDM,762G037813,Hb Observation Carve-Out - Dialysis 4 Hr Px,89.0,89.0,,,0 CDM,762G037814,Hb Observation Carve-Out - Dialysis 5 Hr Px,89.0,89.0,,,0 CDM,762G037815,Hb Observation Carve-Out - Apheresis 2 Hr Px,89.0,89.0,,,0 CDM,762G037901,Hc Direct Admit To Observation,1630.0,1630.0,,,0 CDM,76338_18657011701,NDC Description Not Available,1.75,1.75,,,0 CDM,76338_18657011702,NDC Description Not Available,1.6,1.6,,,0 CDM,76338_18657011704,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),3.21,3.21,,,0 CDM,76339_270,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,76364_00143938501,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",8.26,8.26,,,0 CDM,76364_16729022405,Decitabine: 1 Vial In 1 Carton (16729-224-05) / 20 Ml In 1 Vial,80.36,80.36,,,0 CDM,76364_55111055610,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",30.75,30.75,,,0 CDM,76364_72205003101,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",106.23,106.23,,,0 CDM,76364_72205003601,"Decitabine: 1 Vial, Single-Dose In 1 Carton (72205-036-01) / 10 Ml In 1 Vial, Single-Dose",79.75,79.75,,,0 CDM,76371_C1762_278,Noncdm Charge Record Medical Supplies,2517.9,2517.9,,,0 CDM,76407_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,76415_270,Noncdm Charge Record Medical Supplies,10180.5,10180.5,,,0 CDM,76427_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,76444_68462089356,"Varenicline Tartrate: 56 Tablet, Film Coated In 1 Bottle (68462-893-56)",33.4,33.4,,,0 CDM,76481_42571022130,Rasagiline: 30 Tablet In 1 Bottle (42571-221-30),90.64,90.64,,,0 CDM,76498_C1893_278,Noncdm Charge Record Medical Supplies,174.83,174.83,,,0 CDM,76499_C1893_278,Noncdm Charge Record Medical Supplies,161.42,161.42,,,0 CDM,76500_C1769_278,Noncdm Charge Record Medical Supplies,94.32,94.32,,,0 CDM,76502_C1894_278,Noncdm Charge Record Medical Supplies,54.84,54.84,,,0 CDM,76527_65757030001,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",10.7,10.7,,,0 CDM,76539_C1776_278,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 CDM,76549_270,Noncdm Charge Record Medical Supplies,386.1,386.1,,,0 CDM,76554_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,76558_270,Noncdm Charge Record Medical Supplies,1428.9,1428.9,,,0 CDM,76559_C1781_278,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,76560_C1781_278,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,76567_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,76584_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76585_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76586_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76609_C1766_278,Noncdm Charge Record Medical Supplies,101.29,101.29,,,0 CDM,76632_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,76642_C1768_278,Noncdm Charge Record Medical Supplies,976.8,976.8,,,0 CDM,76666_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,76673_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,76678_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,76693_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,76717_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,76718_00003052811,Sprycel: 1 Bottle In 1 Carton (0003-0528-11) / 60 Tablet In 1 Bottle,422.64,422.64,,,0 CDM,76724_00436067216,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),49.36,49.36,,,0 CDM,76724_03932806412,NDC Description Not Available,49.44,49.44,,,0 CDM,76724_03932806808,NDC Description Not Available,43.57,43.57,,,0 CDM,76728_C1889_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,76733_C1889_278,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,76737_270,Noncdm Charge Record Medical Supplies,583.38,583.38,,,0 CDM,76742_270,Noncdm Charge Record Medical Supplies,8910.0,8910.0,,,0 CDM,76751_C1776_278,Noncdm Charge Record Medical Supplies,3465.0,3465.0,,,0 CDM,76780_66993049084,NDC Description Not Available,1127.85,1127.85,,,0 CDM,76791_C1894_278,Noncdm Charge Record Medical Supplies,158.4,158.4,,,0 CDM,767_00143956601,"Azathioprine Sodium: 1 Vial In 1 Box, Unit-Dose (0143-9566-01) / 10 Ml In 1 Vial",540.75,540.75,,,0 CDM,76808_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,76810_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,76820_C1769_278,Noncdm Charge Record Medical Supplies,323.93,323.93,,,0 CDM,76821_C1887_278,Noncdm Charge Record Medical Supplies,134.57,134.57,,,0 CDM,76827_C1769_272,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,76827_C1769_278,Noncdm Charge Record Medical Supplies,144.38,144.38,,,0 CDM,76832_C1725_278,Noncdm Charge Record Medical Supplies,1640.1,1640.1,,,0 CDM,76833_C1725_278,Noncdm Charge Record Medical Supplies,1640.1,1640.1,,,0 CDM,76835_15584010101,"Atripla: 30 Tablet, Film Coated In 1 Bottle, Plastic (15584-0101-1)",431.91,431.91,,,0 CDM,76835_65862049730,"Efavirenz, Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (65862-497-30)",410.15,410.15,,,0 CDM,76843_00781232106,Aprepitant: 1 Blister Pack In 1 Carton (0781-2321-06) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 CDM,76843_00781232151,Aprepitant: 5 Blister Pack In 1 Carton (0781-2321-51) / 1 Capsule In 1 Blister Pack,49.56,49.56,,,0 CDM,76843_13668059180,NDC Description Not Available,49.57,49.57,,,0 CDM,76843_68462058340,Aprepitant: 1 Blister Pack In 1 Carton (68462-583-40) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 CDM,76843_68462058385,Aprepitant: 5 Blister Pack In 1 Carton (68462-583-85) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 CDM,76868_00024515175,"Elitek: 1 Kit In 1 Carton (0024-5151-75) * 5 Ml In 1 Vial, Single-Use (0024-5155-74) * 5 Ml In 1 Ampule (0024-5153-74)",885.39,885.39,,,0 CDM,76903_C1725_278,Noncdm Charge Record Medical Supplies,312.34,312.34,,,0 CDM,76904_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,76907_C1725_278,Noncdm Charge Record Medical Supplies,312.4,312.4,,,0 CDM,76909_C1889_278,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,76924_C1878_278,Noncdm Charge Record Medical Supplies,1101.1,1101.1,,,0 CDM,76927_C1751_278,Noncdm Charge Record Medical Supplies,112.2,112.2,,,0 CDM,76942_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,76944_C1776_278,Noncdm Charge Record Medical Supplies,2541.0,2541.0,,,0 CDM,76974_58980040912,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),1.81,1.81,,,0 CDM,76974_58980040925,Stratuscare Glycerin Laxative Pediatric: 25 Suppository In 1 Jar (58980-409-25),1.15,1.15,,,0 CDM,76979_C1713_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,76980_C1713_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,76981_C1713_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,76984_C1713_278,Noncdm Charge Record Medical Supplies,89.1,89.1,,,0 CDM,76988_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,76989_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,76992_C1713_278,Noncdm Charge Record Medical Supplies,85.25,85.25,,,0 CDM,76993_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,76994_C1713_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,77005_C1713_278,Noncdm Charge Record Medical Supplies,809.6,809.6,,,0 CDM,77012_78206014501,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,2700.66,2700.66,,,0 CDM,77068_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,77085_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77093_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,7711_00378014491,Tamoxifen Citrate: 60 Tablet In 1 Bottle (0378-0144-91),6.83,6.83,,,0 CDM,7711_00591247260,"Tamoxifen Citrate: 60 Tablet In 1 Bottle, Plastic (0591-2472-60)",6.7,6.7,,,0 CDM,7711_59651029960,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",6.83,6.83,,,0 CDM,7711_75907005860,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (75907-058-60)",6.7,6.7,,,0 CDM,77121_C1889_278,Noncdm Charge Record Medical Supplies,1302.03,1302.03,,,0 CDM,77140_C1713_278,Noncdm Charge Record Medical Supplies,331.1,331.1,,,0 CDM,77145_270,Noncdm Charge Record Medical Supplies,2176.9,2176.9,,,0 CDM,77159_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,77160_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,77164_17478006412,Gonak Hypromellose: 1 VIAL in 1 CARTON (17478-064-12) / 15 mL in 1 VIAL,24.72,24.72,,,0 CDM,77164_77790002215,"Vista Gonio Eye Lubricant: 1 Bottle, Dropper In 1 Carton (77790-022-15) / 15 Ml In 1 Bottle, Dropper",38.11,38.11,,,0 CDM,77173_00173071520,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0715-20) / 120 Aerosol, Metered In 1 Inhaler",18.36,18.36,,,0 CDM,77173_00173071522,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0715-22) / 60 Aerosol, Metered In 1 Inhaler",23.82,23.82,,,0 CDM,77173_66993008696,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-086-96) / 120 Aerosol, Metered In 1 Inhaler",22.29,22.29,,,0 CDM,77174_00173071620,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0716-20) / 120 Aerosol, Metered In 1 Inhaler",22.91,22.91,,,0 CDM,77174_00173071622,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0716-22) / 60 Aerosol, Metered In 1 Inhaler",21.91,21.91,,,0 CDM,77174_66993008796,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-087-96) / 120 Aerosol, Metered In 1 Inhaler",27.81,27.81,,,0 CDM,77175_00173071720,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0717-20) / 120 Aerosol, Metered In 1 Inhaler",57.55,57.55,,,0 CDM,77175_00173071722,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0717-22) / 60 Aerosol, Metered In 1 Inhaler",35.69,35.69,,,0 CDM,77175_66993008896,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-088-96) / 120 Aerosol, Metered In 1 Inhaler",36.34,36.34,,,0 CDM,7719046001,"Hc Immuniz Admin, Thru Age 18, Any Route,W Counsel, 1St Vaccine/Toxoid",212.0,212.0,,,0 CDM,7719046101,"Hc Immuniz Admin, Thru Age 18, Any Route,W Counsel, Ea Add Vaccine/Toxoid",261.0,261.0,,,0 CDM,7719047101,"Hc Immuniz Admin,1 Single/Comb Vac/Toxoid",164.0,164.0,,,0 CDM,7719047201,"Hc Immuniz,Admin,Each Addl",175.0,175.0,,,0 CDM,77191_270,Noncdm Charge Record Medical Supplies,343.61,343.61,,,0 CDM,77192_270,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,77193_270,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,77194_A4648_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,77195_00143957401,NDC Description Not Available,0.09,0.09,,,0 CDM,77195_00143967301,NDC Description Not Available,0.35,0.35,,,0 CDM,77195_00143967325,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.35,0.35,,,0 CDM,77195_00409188602,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-1886-02) / 5 Ml In 1 Vial, Single-Dose (0409-1886-22)",0.34,0.34,,,0 CDM,77195_00409188622,NDC Description Not Available,0.34,0.34,,,0 CDM,77195_00409201105,NDC Description Not Available,0.34,0.34,,,0 CDM,77195_00409201125,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-2011-25) / 5 Ml In 1 Vial, Single-Dose (0409-2011-05)",0.34,0.34,,,0 CDM,77195_25021078005,Levetiracetam: 10 Vial In 1 Carton (25021-780-05) / 5 Ml In 1 Vial,0.69,0.69,,,0 CDM,77195_55150017705,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",0.98,0.98,,,0 CDM,77195_72485010601,NDC Description Not Available,0.21,0.21,,,0 CDM,77195_72485010610,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (72485-106-10) / 5 Ml In 1 Vial, Single-Dose (72485-106-01)",0.22,0.22,,,0 CDM,771G000801,Hc Admin Influenza Virus Vac,155.0,155.0,,,0 CDM,771G000901,Hc Admin Pneumococcal Vaccine,150.0,150.0,,,0 CDM,771G001001,Hc Admin Hepatitis B Vaccine,150.0,150.0,,,0 CDM,771M022001,Hc Tixagevimab Cilgavimab Injection,398.0,398.0,,,0 CDM,771M024301,Hc Casirivi Imdevimab Iv Infusion & Monitoring,812.0,812.0,,,0 CDM,771M024701,Hc Sotrovimab Iv Infusion & Monitoring,1190.0,1190.0,,,0 CDM,771M024901,Hc Tocilizumab Inj/Inf 1St,943.0,943.0,,,0 CDM,771M025001,Hc Tocilizumab Inj/Inf 2Nd,943.0,943.0,,,0 CDM,77219_C1769_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,77229_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77233_270,Noncdm Charge Record Medical Supplies,530.02,530.02,,,0 CDM,77237_270,Noncdm Charge Record Medical Supplies,3265.9,3265.9,,,0 CDM,77242_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,77257_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,77258_C1887_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,77259_C1893_278,Noncdm Charge Record Medical Supplies,15.06,15.06,,,0 CDM,7725_270,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,7726_270,Noncdm Charge Record Medical Supplies,434.43,434.43,,,0 CDM,77285_270,Noncdm Charge Record Medical Supplies,490.6,490.6,,,0 CDM,77343_C1713_278,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,77344_C1713_278,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,77359_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,77360_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,77361_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,77362_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,77363_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,77371_00054044905,NDC Description Not Available,226.6,226.6,,,0 CDM,77376_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,77377_270,Noncdm Charge Record Medical Supplies,366.59,366.59,,,0 CDM,77385,Noncdm Charge Record,2581.29,2581.29,,,0 CDM,77394_270,Noncdm Charge Record Medical Supplies,364.55,364.55,,,0 CDM,77395_270,Noncdm Charge Record Medical Supplies,396.55,396.55,,,0 CDM,77398_270,Noncdm Charge Record Medical Supplies,370.67,370.67,,,0 CDM,77399_270,Noncdm Charge Record Medical Supplies,365.15,365.15,,,0 CDM,77400_270,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,77402_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,77411_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,77413_270,Noncdm Charge Record Medical Supplies,344.73,344.73,,,0 CDM,77414_270,Noncdm Charge Record Medical Supplies,364.1,364.1,,,0 CDM,77416_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,77433_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,77514_270,Noncdm Charge Record Medical Supplies,1312.3,1312.3,,,0 CDM,77522_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,7753_00228207610,Temazepam: 100 Capsule In 1 Bottle (0228-2076-10),2.63,2.63,,,0 CDM,7753_00406996101,Temazepam: 100 Capsule In 1 Bottle (0406-9961-01),3.25,3.25,,,0 CDM,7753_50268077911,NDC Description Not Available,3.53,3.53,,,0 CDM,7753_67877014601,Temazepam: 100 Capsule In 1 Bottle (67877-146-01),2.94,2.94,,,0 CDM,77544_C1887_278,Noncdm Charge Record Medical Supplies,2571.8,2571.8,,,0 CDM,7757_270,Noncdm Charge Record Medical Supplies,906.84,906.84,,,0 CDM,77581_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,77615_00006022101,NDC Description Not Available,78.91,78.91,,,0 CDM,77615_00006022128,"Januvia: 100 Blister Pack In 1 Carton (0006-0221-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0221-01)",82.4,82.4,,,0 CDM,77615_00006022131,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0221-31)",82.64,82.64,,,0 CDM,77615_00006022154,"Januvia: 90 Tablet, Film Coated In 1 Bottle (0006-0221-54)",82.57,82.57,,,0 CDM,77616_00006011201,NDC Description Not Available,72.37,72.37,,,0 CDM,77616_00006011228,"Januvia: 100 Blister Pack In 1 Carton (0006-0112-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0112-01)",67.29,67.29,,,0 CDM,77616_00006011231,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0112-31)",80.38,80.38,,,0 CDM,77616_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77617_00006027701,NDC Description Not Available,67.69,67.69,,,0 CDM,77617_00006027728,"Januvia: 100 Blister Pack In 1 Carton (0006-0277-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0277-01)",61.8,61.8,,,0 CDM,77617_00006027731,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0277-31)",82.4,82.4,,,0 CDM,77617_00006027754,"Januvia: 90 Tablet, Film Coated In 1 Bottle (0006-0277-54)",69.22,69.22,,,0 CDM,77622_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,77643_270,Noncdm Charge Record Medical Supplies,864.6,864.6,,,0 CDM,77648_00003362212,"Reyataz: 30 Capsule, Gelatin Coated In 1 Bottle, Plastic (0003-3622-12)",209.09,209.09,,,0 CDM,77648_42385092230,Atazanavir: 30 Capsule In 1 Bottle (42385-922-30),180.54,180.54,,,0 CDM,77669_270,Noncdm Charge Record Medical Supplies,1650.52,1650.52,,,0 CDM,77670_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,77674_270,Noncdm Charge Record Medical Supplies,165.0,165.0,,,0 CDM,77682_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77685_00469321110,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",8.8,8.8,,,0 CDM,77685_16714030101,NDC Description Not Available,8.09,8.09,,,0 CDM,77685_16714030110,Micafungin: 10 Vial In 1 Carton (16714-301-10) / 5 Ml In 1 Vial (16714-301-01),8.09,8.09,,,0 CDM,77685_25021019110,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,8.09,8.09,,,0 CDM,77685_42023023001,NDC Description Not Available,6.48,6.48,,,0 CDM,77685_42023023010,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 CDM,77685_63323072901,NDC Description Not Available,2.08,2.08,,,0 CDM,77685_63323072910,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 CDM,77694_C1713_278,Noncdm Charge Record Medical Supplies,2731.3,2731.3,,,0 CDM,77710_00121157610,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",12.46,12.46,,,0 CDM,77710_66689003101,NDC Description Not Available,15.09,15.09,,,0 CDM,77736_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,77739_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,77740_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,77742_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,77760_270,Noncdm Charge Record Medical Supplies,70.4,70.4,,,0 CDM,77760_C1713_278,Noncdm Charge Record Medical Supplies,70.24,70.24,,,0 CDM,77778_06299125304,NDC Description Not Available,37.08,37.08,,,0 CDM,77790_66993084451,NDC Description Not Available,51.76,51.76,,,0 CDM,77815_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,77816_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,77818_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,77819_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,77820_C2617_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,77834_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,77836_270,Noncdm Charge Record Medical Supplies,369.54,369.54,,,0 CDM,77848_270,Noncdm Charge Record Medical Supplies,1171.5,1171.5,,,0 CDM,7784_270,Noncdm Charge Record Medical Supplies,140.8,140.8,,,0 CDM,77890_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77891_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77893_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,77903_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,77906_270,Noncdm Charge Record Medical Supplies,891.0,891.0,,,0 CDM,77908_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,77910_270,Noncdm Charge Record Medical Supplies,891.0,891.0,,,0 CDM,77918_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,77926_270,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,77927_270,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,77929_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,77931_270,Noncdm Charge Record Medical Supplies,1056.0,1056.0,,,0 CDM,77939_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,77940_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77941_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77942_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,77947_270,Noncdm Charge Record Medical Supplies,455.4,455.4,,,0 CDM,77956_C1788_278,Noncdm Charge Record Medical Supplies,404.8,404.8,,,0 CDM,7795_68682092064,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-64) / 15 Ml In 1 Bottle,389.34,389.34,,,0 CDM,77962_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,7796_23155001701,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-017-01),28.32,28.32,,,0 CDM,7796_51991090601,"Tetracycline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (51991-906-01)",28.94,28.94,,,0 CDM,7796_60219152201,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (60219-1522-1),28.38,28.38,,,0 CDM,7796_62135022560,Tetracycline Hydrochloride: 60 Capsule In 1 Bottle (62135-225-60),28.41,28.41,,,0 CDM,77979_270,Noncdm Charge Record Medical Supplies,224.4,224.4,,,0 CDM,77981_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78000_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,78002_270,Noncdm Charge Record Medical Supplies,655.3,655.3,,,0 CDM,78003_00121077516,Guaifenesin And Codeine Phosphate: 473 Ml In 1 Bottle (0121-0775-16),2.62,2.62,,,0 CDM,78003_00121177505,NDC Description Not Available,15.46,15.46,,,0 CDM,78003_54932020881,"Codeine Phosphate and Guaifenesin: 473 mL in 1 BOTTLE, PLASTIC (54932-208-81)",2.08,2.08,,,0 CDM,78003_69367027216,Codeine-Guaifenesin: 473 Ml In 1 Bottle (69367-272-16),2.31,2.31,,,0 CDM,7800_00536121794,"Rugby Tetrahydrozoline Ophthalmic Solution: 1 Bottle, Dropper In 1 Box (0536-1217-94) / 15 Ml In 1 Bottle, Dropper",7.0,7.0,,,0 CDM,7800_01254749380,NDC Description Not Available,15.28,15.28,,,0 CDM,7800_49348003729,"Sunmark Eye Drops Original Formula: 1 Bottle, Plastic In 1 Carton (49348-037-29) / 15 Ml In 1 Bottle, Plastic",8.24,8.24,,,0 CDM,78019_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78020_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78021_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78022_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78023_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78024_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78025_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78026_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78027_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78028_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78029_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78030_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78031_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,78032_C1713_278,Noncdm Charge Record Medical Supplies,3289.0,3289.0,,,0 CDM,78046_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,78047_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,78048_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,78064_00904693561,"Paliperidone: 100 Blister Pack In 1 Carton (0904-6935-61) / 1 Tablet, Extended Release In 1 Blister Pack",19.68,19.68,,,0 CDM,78064_16714086701,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",36.71,36.71,,,0 CDM,78064_27808022301,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (27808-223-01)",36.76,36.76,,,0 CDM,78064_60687045911,NDC Description Not Available,20.84,20.84,,,0 CDM,78064_65162028103,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (65162-281-03)",36.75,36.75,,,0 CDM,78065_60687047011,NDC Description Not Available,10.43,10.43,,,0 CDM,78092_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,78093_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,7809800001,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Straightforward Medical Decision Making, 15 Min",264.0,264.0,,,0 CDM,7809800101,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Low Medical Decision Making, 30 Min",529.0,529.0,,,0 CDM,7809800201,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Moderate Medical Decision Making, 45 Min",794.0,794.0,,,0 CDM,7809800301,"Hc Synchronous Audio-Video Visit, E&M, New Patient, High Medical Decision Making, 60 Min",1058.0,1058.0,,,0 CDM,7809800401,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, Straightforward Medical Decision Making,",176.0,176.0,,,0 CDM,7809800501,"Hc Synchronous Audio-Video Visit,E&M, Established Patient, Low Medical Decision Making, 20 Min",353.0,353.0,,,0 CDM,7809800601,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, Moderate Medical Decision Making, 30 Min",505.0,505.0,,,0 CDM,7809800701,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, High Medical Decision Making, 40 Min",705.0,705.0,,,0 CDM,7809800801,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Straightforward Medical Decision Making, 15 Min",264.0,264.0,,,0 CDM,7809800901,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Low Medical Decision Making, 30 Min",529.0,529.0,,,0 CDM,7809801001,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Moderate Medical Decision Making, 45 Min",794.0,794.0,,,0 CDM,7809801101,"Hc Synchronous Audio-Only Visit, E&M, New Patient, High Medical Decision Making, 60 Min",1058.0,1058.0,,,0 CDM,7809801201,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Straightforward Medical Decision Making,",176.0,176.0,,,0 CDM,7809801301,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Low Medical Decision Making, 20 Min",353.0,353.0,,,0 CDM,7809801401,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Moderate Medical Decision Making, 30 Min",505.0,505.0,,,0 CDM,7809801501,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, High Medical Decision Making, 40 Min",705.0,705.0,,,0 CDM,7809801601,"Hc Brief Communication Technology-Based Service, Physician Or Qhcp, 5-10 Min",176.0,176.0,,,0 CDM,7809944201,"Hc Phn Eval,Md & Estab Pt,Parnt,Non Reltd E/M Prvs 7Dys/W/In Nxt 24Hrs;21-30Min",355.0,355.0,,,0 CDM,7809944202,Hc Phys/Qhp Telephone Evaluation 11-20 Min,355.0,355.0,,,0 CDM,7809944301,"Hc Phn Eval,Md & Estab Pt,Parnt,Non Reltd E/M Prvs 7Dys/W/In Nxt 24Hrs;11-20Min",505.0,505.0,,,0 CDM,7809944302,Hc Phys/Qhp Telephone Evaluation 21-30 Min,505.0,505.0,,,0 CDM,7809944601,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 5-10 Min,71.0,71.0,,,0 CDM,7809944701,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 11-20 Min,152.0,152.0,,,0 CDM,7809944801,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 21-30 Min,230.0,230.0,,,0 CDM,780Q301401,Hc Telehealth Facility Fee,51.0,51.0,,,0 CDM,78110_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78113_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78114_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78197_270,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,78198_C1776_278,Noncdm Charge Record Medical Supplies,2070.2,2070.2,,,0 CDM,78206_C1773_278,Noncdm Charge Record Medical Supplies,1008.7,1008.7,,,0 CDM,7820_00121482015,NDC Description Not Available,40.18,40.18,,,0 CDM,78219_C1713_278,Noncdm Charge Record Medical Supplies,117.33,117.33,,,0 CDM,7821_00121082016,Theophylline: 473 Ml In 1 Bottle (0121-0820-16),25.49,25.49,,,0 CDM,7821_27808003301,Theophylline: 473 Ml In 1 Bottle (27808-033-01),24.58,24.58,,,0 CDM,7821_60687025844,NDC Description Not Available,40.22,40.22,,,0 CDM,7821_60687025871,"Theophylline: 5 TRAY in 1 CASE (60687-258-71) / 10 CUP, UNIT-DOSE in 1 TRAY (60687-258-50) / 15 mL in 1 CUP, UNIT-DOSE (60687-258-44)",50.47,50.47,,,0 CDM,78221_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,78259_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,78261_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,78282_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,78310_00527301248,"Mesalamine: 120 Tablet, Delayed Release In 1 Bottle (0527-3012-48)",38.47,38.47,,,0 CDM,78310_16714083001,"Mesalamine: 120 Tablet, Delayed Release In 1 Bottle (16714-830-01)",36.56,36.56,,,0 CDM,78310_60687039725,"Mesalamine: 30 Blister Pack In 1 Box, Unit-Dose (60687-397-25) / 1 Tablet, Delayed Release In 1 Blister Pack (60687-397-95)",45.06,45.06,,,0 CDM,78310_60687039795,NDC Description Not Available,44.98,44.98,,,0 CDM,78314_C1730_278,Noncdm Charge Record Medical Supplies,123.2,123.2,,,0 CDM,78348_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78352_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,78363_C1713_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,78376_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,78378_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78379_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78383_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78384_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78385_C1889_278,Noncdm Charge Record Medical Supplies,962.5,962.5,,,0 CDM,78402_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,78411_270,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 CDM,7841_270,Noncdm Charge Record Medical Supplies,610.56,610.56,,,0 CDM,78420_16729030610,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",12.72,12.72,,,0 CDM,78420_43598030562,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",8.14,8.14,,,0 CDM,78420_71288011530,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.95,1.95,,,0 CDM,78420_72485020101,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",12.72,12.72,,,0 CDM,78436_270,Noncdm Charge Record Medical Supplies,487.3,487.3,,,0 CDM,78439_C1776_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,78444_272,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,78444_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,78444_C1889_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,78450_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,78453_C1713_278,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,7845_270,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,7848_270,Noncdm Charge Record Medical Supplies,191.4,191.4,,,0 CDM,78514_270,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,78515_270,Noncdm Charge Record Medical Supplies,1639.0,1639.0,,,0 CDM,78551_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,78553_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,78561_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,78566_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78567_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78568_C1713_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78568_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78602_C2628_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,78617_270,Noncdm Charge Record Medical Supplies,1837.69,1837.69,,,0 CDM,78619_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,78620_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,78692_C1769_278,Noncdm Charge Record Medical Supplies,280.5,280.5,,,0 CDM,78697_C1768_278,Noncdm Charge Record Medical Supplies,5690.3,5690.3,,,0 CDM,78728_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,78734_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,78738_C1884_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,78739_C1884_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,78760_A4300_278,Noncdm Charge Record Medical Supplies,86.96,86.96,,,0 CDM,78766_C1776_278,Noncdm Charge Record Medical Supplies,807.02,807.02,,,0 CDM,78769_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,7876_00641622801,NDC Description Not Available,21.15,21.15,,,0 CDM,7876_00641622825,Thiamine Hydrochloride: 25 Vial In 1 Carton (0641-6228-25) / 2 Ml In 1 Vial (0641-6228-01),21.51,21.51,,,0 CDM,7876_25021050002,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,21.51,21.51,,,0 CDM,7876_43598005011,NDC Description Not Available,13.8,13.8,,,0 CDM,7876_43598005025,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (43598-050-25) / 2 Ml In 1 Vial, Multi-Dose (43598-050-11)",13.82,13.82,,,0 CDM,7876_55150027301,NDC Description Not Available,13.92,13.92,,,0 CDM,7876_55150027325,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-273-25) / 2 Ml In 1 Vial, Multi-Dose (55150-273-01)",14.24,14.24,,,0 CDM,7876_63323001301,NDC Description Not Available,21.33,21.33,,,0 CDM,7876_63323001302,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",21.38,21.38,,,0 CDM,7876_63323001309,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-09) / 2 Ml In 1 Vial, Multi-Dose (63323-013-21)",14.94,14.94,,,0 CDM,7876_63323001321,NDC Description Not Available,21.47,21.47,,,0 CDM,7876_67457019600,NDC Description Not Available,18.99,18.99,,,0 CDM,7876_67457019602,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (67457-196-02) / 2 Ml In 1 Vial, Multi-Dose (67457-196-00)",19.09,19.09,,,0 CDM,7876_70748034701,NDC Description Not Available,21.51,21.51,,,0 CDM,7876_70748034702,Thiamine Hydrochloride: 25 Vial In 1 Carton (70748-347-02) / 2 Ml In 1 Vial,21.55,21.55,,,0 CDM,7876_72485050701,NDC Description Not Available,13.39,13.39,,,0 CDM,7876_72485050725,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25) / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",13.39,13.39,,,0 CDM,7876_72603013901,NDC Description Not Available,20.3,20.3,,,0 CDM,7876_72603013925,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72603-139-25) / 2 Ml In 1 Vial, Multi-Dose (72603-139-01)",20.35,20.35,,,0 CDM,78770_C1887_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,78771_C1773_278,Noncdm Charge Record Medical Supplies,460.9,460.9,,,0 CDM,78774_Q4130_278,Noncdm Charge Record Medical Supplies,42.5,42.5,,,0 CDM,78775_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,78777_270,Noncdm Charge Record Medical Supplies,727.62,727.62,,,0 CDM,78779_270,Noncdm Charge Record Medical Supplies,587.4,587.4,,,0 CDM,78780_270,Noncdm Charge Record Medical Supplies,808.5,808.5,,,0 CDM,78782_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,78784_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,78784_Q4130_636,Noncdm Charge Record Pharmacy,39.79,39.79,,,0 CDM,78821_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,78822_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,78825_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,78826_C1776_278,Noncdm Charge Record Medical Supplies,1266.1,1266.1,,,0 CDM,78827_C1713_278,Noncdm Charge Record Medical Supplies,1405.74,1405.74,,,0 CDM,78841_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78842_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,78958_270,Noncdm Charge Record Medical Supplies,497.2,497.2,,,0 CDM,78969_C1713_278,Noncdm Charge Record Medical Supplies,63.31,63.31,,,0 CDM,7896_270,Noncdm Charge Record Medical Supplies,513.53,513.53,,,0 CDM,78985_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,79016_C9359_278,Noncdm Charge Record Medical Supplies,262.96,262.96,,,0 CDM,79016_C9359_636,Noncdm Charge Record Pharmacy,209.09,209.09,,,0 CDM,79022_270,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,79023_270,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,79044_C1713_278,Noncdm Charge Record Medical Supplies,36.3,36.3,,,0 CDM,79050590PB,Hc Pbb Fragment Kidney Stone/ Eswl,1092.0,1092.0,,,0 CDM,79052353PB,Hc Pbb Cysto/Uretero/Pyeloscopy W/Lithotripsy,369.0,369.0,,,0 CDM,79054_C1713_278,Noncdm Charge Record Medical Supplies,71.11,71.11,,,0 CDM,79055_C1713_278,Noncdm Charge Record Medical Supplies,71.09,71.09,,,0 CDM,79056_C1713_278,Noncdm Charge Record Medical Supplies,71.13,71.13,,,0 CDM,79057_C1713_278,Noncdm Charge Record Medical Supplies,71.26,71.26,,,0 CDM,79058_C1713_278,Noncdm Charge Record Medical Supplies,71.22,71.22,,,0 CDM,79059_270,Noncdm Charge Record Medical Supplies,71.05,71.05,,,0 CDM,79059_C1713_278,Noncdm Charge Record Medical Supplies,71.04,71.04,,,0 CDM,79060_270,Noncdm Charge Record Medical Supplies,71.06,71.06,,,0 CDM,79060_C1713_278,Noncdm Charge Record Medical Supplies,71.03,71.03,,,0 CDM,79061_C1713_278,Noncdm Charge Record Medical Supplies,71.09,71.09,,,0 CDM,79063_C1713_278,Noncdm Charge Record Medical Supplies,83.81,83.81,,,0 CDM,79064_C1713_278,Noncdm Charge Record Medical Supplies,83.93,83.93,,,0 CDM,79072_C1776_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,7909_C1768_278,Noncdm Charge Record Medical Supplies,447.87,447.87,,,0 CDM,79114_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79119_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,79120_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,79121_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,79122_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,79143_C1776_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,79147_C1889_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,79154_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,79157_C1889_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,79161_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79170_270,Noncdm Charge Record Medical Supplies,95.7,95.7,,,0 CDM,79171_270,Noncdm Charge Record Medical Supplies,1914.0,1914.0,,,0 CDM,79177_Q4100_278,Noncdm Charge Record Medical Supplies,760.9,760.9,,,0 CDM,79201_C1876_278,Noncdm Charge Record Medical Supplies,1557.6,1557.6,,,0 CDM,79207_C1889_278,Noncdm Charge Record Medical Supplies,2933.7,2933.7,,,0 CDM,79208_C1734_278,Noncdm Charge Record Medical Supplies,1470.7,1470.7,,,0 CDM,79208_C1889_278,Noncdm Charge Record Medical Supplies,1470.7,1470.7,,,0 CDM,79217_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,79223_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,79224_C1781_278,Noncdm Charge Record Medical Supplies,251.55,251.55,,,0 CDM,79237_V2632_276,Noncdm Charge Record Medical Supplies,223.3,223.3,,,0 CDM,79278_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79311_C1769_278,Noncdm Charge Record Medical Supplies,973.5,973.5,,,0 CDM,79320_270,Noncdm Charge Record Medical Supplies,402.33,402.33,,,0 CDM,79334_A4648_278,Noncdm Charge Record Medical Supplies,103.4,103.4,,,0 CDM,79347_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,79348_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,79352_C1713_278,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,79355_C1876_278,Noncdm Charge Record Medical Supplies,2662.0,2662.0,,,0 CDM,79356_C1876_278,Noncdm Charge Record Medical Supplies,2662.0,2662.0,,,0 CDM,79358_270,Noncdm Charge Record Medical Supplies,573.1,573.1,,,0 CDM,79373_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,79377_C1889_278,Noncdm Charge Record Medical Supplies,2430.12,2430.12,,,0 CDM,79386_270,Noncdm Charge Record Medical Supplies,93.04,93.04,,,0 CDM,79386_C1713_278,Noncdm Charge Record Medical Supplies,93.03,93.03,,,0 CDM,79387_C1713_278,Noncdm Charge Record Medical Supplies,93.1,93.1,,,0 CDM,79419_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,79420_C1776_278,Noncdm Charge Record Medical Supplies,1398.1,1398.1,,,0 CDM,79424_C1713_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,79424_C1776_278,Noncdm Charge Record Medical Supplies,283.8,283.8,,,0 CDM,79425_C1713_278,Noncdm Charge Record Medical Supplies,376.2,376.2,,,0 CDM,79425_C1776_278,Noncdm Charge Record Medical Supplies,376.2,376.2,,,0 CDM,79434_270,Noncdm Charge Record Medical Supplies,1049.4,1049.4,,,0 CDM,79436_270,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,79441_C1894_278,Noncdm Charge Record Medical Supplies,106.7,106.7,,,0 CDM,79442_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,79525_C1781_278,Noncdm Charge Record Medical Supplies,762.3,762.3,,,0 CDM,79529_C1713_278,Noncdm Charge Record Medical Supplies,81.95,81.95,,,0 CDM,79530_C1713_278,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,79535_C1769_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,79538_270,Noncdm Charge Record Medical Supplies,1821.72,1821.72,,,0 CDM,79539_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,79540_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,79542_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,79547_L8604_278,Noncdm Charge Record Medical Supplies,4893.35,4893.35,,,0 CDM,79564_C1874_278,Noncdm Charge Record Medical Supplies,4189.9,4189.9,,,0 CDM,79621_270,Noncdm Charge Record Medical Supplies,751.3,751.3,,,0 CDM,79622_270,Noncdm Charge Record Medical Supplies,751.27,751.27,,,0 CDM,79623_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,79628_C1878_278,Noncdm Charge Record Medical Supplies,1103.21,1103.21,,,0 CDM,79629_270,Noncdm Charge Record Medical Supplies,646.8,646.8,,,0 CDM,79632_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79635_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79636_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,7967_C1768_278,Noncdm Charge Record Medical Supplies,3308.05,3308.05,,,0 CDM,79697_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,79734_270,Noncdm Charge Record Medical Supplies,250.8,250.8,,,0 CDM,79741_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,79749_C1889_278,Noncdm Charge Record Medical Supplies,38500.0,38500.0,,,0 CDM,79749_C1889_636,Noncdm Charge Record Pharmacy,36050.0,36050.0,,,0 CDM,79770_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,79787_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,79788_A4300_278,Noncdm Charge Record Medical Supplies,939.2,939.2,,,0 CDM,79823_270,Noncdm Charge Record Medical Supplies,487.3,487.3,,,0 CDM,79836_270,Noncdm Charge Record Medical Supplies,583.0,583.0,,,0 CDM,79838_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79839_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79840_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,79852_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,79853_270,Noncdm Charge Record Medical Supplies,443.3,443.3,,,0 CDM,79855_C1887_278,Noncdm Charge Record Medical Supplies,79.98,79.98,,,0 CDM,79870_C1769_278,Noncdm Charge Record Medical Supplies,599.12,599.12,,,0 CDM,79962_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,79963_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,79964_C2617_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,80016_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,80017_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,80037_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80039_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80040_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80041_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80042_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80043_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80044_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,80046_270,Noncdm Charge Record Medical Supplies,933.9,933.9,,,0 CDM,80048_C1776_278,Noncdm Charge Record Medical Supplies,160.6,160.6,,,0 CDM,80051_270,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,80062_270,Noncdm Charge Record Medical Supplies,531.3,531.3,,,0 CDM,8008_C1768_278,Noncdm Charge Record Medical Supplies,1134.1,1134.1,,,0 CDM,8010000001,Hc Dialysis - Hemodialysis Per Day,1144.0,1144.0,,,0 CDM,8010000002,Hc Declotting Procedure,39.0,39.0,,,0 CDM,80122_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,80123_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,80127_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,80129_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,80133_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,80134_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,80136_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,8019093501,Hc Hemodialysis Ip Non Esrd,1826.0,1826.0,,,0 CDM,8019093503,Hc Hemo Dialysis Ip Esrd,1826.0,1826.0,,,0 CDM,8019094501,Hc Dialysis - (Crrt) Continuous Renal Replacement Therapy,1327.0,1327.0,,,0 CDM,8020_01093956333,NDC Description Not Available,8.24,8.24,,,0 CDM,8020_49348015529,Sunmark Antifungal: 1 Tube In 1 Carton (49348-155-29) / 15 G In 1 Tube,16.48,16.48,,,0 CDM,8020_51672202001,Tolnaftate Antifungal: 1 Tube In 1 Carton (51672-2020-1) / 15 G In 1 Tube,18.54,18.54,,,0 CDM,80255_C1751_278,Noncdm Charge Record Medical Supplies,352.03,352.03,,,0 CDM,80256_C1751_278,Noncdm Charge Record Medical Supplies,370.76,370.76,,,0 CDM,80258_C1751_278,Noncdm Charge Record Medical Supplies,425.7,425.7,,,0 CDM,80259_C1894_278,Noncdm Charge Record Medical Supplies,63.73,63.73,,,0 CDM,80264_270,Noncdm Charge Record Medical Supplies,662.64,662.64,,,0 CDM,80287_C1713_278,Noncdm Charge Record Medical Supplies,201.3,201.3,,,0 CDM,80316_C1766_278,Noncdm Charge Record Medical Supplies,243.1,243.1,,,0 CDM,80317_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,80318_C1769_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,80321_C1894_278,Noncdm Charge Record Medical Supplies,68.31,68.31,,,0 CDM,80322_C1760_278,Noncdm Charge Record Medical Supplies,323.4,323.4,,,0 CDM,80326_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80327_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80328_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80329_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80330_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80333_C1729_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,80337_C1771_278,Noncdm Charge Record Medical Supplies,2862.2,2862.2,,,0 CDM,80338_C1776_278,Noncdm Charge Record Medical Supplies,770.94,770.94,,,0 CDM,80355_270,Noncdm Charge Record Medical Supplies,774.4,774.4,,,0 CDM,80356_270,Noncdm Charge Record Medical Supplies,856.87,856.87,,,0 CDM,80359_270,Noncdm Charge Record Medical Supplies,1113.2,1113.2,,,0 CDM,80360_C1713_278,Noncdm Charge Record Medical Supplies,2612.5,2612.5,,,0 CDM,80388_C1757_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,80401_270,Noncdm Charge Record Medical Supplies,11880.0,11880.0,,,0 CDM,80405_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,80427_C1887_278,Noncdm Charge Record Medical Supplies,144.1,144.1,,,0 CDM,80428_C1887_278,Noncdm Charge Record Medical Supplies,146.94,146.94,,,0 CDM,80429_C1887_278,Noncdm Charge Record Medical Supplies,147.29,147.29,,,0 CDM,80432_C1893_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,80453_C1769_278,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,80454_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,80455_C1725_278,Noncdm Charge Record Medical Supplies,1640.1,1640.1,,,0 CDM,80504,Noncdm Charge Record,58.0,58.0,,,0 CDM,80633_C2618_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,80656_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80660_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80661_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80668_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80669_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80670_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,80717_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,80774_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,8079_270,Noncdm Charge Record Medical Supplies,468.6,468.6,,,0 CDM,80816_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,80817_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,8083_50111056101,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-561-01),4.81,4.81,,,0 CDM,80847_C1713_278,Noncdm Charge Record Medical Supplies,726.0,726.0,,,0 CDM,8085_50111056001,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),3.34,3.34,,,0 CDM,80889_C1781_278,Noncdm Charge Record Medical Supplies,1108.8,1108.8,,,0 CDM,80891_270,Noncdm Charge Record Medical Supplies,1072.5,1072.5,,,0 CDM,80910_Q4100_278,Noncdm Charge Record Medical Supplies,380.85,380.85,,,0 CDM,80911_Q4100_278,Noncdm Charge Record Medical Supplies,419.89,419.89,,,0 CDM,80923_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,80924_C1713_278,Noncdm Charge Record Medical Supplies,785.1,785.1,,,0 CDM,80928_270,Noncdm Charge Record Medical Supplies,710.23,710.23,,,0 CDM,80936_636,Noncdm Charge Record Pharmacy,12098.38,12098.38,,,0 CDM,80936_C1762_278,Noncdm Charge Record Medical Supplies,12920.6,12920.6,,,0 CDM,80936_C1768_278,Noncdm Charge Record Medical Supplies,12920.6,12920.6,,,0 CDM,80943_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,80944_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,80945_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,80946_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,80950_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,80983_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,8099094501,Hc Capd/Ipd/Crrt,1327.0,1327.0,,,0 CDM,80995_270,Noncdm Charge Record Medical Supplies,732.05,732.05,,,0 CDM,81015_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,81016_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,81020_C1768_278,Noncdm Charge Record Medical Supplies,9732.8,9732.8,,,0 CDM,81022_Q4100_278,Noncdm Charge Record Medical Supplies,1285.32,1285.32,,,0 CDM,81025_C9359_278,Noncdm Charge Record Medical Supplies,194.7,194.7,,,0 CDM,81035_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,81037_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,81039_270,Noncdm Charge Record Medical Supplies,601.7,601.7,,,0 CDM,81041_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,81042_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,8110000003,Hc Living Donor - Kidney - Acquisition,68127.0,68127.0,,,0 CDM,8112_16714098501,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01) / 15 G In 1 Tube,0.01,0.01,,,0 CDM,8113_00168000415,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15) / 15 G In 1 Tube,13.16,13.16,,,0 CDM,8113_16714098601,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-01) / 15 G In 1 Tube,17.44,17.44,,,0 CDM,8113_16714098604,Triamcinolone Acetonide: 454 G In 1 Jar (16714-986-04),103.0,103.0,,,0 CDM,8113_45802006435,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-35) / 15 G In 1 Tube,14.15,14.15,,,0 CDM,8113_45802006436,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-36) / 80 G In 1 Tube,33.99,33.99,,,0 CDM,8113_67877025115,Triamcinolone Acetonide: 15 G In 1 Tube (67877-251-15),20.67,20.67,,,0 CDM,8114_45802006535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-065-35) / 15 G In 1 Tube,36.39,36.39,,,0 CDM,8115_70752012905,"Triamcinolone Acetonide: 60 Ml In 1 Bottle, With Applicator (70752-129-05)",135.96,135.96,,,0 CDM,81180_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,81181_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,81182_C1768_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,8118_00168000615,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),20.45,20.45,,,0 CDM,8118_21922006304,Triamcinolone Acetonide: 1 Tube In 1 Carton (21922-063-04) / 15 G In 1 Tube,19.67,19.67,,,0 CDM,8118_45802005505,Triamcinolone Acetonide: 454 G In 1 Jar (45802-055-05),149.1,149.1,,,0 CDM,8118_45802005535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35) / 15 G In 1 Tube,19.87,19.87,,,0 CDM,8118_52565001426,Triamcinolone Acetonide: 1 JAR in 1 CARTON (52565-014-26) / 454 g in 1 JAR,149.29,149.29,,,0 CDM,81192_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,8120,Noncdm Charge Record,250.0,250.0,,,0 CDM,8120000001,Hc Cadaver Donor - Heart,217637.0,217637.0,,,0 CDM,8120000002,Hc Cadaver Donor - Kidney,68127.0,68127.0,,,0 CDM,8120000003,Hc Cadaver Donor - Liver,178033.0,178033.0,,,0 CDM,8120000004,Hc Cadaver Donor - Lung,550058.0,550058.0,,,0 CDM,8120000005,Hc Cadaver Donor - Pancreas,75094.0,75094.0,,,0 CDM,8120_00003029305,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",10.39,10.39,,,0 CDM,8120_00003029320,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",10.3,10.3,,,0 CDM,8120_00003029328,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",7.69,7.69,,,0 CDM,8120_00078089778,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",583.5,583.5,,,0 CDM,8120_00703024101,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",7.57,7.57,,,0 CDM,8120_00703024301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",8.76,8.76,,,0 CDM,8120_70121104901,NDC Description Not Available,9.37,9.37,,,0 CDM,8120_70121104902,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),8.79,8.79,,,0 CDM,8120_70121116801,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",9.38,9.38,,,0 CDM,8120_70121165101,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,9.21,9.21,,,0 CDM,8120_76420008501,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",156.04,156.04,,,0 CDM,8121_00713065540,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0655-40) / 5 G In 1 Tube,299.4,299.4,,,0 CDM,81264_C2617_278,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,81265_C2617_278,Noncdm Charge Record Medical Supplies,523.6,523.6,,,0 CDM,81268_C2625_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,8128803701,"Hc Necropsy(Autopsy), Limited, Gross And/Or Microscopic - Single Organ",385.0,385.0,,,0 CDM,812ALLOM01,Hc Client Billing - Allomap - Collection And Processing,130.0,130.0,,,0 CDM,812ALLSH01,Hc Client Billing - Allosure Heart - Collection And Processing,30.0,30.0,,,0 CDM,812ALLSK01,Noncdm Charge Record Acquisition,30.0,30.0,,,0 CDM,812ALLSL01,Hc Client Billing - Allosure Lung - Collection And Processing,30.0,30.0,,,0 CDM,812LLKID01,Noncdm Charge Record Acquisition,1000.0,1000.0,,,0 CDM,812LLLIV01,Noncdm Charge Record Acquisition,1000.0,1000.0,,,0 CDM,812LLOTH01,Noncdm Charge Record Acquisition,1000.0,1000.0,,,0 CDM,812LLTRV01,Noncdm Charge Record Acquisition,350.0,350.0,,,0 CDM,81308_270,Noncdm Charge Record Medical Supplies,614.9,614.9,,,0 CDM,81311_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,81353_270,Noncdm Charge Record Medical Supplies,950.4,950.4,,,0 CDM,81354_270,Noncdm Charge Record Medical Supplies,950.4,950.4,,,0 CDM,81421_C1817_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,81421_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,81426_00904636445,"Divalproex Sodium: 80 BLISTER PACK in 1 CARTON (0904-6364-45) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK",13.39,13.39,,,0 CDM,81426_00904718245,"Divalproex Sodium: 80 Blister Pack In 1 Carton (0904-7182-45) / 1 Tablet, Extended Release In 1 Blister Pack",10.86,10.86,,,0 CDM,81426_00904718261,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-7182-61) / 1 Tablet, Extended Release In 1 Blister Pack",7.91,7.91,,,0 CDM,81426_16714048501,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (16714-485-01)",14.71,14.71,,,0 CDM,81426_50268026011,NDC Description Not Available,5.53,5.53,,,0 CDM,81426_65862059501,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (65862-595-01)",14.65,14.65,,,0 CDM,81426_68084041511,NDC Description Not Available,13.78,13.78,,,0 CDM,81434_25021083082,Zoledronic Acid: 1 Bag In 1 Carton (25021-830-82) / 100 Ml In 1 Bag,299.35,299.35,,,0 CDM,81434_55111068852,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",238.39,238.39,,,0 CDM,81434_67457061910,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,203.32,203.32,,,0 CDM,81434_67457079410,Zoledronic Acid: 1 Bag In 1 Pouch (67457-794-10) / 100 Ml In 1 Bag,95.17,95.17,,,0 CDM,81434_72266015201,Zoledronic Acid: 1 Bag In 1 Carton (72266-152-01) / 100 Ml In 1 Bag,96.0,96.0,,,0 CDM,81454_00186037020,Symbicort: 1 Pouch In 1 Carton (0186-0370-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1689.2,1689.2,,,0 CDM,81472_C1726_278,Noncdm Charge Record Medical Supplies,503.8,503.8,,,0 CDM,81473_270,Noncdm Charge Record Medical Supplies,504.9,504.9,,,0 CDM,81474_47781056401,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-564-01),39.99,39.99,,,0 CDM,81474_59417010310,Vyvanse: 100 Capsule In 1 Bottle (59417-103-10),56.02,56.02,,,0 CDM,81474_C1750_278,Noncdm Charge Record Medical Supplies,3696.0,3696.0,,,0 CDM,81475_47781056601,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-566-01),40.02,40.02,,,0 CDM,81475_59417010510,Vyvanse: 100 Capsule In 1 Bottle (59417-105-10),55.88,55.88,,,0 CDM,81475_C1768_278,Noncdm Charge Record Medical Supplies,1709.4,1709.4,,,0 CDM,81476_270,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,81476_59417010710,Vyvanse: 100 Capsule In 1 Bottle (59417-107-10),55.96,55.96,,,0 CDM,8148_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,81520_C1713_278,Noncdm Charge Record Medical Supplies,92.97,92.97,,,0 CDM,81521_270,Noncdm Charge Record Medical Supplies,76.12,76.12,,,0 CDM,81521_C1713_278,Noncdm Charge Record Medical Supplies,76.11,76.11,,,0 CDM,81522_270,Noncdm Charge Record Medical Supplies,76.18,76.18,,,0 CDM,81522_C1713_278,Noncdm Charge Record Medical Supplies,76.11,76.11,,,0 CDM,81524_C1887_278,Noncdm Charge Record Medical Supplies,322.3,322.3,,,0 CDM,81525_270,Noncdm Charge Record Medical Supplies,2145.0,2145.0,,,0 CDM,8164_51079057401,NDC Description Not Available,9.17,9.17,,,0 CDM,81664_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81664_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81665_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81665_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81666_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81667_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81669_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81670_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,81696_25682000101,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,537.5,537.5,,,0 CDM,81736_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,81737_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,81746_C1776_278,Noncdm Charge Record Medical Supplies,6006.0,6006.0,,,0 CDM,81750_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,81755_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,81756_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,81757_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,81758_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,81773_270,Noncdm Charge Record Medical Supplies,337.15,337.15,,,0 CDM,8178_42023011925,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",227.97,227.97,,,0 CDM,81812_C2616_278,Noncdm Charge Record Medical Supplies,28422.02,28422.02,,,0 CDM,81823_00574006915,Glutose: 37.5 g in 1 TUBE (0574-0069-15),4.12,4.12,,,0 CDM,81823_00574006930,Glutose: 3 TUBE in 1 CARTON (0574-0069-30) / 37.5 g in 1 TUBE,4.12,4.12,,,0 CDM,81823_00574007015,NDC Description Not Available,4.12,4.12,,,0 CDM,81823_00574007030,NDC Description Not Available,4.12,4.12,,,0 CDM,8182_75907004301,Trimethoprim: 100 Tablet In 1 Bottle (75907-043-01),8.4,8.4,,,0 CDM,8190000001,Noncdm Charge Record Acquisition,92272.0,92272.0,,,0 CDM,8190000002,Noncdm Charge Record Acquisition,3162.25,3162.25,,,0 CDM,8190000003,Noncdm Charge Record Acquisition,74631.84,74631.84,,,0 CDM,81934_C1768_278,Noncdm Charge Record Medical Supplies,2125.2,2125.2,,,0 CDM,8193820501,"Hc Stem Cell Hpc Harvesting, Per Collection-Allo",7429.0,7429.0,,,0 CDM,8193820601,Hc Stem Cell Collection,13353.0,13353.0,,,0 CDM,8193820801,Hc Transplant Prep Hpc -Thaw Prev Frozen Harvest -W/O Wash,2030.0,2030.0,,,0 CDM,8193820801_38208_891,Hc Transplant Prep Hpc -Thaw Prev Frozen Harvest -W/O Wash,2090.9,2090.9,,,0 CDM,8193821001,Hc Transplant Prep Hpc -T-Cell Depletion In Harvest,2905.0,2905.0,,,0 CDM,8193821201,Hc Transplant Prep Hpc -Red Blood Cell Removal,2905.0,2905.0,,,0 CDM,8193821401,Hc Transplant Prep Hpc -Plasma (Volume) Depletion,7183.0,7183.0,,,0 CDM,8193823001,Hc Bone Marrow Collection,8358.0,8358.0,,,0 CDM,81939_270,Noncdm Charge Record Medical Supplies,1039.53,1039.53,,,0 CDM,81976_270,Noncdm Charge Record Medical Supplies,76.72,76.72,,,0 CDM,81993_C9364_278,Noncdm Charge Record Medical Supplies,56.1,56.1,,,0 CDM,82033_00395103116,NDC Description Not Available,3.27,3.27,,,0 CDM,82033_03172213747,NDC Description Not Available,11.33,11.33,,,0 CDM,82036_C1887_278,Noncdm Charge Record Medical Supplies,1171.5,1171.5,,,0 CDM,82074_270,Noncdm Charge Record Medical Supplies,387.09,387.09,,,0 CDM,82085_10019011539,NDC Description Not Available,41.72,41.72,,,0 CDM,82085_10019012039,NDC Description Not Available,23.05,23.05,,,0 CDM,82085_55150019410,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10) / 10 Ml In 1 Vial, Single-Dose",31.78,31.78,,,0 CDM,82085_63323065210,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-652-10) / 10 Ml In 1 Vial, Single-Dose (63323-652-01)",69.27,69.27,,,0 CDM,82085_67457018200,NDC Description Not Available,5.66,5.66,,,0 CDM,82102_50474080503,Neupro: 30 Pouch In 1 Carton (50474-805-03) / 1 Patch In 1 Pouch / 24 H In 1 Patch,116.39,116.39,,,0 CDM,82103_C1894_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,82116_270,Noncdm Charge Record Medical Supplies,132.0,132.0,,,0 CDM,82134_00487900730,NDC Description Not Available,2.33,2.33,,,0 CDM,82134_00487900760,NDC Description Not Available,1.41,1.41,,,0 CDM,82134_04422930760,NDC Description Not Available,0.84,0.84,,,0 CDM,82134_05019074060,NDC Description Not Available,2.22,2.22,,,0 CDM,82134_08349020760,NDC Description Not Available,2.35,2.35,,,0 CDM,82134_08349030760,NDC Description Not Available,0.91,0.91,,,0 CDM,8213_C1889_278,Noncdm Charge Record Medical Supplies,1229.8,1229.8,,,0 CDM,82162_00904880567,Major Triple Antibiotic: 144 Packet In 1 Carton (0904-8805-67) / .9 G In 1 Packet,0.16,0.16,,,0 CDM,82177_00407270703,"Optison Perflutren Protein-Type A Microspheres: 5 Vial, Single-Use In 1 Carton (0407-2707-03) / 3 Ml In 1 Vial, Single-Use",570.99,570.99,,,0 CDM,82177_00407270718,"Optison Perflutren Protein-Type A Microspheres: 18 Vial, Single-Use In 1 Carton (0407-2707-18) / 3 Ml In 1 Vial, Single-Use",168.17,168.17,,,0 CDM,82181_61703035009,NDC Description Not Available,3.09,3.09,,,0 CDM,82181_61703035037,NDC Description Not Available,3.09,3.09,,,0 CDM,82181_61703035038,"Methotrexate: 5 Vial, Multi-Dose In 1 Carton (61703-350-38) / 2 Ml In 1 Vial, Multi-Dose (61703-350-37)",2.97,2.97,,,0 CDM,82200_63323011700,NDC Description Not Available,10.3,10.3,,,0 CDM,82200_63323011710,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",14.82,14.82,,,0 CDM,82200_63323011719,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",10.82,10.82,,,0 CDM,82220_270,Noncdm Charge Record Medical Supplies,479.59,479.59,,,0 CDM,82228_00008117901,"Torisel: 1 Kit In 1 Carton (0008-1179-01) * 25 Ml In 1 Vial, Single-Use (0008-1279-01) * 1.8 Ml In 1 Vial, Single-Use (0008-1125-01)",494.48,494.48,,,0 CDM,82228_72611078502,"Temsirolimus: 1 Kit In 1 Carton (72611-785-02) * 1.8 Ml In 1 Vial, Single-Dose (72611-782-01) * 1 Ml In 1 Vial, Single-Dose (72611-780-01)",318.85,318.85,,,0 CDM,82242_C1892_278,Noncdm Charge Record Medical Supplies,480.7,480.7,,,0 CDM,82250_C1773_278,Noncdm Charge Record Medical Supplies,954.8,954.8,,,0 CDM,82252_C1773_278,Noncdm Charge Record Medical Supplies,908.6,908.6,,,0 CDM,82253_C1769_278,Noncdm Charge Record Medical Supplies,19.43,19.43,,,0 CDM,82256_270,Noncdm Charge Record Medical Supplies,226.82,226.82,,,0 CDM,82301_00009077520,NDC Description Not Available,4.35,4.35,,,0 CDM,82301_00009077526,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0775-26) / 4 Ml In 1 Vial (0009-0775-20),12.36,12.36,,,0 CDM,82301_00009090211,NDC Description Not Available,11.81,11.81,,,0 CDM,82301_00009090218,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18) / 6 Ml In 1 Vial (0009-0902-11),6.18,6.18,,,0 CDM,82307_47335023683,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",1227.82,1227.82,,,0 CDM,82308_00591240630,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (0591-2406-30)",664.86,664.86,,,0 CDM,82308_47335023783,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-237-83)",370.73,370.73,,,0 CDM,82322_C1725_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,82335_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,82336_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,82349_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,82350_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,82373_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,82377_270,Noncdm Charge Record Medical Supplies,490.6,490.6,,,0 CDM,82380_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,82387_C1713_278,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,82390_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,82391_C1769_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,82392_C1788_278,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,82409_58394063603,"Benefix: 1 Kit In 1 Carton (58394-636-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-136-03)",3.58,3.58,,,0 CDM,82450_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,82451_C1769_278,Noncdm Charge Record Medical Supplies,142.07,142.07,,,0 CDM,82454_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,82501_270,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,82504_00078050115,Exelon: 30 Patch In 1 Carton (0078-0501-15) / 24 H In 1 Patch (0078-0501-61),98.88,98.88,,,0 CDM,82504_00378907016,NDC Description Not Available,60.9,60.9,,,0 CDM,82504_16714011501,NDC Description Not Available,59.88,59.88,,,0 CDM,82504_65162082534,Rivastigmine: 30 Patch In 1 Carton (65162-825-34) / 24 H In 1 Patch,60.77,60.77,,,0 CDM,82505_00078050215,Exelon: 30 Patch In 1 Carton (0078-0502-15) / 24 H In 1 Patch (0078-0502-61),98.88,98.88,,,0 CDM,82505_00078050261,NDC Description Not Available,98.88,98.88,,,0 CDM,82505_00378907116,NDC Description Not Available,60.9,60.9,,,0 CDM,82505_16714011601,NDC Description Not Available,60.06,60.06,,,0 CDM,8250_17478010212,"Tropicamide: 1 BOTTLE, DROPPER in 1 CARTON (17478-102-12) / 15 mL in 1 BOTTLE, DROPPER",38.11,38.11,,,0 CDM,8250_61314035501,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01) / 3 Ml In 1 Bottle, Plastic",50.47,50.47,,,0 CDM,8250_61314035502,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-02) / 15 Ml In 1 Bottle, Plastic",171.59,171.59,,,0 CDM,8250_70069012101,Tropicamide: 1 Bottle In 1 Carton (70069-121-01) / 15 Ml In 1 Bottle,128.45,128.45,,,0 CDM,82521_270,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,82523_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,82524_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,82525_00026382850,"Kovaltry: 1 Kit In 1 Box (0026-3828-50) * 5 Ml In 1 Vial, Single-Use (0026-4828-99) * 5 Ml In 1 Syringe (0026-0426-15) * 5 Ml In 1 Vial, Single-Use (0026-4828-01) * 5 Ml In 1 Syringe (0026-042",5.19,5.19,,,0 CDM,82548_C1713_278,Noncdm Charge Record Medical Supplies,93.19,93.19,,,0 CDM,82573_C1887_278,Noncdm Charge Record Medical Supplies,1171.5,1171.5,,,0 CDM,8257_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,82596_04858200440,NDC Description Not Available,0.52,0.52,,,0 CDM,82596_04858280220,NDC Description Not Available,0.65,0.65,,,0 CDM,8259_270,Noncdm Charge Record Medical Supplies,663.3,663.3,,,0 CDM,8259_42023010401,Aplisol: 1 Vial In 1 Carton (42023-104-01) / 1 Ml In 1 Vial,41.2,41.2,,,0 CDM,8259_49281075221,"Tubersol: 1 Vial, Multi-Dose In 1 Carton (49281-752-21) / 1 Ml In 1 Vial, Multi-Dose (49281-752-78)",41.2,41.2,,,0 CDM,8259_49281075278,NDC Description Not Available,42.52,42.52,,,0 CDM,82614_Q0499_274,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 CDM,82617_270,Noncdm Charge Record Medical Supplies,859.1,859.1,,,0 CDM,82621_270,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,82626_270,Noncdm Charge Record Medical Supplies,47.3,47.3,,,0 CDM,82631_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,82633_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,82634_L8606_278,Noncdm Charge Record Medical Supplies,1349.39,1349.39,,,0 CDM,82659_C1769_278,Noncdm Charge Record Medical Supplies,65.2,65.2,,,0 CDM,82660_C1769_278,Noncdm Charge Record Medical Supplies,65.27,65.27,,,0 CDM,82670_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,82671_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,82673_C1893_278,Noncdm Charge Record Medical Supplies,46.31,46.31,,,0 CDM,82678_270,Noncdm Charge Record Medical Supplies,2211.0,2211.0,,,0 CDM,82686_270,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,82686_C1889_278,Noncdm Charge Record Medical Supplies,1378.3,1378.3,,,0 CDM,82705_270,Noncdm Charge Record Medical Supplies,10395.0,10395.0,,,0 CDM,82721_C1731_278,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 CDM,82724_C1783_278,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 CDM,82724_C1783_636,Noncdm Charge Record Pharmacy,460.41,460.41,,,0 CDM,82745_C1729_278,Noncdm Charge Record Medical Supplies,262.9,262.9,,,0 CDM,82746_C1729_278,Noncdm Charge Record Medical Supplies,262.9,262.9,,,0 CDM,82755_270,Noncdm Charge Record Medical Supplies,774.35,774.35,,,0 CDM,82769_Q0498_274,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,82770_Q0498_274,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,82771_Q0498_274,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,82775_C1771_278,Noncdm Charge Record Medical Supplies,3004.1,3004.1,,,0 CDM,82777_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,82780_Q0495_274,Noncdm Charge Record Medical Supplies,10776.7,10776.7,,,0 CDM,82787_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,82789_C1889_278,Noncdm Charge Record Medical Supplies,2910.6,2910.6,,,0 CDM,82793_Q0497_274,Noncdm Charge Record Medical Supplies,823.9,823.9,,,0 CDM,82800_Q0506_274,Noncdm Charge Record Medical Supplies,935.55,935.55,,,0 CDM,82845_C1894_278,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,82974_C1725_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,8299093501,Hc Hemo Dialysis Acute Kindney Injury (Aki),1826.0,1826.0,,,0 CDM,8299096101,Hc Esrd Related Svc Monthly 20/>Yr Old 2/3 Visits,1252.0,1252.0,,,0 CDM,8299096201,Hc Esrd Related Svc Monthly 20&/>Yr Old 1 Visit,862.0,862.0,,,0 CDM,829G025701,Hc Unsched Dialysis Esrd Pt Hos,4290.0,4290.0,,,0 CDM,83002_C1769_278,Noncdm Charge Record Medical Supplies,151.8,151.8,,,0 CDM,83007_C1888_278,Noncdm Charge Record Medical Supplies,470.8,470.8,,,0 CDM,83015_270,Noncdm Charge Record Medical Supplies,3960.0,3960.0,,,0 CDM,83016_270,Noncdm Charge Record Medical Supplies,3795.0,3795.0,,,0 CDM,83017_270,Noncdm Charge Record Medical Supplies,3300.0,3300.0,,,0 CDM,83021_270,Noncdm Charge Record Medical Supplies,3630.0,3630.0,,,0 CDM,83068_C1713_278,Noncdm Charge Record Medical Supplies,297.37,297.37,,,0 CDM,83081_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,83089_270,Noncdm Charge Record Medical Supplies,952.6,952.6,,,0 CDM,83116_270,Noncdm Charge Record Medical Supplies,917.4,917.4,,,0 CDM,83118_270,Noncdm Charge Record Medical Supplies,516.07,516.07,,,0 CDM,83130_270,Noncdm Charge Record Medical Supplies,1356.3,1356.3,,,0 CDM,83134_C1713_278,Noncdm Charge Record Medical Supplies,82.5,82.5,,,0 CDM,83135_C1876_278,Noncdm Charge Record Medical Supplies,3908.3,3908.3,,,0 CDM,83136_C1713_278,Noncdm Charge Record Medical Supplies,83.82,83.82,,,0 CDM,83137_C1713_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,83139_L8680_270,Noncdm Charge Record Medical Supplies,1283.7,1283.7,,,0 CDM,83140_270,Noncdm Charge Record Medical Supplies,519.2,519.2,,,0 CDM,83149_C1887_278,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,83151_C1781_278,Noncdm Charge Record Medical Supplies,198.0,198.0,,,0 CDM,83152_C1781_278,Noncdm Charge Record Medical Supplies,198.0,198.0,,,0 CDM,83215_C1753_278,Noncdm Charge Record Medical Supplies,4920.3,4920.3,,,0 CDM,83216_C1884_278,Noncdm Charge Record Medical Supplies,2502.5,2502.5,,,0 CDM,83220_C1876_278,Noncdm Charge Record Medical Supplies,139.73,139.73,,,0 CDM,83223_C1713_278,Noncdm Charge Record Medical Supplies,93.26,93.26,,,0 CDM,83231_270,Noncdm Charge Record Medical Supplies,534.6,534.6,,,0 CDM,83238_270,Noncdm Charge Record Medical Supplies,478.5,478.5,,,0 CDM,83239_270,Noncdm Charge Record Medical Supplies,393.8,393.8,,,0 CDM,83251_270,Noncdm Charge Record Medical Supplies,382.8,382.8,,,0 CDM,83268_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83275_C1769_278,Noncdm Charge Record Medical Supplies,263.08,263.08,,,0 CDM,83303_270,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,83329_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,83335_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,83432_C1876_278,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,83446_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,83454_C1750_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,83455_C1750_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,83456_C1750_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,83457_C1750_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,83459_C1750_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,83460_C1750_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,83461_C1750_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,83481_C1757_278,Noncdm Charge Record Medical Supplies,1131.9,1131.9,,,0 CDM,83497_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,83506_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,83509_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,83511_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83516,Noncdm Charge Record,77.73,77.73,,,0 CDM,83516_C1781_278,Noncdm Charge Record Medical Supplies,342.1,342.1,,,0 CDM,83517_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,83518_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,83519_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83522_270,Noncdm Charge Record Medical Supplies,2227.5,2227.5,,,0 CDM,83529_270,Noncdm Charge Record Medical Supplies,1250.7,1250.7,,,0 CDM,83533_Q4130_278,Noncdm Charge Record Medical Supplies,42.5,42.5,,,0 CDM,83550_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83551_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83552_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83553_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83554_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83555_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83558_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83559_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83561_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,83565_C1893_272,Noncdm Charge Record Medical Supplies,16.5,16.5,,,0 CDM,83565_C1893_278,Noncdm Charge Record Medical Supplies,15.59,15.59,,,0 CDM,83592_270,Noncdm Charge Record Medical Supplies,468.6,468.6,,,0 CDM,83594_C2628_278,Noncdm Charge Record Medical Supplies,1988.8,1988.8,,,0 CDM,83616_270,Noncdm Charge Record Medical Supplies,2922.81,2922.81,,,0 CDM,83617_270,Noncdm Charge Record Medical Supplies,2922.7,2922.7,,,0 CDM,83618_270,Noncdm Charge Record Medical Supplies,2860.0,2860.0,,,0 CDM,83619_270,Noncdm Charge Record Medical Supplies,435.6,435.6,,,0 CDM,83620_270,Noncdm Charge Record Medical Supplies,367.4,367.4,,,0 CDM,83657_C1894_278,Noncdm Charge Record Medical Supplies,90.2,90.2,,,0 CDM,83658_C1769_278,Noncdm Charge Record Medical Supplies,115.22,115.22,,,0 CDM,83666_270,Noncdm Charge Record Medical Supplies,481.8,481.8,,,0 CDM,83689_C1887_278,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,83691_C1769_278,Noncdm Charge Record Medical Supplies,304.75,304.75,,,0 CDM,83703_270,Noncdm Charge Record Medical Supplies,368.5,368.5,,,0 CDM,83754_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,83757_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,83775_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83778_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,83780_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,83784_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,83787_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83788_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83801,Noncdm Charge Record,3317.0,3317.0,,,0 CDM,83803_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,8380_270,Noncdm Charge Record Medical Supplies,627.0,627.0,,,0 CDM,83810_C1776_278,Noncdm Charge Record Medical Supplies,2772.0,2772.0,,,0 CDM,83828_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,83829_C1750_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,83835_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,83840_270,Noncdm Charge Record Medical Supplies,952.6,952.6,,,0 CDM,83843_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,83844_C1876_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,83846_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,83863_270,Noncdm Charge Record Medical Supplies,368.78,368.78,,,0 CDM,83893_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83894_C1776_278,Noncdm Charge Record Medical Supplies,792.0,792.0,,,0 CDM,83895_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,83903_C1876_278,Noncdm Charge Record Medical Supplies,139.78,139.78,,,0 CDM,83906_270,Noncdm Charge Record Medical Supplies,2481.6,2481.6,,,0 CDM,83911_270,Noncdm Charge Record Medical Supplies,8336.9,8336.9,,,0 CDM,83912_270,Noncdm Charge Record Medical Supplies,8336.9,8336.9,,,0 CDM,83913_270,Noncdm Charge Record Medical Supplies,477.39,477.39,,,0 CDM,83935_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83936_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83937_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83939_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,83944_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83945_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83946_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,83956_270,Noncdm Charge Record Medical Supplies,390.45,390.45,,,0 CDM,83965_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,83966_C1894_278,Noncdm Charge Record Medical Supplies,41.69,41.69,,,0 CDM,83980_272,Noncdm Charge Record Medical Supplies,33.0,33.0,,,0 CDM,83980_C1894_278,Noncdm Charge Record Medical Supplies,33.02,33.02,,,0 CDM,84003_C1874_278,Noncdm Charge Record Medical Supplies,4731.1,4731.1,,,0 CDM,84012_C1781_278,Noncdm Charge Record Medical Supplies,342.1,342.1,,,0 CDM,84014_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,84015_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,84016_C1874_278,Noncdm Charge Record Medical Supplies,3837.9,3837.9,,,0 CDM,84040_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,84042_C1725_278,Noncdm Charge Record Medical Supplies,1324.4,1324.4,,,0 CDM,84052_C1731_278,Noncdm Charge Record Medical Supplies,1436.6,1436.6,,,0 CDM,84054_C1766_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,84055_270,Noncdm Charge Record Medical Supplies,689.7,689.7,,,0 CDM,84056_270,Noncdm Charge Record Medical Supplies,689.7,689.7,,,0 CDM,84061_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,84062_270,Noncdm Charge Record Medical Supplies,207.15,207.15,,,0 CDM,84066_C1773_278,Noncdm Charge Record Medical Supplies,920.28,920.28,,,0 CDM,84067_270,Noncdm Charge Record Medical Supplies,313.5,313.5,,,0 CDM,84072_C1883_275,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,84074_270,Noncdm Charge Record Medical Supplies,39.66,39.66,,,0 CDM,84074_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,84074_C1765_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,84074_C1889_278,Noncdm Charge Record Medical Supplies,39.6,39.6,,,0 CDM,84074_G0168_278,Noncdm Charge Record Medical Supplies,39.62,39.62,,,0 CDM,84121_C1889_278,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,84125_C1815_278,Noncdm Charge Record Medical Supplies,11580.8,11580.8,,,0 CDM,84133_C1768_278,Noncdm Charge Record Medical Supplies,1328.8,1328.8,,,0 CDM,84140_Q4104_278,Noncdm Charge Record Medical Supplies,58.93,58.93,,,0 CDM,84165,Noncdm Charge Record,18.0,18.0,,,0 CDM,84172_270,Noncdm Charge Record Medical Supplies,528.0,528.0,,,0 CDM,84178_C1713_278,Noncdm Charge Record Medical Supplies,126.22,126.22,,,0 CDM,84179_C1713_278,Noncdm Charge Record Medical Supplies,139.33,139.33,,,0 CDM,84180_C1713_278,Noncdm Charge Record Medical Supplies,126.28,126.28,,,0 CDM,84181_C1713_278,Noncdm Charge Record Medical Supplies,126.34,126.34,,,0 CDM,84182_C1713_278,Noncdm Charge Record Medical Supplies,126.19,126.19,,,0 CDM,84183_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,84184_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,84203_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,8429_00591401201,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",2.83,2.83,,,0 CDM,8429_69452015020,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",3.2,3.2,,,0 CDM,84322_C1815_278,Noncdm Charge Record Medical Supplies,11580.8,11580.8,,,0 CDM,84326_270,Noncdm Charge Record Medical Supplies,917.4,917.4,,,0 CDM,84351_C1894_278,Noncdm Charge Record Medical Supplies,68.27,68.27,,,0 CDM,84359_C1725_278,Noncdm Charge Record Medical Supplies,457.6,457.6,,,0 CDM,84373_C1769_278,Noncdm Charge Record Medical Supplies,161.7,161.7,,,0 CDM,84426_C1894_278,Noncdm Charge Record Medical Supplies,36.02,36.02,,,0 CDM,8443_00143916101,NDC Description Not Available,17.38,17.38,,,0 CDM,8443_00143916125,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),16.34,16.34,,,0 CDM,8443_00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",32.42,32.42,,,0 CDM,8443_00409433211,NDC Description Not Available,13.51,13.51,,,0 CDM,8443_16714024701,NDC Description Not Available,1.21,1.21,,,0 CDM,8443_63323022110,Vancomycin Hydrochloride: 25 Vial In 1 Tray (63323-221-10) / 10 Ml In 1 Vial (63323-221-01),29.87,29.87,,,0 CDM,8443_67457033900,NDC Description Not Available,16.82,16.82,,,0 CDM,8443_67457033950,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-339-50) / 10 Ml In 1 Vial (67457-339-00),31.13,31.13,,,0 CDM,8443_70436002082,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-020-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.45,15.45,,,0 CDM,84442_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,84445_C1889_278,Noncdm Charge Record Medical Supplies,9078.3,9078.3,,,0 CDM,84446_C1889_278,Noncdm Charge Record Medical Supplies,9078.3,9078.3,,,0 CDM,84447_C1889_278,Noncdm Charge Record Medical Supplies,9078.3,9078.3,,,0 CDM,84448_C1889_278,Noncdm Charge Record Medical Supplies,9078.3,9078.3,,,0 CDM,84449_C1766_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,84454_C1725_278,Noncdm Charge Record Medical Supplies,451.58,451.58,,,0 CDM,84457_C1725_278,Noncdm Charge Record Medical Supplies,1324.4,1324.4,,,0 CDM,84462_A4648_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,84463_A4648_278,Noncdm Charge Record Medical Supplies,118.78,118.78,,,0 CDM,84464_A4648_278,Noncdm Charge Record Medical Supplies,118.79,118.79,,,0 CDM,84466_C1731_278,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 CDM,84484_C1894_272,Noncdm Charge Record Medical Supplies,36.3,36.3,,,0 CDM,84484_C1894_278,Noncdm Charge Record Medical Supplies,36.51,36.51,,,0 CDM,84490_C1713_278,Noncdm Charge Record Medical Supplies,83.88,83.88,,,0 CDM,84493_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,84517_270,Noncdm Charge Record Medical Supplies,9163.96,9163.96,,,0 CDM,84521_270,Noncdm Charge Record Medical Supplies,3365.48,3365.48,,,0 CDM,84588_C1725_278,Noncdm Charge Record Medical Supplies,138.6,138.6,,,0 CDM,84643_C1776_278,Noncdm Charge Record Medical Supplies,2464.0,2464.0,,,0 CDM,84685_270,Noncdm Charge Record Medical Supplies,475.28,475.28,,,0 CDM,84686_270,Noncdm Charge Record Medical Supplies,843.7,843.7,,,0 CDM,84687_270,Noncdm Charge Record Medical Supplies,843.84,843.84,,,0 CDM,84717_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,84718_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,84724_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,84725_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,84749_C1776_278,Noncdm Charge Record Medical Supplies,539.0,539.0,,,0 CDM,84768_C1894_278,Noncdm Charge Record Medical Supplies,1102.24,1102.24,,,0 CDM,84773_270,Noncdm Charge Record Medical Supplies,11036.3,11036.3,,,0 CDM,84778_C1894_278,Noncdm Charge Record Medical Supplies,831.6,831.6,,,0 CDM,84794_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,84830_C1815_278,Noncdm Charge Record Medical Supplies,11580.8,11580.8,,,0 CDM,84831_C1813_278,Noncdm Charge Record Medical Supplies,21035.12,21035.12,,,0 CDM,84832_C1813_278,Noncdm Charge Record Medical Supplies,25225.2,25225.2,,,0 CDM,84851_C9364_278,Noncdm Charge Record Medical Supplies,137.5,137.5,,,0 CDM,84872_C1882_275,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,84895_C1725_278,Noncdm Charge Record Medical Supplies,1024.1,1024.1,,,0 CDM,84901_270,Noncdm Charge Record Medical Supplies,4257.0,4257.0,,,0 CDM,84904_C1769_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,84906_270,Noncdm Charge Record Medical Supplies,658.91,658.91,,,0 CDM,84913_270,Noncdm Charge Record Medical Supplies,1371.7,1371.7,,,0 CDM,84918_C1894_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,84919_C1894_278,Noncdm Charge Record Medical Supplies,20.02,20.02,,,0 CDM,84920_C1894_278,Noncdm Charge Record Medical Supplies,19.8,19.8,,,0 CDM,84921_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,84922_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,84923_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,84924_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,84929_C1887_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,84938_C1887_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,84955_C1874_278,Noncdm Charge Record Medical Supplies,3757.6,3757.6,,,0 CDM,84956_C1874_278,Noncdm Charge Record Medical Supplies,3757.6,3757.6,,,0 CDM,84960_C1889_278,Noncdm Charge Record Medical Supplies,6545.0,6545.0,,,0 CDM,84966_Q4104_278,Noncdm Charge Record Medical Supplies,160.3,160.3,,,0 CDM,84966_Q4104_636,Noncdm Charge Record Pharmacy,151.12,151.12,,,0 CDM,8496_C1776_278,Noncdm Charge Record Medical Supplies,1657.15,1657.15,,,0 CDM,84980_C1788_278,Noncdm Charge Record Medical Supplies,739.2,739.2,,,0 CDM,85005_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,85006_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,85007_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,85009_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,85010_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,85023_270,Noncdm Charge Record Medical Supplies,10336.7,10336.7,,,0 CDM,85046_270,Noncdm Charge Record Medical Supplies,1695.1,1695.1,,,0 CDM,85047_270,Noncdm Charge Record Medical Supplies,1556.5,1556.5,,,0 CDM,85048_270,Noncdm Charge Record Medical Supplies,1636.01,1636.01,,,0 CDM,85049_270,Noncdm Charge Record Medical Supplies,1558.7,1558.7,,,0 CDM,85050_270,Noncdm Charge Record Medical Supplies,1504.8,1504.8,,,0 CDM,85051_270,Noncdm Charge Record Medical Supplies,1238.6,1238.6,,,0 CDM,85060,Noncdm Charge Record,24.0,24.0,,,0 CDM,85061_270,Noncdm Charge Record Medical Supplies,636.9,636.9,,,0 CDM,85062_270,Noncdm Charge Record Medical Supplies,796.4,796.4,,,0 CDM,85069_C1751_278,Noncdm Charge Record Medical Supplies,157.29,157.29,,,0 CDM,8509_C1726_278,Noncdm Charge Record Medical Supplies,775.5,775.5,,,0 CDM,850_11527016351,Sheffield Bacitracin Zinc: 1 Tube In 1 Carton (11527-163-51) / 14 G In 1 Tube,58.71,58.71,,,0 CDM,8511_270,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,85124_C1893_272,Noncdm Charge Record Medical Supplies,16.22,16.22,,,0 CDM,85124_C1893_278,Noncdm Charge Record Medical Supplies,15.76,15.76,,,0 CDM,85125_C1769_278,Noncdm Charge Record Medical Supplies,26.4,26.4,,,0 CDM,8512_270,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,8513_270,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,85158_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,85159_270,Noncdm Charge Record Medical Supplies,2211.0,2211.0,,,0 CDM,85173_270,Noncdm Charge Record Medical Supplies,1105.5,1105.5,,,0 CDM,85176_C1725_278,Noncdm Charge Record Medical Supplies,746.9,746.9,,,0 CDM,85183_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,85191_C1730_278,Noncdm Charge Record Medical Supplies,1860.1,1860.1,,,0 CDM,85209_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,85210_270,Noncdm Charge Record Medical Supplies,454.26,454.26,,,0 CDM,85210_C1748_279,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,85215_270,Noncdm Charge Record Medical Supplies,3704.99,3704.99,,,0 CDM,85242_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,8527_00409114401,NDC Description Not Available,2.06,2.06,,,0 CDM,8527_00409114402,Verapamil Hydrochloride: 5 Vial In 1 Carton (0409-1144-02) / 4 Ml In 1 Vial (0409-1144-62),35.02,35.02,,,0 CDM,8527_00409114405,Verapamil Hydrochloride: 25 Vial In 1 Carton (0409-1144-05) / 2 Ml In 1 Vial (0409-1144-65),125.75,125.75,,,0 CDM,8527_25021031202,Verapamil Hydrochloride: 25 Vial In 1 Carton (25021-312-02) / 2 Ml In 1 Vial,43.26,43.26,,,0 CDM,8527_51754020304,Verapamil Hydrochloride: 25 Vial In 1 Carton (51754-0203-4) / 2 Ml In 1 Vial,38.94,38.94,,,0 CDM,8527_70121158501,NDC Description Not Available,65.92,65.92,,,0 CDM,8527_70710164301,NDC Description Not Available,22.66,22.66,,,0 CDM,85283_C1713_278,Noncdm Charge Record Medical Supplies,113.2,113.2,,,0 CDM,85284_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,85285_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,85286_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,85287_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,85289_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,85291_C1726_278,Noncdm Charge Record Medical Supplies,467.5,467.5,,,0 CDM,85293_Q4108_278,Noncdm Charge Record Medical Supplies,134.68,134.68,,,0 CDM,85294_Q4104_278,Noncdm Charge Record Medical Supplies,43.44,43.44,,,0 CDM,85295_Q4104_278,Noncdm Charge Record Medical Supplies,60.52,60.52,,,0 CDM,85296_270,Noncdm Charge Record Medical Supplies,464.2,464.2,,,0 CDM,852_00574402235,Bacitracin: 1 Tube In 1 Carton (0574-4022-35) / 3.5 G In 1 Tube,467.62,467.62,,,0 CDM,852_270,Noncdm Charge Record Medical Supplies,108.9,108.9,,,0 CDM,85302_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85306_270,Noncdm Charge Record Medical Supplies,728.37,728.37,,,0 CDM,85309_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,85317_270,Noncdm Charge Record Medical Supplies,235.4,235.4,,,0 CDM,85354_C1887_278,Noncdm Charge Record Medical Supplies,592.9,592.9,,,0 CDM,85390,Noncdm Charge Record,34.23,34.23,,,0 CDM,85528_C1874_278,Noncdm Charge Record Medical Supplies,5619.81,5619.81,,,0 CDM,85532_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85536_C1713_278,Noncdm Charge Record Medical Supplies,785.71,785.71,,,0 CDM,85540_C1894_278,Noncdm Charge Record Medical Supplies,569.8,569.8,,,0 CDM,85541_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,85561_C1713_278,Noncdm Charge Record Medical Supplies,449.9,449.9,,,0 CDM,85570_270,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 CDM,85571_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,85576,Noncdm Charge Record,44.14,44.14,,,0 CDM,85615_C1817_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,85615_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,85620_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,85623_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85624_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85625_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85626_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85649_C1713_278,Noncdm Charge Record Medical Supplies,83.88,83.88,,,0 CDM,85650_C1713_278,Noncdm Charge Record Medical Supplies,159.37,159.37,,,0 CDM,85651_C1713_278,Noncdm Charge Record Medical Supplies,159.46,159.46,,,0 CDM,85652_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,85653_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,85655_C1713_278,Noncdm Charge Record Medical Supplies,177.1,177.1,,,0 CDM,85671_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,85677_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,85681_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,85683_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,85685_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,856_24208055555,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55) / 3.5 G In 1 Tube,103.26,103.26,,,0 CDM,85723_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,85724_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,85732_C1713_278,Noncdm Charge Record Medical Supplies,878.66,878.66,,,0 CDM,85733_C1713_278,Noncdm Charge Record Medical Supplies,878.66,878.66,,,0 CDM,85739_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,85755_270,Noncdm Charge Record Medical Supplies,440.0,440.0,,,0 CDM,85773_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,85777_C1713_278,Noncdm Charge Record Medical Supplies,89.83,89.83,,,0 CDM,85778_270,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,85797_C1889_278,Noncdm Charge Record Medical Supplies,143.0,143.0,,,0 CDM,857_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,85803_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,85804_C1889_278,Noncdm Charge Record Medical Supplies,1355.2,1355.2,,,0 CDM,85896_C1776_278,Noncdm Charge Record Medical Supplies,3080.0,3080.0,,,0 CDM,85907_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,85908_C1894_278,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,85909_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,85914_C1769_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,85917_C1769_278,Noncdm Charge Record Medical Supplies,16.46,16.46,,,0 CDM,85925_C1713_278,Noncdm Charge Record Medical Supplies,159.39,159.39,,,0 CDM,85926_C1713_278,Noncdm Charge Record Medical Supplies,159.46,159.46,,,0 CDM,8594_63323027810,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",20.72,20.72,,,0 CDM,85952_270,Noncdm Charge Record Medical Supplies,516.21,516.21,,,0 CDM,85955_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,85959_C1713_278,Noncdm Charge Record Medical Supplies,3142.7,3142.7,,,0 CDM,85985_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,85999_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86000_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86001_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86003_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86006_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86007_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86008_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86010_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86011_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86013_C1713_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,86016_C1713_278,Noncdm Charge Record Medical Supplies,158.03,158.03,,,0 CDM,86048_C1753_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,86063_270,Noncdm Charge Record Medical Supplies,221.1,221.1,,,0 CDM,86074_270,Noncdm Charge Record Medical Supplies,406.42,406.42,,,0 CDM,86076_270,Noncdm Charge Record Medical Supplies,441.1,441.1,,,0 CDM,86077_270,Noncdm Charge Record Medical Supplies,544.5,544.5,,,0 CDM,86079,Noncdm Charge Record,46.0,46.0,,,0 CDM,86079_270,Noncdm Charge Record Medical Supplies,432.3,432.3,,,0 CDM,86080_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,860_00603240632,"Baclofen: 1000 Tablet In 1 Bottle, Plastic (0603-2406-32)",8.08,8.08,,,0 CDM,860_00904647561,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61) / 1 Tablet In 1 Blister Pack,2.0,2.0,,,0 CDM,860_16714007104,Baclofen: 100 Tablet In 1 Bottle (16714-071-04),9.27,9.27,,,0 CDM,860_59651039401,Baclofen: 100 Tablet In 1 Bottle (59651-394-01),0.26,0.26,,,0 CDM,860_63739047910,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10) / 10 Tablet In 1 Blister Pack",1.92,1.92,,,0 CDM,86112_C1730_278,Noncdm Charge Record Medical Supplies,183.7,183.7,,,0 CDM,86119_270,Noncdm Charge Record Medical Supplies,1620.3,1620.3,,,0 CDM,86131_C1713_278,Noncdm Charge Record Medical Supplies,58.54,58.54,,,0 CDM,86132_C1713_278,Noncdm Charge Record Medical Supplies,58.55,58.55,,,0 CDM,86133_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,86135_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,86145_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,86147_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,86153_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,86162_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,86163_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,86166_270,Noncdm Charge Record Medical Supplies,515.95,515.95,,,0 CDM,86181_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,86182_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,86186_C1769_278,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,86189_C1893_278,Noncdm Charge Record Medical Supplies,40.39,40.39,,,0 CDM,86190_C1893_278,Noncdm Charge Record Medical Supplies,39.14,39.14,,,0 CDM,86198_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,86200_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,86202_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,86203_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,86210_C1893_278,Noncdm Charge Record Medical Supplies,150.86,150.86,,,0 CDM,86214_C1887_278,Noncdm Charge Record Medical Supplies,5542.9,5542.9,,,0 CDM,86221_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,86222_C1725_278,Noncdm Charge Record Medical Supplies,284.9,284.9,,,0 CDM,86224_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,86255,Noncdm Charge Record,1.79,1.79,,,0 CDM,86255_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,86258_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,86271_C1713_278,Noncdm Charge Record Medical Supplies,64.9,64.9,,,0 CDM,86281_C1766_278,Noncdm Charge Record Medical Supplies,1211.1,1211.1,,,0 CDM,86294_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,862_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,86300_C1887_278,Noncdm Charge Record Medical Supplies,5542.9,5542.9,,,0 CDM,86301_C1887_278,Noncdm Charge Record Medical Supplies,5542.62,5542.62,,,0 CDM,86310_C1887_278,Noncdm Charge Record Medical Supplies,60.5,60.5,,,0 CDM,86314_C1713_278,Noncdm Charge Record Medical Supplies,126.13,126.13,,,0 CDM,86317,Noncdm Charge Record,109.0,109.0,,,0 CDM,86325_C1887_278,Noncdm Charge Record Medical Supplies,133.73,133.73,,,0 CDM,86334,Noncdm Charge Record,17.33,17.33,,,0 CDM,86352,Noncdm Charge Record,408.0,408.0,,,0 CDM,86359_270,Noncdm Charge Record Medical Supplies,342.27,342.27,,,0 CDM,86366_270,Noncdm Charge Record Medical Supplies,1617.0,1617.0,,,0 CDM,86384_C1898_275,Noncdm Charge Record Medical Supplies,691.21,691.21,,,0 CDM,86390_270,Noncdm Charge Record Medical Supplies,1220.99,1220.99,,,0 CDM,86396_C1778_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,86398_C1778_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,863_C1729_278,Noncdm Charge Record Medical Supplies,18.59,18.59,,,0 CDM,86400_270,Noncdm Charge Record Medical Supplies,451.0,451.0,,,0 CDM,86406_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,86413_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,86414_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,86470_C1776_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,864_C1729_278,Noncdm Charge Record Medical Supplies,18.6,18.6,,,0 CDM,86606,Noncdm Charge Record,264.0,264.0,,,0 CDM,866_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,87104_C1725_278,Noncdm Charge Record Medical Supplies,115.59,115.59,,,0 CDM,8710537T01,Hc Car-T Cell Acquisition (Fresh),22534.0,22534.0,,,0 CDM,8710537T02,Hc Car-T Cell Acquistion (Frozen),29860.0,29860.0,,,0 CDM,87105_C1725_278,Noncdm Charge Record Medical Supplies,1324.4,1324.4,,,0 CDM,87112_C1894_278,Noncdm Charge Record Medical Supplies,174.9,174.9,,,0 CDM,87113_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87114_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87115_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87117_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87120_C1769_278,Noncdm Charge Record Medical Supplies,262.96,262.96,,,0 CDM,8713822501,"Hc Car-T Tx; Harvesting, Blood-Derived T Lymphocytes, Development Of Genetically Modified Autologous",22534.0,22534.0,,,0 CDM,8713822502,"Hc Car-T Tx; Harvesting, Blood-Derived T Lymphocytes, Development Of Genetically Modified Autologous",22534.0,22534.0,,,0 CDM,87139_C1725_278,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,87141_C1725_278,Noncdm Charge Record Medical Supplies,540.1,540.1,,,0 CDM,87143_C1725_278,Noncdm Charge Record Medical Supplies,540.1,540.1,,,0 CDM,87152_C1769_278,Noncdm Charge Record Medical Supplies,218.9,218.9,,,0 CDM,87160_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87161_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87162_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87163_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87164_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87165_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,87172_C1757_278,Noncdm Charge Record Medical Supplies,1412.4,1412.4,,,0 CDM,87189_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,8718_00409915811,NDC Description Not Available,20.81,20.81,,,0 CDM,8718_00409915831,NDC Description Not Available,26.05,26.05,,,0 CDM,8718_00409915850,NDC Description Not Available,24.42,24.42,,,0 CDM,8718_00409915855,NDC Description Not Available,20.77,20.77,,,0 CDM,8718_43598040511,NDC Description Not Available,21.33,21.33,,,0 CDM,8718_43598040516,Phytonadione Phytonadione: 25 Ampule In 1 Carton (43598-405-16) / 1 Ml In 1 Ampule (43598-405-11),22.4,22.4,,,0 CDM,8718_69097070831,NDC Description Not Available,18.48,18.48,,,0 CDM,8718_69097070896,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,18.5,18.5,,,0 CDM,87190_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,87191_C1713_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,87202_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,8720538T01,Hc Car-T Tx Preparation Transport,575.0,575.0,,,0 CDM,87212_C1713_278,Noncdm Charge Record Medical Supplies,266.2,266.2,,,0 CDM,87218_C1768_278,Noncdm Charge Record Medical Supplies,4235.0,4235.0,,,0 CDM,87228_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,87230_C1894_278,Noncdm Charge Record Medical Supplies,567.6,567.6,,,0 CDM,8723822601,Hc Car-T Tx; Preparation Of Blood-Derived T Lymphocytes For Transportation,575.0,575.0,,,0 CDM,8723_04110081163,NDC Description Not Available,5.15,5.15,,,0 CDM,8723_65197040010,Ad First Aid Multipurpose: 1 Tube In 1 Box (65197-400-10) / 42.5 G In 1 Tube,2.4,2.4,,,0 CDM,8723_71399012202,Medpura Vitamin A And D Vitamin A And D: 1 Tube In 1 Carton (71399-0122-2) / 56 G In 1 Tube,3.09,3.09,,,0 CDM,8723_71399012204,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),4.91,4.91,,,0 CDM,87246_270,Noncdm Charge Record Medical Supplies,545.6,545.6,,,0 CDM,87251_L8610_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,87252_L8610_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,87253_L8610_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,87275_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,87276_C1777_275,Noncdm Charge Record Medical Supplies,5328.4,5328.4,,,0 CDM,87277_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,872_C1729_278,Noncdm Charge Record Medical Supplies,18.48,18.48,,,0 CDM,87302_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,8730539T01,Hc Car-T Tx Receipt And Preparation Of Car-T Cells For Admin,3182.0,3182.0,,,0 CDM,87317_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,87332_270,Noncdm Charge Record Medical Supplies,589.42,589.42,,,0 CDM,8733822701,Hc Car-T Tx; Receipt And Preparation Of Car-T Cells For Administration,3182.0,3182.0,,,0 CDM,87340_270,Noncdm Charge Record Medical Supplies,867.96,867.96,,,0 CDM,87341_270,Noncdm Charge Record Medical Supplies,867.97,867.97,,,0 CDM,87342_C1713_278,Noncdm Charge Record Medical Supplies,83.97,83.97,,,0 CDM,87344_270,Noncdm Charge Record Medical Supplies,926.2,926.2,,,0 CDM,87348_270,Noncdm Charge Record Medical Supplies,5775.16,5775.16,,,0 CDM,873_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,87402_C1732_278,Noncdm Charge Record Medical Supplies,4136.0,4136.0,,,0 CDM,8740540T01,"Hc Chemeric Antigen Receptor T-Cell (Car-T) Tx; Car-T Cell Admin, Autologus",1202.0,1202.0,,,0 CDM,87408_270,Noncdm Charge Record Medical Supplies,538.94,538.94,,,0 CDM,87414_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,87415_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,87419_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,87420_270,Noncdm Charge Record Medical Supplies,365.2,365.2,,,0 CDM,87421_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87422_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,87423_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,8743822801,"Hc Car-T Tx; Car-T Cell Administration, Autologous",915.0,915.0,,,0 CDM,87444_C1778_278,Noncdm Charge Record Medical Supplies,4042.5,4042.5,,,0 CDM,87445_C1767_278,Noncdm Charge Record Medical Supplies,16555.0,16555.0,,,0 CDM,87449_C1768_278,Noncdm Charge Record Medical Supplies,302.5,302.5,,,0 CDM,87457_C1874_278,Noncdm Charge Record Medical Supplies,3757.6,3757.6,,,0 CDM,87458_270,Noncdm Charge Record Medical Supplies,931.7,931.7,,,0 CDM,8749_00832121289,NDC Description Not Available,2.29,2.29,,,0 CDM,8751_62584099411,NDC Description Not Available,1.61,1.61,,,0 CDM,87550_270,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,87561_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,87562_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,87563_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,87567_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,875_C1729_278,Noncdm Charge Record Medical Supplies,18.7,18.7,,,0 CDM,87665_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87666_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87667_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87668_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87669_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87670_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87671_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87672_C1725_272,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87672_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87673_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87674_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87676_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87677_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87678_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87679_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87680_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87681_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87683_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87684_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87685_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87686_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87687_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87688_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87690_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87691_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87692_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87693_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87695_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87697_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87698_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87699_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87700_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87701_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87704_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87705_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87707_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87708_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,87759_270,Noncdm Charge Record Medical Supplies,105.6,105.6,,,0 CDM,87762_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,87767_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,87786_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,87787_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,87792_C1713_278,Noncdm Charge Record Medical Supplies,276.1,276.1,,,0 CDM,87795_00406851023,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),5.24,5.24,,,0 CDM,87795_10702005650,Oxycodone Hydrochloride: 500 Tablet In 1 Bottle (10702-056-50),2.1,2.1,,,0 CDM,87795_42858000201,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-002-01)",0.62,0.62,,,0 CDM,87795_42858000210,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-002-10) / 10 Tablet In 1 Blister Pack,3.19,3.19,,,0 CDM,87795_68084096811,NDC Description Not Available,2.48,2.48,,,0 CDM,87798,Noncdm Charge Record,0.06,0.06,,,0 CDM,87807_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,87834_00023921110,"Combigan: 1 Bottle, Dropper In 1 Carton (0023-9211-10) / 10 Ml In 1 Bottle, Dropper",1766.45,1766.45,,,0 CDM,87834_00832142505,"Brimonidine Tartrate And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (0832-1425-05) / 5 Ml In 1 Bottle, Dropper",838.42,838.42,,,0 CDM,87834_82182045505,"Brimonidine Tartrate And Timolol Maleate: 5 Ml In 1 Bottle, Plastic (82182-455-05)",798.94,798.94,,,0 CDM,87860_15054109004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,108.38,108.38,,,0 CDM,87860_270,Noncdm Charge Record Medical Supplies,555.28,555.28,,,0 CDM,87861_15054109004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,183.19,183.19,,,0 CDM,87861_15054112004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,194.09,194.09,,,0 CDM,87861_69097087067,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,181.87,181.87,,,0 CDM,87861_69097090667,Lanreotide Acetate: 1 Pouch In 1 Carton (69097-906-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,183.19,183.19,,,0 CDM,87861_76282072067,Lanreotide Acetate: 1 Pouch In 1 Carton (76282-720-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,64.85,64.85,,,0 CDM,87894_C1713_278,Noncdm Charge Record Medical Supplies,126.5,126.5,,,0 CDM,87925_00143953101,Ifosfamide: 1 Vial In 1 Box (0143-9531-01) / 20 Ml In 1 Vial,84.54,84.54,,,0 CDM,87926_00143953001,Ifosfamide: 1 Vial In 1 Box (0143-9530-01) / 60 Ml In 1 Vial,131.84,131.84,,,0 CDM,8793_270,Noncdm Charge Record Medical Supplies,79.28,79.28,,,0 CDM,87979_C1759_272,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,87979_C1759_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,88010_00069547101,NDC Description Not Available,70.9,70.9,,,0 CDM,88010_00069547102,"Cerebyx: 25 Vial, Single-Dose In 1 Carton (0069-5471-02) / 2 Ml In 1 Vial, Single-Dose (0069-5471-01)",67.54,67.54,,,0 CDM,88010_00069547401,NDC Description Not Available,39.04,39.04,,,0 CDM,88010_00069547402,"Cerebyx: 10 Vial, Single-Dose In 1 Package (0069-5474-02) / 10 Ml In 1 Vial, Single-Dose (0069-5474-01)",24.05,24.05,,,0 CDM,88010_00069600110,NDC Description Not Available,47.66,47.66,,,0 CDM,88010_00069600121,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),51.16,51.16,,,0 CDM,88010_00069600125,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),49.96,49.96,,,0 CDM,88010_00641613601,NDC Description Not Available,32.03,32.03,,,0 CDM,88010_00641613701,NDC Description Not Available,20.53,20.53,,,0 CDM,88010_00641613710,Fosphenytoin Sodium: 10 Vial In 1 Carton (0641-6137-10) / 10 Ml In 1 Vial (0641-6137-01),20.42,20.42,,,0 CDM,88011_00069547101,NDC Description Not Available,66.14,66.14,,,0 CDM,88011_00069547102,"Cerebyx: 25 Vial, Single-Dose In 1 Carton (0069-5471-02) / 2 Ml In 1 Vial, Single-Dose (0069-5471-01)",59.22,59.22,,,0 CDM,88011_00069547401,NDC Description Not Available,88.58,88.58,,,0 CDM,88011_00069600102,NDC Description Not Available,103.62,103.62,,,0 CDM,88011_00069600125,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),87.55,87.55,,,0 CDM,88011_00641613601,NDC Description Not Available,31.9,31.9,,,0 CDM,88011_63323040301,NDC Description Not Available,13.09,13.09,,,0 CDM,88037_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,88045_C1713_278,Noncdm Charge Record Medical Supplies,228.8,228.8,,,0 CDM,88049_C1713_278,Noncdm Charge Record Medical Supplies,204.6,204.6,,,0 CDM,88056_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,88057_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,88064_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,88072_C1778_278,Noncdm Charge Record Medical Supplies,13288.66,13288.66,,,0 CDM,88073_C1713_278,Noncdm Charge Record Medical Supplies,159.48,159.48,,,0 CDM,88092_270,Noncdm Charge Record Medical Supplies,414.7,414.7,,,0 CDM,88108,Noncdm Charge Record,66.33,66.33,,,0 CDM,88119_C1771_278,Noncdm Charge Record Medical Supplies,10044.1,10044.1,,,0 CDM,88138_C1713_278,Noncdm Charge Record Medical Supplies,368.32,368.32,,,0 CDM,88141,Noncdm Charge Record,36.68,36.68,,,0 CDM,88141_C1713_278,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,88188,Noncdm Charge Record,249.0,249.0,,,0 CDM,88189,Noncdm Charge Record,405.0,405.0,,,0 CDM,88206_270,Noncdm Charge Record Medical Supplies,584.1,584.1,,,0 CDM,88211_270,Noncdm Charge Record Medical Supplies,4075.5,4075.5,,,0 CDM,88218_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,88220_C1894_278,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,88223_00093681719,NDC Description Not Available,41.54,41.54,,,0 CDM,88223_00093681745,NDC Description Not Available,41.6,41.6,,,0 CDM,88223_00186199004,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1990-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.36,44.36,,,0 CDM,88223_16714002005,NDC Description Not Available,35.02,35.02,,,0 CDM,88223_16714002030,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-020-30) / 5 Ampule In 1 Pouch (16714-020-05) / 2 Ml In 1 Ampule,35.0,35.0,,,0 CDM,88223_47335063348,NDC Description Not Available,21.63,21.63,,,0 CDM,88223_69097032132,NDC Description Not Available,41.61,41.61,,,0 CDM,88223_69097032186,NDC Description Not Available,41.6,41.6,,,0 CDM,88223_69097032187,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (69097-321-87) / 5 Ampule In 1 Pouch (69097-321-86) / 2 Ml In 1 Ampule,41.6,41.6,,,0 CDM,88225_49502060530,Perforomist: 30 Pouch In 1 Carton (49502-605-30) / 1 Vial In 1 Pouch / 2 Ml In 1 Vial,85.36,85.36,,,0 CDM,88225_49502060561,Perforomist: 60 Pouch In 1 Carton (49502-605-61) / 1 Vial In 1 Pouch (49502-605-95) / 2 Ml In 1 Vial,85.73,85.73,,,0 CDM,88225_49502060595,NDC Description Not Available,80.2,80.2,,,0 CDM,88225_70756060844,NDC Description Not Available,76.22,76.22,,,0 CDM,88225_70756060860,Formoterol Fumarate: 60 Pouch In 1 Carton (70756-608-60) / 4 Vial In 1 Pouch (70756-608-44) / 2 Ml In 1 Vial,76.39,76.39,,,0 CDM,88225_72603062001,NDC Description Not Available,76.22,76.22,,,0 CDM,88241_00013257605,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2576-05) / 5 Ml In 1 Vial, Single-Dose",81.37,81.37,,,0 CDM,88241_00013258691,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2586-91) / 10 Ml In 1 Vial, Single-Dose",251.06,251.06,,,0 CDM,88241_00143921701,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9217-01) / 5 Ml In 1 Vial, Glass",169.4,169.4,,,0 CDM,88241_00143921801,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01) / 10 Ml In 1 Vial, Glass",271.12,271.12,,,0 CDM,88241_00143930701,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9307-01) / 10 Ml In 1 Vial, Glass",121.2,121.2,,,0 CDM,88248_C2617_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,88249_C2617_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,88250_C2617_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,88278_C1813_278,Noncdm Charge Record Medical Supplies,5028.1,5028.1,,,0 CDM,88281_270,Noncdm Charge Record Medical Supplies,1544.44,1544.44,,,0 CDM,88285_C1788_278,Noncdm Charge Record Medical Supplies,404.8,404.8,,,0 CDM,88291,Noncdm Charge Record,58.38,58.38,,,0 CDM,88305,Noncdm Charge Record,46.27,46.27,,,0 CDM,88307,Noncdm Charge Record,228.0,228.0,,,0 CDM,88312,Noncdm Charge Record,60.0,60.0,,,0 CDM,88313,Noncdm Charge Record,27.22,27.22,,,0 CDM,88317_68803061210,"Visionblue: 10 Pouch In 1 Carton (68803-612-10) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",316.06,316.06,,,0 CDM,88321,Noncdm Charge Record,240.0,240.0,,,0 CDM,88323,Noncdm Charge Record,100.0,100.0,,,0 CDM,88331,Noncdm Charge Record,97.0,97.0,,,0 CDM,88332_270,Noncdm Charge Record Medical Supplies,718.3,718.3,,,0 CDM,88335_270,Noncdm Charge Record Medical Supplies,931.68,931.68,,,0 CDM,88337_C1894_278,Noncdm Charge Record Medical Supplies,134.2,134.2,,,0 CDM,88341,Noncdm Charge Record,44.25,44.25,,,0 CDM,88342,Noncdm Charge Record,70.45,70.45,,,0 CDM,88346,Noncdm Charge Record,68.84,68.84,,,0 CDM,88348,Noncdm Charge Record,135.0,135.0,,,0 CDM,88349_C1769_278,Noncdm Charge Record Medical Supplies,639.1,639.1,,,0 CDM,88350,Noncdm Charge Record,85.48,85.48,,,0 CDM,88356_C1887_278,Noncdm Charge Record Medical Supplies,569.8,569.8,,,0 CDM,88365,Noncdm Charge Record,110.0,110.0,,,0 CDM,88372_C1769_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,88376_00143950401,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9504-01) / 50 Ml In 1 Vial, Multi-Dose",12.12,12.12,,,0 CDM,88376_00143950501,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9505-01) / 100 Ml In 1 Vial, Multi-Dose",11.0,11.0,,,0 CDM,88376_00703574811,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",11.92,11.92,,,0 CDM,88376_16729028811,Cisplatin: 50 Ml In 1 Vial (16729-288-11),14.5,14.5,,,0 CDM,88376_16729028838,Cisplatin: 100 Ml In 1 Vial (16729-288-38),14.09,14.09,,,0 CDM,88376_25021025350,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,19.99,19.99,,,0 CDM,88376_25021025351,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,14.92,14.92,,,0 CDM,88376_44567051101,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (44567-511-01) / 200 Ml In 1 Vial, Multi-Dose",21.39,21.39,,,0 CDM,88376_60505627700,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",23.9,23.9,,,0 CDM,88376_63323010351,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,17.25,17.25,,,0 CDM,88376_63323010364,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,16.26,16.26,,,0 CDM,88376_63323010365,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,15.77,15.77,,,0 CDM,88376_72266025301,Cisplatin: 1 Vial In 1 Carton (72266-253-01) / 100 Ml In 1 Vial,16.35,16.35,,,0 CDM,88377,Noncdm Charge Record,63.0,63.0,,,0 CDM,88382_C1894_278,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,88387,Noncdm Charge Record,1.0,1.0,,,0 CDM,88396_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,88401_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,88402_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,88403_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,88404_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,88405_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,88422_C1889_278,Noncdm Charge Record Medical Supplies,724.9,724.9,,,0 CDM,88424_C1889_278,Noncdm Charge Record Medical Supplies,724.9,724.9,,,0 CDM,88434_C1889_278,Noncdm Charge Record Medical Supplies,1084.6,1084.6,,,0 CDM,88435_C1889_278,Noncdm Charge Record Medical Supplies,1084.97,1084.97,,,0 CDM,88449_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,88450_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,88452_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,88455_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,88457_C1889_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,88471_270,Noncdm Charge Record Medical Supplies,1281.28,1281.28,,,0 CDM,88472_270,Noncdm Charge Record Medical Supplies,1272.7,1272.7,,,0 CDM,88473_270,Noncdm Charge Record Medical Supplies,276.47,276.47,,,0 CDM,88474_270,Noncdm Charge Record Medical Supplies,552.89,552.89,,,0 CDM,88475_270,Noncdm Charge Record Medical Supplies,693.89,693.89,,,0 CDM,88478_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,88479_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,88480_270,Noncdm Charge Record Medical Supplies,801.9,801.9,,,0 CDM,88504_00121188211,NDC Description Not Available,3.78,3.78,,,0 CDM,88570_15054106004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1060-4) / 1 Syringe In 1 Pouch / .2 Ml In 1 Syringe,250.82,250.82,,,0 CDM,88570_69097087067,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,250.82,250.82,,,0 CDM,88608_00006022761,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",144.56,144.56,,,0 CDM,88652_70020191001,"Ixempra: 1 Kit In 1 Package, Combination (70020-1910-1) * 15 Mg In 1 Vial, Single-Use * 8 Ml In 1 Vial, Single-Use",319.11,319.11,,,0 CDM,88654_70257005151,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",220.01,220.01,,,0 CDM,88704_00004080285,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85) / 10 Capsule In 1 Blister Pack,60.66,60.66,,,0 CDM,88704_00527459113,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4591-13) / 10 Capsule In 1 Blister Pack,51.02,51.02,,,0 CDM,88704_31722063031,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),51.11,51.11,,,0 CDM,88704_33342025666,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66) / 10 Capsule In 1 Blister Pack,51.07,51.07,,,0 CDM,88704_47781046813,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13) / 10 Capsule In 1 Blister Pack,51.18,51.18,,,0 CDM,88704_64380079701,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),51.18,51.18,,,0 CDM,88704_72205004211,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-042-11) / 10 Capsule In 1 Blister Pack,51.28,51.28,,,0 CDM,8874_00536131698,Rugby Zinc Oxide 20%: 12 Jar In 1 Case (0536-1316-98) / 454 G In 1 Jar,9.27,9.27,,,0 CDM,8874_75834017001,Nivagen Zinc Oxide: 28.4 G In 1 Tube (75834-170-01),7.01,7.01,,,0 CDM,8876_C1769_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,88885_270,Noncdm Charge Record Medical Supplies,14.36,14.36,,,0 CDM,8889_270,Noncdm Charge Record Medical Supplies,471.9,471.9,,,0 CDM,89006_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,89007_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,89082_C9359_278,Noncdm Charge Record Medical Supplies,554.09,554.09,,,0 CDM,89082_C9359_636,Noncdm Charge Record Pharmacy,465.56,465.56,,,0 CDM,89156_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,89167_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89168_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89169_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89171_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89172_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89174_C1725_278,Noncdm Charge Record Medical Supplies,227.86,227.86,,,0 CDM,89179_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89183_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89185_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89187_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89196_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,89200_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,89201_00904670706,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",0.45,0.45,,,0 CDM,89201_00904670782,"Sevelamer Carbonate: 100 Blister Pack In 1 Carton (0904-6707-82) / 1 Tablet, Film Coated In 1 Blister Pack",2.17,2.17,,,0 CDM,89201_16714081401,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (16714-814-01)",1.01,1.01,,,0 CDM,89201_50268072011,NDC Description Not Available,1.96,1.96,,,0 CDM,89201_60687032811,NDC Description Not Available,1.55,1.55,,,0 CDM,89201_60687032831,"Sevelamer Carbonate: 100 Blister Pack In 1 Box, Unit-Dose (60687-328-31) / 1 Tablet, Film Coated In 1 Blister Pack (60687-328-33)",1.02,1.02,,,0 CDM,89201_60687032833,NDC Description Not Available,0.81,0.81,,,0 CDM,89201_65862092127,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.55,0.55,,,0 CDM,89201_68094003459,NDC Description Not Available,0.22,0.22,,,0 CDM,89204_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,89208_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,89213_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,89217_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89219_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89223_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89225_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89227_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89228_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89231_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89232_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89234_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89238_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89240_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89241_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89244_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89246_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89250_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89256_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89258_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89259_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89265_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89267_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89268_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89274_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89276_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89277_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89279_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89280_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89282_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89283_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89286_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89288_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89292_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89294_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89295_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89297_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89298_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89299_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89300_C1725_272,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89300_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89301_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89304_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89305_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89306_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89310_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89312_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89313_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89315_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89316_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89318_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89319_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89325_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89326_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89328_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89329_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89330_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89331_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89333_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89336_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89337_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89338_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89340_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89345_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89346_00904646707,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07) / 1 Tablet, Film Coated In 1 Blister Pack",67.88,67.88,,,0 CDM,89346_00904646710,"Clopidogrel: 20 Blister Pack In 1 Carton (0904-6467-10) / 1 Tablet, Film Coated In 1 Blister Pack",35.3,35.3,,,0 CDM,89346_50268018411,NDC Description Not Available,69.12,69.12,,,0 CDM,89346_63739017830,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (63739-178-30) / 6 Tablet, Film Coated In 1 Blister Pack",57.59,57.59,,,0 CDM,89346_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89348_C1725_278,Noncdm Charge Record Medical Supplies,227.71,227.71,,,0 CDM,89349_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89350_71288016610,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-166-10) / 10 Ml In 1 Vial, Single-Dose",12.23,12.23,,,0 CDM,89351_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89352_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89354_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89355_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89357_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89361_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89363_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89366_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89367_C1725_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,89432_60219172107,"Etravirine: 120 Tablet In 1 Bottle, Plastic (60219-1721-7)",48.36,48.36,,,0 CDM,8949_00406048423,Acetaminophen And Codeine Phosphate: 1 Tablet In 1 Blister Pack (0406-0484-23),2.1,2.1,,,0 CDM,8949_00406048462,Acetaminophen And Codeine Phosphate: 100 Tablet In 1 Blister Pack (0406-0484-62),3.09,3.09,,,0 CDM,89525_A4648_278,Noncdm Charge Record Medical Supplies,88.73,88.73,,,0 CDM,89546_270,Noncdm Charge Record Medical Supplies,481.6,481.6,,,0 CDM,89561_270,Noncdm Charge Record Medical Supplies,652.3,652.3,,,0 CDM,89562_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,89562_A4648_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,89562_A4649_272,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,89562_C1819_270,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,89568_270,Noncdm Charge Record Medical Supplies,931.7,931.7,,,0 CDM,89570_00338032201,Recothrom: 1 Kit In 1 Kit (0338-0322-01) * 5 Ml In 1 Vial (0338-0324-01) * 5 Ml In 1 Syringe,359.54,359.54,,,0 CDM,89570_00338032401,NDC Description Not Available,367.99,367.99,,,0 CDM,89570_60793021505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-215-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",312.09,312.09,,,0 CDM,89586_C1769_278,Noncdm Charge Record Medical Supplies,275.0,275.0,,,0 CDM,8958_00591336901,"Butalbital, Acetaminophen, And Caffeine: 100 Tablet In 1 Bottle (0591-3369-01)",6.16,6.16,,,0 CDM,8958_00904693806,"Butalbital, Acetaminophen, And Caffeine: 50 Blister Pack In 1 Carton (0904-6938-06) / 1 Tablet In 1 Blister Pack",7.92,7.92,,,0 CDM,8958_10702025301,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle (10702-253-01)",6.18,6.18,,,0 CDM,8958_50268055311,NDC Description Not Available,7.08,7.08,,,0 CDM,8958_60687067211,NDC Description Not Available,7.11,7.11,,,0 CDM,8958_64380015701,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle, Plastic (64380-157-01)",6.16,6.16,,,0 CDM,8958_69367020301,"Butalbital, Acetaminophen, Caffeine: 100 Tablet In 1 Bottle (69367-203-01)",6.13,6.13,,,0 CDM,8958_70010014901,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle (70010-149-01)",6.17,6.17,,,0 CDM,8958_C1757_278,Noncdm Charge Record Medical Supplies,130.24,130.24,,,0 CDM,8962_16729033101,"Acetazolamide: 100 Capsule, Extended Release In 1 Bottle (16729-331-01)",15.45,15.45,,,0 CDM,8962_23155012001,"acetazolamide: 100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (23155-120-01)",15.45,15.45,,,0 CDM,8962_29033003001,"Acetazolamide: 100 Capsule, Extended Release In 1 Bottle (29033-030-01)",15.47,15.47,,,0 CDM,8962_60687057811,NDC Description Not Available,20.59,20.59,,,0 CDM,8963_00264230400,Acetic Acid: 16 Container In 1 Case (0264-2304-00) / 1000 Ml In 1 Container,1.03,1.03,,,0 CDM,8963_00338065604,"Acetic Acid: 1000 Ml In 1 Bottle, Plastic (0338-0656-04)",25.43,25.43,,,0 CDM,8963_00409614322,"Acetic Acid: 24 BOTTLE, PLASTIC in 1 CASE (0409-6143-22) / 250 mL in 1 BOTTLE, PLASTIC",8.58,8.58,,,0 CDM,8963_00990614309,"Acetic Acid: 12 Bottle, Plastic In 1 Case (0990-6143-09) / 1000 Ml In 1 Bottle, Plastic",1.03,1.03,,,0 CDM,89642_C1893_278,Noncdm Charge Record Medical Supplies,15.76,15.76,,,0 CDM,89643_C1893_278,Noncdm Charge Record Medical Supplies,15.46,15.46,,,0 CDM,89646_C1713_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,89661_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,89662_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,89663_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,8966_00178050001,Lithostat: 100 Tablet In 1 Bottle (0178-0500-01),28.09,28.09,,,0 CDM,8969_00904578961,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61) / 1 Capsule In 1 Blister Pack,5.28,5.28,,,0 CDM,8970_00378973573,Zovirax: 473 mL in 1 BOTTLE (0378-9735-73),43.34,43.34,,,0 CDM,8970_31722068110,NDC Description Not Available,33.64,33.64,,,0 CDM,8970_31722068147,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),31.73,31.73,,,0 CDM,8970_72205017072,Acyclovir Suspension: 473 Ml In 1 Bottle (72205-170-72),43.47,43.47,,,0 CDM,89716_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,8971_00904579061,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (0904-5790-61) / 1 Tablet In 1 Blister Pack",7.77,7.77,,,0 CDM,8971_50268006111,NDC Description Not Available,13.5,13.5,,,0 CDM,8971_68084010811,NDC Description Not Available,7.09,7.09,,,0 CDM,8972_50268006211,NDC Description Not Available,15.2,15.2,,,0 CDM,8972_68084010911,NDC Description Not Available,16.42,16.42,,,0 CDM,89734_270,Noncdm Charge Record Medical Supplies,474.1,474.1,,,0 CDM,89743_C1773_278,Noncdm Charge Record Medical Supplies,29.7,29.7,,,0 CDM,89745_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,8975_00409193201,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-01) / 20 mL in 1 VIAL, SINGLE-DOSE",5.49,5.49,,,0 CDM,8975_00409193202,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-02) / 30 mL in 1 VIAL, SINGLE-DOSE",8.29,8.29,,,0 CDM,8975_55150019201,"Adenosine: 1 Vial, Single-Dose In 1 Carton (55150-192-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 CDM,8975_67457085620,Adenosine: 1 Vial In 1 Carton (67457-856-20) / 20 Ml In 1 Vial,11.36,11.36,,,0 CDM,8975_67457085730,Adenosine: 1 Vial In 1 Carton (67457-857-30) / 30 Ml In 1 Vial,9.42,9.42,,,0 CDM,89784_47781056501,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-565-01),40.17,40.17,,,0 CDM,89784_59417010410,Vyvanse: 100 Capsule In 1 Bottle (59417-104-10),56.14,56.14,,,0 CDM,89785_47781056701,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-567-01),39.95,39.95,,,0 CDM,89785_59417010610,Vyvanse: 100 Capsule In 1 Bottle (59417-106-10),56.03,56.03,,,0 CDM,89786_C1894_272,Noncdm Charge Record Medical Supplies,68.2,68.2,,,0 CDM,89786_C1894_278,Noncdm Charge Record Medical Supplies,68.27,68.27,,,0 CDM,89791_00008084401,NDC Description Not Available,75.14,75.14,,,0 CDM,89791_42799095201,NDC Description Not Available,61.25,61.25,,,0 CDM,89791_72603031701,NDC Description Not Available,61.26,61.26,,,0 CDM,89796_270,Noncdm Charge Record Medical Supplies,935.0,935.0,,,0 CDM,8979_00591271202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (0591-2712-02)",997.35,997.35,,,0 CDM,8979_31722093502,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (31722-935-02)",943.74,943.74,,,0 CDM,8979_43598045202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (43598-452-02)",412.6,412.6,,,0 CDM,8979_63629122101,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (63629-1221-1)",943.78,943.78,,,0 CDM,8979_72205005108,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),825.18,825.18,,,0 CDM,89800_C1769_278,Noncdm Charge Record Medical Supplies,28.6,28.6,,,0 CDM,89804_C1766_278,Noncdm Charge Record Medical Supplies,408.1,408.1,,,0 CDM,89806_C1766_278,Noncdm Charge Record Medical Supplies,408.1,408.1,,,0 CDM,89809_C1769_278,Noncdm Charge Record Medical Supplies,15.4,15.4,,,0 CDM,89810_C1733_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,89812_C1766_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,8981_00944049301,Flexbumin: 12 Bag In 1 Carton (0944-0493-01) / 50 Ml In 1 Bag (0944-0493-03),244.31,244.31,,,0 CDM,8981_00944049302,Flexbumin: 6 Bag In 1 Carton (0944-0493-02) / 100 Ml In 1 Bag (0944-0493-04),228.37,228.37,,,0 CDM,8981_00944049303,NDC Description Not Available,249.67,249.67,,,0 CDM,8981_00944049304,NDC Description Not Available,244.55,244.55,,,0 CDM,8981_44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",368.3,368.3,,,0 CDM,8981_44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",382.39,382.39,,,0 CDM,8981_44206025190,NDC Description Not Available,142.94,142.94,,,0 CDM,8981_68982064301,"Albumin (Human): 50 Ml In 1 Bottle, Glass (68982-643-01)",248.33,248.33,,,0 CDM,8981_76125079210,Albuked: 1 Vial In 1 Carton (76125-792-10) / 100 Ml In 1 Vial (76125-792-11),207.62,207.62,,,0 CDM,8981_76125079211,NDC Description Not Available,185.18,185.18,,,0 CDM,8982_00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),146.99,146.99,,,0 CDM,8982_00944049506,NDC Description Not Available,203.71,203.71,,,0 CDM,8982_44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",74.25,74.25,,,0 CDM,8982_44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",69.08,69.08,,,0 CDM,8982_44206031090,NDC Description Not Available,208.06,208.06,,,0 CDM,8982_44206031091,NDC Description Not Available,353.88,353.88,,,0 CDM,8982_68516521402,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),402.22,402.22,,,0 CDM,8982_68516521405,Albutein: 1 Vial In 1 Carton (68516-5214-5) / 50 Ml In 1 Vial (68516-5214-6),90.74,90.74,,,0 CDM,8982_68516521800,NDC Description Not Available,200.93,200.93,,,0 CDM,8982_68516521900,NDC Description Not Available,401.93,401.93,,,0 CDM,8982_68982062302,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",0.94,0.94,,,0 CDM,8982_68982062303,"Albumin (Human): 500 Ml In 1 Bottle, Glass (68982-623-03)",600.49,600.49,,,0 CDM,8982_76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),193.03,193.03,,,0 CDM,8982_76125079026,NDC Description Not Available,178.36,178.36,,,0 CDM,89831_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,89832_270,Noncdm Charge Record Medical Supplies,351.09,351.09,,,0 CDM,89833_270,Noncdm Charge Record Medical Supplies,348.05,348.05,,,0 CDM,89834_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,89835_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,89988_C1725_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,89998_C1730_278,Noncdm Charge Record Medical Supplies,720.5,720.5,,,0 CDM,90000_270,Noncdm Charge Record Medical Supplies,643.5,643.5,,,0 CDM,90008_C1725_278,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,90009_C1725_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,90011_C1725_278,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,90012_C1725_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,90017_C1725_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,90018_C1725_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,90019_C1725_278,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,9001_00009021501,NDC Description Not Available,1.58,1.58,,,0 CDM,9001_00009316901,NDC Description Not Available,1.57,1.57,,,0 CDM,9001_00009316906,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),1.58,1.58,,,0 CDM,90024_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90029_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,9002_50242008527,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",219.04,219.04,,,0 CDM,90031_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90032_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90033_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90036_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90037_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,9003_50242004406,NDC Description Not Available,217.54,217.54,,,0 CDM,9003_50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",208.93,208.93,,,0 CDM,90040_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90042_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90044_C1725_278,Noncdm Charge Record Medical Supplies,229.9,229.9,,,0 CDM,90047_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90048_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90050_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90051_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90052_C1725_278,Noncdm Charge Record Medical Supplies,187.0,187.0,,,0 CDM,90056_C1751_278,Noncdm Charge Record Medical Supplies,918.5,918.5,,,0 CDM,9006_270,Noncdm Charge Record Medical Supplies,772.2,772.2,,,0 CDM,90073_C1894_278,Noncdm Charge Record Medical Supplies,178.35,178.35,,,0 CDM,90076_270,Noncdm Charge Record Medical Supplies,834.9,834.9,,,0 CDM,9009079101,Hc Psychiatric Diagnostic Evaluation,628.0,628.0,,,0 CDM,90090792PB,Hc Pbb Psychiatric Diagnostic Eval W/Medical Services,628.0,628.0,,,0 CDM,90090836PB,Noncdm Charge Record,364.0,364.0,,,0 CDM,90095_C1713_278,Noncdm Charge Record Medical Supplies,975.33,975.33,,,0 CDM,90096_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,9009_00121176130,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.83,3.83,,,0 CDM,9009_00536131730,NDC Description Not Available,4.34,4.34,,,0 CDM,9009_00904732562,NDC Description Not Available,4.1,4.1,,,0 CDM,9009_63739015977,NDC Description Not Available,1.65,1.65,,,0 CDM,900G044401,"Hc Annual Depression Screening, 5 To 15 Minutes",63.0,63.0,,,0 CDM,90111_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,90117_C1757_278,Noncdm Charge Record Medical Supplies,74.8,74.8,,,0 CDM,9014_00121176230,"Mag-Al Plus Xs: 10 Tray In 1 Case (0121-1762-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",4.64,4.64,,,0 CDM,9019087001,"Hc Electroconvulsive Therapy,1 Seiz",1235.0,1235.0,,,0 CDM,9020_05707400177,NDC Description Not Available,36.03,36.03,,,0 CDM,9020_51224016212,NDC Description Not Available,4.1,4.1,,,0 CDM,9020_51224016299,NDC Description Not Available,4.12,4.12,,,0 CDM,90310_270,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,90312_270,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,90314_270,Noncdm Charge Record Medical Supplies,1035.1,1035.1,,,0 CDM,90322_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,90323_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,90324_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,90370_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,90371_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,90431_270,Noncdm Charge Record Medical Supplies,734.24,734.24,,,0 CDM,90449_C1887_278,Noncdm Charge Record Medical Supplies,249.7,249.7,,,0 CDM,90457_C1713_278,Noncdm Charge Record Medical Supplies,55.37,55.37,,,0 CDM,90465_C1713_278,Noncdm Charge Record Medical Supplies,260.7,260.7,,,0 CDM,90469_C1887_278,Noncdm Charge Record Medical Supplies,1824.9,1824.9,,,0 CDM,90470_C1887_278,Noncdm Charge Record Medical Supplies,1824.9,1824.9,,,0 CDM,90471_C1725_278,Noncdm Charge Record Medical Supplies,2544.3,2544.3,,,0 CDM,90472_C1887_278,Noncdm Charge Record Medical Supplies,2418.85,2418.85,,,0 CDM,90473_C1769_278,Noncdm Charge Record Medical Supplies,755.7,755.7,,,0 CDM,90477_C1894_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,90507_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,90508_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,90509_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,90510_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,90511_C1729_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,90520_C1767_278,Noncdm Charge Record Medical Supplies,13244.0,13244.0,,,0 CDM,90521_C1767_278,Noncdm Charge Record Medical Supplies,13244.0,13244.0,,,0 CDM,90523_270,Noncdm Charge Record Medical Supplies,1597.17,1597.17,,,0 CDM,90524_270,Noncdm Charge Record Medical Supplies,1527.9,1527.9,,,0 CDM,90525_270,Noncdm Charge Record Medical Supplies,1527.9,1527.9,,,0 CDM,90528_C1898_275,Noncdm Charge Record Medical Supplies,708.4,708.4,,,0 CDM,90538_C1788_278,Noncdm Charge Record Medical Supplies,575.7,575.7,,,0 CDM,90579_C1713_278,Noncdm Charge Record Medical Supplies,402.6,402.6,,,0 CDM,90581_270,Noncdm Charge Record Medical Supplies,389.4,389.4,,,0 CDM,90587_270,Noncdm Charge Record Medical Supplies,490.6,490.6,,,0 CDM,90589_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,90591_C1713_278,Noncdm Charge Record Medical Supplies,1342.0,1342.0,,,0 CDM,90596_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,90597_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,90598_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,90599_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,905S948001,Hc Adult Iop - Mental Health,1916.0,1916.0,,,0 CDM,90614_C1776_278,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 CDM,90626_270,Noncdm Charge Record Medical Supplies,696.3,696.3,,,0 CDM,9063_00904716507,Aminocaproic Acid: 30 Blister Pack In 1 Carton (0904-7165-07) / 1 Tablet In 1 Blister Pack,118.96,118.96,,,0 CDM,9063_49411005030,"Amicar: 30 Tablet In 1 Bottle, Plastic (49411-050-30)",88.58,88.58,,,0 CDM,9063_62559022530,Aminocaproic Acid: 30 Tablet In 1 Bottle (62559-225-30),81.29,81.29,,,0 CDM,9063_72205004930,Aminocaproic Acid: 30 Tablet In 1 Bottle (72205-049-30),81.06,81.06,,,0 CDM,90643_C1713_278,Noncdm Charge Record Medical Supplies,73.15,73.15,,,0 CDM,90645_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,90647_C1713_278,Noncdm Charge Record Medical Supplies,297.55,297.55,,,0 CDM,90651_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,90659_C1713_278,Noncdm Charge Record Medical Supplies,927.3,927.3,,,0 CDM,90664_270,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 CDM,9066_00245014701,Pacerone: 100 Blister Pack In 1 Carton (0245-0147-01) / 1 Tablet In 1 Blister Pack (0245-0147-89),28.24,28.24,,,0 CDM,9066_00245014789,NDC Description Not Available,27.6,27.6,,,0 CDM,9066_00245014790,Pacerone: 90 Tablet In 1 Bottle (0245-0147-90),26.24,26.24,,,0 CDM,9066_68382022714,Amiodarone Hydrochloride: 60 Tablet In 1 Bottle (68382-227-14),12.02,12.02,,,0 CDM,90679_270,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,90687_C1713_278,Noncdm Charge Record Medical Supplies,199.1,199.1,,,0 CDM,90688_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,90689_C1713_278,Noncdm Charge Record Medical Supplies,1316.15,1316.15,,,0 CDM,90693_270,Noncdm Charge Record Medical Supplies,696.85,696.85,,,0 CDM,90694_270,Noncdm Charge Record Medical Supplies,647.9,647.9,,,0 CDM,9069_00904637161,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61) / 1 Tablet In 1 Blister Pack,8.24,8.24,,,0 CDM,90702_C1713_278,Noncdm Charge Record Medical Supplies,345.4,345.4,,,0 CDM,90706_C1776_278,Noncdm Charge Record Medical Supplies,1245.2,1245.2,,,0 CDM,9070_00904636961,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61) / 1 Tablet In 1 Blister Pack,5.29,5.29,,,0 CDM,9071_00440509705,NDC Description Not Available,6.16,6.16,,,0 CDM,9071_00904637061,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61) / 1 Tablet In 1 Blister Pack,5.69,5.69,,,0 CDM,9071_67877019890,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-198-90),6.44,6.44,,,0 CDM,90720_C1713_278,Noncdm Charge Record Medical Supplies,4376.9,4376.9,,,0 CDM,90732_270,Noncdm Charge Record Medical Supplies,1620.3,1620.3,,,0 CDM,9080_43598000452,AUGMENTIN: 100 mL in 1 BOTTLE (43598-004-52),353.29,353.29,,,0 CDM,9080_59651002675,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (59651-026-75),31.16,31.16,,,0 CDM,9080_60432006500,"Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle, Plastic (60432-065-00)",20.6,20.6,,,0 CDM,9080_60432006547,"Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle, Plastic (60432-065-47)",30.58,30.58,,,0 CDM,9080_60432006575,"Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle, Plastic (60432-065-75)",30.9,30.9,,,0 CDM,9080_81964020415,Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle (81964-204-15),12.36,12.36,,,0 CDM,9081_00406889201,Dextroamphetamine Saccharate And Amphetamine Aspartate And Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0406-8892-01),6.18,6.18,,,0 CDM,9081_00555097202,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0972-02)",6.0,6.0,,,0 CDM,9081_16714095001,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-950-01)",5.97,5.97,,,0 CDM,9081_42806034101,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-341-01)",7.18,7.18,,,0 CDM,9081_47781017601,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, Amphetamine Sulfate Tablets,Cii: 100 Tablet In 1 Bottle (47781-176-01)",5.81,5.81,,,0 CDM,9081_64850050201,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-502-01)",5.94,5.94,,,0 CDM,9081_70010011301,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (70010-113-01)",6.18,6.18,,,0 CDM,90831_C1750_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,90832_C1750_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,90833_C1750_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,9083_00049001381,NDC Description Not Available,32.96,32.96,,,0 CDM,9083_00049001383,"Unasyn: 10 Vial In 1 Carton (0049-0013-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0013-81)",33.22,33.22,,,0 CDM,9083_00641611601,NDC Description Not Available,11.62,11.62,,,0 CDM,9083_00641611610,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),18.54,18.54,,,0 CDM,9083_55150011620,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",25.16,25.16,,,0 CDM,9083_71288003120,NDC Description Not Available,9.98,9.98,,,0 CDM,90841_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90843_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90846_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,9084_00049001481,NDC Description Not Available,31.24,31.24,,,0 CDM,9084_00049001483,"Unasyn: 10 Vial In 1 Carton (0049-0014-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0014-81)",31.43,31.43,,,0 CDM,9084_00641611701,NDC Description Not Available,16.47,16.47,,,0 CDM,9084_00641611710,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),16.48,16.48,,,0 CDM,9084_44567021110,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,34.14,34.14,,,0 CDM,9084_55150011720,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",25.92,25.92,,,0 CDM,9084_71288003220,NDC Description Not Available,17.62,17.62,,,0 CDM,9084_72485041701,NDC Description Not Available,11.45,11.45,,,0 CDM,9084_72485041710,"Ampicillin Sodium And Sulbactam Sodium: 10 Vial In 1 Carton (72485-417-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-417-01)",11.05,11.05,,,0 CDM,90893_C1776_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,90896_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,90898_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,90921_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90924_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90925_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90926_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90927_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,90945_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,90946_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,90948_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,90960_C1713_278,Noncdm Charge Record Medical Supplies,162.8,162.8,,,0 CDM,90961_270,Noncdm Charge Record Medical Supplies,347.6,347.6,,,0 CDM,90982_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,90993_C1776_278,Noncdm Charge Record Medical Supplies,2046.0,2046.0,,,0 CDM,91037_00548909010,"Amphadase: 10 Vial, Single-Dose In 1 Carton (0548-9090-10) / 1 Ml In 1 Vial, Single-Dose",241.02,241.02,,,0 CDM,91053_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,91054_00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",60.1,60.1,,,0 CDM,91054_00143970201,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",26.78,26.78,,,0 CDM,91054_60505612801,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",24.13,24.13,,,0 CDM,91054_60505627201,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6272-1) / 5 Ml In 1 Vial, Single-Use",25.76,25.76,,,0 CDM,91054_61703034909,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",31.59,31.59,,,0 CDM,91054_63323019355,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-55) / 5 Ml In 1 Vial,25.92,25.92,,,0 CDM,91054_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,91055_00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",57.97,57.97,,,0 CDM,91055_00143970201,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",54.08,54.08,,,0 CDM,91073_60687060711,NDC Description Not Available,9.27,9.27,,,0 CDM,91073_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91074_C1876_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91086_C1769_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,91092_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,91113_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,91115_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,91119_270,Noncdm Charge Record Medical Supplies,429.0,429.0,,,0 CDM,91120_270,Noncdm Charge Record Medical Supplies,409.2,409.2,,,0 CDM,91124_270,Noncdm Charge Record Medical Supplies,635.8,635.8,,,0 CDM,91147_C1713_278,Noncdm Charge Record Medical Supplies,741.48,741.48,,,0 CDM,91151_C1725_278,Noncdm Charge Record Medical Supplies,1994.3,1994.3,,,0 CDM,9116_13533060250,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",10.38,10.38,,,0 CDM,9116_13533060521,NDC Description Not Available,10.38,10.38,,,0 CDM,9116_13533060612,"Thrombate Iii: 1 Kit In 1 Carton (13533-606-12) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (76297-002-12)",10.38,10.38,,,0 CDM,91182_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,91183_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,91185_67066000501,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",97.34,97.34,,,0 CDM,91205_C1769_278,Noncdm Charge Record Medical Supplies,39.64,39.64,,,0 CDM,91206_C1769_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,91209_C1876_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,9120_00065066010,"IOPIDINE: 12 POUCH in 1 CARTON (0065-0660-10) / 2 VIAL, SINGLE-USE in 1 POUCH / .1 mL in 1 VIAL, SINGLE-USE",59.74,59.74,,,0 CDM,91214_C1725_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,91229_C1769_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,91234_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,9123_00009043601,R-Gene: 1 Container In 1 Carton (0009-0436-01) / 300 Ml In 1 Container,32.96,32.96,,,0 CDM,91260_C1769_278,Noncdm Charge Record Medical Supplies,80.3,80.3,,,0 CDM,91278_00641617401,NDC Description Not Available,9.5,9.5,,,0 CDM,91279_63323037600,NDC Description Not Available,10.73,10.73,,,0 CDM,91281_00641617601,NDC Description Not Available,7.83,7.83,,,0 CDM,91281_00641617610,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6176-10) / 1 Ml In 1 Vial, Single-Dose (0641-6176-01)",7.57,7.57,,,0 CDM,91281_00703332104,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3321-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3321-01)",7.57,7.57,,,0 CDM,91281_63323037700,NDC Description Not Available,10.76,10.76,,,0 CDM,91281_63323037701,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",10.74,10.74,,,0 CDM,91281_68462089710,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10) / 1 Ml In 1 Vial (68462-897-01),7.88,7.88,,,0 CDM,91282_23155068631,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",4.16,4.16,,,0 CDM,91282_63323037905,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",10.74,10.74,,,0 CDM,91351_C1766_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,91352_C1766_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,91359_C1769_278,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,91360_C1769_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,91361_C1769_278,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,91362_C1769_278,Noncdm Charge Record Medical Supplies,12.1,12.1,,,0 CDM,91363_C1769_278,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,91371_C1766_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,91372_C1766_278,Noncdm Charge Record Medical Supplies,58.3,58.3,,,0 CDM,91378_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,91379_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,91380_270,Noncdm Charge Record Medical Supplies,825.0,825.0,,,0 CDM,91394_C1830_270,Noncdm Charge Record Medical Supplies,507.08,507.08,,,0 CDM,91395_C1830_270,Noncdm Charge Record Medical Supplies,504.85,504.85,,,0 CDM,91396_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,91397_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,91398_C1713_278,Noncdm Charge Record Medical Supplies,985.6,985.6,,,0 CDM,913H003501,"Hc Mental Health Partial Hospitalization, Treatment, Less Than 24 Hours",1949.0,1949.0,,,0 CDM,913H203601,"Hc Alcohol And/Or Other Drug Treatment Program, Per Diem - Mental Health",880.0,880.0,,,0 CDM,913S020101,"Hc Partial Hospitalization Services, Less Than 24 Hours, Per Diem - Substance Abuse",2338.0,2338.0,,,0 CDM,91402_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,91404_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,91405_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,91408_00409140101,"Regadenoson: 10 Carton In 1 Package (0409-1401-01) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1401-05)",189.52,189.52,,,0 CDM,91408_00409140105,NDC Description Not Available,189.52,189.52,,,0 CDM,91408_00469650189,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",275.34,275.34,,,0 CDM,91408_00641625301,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",31.71,31.71,,,0 CDM,91408_16729047731,"Regadenoson: 5 Ml In 1 Syringe, Glass (16729-477-31)",257.18,257.18,,,0 CDM,91408_71288020185,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",165.88,165.88,,,0 CDM,91408_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,91409_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,91410_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,91411_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,91412_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,91413_C1713_278,Noncdm Charge Record Medical Supplies,885.5,885.5,,,0 CDM,91414_C1713_278,Noncdm Charge Record Medical Supplies,885.5,885.5,,,0 CDM,91417_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,91425_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91426_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91427_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91430_C1776_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,91431_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,91432_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,91433_C1713_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,91434_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,91452_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,91454_C1776_278,Noncdm Charge Record Medical Supplies,2618.0,2618.0,,,0 CDM,91489_C1768_278,Noncdm Charge Record Medical Supplies,2780.8,2780.8,,,0 CDM,9149078501,Hc Psychotherapy Complex Interactive,513.0,513.0,,,0 CDM,9149083201,Hc Psychotherapy Patient &/ Family 30 Minutes,408.0,408.0,,,0 CDM,91490832PB,Hc Pbb Psychotherapy Patient &/ Family 30 Minutes,408.0,408.0,,,0 CDM,9149083301,Hc Psychotherapy W/Pt/Fam 30Min,331.0,331.0,,,0 CDM,9149083401,Hc Psychotherapy Patient &/ Family 45 Minutes,628.0,628.0,,,0 CDM,9149083601,Hc Psychotherapy W/Pt/Fam 45Min,419.0,419.0,,,0 CDM,9149083701,Hc Psychotherapy Patient &/ Family 60 Minutes,628.0,628.0,,,0 CDM,91490837PB,Hc Pbb Psychotherapy Patient &/ Family 60 Minutes,628.0,628.0,,,0 CDM,9149083801,Hc Psychotherapy W/Pt/Fam 60 Min,554.0,554.0,,,0 CDM,91490_C1768_278,Noncdm Charge Record Medical Supplies,2780.8,2780.8,,,0 CDM,9149615801,Hc Health Behavior Ivntj Indiv F2F 1St 30 Min,420.0,420.0,,,0 CDM,9149615901,Hc Health Behavior Ivntj Indiv F2F Ea Addl 15 Min,105.0,105.0,,,0 CDM,91499_C1781_278,Noncdm Charge Record Medical Supplies,3572.8,3572.8,,,0 CDM,914G039601,Hc Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment And Brief Intervention,82.0,82.0,,,0 CDM,914G039701,"Hc Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment, And Intervention, Gre",402.0,402.0,,,0 CDM,914H001501,Hc Intensive Op Alcohol/Drug Treatment,1758.0,1758.0,,,0 CDM,91534_00254302802,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3028-02)",24.08,24.08,,,0 CDM,91534_63304035160,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (63304-351-60)",24.11,24.11,,,0 CDM,91534_64764008060,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-080-60)",26.78,26.78,,,0 CDM,91534_69339016298,NDC Description Not Available,56.79,56.79,,,0 CDM,91536_C1713_278,Noncdm Charge Record Medical Supplies,73.52,73.52,,,0 CDM,91537_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,91538_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,91539_C1713_278,Noncdm Charge Record Medical Supplies,73.41,73.41,,,0 CDM,91540_C1713_278,Noncdm Charge Record Medical Supplies,73.58,73.58,,,0 CDM,91541_C1713_278,Noncdm Charge Record Medical Supplies,73.61,73.61,,,0 CDM,91542_C1713_278,Noncdm Charge Record Medical Supplies,73.41,73.41,,,0 CDM,91543_C1713_278,Noncdm Charge Record Medical Supplies,73.48,73.48,,,0 CDM,91544_C1713_278,Noncdm Charge Record Medical Supplies,73.53,73.53,,,0 CDM,91545_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,91546_C1713_278,Noncdm Charge Record Medical Supplies,73.52,73.52,,,0 CDM,91547_C1713_278,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,91562_C1887_278,Noncdm Charge Record Medical Supplies,20.9,20.9,,,0 CDM,91565_C1766_278,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,91566_C1751_278,Noncdm Charge Record Medical Supplies,145.32,145.32,,,0 CDM,91567_C1751_278,Noncdm Charge Record Medical Supplies,155.1,155.1,,,0 CDM,91569_C1751_278,Noncdm Charge Record Medical Supplies,166.1,166.1,,,0 CDM,91570_C1751_278,Noncdm Charge Record Medical Supplies,345.4,345.4,,,0 CDM,91571_C1750_278,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,91572_C1750_278,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,91573_C1750_278,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 CDM,91582_270,Noncdm Charge Record Medical Supplies,2211.0,2211.0,,,0 CDM,91583_270,Noncdm Charge Record Medical Supplies,2178.0,2178.0,,,0 CDM,91584_270,Noncdm Charge Record Medical Supplies,337.7,337.7,,,0 CDM,91586_C1751_278,Noncdm Charge Record Medical Supplies,118.8,118.8,,,0 CDM,9159085301,Hc Iop - Group Psychotherapy,351.0,351.0,,,0 CDM,9159085302,Hc Continuing Care Group Therapy,351.0,351.0,,,0 CDM,91590_C1751_278,Noncdm Charge Record Medical Supplies,193.22,193.22,,,0 CDM,9159616401,Hc Health Behavior Ivntj Group F2F 1St 30 Min,76.0,76.0,,,0 CDM,9159616501,Hc Health Behavior Ivntj Group F2F Ea Addl 15 Min,24.0,24.0,,,0 CDM,91598_270,Noncdm Charge Record Medical Supplies,743.6,743.6,,,0 CDM,91599_C1751_278,Noncdm Charge Record Medical Supplies,520.08,520.08,,,0 CDM,915G041001,Hc Group Therapy 60 Minutes,315.0,315.0,,,0 CDM,91601_C1894_278,Noncdm Charge Record Medical Supplies,583.0,583.0,,,0 CDM,91604_270,Noncdm Charge Record Medical Supplies,1699.5,1699.5,,,0 CDM,91605_270,Noncdm Charge Record Medical Supplies,1699.5,1699.5,,,0 CDM,91616_C1730_272,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,91616_C1730_278,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,91620_270,Noncdm Charge Record Medical Supplies,336.6,336.6,,,0 CDM,91621_C1752_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,91622_C1752_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,91623_C1752_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,91624_C1752_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,91625_C1752_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,91626_C1752_278,Noncdm Charge Record Medical Supplies,338.64,338.64,,,0 CDM,91627_C1752_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,91629_C1725_278,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,91639_C1751_278,Noncdm Charge Record Medical Supplies,178.2,178.2,,,0 CDM,91640_C1788_278,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 CDM,9169083301,Hc Pbb Psychotherapy Pt&/Family W/E&M Srvcs 30 Min,331.0,331.0,,,0 CDM,9169084601,"Hc Family Psychotherapy,No Pt",628.0,628.0,,,0 CDM,9169084703,Hc Family Therapy 60 Minutes,628.0,628.0,,,0 CDM,9169084704,Hc Family Therapy 50 Minutes,628.0,628.0,,,0 CDM,91690847PB,Hc Pbb Family Psychotherapy W Phys,628.0,628.0,,,0 CDM,91695_C1725_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,91706_C1894_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,91707_C1729_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,91708_C1729_278,Noncdm Charge Record Medical Supplies,114.77,114.77,,,0 CDM,91709_C1894_278,Noncdm Charge Record Medical Supplies,178.32,178.32,,,0 CDM,91715_C1729_278,Noncdm Charge Record Medical Supplies,244.11,244.11,,,0 CDM,91716_C1894_278,Noncdm Charge Record Medical Supplies,81.4,81.4,,,0 CDM,91720_C1729_278,Noncdm Charge Record Medical Supplies,244.18,244.18,,,0 CDM,91723_C1894_278,Noncdm Charge Record Medical Supplies,94.6,94.6,,,0 CDM,91724_C1769_278,Noncdm Charge Record Medical Supplies,39.67,39.67,,,0 CDM,91726_C1894_278,Noncdm Charge Record Medical Supplies,61.38,61.38,,,0 CDM,91728_C1769_278,Noncdm Charge Record Medical Supplies,17.6,17.6,,,0 CDM,91730_C1769_278,Noncdm Charge Record Medical Supplies,49.5,49.5,,,0 CDM,91733_C1729_278,Noncdm Charge Record Medical Supplies,26.39,26.39,,,0 CDM,91734_C1729_278,Noncdm Charge Record Medical Supplies,244.2,244.2,,,0 CDM,9173_270,Noncdm Charge Record Medical Supplies,472.89,472.89,,,0 CDM,9178_00168026815,Betamethasone Dipropionate: 15 G In 1 Tube (0168-0268-15),299.73,299.73,,,0 CDM,9183_60219107601,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),23.62,23.62,,,0 CDM,9183_68084022911,NDC Description Not Available,3.09,3.09,,,0 CDM,9185_63323040101,NDC Description Not Available,78.06,78.06,,,0 CDM,9185_63323040120,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",78.02,78.02,,,0 CDM,9185_63323040121,NDC Description Not Available,59.09,59.09,,,0 CDM,9185_63323040126,"Aztreonam: 10 Vial In 1 Tray (63323-401-26) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-21)",59.22,59.22,,,0 CDM,9186_00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",65.9,65.9,,,0 CDM,9186_00409083011,NDC Description Not Available,70.3,70.3,,,0 CDM,9186_63323040201,NDC Description Not Available,78.7,78.7,,,0 CDM,9186_63323040203,NDC Description Not Available,59.08,59.08,,,0 CDM,91870_00254301278,NDC Description Not Available,679.66,679.66,,,0 CDM,91870_00591231245,NDC Description Not Available,747.33,747.33,,,0 CDM,91870_67919002010,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10) / 5 CAPSULE in 1 BLISTER PACK,786.89,786.89,,,0 CDM,91893_270,Noncdm Charge Record Medical Supplies,1954.7,1954.7,,,0 CDM,9189602001,Hc Functional Brain Mapping - Mr Head Functional Motor,746.0,746.0,,,0 CDM,9189611601,Hc Neurobehavioral Status Xm Phys/Qhp 1St Hour,826.0,826.0,,,0 CDM,9189612101,Hc Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour,313.0,313.0,,,0 CDM,9189612701,Hc Behav Assmt W/Score & Docd/Stand Instrument,106.0,106.0,,,0 CDM,9189613201,Hc Neuropsychological Tst Eval Phys/Qhp 1St Hour,1410.0,1410.0,,,0 CDM,9189613301,Hc Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr,408.0,408.0,,,0 CDM,9189613601,Hc Psyl/Nrpsycl Tst Phys/Qhp 2+ Tst 1St 30 Min,336.0,336.0,,,0 CDM,9189613701,Hc Psycl/Nrpsycl Tst Phys/Qhp 2+ Tst Ea Addl 30 Min,162.0,162.0,,,0 CDM,9189613801,Hc Psycl/Nrpsycl Tst Tech 2+ Tst 1St 30 Min,1048.0,1048.0,,,0 CDM,9189613901,Hc Psycl/Nrpsycl Tst Tech 2+ Tst Ea Addl 30 Min,145.0,145.0,,,0 CDM,91910_C1762_278,Noncdm Charge Record Medical Supplies,5544.0,5544.0,,,0 CDM,91992_C1887_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,92020_C1887_278,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 CDM,92050_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,9206_00081079887,NDC Description Not Available,3.09,3.09,,,0 CDM,9206_00081079888,NDC Description Not Available,8.24,8.24,,,0 CDM,9206_01093956833,NDC Description Not Available,3.11,3.11,,,0 CDM,9206_49348027472,Sunmark Double Antibiotic: 1 Tube In 1 Carton (49348-274-72) / 28.4 G In 1 Tube,3.13,3.13,,,0 CDM,9206_70677121201,Double Antibiotic: 1 Tube In 1 Carton (70677-1212-1) / 28.4 G In 1 Tube,3.09,3.09,,,0 CDM,92076_270,Noncdm Charge Record Medical Supplies,105.6,105.6,,,0 CDM,92079_00143966001,NDC Description Not Available,11.63,11.63,,,0 CDM,92079_00143966010,Metoprolol Tartrate: 10 Vial In 1 Carton (0143-9660-10) / 5 Ml In 1 Vial (0143-9660-01),11.35,11.35,,,0 CDM,92079_00409177805,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05) / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",5.2,5.2,,,0 CDM,92079_00409177815,NDC Description Not Available,5.3,5.3,,,0 CDM,92079_00409201605,NDC Description Not Available,4.02,4.02,,,0 CDM,92079_36000003310,Metoprolol: 10 Vial In 1 Carton (36000-033-10) / 5 Ml In 1 Vial,3.77,3.77,,,0 CDM,92079_63323066005,Metoprolol: 10 Vial In 1 Tray (63323-660-05) / 5 Ml In 1 Vial (63323-660-01),6.18,6.18,,,0 CDM,92079_72611074001,NDC Description Not Available,4.12,4.12,,,0 CDM,9209213403,"Hc Cptr Ophth Dx Img Post Segmt - Oct, Retina - Ou - Both Eyes",179.0,179.0,,,0 CDM,9209213604,Hc Ophthalmic Biometry By Partial Coherence Interferometry W/Intraocular Lens Power Calculation,301.0,301.0,,,0 CDM,9209225001,Hc Fundal Photography - Monochromatic Fundus Photography Os Left Eye,321.0,321.0,,,0 CDM,9209225002,Hc Fundal Photography - Autofluorescence - Od - Right Eye,321.0,321.0,,,0 CDM,9209225003,Hc Fundal Photography - Autofluorescence - Os - Left Eye,321.0,321.0,,,0 CDM,9209225004,Hc Fundal Photography - Autofluorescence - Ou - Both Eyes,321.0,321.0,,,0 CDM,9209225005,Hc Fundal Photography - Fundus Photos - Od - Right Eye,321.0,321.0,,,0 CDM,9209225006,Hc Fundal Photography - Fundus Photos - Os - Left Eye,321.0,321.0,,,0 CDM,9209225007,Hc Fundal Photography - Fundus Photos - Ou - Both Eyes,321.0,321.0,,,0 CDM,9209225008,Hc Fundal Photography - Color Fundus Photography - Ou - Both Eyes,321.0,321.0,,,0 CDM,9209225009,Hc Fundal Photography - Monochromatic Fundus Photography Ou Both Eyes,321.0,321.0,,,0 CDM,9209225010,Hc Fundal Photography - Optic Disc Photos - Od - Right Eye,321.0,321.0,,,0 CDM,9209225011,Hc Fundal Photography - Optic Disc Photos - Os - Left Eye,321.0,321.0,,,0 CDM,9209225012,Hc Fundal Photography - Optic Disc Photos - Ou - Both Eyes,321.0,321.0,,,0 CDM,9209225013,Hc Fundal Photography - Color Fundus Photography - Od - Right Eye,321.0,321.0,,,0 CDM,9209225014,Hc Fundal Photography - Monochromatic Fundus Photography Od Right Eye,321.0,321.0,,,0 CDM,9209225015,Hc Fundal Photography - Color Fundus Photography - Os - Left Eye,321.0,321.0,,,0 CDM,9209227004,Hc Electro-Oculography With Interpretation And Report,321.0,321.0,,,0 CDM,9209254001,Hc Pt Basic Vestibular Eval,1201.0,1201.0,,,0 CDM,9209254101,Hc Ot Spontaneous Nystagmus Test,497.0,497.0,,,0 CDM,9209254201,Hc Pt Positional Nystagmus Test,497.0,497.0,,,0 CDM,9209254401,Hc Ot Optokinetic Nystagtest,707.0,707.0,,,0 CDM,9209378401,Hc Ambulatory Bp Mntr W/Sw 24 Hr+ Rec Scan Alys I&R,282.0,282.0,,,0 CDM,9209379001,Hc Ambulatory Bp Mntr W/Sw 24 Hr+ Review W/I&R,110.0,110.0,,,0 CDM,92095250PB,Noncdm Charge Record,122.0,122.0,,,0 CDM,92095251PB,Hc Pbb Continuous Glucose Monitoring Analysis I&R,113.0,113.0,,,0 CDM,9209580001,"Hc Sleep Study, Unattended, Record Heart Rate/O2 Sat/Resp Anl/Sleep",886.0,886.0,,,0 CDM,9209580301,"Hc Actigraphy Testing, Recording, Analysis, Interpretation, And Report, 72 Hours To 14 Consecutive D",158.0,158.0,,,0 CDM,9209581001,"Hc Polysomnography, Sleep Stage >=4 Para, Attended",9509.0,9509.0,,,0 CDM,9209592801,"Hc Central Motor Evoked Potential Study, Upper Limbs -Tms",5581.0,5581.0,,,0 CDM,9209592901,"Hc Central Motor Evoked Potential Study, Lower Limbs -Tms",5581.0,5581.0,,,0 CDM,9209594001,Hc Ionm 1 On 1 In Or W/Attendance Each 15 Minutes,254.0,254.0,,,0 CDM,9209594101,Hc Ionm Remote/Nearby/>1 Patient In Or Per Hour,950.0,950.0,,,0 CDM,9209597001,Hc Elec Alys Implt Npgt Phys/Qhp W/O Programming,386.0,386.0,,,0 CDM,92095970PB,"Hc Analyze Neurostimulator, Brain/Cranial Nerve/Spinal Cord/Peripheral Nerve/Sacral Nerve W/O Progra",386.0,386.0,,,0 CDM,9209597101,"Hc Analyze Neurostimulator, Simple W/Programming",696.0,696.0,,,0 CDM,9209597201,"Hc Analyze Neurostimulator, Complex W/Programming",696.0,696.0,,,0 CDM,9209597601,Noncdm Charge Record,99.0,99.0,,,0 CDM,9209597701,Hc Elec Alys Implt Cplx Cn Npgt Prgrmg,292.0,292.0,,,0 CDM,9209598101,Noncdm Charge Record,143.0,143.0,,,0 CDM,9209598201,Hc Elec Alys Nstim Pls Gen Gastric Sbsq W/Reprgrmg,114.0,114.0,,,0 CDM,9209598301,Hc Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min,292.0,292.0,,,0 CDM,9209598401,Hc Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min,215.0,215.0,,,0 CDM,92095992PB,"Hc Pbb Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 CDM,9209600001,Hc Comprehensive Computer-Based Motion Analysis By Video-Taping And 3D Kinematics,1410.0,1410.0,,,0 CDM,9209600101,Hc Comprehensive Computer-Based Motion Analysis By Video-Taping And 3D Kinematics; With Dynamic Plan,2750.0,2750.0,,,0 CDM,9210000001,Noncdm Charge Record,2549.0,2549.0,,,0 CDM,9210339T01,Hc Renal Symp Denervation-Bilat,18433.0,18433.0,,,0 CDM,9213600201,Hc Vasc Injection Rx Extremity Pseudoaneurysm,892.0,892.0,,,0 CDM,9213690401,Hc Vasc Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph,7233.0,7233.0,,,0 CDM,9213718401,Hc Vasc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 CDM,9213718501,Hc Vasc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra Sbsq,1094.0,1094.0,,,0 CDM,9213719701,Hc Vasc Prq Transcatheter Rtrvl Intrvas Fb With Imaging,8811.0,8811.0,,,0 CDM,9213723301,"Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Ea Add",14797.0,14797.0,,,0 CDM,9213724301,Hc Vasc Vascular Embolize/Occlude Organ Tumor Infarct,19358.0,19358.0,,,0 CDM,9213724801,Hc Vasc Trlml Balo Angiop Open/Perq W/Img S&I 1St Vein,7233.0,7233.0,,,0 CDM,92154_270,Noncdm Charge Record Medical Supplies,121.0,121.0,,,0 CDM,92155_270,Noncdm Charge Record Medical Supplies,121.01,121.01,,,0 CDM,92169_270,Noncdm Charge Record Medical Supplies,950.46,950.46,,,0 CDM,92171_270,Noncdm Charge Record Medical Supplies,1057.1,1057.1,,,0 CDM,92172_270,Noncdm Charge Record Medical Supplies,775.1,775.1,,,0 CDM,9219388005,"Hc Vasc Duplex Scan Extracranial,Bilat",2361.0,2361.0,,,0 CDM,9219388204,"Hc Vasc Duplex Scan Extracranial,Limited",2361.0,2361.0,,,0 CDM,9219388601,Hc Transcran Doppler Intracran Art - Transcranial Doppler,2361.0,2361.0,,,0 CDM,9219388801,Hc Intracranial Limited Study - Us Head Doppler Limited,2361.0,2361.0,,,0 CDM,9219389001,"Hc Vasc Transcran Doppl Intracran, Vasoreact",644.0,644.0,,,0 CDM,9219389201,"Hc Vasc Transcran Doppl Intracran, Emboli W/O Inj",296.0,296.0,,,0 CDM,9219389301,"Hc Vasc Transcranial Doppler Study, Intracranial Arteries; Venous-Arterial Shunt Detection W/Intrave",289.0,289.0,,,0 CDM,9219389601,"Hc Vasoreactivity Study Performed With Transcranial Doppler Study Of Intracranial Arteries, Complete",644.0,644.0,,,0 CDM,9219392201,Hc Upr/L Xtremity Art 2 Levels - Cv Us Ankle Brachial Indices Extrm Cmp,1035.0,1035.0,,,0 CDM,9219392203,Hc Vasc Non-Invas Physiologic Std Extremity Art 1-2 Level,1035.0,1035.0,,,0 CDM,9219392204,"Hc Vasc Non-Invas Physiologic Std Extremity Art 1-2 Level, Unilateral",1035.0,1035.0,,,0 CDM,9219392301,Hc Vasc Non-Invasive Physiologic Study Extremity 3 Levels,2417.0,2417.0,,,0 CDM,9219392302,Hc Upr/Lxtr Art Stdy 3+ Lvls - Cv Us Ankle/Brachial Indices Extrem Lmtd,2417.0,2417.0,,,0 CDM,9219392401,"Hc Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral",2417.0,2417.0,,,0 CDM,9219392402,"Hc Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Unilateral",2417.0,2417.0,,,0 CDM,9219392503,Hc Duplex Lo Extrem Art Bilat - Lower Extremity Arterial Bypass Gft Dup,2285.0,2285.0,,,0 CDM,9219392506,Hc Vasc Duplex Lo Extrem Art Bilat,2285.0,2285.0,,,0 CDM,9219392603,Hc Vasc Duplex Lo Extrem Art Unilat/Ltd,2285.0,2285.0,,,0 CDM,9219393006,Hc Vasc Duplex Up Extrem Art Bilat,2285.0,2285.0,,,0 CDM,9219393103,Hc Vasc Duplex Upper Extrem Art Unilat/Ltd,2285.0,2285.0,,,0 CDM,9219397004,"Hc Duplex Extrem Venous,Bilat - Lower Extremity Dvt",2285.0,2285.0,,,0 CDM,9219397005,"Hc Duplex Extrem Venous,Bilat - Upper Extremity Dvt",2285.0,2285.0,,,0 CDM,9219397006,"Hc Vasc Duplex Extrem Venous,Bilat",2285.0,2285.0,,,0 CDM,9219397007,Hc Duplex Extremity Study - Vl Vein Map Access Upper Bilateral,2285.0,2285.0,,,0 CDM,9219397008,Hc Duplex Extremity Study - Vl Vein Map Access Lower Bilateral,2285.0,2285.0,,,0 CDM,9219397009,Hc Duplex Extremity Study - Vl Venous Duplex Le W/Ref,2285.0,2285.0,,,0 CDM,9219397010,Hc Duplex Extrem Us Peripheral Vas Dup Bil,2285.0,2285.0,,,0 CDM,9219397101,"Hc Vasc Duplex Extrem Venous,Uni Or Ltd",2285.0,2285.0,,,0 CDM,9219397107,"Hc Duplex Extrem Venous,Uni Or Ltd - Upper Extrem Superficial Vein Map",2285.0,2285.0,,,0 CDM,9219397108,"Hc Duplex Extrem Venous,Uni Or Ltd - Lower Extrem Superficial Vein Map",2285.0,2285.0,,,0 CDM,9219397502,Hc Vascular Study - Renal Artery Duplex,2285.0,2285.0,,,0 CDM,9219397504,"Hc Vasc Duplex Art/Venous Abd/Pel Vasc Study,Complete",2285.0,2285.0,,,0 CDM,9219397505,"Hc Vasc Duplex Art/Venous ,Complete - Hepatoportal Venous",2285.0,2285.0,,,0 CDM,9219397601,"Hc Vasc Duplex Abd/Pel Vasc Study,Limitd",2285.0,2285.0,,,0 CDM,9219397801,"Hc Vascular Study - Aorto Ivc Iliac Duplex, Complete",2285.0,2285.0,,,0 CDM,9219397805,"Hc Vascular Study - Aorto Ivc Iliac Duplex, Complete Bilateral",2285.0,2285.0,,,0 CDM,92193978PB,"Hc Pbb Duplex Large Vessel(S),Complete",2285.0,2285.0,,,0 CDM,9219397901,"Hc Us Duplex Aorta Ivc Iliac Vessels,Limited",947.0,947.0,,,0 CDM,9219397902,"Hc Us Duplex Aorta Ivc Iliac Vessels, Unilateral",947.0,947.0,,,0 CDM,9219398501,Hc Duplex-Scan Hemodialysis Complete Bilateral Study,560.0,560.0,,,0 CDM,9219398601,Hc Duplex-Scan Hemodialysis Complete Unilateral Study,269.0,269.0,,,0 CDM,9219399001,Hc Duplex Hemodialysis Access - Hemodialysis Access Duplex,582.0,582.0,,,0 CDM,92239_270,Noncdm Charge Record Medical Supplies,119.92,119.92,,,0 CDM,9225178501,Hc Needle Emg Study Anal/Urinary Muscle Sphincter,1184.0,1184.0,,,0 CDM,9229226503,"Hc Needle Oculoelectromyography, 1 Or More Extraocular Muscles, 1 Or Both Eyes",159.0,159.0,,,0 CDM,9229586001,"Hc Emg, Needle, One Limb - Emg 1 Limb",642.0,642.0,,,0 CDM,9229586101,"Hc Emg, Needle, Two Limbs - Emg 2 Limbs",524.0,524.0,,,0 CDM,9229586301,"Hc Emg, Needle, 3 Limbs - Emg 3 Limbs",933.0,933.0,,,0 CDM,9229586401,"Hc Emg, Needle, 4 Limbs - Emg 4 Limbs",1895.0,1895.0,,,0 CDM,9229586501,Hc Needle Electromyography; Larynx,369.0,369.0,,,0 CDM,9229586601,Hc Needle Electromyography; Hemidiaphragm,461.0,461.0,,,0 CDM,9229586701,"Hc Emg,Needle,Cranial Nerve Supp Mus,Unilat - Emg Head Or Neck Uni",570.0,570.0,,,0 CDM,9229586801,"Hc Emg, Needle, Head Or Neck - Emg Head Or Neck Uni",560.0,560.0,,,0 CDM,9229586802,"Hc Emg, Needle, Head Or Neck - Emg Head Or Neck Bil",560.0,560.0,,,0 CDM,9229586901,"Hc Emg,Needle,Thor Paraspin Mus,Exc T1/T12 - Emg Thoracic/Paraspinal",570.0,570.0,,,0 CDM,9229587001,"Hc Emg,1 Extrem,Nonparaspinal - Manual Muscle Testing",524.0,524.0,,,0 CDM,9229587002,"Hc Emg,1 Extrem,Nonparaspinal - Emg",524.0,524.0,,,0 CDM,9229587201,"Hc Emg, Needle, One Fiber - Emg One Fiber",432.0,432.0,,,0 CDM,9229587301,Hc Electrical Stimulation Guid W/Chemodenervation,222.0,222.0,,,0 CDM,9229587401,Hc Needle Emg Guid W/Chemodenervation,304.0,304.0,,,0 CDM,9229588501,Hc Needle Emg Ea Extremity W/Paraspinl Area Limited,649.0,649.0,,,0 CDM,9229588601,Hc Needle Emg Ea Extremty W/Paraspinl Area Complete,698.0,698.0,,,0 CDM,9229588701,Hc Needle Emg Nonextremty Mscles W/Nerve Conduction,649.0,649.0,,,0 CDM,92295887PB,Noncdm Charge Record,564.0,564.0,,,0 CDM,9229590501,"Hc Motor/Sensory Nerve Conduction, Amp & Lat/Velocty Study, Each Limb",527.0,527.0,,,0 CDM,9229590701,Hc Motor &/Sens 1-2 Nrv Cndj Preconf Eltrode Limb,848.0,848.0,,,0 CDM,9229590801,Hc Motor &/Sens 3-4 Nrv Cndj Preconf Eltrode Limb,1438.0,1438.0,,,0 CDM,9229590901,Hc Motor &/Sens 5-6 Nrv Cndj Preconf Eltrode Limb,1438.0,1438.0,,,0 CDM,9229591001,Hc Nerve Conduction Studies; 7-8 Studies,1438.0,1438.0,,,0 CDM,9229591101,Hc Motor &/Sens 9-10 Nrv Cndj Preconf Eltrode Limb,2249.0,2249.0,,,0 CDM,92295911PB,Noncdm Charge Record,1956.0,1956.0,,,0 CDM,9229591201,Hc Motor &/Sens 11-12 Nrv Cndj Preconf Eltrode Limb,2586.0,2586.0,,,0 CDM,9229591301,Motor &/Sens 13/> Nrv Cndj Preconf Eltrode Limb,2586.0,2586.0,,,0 CDM,92295913PB,Noncdm Charge Record,2249.0,2249.0,,,0 CDM,9229592301,"Hc Testing Autonomic Nervous System Function, Sudomotor",336.0,336.0,,,0 CDM,9229592401,Hc Testing Of Autonomic Nervous System Function; Combined Parasympathetic And Sympathetic Adrenergic,826.0,826.0,,,0 CDM,9229592501,"Hc Somatosensory Test,Upper Limbs - Somatosensory Test",1438.0,1438.0,,,0 CDM,9229592601,"Hc Somatosensory Test,Lower Limbs - Somatosensory Test",1438.0,1438.0,,,0 CDM,9229592701,"Hc Somatosensory Test,Trunk/Head - Somatosensory Test",668.0,668.0,,,0 CDM,9229593001,Hc Visual Ep Test Cns W/I&R - Visual Evoked Potential Test,1438.0,1438.0,,,0 CDM,9229593301,Hc Blink Reflex Test - Blink Reflex Electrodiagnostic Test,183.0,183.0,,,0 CDM,9229593702,Hc Neuromuscular Junction Test - Neuromuscular Junction Test,848.0,848.0,,,0 CDM,9229593801,Hc Sep Central Nervous System(Cns) Recording Upper And Lower,2586.0,2586.0,,,0 CDM,9229593901,Hc Cmep Study Upper Lower Limbs,5581.0,5581.0,,,0 CDM,92313_270,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92313_C1889_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92314_270,Noncdm Charge Record Medical Supplies,1402.5,1402.5,,,0 CDM,92320_C1874_278,Noncdm Charge Record Medical Supplies,3727.9,3727.9,,,0 CDM,92379_270,Noncdm Charge Record Medical Supplies,68.2,68.2,,,0 CDM,92380_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,92381_270,Noncdm Charge Record Medical Supplies,266.2,266.2,,,0 CDM,92382_270,Noncdm Charge Record Medical Supplies,366.3,366.3,,,0 CDM,92388_270,Noncdm Charge Record Medical Supplies,1219.9,1219.9,,,0 CDM,92391_270,Noncdm Charge Record Medical Supplies,291.51,291.51,,,0 CDM,92393_270,Noncdm Charge Record Medical Supplies,126.51,126.51,,,0 CDM,92402_C1713_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,92404_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,92406_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,92411_C1813_278,Noncdm Charge Record Medical Supplies,8267.88,8267.88,,,0 CDM,92413_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,92425_C1893_278,Noncdm Charge Record Medical Supplies,127.6,127.6,,,0 CDM,92429_C1887_278,Noncdm Charge Record Medical Supplies,211.2,211.2,,,0 CDM,92430_C1887_278,Noncdm Charge Record Medical Supplies,27.5,27.5,,,0 CDM,92446_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,92447_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,92448_C1750_278,Noncdm Charge Record Medical Supplies,392.7,392.7,,,0 CDM,92459_C1725_278,Noncdm Charge Record Medical Supplies,2244.0,2244.0,,,0 CDM,92459_C2628_278,Noncdm Charge Record Medical Supplies,2377.1,2377.1,,,0 CDM,92471_C1889_278,Noncdm Charge Record Medical Supplies,2156.0,2156.0,,,0 CDM,92472_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,92473_C1889_278,Noncdm Charge Record Medical Supplies,225.5,225.5,,,0 CDM,92479_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,92480_C1771_278,Noncdm Charge Record Medical Supplies,1892.0,1892.0,,,0 CDM,92481_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,9249507001,"Hc Bronchial Allergy Tests,Drugs - Methacoline Administration",2586.0,2586.0,,,0 CDM,9249511501,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx,125.0,125.0,,,0 CDM,9249511701,Hc Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs,125.0,125.0,,,0 CDM,92495117PB,"Hc Pbb Immunotherapy, 2+ Injections",125.0,125.0,,,0 CDM,9249516501,Noncdm Charge Record,109.0,109.0,,,0 CDM,92495180PB,"Hc Pbb Rapid Desensitization Proc,Each Hour",821.0,821.0,,,0 CDM,9259_00143923301,NDC Description Not Available,97.34,97.34,,,0 CDM,9259_00143972901,NDC Description Not Available,180.42,180.42,,,0 CDM,9259_68382086002,NDC Description Not Available,169.47,169.47,,,0 CDM,9266_00517072001,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01) / 5 Ml In 1 Vial, Multi-Dose",22.1,22.1,,,0 CDM,9266_51754506001,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Box (51754-5060-1) / 5 Ml In 1 Vial, Multi-Dose",17.09,17.09,,,0 CDM,9266_78206011801,"Celestone Soluspan: 1 Vial, Multi-Dose In 1 Box (78206-118-01) / 5 Ml In 1 Vial, Multi-Dose",18.02,18.02,,,0 CDM,92756_270,Noncdm Charge Record Medical Supplies,2390.3,2390.3,,,0 CDM,92782_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,92784_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,92799_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,92800_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,92808_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,92824_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,92848_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,92849_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,92850_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,92851_59676056201,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",155.58,155.58,,,0 CDM,92851_72205018460,"Darunavir: 60 Tablet, Film Coated In 1 Bottle, Plastic (72205-184-60)",135.96,135.96,,,0 CDM,92853_00169720101,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",5.53,5.53,,,0 CDM,92853_00169721111,NDC Description Not Available,5.55,5.55,,,0 CDM,92853_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92854_00169720201,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01) * 2 Ml In 1 Vial, Glass (0169-7212-11) * 2 Ml In 1 Syringe, Glass (0169-7012-98)",5.58,5.58,,,0 CDM,92854_00169721211,NDC Description Not Available,5.54,5.54,,,0 CDM,92854_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92855_00169720501,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01) * 5 Ml In 1 Vial, Glass (0169-7215-11) * 5 Ml In 1 Syringe, Glass (0169-7015-98)",5.54,5.54,,,0 CDM,92855_00169721511,NDC Description Not Available,5.54,5.54,,,0 CDM,92855_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92856_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92860_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92865_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92867_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92868_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92871_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92873_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92874_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92875_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92877_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92879_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92882_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92884_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92887_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92888_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92889_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92890_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92892_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92895_00338355248,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),58.47,58.47,,,0 CDM,92895_00338358048,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3580-48),43.34,43.34,,,0 CDM,92895_70594004201,NDC Description Not Available,34.5,34.5,,,0 CDM,92895_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92897_00003085222,Sprycel: 1 Bottle In 1 Carton (0003-0852-22) / 30 Tablet In 1 Bottle,2086.74,2086.74,,,0 CDM,92898_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,9289_16714088601,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-886-01) / 15 Powder, For Solution In 1 Vial, Single-Dose",115.13,115.13,,,0 CDM,9289_61703033218,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",161.86,161.86,,,0 CDM,9289_63323013610,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",149.35,149.35,,,0 CDM,9289_71288010610,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",132.87,132.87,,,0 CDM,92902_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92903_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92904_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92905_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,92921_C1759_278,Noncdm Charge Record Medical Supplies,4220.7,4220.7,,,0 CDM,92930_270,Noncdm Charge Record Medical Supplies,1092.3,1092.3,,,0 CDM,92931_C1730_272,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,92931_C1730_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,92932_C1730_278,Noncdm Charge Record Medical Supplies,146.3,146.3,,,0 CDM,92941_C1884_278,Noncdm Charge Record Medical Supplies,500.5,500.5,,,0 CDM,92942_270,Noncdm Charge Record Medical Supplies,676.5,676.5,,,0 CDM,92948_C1731_278,Noncdm Charge Record Medical Supplies,314.52,314.52,,,0 CDM,92952_C1725_278,Noncdm Charge Record Medical Supplies,1809.5,1809.5,,,0 CDM,92969_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,92971_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,92973_C1730_278,Noncdm Charge Record Medical Supplies,209.07,209.07,,,0 CDM,92976_270,Noncdm Charge Record Medical Supplies,660.0,660.0,,,0 CDM,92978_270,Noncdm Charge Record Medical Supplies,603.9,603.9,,,0 CDM,9297_00574010601,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",14.06,14.06,,,0 CDM,9297_00574010603,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",15.05,15.05,,,0 CDM,9297_00781532531,Bromocriptine Mesylate: 30 Tablet In 1 Bottle (0781-5325-31),22.66,22.66,,,0 CDM,9297_63304096201,BROMOCRIPTINE MESYLATE: 100 TABLET in 1 BOTTLE (63304-962-01),13.53,13.53,,,0 CDM,9299524901,Noncdm Charge Record,140.0,140.0,,,0 CDM,9299525001,Hc Cont Gluc Mntr Physician/Qhp Provided Equipment,279.5,279.5,,,0 CDM,93035_C1781_278,Noncdm Charge Record Medical Supplies,556.6,556.6,,,0 CDM,93052_32909092603,"NeuLumEX: 450 mL in 1 BOTTLE, PLASTIC (32909-926-03)",13.22,13.22,,,0 CDM,93052_32909092703,"Neulumex: 450 Ml In 1 Bottle, Plastic (32909-927-03)",341.4,341.4,,,0 CDM,93052_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,93053_C1889_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,93063_C1889_278,Noncdm Charge Record Medical Supplies,4620.0,4620.0,,,0 CDM,93065_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,93075_270,Noncdm Charge Record Medical Supplies,1153.9,1153.9,,,0 CDM,93084_00143987501,NDC Description Not Available,1.73,1.73,,,0 CDM,93084_00143987525,Amiodarone Hydrochloride: 25 Vial In 1 Box (0143-9875-25) / 3 Ml In 1 Vial (0143-9875-01),1.73,1.73,,,0 CDM,93084_63323061601,NDC Description Not Available,1.68,1.68,,,0 CDM,93084_63323061602,NDC Description Not Available,1.58,1.58,,,0 CDM,93084_63323061603,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03) / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",1.71,1.71,,,0 CDM,93084_63323061609,"Amiodarone Hydrochloride: 10 Vial, Single-Dose In 1 Tray (63323-616-09) / 9 Ml In 1 Vial, Single-Dose (63323-616-02)",1.78,1.78,,,0 CDM,93084_67457015300,NDC Description Not Available,3.31,3.31,,,0 CDM,93084_67457015303,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-03) / 3 Ml In 1 Vial, Glass (67457-153-00)",3.31,3.31,,,0 CDM,93084_67457015309,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-09) / 9 Ml In 1 Vial, Glass (67457-153-99)",2.24,2.24,,,0 CDM,93084_67457015318,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18) / 18 Ml In 1 Vial, Glass",2.15,2.15,,,0 CDM,93084_67457015399,NDC Description Not Available,2.42,2.42,,,0 CDM,93084_70436023252,Amiodarone Hydrochloride: 10 Vial In 1 Carton (70436-232-52) / 3 Ml In 1 Vial,2.6,2.6,,,0 CDM,93084_72078004600,NDC Description Not Available,1.86,1.86,,,0 CDM,93084_72078004609,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (72078-046-09) / 9 Ml In 1 Vial, Glass (72078-046-00)",2.08,2.08,,,0 CDM,93084_72078004618,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (72078-046-18) / 18 Ml In 1 Vial, Glass",1.97,1.97,,,0 CDM,9308_00409141204,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),4.63,4.63,,,0 CDM,9308_00409141210,"Bumetanide: 10 VIAL, MULTI-DOSE in 1 BOX (0409-1412-10) / 10 mL in 1 VIAL, MULTI-DOSE (0409-1412-40)",2.89,2.89,,,0 CDM,9308_00641600701,NDC Description Not Available,2.83,2.83,,,0 CDM,9308_00641600710,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),2.83,2.83,,,0 CDM,9308_00641600801,NDC Description Not Available,6.55,6.55,,,0 CDM,9308_25021032104,Bumetanide: 10 Vial In 1 Carton (25021-321-04) / 4 Ml In 1 Vial,4.93,4.93,,,0 CDM,9308_25021032110,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,2.37,2.37,,,0 CDM,9308_65219057001,NDC Description Not Available,7.19,7.19,,,0 CDM,9308_65219057004,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",6.68,6.68,,,0 CDM,9308_65219057201,NDC Description Not Available,3.29,3.29,,,0 CDM,9308_65219057210,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (65219-572-10) / 10 Ml In 1 Vial, Multi-Dose (65219-572-01)",3.16,3.16,,,0 CDM,9308_68462046940,NDC Description Not Available,4.98,4.98,,,0 CDM,9308_68462047040,NDC Description Not Available,2.13,2.13,,,0 CDM,9308_68462047054,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",2.14,2.14,,,0 CDM,9308_70748032302,NDC Description Not Available,2.83,2.83,,,0 CDM,9308_70748032311,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,2.83,2.83,,,0 CDM,9308_70860040541,NDC Description Not Available,5.96,5.96,,,0 CDM,9308_70860040610,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (70860-406-10) / 10 Ml In 1 Vial, Multi-Dose",2.87,2.87,,,0 CDM,9308_70860040641,NDC Description Not Available,2.89,2.89,,,0 CDM,9308_72205010101,NDC Description Not Available,5.63,5.63,,,0 CDM,9308_72205010201,NDC Description Not Available,2.6,2.6,,,0 CDM,9308_72205010207,Bumetanide: 10 Vial In 1 Carton (72205-102-07) / 10 Ml In 1 Vial (72205-102-01),2.6,2.6,,,0 CDM,93097_C1726_278,Noncdm Charge Record Medical Supplies,752.4,752.4,,,0 CDM,93099_C1726_278,Noncdm Charge Record Medical Supplies,752.46,752.46,,,0 CDM,9309_50268013011,NDC Description Not Available,5.45,5.45,,,0 CDM,9310_00904701661,Bumetanide: 100 Blister Pack In 1 Carton (0904-7016-61) / 1 Tablet In 1 Blister Pack,4.68,4.68,,,0 CDM,9310_16714083201,bumetanide: 100 TABLET in 1 BOTTLE (16714-832-01),7.72,7.72,,,0 CDM,9310_50268013111,NDC Description Not Available,4.76,4.76,,,0 CDM,9310_69238149001,Bumetanide: 100 Tablet In 1 Bottle (69238-1490-1),9.78,9.78,,,0 CDM,93136_C1750_278,Noncdm Charge Record Medical Supplies,246.4,246.4,,,0 CDM,93140_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,9316_00409361301,Bupivacaine Spinal: 10 Ampule In 1 Carton (0409-3613-01) / 2 Ml In 1 Ampule (0409-3613-11),9.35,9.35,,,0 CDM,9316_00409361311,NDC Description Not Available,9.11,9.11,,,0 CDM,9317_00409175250,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50) / 50 Ml In 1 Vial, Multi-Dose",18.54,18.54,,,0 CDM,9317_63323046101,NDC Description Not Available,40.7,40.7,,,0 CDM,9317_63323046802,NDC Description Not Available,46.35,46.35,,,0 CDM,93183_C9359_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,93183_C9359_636,Noncdm Charge Record Pharmacy,865.2,865.2,,,0 CDM,93186_C1889_278,Noncdm Charge Record Medical Supplies,3768.6,3768.6,,,0 CDM,9318_00409175550,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1755-50) / 50 Ml In 1 Vial, Multi-Dose",28.27,28.27,,,0 CDM,9318_63323046301,NDC Description Not Available,30.15,30.15,,,0 CDM,93196_C1874_278,Noncdm Charge Record Medical Supplies,7493.42,7493.42,,,0 CDM,93197_C1874_278,Noncdm Charge Record Medical Supplies,7075.2,7075.2,,,0 CDM,9320_12496075705,Buprenex: 5 AMPULE in 1 CARTON (12496-0757-5) / 1 mL in 1 AMPULE (12496-0757-1),16.48,16.48,,,0 CDM,9320_42023017901,NDC Description Not Available,18.67,18.67,,,0 CDM,9321_50268014311,NDC Description Not Available,7.34,7.34,,,0 CDM,9321_60687035111,NDC Description Not Available,5.25,5.25,,,0 CDM,9322_00904663561,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.25,5.25,,,0 CDM,9322_60687034011,NDC Description Not Available,4.72,4.72,,,0 CDM,9323_00093005405,Buspirone Hydrochloride: 500 Tablet In 1 Bottle (0093-0054-05),4.89,4.89,,,0 CDM,9323_00378115001,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-1150-01)",4.81,4.81,,,0 CDM,9323_51079098601,NDC Description Not Available,4.52,4.52,,,0 CDM,9323_51079098620,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-986-20) / 1 Tablet In 1 Blister Pack (51079-986-01),4.52,4.52,,,0 CDM,9323_60687081211,NDC Description Not Available,0.73,0.73,,,0 CDM,9323_64380074206,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (64380-742-06),4.62,4.62,,,0 CDM,9324_00093005301,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),2.76,2.76,,,0 CDM,9324_51079098501,NDC Description Not Available,2.68,2.68,,,0 CDM,9324_64380074108,Buspirone Hydrochloride: 1000 Tablet In 1 Bottle (64380-741-08),2.58,2.58,,,0 CDM,9328_10223020103,"Cetacaine Anesthetic: 1 Bottle, Glass In 1 Box (10223-0201-3) / 20 G In 1 Bottle, Glass",515.0,515.0,,,0 CDM,9347_24201040002,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",5072.19,5072.19,,,0 CDM,9347_42023020501,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (42023-205-01) / 2 Ml In 1 Vial, Multi-Dose",5530.57,5530.57,,,0 CDM,9347_43598005111,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11) / 2 Ml In 1 Vial, Multi-Dose",4350.45,4350.45,,,0 CDM,9347_67457067502,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",4773.66,4773.66,,,0 CDM,9347_72078003802,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (72078-038-02) / 2 Ml In 1 Vial, Multi-Dose",5201.2,5201.2,,,0 CDM,9348_17478093101,Calcitriol: 10 AMPULE in 1 CARTON (17478-931-01) / 1 mL in 1 AMPULE,11.33,11.33,,,0 CDM,9348_72266025101,NDC Description Not Available,3.55,3.55,,,0 CDM,9350_23155066201,Calcitriol: 100 Capsule In 1 Bottle (23155-662-01),4.35,4.35,,,0 CDM,9350_60687034511,NDC Description Not Available,2.81,2.81,,,0 CDM,9350_69452020713,"Calcitriol: 30 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-207-13)",4.38,4.38,,,0 CDM,93516_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,93519_00641605701,NDC Description Not Available,1.37,1.37,,,0 CDM,93519_00641605725,Midazolam: 25 Vial In 1 Carton (0641-6057-25) / 2 Ml In 1 Vial (0641-6057-01),1.52,1.52,,,0 CDM,93519_00641628101,NDC Description Not Available,0.52,0.52,,,0 CDM,93519_23155060031,NDC Description Not Available,2.06,2.06,,,0 CDM,9351_23155066301,Calcitriol: 100 Capsule In 1 Bottle (23155-663-01),6.92,6.92,,,0 CDM,9351_64380072406,Calcitriol: 100 Capsule In 1 Container (64380-724-06),7.16,7.16,,,0 CDM,93520_00409259605,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2596-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2596-15)",0.65,0.65,,,0 CDM,93520_00409259615,NDC Description Not Available,0.65,0.65,,,0 CDM,93520_00641606001,NDC Description Not Available,0.58,0.58,,,0 CDM,93520_00641606010,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),0.6,0.6,,,0 CDM,93520_00641606101,NDC Description Not Available,1.0,1.0,,,0 CDM,93520_00641606125,Midazolam: 25 Vial In 1 Carton (0641-6061-25) / 1 Ml In 1 Vial (0641-6061-01),1.03,1.03,,,0 CDM,93520_00641606301,NDC Description Not Available,0.58,0.58,,,0 CDM,93520_00641606325,Midazolam: 25 Vial In 1 Carton (0641-6063-25) / 2 Ml In 1 Vial (0641-6063-01),0.57,0.57,,,0 CDM,93520_00641619001,NDC Description Not Available,0.03,0.03,,,0 CDM,93520_00641619010,Midazolam: 10 Vial In 1 Carton (0641-6190-10) / 10 Ml In 1 Vial (0641-6190-01),0.26,0.26,,,0 CDM,93520_23155060132,NDC Description Not Available,0.8,0.8,,,0 CDM,93520_63323041218,NDC Description Not Available,2.4,2.4,,,0 CDM,93520_63323041225,Midazolam: 25 Vial In 1 Tray (63323-412-25) / 1 Ml In 1 Vial (63323-412-18),2.51,2.51,,,0 CDM,93521_C2625_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,93524_C1813_278,Noncdm Charge Record Medical Supplies,20197.1,20197.1,,,0 CDM,93526_270,Noncdm Charge Record Medical Supplies,456.5,456.5,,,0 CDM,93530_C1766_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,93566_55513022101,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,63.48,63.48,,,0 CDM,93574_50419032001,NDC Description Not Available,61.39,61.39,,,0 CDM,93574_50419032005,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05) / 10 Ml In 1 Vial, Single-Dose",72.56,72.56,,,0 CDM,93604_C9359_278,Noncdm Charge Record Medical Supplies,1019.27,1019.27,,,0 CDM,93604_C9359_636,Noncdm Charge Record Pharmacy,968.72,968.72,,,0 CDM,93644_C1889_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,93645_C1884_278,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,93645_C1889_272,Noncdm Charge Record Medical Supplies,269.5,269.5,,,0 CDM,93645_C1889_278,Noncdm Charge Record Medical Supplies,283.37,283.37,,,0 CDM,93678_C1762_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,93709_270,Noncdm Charge Record Medical Supplies,164.94,164.94,,,0 CDM,93715_270,Noncdm Charge Record Medical Supplies,1081.31,1081.31,,,0 CDM,93716_270,Noncdm Charge Record Medical Supplies,1081.3,1081.3,,,0 CDM,93717_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,93718_C1713_278,Noncdm Charge Record Medical Supplies,949.67,949.67,,,0 CDM,93719_C1898_275,Noncdm Charge Record Medical Supplies,691.77,691.77,,,0 CDM,93720_C1898_275,Noncdm Charge Record Medical Supplies,691.85,691.85,,,0 CDM,93722_270,Noncdm Charge Record Medical Supplies,3106.47,3106.47,,,0 CDM,93733_C1757_278,Noncdm Charge Record Medical Supplies,4389.0,4389.0,,,0 CDM,93747_63323013210,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",329.26,329.26,,,0 CDM,93747_63323013212,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-12) / 12.5 Ml In 1 Vial, Multi-Dose",363.85,363.85,,,0 CDM,93799_C1887_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,93801_C1887_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,93802_C1887_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,93803_C1766_278,Noncdm Charge Record Medical Supplies,754.6,754.6,,,0 CDM,93834_43547034506,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (43547-345-06)",16.11,16.11,,,0 CDM,93834_50228018960,"Levetiracetam Extended-Release: 60 Tablet, Film Coated, Extended Release In 1 Bottle (50228-189-60)",16.57,16.57,,,0 CDM,93834_50474059866,"Keppra Xr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50474-598-66)",38.62,38.62,,,0 CDM,93834_60505328006,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (60505-3280-6)",16.04,16.04,,,0 CDM,93838_00338130148,Cefepime: 12 Bag In 1 Box (0338-1301-48) / 100 Ml In 1 Bag,16.74,16.74,,,0 CDM,9385_68084098833,NDC Description Not Available,3.16,3.16,,,0 CDM,93862_C1894_272,Noncdm Charge Record Medical Supplies,73.7,73.7,,,0 CDM,93862_C1894_278,Noncdm Charge Record Medical Supplies,73.71,73.71,,,0 CDM,93911_270,Noncdm Charge Record Medical Supplies,1614.22,1614.22,,,0 CDM,93930_C1765_278,Noncdm Charge Record Medical Supplies,1379.29,1379.29,,,0 CDM,93931_00378967130,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (0378-9671-30) / 30 Ampule In 1 Pouch (0378-9671-64) / 3 Ml In 1 Ampule,8.03,8.03,,,0 CDM,93931_00378967131,NDC Description Not Available,8.24,8.24,,,0 CDM,93931_00378967164,NDC Description Not Available,8.02,8.02,,,0 CDM,93931_00487020100,NDC Description Not Available,7.92,7.92,,,0 CDM,93931_00487020101,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.96,7.96,,,0 CDM,93931_00487020103,"Ipratropium Bromide And Albuterol Sulfate: 6 Pouch In 1 Carton (0487-0201-03) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",8.08,8.08,,,0 CDM,93931_00487020160,"Ipratropium Bromide And Albuterol Sulfate: 12 Pouch In 1 Carton (0487-0201-60) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.58,7.58,,,0 CDM,93931_47335075648,NDC Description Not Available,7.91,7.91,,,0 CDM,93931_60687040579,NDC Description Not Available,2.82,2.82,,,0 CDM,93931_76204060001,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.26,8.26,,,0 CDM,93931_76204060030,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.12,8.12,,,0 CDM,93954_270,Noncdm Charge Record Medical Supplies,515.98,515.98,,,0 CDM,93956_C1887_278,Noncdm Charge Record Medical Supplies,2517.9,2517.9,,,0 CDM,93990_270,Noncdm Charge Record Medical Supplies,636.9,636.9,,,0 CDM,93993_270,Noncdm Charge Record Medical Supplies,596.75,596.75,,,0 CDM,94010_C1729_278,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,94010_C2617_278,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,94010_C2625_278,Noncdm Charge Record Medical Supplies,141.9,141.9,,,0 CDM,9401_00904710561,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61) / 1 Tablet In 1 Blister Pack,4.48,4.48,,,0 CDM,9402_00904710661,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61) / 1 Tablet In 1 Blister Pack,1.12,1.12,,,0 CDM,9402_60687031511,NDC Description Not Available,6.7,6.7,,,0 CDM,94034_C2625_278,Noncdm Charge Record Medical Supplies,84.7,84.7,,,0 CDM,94050_270,Noncdm Charge Record Medical Supplies,734.66,734.66,,,0 CDM,94052_270,Noncdm Charge Record Medical Supplies,775.5,775.5,,,0 CDM,94055_270,Noncdm Charge Record Medical Supplies,864.6,864.6,,,0 CDM,94062_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,9407_50228045801,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-458-01),4.27,4.27,,,0 CDM,9407_60687066111,NDC Description Not Available,2.86,2.86,,,0 CDM,94081_270,Noncdm Charge Record Medical Supplies,356.4,356.4,,,0 CDM,94085_C1894_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,94086_C1894_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,94087_C1894_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,94088_C1820_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,94088_C1889_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,9409570501,Hc Eeg W/O Video 2-12Hr Unmonitered,1061.0,1061.0,,,0 CDM,9409604001,"Hc Genetic Counseling, Each 30 Min",291.0,291.0,,,0 CDM,94096040PB,"Hc Pbb Genetic Counseling, Each 30 Min",291.0,291.0,,,0 CDM,9409604101,"Hc Medical Genetics And Genetic Counseling Services, Each 30 Mins, Total Time Provided By Genetic Co",291.0,291.0,,,0 CDM,9409761001,Hc Ot Low Frequency Non-Thermal Ultrasound Per Day,769.0,769.0,,,0 CDM,9409761002,Hc Pt Low Frequency Non-Thermal Ultrasound Per Day,769.0,769.0,,,0 CDM,9409919501,Hc Phlebotomy Therapeutic,524.0,524.0,,,0 CDM,9409919901,Therapeutic Hypothermia Initial,7309.0,7309.0,,,0 CDM,9409919902,Therapeutic Hypothermia Subsequent Day,7309.0,7309.0,,,0 CDM,9409949601,Hc Transitional Care Mgmt,347.0,347.0,,,0 CDM,9409949701,Hc Advance Care Planning First 30 Mins,238.0,238.0,,,0 CDM,9409949801,Hc Advance Care Planning Each Add'l 30 Mins,150.0,150.0,,,0 CDM,94133_C1889_278,Noncdm Charge Record Medical Supplies,1287.0,1287.0,,,0 CDM,94133_Q4100_278,Noncdm Charge Record Medical Supplies,1292.82,1292.82,,,0 CDM,9413_00009085605,Hemabate: 1 Ml In 1 Ampule (0009-0856-05),1273.67,1273.67,,,0 CDM,9413_00009085608,Hemabate: 10 Ampule In 1 Package (0009-0856-08) / 1 Ml In 1 Ampule (0009-0856-05),1382.91,1382.91,,,0 CDM,9413_43598069811,"Carboprost Tromethamine: 1 Vial, Single-Dose In 1 Carton (43598-698-11) / 1 Ml In 1 Vial, Single-Dose",1355.54,1355.54,,,0 CDM,9413_69784024001,Carboprost Tromethamine: 1 Ml In 1 Ampule (69784-240-01),1380.2,1380.2,,,0 CDM,9413_81298501001,NDC Description Not Available,640.61,640.61,,,0 CDM,94140_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,94145_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,94146_C1874_278,Noncdm Charge Record Medical Supplies,3757.6,3757.6,,,0 CDM,94147_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,9419711001,"Hc Recreational Tx - Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 CDM,9419712901,"Hc Recreational Tx - Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 CDM,9419715001,Hc Recreational Group Therapeutic Procedures-Group >=2,161.0,161.0,,,0 CDM,9419716101,Hc Recreational Tx - Pt Evaluatioln Low Complex 20 Mins,417.0,417.0,,,0 CDM,9419716201,Hc Recreational Tx - Pt Evaluatioln Low Complex 30 Mins,480.0,480.0,,,0 CDM,9419716301,Hc Recreational Tx - Pt Evaluatioln Low Complex 45 Mins,551.0,551.0,,,0 CDM,9419716401,Hc Recreational Tx - Pt Re-Evaluation Est Plan Care 20 Mins,203.0,203.0,,,0 CDM,9419716501,Hc Recreational Tx - Ot Evaluation Low Complex 30 Mins,483.0,483.0,,,0 CDM,9419716601,Hc Recreational Tx - Ot Evaluation Low Complex 45 Mins,555.0,555.0,,,0 CDM,9419716701,Hc Recreational Tx - Ot Evaluation Low Complex 60 Mins,639.0,639.0,,,0 CDM,9419716801,Hc Recreational Tx - Ot Re-Evaluation Est Plan Care 30 Mins,203.0,203.0,,,0 CDM,9419753701,"Hc Recreational Tx - Community/Work Reintegration Trgn, Each 15 Min",204.0,204.0,,,0 CDM,94219_00143963401,NDC Description Not Available,1.8,1.8,,,0 CDM,94219_43066002110,Cardene Iv: 10 Bag In 1 Carton (43066-021-10) / 200 Ml In 1 Bag,1.14,1.14,,,0 CDM,94220_82584079201,Akten: 1 Tube In 1 Carton (82584-792-01) / 1 Ml In 1 Tube,100.94,100.94,,,0 CDM,94220_82584079225,Akten: 25 Tube In 1 Carton (82584-792-25) / 1 Ml In 1 Tube,100.94,100.94,,,0 CDM,94251_270,Noncdm Charge Record Medical Supplies,1181.4,1181.4,,,0 CDM,94254_270,Noncdm Charge Record Medical Supplies,585.29,585.29,,,0 CDM,94256_C1781_278,Noncdm Charge Record Medical Supplies,1601.6,1601.6,,,0 CDM,94263_C1781_278,Noncdm Charge Record Medical Supplies,1170.4,1170.4,,,0 CDM,94271_C1781_278,Noncdm Charge Record Medical Supplies,1424.5,1424.5,,,0 CDM,94296_C1766_278,Noncdm Charge Record Medical Supplies,266.2,266.2,,,0 CDM,9429755001,Hc Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Performanc,156.0,156.0,,,0 CDM,9429755101,Hc Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Performanc,84.0,84.0,,,0 CDM,9429755201,Hc Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perf,37.0,37.0,,,0 CDM,9429780201,"Hc Medical Nutrition Therapy, Initial Assessment, Indiv, Each 15 Minutes",136.0,136.0,,,0 CDM,94297802PB,"Hc Pbb Med Nutr Ther, 1St, Indiv, Ea 15 Min",136.0,136.0,,,0 CDM,9429780301,"Hc Medical Nutrition Therapy, Re-Assessment, Indiv, Ea 15 Min",117.0,117.0,,,0 CDM,94297803PB,"Hc Pbb Med Nutr Ther, Subsq, Indiv, Ea 15 Min",117.0,117.0,,,0 CDM,9429780401,"Hc Med Nutr Ther, Group, Ea 30 Min",117.0,117.0,,,0 CDM,9429896001,Hc Education&Training Self-Mgmt Nonphys 1 Pt,184.0,184.0,,,0 CDM,9429896101,Hc Self-Mgmt Educ/Trng Ot 30 Min,152.0,152.0,,,0 CDM,9429940601,Hc Tobacco Use Cessation Intermediate 3-10 Minutes,129.0,129.0,,,0 CDM,9429940701,Hc Tobacco Use Cessation Intensive >10 Minutes,268.0,268.0,,,0 CDM,94299407PB,Hc Pbb Tobacco Use Cessation Intensive >10 Minutes,268.0,268.0,,,0 CDM,9429943701,"Hc Chronic Care Management, Each Add'l 30 Minutes By A Physician Or Other Qualified Health Care Prof",170.0,170.0,,,0 CDM,9429943901,"Hc Chronic Care Management,Each Add'l 20 Minutes Of Clinical Staff Time Directed By A Physician Or O",118.0,118.0,,,0 CDM,9429949001,"Hc Chronic Care Management, First 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other",235.0,235.0,,,0 CDM,9429949101,"Hc Chronic Care Management, First 30 Minutes Provided Personally By A Physician Or Other Qualified H",254.0,254.0,,,0 CDM,942G010801,Hc Diab Manage Trn Per Indiv,225.0,225.0,,,0 CDM,942G0109PB,Hc Pbb Diab Manage Trn Ind/Group,64.0,64.0,,,0 CDM,942G027001,"Hc Medical Nutrition Therapy; Reassessment And Subsequent Intervention(S) Following Second Referral,",92.0,92.0,,,0 CDM,942G027101,"Hc Medical Nutrition Therapy, Reassessment And Subsequent Intervention(S) Following Second Referral,",52.0,52.0,,,0 CDM,942S944301,Hc Lactation Op Support,411.0,411.0,,,0 CDM,94327_C1729_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,94328_C1729_278,Noncdm Charge Record Medical Supplies,157.3,157.3,,,0 CDM,94329_C1729_278,Noncdm Charge Record Medical Supplies,124.28,124.28,,,0 CDM,94336_C1713_278,Noncdm Charge Record Medical Supplies,256.67,256.67,,,0 CDM,94337_C1713_278,Noncdm Charge Record Medical Supplies,87.27,87.27,,,0 CDM,94338_C1713_278,Noncdm Charge Record Medical Supplies,133.91,133.91,,,0 CDM,94341_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,94342_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,9436_00093319601,Cefadroxil: 100 Capsule In 1 Bottle (0093-3196-01),13.11,13.11,,,0 CDM,9436_16714038801,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),13.39,13.39,,,0 CDM,9436_16714038802,Cefadroxil: 100 Capsule In 1 Bottle (16714-388-02),13.5,13.5,,,0 CDM,9436_68180018008,Cefadroxil: 50 Capsule In 1 Bottle (68180-180-08),13.39,13.39,,,0 CDM,9439379701,Hc Outpatient Cardiac Rehab W/O Cont Ecg Monitoring(Per Session),445.0,445.0,,,0 CDM,9439379801,Hc Outpatient Cardiac Rehab W/Cont Ecg Monitoring,522.0,522.0,,,0 CDM,94393798PB,Hc Outpatient Cardiac Rehab W/Cont Ecg Monitoring,522.0,522.0,,,0 CDM,9439_16714039001,Cefadroxil: 75 Ml In 1 Bottle (16714-390-01),15.84,15.84,,,0 CDM,9439_16714039002,Cefadroxil: 100 Ml In 1 Bottle (16714-390-02),15.45,15.45,,,0 CDM,9440_00093405953,Cefadroxil: 50 Tablet In 1 Bottle (0093-4059-53),13.9,13.9,,,0 CDM,94563_31722082111,"Tetrabenazine: 112 Tablet, Coated In 1 Bottle (31722-821-11)",281.6,281.6,,,0 CDM,94563_43598039467,Tetrabenazine: 112 Tablet In 1 Bottle (43598-394-67),272.5,272.5,,,0 CDM,94576_00143963301,NDC Description Not Available,695.45,695.45,,,0 CDM,94576_10122032501,NDC Description Not Available,784.14,784.14,,,0 CDM,94576_43066001610,Cardene Iv: 10 Bag In 1 Carton (43066-016-10) / 200 Ml In 1 Bag,341.73,341.73,,,0 CDM,94576_43066002410,Cardene Iv: 10 Bag In 1 Carton (43066-024-10) / 200 Ml In 1 Bag,365.96,365.96,,,0 CDM,94579_00078068515,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",1044.97,1044.97,,,0 CDM,94580_00078068615,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",1848.1,1848.1,,,0 CDM,9461_44567024525,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",43.26,43.26,,,0 CDM,9463_00143987725,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",42.74,42.74,,,0 CDM,9463_25021011020,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",21.63,21.63,,,0 CDM,9463_44567024625,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",42.54,42.54,,,0 CDM,94640,Noncdm Charge Record,259.07,259.07,,,0 CDM,9469_00781543920,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (0781-5439-20)",30.9,30.9,,,0 CDM,9469_16714039501,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (16714-395-01)",30.46,30.46,,,0 CDM,9469_65862009620,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (65862-096-20)",30.82,30.82,,,0 CDM,9469_67877087920,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (67877-879-20)",30.56,30.56,,,0 CDM,9474_00409508211,NDC Description Not Available,18.54,18.54,,,0 CDM,9474_00409508216,"Tazicef: 25 Vial In 1 Carton (0409-5082-16) / 1 Injection, Powder, For Solution In 1 Vial (0409-5082-11)",9.37,9.37,,,0 CDM,9474_25021012720,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",5.8,5.8,,,0 CDM,9474_44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",10.9,10.9,,,0 CDM,9476_00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",10.31,10.31,,,0 CDM,9476_00409508413,NDC Description Not Available,10.27,10.27,,,0 CDM,9476_25021012850,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",11.44,11.44,,,0 CDM,9476_44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",10.8,10.8,,,0 CDM,9478_44567023706,Ceftazidime: 6 Vial In 1 Carton (44567-237-06) / 100 Ml In 1 Vial,8.63,8.63,,,0 CDM,9487_00143985701,NDC Description Not Available,2.15,2.15,,,0 CDM,9487_00409733201,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",1.67,1.67,,,0 CDM,9487_00409733211,NDC Description Not Available,1.56,1.56,,,0 CDM,9487_00409733221,NDC Description Not Available,1.84,1.84,,,0 CDM,9487_00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",41.46,41.46,,,0 CDM,9487_25021010610,"Ceftriaxone: 25 Vial In 1 Carton (25021-106-10) / 1 Injection, Powder, For Solution In 1 Vial",0.52,0.52,,,0 CDM,9488_00143985601,NDC Description Not Available,0.17,0.17,,,0 CDM,9488_00409733503,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",1.54,1.54,,,0 CDM,9488_00409733513,NDC Description Not Available,1.29,1.29,,,0 CDM,9488_00409733521,NDC Description Not Available,1.55,1.55,,,0 CDM,9488_00781320990,NDC Description Not Available,41.19,41.19,,,0 CDM,9488_60505614900,NDC Description Not Available,41.2,41.2,,,0 CDM,9489462501,Hc Phy/Qhp Op Pulmonary Rehab W/O Cont Oximetry Montrg,206.0,206.0,,,0 CDM,9489462601,Hc Phy/Qhp Op Pulmonary Rehab With Cont Oximetry Montrg,426.0,426.0,,,0 CDM,9489_00409733711,NDC Description Not Available,3.09,3.09,,,0 CDM,9489_00409733721,NDC Description Not Available,3.09,3.09,,,0 CDM,9489_60505615104,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6151-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",57.68,57.68,,,0 CDM,9489_66794021102,NDC Description Not Available,4.12,4.12,,,0 CDM,948G042401,Hc Pulmonary Rehab W Exer,391.0,391.0,,,0 CDM,9490_00143985801,NDC Description Not Available,2.32,2.32,,,0 CDM,9490_00409733801,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",1.88,1.88,,,0 CDM,9490_00409733811,NDC Description Not Available,1.88,1.88,,,0 CDM,9490_00409733821,NDC Description Not Available,2.06,2.06,,,0 CDM,9492_00264315311,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3153-11) / 50 Ml In 1 Container,21.31,21.31,,,0 CDM,9493_00264315511,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3155-11) / 50 Ml In 1 Container,14.18,14.18,,,0 CDM,9495_16714040001,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-400-01),18.24,18.24,,,0 CDM,9495_16714040002,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-400-02),16.14,16.14,,,0 CDM,9495_60687027211,NDC Description Not Available,14.86,14.86,,,0 CDM,9496_16714040101,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),32.17,32.17,,,0 CDM,9496_16714040102,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-401-02),1.15,1.15,,,0 CDM,9496_60687028311,NDC Description Not Available,19.84,19.84,,,0 CDM,9496_68180030320,Cefuroxime Axetil: 20 Tablet In 1 Bottle (68180-303-20),28.84,28.84,,,0 CDM,9496_68180030360,Cefuroxime Axetil: 60 Tablet In 1 Bottle (68180-303-60),28.84,28.84,,,0 CDM,9506_16714079902,Cetirizine Hydrochloride (Allergy): 100 Tablet In 1 Bottle (16714-799-02),8.76,8.76,,,0 CDM,9506_51079059701,NDC Description Not Available,8.85,8.85,,,0 CDM,9516_00116200104,Chlorhexidine Gluconate: 118 Ml In 1 Bottle (0116-2001-04),27.3,27.3,,,0 CDM,9516_00116200116,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),42.23,42.23,,,0 CDM,9516_00121089300,"Chlorhexidine Gluconate: 10 Tray In 1 Case (0121-0893-00) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0893-15)",7.57,7.57,,,0 CDM,9516_63739005274,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",6.06,6.06,,,0 CDM,9516_69339013815,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",7.9,7.9,,,0 CDM,9525_65649031112,Diuril: 1 Bottle In 1 Carton (65649-311-12) / 237 Ml In 1 Bottle,12.46,12.46,,,0 CDM,9526_00517182001,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,713.42,713.42,,,0 CDM,9526_25021030520,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,259.33,259.33,,,0 CDM,9526_25021030566,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-66) / 18 Ml In 1 Vial,137.02,137.02,,,0 CDM,9526_63323065820,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1203.75,1203.75,,,0 CDM,9526_63323065827,Chlorothiazide: 1 Vial In 1 Box (63323-658-27) / 18 Ml In 1 Vial,211.15,211.15,,,0 CDM,95692_00054042623,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (0054-0426-23)",30.14,30.14,,,0 CDM,95692_31722059912,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (31722-599-12)",86.72,86.72,,,0 CDM,95692_42571039212,Rufinamide: 120 Tablet In 1 Bottle (42571-392-12),102.78,102.78,,,0 CDM,95692_62856058352,"Banzel: 120 Tablet, Film Coated In 1 Bottle (62856-583-52)",22.87,22.87,,,0 CDM,95811_00409140305,NDC Description Not Available,13.88,13.88,,,0 CDM,95811_00409318905,NDC Description Not Available,14.85,14.85,,,0 CDM,95811_00409955805,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-05) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-11)",13.07,13.07,,,0 CDM,95811_00409955810,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-10) / 10 Ml In 1 Vial, Multi-Dose (0409-9558-31)",25.9,25.9,,,0 CDM,95811_00409955811,NDC Description Not Available,16.48,16.48,,,0 CDM,95811_00409955849,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-49) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-69)",15.96,15.96,,,0 CDM,95811_00409955869,NDC Description Not Available,13.36,13.36,,,0 CDM,95811_43066000710,Rocuronium Bromide: 10 Vial In 1 Carton (43066-007-10) / 5 Ml In 1 Vial,14.12,14.12,,,0 CDM,95811_47781061791,"Rocuronium Bromide: 10 VIAL, MULTI-DOSE in 1 CARTON (47781-617-91) / 10 mL in 1 VIAL, MULTI-DOSE (47781-617-22)",23.94,23.94,,,0 CDM,95811_55150022505,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (55150-225-05) / 5 Ml In 1 Vial, Multi-Dose",27.67,27.67,,,0 CDM,95811_66794022802,NDC Description Not Available,19.83,19.83,,,0 CDM,95811_70004085009,NDC Description Not Available,28.84,28.84,,,0 CDM,95811_71288070005,NDC Description Not Available,17.51,17.51,,,0 CDM,95849_00024586201,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",1026.7,1026.7,,,0 CDM,95849_00480432001,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (0480-4320-01) / 1.2 Ml In 1 Vial, Single-Dose",121.59,121.59,,,0 CDM,95849_25021041601,Plerixafor: 1 Vial In 1 Carton (25021-416-01) / 1.2 Ml In 1 Vial,72.62,72.62,,,0 CDM,95849_70121169402,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",404.49,404.49,,,0 CDM,95849_71288015501,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",71.33,71.33,,,0 CDM,95849_72205024901,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",110.08,110.08,,,0 CDM,958_270,Noncdm Charge Record Medical Supplies,14.3,14.3,,,0 CDM,9603_63323032201,NDC Description Not Available,64.86,64.86,,,0 CDM,9603_63323032221,NDC Description Not Available,27.04,27.04,,,0 CDM,9603_63323032225,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",64.89,64.89,,,0 CDM,9603_63323032293,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-93) / 20 Ml In 1 Vial, Single-Dose (63323-322-21)",27.04,27.04,,,0 CDM,9610_61314065605,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05) / 5 Ml In 1 Bottle, Plastic",170.98,170.98,,,0 CDM,9610_61314065625,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25) / 2.5 Ml In 1 Bottle, Plastic",90.46,90.46,,,0 CDM,9610_69315030802,"Ciprofloxacin: 1 Bottle, Plastic In 1 Carton (69315-308-02) / 2.5 Ml In 1 Bottle, Plastic",45.32,45.32,,,0 CDM,9616_50268017811,NDC Description Not Available,21.04,21.04,,,0 CDM,9616_65862022560,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",21.63,21.63,,,0 CDM,9617_50268017911,NDC Description Not Available,25.2,25.2,,,0 CDM,9617_65862022660,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-226-60)",21.72,21.72,,,0 CDM,9626_00338361250,NDC Description Not Available,22.93,22.93,,,0 CDM,9626_00781328909,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),26.78,26.78,,,0 CDM,9626_00781328991,NDC Description Not Available,26.92,26.92,,,0 CDM,9626_43066099324,Clindamycin Phosphate: 24 Bag In 1 Case (43066-993-24) / 50 Ml In 1 Bag,23.09,23.09,,,0 CDM,9627_00338381424,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),18.86,18.86,,,0 CDM,9627_00338381450,NDC Description Not Available,18.67,18.67,,,0 CDM,9627_00781329091,NDC Description Not Available,19.23,19.23,,,0 CDM,9627_43066099524,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24) / 50 Ml In 1 Bag,18.81,18.81,,,0 CDM,9630_42291007615,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-15) / 15 G In 1 Tube,462.37,462.37,,,0 CDM,9630_42291007630,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-30) / 30 G In 1 Tube,924.94,924.94,,,0 CDM,9630_69238153205,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5) / 15 G In 1 Tube,462.37,462.37,,,0 CDM,9631_00168016215,Clobetasol Propionate: 15 G In 1 Tube (0168-0162-15),560.32,560.32,,,0 CDM,9631_21922001704,Clobetasol Propionate: 1 Tube In 1 Carton (21922-017-04) / 15 G In 1 Tube,537.94,537.94,,,0 CDM,9631_42291007715,Clobetasol Propionate: 1 Tube In 1 Carton (42291-077-15) / 15 G In 1 Tube,560.32,560.32,,,0 CDM,9631_42291007760,Clobetasol Propionate: 1 Tube In 1 Carton (42291-077-60) / 60 G In 1 Tube,1070.17,1070.17,,,0 CDM,9631_43386009660,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-60) / 15 G In 1 Tube,560.32,560.32,,,0 CDM,9631_51672125901,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1259-1) / 15 G In 1 Tube,560.34,560.34,,,0 CDM,9631_63629245501,Clobetasol Propionate: 1 Tube In 1 Carton (63629-2455-1) / 60 G In 1 Tube,47.38,47.38,,,0 CDM,9631_63629245801,Clobetasol Propionate: 1 Tube In 1 Carton (63629-2458-1) / 15 G In 1 Tube,17.76,17.76,,,0 CDM,9632_33342032186,Clobetasol Propionate: 1 Bottle In 1 Carton (33342-321-86) / 50 Ml In 1 Bottle,14.42,14.42,,,0 CDM,9632_51407073750,Clobetasol Propionate: 1 Bottle In 1 Carton (51407-737-50) / 50 Ml In 1 Bottle,1.03,1.03,,,0 CDM,9632_51672129302,"Clobetasol Propionate: 1 Bottle, Plastic In 1 Carton (51672-1293-2) / 25 Ml In 1 Bottle, Plastic",191.06,191.06,,,0 CDM,9632_62332048625,Clobetasol Propionate: 1 Bottle In 1 Carton (62332-486-25) / 25 Ml In 1 Bottle,371.83,371.83,,,0 CDM,9635_16571068309,Clomipramine Hydrochloride: 90 Capsule In 1 Bottle (16571-683-09),40.68,40.68,,,0 CDM,9635_59651038130,Clomipramine Hydrochloride: 30 Capsule In 1 Bottle (59651-381-30),40.43,40.43,,,0 CDM,9635_68084079095,NDC Description Not Available,40.28,40.28,,,0 CDM,9637_00093083201,Clonazepam: 100 Tablet In 1 Bottle (0093-0832-01),2.75,2.75,,,0 CDM,9637_00904722761,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61) / 1 Tablet In 1 Blister Pack,2.15,2.15,,,0 CDM,9637_16729013600,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",2.66,2.66,,,0 CDM,9637_16729013616,"Clonazepam: 500 Tablet In 1 Bottle, Plastic (16729-136-16)",2.39,2.39,,,0 CDM,9637_43547040610,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (43547-406-10)",2.3,2.3,,,0 CDM,9637_50268017311,NDC Description Not Available,2.47,2.47,,,0 CDM,9637_50268017315,Clonazepam: 50 Blister Pack In 1 Box (50268-173-15) / 1 Tablet In 1 Blister Pack (50268-173-11),2.5,2.5,,,0 CDM,9637_59651072201,Clonazepam: 100 Tablet In 1 Bottle (59651-722-01),2.53,2.53,,,0 CDM,9637_60687054401,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-544-01) / 1 Tablet In 1 Blister Pack (60687-544-11)",2.32,2.32,,,0 CDM,9637_60687054411,NDC Description Not Available,2.39,2.39,,,0 CDM,9637_72888015201,Clonazepam: 100 Tablet In 1 Bottle (72888-152-01),2.69,2.69,,,0 CDM,9638_60687055511,NDC Description Not Available,2.58,2.58,,,0 CDM,963_270,Noncdm Charge Record Medical Supplies,49.6,49.6,,,0 CDM,96413_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,96424_270,Noncdm Charge Record Medical Supplies,1089.0,1089.0,,,0 CDM,96433_C1713_278,Noncdm Charge Record Medical Supplies,465.53,465.53,,,0 CDM,96438_270,Noncdm Charge Record Medical Supplies,1089.0,1089.0,,,0 CDM,96440_270,Noncdm Charge Record Medical Supplies,1089.0,1089.0,,,0 CDM,96441_270,Noncdm Charge Record Medical Supplies,2923.8,2923.8,,,0 CDM,96443_C1750_278,Noncdm Charge Record Medical Supplies,768.9,768.9,,,0 CDM,9644_00054814622,Clotrimazole: 70 Blister Pack In 1 Carton (0054-8146-22) / 1 Lozenge In 1 Blister Pack,12.37,12.37,,,0 CDM,9647_00378086001,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0860-01)",12.33,12.33,,,0 CDM,9647_00904708761,Clozapine: 100 Blister Pack In 1 Carton (0904-7087-61) / 1 Tablet In 1 Blister Pack,3.44,3.44,,,0 CDM,9647_51079092201,NDC Description Not Available,12.35,12.35,,,0 CDM,9647_60687041511,NDC Description Not Available,12.47,12.47,,,0 CDM,96484_C1713_278,Noncdm Charge Record Medical Supplies,297.0,297.0,,,0 CDM,9648_51079092101,NDC Description Not Available,2.32,2.32,,,0 CDM,96499_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96504_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96505_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96508_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96511_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96541_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96548_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96552_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96564_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96632_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96654_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96659_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96660_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96661_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96670_C1887_278,Noncdm Charge Record Medical Supplies,61.6,61.6,,,0 CDM,96680_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96682_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96683_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96689_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96691_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96694_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96695_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96696_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96698_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96717_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96721_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96723_C1887_272,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96723_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96740_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96745_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96748_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96764_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96771_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96778_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96788_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96791_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96795_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96812_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,9682_50484001030,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30) / 30 G In 1 Tube,1330.24,1330.24,,,0 CDM,9682_50484001090,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-90) / 90 G In 1 Tube,2150.44,2150.44,,,0 CDM,9686_00548590000,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,450.71,450.71,,,0 CDM,9686_00781344071,NDC Description Not Available,330.49,330.49,,,0 CDM,96884_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96887_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96893_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96941_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96948_00078056845,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),24.29,24.29,,,0 CDM,96948_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96949_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96950_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96955_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96965_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96966_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96968_00131247735,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2477-35)",50.47,50.47,,,0 CDM,96968_00131247760,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60) / 10 Tablet, Film Coated In 1 Blister Pack",56.46,56.46,,,0 CDM,96968_00904724468,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68) / 1 Tablet, Film Coated In 1 Blister Pack",3.35,3.35,,,0 CDM,96968_50228019260,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-192-60)",38.78,38.78,,,0 CDM,96968_60687067611,NDC Description Not Available,8.43,8.43,,,0 CDM,96968_67877073360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (67877-733-60)",41.33,41.33,,,0 CDM,96969_00131247835,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2478-35)",79.31,79.31,,,0 CDM,96969_00131247860,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60) / 10 Tablet, Film Coated In 1 Blister Pack",87.58,87.58,,,0 CDM,96969_00904724568,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68) / 1 Tablet, Film Coated In 1 Blister Pack",7.93,7.93,,,0 CDM,96969_16714054901,Lacosamide: 60 Tablet In 1 Bottle (16714-549-01),64.46,64.46,,,0 CDM,96969_31722081360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (31722-813-60)",64.85,64.85,,,0 CDM,96969_50228019360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-193-60)",60.46,60.46,,,0 CDM,96969_60687068711,NDC Description Not Available,13.26,13.26,,,0 CDM,96969_67877073460,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (67877-734-60)",64.59,64.59,,,0 CDM,96969_69367034960,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-349-60)",64.03,64.03,,,0 CDM,96971_00131248060,"Vimpat: 6 Blister Pack In 1 Carton (0131-2480-60) / 10 Tablet, Film Coated In 1 Blister Pack",92.83,92.83,,,0 CDM,96971_00904724768,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7247-68) / 1 Tablet, Film Coated In 1 Blister Pack",1.09,1.09,,,0 CDM,96971_51991035106,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (51991-351-06)",68.61,68.61,,,0 CDM,96972_00131181067,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",2.57,2.57,,,0 CDM,96972_25021079120,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20) / 20 Ml In 1 Vial, Glass",1.42,1.42,,,0 CDM,96972_43598008711,NDC Description Not Available,0.87,0.87,,,0 CDM,96972_70710135901,NDC Description Not Available,1.4,1.4,,,0 CDM,96972_70710188601,NDC Description Not Available,1.42,1.42,,,0 CDM,96977_00186091612,"Pulmicort Flexhaler: 1 Inhaler In 1 Carton (0186-0916-12) / 120 Aerosol, Powder In 1 Inhaler",18.54,18.54,,,0 CDM,96977_61269051812,"Pulmicort Flexhaler: 1 Inhaler In 1 Carton (61269-518-12) / 120 Aerosol, Powder In 1 Inhaler",18.39,18.39,,,0 CDM,96982_61703030538,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",27.06,27.06,,,0 CDM,96982_61703030558,NDC Description Not Available,27.81,27.81,,,0 CDM,96983_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96985_27241014501,Silodosin: 30 Capsule In 1 Bottle (27241-145-01),32.44,32.44,,,0 CDM,96985_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,96986_55566830301,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",15.09,15.09,,,0 CDM,96988_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,9699_00065039515,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0395-15) / 15 Ml In 1 Bottle, Plastic",417.97,417.97,,,0 CDM,969G013601,"Hc Administration Of A Standardized, Evidence-Based Social Determinants Of Health Risk Assessment To",66.0,66.0,,,0 CDM,9700_00065039702,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02) / 2 Ml In 1 Bottle, Plastic",190.55,190.55,,,0 CDM,97015_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97019_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,9701_00065035902,"Cyclomydril: 2 Ml In 1 Bottle, Plastic (0065-0359-02)",152.66,152.66,,,0 CDM,9701_00065035905,"Cyclomydril: 5 Ml In 1 Bottle, Plastic (0065-0359-05)",267.8,267.8,,,0 CDM,97020_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97021_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97023_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97025_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97026_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97027_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97028_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97031_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97032_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97033_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97034_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,9705_00078010901,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),296.12,296.12,,,0 CDM,9705_00078010961,NDC Description Not Available,279.13,279.13,,,0 CDM,9706_00078024161,NDC Description Not Available,71.51,71.51,,,0 CDM,9706_60505013400,"Cyclosporine: 30 Capsule, Gelatin Coated In 1 Bottle (60505-0134-0)",63.86,63.86,,,0 CDM,9706_68084092195,NDC Description Not Available,54.59,54.59,,,0 CDM,9707_00078024061,NDC Description Not Available,17.94,17.94,,,0 CDM,9709_61703030436,"Cytarabine: 1 Vial, Multi-Dose In 1 Carton (61703-304-36) / 25 Ml In 1 Vial, Multi-Dose",13.9,13.9,,,0 CDM,97133_16714005901,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (16714-059-01)",37.36,37.36,,,0 CDM,97133_27808020601,Febuxostat: 30 Tablet In 1 Bottle (27808-206-01),44.63,44.63,,,0 CDM,97133_60687053811,NDC Description Not Available,10.82,10.82,,,0 CDM,97133_72205002830,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (72205-028-30)",34.01,34.01,,,0 CDM,97133_72578013606,Febuxostat: 30 Tablet In 1 Bottle (72578-136-06),35.24,35.24,,,0 CDM,97133_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97135_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97136_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97137_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97138_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97141_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97143_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97144_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97145_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97146_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97149_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,9714_270,Noncdm Charge Record Medical Supplies,264.0,264.0,,,0 CDM,97151_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97152_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97153_C1725_272,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97153_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97158_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97159_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97160_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97161_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97162_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97163_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97164_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97165_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97166_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97167_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97168_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97169_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97170_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97171_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97172_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97174_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97175_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97176_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97179_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97182_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97183_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97184_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97185_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97187_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97188_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,9718_00904721104,Dantrolene Sodium: 30 Blister Pack In 1 Carton (0904-7211-04) / 1 Capsule In 1 Blister Pack,6.82,6.82,,,0 CDM,9718_68084030011,NDC Description Not Available,5.05,5.05,,,0 CDM,97190_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97192_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97193_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97194_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97195_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97196_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97197_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97198_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,971G045201,Hc Clin Lab Interpretation Serv,30.0,30.0,,,0 CDM,97200_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97201_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97202_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97203_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97205_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97206_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97207_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97208_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97209_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97210_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97211_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97212_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97214_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97216_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97218_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97220_C1725_278,Noncdm Charge Record Medical Supplies,169.4,169.4,,,0 CDM,97232_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97233_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97234_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97244_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97245_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97246_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97247_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97252_00641601301,NDC Description Not Available,14.48,14.48,,,0 CDM,97252_00641601310,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6013-10) / 5 Ml In 1 Vial (0641-6013-01),14.79,14.79,,,0 CDM,97252_00641601401,NDC Description Not Available,25.86,25.86,,,0 CDM,97252_00641601410,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6014-10) / 10 Ml In 1 Vial (0641-6014-01),26.92,26.92,,,0 CDM,97252_00641601501,NDC Description Not Available,38.16,38.16,,,0 CDM,97252_00641601510,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01),39.14,39.14,,,0 CDM,97252_00641921701,NDC Description Not Available,5.08,5.08,,,0 CDM,97252_00641921710,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9217-10) / 5 Ml In 1 Vial (0641-9217-01),9.38,9.38,,,0 CDM,97252_00641921901,NDC Description Not Available,7.58,7.58,,,0 CDM,97252_00641921910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9219-10) / 25 Ml In 1 Vial (0641-9219-01),24.88,24.88,,,0 CDM,97252_17478093705,Diltiazem Hydrochloride: 10 VIAL in 1 CARTON (17478-937-05) / 5 mL in 1 VIAL,12.55,12.55,,,0 CDM,97252_17478093710,Diltiazem Hydrochloride: 10 VIAL in 1 CARTON (17478-937-10) / 10 mL in 1 VIAL,7.21,7.21,,,0 CDM,97252_17478093725,Diltiazem Hydrochloride: 1 VIAL in 1 CARTON (17478-937-25) / 25 mL in 1 VIAL,49.44,49.44,,,0 CDM,97252_25021031905,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-05) / 5 Ml In 1 Vial,11.48,11.48,,,0 CDM,97252_25021031910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-10) / 10 Ml In 1 Vial,14.3,14.3,,,0 CDM,97252_55150042501,NDC Description Not Available,11.97,11.97,,,0 CDM,97252_55150042510,"Diltiazem Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-425-10) / 5 Ml In 1 Vial, Single-Dose (55150-425-01)",16.48,16.48,,,0 CDM,97252_55150042701,NDC Description Not Available,47.67,47.67,,,0 CDM,97252_70860030105,Diltiazem Hydrochloride: 10 Vial In 1 Carton (70860-301-05) / 5 Ml In 1 Vial (70860-301-41),14.08,14.08,,,0 CDM,97252_70860030125,Diltiazem Hydrochloride: 10 Vial In 1 Carton (70860-301-25) / 25 Ml In 1 Vial (70860-301-43),42.23,42.23,,,0 CDM,97252_70860030141,NDC Description Not Available,13.47,13.47,,,0 CDM,97252_70860030143,NDC Description Not Available,42.23,42.23,,,0 CDM,97253_C1713_278,Noncdm Charge Record Medical Supplies,1120.9,1120.9,,,0 CDM,97263_270,Noncdm Charge Record Medical Supplies,370.7,370.7,,,0 CDM,97265_C1713_278,Noncdm Charge Record Medical Supplies,292.6,292.6,,,0 CDM,9726_60687069111,NDC Description Not Available,38.35,38.35,,,0 CDM,97273_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97274_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97275_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97277_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97279_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97285_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97287_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97289_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97291_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97293_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97296_32909016802,Liquid Polibar Plus: 1900 mL in 1 JUG (32909-168-02),59.74,59.74,,,0 CDM,97297_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97299_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97300_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97309_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97310_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97311_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97313_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97321_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97322_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97323_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97325_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,97335_A4648_278,Noncdm Charge Record Medical Supplies,96.82,96.82,,,0 CDM,97336_A4648_278,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 CDM,97340_C1876_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,97341_C1876_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,97343_00143963801,NDC Description Not Available,51.7,51.7,,,0 CDM,97343_00143963805,Sumatriptan: 5 Vial In 1 Carton (0143-9638-05) / .5 Ml In 1 Vial (0143-9638-01),51.5,51.5,,,0 CDM,97343_55150017301,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",46.72,46.72,,,0 CDM,97343_55150017305,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05) / .5 Ml In 1 Vial, Single-Dose",47.38,47.38,,,0 CDM,97343_63323027301,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",175.31,175.31,,,0 CDM,97343_C1876_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,97345_C1876_278,Noncdm Charge Record Medical Supplies,4004.0,4004.0,,,0 CDM,97347_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,97371_00143935501,NDC Description Not Available,21.12,21.12,,,0 CDM,97371_00409653101,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Tray (0409-6531-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-6531-11)",14.42,14.42,,,0 CDM,97371_00409653102,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",21.12,21.12,,,0 CDM,97371_00409653112,NDC Description Not Available,21.26,21.26,,,0 CDM,97371_63323020301,NDC Description Not Available,20.42,20.42,,,0 CDM,97371_67457070500,NDC Description Not Available,20.97,20.97,,,0 CDM,97379_270,Noncdm Charge Record Medical Supplies,614.93,614.93,,,0 CDM,97411_C1731_272,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 CDM,97411_C1731_278,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 CDM,97413_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,97416_C1730_272,Noncdm Charge Record Medical Supplies,886.6,886.6,,,0 CDM,97416_C1730_278,Noncdm Charge Record Medical Supplies,886.6,886.6,,,0 CDM,97433_C1830_270,Noncdm Charge Record Medical Supplies,421.3,421.3,,,0 CDM,97454_05529960104,NDC Description Not Available,10.49,10.49,,,0 CDM,97463_C1725_278,Noncdm Charge Record Medical Supplies,200.2,200.2,,,0 CDM,97465_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,9748_00703505101,NDC Description Not Available,63.65,63.65,,,0 CDM,9748_00703505401,Desmopressin acetate: 1 VIAL in 1 CARTON (0703-5054-01) / 10 mL in 1 VIAL,55.27,55.27,,,0 CDM,9748_25021046001,Desmopressin Acetate: 10 Vial In 1 Carton (25021-460-01) / 1 Ml In 1 Vial,55.18,55.18,,,0 CDM,9748_39822625001,Desmopressin Acetate: 1 Vial In 1 Carton (39822-6250-1) / 10 Ml In 1 Vial,17.69,17.69,,,0 CDM,9748_43598093109,Desmopressin Acetate: 10 Ampule In 1 Box (43598-931-09) / 1 Ml In 1 Ampule,41.07,41.07,,,0 CDM,9748_43598093111,NDC Description Not Available,34.27,34.27,,,0 CDM,9748_55566220000,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,87.71,87.71,,,0 CDM,9748_62756052940,Desmopressin Acetate: 1 Vial In 1 Carton (62756-529-40) / 10 Ml In 1 Vial,54.11,54.11,,,0 CDM,9748_65219029300,NDC Description Not Available,16.05,16.05,,,0 CDM,9748_65219029301,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (65219-293-01) / 1 Ml In 1 Vial, Single-Dose (65219-293-00)",16.22,16.22,,,0 CDM,9748_65219029510,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (65219-295-10) / 10 Ml In 1 Vial, Multi-Dose",15.95,15.95,,,0 CDM,9748_69918089901,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),63.06,63.06,,,0 CDM,9748_69918089902,NDC Description Not Available,34.35,34.35,,,0 CDM,9748_69918089910,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,48.57,48.57,,,0 CDM,9748_69918089911,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-11) / 1 Ml In 1 Ampule,32.64,32.64,,,0 CDM,9748_69918090110,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",52.84,52.84,,,0 CDM,9748_69918090111,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-11) / 10 Ml In 1 Vial, Multi-Dose",34.2,34.2,,,0 CDM,9748_70095002602,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (70095-026-02) / 1 Ml In 1 Vial, Single-Dose (70095-026-01)",56.05,56.05,,,0 CDM,9748_70095003101,Desmopressin Acetate: 1 Vial In 1 Carton (70095-031-01) / 10 Ml In 1 Vial,53.96,53.96,,,0 CDM,9748_70860045441,NDC Description Not Available,48.44,48.44,,,0 CDM,9748_83634045101,Desmopressin Acetate: 10 Vial In 1 Carton (83634-451-01) / 1 Ml In 1 Vial (83634-451-41),42.71,42.71,,,0 CDM,9748_83634045141,NDC Description Not Available,42.72,42.72,,,0 CDM,97492_C1725_278,Noncdm Charge Record Medical Supplies,107.8,107.8,,,0 CDM,97566_C1897_278,Noncdm Charge Record Medical Supplies,1155.0,1155.0,,,0 CDM,97569_270,Noncdm Charge Record Medical Supplies,2271.5,2271.5,,,0 CDM,97570_270,Noncdm Charge Record Medical Supplies,2271.5,2271.5,,,0 CDM,97574_270,Noncdm Charge Record Medical Supplies,1640.21,1640.21,,,0 CDM,97593_C1729_278,Noncdm Charge Record Medical Supplies,94.32,94.32,,,0 CDM,97643_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,97644_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,97652_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,97657_C2617_278,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,97663_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,97664_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,97665_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,97666_C1713_278,Noncdm Charge Record Medical Supplies,181.18,181.18,,,0 CDM,97667_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,97668_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,97716_00409379619,NDC Description Not Available,3.6,3.6,,,0 CDM,97716_63323016203,NDC Description Not Available,8.76,8.76,,,0 CDM,97716_63323016225,NDC Description Not Available,1.03,1.03,,,0 CDM,97719_C1773_278,Noncdm Charge Record Medical Supplies,30.8,30.8,,,0 CDM,97751_C1889_278,Noncdm Charge Record Medical Supplies,1780.9,1780.9,,,0 CDM,97751_J7307_278,Noncdm Charge Record Medical Supplies,1780.9,1780.9,,,0 CDM,97772_270,Noncdm Charge Record Medical Supplies,346.5,346.5,,,0 CDM,97783_C1760_278,Noncdm Charge Record Medical Supplies,338.8,338.8,,,0 CDM,97802_270,Noncdm Charge Record Medical Supplies,100.7,100.7,,,0 CDM,97830_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,97832_C1713_278,Noncdm Charge Record Medical Supplies,878.82,878.82,,,0 CDM,97833_C1713_278,Noncdm Charge Record Medical Supplies,878.87,878.87,,,0 CDM,97846_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,97847_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,97848_C1713_278,Noncdm Charge Record Medical Supplies,878.9,878.9,,,0 CDM,97849_C1713_278,Noncdm Charge Record Medical Supplies,878.4,878.4,,,0 CDM,97853_50474071079,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",35.34,35.34,,,0 CDM,97860_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,97861_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,9787_270,Noncdm Charge Record Medical Supplies,1691.8,1691.8,,,0 CDM,97880_270,Noncdm Charge Record Medical Supplies,601.7,601.7,,,0 CDM,97881_270,Noncdm Charge Record Medical Supplies,601.7,601.7,,,0 CDM,97887_Q4130_278,Noncdm Charge Record Medical Supplies,42.49,42.49,,,0 CDM,97887_Q4130_636,Noncdm Charge Record Pharmacy,39.79,39.79,,,0 CDM,9788_00264775100,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00) / 1000 Ml In 1 Container,35.63,35.63,,,0 CDM,9788_00338012504,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),35.67,35.67,,,0 CDM,9788_00990792909,Lactated Ringers And Dextrose: 12 Pouch In 1 Case (0990-7929-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.62,35.62,,,0 CDM,97891_C1773_278,Noncdm Charge Record Medical Supplies,13.2,13.2,,,0 CDM,97893_49884076852,NDC Description Not Available,1836.31,1836.31,,,0 CDM,97893_59148002050,Samsca: 1 Blister Pack In 1 Carton (59148-020-50) / 10 Tablet In 1 Blister Pack,2144.94,2144.94,,,0 CDM,97894_31722086903,Tolvaptan: 1 Blister Pack In 1 Carton (31722-869-03) / 10 Tablet In 1 Blister Pack,2037.23,2037.23,,,0 CDM,97894_31722086931,NDC Description Not Available,2101.2,2101.2,,,0 CDM,97894_49884077052,NDC Description Not Available,2101.2,2101.2,,,0 CDM,97894_59148002150,Samsca: 1 Blister Pack In 1 Carton (59148-021-50) / 10 Tablet In 1 Blister Pack,2225.23,2225.23,,,0 CDM,9791_00338068304,Potassium Chloride In Dextrose: 1000 Ml In 1 Bag (0338-0683-04),4.33,4.33,,,0 CDM,97932_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97934_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97938_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97939_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97940_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97941_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97945_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97947_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97948_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,97949_C1789_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,9795_00264765200,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00) / 1000 Ml In 1 Container,22.32,22.32,,,0 CDM,9795_00338080304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),43.41,43.41,,,0 CDM,9796_00338080704,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),37.9,37.9,,,0 CDM,97974_270,Noncdm Charge Record Medical Supplies,349.8,349.8,,,0 CDM,97982_C1769_278,Noncdm Charge Record Medical Supplies,192.5,192.5,,,0 CDM,97991_270,Noncdm Charge Record Medical Supplies,771.1,771.1,,,0 CDM,97998_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,97999_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,9799_00338066904,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),43.26,43.26,,,0 CDM,98000_C1713_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,98001_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,98002_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98003_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98015_C1713_278,Noncdm Charge Record Medical Supplies,2973.3,2973.3,,,0 CDM,9801_00338067104,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),25.26,25.26,,,0 CDM,9801_00990790209,Potassium Chloride In Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7902-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,28.6,28.6,,,0 CDM,98034_00032004670,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",8.38,8.38,,,0 CDM,98034_00032120601,"Creon: 1 Bottle In 1 Carton (0032-1206-01) / 100 Capsule, Delayed Release Pellets In 1 Bottle",7.86,7.86,,,0 CDM,98035_00032004770,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",18.21,18.21,,,0 CDM,98035_00032121201,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",17.97,17.97,,,0 CDM,98035_00032121207,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-07)",17.11,17.11,,,0 CDM,98035_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98036_00032122401,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",35.62,35.62,,,0 CDM,98036_00032122407,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-07)",33.19,33.19,,,0 CDM,98036_00032263601,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",35.7,35.7,,,0 CDM,98036_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98037_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98038_C1713_278,Noncdm Charge Record Medical Supplies,880.52,880.52,,,0 CDM,98039_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98040_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98041_C1713_278,Noncdm Charge Record Medical Supplies,878.21,878.21,,,0 CDM,98042_C1713_278,Noncdm Charge Record Medical Supplies,878.33,878.33,,,0 CDM,98043_C1713_278,Noncdm Charge Record Medical Supplies,878.14,878.14,,,0 CDM,98044_C1713_278,Noncdm Charge Record Medical Supplies,878.41,878.41,,,0 CDM,98045_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98046_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98053_C1874_278,Noncdm Charge Record Medical Supplies,5619.9,5619.9,,,0 CDM,98054_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98055_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98056_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98057_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98058_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98079_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,9807_00264763800,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00) / 1000 Ml In 1 Container,36.05,36.05,,,0 CDM,9807_00338067504,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),43.05,43.05,,,0 CDM,98082_C1876_278,Noncdm Charge Record Medical Supplies,1077.78,1077.78,,,0 CDM,98083_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98084_C1876_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98091_C1874_278,Noncdm Charge Record Medical Supplies,6394.3,6394.3,,,0 CDM,98092_C1874_278,Noncdm Charge Record Medical Supplies,6394.3,6394.3,,,0 CDM,98123_C1713_278,Noncdm Charge Record Medical Supplies,741.63,741.63,,,0 CDM,9812_00338007704,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04) / 1000 Ml In 1 Bag,36.05,36.05,,,0 CDM,98132_270,Noncdm Charge Record Medical Supplies,594.0,594.0,,,0 CDM,98134_270,Noncdm Charge Record Medical Supplies,618.2,618.2,,,0 CDM,98140_270,Noncdm Charge Record Medical Supplies,1601.6,1601.6,,,0 CDM,98141_C1732_278,Noncdm Charge Record Medical Supplies,3522.2,3522.2,,,0 CDM,98142_270,Noncdm Charge Record Medical Supplies,406.55,406.55,,,0 CDM,98145_C1887_278,Noncdm Charge Record Medical Supplies,31.9,31.9,,,0 CDM,9814_00264761200,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00) / 1000 Ml In 1 Container,35.84,35.84,,,0 CDM,9814_00264761210,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10) / 500 Ml In 1 Container,24.03,24.03,,,0 CDM,9814_00338008503,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03) / 500 Ml In 1 Bag,36.05,36.05,,,0 CDM,9814_00338008504,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,36.42,36.42,,,0 CDM,9814_00990792609,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7926-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,2.06,2.06,,,0 CDM,9814_63323086910,Dextrose And Sodium Chloride: 10 Bag In 1 Case (63323-869-10) / 1000 Ml In 1 Bag (63323-869-01),37.65,37.65,,,0 CDM,9814_63323086974,Dextrose And Sodium Chloride: 20 Bag In 1 Case (63323-869-74) / 500 Ml In 1 Bag (63323-869-04),36.05,36.05,,,0 CDM,98151_270,Noncdm Charge Record Medical Supplies,11880.0,11880.0,,,0 CDM,9815_00338008903,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,32.77,32.77,,,0 CDM,9815_00338008904,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,17.87,17.87,,,0 CDM,9815_00338979901,NDC Description Not Available,18.02,18.02,,,0 CDM,9815_00990794109,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7941-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,18.02,18.02,,,0 CDM,98173_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,98174_C1713_278,Noncdm Charge Record Medical Supplies,866.25,866.25,,,0 CDM,98175_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,98177_C1713_278,Noncdm Charge Record Medical Supplies,1001.0,1001.0,,,0 CDM,98223_C1713_278,Noncdm Charge Record Medical Supplies,55.0,55.0,,,0 CDM,98232_270,Noncdm Charge Record Medical Supplies,355.3,355.3,,,0 CDM,98251_C1713_278,Noncdm Charge Record Medical Supplies,2746.7,2746.7,,,0 CDM,98253_24510005010,"Nucynta: 100 Tablet, Film Coated In 1 Bottle (24510-050-10)",45.71,45.71,,,0 CDM,98255_270,Noncdm Charge Record Medical Supplies,575.3,575.3,,,0 CDM,98258_C1713_278,Noncdm Charge Record Medical Supplies,631.4,631.4,,,0 CDM,98274_C1713_278,Noncdm Charge Record Medical Supplies,173.8,173.8,,,0 CDM,98284_C1713_278,Noncdm Charge Record Medical Supplies,394.9,394.9,,,0 CDM,9828_00019481604,"Md Gastroview: 25 Bottle, Glass In 1 Box (0019-4816-04) / 30 Ml In 1 Bottle, Glass",2.98,2.98,,,0 CDM,9828_00019481605,NDC Description Not Available,0.95,0.95,,,0 CDM,9828_00270044535,Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle,3.49,3.49,,,0 CDM,9828_00270044540,Gastrografin: 12 Bottle In 1 Box (0270-0445-40) / 120 Ml In 1 Bottle,2.51,2.51,,,0 CDM,98312_59338077501,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",5.45,5.45,,,0 CDM,98329_00024414260,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",58.13,58.13,,,0 CDM,98338_C1725_278,Noncdm Charge Record Medical Supplies,2673.13,2673.13,,,0 CDM,98338_C2628_278,Noncdm Charge Record Medical Supplies,2860.0,2860.0,,,0 CDM,98339_L8610_278,Noncdm Charge Record Medical Supplies,499.4,499.4,,,0 CDM,98346_270,Noncdm Charge Record Medical Supplies,445.5,445.5,,,0 CDM,98347_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98349_C2625_278,Noncdm Charge Record Medical Supplies,138.52,138.52,,,0 CDM,98350_C1889_278,Noncdm Charge Record Medical Supplies,675.4,675.4,,,0 CDM,98357_L8610_278,Noncdm Charge Record Medical Supplies,508.2,508.2,,,0 CDM,98372_60505464203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4642-3)",59.55,59.55,,,0 CDM,98373_00002512377,"Effient: 90 BLISTER PACK in 1 CARTON (0002-5123-77) / 1 TABLET, FILM COATED in 1 BLISTER PACK (0002-5123-01)",66.25,66.25,,,0 CDM,98373_60505464303,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4643-3)",59.53,59.53,,,0 CDM,98373_65162000203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65162-002-03)",59.16,59.16,,,0 CDM,98373_65862083030,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65862-830-30)",60.02,60.02,,,0 CDM,98451_17156023501,"Adreview: 1 Vial, Glass In 1 Container (17156-235-01) / 5 Ml In 1 Vial, Glass",8688.0,8688.0,,,0 CDM,98457_270,Noncdm Charge Record Medical Supplies,1039.5,1039.5,,,0 CDM,98463_48815100205,"Sodium Iodide I 123: 1 Vial, Plastic In 1 Can (48815-1002-5) / 5 Capsule, Gelatin Coated In 1 Vial, Plastic",1683.83,1683.83,,,0 CDM,98469_C1713_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,98491_C1713_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,98493_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,98495_C1894_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,98498_C1769_278,Noncdm Charge Record Medical Supplies,12.47,12.47,,,0 CDM,98528_270,Noncdm Charge Record Medical Supplies,585.2,585.2,,,0 CDM,98592_C1874_278,Noncdm Charge Record Medical Supplies,26956.6,26956.6,,,0 CDM,98596_C1874_278,Noncdm Charge Record Medical Supplies,28413.0,28413.0,,,0 CDM,9859_00143927301,NDC Description Not Available,646.73,646.73,,,0 CDM,9859_81284041100,NDC Description Not Available,248.61,248.61,,,0 CDM,9859_81284041110,Dihydroergotamine Mesylate: 10 Ampule In 1 Carton (81284-411-10) / 1 Ml In 1 Ampule (81284-411-00),149.35,149.35,,,0 CDM,98604_C1874_278,Noncdm Charge Record Medical Supplies,26956.6,26956.6,,,0 CDM,98608_C1874_278,Noncdm Charge Record Medical Supplies,28413.0,28413.0,,,0 CDM,98612_C1874_278,Noncdm Charge Record Medical Supplies,24769.8,24769.8,,,0 CDM,98614_C1874_278,Noncdm Charge Record Medical Supplies,28413.0,28413.0,,,0 CDM,98632_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,98645_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,98646_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,98653_C1713_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,98659_C1762_278,Noncdm Charge Record Medical Supplies,2753.3,2753.3,,,0 CDM,98659_C1762_636,Noncdm Charge Record Pharmacy,2578.09,2578.09,,,0 CDM,98661_C1713_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98661_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98663_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98664_C1889_278,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,98666_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98667_C1762_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98674_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98675_C1713_278,Noncdm Charge Record Medical Supplies,879.27,879.27,,,0 CDM,98676_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98677_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,98678_C1889_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,98693_C1876_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,98720_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,98722_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,98730_C1725_278,Noncdm Charge Record Medical Supplies,300.3,300.3,,,0 CDM,98747_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,98748_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,98749_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,98750_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,98762_270,Noncdm Charge Record Medical Supplies,369.6,369.6,,,0 CDM,98763_270,Noncdm Charge Record Medical Supplies,455.4,455.4,,,0 CDM,98788_C1766_278,Noncdm Charge Record Medical Supplies,732.78,732.78,,,0 CDM,9880000001,Hc Special Unit Activation,38606.0,38606.0,,,0 CDM,9880000004,Hc Incremental Nursing Charge,30482.0,30482.0,,,0 CDM,98805_C1713_278,Noncdm Charge Record Medical Supplies,46.2,46.2,,,0 CDM,98808_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,98809_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98812_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98814_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,98818_270,Noncdm Charge Record Medical Supplies,2242.9,2242.9,,,0 CDM,98863_C1874_278,Noncdm Charge Record Medical Supplies,15176.7,15176.7,,,0 CDM,98871_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,988_42806071401,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),8.82,8.82,,,0 CDM,98914_C1776_278,Noncdm Charge Record Medical Supplies,7392.0,7392.0,,,0 CDM,9892_00143914101,NDC Description Not Available,32.96,32.96,,,0 CDM,9892_00409234401,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",32.87,32.87,,,0 CDM,9892_00409234402,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",29.9,29.9,,,0 CDM,9892_00409234462,NDC Description Not Available,29.98,29.98,,,0 CDM,9892_00409234468,NDC Description Not Available,28.05,28.05,,,0 CDM,9892_00409234488,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",27.79,27.79,,,0 CDM,9892_70436020380,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (70436-203-80) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 CDM,9892_70436020382,"Dobutamine: 10 Vial, Single-Dose In 1 Carton (70436-203-82) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 CDM,98930_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98931_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98932_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98933_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98934_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98935_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98936_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98944_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98948_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,9894_00832035611,Doxazosin: 100 Tablet In 1 Bottle (0832-0356-11),4.61,4.61,,,0 CDM,9894_00904552261,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61) / 1 Tablet In 1 Blister Pack,1.73,1.73,,,0 CDM,9894_68084083611,NDC Description Not Available,3.94,3.94,,,0 CDM,9894_68084083695,NDC Description Not Available,3.56,3.56,,,0 CDM,9895_00904552361,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61) / 1 Tablet In 1 Blister Pack,0.77,0.77,,,0 CDM,9895_68084085111,NDC Description Not Available,3.97,3.97,,,0 CDM,9895_68084085195,NDC Description Not Available,3.44,3.44,,,0 CDM,9895_68382078401,Doxazosin: 100 Tablet In 1 Bottle (68382-784-01),4.28,4.28,,,0 CDM,98962_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98963_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98964_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98965_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98966_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98967_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98968_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98969_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,9896_00904552461,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61) / 1 Tablet In 1 Blister Pack,1.35,1.35,,,0 CDM,9896_68084086211,NDC Description Not Available,3.94,3.94,,,0 CDM,98970_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98971_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98972_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98973_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98974_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98976_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98978_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98979_C1713_278,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 CDM,98987_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,98989_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,9900000002,Hc Guest Tray Breakfast,18.0,18.0,,,0 CDM,9900000003,Hc Guest Tray Lunch,34.0,34.0,,,0 CDM,9900000004,Hc Guest Tray Dinner,34.0,34.0,,,0 CDM,9900000005,Hc Hospice Meal Charge,98.0,98.0,,,0 CDM,9900000007,Hc Pulm.Rehab Maintenance,92.0,92.0,,,0 CDM,99002_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99003_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99004_C1713_278,Noncdm Charge Record Medical Supplies,96.91,96.91,,,0 CDM,99005_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99006_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99007_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99008_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99009_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99010_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99011_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99012_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99013_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99014_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99015_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99016_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99019_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99020_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99022_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99023_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99024_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99029_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,9902_62135041746,"Doxycycline: 60 Ml In 1 Bottle, Glass (62135-417-46)",27.81,27.81,,,0 CDM,9902_62135087746,"Doxycycline: 60 Ml In 1 Bottle, Glass (62135-877-46)",120.51,120.51,,,0 CDM,9902_68180065701,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),24.47,24.47,,,0 CDM,99030_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99031_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99032_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99033_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99039_C1713_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,99041_270,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,99042_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,9904_00904674561,DRONABINOL: 100 BLISTER PACK in 1 CARTON (0904-6745-61) / 1 CAPSULE in 1 BLISTER PACK,20.53,20.53,,,0 CDM,9904_00904714461,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,20.47,20.47,,,0 CDM,9904_17478076106,Dronabinol: 1 BOTTLE in 1 CARTON (17478-761-06) / 60 CAPSULE in 1 BOTTLE,21.63,21.63,,,0 CDM,9904_60687037511,NDC Description Not Available,30.61,30.61,,,0 CDM,9904_60687037521,Dronabinol: 30 Blister Pack In 1 Carton (60687-375-21) / 1 Capsule In 1 Blister Pack (60687-375-11),30.62,30.62,,,0 CDM,9904_67877075360,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),23.93,23.93,,,0 CDM,99058_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,9905_00904714504,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,20.91,20.91,,,0 CDM,9905_17478076206,Dronabinol: 1 BOTTLE in 1 CARTON (17478-762-06) / 60 CAPSULE in 1 BOTTLE,22.37,22.37,,,0 CDM,9905_42858086806,Dronabinol: 60 Capsule In 1 Bottle (42858-868-06),6.78,6.78,,,0 CDM,9905_60687038611,NDC Description Not Available,30.97,30.97,,,0 CDM,9905_67877075460,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),24.43,24.43,,,0 CDM,99064_C1776_278,Noncdm Charge Record Medical Supplies,1501.5,1501.5,,,0 CDM,99065_C1776_278,Noncdm Charge Record Medical Supplies,1309.0,1309.0,,,0 CDM,99066_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,99080_270,Noncdm Charge Record Medical Supplies,752.4,752.4,,,0 CDM,99086_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,99087_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,99095_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,99096_C1713_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,99098_C1713_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,99110_270,Noncdm Charge Record Medical Supplies,1056.0,1056.0,,,0 CDM,99113_270,Noncdm Charge Record Medical Supplies,1599.4,1599.4,,,0 CDM,9911_C1769_278,Noncdm Charge Record Medical Supplies,83.6,83.6,,,0 CDM,99121_270,Noncdm Charge Record Medical Supplies,658.35,658.35,,,0 CDM,99134_270,Noncdm Charge Record Medical Supplies,91.3,91.3,,,0 CDM,99136_270,Noncdm Charge Record Medical Supplies,492.8,492.8,,,0 CDM,99148_270,Noncdm Charge Record Medical Supplies,2131.8,2131.8,,,0 CDM,99149_270,Noncdm Charge Record Medical Supplies,2273.7,2273.7,,,0 CDM,99151_270,Noncdm Charge Record Medical Supplies,2757.7,2757.7,,,0 CDM,99186_C1713_278,Noncdm Charge Record Medical Supplies,270.6,270.6,,,0 CDM,99188_C1776_278,Noncdm Charge Record Medical Supplies,1463.0,1463.0,,,0 CDM,99189_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,99190_C1776_278,Noncdm Charge Record Medical Supplies,1316.7,1316.7,,,0 CDM,99196_C1713_278,Noncdm Charge Record Medical Supplies,73.46,73.46,,,0 CDM,99210_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,99211_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,99212_C2625_278,Noncdm Charge Record Medical Supplies,206.84,206.84,,,0 CDM,99213_C2625_278,Noncdm Charge Record Medical Supplies,206.86,206.86,,,0 CDM,99214,Noncdm Charge Record,544.0,544.0,,,0 CDM,99214_C2625_278,Noncdm Charge Record Medical Supplies,206.98,206.98,,,0 CDM,99215_C2625_278,Noncdm Charge Record Medical Supplies,207.35,207.35,,,0 CDM,99216_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,99217_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,99219_C2625_278,Noncdm Charge Record Medical Supplies,206.8,206.8,,,0 CDM,99221_C1874_278,Noncdm Charge Record Medical Supplies,5003.9,5003.9,,,0 CDM,99222_C1768_278,Noncdm Charge Record Medical Supplies,2005.3,2005.3,,,0 CDM,99226_C1876_278,Noncdm Charge Record Medical Supplies,4104.1,4104.1,,,0 CDM,99231_C1874_278,Noncdm Charge Record Medical Supplies,7569.1,7569.1,,,0 CDM,99232_C1874_278,Noncdm Charge Record Medical Supplies,7569.1,7569.1,,,0 CDM,99233_C1874_278,Noncdm Charge Record Medical Supplies,7493.2,7493.2,,,0 CDM,99234_C1874_278,Noncdm Charge Record Medical Supplies,7569.1,7569.1,,,0 CDM,99235_C1874_278,Noncdm Charge Record Medical Supplies,7493.2,7493.2,,,0 CDM,99239_C1874_278,Noncdm Charge Record Medical Supplies,7569.1,7569.1,,,0 CDM,99246_270,Noncdm Charge Record Medical Supplies,880.0,880.0,,,0 CDM,99247_270,Noncdm Charge Record Medical Supplies,1267.2,1267.2,,,0 CDM,99249_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99255_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,99256_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,99278_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,99281_270,Noncdm Charge Record Medical Supplies,1154.16,1154.16,,,0 CDM,99287_C1726_278,Noncdm Charge Record Medical Supplies,396.0,396.0,,,0 CDM,99288_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,99292_C1776_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,99297_C1713_278,Noncdm Charge Record Medical Supplies,785.07,785.07,,,0 CDM,9929_00143978601,NDC Description Not Available,39.64,39.64,,,0 CDM,9929_00143978701,NDC Description Not Available,22.97,22.97,,,0 CDM,9929_43598016911,NDC Description Not Available,19.52,19.52,,,0 CDM,99305_C1776_278,Noncdm Charge Record Medical Supplies,1787.5,1787.5,,,0 CDM,99308_270,Noncdm Charge Record Medical Supplies,646.8,646.8,,,0 CDM,99312_270,Noncdm Charge Record Medical Supplies,1678.6,1678.6,,,0 CDM,99313_270,Noncdm Charge Record Medical Supplies,2176.9,2176.9,,,0 CDM,99315_C1768_278,Noncdm Charge Record Medical Supplies,837.1,837.1,,,0 CDM,99318_C1768_278,Noncdm Charge Record Medical Supplies,801.9,801.9,,,0 CDM,99338_C1713_278,Noncdm Charge Record Medical Supplies,520.3,520.3,,,0 CDM,99339_C1713_278,Noncdm Charge Record Medical Supplies,415.8,415.8,,,0 CDM,99341_C1713_278,Noncdm Charge Record Medical Supplies,511.5,511.5,,,0 CDM,99350_C1713_278,Noncdm Charge Record Medical Supplies,332.2,332.2,,,0 CDM,99353_270,Noncdm Charge Record Medical Supplies,8144.4,8144.4,,,0 CDM,99362_C1713_278,Noncdm Charge Record Medical Supplies,58.52,58.52,,,0 CDM,99363_C1713_278,Noncdm Charge Record Medical Supplies,58.57,58.57,,,0 CDM,99368_C1713_278,Noncdm Charge Record Medical Supplies,114.4,114.4,,,0 CDM,99369_C1713_278,Noncdm Charge Record Medical Supplies,395.27,395.27,,,0 CDM,99370_C1713_278,Noncdm Charge Record Medical Supplies,395.18,395.18,,,0 CDM,99373_C1713_278,Noncdm Charge Record Medical Supplies,395.45,395.45,,,0 CDM,99383_C1713_278,Noncdm Charge Record Medical Supplies,64.9,64.9,,,0 CDM,99388_C1713_278,Noncdm Charge Record Medical Supplies,99.0,99.0,,,0 CDM,9938_00069130801,NDC Description Not Available,4.77,4.77,,,0 CDM,9938_00069130810,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",4.77,4.77,,,0 CDM,9938_55513014401,NDC Description Not Available,8.08,8.08,,,0 CDM,9938_55513014410,Epogen: 10 Vial In 1 Package (55513-144-10) / 1 Ml In 1 Vial (55513-144-01),7.17,7.17,,,0 CDM,9938_59676031000,NDC Description Not Available,27.17,27.17,,,0 CDM,9938_59676031002,"Procrit: 25 Vial, Single-Dose In 1 Carton (59676-310-02) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",11.56,11.56,,,0 CDM,99390_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,99391_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,99392_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,99393_C1713_278,Noncdm Charge Record Medical Supplies,245.3,245.3,,,0 CDM,99394_C1713_278,Noncdm Charge Record Medical Supplies,101.2,101.2,,,0 CDM,99396_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,99397_C1713_278,Noncdm Charge Record Medical Supplies,104.5,104.5,,,0 CDM,9939_55513012601,NDC Description Not Available,7.17,7.17,,,0 CDM,9939_59676030200,NDC Description Not Available,13.24,13.24,,,0 CDM,9939_59676030201,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-302-01) / 1 Ml In 1 Vial, Single-Dose (59676-302-00)",11.57,11.57,,,0 CDM,99405_42799021701,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",27.96,27.96,,,0 CDM,99405_62559015304,Opium Tincture Deodorized: 118 Ml In 1 Bottle (62559-153-04),28.44,28.44,,,0 CDM,99405_C1713_278,Noncdm Charge Record Medical Supplies,693.0,693.0,,,0 CDM,99418_C1713_278,Noncdm Charge Record Medical Supplies,847.0,847.0,,,0 CDM,9941_00069130701,NDC Description Not Available,4.76,4.76,,,0 CDM,9941_55513014810,Epogen: 10 Vial In 1 Package (55513-148-10) / 1 Ml In 1 Vial (55513-148-01),7.17,7.17,,,0 CDM,9941_59676030400,NDC Description Not Available,18.06,18.06,,,0 CDM,9941_59676030401,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-304-01) / 1 Ml In 1 Vial, Single-Dose (59676-304-00)",11.56,11.56,,,0 CDM,99437_270,Noncdm Charge Record Medical Supplies,8910.0,8910.0,,,0 CDM,99438_270,Noncdm Charge Record Medical Supplies,810.7,810.7,,,0 CDM,99443_00591257920,"Valganciclovir Hydrochloride For Oral: 100 Ml In 1 Bottle, Glass (0591-2579-20)",532.7,532.7,,,0 CDM,99443_27241015909,NDC Description Not Available,368.8,368.8,,,0 CDM,99443_27241015919,Valganciclovir Hydrochloride: 1 Pouch In 1 Carton (27241-159-19) / 1 Bottle In 1 Pouch / 100 Ml In 1 Bottle,679.76,679.76,,,0 CDM,99443_31722083710,"Valganciclovir: 1 Bottle, Glass In 1 Carton (31722-837-10) / 100 Ml In 1 Bottle, Glass",632.13,632.13,,,0 CDM,99443_59651044401,"Valganciclovir: 1 Bottle, Glass In 1 Carton (59651-444-01) / 100 Ml In 1 Bottle, Glass",568.95,568.95,,,0 CDM,99443_70069081001,Valganciclovir Hydrochloride: 100 Ml In 1 Bottle (70069-810-01),568.92,568.92,,,0 CDM,99443_72603017401,"Valganciclovir: 1 Bottle, Glass In 1 Carton (72603-174-01) / 100 Ml In 1 Bottle, Glass",557.12,557.12,,,0 CDM,99445_00536114263,Levonorgestrel: 1 Blister Pack In 1 Carton (0536-1142-63) / 1 Tablet In 1 Blister Pack,9.27,9.27,,,0 CDM,99445_16714080901,New Day: 1 Blister Pack In 1 Carton (16714-809-01) / 1 Tablet In 1 Blister Pack,35.02,35.02,,,0 CDM,99445_50742035201,Her Style: 1 Blister Pack In 1 Carton (50742-352-01) / 1 Tablet In 1 Blister Pack,38.11,38.11,,,0 CDM,99445_69536016288,"Plan B One-Step: 1 Blister Pack In 1 Box, Unit-Dose (69536-162-88) / 1 Tablet In 1 Blister Pack",38.66,38.66,,,0 CDM,99465_15054050001,"Dysport: 1 Vial In 1 Carton (15054-0500-1) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.41,21.41,,,0 CDM,99479_C1769_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,99498_C1713_278,Noncdm Charge Record Medical Supplies,273.0,273.0,,,0 CDM,99505_270,Noncdm Charge Record Medical Supplies,695.2,695.2,,,0 CDM,99509_270,Noncdm Charge Record Medical Supplies,1742.4,1742.4,,,0 CDM,99510_C1732_278,Noncdm Charge Record Medical Supplies,3725.7,3725.7,,,0 CDM,99534_270,Noncdm Charge Record Medical Supplies,589.6,589.6,,,0 CDM,99539_C1713_278,Noncdm Charge Record Medical Supplies,458.7,458.7,,,0 CDM,99548_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,99549_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,99554_C1713_278,Noncdm Charge Record Medical Supplies,1130.8,1130.8,,,0 CDM,99555_C1713_278,Noncdm Charge Record Medical Supplies,1130.8,1130.8,,,0 CDM,99571_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,99573_C1776_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,99583_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99584_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99586_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99587_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99588_C1776_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,99600_C1776_278,Noncdm Charge Record Medical Supplies,1386.0,1386.0,,,0 CDM,99606_C1713_278,Noncdm Charge Record Medical Supplies,3702.6,3702.6,,,0 CDM,99610_C1713_278,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 CDM,99612_60505613207,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.03,1.03,,,0 CDM,99614_C1713_278,Noncdm Charge Record Medical Supplies,422.03,422.03,,,0 CDM,99615_C1713_278,Noncdm Charge Record Medical Supplies,422.4,422.4,,,0 CDM,99616_C1713_278,Noncdm Charge Record Medical Supplies,421.85,421.85,,,0 CDM,99617_C1713_278,Noncdm Charge Record Medical Supplies,335.72,335.72,,,0 CDM,99618_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,99619_C1776_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,99622_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,99623_C1776_278,Noncdm Charge Record Medical Supplies,1694.0,1694.0,,,0 CDM,99658_270,Noncdm Charge Record Medical Supplies,666.6,666.6,,,0 CDM,99659_270,Noncdm Charge Record Medical Supplies,1996.5,1996.5,,,0 CDM,99661_270,Noncdm Charge Record Medical Supplies,1996.5,1996.5,,,0 CDM,99662_270,Noncdm Charge Record Medical Supplies,1996.5,1996.5,,,0 CDM,99694_00115136529,"Sevelamer Carbonate: 90 Packet In 1 Carton (0115-1365-29) / 1 Powder, For Suspension In 1 Packet (0115-1365-30)",3.04,3.04,,,0 CDM,99694_00115136530,NDC Description Not Available,3.94,3.94,,,0 CDM,99694_65862093008,NDC Description Not Available,2.84,2.84,,,0 CDM,99695_00955105490,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1054-90) / 1 Powder, For Suspension In 1 Packet (0955-1054-01)",1.73,1.73,,,0 CDM,99695_58468013101,NDC Description Not Available,9.87,9.87,,,0 CDM,99695_64380088100,NDC Description Not Available,3.43,3.43,,,0 CDM,99695_65862093108,NDC Description Not Available,1.99,1.99,,,0 CDM,9969_00430375414,"Estrace: 36 Carton In 1 Case (0430-3754-14) / 1 Tube, With Applicator In 1 Carton / 42.5 G In 1 Tube, With Applicator",1491.44,1491.44,,,0 CDM,99720_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,99725_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,9972_00046074905,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1592.23,1592.23,,,0 CDM,9973_00046110081,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",29.87,29.87,,,0 CDM,9974_00046110281,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",29.92,29.92,,,0 CDM,9977_00046087221,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21) / 30 G In 1 Tube, With Applicator",1114.72,1114.72,,,0 CDM,99783_270,Noncdm Charge Record Medical Supplies,343.2,343.2,,,0 CDM,99794_C1776_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,9979_67457029750,"Ethacrynic Sodium: 1 Vial, Single-Dose In 1 Carton (67457-297-50) / 50 Ml In 1 Vial, Single-Dose",9393.6,9393.6,,,0 CDM,99802_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,99804_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,99805_C1713_278,Noncdm Charge Record Medical Supplies,115.5,115.5,,,0 CDM,9980_69238112601,Ethacrynic Acid: 100 Tablet In 1 Bottle (69238-1126-1),87.21,87.21,,,0 CDM,99817_C1713_278,Noncdm Charge Record Medical Supplies,195.8,195.8,,,0 CDM,99825_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,99826_C1713_278,Noncdm Charge Record Medical Supplies,877.91,877.91,,,0 CDM,99827_C1713_278,Noncdm Charge Record Medical Supplies,877.8,877.8,,,0 CDM,9982_68180028001,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),2.15,2.15,,,0 CDM,99830_C1713_278,Noncdm Charge Record Medical Supplies,277.2,277.2,,,0 CDM,99831_C1713_278,Noncdm Charge Record Medical Supplies,77.0,77.0,,,0 CDM,99832_C1894_278,Noncdm Charge Record Medical Supplies,1102.25,1102.25,,,0 CDM,99834_C1874_278,Noncdm Charge Record Medical Supplies,6394.3,6394.3,,,0 CDM,99838_C1894_278,Noncdm Charge Record Medical Supplies,38.5,38.5,,,0 CDM,9983_42806010201,"Ethambutol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42806-102-01)",5.66,5.66,,,0 CDM,9983_68084028011,NDC Description Not Available,5.83,5.83,,,0 CDM,99849_C1729_278,Noncdm Charge Record Medical Supplies,136.4,136.4,,,0 CDM,99850_C1729_278,Noncdm Charge Record Medical Supplies,136.4,136.4,,,0 CDM,99851_B4088_270,Noncdm Charge Record Medical Supplies,1158.3,1158.3,,,0 CDM,99871_270,Noncdm Charge Record Medical Supplies,690.8,690.8,,,0 CDM,99872_270,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 CDM,99887_C1713_278,Noncdm Charge Record Medical Supplies,1078.0,1078.0,,,0 CDM,99894_C1713_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,99899_C2625_278,Noncdm Charge Record Medical Supplies,234.3,234.3,,,0 CDM,9990000002,Noncdm Charge Record,205.18,205.18,,,0 CDM,9990000003,Hc Sjvg Full Screening,220.0,220.0,,,0 CDM,9990000005,Hc Sjvg Limited Screening,79.0,79.0,,,0 CDM,9990000006,Noncdm Charge Record,109.0,109.0,,,0 CDM,9990000010,Hc Room Private Routine Daily - Client/Billing Research,0.01,0.01,,,0 CDM,9990000011,Hc Icu Room Daily - Client/Billing Research,0.01,0.01,,,0 CDM,99900_C2617_278,Noncdm Charge Record Medical Supplies,119.9,119.9,,,0 CDM,99903_C1769_278,Noncdm Charge Record Medical Supplies,128.7,128.7,,,0 CDM,99920_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,99921_C1900_275,Noncdm Charge Record Medical Supplies,2063.6,2063.6,,,0 CDM,99926_C1894_278,Noncdm Charge Record Medical Supplies,36.39,36.39,,,0 CDM,99929_C1894_278,Noncdm Charge Record Medical Supplies,179.3,179.3,,,0 CDM,99961_270,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 CDM,99963_270,Noncdm Charge Record Medical Supplies,2475.0,2475.0,,,0 CDM,99968_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,99969_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,99970_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,99973_C1887_278,Noncdm Charge Record Medical Supplies,69.3,69.3,,,0 CDM,99982_72893000301,Folotyn: 1 Vial In 1 Carton (72893-003-01) / 1 Ml In 1 Vial,880.37,880.37,,,0 CDM,999Q900101,Noncdm Charge Record,1.0,1.0,,,0 CDM,999Q900201,Noncdm Charge Record,1.0,1.0,,,0 CDM,A9513_A9513_344,Noncdm Charge Record Radiopharmaceuticals,603.75,603.75,,,0 CDM,A9513_A9513_636,Noncdm Charge Record Pharmacy,350.99,350.99,,,0 CDM,A9552,Noncdm Charge Record,1314.0,1314.0,,,0 CDM,A9552_A9552_343,Noncdm Charge Record Radiopharmaceuticals,1314.0,1314.0,,,0 CDM,A9586_A9586_343,Noncdm Charge Record Radiopharmaceuticals,4485.0,4485.0,,,0 CDM,A9592_A9592_343,Noncdm Charge Record Radiopharmaceuticals,1561.8,1561.8,,,0 CDM,A9595_A9595_343,Noncdm Charge Record Radiopharmaceuticals,5018.0,5018.0,,,0 CDM,A9607_A9607_344,Noncdm Charge Record Radiopharmaceuticals,576.79,576.79,,,0 CDM,A9608_A9608_343,Noncdm Charge Record Radiopharmaceuticals,1053.89,1053.89,,,0 CDM,C1062_C1062_278,Noncdm Charge Record Medical Supplies,6414.1,6414.1,,,0 CDM,C1762_C1762_250,Noncdm Charge Record Pharmacy,1.03,1.03,,,0 CDM,G2212,Noncdm Charge Record,113.0,113.0,,,0 CDM,I1070076_C1778_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,I1070077_C1889_278,Noncdm Charge Record Medical Supplies,748.0,748.0,,,0 CDM,I1070078_C1713_278,Noncdm Charge Record Medical Supplies,4420.17,4420.17,,,0 CDM,I1070078_C1776_278,Noncdm Charge Record Medical Supplies,13516.8,13516.8,,,0 CDM,I1070078_Q4100_278,Noncdm Charge Record Medical Supplies,9068.4,9068.4,,,0 CDM,I1070079_C1713_278,Noncdm Charge Record Medical Supplies,1426.44,1426.44,,,0 CDM,I1070079_C1776_278,Noncdm Charge Record Medical Supplies,308.0,308.0,,,0 CDM,I1070080_C1713_278,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,I1070081_C1789_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,I1070082_270,Noncdm Charge Record Medical Supplies,1.1,1.1,,,0 CDM,I1070082_C1713_278,Noncdm Charge Record Medical Supplies,1343.1,1343.1,,,0 CDM,I1070082_C1889_278,Noncdm Charge Record Medical Supplies,4986.3,4986.3,,,0 CDM,I1070082_Q4100_278,Noncdm Charge Record Medical Supplies,26583.7,26583.7,,,0 CDM,I1070083_270,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,I1070083_C1713_278,Noncdm Charge Record Medical Supplies,688.6,688.6,,,0 CDM,I1070083_Q4158_278,Noncdm Charge Record Medical Supplies,17532.9,17532.9,,,0 CDM,I1070085_C1889_278,Noncdm Charge Record Medical Supplies,3205.24,3205.24,,,0 CDM,I1070086_C1884_278,Noncdm Charge Record Medical Supplies,2027.3,2027.3,,,0 CDM,I1070086_C1889_278,Noncdm Charge Record Medical Supplies,870.83,870.83,,,0 CDM,I1070087,Noncdm Charge Record,4060.0,4060.0,,,0 CDM,I1070087_270,Noncdm Charge Record Medical Supplies,312.82,312.82,,,0 CDM,I1070087_278,Noncdm Charge Record Medical Supplies,227.7,227.7,,,0 CDM,I1070087_C1726_278,Noncdm Charge Record Medical Supplies,238.7,238.7,,,0 CDM,I1070087_C1874_278,Noncdm Charge Record Medical Supplies,4356.28,4356.28,,,0 CDM,I1070087_C1876_278,Noncdm Charge Record Medical Supplies,8385.3,8385.3,,,0 CDM,I1070087_C1889_278,Noncdm Charge Record Medical Supplies,1245.71,1245.71,,,0 CDM,I1070087_C2625_278,Noncdm Charge Record Medical Supplies,110.73,110.73,,,0 CDM,I1070087_Q4100_278,Noncdm Charge Record Medical Supplies,27318.5,27318.5,,,0 CDM,I1070088_270,Noncdm Charge Record Medical Supplies,178.31,178.31,,,0 CDM,I1070088_C1713_278,Noncdm Charge Record Medical Supplies,1356.98,1356.98,,,0 CDM,I1070088_C1889_278,Noncdm Charge Record Medical Supplies,3482.46,3482.46,,,0 CDM,I1070088_L8613_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,I1070091_270,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,I1070091_C1713_278,Noncdm Charge Record Medical Supplies,1084.6,1084.6,,,0 CDM,I1070091_C1784_278,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,I1070091_C1889_278,Noncdm Charge Record Medical Supplies,846.27,846.27,,,0 CDM,I1070091_C2634_278,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,I1070091_V2632_276,Noncdm Charge Record Medical Supplies,183.7,183.7,,,0 CDM,I1070091_V2785_276,Noncdm Charge Record Medical Supplies,7007.0,7007.0,,,0 CDM,I1070092_C1788_278,Noncdm Charge Record Medical Supplies,1052.7,1052.7,,,0 CDM,I1070092_C1874_278,Noncdm Charge Record Medical Supplies,3888.5,3888.5,,,0 CDM,I1070092_Q4100_278,Noncdm Charge Record Medical Supplies,2109.8,2109.8,,,0 CDM,I1070093_C1771_278,Noncdm Charge Record Medical Supplies,3004.1,3004.1,,,0 CDM,I1070094_C1776_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,I1070097_C1889_278,Noncdm Charge Record Medical Supplies,6083.0,6083.0,,,0 CDM,I1070100_C1889_278,Noncdm Charge Record Medical Supplies,47740.0,47740.0,,,0 CDM,I1070102_C1781_278,Noncdm Charge Record Medical Supplies,565.4,565.4,,,0 CDM,I1070102_C1889_278,Noncdm Charge Record Medical Supplies,6707.8,6707.8,,,0 CDM,I1070106_Q4100_278,Noncdm Charge Record Medical Supplies,27415.85,27415.85,,,0 CDM,I1070108_C1781_278,Noncdm Charge Record Medical Supplies,569.8,569.8,,,0 CDM,I1070108_Q4158_278,Noncdm Charge Record Medical Supplies,14611.3,14611.3,,,0 CDM,I1070109_270,Noncdm Charge Record Medical Supplies,818.54,818.54,,,0 CDM,I1070109_C1713_278,Noncdm Charge Record Medical Supplies,1233.8,1233.8,,,0 CDM,I1070109_C1763_278,Noncdm Charge Record Medical Supplies,924.0,924.0,,,0 CDM,I1070109_C1778_278,Noncdm Charge Record Medical Supplies,2051.5,2051.5,,,0 CDM,I1070109_C1787_278,Noncdm Charge Record Medical Supplies,1232.0,1232.0,,,0 CDM,I1070109_C1820_278,Noncdm Charge Record Medical Supplies,20751.5,20751.5,,,0 CDM,I1070109_C1889_278,Noncdm Charge Record Medical Supplies,5202.0,5202.0,,,0 CDM,I1070109_Q4100_278,Noncdm Charge Record Medical Supplies,1456.54,1456.54,,,0 CDM,I1070111_C1778_278,Noncdm Charge Record Medical Supplies,1432.2,1432.2,,,0 CDM,I1070118_270,Noncdm Charge Record Medical Supplies,139.7,139.7,,,0 CDM,I1070118_C1820_278,Noncdm Charge Record Medical Supplies,16798.65,16798.65,,,0 CDM,I1070119_270,Noncdm Charge Record Medical Supplies,231.0,231.0,,,0 CDM,I1070119_C1778_278,Noncdm Charge Record Medical Supplies,3234.0,3234.0,,,0 CDM,I1070119_C1820_278,Noncdm Charge Record Medical Supplies,21159.6,21159.6,,,0 CDM,I1070121_C1889_278,Noncdm Charge Record Medical Supplies,3619.0,3619.0,,,0 CDM,I1070122_270,Noncdm Charge Record Medical Supplies,161.29,161.29,,,0 CDM,I1070122_C1713_278,Noncdm Charge Record Medical Supplies,909.83,909.83,,,0 CDM,I1070122_C1776_278,Noncdm Charge Record Medical Supplies,4385.02,4385.02,,,0 CDM,I1070122_C1889_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,I1070122_Q4166_278,Noncdm Charge Record Medical Supplies,20.06,20.06,,,0 CDM,I1070123_270,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 CDM,I1070123_C1713_278,Noncdm Charge Record Medical Supplies,857.39,857.39,,,0 CDM,I1070123_C1776_278,Noncdm Charge Record Medical Supplies,1961.19,1961.19,,,0 CDM,I1070123_C1786_278,Noncdm Charge Record Medical Supplies,2695.0,2695.0,,,0 CDM,I1070124_270,Noncdm Charge Record Medical Supplies,254.95,254.95,,,0 CDM,I1070124_C1713_278,Noncdm Charge Record Medical Supplies,797.84,797.84,,,0 CDM,I1070124_C1776_278,Noncdm Charge Record Medical Supplies,1784.12,1784.12,,,0 CDM,I1070124_C1889_278,Noncdm Charge Record Medical Supplies,567.05,567.05,,,0 CDM,I1070125_270,Noncdm Charge Record Medical Supplies,79.2,79.2,,,0 CDM,I1070125_279,Noncdm Charge Record Medical Supplies,2194.5,2194.5,,,0 CDM,I1070125_C1713_278,Noncdm Charge Record Medical Supplies,620.4,620.4,,,0 CDM,I1070125_C1762_278,Noncdm Charge Record Medical Supplies,2163.7,2163.7,,,0 CDM,I1070125_C1776_278,Noncdm Charge Record Medical Supplies,2160.28,2160.28,,,0 CDM,I1070126_C1713_278,Noncdm Charge Record Medical Supplies,1485.08,1485.08,,,0 CDM,I1070126_C1889_278,Noncdm Charge Record Medical Supplies,2023.08,2023.08,,,0 CDM,I1070127_270,Noncdm Charge Record Medical Supplies,602.52,602.52,,,0 CDM,I1070127_278,Noncdm Charge Record Medical Supplies,2356.93,2356.93,,,0 CDM,I1070127_C1713_278,Noncdm Charge Record Medical Supplies,1054.48,1054.48,,,0 CDM,I1070127_C1773_278,Noncdm Charge Record Medical Supplies,113.85,113.85,,,0 CDM,I1070127_C1776_278,Noncdm Charge Record Medical Supplies,4438.5,4438.5,,,0 CDM,I1070127_Q4100_278,Noncdm Charge Record Medical Supplies,1478.4,1478.4,,,0 CDM,I1070128_270,Noncdm Charge Record Medical Supplies,248.16,248.16,,,0 CDM,I1070128_A7524_274,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,I1070128_C1713_278,Noncdm Charge Record Medical Supplies,1217.72,1217.72,,,0 CDM,I1070128_C1750_278,Noncdm Charge Record Medical Supplies,1193.5,1193.5,,,0 CDM,I1070128_C1763_278,Noncdm Charge Record Medical Supplies,4766.3,4766.3,,,0 CDM,I1070128_C1764_278,Noncdm Charge Record Medical Supplies,6622.0,6622.0,,,0 CDM,I1070128_C1768_278,Noncdm Charge Record Medical Supplies,3463.9,3463.9,,,0 CDM,I1070128_C1771_278,Noncdm Charge Record Medical Supplies,3004.1,3004.1,,,0 CDM,I1070128_C1776_278,Noncdm Charge Record Medical Supplies,3077.15,3077.15,,,0 CDM,I1070128_C1778_278,Noncdm Charge Record Medical Supplies,1201.2,1201.2,,,0 CDM,I1070128_C1781_278,Noncdm Charge Record Medical Supplies,388.85,388.85,,,0 CDM,I1070128_C1788_278,Noncdm Charge Record Medical Supplies,1052.7,1052.7,,,0 CDM,I1070128_C1789_278,Noncdm Charge Record Medical Supplies,1632.4,1632.4,,,0 CDM,I1070128_C1813_278,Noncdm Charge Record Medical Supplies,21872.4,21872.4,,,0 CDM,I1070128_C1874_278,Noncdm Charge Record Medical Supplies,10511.97,10511.97,,,0 CDM,I1070128_C1889_278,Noncdm Charge Record Medical Supplies,9464.64,9464.64,,,0 CDM,I1070128_C9361_278,Noncdm Charge Record Medical Supplies,3972.1,3972.1,,,0 CDM,I1070128_L8613_278,Noncdm Charge Record Medical Supplies,22.0,22.0,,,0 CDM,I1070128_L8699_278,Noncdm Charge Record Medical Supplies,1540.0,1540.0,,,0 CDM,I1070128_Q4100_278,Noncdm Charge Record Medical Supplies,16438.0,16438.0,,,0 CDM,I1070128_Q4145_278,Noncdm Charge Record Medical Supplies,362.74,362.74,,,0 CDM,I1070128_Q4158_278,Noncdm Charge Record Medical Supplies,544.47,544.47,,,0 CDM,I1070129_270,Noncdm Charge Record Medical Supplies,1120.9,1120.9,,,0 CDM,I1070129_C1813_278,Noncdm Charge Record Medical Supplies,23572.27,23572.27,,,0 CDM,I1070130_270,Noncdm Charge Record Medical Supplies,595.83,595.83,,,0 CDM,I1070130_C1713_278,Noncdm Charge Record Medical Supplies,2100.21,2100.21,,,0 CDM,I1070130_C1789_278,Noncdm Charge Record Medical Supplies,1848.0,1848.0,,,0 CDM,I1070130_Q4100_278,Noncdm Charge Record Medical Supplies,58.45,58.45,,,0 CDM,I1070130_Q4158_278,Noncdm Charge Record Medical Supplies,120.11,120.11,,,0 CDM,I1070133_270,Noncdm Charge Record Medical Supplies,97.9,97.9,,,0 CDM,I1070133_C1875_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,I1070133_C1889_278,Noncdm Charge Record Medical Supplies,6922.3,6922.3,,,0 CDM,I1070134_C1763_278,Noncdm Charge Record Medical Supplies,4481.4,4481.4,,,0 CDM,I1070134_Q4100_278,Noncdm Charge Record Medical Supplies,36.19,36.19,,,0 CDM,I1070134_Q4158_278,Noncdm Charge Record Medical Supplies,6078.6,6078.6,,,0 CDM,I1070135_270,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 CDM,I1070135_278,Noncdm Charge Record Medical Supplies,616.0,616.0,,,0 CDM,I1070135_C1713_278,Noncdm Charge Record Medical Supplies,1128.22,1128.22,,,0 CDM,I1070135_C1773_278,Noncdm Charge Record Medical Supplies,770.0,770.0,,,0 CDM,I1070135_C1831_278,Noncdm Charge Record Medical Supplies,6160.0,6160.0,,,0 CDM,I1070135_C1889_278,Noncdm Charge Record Medical Supplies,3844.87,3844.87,,,0 CDM,I1070136_C1713_278,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 CDM,I1070138_270,Noncdm Charge Record Medical Supplies,388.85,388.85,,,0 CDM,I1070138_C1874_278,Noncdm Charge Record Medical Supplies,141.35,141.35,,,0 CDM,I1070138_C2617_278,Noncdm Charge Record Medical Supplies,92.4,92.4,,,0 CDM,I1070139_270,Noncdm Charge Record Medical Supplies,4859.8,4859.8,,,0 CDM,I1070139_C1876_278,Noncdm Charge Record Medical Supplies,4110.7,4110.7,,,0 CDM,I1070139_C1889_278,Noncdm Charge Record Medical Supplies,23870.0,23870.0,,,0 CDM,I1070139_C2617_278,Noncdm Charge Record Medical Supplies,190.3,190.3,,,0 CDM,I1070143_C1876_278,Noncdm Charge Record Medical Supplies,2663.1,2663.1,,,0 CDM,I1070145_C1874_278,Noncdm Charge Record Medical Supplies,4466.0,4466.0,,,0 CDM,I1070148_C1875_278,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 CDM,I1070148_C1889_278,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 CDM,I1070149_C1729_278,Noncdm Charge Record Medical Supplies,75.9,75.9,,,0 CDM,I1070149_C1758_278,Noncdm Charge Record Medical Supplies,123.75,123.75,,,0 CDM,I1070149_C1874_278,Noncdm Charge Record Medical Supplies,167.2,167.2,,,0 CDM,I1070149_C1889_278,Noncdm Charge Record Medical Supplies,203.5,203.5,,,0 CDM,I1070149_C2617_278,Noncdm Charge Record Medical Supplies,111.1,111.1,,,0 CDM,I1070150_C1874_278,Noncdm Charge Record Medical Supplies,12012.0,12012.0,,,0 CDM,I1070150_C1889_278,Noncdm Charge Record Medical Supplies,35035.0,35035.0,,,0 CDM,I1070152_270,Noncdm Charge Record Medical Supplies,1120.9,1120.9,,,0 CDM,I1070152_C1729_278,Noncdm Charge Record Medical Supplies,167.2,167.2,,,0 CDM,I1070152_C1771_278,Noncdm Charge Record Medical Supplies,8416.65,8416.65,,,0 CDM,I1070152_C1813_278,Noncdm Charge Record Medical Supplies,24436.5,24436.5,,,0 CDM,I1070152_C2617_278,Noncdm Charge Record Medical Supplies,109.63,109.63,,,0 CDM,I1070152_Q4100_278,Noncdm Charge Record Medical Supplies,20.13,20.13,,,0 CDM,I1070154_C1874_278,Noncdm Charge Record Medical Supplies,23870.0,23870.0,,,0 CDM,J0585_J0585_636,Noncdm Charge Record Pharmacy,15.96,15.96,,,0 CDM,J1170_J1171_636,Noncdm Charge Record Pharmacy,9.61,9.61,,,0 CDM,J1171_J1171_636,Noncdm Charge Record Pharmacy,21.22,21.22,,,0 CDM,J3260_J3260_636,Noncdm Charge Record Pharmacy,22.55,22.55,,,0 CDM,Q9967_Q9967_255,Noncdm Charge Record Pharmacy,2.31,2.31,,,0 HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,540.0,1526.4,13 HCPCS,0002M,Liver dis 10 assays w/ash,,,377.55,1067.21,11 HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,18.75,53.0,13 HCPCS,0003M,Liver dis 10 assays w/nash,,,377.55,1067.21,11 HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,712.5,2014.0,13 HCPCS,0004M,Scoliosis dna alys,,,59.25,167.48,11 HCPCS,0005U,Onco prst8 3 gene ur alg,,,570.0,1611.2,13 HCPCS,0006M,Onc hep gene risk classifier,,,112.5,318.0,11 HCPCS,0007M,Onc gastro 51 gene nomogram,,,281.25,795.0,11 HCPCS,0007U,Rx test prsmv ur w/def conf,,,85.82,242.59,13 HCPCS,0008U,Hpylori detcj abx rstnc dna,,,448.43,1267.57,13 HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,80.25,226.84,13 HCPCS,0010U,Nfct ds strn typ whl gen seq,,,320.45,905.79,13 HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,570.0,1611.2,13 HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,85.82,242.59,13 HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,570.0,1611.2,13 HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,570.0,1611.2,13 HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,979.03,2767.38,13 HCPCS,0016M,Onc bladder mrna 209 gen alg,,,2617.22,7398.02,13 HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,122.97,347.6,13 HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,1882.66,5321.65,13 HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,68.75,194.32,13 HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,480.55,1358.35,13 HCPCS,0018U,Onc thyr 10 microrna seq alg,,,2251.57,6364.43,13 HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,1510.29,7 HCPCS,0019T,Extracorporeal shock,,,2572.0,2572.0,1 HCPCS,0019U,Onc rna tiss predict alg,,,2756.25,7791.0,13 HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,570.0,1611.2,13 HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1462.5,4134.0,12 HCPCS,0023U,Onc aml dna detcj/nondetcj,,,186.38,526.84,13 HCPCS,0024U,Glyca nuc mr spectrsc quan,,,25.64,72.48,13 HCPCS,0025U,Tenofovir liq chrom ur quan,,,64.33,242.59,13 HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,2700.0,7632.0,13 HCPCS,0027U,Jak2 gene trgt seq alys,,,91.43,258.45,13 HCPCS,0029U,Rx metab advrs trgt seq alys,,,556.7,1573.61,13 HCPCS,0030U,Rx metab warf trgt seq alys,,,100.6,284.36,13 HCPCS,0031U,Cyp1a2 gene,,,131.11,370.6,13 HCPCS,0032U,Comt gene,,,131.11,370.6,13 HCPCS,0033U,Htr2a htr2c genes,,,262.22,477.55,6 HCPCS,0034U,Tpmt nudt15 genes,,,349.63,988.28,13 HCPCS,0035U,"Hc Ref Neurology - Prion Disease- 14-3-3 Protein Tau, Total, Csf",1726.0,1726.0,,,0 HCPCS,0035U,Neuro csf prion prtn qual,,,405.74,1146.9,13 HCPCS,0036U,Xome tum & nml spec seq alys,,,3585.0,10133.6,13 HCPCS,0037U,Trgt gen seq dna 324 genes,,,2625.0,7420.0,13 HCPCS,0038U,Vitamin d srm microsamp quan,,,22.2,62.75,13 HCPCS,0039U,Dna antb 2strand hi avidity,,,10.31,29.13,13 HCPCS,0040U,Bcr/abl1 gene major bp quan,,,307.43,868.99,13 HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,12.91,36.49,13 HCPCS,0042T,Hc Ct Cerebral Perfusion,1692.0,1692.0,,,0 HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,12.91,36.49,13 HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,11.15,31.5,13 HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,11.15,31.5,13 HCPCS,0045U,Onc brst dux carc is 12 gene,,,2904.75,8210.76,13 HCPCS,0046U,Flt3 gene itd variants quan,,,165.65,863.75,13 HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,2904.75,8210.76,13 HCPCS,0048U,Onc sld org neo dna 468 gene,,,2189.7,6189.55,13 HCPCS,0049U,Npm1 gene analysis quan,,,246.49,863.75,13 HCPCS,0050U,Trgt gen seq dna 194 genes,,,2187.45,6183.19,13 HCPCS,0051T,Implant total heart system,,,3600.0,3600.0,1 HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,145.28,523.47,13 HCPCS,0052T,Replace thrc unit hrt syst,,,3600.0,3600.0,1 HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,25.4,71.78,13 HCPCS,0053T,Replace implantable hrt syst,,,3600.0,3600.0,1 HCPCS,0054T,Bone srgry cmptr fluor image,,,1343.0,2987.0,5 HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,111.72,421.33,13 HCPCS,0055T,Bone srgry cmptr ct/mri imag,,,1343.0,2987.0,5 HCPCS,0055U,Card hrt trnspl 96 dna seq,,,2430.0,6868.8,13 HCPCS,0058U,Onc merkel cll carc srm quan,,,242.22,684.68,13 HCPCS,0059U,Onc merkel cll carc srm +/-,,,242.22,684.68,13 HCPCS,0060U,Twn zyg gen seq alys chrms2,,,569.29,1609.19,13 HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,18.83,53.21,13 HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,285.54,807.13,13 HCPCS,0063U,Neuro autism 32 amines alg,,,562.5,1590.0,13 HCPCS,0064U,Antb tp total&rpr ia qual,,,23.5,66.42,13 HCPCS,0065U,Syfls tst nontreponemal antb,,,13.57,38.35,13 HCPCS,0066U,Pamg-1 ia cervico-vag fluid,,,11.47,20.88,4 HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1422.75,4021.64,13 HCPCS,0068U,Candida species pnl amp prb,,,106.97,302.38,13 HCPCS,0069U,Onc clrct microrna mir-31-3p,,,285.0,805.6,13 HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,507.28,1433.9,13 HCPCS,0071T,Us leiomyomata ablate <200,,,3246.92,11385.0,13 HCPCS,0071U,Cyp2d6 full gene sequence,,,301.35,1272.0,13 HCPCS,0072T,Us leiomyomata ablate >200,,,3246.92,11385.0,13 HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,338.18,955.93,13 HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,338.18,955.93,13 HCPCS,0074U,Cyp2d6 nonduplicated gene,,,338.18,955.93,13 HCPCS,0075T,"Hc Transcather Plcmt Stent(S) Carotid Artery Incl Rs&I, Initial Vessel",12346.0,12346.0,,,0 HCPCS,0075T,Perq Stent/Chest Vert Art,,,3514.53,5843.31,4 HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,338.18,955.93,13 HCPCS,0076T,S&I Stent/Chest Vert Art,,,3514.53,5843.31,4 HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,338.18,955.93,13 HCPCS,0077U,Ig paraprotein qual bld/ur,,,32.57,92.07,13 HCPCS,0078U,Pain mgt opi use gnotyp pnl,,,338.18,615.9,6 HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,2640.0,7462.4,13 HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,185.19,523.47,13 HCPCS,0083U,Onc rspse chemo cntrst tomog,,,125.51,354.78,13 HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,540.0,1526.4,13 HCPCS,0086U,Nfct ds bact&fng org id 6+,,,150.0,424.0,13 HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,2369.57,6697.97,13 HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,2369.57,6697.97,13 HCPCS,0089U,Onc mlnma prame & linc00518,,,570.0,1611.2,13 HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1462.5,4134.0,13 HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,1866.0,5274.56,13 HCPCS,0093U,Rx mntr 65 com drugs urine,,,46.61,131.74,13 HCPCS,0094U,Genome rapid sequence alys,,,5686.65,16074.26,13 HCPCS,0095T,Rmvl artific disc addl crvcl,,,2572.0,10006.92,6 HCPCS,0095U,Inflm ee elisa alys alg,,,578.99,1636.6,13 HCPCS,0096U,Hpv hi risk types male urine,,,26.32,74.39,13 HCPCS,0098T,Rev Artific Disc Addl,,,2572.0,10006.92,6 HCPCS,0099T,Implant Corneal Ring,,,4840.09,4840.09,2 HCPCS,0100T,Prosth Retina Receive&Gen,,,5087.0,21254.0,12 HCPCS,0101T,Extracorp shockwv tx hi enrg,,,247.41,11385.0,17 HCPCS,0101U,Hered colon ca do 15 genes,,,1169.8,3697.17,13 HCPCS,0102T,Extracorp shockwv tx anesth,,,3281.9,11385.0,17 HCPCS,0102U,Hered brst ca rltd do 17 gen,,,977.96,2764.37,13 HCPCS,0103U,Hered ova ca pnl 24 genes,,,1117.98,3697.17,13 HCPCS,0105U,Neph ckd mult eclia tum nec,,,712.5,2014.0,13 HCPCS,0106T,Touch Quant Sensory Test,,,37.46,79.42,7 HCPCS,0106U,Gstr emptg 7 timed brth spec,,,655.87,1853.92,13 HCPCS,0107T,Vibrate Quant Sensory Test,,,37.46,79.42,7 HCPCS,0107U,C diff tox ag detcj ia stool,,,12.0,33.92,13 HCPCS,0108T,Cool Quant Sensory Test,,,59.17,125.44,7 HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,2513.25,10494.0,13 HCPCS,0109T,Heat Quant Sensory Test,,,37.46,79.42,7 HCPCS,0109U,Id aspergillus dna 4 species,,,106.97,302.38,13 HCPCS,0110T,Nos Quant Sensory Test,,,133.45,282.92,7 HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,20.33,57.47,13 HCPCS,0111U,Onc colon ca kras&nras alys,,,511.72,1446.45,13 HCPCS,0112U,Iadi 16s&18s rrna genes,,,267.1,755.0,13 HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,570.0,1611.2,13 HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1453.51,4108.58,13 HCPCS,0115U,Respir iadna 18 viral&2 bact,,,206.51,583.74,13 HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,185.19,523.47,13 HCPCS,0117U,Pain mgmt 11 endogenous anal,,,630.49,1782.18,13 HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2064.94,5836.89,13 HCPCS,0119U,Crd ceramides liq chrom plsm,,,62.82,177.57,13 HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,1882.66,5321.65,13 HCPCS,0121U,Sc dis vcam-1 whole blood,,,381.9,1079.5,13 HCPCS,0122U,Sc dis p-selectin whl blood,,,394.67,1115.61,13 HCPCS,0123T,Scleral Fistulization,,,4840.09,4840.09,2 HCPCS,0123U,Mchnl fragility rbc prflg,,,268.22,758.18,13 HCPCS,0129U,Hered brst ca rltd do panel,,,977.96,2764.37,13 HCPCS,0130U,Hered colon ca do mrna pnl,,,438.68,1239.99,13 HCPCS,0131U,Hered brst ca rltd do pnl 13,,,532.5,969.79,6 HCPCS,01323,Hc Vistaseal Fibrin Sealant Human 10Ml Item# (132332),1471.8,1471.8,,,0 HCPCS,01323,Hc Vistaseal Fibrin Sealant Human 2Ml Item# (132333),345.4,345.4,,,0 HCPCS,01323,Hc Vistaseal Fibrin Sealant Human 4Ml Item# (132334),640.2,640.2,,,0 HCPCS,0132U,Hered ova ca rltd do pnl 17,,,556.23,1013.01,6 HCPCS,0133U,Hered prst8 ca rltd do 11,,,517.72,1463.41,13 HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,561.29,1586.59,13 HCPCS,0135U,Hered gyn ca mrna pnl 12 gen,,,525.42,956.89,6 HCPCS,0136U,Atm mrna seq alys,,,305.57,863.75,13 HCPCS,0137U,Palb2 mrna seq alys,,,212.16,599.71,13 HCPCS,0138U,Brca1 brca2 mrna seq alys,,,351.25,992.86,13 HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,117.56,332.31,13 HCPCS,0141U,Nfct ds bact&fng gram pos,,,117.56,332.31,13 HCPCS,0142U,Nfct ds bact&fng gram neg,,,117.56,332.31,13 HCPCS,0152U,Nfct bct fng prst dna >1000,,,1594.65,4507.54,13 HCPCS,0153U,Onc breast mrna 101 genes,,,2369.57,6697.97,13 HCPCS,0154U,Fgfr3 gene analysis,,,207.31,1022.14,13 HCPCS,0155U,Pik3ca gene analysis,,,206.12,582.64,13 HCPCS,0156U,Copy number sequence alys,,,1305.0,3688.8,13 HCPCS,0157U,Apc mrna seq alys,,,212.16,599.71,13 HCPCS,0158U,Mlh1 mrna seq alys,,,212.16,599.71,13 HCPCS,0159U,Msh2 mrna seq alys,,,212.16,599.71,13 HCPCS,0160U,Msh6 mrna seq alys,,,212.16,599.71,13 HCPCS,0161U,Pms2 mrna seq alys,,,212.16,599.71,13 HCPCS,0162U,Hered colon ca trgt mrna pnl,,,364.91,1031.46,13 HCPCS,0163T,Tot disc arthrp ea addl lmbr,,,3600.0,3600.0,1 HCPCS,0163U,Onc clrct scr 3 prtn alg,,,293.06,533.73,6 HCPCS,0164T,Remove Lumb Artif Disc Addl,,,1343.0,10006.92,8 HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,84.02,237.48,13 HCPCS,0165T,Revise Lumb Artif Disc Addl,,,1343.0,10006.92,8 HCPCS,0165U,Peanut allg spec asmt 64 epi,,,347.82,983.17,13 HCPCS,0166U,Liver ds 10 biochem asy srm,,,377.55,1067.21,13 HCPCS,0167U,Chornc gonadotropin hcg ia,,,5.64,10.27,6 HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,349.63,988.28,13 HCPCS,0170U,Neuro asd rna next gen seq,,,1462.5,4134.0,13 HCPCS,0171T,Lumbar spine proces distract,,,7118.0,11403.39,3 HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1139.3,3220.41,13 HCPCS,0172T,Lumbar spine process addl,,,2572.0,2572.0,1 HCPCS,0172U,Onc sld tum alys brca1 brca2,,,2272.5,6423.6,13 HCPCS,0173U,Psyc gen alys panel 14 genes,,,349.63,988.28,13 HCPCS,0174T,Cad cxr with interp,,,49.45,72.38,4 HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,979.03,2767.38,13 HCPCS,0175T,Cad cxr remote,,,23.74,34.74,4 HCPCS,0175U,Psyc gen alys panel 15 genes,,,1002.07,2832.51,13 HCPCS,0176U,Cdtb&vinculin igg antb ia,,,48.14,136.08,13 HCPCS,0177U,Onc brst ca dna pik3ca 11,,,206.12,582.64,13 HCPCS,0178U,Peanut allg asmt epi clin rx,,,344.9,974.9,13 HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1457.41,4119.61,13 HCPCS,0180U,Abo gnotyp abo 7 exons,,,206.12,582.64,13 HCPCS,0181U,Co gnotyp aqp1 exon 1,,,138.9,392.62,13 HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,226.01,638.86,13 HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,138.9,392.62,13 HCPCS,0184T,Exc rectal tumor endoscopic,,,4419.21,12909.23,18 HCPCS,0184U,Do gnotyp art4 exon 2,,,138.9,392.62,13 HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,138.9,392.62,13 HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,138.9,392.62,13 HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,206.12,582.64,13 HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,206.12,582.64,13 HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,206.12,582.64,13 HCPCS,0190T,Place intraoc radiation src,,,2572.0,2572.0,1 HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,206.12,582.64,13 HCPCS,0191T,Insert ant segment drain int,,,5087.0,8364.54,4 HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,206.12,582.64,13 HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,206.12,582.64,13 HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,212.16,599.71,13 HCPCS,0194U,Kel gnotyp kel exon 8,,,138.9,392.62,13 HCPCS,0195T,Prescrl fuse w/o instr l5/s1,,,3600.0,3600.0,1 HCPCS,0195U,Klf1 targeted sequencing,,,281.44,795.53,13 HCPCS,0196T,Prescrl fuse w/o instr l4/l5,,,3600.0,3600.0,1 HCPCS,0196U,Lu gnotyp bcam exon 3,,,138.9,392.62,13 HCPCS,0197U,Lw gnotyp icam4 exon 1,,,138.9,392.62,13 HCPCS,0198T,Ocular blood flow measure,,,133.45,282.92,7 HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,212.16,599.71,13 HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,206.12,582.64,13 HCPCS,0200T,Hc Sacroplasty Unilateral Injection,13738.0,13738.0,,,0 HCPCS,0200T,Perq sacral augmt unilat inj,,,4743.0,15429.7,17 HCPCS,0200U,Xk gnotyp xk exons 1-3,,,206.12,582.64,13 HCPCS,0201T,Hc Sacroplasty Bilateral Inj,13738.0,13738.0,,,0 HCPCS,0201T,Perq sacral augmt bilat inj,,,4743.0,15429.7,17 HCPCS,0201U,Yt gnotyp ache exon 2,,,138.9,392.62,13 HCPCS,0202T,Post vert arthrplst 1 lumbar,,,3514.53,27300.32,15 HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,312.59,883.57,13 HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,570.0,1611.2,13 HCPCS,0204U,Onc thyr mrna xprsn alys 593,,,2189.7,3987.88,4 HCPCS,0205T,Inirs each vessel add-on,,,2572.0,2572.0,1 HCPCS,0205U,Oph amd alys 3 gene variants,,,35.25,99.64,13 HCPCS,0206U,Neuro alzheimer cell aggregj,,,1661.55,4696.65,13 HCPCS,0207T,Clear eyelid gland w/heat,,,133.45,4221.48,15 HCPCS,0207U,Neuro alzheimer quan imaging,,,383.4,698.25,6 HCPCS,0208T,Audiometry air only,,,37.46,79.42,7 HCPCS,0209T,Audiometry air & bone,,,37.46,79.42,7 HCPCS,0209U,Cytog const alys interrog,,,590.36,1668.76,13 HCPCS,0210T,Speech audiometry threshold,,,37.46,79.42,7 HCPCS,0210U,Syphilis tst antb ia quan,,,13.97,39.5,13 HCPCS,0211T,"Hc Speech Audiometry Threshold, Automated; With Speech Recognition",108.0,108.0,,,0 HCPCS,0211T,Speech audiom thresh & recog,,,37.46,79.42,7 HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,3675.0,17924.6,13 HCPCS,0212T,Compre audiometry evaluation,,,129.06,273.61,7 HCPCS,0212U,Rare ds gen dna alys proband,,,4106.4,11607.42,13 HCPCS,0213T,"Hc Injection(S), Diagnostic/Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultrasoun",4862.0,4862.0,,,0 HCPCS,0213T,Njx paravert w/us cer/thor,,,887.15,4840.09,17 HCPCS,0213U,Rare ds gen dna alys ea comp,,,2032.46,5745.09,13 HCPCS,0214T,"Hc Injection(S), Diagnostic/Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultrasoun",4862.0,4862.0,,,0 HCPCS,0214T,Njx paravert w/us cer/thor,,,140.99,2572.0,4 HCPCS,0214U,Rare ds xom dna alys proband,,,3918.45,11076.15,13 HCPCS,0215T,"Hc Injection(S), Diagnostic/Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultrasoun",4862.0,4862.0,,,0 HCPCS,0215T,Njx paravert w/us cer/thor,,,141.89,2572.0,4 HCPCS,0215U,Rare ds xom dna alys ea comp,,,1930.99,5458.26,13 HCPCS,0216T,"Hc Injection(S), Diagnostic/Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultrasoun",4862.0,4862.0,,,0 HCPCS,0216T,Njx paravert w/us lumb/sac,,,887.15,4840.09,19 HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1152.77,3258.48,13 HCPCS,0217T,"Hc Injection(S), Diagnostic/Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultrasoun",4862.0,4862.0,,,0 HCPCS,0217T,Njx paravert w/us lumb/sac,,,1343.0,2987.0,5 HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,1648.76,4660.5,13 HCPCS,0218T,"Hc Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint W/Ultras",4862.0,4862.0,,,0 HCPCS,0218T,Njx paravert w/us lumb/sac,,,1343.0,2987.0,5 HCPCS,0218U,Neuro musc dys dmd seq alys,,,1709.25,4831.48,13 HCPCS,0219T,Plmt post facet implt cerv,,,4743.0,27300.32,15 HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,543.75,1537.0,13 HCPCS,0220T,Plmt post facet implt thor,,,4743.0,27300.32,15 HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,529.69,1497.25,13 HCPCS,0221T,Plmt post facet implt lumb,,,4743.0,15429.7,17 HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,206.12,582.64,13 HCPCS,0222T,Plmt post facet implt addl,,,1343.0,2987.0,5 HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,212.16,599.71,13 HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,312.59,883.57,13 HCPCS,0224U,Antibody sars-cov-2 titer(s),,,38.57,109.03,13 HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,312.59,883.57,12 HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,31.71,89.63,12 HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,46.61,131.74,13 HCPCS,0228T,Njx tfrml eprl w/us cer/thor,,,3051.0,4840.09,4 HCPCS,0228U,Onc prst8 ma molec prfl alg,,,129.77,366.82,13 HCPCS,0229T,Njx tfrml eprl w/us cer/thor,,,2572.0,2572.0,1 HCPCS,0229U,Bcat1 promoter mthyltn alys,,,192.0,814.08,13 HCPCS,0230T,Njx tfrml eprl w/us lumb/sac,,,3051.0,4840.09,4 HCPCS,0230U,Ar full sequence analysis,,,226.01,638.86,13 HCPCS,0231T,Njx tfrml eprl w/us lumb/sac,,,2572.0,2572.0,1 HCPCS,0231U,Cacna1a full gene analysis,,,634.7,1794.09,13 HCPCS,0232T,Hc Prp Injection,8661.0,8661.0,,,0 HCPCS,0232T,Njx platelet plasma,,,448.08,4840.09,17 HCPCS,0232U,Cstb full gene analysis,,,206.12,582.64,13 HCPCS,0233U,Fxn gene analysis,,,206.12,582.64,13 HCPCS,0234T,"Hc Transluminal Peripheral Atherectomy, Open/Percutaneous, Incl Radiological S&I, Renal Artery",30883.0,30883.0,,,0 HCPCS,0234T,Trluml perip athrc renal art,,,5405.0,24547.7,17 HCPCS,0234U,Mecp2 full gene analysis,,,395.9,1119.08,13 HCPCS,0235T,Hc Trluml Perip Athrc Visceral - Ir Atherectomy Each Visceral Artery,39307.0,39307.0,,,0 HCPCS,0235T,Trluml perip athrc visceral,,,6309.89,10249.52,4 HCPCS,0235U,Pten full gene analysis,,,450.0,1272.0,13 HCPCS,0236T,Hc Atherectomy Abdomin Aorta S&I,12994.0,12994.0,,,0 HCPCS,0236T,Trluml perip athrc abd aorta,,,5405.0,24547.7,17 HCPCS,0236U,Smn1&smn2 full gene analysis,,,452.03,1277.72,13 HCPCS,0237T,"Hc Arthrectomy Braciocephalic Trunk And Branches, Each Vessel",21667.0,21667.0,,,0 HCPCS,0237T,Trluml perip athrc brchiocph,,,5405.0,24547.7,17 HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,438.68,1239.99,13 HCPCS,0238T,Hc Atherectomy Lliac Artery S&I - Each Vessel,9592.0,9592.0,,,0 HCPCS,0238T,Trluml perip athrc iliac art,,,6580.16,38980.61,17 HCPCS,0238U,Onc lnch syn gen dna seq aly,,,438.68,1239.99,13 HCPCS,0239U,Trgt gen seq alys pnl 311+,,,2625.0,7420.0,13 HCPCS,0240U,Nfct ds vir resp rna 3 trgt,,,106.97,194.82,6 HCPCS,0241U,Nfct ds vir resp rna 4 trgt,,,106.97,194.82,6 HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,3750.0,10600.0,13 HCPCS,0243U,Ob pe biochem assay pgf alg,,,48.31,136.55,13 HCPCS,0244U,Onc solid orgn dna 257 genes,,,2625.0,7420.0,13 HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,949.55,2684.07,13 HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,540.0,1526.4,13 HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,562.5,1590.0,13 HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,2275.4,6431.78,13 HCPCS,0249T,Ligation hemorrhoid w/us,,,4743.0,6293.23,4 HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,1664.35,4704.56,13 HCPCS,0250U,Onc sld org neo dna 505 gene,,,2189.7,6189.55,13 HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,12.95,36.61,13 HCPCS,0252U,Ftl aneuploidy str alys dna,,,569.29,1609.19,13 HCPCS,0253T,Insert aqueous drain device,,,4145.92,11385.0,17 HCPCS,0253U,Rprdtve med rna gen prfl 238,,,2369.57,6697.97,13 HCPCS,0254T,Evasc rpr iliac art bifur,,,3600.0,3600.0,1 HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,569.29,1609.19,13 HCPCS,0255T,Evasc rpr iliac art bifr s&i,,,3600.0,3600.0,1 HCPCS,0255U,Andrology infertility assmt,,,23.7,66.99,13 HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,119.96,339.09,13 HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,534.35,1510.44,13 HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,2756.25,7791.0,13 HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,39.53,111.75,13 HCPCS,0260U,Rare ds id opt genome mapg,,,947.65,2678.68,13 HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,6761.21,13 HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,2400.0,6784.0,13 HCPCS,0263T,"Hc Intrmsclr Bne Marw Cell Thpy W/Hrvs Cells,Mlti Inj Inc Ultr Guid If Prfm,Uni/Bi",10290.0,10290.0,,,0 HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4368.67,9261.59,16 HCPCS,0263U,Neuro asd meas 16 c metblt,,,562.5,1590.0,13 HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4368.67,9261.59,16 HCPCS,0264U,Rare ds id opt genome mapg,,,947.65,2678.68,13 HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4368.67,9261.59,16 HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,4106.85,11608.7,13 HCPCS,0266T,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Total System",21917.0,21917.0,,,0 HCPCS,0266T,Implt/rpl crtd sns dev total,,,6580.16,16925.0,5 HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,2400.0,6784.0,13 HCPCS,0267T,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Lead Only, Unilateral",7386.0,7386.0,,,0 HCPCS,0267T,Implt/rpl crtd sns dev lead,,,3514.53,7870.0,7 HCPCS,0267U,Rare do id opt gen mapg&seq,,,5054.5,14287.38,13 HCPCS,0268T,"Hc Implantation/Replacement, Carotid Sinus Baroreflex Activation Device; Pulse Generator Only",18942.0,18942.0,,,0 HCPCS,0268T,Implt/rpl crtd sns dev gen,,,6580.16,16925.0,6 HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,456.13,1289.32,13 HCPCS,0269T,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Total System",12924.0,12924.0,,,0 HCPCS,0269T,Rev/remvl crtd sns dev total,,,4419.21,9172.0,9 HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,456.13,1289.32,13 HCPCS,0270T,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Lead Only, Unilateral",7386.0,7386.0,,,0 HCPCS,0270T,Rev/remvl crtd sns dev lead,,,3514.53,7870.0,9 HCPCS,0270U,Hem cgen coagj do 20 genes,,,456.13,1289.32,13 HCPCS,0271T,"Hc Revision/Removal, Carotid Sinus Baroreflex Activation Device; Pulse Generator Only",7386.0,7386.0,,,0 HCPCS,0271T,Rev/remvl crtd sns dev gen,,,3514.53,7870.0,9 HCPCS,0271U,Hem cgen neutropenia 23 gen,,,456.13,1289.32,13 HCPCS,0272T,"Hc Interrogation Device Eval (In Person), Carotid Sinus Baroreflex Activation System",467.0,467.0,,,0 HCPCS,0272T,Interrogate crtd sns dev,,,2678.54,4221.48,3 HCPCS,0272U,Hem genetic bld do 51 genes,,,456.13,1289.32,13 HCPCS,0273T,"Hc Interrogation Device Eval (In Person), Carotid Sinus Baroreflex Activation System,?W/Programming",467.0,467.0,,,0 HCPCS,0273T,Interrogate crtd sns w/pgrmg,,,2678.54,4221.48,3 HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,456.13,1289.32,13 HCPCS,0274T,Perq lamot/lam crv/thrc,,,6156.44,15429.7,17 HCPCS,0274U,Hem gen pltlt do 43 genes,,,456.13,1289.32,13 HCPCS,0275T,Hc Perc Lamino/Laminectomy Indirect Image Guide Lumbar Decompression,10635.0,10635.0,,,0 HCPCS,0275T,Perq lamot/lam lumbar,,,6156.44,11385.0,10 HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,13.78,38.94,13 HCPCS,0276U,Hem inh thrombocytopenia 23,,,1836.42,5190.95,13 HCPCS,0277U,Hem gen pltlt funcj do 31,,,456.13,1289.32,13 HCPCS,0278T,Tempr,,,129.06,4221.48,13 HCPCS,0278U,Hem gen thrombosis 12 genes,,,456.13,1289.32,13 HCPCS,0279U,Hem vw factor&clgn iii bndg,,,8.65,24.44,13 HCPCS,0280U,Hem vw factor&clgn iv bndg,,,12.95,36.61,13 HCPCS,0281U,Hem vwd propeptide ag lvl,,,12.95,36.61,13 HCPCS,0282T,Periph field stimul trial,,,7118.0,10227.73,3 HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,540.0,1526.4,13 HCPCS,0283T,Periph field stimul perm,,,8645.0,11403.39,3 HCPCS,0283U,Vw factor type 2b eval plsm,,,13.8,39.01,13 HCPCS,0284T,Periph field stimul revise,,,4557.0,5345.54,3 HCPCS,0284U,Vw factor type 2n eval plsm,,,12.95,36.61,13 HCPCS,0285T,Periph field stimul analys,,,4840.09,4840.09,2 HCPCS,0285U,Onc rsps radj cll fr dna tox,,,332.48,939.82,12 HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,100.6,284.36,13 HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,2700.0,7632.0,13 HCPCS,0288T,Anoscopy w/rf delivery,,,5611.0,6293.23,3 HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,2904.75,8210.76,13 HCPCS,0289T,Laser inc for pkp/lkp donor,,,2572.0,2572.0,1 HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,570.0,1611.2,13 HCPCS,0290T,Laser inc for pkp/lkp recip,,,2572.0,2572.0,1 HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,570.0,1611.2,13 HCPCS,0291T,Iv oct for proc init vessel,,,2572.0,2572.0,1 HCPCS,0291U,Psyc mood do mrna 144 genes,,,1316.25,3720.6,12 HCPCS,0292T,Iv oct for proc addl vessel,,,2572.0,2572.0,1 HCPCS,0292U,Psyc strs do mrna 72 genes,,,1316.25,3720.6,12 HCPCS,0293T,Ins lt atrl press monitor,,,3600.0,3600.0,1 HCPCS,0293U,Psyc suicidal idea mrna 54,,,570.0,1611.2,13 HCPCS,0294T,Ins lt atrl mont pres lead,,,3600.0,3600.0,1 HCPCS,0294U,Lngvty&mrtlty rsk mrna 18gen,,,570.0,1038.08,6 HCPCS,0295U,Onc brst dux carc 7 proteins,,,1897.0,11522.2,13 HCPCS,0296T,Ext ecg recording,,,4840.09,4840.09,2 HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1462.5,4134.0,13 HCPCS,0297T,Ext ecg scan w/report,,,4840.09,4840.09,2 HCPCS,0297U,Onc pan tum whl gen seq dna,,,2189.7,6189.55,12 HCPCS,0298U,Onc pan tum whl trns seq rna,,,2189.7,6189.55,13 HCPCS,0299T,Esw wound healing init wound,,,2572.0,4840.09,4 HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1397.42,3950.03,12 HCPCS,0300T,Esw wound healing addl wound,,,2572.0,2572.0,1 HCPCS,0300U,Onc pan tum whl gen seq&opt,,,3137.35,8868.24,12 HCPCS,0301T,Mw therapy for breast tumor,,,3600.0,4840.09,4 HCPCS,0301U,Iadna bartonella ddpcr,,,197.04,556.97,12 HCPCS,0302T,Icar ischm mntrng sys compl,,,7823.0,7823.0,1 HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,271.03,766.1,12 HCPCS,0303T,Icar ischm mntrng sys eltrd,,,7118.0,7118.0,1 HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,1651.22,4667.43,12 HCPCS,0304T,Icar ischm mntrng sys device,,,7823.0,7823.0,1 HCPCS,0304U,Hem rbc ads whl bld normoxic,,,1556.85,4400.7,12 HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,496.94,1404.67,12 HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,2908.84,8222.31,12 HCPCS,0307T,Rmvl icar ischm mntrng dvce,,,3925.0,5611.0,2 HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,595.87,1684.32,12 HCPCS,0308T,Insj ocular telescope prosth,,,3295.0,35002.5,16 HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,293.06,828.39,13 HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,293.06,828.39,13 HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,293.06,828.39,13 HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,6.06,17.13,13 HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,630.49,1782.18,13 HCPCS,0313T,Laps rmvl nstim array vagus,,,3925.0,5345.54,4 HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,2700.0,7632.0,13 HCPCS,0314T,Laps rmvl vgl arry&pls gen,,,3925.0,5345.54,4 HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1462.5,4134.0,12 HCPCS,0315T,Rmvl vagus nerve pls gen,,,3925.0,5345.54,4 HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,6375.0,18020.0,12 HCPCS,0316T,Replc vagus nerve pls gen,,,8088.0,11403.39,3 HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,14.0,39.56,13 HCPCS,0317T,Elec alys vagus nrv pls gen,,,2572.0,2572.0,1 HCPCS,0317U,Onc lung ca 4-prb fish assay,,,1522.5,4303.6,13 HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1327.86,3753.42,12 HCPCS,0319U,Neph rna pretrnspl perph bld,,,1987.5,5618.0,12 HCPCS,0320U,Neph rna psttrnspl perph bld,,,1987.5,5618.0,12 HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,476.13,1345.86,13 HCPCS,0322U,Neuro asd meas 14 acyl carn,,,562.5,1590.0,13 HCPCS,0323U,Iadna cns pthgn next gen seq,,,1594.65,4507.54,13 HCPCS,0326U,Trgt gen seq alys pnl 83+,,,3750.0,10600.0,12 HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,596.25,1685.4,13 HCPCS,0328U,Drug assay 120+ rx&metablt,,,85.82,242.59,13 HCPCS,0329U,Onc neo xome&trns seq alys,,,2578.49,7288.52,12 HCPCS,0330T,Tear film img uni/bi w/i&r,,,37.46,79.42,11 HCPCS,0330U,Iadna vag pthgn panel 27 org,,,312.59,883.57,13 HCPCS,0331T,Heart symp image plnr,,,232.71,2752.96,11 HCPCS,0331U,Onc hl neo opt gen mapping,,,1397.42,3950.03,12 HCPCS,0332T,Hc Mibg Planar & Spect,3886.0,3886.0,,,0 HCPCS,0332T,Heart symp image plnr spect,,,401.11,2752.96,11 HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,856.55,2421.17,12 HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,496.74,1404.12,12 HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,2919.6,7420.0,9 HCPCS,0335T,Extraosseous joint stblztion,,,3895.0,15429.7,19 HCPCS,0335U,Rare ds whl gen seq fetal,,,3918.45,11076.15,13 HCPCS,0336T,Lap ablat uterine fibroids,,,7823.0,11403.39,3 HCPCS,0336U,Rare ds whl gen seq bld/slv,,,1930.99,5458.26,13 HCPCS,0337U,Onc plsm cell do&myeloma id,,,1826.25,5162.2,12 HCPCS,0338T,Trnscth renal symp denrv unl,,,4743.0,12102.61,17 HCPCS,0338U,Onc sld tum crcg tum cl slct,,,1826.25,5162.2,12 HCPCS,0339T,Hc Renal Symp Denervation-Bilat,18433.0,18433.0,,,0 HCPCS,0339T,Trnscth renal symp denrv bil,,,4743.0,12102.61,17 HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,570.0,1611.2,13 HCPCS,0340T,Ablate pulm tumors + extnsn,,,6187.0,7118.0,2 HCPCS,0340U,Onc pan ca alys mrd plasma,,,2692.5,7610.8,13 HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1425.15,4028.42,12 HCPCS,0342T,Thxp apheresis w/hdl delip,,,4368.67,9261.59,14 HCPCS,0342U,Onc pncrtc ca mult ia eclia,,,672.75,1225.21,6 HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,570.0,1611.2,13 HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,594.13,1679.4,12 HCPCS,0345T,Transcath mtral vlve repair,,,6309.89,10249.52,3 HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1002.07,2832.51,13 HCPCS,0346U,Beta amyl a?40&a?42 lc-ms/ms,,,69.95,93.26,5 HCPCS,0347T,Ins bone device for rsa,,,59.17,4221.48,15 HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1002.07,2832.51,13 HCPCS,0348T,RSA spine exam,,,42.44,280.2,13 HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,556.7,1573.61,13 HCPCS,0349T,RSA upper extr exam,,,44.66,280.2,13 HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,556.7,1573.61,13 HCPCS,0350T,RSA lower extr exam,,,46.0,199.53,13 HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1002.07,2832.51,13 HCPCS,0351T,Intraop oct brst/node spec,,,276.94,448.54,4 HCPCS,0351U,Nfct ds bct/viral trail ip10,,,195.38,552.26,13 HCPCS,0352T,Oct brst/node i&r per spec,,,168.84,2428.55,6 HCPCS,0352U,Nfct ds bv&vaginitis amp prb,,,106.97,194.82,6 HCPCS,0353T,Intraop oct breast cavity,,,124.61,201.8,4 HCPCS,0353U,Iadna chlmyd&gonorr amp prb,,,52.64,95.86,4 HCPCS,0354T,Oct breast surg cavity i&r,,,168.84,2428.55,6 HCPCS,0354U,Hpv hi rsk qual mrna e6/e7,,,26.32,47.93,4 HCPCS,0355T,GI tract capsule endoscopy,,,4249.0,4249.0,1 HCPCS,0355U,Apol1 risk variants,,,102.75,290.44,13 HCPCS,0356T,Insrt drug device for iop,,,2572.0,2572.0,1 HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,3816.0,9 HCPCS,0358T,BIA whole body,,,29.01,61.5,7 HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,195.38,552.26,13 HCPCS,0359U,Onc prst8 ca alys all psa,,,570.0,1611.2,13 HCPCS,0360U,Onc lung elisa 7 autoant alg,,,630.49,1782.18,13 HCPCS,0362T,Expose behav assessment,,,37.58,79.67,7 HCPCS,0362U,Onc pap thyr ca rna 82&10,,,2700.0,7632.0,12 HCPCS,0363U,Onc urthl mrna 5 gen alg,,,570.0,1611.2,13 HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,4255.37,7 HCPCS,0365U,Onc bldr 10 prb bldr ca,,,672.75,1901.64,13 HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,672.75,1901.64,13 HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,676.64,1912.62,13 HCPCS,0369U,Iadna gi pthgn 31 org&21 arg,,,312.59,569.28,6 HCPCS,0370U,Iadna surg wnd pthgn 34&21,,,312.59,569.28,6 HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,312.59,883.57,13 HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,312.59,883.57,13 HCPCS,0373T,Exposure behavior treatment,,,37.58,79.67,7 HCPCS,0373U,Iadna rsp tr nfct 17 8 13&16,,,312.59,569.28,6 HCPCS,0374U,Iadna gu pthgn 21 org&21arg,,,312.59,569.28,6 HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,672.75,1901.64,13 HCPCS,0376T,Hc Ant Segment Insert Drain W/O Reservoir Ea Addl,3920.0,3920.0,,,0 HCPCS,0376T,Insert ant segment drain int,,,2572.0,2572.0,1 HCPCS,0376U,Onc prst8 ca img alys 128,,,529.69,1497.25,13 HCPCS,0377T,Anoscpy inj agent for incont,,,4743.0,6293.23,4 HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,35.69,100.87,13 HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,102.75,290.44,13 HCPCS,0379T,Vis field assmnt tech suppt,,,37.46,79.42,7 HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,6971.64,7 HCPCS,0380U,Rx metb advrs trgt sq aly 20,,,312.59,569.28,6 HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,93.53,7 HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,109.48,7 HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,110.35,7 HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,562.5,1590.0,13 HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,293.06,828.39,13 HCPCS,0387T,Leadless c pm ins/rpl ventr,,,8088.0,11403.39,3 HCPCS,0387U,Onc mlnma ambra1&amlo,,,711.38,2010.82,13 HCPCS,0388T,Leadless c pm remove ventr,,,3925.0,6293.23,4 HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,7420.0,7 HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,148.82,7 HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,48.31,136.55,13 HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,2700.0,7632.0,13 HCPCS,0392T,Lap es sph augment dev place,,,7823.0,7823.0,1 HCPCS,0392U,Rx metab genrx ia 16 genes,,,1002.07,2832.51,13 HCPCS,0393T,Es sph augmnt device removal,,,7118.0,7118.0,1 HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,405.74,1146.9,13 HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,359.41,579.69,4 HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,149.06,421.33,13 HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,698.58,1937.84,11 HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,1690.59,7 HCPCS,0396T,Intraop kinetic balnce sensr,,,2572.0,2572.0,1 HCPCS,0397T,Ercp w/optical endomicroscpy,,,1343.0,4797.0,6 HCPCS,0398T,"Hc Mri Guided High Intensity Focused Ultrasound, Stereotactic Ablation",31012.0,31012.0,,,0 HCPCS,0398T,Mrgfus strtctc les abltj,,,2138.28,10249.52,7 HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,3720.6,7 HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,636.0,7 HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,1038.12,7 HCPCS,0402T,Collagen crosslinking cornea,,,2384.68,5495.0,19 HCPCS,0402T,"Hc Collagen Cross-Linking Of Cornea, Including Removal Of The Corneal Epithelium, When Performed, An",10476.0,10476.0,,,0 HCPCS,0402U,Nfct agt sti mult amp prb tq,,,106.97,302.38,13 HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,570.0,1611.2,12 HCPCS,0404T,Trnscrv uterin fibroid abltj,,,7118.0,7798.0,2 HCPCS,0404U,Onc brst semiq meas thym kn,,,242.22,684.68,13 HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1327.86,3753.42,13 HCPCS,0406T,Sin ndsc plmt drg elut mplnt,,,2572.0,2572.0,1 HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,570.0,1611.2,13 HCPCS,0407T,Sin ndsc plmt drg elut mplnt,,,2572.0,2572.0,1 HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,712.5,2014.0,13 HCPCS,0408T,Hc Insert/Replace Ccm System,55296.0,55296.0,,,0 HCPCS,0408T,Insj/rplc cardiac modulj sys,,,6580.16,66745.65,17 HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,29.96,7 HCPCS,0409T,Hc Insert/Replace Ccm Gen/Only,55296.0,55296.0,,,0 HCPCS,0409T,Insj/rplc car modulj pls gn,,,6580.16,47299.0,17 HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2189.7,6189.55,13 HCPCS,0410T,Hc Insert Ccm Lead (Atrial) Only,19566.0,19566.0,,,0 HCPCS,0410T,Insj/rplc car modulj atr elt,,,4817.0,17596.89,18 HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,870.0,2459.2,13 HCPCS,0411T,Hc Insert Ccm Lead (Vent) Only,19566.0,19566.0,,,0 HCPCS,0411T,Insj/rplc car modulj vnt elt,,,4817.0,17596.89,18 HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1002.07,2832.51,13 HCPCS,0412T,Hc Removal Ccm Sys (Gen) Only,8257.0,8257.0,,,0 HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3514.53,11385.0,19 HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,1590.0,7 HCPCS,0413T,Hc Removal Ccm Lead (Atrial/Vent),8257.0,8257.0,,,0 HCPCS,0413T,Rmvl car modulj tranvns elt,,,3514.53,11385.0,19 HCPCS,0413U,Onc hl neo opt gen mapg dna,,,947.65,2678.68,13 HCPCS,0414T,Hc Rmvl/Repl Ccm Sys (Gen) Only,55296.0,55296.0,,,0 HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,6580.16,47299.0,17 HCPCS,0414U,Onc lng aug alg aly whl sld8,,,529.69,1497.25,13 HCPCS,0415T,Hc Repos. Ccm Lead (Atrial/Vent),1300.0,1300.0,,,0 HCPCS,0415T,Repos car modulj tranvns elt,,,629.2,6803.0,19 HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,293.06,828.39,13 HCPCS,0416T,Hc Ccm Pocket Relocation,4117.0,4117.0,,,0 HCPCS,0416T,Reloc skin pocket pls gen,,,2069.52,10726.0,19 HCPCS,0416U,Iadna gu pthgn 20bct&fng org,,,312.59,569.28,4 HCPCS,0417T,Hc Program Ccm Device (In Person),102.0,102.0,,,0 HCPCS,0417T,Prgrmg eval cardiac modulj,,,37.43,79.36,7 HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,6026.16,7 HCPCS,0418T,Hc Intg/Ccm Device (In Person),102.0,102.0,,,0 HCPCS,0418T,Interro eval cardiac modulj,,,37.43,79.36,7 HCPCS,0418U,Onc brst aug alg aly whl sl8,,,529.69,1497.25,13 HCPCS,0419T,Dstrj neurofibroma xtnsv,,,741.31,4840.09,19 HCPCS,0419T,"Hc Destruction Of Neurofibroma, Extensive (Cutaneous, Dermal Extending Into Subcutaneous); Face, Hea",6588.0,6588.0,,,0 HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1002.07,2832.51,13 HCPCS,0420T,Dstrj neurofibroma xtnsv,,,741.31,4840.09,19 HCPCS,0420T,"Hc Destruction Of Neurofibroma, Extensive (Cutaneous, Dermal Extending Into Subcutaneous); Trunk And",6588.0,6588.0,,,0 HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,2816.04,7 HCPCS,0421T,Waterjet prostate abltj cmpl,,,3295.0,8655.0,7 HCPCS,0422T,Tactile breast img uni/bi,,,87.29,233.64,13 HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,4119.61,7 HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,883.57,7 HCPCS,0424T,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Complete System",85737.0,85737.0,,,0 HCPCS,0424T,Insj/rplc nstim apnea compl,,,8645.0,8645.0,1 HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,1611.2,7 HCPCS,0425T,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Sensing Lead Only",32718.0,32718.0,,,0 HCPCS,0425T,Insj/rplc nstim apnea sen ld,,,7118.0,7798.0,2 HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,8680.11,7 HCPCS,0426T,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Stimulation Lead Only",32718.0,32718.0,,,0 HCPCS,0426T,Insj/rplc nstim apnea stm ld,,,8088.0,8088.0,1 HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,16074.26,7 HCPCS,0427T,"Hc Insert/Replacement Neurostimulator, Sleep Apnea, Pulse Generator Only",85737.0,85737.0,,,0 HCPCS,0427T,Insj/rplc nstim apnea pls gn,,,8088.0,8088.0,1 HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,9.5,7 HCPCS,0428T,"Hc Removal Neurostimulator, Sleep Apnea, Pulse Generator Only",9537.0,9537.0,,,0 HCPCS,0428T,Rmvl nstim apnea pls gen,,,3925.0,6293.23,4 HCPCS,0429T,"Hc Removal Neurostimulator System, Sleep Apnea, Sensing Lead Only",9537.0,9537.0,,,0 HCPCS,0429T,Rmvl nstim apnea sen ld,,,3925.0,6293.23,4 HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,74.39,7 HCPCS,0430T,"Hc Removal Neurostimulator, Sleep Apnea, Stimulation Lead Only",9537.0,9537.0,,,0 HCPCS,0430T,Rmvl nstim apnea stimj ld,,,3925.0,6293.23,4 HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,130.46,7 HCPCS,0431T,"Hc Removal/Replacement Neurostimulator, Sleep Apnea, Pulse Generator Only",85737.0,85737.0,,,0 HCPCS,0431T,Rmvl/rplc nstim apnea pls gn,,,8088.0,8088.0,1 HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,77.53,7 HCPCS,0432T,"Hc Reposition Neurostimulator, Sleep Apnea, Stimulation Lead Only",9537.0,9537.0,,,0 HCPCS,0432T,Repos nstim apnea stimj ld,,,3925.0,5611.0,2 HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,77.53,7 HCPCS,0433T,"Hc Reposition Neurostimulator, Sleep Apnea, Sensing Lead Only",9537.0,9537.0,,,0 HCPCS,0433T,Repos nstim apnea sensing ld,,,3925.0,5611.0,2 HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,1611.2,7 HCPCS,0434T,Interro eval npgs apnea,,,3051.0,3051.0,1 HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,883.57,7 HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,6431.78,7 HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,3188.99,7 HCPCS,0437T,Impltj synth rnfcmt abdl wal,,,1343.0,2987.0,5 HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,1611.2,7 HCPCS,0438T,Tprnl plmt biodegrdabl matrl,,,3600.0,6293.23,4 HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,883.57,7 HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,1810.48,7 HCPCS,0440T,Abltj perc uxtr/perph nrv,,,1958.63,10227.73,18 HCPCS,0440T,Hc Cryo Upper Ext Periph Nerve,12235.0,12235.0,,,0 HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,1810.48,7 HCPCS,0441T,Abltj perc lxtr/perph nrv,,,1958.63,10227.73,18 HCPCS,0441T,"Hc Cryoablation, Incl Img Guid; Lower Extremity Distal/Peripheral Nerve",12235.0,12235.0,,,0 HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,941.45,7 HCPCS,0442T,Abltj perc plex/trncl nrv,,,3295.0,18661.07,18 HCPCS,0442T,Hc Cryo Nerve Plexus/Truncal,12235.0,12235.0,,,0 HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,87.73,7 HCPCS,0443T,R-t spctrl alys prst8 tiss,,,28.64,4840.09,9 HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,246.41,7 HCPCS,0444T,1st plmt drug elut oc ins,,,1343.0,6277.0,5 HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,6189.55,7 HCPCS,0445T,Sbsqt plmt drug elut oc ins,,,1343.0,6277.0,5 HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,552.26,7 HCPCS,0446T,Insj impltbl glucose sensor,,,1343.0,8846.7,19 HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,1782.18,7 HCPCS,0447T,Rmvl impltbl glucose sensor,,,201.24,4840.09,18 HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,1782.18,7 HCPCS,0448T,Remvl insj impltbl gluc sens,,,1343.0,8846.7,19 HCPCS,0449T,Insj aqueous drain dev 1st,,,4419.21,11315.28,18 HCPCS,0450T,Insj aqueous drain dev each,,,1343.0,2987.0,5 HCPCS,0451T,Insj/rplcmt aortic ventr sys,,,3925.0,3925.0,1 HCPCS,0452T,Insj/rplcmt dev vasc seal,,,5087.0,5087.0,1 HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,407.04,7 HCPCS,0453T,Insj/rplcmt mech-elec ntrfce,,,5087.0,11403.39,3 HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,407.04,7 HCPCS,0454T,Insj/rplcmt subq electrode,,,5087.0,11403.39,3 HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,2678.68,7 HCPCS,0455T,Remvl aortic ventr cmpl sys,,,3051.0,3051.0,1 HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,302.38,7 HCPCS,0456T,Remvl aortic dev vasc seal,,,3051.0,3051.0,1 HCPCS,0457T,Remvl mech-elec skin ntrfce,,,3051.0,7175.28,3 HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,421.33,7 HCPCS,0458T,Remvl subq electrode,,,3600.0,7175.28,3 HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,552.26,7 HCPCS,0459T,Relocaj rplcmt aortic ventr,,,5087.0,5087.0,1 HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,552.26,7 HCPCS,0460T,Repos aortic ventr dev eltrd,,,3051.0,7175.28,3 HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,1944.21,7 HCPCS,0461T,Repos aortic contrpulsj dev,,,3051.0,3051.0,1 HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,1944.21,7 HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,36.61,7 HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,1611.2,7 HCPCS,0464T,Visual ep test for glaucoma,,,129.06,273.61,7 HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,1254.87,7 HCPCS,0465T,Supchrdl njx rxw/o supply,,,3051.0,4840.09,3 HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,4108.58,7 HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,732.31,7 HCPCS,0467T,Revj/rplmnt ch respir eltrd,,,7175.28,7175.28,2 HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,3220.41,7 HCPCS,0468T,Rmvl chwal respir eltrd/ra,,,7175.28,7175.28,2 HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,533.6,7 HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,2539.63,7 HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,1267.57,7 HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,1611.2,7 HCPCS,0472T,Prgrmg io rta eltrd ra,,,308.07,653.1,7 HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,59.15,7 HCPCS,0473T,Reprgrmg io rta eltrd ra,,,95.36,202.16,7 HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,9540.0,7 HCPCS,0474T,Insj aqueous drg dev io rsvr,,,4419.21,10848.4,9 HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,2764.37,7 HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,2764.37,7 HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,883.57,7 HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,883.57,7 HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,1172.34,7 HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,741.31,4840.09,17 HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,36.61,7 HCPCS,0480T,Fxjl abl lsr ea addl 100sqcm,,,1343.0,2987.0,4 HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,4507.54,7 HCPCS,0481T,Njx autol wbc concentrate,,,448.08,4221.48,15 HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,1429.39,7 HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,273.1,7 HCPCS,0483T,Hc Cath Tmvi W/Prosthetic Valve Percutaneous Approach,31476.0,31476.0,,,0 HCPCS,0483T,Tmvi percutaneous approach,,,6309.89,10249.52,3 HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,74.39,7 HCPCS,0484T,Hc Cath Tmvi W/Prosthetic Valve Transthoracic Exposure,31476.0,31476.0,,,0 HCPCS,0484T,Tmvi transthoracic exposure,,,4962.02,7972.53,3 HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,74.39,7 HCPCS,0485T,Oct mid ear i&r unilateral,,,16.34,79.42,11 HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,7736.9,7 HCPCS,0486T,Oct mid ear i&r bilateral,,,37.46,79.42,11 HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,3485.81,7 HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,6189.55,7 HCPCS,0489T,Regn cell tx scldr hands,,,2572.0,5843.31,5 HCPCS,0490T,Regn cell tx scldr h mlt inj,,,2572.0,4221.48,5 HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,5162.2,7 HCPCS,0491T,Abl lsr opn wnd 1st 20 sqcm,,,4840.09,4840.09,2 HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,5162.2,7 HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,5162.2,7 HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,5836.89,7 HCPCS,0494T,Prep & cannulj cdvr don lung,,,4962.02,7972.53,3 HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,1609.19,7 HCPCS,0495T,Mntr cdvr don lng 1st 2 hrs,,,3514.53,5843.31,3 HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,1611.2,7 HCPCS,0496T,Mntr cdvr don lng ea addl hr,,,3514.53,5843.31,3 HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,1030.02,7 HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,8210.76,7 HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,2852.06,7 HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,1267.57,7 HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,371.85,7 HCPCS,0502T,Hc Cta Ffr - Data Prep/Transmission,1294.0,1294.0,,,0 HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,74.39,7 HCPCS,0503T,Hc Cta Ffr - Analysis,3016.0,3016.0,,,0 HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,1590.0,7 HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,883.57,7 HCPCS,0505T,Ev fempop artl revsc,,,4817.0,24547.7,16 HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,1441.11,7 HCPCS,0506T,Mac pgmt opt dns meas hfp,,,59.17,125.44,7 HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,4108.58,7 HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,35.26,125.44,13 HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,2459.2,7 HCPCS,0509T,Pattern erg w/i&r,,,216.58,459.14,7 HCPCS,0510T,Rmvl sinus tarsi implant,,,3281.9,7870.0,16 HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,1004.69,7 HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,3895.0,15429.7,16 HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,6431.78,7 HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,201.24,4840.09,15 HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,1497.25,7 HCPCS,0513T,Esw integ wnd hlg ea addl,,,1343.0,1580.0,2 HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,1497.25,7 HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,81.77,7 HCPCS,0515T,"Hc Insertion Wireless Cardiac Stimulator Lft Vent Pacing, Complete System",36758.0,36758.0,,,0 HCPCS,0515T,Insj wcs lv compl sys,,,4817.0,47299.0,16 HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,81.77,7 HCPCS,0516T,Hc Insert Wireless Cardiac Stimulator For Left Ventricular Pacing Electrode Only,12373.0,12373.0,,,0 HCPCS,0516T,Insj wcs lv eltrd only,,,4817.0,22225.25,16 HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,883.57,7 HCPCS,0517T,"Hc Ep Insert Wireless Cardiac Stimulator Lv, Interrog/Progr/Img/Interp",12373.0,12373.0,,,0 HCPCS,0517T,Insj wcs lv pg compnt,,,4817.0,22225.25,16 HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,523.47,7 HCPCS,0518T,Hc Removal Battery &/Or Transmitter Of Wireless Cardiac Stimulator For Left Ventricular Pacing,6386.0,6386.0,,,0 HCPCS,0518T,Rmvl pg compnt wcs,,,3514.53,8364.54,16 HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,523.47,7 HCPCS,0519T,"Hc Removal/Replacemnt Wireless Cardiac Stimulator, Pulse Gen Components, Bat /Or Trans",6386.0,6386.0,,,0 HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,3514.53,22225.25,16 HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,523.47,7 HCPCS,0520T,"Hc Rmvl/Repl Wireless Cardiac Stimulator For Left Ventricular Pacing, Bat &/Or Trans, New Electrode",36758.0,36758.0,,,0 HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,4817.0,22225.25,16 HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,523.47,7 HCPCS,0521T,"Hc Interrogation Device Eval, In Person, Wireless Cardiac Stimulator For Left Ventricular Pacing",71.0,71.0,,,0 HCPCS,0521T,Interrog dev eval wcs ip,,,29.01,61.5,7 HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,109.82,7 HCPCS,0522T,"Hc Programng Device Eval, In Person, Wireless Cardiac Stimulator For Left Ventricular Pacing",153.0,153.0,,,0 HCPCS,0522T,Prgrmg dev eval wcs ip,,,37.43,79.36,7 HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,552.26,7 HCPCS,0523T,Hc Intraprocedurl Coronary Ffr 3D,1433.0,1433.0,,,0 HCPCS,0523T,Ntrapx c ffr w/3d funcjl map,,,1343.0,1580.0,2 HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,2866.43,7 HCPCS,0524T,Ev cath dir chem abltj w/img,,,3167.03,7870.0,16 HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,273.1,7 HCPCS,0525T,Insj/rplcmt compl iims,,,6309.89,40958.29,16 HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,6431.78,7 HCPCS,0526T,Insj/rplcmt iims eltrd only,,,4817.0,17596.89,16 HCPCS,0527T,Insj/rplcmt iims implt mntr,,,4817.0,17596.89,16 HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,302.38,7 HCPCS,0528T,Prgrmg dev eval iims ip,,,37.43,79.36,7 HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,1345.86,7 HCPCS,0529T,Interrog dev eval iims ip,,,37.43,79.36,7 HCPCS,0530T,Removal complete iims,,,3514.53,8364.54,16 HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,6189.55,7 HCPCS,0531T,Removal iims electrode only,,,3514.53,8364.54,16 HCPCS,0532T,Removal iims implt mntr only,,,3514.53,8364.54,16 HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,10666.14,7 HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,883.57,7 HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,131.74,7 HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,407.04,7 HCPCS,0537T,Bld drv t lymphcyt car-t cll,,,2678.54,4221.48,3 HCPCS,0537T,Hc Car-T Cell Acquisition (Fresh),22534.0,22534.0,,,0 HCPCS,0537T,Hc Car-T Cell Acquistion (Frozen),29860.0,29860.0,,,0 HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,3169.4,7 HCPCS,0538T,Bld drv t lymphcyt prep trns,,,2678.54,4221.48,3 HCPCS,0538T,Hc Car-T Tx Preparation Transport,575.0,575.0,,,0 HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,6337.85,7 HCPCS,0539T,Hc Car-T Tx Receipt And Preparation Of Car-T Cells For Admin,3182.0,3182.0,,,0 HCPCS,0539T,Receipt&prep car-t cll admn,,,2678.54,4221.48,3 HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,6971.64,7 HCPCS,0540T,Car-t cll admn autologous,,,2678.54,4221.48,3 HCPCS,0540T,"Hc Chemeric Antigen Receptor T-Cell (Car-T) Tx; Car-T Cell Admin, Autologus",1202.0,1202.0,,,0 HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,5836.89,7 HCPCS,0541T,Myocardial imaging mcg,,,374.29,793.49,7 HCPCS,0543T,Ta mv rpr w/artif chord tend,,,6309.89,10249.52,3 HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,6337.85,7 HCPCS,0544T,Tcat mv annulus rcnstj,,,6309.89,10249.52,3 HCPCS,0545T,Tcat tv annulus rcnstj,,,6309.89,10249.52,3 HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,79.99,7 HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,79.99,7 HCPCS,0547T,B1 matrl qual tst mcrind tib,,,657.73,5843.31,7 HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,246.41,7 HCPCS,0548T,Tprnl balo cntnc dev bi,,,11403.39,11403.39,2 HCPCS,0548U,Gfap cleia plasma,,,116.23,246.41,7 HCPCS,0549T,Tprnl balo cntnc dev uni,,,10227.73,10227.73,2 HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,1611.2,7 HCPCS,0550T,Tprnl balo cntnc dev rmvl ea,,,8364.54,8364.54,2 HCPCS,0551T,Tprnl balo cntnc dev adjmt,,,4840.09,4840.09,2 HCPCS,0552T,Low-level laser therapy,,,3590.0,3590.0,1 HCPCS,0553T,Perq tcat iliac anast implt,,,6309.89,10249.52,5 HCPCS,0553U,Repr med pga embry te strux,,,759.05,1609.19,7 HCPCS,0554T,B1 str & fx rsk analysis,,,60.46,97.45,6 HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,1609.19,7 HCPCS,0555T,B1 str&fx rsk transmis data,,,16.35,61.5,13 HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,1609.19,7 HCPCS,0556T,B1 str & fx rsk assessment,,,46.09,582.6,13 HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,302.38,7 HCPCS,0557T,B1 str & fx rsk i&r,,,16.35,24.35,6 HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,557.54,7 HCPCS,0558T,Ct scan f/biomchn ct alys,,,87.29,199.53,9 HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,44.12,7 HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,20.56,282.92,13 HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,44.12,7 HCPCS,0560T,Antmc mdl 3d print ea addl,,,8.95,14.54,4 HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,8222.31,7 HCPCS,0561T,Antmc guide 3d print 1st gd,,,97.43,282.92,13 HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,1684.32,7 HCPCS,0562T,Antmc guide 3d print ea addl,,,25.92,42.08,4 HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,1267.57,7 HCPCS,0563T,Evac meibomian glnd heat bi,,,59.17,4221.48,14 HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,883.57,7 HCPCS,0564T,Onc chemo rx cytotox csc 14,,,22.52,49.47,6 HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,883.57,7 HCPCS,0565T,Autol cell implt adps hrvg,,,1343.0,6277.0,7 HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,2459.2,7 HCPCS,0566T,Autol cell implt adps njx,,,1343.0,4840.09,10 HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,883.57,7 HCPCS,0567T,Perm flp tube occls w/implt,,,4419.21,7268.12,5 HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,10666.14,7 HCPCS,0568T,Intro mix saline&air f/ssg,,,2572.0,5843.31,6 HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,1901.64,7 HCPCS,0569T,Hc Tricuspid Valve Rpr - Perc In,12982.0,12982.0,,,0 HCPCS,0569T,Ttvr perq appr 1st prosth,,,6309.89,10249.52,3 HCPCS,0570T,Hc Tricuspid Valve Rpr - Perc Ad,12982.0,12982.0,,,0 HCPCS,0570T,Ttvr perq ea addl prosth,,,6309.89,10249.52,3 HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,552.26,7 HCPCS,0571T,"Hc Insertion/Replacement Of Icd System W/Substernal Electrode(S), Incl All Imaging Guidance And Elec",75230.0,75230.0,,,0 HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,6580.16,66745.65,14 HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,6189.55,7 HCPCS,0572T,Hc Insertion Of Substernal Implantable Defibrillator Electrode,19427.0,19427.0,,,0 HCPCS,0572T,Insertion ss dfb electrode,,,5405.0,17596.89,14 HCPCS,0573T,Hc Removal Of Substernal Implantable Defibrillator Electrode,8980.0,8980.0,,,0 HCPCS,0573T,Removal ss dfb electrode,,,3748.26,10249.52,14 HCPCS,0574T,Hc Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode,8980.0,8980.0,,,0 HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3748.26,10249.52,14 HCPCS,0575T,Hc Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System W/Subs,86.0,86.0,,,0 HCPCS,0575T,Prgrmg dev eval icds ss ip,,,37.43,79.36,7 HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,805.6,7 HCPCS,0576T,Hc Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System W/Su,86.0,86.0,,,0 HCPCS,0576T,Interrog dev eval icds ss ip,,,37.43,79.36,7 HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,6868.8,7 HCPCS,0577T,Hc Electrophysiologic Evaluation Of Icd System W/Substernal Electrode,3129.0,3129.0,,,0 HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,523.47,7 HCPCS,0578T,"Hc Interrogation Device Evaluation(S) (Remote), Up To 90 Days, Substernal Lead Implantable Cardiover",102.0,102.0,,,0 HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,8210.76,7 HCPCS,0579T,"Hc Interrogation Device Evaluation(S) (Remote), Up To 90 Days, Substernal Lead Implantable Cardiover",99.0,99.0,,,0 HCPCS,0579T,Rem interrog dev icds tech,,,37.43,79.36,7 HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,828.39,7 HCPCS,0580T,Hc Removal Of Substernal Implantable Defibrillator Pulse Generator Only,8980.0,8980.0,,,0 HCPCS,0580T,Rmvl ss impl dfb pg only,,,3748.26,10249.52,14 HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,36.49,7 HCPCS,0581T,Abltj mal brst tum perq crtx,,,3514.53,8325.82,14 HCPCS,0581T,"Hc Ablation, Breast Tumor(S), Cryotherapy, Imaging Guidance, Unilateral",9774.0,9774.0,,,0 HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,690.7,7 HCPCS,0582T,Trurl abltj mal prst8 tiss,,,3295.0,28054.72,12 HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,16074.26,7 HCPCS,0583T,Tmpst auto tube dlvr sys,,,1556.28,6277.0,15 HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,8037.13,7 HCPCS,0584T,Perq islet cell transplant,,,6580.16,10674.37,3 HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,1146.9,7 HCPCS,0585T,Laps islet cell transplant,,,6580.16,10674.37,3 HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,6189.55,7 HCPCS,0586T,Open islet cell transplant,,,6580.16,10674.37,3 HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,6189.55,7 HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,1952.0,13551.61,17 HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,242.59,7 HCPCS,0588T,Revision/removal isdns ptn,,,2572.0,7870.0,16 HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,1611.2,7 HCPCS,0589T,Elec alys smpl prgrmg iins,,,95.36,202.16,7 HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,421.33,7 HCPCS,0590T,Elec alys cplx prgrmg iins,,,95.36,202.16,7 HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,1611.2,7 HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,6189.55,7 HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,1345.86,7 HCPCS,0594T,Osteot hum xtrnl lngth dev,,,4817.0,15429.7,16 HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,557.54,7 HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,699.41,4840.09,17 HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,699.41,4840.09,17 HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,63.46,632.75,13 HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,636.0,7 HCPCS,0599T,Ncntc r-t fluor wnd img ea,,,42.0,68.16,4 HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,1901.64,7 HCPCS,0600T,"Hc Ablation, Irreversible Electroporation; 1 Or More Tumors Per Organ, Including Imaging Guidance, P",27070.0,27070.0,,,0 HCPCS,0600T,Ire abltj 1+tum organ perq,,,4817.0,22603.4,16 HCPCS,0601T,Ire abltj 1+tumors open,,,4962.02,22603.4,16 HCPCS,0602T,Transdermal gfr measurements,,,503.33,503.33,2 HCPCS,0603T,Transdermal gfr monitoring,,,1270.1,1270.1,2 HCPCS,0604T,Rem oct rta dev setup&educaj,,,26.77,289.83,5 HCPCS,0605T,Rem oct rta techl sprt min 8,,,90.63,149.42,5 HCPCS,0606T,Rem oct rta phys/qhp ea 30d,,,38.69,72.4,5 HCPCS,0609T,Mrs disc pain acquisj data,,,239.32,575.33,12 HCPCS,0610T,Mrs disc pain transmis data,,,243.2,429.18,5 HCPCS,0611T,Mrs disc pain alg alys data,,,52.41,575.33,12 HCPCS,0612T,Mrs discogenic pain i&r,,,53.41,78.17,5 HCPCS,0613T,Perq tcat intratrl septl sht,,,6309.89,10249.52,3 HCPCS,0614T,Hc Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator,53901.0,53901.0,,,0 HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,6309.89,47299.0,16 HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,133.45,282.92,7 HCPCS,0616T,"Hc Insert, Iris Prosthesis, Incl Suture Fixation&Repair Or Rmvl Of Iris; W/O Rmvl Of Crystalline/Int",10588.0,10588.0,,,0 HCPCS,0616T,Insertion of iris prosthesis,,,3011.79,10815.0,8 HCPCS,0617T,"Hc Insert, Iris Prosthesis, Incl Suture Fixation&Repair Or Rmvl Of Iris W/Rmvl Of Crystalline Lens&I",10588.0,10588.0,,,0 HCPCS,0617T,Insj iris prosth w/rmvl&insj,,,4419.21,10848.4,8 HCPCS,0618T,Insj iris prosth sec io lens,,,4419.21,10848.4,8 HCPCS,0619T,Cysto w/prst8 commissurotomy,,,3895.0,11385.0,10 HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,4817.0,93660.94,16 HCPCS,0620T,"Hc Endovascular Venous Arterialization, Tibial/Peroneal Vein W/Transcatheter Placement Of Intravascu",32771.0,32771.0,,,0 HCPCS,0621T,Trabeculostomy interno laser,,,3011.79,8789.36,12 HCPCS,0622T,Trabeculostomy int lsr w/scp,,,3011.79,5594.0,5 HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,2572.0,27300.32,16 HCPCS,0628T,Perq njx algc fluor lmbr ea,,,1343.0,2987.0,4 HCPCS,0629T,Perq njx algc ct lmbr 1st,,,2572.0,27300.32,16 HCPCS,0630T,Perq njx algc ct lmbr ea,,,1343.0,2987.0,4 HCPCS,0632T,Perq tcat us abltj nrv p-art,,,4419.21,38980.61,14 HCPCS,0633T,Ct breast w/3d uni c-,,,104.86,272.43,14 HCPCS,0634T,Ct breast w/3d uni c+,,,175.93,446.38,14 HCPCS,0635T,Ct breast w/3d uni c-/c+,,,175.93,446.38,14 HCPCS,0636T,Ct breast w/3d bi c-,,,239.32,575.33,14 HCPCS,0637T,Ct breast w/3d bi c+,,,289.55,920.3,14 HCPCS,0638T,Ct breast w/3d bi c-/c+,,,302.36,920.3,14 HCPCS,0639T,Wrls skn snr anisotropy meas,,,210.23,2987.0,4 HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,37.46,92.18,10 HCPCS,0643T,Tcat l ventr rstrj dev implt,,,5125.78,8382.61,3 HCPCS,0644T,"Hc Transcatheter Removal/Debulking, Intracardiac Mass Via Suction Device, Percutaneous Approach W/In",11896.0,11896.0,,,0 HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5125.78,12102.61,16 HCPCS,0645T,"Hc Transcath Implantation, Coronary Sinus Reduction Device Incl Vascular Access/Closure, Right Heart",40098.0,40098.0,,,0 HCPCS,0645T,Tcat impltj c sins rdctj dev,,,6309.89,38980.61,14 HCPCS,0646T,Hc Ttvi Tricuspd Val Rplc W/O Byp,13696.0,13696.0,,,0 HCPCS,0646T,Hc Ttvi Tricuspid Valve Implant,40461.0,40461.0,,,0 HCPCS,0646T,Ttvi/rplcmt w/prstc vlv perq,,,6309.89,10249.52,3 HCPCS,0647T,Insj gtube perq mag gastrpxy,,,1924.71,10726.0,17 HCPCS,0648T,Quan mr alys tiss w/o mri,,,575.33,2094.55,12 HCPCS,0649T,Hc Quantitive Magnetic Resonance For Analysis Of Tissue W/Mri Single Organ,770.0,770.0,,,0 HCPCS,0649T,Quan mr alys tiss w/mri,,,933.16,2094.55,10 HCPCS,0650T,Hc Prgrmg Device Eval (Remote) Scrms W/Iterative Adj Of Implantable Device To Test The Function Of T,117.0,117.0,,,0 HCPCS,0650T,Prgrmg dev eval scrms remote,,,37.43,79.36,7 HCPCS,0651T,Mag ctrld capsule endoscopy,,,909.73,7750.0,12 HCPCS,0652T,Egd flx transnasal dx br/wa,,,1924.71,7750.0,17 HCPCS,0653T,Egd flx transnasal bx 1/ml,,,1924.71,7750.0,17 HCPCS,0654T,Egd flx transnasal tube/cath,,,2912.0,10726.0,17 HCPCS,0655T,Tprnl focal abltj mal prst8,,,3295.0,11401.39,17 HCPCS,0656T,Vrt bdy tethering ant,,,6156.44,37284.11,12 HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,6156.44,37284.11,12 HCPCS,0658T,Elec impd spectrsc 1+skn les,,,59.17,139.15,9 HCPCS,0659T,Tcat intra-c nfs supersat o2,,,6309.89,10249.52,3 HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4145.92,10815.0,13 HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4145.92,10815.0,13 HCPCS,0664T,Don hysterectomy open cdvr,,,3514.53,9512.0,5 HCPCS,0665T,Don hysterectomy open liv,,,3514.53,9512.0,5 HCPCS,0666T,Don hysterectomy laps liv,,,3514.53,6654.0,5 HCPCS,0667T,Don hysterectomy rcp uter,,,3514.53,5843.31,3 HCPCS,0668T,Bkbench prep don uter algrft,,,3514.53,5843.31,3 HCPCS,0669T,Bkbench rcnstj don uter ven,,,3514.53,5843.31,3 HCPCS,0670T,Bkbench rcnstj don uter artl,,,3514.53,5843.31,3 HCPCS,0671T,"Hc Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork, Without Exter",11952.0,11952.0,,,0 HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,3011.79,11385.0,17 HCPCS,0672T,Ndovag cryg rf remdl tiss,,,4419.21,7268.12,5 HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1656.59,10726.0,17 HCPCS,0673T,"Hc Ablation, Benign Thyroid Nodule(S), Percutaneous, Laser, Including Imaging Guidance",4494.0,4494.0,,,0 HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,3514.53,65616.17,12 HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,3514.53,23693.96,12 HCPCS,0676T,Laps insj nw/rpcmt isdss ea,,,2572.0,5843.31,5 HCPCS,0677T,Laps repos lead isdss 1st ld,,,3295.0,22603.4,12 HCPCS,0678T,Laps repos lead isdss ea add,,,2572.0,5843.31,5 HCPCS,0679T,Laps rmvl lead isdss,,,3295.0,22603.4,12 HCPCS,0680T,Insj/rplcmt pg only isdss,,,3514.53,41252.63,12 HCPCS,0681T,Rlcj pulse gen only isdss,,,3295.0,7434.16,12 HCPCS,0682T,Removal pulse gen only isdss,,,3295.0,7434.16,12 HCPCS,0683T,Prgrmg dev eval isdss ip,,,37.43,79.36,7 HCPCS,0685T,Interrog dev eval isdss ip,,,37.43,79.36,7 HCPCS,0686T,Histotripsy mal hepatcel tis,,,4817.0,36424.34,16 HCPCS,0689T,Quan us tis charac w/o dx us,,,87.29,206.53,9 HCPCS,0690T,Quan us tis charac w/dx us,,,66.68,97.59,3 HCPCS,0691T,Auto alys xst ct std vrt fx,,,21.18,21.18,2 HCPCS,0692T,Therapeutic ultrafiltration,,,1562.14,3311.73,7 HCPCS,0693T,Compre ful bdy 3d mtn alys,,,344.11,876.25,9 HCPCS,0694T,3d vol img&rcnstj brst/ax,,,50.9,74.5,4 HCPCS,0694T,"Hc Mg Specimen Radiograph 3D Reconstruction, Breast",885.0,885.0,,,0 HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,37.43,79.36,7 HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,587.5,1978.31,9 HCPCS,0698T,Quan mr tiss w/mri mlt orgn,,,133.36,1978.31,10 HCPCS,0699T,Njx pst chmbr eye medication,,,2314.8,11385.0,15 HCPCS,0700T,Molec fluor img sus nev 1st,,,54.54,88.95,5 HCPCS,0701T,Molec fluor img sus nev ea,,,16.35,26.28,5 HCPCS,0707T,Hc Injection(S) Bone-Substitute Material,7323.0,7323.0,,,0 HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3281.9,11385.0,17 HCPCS,0711T,"Hc Noninvasive Arterial Plaque Analysis, Data Prep, Transmission",209.0,209.0,,,0 HCPCS,0712T,"Hc Noninvasive Arterial Plaque Analysis, Quantification, Composition, Assessment",209.0,209.0,,,0 HCPCS,0712T,N-nvs artl plaq alys quan,,,216.58,459.14,7 HCPCS,0713T,"Hc Noninvasive Arterial Plaque Analysis, Data Review, Interpretation, Report",209.0,209.0,,,0 HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,3295.0,11401.39,16 HCPCS,0716T,Car acous wavfrm rec cad rsk,,,59.17,1580.0,9 HCPCS,0717T,Adrc ther prtl rc tear,,,3514.53,7870.0,14 HCPCS,0718T,Adrc ther prtl rc tear njx,,,2572.0,7870.0,14 HCPCS,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,3514.53,8180.0,5 HCPCS,0720T,Prq elc nrv stim cn wo implt,,,2678.54,4840.09,7 HCPCS,0721T,Quan ct tiss charac w/o ct,,,638.63,1626.25,9 HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,933.16,2376.25,9 HCPCS,0724T,Qmrcp w/dx mri same anatomy,,,933.16,1978.31,7 HCPCS,0725T,Vestibular dev impltj uni,,,4419.21,9512.0,5 HCPCS,0726T,Rmvl implt vstibular dev uni,,,4419.21,7268.12,5 HCPCS,0727T,Rmvl&rplcmt implt vstblr dev,,,4419.21,9512.0,5 HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,3011.79,5594.0,5 HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,59.17,125.44,7 HCPCS,0735T,Prep tum cav iort prim crnot,,,1343.0,2987.0,4 HCPCS,0736T,Colonic lavage 35+l water,,,129.06,4221.48,14 HCPCS,0737T,Xenograft impltj artclr surf,,,3295.0,27300.32,12 HCPCS,0738T,Tx pln mag fld abltj prst8,,,100.32,146.83,3 HCPCS,0739T,Abltj mal prst8 mag fld ndct,,,2301.38,3826.0,5 HCPCS,0740T,Rem auton alg nsln cal setup,,,59.17,125.44,7 HCPCS,0741T,Rem auton alg nsln data coll,,,37.43,79.36,7 HCPCS,0742T,Aqmbf spect xers/strs & rest,,,106.24,155.5,3 HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,239.32,507.37,7 HCPCS,0744T,"Hc Insert Bioprosthetic Valve,Open,Femoral Vein, Duplex Us Img, Incl Auto/Nonautogenous Patch Graft",12335.0,12335.0,,,0 HCPCS,0744T,Insj bioprostc vlv fem vn,,,4419.21,11832.39,16 HCPCS,0748T,Njx stm cl prdct anl sft tis,,,2572.0,2987.0,2 HCPCS,0751T,Hc Dgtz Glass Mcrscp Sld Level Ii Surg Path,40.5,40.5,,,0 HCPCS,0752T,Hc Dgtz Glass Mcrscp Sld Level Iii Surg Path,40.5,40.5,,,0 HCPCS,0753T,Hc Dgtz Glass Mcrscp Sld Level Iv Surg Path,40.5,40.5,,,0 HCPCS,0754T,Hc Dgtz Glass Mcrscp Sld Level V Surg Path,40.5,40.5,,,0 HCPCS,0755T,Hc Dgtz Glass Mcrscp Sld Level Vi Surg Path,40.5,40.5,,,0 HCPCS,0756T,Hc Dgtz Glass Mcrscp Sld Spec Stain Grp I Microorg,98.0,98.0,,,0 HCPCS,0757T,Hc Dgtz Glass Mcrscp Sld Spec Stain Grp Ii All Oth,98.0,98.0,,,0 HCPCS,0758T,Hc Dgtz Glass Mcrscp Sld Spec Stain Hchem Stain,85.0,85.0,,,0 HCPCS,0759T,Hc Dgtz Glas Mcrscp Sld Spec Stn Grp Iii Nzm Const,98.0,98.0,,,0 HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,133.45,282.92,7 HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,133.45,282.92,7 HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,216.58,459.14,7 HCPCS,0775T,Arthrd si jt prq iartic impl,,,11403.39,11403.39,2 HCPCS,0775T,"Hc Arthrodesis, Sacroiliac Joint, Percutaneous, W/Image Guidance, Incl Placement Intra-Articular Imp",39366.0,39366.0,,,0 HCPCS,0777T,R-t prs sensing edrl gdn sys,,,2572.0,2987.0,2 HCPCS,0778T,Smmg cncrnt appl imu snr,,,129.06,363.58,9 HCPCS,0779T,Gi myoelectrical actv study,,,374.29,793.49,7 HCPCS,0780T,Hc Instillation Of Fecal Microbiota Suspension Via Rectal Enema Into Lower Gastrointestinal Tract,6672.0,6672.0,,,0 HCPCS,0780T,Instlj fecal microbiota ssp,,,133.45,4221.48,14 HCPCS,0781T,Brnchsc rf dstrj pulm nrv bi,,,5125.78,11385.0,6 HCPCS,0782T,Brnchsc rf dstrj plm nrv uni,,,5125.78,11385.0,6 HCPCS,0783T,Tc auriculr neurostimulation,,,129.06,273.61,7 HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,5405.0,23693.96,16 HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,2572.0,11385.0,17 HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,5405.0,23693.96,16 HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,2572.0,11385.0,17 HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,95.36,202.16,7 HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,95.36,202.16,7 HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,6156.44,37284.11,10 HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,6580.16,38980.61,16 HCPCS,0794T,Pt spec alg rx-onc tx option,,,59.17,1580.0,9 HCPCS,0795T,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,6580.16,40958.29,14 HCPCS,0796T,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,4817.0,47299.0,14 HCPCS,0797T,"Hc Transcatheter Insertion Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance",44557.0,44557.0,,,0 HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,4817.0,40958.29,16 HCPCS,0798T,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3167.03,11385.0,15 HCPCS,0799T,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3167.03,11385.0,15 HCPCS,0800T,"Hc Transcatheter Removal Of Permanent Dual-Chamber Leadless Pacemaker, Including Imaging Guidance, W",7289.0,7289.0,,,0 HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3167.03,11385.0,17 HCPCS,0801T,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,6580.16,40958.29,14 HCPCS,0802T,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,5730.0,40958.29,14 HCPCS,0803T,"Hc Transcatheter Removal And Replacement Of Permanent Dual-Chamber Leadless Pacemaker, Including Ima",44557.0,44557.0,,,0 HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,5730.0,40958.29,16 HCPCS,0804T,Hc Prgrmg Device Eval (In Person) Ldls Pm Sys 2Chmbr W/Iterative Adj Of Implantable Device To Test T,114.0,114.0,,,0 HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,37.43,79.36,7 HCPCS,0805T,Tcat s&ivc prstc vl impl prq,,,6309.89,10249.52,5 HCPCS,0806T,Tcat s&ivc prstc vl impl opn,,,6309.89,10249.52,5 HCPCS,0807T,Pulm tiss vntj alys prev ct,,,216.58,459.14,9 HCPCS,0808T,Pulm tiss vntj alys w/ct,,,216.58,700.15,9 HCPCS,0809T,Arthrd si jt prq tfx&implt,,,11403.39,11403.39,2 HCPCS,0810T,"Hc Subretinal Injection Of A Pharmacologic Agent, Including Vitrectomy And 1 Or More Retinotomies",11731.0,11731.0,,,0 HCPCS,0810T,Subrta njx rx agt w/vtrc,,,2678.54,11385.0,15 HCPCS,0811T,Rem mlt day uroflow setup,,,133.54,283.1,7 HCPCS,0812T,Rem mlt day uroflow dev sply,,,129.06,273.61,7 HCPCS,0813T,Egd vol adjmt bariatric balo,,,909.73,7750.0,17 HCPCS,0814T,Prq njx biod osteo matrl fem,,,2572.0,10674.37,5 HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,3295.0,41252.63,16 HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,3295.0,41252.63,16 HCPCS,0818T,Revj/rmvl ins ptn subq,,,2572.0,11385.0,17 HCPCS,0819T,Revj/rmvl ins ptn subf,,,2572.0,11385.0,17 HCPCS,0823T,"Hc Transcatheter Insertion Of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including I",44603.0,44603.0,,,0 HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,6580.16,47299.0,16 HCPCS,0824T,"Hc Transcatheter Removal Of Permanent Single-Chamber Leadless Pacemaker, Right Atrial, Including Ima",7296.0,7296.0,,,0 HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3167.03,11385.0,17 HCPCS,0825T,"Hc Transcatheter Removal And Replacement Of Permanent Single-Chamber Leadless Pacemaker, Right Atria",44603.0,44603.0,,,0 HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,6580.16,40958.29,16 HCPCS,0826T,Hc Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To,99.0,99.0,,,0 HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,37.43,79.36,7 HCPCS,0857T,Opto-acoustic img breast uni,,,104.86,261.88,9 HCPCS,0861T,Hc Removal Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing; Both Comp,8989.0,8989.0,,,0 HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3514.53,11385.0,17 HCPCS,0862T,"Hc Relocation Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Includ",4174.0,4174.0,,,0 HCPCS,0862T,Rlcj pg wcs lv battery only,,,2069.52,11385.0,17 HCPCS,0863T,"Hc Relocation Of Pulse Generator For Wireless Cardiac Stimulator For Left Ventricular Pacing, Includ",4174.0,4174.0,,,0 HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2069.52,11385.0,17 HCPCS,0864T,"Hc Low-Intensity Extracorporeal Shock Wave Therapy Involving Corpus Cavernosum, Low Energy",687.0,687.0,,,0 HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,250.6,4840.09,11 HCPCS,0865T,Hc Quantitative Mri Analysis Of The Brain W/O Diagnostic Mri,505.0,505.0,,,0 HCPCS,0865T,Quan mri alys brn w/o dx mri,,,239.32,583.68,9 HCPCS,0866T,Hc Quantitative Mri Analysis Of The Brain W/Diagnostic Mri,505.0,505.0,,,0 HCPCS,0866T,Quan mri alys brn w/dx mri,,,239.32,583.68,9 HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,3295.0,11401.39,14 HCPCS,0868T,Hi-res gastric ep mapping,,,374.29,793.49,7 HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3281.9,7870.0,14 HCPCS,0870T,Imp subq prtl ascts pmp sys,,,3295.0,72847.63,12 HCPCS,0871T,Rplcmt subq prtl ascites pmp,,,3295.0,57237.65,12 HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,3295.0,10674.37,12 HCPCS,0873T,Revj subq prtl asct pmp sys,,,3295.0,10674.37,12 HCPCS,0874T,Rmvl pertl ascites pmp sys,,,2572.0,7613.41,12 HCPCS,0875T,Prgrm subq prtl asct pmp sys,,,37.43,79.36,7 HCPCS,0877T,Hc Augmnt Analysis Chest Ct Img Data To Provide Categorical Diagnostic Subtype Classification Of Ild,1405.0,1405.0,,,0 HCPCS,0878T,Hc Augmnt Analysis Chest Ct Img Data To Provide Categorical Diagnostic Subtype Classification Of Ild,1405.0,1405.0,,,0 HCPCS,0881T,Cryotherapy oral cavity,,,448.08,949.92,7 HCPCS,0882T,Intraop ther estim pn ue 1st,,,1343.0,2987.0,4 HCPCS,0883T,Intraop ther estim pn ue ea,,,1343.0,2987.0,4 HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,3514.53,12909.23,14 HCPCS,0885T,Colsc flx 1st tndsc dilat,,,3011.79,12909.23,14 HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,3011.79,12909.23,14 HCPCS,0888T,Histotripsy mal renal tissue,,,4817.0,43751.25,14 HCPCS,0889T,"Hc Personalized Target Development For Accelerated, Repetitive High-Dose Functional Connectivity Mri",2623.0,2623.0,,,0 HCPCS,0889T,Prsnlz trgt dvl arhfcmrigtbs,,,933.16,1978.31,7 HCPCS,0890T,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 HCPCS,0891T,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 HCPCS,0892T,"Hc Accel, Repetitive High-Dose Functional Connectivity Mri-Guided Theta-Burst Stimulation, Incl Neur",10351.0,10351.0,,,0 HCPCS,0893T,N-invas assmt bld oxygnation,,,133.45,282.92,7 HCPCS,0894T,Cannulation liver allograft,,,4962.02,7972.53,3 HCPCS,0895T,Connj lvr algrft prfu dev 1,,,4962.02,7972.53,3 HCPCS,0896T,Connj lvr algrft prfu dev ea,,,3514.53,5843.31,3 HCPCS,0897T,N-invas augmnt arrhyt alys,,,861.34,1826.04,7 HCPCS,0898T,"Hc Noninvasive Prostate Cancer Estimation Map, Incl Visualization Of Margin Volume&Location, W/Margi",2808.0,2808.0,,,0 HCPCS,0898T,N-invas prst8 cancer est map,,,861.34,1826.04,7 HCPCS,0902T,"Hc Qtc Interval Derived By Augmentative Algorithmic Analysis Of Input From An External, Patient-Acti",355.0,355.0,,,0 HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,133.45,282.92,7 HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,59.17,125.44,7 HCPCS,0904T,"Hc Electrocardiogram, Algorithmically Generated 12-Lead Ecg From A Reduced-Lead Ecg; Tracing Only",164.0,164.0,,,0 HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,201.24,426.63,7 HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,6580.16,65616.17,10 HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,6309.89,65616.17,10 HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3506.68,7434.16,10 HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,59.17,125.44,7 HCPCS,0912T,Elec alys nstim sys vgs smpl,,,95.36,202.16,7 HCPCS,0913T,"Hc Perq Tcath Therapeutic Drug Delivery By Intracoronary Drug-Delivery Balloon, Imaging Si&R, Single",13684.0,13684.0,,,0 HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,7797.0,24547.7,9 HCPCS,0914T,"Hc Perq Tcath Therapeutic Drug Delivery By Intracoronary Drug-Delivery Balloon, Separate Target Lesi",22371.0,22371.0,,,0 HCPCS,0914T,Prq tcat thr rx ntrc bal sep,,,1343.0,1580.0,2 HCPCS,0915T,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",76948.0,76948.0,,,0 HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,6580.16,66745.65,12 HCPCS,0916T,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",53871.0,53871.0,,,0 HCPCS,0916T,Insj perm ccm-d sys pg only,,,6580.16,47299.0,12 HCPCS,0917T,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",19862.0,19862.0,,,0 HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,6309.89,17596.89,12 HCPCS,0918T,"Hc Insert Permanent Ccm-D System Component(S), Incl Fluoro Guidance, Eval&Programming, Sensing&Thera",19862.0,19862.0,,,0 HCPCS,0918T,Insj perm ccm-d sys dual ld,,,6309.89,17596.89,12 HCPCS,0919T,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Pulse,8734.0,8734.0,,,0 HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3514.53,7946.31,12 HCPCS,0920T,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Singl,8734.0,8734.0,,,0 HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3514.53,7946.31,12 HCPCS,0921T,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Singl,8734.0,8734.0,,,0 HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3514.53,7946.31,12 HCPCS,0922T,Hc Removal Of A Permanent Cardiac Contractility Modulation-Defibrillation System Component(S); Dual,8734.0,8734.0,,,0 HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3514.53,7946.31,12 HCPCS,0923T,Hc Removal And Replacement Of Permanent Cardiac Contractility Modulation-Defibrillation Pulse Genera,53871.0,53871.0,,,0 HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,6580.16,47299.0,12 HCPCS,0924T,"Hc Repositioning Previously Impl Ccm-D Transvenous Electrode(S)/Lead(S), Incl Fluoro Guidance, Progr",1484.0,1484.0,,,0 HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,629.2,4221.48,12 HCPCS,0925T,Hc Relocation Of Skin Pocket For Implanted Cardiac Contractility Modulation-Defibrillation Pulse Gen,4558.0,4558.0,,,0 HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2069.52,5051.48,12 HCPCS,0926T,"Hc Programming Device Evaluation (In Person), Including Review And Report, Implantable Ccm-D System",104.0,104.0,,,0 HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,37.43,79.36,7 HCPCS,0927T,"Hc Interrogation Device Evaluation (In Person), Per Patient Encounter, Implantable Ccm-D System",104.0,104.0,,,0 HCPCS,0927T,Interrog dev eval ccm-d ip,,,37.43,79.36,7 HCPCS,0929T,"Hc Interrogation Device Evaluation (Remote), Up To 90 Days, Ccm-D System, Remote Data Acquisition(S)",104.0,104.0,,,0 HCPCS,0929T,Rem interrog dev ccm-d tech,,,37.43,79.36,7 HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1221.22,3425.0,9 HCPCS,0930T,"Hc Electrophysiologic Eval Of Ccm-D Leads, Incl Defibrillation-Threshold Eval, At Time Of Initial Im",2914.0,2914.0,,,0 HCPCS,0931T,Ephys eval ccm-d ld separate,,,1221.22,3425.0,9 HCPCS,0931T,"Hc Electrophysiologic Eval Of Ccm-D Leads, Incl Defibrillation-Threshold Eval, Separate From Initial",2914.0,2914.0,,,0 HCPCS,0932T,"Hc Noninvasive Detection, Heart Failure Derived From Augmentative Analysis Of Echocardiogram W/Inter",828.0,828.0,,,0 HCPCS,0932T,N-invs det hrt fail aug echo,,,308.07,653.1,7 HCPCS,0933T,"Hc Tcath Implantation, Wireless Left Atrial Pressure Sensor, Long-Term Left Atrial Pressure Monitori",7719.0,7719.0,,,0 HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3251.74,8655.0,12 HCPCS,0935T,Cysto w/rnl pel symp dnrvtj,,,2678.54,4221.48,3 HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,3514.53,20129.59,10 HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,6580.16,20129.59,10 HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,2096.71,5843.31,10 HCPCS,0944T,3d cntr simula trgt lvr les,,,239.32,507.37,7 HCPCS,0944T,Hc 3D Contour Simulation Of Target Liver Lesion(S) And Margin(S) For Image-Guided Percutaneous Micro,667.0,667.0,,,0 HCPCS,0946T,"Hc Orthopedic Implant Movement Analysis, Paired Ct Examination, Including Data Acquisition, Data Pre",293.0,293.0,,,0 HCPCS,0946T,Ortho impl mvmt alys pair ct,,,104.86,222.31,7 HCPCS,0949T,Rem interrog dev ccm tech,,,37.43,79.36,7 HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9495.09,20129.59,7 HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1612.85,3419.25,7 HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3281.9,6957.62,7 HCPCS,0959T,Rmv/rplc magnet coil assem,,,1656.59,3511.98,7 HCPCS,0962T,Asstv alg alys acous&ecg rec,,,133.45,282.92,7 HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1200.26,2544.55,7 HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3325.49,7050.03,7 HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3325.49,7050.03,7 HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3325.49,7050.03,7 HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1200.26,2544.55,7 HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,3927.28,8325.82,7 HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,3927.28,8325.82,7 HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,407.74,864.42,7 HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,407.74,864.42,7 HCPCS,0977T,Upr gi bld detcj snr capsule,,,909.73,1928.62,7 HCPCS,0981T,Tcat impl wrls ivc snr,,,18387.08,38980.61,7 HCPCS,0982T,Rem mntr impl ivc snr set-up,,,133.54,283.1,7 HCPCS,0983T,Rem mntr impl ivc snr phys,,,37.43,79.36,7 HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3506.68,7434.16,7 HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9495.09,20129.59,7 HCPCS,0992T,N-invas assmt car rsk w/o ct,,,239.32,507.37,7 HCPCS,0993T,N-invas assmt car rsk w/ct,,,239.32,507.37,7 HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2314.8,4907.38,7 HCPCS,10004,Fna bx w/o img gdn ea addl,,,1343.0,2987.0,4 HCPCS,10004,"Hc Fine Needle Aspiration Biopsy, W/O Imaging Guidance; Each Add'l Lesion",323.0,323.0,,,0 HCPCS,10004,Noncdm Charge Record,281.0,281.0,,,0 HCPCS,10005,Fna bx w/us gdn 1st les,,,710.27,4840.09,17 HCPCS,10005,Hc Fna Biopsy-Us Guidance 1St Lesion,2754.0,2754.0,,,0 HCPCS,10005,Hc Pbb Fna Biopsy-Us Guidance 1St Lesion,2754.0,2754.0,,,0 HCPCS,10006,Fna bx w/us gdn ea addl,,,1343.0,2987.0,4 HCPCS,10006,Hc Fna Biopsy-Us Guidance Each Add Lesion,834.0,834.0,,,0 HCPCS,10006,Hc Pbb Fna Biopsy-Us Guidance Each Add Lesion,834.0,834.0,,,0 HCPCS,10007,Fna bx w/fluor gdn 1st les,,,710.27,4840.09,17 HCPCS,10008,Fna bx w/fluor gdn ea addl,,,1343.0,2987.0,4 HCPCS,10009,Fna bx w/ct gdn 1st les,,,710.27,4840.09,17 HCPCS,10009,Hc Fna Biopsy-Ct Guidance 1St Lesion,2754.0,2754.0,,,0 HCPCS,10010,Fna bx w/ct gdn ea addl,,,1343.0,2987.0,4 HCPCS,10010,Hc Fna Bx-Ct Guid Each Add Lesion,834.0,834.0,,,0 HCPCS,10011,Fna bx w/mr gdn 1st les,,,710.27,4840.09,17 HCPCS,10012,Fna bx w/mr gdn ea addl,,,1343.0,2987.0,4 HCPCS,10021,Fna w/o image,,,407.74,4840.09,18 HCPCS,10021,Hc Fine Needle Asp;W/O Imaging Guidance,1294.0,1294.0,,,0 HCPCS,10021,Hc Pbb Fine Needle Asp;W/O Imaging Guidance,1294.0,1294.0,,,0 HCPCS,10022,Fna w/image,,,3051.0,4840.09,4 HCPCS,10022,Noncdm Charge Record,1443.0,1443.0,,,0 HCPCS,1002T,Air displacmnt plethysmograp,,,29.01,61.5,7 HCPCS,10030,Guide cathet fluid drainage,,,710.27,4840.09,18 HCPCS,10030,"Hc Image-Guided Catheter Fluid Collection Drainage, Soft Tissue",5400.0,5400.0,,,0 HCPCS,10035,Hc Perq Sft Tiss Loc Device Plmt 1St Les W/Gdnce,1843.0,1843.0,,,0 HCPCS,10035,Perq dev soft tiss 1st imag,,,710.27,4797.0,16 HCPCS,10036,Hc Localization Device Plcmnt W/Img Guidance Ea Add,1536.0,1536.0,,,0 HCPCS,10036,Hc Localization Device Plcmnt W/Img Guidance Ea Addl,1536.0,1536.0,,,0 HCPCS,10036,Perq dev soft tiss add imag,,,1343.0,2987.0,5 HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,12877.51,27300.32,7 HCPCS,10040,Acne surgery,,,201.24,4840.09,15 HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,133.45,282.92,7 HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,95.36,202.16,7 HCPCS,10060,Drainage of skin abscess,,,201.24,4840.09,18 HCPCS,10060,Hc Incision And Drainage Of Abscess - Simple Or Single,1547.0,1547.0,,,0 HCPCS,10060,"Hc Incision Drainage Of Abcess, Simple Or Single",4609.0,4609.0,,,0 HCPCS,10061,Drainage of skin abscess,,,407.74,4840.09,19 HCPCS,10061,Hc Incision And Drainage Of Abscess - Complicated Or Multi,3742.5,3742.5,,,0 HCPCS,10080,Drainage of pilonidal cyst,,,710.27,4840.09,18 HCPCS,10080,Hc Drain Pilonidal Cyst Simpl,2091.0,2091.0,,,0 HCPCS,10081,Drainage of pilonidal cyst,,,710.27,4840.09,18 HCPCS,10081,Hc Drain Pilonidal Cyst Complic,2091.0,2091.0,,,0 HCPCS,10081,Hc Incision And Drainage Of Pilonidal Cyst Complicated,5507.0,5507.0,,,0 HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,133.54,283.1,7 HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,133.45,282.92,7 HCPCS,10120,Hc Remove Foreign Body Simple,3078.0,3078.0,,,0 HCPCS,10120,Remove foreign body,,,407.74,4840.09,18 HCPCS,10121,Hc Foreign Body Removl Sub-Q Complicated,5367.0,5367.0,,,0 HCPCS,10121,Remove foreign body,,,1656.59,5345.54,19 HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4145.92,8789.36,7 HCPCS,10140,Drainage of hematoma/fluid,,,1656.59,5051.48,18 HCPCS,10140,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collec",5605.0,5605.0,,,0 HCPCS,10140,"Hc Incision And Drainage Of Hematoma, Seroma Or Fluid Collection",5400.0,5400.0,,,0 HCPCS,10160,Hc Puncture Aspiration Hematoma,1308.0,1308.0,,,0 HCPCS,10160,"Hc Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst",5810.0,5810.0,,,0 HCPCS,10160,Hc Puncture Drainage Of Lesion,1308.0,1308.0,,,0 HCPCS,10160,Puncture drainage of lesion,,,407.74,4840.09,18 HCPCS,10180,Complex drainage wound,,,2913.5,6176.62,19 HCPCS,10180,"Hc Complex Drainage, Wound",6935.0,6935.0,,,0 HCPCS,1019T,Lymphovenous bypass per xtr,,,6660.25,14119.73,7 HCPCS,1020T,Raman spectroscopy 1+skn les,,,59.17,125.44,7 HCPCS,1021T,Active thrc irrigation spx,,,629.2,1333.9,7 HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,134.82,285.81,7 HCPCS,11000,Debride infected skin,,,407.74,4840.09,18 HCPCS,11000,"Hc Debridement, Infected Skin, Up To 10% Bsa",3275.5,3275.5,,,0 HCPCS,11001,Debride infected skin add-on,,,1343.0,4840.09,7 HCPCS,11004,Debride genitalia & perineum,,,2678.54,4221.48,4 HCPCS,11005,Debride abdom wall,,,2678.54,4221.48,4 HCPCS,11005,"Hc Debridement Of Skin, Subcutaneous Tissue, Muscle/Fascia For Necrotizing Soft Tissue Infection; Ab",5254.0,5254.0,,,0 HCPCS,11006,Debride genit/per/abdom wall,,,2678.54,4221.48,4 HCPCS,11006,"Hc Debridement Of Skin, Subcutaneous Tissue, Muscle And Fascia For Necrotizing Soft Tissue Infection",5254.0,5254.0,,,0 HCPCS,11008,Remove mesh from abd wall,,,2678.54,7870.0,7 HCPCS,11010,Debride skin at fx site,,,710.27,5345.54,19 HCPCS,11010,Hc Debrid Incl Rmvl Frgn Mtrl Site Of Open Frctr&/Or Opn Disloc Skin&Subcut Tis,5507.0,5507.0,,,0 HCPCS,11011,Debride skin musc at fx site,,,710.27,5345.54,19 HCPCS,11011,"Hc Debrid Incl Rmvl Foreign Material,Open Fracture/Dislocation,Skin,Subq Tissue,Muscle Fascia,Muscle",5810.0,5810.0,,,0 HCPCS,11012,Deb skin bone at fx site,,,1952.0,6176.62,19 HCPCS,11012,Hc Debride Assoc Open Fx/Dislo Skin/Mus/Bone,5810.0,5810.0,,,0 HCPCS,11042,Deb subq tissue 20 sq cm/<,,,407.74,5345.54,19 HCPCS,11042,"Hc Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm",3552.0,3552.0,,,0 HCPCS,11042,Noncdm Charge Record,1125.0,1125.0,,,0 HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,741.31,5345.54,19 HCPCS,11043,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm",4133.0,4133.0,,,0 HCPCS,11044,Deb bone 20 sq cm/<,,,1656.59,5345.54,19 HCPCS,11044,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm",5605.0,5605.0,,,0 HCPCS,11045,Deb subq tissue add-on,,,1343.0,2987.0,5 HCPCS,11045,"Hc Debridement, Skin, Sub-Q Tissue,Each Add 20 Sq Cm",1388.0,1388.0,,,0 HCPCS,11045,"Hc Debridement, Subcutaneous Tissue; Each Additional 20 Sq Cm, Or Part Thereof",5507.0,5507.0,,,0 HCPCS,11046,Deb musc/fascia add-on,,,1343.0,2987.0,5 HCPCS,11046,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Each Add 20 Sq Cm",1388.0,1388.0,,,0 HCPCS,11047,Deb bone add-on,,,1343.0,2987.0,5 HCPCS,11047,"Hc Debridement, Skin, Sub-Q Tissue,Muscle,Bone,Each Add 20 Sq Cm",1388.0,1388.0,,,0 HCPCS,11055,Hc Paring Or Cutting Of Benign Hyperkeratotic Lesion; Single Lesion,677.0,677.0,,,0 HCPCS,11055,Hc Paring/Cutting Benign Hyperkeratotic Les;Sngl Les,4996.0,4996.0,,,0 HCPCS,11055,"Hc Trim Hyperkeratotic Skin Lesion, One",677.0,677.0,,,0 HCPCS,11055,Trim skin lesion,,,201.24,4840.09,17 HCPCS,11056,"Hc Trim Benign Hyperkeratotic Skin Lesion,2-4",677.0,677.0,,,0 HCPCS,11056,Trim skin lesions 2 to 4,,,201.24,4840.09,17 HCPCS,11057,Trim skin lesions over 4,,,201.24,4840.09,18 HCPCS,11100,Biopsy skin lesion,,,2572.0,4840.09,4 HCPCS,11101,Biopsy skin add-on,,,2572.0,4840.09,3 HCPCS,11102,"Hc Tangential Biopsy Of Skin, Single Lesion",780.0,780.0,,,0 HCPCS,11102,Tangntl bx skin single les,,,407.74,4840.09,16 HCPCS,11103,Hc Tangential Bx Skin; Each Addl,836.0,836.0,,,0 HCPCS,11103,Tangntl bx skin ea sep/addl,,,1343.0,2987.0,4 HCPCS,11104,Hc Punch Biopsy Skin Single Lesion,8209.0,8209.0,,,0 HCPCS,11104,Hc Punch Bx Skin Sgl Lesion,836.0,836.0,,,0 HCPCS,11104,Punch bx skin single lesion,,,407.74,4840.09,16 HCPCS,11105,Hc Punch Bx Skin Each Addl,4334.5,4334.5,,,0 HCPCS,11105,Punch bx skin ea sep/addl,,,1343.0,2987.0,4 HCPCS,11106,Hc Incisional Bx Skin Sgl Lesion,4346.0,4346.0,,,0 HCPCS,11106,Incal bx skn single les,,,741.31,4840.09,17 HCPCS,11107,Hc Incisional Bx Skin Ea Addl,836.0,836.0,,,0 HCPCS,11107,Incal bx skn ea sep/addl,,,1343.0,2987.0,4 HCPCS,11200,"Hc Removal Of Skin Tags, Up To 15",2731.0,2731.0,,,0 HCPCS,11200,Removal of skin tags 2.0 cm,,,407.74,4840.09,15 HCPCS,11305,"Hc Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Scalp/Neck/Hands/Feet/Genitalia; Lesion Dia",8209.0,8209.0,,,0 HCPCS,11305,Shave skin lesion 0.5 cm/<,,,201.24,4840.09,15 HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,201.24,4840.09,15 HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,201.24,4840.09,16 HCPCS,11308,Shave skin lesion >2.0 cm,,,407.74,4840.09,15 HCPCS,11310,"Hc Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane",8209.0,8209.0,,,0 HCPCS,11310,Shave skin lesion 0.5 cm/<,,,201.24,4840.09,16 HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,201.24,4840.09,16 HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,407.74,4840.09,16 HCPCS,11313,Shave skin lesion >2.0 cm,,,407.74,4840.09,16 HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,710.27,4840.09,19 HCPCS,11400,"Hc Exc Skin Benig <.5 Cm Trunk,Arm,Leg",3692.0,3692.0,,,0 HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,407.74,4840.09,19 HCPCS,11401,"Hc Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,710.27,4840.09,19 HCPCS,11402,"Hc Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg",4462.5,4462.5,,,0 HCPCS,11402,"Hc Pbb Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg",4063.0,4063.0,,,0 HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,710.27,4840.09,19 HCPCS,11403,"Hc Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg",3692.0,3692.0,,,0 HCPCS,11403,"Hc Pbb Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg",2522.0,2522.0,,,0 HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1656.59,5051.48,19 HCPCS,11404,"Hc Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg",5387.0,5387.0,,,0 HCPCS,11404,"Hc Pbb Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg",5912.0,5912.0,,,0 HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1656.59,5345.54,19 HCPCS,11406,"Hc Exc Skin Benig >4 Cm Trunk,Arm,Leg",7837.0,7837.0,,,0 HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1656.59,5051.48,19 HCPCS,11420,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia 0.5 Cm/Less",4862.0,4862.0,,,0 HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,710.27,4840.09,19 HCPCS,11421,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia 0.6 To 1.0 Cm",4862.0,4862.0,,,0 HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1656.59,5051.48,19 HCPCS,11422,Hc Exc Skin Benig 1.1-2 Cm Remaindr Body,4870.0,4870.0,,,0 HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1656.59,5051.48,19 HCPCS,11423,Hc Exc Skin Benig 2.1-3 Cm Remaindr Body,5218.5,5218.5,,,0 HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1656.59,5345.54,19 HCPCS,11424,Hc Exc Skin Benig 3.1-4 Cm Remaindr Body,8302.5,8302.5,,,0 HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,2913.5,6176.62,19 HCPCS,11426,"Hc Exc,Bgn Les Inc Margn,Excpt Skn Tag,Sclp,Nck,Hnd,Ft,Gentl;Excsd Dia Ovr 4.0 Cm",5507.0,5507.0,,,0 HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,710.27,4840.09,19 HCPCS,11440,"Hc Excision, Other Benign Lesion Incl Margins, Except Skin Tag, Face, Ears, Eyelids, Nose, Lips, Muc",4609.0,4609.0,,,0 HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,710.27,4840.09,19 HCPCS,11441,"Hc Exc Skin Benig 0.6-1 Cm Face,Facial",3692.0,3692.0,,,0 HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,710.27,4840.09,19 HCPCS,11442,"Hc Exc Skin Benig 1.1-2 Cm Face,Facial",4074.5,4074.5,,,0 HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1656.59,5051.48,19 HCPCS,11443,"Hc Exc Skin Benig 2.1-3 Cm Face,Facial",4445.5,4445.5,,,0 HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1656.59,5051.48,19 HCPCS,11444,"Hc Exc Skin Benig 3.1- 4 Cm Face,Facial",4678.0,4678.0,,,0 HCPCS,11444,"Hc Excision, Benign Lesion Incl Margins, Except Skin Tag, Face/Ears/Eyelids/Nose/Lips/Mucous Membran",4609.0,4609.0,,,0 HCPCS,11446,Exc face-mm b9+marg >4 cm,,,2913.5,6176.62,19 HCPCS,11446,"Hc Exc Skin Benig >4 Cm Face,Facial",8059.0,8059.0,,,0 HCPCS,11446,"Hc Excision,Other Benign Lesion Incl Margins,Except Skin Tag,Face/Ears/Eyelids/Nose/Lips/Mucous Memb",5507.0,5507.0,,,0 HCPCS,11450,"Hc Exc Skin/Subq Tissue For Hidradenitis, Axillary W/Simple Or Intermediate Repair",5810.0,5810.0,,,0 HCPCS,11450,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11451,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11462,"Hc Exc Skin/Subq Tissue For Hidradenitis, Inguinal W/Simple Or Intermediate Repair",5810.0,5810.0,,,0 HCPCS,11462,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11463,"Hc Exc Skin Sub Tissue For Hidradentitis, Infuinal W/Complex Repair",5810.0,5810.0,,,0 HCPCS,11463,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11470,"Hc Exc Skin Sub Tissue For Hidradenitis, Perianal,Perineal,Orumbilical;Sim/Interm",5507.0,5507.0,,,0 HCPCS,11470,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11471,Removal sweat gland lesion,,,2913.5,6176.62,19 HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,710.27,4840.09,19 HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,710.27,4840.09,19 HCPCS,11601,"Hc Exc Skin Malig 0.6-1 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,407.74,4840.09,19 HCPCS,11602,"Hc Exc Skin Malig 1.1-2 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,710.27,4840.09,19 HCPCS,11603,"Hc Exc Skin Malig 2.1-3 Cm Trunk,Arm,Leg",4862.0,4862.0,,,0 HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,710.27,5345.54,19 HCPCS,11604,"Hc Exc Skin Malig 3.1-4 Cm Trunk,Arm,Leg",5810.0,5810.0,,,0 HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1656.59,5345.54,19 HCPCS,11606,"Hc Exc Skin Malig >4 Cm Trunk,Arm,Leg",5810.0,5810.0,,,0 HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1656.59,5051.48,19 HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,710.27,4840.09,19 HCPCS,11621,"Hc Exc,Malig Les Inc Margn,Sclp,Nck,Hnd,Ft,Genitalia;Excsd Dia 0.6-1.0Cm",4862.0,4862.0,,,0 HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,710.27,4840.09,19 HCPCS,11622,"Hc Exc,Malig Les Inc Margn,Sclp,Nck,Hnd,Ft,Genitalia;Excsd Dia 1.1-2.0Cm",3402.0,3402.0,,,0 HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1656.59,5051.48,18 HCPCS,11623,Hc Exc Skin Malig 2.1-3 Cm Remaindr Body,5542.5,5542.5,,,0 HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1656.59,5345.54,19 HCPCS,11624,Hc Exc Skin Malig 3.1-4 Cm Remaindr Body,7654.0,7654.0,,,0 HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,2913.5,6176.62,19 HCPCS,11626,Hc Exc Skin Malig >4 Cm Remaindr Body,8148.5,8148.5,,,0 HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,710.27,4840.09,19 HCPCS,11640,"Hc Excision, Malignant Lesion Incl Margins/Face/Ears/Eyelids/Nose/Lips; Excised Diameter 0.5 Cm Or L",4609.0,4609.0,,,0 HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,710.27,4840.09,19 HCPCS,11641,"Hc Excision, Malignant Lesion Incl Margins/Face/Ears/Eyelids/Nose/Lips; Excised Diameter 0.6 To 1.0",4609.0,4609.0,,,0 HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,710.27,4840.09,19 HCPCS,11642,"Hc Exc Skin Malig 1.1-2 Cm Face,Facial",3401.0,3401.0,,,0 HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1656.59,5051.48,19 HCPCS,11643,"Hc Exc Skin Malig 2.1-3 Cm Face,Facial",4108.5,4108.5,,,0 HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1656.59,5345.54,19 HCPCS,11644,"Hc Exc Skin Malig 3.1-4 Cm Face,Facial",5100.0,5100.0,,,0 HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,2913.5,6176.62,19 HCPCS,11646,"Hc Excision, Malig Lesion Incl Margins, Face, Ears, Eyelids, Nose, Lips >4.0 Cm",5507.0,5507.0,,,0 HCPCS,11646,"Hc Pbb Exc Skin Malig >4 Cm Face,Facial",8319.0,8319.0,,,0 HCPCS,11719,Hc Trim Nondystro Nail(S),320.0,320.0,,,0 HCPCS,11719,Trim nail(s) any number,,,59.17,4840.09,15 HCPCS,11720,Debride nail 1-5,,,59.17,4840.09,17 HCPCS,11720,"Hc Debridement Of Nail(S), 1-5",524.0,524.0,,,0 HCPCS,11721,Debride nail 6 or more,,,59.17,4840.09,17 HCPCS,11721,"Hc Debridement Of Nails, 6 Or More",598.0,598.0,,,0 HCPCS,11730,Hc Removal Of Nail Plate,3241.0,3241.0,,,0 HCPCS,11730,Removal of nail plate,,,201.24,4840.09,17 HCPCS,11732,Remove nail plate add-on,,,1343.0,4840.09,7 HCPCS,11740,Drain blood from under nail,,,133.45,4840.09,17 HCPCS,11740,Hc Drain Blood From Under Nail,276.0,276.0,,,0 HCPCS,11750,Hc Removal Of Nail Bed,2793.0,2793.0,,,0 HCPCS,11750,Removal of nail bed,,,407.74,4840.09,19 HCPCS,11752,Remove nail bed/finger tip,,,4557.0,4840.09,3 HCPCS,11755,Biopsy nail unit,,,710.27,4840.09,19 HCPCS,11755,Hc Biopsy Of Nail Unit,4609.0,4609.0,,,0 HCPCS,11760,Hc Reconstruc Of Nail Bed,6408.5,6408.5,,,0 HCPCS,11760,Repair of nail bed,,,741.31,4840.09,18 HCPCS,11762,Reconstruction of nail bed,,,2069.52,5051.48,18 HCPCS,11765,Excision of nail fold toe,,,407.74,4840.09,17 HCPCS,11765,"Hc Excision Of Nail Fold, Toe",1145.0,1145.0,,,0 HCPCS,11770,"Hc Excision Pilonidal Cyst Or Sinus, Simple",8294.5,8294.5,,,0 HCPCS,11770,Remove pilonidal cyst simple,,,2913.5,6293.23,19 HCPCS,11771,"Hc Excision Pilonidal Cyst Or Sinus, Extensive",6653.0,6653.0,,,0 HCPCS,11771,Remove pilonidal cyst exten,,,2913.5,6293.23,19 HCPCS,11772,Hc Excision Of Pilonidal Cyst Or Sinus; Complicated,6653.0,6653.0,,,0 HCPCS,11772,Remove pilonidal cyst compl,,,2913.5,6293.23,19 HCPCS,11900,"Hc Injection Into Skin Lesions, Up To 7",4669.0,4669.0,,,0 HCPCS,11900,Inject skin lesions <=w 7,,,201.24,4840.09,17 HCPCS,11901,Inject skin lesions >7,,,201.24,4840.09,17 HCPCS,11920,Correct skin color 6.0 cm/<,,,741.31,4840.09,18 HCPCS,11921,Correct skn color 6.1-20.0cm,,,741.31,4840.09,18 HCPCS,11922,Correct skin color ea 20.0cm,,,1343.0,4840.09,7 HCPCS,11950,Hc Subq Inj Filling Material 1 Cc Or Less,604.0,604.0,,,0 HCPCS,11950,Tx contour defects 1 cc/<,,,201.24,4840.09,16 HCPCS,11951,Hc Subq Inj Filling Material 1.1-5.0 Cc,1762.0,1762.0,,,0 HCPCS,11951,Tx contour defects 1.1-5.0cc,,,741.31,4840.09,16 HCPCS,11952,Tx contour defects 5.1-10cc,,,741.31,4840.09,16 HCPCS,11954,Tx contour defects >10.0 cc,,,741.31,4840.09,16 HCPCS,11960,Insert tissue expander(s),,,3295.0,7870.0,19 HCPCS,11970,Hc Prelacement Of Tissue Expander With Permanent Prosthesis,7906.0,7906.0,,,0 HCPCS,11970,Replace tissue expander,,,5405.0,15429.7,19 HCPCS,11971,Hc Removal Of Tissue Expander W/O Insertion Of Prosthesis,5778.0,5778.0,,,0 HCPCS,11971,Remove tissue expander(s),,,2572.0,6176.62,19 HCPCS,11976,Remove contraceptive capsule,,,710.27,4840.09,19 HCPCS,11980,Implant hormone pellet(s),,,448.08,4840.09,17 HCPCS,11981,"Hc Insertion, Drug-Delivery Implant",8661.0,8661.0,,,0 HCPCS,11981,Insert drug implant device,,,133.45,4840.09,17 HCPCS,11982,Hc Removal Non-Biodegradable Drug Delivery Implant,1566.0,1566.0,,,0 HCPCS,11982,"Hc Removal, Non-Biodegradable Drug Delivery Implant",8209.0,8209.0,,,0 HCPCS,11982,Remove drug implant device,,,448.08,4840.09,17 HCPCS,11983,Remove/insert drug implant,,,448.08,4840.09,17 HCPCS,12001,Hc Resuperf Wnd Body <2.5Cm,343.0,343.0,,,0 HCPCS,12001,Hc Simple Repair Superficial Wound Scalp Neck Axillae External Genitalia 2.5 Cm,4609.0,4609.0,,,0 HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,201.24,4840.09,17 HCPCS,12002,Hc Resup Npterf Wnd Body 2.6-7.5 Cm,383.0,383.0,,,0 HCPCS,12002,Hc Simple Repair Superficial Wound Scalp Neck Axillae 2.5-7.5 Cm,5810.0,5810.0,,,0 HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,201.24,4840.09,15 HCPCS,12004,Hc Resuperf Wnd Body 7.6-12.5 Cm,588.0,588.0,,,0 HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,201.24,4840.09,17 HCPCS,12005,Hc Resuperf Wnd Body 12.6-20 Cm,805.0,805.0,,,0 HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,407.74,5345.54,19 HCPCS,12006,Hc Resuperf Wnd Body 20.1-30 Cm,976.0,976.0,,,0 HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,407.74,5345.54,19 HCPCS,12007,Hc Simple Repair Of Superficial Wounds Of Body >30 Cm,1084.0,1084.0,,,0 HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,201.24,5345.54,19 HCPCS,12011,Hc Resuperf Wnd Face <2.5 Cm,343.0,343.0,,,0 HCPCS,12011,"Hc Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes, 2",5507.0,5507.0,,,0 HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,201.24,4840.09,15 HCPCS,12013,Hc Resuperf Wnd Face 2.6-5 Cm,371.0,371.0,,,0 HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,201.24,4840.09,15 HCPCS,12014,Hc Resuperf Wnd Face 5.1-7.5 Cm,398.0,398.0,,,0 HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,201.24,4840.09,17 HCPCS,12015,Hc Resuperf Wnd Face 7.6-12.5 Cm,426.0,426.0,,,0 HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,201.24,4840.09,18 HCPCS,12016,Hc Resuperf Wnd Face 12.6-20 Cm,445.0,445.0,,,0 HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,407.74,5345.54,19 HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,407.74,5345.54,19 HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,201.24,5345.54,19 HCPCS,12020,Closure of split wound,,,741.31,4840.09,19 HCPCS,12020,Hc Closure Superf Wnd Dehis Simple,2316.0,2316.0,,,0 HCPCS,12020,Hc Treatment Of Superficial Wound Dehiscence; Simple Closure,4609.0,4609.0,,,0 HCPCS,12021,Closure of split wound,,,407.74,4840.09,19 HCPCS,12031,Hc Layer Closure Of Wounds Of Scalp Axillae Trunk &/Or Extremities Up To 2.5 Cm,8661.0,8661.0,,,0 HCPCS,12031,"Hc Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm",933.0,933.0,,,0 HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,407.74,4840.09,18 HCPCS,12032,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 2.6-7.5 Cm",988.0,988.0,,,0 HCPCS,12032,"Hc Layr Clos Wnd Trunk,Arm,Leg 2.6-7.5 Cm",4824.5,4824.5,,,0 HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,407.74,4840.09,18 HCPCS,12034,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 7.5-12.5 Cm",1043.0,1043.0,,,0 HCPCS,12034,"Hc Layr Clos Wnd Trunk,Arm,Leg 7.6-12.5 Cm",3426.5,3426.5,,,0 HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,407.74,5345.54,19 HCPCS,12035,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 12.6 - 20 Cm",1090.0,1090.0,,,0 HCPCS,12035,"Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities, 12.6-20.0Cm",5507.0,5507.0,,,0 HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,407.74,5345.54,19 HCPCS,12036,"Hc Layr Clos Wnd Scalp, Arm,Trunk,Extremities 20.1 - 30 Cm",2070.0,2070.0,,,0 HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,741.31,5345.54,19 HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,2069.52,5345.54,19 HCPCS,12041,Hc Layr Clos Wnd Rest Body <2.5 Cm,2627.5,2627.5,,,0 HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,407.74,4840.09,18 HCPCS,12042,Hc Layr Clos Wnd Rest Body 2.6-7.5 Cm,4779.0,4779.0,,,0 HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,407.74,4840.09,18 HCPCS,12044,Hc Layer Closure Of Wounds Of Neck Hands Feet &/Or External Genitialia 7.5-12.5 Cm,5507.0,5507.0,,,0 HCPCS,12044,Hc Layr Clos Wnd Rest Body 7.6-12.5 Cm,1090.0,1090.0,,,0 HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,741.31,5345.54,19 HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,741.31,5345.54,19 HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,741.31,5345.54,19 HCPCS,12047,Hc Layr Clos Wnd Rest Body >30.0 Cm,5458.0,5458.0,,,0 HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,2069.52,5345.54,19 HCPCS,12051,"Hc Layr Clos Wnd Face,Facial <2.5 Cm",933.0,933.0,,,0 HCPCS,12051,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes, =< 2.5 C",8209.0,8209.0,,,0 HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,407.74,4840.09,18 HCPCS,12052,"Hc Layr Clos Wnd Face,Facial 2.5-5 Cm",4904.5,4904.5,,,0 HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,407.74,4840.09,18 HCPCS,12053,"Hc Layr Clos Wnd Face,Facial 5.1-7.5 Cm",1268.0,1268.0,,,0 HCPCS,12053,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; 5.1 Cm T",5507.0,5507.0,,,0 HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,407.74,4840.09,18 HCPCS,12054,"Hc Layr Clos Wnd Face,Facial 7.6-12.5 Cm",3453.5,3453.5,,,0 HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,407.74,5345.54,19 HCPCS,12055,"Hc Layr Clos Wnd Face,Facial 12.6-20 Cm",1615.0,1615.0,,,0 HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,407.74,5345.54,19 HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,407.74,5345.54,19 HCPCS,12057,"Hc Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, Lips And/Or Mucous Membranes; Over 30.",5518.0,5518.0,,,0 HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,407.74,5345.54,19 HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,741.31,5345.54,19 HCPCS,13100,"Hc Repair,Complex,Trunk;1.1Cm To 2.5 Cm",5810.0,5810.0,,,0 HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,741.31,6293.23,19 HCPCS,13101,Hc Repair Complex Trunk 2.5-7.5 Cm,6653.0,6653.0,,,0 HCPCS,13102,Cmplx rpr trunk addl 5cm/<,,,1343.0,4840.09,7 HCPCS,13102,"Hc Repair,Complex,Trunk;Ea Addl 5Cm Or Less",4862.0,4862.0,,,0 HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,407.74,5345.54,19 HCPCS,13120,"Hc Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm",3202.0,3202.0,,,0 HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,407.74,6293.23,19 HCPCS,13121,"Hc Recmpl Wnd Scalp,Extr 2.6-7.5 Cm",4236.5,4236.5,,,0 HCPCS,13122,Cmplx rpr s/a/l addl 5 cm/>,,,1343.0,4840.09,7 HCPCS,13122,"Hc Complex Repair Scalp, Arms, Legs Each Addl 5Cm",673.0,673.0,,,0 HCPCS,13122,"Hc Rep,Skin,Scalp/Extrem+5 Cm/<",2767.5,2767.5,,,0 HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,407.74,5345.54,19 HCPCS,13131,"Hc Recmpl Wnd Head,Fac,Hand 1.1-2.5 Cm",3732.5,3732.5,,,0 HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,407.74,6293.23,19 HCPCS,13132,"Hc Repair Complex Wnd Head,Fac,Hand 2.6-7.5 Cm",4218.5,4218.5,,,0 HCPCS,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,1343.0,4840.09,7 HCPCS,13133,"Hc Repair,Complex,Forhd,Chks,Chn,Mth,Nck,Axll,Gntlia;Ea Addl 5Cm Or Less",4862.0,4862.0,,,0 HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,741.31,6293.23,19 HCPCS,13151,"Hc Recmpl Wnd Lid,Nos,Ear 1.1-2.5 Cm",1655.0,1655.0,,,0 HCPCS,13151,Hc Repair Complex Eyelids Nose Ears Lips 1.0-2.5 Cm,6653.0,6653.0,,,0 HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,741.31,6293.23,19 HCPCS,13152,Hc Repair Complex Eyelids Nose Ears Lips 2.5-7.5 Cm,6653.0,6653.0,,,0 HCPCS,13152,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; 2.6-7.5 Cm",1689.0,1689.0,,,0 HCPCS,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,1343.0,6293.23,7 HCPCS,13153,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Add'l 5 Cm Or Less",6318.0,6318.0,,,0 HCPCS,13153,"Hc Repair, Complex, Eyelids, Nose, Ears And/Or Lips; Each Addl 5 Cm Or Less",775.0,775.0,,,0 HCPCS,13160,Hc Secondary Closure Of Surgical Wound Dehiscence Extensive Or Eomplicated,5810.0,5810.0,,,0 HCPCS,13160,"Hc Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated",5054.0,5054.0,,,0 HCPCS,13160,Late closure of wound,,,2912.0,7535.42,19 HCPCS,14000,Hc Adjacent Tissue Transfer Of Rearrangement Trunk Defect Up To 10 Sq Cm,5810.0,5810.0,,,0 HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2069.52,5345.54,19 HCPCS,14001,Hc Adjacent Tissue Transfer Or Rearrangment Trunk Defect 10 Sq Cm To 30 Sq Cm,7906.0,7906.0,,,0 HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,2069.52,6293.23,19 HCPCS,14020,Hc Adjacent Tissue Transfer/Rearrangment Scalp Arms Legs Defect Up To 10 Sq Cm,6653.0,6653.0,,,0 HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2069.52,6293.23,19 HCPCS,14021,Hc Adjacent Tissue Transfer Or Rearrangment Scalp Arms Legs Defect 10-30 Sq Cm,7906.0,7906.0,,,0 HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,2069.52,6293.23,19 HCPCS,14040,Hc Adj Tissue Transfer/Rearrangement 0-10Sqcm,6905.0,6905.0,,,0 HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2069.52,5345.54,19 HCPCS,14041,Hc Adj Tissue Trans/Rearange Forehead Cheek Chin Mouth Neck 10-30 Sq Cm,7906.0,7906.0,,,0 HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,2069.52,6293.23,19 HCPCS,14060,Hc Adj Tissue Tran/Rearrangment Eyelids Nose Ears Lips Defect Up To 10 Sq Cm,7906.0,7906.0,,,0 HCPCS,14060,"Hc Adjacent Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/Or Lips; Defect?10?Sq Cm Or Le",4796.0,4796.0,,,0 HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,2069.52,6293.23,19 HCPCS,14061,"Hc Adjacent Tissue Transfer/Rearrangement, Eyelids/Nose/Ears/Lips,?10.1?Sq Cm-30.0?Sq Cm",7906.0,7906.0,,,0 HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,2069.52,6293.23,19 HCPCS,14301,Hc Adjacent Tissue Transfer 30.1 To 60.0 Sq Cm,16385.0,16385.0,,,0 HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3514.53,11385.0,19 HCPCS,14302,Hc Adjacent Tissue Transfer Each Additional 30.0 Sq Cm,13654.0,13654.0,,,0 HCPCS,14302,Tis trnfr addl 30 sq cm/<,,,1343.0,2987.0,5 HCPCS,14350,Filleted finger/toe flap,,,2069.52,6293.23,19 HCPCS,15002,"Hc Surg Prep Recpnt Site By Exc Opn Wnds,Scar,Trnk,Arm,Lg;1St 100Sqcm Infnt/Child",6905.0,6905.0,,,0 HCPCS,15002,Wound prep trk/arm/leg,,,741.31,5345.54,19 HCPCS,15003,"Hc Surg Prep Recpnt Site Exc Opn Wnds,Scar,Trnk,Arm,Lg;Ea Adl 100Sqcm Infnt/Child",5778.0,5778.0,,,0 HCPCS,15003,Wound prep addl 100 cm,,,1343.0,4840.09,7 HCPCS,15004,"Hc Surg Prep Recpnt Site,Scar,Fc,Sclp,Eyeld,Mth,Nck,Ear;1St 100Sqcm Infnt/Child",6905.0,6905.0,,,0 HCPCS,15004,Wound prep f/n/hf/g,,,407.74,5345.54,19 HCPCS,15005,Wnd prep f/n/hf/g addl cm,,,1343.0,4840.09,7 HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2069.52,5051.48,12 HCPCS,15012,Hrv skn cll ssp agrft ea add,,,1343.0,1580.0,2 HCPCS,15013,Prepj skn cll ssp agrft 1st,,,2678.54,15090.69,12 HCPCS,15014,Prepj skn cll ssp agrft ea,,,1343.0,1580.0,2 HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2069.52,5051.48,12 HCPCS,15016,App skn cl ssp agrf t/a/l ea,,,1343.0,1580.0,2 HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2069.52,5051.48,12 HCPCS,15018,App skn cll ssp f/n/g/hf ea,,,1343.0,1580.0,2 HCPCS,15040,Harvest cultured skin graft,,,2069.52,5051.48,19 HCPCS,15050,"Hc Pinch Graft, Single Or Multiple, To Cover Small Ulcer, Tip Of Digit, Or Other Minimal Open Area (",5810.0,5810.0,,,0 HCPCS,15050,Skin pinch graft,,,741.31,5345.54,19 HCPCS,15100,"Hc Split-Thckns Autogft,Trnk,Arm,Leg;1St 100Sq Cm/Less/1% Body Area Infant/Child",5810.0,5810.0,,,0 HCPCS,15100,Skin splt grft trnk/arm/leg,,,2069.52,5611.0,19 HCPCS,15101,"Hc Split-Thckns Autogft,Trnk,Arm,Leg;Ea Add'l 100Sq Cm/1% Body Area Infant/Child",6653.0,6653.0,,,0 HCPCS,15101,Skin splt grft t/a/l add-on,,,1343.0,6293.23,7 HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,2069.52,5051.48,19 HCPCS,15111,Epidrm autogrft t/a/l add-on,,,1343.0,4840.09,7 HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,2069.52,5051.48,19 HCPCS,15115,"Hc Epidermal Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet, And",5753.0,5753.0,,,0 HCPCS,15116,Epidrm a-grft f/n/hf/g addl,,,1343.0,4840.09,7 HCPCS,15120,"Hc Split Autograft,Face, Scalp,Hand,Mouth,Neck,Orbits,Genitalia,Feet =<100 Sqcm",7365.5,7365.5,,,0 HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,3295.0,7870.0,19 HCPCS,15121,Skn splt a-grft f/n/hf/g add,,,1343.0,6293.23,7 HCPCS,15130,Derm autograft trnk/arm/leg,,,2069.52,6293.23,19 HCPCS,15131,Derm autograft t/a/l add-on,,,1343.0,4840.09,7 HCPCS,15135,Derm autograft face/nck/hf/g,,,3051.0,7870.0,19 HCPCS,15136,Derm autograft f/n/hf/g add,,,1343.0,4840.09,7 HCPCS,15150,Cult skin grft t/arm/leg,,,2069.52,5051.48,19 HCPCS,15151,Cult skin grft t/a/l addl,,,1343.0,4840.09,7 HCPCS,15152,Cult skin graft t/a/l +%,,,1343.0,4840.09,7 HCPCS,15155,Cult skin graft f/n/hf/g,,,3295.0,7870.0,19 HCPCS,15156,Cult skin grft f/n/hfg add,,,1343.0,4840.09,7 HCPCS,15157,Cult epiderm grft f/n/hfg +%,,,1343.0,4840.09,7 HCPCS,15200,Hc Full Thick Graft Free Incl Direct Closure Of Donor Site Trunk;Up To 20 Sqcm,6588.0,6588.0,,,0 HCPCS,15200,Skin full graft trunk,,,2069.52,6293.23,19 HCPCS,15201,Hc Full Thick Graft Free Incl Direct Closure Of Donor Site Trunk;Ea Addl 20 Sqcm,5753.0,5753.0,,,0 HCPCS,15201,Skin full graft trunk add-on,,,1343.0,5345.54,7 HCPCS,15220,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Sclp,Arm,Leg;20Sqcm Or Less",6905.0,6905.0,,,0 HCPCS,15220,Skin full graft sclp/arm/leg,,,2069.52,5345.54,19 HCPCS,15221,"Hc Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Scalp/Arms, And/Or Legs; Each",6905.0,6905.0,,,0 HCPCS,15221,Skin full graft add-on,,,1343.0,5345.54,7 HCPCS,15240,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Forhd,Chk,Chn;20Sqcm Or Less",7906.0,7906.0,,,0 HCPCS,15240,Skin full grft face/genit/hf,,,2069.52,6293.23,19 HCPCS,15241,"Hc Full Thick Grft,Free,Inc Direct Closure Donor Site,Forhd,Chk,Chn;Ea Add'l 20Sqcm",7906.0,7906.0,,,0 HCPCS,15241,Skin full graft add-on,,,1343.0,6293.23,7 HCPCS,15260,"Hc Full Thick Grft Nos,Ear,Lid <20 Sqcm",5866.5,5866.5,,,0 HCPCS,15260,Skin full graft een & lips,,,2069.52,5345.54,19 HCPCS,15261,Skin full graft add-on,,,1343.0,5345.54,7 HCPCS,15271,"Hc App Of Skn Sub Gft To Trnk,Arm,Leg,Tot Wnd Sfc Area/100 Sq Cm,1St 25 Sq Cm/Less",4815.0,4815.0,,,0 HCPCS,15271,Hc App-Skinsubstitute Graft-Trunk 1St 25Sqcm,4091.0,4091.0,,,0 HCPCS,15271,Skin sub graft trnk/arm/leg,,,741.31,5051.48,19 HCPCS,15272,Hc App-Skingraft-Trunk 25Sqcm Ea Addl,3586.0,3586.0,,,0 HCPCS,15272,Skin sub graft t/a/l add-on,,,1343.0,2987.0,5 HCPCS,15273,"Hc Apply Skin Substitute Graft To Trunk, Arms, Legs -1St 100 Sq Cm",6234.0,6234.0,,,0 HCPCS,15273,Skin sub grft t/arm/lg child,,,2069.52,7870.0,19 HCPCS,15274,"Hc Apply Skin Substitute Graft To Trunk, Arms, Legs -Ea Addl 100 Sq Cm",5864.0,5864.0,,,0 HCPCS,15274,Skn sub grft t/a/l child add,,,1343.0,2987.0,5 HCPCS,15275,Hc App-Skingraft-Feet-1St 25Sq Cm,4934.5,4934.5,,,0 HCPCS,15275,Skin sub graft face/nk/hf/g,,,741.31,5051.48,19 HCPCS,15276,Hc Ap-Skngrft-Ft25Sq Cm Ea Addl,3586.0,3586.0,,,0 HCPCS,15276,Skin sub graft f/n/hf/g addl,,,1343.0,2987.0,5 HCPCS,15277,Hc Apply Skin Sub-1St 100 Sq Cm,5505.0,5505.0,,,0 HCPCS,15277,Skn sub grft f/n/hf/g child,,,2069.52,5051.48,19 HCPCS,15278,Skn sub grft f/n/hf/g ch add,,,1343.0,2987.0,5 HCPCS,15570,Skin pedicle flap trunk,,,2069.52,6293.23,19 HCPCS,15572,"Hc Formation Of Direct/Tubed Pedicle, W/W/O Transfer, Scalp, Arms, Legs",7906.0,7906.0,,,0 HCPCS,15572,Skin pedicle flap arms/legs,,,3051.0,7870.0,19 HCPCS,15574,Hc Formation Pedicle W/W/O Trans Forehead Cheeks Chin Mouth Neck Ax Gent Hand/Feet,7906.0,7906.0,,,0 HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,2069.52,6293.23,19 HCPCS,15576,"Hc Formation Of Direct Or Tubed Pedicle, With Or Without Transfer; Eyelids, Nose, Ears, Lips, Or Int",7906.0,7906.0,,,0 HCPCS,15576,Pedicle e/n/e/l/ntroral,,,2069.52,6293.23,19 HCPCS,15600,Delay flap trunk,,,3514.53,7870.0,19 HCPCS,15610,Delay flap arms/legs,,,2069.52,6293.23,19 HCPCS,15610,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Scalp, Arms, Or Legs",6588.0,6588.0,,,0 HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2069.52,7175.28,19 HCPCS,15620,"Hc Delay Of Flap Or Sectioning Of Flap (Division And Inset); At Forehead, Cheeks, Chin, Neck, Axilla",4796.0,4796.0,,,0 HCPCS,15620,"Hc Delay Of Flap Or Sectioning Of Flap;Frhd,Chk,Chn,Nck,Axll,Gntl,Hnd,Or Feet",9791.0,9791.0,,,0 HCPCS,15630,Delay flap eye/nos/ear/lip,,,2069.52,6293.23,19 HCPCS,15630,"Hc Delay Of Flap Or Sectioning Of Flap;At Eyelids,Nose,Ears,Or Lips",7906.0,7906.0,,,0 HCPCS,15650,Transfer skin pedicle flap,,,2069.52,8364.54,19 HCPCS,15730,Hc Midface Flap With Preservation Of Vascular Pedicle(S),7906.0,7906.0,,,0 HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3514.53,11385.0,17 HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3514.53,7870.0,19 HCPCS,15731,Hc Forehead Flap W/Preservation Of Vascular Pedicle,7906.0,7906.0,,,0 HCPCS,15732,Muscle-skin graft head/neck,,,3051.0,6293.23,4 HCPCS,15733,"Hc Muscle, Myocutaneous, Fasciocutaneous Flap, Head And Neck W/Named Vascular Pedicle",7906.0,7906.0,,,0 HCPCS,15733,"Hc Muscle, Myocutaneous, Or Fasciocutaneous Flap; Head And Neck With Named Vascular Pedicle",9435.0,9435.0,,,0 HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3514.53,11385.0,17 HCPCS,15734,"Hc Muscle,Myocutaneous Flap,Trunk",7906.0,7906.0,,,0 HCPCS,15734,Muscle-skin graft trunk,,,3514.53,7870.0,19 HCPCS,15736,"Hc Muscle,Myocutaneous Flap,Upper Extremity",7906.0,7906.0,,,0 HCPCS,15736,Muscle-skin graft arm,,,2069.52,6293.23,19 HCPCS,15738,"Hc Muscle,Myocutaneous Flap,Lower Extremity",7906.0,7906.0,,,0 HCPCS,15738,Muscle-skin graft leg,,,3514.53,7870.0,19 HCPCS,15740,Hc Flap; Island Pedicle,6905.0,6905.0,,,0 HCPCS,15740,Island pedicle flap graft,,,2069.52,5345.54,19 HCPCS,15750,Hc Flap;Neurovascular Pedicle,6905.0,6905.0,,,0 HCPCS,15750,Neurovascular pedicle flap,,,3051.0,7870.0,19 HCPCS,15756,Free myo/skin flap microvasc,,,3051.0,6277.0,9 HCPCS,15756,Hc Free Muscle Or Myocutaneous Flap With Microvascular Anastomosis,7906.0,7906.0,,,0 HCPCS,15757,Free skin flap microvasc,,,3051.0,6277.0,9 HCPCS,15758,Free fascial flap microvasc,,,3051.0,6277.0,9 HCPCS,15760,Composite skin graft,,,2069.52,5345.54,19 HCPCS,15760,"Hc Graft, Composite Including Primary Closure, Donor Area",6905.0,6905.0,,,0 HCPCS,15769,Grfg autol soft tiss dir exc,,,3514.53,11385.0,17 HCPCS,15769,Hc Grafting Of Autologous Soft Tiss By Direct Exc,9325.0,9325.0,,,0 HCPCS,15769,"Hc Grafting Of Autologous Soft Tissue, Other, Harvested By Direct Excision",9435.0,9435.0,,,0 HCPCS,15770,Derma-fat-fascia graft,,,3514.53,7870.0,19 HCPCS,15770,Hc Derma-Fat-Fascia Graft,7906.0,7906.0,,,0 HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3514.53,11385.0,17 HCPCS,15771,Hc Grafting Of Autologous Fat By Lipo 50 Cc Or Less,9325.0,9325.0,,,0 HCPCS,15772,Grfg autol fat lipo ea addl,,,1343.0,2987.0,4 HCPCS,15772,Hc Grafting Of Autologous Fat By Lipo Ea Addl 50 Cc,9325.0,9325.0,,,0 HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2069.52,11385.0,17 HCPCS,15773,Hc Grafting Of Autologous Fat By Lipo 25 Cc Or Less,9791.0,9791.0,,,0 HCPCS,15774,Gfrg autol fat lipo ea addl,,,1343.0,2987.0,4 HCPCS,15775,Hair trnspl 1-15 punch grfts,,,407.74,6293.23,19 HCPCS,15776,Hair trnspl >15 punch grafts,,,407.74,6293.23,19 HCPCS,15777,Acellular derm matrix implt,,,1343.0,2987.0,5 HCPCS,15777,"Hc Implntatn Of Bio Implnt(Eg,Acellr Derml Mtrx)For Sft Tis Renfcmnt(Eg,Brst,Trnk)",7906.0,7906.0,,,0 HCPCS,15778,Hc Implantation Absorbable Mesh/Other Prosthesis For Delayed Closure Of Defect(S) Due To Soft Tissue,6653.0,6653.0,,,0 HCPCS,15778,Impl absrb msh/prsth dly cls,,,5405.0,10249.52,5 HCPCS,15780,Dermabrasion total face,,,2913.5,6176.62,16 HCPCS,15781,Dermabrasion segmental face,,,710.27,4840.09,17 HCPCS,15782,Dermabrasion other than face,,,1952.0,6176.62,17 HCPCS,15783,Dermabrasion suprfl any site,,,407.74,4840.09,17 HCPCS,15786,Abrasion lesion single,,,201.24,4840.09,15 HCPCS,15787,Abrasion lesions add-on,,,1343.0,4840.09,5 HCPCS,15788,Chemical peel face epiderm,,,407.74,4840.09,15 HCPCS,15789,Chemical peel face dermal,,,741.31,4840.09,16 HCPCS,15792,Chemical peel nonfacial,,,741.31,4840.09,15 HCPCS,15793,Chemical peel nonfacial,,,407.74,4840.09,15 HCPCS,15819,Plastic surgery neck,,,3011.79,5051.48,10 HCPCS,15820,"Hc Blepharoplasty, Lower Eyelids",6653.0,6653.0,,,0 HCPCS,15820,Revision of lower eyelid,,,2069.52,6293.23,19 HCPCS,15821,"Hc Blepharoplasty, Lower Eyelid W/Excess Skin",6653.0,6653.0,,,0 HCPCS,15821,Revision of lower eyelid,,,2069.52,6293.23,19 HCPCS,15822,Hc Revision Of Upper Eyelid,6055.5,6055.5,,,0 HCPCS,15822,Revision of upper eyelid,,,2069.52,6293.23,19 HCPCS,15823,Hc Rev Upper Eyelid W Excess Skin,7420.5,7420.5,,,0 HCPCS,15823,Revision of upper eyelid,,,2069.52,8364.54,19 HCPCS,15824,Removal of forehead wrinkles,,,2069.52,6293.23,19 HCPCS,15825,Removal of neck wrinkles,,,3514.53,7870.0,19 HCPCS,15826,Removal of brow wrinkles,,,3514.53,7870.0,19 HCPCS,15828,"Hc Rhytidectomy; Cheek, Chin, & Neck",6307.0,6307.0,,,0 HCPCS,15828,Removal of face wrinkles,,,3514.53,7870.0,19 HCPCS,15829,Hc Rhytidectomy; Superficial Musculoaponeurotic System (Smas) Flap,8893.0,8893.0,,,0 HCPCS,15829,Removal of skin wrinkles,,,3514.53,8364.54,19 HCPCS,15830,Exc Skin Abd,,,5125.78,14119.73,19 HCPCS,15830,"Hc Exc,Excessive Skin & Subcut Tiss;Abdomen,Infraumbilical Panniculectomy",7906.0,7906.0,,,0 HCPCS,15832,Excise excessive skin thigh,,,2913.5,6293.23,19 HCPCS,15832,Hc Exc Excessive Skin And Subcutaneous Tissue; Thighs,7906.0,7906.0,,,0 HCPCS,15833,Excise excessive skin leg,,,2913.5,6293.23,19 HCPCS,15833,"Hc Excision, Excessive Skin And Subcutaneous Tissue, Includes Lipectomy, Leg",6588.0,6588.0,,,0 HCPCS,15834,Excise excessive skin hip,,,2913.5,6293.23,19 HCPCS,15835,Excise excessive skin buttck,,,2913.5,6293.23,19 HCPCS,15836,Excise excessive skin arm,,,2912.0,6293.23,19 HCPCS,15836,"Hc Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); Arm",6588.0,6588.0,,,0 HCPCS,15837,Excise excess skin arm/hand,,,2912.0,7798.0,18 HCPCS,15837,"Hc Excision, Excessive Skin & Subcutaneous Tissue, Forearm Or Hand",6905.0,6905.0,,,0 HCPCS,15838,Excise excess skin fat pad,,,2912.0,7798.0,18 HCPCS,15838,"Hc Excision, Excessive Skin And Subcutaneous Tissue; Submental Fat Pad",5753.0,5753.0,,,0 HCPCS,15839,Excise excess skin & tissue,,,2912.0,7798.0,19 HCPCS,15839,"Hc Excision, Excessive Skin And Subcutaneous Tissue (Includes Lipectomy); Other Area",7906.0,7906.0,,,0 HCPCS,15840,Hc Facial Nerve Paralysis Free Fascia Grafts,7811.0,7811.0,,,0 HCPCS,15840,Nerve palsy fascial graft,,,3514.53,7870.0,19 HCPCS,15841,Nerve palsy muscle graft,,,3514.53,7870.0,19 HCPCS,15842,Nerve palsy microsurg graft,,,2069.52,6803.0,19 HCPCS,15845,Skin and muscle repair face,,,3514.53,7870.0,19 HCPCS,15847,Exc Skin Abd Add-on,,,1343.0,6293.23,7 HCPCS,15847,"Hc Excision, Excessive Skin And Subcutaneous Tissue, Abdomen",7418.0,7418.0,,,0 HCPCS,15850,"Hc Removal Of Sutures Under Anesthesia, Same Surgeon",4609.0,4609.0,,,0 HCPCS,15850,Remove sutures same surgeon,,,2678.54,4840.09,7 HCPCS,15851,Hc Removal Of Sutures Or Staples Requiring Anesthesia,4925.5,4925.5,,,0 HCPCS,15851,Remove sutures diff surgeon,,,2069.52,5051.48,19 HCPCS,15852,Dressing change not for burn,,,741.31,4840.09,17 HCPCS,15852,Hc Dressing Change (For Other Than Burns) Under Anesthesia (Other Than Local),4609.0,4609.0,,,0 HCPCS,15852,"Hc Dressing Change,Not For Burn",1669.0,1669.0,,,0 HCPCS,15853,Hc Removal Of Sutures Or Staples Not Requiring Anesthesia,38.0,38.0,,,0 HCPCS,15853,Removal sutr/stapl xreq anes,,,1343.0,2987.0,4 HCPCS,15854,Hc Removal Of Sutures And Staples Not Requiring Anesthesia,48.0,48.0,,,0 HCPCS,15854,Removal sutr&stapl xreq anes,,,1343.0,2987.0,4 HCPCS,15860,Test for blood flow in graft,,,448.08,4840.09,17 HCPCS,15876,Suction lipectomy head&neck,,,3514.53,7870.0,19 HCPCS,15877,Hc Suction Assited Lipectomy; Trunk,6653.0,6653.0,,,0 HCPCS,15877,Suction lipectomy trunk,,,3514.53,7870.0,19 HCPCS,15878,"Hc Suction Assisted Lipectomy, Upper Extremity",6653.0,6653.0,,,0 HCPCS,15878,Suction lipectomy upr extrem,,,2069.52,7798.0,19 HCPCS,15879,"Hc Suction Assisted Lipectomy, Lower Extremity",6653.0,6653.0,,,0 HCPCS,15879,Suction lipectomy lwr extrem,,,3514.53,7870.0,19 HCPCS,15920,Removal of tail bone ulcer,,,2912.0,6293.23,19 HCPCS,15922,Removal of tail bone ulcer,,,3051.0,7870.0,19 HCPCS,15931,Remove sacrum pressure sore,,,2913.5,6293.23,19 HCPCS,15933,Remove sacrum pressure sore,,,2913.5,6293.23,19 HCPCS,15934,Remove sacrum pressure sore,,,3514.53,7870.0,19 HCPCS,15935,Remove sacrum pressure sore,,,3514.53,7870.0,19 HCPCS,15936,Remove sacrum pressure sore,,,2069.52,7175.28,19 HCPCS,15937,Remove sacrum pressure sore,,,2069.52,7175.28,19 HCPCS,15940,Remove hip pressure sore,,,2913.5,6293.23,19 HCPCS,15941,Remove hip pressure sore,,,2913.5,6293.23,19 HCPCS,15944,Remove hip pressure sore,,,3051.0,7870.0,19 HCPCS,15945,Remove hip pressure sore,,,2069.52,7175.28,19 HCPCS,15946,Remove hip pressure sore,,,2069.52,7175.28,19 HCPCS,15950,Remove thigh pressure sore,,,1656.59,6293.23,19 HCPCS,15951,Remove thigh pressure sore,,,2913.5,7175.28,19 HCPCS,15952,Remove thigh pressure sore,,,2069.52,6293.23,19 HCPCS,15953,Remove thigh pressure sore,,,3514.53,7870.0,19 HCPCS,15956,Remove thigh pressure sore,,,2069.52,6293.23,19 HCPCS,15958,Remove thigh pressure sore,,,3514.53,7870.0,19 HCPCS,15999,Removal of pressure sore,,,710.27,11531.48,16 HCPCS,16000,"Hc Initial Treatment, First Degree Burn",524.0,524.0,,,0 HCPCS,16000,Initial treatment of burn(s),,,201.24,4840.09,15 HCPCS,16020,Dress/debrid p-thick burn s,,,201.24,4840.09,18 HCPCS,16020,Hc Dress/Debrid Small Burn No Anes,71.0,71.0,,,0 HCPCS,16025,Dress/debrid p-thick burn m,,,201.24,4840.09,19 HCPCS,16025,Hc Dress/Debrid Med Burn No Anesth,1294.0,1294.0,,,0 HCPCS,16030,Dress/debrid p-thick burn l,,,407.74,4840.09,19 HCPCS,16035,Incision of burn scab initi,,,407.74,4840.09,18 HCPCS,16036,Escharotomy addl incision,,,2678.54,4840.09,9 HCPCS,17000,Destruct premalg lesion,,,201.24,4840.09,17 HCPCS,17000,"Hc Destr,Premalig Lesions;1St Lesion",4609.0,4609.0,,,0 HCPCS,17003,Destruct premalg les 2-14,,,1343.0,4840.09,7 HCPCS,17004,Destroy premal lesions 15/>,,,407.74,4840.09,19 HCPCS,17106,Destruction of skin lesions,,,407.74,4840.09,19 HCPCS,17106,Hc Destruct Vascular Lesions < 10 Sq Cm,1079.0,1079.0,,,0 HCPCS,17107,Destruction of skin lesions,,,741.31,4840.09,19 HCPCS,17108,Destruction of skin lesions,,,2069.52,5051.48,19 HCPCS,17110,Destruct b9 lesion 1-14,,,201.24,4840.09,17 HCPCS,17110,Hc Destruction Benign Lesions Up To 14,2566.5,2566.5,,,0 HCPCS,17111,Destruct lesion 15 or more,,,201.24,4840.09,17 HCPCS,17250,Chemical cautery tissue,,,201.24,4840.09,17 HCPCS,17250,Hc Chemical Cauterization Of Granulation Tissue,3936.5,3936.5,,,0 HCPCS,17260,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17261,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17262,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17263,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17264,Destruction of skin lesions,,,407.74,4840.09,18 HCPCS,17266,Destruction of skin lesions,,,407.74,4840.09,19 HCPCS,17270,Destruction of skin lesions,,,201.24,4840.09,18 HCPCS,17271,Destruction of skin lesions,,,201.24,4840.09,18 HCPCS,17272,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17273,Destruction of skin lesions,,,407.74,4840.09,18 HCPCS,17274,Destruction of skin lesions,,,407.74,4840.09,19 HCPCS,17276,Destruction of skin lesions,,,407.74,4840.09,19 HCPCS,17280,Destruction of skin lesions,,,201.24,4840.09,17 HCPCS,17281,Destruction of skin lesions,,,201.24,4840.09,18 HCPCS,17282,Destruction of skin lesions,,,201.24,4840.09,18 HCPCS,17282,Hc Destr Malig Les Face Ears Eyelids Nose Lips Mucous Memb 1.1 To 2.0 Cm,4862.0,4862.0,,,0 HCPCS,17283,Destruction of skin lesions,,,407.74,4840.09,18 HCPCS,17284,Destruction of skin lesions,,,741.31,4840.09,19 HCPCS,17286,Destruction of skin lesions,,,741.31,4840.09,18 HCPCS,17311,Mohs 1 stage h/n/hf/g,,,741.31,4840.09,19 HCPCS,17312,Mohs Addl Stage,,,1343.0,2987.0,5 HCPCS,17313,Mohs 1 stage t/a/l,,,741.31,4840.09,19 HCPCS,17314,Mohs addl stage t/a/l,,,1343.0,2987.0,5 HCPCS,17315,Mohs surg addl block,,,1343.0,2987.0,5 HCPCS,17340,Cryotherapy of skin,,,59.17,4840.09,15 HCPCS,17360,Skin peel therapy,,,201.24,4840.09,15 HCPCS,17380,Hair removal by electrolysis,,,741.31,4840.09,16 HCPCS,17999,Hc Unlisted Procedure Skin Mucous Memb Subcutaneous Tissue,9383.0,9383.0,,,0 HCPCS,17999,Skin tissue procedure,,,201.24,11531.48,18 HCPCS,19000,Drainage of breast lesion,,,710.27,4840.09,19 HCPCS,19000,Hc Punc/Aspir Breast Cyst,2754.0,2754.0,,,0 HCPCS,19001,Drain breast lesion add-on,,,1343.0,4840.09,7 HCPCS,19001,"Hc Puct/Aspir Breast Cyst,Each Addn",445.0,445.0,,,0 HCPCS,19020,Hc Explo/Drain Breast Abscess,6957.0,6957.0,,,0 HCPCS,19020,Incision of breast lesion,,,1656.59,5345.54,19 HCPCS,19030,Injection for breast x-ray,,,1343.0,4840.09,7 HCPCS,19081,Bx breast 1st lesion strtctc,,,1656.59,5495.0,19 HCPCS,19081,Hc Bx Breast W Device 1St Lesion Stereotactic Guide,2731.0,2731.0,,,0 HCPCS,19082,Bx breast add lesion strtctc,,,1343.0,2987.0,5 HCPCS,19082,Hc Bx Breast W Device Addl Lesion Stereotact Guide,1881.0,1881.0,,,0 HCPCS,19083,Bx breast 1st lesion us imag,,,1656.59,5495.0,19 HCPCS,19083,Hc Bx Breast W Device 1St Lesion Ultrasound Guide,2731.0,2731.0,,,0 HCPCS,19084,Bx breast add lesion us imag,,,1343.0,2987.0,5 HCPCS,19084,Hc Bx Breast W Device Addl Lesion Ultrasound Guide,1881.0,1881.0,,,0 HCPCS,19085,Bx breast 1st lesion mr imag,,,1656.59,6277.0,19 HCPCS,19085,Hc Bx Breast W Device 1St Lesion Magnetic Res Guide,4099.0,4099.0,,,0 HCPCS,19086,Bx breast add lesion mr imag,,,1343.0,2987.0,5 HCPCS,19086,Hc Bx Breast W Device Addl Lesion Magnet Res Guide,1881.0,1881.0,,,0 HCPCS,19100,Bx breast percut w/o image,,,1656.59,5051.48,19 HCPCS,19100,"Hc Biopsy Of Breast, Needle Core",5400.0,5400.0,,,0 HCPCS,19101,Biopsy of breast open,,,3295.0,8325.82,19 HCPCS,19101,"Hc Biopsy Of Breast; Open, Incisional",5507.0,5507.0,,,0 HCPCS,19101,"Hc Pbb Biopsy Of Breast, Incisional",10023.0,10023.0,,,0 HCPCS,19105,Cryosurg ablate fa each,,,3514.53,11385.0,19 HCPCS,19110,Hc Nipple Exploration W/W/O Exc Solitary Papilloma Lactiferous Duct,6905.0,6905.0,,,0 HCPCS,19110,Nipple exploration,,,3295.0,8325.82,19 HCPCS,19112,Excise breast duct fistula,,,3514.53,8325.82,19 HCPCS,19120,"Hc Exc Cyst,Fibrd,Oth Bngn/Malig Tmr,Abrrnt Tis,Duct,Nip,Arlr Les,M/F 1Or More Les",6653.0,6653.0,,,0 HCPCS,19120,Removal of breast lesion,,,3514.53,8325.82,19 HCPCS,19125,Excision breast lesion,,,3514.53,8325.82,19 HCPCS,19125,"Hc Exc Breast Les Id By Pre-Op Placmnt Of Rad Marker,Open; Sngl Les",6653.0,6653.0,,,0 HCPCS,19125,"Hc Excision Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Sing",10568.0,10568.0,,,0 HCPCS,19126,Excision addl breast lesion,,,1343.0,6293.23,7 HCPCS,19126,"Hc Excision Of Breast Lesion Identified By Preoperative Placement Of Radiological Marker, Open; Each",6318.0,6318.0,,,0 HCPCS,19260,Removal of chest wall lesion,,,3051.0,4840.09,4 HCPCS,19271,Revision of chest wall,,,3051.0,5345.54,3 HCPCS,19272,Extensive chest wall surgery,,,3051.0,5345.54,3 HCPCS,19281,Hc Perq Device Placemt Breast Loc 1St Les W Guidnce,1394.0,1394.0,,,0 HCPCS,19281,Perq device breast 1st imag,,,1656.59,4840.09,18 HCPCS,19282,Hc Perq Device Placemt Breast Loc Ea Les W Guidnce,264.0,264.0,,,0 HCPCS,19282,Perq device breast ea imag,,,1343.0,2987.0,5 HCPCS,19283,Hc Perq Breast Loc Device Placemt 1St Strtctc Guid,1394.0,1394.0,,,0 HCPCS,19283,Perq dev breast 1st strtctc,,,710.27,4840.09,18 HCPCS,19284,Hc Perq Breast Loc Device Placemt Ea Lesion Strtctc,264.0,264.0,,,0 HCPCS,19284,Perq dev breast add strtctc,,,1343.0,2987.0,5 HCPCS,19285,Hc Perq Breast Loc Device Placemt 1St Lesio Us Imag,1394.0,1394.0,,,0 HCPCS,19285,Perq dev breast 1st us imag,,,710.27,4840.09,18 HCPCS,19286,Hc Perq Breast Loc Device Placemt Each Les Us Image,264.0,264.0,,,0 HCPCS,19286,Perq dev breast add us imag,,,1343.0,2987.0,5 HCPCS,19287,Hc Perq Breast Loc Device Placemt 1St Lesio Mr Guid,1394.0,1394.0,,,0 HCPCS,19287,Perq dev breast 1st mr guide,,,710.27,6277.0,18 HCPCS,19288,Hc Perq Breast Loc Device Placemt Add Lesio Mr Guid,264.0,264.0,,,0 HCPCS,19288,Perq dev breast add mr guide,,,1343.0,2987.0,5 HCPCS,19294,Prep tum cav iort prtl mast,,,1343.0,2987.0,4 HCPCS,19296,Hc Place Postop Breast Cath For Rad,3419.0,3419.0,,,0 HCPCS,19296,Place po breast cath for rad,,,6309.89,17379.99,19 HCPCS,19297,Place breast cath for rad,,,7118.0,11403.39,7 HCPCS,19298,Place breast rad tube/caths,,,5125.78,29303.98,19 HCPCS,19300,"Hc Mastectomy,For Gynecomastia",9791.0,9791.0,,,0 HCPCS,19300,Removal of Breast Tissue,,,3514.53,8325.82,19 HCPCS,19301,"Hc Mastectomy,Partial;",7906.0,7906.0,,,0 HCPCS,19301,Partial Mastectomy,,,3514.53,8325.82,19 HCPCS,19302,"Hc Mastectomy,Partial;W/Axillary Lymphadenectmy",15440.0,15440.0,,,0 HCPCS,19302,P-Mastectomy w/LN Removal,,,5125.78,14119.73,19 HCPCS,19303,"Hc Mastectomy,Simple,Complete",9791.0,9791.0,,,0 HCPCS,19303,Mast simple complete,,,4817.0,14119.73,19 HCPCS,19304,Mast subq,,,5087.0,7175.28,4 HCPCS,19305,Mast radical,,,3051.0,8382.61,4 HCPCS,19306,Mast rad urban type,,,3051.0,8382.61,4 HCPCS,19307,"Hc Mastectomy,Modf Rad,Incl Axillary Lymph Nodes,Wwo Pect Minr,Excld Peact Mj Musc",16385.0,16385.0,,,0 HCPCS,19307,Mast mod rad,,,5125.78,14119.73,19 HCPCS,19316,Hc Mastopexy,9791.0,9791.0,,,0 HCPCS,19316,Suspension of breast,,,4817.0,14119.73,19 HCPCS,19318,Hc Reduction Mammaplasty,9791.0,9791.0,,,0 HCPCS,19318,Reduction of large breast,,,4817.0,14119.73,19 HCPCS,19324,Enlarge breast,,,6187.0,7175.28,4 HCPCS,19325,Enlarge breast with implant,,,6309.89,17379.99,19 HCPCS,19325,Hc Mammaplasty Augmentation W/Prosthetic Implant,16385.0,16385.0,,,0 HCPCS,19328,Hc Removal Intact Mammary Implant,5778.0,5778.0,,,0 HCPCS,19328,Removal of breast implant,,,2572.0,8325.82,19 HCPCS,19330,Hc Removal Mammary Implant Unilateral,5778.0,5778.0,,,0 HCPCS,19330,Removal of implant material,,,2572.0,8325.82,19 HCPCS,19340,Hc Immed Insert Breast Prosthesis Follow Mastopexy Mastectmy Or In Reconstrct,6905.0,6905.0,,,0 HCPCS,19340,Immediate breast prosthesis,,,3295.0,17379.99,19 HCPCS,19342,Delayed breast prosthesis,,,5405.0,17379.99,19 HCPCS,19342,Hc Delay Insert Breast Prosthesis Follow Mastopexy Mastectmy Or In Reconstruct,7906.0,7906.0,,,0 HCPCS,19350,Breast reconstruction,,,3514.53,8325.82,19 HCPCS,19350,Hc Reconstrcution Of Nipple/Areola Incl Grafts Unilateral,9791.0,9791.0,,,0 HCPCS,19355,Correct inverted nipple(s),,,3514.53,8325.82,19 HCPCS,19357,Breast reconstruction,,,5730.0,29303.98,19 HCPCS,19357,Hc Breast Reconst Immediat Or Delayed W/Tisexpand Incl Sub Sequent Expansion,11148.0,11148.0,,,0 HCPCS,19361,Breast reconstr w/lat flap,,,3051.0,8382.61,6 HCPCS,19361,Hc Breast Reconstruction W/Latissimus Dorsi Flap,9290.0,9290.0,,,0 HCPCS,19364,Breast reconstruction,,,3600.0,8655.0,9 HCPCS,19366,Breast reconstruction,,,5087.0,8364.54,4 HCPCS,19366,Hc Breast Reconstrct W/Other Technique,11148.0,11148.0,,,0 HCPCS,19367,Breast reconstruction,,,3051.0,8655.0,9 HCPCS,19368,Breast reconstruction,,,3051.0,8655.0,9 HCPCS,19369,Breast reconstruction,,,3051.0,8655.0,9 HCPCS,19370,"Hc Open Periprosthetic Capsulotomy, Breast",9791.0,9791.0,,,0 HCPCS,19370,Surgery of breast capsule,,,3514.53,8325.82,19 HCPCS,19371,"Hc Periprosthetic Capsulectomy, Breast",10780.0,10780.0,,,0 HCPCS,19371,Removal of breast capsule,,,3514.53,8325.82,19 HCPCS,19380,Hc Revision Of Reconstructed Breast,11148.0,11148.0,,,0 HCPCS,19380,Revise breast reconstruction,,,5125.78,14119.73,19 HCPCS,19396,Design custom breast implant,,,3514.53,8325.82,18 HCPCS,19499,Breast surgery procedure,,,2572.0,11531.48,18 HCPCS,19499,Hc Breast Tumor Ablation,6341.0,6341.0,,,0 HCPCS,20005,I&d abscess subfascial,,,3051.0,5345.54,4 HCPCS,20100,Explore wound neck,,,540.96,4840.09,17 HCPCS,20101,Explore wound chest,,,2069.52,5051.48,16 HCPCS,20102,Explore wound abdomen,,,2069.52,5051.48,16 HCPCS,20103,Explore wound extremity,,,1656.59,4840.09,19 HCPCS,20150,Excise epiphyseal bar,,,3281.9,10848.4,16 HCPCS,20200,Muscle biopsy,,,1656.59,5345.54,19 HCPCS,20205,Deep muscle biopsy,,,2912.0,6293.23,19 HCPCS,20205,"Hc Biopsy, Muscle; Deep",6307.0,6307.0,,,0 HCPCS,20205,Hc Deep Muscle Biopsy,8502.0,8502.0,,,0 HCPCS,20206,"Hc Needle Biopsy,Muscle",5400.0,5400.0,,,0 HCPCS,20206,Needle biopsy muscle,,,1656.59,5051.48,19 HCPCS,20220,Bone biopsy trocar/needle,,,1656.59,5051.48,19 HCPCS,20220,"Hc Bone Biopsy,Trocar/Needle Superf",5400.0,5400.0,,,0 HCPCS,20225,Bone biopsy trocar/needle,,,1656.59,5345.54,19 HCPCS,20225,"Hc Biopsy, Bone, Trocar, Or Needle; Deep",5230.0,5230.0,,,0 HCPCS,20225,"Hc Bone Biopsy,Trocar/Needle Deep",8104.0,8104.0,,,0 HCPCS,20240,Bone biopsy open superficial,,,2913.5,6176.62,19 HCPCS,20240,"Hc Bx,Bone,Open;Superficial",5810.0,5810.0,,,0 HCPCS,20245,Bone biopsy open deep,,,2913.5,6293.23,19 HCPCS,20245,Hc Biopsy Incisional Deep Humerous Ischium Femur,6653.0,6653.0,,,0 HCPCS,20250,"Hc Biopsy, Vertebral Body, Open; Thoracic",6307.0,6307.0,,,0 HCPCS,20250,Open bone biopsy,,,3281.9,7870.0,19 HCPCS,20251,"Hc Biopsy - Vertebral Body, Open, Lumbar Or Cervical",21055.0,21055.0,,,0 HCPCS,20251,Open bone biopsy,,,4743.0,15429.7,19 HCPCS,20500,Hc Inject Sinus Tract Theraputic,4299.0,4299.0,,,0 HCPCS,20500,Injection of sinus tract,,,1556.28,5051.48,18 HCPCS,20501,Hc Inject Sinus Tract For Dx W Xray,721.0,721.0,,,0 HCPCS,20501,Inject sinus tract for x-ray,,,1343.0,4840.09,7 HCPCS,20520,Hc Removal Of Foreign Body In Muscle Or Tendon Sheath; Simple,4612.5,4612.5,,,0 HCPCS,20520,Removal of foreign body,,,1656.59,5051.48,19 HCPCS,20525,Hc Removal Foreign Body Muscle Complicated,6653.0,6653.0,,,0 HCPCS,20525,Removal of foreign body,,,2913.5,6293.23,19 HCPCS,20526,Hc Carpal Tunnel Injection,1160.0,1160.0,,,0 HCPCS,20526,Hc Inject Carpal Tunnel,4862.0,4862.0,,,0 HCPCS,20526,Hc Pbb Inject Carpal Tunnel,1160.0,1160.0,,,0 HCPCS,20526,Ther injection carp tunnel,,,307.88,4840.09,19 HCPCS,20527,Inj dupuytren cord w/enzyme,,,307.88,4840.09,18 HCPCS,20550,Hc Inject Tendon Sheath/Ligament,3072.0,3072.0,,,0 HCPCS,20550,Hc Pbb Inject Tendon Sheath/Ligament,1282.0,1282.0,,,0 HCPCS,20550,Inj tendon sheath/ligament,,,307.88,4840.09,19 HCPCS,20551,Hc Inject Tendon Origin/Insert,1282.0,1282.0,,,0 HCPCS,20551,Hc Injection(S); Single Tendon Origin/Insertion,4609.0,4609.0,,,0 HCPCS,20551,Hc Pbb Inject Tendon Origin/Insert,1282.0,1282.0,,,0 HCPCS,20551,Inj tendon origin/insertion,,,307.88,4840.09,19 HCPCS,20552,"Hc Inject Trigger Point, 1 Or 2",1282.0,1282.0,,,0 HCPCS,20552,"Hc Injection(S); Single Or Multiple Trigger Point(S), 1 Or 2 Muscle(S)",4862.0,4862.0,,,0 HCPCS,20552,"Hc Pbb Inject Trigger Point, 1 Or 2",1282.0,1282.0,,,0 HCPCS,20552,Inj trigger point 1/2 muscl,,,307.88,4840.09,19 HCPCS,20553,"Hc Inject Trigger Points, > 3",1282.0,1282.0,,,0 HCPCS,20553,"Hc Injection(S); Single Or Multiple Trigger Point(S), 3 Or More Muscles",3072.0,3072.0,,,0 HCPCS,20553,"Hc Pbb Inject Trigger Points, > 3",1282.0,1282.0,,,0 HCPCS,20553,Inject trigger points 3/>,,,307.88,4840.09,19 HCPCS,20555,Place ndl musc/tis for rt,,,2572.0,11385.0,19 HCPCS,20560,Hc Dry Needling 1 Or 2 Muscles,83.0,83.0,,,0 HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,29.01,4221.48,14 HCPCS,20561,Hc Dry Needling 3 Or More Muscles,83.0,83.0,,,0 HCPCS,20561,Ndl insj w/o njx 3+ musc,,,29.01,4221.48,14 HCPCS,20600,Drain/inj joint/bursa w/o us,,,307.88,4840.09,19 HCPCS,20600,Hc Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,3072.0,3072.0,,,0 HCPCS,20600,Hc Pbb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us,1282.0,1282.0,,,0 HCPCS,20604,Drain/inj joint/bursa w/us,,,307.88,4840.09,18 HCPCS,20604,Hc Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt,1730.0,1730.0,,,0 HCPCS,20604,Hc Pbb Arthrocnt Aspir&/Inj Small Jt/Bursaw/Us Rec Rprt,1730.0,1730.0,,,0 HCPCS,20605,Drain/inj joint/bursa w/o us,,,307.88,4840.09,19 HCPCS,20605,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,3091.5,3091.5,,,0 HCPCS,20605,Hc Pbb Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us,1321.0,1321.0,,,0 HCPCS,20606,Drain/inj joint/bursa w/us,,,708.02,4840.09,18 HCPCS,20606,Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us,3403.5,3403.5,,,0 HCPCS,20610,Drain/inj joint/bursa w/o us,,,307.88,4840.09,19 HCPCS,20610,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,3072.0,3072.0,,,0 HCPCS,20610,Hc Pbb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us,1282.0,1282.0,,,0 HCPCS,20611,Drain/inj joint/bursa w/us,,,307.88,4840.09,18 HCPCS,20611,Hc Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,3500.0,3500.0,,,0 HCPCS,20611,Hc Pbb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/Us,2138.0,2138.0,,,0 HCPCS,20612,Aspirate/inj ganglion cyst,,,307.88,4840.09,19 HCPCS,20612,Hc Aspirat/Injection Ganglion Cyst(S),3058.0,3058.0,,,0 HCPCS,20615,Treatment of bone cyst,,,710.27,4840.09,18 HCPCS,20650,Hc Insert Wire Pin Skeletal Traction W/Removal,6653.0,6653.0,,,0 HCPCS,20650,"Hc Insertion Of Wire Or Pin With Application Of Skeletal Traction, Including Removal",8971.0,8971.0,,,0 HCPCS,20650,Insert and remove bone pin,,,3281.9,7870.0,19 HCPCS,20660,Apply rem fixation device,,,1612.85,5051.48,18 HCPCS,20660,"Hc Application Of Cranial Tongs, Caliper Or Frame Incl Removal",6281.0,6281.0,,,0 HCPCS,20661,Application of head brace,,,1343.0,6277.0,16 HCPCS,20662,Application of pelvis brace,,,1612.85,6277.0,19 HCPCS,20663,Application of thigh brace,,,3281.9,7870.0,19 HCPCS,20664,Application of halo,,,1612.85,6277.0,18 HCPCS,20665,"Hc Cranial Frame, Tong Or Halo Removal By Another Individual",1436.0,1436.0,,,0 HCPCS,20665,Removal of fixation device,,,448.08,4840.09,18 HCPCS,20670,Hc Pbb Removal Superficial Implant,7354.0,7354.0,,,0 HCPCS,20670,"Hc Removal Of Implant, Superficial",4862.0,4862.0,,,0 HCPCS,20670,Removal of support implant,,,1656.59,5051.48,19 HCPCS,20680,Hc Removal Buried Wire Pin Screw Deep,9074.0,9074.0,,,0 HCPCS,20680,Removal of support implant,,,2913.5,6293.23,19 HCPCS,20690,Apply bone fixation device,,,3295.0,15429.7,19 HCPCS,20690,"Hc Application Of A Uniplane,Unilateral,External Fixation System",5810.0,5810.0,,,0 HCPCS,20692,Apply bone fixation device,,,4743.0,27300.32,19 HCPCS,20692,"Hc Applic Of Multiplane,Unilateral,External Fixation System",6653.0,6653.0,,,0 HCPCS,20693,Adjust bone fixation device,,,4743.0,15429.7,19 HCPCS,20693,Hc Adjust Or Revise Of External Fixation System Req Anes W/W/O New Rings Or Bars,6588.0,6588.0,,,0 HCPCS,20694,Hc Removal Under Anes Of External Fixation System,4862.0,4862.0,,,0 HCPCS,20694,Remove bone fixation device,,,1612.85,5051.48,19 HCPCS,20696,Comp multiplane ext fixation,,,4743.0,57698.1,19 HCPCS,20696,"Hc Application, Multiplane, Unilat, External Fixation W/Stereotactic Computer-Assisted Adjustment In",13654.0,13654.0,,,0 HCPCS,20697,Comp ext fixate strut change,,,1612.85,10726.0,19 HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,1343.0,2987.0,4 HCPCS,20701,Rmvl deep rx delivery device,,,1343.0,2987.0,4 HCPCS,20702,Mnl prep&insj imed rx dev,,,1343.0,2987.0,4 HCPCS,20703,Rmvl imed rx delivery device,,,1343.0,2987.0,4 HCPCS,20704,Mnl prep&insj i-artic rx dev,,,1343.0,2987.0,4 HCPCS,20705,Rmvl i-artic rx delivery dev,,,1343.0,2987.0,4 HCPCS,20802,Replantation arm complete,,,3600.0,37284.11,13 HCPCS,20805,Replant forearm complete,,,3925.0,37284.11,13 HCPCS,20808,Replantation hand complete,,,4743.0,37284.11,13 HCPCS,20816,Replantation digit complete,,,1612.85,10006.92,13 HCPCS,20822,Replantation digit complete,,,1612.85,5611.0,17 HCPCS,20824,Replantation thumb complete,,,1612.85,10006.92,13 HCPCS,20827,Replantation thumb complete,,,1612.85,10006.92,13 HCPCS,20838,Replantation foot complete,,,3051.0,37284.11,13 HCPCS,20900,"Hc Bone Graft,Any Donor Area;Minor Or Small",7906.0,7906.0,,,0 HCPCS,20900,Removal of bone for graft,,,4743.0,15429.7,19 HCPCS,20902,"Hc Bone Graft,Any Donor Area;Major Or Large",9791.0,9791.0,,,0 HCPCS,20902,Removal of bone for graft,,,4743.0,15429.7,19 HCPCS,20910,Remove cartilage for graft,,,741.31,6293.23,19 HCPCS,20912,Hc Cartilage Graft;Nasal Septum,6653.0,6653.0,,,0 HCPCS,20912,Remove cartilage for graft,,,3514.53,7870.0,19 HCPCS,20920,Removal of fascia for graft,,,2069.52,7175.28,19 HCPCS,20922,Removal of fascia for graft,,,2069.52,6293.23,19 HCPCS,20924,"Hc Tendon Graft,From A Distance",9791.0,9791.0,,,0 HCPCS,20924,Removal of tendon for graft,,,4743.0,15429.7,19 HCPCS,20926,Removal of tissue for graft,,,3925.0,7175.28,4 HCPCS,20930,Sp bone algrft morsel add-on,,,1343.0,4840.09,7 HCPCS,20931,Sp bone algrft struct add-on,,,1343.0,4840.09,7 HCPCS,20932,Osteoart algrft w/surf & b1,,,1343.0,2987.0,4 HCPCS,20933,Hemicrt intrclry algrft prtl,,,1343.0,2987.0,4 HCPCS,20934,Intercalary algrft compl,,,1343.0,2987.0,4 HCPCS,20936,Sp bone agrft local add-on,,,2572.0,7870.0,7 HCPCS,20937,Sp bone agrft morsel add-on,,,2572.0,7870.0,7 HCPCS,20938,Sp bone agrft struct add-on,,,2572.0,7870.0,7 HCPCS,20939,Bone marrow aspir bone grfg,,,1343.0,2987.0,4 HCPCS,20950,Fluid pressure muscle,,,710.27,4840.09,19 HCPCS,20955,Fibula bone graft microvasc,,,3600.0,15429.7,16 HCPCS,20956,Iliac bone graft microvasc,,,3600.0,15429.7,15 HCPCS,20957,Mt bone graft microvasc,,,3051.0,15429.7,17 HCPCS,20962,Other bone graft microvasc,,,3051.0,15429.7,16 HCPCS,20969,Bone/skin graft microvasc,,,3600.0,15429.7,16 HCPCS,20970,Bone/skin graft iliac crest,,,3600.0,15429.7,16 HCPCS,20972,Bone/skin graft metatarsal,,,4817.0,15429.7,19 HCPCS,20972,"Hc Free Osteocutan Flap W/Microvasc Anastom, Metatarsal",8241.0,8241.0,,,0 HCPCS,20973,Bone/skin graft great toe,,,4817.0,15429.7,19 HCPCS,20974,Electrical bone stimulation,,,49.05,4840.09,15 HCPCS,20975,Electrical bone stimulation,,,1343.0,5345.54,7 HCPCS,20979,Us bone stimulation,,,29.01,4840.09,15 HCPCS,20982,Ablate bone tumor(s) perq,,,2572.0,37284.11,18 HCPCS,20982,Hc Ablation Bone Tumor Rf Perq W/Img Gdn When Done,11085.5,11085.5,,,0 HCPCS,20983,Ablate bone tumor(s) perq,,,3295.0,15429.7,18 HCPCS,20983,Hc Ablatj Bone Tumor Cryoablation Perq W/Img Gdn When Prfmd,23597.0,23597.0,,,0 HCPCS,20985,Cptr-asst dir ms px,,,1343.0,2987.0,5 HCPCS,20999,"Asc Only Unlisted Procedure Musculoskeletal Sys General Head Inc Exc, Report Attached",6588.0,6588.0,,,0 HCPCS,20999,Hc Ablation Musculoskeletal Mass,4218.0,4218.0,,,0 HCPCS,20999,Hc Mr Ablation Muscleskeltal Mass,4218.0,4218.0,,,0 HCPCS,20999,Hc Sclerotherapy Inj Soft Tissue,4218.0,4218.0,,,0 HCPCS,20999,Hc Unlisted Proc Musc/Skel Syst,4218.0,4218.0,,,0 HCPCS,20999,Musculoskeletal surgery,,,247.41,11531.48,18 HCPCS,21010,Incision of jaw joint,,,3011.79,7798.0,19 HCPCS,21011,Exc face les sc <2 cm,,,1656.59,5051.48,18 HCPCS,21011,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subcut Less Than 2Cm",4862.0,4862.0,,,0 HCPCS,21011,Hc Excision Tumor Soft Tiss Face/Scalp Subq < 2Cm,4472.0,4472.0,,,0 HCPCS,21012,Exc face les sbq 2 cm/>,,,1656.59,5051.48,19 HCPCS,21012,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subcut 2Cm Or Grtrm",5810.0,5810.0,,,0 HCPCS,21013,Exc face tum deep < 2 cm,,,1656.59,5051.48,19 HCPCS,21013,"Hc Excision, Tumor, Soft Tissue, Face & Scalp, Subfascial <2 Cm",5810.0,5810.0,,,0 HCPCS,21014,Exc face tum deep 2 cm/>,,,1952.0,6176.62,19 HCPCS,21014,"Hc Exc,Tumor,Sft Tis,Face/Scalp,Subfasc,2Cm Or Grtr",5810.0,5810.0,,,0 HCPCS,21015,"Hc Radical Resection Of Tumor, Soft Tissue Of Face Or Scalp, Less Than 2 Cm",6653.0,6653.0,,,0 HCPCS,21015,Resect face/scalp tum < 2 cm,,,2912.0,6293.23,19 HCPCS,21016,"Hc Rad Resct,Tumor Malig Neo,Sft Tiss,Face/Scalp,Grtr Thn 2Cm",16385.0,16385.0,,,0 HCPCS,21016,"Hc Radical Resection Of Tumor, Soft Tissue Of Face Or Scalp; 2 Cm Or Greater",7473.0,7473.0,,,0 HCPCS,21016,Resect face/scalp tum 2 cm/>,,,2913.5,11385.0,19 HCPCS,21025,Excision of bone lower jaw,,,3295.0,12588.0,19 HCPCS,21025,"Hc Excision Of Bone, Mandible",5753.0,5753.0,,,0 HCPCS,21026,Excision of facial bone(s),,,3295.0,12588.0,19 HCPCS,21026,"Hc Excision Of Bone , Facial Bone(S)",5753.0,5753.0,,,0 HCPCS,21029,Contour of face bone lesion,,,3011.79,7050.03,19 HCPCS,21029,Hc Removal By Contouring Of Benign Tumor Of Facial Bone,5753.0,5753.0,,,0 HCPCS,21030,Excise max/zygoma b9 tumor,,,3051.0,12588.0,18 HCPCS,21030,Hc Excision Of Benign Tumor Or Cyst Of Maxilla Or Zygoma By Enucleation And Curettage,6588.0,6588.0,,,0 HCPCS,21031,Remove exostosis mandible,,,2572.0,7050.03,18 HCPCS,21032,Hc Excision Of Maxillary Torus Palatinus,6588.0,6588.0,,,0 HCPCS,21032,Remove exostosis maxilla,,,2572.0,7050.03,18 HCPCS,21034,Excise max/zygoma mal tumor,,,4419.21,12588.0,19 HCPCS,21040,Excise mandible lesion,,,3011.79,7050.03,19 HCPCS,21040,"Hc Excision Of Benign Tumor Or Cyst Of Mandible, By Enucleation And/Or Curettage",5753.0,5753.0,,,0 HCPCS,21044,Removal of jaw bone lesion,,,4419.21,12588.0,19 HCPCS,21045,Extensive jaw surgery,,,3051.0,12588.0,17 HCPCS,21046,"Hc Excision Of Benign Tumor Or Cyst Of Mandible, Requiring Intra-Oral Osteotomy",5753.0,5753.0,,,0 HCPCS,21046,Remove mandible cyst complex,,,3295.0,12588.0,19 HCPCS,21047,Excise lwr jaw cyst w/repair,,,3295.0,12588.0,19 HCPCS,21048,Remove maxilla cyst complex,,,3295.0,12588.0,19 HCPCS,21049,Excis uppr jaw cyst w/repair,,,3295.0,12588.0,19 HCPCS,21050,Removal of jaw joint,,,4419.21,12588.0,19 HCPCS,21060,Remove jaw joint cartilage,,,3295.0,12588.0,19 HCPCS,21070,Remove coronoid process,,,4419.21,12588.0,19 HCPCS,21073,Mnpj of tmj w/anesth,,,1556.28,5345.54,18 HCPCS,21076,Prepare face/oral prosthesis,,,1556.28,7175.28,16 HCPCS,21077,Prepare face/oral prosthesis,,,3925.0,12588.0,16 HCPCS,21079,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21080,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21081,Prepare face/oral prosthesis,,,3051.0,12588.0,16 HCPCS,21082,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21083,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21084,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21085,Prepare face/oral prosthesis,,,237.57,5345.54,16 HCPCS,21086,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21087,Prepare face/oral prosthesis,,,3600.0,12588.0,16 HCPCS,21088,Prepare face/oral prosthesis,,,3011.79,8655.0,16 HCPCS,21089,Prepare face/oral prosthesis,,,237.57,4840.09,16 HCPCS,21100,Maxillofacial fixation,,,3295.0,12588.0,19 HCPCS,21110,Interdental fixation,,,1556.28,5051.48,19 HCPCS,21116,Injection jaw joint x-ray,,,1343.0,4840.09,7 HCPCS,21120,Reconstruction of chin,,,3895.0,12588.0,19 HCPCS,21121,Reconstruction of chin,,,3011.79,10726.0,19 HCPCS,21122,Reconstruction of chin,,,3600.0,12588.0,19 HCPCS,21123,Reconstruction of chin,,,3011.79,10726.0,19 HCPCS,21125,Augmentation lower jaw bone,,,3600.0,12588.0,19 HCPCS,21127,Augmentation lower jaw bone,,,4419.21,12588.0,19 HCPCS,21137,Reduction of forehead,,,3011.79,8821.68,18 HCPCS,21138,Reduction of forehead,,,4419.21,12588.0,18 HCPCS,21139,Reduction of forehead,,,4419.21,12588.0,16 HCPCS,21141,Lefort i-1 piece w/o graft,,,3051.0,12588.0,17 HCPCS,21142,"Hc Reconstruction Midface, Lefort I, 2 Pieces, Segment Movement In Any Direction, Without Bone Graft",13100.0,13100.0,,,0 HCPCS,21142,Lefort i-2 piece w/o graft,,,3051.0,12588.0,17 HCPCS,21143,Lefort i-3/> piece w/o graft,,,3051.0,12588.0,17 HCPCS,21145,Lefort i-1 piece w/ graft,,,3051.0,12588.0,17 HCPCS,21146,Lefort i-2 piece w/ graft,,,3051.0,12588.0,17 HCPCS,21147,Lefort i-3/> piece w/ graft,,,3051.0,12588.0,17 HCPCS,21150,Lefort ii anterior intrusion,,,4419.21,12588.0,18 HCPCS,21151,Lefort ii w/bone grafts,,,3600.0,12588.0,17 HCPCS,21154,Lefort iii w/o lefort i,,,3600.0,12588.0,17 HCPCS,21155,Lefort iii w/ lefort i,,,3600.0,12588.0,15 HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,3051.0,12588.0,17 HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,3051.0,12588.0,15 HCPCS,21172,Reconstruct orbit/forehead,,,4419.21,12588.0,18 HCPCS,21175,Reconstruct orbit/forehead,,,4419.21,12588.0,18 HCPCS,21179,Reconstruct entire forehead,,,3051.0,12588.0,17 HCPCS,21180,Reconstruct entire forehead,,,3051.0,12588.0,17 HCPCS,21181,Contour cranial bone lesion,,,3895.0,12588.0,19 HCPCS,21181,"Hc Reconstruction By Contouring Of Benign Tumor Of Cranial Bones, Extracranial",15440.0,15440.0,,,0 HCPCS,21182,Reconstruct cranial bone,,,3051.0,12588.0,15 HCPCS,21183,Reconstruct cranial bone,,,3600.0,12588.0,15 HCPCS,21184,Reconstruct cranial bone,,,3051.0,12588.0,17 HCPCS,21188,Reconstruction of midface,,,3051.0,12588.0,17 HCPCS,21193,Reconst lwr jaw w/o graft,,,4419.21,12588.0,18 HCPCS,21194,Reconst lwr jaw w/graft,,,3051.0,12588.0,17 HCPCS,21195,Reconst lwr jaw w/o fixation,,,4419.21,12588.0,18 HCPCS,21196,Reconst lwr jaw w/fixation,,,3051.0,12588.0,18 HCPCS,21198,Reconstr lwr jaw segment,,,3600.0,12588.0,18 HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,5730.0,12588.0,18 HCPCS,21206,Reconstruct upper jaw bone,,,4419.21,12588.0,19 HCPCS,21208,Augmentation of facial bones,,,4419.21,12588.0,19 HCPCS,21208,"Hc Osteoplasty, Facial Bones, Augmentation",12866.0,12866.0,,,0 HCPCS,21209,Reduction of facial bones,,,4419.21,12588.0,19 HCPCS,21210,Face bone graft,,,4419.21,12588.0,19 HCPCS,21210,"Hc Graft, Bone; Nasal, Maxillary Or Malar Areas (Includes Obtaining Graft)",11697.0,11697.0,,,0 HCPCS,21215,Lower jaw bone graft,,,4419.21,12588.0,19 HCPCS,21230,Rib cartilage graft,,,4419.21,12588.0,19 HCPCS,21235,Ear cartilage graft,,,2912.0,12588.0,19 HCPCS,21235,Hc Graft; Ear Cartilage Autograft To Nose Or Ear,15440.0,15440.0,,,0 HCPCS,21240,Reconstruction of jaw joint,,,4419.21,12588.0,19 HCPCS,21242,Reconstruction of jaw joint,,,4419.21,12588.0,19 HCPCS,21243,Reconstruction of jaw joint,,,5730.0,57698.1,19 HCPCS,21244,Reconstruction of lower jaw,,,4419.21,12588.0,19 HCPCS,21245,Reconstruction of jaw,,,4419.21,12588.0,19 HCPCS,21246,Reconstruction of jaw,,,4419.21,12588.0,19 HCPCS,21247,Reconstruct lower jaw bone,,,3051.0,12588.0,17 HCPCS,21248,Reconstruction of jaw,,,4419.21,12588.0,19 HCPCS,21249,Reconstruction of jaw,,,4419.21,12588.0,19 HCPCS,21255,Reconstruct lower jaw bone,,,3051.0,12588.0,17 HCPCS,21256,Reconstruction of orbit,,,4419.21,12588.0,16 HCPCS,21260,Revise eye sockets,,,4419.21,12588.0,16 HCPCS,21261,Revise eye sockets,,,4419.21,12588.0,16 HCPCS,21263,Revise eye sockets,,,4419.21,12588.0,16 HCPCS,21267,Revise eye sockets,,,4419.21,12588.0,19 HCPCS,21268,Revise eye sockets,,,3051.0,12588.0,17 HCPCS,21270,Augmentation cheek bone,,,4419.21,12588.0,19 HCPCS,21275,Revision orbitofacial bones,,,4419.21,12588.0,19 HCPCS,21280,Hc Medial Canthopexy,11148.0,11148.0,,,0 HCPCS,21280,Revision of eyelid,,,3011.79,8655.0,19 HCPCS,21282,Hc Lateral Canthopexy,9290.0,9290.0,,,0 HCPCS,21282,Revision of eyelid,,,2912.0,8364.54,19 HCPCS,21295,Revision of jaw muscle/bone,,,1556.28,5051.48,19 HCPCS,21296,Revision of jaw muscle/bone,,,2572.0,7050.03,19 HCPCS,21299,Cranio/maxillofacial surgery,,,237.57,11531.48,16 HCPCS,21310,Closed tx nose fx w/o manj,,,2572.0,5345.54,4 HCPCS,21315,Closed tx nose fx w/o stablj,,,1556.28,5345.54,19 HCPCS,21315,Hc Closed Treatment Of Nasal Bone Fracture With Manipulation; Without Stabilization,4010.0,4010.0,,,0 HCPCS,21315,"Hc Closed Treatment, Nasal Bone Fracture; W/O Stabilization",5810.0,5810.0,,,0 HCPCS,21320,Closed tx nose fx w/ stablj,,,2912.0,7050.03,19 HCPCS,21320,Hc Nasal Fracture Closed Reduction Complicated,5810.0,5810.0,,,0 HCPCS,21325,Hc Open Treatment Of Nasal Fracture; Uncomplicated,7811.0,7811.0,,,0 HCPCS,21325,Open tx nose fx uncomplicatd,,,3011.79,7175.28,19 HCPCS,21330,Open tx nose fx w/skele fixj,,,3600.0,12588.0,19 HCPCS,21335,Open tx nose & septal fx,,,3011.79,10726.0,19 HCPCS,21336,Open tx septal fx w/wo stabj,,,3281.9,7175.28,19 HCPCS,21337,Closed tx septal&nose fx,,,2912.0,7050.03,19 HCPCS,21337,Hc Closed Treat Of Nasal Septal Fract W/W/O Stabilization,5810.0,5810.0,,,0 HCPCS,21338,Open nasoethmoid fx w/o fixj,,,3895.0,12588.0,19 HCPCS,21339,Open nasoethmoid fx w/ fixj,,,3600.0,12588.0,19 HCPCS,21340,Perq tx nasoethmoid fx,,,3011.79,8655.0,19 HCPCS,21343,Open tx dprsd front sinus fx,,,3051.0,12588.0,16 HCPCS,21344,Open tx compl front sinus fx,,,3051.0,12588.0,17 HCPCS,21345,Closed tx nose/jaw fx,,,1556.28,10726.0,19 HCPCS,21346,Opn tx nasomax fx w/fixj,,,3895.0,12588.0,18 HCPCS,21347,Opn tx nasomax fx multple,,,3051.0,12588.0,17 HCPCS,21348,Opn tx nasomax fx w/graft,,,3051.0,12588.0,17 HCPCS,21355,Perq tx malar fracture,,,3011.79,8655.0,19 HCPCS,21356,Opn tx dprsd zygomatic arch,,,3600.0,12588.0,19 HCPCS,21360,Opn tx dprsd malar fracture,,,3895.0,12588.0,19 HCPCS,21365,"Hc Open Treat Of Complifx(S)-Malar Area,Inczygomatic Arch & Malar Tripod",12316.0,12316.0,,,0 HCPCS,21365,Opn tx complx malar fx,,,4419.21,12588.0,19 HCPCS,21366,Opn tx complx malar w/grft,,,3051.0,12588.0,18 HCPCS,21385,Opn tx orbit fx transantral,,,4419.21,12588.0,19 HCPCS,21386,Opn tx orbit fx periorbital,,,4419.21,12588.0,18 HCPCS,21387,Opn tx orbit fx combined,,,4419.21,12588.0,18 HCPCS,21390,Hc Open Tx Orbit Floor Fract; Periobit App W/Alloplastc Or Other Implant,15440.0,15440.0,,,0 HCPCS,21390,Opn tx orbit periorbtl implt,,,4419.21,12588.0,19 HCPCS,21395,Opn tx orbit periorbt w/grft,,,4419.21,12588.0,18 HCPCS,21400,Closed tx orbit w/o manipulj,,,540.96,5345.54,19 HCPCS,21401,Closed tx orbit w/manipulj,,,1556.28,6293.23,19 HCPCS,21406,Opn tx orbit fx w/o implant,,,4419.21,12588.0,19 HCPCS,21407,Hc Open Tx Fract Orbit Except Blowout; W/Implant,11148.0,11148.0,,,0 HCPCS,21407,Opn tx orbit fx w/implant,,,4419.21,12588.0,19 HCPCS,21408,Opn tx orbit fx w/bone grft,,,4419.21,12588.0,17 HCPCS,21421,Treat mouth roof fracture,,,3011.79,7175.28,19 HCPCS,21422,Treat mouth roof fracture,,,3051.0,12588.0,16 HCPCS,21423,Treat mouth roof fracture,,,3051.0,12588.0,18 HCPCS,21431,Treat craniofacial fracture,,,3051.0,12588.0,17 HCPCS,21432,Treat craniofacial fracture,,,3051.0,12588.0,17 HCPCS,21433,Treat craniofacial fracture,,,3051.0,12588.0,17 HCPCS,21435,Treat craniofacial fracture,,,3051.0,12588.0,17 HCPCS,21436,Treat craniofacial fracture,,,3051.0,12588.0,17 HCPCS,21440,Hc Closed Rx Dental Ridge Fx,7852.0,7852.0,,,0 HCPCS,21440,Treat dental ridge fracture,,,3011.79,7050.03,19 HCPCS,21445,Treat dental ridge fracture,,,4419.21,12588.0,19 HCPCS,21450,Treat lower jaw fracture,,,540.96,6293.23,19 HCPCS,21451,Treat lower jaw fracture,,,1556.28,7175.28,19 HCPCS,21452,Treat lower jaw fracture,,,2912.0,12588.0,19 HCPCS,21453,Treat lower jaw fracture,,,4419.21,12588.0,19 HCPCS,21454,Treat lower jaw fracture,,,3895.0,12588.0,19 HCPCS,21461,Treat lower jaw fracture,,,4419.21,12588.0,19 HCPCS,21462,"Hc Open Treatment Of Mandibular Fracture, With Interdental Fixation",9290.0,9290.0,,,0 HCPCS,21462,Treat lower jaw fracture,,,4419.21,12588.0,19 HCPCS,21465,"Hc Open Trtmnt, Mandibular, Condylar Fracture",8159.0,8159.0,,,0 HCPCS,21465,Treat lower jaw fracture,,,4419.21,12588.0,19 HCPCS,21470,Treat lower jaw fracture,,,4419.21,12588.0,19 HCPCS,21480,"Hc Closed Treatment Of Temporomandibular Dislocation,Initial Or Subsequent",4609.0,4609.0,,,0 HCPCS,21480,Hc Reset Dislocated Jaw Initial Or Subsequent,505.0,505.0,,,0 HCPCS,21480,Reset dislocated jaw,,,247.41,4840.09,19 HCPCS,21485,Reset dislocated jaw,,,1556.28,5345.54,19 HCPCS,21490,Repair dislocated jaw,,,3011.79,8655.0,19 HCPCS,21495,Treat hyoid bone fracture,,,4249.0,4840.09,3 HCPCS,21497,Hc Interdental Wiring For Condition Other Than Fx,4758.5,4758.5,,,0 HCPCS,21497,Interdental wiring,,,1556.28,5345.54,19 HCPCS,21499,"Asc Only Unlisted Procedure, Musculoskeletal Procedure, Head ? Transoral Resection Of Styloid Proces",11148.0,11148.0,,,0 HCPCS,21499,"Hc Unlisted Procedure Head, Report Attached",11148.0,11148.0,,,0 HCPCS,21499,Head surgery procedure,,,237.57,11531.48,16 HCPCS,21501,Drain neck/chest lesion,,,2913.5,6176.62,19 HCPCS,21501,Hc Drainage Neck/Thorax,5810.0,5810.0,,,0 HCPCS,21502,Drain chest lesion,,,3281.9,6957.62,19 HCPCS,21510,Drainage of bone lesion,,,3051.0,8655.0,16 HCPCS,21550,Biopsy of neck/chest,,,1656.59,5051.48,19 HCPCS,21550,"Hc Biopsy, Soft Tissue, Neck/Thorax",5400.0,5400.0,,,0 HCPCS,21552,Exc neck les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,21552,Hc Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm,7473.0,7473.0,,,0 HCPCS,21552,"Hc Excision, Tumor, Soft Tissue Of Neck/Anterior Thorax, Subq; 3 Cm Or Greater",13791.0,13791.0,,,0 HCPCS,21554,Exc neck tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,21554,"Hc Exc,Tumor,Subfascl,Nck/Ant Thorax,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,21555,Exc neck les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,21555,Hc Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm,4494.0,4494.0,,,0 HCPCS,21555,"Hc Exc Tumor,Sft Tiss Neck/Ant Thorax,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 HCPCS,21555,Hc Pbb Exc Tumor Soft Tissue Neck/Ant Thorax Subq <3Cm,4494.0,4494.0,,,0 HCPCS,21556,Exc neck tum deep < 5 cm,,,2913.5,6176.62,19 HCPCS,21556,"Hc Exc,Tumor,Sft Tiss Neck/Ant Thorax,Subfascl;Less Thn 5Cm",5810.0,5810.0,,,0 HCPCS,21557,Resect neck thorax tumor<5cm,,,2912.0,6176.62,18 HCPCS,21558,"Hc Radical Resection Tumor, Neck Or Ant Thorax => 5Cm",10097.5,10097.5,,,0 HCPCS,21558,Resect neck tumor 5 cm/>,,,2913.5,11385.0,19 HCPCS,21600,"Hc Excision Of Rib, Partial",5507.0,5507.0,,,0 HCPCS,21600,Partial removal of rib,,,3295.0,15429.7,19 HCPCS,21601,Exc chest wall tumor w/ribs,,,2913.5,6654.0,16 HCPCS,21601,Hc Excision Of Chest Wall Tumor Including Rib(S),5507.0,5507.0,,,0 HCPCS,21602,Exc ch wal tum w/o lymphadec,,,5125.78,15429.7,14 HCPCS,21603,Exc ch wal tum w/lymphadec,,,5125.78,15429.7,14 HCPCS,21610,Partial removal of rib,,,3281.9,7870.0,19 HCPCS,21615,Hc Excision First And/Or Cervical Rib,24322.0,24322.0,,,0 HCPCS,21615,Removal of rib,,,3051.0,15429.7,17 HCPCS,21616,Removal of rib and nerves,,,3051.0,15429.7,17 HCPCS,21620,Partial removal of sternum,,,3051.0,8655.0,16 HCPCS,21627,Sternal debridement,,,3051.0,9172.0,17 HCPCS,21630,Extensive sternum surgery,,,3051.0,15429.7,17 HCPCS,21632,Extensive sternum surgery,,,3051.0,6654.0,8 HCPCS,21685,Hyoid myotomy & suspension,,,3295.0,12588.0,19 HCPCS,21700,Revision of neck muscle,,,3295.0,15429.7,19 HCPCS,21705,Revision of neck muscle/rib,,,3011.79,15429.7,17 HCPCS,21720,Revision of neck muscle,,,3281.9,6957.62,19 HCPCS,21725,Revision of neck muscle,,,710.27,6293.23,19 HCPCS,21740,Reconstruction of sternum,,,3051.0,15429.7,17 HCPCS,21742,Repair stern/nuss w/o scope,,,3281.9,10848.4,19 HCPCS,21743,Repair sternum/nuss w/scope,,,3281.9,10848.4,19 HCPCS,21750,Repair of sternum separation,,,3051.0,15429.7,17 HCPCS,21805,Treatment of rib fracture,,,5345.54,5345.54,2 HCPCS,21811,Optx of rib fx w/fixj scope,,,3514.53,15429.7,18 HCPCS,21812,Treatment of rib fracture,,,3514.53,15429.7,18 HCPCS,21813,Treatment of rib fracture,,,1612.85,11385.0,18 HCPCS,21820,Treat sternum fracture,,,247.41,4840.09,19 HCPCS,21825,Treat sternum fracture,,,3051.0,15429.7,17 HCPCS,21899,Hc Radiofrequency Ablation - Neck,5335.0,5335.0,,,0 HCPCS,21899,Neck/chest surgery procedure,,,237.57,11531.48,16 HCPCS,21920,Biopsy soft tissue of back,,,1656.59,5051.48,19 HCPCS,21920,"Hc Biopsy, Soft Tissue Of Back Or Flank; Superficial",4540.5,4540.5,,,0 HCPCS,21925,Biopsy soft tissue of back,,,1656.59,5345.54,19 HCPCS,21925,"Hc Biopsy, Soft Tissue Of Back Or Flank; Deep",5507.0,5507.0,,,0 HCPCS,21930,Exc back les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,21930,"Hc Excision,Tumor,Soft Tissue Of Back/Flank,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 HCPCS,21931,Exc back les sc 3 cm/>,,,1656.59,11385.0,19 HCPCS,21931,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,21932,Exc back tum deep < 5 cm,,,2912.0,10726.0,19 HCPCS,21932,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subfscl;Less Thn 5Cm",15440.0,15440.0,,,0 HCPCS,21933,Exc back tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,21933,"Hc Exc,Tumor,Sft Tiss Back Or Flank,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,21935,"Hc Radical Resention Of Tumor,Soft Tissue Of Back/Flan;Less Thn 5Cm",6588.0,6588.0,,,0 HCPCS,21935,Resect back tum < 5 cm,,,2912.0,6293.23,19 HCPCS,21936,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Back Or Flank;5Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,21936,Resect back tum 5 cm/>,,,2913.5,11385.0,19 HCPCS,22010,I&d p-spine c/t/cerv-thor,,,3011.79,15429.7,15 HCPCS,22015,I&d abscess p-spine l/s/ls,,,3011.79,15429.7,15 HCPCS,22100,Remove part of neck vertebra,,,5405.0,15429.7,19 HCPCS,22101,Remove part thorax vertebra,,,3514.53,15429.7,19 HCPCS,22102,Remove part lumbar vertebra,,,5405.0,15429.7,19 HCPCS,22103,Remove extra spine segment,,,1343.0,11385.0,6 HCPCS,22110,Remove part of neck vertebra,,,3051.0,15429.7,17 HCPCS,22112,Remove part thorax vertebra,,,3051.0,15429.7,17 HCPCS,22114,Remove part lumbar vertebra,,,3051.0,15429.7,17 HCPCS,22116,Remove extra spine segment,,,1343.0,5843.31,10 HCPCS,22206,Incis spine 3 column thorac,,,3051.0,15429.7,15 HCPCS,22207,Incis spine 3 column lumbar,,,3051.0,15429.7,15 HCPCS,22208,Incis spine 3 column adl seg,,,1343.0,10006.92,8 HCPCS,22210,Incis 1 vertebral seg cerv,,,3051.0,15429.7,17 HCPCS,22212,Incis 1 vertebral seg thorac,,,3051.0,15429.7,17 HCPCS,22214,Incis 1 vertebral seg lumbar,,,3051.0,15429.7,17 HCPCS,22216,Incis addl spine segment,,,1343.0,5843.31,10 HCPCS,22220,Incis w/discectomy cervical,,,3051.0,15429.7,17 HCPCS,22222,Incis w/discectomy thoracic,,,3051.0,15429.7,17 HCPCS,22224,Incis w/discectomy lumbar,,,3051.0,15429.7,17 HCPCS,22226,Revise extra spine segment,,,1343.0,10249.52,10 HCPCS,22305,Treat spine process fracture,,,2572.0,4840.09,3 HCPCS,22310,Closed tx vert fx w/o manj,,,247.41,4840.09,19 HCPCS,22315,Closed tx vert fx w/manj,,,2912.0,6957.62,19 HCPCS,22318,Treat odontoid fx w/o graft,,,3051.0,27300.32,18 HCPCS,22319,Treat odontoid fx w/graft,,,3051.0,27300.32,18 HCPCS,22325,Treat spine fracture,,,3051.0,27300.32,16 HCPCS,22326,Treat neck spine fracture,,,3051.0,27300.32,16 HCPCS,22327,Treat thorax spine fracture,,,3051.0,27300.32,16 HCPCS,22328,Treat each add spine fx,,,1343.0,5843.31,9 HCPCS,22505,Manipulation of spine,,,1612.85,5345.54,19 HCPCS,22510,Hc Perq Vertebroplasty Uni/Bi Injx Cervicothoracic,11664.0,11664.0,,,0 HCPCS,22510,Perq cervicothoracic inject,,,3281.9,11403.39,19 HCPCS,22511,Hc Perq Vertebroplasty Uni/Bi Injection Lumbosacral,11664.0,11664.0,,,0 HCPCS,22511,Perq lumbosacral injection,,,3281.9,11403.39,19 HCPCS,22512,Hc Vertebroplasty Each Addl Cervicothor/Lumbosacral,11474.5,11474.5,,,0 HCPCS,22512,Vertebroplasty addl inject,,,1343.0,11403.39,8 HCPCS,22513,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation,12310.5,12310.5,,,0 HCPCS,22513,Perq vertebral augmentation,,,5730.0,15429.7,18 HCPCS,22514,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr,12310.5,12310.5,,,0 HCPCS,22514,Perq vertebral augmentation,,,5730.0,15429.7,18 HCPCS,22515,Hc Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each,13435.0,13435.0,,,0 HCPCS,22515,Perq vertebral augmentation,,,1343.0,2987.0,5 HCPCS,22526,Idet single level,,,3514.53,11385.0,10 HCPCS,22527,Idet 1 or more levels,,,3514.53,11385.0,10 HCPCS,22532,Lat thorax spine fusion,,,3051.0,27300.32,15 HCPCS,22533,Lat lumbar spine fusion,,,3051.0,37284.11,15 HCPCS,22534,Lat thor/lumb addl seg,,,1343.0,10006.92,8 HCPCS,22548,Neck spine fusion,,,3051.0,27300.32,18 HCPCS,22551,Neck spine fuse&remov bel c2,,,6309.89,27300.32,17 HCPCS,22552,Addl neck spine fusion,,,2572.0,8655.0,5 HCPCS,22554,Neck spine fusion,,,6309.89,27300.32,17 HCPCS,22556,Thorax spine fusion,,,3051.0,37284.11,17 HCPCS,22558,Lumbar spine fusion,,,3051.0,57698.1,17 HCPCS,22585,Additional spinal fusion,,,4840.09,9172.0,5 HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,3051.0,37284.11,15 HCPCS,22590,Spine & skull spinal fusion,,,3051.0,27300.32,17 HCPCS,22595,Neck spinal fusion,,,3051.0,27300.32,17 HCPCS,22600,Neck spine fusion,,,3051.0,37284.11,17 HCPCS,22610,Thorax spine fusion,,,3051.0,37284.11,17 HCPCS,22612,Lumbar spine fusion,,,6309.89,37284.11,17 HCPCS,22614,Spine fusion extra segment,,,1343.0,4840.09,7 HCPCS,22630,Lumbar spine fusion,,,3051.0,57698.1,17 HCPCS,22632,Spine fusion extra segment,,,1343.0,10249.52,10 HCPCS,22633,Lumbar spine fusion combined,,,3051.0,57698.1,15 HCPCS,22634,Spine fusion extra segment,,,1343.0,3051.0,5 HCPCS,22800,Post fusion <=6 vert seg,,,3051.0,37284.11,17 HCPCS,22802,Post fusion 7-12 vert seg,,,3051.0,37284.11,15 HCPCS,22804,Post fusion 13/> vert seg,,,3051.0,37284.11,15 HCPCS,22808,Ant fusion 2-3 vert seg,,,3051.0,37284.11,17 HCPCS,22810,Ant fusion 4-7 vert seg,,,3051.0,37284.11,17 HCPCS,22812,Ant fusion 8/> vert seg,,,3051.0,37284.11,15 HCPCS,22818,Kyphectomy 1-2 segments,,,3051.0,37284.11,17 HCPCS,22819,Kyphectomy 3 or more,,,3600.0,37284.11,15 HCPCS,22830,Exploration of spinal fusion,,,3051.0,15429.7,17 HCPCS,22836,Ant thrc vrt body tethrg <7,,,6156.44,37284.11,12 HCPCS,22837,Ant thrc vrt body tethrg 8+,,,6156.44,37284.11,12 HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,6156.44,37284.11,12 HCPCS,22840,Insert spine fixation device,,,1343.0,4840.09,6 HCPCS,22841,Insert spine fixation device,,,1343.0,5051.48,10 HCPCS,22842,Insert spine fixation device,,,1343.0,4840.09,6 HCPCS,22843,Insert spine fixation device,,,1343.0,5051.48,10 HCPCS,22844,Insert spine fixation device,,,1343.0,5051.48,10 HCPCS,22845,Insert spine fixation device,,,2572.0,9172.0,7 HCPCS,22846,Insert spine fixation device,,,2572.0,9172.0,11 HCPCS,22847,Insert spine fixation device,,,2572.0,9172.0,11 HCPCS,22848,Insert pelv fixation device,,,1343.0,5051.48,10 HCPCS,22849,Reinsert spinal fixation,,,3011.79,27300.32,17 HCPCS,22850,Remove spine fixation device,,,3011.79,15429.7,17 HCPCS,22851,Apply spine prosth device,,,2572.0,2572.0,1 HCPCS,22852,Remove spine fixation device,,,3011.79,15429.7,17 HCPCS,22853,Insj biomechanical device,,,1343.0,2987.0,5 HCPCS,22854,Insj biomechanical device,,,1343.0,2987.0,5 HCPCS,22855,Remove spine fixation device,,,3011.79,15429.7,17 HCPCS,22856,Cerv artific diskectomy,,,6580.16,37284.11,17 HCPCS,22857,Lumbar Artif Diskectomy,,,3051.0,37284.11,15 HCPCS,22858,Second level cer diskectomy,,,1343.0,2987.0,4 HCPCS,22859,Insj biomechanical device,,,1343.0,2987.0,5 HCPCS,22860,Tot disc arthrp 2ntrspc lmbr,,,2572.0,10674.37,5 HCPCS,22861,Revise cerv artific disc,,,3051.0,37284.11,15 HCPCS,22862,Revise Lumbar Artif Disc,,,3051.0,37284.11,15 HCPCS,22864,Remove cerv artif disc,,,3051.0,15429.7,15 HCPCS,22865,Remove Lumb Artif Disc,,,3051.0,15429.7,15 HCPCS,22867,Insj stablj dev w/dcmprn,,,5730.0,37284.11,17 HCPCS,22868,Insj stablj dev w/dcmprn,,,1343.0,2987.0,5 HCPCS,22869,Insj stablj dev w/o dcmprn,,,3295.0,27300.32,17 HCPCS,22870,Insj stablj dev w/o dcmprn,,,1343.0,2987.0,5 HCPCS,22899,Spine surgery procedure,,,247.41,11531.48,18 HCPCS,22900,Exc abdl tum deep < 5 cm,,,2913.5,7175.28,19 HCPCS,22900,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subfascl;Less Thn 5Cm",9791.0,9791.0,,,0 HCPCS,22901,Exc abdl tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,22901,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subfscl;5Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,22902,Exc abd les sc < 3 cm,,,1656.59,10726.0,19 HCPCS,22902,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subcut;Less Thn 3Cm",12994.0,12994.0,,,0 HCPCS,22903,Exc abd les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,22903,"Hc Exc,Tumor,Sft Tiss Abd Wall,Subcut;Grtr Thn 3Cm",13791.0,13791.0,,,0 HCPCS,22904,Radical resect abd tumor<5cm,,,2912.0,10726.0,19 HCPCS,22905,"Hc Rad Resctn Tumor,Malig Neo,Sft Tiss Abd Wall;5Cm Or Grtr",13654.0,13654.0,,,0 HCPCS,22905,Rad resect abd tumor 5 cm/>,,,2913.5,11385.0,19 HCPCS,22999,Abdomen surgery procedure,,,247.41,11531.48,18 HCPCS,22999,"Asc Only Unlisted Procedure - Abdomen, Musculoskeletal System",6588.0,6588.0,,,0 HCPCS,23000,"Hc Removal Of Subdeltoid Calcareous Deposits, Open",5810.0,5810.0,,,0 HCPCS,23000,Removal of calcium deposits,,,2912.0,6176.62,19 HCPCS,23020,Hc Capsular Contracture Release (Severe Type Procedure),5507.0,5507.0,,,0 HCPCS,23020,Release shoulder joint,,,3281.9,7870.0,19 HCPCS,23030,Drain shoulder lesion,,,2572.0,6176.62,19 HCPCS,23030,Hc I&D Shoulder Deep Absc/Hematom,10002.0,10002.0,,,0 HCPCS,23030,"Hc Incision And Drainage, Shoulder Area; Deep Abscess Or Hematoma",4609.0,4609.0,,,0 HCPCS,23031,Drain shoulder bursa,,,2913.5,6293.23,19 HCPCS,23031,Hc I&D Deep Absc Infec Bursa,6307.0,6307.0,,,0 HCPCS,23035,Drain shoulder bone lesion,,,1612.85,6293.23,19 HCPCS,23040,Exploratory shoulder surgery,,,3281.9,7870.0,19 HCPCS,23040,"Hc Arthrtmy,Glenohumeral Joint,Incl Explrtn,Drain/Remvl Of Foreign Body",6653.0,6653.0,,,0 HCPCS,23044,Exploratory shoulder surgery,,,3281.9,7870.0,19 HCPCS,23065,Biopsy shoulder tissues,,,1656.59,5051.48,19 HCPCS,23065,"Hc Biopsy Soft Tissue Of Shoulder Area, Superficial",4862.0,4862.0,,,0 HCPCS,23065,"Hc Biopsy Soft Tissue Of Shoulder, Superficial",4924.0,4924.0,,,0 HCPCS,23066,Biopsy shoulder tissues,,,2913.5,6176.62,19 HCPCS,23066,"Hc Biopsy,Soft Tissue Of Shoulder Area; Deep",5810.0,5810.0,,,0 HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1656.59,11385.0,19 HCPCS,23071,"Hc Exc,Tumor,Sft Tiss Shoulder Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,23073,Hc Exc Tumor Soft Tissue Shoulder Subfascial 5+Cm,16385.0,16385.0,,,0 HCPCS,23075,Exc shoulder les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,23075,"Hc Exc,Tumor,Sft Tiss Of Shoulder Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 HCPCS,23076,Exc shoulder tum deep < 5 cm,,,2912.0,6176.62,19 HCPCS,23076,"Hc Exc,Tumor,Sft Tiss Of Shoulder Area,Subfscl;Less Thn 5Cm",5810.0,5810.0,,,0 HCPCS,23077,"Hc Radical Resection Of Tumor, Sarcoma, Soft Tissue Of Shoulder Area, <5 Cm",7906.0,7906.0,,,0 HCPCS,23077,Resect shoulder tumor < 5 cm,,,2912.0,6293.23,19 HCPCS,23078,"Hc Radical Resection Of Tumor, Soft Tissue, Shoulder Area =>5 Cm",7906.0,7906.0,,,0 HCPCS,23078,Resect shoulder tumor 5 cm/>,,,2913.5,11385.0,19 HCPCS,23100,Biopsy of shoulder joint,,,3281.9,6957.62,19 HCPCS,23101,Shoulder joint surgery,,,3281.9,10726.0,19 HCPCS,23105,Remove shoulder joint lining,,,4743.0,15429.7,19 HCPCS,23106,Incision of collarbone joint,,,3281.9,7870.0,19 HCPCS,23107,Explore treat shoulder joint,,,4743.0,15429.7,19 HCPCS,23120,Hc Claviculectomy; Partial,9383.0,9383.0,,,0 HCPCS,23120,Partial removal collar bone,,,3281.9,8364.54,19 HCPCS,23125,Hc Claviculectomy; Total,11148.0,11148.0,,,0 HCPCS,23125,Removal of collar bone,,,3281.9,8364.54,19 HCPCS,23130,Remove shoulder bone part,,,3281.9,8655.0,19 HCPCS,23140,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor Of Clavicle Or Scapula",7811.0,7811.0,,,0 HCPCS,23140,Removal of bone lesion,,,3281.9,7175.28,19 HCPCS,23145,Removal of bone lesion,,,3281.9,8364.54,19 HCPCS,23146,Removal of bone lesion,,,4743.0,15429.7,19 HCPCS,23150,Hc Exc/Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus,8159.0,8159.0,,,0 HCPCS,23150,Removal of humerus lesion,,,3281.9,7870.0,19 HCPCS,23155,Removal of humerus lesion,,,4743.0,15429.7,19 HCPCS,23156,Hc Excision/Curettage Of Bone Cyst Or Benign Tumor Of Proximal Humerus W/ Allograft,11148.0,11148.0,,,0 HCPCS,23156,Removal of humerus lesion,,,4743.0,15429.7,19 HCPCS,23170,Remove collar bone lesion,,,3281.9,7870.0,19 HCPCS,23172,Remove shoulder blade lesion,,,3281.9,7870.0,19 HCPCS,23174,Remove humerus lesion,,,3295.0,15429.7,19 HCPCS,23180,"Hc Partial Excision Bone, Clavicle",7811.0,7811.0,,,0 HCPCS,23180,Remove collar bone lesion,,,3514.53,15429.7,19 HCPCS,23182,"Hc Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone, Scapula",7811.0,7811.0,,,0 HCPCS,23182,Remove shoulder blade lesion,,,3514.53,15429.7,19 HCPCS,23184,"Hc Partial Excision (Craterization, Saucerization, Or Diaphysectomy) Bone (Eg, Osteomyelitis), Proxi",9061.0,9061.0,,,0 HCPCS,23184,Remove humerus lesion,,,4743.0,15429.7,19 HCPCS,23190,Partial removal of scapula,,,3281.9,7870.0,19 HCPCS,23195,Removal of head of humerus,,,4743.0,15429.7,19 HCPCS,23200,"Hc Radical Resection Of Tumor, Clavicle",9290.0,9290.0,,,0 HCPCS,23200,Resect clavicle tumor,,,3051.0,15429.7,17 HCPCS,23210,Hc Radical Resection Of Tumor;Scapula,10290.0,10290.0,,,0 HCPCS,23210,Resect scapula tumor,,,3051.0,15429.7,17 HCPCS,23220,"Hc Radical Resection Of Tumor, Proximal Humerus",8576.0,8576.0,,,0 HCPCS,23220,Resect prox humerus tumor,,,3051.0,15429.7,17 HCPCS,23330,"Hc Removal Of Foreign Body, Shoulder; Subcutaneous",4377.0,4377.0,,,0 HCPCS,23330,Remove shoulder foreign body,,,1656.59,4840.09,19 HCPCS,23333,"Hc Removal Of Foreign Body, Shoulder; Deep (Subfascial Or Intramuscular)",4377.0,4377.0,,,0 HCPCS,23333,Remove shoulder fb deep,,,1952.0,6176.62,19 HCPCS,23334,Shoulder prosthesis removal,,,3514.53,15429.7,19 HCPCS,23335,Shoulder prosthesis removal,,,3051.0,15429.7,15 HCPCS,23350,Hc Inj Proc Shoulder Arthrography/Ct/Mri,693.0,693.0,,,0 HCPCS,23350,Injection for shoulder x-ray,,,1343.0,4840.09,7 HCPCS,23395,"Hc Muscle Transfer,Any Type,Shoulder Or Upper Arm; Single",11148.0,11148.0,,,0 HCPCS,23395,Muscle transfer shoulder/arm,,,5730.0,15429.7,19 HCPCS,23397,"Hc Muscle Transfer,Any Type,Shoulder Or Upper Arm; Multiple",15440.0,15440.0,,,0 HCPCS,23397,Muscle transfers,,,6156.44,15429.7,19 HCPCS,23400,Fixation of shoulder blade,,,4743.0,15429.7,19 HCPCS,23405,"Hc Tenotomy, Shoulder Area,? Single Tendon",6905.0,6905.0,,,0 HCPCS,23405,Incision of tendon & muscle,,,3295.0,15429.7,19 HCPCS,23406,"Hc Tenotomy, Shoulder Area; Multiple Tendons Through Same Incision",6905.0,6905.0,,,0 HCPCS,23406,Incise tendon(s) & muscle(s),,,3295.0,15429.7,19 HCPCS,23410,Hc Repair Of Ruptured Musculotendinous Cuff Open;Acute,11148.0,11148.0,,,0 HCPCS,23410,Repair rotator cuff acute,,,5730.0,15429.7,19 HCPCS,23412,Hc Repair Of Ruptured Musculotendinous Cuff; Chronic,15440.0,15440.0,,,0 HCPCS,23412,Repair rotator cuff chronic,,,6156.44,15429.7,19 HCPCS,23415,Release of shoulder ligament,,,5730.0,15429.7,19 HCPCS,23420,"Hc Reconstrctn Complete Shoulder (Rotator) Cuff Avulsion, Chronic",15440.0,15440.0,,,0 HCPCS,23420,Repair of shoulder,,,6156.44,15429.7,19 HCPCS,23430,Hc Tenodesis Of Long Tendon Of Biceps,9791.0,9791.0,,,0 HCPCS,23430,Repair biceps tendon,,,4817.0,15429.7,19 HCPCS,23440,Remove/transplant tendon,,,3514.53,15429.7,19 HCPCS,23450,"Hc Capsulorrhaphy, Anterior; Putti-Platt Procedure Or Magnuson Type Operation",11148.0,11148.0,,,0 HCPCS,23450,Repair shoulder capsule,,,5730.0,15429.7,19 HCPCS,23455,"Hc Capsulorrhaphy, Anterior W/ Labral Repair",15440.0,15440.0,,,0 HCPCS,23455,Repair shoulder capsule,,,6156.44,15429.7,19 HCPCS,23460,"Hc Capsulorrhaphy, Anterior, Any Type; With Bone Block",9290.0,9290.0,,,0 HCPCS,23460,Repair shoulder capsule,,,5730.0,15429.7,19 HCPCS,23462,"Hc Capsulorrhaphy, Anterior, Any Type W/Coracoid Process Transfer",15440.0,15440.0,,,0 HCPCS,23462,Repair shoulder capsule,,,6156.44,15429.7,19 HCPCS,23465,"Hc Capsulorrhaphy, Glenohumeral Joint, Posterior, With Or Without Bone Block",11148.0,11148.0,,,0 HCPCS,23465,Repair shoulder capsule,,,5730.0,15429.7,19 HCPCS,23466,"Hc Capsulorrhaphy,Glenohmrl Jnt,Any Type Multi-Directnl Instability",15440.0,15440.0,,,0 HCPCS,23466,Repair shoulder capsule,,,6156.44,15429.7,19 HCPCS,23470,"Hc Arthroplasty, Glenohumeral Joint; Hemiarthroplasty",15440.0,15440.0,,,0 HCPCS,23470,Reconstruct shoulder joint,,,5730.0,27300.32,17 HCPCS,23472,"Hc Arthroplasty, Glenohumeral Joint, Total Shoulder, Glenoid/Proximal Humeral Replacement",15440.0,15440.0,,,0 HCPCS,23472,Reconstruct shoulder joint,,,3051.0,37284.11,18 HCPCS,23473,"Hc Revise Total Shoulder,One Component",12866.0,12866.0,,,0 HCPCS,23473,Revis reconst shoulder joint,,,5087.0,27300.32,18 HCPCS,23474,"Hc Revise,Total Shoulder,Both Component",12866.0,12866.0,,,0 HCPCS,23474,Revis reconst shoulder joint,,,3051.0,27300.32,15 HCPCS,23480,"Hc Osteotomy, Clavicle, W W/O Internal Fixation",9791.0,9791.0,,,0 HCPCS,23480,Revision of collar bone,,,4817.0,15429.7,19 HCPCS,23485,"Hc Osteotomy, Clavicle, With Or Without Internal Fixation; With Bone Graft For Nonunion Or Malunion",12866.0,12866.0,,,0 HCPCS,23485,Revision of collar bone,,,6309.89,27300.32,19 HCPCS,23490,Reinforce clavicle,,,5405.0,15429.7,19 HCPCS,23491,Reinforce shoulder bones,,,5405.0,27300.32,19 HCPCS,23500,Treat clavicle fracture,,,247.41,4840.09,19 HCPCS,23505,Treat clavicle fracture,,,1612.85,5051.48,19 HCPCS,23515,"Hc Opn Tx Claicular Fraccture,Incl Internal Fixation,When Performed",6653.0,6653.0,,,0 HCPCS,23515,Treat clavicle fracture,,,5405.0,15429.7,19 HCPCS,23520,Treat clavicle dislocation,,,1612.85,5051.48,19 HCPCS,23525,Treat clavicle dislocation,,,247.41,4840.09,19 HCPCS,23530,Treat clavicle dislocation,,,5405.0,15429.7,19 HCPCS,23532,Treat clavicle dislocation,,,3895.0,15429.7,19 HCPCS,23540,Treat clavicle dislocation,,,247.41,4840.09,19 HCPCS,23545,Hc Closed Treatment Of Acromioclavicular Dislocation With Manipulation,603.0,603.0,,,0 HCPCS,23545,Treat clavicle dislocation,,,247.41,4840.09,19 HCPCS,23550,"Hc Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic",6653.0,6653.0,,,0 HCPCS,23550,Treat clavicle dislocation,,,5405.0,15429.7,19 HCPCS,23552,"Hc Open Treatment Of Acromioclavicular Dislocation,Acute Or Chronic W/Fascial Graft",9791.0,9791.0,,,0 HCPCS,23552,Treat clavicle dislocation,,,4817.0,15429.7,19 HCPCS,23570,Hc Closed Treatment Of Scapular Fracture; Without Manipulation,4609.0,4609.0,,,0 HCPCS,23570,Treat shoulder blade fx,,,247.41,4840.09,19 HCPCS,23575,"Hc Closed Treatment Of Scapular Fracture W/Manipulation, W/W/O Skeletal Traction",4173.0,4173.0,,,0 HCPCS,23575,Treat shoulder blade fx,,,1343.0,5051.48,19 HCPCS,23585,Hc Open Treatment Of Scapular Fraccture W W/O Internal Fixation,7906.0,7906.0,,,0 HCPCS,23585,Treat scapula fracture,,,5405.0,15429.7,19 HCPCS,23600,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,23605,"Hc Closed Treatment Of Proximal Humeral Fracture; With Manipulation, With Or Without Skeletal Tracti",4226.0,4226.0,,,0 HCPCS,23605,Treat humerus fracture,,,1612.85,5345.54,19 HCPCS,23615,"Hc Opn Tx Prox Humerl Fx Inc Intrnl Fix, Whn Prfmd,Incl Rpr Tuberosty,Whn Prfmd",9791.0,9791.0,,,0 HCPCS,23615,Treat humerus fracture,,,4817.0,27300.32,19 HCPCS,23616,"Hc Open Treatment, Proximal Humeral Fracture, Incl Internal Fixation, Incl Repair Of Tuberosity(S),",8159.0,8159.0,,,0 HCPCS,23616,Treat humerus fracture,,,4817.0,37284.11,19 HCPCS,23620,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,23625,Treat humerus fracture,,,1612.85,5345.54,19 HCPCS,23630,Hc Open Treatment Of Greater Humeral Tuberosity Fracture Incl Internal Fixation,8893.0,8893.0,,,0 HCPCS,23630,Treat humerus fracture,,,5730.0,15429.7,19 HCPCS,23650,"Hc Closesd Treatment Of Shoulder Dislocation W/Manipulation, W/O Anes",545.0,545.0,,,0 HCPCS,23650,Treat shoulder dislocation,,,247.41,4840.09,19 HCPCS,23655,Hc Closed Treatment Of Shoulder Dislocation W/Manipulation Req Anesth,4424.0,4424.0,,,0 HCPCS,23655,Hc Closed Treatment Of Shoulder Dislocation W/Manipulation Requiring Anesthesia,4609.0,4609.0,,,0 HCPCS,23655,Treat shoulder dislocation,,,1612.85,5051.48,19 HCPCS,23660,Treat shoulder dislocation,,,5405.0,15429.7,19 HCPCS,23665,"Hc Closed Rx Shldr Disloc,Gr Tub Fx",4438.0,4438.0,,,0 HCPCS,23665,Treat dislocation/fracture,,,1612.85,5345.54,19 HCPCS,23670,Treat dislocation/fracture,,,5405.0,15429.7,19 HCPCS,23675,Treat dislocation/fracture,,,1343.0,5345.54,19 HCPCS,23680,Treat dislocation/fracture,,,5405.0,27300.32,19 HCPCS,23700,Fixation of shoulder,,,1612.85,5051.48,19 HCPCS,23700,"Hc Manip Under Ane,Shoulder Jt,Includ App Of Fix Apparatus",4862.0,4862.0,,,0 HCPCS,23800,Fusion of shoulder joint,,,4817.0,15429.7,19 HCPCS,23802,Fusion of shoulder joint,,,6309.89,27300.32,19 HCPCS,23900,Amputation of arm & girdle,,,3051.0,27300.32,15 HCPCS,23920,Amputation at shoulder joint,,,3051.0,27300.32,15 HCPCS,23921,Amputation follow-up surgery,,,2069.52,6293.23,19 HCPCS,23929,"Asc Only Unlisted Procedure, Shoulder",8531.0,8531.0,,,0 HCPCS,23929,Shoulder surgery procedure,,,247.41,4840.09,18 HCPCS,23930,Drainage of arm lesion,,,2572.0,6176.62,19 HCPCS,23930,"Hc Incision And Drainage, Upper Arm Or Elbow Area; Deep Abscess Or Hematoma",4617.0,4617.0,,,0 HCPCS,23931,Drainage of arm bursa,,,1656.59,5345.54,19 HCPCS,23935,Drain arm/elbow bone lesion,,,3281.9,6957.62,19 HCPCS,23935,"Hc Incision, Deep, W/Opening Of Bone Cortex, Humerus Or Elbow",5810.0,5810.0,,,0 HCPCS,24000,Exploratory elbow surgery,,,3281.9,7870.0,19 HCPCS,24000,"Hc Arthrotmy,Elbow,Incl Explor,Drain/Rmvl Of Foreign Body",8241.0,8241.0,,,0 HCPCS,24006,"Hc Arthrotomy, Elbow, W/ Capsular Excision For Capsular Release",9791.0,9791.0,,,0 HCPCS,24006,Release elbow joint,,,3281.9,7870.0,19 HCPCS,24065,Biopsy arm/elbow soft tissue,,,1656.59,5051.48,19 HCPCS,24066,Biopsy arm/elbow soft tissue,,,2912.0,6176.62,19 HCPCS,24066,"Hc Bx,Soft Tissue Upper Arm/Elbow Area;Deep",5810.0,5810.0,,,0 HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,24071,Hc Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm,7150.0,7150.0,,,0 HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,24073,"Hc Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subfascial, =>5 Cm",13654.0,13654.0,,,0 HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,24075,Hc Exc Tumor Soft Tiss Upper Arm/Elbow Subq <3Cm,3159.5,3159.5,,,0 HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,2912.0,6176.62,19 HCPCS,24076,"Hc Exc,Tumor,Sft Tiss Up Arm/Elbow,Subfscl,Im;Less Thn 5Cm",5810.0,5810.0,,,0 HCPCS,24077,"Hc Radical Resection Of Tumor, Soft Tissue Of Upper Arm Or Elbow Area, <5 Cm",6588.0,6588.0,,,0 HCPCS,24077,Resect arm/elbow tum < 5 cm,,,2912.0,6293.23,19 HCPCS,24079,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Up Area Or Elbow Area;5Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,2913.5,11385.0,19 HCPCS,24100,Biopsy elbow joint lining,,,2572.0,6957.62,19 HCPCS,24101,Explore/treat elbow joint,,,3281.9,7870.0,19 HCPCS,24101,"Hc Arth,Elbow W/Jt Explor W/W/O Biopsy W/W/O Rmvl Of Loose/Foreign Body",8241.0,8241.0,,,0 HCPCS,24102,"Hc Arthrotomy, Elbow; With Synovectomy",8241.0,8241.0,,,0 HCPCS,24102,Remove elbow joint lining,,,3281.9,7870.0,19 HCPCS,24105,"Hc Excision, Olecranon Bursa",6653.0,6653.0,,,0 HCPCS,24105,Removal of elbow bursa,,,3281.9,6957.62,19 HCPCS,24110,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Humerus",5810.0,5810.0,,,0 HCPCS,24110,Remove humerus lesion,,,3281.9,6957.62,19 HCPCS,24115,Remove/graft bone lesion,,,4743.0,15429.7,19 HCPCS,24116,Remove/graft bone lesion,,,4743.0,15429.7,19 HCPCS,24120,Hc Excision/Curettage Bone Cyst/Benign Tumor Head/Neck Of Radius/Olecranon Process,6653.0,6653.0,,,0 HCPCS,24120,Remove elbow lesion,,,3281.9,6957.62,19 HCPCS,24125,Remove/graft bone lesion,,,3281.9,7870.0,19 HCPCS,24126,Remove/graft bone lesion,,,4743.0,15429.7,19 HCPCS,24130,"Hc Excision, Radial Head",6653.0,6653.0,,,0 HCPCS,24130,Removal of head of radius,,,3281.9,7870.0,19 HCPCS,24134,Removal of arm bone lesion,,,3295.0,15429.7,19 HCPCS,24136,Remove radius bone lesion,,,3281.9,7870.0,19 HCPCS,24138,"Hc Sequestrectomy, Olecranon Process",5810.0,5810.0,,,0 HCPCS,24138,Remove elbow bone lesion,,,3295.0,15429.7,19 HCPCS,24140,"Hc Partial Exc Bone, Humerus",6653.0,6653.0,,,0 HCPCS,24140,Partial removal of arm bone,,,3281.9,7870.0,19 HCPCS,24145,Partial removal of radius,,,4743.0,15429.7,19 HCPCS,24147,"Hc Partial Exc Bone, Olecranon Process",5810.0,5810.0,,,0 HCPCS,24147,Partial removal of elbow,,,3281.9,7870.0,19 HCPCS,24149,"Hc Radcl Resect Capsule Sft Tis&Htrtpc Bone,Elbow W/Contractr Release",8241.0,8241.0,,,0 HCPCS,24149,Radical resection of elbow,,,4743.0,15429.7,18 HCPCS,24150,"Hc Radical Resection Of Tumor, Shaft Or Distal Humerus",6307.0,6307.0,,,0 HCPCS,24150,Resect distal humerus tumor,,,5405.0,15429.7,19 HCPCS,24152,"Hc Radical Resection Of Tumor, Radial Head Or Neck",17291.0,17291.0,,,0 HCPCS,24152,Resect radius tumor,,,5405.0,15429.7,19 HCPCS,24155,Hc Resection Of Elbow Joint (Arthrectomy),6307.0,6307.0,,,0 HCPCS,24155,Removal of elbow joint,,,3281.9,7870.0,19 HCPCS,24160,"Hc Removal Of Prosthesis, Incl Debridement/Synovectomy, Humeral/Ulnar Components",5810.0,5810.0,,,0 HCPCS,24160,Remove elbow joint implant,,,3281.9,7870.0,19 HCPCS,24164,"Hc Removal Of Prosthesis, Incl Debridement And Synovectomy, Radial Head",6653.0,6653.0,,,0 HCPCS,24164,Remove radius head implant,,,3281.9,7870.0,19 HCPCS,24200,"Hc Removal Of Foreign Body, Upper Arm Or Elbow Area; Subcutaneous",4617.0,4617.0,,,0 HCPCS,24200,Removal of arm foreign body,,,1656.59,5051.48,17 HCPCS,24201,"Hc Rmvl Foreign Body,Upper Arm/Elbow Area;Deep",5507.0,5507.0,,,0 HCPCS,24201,Removal of arm foreign body,,,2912.0,6176.62,19 HCPCS,24220,Hc Injection For Elbow Arthrogram,733.0,733.0,,,0 HCPCS,24220,Injection for elbow x-ray,,,1343.0,5345.54,7 HCPCS,24300,Manipulate elbow w/anesth,,,1612.85,6803.0,19 HCPCS,24301,"Hc Muscle Or Tendon Transfer, Any Type, Upper Arm Or Elbow, Single",9372.0,9372.0,,,0 HCPCS,24301,Muscle/tendon transfer,,,4743.0,15429.7,19 HCPCS,24305,Arm tendon lengthening,,,3281.9,7870.0,19 HCPCS,24305,"Hc Tendon Lengthening, Upper Arm/Elbow,Each Tendon",9791.0,9791.0,,,0 HCPCS,24310,"Hc Tenotomy,Open,Elbow To Shoulder,Each Tendon",6653.0,6653.0,,,0 HCPCS,24310,Revision of arm tendon,,,3281.9,6957.62,19 HCPCS,24320,Repair of arm tendon,,,4743.0,15429.7,19 HCPCS,24330,Revision of arm muscles,,,3514.53,15429.7,19 HCPCS,24331,Revision of arm muscles,,,5405.0,15429.7,19 HCPCS,24332,"Hc Tenolysis,Triceps",6653.0,6653.0,,,0 HCPCS,24332,Tenolysis triceps,,,3281.9,7870.0,19 HCPCS,24340,Hc Tenodesis Of Biceps Tendon At Elbow,6653.0,6653.0,,,0 HCPCS,24340,Repair of biceps tendon,,,5405.0,15429.7,19 HCPCS,24341,"Hc Rpr Tendon,Mscl,Upper Arm/Elbow,Ea Tendon Or Mscl,Primry Or Scndry",6653.0,6653.0,,,0 HCPCS,24341,Repair arm tendon/muscle,,,5405.0,15429.7,19 HCPCS,24342,"Hc Reinsert Ruptured Bi/Triceps Tendon,Distal,W/W/O Tendon Gft",6653.0,6653.0,,,0 HCPCS,24342,Repair of ruptured tendon,,,5405.0,15429.7,19 HCPCS,24343,"Hc Repair Lateral Collateral Ligament,Elbow,W/Local Tissue",6653.0,6653.0,,,0 HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3281.9,8364.54,19 HCPCS,24344,"Hc Reconstruction Lateral Collateral Ligament, Elbow W/Tendon Graft",6307.0,6307.0,,,0 HCPCS,24344,Reconstruct elbow lat ligmnt,,,5495.0,15429.7,19 HCPCS,24345,"Hc Repair Medial Collateral Ligament, Elbow, With Local Tissue",6653.0,6653.0,,,0 HCPCS,24345,Repr elbw med ligmnt w/tissu,,,3295.0,15429.7,19 HCPCS,24346,"Hc Reconstruct Medial Collateral Ligament,Elbow,W/Tendon Graft",6653.0,6653.0,,,0 HCPCS,24346,Reconstruct elbow med ligmnt,,,4817.0,27300.32,19 HCPCS,24357,"Hc Tenotomy, Elbow, Lateral Or Medial, Perc",9503.0,9503.0,,,0 HCPCS,24357,Repair elbow perc,,,3281.9,11385.0,19 HCPCS,24358,"Hc Tenotomy,Elbow,Lateral Or Medial;Debridmnt,Sft Tiss &/Or Bone,Open",16385.0,16385.0,,,0 HCPCS,24358,Repair elbow w/deb open,,,3281.9,11385.0,19 HCPCS,24359,"Hc Tenotomy,Elbow,Latrl/Medial;Debrid,Sft Tiss &/Or Bone,Opn W/Tndn Rpr/Reattch",16385.0,16385.0,,,0 HCPCS,24359,Repair elbow deb/attch open,,,3281.9,11385.0,19 HCPCS,24360,"Hc Arthroplasty, Elbow W/Membrane",11148.0,11148.0,,,0 HCPCS,24360,Reconstruct elbow joint,,,5087.0,15429.7,19 HCPCS,24361,Reconstruct elbow joint,,,5730.0,37284.11,17 HCPCS,24362,Reconstruct elbow joint,,,5087.0,27300.32,19 HCPCS,24363,"Hc Arthroplasty, Elbow W/ Distal Humerus, Proximal Ulnar Prosthetic Replacement",15440.0,15440.0,,,0 HCPCS,24363,Replace elbow joint,,,6580.16,37284.11,17 HCPCS,24365,"Hc Arthroplasty, Radial Head",11148.0,11148.0,,,0 HCPCS,24365,Reconstruct head of radius,,,5730.0,27300.32,18 HCPCS,24366,"Hc Arthroplasty,Radial Head With Implant",11148.0,11148.0,,,0 HCPCS,24366,Reconstruct head of radius,,,5730.0,27300.32,17 HCPCS,24370,Revise reconst elbow joint,,,5730.0,27300.32,17 HCPCS,24371,"Hc Revise Total Elbow,Both Component",11148.0,11148.0,,,0 HCPCS,24371,Revise reconst elbow joint,,,6580.16,37284.11,17 HCPCS,24400,"Hc Osteotomy, Humerus, W/W/O Internal Fixation",8159.0,8159.0,,,0 HCPCS,24400,Revision of humerus,,,4817.0,15429.7,19 HCPCS,24410,Revision of humerus,,,4817.0,27300.32,19 HCPCS,24420,Revision of humerus,,,5405.0,15429.7,19 HCPCS,24430,"Hc Repair Of Nonunion Or Malunion, Humerus; Without Graft",6588.0,6588.0,,,0 HCPCS,24430,Repair of humerus,,,5405.0,27300.32,19 HCPCS,24435,"Hc Repair, Nonunion/Malunion, Humerus, W/ Iliac Or Other Autograft",9791.0,9791.0,,,0 HCPCS,24435,Repair humerus with graft,,,4817.0,27300.32,18 HCPCS,24470,Revision of elbow joint,,,3281.9,8655.0,19 HCPCS,24495,Decompression of forearm,,,3295.0,15429.7,19 HCPCS,24498,Reinforce humerus,,,5405.0,27300.32,18 HCPCS,24500,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,24505,"Hc Closed Rx Mid Humerus Fx,Manipulatn",4173.0,4173.0,,,0 HCPCS,24505,Treat humerus fracture,,,1343.0,5051.48,19 HCPCS,24515,"Hc Open Treatment Of Humeral Shaft Fracture W/Plate/Sccrews, W/W/O Cerclage",9791.0,9791.0,,,0 HCPCS,24515,Treat humerus fracture,,,4817.0,27300.32,19 HCPCS,24516,"Hc Tx Humeral Shaft Fx,W/Insert Intramed Implant Wwo Cerclage &/Or Locking Screws",8159.0,8159.0,,,0 HCPCS,24516,Treat humerus fracture,,,4817.0,27300.32,19 HCPCS,24530,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,24535,"Hc Closed Rx Hum Supracondylr Fx,Manipu",4173.0,4173.0,,,0 HCPCS,24535,Treat humerus fracture,,,1343.0,5051.48,19 HCPCS,24538,Treat humerus fracture,,,3295.0,15429.7,19 HCPCS,24545,"Hc Open Treatment, Humeral Supracondylar/Transcondylar Fracture, Incl Internal Fixation, W/O Interco",8159.0,8159.0,,,0 HCPCS,24545,Treat humerus fracture,,,4817.0,27300.32,19 HCPCS,24546,"Hc Open Treatment, Humeral Supracondylar/Transcondylar Fracture Incl Internal Fixation W/Intercondyl",11148.0,11148.0,,,0 HCPCS,24546,Treat humerus fracture,,,5730.0,27300.32,19 HCPCS,24560,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,24565,"Hc Closed Rx Humer Epicondylr Fx,Manip",4173.0,4173.0,,,0 HCPCS,24565,Treat humerus fracture,,,1343.0,5345.54,19 HCPCS,24566,Treat humerus fracture,,,1612.85,5345.54,19 HCPCS,24575,"Hc Opn Tx Humrl Epicond Fx,Medial/Lateral Incl Fix,Whn Prfmd",7906.0,7906.0,,,0 HCPCS,24575,Treat humerus fracture,,,5405.0,27300.32,19 HCPCS,24576,"Hc Closed Treatment Of Humeral Condylar Fracture, Medial Or Lateral; Without Manipulation",4617.0,4617.0,,,0 HCPCS,24576,Treat humerus fracture,,,247.41,4840.09,19 HCPCS,24577,Treat humerus fracture,,,1343.0,5051.48,19 HCPCS,24579,"Hc Open Treatment Of Humeral Condylar Fracture, Medial Or Lateral Incl Internal Fixation, When Perfo",7906.0,7906.0,,,0 HCPCS,24579,Treat humerus fracture,,,5405.0,27300.32,19 HCPCS,24582,Treat humerus fracture,,,3295.0,15429.7,19 HCPCS,24586,Hc Open Treatment Of Periarticular Fracture And/Or Dislocation Of The Elbow,9791.0,9791.0,,,0 HCPCS,24586,Treat elbow fracture,,,4817.0,27300.32,19 HCPCS,24587,Treat elbow fracture,,,5730.0,27300.32,19 HCPCS,24600,"Hc Treatment Of Closed Elbow Dislocation, W/O Anesthesia",1117.0,1117.0,,,0 HCPCS,24600,Treat elbow dislocation,,,247.41,4840.09,19 HCPCS,24605,"Hc Closed Rx Elbow Dislocatn,Anesthesia",4226.0,4226.0,,,0 HCPCS,24605,Treat elbow dislocation,,,1612.85,5345.54,19 HCPCS,24615,Treat elbow dislocation,,,5405.0,15429.7,19 HCPCS,24620,Hc Closed Rx Monteggia Fx/Disloc Elbow,4173.0,4173.0,,,0 HCPCS,24620,Treat elbow fracture,,,1612.85,5345.54,19 HCPCS,24635,Hc Open Treatment Of Monteggia Type Of Fracture Dislocation At Elbow Incl Internal Fixation,7906.0,7906.0,,,0 HCPCS,24635,Treat elbow fracture,,,5405.0,15429.7,19 HCPCS,24640,"Hc Closed Treatment Of Radial Head Subluxationin Child, Nursemaid Elbow, W/Manip",545.0,545.0,,,0 HCPCS,24640,Treat elbow dislocation,,,247.41,4840.09,17 HCPCS,24650,Hc Closed Treatment Of Radial Head Or Neck Fracture; W/O Manipulation,4609.0,4609.0,,,0 HCPCS,24650,Treat radius fracture,,,247.41,4840.09,18 HCPCS,24655,Hc Closed Treatment Of Radial Head Or Neck Fracture; With Manipulation,4455.0,4455.0,,,0 HCPCS,24655,Treat radius fracture,,,1343.0,5051.48,19 HCPCS,24665,"Hc Opn Tx Radial Head/Neck Fx,Incl Intrnl Fix/Radial Head Exc,Whn Prfmd",9791.0,9791.0,,,0 HCPCS,24665,Treat radius fracture,,,4817.0,15429.7,19 HCPCS,24666,"Hc Opn Tx Radl Hd/Nck Fx,Inc Intrn Fix/Radl Hd Exc,Whn Prfmd;W/Radl Hd Prosth Rplc",9791.0,9791.0,,,0 HCPCS,24666,Treat radius fracture,,,4817.0,27300.32,19 HCPCS,24670,Treat ulnar fracture,,,247.41,4840.09,19 HCPCS,24675,Hc Closed Tx Ulnar Fracture Prox End W Manipulation,4226.0,4226.0,,,0 HCPCS,24675,Treat ulnar fracture,,,1343.0,5051.48,19 HCPCS,24685,"Hc Opn Tx Ulnar Fx Proximl End,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,24685,Treat ulnar fracture,,,5405.0,15429.7,19 HCPCS,24800,Fusion of elbow joint,,,4817.0,15429.7,19 HCPCS,24802,Fusion/graft of elbow joint,,,5730.0,27300.32,19 HCPCS,24900,Amputation of upper arm,,,3051.0,27300.32,15 HCPCS,24920,Amputation of upper arm,,,3051.0,27300.32,15 HCPCS,24925,Amputation follow-up surgery,,,3281.9,6957.62,19 HCPCS,24930,Amputation follow-up surgery,,,3051.0,15429.7,15 HCPCS,24931,Amputate upper arm & implant,,,3051.0,27300.32,15 HCPCS,24935,Revision of amputation,,,6156.44,15429.7,16 HCPCS,24940,Revision of upper arm,,,3514.53,27300.32,15 HCPCS,24999,Asc Only Unlisted Procedure - Humerus Or Elbow - Elbow Autograft Transfer,11148.0,11148.0,,,0 HCPCS,24999,"Hc Unlisted Procedure, Humerus Or Elbow",11148.0,11148.0,,,0 HCPCS,24999,Upper arm/elbow surgery,,,247.41,11531.48,18 HCPCS,25000,"Hc Inc,Extensor Tendon Sheath,Wrist",6653.0,6653.0,,,0 HCPCS,25000,Incision of tendon sheath,,,1612.85,6293.23,19 HCPCS,25001,Incise flexor carpi radialis,,,2572.0,6957.62,19 HCPCS,25020,Decompress forearm 1 space,,,1612.85,7870.0,19 HCPCS,25020,"Hc Decompression Fasciotomy, Forearm And/Or Wrist, Flexor Or Extensor Compartment; W/O Debridement,",6307.0,6307.0,,,0 HCPCS,25023,Decompress forearm 1 space,,,3281.9,7870.0,19 HCPCS,25023,"Hc Decompression Fasciotomy, Forearm And/Or Wrist, Flexor Or Extensor Compartment; W/Debridement Of",6949.0,6949.0,,,0 HCPCS,25024,Decompress forearm 2 spaces,,,3281.9,7870.0,19 HCPCS,25025,Decompress forearm 2 spaces,,,1612.85,6293.23,19 HCPCS,25028,Drainage of forearm lesion,,,2572.0,6957.62,19 HCPCS,25028,"Hc Incision And Drainage, Forearm And/Or Wrist; Deep Abscess Or Hematoma",4862.0,4862.0,,,0 HCPCS,25028,"Hc Incision And Drainage-Forearm/Wrist, Deep Abscess Or Hematoma",9822.0,9822.0,,,0 HCPCS,25031,Drainage of forearm bursa,,,1612.85,5345.54,19 HCPCS,25035,"Hc Incision, Deep, Bone Cortex, Forearm And/Or Wrist",5507.0,5507.0,,,0 HCPCS,25035,Treat forearm bone lesion,,,3295.0,15429.7,19 HCPCS,25040,Explore/treat wrist joint,,,3281.9,8364.54,19 HCPCS,25065,Biopsy forearm soft tissues,,,1656.59,5051.48,19 HCPCS,25065,"Hc Biopsy, Soft Tissue Of Forearm And/Or Wrist; Superficial",4609.0,4609.0,,,0 HCPCS,25066,Biopsy forearm soft tissues,,,2913.5,6176.62,19 HCPCS,25066,"Hc Bx,Soft Tissue Forearm &/Or Wrist;Deep",5810.0,5810.0,,,0 HCPCS,25071,Exc forearm les sc 3 cm/>,,,1656.59,11385.0,19 HCPCS,25071,Hc Exc Tumor Soft Tiss Forearm And/Wrist Subq 3+Cm,13791.0,13791.0,,,0 HCPCS,25073,Exc forearm tum deep 3 cm/>,,,2913.5,11385.0,19 HCPCS,25073,"Hc Exc,Tumor,Sft Tiss Forearm &/Or Wrist Area,Subfscl;3Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,25075,Exc forearm les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,25075,Hc Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm,5810.0,5810.0,,,0 HCPCS,25076,Exc forearm tum deep < 3 cm,,,1656.59,6293.23,19 HCPCS,25076,Hc Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm,6653.0,6653.0,,,0 HCPCS,25077,"Hc Radical Resection Of Tumor, Soft Tissue Of Forearm And/Or Wrist Area; Less Than 3 Cm",7906.0,7906.0,,,0 HCPCS,25077,Resect forearm/wrist tum<3cm,,,2912.0,6293.23,19 HCPCS,25078,"Hc Rad Rsctn Tumor,Malig Neo,Sft Tiss Forearm &/Or Wrist Area;3Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,25078,Resect forarm/wrist tum 3cm>,,,2913.5,11385.0,19 HCPCS,25085,"Hc Capsulotomy, Wrist",8868.0,8868.0,,,0 HCPCS,25085,Incision of wrist capsule,,,3281.9,6957.62,19 HCPCS,25100,Biopsy of wrist joint,,,3281.9,6957.62,19 HCPCS,25101,Explore/treat wrist joint,,,3281.9,7870.0,19 HCPCS,25101,"Hc Arthrotomy, Wrist Joint; W/Joint Exploration, W/W/O Biopsy, W/W/O Removal Of Loose Or Foreign Bod",6653.0,6653.0,,,0 HCPCS,25105,Remove wrist joint lining,,,3281.9,7870.0,19 HCPCS,25107,"Hc Arthrotomy,Distal Radioulnar Jnt Inc Repair Triangular Cartilage,Complex",6653.0,6653.0,,,0 HCPCS,25107,Remove wrist joint cartilage,,,3281.9,7870.0,19 HCPCS,25109,Excise tendon forearm/wrist,,,3281.9,6957.62,19 HCPCS,25109,"Hc Excision Of Tendon, Forearm And/Or Wrist, Flexor Or Extensor, Each",6653.0,6653.0,,,0 HCPCS,25110,Remove wrist tendon lesion,,,1612.85,6293.23,19 HCPCS,25111,"Hc Excision Of Ganglion, Wrist; Primary",6653.0,6653.0,,,0 HCPCS,25111,Remove wrist tendon lesion,,,1612.85,6293.23,19 HCPCS,25112,Hc Excis Recurrent Ganglion Wrist,8241.0,8241.0,,,0 HCPCS,25112,Reremove wrist tendon lesion,,,1612.85,7175.28,19 HCPCS,25115,"Hc Radical Excision Of Bursa, Synovia Of Wrist, Or Forearm Tendon Sheaths; Flexors",9791.0,9791.0,,,0 HCPCS,25115,Remove wrist/forearm lesion,,,1612.85,7175.28,19 HCPCS,25116,Hc Rad Exc Bursa Synovia Wrist/Forearm Tend Sheaths; Ext-Transpos Dorsal Ret,9791.0,9791.0,,,0 HCPCS,25116,Remove wrist/forearm lesion,,,3281.9,7175.28,19 HCPCS,25118,Excise wrist tendon sheath,,,1612.85,5611.0,19 HCPCS,25118,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment",5810.0,5810.0,,,0 HCPCS,25119,"Hc Synovectomy, Extensor Tendon Sheath, Wrist, Single Compartment; With Resection Of Distal Ulna",5810.0,5810.0,,,0 HCPCS,25119,Partial removal of ulna,,,3281.9,7870.0,19 HCPCS,25120,Hc Excision/Curettage Bone Cyt Or Benign Tumor Of Radious Or Ulna,6307.0,6307.0,,,0 HCPCS,25120,Removal of forearm lesion,,,3281.9,7870.0,19 HCPCS,25125,Remove/graft forearm lesion,,,1612.85,6293.23,19 HCPCS,25126,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor, Radius Or Ulna W/Allograft",6307.0,6307.0,,,0 HCPCS,25126,Remove/graft forearm lesion,,,3281.9,7870.0,19 HCPCS,25130,Removal of wrist lesion,,,3281.9,7870.0,19 HCPCS,25135,"Hc Excision/Curettage, Bone Cyst Or Benign Tumor, Carpal Bones W/Autograft",6307.0,6307.0,,,0 HCPCS,25135,Remove & graft wrist lesion,,,3514.53,15429.7,19 HCPCS,25136,Remove & graft wrist lesion,,,4743.0,15429.7,19 HCPCS,25145,Remove forearm bone lesion,,,3281.9,7870.0,19 HCPCS,25150,"Hc Partial Excision Of Bone, Ulna",5810.0,5810.0,,,0 HCPCS,25150,Partial removal of ulna,,,3281.9,7870.0,19 HCPCS,25151,Hc Partial Excision Of Bone; Radius,5507.0,5507.0,,,0 HCPCS,25151,Partial removal of radius,,,3281.9,7870.0,19 HCPCS,25170,"Hc Radical Resection Of Tumor, Radius Or Ulna",6588.0,6588.0,,,0 HCPCS,25170,Resect radius/ulnar tumor,,,4743.0,15429.7,19 HCPCS,25210,Hc Carpectomy-One Bone,6653.0,6653.0,,,0 HCPCS,25210,Removal of wrist bone,,,3281.9,7870.0,19 HCPCS,25215,Hc Carpectomy All Bones Of Proximal Row,9791.0,9791.0,,,0 HCPCS,25215,Removal of wrist bones,,,3281.9,7870.0,19 HCPCS,25230,Hc Radial Styloidectomy,8241.0,8241.0,,,0 HCPCS,25230,Partial removal of radius,,,3281.9,7870.0,19 HCPCS,25240,Hc Excision Distal Ulna Partial Or Complete,8241.0,8241.0,,,0 HCPCS,25240,Partial removal of ulna,,,3281.9,7870.0,19 HCPCS,25246,Hc Injection For Wrist Arthrogram,874.0,874.0,,,0 HCPCS,25246,Injection for wrist x-ray,,,1343.0,4840.09,7 HCPCS,25248,"Hc Exploration With Removal Of Deep Foreign Body, Forearm Or Wrist",5507.0,5507.0,,,0 HCPCS,25248,Remove forearm foreign body,,,1612.85,5345.54,19 HCPCS,25250,Hc Removal Of Wrist Prosthesis,4609.0,4609.0,,,0 HCPCS,25250,Removal of wrist prosthesis,,,1612.85,5611.0,19 HCPCS,25251,Removal of wrist prosthesis,,,2572.0,7870.0,19 HCPCS,25259,"Hc Manipulation, Wrist, Under Anesthesia",6307.0,6307.0,,,0 HCPCS,25259,Manipulate wrist w/anesthes,,,1612.85,5495.0,19 HCPCS,25260,"Hc Pbb Reforearm Tend/Musc,Flex,Prim,Ea",8660.0,8660.0,,,0 HCPCS,25260,"Hc Reforearm Tend/Musc,Flex,Prim,Ea",8241.0,8241.0,,,0 HCPCS,25260,Repair forearm tendon/muscle,,,3281.9,7870.0,19 HCPCS,25263,"Hc Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, Single, Each Tendon Or Muscle",5507.0,5507.0,,,0 HCPCS,25263,Repair forearm tendon/muscle,,,3295.0,15429.7,19 HCPCS,25265,"Hc Repair, Tendon Or Muscle, Flexor, Forearm And/Or Wrist; Secondary, With Free Graft, Each Tendon O",6307.0,6307.0,,,0 HCPCS,25265,Repair forearm tendon/muscle,,,3281.9,7870.0,19 HCPCS,25270,"Hc Repair, Tendon/Muscle, Extensor, Forearm And/Or Wrist; Primary, Single, Each Tendon/Muscle",7811.0,7811.0,,,0 HCPCS,25270,Repair forearm tendon/muscle,,,3281.9,7870.0,19 HCPCS,25272,Repair forearm tendon/muscle,,,3281.9,7870.0,19 HCPCS,25274,Repair forearm tendon/muscle,,,3281.9,7870.0,19 HCPCS,25275,"Hc Repair,Tendon Sheath,Extensor,Forearm &/Or Wrist,W/Free Graft",8241.0,8241.0,,,0 HCPCS,25275,Repair forearm tendon sheath,,,3281.9,7870.0,19 HCPCS,25280,"Hc Lengthening/Shortening Flexor/Extensor Tendor, Forearm And/Or Wrist Single Tend",7811.0,7811.0,,,0 HCPCS,25280,Revise wrist/forearm tendon,,,3281.9,7870.0,19 HCPCS,25290,"Hc Tenotomy, Open, Flexor Or Extensor Tendon, Forearm And/Or Wrist, Single, Each Tendon",6307.0,6307.0,,,0 HCPCS,25290,Incise wrist/forearm tendon,,,3281.9,7870.0,19 HCPCS,25295,"Hc Lexor/Extensor Tendon, Forearm And/Or Wrist, Single Ea Tendon",6653.0,6653.0,,,0 HCPCS,25295,Release wrist/forearm tendon,,,3281.9,6957.62,19 HCPCS,25300,Fusion of tendons at wrist,,,3281.9,7870.0,19 HCPCS,25300,Hc Tenodesis At Wrist; Flexors Of Fingers,6307.0,6307.0,,,0 HCPCS,25301,Fusion of tendons at wrist,,,3281.9,7870.0,19 HCPCS,25301,Hc Tenodesis At Wrist; Extensors Of Fingers,6307.0,6307.0,,,0 HCPCS,25310,"Hc Tendon Transplant/Transfer,Flexor/Extensor, Forearm/Wrist Single Ea",7906.0,7906.0,,,0 HCPCS,25310,Transplant forearm tendon,,,3281.9,7870.0,19 HCPCS,25312,"Hc Tendon Transp/Transfer,Flex/Extensor,Forearm/Wrist,Single W/Tendon Grafts",9791.0,9791.0,,,0 HCPCS,25312,Transplant forearm tendon,,,3281.9,8655.0,19 HCPCS,25315,Revise palsy hand tendon(s),,,4743.0,15429.7,19 HCPCS,25316,Revise palsy hand tendon(s),,,5405.0,15429.7,19 HCPCS,25320,"Hc Capsulorrhaphy/Reccon,Wrist,Opn For Carpal Instability",6653.0,6653.0,,,0 HCPCS,25320,Repair/revise wrist joint,,,5405.0,15429.7,19 HCPCS,25332,"Hc Arthroplasty, Wrist, W/W/O Interposition, W/W/O External Or Internal Fixation",11148.0,11148.0,,,0 HCPCS,25332,Revise wrist joint,,,3281.9,8655.0,19 HCPCS,25335,Realignment of hand,,,3281.9,8655.0,19 HCPCS,25337,"Hc Reconstruct Unstabledistal Ulna/Radioul-Nar Joint, 2Ndryby Soft Tissu Stabil",11148.0,11148.0,,,0 HCPCS,25337,Reconstruct ulna/radioulnar,,,5730.0,15429.7,19 HCPCS,25350,"Hc Osteotomy,Radius; Distal Third",7906.0,7906.0,,,0 HCPCS,25350,Revision of radius,,,5405.0,15429.7,19 HCPCS,25355,Revision of radius,,,3281.9,8655.0,19 HCPCS,25360,Hc Osteotomy-Ulna,7906.0,7906.0,,,0 HCPCS,25360,Revision of ulna,,,5405.0,15429.7,19 HCPCS,25365,"Hc Osteotomy, Radius And Ulna",6588.0,6588.0,,,0 HCPCS,25365,Revise radius & ulna,,,5405.0,27300.32,19 HCPCS,25370,Revise radius or ulna,,,3281.9,8655.0,19 HCPCS,25375,Revise radius & ulna,,,3281.9,8655.0,19 HCPCS,25390,"Hc Osteoplasty,Radius Or Ulna; Shortening",7906.0,7906.0,,,0 HCPCS,25390,Shorten radius or ulna,,,5405.0,15429.7,19 HCPCS,25391,Lengthen radius or ulna,,,4817.0,27300.32,19 HCPCS,25392,"Hc Osteoplasty,Radius And Ulna; Shortening",7906.0,7906.0,,,0 HCPCS,25392,Shorten radius & ulna,,,3514.53,15429.7,19 HCPCS,25393,Lengthen radius & ulna,,,3514.53,15429.7,19 HCPCS,25394,Repair carpal bone shorten,,,3281.9,8655.0,19 HCPCS,25400,"Hc Repair, Nonunion/Malunion, Radius Or Ulna W/O Graft",7906.0,7906.0,,,0 HCPCS,25400,Repair radius or ulna,,,5405.0,15429.7,19 HCPCS,25405,"Hc Repair Of Nonunion Or Malunion, Radius Or Ulna W/ Autograft",9791.0,9791.0,,,0 HCPCS,25405,Repair/graft radius or ulna,,,4817.0,15429.7,19 HCPCS,25415,Hc Repair Of Nonunion/Malunion Radius & Ulna; W/O Graft,7906.0,7906.0,,,0 HCPCS,25415,Repair radius & ulna,,,5405.0,15429.7,19 HCPCS,25420,"Hc Repair Of Nonunion/Malunion,Radius & Ulna;Wautograft",8159.0,8159.0,,,0 HCPCS,25420,Repair/graft radius & ulna,,,4817.0,15429.7,19 HCPCS,25425,Repair/graft radius or ulna,,,5405.0,15429.7,19 HCPCS,25426,Repair/graft radius & ulna,,,3281.9,8655.0,19 HCPCS,25430,Hc Insertion Of Vascular Pedicle Into Carpal Bone,6653.0,6653.0,,,0 HCPCS,25430,Vasc graft into carpal bone,,,3281.9,8655.0,19 HCPCS,25431,Repair nonunion carpal bone,,,4840.09,15429.7,19 HCPCS,25440,"Hc Repair Of Nonunion,Scaphoid Carpal Bone,Wwo Radial Styloidectomy",9791.0,9791.0,,,0 HCPCS,25440,Repair/graft wrist bone,,,4817.0,15429.7,19 HCPCS,25441,Reconstruct wrist joint,,,5730.0,27300.32,17 HCPCS,25442,Reconstruct wrist joint,,,5730.0,37284.11,17 HCPCS,25443,Reconstruct wrist joint,,,5087.0,15429.7,19 HCPCS,25444,Reconstruct wrist joint,,,5730.0,27300.32,18 HCPCS,25445,Reconstruct wrist joint,,,5087.0,15429.7,19 HCPCS,25446,Hc Arthrop W/Prosth Replace; Distal Radius & Partial Or Entire Carpus,15440.0,15440.0,,,0 HCPCS,25446,Wrist replacement,,,6580.16,37284.11,17 HCPCS,25447,Hc Repair Intercarp/Carp-Metacarp Jt,11148.0,11148.0,,,0 HCPCS,25447,Repair wrist joints,,,3281.9,8655.0,19 HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3281.9,7870.0,12 HCPCS,25448,"Hc Arthroplasty, Intercarpal Or Carpometacarpal Joints; Suspension, Including Transfer Or Transplant",11148.0,11148.0,,,0 HCPCS,25449,"Hc Revision Of Arthroplasty, Including Removal Of Implant, Wrist Joint",11148.0,11148.0,,,0 HCPCS,25449,Remove wrist joint implant,,,5087.0,15429.7,19 HCPCS,25450,Revision of wrist joint,,,3281.9,8655.0,19 HCPCS,25455,Revision of wrist joint,,,3281.9,8655.0,19 HCPCS,25490,Reinforce radius,,,5405.0,15429.7,19 HCPCS,25491,Hc Prophylactic Treatment W/W/O Methymethacrylate; Ulna,6588.0,6588.0,,,0 HCPCS,25491,Reinforce ulna,,,5405.0,27300.32,19 HCPCS,25492,Reinforce radius and ulna,,,3281.9,8655.0,19 HCPCS,25500,Hc Closed Treatment Of Radial Shaft Fracture; Without Manipulation,620.0,620.0,,,0 HCPCS,25500,Treat fracture of radius,,,247.41,4840.09,18 HCPCS,25505,Hc Closed Treatment Of Radial Shaft Fracture; With Manipulation,4617.0,4617.0,,,0 HCPCS,25505,Treat fracture of radius,,,1612.85,5051.48,19 HCPCS,25515,"Hc Opn Tx Radial Shaft Fx,Incl Internl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,25515,Treat fracture of radius,,,5405.0,15429.7,19 HCPCS,25520,Hc Closed Treatment Of Radial Shaft Fracture And Closed Treatment Of Dislocation Of Distal Radioulna,4417.0,4417.0,,,0 HCPCS,25520,Treat fracture of radius,,,1343.0,5051.48,19 HCPCS,25525,"Hc Open Trmt, Radial Shaft Fracture Incl Internal Fixation, Closed Trmt, Distal Radioular",9325.0,9325.0,,,0 HCPCS,25525,Treat fracture of radius,,,4817.0,15429.7,19 HCPCS,25526,"Hc Opn Radl Shft Fx,Intrn&Opn Distl Radlnr Dislc,Intrn Fix,Rpr Triag Fibrcrt Cmplx",9290.0,9290.0,,,0 HCPCS,25526,Treat fracture of radius,,,5730.0,15429.7,19 HCPCS,25530,Hc Closed Treatment Of Ulnar Shaft Fracture; Without Manipulation,4398.0,4398.0,,,0 HCPCS,25530,Treat fracture of ulna,,,247.41,4840.09,18 HCPCS,25535,Treat fracture of ulna,,,247.41,4840.09,19 HCPCS,25545,"Hc Open Treatment, Ulnar Shaft Fracture Incl Internal Fixation, When Performed",6336.0,6336.0,,,0 HCPCS,25545,Treat fracture of ulna,,,5405.0,15429.7,19 HCPCS,25560,Treat fracture radius & ulna,,,247.41,4840.09,18 HCPCS,25565,"Hc Closed Treatment, Radial And Ulnar Shaft Fractures W/Manipulation",4991.5,4991.5,,,0 HCPCS,25565,Treat fracture radius & ulna,,,1343.0,5345.54,19 HCPCS,25574,"Hc Open Treatment Of Radial And Ulnar Shaft Fractures, W/Internal Fixation, When Performed",7906.0,7906.0,,,0 HCPCS,25574,Treat fracture radius & ulna,,,5405.0,15429.7,19 HCPCS,25575,"Hc Open Treatment Of Radial, Ulnar Shaft Fractures W/Internal Fixation",7906.0,7906.0,,,0 HCPCS,25575,Treat fracture radius/ulna,,,5405.0,15429.7,19 HCPCS,25600,Hc Closed Rx Dist Rad/Ulna Fx,620.0,620.0,,,0 HCPCS,25600,Treat fracture radius/ulna,,,247.41,4840.09,18 HCPCS,25605,"Hc Closed Rx Dist Rad/Ulna Fx,Manipul",3369.0,3369.0,,,0 HCPCS,25605,"Hc Closed Treatment Of Distal Radial/Ulna Fracture, W/Manipul",85.0,85.0,,,0 HCPCS,25605,Treat fracture radius/ulna,,,1612.85,6293.23,19 HCPCS,25606,"Hc Percut Skeletal Fix, Distal Radius Fx",9074.0,9074.0,,,0 HCPCS,25606,Treat Fx Distal Radial,,,3281.9,6957.62,19 HCPCS,25607,"Hc Open Rx Distal Radius Fx, Extra-Articular",9383.0,9383.0,,,0 HCPCS,25607,Treat Fx Rad Extra-Articul,,,5730.0,15429.7,19 HCPCS,25608,"Hc Open Rx Distal Radius Fx, Intra-Articular, 2 Frag",11148.0,11148.0,,,0 HCPCS,25608,Treat Fx Rad Intra-Articul,,,5730.0,15429.7,19 HCPCS,25609,"Hc Open Rx Distal Radius Fx, Intra-Articular, 3+ Frag",11148.0,11148.0,,,0 HCPCS,25609,Treat Fx Radial 3+ Frag,,,5730.0,15429.7,19 HCPCS,25622,Treat wrist bone fracture,,,247.41,4840.09,16 HCPCS,25624,Treat wrist bone fracture,,,1612.85,5345.54,19 HCPCS,25628,"Hc Opn Tx Carpal Scaphoid Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,25628,Treat wrist bone fracture,,,5405.0,15429.7,19 HCPCS,25630,Treat wrist bone fracture,,,247.41,4840.09,18 HCPCS,25635,"Hc Closed Treatment, Carpal Bone Fracture W/Manipulation, Each Bone",4517.5,4517.5,,,0 HCPCS,25635,Treat wrist bone fracture,,,1343.0,5051.48,19 HCPCS,25645,"Hc Open Treatment Of Carpal Bone Fracture, Each Bone",6307.0,6307.0,,,0 HCPCS,25645,Treat wrist bone fracture,,,3281.9,9172.0,19 HCPCS,25650,Treat wrist bone fracture,,,247.41,4840.09,16 HCPCS,25651,Hc Percutaneous Skeletal Fixation Of Ulnar Styloid Fracture,6307.0,6307.0,,,0 HCPCS,25651,Pin ulnar styloid fracture,,,2572.0,7175.28,19 HCPCS,25652,Hc Open Treatment Of Ulnar Styloid Fracture,6307.0,6307.0,,,0 HCPCS,25652,Treat fracture ulnar styloid,,,5405.0,15429.7,19 HCPCS,25660,Treat wrist dislocation,,,247.41,4840.09,19 HCPCS,25670,"Hc Open Treatment, Radiocarpal/Intercarpal Dislocation, 1 Or More Bones",6653.0,6653.0,,,0 HCPCS,25670,Treat wrist dislocation,,,3514.53,15429.7,19 HCPCS,25671,Hc Percutaneous Skeletal Fixation Of Distal Radioulnar Dislocation,4609.0,4609.0,,,0 HCPCS,25671,Pin radioulnar dislocation,,,2572.0,6957.62,19 HCPCS,25675,Hc Closed Treatment Of Distal Radioulnar Dislocation W/Manipulation,1460.0,1460.0,,,0 HCPCS,25675,Hc Closed Treatment Of Distal Radioulnar Dislocation With Manipulation,4815.0,4815.0,,,0 HCPCS,25675,Treat wrist dislocation,,,247.41,4840.09,19 HCPCS,25676,"Hc Open Treatment Of Distal Radioulnar Dislocation, Acute Or Chronic",6905.0,6905.0,,,0 HCPCS,25676,Treat wrist dislocation,,,3295.0,15429.7,19 HCPCS,25680,Treat wrist fracture,,,247.41,5345.54,19 HCPCS,25685,Hc Open Treatment Of Trans-Scaphoperilunar Type Of Fracture Dislocation,6653.0,6653.0,,,0 HCPCS,25685,Treat wrist fracture,,,3514.53,15429.7,19 HCPCS,25690,Treat wrist dislocation,,,1612.85,5051.48,19 HCPCS,25695,Treat wrist dislocation,,,3295.0,15429.7,19 HCPCS,25800,Fusion of wrist joint,,,4817.0,15429.7,19 HCPCS,25800,"Hc Arthrodesis,Wrist;Complete,Wo Bone Graft",9791.0,9791.0,,,0 HCPCS,25805,Fusion/graft of wrist joint,,,5730.0,15429.7,19 HCPCS,25810,Fusion/graft of wrist joint,,,5730.0,27300.32,19 HCPCS,25810,"Hc Arthrodesis, Wrist Joint With Iliac Or Other Autograft",11148.0,11148.0,,,0 HCPCS,25820,Fusion of hand bones,,,4817.0,15429.7,19 HCPCS,25820,"Hc Arthrodesis, Wrist; Limited, Without Bone Graft",8159.0,8159.0,,,0 HCPCS,25825,Fuse hand bones with graft,,,5730.0,15429.7,19 HCPCS,25825,"Hc Arthrodesis, Wrist; With Autograft",11148.0,11148.0,,,0 HCPCS,25830,Fusion radioulnar jnt/ulna,,,5730.0,15429.7,19 HCPCS,25830,"Hc Arthrodesis, Distal Radioulnar Joint With Segmental Resection Of Ulna, W/W/O Bone Graft",8446.0,8446.0,,,0 HCPCS,25900,Amputation of forearm,,,3051.0,15429.7,15 HCPCS,25905,Amputation of forearm,,,3051.0,15429.7,15 HCPCS,25907,Amputation follow-up surgery,,,3281.9,6957.62,19 HCPCS,25909,Amputation follow-up surgery,,,3514.53,15429.7,18 HCPCS,25915,Amputation of forearm,,,3051.0,15429.7,15 HCPCS,25920,Amputate hand at wrist,,,3051.0,9172.0,15 HCPCS,25922,Amputate hand at wrist,,,1612.85,6293.23,19 HCPCS,25924,Amputation follow-up surgery,,,3051.0,9172.0,15 HCPCS,25927,Amputation of hand,,,3051.0,8821.68,17 HCPCS,25929,Amputation follow-up surgery,,,2069.52,6293.23,19 HCPCS,25931,Amputation follow-up surgery,,,3281.9,7175.28,16 HCPCS,25999,Asc Only Unlisted Procedure - Forearm Or Wrist - Open Distal Radius Core Decompression,6949.0,6949.0,,,0 HCPCS,25999,Forearm or wrist surgery,,,247.41,11531.48,18 HCPCS,26010,Drainage of finger abscess,,,201.24,4840.09,16 HCPCS,26010,"Hc Drain Finger Abscess,Simple",2693.0,2693.0,,,0 HCPCS,26011,Drainage of finger abscess,,,1656.59,5051.48,19 HCPCS,26011,"Hc Drain Finger Abscess,Complicated",4345.0,4345.0,,,0 HCPCS,26020,Drain hand tendon sheath,,,2912.0,6957.62,19 HCPCS,26020,"Hc Drainage Of Tendon Sheath, Digit And/Or Palm, Each",5130.0,5130.0,,,0 HCPCS,26025,Drainage of palm bursa,,,2572.0,6957.62,19 HCPCS,26030,Drainage of palm bursas,,,2912.0,6957.62,19 HCPCS,26034,"Hc Incision, Bone Cortex, Hand Or Finger, Osteomyelitis Or Bone Abscess",5810.0,5810.0,,,0 HCPCS,26034,Treat hand bone lesion,,,1612.85,5345.54,19 HCPCS,26035,Decompress fingers/hand,,,2912.0,6957.62,19 HCPCS,26037,Decompress fingers/hand,,,2912.0,6957.62,19 HCPCS,26040,"Hc Fasciotomy,Palmar;Percutaneous",8241.0,8241.0,,,0 HCPCS,26040,Release palm contracture,,,1612.85,7175.28,19 HCPCS,26045,"Hc Fasciotomy, Palmear, For Dupuytren's Contracture; Open, Partial",6653.0,6653.0,,,0 HCPCS,26045,Release palm contracture,,,3281.9,7870.0,19 HCPCS,26055,Hc Incise Finger Tendon Sheath,9074.0,9074.0,,,0 HCPCS,26055,Hc Tendon Sheath Incision,4455.0,4455.0,,,0 HCPCS,26055,Incise finger tendon sheath,,,1612.85,5345.54,19 HCPCS,26060,"Hc Tenotomy Single, Each Digit",6975.0,6975.0,,,0 HCPCS,26060,Incision of finger tendon,,,1612.85,5345.54,19 HCPCS,26070,Explore/treat hand joint,,,1612.85,5345.54,19 HCPCS,26070,"Hc Arthrotomy, With Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Carpometacarpal Join",5810.0,5810.0,,,0 HCPCS,26075,Explore/treat finger joint,,,2912.0,7175.28,19 HCPCS,26075,Hc Explore & Treat Metacarpo-Phal Jt,8241.0,8241.0,,,0 HCPCS,26080,Explore/treat finger joint,,,1612.85,7175.28,19 HCPCS,26080,"Hc Explore/Treat Interphalangeal Jt,Ea",8241.0,8241.0,,,0 HCPCS,26100,Biopsy hand joint lining,,,2912.0,6957.62,19 HCPCS,26105,Biopsy finger joint lining,,,2572.0,6957.62,19 HCPCS,26105,"Hc Arthrotomy With Biopsy; Metacarpophalangeal Joint, Each",4609.0,4609.0,,,0 HCPCS,26110,Biopsy finger joint lining,,,1612.85,5051.48,19 HCPCS,26110,"Hc Arthrotomy With Biopsy; Interphalangeal Joint, Each",4609.0,4609.0,,,0 HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1656.59,11385.0,19 HCPCS,26111,"Hc Exc,Tumor Or Vasclr Malform,Soft Tiss Hand/Finger,Subcut;1.5 Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1656.59,11385.0,19 HCPCS,26113,"Hc Exc,Tumor,Sft Tiss Or Vasclr Malform,Hand/Fngr,Subfscl;1.5Mc Or Grtr",13791.0,13791.0,,,0 HCPCS,26115,Exc hand les sc < 1.5 cm,,,1656.59,5345.54,19 HCPCS,26115,Hc Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5Cm,5810.0,5810.0,,,0 HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1656.59,5345.54,19 HCPCS,26116,"Hc Exc,Tumor,Sft Tiss,Or Vasclr Malform,Hand/Finger,Subfscl,Im;Less Thn 1.5Cm",5810.0,5810.0,,,0 HCPCS,26117,"Hc Radical Resection Of Tumor, Soft Tissue, Hand Or Finger, < 3 Cm",7906.0,7906.0,,,0 HCPCS,26117,Rad resect hand tumor < 3 cm,,,2912.0,6293.23,19 HCPCS,26118,"Hc Radical Resection Of Tumor, Soft Tissue Of Hand Or Finger, 3 Cm Or Greater",6905.0,6905.0,,,0 HCPCS,26118,Rad resect hand tumor 3 cm/>,,,2913.5,11385.0,19 HCPCS,26121,"Hc Fasctmy,Palm Only,Wwo Zplasty,Oth Loc Tiss Rearragmnt,Or Skin Gft",8159.0,8159.0,,,0 HCPCS,26121,Release palm contracture,,,3281.9,7870.0,19 HCPCS,26123,"Hc Part Palmar Fasciec,Open 1 Digit",9791.0,9791.0,,,0 HCPCS,26123,Release palm contracture,,,3281.9,7870.0,19 HCPCS,26125,"Hc Part Palmar Fasciec,Open Addnl Digit",9791.0,9791.0,,,0 HCPCS,26125,Release palm contracture,,,1343.0,7175.28,7 HCPCS,26130,Remove wrist joint lining,,,2912.0,6957.62,19 HCPCS,26135,"Hc Synovectomy, Metacarpophalangeal Joint Incl Intrinsic Release And Extensor Hood Reconstruction, E",8241.0,8241.0,,,0 HCPCS,26135,Revise finger joint each,,,3281.9,7870.0,19 HCPCS,26140,Revise finger joint each,,,1612.85,5345.54,19 HCPCS,26145,"Hc Synovectmy,Tendon Sheath,Radical,Flexor Tendon,Palm&/Or Finger,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26145,Tendon excision palm/finger,,,1612.85,6293.23,19 HCPCS,26160,"Hc Excis Tendon Sheath Lesion, Hand/Finger",6653.0,6653.0,,,0 HCPCS,26160,Remove tendon sheath lesion,,,1612.85,6293.23,19 HCPCS,26170,"Hc Excision Of Tendon, Palm, Flexor Or Extensor, Single, Each Tendon",6307.0,6307.0,,,0 HCPCS,26170,Removal of palm tendon each,,,1612.85,6293.23,19 HCPCS,26180,"Hc Exc Tendon,Finger,Flexor/Extensor,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26180,Removal of finger tendon,,,1612.85,6293.23,19 HCPCS,26185,"Hc Sesamoidectomy, Thumb Or Finger",7826.0,7826.0,,,0 HCPCS,26185,Remove finger bone,,,1612.85,7175.28,19 HCPCS,26200,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Metacarpal,5507.0,5507.0,,,0 HCPCS,26200,Remove hand bone lesion,,,1612.85,5345.54,19 HCPCS,26205,Hc Exc/Curett Bone Cyst/Benign Tumor Of Metacarpal W/Autograft,6307.0,6307.0,,,0 HCPCS,26205,Remove/graft bone lesion,,,3925.0,15429.7,19 HCPCS,26210,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal, Middle, Or Distal Phalanx Of Fing",5507.0,5507.0,,,0 HCPCS,26210,Removal of finger lesion,,,1612.85,5345.54,19 HCPCS,26215,"Hc Excision/Curettage Of Bone Cyst Or Benign Tumor Of Proximal, Middle/Distal Phalanx Of Finger W/Au",6307.0,6307.0,,,0 HCPCS,26215,Remove/graft finger lesion,,,2912.0,6957.62,19 HCPCS,26230,Hc Partial Exc Bone;Metacarpal,12994.0,12994.0,,,0 HCPCS,26230,Partial removal of hand bone,,,2912.0,10726.0,19 HCPCS,26235,Hc Partial Excision Of Bone; Proximal Or Middle Phalanx Of Finger,6653.0,6653.0,,,0 HCPCS,26235,Partial removal finger bone,,,1612.85,6293.23,19 HCPCS,26236,Hc Partial Excision Of Bone; Distal Phalanx Of Finger,6653.0,6653.0,,,0 HCPCS,26236,Partial removal finger bone,,,1612.85,6293.23,19 HCPCS,26250,Extensive hand surgery,,,2912.0,6957.62,19 HCPCS,26250,"Hc Radical Resect Tumor,Metacarpal",6653.0,6653.0,,,0 HCPCS,26260,"Hc Radical Resection Of Tumor, Proximal Or Middle Phalanx Of Finger",7906.0,7906.0,,,0 HCPCS,26260,Resect prox finger tumor,,,2912.0,6957.62,19 HCPCS,26262,Resect distal finger tumor,,,1612.85,5345.54,19 HCPCS,26320,Hc Removal Of Implant From Finger Or Hand,5810.0,5810.0,,,0 HCPCS,26320,Removal of implant from hand,,,1656.59,5345.54,19 HCPCS,26340,"Hc Manipulation,Finger Joint,Under Anesthesia,Each Joint",4862.0,4862.0,,,0 HCPCS,26340,Manipulate finger w/anesth,,,1343.0,5051.48,19 HCPCS,26341,Manipulat palm cord post inj,,,247.41,4840.09,19 HCPCS,26350,"Hc Repair Flexor Tendon,Hand,W/O Graft,Ea",4862.0,4862.0,,,0 HCPCS,26350,Repair finger/hand tendon,,,2572.0,7870.0,19 HCPCS,26352,"Hc Repair/Advancement, Flexor Tendon, Not In Zone 2 Digital Flexor Tendon Sheath; Secondary W/Free G",7811.0,7811.0,,,0 HCPCS,26352,Repair/graft hand tendon,,,3514.53,15429.7,19 HCPCS,26356,"Hc Repair Flex Tendon,Zone 2,Hand",9791.0,9791.0,,,0 HCPCS,26356,Repair finger/hand tendon,,,3281.9,7870.0,19 HCPCS,26357,"Hc Repair Flex Tendon,Zone 2,Secon,Hand,Ea",9791.0,9791.0,,,0 HCPCS,26357,Repair finger/hand tendon,,,3281.9,7870.0,19 HCPCS,26358,Hc Flexor Tend Repair/Advance Single In Noman's Land; Sec W/Free Graft,8159.0,8159.0,,,0 HCPCS,26358,Repair/graft hand tendon,,,3514.53,15429.7,19 HCPCS,26370,"Hc Rpr/Advnc Profundus Tendon,W/Intact Superfcls Tendon;Primry,Ea Tendon",7811.0,7811.0,,,0 HCPCS,26370,Repair finger/hand tendon,,,3281.9,7870.0,19 HCPCS,26372,"Hc Rpr/Advnc Profundus Tndn,W/Intact Superfcls Tndn;2Ndry W/Free Grft,Ea Tndn",7811.0,7811.0,,,0 HCPCS,26372,Repair/graft hand tendon,,,3925.0,15429.7,19 HCPCS,26373,"Hc Repair Or Advancement Of Profundus Tendon, With Intact Superficialis Tendon; Secondary Without Fr",6653.0,6653.0,,,0 HCPCS,26373,Repair finger/hand tendon,,,3281.9,7870.0,19 HCPCS,26390,"Hc Excision Flexor Tendon, W/Implantation Synthetic Rod For Delayed Tendon Graft, Hand/Finger, Each",7811.0,7811.0,,,0 HCPCS,26390,Revise hand/finger tendon,,,3925.0,15429.7,19 HCPCS,26392,"Hc Rmvl Synthetic Rod/Insertion Flexor Tendon Graft, Hand/Finger Incl Obtaining Graft, Each Rod",6307.0,6307.0,,,0 HCPCS,26392,Repair/graft hand tendon,,,3925.0,15429.7,19 HCPCS,26410,"Hc Repair,Extensor Tndn,Hand,Primry/Secndry;Wo Free Graft,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26410,Repair hand tendon,,,1612.85,6293.23,19 HCPCS,26412,Hc Extensor Tend Repair Dorsum Hand Single Prim/Seccond W Free Graft Ea Tend,6653.0,6653.0,,,0 HCPCS,26412,Repair/graft hand tendon,,,3281.9,7870.0,19 HCPCS,26415,Excision hand/finger tendon,,,3281.9,7870.0,19 HCPCS,26416,Graft hand or finger tendon,,,3281.9,7870.0,19 HCPCS,26418,"Hc Repair Exten Tendon,Dorsum Fingr,Ea",8241.0,8241.0,,,0 HCPCS,26418,"Hc Repair, Extensor Tendon, Finger, Primary/Secondary; W/O Free Graft, Each Tendon",4173.0,4173.0,,,0 HCPCS,26418,Repair finger tendon,,,1612.85,7175.28,19 HCPCS,26420,"Hc Repair, Extensor Tendon, Finger, Primary Or Secondary With Free Graft, Each Tendon",8241.0,8241.0,,,0 HCPCS,26420,Repair/graft finger tendon,,,3281.9,7870.0,19 HCPCS,26426,"Hc Rpr Extensr Tndn,Centl Slip,2Ndry;Use Loc Tiss(S),Incl Laterl Band(S),Ea Finger",6653.0,6653.0,,,0 HCPCS,26426,Repair finger/hand tendon,,,3281.9,7870.0,19 HCPCS,26428,Repair/graft finger tendon,,,3281.9,7870.0,19 HCPCS,26432,"Hc Closed Treatment Of Distal Extensor Tendon Insertion, W/W/O Percutaneous Pinning",6307.0,6307.0,,,0 HCPCS,26432,Repair finger tendon,,,1612.85,6293.23,19 HCPCS,26433,"Hc Repair Of Extensor Tendon, Distal Insertion, Primary Or Secondary; Without Graft",6653.0,6653.0,,,0 HCPCS,26433,Repair finger tendon,,,2912.0,6957.62,19 HCPCS,26434,Repair/graft finger tendon,,,3281.9,7870.0,19 HCPCS,26437,"Hc Realign Extensor Tendon,Hand,Ea Tendon",7906.0,7906.0,,,0 HCPCS,26437,Realignment of tendons,,,2912.0,6957.62,19 HCPCS,26440,"Hc Tenolysis,Flexor Tendon; Palm/Finger;Ea Tendon",6653.0,6653.0,,,0 HCPCS,26440,Release palm/finger tendon,,,1612.85,6293.23,19 HCPCS,26442,"Hc Tenolysis, Simple Flexor Tendon; Palm And Finger Each Tend",7906.0,7906.0,,,0 HCPCS,26442,Release palm & finger tendon,,,3281.9,7870.0,19 HCPCS,26445,"Hc Tenolysis Ext Tendon,Hand/Finger,Ea",6653.0,6653.0,,,0 HCPCS,26445,Release hand/finger tendon,,,2912.0,6957.62,19 HCPCS,26449,"Hc Tenolysis, Complex, Extensor Tendon, Finger Incl Forearm, Each Tendon",6653.0,6653.0,,,0 HCPCS,26449,Release forearm/hand tendon,,,3281.9,7870.0,19 HCPCS,26450,"Hc Tenotomy,Flexor,Palm,Open,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26450,Incision of palm tendon,,,2912.0,6957.62,19 HCPCS,26455,"Hc Tenotomy,Flexor,Finger,Ipen,Ea Tendon",6307.0,6307.0,,,0 HCPCS,26455,Incision of finger tendon,,,1612.85,6293.23,19 HCPCS,26460,"Hc Tenotomy, Extensor, Hand Or Finger, Open, Each Tendon",6307.0,6307.0,,,0 HCPCS,26460,Incise hand/finger tendon,,,1612.85,6293.23,19 HCPCS,26471,Fusion of finger tendons,,,2912.0,6957.62,19 HCPCS,26471,"Hc Tenodesis;Proximal Interphalangeal Joint,Ea Joint",5810.0,5810.0,,,0 HCPCS,26474,Fusion of finger tendons,,,1612.85,5345.54,19 HCPCS,26476,"Hc Lengthening Tendon,Extensor,Hand Or Finger,Ea Tendon",4862.0,4862.0,,,0 HCPCS,26476,Tendon lengthening,,,2572.0,6957.62,19 HCPCS,26477,Tendon shortening,,,2572.0,6957.62,19 HCPCS,26478,"Hc Lengthening Tendon,Flexor,Hand/Finger,Ea Tendon",4815.0,4815.0,,,0 HCPCS,26478,Lengthening of hand tendon,,,2572.0,6957.62,19 HCPCS,26479,"Hc Shortening Of Tendon, Flexor, Hand Or Finger, Each Tendon",4815.0,4815.0,,,0 HCPCS,26479,Shortening of hand tendon,,,2572.0,6957.62,19 HCPCS,26480,"Hc Transfer/Tplant Tndn,Carpometacarpal /Dorsum Of Hand;Wo Free Grft,Ea Tndn",6653.0,6653.0,,,0 HCPCS,26480,Transplant hand tendon,,,3281.9,7870.0,19 HCPCS,26483,"Hc Transfer/Transplant Of Tendon, Carpometacarpal Or Dorsum Of Hand Each Tendon",7906.0,7906.0,,,0 HCPCS,26483,Transplant/graft hand tendon,,,3281.9,7870.0,19 HCPCS,26485,"Hc Transfer/Tplant Tendon,Palmar;Wo Free Tendon Graft,Ea Tendon",5810.0,5810.0,,,0 HCPCS,26485,Transplant palm tendon,,,3281.9,7870.0,19 HCPCS,26489,"Hc Transfer/Transport Of Tendon, Palmar W/Free Tendon Graft, Each Tendon",6307.0,6307.0,,,0 HCPCS,26489,Transplant/graft palm tendon,,,3281.9,7870.0,19 HCPCS,26490,"Hc Opponensplasty;Superficialis Tendon Transfer Type,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26490,Revise thumb tendon,,,3281.9,7870.0,19 HCPCS,26492,"Hc Opponensplasty;Tendon Transfer W/Graft,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26492,Tendon transfer with graft,,,3281.9,7870.0,19 HCPCS,26494,Hand tendon/muscle transfer,,,3281.9,7870.0,19 HCPCS,26496,Revise thumb tendon,,,3281.9,7870.0,19 HCPCS,26497,Finger tendon transfer,,,3281.9,7870.0,19 HCPCS,26497,Hc Transfer Tendon To Resotre Intrinsic Function;Ring&Sm Finger,7906.0,7906.0,,,0 HCPCS,26498,Finger tendon transfer,,,3281.9,7870.0,19 HCPCS,26498,Hc Tendon Transfer To Restore Intrinsic Funtion; All Four Fingers,8159.0,8159.0,,,0 HCPCS,26499,"Hc Correction Claw Finger, Other Methods",7906.0,7906.0,,,0 HCPCS,26499,Revision of finger,,,3281.9,6957.62,19 HCPCS,26500,Hand tendon reconstruction,,,2912.0,15429.7,19 HCPCS,26500,"Hc Recon Tendon Pulley,Ea Tendon;W/Local Tissues",8241.0,8241.0,,,0 HCPCS,26502,Hand tendon reconstruction,,,3281.9,7870.0,19 HCPCS,26502,"Hc Tendon Pulley Reconstruction, Each Tendon With Tendon/Fascial Graft",7811.0,7811.0,,,0 HCPCS,26508,Release thumb contracture,,,2912.0,6957.62,19 HCPCS,26510,"Hc Cross Intrinsic Transfer,Ea Tendon",6653.0,6653.0,,,0 HCPCS,26510,Thumb tendon transfer,,,3281.9,7870.0,19 HCPCS,26516,Fusion of knuckle joint,,,2572.0,7870.0,19 HCPCS,26516,Hc Capsulodesis Metacarpopalangeal Joint;Single Digit,4862.0,4862.0,,,0 HCPCS,26517,Fusion of knuckle joints,,,3281.9,7870.0,19 HCPCS,26517,Hc Capsulodesis For M-P Jt Stabilization; Two Digits,6588.0,6588.0,,,0 HCPCS,26518,Fusion of knuckle joints,,,3514.53,15429.7,19 HCPCS,26518,Hc Capsulodesis For M-P Jt Estabilization; Three Or Four Digits,7906.0,7906.0,,,0 HCPCS,26520,Hc Release Mc-P Jt Contracture,6653.0,6653.0,,,0 HCPCS,26520,Release knuckle contracture,,,2912.0,6957.62,19 HCPCS,26525,"Hc Capsulectomy Or Capsulotomy; Interphalangeal Joint, Each Joint",6653.0,6653.0,,,0 HCPCS,26525,Release finger contracture,,,1612.85,6293.23,19 HCPCS,26530,"Hc Arthroplasty, Metacarpophalangeal Joint; Each Joint",6307.0,6307.0,,,0 HCPCS,26530,Revise knuckle joint,,,3514.53,15429.7,19 HCPCS,26531,"Hc Arthoplasty, Metacarpophalangeal Joint;W/Prosthetic Implant,Ea Joint",15440.0,15440.0,,,0 HCPCS,26531,Revise knuckle with implant,,,5087.0,15429.7,19 HCPCS,26535,"Hc Arthroplasty, Interphalangeal Joint, Each Joint",9383.0,9383.0,,,0 HCPCS,26535,Revise finger joint,,,3281.9,8655.0,19 HCPCS,26536,"Hc Arthroplasty, Interphalangeal Joint, W/Prosthetic Implant, Each Joint",8893.0,8893.0,,,0 HCPCS,26536,Revise/implant finger joint,,,5087.0,15429.7,19 HCPCS,26540,"Hc Fix Collat Lig,Mc-P Jt,I-P Jt",8241.0,8241.0,,,0 HCPCS,26540,Repair hand joint,,,2912.0,7175.28,19 HCPCS,26541,"Hc Reconstruct,Collateral Ligmnt,Met Jnt,Sng,W/Tendon/Fascial Gft",12994.0,12994.0,,,0 HCPCS,26541,Repair hand joint with graft,,,3281.9,10726.0,19 HCPCS,26542,"Hc Prim Repair Collateral Lig, Metacarpop Joint W Local Tissue",7811.0,7811.0,,,0 HCPCS,26542,Repair hand joint with graft,,,2912.0,7175.28,19 HCPCS,26545,"Hc Reconstruct Collateral Lig Interphalangeal Jt, Single Includ Graft Ea Jt",7811.0,7811.0,,,0 HCPCS,26545,Reconstruct finger joint,,,3281.9,7870.0,19 HCPCS,26546,"Hc Repair Non-Union,Metacarpal/Phalanx Incl Obtaining Bone Graft W/Wo External/Internal Fixation",9791.0,9791.0,,,0 HCPCS,26546,Repair nonunion hand,,,3925.0,15429.7,19 HCPCS,26548,"Hc Repair/Recconstruction, Finger Volar Plate, Interphalangeal Joint",9791.0,9791.0,,,0 HCPCS,26548,Reconstruct finger joint,,,3281.9,7870.0,19 HCPCS,26550,Construct thumb replacement,,,3281.9,7870.0,19 HCPCS,26551,Great toe-hand transfer,,,3514.53,15429.7,16 HCPCS,26553,Single transfer toe-hand,,,3514.53,15429.7,16 HCPCS,26554,Double transfer toe-hand,,,3514.53,15429.7,16 HCPCS,26555,Positional change of finger,,,3925.0,15429.7,19 HCPCS,26556,Toe joint transfer,,,3051.0,15429.7,15 HCPCS,26560,Repair of web finger,,,1612.85,5345.54,19 HCPCS,26561,Hc Repair Of Syndatyly Each Web Space; With Skin Flaps & Grafts,6588.0,6588.0,,,0 HCPCS,26561,Repair of web finger,,,3281.9,7870.0,19 HCPCS,26562,Hc Repair Of Syndatyly Each Web Space; Complex,9791.0,9791.0,,,0 HCPCS,26562,Repair of web finger,,,3281.9,7870.0,19 HCPCS,26565,Correct metacarpal flaw,,,3281.9,8364.54,19 HCPCS,26565,"Hc Osteotomy; Metacarpal, Each",6588.0,6588.0,,,0 HCPCS,26567,Correct finger deformity,,,3281.9,8364.54,19 HCPCS,26567,"Hc Osteotomy, Phalanx Of Finger, Each",9383.0,9383.0,,,0 HCPCS,26568,"Hc Osteoplasty,Lengthen,Metacarpal Or Phalanx",6653.0,6653.0,,,0 HCPCS,26568,Lengthen metacarpal/finger,,,3925.0,15429.7,19 HCPCS,26580,Repair hand deformity,,,2912.0,8364.54,19 HCPCS,26587,Reconstruct extra finger,,,2912.0,8364.54,19 HCPCS,26590,Repair finger deformity,,,1612.85,8364.54,19 HCPCS,26591,"Hc Repair, Intrinsic Muscles Of Hand, Each Muscle",6588.0,6588.0,,,0 HCPCS,26591,Repair muscles of hand,,,3281.9,6957.62,19 HCPCS,26593,"Hc Release,Intrinsic Muscles Of Hand,Ea Muscle",6588.0,6588.0,,,0 HCPCS,26593,Release muscles of hand,,,2912.0,6957.62,19 HCPCS,26596,Excision constricting tissue,,,2912.0,6957.62,19 HCPCS,26596,"Hc Excision Of Constricting Ring Of Finger, With Multiple Z-Plasties",5518.0,5518.0,,,0 HCPCS,26600,Hc Closed Rx Metacarpal Fx,603.0,603.0,,,0 HCPCS,26600,"Hc Closed Treatment Of Metacarpal Fracture, Single W/O Manipulation Ea Bone",5507.0,5507.0,,,0 HCPCS,26600,Treat metacarpal fracture,,,247.41,4840.09,16 HCPCS,26605,"Hc Closed Treatment Of Metacarpal Fracture, Single, W/Manip, Each Bone",871.0,871.0,,,0 HCPCS,26605,Treat metacarpal fracture,,,247.41,5345.54,19 HCPCS,26607,Treat metacarpal fracture,,,2912.0,6957.62,19 HCPCS,26608,"Hc Closed Rx Metacarpal Fx,Percut",9791.0,9791.0,,,0 HCPCS,26608,Treat metacarpal fracture,,,3281.9,7175.28,19 HCPCS,26615,Hc Open Tx Metacarpal Fracture Single Ea Bone,9791.0,9791.0,,,0 HCPCS,26615,Treat metacarpal fracture,,,3281.9,9172.0,19 HCPCS,26641,Treat thumb dislocation,,,247.41,4840.09,16 HCPCS,26645,"Hc Treat Thumb Fx/Disloc,Manip",4237.0,4237.0,,,0 HCPCS,26645,Treat thumb fracture,,,1343.0,5051.48,19 HCPCS,26650,"Hc Percut Skeletal Fix Carpometacarpal Fx Disloc,Thumb,W/Manip",5810.0,5810.0,,,0 HCPCS,26650,Treat thumb fracture,,,3281.9,6957.62,19 HCPCS,26665,"Hc Opn Tx Carpometacarpal Fx Disloc,Thumb,Incl Intrnl Fix,Whn Prfmd",8241.0,8241.0,,,0 HCPCS,26665,Treat thumb fracture,,,3281.9,9172.0,19 HCPCS,26670,Treat hand dislocation,,,247.41,4840.09,16 HCPCS,26675,"Hc Closed Treatment Of Carpometacarpal Dislocation, Other Than Thumb, With Manipulation, Each Joint;",5507.0,5507.0,,,0 HCPCS,26675,Treat hand dislocation,,,1343.0,5345.54,19 HCPCS,26676,"Hc Percut Fix Carpometacar Disloc,Non-Thumb",5810.0,5810.0,,,0 HCPCS,26676,Pin hand dislocation,,,3281.9,6957.62,19 HCPCS,26685,"Hc Opn Tx Carpometacarpal Disloc,Oth Thn Thumb;Incl Intrnl Fix,Whn Prfmd,Ea Joint",6653.0,6653.0,,,0 HCPCS,26685,Treat hand dislocation,,,3281.9,6957.62,19 HCPCS,26686,"Hc Open Treatment Of Carpometacarpal Dislocation, Not Incl Thumb, Complex, Multi Or Delayed Reductio",7906.0,7906.0,,,0 HCPCS,26686,Treat hand dislocation,,,3281.9,9172.0,19 HCPCS,26700,Hc Closed Rx Mc-P Disloc,603.0,603.0,,,0 HCPCS,26700,Treat knuckle dislocation,,,247.41,4840.09,16 HCPCS,26705,Hc Closed Treat Metacarpophalangeal Disloc Sngl W/Manip Requiring Anesthesia,5810.0,5810.0,,,0 HCPCS,26705,Treat knuckle dislocation,,,1343.0,5345.54,19 HCPCS,26706,Pin knuckle dislocation,,,2912.0,6957.62,19 HCPCS,26715,Treat knuckle dislocation,,,3281.9,7175.28,19 HCPCS,26720,"Hc Closed Treatment Of Phalangeal Shaft Fracture, Proximal Or Middle Phalanx, Finger Or Thumb W/O Ma",8209.0,8209.0,,,0 HCPCS,26720,Treat finger fracture each,,,247.41,4840.09,18 HCPCS,26725,"Hc Close Rx Prox/Mid Fing Shft Fx,Manip",603.0,603.0,,,0 HCPCS,26725,Hc Close Treat Phalang Shaft Fx Prox/Mdle Phalanx Fing/Thumb W/Manip W/O Skin/Skel,8209.0,8209.0,,,0 HCPCS,26725,Treat finger fracture each,,,247.41,4840.09,18 HCPCS,26727,Hc Percut Rx Prox/Mid Fing Shft Fx,12994.0,12994.0,,,0 HCPCS,26727,Treat finger fracture each,,,3281.9,10726.0,19 HCPCS,26735,Hc Open Tx Phalangeal Shaft Fracture Prox/Middle Ea,8241.0,8241.0,,,0 HCPCS,26735,Treat finger fracture each,,,3281.9,7175.28,19 HCPCS,26740,Treat finger fracture each,,,247.41,4840.09,18 HCPCS,26742,"Hc Close Rx Fingr Articular Fx,Manip",5810.0,5810.0,,,0 HCPCS,26742,"Hc Closed Treatment Of Articular Fracture, Involving Metacarpophalangeal Or Interphalangeal Joint; W",4226.0,4226.0,,,0 HCPCS,26742,Treat finger fracture each,,,1343.0,5345.54,19 HCPCS,26746,Hc Open Tx Articular Fracture Mcp/Ip Joint Ea,9383.0,9383.0,,,0 HCPCS,26746,Treat finger fracture each,,,3281.9,8364.54,19 HCPCS,26750,Hc Closed Treatment Of Distal Phalangeal Fx Finger/Thumb W/O Manipulation,4609.0,4609.0,,,0 HCPCS,26750,Treat finger fracture each,,,247.41,4840.09,16 HCPCS,26755,"Hc Close Rx Dist Fingr Fx,Manipulatn",620.0,620.0,,,0 HCPCS,26755,Treat finger fracture each,,,247.41,4840.09,16 HCPCS,26756,Hc Percutaneous Skeletal Fix Distal Phalangeal Fx Finger/Thumb Ea,5810.0,5810.0,,,0 HCPCS,26756,Pin finger fracture each,,,3281.9,6957.62,19 HCPCS,26765,Hc Open Tx Distal Phalangeal Fracture Each,8241.0,8241.0,,,0 HCPCS,26765,Treat finger fracture each,,,3281.9,7175.28,19 HCPCS,26770,"Hc Closed Treatment Of Interphalangeal Joing Dislocation, W/Manip, W/O Anesth",515.0,515.0,,,0 HCPCS,26770,Treat finger dislocation,,,247.41,4840.09,16 HCPCS,26775,Treat finger dislocation,,,280.54,4840.09,16 HCPCS,26776,"Hc Percutaneous Skeletal Fixation Of Interphalangeal Joint Dislocation, Single W/ Manipulation",5810.0,5810.0,,,0 HCPCS,26776,Pin finger dislocation,,,3281.9,6957.62,19 HCPCS,26785,"Hc Open Treatment, Interphalangeal Joint Dislocation, Incl Internal Fixation, Single",5507.0,5507.0,,,0 HCPCS,26785,Treat finger dislocation,,,3281.9,6957.62,19 HCPCS,26820,Thumb fusion with graft,,,3925.0,15429.7,19 HCPCS,26841,Fusion of thumb,,,3925.0,15429.7,19 HCPCS,26841,Hc Arthrodesis Carpometacarpal Jt Thumb W/W/O Internal Fix,7811.0,7811.0,,,0 HCPCS,26842,Thumb fusion with graft,,,3925.0,15429.7,19 HCPCS,26843,Fusion of hand joint,,,3925.0,15429.7,19 HCPCS,26843,"Hc Arthodesis,Carpometacarpal Jnt,Digit,Oth Thn Thumb,Each;No",6307.0,6307.0,,,0 HCPCS,26844,Fusion/graft of hand joint,,,3925.0,15429.7,19 HCPCS,26844,Hc Arthodesis Carpometacarpal Jt Digits Other Than Thumb; W/Autograft,6588.0,6588.0,,,0 HCPCS,26850,Fusion of knuckle,,,3925.0,15429.7,19 HCPCS,26850,Hc Arthodesis Metacarpophalangeal Jt W/W/O Internal Fix,8241.0,8241.0,,,0 HCPCS,26852,Fusion of knuckle with graft,,,3925.0,15429.7,19 HCPCS,26852,Hc Arthodesis Metacarpophalangeal Jt W/W/O Int Fix W/Autograft,9791.0,9791.0,,,0 HCPCS,26860,Fusion of finger joint,,,3281.9,7870.0,19 HCPCS,26860,Hc Fusion Finger Joint,6653.0,6653.0,,,0 HCPCS,26861,Fusion of finger jnt add-on,,,1343.0,5345.54,7 HCPCS,26861,"Hc Arthrodesis, Interphalangeal Joint, W Or W/O Internal Fixation, Ea Addl",5810.0,5810.0,,,0 HCPCS,26862,Fusion/graft of finger joint,,,3281.9,7870.0,19 HCPCS,26862,Hc Arthrodesis Interphalangeal Jt W/W/O Int Fix W/Autograft,8241.0,8241.0,,,0 HCPCS,26863,Fuse/graft added joint,,,1343.0,6293.23,7 HCPCS,26910,Amputate metacarpal bone,,,3281.9,7870.0,19 HCPCS,26910,Hc Amputation Metacarpal W./Finger/Thumb Single W/W/O Interosseous Transfer,6653.0,6653.0,,,0 HCPCS,26951,Amputation of finger/thumb,,,2912.0,6957.62,19 HCPCS,26951,Hc Amputation Finger/Thumb,7235.0,7235.0,,,0 HCPCS,26952,Amputation of finger/thumb,,,2912.0,7175.28,19 HCPCS,26952,Hc Amputation Finger/Thumb+Flaps,8241.0,8241.0,,,0 HCPCS,26989,Hand/finger surgery,,,247.41,4840.09,18 HCPCS,26990,Drainage of pelvis lesion,,,2572.0,6957.62,19 HCPCS,26990,"Hc Incision And Drainage, Pelvis Or Hip Joint Area; Deep Abscess Or Hematoma",8167.0,8167.0,,,0 HCPCS,26991,Drainage of pelvis bursa,,,1612.85,5051.48,19 HCPCS,26991,"Hc Ncision And Drainage, Pelvis Or Hip Joint Area; Infected Bursa",4609.0,4609.0,,,0 HCPCS,26992,Drainage of bone lesion,,,3011.79,8655.0,16 HCPCS,27000,"Hc Tenotomy,Adductor Of Hip,Percutaneous",9074.0,9074.0,,,0 HCPCS,27000,Incision of hip tendon,,,1612.85,5345.54,19 HCPCS,27001,Incision of hip tendon,,,3281.9,7870.0,19 HCPCS,27003,Incision of hip tendon,,,4743.0,15429.7,19 HCPCS,27005,"Hc Tenotomy, Hip Flexor(S), Open",9791.0,9791.0,,,0 HCPCS,27005,Incision of hip tendon,,,3051.0,9172.0,17 HCPCS,27006,"Hc Tenotomy, Abductors And/Or Extensor(S) Of Hip, Open",9791.0,9791.0,,,0 HCPCS,27006,Incision of hip tendons,,,3281.9,7870.0,18 HCPCS,27025,Incision of hip/thigh fascia,,,3051.0,9172.0,17 HCPCS,27027,Buttock fasciotomy,,,3295.0,15429.7,19 HCPCS,27030,Drainage of hip joint,,,3051.0,15429.7,16 HCPCS,27033,Exploration of hip joint,,,3514.53,15429.7,19 HCPCS,27035,Denervation of hip joint,,,3281.9,7870.0,19 HCPCS,27036,Excision of hip joint/muscle,,,3051.0,15429.7,18 HCPCS,27036,"Hc Cpslctmy/Cpsltmy Of Hip,W/W/O Exc Htrtpc Bone,W/Relse Hip Flex Mscl",9791.0,9791.0,,,0 HCPCS,27040,Biopsy of soft tissues,,,1656.59,5051.48,19 HCPCS,27040,"Hc Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial",4862.0,4862.0,,,0 HCPCS,27041,Biopsy of soft tissues,,,1656.59,5345.54,19 HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,27043,"Hc Exc,Tumor,Sft Tiss Pelvis & Hip Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,2913.5,11385.0,19 HCPCS,27045,"Hc Excision, Tumor, Soft Tissue Of Pelvis And Hip Area, Subfascial, 5 Cm Or Greater",13654.0,13654.0,,,0 HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,2912.0,6176.62,19 HCPCS,27047,"Hc Exc,Tumor,Sft Tiss Pelvis & Hip Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,2912.0,6293.23,19 HCPCS,27049,"Hc Radical Resection Of Tumor, Soft Tissue Of Pelvis And Hip Area, < 5 Cm",7906.0,7906.0,,,0 HCPCS,27049,Resect hip/pelv tum < 5 cm,,,2912.0,6293.23,19 HCPCS,27050,Biopsy of sacroiliac joint,,,1612.85,6293.23,19 HCPCS,27052,Biopsy of hip joint,,,1612.85,6293.23,19 HCPCS,27054,Removal of hip joint lining,,,3051.0,7870.0,17 HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1612.85,11385.0,19 HCPCS,27059,"Hc Radical Resection Of Tumor, Soft Tissue Of Pelvis And Hip Area, 5 Cm Or Greater",13654.0,13654.0,,,0 HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,2913.5,11385.0,19 HCPCS,27060,Removal of ischial bursa,,,3514.53,15429.7,19 HCPCS,27062,Hc Excision; Trochanteric Bursa Or Calcification,11148.0,11148.0,,,0 HCPCS,27062,Remove femur lesion/bursa,,,3281.9,8364.54,19 HCPCS,27065,Remove hip bone les super,,,3514.53,15429.7,19 HCPCS,27066,Remove hip bone les deep,,,3281.9,8364.54,19 HCPCS,27067,Remove/graft hip bone lesion,,,4743.0,15429.7,19 HCPCS,27070,Part remove hip bone super,,,3051.0,9172.0,17 HCPCS,27071,"Hc Partial Exc,Wing Of Ilium,Symphysis Pubis/Grt Trchntr Femur;Deep",13057.0,13057.0,,,0 HCPCS,27071,Part removal hip bone deep,,,3051.0,9172.0,18 HCPCS,27075,"Hc Rad Resect Tumor;Wing Of Ilium,One Pubic/Ischial Ramus/Symph Pubis",10290.0,10290.0,,,0 HCPCS,27075,Resect hip tumor,,,3051.0,15429.7,15 HCPCS,27076,Resect hip tum incl acetabul,,,3514.53,15429.7,17 HCPCS,27077,Resect hip tum w/innom bone,,,3514.53,15429.7,15 HCPCS,27078,Rsect hip tum incl femur,,,3051.0,15429.7,17 HCPCS,27080,Removal of tail bone,,,3281.9,7870.0,19 HCPCS,27086,"Hc Removal Of Foreign Body, Pelvis Or Hip, Subcutaneous Tissue",4609.0,4609.0,,,0 HCPCS,27086,Remove hip foreign body,,,2572.0,6176.62,19 HCPCS,27087,"Hc Removal Of Foreign Body, Pelvis Or Hip; Deep",6588.0,6588.0,,,0 HCPCS,27087,Remove hip foreign body,,,3281.9,6957.62,19 HCPCS,27090,Removal of hip prosthesis,,,3051.0,15429.7,17 HCPCS,27091,Removal of hip prosthesis,,,3051.0,27300.32,17 HCPCS,27093,"Hc Injection Hip Arthrogram, W/O Anesthesia",984.0,984.0,,,0 HCPCS,27093,Injection for hip x-ray,,,1343.0,4840.09,7 HCPCS,27095,"Hc Injection Procedure For Hip Arthrography, W/Anes Bilat",881.0,881.0,,,0 HCPCS,27095,Hc Injection Procedure For Hip Arthrography; W/Anesthesia,4377.0,4377.0,,,0 HCPCS,27095,Injection for hip x-ray,,,1343.0,5345.54,7 HCPCS,27096,"Hc Injection,Sacroiliac Joint, Anesthetic/Steroid W/Img, Incl Arthrography When Perf",2513.5,2513.5,,,0 HCPCS,27096,Inject sacroiliac joint,,,1343.0,4840.09,10 HCPCS,27097,"Hc Release Or Recession,Hamstring,Proximal",7906.0,7906.0,,,0 HCPCS,27097,Revision of hip tendon,,,3281.9,7870.0,19 HCPCS,27098,Transfer tendon to pelvis,,,3281.9,6957.62,19 HCPCS,27100,Transfer of abdominal muscle,,,4817.0,15429.7,19 HCPCS,27105,Transfer of spinal muscle,,,3281.9,8655.0,19 HCPCS,27110,Transfer of iliopsoas muscle,,,4817.0,15429.7,19 HCPCS,27111,Transfer of iliopsoas muscle,,,3281.9,8655.0,19 HCPCS,27120,Reconstruction of hip socket,,,3051.0,27300.32,17 HCPCS,27122,Reconstruction of hip socket,,,3051.0,15429.7,17 HCPCS,27125,Partial hip replacement,,,3051.0,27300.32,17 HCPCS,27130,"Hc Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 HCPCS,27130,Total hip arthroplasty,,,3051.0,27300.32,18 HCPCS,27132,"Hc Conversion, Previous Hip Surgery To Total Hip Arthroplasty, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 HCPCS,27132,Total hip arthroplasty,,,3051.0,27300.32,18 HCPCS,27134,"Hc Revision, Total Hip Arthroplasty, Both Components, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 HCPCS,27134,Revise hip joint replacement,,,3051.0,27300.32,18 HCPCS,27137,"Hc Revision, Total Hip Arthroplasty, Acetabular Component Only, W/W/O Autograft Or Allograft",12866.0,12866.0,,,0 HCPCS,27137,Revise hip joint replacement,,,3051.0,27300.32,18 HCPCS,27138,"Hc Revision, Total Hip Arthroplasty, Femoral Component Only, W/W/O Allograft",12866.0,12866.0,,,0 HCPCS,27138,Revise hip joint replacement,,,3051.0,27300.32,18 HCPCS,27140,Transplant femur ridge,,,3051.0,15429.7,17 HCPCS,27146,Incision of hip bone,,,3051.0,15429.7,17 HCPCS,27147,Revision of hip bone,,,3051.0,15429.7,17 HCPCS,27151,Incision of hip bones,,,3051.0,15429.7,17 HCPCS,27156,Revision of hip bones,,,3051.0,15429.7,17 HCPCS,27158,Revision of pelvis,,,3051.0,15429.7,17 HCPCS,27161,Incision of neck of femur,,,3051.0,15429.7,17 HCPCS,27165,Incision/fixation of femur,,,3051.0,15429.7,17 HCPCS,27170,Repair/graft femur head/neck,,,3051.0,15429.7,17 HCPCS,27175,Treat slipped epiphysis,,,3051.0,9172.0,17 HCPCS,27176,Treat slipped epiphysis,,,3051.0,9172.0,18 HCPCS,27177,Treat slipped epiphysis,,,3051.0,9172.0,17 HCPCS,27178,Treat slipped epiphysis,,,3051.0,9172.0,18 HCPCS,27179,Revise head/neck of femur,,,4840.09,15429.7,16 HCPCS,27181,Treat slipped epiphysis,,,3051.0,15429.7,17 HCPCS,27185,Revision of femur epiphysis,,,3051.0,9172.0,17 HCPCS,27187,Reinforce hip bones,,,3051.0,15429.7,17 HCPCS,27193,Treat pelvic ring fracture,,,2572.0,4840.09,3 HCPCS,27194,Treat pelvic ring fracture,,,3295.0,5345.54,3 HCPCS,27197,Clsd tx pelvic ring fx,,,247.41,4840.09,19 HCPCS,27198,Clsd tx pelvic ring fx,,,247.41,4840.09,19 HCPCS,27200,Treat tail bone fracture,,,247.41,4840.09,18 HCPCS,27202,Treat tail bone fracture,,,3281.9,9172.0,19 HCPCS,27215,Treat pelvic fracture(s),,,1952.0,5843.31,9 HCPCS,27216,Treat pelvic ring fracture,,,3051.0,7870.0,9 HCPCS,27217,Treat pelvic ring fracture,,,2912.0,5843.31,9 HCPCS,27218,Treat pelvic ring fracture,,,2912.0,7175.28,9 HCPCS,27220,Hc Closed Treatment Of Acetabulum Fracture(S); W/Manipulation,572.0,572.0,,,0 HCPCS,27220,Treat hip socket fracture,,,247.41,4840.09,16 HCPCS,27222,Treat hip socket fracture,,,247.41,4840.09,17 HCPCS,27226,Treat hip wall fracture,,,3051.0,15429.7,18 HCPCS,27227,Treat hip fracture(s),,,3051.0,15429.7,18 HCPCS,27228,Treat hip fracture(s),,,3051.0,15429.7,18 HCPCS,27230,Treat thigh fracture,,,247.41,4840.09,19 HCPCS,27232,Treat thigh fracture,,,1612.85,4840.09,17 HCPCS,27235,Treat thigh fracture,,,4743.0,15429.7,18 HCPCS,27236,Treat thigh fracture,,,3051.0,15429.7,17 HCPCS,27238,Treat thigh fracture,,,1343.0,5051.48,19 HCPCS,27240,Treat thigh fracture,,,1612.85,5051.48,17 HCPCS,27244,Treat thigh fracture,,,3051.0,15429.7,17 HCPCS,27245,Treat thigh fracture,,,3051.0,15429.7,18 HCPCS,27246,Treat thigh fracture,,,247.41,4840.09,19 HCPCS,27248,Treat thigh fracture,,,3051.0,15429.7,17 HCPCS,27250,"Hc Closed Treatment Of Hip Dislocation, Traumatic, W/O Anesth",2210.0,2210.0,,,0 HCPCS,27250,Treat hip dislocation,,,247.41,4840.09,19 HCPCS,27252,"Hc Closed Treatment Of Hip Dislocation, Traumatic, Requiring Anesthesia",4989.5,4989.5,,,0 HCPCS,27252,Treat hip dislocation,,,1612.85,5345.54,19 HCPCS,27253,Treat hip dislocation,,,3051.0,7870.0,17 HCPCS,27254,Treat hip dislocation,,,3051.0,15429.7,17 HCPCS,27256,Hc Closed Rx Spontaneous Hip Disloc,662.0,662.0,,,0 HCPCS,27256,"Hc Treatment Of Spontaneous Hip Dislocation, By Abduction, Splint Or Traction; W/O Anesthesia, W/O M",662.0,662.0,,,0 HCPCS,27256,Treat hip dislocation,,,247.41,4840.09,18 HCPCS,27257,Treat hip dislocation,,,1612.85,6293.23,19 HCPCS,27258,Treat hip dislocation,,,3051.0,8821.68,17 HCPCS,27259,Treat hip dislocation,,,3051.0,8364.54,17 HCPCS,27265,"Hc Closed Rx, Spontaneous Hip Dislocation, By Abduction/Splint/Traction",603.0,603.0,,,0 HCPCS,27265,Treat hip dislocation,,,247.41,4840.09,19 HCPCS,27266,"Hc Closed Treatment, Post Hip Arthroplasty Dislocation; Requiring Regional Or General Anesthesia",4173.0,4173.0,,,0 HCPCS,27266,Treat hip dislocation,,,1612.85,5345.54,19 HCPCS,27267,Cltx thigh fx,,,2572.0,6957.62,19 HCPCS,27268,Cltx thigh fx w/mnpj,,,1612.85,7870.0,15 HCPCS,27269,Optx thigh fx,,,2912.0,15429.7,15 HCPCS,27275,Manipulation of hip joint,,,1612.85,5345.54,19 HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,5730.0,37284.11,16 HCPCS,27278,"Hc Arthrodesis, Sacroiliac Joint, Percutaneous, W/Image Guidance, Including Placement Of Intra-Artic",49058.0,49058.0,,,0 HCPCS,27279,Arthrodesis sacroiliac joint,,,5730.0,37284.11,17 HCPCS,27280,Fusion of sacroiliac joint,,,3051.0,37284.11,17 HCPCS,27282,Fusion of pubic bones,,,3051.0,9172.0,17 HCPCS,27284,Fusion of hip joint,,,3051.0,27300.32,17 HCPCS,27286,Fusion of hip joint,,,3051.0,27300.32,17 HCPCS,27290,Amputation of leg at hip,,,3051.0,37284.11,15 HCPCS,27295,Amputation of leg at hip,,,3051.0,37284.11,15 HCPCS,27299,"Asc Only Unlisted Procedure, Pelvis Or Hip - Gluteus Medius/Minimus Repair",10290.0,10290.0,,,0 HCPCS,27299,"Asc Only Unlisted Procedure, Pelvis Or Hip - Hip Core Decompression",10290.0,10290.0,,,0 HCPCS,27299,"Asc Only Unlisted Procedure, Pelvis Or Hip - Percutaneous Acetabuloplasty",10290.0,10290.0,,,0 HCPCS,27299,Hc Hip Joint Nerve Destruction,5457.0,5457.0,,,0 HCPCS,27299,Hc Percutaneous Acetabuloplasty,5334.0,5334.0,,,0 HCPCS,27299,Pelvis/hip joint surgery,,,247.41,11531.48,18 HCPCS,27301,Drain thigh/knee lesion,,,2913.5,6293.23,19 HCPCS,27301,"Hc Inc/Drain,Deep Abscess,Bursa/Hematoma,Thigh/Knee Region",6653.0,6653.0,,,0 HCPCS,27303,Drainage of bone lesion,,,3011.79,8655.0,16 HCPCS,27303,"Hc Incision,Deep W/Opening Of Bone Cortex, Femur Or Knee",5507.0,5507.0,,,0 HCPCS,27305,"Hc Fasciotomy, Iliotibial (Tenotomy), Open",5507.0,5507.0,,,0 HCPCS,27305,Incise thigh tendon & fascia,,,3281.9,6957.62,19 HCPCS,27306,"Hc Tenotomy,Percutaneous,Adductor/Hamstring;Single Tendon",6653.0,6653.0,,,0 HCPCS,27306,Incision of thigh tendon,,,3281.9,6957.62,19 HCPCS,27307,"Hc Tenotomy, Percutaneous, Adductor Or Hamstring; Multiple Tendons",6653.0,6653.0,,,0 HCPCS,27307,Incision of thigh tendons,,,3281.9,7870.0,19 HCPCS,27310,Exploration of knee joint,,,3281.9,7870.0,19 HCPCS,27310,"Hc Arthrotomy, Knee, With Exploration, Drainage, Or Removal Of Foreign Body",7811.0,7811.0,,,0 HCPCS,27323,Biopsy thigh soft tissues,,,1656.59,5051.48,19 HCPCS,27323,Hc Biopsy Soft Tissue Of Thigh Or Knee Area; Superficial,4862.0,4862.0,,,0 HCPCS,27324,Biopsy thigh soft tissues,,,2572.0,6176.62,19 HCPCS,27324,"Hc Bx,Soft Tissue Thigh/Knee Area;Deep",4609.0,4609.0,,,0 HCPCS,27325,Neurectomy hamstring,,,1958.63,5345.54,19 HCPCS,27326,Neurectomy popliteal,,,1958.63,5345.54,19 HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1656.59,5345.54,19 HCPCS,27327,Hc Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm,3281.5,3281.5,,,0 HCPCS,27328,Exc thigh/knee tum deep <5cm,,,2912.0,6293.23,19 HCPCS,27328,Hc Exc Tumor Soft Tissue Thigh/Knee Subfasc <5Cm,7906.0,7906.0,,,0 HCPCS,27329,Hc Rad Resect Tumor Soft Tissue Thigh/Knee <5Cm,8159.0,8159.0,,,0 HCPCS,27329,Resect thigh/knee tum < 5 cm,,,2912.0,7175.28,19 HCPCS,27330,Biopsy knee joint lining,,,3281.9,7870.0,19 HCPCS,27330,"Hc Arthrotomy, Knee; With Synovial Biopsy Only",8241.0,8241.0,,,0 HCPCS,27331,Explore/treat knee joint,,,3281.9,7870.0,19 HCPCS,27331,"Hc Arthrotomy,Knee;Incl Joint Exploration,Bx/Rmvl Loose Foreign Bodies",8161.5,8161.5,,,0 HCPCS,27332,Removal of knee cartilage,,,3281.9,7870.0,19 HCPCS,27333,Removal of knee cartilage,,,3281.9,7870.0,19 HCPCS,27334,"Hc Arthrotomy,W/Synovectomy Knee;Anterior Or Posterior",9791.0,9791.0,,,0 HCPCS,27334,Remove knee joint lining,,,3281.9,7870.0,19 HCPCS,27335,"Hc Arthrotomy, With Synovectomy, Knee; Anterior And Posterior Including Popliteal Area",8159.0,8159.0,,,0 HCPCS,27335,Remove knee joint lining,,,4743.0,15429.7,19 HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,27337,Hc Excison Tumor Soft Tissue Thigh/Knee Subq 3+Cm,13791.0,13791.0,,,0 HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,2913.5,11385.0,19 HCPCS,27339,Hc Exc Tumor Soft Tissue Thigh/Knee Subfasc 5+Cm,16385.0,16385.0,,,0 HCPCS,27340,"Hc Excision, Prepatellar Bursa",6307.0,6307.0,,,0 HCPCS,27340,Removal of kneecap bursa,,,3281.9,6957.62,19 HCPCS,27345,Hc Exc Synovial Cyst Popliteal Space (Baker's Cyst),8241.0,8241.0,,,0 HCPCS,27345,Removal of knee cyst,,,3281.9,7175.28,19 HCPCS,27347,"Hc Excision Lesion Menisucus Or Capsle Cyst,Ganglion,Knee",9791.0,9791.0,,,0 HCPCS,27347,Remove knee cyst,,,3281.9,7175.28,19 HCPCS,27350,Hc Patellectomy Or Hemipatellectomy,9791.0,9791.0,,,0 HCPCS,27350,Removal of kneecap,,,3514.53,15429.7,19 HCPCS,27355,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Femur,6653.0,6653.0,,,0 HCPCS,27355,Remove femur lesion,,,3281.9,7870.0,19 HCPCS,27356,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Femur; With Allograft,9791.0,9791.0,,,0 HCPCS,27356,Remove femur lesion/graft,,,4743.0,27300.32,19 HCPCS,27357,Remove femur lesion/graft,,,4743.0,15429.7,19 HCPCS,27358,Remove femur lesion/fixation,,,1343.0,8364.54,7 HCPCS,27360,"Hc Partial Exc Bone,Femur,Proximal Tibia &/Or Fibula",9383.0,9383.0,,,0 HCPCS,27360,Partial removal leg bone(s),,,3281.9,8364.54,19 HCPCS,27364,Hc Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/>,9460.5,9460.5,,,0 HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,2913.5,11385.0,19 HCPCS,27365,"Hc Radical Resection Of Tumor,Femur Or Knee",10290.0,10290.0,,,0 HCPCS,27365,Resect femur/knee tumor,,,3051.0,9172.0,17 HCPCS,27369,Hc Injection Contrast Knee Arthrography Or Contrst Enhnce Ct/Mri,936.0,936.0,,,0 HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,1343.0,2987.0,4 HCPCS,27370,Injection for knee x-ray,,,2572.0,5345.54,3 HCPCS,27372,"Hc Removal Of Foreign Body, Deep Thigh Region Or Knee Area",12316.0,12316.0,,,0 HCPCS,27372,Removal of foreign body,,,2913.5,10726.0,19 HCPCS,27380,Hc Suture Of Infrapatellar Tendon; Primary,4862.0,4862.0,,,0 HCPCS,27380,Repair of kneecap tendon,,,2572.0,15429.7,19 HCPCS,27381,Hc Suture Infrapatellar Tendon; Second Reconstruct Includ Fascial/Tendon Graft,7906.0,7906.0,,,0 HCPCS,27381,Repair/graft kneecap tendon,,,4743.0,15429.7,19 HCPCS,27385,Hc Suture Of Quadriceps Or Hamstring Muscle Rupture; Primary,9074.0,9074.0,,,0 HCPCS,27385,Repair of thigh muscle,,,4743.0,15429.7,19 HCPCS,27386,Hc Suture Quad/Hamstring Muscle Rupture; Second Recon Includ Fascial/Tendon Graft,7906.0,7906.0,,,0 HCPCS,27386,Repair/graft of thigh muscle,,,4743.0,15429.7,19 HCPCS,27390,Incision of thigh tendon,,,2572.0,6957.62,19 HCPCS,27391,"Hc Tenotomy, Open, Hamstring, Knee To Hip; Multiple Tendons, 1 Leg",5753.0,5753.0,,,0 HCPCS,27391,Incision of thigh tendons,,,3281.9,6957.62,19 HCPCS,27392,Incision of thigh tendons,,,3281.9,7870.0,19 HCPCS,27393,Lengthening of thigh tendon,,,3295.0,15429.7,19 HCPCS,27394,Lengthening of thigh tendons,,,4743.0,15429.7,19 HCPCS,27395,Lengthening of thigh tendons,,,3281.9,8655.0,19 HCPCS,27396,Transplant of thigh tendon,,,4743.0,15429.7,19 HCPCS,27397,Transplants of thigh tendons,,,5405.0,15429.7,19 HCPCS,27400,Revise thigh muscles/tendons,,,5405.0,15429.7,19 HCPCS,27403,"Hc Arthrotomy With Meniscus Repair, Knee",9791.0,9791.0,,,0 HCPCS,27403,Repair of knee cartilage,,,3514.53,15429.7,19 HCPCS,27405,"Hc Repair, Primary, Torn Ligament And/Or Capsule, Knee; Collateral",9791.0,9791.0,,,0 HCPCS,27405,Repair of knee ligament,,,4817.0,15429.7,19 HCPCS,27407,Repair of knee ligament,,,4817.0,15429.7,19 HCPCS,27409,"Hc Repair Primary Torn Lig And/Or Cap, Knee; Coll & Cruciate Ligaments",9791.0,9791.0,,,0 HCPCS,27409,Repair of knee ligaments,,,4817.0,15429.7,19 HCPCS,27412,Autochondrocyte implant knee,,,5087.0,15429.7,18 HCPCS,27415,"Hc Osteochondral Allograft,Knee,Open",13057.0,13057.0,,,0 HCPCS,27415,Osteochondral knee allograft,,,5405.0,27300.32,17 HCPCS,27416,"Hc Osteochndrl Autogrft(S),Knee,Opn",16385.0,16385.0,,,0 HCPCS,27416,Osteochondral knee autograft,,,4817.0,15429.7,19 HCPCS,27418,Hc Anterior Tibial Tubercleplasty,7906.0,7906.0,,,0 HCPCS,27418,Repair degenerated kneecap,,,5405.0,15429.7,19 HCPCS,27420,Hc Reconstruction Dislocating Patella;,7906.0,7906.0,,,0 HCPCS,27420,Revision of unstable kneecap,,,5405.0,15429.7,19 HCPCS,27422,Hc Recon Disloc Patella;W/Extensor Realignmnt &/Or Muscle Advancmnt/Release,15440.0,15440.0,,,0 HCPCS,27422,Revision of unstable kneecap,,,6156.44,15429.7,19 HCPCS,27424,Revision/removal of kneecap,,,5405.0,15429.7,19 HCPCS,27425,Hc Lateral Retinacular Release Open,12994.0,12994.0,,,0 HCPCS,27425,Lat retinacular release open,,,3281.9,10726.0,19 HCPCS,27427,"Hc Ligamentous Reconstruction (Augmentation), Knee; Extra-Articular",7906.0,7906.0,,,0 HCPCS,27427,Reconstruction knee,,,5405.0,15429.7,19 HCPCS,27428,"Hc Ligamentous Reconstruction, Knee; Intr-Articular (Open)",9791.0,9791.0,,,0 HCPCS,27428,Reconstruction knee,,,4817.0,27300.32,18 HCPCS,27429,"Hc Ligamentous Reconstruction, Knee; Intra-Articular & Extra-Articular",9791.0,9791.0,,,0 HCPCS,27429,Reconstruction knee,,,4817.0,27300.32,19 HCPCS,27430,Hc Quadricepsplasty (Bennett Or Thompson Type),9791.0,9791.0,,,0 HCPCS,27430,Revision of thigh muscles,,,4817.0,15429.7,19 HCPCS,27435,"Hc Capsulotomy, Posterior Capsular Release, Knee",8901.0,8901.0,,,0 HCPCS,27435,Incision of knee joint,,,3281.9,7870.0,19 HCPCS,27437,"Hc Arthroplasty, Patella; W/O Prosthesis",9791.0,9791.0,,,0 HCPCS,27437,Revise kneecap,,,4817.0,15429.7,19 HCPCS,27438,"Hc Arthroplasty, Patella; With Prosthesis",11148.0,11148.0,,,0 HCPCS,27438,Revise kneecap with implant,,,5730.0,27300.32,18 HCPCS,27440,Revision of knee joint,,,5730.0,27300.32,18 HCPCS,27441,Revision of knee joint,,,5087.0,27300.32,19 HCPCS,27442,Revision of knee joint,,,5730.0,27300.32,18 HCPCS,27443,Revision of knee joint,,,5730.0,27300.32,18 HCPCS,27445,"Hc Arthroplasty, Knee, Hinge Prosthesis",10881.0,10881.0,,,0 HCPCS,27445,Revision of knee joint,,,3051.0,10006.92,11 HCPCS,27446,Hc Arthroplasty Knee Condyle & Plateau; Medial Or Lateral Compartment,15440.0,15440.0,,,0 HCPCS,27446,Revision of knee joint,,,5730.0,27300.32,17 HCPCS,27447,"Hc Arthroplasty, Knee, Condyle&Plateau; Medial&Lateral Compartments W/W/O Patella Resurfacing",12866.0,12866.0,,,0 HCPCS,27447,Total knee arthroplasty,,,3051.0,27300.32,18 HCPCS,27448,Incision of thigh,,,3051.0,15429.7,17 HCPCS,27450,Hc Osteotomy Femur Shaft/Supracondylar; With Fixation,10290.0,10290.0,,,0 HCPCS,27450,Incision of thigh,,,3051.0,15429.7,17 HCPCS,27454,Realignment of thigh bone,,,3051.0,15429.7,17 HCPCS,27455,"Hc Osteotomy Prox Tibia, Includ Fibular Exc/Osteotomy;Before Epiphyseal Closure",10290.0,10290.0,,,0 HCPCS,27455,Realignment of knee,,,3051.0,15429.7,17 HCPCS,27457,"Hc Osteotomy Prox Tibia, Includ Fibular Exc/Osteotomy; After Epiphyseal Closure",11148.0,11148.0,,,0 HCPCS,27457,Realignment of knee,,,3051.0,15429.7,18 HCPCS,27458,Osteot femur imed lngth dev,,,7278.16,15429.7,7 HCPCS,27465,Shortening of thigh bone,,,3051.0,15429.7,17 HCPCS,27466,Lengthening of thigh bone,,,3051.0,15429.7,17 HCPCS,27468,Shorten/lengthen thighs,,,3051.0,9172.0,10 HCPCS,27470,Repair of thigh,,,3051.0,15429.7,17 HCPCS,27472,Repair/graft of thigh,,,3051.0,15429.7,17 HCPCS,27475,Surgery to stop leg growth,,,4743.0,15429.7,18 HCPCS,27477,Surgery to stop leg growth,,,3051.0,15429.7,17 HCPCS,27479,Surgery to stop leg growth,,,4743.0,15429.7,18 HCPCS,27485,Surgery to stop leg growth,,,3051.0,15429.7,17 HCPCS,27486,Hc Revision Total Knee Arthroplasty W/W/O Allograft; One Component,15440.0,15440.0,,,0 HCPCS,27486,Revise/replace knee joint,,,3051.0,27300.32,18 HCPCS,27487,"Hc Revision, Total Knee Arthroplasty, W/W/O Allograft; Femoral&Entire Tibial Component",12866.0,12866.0,,,0 HCPCS,27487,Revise/replace knee joint,,,3051.0,37284.11,18 HCPCS,27488,Removal of knee prosthesis,,,3051.0,27300.32,17 HCPCS,27495,Reinforce thigh,,,3051.0,15429.7,17 HCPCS,27496,Decompression of thigh/knee,,,3281.9,8364.54,19 HCPCS,27497,Decompression of thigh/knee,,,3281.9,6957.62,19 HCPCS,27498,Decompression of thigh/knee,,,1612.85,7870.0,19 HCPCS,27499,Decompression of thigh/knee,,,4743.0,15429.7,19 HCPCS,27500,Treatment of thigh fracture,,,247.41,4840.09,19 HCPCS,27501,Treatment of thigh fracture,,,247.41,5345.54,19 HCPCS,27502,Treatment of thigh fracture,,,1612.85,5345.54,19 HCPCS,27503,Treatment of thigh fracture,,,1343.0,6293.23,19 HCPCS,27506,Treatment of thigh fracture,,,3051.0,15429.7,17 HCPCS,27507,Treatment of thigh fracture,,,3051.0,15429.7,16 HCPCS,27508,Treatment of thigh fracture,,,247.41,4840.09,19 HCPCS,27509,"Hc Percut.Skel.Fixat.Offemoral Fx,W/ Or W/Ointercondylar Exten-Sion",7906.0,7906.0,,,0 HCPCS,27509,Treatment of thigh fracture,,,3895.0,15429.7,19 HCPCS,27510,Treatment of thigh fracture,,,1343.0,5051.48,19 HCPCS,27511,Treatment of thigh fracture,,,3051.0,27300.32,16 HCPCS,27513,Treatment of thigh fracture,,,3051.0,27300.32,16 HCPCS,27514,Treatment of thigh fracture,,,3051.0,27300.32,17 HCPCS,27516,Treat thigh fx growth plate,,,247.41,4840.09,19 HCPCS,27517,Treat thigh fx growth plate,,,1343.0,5051.48,19 HCPCS,27519,Treat thigh fx growth plate,,,3051.0,15429.7,17 HCPCS,27520,Hc Closed Treatment Of Patellar Fracture W/O Manipulation,4862.0,4862.0,,,0 HCPCS,27520,Treat kneecap fracture,,,247.41,4840.09,19 HCPCS,27524,Hc Open Treat Patellar Frax W/Int Fix &/Or Partial/Comp Patell & Soft Tiss Repair,7906.0,7906.0,,,0 HCPCS,27524,Treat kneecap fracture,,,5405.0,15429.7,19 HCPCS,27530,Treat knee fracture,,,247.41,4840.09,19 HCPCS,27532,Treat knee fracture,,,2572.0,6957.62,19 HCPCS,27535,"Hc Open Treatment Of Tibial Fracture, Proximal; Unicondylar, Incl Internal Fixation",6588.0,6588.0,,,0 HCPCS,27535,Treat knee fracture,,,3051.0,15429.7,16 HCPCS,27536,Treat knee fracture,,,3051.0,15429.7,18 HCPCS,27538,"Hc Closed Treatment Of Intercondylar Spine(S) And/Or Tuberosity Fracture(S) Of Knee, W/W/O Manipulat",5252.0,5252.0,,,0 HCPCS,27538,Treat knee fracture(s),,,247.41,4840.09,19 HCPCS,27540,"Hc Opn Tx Intercondylr Spine &/Or Tuberosity Fx Knee,Incl Intrnl Fix,Whn Prfmd",11148.0,11148.0,,,0 HCPCS,27540,Treat knee fracture,,,3051.0,15429.7,18 HCPCS,27550,Hc Closed Rx Knee Dislocatn,603.0,603.0,,,0 HCPCS,27550,Treat knee dislocation,,,247.41,4840.09,19 HCPCS,27552,Treat knee dislocation,,,1612.85,5051.48,19 HCPCS,27556,Treat knee dislocation,,,3051.0,15429.7,18 HCPCS,27557,Treat knee dislocation,,,3051.0,15429.7,18 HCPCS,27558,Treat knee dislocation,,,3051.0,15429.7,18 HCPCS,27560,"Hc Closed Treatment Of Patellar Dislocation, W/O Anesth",545.0,545.0,,,0 HCPCS,27560,Treat kneecap dislocation,,,247.41,4840.09,19 HCPCS,27562,Treat kneecap dislocation,,,247.41,4840.09,19 HCPCS,27566,"Hc Open Treatment Of Patellar Dislocation, With Or Without Partial Or Total Patellectomy",6070.0,6070.0,,,0 HCPCS,27566,Treat kneecap dislocation,,,3295.0,15429.7,19 HCPCS,27570,Fixation of knee joint,,,1612.85,5051.48,19 HCPCS,27570,Hc Manip Knee Jt Under Gen Anesthesia,4862.0,4862.0,,,0 HCPCS,27580,Fusion of knee,,,3051.0,27300.32,17 HCPCS,27590,Amputate leg at thigh,,,3051.0,11685.0,15 HCPCS,27591,Amputate leg at thigh,,,3051.0,11685.0,15 HCPCS,27592,Amputate leg at thigh,,,3051.0,11685.0,15 HCPCS,27594,Amputation follow-up surgery,,,3281.9,6957.62,19 HCPCS,27596,Amputation follow-up surgery,,,3051.0,9172.0,15 HCPCS,27596,"Hc Amputate Thigh,Re-Amputatn",7906.0,7906.0,,,0 HCPCS,27598,Amputate lower leg at knee,,,3051.0,9172.0,15 HCPCS,27599,Asc Only Unlisted Procedure - Femur Or Knee - Knee Autograft Transfer,11148.0,11148.0,,,0 HCPCS,27599,Asc Only Unlisted Procedure - Femur Or Knee - Open Knee Medial Release,10135.0,10135.0,,,0 HCPCS,27599,Asc Only Unlisted Procedure - Femur Or Knee - Percutaneous Tenotomy Of Patella Tendon,11148.0,11148.0,,,0 HCPCS,27599,Asc Only Unlisted Procedure - Femur Or Knee - Subchondroplasty Knee,11148.0,11148.0,,,0 HCPCS,27599,Hc Baker Cyst Fenestration,5911.5,5911.5,,,0 HCPCS,27599,Hc Patellar Tenotomy,4057.0,4057.0,,,0 HCPCS,27599,Leg surgery procedure,,,247.41,11531.48,18 HCPCS,27600,Decompression of lower leg,,,3281.9,6957.62,19 HCPCS,27600,"Hc Decompression Fasciotomy, Leg; Anterior And/Or Lateral Compartments Only",6653.0,6653.0,,,0 HCPCS,27601,Decompression of lower leg,,,3281.9,6957.62,19 HCPCS,27601,"Hc Decompression Fasciotomy, Leg; Posterior Compartments Only",6307.0,6307.0,,,0 HCPCS,27602,Decompression of lower leg,,,3281.9,7870.0,19 HCPCS,27602,"Hc Decomp Fasciotomy, Leg; Anterior And/Or Lateral And Posterior Compartments",6653.0,6653.0,,,0 HCPCS,27603,Drain lower leg lesion,,,2913.5,6176.62,19 HCPCS,27603,Hc Drain Lower Leg Deep Absc/Hematoma,6935.0,6935.0,,,0 HCPCS,27604,Drain lower leg bursa,,,3281.9,6957.62,19 HCPCS,27604,"Hc Incision & Drainage, Leg Or Ankle; Infected Bursa",6905.0,6905.0,,,0 HCPCS,27605,"Hc Tenotomy Achilles Tendon, Local Anesthesia",6601.0,6601.0,,,0 HCPCS,27605,Incision of achilles tendon,,,1612.85,5051.48,19 HCPCS,27606,"Hc Tenotomy Achilles Tendon, Subcutaneous; General Anesthesia",4862.0,4862.0,,,0 HCPCS,27606,Incision of achilles tendon,,,2572.0,6957.62,19 HCPCS,27607,"Hc Incision, Leg Or Ankle",5507.0,5507.0,,,0 HCPCS,27607,Treat lower leg bone lesion,,,3281.9,6957.62,19 HCPCS,27610,Explore/treat ankle joint,,,3281.9,7870.0,19 HCPCS,27610,"Hc Arthrotomy, Ankle, Including Exploration, Drainage, Or Removal Of Foreign Body",5507.0,5507.0,,,0 HCPCS,27612,Exploration of ankle joint,,,3281.9,7870.0,19 HCPCS,27612,"Hc Arthrotomy,Posterior Capsular Release,Ankle,Wwo Ahilles Tendon Lengthening",6307.0,6307.0,,,0 HCPCS,27613,Biopsy lower leg soft tissue,,,1656.59,5051.48,19 HCPCS,27614,Biopsy lower leg soft tissue,,,2913.5,6176.62,19 HCPCS,27615,"Hc Rad Resect Tumor,Sft Tiss Of Leg Or Ankle Area;Less Thn 5Cm",6588.0,6588.0,,,0 HCPCS,27615,Resect leg/ankle tum < 5 cm,,,2912.0,6293.23,19 HCPCS,27616,Hc Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/>,16385.0,16385.0,,,0 HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,2913.5,11385.0,19 HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1656.59,5345.54,19 HCPCS,27618,"Hc Exc,Tumor,Sft Tiss Leg/Ankle Area,Subcut;Less Thn 3Cm",5810.0,5810.0,,,0 HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,2912.0,6293.23,19 HCPCS,27619,"Hc Exc,Tumor Sft Tiss Leg Or Ankle Area,Subfascial,Im;Less Thn 5Cm",6653.0,6653.0,,,0 HCPCS,27620,Explore/treat ankle joint,,,3281.9,7870.0,19 HCPCS,27620,Hc Arthrotomy Ankle W/Jt Explor W/Wo Biopsy W/Wo Rmvl Of Loose/Foreign Body,7811.0,7811.0,,,0 HCPCS,27625,"Hc Arthrotomy, With Synovectomy, Ankle",9791.0,9791.0,,,0 HCPCS,27625,Remove ankle joint lining,,,3281.9,7870.0,19 HCPCS,27626,Remove ankle joint lining,,,3281.9,7870.0,19 HCPCS,27630,"Hc Excision Of Lesion Of Tendon Sheath Or Capsule,Leg And/Or Ankle",6653.0,6653.0,,,0 HCPCS,27630,Removal of tendon lesion,,,3281.9,6957.62,19 HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2913.5,11385.0,19 HCPCS,27632,"Hc Exc,Tumor,Sft Tiss Leg Or Ankle Area,Subcut;3Cm Or Grtr",13791.0,13791.0,,,0 HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,2913.5,11385.0,19 HCPCS,27634,Hc Exc Tumor Soft Tissue Leg/Ankle Subfasc 5+Cm,16385.0,16385.0,,,0 HCPCS,27635,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor Tibia Or Fibula,7906.0,7906.0,,,0 HCPCS,27635,Remove lower leg bone lesion,,,3281.9,7870.0,19 HCPCS,27637,Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor W/Autograft,7906.0,7906.0,,,0 HCPCS,27637,Remove/graft leg bone lesion,,,4743.0,15429.7,19 HCPCS,27638,Hc Excision Or Currettage Of Bone Cyst Or Benign Tumor W/Allograft,7906.0,7906.0,,,0 HCPCS,27638,Remove/graft leg bone lesion,,,4743.0,15429.7,19 HCPCS,27640,Hc Partial Removal Of Tibia,5810.0,5810.0,,,0 HCPCS,27640,Partial removal of tibia,,,3281.9,7870.0,19 HCPCS,27641,Hc Partial Excision Of Bone; Fibula,5810.0,5810.0,,,0 HCPCS,27641,Partial removal of fibula,,,3281.9,7870.0,19 HCPCS,27645,Hc Radical Resection Of Tumor;Tibia,8576.0,8576.0,,,0 HCPCS,27645,Resect tibia tumor,,,3051.0,9172.0,17 HCPCS,27646,Hc Radical Resection Of Tumor; Fibula,7796.0,7796.0,,,0 HCPCS,27646,Resect fibula tumor,,,3051.0,9172.0,17 HCPCS,27647,Resect talus/calcaneus tum,,,3281.9,7870.0,19 HCPCS,27648,Hc Injection Procedure Ankle Arthrogram,669.0,669.0,,,0 HCPCS,27648,Injection for ankle x-ray,,,1343.0,4840.09,7 HCPCS,27650,"Hc Repair Achilles Tendon,Primary",7906.0,7906.0,,,0 HCPCS,27650,Repair achilles tendon,,,3514.53,15429.7,19 HCPCS,27652,Hc Repair Prim Open/Percutaneous Rupt Achilles Tendon W/Graft,7906.0,7906.0,,,0 HCPCS,27652,Repair/graft achilles tendon,,,5405.0,15429.7,19 HCPCS,27654,"Hc Repair Achilles Tendon,Secondary",6653.0,6653.0,,,0 HCPCS,27654,Repair of achilles tendon,,,5405.0,15429.7,19 HCPCS,27656,Hc Repair Fascial Defecct Of Leg,5507.0,5507.0,,,0 HCPCS,27656,Repair leg fascia defect,,,3281.9,6957.62,19 HCPCS,27658,"Hc Repair,Flexor Tendon,Leg; Primary,W/O Graft, Ea Tendon",4862.0,4862.0,,,0 HCPCS,27658,Repair of leg tendon each,,,2572.0,6957.62,19 HCPCS,27659,"Hc Repair,Flexor Tendon,Leg; Secondary,Wwo Graft,Ea Tendon",5810.0,5810.0,,,0 HCPCS,27659,Repair of leg tendon each,,,3295.0,15429.7,19 HCPCS,27664,"Hc Repair,Extensor Tendon,Leg; Primary Wo Graft,Ea Tendon",5810.0,5810.0,,,0 HCPCS,27664,Repair of leg tendon each,,,3295.0,15429.7,19 HCPCS,27665,"Hc Repair,Extensor Tendon,Leg;Secondary,Wwo Graft,Ea Tendon",5810.0,5810.0,,,0 HCPCS,27665,Repair of leg tendon each,,,3295.0,15429.7,19 HCPCS,27675,"Hc Repair,Dislocating Peroneal Tendons;Wo Fibular Osteotomy",5810.0,5810.0,,,0 HCPCS,27675,Repair lower leg tendons,,,3281.9,6957.62,19 HCPCS,27676,"Hc Repair, Dislocating Peroneal Tendons With Fibular Osteotomy",7906.0,7906.0,,,0 HCPCS,27676,Repair lower leg tendons,,,4743.0,15429.7,19 HCPCS,27680,"Hc Tenolysis,Flexor/Extensor Tendon,Leg &/Or Ankle;Single,Ea Tendon",6653.0,6653.0,,,0 HCPCS,27680,Release of lower leg tendon,,,3281.9,7870.0,19 HCPCS,27681,"Hc Tenolysis, Flexor/Extensor Tendon, Leg And/Or Ankle; Multiple Tendons",5507.0,5507.0,,,0 HCPCS,27681,Release of lower leg tendons,,,3281.9,7870.0,19 HCPCS,27685,"Hc Lengthening/Shortening Tendon, Leg/Ankle; Single Tendon",6653.0,6653.0,,,0 HCPCS,27685,Revision of lower leg tendon,,,3281.9,7870.0,19 HCPCS,27686,"Hc Lengthening/Shortening Tendon,Leg/Ankle; Multiple Tendons,Ea",6307.0,6307.0,,,0 HCPCS,27686,Revise lower leg tendons,,,3281.9,7870.0,19 HCPCS,27687,Hc Gastrocnemius Recession,7906.0,7906.0,,,0 HCPCS,27687,Revision of calf tendon,,,3281.9,7870.0,19 HCPCS,27690,Hc Transfer/Transplant Single Tendon; Superficial,8241.0,8241.0,,,0 HCPCS,27690,Revise lower leg tendon,,,4817.0,15429.7,19 HCPCS,27691,Hc Xfer Single Deep Low Leg Tendon,8241.0,8241.0,,,0 HCPCS,27691,Revise lower leg tendon,,,4817.0,15429.7,19 HCPCS,27692,Hc Transfer Or Transplant Of Single Tendon; Each Additional Tendon,6307.0,6307.0,,,0 HCPCS,27692,Revise additional leg tendon,,,1343.0,6293.23,7 HCPCS,27695,"Hc Repair,Primary,Disrupted Ligament,Ankle;Collateral",5810.0,5810.0,,,0 HCPCS,27695,Repair of ankle ligament,,,3295.0,15429.7,19 HCPCS,27696,Repair of ankle ligaments,,,3295.0,15429.7,19 HCPCS,27698,"Hc Repair Collat Ankle Ligmnt,Secondary",6905.0,6905.0,,,0 HCPCS,27698,Repair of ankle ligament,,,3295.0,15429.7,19 HCPCS,27700,Hc Arthroplasty-Ankle,9290.0,9290.0,,,0 HCPCS,27700,Revision of ankle joint,,,5087.0,15429.7,19 HCPCS,27702,Hc Arthroplasty Ankle W/Implant,10617.0,10617.0,,,0 HCPCS,27702,Reconstruct ankle joint,,,3051.0,57698.1,17 HCPCS,27703,"Hc Arthroplasty, Ankle; Revision, Total Ankle",10617.0,10617.0,,,0 HCPCS,27703,Reconstruction ankle joint,,,3051.0,37284.11,17 HCPCS,27704,Removal of ankle implant,,,3281.9,7870.0,19 HCPCS,27705,Hc Osteotomy; Tibia,5753.0,5753.0,,,0 HCPCS,27705,Incision of tibia,,,3295.0,15429.7,19 HCPCS,27707,Incision of fibula,,,3281.9,7870.0,19 HCPCS,27709,Incision of tibia & fibula,,,3295.0,27300.32,19 HCPCS,27712,Realignment of lower leg,,,3051.0,27300.32,17 HCPCS,27713,Osteot tibia imed lngth dev,,,7278.16,15429.7,7 HCPCS,27715,Revision of lower leg,,,3051.0,27300.32,16 HCPCS,27720,"Hc Repair Of Nonunion Or Malunion, Tibia; Without Graft",13096.0,13096.0,,,0 HCPCS,27720,Repair of tibia,,,5730.0,15429.7,19 HCPCS,27722,Hc Repair Of Nonunion/Malunion Tibia W/Sliding Graft,13654.0,13654.0,,,0 HCPCS,27722,Repair/graft of tibia,,,5730.0,15429.7,19 HCPCS,27724,Hc Repair Of Non/Malunion Tibia By Synostosis W Iliac Or Other Autograft,8576.0,8576.0,,,0 HCPCS,27724,Repair/graft of tibia,,,3051.0,15429.7,17 HCPCS,27725,Repair of lower leg,,,3051.0,15429.7,17 HCPCS,27726,Hc Rfibula Nonunion/Malunion W Int Fixation,16385.0,16385.0,,,0 HCPCS,27726,Repair fibula nonunion,,,5405.0,15429.7,19 HCPCS,27727,Repair of lower leg,,,3051.0,9172.0,17 HCPCS,27730,Repair of tibia epiphysis,,,3281.9,7870.0,19 HCPCS,27732,Repair of fibula epiphysis,,,3281.9,7870.0,19 HCPCS,27734,Repair lower leg epiphyses,,,3281.9,7870.0,19 HCPCS,27740,Repair of leg epiphyses,,,3281.9,7870.0,19 HCPCS,27742,Repair of leg epiphyses,,,3281.9,8655.0,19 HCPCS,27745,Reinforce tibia,,,5405.0,15429.7,18 HCPCS,27750,Hc Closed Rx Tibia Shaft Fx,620.0,620.0,,,0 HCPCS,27750,Hc Closed Treatment Of Tibial Shaft Fracture (With Or Without Fibular Fracture); Without Manipulatio,620.0,620.0,,,0 HCPCS,27750,Treatment of tibia fracture,,,247.41,4840.09,19 HCPCS,27752,"Hc Closed Treatment, Tibial Shaft Fracture W/W/O Fibular Fracture W/Manipulation W/W/O Skeletal Trac",4438.0,4438.0,,,0 HCPCS,27752,Treatment of tibia fracture,,,1612.85,5051.48,19 HCPCS,27756,Treatment of tibia fracture,,,3895.0,15429.7,19 HCPCS,27758,Treatment of tibia fracture,,,4817.0,27300.32,19 HCPCS,27759,"Hc Treatment Of Tibial Shaft Fracture W/W/O Fibular Fracture, Intramedullary Implant W/W/O Interlock",9791.0,9791.0,,,0 HCPCS,27759,Treatment of tibia fracture,,,4817.0,27300.32,19 HCPCS,27760,Cltx medial ankle fx,,,247.41,4840.09,19 HCPCS,27760,Hc Closed Treatment Of Medial Malleolus Fracture; Without Manipulation,620.0,620.0,,,0 HCPCS,27762,Cltx med ankle fx w/mnpj,,,1612.85,5051.48,19 HCPCS,27762,"Hc Closed Treatment Of Medial Malleolus Fracture; With Manipulation, With Or Without Skin Or Skeleta",4455.0,4455.0,,,0 HCPCS,27766,"Hc Opn Tx Medial Malleolus Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,27766,Optx medial ankle fx,,,5405.0,15429.7,19 HCPCS,27767,Cltx post ankle fx,,,247.41,4840.09,19 HCPCS,27767,Hc Clsd Tx Posterior Malleolus Fx;W/O Manip,4862.0,4862.0,,,0 HCPCS,27768,Cltx post ankle fx w/mnpj,,,1343.0,5051.48,19 HCPCS,27769,"Hc Opn Tx Posterior Malleolus Fx,Incl Internal Fx,When Performed",16385.0,16385.0,,,0 HCPCS,27769,Optx post ankle fx,,,5405.0,15429.7,19 HCPCS,27780,Hc Closed Treatment Of Proximal Fibula/Shaft Fracture; W/O Manipulation,4609.0,4609.0,,,0 HCPCS,27780,Treatment of fibula fracture,,,247.41,4840.09,19 HCPCS,27781,"Hc Closed Treatment, Proximal Fibula/Shaft Fracture W/Manipulation",4438.0,4438.0,,,0 HCPCS,27781,Treatment of fibula fracture,,,1612.85,5051.48,19 HCPCS,27784,"Hc Opn Tx Proximal Fibula/Shaft Fx,Incl Intrnl Fix,Whn Prfmd",6307.0,6307.0,,,0 HCPCS,27784,Treatment of fibula fracture,,,5405.0,15429.7,19 HCPCS,27786,Hc Closed Rx Dist Fibula Fx,2754.0,2754.0,,,0 HCPCS,27786,Treatment of ankle fracture,,,247.41,4840.09,19 HCPCS,27788,"Hc Closed Treatment Of Distal Fibular Fracture, W/Manip",992.0,992.0,,,0 HCPCS,27788,Treatment of ankle fracture,,,247.41,4840.09,19 HCPCS,27792,"Hc Opn Tx Distal Fibular Fx,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,27792,Treatment of ankle fracture,,,5405.0,15429.7,19 HCPCS,27808,Hc Closed Treatment Of Bimalleolar Ankle Fracture; Without Manipulation,620.0,620.0,,,0 HCPCS,27808,Hc Closed Treatment Of Bimalleolar Ankle Fx W/O Manipulation,4609.0,4609.0,,,0 HCPCS,27808,Treatment of ankle fracture,,,247.41,4840.09,19 HCPCS,27810,Hc Closed Treatment Of Bimalleolar Ankle Fracture; With Manipulation,4391.0,4391.0,,,0 HCPCS,27810,Hc Closed Tx Bimalleolar Ankle Fracture W Manip,4173.0,4173.0,,,0 HCPCS,27810,Treatment of ankle fracture,,,1612.85,5051.48,19 HCPCS,27814,"Hc Opn Tx Bimalleolar Ankl Fx, Incl Intrnl Fix,Whn Prfmd",7906.0,7906.0,,,0 HCPCS,27814,Treatment of ankle fracture,,,5405.0,15429.7,19 HCPCS,27816,Hc Closed Rx Trimalleolar Fx,662.0,662.0,,,0 HCPCS,27816,Treatment of ankle fracture,,,247.41,4840.09,19 HCPCS,27818,"Hc Closed Rx Trimalleolar Fx,Manip",4650.0,4650.0,,,0 HCPCS,27818,Treatment of ankle fracture,,,1612.85,5051.48,19 HCPCS,27822,"Hc Opn Tx Trimlr Ank Fx,Inc Intrn Fix,Whn Prfmd,Medl&/Or Lat Malls;Wo Fix Post Lip",7906.0,7906.0,,,0 HCPCS,27822,Treatment of ankle fracture,,,5405.0,15429.7,19 HCPCS,27823,"Hc Open Treatment, Trimalleolar Ankle Fracture Incl Internal Fixation, Medial/Lateral Malleolus W/Fi",7906.0,7906.0,,,0 HCPCS,27823,Treatment of ankle fracture,,,5405.0,15429.7,19 HCPCS,27824,Treat lower leg fracture,,,247.41,4840.09,19 HCPCS,27825,"Hc Closed Rx Weight Bear Dist Tib,Manip",4417.0,4417.0,,,0 HCPCS,27825,"Hc Closed Tx Of Fracture Of Weight Bearing Articular Portion Of Distal Tibia, W/W/O Anesthesia; W/Sk",4417.0,4417.0,,,0 HCPCS,27825,Treat lower leg fracture,,,1612.85,5345.54,19 HCPCS,27826,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Fib Only",6588.0,6588.0,,,0 HCPCS,27826,Treat lower leg fracture,,,5405.0,15429.7,19 HCPCS,27827,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Tib Only",7906.0,7906.0,,,0 HCPCS,27827,Treat lower leg fracture,,,5405.0,27300.32,19 HCPCS,27828,"Hc Opn Tx Fx Wght Bearng Artclr Srf/Prtn Distl Tib,W/Intrnl Fix,Whn Prfmd;Fib&Tib",9791.0,9791.0,,,0 HCPCS,27828,Treat lower leg fracture,,,4817.0,27300.32,19 HCPCS,27829,Hc Open Tx Distal Tibiofibular Joint Disruption,6905.0,6905.0,,,0 HCPCS,27829,Treat lower leg joint,,,3295.0,15429.7,19 HCPCS,27830,"Hc Closed Treatment Of Proximal Tibiofibular Joint Dislocation, Without Anesthesia",4609.0,4609.0,,,0 HCPCS,27830,Treat lower leg dislocation,,,247.41,4840.09,19 HCPCS,27831,Treat lower leg dislocation,,,1952.0,6957.62,19 HCPCS,27832,Treat lower leg dislocation,,,3295.0,15429.7,19 HCPCS,27840,Hc Closed Rx Ankle Dislocatn,603.0,603.0,,,0 HCPCS,27840,Treat ankle dislocation,,,247.41,4840.09,19 HCPCS,27842,Treat ankle dislocation,,,1612.85,5051.48,19 HCPCS,27846,Treat ankle dislocation,,,5405.0,15429.7,19 HCPCS,27848,Treat ankle dislocation,,,5405.0,15429.7,19 HCPCS,27860,Fixation of ankle joint,,,2572.0,6957.62,19 HCPCS,27870,Fusion of ankle joint open,,,4817.0,27300.32,19 HCPCS,27870,"Hc Arthrodesis, Ankle, Open",9791.0,9791.0,,,0 HCPCS,27871,Fusion of tibiofibular joint,,,4817.0,27300.32,19 HCPCS,27871,"Hc Arthodesis, Tibiofibular Jt, Proximal Or Distal",9791.0,9791.0,,,0 HCPCS,27880,Amputation of lower leg,,,3051.0,15429.7,15 HCPCS,27880,"Hc Amputation, Leg, Through Tibia And Fibula",5989.0,5989.0,,,0 HCPCS,27881,Amputation of lower leg,,,3051.0,9172.0,15 HCPCS,27882,Amputation of lower leg,,,3051.0,9172.0,15 HCPCS,27884,Amputation follow-up surgery,,,3281.9,6957.62,19 HCPCS,27886,Amputation follow-up surgery,,,3051.0,9172.0,15 HCPCS,27888,Amputation of foot at ankle,,,3051.0,9172.0,15 HCPCS,27889,Amputation of foot at ankle,,,4743.0,15429.7,19 HCPCS,27892,Decompression of leg,,,3281.9,7870.0,19 HCPCS,27893,Decompression of leg,,,4743.0,15429.7,19 HCPCS,27893,"Hc Decompression Fasciotomy, Leg; Posterior Compartment(S) Only, With Debridement Of Nonviable Muscl",6588.0,6588.0,,,0 HCPCS,27894,Decompression of leg,,,3281.9,7870.0,19 HCPCS,27894,"Hc Decompression Fasciotomy, Leg; Anterior And/Or Lateral, And Posterior Compartment(S), With Debrid",7906.0,7906.0,,,0 HCPCS,27899,Asc Only Unlisted Procedure - Ankle Compact Grafting And Cartilage Autograft Implantation,9800.0,9800.0,,,0 HCPCS,27899,"Asc Only Unlisted Procedure, Leg Or Ankle - Hemi-Talus Osteochondral Lesion Excision And Bulk Allogr",9800.0,9800.0,,,0 HCPCS,27899,"Asc Only Unlisted Procedure, Leg Or Ankle - Talus Ocd Open Repair/Reconstruction",9800.0,9800.0,,,0 HCPCS,27899,"Asc Only Unlisted Procedure, Leg Or Ankle - Talus Osteochondral Lesion Compaction Grafting And Carti",9800.0,9800.0,,,0 HCPCS,27899,Hc Unlisted Procedure Leg Or Ankle,9800.0,9800.0,,,0 HCPCS,27899,Leg/ankle surgery procedure,,,247.41,11531.48,18 HCPCS,28001,Drainage of bursa of foot,,,1656.59,5051.48,18 HCPCS,28002,"Hc Incision And Drainage Below Fascia, With Or Without Tendon Sheath Involvement, Foot; Single Bursa",6307.0,6307.0,,,0 HCPCS,28002,Treatment of foot infection,,,1612.85,6293.23,19 HCPCS,28003,"Hc Incision And Drainage Below Fascia, W/W/O Tendon Sheath Involvement, Foot; Multiple Areas",6318.0,6318.0,,,0 HCPCS,28003,Treatment of foot infection,,,3281.9,6957.62,19 HCPCS,28005,Hc Deep Incis Foot Bone Infectn,6653.0,6653.0,,,0 HCPCS,28005,Treat foot bone lesion,,,3281.9,6957.62,19 HCPCS,28008,Hc Fasciotomy Foot And/Or Toe,6653.0,6653.0,,,0 HCPCS,28008,Incision of foot fascia,,,3281.9,6957.62,19 HCPCS,28010,"Hc Tenotomy Perc Toe, Singl Tendon",6975.0,6975.0,,,0 HCPCS,28010,Incision of toe tendon,,,1612.85,5345.54,18 HCPCS,28011,Incision of toe tendons,,,1612.85,6293.23,19 HCPCS,28020,Exploration of foot joint,,,3281.9,6957.62,19 HCPCS,28020,"Hc Arthrotmy,Inc Explor,Drain/Rmvl Loose/Foreign Bdy;Inter/Tarsometatarsal Jnt",6905.0,6905.0,,,0 HCPCS,28022,Exploration of foot joint,,,3281.9,6957.62,19 HCPCS,28022,"Hc Arthrotomy, Including Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Metatarsophalan",6905.0,6905.0,,,0 HCPCS,28024,Exploration of toe joint,,,1612.85,5345.54,19 HCPCS,28024,"Hc Arthrotomy, Including Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Interphalangeal",6905.0,6905.0,,,0 HCPCS,28035,Decompression of tibia nerve,,,1958.63,7175.28,19 HCPCS,28035,"Hc Release, Tarsal Tunnel, Posterior Tibial Nerve Decompression",8241.0,8241.0,,,0 HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,2572.0,6176.62,19 HCPCS,28039,"Hc Exc,Tumor,Sft Tiss Foot Or Toe,Subcut;1.5Cm Or Grtr",5810.0,5810.0,,,0 HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,2913.5,6277.0,19 HCPCS,28041,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subfascial, =>1.5 Cm",5507.0,5507.0,,,0 HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1656.59,5345.54,19 HCPCS,28043,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subcutaneous; < 1.5 Cm",5810.0,5810.0,,,0 HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,2912.0,6293.23,19 HCPCS,28045,"Hc Excision, Tumor, Soft Tissue Of Foot Or Toe, Subfascial < 1.5 Cm",6653.0,6653.0,,,0 HCPCS,28046,"Hc Radical Resection Of Tumor, Soft Tissue Of Foot Or Toe, Less Than 3 Cm",6588.0,6588.0,,,0 HCPCS,28046,Resect foot/toe tumor < 3 cm,,,2912.0,6293.23,19 HCPCS,28047,"Hc Rad Resect,Tumor,Malig Neo,Foot Or Toe;3Cm Or Grtr",16385.0,16385.0,,,0 HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,2913.5,11385.0,19 HCPCS,28050,Biopsy of foot joint lining,,,3281.9,6957.62,19 HCPCS,28052,Biopsy of foot joint lining,,,3281.9,6957.62,19 HCPCS,28054,Biopsy of toe joint lining,,,3281.9,6957.62,19 HCPCS,28055,"Hc Neurectomy, Intrinsic Musculature Of Foot",7811.0,7811.0,,,0 HCPCS,28055,Neurectomy foot,,,1958.63,7175.28,19 HCPCS,28060,"Hc Fasciectomy,Plantar Fascia;Partial",5810.0,5810.0,,,0 HCPCS,28060,Partial removal foot fascia,,,3281.9,6957.62,19 HCPCS,28062,"Hc Fasciectomy, Plantar Fascia; Radical",6307.0,6307.0,,,0 HCPCS,28062,Removal of foot fascia,,,3281.9,6957.62,19 HCPCS,28070,Removal of foot joint lining,,,3514.53,15429.7,19 HCPCS,28072,"Hc Synovectomy; Metatarsophalangeal Joint, Each",6307.0,6307.0,,,0 HCPCS,28072,Removal of foot joint lining,,,3281.9,6957.62,19 HCPCS,28080,"Hc Excision,Interdigital (Morton) Neuroma,Single,Each",6653.0,6653.0,,,0 HCPCS,28080,Removal of foot lesion,,,1612.85,6293.23,19 HCPCS,28086,Excise foot tendon sheath,,,3281.9,6957.62,19 HCPCS,28088,Excise foot tendon sheath,,,3281.9,6957.62,19 HCPCS,28088,"Hc Synovectomy Tendon Sheath, Foot; Extensor",5507.0,5507.0,,,0 HCPCS,28090,"Hc Excision Lesion,Tendon,Tendon Sheath/Capsule; Foot",6653.0,6653.0,,,0 HCPCS,28090,Removal of foot lesion,,,1612.85,6293.23,19 HCPCS,28092,"Hc Excision Of Lesion, Tendon, Tendon Sheath, Or Capsule (Including Synovectomy) (Eg, Cyst Or Gangli",6653.0,6653.0,,,0 HCPCS,28092,Removal of toe lesions,,,1612.85,6293.23,19 HCPCS,28100,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Talus Or Calcaneus",5507.0,5507.0,,,0 HCPCS,28100,Removal of ankle/heel lesion,,,3281.9,6957.62,19 HCPCS,28102,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Talus Or Calcaneus With Iliac Or Other Autogr",6653.0,6653.0,,,0 HCPCS,28102,Remove/graft foot lesion,,,5405.0,15429.7,19 HCPCS,28103,Hc Excision/Currett Bone Cyst/Benign Tumor Talus Or Calaneus; W/Allograft,6653.0,6653.0,,,0 HCPCS,28103,Remove/graft foot lesion,,,5405.0,15429.7,19 HCPCS,28104,"Hc Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tarsal Or Metatarsal, Except Talus Or Calcane",5507.0,5507.0,,,0 HCPCS,28104,Removal of foot lesion,,,3281.9,6957.62,19 HCPCS,28106,Hc Exc/Curet Bone Cyst/Benign Tumor Tarsal/Metat Bones Ex Talus/Cal; W/Iliac/Autog,6653.0,6653.0,,,0 HCPCS,28106,Remove/graft foot lesion,,,5405.0,15429.7,19 HCPCS,28107,Remove/graft foot lesion,,,5405.0,15429.7,19 HCPCS,28108,Removal of toe lesions,,,1612.85,5345.54,19 HCPCS,28110,Hc Ostectomy Partial Excision Fifth Metatarsal Head,6653.0,6653.0,,,0 HCPCS,28110,Part removal of metatarsal,,,3281.9,6957.62,19 HCPCS,28111,Part removal of metatarsal,,,3281.9,6957.62,19 HCPCS,28112,"Hc Ostectomy, Complete Excision, Other Metatarsal Head (2Nd, 3Rd Or 4Th)",6653.0,6653.0,,,0 HCPCS,28112,Part removal of metatarsal,,,3281.9,6957.62,19 HCPCS,28113,Hc Ostectomy Complete Excision; Fifth Metatarsal Head,6307.0,6307.0,,,0 HCPCS,28113,Part removal of metatarsal,,,3281.9,6957.62,19 HCPCS,28114,Removal of metatarsal heads,,,3281.9,6957.62,19 HCPCS,28116,Hc Ostectomy-Excision Of Tarsal Coalition,7906.0,7906.0,,,0 HCPCS,28116,Revision of foot,,,3281.9,6957.62,19 HCPCS,28118,"Hc Ostectomy, Calcaneus",8241.0,8241.0,,,0 HCPCS,28118,Removal of heel bone,,,3281.9,7175.28,19 HCPCS,28119,Hc Removal Of Heel Spur,9791.0,9791.0,,,0 HCPCS,28119,Removal of heel spur,,,3281.9,7175.28,19 HCPCS,28120,Hc Part Remv Talus Or Calcaneus,12994.0,12994.0,,,0 HCPCS,28120,Part removal of ankle/heel,,,3281.9,10726.0,19 HCPCS,28122,Hc Part Remv Othr Tarsal/Metatarsal,6653.0,6653.0,,,0 HCPCS,28122,Partial removal of foot bone,,,3281.9,6957.62,19 HCPCS,28124,Hc Part Remv Phalanx Of Toe,7906.0,7906.0,,,0 HCPCS,28124,Hc Pbb Part Remv Phalanx Of Toe,7556.0,7556.0,,,0 HCPCS,28124,Partial removal of toe,,,3051.0,6957.62,19 HCPCS,28126,Partial removal of toe,,,3281.9,6957.62,19 HCPCS,28130,Removal of ankle bone,,,3514.53,15429.7,19 HCPCS,28140,Removal of metatarsal,,,3281.9,6957.62,19 HCPCS,28150,Removal of toe,,,3281.9,6957.62,19 HCPCS,28153,Partial removal of toe,,,3281.9,6957.62,19 HCPCS,28160,Partial removal of toe,,,3281.9,6957.62,19 HCPCS,28171,"Hc Radical Resection Of Tumor, Tarsal",6307.0,6307.0,,,0 HCPCS,28171,Resect tarsal tumor,,,3281.9,6957.62,19 HCPCS,28173,Hc Radical Resection Of Tumor; Metatarsal,6307.0,6307.0,,,0 HCPCS,28173,Resect metatarsal tumor,,,3281.9,6957.62,19 HCPCS,28175,Hc Radical Resection Of Tumor; Phalanx Of Toe,6307.0,6307.0,,,0 HCPCS,28175,Resect phalanx of toe tumor,,,1612.85,6293.23,19 HCPCS,28190,"Hc Removal Of Foreign Body, Foot; Subcutaneous",4609.0,4609.0,,,0 HCPCS,28190,"Hc Remv Foot Foreign Body,Subcutaneous",5400.0,5400.0,,,0 HCPCS,28190,Removal of foot foreign body,,,710.27,4840.09,19 HCPCS,28192,"Hc Removal Of Foreign Body, Foot; Deep",5507.0,5507.0,,,0 HCPCS,28192,Removal of foot foreign body,,,1656.59,5345.54,19 HCPCS,28193,Hc Removal Of Foreign Body; Complicated,7811.0,7811.0,,,0 HCPCS,28193,Removal of foot foreign body,,,1656.59,7175.28,19 HCPCS,28200,"Hc Repair,Tendon,Flexor,Foot;Prim/Secondary,Wo Free Graft,Ea Tendon",6653.0,6653.0,,,0 HCPCS,28200,Repair of foot tendon,,,3281.9,6957.62,19 HCPCS,28202,Hc Repair/Suture Of Tendon Foot Flexor Single; Second W/Free Graft Ea Tend,6653.0,6653.0,,,0 HCPCS,28202,Repair/graft of foot tendon,,,3600.0,15429.7,19 HCPCS,28208,"Hc Repair,Tendon,Extensor,Foot/Prim/Secondary,Ea Tendon",6653.0,6653.0,,,0 HCPCS,28208,Repair of foot tendon,,,3281.9,6957.62,19 HCPCS,28210,"Hc Repairsuture Of Tendon Foot Extensor, Single; Second W/Free Graft Each Tendon",6307.0,6307.0,,,0 HCPCS,28210,Repair/graft of foot tendon,,,5405.0,15429.7,19 HCPCS,28220,Release of foot tendon,,,1612.85,5345.54,18 HCPCS,28222,Release of foot tendons,,,2572.0,6957.62,19 HCPCS,28225,"Hc Tenolysis,Extensor,Foot;Single Tendon",4609.0,4609.0,,,0 HCPCS,28225,Release of foot tendon,,,2572.0,6957.62,19 HCPCS,28226,Release of foot tendons,,,2572.0,6957.62,19 HCPCS,28230,"Hc Tenotomy,Open,Tendon Flexor;Foot,Single/Multiple Tendon(S)",6653.0,6653.0,,,0 HCPCS,28230,Incision of foot tendon(s),,,1612.85,5345.54,18 HCPCS,28232,"Hc Tenotomy, Open, Tendon Flexor, Toe, Single Tendon",6653.0,6653.0,,,0 HCPCS,28232,Incision of toe tendon,,,1612.85,5345.54,18 HCPCS,28234,"Hc Tenotomy,Open,Extensor,Foot/Toe,Ea Tendon",5810.0,5810.0,,,0 HCPCS,28234,Incision of foot tendon,,,1612.85,5345.54,19 HCPCS,28238,"Hc Recon,Posterior Tibial Tndn W/Exc Acessory Tarsal Navicular Bone",7906.0,7906.0,,,0 HCPCS,28238,Revision of foot tendon,,,5405.0,15429.7,19 HCPCS,28240,Release of big toe,,,3281.9,6957.62,19 HCPCS,28250,Hc Division Of Plantar Fascia And Muscle,6653.0,6653.0,,,0 HCPCS,28250,Revision of foot fascia,,,3281.9,6957.62,19 HCPCS,28260,Release of midfoot joint,,,3281.9,6957.62,19 HCPCS,28261,Revision of foot tendon,,,1612.85,6293.23,19 HCPCS,28262,"Hc Capsulotomy,Midfoot;Extensv,Incl Poster Talotibial Capsltmy & Tendon(S) Lengt",9791.0,9791.0,,,0 HCPCS,28262,Revision of foot and ankle,,,3600.0,15429.7,19 HCPCS,28264,Release of midfoot joint,,,1612.85,8655.0,19 HCPCS,28270,"Hc Capsulotomy Mt-P Jt,Foot,Each",6653.0,6653.0,,,0 HCPCS,28270,Release of foot contracture,,,3281.9,6957.62,19 HCPCS,28272,Release of toe joint each,,,1612.85,5345.54,18 HCPCS,28280,Fusion of toes,,,3281.9,6957.62,19 HCPCS,28280,"Hc Syndactylization, Toes",6653.0,6653.0,,,0 HCPCS,28285,"Hc Repair Of Hammertoe,One",6653.0,6653.0,,,0 HCPCS,28285,Repair of hammertoe,,,3281.9,6957.62,19 HCPCS,28286,Repair of hammertoe,,,3281.9,7175.28,19 HCPCS,28288,"Hc Ostectomy Partial Exostectomy/Condylectomy Metatarsal Head,Ea Met Head",6588.0,6588.0,,,0 HCPCS,28288,Partial removal of foot bone,,,3281.9,6957.62,19 HCPCS,28289,Corrj halux rigdus w/o implt,,,3281.9,6957.62,19 HCPCS,28289,Hc Repair Hallux Rigidus,6653.0,6653.0,,,0 HCPCS,28290,Correction of bunion,,,5345.54,5611.0,3 HCPCS,28291,Corrj halux rigdus w/implt,,,5405.0,15429.7,18 HCPCS,28291,Hc Hallux Rigidus W/Cheilectomy 1St Mp Jt W/Implt,7906.0,7906.0,,,0 HCPCS,28292,Correction hallux valgus,,,3281.9,7870.0,19 HCPCS,28292,"Hc Correct Bunion,Keller/Mcbride/Mayo",5810.0,5810.0,,,0 HCPCS,28293,Correction of bunion,,,5611.0,6293.23,3 HCPCS,28294,Correction of bunion,,,5611.0,6293.23,3 HCPCS,28295,Correction hallux valgus,,,3281.9,7870.0,19 HCPCS,28296,Correction hallux valgus,,,3281.9,7870.0,19 HCPCS,28296,"Hc Correct Bunion,Metatarsal Osteotomy",6653.0,6653.0,,,0 HCPCS,28297,Correction hallux valgus,,,4743.0,27300.32,19 HCPCS,28297,"Hc Correct Bunion,Lapidus Type",6653.0,6653.0,,,0 HCPCS,28298,Correction hallux valgus,,,4743.0,15429.7,19 HCPCS,28298,Hc Keller Mcbridge/Mayo Type Proced; By Phalanx Osteotomy,6653.0,6653.0,,,0 HCPCS,28299,Correction hallux valgus,,,4743.0,15429.7,19 HCPCS,28299,"Hc Correct,Hallux Valgus,Wwo Sesamoidctmy;By Dbl Osteotomy",11148.0,11148.0,,,0 HCPCS,28300,Hc Osteotomy Heel Bone,6905.0,6905.0,,,0 HCPCS,28300,Incision of heel bone,,,3295.0,15429.7,19 HCPCS,28302,"Hc Osteotomy, Talus",6905.0,6905.0,,,0 HCPCS,28302,Incision of ankle bone,,,3295.0,15429.7,19 HCPCS,28304,"Hc Osteotomy,Tarsal Bones,Oth Than Calcaneus/Talus;",5753.0,5753.0,,,0 HCPCS,28304,Incision of midfoot bones,,,3295.0,15429.7,19 HCPCS,28305,"Hc Osteotomy,Tarsal Bones,Oth Than Calcaneus/Talus;W/Autograft",7906.0,7906.0,,,0 HCPCS,28305,Incise/graft midfoot bones,,,5405.0,15429.7,19 HCPCS,28306,"Hc Osteotomy,Wwo Length,Shorten/Angular Corr,Metatarsal;1St Met",8241.0,8241.0,,,0 HCPCS,28306,Incision of metatarsal,,,3600.0,15429.7,19 HCPCS,28307,Incision of metatarsal,,,3514.53,15429.7,19 HCPCS,28308,"Hc Osteotomy,Wwo Length,Shorten/Angular Corr,Metatarsal;Oth Than 1St Met,Ea",5810.0,5810.0,,,0 HCPCS,28308,Incision of metatarsal,,,3281.9,6957.62,19 HCPCS,28309,"Hc Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metatarsal; Multiple",7811.0,7811.0,,,0 HCPCS,28309,Incision of metatarsals,,,4817.0,15429.7,19 HCPCS,28310,"Hc Osteotomy, Shortening, Angular Or Rotational Correction; Proximal Phalanx, First Toe",6307.0,6307.0,,,0 HCPCS,28310,Revision of big toe,,,3514.53,15429.7,19 HCPCS,28312,Hc Osteotomy For Short Angular/Rotational Corr; Other Phalanges Any Toe,6307.0,6307.0,,,0 HCPCS,28312,Revision of toe,,,3281.9,6957.62,19 HCPCS,28313,"Hc Recon,Angular Deform Toe,Soft Tiss Procedures Only",6905.0,6905.0,,,0 HCPCS,28313,Repair deformity of toe,,,3281.9,6957.62,19 HCPCS,28315,"Hc Remov Sesamoid Bone,1St Toe",8241.0,8241.0,,,0 HCPCS,28315,Removal of sesamoid bone,,,3281.9,7175.28,19 HCPCS,28320,"Hc Repair,Nonunion/Malunion; Tarsal Bones",8241.0,8241.0,,,0 HCPCS,28320,Repair of foot bones,,,4817.0,27300.32,19 HCPCS,28322,Hc Repair Of Nonunion/Malunion; Metatarsal W/Wo Bone Graft,8241.0,8241.0,,,0 HCPCS,28322,Repair of metatarsals,,,3600.0,15429.7,19 HCPCS,28340,Resect enlarged toe tissue,,,3281.9,7175.28,19 HCPCS,28341,Resect enlarged toe,,,3281.9,7175.28,19 HCPCS,28344,Repair extra toe(s),,,3281.9,7175.28,19 HCPCS,28345,Repair webbed toe(s),,,1612.85,7175.28,19 HCPCS,28360,Reconstruct cleft foot,,,6156.44,15429.7,16 HCPCS,28400,Hc Closed Treatment Of Calcaneal Fracture; W/O Manipulation,4609.0,4609.0,,,0 HCPCS,28400,Treatment of heel fracture,,,247.41,4840.09,19 HCPCS,28405,Treatment of heel fracture,,,247.41,5345.54,19 HCPCS,28406,Treatment of heel fracture,,,3295.0,15429.7,19 HCPCS,28415,"Hc Open Treatment,Calcaneal Fracture, Incl Internal Fixation, When Performed",7906.0,7906.0,,,0 HCPCS,28415,Treat heel fracture,,,5405.0,15429.7,19 HCPCS,28420,Treat/graft heel fracture,,,4817.0,27300.32,19 HCPCS,28430,Treatment of ankle fracture,,,247.41,4840.09,18 HCPCS,28435,"Hc Closed Rx Talus Fx,Manipulatn",4438.0,4438.0,,,0 HCPCS,28435,Treatment of ankle fracture,,,1612.85,5345.54,19 HCPCS,28436,Treatment of ankle fracture,,,3295.0,15429.7,19 HCPCS,28445,"Hc Opn Tx Talus Fx,Incl Intrnl Fix,Whn Prfmd",7906.0,7906.0,,,0 HCPCS,28445,Treat ankle fracture,,,5405.0,15429.7,19 HCPCS,28446,"Hc Opn Osteochndrl Autogrft,Talus",16385.0,16385.0,,,0 HCPCS,28446,Osteochondral talus autogrft,,,4817.0,15429.7,19 HCPCS,28450,Hc Treatment Of Tarsal Bone Fracture (Except Talus/Alcaneus); W/O Manipulation,6653.0,6653.0,,,0 HCPCS,28450,Treat midfoot fracture each,,,247.41,4840.09,18 HCPCS,28455,"Hc Treatment Of Tarsal Bone Fracture W/Manipulation, Each",6307.0,6307.0,,,0 HCPCS,28455,Treat midfoot fracture each,,,1343.0,5051.48,18 HCPCS,28456,Treat midfoot fracture,,,3295.0,15429.7,19 HCPCS,28465,"Hc Opn Tx Tarsl Bone Fx,Incl Intrnl Fix,Whn Prfmd,Ea",6653.0,6653.0,,,0 HCPCS,28465,Treat midfoot fracture each,,,5405.0,15429.7,19 HCPCS,28470,"Hc Closed Treatment Of Metatarsal Fx; W/O Manipulation, Each",6653.0,6653.0,,,0 HCPCS,28470,Treat metatarsal fracture,,,247.41,4840.09,18 HCPCS,28475,Treat metatarsal fracture,,,247.41,4840.09,18 HCPCS,28476,Treat metatarsal fracture,,,3281.9,6957.62,19 HCPCS,28485,Hc Open Treatment Metatarsal Fracture Each,8241.0,8241.0,,,0 HCPCS,28485,Treat metatarsal fracture,,,4817.0,15429.7,19 HCPCS,28490,Treat big toe fracture,,,247.41,4840.09,18 HCPCS,28495,Treat big toe fracture,,,247.41,4840.09,18 HCPCS,28496,Hc Percutaneouos Skeletal Fix Of Fx Great Toe Phalanx/Phalanges W/Manipulation,5507.0,5507.0,,,0 HCPCS,28496,Treat big toe fracture,,,3281.9,6957.62,19 HCPCS,28505,"Hc Opn Tx Fx Grt Toe Phalanx/Phalanges,Incl Intrnl Fix,Whn Prfmd",6307.0,6307.0,,,0 HCPCS,28505,Treat big toe fracture,,,3281.9,6957.62,19 HCPCS,28510,Hc Closed Rx Toe Fx,6336.0,6336.0,,,0 HCPCS,28510,Treatment of toe fracture,,,247.41,4840.09,18 HCPCS,28515,"Hc Closed Treatment Toe Fracture, W/Manipulatn",545.0,545.0,,,0 HCPCS,28515,Treatment of toe fracture,,,247.41,4840.09,18 HCPCS,28525,"Hc Opn Tx Fx Phalanx/Phalanges,Oth Thn Grt Toe,Incl Intrnl Fix,Whn Prfmd,Ea",6653.0,6653.0,,,0 HCPCS,28525,Treat toe fracture,,,3281.9,6957.62,19 HCPCS,28530,Treat sesamoid bone fracture,,,247.41,4840.09,18 HCPCS,28531,Treat sesamoid bone fracture,,,3895.0,15429.7,19 HCPCS,28540,Treat foot dislocation,,,247.41,4840.09,18 HCPCS,28545,Treat foot dislocation,,,2572.0,6957.62,19 HCPCS,28546,Treat foot dislocation,,,1612.85,5345.54,19 HCPCS,28555,"Hc Opn Tx Tarsal Bone Disloc,Incl Intrnl Fix,Whn Prfmd",5810.0,5810.0,,,0 HCPCS,28555,Repair foot dislocation,,,3295.0,15429.7,19 HCPCS,28570,Treat foot dislocation,,,247.41,4840.09,18 HCPCS,28575,Treat foot dislocation,,,2572.0,6957.62,19 HCPCS,28576,Hc Percutaneous Skeletal Fx Of Talotarsal Jt Disloc W/Manipulation,7906.0,7906.0,,,0 HCPCS,28576,Treat foot dislocation,,,3514.53,15429.7,19 HCPCS,28585,"Hc Open Treatment Of Talotarsal Joint Dislocation, Includes Internal Fixation",6307.0,6307.0,,,0 HCPCS,28585,Repair foot dislocation,,,3895.0,15429.7,19 HCPCS,28600,Treat foot dislocation,,,247.41,4840.09,18 HCPCS,28605,Hc Closed Treatment Of Tarsometatarsal Joint Dislocation; Requiring Anesthesia,4862.0,4862.0,,,0 HCPCS,28605,Treat foot dislocation,,,247.41,4840.09,19 HCPCS,28606,"Hc Percutaneous Skeletal Fixation Of Tarsometatarsal Joint Dislocation, With Manipulation",5810.0,5810.0,,,0 HCPCS,28606,Treat foot dislocation,,,3281.9,6957.62,19 HCPCS,28615,"Hc Opn Tx Tarsometatrsl Jt Disloc,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,28615,Repair foot dislocation,,,5405.0,15429.7,19 HCPCS,28630,Treat toe dislocation,,,247.41,4840.09,18 HCPCS,28635,Treat toe dislocation,,,1612.85,5051.48,19 HCPCS,28636,Treat toe dislocation,,,3281.9,6957.62,19 HCPCS,28645,"Hc Opn Tx Metatarsphlngl Jt Disloc,Incl Intrnl Fix,Whn Prfmd",6653.0,6653.0,,,0 HCPCS,28645,Repair toe dislocation,,,3281.9,6957.62,19 HCPCS,28660,"Hc Closed Treatment, Toe Dislocation W/O Anesthesia",531.0,531.0,,,0 HCPCS,28660,Treat toe dislocation,,,247.41,4840.09,18 HCPCS,28665,Treat toe dislocation,,,280.54,4840.09,19 HCPCS,28666,"Hc Percutaneous Skeletal Fixation Of Interphalangeal Joint Dislocation, With Manipulation",6588.0,6588.0,,,0 HCPCS,28666,Treat toe dislocation,,,3281.9,6957.62,19 HCPCS,28675,"Hc Open Treatment Of Interphalangeal Joint Dislocation, Incl Internal Fixation",7906.0,7906.0,,,0 HCPCS,28675,Repair of toe dislocation,,,3281.9,6957.62,19 HCPCS,28705,Fusion of foot bones,,,4817.0,37284.11,19 HCPCS,28715,Fusion of foot bones,,,4817.0,27300.32,18 HCPCS,28715,Hc Arthrodesis; Triple,8159.0,8159.0,,,0 HCPCS,28725,Fusion of foot bones,,,4817.0,27300.32,19 HCPCS,28725,"Hc Fusion Foot Bones,Subtalar",9791.0,9791.0,,,0 HCPCS,28730,Fusion of foot bones,,,4817.0,27300.32,19 HCPCS,28730,"Hc Arthodesis, Midtarsal/Tarsometatarsal, Multiple/Transverse",9791.0,9791.0,,,0 HCPCS,28735,Fusion of foot bones,,,4817.0,27300.32,19 HCPCS,28735,"Hc Arthrodesis,Midtarsal/Tarsometatarsal,Multi/Transverse;W/Osteotomy",9791.0,9791.0,,,0 HCPCS,28737,"Hc Arthrodesis,W/Tndn Length & Advancemnt,Midtarsal,Tarsal Navicular-Cuneiform",11148.0,11148.0,,,0 HCPCS,28737,Revision of foot bones,,,5730.0,27300.32,19 HCPCS,28740,Fusion of foot bones,,,4817.0,15429.7,19 HCPCS,28740,"Hc Arthrodesis Midtarsal Or Tarsometatarsal, Single Joint",9791.0,9791.0,,,0 HCPCS,28750,Fusion of big toe joint,,,4817.0,15429.7,19 HCPCS,28750,"Hc Fusion Big Toe,Mt-P Jt",8241.0,8241.0,,,0 HCPCS,28755,Fusion of big toe joint,,,3600.0,15429.7,19 HCPCS,28755,Hc Arthrodesis Great Toe; Interphalangeal Joint,7811.0,7811.0,,,0 HCPCS,28760,Fusion of big toe joint,,,4817.0,15429.7,19 HCPCS,28760,"Hc Arthrodesis,W/Extnsr Hallcius Longus Trnsfr 1St Met Nck,Grt Toe,Interphlngl Jnt",8241.0,8241.0,,,0 HCPCS,28800,Amputation of midfoot,,,3051.0,10006.92,17 HCPCS,28805,Amputation thru metatarsal,,,3281.9,6957.62,18 HCPCS,28805,"Hc Amputation, Foot; Transmetatarsal",6307.0,6307.0,,,0 HCPCS,28810,Amputation toe & metatarsal,,,3281.9,6957.62,19 HCPCS,28820,Amputation of toe,,,3281.9,6957.62,19 HCPCS,28820,"Hc Amputation Toe,Mt-P Jt",5810.0,5810.0,,,0 HCPCS,28820,"Hc Amputation, Toe; Metatarsophalangeal Joint",7367.0,7367.0,,,0 HCPCS,28820,"Hc Pbb Amputation Toe,Mt-P Jt",7367.0,7367.0,,,0 HCPCS,28825,Hc Amputation Toe; Interphalangeal Joint,5507.0,5507.0,,,0 HCPCS,28825,Partial amputation of toe,,,3281.9,6957.62,19 HCPCS,28890,Hi enrgy eswt plantar fascia,,,1612.85,7870.0,18 HCPCS,28899,Asc Only Unlisted Procedure - Foot Or Toes - Metatarsal Head Chondral Defect Microfracture,10290.0,10290.0,,,0 HCPCS,28899,Asc Only Unlisted Procedure - Foot Or Toes - Microfracture Ocd,10290.0,10290.0,,,0 HCPCS,28899,Asc Only Unlisted Procedure - Foot Or Toes - Open Interpositional Arthroplasty/Pinning Of Mtp Joint,10290.0,10290.0,,,0 HCPCS,28899,Foot/toes surgery procedure,,,247.41,11531.48,18 HCPCS,28899,Hc Us Plantar Fascia Tenotomy,675.0,675.0,,,0 HCPCS,29000,Application of body cast,,,280.54,4840.09,17 HCPCS,29010,Application of body cast,,,280.54,4840.09,16 HCPCS,29010,"Hc Apply Body Cast,Risser Jacket",716.0,716.0,,,0 HCPCS,29015,Application of body cast,,,280.54,4840.09,16 HCPCS,29035,Application of body cast,,,280.54,4840.09,16 HCPCS,29040,Application of body cast,,,280.54,4840.09,16 HCPCS,29044,Application of body cast,,,162.99,4840.09,16 HCPCS,29046,Application of body cast,,,280.54,4840.09,16 HCPCS,29049,Application of figure eight,,,280.54,4840.09,16 HCPCS,29055,Application of shoulder cast,,,280.54,4840.09,16 HCPCS,29058,Application of shoulder cast,,,280.54,4840.09,16 HCPCS,29065,Application of long arm cast,,,280.54,4840.09,16 HCPCS,29075,Application of forearm cast,,,280.54,4840.09,16 HCPCS,29085,Apply hand/wrist cast,,,162.99,4840.09,16 HCPCS,29086,Apply finger cast,,,162.99,4840.09,16 HCPCS,29105,Apply long arm splint,,,162.99,4840.09,16 HCPCS,29105,Hc Application Of Long Arm Splint,384.0,384.0,,,0 HCPCS,29125,Apply forearm splint,,,133.45,4840.09,15 HCPCS,29125,"Hc Application Forearm Splint,Static",384.0,384.0,,,0 HCPCS,29125,Hc Application Of Short Arm Splint (Forearm To Hand); Static,4609.0,4609.0,,,0 HCPCS,29126,Apply forearm splint,,,133.45,4840.09,15 HCPCS,29126,"Hc Apply Forearm Splint,Dynamic",336.0,336.0,,,0 HCPCS,29130,Application of finger splint,,,133.45,4840.09,15 HCPCS,29130,Hc Application Finger Splint Static,362.0,362.0,,,0 HCPCS,29130,"Hc Application Of Finger Splint, Static",4609.0,4609.0,,,0 HCPCS,29130,"Hc Apply Finger Splint,Static",362.0,362.0,,,0 HCPCS,29131,Application of finger splint,,,59.17,4840.09,15 HCPCS,29200,Strapping of chest,,,162.99,4840.09,16 HCPCS,29240,Strapping of shoulder,,,133.45,4840.09,15 HCPCS,29260,Strapping of elbow or wrist,,,59.17,4840.09,15 HCPCS,29280,Strapping of hand or finger,,,59.17,4840.09,15 HCPCS,29305,Application of hip cast,,,280.54,4840.09,18 HCPCS,29325,Application of hip casts,,,280.54,4840.09,18 HCPCS,29345,Application of long leg cast,,,280.54,4840.09,18 HCPCS,29345,Hc Apply Long Leg Cast,2797.5,2797.5,,,0 HCPCS,29355,Application of long leg cast,,,280.54,4840.09,16 HCPCS,29358,Apply long leg cast brace,,,280.54,4840.09,16 HCPCS,29365,Application of long leg cast,,,280.54,4840.09,16 HCPCS,29405,Apply short leg cast,,,280.54,4840.09,16 HCPCS,29405,Hc Application Short Leg Cast,782.5,782.5,,,0 HCPCS,29425,Apply short leg cast,,,280.54,4840.09,16 HCPCS,29435,Apply short leg cast,,,280.54,4840.09,16 HCPCS,29440,Addition of walker to cast,,,162.99,4840.09,16 HCPCS,29445,Apply rigid leg cast,,,280.54,4840.09,16 HCPCS,29445,Hc Application Rigid Total Contact Leg Cast,1191.0,1191.0,,,0 HCPCS,29450,Application of leg cast,,,162.99,4840.09,16 HCPCS,29505,Application long leg splint,,,162.99,4840.09,16 HCPCS,29505,Hc Application Long Leg Splint,384.0,384.0,,,0 HCPCS,29515,Application lower leg splint,,,162.99,4840.09,16 HCPCS,29515,Hc Application Lower Leg Splint,384.0,384.0,,,0 HCPCS,29515,Hc Apply Lower Leg Splint,2623.0,2623.0,,,0 HCPCS,29520,Strapping of hip,,,133.45,4840.09,15 HCPCS,29530,Strapping of knee,,,133.45,4840.09,15 HCPCS,29540,Strapping of ankle and/or ft,,,162.99,4840.09,16 HCPCS,29550,Strapping of toes,,,59.17,4840.09,15 HCPCS,29580,Application of paste boot,,,162.99,4840.09,16 HCPCS,29580,Hc Strapping Unna Boot,685.0,685.0,,,0 HCPCS,29580,Hc Strapping Unna Boot Bilateral,685.0,685.0,,,0 HCPCS,29581,Apply multlay comprs lwr leg,,,162.99,4840.09,16 HCPCS,29581,Hc Appl Mlt-Layer Venous Wound Compress Below Knee,685.0,685.0,,,0 HCPCS,29582,Apply multlay comprs upr leg,,,2572.0,4840.09,4 HCPCS,29583,Apply multlay comprs upr arm,,,2572.0,4840.09,4 HCPCS,29584,Appl multlay comprs arm/hand,,,162.99,4840.09,16 HCPCS,29700,Removal/revision of cast,,,280.54,4840.09,16 HCPCS,29705,Removal/revision of cast,,,280.54,4840.09,16 HCPCS,29710,Removal/revision of cast,,,280.54,4840.09,16 HCPCS,29720,Repair of body cast,,,162.99,4840.09,16 HCPCS,29730,Windowing of cast,,,162.99,4840.09,16 HCPCS,29740,Wedging of cast,,,280.54,4840.09,16 HCPCS,29750,Wedging of clubfoot cast,,,280.54,4840.09,16 HCPCS,29799,Casting/strapping procedure,,,162.99,11531.48,16 HCPCS,29800,Jaw arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29804,Jaw arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29805,"Hc Arthroscopy,Shoulder,Diagnostic,Wwo Synovial Biopsy",8718.0,8718.0,,,0 HCPCS,29805,Shoulder arthroscopy dx,,,3281.9,7870.0,19 HCPCS,29806,"Hc Arthroscopy,Shoulder,Surgical;Capsulorrhaphy",11309.0,11309.0,,,0 HCPCS,29806,Shoulder arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29807,"Hc Arthroscopy,Shoulder,Surgical;Repair Of Slap Lesion",11309.0,11309.0,,,0 HCPCS,29807,Shoulder arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29819,Hc Arthroscopy Shoulder Surgical; With Rmvl Of Loose Body Or Foreign Body,8718.0,8718.0,,,0 HCPCS,29819,Shoulder arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29820,"Hc Arthroscopy, Shoulder, Surgical; Synovectomy, Partial",8718.0,8718.0,,,0 HCPCS,29820,Shoulder arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29821,"Hc Arthroscopy, Shoulder Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 HCPCS,29821,Shoulder arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29822,"Hc Arthroscopy, Shoulder Surgical; Debridement, Limited",8718.0,8718.0,,,0 HCPCS,29822,Shoulder arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29823,"Hc Arthroscopy, Shoulder Surgical; Debridement, Extensive",8718.0,8718.0,,,0 HCPCS,29823,Shoulder arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29824,"Hc Arthroscopy,Shoulder,Surg;Distal Claviculectomy Incl Distal Articular Surface",9445.0,9445.0,,,0 HCPCS,29824,Shoulder arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29825,Hc Arthroscopy Shoulder Surgical; W/Lysis/Resection Of Adhesions W/Wo Manip,8718.0,8718.0,,,0 HCPCS,29825,Shoulder arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29826,Hc Arth Shoulder Surg; Decompress/Subacromlian Space/Part Acrom/W/Wo Coracoam,8718.0,8718.0,,,0 HCPCS,29826,Shoulder arthroscopy/surgery,,,1343.0,6293.23,8 HCPCS,29827,Arthroscop rotator cuff repr,,,5730.0,15429.7,19 HCPCS,29827,"Hc Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair",18813.0,18813.0,,,0 HCPCS,29827,"Hc Arthroscopy,Shoulder,Surgical;W/Rotator Cuff Repair",11309.0,11309.0,,,0 HCPCS,29828,Arthroscopy biceps tenodesis,,,5405.0,15429.7,19 HCPCS,29828,"Hc Arthroscopy,Shoulder,Surgical;Biceps Tenodesis",13882.0,13882.0,,,0 HCPCS,29830,Elbow arthroscopy,,,3281.9,9172.0,19 HCPCS,29834,Elbow arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29834,"Hc Arthroscopy Elbow, Surgical; W/Rmvl Of Loose Body Or Foreign Body",8718.0,8718.0,,,0 HCPCS,29835,Elbow arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29836,Elbow arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29836,"Hc Arthroscopy Elbow Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 HCPCS,29837,Elbow arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29838,Elbow arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29838,"Hc Arthrosccopy Elbow Surgical; Debridement, Extensive",8718.0,8718.0,,,0 HCPCS,29840,"Hc Arthroscopy, Wrist, Diagnostic, W/W/O Synovial Biopsy",8264.0,8264.0,,,0 HCPCS,29840,Wrist arthroscopy,,,3281.9,7870.0,19 HCPCS,29843,"Hc Arthroscopy Wrist Surgical; For Infection, Lavage And Drainage",8264.0,8264.0,,,0 HCPCS,29843,Wrist arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29844,"Hc Arthroscopy, Wrist, Surgical; Synovectomy, Partial",8718.0,8718.0,,,0 HCPCS,29844,Wrist arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29845,"Hc Arthroscopy Wrist Surgical; Synovectomy, Complete",8718.0,8718.0,,,0 HCPCS,29845,Wrist arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29846,"Hc Arthroscopy, Wrist, Surg; For Excision &/Or Repair Of Tri- Angular Fibrocartil",8718.0,8718.0,,,0 HCPCS,29846,Wrist arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29847,"Hc Arthroscopy, Wrist, Surgical, Internal Fixation For Fracture/Instability",8718.0,8718.0,,,0 HCPCS,29847,Wrist arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29848,"Hc Endoscopy,Wrist Surg W/Release Of Transverse Carpal Ligament",13882.0,13882.0,,,0 HCPCS,29848,Wrist endoscopy/surgery,,,1612.85,11403.39,19 HCPCS,29850,Hc Arthros Aided Treat Intercond Spine/Tuberos Fx Knee W/Wo Manip W/O Int/Ext Fx,8718.0,8718.0,,,0 HCPCS,29850,Knee arthroscopy/surgery,,,1612.85,7870.0,19 HCPCS,29851,Hc Arthroscopically Aided Treatment Of Intercondylar Spine(S) And/Or Tuberosity Fracture(S) Of The K,8264.0,8264.0,,,0 HCPCS,29851,Knee arthroscopy/surgery,,,1612.85,8655.0,19 HCPCS,29855,"Hc Arthroscopc Aid Tx Tibial Fx,Prox;Unicondylr,Incl Intrnl Fix,Whn Prfmd",8718.0,8718.0,,,0 HCPCS,29855,Tibial arthroscopy/surgery,,,4817.0,15429.7,19 HCPCS,29856,Tibial arthroscopy/surgery,,,4817.0,27300.32,19 HCPCS,29860,Hip arthroscopy dx,,,4817.0,15429.7,19 HCPCS,29861,"Hc Arthroscopy, Hip, Surgical; With Removal Of Loose Body Or Foreign Body",8225.0,8225.0,,,0 HCPCS,29861,Hip arthro w/fb removal,,,3514.53,15429.7,19 HCPCS,29862,"Hc Arthrscpy,Hp,Srg/W/Dbrdmnt/Shvng Artclr Crtlg,Abrsn Arthrplsty,&/Or Resct Lbrm",13158.0,13158.0,,,0 HCPCS,29862,Hip arthr0 w/debridement,,,4817.0,15429.7,19 HCPCS,29863,Hip arthr0 w/synovectomy,,,3281.9,9172.0,19 HCPCS,29866,Autgrft implnt knee w/scope,,,5405.0,15429.7,18 HCPCS,29866,"Hc Arthroscopy,Knee,Surgical;Osteochondral Autograft(S)",11063.0,11063.0,,,0 HCPCS,29867,Allgrft implnt knee w/scope,,,5405.0,27300.32,18 HCPCS,29868,"Hc Arthroscopy, Knee, Surgical, Meniscal Transplantation Incl Arthrotomy For Meniscal Insert, Medial",11063.0,11063.0,,,0 HCPCS,29868,Meniscal trnspl knee w/scpe,,,5405.0,15429.7,18 HCPCS,29870,Hc Arthrosopy Knee Diagnostic W/Wo Synovial Biopsy,8718.0,8718.0,,,0 HCPCS,29870,Knee arthroscopy dx,,,3281.9,7870.0,19 HCPCS,29871,"Hc Arthrosccopy Knee Surgical; For Infection, Lavage/Drainage",8264.0,8264.0,,,0 HCPCS,29871,Knee arthroscopy/drainage,,,3281.9,7870.0,19 HCPCS,29873,"Hc Arthroscopy,Knee,Surgical;W/Lateral Release",8718.0,8718.0,,,0 HCPCS,29873,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29874,Hc Arthroscopy Knee Surgical; Rmvl Loose Body/Foreign Body,8718.0,8718.0,,,0 HCPCS,29874,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29875,"Hc Arthroscopy Knee Surgical; Synovectomy, Limited",8718.0,8718.0,,,0 HCPCS,29875,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29876,"Hc Arthroscopy Knee Surgical; Synovectomy, Major, Two Or More Compartments",8718.0,8718.0,,,0 HCPCS,29876,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29877,Hc Arthroscopy Knee Surgical; Debridement/Shaving Of Articular Cartilage,8718.0,8718.0,,,0 HCPCS,29877,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29879,Hc Abrasion Arthrplsty Or Mltple Drilling Or Microfracture,8718.0,8718.0,,,0 HCPCS,29879,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29880,Hc Arthro Knee Surgical; W/Meniscectomy (Medial/Lateral Includ Any Meniscal Shav,8718.0,8718.0,,,0 HCPCS,29880,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29881,Hc Arthro Knee Surg; W/Meniscectomy (Med Or Lateral Includ Any Meniscal Shav),11309.0,11309.0,,,0 HCPCS,29881,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29882,Hc Arthroscopy Knee Surgical; W/Meniscus Repair (Medial Or Lateral),11309.0,11309.0,,,0 HCPCS,29882,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29883,Hc Arthroscopy Knee Surgical; W/Meniscus Repair (Medial & Lateral),8718.0,8718.0,,,0 HCPCS,29883,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29884,"Hc Knee Scope,Lysis Of Adhesns",8718.0,8718.0,,,0 HCPCS,29884,"Hc Pbb Knee Scope,Lysis Of Adhesns",696.0,696.0,,,0 HCPCS,29884,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29885,Hc Arthroscopy Knee Surg; Drill Osteochrondritis W/Bone Grafting W/Wo Int/Fixation,8718.0,8718.0,,,0 HCPCS,29885,Knee arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29886,Knee arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29887,"Hc Arthroscopy, Knee, Surgical; Drilling For Intact Osteochondritis Dissecans Lesion W/Internal Fixa",8264.0,8264.0,,,0 HCPCS,29887,Knee arthroscopy/surgery,,,3925.0,15429.7,19 HCPCS,29888,Hc Arthroscop Aided Anterior Cruciate Ligament Repair/Aug Or Reconstruction,11309.0,11309.0,,,0 HCPCS,29888,Knee arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29889,Hc Arthroscop Aided Posterior Cruciate Ligament Repair/Aug Or Reconstruction,8718.0,8718.0,,,0 HCPCS,29889,Knee arthroscopy/surgery,,,5405.0,27300.32,19 HCPCS,29891,Ankle arthroscopy/surgery,,,3281.9,9172.0,19 HCPCS,29891,"Hc Ankle Scope,Excis Osteochon Defct",8718.0,8718.0,,,0 HCPCS,29892,Ankle arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29892,"Hc Arthroscpclly Aid Rpr Lg Ostchndrts Les,Tlr Dome Fx,Tibl Fx,Wwo Intrnl Fix",8718.0,8718.0,,,0 HCPCS,29893,Scope plantar fasciotomy,,,3281.9,11403.39,19 HCPCS,29894,Ankle arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29894,"Hc Arthroscopy Ankle, Surgical; W/Rmvl Of Loose Body Or Foreign Body",8718.0,8718.0,,,0 HCPCS,29895,Ankle arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29895,"Hc Arthroscopy, Ankle (Tibiotalar And Fibulotalar Joints), Surgical, Synovectomy, Partial",8264.0,8264.0,,,0 HCPCS,29897,Ankle arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29897,"Hc Arthroscopy, Ankle Surgical; Debridement, Limited",8718.0,8718.0,,,0 HCPCS,29898,Ankle arthroscopy/surgery,,,3281.9,7870.0,19 HCPCS,29898,"Hc Arthroscopy Ankle Surgical; Debridement, Extensive",8718.0,8718.0,,,0 HCPCS,29899,Ankle arthroscopy/surgery,,,5405.0,15429.7,19 HCPCS,29899,"Hc Arthroscopy, Ankle (Tibiotalar And Fibulotalar Joints), Surgical; With Ankle Arthrodesis",8718.0,8718.0,,,0 HCPCS,29900,Mcp joint arthroscopy dx,,,3281.9,7870.0,19 HCPCS,29901,"Hc Arthroscopy, Metacarpophalangeal Joint, Surgical, With Debridement",8264.0,8264.0,,,0 HCPCS,29901,Mcp joint arthroscopy surg,,,3281.9,9172.0,19 HCPCS,29902,Mcp joint arthroscopy surg,,,1612.85,7870.0,19 HCPCS,29904,Subtalar arthro w/fb rmvl,,,3281.9,11385.0,19 HCPCS,29905,Subtalar arthro w/exc,,,3514.53,15429.7,19 HCPCS,29906,"Hc Arthroscopy,Subtalar Jnt,Surg;W/Debridement",13158.0,13158.0,,,0 HCPCS,29906,Subtalar arthro w/deb,,,3281.9,11385.0,19 HCPCS,29907,"Hc Arthroscopy,Subtalar Jnt,Surg;W/Subtalar Arthrodesis",13158.0,13158.0,,,0 HCPCS,29907,Subtalar arthro w/fusion,,,5405.0,27300.32,19 HCPCS,29914,"Hc Arthroscopy, Hip, Surgical W/Femoroplasty, Treatment Of Cam Lesion",13882.0,13882.0,,,0 HCPCS,29914,Hip arthro w/femoroplasty,,,4817.0,15429.7,19 HCPCS,29915,"Hc Arthroscopy, Hip, Surgical, With Acetabuloplasty",13158.0,13158.0,,,0 HCPCS,29915,Hip arthro acetabuloplasty,,,4817.0,15429.7,19 HCPCS,29916,"Hc Arthroscopy, Hip, Surgical; With Labral Repair",13882.0,13882.0,,,0 HCPCS,29916,Hip arthro w/labral repair,,,4817.0,15429.7,19 HCPCS,29999,Arthroscopy of joint,,,247.41,11531.48,18 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic - Endoscopic Calcaneoplasty,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic - Superior Interval Release,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Anterior Interval Release,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Arthroplasty Interposition Intercarpal/Carpometacarpal Jo,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Capsular Release,8295.0,8295.0,,,0 HCPCS,29999,"Asc Only Unlisted Procedure - Arthroscopic Debridement With Bone Graft Placement, Knee",8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Elbow Ostectomy,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Iliopsoas Lengthening/Release Of Muscle,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Knee Heteroptopic Ossification Removal,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Lateral Or Medial Meniscus Trephination,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Lower Trapezius Tendon Transfer (Elhassan Technique),8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Radial Styloidectomy,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Remplissage,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Resection Baker's Cyst,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Scapholunate Reconstruction With Palmaris Longus Graft &,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Scapulothoracic Decompression,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Superior Capsular Reconstruction,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopic Trochanteric Bursectomy,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Brachial Plexus Neurolysis,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Capsular Release And Microfracture,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Capsulotomy Wrist,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Core Decompression Shoulder,8295.0,8295.0,,,0 HCPCS,29999,"Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Drilling And Placement Bone Allograft, Mino",8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Hip Capsular Plication,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Implant Removal,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Microfracture-Shoulder,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Osteochondroma Excision,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Pectoralis Minor Release,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Pectoralis Minor Release + Brachial Plexus,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Perimeniscal Cyst Decompression/Cauterizati,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Shoulder Regeneten Patch,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Suprascapular And Spinoglenoid Notch Cyst E,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Arthroscopic Suprascapular Nerve Decompression/Neurolysi,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Arthroscopy - Endoscopic Gluteus Medius And Minimus Tear Repair,8295.0,8295.0,,,0 HCPCS,29999,Asc Only Unlisted Procedure - Spinoglenoid Cyst Decompression,8295.0,8295.0,,,0 HCPCS,29999,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Axillary Nerve Neurolysis",8295.0,8295.0,,,0 HCPCS,29999,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Capsular Release Wrist",8295.0,8295.0,,,0 HCPCS,29999,"Asc Only Unlisted Procedure, Arthroscopy - Arthroscopic Long Head Biceps Superior Capsular Reconstru",8295.0,8295.0,,,0 HCPCS,29999,"Hc Unlisted Procedure,Arthroscopy",8295.0,8295.0,,,0 HCPCS,30000,Drainage of nose lesion,,,237.57,4840.09,18 HCPCS,30000,"Hc Drainage Abscess Or Hematoma, Nasal",713.0,713.0,,,0 HCPCS,30020,Drainage of nose lesion,,,540.96,4840.09,18 HCPCS,30100,"Hc Biopsy, Intranasal",4377.0,4377.0,,,0 HCPCS,30100,Hc Pbb Intranasal Biopsy,5278.0,5278.0,,,0 HCPCS,30100,Intranasal biopsy,,,1556.28,5051.48,19 HCPCS,30110,Removal of nose polyp(s),,,1556.28,5051.48,18 HCPCS,30115,Removal of nose polyp(s),,,3011.79,7050.03,19 HCPCS,30117,Hc Excis/Dest Intranas Lesion; Int App,6653.0,6653.0,,,0 HCPCS,30117,Removal of intranasal lesion,,,2912.0,7050.03,19 HCPCS,30118,"Hc Excision/Destruction, Intranasal Lesion, Lateral Rhinotomy",6307.0,6307.0,,,0 HCPCS,30118,Removal of intranasal lesion,,,3011.79,7050.03,19 HCPCS,30120,Revision of nose,,,2572.0,7050.03,19 HCPCS,30124,Removal of nose lesion,,,1556.28,5345.54,19 HCPCS,30125,"Hc Excision Dermoid Cyst, Nose, Complex, Under Bone Or Cartilage",5810.0,5810.0,,,0 HCPCS,30125,Removal of nose lesion,,,3295.0,12588.0,19 HCPCS,30130,Excise inferior turbinate,,,3011.79,7050.03,19 HCPCS,30130,"Hc Excision Inferior Turbinate,Partial/Complete,Any Method",6653.0,6653.0,,,0 HCPCS,30130,Hc Pbb Excision Turbinate,1413.0,1413.0,,,0 HCPCS,30140,"Hc Excision Turbinate,Submucous",5810.0,5810.0,,,0 HCPCS,30140,"Hc Pbb Excision Turbinate,Submucous",4472.0,4472.0,,,0 HCPCS,30140,Resect inferior turbinate,,,3011.79,7050.03,19 HCPCS,30150,"Hc Rhinectomy, Partial",7906.0,7906.0,,,0 HCPCS,30150,Partial removal of nose,,,4419.21,12588.0,19 HCPCS,30160,Removal of nose,,,4419.21,12588.0,19 HCPCS,30200,Injection treatment of nose,,,540.96,4840.09,17 HCPCS,30210,Nasal sinus therapy,,,1556.28,5051.48,17 HCPCS,30220,Insert nasal septal button,,,1556.28,6293.23,19 HCPCS,30300,"Hc Remove Nasal Foreign Body, Intranasal",208.0,208.0,,,0 HCPCS,30300,Remove nasal foreign body,,,133.45,4840.09,15 HCPCS,30310,"Hc Removal Foreign Body, Intranasal; Requiring General Anesthesia",4609.0,4609.0,,,0 HCPCS,30310,Remove nasal foreign body,,,2572.0,7050.03,19 HCPCS,30320,Remove nasal foreign body,,,1556.28,5345.54,19 HCPCS,30400,"Hc Rhinoplasty, Primary, Lateral/Alar Cartilages And/Or Elevation, Nasal Tip",9791.0,9791.0,,,0 HCPCS,30400,Reconstruction of nose,,,3600.0,12588.0,19 HCPCS,30410,"Hc Rhinoplasty, Primary, Complete, External Parts Incl Bony Pyramid, Lateral&Alar Cartilages, Elevat",11148.0,11148.0,,,0 HCPCS,30410,Reconstruction of nose,,,4419.21,12588.0,19 HCPCS,30420,"Hc Rhinoplasty, Primary; Including Major Septal Repair",9290.0,9290.0,,,0 HCPCS,30420,Reconstruction of nose,,,4419.21,12588.0,19 HCPCS,30430,"Hc Rhinoplasty, Secondary; Minor Revision",6588.0,6588.0,,,0 HCPCS,30430,Revision of nose,,,3895.0,12588.0,19 HCPCS,30435,Revision of nose,,,4419.21,12588.0,19 HCPCS,30450,"Hc Pbb Revis Nose,Secondary,Major",2125.0,2125.0,,,0 HCPCS,30450,"Hc Revis Nose,Secondary,Major",15440.0,15440.0,,,0 HCPCS,30450,Revision of nose,,,4419.21,12588.0,19 HCPCS,30460,Revision of nose,,,4419.21,12588.0,19 HCPCS,30462,"Hc Rhinoplasty For Nasal Deformity Secondary To Congenital Cleft Lip And/Or Palate, Including Colume",13791.0,13791.0,,,0 HCPCS,30462,Revision of nose,,,4419.21,12588.0,19 HCPCS,30465,Hc Repair Nasal Cavity Stenosis,13791.0,13791.0,,,0 HCPCS,30465,Hc Repair Of Nasal Vestibular Stenosis,15400.0,15400.0,,,0 HCPCS,30465,Repair Nasal Stenosis,,,4419.21,12588.0,19 HCPCS,30468,Hc Rpr Nsl Vlv Collapse Subq/Sbmcsl Lat Wall Implt,13071.0,13071.0,,,0 HCPCS,30468,Rpr nsl vlv collapse w/implt,,,4419.21,12588.0,17 HCPCS,30469,"Hc Repair Of Nasal Valve Collapse With Low Energy, Temperature-Controlled Subcutaneous/Submucosal Re",13791.0,13791.0,,,0 HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,4419.21,12588.0,17 HCPCS,30520,Hc Pbb Repair Of Nasal Septum,8466.0,8466.0,,,0 HCPCS,30520,Hc Repair Of Nasal Septum,8241.0,8241.0,,,0 HCPCS,30520,"Hc Septoplasty Or Submucous Resection, With Or Without Cartilage Scoring, Contouring Or Replacement",8466.0,8466.0,,,0 HCPCS,30520,Repair of nasal septum,,,3011.79,7175.28,19 HCPCS,30540,"Hc Repair Choanal Atresia, Intranasal",9290.0,9290.0,,,0 HCPCS,30540,Repair nasal defect,,,4419.21,12588.0,19 HCPCS,30545,Repair nasal defect,,,4419.21,12588.0,19 HCPCS,30560,Hc Lysis Intranasal Synechia,5810.0,5810.0,,,0 HCPCS,30560,Hc Pbb Lysis Intranasal Synechia,500.0,500.0,,,0 HCPCS,30560,Release of nasal adhesions,,,540.96,5345.54,19 HCPCS,30580,Hc Repair Fistula; Oromaxillary,8241.0,8241.0,,,0 HCPCS,30580,Repair upper jaw fistula,,,4419.21,12588.0,19 HCPCS,30600,Hc Repair Fistula; Oronasal,7811.0,7811.0,,,0 HCPCS,30600,Repair mouth/nose fistula,,,4419.21,12588.0,19 HCPCS,30620,Intranasal reconstruction,,,4419.21,12588.0,19 HCPCS,30630,Hc Pbb Repair Nasal Septum Perforatn,8466.0,8466.0,,,0 HCPCS,30630,Hc Repair Nasal Septal Perforations,8466.0,8466.0,,,0 HCPCS,30630,Hc Repair Nasal Septum Perforatn,12994.0,12994.0,,,0 HCPCS,30630,Repair nasal septum defect,,,3011.79,10726.0,19 HCPCS,30801,Ablate inf turbinate superf,,,1556.28,5051.48,19 HCPCS,30802,Ablate inf turbinate submuc,,,1556.28,5051.48,19 HCPCS,30802,"Hc Ablatn,Sft Tis Infer Turbint,Uni/Bi,Any Methd;Intramural",4862.0,4862.0,,,0 HCPCS,30901,Control of nosebleed,,,133.45,4840.09,17 HCPCS,30901,"Hc Control Nasal Hemorrhage, Anterior, Simple (Limited Cautery And/Or Packing) Any Method",4377.0,4377.0,,,0 HCPCS,30901,"Hc Control Nasal Hemorrhage, Anterior, Simple - Any Method",450.0,450.0,,,0 HCPCS,30901,"Hc Pbb Control Nasal Hemorrhage, Anterior, Simple - Any Method",450.0,450.0,,,0 HCPCS,30903,Control of nosebleed,,,133.45,4840.09,19 HCPCS,30903,"Hc Control Nasal Hemorrhage, Anterior, Complex (Extensive Cautery And/Or Packing) Any Method",4377.0,4377.0,,,0 HCPCS,30903,"Hc Ctrl Nosebleed,Anter,Complex",359.0,359.0,,,0 HCPCS,30905,Control of nosebleed,,,133.45,4840.09,19 HCPCS,30905,"Hc Control Nasal Hemorrhage, Posterior, With Posterior Nasal Packs And/Or Cautery, Any Method; Initi",4377.0,4377.0,,,0 HCPCS,30905,"Hc Ctrl Nosebleed,Post,W/Packs &/Or Caut",343.0,343.0,,,0 HCPCS,30906,"Hc Control Nasal Hemorrhage, Posterior, Subsequent",343.0,343.0,,,0 HCPCS,30906,Repeat control of nosebleed,,,237.57,4840.09,19 HCPCS,30915,Ligation nasal sinus artery,,,3167.03,7870.0,19 HCPCS,30920,Ligation upper jaw artery,,,3167.03,7870.0,19 HCPCS,30930,"Hc Fracture Nasal Inferior Turbinate(S), Therapeutic",8353.5,8353.5,,,0 HCPCS,30930,Ther fx nasal inf turbinate,,,3011.79,7175.28,19 HCPCS,30999,"Asc Only Unlisted Procedure, Nose",8576.0,8576.0,,,0 HCPCS,30999,"Asc Only Unlisted Procedure, Nose ? Middle Turbinate Resection",8576.0,8576.0,,,0 HCPCS,30999,"Asc Only Unlisted Procedure, Nose ? Nasal Floor Flap",8576.0,8576.0,,,0 HCPCS,30999,"Asc Only Unlisted Procedure, Nose ? Nasoseptal Flap",8576.0,8576.0,,,0 HCPCS,30999,"Asc Only Unlisted Procedure, Nose ? Posterior Nasal Nerve Ablation",8576.0,8576.0,,,0 HCPCS,30999,Nasal surgery procedure,,,237.57,11531.48,18 HCPCS,31000,Irrigation maxillary sinus,,,237.57,4840.09,18 HCPCS,31002,Irrigation sphenoid sinus,,,1556.28,5051.48,19 HCPCS,31020,Exploration maxillary sinus,,,3011.79,7050.03,19 HCPCS,31020,"Hc Sinusotomy, Maxillary (Antrotomy), Intranasal",5507.0,5507.0,,,0 HCPCS,31030,Exploration maxillary sinus,,,4419.21,12588.0,19 HCPCS,31032,Explore sinus remove polyps,,,4419.21,12588.0,19 HCPCS,31032,"Hc Sinusotomy, Maxillary; Radical (Caldwell-Luc) W/Rmvl Of Antrochoanal Polyps",7811.0,7811.0,,,0 HCPCS,31032,"Hc Sinusotomy, Maxillary; Radical (Caldwell-Luc) With Removal Of Antrochoanal Polyps",15400.0,15400.0,,,0 HCPCS,31040,Exploration behind upper jaw,,,3600.0,12588.0,16 HCPCS,31040,"Hc Pterygomaxillary Fossa Surgery, Any Approach",7906.0,7906.0,,,0 HCPCS,31050,Exploration sphenoid sinus,,,3295.0,12588.0,19 HCPCS,31051,Sphenoid sinus surgery,,,4419.21,12588.0,19 HCPCS,31070,Exploration of frontal sinus,,,3295.0,12588.0,19 HCPCS,31070,"Hc Sinusotomy Frontal; External, Simple (Trephine Operation)",5810.0,5810.0,,,0 HCPCS,31075,Exploration of frontal sinus,,,4419.21,12588.0,19 HCPCS,31075,Hc Sinusotomy Frontal; Transorbital Unilateral (Mucocele/Osteoma Lynch Type),8159.0,8159.0,,,0 HCPCS,31080,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31081,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31084,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31085,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31086,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31087,"Hc Sinusotomy Frontal; Nonobliterative W/Osteoplastic Flap, Coronal Incision",9791.0,9791.0,,,0 HCPCS,31087,Removal of frontal sinus,,,4419.21,12588.0,19 HCPCS,31090,Exploration of sinuses,,,4419.21,12588.0,19 HCPCS,31200,"Hc Ethmoidectomy; Intranasal, Anterior",5507.0,5507.0,,,0 HCPCS,31200,Removal of ethmoid sinus,,,3295.0,12588.0,19 HCPCS,31201,Removal of ethmoid sinus,,,1556.28,8364.54,19 HCPCS,31205,"Hc Ethmoidectomy; Extranasal, Total",6307.0,6307.0,,,0 HCPCS,31205,Removal of ethmoid sinus,,,3011.79,7050.03,19 HCPCS,31225,Hc Maxillectomy; Without Orbital Exenteration,10290.0,10290.0,,,0 HCPCS,31225,Removal of upper jaw,,,3051.0,7268.12,6 HCPCS,31230,Removal of upper jaw,,,3051.0,7268.12,6 HCPCS,31231,"Hc Nasal Endoscopy,Dx",2651.5,2651.5,,,0 HCPCS,31231,"Hc Pbb Nasal Endoscopy,Dx",409.0,409.0,,,0 HCPCS,31231,Nasal endoscopy dx,,,200.21,4840.09,18 HCPCS,31233,Hc Nasal/Sinus Endoscopy Diag W/Maxill,1118.0,1118.0,,,0 HCPCS,31233,Nasal/sinus endoscopy dx,,,392.3,5345.54,19 HCPCS,31235,Nasal/sinus endoscopy dx,,,1785.28,5051.48,19 HCPCS,31237,"Hc Nasal/Sinus Endoscopy,Bx/Rmv Polyp/Debrid",4918.5,4918.5,,,0 HCPCS,31237,"Hc Pbb Nasal/Sinus Endoscopy,Bx/Rmv Polyp/Debrid",3988.0,3988.0,,,0 HCPCS,31237,Nasal/sinus endoscopy surg,,,1785.28,5345.54,19 HCPCS,31238,"Hc Nasal/Sinus Endoscopy,W/Control Nasal Hem",3950.5,3950.5,,,0 HCPCS,31238,"Hc Pbb Nasal/Sinus Endoscopy,W/Control Nasal Hem",3007.0,3007.0,,,0 HCPCS,31238,Nasal/sinus endoscopy surg,,,1785.28,5051.48,19 HCPCS,31239,"Hc Nasal/Sinus Endoscopy,Surg Tear Duct",8295.0,8295.0,,,0 HCPCS,31239,Nasal/sinus endoscopy surg,,,3514.53,7928.0,19 HCPCS,31240,"Hc Nasal/Sinus Endoscopy,Rmv Concha Bull",5849.0,5849.0,,,0 HCPCS,31240,Nasal/sinus endoscopy surg,,,1785.28,5345.54,19 HCPCS,31241,Hc Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery,6348.0,6348.0,,,0 HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1785.28,6277.0,14 HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,4419.21,12588.0,16 HCPCS,31243,"Hc Nasal/Sinus Endoscopy, Surgical; With Destruction By Cryoablation, Posterior Nasal Nerve",15400.0,15400.0,,,0 HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,4419.21,12588.0,16 HCPCS,31253,Hc Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl,9445.0,9445.0,,,0 HCPCS,31253,Nsl/sins ndsc total,,,5125.78,15007.06,17 HCPCS,31254,Hc Nasal/Sinus Ndsc W/Partial Ethmoidectomy,6698.0,6698.0,,,0 HCPCS,31254,Revision of ethmoid sinus,,,3895.0,15007.06,19 HCPCS,31255,Hc Nasal/Sinus Ndsc W/Total Ethoidectomy,9445.0,9445.0,,,0 HCPCS,31255,Removal of ethmoid sinus,,,5087.0,15007.06,19 HCPCS,31256,Exploration maxillary sinus,,,3514.53,7928.0,19 HCPCS,31256,"Hc Nasal/Sinus Endoscopy,Open Maxill Sinus",6698.0,6698.0,,,0 HCPCS,31257,Hc Nasal/Sinus Ndsc Total With Sphenoidotomy,9445.0,9445.0,,,0 HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,5125.78,15007.06,17 HCPCS,31259,Hc Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl,9445.0,9445.0,,,0 HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,5125.78,15007.06,17 HCPCS,31267,Endoscopy maxillary sinus,,,3895.0,15007.06,19 HCPCS,31267,"Hc Nasal/Sinus Endoscopy,Rmv Tiss Maxill Sinus",6698.0,6698.0,,,0 HCPCS,31276,Hc Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus,6698.0,6698.0,,,0 HCPCS,31276,Sinus endoscopy surgical,,,5087.0,15007.06,19 HCPCS,31287,"Hc Nasal/Sinus Endosscopy, Surgical W/Sphenoidotomy",6698.0,6698.0,,,0 HCPCS,31287,Nasal/sinus endoscopy surg,,,5087.0,15007.06,19 HCPCS,31288,"Hc Nasal/Sinus Endoscopy,Remv Tiss Sphenoid",6698.0,6698.0,,,0 HCPCS,31288,Nasal/sinus endoscopy surg,,,5087.0,15007.06,19 HCPCS,31290,"Hc Nasal/Sinus Endoscopy,Repair Csf Leak,Ethmoid",8718.0,8718.0,,,0 HCPCS,31290,Nasal/sinus endoscopy surg,,,3051.0,8382.61,8 HCPCS,31291,"Hc Nasal/Sinus Endoscopy,Recsf Leak,Sphenoid",8718.0,8718.0,,,0 HCPCS,31291,Nasal/sinus endoscopy surg,,,3051.0,8382.61,8 HCPCS,31292,"Hc Nasal/Sinus Endoscopy,Med/Inf Orbit Decompres",8295.0,8295.0,,,0 HCPCS,31292,Nasal/sinus endoscopy surg,,,4840.09,15007.06,18 HCPCS,31293,Hc Nasal/Sinus Endoscopy Surg; W/Medial Orbital Wall/Inferior Orital Wall Decomp,8295.0,8295.0,,,0 HCPCS,31293,Nasal/sinus endoscopy surg,,,5087.0,15007.06,18 HCPCS,31294,Hc Nasal/Sinus Endoscopy Surg; With Optic Nerve Decompression,7863.0,7863.0,,,0 HCPCS,31294,Nasal/sinus endoscopy surg,,,5087.0,15007.06,18 HCPCS,31295,"Hc Nasal/Sinus Endoscopy, Surgical, With Dilation; Maxillary Sinus Ostium, Transnasal Or Via Canine",15790.0,15790.0,,,0 HCPCS,31295,Sinus endo w/balloon dil,,,5087.0,15007.06,19 HCPCS,31296,"Hc Nasal/Sinus Endoscopy, Surgical, With Dilation; Frontal Sinus Ostium",14896.0,14896.0,,,0 HCPCS,31296,Sinus endo w/balloon dil,,,5087.0,15007.06,19 HCPCS,31297,Sinus endo w/balloon dil,,,3895.0,15007.06,19 HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,4817.0,15007.06,17 HCPCS,31299,Asc Only Unlisted Procedure - Endoscopic Medial Maxillectomy,16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Excision Encephocele Trans Pterygopalati",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Intraorbital Tumor Resection",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Middle Turbinate Resection",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Partial Septectomy",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Posterior Ethmoidectomy",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Repair Of Skull Base Defect/Meningocele",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Of Nasal Septum",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sino-Orbital Tumor",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Mass",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor With Orbital I",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Sinonasal Tumor Without Orbita",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Inflammatory Proces",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Mass",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Resection Skull Base Tumor",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Endoscopic Septectomy",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Excision Skull Base Tumor",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Mucosal Graft",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses - Pterygopalatine Fossa Biopsy",16385.0,16385.0,,,0 HCPCS,31299,"Asc Only Unlisted Procedure, Accessory Sinuses ? Endoscopic Superior Orbital Decompression",16385.0,16385.0,,,0 HCPCS,31299,Hc Pbb Sinus Surgery Proc Unlisted,3150.0,3150.0,,,0 HCPCS,31299,Sinus surgery procedure,,,237.57,11531.48,16 HCPCS,31300,Removal of larynx lesion,,,3011.79,8364.54,19 HCPCS,31320,Diagnostic incision larynx,,,5345.54,7118.0,4 HCPCS,31360,Removal of larynx,,,3600.0,8364.54,6 HCPCS,31365,Removal of larynx,,,3600.0,7268.12,4 HCPCS,31367,Partial removal of larynx,,,3600.0,7268.12,4 HCPCS,31368,Partial removal of larynx,,,3925.0,7268.12,4 HCPCS,31370,Partial removal of larynx,,,3600.0,7268.12,4 HCPCS,31375,Partial removal of larynx,,,3600.0,8364.54,6 HCPCS,31380,Partial removal of larynx,,,3600.0,8364.54,6 HCPCS,31382,Partial removal of larynx,,,3600.0,7268.12,4 HCPCS,31390,Removal of larynx & pharynx,,,3925.0,7268.12,4 HCPCS,31395,Reconstruct larynx & pharynx,,,3925.0,7268.12,4 HCPCS,31400,Revision of larynx,,,3295.0,12588.0,19 HCPCS,31420,Removal of epiglottis,,,3295.0,12588.0,19 HCPCS,31500,Hc Insert Emergency Endotrach Airway,1175.0,1175.0,,,0 HCPCS,31500,Insert emergency airway,,,237.57,4840.09,19 HCPCS,31502,Change of windpipe airway,,,237.57,4840.09,19 HCPCS,31502,Hc Pbb Tracheotomy Tube Change Prior To Estab Of Fistula Tract,585.0,585.0,,,0 HCPCS,31502,Hc Tracheotomy Tube Change Prior To Estab Of Fistula Tract,585.0,585.0,,,0 HCPCS,31505,Diagnostic laryngoscopy,,,200.21,4840.09,16 HCPCS,31505,"Hc Pbb Laryngoscopy,Indirect,Dx",478.0,478.0,,,0 HCPCS,31510,Laryngoscopy with biopsy,,,2912.0,7928.0,19 HCPCS,31511,Remove foreign body larynx,,,200.21,5345.54,19 HCPCS,31512,Removal of larynx lesion,,,3295.0,7928.0,19 HCPCS,31513,Injection into vocal cord,,,392.3,5345.54,19 HCPCS,31515,Hc Laryng Dir W Or W/O Trach Asp,1127.0,1127.0,,,0 HCPCS,31515,Laryngoscopy for aspiration,,,392.3,4840.09,19 HCPCS,31520,Dx laryngoscopy newborn,,,392.3,4840.09,18 HCPCS,31525,Dx laryngoscopy excl nb,,,1785.28,5051.48,19 HCPCS,31525,"Hc Laryngoscopy Direct, With Or Without Tracheoscopy; Diagnostic, Except Newborn",4463.0,4463.0,,,0 HCPCS,31526,Dx laryngoscopy w/oper scope,,,1785.28,5345.54,19 HCPCS,31527,Laryngoscopy for treatment,,,3295.0,7928.0,19 HCPCS,31528,"Hc Laryngoscopy Direct W Or W/O Trach, W/ Dilation Initial",7565.0,7565.0,,,0 HCPCS,31528,Laryngoscopy and dilation,,,3295.0,7928.0,19 HCPCS,31529,Laryngoscopy and dilation,,,3295.0,7928.0,19 HCPCS,31530,Laryngoscopy w/fb removal,,,1785.28,5345.54,19 HCPCS,31531,Laryngoscopy w/fb & op scope,,,2912.0,7928.0,19 HCPCS,31535,Laryngoscopy w/biopsy,,,3295.0,7928.0,19 HCPCS,31536,"Hc Laryngoscopy, Direct,Operative W/Biopsy; W/Telesc",5774.0,5774.0,,,0 HCPCS,31536,Laryngoscopy w/bx & op scope,,,3514.53,7928.0,19 HCPCS,31540,"Hc Laryngoscopy, Direct, Operative, W/ Excision Tumor/Epiglott/Stri",7565.0,7565.0,,,0 HCPCS,31540,Laryngoscopy w/exc of tumor,,,3514.53,7928.0,19 HCPCS,31541,"Hc Laryngoscopy,Dirct,Op Scop,Exc Tumr",8590.0,8590.0,,,0 HCPCS,31541,Larynscop w/tumr exc + scope,,,3514.53,7928.0,19 HCPCS,31545,Remove vc lesion w/scope,,,3514.53,7928.0,19 HCPCS,31546,Remove vc lesion scope/graft,,,4817.0,15007.06,19 HCPCS,31551,Laryngoplasty laryngeal sten,,,4419.21,12588.0,18 HCPCS,31552,Laryngoplasty laryngeal sten,,,4419.21,12588.0,18 HCPCS,31553,Laryngoplasty laryngeal sten,,,4419.21,12588.0,18 HCPCS,31554,Laryngoplasty laryngeal sten,,,4419.21,12588.0,18 HCPCS,31560,Laryngoscop w/arytenoidectom,,,5087.0,15007.06,19 HCPCS,31561,Larynscop remve cart + scop,,,3895.0,15007.06,19 HCPCS,31570,"Hc Laryngoscopy,Dirct,Inj Vocal Cord",5774.0,5774.0,,,0 HCPCS,31570,Laryngoscope w/vc inj,,,2912.0,7928.0,19 HCPCS,31571,"Hc Laryngoscopy,Direct,Scope,Inj Cords",5774.0,5774.0,,,0 HCPCS,31571,Laryngoscop w/vc inj + scope,,,3295.0,7928.0,19 HCPCS,31572,"Hc Laryngoscopy - Flex, W/Ablation Or Destruction Of Lesion(S), W/Laser Unilateral",4931.0,4931.0,,,0 HCPCS,31572,Largsc w/laser dstrj les,,,3295.0,10726.0,19 HCPCS,31573,"Hc Laryngoscopy - Flex, W/Tx Injection, Unilateral",2575.0,2575.0,,,0 HCPCS,31573,Largsc w/ther injection,,,1785.28,10726.0,19 HCPCS,31574,"Hc Laryngoscopy - Flex, W/Injection For Augmentation, Unilateral",2575.0,2575.0,,,0 HCPCS,31574,Largsc w/njx augmentation,,,1785.28,10726.0,19 HCPCS,31575,Diagnostic laryngoscopy,,,200.21,4840.09,18 HCPCS,31575,"Hc Laryngoscopy,Flex Fiber,Diagnostic",668.0,668.0,,,0 HCPCS,31575,"Hc Pbb Laryngoscopy,Flex Fiber,Diagnostic",668.0,668.0,,,0 HCPCS,31576,Hc Laryngoscopy Flexible With Biopsy(Ies),3007.0,3007.0,,,0 HCPCS,31576,Laryngoscopy with biopsy,,,1785.28,5345.54,19 HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,392.3,5345.54,19 HCPCS,31578,Largsc w/removal lesion,,,2912.0,7928.0,19 HCPCS,31579,"Hc Laryngoscopy,Flex/Rigid+Stroboscopy",1087.0,1087.0,,,0 HCPCS,31579,Laryngoscopy telescopic,,,392.3,4840.09,19 HCPCS,31580,Laryngoplasty laryngeal web,,,4419.21,12588.0,19 HCPCS,31582,Revision of larynx,,,7118.0,8364.54,3 HCPCS,31584,Laryngoplasty fx rdctj fixj,,,3051.0,12588.0,16 HCPCS,31587,Laryngoplasty cricoid split,,,3051.0,12588.0,17 HCPCS,31588,Revision of larynx,,,7118.0,8364.54,3 HCPCS,31590,Reinnervate larynx,,,4419.21,12588.0,19 HCPCS,31591,Laryngoplasty medialization,,,4419.21,12588.0,18 HCPCS,31592,Cricotracheal resection,,,4419.21,12588.0,18 HCPCS,31595,Larynx nerve surgery,,,5345.54,7118.0,4 HCPCS,31599,Hc Pbb Larynx Surg Proc Unlisted,375.0,375.0,,,0 HCPCS,31599,Larynx surgery procedure,,,237.57,11531.48,18 HCPCS,31600,"Hc Tracheostomy, Planned",4687.0,4687.0,,,0 HCPCS,31600,Incision of windpipe,,,3011.79,7050.03,19 HCPCS,31601,Incision of windpipe,,,3600.0,12588.0,16 HCPCS,31603,"Hc Tracheostomy,Emerg,Xtrach",3832.0,3832.0,,,0 HCPCS,31603,Incision of windpipe,,,1556.28,5051.48,19 HCPCS,31605,Incision of windpipe,,,237.57,4840.09,19 HCPCS,31605,Noncdm Charge Record,1687.0,1687.0,,,0 HCPCS,31610,Incision of windpipe,,,3895.0,12588.0,16 HCPCS,31611,Surgery/speech prosthesis,,,3011.79,7050.03,19 HCPCS,31612,"Hc Tracheal Puncture, Percutaneous W/ Transtracheal Aspiration/Inj",18857.0,18857.0,,,0 HCPCS,31612,Puncture/clear windpipe,,,2572.0,7050.03,19 HCPCS,31613,"Hc Tracheostoma Revision, Simple, W/O Flap Rotation",9715.0,9715.0,,,0 HCPCS,31613,"Hc Tracheostoma Revision; Simple, Without Flap Rotation",8466.0,8466.0,,,0 HCPCS,31613,Repair windpipe opening,,,3011.79,7050.03,19 HCPCS,31614,Repair windpipe opening,,,3295.0,12588.0,19 HCPCS,31615,Hc Pbb Scope Thru Tracheostomy,1999.0,1999.0,,,0 HCPCS,31615,Visualization of windpipe,,,540.96,4840.09,19 HCPCS,31620,Endobronchial ultrasound,,,4840.09,4840.09,2 HCPCS,31622,Dx bronchoscope/wash,,,1785.28,5051.48,19 HCPCS,31622,"Hc Bronchoscopy,Diagnostic",3007.0,3007.0,,,0 HCPCS,31622,"Hc Bronchoscopy,Diagnostic, W/Cell Washing When Performed",3007.0,3007.0,,,0 HCPCS,31623,Dx bronchoscope/brush,,,1785.28,5345.54,19 HCPCS,31623,"Hc Bronchoscopy,Diagnostic W Brush",3126.0,3126.0,,,0 HCPCS,31624,Dx bronchoscope/lavage,,,1785.28,5345.54,19 HCPCS,31624,"Hc Bronchoscopy, W/Bronchial Alveolar Lavage, W/Fluoro When Perf",3126.0,3126.0,,,0 HCPCS,31624,"Hc Bronchoscopy,Diagnostic W Lavage",3126.0,3126.0,,,0 HCPCS,31624,"Hc Pbb Bronchoscopy,Diagnostic W Lavage",3126.0,3126.0,,,0 HCPCS,31625,Bronchoscopy w/biopsy(s),,,1785.28,5345.54,19 HCPCS,31625,"Hc Bronchoscopy, W/Bronch Or Endobronch Biopsy(S), Sgl Or Multi Sites",3696.0,3696.0,,,0 HCPCS,31626,Bronchoscopy w/markers,,,3925.0,15007.06,19 HCPCS,31626,"Hc Bronchoscopy, Rigid/Flexible, Incl Fluoroscopic Guidance W/Placement, Fiducial Markers, Single Or",13425.0,13425.0,,,0 HCPCS,31627,"Hc Bronchoscopy,Computer Assist/Image-Guided Navigation",369.0,369.0,,,0 HCPCS,31627,"Hc Pbb Bronchoscopy,Computer Assist/Image-Guided Navigation",369.0,369.0,,,0 HCPCS,31627,Navigational bronchoscopy,,,1343.0,2987.0,5 HCPCS,31628,Bronchoscopy/lung bx each,,,2912.0,7928.0,19 HCPCS,31628,"Hc Bronchoscopy,Transbronch Biopsy",5774.0,5774.0,,,0 HCPCS,31628,"Hc Pbb Bronchoscopy,Transbronch Biopsy",5774.0,5774.0,,,0 HCPCS,31629,Bronchoscopy/needle bx each,,,3295.0,7928.0,19 HCPCS,31629,"Hc Bronchoscopy,Transbronch Needle Aspiration Biopsy(S), Trach, Main Stem/Lobar Bronchus(I)",5774.0,5774.0,,,0 HCPCS,31629,"Hc Pbb Bronchoscopy,Transbron Aspir Bx",5774.0,5774.0,,,0 HCPCS,31630,Bronchoscopy dilate/fx repr,,,3295.0,7928.0,19 HCPCS,31630,"Hc Bronchoscopy, W/Trach/Bronch Dilation Or Closed Reduc Of Frac",5774.0,5774.0,,,0 HCPCS,31631,Bronchoscopy dilate w/stent,,,3295.0,15007.06,19 HCPCS,31631,"Hc Bronchoscopy, W/Plcment Of Tracheal Stent(S), Incl Trac/Dil As Req",8887.0,8887.0,,,0 HCPCS,31632,Bronchoscopy/lung bx addl,,,1343.0,4797.0,6 HCPCS,31632,Hc Bronchoscopy W/Transbronchial Lung Bx Each Lobe,282.0,282.0,,,0 HCPCS,31633,Bronchoscopy/needle bx addl,,,1343.0,4797.0,6 HCPCS,31633,Hc Bronchoscopy W/Transbroncl Ndl Aspir Bx Ea Lobe,344.0,344.0,,,0 HCPCS,31634,Bronch w/balloon occlusion,,,3925.0,15007.06,19 HCPCS,31634,"Hc Bronchoscopy W/Balloon Occlusion W/Assessment Of Air Leak, Administration Of Occlusive Substance",8887.0,8887.0,,,0 HCPCS,31635,Bronchoscopy w/fb removal,,,1785.28,5345.54,19 HCPCS,31635,"Hc Bronchoscopy,Removal Of Foreign Body",4065.0,4065.0,,,0 HCPCS,31636,Bronchoscopy bronch stents,,,3295.0,15007.06,19 HCPCS,31636,"Hc Bronchoscopy, W/Plcmnt Of Bronchial Stent(S), Incl Fluoro, Initial",8887.0,8887.0,,,0 HCPCS,31636,"Hc Bronchscpy,Rigid/Flex,Wwo Fluor Guide;W/Plcmnt Bronchl Sten(S),Initial Bronchus",5544.0,5544.0,,,0 HCPCS,31636,Noncdm Charge Record,447.0,447.0,,,0 HCPCS,31637,Bronchoscopy stent add-on,,,1343.0,4840.09,8 HCPCS,31637,"Hc Bronchoscopy, Each Additional Major Bronchus Stented, Incl Fluoro",414.0,414.0,,,0 HCPCS,31638,Bronchoscopy revise stent,,,3295.0,15007.06,19 HCPCS,31638,"Hc Bronchoscopy, W/Revision Of Trach/Bronch Stent, Incl Fluoro",8887.0,8887.0,,,0 HCPCS,31640,Bronchoscopy w/tumor excise,,,3295.0,7928.0,19 HCPCS,31640,"Hc Bronchoscopy, W/Excision Of Tumor, Incl Fluoro",5774.0,5774.0,,,0 HCPCS,31641,Bronchoscopy treat blockage,,,3295.0,7928.0,19 HCPCS,31641,"Hc Bronchoscopy, W/Destruction Of Tumor Or Relief Of Stenosis, Any Method Other Than Excision",5774.0,5774.0,,,0 HCPCS,31643,Diag bronchoscope/catheter,,,1785.28,5345.54,19 HCPCS,31645,Bronchoscopy clear airways,,,1785.28,5051.48,19 HCPCS,31645,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,3424.0,3424.0,,,0 HCPCS,31645,Hc Pbb Bronchoscopy W/Ther Aspir Trachbrncl Tree 1St,3424.0,3424.0,,,0 HCPCS,31646,Bronchoscopy reclear airway,,,392.3,4840.09,19 HCPCS,31646,Hc Bronchoscopy W/Ther Aspir Trachbrncl Tree Subsq,1576.0,1576.0,,,0 HCPCS,31647,Bronchial valve init insert,,,3295.0,15007.06,19 HCPCS,31647,"Hc Bronchscopy, W/Balloon Occlus, Insert Bronch Valve Initial Lobe",8887.0,8887.0,,,0 HCPCS,31648,Bronchial valve remov init,,,3295.0,10726.0,19 HCPCS,31648,"Hc Bronchscopy, Removal Bronchial Valve(S), Initial Lobe",5774.0,5774.0,,,0 HCPCS,31649,Bronchial valve remov addl,,,1785.28,5495.0,19 HCPCS,31649,"Hc Bronch W/Fluoro Rmvl Bronchial Valve(S), Each Addl Lobe",3007.0,3007.0,,,0 HCPCS,31651,Bronchial valve addl insert,,,1343.0,10726.0,6 HCPCS,31651,"Hc Bronchscopy, W/ Balloon Occlusion, Insert Bronch Valve(S), Ea Addl Lobe",4419.0,4419.0,,,0 HCPCS,31652,Bronch ebus samplng 1/2 node,,,3295.0,11385.0,19 HCPCS,31652,Hc Bronchscopy Ebus Guided Sampl 1/2 Node Station/Strux,5774.0,5774.0,,,0 HCPCS,31652,Hc Pbb Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux,5774.0,5774.0,,,0 HCPCS,31653,Bronch ebus samplng 3/> node,,,3295.0,11385.0,19 HCPCS,31653,Hc Bronchscopy Ebus Guided Sampl 3/> Node Station/Strux,5774.0,5774.0,,,0 HCPCS,31654,Bronch ebus ivntj perph les,,,1343.0,4797.0,6 HCPCS,31654,"Hc Bronchscopy, Transendoscopic Ebus Dx/Tx Intervention Perph Lesion",4812.0,4812.0,,,0 HCPCS,31654,Hc Pbb Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les,4812.0,4812.0,,,0 HCPCS,31660,Bronch thermoplsty 1 lobe,,,3925.0,15007.06,19 HCPCS,31660,"Hc Bronchoscopy, W/Bronchial Thermaplasty 1 Lobe",8887.0,8887.0,,,0 HCPCS,31661,Bronch thermoplsty 2/> lobes,,,3925.0,15007.06,19 HCPCS,31661,"Hc Bronchoscopy, Bronchial Thermaplsty >=2 Lobe",8887.0,8887.0,,,0 HCPCS,31717,Bronchial brush biopsy,,,392.3,4840.09,19 HCPCS,31720,Clearance of airways,,,219.64,4840.09,18 HCPCS,31720,"Hc Catheter Aspiration, Minibal",883.0,883.0,,,0 HCPCS,31720,"Hc Catheter Aspiration, Nasotracheal",883.0,883.0,,,0 HCPCS,31725,Clearance of airways,,,2572.0,5051.48,8 HCPCS,31730,Intro windpipe wire/tube,,,1785.28,5051.48,19 HCPCS,31750,Repair of windpipe,,,4419.21,12588.0,19 HCPCS,31755,Repair of windpipe,,,3295.0,12588.0,19 HCPCS,31760,Repair of windpipe,,,3051.0,7268.12,6 HCPCS,31766,Reconstruction of windpipe,,,3051.0,8821.68,6 HCPCS,31770,Repair/graft of bronchus,,,3051.0,7268.12,6 HCPCS,31775,Reconstruct bronchus,,,3051.0,7268.12,6 HCPCS,31780,Reconstruct windpipe,,,3051.0,7268.12,6 HCPCS,31781,Reconstruct windpipe,,,3051.0,7268.12,6 HCPCS,31785,Remove windpipe lesion,,,3600.0,12588.0,19 HCPCS,31786,Remove windpipe lesion,,,3051.0,8821.68,6 HCPCS,31800,Repair of windpipe injury,,,2912.0,5843.31,9 HCPCS,31805,Repair of windpipe injury,,,3051.0,5843.31,6 HCPCS,31820,Closure of windpipe lesion,,,2572.0,7050.03,19 HCPCS,31825,"Hc Pbb Surg Closure Trach/Fist,Plast Repr",9397.0,9397.0,,,0 HCPCS,31825,Repair of windpipe defect,,,3011.79,7050.03,19 HCPCS,31830,Revise windpipe scar,,,3011.79,7050.03,19 HCPCS,31899,Airways surgical procedure,,,200.21,11531.48,18 HCPCS,31899,Hc Tracheotomy Tube Change,411.0,411.0,,,0 HCPCS,32035,Thoracostomy w/rib resection,,,3051.0,7972.53,6 HCPCS,32036,Thoracostomy w/flap drainage,,,3051.0,7972.53,6 HCPCS,32096,Open wedge/bx lung infiltr,,,3051.0,7972.53,5 HCPCS,32097,Open wedge/bx lung nodule,,,3051.0,7972.53,5 HCPCS,32098,Open biopsy of lung pleura,,,3051.0,7972.53,5 HCPCS,32100,Exploration of chest,,,3051.0,8382.61,6 HCPCS,32110,Explore/repair chest,,,3051.0,8382.61,6 HCPCS,32120,Re-exploration of chest,,,3051.0,8382.61,6 HCPCS,32124,Explore chest free adhesions,,,3051.0,8382.61,6 HCPCS,32140,Removal of lung lesion(s),,,3051.0,8382.61,6 HCPCS,32141,Remove/treat lung lesions,,,3051.0,8382.61,6 HCPCS,32150,Removal of lung lesion(s),,,3051.0,8382.61,6 HCPCS,32151,Remove lung foreign body,,,3051.0,8382.61,6 HCPCS,32160,Open chest heart massage,,,3051.0,8382.61,6 HCPCS,32200,Drain open lung lesion,,,3051.0,7972.53,6 HCPCS,32215,Treat chest lining,,,3051.0,7972.53,6 HCPCS,32220,Release of lung,,,3051.0,8821.68,7 HCPCS,32225,Partial release of lung,,,3051.0,7972.53,7 HCPCS,32310,Removal of chest lining,,,3051.0,7972.53,7 HCPCS,32320,Free/remove chest lining,,,3051.0,8821.68,7 HCPCS,32400,Hc Needle Biopsy Pleura,2731.0,2731.0,,,0 HCPCS,32400,Needle biopsy chest lining,,,1656.59,5051.48,19 HCPCS,32405,"Hc Percut Bx, Lung/Mediastinum",4467.0,4467.0,,,0 HCPCS,32405,Percut bx lung/mediastinum,,,3051.0,4840.09,4 HCPCS,32408,Core ndl bx lng/med perq,,,1656.59,10726.0,17 HCPCS,32408,Hc Cn Lung/Mediastinum Bx W/Img,5048.0,5048.0,,,0 HCPCS,32440,Remove lung pneumonectomy,,,3051.0,10249.52,6 HCPCS,32442,Sleeve pneumonectomy,,,3051.0,10249.52,6 HCPCS,32445,Removal of lung extrapleural,,,3051.0,10249.52,6 HCPCS,32480,Partial removal of lung,,,3051.0,10249.52,6 HCPCS,32482,Bilobectomy,,,3051.0,10249.52,6 HCPCS,32484,Segmentectomy,,,3051.0,10249.52,6 HCPCS,32486,Sleeve lobectomy,,,3051.0,10249.52,6 HCPCS,32488,Completion pneumonectomy,,,3051.0,10249.52,6 HCPCS,32491,Lung volume reduction,,,3051.0,10249.52,6 HCPCS,32501,Repair bronchus add-on,,,3051.0,10249.52,6 HCPCS,32503,Resect apical lung tumor,,,3051.0,10249.52,4 HCPCS,32504,Resect apical lung tum/chest,,,3051.0,10249.52,4 HCPCS,32505,Wedge resect of lung initial,,,3051.0,10249.52,4 HCPCS,32506,Wedge resect of lung add-on,,,3051.0,10249.52,4 HCPCS,32507,Wedge resect of lung diag,,,3051.0,10249.52,4 HCPCS,32540,Removal of lung lesion,,,3051.0,10249.52,6 HCPCS,32550,Hc Insertion Indwelling Tunneled Pleural Catheter,12474.0,12474.0,,,0 HCPCS,32550,Insert pleural cath,,,3295.0,11385.0,19 HCPCS,32551,"Hc Tube Thoracostomy Includes Connection To Drainage System, Open",4548.0,4548.0,,,0 HCPCS,32551,Insertion of chest tube,,,1578.92,5051.48,19 HCPCS,32552,Hc Removal Of Indwelling Tunneled Pleural Catheter With Cuff,2769.0,2769.0,,,0 HCPCS,32552,Remove lung catheter,,,629.2,4840.09,18 HCPCS,32553,"Hc Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult",4900.0,4900.0,,,0 HCPCS,32553,Ins mark thor for rt perq,,,1388.32,7750.0,19 HCPCS,32554,Aspirate pleura w/o imaging,,,629.2,4840.09,19 HCPCS,32554,Hc Thoracentesis Needle/Cath Pleura W/O Imaging,435.0,435.0,,,0 HCPCS,32555,Aspirate pleura w/ imaging,,,629.2,4840.09,19 HCPCS,32555,Hc Thoracentesis Needle/Cath Pleura W/Imaging,3131.0,3131.0,,,0 HCPCS,32556,Hc Perq Drainage Pleura Insert Cath W/O Imaging,6247.0,6247.0,,,0 HCPCS,32556,Insert cath pleura w/o image,,,1924.71,5051.48,19 HCPCS,32557,Hc Perq Drainage Pleura Insert Cath W/Imaging,6575.0,6575.0,,,0 HCPCS,32557,Insert cath pleura w/ image,,,1578.92,5051.48,19 HCPCS,32560,"Hc Instillation, Via Chest Tube/Cath, Chemical Pleurodesis For Persistent Pneumothorax",2769.0,2769.0,,,0 HCPCS,32560,Treat pleurodesis w/agent,,,629.2,4840.09,19 HCPCS,32561,"Hc Instill Via Chest Tube Agent For Fibrinolysis, 1St Day",1400.0,1400.0,,,0 HCPCS,32561,Lyse chest fibrin init day,,,629.2,4840.09,19 HCPCS,32562,"Hc Instill Via Chest Tube Agent For Fibrinolysis, Subsequent",1400.0,1400.0,,,0 HCPCS,32562,Lyse chest fibrin subq day,,,629.2,4840.09,19 HCPCS,32601,Thoracoscopy diagnostic,,,4962.02,12855.28,18 HCPCS,32604,Thoracoscopy wbx sac,,,4962.02,22603.4,18 HCPCS,32606,Thoracoscopy w/bx med space,,,4962.02,12855.28,18 HCPCS,32607,Thoracoscopy w/bx infiltrate,,,4962.02,22603.4,19 HCPCS,32608,Thoracoscopy w/bx nodule,,,4962.02,22603.4,19 HCPCS,32609,Thoracoscopy w/bx pleura,,,4962.02,12855.28,19 HCPCS,32650,Thoracoscopy w/pleurodesis,,,3051.0,11685.0,9 HCPCS,32651,Thoracoscopy remove cortex,,,3051.0,11685.0,9 HCPCS,32652,Thoracoscopy rem totl cortex,,,3051.0,11685.0,9 HCPCS,32653,Thoracoscopy remov fb/fibrin,,,3051.0,9172.0,9 HCPCS,32654,Thoracoscopy contrl bleeding,,,3051.0,7972.53,6 HCPCS,32655,Thoracoscopy resect bullae,,,3051.0,11685.0,9 HCPCS,32656,Thoracoscopy w/pleurectomy,,,3051.0,11685.0,9 HCPCS,32658,Thoracoscopy w/sac fb remove,,,3051.0,7972.53,6 HCPCS,32659,Thoracoscopy w/sac drainage,,,3051.0,7972.53,6 HCPCS,32661,Thoracoscopy w/pericard exc,,,3051.0,7972.53,6 HCPCS,32662,Thoracoscopy w/mediast exc,,,3051.0,7972.53,6 HCPCS,32663,Thoracoscopy w/lobectomy,,,3051.0,7972.53,6 HCPCS,32664,Thoracoscopy w/ th nrv exc,,,3051.0,7972.53,11 HCPCS,32665,Thoracoscop w/esoph musc exc,,,3051.0,7972.53,6 HCPCS,32666,Thoracoscopy w/wedge resect,,,3051.0,10249.52,4 HCPCS,32667,Thoracoscopy w/w resect addl,,,3051.0,7972.53,4 HCPCS,32668,Thoracoscopy w/w resect diag,,,3051.0,7972.53,4 HCPCS,32669,Thoracoscopy remove segment,,,3051.0,7972.53,4 HCPCS,32670,Thoracoscopy bilobectomy,,,3051.0,7972.53,4 HCPCS,32671,Thoracoscopy pneumonectomy,,,3051.0,7972.53,4 HCPCS,32672,Thoracoscopy for lvrs,,,3051.0,7972.53,4 HCPCS,32673,Thoracoscopy w/thymus resect,,,3051.0,7972.53,4 HCPCS,32674,Thoracoscopy lymph node exc,,,3051.0,7972.53,4 HCPCS,32701,Thorax stereo rad targetw/tx,,,2678.54,4221.48,3 HCPCS,32800,Repair lung hernia,,,3051.0,7972.53,6 HCPCS,32810,Close chest after drainage,,,3051.0,7972.53,6 HCPCS,32815,Close bronchial fistula,,,3051.0,8821.68,6 HCPCS,32820,Reconstruct injured chest,,,3051.0,8821.68,6 HCPCS,32850,Donor pneumonectomy,,,3051.0,8821.68,6 HCPCS,32851,Lung transplant single,,,3051.0,10674.37,6 HCPCS,32852,Lung transplant with bypass,,,3051.0,10674.37,6 HCPCS,32853,Lung transplant double,,,3600.0,10674.37,4 HCPCS,32854,Lung transplant with bypass,,,3925.0,10674.37,4 HCPCS,32855,Prepare donor lung single,,,3051.0,7972.53,4 HCPCS,32856,Prepare donor lung double,,,3051.0,7972.53,4 HCPCS,32900,Removal of rib(s),,,3051.0,5843.31,6 HCPCS,32905,Revise & repair chest wall,,,3051.0,10249.52,6 HCPCS,32906,Revise & repair chest wall,,,3051.0,10249.52,6 HCPCS,32940,Revision of lung,,,3051.0,10249.52,6 HCPCS,32960,Therapeutic pneumothorax,,,629.2,4840.09,17 HCPCS,32994,Ablate pulm tumor perq crybl,,,4817.0,22603.4,16 HCPCS,32994,"Hc Ablation Tx, Reduc Or Eradicatio Of 1> Pulm Tumors Lung, Cryoablation, Unilat",12388.0,12388.0,,,0 HCPCS,32997,Hc Lung Lavage,5641.0,5641.0,,,0 HCPCS,32997,Total lung lavage,,,2912.0,5843.31,9 HCPCS,32998,"Hc Perq Radiofreq Ablation Tx, Pul Tumor",11936.0,11936.0,,,0 HCPCS,32998,Perq rf ablate tx pul tumor,,,4817.0,12855.28,19 HCPCS,32999,Chest surgery procedure,,,629.2,11531.48,16 HCPCS,32999,Hc Unlisted Respiratory Procedure,5335.0,5335.0,,,0 HCPCS,33010,Drainage of heart sac,,,3051.0,5345.54,4 HCPCS,33011,Repeat drainage of heart sac,,,3051.0,5345.54,4 HCPCS,33015,Incision of heart sac,,,3051.0,4840.09,3 HCPCS,33016,Hc Pericardiocentesis - W/Img When Performed,3327.0,3327.0,,,0 HCPCS,33016,Pericardiocentesis w/imaging,,,1578.92,10726.0,17 HCPCS,33017,"Hc Pericardial Drain W/O Congenital Cardiac Anomaly, Incl Fluoro/Us",1459.0,1459.0,,,0 HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,3011.79,5051.48,3 HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,3011.79,5051.48,3 HCPCS,33019,"Hc Pericardial Drain With Insert Indwelling Cath, Incl Ct Guidance",1459.0,1459.0,,,0 HCPCS,33019,Perq prcrd drg insj cath ct,,,3011.79,5051.48,3 HCPCS,33020,Incision of heart sac,,,3051.0,8382.61,6 HCPCS,33025,Incision of heart sac,,,3051.0,8382.61,6 HCPCS,33030,Partial removal of heart sac,,,3051.0,8382.61,6 HCPCS,33031,Partial removal of heart sac,,,3051.0,8821.68,6 HCPCS,33050,Resect heart sac lesion,,,3051.0,8382.61,6 HCPCS,33120,Removal of heart lesion,,,3051.0,10249.52,6 HCPCS,33130,Removal of heart lesion,,,3051.0,8382.61,6 HCPCS,33140,Heart revascularize (tmr),,,3051.0,8382.61,6 HCPCS,33141,Heart Tmr W/Other Procedure,,,3051.0,8382.61,6 HCPCS,33202,Insert epicard eltrd open,,,3051.0,10249.52,4 HCPCS,33203,Insert epicard eltrd endo,,,3051.0,10249.52,4 HCPCS,33206,Hc Ep Inser Hart Pacer Xvenous Atrial,8442.0,8442.0,,,0 HCPCS,33206,Insert heart pm atrial,,,6309.89,22225.25,17 HCPCS,33207,Hc Ep Inser Hart Pacer Xvenous Ventr,8442.0,8442.0,,,0 HCPCS,33207,Insert heart pm ventricular,,,6309.89,22225.25,17 HCPCS,33208,Hc Ep Inser Hart Pacer Xvenous Atr/Ventr,8442.0,8442.0,,,0 HCPCS,33208,Insrt heart pm atrial & vent,,,6309.89,22225.25,17 HCPCS,33210,Hc Ep Inser Heart Temp Pacer One Chmbr,6097.0,6097.0,,,0 HCPCS,33210,Insert electrd/pm cath sngl,,,4817.0,17596.89,17 HCPCS,33211,Hc Ep Inser Heart Temp Pacer Dual Chmbr,6097.0,6097.0,,,0 HCPCS,33211,Insert card electrodes dual,,,4817.0,17596.89,17 HCPCS,33212,Hc Ep Insert Pulse Gener One Chmbr,6097.0,6097.0,,,0 HCPCS,33212,Insert pulse gen sngl lead,,,5405.0,17596.89,18 HCPCS,33213,Hc Ep Insert Pulse Gener Dual Chmbr,8442.0,8442.0,,,0 HCPCS,33213,Insert pulse gen dual leads,,,5405.0,22225.25,18 HCPCS,33214,Hc Ep Upgrade Of Pacemaker System,8442.0,8442.0,,,0 HCPCS,33214,Upgrade of pacemaker system,,,6309.89,22225.25,17 HCPCS,33215,Hc Ep Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode,1848.0,1848.0,,,0 HCPCS,33215,Reposition pacing-defib lead,,,3051.0,7870.0,18 HCPCS,33216,Hc Ep Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb,6097.0,6097.0,,,0 HCPCS,33216,Insert 1 electrode pm-defib,,,4817.0,17596.89,17 HCPCS,33217,Hc Ep Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb,6097.0,6097.0,,,0 HCPCS,33217,Insert 2 electrode pm-defib,,,4817.0,17596.89,17 HCPCS,33218,Hc Ep Rpr 1 Transvns Eltrd Prm Pm/Pacing Implntbl Dfb,5333.0,5333.0,,,0 HCPCS,33218,Repair lead pace-defib one,,,3514.53,8364.54,18 HCPCS,33220,Hc Ep Ins Pacemaker Pulse Gen Only W/Exist Mult Leads,15399.0,15399.0,,,0 HCPCS,33220,Repair lead pace-defib dual,,,3514.53,8364.54,18 HCPCS,33221,Insert pulse gen mult leads,,,5405.0,40958.29,17 HCPCS,33222,Hc Ep Relocation Of Skin Pocket For Pacemaker,3023.0,3023.0,,,0 HCPCS,33222,Relocation pocket pacemaker,,,2069.52,5345.54,19 HCPCS,33223,Hc Ep Relocate Skin Pocket Implantable Defibrillator,3199.0,3199.0,,,0 HCPCS,33223,Relocate pocket for defib,,,2069.52,5345.54,19 HCPCS,33224,Hc Ep Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen,8442.0,8442.0,,,0 HCPCS,33224,Insert pacing lead & connect,,,5405.0,22225.25,17 HCPCS,33225,Hc Ep Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen,2595.0,2595.0,,,0 HCPCS,33225,L ventric pacing lead add-on,,,4817.0,14089.0,5 HCPCS,33226,Hc Ep Reposit Prev Implanted Cardiac Electrode,4814.0,4814.0,,,0 HCPCS,33226,Reposition l ventric lead,,,3051.0,7870.0,18 HCPCS,33227,Hc Ep Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead,6097.0,6097.0,,,0 HCPCS,33227,Remove&replace pm gen singl,,,5405.0,17596.89,17 HCPCS,33228,Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen 2 Lead Sys,8442.0,8442.0,,,0 HCPCS,33228,Remv&replc pm gen dual lead,,,5405.0,22225.25,17 HCPCS,33229,Hc Ep Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead,15399.0,15399.0,,,0 HCPCS,33229,Remv&replc pm gen mult leads,,,5405.0,40958.29,17 HCPCS,33230,Insrt pulse gen w/dual leads,,,5405.0,47299.0,17 HCPCS,33231,Hc Ep Insj Implntbl Defib Pulse Gen W/Exist Multileads,27757.0,27757.0,,,0 HCPCS,33231,Insrt pulse gen w/mult leads,,,5405.0,66745.65,17 HCPCS,33233,Hc Ep Remv Perm Pacer Generator,6097.0,6097.0,,,0 HCPCS,33233,Removal of pm generator,,,3295.0,17596.89,18 HCPCS,33234,"Hc Ep Remv Transven Pacer Electrode,1 Lead",5333.0,5333.0,,,0 HCPCS,33234,Removal of pacemaker system,,,3514.53,7946.31,18 HCPCS,33235,"Hc Ep Remv Transven Pacer Electrode,2 Lead",5333.0,5333.0,,,0 HCPCS,33235,Removal pacemaker electrode,,,3514.53,7946.31,18 HCPCS,33236,Remove electrode/thoracotomy,,,3051.0,5843.31,6 HCPCS,33237,Remove electrode/thoracotomy,,,3051.0,5843.31,6 HCPCS,33238,Remove electrode/thoracotomy,,,3051.0,5843.31,6 HCPCS,33240,Hc Ep Insj Implntbl Defib Pulse Gen W/1 Existing Ld,19965.0,19965.0,,,0 HCPCS,33240,Insrt pulse gen w/singl lead,,,6580.16,47299.0,17 HCPCS,33241,Hc Ep Removal Implantable Defib Pulse Generator Only,5333.0,5333.0,,,0 HCPCS,33241,Remove pulse generator,,,3514.53,7946.31,18 HCPCS,33243,Remove eltrd/thoracotomy,,,3051.0,8655.0,9 HCPCS,33244,Hc Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj,5333.0,5333.0,,,0 HCPCS,33244,Remove elctrd transvenously,,,3514.53,7946.31,18 HCPCS,33249,Hc Ep Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr,16328.0,16328.0,,,0 HCPCS,33249,Insj/rplcmt defib w/lead(s),,,6580.16,66745.65,17 HCPCS,33250,Ablate heart dysrhythm focus,,,3051.0,8821.68,6 HCPCS,33251,Ablate heart dysrhythm focus,,,3051.0,8821.68,6 HCPCS,33254,Ablate atria lmtd,,,3051.0,8382.61,4 HCPCS,33254,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Limited (Eg, Modified Maze Procedure)",31860.0,31860.0,,,0 HCPCS,33255,Ablate atria w/o bypass ext,,,3051.0,8382.61,4 HCPCS,33255,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Extensive (Eg, Maze Procedure); W/O Cardio",42480.0,42480.0,,,0 HCPCS,33256,Ablate atria w/bypass exten,,,3051.0,8382.61,4 HCPCS,33256,"Hc Operative Tissue Ablation And Reconstruction Of Atria, Extensive (Eg, Maze Procedure); W/Cardiopu",42480.0,42480.0,,,0 HCPCS,33257,Ablate atria lmtd add-on,,,3051.0,8382.61,4 HCPCS,33258,Ablate atria x10sv add-on,,,3051.0,8382.61,4 HCPCS,33259,Ablate atria w/bypass add-on,,,3051.0,8382.61,4 HCPCS,33261,Ablate heart dysrhythm focus,,,3051.0,8821.68,6 HCPCS,33262,Hc Ep Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead,19965.0,19965.0,,,0 HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,5405.0,47299.0,17 HCPCS,33263,Hc Ep Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld,19965.0,19965.0,,,0 HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,5405.0,47299.0,17 HCPCS,33264,Hc Ep Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld,16328.0,16328.0,,,0 HCPCS,33264,Noncdm Charge Record,19209.0,19209.0,,,0 HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,5405.0,66745.65,17 HCPCS,33265,Ablate atria lmtd endo,,,3051.0,8382.61,4 HCPCS,33266,Ablate atria x10sv endo,,,3051.0,8382.61,4 HCPCS,33267,Excl laa open any method,,,6580.16,10674.37,3 HCPCS,33268,Excl laa opn oth px any meth,,,6580.16,10674.37,3 HCPCS,33269,Excl laa thrscp any method,,,6580.16,10674.37,3 HCPCS,33270,Hc Ep Ins/Rplcmnt Perm Subq Impltbl Dfb W/Subq Eltrd,27757.0,27757.0,,,0 HCPCS,33270,Ins/rep subq defibrillator,,,5405.0,66745.65,17 HCPCS,33271,Hc Ep Insj Of Subq Implantable Defibrillator Electrode,6097.0,6097.0,,,0 HCPCS,33271,Insj subq impltbl dfb elctrd,,,5405.0,17596.89,17 HCPCS,33272,Hc Ep Rmvl Of Subq Implantable Defibrillator Electrode,5333.0,5333.0,,,0 HCPCS,33272,Rmvl of subq defibrillator,,,3514.53,7946.31,18 HCPCS,33273,Hc Ep Repos Previously Implanted Subq Implantable Dfb,5333.0,5333.0,,,0 HCPCS,33273,Repos prev impltbl subq dfb,,,3514.53,11385.0,19 HCPCS,33274,Hc Insert Or Replace Leadless Ppm Rt Vent,16348.0,16348.0,,,0 HCPCS,33274,Tcat insj/rpl perm ldls pm,,,4817.0,40958.29,16 HCPCS,33275,Hc Removal Leadless Ppm Rt Vent,4822.0,4822.0,,,0 HCPCS,33275,Tcat rmvl perm ldls pm,,,3167.03,11385.0,17 HCPCS,33276,"Hc Insertion Of Phrenic Nerve Stimulator System, Including Vessel Catheterization, All Imaging Guida",108001.0,108001.0,,,0 HCPCS,33276,Insj phrnc nrv stim sys,,,5405.0,93660.94,16 HCPCS,33277,Hc Insertion Of Phrenic Nerve Stimulator Transvenous Sensing Lead,28450.0,28450.0,,,0 HCPCS,33277,Insj phrnc nrv stim transvns,,,1343.0,2987.0,4 HCPCS,33278,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 HCPCS,33278,Rmvl phrnc nrv stim sys,,,3295.0,11385.0,17 HCPCS,33279,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3295.0,11385.0,17 HCPCS,33280,"Hc Removal Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imaging Guidance, And",7789.0,7789.0,,,0 HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3295.0,11385.0,17 HCPCS,33281,Hc Repositioning Of Phrenic Nerve Stimulator Transvenous Lead(S),7789.0,7789.0,,,0 HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3295.0,11385.0,17 HCPCS,33282,Implant pat-active ht record,,,4840.09,7118.0,3 HCPCS,33284,Remove pat-active ht record,,,3051.0,4840.09,4 HCPCS,33285,Hc Insert Cardiac Rhythm Monitor Incl Programming,8685.0,8685.0,,,0 HCPCS,33285,Insj subq car rhythm mntr,,,2572.0,17596.89,16 HCPCS,33286,Hc Removal Cardiac Rhythm Monitor,591.0,591.0,,,0 HCPCS,33286,Rmvl subq car rhythm mntr,,,710.27,4840.09,17 HCPCS,33287,"Hc Removal And Replacement Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imagin",71081.0,71081.0,,,0 HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,5405.0,65616.17,16 HCPCS,33288,"Hc Removal And Replacement Of Phrenic Nerve Stimulator, Including Vessel Catheterization, All Imagin",31182.0,31182.0,,,0 HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,3295.0,23693.96,16 HCPCS,33289,Hc Cardiomem W/Calibrat Sensor,32982.0,32982.0,,,0 HCPCS,33289,Tcat impl wrls p-art prs snr,,,6580.16,60992.62,16 HCPCS,33300,Repair of heart wound,,,3051.0,10249.52,6 HCPCS,33305,Repair of heart wound,,,3600.0,10249.52,6 HCPCS,33310,Exploratory heart surgery,,,3051.0,10249.52,6 HCPCS,33315,Exploratory heart surgery,,,3051.0,10249.52,6 HCPCS,33320,Repair major blood vessel(s),,,3051.0,8382.61,6 HCPCS,33321,Repair major vessel,,,3051.0,8821.68,6 HCPCS,33322,Repair major blood vessel(s),,,3051.0,8821.68,6 HCPCS,33330,Insert major vessel graft,,,3051.0,8382.61,6 HCPCS,33335,Insert major vessel graft,,,3051.0,8382.61,6 HCPCS,33340,Hc Cath Perq Clsr Tcat L Atr Apndge W/Endocardial Implnt,5638.0,5638.0,,,0 HCPCS,33340,Perq clsr tcat l atr apndge,,,6309.89,10249.52,3 HCPCS,33361,Hc Cath Replace Aortic Valve Perq Femoral Artry Approach,31476.0,31476.0,,,0 HCPCS,33361,Replace aortic valve perq,,,3051.0,10249.52,4 HCPCS,33362,Hc Cath Replace Aortic Valve Openfemoral Artery Approach,31476.0,31476.0,,,0 HCPCS,33362,Replace aortic valve open,,,3051.0,10249.52,4 HCPCS,33363,Hc Cath Replace Aortic Valve Open Axillry Artry Approach,31476.0,31476.0,,,0 HCPCS,33363,Replace aortic valve open,,,3051.0,10249.52,4 HCPCS,33364,Replace aortic valve open,,,3051.0,10249.52,4 HCPCS,33365,Hc Cath Replace Aortic Valve Open Transaortic Approach,31476.0,31476.0,,,0 HCPCS,33365,Replace aortic valve open,,,3051.0,10249.52,4 HCPCS,33366,Hc Cath Transcatheter Transapical Replacemt Aortic Valve,31476.0,31476.0,,,0 HCPCS,33366,Trcath replace aortic valve,,,3051.0,10249.52,4 HCPCS,33367,Replace aortic valve w/byp,,,3051.0,10249.52,4 HCPCS,33368,Hc Cath Replace Aortic Valve W/Byp Open Art/Venous Aprch,31476.0,31476.0,,,0 HCPCS,33368,Replace aortic valve w/byp,,,3051.0,10249.52,4 HCPCS,33369,Hc Cath Replace Aorta Valve W/Byp Cntrl Art/Venous Aprch,31476.0,31476.0,,,0 HCPCS,33369,Replace aortic valve w/byp,,,3051.0,10249.52,4 HCPCS,33370,"Hc Transcath Plcmt And Subq Rmvl Cepd, Incl Arterial Access, Cath",11732.0,11732.0,,,0 HCPCS,33370,Tcat plmt&rmvl cepd perq,,,1343.0,2987.0,4 HCPCS,33390,Valvuloplasty aortic valve,,,6309.89,10249.52,3 HCPCS,33391,Valvuloplasty aortic valve,,,6580.16,10674.37,3 HCPCS,33400,Repair of aortic valve,,,7175.28,7175.28,2 HCPCS,33401,"Valvuloplasty, open",,,8821.68,8821.68,2 HCPCS,33403,"Valvuloplasty, w/cp bypass",,,7175.28,7175.28,2 HCPCS,33404,Prepare heart-aorta conduit,,,3051.0,8382.61,6 HCPCS,33405,Replacement aortic valve opn,,,3051.0,10249.52,6 HCPCS,33406,Replacement aortic valve opn,,,3051.0,10249.52,6 HCPCS,33410,Replacement aortic valve opn,,,3051.0,10249.52,6 HCPCS,33411,Replacement of aortic valve,,,3051.0,10249.52,6 HCPCS,33412,Replacement of aortic valve,,,3051.0,10249.52,4 HCPCS,33413,Replacement of aortic valve,,,3051.0,10249.52,4 HCPCS,33414,Repair of aortic valve,,,3051.0,10249.52,6 HCPCS,33415,Revision subvalvular tissue,,,3051.0,10249.52,6 HCPCS,33416,"Hc Ventriculomyotomy(-Myectomy), Idiopathic Hypertrophic Subaortic Stenosis",38880.0,38880.0,,,0 HCPCS,33416,Revise ventricle muscle,,,3051.0,10249.52,6 HCPCS,33417,Repair of aortic valve,,,3051.0,10249.52,6 HCPCS,33418,Hc Cath Tcat Mitral Valve Repair Initial Prosthesis,36525.0,36525.0,,,0 HCPCS,33418,Repair tcat mitral valve,,,3514.53,5843.31,3 HCPCS,33419,Hc Cath Tcat Mitral Valve Repair Addl Prosthesis,9132.0,9132.0,,,0 HCPCS,33419,Repair tcat mitral valve,,,1343.0,2572.0,3 HCPCS,33420,Revision of mitral valve,,,3051.0,10249.52,6 HCPCS,33422,Revision of mitral valve,,,3051.0,10674.37,6 HCPCS,33425,Repair of mitral valve,,,3051.0,10249.52,6 HCPCS,33426,"Hc Valvuloplasty, Mitral Valve, W/Cardiopulmonary Bypass W/Prosthetic Ring",41040.0,41040.0,,,0 HCPCS,33426,Repair of mitral valve,,,3051.0,10249.52,6 HCPCS,33427,Repair of mitral valve,,,3051.0,10249.52,6 HCPCS,33430,Replacement of mitral valve,,,3051.0,10249.52,6 HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,6309.89,10249.52,3 HCPCS,33460,Revision of tricuspid valve,,,3051.0,10249.52,6 HCPCS,33463,"Hc Valvuloplasty, Tricuspid Valve, Without Ring Insertion",42480.0,42480.0,,,0 HCPCS,33463,Valvuloplasty tricuspid,,,3051.0,10249.52,6 HCPCS,33464,Valvuloplasty tricuspid,,,3051.0,10249.52,6 HCPCS,33465,Replace tricuspid valve,,,3051.0,10249.52,6 HCPCS,33468,Revision of tricuspid valve,,,3051.0,10249.52,6 HCPCS,33470,Revision of pulmonary valve,,,3051.0,8821.68,3 HCPCS,33471,Valvotomy pulmonary valve,,,3051.0,10249.52,6 HCPCS,33474,Revision of pulmonary valve,,,3051.0,10249.52,6 HCPCS,33475,Hc Replacement Pulmonary Valve,37485.0,37485.0,,,0 HCPCS,33475,Replacement pulmonary valve,,,3051.0,10249.52,6 HCPCS,33476,Revision of heart chamber,,,3051.0,10249.52,6 HCPCS,33477,Hc Cath Tcat Pulmonary Valve Implantation Prq Approach,31476.0,31476.0,,,0 HCPCS,33477,Implant tcat pulm vlv perq,,,5125.78,8382.61,3 HCPCS,33478,Revision of heart chamber,,,3051.0,10249.52,6 HCPCS,33496,Repair prosth valve clot,,,3051.0,8382.61,6 HCPCS,33500,Repair heart vessel fistula,,,3051.0,10249.52,6 HCPCS,33501,Repair heart vessel fistula,,,3051.0,10249.52,6 HCPCS,33502,Coronary artery correction,,,3051.0,10249.52,6 HCPCS,33503,Coronary artery graft,,,3051.0,10249.52,6 HCPCS,33504,Coronary artery graft,,,3051.0,10249.52,6 HCPCS,33505,Repair artery w/tunnel,,,3051.0,10249.52,6 HCPCS,33506,Repair artery translocation,,,3051.0,10249.52,6 HCPCS,33507,Repair art intramural,,,3051.0,10249.52,4 HCPCS,33508,Endoscopic vein harvest,,,1343.0,2572.0,3 HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,3514.53,5843.31,3 HCPCS,33510,Cabg vein single,,,3051.0,10249.52,6 HCPCS,33510,"Hc Coronary Artery Bypass, Vein Only; Single Coronary Venous Graft",50490.0,50490.0,,,0 HCPCS,33511,Cabg vein two,,,3051.0,10249.52,6 HCPCS,33511,"Hc Coronary Artery Bypass, Vein Only; 2 Coronary Venous Grafts",51238.0,51238.0,,,0 HCPCS,33512,Cabg vein three,,,3051.0,10249.52,6 HCPCS,33512,"Hc Coronary Artery Bypass, Vein Only; 3 Coronary Venous Grafts",51238.0,51238.0,,,0 HCPCS,33513,Cabg vein four,,,3051.0,10249.52,6 HCPCS,33513,"Hc Coronary Artery Bypass, Vein Only; 4 Coronary Venous Grafts",52921.0,52921.0,,,0 HCPCS,33514,Cabg vein five,,,3051.0,10249.52,6 HCPCS,33514,"Hc Coronary Artery Bypass, Vein Only; 5 Coronary Venous Grafts",52921.0,52921.0,,,0 HCPCS,33516,Cabg vein six or more,,,3051.0,10249.52,6 HCPCS,33516,"Hc Coronary Artery Bypass, Vein Only; 6 Or More Coronary Venous Grafts",54417.0,54417.0,,,0 HCPCS,33517,Cabg artery-vein single,,,3051.0,10249.52,6 HCPCS,33518,Cabg artery-vein two,,,3051.0,10249.52,6 HCPCS,33519,Cabg artery-vein three,,,3051.0,10249.52,6 HCPCS,33521,Cabg artery-vein four,,,3051.0,10249.52,6 HCPCS,33522,Cabg artery-vein five,,,3051.0,10249.52,6 HCPCS,33523,Cabg art-vein six or more,,,3051.0,10249.52,6 HCPCS,33530,Coronary artery bypass/reop,,,3051.0,10249.52,6 HCPCS,33533,Cabg arterial single,,,3051.0,10249.52,6 HCPCS,33533,"Hc Coronary Artery Bypass, Using Arterial Graft(S); Single Arterial Graft",49929.0,49929.0,,,0 HCPCS,33534,Cabg arterial two,,,3051.0,10249.52,6 HCPCS,33534,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 2 Coronary Arterial Grafts",51238.0,51238.0,,,0 HCPCS,33535,Cabg arterial three,,,3051.0,10249.52,6 HCPCS,33535,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 3 Coronary Arterial Grafts",51238.0,51238.0,,,0 HCPCS,33536,Cabg arterial four or more,,,3051.0,10249.52,6 HCPCS,33536,"Hc Coronary Artery Bypass, Using Arterial Graft(S); 4 Or More Coronary Arterial Grafts",52921.0,52921.0,,,0 HCPCS,33542,Removal of heart lesion,,,3051.0,10249.52,6 HCPCS,33545,Repair of heart damage,,,3051.0,10249.52,6 HCPCS,33548,Restore/remodel ventricle,,,3051.0,10249.52,4 HCPCS,33572,Open coronary endarterectomy,,,3051.0,10249.52,6 HCPCS,33600,Closure of valve,,,3051.0,10249.52,6 HCPCS,33602,Closure of valve,,,3051.0,10249.52,6 HCPCS,33606,Anastomosis/artery-aorta,,,3051.0,10249.52,6 HCPCS,33608,Repair anomaly w/conduit,,,3051.0,10249.52,6 HCPCS,33610,Repair by enlargement,,,3051.0,10249.52,6 HCPCS,33611,Repair double ventricle,,,3051.0,10249.52,6 HCPCS,33612,Repair double ventricle,,,3051.0,10249.52,6 HCPCS,33615,Repair modified fontan,,,3051.0,10249.52,6 HCPCS,33617,Repair single ventricle,,,3051.0,10249.52,6 HCPCS,33619,Repair single ventricle,,,3051.0,10249.52,4 HCPCS,33620,Apply r&l pulm art bands,,,3051.0,8382.61,4 HCPCS,33621,Transthor cath for stent,,,3051.0,5843.31,4 HCPCS,33622,Redo compl cardiac anomaly,,,3051.0,10249.52,4 HCPCS,33641,Repair heart septum defect,,,3051.0,10249.52,6 HCPCS,33645,Revision of heart veins,,,3051.0,8821.68,6 HCPCS,33647,Repair heart septum defects,,,3051.0,10249.52,6 HCPCS,33660,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33665,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33670,Repair of heart chambers,,,3051.0,10249.52,6 HCPCS,33675,Close Mult Vsd,,,3051.0,10249.52,4 HCPCS,33676,Close mult vsd w/resection,,,3051.0,10249.52,4 HCPCS,33677,Cl mult vsd w/rem pul band,,,3051.0,10249.52,4 HCPCS,33681,Repair heart septum defect,,,3051.0,10249.52,6 HCPCS,33684,Repair heart septum defect,,,3051.0,10249.52,6 HCPCS,33688,Repair heart septum defect,,,3051.0,10249.52,6 HCPCS,33690,Reinforce pulmonary artery,,,3051.0,8821.68,6 HCPCS,33692,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33694,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33697,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33702,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33710,Repair of heart defects,,,3051.0,10249.52,6 HCPCS,33720,Repair of heart defect,,,3051.0,10249.52,6 HCPCS,33722,Repair of heart defect,,,3051.0,7175.28,3 HCPCS,33724,Repair Venous Anomaly,,,3051.0,8382.61,4 HCPCS,33726,Repair Pul Venous Stenosis,,,3051.0,8382.61,4 HCPCS,33730,Repair heart-vein defect(s),,,3051.0,8382.61,6 HCPCS,33732,Hc Repair Of Cor Triatriatum Or Supravalvular Mitral Ring By Resection Of Left Atrial Membrane,63720.0,63720.0,,,0 HCPCS,33732,Repair heart-vein defect,,,3051.0,8382.61,6 HCPCS,33735,Revision of heart chamber,,,3051.0,10249.52,6 HCPCS,33736,Revision of heart chamber,,,3051.0,10674.37,6 HCPCS,33737,Revision of heart chamber,,,3051.0,10674.37,6 HCPCS,33741,Hc Transcatheter Atrial Septostomy (Tas) For Congenital Cardiac Anomal,37485.0,37485.0,,,0 HCPCS,33741,Tas congenital car anomal,,,6309.89,10249.52,3 HCPCS,33745,"Hc Transcatheter Intracardiac Shunt (Tis) Cgen Card Anomal, 1St Shunt",37485.0,37485.0,,,0 HCPCS,33745,Tis cgen car anomal 1st shnt,,,6309.89,10249.52,3 HCPCS,33746,"Hc Transcatheter Intracardiac Shunt (Tis) Cgen Card Anomal, Each Addl Shunt Location",9371.0,9371.0,,,0 HCPCS,33746,Tis cgen car anomal ea addl,,,6309.89,10249.52,3 HCPCS,33750,"Hc Bt Shunt Closure, Subclavian To Pulmonary Artery",29988.0,29988.0,,,0 HCPCS,33750,Major vessel shunt,,,3051.0,8382.61,6 HCPCS,33755,Major vessel shunt,,,3051.0,8382.61,6 HCPCS,33762,Major vessel shunt,,,3051.0,8821.68,6 HCPCS,33764,Major vessel shunt & graft,,,3051.0,8821.68,6 HCPCS,33766,Major vessel shunt,,,3051.0,8382.61,6 HCPCS,33767,Major vessel shunt,,,3051.0,8821.68,6 HCPCS,33768,Cavopulmonary shunting,,,3051.0,8382.61,4 HCPCS,33770,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33771,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33774,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33775,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33776,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33777,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33778,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33779,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33780,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33781,Repair great vessels defect,,,3051.0,8382.61,6 HCPCS,33782,Nikaidoh proc,,,3051.0,8382.61,4 HCPCS,33783,Nikaidoh proc w/ostia implt,,,3600.0,8382.61,4 HCPCS,33786,Repair arterial trunk,,,3051.0,8382.61,6 HCPCS,33788,Revision of pulmonary artery,,,3051.0,8821.68,6 HCPCS,33800,Aortic suspension,,,3051.0,8821.68,6 HCPCS,33802,Repair vessel defect,,,3051.0,8382.61,6 HCPCS,33803,Repair vessel defect,,,3051.0,8821.68,6 HCPCS,33813,Repair septal defect,,,3051.0,10249.52,6 HCPCS,33814,Repair septal defect,,,3051.0,10249.52,6 HCPCS,33820,Revise major vessel,,,3051.0,14089.0,9 HCPCS,33822,Revise major vessel,,,3051.0,11685.0,9 HCPCS,33824,Revise major vessel,,,3051.0,14089.0,9 HCPCS,33840,Remove aorta constriction,,,3051.0,10249.52,6 HCPCS,33845,Remove aorta constriction,,,3051.0,10249.52,6 HCPCS,33851,Remove aorta constriction,,,3051.0,10249.52,6 HCPCS,33852,Repair septal defect,,,3051.0,10249.52,6 HCPCS,33853,Repair septal defect,,,3051.0,10249.52,6 HCPCS,33858,As-aort grf f/aortic dsj,,,6309.89,10249.52,3 HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,6309.89,10249.52,3 HCPCS,33860,Ascending aortic graft,,,3051.0,8364.54,3 HCPCS,33863,Ascending aortic graft,,,3051.0,10249.52,6 HCPCS,33864,Ascending aortic graft,,,3051.0,10249.52,4 HCPCS,33866,Aortic hemiarch graft,,,1343.0,1580.0,2 HCPCS,33870,Transverse aortic arch graft,,,3051.0,8364.54,3 HCPCS,33871,Transvrs a-arch grf hypthrm,,,6309.89,10249.52,3 HCPCS,33875,Thoracic aortic graft,,,3051.0,10249.52,6 HCPCS,33877,Thoracoabdominal graft,,,3051.0,10249.52,6 HCPCS,33880,Endovasc taa repr incl subcl,,,3051.0,10249.52,4 HCPCS,33880,Hc Endovascular Repair Descending Thoracic Aorta,7548.0,7548.0,,,0 HCPCS,33881,Endovasc taa repr w/o subcl,,,3051.0,10249.52,4 HCPCS,33881,Hc Thoracic Descending Not,6490.0,6490.0,,,0 HCPCS,33883,Hc Thoracic Aorta-Proximal Extension,4805.0,4805.0,,,0 HCPCS,33883,Insert endovasc prosth taa,,,3051.0,10249.52,4 HCPCS,33884,Endovasc prosth taa add-on,,,3051.0,10249.52,4 HCPCS,33886,Endovasc prosth delayed,,,3051.0,10249.52,4 HCPCS,33886,"Hc Aaa Thoracic Distal Extension, Post Repair",4156.0,4156.0,,,0 HCPCS,33889,Artery transpose/endovas taa,,,3051.0,10249.52,4 HCPCS,33891,Car-car bp grft/endovas taa,,,3051.0,10249.52,4 HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,6309.89,10249.52,3 HCPCS,33894,Hc Endovascular Stent Rpr Descending Thoracic/Aa Across Side Branches,5893.0,5893.0,,,0 HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,6309.89,10249.52,3 HCPCS,33897,Hc Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta,1726.0,1726.0,,,0 HCPCS,33897,Perq trluml angp nt/recr coa,,,6309.89,10249.52,3 HCPCS,33900,"Hc Percu Pulm Artery Revasc By Stent, Initial, Normal Unilateral",25477.0,25477.0,,,0 HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,6309.89,24547.7,16 HCPCS,33901,"Hc Percu Pulm Artery Revasc By Stent, Initial Normal Bilateral",25477.0,25477.0,,,0 HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,6309.89,24547.7,16 HCPCS,33902,"Hc Percu Pulm Artery Revasc By Stent, Initial Abnormal Unilateral",41226.0,41226.0,,,0 HCPCS,33902,Perq p-art revsc 1 abnor uni,,,6580.16,38980.61,16 HCPCS,33903,"Hc Percu Pulm Artery Revasc By Stent, Initial Abnormal Bilateral",25477.0,25477.0,,,0 HCPCS,33903,Perq p-art revsc 1 abnor bi,,,6309.89,24547.7,16 HCPCS,33904,"Hc Percu Pulm Artery Revasc By Stent, Normal Or Abnormal, Each Add'l",14707.0,14707.0,,,0 HCPCS,33904,Perq p-art revsc each addl,,,1343.0,2987.0,4 HCPCS,33910,Remove lung artery emboli,,,3051.0,10249.52,6 HCPCS,33915,Remove lung artery emboli,,,3051.0,10249.52,6 HCPCS,33916,Surgery of great vessel,,,3600.0,8382.61,6 HCPCS,33917,Repair pulmonary artery,,,3051.0,8382.61,6 HCPCS,33920,Repair pulmonary atresia,,,3051.0,8382.61,6 HCPCS,33922,Transect pulmonary artery,,,3051.0,8821.68,6 HCPCS,33924,Remove pulmonary shunt,,,3051.0,8382.61,6 HCPCS,33925,Rpr pul art unifocal w/o cpb,,,3051.0,8382.61,4 HCPCS,33926,Repr pul art unifocal w/cpb,,,3051.0,8382.61,4 HCPCS,33927,Impltj tot rplcmt hrt sys,,,6580.16,10674.37,3 HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,6580.16,10674.37,3 HCPCS,33929,Rmvl rplcmt hrt sys f/trnspl,,,6580.16,10674.37,3 HCPCS,33930,Removal of donor heart/lung,,,3051.0,7972.53,6 HCPCS,33933,Prepare donor heart/lung,,,3051.0,7972.53,4 HCPCS,33935,Transplantation heart/lung,,,3925.0,10674.37,4 HCPCS,33940,Removal of donor heart,,,3051.0,7972.53,4 HCPCS,33944,Prepare donor heart,,,3051.0,7972.53,4 HCPCS,33945,Transplantation of heart,,,3925.0,10674.37,6 HCPCS,33946,Ecmo/ecls initiation venous,,,3011.79,5051.48,5 HCPCS,33946,Hc Ecmo Initial Day Veno Venous,5632.0,5632.0,,,0 HCPCS,33947,Ecmo/ecls initiation artery,,,3011.79,5051.48,5 HCPCS,33947,Hc Ecmo Initial Day Veno Arterial,5632.0,5632.0,,,0 HCPCS,33948,Ecmo/ecls daily mgmt-venous,,,3011.79,5051.48,5 HCPCS,33949,Ecmo/ecls daily mgmt artery,,,3011.79,5051.48,5 HCPCS,33951,Ecmo/ecls insj prph cannula,,,3011.79,5051.48,5 HCPCS,33952,Ecmo/ecls insj prph cannula,,,3011.79,5051.48,5 HCPCS,33952,Hc Ecmo Insertion >6Yo Percutan,2420.0,2420.0,,,0 HCPCS,33952,Hc Insert Peripheral Cannula Ecmo W/Fluoro,2420.0,2420.0,,,0 HCPCS,33953,Ecmo/ecls insj prph cannula,,,3011.79,5051.48,5 HCPCS,33954,Ecmo/ecls insj prph cannula,,,3011.79,5051.48,5 HCPCS,33954,Hc Ecmo Insertion >6Yo Open,2420.0,2420.0,,,0 HCPCS,33955,Ecmo/ecls insj ctr cannula,,,3011.79,5051.48,5 HCPCS,33956,Ecmo/ecls insj ctr cannula,,,3011.79,5051.48,5 HCPCS,33956,Hc Ecmo Insertion >6Yo Sternotomy,2420.0,2420.0,,,0 HCPCS,33957,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33958,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33958,Hc Ecmo Reposition >6Yo Percutan,2420.0,2420.0,,,0 HCPCS,33959,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33962,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33962,Hc Ecmo Reposition >6Yo Open,2420.0,2420.0,,,0 HCPCS,33963,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33964,Ecmo/ecls repos perph cnula,,,3011.79,5051.48,3 HCPCS,33965,Ecmo/ecls rmvl perph cannula,,,3011.79,5051.48,3 HCPCS,33966,Ecmo/ecls rmvl prph cannula,,,3011.79,5051.48,3 HCPCS,33966,Hc Ecmo Removal >6Yo Percutaneous,2420.0,2420.0,,,0 HCPCS,33967,Hc Cath Insert Intra-Aortic Balloon Asst Device,1414.0,1414.0,,,0 HCPCS,33967,Insert i-aort percut device,,,3051.0,16925.0,9 HCPCS,33968,Hc Removal Intra-Aortic Balloon Assist Device,334.0,334.0,,,0 HCPCS,33968,Remove aortic assist device,,,2572.0,16925.0,11 HCPCS,33969,Ecmo/ecls rmvl perph cannula,,,3011.79,5051.48,3 HCPCS,33970,Aortic circulation assist,,,3051.0,5843.31,6 HCPCS,33971,Aortic circulation assist,,,3051.0,5843.31,6 HCPCS,33973,Insert balloon device,,,3051.0,5843.31,6 HCPCS,33974,Remove intra-aortic balloon,,,3051.0,5843.31,6 HCPCS,33975,Implant ventricular device,,,3051.0,10249.52,6 HCPCS,33976,Implant ventricular device,,,3051.0,10249.52,6 HCPCS,33977,Remove ventricular device,,,3051.0,10249.52,6 HCPCS,33978,Remove ventricular device,,,3051.0,10249.52,6 HCPCS,33979,Insert intracorporeal device,,,3051.0,10249.52,6 HCPCS,33980,Remove intracorporeal device,,,3051.0,10249.52,6 HCPCS,33981,Replace vad pump ext,,,3051.0,10249.52,4 HCPCS,33982,Replace vad intra w/o bp,,,3051.0,10249.52,4 HCPCS,33983,Replace vad intra w/bp,,,3051.0,10249.52,4 HCPCS,33984,Ecmo/ecls rmvl prph cannula,,,3011.79,5051.48,3 HCPCS,33984,Hc Ecmo Removal >6Yo Open,2420.0,2420.0,,,0 HCPCS,33985,Ecmo/ecls rmvl ctr cannula,,,3011.79,5051.48,3 HCPCS,33986,Ecmo/ecls rmvl ctr cannula,,,3011.79,5051.48,3 HCPCS,33986,Hc Ecmo Removal >6Yo Sternotomy,2420.0,2420.0,,,0 HCPCS,33987,Artery expos/graft artery,,,4419.21,7268.12,3 HCPCS,33988,Insertion of left heart vent,,,6309.89,10249.52,3 HCPCS,33989,Removal of left heart vent,,,6309.89,10249.52,3 HCPCS,33990,"Hc Insert Ventricular Assist Device, Left Heart, Arterial Access Only",4276.0,4276.0,,,0 HCPCS,33990,Insert vad artery access,,,3051.0,10249.52,4 HCPCS,33991,"Hc Insert Ventricular Assist Device (Vad), Left Heart Art/Vein Access, W/Transseptal Punct",4276.0,4276.0,,,0 HCPCS,33991,Insert vad art&vein access,,,3051.0,10249.52,4 HCPCS,33992,"Hc Remove Left Heart Ventricular Assist Device, Different Session",4276.0,4276.0,,,0 HCPCS,33992,Remove vad different session,,,3051.0,10249.52,4 HCPCS,33993,"Hc Reposition Left Heart Ventricular Assist Device, Different Session",4276.0,4276.0,,,0 HCPCS,33993,Reposition vad diff session,,,3051.0,10249.52,4 HCPCS,33995,"Hc Insertion Of Vad, Right Heart, Venous Access Only Rs&I",4276.0,4276.0,,,0 HCPCS,33995,Insj perq vad r hrt venous,,,6309.89,10249.52,3 HCPCS,33997,"Hc Removal Of Percutaneous Right Heart Ventricular Assist Device, Venous Cannula, At Separate And Di",4276.0,4276.0,,,0 HCPCS,33997,Rmvl perq right heart vad,,,3514.53,5843.31,3 HCPCS,33999,Cardiac surgery procedure,,,629.2,11531.48,16 HCPCS,33999,Hc Basilica Aortic Leaflet Lacera,36525.0,36525.0,,,0 HCPCS,33999,Hc Cath Basilica Aortic Leaflet Laceration,36525.0,36525.0,,,0 HCPCS,33999,Hc Cath Cardiac Surg Procedure Unlist,36525.0,36525.0,,,0 HCPCS,33999,Hc Cath Closure Of Lv Pseudoaneurysm,13302.0,13302.0,,,0 HCPCS,33999,Hc Cath Lampoon Aortic Leaflet Procedure,36525.0,36525.0,,,0 HCPCS,33999,Hc Cv Tavr Transcarotid,36525.0,36525.0,,,0 HCPCS,33999,Hc Cv Tavr Transcaval,36525.0,36525.0,,,0 HCPCS,33999,Hc Iabp Repositioning,4276.0,4276.0,,,0 HCPCS,33999,Hc Insert Dual Chamber Leadless Pacemaker,16348.0,16348.0,,,0 HCPCS,33999,Hc Lvad Stenting,24620.0,24620.0,,,0 HCPCS,33999,"Hc Percutaneous Transcatheter Closure Of Paravalvular Leak; Initial Occlusion Device, Tricuspid Valv",40098.0,40098.0,,,0 HCPCS,33999,Hc Tran Tricuspid Valve Replacement W/O Bypass,12982.0,12982.0,,,0 HCPCS,33999,Hc Transcath Mitral Cerclage,36525.0,36525.0,,,0 HCPCS,33999,Hc Tricuspid Valve,38352.0,38352.0,,,0 HCPCS,33999,Hc Watchman Device Removal,5715.0,5715.0,,,0 HCPCS,34001,Removal of artery clot,,,3051.0,7268.12,6 HCPCS,34051,Removal of artery clot,,,3051.0,7268.12,6 HCPCS,34101,Removal of artery clot,,,4419.21,11832.39,19 HCPCS,34111,Removal of arm artery clot,,,4419.21,11832.39,16 HCPCS,34151,Removal of artery clot,,,3051.0,7268.12,6 HCPCS,34201,Hc Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art,5389.0,5389.0,,,0 HCPCS,34201,Removal of artery clot,,,4419.21,11832.39,16 HCPCS,34203,Removal of leg artery clot,,,4419.21,11832.39,16 HCPCS,34401,Removal of vein clot,,,3051.0,7268.12,6 HCPCS,34421,"Hc Thrombectomy, Direct Or W/Cath, By Leg Incision",7246.0,7246.0,,,0 HCPCS,34421,Removal of vein clot,,,3167.03,8364.54,16 HCPCS,34451,Removal of vein clot,,,3051.0,7268.12,6 HCPCS,34471,Removal of vein clot,,,629.2,8364.54,16 HCPCS,34490,Removal of vein clot,,,3167.03,8364.54,16 HCPCS,34501,Repair valve femoral vein,,,4419.21,11832.39,16 HCPCS,34502,Reconstruct vena cava,,,3051.0,10249.52,6 HCPCS,34510,Transposition of vein valve,,,4419.21,11832.39,16 HCPCS,34520,Cross-over vein graft,,,4419.21,11832.39,16 HCPCS,34530,Leg vein fusion,,,3167.03,8364.54,16 HCPCS,34701,Evasc rpr a-ao ndgft,,,6309.89,10249.52,5 HCPCS,34701,Hc Aaa Repair Aortic Graft Only,29880.0,29880.0,,,0 HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,6309.89,10249.52,5 HCPCS,34702,Hc Aaa Rpr Aortic/Iliac Balln Occ,4577.0,4577.0,,,0 HCPCS,34703,Evasc rpr a-unilac ndgft,,,6309.89,10249.52,5 HCPCS,34703,Hc Aaa Rpr Graft Aorto-Uni-Iliac,5893.0,5893.0,,,0 HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,6309.89,10249.52,5 HCPCS,34704,Hc Aaa Rpr Graft Aorto-Uni-Iliac Rupture,5893.0,5893.0,,,0 HCPCS,34705,Evac rpr a-biiliac ndgft,,,6309.89,10249.52,5 HCPCS,34705,Hc Aaa Repair Graft Aorto-Bi-Iliac,52500.0,52500.0,,,0 HCPCS,34706,Evasc rpr a-biiliac rpt,,,6309.89,10249.52,5 HCPCS,34706,Hc Aaa Graft Aorto-Bifurcation-Iliac Rupture,10874.0,10874.0,,,0 HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,5125.78,9675.0,5 HCPCS,34707,Hc Repair Iliac Artery Ilio-Iliac Tube,2976.0,2976.0,,,0 HCPCS,34708,Evasc rpr ilio-iliac rpt,,,5125.78,9675.0,5 HCPCS,34708,Hc Repair Iliac Artery Ilio-Iliac Tube Rupture,2976.0,2976.0,,,0 HCPCS,34709,Hc Placement Extension Prosthesis Per Vessel Treated,3473.0,3473.0,,,0 HCPCS,34709,Plmt xtn prosth evasc rpr,,,2572.0,8382.61,5 HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,4817.0,8382.61,5 HCPCS,34710,Hc Delayed Placement Distal Or Proximal Ext Endovasc Repair- 1St Vessel Treated,52500.0,52500.0,,,0 HCPCS,34711,Dlyd plmt xtn prosth ea addl,,,2572.0,8382.61,5 HCPCS,34711,Hc Delayed Placement Distal Or Proximal Ext Endovasc Repair- Ea Addl Vessel Treated,1104.0,1104.0,,,0 HCPCS,34712,Hc Transcatheter Delivery Enh Fixation Device(S) To Endograft W/R&I,3473.0,3473.0,,,0 HCPCS,34712,Tcat dlvr enhncd fixj dev,,,3514.53,6277.0,5 HCPCS,34713,"Hc Perq Access Closer Of Femoral Artery 12Fr>, Incl Us Guid",1303.0,1303.0,,,0 HCPCS,34713,Perq access & clsr fem art,,,1343.0,2987.0,4 HCPCS,34714,Opn fem art expos cndt crtj,,,1343.0,2987.0,4 HCPCS,34715,Opn ax/subcla art expos,,,1343.0,2987.0,4 HCPCS,34716,Opn ax/subcla art expos cndt,,,1343.0,2987.0,4 HCPCS,34717,Evasc rpr a-iliac ndgft,,,6309.89,10249.52,3 HCPCS,34717,"Hc Endovasc Repair Aort-Iliac Art Endograft Plcmt W/Aaa, Unilat",4919.0,4919.0,,,0 HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,6309.89,10249.52,3 HCPCS,34718,"Hc Endovasc Repair W/O Aorto-Iliac Endgrft, For Other Than Rupt, Unilateral",4919.0,4919.0,,,0 HCPCS,34800,Endovas aaa repr w/sm tube,,,3051.0,4840.09,3 HCPCS,34802,Endovas aaa repr w/2-p part,,,3051.0,4840.09,3 HCPCS,34803,Endovas aaa repr w/3-p part,,,3051.0,3051.0,1 HCPCS,34804,Endovas aaa repr w/1-p part,,,3051.0,4840.09,3 HCPCS,34805,Endovas aaa repr w/long tube,,,3051.0,3051.0,1 HCPCS,34806,Aneurysm press sensor add-on,,,3051.0,3051.0,1 HCPCS,34808,Endovas iliac a device addon,,,3051.0,5843.31,6 HCPCS,34808,Hc Endovascular Plcmnt Of Iliac Art Occlusion Device,1104.0,1104.0,,,0 HCPCS,34812,"Hc Open Femoral Art Exp, By Groin, Unilateral",1774.0,1774.0,,,0 HCPCS,34812,Xpose for endoprosth femorl,,,3011.79,5051.48,6 HCPCS,34813,Femoral endovas graft add-on,,,3051.0,5843.31,6 HCPCS,34820,Xpose for endoprosth iliac,,,3051.0,5843.31,6 HCPCS,34825,Endovasc extend prosth init,,,3051.0,4840.09,3 HCPCS,34826,Endovasc exten prosth addl,,,3051.0,4840.09,3 HCPCS,34830,Open Aortic Tube Prosth Repr,,,3051.0,10249.52,6 HCPCS,34831,Open Aortoiliac Prosth Repr,,,3051.0,10249.52,6 HCPCS,34832,Open Aortofemor Prosth Repr,,,3051.0,10249.52,6 HCPCS,34833,Xpose for endoprosth iliac,,,3051.0,9675.0,6 HCPCS,34834,Xpose endoprosth brachial,,,3011.79,9675.0,6 HCPCS,34839,Plnning pt spec fenest graft,,,2678.54,4221.48,3 HCPCS,34841,Endovasc visc aorta 1 graft,,,5125.78,8382.61,3 HCPCS,34841,Hc Aaa Graft Fenestrated 1 Vessel,6076.0,6076.0,,,0 HCPCS,34842,Endovasc visc aorta 2 graft,,,5125.78,8382.61,3 HCPCS,34842,Hc Aaa Graft Fenestrated 2 Vessels,6076.0,6076.0,,,0 HCPCS,34843,Endovasc visc aorta 3 graft,,,5125.78,8382.61,3 HCPCS,34843,Hc Aaa Graft Fenestrated 3 Vessels,6076.0,6076.0,,,0 HCPCS,34844,Endovasc visc aorta 4 graft,,,5125.78,8382.61,3 HCPCS,34844,Hc Aaa Graft Fenestrated 4 Vessels,6076.0,6076.0,,,0 HCPCS,34845,Hc Aaa Iliac Graft Fenestrated 1 Vessel,6076.0,6076.0,,,0 HCPCS,34845,Visc & infraren abd 1 prosth,,,5125.78,8382.61,3 HCPCS,34846,Hc Aaa Iliac Graft Fenestrated 2 Vessels,6076.0,6076.0,,,0 HCPCS,34846,Visc & infraren abd 2 prosth,,,5125.78,8382.61,3 HCPCS,34847,Hc Aaa Iliac Graft Fenestrated 3 Vessels,6076.0,6076.0,,,0 HCPCS,34847,Visc & infraren abd 3 prosth,,,5125.78,8382.61,3 HCPCS,34848,Hc Aaa Iliac Graft Fenestrated 4 Or More Vessels,6076.0,6076.0,,,0 HCPCS,34848,Visc & infraren abd 4+ prost,,,5125.78,8382.61,3 HCPCS,34900,Endovasc iliac repr w/graft,,,3051.0,3051.0,1 HCPCS,35001,Hc Dir Rpr Aneurysm Carotid-Subclavian Artery,5943.0,5943.0,,,0 HCPCS,35001,Repair defect of artery,,,3051.0,8382.61,6 HCPCS,35002,Repair artery rupture neck,,,3051.0,8382.61,6 HCPCS,35005,Repair defect of artery,,,3051.0,8382.61,6 HCPCS,35011,Repair defect of artery,,,3925.0,11832.39,16 HCPCS,35013,Repair artery rupture arm,,,3051.0,7268.12,6 HCPCS,35021,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35022,Repair artery rupture chest,,,3051.0,7268.12,6 HCPCS,35045,Repair defect of arm artery,,,4419.21,11832.39,16 HCPCS,35081,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision",28800.0,28800.0,,,0 HCPCS,35081,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35082,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured",28800.0,28800.0,,,0 HCPCS,35082,Repair artery rupture aorta,,,3051.0,7268.12,6 HCPCS,35091,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Viseral Vessels",28800.0,28800.0,,,0 HCPCS,35091,Repair defect of artery,,,3051.0,8821.68,6 HCPCS,35092,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured,Viseral Vessels",28800.0,28800.0,,,0 HCPCS,35092,Repair artery rupture aorta,,,3051.0,7268.12,6 HCPCS,35102,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Iliac Vessels",28800.0,28800.0,,,0 HCPCS,35102,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35103,"Hc Repair, Aneurysm, Pseudoaneurysm Or Excision - Ruptured, Iliac Vessels",48000.0,48000.0,,,0 HCPCS,35103,Repair artery rupture aorta,,,3051.0,7268.12,6 HCPCS,35111,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35112,Repair artery rupture spleen,,,3051.0,7268.12,6 HCPCS,35121,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35122,Repair artery rupture belly,,,3051.0,8821.68,6 HCPCS,35131,Hc Dir Rpr Aneurysm & Graft Iliac Artery,7268.0,7268.0,,,0 HCPCS,35131,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35132,Repair artery rupture groin,,,3051.0,7268.12,6 HCPCS,35141,Hc Dir Rpr Aneurysm & Graft Common Femoral Artery,5769.0,5769.0,,,0 HCPCS,35141,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35142,Repair artery rupture thigh,,,3051.0,7268.12,6 HCPCS,35151,Repair defect of artery,,,3051.0,7268.12,6 HCPCS,35152,Repair ruptd popliteal art,,,3051.0,7268.12,6 HCPCS,35180,Repair blood vessel lesion,,,1578.92,5611.0,16 HCPCS,35182,Repair blood vessel lesion,,,3051.0,5843.31,6 HCPCS,35184,Repair blood vessel lesion,,,3167.03,7870.0,16 HCPCS,35188,Repair blood vessel lesion,,,4419.21,11832.39,19 HCPCS,35189,Repair blood vessel lesion,,,3051.0,5843.31,6 HCPCS,35190,Repair blood vessel lesion,,,4419.21,11832.39,16 HCPCS,35201,Repair blood vessel lesion,,,4419.21,11832.39,18 HCPCS,35206,"Hc Repair Blood Vessel, Direct; Upper Extremity",7002.0,7002.0,,,0 HCPCS,35206,Repair blood vessel lesion,,,3167.03,7870.0,18 HCPCS,35207,"Hc Pbb Rebl Ves Direct,Hand/Fingr",708.0,708.0,,,0 HCPCS,35207,"Hc Rebl Ves Direct,Hand/Fingr",6450.0,6450.0,,,0 HCPCS,35207,Repair blood vessel lesion,,,3167.03,7870.0,19 HCPCS,35211,Repair blood vessel lesion,,,3051.0,8821.68,6 HCPCS,35216,Repair blood vessel lesion,,,3051.0,7268.12,6 HCPCS,35221,Repair blood vessel lesion,,,3051.0,7268.12,6 HCPCS,35226,"Hc Repair Blood Vessel, Direct; Lower Extremity",3806.0,3806.0,,,0 HCPCS,35226,Repair blood vessel lesion,,,710.27,5594.0,18 HCPCS,35231,Repair blood vessel lesion,,,3167.03,8180.0,18 HCPCS,35236,Hc Repair Blood Vessel W/Vein Graft; Upper Extremity,6450.0,6450.0,,,0 HCPCS,35236,Repair blood vessel lesion,,,4419.21,11832.39,18 HCPCS,35241,Repair blood vessel lesion,,,3051.0,8821.68,6 HCPCS,35246,Repair blood vessel lesion,,,3051.0,8821.68,6 HCPCS,35251,Repair blood vessel lesion,,,3051.0,7268.12,6 HCPCS,35256,Hc Repair Blood Vessel Vein Graft Lower Extremity,12566.0,12566.0,,,0 HCPCS,35256,Repair blood vessel lesion,,,4419.21,11832.39,18 HCPCS,35261,Repair blood vessel lesion,,,3167.03,8180.0,18 HCPCS,35266,Repair blood vessel lesion,,,3925.0,11832.39,18 HCPCS,35271,Repair blood vessel lesion,,,3051.0,8821.68,6 HCPCS,35276,Repair blood vessel lesion,,,3051.0,8821.68,6 HCPCS,35281,Repair blood vessel lesion,,,3051.0,7268.12,6 HCPCS,35286,Repair blood vessel lesion,,,3925.0,11832.39,18 HCPCS,35301,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Carotid, Vertebral, Subclavian, By Ne",24750.0,24750.0,,,0 HCPCS,35301,Rechanneling of artery,,,3051.0,7268.12,4 HCPCS,35302,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Superficial Femoral Artery",34155.0,34155.0,,,0 HCPCS,35302,Rechanneling of Artery,,,3051.0,7268.12,4 HCPCS,35303,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Popliteal Artery",34155.0,34155.0,,,0 HCPCS,35303,Rechanneling of Artery,,,3051.0,7268.12,4 HCPCS,35304,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Tibioperoneal Trunk Artery",34155.0,34155.0,,,0 HCPCS,35304,Rechanneling of Artery,,,3051.0,7268.12,4 HCPCS,35305,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Tibial Or Peroneal Artery, Initial Ve",34155.0,34155.0,,,0 HCPCS,35305,Rechanneling of Artery,,,3051.0,7268.12,4 HCPCS,35306,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Each Additional Tibial Or Peroneal Ar",17078.0,17078.0,,,0 HCPCS,35306,Rechanneling of Artery,,,3051.0,7268.12,4 HCPCS,35311,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35321,Rechanneling of artery,,,4419.21,11832.39,18 HCPCS,35331,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35341,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Mesenteric, Celiac, Or Renal",39600.0,39600.0,,,0 HCPCS,35341,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35351,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35355,"Hc Thromboendarterectomy Incl Patch Graft, If Performed, Iliofemoral",22650.0,22650.0,,,0 HCPCS,35355,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35361,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35363,Rechanneling of artery,,,3051.0,7268.12,6 HCPCS,35371,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Common Femoral",29700.0,29700.0,,,0 HCPCS,35371,Rechanneling of artery,,,3051.0,5843.31,6 HCPCS,35372,"Hc Thromboendarterectomy, Including Patch Graft, If Performed; Deep (Profunda) Femoral",29700.0,29700.0,,,0 HCPCS,35372,Rechanneling of artery,,,3051.0,11832.39,17 HCPCS,35390,"Hc Reoperation, Carotid, Thromboendarterectomy, More Than 1 Month After Original Operation",24750.0,24750.0,,,0 HCPCS,35390,Reoperation carotid add-on,,,3051.0,7268.12,6 HCPCS,35400,Angioscopy,,,3011.79,5051.48,6 HCPCS,35450,Repair arterial blockage,,,4840.09,4840.09,2 HCPCS,35452,Repair arterial blockage,,,4840.09,4840.09,2 HCPCS,35458,Repair arterial blockage,,,7118.0,10227.73,3 HCPCS,35460,Repair venous blockage,,,7118.0,8364.54,3 HCPCS,35471,Repair arterial blockage,,,7118.0,10227.73,3 HCPCS,35472,Repair arterial blockage,,,7118.0,10227.73,3 HCPCS,35475,Repair arterial blockage,,,7118.0,10227.73,3 HCPCS,35476,Repair venous blockage,,,7118.0,10227.73,3 HCPCS,35500,Harvest vein for bypass,,,1343.0,8364.54,5 HCPCS,35501,Art byp grft ipsilat carotid,,,3051.0,7268.12,6 HCPCS,35506,Art byp grft subclav-carotid,,,3051.0,7268.12,6 HCPCS,35508,Art byp grft carotid-vertbrl,,,3051.0,7268.12,6 HCPCS,35509,Art byp grft contral carotid,,,3051.0,7268.12,6 HCPCS,35510,Art byp grft carotid-brchial,,,3051.0,7268.12,4 HCPCS,35511,Art byp grft subclav-subclav,,,3051.0,7268.12,6 HCPCS,35512,Art byp grft subclav-brchial,,,3051.0,7268.12,4 HCPCS,35515,Art byp grft subclav-vertbrl,,,3051.0,7268.12,6 HCPCS,35516,Art byp grft subclav-axilary,,,3051.0,7268.12,6 HCPCS,35518,Art byp grft axillary-axilry,,,3051.0,7268.12,6 HCPCS,35521,Art byp grft axill-femoral,,,3051.0,7268.12,6 HCPCS,35522,Art byp grft axill-brachial,,,3051.0,7268.12,4 HCPCS,35523,Art byp grft brchl-ulnr-rdl,,,3051.0,7268.12,4 HCPCS,35525,Art byp grft brachial-brchl,,,3051.0,7268.12,4 HCPCS,35526,Art byp grft aor/carot/innom,,,3051.0,7268.12,6 HCPCS,35531,Art byp grft aorcel/aormesen,,,3051.0,8821.68,6 HCPCS,35533,Art byp grft axill/fem/fem,,,3051.0,7268.12,6 HCPCS,35535,Art byp grft hepatorenal,,,3051.0,7268.12,4 HCPCS,35536,Art byp grft splenorenal,,,3051.0,7268.12,6 HCPCS,35537,Art byp grft aortoiliac,,,3051.0,7268.12,4 HCPCS,35538,Art byp grft aortobi-iliac,,,3051.0,7268.12,4 HCPCS,35539,Art byp grft aortofemoral,,,3051.0,7268.12,4 HCPCS,35540,Art byp grft aortbifemoral,,,3051.0,7268.12,4 HCPCS,35540,"Hc Bypass Graft W/Vein, Aortobifemoral",48000.0,48000.0,,,0 HCPCS,35556,Art byp grft fem-popliteal,,,3051.0,7268.12,6 HCPCS,35556,"Hc Bypass Graft W/Vein, Femoral-Popliteal",36240.0,36240.0,,,0 HCPCS,35558,Art byp grft fem-femoral,,,3051.0,7268.12,6 HCPCS,35560,Art byp grft aortorenal,,,3051.0,8821.68,6 HCPCS,35563,Art byp grft ilioiliac,,,3051.0,7268.12,6 HCPCS,35565,Art byp grft iliofemoral,,,3051.0,7268.12,6 HCPCS,35566,Art byp fem-ant-post tib/prl,,,3051.0,7268.12,6 HCPCS,35570,Art byp tibial-tib/peroneal,,,3051.0,7268.12,4 HCPCS,35571,Art byp pop-tibl-prl-other,,,3051.0,7268.12,6 HCPCS,35571,"Hc Bypass Graft W/Vein, Popliteal-Tibial, Peroneal Artery Or Other Distal Vessels",36240.0,36240.0,,,0 HCPCS,35572,Harvest femoropopliteal vein,,,1343.0,2572.0,3 HCPCS,35583,Vein byp grft fem-popliteal,,,3051.0,7268.12,6 HCPCS,35585,Vein byp fem-tibial peroneal,,,3051.0,8821.68,6 HCPCS,35587,Vein byp pop-tibl peroneal,,,3051.0,7268.12,6 HCPCS,35600,Harvest art for cabg add-on,,,3051.0,5843.31,6 HCPCS,35601,Art byp common ipsi carotid,,,3051.0,7268.12,6 HCPCS,35606,Art byp carotid-subclavian,,,3051.0,7268.12,6 HCPCS,35612,Art byp subclav-subclavian,,,3051.0,7268.12,6 HCPCS,35616,Art byp subclav-axillary,,,3051.0,7268.12,6 HCPCS,35621,Art byp axillary-femoral,,,3051.0,7268.12,6 HCPCS,35623,Art byp axillary-pop-tibial,,,3051.0,7268.12,6 HCPCS,35626,Art byp aorsubcl/carot/innom,,,3051.0,7268.12,6 HCPCS,35631,Art byp aor-celiac-msn-renal,,,3051.0,8821.68,6 HCPCS,35632,Art byp ilio-celiac,,,3051.0,7268.12,4 HCPCS,35633,Art byp ilio-mesenteric,,,3051.0,7268.12,4 HCPCS,35634,Art byp iliorenal,,,3051.0,7268.12,4 HCPCS,35636,Art byp spenorenal,,,3051.0,7268.12,6 HCPCS,35637,Art byp aortoiliac,,,3051.0,7268.12,4 HCPCS,35638,Art byp aortobi-iliac,,,3051.0,7268.12,4 HCPCS,35642,Art byp carotid-vertebral,,,3051.0,7268.12,6 HCPCS,35645,Art byp subclav-vertebrl,,,3051.0,7268.12,6 HCPCS,35646,Art byp aortobifemoral,,,3051.0,8821.68,6 HCPCS,35646,"Hc Bypass Graft W/Other Than Vein, Aortobifemoral",48000.0,48000.0,,,0 HCPCS,35647,Art byp aortofemoral,,,3051.0,7268.12,6 HCPCS,35650,Art byp axillary-axillary,,,3051.0,7268.12,6 HCPCS,35654,Art byp axill-fem-femoral,,,3051.0,7268.12,6 HCPCS,35656,Art byp femoral-popliteal,,,3051.0,7268.12,6 HCPCS,35656,"Hc Bypass Graft W/Other Than Vein, Femoral Popliteal",36240.0,36240.0,,,0 HCPCS,35661,Art byp femoral-femoral,,,3051.0,7268.12,6 HCPCS,35661,Hc Bypass Graft W/Other Than Vein; Femoral-Femoral,8602.0,8602.0,,,0 HCPCS,35663,Art byp ilioiliac,,,3051.0,7268.12,6 HCPCS,35665,Art byp iliofemoral,,,3051.0,7268.12,6 HCPCS,35666,Art byp fem-ant-post tib/prl,,,3051.0,7268.12,6 HCPCS,35671,Art byp pop-tibl-prl-other,,,3051.0,7268.12,6 HCPCS,35671,"Hc Bypass Graft W/Other Than Vein, Popliteal-Tibial Or Peroneal Artery",36240.0,36240.0,,,0 HCPCS,35681,Composite byp grft pros&vein,,,3051.0,5843.31,6 HCPCS,35682,Composite byp grft 2 veins,,,3051.0,5843.31,6 HCPCS,35683,Composite byp grft 3/> segmt,,,3051.0,5843.31,6 HCPCS,35685,Bypass graft patency/patch,,,1343.0,4840.09,5 HCPCS,35686,Bypass graft/av fist patency,,,1343.0,4840.09,5 HCPCS,35691,Art trnsposj vertbrl carotid,,,3051.0,7268.12,6 HCPCS,35693,Art trnsposj subclavian,,,3051.0,7268.12,6 HCPCS,35694,Art trnsposj subclav carotid,,,3051.0,7268.12,6 HCPCS,35695,Art trnsposj carotid subclav,,,3051.0,7268.12,6 HCPCS,35697,Reimplant artery each,,,3051.0,7268.12,4 HCPCS,35700,Reoperation bypass graft,,,3051.0,7268.12,6 HCPCS,35701,Exploration carotid artery,,,3051.0,5843.31,6 HCPCS,35702,Expl n/flwd surg uxtr art,,,3011.79,5051.48,5 HCPCS,35702,"Hc Exploration Not Followed By Surgical Repair, Artery; Upper Extremity",1122.0,1122.0,,,0 HCPCS,35703,Expl n/flwd surg lxtr art,,,3011.79,5051.48,5 HCPCS,35721,Exploration femoral artery,,,3051.0,4840.09,3 HCPCS,35741,Exploration popliteal artery,,,3051.0,4840.09,3 HCPCS,35761,Exploration of artery/vein,,,4743.0,7175.28,4 HCPCS,35800,Explore neck vessels,,,3051.0,11832.39,17 HCPCS,35820,Explore chest vessels,,,3051.0,5843.31,6 HCPCS,35840,Explore abdominal vessels,,,3051.0,5843.31,6 HCPCS,35860,Explore limb vessels,,,3167.03,7870.0,18 HCPCS,35870,Repair vessel graft defect,,,3051.0,7268.12,6 HCPCS,35875,Removal of clot in graft,,,4419.21,11832.39,19 HCPCS,35876,Removal of clot in graft,,,4419.21,11832.39,19 HCPCS,35879,Revise graft w/vein,,,4419.21,11832.39,16 HCPCS,35881,Revise graft w/vein,,,4419.21,11832.39,16 HCPCS,35883,"Hc Revision, Femoral Anastomosis, Synthetic Arterial Bypass Graft, Groin, Open W/Nonautogenous Patch",12335.0,12335.0,,,0 HCPCS,35883,Revise Graft w/Nonauto Graft,,,4419.21,11832.39,19 HCPCS,35884,Revise graft w/vein,,,4419.21,11832.39,19 HCPCS,35901,Excision graft neck,,,3051.0,5843.31,6 HCPCS,35903,Excision graft extremity,,,3167.03,8821.68,16 HCPCS,35905,Excision graft thorax,,,3051.0,7268.12,6 HCPCS,35907,Excision graft abdomen,,,3051.0,8821.68,6 HCPCS,36000,Hc Pbb Place Needle In Vein,124.0,124.0,,,0 HCPCS,36000,Hc Place Needle In Vein,124.0,124.0,,,0 HCPCS,36000,Place needle in vein,,,1343.0,4840.09,5 HCPCS,36002,Hc Cath Injection Rx Extremity Pseudoaneurysm,892.0,892.0,,,0 HCPCS,36002,Hc Injection Rx Extremity Pseudoaneurysm,892.0,892.0,,,0 HCPCS,36002,Hc Vasc Injection Rx Extremity Pseudoaneurysm,892.0,892.0,,,0 HCPCS,36002,Pseudoaneurysm injection trt,,,629.2,4840.09,19 HCPCS,36005,"Hc Injection Proc,Extremity,Venography",362.0,362.0,,,0 HCPCS,36005,Injection ext venography,,,1343.0,4840.09,7 HCPCS,36010,"Hc Cath Place Cath In Vein,Svc,Ivc",2117.0,2117.0,,,0 HCPCS,36010,"Hc Place Cath In Vein,Svc,Ivc",2117.0,2117.0,,,0 HCPCS,36010,Place catheter in vein,,,1343.0,4840.09,7 HCPCS,36011,"Hc Cath Place Cath In Vein,Select",1275.0,1275.0,,,0 HCPCS,36011,"Hc Place Cath In Vein,Select",1275.0,1275.0,,,0 HCPCS,36011,Place catheter in vein,,,1343.0,8364.54,7 HCPCS,36012,"Hc Cath Place Cath In Vein,Subselect(2Nd Order Or More)",1582.0,1582.0,,,0 HCPCS,36012,Place catheter in vein,,,1343.0,4840.09,7 HCPCS,36013,"Hc Cath Place Cath In Rt Hrt,Main Pulm Art",1210.0,1210.0,,,0 HCPCS,36013,"Hc Ir Cath Placement, Right Heart Or Main Pulmonary Artery",1210.0,1210.0,,,0 HCPCS,36013,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36014,Hc Cath Place Cath In Lt/Rt Pulm Art,1357.0,1357.0,,,0 HCPCS,36014,Hc Place Cath In Lt/Rt Pulm Art,1357.0,1357.0,,,0 HCPCS,36014,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36015,Hc Cath Place Cath In Subsegmt Pulm Art,1582.0,1582.0,,,0 HCPCS,36015,Hc Place Cath In Subsegmt Pulm Art,1582.0,1582.0,,,0 HCPCS,36015,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36100,Establish access to artery,,,1343.0,4840.09,7 HCPCS,36120,Establish access to artery,,,2572.0,4840.09,3 HCPCS,36140,Establish access to artery,,,1343.0,4840.09,7 HCPCS,36140,Hc Place Cath Extrem Artery,1597.0,1597.0,,,0 HCPCS,36147,Intro of needle/cath for dialysis,,,4249.0,4840.09,3 HCPCS,36148,additional access for therapeutic intervention,,,2572.0,2572.0,1 HCPCS,36160,Establish access to aorta,,,1343.0,4840.09,7 HCPCS,36160,Hc Place Cath Aorta Via Translumbar,1273.0,1273.0,,,0 HCPCS,36200,Hc Place Cath Aorta,2631.0,2631.0,,,0 HCPCS,36200,Place catheter in aorta,,,1343.0,4840.09,7 HCPCS,36215,"Hc Place Cath Selective Art,Neck, Each 1St Order",3315.0,3315.0,,,0 HCPCS,36215,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36216,"Hc Cath Place Cath Subselect Art,Neck, Initial 2Nd Order",3819.0,3819.0,,,0 HCPCS,36216,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36217,"Hc Cath Place Cath Subsubselect Art,Neck, Initial 3Rd Order Or More",4549.0,4549.0,,,0 HCPCS,36217,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36218,"Hc Cath Placement, Arterial System, Addl 2Nd, 3Rd Or More, Thoracic/Brachiocephalic Branch",739.0,739.0,,,0 HCPCS,36218,Place catheter in artery,,,1343.0,4840.09,7 HCPCS,36221,Hc Cath Nonslctv Cath Thor Aorta Angio Intr/Xtrcranl Art,11541.0,11541.0,,,0 HCPCS,36221,Place cath thoracic aorta,,,3167.03,7870.0,17 HCPCS,36222,Hc Slctv Cath Carotid/Innom Art Angio Xtrcranl Art,10513.0,10513.0,,,0 HCPCS,36222,Place cath carotid/inom art,,,3167.03,7870.0,17 HCPCS,36223,Hc Cath Slctv Cath Carotid/Innom Art Angio Intrcranl Art,14548.0,14548.0,,,0 HCPCS,36223,Hc Slctv Cath Carotid/Innom Art Angio Intrcranl Art,14548.0,14548.0,,,0 HCPCS,36223,Place cath carotid/inom art,,,3295.0,11832.39,17 HCPCS,36224,Hc Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art,14548.0,14548.0,,,0 HCPCS,36224,Place cath carotd art,,,4419.21,11832.39,17 HCPCS,36225,Hc Cath Slctv Cath Subclavian Art Angio Vertebral Artery,10421.0,10421.0,,,0 HCPCS,36225,Hc Slctv Cath Subclavian Art Angio Vertebral Artery,10421.0,10421.0,,,0 HCPCS,36225,Place cath subclavian art,,,3167.03,7870.0,17 HCPCS,36226,Hc Cath Slctv Cath Vertebral Art Angio Vertebral Artery,14548.0,14548.0,,,0 HCPCS,36226,Hc Slctv Cath Vertebral Art Angio Vertebral Artery,14548.0,14548.0,,,0 HCPCS,36226,Place cath vertebral art,,,4419.21,11832.39,17 HCPCS,36227,Hc Cath Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ,15296.0,15296.0,,,0 HCPCS,36227,Hc Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ,15296.0,15296.0,,,0 HCPCS,36227,Place cath xtrnl carotid,,,1343.0,2987.0,5 HCPCS,36228,Hc Slctv Cath Intrcrnl Brnch Angio Intrl Carot/Vert,6073.0,6073.0,,,0 HCPCS,36228,Place cath intracranial art,,,1343.0,2987.0,5 HCPCS,36245,"Hc Cath Place Cath Select Art,Abd/Pel, Each 1St Order",3509.0,3509.0,,,0 HCPCS,36245,Ins cath abd/l-ext art 1st,,,1343.0,4840.09,7 HCPCS,36246,"Hc Cath Place Cath Subselect Art,Abd/Pel, Initial 2Nd Order",3819.0,3819.0,,,0 HCPCS,36246,Ins cath abd/l-ext art 2nd,,,1343.0,4840.09,7 HCPCS,36247,"Hc Place Cath Subsubselect Art,Abd/Pel, Initial 3Rd Order Or More",4549.0,4549.0,,,0 HCPCS,36247,Ins cath abd/l-ext art 3rd,,,1343.0,4840.09,7 HCPCS,36248,"Hc Cath Place Cath Addn Subsel Art,Abd/Pel, Initial 2Nd, 3Rd Order Or More",739.0,739.0,,,0 HCPCS,36248,"Hc Cath Placement, Arterial System, Addl 2Nd, 3Rd Or More, Abdominal/Pelvic/Lower Extremity Artery B",739.0,739.0,,,0 HCPCS,36248,Ins cath abd/l-ext art addl,,,1343.0,4840.09,7 HCPCS,36251,Hc Cath Slctv Cath 1Stord W/Wo Art Punct/Fluoro/S&I Uni,10421.0,10421.0,,,0 HCPCS,36251,Hc Slctv Cath 1Stord W/Wo Art Punct/Fluoro/S&I Uni,10421.0,10421.0,,,0 HCPCS,36251,Ins cath ren art 1st unilat,,,3167.03,7870.0,17 HCPCS,36252,Hc Cath Slctv Cath 1Stord W/Wo Art Punct/Fluor/S&I Bilat,10421.0,10421.0,,,0 HCPCS,36252,Hc Slctv Cath 1Stord W/Wo Art Punct/Fluor/S&I Bilat,10421.0,10421.0,,,0 HCPCS,36252,Ins cath ren art 1st bilat,,,3167.03,7870.0,17 HCPCS,36253,Hc Supslctv Cath 2Nd+Ord Renl&Acces Artery/S&I Uni,11129.0,11129.0,,,0 HCPCS,36253,Ins cath ren art 2nd+ unilat,,,3295.0,11832.39,17 HCPCS,36254,Hc Supslctv Cath 2Nd+Ord Renl&Acces Arter/S&I Bilat,11368.0,11368.0,,,0 HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3167.03,7870.0,17 HCPCS,36260,Insertion of infusion pump,,,3925.0,11832.39,19 HCPCS,36261,Revision of infusion pump,,,3295.0,7946.31,19 HCPCS,36262,Removal of infusion pump,,,2572.0,7946.31,19 HCPCS,36299,Hc Inj Of Vad Device,434.0,434.0,,,0 HCPCS,36299,Vessel injection procedure,,,1343.0,4840.09,5 HCPCS,36400,Bl draw < 3 yrs fem/jugular,,,4840.09,4840.09,2 HCPCS,36405,Bl draw <3 yrs scalp vein,,,4840.09,4840.09,2 HCPCS,36406,Bl draw <3 yrs other vein,,,4840.09,4840.09,2 HCPCS,36410,Hc Venipuncture 3 Years/> Phys/Qhp Skill - Midline Insertion,80.0,80.0,,,0 HCPCS,36410,Non-routine bl draw 3/> yrs,,,4840.09,4840.09,2 HCPCS,36415,"Hc Chg Collection Venous Blood,Venipuncture",36.0,36.0,,,0 HCPCS,36415,"Hc Chg Collection Venous Blood,Venipuncture - Draw Charge",36.0,36.0,,,0 HCPCS,36415,"Hc Collection Venous Blood,Venipuncture - Bundled Charge",36.0,36.0,,,0 HCPCS,36415,Routine venipuncture,,,3.0,19.8,13 HCPCS,36416,Capillary blood draw,,,2.89,12.05,6 HCPCS,36416,Hc Chg Collection Capillary Blood Specimen - Draw Charge,52.0,52.0,,,0 HCPCS,36420,Vein access cutdown < 1 yr,,,133.45,4840.09,17 HCPCS,36425,Vein access cutdown > 1 yr,,,448.08,4840.09,17 HCPCS,36430,Blood transfusion service,,,442.51,4840.09,19 HCPCS,36430,Hc Blood Transfusion Service,1684.0,1684.0,,,0 HCPCS,36430,Noncdm Charge Record,1464.0,1464.0,,,0 HCPCS,36440,Bl push transfuse 2 yr/<,,,442.51,4840.09,19 HCPCS,36440,Hc Transfus Blood Age <2 Yrs,1120.0,1120.0,,,0 HCPCS,36450,Bl exchange/transfuse nb,,,442.51,4840.09,19 HCPCS,36455,Bl exchange/transfuse non-nb,,,442.51,4840.09,19 HCPCS,36456,Prtl exchange transfuse nb,,,442.51,4221.48,15 HCPCS,36460,Transfusion service fetal,,,442.51,4840.09,19 HCPCS,36465,Hc Njx Noncmpnd Sclerosant Single Incmptnt Vein,5054.0,5054.0,,,0 HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2069.52,11385.0,17 HCPCS,36466,Hc Njx Noncmpnd Sclerosant Multiple Incmptnt Veins,5054.0,5054.0,,,0 HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2069.52,11385.0,17 HCPCS,36468,"Hc Injection(S) Of Sclerosant For Spider Veins (Telangiectasia), Limb Or Trunk",1105.0,1105.0,,,0 HCPCS,36468,Injection(s) spider veins,,,407.74,4840.09,17 HCPCS,36470,"Hc Injection Therapy Vein,One Vein",1206.0,1206.0,,,0 HCPCS,36470,Injection therapy of vein,,,407.74,4840.09,18 HCPCS,36471,"Hc Injection Therapy Vein,Mult Veins",1294.0,1294.0,,,0 HCPCS,36471,Hc Pbb Injection Sclerosant Multiple Incmptnt Veins,1294.0,1294.0,,,0 HCPCS,36471,Injection therapy of veins,,,407.74,4840.09,18 HCPCS,36473,Endovenous mchnchem 1st vein,,,3167.03,7870.0,18 HCPCS,36474,Endovenous mchnchem add-on,,,1343.0,2987.0,5 HCPCS,36475,Endovenous rf 1st vein,,,3167.03,11403.39,19 HCPCS,36475,"Hc Endovenous Rf, 1St Vein",8498.0,8498.0,,,0 HCPCS,36476,Endovenous rf vein add-on,,,1343.0,11403.39,7 HCPCS,36476,"Hc Endovenous Rf, Vein Add-On",7398.0,7398.0,,,0 HCPCS,36478,Endovenous laser 1st vein,,,3167.03,11403.39,19 HCPCS,36478,"Hc Endovenous Laser, 1St Vein",6514.0,6514.0,,,0 HCPCS,36479,Endovenous laser vein addon,,,1343.0,11403.39,7 HCPCS,36479,Hc Endovenous Laser Vein Addon,5243.0,5243.0,,,0 HCPCS,36481,Hc Percut Portal Vein Catheterization,3125.0,3125.0,,,0 HCPCS,36481,Insertion of catheter vein,,,1343.0,4840.09,7 HCPCS,36482,Endoven ther chem adhes 1st,,,4419.21,11832.39,16 HCPCS,36482,Hc Endoven Ablti Ther Chem Adhesive 1St Vein,14451.0,14451.0,,,0 HCPCS,36483,Endoven ther chem adhes sbsq,,,1343.0,2987.0,4 HCPCS,36500,Hc Venous Select Sampling W Cath,1142.0,1142.0,,,0 HCPCS,36500,Insertion of catheter vein,,,1343.0,4840.09,7 HCPCS,36510,Insertion of catheter vein,,,1343.0,4840.09,5 HCPCS,36510,Neo Uvc Line Insertion,522.0,522.0,,,0 HCPCS,36511,Apheresis wbc,,,1562.14,5051.48,18 HCPCS,36511,"Hc Ther Apheresis,White Blood Cells",6005.0,6005.0,,,0 HCPCS,36511,"Hc Therapeutic Apheresis,White Blood Cells",6005.0,6005.0,,,0 HCPCS,36512,Apheresis rbc,,,1562.14,5051.48,18 HCPCS,36512,"Hc Therapeutic Apheresis, For Red Blood Cells - Red Cross Ther Erythrocytapher",6005.0,6005.0,,,0 HCPCS,36512,"Hc Therapeutic Apheresis, Red Blood Cells",6005.0,6005.0,,,0 HCPCS,36513,Apheresis platelets,,,442.51,4840.09,18 HCPCS,36513,"Hc Ther Apheresis,Platelets",6005.0,6005.0,,,0 HCPCS,36514,Apheresis plasma,,,1562.14,5051.48,18 HCPCS,36514,"Hc Ther Apheresis,Plasma Pheresis",9330.0,9330.0,,,0 HCPCS,36515,Apheresis adsorp/reinfuse,,,5087.0,7175.28,4 HCPCS,36516,Apheresis selective,,,4368.67,9512.0,18 HCPCS,36516,Hc Ther Apheresis W/Extracorporeal Immunoadsorption-Liposober Column,17274.0,17274.0,,,0 HCPCS,36522,Hc Photopheresis - Extracorporea,8738.0,8738.0,,,0 HCPCS,36522,Photopheresis,,,3295.0,9261.59,18 HCPCS,36555,Hc Insert Non-Tunneled Centrally Inserted Cv Cath < 5 Y/O,4943.0,4943.0,,,0 HCPCS,36555,Insert non-tunnel cv cath,,,1952.0,6714.1,19 HCPCS,36556,Hc Insert Non-Tunneled Centrally Inserted Central Venous Cath >= 5 Y/O,4862.0,4862.0,,,0 HCPCS,36556,Hc Insert Non-Tunneled Centrally Inserted Cv Cath >= 5 Y/O,4943.0,4943.0,,,0 HCPCS,36556,Insert non-tunnel cv cath,,,1952.0,6714.1,19 HCPCS,36557,Hc Insert Tunneled Cv Cath W/O Port Or Pump < 5 Y/O,12879.0,12879.0,,,0 HCPCS,36557,Insert tunneled cv cath,,,3295.0,11832.39,19 HCPCS,36558,Hc Insert Tunneled Cv Cath W/O Port Or Pump >= 5 Y/O,12879.0,12879.0,,,0 HCPCS,36558,"Hc Insrt Tunnld Centrl Insrt Centrl Venous Cath,Wo Subcut Port/Pump >= 5 Y/O",5810.0,5810.0,,,0 HCPCS,36558,Insert tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36560,Insert tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36561,Hc Insert Tunneled Centrally Inserted Cv Cath With Port >= 5 Y/O,10976.5,10976.5,,,0 HCPCS,36561,Insert tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36563,Hc Insert Tunneled Cv Cath With Pump,15232.0,15232.0,,,0 HCPCS,36563,Insert tunneled cv cath,,,3925.0,11832.39,19 HCPCS,36565,"Hc Insert Tunneled Cv Cath W 2 Access Sites, W/O Pump Or Port",12879.0,12879.0,,,0 HCPCS,36565,Insert tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36566,"Hc Insert Tunneled Cv Cath W 2 Access Sites, W/ Pump Or Port",21746.0,21746.0,,,0 HCPCS,36566,Insert tunneled cv cath,,,3925.0,11832.39,19 HCPCS,36568,"Hc Insert Picc W/O Sub-Q Port, W/O Img <5 Y/O",4943.0,4943.0,,,0 HCPCS,36568,Insert picc cath,,,1578.92,4840.09,19 HCPCS,36569,Hc Insert Picc W/O Sub-Q Port,4707.0,4707.0,,,0 HCPCS,36569,"Hc Insert Picc W/O Sub-Q Port, W/O Img >= 5 Y/O",4707.0,4707.0,,,0 HCPCS,36569,Insert picc cath,,,1578.92,5051.48,19 HCPCS,36570,Insert picvad cath,,,3167.03,7870.0,19 HCPCS,36571,Hc Insert Picc W/ Sub-Q Port >= 5 Y/O,12879.0,12879.0,,,0 HCPCS,36571,Insert picvad cath,,,3167.03,7870.0,19 HCPCS,36572,Hc Picc W/O Port W/Img Guid <5,2942.0,2942.0,,,0 HCPCS,36572,Insj picc rs&i <5 yr,,,629.2,5495.0,17 HCPCS,36573,"Hc Ins Picc W/O Port Or Pump, Incl Img >= 5 Y/O",5763.5,5763.5,,,0 HCPCS,36573,Insj picc rs&i 5 yr+,,,1578.92,9074.0,17 HCPCS,36575,"Hc Repair Cv Cath W/O Subq Port Or Pump, Central Or Peripheral Site",2769.0,2769.0,,,0 HCPCS,36575,Repair tunneled cv cath,,,629.2,5345.54,19 HCPCS,36576,"Hc Repair Cv Cath W/Subq Port Or Pump, Central Or Peripheral Site",4943.0,4943.0,,,0 HCPCS,36576,Repair tunneled cv cath,,,1578.92,5345.54,19 HCPCS,36578,"Hc Replace Cv Cath, Catheter Only W Subq Pump Or Port",12879.0,12879.0,,,0 HCPCS,36578,"Hc Replacement, Catheter Only, Of Central Venous Access Device W/Subcutaneous Port Or Pump, Central",5518.0,5518.0,,,0 HCPCS,36578,Replace tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36580,"Hc Replace Cv Cath, Complete, Non-Tunneled, W/O Subq Port Or Pump",4943.0,4943.0,,,0 HCPCS,36580,"Hc Rplc,Non-Tunld Cntr Insrt Cntrl Vnous Cath Wo Subcut Port/Pump,Same Vnous Accss",4609.0,4609.0,,,0 HCPCS,36580,Replace cvad cath,,,1578.92,5051.48,19 HCPCS,36581,"Hc Replace Cv Cath, Complete, Tunneled, W/O Subq Port Or Pump",12879.0,12879.0,,,0 HCPCS,36581,Replace tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36582,"Hc Replacement, Complete, Tunneled Centrally Inserted Central Venous Access Device, W/Subcutaneous P",12879.0,12879.0,,,0 HCPCS,36582,"Hc Rplc Comp,Tunld Cntr Insrt Cntr Vnous Accss Dvc,W/Subcut Port,Same Venous Accss",6307.0,6307.0,,,0 HCPCS,36582,Replace tunneled cv cath,,,3167.03,7870.0,19 HCPCS,36583,"Hc Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Access Device, W/Subq Pump",6307.0,6307.0,,,0 HCPCS,36583,Replace tunneled cv cath,,,3925.0,11832.39,19 HCPCS,36584,"Hc Replace Picc, Complete W/O Port Or Pump, Incl Img",4943.0,4943.0,,,0 HCPCS,36584,Replace picc cath,,,1578.92,5051.48,19 HCPCS,36585,"Hc Replace Picc, Complete, W/ Port",9766.0,9766.0,,,0 HCPCS,36585,Replace picvad cath,,,3167.03,7870.0,19 HCPCS,36589,Hc Removal Tunneled Cv Cath W/O Subq Port Or Pump,3815.5,3815.5,,,0 HCPCS,36589,Removal tunneled cv cath,,,629.2,4840.09,19 HCPCS,36590,Hc Cath Removal Tunneled Cv Cath W Subq Port Or Pump,5012.0,5012.0,,,0 HCPCS,36590,"Hc Removal Tunneled Cv Cath W Subq Port Or Pump, Central Or Peripheral",4937.0,4937.0,,,0 HCPCS,36590,Removal tunneled cv cath,,,1578.92,4840.09,19 HCPCS,36591,Draw blood off venous device,,,133.45,4840.09,12 HCPCS,36591,Hc Chg Collect Blood From Implant Venous Access Device,524.0,524.0,,,0 HCPCS,36591,Hc Chg Collect Blood From Implant Venous Access Device - Draw Charge,524.0,524.0,,,0 HCPCS,36592,Collect blood from picc,,,133.45,4840.09,12 HCPCS,36592,Hc Chg Collect Blood From Catheter Venous Nos,524.0,524.0,,,0 HCPCS,36592,Hc Chg Collect Blood From Catheter Venous Nos - Draw Charge,524.0,524.0,,,0 HCPCS,36592,Hc Collect Blood From Catheter Venous Nos - Bundled Charge,524.0,524.0,,,0 HCPCS,36592,Hc Pbb Chg Collect Blood From Catheter Venous Nos,524.0,524.0,,,0 HCPCS,36593,Declot vascular device,,,331.3,4840.09,18 HCPCS,36593,Hc Declot By Thrombolytic Agent Implant Device/Cath,1147.0,1147.0,,,0 HCPCS,36593,Hc Pbb Declot By Thrombolytic Agent Implant Device/Cath,1147.0,1147.0,,,0 HCPCS,36595,"Hc Mech Remov Pericath Obstr Cv Dev Via Separate Ven Access, Fibrin Sheath",12879.0,12879.0,,,0 HCPCS,36595,Mech remov tunneled cv cath,,,3051.0,7870.0,19 HCPCS,36596,Hc Mech Remov Intralum Obstr Cv Dev Thru Lumen,5330.0,5330.0,,,0 HCPCS,36596,Mech remov tunneled cv cath,,,1578.92,5051.48,19 HCPCS,36597,Hc Reposition Venous Catheter,4902.5,4902.5,,,0 HCPCS,36597,Reposition venous catheter,,,1578.92,5051.48,19 HCPCS,36598,"Hc Contrast Inj Cent Ven Cath, Inc Flouro",994.0,994.0,,,0 HCPCS,36598,"Hc Contrst Inj Rad Eval Existng Cntrl Venous Acces Dvc,Incl Fluoro,Image Doc&Rpt",4377.0,4377.0,,,0 HCPCS,36598,Inj w/fluor eval cv device,,,213.35,4840.09,19 HCPCS,36600,"Hc Arterial Puncture, Withdrawal Of Arterial Blood For Diagnosis",524.0,524.0,,,0 HCPCS,36600,Hc Chg Withdrawal Of Arterial Blood - Draw Charge,524.0,524.0,,,0 HCPCS,36600,Withdrawal of arterial blood,,,133.45,4840.09,15 HCPCS,36620,Hc Arterial Line Insertion,475.0,475.0,,,0 HCPCS,36620,"Hc Insert Cath,Art,Percut,Shortterm",475.0,475.0,,,0 HCPCS,36620,Insertion catheter artery,,,1343.0,4840.09,7 HCPCS,36625,Insertion catheter artery,,,1343.0,4840.09,5 HCPCS,36640,Insertion catheter artery,,,2572.0,7870.0,19 HCPCS,36660,"Hc Umbilical Artery Catherization, Newborn, Insertion",522.0,522.0,,,0 HCPCS,36660,Insertion catheter artery,,,3011.79,5051.48,6 HCPCS,36680,"Hc Insert Needle,Intraosseous Infusn",1833.0,1833.0,,,0 HCPCS,36680,Insert needle bone cavity,,,448.08,4840.09,17 HCPCS,36800,Insertion of cannula,,,3925.0,11832.39,19 HCPCS,36810,Insertion of cannula,,,3167.03,7870.0,19 HCPCS,36815,Insertion of cannula,,,3925.0,11832.39,19 HCPCS,36818,Av fuse uppr arm cephalic,,,4419.21,11832.39,19 HCPCS,36818,"Hc Arteriovenous Anastomosis, Open, Upper Arm Cephalic Vein Transposition",11689.0,11689.0,,,0 HCPCS,36819,Av fuse uppr arm basilic,,,4419.21,11832.39,19 HCPCS,36819,"Hc Arteriovenous Anastomosis, Open, Upper Arm Basilic Vein Transposition",11689.0,11689.0,,,0 HCPCS,36820,Av fusion/forearm vein,,,4419.21,11832.39,19 HCPCS,36820,"Hc Arteriovenous Anastomosis, Open, Forearm Vein Transposition",11689.0,11689.0,,,0 HCPCS,36821,Av fusion direct any site,,,3167.03,7870.0,19 HCPCS,36821,"Hc Arteriovenous Anastomosis, Open; Direct, Any Site",7150.0,7150.0,,,0 HCPCS,36821,"Hc Direct,Any Site (Eg, Cimino Type)(Separate Procedure)",5208.0,5208.0,,,0 HCPCS,36823,Insertion of cannula(s),,,3051.0,5843.31,9 HCPCS,36825,Artery-vein autograft,,,4419.21,11832.39,19 HCPCS,36825,Hc Creation Of Art Fistula By Other Than Direct Arteriov Anastomosis; Autogen Graf,6450.0,6450.0,,,0 HCPCS,36825,Hc Creation Of Arteriovenous Fistula By Other Than Direct Arteriovenous Anastomosis; Autogenous Graf,12335.0,12335.0,,,0 HCPCS,36830,Artery-vein nonautograft,,,4419.21,11832.39,19 HCPCS,36830,Hc Insert Cannula Nonautogenou,8701.0,8701.0,,,0 HCPCS,36831,Open thrombect av fistula,,,4419.21,11832.39,19 HCPCS,36832,Av fistula revision open,,,4419.21,11832.39,19 HCPCS,36832,"Hc Revision - Open Arteriovenous Fistula Graft, W/O Thromb",8701.0,8701.0,,,0 HCPCS,36833,Av fistula revision,,,4419.21,11832.39,19 HCPCS,36835,Artery to vein shunt,,,3167.03,7870.0,19 HCPCS,36836,"Hc Percu Avf Creation, Upper Extremity, Single Access",41226.0,41226.0,,,0 HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,6580.16,38980.61,16 HCPCS,36837,"Hc Percu Avf Creation, Upper Extremity, Multi Access",41226.0,41226.0,,,0 HCPCS,36837,Prq av fstl crt uxtr sep acs,,,6580.16,38980.61,16 HCPCS,36838,Dist revas ligation hemo,,,4419.21,11832.39,18 HCPCS,36860,External cannula declotting,,,1578.92,5345.54,19 HCPCS,36861,Cannula declotting,,,3925.0,11832.39,19 HCPCS,36870,"Av Fistula Revision, Open",,,7118.0,11403.39,3 HCPCS,36901,Hc Intro Cath Dialysis Circuit Dx Angrph Fluor S&I,1919.0,1919.0,,,0 HCPCS,36901,Intro cath dialysis circuit,,,1578.92,5051.48,18 HCPCS,36902,Hc Intro Cath Dialysis Circuit W/Trluml Balo Angiop,5890.5,5890.5,,,0 HCPCS,36902,Intro cath dialysis circuit,,,5125.78,12102.61,18 HCPCS,36903,Hc Intro Cath Dialysis Circuit W/Tcat Plmt Iv Stent,8875.0,8875.0,,,0 HCPCS,36903,Intro cath dialysis circuit,,,6309.89,24547.7,17 HCPCS,36904,Hc Cath Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph,7233.0,7233.0,,,0 HCPCS,36904,Hc Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph,7233.0,7233.0,,,0 HCPCS,36904,Hc Vasc Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph,7233.0,7233.0,,,0 HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5125.78,12102.61,18 HCPCS,36905,Hc Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop,8875.0,8875.0,,,0 HCPCS,36905,Thrmbc/nfs dialysis circuit,,,6309.89,24547.7,17 HCPCS,36906,Hc Perq Thrmbc/Nfs Dial Circuit Tcat Plmt Iv Stent,13451.0,13451.0,,,0 HCPCS,36906,Thrmbc/nfs dialysis circuit,,,6580.16,38980.61,17 HCPCS,36907,Balo angiop ctr dialysis seg,,,1343.0,2987.0,5 HCPCS,36907,Hc Trluml Balo Angiop Ctr Dialysis Seg W/Img S&I,6886.0,6886.0,,,0 HCPCS,36908,Hc Tcat Plmt Iv Stent Ctr Dialysis Seg W/Img S&I,8687.0,8687.0,,,0 HCPCS,36908,Stent plmt ctr dialysis seg,,,1343.0,2987.0,5 HCPCS,36909,Dialysis circuit embolj,,,1343.0,2987.0,5 HCPCS,36909,Hc Dialyis Circuit Vasc Emboli Occls Evasc Img S&I,8687.0,8687.0,,,0 HCPCS,37140,Revision of circulation,,,3051.0,7268.12,6 HCPCS,37145,Revision of circulation,,,3051.0,7268.12,6 HCPCS,37160,Revision of circulation,,,3051.0,7268.12,6 HCPCS,37180,Revision of circulation,,,3051.0,7268.12,6 HCPCS,37181,Splice spleen/kidney veins,,,3051.0,7268.12,6 HCPCS,37182,Hc Insert Transven Intrahep Portosys Shunt,34155.0,34155.0,,,0 HCPCS,37182,Insert hepatic shunt (tips),,,3051.0,38980.61,15 HCPCS,37183,Hc Revis Transven Intrahep Portosys Shunt,18417.0,18417.0,,,0 HCPCS,37183,Remove hepatic shunt (tips),,,5125.78,12102.61,17 HCPCS,37184,Hc Cath Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 HCPCS,37184,Hc Ep Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 HCPCS,37184,Hc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 HCPCS,37184,Hc Vasc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra 1St,11000.0,11000.0,,,0 HCPCS,37184,Prim art m-thrmbc 1st vsl,,,5087.0,38980.61,19 HCPCS,37185,Hc Cath Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra Sbsq,1094.0,1094.0,,,0 HCPCS,37185,Hc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra Sbsq,1094.0,1094.0,,,0 HCPCS,37185,Hc Vasc Prim Prq Trluml Mchnl Thrmbc N-Cor N-Icra Sbsq,1094.0,1094.0,,,0 HCPCS,37185,Prim art m-thrmbc sbsq vsl,,,1343.0,3826.0,5 HCPCS,37186,Hc Sec Prq Trluml Thrmbc N-Coronary N-Intracranial,1640.0,1640.0,,,0 HCPCS,37186,Sec art thrombectomy add-on,,,1343.0,2987.0,5 HCPCS,37187,"Hc Cath Percut Mech Thrombectomy, Venous",11000.0,11000.0,,,0 HCPCS,37187,"Hc Percut Mech Thrombectomy, Venous",11000.0,11000.0,,,0 HCPCS,37187,Venous mech thrombectomy,,,5087.0,24547.7,19 HCPCS,37188,"Hc Percut Mech Thrombectomy, Venous, Repeat",6514.0,6514.0,,,0 HCPCS,37188,Venous m-thrombectomy add-on,,,3167.03,11385.0,19 HCPCS,37191,Hc Ins Intrvas Vc Filtr W/Wo Vas Acs Vsl Selxn Rs&I,11000.0,11000.0,,,0 HCPCS,37191,Ins endovas vena cava filtr,,,3925.0,11832.39,18 HCPCS,37192,"Hc Reposition, Intravascular Vena Cava Filter, Endovascular Approach W/Vascular Access, Vessel Selec",4814.0,4814.0,,,0 HCPCS,37192,Redo endovas vena cava filtr,,,3167.03,7870.0,18 HCPCS,37193,Hc Rtrvl Intrvas Vc Filtr W/Wo Acs Vsl Selxn Rs&I,4814.0,4814.0,,,0 HCPCS,37193,Rem endovas vena cava filter,,,3167.03,7870.0,18 HCPCS,37195,Thrombolytic therapy stroke,,,331.3,4840.09,17 HCPCS,37197,Hc Prq Transcatheter Rtrvl Intrvas Fb With Imaging,8811.0,8811.0,,,0 HCPCS,37197,Hc Vasc Prq Transcatheter Rtrvl Intrvas Fb With Imaging,8811.0,8811.0,,,0 HCPCS,37197,Remove intrvas foreign body,,,3167.03,11385.0,19 HCPCS,37200,Hc Transcatheter Biopsy,11000.0,11000.0,,,0 HCPCS,37200,Transcatheter biopsy,,,3590.0,11832.39,19 HCPCS,37202,Transcatheter therapy infuse,,,4840.09,4840.09,2 HCPCS,37211,Hc Cath Thrombolysis Arterial Infusion Icra Rs&I Init Tx,11000.0,11000.0,,,0 HCPCS,37211,Hc Thrombolysis Arterial Infusion Icra Rs&I Init Tx,11000.0,11000.0,,,0 HCPCS,37211,Thrombolytic art therapy,,,2572.0,11832.39,19 HCPCS,37212,Hc Thrombolysis Venous Infusion W/Imaging Init Tx,11645.0,11645.0,,,0 HCPCS,37212,Thrombolytic venous therapy,,,2572.0,7870.0,19 HCPCS,37213,Hc Thrombolysis Art/Venous Infsn W/Image Subsq Tx,9177.0,9177.0,,,0 HCPCS,37213,Thromblytic art/ven therapy,,,1952.0,11385.0,19 HCPCS,37214,Cessj therapy cath removal,,,1952.0,11385.0,19 HCPCS,37214,Hc Cessation Thrombolytic Thrpy W/Catheter Removal,6514.0,6514.0,,,0 HCPCS,37215,Hc Cath Tcat Iv Stent Crv Crtd Art Embolic Protecj,24150.0,24150.0,,,0 HCPCS,37215,Hc Tcat Iv Stent Crv Crtd Art Embolic Protecj,24150.0,24150.0,,,0 HCPCS,37215,Transcath stent cca w/eps,,,3051.0,6277.0,6 HCPCS,37216,Hc Tcat Iv Stent Crv Crtd Art W/O Embolic Protecj,6339.0,6339.0,,,0 HCPCS,37216,Transcath stent cca w/o eps,,,3051.0,10006.92,6 HCPCS,37217,Stent placemt retro carotid,,,3051.0,8382.61,6 HCPCS,37218,Hc Cath Tcath Stent Placemt Antegrade Carotid/Innominate,4865.0,4865.0,,,0 HCPCS,37218,Stent placemt ante carotid,,,3514.53,6277.0,5 HCPCS,37220,"Hc Revascularize Iliac Artery,Angioplasty, Initial Vessel",6886.0,6886.0,,,0 HCPCS,37220,Iliac revasc,,,4817.0,10227.73,11 HCPCS,37221,"Hc Revascularize Iliac Artery,Angioplasty/Stent, Initial Vessel",8687.0,8687.0,,,0 HCPCS,37221,Iliac revasc w/stent,,,4817.0,11685.0,10 HCPCS,37222,"Hc Revascularize Iliac Artery,Angioplasty, Ea Add Vessel",8048.0,8048.0,,,0 HCPCS,37222,Iliac revasc add-on,,,2572.0,9172.0,5 HCPCS,37223,"Hc Revascularize Iliac Artery,Angioplasty/Stent, Ea Add Vessel",8048.0,8048.0,,,0 HCPCS,37223,Iliac revasc w/stent add-on,,,2572.0,9172.0,5 HCPCS,37224,Fem/popl revas w/tla,,,4817.0,10227.73,11 HCPCS,37224,"Hc Revascularize Fem/Pop Artery,Angioplasty",6886.0,6886.0,,,0 HCPCS,37225,Fem/popl revas w/ather,,,4817.0,11685.0,10 HCPCS,37225,"Hc Revascularize Fem/Pop Artery,Angioplasty/Atherectomy",8687.0,8687.0,,,0 HCPCS,37226,Fem/popl revasc w/stent,,,4817.0,11685.0,10 HCPCS,37226,"Hc Revascularize Fem/Pop Artery,Angioplasty/Stent",8687.0,8687.0,,,0 HCPCS,37227,Fem/popl revasc stnt & ather,,,4817.0,16925.0,10 HCPCS,37227,"Hc Revascularize Fem/Pop Artery,Angioplasty/Stent/Atherectomy",13302.0,13302.0,,,0 HCPCS,37228,"Hc Revascularize Tibial/Peron Artery,Angioplasty Initial",8687.0,8687.0,,,0 HCPCS,37228,Tib/per revasc w/tla,,,4817.0,11403.39,10 HCPCS,37229,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Initial",11152.0,11152.0,,,0 HCPCS,37229,Tib/per revasc w/ather,,,4817.0,11685.0,10 HCPCS,37230,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Initial",10950.0,10950.0,,,0 HCPCS,37230,Tib/per revasc w/stent,,,4817.0,11685.0,10 HCPCS,37231,"Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Stent/Atherectomy Init",11919.0,11919.0,,,0 HCPCS,37231,Tib/per revasc stent & ather,,,4817.0,16925.0,10 HCPCS,37232,"Hc Revascularize Tibial/Peron Artery,Angioplasty Ea Add",9106.0,9106.0,,,0 HCPCS,37232,Tib/per revasc add-on,,,2572.0,9172.0,5 HCPCS,37233,"Hc Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Ea Add",14797.0,14797.0,,,0 HCPCS,37233,Tibper revasc w/ather add-on,,,2572.0,11685.0,5 HCPCS,37234,"Hc Revascularize Tibial/Peron Artery,Angioplasty/Stent Ea Add Vessel",12521.0,12521.0,,,0 HCPCS,37234,Revsc opn/prq tib/pero stent,,,2572.0,9172.0,5 HCPCS,37235,Tib/per revasc stnt & ather,,,2572.0,9172.0,5 HCPCS,37236,Hc Open/Perq Placement Intravascular Stent Initial,8687.0,8687.0,,,0 HCPCS,37236,Open/perq place stent 1st,,,5405.0,24547.7,17 HCPCS,37237,Hc Open/Perq Placement Intravascular Stent Ea Addl,8723.0,8723.0,,,0 HCPCS,37237,Open/perq place stent ea add,,,2572.0,9172.0,5 HCPCS,37238,Hc Open/Perq Placement Intravascular Stent Same 1St,8687.0,8687.0,,,0 HCPCS,37238,Open/perq place stent same,,,5405.0,24547.7,17 HCPCS,37239,Hc Open/Perq Placemt Intravasc Stent Same Ea Addl,8723.0,8723.0,,,0 HCPCS,37239,Open/perq place stent ea add,,,2572.0,9172.0,5 HCPCS,37241,Hc Vascular Embolization Or Occlusion Venous Rs&I,11753.0,11753.0,,,0 HCPCS,37241,Vasc embolize/occlude venous,,,5405.0,24547.7,17 HCPCS,37242,Hc Vascular Embolization Or Occlusion Arterial Rs&I,11753.0,11753.0,,,0 HCPCS,37242,Vasc embolize/occlude artery,,,5405.0,38980.61,17 HCPCS,37243,Hc Vasc Vascular Embolize/Occlude Organ Tumor Infarct,19358.0,19358.0,,,0 HCPCS,37243,Hc Vascular Embolize/Occlude Organ Tumor Infarct,19358.0,19358.0,,,0 HCPCS,37243,Vasc embolize/occlude organ,,,5405.0,24547.7,17 HCPCS,37244,Hc Vascular Embolization Or Occlusion Hemorrhage,11753.0,11753.0,,,0 HCPCS,37244,Vasc embolize/occlude bleed,,,5405.0,24547.7,17 HCPCS,37246,Hc Cath Trlml Balo Angiop Open/Perq Img S&I 1St Art,7233.0,7233.0,,,0 HCPCS,37246,Hc Trlml Balo Angiop Open/Perq Img S&I 1St Art,7233.0,7233.0,,,0 HCPCS,37246,Trluml balo angiop 1st art,,,5125.78,12102.61,18 HCPCS,37247,Hc Trlml Balo Angiop Open/Perq Img S&I Ea Addl Art,3616.0,3616.0,,,0 HCPCS,37247,Trluml balo angiop addl art,,,1343.0,2987.0,5 HCPCS,37248,Hc Cath Trlml Balo Angiop Open/Perq W/Img S&I 1St Vein,7233.0,7233.0,,,0 HCPCS,37248,Hc Trlml Balo Angiop Open/Perq W/Img S&I 1St Vein,7233.0,7233.0,,,0 HCPCS,37248,Hc Vasc Trlml Balo Angiop Open/Perq W/Img S&I 1St Vein,7233.0,7233.0,,,0 HCPCS,37248,Trluml balo angiop 1st vein,,,5125.78,12102.61,18 HCPCS,37249,Hc Trlml Balo Angiop Open/Perq W/Img S&I Addl Vein,1808.0,1808.0,,,0 HCPCS,37249,Trluml balo angiop addl vein,,,1343.0,2987.0,5 HCPCS,37250,Iv us first vessel add-on,,,8821.68,8821.68,2 HCPCS,37251,Iv us each add vessel add-on,,,8821.68,8821.68,2 HCPCS,37252,Hc Intravascular Us Noncoronary Rs&I Intial Vessel,4221.0,4221.0,,,0 HCPCS,37252,Intrvasc us noncoronary 1st,,,1343.0,8821.68,7 HCPCS,37253,Hc Intravascular Us Noncoronary Rs&I Addl Vessel,4221.0,4221.0,,,0 HCPCS,37253,Intrvasc us noncoronary addl,,,1343.0,8821.68,7 HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5708.78,12102.61,7 HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5708.78,12102.61,7 HCPCS,37258,Revsc evasc ivt stent sf 1st,,,11579.1,24547.7,7 HCPCS,37260,Revsc evasc ivt st cplx 1st,,,11579.1,24547.7,7 HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5708.78,12102.61,7 HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5708.78,12102.61,7 HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,11579.1,24547.7,7 HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,11579.1,24547.7,7 HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,18387.08,38980.61,7 HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,18387.08,38980.61,7 HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,18387.08,38980.61,7 HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,18387.08,38980.61,7 HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,11579.1,24547.7,7 HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,11579.1,24547.7,7 HCPCS,37284,Revsc evasc tpvt st sf 1st,,,18387.08,38980.61,7 HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,18387.08,38980.61,7 HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,18387.08,38980.61,7 HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,18387.08,38980.61,7 HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,18387.08,38980.61,7 HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,18387.08,38980.61,7 HCPCS,37296,Revsc evasc imvt angio sf 1,,,11579.1,24547.7,7 HCPCS,37298,Revsc evsc imvt angio cplx 1,,,11579.1,24547.7,7 HCPCS,37500,Endoscopy ligate perf veins,,,3925.0,9172.0,12 HCPCS,37501,Vascular endoscopy procedure,,,629.2,5611.0,16 HCPCS,37565,Ligation of neck vein,,,1952.0,6714.1,16 HCPCS,37600,Ligation of neck artery,,,3167.03,7870.0,16 HCPCS,37605,Ligation of neck artery,,,3167.03,7870.0,16 HCPCS,37606,Ligation of neck artery,,,3167.03,8821.68,16 HCPCS,37607,Hc Ligation Or Banding Av Graft,5011.0,5011.0,,,0 HCPCS,37607,Ligation of a-v fistula,,,3167.03,7870.0,19 HCPCS,37609,"Hc Ligation Or Biopsy, Temporal Artery",5810.0,5810.0,,,0 HCPCS,37609,Temporal artery procedure,,,1656.59,5345.54,19 HCPCS,37615,Ligation of neck artery,,,1952.0,8821.68,16 HCPCS,37616,Ligation of chest artery,,,3051.0,5843.31,6 HCPCS,37617,Ligation of abdomen artery,,,3051.0,11832.39,15 HCPCS,37618,"Hc Ligation, Major Artery, Extremity",6450.0,6450.0,,,0 HCPCS,37618,Ligation of extremity artery,,,3051.0,5843.31,6 HCPCS,37619,Ligation of inf vena cava,,,3925.0,11832.39,18 HCPCS,37650,Revision of major vein,,,3167.03,7870.0,19 HCPCS,37660,Revision of major vein,,,3051.0,5843.31,6 HCPCS,37700,Revise leg vein,,,3167.03,7870.0,19 HCPCS,37718,Ligate/strip short leg vein,,,3167.03,7870.0,19 HCPCS,37722,Ligate/strip long leg vein,,,3167.03,7870.0,19 HCPCS,37735,Removal of leg veins/lesion,,,3167.03,7870.0,19 HCPCS,37760,Ligate leg veins radical,,,3167.03,7870.0,19 HCPCS,37761,"Hc Ligation Of Perforator Vein(S), Subfascial, Open, Including Ultrasound Guidance, 1 Leg",5507.0,5507.0,,,0 HCPCS,37761,Ligate leg veins open,,,1952.0,6714.1,19 HCPCS,37765,Hc Phleb Veins - Extrem - To 20,12009.0,12009.0,,,0 HCPCS,37765,Stab phleb veins xtr 10-20,,,3051.0,7870.0,19 HCPCS,37766,Hc Phleb Veins - Extrem 20+,12009.0,12009.0,,,0 HCPCS,37766,Phleb veins - extrem 20+,,,3051.0,7870.0,19 HCPCS,37780,Revision of leg vein,,,1952.0,6714.1,19 HCPCS,37785,Ligate/divide/excise vein,,,3167.03,7870.0,19 HCPCS,37788,Revascularization penis,,,3051.0,8821.68,6 HCPCS,37790,Penile venous occlusion,,,3514.53,7870.0,19 HCPCS,37799,Hc Blood Collection From Established Arterial Catheter,50.0,50.0,,,0 HCPCS,37799,Hc Chg Vascular Surgery Procedure Unlist,1964.0,1964.0,,,0 HCPCS,37799,"Hc Unlisted Procedure, Vascular Surgery - Veno-Veno Bypass, Liver",1964.0,1964.0,,,0 HCPCS,37799,Vascular surgery procedure,,,629.2,11531.48,18 HCPCS,38100,Removal of spleen total,,,3051.0,5843.31,6 HCPCS,38101,Removal of spleen partial,,,3051.0,5843.31,6 HCPCS,38102,Removal of spleen total,,,3051.0,5843.31,6 HCPCS,38115,Repair of ruptured spleen,,,3051.0,5843.31,6 HCPCS,38120,Laparoscopy splenectomy,,,5730.0,22603.4,19 HCPCS,38129,Laparoscope proc spleen,,,4962.02,12855.28,18 HCPCS,38200,Hc Injection Proc For Splenoportography,1960.0,1960.0,,,0 HCPCS,38200,Injection for spleen x-ray,,,1343.0,4840.09,7 HCPCS,38204,Noncdm Charge Record Acquisition,3162.25,3162.25,,,0 HCPCS,38205,Harvest allogeneic stem cell,,,1343.0,7268.12,7 HCPCS,38205,"Hc Stem Cell Hpc Harvesting, Per Collection-Allo",7429.0,7429.0,,,0 HCPCS,38206,Harvest auto stem cells,,,1562.14,5051.48,16 HCPCS,38206,Hc Stem Cell Collection,13353.0,13353.0,,,0 HCPCS,38207,Cryopreserve stem cells,,,442.51,4840.09,17 HCPCS,38207,Hc Hpc Cryopreservation/Storage,15780.5,15780.5,,,0 HCPCS,38208,Hc Transplant Prep Hpc -Thaw Prev Frozen Harvest -W/O Wash,2060.45,2060.45,,,0 HCPCS,38208,Thaw preserved stem cells,,,442.51,4840.09,17 HCPCS,38209,Wash harvest stem cells,,,442.51,4840.09,17 HCPCS,38210,Hc Transplant Prep Hpc -T-Cell Depletion In Harvest,2905.0,2905.0,,,0 HCPCS,38210,T-cell depletion of harvest,,,442.51,4840.09,17 HCPCS,38211,Tumor cell deplete of harvst,,,442.51,4840.09,17 HCPCS,38212,Hc Transplant Prep Hpc -Red Blood Cell Removal,2905.0,2905.0,,,0 HCPCS,38212,Rbc depletion of harvest,,,442.51,4840.09,17 HCPCS,38213,Platelet deplete of harvest,,,442.51,4840.09,17 HCPCS,38214,Hc Transplant Prep Hpc -Plasma (Volume) Depletion,7183.0,7183.0,,,0 HCPCS,38214,Volume deplete of harvest,,,442.51,4840.09,17 HCPCS,38215,Harvest stem cell concentrte,,,442.51,4840.09,17 HCPCS,38220,Bone marrow aspiration,,,1656.59,5051.48,19 HCPCS,38220,Hc Chg Bone Marrow; Aspiration Only,5400.0,5400.0,,,0 HCPCS,38220,Hc Diagnostic Bone Marrow Aspirations,5131.0,5131.0,,,0 HCPCS,38221,Bone marrow biopsy,,,1656.59,5051.48,19 HCPCS,38221,"Hc Bone Marrow Bx, Needle/Trocar",5759.0,5759.0,,,0 HCPCS,38222,Dx bone marrow bx & aspir,,,2572.0,6176.62,17 HCPCS,38222,Hc Diagnostic Bone Marrow Biopsies & Aspirations,6479.0,6479.0,,,0 HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,2678.54,4221.48,3 HCPCS,38225,"Hc Car-T Tx; Harvesting, Blood-Derived T Lymphocytes, Development Of Genetically Modified Autologous",22534.0,22534.0,,,0 HCPCS,38226,Car-t prep t lymphcyt f/trns,,,2678.54,4221.48,3 HCPCS,38226,Hc Car-T Tx; Preparation Of Blood-Derived T Lymphocytes For Transportation,575.0,575.0,,,0 HCPCS,38227,Car-t receipt&prepj admn,,,2678.54,4221.48,3 HCPCS,38227,Hc Car-T Tx; Receipt And Preparation Of Car-T Cells For Administration,3182.0,3182.0,,,0 HCPCS,38228,Car-t admn autologous,,,331.3,4221.48,12 HCPCS,38228,"Hc Car-T Tx; Car-T Cell Administration, Autologous",915.0,915.0,,,0 HCPCS,38230,Bone marrow harvest allogen,,,1562.14,6654.0,18 HCPCS,38230,Hc Bone Marrow Collection,8358.0,8358.0,,,0 HCPCS,38230,Hc Bone Marrow Harvesting For Transplantation,9384.0,9384.0,,,0 HCPCS,38232,Bone marrow harvest autolog,,,4368.67,11385.0,19 HCPCS,38232,Hc Bone Marrow Harvest Autolog,9290.0,9290.0,,,0 HCPCS,38232,Hc Bone Marrow Harvest Transplantation Autologous,8738.0,8738.0,,,0 HCPCS,38240,Hc Transplant Allogeneic Hematopoietic Cells Per Donor,8738.0,8738.0,,,0 HCPCS,38240,Transplt allo hct/donor,,,4840.09,133753.67,18 HCPCS,38241,Hc Trnsplj Autologous Hematopoietic Cells Per Donor,8738.0,8738.0,,,0 HCPCS,38241,Transplt autol hct/donor,,,1562.14,6654.0,18 HCPCS,38242,Hc Allogeneic Lymphocyte Infusions,5652.0,5652.0,,,0 HCPCS,38242,Transplt allo lymphocytes,,,1562.14,5051.48,16 HCPCS,38243,Hc Transplant Hematopoietic Progenitor Cell (Hpc); Hpc Boost,4832.0,4832.0,,,0 HCPCS,38243,Transplj hematopoietic boost,,,1562.14,5051.48,18 HCPCS,38300,Drainage lymph node lesion,,,2572.0,6176.62,19 HCPCS,38305,Drainage lymph node lesion,,,2913.5,6176.62,19 HCPCS,38308,Incision of lymph channels,,,3295.0,8325.82,19 HCPCS,38380,Thoracic duct procedure,,,3051.0,5843.31,6 HCPCS,38381,Thoracic duct procedure,,,3051.0,5843.31,6 HCPCS,38382,Thoracic duct procedure,,,3051.0,5843.31,6 HCPCS,38500,Biopsy/removal lymph nodes,,,3295.0,8325.82,19 HCPCS,38500,"Hc Biopsy/Excision, Lymph Node(S)",8102.5,8102.5,,,0 HCPCS,38505,"Hc Needle Biopsy, Lymph Node(S), Superficial",5131.0,5131.0,,,0 HCPCS,38505,Needle biopsy lymph nodes,,,1656.59,5051.48,19 HCPCS,38510,Biopsy/removal lymph nodes,,,3295.0,8325.82,19 HCPCS,38510,"Hc Biopsy Or Excision Of Lymph Node(S); Open,Deep Cervical Node(S)",7751.5,7751.5,,,0 HCPCS,38520,Biopsy/removal lymph nodes,,,3295.0,8325.82,19 HCPCS,38525,Biopsy/removal lymph nodes,,,3295.0,8325.82,19 HCPCS,38525,"Hc Biopsy Or Excision Of Lymph Node(S);Open,Deep Axillary Node(S)",6905.0,6905.0,,,0 HCPCS,38530,Biopsy/removal lymph nodes,,,3295.0,8325.82,19 HCPCS,38531,Hc Open Biopsy/Excision Inguinofemoral Nodes,5810.0,5810.0,,,0 HCPCS,38531,Open bx/exc inguinofem nodes,,,3295.0,8821.68,16 HCPCS,38542,Explore deep node(s) neck,,,3295.0,12855.28,19 HCPCS,38550,"Hc Excision Of Cystic Hygroma, Axillary/Cervical, W/O Deep Neurovascular Dissection",6307.0,6307.0,,,0 HCPCS,38550,Removal neck/armpit lesion,,,3514.53,8325.82,19 HCPCS,38555,Removal neck/armpit lesion,,,3895.0,14119.73,19 HCPCS,38562,Removal pelvic lymph nodes,,,3051.0,17379.99,15 HCPCS,38564,Removal abdomen lymph nodes,,,3051.0,7972.53,6 HCPCS,38570,Laparoscopy lymph node biop,,,4962.02,12855.28,19 HCPCS,38571,Laparoscopy lymphadenectomy,,,6309.89,22603.4,19 HCPCS,38572,Laparoscopy lymphadenectomy,,,6187.0,22603.4,19 HCPCS,38573,Laps pelvic lymphadec,,,6309.89,22603.4,16 HCPCS,38589,Laparoscope proc lymphatic,,,4962.02,12855.28,18 HCPCS,38700,Removal of lymph nodes neck,,,3295.0,14119.73,19 HCPCS,38720,Removal of lymph nodes neck,,,3895.0,14119.73,18 HCPCS,38724,Removal of lymph nodes neck,,,3051.0,7972.53,10 HCPCS,38740,Remove armpit lymph nodes,,,3295.0,12855.28,19 HCPCS,38745,Hc Axillary Lymphadenectomy; Complete,9791.0,9791.0,,,0 HCPCS,38745,Remove armpit lymph nodes,,,4817.0,12855.28,19 HCPCS,38746,Remove thoracic lymph nodes,,,3051.0,7972.53,6 HCPCS,38747,Remove abdominal lymph nodes,,,3051.0,7972.53,6 HCPCS,38760,"Hc Inguinofemoral Lymphadenectomy, Superficial, Including Cloquet's Node",5507.0,5507.0,,,0 HCPCS,38760,Remove groin lymph nodes,,,3295.0,14119.73,19 HCPCS,38765,Remove groin lymph nodes,,,3051.0,7972.53,6 HCPCS,38770,Remove pelvis lymph nodes,,,3051.0,7972.53,6 HCPCS,38780,Remove abdomen lymph nodes,,,3051.0,7972.53,6 HCPCS,38790,Hc Injection For Lymphatic Xray,1390.0,1390.0,,,0 HCPCS,38790,Inject for lymphatic x-ray,,,1343.0,2987.0,5 HCPCS,38792,Hc Inj Radioactive Tracer Identify Sentinel Node,1275.0,1275.0,,,0 HCPCS,38792,Ra tracer id of sentinl node,,,400.98,4840.09,18 HCPCS,38794,Access thoracic lymph duct,,,1343.0,4840.09,5 HCPCS,38794,Hc Cannulation Thoracic Duct,1127.0,1127.0,,,0 HCPCS,38900,"Hc Intraoperative Identification Of Sentinel Lymph Node(S) Incl Inj, Non-Radioactive Dye",4815.0,4815.0,,,0 HCPCS,38900,"Hc Intraoperative Identification Of Sentinel Lymph Node(S) Incl Inj, Non-Radioactive Dye When Perfor",22080.0,22080.0,,,0 HCPCS,38900,Io map of sent lymph node,,,1343.0,2987.0,5 HCPCS,38999,Blood/lymph system procedure,,,442.51,11531.48,18 HCPCS,38999,Hc Lymph Node Ablation Non Rf,6310.0,6310.0,,,0 HCPCS,38999,Hc Lymphatic Systems Pta,8318.0,8318.0,,,0 HCPCS,39000,Exploration of chest,,,3051.0,7972.53,6 HCPCS,39010,Exploration of chest,,,3051.0,7972.53,6 HCPCS,39200,Resect mediastinal cyst,,,3051.0,7972.53,6 HCPCS,39220,Resect mediastinal tumor,,,3051.0,7972.53,6 HCPCS,39400,Visualization of chest,,,8821.68,8821.68,2 HCPCS,39401,Mediastinoscpy w/medstnl bx,,,4962.02,12855.28,16 HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,4962.02,12855.28,16 HCPCS,39499,Chest procedure,,,3600.0,11531.48,6 HCPCS,39501,Repair diaphragm laceration,,,3051.0,7972.53,6 HCPCS,39503,Repair of diaphragm hernia,,,4962.02,7972.53,4 HCPCS,39540,Repair of diaphragm hernia,,,3051.0,7972.53,6 HCPCS,39541,Repair of diaphragm hernia,,,3051.0,7972.53,6 HCPCS,39545,Revision of diaphragm,,,3051.0,7972.53,6 HCPCS,39560,Resect diaphragm simple,,,3051.0,7972.53,6 HCPCS,39561,Resect diaphragm complex,,,3051.0,7972.53,6 HCPCS,39599,Diaphragm surgery procedure,,,3600.0,11531.48,6 HCPCS,40490,Biopsy of lip,,,237.57,4840.09,16 HCPCS,40490,Hc Pbb Biopsy Of Lip,850.0,850.0,,,0 HCPCS,40500,"Hc Vermilionectomy (Lip Shave), With Mucosal Advancement",5507.0,5507.0,,,0 HCPCS,40500,Partial excision of lip,,,2912.0,7050.03,19 HCPCS,40510,Hc Excision Of Lip; Transverse Wedge Excision W/Primary Closure,4505.0,4505.0,,,0 HCPCS,40510,Hc Excision Of Lip; Transverse Wedge Excision With Primary Closure,5507.0,5507.0,,,0 HCPCS,40510,Partial excision of lip,,,3011.79,7050.03,19 HCPCS,40520,Hc Excision Of Lip; V-Excision W/Direct Linear Closure,9006.0,9006.0,,,0 HCPCS,40520,Partial excision of lip,,,2912.0,7050.03,19 HCPCS,40525,Reconstruct lip with flap,,,3011.79,7050.03,19 HCPCS,40527,Reconstruct lip with flap,,,3295.0,12588.0,19 HCPCS,40530,Partial removal of lip,,,3011.79,7050.03,19 HCPCS,40650,"Hc Repair Lip,Full Thick,Vermilion",1425.0,1425.0,,,0 HCPCS,40650,Repair lip,,,540.96,6293.23,19 HCPCS,40652,Repair lip,,,540.96,6293.23,19 HCPCS,40654,Repair lip,,,1556.28,6293.23,19 HCPCS,40700,Repair cleft lip/nasal,,,4419.21,12588.0,19 HCPCS,40701,Repair cleft lip/nasal,,,4419.21,12588.0,19 HCPCS,40702,Repair cleft lip/nasal,,,4419.21,12588.0,18 HCPCS,40720,"Hc Plastic Repair Of Cleft Lip/Nasal Deformity; Secondary, By Recreation Of Defect And Reclosure",12866.0,12866.0,,,0 HCPCS,40720,Repair cleft lip/nasal,,,3011.79,10726.0,19 HCPCS,40761,Repair cleft lip/nasal,,,4419.21,12588.0,19 HCPCS,40799,Lip surgery procedure,,,237.57,11531.48,16 HCPCS,40800,Drainage of mouth lesion,,,710.27,4840.09,16 HCPCS,40800,"Hc Drain Mouth Absc/Cyst/Hematoma,Simpl",1981.0,1981.0,,,0 HCPCS,40801,Drainage of mouth lesion,,,540.96,5345.54,19 HCPCS,40804,Removal foreign body mouth,,,909.73,4840.09,15 HCPCS,40805,Removal foreign body mouth,,,540.96,5345.54,19 HCPCS,40806,Incision of lip fold,,,540.96,4840.09,18 HCPCS,40808,Biopsy of mouth lesion,,,540.96,4840.09,18 HCPCS,40808,Hc Biopsy Of Mouth Lesion,2122.0,2122.0,,,0 HCPCS,40808,Hc Pbb Biopsy Of Mouth Lesion,2122.0,2122.0,,,0 HCPCS,40810,Excision of mouth lesion,,,2572.0,7050.03,18 HCPCS,40810,"Hc Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth, Without Repair",7228.5,7228.5,,,0 HCPCS,40812,Excise/repair mouth lesion,,,1556.28,5051.48,18 HCPCS,40812,"Hc Excision Lesion, Vestibule Of Mouth; W/Simple Repair",4840.0,4840.0,,,0 HCPCS,40812,"Hc Excision Of Lesion Of Mucosa/Submucosa, Vestibule Of Mouth W/Simple Repair",4609.0,4609.0,,,0 HCPCS,40814,Excise/repair mouth lesion,,,3011.79,7050.03,19 HCPCS,40816,Excision of mouth lesion,,,3011.79,7050.03,19 HCPCS,40816,"Hc Pbb Excis Mouth Complex,Exc Thru Muscle",9397.0,9397.0,,,0 HCPCS,40818,Excise oral mucosa for graft,,,540.96,4840.09,19 HCPCS,40819,Excise lip or cheek fold,,,1556.28,5051.48,19 HCPCS,40820,Hc Pbb Destruc Mouth Lesion/Scar,8466.0,8466.0,,,0 HCPCS,40820,Treatment of mouth lesion,,,2572.0,7050.03,19 HCPCS,40830,Repair mouth laceration,,,237.57,4840.09,16 HCPCS,40831,Hc Closureof Laceration; Vestibule Of Mouth > 2.5Cm Or Complex,1412.0,1412.0,,,0 HCPCS,40831,Repair mouth laceration,,,540.96,4840.09,19 HCPCS,40840,Reconstruction of mouth,,,3295.0,12588.0,19 HCPCS,40842,Reconstruction of mouth,,,3895.0,12588.0,19 HCPCS,40843,Reconstruction of mouth,,,3600.0,12588.0,19 HCPCS,40844,Reconstruction of mouth,,,4419.21,12588.0,19 HCPCS,40845,Reconstruction of mouth,,,4419.21,12588.0,19 HCPCS,40899,Mouth surgery procedure,,,237.57,11531.48,18 HCPCS,41000,Drainage of mouth lesion,,,540.96,4840.09,19 HCPCS,41005,Drainage of mouth lesion,,,237.57,4840.09,19 HCPCS,41006,Drainage of mouth lesion,,,1556.28,5051.48,19 HCPCS,41007,Drainage of mouth lesion,,,1556.28,5051.48,19 HCPCS,41008,Drainage of mouth lesion,,,2572.0,7050.03,19 HCPCS,41009,Drainage of mouth lesion,,,540.96,4840.09,19 HCPCS,41010,Hc Incision Of Lingual Frenum (Frenotomy),4609.0,4609.0,,,0 HCPCS,41010,Incision of tongue fold,,,1556.28,5051.48,19 HCPCS,41015,Drainage of mouth lesion,,,540.96,4840.09,19 HCPCS,41016,Drainage of mouth lesion,,,2572.0,12588.0,19 HCPCS,41017,Drainage of mouth lesion,,,2572.0,7050.03,19 HCPCS,41018,Drainage of mouth lesion,,,1556.28,5051.48,19 HCPCS,41019,Place needles h&n for rt,,,2572.0,12588.0,19 HCPCS,41100,Biopsy of tongue,,,540.96,4840.09,19 HCPCS,41100,"Hc Pbb Biopsy Tongue,Anter 2/3",2122.0,2122.0,,,0 HCPCS,41105,Biopsy of tongue,,,2912.0,7050.03,19 HCPCS,41105,"Hc Pbb Biopsy Tongue,Poster 1/3",9715.0,9715.0,,,0 HCPCS,41108,Biopsy of floor of mouth,,,1656.59,5051.48,19 HCPCS,41108,Hc Pbb Biopsy Of Floor Of Mouth,5987.0,5987.0,,,0 HCPCS,41110,Excision of tongue lesion,,,2572.0,7050.03,19 HCPCS,41112,Excision of tongue lesion,,,2912.0,7050.03,19 HCPCS,41112,Hc Excision Of Lesion Of Tongue With Closure; Anterior Two-Thirds,7356.5,7356.5,,,0 HCPCS,41112,"Hc Pbb Excision Of Lesion Of Tongue W/Closure, Anterior 2/3",9206.0,9206.0,,,0 HCPCS,41113,Excision of tongue lesion,,,2912.0,7050.03,19 HCPCS,41114,Excision of tongue lesion,,,3011.79,7050.03,19 HCPCS,41114,Hc Excision Of Lesion Of Tongue With Closure; With Local Tongue Flap,8466.0,8466.0,,,0 HCPCS,41115,Excision of tongue fold,,,1556.28,5051.48,19 HCPCS,41115,Hc Excision Of Lingual Frenum (Frenectomy),4348.5,4348.5,,,0 HCPCS,41116,Excision of mouth lesion,,,2572.0,7050.03,19 HCPCS,41120,Hc Glossectomy; Less Than One-Half Tongue,19257.0,19257.0,,,0 HCPCS,41120,"Hc Pbb Part Removal Tongue,<1/2",19257.0,19257.0,,,0 HCPCS,41120,Partial removal of tongue,,,4419.21,12588.0,19 HCPCS,41130,Partial removal of tongue,,,3051.0,7268.12,6 HCPCS,41135,Tongue and neck surgery,,,3600.0,7268.12,8 HCPCS,41140,Removal of tongue,,,3600.0,7268.12,6 HCPCS,41145,Tongue removal neck surgery,,,3925.0,8364.54,6 HCPCS,41150,Tongue mouth jaw surgery,,,3600.0,7268.12,6 HCPCS,41153,Tongue mouth neck surgery,,,3600.0,8364.54,6 HCPCS,41155,Tongue jaw & neck surgery,,,3925.0,8364.54,6 HCPCS,41250,Noncdm Charge Record,231.0,231.0,,,0 HCPCS,41250,Repair tongue laceration,,,448.08,5345.54,18 HCPCS,41251,Repair tongue laceration,,,237.57,5345.54,19 HCPCS,41252,Repair tongue laceration,,,237.57,5345.54,19 HCPCS,41500,Fixation of tongue,,,3051.0,4840.09,4 HCPCS,41510,Tongue to lip surgery,,,2572.0,7050.03,19 HCPCS,41512,Tongue suspension,,,3295.0,12588.0,19 HCPCS,41520,"Hc Frenoplasty,Surgical Revision Of Frenum",5507.0,5507.0,,,0 HCPCS,41520,Reconstruction tongue fold,,,3011.79,8655.0,19 HCPCS,41530,Tongue base vol reduction,,,2572.0,10726.0,19 HCPCS,41599,Tongue and mouth surgery,,,237.57,11531.48,16 HCPCS,41800,Drainage of gum lesion,,,133.45,4840.09,18 HCPCS,41800,Hc I&D Abscess -Cyst-Hema Dentoalveolar Structures,452.0,452.0,,,0 HCPCS,41805,Removal foreign body gum,,,1556.28,5345.54,19 HCPCS,41806,Removal foreign body jawbone,,,1556.28,5051.48,19 HCPCS,41820,Excision gum each quadrant,,,2572.0,7050.03,19 HCPCS,41821,Excision of gum flap,,,1556.28,5051.48,19 HCPCS,41822,Excision of gum lesion,,,1556.28,5051.48,18 HCPCS,41823,Excision of gum lesion,,,3051.0,12588.0,18 HCPCS,41825,Excision of gum lesion,,,2572.0,7050.03,18 HCPCS,41826,Excision of gum lesion,,,2572.0,7050.03,18 HCPCS,41827,Excision of gum lesion,,,3295.0,12588.0,19 HCPCS,41828,Excision of gum lesion,,,1556.28,5051.48,18 HCPCS,41830,Hc Alveolectomy Incl Curettage,9397.0,9397.0,,,0 HCPCS,41830,Removal of gum tissue,,,2572.0,7050.03,18 HCPCS,41850,Treatment of gum lesion,,,1556.28,5051.48,18 HCPCS,41870,Gum graft,,,1556.28,8821.68,18 HCPCS,41872,Repair gum,,,3011.79,8655.0,16 HCPCS,41874,"Hc Alveoloplasty, Each Quadrant (Specify)",7852.0,7852.0,,,0 HCPCS,41874,Repair tooth socket,,,2572.0,8821.68,18 HCPCS,41899,"Asc Only Unlisted Procedure, Dentoalveolar Structures",9290.0,9290.0,,,0 HCPCS,41899,Dental surgery procedure,,,237.57,11531.48,18 HCPCS,42000,Drainage mouth roof lesion,,,237.57,5345.54,19 HCPCS,42100,Biopsy roof of mouth,,,1556.28,5051.48,19 HCPCS,42100,Hc Pbb Biopsy Palate/Uvula,5569.0,5569.0,,,0 HCPCS,42104,Excision lesion mouth roof,,,2912.0,7050.03,19 HCPCS,42104,"Hc Excision, Lesion Of Palate, Uvula; Without Closure",5507.0,5507.0,,,0 HCPCS,42106,Excision lesion mouth roof,,,2912.0,7050.03,19 HCPCS,42107,Excision lesion mouth roof,,,3295.0,12588.0,19 HCPCS,42120,Remove palate/lesion,,,3600.0,12588.0,19 HCPCS,42140,Excision of uvula,,,2912.0,7050.03,19 HCPCS,42140,"Hc Uvulectomy, Excision Of Uvula",8924.0,8924.0,,,0 HCPCS,42145,"Hc Palatopharyngoplasty (Eg, Uvulopalatopharyngoplasty, Uvulopharngoplasty)",9290.0,9290.0,,,0 HCPCS,42145,Repair palate pharynx/uvula,,,3895.0,12588.0,19 HCPCS,42160,Treatment mouth roof lesion,,,2572.0,7050.03,19 HCPCS,42180,Repair palate,,,540.96,4840.09,19 HCPCS,42182,Repair palate,,,3295.0,12588.0,19 HCPCS,42200,Reconstruct cleft palate,,,4419.21,12588.0,19 HCPCS,42205,Reconstruct cleft palate,,,3011.79,8655.0,19 HCPCS,42210,Reconstruct cleft palate,,,4419.21,12588.0,19 HCPCS,42215,Reconstruct cleft palate,,,4419.21,12588.0,19 HCPCS,42220,Reconstruct cleft palate,,,4419.21,12588.0,19 HCPCS,42225,Reconstruct cleft palate,,,4419.21,12588.0,19 HCPCS,42226,Lengthening of palate,,,4419.21,12588.0,19 HCPCS,42227,Lengthening of palate,,,4419.21,12588.0,16 HCPCS,42235,Repair palate,,,4419.21,12588.0,19 HCPCS,42260,Repair nose to lip fistula,,,3600.0,12588.0,19 HCPCS,42280,Preparation palate mold,,,540.96,4840.09,18 HCPCS,42281,Hc Insertion Of Pin-Retained Palatal Prosthesis,6307.0,6307.0,,,0 HCPCS,42281,Insertion palate prosthesis,,,2912.0,12588.0,19 HCPCS,42299,Palate/uvula surgery,,,237.57,11531.48,16 HCPCS,42300,Drainage of salivary gland,,,1556.28,5051.48,19 HCPCS,42305,Drainage of salivary gland,,,3011.79,7050.03,19 HCPCS,42310,Drainage of salivary gland,,,540.96,4840.09,19 HCPCS,42310,"Hc Drainage Of Abscess; Submaxillary Or Sublingual, Intraoral",4609.0,4609.0,,,0 HCPCS,42320,Drainage of salivary gland,,,540.96,4840.09,19 HCPCS,42330,"Hc Sialolithotomy- Removal Of Stones From Saliva Gland, Uncomplicated",9397.0,9397.0,,,0 HCPCS,42330,"Hc Sialolithotomy; Submandibular, Sublingual Or Parotid, Uncomplicated, Intraoral",5230.0,5230.0,,,0 HCPCS,42330,Removal of salivary stone,,,2572.0,7050.03,18 HCPCS,42335,"Hc Sialolithotomy- Removal Of Stones From Saliva Gland, Complicated",14180.0,14180.0,,,0 HCPCS,42335,Removal of salivary stone,,,3011.79,7050.03,19 HCPCS,42340,Removal of salivary stone,,,2912.0,7050.03,19 HCPCS,42400,Biopsy of salivary gland,,,710.27,4840.09,19 HCPCS,42400,"Hc Biopsy Salivary Gland,Needle",5400.0,5400.0,,,0 HCPCS,42405,Biopsy of salivary gland,,,1556.28,5345.54,19 HCPCS,42405,Hc Biopsy Salivary Gland; Incisional,9715.0,9715.0,,,0 HCPCS,42408,Excision of salivary cyst,,,3011.79,7050.03,19 HCPCS,42409,Drainage of salivary cyst,,,3011.79,7050.03,19 HCPCS,42410,Excise parotid gland/lesion,,,4419.21,12588.0,19 HCPCS,42410,"Hc Excision - Parotid Tumor Or Gland; Lateral Lobe, W/Nerve Dissection",14038.0,14038.0,,,0 HCPCS,42415,Excise parotid gland/lesion,,,4419.21,12588.0,19 HCPCS,42415,"Hc Excision Of Parotid Tumor/Parotid Gland; Lateral Lobe, W/Dissection And Preservation Of Facial Ne",12866.0,12866.0,,,0 HCPCS,42415,"Hc Excision Parotid Tumor/Gland, Lateral Lobe W/Dissect",14336.0,14336.0,,,0 HCPCS,42420,Excise parotid gland/lesion,,,4419.21,12588.0,19 HCPCS,42425,Excise parotid gland/lesion,,,4419.21,12588.0,19 HCPCS,42426,Excise parotid gland/lesion,,,3051.0,7268.12,8 HCPCS,42440,Excise submaxillary gland,,,4419.21,12588.0,19 HCPCS,42440,Hc Excision Of Submandibular (Submaxillary) Gland,5989.0,5989.0,,,0 HCPCS,42450,Excise sublingual gland,,,3295.0,12588.0,19 HCPCS,42450,Hc Excision Of Sublingual Gland,15868.0,15868.0,,,0 HCPCS,42500,Repair salivary duct,,,3600.0,12588.0,19 HCPCS,42505,Repair salivary duct,,,4419.21,12588.0,19 HCPCS,42507,Parotid duct diversion,,,4419.21,12588.0,19 HCPCS,42509,Parotid duct diversion,,,4419.21,12588.0,19 HCPCS,42510,Parotid duct diversion,,,3011.79,8655.0,19 HCPCS,42550,Injection for salivary x-ray,,,1343.0,5345.54,7 HCPCS,42600,Closure of salivary fistula,,,2572.0,7050.03,19 HCPCS,42650,Dilation of salivary duct,,,1556.28,5051.48,19 HCPCS,42660,Dilation of salivary duct,,,540.96,4840.09,18 HCPCS,42660,"Hc Dilation/Cath Of Salivary Duct,With Or Without Injection",1525.0,1525.0,,,0 HCPCS,42665,Ligation of salivary duct,,,3011.79,10726.0,19 HCPCS,42699,Salivary surgery procedure,,,237.57,11531.48,18 HCPCS,42700,Drainage of tonsil abscess,,,237.57,4840.09,19 HCPCS,42700,Hc Inc/Drain Peritonsil Abscess,996.0,996.0,,,0 HCPCS,42720,Drainage of throat abscess,,,2572.0,7050.03,19 HCPCS,42725,Drainage of throat abscess,,,3295.0,12588.0,19 HCPCS,42800,Biopsy of throat,,,1556.28,5051.48,18 HCPCS,42800,Hc Pbb Biopsy Oropharynx,9715.0,9715.0,,,0 HCPCS,42804,Biopsy of upper nose/throat,,,2572.0,7050.03,19 HCPCS,42804,"Hc Pbb Biopsy Nasopharynx,Simple",9715.0,9715.0,,,0 HCPCS,42806,Biopsy of upper nose/throat,,,3011.79,7050.03,19 HCPCS,42806,"Hc Biopsy, Nasopharynx, Survey For Unknown Primary Lesion",5753.0,5753.0,,,0 HCPCS,42808,Excise pharynx lesion,,,3011.79,7050.03,19 HCPCS,42809,Remove pharynx foreign body,,,448.08,4840.09,18 HCPCS,42810,Excision of neck cyst,,,3011.79,7050.03,19 HCPCS,42810,"Hc Excision Branchial Cleft Cyst/Vestige, Confined To Skin & Subq Tissues",8277.0,8277.0,,,0 HCPCS,42815,Excision of neck cyst,,,4419.21,12588.0,19 HCPCS,42820,"Hc Tonsillectomy And Adenoidectomy, Younger Than Age?12",7906.0,7906.0,,,0 HCPCS,42820,Remove tonsils and adenoids,,,3600.0,12588.0,19 HCPCS,42821,"Hc Remove Tonsils/Adenoids,12+ Y/O",11148.0,11148.0,,,0 HCPCS,42821,Remove tonsils and adenoids,,,3011.79,8364.54,19 HCPCS,42825,"Hc Tonsillectomy, Primary Or Secondary; Under Age 12",9791.0,9791.0,,,0 HCPCS,42825,Removal of tonsils,,,3895.0,12588.0,19 HCPCS,42826,"Hc Removal Of Tonsils,12+ Y/O",9791.0,9791.0,,,0 HCPCS,42826,Removal of tonsils,,,3011.79,7175.28,19 HCPCS,42830,"Hc Adenoidectomy, Primary, Younger Than Age 12",8159.0,8159.0,,,0 HCPCS,42830,Removal of adenoids,,,3011.79,7175.28,19 HCPCS,42831,"Hc Removal Adenoids,Primary,12+ Y/O",9791.0,9791.0,,,0 HCPCS,42831,Removal of adenoids,,,3011.79,7175.28,19 HCPCS,42835,Removal of adenoids,,,3011.79,7175.28,19 HCPCS,42836,"Hc Adenoidectomy, Secondary; Age 12 Or Over",9791.0,9791.0,,,0 HCPCS,42836,Removal of adenoids,,,3011.79,7175.28,19 HCPCS,42842,Extensive surgery of throat,,,3895.0,12588.0,16 HCPCS,42842,"Hc Radical Resection Of Tonsil, Pillars, Retromolar Trigone W/O Closure",14038.0,14038.0,,,0 HCPCS,42844,Extensive surgery of throat,,,4419.21,12588.0,16 HCPCS,42845,Extensive surgery of throat,,,3600.0,8364.54,6 HCPCS,42860,Excision of tonsil tags,,,3011.79,7050.03,19 HCPCS,42870,Excision of lingual tonsil,,,3600.0,12588.0,19 HCPCS,42890,Partial removal of pharynx,,,4419.21,12588.0,19 HCPCS,42892,Revision of pharyngeal walls,,,4419.21,12588.0,19 HCPCS,42894,Revision of pharyngeal walls,,,3600.0,7268.12,6 HCPCS,42900,Repair throat wound,,,1556.28,5051.48,19 HCPCS,42950,Reconstruction of throat,,,3295.0,12588.0,19 HCPCS,42953,Repair throat esophagus,,,3051.0,5843.31,6 HCPCS,42955,Surgical opening of throat,,,1556.28,5345.54,19 HCPCS,42960,Control throat bleeding,,,540.96,4840.09,19 HCPCS,42961,Control throat bleeding,,,3051.0,5843.31,8 HCPCS,42962,Control throat bleeding,,,3011.79,7050.03,19 HCPCS,42970,Control nose/throat bleeding,,,237.57,4840.09,18 HCPCS,42971,Control nose/throat bleeding,,,3051.0,5843.31,6 HCPCS,42972,Control nose/throat bleeding,,,2912.0,7050.03,19 HCPCS,42975,Dise eval slp do brth flx dx,,,1343.0,5051.48,16 HCPCS,42975,"Hc Drug-Induced Sleep Endoscopy W/Dynamic Eval, Dx",404.0,404.0,,,0 HCPCS,42999,Throat surgery procedure,,,237.57,11531.48,18 HCPCS,43020,Incision of esophagus,,,1556.28,5051.48,17 HCPCS,43030,Throat muscle surgery,,,4419.21,12588.0,16 HCPCS,43045,Incision of esophagus,,,3051.0,7268.12,6 HCPCS,43100,Excision of esophagus lesion,,,3051.0,5843.31,6 HCPCS,43101,Excision of esophagus lesion,,,3051.0,7268.12,6 HCPCS,43107,Removal of esophagus,,,3051.0,8364.54,6 HCPCS,43108,Removal of esophagus,,,3925.0,7268.12,6 HCPCS,43112,Removal of esophagus,,,3051.0,8364.54,6 HCPCS,43113,Removal of esophagus,,,3600.0,7268.12,6 HCPCS,43116,Partial removal of esophagus,,,4419.21,8364.54,6 HCPCS,43117,Partial removal of esophagus,,,3051.0,8364.54,6 HCPCS,43118,Partial removal of esophagus,,,3600.0,7268.12,6 HCPCS,43121,Partial removal of esophagus,,,3051.0,7268.12,6 HCPCS,43122,Partial removal of esophagus,,,3051.0,8364.54,6 HCPCS,43123,Partial removal of esophagus,,,3925.0,7268.12,6 HCPCS,43124,Removal of esophagus,,,3600.0,7268.12,6 HCPCS,43130,Removal of esophagus pouch,,,4419.21,12588.0,18 HCPCS,43135,Removal of esophagus pouch,,,3051.0,5843.31,6 HCPCS,43180,Esophagoscopy rigid trnso,,,3295.0,12588.0,19 HCPCS,43191,Esophagoscopy rigid trnso dx,,,1924.71,5495.0,19 HCPCS,43192,Esophagoscp rig trnso inject,,,1924.71,7750.0,19 HCPCS,43193,Esophagoscp rig trnso biopsy,,,1924.71,7750.0,19 HCPCS,43193,"Hc Esophagoscopy Rigid Transoral With Biopsy, Single Or Multiple",3839.0,3839.0,,,0 HCPCS,43194,Esophagoscp rig trnso rem fb,,,1924.71,7750.0,19 HCPCS,43195,Esophagoscopy rigid balloon,,,2912.0,8198.32,19 HCPCS,43195,Hc Esophagoscopy Rigid Transoral Balloon Dilation - <30Mm,4224.0,4224.0,,,0 HCPCS,43196,Esophagoscp guide wire dilat,,,1924.71,7750.0,19 HCPCS,43197,Esophagoscopy flex dx brush,,,909.73,5495.0,19 HCPCS,43197,Hc Esophagoscopy Flexible Transnasal Diagnostic - Collection Specimen,1879.0,1879.0,,,0 HCPCS,43198,Esophagosc flex trnsn biopsy,,,909.73,5495.0,19 HCPCS,43200,Esophagoscopy flexible brush,,,909.73,4840.09,19 HCPCS,43200,Hc Esophagoscopy Flexible Transoral Diagnostic - Esophagoscopy,2842.5,2842.5,,,0 HCPCS,43201,Esoph scope w/submucous inj,,,1924.71,5051.48,19 HCPCS,43201,Hc Esophagoscopy Flexible Transoral W Submucous Inj - Any Substance,2742.0,2742.0,,,0 HCPCS,43202,Esophagoscopy flex biopsy,,,1924.71,5051.48,19 HCPCS,43202,Hc Esophagoscopy Flexible Transoral With Biopsy - Esophagoscopy,2842.5,2842.5,,,0 HCPCS,43204,Esoph scope w/sclerosis inj,,,1924.71,5051.48,19 HCPCS,43205,Esophagus endoscopy/ligation,,,1924.71,5051.48,19 HCPCS,43205,Hc Esphgoscopy Flex W/Band Ligation Esophgl Varices - Esophagoscopy,2742.0,2742.0,,,0 HCPCS,43206,Esoph optical endomicroscopy,,,1924.71,7750.0,19 HCPCS,43210,Egd esophagogastrc fndoplsty,,,4743.0,22603.4,19 HCPCS,43211,Esophagoscop mucosal resect,,,1924.71,5495.0,19 HCPCS,43212,Esophagoscop stent placement,,,3295.0,12909.23,19 HCPCS,43212,Hc Esophagoscopy-W/Placemnt Endoscopic Stent,6375.0,6375.0,,,0 HCPCS,43213,Esophagoscopy retro balloon,,,1924.71,7750.0,19 HCPCS,43214,Esophagosc dilate balloon 30,,,1924.71,7750.0,19 HCPCS,43214,Hc Esophagoscopy Dilate Esophagus Balloon 30 Mm,2742.0,2742.0,,,0 HCPCS,43215,Esophagoscopy flex remove fb,,,1924.71,5051.48,19 HCPCS,43215,Hc Esophagoscopy Flexible Removal Foreign Body - Esophagoscopy,2742.0,2742.0,,,0 HCPCS,43216,Esophagoscopy lesion removal,,,1924.71,5051.48,19 HCPCS,43217,Esophagoscopy snare les remv,,,1924.71,5051.48,19 HCPCS,43217,Hc Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy,2742.0,2742.0,,,0 HCPCS,43220,Esophagoscopy balloon <30mm,,,1924.71,5051.48,19 HCPCS,43220,Hc Esophagoscopy Flex Balloon Dilat <30 Mm Diam - Esophagoscopy,3274.0,3274.0,,,0 HCPCS,43226,Esoph endoscopy dilation,,,1924.71,5051.48,19 HCPCS,43226,Hc Esoph Rigid/Flex; W/Insert Of Guide Wire Followed By Dilation Over Guide Wire,3806.0,3806.0,,,0 HCPCS,43226,Hc Esophagoscopy Flexible Guide Wire Dilation - Esophagoscopy,2742.0,2742.0,,,0 HCPCS,43227,Esophagoscopy control bleed,,,1924.71,5345.54,19 HCPCS,43227,Hc Esophagoscopy Flexible W Bleeding Control - Esophagoscopy,2742.0,2742.0,,,0 HCPCS,43229,Esophagoscopy lesion ablate,,,3295.0,11385.0,19 HCPCS,43229,Hc Esophagoscopy Flex Transoral Lesion Ablation - Esophagoscopy,4991.0,4991.0,,,0 HCPCS,43231,Esophagoscop ultrasound exam,,,1924.71,5345.54,19 HCPCS,43231,Hc Esophagoscopy Flexible Transoral Ultrasound Exam - Esophagoscopy,3645.0,3645.0,,,0 HCPCS,43232,Esophagoscopy w/us needle bx,,,1924.71,5345.54,19 HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1924.71,7750.0,19 HCPCS,43233,Hc Egd Esophagus Balloon Dilation 30 Mm Or Larger - Egd,3659.0,3659.0,,,0 HCPCS,43235,Egd diagnostic brush wash,,,909.73,4840.09,19 HCPCS,43235,Hc Esophagogastroduodenoscopy Transoral Diagnostic,3462.0,3462.0,,,0 HCPCS,43235,Noncdm Charge Record,465.0,465.0,,,0 HCPCS,43236,Hc Esophagogastroduodenoscopy Submucosal Injection - Egd,3348.5,3348.5,,,0 HCPCS,43236,Uppr gi scope w/submuc inj,,,909.73,5345.54,19 HCPCS,43237,Endoscopic us exam esoph,,,1924.71,5345.54,19 HCPCS,43237,Hc Esophagogastroduodenoscopy Us Scope W/Adj Strxrs - Endo Us (Upper),3834.0,3834.0,,,0 HCPCS,43238,Egd us fine needle bx/aspir,,,1924.71,5345.54,19 HCPCS,43238,Hc Egd Intrmural Us Needle Aspirate/Biopsy Esophags - Endo Us (Upper),4144.0,4144.0,,,0 HCPCS,43239,Egd biopsy single/multiple,,,909.73,5345.54,19 HCPCS,43239,Hc Egd Transoral Biopsy Single/Multiple - Egd,3597.0,3597.0,,,0 HCPCS,43240,Egd w/transmural drain cyst,,,3295.0,12909.23,19 HCPCS,43240,Hc Egd Transoral Transmural Drainage Pseudocyst - Endo Us (Upper),6428.0,6428.0,,,0 HCPCS,43241,Egd tube/cath insertion,,,1924.71,5345.54,19 HCPCS,43241,Hc Edg Intraluminal Tube/Catheter Insertion,3393.5,3393.5,,,0 HCPCS,43242,Egd us fine needle bx/aspir,,,1924.71,5345.54,19 HCPCS,43242,Hc Egd Intrmural Needle Aspir/Biop Altered Anatomy - Endo Us (Upper),4400.0,4400.0,,,0 HCPCS,43243,Egd injection varices,,,1924.71,5345.54,19 HCPCS,43243,Hc Egd Injection Sclerosis Esophgl/Gastric Varices - Egd,3839.0,3839.0,,,0 HCPCS,43244,Egd varices ligation,,,1924.71,5345.54,19 HCPCS,43244,Hc Egd Band Ligation Esophgeal/Gastric Varices - Egd,4500.5,4500.5,,,0 HCPCS,43245,Egd dilate stricture,,,1924.71,5345.54,19 HCPCS,43245,Hc Egd Dilation Gastric/Duodenal Stricture - Egd,3658.5,3658.5,,,0 HCPCS,43246,Egd place gastrostomy tube,,,1924.71,5345.54,19 HCPCS,43246,Hc Egd Percutaneous Placement Gastrostomy Tube - Gastrostomy Tube Place,3874.5,3874.5,,,0 HCPCS,43247,Egd remove foreign body,,,909.73,5345.54,19 HCPCS,43247,Hc Egd Flexible Foreign Body Removal,3672.0,3672.0,,,0 HCPCS,43248,Egd guide wire insertion,,,909.73,5345.54,19 HCPCS,43248,Hc Egd Insert Guide Wire Dilator Passage Esophagus - Egd,3582.0,3582.0,,,0 HCPCS,43249,Esoph egd dilation <30 mm,,,1924.71,5345.54,19 HCPCS,43249,Hc Egd Balloon Dilation Esophagus <30 Mm Diam - Egd,3474.0,3474.0,,,0 HCPCS,43250,Egd cautery tumor polyp,,,1924.71,5345.54,19 HCPCS,43250,Hc Egd Flex Removal Lesion(S) By Hot Biopsy Forceps - Egd,2670.0,2670.0,,,0 HCPCS,43251,Egd remove lesion snare,,,1924.71,5345.54,19 HCPCS,43251,Hc Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd,3834.0,3834.0,,,0 HCPCS,43252,Egd optical endomicroscopy,,,1924.71,7750.0,19 HCPCS,43253,Egd us transmural injxn/mark,,,1924.71,7750.0,19 HCPCS,43253,Hc Egd Us Guided Transmural Injxn/Fiducial Marker - Endo Us (Upper),4252.0,4252.0,,,0 HCPCS,43253,"Hc Esophagogastroduodenoscopy, Flexible, Transoral W/Transendoscopic Ultrasound",7344.0,7344.0,,,0 HCPCS,43254,Egd endo mucosal resection,,,1924.71,6277.0,19 HCPCS,43254,Hc Esophgastro-Endoscopic Mucosal Resection,4793.0,4793.0,,,0 HCPCS,43255,Egd control bleeding any,,,1924.71,5345.54,19 HCPCS,43255,Hc Egd Transoral Control Bleeding Any Method - Egd,4123.0,4123.0,,,0 HCPCS,43257,Egd w/thrml txmnt gerd,,,3514.53,8198.32,19 HCPCS,43257,Hc Egd W/Thermal Treatmt For Gerd,3731.0,3731.0,,,0 HCPCS,43259,Egd us exam duodenum/jejunum,,,1924.71,6293.23,19 HCPCS,43259,Hc Egd Us Exam Surgical Alter Stom Duodenum/Jejunum - Endo Us (Upper),5367.0,5367.0,,,0 HCPCS,43260,Ercp w/specimen collection,,,3295.0,8198.32,19 HCPCS,43260,Hc Ercp Dx Collection Specimen Brushing/Washing - Ercp,4769.5,4769.5,,,0 HCPCS,43261,Endo cholangiopancreatograph,,,3295.0,8198.32,19 HCPCS,43261,"Hc Ercp,Biopsy - Ercp, Single Or Multiple",4918.5,4918.5,,,0 HCPCS,43262,Endo cholangiopancreatograph,,,3295.0,8198.32,19 HCPCS,43262,"Hc Ercp,Sphincterotomy - Ercp",4918.5,4918.5,,,0 HCPCS,43263,Ercp sphincter pressure meas,,,1924.71,5843.31,19 HCPCS,43263,Hc Ercp W/Pressure Measurement Sphincter Of Oddi - Ercp,5289.0,5289.0,,,0 HCPCS,43264,Ercp remove duct calculi,,,3295.0,8198.32,19 HCPCS,43264,Hc Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp,4918.5,4918.5,,,0 HCPCS,43265,Ercp lithotripsy calculi,,,3295.0,12909.23,19 HCPCS,43265,Hc Ercp Destruction/Lithotripsy Calculi Any Method - Ercp,6375.0,6375.0,,,0 HCPCS,43266,Egd endoscopic stent place,,,4419.21,12909.23,19 HCPCS,43266,Hc Egd Endoscopic Stent Placement W/Wire& Dilation - Egd,3524.0,3524.0,,,0 HCPCS,43266,Noncdm Charge Record,4060.0,4060.0,,,0 HCPCS,43270,Egd lesion ablation,,,1924.71,7750.0,19 HCPCS,43270,Hc Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd,4076.5,4076.5,,,0 HCPCS,43273,Endoscopic pancreatoscopy,,,1343.0,11385.0,6 HCPCS,43273,Hc Cholangioscopy,601.0,601.0,,,0 HCPCS,43274,Ercp duct stent placement,,,3895.0,12909.23,19 HCPCS,43274,Hc Ercp Stent Placement Biliary/Pancreatic Duct - Ercp,8584.5,8584.5,,,0 HCPCS,43275,Ercp remove forgn body duct,,,1924.71,11385.0,19 HCPCS,43275,Hc Ercp Remove Foreign Body/Stent Biliary/Panc Duct - Ercp,8041.5,8041.5,,,0 HCPCS,43276,Ercp stent exchange w/dilate,,,3895.0,12909.23,19 HCPCS,43276,Hc Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire - Ercp,8584.5,8584.5,,,0 HCPCS,43277,Ercp ea duct/ampulla dilate,,,3514.53,11385.0,19 HCPCS,43277,Hc Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea - Ercp,5289.0,5289.0,,,0 HCPCS,43278,Ercp lesion ablate w/dilate,,,3514.53,11385.0,19 HCPCS,43278,Hc Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire - Ercp,5289.0,5289.0,,,0 HCPCS,43279,Lap myotomy heller,,,3051.0,10249.52,7 HCPCS,43280,Laparoscopy fundoplasty,,,5730.0,22603.4,19 HCPCS,43281,Lap paraesophag hern repair,,,5730.0,22603.4,18 HCPCS,43282,Lap paraesoph her rpr w/mesh,,,3051.0,22603.4,16 HCPCS,43283,Lap esoph lengthening,,,3051.0,10249.52,4 HCPCS,43284,"Hc Laparoscopy, Surg, Esoph Sphincter Augmentation - Incl Cruroplasty When Perf",4066.0,4066.0,,,0 HCPCS,43284,Laps esophgl sphnctr agmntj,,,5730.0,22603.4,18 HCPCS,43285,Rmvl esophgl sphnctr dev,,,4817.0,12855.28,18 HCPCS,43286,Esphg tot w/laps moblj,,,4962.02,7972.53,3 HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,4962.02,7972.53,3 HCPCS,43288,Esphg thrsc moblj,,,4962.02,7972.53,3 HCPCS,43289,Laparoscope proc esoph,,,4962.02,12855.28,18 HCPCS,43290,Egd flx trnsorl dplmnt balo,,,1924.71,10726.0,17 HCPCS,43290,"Hc Egd, Flexible, Transoral W/Deployment Of Intragastric Bariatric Balloon",7126.0,7126.0,,,0 HCPCS,43291,Egd flx trnsorl rmvl balo,,,909.73,7750.0,17 HCPCS,43291,"Hc Egd, Flexible, Transoral W/Removal Of Intragastric Bariatric Balloon(S)",2998.5,2998.5,,,0 HCPCS,43300,Repair of esophagus,,,3051.0,7268.12,6 HCPCS,43305,Repair esophagus and fistula,,,3051.0,7268.12,6 HCPCS,43310,Repair of esophagus,,,3051.0,8821.68,6 HCPCS,43312,Repair esophagus and fistula,,,3051.0,7268.12,6 HCPCS,43313,Esophagoplasty congenital,,,3051.0,7268.12,4 HCPCS,43314,Tracheo-esophagoplasty cong,,,3051.0,7268.12,4 HCPCS,43320,Fuse esophagus & stomach,,,3051.0,7268.12,6 HCPCS,43325,Revise esophagus & stomach,,,3051.0,7268.12,6 HCPCS,43327,Esoph fundoplasty lap,,,3051.0,7972.53,4 HCPCS,43328,Esoph fundoplasty thor,,,3051.0,7972.53,4 HCPCS,43330,Esophagomyotomy abdominal,,,3051.0,7268.12,6 HCPCS,43331,Esophagomyotomy thoracic,,,3051.0,7268.12,6 HCPCS,43332,Transab esoph hiat hern rpr,,,3051.0,7972.53,4 HCPCS,43333,Transab esoph hiat hern rpr,,,3051.0,7972.53,4 HCPCS,43334,Transthor diaphrag hern rpr,,,3051.0,7972.53,4 HCPCS,43335,Transthor diaphrag hern rpr,,,3051.0,7972.53,4 HCPCS,43336,Thorabd diaphr hern repair,,,3051.0,7972.53,4 HCPCS,43337,Thorabd diaphr hern repair,,,3051.0,7972.53,4 HCPCS,43338,Esoph lengthening,,,3051.0,7972.53,4 HCPCS,43340,Fuse esophagus & intestine,,,3051.0,7268.12,6 HCPCS,43341,Fuse esophagus & intestine,,,3051.0,7268.12,6 HCPCS,43351,Surgical opening esophagus,,,3051.0,7268.12,6 HCPCS,43352,Surgical opening esophagus,,,3051.0,7268.12,6 HCPCS,43360,Gastrointestinal repair,,,3051.0,7268.12,6 HCPCS,43361,Gastrointestinal repair,,,3051.0,8364.54,6 HCPCS,43400,Ligate esophagus veins,,,3051.0,9172.0,9 HCPCS,43401,Esophagus surgery for veins,,,3051.0,4840.09,3 HCPCS,43405,Ligate/staple esophagus,,,3051.0,7268.12,6 HCPCS,43410,Repair esophagus wound,,,3051.0,7268.12,6 HCPCS,43415,Repair esophagus wound,,,3051.0,7268.12,6 HCPCS,43420,Repair esophagus opening,,,3011.79,7050.03,18 HCPCS,43425,Repair esophagus opening,,,3051.0,7268.12,6 HCPCS,43450,Dilate esophagus 1/mult pass,,,909.73,4840.09,19 HCPCS,43450,Hc Dilate Esophagus - Esophageal Dilation,4567.5,4567.5,,,0 HCPCS,43453,Dilate esophagus,,,1924.71,5051.48,19 HCPCS,43453,"Hc Dilate Esophagus,Over Guide - Esophageal Dilation",6234.0,6234.0,,,0 HCPCS,43460,"Hc Esophagogastric Tamponade,Balloon - Tube Insertion",3452.5,3452.5,,,0 HCPCS,43460,Pressure treatment esophagus,,,3011.79,5051.48,6 HCPCS,43496,Free jejunum flap microvasc,,,3514.53,5843.31,6 HCPCS,43497,"Hc Poem Lower Esophageal Myotomy, Transoral",9131.0,9131.0,,,0 HCPCS,43497,Transorl lwr esophgl myotomy,,,3295.0,12909.23,17 HCPCS,43499,Esophagus surgery procedure,,,909.73,11531.48,18 HCPCS,43499,Hc Esophagus Surg Procedure Unlisted,6905.0,6905.0,,,0 HCPCS,43499,Hc Pbb Esophagus Surg Procedure Unlisted,3305.0,3305.0,,,0 HCPCS,43500,Surgical opening of stomach,,,3051.0,5843.31,6 HCPCS,43501,Surgical repair of stomach,,,3051.0,5843.31,6 HCPCS,43502,Surgical repair of stomach,,,3051.0,5843.31,6 HCPCS,43510,Surgical opening of stomach,,,909.73,4840.09,16 HCPCS,43520,Incision of pyloric muscle,,,3051.0,5843.31,6 HCPCS,43605,Biopsy of stomach,,,3051.0,5843.31,9 HCPCS,43610,Excision of stomach lesion,,,3051.0,5843.31,6 HCPCS,43611,Excision of stomach lesion,,,3051.0,5843.31,6 HCPCS,43620,Removal of stomach,,,3051.0,5843.31,6 HCPCS,43621,Removal of stomach,,,3051.0,8821.68,6 HCPCS,43622,Removal of stomach,,,3051.0,8821.68,6 HCPCS,43631,Removal of stomach partial,,,3051.0,5843.31,6 HCPCS,43632,Removal of stomach partial,,,3051.0,5843.31,6 HCPCS,43633,Removal of stomach partial,,,3051.0,5843.31,6 HCPCS,43634,Removal of stomach partial,,,3051.0,5843.31,6 HCPCS,43635,Removal of stomach partial,,,3051.0,5843.31,6 HCPCS,43640,Vagotomy & pylorus repair,,,3051.0,5843.31,6 HCPCS,43641,Vagotomy & pylorus repair,,,3051.0,5843.31,6 HCPCS,43644,Lap gastric bypass/roux-en-y,,,3051.0,9172.0,7 HCPCS,43645,Lap gastr bypass incl smll i,,,3051.0,9172.0,7 HCPCS,43647,Lap impl electrode antrum,,,5405.0,23693.96,19 HCPCS,43648,Lap revise/remv eltrd antrum,,,4962.02,22603.4,19 HCPCS,43651,Laparoscopy vagus nerve,,,4962.02,12855.28,19 HCPCS,43652,Laparoscopy vagus nerve,,,4962.02,12855.28,19 HCPCS,43653,Laparoscopy gastrostomy,,,4962.02,12855.28,19 HCPCS,43659,Laparoscope proc stom,,,4962.02,12855.28,18 HCPCS,43752,Hc Pbb Placement Ng/Og Tube By Physician,1103.0,1103.0,,,0 HCPCS,43752,Hc Placement Ng/Og Tube By Physician,1103.0,1103.0,,,0 HCPCS,43752,Nasal/orogastric w/tube plmt,,,448.08,4840.09,18 HCPCS,43753,"Hc Gastric Intubation/Aspiration, Therapeutic, Incl Lavage",695.0,695.0,,,0 HCPCS,43753,Tx gastro intub w/asp,,,216.58,4840.09,18 HCPCS,43754,Dx gastr intub w/asp spec,,,216.58,4840.09,18 HCPCS,43755,Dx gastr intub w/asp specs,,,129.06,4840.09,19 HCPCS,43756,Dx duod intub w/asp spec,,,909.73,4840.09,19 HCPCS,43757,Dx duod intub w/asp specs,,,909.73,4840.09,19 HCPCS,43760,Change gastrostomy tube,,,2572.0,4840.09,4 HCPCS,43761,"Hc Reposition Gastrostomy Tube - Gastrostomy Tube, Change / Reposition",4273.0,4273.0,,,0 HCPCS,43761,Reposition gastrostomy tube,,,250.6,4840.09,19 HCPCS,43762,Hc G-Tube Replace W/O Guidance,1252.0,1252.0,,,0 HCPCS,43762,Hc Replace/Remv G-Tube Wo Img,5859.0,5859.0,,,0 HCPCS,43762,"Hc Replacement, Gastrostomy Tube, Perq, Incl Removal, W/O Imaging/Endoscopic Guidance; Not Requiring",1252.0,1252.0,,,0 HCPCS,43762,Noncdm Charge Record,1089.0,1089.0,,,0 HCPCS,43762,Rplc gtube no revj trc,,,250.6,4840.09,17 HCPCS,43763,"Hc Replacement, Gastrostomy Tube, Perq, Incl Removal, W/O Imaging/Endoscopic Guidance; Requiring Rev",650.0,650.0,,,0 HCPCS,43763,Rplc gtube revj gstrst trc,,,250.6,4840.09,17 HCPCS,43770,Lap place gastr adj device,,,5405.0,22603.4,18 HCPCS,43771,Lap revise gastr adj device,,,3051.0,7972.53,9 HCPCS,43772,Lap rmvl gastr adj device,,,3051.0,8198.32,16 HCPCS,43773,Lap replace gastr adj device,,,3051.0,12855.28,16 HCPCS,43774,Lap rmvl gastr adj all parts,,,3051.0,11685.0,16 HCPCS,43775,Lap sleeve gastrectomy,,,3051.0,9172.0,7 HCPCS,43800,Reconstruction of pylorus,,,3051.0,5843.31,6 HCPCS,43810,Fusion of stomach and bowel,,,3051.0,5843.31,6 HCPCS,43820,Fusion of stomach and bowel,,,3051.0,5843.31,6 HCPCS,43825,Fusion of stomach and bowel,,,3051.0,5843.31,6 HCPCS,43830,Place gastrostomy tube,,,1924.71,5051.48,16 HCPCS,43831,Place gastrostomy tube,,,909.73,4840.09,16 HCPCS,43832,Place gastrostomy tube,,,3051.0,5843.31,6 HCPCS,43840,Repair of stomach lesion,,,3051.0,8198.32,15 HCPCS,43842,V-band gastroplasty,,,3051.0,5843.31,6 HCPCS,43843,Gastroplasty w/o v-band,,,3051.0,8655.0,9 HCPCS,43845,Gastroplasty duodenal switch,,,3051.0,5843.31,4 HCPCS,43846,Gastric bypass for obesity,,,3051.0,8821.68,6 HCPCS,43847,Gastric bypass incl small i,,,3051.0,7175.28,6 HCPCS,43848,Revision gastroplasty,,,3051.0,7175.28,6 HCPCS,43850,Revise stomach-bowel fusion,,,3051.0,4840.09,3 HCPCS,43855,Revise stomach-bowel fusion,,,3051.0,5345.54,3 HCPCS,43860,Revise stomach-bowel fusion,,,3051.0,5843.31,6 HCPCS,43865,Revise stomach-bowel fusion,,,3051.0,5843.31,6 HCPCS,43870,Repair stomach opening,,,2572.0,8198.32,19 HCPCS,43880,Hc Closure Of Gastrocolic Fistula,32292.0,32292.0,,,0 HCPCS,43880,Repair stomach-bowel fistula,,,3051.0,5843.31,6 HCPCS,43881,Impl/redo electrd antrum,,,3514.53,5843.31,4 HCPCS,43882,Revise/remove electrd antrum,,,3514.53,5843.31,4 HCPCS,43886,Revise gastric port open,,,2572.0,7870.0,19 HCPCS,43887,Remove gastric port open,,,2069.52,5051.48,19 HCPCS,43888,Change gastric port open,,,3295.0,7870.0,19 HCPCS,43889,Gstr rstcv px trnsorl esg,,,10661.98,22603.4,7 HCPCS,43999,Asc Only Unlisted Procedure - Stomach - Upper Gi Endoscopy Catheter Aspiration,5230.0,5230.0,,,0 HCPCS,43999,Hc Egd/Stent Reposition,2161.0,2161.0,,,0 HCPCS,43999,Hc Endoscopic Tore,4146.0,4146.0,,,0 HCPCS,43999,"Hc G-Poem, Stomach",8655.0,8655.0,,,0 HCPCS,43999,Stomach surgery procedure,,,909.73,11531.48,18 HCPCS,44005,Freeing of bowel adhesion,,,3051.0,9512.0,8 HCPCS,44005,Hc Enterolysis (Freeing Of Intestinal Adhesion),26565.0,26565.0,,,0 HCPCS,44010,Incision of small bowel,,,3051.0,8180.0,8 HCPCS,44015,Insert needle cath bowel,,,3051.0,5843.31,6 HCPCS,44020,Explore small intestine,,,3051.0,8180.0,8 HCPCS,44021,Decompress small bowel,,,3051.0,5843.31,6 HCPCS,44025,Incision of large bowel,,,3051.0,8180.0,8 HCPCS,44050,Reduce bowel obstruction,,,3051.0,8180.0,8 HCPCS,44055,Correct malrotation of bowel,,,3051.0,9512.0,8 HCPCS,44100,Biopsy of bowel,,,909.73,4840.09,19 HCPCS,44110,Excise intestine lesion(s),,,3051.0,5843.31,6 HCPCS,44110,"Hc Excision,1 Or More Lesions,Small/Large Intestine Not Requiring Anastomosis/Exteriorization/Fistul",4815.0,4815.0,,,0 HCPCS,44111,Excision of bowel lesion(s),,,3051.0,5843.31,6 HCPCS,44111,"Hc Excision,1 Or More Lesions,Small/Large Intestine Not Requiring Anastomosis/Exteriorization/Fistul",4815.0,4815.0,,,0 HCPCS,44120,Removal of small intestine,,,3051.0,5843.31,6 HCPCS,44121,Removal of small intestine,,,3051.0,5843.31,6 HCPCS,44125,Removal of small intestine,,,3051.0,5843.31,6 HCPCS,44126,Enterectomy w/o taper cong,,,3051.0,8364.54,6 HCPCS,44127,Enterectomy w/taper cong,,,3051.0,8364.54,6 HCPCS,44128,Enterectomy cong add-on,,,3051.0,5843.31,6 HCPCS,44130,Bowel to bowel fusion,,,3051.0,5843.31,6 HCPCS,44132,Enterectomy cadaver donor,,,3600.0,7268.12,6 HCPCS,44133,Enterectomy live donor,,,3514.53,5843.31,6 HCPCS,44135,Intestine transplnt cadaver,,,3600.0,7268.12,6 HCPCS,44136,Intestine transplant live,,,3514.53,5843.31,6 HCPCS,44137,Remove intestinal allograft,,,3514.53,5843.31,4 HCPCS,44139,Mobilization of colon,,,3051.0,5843.31,6 HCPCS,44140,Partial removal of colon,,,3051.0,5843.31,6 HCPCS,44141,Partial removal of colon,,,3051.0,5843.31,6 HCPCS,44143,Partial removal of colon,,,3051.0,8821.68,6 HCPCS,44144,Partial removal of colon,,,3051.0,5843.31,6 HCPCS,44145,Partial removal of colon,,,3051.0,5843.31,6 HCPCS,44146,Partial removal of colon,,,3051.0,7175.28,6 HCPCS,44147,Partial removal of colon,,,3051.0,5843.31,6 HCPCS,44150,Removal of colon,,,3051.0,8821.68,6 HCPCS,44151,Removal of colon/ileostomy,,,3051.0,7175.28,6 HCPCS,44155,Removal of colon/ileostomy,,,3051.0,7175.28,6 HCPCS,44156,Removal of colon/ileostomy,,,3051.0,8364.54,6 HCPCS,44157,Colectomy w/Ileoanal Anast,,,3051.0,5843.31,4 HCPCS,44158,Colectomy w/Neo-Rectum Pouch,,,3051.0,5843.31,4 HCPCS,44160,Hc Ileo Ww/O Brushing,1860.0,1860.0,,,0 HCPCS,44160,Removal of colon,,,3051.0,5843.31,6 HCPCS,44180,"Hc Laparoscopy,Surgical,Enterolysis",10651.0,10651.0,,,0 HCPCS,44180,Lap enterolysis,,,4962.02,12855.28,19 HCPCS,44186,Lap jejunostomy,,,4962.02,12855.28,19 HCPCS,44187,Lap ileo/jejuno-stomy,,,3051.0,7972.53,6 HCPCS,44188,Lap colostomy,,,3051.0,7972.53,6 HCPCS,44202,Lap enterectomy,,,3051.0,8655.0,11 HCPCS,44203,Lap resect s/intestine addl,,,3051.0,8655.0,9 HCPCS,44204,Laparo partial colectomy,,,3051.0,8655.0,9 HCPCS,44205,"Hc Laparoscopy,Surg, Colectomy, Partial W/Remvl Terminal Ileum W/Ileocolostomy",47067.0,47067.0,,,0 HCPCS,44205,Lap colectomy part w/ileum,,,3051.0,7972.53,6 HCPCS,44206,Lap part colectomy w/stoma,,,3051.0,7972.53,4 HCPCS,44207,L colectomy/coloproctostomy,,,3051.0,7972.53,4 HCPCS,44208,L colectomy/coloproctostomy,,,3051.0,7972.53,4 HCPCS,44210,Laparo total proctocolectomy,,,3051.0,7972.53,4 HCPCS,44211,Lap colectomy w/proctectomy,,,3051.0,7972.53,4 HCPCS,44212,Laparo total proctocolectomy,,,3051.0,7972.53,4 HCPCS,44213,Lap mobil splenic fl add-on,,,3051.0,7972.53,6 HCPCS,44227,Lap close enterostomy,,,3051.0,7972.53,6 HCPCS,44238,Laparoscope proc intestine,,,4962.02,12855.28,16 HCPCS,44300,Open bowel to skin,,,1924.71,5843.31,17 HCPCS,44310,Ileostomy/jejunostomy,,,3051.0,5843.31,6 HCPCS,44312,Revision of ileostomy,,,2572.0,7870.0,19 HCPCS,44314,Revision of ileostomy,,,3051.0,7870.0,17 HCPCS,44316,Devise bowel pouch,,,3051.0,8821.68,6 HCPCS,44320,Colostomy,,,3051.0,5843.31,6 HCPCS,44322,Colostomy with biopsies,,,3051.0,5843.31,6 HCPCS,44340,Revision of colostomy,,,3514.53,7870.0,19 HCPCS,44345,Revision of colostomy,,,3051.0,7870.0,16 HCPCS,44346,Revision of colostomy,,,3051.0,7870.0,16 HCPCS,44360,Hc Endoscopy Upper Small Intestine - Enteroscopy,4005.0,4005.0,,,0 HCPCS,44360,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44361,"Hc Small Bowel Endoscopy,Biopsy - Enteroscopy",4501.0,4501.0,,,0 HCPCS,44361,Small bowel endoscopy/biopsy,,,1924.71,5345.54,19 HCPCS,44363,Hc Sbe-Only Duo/Jejunum W/Rmvl Foreign Body(S),3153.0,3153.0,,,0 HCPCS,44363,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44364,"Hc Sb Endoscopy,Rmvl Lesn,Snare - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44364,"Hc Small Intestinal Endoscopy, Second Portion Of Duodenum W/Removal Of Tumor(S),Polyp(S)Lesion(S),Sn",5544.0,5544.0,,,0 HCPCS,44364,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44365,"Hc Sb Endoscopy,Rmvl Lesn, Hot Bx Forceps/Caut - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44365,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44366,"Hc Sb Endoscopy,>2Nd Prtn W/Control,Bleeding - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44366,"Hc Small Bowel Endoscopy,>2Nd Prtn W/Control,Bleeding - Enteroscopy",5849.0,5849.0,,,0 HCPCS,44366,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44369,"Hc Small Bowel Endoscopy, >2Nd Prtn Ablate Lesn - Enteroscopy",4501.0,4501.0,,,0 HCPCS,44369,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44370,"Hc Sb Scope,Place Transendoscopic Stent - Enteroscopy",7331.0,7331.0,,,0 HCPCS,44370,Small Bowel Endoscopy/Stent,,,4419.21,12909.23,19 HCPCS,44372,"Hc Sb Scope, >2Nd Prtn Place Percut Jejun Tube - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44372,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44373,"Hc Sb Scope,Convrt Gastro To Jejun - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44373,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44376,"Hc Sb Scope,To Ileum,Diagnostic - Enteroscopy",3153.0,3153.0,,,0 HCPCS,44376,"Hc Small Bowel Scope,To Ileum,Diagnostic - Enteroscopy",5849.0,5849.0,,,0 HCPCS,44376,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44377,"Hc Sb Scope,To Ileum,Biopsy - Enteroscopy",4501.0,4501.0,,,0 HCPCS,44377,Small bowel endoscopy/biopsy,,,1924.71,5345.54,19 HCPCS,44378,"Hc Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy",4501.0,4501.0,,,0 HCPCS,44378,Noncdm Charge Record,2742.0,2742.0,,,0 HCPCS,44378,Small bowel endoscopy,,,1924.71,5345.54,19 HCPCS,44379,S Bowel Endoscope W/Stent,,,4419.21,12909.23,19 HCPCS,44380,Hc Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy,3527.5,3527.5,,,0 HCPCS,44380,Small bowel endoscopy br/wa,,,909.73,4840.09,19 HCPCS,44381,"Hc Lleoscopy, Through Stoma W/Transendoscopic Balloon Dilation",4894.0,4894.0,,,0 HCPCS,44381,Small bowel endoscopy br/wa,,,1924.71,6803.0,19 HCPCS,44382,"Hc Ileoscopy Thru Stoma,Biopsy - Enteroscopy",3527.5,3527.5,,,0 HCPCS,44382,Small bowel endoscopy,,,909.73,4840.09,19 HCPCS,44384,Small bowel endoscopy,,,1924.71,11403.39,19 HCPCS,44385,Endoscopy of bowel pouch,,,932.77,4840.09,19 HCPCS,44385,Hc Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx - Enteroscopy,3411.0,3411.0,,,0 HCPCS,44386,Endoscopy bowel pouch/biop,,,932.77,4840.09,19 HCPCS,44386,Hc Ndsc Eval Intstinal Pouch W/Bx Single/Multiple - Enteroscopy,3538.5,3538.5,,,0 HCPCS,44388,Colonoscopy thru stoma spx,,,932.77,4840.09,19 HCPCS,44388,Hc Colonoscopy Stoma Dx Induding Collj Spec Spx - Colonoscopy,2504.0,2504.0,,,0 HCPCS,44389,Colonoscopy with biopsy,,,1200.26,5051.48,19 HCPCS,44389,"Hc Colonoscopy Thru Stoma,Biopsy - Colonoscopy",2719.0,2719.0,,,0 HCPCS,44390,Colonoscopy for foreign body,,,932.77,5051.48,19 HCPCS,44390,Hc Colonoscopy Through Stoma; With Removal Of Foreign Body(S),4015.0,4015.0,,,0 HCPCS,44391,Colonoscopy for bleeding,,,1200.26,5051.48,19 HCPCS,44391,Hc Colonoscopy Stoma Control Bleeding - Colonoscopy,2147.0,2147.0,,,0 HCPCS,44392,Colonoscopy & polypectomy,,,1200.26,5051.48,19 HCPCS,44392,"Hc Stoma-Colonoscopy, W Rmvl Polyp(S), By Hot Biopsy",2467.0,2467.0,,,0 HCPCS,44394,Colonoscopy w/snare,,,1200.26,5051.48,19 HCPCS,44394,"Hc Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy",2804.5,2804.5,,,0 HCPCS,44401,Colonoscopy with ablation,,,1200.26,6803.0,19 HCPCS,44402,Colonoscopy w/stent plcmt,,,2572.0,12909.23,19 HCPCS,44402,Hc Colonoscopy Stoma W/Endoscopic Stent Plcmt - Colonoscopy,6360.0,6360.0,,,0 HCPCS,44403,Colonoscopy w/resection,,,1200.26,6803.0,19 HCPCS,44403,Hc Colonoscopy Through Stoma; With Endoscopic Mucosal Resection,3356.5,3356.5,,,0 HCPCS,44404,Colonoscopy w/injection,,,1200.26,6803.0,19 HCPCS,44404,"Hc Stoma-Colonoscopy, W/Directed Submucosal Inj, Any Subst",3509.5,3509.5,,,0 HCPCS,44405,Colonoscopy w/dilation,,,1200.26,6803.0,19 HCPCS,44406,Colonoscopy w/ultrasound,,,1200.26,6803.0,19 HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1200.26,6803.0,19 HCPCS,44407,Hc Colonoscopy Stoma W/Us Gid Ndl Aspir/Bx - Endo Us (Lower),3829.0,3829.0,,,0 HCPCS,44408,Colonoscopy w/decompression,,,932.77,6803.0,19 HCPCS,44500,Hc Intro Long Gi Tube - Nasal Jejunal Feeding Tube,2769.0,2769.0,,,0 HCPCS,44500,Hc Introduction Of Long Gastrointestinal Tube,2769.0,2769.0,,,0 HCPCS,44500,Intro gastrointestinal tube,,,909.73,4840.09,17 HCPCS,44602,Suture small intestine,,,3051.0,8198.32,15 HCPCS,44603,Suture small intestine,,,3051.0,5843.31,6 HCPCS,44604,Suture large intestine,,,3051.0,5843.31,6 HCPCS,44605,Repair of bowel lesion,,,3051.0,5843.31,6 HCPCS,44615,Intestinal stricturoplasty,,,3051.0,5843.31,6 HCPCS,44620,Repair bowel opening,,,3051.0,5843.31,6 HCPCS,44625,Repair bowel opening,,,3051.0,5843.31,6 HCPCS,44626,Repair bowel opening,,,3051.0,5843.31,6 HCPCS,44640,Repair bowel-skin fistula,,,3051.0,5843.31,6 HCPCS,44650,Repair bowel fistula,,,3051.0,5843.31,6 HCPCS,44660,Repair bowel-bladder fistula,,,3051.0,5843.31,6 HCPCS,44661,Repair bowel-bladder fistula,,,3051.0,5843.31,6 HCPCS,44680,Surgical revision intestine,,,3051.0,5843.31,6 HCPCS,44700,Suspend bowel w/prosthesis,,,3051.0,5843.31,6 HCPCS,44701,Intraop colon lavage add-on,,,1343.0,2572.0,3 HCPCS,44705,Hc Colonoscopy With Fecal Microbiota For Instillation,3809.0,3809.0,,,0 HCPCS,44705,Prepare fecal microbiota,,,2572.0,4221.48,5 HCPCS,44715,Prepare donor intestine,,,3051.0,5843.31,4 HCPCS,44720,Prep donor intestine/venous,,,3051.0,5843.31,4 HCPCS,44721,Prep donor intestine/artery,,,3051.0,5843.31,4 HCPCS,44799,"Hc Chromonendoscopy, Large Bowel",9791.0,9791.0,,,0 HCPCS,44799,Hc Egd Oe Colon,2884.0,2884.0,,,0 HCPCS,44799,Hc Sbew/Fecal Transplt,2884.0,2884.0,,,0 HCPCS,44799,Hc Small Bowel,2884.0,2884.0,,,0 HCPCS,44799,Hc Unlisted Procedure - Repair Enterocutaneous Fistula,7572.0,7572.0,,,0 HCPCS,44799,Unlisted px small intestine,,,909.73,11531.48,18 HCPCS,44800,Excision of bowel pouch,,,3051.0,5843.31,6 HCPCS,44820,Excision of mesentery lesion,,,3051.0,5843.31,6 HCPCS,44850,Repair of mesentery,,,3051.0,5843.31,6 HCPCS,44899,Bowel surgery procedure,,,3600.0,11531.48,6 HCPCS,44900,Drain appendix abscess open,,,3011.79,5051.48,6 HCPCS,44950,Appendectomy,,,3514.53,13766.01,18 HCPCS,44955,Appendectomy add-on,,,1343.0,4840.09,5 HCPCS,44960,Appendectomy,,,3051.0,5843.31,6 HCPCS,44970,"Hc Laparoscopy, Surgical, Appendectomy",10651.0,10651.0,,,0 HCPCS,44970,Laparoscopy appendectomy,,,4962.02,12855.28,19 HCPCS,44979,Laparoscope proc app,,,4962.02,12855.28,18 HCPCS,45000,Drainage of pelvic abscess,,,1200.26,5051.48,19 HCPCS,45000,Hc Transrectal Drainage Of Pelvic Abscess,4609.0,4609.0,,,0 HCPCS,45005,Drainage of rectal abscess,,,1200.26,5345.54,19 HCPCS,45005,"Hc Incision And Drainage Of Submucosal Abscess, Rectum",5507.0,5507.0,,,0 HCPCS,45020,Drainage of rectal abscess,,,2784.06,5902.2,19 HCPCS,45020,"Hc Incision/Drainage Of Deep Supralevator, Pelvirectal, Or Retrorectal Abscess",5810.0,5810.0,,,0 HCPCS,45100,Biopsy of rectum,,,2572.0,5902.2,19 HCPCS,45100,"Hc Biopsy Of Anorectal Wall, Anal Approach (Eg, Congenital Megacolon)",4862.0,4862.0,,,0 HCPCS,45108,Removal of anorectal lesion,,,2784.06,5902.2,19 HCPCS,45110,Removal of rectum,,,3051.0,8821.68,6 HCPCS,45111,Partial removal of rectum,,,3051.0,5843.31,6 HCPCS,45112,Removal of rectum,,,3051.0,8821.68,6 HCPCS,45113,Partial proctectomy,,,3051.0,8821.68,6 HCPCS,45114,Partial removal of rectum,,,3051.0,5843.31,6 HCPCS,45116,Partial removal of rectum,,,3051.0,5843.31,6 HCPCS,45119,Remove rectum w/reservoir,,,3051.0,8821.68,6 HCPCS,45120,Removal of rectum,,,3051.0,5843.31,6 HCPCS,45121,Removal of rectum and colon,,,3051.0,5843.31,6 HCPCS,45123,"Hc Proctectomy, Partial W/O Anastomosis, Perineal Approach",13057.0,13057.0,,,0 HCPCS,45123,Partial proctectomy,,,3051.0,9172.0,9 HCPCS,45126,Pelvic exenteration,,,3051.0,8364.54,6 HCPCS,45130,Excision of rectal prolapse,,,3051.0,5843.31,6 HCPCS,45135,Excision of rectal prolapse,,,3051.0,5843.31,6 HCPCS,45136,Excise ileoanal reservior,,,3051.0,5843.31,6 HCPCS,45150,Excision of rectal stricture,,,1200.26,5345.54,19 HCPCS,45160,Excision of rectal lesion,,,2784.06,5902.2,19 HCPCS,45171,Exc rect tum transanal part,,,2572.0,7750.0,19 HCPCS,45171,"Hc Exc Rectal Tumor,Transanal Apprch;Not Inc Muscularis Propria-Part Thickness",11148.0,11148.0,,,0 HCPCS,45172,Exc rect tum transanal full,,,2784.06,11385.0,19 HCPCS,45172,"Hc Exc Rectal Tumor,Transanal Apprch;Not Inc Muscularis Propria-Full Thickness",16385.0,16385.0,,,0 HCPCS,45190,Destruction rectal tumor,,,2784.06,11403.39,19 HCPCS,45190,"Hc Destruction Of Rectal Tumor, Transanal Approach",15686.0,15686.0,,,0 HCPCS,45300,"Hc Proctosigmoidoscopy, Rigid; Diagnostic W/Wo Coll Specimen By Brush/Wash",3011.0,3011.0,,,0 HCPCS,45300,"Hc Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid",81.0,81.0,,,0 HCPCS,45300,Proctosigmoidoscopy dx,,,932.77,4840.09,19 HCPCS,45303,Proctosigmoidoscopy dilate,,,1200.26,5051.48,19 HCPCS,45305,"Hc Proctosigmoidoscopy,Biopsy - Endoscopy Sigmoid",4178.0,4178.0,,,0 HCPCS,45305,"Hc Proctosigmoidoscopy,Rigid; With Biopsy, Single Or Multiple",3011.0,3011.0,,,0 HCPCS,45305,Proctosigmoidoscopy w/bx,,,1200.26,5051.48,19 HCPCS,45307,Proctosigmoidoscopy fb,,,2572.0,5902.2,19 HCPCS,45308,Proctosigmoidoscopy removal,,,2572.0,5902.2,19 HCPCS,45309,Proctosigmoidoscopy removal,,,1200.26,5051.48,19 HCPCS,45315,Proctosigmoidoscopy removal,,,1200.26,5051.48,19 HCPCS,45317,Proctosigmoidoscopy bleed,,,1200.26,5051.48,19 HCPCS,45320,Proctosigmoidoscopy ablate,,,2572.0,5902.2,19 HCPCS,45321,Proctosigmoidoscopy volvul,,,2572.0,5902.2,19 HCPCS,45327,Proctosigmoidoscopy W/Stent,,,2572.0,12909.23,19 HCPCS,45330,Diagnostic sigmoidoscopy,,,932.77,4840.09,19 HCPCS,45330,Hc Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd - Endoscopy Sigmoid,1690.5,1690.5,,,0 HCPCS,45331,"Hc Sigmoidoscopy,Biopsy - Endoscopy Sigmoid Single Or Multiple",1756.5,1756.5,,,0 HCPCS,45331,Sigmoidoscopy and biopsy,,,932.77,4840.09,19 HCPCS,45332,Hc Sigmoidoscopy Flx W/Rmvl Foreign Body - Endoscopy Sigmoid,775.0,775.0,,,0 HCPCS,45332,"Hc Sigmoidoscopy, Flexible; W/Removal Of Foreign Body",3011.0,3011.0,,,0 HCPCS,45332,Sigmoidoscopy w/fb removal,,,1200.26,5051.48,19 HCPCS,45333,"Hc Sigmoidoscopy Flexible W/Removal Of Tumor(S), Polyp(S) Or Other Lesion(S) By Hot Biopsy Forceps",3011.0,3011.0,,,0 HCPCS,45333,Hc Sigmoidoscopy Flx W/Rmvl Tumor By Hot Bx Forceps - Endoscopy Sigmoid,683.0,683.0,,,0 HCPCS,45333,Sigmoidoscopy & polypectomy,,,932.77,4840.09,19 HCPCS,45334,Hc Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid,1946.0,1946.0,,,0 HCPCS,45334,Sigmoidoscopy for bleeding,,,1200.26,5051.48,19 HCPCS,45335,"Hc Sigmoidoscopy,Flex,W/Dir Submuc Inject - Endoscopy Sigmoid",1734.5,1734.5,,,0 HCPCS,45335,Sigmoidoscopy w/submuc inj,,,932.77,4840.09,19 HCPCS,45337,Hc Flex-Sig W/Decompress Volvulus Incl Plcmt Of Decomp Tube,925.0,925.0,,,0 HCPCS,45337,Sigmoidoscopy & decompress,,,932.77,5051.48,19 HCPCS,45338,"Hc Sigmoidoscopy,Remv Lesn,Snare - Endoscopy Sigmoid",1957.0,1957.0,,,0 HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1200.26,5051.48,19 HCPCS,45340,Hc Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid,1781.0,1781.0,,,0 HCPCS,45340,Sig w/tndsc balloon dilation,,,1200.26,5051.48,19 HCPCS,45341,Hc Sigmoidoscopy W/Endoscopic Us Exam - Endo Us (Lower),1972.5,1972.5,,,0 HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,932.77,5051.48,19 HCPCS,45342,"Hc Sigmoidoscopy,Fine Needl Bx,Us Guided - Endo Us (Lower)",4178.0,4178.0,,,0 HCPCS,45342,"Hc Sigmoidoscopy,Fine Needl Bx,Us Guided - Endoscopy Sigmoid",3594.5,3594.5,,,0 HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1200.26,5051.48,19 HCPCS,45346,Hc Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid,1238.0,1238.0,,,0 HCPCS,45346,Sigmoidoscopy w/ablation,,,1200.26,6803.0,19 HCPCS,45347,Hc Sigmoidoscopy Flx Placement Of Endoscopic Stent - Endoscopy Sigmoid,1198.0,1198.0,,,0 HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,2572.0,12909.23,19 HCPCS,45349,Hc Sigmoid W Endo Mucosal Resec,3327.0,3327.0,,,0 HCPCS,45349,Sigmoidoscopy w/resection,,,2572.0,6803.0,19 HCPCS,45350,Hc Sigmoidoscopy Flx With With Band Ligation(S),5322.0,5322.0,,,0 HCPCS,45350,Hc Sigmoidoscopy W Band Litigation,740.0,740.0,,,0 HCPCS,45350,Sgmdsc w/band ligation,,,1200.26,6803.0,19 HCPCS,45378,Diagnostic colonoscopy,,,932.77,5345.54,19 HCPCS,45378,Hc Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy,3649.5,3649.5,,,0 HCPCS,45379,Colonoscopy w/fb removal,,,1200.26,5345.54,19 HCPCS,45379,Hc Colonoscopy Flx W/Removal Of Foreign Body(S) - Colonoscopy,4509.5,4509.5,,,0 HCPCS,45380,Colonoscopy and biopsy,,,1200.26,5345.54,19 HCPCS,45380,Hc Colonoscopy W/Biopsy Single/Multiple - Colonoscopy,3732.0,3732.0,,,0 HCPCS,45381,Colonoscopy submucous njx,,,1200.26,5345.54,19 HCPCS,45381,Hc Colsc Flx With Directed Submucosal Njx Any Sbst - Colonoscopy,3535.5,3535.5,,,0 HCPCS,45382,Colonoscopy w/control bleed,,,1200.26,5345.54,19 HCPCS,45382,Hc Colsc Flexible W/Control Bleeding Any Method - Colonoscopy,4242.5,4242.5,,,0 HCPCS,45384,Colonoscopy w/lesion removal,,,1200.26,5345.54,19 HCPCS,45384,Hc Colsc Flx W/Removal Lesion By Hot Bx Forceps - Colonoscopy,3713.5,3713.5,,,0 HCPCS,45385,Colonoscopy w/lesion removal,,,1200.26,5345.54,19 HCPCS,45385,Hc Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy,4212.0,4212.0,,,0 HCPCS,45386,Colonoscopy w/balloon dilat,,,1200.26,5345.54,19 HCPCS,45386,Hc Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy,3622.5,3622.5,,,0 HCPCS,45388,Colonoscopy w/ablation,,,1200.26,6803.0,19 HCPCS,45388,Hc Colon-Ablation Tumor/Polyp(S)S,4493.0,4493.0,,,0 HCPCS,45389,Colonoscopy w/stent plcmt,,,2912.0,12909.23,19 HCPCS,45389,Hc Colonoscopy Flx With Endoscopic Stent Placement,3599.0,3599.0,,,0 HCPCS,45389,Hc Colonoscopy Flx With Endoscopic Stent Placement - Colonoscopy,5656.0,5656.0,,,0 HCPCS,45390,Colonoscopy w/resection,,,2784.06,6803.0,19 HCPCS,45390,Hc Colonoscopy Flx W/Endoscopic Mucosal Resection - Colonoscopy,5670.0,5670.0,,,0 HCPCS,45391,Colonoscopy w/endoscope us,,,1200.26,5345.54,19 HCPCS,45391,Hc Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower),4126.0,4126.0,,,0 HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1200.26,5345.54,19 HCPCS,45392,Hc Colsc Flx W/Us Guid Ndl Aspir/Bx W/Us Rctm Et Al - Endo Us (Lower),5939.0,5939.0,,,0 HCPCS,45393,Colonoscopy w/decompression,,,1200.26,6803.0,19 HCPCS,45393,Hc Colonoscopy Flexible With Decompression - Colonoscopy,5130.0,5130.0,,,0 HCPCS,45395,Lap removal of rectum,,,3051.0,6277.0,6 HCPCS,45397,Lap remove rectum w/pouch,,,3051.0,6277.0,6 HCPCS,45398,Colonoscopy w/band ligation,,,1200.26,6803.0,19 HCPCS,45398,Hc Colonoscopy Flexible With Band Ligation(S) - Colonoscopy,4692.0,4692.0,,,0 HCPCS,45399,"Asc Only Unlisted Procedure, Colon - Ostomy Dilation Under Sedation",9900.0,9900.0,,,0 HCPCS,45399,"Hc Unlisted Procedure, Colon",3327.0,3327.0,,,0 HCPCS,45399,Unlisted procedure colon,,,932.77,11531.48,19 HCPCS,45400,Laparoscopic proc,,,3051.0,6277.0,6 HCPCS,45402,Lap proctopexy w/sig resect,,,3051.0,6277.0,6 HCPCS,45499,Laparoscope proc rectum,,,5087.0,12855.28,18 HCPCS,45500,Repair of rectum,,,2784.06,5902.2,19 HCPCS,45505,Hc Proctoplasty For Prolapse Of Mucous Membrane,5810.0,5810.0,,,0 HCPCS,45505,Repair of rectum,,,2784.06,7870.0,19 HCPCS,45520,Hc Perirectal Injection Of Sclerosing Solution For Prolapse,2516.0,2516.0,,,0 HCPCS,45520,Treatment of rectal prolapse,,,932.77,4840.09,17 HCPCS,45540,Correct rectal prolapse,,,3051.0,5843.31,6 HCPCS,45541,Correct rectal prolapse,,,2784.06,7870.0,18 HCPCS,45550,Repair rectum/remove sigmoid,,,3051.0,5843.31,6 HCPCS,45560,Repair of rectocele,,,2784.06,7870.0,19 HCPCS,45562,Exploration/repair of rectum,,,3051.0,5843.31,6 HCPCS,45563,Exploration/repair of rectum,,,3051.0,5843.31,6 HCPCS,45800,Repair rect/bladder fistula,,,3051.0,5843.31,6 HCPCS,45805,Repair fistula w/colostomy,,,3051.0,5843.31,6 HCPCS,45820,Repair rectourethral fistula,,,3051.0,5843.31,6 HCPCS,45825,Repair fistula w/colostomy,,,3051.0,5843.31,6 HCPCS,45900,Reduction of rectal prolapse,,,932.77,4840.09,19 HCPCS,45905,Dilation of anal sphincter,,,1200.26,5051.48,19 HCPCS,45905,Hc Dilation Of Anal Sphincter (Separate Procedure) Under Anesthesia Other Than Local,3379.0,3379.0,,,0 HCPCS,45905,Hc Dilation Of Anal Sphincter Under Anesthesia Other Than Local,4862.0,4862.0,,,0 HCPCS,45910,Dilation of rectal narrowing,,,1200.26,5051.48,19 HCPCS,45910,"Hc Dilation Of Rectal Stricture, Under Anesthesia Other Than Local",4609.0,4609.0,,,0 HCPCS,45915,Hc Rmvl Of Fecal Impaction Or Foreign Body (Sep Proc) Under Anesthesia,4862.0,4862.0,,,0 HCPCS,45915,Remove rectal obstruction,,,1200.26,5051.48,19 HCPCS,45990,"Hc Pbb Surg Diagnostic Exam, Anorectal",1137.0,1137.0,,,0 HCPCS,45990,"Hc Surg Diagnostic Exam, Anorectal",5810.0,5810.0,,,0 HCPCS,45990,Surg dx exam anorectal,,,2784.06,5902.2,19 HCPCS,45999,Rectum surgery procedure,,,932.77,11531.48,16 HCPCS,46020,Hc Placement Of Seton,6653.0,6653.0,,,0 HCPCS,46020,Placement of seton,,,2784.06,6293.23,19 HCPCS,46030,Hc Removal Of Anal Secton Other Marker,4862.0,4862.0,,,0 HCPCS,46030,Removal of rectal marker,,,1200.26,5051.48,19 HCPCS,46040,Hc I&D Perirectal Abscess,9521.0,9521.0,,,0 HCPCS,46040,Hc Incision/Drainage Of Ischiorectal And/Or Perirectal Abscess (Sep Proc),6653.0,6653.0,,,0 HCPCS,46040,Incision of rectal abscess,,,1200.26,6293.23,19 HCPCS,46045,Incision of rectal abscess,,,2784.06,5902.2,19 HCPCS,46050,"Hc I&D Perianal Abscess,Superficial",1137.0,1137.0,,,0 HCPCS,46050,"Hc Incision And Drainage, Perianal Absces, Superficial",4862.0,4862.0,,,0 HCPCS,46050,Incision of anal abscess,,,932.77,4840.09,19 HCPCS,46060,Hc Inc/Drain/Ischior/Intram Abscess W/Fistulec/Fistulo/Submus W/Wo Plcmnt Seton,5810.0,5810.0,,,0 HCPCS,46060,Incision of rectal abscess,,,2784.06,5902.2,19 HCPCS,46070,Incision of anal septum,,,2572.0,5902.2,18 HCPCS,46080,"Hc Sphincterotomy, Anal, Division Of Sphincter (Separate Procedure)",6653.0,6653.0,,,0 HCPCS,46080,Incision of anal sphincter,,,2784.06,6293.23,19 HCPCS,46083,Hc Incise External Hemorrhoid,987.0,987.0,,,0 HCPCS,46083,Incise external hemorrhoid,,,250.6,4840.09,19 HCPCS,46200,"Hc Fissurectomy Inc Sphincterotomy,Whn Performed",5507.0,5507.0,,,0 HCPCS,46200,Removal of anal fissure,,,2784.06,5902.2,19 HCPCS,46220,Excise anal ext tag/papilla,,,1200.26,5051.48,19 HCPCS,46220,"Hc Exc Of Sngl External Papilla Or Tag,Anus",4862.0,4862.0,,,0 HCPCS,46221,"Hc Hemorrhoidectomy,Internal,By Rubber Band Ligation(S)",4862.0,4862.0,,,0 HCPCS,46221,Hc Pbb Hemorrhoidectomy Internal Rubber Band Ligations,2822.0,2822.0,,,0 HCPCS,46221,Ligation of hemorrhoid(s),,,932.77,4840.09,19 HCPCS,46230,"Hc Excision Of Multiple External Papillae Or Tags, Anus",4862.0,4862.0,,,0 HCPCS,46230,Removal of anal tags,,,2572.0,5902.2,19 HCPCS,46250,"Hc Hemorrhoidectomy,External,2 Or More Columns/Groups",6653.0,6653.0,,,0 HCPCS,46250,Remove ext hem groups 2+,,,2784.06,6293.23,19 HCPCS,46255,"Hc Hemorrhoidectomy,Internal And External,Single Column/Group",6653.0,6653.0,,,0 HCPCS,46255,Remove int/ext hem 1 group,,,2784.06,6293.23,19 HCPCS,46257,"Hc Hemorrhoidectomy, Internal/External, Simple; W/Fissurectomy",6307.0,6307.0,,,0 HCPCS,46257,Remove in/ex hem grp & fiss,,,2784.06,6293.23,19 HCPCS,46258,Remove in/ex hem grp w/fistu,,,2784.06,6293.23,19 HCPCS,46260,"Hc Hemorrhoidectomy, Internal And External,2 Or More Columns/Groups",6653.0,6653.0,,,0 HCPCS,46260,Remove in/ex hem groups 2+,,,2784.06,6293.23,19 HCPCS,46261,"Hc Hemorrhoidectomy Int/Ext, Complex/Extensive; W/Fissurectomy",7811.0,7811.0,,,0 HCPCS,46261,Remove in/ex hem grps & fiss,,,2784.06,7175.28,19 HCPCS,46262,Remove in/ex hem grps w/fist,,,2784.06,7175.28,19 HCPCS,46270,Hc Surgical Treatment Of Anal Fistula (Fistulect/Fistulot); Subcutaneous,6653.0,6653.0,,,0 HCPCS,46270,Remove anal fist subq,,,2784.06,6293.23,19 HCPCS,46275,Hc Surgical Treatment Of Anal Fistula (Fistulectomy/Fistulotomy); Intersphincteric,7650.0,7650.0,,,0 HCPCS,46275,Remove anal fist inter,,,2784.06,6293.23,19 HCPCS,46280,"Hc Surg Trmt Anal Fistula;Trans/Supra/Extra-Sphnctrc Or Mult,Inc Plc Seton,Whn Prf",8241.0,8241.0,,,0 HCPCS,46280,Remove anal fist complex,,,2784.06,7175.28,19 HCPCS,46285,Hc Surgical Treatment Of Anal Fistula; Second Stage,4609.0,4609.0,,,0 HCPCS,46285,Remove anal fist 2 stage,,,2572.0,5902.2,19 HCPCS,46288,Hc Closure Of Anal Fistula W/Rectal Advancement Flap,9791.0,9791.0,,,0 HCPCS,46288,Repair anal fistula,,,2784.06,7870.0,19 HCPCS,46320,"Hc Excision Thrombosed Hemorrhoid, External",4174.5,4174.5,,,0 HCPCS,46320,Removal of hemorrhoid clot,,,1200.26,5051.48,19 HCPCS,46500,"Hc Injection Of Sclerosing Solution, Hemorrhoids",4377.0,4377.0,,,0 HCPCS,46500,Injection into hemorrhoid(s),,,932.77,4840.09,16 HCPCS,46505,Chemodenervation anal musc,,,1200.26,5051.48,19 HCPCS,46505,Hc Chemodenervation Of Internal Anal Sphencter,5778.0,5778.0,,,0 HCPCS,46600,Diagnostic anoscopy spx,,,133.45,4840.09,17 HCPCS,46600,Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd,282.0,282.0,,,0 HCPCS,46600,"Hc Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd - Endoscopy, Anus",4500.0,4500.0,,,0 HCPCS,46601,Diagnostic anoscopy,,,448.08,4840.09,18 HCPCS,46601,"Hc Anoscopy; Diagnostic W/High-Resolution Magnification (Hra) And Chemical Agent Enhancement, Includ",8264.0,8264.0,,,0 HCPCS,46604,Anoscopy and dilation,,,1200.26,5051.48,18 HCPCS,46604,"Hc Anoscopy,W/Dilation - Endoscopy, Anus",4386.0,4386.0,,,0 HCPCS,46606,Anoscopy and biopsy,,,1200.26,5051.48,18 HCPCS,46606,"Hc Anoscopy And Biopsy - Endoscopy, Anus",3908.5,3908.5,,,0 HCPCS,46607,Diagnostic anoscopy & biopsy,,,1200.26,6803.0,19 HCPCS,46607,"Hc Anoscopy W High Res Magnification (Hra), W/Bx",3538.5,3538.5,,,0 HCPCS,46608,Anoscopy remove for body,,,932.77,4840.09,19 HCPCS,46610,Anoscopy remove lesion,,,2572.0,5902.2,19 HCPCS,46610,Hc Anoscopy W/Removal Of Single Tumor/Polyp Or Other Lesion By Hot Biopsy Forceps Or Bipolar Cautery,7384.0,7384.0,,,0 HCPCS,46610,Hc Anoscopy; W/Rmvl Sngl Tumor/Polyp/Other Lesion By Hot Biopsy Forc/Bip Cautery,4639.0,4639.0,,,0 HCPCS,46611,Anoscopy,,,932.77,4840.09,19 HCPCS,46612,Anoscopy remove lesions,,,2572.0,5902.2,19 HCPCS,46614,Anoscopy control bleeding,,,1200.26,5051.48,18 HCPCS,46615,Anoscopy,,,2784.06,5902.2,19 HCPCS,46615,"Hc Anoscopy; With Ablation Of Tumor(S), Polyp(S), Or Other Lesion(S) Not Amenable To Removal By Hot",5544.0,5544.0,,,0 HCPCS,46700,"Hc Anoplasty, Plastic Operation For Stricture; Adult",6588.0,6588.0,,,0 HCPCS,46700,Repair of anal stricture,,,2784.06,6293.23,19 HCPCS,46705,Repair of anal stricture,,,3051.0,5843.31,6 HCPCS,46706,Hc Repair Of Anal Fistula With Fibrin Glue,4609.0,4609.0,,,0 HCPCS,46706,Repr of anal fistula w/glue,,,2572.0,5902.2,19 HCPCS,46707,Hc Repair Anorectal Fist W/Plug (Sis),13791.0,13791.0,,,0 HCPCS,46707,Repair anorectal fist w/plug,,,2784.06,11385.0,17 HCPCS,46710,Repr per/vag pouch sngl proc,,,3051.0,6277.0,6 HCPCS,46712,Repr per/vag pouch dbl proc,,,3051.0,6277.0,6 HCPCS,46715,Rep perf anoper fistu,,,3051.0,5843.31,6 HCPCS,46716,Rep perf anoper/vestib fistu,,,3051.0,5843.31,6 HCPCS,46730,Construction of absent anus,,,3051.0,5843.31,6 HCPCS,46735,Construction of absent anus,,,3051.0,7175.28,6 HCPCS,46740,Construction of absent anus,,,3051.0,8821.68,6 HCPCS,46742,Repair of imperforated anus,,,3051.0,8364.54,6 HCPCS,46744,Repair of cloacal anomaly,,,3514.53,5843.31,4 HCPCS,46746,Repair of cloacal anomaly,,,3514.53,5843.31,4 HCPCS,46748,Repair of cloacal anomaly,,,3514.53,5843.31,4 HCPCS,46750,Repair of anal sphincter,,,2784.06,7870.0,19 HCPCS,46751,Repair of anal sphincter,,,3051.0,5843.31,6 HCPCS,46753,Reconstruction of anus,,,2784.06,6293.23,19 HCPCS,46754,Removal of suture from anus,,,2784.06,5902.2,19 HCPCS,46760,Repair of anal sphincter,,,2784.06,7870.0,19 HCPCS,46761,Repair of anal sphincter,,,2784.06,7870.0,19 HCPCS,46762,Implant artificial sphincter,,,4743.0,10227.73,4 HCPCS,46900,Destruction anal lesion(s),,,407.74,4840.09,19 HCPCS,46910,Destruction anal lesion(s),,,2069.52,5051.48,18 HCPCS,46910,"Hc Destruction Of Lesions/Anus, Simple; Electrodesiccation",5810.0,5810.0,,,0 HCPCS,46916,Cryosurgery anal lesion(s),,,201.24,4840.09,18 HCPCS,46916,"Hc Cryosurgery, Anal Lesion(S)",604.0,604.0,,,0 HCPCS,46917,Laser surgery anal lesions,,,2572.0,8821.68,19 HCPCS,46922,Excision of anal lesion(s),,,2572.0,5902.2,19 HCPCS,46922,"Hc Destruction Of Lesions, Anus, Simple; Surgical Excision",4862.0,4862.0,,,0 HCPCS,46924,Destruction anal lesion(s),,,2572.0,5902.2,19 HCPCS,46924,"Hc Destruction Of Lesions(S),Anus,Extensive",4862.0,4862.0,,,0 HCPCS,46930,Destroy internal hemorrhoids,,,1200.26,7750.0,19 HCPCS,46930,Hc Destruction Of Internal Hemorrhoid(S) By Thermal Energy,9290.0,9290.0,,,0 HCPCS,46930,"Hc Destruction Of Internal Hemorrhoid(S), Thermal Energy",3084.0,3084.0,,,0 HCPCS,46940,"Hc Currettage Or Cautery Anal Fissure,Inc Dilation Of Anal Sphincter;Initial",5507.0,5507.0,,,0 HCPCS,46940,Treatment of anal fissure,,,2572.0,5902.2,18 HCPCS,46942,Treatment of anal fissure,,,932.77,4840.09,19 HCPCS,46945,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 1 - Band Ligation",7432.0,7432.0,,,0 HCPCS,46945,Remove by ligat int hem grp,,,2784.06,5902.2,18 HCPCS,46946,"Hc Hemorrhoidectomy, Int, Ligation Not Rubber Band, 2+ - Band Ligation",6536.5,6536.5,,,0 HCPCS,46946,Remove by ligat int hem grps,,,2784.06,5902.2,19 HCPCS,46947,Hc Hemorrhoidopexy By Stapling,12994.0,12994.0,,,0 HCPCS,46947,Hemorrhoidopexy by stapling,,,2784.06,10726.0,19 HCPCS,46948,Hc Int Hrhc Transanal Hroid Dartlzj 2+ W/Us Gdn,12376.0,12376.0,,,0 HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2784.06,10726.0,17 HCPCS,46999,Anus surgery procedure,,,932.77,11531.48,18 HCPCS,46999,"Asc Only Unlisted Procedure, Anus ? Hemorrhoidectomy, External, Single Column/Group",5778.0,5778.0,,,0 HCPCS,46999,"Asc Only Unlisted Procedure, Anus ? Solesta Injection",5778.0,5778.0,,,0 HCPCS,46999,"Hc Unlisted Procedure, Anus",5778.0,5778.0,,,0 HCPCS,47000,"Hc Needle Biopsy Liver - Needle Biopsy, Liver",5400.0,5400.0,,,0 HCPCS,47000,Needle biopsy of liver,,,1656.59,5051.48,19 HCPCS,47001,Needle biopsy liver add-on,,,1343.0,4840.09,7 HCPCS,47010,Open drainage liver lesion,,,3011.79,5051.48,6 HCPCS,47015,Inject/aspirate liver cyst,,,2912.0,5051.48,9 HCPCS,47100,Wedge biopsy of liver,,,3011.79,5051.48,8 HCPCS,47120,Partial removal of liver,,,3051.0,7175.28,6 HCPCS,47122,Extensive removal of liver,,,3514.53,5843.31,4 HCPCS,47125,Partial removal of liver,,,3051.0,5843.31,4 HCPCS,47130,Partial removal of liver,,,3051.0,5843.31,4 HCPCS,47133,Removal of donor liver,,,3514.53,5843.31,4 HCPCS,47135,Transplantation of liver,,,4743.0,10674.37,4 HCPCS,47140,Partial removal donor liver,,,3514.53,5843.31,4 HCPCS,47141,Partial removal donor liver,,,3514.53,5843.31,4 HCPCS,47142,Partial removal donor liver,,,3514.53,5843.31,4 HCPCS,47143,Prep donor liver whole,,,3051.0,5843.31,4 HCPCS,47144,Prep donor liver 3-segment,,,3051.0,5843.31,4 HCPCS,47145,Prep donor liver lobe split,,,3051.0,5843.31,4 HCPCS,47146,Prep donor liver/venous,,,3051.0,5843.31,4 HCPCS,47147,Prep donor liver/arterial,,,3051.0,5843.31,4 HCPCS,47300,Surgery for liver lesion,,,3051.0,5843.31,6 HCPCS,47350,Repair liver wound,,,3051.0,5843.31,6 HCPCS,47360,Repair liver wound,,,3051.0,5843.31,6 HCPCS,47361,Repair liver wound,,,3051.0,8364.54,6 HCPCS,47362,Repair liver wound,,,3051.0,5843.31,6 HCPCS,47370,Laparo ablate liver tumor rf,,,4817.0,22603.4,18 HCPCS,47371,Laparo ablate liver cryosurg,,,4817.0,22603.4,18 HCPCS,47379,"Asc Only Unlisted Laparoscopic Procedure, Liver - Laparoscopic Wedge Liver Resections",8446.0,8446.0,,,0 HCPCS,47379,Laparoscope procedure liver,,,4962.02,12855.28,18 HCPCS,47380,Hc Open Liver Tumor >=1 Ablation Rf,7015.0,7015.0,,,0 HCPCS,47380,Open ablate liver tumor rf,,,3051.0,6654.0,8 HCPCS,47381,"Hc Ablation, Open, Of 1 Or More Liver Tumor(S), Cryosurgical",7127.0,7127.0,,,0 HCPCS,47381,Open ablate liver tumor cryo,,,3051.0,6654.0,8 HCPCS,47382,"Hc Ablation, 1 Or More Liver Tumor(S), Percutaneous, Radiofrequency",11936.0,11936.0,,,0 HCPCS,47382,Percut ablate liver rf,,,4817.0,12855.28,18 HCPCS,47383,Hc Ablation 1/> Liver Tumor Perq Cryoablation,11936.0,11936.0,,,0 HCPCS,47383,Perq abltj lvr cryoablation,,,4962.02,22603.4,19 HCPCS,47384,Abltj ire liver 1+ tum perq,,,10661.98,22603.4,7 HCPCS,47399,Hc Mr Ablation Liver Cryotherapy,5139.0,5139.0,,,0 HCPCS,47399,"Hc Unlisted Procedure, Liver - Filtration, Liver",1850.0,1850.0,,,0 HCPCS,47399,Liver surgery procedure,,,710.27,11531.48,16 HCPCS,47400,Incision of liver duct,,,3051.0,8821.68,6 HCPCS,47420,Incision of bile duct,,,3051.0,5843.31,6 HCPCS,47425,Incision of bile duct,,,3051.0,5843.31,6 HCPCS,47460,Incise bile duct sphincter,,,3051.0,5843.31,6 HCPCS,47480,Incision of gallbladder,,,3051.0,5843.31,6 HCPCS,47490,"Hc Cholecystostomy,Percutaneous, Complete",6310.0,6310.0,,,0 HCPCS,47490,Incision of gallbladder,,,3514.53,7870.0,16 HCPCS,47500,Injection for liver x-rays,,,4840.09,4840.09,2 HCPCS,47505,Injection for liver x-rays,,,4840.09,4840.09,2 HCPCS,47510,"Insert catheter, bile duct",,,5345.54,5345.54,2 HCPCS,47511,Insert bile duct drain,,,11403.39,11403.39,2 HCPCS,47525,Change bile duct catheter,,,4840.09,4840.09,2 HCPCS,47530,Revise/reinsert bile tube,,,4840.09,4840.09,2 HCPCS,47531,Hc Njx Cholangio Prq W/Img Gid Rs&I Existing Access,1349.0,1349.0,,,0 HCPCS,47531,Injection for cholangiogram,,,2572.0,7870.0,18 HCPCS,47532,Hc Njx Cholangiography Prq W/Img Gid Rs&I New Access,8344.0,8344.0,,,0 HCPCS,47532,Injection for cholangiogram,,,3295.0,11385.0,18 HCPCS,47533,Hc Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl,8203.0,8203.0,,,0 HCPCS,47533,Plmt biliary drainage cath,,,3295.0,11385.0,19 HCPCS,47534,Hc Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext,8203.0,8203.0,,,0 HCPCS,47534,Plmt biliary drainage cath,,,3295.0,11385.0,19 HCPCS,47535,Conversion ext bil drg cath,,,3295.0,11385.0,19 HCPCS,47535,Hc Conv Ext Bil Drg Cath To Int-Ext Bil Drg Cath,6310.0,6310.0,,,0 HCPCS,47536,Exchange biliary drg cath,,,3295.0,11385.0,19 HCPCS,47536,Hc Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I,6310.0,6310.0,,,0 HCPCS,47537,Hc Removal Biliary Drg Catheter Req Fluor Gid Rs&I,1400.0,1400.0,,,0 HCPCS,47537,Removal biliary drg cath,,,909.73,4840.09,19 HCPCS,47538,Hc Plmt Bile Duct Stent Prq Existing Access,15516.0,15516.0,,,0 HCPCS,47538,Perq plmt bile duct stent,,,4962.02,12855.28,19 HCPCS,47539,Hc Plmt Bile Duct Stent Prq New Access W/O Sep Cath,25285.0,25285.0,,,0 HCPCS,47539,Perq plmt bile duct stent,,,4962.02,12855.28,19 HCPCS,47540,Hc Plmt Bile Duct Stent Prq New Access W/Sep Cath,26095.0,26095.0,,,0 HCPCS,47540,Perq plmt bile duct stent,,,4962.02,12855.28,19 HCPCS,47541,Plmt access bil tree sm bwl,,,3295.0,13766.01,19 HCPCS,47542,Dilate biliary duct/ampulla,,,1343.0,2987.0,5 HCPCS,47542,Hc Balloon Dilat Biliary Duct/Ampulla Prq Each Duct,5258.0,5258.0,,,0 HCPCS,47543,Endoluminal bx biliary tree,,,1343.0,2987.0,5 HCPCS,47543,Hc Endoluminal Bx Biliary Tree Prq Any Meth Sng/Mlt,5258.0,5258.0,,,0 HCPCS,47544,Hc Removal Biliary Duct &/Glbldr Calculi Perq Rs&I,6954.0,6954.0,,,0 HCPCS,47544,Removal duct glbldr calculi,,,1343.0,2987.0,5 HCPCS,47550,Bile duct endoscopy add-on,,,1343.0,5843.31,9 HCPCS,47552,Biliary endo perq dx w/speci,,,3295.0,13766.01,19 HCPCS,47552,Hc Biliary Endo Prq T-Tube Dx W/Collect Spec Brush,8035.0,8035.0,,,0 HCPCS,47553,Biliary endoscopy thru skin,,,3514.53,13766.01,19 HCPCS,47553,"Hc Biliary Endoscopy Percut,Biopsy",8035.0,8035.0,,,0 HCPCS,47554,Biliary endoscopy thru skin,,,3600.0,22603.4,19 HCPCS,47554,"Hc Biliary Endoscopy,Percut,W/Rem, Stone(S)",12382.0,12382.0,,,0 HCPCS,47555,Biliary endoscopy thru skin,,,3514.53,13766.01,19 HCPCS,47555,"Hc Biliary Endoscopy Percut,Dil Strict",8035.0,8035.0,,,0 HCPCS,47556,Biliary endoscopy thru skin,,,4962.02,22603.4,19 HCPCS,47556,"Hc Biliary Endoscopy Percut,Dil+Stent",9099.0,9099.0,,,0 HCPCS,47560,Laparoscopy w/cholangio,,,6293.23,6293.23,2 HCPCS,47561,Laparo w/cholangio/biopsy,,,6293.23,6293.23,2 HCPCS,47562,"Hc Laparoscopy,Surg;Cholecystectomy",16385.0,16385.0,,,0 HCPCS,47562,Laparoscopic cholecystectomy,,,4962.02,12855.28,19 HCPCS,47563,"Hc Laparoscopy,Surg;Cholecystectomy W/Cholangiography",16385.0,16385.0,,,0 HCPCS,47563,Laparo cholecystectomy/graph,,,4962.02,12855.28,19 HCPCS,47564,"Hc Laparoscopy,Surg;Cholecystectomy W/Exploration Of Common Duct",16385.0,16385.0,,,0 HCPCS,47564,Laparo cholecystectomy/explr,,,4962.02,22603.4,19 HCPCS,47570,Laparo cholecystoenterostomy,,,3051.0,9512.0,8 HCPCS,47579,Laparoscope proc biliary,,,4962.02,12855.28,18 HCPCS,47600,Hc Cholecystectomy,21252.0,21252.0,,,0 HCPCS,47600,Removal of gallbladder,,,3051.0,5843.31,8 HCPCS,47605,Removal of gallbladder,,,3051.0,6654.0,8 HCPCS,47610,Removal of gallbladder,,,3051.0,8180.0,8 HCPCS,47612,Removal of gallbladder,,,3051.0,8180.0,8 HCPCS,47620,Removal of gallbladder,,,3051.0,9512.0,8 HCPCS,47630,Remove bile duct stone,,,6293.23,6293.23,2 HCPCS,47700,Exploration of bile ducts,,,3051.0,5843.31,6 HCPCS,47701,Bile duct revision,,,3051.0,8821.68,6 HCPCS,47711,Excision of bile duct tumor,,,3051.0,5843.31,6 HCPCS,47712,Excision of bile duct tumor,,,3051.0,8821.68,6 HCPCS,47715,Excision of bile duct cyst,,,3051.0,5843.31,6 HCPCS,47720,Fuse gallbladder & bowel,,,3051.0,5843.31,6 HCPCS,47721,Fuse upper gi structures,,,3051.0,5843.31,6 HCPCS,47740,Fuse gallbladder & bowel,,,3051.0,5843.31,6 HCPCS,47741,Fuse gallbladder & bowel,,,3051.0,5843.31,6 HCPCS,47760,Fuse bile ducts and bowel,,,3051.0,5843.31,6 HCPCS,47765,Fuse liver ducts & bowel,,,3051.0,5843.31,6 HCPCS,47780,Fuse bile ducts and bowel,,,3051.0,5843.31,6 HCPCS,47785,Fuse bile ducts and bowel,,,3051.0,8821.68,6 HCPCS,47800,Reconstruction of bile ducts,,,3051.0,5843.31,6 HCPCS,47801,Placement bile duct support,,,3051.0,5843.31,6 HCPCS,47802,Fuse liver duct & intestine,,,3051.0,5843.31,6 HCPCS,47900,Suture bile duct injury,,,3051.0,5843.31,6 HCPCS,47999,Bile tract surgery procedure,,,909.73,11531.48,16 HCPCS,47999,Hc Percutaneous Bile Duct Ablation,11936.0,11936.0,,,0 HCPCS,47999,Hc Unlisted Procedure - Manometry Of Billiary Tract,6310.0,6310.0,,,0 HCPCS,47999,Hc Unlisted Procedure - Perc Biliary Dil W/O Stent,6310.0,6310.0,,,0 HCPCS,48000,Drainage of abdomen,,,3051.0,5843.31,6 HCPCS,48001,Placement of drain pancreas,,,3051.0,7175.28,6 HCPCS,48020,Removal of pancreatic stone,,,3051.0,5843.31,6 HCPCS,48100,Biopsy of pancreas open,,,3051.0,5843.31,6 HCPCS,48102,"Hc Needle Biopsy Of Pancreas - Needle Biopsy, Pancreas",2731.0,2731.0,,,0 HCPCS,48102,Needle biopsy pancreas,,,1656.59,5051.48,19 HCPCS,48105,Resect/Debride Pancreas,,,3051.0,5843.31,4 HCPCS,48120,Removal of pancreas lesion,,,3051.0,5843.31,6 HCPCS,48140,Partial removal of pancreas,,,3051.0,5843.31,6 HCPCS,48145,Partial removal of pancreas,,,3051.0,5843.31,6 HCPCS,48146,Pancreatectomy,,,3051.0,8821.68,6 HCPCS,48148,Removal of pancreatic duct,,,3051.0,5843.31,6 HCPCS,48150,Partial removal of pancreas,,,3051.0,8364.54,6 HCPCS,48152,Pancreatectomy,,,3051.0,8364.54,6 HCPCS,48153,Pancreatectomy,,,3051.0,5843.31,4 HCPCS,48154,Pancreatectomy,,,3051.0,8364.54,6 HCPCS,48155,Removal of pancreas,,,3051.0,8821.68,6 HCPCS,48160,Pancreas removal/transplant,,,3514.53,8821.68,5 HCPCS,48400,Injection intraop add-on,,,2678.54,4840.09,6 HCPCS,48500,Surgery of pancreatic cyst,,,3051.0,5843.31,6 HCPCS,48510,Drain pancreatic pseudocyst,,,3051.0,5843.31,6 HCPCS,48520,Fuse pancreas cyst and bowel,,,3051.0,5843.31,6 HCPCS,48540,Fuse pancreas cyst and bowel,,,3051.0,5843.31,6 HCPCS,48545,Pancreatorrhaphy,,,3051.0,5843.31,6 HCPCS,48547,Duodenal exclusion,,,3051.0,5843.31,6 HCPCS,48548,Fuse Pancreas and Bowel,,,3051.0,5843.31,4 HCPCS,48550,Donor pancreatectomy,,,3051.0,5843.31,6 HCPCS,48551,Prep donor pancreas,,,3051.0,5843.31,4 HCPCS,48552,Prep donor pancreas/venous,,,3051.0,5843.31,4 HCPCS,48554,Transpl allograft pancreas,,,3600.0,10674.37,6 HCPCS,48556,Removal allograft pancreas,,,3051.0,5843.31,6 HCPCS,48999,Hc Eus Oe Fine Needle Aspiration,2753.5,2753.5,,,0 HCPCS,48999,Hc Percutaneous Pancreatic Mass Ablation,11936.0,11936.0,,,0 HCPCS,48999,Pancreas surgery procedure,,,710.27,11531.48,16 HCPCS,49000,Exploration of abdomen,,,3051.0,7870.0,9 HCPCS,49000,"Hc Exploratory Laparotomy, Exploratory Celiotomy W/W/O Biopsy(S)",2688.0,2688.0,,,0 HCPCS,49002,Hc Reopening Of Recent Laparotomy,3639.0,3639.0,,,0 HCPCS,49002,Reopening of abdomen,,,3051.0,5843.31,6 HCPCS,49010,Exploration behind abdomen,,,3051.0,13766.01,17 HCPCS,49013,Prpertl pel pack hemrrg trma,,,3514.53,5843.31,3 HCPCS,49014,Reexploration pelvic wound,,,3514.53,5843.31,3 HCPCS,49020,Drainage abdom abscess open,,,3051.0,5843.31,6 HCPCS,49040,Drain open abdom abscess,,,3051.0,5843.31,6 HCPCS,49060,Drain open retroperi abscess,,,3051.0,5843.31,6 HCPCS,49062,Drain to peritoneal cavity,,,3051.0,5843.31,6 HCPCS,49082,Abd paracentesis,,,909.73,4840.09,19 HCPCS,49082,Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance,1400.0,1400.0,,,0 HCPCS,49083,Abd paracentesis w/imaging,,,909.73,4840.09,19 HCPCS,49083,Hc Abdom Paracentesis Dx/Ther W Imaging Guidance,1400.0,1400.0,,,0 HCPCS,49084,Peritoneal lavage,,,909.73,4840.09,19 HCPCS,49180,Biopsy abdominal mass,,,1656.59,5051.48,19 HCPCS,49180,"Hc Percut Biopsy, Abdominal Mass",5400.0,5400.0,,,0 HCPCS,49185,Hc Sclerotherapy Fluid Collection Prq W/Img Gid,5400.0,5400.0,,,0 HCPCS,49185,Sclerotx fluid collection,,,1656.59,10726.0,17 HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,3514.53,5843.31,3 HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,3514.53,5843.31,3 HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,3514.53,5843.31,3 HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,3514.53,5843.31,3 HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,3514.53,5843.31,3 HCPCS,49203,Exc abd tum 5 cm or less,,,3051.0,5843.31,5 HCPCS,49204,Exc abd tum over 5 cm,,,3051.0,7118.0,5 HCPCS,49205,Exc abd tum over 10 cm,,,3051.0,7118.0,5 HCPCS,49215,Excise sacral spine tumor,,,3051.0,7175.28,6 HCPCS,49215,Hc Excision Of Presacral Or Sacrococcygeal Tumor,9892.0,9892.0,,,0 HCPCS,49220,Multiple surgery abdomen,,,3051.0,4840.09,3 HCPCS,49250,Excision of umbilicus,,,3514.53,7870.0,19 HCPCS,49250,"Hc Umbilectomy, Omphalectomy, Excision Of Umbilicus (Sep Proc)",8159.0,8159.0,,,0 HCPCS,49255,Removal of omentum,,,3051.0,13766.01,17 HCPCS,49320,Diag laparo separate proc,,,4962.02,12855.28,19 HCPCS,49320,"Hc Lap,Diagnostic Abdomen",8661.0,8661.0,,,0 HCPCS,49320,"Hc Pbb Lap,Diagnostic Abdomen",1092.0,1092.0,,,0 HCPCS,49321,"Hc Laparoscopy,Surg;W/Bx (Sngl Or Multi)",8661.0,8661.0,,,0 HCPCS,49321,"Hc Pbb Lap,Dx Surgical Abd W/Biopsy",1092.0,1092.0,,,0 HCPCS,49321,Laparoscopy biopsy,,,4817.0,12855.28,19 HCPCS,49322,"Hc Laparoscopy,Surg;Abdomen,Peritoneum,& Omentum;W/Aspir Cavity Or Cyst",8209.0,8209.0,,,0 HCPCS,49322,Laparoscopy aspiration,,,4817.0,12855.28,19 HCPCS,49323,Laparo drain lymphocele,,,4962.02,12855.28,19 HCPCS,49324,"Hc Laparoscopy,Surg;W/Insert Tunneled Intraperitoneal Cath",16385.0,16385.0,,,0 HCPCS,49324,Lap insert tunnel ip cath,,,4817.0,12855.28,19 HCPCS,49325,Lap Revision Perm IP Cath,,,4817.0,12855.28,19 HCPCS,49326,Lap w/Omentopexy Add-on,,,1343.0,11385.0,6 HCPCS,49327,Lap ins device for rt,,,1343.0,11385.0,6 HCPCS,49329,"Asc Only Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum - Laparoscopic Iud Removal",16385.0,16385.0,,,0 HCPCS,49329,Laparo proc abdm/per/oment,,,2572.0,12855.28,18 HCPCS,49400,Air injection into abdomen,,,1343.0,2987.0,5 HCPCS,49400,Hc Air/Contrast Inject Into Peritoneal Cavity,1889.0,1889.0,,,0 HCPCS,49402,Remove foreign body adbomen,,,3295.0,7870.0,19 HCPCS,49405,Hc Image-Guide Fluid Collxn Drainage Cath Visc Perq,3275.0,3275.0,,,0 HCPCS,49405,Image cath fluid colxn visc,,,1656.59,11385.0,19 HCPCS,49406,Hc Img-Guide Fluid Collxn Drainag Cath Periton Perq,4099.0,4099.0,,,0 HCPCS,49406,Image cath fluid peri/retro,,,1656.59,11385.0,19 HCPCS,49407,Hc Image Fluid Collxn Drainag Cath Transrec/Vaginal,2731.0,2731.0,,,0 HCPCS,49407,Image cath fluid trns/vgnl,,,1656.59,6277.0,19 HCPCS,49411,"Hc Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc",4900.0,4900.0,,,0 HCPCS,49411,Ins mark abd/pel for rt perq,,,1388.32,5051.48,19 HCPCS,49412,Ins device for rt guide open,,,3051.0,5843.31,4 HCPCS,49418,Hc Insertion Tunnel Intraperitoneal Cath W Image Guidance,13079.0,13079.0,,,0 HCPCS,49418,Insert tun ip cath perc,,,3295.0,11385.0,19 HCPCS,49419,Hc Insertion Tunnel Intraperitoneal Cath W Subq Port,12009.0,12009.0,,,0 HCPCS,49419,Insert tun ip cath w/port,,,3295.0,11832.39,19 HCPCS,49421,Ins tun ip cath for dial opn,,,3295.0,7870.0,19 HCPCS,49422,Hc Removal Tunneled Intraperitoneal Catheter,5206.5,5206.5,,,0 HCPCS,49422,Remove tunneled ip cath,,,2572.0,7870.0,19 HCPCS,49423,Exchange drainage catheter,,,1924.71,7175.28,18 HCPCS,49423,Hc Drainage Catheter Exchange,3501.0,3501.0,,,0 HCPCS,49424,Assess cyst contrast inject,,,1343.0,4840.09,7 HCPCS,49424,"Hc Contrast Inj,Abscess/Cyst Via Cath Tube",680.0,680.0,,,0 HCPCS,49425,Hc Insert Abdomen-Venous Shunt,5510.0,5510.0,,,0 HCPCS,49425,Insert abdomen-venous drain,,,2912.0,5843.31,9 HCPCS,49426,Hc Revise Abdomen-Venous Shunt,14970.0,14970.0,,,0 HCPCS,49426,Revise abdomen-venous shunt,,,3295.0,7870.0,19 HCPCS,49427,Hc Inject Abdominal-Venous Shunt,365.0,365.0,,,0 HCPCS,49427,Injection abdominal shunt,,,1343.0,4840.09,7 HCPCS,49428,Hc Ligation Of Abd-Venous Shunt,12009.0,12009.0,,,0 HCPCS,49428,Ligation of shunt,,,2912.0,5843.31,9 HCPCS,49429,Hc Removal Of Peritoneal-Venous Shunt,12879.0,12879.0,,,0 HCPCS,49429,Removal of shunt,,,3051.0,7870.0,18 HCPCS,49435,Insert Subq Exten to IP Cath,,,2572.0,4249.0,5 HCPCS,49436,Embedded IP Cath Exit-Site,,,1924.71,5495.0,19 HCPCS,49440,Hc Insert Gastrostomy Tube Percutaneous,6234.0,6234.0,,,0 HCPCS,49440,Place gastrostomy tube perc,,,1924.71,5051.48,19 HCPCS,49441,Hc Insert Duodenostomy/Jejunostomy Tube Percutaneous,6234.0,6234.0,,,0 HCPCS,49441,Place duod/jej tube perc,,,1924.71,5051.48,19 HCPCS,49442,Hc Insert Cecostomy/Other Colonic Tube Percutaneous,9521.0,9521.0,,,0 HCPCS,49442,Place cecostomy tube perc,,,1200.26,7750.0,19 HCPCS,49446,Change g-tube to g-j perc,,,1924.71,5051.48,19 HCPCS,49446,Hc Convert Gastrostomy-Gastro-Jejunostomy Tube Percutaneous,6234.0,6234.0,,,0 HCPCS,49450,Hc Replace Gastrostomy/Cecostomy Tube Percutaneous,3815.5,3815.5,,,0 HCPCS,49450,Replace g/c tube perc,,,909.73,4840.09,19 HCPCS,49451,Hc Replace Duodenostomy/Jejunostomy Tube Percutaneous,2769.0,2769.0,,,0 HCPCS,49451,Replace duod/jej tube perc,,,909.73,4840.09,19 HCPCS,49452,Hc Replacement Gastro-Jejunostomy Tube Percutaneous,2769.0,2769.0,,,0 HCPCS,49452,Replace g-j tube perc,,,909.73,4840.09,19 HCPCS,49460,Fix g/colon tube w/device,,,909.73,4840.09,19 HCPCS,49460,Hc Obstructive Material Removal From Gi Tube,1400.0,1400.0,,,0 HCPCS,49460,Hc Repair Initial Incisional Or Ventral Hernia; Reducible,5252.0,5252.0,,,0 HCPCS,49465,Fluoro exam of g/colon tube,,,239.32,4840.09,18 HCPCS,49465,Hc Contrast Injection Percutaneouos Radiologic Eval Gi Tube,687.0,687.0,,,0 HCPCS,49491,Rpr hern preemie reduc,,,4743.0,12855.28,18 HCPCS,49492,Rpr ing hern premie blocked,,,3514.53,7870.0,18 HCPCS,49495,Rpr ing hernia baby reduc,,,3514.53,7870.0,19 HCPCS,49496,Rpr ing hernia baby blocked,,,3514.53,7870.0,19 HCPCS,49500,Rpr ing hernia init reduce,,,3514.53,13766.01,19 HCPCS,49501,Rpr ing hernia init blocked,,,3514.53,11403.39,19 HCPCS,49505,"Hc Pbb Repair Ing Hernia,5+Y/O,Reducibl",8568.0,8568.0,,,0 HCPCS,49505,"Hc Repair Ing Hernia,5+Y/O,Reducibl",8404.5,8404.5,,,0 HCPCS,49505,Prp i/hern init reduc >5 yr,,,3514.53,7870.0,19 HCPCS,49507,"Hc Repair Initial Inguinal Hernia, Age 5 Yrs Or Over; Incarcer/Strangulated",16385.0,16385.0,,,0 HCPCS,49507,Prp i/hern init block >5 yr,,,3514.53,11403.39,19 HCPCS,49520,"Hc Repair Recurrent Inguinal Hernia, Any Age, Reducible",15440.0,15440.0,,,0 HCPCS,49520,Rerepair ing hernia reduce,,,3514.53,10726.0,19 HCPCS,49521,"Hc Repair Recurrent Inguinal Hernia, Any Age, Incarcerated Or Strangulated",16385.0,16385.0,,,0 HCPCS,49521,Rerepair ing hernia blocked,,,3514.53,13766.01,19 HCPCS,49525,"Hc Repair Inguinal Hernai, Sliding, Any Age",8241.0,8241.0,,,0 HCPCS,49525,Repair ing hernia sliding,,,3514.53,7870.0,19 HCPCS,49540,Repair lumbar hernia,,,3295.0,12855.28,19 HCPCS,49550,"Hc Repair Initial Femoral Hernia, Any Age;Reducible",9383.0,9383.0,,,0 HCPCS,49550,Rpr rem hernia init reduce,,,3514.53,8364.54,19 HCPCS,49553,Rpr fem hernia init blocked,,,3514.53,11403.39,19 HCPCS,49555,Rerepair fem hernia reduce,,,3514.53,8364.54,19 HCPCS,49557,Rerepair fem hernia blocked,,,3514.53,11403.39,19 HCPCS,49560,"Hc Repair Initial Incisional Or Ventral Hernia, Reducible",9791.0,9791.0,,,0 HCPCS,49560,Rpr ventral hern init reduc,,,4743.0,7175.28,4 HCPCS,49561,"Hc Pbb Repair Incisional Hernia,Strang",10313.0,10313.0,,,0 HCPCS,49561,"Hc Repair Incisional Hernia,Strang",16385.0,16385.0,,,0 HCPCS,49561,Rpr ventral hern init block,,,4743.0,11403.39,4 HCPCS,49565,Hc Repair Recurrent Incisional/Ventral Hernia;Reducible,8159.0,8159.0,,,0 HCPCS,49565,Rerepair ventrl hern reduce,,,4743.0,7175.28,4 HCPCS,49566,Rerepair ventrl hern block,,,4743.0,11403.39,4 HCPCS,49568,Hernia repair w/mesh,,,2572.0,10227.73,3 HCPCS,49570,Hc Repair Epigastric Hernia; Reducible,8241.0,8241.0,,,0 HCPCS,49570,Rpr epigastric hern reduce,,,4743.0,7175.28,4 HCPCS,49572,"Hc Repair Epigastric Hernia, Preperitoneal Fat, Incarcerated Or Strangulated",16385.0,16385.0,,,0 HCPCS,49572,Rpr epigastric hern blocked,,,4743.0,11403.39,4 HCPCS,49580,Rpr umbil hern reduc < 5 yr,,,4743.0,7175.28,4 HCPCS,49582,Rpr umbil hern block < 5 yr,,,4743.0,11403.39,4 HCPCS,49585,"Hc Repair Umbilical Hern,5+Y/O,Reduc",8241.0,8241.0,,,0 HCPCS,49585,Rpr umbil hern reduc > 5 yr,,,4743.0,7175.28,4 HCPCS,49587,"Hc Pbb Repair Umbilical Hern,5+Y/O,Strang",1665.0,1665.0,,,0 HCPCS,49587,"Hc Repair Umbilical Hern,5+Y/O,Strang",13791.0,13791.0,,,0 HCPCS,49587,Rpr umbil hern block > 5 yr,,,4743.0,11403.39,4 HCPCS,49590,Repair spigelian hernia,,,4743.0,6293.23,4 HCPCS,49591,"Hc Repair Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis, T",10305.0,10305.0,,,0 HCPCS,49591,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3514.53,10848.4,17 HCPCS,49592,"Hc Repair Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis ,",15164.0,15164.0,,,0 HCPCS,49592,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",13791.0,13791.0,,,0 HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,4817.0,12855.28,17 HCPCS,49593,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,3514.53,13766.01,17 HCPCS,49594,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",13791.0,13791.0,,,0 HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,4817.0,12855.28,17 HCPCS,49595,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",8241.0,8241.0,,,0 HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,3514.53,13766.01,17 HCPCS,49596,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Initial, Incl Implant Mesh/Other Prosthesis When",16385.0,16385.0,,,0 HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,3514.53,11385.0,8 HCPCS,49600,Repair umbilical lesion,,,3514.53,7870.0,19 HCPCS,49605,Repair umbilical lesion,,,3514.53,5843.31,6 HCPCS,49606,Repair umbilical lesion,,,3051.0,5843.31,6 HCPCS,49610,Repair umbilical lesion,,,3051.0,5843.31,6 HCPCS,49611,Repair umbilical lesion,,,3051.0,5843.31,6 HCPCS,49613,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",8241.0,8241.0,,,0 HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3514.53,10848.4,17 HCPCS,49614,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",13791.0,13791.0,,,0 HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,4962.02,12855.28,17 HCPCS,49615,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",8241.0,8241.0,,,0 HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,3514.53,13766.01,17 HCPCS,49616,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",16385.0,16385.0,,,0 HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,4962.02,11385.0,8 HCPCS,49617,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",9791.0,9791.0,,,0 HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,4817.0,9172.0,8 HCPCS,49618,"Hc Rpr Anterior Abdominal Hernia(S), Any Approach, Recurrent, Incl Implant Mesh/Other Prosthesis Whe",16385.0,16385.0,,,0 HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,4962.02,11385.0,8 HCPCS,49621,"Hc Rpr Parastomal Hernia, Any Approach, Initial Or Recurrent, Incl Implant Mesh/Other Prosthesis, Wh",9791.0,9791.0,,,0 HCPCS,49621,Rpr parastomal hernia rdc,,,3514.53,9172.0,8 HCPCS,49622,"Hc Rpr Parastomal Hernia, Any Approach, Initial Or Recurrent, Incl Implant Mesh/Other Prosthesis, Wh",16385.0,16385.0,,,0 HCPCS,49622,Rpr parastomal hrna ncr/strn,,,3514.53,11385.0,8 HCPCS,49623,"Hc Removal Total/Near Total Non-Infected Mesh/Other Prosthesis, Initial/Recurrent Anterior Abdominal",9791.0,9791.0,,,0 HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,1343.0,2987.0,4 HCPCS,49650,"Hc Lap,Inguinal Hernia Repr,Initial",11234.0,11234.0,,,0 HCPCS,49650,Lap ing hernia repair init,,,4817.0,12855.28,19 HCPCS,49651,"Hc Laparoscopy,Surg;Repair Recurrent Inguinal Hernia",12994.0,12994.0,,,0 HCPCS,49651,Lap ing hernia repair recur,,,4962.02,12855.28,19 HCPCS,49652,"Hc Laparoscopy,Surgical,Repair,Ventral,Umbilical,Spigelian Or Epigastric Hernia",13882.0,13882.0,,,0 HCPCS,49652,Lap vent/abd hernia repair,,,7118.0,10227.73,4 HCPCS,49653,"Hc Laparoscopy,Surgical,Repair,Ventral,Umbilical,Incarcerated",13158.0,13158.0,,,0 HCPCS,49653,Lap vent/abd hern proc comp,,,7118.0,10227.73,4 HCPCS,49654,"Hc Laparoscopy,Surgical Repair,Incisional Hernia;Reducible",13882.0,13882.0,,,0 HCPCS,49654,Lap inc hernia repair,,,7118.0,10227.73,4 HCPCS,49655,"Hc Laparoscopy,Surgical Repair,Incisional Hernia;Incarcerated Or Strangulated",13158.0,13158.0,,,0 HCPCS,49655,Lap inc hern repair comp,,,7118.0,10227.73,4 HCPCS,49656,Lap inc hernia repair recur,,,7118.0,10227.73,4 HCPCS,49657,Lap inc hern recur comp,,,7118.0,10227.73,4 HCPCS,49659,Laparo proc hernia repair,,,4962.02,12855.28,18 HCPCS,49900,Repair of abdominal wall,,,3051.0,5843.31,6 HCPCS,49904,Omental flap extra-abdom,,,3051.0,5843.31,4 HCPCS,49905,Omental flap intra-abdom,,,3051.0,5843.31,6 HCPCS,49906,Free omental flap microvasc,,,3051.0,5843.31,6 HCPCS,49999,Abdomen surgery procedure,,,909.73,11531.48,18 HCPCS,49999,Hc Ct Bx Spleen Perc,7572.0,7572.0,,,0 HCPCS,49999,Hc Repo/Revis Peritoneal Cath,7572.0,7572.0,,,0 HCPCS,49999,Hc Unlisted Ablation Abdomen,7572.0,7572.0,,,0 HCPCS,50010,Exploration of kidney,,,3051.0,7268.12,6 HCPCS,50020,Renal abscess open drain,,,2096.71,5345.54,18 HCPCS,50040,Drainage of kidney,,,3051.0,7268.12,9 HCPCS,50045,Exploration of kidney,,,3051.0,7268.12,6 HCPCS,50060,Removal of kidney stone,,,3051.0,7268.12,6 HCPCS,50065,Incision of kidney,,,3051.0,7268.12,6 HCPCS,50070,Incision of kidney,,,3051.0,7268.12,6 HCPCS,50075,Removal of kidney stone,,,3051.0,7268.12,6 HCPCS,50080,Removal of kidney stone,,,4817.0,20129.59,18 HCPCS,50081,Removal of kidney stone,,,5087.0,20129.59,18 HCPCS,50100,Revise kidney blood vessels,,,3051.0,7268.12,6 HCPCS,50120,Exploration of kidney,,,3051.0,7268.12,6 HCPCS,50125,Explore and drain kidney,,,3051.0,7268.12,6 HCPCS,50130,Removal of kidney stone,,,3051.0,7268.12,6 HCPCS,50135,Exploration of kidney,,,3051.0,7268.12,6 HCPCS,50200,"Hc Biopsy Of Kidney,Percutaneous, Trocar Or Needle",8104.0,8104.0,,,0 HCPCS,50200,"Hc Pbb Biopsy Of Kidney,Percutaneous",8104.0,8104.0,,,0 HCPCS,50200,Renal biopsy perq,,,1656.59,5051.48,19 HCPCS,50205,Renal biopsy open,,,3051.0,7268.12,6 HCPCS,50220,Remove kidney open,,,3051.0,7268.12,6 HCPCS,50225,Removal kidney open complex,,,3051.0,7268.12,6 HCPCS,50230,Removal kidney open radical,,,3051.0,7268.12,6 HCPCS,50234,Removal of kidney & ureter,,,3051.0,7268.12,6 HCPCS,50236,Removal of kidney & ureter,,,3051.0,8821.68,6 HCPCS,50240,Partial removal of kidney,,,3051.0,8821.68,6 HCPCS,50250,Cryoablate renal mass open,,,3051.0,9512.0,6 HCPCS,50280,Removal of kidney lesion,,,3051.0,7268.12,6 HCPCS,50290,Removal of kidney lesion,,,3051.0,7268.12,6 HCPCS,50300,Remove cadaver donor kidney,,,3051.0,7268.12,6 HCPCS,50320,Remove kidney living donor,,,3051.0,5843.31,6 HCPCS,50323,Prep cadaver renal allograft,,,3051.0,5843.31,4 HCPCS,50325,Prep donor renal graft,,,3051.0,5843.31,4 HCPCS,50327,Prep renal graft/venous,,,3051.0,5843.31,4 HCPCS,50328,Prep renal graft/arterial,,,3051.0,5843.31,4 HCPCS,50329,Prep renal graft/ureteral,,,3051.0,5843.31,4 HCPCS,50340,Removal of kidney,,,3051.0,5843.31,6 HCPCS,50360,Transplantation of kidney,,,3051.0,10674.37,6 HCPCS,50365,Transplantation of kidney,,,3600.0,10674.37,6 HCPCS,50370,Remove transplanted kidney,,,3051.0,5843.31,6 HCPCS,50380,Reimplantation of kidney,,,3051.0,10674.37,6 HCPCS,50382,Change ureter stent percut,,,2096.71,5345.54,19 HCPCS,50382,"Hc Change Ureter Stent, Percut",10606.0,10606.0,,,0 HCPCS,50384,Hc Removal Via Snare Of Dwelling Ureteral Stent Via Perc Approach R&I,8630.0,8630.0,,,0 HCPCS,50384,Remove ureter stent percut,,,2096.71,5051.48,19 HCPCS,50385,Change stent via transureth,,,2096.71,7750.0,19 HCPCS,50385,Hc Change Ureteral Stent Via Transureth,4365.0,4365.0,,,0 HCPCS,50386,Hc Remove Ureteral Stent Via Transureth,4365.0,4365.0,,,0 HCPCS,50386,Remove stent via transureth,,,2096.71,5051.48,19 HCPCS,50387,Change nephroureteral cath,,,2096.71,5051.48,19 HCPCS,50387,Hc Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath,6921.0,6921.0,,,0 HCPCS,50389,Hc Remove Renal Tube W/Fluoro,3649.0,3649.0,,,0 HCPCS,50389,Remove renal tube w/fluoro,,,699.41,4840.09,19 HCPCS,50390,Drainage of kidney lesion,,,710.27,4840.09,19 HCPCS,50390,Hc Percut Drain/Inject Renal Cyst,5400.0,5400.0,,,0 HCPCS,50391,Hc Instillation(S) Of Therapeutic Agent Into Renal Pelvis And/Or Ureter Through Established Nephrost,650.0,650.0,,,0 HCPCS,50391,Instll rx agnt into rnal tub,,,250.6,4840.09,19 HCPCS,50392,Insert kidney drain,,,4840.09,4840.09,2 HCPCS,50393,Insert ureteral tube,,,4840.09,4840.09,2 HCPCS,50394,Injection for kidney x-ray,,,4840.09,4840.09,2 HCPCS,50395,Create passage to kidney,,,3925.0,4840.09,4 HCPCS,50396,Hc Whitaker Test Via Pcn Tube,2803.0,2803.0,,,0 HCPCS,50396,Measure kidney pressure,,,699.41,4840.09,19 HCPCS,50398,Change kidney tube,,,4840.09,4840.09,2 HCPCS,50400,Revision of kidney/ureter,,,3051.0,7870.0,8 HCPCS,50405,Revision of kidney/ureter,,,3051.0,7870.0,8 HCPCS,50430,Hc Njx Px Antegrde Nephrosgrm &/Urtrgrm New Access,2010.0,2010.0,,,0 HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,699.41,5495.0,18 HCPCS,50431,"Hc Injection Procedure For Antegrade Nephrostogram And/Or Ureterogram, Complete Diagnostic Procedure",2010.0,2010.0,,,0 HCPCS,50431,Hc Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess,2010.0,2010.0,,,0 HCPCS,50431,Hc Njx Px Antegrde Nfrosgrm/Urtrgrm Exstng Acess,4169.0,4169.0,,,0 HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,699.41,5495.0,18 HCPCS,50432,Hc Plmt Nephrostomy Cath Prq New Access Rs&I,4365.0,4365.0,,,0 HCPCS,50432,Plmt nephrostomy catheter,,,2096.71,10726.0,19 HCPCS,50433,Hc Plmt Nephroureteral Cath Prq New Access Rs&I,4365.0,4365.0,,,0 HCPCS,50433,Plmt nephroureteral catheter,,,3011.79,10726.0,19 HCPCS,50434,Convert nephrostomy catheter,,,1952.0,5495.0,19 HCPCS,50434,Hc Convert Nephrostomy Cath To Nephrourtrl Cath Prq,1520.0,1520.0,,,0 HCPCS,50435,Exchange nephrostomy cath,,,1952.0,5495.0,19 HCPCS,50435,Hc Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I,3005.0,3005.0,,,0 HCPCS,50435,Hc Exchange Nephrostomy Catheter Prq W/Img Gid Rs/I,8893.0,8893.0,,,0 HCPCS,50436,Dilat xst trc ndurlgc px,,,2572.0,11385.0,17 HCPCS,50436,"Hc Ir Neph Tract Dilation, Existing",7301.0,7301.0,,,0 HCPCS,50437,Dilat xst trc new access rcs,,,3295.0,8364.54,16 HCPCS,50500,Repair of kidney wound,,,3051.0,7268.12,6 HCPCS,50520,Close kidney-skin fistula,,,1952.0,7268.12,9 HCPCS,50525,Close nephrovisceral fistula,,,3051.0,8821.68,6 HCPCS,50526,Close nephrovisceral fistula,,,3051.0,8821.68,6 HCPCS,50540,Revision of horseshoe kidney,,,3051.0,7268.12,6 HCPCS,50541,Laparo ablate renal cyst,,,4962.02,22603.4,19 HCPCS,50542,Laparo ablate renal mass,,,6309.89,22603.4,18 HCPCS,50543,Laparo partial nephrectomy,,,6187.0,22603.4,18 HCPCS,50544,Laparoscopy pyeloplasty,,,5730.0,22603.4,19 HCPCS,50545,Laparo Radical Nephrectomy,,,3051.0,7972.53,6 HCPCS,50546,Laparoscopic nephrectomy,,,3051.0,7972.53,8 HCPCS,50547,Laparo removal donor kidney,,,3051.0,7972.53,8 HCPCS,50548,Laparo remove w/ureter,,,3051.0,7972.53,8 HCPCS,50549,Laparoscope proc renal,,,4962.02,12855.28,18 HCPCS,50551,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",14031.0,14031.0,,,0 HCPCS,50551,Kidney endoscopy,,,2572.0,11401.39,19 HCPCS,50553,Kidney endoscopy,,,2572.0,11401.39,19 HCPCS,50555,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",25522.0,25522.0,,,0 HCPCS,50555,Kidney endoscopy & biopsy,,,2572.0,20129.59,19 HCPCS,50557,Kidney endoscopy & treatment,,,2572.0,20129.59,19 HCPCS,50561,"Hc Renal Endoscopy Through Established Nephrostomy/Pyelostomy, W/W/O Irrigation, Instillation, Or Ur",14031.0,14031.0,,,0 HCPCS,50561,Kidney endoscopy & treatment,,,2572.0,11401.39,19 HCPCS,50562,Renal scope w/tumor resect,,,1952.0,20129.59,19 HCPCS,50570,Kidney endoscopy,,,1952.0,7495.56,19 HCPCS,50572,Kidney endoscopy,,,699.41,4840.09,19 HCPCS,50574,Kidney endoscopy & biopsy,,,1952.0,7495.56,19 HCPCS,50575,Kidney endoscopy,,,4419.21,11401.39,16 HCPCS,50576,Kidney endoscopy & treatment,,,2572.0,20129.59,18 HCPCS,50580,Kidney endoscopy & treatment,,,2572.0,11401.39,18 HCPCS,50590,Fragmenting of kidney stone,,,3514.53,11403.39,19 HCPCS,50590,Hc Fragment Kidney Stone/ Eswl,13791.0,13791.0,,,0 HCPCS,50590,Hc Pbb Fragment Kidney Stone/ Eswl,1092.0,1092.0,,,0 HCPCS,50592,Hc Perc Radiofreq Ablate Renal Tumor,23597.0,23597.0,,,0 HCPCS,50592,Perc rf ablate renal tumor,,,3590.0,12855.28,19 HCPCS,50593,Hc Ablation Renal Tumor Unilateral Perq Cryotherapy,23597.0,23597.0,,,0 HCPCS,50593,Perc cryo ablate renal tum,,,6187.0,22603.4,19 HCPCS,50600,Exploration of ureter,,,3051.0,6654.0,8 HCPCS,50605,Insert ureteral support,,,3051.0,6654.0,8 HCPCS,50606,Endoluminal bx urtr rnl plvs,,,1343.0,2987.0,5 HCPCS,50606,Hc Endoluminal Bx Urtr &/Rnl Pelvis Nonendoscopic,4828.0,4828.0,,,0 HCPCS,50610,Removal of ureter stone,,,3051.0,6654.0,8 HCPCS,50620,Removal of ureter stone,,,3051.0,6654.0,8 HCPCS,50630,Removal of ureter stone,,,3051.0,6654.0,8 HCPCS,50650,Removal of ureter,,,3051.0,8180.0,8 HCPCS,50660,Removal of ureter,,,3051.0,8180.0,8 HCPCS,50684,"Hc Inject Indwell Cath,Ureter X-Ray",391.0,391.0,,,0 HCPCS,50684,Injection for ureter x-ray,,,1343.0,2987.0,5 HCPCS,50686,Measure ureter pressure,,,129.06,4840.09,16 HCPCS,50688,Change of ureter tube/stent,,,2096.71,5051.48,19 HCPCS,50688,Hc Ureterostomy Tube Change Via Ileal Conduit,6921.0,6921.0,,,0 HCPCS,50690,Hc Ureteropyelography - Inject Proc Ilieal Conduit,659.0,659.0,,,0 HCPCS,50690,Injection for ureter x-ray,,,1343.0,2987.0,5 HCPCS,50693,Hc Plmt Urtrl Stent Prq Pre-Existing Nfros Tract,7044.0,7044.0,,,0 HCPCS,50693,Plmt ureteral stent prq,,,3011.79,11385.0,19 HCPCS,50694,Hc Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath,8822.0,8822.0,,,0 HCPCS,50694,Plmt ureteral stent prq,,,3514.53,11385.0,19 HCPCS,50695,Hc Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath,9355.0,9355.0,,,0 HCPCS,50695,Plmt ureteral stent prq,,,3514.53,11385.0,19 HCPCS,50700,Revision of ureter,,,3051.0,5843.31,6 HCPCS,50705,Hc Ureteral Embolization/Occlusion W/Img Gid Rs&I,754.0,754.0,,,0 HCPCS,50705,Ureteral embolization/occl,,,1343.0,2987.0,5 HCPCS,50706,Balloon dilate urtrl strix,,,1343.0,2987.0,5 HCPCS,50706,Hc Balloon Dilat Ureteral Stricture W/Img Gid Rs&I,3637.0,3637.0,,,0 HCPCS,50715,"Hc Ureterolysis, With Or Without Repositioning Of Ureter For Retroperitoneal Fibrosis",8446.0,8446.0,,,0 HCPCS,50715,Release of ureter,,,3051.0,5843.31,6 HCPCS,50722,Release of ureter,,,3051.0,5843.31,6 HCPCS,50725,Release/revise ureter,,,3051.0,5843.31,6 HCPCS,50727,Revise ureter,,,3051.0,7495.56,16 HCPCS,50728,Revise ureter,,,3051.0,5843.31,6 HCPCS,50740,Fusion of ureter & kidney,,,3051.0,5843.31,6 HCPCS,50750,Fusion of ureter & kidney,,,3051.0,5843.31,6 HCPCS,50760,Fusion of ureters,,,3051.0,5843.31,6 HCPCS,50770,Splicing of ureters,,,3051.0,5843.31,6 HCPCS,50780,Reimplant ureter in bladder,,,3051.0,5843.31,8 HCPCS,50782,Reimplant ureter in bladder,,,3051.0,5843.31,6 HCPCS,50783,Reimplant ureter in bladder,,,3051.0,5843.31,6 HCPCS,50785,Reimplant ureter in bladder,,,3051.0,5843.31,6 HCPCS,50800,Implant ureter in bowel,,,3051.0,5843.31,6 HCPCS,50810,Fusion of ureter & bowel,,,3051.0,5843.31,6 HCPCS,50815,Urine shunt to intestine,,,3051.0,5843.31,6 HCPCS,50820,Construct bowel bladder,,,3051.0,5843.31,6 HCPCS,50825,Construct bowel bladder,,,3051.0,7175.28,6 HCPCS,50830,Revise urine flow,,,3051.0,7175.28,6 HCPCS,50840,Replace ureter by bowel,,,3051.0,5843.31,6 HCPCS,50845,Appendico-vesicostomy,,,3051.0,5843.31,6 HCPCS,50860,Transplant ureter to skin,,,3051.0,5843.31,6 HCPCS,50900,Repair of ureter,,,3051.0,5843.31,6 HCPCS,50920,Closure ureter/skin fistula,,,3051.0,5843.31,6 HCPCS,50930,Closure ureter/bowel fistula,,,3051.0,5843.31,6 HCPCS,50940,Release of ureter,,,3051.0,5843.31,6 HCPCS,50945,Laparoscopy ureterolithotomy,,,4962.02,12855.28,19 HCPCS,50947,Laparo New Ureter/Bladder,,,4962.02,22603.4,19 HCPCS,50948,Laparo New Ureter/Bladder,,,6187.0,22603.4,19 HCPCS,50949,Asc Only Unlisted Procedure - Ureter - Laparoscopic Ureterolysis,8446.0,8446.0,,,0 HCPCS,50949,Laparoscope proc ureter,,,4962.02,12855.28,18 HCPCS,50951,Endoscopy of ureter,,,1952.0,7495.56,19 HCPCS,50953,Endoscopy of ureter,,,2572.0,7495.56,19 HCPCS,50955,Ureter endoscopy & biopsy,,,2572.0,11401.39,19 HCPCS,50957,Ureter endoscopy & treatment,,,2572.0,11401.39,19 HCPCS,50961,Ureter endoscopy & treatment,,,2572.0,11401.39,19 HCPCS,50970,Ureter endoscopy,,,1952.0,7495.56,19 HCPCS,50972,Ureter endoscopy & catheter,,,1952.0,7495.56,19 HCPCS,50974,Ureter endoscopy & biopsy,,,2572.0,11401.39,19 HCPCS,50976,Ureter endoscopy & treatment,,,2572.0,11401.39,19 HCPCS,50980,Ureter endoscopy & treatment,,,2572.0,11401.39,19 HCPCS,51020,Incise & treat bladder,,,3011.79,7495.56,19 HCPCS,51030,Incise & treat bladder,,,3514.53,7175.28,10 HCPCS,51040,"Hc Cystostomy, Cystotomy With Drainage",7574.0,7574.0,,,0 HCPCS,51040,Incise & drain bladder,,,2096.71,7175.28,19 HCPCS,51045,Incise bladder/drain ureter,,,1952.0,7175.28,19 HCPCS,51050,"Hc Cystolithotomy, Cystotomy With Removal Of Calculus, Without Vesical Neck Resection",8901.0,8901.0,,,0 HCPCS,51050,Removal of bladder stone,,,3895.0,11401.39,19 HCPCS,51060,Removal of ureter stone,,,2096.71,8655.0,16 HCPCS,51065,Remove ureter calculus,,,3514.53,7495.56,19 HCPCS,51080,Drainage of bladder abscess,,,2572.0,6176.62,19 HCPCS,51100,Drain bladder by needle,,,250.6,4840.09,18 HCPCS,51100,"Hc Aspiration Bladder, By Needle",3005.0,3005.0,,,0 HCPCS,51100,"Hc Aspiration Of Bladder, By Needle",6653.0,6653.0,,,0 HCPCS,51101,Drain bladder by trocar/cath,,,861.34,5051.48,18 HCPCS,51102,Drain bl w/cath insertion,,,2096.71,5051.48,19 HCPCS,51102,Hc Aspiration Bladder Insert Suprapubic Catheter,7220.0,7220.0,,,0 HCPCS,51500,Removal of bladder cyst,,,4743.0,12855.28,19 HCPCS,51520,Removal of bladder lesion,,,3011.79,7495.56,19 HCPCS,51525,Removal of bladder lesion,,,3051.0,7870.0,9 HCPCS,51530,Removal of bladder lesion,,,3051.0,7870.0,9 HCPCS,51535,Repair of ureter lesion,,,3514.53,7495.56,16 HCPCS,51550,Partial removal of bladder,,,3051.0,5843.31,6 HCPCS,51555,Partial removal of bladder,,,3051.0,5843.31,6 HCPCS,51565,Revise bladder & ureter(s),,,3051.0,5843.31,6 HCPCS,51570,Removal of bladder,,,3051.0,7268.12,6 HCPCS,51575,Removal of bladder & nodes,,,3051.0,7268.12,6 HCPCS,51580,Remove bladder/revise tract,,,3051.0,7268.12,6 HCPCS,51585,Removal of bladder & nodes,,,3051.0,7268.12,6 HCPCS,51590,Remove bladder/revise tract,,,3051.0,7268.12,6 HCPCS,51595,Remove bladder/revise tract,,,3051.0,7268.12,6 HCPCS,51596,Remove bladder/create pouch,,,3051.0,8364.54,6 HCPCS,51597,Removal of pelvic structures,,,3051.0,8364.54,6 HCPCS,51600,Hc Cystography/Vcug - Injection For Bladder X-Ray,530.0,530.0,,,0 HCPCS,51600,Hc Injection Procedure For Cystography Or Voiding Urethrocystography,4377.0,4377.0,,,0 HCPCS,51600,Injection for bladder x-ray,,,1343.0,2572.0,3 HCPCS,51605,Preparation for bladder xray,,,1343.0,2572.0,3 HCPCS,51610,Hc Inject For Retrograde Urethrocystography,588.0,588.0,,,0 HCPCS,51610,Injection for bladder x-ray,,,1343.0,2572.0,3 HCPCS,51700,"Hc Bladder Irrigation, Simple, Lavage/Instillation",1283.0,1283.0,,,0 HCPCS,51700,Irrigation of bladder,,,250.6,4840.09,18 HCPCS,51701,"Hc Insert,Non-Indwelling Bladder Catheter",524.0,524.0,,,0 HCPCS,51701,Insert bladder catheter,,,133.45,4840.09,17 HCPCS,51702,Hc Insert Temporary Indwelling Bladder Cath;Simple,8661.0,8661.0,,,0 HCPCS,51702,"Hc Insert,Temp Indwelling Blad Cath,Simple",524.0,524.0,,,0 HCPCS,51702,"Hc Insert,Temp Indwelling Bladder Catheter,Simple",524.0,524.0,,,0 HCPCS,51702,Insert temp bladder cath,,,133.45,4840.09,17 HCPCS,51703,"Hc Insert,Temp Indwelling Blad Cath,Comp",3203.0,3203.0,,,0 HCPCS,51703,Insert bladder cath complex,,,129.06,4840.09,19 HCPCS,51705,Change of bladder tube,,,250.6,4840.09,19 HCPCS,51705,"Hc Change Of Bladder Tube,Simple",1184.0,1184.0,,,0 HCPCS,51705,Hc Change Of Cystostomy Tube; Simple,4609.0,4609.0,,,0 HCPCS,51710,Change of bladder tube,,,699.41,4840.09,19 HCPCS,51710,"Hc Change Of Bladder Tube,Complicated",1833.0,1833.0,,,0 HCPCS,51715,Endoscopic injection/implant,,,3514.53,7870.0,19 HCPCS,51715,Hc Endoscopic Injection/Implant,6698.0,6698.0,,,0 HCPCS,51720,Hc Bladder Instillation Of Anticarcinogenic Agent,987.0,987.0,,,0 HCPCS,51720,Hc Bladder Instillation Of Anticarcinogenic Agent (Includ Retention Time),4377.0,4377.0,,,0 HCPCS,51720,Hc Pbb Instill Anticancer Agent In Bladder,987.0,987.0,,,0 HCPCS,51720,Treatment of bladder lesion,,,699.41,4840.09,19 HCPCS,51721,Ins trurl ablt trnsdc thr us,,,6309.89,10249.52,3 HCPCS,51725,Simple cystometrogram,,,250.6,4840.09,16 HCPCS,51726,Complex cystometrogram,,,250.6,4840.09,16 HCPCS,51727,Cystometrogram w/up,,,699.41,4840.09,15 HCPCS,51728,Cystometrogram w/vp,,,699.41,4840.09,15 HCPCS,51729,Cystometrogram w/vp&up,,,699.41,4840.09,15 HCPCS,51736,Urine flow measurement,,,133.45,4840.09,12 HCPCS,51741,Electro-uroflowmetry first,,,216.58,4840.09,12 HCPCS,51784,Anal/urinary muscle study,,,129.06,4840.09,13 HCPCS,51785,Anal/urinary muscle study,,,250.6,4840.09,16 HCPCS,51785,Hc Needle Emg Study Anal/Urinary Muscle Sphincter,1184.0,1184.0,,,0 HCPCS,51792,Urinary reflex study,,,59.17,4840.09,12 HCPCS,51797,Intraabdominal pressure test,,,1343.0,4840.09,7 HCPCS,51798,"Hc Meas,Post-Void Res,Us,Non-Imaging",179.0,179.0,,,0 HCPCS,51798,Us urine capacity measure,,,59.17,4840.09,12 HCPCS,51800,Revision of bladder/urethra,,,3051.0,9512.0,8 HCPCS,51820,Revision of urinary tract,,,3051.0,9512.0,8 HCPCS,51840,Attach bladder/urethra,,,3051.0,10637.27,18 HCPCS,51841,Attach bladder/urethra,,,3051.0,9512.0,11 HCPCS,51845,Repair bladder neck,,,3051.0,10637.27,18 HCPCS,51860,"Hc Cystorrhaphy, Suture Of Bladder Wound, Injury Or Rupture; Simple",6588.0,6588.0,,,0 HCPCS,51860,Repair of bladder wound,,,3295.0,20129.59,18 HCPCS,51865,Repair of bladder wound,,,3051.0,7870.0,9 HCPCS,51880,Repair of bladder opening,,,2572.0,7495.56,19 HCPCS,51900,Repair bladder/vagina lesion,,,3051.0,7870.0,9 HCPCS,51920,Close bladder-uterus fistula,,,3051.0,6277.0,9 HCPCS,51925,Hysterectomy/bladder repair,,,3051.0,7972.53,6 HCPCS,51940,Correction of bladder defect,,,3051.0,7268.12,6 HCPCS,51960,Revision of bladder & bowel,,,3051.0,8821.68,6 HCPCS,51980,Construct bladder opening,,,3051.0,5843.31,9 HCPCS,51990,"Hc Laparoscopy,Surg;Urethral Suspension For Stress Incontinence",9290.0,9290.0,,,0 HCPCS,51990,Laparo urethral suspension,,,4962.02,12855.28,19 HCPCS,51992,Laparo sling operation,,,4962.02,12855.28,19 HCPCS,51999,Laparoscope proc bla,,,5087.0,12855.28,18 HCPCS,52000,Cystoscopy,,,699.41,4840.09,19 HCPCS,52000,Hc Cystourethroscopy,6292.5,6292.5,,,0 HCPCS,52000,Hc Pbb Cystourethroscopy,1520.0,1520.0,,,0 HCPCS,52001,Cystoscopy removal of clots,,,2912.0,7495.56,19 HCPCS,52001,Hc Cystourethroscopy With Irrigation And Evacuation Of Multiple Obstructing Clots,9520.0,9520.0,,,0 HCPCS,52005,Cystoscopy & ureter catheter,,,2096.71,5345.54,19 HCPCS,52005,"Hc Cystourethroscopy W/Ureteral Catheterization, W/W/O Irrigation, Instillation Or Ureteropyelograph",8070.5,8070.5,,,0 HCPCS,52007,Cystoscopy and biopsy,,,3295.0,7495.56,19 HCPCS,52010,Cystoscopy & duct catheter,,,699.41,5345.54,19 HCPCS,52204,Cystoscopy w/biopsy(s),,,2096.71,5345.54,19 HCPCS,52204,"Hc Cystourethroscopy,Biopsy",5849.0,5849.0,,,0 HCPCS,52214,Cystoscopy and treatment,,,3011.79,7495.56,19 HCPCS,52214,Hc Cyst/W Fulguration Of Trigone/Blad Neck/Prostatic Fossa Ureth/Periuet Glands,5849.0,5849.0,,,0 HCPCS,52224,Cystoscopy and treatment,,,3011.79,7495.56,19 HCPCS,52224,"Hc Cystourethroscopy,Fulgur <0.5 Cm Lesn",5849.0,5849.0,,,0 HCPCS,52234,Cystoscopy and treatment,,,3295.0,7495.56,19 HCPCS,52234,"Hc Cystourethroscopy,Fulgur 0.5-2 Cm Lesn",5849.0,5849.0,,,0 HCPCS,52235,Cystoscopy and treatment,,,3514.53,7495.56,19 HCPCS,52235,"Hc Cystourethroscopy,Fulgur 2-5 Cm Lesn",6698.0,6698.0,,,0 HCPCS,52240,Cystoscopy and treatment,,,3895.0,11401.39,19 HCPCS,52240,"Hc Cystourethroscopy,Fulgur >5 Cm Lesn",6698.0,6698.0,,,0 HCPCS,52240,"Hc Pbb Cystourethroscopy,Fulgur >5 Cm Lesn",307.0,307.0,,,0 HCPCS,52250,Cystoscopy and radiotracer,,,3514.53,7495.56,19 HCPCS,52260,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52260,"Hc Cystoscopy,Dil Bladder,Gen Anesth",5849.0,5849.0,,,0 HCPCS,52260,"Hc Pbb Cystoscopy,Dil Bladder,Gen Anesth",161.0,161.0,,,0 HCPCS,52265,Cystoscopy and treatment,,,1952.0,5051.48,19 HCPCS,52270,Cystoscopy & revise urethra,,,2096.71,5345.54,19 HCPCS,52275,Cystoscopy & revise urethra,,,2096.71,5345.54,19 HCPCS,52275,"Hc Cystourethroscopy, With Internal Urethrotomy; Male",5849.0,5849.0,,,0 HCPCS,52276,Cystoscopy and treatment,,,2096.71,6293.23,19 HCPCS,52276,"Hc Cystoscopy,Dir Vis Int Urethrotomy",6698.0,6698.0,,,0 HCPCS,52277,Cystoscopy and treatment,,,3295.0,7495.56,19 HCPCS,52281,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52281,"Hc Cystoscopy,Dil Urethral Stricture",5849.0,5849.0,,,0 HCPCS,52282,Cystoscopy implant stent,,,3514.53,11403.39,19 HCPCS,52283,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52284,Cysto rx balo cath urtl strx,,,3895.0,11401.39,17 HCPCS,52285,Cystoscopy and treatment,,,699.41,5345.54,19 HCPCS,52287,Cystoscopy chemodenervation,,,2096.71,7750.0,19 HCPCS,52287,Hc Cystourethroscopy Inj Chemodenervation Bladder,9445.0,9445.0,,,0 HCPCS,52290,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52300,Cystoscopy and treatment,,,3295.0,7495.56,19 HCPCS,52301,Cystoscopy and treatment,,,3514.53,7495.56,19 HCPCS,52305,Cystoscopy and treatment,,,3295.0,11401.39,19 HCPCS,52310,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52310,"Hc Cystoscopy,Remv Calculus,Simple",9134.0,9134.0,,,0 HCPCS,52310,"Hc Pbb Cystoscopy,Remv Calculus,Simple",438.0,438.0,,,0 HCPCS,52315,Cystoscopy and treatment,,,2096.71,5345.54,19 HCPCS,52317,"Hc Remove Bladder Stone,<2.5 Cm",4894.0,4894.0,,,0 HCPCS,52317,Remove bladder stone,,,2572.0,7495.56,19 HCPCS,52318,Hc Litholapaxy: Crush/Frag Calculus By Means Blad/Rmvl Frag; Complicated/Lrg,5544.0,5544.0,,,0 HCPCS,52318,Remove bladder stone,,,3295.0,7495.56,19 HCPCS,52320,Cystoscopy and treatment,,,3514.53,8364.54,19 HCPCS,52325,Cystoscopy stone removal,,,3895.0,11401.39,19 HCPCS,52327,Cystoscopy inject material,,,3295.0,11401.39,19 HCPCS,52330,Cystoscopy and treatment,,,3295.0,7495.56,19 HCPCS,52332,Cystoscopy and treatment,,,3295.0,7495.56,19 HCPCS,52332,"Hc Cystoscopy,Insert Ureteral Stent",11065.0,11065.0,,,0 HCPCS,52332,"Hc Pbb Cystoscopy,Insert Ureteral Stent",443.0,443.0,,,0 HCPCS,52334,Create passage to kidney,,,3514.53,7495.56,19 HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3011.79,7495.56,19 HCPCS,52341,Hc Cystourethroscoy;W/Tx Of Ureteral Stricture,6698.0,6698.0,,,0 HCPCS,52341,"Hc Pbb Cystoscopy,Tx Ureteral Stricture",1249.0,1249.0,,,0 HCPCS,52342,Cysto W/Up Stricture Tx,,,3514.53,7495.56,19 HCPCS,52343,Cysto W/Renal Stricture Tx,,,3011.79,7495.56,19 HCPCS,52344,Cysto/uretero stricture tx,,,3514.53,7495.56,19 HCPCS,52344,Hc Cystourethroscopy W/Ureteroscopy;W/Tx Of Ureteral Stricture,6698.0,6698.0,,,0 HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3514.53,7495.56,19 HCPCS,52345,Hc Cystourethroscopy With Ureteroscopy; With Treatment Of Ureteropelvic Junction Stricture,6698.0,6698.0,,,0 HCPCS,52346,Cystouretero W/Renal Strict,,,3895.0,11401.39,19 HCPCS,52351,Cystouretero & or pyeloscope,,,3011.79,7495.56,19 HCPCS,52351,"Hc Cysto/Uretero/Pyeloscopy, Dx",6698.0,6698.0,,,0 HCPCS,52351,"Hc Pbb Cysto/Uretero/Pyeloscopy, Dx",283.0,283.0,,,0 HCPCS,52352,Cystouretero w/stone remove,,,3514.53,7495.56,19 HCPCS,52352,"Hc Cystourethroscopy,W/Ureteroscopy &/Or Pyeloscopy;W/Rmvl/Manip Calculus",8295.0,8295.0,,,0 HCPCS,52352,"Hc Pbb Cysto/Uretero/Pyeloscopy, Calculus Tx",332.0,332.0,,,0 HCPCS,52353,Cystouretero W/Lithotripsy,,,4419.21,11401.39,19 HCPCS,52353,Hc Cysto/Uretero/Pyeloscopy W/Lithotripsy,11065.0,11065.0,,,0 HCPCS,52353,Hc Pbb Cysto/Uretero/Pyeloscopy W/Lithotripsy,369.0,369.0,,,0 HCPCS,52354,Cystouretero W/Biopsy,,,3895.0,11401.39,19 HCPCS,52354,Hc Cystourethroscopy W/Ureteroscopy And/Or Pyeloscopy; W/Biopsy And/Or Fulguration Of Ureteral Or Re,7863.0,7863.0,,,0 HCPCS,52355,Cystouretero W/Excise Tumor,,,3895.0,11401.39,19 HCPCS,52356,Cysto/uretero w/lithotripsy,,,4419.21,11401.39,19 HCPCS,52356,Hc Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,13882.0,13882.0,,,0 HCPCS,52356,Hc Pbb Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt,393.0,393.0,,,0 HCPCS,52400,Cystouretero W/Congen Repr,,,3514.53,7495.56,19 HCPCS,52402,Cystourethro cut ejacul duct,,,3514.53,7495.56,19 HCPCS,52441,Cystourethro w/implant,,,1343.0,6277.0,8 HCPCS,52441,Hc Cystourethroscopy W/Insertion Of Permanent Adjustable Transprostatic Implant; Single Implant,10488.0,10488.0,,,0 HCPCS,52442,Cystourethro w/addl implant,,,1343.0,5843.31,8 HCPCS,52442,Hc Cystourethroscopy W/Insertion Of Permanent Adjustable Transprostatic Implant; Each Additional,10488.0,10488.0,,,0 HCPCS,52443,Cysto 1st trurl prst8 comis,,,9495.09,20129.59,7 HCPCS,52450,Incision of prostate,,,3514.53,7495.56,19 HCPCS,52500,Revision of bladder neck,,,3514.53,7495.56,19 HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9495.09,20129.59,7 HCPCS,52601,"Hc Electrosurgicaltur Of Prost, Includ Control Postoperative Bleed During",9791.0,9791.0,,,0 HCPCS,52601,Prostatectomy (TURP),,,4419.21,11401.39,19 HCPCS,52630,"Hc Transurethral Resection,Residual/Regrowth Of Obstructive Prostate Tissue Incl Control Of Postoper",5753.0,5753.0,,,0 HCPCS,52630,Remove prostate regrowth,,,3295.0,11401.39,19 HCPCS,52640,Relieve bladder contracture,,,3295.0,7495.56,19 HCPCS,52647,Laser surgery of prostate,,,4419.21,11403.39,12 HCPCS,52648,Laser surgery of prostate,,,4419.21,11403.39,19 HCPCS,52649,Prostate laser enucleation,,,4419.21,11401.39,19 HCPCS,52700,Drainage of prostate abscess,,,3295.0,7495.56,19 HCPCS,53000,"Hc Urethrotomy Or Urethrostomy, External; Pendulous Urethra",4609.0,4609.0,,,0 HCPCS,53000,Incision of urethra,,,2096.71,5051.48,19 HCPCS,53010,Incision of urethra,,,2572.0,11401.39,19 HCPCS,53020,"Hc Meatotomy, Cutting Of Meatus (Separate Procedure); Except Infant",4609.0,4609.0,,,0 HCPCS,53020,Incision of urethra,,,2096.71,5051.48,19 HCPCS,53025,Incision of urethra,,,2096.71,5051.48,18 HCPCS,53040,Drainage of urethra abscess,,,3011.79,7495.56,19 HCPCS,53060,Drainage of urethra abscess,,,2096.71,5051.48,18 HCPCS,53080,Drainage of urinary leakage,,,699.41,6293.23,19 HCPCS,53085,Drainage of urinary leakage,,,2096.71,5051.48,16 HCPCS,53200,Biopsy of urethra,,,2096.71,5051.48,19 HCPCS,53200,Hc Biopsy Of Urethra,4862.0,4862.0,,,0 HCPCS,53200,Hc Pbb Biopsy Of Urethra,228.0,228.0,,,0 HCPCS,53210,Removal of urethra,,,3514.53,8364.54,19 HCPCS,53215,Removal of urethra,,,3051.0,11401.39,19 HCPCS,53220,Treatment of urethra lesion,,,3295.0,7870.0,19 HCPCS,53230,Hc Excision Of Urethral Diverticulum (Separate Procedure); Female,5507.0,5507.0,,,0 HCPCS,53230,Removal of urethra lesion,,,3295.0,11401.39,19 HCPCS,53235,Removal of urethra lesion,,,3051.0,11401.39,19 HCPCS,53240,Surgery for urethra pouch,,,3011.79,7870.0,19 HCPCS,53250,Removal of urethra gland,,,3051.0,7495.56,19 HCPCS,53260,"Hc Excision Or Fulguration; Urethral Polyp(S), Distal Urethra",8241.0,8241.0,,,0 HCPCS,53260,Treatment of urethra lesion,,,3011.79,7495.56,19 HCPCS,53265,Treatment of urethra lesion,,,2096.71,5345.54,19 HCPCS,53270,Hc Excision Or Fulguration; Sken's Glands,5810.0,5810.0,,,0 HCPCS,53270,Removal of urethra gland,,,3011.79,7495.56,19 HCPCS,53275,Hc Excision Or Fulguration; Urethral Prolapse,5810.0,5810.0,,,0 HCPCS,53275,Repair of urethra defect,,,3011.79,7495.56,19 HCPCS,53400,Revise urethra stage 1,,,4419.21,11401.39,19 HCPCS,53405,Revise urethra stage 2,,,3295.0,11401.39,19 HCPCS,53410,Reconstruction of urethra,,,3295.0,11401.39,19 HCPCS,53415,Reconstruction of urethra,,,3051.0,8655.0,9 HCPCS,53420,Reconstruct urethra stage 1,,,4419.21,11401.39,19 HCPCS,53425,Reconstruct urethra stage 2,,,3295.0,11401.39,19 HCPCS,53430,Reconstruction of urethra,,,3295.0,11401.39,19 HCPCS,53431,Reconstruct urethra/bladder,,,3295.0,11401.39,19 HCPCS,53440,Male sling procedure,,,3295.0,28054.72,18 HCPCS,53442,Remove/revise male sling,,,2572.0,11401.39,19 HCPCS,53444,Insert tandem cuff,,,3295.0,44072.27,18 HCPCS,53445,Insert uro/ves nck sphincter,,,2572.0,44072.27,18 HCPCS,53446,Remove uro sphincter,,,2572.0,11401.39,19 HCPCS,53447,Remove/replace ur sphincter,,,2572.0,44072.27,18 HCPCS,53448,Remov/replc ur sphinctr comp,,,1952.0,7268.12,9 HCPCS,53449,Repair uro sphincter,,,2572.0,20129.59,19 HCPCS,53450,"Hc Urethromeatoplasty, With Mucosal Advancement",4377.0,4377.0,,,0 HCPCS,53450,Revision of urethra,,,2572.0,7870.0,19 HCPCS,53451,Tprnl balo cntnc dev bi,,,4817.0,28054.72,16 HCPCS,53452,Tprnl balo cntnc dev uni,,,3895.0,20129.59,16 HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3295.0,8364.54,16 HCPCS,53454,Tprnl balo cntnc dev adjmt,,,250.6,4840.09,17 HCPCS,53460,Revision of urethra,,,2572.0,7495.56,19 HCPCS,53500,"Hc Urethrolysis, Transvaginal, Secondary, Open, Incl Cystourethroscopy",11439.0,11439.0,,,0 HCPCS,53500,Urethrlys transvag w/ scope,,,3514.53,7870.0,18 HCPCS,53502,Repair of urethra injury,,,3051.0,7495.56,19 HCPCS,53505,Repair of urethra injury,,,3295.0,11401.39,19 HCPCS,53510,Repair of urethra injury,,,3051.0,11401.39,19 HCPCS,53515,Repair of urethra injury,,,3295.0,11401.39,19 HCPCS,53520,Repair of urethra defect,,,3295.0,11401.39,19 HCPCS,53600,Dilate urethra stricture,,,250.6,4840.09,19 HCPCS,53600,"Hc Dilation Urethral Stricture By Passage Of Sound/Urethral Dilator, Male; Initial",4609.0,4609.0,,,0 HCPCS,53600,"Hc Pbb Dil Urethra Stric,Male,Initial",650.0,650.0,,,0 HCPCS,53601,Dilate urethra stricture,,,133.45,4840.09,18 HCPCS,53605,Dilate urethra stricture,,,2912.0,7495.56,19 HCPCS,53620,Dilate urethra stricture,,,699.41,4840.09,18 HCPCS,53621,Dilate urethra stricture,,,250.6,4840.09,19 HCPCS,53660,Dilation of urethra,,,129.06,4840.09,18 HCPCS,53661,Dilation of urethra,,,133.45,4840.09,15 HCPCS,53665,Dilation of urethra,,,2096.71,5051.48,19 HCPCS,53850,Prostatic microwave thermotx,,,2912.0,10850.0,18 HCPCS,53852,Prostatic rf thermotx,,,3295.0,8821.68,18 HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3011.79,11385.0,17 HCPCS,53855,Insert prost urethral stent,,,1952.0,5051.48,18 HCPCS,53860,Transurethral rf treatment,,,2096.71,10726.0,19 HCPCS,53865,Cysto insj dev ischmc rmdlg,,,3514.53,20129.59,12 HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,250.6,4221.48,12 HCPCS,53899,Hc Ablation Renal Non Rf Cryo,2324.0,2324.0,,,0 HCPCS,53899,Urology surgery procedure,,,250.6,11531.48,18 HCPCS,54000,Slitting of prepuce,,,3011.79,7495.56,19 HCPCS,54001,Slitting of prepuce,,,2096.71,5345.54,19 HCPCS,54015,Drain penis lesion,,,1656.59,7175.28,19 HCPCS,54050,Destruction penis lesion(s),,,407.74,4840.09,15 HCPCS,54055,Destruction penis lesion(s),,,2069.52,5051.48,16 HCPCS,54056,Cryosurgery penis lesion(s),,,201.24,4840.09,15 HCPCS,54057,Laser surg penis lesion(s),,,2069.52,5051.48,19 HCPCS,54060,Excision of penis lesion(s),,,2069.52,5051.48,19 HCPCS,54060,"Hc Destruction Of Lesion(S), Penis, Simple; Surgical Excision",4609.0,4609.0,,,0 HCPCS,54065,Destruction penis lesion(s),,,2069.52,5051.48,19 HCPCS,54100,Biopsy of penis,,,1656.59,5051.48,19 HCPCS,54100,Hc Biopsy Of Penis(Separate Procedure),4862.0,4862.0,,,0 HCPCS,54105,Biopsy of penis,,,2572.0,6176.62,19 HCPCS,54110,Treatment of penis lesion,,,3295.0,8655.0,19 HCPCS,54111,"Hc Excision Of Penile Plaque (Peyronie Disease), With Graft To 5 Cm In Length",5753.0,5753.0,,,0 HCPCS,54111,Treat penis lesion graft,,,3295.0,11401.39,19 HCPCS,54112,Hc Excision Penile Plaque (Peyronie Disease): W/Graft Grtr Than 5 Cm In Length,5753.0,5753.0,,,0 HCPCS,54112,Treat penis lesion graft,,,3295.0,20129.59,19 HCPCS,54115,Hc Removal Foreign Body From Deep Penile Tissue,8040.0,8040.0,,,0 HCPCS,54115,Treatment of penis lesion,,,2572.0,6176.62,19 HCPCS,54120,Partial removal of penis,,,3295.0,7870.0,19 HCPCS,54125,Removal of penis,,,2912.0,5843.31,9 HCPCS,54130,Remove penis & nodes,,,3051.0,5843.31,6 HCPCS,54135,Remove penis & nodes,,,3051.0,8821.68,6 HCPCS,54150,Circumcision w/regionl block,,,2096.71,5051.48,19 HCPCS,54150,Hc Circumcision W/Dorsal Penile Or Ring Block,2404.0,2404.0,,,0 HCPCS,54160,Circumcision neonate,,,699.41,5345.54,19 HCPCS,54161,Circum 28 days or older,,,2096.71,5345.54,19 HCPCS,54161,"Hc Circumcision,Surg Excision Oth Than Clamp,Device/Dorsal Slit;Older Thn 28 Days",5810.0,5810.0,,,0 HCPCS,54162,Hc Lysis Or Excision Of Penile Post-Circumcision Adhesions,5518.0,5518.0,,,0 HCPCS,54162,Lysis penil circumic lesion,,,2096.71,5345.54,19 HCPCS,54163,Hc Repair Incomplete Circumcision,5518.0,5518.0,,,0 HCPCS,54163,Repair of circumcision,,,2096.71,5345.54,19 HCPCS,54164,Frenulotomy of penis,,,2096.71,5345.54,19 HCPCS,54164,Hc Frenulotomy Of Penis,5518.0,5518.0,,,0 HCPCS,54200,Treatment of penis lesion,,,250.6,4840.09,17 HCPCS,54205,Treatment of penis lesion,,,3925.0,11401.39,19 HCPCS,54220,"Hc Irrigation Corpus Cavernosa, Priapism",987.0,987.0,,,0 HCPCS,54220,Treatment of penis lesion,,,250.6,4840.09,19 HCPCS,54230,Prepare penis study,,,1343.0,4840.09,7 HCPCS,54231,Dynamic cavernosometry,,,250.6,4840.09,16 HCPCS,54235,"Hc Inject Corpora Cavern,Pharm Agnt",672.0,672.0,,,0 HCPCS,54235,Penile injection,,,250.6,4840.09,16 HCPCS,54240,Penis study,,,216.58,4840.09,18 HCPCS,54250,Penis study,,,250.6,4840.09,18 HCPCS,54300,Revision of penis,,,3514.53,8655.0,19 HCPCS,54304,Revision of penis,,,3514.53,8655.0,19 HCPCS,54308,Reconstruction of urethra,,,4419.21,11401.39,19 HCPCS,54312,Reconstruction of urethra,,,3514.53,7870.0,19 HCPCS,54316,Reconstruction of urethra,,,3925.0,20129.59,19 HCPCS,54318,Reconstruction of urethra,,,3514.53,7870.0,19 HCPCS,54322,Reconstruction of urethra,,,3514.53,7870.0,19 HCPCS,54324,Reconstruction of urethra,,,3514.53,8655.0,19 HCPCS,54326,Reconstruction of urethra,,,3011.79,7870.0,19 HCPCS,54328,Revise penis/urethra,,,3514.53,8655.0,19 HCPCS,54332,Revise penis/urethra,,,3514.53,7870.0,18 HCPCS,54336,Revise penis/urethra,,,3514.53,9512.0,18 HCPCS,54340,Secondary urethral surgery,,,3514.53,7870.0,19 HCPCS,54344,Secondary urethral surgery,,,3925.0,20129.59,19 HCPCS,54348,Secondary urethral surgery,,,3925.0,11401.39,19 HCPCS,54352,Reconstruct urethra/penis,,,4419.21,11401.39,19 HCPCS,54360,Hc Plastic Operation On Penis To Correct Angulation,6588.0,6588.0,,,0 HCPCS,54360,Penis plastic surgery,,,3514.53,8655.0,19 HCPCS,54380,Repair penis,,,2096.71,7870.0,19 HCPCS,54385,Repair penis,,,2096.71,7870.0,19 HCPCS,54390,Repair penis and bladder,,,3051.0,8821.68,9 HCPCS,54400,Hc Insertion Of Penile Prosthesis; Non-Inflatable (Semi-Rigid),7906.0,7906.0,,,0 HCPCS,54400,Insert semi-rigid prosthesis,,,5405.0,28054.72,18 HCPCS,54401,Insert self-contd prosthesis,,,5405.0,44072.27,18 HCPCS,54405,"Hc Insert Multi-Component,Infltbl Penile Prosth,Inc Plcmnt Pump/Cylinder/Reservior",6588.0,6588.0,,,0 HCPCS,54405,Insert multi-comp penis pros,,,5405.0,44072.27,18 HCPCS,54406,Remove muti-comp penis pros,,,3514.53,7870.0,19 HCPCS,54408,Repair multi-comp penis pros,,,4419.21,11401.39,19 HCPCS,54410,Remove/replace penis prosth,,,5405.0,44072.27,18 HCPCS,54411,Remov/replc penis pros comp,,,1343.0,44072.27,18 HCPCS,54415,Remove self-contd penis pros,,,3514.53,7870.0,19 HCPCS,54416,Remv/repl penis contain pros,,,5405.0,44072.27,18 HCPCS,54417,Remv/replc penis pros compl,,,1952.0,44072.27,18 HCPCS,54420,Revision of penis,,,3011.79,7870.0,19 HCPCS,54430,Revision of penis,,,3051.0,5843.31,6 HCPCS,54435,Hc Corpora Cavernosa-Glans Penis Fistulization For Priapism,8666.0,8666.0,,,0 HCPCS,54435,Revision of penis,,,3011.79,7870.0,19 HCPCS,54437,Repair corporeal tear,,,3051.0,10726.0,19 HCPCS,54438,Replantation of penis,,,3051.0,10674.37,4 HCPCS,54440,Repair of penis,,,3514.53,7870.0,19 HCPCS,54450,Hc Foreskin Manipulation Including Lysis Of Preputial Adhesions And Stretching,626.0,626.0,,,0 HCPCS,54450,Preputial stretching,,,250.6,4840.09,19 HCPCS,54500,Biopsy of testis,,,2572.0,6176.62,19 HCPCS,54505,Biopsy of testis,,,2572.0,7495.56,19 HCPCS,54505,"Hc Biopsy Of Testis, Incisional (Separate Procedure)",4862.0,4862.0,,,0 HCPCS,54512,Excise Lesion Testis,,,3295.0,7495.56,19 HCPCS,54512,Hc Excision Of Extraparenchymal Lesion Of Testis,5507.0,5507.0,,,0 HCPCS,54520,"Hc Orchiectomy, Simple, Incl Subcapsular W/W/O Testicular Prosthesis, Scrotal Or Inguinal Approach",6653.0,6653.0,,,0 HCPCS,54520,Removal of testis,,,3011.79,7870.0,19 HCPCS,54522,Orchiectomy partial,,,3011.79,7495.56,19 HCPCS,54530,"Hc Orchiectomy, Radical, For Tumor; Inguinal Approach",8241.0,8241.0,,,0 HCPCS,54530,Removal of testis,,,3514.53,7870.0,19 HCPCS,54535,Extensive testis surgery,,,3514.53,7870.0,16 HCPCS,54535,"Hc Orchiectomy, Radical For Tumor; W/Abdominal Exploration",9791.0,9791.0,,,0 HCPCS,54550,Exploration for testis,,,3514.53,7870.0,19 HCPCS,54560,Exploration for testis,,,2096.71,5594.0,18 HCPCS,54600,Reduce testis torsion,,,3011.79,7495.56,19 HCPCS,54620,Suspension of testis,,,3514.53,7495.56,19 HCPCS,54640,Suspension of testis,,,3514.53,7870.0,19 HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3514.53,7870.0,18 HCPCS,54660,Hc Insertion Of Testicular Prosthesis,6905.0,6905.0,,,0 HCPCS,54660,Revision of testis,,,3295.0,11401.39,19 HCPCS,54670,Repair testis injury,,,3011.79,7495.56,19 HCPCS,54680,Relocation of testis(es),,,3011.79,7495.56,19 HCPCS,54690,Laparoscopy orchiectomy,,,4962.02,12855.28,19 HCPCS,54692,Laparoscopy orchiopexy,,,4962.02,12855.28,19 HCPCS,54699,Laparoscope proc testis,,,5087.0,12855.28,18 HCPCS,54700,Drainage of scrotum,,,2096.71,5345.54,19 HCPCS,54700,"Hc Incis/Drain Scrotum/Testis,Epididym",5663.5,5663.5,,,0 HCPCS,54800,Biopsy of epididymis,,,1656.59,5051.48,19 HCPCS,54830,Hc Excision Of Local Lesion Of Epididymis,6653.0,6653.0,,,0 HCPCS,54830,Remove epididymis lesion,,,3011.79,7495.56,19 HCPCS,54840,"Hc Excision Of Spermatocele, With Or Without Epididymectomy",8241.0,8241.0,,,0 HCPCS,54840,Remove epididymis lesion,,,2096.71,7175.28,19 HCPCS,54860,Hc Epididymectomy; Unilateral,6307.0,6307.0,,,0 HCPCS,54860,Removal of epididymis,,,3011.79,7495.56,19 HCPCS,54861,Removal of epididymis,,,3514.53,7495.56,19 HCPCS,54865,Explore Epididymis,,,2572.0,7495.56,19 HCPCS,54900,Fusion of spermatic ducts,,,2096.71,7175.28,19 HCPCS,54900,"Hc Epididymovasostomy, Anastomosis Of Epididymis To Vas Deferens; Unilateral",7811.0,7811.0,,,0 HCPCS,54901,Fusion of spermatic ducts,,,3514.53,7495.56,19 HCPCS,55000,Drainage of hydrocele,,,710.27,4840.09,16 HCPCS,55000,"Hc Puncture Aspiration Of Hydrocele, Tunica Vaginalis, W/W/O Inj Of Medication",4862.0,4862.0,,,0 HCPCS,55040,Hc Excision Of Hydrocele; Unilateral,6653.0,6653.0,,,0 HCPCS,55040,Removal of hydrocele,,,3514.53,7870.0,19 HCPCS,55041,Hc Excision Of Hydrocele; Bilateral,8893.0,8893.0,,,0 HCPCS,55041,Removal of hydroceles,,,3514.53,8364.54,19 HCPCS,55060,Repair of hydrocele,,,3011.79,7495.56,19 HCPCS,55100,Drainage of scrotum abscess,,,1656.59,5051.48,19 HCPCS,55100,Hc Drainage Scrotal Wall Abscess,4484.0,4484.0,,,0 HCPCS,55110,Explore scrotum,,,3295.0,7495.56,19 HCPCS,55110,Hc Scrotal Exploration,6905.0,6905.0,,,0 HCPCS,55120,Hc Removal Of Foreign Body In Scrotum,5507.0,5507.0,,,0 HCPCS,55120,Removal of scrotum lesion,,,2096.71,5345.54,19 HCPCS,55150,Hc Resection Of Scrotum,4862.0,4862.0,,,0 HCPCS,55150,Removal of scrotum,,,2572.0,7495.56,19 HCPCS,55175,Revision of scrotum,,,2572.0,8655.0,19 HCPCS,55180,Revision of scrotum,,,3295.0,11401.39,19 HCPCS,55200,Incision of sperm duct,,,3011.79,7495.56,19 HCPCS,55250,"Hc Vasectomy, Unilateral/Bilateral Including Postoperative Semen Examinations",10780.0,10780.0,,,0 HCPCS,55250,Removal of sperm duct(s),,,2096.71,5345.54,19 HCPCS,55300,Prepare sperm duct x-ray,,,1343.0,4840.09,7 HCPCS,55400,"Hc Vasovasostomy, Vasovasorrhaphy",4862.0,4862.0,,,0 HCPCS,55400,Repair of sperm duct,,,2572.0,7495.56,19 HCPCS,55450,Ligation of sperm duct,,,3051.0,7175.28,4 HCPCS,55500,"Hc Excision Of Hydrocele Of Spermatic Cord, Unilateral (Separate Procedure)",6307.0,6307.0,,,0 HCPCS,55500,Removal of hydrocele,,,3011.79,7870.0,19 HCPCS,55520,Hc Excision Of Lesion Of Spermatic Cord (Separate Procedure),8241.0,8241.0,,,0 HCPCS,55520,Removal of sperm cord lesion,,,3011.79,7495.56,19 HCPCS,55530,Hc Excision Of Varicocele/Ligation Of Spermatic Veins For Varicocele; (Sep Proc),8241.0,8241.0,,,0 HCPCS,55530,Revise spermatic cord veins,,,3514.53,7495.56,19 HCPCS,55535,Revise spermatic cord veins,,,3514.53,13766.01,19 HCPCS,55540,Revise hernia & sperm veins,,,3514.53,8364.54,19 HCPCS,55550,Laparo ligate spermatic vein,,,4962.02,12855.28,19 HCPCS,55559,Laparo proc spermatic cord,,,4962.02,12855.28,18 HCPCS,55600,Incise sperm duct pouch,,,2096.71,5051.48,19 HCPCS,55605,Incise sperm duct pouch,,,1952.0,5051.48,9 HCPCS,55650,Remove sperm duct pouch,,,1952.0,5051.48,9 HCPCS,55680,Remove sperm pouch lesion,,,2572.0,7495.56,19 HCPCS,55700,Biopsy of prostate,,,2912.0,5345.54,12 HCPCS,55700,"Hc Biopsy Of Prostate,Needle/Punch",7220.0,7220.0,,,0 HCPCS,55705,Biopsy of prostate,,,2912.0,7495.56,19 HCPCS,55706,"Hc Biopsies, Prostate, Needle, Transperineal, Stereotactic Template Guided Saturation Sampling, Incl",6307.0,6307.0,,,0 HCPCS,55706,Prostate saturation sampling,,,2912.0,7495.56,19 HCPCS,55707,Bx prst8 trct us guided,,,3535.64,7495.56,7 HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3535.64,7495.56,7 HCPCS,55709,Bx prst8 tprnl us guided,,,3535.64,7495.56,7 HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3535.64,7495.56,7 HCPCS,55711,Bx prst8 trct mri-us 1st,,,3535.64,7495.56,7 HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3535.64,7495.56,7 HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5378.01,11401.39,7 HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5378.01,11401.39,7 HCPCS,55720,Drainage of prostate abscess,,,2572.0,7495.56,19 HCPCS,55725,Drainage of prostate abscess,,,3295.0,7495.56,19 HCPCS,55801,Removal of prostate,,,3051.0,5843.31,6 HCPCS,55810,Extensive prostate surgery,,,3051.0,7268.12,6 HCPCS,55812,Extensive prostate surgery,,,3051.0,8821.68,6 HCPCS,55815,Extensive prostate surgery,,,3051.0,8821.68,6 HCPCS,55821,Removal of prostate,,,3051.0,5843.31,6 HCPCS,55831,Removal of prostate,,,3051.0,5843.31,6 HCPCS,55840,Extensive prostate surgery,,,3051.0,7268.12,6 HCPCS,55842,Extensive prostate surgery,,,3051.0,7268.12,6 HCPCS,55845,Extensive prostate surgery,,,3051.0,9512.0,8 HCPCS,55860,Surgical exposure prostate,,,2572.0,11401.39,18 HCPCS,55862,Extensive prostate surgery,,,3051.0,5843.31,6 HCPCS,55865,Extensive prostate surgery,,,3051.0,7268.12,6 HCPCS,55866,"Hc Lap,Surg Prostatect,Retropubc Radcl,Incl Nrv Sparing,Inc Robotc Assist,Whn Prfm",12866.0,12866.0,,,0 HCPCS,55866,Laparo radical prostatectomy,,,3051.0,22603.4,16 HCPCS,55867,"Hc Laparoscopy, Surgical Prostatectomy, Simple Subtotal, Includes Robotic Assistance, When Performed",15440.0,15440.0,,,0 HCPCS,55867,Laps surg prst8ect smpl stot,,,5730.0,22603.4,16 HCPCS,55868,Lap srg prst8ct lymph nod bx,,,10661.98,22603.4,7 HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,10661.98,22603.4,7 HCPCS,55870,Electroejaculation,,,923.84,4840.09,19 HCPCS,55873,Cryoablate Prostate,,,6309.89,20129.59,18 HCPCS,55873,Hc Cryosurgical Ablation Of The Prostate,13791.0,13791.0,,,0 HCPCS,55874,"Hc Transperineal Plcmt Of Biodegradable Material, W/Img, Single Or Multi Inj",10228.0,10228.0,,,0 HCPCS,55874,Hc Transperinl Plcmt Of Biod Mtrl,10228.0,10228.0,,,0 HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,2572.0,11401.39,17 HCPCS,55875,"Hc Pbb Percut/Needle Insert,Prostate,Radioisot",7377.0,7377.0,,,0 HCPCS,55875,"Hc Percut/Needle Insert,Prostate,Radioisot",11881.0,11881.0,,,0 HCPCS,55875,Transperi needle place pros,,,3925.0,11403.39,19 HCPCS,55876,"Hc Pbb Place Radiother Device/Marker, Prostate",2976.0,2976.0,,,0 HCPCS,55876,"Hc Place Radiother Device/Marker, Prostate",5778.0,5778.0,,,0 HCPCS,55876,Place rt device/marker pros,,,1388.32,5051.48,19 HCPCS,55877,Abltj ire prst8 1+ tum perq,,,10661.98,22603.4,7 HCPCS,55880,Abltj mal prst8 tiss hifu,,,3295.0,20129.59,17 HCPCS,55881,Ablt trurl prst8 tis thrm us,,,4419.21,7268.12,3 HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,6580.16,28054.72,12 HCPCS,55899,"Asc Only Unlisted Procedure, Male Genital System",11148.0,11148.0,,,0 HCPCS,55899,"Asc Only Unlisted Procedure, Male Genital System - Microsurgical Epididymal? Sperm Aspiration (Mesa)",11148.0,11148.0,,,0 HCPCS,55899,"Asc Only Unlisted Procedure, Male Genital System - Microsurgical Testicular Sperm Extraction",11148.0,11148.0,,,0 HCPCS,55899,"Asc Only Unlisted Procedure, Male Genital System - Percutaneous Epididymal Sperm Aspiration (Pesa)",11148.0,11148.0,,,0 HCPCS,55899,"Asc Only Unlisted Procedure, Male Genital System - Spermatic Cord Denervation",11148.0,11148.0,,,0 HCPCS,55899,Genital surgery procedure,,,250.6,11531.48,18 HCPCS,55899,Hc Mri Ablation Prostate,23713.0,23713.0,,,0 HCPCS,55899,"Hc Unlisted Procedure, Male Genital System - Testicular Sperm Extraction (Tese)",2875.0,2875.0,,,0 HCPCS,55920,Hc Pbb Placement Needle Pelvic Organ Radioelement Appl,12461.0,12461.0,,,0 HCPCS,55920,Hc Placement Needle Pelvic Organ Radioelement Appl,14275.0,14275.0,,,0 HCPCS,55920,Place needles pelvic for rt,,,2572.0,11385.0,19 HCPCS,55970,Sex transformation m to f,,,3011.79,10637.27,13 HCPCS,55980,Sex transformation f to m,,,3514.53,7495.56,13 HCPCS,56405,Hc I&D Of Vulva/Perineum Abscess,507.0,507.0,,,0 HCPCS,56405,Hc Incision And Drainage Of Vulva Or Perineal Abscess,5230.0,5230.0,,,0 HCPCS,56405,I & D of vulva/perineum,,,305.65,4840.09,19 HCPCS,56420,Drainage of gland abscess,,,202.78,4840.09,19 HCPCS,56420,Hc I&D Bartholin Gland Abscess,507.0,507.0,,,0 HCPCS,56440,Hc Marsup Bartholin Gland Cyst,5810.0,5810.0,,,0 HCPCS,56440,Surgery for vulva lesion,,,3011.79,6883.46,19 HCPCS,56441,Hc Lysis Of Labial Adhensions,4609.0,4609.0,,,0 HCPCS,56441,Lysis of labial lesion(s),,,2572.0,6883.46,19 HCPCS,56442,Hymenotomy,,,2572.0,6883.46,19 HCPCS,56501,Destroy vulva lesions sim,,,2069.52,5051.48,18 HCPCS,56501,"Hc Destruction,Lesion(S),Vulva,Simple",4862.0,4862.0,,,0 HCPCS,56515,Destroy vulva lesion/s compl,,,2069.52,6293.23,19 HCPCS,56515,"Hc Destruction,Lesion(S),Vulva;Extensive",6653.0,6653.0,,,0 HCPCS,56605,Biopsy of vulva/perineum,,,923.84,4840.09,19 HCPCS,56605,"Hc Biopsy Of Vulva Or Perineum, 1 Lesion",4609.0,4609.0,,,0 HCPCS,56605,"Hc Pbb Biopsy Vulva/Perineum,One Lesn",2114.0,2114.0,,,0 HCPCS,56606,Biopsy of vulva/perineum,,,1343.0,4840.09,7 HCPCS,56606,Hc Bx Vulva/Perineum;Ea Separate Additional Lesion(Lst Sep/Code Prmry Procedure),4609.0,4609.0,,,0 HCPCS,56620,Hc Part Simple Remv Vulva,11148.0,11148.0,,,0 HCPCS,56620,Partial removal of vulva,,,3011.79,8364.54,19 HCPCS,56625,Complete removal of vulva,,,3011.79,10726.0,19 HCPCS,56630,Extensive vulva surgery,,,3051.0,10637.27,17 HCPCS,56631,Extensive vulva surgery,,,3051.0,11685.0,9 HCPCS,56632,Extensive vulva surgery,,,3051.0,11685.0,9 HCPCS,56633,Extensive vulva surgery,,,3051.0,11685.0,9 HCPCS,56634,Extensive vulva surgery,,,3051.0,11685.0,9 HCPCS,56637,Extensive vulva surgery,,,3051.0,11685.0,9 HCPCS,56640,Extensive vulva surgery,,,3051.0,7268.12,6 HCPCS,56700,Hc Partial Removal Of Hymen,5778.0,5778.0,,,0 HCPCS,56700,Partial removal of hymen,,,2572.0,6883.46,19 HCPCS,56740,Hc Excision Of Bartholin's Gland Or Cyst,7264.0,7264.0,,,0 HCPCS,56740,Remove vagina gland lesion,,,3011.79,6883.46,19 HCPCS,56800,Hc Plastic Repair Of Introitus,5989.0,5989.0,,,0 HCPCS,56800,Repair of vagina,,,3011.79,6883.46,19 HCPCS,56805,Repair clitoris,,,3011.79,8821.68,16 HCPCS,56810,"Hc Perineoplasty, Repair Of Perineum, Nonobstetrical",8446.0,8446.0,,,0 HCPCS,56810,Repair of perineum,,,3011.79,8364.54,19 HCPCS,56820,Exam of vulva w/scope,,,202.78,4840.09,18 HCPCS,56821,Exam/biopsy of vulva w/scope,,,305.65,4840.09,19 HCPCS,57000,Exploration of vagina,,,2572.0,6883.46,19 HCPCS,57010,Drainage of pelvic abscess,,,3011.79,6883.46,19 HCPCS,57020,Drainage of pelvic fluid,,,3011.79,10637.27,19 HCPCS,57022,I & d vaginal hematoma pp,,,2912.0,6176.62,18 HCPCS,57023,I & d vag hematoma non-ob,,,2572.0,6176.62,19 HCPCS,57061,Destroy vag lesions simple,,,2572.0,6883.46,18 HCPCS,57061,Hc Destruction Of Vaginal Lesion(S);Simple,4609.0,4609.0,,,0 HCPCS,57065,Destroy vag lesions complex,,,2572.0,6883.46,19 HCPCS,57065,"Hc Destruction Of Vaginal Lesion(S), Extensive",4609.0,4609.0,,,0 HCPCS,57100,Biopsy of vagina,,,923.84,8821.68,19 HCPCS,57100,Hc Biopsy Of Vaginal Mucosa; Simple,4377.0,4377.0,,,0 HCPCS,57100,"Hc Pbb Biopsy Of Vagina,Simple",2114.0,2114.0,,,0 HCPCS,57105,Biopsy of vagina,,,3011.79,6883.46,19 HCPCS,57106,"Hc Vaginectomy,Partial Removal Of Vaginal Wall",6307.0,6307.0,,,0 HCPCS,57106,Remove vagina wall partial,,,3011.79,6883.46,18 HCPCS,57107,Remove vagina tissue part,,,3011.79,7175.28,18 HCPCS,57109,Vaginectomy partial w/nodes,,,2572.0,6883.46,18 HCPCS,57110,Remove vagina wall complete,,,3051.0,7268.12,8 HCPCS,57111,Remove vagina tissue compl,,,3051.0,7870.0,11 HCPCS,57112,Vaginectomy w/nodes compl,,,3051.0,8821.68,3 HCPCS,57120,Closure of vagina,,,3051.0,10637.27,18 HCPCS,57120,Hc Colpocleisis (Le Fort Type),8159.0,8159.0,,,0 HCPCS,57130,Remove vagina lesion,,,3011.79,6883.46,19 HCPCS,57135,Hc Excision Of Vaginal Cyst Or Tumor,5753.0,5753.0,,,0 HCPCS,57135,Remove vagina lesion,,,3011.79,6883.46,19 HCPCS,57150,Treat vagina infection,,,59.17,4840.09,15 HCPCS,57155,Hc Insert Uterine Tandem &/Or Vaginal Ovoids For Clinical Brachytherapy,5230.0,5230.0,,,0 HCPCS,57155,Hc Insertion Of Uterine Tandem/Vaginal Ovoids Brachytx,9463.0,9463.0,,,0 HCPCS,57155,Insert uteri tandem/ovoids,,,1952.0,10637.27,19 HCPCS,57156,Hc Pbb Insertion Vaginal Radiation Afterloading Apparatus Brachytx Device,6277.0,6277.0,,,0 HCPCS,57156,Ins vag brachytx device,,,305.65,4840.09,19 HCPCS,57160,Insert pessary/other device,,,202.78,4840.09,16 HCPCS,57170,Fitting of diaphragm/cap,,,202.78,4840.09,16 HCPCS,57180,Treat vaginal bleeding,,,202.78,4840.09,17 HCPCS,57200,"Hc Colporrhaphy, Suture, Injury Of Vagina (Nonobstetrical)",7396.0,7396.0,,,0 HCPCS,57200,Repair of vagina,,,2572.0,6883.46,19 HCPCS,57210,"Hc Colpoperineorrhapy, Suture, Injury Of Vagina And/Or Perineum, Non Obstetrical",6905.0,6905.0,,,0 HCPCS,57210,Repair vagina/perineum,,,3011.79,6883.46,19 HCPCS,57220,Revision of urethra,,,4419.21,10637.27,19 HCPCS,57230,Hc Plastic Repair Of Urethrocele,6588.0,6588.0,,,0 HCPCS,57230,Repair of urethral lesion,,,3011.79,6883.46,19 HCPCS,57240,Hc Anterior Colporraphy Rpr Cystocele W/Cysto,9290.0,9290.0,,,0 HCPCS,57240,Repair bladder & vagina,,,4419.21,10637.27,19 HCPCS,57250,"Hc Posterior Colporrhaphy, Repair Of Rectocele W/Wo Perineorrhaphy",9290.0,9290.0,,,0 HCPCS,57250,Repair rectum & vagina,,,4419.21,10637.27,19 HCPCS,57260,Hc Cmbnd Anterpost Colporraphy W/Cysto,9290.0,9290.0,,,0 HCPCS,57260,Repair of vagina,,,4419.21,10637.27,19 HCPCS,57265,Extensive repair of vagina,,,4419.21,10726.0,19 HCPCS,57265,Hc Cmbnd Anterpost Colporraphy W/Cysto W/Ntrcl Rpr,12866.0,12866.0,,,0 HCPCS,57267,Insert mesh/pelvic flr addon,,,1343.0,10227.73,7 HCPCS,57268,Repair of bowel bulge,,,3011.79,10637.27,19 HCPCS,57270,Repair of bowel pouch,,,3051.0,7268.12,9 HCPCS,57280,Suspension of vagina,,,3051.0,7268.12,11 HCPCS,57282,Colpopexy extraperitoneal,,,3051.0,15768.27,18 HCPCS,57282,"Hc Colpopexy,Vaginal;Extra-Peritoneal Approach",9290.0,9290.0,,,0 HCPCS,57283,Colpopexy intraperitoneal,,,3051.0,15768.27,18 HCPCS,57284,Repair paravag defect open,,,3051.0,10637.27,18 HCPCS,57285,Repair paravag defect vag,,,3051.0,15768.27,19 HCPCS,57287,Hc Removal Or Revision Of Sling For Stress Incontinence,6588.0,6588.0,,,0 HCPCS,57287,Revise/Remove Sling Repair,,,3011.79,7870.0,18 HCPCS,57288,Hc Sling Operation For Stress Incontinence,11148.0,11148.0,,,0 HCPCS,57288,Repair bladder defect,,,4419.21,10637.27,19 HCPCS,57289,Repair bladder & vagina,,,5087.0,15768.27,19 HCPCS,57291,Construction of vagina,,,3011.79,10637.27,19 HCPCS,57292,Construct vagina with graft,,,3051.0,10637.27,18 HCPCS,57295,Hc Revision Incl Removal Of Prosthetic Vaginal Graft; Vaginal Approach,9762.0,9762.0,,,0 HCPCS,57295,Revise vag graft via vagina,,,3011.79,6883.46,19 HCPCS,57296,Revise vag graft open abd,,,3051.0,7268.12,4 HCPCS,57300,Hc Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach,6588.0,6588.0,,,0 HCPCS,57300,Repair rectum-vagina fistula,,,3011.79,6883.46,19 HCPCS,57305,Repair rectum-vagina fistula,,,3051.0,7268.12,8 HCPCS,57307,Fistula repair & colostomy,,,3051.0,7268.12,6 HCPCS,57308,Fistula repair transperine,,,3051.0,7268.12,9 HCPCS,57310,Repair urethrovaginal lesion,,,3051.0,15768.27,19 HCPCS,57311,Repair urethrovaginal lesion,,,3051.0,7870.0,9 HCPCS,57320,Repair bladder-vagina lesion,,,4419.21,10848.4,19 HCPCS,57330,Repair bladder-vagina lesion,,,3051.0,15768.27,16 HCPCS,57335,Repair vagina,,,3011.79,10637.27,18 HCPCS,57400,Dilation of vagina,,,3011.79,6883.46,19 HCPCS,57400,Hc Dilation Of Vagina Under Anesthesia (Other Than Local),5507.0,5507.0,,,0 HCPCS,57410,Hc Pelvic Examination Under Anesthesia,5507.0,5507.0,,,0 HCPCS,57410,Pelvic examination,,,3011.79,6883.46,19 HCPCS,57415,Hc Removal Of Impacted Vaginal Foreign Body (Sep Proc) Under Anesthesia,5753.0,5753.0,,,0 HCPCS,57415,Remove vaginal foreign body,,,3011.79,6883.46,19 HCPCS,57420,Exam of vagina w/scope,,,305.65,4840.09,19 HCPCS,57420,"Hc Colposcopy Of The Entire Vagina,W/Cervix If Present",4862.0,4862.0,,,0 HCPCS,57420,"Hc Colposcopy,Entire Vagina",1348.0,1348.0,,,0 HCPCS,57421,Exam/biopsy of vag w/scope,,,923.84,4840.09,19 HCPCS,57423,Repair paravag defect lap,,,5730.0,22603.4,19 HCPCS,57425,Laparoscopy surg colpopexy,,,5730.0,22603.4,18 HCPCS,57426,Revise prosth vag graft lap,,,5087.0,15768.27,19 HCPCS,57452,Exam of cervix w/scope,,,202.78,4840.09,19 HCPCS,57452,"Hc Colposcopy,Cervix W/Adj Vagina",2700.5,2700.5,,,0 HCPCS,57454,Bx/curett of cervix w/scope,,,305.65,4840.09,19 HCPCS,57454,Hc Colposcopy Cervix Inc Upper/Adjacent Vagina;W/Bx Cervix&Endocervical Curettage,4639.0,4639.0,,,0 HCPCS,57455,Biopsy of cervix w/scope,,,305.65,4840.09,19 HCPCS,57456,Endocerv curettage w/scope,,,305.65,4840.09,19 HCPCS,57456,Hc Colposcopy Of The Cervix Incl Upper/Adjacent Vagina;W/Endocervical Curettage,4639.0,4639.0,,,0 HCPCS,57460,Bx of cervix w/scope leep,,,3011.79,6883.46,18 HCPCS,57460,Hc Colposcopy Of Cervix Incl Upper/Adjacent Vagina W/ Loop Electrode Biopsy,5849.0,5849.0,,,0 HCPCS,57461,Conz of cervix w/scope leep,,,3011.79,6883.46,19 HCPCS,57461,Hc Colposcpy Cervix Incl Upper/Adjacent Vagina;W/Loop Electrode Conization Cervix,5544.0,5544.0,,,0 HCPCS,57465,Cam cervix uteri drg colp,,,1343.0,1580.0,2 HCPCS,57500,Biopsy of cervix,,,923.84,4840.09,19 HCPCS,57500,"Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration",4609.0,4609.0,,,0 HCPCS,57500,"Hc Pbb Biopsy Cervix, 1 Or More, Or Excision Of Lesion",2114.0,2114.0,,,0 HCPCS,57505,Endocervical curettage,,,923.84,4840.09,19 HCPCS,57505,Hc Endocervical Curettage,2404.0,2404.0,,,0 HCPCS,57510,Cauterization of cervix,,,3011.79,6883.46,18 HCPCS,57511,Cryocautery of cervix,,,305.65,4840.09,19 HCPCS,57513,Laser surgery of cervix,,,3011.79,6883.46,19 HCPCS,57520,Conization of cervix,,,3011.79,6883.46,19 HCPCS,57520,"Hc Conization, Cervix, Fulguration, Dilation And Curettage, Repair, Cold Knife/Laser",5507.0,5507.0,,,0 HCPCS,57522,Conization of cervix,,,3011.79,6883.46,19 HCPCS,57522,"Hc Conization, Cervix, Fulguration, Dilation And Curettage, Repair, Loop Electrode Excision",5507.0,5507.0,,,0 HCPCS,57530,Removal of cervix,,,3011.79,10637.27,19 HCPCS,57531,Removal of cervix radical,,,3051.0,8821.68,6 HCPCS,57540,Removal of residual cervix,,,3051.0,7268.12,6 HCPCS,57545,Remove cervix/repair pelvis,,,3051.0,7268.12,6 HCPCS,57550,Removal of residual cervix,,,3011.79,10637.27,19 HCPCS,57555,Remove cervix/repair vagina,,,3051.0,10637.27,16 HCPCS,57556,Remove cervix repair bowel,,,4419.21,10637.27,19 HCPCS,57558,D&C oF Cervical Stump,,,3011.79,6883.46,19 HCPCS,57558,Hc Dilation/Curettage Of Cervical Stump,7396.0,7396.0,,,0 HCPCS,57700,Revision of cervix,,,2572.0,6883.46,19 HCPCS,57720,Revision of cervix,,,3011.79,6883.46,19 HCPCS,57800,Dilation of cervical canal,,,2572.0,6883.46,19 HCPCS,57800,"Hc Dilation Of Cervical Canal, Instrumental (Separate Procedure)",4609.0,4609.0,,,0 HCPCS,58100,Biopsy of uterus lining,,,202.78,4840.09,18 HCPCS,58100,Hc Endometrial Samp (Biop) W/Wo Endocervical Sampling (Biop) W/O Cervical Dilation,2566.5,2566.5,,,0 HCPCS,58100,Hc Pbb Biopsy Of Uterus Lining,524.0,524.0,,,0 HCPCS,58110,Bx done w/colposcopy add-on,,,1343.0,2987.0,5 HCPCS,58120,Dilation and curettage,,,3011.79,6883.46,19 HCPCS,58120,"Hc Dilation And Curettage, Diagnostic And/Or Therapeutic (Nonobstetrical)",5507.0,5507.0,,,0 HCPCS,58120,"Hc Dilation/Curettage,Diagnostic And/Or Therapeutic",8359.0,8359.0,,,0 HCPCS,58140,Myomectomy abdom method,,,3051.0,9512.0,11 HCPCS,58145,Myomectomy vag method,,,3011.79,8364.54,19 HCPCS,58146,Myomectomy abdom complex,,,3051.0,7870.0,7 HCPCS,58150,Total hysterectomy,,,3051.0,9512.0,10 HCPCS,58152,Total hysterectomy,,,3051.0,9512.0,8 HCPCS,58180,Partial hysterectomy,,,3051.0,9512.0,10 HCPCS,58200,Extensive hysterectomy,,,3051.0,9512.0,8 HCPCS,58210,Extensive hysterectomy,,,3051.0,9512.0,8 HCPCS,58240,Removal of pelvis contents,,,3051.0,8364.54,6 HCPCS,58260,"Hc Vaginal Hysterectomy,For Uterus 250 Gm/Less",13654.0,13654.0,,,0 HCPCS,58260,Vaginal hysterectomy,,,3051.0,11385.0,19 HCPCS,58262,Hc Vaginal Hysterectomy; W/Removal Of Tube(S) And/Or Ovary(S),13654.0,13654.0,,,0 HCPCS,58262,Vag hyst including t/o,,,3051.0,11385.0,19 HCPCS,58263,Vag hyst w/t/o & vag repair,,,3051.0,11385.0,19 HCPCS,58267,Vag hyst w/urinary repair,,,3051.0,7870.0,9 HCPCS,58270,Vag hyst w/enterocele repair,,,3051.0,11385.0,19 HCPCS,58275,Hysterectomy/revise vagina,,,3051.0,7972.53,9 HCPCS,58280,Hysterectomy/revise vagina,,,3051.0,7972.53,9 HCPCS,58285,Extensive hysterectomy,,,3051.0,7972.53,6 HCPCS,58290,Vag hyst complex,,,3051.0,15768.27,18 HCPCS,58291,"Hc Vaginal Hysterect,For Uterus Greater Than 250 Grams;W/Rmvl Tube(S)&/Or Ovary(S)",9290.0,9290.0,,,0 HCPCS,58291,Vag hyst incl t/o complex,,,3051.0,10848.4,18 HCPCS,58292,Vag hyst t/o & repair compl,,,3051.0,15768.27,18 HCPCS,58293,Vag hyst w/uro repair compl,,,3051.0,5611.0,2 HCPCS,58294,Vag hyst w/enterocele compl,,,3051.0,10848.4,18 HCPCS,58300,Hc Insert Intrauterine Device,8661.0,8661.0,,,0 HCPCS,58300,Hc Insert Intrauterine Device (Iud),426.0,426.0,,,0 HCPCS,58300,Insert intrauterine device,,,1343.0,4840.09,11 HCPCS,58301,Hc Pbb Remove Intrauterine Device,1219.0,1219.0,,,0 HCPCS,58301,Hc Remove Intrauterine Device,4862.0,4862.0,,,0 HCPCS,58301,Remove intrauterine device,,,305.65,4840.09,19 HCPCS,58321,Artificial insemination,,,305.65,4840.09,17 HCPCS,58322,Artificial insemination,,,202.78,4840.09,17 HCPCS,58323,Sperm washing,,,202.78,4840.09,17 HCPCS,58340,Catheter for hysterography,,,1343.0,5345.54,7 HCPCS,58340,Hc Cath/Inject Contrast Sis Or Hysterosalpingogram,3335.0,3335.0,,,0 HCPCS,58345,"Hc Reopen Fallopian Tube,Transcerv Cath",10666.0,10666.0,,,0 HCPCS,58345,Reopen fallopian tube,,,2572.0,6883.46,18 HCPCS,58346,Insert heyman uteri capsule,,,3011.79,10637.27,19 HCPCS,58350,"Hc Chromotubation Of Oviduct, Including Materials",6653.0,6653.0,,,0 HCPCS,58350,Reopen fallopian tube,,,4419.21,10637.27,19 HCPCS,58353,Endometr ablate thermal,,,4419.21,10726.0,19 HCPCS,58356,Endometrial cryoablation,,,4419.21,10848.4,18 HCPCS,58400,Suspension of uterus,,,3051.0,7870.0,10 HCPCS,58410,Suspension of uterus,,,3051.0,7268.12,6 HCPCS,58520,Repair of ruptured uterus,,,3051.0,7268.12,8 HCPCS,58540,Revision of uterus,,,3051.0,9512.0,8 HCPCS,58541,Lsh uterus 250 g or less,,,4962.02,22603.4,19 HCPCS,58542,Lsh w/t/o ut 250 g or less,,,5730.0,22603.4,19 HCPCS,58543,LSH Uterus Above 250 g,,,5730.0,22603.4,19 HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,5730.0,22603.4,19 HCPCS,58545,Laparoscopic myomectomy,,,4962.02,12855.28,19 HCPCS,58546,Laparo-myomectomy complex,,,6187.0,22603.4,19 HCPCS,58548,Lap Radical Hyst,,,3051.0,8655.0,7 HCPCS,58550,Laparo-asst vag hysterectomy,,,4962.02,12855.28,19 HCPCS,58552,"Hc Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(",10547.0,10547.0,,,0 HCPCS,58552,Laparo-vag hyst incl t/o,,,6187.0,22603.4,19 HCPCS,58553,Laparo-vag hyst complex,,,6187.0,22603.4,19 HCPCS,58554,Laparo-vag hyst w/t/o compl,,,6187.0,22603.4,19 HCPCS,58555,"Hc Hysteroscopy,Dx,Sep Proc",8661.0,8661.0,,,0 HCPCS,58555,Hysteroscopy dx sep proc,,,2572.0,6883.46,19 HCPCS,58558,"Hc Hysteroscopy,W/Endo Bx",8661.0,8661.0,,,0 HCPCS,58558,Hysteroscopy biopsy,,,3011.79,6883.46,19 HCPCS,58559,"Hc Hysteroscopy,Lysis Adhesions",8661.0,8661.0,,,0 HCPCS,58559,Hysteroscopy lysis,,,3295.0,10637.27,19 HCPCS,58560,"Hc Hysteroscopy,Resect Septum",8661.0,8661.0,,,0 HCPCS,58560,Hysteroscopy resect septum,,,4419.21,10637.27,19 HCPCS,58561,"Hc Hysteroscopy,Rmv Myoma",8661.0,8661.0,,,0 HCPCS,58561,Hysteroscopy remove myoma,,,4419.21,10637.27,19 HCPCS,58562,"Hc Hysteroscopy,Surg;W/Removal Of Impacted Foreign Body",8661.0,8661.0,,,0 HCPCS,58562,Hysteroscopy remove fb,,,3011.79,6883.46,19 HCPCS,58563,"Hc Hysteroscopy,W/Endometrial Ablation",13791.0,13791.0,,,0 HCPCS,58563,Hysteroscopy ablation,,,4419.21,11403.39,19 HCPCS,58565,Hysteroscopy sterilization,,,4419.21,11403.39,19 HCPCS,58570,"Hc Laparscp,Surg,W/Total Hysterctmy,For Uterus 250G Or Less;",13654.0,13654.0,,,0 HCPCS,58570,Tlh uterus 250 g or less,,,6187.0,22603.4,19 HCPCS,58571,"Hc Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(S)",13654.0,13654.0,,,0 HCPCS,58571,Tlh w/t/o 250 g or less,,,6187.0,22603.4,19 HCPCS,58572,"Hc Laparscp,Surg,W/Total Hysterctmy,For Uterus Grtr Thn 250G;",13654.0,13654.0,,,0 HCPCS,58572,Tlh uterus over 250 g,,,6187.0,22603.4,19 HCPCS,58573,"Hc Laparoscopy, Surgical, W/Total Hysterectomy, Uterus Greater Than 250 G; With Removal Of Tube(S) A",13654.0,13654.0,,,0 HCPCS,58573,Tlh w/t/o uterus over 250 g,,,6187.0,22603.4,19 HCPCS,58575,Laps tot hyst resj mal,,,3514.53,7870.0,5 HCPCS,58578,Laparo proc uterus,,,4962.02,12855.28,18 HCPCS,58579,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopic Cervical Polypectomy,8661.0,8661.0,,,0 HCPCS,58579,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopic Removal Of Calcification,8661.0,8661.0,,,0 HCPCS,58579,Asc Only Unlisted Hysteroscopy Procedure - Hysteroscopy Products Of Conception Removal,8661.0,8661.0,,,0 HCPCS,58579,"Asc Only Unlisted Hysteroscopy Procedure, Uterus",8661.0,8661.0,,,0 HCPCS,58579,Hysteroscope procedure,,,202.78,6277.0,18 HCPCS,58580,"Hc Transcervical Ablation Of Uterine Fibroid(S), Including Intraoperative Ultrasound Guidance And Mo",20968.0,20968.0,,,0 HCPCS,58580,Transcrv abltj utrn fibrd rf,,,5730.0,15768.27,16 HCPCS,58600,Division of fallopian tube,,,3011.79,7750.0,19 HCPCS,58600,"Hc Ligation Or Transection Of Fallopian Tube(S) Abdominal Or Vaginal Approach, Unilateral Or Bilater",8910.0,8910.0,,,0 HCPCS,58600,"Hc Ligation/Transection, Fallopian Tubes Abdominal/Vaginal",7396.0,7396.0,,,0 HCPCS,58605,Division of fallopian tube,,,2912.0,7268.12,11 HCPCS,58605,"Hc Ligation/Transection, Fallopian Tubes Abdominal/Vaginal, Postpartum, Same Stay, Separate Procedur",2348.0,2348.0,,,0 HCPCS,58611,"Hc Ligate Oviduct(S), During C-Section",584.0,584.0,,,0 HCPCS,58611,Ligate oviduct(s) add-on,,,2572.0,7268.12,8 HCPCS,58615,Occlude fallopian tube(s),,,3011.79,6883.46,18 HCPCS,58660,"Hc Laparoscopy, Surgical With Lysis Of Adhesions",8893.0,8893.0,,,0 HCPCS,58660,Laparoscopy lysis,,,4962.02,12855.28,19 HCPCS,58661,"Hc Laparoscopy,Surg;W/Remvl Adnexal Structures",9383.0,9383.0,,,0 HCPCS,58661,Laparoscopy remove adnexa,,,4962.02,12855.28,19 HCPCS,58662,"Hc Laparoscopy, Surgical W/Fulguration/Excision, Lesions Of The Ovary, Pelvic Viscera/Peritoneal Sur",9383.0,9383.0,,,0 HCPCS,58662,Laparoscopy excise lesions,,,4962.02,12855.28,19 HCPCS,58670,"Hc Laparoscopy,Surg;W/Fulguration Of Oviducts",8661.0,8661.0,,,0 HCPCS,58670,Laparoscopy tubal cautery,,,4962.02,12855.28,19 HCPCS,58671,"Hc Laparoscopy,Surg;W/Occulsion Of Oviducts By Device",8661.0,8661.0,,,0 HCPCS,58671,Laparoscopy tubal block,,,4962.02,12855.28,19 HCPCS,58672,Laparoscopy fimbrioplasty,,,4962.02,12855.28,19 HCPCS,58673,Laparoscopy salpingostomy,,,4962.02,22603.4,19 HCPCS,58674,Laps abltj uterine fibroids,,,5730.0,22603.4,18 HCPCS,58679,Laparo proc oviduct-ovary,,,4962.02,12855.28,18 HCPCS,58700,"Hc Salpingectomy, Complete Or Partial, Unilateral Or Bilateral (Sep Proc)",9791.0,9791.0,,,0 HCPCS,58700,Removal of fallopian tube,,,3051.0,7870.0,11 HCPCS,58720,Removal of ovary/tube(s),,,3051.0,8655.0,11 HCPCS,58740,Adhesiolysis tube ovary,,,3051.0,7268.12,11 HCPCS,58750,Repair oviduct,,,3051.0,7870.0,11 HCPCS,58752,Revise ovarian tube(s),,,3051.0,7870.0,11 HCPCS,58760,Fimbrioplasty,,,3051.0,7870.0,11 HCPCS,58770,Create new tubal opening,,,3011.79,6883.46,18 HCPCS,58800,Drainage of ovarian cyst(s),,,3011.79,6883.46,19 HCPCS,58805,Drainage of ovarian cyst(s),,,3011.79,6883.46,18 HCPCS,58820,Drain ovary abscess open,,,3011.79,6883.46,19 HCPCS,58822,Drain ovary abscess percut,,,3051.0,7870.0,11 HCPCS,58825,Transposition ovary(s),,,3051.0,7870.0,11 HCPCS,58900,Biopsy of ovary(s),,,3011.79,6883.46,19 HCPCS,58920,Partial removal of ovary(s),,,3051.0,15768.27,18 HCPCS,58925,"Hc Ovarian Cystectomy, Unilateral Or Bilateral",11148.0,11148.0,,,0 HCPCS,58925,Removal of ovarian cyst(s),,,3051.0,10848.4,18 HCPCS,58940,Removal of ovary(s),,,3051.0,7870.0,11 HCPCS,58943,Removal of ovary(s),,,3051.0,7870.0,9 HCPCS,58950,Resect ovarian malignancy,,,3051.0,7870.0,9 HCPCS,58951,Resect ovarian malignancy,,,3051.0,7268.12,6 HCPCS,58952,Resect ovarian malignancy,,,3051.0,8821.68,6 HCPCS,58953,Tah rad dissect for debulk,,,3051.0,7268.12,6 HCPCS,58954,Tah rad debulk/lymph remove,,,3051.0,7268.12,6 HCPCS,58956,Bso omentectomy w/tah,,,3051.0,7268.12,4 HCPCS,58957,Resect Recurrent Gyn Mal,,,3051.0,7268.12,4 HCPCS,58958,Resect Recur Gyn Mal w/Lym,,,3051.0,7268.12,4 HCPCS,58960,Exploration of abdomen,,,3051.0,9512.0,11 HCPCS,58970,Retrieval of oocyte,,,923.84,4840.09,19 HCPCS,58974,Transfer of embryo,,,923.84,4840.09,19 HCPCS,58976,Transfer of embryo,,,305.65,4840.09,19 HCPCS,58999,"Asc Unlisted Procedure, Female Genital System (Nonobstetrical) - Excision Vaginal Cuff Lesion",9791.0,9791.0,,,0 HCPCS,58999,"Asc Unlisted Procedure, Female Genital System (Nonobstetrical) - Kenalog Injection For Labia Majora/",9791.0,9791.0,,,0 HCPCS,58999,Genital surgery procedure,,,202.78,11531.48,18 HCPCS,58999,Hc Intrauterine Device Placement (Jada System),806.0,806.0,,,0 HCPCS,59000,Amniocentesis diagnostic,,,923.84,4840.09,18 HCPCS,59000,"Hc Amniocentesis,Diagnostic",3649.0,3649.0,,,0 HCPCS,59001,Amniocentesis therapeutic,,,305.65,4840.09,18 HCPCS,59012,"Cordocentesis, Intrauterine, Any Method",2256.0,2256.0,,,0 HCPCS,59012,Fetal cord puncture prenatal,,,305.65,4840.09,16 HCPCS,59015,Chorion biopsy,,,923.84,4840.09,16 HCPCS,59020,Fetal contract stress test,,,202.78,4840.09,13 HCPCS,59020,Hc Fetal Contraction Stress Test,1013.0,1013.0,,,0 HCPCS,59025,Fetal non-stress test,,,202.78,4840.09,13 HCPCS,59025,Hc Fetal Non-Stress Test,406.0,406.0,,,0 HCPCS,59030,Fetal scalp blood sample,,,305.65,4840.09,13 HCPCS,59050,Fetal monitor w/report,,,1343.0,4840.09,5 HCPCS,59050,Hc Fetal Monitor W/Report,788.0,788.0,,,0 HCPCS,59051,Fetal monitor/interpret only,,,4840.09,4840.09,2 HCPCS,59070,Transabdom amnioinfus w/us,,,305.65,4840.09,19 HCPCS,59072,Umbilical cord occlud w/us,,,305.65,4840.09,19 HCPCS,59074,Fetal fluid drainage w/us,,,305.65,4840.09,19 HCPCS,59076,Fetal shunt placement w/us,,,305.65,4840.09,19 HCPCS,59100,Hc Hysterectomy,5683.0,5683.0,,,0 HCPCS,59100,Remove uterus lesion,,,3011.79,10637.27,17 HCPCS,59120,Treat ectopic pregnancy,,,3051.0,7870.0,11 HCPCS,59121,Treat ectopic pregnancy,,,3051.0,7870.0,11 HCPCS,59130,Treat ectopic pregnancy,,,3051.0,7268.12,6 HCPCS,59135,Treat ectopic pregnancy,,,3051.0,4840.09,3 HCPCS,59136,Treat ectopic pregnancy,,,3051.0,7268.12,6 HCPCS,59140,Treat ectopic pregnancy,,,3051.0,7268.12,6 HCPCS,59150,Treat ectopic pregnancy,,,4817.0,12855.28,18 HCPCS,59151,Treat ectopic pregnancy,,,4817.0,12855.28,18 HCPCS,59160,D & c after delivery,,,3011.79,6883.46,19 HCPCS,59160,Hc D&C After Delivery,5395.0,5395.0,,,0 HCPCS,59200,Hc Insertion Of Cervical Dilator,1439.0,1439.0,,,0 HCPCS,59200,Insert cervical dilator,,,305.65,4840.09,19 HCPCS,59300,Episiotomy or vaginal repair,,,3011.79,6883.46,18 HCPCS,59300,Hc Episiotomy/Vag Rpr Oth/Thn Attending,10665.0,10665.0,,,0 HCPCS,59320,"Hc Cerclage Of Cervix, During Pregnancy, Vaginal",10666.0,10666.0,,,0 HCPCS,59320,Revision of cervix,,,2572.0,6883.46,19 HCPCS,59325,Revision of cervix,,,3051.0,7268.12,8 HCPCS,59350,Hc Hysterorrhaphy(Repair) Of Ruptured Uterus,1916.0,1916.0,,,0 HCPCS,59350,Repair of uterus,,,3051.0,7268.12,6 HCPCS,59400,Obstetrical care,,,3514.53,7175.28,5 HCPCS,59409,"Hc Obstetrical Care,Vaginal Delivery Multiple",11459.0,11459.0,,,0 HCPCS,59409,"Hc Obstetrical Care,Vaginal Delivery Only",11459.0,11459.0,,,0 HCPCS,59409,"Hc Obstetrical Care,Vaginal Delivery Only Level 2",11459.0,11459.0,,,0 HCPCS,59409,Obstetrical care,,,2572.0,6883.46,18 HCPCS,59410,"Hc Obste Care,Vag Deliv+Postpartum",11459.0,11459.0,,,0 HCPCS,59410,Obstetrical care,,,2572.0,5843.31,7 HCPCS,59412,Antepartum manipulation,,,3011.79,6883.46,17 HCPCS,59412,Hc External Cephalic Version W Or W/O Tocolysis,5395.0,5395.0,,,0 HCPCS,59414,Deliver placenta,,,3011.79,6883.46,16 HCPCS,59414,Hc Deliver Of Placenta,5333.0,5333.0,,,0 HCPCS,59425,Antepartum care only,,,4840.09,4840.09,2 HCPCS,59426,Antepartum care only,,,4840.09,4840.09,2 HCPCS,59430,Care after delivery,,,2572.0,4840.09,4 HCPCS,59510,Cesarean delivery,,,3051.0,7175.28,6 HCPCS,59510,Hc Cesarean Del W Labor Multiple,13051.0,13051.0,,,0 HCPCS,59510,Hc Cesarean Delivery W Labor,13051.0,13051.0,,,0 HCPCS,59514,Cesarean delivery only,,,3011.79,5051.48,6 HCPCS,59514,Hc Cesarean Del W Labor Multiple,13051.0,13051.0,,,0 HCPCS,59514,Hc Cesarean Delivery,13051.0,13051.0,,,0 HCPCS,59514,Hc Cesarean Delivery Multiple,13051.0,13051.0,,,0 HCPCS,59514,Hc Cesarean Delivery W Labor,13051.0,13051.0,,,0 HCPCS,59515,Cesarean delivery,,,3051.0,6654.0,8 HCPCS,59515,Hc Cesarean Delivery,13051.0,13051.0,,,0 HCPCS,59515,Hc Cesarean Delivery Multiple,13051.0,13051.0,,,0 HCPCS,59525,Hc Subtotal Or Total Hysterectomy After Cesarean Delivery,19458.0,19458.0,,,0 HCPCS,59525,Remove uterus after cesarean,,,3011.79,5051.48,6 HCPCS,59610,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery",12187.0,12187.0,,,0 HCPCS,59610,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery Multiples",12187.0,12187.0,,,0 HCPCS,59610,Vbac delivery,,,3051.0,7175.28,6 HCPCS,59612,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery",12187.0,12187.0,,,0 HCPCS,59612,"Hc Vaginal Delivery Only, After Previous Cesarean Delivery Multiples",12187.0,12187.0,,,0 HCPCS,59612,Vbac delivery only,,,3011.79,6883.46,18 HCPCS,59614,Vbac care after delivery,,,3514.53,5843.31,5 HCPCS,59618,Attempted vbac delivery,,,3514.53,8364.54,5 HCPCS,59618,Hc Attempted Vbac Delivery,13752.0,13752.0,,,0 HCPCS,59618,Hc Attempted Vbac Delivery Multiple,13752.0,13752.0,,,0 HCPCS,59620,Attempted vbac delivery only,,,3011.79,5051.48,6 HCPCS,59622,Attempted vbac after care,,,3514.53,5843.31,5 HCPCS,59812,"Hc Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically",9383.0,9383.0,,,0 HCPCS,59812,"Hc Treatment Of Incomplete Abortion, Any Trimester, Surgical",10666.0,10666.0,,,0 HCPCS,59812,Treatment of miscarriage,,,3011.79,8364.54,19 HCPCS,59820,Care of miscarriage,,,3011.79,8364.54,19 HCPCS,59820,"Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester",9383.0,9383.0,,,0 HCPCS,59821,"Hc Treatment Of Missed Abortion, Completed Surgically, Second Trimester",10666.0,10666.0,,,0 HCPCS,59821,Treatment of miscarriage,,,3011.79,8364.54,19 HCPCS,59830,"Hc Treatment Of Septic Abortion, Completed Surgically",11483.0,11483.0,,,0 HCPCS,59830,Treat uterus infection,,,3011.79,5051.48,8 HCPCS,59840,Abortion,,,3011.79,8364.54,19 HCPCS,59840,"Hc Induced Abortion, By Dilation And Curettage",9779.5,9779.5,,,0 HCPCS,59841,Abortion,,,3011.79,8364.54,19 HCPCS,59841,Hc D & E Post Del Or Ab,10666.0,10666.0,,,0 HCPCS,59841,"Hc Induced Abortion, By Dilation And Evacuation",10666.0,10666.0,,,0 HCPCS,59850,Abortion,,,3011.79,5051.48,9 HCPCS,59851,Abortion,,,3011.79,5051.48,9 HCPCS,59852,Abortion,,,3011.79,5051.48,8 HCPCS,59855,Abortion,,,3011.79,5051.48,6 HCPCS,59855,Hc Induced Ab By Vaginal Suppositories W Or W/O Cervical Dilation,11483.0,11483.0,,,0 HCPCS,59856,Abortion,,,2912.0,5051.48,10 HCPCS,59857,Abortion,,,3011.79,5051.48,8 HCPCS,59866,Abortion (mpr),,,305.65,4840.09,17 HCPCS,59870,Evacuate mole of uterus,,,3011.79,8364.54,19 HCPCS,59871,Hc Remove Cerclage Suture,10666.0,10666.0,,,0 HCPCS,59871,Remove cerclage suture,,,3011.79,8364.54,19 HCPCS,59897,Fetal invas px w/us,,,202.78,4840.09,18 HCPCS,59898,Laparo proc ob care/deliver,,,4962.02,12855.28,18 HCPCS,59899,Maternity care procedure,,,202.78,11531.48,18 HCPCS,60000,Drain thyroid/tongue cyst,,,1556.28,5051.48,19 HCPCS,60100,Biopsy of thyroid,,,710.27,4840.09,19 HCPCS,60100,"Hc Biopsy Of Thyroid,Percut",2754.0,2754.0,,,0 HCPCS,60200,Remove thyroid lesion,,,3295.0,12855.28,19 HCPCS,60210,"Hc Partial Excision Thyroid,Unilat",6905.0,6905.0,,,0 HCPCS,60210,"Hc Pbb Partial Excision Thyroid,Unilat",148.0,148.0,,,0 HCPCS,60210,Partial thyroid excision,,,4817.0,12855.28,18 HCPCS,60212,Partial thyroid excision,,,4817.0,12855.28,18 HCPCS,60220,"Hc Total Thyroid Lobectomy, Unilateral; W/Wo Isthmusectomy",5753.0,5753.0,,,0 HCPCS,60220,Partial removal of thyroid,,,3295.0,12855.28,19 HCPCS,60225,Partial removal of thyroid,,,4962.02,12855.28,19 HCPCS,60240,Hc Thyroidectomy,9791.0,9791.0,,,0 HCPCS,60240,Removal of thyroid,,,4962.02,12855.28,18 HCPCS,60252,"Hc Thyroidectomy,Malig,Ltd Neck Surg",15440.0,15440.0,,,0 HCPCS,60252,Removal of thyroid,,,4419.21,12588.0,18 HCPCS,60254,Extensive thyroid surgery,,,3051.0,9512.0,11 HCPCS,60260,Repeat thyroid surgery,,,4419.21,12588.0,18 HCPCS,60270,Removal of thyroid,,,2912.0,7268.12,9 HCPCS,60271,Removal of thyroid,,,4419.21,12588.0,18 HCPCS,60280,Hc Excision Of Thyroglossal Duct Cyst Or Sinus,7811.0,7811.0,,,0 HCPCS,60280,Remove thyroid duct lesion,,,4817.0,12855.28,19 HCPCS,60281,Remove thyroid duct lesion,,,4817.0,12855.28,19 HCPCS,60300,Aspir/inj thyroid cyst,,,710.27,4840.09,18 HCPCS,60300,"Hc Inj/Aspiration, Thyroid Cyst",2754.0,2754.0,,,0 HCPCS,60500,Explore parathyroid glands,,,4419.21,12588.0,18 HCPCS,60500,Hc Explore Parathyroid Glands,7906.0,7906.0,,,0 HCPCS,60502,Re-explore parathyroids,,,4419.21,12588.0,19 HCPCS,60505,Explore parathyroid glands,,,3051.0,7268.12,6 HCPCS,60512,Autotransplant parathyroid,,,1343.0,6277.0,7 HCPCS,60520,Removal of thymus gland,,,4419.21,12588.0,18 HCPCS,60521,Removal of thymus gland,,,3051.0,7268.12,6 HCPCS,60522,Removal of thymus gland,,,3051.0,7268.12,6 HCPCS,60540,Explore adrenal gland,,,3051.0,9512.0,8 HCPCS,60545,Explore adrenal gland,,,3051.0,7268.12,6 HCPCS,60600,Remove carotid body lesion,,,3051.0,8821.68,6 HCPCS,60605,Remove carotid body lesion,,,3051.0,8364.54,6 HCPCS,60650,Laparoscopy adrenalectomy,,,3051.0,8655.0,11 HCPCS,60659,Laparo proc endocrine,,,4962.02,12855.28,18 HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1656.59,7972.53,12 HCPCS,60660,"Hc Ablation Of 1 Or More Thyroid Nodule(S), One Lobe Or The Isthmus, Percutaneous, Including Imaging",4472.0,4472.0,,,0 HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,1343.0,1580.0,2 HCPCS,60699,Endocrine surgery procedure,,,2572.0,12855.28,18 HCPCS,60699,Hc Mri Ablation Endocrine,8118.0,8118.0,,,0 HCPCS,60699,Hc Rfa Adrenal Mass,8118.0,8118.0,,,0 HCPCS,60699,Hc Rfa Thyroid Nodule,8118.0,8118.0,,,0 HCPCS,61000,Remove cranial cavity fluid,,,708.02,4840.09,19 HCPCS,61001,Remove cranial cavity fluid,,,708.02,4840.09,19 HCPCS,61020,Remove brain cavity fluid,,,887.15,4840.09,19 HCPCS,61026,Injection into brain canal,,,708.02,4840.09,19 HCPCS,61050,Hc Cervical Puncture W/O Inj,3352.0,3352.0,,,0 HCPCS,61050,Remove brain canal fluid,,,307.88,4840.09,19 HCPCS,61055,Hc Cisternal/Lateral C1-C2 Puncture W/Injection,4661.0,4661.0,,,0 HCPCS,61055,Injection into brain canal,,,307.88,4840.09,19 HCPCS,61070,Brain canal shunt procedure,,,708.02,4840.09,19 HCPCS,61070,Hc Brain Shunt Tube/Reserv Injectn,2769.0,2769.0,,,0 HCPCS,61070,Hc Puncture Brain Shunt Tube/Reservior Asp/Injection,3689.0,3689.0,,,0 HCPCS,61105,Twist drill hole,,,3011.79,5051.48,6 HCPCS,61107,Drill skull for implantation,,,3011.79,5051.48,6 HCPCS,61108,Drill skull for drainage,,,3051.0,5843.31,6 HCPCS,61120,Burr hole for puncture,,,3051.0,5843.31,6 HCPCS,61120,Hc Burr Hole(S) For Ventricular Puncture,4370.0,4370.0,,,0 HCPCS,61140,Pierce skull for biopsy,,,3051.0,5843.31,6 HCPCS,61150,Pierce skull for drainage,,,3051.0,5843.31,6 HCPCS,61151,Pierce skull for drainage,,,3011.79,5051.48,6 HCPCS,61154,Pierce skull & remove clot,,,3051.0,5843.31,6 HCPCS,61156,Pierce skull for drainage,,,3051.0,5843.31,6 HCPCS,61210,Pierce skull implant device,,,3011.79,5051.48,6 HCPCS,61215,Insert brain-fluid device,,,4419.21,18661.07,19 HCPCS,61250,Pierce skull & explore,,,3011.79,5051.48,6 HCPCS,61253,Pierce skull & explore,,,3011.79,5051.48,6 HCPCS,61304,Open skull for exploration,,,3051.0,10006.92,6 HCPCS,61305,Open skull for exploration,,,3051.0,10006.92,6 HCPCS,61312,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61313,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61314,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61315,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61316,Implt cran bone flap to abdo,,,2572.0,10006.92,6 HCPCS,61320,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61321,Open skull for drainage,,,3051.0,10006.92,6 HCPCS,61322,Decompressive craniotomy,,,3051.0,10006.92,4 HCPCS,61323,Decompressive lobectomy,,,3051.0,10006.92,4 HCPCS,61330,Decompress eye socket,,,3011.79,8655.0,16 HCPCS,61332,Explore/biopsy eye socket,,,3051.0,8364.54,3 HCPCS,61333,Explore orbit/remove lesion,,,3051.0,7268.12,6 HCPCS,61340,Subtemporal decompression,,,3051.0,10006.92,6 HCPCS,61343,Incise skull (press relief),,,3051.0,10006.92,6 HCPCS,61345,Relieve cranial pressure,,,3051.0,10006.92,6 HCPCS,61450,Incise skull for surgery,,,3051.0,10006.92,6 HCPCS,61458,Incise skull for brain wound,,,3051.0,10006.92,6 HCPCS,61460,Incise skull for surgery,,,3051.0,10006.92,6 HCPCS,61480,Incise skull for surgery,,,3051.0,5345.54,3 HCPCS,61500,Removal of skull lesion,,,3051.0,10006.92,11 HCPCS,61501,Remove infected skull bone,,,3051.0,10006.92,6 HCPCS,61510,Removal of brain lesion,,,3051.0,10006.92,6 HCPCS,61512,Remove brain lining lesion,,,3051.0,10006.92,6 HCPCS,61514,Removal of brain abscess,,,3051.0,10006.92,6 HCPCS,61516,Removal of brain lesion,,,3051.0,10006.92,6 HCPCS,61517,Implt brain chemotx add-on,,,3011.79,5051.48,4 HCPCS,61518,Removal of brain lesion,,,3600.0,10006.92,4 HCPCS,61519,Remove brain lining lesion,,,3600.0,10006.92,4 HCPCS,61520,Removal of brain lesion,,,3925.0,10006.92,4 HCPCS,61521,Removal of brain lesion,,,3600.0,10006.92,4 HCPCS,61522,Removal of brain abscess,,,3051.0,10006.92,6 HCPCS,61524,Removal of brain lesion,,,3051.0,10006.92,6 HCPCS,61526,Removal of brain lesion,,,3925.0,10006.92,4 HCPCS,61530,Removal of brain lesion,,,3600.0,10006.92,4 HCPCS,61531,Implant brain electrodes,,,2912.0,10006.92,9 HCPCS,61533,Implant brain electrodes,,,3051.0,10006.92,6 HCPCS,61534,Removal of brain lesion,,,3051.0,10006.92,6 HCPCS,61535,Remove brain electrodes,,,3051.0,10006.92,6 HCPCS,61536,Removal of brain lesion,,,3051.0,10006.92,6 HCPCS,61537,Removal of brain tissue,,,3051.0,10006.92,4 HCPCS,61538,Removal of brain tissue,,,3051.0,10006.92,6 HCPCS,61539,Removal of brain tissue,,,3051.0,10006.92,6 HCPCS,61540,Removal of brain tissue,,,3051.0,10006.92,4 HCPCS,61541,Incision of brain tissue,,,3051.0,10006.92,6 HCPCS,61543,Removal of brain tissue,,,3051.0,10006.92,6 HCPCS,61544,Remove & treat brain lesion,,,3051.0,10006.92,6 HCPCS,61545,Excision of brain tumor,,,3600.0,10006.92,4 HCPCS,61546,Removal of pituitary gland,,,3051.0,10006.92,6 HCPCS,61548,Removal of pituitary gland,,,3051.0,10006.92,6 HCPCS,61550,Release of skull seams,,,3051.0,10006.92,6 HCPCS,61552,Release of skull seams,,,3051.0,10006.92,6 HCPCS,61556,Incise skull/sutures,,,3051.0,10006.92,6 HCPCS,61557,Incise skull/sutures,,,3051.0,10006.92,6 HCPCS,61558,Excision of skull/sutures,,,3051.0,10006.92,6 HCPCS,61559,Excision of skull/sutures,,,3051.0,10006.92,6 HCPCS,61563,Excision of skull tumor,,,3051.0,10006.92,6 HCPCS,61564,Excision of skull tumor,,,3051.0,10006.92,6 HCPCS,61566,Removal of brain tissue,,,3051.0,10006.92,4 HCPCS,61567,Incision of brain tissue,,,3051.0,10006.92,4 HCPCS,61570,Remove foreign body brain,,,3051.0,10006.92,6 HCPCS,61571,Incise skull for brain wound,,,3051.0,10006.92,6 HCPCS,61575,Skull base/brainstem surgery,,,3051.0,10006.92,6 HCPCS,61576,Skull base/brainstem surgery,,,3925.0,10006.92,4 HCPCS,61580,Craniofacial approach skull,,,3600.0,10006.92,6 HCPCS,61581,Craniofacial approach skull,,,3925.0,10006.92,4 HCPCS,61582,Craniofacial approach skull,,,4743.0,10006.92,6 HCPCS,61583,Craniofacial approach skull,,,3925.0,10006.92,4 HCPCS,61584,Orbitocranial approach/skull,,,3925.0,10006.92,6 HCPCS,61585,Orbitocranial approach/skull,,,3925.0,10006.92,4 HCPCS,61586,Resect nasopharynx skull,,,3925.0,10006.92,6 HCPCS,61590,Infratemporal approach/skull,,,3925.0,10006.92,4 HCPCS,61591,Infratemporal approach/skull,,,3925.0,10006.92,4 HCPCS,61592,Orbitocranial approach/skull,,,3925.0,10006.92,4 HCPCS,61595,Transtemporal approach/skull,,,3600.0,10006.92,6 HCPCS,61596,Transcochlear approach/skull,,,3600.0,10006.92,4 HCPCS,61597,Transcondylar approach/skull,,,3600.0,10006.92,4 HCPCS,61598,Transpetrosal approach/skull,,,3925.0,10006.92,6 HCPCS,61600,Hc Resect Base Ant Cran Fossa/Extradurl,10290.0,10290.0,,,0 HCPCS,61600,Resect/excise cranial lesion,,,3600.0,10006.92,6 HCPCS,61601,Resect/excise cranial lesion,,,3600.0,10006.92,6 HCPCS,61605,Resect/excise cranial lesion,,,3051.0,10006.92,6 HCPCS,61606,Resect/excise cranial lesion,,,3600.0,10006.92,4 HCPCS,61607,Hc Resect Parasellar Fossa/Extradurl,10290.0,10290.0,,,0 HCPCS,61607,Resect/excise cranial lesion,,,3600.0,10006.92,4 HCPCS,61608,Resect/excise cranial lesion,,,3925.0,10006.92,4 HCPCS,61610,Transect artery sinus,,,3051.0,8821.68,3 HCPCS,61611,Transect artery sinus,,,3011.79,5051.48,6 HCPCS,61612,Transect artery sinus,,,3051.0,8821.68,3 HCPCS,61613,Remove aneurysm sinus,,,3925.0,10006.92,4 HCPCS,61615,Resect/excise lesion skull,,,3600.0,10006.92,6 HCPCS,61616,Resect/excise lesion skull,,,3925.0,10006.92,4 HCPCS,61618,Repair dura,,,3051.0,10006.92,6 HCPCS,61619,Repair dura,,,3051.0,10006.92,6 HCPCS,61623,Endovasc tempory vessel occl,,,6309.89,24547.7,17 HCPCS,61623,"Hc Endovasc Temp Balloon Occlus,Head/Nck",11753.0,11753.0,,,0 HCPCS,61624,"Hc Perm Occlusion/Embolization,Percut,Cns",12165.0,12165.0,,,0 HCPCS,61624,Transcath occlusion cns,,,3051.0,38980.61,17 HCPCS,61626,Hc Percut Cath Occlusion Or Embolization Non Cns Lesn,11753.0,11753.0,,,0 HCPCS,61626,Transcath occlusion non-cns,,,6309.89,24547.7,17 HCPCS,61630,Hc Pta Intracranial Balloon Angioplasty,9720.0,9720.0,,,0 HCPCS,61630,Intracranial angioplasty,,,3051.0,10006.92,5 HCPCS,61635,Hc Intracranial Balloon Angioplsty W/Stent,10325.0,10325.0,,,0 HCPCS,61635,Intracran angioplsty w/stent,,,3051.0,10006.92,5 HCPCS,61640,Dilate ic vasospasm init,,,3051.0,10006.92,5 HCPCS,61640,"Hc Pta Intracranial-Vasospasm, Initial Vessel",9720.0,9720.0,,,0 HCPCS,61641,Dilate ic vasospasm add-on,,,3051.0,10006.92,5 HCPCS,61641,"Hc Pta Intracranial-Vasospasm, Ea Addl Vessel, Same Family",7291.0,7291.0,,,0 HCPCS,61642,Dilate ic vasospasm add-on,,,3051.0,10006.92,5 HCPCS,61642,"Hc Pta Intracranial-Vasospasm, Ea Addl Vessel, Different Family",8507.0,8507.0,,,0 HCPCS,61645,Hc Perq Art Trluml M-Thrombec &/Nfs Intracranial,30188.0,30188.0,,,0 HCPCS,61645,Perq art m-thrombect &/nfs,,,5125.78,8382.61,5 HCPCS,61650,Evasc prlng admn rx agnt 1st,,,3051.0,8382.61,4 HCPCS,61650,Hc Evasc Intracranial Prolng Admn Rx Agent Art 1St,22908.0,22908.0,,,0 HCPCS,61651,Evasc prlng admn rx agnt add,,,3051.0,8382.61,4 HCPCS,61651,Hc Evasc Intracranial Prolng Admn Rx Agent Art Addl,11454.0,11454.0,,,0 HCPCS,61680,Intracranial vessel surgery,,,3051.0,10006.92,6 HCPCS,61682,Intracranial vessel surgery,,,3925.0,10006.92,4 HCPCS,61684,Intracranial vessel surgery,,,3600.0,10006.92,4 HCPCS,61686,Intracranial vessel surgery,,,4743.0,10006.92,4 HCPCS,61690,Intracranial vessel surgery,,,3051.0,10006.92,6 HCPCS,61692,Intracranial vessel surgery,,,3925.0,10006.92,4 HCPCS,61697,Brain aneurysm repr complx,,,3925.0,10006.92,4 HCPCS,61698,Brain aneurysm repr complx,,,4743.0,10006.92,4 HCPCS,61700,Brain aneurysm repr simple,,,3600.0,10006.92,4 HCPCS,61702,Inner skull vessel surgery,,,3925.0,10006.92,4 HCPCS,61703,Clamp neck artery,,,3051.0,10006.92,6 HCPCS,61705,Revise circulation to head,,,3051.0,10006.92,6 HCPCS,61708,Revise circulation to head,,,3051.0,10006.92,6 HCPCS,61710,Revise circulation to head,,,3051.0,10006.92,6 HCPCS,61711,Fusion of skull arteries,,,3051.0,10006.92,6 HCPCS,61715,"Hc Mri Guided High Intensity Focused Ultrasound (Mrgfus), Stereotactic Ablation Of Target, Intracran",34418.0,34418.0,,,0 HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,6309.89,23693.96,12 HCPCS,61720,Incise skull/brain surgery,,,4419.21,18661.07,16 HCPCS,61735,"Hc Creation Of Lesion By Stereotactic Method, Incl Burr Hole, Subcortical Struct",7752.0,7752.0,,,0 HCPCS,61735,Incise skull/brain surgery,,,3051.0,10006.92,6 HCPCS,61736,"Hc Laser Interstitial Thermal Therapy (Litt) Of Lesion, Single Trajectory For 1 Simple Lesion",4370.0,4370.0,,,0 HCPCS,61736,Litt icr 1 traj 1 smpl les,,,4419.21,7268.12,3 HCPCS,61737,"Hc Laser Interstitial Thermal Therapy (Litt) Of Lesion, Multiple Traj For Multiple Or Complex Lesion",5462.0,5462.0,,,0 HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,4419.21,7268.12,3 HCPCS,61750,Incise skull/brain biopsy,,,3051.0,10006.92,6 HCPCS,61751,Brain biopsy w/ct/mr guide,,,3051.0,10006.92,6 HCPCS,61760,Implant brain electrodes,,,2912.0,10006.92,9 HCPCS,61770,Incise skull for treatment,,,3426.48,11385.0,17 HCPCS,61781,"Hc Stereotactic Comp Assist Proc,Cranial,Intradural",1015.0,1015.0,,,0 HCPCS,61781,Scan proc cranial intra,,,1343.0,2987.0,5 HCPCS,61782,Scan proc cranial extra,,,1343.0,2987.0,5 HCPCS,61783,Scan proc spinal,,,1343.0,2987.0,5 HCPCS,61790,Treat trigeminal nerve,,,1958.63,6293.23,19 HCPCS,61791,Treat trigeminal tract,,,1958.63,6293.23,19 HCPCS,61796,"Hc Stereotactic Radiosurgery, 1 Simple Cranial Lesion",3598.0,3598.0,,,0 HCPCS,61796,Srs cranial lesion simple,,,3011.79,9172.0,7 HCPCS,61797,Srs cran les simple addl,,,2912.0,5051.48,7 HCPCS,61798,Srs cranial lesion complex,,,3011.79,9172.0,7 HCPCS,61799,Noncdm Charge Record,75.0,75.0,,,0 HCPCS,61799,Srs cran les complex addl,,,2912.0,11531.48,7 HCPCS,61800,Apply srs headframe add-on,,,1343.0,4221.48,9 HCPCS,61850,Implant neuroelectrodes,,,3051.0,5843.31,6 HCPCS,61860,Implant neuroelectrodes,,,3051.0,10006.92,6 HCPCS,61863,Hc Neuro Stimulator Implant Subcortical 1St Array,5925.0,5925.0,,,0 HCPCS,61863,Implant neuroelectrode,,,3051.0,10006.92,4 HCPCS,61864,Hc Neuro Stimulator Implant Subcortical Each Addl Array,1158.0,1158.0,,,0 HCPCS,61864,Implant neuroelectrde addl,,,3011.79,5051.48,4 HCPCS,61867,Implant neuroelectrode,,,3051.0,10006.92,4 HCPCS,61868,Implant neuroelectrde addl,,,3011.79,5051.48,4 HCPCS,61870,Implant neuroelectrodes,,,3051.0,4840.09,3 HCPCS,61880,Hc Revision/Remove Intracranial Neurostimulator Electrodes,6343.0,6343.0,,,0 HCPCS,61880,Revise/remove neuroelectrode,,,3506.68,7870.0,16 HCPCS,61885,Insrt/redo neurostim 1 array,,,3295.0,65616.17,18 HCPCS,61886,Implant neurostim arrays,,,5405.0,65616.17,18 HCPCS,61888,Revise/remove neuroreceiver,,,3295.0,23693.96,19 HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,6580.16,10674.37,3 HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,5405.0,65616.17,16 HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3281.9,11385.0,17 HCPCS,62000,Treat skull fracture,,,3011.79,8655.0,16 HCPCS,62005,Treat skull fracture,,,3051.0,10006.92,6 HCPCS,62010,Treatment of head injury,,,3051.0,10006.92,6 HCPCS,62100,Repair brain fluid leakage,,,3051.0,10006.92,6 HCPCS,62115,Reduction of skull defect,,,3051.0,10006.92,6 HCPCS,62117,Reduction of skull defect,,,3051.0,10006.92,6 HCPCS,62120,Repair skull cavity lesion,,,3051.0,10006.92,6 HCPCS,62121,Incise skull repair,,,3051.0,10006.92,6 HCPCS,62140,Repair of skull defect,,,3051.0,5843.31,6 HCPCS,62141,Repair of skull defect,,,3051.0,5843.31,6 HCPCS,62142,Remove skull plate/flap,,,3051.0,5843.31,6 HCPCS,62143,Replace skull plate/flap,,,3051.0,5843.31,6 HCPCS,62145,Repair of skull & brain,,,3051.0,10006.92,6 HCPCS,62146,Repair of skull with graft,,,3051.0,10006.92,6 HCPCS,62147,Repair of skull with graft,,,3051.0,10006.92,6 HCPCS,62148,Retr bone flap to fix skull,,,3011.79,5051.48,4 HCPCS,62160,Neuroendoscopy add-on,,,1343.0,2987.0,5 HCPCS,62161,Dissect brain w/scope,,,3051.0,10006.92,4 HCPCS,62162,Remove colloid cyst w/scope,,,3051.0,10006.92,4 HCPCS,62163,Zneuroendoscopy w/fb removal,,,3051.0,3051.0,1 HCPCS,62164,Remove brain tumor w/scope,,,3051.0,10006.92,4 HCPCS,62165,Remove pituit tumor w/scope,,,3051.0,10006.92,4 HCPCS,62180,Establish brain cavity shunt,,,3051.0,10006.92,6 HCPCS,62190,Establish brain cavity shunt,,,3051.0,5843.31,6 HCPCS,62192,Establish brain cavity shunt,,,3051.0,5843.31,6 HCPCS,62194,Replace/irrigate catheter,,,1958.63,5051.48,19 HCPCS,62200,Establish brain cavity shunt,,,3051.0,10006.92,6 HCPCS,62201,Brain cavity shunt w/scope,,,3051.0,5843.31,6 HCPCS,62220,Establish brain cavity shunt,,,3051.0,5843.31,6 HCPCS,62223,Establish brain cavity shunt,,,3051.0,5843.31,6 HCPCS,62225,Replace/irrigate catheter,,,2572.0,7268.12,19 HCPCS,62230,Replace/revise brain shunt,,,3295.0,18661.07,19 HCPCS,62252,Csf Shunt Reprogram,,,308.07,4840.09,17 HCPCS,62256,Remove brain cavity shunt,,,2912.0,5051.48,9 HCPCS,62258,Replace brain cavity shunt,,,3051.0,7268.12,6 HCPCS,62263,Epidural lysis mult sessions,,,887.15,4840.09,19 HCPCS,62264,Epidural lysis on single day,,,887.15,4840.09,19 HCPCS,62264,"Hc Lysis Epidural Adhesion Using Solution Inj, Mult Adhesiolysis Sessions, 1 Day",2567.0,2567.0,,,0 HCPCS,62267,Hc Percut Aspiration Intervertebral Disc Or Paravertebral Tissue Dx,5400.0,5400.0,,,0 HCPCS,62267,Hc Percut Aspiration Vertebral Disc,5400.0,5400.0,,,0 HCPCS,62267,Interdiscal perq aspir dx,,,710.27,4840.09,19 HCPCS,62268,Drain spinal cord cyst,,,887.15,4840.09,19 HCPCS,62268,"Hc Percutaneous Aspiration, Spinal Cord Cyst Or Syrinx",5816.0,5816.0,,,0 HCPCS,62269,Needle biopsy spinal cord,,,1656.59,5051.48,19 HCPCS,62270,"Hc Pbb Spinal Puncture,Lumbar,Diagnostic",3352.0,3352.0,,,0 HCPCS,62270,"Hc Spinal Puncture,Lumbar,Diagnostic",3352.0,3352.0,,,0 HCPCS,62270,Spinal fluid tap diagnostic,,,708.02,4840.09,19 HCPCS,62272,Drain cerebro spinal fluid,,,708.02,4840.09,19 HCPCS,62272,"Hc Pbb Spinal Puncture,Therapeutic Drainage",2205.0,2205.0,,,0 HCPCS,62272,"Hc Spinal Puncture,Therapeutic Drainage",2205.0,2205.0,,,0 HCPCS,62273,"Hc Inj,Lumb Epidur,Blood/Clot Patch",3352.0,3352.0,,,0 HCPCS,62273,"Hc Injection,Epidural,Of Blood Or Clot Patch",4862.0,4862.0,,,0 HCPCS,62273,Inject epidural patch,,,708.02,4840.09,19 HCPCS,62280,Treat spinal cord lesion,,,887.15,4840.09,19 HCPCS,62281,Treat spinal cord lesion,,,887.15,4840.09,19 HCPCS,62282,"Hc Inj/Inf Of Neurolytic Substance, W Or W/O Oth Tx, Epidural L/S",2383.0,2383.0,,,0 HCPCS,62282,Treat spinal canal lesion,,,887.15,4840.09,19 HCPCS,62284,Hc Injection Procedure Myelography/Ct Lumbar,1707.0,1707.0,,,0 HCPCS,62284,Injection for myelogram,,,1343.0,4840.09,7 HCPCS,62287,Percutaneous diskectomy,,,1958.63,11403.39,19 HCPCS,62290,"Hc Inject Diskogram,Lumbar,Ea Level",242.0,242.0,,,0 HCPCS,62290,Hc Injection Px Discography Each Level Lumbar,4377.0,4377.0,,,0 HCPCS,62290,Inject for spine disk x-ray,,,1343.0,5345.54,7 HCPCS,62291,"Hc Injection Procedure For Discography, Each Level, Cervical Or Thoracic",2201.0,2201.0,,,0 HCPCS,62291,Inject for spine disk x-ray,,,1343.0,4840.09,7 HCPCS,62292,Injection into disk lesion,,,1958.63,5051.48,19 HCPCS,62294,Injection into spinal artery,,,887.15,6293.23,19 HCPCS,62302,Hc Myelography Via Lumbar Injection Rs&I Cervical,2517.0,2517.0,,,0 HCPCS,62302,Myelography lumbar injection,,,786.29,6803.0,16 HCPCS,62303,Hc Myelography Via Lumbar Injection Rs&I Thoracic,2517.0,2517.0,,,0 HCPCS,62303,Myelography lumbar injection,,,786.29,6803.0,16 HCPCS,62304,Hc Myelography Via Lumbar Inject Rs&I Lumbosacral,2517.0,2517.0,,,0 HCPCS,62304,Myelography lumbar injection,,,786.29,6803.0,16 HCPCS,62305,Hc Myelography Via Lumbar Injection Rs&I 2+ Regions,2517.0,2517.0,,,0 HCPCS,62305,Myelography lumbar injection,,,786.29,6803.0,16 HCPCS,62310,Inject spine c/t,,,3295.0,4840.09,3 HCPCS,62311,Inject spine l/s (cd),,,3295.0,4840.09,3 HCPCS,62318,"Inject spine w/cath, c/t",,,3295.0,4840.09,3 HCPCS,62319,Inject spine w/cath l/s (cd),,,3295.0,4840.09,3 HCPCS,62320,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn,3125.0,3125.0,,,0 HCPCS,62320,Njx interlaminar crv/thrc,,,708.02,4840.09,19 HCPCS,62321,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn,4107.0,4107.0,,,0 HCPCS,62321,Njx interlaminar crv/thrc,,,708.02,4840.09,19 HCPCS,62322,"Hc Injection(S), Diagnostic/Therapeutic, Not Including Neurolytic Substances, Incl Needle/Catheter P",4609.0,4609.0,,,0 HCPCS,62322,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,3352.0,3352.0,,,0 HCPCS,62322,Njx interlaminar lmbr/sac,,,887.15,4840.09,19 HCPCS,62323,Hc Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn,4107.0,4107.0,,,0 HCPCS,62323,Njx interlaminar lmbr/sac,,,708.02,4840.09,19 HCPCS,62324,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thoracic W/O Img Gdn,4862.0,4862.0,,,0 HCPCS,62324,Njx interlaminar crv/thrc,,,887.15,4840.09,19 HCPCS,62325,Hc Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Imgn Gdn,4862.0,4862.0,,,0 HCPCS,62325,Njx interlaminar crv/thrc,,,887.15,4840.09,19 HCPCS,62326,Hc Njx Dx/Ther Sbst Intrlmnr Lmbar/Sac W/O Img Gdn,4710.0,4710.0,,,0 HCPCS,62326,Njx interlaminar lmbr/sac,,,887.15,4840.09,19 HCPCS,62327,Hc Njx Dx/Ther Sbst Intrlmnr Lmbar/Sac W/Img Gdn,4786.0,4786.0,,,0 HCPCS,62327,Njx interlaminar lmbr/sac,,,887.15,4840.09,19 HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,708.02,4840.09,17 HCPCS,62328,Hc Spinal Puncture Lumbar - Dx - W/Fluoro Or Ct,4752.0,4752.0,,,0 HCPCS,62328,"Hc Spinal Puncture, Lumbar, Diagnostic; With Fluoroscopic Or Ct Guidance",4609.0,4609.0,,,0 HCPCS,62329,Hc Spinal Puncture Lumbar - Therapeutic For Drainage,2579.0,2579.0,,,0 HCPCS,62329,Ther spi pnxr csf fluor/ct,,,708.02,4840.09,17 HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7278.16,15429.7,7 HCPCS,62350,Implant spinal canal cath,,,3295.0,18661.07,19 HCPCS,62351,Implant spinal canal cath,,,3295.0,15429.7,19 HCPCS,62355,Hc Removal Previously Implanted Intrathecal/Epidural Cath,4950.0,4950.0,,,0 HCPCS,62355,Remove spinal canal catheter,,,1958.63,5345.54,19 HCPCS,62360,Insert spine infusion device,,,3295.0,38326.13,19 HCPCS,62361,Implant spine infusion pump,,,3295.0,38326.13,18 HCPCS,62362,"Hc Implant/Replace Intrathecal/Eepidural Drug Infusion, Programmable Pump",54301.0,54301.0,,,0 HCPCS,62362,Implant spine infusion pump,,,3295.0,38326.13,18 HCPCS,62365,Hc Removal Subq Reservoir/Pump Intrathecal/Epidural Infusion,16074.0,16074.0,,,0 HCPCS,62365,Remove spine infusion device,,,3295.0,9172.0,19 HCPCS,62367,Analyze spine infus pump,,,308.07,4840.09,19 HCPCS,62367,Hc Elect Analys Implt Ithcl/Edrl Pump W/O Reprgrmg,5230.0,5230.0,,,0 HCPCS,62367,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/O Reprg/Refil,869.0,869.0,,,0 HCPCS,62368,Analyze sp inf pump w/reprog,,,308.07,4840.09,19 HCPCS,62368,Hc Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg,3445.0,3445.0,,,0 HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,308.07,4840.09,16 HCPCS,62369,Hc Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil,1224.0,1224.0,,,0 HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,308.07,4840.09,18 HCPCS,62370,Hc Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp,1224.0,1224.0,,,0 HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,5730.0,15429.7,18 HCPCS,63001,Remove spine lamina 1/2 crvl,,,6156.44,15429.7,19 HCPCS,63003,Remove spine lamina 1/2 thrc,,,6156.44,15429.7,19 HCPCS,63005,Remove spine lamina 1/2 lmbr,,,5730.0,15429.7,19 HCPCS,63011,Remove spine lamina 1/2 scrl,,,5730.0,15429.7,19 HCPCS,63012,Remove lamina/facets lumbar,,,5730.0,15429.7,19 HCPCS,63015,Remove spine lamina >2 crvcl,,,6156.44,15429.7,19 HCPCS,63016,Remove spine lamina >2 thrc,,,6156.44,15429.7,19 HCPCS,63017,Remove spine lamina >2 lmbr,,,4817.0,15429.7,19 HCPCS,63020,Neck spine disk surgery,,,5405.0,15429.7,19 HCPCS,63030,Low back disk surgery,,,5730.0,15429.7,19 HCPCS,63035,Spinal disk surgery add-on,,,1343.0,11385.0,8 HCPCS,63040,Laminotomy single cervical,,,5730.0,15429.7,19 HCPCS,63042,Laminotomy single lumbar,,,5730.0,15429.7,19 HCPCS,63043,Laminotomy addl cervical,,,2572.0,11385.0,6 HCPCS,63044,Laminotomy addl lumbar,,,2572.0,11385.0,6 HCPCS,63045,Remove spine lamina 1 crvl,,,5730.0,15429.7,19 HCPCS,63046,Remove spine lamina 1 thrc,,,5730.0,15429.7,19 HCPCS,63047,Remove spine lamina 1 lmbr,,,5730.0,15429.7,19 HCPCS,63048,Remove spinal lamina add-on,,,1343.0,11385.0,8 HCPCS,63050,Cervical laminoplsty 2/> seg,,,3051.0,10006.92,4 HCPCS,63051,C-laminoplasty w/graft/plate,,,3051.0,10006.92,4 HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,1343.0,11385.0,5 HCPCS,63053,Lam factc/frmt arthrd lum ea,,,1343.0,11385.0,5 HCPCS,63055,Decompress spinal cord thrc,,,5730.0,15429.7,19 HCPCS,63056,Decompress spinal cord lmbr,,,6156.44,15429.7,19 HCPCS,63057,Decompress spine cord add-on,,,1343.0,7175.28,7 HCPCS,63064,Decompress spinal cord thrc,,,6156.44,15429.7,17 HCPCS,63066,Decompress spine cord add-on,,,1343.0,8821.68,5 HCPCS,63075,Neck spine disk surgery,,,5730.0,15429.7,18 HCPCS,63076,Neck spine disk surgery,,,1343.0,5594.0,7 HCPCS,63077,Spine disk surgery thorax,,,3051.0,10006.92,6 HCPCS,63078,Spine disk surgery thorax,,,3011.79,5051.48,6 HCPCS,63081,Remove vert body dcmprn crvl,,,3051.0,10006.92,8 HCPCS,63082,Remove vertebral body add-on,,,3011.79,5051.48,6 HCPCS,63085,Remove vert body dcmprn thrc,,,3051.0,10006.92,6 HCPCS,63086,Remove vertebral body add-on,,,3011.79,5051.48,6 HCPCS,63087,Remov vertbr dcmprn thrclmbr,,,3051.0,10006.92,4 HCPCS,63088,Remove vertebral body add-on,,,3011.79,5051.48,6 HCPCS,63090,Remove vert body dcmprn lmbr,,,3051.0,10006.92,6 HCPCS,63091,Remove vertebral body add-on,,,3011.79,5051.48,6 HCPCS,63101,Remove vert body dcmprn thrc,,,3051.0,10006.92,4 HCPCS,63102,Remove vert body dcmprn lmbr,,,3051.0,10006.92,4 HCPCS,63103,Remove vertebral body add-on,,,3011.79,5051.48,4 HCPCS,63170,Incise spinal cord tract(s),,,3051.0,11385.0,7 HCPCS,63172,Drainage of spinal cyst,,,3051.0,11385.0,7 HCPCS,63173,Drainage of spinal cyst,,,3051.0,11385.0,7 HCPCS,63180,Revise spinal cord ligaments,,,3051.0,8821.68,3 HCPCS,63182,Revise spinal cord ligaments,,,3051.0,8821.68,3 HCPCS,63185,Incise spine nrv half segmnt,,,3051.0,11685.0,10 HCPCS,63190,Incise spine nrv >2 segmnts,,,3051.0,11685.0,10 HCPCS,63191,Incise spine accessory nerve,,,3051.0,11685.0,10 HCPCS,63194,Incise spine & cord cervical,,,3051.0,8821.68,3 HCPCS,63195,Incise spine & cord thoracic,,,3051.0,8821.68,3 HCPCS,63196,Incise spine&cord 2 trx crvl,,,3051.0,8821.68,3 HCPCS,63197,Incise spine&cord 2 trx thrc,,,3051.0,11385.0,7 HCPCS,63198,Incise spin&cord 2 stgs crvl,,,3051.0,5345.54,3 HCPCS,63199,Incise spin&cord 2 stgs thrc,,,3051.0,8821.68,3 HCPCS,63200,Release spinal cord lumbar,,,3051.0,11685.0,10 HCPCS,63250,Revise spinal cord vsls crvl,,,3600.0,11385.0,5 HCPCS,63251,Revise spinal cord vsls thrc,,,3600.0,11385.0,5 HCPCS,63252,Revise spine cord vsl thrlmb,,,3600.0,11685.0,8 HCPCS,63265,Excise intraspinl lesion crv,,,3051.0,15429.7,18 HCPCS,63266,Excise intrspinl lesion thrc,,,3051.0,15429.7,18 HCPCS,63267,Excise intrspinl lesion lmbr,,,3051.0,15429.7,19 HCPCS,63268,Excise intrspinl lesion scrl,,,3051.0,15429.7,18 HCPCS,63270,Excise intrspinl lesion crvl,,,3051.0,11385.0,7 HCPCS,63271,Excise intrspinl lesion thrc,,,3051.0,11385.0,7 HCPCS,63272,Excise intrspinl lesion lmbr,,,3051.0,11685.0,10 HCPCS,63273,Excise intrspinl lesion scrl,,,3051.0,11385.0,7 HCPCS,63275,Bx/exc xdrl spine lesn crvl,,,3051.0,11385.0,7 HCPCS,63276,Bx/exc xdrl spine lesn thrc,,,3051.0,11385.0,7 HCPCS,63277,Bx/exc xdrl spine lesn lmbr,,,3051.0,11685.0,10 HCPCS,63278,Bx/exc xdrl spine lesn scrl,,,3051.0,11385.0,7 HCPCS,63280,Bx/exc idrl spine lesn crvl,,,3051.0,11385.0,7 HCPCS,63281,Bx/exc idrl spine lesn thrc,,,3051.0,11385.0,7 HCPCS,63282,Bx/exc idrl spine lesn lmbr,,,3051.0,11685.0,10 HCPCS,63283,Bx/exc idrl spine lesn scrl,,,3051.0,11385.0,7 HCPCS,63285,Bx/exc idrl imed lesn cervl,,,3051.0,11385.0,7 HCPCS,63286,Bx/exc idrl imed lesn thrc,,,3051.0,11385.0,7 HCPCS,63287,Bx/exc idrl imed lesn thrlmb,,,3051.0,11685.0,10 HCPCS,63290,Bx/exc xdrl/idrl lsn any lvl,,,3051.0,11685.0,10 HCPCS,63295,Repair laminectomy defect,,,3051.0,11385.0,5 HCPCS,63300,Remove vert xdrl body crvcl,,,3051.0,10006.92,6 HCPCS,63301,Remove vert xdrl body thrc,,,3051.0,10006.92,6 HCPCS,63302,Remove vert xdrl body thrlmb,,,3051.0,10006.92,6 HCPCS,63303,Remov vert xdrl bdy lmbr/sac,,,3051.0,10006.92,6 HCPCS,63304,Remove vert idrl body crvcl,,,3051.0,10006.92,6 HCPCS,63305,Remove vert idrl body thrc,,,3051.0,10006.92,6 HCPCS,63306,Remov vert idrl bdy thrclmbr,,,3051.0,10006.92,6 HCPCS,63307,Remov vert idrl bdy lmbr/sac,,,3051.0,10006.92,6 HCPCS,63308,Remove vertebral body add-on,,,3011.79,5051.48,6 HCPCS,63600,Remove spinal cord lesion,,,1958.63,6803.0,19 HCPCS,63610,Stimulation of spinal cord,,,1958.63,5495.0,19 HCPCS,63615,Remove lesion of spinal cord,,,3051.0,5345.54,4 HCPCS,63620,Srs spinal lesion,,,3011.79,9172.0,7 HCPCS,63621,Srs spinal lesion addl,,,2912.0,5051.48,7 HCPCS,63650,Hc Neuro Stimulator Plmt Epidural,11422.5,11422.5,,,0 HCPCS,63650,Implant neuroelectrodes,,,3295.0,13551.61,19 HCPCS,63655,"Hc Laminectomy Implant Neurostimulator Electrode(S),Plate/Paddle,Epidural",13654.0,13654.0,,,0 HCPCS,63655,Implant neuroelectrodes,,,6580.16,41252.63,18 HCPCS,63661,Hc Removal Spinal Neurostim Electrode Percu Array Incl Fluor,4950.0,4950.0,,,0 HCPCS,63661,"Hc Rmvl Spnl Neurostim Electrd Percut Array(S),Inc Fluro,Whn Prfrmd",12866.0,12866.0,,,0 HCPCS,63661,Remove spine eltrd perq aray,,,1958.63,10726.0,19 HCPCS,63662,Hc Removal Spinal Neurostim Electrode Plate/Paddle Incl Fluor,4950.0,4950.0,,,0 HCPCS,63662,Remove spine eltrd plate,,,2572.0,10726.0,19 HCPCS,63663,Hc Revision Incl Rplcmt Spinal Neurostim Electrode Percu Array Incl Fluoro,17375.0,17375.0,,,0 HCPCS,63663,"Hc Revision Including Replacement, Spinal Neurostimulator Electrode Percutaneous Array(S), Including",12866.0,12866.0,,,0 HCPCS,63663,Revise spine eltrd perq aray,,,2572.0,13551.61,19 HCPCS,63664,Hc Revision Incl Rplcmt Spinal Neurostim Electrode Plate/Paddle Incl Fluoro,17375.0,17375.0,,,0 HCPCS,63664,Revise spine eltrd plate,,,2572.0,23693.96,19 HCPCS,63685,"Hc Insrt/Rplc Spnl Neurostm Pulse Gen,Recvr,Direct/Induct Coupling",44940.0,44940.0,,,0 HCPCS,63685,Insrt/redo spine n generator,,,3295.0,65616.17,18 HCPCS,63688,Hc Revision/Rmvl Implanted Spinal Neurostim Generator/Receiver,9233.0,9233.0,,,0 HCPCS,63688,Hc Revision/Rmvl Of Implated Spinal Neurostimulator Pulse Generator/Receiver,4815.0,4815.0,,,0 HCPCS,63688,Revise/remove neuroreceiver,,,2572.0,7870.0,19 HCPCS,63700,Repair of spinal herniation,,,3051.0,5843.31,6 HCPCS,63702,Repair of spinal herniation,,,3051.0,5843.31,6 HCPCS,63704,Repair of spinal herniation,,,3051.0,10006.92,6 HCPCS,63706,Repair of spinal herniation,,,3051.0,10006.92,6 HCPCS,63707,Repair spinal fluid leakage,,,3051.0,5843.31,6 HCPCS,63709,Repair spinal fluid leakage,,,3051.0,5843.31,6 HCPCS,63710,Graft repair of spine defect,,,3051.0,5843.31,6 HCPCS,63740,Install spinal shunt,,,3051.0,5843.31,6 HCPCS,63741,Install spinal shunt,,,3295.0,18661.07,18 HCPCS,63744,Revision of spinal shunt,,,3426.48,8655.0,19 HCPCS,63746,Removal of spinal shunt,,,1958.63,5345.54,19 HCPCS,64400,"Hc Inject Nerve Block,Trigeminal",3072.0,3072.0,,,0 HCPCS,64400,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Trigeminal Nerve, Each Branch",779.0,779.0,,,0 HCPCS,64400,N block inj trigeminal,,,307.88,4840.09,19 HCPCS,64402,N block inj facial,,,2572.0,4840.09,3 HCPCS,64405,"Hc Inject Nerv Blck,Great Occiptl",1282.0,1282.0,,,0 HCPCS,64405,"Hc Inject Nerve Block,Great Occipital",3072.0,3072.0,,,0 HCPCS,64405,N block inj occipital,,,307.88,4840.09,19 HCPCS,64408,Hc Inject Vagus Nerve Block,1325.0,1325.0,,,0 HCPCS,64408,N block inj vagus,,,307.88,4840.09,19 HCPCS,64410,N block inj phrenic,,,2572.0,4840.09,4 HCPCS,64412,Injection for nerve block,,,4840.09,4840.09,2 HCPCS,64413,N block inj cervical plexus,,,3051.0,4840.09,4 HCPCS,64415,"Hc Inj,Anes Agent,Brachial Plexus,Single",4786.0,4786.0,,,0 HCPCS,64415,N block inj brachial plexus,,,887.15,4840.09,19 HCPCS,64416,N block cont infuse b plex,,,887.15,4840.09,19 HCPCS,64417,"Hc Inject Nerv Blck,Axillary Nerv",4107.0,4107.0,,,0 HCPCS,64417,N block inj axillary,,,887.15,4840.09,19 HCPCS,64418,"Hc Inject Nerv Blck,Suprascap N.",3352.0,3352.0,,,0 HCPCS,64418,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Suprascapular Nerve",4609.0,4609.0,,,0 HCPCS,64418,N block inj suprascapular,,,708.02,4840.09,19 HCPCS,64420,"Hc Inject Nerv Blck,Intercostal,One",4107.0,4107.0,,,0 HCPCS,64420,N block inj intercost sng,,,708.02,4840.09,19 HCPCS,64421,"Hc Inject Nerv Blck,Intercost,Multpl",4282.5,4282.5,,,0 HCPCS,64421,N block inj intercost mlt,,,887.15,4840.09,19 HCPCS,64425,"Hc Inject Nerv Blck,Ilioingu/Iliohyp",3352.0,3352.0,,,0 HCPCS,64425,"Hc Injection(S), Anesthetic Agent(S) And/Or Steroid; Ilioinguinal, Iliohypogastric Nerves",4609.0,4609.0,,,0 HCPCS,64425,N block inj ilio-ing/hypogi,,,708.02,4840.09,19 HCPCS,64430,"Hc Inject Nerv Blck,Pudendal",4107.0,4107.0,,,0 HCPCS,64430,N block inj pudendal,,,887.15,4840.09,19 HCPCS,64435,"Hc Inject Nerv Blck,Paracervical",2910.0,2910.0,,,0 HCPCS,64435,"Hc Pbb Inject Nerv Blck,Paracervical",2910.0,2910.0,,,0 HCPCS,64435,N block inj paracervical,,,708.02,4840.09,19 HCPCS,64445,"Hc Inj,Anes Agent,Sciatic Nerve,Single",4107.0,4107.0,,,0 HCPCS,64445,N block inj sciatic sng,,,708.02,4840.09,19 HCPCS,64446,N blk inj sciatic cont inf,,,887.15,4840.09,17 HCPCS,64447,"Hc Inj,Anes Agent,Femoral Nerve,Single",4107.0,4107.0,,,0 HCPCS,64447,N block inj fem single,,,708.02,4840.09,17 HCPCS,64448,N block inj fem cont inf,,,887.15,4840.09,17 HCPCS,64449,N block inj lumbar plexus,,,887.15,4840.09,19 HCPCS,64450,"Hc Inject Nerv Blck,Othr Periph Nerv",2910.0,2910.0,,,0 HCPCS,64450,"Hc Injection, Anesthetic Agent; Other Peripheral Nerve Or Branch",4862.0,4862.0,,,0 HCPCS,64450,N block other peripheral,,,708.02,4840.09,19 HCPCS,64451,Hc Nerve Block Si Joint,4631.0,4631.0,,,0 HCPCS,64451,Hc Nerve Block Si Joint Bilateral,2242.0,2242.0,,,0 HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,708.02,4840.09,17 HCPCS,64454,Hc Genicular Nerve Branch(Min 3),3605.0,3605.0,,,0 HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,708.02,4840.09,17 HCPCS,64455,Hc Inject Anes/Steroid Plantar Common Digital Nerve,1325.0,1325.0,,,0 HCPCS,64455,N block inj plantar digit,,,307.88,4840.09,18 HCPCS,64461,"Hc Paravertebral Block (Pvb), Thoracic Single Inj Site Incl Imaging",4631.0,4631.0,,,0 HCPCS,64461,"Hc Paravertebral Block (Pvb), Thoracic, Single Injection Site, Includes Imaging Guidance",2091.0,2091.0,,,0 HCPCS,64461,Pvb thoracic single inj site,,,708.02,4840.09,18 HCPCS,64462,"Hc Paravertebral Block (Pvb), Thoracic Second And Addl Inj Site(S) Incl Imaging",4631.0,4631.0,,,0 HCPCS,64462,"Hc Paravertebral Block (Pvb), Thoracic, Second And Any Additional Injection Site(S), Includes Imagin",1046.0,1046.0,,,0 HCPCS,64462,Pvb thoracic 2nd+ inj site,,,1343.0,2987.0,5 HCPCS,64463,Pvb thoracic cont infusion,,,708.02,4840.09,18 HCPCS,64466,"Hc Thoracic Fascial Plane Block, Unilateral; By Injection(S), Including Imaging Guidance, When Perfo",222.0,222.0,,,0 HCPCS,64466,Thrc fascial pln blk uni njx,,,1343.0,1580.0,2 HCPCS,64467,"Hc Thoracic Fascial Plane Block, Unilateral; By Continuous Infusion(S), Including Imaging Guidance,",255.0,255.0,,,0 HCPCS,64467,Thrc fascial pln blk uni nfs,,,1343.0,1580.0,2 HCPCS,64468,"Hc Thoracic Fascial Plane Block, Bilateral; By Injection(S), Including Imaging Guidance, When Perfor",246.0,246.0,,,0 HCPCS,64468,Thrc fascial pln blk bi njx,,,1343.0,1580.0,2 HCPCS,64469,"Hc Thoracic Fascial Plane Block, Bilateral; By Continuous Infusion(S), Including Imaging Guidance, W",268.0,268.0,,,0 HCPCS,64469,Thrc fascial pln blk bi nfs,,,1343.0,1580.0,2 HCPCS,64473,"Hc Lower Extremity Fascial Plane Block, Unilateral; By Injection(S), Including Imaging Guidance, Whe",2530.0,2530.0,,,0 HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,1343.0,1580.0,2 HCPCS,64474,"Hc Lower Extremity Fascial Plane Block, Unilateral; By Continuous Infusion(S), Including Imaging Gui",246.0,246.0,,,0 HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,1343.0,1580.0,2 HCPCS,64479,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level",4203.0,4203.0,,,0 HCPCS,64479,Inj foramen epidural c/t,,,887.15,4840.09,19 HCPCS,64480,"Hc Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,Ea Add Level",3420.5,3420.5,,,0 HCPCS,64480,Inj foramen epidural add-on,,,1343.0,4840.09,7 HCPCS,64483,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level",4107.0,4107.0,,,0 HCPCS,64483,Inj foramen epidural l/s,,,887.15,4840.09,19 HCPCS,64484,"Hc Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,Ea Add Level",3117.5,3117.5,,,0 HCPCS,64484,Inj foramen epidural add-on,,,1343.0,4840.09,7 HCPCS,64486,Hc Tap Block Unilateral By Injection(S),5739.0,5739.0,,,0 HCPCS,64486,Tap block unil by injection,,,1343.0,3826.0,5 HCPCS,64487,Tap block uni by infusion,,,1343.0,3826.0,5 HCPCS,64488,Hc Tap Block Bilateral By Injection(S),5739.0,5739.0,,,0 HCPCS,64488,Tap block bi injection,,,1343.0,3826.0,5 HCPCS,64489,Hc Tap Block Bilateral By Continuous Infusion(S),4862.0,4862.0,,,0 HCPCS,64489,Tap block bi by infusion,,,1343.0,3826.0,5 HCPCS,64490,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1St Level",4786.0,4786.0,,,0 HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,887.15,4840.09,19 HCPCS,64491,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 2Nd Level",2943.5,2943.5,,,0 HCPCS,64491,Inj paravert f jnt c/t 2 lev,,,1343.0,2987.0,5 HCPCS,64492,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, Add Level",3149.0,3149.0,,,0 HCPCS,64492,Inj paravert f jnt c/t 3 lev,,,1343.0,2987.0,5 HCPCS,64493,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level",4786.0,4786.0,,,0 HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,887.15,4840.09,19 HCPCS,64494,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 2Nd Level",2899.5,2899.5,,,0 HCPCS,64494,Inj paravert f jnt l/s 2 lev,,,1343.0,2987.0,5 HCPCS,64495,"Hc Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, Add Level",2943.5,2943.5,,,0 HCPCS,64495,Inj paravert f jnt l/s 3 lev,,,1343.0,2987.0,5 HCPCS,64505,"Hc Injection, Anesthetic Agent, Sphenopalatine Ganglion",3029.0,3029.0,,,0 HCPCS,64505,N block spenopalatine gangl,,,307.88,4840.09,19 HCPCS,64508,N block carotid sinus s/p,,,2572.0,4840.09,4 HCPCS,64510,"Hc Inject Nerv Blck,Stellate Ganglion",4107.0,4107.0,,,0 HCPCS,64510,N block stellate ganglion,,,887.15,4840.09,19 HCPCS,64517,"Hc Inj,Anes;Superior Hypogastric Plexus",5810.0,5810.0,,,0 HCPCS,64517,"Hc Injection, Anesthetic Agent, Superior Hypogastric Plexus",4393.0,4393.0,,,0 HCPCS,64517,N block inj hypogas plxs,,,887.15,5345.54,19 HCPCS,64520,"Hc Inject Nerv Blck,Paravert Sympath",4107.0,4107.0,,,0 HCPCS,64520,N block lumbar/thoracic,,,887.15,4840.09,19 HCPCS,64530,"Hc Inject Nerv Blck,Celiac Plexus",4786.0,4786.0,,,0 HCPCS,64530,N block inj celiac pelus,,,887.15,4840.09,19 HCPCS,64550,Apply neurostimulator,,,2572.0,4840.09,4 HCPCS,64553,Implant neuroelectrodes,,,2572.0,23693.96,19 HCPCS,64555,Hc Percutaneous Implantation Of Neurostimulator Electrodes; Peripheral Nerve,14456.5,14456.5,,,0 HCPCS,64555,Implant neuroelectrodes,,,2572.0,13551.61,18 HCPCS,64561,Hc Percutaneous Implantation Of Neurostimulator Electrode Array; Sacral Nerve Including Image Guidan,6588.0,6588.0,,,0 HCPCS,64561,Implant neuroelectrodes,,,5405.0,13551.61,19 HCPCS,64565,Implant neuroelectrodes,,,7118.0,10227.73,4 HCPCS,64566,Neuroeltrd stim post tibial,,,307.88,4840.09,19 HCPCS,64567,Perq elec nrv field stimj cn,,,909.73,1928.62,7 HCPCS,64568,Inc for vagus n elect impl,,,3295.0,93660.94,17 HCPCS,64569,Revise/repl vagus n eltrd,,,3295.0,23693.96,19 HCPCS,64570,"Hc Removl Of Crnial Nrv(Eg,Vagus Nrv)Neurostimltr Electrde Array & Pulse Generator",13654.0,13654.0,,,0 HCPCS,64570,Remove vagus n eltrd,,,2572.0,11385.0,19 HCPCS,64575,Implant neuroelectrodes,,,2572.0,23693.96,19 HCPCS,64580,Hc Incision For Implantation Of Neurostimulator Electrodes; Neuromuscular,4609.0,4609.0,,,0 HCPCS,64580,Implant neuroelectrodes,,,2572.0,41252.63,18 HCPCS,64581,"Hc Incision,Implant,Neuroelec,Sacral Nerve",7906.0,7906.0,,,0 HCPCS,64581,"Hc Pbb Incision,Implant,Neuroelec,Sacral Nerve",966.0,966.0,,,0 HCPCS,64581,Implant neuroelectrodes,,,5405.0,13551.61,19 HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,3295.0,65616.17,16 HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,3295.0,23693.96,16 HCPCS,64584,Rmvl hpglsl nstim ary pg,,,2572.0,11403.39,16 HCPCS,64585,Hc Revision Or Removal Of Peripheral Neurostimulator Electrodes;Array,4609.0,4609.0,,,0 HCPCS,64585,Revise/remove neuroelectrode,,,2572.0,7870.0,19 HCPCS,64590,Hc Implant Periph/Gastric Neurostim/Receiver,5810.0,5810.0,,,0 HCPCS,64590,Insrt/redo pn/gastr stimul,,,3295.0,41252.63,18 HCPCS,64595,Hc Revsn/Rmvl Of Peripheral/Gastric Neurostimulator Pulse Generator Or Receiver,4609.0,4609.0,,,0 HCPCS,64595,Revise/rmv pn/gastr stimul,,,2572.0,7870.0,19 HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,3295.0,23693.96,16 HCPCS,64597,Ins/rplcm prq eltrd ra pn ea,,,1343.0,2987.0,4 HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,2572.0,11385.0,17 HCPCS,64600,Hc Destruct Neurolyt Agnt/Trigmnl Nerve; Supraorb/Infraorb/Mntl/Infer Alveo Brnch,4862.0,4862.0,,,0 HCPCS,64600,"Hc Trigeminal Nerve Destruction, Supraorbital, Infra, Mental Or Inf Alveolar Branch",2001.0,2001.0,,,0 HCPCS,64600,Injection treatment of nerve,,,887.15,4840.09,19 HCPCS,64605,Injection treatment of nerve,,,1958.63,5051.48,19 HCPCS,64610,"Hc Destruction By Neurolytic Agent, Trigeminal Nerve; Second And Third Division Branches At Foramen",5197.0,5197.0,,,0 HCPCS,64610,Injection treatment of nerve,,,1958.63,5051.48,19 HCPCS,64611,Chemodenerv saliv glands,,,307.88,4840.09,18 HCPCS,64611,"Hc Pbb Chemodenervation Parotid/Submandibular Salivary Glands,Bilateral",721.0,721.0,,,0 HCPCS,64612,Destroy nerve face muscle,,,307.88,4840.09,19 HCPCS,64612,"Hc Chemodenervation Of Muscle(S); Muscle(S) Innervated By Facial Nerve, Unilateral",4377.0,4377.0,,,0 HCPCS,64612,Hc Pbb Chemodnrvtj Musc Musc Innervated Facial Nrv Unil,1078.0,1078.0,,,0 HCPCS,64615,Chemodenerv musc migraine,,,307.88,4840.09,18 HCPCS,64615,Hc Chemodenervation Facial/Trigem/Cerv Muscle Migraine,938.0,938.0,,,0 HCPCS,64615,"Hc Chemodenervation Of Muscle(S); Muscle(S) Innervated By Facial, Trigeminal, Cervical Spinal And Ac",938.0,938.0,,,0 HCPCS,64616,Chemodenerv musc neck dyston,,,307.88,4840.09,18 HCPCS,64616,Hc Chemodenervation Muscle Neck Unilat For Dystonia,938.0,938.0,,,0 HCPCS,64616,Hc Pbb Chemodenervation Muscle Neck Unilat For Dystonia,938.0,938.0,,,0 HCPCS,64616,Noncdm Charge Record,2915.0,2915.0,,,0 HCPCS,64617,Chemodener muscle larynx emg,,,708.02,4840.09,18 HCPCS,64620,Hc Intercostal Nerve Destruction,3431.5,3431.5,,,0 HCPCS,64620,Injection treatment of nerve,,,887.15,4840.09,19 HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1958.63,5051.48,17 HCPCS,64624,Hc Genicular Nerve Destruction,6288.0,6288.0,,,0 HCPCS,64625,"Hc Radiofrequency Ablation, Nerves Innervating The Sacroiliac Joint, W/ Image Guidance",4390.0,4390.0,,,0 HCPCS,64625,Hc Rf Ablation - Si Joint W/Imag,7094.0,7094.0,,,0 HCPCS,64625,Rf abltj nrv nrvtg si jt,,,1958.63,10726.0,17 HCPCS,64628,Hc Thermal Destruction Intraosseous Bvn 1St 2 Lumbar/Sacral,34758.0,34758.0,,,0 HCPCS,64628,"Hc Thermal Destruction Of Intraosseous Basivertebral Nerve, Including All Imaging Guidance; First 2",6905.0,6905.0,,,0 HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,5730.0,27300.32,16 HCPCS,64629,Hc Thermal Destruction Intraosseous Bvn Ea Add'l Lumbar/Sacral,12142.0,12142.0,,,0 HCPCS,64629,Trml dstrj ios bvn ea addl,,,1343.0,2987.0,4 HCPCS,64630,Hc Destruction By Neurolytic Agent; Pudendal Nerve,5507.0,5507.0,,,0 HCPCS,64630,Hc Pudendal Nerve Destruction,4710.0,4710.0,,,0 HCPCS,64630,Injection treatment of nerve,,,887.15,5345.54,19 HCPCS,64632,Hc Nerve Destruction Plantar Common Digital Nerve,4707.0,4707.0,,,0 HCPCS,64632,N block inj common digit,,,307.88,4840.09,18 HCPCS,64633,Destroy cerv/thor facet jnt,,,1958.63,5051.48,19 HCPCS,64633,"Hc Nerve Destruction Cerv/Thoracic, Single Facet Joint",7408.0,7408.0,,,0 HCPCS,64634,Destroy c/th facet jnt addl,,,1343.0,2987.0,5 HCPCS,64634,"Hc Nerve Destruction Cerv/Thoracic, Each Addl Facet Joint",3148.0,3148.0,,,0 HCPCS,64635,Destroy lumb/sac facet jnt,,,1958.63,7750.0,19 HCPCS,64635,Hc Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral,7641.5,7641.5,,,0 HCPCS,64636,Destroy l/s facet jnt addl,,,1343.0,2987.0,5 HCPCS,64636,Hc Lum/Sacral Nerve Destruction By Neurolytic Agent Ea Add,6309.5,6309.5,,,0 HCPCS,64640,Hc Destruct By Neuro Agent; Other Periph Nerve,4786.0,4786.0,,,0 HCPCS,64640,Hc Pbb Destruct By Neuro Agent; Other Periph Nerve,4710.0,4710.0,,,0 HCPCS,64640,Injection treatment of nerve,,,887.15,4840.09,19 HCPCS,64640,Noncdm Charge Record,1740.0,1740.0,,,0 HCPCS,64642,Chemodenerv 1 extremity 1-4,,,708.02,4840.09,18 HCPCS,64642,Hc Chemodenervation One Extremity 1-4 Muscle,4862.0,4862.0,,,0 HCPCS,64642,Hc Pbb Chemodenervation One Extremity 1-4 Muscle,3352.0,3352.0,,,0 HCPCS,64643,Chemodenerv 1 extrem 1-4 ea,,,1343.0,2987.0,5 HCPCS,64643,Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,4862.0,4862.0,,,0 HCPCS,64643,Hc Pbb Chemodenervation 1 Extremity Ea Addl 1-4 Muscle,1117.0,1117.0,,,0 HCPCS,64643,Noncdm Charge Record,2915.0,2915.0,,,0 HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,708.02,4840.09,18 HCPCS,64644,Hc Chemodenervation 1 Extremity 5 Or More Muscles,1916.0,1916.0,,,0 HCPCS,64645,Chemodenerv 1 extrem 5/> ea,,,1343.0,2987.0,5 HCPCS,64645,Hc Chemodenervation 1 Extremity Ea Addl 5/> Muscles,638.0,638.0,,,0 HCPCS,64646,Chemodenerv trunk musc 1-5,,,708.02,4840.09,18 HCPCS,64646,Hc Chemodenervation Of Trunk Muscle(S); 1-5 Muscle(S),3425.5,3425.5,,,0 HCPCS,64647,Chemodenerv trunk musc 6/>,,,708.02,4840.09,18 HCPCS,64647,Hc Chemodenervation Of Trunk 6 Or More Muscles,1916.0,1916.0,,,0 HCPCS,64650,Chemodenerv eccrine glands,,,307.88,4840.09,19 HCPCS,64650,Hc Chemodenervation Of Eccrine Glands;Both Axillae,4862.0,4862.0,,,0 HCPCS,64653,Chemodenerv eccrine glands,,,307.88,4840.09,19 HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3506.68,7434.16,7 HCPCS,64656,Revj/rplcmt bat mod sys pg,,,30951.02,65616.17,7 HCPCS,64657,Rmvl bat modulj sys tot sys,,,3426.48,7264.14,7 HCPCS,64658,Rmvl bat modul sys lead only,,,3506.68,7434.16,7 HCPCS,64659,Rmvl bat modulj sys pg only,,,3506.68,7434.16,7 HCPCS,64680,Hc Destruction Rx Celiac Plexus Nerve,5260.0,5260.0,,,0 HCPCS,64680,Injection treatment of nerve,,,887.15,5345.54,19 HCPCS,64681,Hc Superior Hypogastric Nerve Destruction,3667.0,3667.0,,,0 HCPCS,64681,Injection treatment of nerve,,,887.15,5345.54,19 HCPCS,64702,Hc Revise/Repair Finger/Toe Nerve,4862.0,4862.0,,,0 HCPCS,64702,Revise finger/toe nerve,,,1958.63,5051.48,19 HCPCS,64704,Hc Neuroplasty; Nerve Of Hand Or Foot,4862.0,4862.0,,,0 HCPCS,64704,Revise hand/foot nerve,,,1958.63,5051.48,19 HCPCS,64708,"Hc Neuroplasty Other Arm/Leg Nerve,Open",5810.0,5810.0,,,0 HCPCS,64708,Revise arm/leg nerve,,,1958.63,5345.54,19 HCPCS,64712,"Hc Neuroplasty Sciatic Nerve,Open",5810.0,5810.0,,,0 HCPCS,64712,Revision of sciatic nerve,,,1958.63,5345.54,19 HCPCS,64713,"Hc Neuroplasty Brachial Plexus,Open",5810.0,5810.0,,,0 HCPCS,64713,Revision of arm nerve(s),,,1958.63,5345.54,19 HCPCS,64714,Revise low back nerve(s),,,1958.63,5345.54,19 HCPCS,64716,Hc Neuroplasty And/Or Transposition; Cranial Nerve,6307.0,6307.0,,,0 HCPCS,64716,Revision of cranial nerve,,,1958.63,6293.23,19 HCPCS,64718,Hc Pbb Revise Ulnar Nerve At Elbow,1274.0,1274.0,,,0 HCPCS,64718,Hc Revise Ulnar Nerve At Elbow,5810.0,5810.0,,,0 HCPCS,64718,Revise ulnar nerve at elbow,,,1958.63,5345.54,19 HCPCS,64719,Hc Neuroplasty And/Or Transposition; Ulnar Nerve At Wrist,5810.0,5810.0,,,0 HCPCS,64719,Revise ulnar nerve at wrist,,,1958.63,5345.54,19 HCPCS,64721,Carpal tunnel surgery,,,1958.63,5345.54,19 HCPCS,64721,Hc Pbb Revise Median N/Carpal Tunnel Surg,1274.0,1274.0,,,0 HCPCS,64721,Hc Revise Median N/Carpal Tunnel Surg,9074.0,9074.0,,,0 HCPCS,64722,Hc Decompression; Unspecified Nerve(S) (Specify),4862.0,4862.0,,,0 HCPCS,64722,Relieve pressure on nerve(s),,,1958.63,5051.48,19 HCPCS,64726,Hc Decompression; Plantar Digital Nerve,4609.0,4609.0,,,0 HCPCS,64726,Release foot/toe nerve,,,1958.63,5051.48,19 HCPCS,64727,Internal nerve revision,,,1343.0,4840.09,7 HCPCS,64728,Dcmprn median nrv carpl tunl,,,1958.63,4152.3,7 HCPCS,64732,Incision of brow nerve,,,1958.63,5345.54,19 HCPCS,64734,Incision of cheek nerve,,,1958.63,5345.54,19 HCPCS,64736,Hc Transection Or Avulsion Of; Mental Nerve,5507.0,5507.0,,,0 HCPCS,64736,Incision of chin nerve,,,1958.63,5345.54,19 HCPCS,64738,Incision of jaw nerve,,,1958.63,5345.54,19 HCPCS,64740,Incision of tongue nerve,,,1958.63,5345.54,19 HCPCS,64742,"Hc Transection Or Avulsion Of; Facial Nerve, Differential Or Complete",5810.0,5810.0,,,0 HCPCS,64742,Incision of facial nerve,,,1958.63,5345.54,19 HCPCS,64744,Incise nerve back of head,,,1958.63,5345.54,19 HCPCS,64746,Incise diaphragm nerve,,,1958.63,5345.54,19 HCPCS,64755,Incision of stomach nerves,,,3051.0,7268.12,6 HCPCS,64760,Incision of vagus nerve,,,3011.79,5051.48,6 HCPCS,64763,Incise hip/thigh nerve,,,1958.63,5051.48,17 HCPCS,64766,Incise hip/thigh nerve,,,1958.63,7870.0,17 HCPCS,64771,"Hc Transection Or Avulsion Of Other Cranial Nerve, Extradural",5507.0,5507.0,,,0 HCPCS,64771,Sever cranial nerve,,,1958.63,5345.54,19 HCPCS,64772,"Hc Transection Or Avulsion Of Other Spinal Nerve, Extradural",5810.0,5810.0,,,0 HCPCS,64772,Incision of spinal nerve,,,1958.63,5345.54,19 HCPCS,64774,"Hc Excision Of Neuroma, Cutaneous Nerve, Surgically Identifiable",5810.0,5810.0,,,0 HCPCS,64774,Remove skin nerve lesion,,,1958.63,5345.54,19 HCPCS,64776,"Hc Excision Of Neuroma; Digital Nerve, 1 Or Both, Same Digit",6653.0,6653.0,,,0 HCPCS,64776,Remove digit nerve lesion,,,1958.63,6293.23,19 HCPCS,64778,Digit nerve surgery add-on,,,1343.0,5345.54,7 HCPCS,64782,Hc Excise Hand/Foot Neuroma,6653.0,6653.0,,,0 HCPCS,64782,Hc Pbb Excise Hand/Foot Neuroma,363.0,363.0,,,0 HCPCS,64782,Remove limb nerve lesion,,,1958.63,6293.23,19 HCPCS,64783,"Hc Exc Neuroma;Hand/Foot,Ea Add'l Nerve,Except Same Digit",5810.0,5810.0,,,0 HCPCS,64783,Limb nerve surgery add-on,,,1343.0,5345.54,7 HCPCS,64784,Hc Excise Major Peripheral Neuroma,6653.0,6653.0,,,0 HCPCS,64784,Hc Pbb Excise Major Peripheral Neuroma,363.0,363.0,,,0 HCPCS,64784,Remove nerve lesion,,,1958.63,6293.23,19 HCPCS,64786,Hc Excision Of Neuroma; Sciatic Nerve,6307.0,6307.0,,,0 HCPCS,64786,Remove sciatic nerve lesion,,,3426.48,8655.0,19 HCPCS,64787,Hc Implantation Of Nerve End Into Bone Or Muscle,5810.0,5810.0,,,0 HCPCS,64787,Implant nerve end,,,1343.0,5345.54,7 HCPCS,64788,Hc Excision Of Neurofibroma Or Neurolemmoma; Cutaneous Nerve,6307.0,6307.0,,,0 HCPCS,64788,Remove skin nerve lesion,,,1958.63,6293.23,19 HCPCS,64790,Hc Excision Of Neurofibroma Or Neurolemmoma; Major Peripheral Neve,6307.0,6307.0,,,0 HCPCS,64790,Removal of nerve lesion,,,1958.63,6293.23,19 HCPCS,64792,Hc Excision Of Neurofibroma Or Neurolemmoma; Extensive (Includ Malignant Type),6588.0,6588.0,,,0 HCPCS,64792,Removal of nerve lesion,,,3426.48,8655.0,19 HCPCS,64795,Biopsy of nerve,,,1958.63,5345.54,19 HCPCS,64802,Sympathectomy cervical,,,1958.63,5345.54,19 HCPCS,64804,Remove sympathetic nerves,,,1958.63,5051.48,16 HCPCS,64809,Remove sympathetic nerves,,,3051.0,7268.12,6 HCPCS,64818,Remove sympathetic nerves,,,3051.0,7268.12,6 HCPCS,64820,"Hc Sympathectomy, Digital Arteries, Each Digit",6307.0,6307.0,,,0 HCPCS,64820,Sympathectomy digital artery,,,1958.63,5051.48,16 HCPCS,64821,"Hc Sympathectomy, Radial Artery",8159.0,8159.0,,,0 HCPCS,64821,Remove sympathetic nerves,,,3281.9,7870.0,19 HCPCS,64822,Hc Sympathectomy; Ulnar Artery,6307.0,6307.0,,,0 HCPCS,64822,Remove sympathetic nerves,,,3281.9,7870.0,19 HCPCS,64823,Sympathectomy supfc palmar,,,3281.9,7870.0,19 HCPCS,64831,Hc Repair Of Digit Nerve,8241.0,8241.0,,,0 HCPCS,64831,Repair of digit nerve,,,1958.63,7870.0,19 HCPCS,64832,"Hc Suture Digital Nerve,Hand/Foot;Ea Add'l Digital Nerve",4609.0,4609.0,,,0 HCPCS,64832,Repair nerve add-on,,,1343.0,4840.09,7 HCPCS,64834,"Hc Suture Of 1 Nerve; Hand Or Foot, Common Sensory Nerve",5507.0,5507.0,,,0 HCPCS,64834,Repair of hand or foot nerve,,,3295.0,8655.0,19 HCPCS,64835,Repair of hand or foot nerve,,,3426.48,8655.0,19 HCPCS,64836,Repair of hand or foot nerve,,,3426.48,8655.0,19 HCPCS,64837,Repair nerve add-on,,,1343.0,4840.09,7 HCPCS,64840,Repair of leg nerve,,,3295.0,18661.07,19 HCPCS,64856,"Hc Suture Of Major Peripheral Nerve, Arm Or Leg, Except Sciatic; Includ Transpos",6905.0,6905.0,,,0 HCPCS,64856,Repair/transpose nerve,,,3295.0,18661.07,19 HCPCS,64857,Hc Repair Major Peripheral Nerve,6905.0,6905.0,,,0 HCPCS,64857,Repair arm/leg nerve,,,3295.0,8655.0,19 HCPCS,64858,Repair sciatic nerve,,,1958.63,7870.0,19 HCPCS,64859,Hc Repair Addnl Maj Periph Nerve,5778.0,5778.0,,,0 HCPCS,64859,Nerve surgery,,,1343.0,4840.09,7 HCPCS,64861,Repair of arm nerves,,,1958.63,7870.0,19 HCPCS,64862,Repair of low back nerves,,,3426.48,8655.0,19 HCPCS,64864,Hc Suture Of Facial Nerve; Extracranial,6588.0,6588.0,,,0 HCPCS,64864,Repair of facial nerve,,,4419.21,18661.07,19 HCPCS,64865,Repair of facial nerve,,,3426.48,8655.0,19 HCPCS,64866,Fusion of facial/other nerve,,,3051.0,7268.12,6 HCPCS,64868,Fusion of facial/other nerve,,,3051.0,7268.12,6 HCPCS,64872,Subsequent repair of nerve,,,1343.0,5345.54,7 HCPCS,64874,Hc Suture Of Nerve; Req Extensive Mobilization Or Transposition Of Nerve,6307.0,6307.0,,,0 HCPCS,64874,Repair & revise nerve add-on,,,1343.0,6293.23,7 HCPCS,64876,Repair nerve/shorten bone,,,1343.0,6293.23,7 HCPCS,64885,Nerve graft head/neck <=4 cm,,,3295.0,18661.07,19 HCPCS,64886,Nerve graft head/neck >4 cm,,,3295.0,18661.07,19 HCPCS,64890,"Hc Nerve Graft Incl Obtaining Graft, Single Strand, Hand Or Foot, Up To 4 Cm",5810.0,5810.0,,,0 HCPCS,64890,Nerve graft hand/foot <=4 cm,,,3295.0,18661.07,19 HCPCS,64891,Nerve graft hand/foot >4 cm,,,3295.0,18661.07,19 HCPCS,64892,"Hc Nerve Graft (Includ Obtng Graft) Sngl Strand, Arm/Leg; Up To 4 Cm Length",5507.0,5507.0,,,0 HCPCS,64892,Nerve graft arm/leg <4 cm,,,3295.0,18661.07,19 HCPCS,64893,Nerve graft arm/leg >4 cm,,,3295.0,8655.0,19 HCPCS,64895,"Hc Nerve Graft (Includes Obtaining Graft), Multiple Strands (Cable), Hand Or Foot, Up To 4 Cm Length",6307.0,6307.0,,,0 HCPCS,64895,Nerve graft hand/foot <=4 cm,,,4419.21,18661.07,19 HCPCS,64896,Nerve graft hand/foot >4 cm,,,4419.21,18661.07,19 HCPCS,64897,Nerve graft arm/leg <=4 cm,,,4419.21,18661.07,19 HCPCS,64898,Nerve graft arm/leg >4 cm,,,4419.21,18661.07,19 HCPCS,64901,Nerve graft add-on,,,1343.0,5345.54,7 HCPCS,64902,Nerve graft add-on,,,1343.0,5345.54,7 HCPCS,64905,"Hc Nerve Pedicle Xfer,First Stage",5810.0,5810.0,,,0 HCPCS,64905,Nerve pedicle transfer,,,3295.0,18661.07,19 HCPCS,64907,Hc Nerve Pedicle Transfer; Second Stage,4862.0,4862.0,,,0 HCPCS,64907,Nerve pedicle transfer,,,2572.0,18661.07,19 HCPCS,64910,Hc Nerve Repair W/Allograft Or Synth,11148.0,11148.0,,,0 HCPCS,64910,Nerve repair w/allograft,,,3295.0,18661.07,19 HCPCS,64911,"Hc Nerve Rpr;W/Autogenous Vein Graft,Ea Nerve",11148.0,11148.0,,,0 HCPCS,64911,Neurorraphy w/vein autograft,,,3295.0,18661.07,19 HCPCS,64912,Hc Nerve Repair W/Nerve Allograft First Strand,11148.0,11148.0,,,0 HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,3295.0,18661.07,16 HCPCS,64913,Hc Nerve Repair W/Nerve Allograft Ea Addl Strand,9290.0,9290.0,,,0 HCPCS,64913,Nrv rpr w/nrv algrft ea addl,,,1343.0,2987.0,4 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Erector Spinae Block With Ultrasound,10290.0,10290.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Facet Cyst Aspiration,10290.0,10290.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Ganglion Impar Block,10290.0,10290.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Greater Occipital Nerve Pulsed Radiofrequency,10290.0,10290.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Open Coronal Approach Anterior Cranial Base Resection,9355.0,9355.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Painful Hardware Injection,10290.0,10290.0,,,0 HCPCS,64999,"Asc Only Unlisted Procedure - Nervous System - Superficial Peroneal, Saphenous, Sural Nerve Pulsed R",9355.0,9355.0,,,0 HCPCS,64999,"Asc Only Unlisted Procedure - Nervous System - Superior Cluneal Nerve Block, Pulsed Rfa W/Fluoroscop",9355.0,9355.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Supraorbital Pulsed Rfa W/Us Guidance,10290.0,10290.0,,,0 HCPCS,64999,Asc Only Unlisted Procedure - Nervous System - Suprascapular Nerve Pulsed Rfa,10290.0,10290.0,,,0 HCPCS,64999,Hc Cervplexus/Phrenic Nerve Block,2998.0,2998.0,,,0 HCPCS,64999,Hc Ganglion Impar Nerve Block,2998.0,2998.0,,,0 HCPCS,64999,Hc Pbb Nervous System Surgery Unlisted,564.0,564.0,,,0 HCPCS,64999,Hc Percutaneous Cordotomy,2998.0,2998.0,,,0 HCPCS,64999,Hc Pulsed/<80 Celsius Rf Nervetx,2998.0,2998.0,,,0 HCPCS,64999,Hc Synovial Cyst Aspiration/Rupture,4916.0,4916.0,,,0 HCPCS,64999,Nervous system surgery,,,307.88,11531.48,18 HCPCS,65091,Revise eye,,,3051.0,8359.77,19 HCPCS,65093,Hc Evisceratiuon Of Ocular Contents With Implant,5364.0,5364.0,,,0 HCPCS,65093,Revise eye with implant,,,3514.53,8359.77,19 HCPCS,65101,Hc Enucleation Of Eye; W/O Implant,5364.0,5364.0,,,0 HCPCS,65101,Removal of eye,,,3514.53,8359.77,19 HCPCS,65103,"Hc Enucleation Of Eye With Implant, Muscles Not Attached To Implant",5364.0,5364.0,,,0 HCPCS,65103,Remove eye/insert implant,,,3514.53,8359.77,19 HCPCS,65105,"Hc Enucleation Of Eye; W/Implant, Muscles Attached To Implant",6644.0,6644.0,,,0 HCPCS,65105,Remove eye/attach implant,,,3514.53,8359.77,19 HCPCS,65110,Hc Exenteration Of Oorbit (Don't Includ Skin Graft) Rmvl Of Obital Contents; Only,7564.0,7564.0,,,0 HCPCS,65110,Removal of eye,,,3514.53,8364.54,19 HCPCS,65112,Remove eye/revise socket,,,3514.53,10726.0,19 HCPCS,65114,"Hc Exenteration Of Orbit, Removal Of Orbital Contents, W/Muscle Or Myocutaneous Flap",10476.0,10476.0,,,0 HCPCS,65114,Remove eye/revise socket,,,3514.53,10726.0,19 HCPCS,65125,Revise ocular implant,,,2384.68,7750.0,17 HCPCS,65130,Insert ocular implant,,,3514.53,8359.77,19 HCPCS,65135,Insert ocular implant,,,3295.0,8359.77,19 HCPCS,65140,Attach ocular implant,,,3514.53,8359.77,19 HCPCS,65140,"Hc Insertion Of Ocular Implant Secondary, After Enucleation, Muscles Attached To Implant",5364.0,5364.0,,,0 HCPCS,65150,Hc Reinsertion Of Ocular Implant; W/Wo Conjunctival Graft,4684.0,4684.0,,,0 HCPCS,65150,Revise ocular implant,,,3051.0,8359.77,19 HCPCS,65155,Hc Reinsert Ocular Implant; W/Use Frgn Mtrl Reinforce/Attach Muscles To Implant,5364.0,5364.0,,,0 HCPCS,65155,Reinsert ocular implant,,,3514.53,8359.77,19 HCPCS,65175,Hc Removal Of Ocular Implant,3920.0,3920.0,,,0 HCPCS,65175,Removal of ocular implant,,,2572.0,8359.77,19 HCPCS,65205,"Hc Removal Of Foreign Body, External Eye; Conjunctival Superficial",3920.0,3920.0,,,0 HCPCS,65205,"Hc Remv F.B.,Eye,Superf Conjunc",365.0,365.0,,,0 HCPCS,65205,Remove foreign body from eye,,,133.45,4840.09,15 HCPCS,65210,Remove foreign body from eye,,,448.08,4840.09,15 HCPCS,65220,"Hc Remv F.B.,Eye,Cornea,No Slit",1042.0,1042.0,,,0 HCPCS,65220,Remove foreign body from eye,,,448.08,4840.09,15 HCPCS,65222,"Hc Removal Of Foreign Body, External Eye; Corneal, W/Slit Lamp",2510.0,2510.0,,,0 HCPCS,65222,"Hc Remv F.B.,Eye,Cornea,Slit Lamp",336.0,336.0,,,0 HCPCS,65222,Remove foreign body from eye,,,133.45,4840.09,15 HCPCS,65235,"Hc Removal Of Foreign Body, Intraocular; From Anterior Chamber Of Eye Or Lens",4684.0,4684.0,,,0 HCPCS,65235,Remove foreign body from eye,,,2314.8,5345.54,19 HCPCS,65260,"Hc Rmvl Frgn Bdy/Intraocular; Post Seg/Magnetic Extract, Anterior/Post Route",5364.0,5364.0,,,0 HCPCS,65260,Remove foreign body from eye,,,1343.0,6293.23,19 HCPCS,65265,"Hc Rmvl Frgn Bdy/Intraocular; Frm Posterior Segment, Nonmagnetic Extraction",6644.0,6644.0,,,0 HCPCS,65265,Remove foreign body from eye,,,2314.8,7175.28,19 HCPCS,65270,Repair of eye wound,,,2384.68,5345.54,19 HCPCS,65272,Repair of eye wound,,,2384.68,5345.54,19 HCPCS,65273,Repair of eye wound,,,3011.79,5051.48,8 HCPCS,65275,Repair of eye wound,,,3514.53,8359.77,19 HCPCS,65280,"Hc Repair Of Lacreation; Cornea/Sclera, Perforating Not Involving Uveal Tissue",6644.0,6644.0,,,0 HCPCS,65280,Repair of eye wound,,,3600.0,11315.28,19 HCPCS,65285,Hc Repair Laceration; Cornea/Sclera Perforat W/Reposition/Resect Uveal Tissue,6644.0,6644.0,,,0 HCPCS,65285,Repair of eye wound,,,3600.0,11315.28,19 HCPCS,65286,Hc Repair Of Laceration; Application Of Tissue Glue/Wounds Of Cornea/Sclera,3920.0,3920.0,,,0 HCPCS,65286,Repair of eye wound,,,2314.8,5051.48,19 HCPCS,65290,"Hc Repair Of Wound, Extraocular Muscle, Tendon And/Or Tenon's Capsule",5364.0,5364.0,,,0 HCPCS,65290,Repair of eye socket wound,,,3051.0,8359.77,19 HCPCS,65400,Hc Excis Cornea Lesn,4959.0,4959.0,,,0 HCPCS,65400,Removal of eye lesion,,,999.89,5051.48,19 HCPCS,65410,Biopsy of cornea,,,1952.0,5345.54,19 HCPCS,65410,Hc Biopsy Of Cornea,3453.0,3453.0,,,0 HCPCS,65420,Hc Excis Pterygium,2897.5,2897.5,,,0 HCPCS,65420,Removal of eye lesion,,,2384.68,5345.54,19 HCPCS,65426,"Hc Excis Pterygium,W Graft",4337.5,4337.5,,,0 HCPCS,65426,Removal of eye lesion,,,2384.68,8364.54,19 HCPCS,65430,Corneal smear,,,448.08,4840.09,15 HCPCS,65430,"Hc Scraping Of Cornea, Diagnostic, For Smear And/Or Culture",6982.0,6982.0,,,0 HCPCS,65435,Curette/treat cornea,,,999.89,5051.48,19 HCPCS,65435,Hc Curette/Treat Cornea,2515.5,2515.5,,,0 HCPCS,65436,Curette/treat cornea,,,2384.68,5055.51,18 HCPCS,65436,"Hc Curette/Treat Cornea,Apply Chelate",5364.0,5364.0,,,0 HCPCS,65450,Treatment of corneal lesion,,,318.37,4840.09,18 HCPCS,65600,Revision of cornea,,,2384.68,5055.51,18 HCPCS,65710,Corneal transplant,,,4419.21,11315.28,19 HCPCS,65710,Hc Keratoplasty (Corneal Transplant); Lamellar,10476.0,10476.0,,,0 HCPCS,65730,Corneal transplant,,,4145.92,10726.0,19 HCPCS,65730,"Hc Corneal Transplant,Penetrating",10579.0,10579.0,,,0 HCPCS,65750,Corneal transplant,,,4419.21,11315.28,19 HCPCS,65750,"Hc Corneal Transplant,Penetrat,Aphakia",8412.0,8412.0,,,0 HCPCS,65755,Corneal transplant,,,4145.92,10726.0,19 HCPCS,65755,"Hc Corneal Transplant,Pen,Pseudoaphak",8412.0,8412.0,,,0 HCPCS,65756,Corneal trnspl endothelial,,,4145.92,11385.0,19 HCPCS,65756,Hc Keratoplasty (Corneal Transplant);Endothelial,11118.0,11118.0,,,0 HCPCS,65757,Hc Backbench Preparation Of Corneal Tissue,3920.0,3920.0,,,0 HCPCS,65757,Prep corneal endo allograft,,,1343.0,2572.0,3 HCPCS,65760,Revision of cornea,,,3514.53,9512.0,9 HCPCS,65765,Revision of cornea,,,3514.53,9512.0,9 HCPCS,65767,Corneal tissue transplant,,,3514.53,9512.0,9 HCPCS,65770,Hc Keratoprosthesis,10476.0,10476.0,,,0 HCPCS,65770,Revise cornea with implant,,,6309.89,30845.95,17 HCPCS,65771,Hc Radial Keratotomy,5364.0,5364.0,,,0 HCPCS,65771,Radial keratotomy,,,3514.53,9512.0,8 HCPCS,65772,Correction of astigmatism,,,999.89,7175.28,19 HCPCS,65775,Correction of astigmatism,,,2384.68,7175.28,19 HCPCS,65775,Hc Corneal Wedge Resection For Correction Of Surgically Induced Astigmatism,6644.0,6644.0,,,0 HCPCS,65778,Cover eye w/membrane,,,999.89,5051.48,18 HCPCS,65778,Hc Place Amniotic Membra Ocular Surface W/O Sutures,5516.0,5516.0,,,0 HCPCS,65779,Cover eye w/membrane suture,,,2572.0,8359.77,18 HCPCS,65779,Hc Place Amniotic Membrane Ocular Surface Sutured,5516.0,5516.0,,,0 HCPCS,65780,"Hc Ocular Surface Recon;Amniotic Membrane Transplantation,Mulit Layers",7564.0,7564.0,,,0 HCPCS,65780,Ocular reconst transplant,,,3514.53,8364.54,19 HCPCS,65781,Hc Ocular Surface Reconstruction; Limbal Stem Cell Allograft,7564.0,7564.0,,,0 HCPCS,65781,Ocular reconst transplant,,,4419.21,11315.28,19 HCPCS,65782,Hc Ocular Surface Reconstruction;Limbal Conjunctival Autograft,7564.0,7564.0,,,0 HCPCS,65782,Ocular reconst transplant,,,3514.53,8364.54,19 HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4145.92,10848.4,18 HCPCS,65800,Drainage of eye,,,1343.0,5051.48,19 HCPCS,65800,Hc Paracentesis Of Anterior Chamber Of Eye; W/Diagnostic Aspiration Of Aqueous,3920.0,3920.0,,,0 HCPCS,65800,Hc Paracentsis Ant Chamb Eye Aspir Aqueous Spx,6348.0,6348.0,,,0 HCPCS,65810,Drainage of eye,,,2314.8,6293.23,19 HCPCS,65810,Hc Paracent Ant; W/Rmvl Vitreus/Disciss Ant Hyaloid Membrane W/Wo Air Injection,5364.0,5364.0,,,0 HCPCS,65815,Drainage of eye,,,2314.8,5345.54,19 HCPCS,65815,"Hc Drain Ant Chmbr,Remv Blood",6348.0,6348.0,,,0 HCPCS,65815,"Hc Paracentesis Of Anterior Chamber Of Eye, W/Rmvl Blood W/Wo Irrigation, &/Or Air Injection",4684.0,4684.0,,,0 HCPCS,65820,Hc Goniotomy,3920.0,3920.0,,,0 HCPCS,65820,Relieve inner eye pressure,,,2572.0,8789.36,19 HCPCS,65850,Incision of eye,,,2314.8,7175.28,19 HCPCS,65855,Trabeculoplasty laser surg,,,551.66,4840.09,19 HCPCS,65860,Incise inner eye adhesions,,,551.66,5594.0,19 HCPCS,65865,"Hc Severing Adhesions Ant Segment Of Eye, Incis Technique; Goniosynechiae",3920.0,3920.0,,,0 HCPCS,65865,Incise inner eye adhesions,,,2314.8,5051.48,19 HCPCS,65870,"Hc Severing Adhesions Ant Seg Of Eye; Anterior Synechiae, Except Goniosynechiae",6644.0,6644.0,,,0 HCPCS,65870,Incise inner eye adhesions,,,2314.8,7175.28,19 HCPCS,65875,Hc Severing Adhesions Ant Seg Of Eye; Posterior Synechiae,6644.0,6644.0,,,0 HCPCS,65875,Incise inner eye adhesions,,,2314.8,7175.28,19 HCPCS,65880,Incise inner eye adhesions,,,3600.0,8789.36,19 HCPCS,65900,"Hc Removal Of Epithelial Downgrowth, Anterior Chamber Eye",7564.0,7564.0,,,0 HCPCS,65900,Remove eye lesion,,,2314.8,8364.54,19 HCPCS,65920,"Hc Removal Of Implanted Material, Anterior Segment Eye",10476.0,10476.0,,,0 HCPCS,65920,Remove implant of eye,,,2314.8,10726.0,19 HCPCS,65930,"Hc Removal,Blood Clot,Ant Segment,Eye",5032.0,5032.0,,,0 HCPCS,65930,Remove blood clot from eye,,,2314.8,8364.54,19 HCPCS,66020,"Hc Injection,Ant Chamber,Eye,Air/Liquid",5326.0,5326.0,,,0 HCPCS,66020,Injection treatment of eye,,,2314.8,5051.48,19 HCPCS,66030,"Hc Injection, Anterior Chamber Of Eye, Medication",3920.0,3920.0,,,0 HCPCS,66030,Injection treatment of eye,,,2314.8,5051.48,19 HCPCS,66130,"Hc Excision Of Lesion, Sclera",10171.0,10171.0,,,0 HCPCS,66130,Remove eye lesion,,,2384.68,10726.0,19 HCPCS,66150,Glaucoma surgery,,,3600.0,8789.36,19 HCPCS,66155,Glaucoma surgery,,,3600.0,8789.36,19 HCPCS,66160,Glaucoma surgery,,,2314.8,5345.54,19 HCPCS,66160,"Hc Fistulization Sclera For Glucoma; Sclerectomy W/Punchscissors, W/Iridectomy",4684.0,4684.0,,,0 HCPCS,66170,Glaucoma surgery,,,2314.8,7175.28,19 HCPCS,66170,Hc Fistuliz Of Sclera For Glaucoma; Trabeculectomy Ab Externo Absence Prev Surgery,6644.0,6644.0,,,0 HCPCS,66172,Hc Fist Sclera For Glaucoma; Trabeculectomy Ab Externo W/Scarr Prev Ocular Surg,6644.0,6644.0,,,0 HCPCS,66172,Incision of eye,,,2314.8,7175.28,19 HCPCS,66174,Hc Transluminal Dilation Of Aqueous Outflow Canal W/O Retention Of Device Or Stent,7564.0,7564.0,,,0 HCPCS,66174,Translum dil eye canal,,,4145.92,8789.36,19 HCPCS,66175,Hc Transluminal Dilation Of Aqueous Outflow Canal; With Retention Of Device Or Stent,7564.0,7564.0,,,0 HCPCS,66175,Trnslum dil eye canal w/stnt,,,4419.21,11315.28,19 HCPCS,66179,Aqueous shunt eye w/o graft,,,4419.21,11385.0,19 HCPCS,66180,Aqueous shunt eye w/graft,,,4419.21,11315.28,19 HCPCS,66180,"Hc Aqueous Shunt To Extraocular Reservoir (Eg, Molteno, Schocket, Denver-Krupin)",7564.0,7564.0,,,0 HCPCS,66183,"Hc Ins Of Ant Segment Aqueous Drainage Device, W/O Extraocular Res",11118.0,11118.0,,,0 HCPCS,66183,Insert ant drainage device,,,4145.92,11385.0,19 HCPCS,66184,Hc Revj Shunt Extraocular Reservoir W/O Graft,4684.0,4684.0,,,0 HCPCS,66184,Revision of aqueous shunt,,,2314.8,11385.0,19 HCPCS,66185,Hc Revision Of Aqueous Shunt To Extraocular Reservoir,4684.0,4684.0,,,0 HCPCS,66185,Revise aqueous shunt eye,,,2314.8,5345.54,19 HCPCS,66220,Repair eye lesion,,,3600.0,6293.23,4 HCPCS,66225,"Hc Repair Of Scleral Staphyloma, With Graft",6644.0,6644.0,,,0 HCPCS,66225,Repair/graft eye lesion,,,3600.0,11315.28,19 HCPCS,66250,Follow-up surgery of eye,,,2384.68,5345.54,19 HCPCS,66250,Hc Revis/Repair Op Wound Anter Sgmt,2805.0,2805.0,,,0 HCPCS,66500,Incision of iris,,,1343.0,5051.48,19 HCPCS,66505,Incision of iris,,,2314.8,5051.48,19 HCPCS,66600,Hc Iridectomy W/Corneoscleral Or Corneal Section; For Removal Of Lesion,5364.0,5364.0,,,0 HCPCS,66600,Remove iris and lesion,,,3600.0,8789.36,19 HCPCS,66605,Removal of iris,,,2314.8,8655.0,19 HCPCS,66625,Hc Iridectomy W/Corneoscleral/Corneal Section; Peripheral For Glaucoma (Sep Proc),5364.0,5364.0,,,0 HCPCS,66625,Removal of iris,,,2314.8,6293.23,19 HCPCS,66630,"Hc Iridectomy, With Corneoscleral Or Corneal Section; Sector For Glaucoma",5364.0,5364.0,,,0 HCPCS,66630,Removal of iris,,,2314.8,6293.23,19 HCPCS,66635,Removal of iris,,,2314.8,6293.23,19 HCPCS,66680,"Hc Repair Of Iris, Ciliary Body (As For Iridodialysis)",5364.0,5364.0,,,0 HCPCS,66680,Repair iris & ciliary body,,,2314.8,6293.23,19 HCPCS,66682,"Hc Suture Of Iris, Ciliary Body With Retrieval Of Suture Through Small Incision",4684.0,4684.0,,,0 HCPCS,66682,Repair iris & ciliary body,,,2314.8,5345.54,19 HCPCS,66683,"Hc Implantation Of Iris Prosthesis, Including Suture Fixation And Repair Or Removal Of Iris, When Pe",12176.0,12176.0,,,0 HCPCS,66683,Implantation iris prosthesis,,,3011.79,35002.5,12 HCPCS,66700,Destruction ciliary body,,,2314.8,5345.54,19 HCPCS,66710,Ciliary transsleral therapy,,,2384.68,5345.54,19 HCPCS,66710,"Hc Destruc,Ciliary Body,Cyclophotocoag",5585.5,5585.5,,,0 HCPCS,66711,Ciliary endoscopic ablation,,,2314.8,5345.54,19 HCPCS,66720,Destruction ciliary body,,,2384.68,5345.54,19 HCPCS,66740,Destruction ciliary body,,,2384.68,5345.54,19 HCPCS,66761,Hc Iridotomy/Iridectomy By Laser Surgery (Per Session),3920.0,3920.0,,,0 HCPCS,66761,Revision of iris,,,551.66,4840.09,19 HCPCS,66762,"Hc Iridoplasty By Photocoagulation, 1 Or More Sessions",1271.0,1271.0,,,0 HCPCS,66762,Revision of iris,,,551.66,4840.09,19 HCPCS,66770,Hc Resec Cyst/Lesn Iris/Ciliary Body,2469.5,2469.5,,,0 HCPCS,66770,Removal of inner eye lesion,,,551.66,4840.09,19 HCPCS,66820,Hc Discission Secondary Membran Cat; Stab Incision On Tech (Ziegler/Wheeler Knife),3920.0,3920.0,,,0 HCPCS,66820,Incision secondary cataract,,,1343.0,5051.48,19 HCPCS,66821,After cataract laser surgery,,,551.66,5345.54,19 HCPCS,66825,"Hc Repositioning Of Intraocular Lens Prosthesis, Requiring An Incision (Sep Proc)",6644.0,6644.0,,,0 HCPCS,66825,Reposition intraocular lens,,,2314.8,7175.28,19 HCPCS,66830,Hc Rmvl Secondary Membran Cat W/Corneo-Scleral Section W/Wo Iridectomy,6644.0,6644.0,,,0 HCPCS,66830,Removal of lens lesion,,,2314.8,7175.28,19 HCPCS,66840,"Hc Removal Of Lens Material; Aspiration Technique, One Or More Stages",6644.0,6644.0,,,0 HCPCS,66840,Removal of lens material,,,2314.8,7175.28,19 HCPCS,66850,"Hc Rmvl Lens Material; Phacofragmentation Technique, With Aspiration",10476.0,10476.0,,,0 HCPCS,66850,Removal of lens material,,,2314.8,10726.0,19 HCPCS,66852,"Hc Rmvl Of Lens Material; Pars Plana Approach, W/Wo Vitrectomy",6644.0,6644.0,,,0 HCPCS,66852,Removal of lens material,,,4145.92,8789.36,19 HCPCS,66920,Extraction of lens,,,2314.8,7175.28,19 HCPCS,66920,Hc Removal Of Lens Material; Intracapsular,6644.0,6644.0,,,0 HCPCS,66930,Extraction of lens,,,3600.0,8789.36,19 HCPCS,66940,Extraction of lens,,,2314.8,8364.54,19 HCPCS,66940,Hc Removal Of Lens Material; Extracapsular,7564.0,7564.0,,,0 HCPCS,66982,Cataract surgery complex,,,2314.8,10848.4,19 HCPCS,66982,"Hc Extracap Catarct Rmvl W/Insrt Intraoc Lens Prosth,Compx,Perfrm On Pts Amblyognc",10558.0,10558.0,,,0 HCPCS,66983,Cataract surg w/iol 1 stage,,,2314.8,10848.4,19 HCPCS,66983,Hc Intracapsular Cataract Extraction W/Insertion Of Intraocular Lens Prosthesis,10558.0,10558.0,,,0 HCPCS,66984,Cataract surg w/iol 1 stage,,,2314.8,10848.4,19 HCPCS,66984,Hc Extracapsular Cat Rmvl W/Insert Intraocular Lens Prosth Manual/Mech Technique,10558.0,10558.0,,,0 HCPCS,66985,Hc Insertion Of Intraocular Lens Prosthesis Not Assoc W/Concurrent Cataract Rmvl,8860.0,8860.0,,,0 HCPCS,66985,Insert lens prosthesis,,,2314.8,9074.0,19 HCPCS,66986,Exchange lens prosthesis,,,2314.8,9074.0,19 HCPCS,66986,Hc Exchange Of Intraocular Lens,8860.0,8860.0,,,0 HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4145.92,11385.0,17 HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4145.92,11385.0,17 HCPCS,66989,"Hc Extracapsular Cataract Removal W/Insertion Of Intraocular Lens Prosthesis, Complex",13057.0,13057.0,,,0 HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,4419.21,11315.28,17 HCPCS,66990,Ophthalmic endoscope add-on,,,1343.0,2987.0,5 HCPCS,66991,Hc Extracapsular Cataract Removal W/Insertion Of Intraocular Lens Prosthesis,13057.0,13057.0,,,0 HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,4419.21,11315.28,17 HCPCS,66999,"Asc Only Unlisted Procedure, Anterior Segment Of Eye",4684.0,4684.0,,,0 HCPCS,66999,"Asc Only Unlisted Procedure, Anterior Segment Of Eye ? Gonioscopy Assisted Transluminal Trabeculotom",4684.0,4684.0,,,0 HCPCS,66999,Eye surgery procedure,,,2314.8,11531.48,18 HCPCS,67005,Hc Rmvl Of Vitreous Anterior Approach; Partial Removal,6644.0,6644.0,,,0 HCPCS,67005,Partial removal of eye fluid,,,2314.8,7175.28,19 HCPCS,67010,Hc Removal Of Vitreous Anterior Approach; Subtotal Rmvl W/Mechanical Vitrectomy,6644.0,6644.0,,,0 HCPCS,67010,Partial removal of eye fluid,,,2314.8,7175.28,19 HCPCS,67015,"Hc Aspiration Or Release Of Vitreous, Subretinal Or Choroidal Fluid, Pars Plana Approach",3920.0,3920.0,,,0 HCPCS,67015,Release of eye fluid,,,2314.8,5051.48,19 HCPCS,67025,"Hc Inj Vitreous Substitute Pars Plana/Limbal Approach, W/Wo Aspiration (Sep Proc)",3920.0,3920.0,,,0 HCPCS,67025,Replace eye fluid,,,2314.8,5051.48,19 HCPCS,67027,"Hc Implant Intravtrl Drg Dlvry Sys,Incl Concomitant Rmvl Of Vitreous",6644.0,6644.0,,,0 HCPCS,67027,Implant eye drug system,,,4817.0,29669.73,19 HCPCS,67028,Hc Inject Intravitreal Pharmcologic,2225.5,2225.5,,,0 HCPCS,67028,Injection eye drug,,,331.3,4840.09,19 HCPCS,67030,Incise inner eye strands,,,2314.8,5051.48,19 HCPCS,67031,Laser surgery eye strands,,,551.66,5345.54,19 HCPCS,67036,"Hc Vitrectomy, Mechanical, Pars Plana Approach;",6644.0,6644.0,,,0 HCPCS,67036,Removal of inner eye fluid,,,4145.92,8789.36,19 HCPCS,67039,Hc Vitrectomy/Mechanical/Pars Plana Approach; W/Focal Endolaser Photocoagulation,10476.0,10476.0,,,0 HCPCS,67039,Laser treatment of retina,,,4145.92,10726.0,19 HCPCS,67040,Hc Vitrectomy/Mech/Pars Plana Approach; W/Endolaser Panretinal Phocoagulastion,10476.0,10476.0,,,0 HCPCS,67040,Laser treatment of retina,,,4145.92,10726.0,19 HCPCS,67041,"Hc Vitrectomy,Mechncl,Pars Plana Appr;W/Rmvl Preretinal Cellulr Membrn",11118.0,11118.0,,,0 HCPCS,67041,Vit for macular pucker,,,4145.92,11385.0,19 HCPCS,67042,"Hc Vitrectomy,Mechncl,Pars Plana Appr;W/Rmvl Intrnl Limtng Membrn Retina,Intraoclr",11118.0,11118.0,,,0 HCPCS,67042,Vit for macular hole,,,4145.92,11385.0,19 HCPCS,67043,Vit for membrane dissect,,,4145.92,11385.0,19 HCPCS,67101,Repair detached retina crtx,,,2314.8,5594.0,19 HCPCS,67105,Repair detached retina pc,,,551.66,6654.0,19 HCPCS,67107,Hc Repair Retinal Detachment Scleral Buckling,5074.5,5074.5,,,0 HCPCS,67107,Repair detached retina,,,4145.92,8789.36,19 HCPCS,67108,Hc Rpr Retinal Dtchmnt W/Vitrectomy Any Meth,8537.5,8537.5,,,0 HCPCS,67108,Repair detached retina,,,4145.92,10726.0,19 HCPCS,67110,"Hc Repair Detacd Retina,Inject Air/Gas",6048.0,6048.0,,,0 HCPCS,67110,Repair detached retina,,,2314.8,5051.48,16 HCPCS,67112,Rerepair detached retina,,,10227.73,10227.73,2 HCPCS,67113,"Hc Rpr Complx Retnl Detch,W/Vitrctm&Membrn Pelng,May Inc Tampnd,Crythrp,Rmvl Lens",11118.0,11118.0,,,0 HCPCS,67113,Repair retinal detach cplx,,,4419.21,11385.0,19 HCPCS,67115,Hc Release Of Encircling Material,4548.0,4548.0,,,0 HCPCS,67115,Release encircling material,,,3295.0,8789.36,19 HCPCS,67120,"Hc Remv Post Eye Implnt Mater,Extraocul",5708.0,5708.0,,,0 HCPCS,67120,Remove eye implant material,,,2314.8,5345.54,19 HCPCS,67121,"Hc Removal Of Implanted Material, Posterior Segment; Intraocular",4684.0,4684.0,,,0 HCPCS,67121,Remove eye implant material,,,2314.8,7870.0,19 HCPCS,67141,Treatment of retina,,,318.37,5345.54,19 HCPCS,67145,"Hc Prophylaxis Retina Detach,Photocoag",2055.5,2055.5,,,0 HCPCS,67145,Treatment of retina,,,551.66,4840.09,19 HCPCS,67208,"Hc Destruct Localized Les Retina,1/More Sess;Cryotherapy,Diathermy",3920.0,3920.0,,,0 HCPCS,67208,Treatment of retinal lesion,,,318.37,6654.0,19 HCPCS,67210,"Hc Destruction Of Localized Lesion Of Retina, 1 Or More Sessions; Photocoagulation",3920.0,3920.0,,,0 HCPCS,67210,Treatment of retinal lesion,,,551.66,6654.0,19 HCPCS,67218,Hc Destruct Localized Lesion Of Retina 1/More Sess; Radiation By Implant Of Source,7564.0,7564.0,,,0 HCPCS,67218,Treatment of retinal lesion,,,3051.0,8364.54,19 HCPCS,67220,Treatment of choroid lesion,,,551.66,4840.09,19 HCPCS,67221,Ocular Photodynamic Ther,,,551.66,4840.09,19 HCPCS,67225,Eye photodynamic ther add-on,,,1343.0,4840.09,7 HCPCS,67227,Dstrj extensive retinopathy,,,2572.0,8359.77,19 HCPCS,67228,Hc Treatment Extensive Retinopathy Photocoagulation,2048.5,2048.5,,,0 HCPCS,67228,Treatment x10sv retinopathy,,,551.66,4840.09,19 HCPCS,67229,Tr retinal les preterm inf,,,551.66,4840.09,18 HCPCS,67250,Reinforce eye wall,,,2384.68,6293.23,19 HCPCS,67255,Hc Scleral Reinforcement (Sep Procedure) W/Graft,5364.0,5364.0,,,0 HCPCS,67255,Reinforce/graft eye wall,,,3011.79,8789.36,19 HCPCS,67299,Eye surgery procedure,,,2314.8,11531.48,16 HCPCS,67311,Hc Strabismus Surg/Recession/Resection Procedure;One Horizontal Muscle,5364.0,5364.0,,,0 HCPCS,67311,Revise eye muscle,,,2384.68,6293.23,19 HCPCS,67312,"Hc Strabismus Surg, Recession/Resection Procedure; Two Horizontal Muscles",6644.0,6644.0,,,0 HCPCS,67312,Revise two eye muscles,,,3051.0,8359.77,19 HCPCS,67314,"Hc Strabismus Surg, Recess/Resect Proced; One Vertical Muscle (Excl Sup Oblique)",6644.0,6644.0,,,0 HCPCS,67314,Revise eye muscle,,,2384.68,7175.28,19 HCPCS,67316,Hc Strabismus Surg/Recess/Resect Proced; Two/More Vertical Muscles,6644.0,6644.0,,,0 HCPCS,67316,Revise two eye muscles,,,2384.68,7175.28,19 HCPCS,67318,"Hc Strabismus Surgery, Any Procedure, Superior Oblique Muscle",6644.0,6644.0,,,0 HCPCS,67318,Revise eye muscle(s),,,2384.68,7175.28,19 HCPCS,67320,"Hc Transposition Procedure, Any Extraocular Muscle",6644.0,6644.0,,,0 HCPCS,67320,Revise eye muscle(s) add-on,,,1343.0,7175.28,7 HCPCS,67331,Eye surgery follow-up add-on,,,1343.0,7175.28,7 HCPCS,67331,Hc Strabismus Surgery On Patient With Previous Eye Surgery Or Injury That Did Not Involve The Extrao,6644.0,6644.0,,,0 HCPCS,67332,Hc Strabismus Surg On Pt W/Scarring Extraocular Muscle/Restrictive Myopathy,6644.0,6644.0,,,0 HCPCS,67332,Rerevise eye muscles add-on,,,1343.0,7175.28,7 HCPCS,67334,"Hc Strabismus Surg By Posterior Fx Suture Tech,Wwo Muscle Recession",6644.0,6644.0,,,0 HCPCS,67334,Revise eye muscle w/suture,,,1343.0,7175.28,7 HCPCS,67335,Eye suture during surgery,,,1343.0,7175.28,7 HCPCS,67335,"Hc Placement Of Adjustable Suture(S), Strabismus Surgery, Incl Postoperative Adj Of Sutures",6644.0,6644.0,,,0 HCPCS,67340,Hc Strabismus Surgery Involving Exploration And/Or Repair Of Detached Extraocular Muscle(S),6450.0,6450.0,,,0 HCPCS,67340,Revise eye muscle add-on,,,1343.0,7175.28,7 HCPCS,67343,Hc Release Of Extensive Scar Tissue W/O Detaching Extraocular Muscle,10476.0,10476.0,,,0 HCPCS,67343,Release eye tissue,,,2384.68,10726.0,19 HCPCS,67345,Destroy nerve of eye muscle,,,318.37,4840.09,19 HCPCS,67345,Hc Chemodenervation Of Extraocular Muscle,3920.0,3920.0,,,0 HCPCS,67346,Biopsy eye muscle,,,2572.0,8359.77,19 HCPCS,67346,Hc Biopsy Of Extraocular Muscle,3920.0,3920.0,,,0 HCPCS,67399,Unlisted px extraocular musc,,,318.37,11531.48,16 HCPCS,67400,Explore/biopsy eye socket,,,3514.53,8359.77,19 HCPCS,67400,"Hc Orbitotomy W/O Bone Flap, Frontal/Transconjunctival Approach, Exploration, W/W/O Biopsy",5364.0,5364.0,,,0 HCPCS,67405,Explore/drain eye socket,,,2384.68,7175.28,19 HCPCS,67405,Hc Orbitotomy W/O Bone Flap; W/Drainage Only,6644.0,6644.0,,,0 HCPCS,67412,Explore/treat eye socket,,,2384.68,8364.54,19 HCPCS,67412,Hc Orbitotomy W/O Bone Flap; W/Removal Of Lesion,7564.0,7564.0,,,0 HCPCS,67413,Explore/treat eye socket,,,2384.68,8364.54,19 HCPCS,67413,"Hc Explore Eye Socket,Remv F.B.",4122.5,4122.5,,,0 HCPCS,67414,Explr/decompress eye socket,,,3514.53,8359.77,18 HCPCS,67414,Hc Orbitotomy W/O Bone Flap; W/Removal Of Bone For Decompression,6644.0,6644.0,,,0 HCPCS,67415,Aspiration orbital contents,,,2384.68,5055.51,19 HCPCS,67415,Hc Fine Needle Aspiration Of Orbital Contents,3920.0,3920.0,,,0 HCPCS,67420,Explore/treat eye socket,,,3514.53,8364.54,19 HCPCS,67420,"Hc Orbitotomy W/Bone Flap Or Window, Lateral Approach; W/Rmvl Of Lesion",7564.0,7564.0,,,0 HCPCS,67430,Explore/treat eye socket,,,3514.53,8364.54,19 HCPCS,67430,"Hc Orbitotomy W/Bone Flap Or Window, Lateral Approach; W/Removal Of Foreign Body",7564.0,7564.0,,,0 HCPCS,67440,Explore/drain eye socket,,,3514.53,8364.54,19 HCPCS,67440,"Hc Orbitotomy With Bone Flap Or Window, Lateral Approach; With Drainage",7564.0,7564.0,,,0 HCPCS,67445,Explr/decompress eye socket,,,3514.53,8364.54,19 HCPCS,67445,"Hc Orbitotomy W/Bone Flap/Window, Lateral Approach; W/Rmvl Of Bone For Decompress",7564.0,7564.0,,,0 HCPCS,67450,Explore/biopsy eye socket,,,3514.53,8364.54,19 HCPCS,67500,Hc Retrobulbar Injection; Medication (Sep Proc Don't Include Supply Of Medication),3920.0,3920.0,,,0 HCPCS,67500,Inject/treat eye socket,,,318.37,4840.09,16 HCPCS,67505,Inject/treat eye socket,,,318.37,4840.09,19 HCPCS,67515,Hc Inj Of Medication/Other Substance Into Tenon's Capsule,3920.0,3920.0,,,0 HCPCS,67515,"Hc Inj,Ther Agent Into Tenon's Capsule",1111.0,1111.0,,,0 HCPCS,67515,Inject/treat eye socket,,,318.37,4840.09,19 HCPCS,67516,Sprchoroidal spc njx rx agt,,,331.3,4840.09,14 HCPCS,67550,Hc Orbital Implant (Implant Outside Muscle Cone); Insertion,6644.0,6644.0,,,0 HCPCS,67550,Insert eye socket implant,,,3514.53,8359.77,19 HCPCS,67560,Hc Orbital Implant (Implant Outside Muscle Cone) Removal Or Revision,4684.0,4684.0,,,0 HCPCS,67560,Revise eye socket implant,,,3051.0,8359.77,19 HCPCS,67570,Decompress optic nerve,,,3051.0,8359.77,19 HCPCS,67570,Hc Optic Nerve Decompression,6644.0,6644.0,,,0 HCPCS,67599,Asc Only Unlisted Procedure - Endoscopic Orbitotomy Tumor Removal,5364.0,5364.0,,,0 HCPCS,67599,Asc Only Unlisted Procedure - Orbitotomy Tumor Removal,5364.0,5364.0,,,0 HCPCS,67599,Orbit surgery procedure,,,318.37,11531.48,16 HCPCS,67700,Drainage of eyelid abscess,,,318.37,4840.09,19 HCPCS,67700,"Hc Blepharotomy, Drainage Of Abscess, Eyelid",2715.0,2715.0,,,0 HCPCS,67700,Hc Drainage Of Eyelid Abscess,821.0,821.0,,,0 HCPCS,67710,Hc Severing Of Tarsorrhaphy,2795.5,2795.5,,,0 HCPCS,67710,Incision of eyelid,,,999.89,5051.48,19 HCPCS,67715,Hc Incision Of Eyelid Fold,2330.5,2330.5,,,0 HCPCS,67715,Incision of eyelid fold,,,2384.68,5055.51,19 HCPCS,67800,"Hc Excis Chalazion,Single",1989.5,1989.5,,,0 HCPCS,67800,Remove eyelid lesion,,,318.37,4840.09,19 HCPCS,67801,"Hc Excision Of Chalazion; Multiple, Same Lid",3920.0,3920.0,,,0 HCPCS,67801,Remove eyelid lesions,,,999.89,5051.48,19 HCPCS,67805,Remove eyelid lesions,,,318.37,4840.09,19 HCPCS,67808,"Hc Excision Of Chalazion; Under Gen Anesth/Or Req Hospitalization, Sngle/Multple",4684.0,4684.0,,,0 HCPCS,67808,Remove eyelid lesion(s),,,2384.68,5345.54,19 HCPCS,67810,Biopsy eyelid & lid margin,,,318.37,4840.09,19 HCPCS,67810,Hc Incisional Biopsy Eyelid Skin & Lid Margin,2460.0,2460.0,,,0 HCPCS,67820,"Hc Revise Eyelashes,Forceps",4591.5,4591.5,,,0 HCPCS,67820,Revise eyelashes,,,133.45,4840.09,15 HCPCS,67825,Hc Revise Eyelashes,3598.0,3598.0,,,0 HCPCS,67825,Revise eyelashes,,,318.37,4840.09,17 HCPCS,67830,Hc Correction Of Trichiasis; Incision Of Lid Margin,4684.0,4684.0,,,0 HCPCS,67830,Revise eyelashes,,,999.89,5345.54,19 HCPCS,67835,"Hc Correction Of Trichiasis; Incision Of Lid Margin, W/Free Mucous Membrane Graft",4684.0,4684.0,,,0 HCPCS,67835,Revise eyelashes,,,2384.68,5345.54,19 HCPCS,67840,Hc Remove Eyelid Lesn (Not Chalazion),3721.5,3721.5,,,0 HCPCS,67840,Remove eyelid lesion,,,999.89,5051.48,19 HCPCS,67850,Hc Destruction Of Lesion Of Lid Margin (Up To 1 Cm),4609.0,4609.0,,,0 HCPCS,67850,Treat eyelid lesion,,,999.89,5051.48,19 HCPCS,67875,Closure of eyelid by suture,,,999.89,5051.48,19 HCPCS,67875,Hc Temp Closure Eyelid By Suture,3018.0,3018.0,,,0 HCPCS,67880,Hc Revision Of Eyelid,3280.0,3280.0,,,0 HCPCS,67880,Revision of eyelid,,,2384.68,6293.23,19 HCPCS,67882,"Hc Construction Of Intermarginal Adhesions, Median Tarsorrhaphy/Canthorrhaphy W/Transposition Of Tar",5364.0,5364.0,,,0 HCPCS,67882,Revision of eyelid,,,2384.68,6293.23,19 HCPCS,67900,Hc Repair Brow Ptosis,3970.0,3970.0,,,0 HCPCS,67900,Repair brow defect,,,2384.68,7175.28,19 HCPCS,67901,"Hc Fix Lid Ptosis,Frontalis Musc,Sut",4430.0,4430.0,,,0 HCPCS,67901,Repair eyelid defect,,,2384.68,8364.54,19 HCPCS,67902,Repair eyelid defect,,,3514.53,8364.54,19 HCPCS,67903,"Hc Fix Lid Ptosis,Levatr Resec,Intern",3970.0,3970.0,,,0 HCPCS,67903,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67904,"Hc Fix Lid Ptosis,Levatr Resec,Extern",3970.0,3970.0,,,0 HCPCS,67904,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67906,Repair eyelid defect,,,3051.0,8364.54,19 HCPCS,67908,"Hc Repair Of Blepharoptosis, Conjunctivo-Tarso-Muller's Muscle-Levator Resection",6644.0,6644.0,,,0 HCPCS,67908,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67909,Hc Reduction Of Overcorrection Of Ptosis,6644.0,6644.0,,,0 HCPCS,67909,Revise eyelid defect,,,2384.68,7175.28,19 HCPCS,67911,Hc Correction Of Lid Retraction,5364.0,5364.0,,,0 HCPCS,67911,Revise eyelid defect,,,2384.68,6293.23,19 HCPCS,67912,Correction eyelid w/implant,,,2384.68,6293.23,19 HCPCS,67912,"Hc Correction Lagophthalmos,W/Implantation Upper Eyelid Lid Load",5364.0,5364.0,,,0 HCPCS,67914,"Hc Fix Ectropion,Suture",3700.5,3700.5,,,0 HCPCS,67914,Repair eyelid defect,,,2384.68,6293.23,19 HCPCS,67915,Repair eyelid defect,,,2384.68,6277.0,19 HCPCS,67916,"Hc Fix Ectropion,Excis Tarsal Wedge",3553.0,3553.0,,,0 HCPCS,67916,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67917,"Hc Repair Of Ectropion;Extensive (Eg, Tarsal Strip Operations)",6644.0,6644.0,,,0 HCPCS,67917,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67921,"Hc Fix Entropion,Suture",4070.5,4070.5,,,0 HCPCS,67921,Repair eyelid defect,,,2384.68,6293.23,19 HCPCS,67922,Repair eyelid defect,,,2384.68,6277.0,18 HCPCS,67923,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67924,"Hc Fix Entropion,Extensv Lid Repair",5046.0,5046.0,,,0 HCPCS,67924,Repair eyelid defect,,,2384.68,7175.28,19 HCPCS,67930,Repair eyelid wound,,,2384.68,7750.0,19 HCPCS,67935,"Hc Suture Eyelid Wound,Full Thick",5074.0,5074.0,,,0 HCPCS,67935,"Hc Suture Of Recent Wound, Eyelid, Involving Lid Margin, Tarsus, And/Or Palpebral Conjunctiva Direct",4548.0,4548.0,,,0 HCPCS,67935,Repair eyelid wound,,,2384.68,5345.54,19 HCPCS,67938,"Hc Removal Of Embedded Foreign Body, Eyelid",3856.0,3856.0,,,0 HCPCS,67938,Remove eyelid foreign body,,,318.37,4840.09,18 HCPCS,67950,Hc Canthoplasty,4684.0,4684.0,,,0 HCPCS,67950,Revision of eyelid,,,2384.68,5345.54,19 HCPCS,67961,"Hc Revision Of Eyelid,< 1/4 Lid Margin",4441.0,4441.0,,,0 HCPCS,67961,Revision of eyelid,,,2384.68,6293.23,19 HCPCS,67966,"Hc Revision Of Eyelid,> 1/4 Lid Margin",4441.0,4441.0,,,0 HCPCS,67966,Revision of eyelid,,,2384.68,6293.23,19 HCPCS,67971,"Hc Reconstruc Eyelid,<2/3,One Stage",4441.0,4441.0,,,0 HCPCS,67971,Reconstruction of eyelid,,,2384.68,6293.23,19 HCPCS,67973,"Hc Reconstruction Of Eyelid, Full Thickness By Transfer Of Tarsoconjunctival Flap From Opposing Eyel",5364.0,5364.0,,,0 HCPCS,67973,Reconstruction of eyelid,,,2384.68,6293.23,19 HCPCS,67974,Hc Reconst Eyelid Transfer Tarsoconjunc Flap Oppos Eyelid; Totl Eyelid/Upr 1 Stg,5364.0,5364.0,,,0 HCPCS,67974,Reconstruction of eyelid,,,3051.0,8359.77,19 HCPCS,67975,"Hc Reconstruc Eyelid,Second Stage",4441.0,4441.0,,,0 HCPCS,67975,Reconstruction of eyelid,,,2384.68,6293.23,19 HCPCS,67999,Asc Only Unlisted Procedure - Eyelids - Remove Gold Weight,10171.0,10171.0,,,0 HCPCS,67999,"Asc Only Unlisted Procedure, Eyelids",10476.0,10476.0,,,0 HCPCS,67999,Revision of eyelid,,,318.37,11531.48,16 HCPCS,68020,"Hc Incision Of Conjunctiva, Drainage Of Cyst",3920.0,3920.0,,,0 HCPCS,68020,Incise/drain eyelid lining,,,999.89,5051.48,18 HCPCS,68040,Treatment of eyelid lesions,,,318.37,4840.09,16 HCPCS,68100,Biopsy of eyelid lining,,,1952.0,5495.0,19 HCPCS,68100,Hc Biopsy Of Conjunctiva,3756.0,3756.0,,,0 HCPCS,68110,"Hc Excis Conjunc Lesn,=<1 Cm",2515.5,2515.5,,,0 HCPCS,68110,Remove eyelid lining lesion,,,2384.68,5055.51,19 HCPCS,68115,"Hc Excis Conjunc Lesn,>1 Cm",3416.0,3416.0,,,0 HCPCS,68115,Remove eyelid lining lesion,,,2384.68,5345.54,19 HCPCS,68130,"Hc Excision Of Lesion, Conjunctiva With Adjacent Sclera",4684.0,4684.0,,,0 HCPCS,68130,Remove eyelid lining lesion,,,2384.68,5345.54,19 HCPCS,68135,Hc Destruc Conjunc Lesn,3348.5,3348.5,,,0 HCPCS,68135,Remove eyelid lining lesion,,,2384.68,5055.51,19 HCPCS,68200,Treat eyelid by injection,,,448.08,4840.09,15 HCPCS,68320,Hc Conjunctivoplasty; W/Conjunctival Graft/Extensive Rearrangement,6644.0,6644.0,,,0 HCPCS,68320,"Hc Revise Conjunc,Conjunc Grft",1500.0,1500.0,,,0 HCPCS,68320,Revise/graft eyelid lining,,,2384.68,7175.28,19 HCPCS,68325,Revise/graft eyelid lining,,,3514.53,8359.77,19 HCPCS,68326,"Hc Revise Conjunc,Fix Cul-De-Sac+Grft",3877.5,3877.5,,,0 HCPCS,68326,Revise/graft eyelid lining,,,3514.53,8359.77,19 HCPCS,68328,Revise/graft eyelid lining,,,2384.68,7175.28,19 HCPCS,68330,"Hc Reair Of Symblepharon; Conjunctivoplasty, W/O Graft",6644.0,6644.0,,,0 HCPCS,68330,Revise eyelid lining,,,2314.8,7175.28,19 HCPCS,68335,Hc Repair Of Symblepharon; W/Free Graft Conjunctiva/Buccal Mucous Membrane,6644.0,6644.0,,,0 HCPCS,68335,Revise/graft eyelid lining,,,3514.53,8359.77,19 HCPCS,68340,"Hc Repair Of Symblepharon; Division Of Symblepharon, W/W/O Insertion Of Conformer/Contact Lens",6644.0,6644.0,,,0 HCPCS,68340,Separate eyelid adhesions,,,2384.68,7175.28,19 HCPCS,68360,Hc Conjunctival Flap; Bridge Or Partial,4548.0,4548.0,,,0 HCPCS,68360,Revise eyelid lining,,,3295.0,8359.77,19 HCPCS,68362,Hc Conjunctival Flap; Total,4548.0,4548.0,,,0 HCPCS,68362,Revise eyelid lining,,,2384.68,5345.54,19 HCPCS,68371,Harvest eye tissue alograft,,,2384.68,5345.54,19 HCPCS,68399,Eyelid lining surgery,,,318.37,11531.48,16 HCPCS,68400,Incise/drain tear gland,,,999.89,5051.48,19 HCPCS,68420,"Hc Incision, Drainage Of Lacrimal Sac, Dacryocystotomy/Dacryocystostomy",7564.0,7564.0,,,0 HCPCS,68420,Incise/drain tear sac,,,1952.0,7750.0,19 HCPCS,68440,Hc Incise Tear Duct Opening,4467.5,4467.5,,,0 HCPCS,68440,Incise tear duct opening,,,318.37,4840.09,19 HCPCS,68500,Removal of tear gland,,,3514.53,8359.77,19 HCPCS,68505,Partial removal tear gland,,,3051.0,8359.77,19 HCPCS,68510,Biopsy of tear gland,,,2384.68,5055.51,19 HCPCS,68510,Hc Biopsy Of Lacrimal Gland,3920.0,3920.0,,,0 HCPCS,68520,Hc Excision Of Lacrimal Sac (Dacryocystectomy),5364.0,5364.0,,,0 HCPCS,68520,Removal of tear sac,,,3514.53,8359.77,19 HCPCS,68525,Biopsy of tear sac,,,2384.68,5055.51,19 HCPCS,68530,Clearance of tear duct,,,318.37,4840.09,18 HCPCS,68530,"Hc Removal Of Foreign Body Or Dacryolith, Lacrimal Passages",6982.0,6982.0,,,0 HCPCS,68540,Remove tear gland lesion,,,2384.68,6293.23,19 HCPCS,68550,Remove tear gland lesion,,,3514.53,8359.77,19 HCPCS,68700,Hc Repair Tear Ducts,3145.5,3145.5,,,0 HCPCS,68700,Repair tear ducts,,,2384.68,5345.54,19 HCPCS,68705,Revise tear duct opening,,,318.37,4840.09,19 HCPCS,68720,Create tear sac drain,,,3514.53,8359.77,19 HCPCS,68720,Hc Create Tear Sac-Nasal Fistula,6644.0,6644.0,,,0 HCPCS,68720,Hc Pbb Create Tear Sac-Nasal Fistula,470.0,470.0,,,0 HCPCS,68745,Create tear duct drain,,,3514.53,8359.77,19 HCPCS,68750,Create tear duct drain,,,3051.0,8359.77,19 HCPCS,68750,Hc Conjunctivorhinostomy (Fistuliz Conjunct To Nasal Cavity); W/Insert Tube/Stent),6644.0,6644.0,,,0 HCPCS,68760,Close tear duct opening,,,318.37,4840.09,18 HCPCS,68761,Close tear duct opening,,,318.37,4840.09,18 HCPCS,68770,Close tear system fistula,,,1952.0,7175.28,19 HCPCS,68801,Dilate tear duct opening,,,448.08,4840.09,15 HCPCS,68810,"Hc Probing Of Nasolacrimal Duct, With Or Without Irrigation;",3920.0,3920.0,,,0 HCPCS,68810,Probe nasolacrimal duct,,,318.37,4840.09,19 HCPCS,68811,"Hc Probing Nasolacrimal Duct,W/W/O Irrigation;Require Gen Anesthesia",4684.0,4684.0,,,0 HCPCS,68811,Probe nasolacrimal duct,,,2384.68,5345.54,19 HCPCS,68815,"Hc Probe Nasolac Duct,Insert Tube/Stent",4123.0,4123.0,,,0 HCPCS,68815,Probe nasolacrimal duct,,,2384.68,5345.54,19 HCPCS,68816,"Hc Probing Nasolacrml Duct,Wwo Irrigatn;W/Translumnl Balloon Cath Dilation",7564.0,7564.0,,,0 HCPCS,68816,Probe nl duct w/balloon,,,2384.68,7750.0,19 HCPCS,68840,Explore/irrigate tear ducts,,,318.37,4840.09,18 HCPCS,68840,Hc Explore Lacrimal Canaliculi,3613.5,3613.5,,,0 HCPCS,68841,Insj rx elut implt lac canal,,,2384.68,5055.51,15 HCPCS,68850,Injection for tear sac x-ray,,,1343.0,7175.28,7 HCPCS,68899,Tear duct system surgery,,,318.37,11531.48,16 HCPCS,69000,Drain external ear lesion,,,710.27,4840.09,18 HCPCS,69000,"Hc Drain Ext Ear Absc/Blood,Simple",1027.0,1027.0,,,0 HCPCS,69005,Drain external ear lesion,,,1656.59,5051.48,18 HCPCS,69020,Drain outer ear canal lesion,,,710.27,4840.09,18 HCPCS,69090,Pierce earlobes,,,3051.0,4840.09,3 HCPCS,69100,Biopsy of external ear,,,237.57,4840.09,17 HCPCS,69100,Hc Biopsy External Ear,697.0,697.0,,,0 HCPCS,69105,Biopsy of external ear canal,,,1556.28,5051.48,16 HCPCS,69110,"Hc Excision External Ear; Partial, Simple Repair",6041.0,6041.0,,,0 HCPCS,69110,Remove external ear partial,,,2572.0,6176.62,19 HCPCS,69120,Removal of external ear,,,3295.0,12588.0,19 HCPCS,69140,Remove ear canal lesion(s),,,3295.0,12588.0,19 HCPCS,69145,"Hc Excision Soft Tissue Lesion, External Auditory Canal",5507.0,5507.0,,,0 HCPCS,69145,Remove ear canal lesion(s),,,2912.0,6176.62,19 HCPCS,69150,Extensive ear canal surgery,,,3600.0,12588.0,19 HCPCS,69155,Extensive ear/neck surgery,,,3051.0,7268.12,6 HCPCS,69200,Clear outer ear canal,,,133.45,4840.09,15 HCPCS,69200,Hc Removal Foreign Body From External Auditory Canal; W/O General Anesthesia,2408.5,2408.5,,,0 HCPCS,69200,Hc Remv Ext Canal Foreign Body,208.0,208.0,,,0 HCPCS,69205,Clear outer ear canal,,,1656.59,5051.48,19 HCPCS,69205,Hc Removal Foreign Body From External Auditory Canal; W/General Anesthesia,4540.5,4540.5,,,0 HCPCS,69205,Noncdm Charge Record,499.0,499.0,,,0 HCPCS,69209,Hc Removal Impacted Cerumen Irrigation/Lvg Unilat,222.0,222.0,,,0 HCPCS,69209,"Hc Removal Impacted Cerumen Using Irrigation/Lavage, Unilateral",222.0,222.0,,,0 HCPCS,69209,Remove impacted ear wax uni,,,59.17,4840.09,17 HCPCS,69210,Hc Removal Impacted Cerumen (Separate Procedure) One Or Both Ears,2484.0,2484.0,,,0 HCPCS,69210,Hc Remove Impacted Earwax,359.0,359.0,,,0 HCPCS,69210,Remove impacted ear wax uni,,,59.17,4840.09,17 HCPCS,69220,Clean out mastoid cavity,,,201.24,4840.09,15 HCPCS,69222,Clean out mastoid cavity,,,540.96,4840.09,18 HCPCS,69300,"Hc Otoplasty, Protruding Ear, With Or Without Size Reduction",8466.0,8466.0,,,0 HCPCS,69300,Revise external ear,,,3011.79,7050.03,19 HCPCS,69310,Rebuild outer ear canal,,,4419.21,12588.0,19 HCPCS,69320,Rebuild outer ear canal,,,4419.21,12588.0,19 HCPCS,69399,Outer ear surgery procedure,,,237.57,11531.48,16 HCPCS,69420,Incision of eardrum,,,237.57,6277.0,19 HCPCS,69421,"Hc Incision Eardrum,Aspir,Gen Anesth",6653.0,6653.0,,,0 HCPCS,69421,"Hc Pbb Incision Eardrum,Aspir,Gen Anesth",2001.0,2001.0,,,0 HCPCS,69421,Incision of eardrum,,,2912.0,7050.03,19 HCPCS,69424,Hc Ventilating Tube Removal Requiring General Anesthesia,8568.0,8568.0,,,0 HCPCS,69424,Remove ventilating tube,,,2572.0,7870.0,19 HCPCS,69433,Create eardrum opening,,,540.96,6277.0,19 HCPCS,69436,Create eardrum opening,,,1556.28,6293.23,19 HCPCS,69436,"Hc Create Eardrum Opening,Gen Anesth",6653.0,6653.0,,,0 HCPCS,69436,"Hc Pbb Create Eardrum Opening,Gen Anesth",2001.0,2001.0,,,0 HCPCS,69440,Exploration of middle ear,,,3011.79,7050.03,19 HCPCS,69450,Eardrum revision,,,2572.0,8655.0,19 HCPCS,69501,Mastoidectomy,,,4419.21,12588.0,19 HCPCS,69502,Mastoidectomy,,,3895.0,12588.0,19 HCPCS,69505,Remove mastoid structures,,,4419.21,12588.0,19 HCPCS,69511,Extensive mastoid surgery,,,4419.21,12588.0,19 HCPCS,69530,Extensive mastoid surgery,,,4419.21,12588.0,19 HCPCS,69535,Remove part of temporal bone,,,3925.0,7268.12,4 HCPCS,69540,Remove ear lesion,,,1556.28,5051.48,18 HCPCS,69550,Remove ear lesion,,,4419.21,12588.0,19 HCPCS,69552,Remove ear lesion,,,4419.21,12588.0,19 HCPCS,69554,Remove ear lesion,,,3925.0,8364.54,6 HCPCS,69601,Mastoid surgery revision,,,4419.21,12588.0,19 HCPCS,69602,Mastoid surgery revision,,,4419.21,12588.0,19 HCPCS,69603,Mastoid surgery revision,,,4419.21,12588.0,19 HCPCS,69604,Mastoid surgery revision,,,4419.21,12588.0,19 HCPCS,69605,Mastoid surgery revision,,,6187.0,10227.73,4 HCPCS,69610,Repair of eardrum,,,1556.28,6277.0,18 HCPCS,69620,Hc Myringoplasty,8568.0,8568.0,,,0 HCPCS,69620,Repair of eardrum,,,3011.79,7050.03,19 HCPCS,69631,"Hc Tympanoplasty W/O Mastoidectomy Incl Canalplasty, Atticotomy And/Or Middle Ear Surgery, Initial O",9290.0,9290.0,,,0 HCPCS,69631,Repair eardrum structures,,,4419.21,12588.0,19 HCPCS,69632,"Hc Tympanoplasty Without Mastoidectomy, Initial Or Revision; With Ossicular Chain Reconstruction",9801.0,9801.0,,,0 HCPCS,69632,Rebuild eardrum structures,,,4419.21,12588.0,19 HCPCS,69633,Rebuild eardrum structures,,,4419.21,12588.0,19 HCPCS,69635,Repair eardrum structures,,,4419.21,12588.0,19 HCPCS,69636,Rebuild eardrum structures,,,4419.21,12588.0,19 HCPCS,69637,Rebuild eardrum structures,,,4419.21,12588.0,19 HCPCS,69641,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69642,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69643,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69644,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69645,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69646,Revise middle ear & mastoid,,,4419.21,12588.0,19 HCPCS,69650,Release middle ear bone,,,3011.79,10726.0,19 HCPCS,69660,Revise middle ear bone,,,4419.21,12588.0,19 HCPCS,69661,Revise middle ear bone,,,4419.21,12588.0,19 HCPCS,69662,Revise middle ear bone,,,4419.21,12588.0,19 HCPCS,69666,Repair middle ear structures,,,3011.79,7175.28,19 HCPCS,69667,Repair middle ear structures,,,3011.79,7175.28,19 HCPCS,69670,Remove mastoid air cells,,,4419.21,12588.0,19 HCPCS,69676,Remove middle ear nerve,,,3011.79,7050.03,19 HCPCS,69700,Close mastoid fistula,,,1556.28,6293.23,19 HCPCS,69705,Nps surg dilat eust tube uni,,,2572.0,12588.0,17 HCPCS,69706,"Hc Nasopharyngoscopy, Surgical, With Dilation Of Eustachian Tube; Bilateral",15400.0,15400.0,,,0 HCPCS,69706,Nps surg dilat eust tube bi,,,3295.0,12588.0,17 HCPCS,69710,Implant/replace hearing aid,,,4419.21,8655.0,10 HCPCS,69711,Remove/repair hearing aid,,,2572.0,8655.0,19 HCPCS,69714,Implant Temple Bone W/Stimul,,,6309.89,27300.32,17 HCPCS,69715,Temple Bne Implnt W/Stimulat,,,7823.0,11403.39,3 HCPCS,69716,Impltj oi implt skl tc esp,,,6309.89,27300.32,16 HCPCS,69717,Temple Bone Implant Revision,,,5087.0,15429.7,18 HCPCS,69718,Revise Temple Bone Implant,,,7823.0,11403.39,3 HCPCS,69719,Revj/rplcmt oi implt tc esp,,,6309.89,27300.32,16 HCPCS,69720,Release facial nerve,,,4419.21,12588.0,19 HCPCS,69725,Release facial nerve,,,4419.21,12588.0,18 HCPCS,69726,Rmvl oi implt skl perq esp,,,3281.9,10815.0,17 HCPCS,69727,Rmvl oi implt skl tc esp,,,3281.9,10815.0,17 HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3281.9,8364.54,16 HCPCS,69729,Impl oi implt sk tc esp>=100,,,6309.89,27300.32,16 HCPCS,69730,Rplc oi implt sk tc esp>=100,,,6309.89,27300.32,16 HCPCS,69740,Repair facial nerve,,,4419.21,12588.0,19 HCPCS,69745,Repair facial nerve,,,4419.21,12588.0,19 HCPCS,69799,Middle ear surgery procedure,,,237.57,11531.48,18 HCPCS,69801,Incise inner ear,,,1556.28,8364.54,19 HCPCS,69805,Explore inner ear,,,4419.21,12588.0,19 HCPCS,69806,Explore inner ear,,,4419.21,12588.0,19 HCPCS,69820,Establish inner ear window,,,6187.0,8364.54,4 HCPCS,69840,Revise inner ear window,,,6187.0,8364.54,4 HCPCS,69905,Remove inner ear,,,4419.21,12588.0,19 HCPCS,69910,Remove inner ear & mastoid,,,4419.21,12588.0,19 HCPCS,69915,Incise inner ear nerve,,,3011.79,10726.0,19 HCPCS,69930,Implant cochlear device,,,6580.16,70112.31,18 HCPCS,69949,Inner ear surgery procedure,,,237.57,4840.09,18 HCPCS,69950,Incise inner ear nerve,,,3051.0,7268.12,6 HCPCS,69955,Release facial nerve,,,4419.21,12588.0,18 HCPCS,69960,Release inner ear canal,,,4419.21,12588.0,16 HCPCS,69970,Remove inner ear lesion,,,4419.21,12588.0,18 HCPCS,69979,Temporal bone surgery,,,237.57,4840.09,18 HCPCS,69990,Hc Procedure Canc Post-Anes,641.0,641.0,,,0 HCPCS,69990,Microsurgery add-on,,,1343.0,4840.09,7 HCPCS,70010,Contrast x-ray of brain,,,62.83,954.63,19 HCPCS,70015,Contrast x-ray of brain,,,162.15,1702.05,19 HCPCS,70030,Hc X-Ray Eye For Foreign Body - Xr Eye Foreign Body,438.0,438.0,,,0 HCPCS,70030,X-ray eye for foreign body,,,35.81,199.53,19 HCPCS,70100,Hc X-Ray Jaw <4 Vw - Xr Mandible < 4 Views,382.0,382.0,,,0 HCPCS,70100,X-ray exam of jaw <4views,,,44.63,199.53,19 HCPCS,70110,Hc X-Ray Jaw 4+ Vw - Xr Mandible 4+ Views,478.0,478.0,,,0 HCPCS,70110,X-ray exam of jaw 4/> views,,,47.07,280.2,19 HCPCS,70120,X-ray exam of mastoids,,,43.65,280.2,19 HCPCS,70130,X-ray exam of mastoids,,,67.64,280.2,19 HCPCS,70134,X-ray exam of middle ear,,,66.17,1203.95,19 HCPCS,70140,Hc X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views,434.0,434.0,,,0 HCPCS,70140,X-ray exam of facial bones,,,33.36,199.53,19 HCPCS,70150,Hc X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views,555.0,555.0,,,0 HCPCS,70150,X-ray exam of facial bones,,,51.48,280.2,19 HCPCS,70160,Hc X-Ray Nasal Bones - Xr Nasal Bones,377.0,377.0,,,0 HCPCS,70160,X-ray exam of nasal bones,,,43.65,199.53,19 HCPCS,70170,X-ray exam of tear duct,,,65.86,582.6,19 HCPCS,70190,X-ray exam of eye sockets,,,39.73,199.53,19 HCPCS,70200,Hc X-Ray Orbits - Xr Orbits Complete 4+ Views,70.0,70.0,,,0 HCPCS,70200,X-ray exam of eye sockets,,,50.99,280.2,19 HCPCS,70210,Hc X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views,417.0,417.0,,,0 HCPCS,70210,X-ray exam of sinuses,,,35.32,199.53,19 HCPCS,70220,Hc X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views,552.0,552.0,,,0 HCPCS,70220,X-ray exam of sinuses,,,40.22,199.53,19 HCPCS,70240,X-ray exam pituitary saddle,,,35.32,199.53,19 HCPCS,70250,Hc X-Ray Skull <4 Vw - Xr Skull 1-3 Views,468.0,468.0,,,0 HCPCS,70250,X-ray exam of skull,,,40.22,280.2,19 HCPCS,70260,Hc X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views,659.0,659.0,,,0 HCPCS,70260,X-ray exam of skull,,,46.1,280.2,19 HCPCS,70300,Hc X-Ray Teeth Single - Xr Teeth 1 View,204.0,204.0,,,0 HCPCS,70300,X-ray exam of teeth,,,11.82,199.53,19 HCPCS,70310,Hc Pbb X-Ray Teeth Partial - Xr Teeth Patriant,738.0,738.0,,,0 HCPCS,70310,X-ray exam of teeth,,,48.05,582.6,19 HCPCS,70320,Full mouth x-ray of teeth,,,62.74,582.6,19 HCPCS,70320,Hc Pbb Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth,738.0,738.0,,,0 HCPCS,70328,Hc Pbb X-Ray Tmj Unilat - Xr Temporomandibular Joint Open And Closed Lt,373.0,373.0,,,0 HCPCS,70328,X-ray exam of jaw joint,,,38.26,199.53,19 HCPCS,70330,Hc X-Ray Tmj Bilat - Xr Temporomandibular Joint Open And Closed Bil,570.0,570.0,,,0 HCPCS,70330,X-ray exam of jaw joints,,,61.28,199.53,19 HCPCS,70332,X-ray exam of jaw joint,,,84.29,582.6,19 HCPCS,70336,"Hc Mri, Tmj - Mr Temporomandibular Joints Wo Iv Contrast",2066.5,2066.5,,,0 HCPCS,70336,Magnetic image jaw joint,,,239.32,965.0,13 HCPCS,70350,X-ray head for orthodontia,,,12.3,199.53,19 HCPCS,70355,Hc Panoramic X-Ray Of Jaws - Xr Panorex,271.0,271.0,,,0 HCPCS,70355,Panoramic x-ray of jaws,,,12.8,199.53,19 HCPCS,70360,Hc X-Ray Neck Soft Tissue - Xr Neck Soft Tissue,438.0,438.0,,,0 HCPCS,70360,X-ray exam of neck,,,33.36,199.53,19 HCPCS,70370,Throat x-ray & fluoroscopy,,,87.29,199.53,19 HCPCS,70371,Speech evaluation complex,,,100.45,582.6,19 HCPCS,70380,X-ray exam of salivary gland,,,43.65,199.53,19 HCPCS,70390,X-ray exam of salivary duct,,,144.03,582.6,19 HCPCS,70450,Ct head/brain w/o dye,,,104.86,711.0,13 HCPCS,70450,"Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast",1160.0,1160.0,,,0 HCPCS,70460,Ct head/brain w/dye,,,175.93,711.0,13 HCPCS,70460,Hc Ct Scan Head Contrast - Ct Head W Contrast,1700.0,1700.0,,,0 HCPCS,70470,Ct head/brain w/o & w/dye,,,175.93,711.0,13 HCPCS,70470,Hc Ct Scan Head Combo - Ct Head W Wo Contrast,2072.5,2072.5,,,0 HCPCS,70471,Cta h&n c+ w/noncontrast img,,,349.93,741.85,7 HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,175.93,372.97,7 HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,104.86,711.0,13 HCPCS,70480,"Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Auditory Canals Wo Cont",1160.0,1160.0,,,0 HCPCS,70480,"Hc Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont",1160.0,1160.0,,,0 HCPCS,70481,Ct orbit/ear/fossa w/dye,,,175.93,711.0,13 HCPCS,70481,Hc Ct Scan Skull Contrast - Ct Auditory Canals/Posterior Fossa W Iv Cnt,1778.5,1778.5,,,0 HCPCS,70481,Hc Ct Scan Skull Contrast - Ct Orbits/Sella W Iv Contrast,1778.5,1778.5,,,0 HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,175.93,711.0,13 HCPCS,70482,Hc Ct Scan Skull Combo - Ct Orbits/Sella W And Wo Iv Contrast,2133.0,2133.0,,,0 HCPCS,70486,Ct maxillofacial w/o dye,,,104.86,711.0,13 HCPCS,70486,"Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Facial Bones Wo Cont",1160.0,1160.0,,,0 HCPCS,70486,"Hc Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast",1160.0,1160.0,,,0 HCPCS,70487,Ct maxillofacial w/dye,,,175.93,711.0,13 HCPCS,70487,"Hc Ct Scan, Face/Jaw Contrast - Ct Sinus Facial Bones W Contrast",1752.5,1752.5,,,0 HCPCS,70487,"Hc Ct Scan, Face/Jaw Contrast - Ct Sinus W Contrast",1752.5,1752.5,,,0 HCPCS,70488,Ct maxillofacial w/o & w/dye,,,175.93,711.0,13 HCPCS,70488,Hc Ct Scans Face/Jaw Combo - Ct Sinus W Wo Contrast,2121.5,2121.5,,,0 HCPCS,70490,Ct soft tissue neck w/o dye,,,104.86,711.0,13 HCPCS,70490,"Hc Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont",1160.0,1160.0,,,0 HCPCS,70491,Ct soft tissue neck w/dye,,,175.93,711.0,13 HCPCS,70491,Hc Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast,1778.5,1778.5,,,0 HCPCS,70491,Hc Ct Neck Tissue Contrast - Pet Ct Soft Tissue Neck W Contrast,1778.5,1778.5,,,0 HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,175.93,711.0,13 HCPCS,70492,Hc Ct Neck Tissue Combo - Ct Soft Tissue Neck W Wo Contrast,2133.0,2133.0,,,0 HCPCS,70496,Ct angiography head,,,175.93,711.0,13 HCPCS,70496,"Hc Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast",1646.0,1646.0,,,0 HCPCS,70498,Ct angiography neck,,,175.93,711.0,13 HCPCS,70498,"Hc Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast",1646.0,1646.0,,,0 HCPCS,70540,"Hc Mri, Face, Neck - Mr Orbit Face Neck Wo Iv Contrast",2066.5,2066.5,,,0 HCPCS,70540,Mri orbit/face/neck w/o dye,,,239.32,965.0,13 HCPCS,70542,"Hc Mri, Face, Neck W/Contrast - Mr Orbit Face Neck W Iv Contrast",3022.0,3022.0,,,0 HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,349.93,965.0,13 HCPCS,70543,"Hc Mri, Face, Neck, Combo - Mr Orbit Face Neck W And Wo Iv Contrast",3431.0,3431.0,,,0 HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,349.93,965.0,13 HCPCS,70544,"Hc Mr Angio, Head - Mr Head Angio Wo Iv Contrast",2066.5,2066.5,,,0 HCPCS,70544,Mr Angiography Head W/O Dye,,,239.32,965.0,13 HCPCS,70545,"Hc Mr Angio, Head W/Contrast - Mr Head Angio W Iv Contrast",2559.5,2559.5,,,0 HCPCS,70545,Mr Angiography Head W/Dye,,,332.52,965.0,13 HCPCS,70546,"Hc Mr Angio, Head, Combo - Mr Head Angio W And Wo Iv Contrast",3431.0,3431.0,,,0 HCPCS,70546,Mr angiograph head w/o&w/dye,,,349.93,965.0,13 HCPCS,70547,"Hc Mr Angio, Neck - Mr Neck Angio Wo Iv Contrast",2066.5,2066.5,,,0 HCPCS,70547,Mr Angiography Neck W/O Dye,,,239.32,965.0,13 HCPCS,70548,"Hc Mr Angio, Neck W/Contrast - Mr Neck Angio W Iv Contrast",2747.5,2747.5,,,0 HCPCS,70548,Mr Angiography Neck W/Dye,,,341.88,965.0,13 HCPCS,70549,"Hc Mr Angio, Neck, Combo - Mr Neck Angio W And Wo Iv Contrast",3431.0,3431.0,,,0 HCPCS,70549,Mr angiograph neck w/o&w/dye,,,349.93,965.0,13 HCPCS,70551,Hc Mri Brain - Mri Brain Wo Contrast,2066.5,2066.5,,,0 HCPCS,70551,Mri brain stem w/o dye,,,239.32,965.0,13 HCPCS,70552,Hc Mri Brain Contrast - Mri Brain W Contrast,2961.0,2961.0,,,0 HCPCS,70552,Mri brain stem w/dye,,,349.93,965.0,13 HCPCS,70553,Hc Mri Brain Combo - Mr Pituitary W/Wo Iv Contrast,3431.0,3431.0,,,0 HCPCS,70553,Hc Mri Brain Combo - Mri Brain W Wo Contrast,3431.0,3431.0,,,0 HCPCS,70553,Mri brain stem w/o & w/dye,,,349.93,965.0,13 HCPCS,70554,Fmri brain by tech,,,239.32,965.0,13 HCPCS,70555,Fmri brain by phys/psych,,,239.32,1072.37,13 HCPCS,70555,Hc Func Mri Brain - Mr Brain Neurofunctional Test W/ Physician Admin,2066.5,2066.5,,,0 HCPCS,70557,Mri brain w/o dye,,,548.07,2284.74,13 HCPCS,70558,Mri brain w/dye,,,175.93,2518.19,13 HCPCS,70559,Mri brain w/o & w/dye,,,175.93,2366.36,13 HCPCS,71045,Hc Radiologic Exam Chest Single View - Xr Chest 1 View,157.5,157.5,,,0 HCPCS,71045,X-ray exam chest 1 view,,,25.53,199.53,19 HCPCS,71046,Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views,260.0,260.0,,,0 HCPCS,71046,X-ray exam chest 2 views,,,34.34,199.53,19 HCPCS,71047,Hc Chest X-Ray 3 Views,311.5,311.5,,,0 HCPCS,71047,X-ray exam chest 3 views,,,43.16,199.53,19 HCPCS,71048,Hc Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views,339.5,339.5,,,0 HCPCS,71048,X-ray exam chest 4+ views,,,46.1,280.2,19 HCPCS,71100,Hc X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views,434.0,434.0,,,0 HCPCS,71100,X-ray exam ribs uni 2 views,,,38.75,199.53,19 HCPCS,71101,"Hc X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws W/ Chest Anteroposterior",509.0,509.0,,,0 HCPCS,71101,X-ray exam unilat ribs/chest,,,43.65,280.2,19 HCPCS,71110,Hc X-Ray Ribs 3 Vw Bilat - Xr Ribs 3 Views Bilateral,567.0,567.0,,,0 HCPCS,71110,X-ray exam ribs bil 3 views,,,44.63,280.2,19 HCPCS,71111,"Hc X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior",649.0,649.0,,,0 HCPCS,71111,X-ray exam ribs/chest4/> vws,,,54.91,280.2,19 HCPCS,71120,Hc X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views,447.0,447.0,,,0 HCPCS,71120,X-ray exam breastbone 2/>vws,,,35.81,199.53,19 HCPCS,71130,Hc X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views,485.0,485.0,,,0 HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,45.6,199.53,19 HCPCS,71250,Ct thorax w/o dye,,,104.86,711.0,13 HCPCS,71250,"Hc Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast",1160.0,1160.0,,,0 HCPCS,71250,"Hc Pet Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast",1160.0,1160.0,,,0 HCPCS,71260,Ct thorax w/dye,,,175.93,711.0,13 HCPCS,71260,Hc Cat Scan Of Chest Contrast - Ct Chest W Contrast,2063.5,2063.5,,,0 HCPCS,71260,Hc Cat Scan Of Chest Contrast - Pet Ct Chest W Contrast,2063.5,2063.5,,,0 HCPCS,71270,Ct thorax w/o & w/dye,,,175.93,711.0,13 HCPCS,71270,Hc Cat Scan Of Chest Combo - Ct Chest W Wo Contrast,2522.0,2522.0,,,0 HCPCS,71271,Ct thorax lung cancer scr c-,,,104.86,222.31,18 HCPCS,71271,"Hc Ct, Thorax, Low Dose For Lung Cancer Screening, W/O Contrast",146.0,146.0,,,0 HCPCS,71275,Ct angiography chest,,,175.93,711.0,13 HCPCS,71275,"Hc Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont",2005.0,2005.0,,,0 HCPCS,71275,"Hc Ct Angio, Chest, Combo, Incl Image - Pet Ct Chest Angio W And Wo Iv Cont",2005.0,2005.0,,,0 HCPCS,71550,"Hc Mri, Chest - Mri Chest Wo Contrast",2066.5,2066.5,,,0 HCPCS,71550,Mri chest w/o dye,,,239.32,965.0,13 HCPCS,71551,"Hc Mri, Chest, W/Contrast - Mri Chest W Contrast",3033.0,3033.0,,,0 HCPCS,71551,Mri Chest W/Dye,,,567.55,1702.05,13 HCPCS,71552,"Hc Mri, Chest, Combo - Mri Chest W Wo Contrast",3431.0,3431.0,,,0 HCPCS,71552,Mri chest w/o & w/dye,,,349.93,965.0,13 HCPCS,71555,Mri angio chest w or w/o dye,,,485.96,965.0,6 HCPCS,72020,Hc X-Ray Spine One View - Xr Spine,312.0,312.0,,,0 HCPCS,72020,X-ray exam of spine 1 view,,,24.55,199.53,19 HCPCS,72040,Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views,443.0,443.0,,,0 HCPCS,72040,X-ray exam neck spine 2-3 vw,,,42.66,199.53,19 HCPCS,72050,Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views,642.0,642.0,,,0 HCPCS,72050,X-ray exam neck spine 4/5vws,,,60.3,280.2,19 HCPCS,72052,Hc Radex Spine Cervical 6 Or More Views - Xr C-Spine Complete 6+ Views,779.0,779.0,,,0 HCPCS,72052,X-ray exam neck spine 6/>vws,,,71.07,280.2,19 HCPCS,72070,Hc X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views,455.0,455.0,,,0 HCPCS,72070,X-ray exam thorac spine 2vws,,,34.34,280.2,19 HCPCS,72072,Hc X-Ray Thoracic Spine+Swim 3 Vw - Xr Thoracic Spine 3 Views,523.0,523.0,,,0 HCPCS,72072,X-ray exam thorac spine 3vws,,,42.66,280.2,19 HCPCS,72074,Hc X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views,569.0,569.0,,,0 HCPCS,72074,X-ray exam thorac spine4/>vw,,,48.54,280.2,19 HCPCS,72080,Hc Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views,342.0,342.0,,,0 HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,36.3,199.53,19 HCPCS,72081,Hc Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw,235.0,235.0,,,0 HCPCS,72081,X-ray exam entire spi 1 vw,,,44.63,199.53,19 HCPCS,72082,Hc Radex X-Ray Exam Entire Spi 2/3 Vw - Xr Entire Spine 2 Or 3 Vw,388.0,388.0,,,0 HCPCS,72082,X-ray exam entire spi 2/3 vw,,,81.35,280.2,19 HCPCS,72083,Hc Radex X-Ray Exam Entire Spi 4/5 Vw - Xr Entire Spine 4 Or 5 Vw,738.0,738.0,,,0 HCPCS,72083,X-ray exam entire spi 4/5 vw,,,91.64,280.2,19 HCPCS,72084,Hc Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw,738.0,738.0,,,0 HCPCS,72084,X-ray exam entire spi 6/> vw,,,104.86,280.2,19 HCPCS,72100,Hc X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views,475.0,475.0,,,0 HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,43.16,280.2,19 HCPCS,72110,Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views,561.0,561.0,,,0 HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,58.34,280.2,19 HCPCS,72114,Hc X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending,647.0,647.0,,,0 HCPCS,72114,X-ray exam l-s spine bending,,,69.11,280.2,19 HCPCS,72120,Hc X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 2 Or 3 Views W/ Flex Ext,331.0,331.0,,,0 HCPCS,72120,X-ray bend only l-s spine,,,44.13,280.2,19 HCPCS,72125,Ct neck spine w/o dye,,,104.86,711.0,13 HCPCS,72125,"Hc Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast",1160.0,1160.0,,,0 HCPCS,72126,Ct neck spine w/dye,,,217.1,954.63,13 HCPCS,72126,Hc Ct Scan Cerv Spine Contrast - Ct Cervical Spine W Contrast,2054.0,2054.0,,,0 HCPCS,72127,Ct neck spine w/o & w/dye,,,175.93,711.0,13 HCPCS,72127,Hc Ct Scan Cerv Sp Combo - Ct Cervical Spine W Wo Contrast,2486.5,2486.5,,,0 HCPCS,72128,Ct chest spine w/o dye,,,104.86,711.0,13 HCPCS,72128,"Hc Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast",1160.0,1160.0,,,0 HCPCS,72129,Ct chest spine w/dye,,,175.93,711.0,13 HCPCS,72129,Hc Ct Scan Dorsal Sp Contrast - Ct Thoracic Spine W Contrast,2054.0,2054.0,,,0 HCPCS,72130,Ct chest spine w/o & w/dye,,,175.93,711.0,13 HCPCS,72130,Hc Ct Scan Dorsal Sp Combo - Ct Thoracic Spine W Wo Contrast,2447.0,2447.0,,,0 HCPCS,72131,Ct lumbar spine w/o dye,,,104.86,711.0,13 HCPCS,72131,"Hc Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast",1160.0,1160.0,,,0 HCPCS,72132,Ct lumbar spine w/dye,,,217.73,954.63,13 HCPCS,72132,Hc Ct Scan Lumbar Sp Contrast - Ct Lumbar Spine W Contrast,2054.0,2054.0,,,0 HCPCS,72133,Ct lumbar spine w/o & w/dye,,,175.93,711.0,13 HCPCS,72133,Hc Ct Scan Lumbar Sp Combo - Ct Lumbar Spine W Wo Contrast,2447.0,2447.0,,,0 HCPCS,72141,"Hc Mri, Cerv Spine - Mri Cervical Spine Wo Contrast",2066.5,2066.5,,,0 HCPCS,72141,Mri neck spine w/o dye,,,237.06,965.0,13 HCPCS,72142,"Hc Mri, Cerv Spine Contrast - Mri Cervical Spine W Contrast",2961.0,2961.0,,,0 HCPCS,72142,Mri neck spine w/dye,,,349.93,965.0,13 HCPCS,72146,"Hc Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast",2066.5,2066.5,,,0 HCPCS,72146,Mri chest spine w/o dye,,,236.43,965.0,13 HCPCS,72147,"Hc Mri, Dorsal Spine Contrast - Mri Thoracic Spine W Contrast",2961.0,2961.0,,,0 HCPCS,72147,Mri chest spine w/dye,,,349.93,965.0,13 HCPCS,72148,"Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast",2066.5,2066.5,,,0 HCPCS,72148,Mri lumbar spine w/o dye,,,237.69,965.0,13 HCPCS,72149,"Hc Mri, Lumbar Spine Contrast - Mri Lumbar Spine W Contrast",2961.0,2961.0,,,0 HCPCS,72149,Mri lumbar spine w/dye,,,349.93,965.0,13 HCPCS,72156,"Hc Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast",3431.0,3431.0,,,0 HCPCS,72156,Mri neck spine w/o & w/dye,,,349.93,965.0,13 HCPCS,72157,"Hc Mri, Dorsal Spine Combo - Mri Thoracic Spine W Wo Contrast",3431.0,3431.0,,,0 HCPCS,72157,Mri chest spine w/o & w/dye,,,349.93,965.0,13 HCPCS,72158,"Hc Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast",3431.0,3431.0,,,0 HCPCS,72158,Mri lumbar spine w/o & w/dye,,,349.93,965.0,13 HCPCS,72159,Hc Mr Angio Spine (Mra) - Mr Spine Angio W Or Wo Iv Contrast,5473.0,5473.0,,,0 HCPCS,72159,Mr angio spine w/o&w/dye,,,507.15,965.0,6 HCPCS,72170,Hc X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views,388.0,388.0,,,0 HCPCS,72170,X-ray exam of pelvis,,,28.95,280.2,19 HCPCS,72190,Hc X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views,468.0,468.0,,,0 HCPCS,72190,X-ray exam of pelvis,,,44.63,280.2,19 HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,175.93,711.0,13 HCPCS,72191,"Hc Ct Angio, Pelvis, Combo, Incl Img - Ct Pelvis Angio W And Wo Iv Cont",1927.0,1927.0,,,0 HCPCS,72192,Ct pelvis w/o dye,,,104.86,711.0,13 HCPCS,72192,"Hc Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast",1160.0,1160.0,,,0 HCPCS,72193,Ct pelvis w/dye,,,175.93,711.0,13 HCPCS,72193,Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast,1983.5,1983.5,,,0 HCPCS,72194,Ct pelvis w/o & w/dye,,,175.93,711.0,13 HCPCS,72194,Hc Ct Scan Of Pelvis Combo - Ct Pelvis W Wo Contrast,2385.0,2385.0,,,0 HCPCS,72195,"Hc Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast",2066.5,2066.5,,,0 HCPCS,72195,Mri Pelvis W/O Dye,,,239.32,965.0,13 HCPCS,72196,"Hc Mri, Pelvis W/Contrast - Mri Pelvis W Contrast",2468.0,2468.0,,,0 HCPCS,72196,Mri pelvis w/dye,,,349.93,965.0,13 HCPCS,72197,"Hc Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast",3431.0,3431.0,,,0 HCPCS,72197,Mri pelvis w/o & w/dye,,,349.93,965.0,13 HCPCS,72198,Mr angio pelvis w/o & w/dye,,,494.68,965.0,6 HCPCS,72200,Hc X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints <3 Views,388.0,388.0,,,0 HCPCS,72200,X-ray exam si joints,,,37.28,280.2,19 HCPCS,72202,Hc X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views,434.0,434.0,,,0 HCPCS,72202,X-ray exam si joints 3/> vws,,,42.18,280.2,19 HCPCS,72220,Hc X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views,394.0,394.0,,,0 HCPCS,72220,X-ray exam sacrum tailbone,,,35.81,199.53,19 HCPCS,72240,Myelography neck spine,,,101.43,1702.05,19 HCPCS,72255,Myelography thoracic spine,,,95.55,1702.05,19 HCPCS,72265,Myelography l-s spine,,,102.41,1702.05,19 HCPCS,72270,Myelogphy 2/> spine regions,,,129.83,1702.05,19 HCPCS,72285,Discography cerv/thor spine,,,113.18,4298.38,19 HCPCS,72285,"Hc X-Ray,C/T,Disk,Superv/Interpret - Fl Cervical Spine Discogram",10421.0,10421.0,,,0 HCPCS,72295,Hc Discography Lumbar Spine - Fl Lumbar Spine Discogram,10421.0,10421.0,,,0 HCPCS,72295,X-ray of lower spine disk,,,106.32,4298.38,19 HCPCS,73000,Hc X-Ray Clavicle - Xr Clavicle,363.0,363.0,,,0 HCPCS,73000,X-ray exam of collar bone,,,36.3,199.53,19 HCPCS,73010,Hc X-Ray Scapula - Xr Scapula,377.0,377.0,,,0 HCPCS,73010,X-ray exam of shoulder blade,,,22.59,280.2,19 HCPCS,73020,Hc X-Ray Shoulder 1 Vw - Xr Shoulder 1 View,343.0,343.0,,,0 HCPCS,73020,X-ray exam of shoulder,,,21.12,199.53,19 HCPCS,73030,Hc X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views,397.0,397.0,,,0 HCPCS,73030,X-ray exam of shoulder,,,38.26,199.53,19 HCPCS,73040,Contrast x-ray of shoulder,,,154.8,954.63,19 HCPCS,73040,Hc Arthrogram Of Shoulder - Xr Shoulder Arthrogram Left,1349.0,1349.0,,,0 HCPCS,73050,Hc X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral,453.0,453.0,,,0 HCPCS,73050,X-ray exam of shoulders,,,29.45,199.53,19 HCPCS,73060,Hc X-Ray Humerus - Xr Humerus,394.0,394.0,,,0 HCPCS,73060,X-ray exam of humerus,,,35.81,199.53,19 HCPCS,73070,Hc X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views,359.0,359.0,,,0 HCPCS,73070,X-ray exam of elbow,,,31.4,199.53,19 HCPCS,73080,Hc X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views,394.0,394.0,,,0 HCPCS,73080,X-ray exam of elbow,,,36.3,199.53,19 HCPCS,73085,Contrast x-ray of elbow,,,109.75,954.63,19 HCPCS,73085,Hc Arthrogram Of Elbow - Xr Elbow Arthrogram Left,1349.0,1349.0,,,0 HCPCS,73090,Hc X-Ray Forearm 2 Vw - Xr Forearm 2 Views,363.0,363.0,,,0 HCPCS,73090,X-ray exam of forearm,,,31.89,199.53,19 HCPCS,73092,"Hc X-Ray Arm, Infant - Xr Upper Extremity 2+ Views Infant",388.0,388.0,,,0 HCPCS,73092,X-ray exam of arm infant,,,35.32,280.2,19 HCPCS,73100,Hc X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views,351.0,351.0,,,0 HCPCS,73100,X-ray exam of wrist,,,38.26,199.53,19 HCPCS,73110,Hc X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views,378.0,378.0,,,0 HCPCS,73110,X-ray exam of wrist,,,48.54,199.53,19 HCPCS,73115,Contrast x-ray of wrist,,,159.21,954.63,19 HCPCS,73115,Hc Arthrogram Of Wrist - Xr Wrist Arthrogram,842.0,842.0,,,0 HCPCS,73120,Hc X-Ray Hand 2 Vw - Xr Hand 2 Views,388.0,388.0,,,0 HCPCS,73120,X-ray exam of hand,,,34.83,280.2,19 HCPCS,73130,Hc X-Ray Hand 3+ Vw - Xr Hand 3+ Views,402.0,402.0,,,0 HCPCS,73130,X-ray exam of hand,,,42.66,199.53,19 HCPCS,73140,Hc X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views,304.0,304.0,,,0 HCPCS,73140,X-ray exam of finger(s),,,46.58,199.53,19 HCPCS,73200,Ct upper extremity w/o dye,,,104.86,711.0,13 HCPCS,73200,Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Wo Iv Contrast,1160.0,1160.0,,,0 HCPCS,73200,Hc Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Wo Iv Contrast Bilat,1160.0,1160.0,,,0 HCPCS,73201,Ct upper extremity w/dye,,,283.8,954.63,13 HCPCS,73201,Hc Ct Scan Of Arm Contrast - Ct Upper Extremity W Iv Contrast,1766.5,1766.5,,,0 HCPCS,73201,Hc Ct Scan Of Arm Contrast - Ct Upper Extremity W Iv Contrast Bilat,1766.5,1766.5,,,0 HCPCS,73202,Ct uppr extremity w/o&w/dye,,,175.93,711.0,13 HCPCS,73202,Hc Ct Scan Of Arm Combo - Ct Upper Extremity W And Wo Iv Contrast,2138.5,2138.5,,,0 HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,175.93,711.0,13 HCPCS,73206,"Hc Ct Angio,Upper Extrem,Combo - Ct Upper Ext Angio W And Wo Iv Cont",1694.0,1694.0,,,0 HCPCS,73218,Hc Mri Upp Ext W/O Cont,2066.5,2066.5,,,0 HCPCS,73218,Mri Upper Extremity W/O Dye,,,239.32,965.0,13 HCPCS,73219,Hc Mri Upp Ext With Cont,2468.0,2468.0,,,0 HCPCS,73219,Mri Upper Extremity W/Dye,,,349.93,965.0,13 HCPCS,73220,Hc Mri Upp Ext Ww/O Cont,3022.0,3022.0,,,0 HCPCS,73220,Mri uppr extremity w/o&w/dye,,,349.93,965.0,13 HCPCS,73221,Hc Mri Upper Joint W/O Cont,2138.5,2138.5,,,0 HCPCS,73221,Mri joint upr extrem w/o dye,,,239.32,965.0,13 HCPCS,73222,Hc Mri Joint Upr Extrem W/Dye - Mr Shldr Arthro W Fl Guide Injct Chg,3022.0,3022.0,,,0 HCPCS,73222,Hc Mri Joint Upr Extrem W/Dye - Mr Upper Extrem W Fl Guide Injct Chg,3022.0,3022.0,,,0 HCPCS,73222,Mri joint upr extrem w/dye,,,460.33,1702.05,13 HCPCS,73223,Hc Mri Upp Joint Ww/O Cont,3431.0,3431.0,,,0 HCPCS,73223,Mri joint upr extr w/o&w/dye,,,349.93,965.0,13 HCPCS,73225,Hc Mr Angio Upper Extrem - Ir Angiogram Brachial Retrograde Left,2468.0,2468.0,,,0 HCPCS,73225,Mr angio upr extr w/o&w/dye,,,507.15,965.0,6 HCPCS,73501,Hc Hip 1 View Uni Incls Pelvis,235.0,235.0,,,0 HCPCS,73501,X-ray exam hip uni 1 view,,,35.32,199.53,19 HCPCS,73502,Hc Hip 2-3 View Uni Incls Pelvis,235.0,235.0,,,0 HCPCS,73502,Hc X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Right,235.0,235.0,,,0 HCPCS,73502,X-ray exam hip uni 2-3 views,,,54.42,199.53,19 HCPCS,73503,Hc Hip 2-3 View Uni Incls Pelvis,388.0,388.0,,,0 HCPCS,73503,X-ray exam hip uni 4/> views,,,69.11,280.2,19 HCPCS,73521,Hc X-Ray Exam Hips Bi 2 Vws - Xr Hips Bilat 2 Vw W/ Or W/O Pelvis,388.0,388.0,,,0 HCPCS,73521,X-ray exam hips bi 2 views,,,45.12,280.2,19 HCPCS,73522,Hc X-Ray Exam Hips Bi 3-4 Vws - Xr Hips Bilat 3-4 Vw W/ Or W/O Pelvis,438.0,438.0,,,0 HCPCS,73522,X-ray exam hips bi 3-4 views,,,58.83,280.2,19 HCPCS,73523,Hc X-Ray Exam Hips Bi 5+ Vws - Xr Hips Bilat 5+ Vw W/ Or W/O Pelvis,527.0,527.0,,,0 HCPCS,73523,X-ray exam hips bi 5/> views,,,69.11,280.2,19 HCPCS,73525,Contrast x-ray of hip,,,148.44,954.63,19 HCPCS,73525,Hc Arthrogram Of Hip - Xr Hip Arthrogram,1349.0,1349.0,,,0 HCPCS,73551,Hc Radiologic Examination Femur 1 View - Xr Femur 1 Vw,235.0,235.0,,,0 HCPCS,73551,X-ray exam of femur 1,,,31.4,199.53,19 HCPCS,73552,Hc Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw,235.0,235.0,,,0 HCPCS,73552,X-ray exam of femur 2/>,,,39.73,199.53,19 HCPCS,73560,Hc X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views,373.0,373.0,,,0 HCPCS,73560,X-ray exam of knee 1 or 2,,,38.75,199.53,19 HCPCS,73562,Hc X-Ray Knee 3 View - Xr Knee 3 Views,402.0,402.0,,,0 HCPCS,73562,Hc X-Ray Knee 3 View - Xr Knee 3 Views Bilateral,402.0,402.0,,,0 HCPCS,73562,X-ray exam of knee 3,,,47.07,199.53,19 HCPCS,73564,Hc X-Ray Knee 4+ View - Xr Knee 4+ Views,452.0,452.0,,,0 HCPCS,73564,X-ray exam knee 4 or more,,,53.44,280.2,19 HCPCS,73565,Hc X-Ray Knee Standing - Xr Knees Anteroposterior Standing,235.0,235.0,,,0 HCPCS,73565,X-ray exam of knees,,,47.07,199.53,19 HCPCS,73580,Contrast x-ray of knee joint,,,118.08,954.63,19 HCPCS,73580,Hc Arthrogram Of Knee Joint - Xr Knee Arthrogram,1202.0,1202.0,,,0 HCPCS,73590,"Hc X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views",373.0,373.0,,,0 HCPCS,73590,X-ray exam of lower leg,,,35.32,199.53,19 HCPCS,73592,"Hc X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant",235.0,235.0,,,0 HCPCS,73592,X-ray exam of leg infant,,,35.32,199.53,19 HCPCS,73600,Hc X-Ray Ankle 2 Vw - Xr Ankle 2 Views,351.0,351.0,,,0 HCPCS,73600,X-ray exam of ankle,,,36.3,199.53,19 HCPCS,73610,Hc X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views,378.0,378.0,,,0 HCPCS,73610,X-ray exam of ankle,,,41.69,199.53,19 HCPCS,73615,Contrast x-ray of ankle,,,148.44,954.63,19 HCPCS,73615,Hc Arthrogram Of Ankle - Xr Ankle Arthrogram,1020.0,1020.0,,,0 HCPCS,73620,Hc X-Ray Foot 2 Vw - Xr Foot 1-2 Views,351.0,351.0,,,0 HCPCS,73620,X-ray exam of foot,,,31.4,199.53,19 HCPCS,73630,Hc X-Ray Foot 3+ Vw - Xr Foot 3+ Views,378.0,378.0,,,0 HCPCS,73630,X-ray exam of foot,,,38.75,199.53,19 HCPCS,73650,Hc X-Ray Heel - Xr Calcaneus 2 Views,344.0,344.0,,,0 HCPCS,73650,X-ray exam of heel,,,30.91,199.53,19 HCPCS,73660,Hc X-Ray Toe(S) - Xr Toes 2+ Views,304.0,304.0,,,0 HCPCS,73660,X-ray exam of toe(s),,,33.85,199.53,19 HCPCS,73700,Ct lower extremity w/o dye,,,104.86,711.0,13 HCPCS,73700,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Hip Wo Iv Contrast",1160.0,1160.0,,,0 HCPCS,73700,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Wo Iv Contrast",1160.0,1160.0,,,0 HCPCS,73700,"Hc Ct Scan,Lower Extremity,W/O Contrast - Ct Wo Iv Contrast Bilat",1160.0,1160.0,,,0 HCPCS,73701,Ct lower extremity w/dye,,,175.93,711.0,13 HCPCS,73701,Hc Ct Scan Lower Ext - Ct W Iv Contrast,1768.5,1768.5,,,0 HCPCS,73701,Hc Ct Scan Lower Ext - Ct W Iv Contrast Bilat,1768.5,1768.5,,,0 HCPCS,73702,Ct lwr extremity w/o&w/dye,,,175.93,711.0,13 HCPCS,73702,Hc Ct Scan Lower Ext- Ct W And Wo Iv Contrast,2138.5,2138.5,,,0 HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,175.93,711.0,13 HCPCS,73706,Hc Ct Angio Lwr Extr W/O&W/Dye - Ct Lower Ext Angio W And Wo Iv Cont,1694.0,1694.0,,,0 HCPCS,73718,Hc Mri Le W/O Contrast Bilat,2066.5,2066.5,,,0 HCPCS,73718,Mri Lower Extremity W/O Dye,,,239.32,965.0,13 HCPCS,73719,Hc Mri Low Ext With Cont,2468.0,2468.0,,,0 HCPCS,73719,Mri Lower Extremity W/Dye,,,349.93,965.0,13 HCPCS,73720,Hc Mri Low Ext Ww/O Cont,3022.0,3022.0,,,0 HCPCS,73720,Mri lwr extremity w/o&w/dye,,,349.93,965.0,13 HCPCS,73721,Hc Mri Low Joint W/O Cont,2066.5,2066.5,,,0 HCPCS,73721,Mri jnt of lwr extre w/o dye,,,239.32,965.0,13 HCPCS,73722,"Hc Mri, Joint W/Contrast - Mr W Iv Contrast",3022.0,3022.0,,,0 HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,461.57,1702.05,13 HCPCS,73723,Hc Mri Low Joint Ww/O Cont,3431.0,3431.0,,,0 HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,349.93,965.0,13 HCPCS,73725,Hc Mr Angio Lower Extrem (Mra) - Mr Lower Ext Angio Rt Wo Iv Cont,1614.5,1614.5,,,0 HCPCS,73725,Mr ang lwr ext w or w/o dye,,,489.09,965.0,6 HCPCS,74018,Hc Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View,359.0,359.0,,,0 HCPCS,74018,X-ray exam abdomen 1 view,,,31.89,199.53,19 HCPCS,74019,Hc Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw,574.0,574.0,,,0 HCPCS,74019,X-ray exam abdomen 2 views,,,38.26,280.2,19 HCPCS,74021,Hc Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views,645.0,645.0,,,0 HCPCS,74021,X-ray exam abdomen 3+ views,,,44.63,280.2,19 HCPCS,74022,"Hc X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View",759.0,759.0,,,0 HCPCS,74022,X-ray exam series abdomen,,,51.48,280.2,19 HCPCS,74150,Ct abdomen w/o dye,,,104.86,711.0,13 HCPCS,74150,Hc Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast,1160.0,1160.0,,,0 HCPCS,74160,Ct abdomen w/dye,,,175.93,711.0,13 HCPCS,74160,Hc Ct Abdomen W/Dye - Ct Abdomen W Contrast,2019.5,2019.5,,,0 HCPCS,74170,Ct abdomen w/o & w/dye,,,175.93,711.0,13 HCPCS,74170,Hc Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast,2444.5,2444.5,,,0 HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,349.93,954.63,13 HCPCS,74174,Hc Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast,1927.0,1927.0,,,0 HCPCS,74174,Hc Pet Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast,1927.0,1927.0,,,0 HCPCS,74175,Ct angio abdom w/o & w/dye,,,175.93,711.0,13 HCPCS,74175,Hc Ct Angio Abdom W/O & W/Dye - Ct Angiogram Abdomen W Contrast,1145.5,1145.5,,,0 HCPCS,74176,Ct abd & pelvis w/o contrast,,,199.04,711.0,13 HCPCS,74176,Hc Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast,1982.0,1982.0,,,0 HCPCS,74176,Hc Pet Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast,1982.0,1982.0,,,0 HCPCS,74177,Ct abd & pelv w/contrast,,,349.93,954.63,13 HCPCS,74177,Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast,3563.0,3563.0,,,0 HCPCS,74177,Hc Pet Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast,3563.0,3563.0,,,0 HCPCS,74178,Ct abd & pelv 1/> regns,,,349.93,954.63,13 HCPCS,74178,Hc Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast,3935.5,3935.5,,,0 HCPCS,74181,"Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast",2066.5,2066.5,,,0 HCPCS,74181,"Hc Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast Mrcp",2066.5,2066.5,,,0 HCPCS,74181,Mri abdomen w/o dye,,,239.32,965.0,13 HCPCS,74182,"Hc Mri, Abdomen W/Contrast - Mri Abdomen W Contrast",3033.0,3033.0,,,0 HCPCS,74182,Mri Abdomen W/Dye,,,349.93,965.0,13 HCPCS,74183,"Hc Mri, Abdomen, Combo - Mri Abdomen Renal W Wo Contrast",3431.0,3431.0,,,0 HCPCS,74183,"Hc Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast",3431.0,3431.0,,,0 HCPCS,74183,Mri abdomen w/o & w/dye,,,349.93,965.0,13 HCPCS,74185,Hc Mr Angio Abdomen (Mra) - Mr Abdomen Angio W Or Wo Iv Contrast,1849.5,1849.5,,,0 HCPCS,74185,Mri angio abdom w orw/o dye,,,492.2,965.0,6 HCPCS,74190,Hc X-Ray Peritoneum - Ir Guided Peritoneogram W Contrast,1784.0,1784.0,,,0 HCPCS,74190,X-ray exam of peritoneum,,,61.51,1203.95,19 HCPCS,74210,Contrst x-ray exam of throat,,,98.98,455.55,19 HCPCS,74210,Hc Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx,1061.0,1061.0,,,0 HCPCS,74220,Contrast x-ray esophagus,,,101.92,455.55,19 HCPCS,74220,Hc Esophagram - Fl Esophagus Barium Swallow,513.0,513.0,,,0 HCPCS,74221,Hc Hd Barium Swallow(Esophgram),765.0,765.0,,,0 HCPCS,74221,X-ray xm esophagus 2cntrst,,,113.18,455.55,19 HCPCS,74230,Cine/vid x-ray throat/esoph,,,146.48,455.55,19 HCPCS,74230,Hc Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech,1298.0,1298.0,,,0 HCPCS,74235,"Hc Removal Of Foreign Body(S), Esophagealw/ Use Of Balloon Cath, R&I",1640.0,1640.0,,,0 HCPCS,74235,Remove esophagus obstruction,,,153.32,225.91,10 HCPCS,74240,Hc X-Ray Upper Gi Delay - Fl Upper Gi Incl Kub Single Contrast,1518.0,1518.0,,,0 HCPCS,74240,X-ray upper gi delay w/o kub,,,124.94,455.55,19 HCPCS,74246,Contrst x-ray uppr gi tract,,,142.56,455.55,19 HCPCS,74246,Hc Contrst X-Ray Uppr Gi Tract - Fl Upper Gi With Double Cont W/O Kub,1632.0,1632.0,,,0 HCPCS,74248,Hc Ugi-Rad Study Multi Serial Img,1518.0,1518.0,,,0 HCPCS,74248,X-ray sm int f-thru std,,,73.03,108.12,10 HCPCS,74250,Hc X-Ray Exam Of Small Bowel - Fl Small Bowel Series,1233.0,1233.0,,,0 HCPCS,74250,X-ray exam of small bowel,,,123.47,455.55,19 HCPCS,74251,Hc X-Ray Exam Of Small Bowel - Fl Small Bowel Series Enteroclysis Tube,1761.0,1761.0,,,0 HCPCS,74251,X-ray exam of small bowel,,,175.93,680.69,19 HCPCS,74261,Ct colonography dx,,,104.86,711.0,16 HCPCS,74261,Hc Ct Colonography Dx - Ct Colonography Diagnostic Wo Contrast,811.0,811.0,,,0 HCPCS,74262,Ct colonography dx w/dye,,,175.93,711.0,16 HCPCS,74262,Hc Ct Colonography Dx W/Dye - Ct Colonography W/ & W/O Cont Diagnostic,1945.0,1945.0,,,0 HCPCS,74263,Ct colonography screening,,,239.32,1615.0,16 HCPCS,74263,Hc Ct Colonography Screening - Ct Colonography Screening,1210.5,1210.5,,,0 HCPCS,74270,Contrast x-ray exam of colon,,,154.32,455.55,19 HCPCS,74270,Hc X-Ray Colon Contrast - Fl Barium Enema Single Contrast Water Soluble,1674.0,1674.0,,,0 HCPCS,74280,Contrast x-ray exam of colon,,,175.93,455.55,19 HCPCS,74280,Hc X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast,2242.0,2242.0,,,0 HCPCS,74283,Contrast x-ray exam of colon,,,175.93,455.55,19 HCPCS,74283,Hc Therapeutic Enema,738.0,738.0,,,0 HCPCS,74290,Contrast x-ray gallbladder,,,102.9,455.55,19 HCPCS,74300,Hc X-Ray Oper Cholangiogram - Xr Cholangiogram Intraoperative,294.0,294.0,,,0 HCPCS,74300,X-ray bile ducts/pancreas,,,35.76,53.82,10 HCPCS,74301,Hc X-Ray Oper Cholangio Addnl Set - Xr Cholangiogram Intraoperative Add,281.0,281.0,,,0 HCPCS,74301,X-rays at surgery add-on,,,26.64,39.87,10 HCPCS,74328,Hc X-Ray For Bile Duct Endoscopy - Fl Ercp Biliary Duct,1995.0,1995.0,,,0 HCPCS,74328,X-ray bile duct endoscopy,,,78.9,325.88,10 HCPCS,74329,Hc X-Ray For Pancreas Endoscopy - Fl Ercp Pancreatic Duct,1443.0,1443.0,,,0 HCPCS,74329,X-ray for pancreas endoscopy,,,63.06,92.91,10 HCPCS,74330,Hc X-Ray Bile/Pancreas Endoscopy - Fl Ercp Biliary And Pancreas,2680.0,2680.0,,,0 HCPCS,74330,X-ray bile/panc endoscopy,,,107.19,325.88,10 HCPCS,74340,Hc X-Ray Guide For Gi Tube - Fl Feeding Tube Placement Long,2101.0,2101.0,,,0 HCPCS,74340,X-ray guide for GI tube,,,98.13,163.39,10 HCPCS,74355,X-ray guide intestinal tube,,,98.13,209.84,10 HCPCS,74360,Hc X-Ray Guide Gi Dilation - Fl Guided Intraluminal Dilation Strictures,2415.0,2415.0,,,0 HCPCS,74360,Hc X-Ray Guide Gi Dilation - Ir Intraluminal Dilation Strict W Fl Guide,2415.0,2415.0,,,0 HCPCS,74360,X-ray guide gi dilation,,,98.13,183.76,10 HCPCS,74363,Hc X-Ray Bile Duct Dilation - Ir Biliary Dilation,4521.0,4521.0,,,0 HCPCS,74363,X-ray bile duct dilation,,,111.87,164.82,10 HCPCS,74400,Contrst x-ray urinary tract,,,164.66,455.55,19 HCPCS,74400,Hc X-Ray Iv Pyelogram (Ivp) - Fl Intravenous Pyelogram,1478.0,1478.0,,,0 HCPCS,74410,Contrst x-ray urinary tract,,,174.95,455.55,19 HCPCS,74415,Contrst x-ray urinary tract,,,175.93,455.55,19 HCPCS,74420,Contrst x-ray urinary tract,,,79.39,954.63,19 HCPCS,74420,"Hc Urography, Retrograde, W/Wo Kub",4377.0,4377.0,,,0 HCPCS,74420,Hc X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde,1944.0,1944.0,,,0 HCPCS,74425,Contrst x-ray urinary tract,,,165.09,954.63,19 HCPCS,74425,Hc X-Ray Antegrade Pyelogram Tube - Fl Guided Nephrostogram,1784.0,1784.0,,,0 HCPCS,74430,Contrast x-ray bladder,,,38.75,954.63,19 HCPCS,74430,"Hc X-Ray Cystogram, Min 3 View - Fl Cystogram 3V",976.0,976.0,,,0 HCPCS,74440,X-ray male genital tract,,,117.59,582.6,19 HCPCS,74445,X-ray exam of penis,,,74.68,280.2,19 HCPCS,74450,Hc X-Ray Urethrocystogram - Xr Cystourethrogram,1210.0,1210.0,,,0 HCPCS,74450,X-ray urethra/bladder,,,96.66,582.6,19 HCPCS,74455,Hc Voiding Urethrocystogram,1784.0,1784.0,,,0 HCPCS,74455,X-ray urethra/bladder,,,130.32,582.6,19 HCPCS,74470,X-ray exam of kidney lesion,,,82.25,1203.95,19 HCPCS,74485,X-ray guide gu dilation,,,119.06,4445.02,19 HCPCS,74710,X-ray measurement of pelvis,,,51.23,51.23,2 HCPCS,74712,Mri fetal sngl/1st gestation,,,239.32,608.89,16 HCPCS,74713,Mri fetal ea addl gestation,,,172.44,255.36,10 HCPCS,74740,Hc X-Ray Hysterosalpingogram - Xr Hysterosalpingogram,1784.0,1784.0,,,0 HCPCS,74740,X-ray female genital tract,,,111.22,582.6,19 HCPCS,74742,Hc Transcervical Cath Fallopian T,2055.0,2055.0,,,0 HCPCS,74742,X-ray fallopian tube,,,78.87,116.2,10 HCPCS,74775,Hc Perineogram (Eg. Vaginogram),769.0,769.0,,,0 HCPCS,74775,X-ray exam of perineum,,,97.28,582.6,19 HCPCS,75557,Cardiac mri for morph,,,239.32,965.0,13 HCPCS,75557,Hc Cardiac Mri For Morph - Mri Cardiac Morph & Funct Wo Iv Cont,2066.5,2066.5,,,0 HCPCS,75559,Cardiac mri w/stress img,,,467.09,1203.95,13 HCPCS,75559,Hc Cardiac Mri W/Stress - Mri Card Morph & Funct Wo Iv Cont W Stress,2019.5,2019.5,,,0 HCPCS,75561,Cardiac mri for morph w/dye,,,349.93,965.0,13 HCPCS,75561,Hc Cardiac Mri Morph W/Dye - Mri Card Morph & Funct W & Wo Iv Cont,1903.5,1903.5,,,0 HCPCS,75563,Card mri w/stress img & dye,,,557.57,1702.05,13 HCPCS,75563,Hc Card Mri W/Stress - Mri Card Morph & Funct W & Wo Iv Cont W Stress,2371.5,2371.5,,,0 HCPCS,75565,Card mri veloc flow mapping,,,51.76,965.0,7 HCPCS,75565,Hc Card Mri Veloc Flow Mapping - Mri Cardiac Velocity Flow Mapping,1648.0,1648.0,,,0 HCPCS,75571,Ct hrt w/o dye w/ca test,,,87.29,711.0,13 HCPCS,75571,Hc Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast,90.0,90.0,,,0 HCPCS,75571,Hc Ct Hrt W/O Dye W/Ca Test - Pet Heart Calcium Scoring Wo Contrast,90.0,90.0,,,0 HCPCS,75572,Ct hrt w/3d image,,,285.14,741.85,13 HCPCS,75572,Hc Ct Hrt W/3D Image - Ct Heart Structure Morphology With Contrast,2447.0,2447.0,,,0 HCPCS,75573,Ct hrt w/3d image congen,,,349.93,741.85,13 HCPCS,75573,Hc Ct Hrt W/3D Image Congen - Ct Hrt Struct Morph Cong Hrt Dis W/ Cont,2447.0,2447.0,,,0 HCPCS,75574,Ct angio hrt w/3d image,,,349.93,741.85,13 HCPCS,75574,Hc Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct,2447.0,2447.0,,,0 HCPCS,75574,Hc Ct Angio Hrt W/3D Image - Ct Heart Coronary Angiogram,2447.0,2447.0,,,0 HCPCS,75577,Quan&char c athrosclrtc plaq,,,933.16,1978.31,7 HCPCS,75580,Hc Ct Fractional Flow Reserve (Ffr-Ct),2153.5,2153.5,,,0 HCPCS,75580,N-invas est c ffr sw aly cta,,,711.0,2490.45,17 HCPCS,75600,Contrast exam thoracic aorta,,,234.2,6928.2,19 HCPCS,75600,Hc Aorto Thoracic W/O Serial,10421.0,10421.0,,,0 HCPCS,75605,Contrast exam thoracic aorta,,,100.52,11832.39,19 HCPCS,75605,Hc Contrast Exam Thoracic Aorta - By Serialography W/ Rs&I,10421.0,10421.0,,,0 HCPCS,75625,Contrast exam abdominl aorta,,,88.21,6928.2,19 HCPCS,75625,Hc Contrast Exam Abdominl Aorta - Aortography By Serialogrphy W/Rs&I,10421.0,10421.0,,,0 HCPCS,75625,Hc Contrast Exam Abdominl Aorta - Ir Aortagram Abdomnl Serialogram Chg,10421.0,10421.0,,,0 HCPCS,75630,Hc X-Ray Aorta Leg Arteries - Ir Angio Abdom Aorta & Bilat Iliofemoral,10421.0,10421.0,,,0 HCPCS,75630,Noncdm Charge Record,1278.0,1278.0,,,0 HCPCS,75630,X-ray aorta leg arteries,,,95.13,6928.2,19 HCPCS,75635,Ct Angio Abdominal Arteries,,,175.93,711.0,13 HCPCS,75635,Hc Ct Angio Abdominal Arteries - Ct Angio Aorta & Bilat Iliofemoral Run,1234.0,1234.0,,,0 HCPCS,75705,Artery x-rays spine,,,199.5,11832.39,19 HCPCS,75705,Hc Angio Spinal Selectv - Ir Angiogram Spinal Selective,10421.0,10421.0,,,0 HCPCS,75710,Artery x-rays arm/leg,,,101.49,6928.2,19 HCPCS,75710,Hc Angio Extremity Unilat - Ir Angiogram Extremity Left,10421.0,10421.0,,,0 HCPCS,75710,Hc Angio Extremity Unilat - Ir Angiogram Extremity Left Charge,10421.0,10421.0,,,0 HCPCS,75710,Hc Angio Extremity Unilat - Ir Angiogram Extremity Right,10421.0,10421.0,,,0 HCPCS,75710,Hc Angio Extremity Unilat - Ir Angiogram Extremity Right Charge,10421.0,10421.0,,,0 HCPCS,75716,Artery x-rays arms/legs,,,105.9,6928.2,19 HCPCS,75716,Hc Angio Extermity Bilat - Ir Angiogram Extremity Bilateral,10421.0,10421.0,,,0 HCPCS,75716,Hc Angio Extermity Bilat - Ir Angiogram Extremity Bilateral Charge,10421.0,10421.0,,,0 HCPCS,75726,Artery x-rays abdomen,,,114.23,11832.39,19 HCPCS,75726,Hc Angio Visceral Selectv/Subselec - Ir Angio Visceral Selective,10421.0,10421.0,,,0 HCPCS,75726,Hc Angio Visceral Selectv/Subselec - Ir Angio Visceral Selective Chg,10421.0,10421.0,,,0 HCPCS,75731,Artery x-rays adrenal gland,,,147.1,6714.1,19 HCPCS,75731,Hc Angio Adrenal Unilat Select - Angiogram Adrenal Selective,10421.0,10421.0,,,0 HCPCS,75733,Artery x-rays adrenals,,,165.28,6928.2,19 HCPCS,75733,Hc Angio Adrenal Bilat Select - Ir Angiogram Adrenal Selective Bilat,8687.0,8687.0,,,0 HCPCS,75736,Artery x-rays pelvis,,,135.84,11832.39,19 HCPCS,75736,Hc Angio Pelvis - Ir Angio Pelvic Selective Or Supraselective,10421.0,10421.0,,,0 HCPCS,75741,Artery x-rays lung,,,103.94,6928.2,19 HCPCS,75741,Hc Angio Pulmon Unilat Select - Ir Angiogram Pulmonary Selective,10421.0,10421.0,,,0 HCPCS,75743,Artery x-rays lungs,,,105.9,6928.2,19 HCPCS,75743,Hc Angio Pulmon Bilat Select - Ir Angiogram Pulmonary Selective Bilat,10421.0,10421.0,,,0 HCPCS,75746,Artery x-rays lung,,,122.06,6714.1,19 HCPCS,75746,Hc Angio Pulmonary Nonselective,10421.0,10421.0,,,0 HCPCS,75756,Artery x-rays chest,,,163.75,6928.2,19 HCPCS,75756,Hc Angio Intern Mammary - Ir Angiogram Internal Mammary,10421.0,10421.0,,,0 HCPCS,75774,Artery x-ray each vessel,,,74.99,110.48,10 HCPCS,75774,Hc Angio Ea Addnl Selectv Vessel - Ir Angio Selective Ea Addl Vessel,6086.0,6086.0,,,0 HCPCS,75774,Hc Angio Ea Addnl Selectv Vessel - Ir Angio Selective Ea Addl Vessel Ch,6086.0,6086.0,,,0 HCPCS,75801,"Hc Lymphangiography, Extremity Only, Unilateral",3053.0,3053.0,,,0 HCPCS,75801,Lymph vessel x-ray arm/leg,,,385.93,1576.28,19 HCPCS,75803,Hc Lymphangio Extrem Bilat - Ir Lymphangiogram Extremity Bilateral,3287.0,3287.0,,,0 HCPCS,75803,Lymph vessel x-ray arms/legs,,,367.06,4077.83,19 HCPCS,75805,Hc Lymphangio Abd/Pelv Unilat - Ir Lymphangiogram Abdomen Pelvis,3207.0,3207.0,,,0 HCPCS,75805,Lymph vessel x-ray trunk,,,405.35,6714.1,19 HCPCS,75807,Hc Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat,10421.0,10421.0,,,0 HCPCS,75807,Lymph vessel x-ray trunk,,,389.04,6928.2,19 HCPCS,75809,Hc Nonvascular Shuntogram - Ir Nonvascular Shuntogram,900.0,900.0,,,0 HCPCS,75809,Nonvascular shunt x-ray,,,87.23,280.2,19 HCPCS,75810,Hc Splenoportography,10421.0,10421.0,,,0 HCPCS,75810,Vein x-ray spleen/liver,,,720.97,6714.1,19 HCPCS,75820,Hc Venogram Extrem Unilat - Ir Venogram Extremity,2663.0,2663.0,,,0 HCPCS,75820,Hc Venogram Extrem Unilat - Ir Venogram Extremity Left Charge,2663.0,2663.0,,,0 HCPCS,75820,Hc Venogram Extrem Unilat - Ir Venogram Extremity Right Charge,2663.0,2663.0,,,0 HCPCS,75820,Hc Venogram Extrem Unilat - Ir Venogram Lower Extremity Left Chg,2663.0,2663.0,,,0 HCPCS,75820,Hc Venogram Extrem Unilat - Ir Venogram Lower Extremity Right Chg,2663.0,2663.0,,,0 HCPCS,75820,Vein x-ray arm/leg,,,87.23,3347.3,19 HCPCS,75822,Hc Venogram Extrem Bilat - Ir Venogram Extremity Bilateral Charge,2663.0,2663.0,,,0 HCPCS,75822,"Hc Venogram Extrem Bilat - Ir Venogram Extremity, Bilateral",2663.0,2663.0,,,0 HCPCS,75822,Vein x-ray arms/legs,,,96.53,4077.83,19 HCPCS,75825,Hc Venogram Infer Vena Cava - Ir Veno Caval Inferior W Serialography,10421.0,10421.0,,,0 HCPCS,75825,Vein x-ray trunk,,,90.66,6928.2,19 HCPCS,75827,Hc Venogram Super Vena Cava - Ir Veno Caval Superior W Serialography,6583.0,6583.0,,,0 HCPCS,75827,Hc Venogram Super Vena Cava - Ir Veno Caval Superior W Serialography Ch,6583.0,6583.0,,,0 HCPCS,75827,Vein x-ray chest,,,97.02,3347.3,19 HCPCS,75831,Hc Venogram Renal Unilat - Ir Venogram Renal,10421.0,10421.0,,,0 HCPCS,75831,Vein x-ray kidney,,,101.0,6928.2,19 HCPCS,75833,Hc Venogram Renal Bilat - Ir Venogram Renal Bilateral,10421.0,10421.0,,,0 HCPCS,75833,Vein x-ray kidneys,,,116.67,6928.2,19 HCPCS,75840,Vein x-ray adrenal gland,,,110.31,6928.2,19 HCPCS,75842,Vein x-ray adrenal glands,,,130.38,11490.48,12 HCPCS,75860,"Hc Venogram Sinus/Jugular - Ir Venogram Venous Sinus, Jugular",10421.0,10421.0,,,0 HCPCS,75860,"Hc Venogram Sinus/Jugular - Ir Venogram Venous Sinus, Jugular Addl",10421.0,10421.0,,,0 HCPCS,75860,Vein x-ray neck,,,107.37,6928.2,19 HCPCS,75870,Hc Venogram Super Sag Sinus - Ir Venogram Superior Sagittal Sinus,6583.0,6583.0,,,0 HCPCS,75870,Vein x-ray skull,,,144.09,6714.1,19 HCPCS,75872,"Hc Venography, Epidural, Radiological S&I",1596.0,1596.0,,,0 HCPCS,75872,Vein x-ray skull epidural,,,110.31,1576.28,19 HCPCS,75880,Hc Venogram Orbital - Ir Venogram Orbital,10421.0,10421.0,,,0 HCPCS,75880,Vein x-ray eye socket,,,109.82,1576.28,19 HCPCS,75885,Hc Vein X-Ray Liver W/Hemodynam - Ir Perc Transhep Porto W Hemo Evl Chg,10421.0,10421.0,,,0 HCPCS,75885,Hc Vein X-Ray Liver W/Hemodynam - Ir Perc Transhepatic Porto W Hemo Evl,10421.0,10421.0,,,0 HCPCS,75885,Vein x-ray liver w/hemodynam,,,106.39,6928.2,19 HCPCS,75887,Hc Vein X-Ray Liver W/O Hemodyn - Ir Perc Transhepatic Porto Wo Hemo Ev,6786.0,6786.0,,,0 HCPCS,75887,Vein x-ray liver w/o hemodyn,,,107.37,6714.1,19 HCPCS,75889,Hc Vein X-Ray Liver W/Hemodynam - Ir Veno Hepatic W Hemodynamic Eval,10421.0,10421.0,,,0 HCPCS,75889,Vein x-ray liver w/hemodynam,,,106.39,6928.2,19 HCPCS,75891,Hc Vein X-Ray Liver - Ir Venogram Hepatic Wo Hemodynamic Evaluation,10421.0,10421.0,,,0 HCPCS,75891,Vein x-ray liver,,,107.37,6928.2,19 HCPCS,75893,Hc Venous Sampling By Catheter - Ir Venous Sampling Catheterization,10421.0,10421.0,,,0 HCPCS,75893,Hc Venous Sampling By Catheter - Ir Venous Sampling Catheterization Ea Addl,10421.0,10421.0,,,0 HCPCS,75893,Venous sampling by catheter,,,117.65,11832.39,19 HCPCS,75894,Hc X-Rays Transcath Therapy - Ir Transcatheter Therapy Embolization,15916.0,15916.0,,,0 HCPCS,75894,X-rays transcath therapy,,,1390.82,2493.12,10 HCPCS,75898,Follow-up angiography,,,77.46,6714.1,19 HCPCS,75898,Hc Angio Thru Existing Cath F/U,2562.0,2562.0,,,0 HCPCS,75901,Hc Remove Cva Device Obstruct - Ir Catheter Obstruction Removal,1300.0,1300.0,,,0 HCPCS,75901,Remove cva device obstruct,,,301.77,445.98,10 HCPCS,75902,"Hc Mechanical Removal, Intraluminal Obstr Material, Cv Device Through Device Lumen, Radiologic S&I",883.0,883.0,,,0 HCPCS,75902,Remove cva lumen obstruct,,,102.9,154.35,10 HCPCS,75956,Hc Aaa Repair Thor. W/ Lt Subclav,2857.0,2857.0,,,0 HCPCS,75956,Xray endovasc thor ao repr,,,492.02,720.11,3 HCPCS,75957,Hc Aaa Thoracic Not W/ Lsub,2447.0,2447.0,,,0 HCPCS,75957,Xray endovasc thor ao repr,,,422.62,618.53,3 HCPCS,75958,Hc Aaa Thoracic Descending,1633.0,1633.0,,,0 HCPCS,75958,Xray place prox ext thor ao,,,277.07,405.51,3 HCPCS,75959,Hc Aaa Distal Extension Thoracic,1432.0,1432.0,,,0 HCPCS,75959,Xray place dist ext thor ao,,,246.04,360.1,3 HCPCS,75970,Hc Vascular Biopsy - Ir Transcatheter Biopsy,7810.0,7810.0,,,0 HCPCS,75970,Vascular biopsy,,,71.36,814.8,10 HCPCS,75984,Hc Change Perc Drainage Cath,1842.0,1842.0,,,0 HCPCS,75984,Hc Xray Control Catheter Change,1842.0,1842.0,,,0 HCPCS,75984,Hc Xray Control Catheter Change - Ir Gj Tube Change Charge,1842.0,1842.0,,,0 HCPCS,75984,Xray control catheter change,,,85.27,125.91,10 HCPCS,75989,Abscess drainage under x-ray,,,83.8,123.77,10 HCPCS,75989,Hc Abscess Drainage Under X-Ray - Ir Ct Guidance For Abscess Drain,2964.0,2964.0,,,0 HCPCS,75989,Hc Abscess Drainage Under X-Ray - Us Guided Abscess Drain,2964.0,2964.0,,,0 HCPCS,76000,Fluoroscope examination,,,41.2,582.6,19 HCPCS,76000,Hc Fluoroscopy <1 Hr Phys/Qhp - Fl Less Than 1 Hour Intraoperative,738.0,738.0,,,0 HCPCS,76000,Hc Fluoroscopy <1 Hr Phys/Qhp - Ir Cvc Reposition W Fl Guidance,738.0,738.0,,,0 HCPCS,76010,Hc X-Ray Nose-Rectum Child F.B. - Xr Nose To Rectum Foreign Body Peds,976.0,976.0,,,0 HCPCS,76010,X-ray nose to rectum,,,30.91,199.53,19 HCPCS,76014,Hc Mr Safety Implant And/Or Foreign Body Assessment By Trained Clinical Staff; Initial 15 Minutes,53.0,53.0,,,0 HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,29.01,61.5,7 HCPCS,76015,Hc Mr Safety Implant And/Or Foreign Body Assessment By Trained Clinical Staff; Each Add'l 30 Minutes,106.0,106.0,,,0 HCPCS,76016,Hc Mr Safety Determination By Physician/Other Qhp Responsible For The Safety Of The Mr Procedure,190.0,190.0,,,0 HCPCS,76016,Mr safety deter phys/qhp,,,87.29,185.05,7 HCPCS,76017,"Hc Mr Safety Medical Physics Exam Customization, Planning&Performance Mntrg, Medical Physicist/Mr Sa",522.0,522.0,,,0 HCPCS,76017,Mr sfty med physics xm cstmz,,,239.32,507.37,7 HCPCS,76018,Hc Mr Safety Implant Electronics Preparation Under Supervision Of Physician Or Other Qhp,198.0,198.0,,,0 HCPCS,76018,Mr safety implant elec prepj,,,95.36,202.16,7 HCPCS,76019,Hc Mr Safety Implant Positioning And/Or Immobilization Under Supervision Of Physician Or Other Qhp,128.5,128.5,,,0 HCPCS,76019,Mr safety implt pos&/immoblj,,,59.17,125.44,7 HCPCS,76080,"Hc X-Ray Fistula, Abscess Or Sinus Tract",1784.0,1784.0,,,0 HCPCS,76080,"Hc X-Ray Fistula,Abscess,Sinus Tract - Fl Fistula Sinus Tract",1784.0,1784.0,,,0 HCPCS,76080,X-ray exam of fistula,,,51.97,1203.95,19 HCPCS,76098,"Hc X-Ray Exam, Breast Specimen - Mammo Breast Specimen",916.0,916.0,,,0 HCPCS,76098,X-ray exam breast specimen,,,40.71,1203.95,19 HCPCS,76100,X-ray exam of body section,,,91.14,280.2,19 HCPCS,76120,Cine/video x-rays,,,104.86,280.2,19 HCPCS,76125,Cine/video x-rays add-on,,,35.67,63.14,10 HCPCS,76125,Hc Video/Cineradiography Add On,452.0,452.0,,,0 HCPCS,76145,Med physic dos eval rad exps,,,317.18,1970.48,13 HCPCS,76376,3d render w/intrp postproces,,,23.08,711.0,10 HCPCS,76376,Hc 3D Rendering W/Interp & Postprocess Supervision - Ct 3D Reconstruct,2188.0,2188.0,,,0 HCPCS,76377,3d render w/intrp postproces,,,59.87,88.2,10 HCPCS,76377,Hc 3D Render W/Intrp Postproces - 3D Rendering On An Indep Workstation,1086.0,1086.0,,,0 HCPCS,76377,Hc 3D Rendering W/Interp&Postproc Diff Work Station - Ct 3D Reconstruct,1086.0,1086.0,,,0 HCPCS,76380,CAT scan follow-up study,,,87.29,711.0,13 HCPCS,76380,"Hc Ct Scan,Limited/Localized F/U Study - Ct Limited Follow Up",1102.5,1102.5,,,0 HCPCS,76390,Hc Mri Spectroscopy - Mr Spectroscopy,2562.5,2562.5,,,0 HCPCS,76390,Mr spectroscopy,,,87.29,965.0,13 HCPCS,76391,Hc Mri Elastography,507.5,507.5,,,0 HCPCS,76391,Mr elastography,,,229.35,965.0,16 HCPCS,76496,Fluoroscopic procedure,,,82.49,199.53,19 HCPCS,76497,Ct procedure,,,87.29,711.0,13 HCPCS,76498,Hc Mri Breast Abbreviated Screening,450.0,450.0,,,0 HCPCS,76498,Hc Mri Planning,2066.5,2066.5,,,0 HCPCS,76498,Hc Mri Whole Body Screening,2066.5,2066.5,,,0 HCPCS,76498,Mri procedure,,,87.29,965.0,13 HCPCS,76499,Hc Body Composition Dxa 1+ Site(S,1481.0,1481.0,,,0 HCPCS,76499,Radiographic procedure,,,87.29,199.53,9 HCPCS,76506,Echo exam of head,,,104.86,280.2,19 HCPCS,76506,"Hc Us, Head, Real Time - Us Head",1754.0,1754.0,,,0 HCPCS,76510,Ophth us b & quant a,,,44.63,282.92,19 HCPCS,76511,Ophth us quant a only,,,32.38,280.2,19 HCPCS,76512,"Hc Ophthalmic U/S,Diagnostic;B-Scan(Wwo Superimposed Non-Quant A-Scan)",3970.0,3970.0,,,0 HCPCS,76512,Ophth us b w/non-quant a,,,26.51,280.2,19 HCPCS,76513,Echo exam of eye water bath,,,63.72,280.2,19 HCPCS,76514,Echo exam of eye thickness,,,5.45,61.5,19 HCPCS,76516,Echo exam of eye,,,36.3,280.2,19 HCPCS,76519,Echo exam of eye,,,56.38,280.2,19 HCPCS,76529,Echo exam of eye,,,79.39,199.53,19 HCPCS,76536,Hc Us Head/Neck Soft Tissue,1679.0,1679.0,,,0 HCPCS,76536,"Hc Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue",1679.0,1679.0,,,0 HCPCS,76536,Us exam of head and neck,,,104.86,280.2,19 HCPCS,76604,"Hc Pbb Us, Chest,Real Time",650.0,650.0,,,0 HCPCS,76604,"Hc Us, Chest,Real Time - Us Chest",650.0,650.0,,,0 HCPCS,76604,Us exam chest,,,44.63,280.2,19 HCPCS,76641,Hc Ultrasound Breast Complete - Us Breast Bilateral Complete,568.0,568.0,,,0 HCPCS,76641,Hc Us Breast Unilat.Complete,568.0,568.0,,,0 HCPCS,76641,Ultrasound breast complete,,,100.45,280.2,19 HCPCS,76642,Hc Chg Us Breast Uni Real Time With Image Limited,568.0,568.0,,,0 HCPCS,76642,Hc Ultrasound Breast Limited - Us Breast Bilateral Limited,568.0,568.0,,,0 HCPCS,76642,Ultrasound breast limited,,,77.92,199.53,19 HCPCS,76700,"Hc Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen",2352.0,2352.0,,,0 HCPCS,76700,Us exam abdom complete,,,104.86,280.2,19 HCPCS,76705,Echo exam of abdomen,,,87.72,280.2,19 HCPCS,76705,"Hc Chg Us, Abdomen Limited",1709.0,1709.0,,,0 HCPCS,76705,"Hc Us, Abdomen Limited - Us Abdomen Limited",1709.0,1709.0,,,0 HCPCS,76706,Hc Us Abdl Aorta Screen Aaa - Us Abdomen Aortic Aneurysm Screening,834.0,834.0,,,0 HCPCS,76706,Us abdl aorta screen aaa,,,104.86,280.2,19 HCPCS,76770,"Hc Us,Retroperit, B-Scan/Real Time,Complete - Us Retroperitoneum",2277.0,2277.0,,,0 HCPCS,76770,Us exam abdo back wall comp,,,104.86,280.2,19 HCPCS,76775,"Hc Us, Retroperitnl Abd, Ltd - Us Retroperitoneum Limited",1694.0,1694.0,,,0 HCPCS,76775,"Hc Us, Retroperitnl Abd, Ltd - Us Urinary Bladder Limited",1694.0,1694.0,,,0 HCPCS,76775,Us exam abdo back wall lim,,,48.05,280.2,19 HCPCS,76776,"Hc Us,Transplanted Kidney, Real Time/ Doppler - Us Kidney Transplant",1128.0,1128.0,,,0 HCPCS,76776,Us exam k transpl w/doppler,,,104.86,280.2,19 HCPCS,76800,Us exam spinal canal,,,104.86,280.2,19 HCPCS,76801,"Hc Chg Us, Ob < 14 Wks, Single Fetus",983.0,983.0,,,0 HCPCS,76801,Ob us < 14 wks single fetus,,,104.37,280.2,19 HCPCS,76802,"Hc Chg Us, Ob < 14 Wks, Add'l Fetus",528.0,528.0,,,0 HCPCS,76802,"Hc Us, Ob < 14 Wks, Add'l Fetus - Us Ob < 14 Weeks Single Or First Gest",528.0,528.0,,,0 HCPCS,76802,Ob us < 14 wks addl fetus,,,30.85,194.0,10 HCPCS,76805,Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest,983.0,983.0,,,0 HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,104.86,280.2,19 HCPCS,76810,Hc Ob Us >/= 14 Wks Addl Fetus - Us Ob 14+ Weeks Each Additional Gest,558.0,558.0,,,0 HCPCS,76810,Ob us >/= 14 wks addl fetus,,,60.78,194.0,10 HCPCS,76811,Ob us detailed sngl fetus,,,129.96,582.6,19 HCPCS,76812,Ob us detailed addl fetus,,,158.79,233.95,10 HCPCS,76813,Ob us nuchal meas 1 gest,,,88.7,280.2,19 HCPCS,76814,Ob us nuchal meas add-on,,,41.2,194.0,10 HCPCS,76815,Hc Ob Us Limited Fetus(S) - Us Ob Limited 1+ Fetuses,947.0,947.0,,,0 HCPCS,76815,Ob us limited fetus(s),,,74.49,280.2,19 HCPCS,76816,Hc Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach,568.0,568.0,,,0 HCPCS,76816,Ob us follow-up per fetus,,,102.9,280.2,19 HCPCS,76817,Hc Transvaginal Us Obstetric - Us Ob Transvaginal,947.0,947.0,,,0 HCPCS,76817,Transvaginal us obstetric,,,84.29,280.2,19 HCPCS,76818,Fetal biophys profile w/nst,,,102.05,280.2,19 HCPCS,76818,Hc Fetal Biop Profile W/Nst - Us Fetal Biophys Prof W Non Stress Test,947.0,947.0,,,0 HCPCS,76819,Fetal biophys profil w/o nst,,,73.09,280.2,19 HCPCS,76819,Hc Fetal Biop Profil W/O Nst - Us Fetal Biophys Prof Wo Non Stress Test,947.0,947.0,,,0 HCPCS,76819,Hc Fetal Biop Profil W/O Nst - Us Fetal Biophys Prof Wo Non Stress Test Multi,947.0,947.0,,,0 HCPCS,76819,"Hc Pbb Fetal Biophys Prof,W/O Nst",947.0,947.0,,,0 HCPCS,76820,Hc Doppler Fetal Umbilical Artery - Us Umbilical Artery Doppler,478.0,478.0,,,0 HCPCS,76820,Umbilical artery echo,,,31.4,280.2,19 HCPCS,76821,Hc Doppler Fetal Mid Cerebral Artery,552.0,552.0,,,0 HCPCS,76821,Middle cerebral artery echo,,,82.33,280.2,19 HCPCS,76825,Echo exam of fetal heart,,,270.01,1203.95,19 HCPCS,76826,Echo exam of fetal heart,,,173.48,582.6,19 HCPCS,76827,Echo exam of fetal heart,,,62.74,280.2,19 HCPCS,76827,Hc Sono Fetal Heart Doppler,258.0,258.0,,,0 HCPCS,76828,Echo exam of fetal heart,,,33.36,280.2,19 HCPCS,76830,"Hc Echography,Transvaginal - Us Pelvis Transvaginal",1898.0,1898.0,,,0 HCPCS,76830,Hc Us Non-Ob Pelvis Transvag Nc,1898.0,1898.0,,,0 HCPCS,76830,Transvaginal us non-ob,,,104.86,280.2,19 HCPCS,76831,Echo exam uterus,,,121.02,582.6,19 HCPCS,76831,"Hc Sono Exam, Hysterosonography - Us Pelvis Hysterosonography Doppler",947.0,947.0,,,0 HCPCS,76856,"Hc Echo,Pelvic (Nonobstetric) - Us Pelvis",1898.0,1898.0,,,0 HCPCS,76856,Us exam pelvic complete,,,104.86,280.2,19 HCPCS,76857,Hc Sono Pelvis Limited - Us Pelvis Limited,1222.0,1222.0,,,0 HCPCS,76857,Us exam pelvic limited,,,38.75,280.2,19 HCPCS,76870,"Hc Echo,Scrotum & Contents - Us Scrotum",1842.0,1842.0,,,0 HCPCS,76870,Us exam scrotum,,,103.39,280.2,19 HCPCS,76872,"Hc Echo,Transrectal - Us Prostate Transrectal",1228.0,1228.0,,,0 HCPCS,76872,"Hc Echo,Transrectal - Us Transrectal",2599.0,2599.0,,,0 HCPCS,76872,Us transrectal,,,104.86,361.33,19 HCPCS,76873,Echograp trans r pros study,,,104.86,280.2,19 HCPCS,76873,"Hc Echo,Transrectal,Prostate Vol - Us Prostate Transrectal Volume",1517.0,1517.0,,,0 HCPCS,76881,Hc Us Ext Non Vasc Complete Bilat,1709.0,1709.0,,,0 HCPCS,76881,Hc Us Ext Non Vascular Complete,1709.0,1709.0,,,0 HCPCS,76881,Us xtr non-vasc complete,,,16.22,280.2,19 HCPCS,76882,"Hc Chg Us,Extremity,Nonvascular,Real-Time Image,Limited",1709.0,1709.0,,,0 HCPCS,76882,Us xtr non-vasc lmtd,,,19.94,280.2,19 HCPCS,76883,"Hc Us Nerve(S) Per Extremity, Comprehensive",312.0,312.0,,,0 HCPCS,76883,Us nrv&acc strux 1xtr compre,,,21.12,267.2,19 HCPCS,76885,Us exam infant hips dynamic,,,87.29,218.39,19 HCPCS,76886,Us exam infant hips static,,,87.29,199.53,19 HCPCS,76932,Echo guide for heart biopsy,,,80.31,130.72,10 HCPCS,76932,Hc Sono Guide Heart Biopsy - Us Guided Heart Biopsy,1270.0,1270.0,,,0 HCPCS,76936,Echo guide for artery repair,,,216.58,632.75,19 HCPCS,76936,Hc Us Guide Compression Repair Of Arterial Pseudoaneurysm/ Avf,2214.0,2214.0,,,0 HCPCS,76937,"Hc Pbb Us Guide, Vascular Access",254.0,254.0,,,0 HCPCS,76937,"Hc Us Guide, Vascular Access - Dx Rad Us Guidance Insert Iv",254.0,254.0,,,0 HCPCS,76937,"Hc Us Guide, Vascular Access - Us Guidance Insert Iv",254.0,254.0,,,0 HCPCS,76937,"Hc Us Guide, Vascular Access - Xr Peripheral Intravenous Line (Piv)",254.0,254.0,,,0 HCPCS,76937,Us guide vascular access,,,36.3,194.0,10 HCPCS,76940,Hc Us Guide Tissue Ablation,946.0,946.0,,,0 HCPCS,76940,Us guide tissue ablation,,,89.81,194.0,10 HCPCS,76941,Echo guide for transfusion,,,79.88,137.5,10 HCPCS,76942,Echo guide for biopsy,,,41.69,61.42,10 HCPCS,76942,Hc Echo Guide For Biopsy - Us Guidance Needle Placement,1583.0,1583.0,,,0 HCPCS,76942,Hc Echo Guide For Biopsy - Us Guided Thyroid Biopsy,1583.0,1583.0,,,0 HCPCS,76942,Hc Pbb Sono Guide Needle Biopsy,1583.0,1583.0,,,0 HCPCS,76942,Hc Sono Guide Needle Biopsy,1398.0,1398.0,,,0 HCPCS,76942,Hc Us Guidance For Needle Placement,1583.0,1583.0,,,0 HCPCS,76942,Hc Us Guidance For Needle Plcmnt,1583.0,1583.0,,,0 HCPCS,76945,Echo guide villus sampling,,,82.84,157.59,10 HCPCS,76946,Echo guide for amniocentesis,,,22.59,33.28,10 HCPCS,76946,Hc Us Guided Amniocentesis,717.0,717.0,,,0 HCPCS,76948,Echo guide ova aspiration,,,72.54,106.88,10 HCPCS,76965,Echo guidance radiotherapy,,,40.71,59.98,10 HCPCS,76965,Hc Sono Guide Radioelemt Applic - Us Guide Interstitial Radioelmnt Appl,440.0,440.0,,,0 HCPCS,76975,GI endoscopic ultrasound,,,108.58,582.6,19 HCPCS,76977,Us bone density measure,,,6.92,280.2,19 HCPCS,76978,Us trgt dyn mbubb 1st les,,,194.0,741.85,19 HCPCS,76979,Us trgt dyn mbubb ea addl,,,151.38,271.72,10 HCPCS,76981,Hc Us Elastography Parenchyma,570.0,570.0,,,0 HCPCS,76981,Use parenchyma,,,104.86,280.2,19 HCPCS,76982,Use 1st target lesion,,,96.04,280.2,19 HCPCS,76983,Use ea addl target lesion,,,54.42,194.0,10 HCPCS,76984,Dx intraop thoracic aorta us,,,45.86,194.0,5 HCPCS,76984,"Hc Ultrasound, Intraoperative Thoracic Aorta, Diagnostic",742.0,742.0,,,0 HCPCS,76987,Dx intraop epicar car us chd,,,139.56,205.62,5 HCPCS,76987,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Placement And Manipulation Of T",1228.0,1228.0,,,0 HCPCS,76988,Dx ntrop epcr us chd img acq,,,89.0,194.0,5 HCPCS,76988,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Placement, Manipulation Of Tran",1119.0,1119.0,,,0 HCPCS,76989,Dx intraop epcar us chd i&r,,,52.23,194.0,5 HCPCS,76989,"Hc Intraoperative Epicardial Cardiac Ultrasound For Chd, Diagnostic; Interpretation And Report Only",928.0,928.0,,,0 HCPCS,76998,"Hc Ultrasonic Guidance, Intraoperative - Us Intraoperative",742.0,742.0,,,0 HCPCS,76998,Us guide intraop,,,69.2,112.6,8 HCPCS,76999,Echo examination procedure,,,87.29,199.53,9 HCPCS,76999,Hc Unlisted Ultrasound Procedure - Us Penis Soft Tissue,568.0,568.0,,,0 HCPCS,77001,Fluoroguide for Vein Device,,,119.06,177.12,10 HCPCS,77001,Hc Fluoroguide For Vein Device - Fl Guided Venous Access,1028.5,1028.5,,,0 HCPCS,77002,Hc Needle Localization By Xray - Fl Guided Aspiration Hip Left,404.0,404.0,,,0 HCPCS,77002,Hc Needle Localization By Xray - Fl Guided Aspiration Hip Right,404.0,404.0,,,0 HCPCS,77002,Hc Needle Localization By Xray - Fl Guided Injection Hip Left,404.0,404.0,,,0 HCPCS,77002,Hc X-Ray Fluoroscopic Guidance For Needle Placement,404.0,404.0,,,0 HCPCS,77002,Needle localization by xray,,,131.79,194.17,10 HCPCS,77003,Fluoroguide for Spine Inject,,,113.18,166.77,10 HCPCS,77003,Hc Fluorscopic Guidance Spinal Injection - Ir Disc Aspiration,371.0,371.0,,,0 HCPCS,77011,CT Scan for Localization,,,237.67,711.0,7 HCPCS,77011,Hc Ct Scan For Localization - Ct Guidance For Stereotactic Localization,1721.5,1721.5,,,0 HCPCS,77012,Ct scan for needle biopsy,,,104.57,711.0,7 HCPCS,77012,Hc Ct Guidance Needle Placement,1102.5,1102.5,,,0 HCPCS,77012,Hc Ct Guidance Needle Placement - Ct Guidance For Needle Placement,1102.5,1102.5,,,0 HCPCS,77012,Hc Ct Guidance Needle Placement - Ct Guided Needle Biopsy Bone Chg,1102.5,1102.5,,,0 HCPCS,77012,Hc Ct Guidance Needle Placement - Ct Guided Percutaneous Biopsy Thyroid,1102.5,1102.5,,,0 HCPCS,77013,CT Guide for Tissue Ablation,,,383.0,711.0,7 HCPCS,77013,Hc Ct Guide For Tissue Ablation,1102.5,1102.5,,,0 HCPCS,77014,CT Scan for Therapy Guide,,,111.47,711.0,7 HCPCS,77014,Hc Ct Scan For Therapy Guide,1102.5,1102.5,,,0 HCPCS,77021,Hc Mri Guide Needle Plcmt,1679.5,1679.5,,,0 HCPCS,77021,MR Guidance for Needle Place,,,526.11,965.0,7 HCPCS,77022,Hc Tissue Ablation Mr Guided,1648.0,1648.0,,,0 HCPCS,77022,MRI for Tissue Ablation,,,628.0,965.0,7 HCPCS,77046,Hc Mri Breast W/O Unilateral,3111.5,3111.5,,,0 HCPCS,77046,Mri breast c- unilateral,,,223.43,965.0,16 HCPCS,77047,Hc Mri Breast W/O Bilateral,3431.0,3431.0,,,0 HCPCS,77047,Mri breast c- bilateral,,,222.45,965.0,16 HCPCS,77048,"Hc Mri Breast W/Wo Incl Cad, Unilateral",3111.5,3111.5,,,0 HCPCS,77048,Mri breast c-+ w/cad uni,,,365.48,965.0,9 HCPCS,77049,Hc Mri Breast W/Ow Incl Cad Bil,4272.5,4272.5,,,0 HCPCS,77049,Mri breast c-+ w/cad bi,,,362.02,965.0,9 HCPCS,77053,X-Ray of Mammary Duct,,,54.42,582.6,19 HCPCS,77054,X-ray of mammary ducts,,,71.07,582.6,19 HCPCS,77061,Breast tomosynthesis uni,,,129.23,236.38,9 HCPCS,77061,Hc Breast Tomosynthesis Uni - Mammo Breast Diagnostic Tomosynthesis,241.0,241.0,,,0 HCPCS,77062,Breast tomosynthesis bi,,,138.0,301.35,9 HCPCS,77063,Breast tomosynthesis bi,,,23.75,165.0,16 HCPCS,77063,Hc Breast Tomosynthesis - Mammo Breast Screening Tomosynthesis - Bilateral,198.0,198.0,,,0 HCPCS,77063,Hc Breast Tomosynthesis - Mammo Breast Screening Tomosynthesis - Unilateral,198.0,198.0,,,0 HCPCS,77065,Dx mammo incl cad uni,,,76.97,236.38,16 HCPCS,77065,Hc Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic,495.0,495.0,,,0 HCPCS,77066,Dx mammo incl cad bi,,,98.82,301.35,16 HCPCS,77066,Hc Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral,551.0,551.0,,,0 HCPCS,77067,Hc Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral,229.5,229.5,,,0 HCPCS,77067,Hc Scr Mammo Bi Incl Cad - Mammo Breast Screening Unilateral,229.5,229.5,,,0 HCPCS,77067,Scr mammo bi incl cad,,,92.71,249.93,16 HCPCS,77071,X-Ray Stress View,,,81.86,199.53,13 HCPCS,77072,Hc X-Rays For Bone Age - Xr Bone Age Extended,388.0,388.0,,,0 HCPCS,77072,X-Rays for Bone Age,,,25.04,280.2,19 HCPCS,77073,"Hc X-Rays, Bone Length Studies - Xr Lower Extremity Leg Length Eval",267.0,267.0,,,0 HCPCS,77073,X-rays bone length studies,,,47.56,280.2,19 HCPCS,77074,"Hc X-Rays, Bone Survey, Limited - Xr Bone Survey Limited",388.0,388.0,,,0 HCPCS,77074,X-rays bone survey limited,,,65.68,280.2,19 HCPCS,77075,"Hc X-Rays, Bone Survey Complete - Xr Bone Survey Complete",506.0,506.0,,,0 HCPCS,77075,X-rays bone survey complete,,,104.86,280.2,19 HCPCS,77076,"Hc X-Rays, Bone Survey, Infant - Xr Bone Survey Infant",402.0,402.0,,,0 HCPCS,77076,X-rays bone survey infant,,,104.86,280.2,19 HCPCS,77077,Joint survey single view,,,45.12,280.2,19 HCPCS,77078,Ct bone density axial,,,87.29,711.0,13 HCPCS,77080,Dxa bone density axial,,,43.65,280.2,19 HCPCS,77080,Hc Dxa Bone Density Axial - Dexa Bone Density,804.0,804.0,,,0 HCPCS,77081,Dxa bone density/peripheral,,,32.87,199.53,19 HCPCS,77081,Hc Dxa Bone Density/Peripheral - Dexa Bone Density Extremity,237.0,237.0,,,0 HCPCS,77084,Hc Magnetic Image Bone Marrow - Mr Bone Marrow Wo Iv Contrast,1857.5,1857.5,,,0 HCPCS,77084,Magnetic image bone marrow,,,239.32,965.0,13 HCPCS,77085,Dxa bone density study,,,57.91,280.2,19 HCPCS,77085,Hc Dxa Bone Density Study - Dexa Bone Density Axial Skeleton W Vfa,388.0,388.0,,,0 HCPCS,77086,Fracture assessment via dxa,,,37.77,199.53,19 HCPCS,77086,Hc Fracture Assessment Via Dxa - Dexa Bone Density Spine Fracture,235.0,235.0,,,0 HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,59.87,103.83,9 HCPCS,77090,Tbs techl prep&transmis data,,,4.0,206.53,16 HCPCS,77091,Tbs techl calculation only,,,41.48,206.53,16 HCPCS,77092,Tbs i&r fx rsk qhp,,,14.39,25.95,9 HCPCS,77261,Hc Therapeutic Rad Tx Plan/Simple,652.0,652.0,,,0 HCPCS,77261,Radiation therapy planning,,,114.73,213.6,5 HCPCS,77262,Hc Therapeutic Rad Tx Plan/Intermediate,873.0,873.0,,,0 HCPCS,77262,Radiation therapy planning,,,175.69,327.1,5 HCPCS,77263,Hc Therapeutic Rad Tx Plan/Complex,1370.0,1370.0,,,0 HCPCS,77263,Radiation therapy planning,,,272.78,507.86,5 HCPCS,77280,Hc Therapeutic Radiology Simulation-Aided Field Setting; Simple,1881.0,1881.0,,,0 HCPCS,77280,Set radiation therapy field,,,134.82,699.96,15 HCPCS,77285,Hc Therap Radia Simulation Interm,2363.0,2363.0,,,0 HCPCS,77285,Set radiation therapy field,,,375.56,1160.61,15 HCPCS,77290,Hc Therap Rad Simulation Complex,2889.0,2889.0,,,0 HCPCS,77290,Set radiation therapy field,,,375.56,1104.43,15 HCPCS,77293,Hc Resp Gating - Respiratory Motionn Mgmt Simul,2263.0,2263.0,,,0 HCPCS,77293,Respirator motion mgmt simul,,,446.79,917.41,8 HCPCS,77295,3-d radiotherapy plan,,,378.49,2943.23,15 HCPCS,77295,Hc Therap Radia Simulation 3-D,9945.0,9945.0,,,0 HCPCS,77299,Radiation therapy planning,,,134.82,285.81,7 HCPCS,77300,Hc Radiation Therapy Dose Plan - Nm Therapy Sir Spheres,722.0,722.0,,,0 HCPCS,77300,Radiation therapy dose plan,,,49.52,285.81,15 HCPCS,77301,Hc Intens Mod Rad Plan Incl,11781.0,11781.0,,,0 HCPCS,77301,Radiotherapy dose plan imrt,,,1388.32,4315.17,15 HCPCS,77306,Hc Teletxisodose-Simp W/Dosimetry,1117.0,1117.0,,,0 HCPCS,77306,Telethx isodose plan simple,,,110.8,796.19,15 HCPCS,77307,Hc Teletxisodose-Comp W/Dosimetry,1956.0,1956.0,,,0 HCPCS,77307,Telethx isodose plan cplx,,,200.54,796.19,15 HCPCS,77316,Brachytx isodose plan simple,,,254.96,796.19,15 HCPCS,77316,Hc Brachy Isodos-Simp W/Dosimetry,722.0,722.0,,,0 HCPCS,77317,Brachytx isodose intermed,,,335.82,796.19,15 HCPCS,77317,Hc Brachy Isodos-Inter W/Dosimtry,1956.0,1956.0,,,0 HCPCS,77318,Brachytx isodose complex,,,375.56,932.29,15 HCPCS,77318,Hc Brachy Isodose-Comp W/Dosimtry,1956.0,1956.0,,,0 HCPCS,77318,"Hc Brachytherapy Isodose Plan, Complex, Includes Basic Dosimetry",4377.0,4377.0,,,0 HCPCS,77321,Hc Sp Tele Port Plan Total Body,1956.0,1956.0,,,0 HCPCS,77321,Special teletx port plan,,,65.68,796.19,15 HCPCS,77331,Hc Sp Dosimetry Presc Tr Phys,722.0,722.0,,,0 HCPCS,77331,Special radiation dosimetry,,,28.47,285.81,15 HCPCS,77332,Hc Treatment Devices Simple,2549.5,2549.5,,,0 HCPCS,77332,Radiation treatment aid(s),,,23.08,285.81,15 HCPCS,77333,Hc Treatment Devices Interm,1117.0,1117.0,,,0 HCPCS,77333,Radiation treatment aid(s),,,134.82,295.74,15 HCPCS,77334,Hc Treatment Devices Complex,1956.0,1956.0,,,0 HCPCS,77334,Radiation treatment aid(s),,,96.53,796.19,15 HCPCS,77336,Hc Cont Med Physics Con Per Week,1270.0,1270.0,,,0 HCPCS,77336,Radiation physics consult,,,134.82,285.81,12 HCPCS,77338,Design mlc device for imrt,,,360.5,796.19,15 HCPCS,77338,Hc Mlc Devices Imrt,2102.0,2102.0,,,0 HCPCS,77370,Hc Sp Med Rad Physics Consult,1256.0,1256.0,,,0 HCPCS,77370,Radiation physics consult,,,134.82,438.38,12 HCPCS,77371,Hc Gamma-Multisource Colbalt 600,98785.0,98785.0,,,0 HCPCS,77371,Srs multisource,,,1641.11,15661.64,17 HCPCS,77372,Hc Stereotac Radiosgry Line.Accel,66499.0,66499.0,,,0 HCPCS,77372,Srs linear based,,,1401.31,15661.64,17 HCPCS,77373,Hc Sbrt Delivery 5 Or Less,11518.0,11518.0,,,0 HCPCS,77373,SBRT Delivery,,,1463.33,3802.13,17 HCPCS,77385,Hc Imrt- Simple - Incl Guid/Trac,3389.0,3389.0,,,0 HCPCS,77385,Noncdm Charge Record,2581.29,2581.29,,,0 HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,574.16,1068.98,5 HCPCS,77386,Hc Imrt-Complex Incl Guid/Trk,3389.0,3389.0,,,0 HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,577.22,1074.67,5 HCPCS,77387,Guidance for radiaj tx dlvr,,,149.91,386.66,8 HCPCS,77387,Hc Guidance For Radiaj Tx Dlvr - Us Guidance Targeted Volume Rtd,1034.0,1034.0,,,0 HCPCS,77399,External radiation dosimetry,,,134.82,285.81,7 HCPCS,77401,Radiation treatment delivery,,,61.28,125.82,8 HCPCS,77402,Hc Rad Tx Delivery >=1 Mev Simple,742.0,742.0,,,0 HCPCS,77402,Radiation treatment delivery,,,102.34,381.21,13 HCPCS,77407,Hc Rad Tx Delivery - >=1 Mev;Inte,971.0,971.0,,,0 HCPCS,77407,Radiation treatment delivery,,,255.26,820.15,13 HCPCS,77412,"Hc Radiation Tx Delivery, => 1 Mev; Complex",1305.0,1305.0,,,0 HCPCS,77412,Radiation treatment delivery,,,337.53,1174.93,13 HCPCS,77417,Hc Therapeutic Rad Port Image(S),264.0,264.0,,,0 HCPCS,77417,Radiology port images(s),,,22.1,45.37,8 HCPCS,77423,Neutron beam tx complex,,,129.47,1174.93,15 HCPCS,77424,Hc Radtx X-Ray Interop-Sngl Sessn,66499.0,66499.0,,,0 HCPCS,77424,Io rad tx delivery by x-ray,,,7387.57,15661.64,7 HCPCS,77425,Io rad tx deliver by elctrns,,,7387.57,15661.64,7 HCPCS,77427,Radiation tx management x5,,,310.23,577.59,5 HCPCS,77431,Radiation therapy management,,,175.26,326.3,5 HCPCS,77432,Stereotactic radiation trmt,,,690.02,1284.67,5 HCPCS,77435,Hc Trt Mgt Sbrt <=5 Frac,1156.0,1156.0,,,0 HCPCS,77435,SBRT Management,,,1043.43,1942.68,5 HCPCS,77436,Surf radj ther tx planning,,,37.46,79.42,7 HCPCS,77469,Io radiation tx management,,,518.81,965.92,5 HCPCS,77470,"Hc Special Treatment Procedure (Eg, Total Body Irradiation, Hemibody Radiation, Per Oral Or Endocavi",4722.0,4722.0,,,0 HCPCS,77470,Special radiation treatment,,,53.01,1174.93,15 HCPCS,77520,Proton trmt simple w/o comp,,,554.21,2793.96,14 HCPCS,77522,Proton trmt simple w/comp,,,1253.52,2800.0,14 HCPCS,77523,"Hc Proton Delivery, Intermediate",5210.0,5210.0,,,0 HCPCS,77523,Hc Pt Proton Treatmnt Del-Interm,5210.0,5210.0,,,0 HCPCS,77523,Proton trmt intermediate,,,1253.52,3258.02,17 HCPCS,77525,Hc Proton Treatment Del-Complex,5992.0,5992.0,,,0 HCPCS,77525,Proton treatment complex,,,1253.52,3600.4,14 HCPCS,77600,Hyperthermia treatment,,,386.86,1027.23,17 HCPCS,77605,Hyperthermia treatment,,,698.58,1837.96,17 HCPCS,77610,Hyperthermia treatment,,,554.21,1333.96,17 HCPCS,77615,Hyperthermia treatment,,,554.21,2118.86,17 HCPCS,77620,Hyperthermia treatment,,,554.21,1201.93,17 HCPCS,77750,Hc Infusion Or Instillation Rad S,1305.0,1305.0,,,0 HCPCS,77750,Infuse radioactive materials,,,195.22,820.15,17 HCPCS,77761,Apply intrcav radiat simple,,,325.11,1174.93,17 HCPCS,77761,Hc Intracavitary Radioele Simple,3389.0,3389.0,,,0 HCPCS,77762,Apply intrcav radiat interm,,,373.23,1174.93,17 HCPCS,77762,Hc Intracavitary Radioele Interm,4169.0,4169.0,,,0 HCPCS,77763,Apply intrcav radiat compl,,,487.59,1480.99,17 HCPCS,77763,Hc Intracavitary Radio Complex,6001.5,6001.5,,,0 HCPCS,77767,Hc Pbb Hdr Brachytx 2.0Cm Or 1Channl,1305.0,1305.0,,,0 HCPCS,77767,Hdr rdncl skn surf brachytx,,,287.28,820.15,17 HCPCS,77768,Hc Hdr Brachytx >2.0Cm/>=2 Chanl,1702.0,1702.0,,,0 HCPCS,77768,Hdr rdncl skn surf brachytx,,,386.86,885.75,17 HCPCS,77770,"Hc Hdr Brachytherapy, 1 Channel",4667.0,4667.0,,,0 HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,362.76,1480.99,17 HCPCS,77771,Hc Hdr Brachytx-2-12 Channels,4522.0,4522.0,,,0 HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,599.6,1480.99,17 HCPCS,77772,Hc Hdr Brachytx-Over 12 Channels,4667.0,4667.0,,,0 HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,698.58,1886.68,17 HCPCS,77778,Apply interstit radiat compl,,,683.16,1480.99,17 HCPCS,77778,Hc Intersttl Radioel Cmplx Sh -,4667.0,4667.0,,,0 HCPCS,77789,Apply surf ldr radionuclide,,,102.34,222.47,17 HCPCS,77789,Hc Surface Application Of Low Dose Rate Radionuclide Source,2423.5,2423.5,,,0 HCPCS,77790,Hc Super - Hand - Loading Radio,220.0,220.0,,,0 HCPCS,77790,Radiation handling,,,10.84,54.55,10 HCPCS,77799,Hc Hdr Brachytherapy Preplanning,315.0,315.0,,,0 HCPCS,78012,Thyroid uptake measurement,,,106.46,920.33,19 HCPCS,78013,Hc Thyroid Imaging W/Blood Flow - Nm Thyroid Scan,1109.0,1109.0,,,0 HCPCS,78013,Thyroid imaging w/blood flow,,,226.98,920.33,19 HCPCS,78014,Hc Thyroid Imaging W/Blood Flow - Nm Thyroid Uptake Stimulation Suppres,2462.0,2462.0,,,0 HCPCS,78014,Thyroid imaging w/blood flow,,,286.73,920.33,19 HCPCS,78015,Thyroid met imaging,,,265.67,920.33,19 HCPCS,78016,Thyroid met imaging/studies,,,324.56,920.33,19 HCPCS,78018,Hc Thyroid Met Imaging Body - Nm Thyroid Whole Body Tumor,2607.0,2607.0,,,0 HCPCS,78018,Thyroid met imaging body,,,361.71,1179.95,19 HCPCS,78020,Hc Thyroid Met Uptake - Nm Thyroid Cancer Uptake,462.0,462.0,,,0 HCPCS,78020,Thyroid met uptake,,,77.01,113.46,10 HCPCS,78070,Hc Parathyroid Planar Imaging - Nm Parathyroid,1109.0,1109.0,,,0 HCPCS,78070,Parathyroid planar imaging,,,341.64,920.33,19 HCPCS,78071,Hc Parathyroid Planar Imaging W/Wo Subtraction - Nm Parathyroid Spect,4194.0,4194.0,,,0 HCPCS,78071,Parathyrd planar w/wo subtrj,,,390.11,920.33,19 HCPCS,78072,Hc Parathyrd Planar W/Spect&Ct - Nm/Ct Parathyroid Spect,4194.0,4194.0,,,0 HCPCS,78072,Parathyrd planar w/spect&ct,,,478.32,1179.95,19 HCPCS,78075,Adrenal cortex & medulla img,,,545.47,3180.48,19 HCPCS,78075,Hc Adrenal Nuclear Imaging - Nm Adrenal,3694.0,3694.0,,,0 HCPCS,78099,Endocrine nuclear procedure,,,400.98,920.33,9 HCPCS,78102,Bone marrow imaging ltd,,,200.05,920.33,19 HCPCS,78102,"Hc Bone Marrow Imaging, Ltd - Nm Bone Marrow Limited",1109.0,1109.0,,,0 HCPCS,78103,Bone marrow imaging mult,,,208.38,920.33,19 HCPCS,78104,Bone marrow imaging body,,,284.83,920.33,19 HCPCS,78110,Plasma volume single,,,90.36,3180.48,19 HCPCS,78111,Plasma volume multiple,,,94.77,3180.48,19 HCPCS,78120,Red cell mass single,,,90.36,920.33,19 HCPCS,78121,Red cell mass multiple,,,94.77,1179.95,19 HCPCS,78122,Blood volume,,,114.84,1179.95,19 HCPCS,78130,Red cell survival study,,,147.29,920.33,19 HCPCS,78140,Red cell sequestration,,,125.68,920.33,19 HCPCS,78185,Spleen imaging,,,204.46,920.33,19 HCPCS,78191,Platelet survival,,,147.29,920.33,19 HCPCS,78195,Hc Lymphatics & Lymph Glands Imaging - Nm Lymphoscintigram,2130.0,2130.0,,,0 HCPCS,78195,Lymph system imaging,,,395.57,1179.95,19 HCPCS,78199,Blood/lymph nuclear exam,,,400.98,920.33,9 HCPCS,78201,Hc Liver Imaging - Nm Liver,1109.0,1109.0,,,0 HCPCS,78201,Liver imaging,,,230.9,3180.48,19 HCPCS,78202,Liver imaging with flow,,,251.96,3180.48,19 HCPCS,78215,Hc Liver And Spleen Imaging - Nm Liver Spleen,1401.0,1401.0,,,0 HCPCS,78215,Liver and spleen imaging,,,234.82,920.33,19 HCPCS,78216,Liver & spleen image/flow,,,150.66,920.33,19 HCPCS,78226,Hc Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function,1869.0,1869.0,,,0 HCPCS,78226,Hepatobiliary system imaging,,,385.71,920.33,19 HCPCS,78227,Hc Hepatobil Syst Image W/Drug - Nm Hepatobiliary,1869.0,1869.0,,,0 HCPCS,78227,Hepatobil syst image w/drug,,,524.42,1179.95,19 HCPCS,78230,Salivary gland imaging,,,209.84,920.33,19 HCPCS,78231,Serial salivary imaging,,,122.74,920.33,19 HCPCS,78232,Salivary gland function exam,,,122.74,920.33,19 HCPCS,78258,Esophageal motility study,,,242.65,920.33,19 HCPCS,78258,"Hc Esophageal Motility Study, Imaging - Nm Esophagus Motility",1109.0,1109.0,,,0 HCPCS,78261,Gastric mucosa imaging,,,231.94,920.33,19 HCPCS,78262,Gastroesophageal reflux exam,,,286.3,920.33,19 HCPCS,78264,Gastric emptying imag study,,,390.67,920.33,19 HCPCS,78264,Hc Gastric Emptying Imaging Study - Nm Gastric Emptying Solid,2019.0,2019.0,,,0 HCPCS,78265,Gastric emptying imag study,,,400.98,920.33,19 HCPCS,78266,Gastric emptying imag study,,,529.8,1179.95,19 HCPCS,78266,"Hc Gastric Empty Img Study W/Sb And Colon Transit, Multiple Days",2505.0,2505.0,,,0 HCPCS,78267,Breath tst attain/anal c-14,,,11.06,27.65,19 HCPCS,78268,Breath test analysis c-14,,,94.41,236.03,19 HCPCS,78278,Acute GI blood loss imaging,,,400.98,920.33,19 HCPCS,78278,Hc Acute Gi Blood Loss Imaging - Nm Gastrointestinal Bleeding,2418.0,2418.0,,,0 HCPCS,78282,GI protein loss exam,,,84.73,920.33,19 HCPCS,78290,Hc Bowel Imaging - Nm Meckels Diverticulum,1580.0,1580.0,,,0 HCPCS,78290,Meckels divert exam,,,396.06,920.33,19 HCPCS,78291,Leveen/shunt patency exam,,,295.6,920.33,19 HCPCS,78299,GI nuclear procedure,,,400.98,920.33,9 HCPCS,78300,Bone imaging limited area,,,261.69,920.33,19 HCPCS,78300,"Hc Bone Imaging, Limited Area - Nm Bone Limited",1309.0,1309.0,,,0 HCPCS,78305,Bone imaging multiple areas,,,310.72,920.33,19 HCPCS,78306,Bone imaging whole body,,,338.14,920.33,19 HCPCS,78306,"Hc Bone Imaging, Whole Body - Nm Bone Whole Body",2117.0,2117.0,,,0 HCPCS,78315,Bone imaging 3 phase,,,396.54,920.33,19 HCPCS,78315,"Hc Bone Imaging, 3 Phase - Nm Bone Whole Body 3 Phase",2391.0,2391.0,,,0 HCPCS,78320,Hc Bone Imaging (Spect) - Nm Bone Tomogram,4772.0,4772.0,,,0 HCPCS,78350,Bone mineral single photon,,,31.4,54.13,12 HCPCS,78351,Bone mineral dual photon,,,14.79,39.7,12 HCPCS,78399,Musculoskeletal nuclear exam,,,400.98,920.33,9 HCPCS,78414,Non-imaging heart function,,,71.94,1179.95,19 HCPCS,78428,Cardiac shunt imaging,,,203.48,920.33,19 HCPCS,78429,Hc Pet/Ct Cardiacmetabolic Eval,6427.0,6427.0,,,0 HCPCS,78429,Myocrd img pet 1 std w/ct,,,31.48,3993.0,18 HCPCS,78430,Hc Myocrd Img Pet Rst/St W/Ct-Sgl,6427.0,6427.0,,,0 HCPCS,78430,Myocrd img pet rst/strs w/ct,,,31.48,3993.0,18 HCPCS,78431,Hc Myocrd Img Pet Rst/St W/Ct-Mul,9367.0,9367.0,,,0 HCPCS,78431,Myocrd img pet rst&strs ct,,,991.14,5626.25,18 HCPCS,78432,"Hc Myocardial Imaging, Pet, Combined Perfusion W/Metabolic Evaluation Study",9210.0,9210.0,,,0 HCPCS,78432,Myocrd img pet 2rtracer,,,1060.19,6876.25,17 HCPCS,78433,Hc Myocrd Img Pet 2Rtracer W/Ct,8425.0,8425.0,,,0 HCPCS,78433,Myocrd img pet 2rtracer ct,,,1160.43,6876.25,18 HCPCS,78434,Aqmbf pet rest & rx stress,,,258.1,3993.0,9 HCPCS,78434,Hc Quant Myocard Blood Flow Pet,1049.0,1049.0,,,0 HCPCS,78445,Vascular flow imaging,,,242.16,920.33,19 HCPCS,78451,Hc Ht Muscle Image Spect Sing - Nm Heart Perfusion Spect Rest,3820.0,3820.0,,,0 HCPCS,78451,Hc Pbb Myocardial Spect Single Study At Rest Or Stress,3820.0,3820.0,,,0 HCPCS,78451,Ht muscle image spect sing,,,367.59,3180.48,19 HCPCS,78452,Hc Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress & Rest,5897.0,5897.0,,,0 HCPCS,78452,Hc Pbb Myocardial Spect Multiple Studies,5897.0,5897.0,,,0 HCPCS,78452,Ht muscle image spect mult,,,527.42,3180.48,19 HCPCS,78453,Hc Ht Muscle Image Planar Sing - Nm Heart Perfusion Single,2624.0,2624.0,,,0 HCPCS,78453,Ht muscle image planar sing,,,325.97,3180.48,19 HCPCS,78454,Ht musc image planar mult,,,493.57,3180.48,19 HCPCS,78456,Acute venous thrombus image,,,356.88,3180.48,19 HCPCS,78457,Venous thrombosis imaging,,,175.56,3180.48,19 HCPCS,78458,Ven thrombosis images bilat,,,221.1,920.33,19 HCPCS,78459,Hc Heart Muscle Imaging (Pet) - Nm Pet Myocardial Metabolic Evaluation,6256.0,6256.0,,,0 HCPCS,78459,Heart muscle imaging (PET),,,659.54,3993.0,18 HCPCS,78466,Heart infarct image,,,199.07,920.33,19 HCPCS,78468,Heart infarct image (ef),,,215.72,1179.95,19 HCPCS,78469,Heart infarct image (3D),,,240.21,3180.48,19 HCPCS,78472,Gated heart planar single,,,243.14,920.33,19 HCPCS,78472,Hc Gated Heart Planar Single - Nm Heart Blood Pool Muga With Rvef,2822.0,2822.0,,,0 HCPCS,78472,"Hc Pbb Gated Heart, Planar Single",2822.0,2822.0,,,0 HCPCS,78473,Gated heart multiple,,,295.6,920.33,19 HCPCS,78473,Hc Gated Heart Multiple - Nm Heart Blood Pool Eject Frac Wall Muga Mult,4233.0,4233.0,,,0 HCPCS,78481,Heart first pass single,,,176.97,1179.95,19 HCPCS,78483,Heart first pass multiple,,,227.47,1179.95,19 HCPCS,78491,Hc Heart Image (Pet) Single - Nm Pet Myocardial Perfusion Single,5791.0,5791.0,,,0 HCPCS,78491,Heart image (pet) single,,,695.25,3993.0,18 HCPCS,78492,Hc Chg Heart Image (Pet) Multiple - Pet Myocardial Perfusion Multiple,8441.0,8441.0,,,0 HCPCS,78492,Hc Heart Image (Pet) Multiple - Nm Pet Myocardial Perfusion Multiple,8441.0,8441.0,,,0 HCPCS,78492,Heart image (pet) multiple,,,817.0,3993.0,18 HCPCS,78494,Heart image spect,,,231.88,920.33,19 HCPCS,78496,Heart first pass add-on,,,27.98,41.22,10 HCPCS,78499,Cardiovascular nuclear exam,,,400.98,920.33,9 HCPCS,78499,Hc Pet Le Vascular Study,8594.0,8594.0,,,0 HCPCS,78579,Hc Lung Ventilation Imaging - Nm Lung Ventilation Aerosol Multiple,1727.0,1727.0,,,0 HCPCS,78579,Lung ventilation imaging,,,220.55,920.33,19 HCPCS,78580,Hc Lung Perfusion Imaging - Nm Lung Perfusion Particulate,1727.0,1727.0,,,0 HCPCS,78580,Lung perfusion imaging,,,268.61,920.33,19 HCPCS,78582,Hc Lung Ventilat&Perfus Imaging - Nm Lung Ventilation Perfusion,2002.0,2002.0,,,0 HCPCS,78582,Lung ventilat&perfus imaging,,,373.95,1179.95,19 HCPCS,78597,Hc Lung Perfusion Differential - Nm Quant Diff Pulmonary Perfusion,3409.0,3409.0,,,0 HCPCS,78597,Lung perfusion differential,,,221.53,920.33,19 HCPCS,78598,Hc Lung Perf&Ventilat Diferentl - Nm Quant Diff Pulmonary Perfuse Vent,3409.0,3409.0,,,0 HCPCS,78598,Lung perf&ventilat diferentl,,,348.98,1179.95,19 HCPCS,78599,Respiratory nuclear exam,,,400.98,920.33,9 HCPCS,78600,Brain image < 4 views,,,217.68,920.33,19 HCPCS,78601,Brain image w/flow < 4 views,,,260.28,920.33,19 HCPCS,78601,Hc Brain Image W/Flow < 4 Views - Nm Brain With Flow Less Than 4 Views,2364.0,2364.0,,,0 HCPCS,78605,Brain image 4+ views,,,236.78,1179.95,19 HCPCS,78606,Brain image w/flow 4 + views,,,399.97,1179.95,19 HCPCS,78606,Hc Brain Image W/Flow 4 + Views - Nm Brain With Flow 4 Or More Views,2967.0,2967.0,,,0 HCPCS,78608,Brain imaging (PET),,,934.31,3993.0,18 HCPCS,78608,Hc Brain Imaging (Pet) - Pt Brain Metabolic,10886.0,10886.0,,,0 HCPCS,78609,Brain imaging (PET),,,3746.0,3746.0,1 HCPCS,78610,Brain flow imaging only,,,218.17,1179.95,19 HCPCS,78630,Cerebrospinal fluid scan,,,406.83,1179.95,19 HCPCS,78630,Hc Csf Fluid Scan Cisternography - Nm Brain Cisternogram,2321.0,2321.0,,,0 HCPCS,78635,CSF ventriculography,,,411.72,1179.95,19 HCPCS,78645,CSF shunt evaluation,,,396.06,1179.95,19 HCPCS,78645,Hc Csf Shunt Evaluation - Nm Shunt Patency,1638.0,1638.0,,,0 HCPCS,78650,CSF leakage imaging,,,328.97,3180.48,19 HCPCS,78660,Hc Nuclear Exam Of Tear Flow - Nm Dacryocystogram,1126.0,1126.0,,,0 HCPCS,78660,Nuclear exam of tear flow,,,164.79,920.33,19 HCPCS,78699,Nervous system nuclear exam,,,400.98,920.33,9 HCPCS,78700,Kidney imaging morphol,,,202.99,920.33,19 HCPCS,78701,Kidney imaging with flow,,,272.52,920.33,19 HCPCS,78707,Hc K Flow/Funct Image W/O Drug - Nm Kidney Flow/Funct Wo Pharmacol Int,2240.0,2240.0,,,0 HCPCS,78707,K flow/funct image w/o drug,,,252.45,1179.95,19 HCPCS,78708,Hc K Flow/Funct Image W/Drug - Nm Kidney Flow/Funct W Pharmacol Inter,2325.0,2325.0,,,0 HCPCS,78708,K flow/funct image w/drug,,,176.61,1179.95,19 HCPCS,78709,Hc K Flow/Funct Image Multiple - Nm Kidney Flow/Func W/Wo Pharmacol Int,2392.0,2392.0,,,0 HCPCS,78709,K flow/funct image multiple,,,402.42,1179.95,19 HCPCS,78725,Kidney function study,,,117.78,920.33,19 HCPCS,78730,Urinary bladder retention,,,89.68,132.14,10 HCPCS,78740,Ureteral reflux study,,,271.05,920.33,19 HCPCS,78761,Testicular imaging w/flow,,,240.69,920.33,19 HCPCS,78799,Genitourinary nuclear exam,,,400.98,920.33,9 HCPCS,78800,"Hc Tumor Imaging, Limited Area - Nm Tumor Localization Limited",1678.0,1678.0,,,0 HCPCS,78800,Tumor imaging limited area,,,297.01,920.33,19 HCPCS,78801,"Hc Tumor Imaging, Mult Areas - Nm Tumor Localization Multiple Areas",1914.0,1914.0,,,0 HCPCS,78801,Tumor imaging mult areas,,,317.09,920.33,19 HCPCS,78802,Hc Tumor Imaging Whole Body - Nm Tumor Localization Whole Body,2098.0,2098.0,,,0 HCPCS,78802,Tumor imaging whole body,,,360.18,3180.48,19 HCPCS,78803,Hc Tumor Imaging (3D) - Nm Tumor Localization Spect,2858.0,2858.0,,,0 HCPCS,78803,Tumor imaging (3D),,,438.1,3180.48,19 HCPCS,78804,Hc Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days,2648.0,2648.0,,,0 HCPCS,78804,Tumor imaging whole body,,,544.61,3180.48,19 HCPCS,78805,Noncdm Charge Record Radiopharmaceuticals,1664.0,1664.0,,,0 HCPCS,78808,Hc Injec Proc Radiopharm Loc,1265.0,1265.0,,,0 HCPCS,78808,Iv inj ra drug dx study,,,58.81,920.33,13 HCPCS,78811,Hc Pet Imaging Limited Area Chest Head/Neck - Pt/Ct Chest,9266.0,9266.0,,,0 HCPCS,78811,Hc Pet Mr Tumor Imaging Limited,9266.0,9266.0,,,0 HCPCS,78811,Pet image ltd area,,,962.0,3993.0,18 HCPCS,78812,Hc Pet Mr Skull Base To Mid Thigh,9266.0,9266.0,,,0 HCPCS,78812,Pet image skull-thigh,,,1214.87,3993.0,18 HCPCS,78813,Hc Tumor Imaging Pet Whole Body,9266.0,9266.0,,,0 HCPCS,78813,Pet image full body,,,1242.46,3993.0,18 HCPCS,78814,Hc Pet Imaging Ct For Attenuation Limited Area,9918.0,9918.0,,,0 HCPCS,78814,Pet image w/ct lmtd,,,1376.13,3993.0,18 HCPCS,78815,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh,9918.0,9918.0,,,0 HCPCS,78815,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh Initial,9918.0,9918.0,,,0 HCPCS,78815,Hc Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh Subsq,9918.0,9918.0,,,0 HCPCS,78815,Pet image w/ct skull-thigh,,,1434.27,3993.0,18 HCPCS,78816,Hc Pet Imaging For Ct Attenuation Whole Body - Pt/Ct Bone Whole Body Initial,9918.0,9918.0,,,0 HCPCS,78816,Hc Pet Imaging For Ct Attenuation Whole Body - Pt/Ct Bone Whole Body Subsq,9918.0,9918.0,,,0 HCPCS,78816,Pet image w/ct full body,,,1434.27,3993.0,18 HCPCS,78830,Hc Tumor Loc Spectct 1 Area 1 Day,3702.955,3702.955,,,0 HCPCS,78830,Rp loclzj tum spect w/ct 1,,,542.47,3180.48,19 HCPCS,78831,Hc Tumor Loc Spectct 1Area 2+Days,4772.0,4772.0,,,0 HCPCS,78831,Rp loclzj tum spect 2 areas,,,834.03,3180.48,19 HCPCS,78832,Hc Tumor Loc Spectct 2+Areas 1Day,5560.0,5560.0,,,0 HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1069.21,3607.73,19 HCPCS,78835,Rp quan meas single area,,,100.45,152.22,10 HCPCS,78999,Hc Pet Ct Whole Body Ltd Facbc,7519.0,7519.0,,,0 HCPCS,78999,Nuclear diagnostic exam,,,400.98,920.33,9 HCPCS,79005,Hc Radiopharm Therapy Oral,959.0,959.0,,,0 HCPCS,79005,Nuclear rx oral admin,,,75.54,593.5,19 HCPCS,79101,Hc Nuclear Rx Iv Admin - Nm Bone Treatment Therapy,959.0,959.0,,,0 HCPCS,79101,Nuclear rx iv admin,,,78.97,593.5,19 HCPCS,79200,Nuclear rx intracav admin,,,77.56,593.5,19 HCPCS,79300,Nuclr rx interstit colloid,,,61.59,593.5,19 HCPCS,79403,Hematopoietic nuclear tx,,,148.63,593.5,19 HCPCS,79440,Nuclear rx intra-articular,,,58.4,593.5,19 HCPCS,79445,Hc Nuclear Rx Intra-Arterial - Nm Radiopharm Therapy By Int-Art Partic,959.0,959.0,,,0 HCPCS,79445,Nuclear rx intra-arterial,,,129.62,593.5,19 HCPCS,79999,Nuclear medicine therapy,,,234.04,593.5,9 HCPCS,80047,Metabolic panel ionized ca,,,10.3,29.11,17 HCPCS,80048,Hc Basic Metabolic Panel Calcium Total - Bundled Charge,224.0,224.0,,,0 HCPCS,80048,Metabolic panel total ca,,,6.35,17.94,17 HCPCS,80048,Noncdm Charge Record,164.0,164.0,,,0 HCPCS,80050,General health panel,,,29.63,71.1,10 HCPCS,80050,Hc General Health Panel - Bundled Charge,382.0,382.0,,,0 HCPCS,80051,Electrolyte panel,,,5.26,14.86,17 HCPCS,80051,Hc Electrolyte Panel - Bundled Charge,132.5,132.5,,,0 HCPCS,80053,Comprehen metabolic panel,,,7.92,22.39,17 HCPCS,80053,"Hc Metabolic Panel,Comprehensive - Bundled Charge",287.0,287.0,,,0 HCPCS,80055,Hc Obstetric Panel - Bundled Charge,618.0,618.0,,,0 HCPCS,80055,Obstetric panel,,,35.86,101.36,17 HCPCS,80061,Hc Lipid Panel - Bundled Charge,218.5,218.5,,,0 HCPCS,80061,Hc Lipid Panel - Extended,218.5,218.5,,,0 HCPCS,80061,Hc Lipid Panel - Lipoprotien Analysis By Nmr,40.0,40.0,,,0 HCPCS,80061,Lipid panel,,,10.04,28.39,17 HCPCS,80069,Hc Renal Function Panel - Bundled Charge,163.0,163.0,,,0 HCPCS,80069,Renal function panel,,,6.51,18.4,17 HCPCS,80074,Acute hepatitis panel,,,35.72,100.98,17 HCPCS,80074,"Hc Hepatitis Panel,Acute - Bundled Charge",717.0,717.0,,,0 HCPCS,80076,Hc Hepatic Function Panel - Bundled Charge,154.5,154.5,,,0 HCPCS,80076,Hepatic function panel,,,6.13,17.32,17 HCPCS,80081,Obstetric panel,,,56.15,158.7,17 HCPCS,80143,Drug assay acetaminophen,,,13.98,39.52,17 HCPCS,80143,Hc Assay Of Acetaminophen - Acetaminophen Level,115.5,115.5,,,0 HCPCS,80145,Drug assay adalimumab,,,28.93,81.77,17 HCPCS,80145,Hc Drug Assay Adalimumab - Anser Ada (Adalimumab) Prometheus Tx And Dx,364.5,364.5,,,0 HCPCS,80150,Assay of amikacin,,,11.31,31.97,17 HCPCS,80150,Hc Assay Of Amikacin - Amikacin Peak,419.0,419.0,,,0 HCPCS,80150,Hc Assay Of Amikacin - Amikacin Random,419.0,419.0,,,0 HCPCS,80150,Hc Assay Of Amikacin - Amikacin Trough,419.0,419.0,,,0 HCPCS,80151,Drug assay amiodarone,,,13.98,39.52,17 HCPCS,80151,Hc Quantitation Drug Not Elsewhere Specified - Amiodarone Level,98.0,98.0,,,0 HCPCS,80155,Drug assay caffeine,,,28.93,81.77,17 HCPCS,80156,Assay carbamazepine total,,,10.93,30.89,17 HCPCS,80156,Hc Assay Of Carbamazepine Total - Carbamazepine Total,399.5,399.5,,,0 HCPCS,80156,Hc Carbamazepine Epoxide And Total Level,399.5,399.5,,,0 HCPCS,80156,Hc Carbamazepine Free + Total Level,399.5,399.5,,,0 HCPCS,80157,Assay carbamazepine free,,,9.94,28.09,17 HCPCS,80157,"Hc Assay Of Assay Carbamazepine, Free - Carbamazepine Free + Total Level",128.5,128.5,,,0 HCPCS,80158,Drug assay cyclosporine,,,13.54,38.27,17 HCPCS,80158,Hc Assay Of Cyclosporine - Cyclosporine,140.5,140.5,,,0 HCPCS,80159,Drug assay clozapine,,,15.11,42.72,17 HCPCS,80159,Hc Assay Of Clozapine - Clozapine,56.5,56.5,,,0 HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,13.98,39.52,17 HCPCS,80161,"Hc Carbamazepine -10,11-Epoxide",68.5,68.5,,,0 HCPCS,80162,Assay of digoxin total,,,9.96,28.15,17 HCPCS,80162,Hc Assay Of Digoxin Total - Digoxin,367.0,367.0,,,0 HCPCS,80162,Hc Drug Screen Quantitative Digoxin Total - Digoxin,367.0,367.0,,,0 HCPCS,80163,Assay of digoxin free,,,9.96,28.15,17 HCPCS,80164,Assay dipropylacetic acd tot,,,10.16,28.7,17 HCPCS,80164,Hc Assay Of Dipropylacetic Acid Total - Valproic Acid Level,311.5,311.5,,,0 HCPCS,80164,"Hc Assay Of Dipropylacetic Acid Total - Valproic Acid Level, Total And Free",311.5,311.5,,,0 HCPCS,80164,Hc Drug Screen Quant Dipropylacetic Acid Total - Valproic Acid Total,311.5,311.5,,,0 HCPCS,80165,Dipropylacetic acid free,,,10.16,28.7,17 HCPCS,80165,"Hc Valproic Acid Free, Total And Free",113.0,113.0,,,0 HCPCS,80167,Drug assay felbamate,,,13.98,39.52,17 HCPCS,80167,Hc Felbatol Level,68.5,68.5,,,0 HCPCS,80168,Assay of ethosuximide,,,12.26,34.64,17 HCPCS,80168,Hc Assay Of Ethosuximide - Ethosuximide Level,442.0,442.0,,,0 HCPCS,80169,Drug assay everolimus,,,10.3,29.11,17 HCPCS,80169,Hc Everolimus Level,106.5,106.5,,,0 HCPCS,80170,Assay of gentamicin,,,12.29,34.73,17 HCPCS,80170,Hc Assay Of Gentamicin - Gentamicin Peak,456.0,456.0,,,0 HCPCS,80170,Hc Assay Of Gentamicin - Gentamicin Random,456.0,456.0,,,0 HCPCS,80170,Hc Assay Of Gentamicin - Gentamicin Trough,456.0,456.0,,,0 HCPCS,80171,Drug screen quant gabapentin,,,16.25,45.94,17 HCPCS,80171,Hc Gabapentin Level,59.0,59.0,,,0 HCPCS,80173,Assay Of Haloperidol,,,11.84,33.45,17 HCPCS,80175,Drug screen quan lamotrigine,,,9.94,28.09,17 HCPCS,80175,Hc Lamotrigine Level,34.0,34.0,,,0 HCPCS,80176,Assay of lidocaine,,,11.02,31.14,17 HCPCS,80176,Hc Assay Of Lidocaine - Lidocaine Level,410.5,410.5,,,0 HCPCS,80177,Drug scrn quan levetiracetam,,,9.94,28.09,17 HCPCS,80177,Hc Levetiracetam Level,143.5,143.5,,,0 HCPCS,80178,Assay of lithium,,,4.96,14.01,17 HCPCS,80178,Hc Assay Of Lithium - Lithium Level,196.0,196.0,,,0 HCPCS,80179,Drug assay salicylate,,,13.98,39.52,17 HCPCS,80179,Hc Assay Of Salicylate - Salicylate Level,115.5,115.5,,,0 HCPCS,80180,Drug scrn quan mycophenolate,,,13.54,38.27,17 HCPCS,80180,Hc Mycophenolic Acid And Metabolites,33.5,33.5,,,0 HCPCS,80180,Hc Mycophenolic Acid Level,24.0,24.0,,,0 HCPCS,80181,Drug assay flecainide,,,13.98,39.52,17 HCPCS,80181,Hc Flecainide Level,68.5,68.5,,,0 HCPCS,80183,Drug scrn quant oxcarbazepin,,,9.94,28.09,17 HCPCS,80183,Hc Oxcarbazepine Level,108.0,108.0,,,0 HCPCS,80184,Assay of phenobarbital,,,11.48,32.44,17 HCPCS,80184,Hc Assay Of Phenobarbital - Phenobarbital Level,324.0,324.0,,,0 HCPCS,80184,Hc Phenobarbitol - Phenobarbital Level For Primidone,324.0,324.0,,,0 HCPCS,80185,Assay of phenytoin total,,,9.94,28.09,17 HCPCS,80185,"Hc Assay Of Phenytoin, Total - Phenytoin Total",367.0,367.0,,,0 HCPCS,80186,Assay of phenytoin free,,,10.32,29.17,17 HCPCS,80186,"Hc Assay Of Phenytoin, Free - Phenytoin Free",378.5,378.5,,,0 HCPCS,80187,Drug assay posaconazole,,,20.33,57.47,17 HCPCS,80187,Hc Posaconazole Level,121.0,121.0,,,0 HCPCS,80188,Assay of primidone,,,12.44,35.17,17 HCPCS,80188,Hc Assay Of Primidone - Primidone Level,459.5,459.5,,,0 HCPCS,80189,Drug assay itraconzaole,,,20.33,57.47,17 HCPCS,80189,Hc Itraconazole,33.5,33.5,,,0 HCPCS,80190,Assay of procainamide,,,45.0,127.2,17 HCPCS,80192,Assay of procainamide,,,12.56,35.51,17 HCPCS,80192,Hc Assay Of Procainamide W Metabolites - Procainamide + Napa,108.0,108.0,,,0 HCPCS,80193,Drug assay leflunomide,,,28.93,81.77,17 HCPCS,80194,Assay of quinidine,,,10.95,30.95,17 HCPCS,80194,Hc Assay Of Quinidine - Quinidine Level,399.5,399.5,,,0 HCPCS,80195,Assay of sirolimus,,,10.3,29.11,17 HCPCS,80195,Hc Assay Of Sirolimus - Sirolimus (Rapmycin Level),234.0,234.0,,,0 HCPCS,80197,Assay of tacrolimus,,,10.3,29.11,17 HCPCS,80197,Hc Assay Of Tacrolimus - Tacrolimus Level,378.5,378.5,,,0 HCPCS,80198,Assay of theophylline,,,10.61,29.98,17 HCPCS,80198,Hc Assay Of Theophylline - Theophylline Level,384.0,384.0,,,0 HCPCS,80199,Drug screen quant tiagabine,,,20.33,57.47,17 HCPCS,80200,Assay of tobramycin,,,12.1,34.2,17 HCPCS,80200,Hc Assay Of Tobramycin - Tobramycin Level Peak,413.5,413.5,,,0 HCPCS,80200,Hc Assay Of Tobramycin - Tobramycin Level Random,413.5,413.5,,,0 HCPCS,80200,Hc Assay Of Tobramycin - Tobramycin Level Trough,413.5,413.5,,,0 HCPCS,80201,Assay of topiramate,,,8.94,25.27,17 HCPCS,80201,Hc Assay Of Topiramate - Topiramate Level,306.0,306.0,,,0 HCPCS,80202,Assay of vancomycin,,,10.16,28.7,17 HCPCS,80202,Hc Assay Of Vancomycin - Vancomycin Level Peak,311.5,311.5,,,0 HCPCS,80202,Hc Assay Of Vancomycin - Vancomycin Level Random,311.5,311.5,,,0 HCPCS,80202,Hc Assay Of Vancomycin - Vancomycin Level Trough,311.5,311.5,,,0 HCPCS,80203,Drug screen quant zonisamide,,,9.94,28.09,17 HCPCS,80203,Hc Ref Drug Screen Quantitative Zonisamide,42.5,42.5,,,0 HCPCS,80204,Drug assay methotrexate,,,28.93,81.77,17 HCPCS,80204,Hc Assay Of Methotrexate - Methotrexate Level,98.0,98.0,,,0 HCPCS,80210,Drug assay rufinamide,,,20.33,57.47,17 HCPCS,80210,Hc Rufinamide,99.0,99.0,,,0 HCPCS,80220,Drug asy hydroxychloroquine,,,13.98,39.52,15 HCPCS,80230,Drug assay infliximab,,,28.93,81.77,17 HCPCS,80230,Hc Assay Of Infliximab,107.5,107.5,,,0 HCPCS,80235,Drug assay lacosamide,,,20.33,57.47,17 HCPCS,80235,Hc Assay Of Lacosamide - Lacosamide Level,163.5,163.5,,,0 HCPCS,80280,Drug assay vedolizumab,,,28.93,81.77,17 HCPCS,80280,Hc Vedolizumab Level,141.5,141.5,,,0 HCPCS,80285,Drug assay voriconazole,,,20.33,57.47,17 HCPCS,80285,Hc Assay Of Voriconazole - Voriconazole Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - 5 Fluorocytosine Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Ander Ust,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Apixaban Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Busulfan Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Carbamazepine Epoxide And Total Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Fluconazole Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Rivaroxaban Level,113.0,113.0,,,0 HCPCS,80299,Hc Quantitation Drug Not Elsewhere Specified - Zonisamide Level,113.0,113.0,,,0 HCPCS,80299,Hc Ref Pentobarbital Level,113.0,113.0,,,0 HCPCS,80299,Quantitative assay drug,,,13.98,39.52,17 HCPCS,80305,Drug test prsmv dir opt obs,,,9.45,26.71,17 HCPCS,80305,Hc Drug Test Prsmv 1 Or More,65.5,65.5,,,0 HCPCS,80306,Drug test prsmv instrmnt,,,12.86,36.34,17 HCPCS,80307,Drug test prsmv chem anlyzr,,,46.61,131.74,17 HCPCS,80307,Hc Drug Screen - Amphetamines Screen,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Barbiturate Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Benzodiazepine Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Chain Of Custody Urine Drug Screen,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Cocaine Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Drug Screen Whole Blood,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Ethyl Glucuronide Screen Urine,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Fentanyl Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Marijuana Metabolite Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Opiate Screen Urine Random,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Pain Management Doa Panel 1 Urine,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Pain Management Doa Panel 2 Urine,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Toxicology Drug Screen Serum,115.5,115.5,,,0 HCPCS,80307,Hc Drug Screen - Toxicology Drug Screen Urine,115.5,115.5,,,0 HCPCS,80307,"Hc Drug Screen -Panel 9, Meconium",115.5,115.5,,,0 HCPCS,80320,Drug screen quantalcohols,,,18.12,43.48,8 HCPCS,80320,Hc Drug Screen Quantitative Alcohols - Ethanol,247.0,247.0,,,0 HCPCS,80320,Hc Drug Screen Quantitative Alcohols - Ethanol Urine,247.0,247.0,,,0 HCPCS,80320,Hc Drug Screen Quantitative Alcohols - Isopropyl,247.0,247.0,,,0 HCPCS,80321,Hc Alcohol Biomarkers 1Or2 - Ethyl Glucuronide Sulfate Confirm Urine Random,114.0,114.0,,,0 HCPCS,80321,Hc Alcohol Biomarkers 1Or2 - Phosphatidylethanol Level,114.0,114.0,,,0 HCPCS,80323,Alkaloids nos,,,18.12,43.48,8 HCPCS,80323,"Hc Alkaloids Not Otherwise Specified - Nicotine And Metabolites Level, Blood",510.5,510.5,,,0 HCPCS,80323,Hc Alkaloids Not Otherwise Specified - Nicotine Urine Random,510.5,510.5,,,0 HCPCS,80324,Drug screen amphetamines 1/2,,,18.12,43.48,8 HCPCS,80324,"Hc Drug Screen Quant Amphetamines 1 Or 2 - Amphetamine, Blood, Quant Confirmation",129.5,129.5,,,0 HCPCS,80324,Noncdm Charge Record,140.0,140.0,,,0 HCPCS,80325,Hc Drug Screen Quant Amphetamines 3 Or 4 - Amphetamine Confirm Urine Random,162.0,162.0,,,0 HCPCS,80327,Anabolic steroid 1 or 2,,,18.12,43.48,8 HCPCS,80329,Analgesics non-opioid 1 or 2,,,18.12,43.48,8 HCPCS,80329,Hc Acetaminophen Assay - Acetaminophen Level,234.0,234.0,,,0 HCPCS,80332,Antidepressants class 1 or 2,,,18.12,43.48,8 HCPCS,80332,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Fluvoxamine Level,299.0,299.0,,,0 HCPCS,80335,Antidepressant tricyclic 1/2,,,18.12,43.48,8 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Amitriptyline Lvl,234.0,234.0,,,0 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Clomipramine Level,234.0,234.0,,,0 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Desipramine Lvl,234.0,234.0,,,0 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Doxepin&Nordox,234.0,234.0,,,0 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Imipramine Level,234.0,234.0,,,0 HCPCS,80335,Hc Antidepressants Tricyclic Other Cyclicals 1 Or 2 - Nortriptyline Lvl,234.0,234.0,,,0 HCPCS,80338,Hc Antidepressants Not Otherwised Specified -Trazodone Level,151.5,151.5,,,0 HCPCS,80338,Hc Antidepressants Not Otherwised Specified -Venlafexine Level,151.5,151.5,,,0 HCPCS,80339,Antiepileptics nos 1-3,,,18.12,43.48,8 HCPCS,80339,Hc Antiepileptics Not Otherwise Specified 1-3 - Clobazam Level,321.0,321.0,,,0 HCPCS,80339,Hc Antiepileptics Not Otherwise Specified 1-3 - Felbatol Level,321.0,321.0,,,0 HCPCS,80339,Hc Antiepileptics Not Otherwise Specified 1-3 - Perampanel Level,321.0,321.0,,,0 HCPCS,80339,Hc Antiepileptics Not Otherwise Specified 1-3 - Vigabatrin Level,321.0,321.0,,,0 HCPCS,80342,Antipsychotics nos 1-3,,,18.12,43.48,8 HCPCS,80345,Drug screening barbiturates,,,18.12,43.48,8 HCPCS,80345,"Hc Drug Screening Barbiturates - Barbiturate, Confirm Urine Random",234.0,234.0,,,0 HCPCS,80345,"Hc Drug Screening Barbiturates - Barbiturate, Confirmation",234.0,234.0,,,0 HCPCS,80345,Hc Drug Screening Barbiturates - Pentobarbital Level,234.0,234.0,,,0 HCPCS,80346,Benzodiazepines1-12,,,18.12,43.48,8 HCPCS,80346,Hc Drug Screening Benzodiazepines 1-12 - Benzodiazepine Confirm Urine Random,234.0,234.0,,,0 HCPCS,80346,Hc Drug Screening Benzodiazepines 1-12 - Benzodiazepine Confirmation,234.0,234.0,,,0 HCPCS,80346,Hc Drug Screening Benzodiazepines 1-12 - Clonazepam Level,234.0,234.0,,,0 HCPCS,80346,Hc Drug Screening Benzodiazepines 1-12 - Clorazepate Level,234.0,234.0,,,0 HCPCS,80346,Hc Drug Screening Benzodiazepines 1-12 - Lorazepam Level,234.0,234.0,,,0 HCPCS,80349,Cannabinoids natural,,,18.12,43.48,8 HCPCS,80350,Cannabinoids synthetic 1-3,,,18.12,43.48,8 HCPCS,80353,Drug screening cocaine,,,18.12,43.48,8 HCPCS,80353,Hc Drug Screening Cocaine - Cocaine Confirmation Urine Random,234.0,234.0,,,0 HCPCS,80353,"Hc Drug Screening Cocaine - Cocaine, Blood, Confirmation",234.0,234.0,,,0 HCPCS,80354,Drug screening fentanyl,,,18.12,43.48,8 HCPCS,80354,"Hc Ref Drug Screening - Fentanyl, Urine",317.5,317.5,,,0 HCPCS,80355,Gabapentin non-blood,,,18.12,43.48,8 HCPCS,80356,Heroin metabolite,,,18.12,43.48,8 HCPCS,80357,Ketamine and norketamine,,,18.12,43.48,8 HCPCS,80358,Drug screening methadone,,,18.12,43.48,8 HCPCS,80359,Hc Drug Screening Opiates 1 Or More - Methylenedioxy Amphetamines Confirm,234.0,234.0,,,0 HCPCS,80359,Hc Drug Screening Opiates 1 Or More - Methylenedioxy Amphetamines Confirm Random Urine,234.0,234.0,,,0 HCPCS,80359,Methylenedioxyamphetamines,,,18.12,43.48,8 HCPCS,80360,Methylphenidate,,,18.12,43.48,8 HCPCS,80361,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation,234.0,234.0,,,0 HCPCS,80361,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation Random Urine,234.0,234.0,,,0 HCPCS,80361,"Hc Drug Screening Opiates 1 Or More - Pain Management Doa Panel1, Urine",234.0,234.0,,,0 HCPCS,80361,"Hc Drug Screening Opiates 1 Or More - Pain Management Doa Panel2, Urine",234.0,234.0,,,0 HCPCS,80361,Opiates 1 or more,,,18.12,43.48,8 HCPCS,80362,Opioids & opiate analogs 1/2,,,18.12,43.48,8 HCPCS,80365,Drug screening oxycodone,,,18.12,43.48,8 HCPCS,80365,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation - Oxycodone,234.0,234.0,,,0 HCPCS,80365,Hc Drug Screening Opiates 1 Or More - Opiates Confirmation Random Urine Oxycodone,234.0,234.0,,,0 HCPCS,80366,Drug screening pregabalin,,,18.12,43.48,8 HCPCS,80366,Hc Drug Screening Opiates 1 Or More - Pregabalin Level,234.0,234.0,,,0 HCPCS,80367,Drug screening propoxyphene,,,18.12,43.48,8 HCPCS,80368,Sedative hypnotics,,,18.12,43.48,8 HCPCS,80369,Skeletal muscle relaxant 1/2,,,18.12,43.48,8 HCPCS,80371,Stimulants synthetic,,,18.12,43.48,8 HCPCS,80372,Drug screening tapentadol,,,18.12,43.48,8 HCPCS,80373,Drug screening tramadol,,,18.12,43.48,8 HCPCS,80373,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 -Tramadol And Metabolites Level Urine Random,234.0,234.0,,,0 HCPCS,80374,Stereoisomer analysis,,,18.12,43.48,8 HCPCS,80375,Drug/substance nos 1-3,,,18.12,43.48,8 HCPCS,80375,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Acetazolamide Level,270.0,270.0,,,0 HCPCS,80375,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Coumadin Level,270.0,270.0,,,0 HCPCS,80375,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Dexamethasone Level,270.0,270.0,,,0 HCPCS,80375,Hc Drug/Substance Definitive Qual/Quant Nos 1-3 - Mitotane Level,270.0,270.0,,,0 HCPCS,80376,Drug/substance nos 4-6,,,18.12,43.48,8 HCPCS,80377,Drug/substance nos 7/more,,,18.12,43.48,8 HCPCS,80377,Hc Drug/Substance Defin Qual/Quant Nos 7+ - Diuretic Panel Urine Random,388.5,388.5,,,0 HCPCS,80377,Hc Drug/Substance Defin Qual/Quant Nos 7+ - Sufonylurea Hypoglycemics,388.5,388.5,,,0 HCPCS,80400,Acth stimulation panel,,,24.47,69.15,17 HCPCS,80402,Acth stimulation panel,,,65.22,184.36,17 HCPCS,80406,Acth stimulation panel,,,58.7,165.91,17 HCPCS,80408,Aldosterone suppression eval,,,94.13,266.06,17 HCPCS,80410,Calcitonin stimul panel,,,60.28,170.38,17 HCPCS,80412,CRH stimulation panel,,,601.22,1699.43,17 HCPCS,80414,Testosterone response,,,38.73,109.48,17 HCPCS,80415,Estradiol response panel,,,41.92,118.49,17 HCPCS,80416,Renin stimulation panel,,,156.99,443.76,17 HCPCS,80417,Renin stimulation panel,,,32.99,93.26,17 HCPCS,80418,Pituitary evaluation panel,,,434.61,1228.5,17 HCPCS,80420,Dexamethasone panel,,,121.41,343.19,17 HCPCS,80422,Glucagon tolerance panel,,,34.55,97.67,17 HCPCS,80424,Glucagon tolerance panel,,,37.88,107.06,17 HCPCS,80426,Gonadotropin hormone panel,,,111.31,314.63,17 HCPCS,80428,Growth hormone panel,,,50.03,141.4,17 HCPCS,80430,Growth hormone panel,,,97.0,274.18,17 HCPCS,80432,Insulin suppression panel,,,124.21,351.09,17 HCPCS,80434,Insulin tolerance panel,,,213.77,604.26,17 HCPCS,80435,Insulin tolerance panel,,,77.25,218.36,17 HCPCS,80436,Metyrapone panel,,,68.37,193.26,17 HCPCS,80438,TRH stimulation panel,,,37.81,106.87,17 HCPCS,80439,TRH stimulation panel,,,50.41,142.49,17 HCPCS,80503,Path clin consltj sf 5-20,,,16.01,110.81,13 HCPCS,80504,Noncdm Charge Record,58.0,58.0,,,0 HCPCS,80504,Path clin consltj mod 21-40,,,34.51,362.28,13 HCPCS,80505,Path clin consltj high 41-60,,,64.85,362.28,13 HCPCS,80506,Path clin consltj prolng svc,,,31.04,56.36,6 HCPCS,81000,"Hc Urinalysis, Non-Auto W/ Scope - Urinalysis Dip Stick",83.5,83.5,,,0 HCPCS,81000,Urinalysis nonauto w/scope,,,3.02,8.52,17 HCPCS,81001,Chg Urnls Dip Stick/Tablet Reagent Auto Microscopy,74.0,74.0,,,0 HCPCS,81001,"Hc Urinalysis, Auto, W/Scope - Bundled Charge",74.0,74.0,,,0 HCPCS,81001,"Hc Urinalysis, Auto, W/Scope - Urinalysis Microscopic",74.0,74.0,,,0 HCPCS,81001,"Hc Urinalysis, Auto, W/Scope - Urine Culture C&S , Colony Count If Abnormal Urinalysis",74.0,74.0,,,0 HCPCS,81001,Urinalysis auto w/scope,,,2.38,6.72,17 HCPCS,81002,Hc Urinalysis Nonauto W/O Scope - Poct Urinalysis Dipstick,63.0,63.0,,,0 HCPCS,81002,Hc Urinalysis Nonauto W/O Scope - Ur-Ua+Cult Manual Method,63.0,63.0,,,0 HCPCS,81002,Hc Urinalysis Nonauto W/O Scope - Urinalysis Manual Method,63.0,63.0,,,0 HCPCS,81002,Urinalysis nonauto w/o scope,,,2.61,7.38,17 HCPCS,81003,"Hc Pbb Urinalysis, Auto, W/O Scope",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Blood Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Glucose Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Ketone Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Leukocyte Esterase Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Nitrite Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Ph Urine Random",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Protien Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Specific Gravity Urine",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Urinalysis Chem Only",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Urinalysis Dip Stick",83.5,83.5,,,0 HCPCS,81003,"Hc Urinalysis, Auto, W/O Scope - Urobilnogen Urine Qualitative",83.5,83.5,,,0 HCPCS,81003,Urinalysis auto w/o scope,,,1.69,4.77,17 HCPCS,81005,Hc Urinalysis - Ketones Urine,22.0,22.0,,,0 HCPCS,81005,Urinalysis,,,1.63,4.6,17 HCPCS,81007,Urine screen for bacteria,,,22.49,63.56,17 HCPCS,81015,Hc Urinalysis - Urinalysis Microscopic,72.0,72.0,,,0 HCPCS,81015,Microscopic exam of urine,,,2.29,6.47,17 HCPCS,81020,Urinalysis glass test,,,3.53,9.96,17 HCPCS,81025,Hc Urine Pregnancy Test - Human Chorionic Gonadotropin Qualitative Urine Random,127.5,127.5,,,0 HCPCS,81025,Hc Urine Pregnancy Test - Poct Pregnancy Urine,127.5,127.5,,,0 HCPCS,81025,Hc Urine Pregnancy Test - Pregnancy Urine,127.5,127.5,,,0 HCPCS,81025,Urine pregnancy test,,,6.46,18.25,17 HCPCS,81050,"Hc Volume/Weight Measurement For Timed Collection, Each",65.5,65.5,,,0 HCPCS,81050,Urinalysis volume measure,,,2.73,7.72,17 HCPCS,81105,"Hc Ref Lab Hpa-1 Antigen Genotyping, Ssp",448.5,448.5,,,0 HCPCS,81105,Hpa-1 genotyping,,,91.67,259.11,17 HCPCS,81106,Hpa-2 genotyping,,,91.67,259.11,17 HCPCS,81107,Hpa-3 genotyping,,,91.67,259.11,17 HCPCS,81108,Hpa-4 genotyping,,,91.67,259.11,17 HCPCS,81109,Hpa-5 genotyping,,,91.67,259.11,17 HCPCS,81110,Hpa-6 genotyping,,,91.67,259.11,17 HCPCS,81111,Hpa-9 genotyping,,,91.67,259.11,17 HCPCS,81112,Hpa-15 genotyping,,,91.67,259.11,17 HCPCS,81120,"Hc Calr, Gene Analysis, Common Variants - Idh1 Common Variants",617.0,617.0,,,0 HCPCS,81120,Idh1 common variants,,,144.94,409.69,17 HCPCS,81121,"Hc Calr, Gene Analysis, Common Variants - Idh2 Common Variants",943.5,943.5,,,0 HCPCS,81121,Idh2 common variants,,,221.84,627.07,17 HCPCS,81161,DMD dup/delet analysis,,,209.25,591.48,17 HCPCS,81162,Brca1&2 seq & full dup/del,,,1368.66,3868.75,17 HCPCS,81163,Brca1&2 gene full seq alys,,,351.0,992.16,17 HCPCS,81164,Brca1&2 gen ful dup/del alys,,,438.17,1238.57,17 HCPCS,81165,Brca1 gene full seq alys,,,212.16,599.71,17 HCPCS,81166,Brca1 gene full dup/del alys,,,226.01,638.86,17 HCPCS,81167,Brca2 gene full dup/del alys,,,212.16,599.71,17 HCPCS,81168,Ccnd1/igh translocation alys,,,155.48,439.5,17 HCPCS,81170,Abl1 gene,,,225.0,636.0,17 HCPCS,81170,"Hc Abl1, Gene Analysis - Bcr/Abl1 Kinase Domain Mut",2221.0,2221.0,,,0 HCPCS,81171,Aff2 gene detc abnor alleles,,,102.75,290.44,17 HCPCS,81172,Aff2 gene charac alleles,,,206.12,582.64,17 HCPCS,81173,Ar gene full gene sequence,,,226.01,638.86,17 HCPCS,81174,Ar gene known famil variant,,,138.9,392.62,17 HCPCS,81175,Asxl1 full gene sequence,,,507.38,1434.18,17 HCPCS,81176,Asxl1 gene target seq alys,,,181.43,512.83,17 HCPCS,81177,Atn1 gene detc abnor alleles,,,102.75,290.44,17 HCPCS,81178,Atxn1 gene detc abnor allele,,,102.75,290.44,17 HCPCS,81179,Atxn2 gene detc abnor allele,,,102.75,290.44,17 HCPCS,81180,Atxn3 gene detc abnor allele,,,102.75,290.44,17 HCPCS,81181,Atxn7 gene detc abnor allele,,,102.75,290.44,17 HCPCS,81182,Atxn8os gen detc abnor allel,,,102.75,290.44,17 HCPCS,81183,Atxn10 gene detc abnor allel,,,102.75,290.44,17 HCPCS,81184,Cacna1a gen detc abnor allel,,,102.75,290.44,17 HCPCS,81185,Cacna1a gene full gene seq,,,634.7,1794.09,17 HCPCS,81186,Cacna1a gen known famil vrnt,,,138.9,392.62,17 HCPCS,81187,Cnbp gene detc abnor allele,,,102.75,290.44,17 HCPCS,81188,Cstb gene detc abnor allele,,,102.75,290.44,17 HCPCS,81189,Cstb gene full gene sequence,,,206.12,582.64,17 HCPCS,81190,Cstb gene known famil vrnt,,,138.9,392.62,17 HCPCS,81191,Ntrk1 translocation analysis,,,155.48,439.5,17 HCPCS,81192,Ntrk2 translocation analysis,,,155.48,439.5,17 HCPCS,81193,Ntrk3 translocation analysis,,,155.48,439.5,17 HCPCS,81194,Ntrk translocation analysis,,,388.71,1098.75,17 HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,3950.03,7 HCPCS,81200,Aspa gene,,,35.44,100.17,17 HCPCS,81201,Apc gene full sequence,,,585.0,1653.6,17 HCPCS,81202,Apc gene known fam variants,,,210.0,593.6,17 HCPCS,81203,Apc gene dup/delet variants,,,150.0,424.0,17 HCPCS,81204,Ar gene charac alleles,,,102.75,290.44,17 HCPCS,81205,Bckdhb gene,,,71.24,201.38,17 HCPCS,81206,Bcr/abl1 gene major bp,,,122.97,347.6,17 HCPCS,81206,"Hc Bcr/Abl 1 (T(9;22) Translocation Analysis, Major Breakpoint",1508.5,1508.5,,,0 HCPCS,81207,Bcr/abl1 gene minor bp,,,108.63,307.06,17 HCPCS,81207,"Hc Bcr/Abl 1 (T(9;22) Translocation Analysis, Minor Breakpoint",1330.0,1330.0,,,0 HCPCS,81208,Bcr/abl1 gene other bp,,,160.97,454.99,17 HCPCS,81209,Blm gene,,,29.48,83.34,17 HCPCS,81210,Braf gene,,,131.55,371.85,17 HCPCS,81210,"Hc Braf, Gene Analysis, V600 Variants -V-Raf Murine Sarcoma",1207.0,1207.0,,,0 HCPCS,81212,Brca1&2 185&5385&6174 var,,,330.0,932.8,17 HCPCS,81215,Brca1 gene known fam variant,,,281.44,795.53,17 HCPCS,81216,Brca2 gene full sequence,,,138.84,392.45,17 HCPCS,81217,Brca2 gene known fam variant,,,281.44,795.53,17 HCPCS,81218,Cebpa gene full sequence,,,181.43,512.83,17 HCPCS,81218,"Hc Calr, Gene Analysis, Common Variants -Cebpa Gene Analysis Full Gene Sequence",888.0,888.0,,,0 HCPCS,81219,Calr gene com variants,,,91.22,257.86,17 HCPCS,81219,"Hc Calr, Gene Analysis, Common Variants - Calreticulin (Calr) Mutation",823.5,823.5,,,0 HCPCS,81219,"Hc Calr, Gene Analysis, Common Variants- Exon 9 Variants",823.5,823.5,,,0 HCPCS,81220,Cftr gene com variants,,,417.45,1179.99,17 HCPCS,81220,Hc Cftr Gene Analysis Common Variants - Cystic Fibrosis Mutation,2701.0,2701.0,,,0 HCPCS,81221,Cftr gene known fam variants,,,72.92,206.11,17 HCPCS,81222,Cftr gene dup/delet variants,,,326.3,922.35,17 HCPCS,81223,Cftr gene full sequence,,,374.25,1057.88,17 HCPCS,81223,"Hc Cftr Gene Analysis; Full Sequence - Pancreatitis Sequencing Panel (Cftr, Ctrc, Prss1)",2422.5,2422.5,,,0 HCPCS,81224,Cftr gene intron poly t,,,126.56,357.75,17 HCPCS,81225,Cyp2c19 gene com variants,,,218.52,617.68,17 HCPCS,81225,"Hc Cyp2C19, Gene Analysis,Common-Variants",1114.5,1114.5,,,0 HCPCS,81226,Cyp2d6 gene com variants,,,338.18,955.93,17 HCPCS,81227,Cyp2c9 gene com variants,,,131.11,370.6,17 HCPCS,81227,"Hc Cyp2C9, Gene Analysis, Common Variants - Cytochrome P450 2C19 (Cyp2C19)",1179.5,1179.5,,,0 HCPCS,81228,Cytogen micrarray copy nmbr,,,675.0,1908.0,17 HCPCS,81229,Cytogen m array copy no&snp,,,870.0,2459.2,17 HCPCS,81229,Hc Cytogen Microarray Analysis Constitutional,5260.5,5260.5,,,0 HCPCS,81230,Cyp3a4 gene common variants,,,131.11,370.6,17 HCPCS,81231,Cyp3a5 gene common variants,,,131.11,370.6,17 HCPCS,81232,Dpyd gene common variants,,,131.11,370.6,17 HCPCS,81233,Btk gene common variants,,,131.55,371.85,17 HCPCS,81234,Dmpk gene detc abnor allele,,,102.75,290.44,17 HCPCS,81235,Egfr gene com variants,,,243.44,688.11,17 HCPCS,81235,"Hc Egfr, Gene Analysi, Common Variants -Mutation Analysis",2459.5,2459.5,,,0 HCPCS,81236,Ezh2 gene full gene sequence,,,212.16,599.71,17 HCPCS,81237,Ezh2 gene common variants,,,131.55,371.85,17 HCPCS,81238,F9 full gene sequence,,,450.0,1272.0,17 HCPCS,81239,Dmpk gene charac alleles,,,206.12,582.64,17 HCPCS,81240,F2 gene,,,49.27,139.26,17 HCPCS,81240,Hc F2 Gene Analysis 20210G >A Variant - Prothrombin Gene Mutation,454.0,454.0,,,0 HCPCS,81241,F5 gene,,,55.03,155.54,17 HCPCS,81241,Hc F5 Coagulation Factor V Anal Leiden Variant - Factor V Leiden,1508.5,1508.5,,,0 HCPCS,81242,Fancc gene,,,27.47,77.63,17 HCPCS,81243,Fmr1 gene detection,,,42.78,120.92,17 HCPCS,81244,Fmr1 gene characterization,,,33.67,95.17,17 HCPCS,81245,Flt3 gene,,,124.13,350.88,17 HCPCS,81245,Hc Flt3 Itd - Mutation Dectection,737.0,737.0,,,0 HCPCS,81246,Flt3 gene analysis,,,62.25,175.96,17 HCPCS,81246,Hc Flt3 Tkd - Mutation Dectection,369.0,369.0,,,0 HCPCS,81247,G6pd gene alys cmn variant,,,131.11,370.6,17 HCPCS,81248,G6pd known familial variant,,,281.44,795.53,17 HCPCS,81249,G6pd full gene sequence,,,450.0,1272.0,17 HCPCS,81250,G6pc gene,,,43.87,124.0,17 HCPCS,81251,Gba gene,,,35.44,100.17,17 HCPCS,81252,Gjb2 gene full sequence,,,75.84,214.37,17 HCPCS,81253,Gjb2 gene known fam variants,,,46.14,130.42,17 HCPCS,81254,Gjb6 gene com variants,,,26.25,74.2,17 HCPCS,81255,Hexa gene,,,38.59,109.07,17 HCPCS,81256,Hc Hfe Hemochromatosis Gene Anal Common Variants - Hemochromatosis Mut,352.5,352.5,,,0 HCPCS,81256,Hfe gene,,,49.02,138.56,17 HCPCS,81257,Hba1/hba2 gene,,,76.7,216.79,17 HCPCS,81257,Hc Hba1/Hba2 Gene - Alpha Globin Common Mutation,352.5,352.5,,,0 HCPCS,81258,Hba1/hba2 gene fam vrnt,,,281.44,795.53,17 HCPCS,81259,Hba1/hba2 full gene sequence,,,450.0,1272.0,17 HCPCS,81259,Hc Hba1/Hba2 Gene - Alpha Globin Gene Sequencing,2201.5,2201.5,,,0 HCPCS,81260,Ikbkap gene,,,29.48,83.34,17 HCPCS,81261,"Hc Igh, Gene Rearrangement Analysis, Amplified Methodology - Immunoglobulin Heavy",1820.5,1820.5,,,0 HCPCS,81261,Igh gene rearrange amp meth,,,148.49,419.74,17 HCPCS,81262,Igh gene rearrang dir probe,,,51.41,145.33,17 HCPCS,81263,"Hc Igh, Variable Region Somatic Mutation Analysis - Gene Rearrangement",2707.5,2707.5,,,0 HCPCS,81263,Igh vari regional mutation,,,220.89,624.38,17 HCPCS,81264,"Hc Igk, Gene Rearrangement Analysis-Immunoglobulin Kappa",1371.0,1371.0,,,0 HCPCS,81264,Igk rearrangeabn clonal pop,,,129.55,366.19,17 HCPCS,81265,Hc Comparative Anal Str Markers Patient&Comp Spec - Additional Charge,1973.0,1973.0,,,0 HCPCS,81265,Hc Comparative Anal Str Markers Patient&Comp Spec -Hla Chimerism Initial Post Transplnt Assess,1973.0,1973.0,,,0 HCPCS,81265,Str markers specimen anal,,,174.8,494.11,17 HCPCS,81266,Str markers spec anal addl,,,228.61,646.2,17 HCPCS,81267,Chimerism anal no cell selec,,,155.6,439.82,17 HCPCS,81267,Hc Chimerism W/Comp To Baseline W/O Cell Selection -Hla Chimeris Study Complete Analysis,1907.5,1907.5,,,0 HCPCS,81268,Chimerism anal w/cell select,,,195.59,552.87,17 HCPCS,81268,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study B Cell(Cd19) Analysis,2396.0,2396.0,,,0 HCPCS,81268,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study Myeloid(Cd33) Analysis,2396.0,2396.0,,,0 HCPCS,81268,Hc Chimerism W/Comp To Baseline W/Cell Selection Ea -Hla Chimerism Study T(Cd3) Cell Analysis,2396.0,2396.0,,,0 HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,151.8,429.09,17 HCPCS,81270,"Hc Jak2, Gene Analysis, P.Vai617Phe Variant - Jak2 V617F Mutation Analysis",842.5,842.5,,,0 HCPCS,81270,"Hc Jak2, Gene Analysis, P.Vai617Phe Variant - Janus Kinase 2",842.5,842.5,,,0 HCPCS,81270,Jak2 gene,,,68.75,194.32,17 HCPCS,81271,Htt gene detc abnor alleles,,,102.75,290.44,17 HCPCS,81272,Hc Kit Gene Analysis Targeted Sequence Analysis,1210.0,1210.0,,,0 HCPCS,81272,Kit gene targeted seq analys,,,247.13,698.56,17 HCPCS,81273,Hc D816V Mutation By Pcr,556.0,556.0,,,0 HCPCS,81273,Kit gene analys d816 variant,,,93.65,264.72,17 HCPCS,81274,Htt gene charac alleles,,,206.12,582.64,17 HCPCS,81275,"Hc Kras, Gene Analysis, Variants In Exon 2 - Kristen Rat Sarcoma",1330.0,1330.0,,,0 HCPCS,81275,Kras gene variants exon 2,,,144.94,409.69,17 HCPCS,81276,Kras gene addl variants,,,144.94,409.69,17 HCPCS,81277,Cytogenomic neo microra alys,,,870.0,2459.2,17 HCPCS,81277,Hc Cancer Micro Arrays,5260.5,5260.5,,,0 HCPCS,81278,Hc Bcl2 By Pcr,1005.5,1005.5,,,0 HCPCS,81278,Igh@/bcl2 translocation alys,,,155.48,439.5,17 HCPCS,81279,Hc Jak2 (Janus Kinase 2) Exon 12 Mutation By Pcr,825.0,825.0,,,0 HCPCS,81279,Jak2 gene trgt sequence alys,,,138.9,392.62,17 HCPCS,81283,"Hc Ifnl3,Gene Analysis, Rs12979860 Variant - Il28B Associated Variants 2Snp",880.5,880.5,,,0 HCPCS,81283,Ifnl3 gene,,,55.03,155.54,17 HCPCS,81284,Fxn gene detc abnor alleles,,,102.75,290.44,17 HCPCS,81285,Fxn gene charac alleles,,,206.12,582.64,17 HCPCS,81286,Fxn gene full gene sequence,,,206.12,582.64,17 HCPCS,81287,Hc Mgmt Promoter Methlation - Detection,694.5,694.5,,,0 HCPCS,81287,Mgmt gene methylation anal,,,93.48,264.24,17 HCPCS,81288,Hc Ref Mlh1 Gene Analysis; Promoter Methylat Analy - Mlh1 Methyalation Pcr,706.5,706.5,,,0 HCPCS,81288,Mlh1 gene,,,144.24,407.72,17 HCPCS,81289,Fxn gene known famil variant,,,138.9,392.62,17 HCPCS,81290,Mcoln1 gene,,,29.48,83.34,17 HCPCS,81291,"Hc Mthfr,Gene Analysis, Variants - Methylenetetrahydrofolate Reductase Mutation",299.0,299.0,,,0 HCPCS,81291,Mthfr gene,,,49.01,138.52,17 HCPCS,81292,Mlh1 gene full seq,,,506.55,1431.85,17 HCPCS,81293,Mlh1 gene known variants,,,248.25,701.72,17 HCPCS,81294,Mlh1 gene dup/delete variant,,,151.8,429.09,17 HCPCS,81295,Msh2 gene full seq,,,286.28,809.2,17 HCPCS,81296,Msh2 gene known variants,,,253.3,715.99,17 HCPCS,81297,Msh2 gene dup/delete variant,,,159.98,452.2,17 HCPCS,81298,Msh6 gene full seq,,,481.39,1360.72,17 HCPCS,81299,Msh6 gene known variants,,,231.0,652.96,17 HCPCS,81300,Msh6 gene dup/delete variant,,,178.5,504.56,17 HCPCS,81301,Microsatellite instability,,,261.42,738.95,17 HCPCS,81302,Mecp2 gene full seq,,,395.9,1119.08,17 HCPCS,81303,Mecp2 gene known variant,,,90.0,254.4,17 HCPCS,81304,Mecp2 gene dup/delet variant,,,112.5,318.0,17 HCPCS,81305,Hc Myd88 L265P Mutation Detection By Pcr,780.5,780.5,,,0 HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,131.55,371.85,17 HCPCS,81306,Hc Nudt15 Gene Analysis Common Variants - Tmpt And Nudt15,319.0,319.0,,,0 HCPCS,81306,Nudt15 gene common variants,,,218.52,617.68,17 HCPCS,81307,Palb2 gene full gene seq,,,282.88,1434.18,17 HCPCS,81308,Palb2 gene known famil vrnt,,,226.01,638.86,17 HCPCS,81309,Pik3ca gene trgt seq alys,,,206.12,582.64,17 HCPCS,81310,Hc Npm1 Mutation Detection By Pcr,1099.0,1099.0,,,0 HCPCS,81310,Npm1 gene,,,184.89,522.62,17 HCPCS,81311,"Hc Nras, Gene Analysis, Variants In Exon 2/3 - Nras Tier 1",1995.0,1995.0,,,0 HCPCS,81311,Nras gene variants exon 2&3,,,221.84,627.07,17 HCPCS,81312,Pabpn1 gene detc abnor allel,,,102.75,290.44,17 HCPCS,81313,Pca3/klk3 antigen,,,191.29,540.71,17 HCPCS,81314,Pdgfra gene,,,247.13,698.56,17 HCPCS,81315,"Hc Pml/Raralpha, Translocation Analysis, Common Breakpoints",1906.5,1906.5,,,0 HCPCS,81315,Pml/raralpha com breakpoints,,,155.48,439.5,17 HCPCS,81316,"Hc Pml/Raralpha, Translocation Analysis, Single Breakpoints",2904.5,2904.5,,,0 HCPCS,81316,Pml/raralpha 1 breakpoint,,,155.48,439.5,17 HCPCS,81317,Pms2 gene full seq analysis,,,507.38,1434.18,17 HCPCS,81318,Pms2 known familial variants,,,248.25,701.72,17 HCPCS,81319,Pms2 gene dup/delet variants,,,152.63,431.42,17 HCPCS,81320,Plcg2 gene common variants,,,218.52,617.68,17 HCPCS,81321,Pten gene full sequence,,,450.0,1272.0,17 HCPCS,81322,Pten gene known fam variant,,,34.95,98.79,17 HCPCS,81323,Pten gene dup/delet variant,,,225.0,636.0,17 HCPCS,81324,Pmp22 gene dup/delet,,,568.77,1607.72,17 HCPCS,81325,Pmp22 gene full sequence,,,577.19,1631.51,17 HCPCS,81326,Pmp22 gene known fam variant,,,34.95,98.79,17 HCPCS,81327,Sept9 methylation analysis,,,144.0,407.04,17 HCPCS,81328,Slco1b1 gene com variants,,,131.11,370.6,17 HCPCS,81329,Smn1 gene dos/deletion alys,,,102.75,290.44,17 HCPCS,81330,Smpd1 gene common variants,,,35.25,99.64,17 HCPCS,81331,Snrpn/ube3a gene,,,38.3,108.27,17 HCPCS,81332,Serpina1 gene,,,32.74,92.54,17 HCPCS,81333,Tgfbi gene common variants,,,102.75,290.44,17 HCPCS,81334,Runx1 gene targeted seq alys,,,247.13,698.56,17 HCPCS,81335,"Hc Tpmt, Gene Analysis, Common Variants - Tmpt And Nudt15",977.5,977.5,,,0 HCPCS,81335,"Hc Tpmt, Gene Analysis, Common Variants - Tmpt Genetics Prometheus",977.5,977.5,,,0 HCPCS,81335,Tpmt gene com variants,,,131.11,370.6,17 HCPCS,81336,Smn1 gene full gene sequence,,,226.01,638.86,17 HCPCS,81337,Smn1 gen nown famil seq vrnt,,,138.9,392.62,17 HCPCS,81338,Hc Mpl Mutation Detection,669.0,669.0,,,0 HCPCS,81338,Mpl gene common variants,,,112.75,318.7,17 HCPCS,81339,Mpl gene seq alys exon 10,,,138.9,392.62,17 HCPCS,81340,Trb@ gene rearrange amplify,,,156.69,442.91,17 HCPCS,81341,Trb@ gene rearrange dirprobe,,,37.19,105.13,17 HCPCS,81342,"Hc Trg, Gene Arrangement Analysis - T Cell Antigen Receptor",1851.0,1851.0,,,0 HCPCS,81342,Trg gene rearrangement anal,,,151.13,427.18,17 HCPCS,81343,Ppp2r2b gen detc abnor allel,,,102.75,290.44,17 HCPCS,81344,Tbp gene detc abnor alleles,,,102.75,290.44,17 HCPCS,81345,Tert gene targeted seq alys,,,138.9,392.62,17 HCPCS,81346,Tyms gene com variants,,,131.11,370.6,17 HCPCS,81347,Sf3b1 gene common variants,,,144.94,409.69,17 HCPCS,81348,Srsf2 gene common variants,,,131.55,371.85,17 HCPCS,81349,Cytog alys chrml abnr lw-ps,,,870.0,2539.63,15 HCPCS,81350,Ugt1a1 gene,,,175.5,496.08,17 HCPCS,81351,Tp53 gene full gene sequence,,,481.39,1360.72,17 HCPCS,81352,"Hc Ref Tp53 Somatic Mutation, Prognostic",915.0,915.0,,,0 HCPCS,81352,Tp53 gene trgt sequence alys,,,247.13,698.56,17 HCPCS,81353,Tp53 gene known famil vrnt,,,231.0,652.96,17 HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,2678.68,7 HCPCS,81355,"Hc Vkorc1, Gene Analysis, Variants - Warfarin Mutation Analysis",694.0,694.0,,,0 HCPCS,81355,Vkorc1 gene,,,66.15,186.98,17 HCPCS,81357,U2af1 gene common variants,,,144.94,409.69,17 HCPCS,81360,Zrsr2 gene common variants,,,144.94,409.69,17 HCPCS,81361,Hbb gene com variants,,,131.11,370.6,17 HCPCS,81362,Hbb gene known fam variant,,,281.44,795.53,17 HCPCS,81363,Hbb gene dup/del variants,,,151.8,429.09,17 HCPCS,81364,Hbb full gene sequence,,,243.44,688.11,17 HCPCS,81370,Hc Hla Class I & Ii Typ; Low Resolution - Hla Class I And Ii Type By Low Resolution,4098.0,4098.0,,,0 HCPCS,81370,Hc Hla Class I & Ii Typ; Low Resolution - Hla Deceased Donor Type Report,4098.0,4098.0,,,0 HCPCS,81370,Hla i & ii typing lr,,,301.59,852.49,17 HCPCS,81371,Hla i & ii type verify lr,,,303.39,857.58,17 HCPCS,81372,"Hc Hla Class I Typing, Low Resolution, Complete - Hla Class I Molecular Typing",2029.5,2029.5,,,0 HCPCS,81372,"Hc Hla Class I Typing, Low Resolution, Complete - Hla Class I Type Low Resolution",2029.5,2029.5,,,0 HCPCS,81372,Hla i typing complete lr,,,302.69,855.61,17 HCPCS,81373,Hla i typing 1 locus lr,,,95.57,270.15,17 HCPCS,81374,"Hc Hla Class I Typing, Low Resolution, One Antigen Equivalent Ea - Hlab27 Dna Low Res",378.5,378.5,,,0 HCPCS,81374,Hc Hla-B27 Genotyping,219.0,219.0,,,0 HCPCS,81374,Hla i typing 1 antigen lr,,,55.75,157.58,17 HCPCS,81375,"Hc Hla Class Ii Typing, Low Res - Hla Class Ii Molecular Typing",2028.5,2028.5,,,0 HCPCS,81375,"Hc Hla Class Ii Typing, Low Res - Hla Class Ii Type Low Resolution",2028.5,2028.5,,,0 HCPCS,81375,Hla ii typing ag equiv lr,,,165.56,467.97,17 HCPCS,81376,"Hc Hla Class Ii Typing, Low Res, One Locus",817.0,817.0,,,0 HCPCS,81376,Hla ii typing 1 locus lr,,,91.67,259.11,17 HCPCS,81377,Hla ii type 1 ag equiv lr,,,71.06,200.85,17 HCPCS,81378,Hla i & ii typing hr,,,259.18,732.61,17 HCPCS,81379,Hc Hla Class I Typing; High Resolution - Hla Abc Sequencing,1084.0,1084.0,,,0 HCPCS,81379,Hc Hla Class I Typing; High Resolution - Hla Bm Report,1084.0,1084.0,,,0 HCPCS,81379,Hc Hla Class I Typing; High Resolution - Hla Class I Tye High Resolution,1084.0,1084.0,,,0 HCPCS,81379,Hla i typing complete hr,,,251.54,711.01,17 HCPCS,81380,"Hc Hla Class I Typing; High Resolution, One Locus - Hla Single Antigen Type Class I",690.0,690.0,,,0 HCPCS,81380,Hla i typing 1 locus hr,,,132.94,375.77,17 HCPCS,81381,Hla i typing 1 allele hr,,,127.43,360.19,17 HCPCS,81382,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Bm Report",1136.0,1136.0,,,0 HCPCS,81382,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Class Ii Type High Resolution",1136.0,1136.0,,,0 HCPCS,81382,"Hc Hla Class Ii Typing, High Resolution, One Locus - Hla Drb1 Mol. High Resolution",1136.0,1136.0,,,0 HCPCS,81382,Hla ii typing 1 loc hr,,,92.76,262.2,17 HCPCS,81383,"Hc Hla Class Ii Typing, High Resolution, One Allele Or Allele Group - Hla Narcolepsy Panel",718.5,718.5,,,0 HCPCS,81383,"Hc Hla Class Ii Typing, High Resolution, One Allele Or Allele Group - Hla Single Antigen Type Class",718.5,718.5,,,0 HCPCS,81383,Hla ii typing 1 allele hr,,,81.85,231.36,17 HCPCS,81400,Hc Molecular Pathology Procedure Level 1 - Ref Lab Platelet Antigen Typing (Hpa1A),802.0,802.0,,,0 HCPCS,81400,Mopath procedure level 1,,,47.97,135.6,17 HCPCS,81401,"Hc Molecular Pathology Procedure Level 2 - Apolipoprotein E (Apoe) Genotyping, Alzheimer Disease Ris",700.0,700.0,,,0 HCPCS,81401,Hc Molecular Pathology Procedure Level 2 - Cbfb-Myh11 Inv(16) Detection,700.0,700.0,,,0 HCPCS,81401,Hc Molecular Pathology Procedure Level 2 - Crohn's Prognostic Prometheus,700.0,700.0,,,0 HCPCS,81401,Hc Molecular Pathology Procedure Level 2 - Leber Optic Neuropathy Screen,700.0,700.0,,,0 HCPCS,81401,Hc Molecular Pathology Procedure Level 2 - Runx1-Runx1T1?(Aml1-Eto)?T(8;21),700.0,700.0,,,0 HCPCS,81401,Mopath procedure level 2,,,102.75,290.44,17 HCPCS,81402,Hc Mopath Procedure Level 3,1611.5,1611.5,,,0 HCPCS,81402,Mopath procedure level 3,,,112.75,318.7,17 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Bcr/Abl1 Kinase Domain Mutation,319.0,319.0,,,0 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Level 4 Molecular Procedure,319.0,319.0,,,0 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Rcta Procedure,319.0,319.0,,,0 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Red Cell Genotyping Panel,319.0,319.0,,,0 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Tier Ii Molecular,319.0,319.0,,,0 HCPCS,81403,Hc Molecular Pathology Procedure Level 4 - Vwf Exon 28 Sequence Analysis,319.0,319.0,,,0 HCPCS,81403,Mopath procedure level 4,,,138.9,392.62,17 HCPCS,81404,Hc Molecular Pathology Procedure Level 5 - Pancreatitis Sequencing Panel,3308.0,3308.0,,,0 HCPCS,81404,Hc Mopath Procedure Level 5 - Molecular Pathology Procedure Level 5,3308.0,3308.0,,,0 HCPCS,81404,Mopath procedure level 5,,,206.12,582.64,17 HCPCS,81405,Hc Molecular Pathology Procedure Level 6 - Ibd Sgi Diagnostic Prometheus,20.5,20.5,,,0 HCPCS,81405,"Hc Molecular Pathology Procedure Level 6 - Pancreatitis Sequencing Panel(Cftr, Ctrc, Prss1)",1462.5,1462.5,,,0 HCPCS,81405,Mopath procedure level 6,,,226.01,638.86,17 HCPCS,81406,Mopath procedure level 7,,,212.16,599.71,17 HCPCS,81407,Hc Molecular Pathology Level 8 - Mdx - Level 8 >50Exons,2728.0,2728.0,,,0 HCPCS,81407,Hc X-Linked Intellectual Dblt Genomic Seq Analys - Hemophilia A (F8) Sequencing,2728.0,2728.0,,,0 HCPCS,81407,Mopath procedure level 8,,,634.7,1794.09,17 HCPCS,81408,Mopath procedure level 9,,,1500.0,4240.0,17 HCPCS,81410,Aortic dysfunction/dilation,,,378.0,1068.48,17 HCPCS,81411,Aortic dysfunction/dilation,,,1012.64,2862.4,17 HCPCS,81412,Ashkenazi jewish assoc dis,,,1836.42,5190.95,17 HCPCS,81413,Car ion chnnlpath inc 10 gns,,,438.68,1239.99,17 HCPCS,81414,Car ion chnnlpath inc 2 gns,,,438.68,1239.99,17 HCPCS,81415,Exome sequence analysis,,,3585.0,10133.6,17 HCPCS,81416,Exome sequence analysis,,,9000.0,25440.0,17 HCPCS,81417,Exome re-evaluation,,,240.0,678.4,17 HCPCS,81418,Rx metab gen seq alys pnl 6,,,687.81,1944.21,14 HCPCS,81419,Epilepsy gen seq alys panel,,,1836.42,5190.95,17 HCPCS,81420,Fetal chrmoml aneuploidy,,,569.29,1609.19,17 HCPCS,81422,Fetal chrmoml microdeltj,,,569.29,1609.19,17 HCPCS,81425,Genome sequence analysis,,,3773.4,10666.14,17 HCPCS,81426,Genome sequence analysis,,,2032.46,5745.09,17 HCPCS,81427,Genome re-evaluation,,,1753.24,4955.82,17 HCPCS,81430,Hearing loss sequence analys,,,1218.75,3445.0,17 HCPCS,81431,Hearing loss dup/del analys,,,509.68,1440.69,17 HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,509.29,2764.37,17 HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,329.2,790.07,10 HCPCS,81434,Hereditary retinal disorders,,,448.43,1267.57,17 HCPCS,81435,Hereditary colon ca dsordrs,,,438.68,2764.37,17 HCPCS,81436,Hereditary colon ca dsordrs,,,438.68,1052.82,10 HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,329.2,2764.37,17 HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,329.2,790.07,10 HCPCS,81439,Inherited cardmypthy 5 gns,,,438.68,1239.99,17 HCPCS,81440,Mitochondrial gene,,,2493.0,7046.88,17 HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,1836.42,5190.95,17 HCPCS,81442,Noonan spectrum disorders,,,1607.7,4544.43,17 HCPCS,81443,Genetic tstg severe inh cond,,,1836.42,5190.95,17 HCPCS,81445,Hc Genomic Sequencing 5-50,2298.5,2298.5,,,0 HCPCS,81445,Targeted genomic seq analys,,,448.43,1267.57,17 HCPCS,81448,Hrdtry perph neurphy panel,,,438.68,1239.99,17 HCPCS,81449,Tgsap so neo 5-50 rna alys,,,448.43,1267.57,17 HCPCS,81450,Targeted genomic seq analys,,,569.65,1610.2,17 HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,569.65,1610.2,17 HCPCS,81455,Hc Myeloid Malignancies Mutation Panel Ngs,9318.5,9318.5,,,0 HCPCS,81455,Hc Target Genomic Seq >51Genes,9318.5,9318.5,,,0 HCPCS,81455,Targeted genomic seq analys,,,2189.7,6189.55,17 HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2189.7,6189.55,17 HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,1901.36,7 HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,2218.26,7 HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,6337.85,7 HCPCS,81460,Whole mitochondrial genome,,,965.25,2728.44,17 HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,2535.16,7 HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,2852.06,7 HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,6971.64,7 HCPCS,81465,Whole mitochondrial genome,,,702.0,1984.32,17 HCPCS,81470,X-linked intellectual dblt,,,685.5,1937.68,17 HCPCS,81471,X-linked intellectual dblt,,,685.5,1937.68,17 HCPCS,81479,"Hc Ref Unlisted Molecular Procedure - Epor Mutation Detection, Sequencing",1065.5,1065.5,,,0 HCPCS,81479,Hc Ref Unlisted Molecular Procedure - Leber Optic Neuropathy Screening,1065.5,1065.5,,,0 HCPCS,81479,"Hc Ref Unlisted Molecular Procedure -Epor Mutation Detection, Sequuencing",1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Bcr-Abl1,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Csf3R Mutation Analysis,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Ibd Sgi Diagnostic Prometheus,23.0,23.0,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Il28B Associated Bariants 2Snp,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Opa3 Full Gene Sequencing,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Opa3 Gene Deletion Duplication,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Partial D Analysis,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Red Cell Genotyping Panel,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Ref Lab Miscellaneous Molecular Testing,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Tumor Mutation Panel,2278.5,2278.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Vwd Platelet-Type Sequence Analysis,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Warfarin Mutation Analysis,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure - Weak D Analysis,1065.5,1065.5,,,0 HCPCS,81479,Hc Unlisted Molecular Procedure ? Sca27B,1065.5,1065.5,,,0 HCPCS,81490,Autoimmune rheumatoid arthr,,,630.49,1782.18,17 HCPCS,81493,Cor artery disease mrna,,,787.5,2226.0,17 HCPCS,81500,Onco (ovar) two proteins,,,195.38,552.26,17 HCPCS,81503,Onco (ovar) five proteins,,,672.75,1901.64,17 HCPCS,81504,Oncology tissue of origin,,,390.0,1102.4,17 HCPCS,81506,Endo assay seven anal,,,51.69,146.11,17 HCPCS,81507,Fetal aneuploidy trisom risk,,,596.25,1685.4,17 HCPCS,81508,Ftl cgen abnor two proteins,,,40.73,115.12,17 HCPCS,81509,Ftl cgen abnor 3 proteins,,,1115.53,3153.22,17 HCPCS,81510,Ftl cgen abnor three anal,,,41.66,117.74,17 HCPCS,81511,Ftl cgen abnor four anal,,,115.13,325.42,17 HCPCS,81511,"Hc Fetal Congenital Abnormalities - Afp,Hcg,Ue3, Dia Maternal Serum",987.0,987.0,,,0 HCPCS,81512,Ftl cgen abnor five anal,,,52.14,147.38,17 HCPCS,81513,Hc Bacterial Vaginitis By Rna,602.0,602.0,,,0 HCPCS,81513,Nfct ds bv rna vag flu alg,,,106.97,302.38,17 HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,197.24,557.54,17 HCPCS,81515,"Hc Infectious Disease, Bacterial Vaginosis And Vaginitis, Real-Time Pcr Amplification Of Dna Markers",730.0,730.0,,,0 HCPCS,81515,Hc Multiplex Vaginal Panel By Pcr,730.0,730.0,,,0 HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,557.54,7 HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,132.14,373.52,17 HCPCS,81518,Onc brst mrna 11 genes,,,2904.75,8210.76,17 HCPCS,81519,Oncology breast mrna,,,2904.75,8210.76,17 HCPCS,81520,Onc breast mrna 58 genes,,,1882.66,5321.65,17 HCPCS,81521,Onc breast mrna 70 genes,,,2904.75,8210.76,17 HCPCS,81522,Onc breast mrna 12 genes,,,2904.75,8210.76,17 HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,2904.75,8210.76,15 HCPCS,81525,Oncology colon mrna,,,2337.0,6605.92,17 HCPCS,81528,Oncology colorectal scr,,,381.65,1078.8,17 HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,5394.75,15249.16,17 HCPCS,81535,Oncology gynecologic,,,434.6,1228.46,17 HCPCS,81536,Oncology gynecologic,,,133.17,376.43,17 HCPCS,81538,Oncology lung,,,2153.25,6086.52,17 HCPCS,81539,Oncology prostate prob score,,,570.0,1611.2,17 HCPCS,81540,Oncology tum unknown origin,,,2812.5,7950.0,17 HCPCS,81541,Onc prostate mrna 46 genes,,,2904.75,8210.76,17 HCPCS,81542,Onc prostate mrna 22 cnt gen,,,2904.75,8210.76,15 HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,2700.0,7632.0,17 HCPCS,81551,Onc prostate 3 genes,,,1522.5,4303.6,17 HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,5832.0,16485.12,15 HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,4125.0,11468.35,17 HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,6868.8,7 HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,480.55,1358.35,15 HCPCS,81595,Cardiology hrt trnspl mrna,,,2430.0,6868.8,17 HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,54.14,153.04,17 HCPCS,82009,Test for acetone/ketones,,,3.39,9.58,17 HCPCS,82010,Acetone assay,,,6.13,17.32,17 HCPCS,82010,Hc Ketone Bodies Serum Quantitative - Beta Hydroxybutyrate,181.5,181.5,,,0 HCPCS,82013,Acetylcholinesterase assay,,,9.22,26.05,17 HCPCS,82016,Acylcarnitines qual,,,12.37,34.96,17 HCPCS,82017,Acylcarnitines quant,,,12.65,35.76,17 HCPCS,82017,"Hc Acylcarnitines,Quant,Each Spec - Acylcarnitines, Quant",340.5,340.5,,,0 HCPCS,82024,Assay of acth,,,28.97,81.87,17 HCPCS,82024,Hc Assay Of Acth - Acth,391.5,391.5,,,0 HCPCS,82030,Assay of adp & amp,,,19.35,54.7,17 HCPCS,82040,Assay of serum albumin,,,3.71,10.49,17 HCPCS,82040,Hc Albumin/Igg Syn Indx,76.0,76.0,,,0 HCPCS,82040,Hc Assay Of Serum Albumin - Albumin,76.0,76.0,,,0 HCPCS,82040,"Hc Assay Of Serum, Plasma, Whole Blood - Albumin",76.0,76.0,,,0 HCPCS,82042,Assay of urine albumin,,,5.84,16.49,17 HCPCS,82042,Hc Assay Of Albumin - Albumin Body Fluid,52.0,52.0,,,0 HCPCS,82042,Hc Assay Of Albumin - Other Source Each Specimen,52.0,52.0,,,0 HCPCS,82042,Hc Assy Of Albumin - Other Source,52.0,52.0,,,0 HCPCS,82043,"Hc Microalbumin, Quantitative - Microalbumin / Creatinine Urine Ratio",163.0,163.0,,,0 HCPCS,82043,"Hc Microalbumin, Quantitative - Microalbumin 24Hr Urine",163.0,163.0,,,0 HCPCS,82043,"Hc Microalbumin, Quantitative - Microalbumin Random Urine",163.0,163.0,,,0 HCPCS,82043,Microalbumin quantitative,,,4.34,12.25,17 HCPCS,82044,Microalbumin semiquant,,,4.67,13.21,17 HCPCS,82045,Albumin ischemia modified,,,25.46,71.95,17 HCPCS,82075,Assay of breath ethanol,,,22.5,63.6,17 HCPCS,82075,Hc Breathalyzer - Alcohol Test,115.5,115.5,,,0 HCPCS,82077,Assay spec xcp ur&breath ia,,,12.95,36.61,17 HCPCS,82077,"Hc Alcohol, Medical Only",133.0,133.0,,,0 HCPCS,82085,Assay of aldolase,,,7.28,20.59,17 HCPCS,82085,Hc Assay Of Aldolase - Aldolase,210.0,210.0,,,0 HCPCS,82088,Assay of aldosterone,,,30.56,86.39,17 HCPCS,82088,Hc Assay Of Aldosterone - Aldosterone,523.5,523.5,,,0 HCPCS,82088,Hc Ref Assay Of Aldosterone - Aldosterone,523.5,523.5,,,0 HCPCS,82103,Alpha-1-antitrypsin total,,,10.08,28.49,17 HCPCS,82103,"Hc Alpha-1-Antitrypsin, Total - Alpha-1-Antitrypsin",281.0,281.0,,,0 HCPCS,82104,Alpha-1-antitrypsin pheno,,,10.85,30.66,17 HCPCS,82104,Hc Alpha-1-Antitrypsin Phenotype,531.0,531.0,,,0 HCPCS,82105,Alpha-fetoprotein serum,,,12.58,35.55,17 HCPCS,82105,"Hc Alpha-Fetoprotein, Serum - Alpha Fetoprotein, Maternal",349.5,349.5,,,0 HCPCS,82105,"Hc Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker",349.5,349.5,,,0 HCPCS,82106,Alpha-fetoprotein amniotic,,,12.75,36.04,17 HCPCS,82107,Alpha-Fetoprotein L3,,,48.31,136.55,17 HCPCS,82107,Hc Alpha-Fetoprotein Afp-L3Fraction Isoform And Total Protein,205.5,205.5,,,0 HCPCS,82108,Assay of aluminum,,,19.11,54.02,17 HCPCS,82108,Hc Assay Of Aluminum - Aluminum Level,352.5,352.5,,,0 HCPCS,82120,Amines vaginal fluid qual,,,4.49,12.7,17 HCPCS,82127,Amino acid single qual,,,10.64,30.06,17 HCPCS,82127,"Hc Amino Acid, Single Qual - Glutamine",541.0,541.0,,,0 HCPCS,82128,Amino acids mult qual,,,10.4,29.4,17 HCPCS,82131,Amino acids single quant,,,17.24,48.72,17 HCPCS,82131,"Hc Amino Acids, Single Quantitation - Cystine Urine Quantitative",953.0,953.0,,,0 HCPCS,82135,Assay aminolevulinic acid,,,12.34,34.87,17 HCPCS,82135,"Hc Assay, Aminolevulinic Acid - Aminolevulinic Acid 24Hr",348.0,348.0,,,0 HCPCS,82136,Amino acids quant 2-5,,,14.71,41.57,17 HCPCS,82139,Amino acids quan 6 or more,,,12.65,35.76,17 HCPCS,82139,"Hc Amino Acids, 6+ Quant - Amino Acid Quant",521.5,521.5,,,0 HCPCS,82139,"Hc Amino Acids, 6+ Quant - Amino Acids, Plasma",521.5,521.5,,,0 HCPCS,82140,Assay of ammonia,,,10.93,30.89,17 HCPCS,82140,Hc Assay Of Ammonia - Ammonia,211.0,211.0,,,0 HCPCS,82143,Amniotic fluid scan,,,7.01,19.82,17 HCPCS,82150,Assay of amylase,,,4.86,13.74,17 HCPCS,82150,Hc Assay Of Amylase - Amylase,149.0,149.0,,,0 HCPCS,82150,Hc Assay Of Amylase - Amylase Body Fluid,149.0,149.0,,,0 HCPCS,82150,Hc Assay Of Amylase - Amylase Isoenzymes,149.0,149.0,,,0 HCPCS,82150,Noncdm Charge Record,161.0,161.0,,,0 HCPCS,82154,Androstanediol glucuronide,,,21.62,61.12,17 HCPCS,82157,Assay of androstenedione,,,21.96,62.07,17 HCPCS,82157,Hc Assay Of Androstenedione - Androstenedione,293.0,293.0,,,0 HCPCS,82160,Assay of androsterone,,,19.16,54.17,17 HCPCS,82163,Assay of angiotensin II,,,15.39,43.5,17 HCPCS,82164,Angiotensin I enzyme test,,,10.95,30.95,17 HCPCS,82164,Hc Angiotensin I Enzyme Test - Angiotensin Convert Enzyme Csf,303.5,303.5,,,0 HCPCS,82164,Hc Angiotensin I Enzyme Test - Angiotensin Converting Enzyme,303.5,303.5,,,0 HCPCS,82166,Assay anti-mullerian horm,,,28.97,81.87,16 HCPCS,82166,Hc Assay Of Anti-Mullerian Hormone (Amh),106.5,106.5,,,0 HCPCS,82172,Assay of apolipoprotein,,,15.82,44.71,17 HCPCS,82172,Hc Assay Of Apolipoprotein - Lipoprotein Each,80.5,80.5,,,0 HCPCS,82175,Assay of arsenic,,,14.23,40.22,17 HCPCS,82175,Hc Assay Of Arsenic - Arsenic 24 Hour Urine,391.5,391.5,,,0 HCPCS,82175,"Hc Assay Of Arsenic - Heavy Metals Panel, Urine",391.5,391.5,,,0 HCPCS,82180,Assay of ascorbic acid,,,7.42,20.97,17 HCPCS,82180,Hc Assay Of Ascorbic Acid - Vitamin C,189.5,189.5,,,0 HCPCS,82190,Atomic absorption,,,11.93,33.71,17 HCPCS,82232,Assay of beta-2 protein,,,12.14,34.3,17 HCPCS,82232,Hc Beta-2 Protein - Beta 2 Microglobulin,335.0,335.0,,,0 HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,273.31,7 HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,273.31,7 HCPCS,82234,Hc Beta-Amyloid; 1-42 (Abeta 42),423.5,423.5,,,0 HCPCS,82234,Hc Ref Beta-Amyloid 1-42 (Abeta 42) - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 HCPCS,82239,Bile acids total,,,12.84,36.29,17 HCPCS,82239,"Hc Bile Acids, Total - Bile Acids, Total",353.5,353.5,,,0 HCPCS,82240,Bile acids cholylglycine,,,19.94,56.35,17 HCPCS,82247,Bilirubin total,,,3.77,10.64,17 HCPCS,82247,Hc Bilirubin Total - Bilirubin Body Fluid,114.5,114.5,,,0 HCPCS,82247,Hc Bilirubin Total - Bilirubin Neonatal,114.5,114.5,,,0 HCPCS,82247,Hc Bilirubin Total - Bilirubin Total,114.5,114.5,,,0 HCPCS,82247,Hc Bilirubin Total - Bilirubin Total And Direct,114.5,114.5,,,0 HCPCS,82247,"Hc Bilirubin Total - Bilirubin Total, Cord Blood",114.5,114.5,,,0 HCPCS,82248,Bilirubin direct,,,3.77,10.64,17 HCPCS,82248,Hc Bilirubin Direct - Bilirubin Direct,123.0,123.0,,,0 HCPCS,82252,Fecal bilirubin test,,,3.42,9.67,17 HCPCS,82261,Assay of biotinidase,,,12.65,35.76,17 HCPCS,82270,"Hc Blood Occult,By Peroxid,Feces,Single, Colorectal Screen - Occult Bld",76.0,76.0,,,0 HCPCS,82270,Hc Occult Blood Feces - Poct Occult Blood Stool,76.0,76.0,,,0 HCPCS,82270,Occult blood feces,,,3.29,9.29,17 HCPCS,82271,Hc Occult Blood By Peroxidase Activity Other Source,48.0,48.0,,,0 HCPCS,82271,Occult blood other sources,,,3.99,11.28,17 HCPCS,82272,"Hc Occult Blood By Peroxidase Activity, Feces. 1-3 Simult Determ",48.0,48.0,,,0 HCPCS,82272,Occult bld feces 1-3 tests,,,3.17,8.97,17 HCPCS,82274,Assay test for blood fecal,,,11.94,33.75,17 HCPCS,82274,Hc Blood Occult Feces 1-3 Simult Determ Immunoassay Scr,113.0,113.0,,,0 HCPCS,82286,Assay of bradykinin,,,3.87,10.94,17 HCPCS,82300,Assay of cadmium,,,17.73,50.12,17 HCPCS,82300,Hc Assay Of Cadmium - Cadmium 24 Hr Urine,475.5,475.5,,,0 HCPCS,82306,"Hc Assay Of Vit D,Calcifediol W Fractions, If Performed - Vitamin D 25",262.0,262.0,,,0 HCPCS,82306,Hc Assay Of Vitamin D 25 - Vitamin D 25 Hydroxy,262.0,262.0,,,0 HCPCS,82306,Vitamin d 25 hydroxy,,,22.2,62.75,17 HCPCS,82308,Assay of calcitonin,,,20.09,56.79,17 HCPCS,82308,Hc Assay Of Calcitonin - Calcitonin,189.5,189.5,,,0 HCPCS,82310,Assay of calcium,,,3.87,10.94,17 HCPCS,82310,"Hc Assay Of Calcium, Total - Calcium",122.0,122.0,,,0 HCPCS,82330,Assay of calcium,,,10.26,29.0,17 HCPCS,82330,"Hc Assay Of Calcium, Ionized - Blood Gas Calcium Ionized",285.0,285.0,,,0 HCPCS,82330,"Hc Assay Of Calcium, Ionized - Calcium Ionized",285.0,285.0,,,0 HCPCS,82330,"Hc Assay Of Calcium, Ionized - Poct Calcium Ionized",285.0,285.0,,,0 HCPCS,82331,Calcium infusion test,,,10.01,28.28,17 HCPCS,82340,Assay of calcium in urine,,,4.52,12.78,17 HCPCS,82340,Hc Assay Of Calcium In Urine - Calcium Random Urine,143.5,143.5,,,0 HCPCS,82340,Hc Assay Of Calcium In Urine - Calcium Timed Urine,143.5,143.5,,,0 HCPCS,82355,Calculus analysis qual,,,8.69,24.55,17 HCPCS,82360,Calculus assay quant,,,9.65,27.28,17 HCPCS,82365,Calculus spectroscopy,,,9.68,27.35,17 HCPCS,82365,"Hc Calculus Assay,Infrared Spectr - Kidney Stone Analysis",199.0,199.0,,,0 HCPCS,82370,X-ray assay calculus,,,9.39,26.54,17 HCPCS,82373,Assay c-d transfer measure,,,13.55,38.29,17 HCPCS,82374,Assay blood carbon dioxide,,,3.66,10.35,17 HCPCS,82374,Hc Assay Blood Carbon Dioxide - Co2 Total,113.0,113.0,,,0 HCPCS,82375,Assay carboxyhb quant,,,9.24,26.12,17 HCPCS,82375,Hc Assay Blood Carbon Monoxide - Carboxyhemoglobin,77.0,77.0,,,0 HCPCS,82375,Hc Assay Blood Carbon Monoxide - Carboxyhemoglobin Blood Gases,77.0,77.0,,,0 HCPCS,82375,Hc Assay Blood Carbon Monoxide - Poct Carboxyhemoglobin Blood Gas,77.0,77.0,,,0 HCPCS,82376,Assay carboxyhb qual,,,10.55,29.83,17 HCPCS,82378,Carcinoembryonic antigen,,,14.22,40.2,17 HCPCS,82378,Hc Carcinoembryonic Antigen - Body Fluids Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 HCPCS,82378,Hc Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 HCPCS,82378,Hc Carcinoembryonic Antigen - Serum Cea (Carcinoembryonic Antigen),391.5,391.5,,,0 HCPCS,82379,Assay of carnitine,,,12.65,35.76,17 HCPCS,82379,Hc Assay Of Carnitine - Carnitine Level Urine Random,162.0,162.0,,,0 HCPCS,82379,Hc Assay Of Carnitine - Carnitine Total And Free Each Specimen,162.0,162.0,,,0 HCPCS,82380,Assay of carotene,,,6.92,19.55,17 HCPCS,82380,"Hc Assay Of Carotene - Carotene, Serum",239.5,239.5,,,0 HCPCS,82382,Assay urine catecholamines,,,20.48,57.88,17 HCPCS,82382,"Hc Assay, Urine Catecholamines - Catecholamines, Urine, Total",123.0,123.0,,,0 HCPCS,82383,Assay blood catecholamines,,,21.81,61.65,17 HCPCS,82384,Assay three catecholamines,,,18.94,53.53,17 HCPCS,82384,"Hc Assay, Three Catecholamines - Catecholamine 24 Hr Urine",519.0,519.0,,,0 HCPCS,82384,"Hc Assay, Three Catecholamines - Catecholamines Fractionated Pl",519.0,519.0,,,0 HCPCS,82387,Assay of cathepsin-d,,,13.55,38.29,17 HCPCS,82390,Assay of ceruloplasmin,,,8.06,22.77,17 HCPCS,82390,Hc Assay Of Ceruloplasmin - Ceruloplasmin,234.0,234.0,,,0 HCPCS,82397,Chemiluminescent assay,,,10.59,29.93,17 HCPCS,82397,Hc Alpha Subunit Pit Glyco Horm,108.0,108.0,,,0 HCPCS,82397,Hc Chemiluminescent Assay,108.0,108.0,,,0 HCPCS,82415,Assay of chloramphenicol,,,9.5,26.86,17 HCPCS,82435,Assay of blood chloride,,,3.45,9.75,17 HCPCS,82435,Hc Assay Of Blood Chloride - Blood Gas Chloride,108.0,108.0,,,0 HCPCS,82435,Hc Assay Of Blood Chloride - Chloride,108.0,108.0,,,0 HCPCS,82435,Hc Assay Of Blood Chloride - Poct Chloride,108.0,108.0,,,0 HCPCS,82436,Assay of urine chloride,,,4.31,12.19,17 HCPCS,82436,Hc Assay Of Urine Chloride - Chloride Urine Random,114.5,114.5,,,0 HCPCS,82436,Hc Assay Of Urine Chloride - Chloride Urine Random Or Timed,114.5,114.5,,,0 HCPCS,82438,Assay other fluid chlorides,,,3.75,10.6,17 HCPCS,82438,Hc Assay Other Fluid Chlorides - Chloride Body Fluid,56.5,56.5,,,0 HCPCS,82438,Hc Assay Other Fluid Chlorides - Chloride Other Source,56.5,56.5,,,0 HCPCS,82441,Test for chlorohydrocarbons,,,4.51,12.74,17 HCPCS,82465,Assay bld/serum cholesterol,,,3.26,9.22,17 HCPCS,82465,"Hc Assay, Bld/Serum Cholesterol - Cholesterol Total",101.0,101.0,,,0 HCPCS,82480,Assay serum cholinesterase,,,5.9,16.68,17 HCPCS,82480,"Hc Assay, Serum Cholinesterase - Pseudocholinesterase",177.5,177.5,,,0 HCPCS,82482,Assay rbc cholinesterase,,,7.36,20.8,17 HCPCS,82485,Assay chondroitin sulfate,,,15.49,43.78,17 HCPCS,82495,Assay of chromium,,,15.21,42.99,17 HCPCS,82495,Hc Assay Of Chromium - Chromium Body Fluid,418.0,418.0,,,0 HCPCS,82495,Hc Assay Of Chromium - Chromium Level,418.0,418.0,,,0 HCPCS,82507,Assay of citrate,,,20.85,58.94,17 HCPCS,82507,Hc Assay Of Citrate - Citrate 24 Hour Urine,570.0,570.0,,,0 HCPCS,82523,Collagen crosslinks,,,14.01,39.6,17 HCPCS,82523,"Hc Assay For Collagen Cross Links - N-Telopeptide, Urine",422.5,422.5,,,0 HCPCS,82523,"Hc Ref Assay For Collagen Cross Links - N-Telopeptide, Urine",422.5,422.5,,,0 HCPCS,82525,Assay of copper,,,9.31,26.31,17 HCPCS,82525,Hc Assay Of Copper - Copper 24Hr Urine,262.5,262.5,,,0 HCPCS,82525,"Hc Assay Of Copper - Copper, Serum",262.5,262.5,,,0 HCPCS,82528,Assay of corticosterone,,,16.89,47.74,17 HCPCS,82530,Cortisol free,,,12.53,35.43,17 HCPCS,82530,"Hc Cortisol, Free - Cortisol 24Hr Urinary Free",159.0,159.0,,,0 HCPCS,82533,Hc Total Cortisol - Acth Stimulation 30 Minutes,337.5,337.5,,,0 HCPCS,82533,Hc Total Cortisol - Acth Stimulation Baseline,337.5,337.5,,,0 HCPCS,82533,Hc Total Cortisol - Cortisol,337.5,337.5,,,0 HCPCS,82533,"Hc Total Cortisol - Cortisol, Saliva",337.5,337.5,,,0 HCPCS,82533,Total cortisol,,,12.23,34.56,17 HCPCS,82540,Assay of creatine,,,3.48,9.84,17 HCPCS,82540,Hc Assay Of Creatine - Creatine,262.5,262.5,,,0 HCPCS,82542,Col chromotography qual/quan,,,18.07,51.07,17 HCPCS,82542,Hc 6 Mp Metabolites,266.5,266.5,,,0 HCPCS,82542,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Ada(Adalimumab) Prometheus Tx And Dx,266.5,266.5,,,0 HCPCS,82542,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Ust,266.5,266.5,,,0 HCPCS,82542,Hc Col-Chr/Ms Nondrug Analyte Nes Qual/Quan Ea Spec - Anser Vdz,266.5,266.5,,,0 HCPCS,82542,Hc Quant - Single Stat/Mobile Pha,266.5,266.5,,,0 HCPCS,82542,Hc Quantitation Drug Not Elsewhere Specified - Bromide Level,266.5,266.5,,,0 HCPCS,82550,Assay of ck (cpk),,,4.88,13.8,17 HCPCS,82550,Hc Assay Of Ck (Cpk) - Creatine Kinase Ck Total,149.0,149.0,,,0 HCPCS,82552,Assay of cpk in blood,,,10.04,28.39,17 HCPCS,82553,Creatine mb fraction,,,8.66,24.49,17 HCPCS,82553,Hc Creatine Kinase Mb Fraction - Ckmb,246.0,246.0,,,0 HCPCS,82553,"Hc Ref Creatine Kinase Mb Fraction - Creatine Kinase, Mb",246.0,246.0,,,0 HCPCS,82554,Creatine isoforms,,,8.9,25.16,17 HCPCS,82565,Assay of creatinine,,,3.84,10.85,17 HCPCS,82565,Hc Assay Of Creatinine - Creatinine Blood,52.0,52.0,,,0 HCPCS,82565,Hc Assay Of Creatinine - Creatinine Serum,52.0,52.0,,,0 HCPCS,82565,Hc Assay Of Creatinine - Poct Creatinine Blood,52.0,52.0,,,0 HCPCS,82565,Hc Ref Assay Of Creatinine - Creatinine For Cystatin C,52.0,52.0,,,0 HCPCS,82565,Noncdm Charge Record,32.0,32.0,,,0 HCPCS,82570,Assay of urine creatinine,,,3.89,10.98,17 HCPCS,82570,Hc Assay Of Urine Creatinine - Creatinine Other Source,96.0,96.0,,,0 HCPCS,82570,Hc Assay Of Urine Creatinine - Creatinine Random Urine,96.0,96.0,,,0 HCPCS,82570,"Hc Assay Of Urine Creatinine - Creatinine Random Urine, Leukotriene E4",96.0,96.0,,,0 HCPCS,82570,Hc Assay Of Urine Creatinine - Creatinine Timed Urine,96.0,96.0,,,0 HCPCS,82570,"Hc Assay Of Urine Creatinine - Creatinine, Urine, 24 Hour",96.0,96.0,,,0 HCPCS,82575,Creatinine clearance test,,,7.1,20.06,17 HCPCS,82575,"Hc Creatinine Clearance Test - Creatinine Clearance, Urine, 24 Hour",208.0,208.0,,,0 HCPCS,82585,Assay of cryofibrinogen,,,10.61,29.98,17 HCPCS,82585,Hc Assay Of Cryofibrinogen - Cryofibrinogen,22.0,22.0,,,0 HCPCS,82595,Assay of cryoglobulin,,,4.85,13.72,17 HCPCS,82595,Hc Assay Of Cryoglobulin - Cryoglobulin,147.0,147.0,,,0 HCPCS,82600,Assay of cyanide,,,14.55,41.13,17 HCPCS,82600,Hc Assay Of Cyanide - Cyanide Level,404.0,404.0,,,0 HCPCS,82607,Hc Vitamin B-12 - Vitamin B12,213.0,213.0,,,0 HCPCS,82607,Vitamin B-12,,,11.31,31.97,17 HCPCS,82608,B-12 binding capacity,,,10.74,30.36,17 HCPCS,82608,Hc B-12 Binding Capacity - B-12 Binding Capacity,302.5,302.5,,,0 HCPCS,82610,Cystatin c,,,13.89,39.26,17 HCPCS,82610,Hc Cystatin C,156.5,156.5,,,0 HCPCS,82615,Test for urine cystines,,,7.16,20.25,17 HCPCS,82626,Dehydroepiandrosterone,,,18.95,53.57,17 HCPCS,82627,Dehydroepiandrosterone,,,16.67,47.13,17 HCPCS,82627,Hc Dehydroepiandrosterone-Sulfate - Dhea-Sulfate,461.5,461.5,,,0 HCPCS,82633,Desoxycorticosterone,,,23.24,65.68,17 HCPCS,82633,"Hc Desoxycorticosterone - Deoxycorticosterone, 11-",629.0,629.0,,,0 HCPCS,82634,Deoxycortisol,,,21.96,62.07,17 HCPCS,82634,Hc Deoxycortisol - 11-Deoxycortisol,597.5,597.5,,,0 HCPCS,82638,Assay of dibucaine number,,,9.19,25.97,17 HCPCS,82638,Hc Dibucaine Number,257.0,257.0,,,0 HCPCS,82642,Dihydrotestosterone,,,21.96,62.07,17 HCPCS,82642,Hc 5-A-Dihydrotestosterone (Dht),185.0,185.0,,,0 HCPCS,82652,"Hc Assay, Dihydroxyvitamin D W/Fractions, If Performed - Vitamin D 1-25",777.0,777.0,,,0 HCPCS,82652,Vit d 1 25-dihydroxy,,,28.88,81.62,17 HCPCS,82653,El-1 fecal quantitative,,,17.23,48.7,15 HCPCS,82653,Hc Pancreatic Elastase - Fecal,97.0,97.0,,,0 HCPCS,82656,Pancreatic elastase fecal,,,8.65,24.44,17 HCPCS,82657,Enzyme cell activity,,,16.63,47.0,17 HCPCS,82657,"Hc Enzyme Activity Blood, Cultured Or Tissue - Nos - Ea Specimen",700.0,700.0,,,0 HCPCS,82657,"Hc Enzyme Activity Blood, Cultured Or Tissue -Nos-Lysosomal Acid Lipase Activity,Dbs, Ea Specimen",700.0,700.0,,,0 HCPCS,82658,Enzyme cell activity ra,,,33.02,93.34,17 HCPCS,82664,Electrophoretic test,,,46.13,130.38,17 HCPCS,82664,Hc Electrophoretic Test - Immunofixation Electrophoresis,226.5,226.5,,,0 HCPCS,82668,Assay of erythropoietin,,,14.09,39.83,17 HCPCS,82668,Hc Assay Of Erythropoietin - Erythropoietin,390.5,390.5,,,0 HCPCS,82670,Assay of estradiol,,,20.96,59.23,17 HCPCS,82670,Hc Assay Of Estradiol - Estradiol,284.0,284.0,,,0 HCPCS,82671,Assay of estrogens,,,24.23,68.48,17 HCPCS,82672,Assay of estrogen,,,16.28,46.0,17 HCPCS,82672,"Hc Assay Of Estrogen - Estrogens, Total",177.5,177.5,,,0 HCPCS,82677,Assay of estriol,,,18.14,51.26,17 HCPCS,82679,Assay of estrone,,,18.71,52.89,17 HCPCS,82679,Hc Assay Of Estrone - Estrone,185.0,185.0,,,0 HCPCS,82681,Assay dir meas fr estradiol,,,20.96,59.23,17 HCPCS,82681,Hc Assay Of Estradiol - Estradiol; Free,134.0,134.0,,,0 HCPCS,82693,Assay of ethylene glycol,,,11.18,31.59,17 HCPCS,82693,Hc Assay Of Ethylene Glycol - Ethylene Glycol,153.5,153.5,,,0 HCPCS,82696,Assay of etiocholanolone,,,19.68,55.63,17 HCPCS,82705,Fats/lipids feces qual,,,3.83,10.81,17 HCPCS,82705,Hc Ref Fecal Qualitative Fat Stain,19.5,19.5,,,0 HCPCS,82710,Fats/lipids feces quant,,,12.6,35.62,17 HCPCS,82710,"Hc Fats/Lipids, Feces, Quantitative - Fecal Fat Quantitative",171.0,171.0,,,0 HCPCS,82715,Assay of fecal fat,,,17.23,48.7,17 HCPCS,82725,Assay of blood fatty acids,,,14.08,39.79,17 HCPCS,82725,"Hc Assay Of Blood Fatty Acids - Fatty Acids, Free",277.5,277.5,,,0 HCPCS,82726,"Hc Long Chain Fatty Acids - Fatty Acids, Long Chain",448.5,448.5,,,0 HCPCS,82726,Long chain fatty acids,,,14.81,41.87,17 HCPCS,82728,Assay of ferritin,,,10.22,28.9,17 HCPCS,82728,Hc Assay Of Ferritin - Ferritin,185.0,185.0,,,0 HCPCS,82731,Assay of fetal fibronectin,,,48.31,136.55,17 HCPCS,82731,Hc Assay Of Fetal Fibronectin - Fetal Fibronectin,1207.0,1207.0,,,0 HCPCS,82735,Assay of fluoride,,,13.91,39.3,17 HCPCS,82746,Assay of folic acid serum,,,11.03,31.16,17 HCPCS,82746,Hc Blood Folic Acid Serum - Folate,311.5,311.5,,,0 HCPCS,82747,Assay of folic acid rbc,,,13.24,37.42,17 HCPCS,82747,"Hc Assay Of Folic Acid, Rbc - Folate Rbc",364.5,364.5,,,0 HCPCS,82757,Assay of semen fructose,,,13.01,36.76,17 HCPCS,82759,Assay of rbc galactokinase,,,16.11,45.54,17 HCPCS,82760,Assay of galactose,,,8.4,23.74,17 HCPCS,82775,Assay galactose transferase,,,15.8,44.67,17 HCPCS,82776,Galactose transferase test,,,8.81,24.89,17 HCPCS,82777,Galectin-3,,,33.19,93.81,17 HCPCS,82784,Assay iga/igd/igg/igm each,,,6.98,19.72,17 HCPCS,82784,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Celiac Reflex Pnl",203.5,203.5,,,0 HCPCS,82784,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Iga",203.5,203.5,,,0 HCPCS,82784,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Igg",203.5,203.5,,,0 HCPCS,82784,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Igm",203.5,203.5,,,0 HCPCS,82784,"Hc Assay Of Gammaglobulin Iga, Igd, Igg, Igm, Each - Immunoglobulins",203.5,203.5,,,0 HCPCS,82785,Assay of ige,,,12.35,34.9,17 HCPCS,82785,Hc Assay Of Gammaglobulin Ige - Immunoglobulin Ige,348.0,348.0,,,0 HCPCS,82785,Hc Ref Assay Of Gammaglobulin Ige - Immunoglobulin Ige,348.0,348.0,,,0 HCPCS,82787,"Hc Igg1, 2, 3 Or 4, Each - Igg 1",91.5,91.5,,,0 HCPCS,82787,"Hc Igg1, 2, 3 Or 4, Each - Igg 2",91.5,91.5,,,0 HCPCS,82787,"Hc Igg1, 2, 3 Or 4, Each - Igg 3",91.5,91.5,,,0 HCPCS,82787,"Hc Igg1, 2, 3 Or 4, Each - Igg 4",91.5,91.5,,,0 HCPCS,82787,Hc Immunoglobulin - Each Subclas,91.5,91.5,,,0 HCPCS,82787,Igg 1 2 3 or 4 each,,,6.02,17.0,17 HCPCS,82800,Blood pH,,,8.25,23.32,17 HCPCS,82800,Hc Blood Ph - Blood Gases Ph Only,187.0,187.0,,,0 HCPCS,82800,Hc Blood Ph - Blood Gases Ph Venous,187.0,187.0,,,0 HCPCS,82803,Blood gases any combination,,,19.55,55.27,17 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Arterial",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Capillary",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Cord Arterial",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Cord Venous",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Blood Gas Venous",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Poct Arterial Blood Gas",177.5,177.5,,,0 HCPCS,82803,"Hc Blood Gases: Ph, Po2 & Pco2 - Poct Venous Blood Gas",177.5,177.5,,,0 HCPCS,82805,Blood gases w/o2 saturation,,,59.08,166.99,17 HCPCS,82805,"Hc Blood Gases: Ph, Po2 & Pco2 - W/O2 Saturation",664.0,664.0,,,0 HCPCS,82810,Blood gases o2 sat only,,,7.33,20.71,17 HCPCS,82810,"Hc Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial",193.5,193.5,,,0 HCPCS,82810,"Hc Blood Gases, O2 Sat Only - Oxygen Saturation, Venous",193.5,193.5,,,0 HCPCS,82820,Hc Hemoglobin-Oxygen Affinity - Hemoglobin-Oxygen Affinity,88.0,88.0,,,0 HCPCS,82820,Hemoglobin-oxygen affinity,,,10.01,28.28,17 HCPCS,82930,Gastric analy w/ph ea spec,,,5.03,14.23,17 HCPCS,82938,Gastrin test,,,13.27,37.5,17 HCPCS,82941,Assay of gastrin,,,13.22,37.38,17 HCPCS,82941,Hc Assay Of Gastrin - Gastrin,140.5,140.5,,,0 HCPCS,82943,Assay of glucagon,,,10.72,30.29,17 HCPCS,82943,Hc Assay Of Glucagon - Glucagon,546.0,546.0,,,0 HCPCS,82945,Glucose Other Fluid,,,2.95,8.33,17 HCPCS,82945,"Hc Assay Glucose, Body Fluid - Glucose 24 Hour Urine",85.0,85.0,,,0 HCPCS,82945,"Hc Assay Glucose, Body Fluid - Glucose Body Fluid",85.0,85.0,,,0 HCPCS,82945,"Hc Assay Glucose, Body Fluid - Glucose Csf",85.0,85.0,,,0 HCPCS,82945,"Hc Assay Glucose, Body Fluid - Glucose Urine Random",85.0,85.0,,,0 HCPCS,82946,Glucagon tolerance test,,,13.33,37.67,17 HCPCS,82947,Assay glucose blood quant,,,2.95,8.33,17 HCPCS,82947,"Hc Assay Quantitative,Blood Glucose - Blood Gas Glucose",97.0,97.0,,,0 HCPCS,82947,"Hc Assay Quantitative,Blood Glucose - Blood Gas Poct Glucose",97.0,97.0,,,0 HCPCS,82947,"Hc Assay Quantitative,Blood Glucose - Glucose",97.0,97.0,,,0 HCPCS,82947,"Hc Assay Quantitative,Blood Glucose - Gtt Fasting",97.0,97.0,,,0 HCPCS,82947,"Hc Assay Quantitative,Blood Glucose - Poct Glucose",97.0,97.0,,,0 HCPCS,82948,"Hc Assay Quantitative,Blood Glucose - Poct Glucometer",40.5,40.5,,,0 HCPCS,82948,Reagent strip/blood glucose,,,3.78,10.68,17 HCPCS,82950,Glucose test,,,3.56,10.07,17 HCPCS,82950,Hc Glucose Test - Gtt 1 Hour,100.0,100.0,,,0 HCPCS,82950,Hc Glucose Test - Gtt 2 Hour,100.0,100.0,,,0 HCPCS,82950,Hc Glucose Test - Ltt 2 Hr,100.0,100.0,,,0 HCPCS,82951,Glucose tolerance test (GTT),,,9.65,27.28,17 HCPCS,82951,Hc Glucose Tolerance Test (Gtt) - Bundled Charge,272.0,272.0,,,0 HCPCS,82951,Hc Glucose Tolerance Test (Gtt) - Gtt 2 Hour,272.0,272.0,,,0 HCPCS,82952,GTT-added samples,,,2.94,8.31,17 HCPCS,82952,Hc Gtt-Added Samples - Gtt 3 Hour,97.0,97.0,,,0 HCPCS,82955,Assay of g6pd enzyme,,,7.28,20.56,17 HCPCS,82955,Hc Assay Of G6Pd Enzyme - Glucose 6 Phosphate Dehydrogenase,168.5,168.5,,,0 HCPCS,82960,Test for G6PD enzyme,,,4.54,12.83,17 HCPCS,82962,Glucose blood test,,,2.46,6.95,17 HCPCS,82962,Hc Glucose Blood Test With Device - Poct Glucose,52.0,52.0,,,0 HCPCS,82962,Hc Glucose Blood Test With Device Poct,52.0,52.0,,,0 HCPCS,82962,Noncdm Charge Record,32.0,32.0,,,0 HCPCS,82963,Assay of glucosidase,,,16.11,45.54,17 HCPCS,82965,Assay of gdh enzyme,,,9.86,27.88,17 HCPCS,82977,Assay of GGT,,,5.4,15.26,17 HCPCS,82977,Hc Assay Of Ggt - Gamma Gt,156.5,156.5,,,0 HCPCS,82978,Assay of glutathione,,,11.59,32.75,17 HCPCS,82979,Assay rbc glutathione,,,7.08,20.01,17 HCPCS,82985,Assay of glycated protein,,,12.57,35.53,17 HCPCS,82985,Hc Glycated Protein - Fructosamine,318.0,318.0,,,0 HCPCS,83001,Assay of gonadotropin (fsh),,,13.94,39.39,17 HCPCS,83001,Hc Gonadotropin (Fsh) - Fsh,384.0,384.0,,,0 HCPCS,83002,Assay of gonadotropin (lh),,,13.89,39.26,17 HCPCS,83002,Hc Gonadotropin (Lh) - Luteinizing Hormone,384.0,384.0,,,0 HCPCS,83003,Assay growth hormone (hgh),,,12.5,35.34,17 HCPCS,83003,Hc Assay Growth Hormone (Hgh) - Growth Hormone,185.0,185.0,,,0 HCPCS,83003,Hc Assay Growth Hormone (Hgh) - Growth Hormone Timed,185.0,185.0,,,0 HCPCS,83006,Growth stimulation gene 2,,,56.7,160.27,17 HCPCS,83006,Hc Ref Agvhd Post-Treatment Algorithm,210.0,210.0,,,0 HCPCS,83006,Hc Ref Agvhd Pre-Symptomatic Algorithm,210.0,210.0,,,0 HCPCS,83006,Hc Ref Agvhd Symptomatic Onset Algorithm,210.0,210.0,,,0 HCPCS,83009,H pylori (c-13) blood,,,50.52,142.8,17 HCPCS,83010,Assay of haptoglobin quant,,,9.44,26.67,17 HCPCS,83010,"Hc Assay Of Haptoglobin, Quant - Haptoglobin",91.5,91.5,,,0 HCPCS,83012,Assay of haptoglobins,,,20.17,57.01,17 HCPCS,83013,H pylori (c-13) breath,,,50.52,142.8,17 HCPCS,83013,"Hc H. Pylori;Breath Test, Non-Isotope - H Pylori Breath Test",185.0,185.0,,,0 HCPCS,83014,H pylori drug admin,,,5.9,16.66,17 HCPCS,83015,Hc Heavy Metal Screen - Heavy Metals Screen,390.5,390.5,,,0 HCPCS,83015,Heavy metal qual any anal,,,15.71,44.39,17 HCPCS,83018,"Hc Quantitative Screen, Metals - Cobalt",185.0,185.0,,,0 HCPCS,83018,"Hc Quantitative Screen, Metals - Thallium, Serum",185.0,185.0,,,0 HCPCS,83018,Heavy metal quant each nes,,,16.47,46.56,17 HCPCS,83020,Hc Hemoglobin Electrophoresis - Hemoglobin Electrophoresis,211.0,211.0,,,0 HCPCS,83020,Hemoglobin electrophoresis,,,9.65,27.28,17 HCPCS,83021,"Hc Hemoglobin Chromotography - Hemoglobin S, Reflex Toe Rbc Sol",113.0,113.0,,,0 HCPCS,83021,Hc Hemoglobin Chromotography - Hemoglobinopathy Eval,113.0,113.0,,,0 HCPCS,83021,Hemoglobin chromotography,,,13.55,38.29,17 HCPCS,83026,"Hc Hemoglobin Copper Sulfate - Poct Hemoglobin Copper Sulfate, Nonauto",13.0,13.0,,,0 HCPCS,83026,Hemoglobin copper sulfate,,,3.01,8.5,17 HCPCS,83030,Fetal hemoglobin chemical,,,8.06,22.77,17 HCPCS,83033,Fetal hemoglobin assay qual,,,6.0,16.96,17 HCPCS,83036,Glycosylated hemoglobin test,,,7.28,20.59,17 HCPCS,83036,Hc Glycosylated Hemoglobin Test - Hemoglobin A1C,146.0,146.0,,,0 HCPCS,83036,"Hc Glycosylated Hemoglobin Test - Poct Glycated Hemoglobin, Total",146.0,146.0,,,0 HCPCS,83037,Glycosylated hb home device,,,7.28,20.59,17 HCPCS,83045,Blood methemoglobin test,,,4.87,13.76,17 HCPCS,83050,Blood methemoglobin assay,,,6.15,17.38,17 HCPCS,83050,"Hc Blood Methemoglobin, Quant - Blood Gas Methemoglobin",165.5,165.5,,,0 HCPCS,83050,"Hc Blood Methemoglobin, Quant - Methemoglobin",165.5,165.5,,,0 HCPCS,83050,"Hc Blood Methemoglobin, Quant - Poct Methemoglobin",165.5,165.5,,,0 HCPCS,83051,Assay of plasma hemoglobin,,,5.48,15.5,17 HCPCS,83051,Hc Assay Of Plasma Hemoglobin - Hemoglobin Plasma,48.0,48.0,,,0 HCPCS,83051,Hc Assay Of Plasma Hemoglobin - Mcs Mechanical Circulatory Support Hemoglobin Plasma,48.0,48.0,,,0 HCPCS,83060,Blood sulfhemoglobin assay,,,6.6,18.66,17 HCPCS,83065,Assay of hemoglobin heat,,,6.75,19.08,17 HCPCS,83068,Hemoglobin stability screen,,,7.1,20.08,17 HCPCS,83069,Assay of urine hemoglobin,,,2.96,8.37,17 HCPCS,83070,Assay of hemosiderin qual,,,3.56,10.07,17 HCPCS,83070,"Hc Assay Of Hemosiderin, Qual - Hemosiderin Urine",112.0,112.0,,,0 HCPCS,83080,Assay of b hexosaminidase,,,12.65,35.76,17 HCPCS,83088,Assay of histamine,,,22.15,62.6,17 HCPCS,83088,Hc Assay Of Histamine - Histamine,607.0,607.0,,,0 HCPCS,83088,Hc Assay Of Histamine - Histamine Urine Timed,607.0,607.0,,,0 HCPCS,83090,Assay Of Homocystine,,,13.44,37.99,17 HCPCS,83090,Hc Assay Of Homocystine - Homocysteine Total,318.0,318.0,,,0 HCPCS,83150,Assay of homovanillic acid,,,16.81,47.51,17 HCPCS,83491,Assay of corticosteroids 17,,,13.43,37.95,17 HCPCS,83497,Assay of 5-hiaa,,,9.68,27.35,17 HCPCS,83497,"Hc Assay Of 5-Hiaa - 5 Hiaa Quant,24Hr Urine",272.0,272.0,,,0 HCPCS,83498,Assay of progesterone 17-d,,,20.38,57.6,17 HCPCS,83498,Hc Assay Of Progesterone 17-D - 17-Hydroxyprogesterone,197.0,197.0,,,0 HCPCS,83500,Assay free hydroxyproline,,,16.99,48.02,17 HCPCS,83505,Assay total hydroxyproline,,,18.23,51.52,17 HCPCS,83516,Hc Immunoassay Nonantibody - 21-Hydroxylase Autoantibodies,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - 68 Kd Hsp 70 Antibody,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Anti-Gliadin Iga Ab,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Anti-Gliadin Igg Ab,63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Antihistone, Igg",63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Antisoluble Liver Antigen, Igg",63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Celiac Disease Dual Antigen Screen,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Derm Elisa,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Dermatomyositis Panel,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Interstitial Lung Disease Panel,63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Mitochondrial Antibodies, M2, Igg",63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Mpo/Pr-3 Antibody Panel,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Myeloperox Ab Reflex,63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Parietal Cell Antibody, Igg",63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Periprosthetic Joint Infection Detection,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Polymyositis And Dermatomyositis Panel,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Polymyositis Panel,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Ribosomal P Protein Antibody,63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody - Rna Polymerase Iii Antibody Igg,63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Smooth Muscle Antibody, Igg",63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Tissue Transglutaminase, Iga",63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody - Tissue Transglutaminase, Igg",63.0,63.0,,,0 HCPCS,83516,"Hc Immunoassay Nonantibody -Serine Proteinase 3, Igg",63.0,63.0,,,0 HCPCS,83516,Hc Immunoassay Nonantibody -Systemic Sclerosis Comprehensive Panel,63.0,63.0,,,0 HCPCS,83516,"Hc Ref Immumoassay Nonantibody - Hmgcr Antibody, Igg",63.0,63.0,,,0 HCPCS,83516,"Hc Ref Immunoassay Nonantibody - Ganglioside Antibodies, Combined Igg/Igm",63.0,63.0,,,0 HCPCS,83516,"Hc Ref Immunoassay Nonantibody - Myelin Associated Glycoprotien, Ab, Igm",63.0,63.0,,,0 HCPCS,83516,Immunoassay nonantibody,,,8.65,24.44,17 HCPCS,83516,Noncdm Charge Record,77.73,77.73,,,0 HCPCS,83518,Immunoassay dipstick,,,7.23,20.44,17 HCPCS,83519,Hc Immunoassay Analyte Quant Radioimmunoassay - Endothelin 1,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - 21 Hydroxylase Antibody,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Acetyl Receptor,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Acetylcholine Receptor Binding Antibody,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Ach Receptor Binding Ab,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Ach Receptor Muscle Modulating Ab,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Alpha Subunit Of Pituitary Glycoprotein Hormones,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Antiacetylcholine Receptor Ganglionic Neuronal,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Antiboltage Gated K Channel Csf,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Antimuscle-Specific Receptor Tyrosine Kinase,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Encephalopathy Autoimmune Evaluation Csf,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Encephalopathy Autoimmune Evaluation Serum,285.0,285.0,,,0 HCPCS,83519,"Hc Ria Nonantibody - Immunoassay Quant, Ria",285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Pancreatic Polypeptide,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Paraneoplastic Autoab Evaluation,285.0,285.0,,,0 HCPCS,83519,Hc Ria Nonantibody - Trypsin Level,285.0,285.0,,,0 HCPCS,83519,Ria nonantibody,,,13.8,39.01,17 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Acetyl Receptor Antibody,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Ach Receptor Striational Ab,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Adamts13 Antibody,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Antimullerian Hormone,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Crohn's Prognostic Prometheus,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Fibrospect Hcv Prometheus,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Fibrospect Nash Prometheus,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Galop Autoantibody,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Ibd Sgi Diagnostic Prometheus,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Inhibin B,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Interleukin 6,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Markers Of Coagulation And Hemostatic Activ,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Mitochondria M2,275.5,275.5,,,0 HCPCS,83520,"Hc Immunoassay Analyte Quantitative Nos - Pancreatic Elastase, Fecal",275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Paraneoplastic Autoab Evaluation,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Prothrombin Fragment 1.2,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Sacch Cerevisiae Igg,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Substance P,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Tau And Abeta42 Panel Csf,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Thrombin Antithrombin Complexes,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Tumor Necrosis Factor-Alpha,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Vascular Endothelial Growth Factor,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Vegf-D,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Vwf Collagen Iii Binding,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Vwf Collagen Iv Binding,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos - Vwf Propeptide Antigen,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos -Acetylcholine Receptor Ab Panel W/Musk Reflux,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Analyte Quantitative Nos -Tsh Receptor Antibody,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Quant Nos Nonab - Anti Glomerular Basement Membr,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Quant Nos Nonab - Interleukin 2 Soluble Recptor,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Quant Nos Nonab - Mannose Ninding Lectin,275.5,275.5,,,0 HCPCS,83520,Hc Immunoassay Quant Nos Nonab - Tryptase,275.5,275.5,,,0 HCPCS,83520,Hc Miscellaneous Lab Charge,275.5,275.5,,,0 HCPCS,83520,Hc Ref Agvhd Post-Treatment Algorithm,275.5,275.5,,,0 HCPCS,83520,Hc Ref Agvhd Pre-Symptomatic Algorithm,275.5,275.5,,,0 HCPCS,83520,Hc Ref Agvhd Symptomatic Onset Algorithm,275.5,275.5,,,0 HCPCS,83520,"Hc Ref Phospho-Tau 217, Plasma",275.5,275.5,,,0 HCPCS,83520,Immunoassay quant nos nonab,,,12.95,36.61,17 HCPCS,83521,Ig light chains free each,,,12.95,36.61,15 HCPCS,83525,Assay of insulin,,,8.57,24.23,17 HCPCS,83525,"Hc Assay Of Insulin,Total - Insulin, Total",97.0,97.0,,,0 HCPCS,83527,Assay of insulin,,,9.71,27.45,17 HCPCS,83528,Assay of intrinsic factor,,,14.87,42.02,17 HCPCS,83529,Asay of interleukin-6 (il-6),,,12.95,36.61,15 HCPCS,83529,Hc Interleukin 6,73.0,73.0,,,0 HCPCS,83540,Assay of iron,,,4.85,13.72,17 HCPCS,83540,Hc Assay Of Iron - Iron,147.0,147.0,,,0 HCPCS,83550,Hc Iron Binding Test - Iron And Iron Binding Capacity Panel - Sr Or Pl,189.5,189.5,,,0 HCPCS,83550,Iron binding test,,,6.56,18.53,17 HCPCS,83570,Assay of idh enzyme,,,6.64,18.76,17 HCPCS,83582,Assay of ketogenic steroids,,,11.6,32.8,17 HCPCS,83586,Assay 17- ketosteroids,,,9.6,27.14,17 HCPCS,83593,Fractionation ketosteroids,,,21.38,60.42,17 HCPCS,83605,Assay of lactic acid,,,8.68,24.53,17 HCPCS,83605,"Hc Assay Of Lactic Acid - Blood Gas Lactic Acid, Arterial",234.0,234.0,,,0 HCPCS,83605,Hc Assay Of Lactic Acid - Lactate,234.0,234.0,,,0 HCPCS,83605,Hc Assay Of Lactic Acid - Lactate Csf,234.0,234.0,,,0 HCPCS,83605,"Hc Assay Of Lactic Acid - Lactic Acid, Venous, Whole Blood",234.0,234.0,,,0 HCPCS,83605,Hc Assay Of Lactic Acid - Poct Lactate Csf,234.0,234.0,,,0 HCPCS,83605,Hc Assay Of Lactic Acid - Poct Lactic Acid (Lactate) Arterial,234.0,234.0,,,0 HCPCS,83615,Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase,143.5,143.5,,,0 HCPCS,83615,Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl,143.5,143.5,,,0 HCPCS,83615,"Hc Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase, Csf",143.5,143.5,,,0 HCPCS,83615,Lactate (LD) (LDH) enzyme,,,4.53,12.8,17 HCPCS,83625,Assay of ldh enzymes,,,9.59,27.11,17 HCPCS,83625,Hc Assay Of Ldh Isoenzymes - Lactate Dehydrogenase Isoenzms,247.0,247.0,,,0 HCPCS,83630,"Hc Lactoferrin, Fecal, Qualitative",246.0,246.0,,,0 HCPCS,83630,Lactoferrin fecal (qual),,,14.78,41.76,17 HCPCS,83631,Lactoferrin fecal (quant),,,14.72,41.62,17 HCPCS,83632,Placental lactogen,,,15.17,42.87,17 HCPCS,83633,Test urine for lactose,,,8.44,23.85,17 HCPCS,83655,Assay of lead,,,9.08,25.67,17 HCPCS,83655,Hc Assay Of Lead - Lead 24Hr Urine,257.0,257.0,,,0 HCPCS,83655,Hc Assay Of Lead - Lead Blood,257.0,257.0,,,0 HCPCS,83661,L/s ratio fetal lung,,,16.49,46.62,17 HCPCS,83662,Foam stability fetal lung,,,14.18,40.09,17 HCPCS,83663,Fluoro polarize fetal lung,,,14.18,40.09,17 HCPCS,83664,Lamellar bdy fetal lung,,,14.49,40.96,17 HCPCS,83670,Assay of lap enzyme,,,7.36,20.8,17 HCPCS,83690,Assay of lipase,,,5.17,14.61,17 HCPCS,83690,Hc Assay Of Lipase - Lipase,153.5,153.5,,,0 HCPCS,83690,Hc Assay Of Lipase - Lipase Body Fluid,153.5,153.5,,,0 HCPCS,83695,Assay of lipoprotein(a),,,10.74,30.36,17 HCPCS,83695,Hc Assay Lipoprotein (A),58.5,58.5,,,0 HCPCS,83698,Assay Lipoprotein Pla2,,,34.73,98.18,17 HCPCS,83700,Lipopro bld electrophoretic,,,8.45,23.87,17 HCPCS,83701,Lipoprotein bld hr fraction,,,25.4,71.78,17 HCPCS,83704,"Hc Lipoprotein, Blood, By Nmr Spect - Lipoprotein Nmr",62.0,62.0,,,0 HCPCS,83704,Lipoprotein bld quan part,,,25.64,72.48,17 HCPCS,83718,Assay of lipoprotein,,,6.14,17.36,17 HCPCS,83718,"Hc Assay Of Blood Lipoprotein,Hdl Cholest - Hdl Cholesterol",178.5,178.5,,,0 HCPCS,83719,Assay of blood lipoprotein,,,9.56,27.03,17 HCPCS,83721,Assay of blood lipoprotein,,,7.88,22.26,17 HCPCS,83721,"Hc Assay Of Blood Lipoprotein,Ldl Cholest - Ldl Cholesterol Direct",205.5,205.5,,,0 HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,25.64,72.48,17 HCPCS,83727,Assay of lrh hormone,,,12.89,36.44,17 HCPCS,83735,Assay of magnesium,,,5.03,14.2,17 HCPCS,83735,Hc Assay Of Magnesium - Magnesium,119.5,119.5,,,0 HCPCS,83735,Hc Assay Of Magnesium - Magnesium 24Hr Urine,119.5,119.5,,,0 HCPCS,83735,Hc Assay Of Magnesium - Magnesium Urine,119.5,119.5,,,0 HCPCS,83775,Assay malate dehydrogenase,,,5.53,15.62,17 HCPCS,83785,Assay of manganese,,,19.99,56.5,17 HCPCS,83785,Hc Assay Of Manganese - Manganese,367.0,367.0,,,0 HCPCS,83789,Hc Thiopurin Methyltrans Rbc,43.5,43.5,,,0 HCPCS,83789,Mass spectrometry qual/quan,,,18.08,51.11,17 HCPCS,83825,Assay of mercury,,,12.2,34.47,17 HCPCS,83825,"Hc Assay Of Mercury - Heavy Metals, Blood",337.5,337.5,,,0 HCPCS,83825,Hc Assay Of Mercury - Mercury 24 Hour Urine,337.5,337.5,,,0 HCPCS,83825,"Hc Assay Of Mercury - Mercury, Blood",337.5,337.5,,,0 HCPCS,83835,Assay of metanephrines,,,12.71,35.91,17 HCPCS,83835,Hc Assay Of Metanephrines - Metanephrines 24Hr Urine,353.5,353.5,,,0 HCPCS,83835,Hc Assay Of Metanephrines - Metanephrines Plasma,353.5,353.5,,,0 HCPCS,83857,Assay of methemalbumin,,,8.06,22.77,17 HCPCS,83861,Microfluid analy tears,,,16.86,47.66,17 HCPCS,83864,Mucopolysaccharides,,,21.38,60.42,17 HCPCS,83872,Assay synovial fluid mucin,,,4.4,12.42,17 HCPCS,83873,Assay of csf protein,,,12.9,36.46,17 HCPCS,83873,"Hc Myelin Basic Protein,Csf - Myelin Basic Protein Csf",356.0,356.0,,,0 HCPCS,83874,Assay of myoglobin,,,9.69,27.39,17 HCPCS,83874,Hc Assay Of Myoglobin - Myoglobin Serum,275.5,275.5,,,0 HCPCS,83874,Hc Assay Of Myoglobin - Myoglobin Urine Quantitative,275.5,275.5,,,0 HCPCS,83876,Assay myeloperoxidase,,,38.15,107.82,17 HCPCS,83880,Assay of natriuretic peptide,,,29.45,83.23,17 HCPCS,83880,Hc Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp),109.11500000000001,109.11500000000001,,,0 HCPCS,83880,Hc Natriuretic Peptide - Pro B-Type Natriuretic Peptide (Pbnp),109.095,109.095,,,0 HCPCS,83880,Hc Ref Natriuretic Peptide - Pro B-Type Natriuretic Peptide (Pbnp),109.0,109.0,,,0 HCPCS,83883,Assay nephelometry not spec,,,10.2,28.83,17 HCPCS,83883,"Hc Nephelometry, Not Specified - Alpha 2 Macroglobulin",197.0,197.0,,,0 HCPCS,83883,"Hc Nephelometry, Not Specified - Immunoglobulin Free Lt Chains Blood",197.0,197.0,,,0 HCPCS,83883,"Hc Nephelometry, Not Specified - Kappa / Lambda Light Chains, Urine",197.0,197.0,,,0 HCPCS,83883,"Hc Nephelometry, Not Specified - Kappa Light Chains, Blood",197.0,197.0,,,0 HCPCS,83883,"Hc Nephelometry, Not Specified - Lambda Light Chains, Urine",197.0,197.0,,,0 HCPCS,83884,Assay neurflmnt light chain,,,116.23,246.41,7 HCPCS,83885,Assay of nickel,,,18.38,51.96,17 HCPCS,83915,Assay of nucleotidase,,,8.36,23.64,17 HCPCS,83915,Hc 5 Nucleotidase,237.0,237.0,,,0 HCPCS,83916,Hc Oligoclonal Immunoglobulin - Oligoclonal Banding,183.0,183.0,,,0 HCPCS,83916,Oligoclonal bands,,,20.54,58.07,17 HCPCS,83918,Hc Assay Organic Acids Quantitative - Organic Acids Urine,382.0,382.0,,,0 HCPCS,83918,Organic acids total quant,,,17.7,50.03,17 HCPCS,83919,Organic acids qual each,,,12.34,34.87,17 HCPCS,83921,"Hc Assay Sngl Organic Acid, Quantitative - Methylmalonic Acid, Serum",210.0,210.0,,,0 HCPCS,83921,Hc Organic Acid Single Quant - Orotic Acid Urine Random,210.0,210.0,,,0 HCPCS,83921,Organic acid single quant,,,15.91,44.97,17 HCPCS,83930,Assay of blood osmolality,,,4.96,14.01,17 HCPCS,83930,Hc Assay Of Blood Osmolality - Osmolality,149.0,149.0,,,0 HCPCS,83935,Assay of urine osmolality,,,5.12,14.46,17 HCPCS,83935,Hc Assay Of Urine Osmolality - Osmolality Urine,153.5,153.5,,,0 HCPCS,83937,Assay of osteocalcin,,,22.39,63.28,17 HCPCS,83937,Hc Assay Of Osteocalcin - Osteocalcin,608.5,608.5,,,0 HCPCS,83945,Assay of oxalate,,,10.84,30.63,17 HCPCS,83945,Hc Assay Of Oxalate - Oxalate 24Hr Urine,272.0,272.0,,,0 HCPCS,83950,Oncoprotein her-2/neu,,,48.31,136.55,17 HCPCS,83951,Hc Oncoprotein; Des-Gamma-Carboxy-Prothrombin (Dcp),205.5,205.5,,,0 HCPCS,83951,Oncoprotein dcp,,,48.31,136.55,17 HCPCS,83970,Assay of parathormone,,,30.96,87.51,17 HCPCS,83970,Hc Assay Of Parathormone - Pth Intact,831.5,831.5,,,0 HCPCS,83970,"Hc Assay Of Parathormone - Pth Intact, Interoperative",831.5,831.5,,,0 HCPCS,83986,Assay ph body fluid nos,,,2.69,7.59,17 HCPCS,83986,Hc Ph Body Fluid Nos - Ph Body Fluid,90.5,90.5,,,0 HCPCS,83986,Hc Ph Body Fluid Nos - Poct Vaginal Ph,90.5,90.5,,,0 HCPCS,83987,Exhaled breath condensate,,,2.69,7.59,17 HCPCS,83992,Assay for phencyclidine,,,26.93,64.64,10 HCPCS,83992,"Hc Ref Phencyclidine (Pcp), Serum Or Plasma, Quantitive",252.5,252.5,,,0 HCPCS,83992,"Hc Ref Phencyclidine (Pcp), Urine, Quantitive",252.5,252.5,,,0 HCPCS,83993,Assay for calprotectin fecal,,,14.72,41.62,17 HCPCS,83993,Hc Enz Activity - Calprotectin Feces,459.0,459.0,,,0 HCPCS,84030,Assay of blood pku,,,4.13,11.66,17 HCPCS,84030,Hc Assay Of Blood Pku - Phenylalanine Screen,129.5,129.5,,,0 HCPCS,84035,Assay of phenylketones,,,2.99,8.44,17 HCPCS,84060,Assay acid phosphatase,,,5.73,16.2,17 HCPCS,84060,"Hc Assay Phosphatase Acid, Total - Acid Phosphatase, Total",45.5,45.5,,,0 HCPCS,84066,Assay prostate phosphatase,,,7.25,20.48,17 HCPCS,84075,Assay alkaline phosphatase,,,3.89,10.98,17 HCPCS,84075,Hc Assay Alkal Phosphatase - Alkaline Phosphatase,122.0,122.0,,,0 HCPCS,84075,Hc Assay Alkal Phosphatase - Alkaline Phosphatase Iso Panel,122.0,122.0,,,0 HCPCS,84078,Assay alkaline phosphatase,,,6.2,17.51,17 HCPCS,84080,Assay alkaline phosphatases,,,11.09,31.33,17 HCPCS,84080,Hc Alkaline Phosphatase Isoenzymes Bone Specific,153.5,153.5,,,0 HCPCS,84080,"Hc Assay Alkal Phosphatase,Isoenzymes - Alkaline Phosphatase,Isoenzymes",153.5,153.5,,,0 HCPCS,84081,Assay phosphatidylglycerol,,,12.39,35.02,17 HCPCS,84081,Hc Phosphatidylglycerol - Phosphatidylglycerol,348.0,348.0,,,0 HCPCS,84085,Assay of rbc pg6d enzyme,,,7.08,20.01,17 HCPCS,84087,Assay phosphohexose enzymes,,,8.05,22.75,17 HCPCS,84100,Assay of phosphorus,,,3.56,10.05,17 HCPCS,84100,Hc Assay Of Inorganic Phosphorus - Phosphorus,161.0,161.0,,,0 HCPCS,84105,Assay of urine phosphorus,,,4.34,12.25,17 HCPCS,84105,Hc Assay Of Urine Phosphorus - Phosphorus Random Urine,122.0,122.0,,,0 HCPCS,84105,Hc Assay Of Urine Phosphorus - Phosphorus Timed Urine,122.0,122.0,,,0 HCPCS,84106,Test for porphobilinogen,,,4.37,12.34,17 HCPCS,84110,Assay of porphobilinogen,,,6.33,17.89,17 HCPCS,84110,Hc Porphobilinogen Urine Quant Timed,165.5,165.5,,,0 HCPCS,84110,Hc Porphobilinogen Urine Random,165.5,165.5,,,0 HCPCS,84112,Eval amniotic fluid protein,,,73.58,207.99,17 HCPCS,84112,"Hc Placenta Alpha Microglobulin-1, Rupture Of Membrane",577.0,577.0,,,0 HCPCS,84119,Test urine for porphyrins,,,10.02,28.32,17 HCPCS,84120,Assay of urine porphyrins,,,11.03,31.19,17 HCPCS,84120,Hc Porphyrins Quant And Fract - Total Urine Timed,311.5,311.5,,,0 HCPCS,84126,Assay of feces porphyrins,,,29.33,82.91,17 HCPCS,84132,Assay of serum potassium,,,3.57,10.09,17 HCPCS,84132,Hc Assay Of Potassium - Blood Gas Potassium,105.5,105.5,,,0 HCPCS,84132,Hc Assay Of Potassium - Poct Potassium,105.5,105.5,,,0 HCPCS,84132,Hc Assay Of Potassium - Potassium,105.5,105.5,,,0 HCPCS,84132,Hc Assay Of Serum Potassium - Potassium,105.5,105.5,,,0 HCPCS,84133,Assay of urine potassium,,,3.55,10.03,17 HCPCS,84133,Hc Assay Of Urine Potassium - Potassium 24 Hour Urine,100.0,100.0,,,0 HCPCS,84133,Hc Assay Of Urine Potassium - Potassium Body Fluid,4.5,4.5,,,0 HCPCS,84133,Hc Assay Of Urine Potassium - Potassium Random Urine,100.0,100.0,,,0 HCPCS,84133,"Hc Assay Of Urine Potassium - Potassium,Timed Urine",100.0,100.0,,,0 HCPCS,84134,Assay of prealbumin,,,10.94,30.93,17 HCPCS,84134,Hc Assay Of Prealbumin - Prealbumin,303.5,303.5,,,0 HCPCS,84135,Assay of pregnanediol,,,15.95,45.09,17 HCPCS,84138,Assay of pregnanetriol,,,15.79,44.63,17 HCPCS,84140,Assay of pregnenolone,,,15.5,43.82,17 HCPCS,84143,Assay of 17-hydroxypregneno,,,17.11,48.36,17 HCPCS,84143,Hc Assay Of 17-Hydroxypregnenolone - 17-Hydroxypregnenolone,461.5,461.5,,,0 HCPCS,84144,Assay of progesterone,,,15.65,44.22,17 HCPCS,84144,Hc Assay Of Progesterone - Progesterone,194.5,194.5,,,0 HCPCS,84145,Hc Procalcitonin (Pct),222.0,222.0,,,0 HCPCS,84145,Procalcitonin (PCT),,,20.42,57.71,17 HCPCS,84146,Assay of prolactin,,,14.54,41.09,17 HCPCS,84146,Hc Assay Of Prolactin - Prolactin,384.0,384.0,,,0 HCPCS,84146,Hc Prolactin - Macroprolactin Level,384.0,384.0,,,0 HCPCS,84146,Hc Prolactin Level With Dilution,384.0,384.0,,,0 HCPCS,84150,Assay of prostaglandin,,,31.33,88.55,17 HCPCS,84150,Hc Assay Of Prostaglandin - Prostaglandin D2 (Pg D2) Urine Random,770.5,770.5,,,0 HCPCS,84150,"Hc Assay Of Prostaglandin - Prostaglandin D2, Urine 24 Hour",770.5,770.5,,,0 HCPCS,84152,Assay of psa complexed,,,13.79,38.99,17 HCPCS,84153,Assay of psa total,,,13.79,38.99,17 HCPCS,84153,"Hc Prostate Specific Antigen,Total - Prostate Health Index",244.0,244.0,,,0 HCPCS,84153,"Hc Prostate Specific Antigen,Total - Psa",244.0,244.0,,,0 HCPCS,84153,"Hc Prostate Specific Antigen,Total - Psa Total And Free",244.0,244.0,,,0 HCPCS,84154,Assay of psa free,,,13.79,38.99,17 HCPCS,84154,Hc Free Psa,285.0,285.0,,,0 HCPCS,84155,Assay of protein serum,,,2.75,7.78,17 HCPCS,84155,Hc Protein Tot Xcpt Refractometry Serum - Fabry Disease Test,90.5,90.5,,,0 HCPCS,84155,Hc Protein Tot Xcpt Refractometry Serum - Protein Total,90.5,90.5,,,0 HCPCS,84156,Assay of protein urine,,,2.75,7.78,17 HCPCS,84156,"Hc Protein Tot Xcpt Refractometry Urine - Protein / Creatinine Ratio, U",57.5,57.5,,,0 HCPCS,84156,Hc Protein Tot Xcpt Refractometry Urine - Protein 24 Hour Urine,57.5,57.5,,,0 HCPCS,84156,Hc Protein Tot Xcpt Refractometry Urine - Protein Random Urine,57.5,57.5,,,0 HCPCS,84157,Assay of protein other,,,3.0,8.48,17 HCPCS,84157,Hc Protein Tot Xcpt Refractometry Oth Src - Protein Body Fluid,83.5,83.5,,,0 HCPCS,84157,Hc Protein Tot Xcpt Refractometry Oth Src - Protein Csf,83.5,83.5,,,0 HCPCS,84160,Assay of protein any source,,,4.21,11.89,17 HCPCS,84163,Pappa serum,,,11.29,31.91,17 HCPCS,84165,"Hc Protein E-Phoresis, Serum - Protein Electrophoresis Serum",234.0,234.0,,,0 HCPCS,84165,Noncdm Charge Record,18.0,18.0,,,0 HCPCS,84165,Protein e-phoresis serum,,,8.06,22.77,17 HCPCS,84166,Hc Protein E-Phoresis/Urine/Csf - Protein Electrophoresis Urine,236.0,236.0,,,0 HCPCS,84166,Hc Protein E-Phoresis/Urine/Csf - Protein Electrophoresis Urine W/Immunofixation,236.0,236.0,,,0 HCPCS,84166,Protein e-phoresis/urine/csf,,,13.37,37.8,17 HCPCS,84181,Western blot test,,,12.77,36.1,17 HCPCS,84182,Hc Protein - Westblot -Anticollapsin Response Mediator Protien 5,433.0,433.0,,,0 HCPCS,84182,"Hc Protein - Westblot- .Amphiphysin Immunoblot, Csf",433.0,433.0,,,0 HCPCS,84182,"Hc Protein - Westblot-.Anna-1 Immunoblot, Csf",433.0,433.0,,,0 HCPCS,84182,"Hc Protein - Westblot-.Anna-2 Immunoblot, Csf",433.0,433.0,,,0 HCPCS,84182,"Hc Protein - Westblot-.Pca-1 Immunoblot, Csf",433.0,433.0,,,0 HCPCS,84182,"Hc Protein, Western Blot Test, W Band Id - Interstitial Lung Disease Panel",433.0,433.0,,,0 HCPCS,84182,"Hc Protein, Western Blot Test, W Band Id - Liver Cytosolic Antigen Type 1 (Lc-1) Antibody, Igg",433.0,433.0,,,0 HCPCS,84182,"Hc Protein, Western Blot Test, W Band Id - Polymysositis And Dermatomyositis Panel",433.0,433.0,,,0 HCPCS,84182,"Hc Ref Protein - Westblot-14-3-3 Protein Tau, Total, Csf",433.0,433.0,,,0 HCPCS,84182,Protein western blot test,,,21.91,61.93,17 HCPCS,84202,Assay RBC protoporphyrin,,,10.76,30.42,17 HCPCS,84203,Test RBC protoporphyrin,,,7.31,20.65,17 HCPCS,84206,Assay of proinsulin,,,20.02,56.58,17 HCPCS,84206,Hc Assay Of Proinsulin - Proinsulin,368.0,368.0,,,0 HCPCS,84207,Assay of vitamin b-6,,,21.08,59.57,17 HCPCS,84207,Hc Assay Of Vitamin B-6 - Vitamin B6,573.5,573.5,,,0 HCPCS,84210,Assay of pyruvate,,,10.86,30.7,17 HCPCS,84210,Hc Assay Of Pyruvate - Poct Pyruvic Brain Micro D,72.0,72.0,,,0 HCPCS,84210,Hc Assay Of Pyruvate - Pyruvic Acid,72.0,72.0,,,0 HCPCS,84220,Assay of pyruvate kinase,,,7.08,20.01,17 HCPCS,84228,Assay of quinine,,,8.72,24.66,17 HCPCS,84233,Assay of estrogen,,,65.91,186.31,17 HCPCS,84234,Assay of progesterone,,,48.66,137.55,17 HCPCS,84235,Assay of endocrine hormone,,,53.42,151.01,17 HCPCS,84238,Assay nonendocrine receptor,,,27.43,77.53,17 HCPCS,84238,"Hc Assay, Non-Endocrine Receptor - Acetylcholine Receptor, Binding",349.5,349.5,,,0 HCPCS,84238,"Hc Assay, Non-Endocrine Receptor - Soluble Transferrin Receptor",349.5,349.5,,,0 HCPCS,84238,"Hc Assay, Non-Endocrine Receptor- Interleukin-2, Alpha Chain",349.5,349.5,,,0 HCPCS,84244,Assay of renin,,,16.49,46.62,17 HCPCS,84244,Hc Assay Of Renin - Renin Activity,287.0,287.0,,,0 HCPCS,84244,Hc Assay Of Renin - Renin Direct Assay,287.0,287.0,,,0 HCPCS,84244,Hc Ref Assay Of Renin - Renin Activity,287.0,287.0,,,0 HCPCS,84252,Assay of vitamin b-2,,,15.18,42.91,17 HCPCS,84252,Hc Assay Of Vitamin B-2 - Vitamin B2 (Riboflavin) Level,430.0,430.0,,,0 HCPCS,84255,Assay of selenium,,,19.15,54.12,17 HCPCS,84255,Hc Assay Of Selenium - Selenium Level,522.5,522.5,,,0 HCPCS,84260,Assay of serotonin,,,23.24,65.68,17 HCPCS,84260,Hc Assay Of Serotonin - Serotonin Level,262.5,262.5,,,0 HCPCS,84270,Assay of sex hormone globul,,,16.3,46.07,17 HCPCS,84270,Hc Assay Of Sex Hormone Binding Globulin - Sex Hormone Binding Globulin,447.5,447.5,,,0 HCPCS,84275,Assay of sialic acid,,,10.08,28.49,17 HCPCS,84285,Assay of silica,,,18.91,53.45,17 HCPCS,84295,Assay of serum sodium,,,3.61,10.2,17 HCPCS,84295,Hc Assay Of Sodium - Blood Gas Sodium,113.0,113.0,,,0 HCPCS,84295,Hc Assay Of Sodium - Poct Sodium,113.0,113.0,,,0 HCPCS,84295,Hc Assay Of Sodium - Sodium,113.0,113.0,,,0 HCPCS,84300,Assay of urine sodium,,,3.8,10.73,17 HCPCS,84300,Hc Assay Of Urine Sodium - Sodium 24 Hour Urine,85.0,85.0,,,0 HCPCS,84300,Hc Assay Of Urine Sodium - Sodium Random Urine,85.0,85.0,,,0 HCPCS,84300,Hc Assay Of Urine Sodium - Sodium Timed Urine,85.0,85.0,,,0 HCPCS,84302,Assay of sweat sodium,,,3.65,10.3,17 HCPCS,84302,"Hc Assay Of Sodium, Other Source - Sodium Body Fluid",97.0,97.0,,,0 HCPCS,84302,"Hc Assay Of Sodium, Other Source - Sodium Electrolyte Stool (Feces)",97.0,97.0,,,0 HCPCS,84302,"Hc Assay Of Sodium, Other Source - Sodium Stool (Feces)",97.0,97.0,,,0 HCPCS,84305,Assay of somatomedin,,,15.95,45.07,17 HCPCS,84305,Hc Assay Of Somatomedin - Somatomedin C,156.5,156.5,,,0 HCPCS,84307,Assay of somatostatin,,,13.71,38.75,17 HCPCS,84307,Hc Assay Of Somatostatin - Somatostatin,378.5,378.5,,,0 HCPCS,84311,Hc Ref Spectrophotometry - Adenosine Deaminase In Pleural Fluid,56.5,56.5,,,0 HCPCS,84311,Hc Spectrophotometry - Cholesterol Body Fluid,56.5,56.5,,,0 HCPCS,84311,Hc Spectrophotometry - Phospholipids,56.5,56.5,,,0 HCPCS,84311,Hc Spectrophotometry - Porphyrin Total,56.5,56.5,,,0 HCPCS,84311,Spectrophotometry,,,6.08,17.17,17 HCPCS,84315,Body fluid specific gravity,,,2.46,6.95,17 HCPCS,84315,Hc Body Fluid Specific Gravity - Specific Gravity Body Fluid,65.5,65.5,,,0 HCPCS,84375,Chromatogram assay sugars,,,29.25,82.68,17 HCPCS,84376,Sugars single qual,,,4.13,11.66,17 HCPCS,84377,Sugars multiple qual,,,4.13,11.66,17 HCPCS,84378,Sugars single quant,,,8.65,24.44,17 HCPCS,84379,Sugars multiple quant,,,8.65,24.44,17 HCPCS,84392,Assay of urine sulfate,,,4.12,11.64,17 HCPCS,84393,"Hc Ref Tau Phosphorylated Each - Phospho-Tau 217, Plasma",454.0,454.0,,,0 HCPCS,84393,Hc Ref Tau Phosphorylated Each - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 HCPCS,84393,Tau phosphorylated ea,,,128.92,273.31,7 HCPCS,84394,Hc Ref Total Tau (Ttau) - Tau And Abeta42 Panel Csf,423.5,423.5,,,0 HCPCS,84394,Total tau,,,128.92,273.31,7 HCPCS,84402,Assay of free testosterone,,,19.1,54.0,17 HCPCS,84402,Hc Assay Of Testosterone - Testosterone Free,213.5,213.5,,,0 HCPCS,84403,Assay of total testosterone,,,19.36,54.72,17 HCPCS,84403,Hc Assay Of Total Testosterone - Testosterone Total,523.5,523.5,,,0 HCPCS,84403,Hc Assay Of Total Testosterone - Testosterone Total And Free,430.0,430.0,,,0 HCPCS,84410,Testosterone bioavailable,,,38.46,108.71,17 HCPCS,84425,Assay of vitamin b-1,,,15.92,45.01,17 HCPCS,84425,"Hc Assay Of Vitamin B-1 - Vitamin B1 Level, Whole Blood",435.0,435.0,,,0 HCPCS,84430,Assay of thiocyanate,,,8.72,24.66,17 HCPCS,84430,"Hc Assay Of Thiocyanate - Thiocyanate, Serum",498.5,498.5,,,0 HCPCS,84431,Hc Thromboxane Metabolite - Aspirin Works,141.5,141.5,,,0 HCPCS,84431,Thromboxane urine,,,26.33,74.43,17 HCPCS,84432,Assay of thyroglobulin,,,12.05,34.05,17 HCPCS,84432,Hc Assay Of Thyroglobulin - Thyroglobulin,329.5,329.5,,,0 HCPCS,84432,Hc Ref Assay Of Thyroglobulin - Thyroglobulin,329.5,329.5,,,0 HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,16.63,47.0,17 HCPCS,84433,"Hc Thiopurine Methyltransferase, Rbc",700.0,700.0,,,0 HCPCS,84436,Assay of total thyroxine,,,5.15,14.56,17 HCPCS,84436,Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone) Level,153.5,153.5,,,0 HCPCS,84436,"Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone), T3 Uptake And Index",153.5,153.5,,,0 HCPCS,84436,"Hc Assay Of Total Thyroxine - T4 (Thyroid Hormone), Total And Free",153.5,153.5,,,0 HCPCS,84437,Assay of neonatal thyroxine,,,4.85,13.72,17 HCPCS,84439,Assay of free thyroxine,,,6.77,19.12,17 HCPCS,84439,Hc Assay Of Free Thyroxine - T4 Free,181.5,181.5,,,0 HCPCS,84439,"Hc Assay Of Free Thyroxine - T4, Total And Free",181.5,181.5,,,0 HCPCS,84439,Hc Assay Of Free Thyroxine -Free T4 By Equilibrium Dialysis,181.5,181.5,,,0 HCPCS,84442,Assay of thyroid activity,,,11.09,31.33,17 HCPCS,84442,Hc Assay Of Thyroxine Bndng Globulin - Thyroxine Binding Globulin,263.5,263.5,,,0 HCPCS,84443,Assay thyroid stim hormone,,,12.6,35.62,17 HCPCS,84443,Hc Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone,201.5,201.5,,,0 HCPCS,84443,Hc Assay Thyroid Stim Hormone - Tsh Chronic Urticaria Index Panel,201.5,201.5,,,0 HCPCS,84443,Hc Assay Thyroid Stim Hormone - Tsh Reflex Order Ft4 If Tsh Is Abnormal,201.5,201.5,,,0 HCPCS,84445,Assay of tsi globulin,,,38.15,107.82,17 HCPCS,84445,Hc Assay Of Thyroid Stim Immunoglobulins (Tsi) - Thyroid Stimulating Im,465.5,465.5,,,0 HCPCS,84446,Assay of vitamin e,,,10.64,30.06,17 HCPCS,84446,Hc Assay Of Vitamin E - Vitamin E (Tocopherol) Level,291.5,291.5,,,0 HCPCS,84449,Assay of transcortin,,,13.5,38.16,17 HCPCS,84450,Hc Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot),122.0,122.0,,,0 HCPCS,84450,Transferase (AST) (SGOT),,,3.89,10.98,17 HCPCS,84460,Alanine amino (ALT) (SGPT),,,3.98,11.24,17 HCPCS,84460,Hc Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt),123.0,123.0,,,0 HCPCS,84466,Assay of transferrin,,,9.57,27.05,17 HCPCS,84466,Hc Assay Of Transferrin - Transferrin Level,272.0,272.0,,,0 HCPCS,84478,Assay of triglycerides,,,4.31,12.17,17 HCPCS,84478,Hc Assay Of Triglycerides - Triglycerides,134.0,134.0,,,0 HCPCS,84478,Hc Assay Of Triglycerides - Triglycerides Body Fluid,134.0,134.0,,,0 HCPCS,84479,Assay of thyroid (t3 or t4),,,4.85,13.72,17 HCPCS,84479,Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T3 Uptake,58.5,58.5,,,0 HCPCS,84479,Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T3 Uptake And Fti,58.5,58.5,,,0 HCPCS,84479,"Hc Thyroid Horm Uptake/Thyr Horm Binding Ratio - T4, T3 Uptake And Index",58.5,58.5,,,0 HCPCS,84480,Assay triiodothyronine (t3),,,10.64,30.06,17 HCPCS,84480,"Hc Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone)",272.0,272.0,,,0 HCPCS,84481,Free assay (FT-3),,,12.71,35.91,17 HCPCS,84481,Hc Triiodothyronine Free Assay (Ft-3) - T3 Free,353.5,353.5,,,0 HCPCS,84482,Hc Triiodothyronine T3 Reverse - T3 Reverse,221.0,221.0,,,0 HCPCS,84482,T3 reverse,,,11.82,33.41,17 HCPCS,84484,Assay of troponin quant,,,9.35,26.44,17 HCPCS,84484,"Hc Assay Of Troponin, Quant - Troponin I",300.5,300.5,,,0 HCPCS,84484,"Hc Assay Of Troponin, Quant -Poct Troponin I",300.5,300.5,,,0 HCPCS,84484,"Hc Ref Assay Of Troponin, Quant - Troponin T",300.5,300.5,,,0 HCPCS,84485,Assay duodenal fluid trypsin,,,5.4,15.26,17 HCPCS,84488,Test feces for trypsin,,,5.48,15.48,17 HCPCS,84490,Assay of feces for trypsin,,,7.45,21.05,17 HCPCS,84510,Assay of tyrosine,,,7.97,22.54,17 HCPCS,84510,"Hc Assay Tyrosine - Phenylalanine And Tyrosine, Dried Blood Spot",52.0,52.0,,,0 HCPCS,84512,Assay of troponin qual,,,7.57,21.39,17 HCPCS,84520,Assay of urea nitrogen,,,2.96,8.37,17 HCPCS,84520,"Hc Assay Urea Nitrogen, Quan - Blood Urea Nitrogen",97.0,97.0,,,0 HCPCS,84520,"Hc Assay Urea Nitrogen, Quan - Urea Nitrogen, Body Fluid",97.0,97.0,,,0 HCPCS,84525,Urea nitrogen semi-quant,,,3.85,10.88,17 HCPCS,84540,Assay of urine/urea-n,,,4.17,11.79,17 HCPCS,84540,Hc Assay Urine Urea-N - Urea Nitrogen Timed Urine,113.0,113.0,,,0 HCPCS,84540,"Hc Assay Urine Urea-N - Urea Nitrogen, Random Urine",113.0,113.0,,,0 HCPCS,84540,"Hc Assay Urine Urea-N - Urea Nitrogen, Urine",113.0,113.0,,,0 HCPCS,84545,Urea-N clearance test,,,5.4,15.26,17 HCPCS,84550,Assay of blood/uric acid,,,3.39,9.58,17 HCPCS,84550,"Hc Assay Of Uric Acid, Blood - Uric Acid",105.5,105.5,,,0 HCPCS,84560,Assay of urine/uric acid,,,3.81,10.77,17 HCPCS,84560,"Hc Assay Of Uric Acid, Blood, Other Source - Uric Acid, Urine, 24 Hour",113.0,113.0,,,0 HCPCS,84560,"Hc Assay Of Uric Acid, Other Source - Uric Acid Body Fluid",113.0,113.0,,,0 HCPCS,84560,"Hc Assay Of Uric Acid, Other Source - Uric Acid Random Urine",113.0,113.0,,,0 HCPCS,84560,"Hc Assay Of Uric Acid, Other Source - Uric Acid Timed Urine",113.0,113.0,,,0 HCPCS,84577,Assay of feces/urobilinogen,,,12.6,35.62,17 HCPCS,84578,Test urine urobilinogen,,,3.35,9.48,17 HCPCS,84580,Assay of urine urobilinogen,,,7.16,20.25,17 HCPCS,84583,Assay of urine urobilinogen,,,4.54,12.83,17 HCPCS,84583,Hc Assay Of Urobilinogen Urine Semiquan - Urobilinogen Semiquant Urine,16.5,16.5,,,0 HCPCS,84585,Assay of urine vma,,,11.63,32.86,17 HCPCS,84585,Hc Assay Of Urine Vma - Vma 24 Hour Urine,161.0,161.0,,,0 HCPCS,84586,Assay of vip,,,26.5,74.9,17 HCPCS,84586,Hc Assay Of Vip - Vasoactive Intestinal Polypeptide (Vip),359.0,359.0,,,0 HCPCS,84588,Assay of vasopressin,,,25.46,71.95,17 HCPCS,84588,Hc Assay Of Vasopressin - Arginine Vasopressin Hormone,272.0,272.0,,,0 HCPCS,84590,Assay of vitamin a,,,8.71,24.61,17 HCPCS,84590,Hc Assay Of Vitamin A - Vitamin A Level,247.0,247.0,,,0 HCPCS,84591,Assay Of Nos Vitamin,,,12.8,36.17,17 HCPCS,84597,Assay of vitamin k,,,10.29,29.09,17 HCPCS,84597,Hc Assay Of Vitamin K - Vitamin K Level,165.5,165.5,,,0 HCPCS,84600,Assay of volatiles,,,12.83,36.27,17 HCPCS,84600,Hc Assay Of Volatiles - Volatile Compounds,646.5,646.5,,,0 HCPCS,84620,Xylose tolerance test,,,9.68,27.37,17 HCPCS,84630,Assay of zinc,,,8.54,24.15,17 HCPCS,84630,Hc Assay Of Zinc - Zinc 24Hour Urine,239.5,239.5,,,0 HCPCS,84630,Hc Assay Of Zinc - Zinc Level,239.5,239.5,,,0 HCPCS,84630,"Hc Assay Of Zinc - Zinc, Creatinine Ration, Random Urine",239.5,239.5,,,0 HCPCS,84681,Assay of c-peptide,,,15.61,44.12,17 HCPCS,84681,Hc Assay Of C-Peptide - C-Peptide,329.5,329.5,,,0 HCPCS,84702,Chorionic gonadotropin test,,,11.29,31.91,17 HCPCS,84702,"Hc Chorionic Gonadotropin, Quant - Beta Hcg Quantitative Blood",147.0,147.0,,,0 HCPCS,84703,Chorionic gonadotropin assay,,,5.64,15.94,17 HCPCS,84703,"Hc Chorionic Gonadotropin, Qual - Hcg Pregnancy Test Qualitative",147.0,147.0,,,0 HCPCS,84703,"Hc Chorionic Gonadotropin, Qual - Hcg Qualitative Urine",147.0,147.0,,,0 HCPCS,84703,"Hc Chorionic Gonadotropin, Qual - Pregnancy Screen Serum Qualitative",147.0,147.0,,,0 HCPCS,84704,Hcg free betachain test,,,11.47,32.41,17 HCPCS,84830,Ovulation tests,,,9.53,26.92,17 HCPCS,84999,Hc Clinical Chemistry Test - Osmolality Stool,83.5,83.5,,,0 HCPCS,84999,Hc Potassium Body Fluid,83.5,83.5,,,0 HCPCS,84999,Hc Unlisted Chemistry Procedure - Potassium Feces,83.5,83.5,,,0 HCPCS,85002,Bleeding time test,,,3.62,10.22,17 HCPCS,85004,Automated diff wbc count,,,4.85,13.72,17 HCPCS,85004,Hc Blood Count - Automated Differential,111.0,111.0,,,0 HCPCS,85004,Hc Blood Eosinophiil Count - Automated Differential,111.0,111.0,,,0 HCPCS,85007,Bl smear w/diff wbc count,,,2.85,8.06,17 HCPCS,85007,"Hc Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential",65.0,65.0,,,0 HCPCS,85008,Bl smear w/o diff wbc count,,,2.57,7.27,17 HCPCS,85008,Hc Blood Smear Exam W/O Diff - Rbc Morphology,65.0,65.0,,,0 HCPCS,85008,Hc Blood Smear Exam W/O Diff - Rbc Morphology (Schistocyte),65.0,65.0,,,0 HCPCS,85009,Manual diff wbc count b-coat,,,3.8,10.75,17 HCPCS,85013,Hc Spun Microhematocrit - Body Fluid,51.0,51.0,,,0 HCPCS,85013,Hc Spun Microhematocrit - Csf,51.0,51.0,,,0 HCPCS,85013,Spun microhematocrit,,,5.25,14.84,17 HCPCS,85014,Hc Hematocrit - Hematocrit,51.0,51.0,,,0 HCPCS,85014,Hc Hematocrit - Poct Blood Gas Hematocrit,51.0,51.0,,,0 HCPCS,85014,Hc Hematocrit - Poct Blood Gas Hematocrit Arterial,51.0,51.0,,,0 HCPCS,85014,Hc Hematocrit - Poct Blood Gas Hematocrit Venous,51.0,51.0,,,0 HCPCS,85014,Hematocrit,,,1.78,5.02,17 HCPCS,85018,Hc Hemoglobin - Blood Gas Hemoglobin Arterial,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Blood Gas Hemoglobin Venous,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Blood Gas Hemoglobin Venous Pump,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Hemoglobin,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Poct Hemoglobin,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Poct Hemoglobin Arterial,51.0,51.0,,,0 HCPCS,85018,Hc Hemoglobin - Poct Hemoglobin Venous,51.0,51.0,,,0 HCPCS,85018,Hc Pbb Hemoglobin,51.0,51.0,,,0 HCPCS,85018,Hemoglobin,,,1.78,5.02,17 HCPCS,85025,Complete cbc w/auto diff wbc,,,5.83,16.47,17 HCPCS,85025,Hc Complete Cbc & Auto Diff Wbc,114.0,114.0,,,0 HCPCS,85025,Hc Complete Cbc & Auto Diff Wbc - Bundled Charge,114.0,114.0,,,0 HCPCS,85027,Complete cbc automated,,,4.85,13.72,17 HCPCS,85027,Hc Complete Cbc - Cbc,104.5,104.5,,,0 HCPCS,85027,Noncdm Charge Record,129.0,129.0,,,0 HCPCS,85032,Manual cell count each,,,3.23,9.14,17 HCPCS,85041,Automated rbc count,,,2.27,6.4,17 HCPCS,85041,Hc Red Blood Cell (Rbc) Count - Red Blood Cell Count,58.5,58.5,,,0 HCPCS,85044,Manual reticulocyte count,,,3.23,9.14,17 HCPCS,85045,Automated reticulocyte count,,,2.99,8.46,17 HCPCS,85045,"Hc Reticulocyte Count, Auto - Reticulocytes",76.0,76.0,,,0 HCPCS,85046,Reticyte/hgb concentrate,,,4.18,11.81,17 HCPCS,85048,Automated leukocyte count,,,1.91,5.38,17 HCPCS,85048,Hc Leukocyte (Wbc) Count - Eosinophil Count,55.5,55.5,,,0 HCPCS,85048,Hc Leukocyte (Wbc) Count - White Blood Count,55.5,55.5,,,0 HCPCS,85049,Automated platelet count,,,3.36,9.5,17 HCPCS,85049,Hc Platelet Count - Platelet Aggregation,79.5,79.5,,,0 HCPCS,85049,Hc Platelet Count - Platelet Count,79.5,79.5,,,0 HCPCS,85049,Hc Platelet Count - Platelet Count Citrated Plasma,79.5,79.5,,,0 HCPCS,85049,Hc Platelet Count - Platelet Inhibitor Aggregation,79.5,79.5,,,0 HCPCS,85049,Hc Platelet Count - Ristocetin Induced Platelet Aggregation,79.5,79.5,,,0 HCPCS,85055,Reticulated platelet assay,,,26.81,75.77,17 HCPCS,85060,Blood smear interpretation,,,17.27,32.73,8 HCPCS,85060,Hc Blood Smear Interpretation - Lab Blood Smear Interpretation,261.0,261.0,,,0 HCPCS,85060,Noncdm Charge Record,24.0,24.0,,,0 HCPCS,85097,Bone marrow interpretation,,,34.76,1713.21,15 HCPCS,85097,"Hc Bone Marrow,Smear Interpretation - Bone Marrow Cell Differential",680.0,680.0,,,0 HCPCS,85130,Chromogenic substrate assay,,,8.92,25.21,17 HCPCS,85130,Hc Chromogenic Substrate Assay - Factor Viii Level,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay - Factor X Level,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay - Factor Xi Level,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay - Markers Of Coagulation,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay - Prothrombin Fragments,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay -Fibrin Monomer,188.5,188.5,,,0 HCPCS,85130,Hc Chromogenic Substrate Assay -Thrombin Antithrombin Complex,188.5,188.5,,,0 HCPCS,85170,Blood clot retraction,,,12.23,34.56,17 HCPCS,85175,Blood clot lysis time,,,15.28,43.18,17 HCPCS,85210,Clot factor ii prothrom spec,,,9.74,27.52,17 HCPCS,85210,Hc Clot Factor Ii Prothrom Spec - Factor 2 Activity,204.5,204.5,,,0 HCPCS,85220,Blooc clot factor v test,,,13.24,37.42,17 HCPCS,85220,Hc Clot Factor V Test - Factor 5 Activity,274.5,274.5,,,0 HCPCS,85230,Clot factor vii proconvertin,,,13.43,37.95,17 HCPCS,85230,Hc Clot Factor Vii Proconvertin - Factor 7 Activity,230.5,230.5,,,0 HCPCS,85240,Clot factor viii ahg 1 stage,,,13.43,37.95,17 HCPCS,85240,Hc Clot Factor Viii Ahg 1 Stage - Factor 8 Activity,277.5,277.5,,,0 HCPCS,85240,Hc Clot Factor Viii Ahg 1 Stage - Von Willebrand Panel,277.5,277.5,,,0 HCPCS,85244,Clot factor viii reltd antgn,,,15.32,43.29,17 HCPCS,85245,Clot factor viii vw ristoctn,,,17.21,48.63,17 HCPCS,85245,Hc Clot Factor Viii Vw Ristocetin - Ristocetin Cofactor,356.0,356.0,,,0 HCPCS,85245,Hc Clot Factor Viii Vw Ristocetin - Von Willebrand,356.0,356.0,,,0 HCPCS,85246,Clot factor viii vw antigen,,,17.21,48.63,17 HCPCS,85246,Hc Clot Factor Viii Vw Antigen - Von Willebrand Antigen,353.5,353.5,,,0 HCPCS,85246,Hc Clot Factor Viii Vw Antigen - Von Willebrand Profile,353.5,353.5,,,0 HCPCS,85247,Clot factor viii multimetric,,,17.21,48.63,17 HCPCS,85247,Hc Von Willebrand Factor Multimers,356.0,356.0,,,0 HCPCS,85250,Clot factor ix ptc/chrstmas,,,14.28,40.36,17 HCPCS,85250,Hc Clot Factor Ix Ptc/Chrstmas - Factor 9 Activity,291.5,291.5,,,0 HCPCS,85260,Clot factor x stuart-power,,,13.43,37.95,17 HCPCS,85260,Hc Clot Factor X Stuart-Power - Chromogenic Factor X Level,275.5,275.5,,,0 HCPCS,85260,Hc Clot Factor X Stuart-Prower - Factor 10 Activity,275.5,275.5,,,0 HCPCS,85270,Clot factor xi pta,,,13.43,37.95,17 HCPCS,85270,Hc Clot Factor Xi Pta - Factor Xi (11) Level,277.5,277.5,,,0 HCPCS,85280,Clot factor xii hageman,,,14.51,41.02,17 HCPCS,85280,Hc Clotting Factor Xii Hageman - Factor Xii (12) Activity,303.5,303.5,,,0 HCPCS,85290,Clot factor xiii fibrin stab,,,12.26,34.64,17 HCPCS,85290,Hc Clotting Factor Xiii Fibrin Stab - Factor Xiii (13) Quantitative Level,127.5,127.5,,,0 HCPCS,85291,Clot factor xiii fibrin scrn,,,6.83,19.31,17 HCPCS,85292,Clot factor fletcher fact,,,14.2,40.13,17 HCPCS,85292,Hc Clot Factor Fletcher Fact - Prekallikrein Factor Activity,402.5,402.5,,,0 HCPCS,85293,Clot factor wght kininogen,,,14.2,40.13,17 HCPCS,85300,Antithrombin iii activity,,,8.89,25.12,17 HCPCS,85300,"Hc Antithrombin Iii Test,Activ - Antithrombin Iii Activity Assay",183.0,183.0,,,0 HCPCS,85300,"Hc Antithrombin Iii Test,Activ - Antithrombin Iii, Dabigatran Level",183.0,183.0,,,0 HCPCS,85300,"Hc Antithrombin Iii Test,Activ - Thrombosis Screen (Protein C, Protein S, Antithrombin)",183.0,183.0,,,0 HCPCS,85301,Antithrombin iii antigen,,,8.11,22.92,17 HCPCS,85301,"Hc Antithrombin Iii Test,Antigen - Antithrombin Iii Ag",126.0,126.0,,,0 HCPCS,85301,Hc Clotting Inhibitrs Antithrombn Iii Antigen Assay - Antithrombin Antigen,126.0,126.0,,,0 HCPCS,85302,Clot inhibit prot c antigen,,,9.01,25.46,17 HCPCS,85302,"Hc Clot Inhib Protein C,Antigen - Protein C Antigen Total",188.5,188.5,,,0 HCPCS,85303,Clot inhibit prot c activity,,,10.38,29.34,17 HCPCS,85303,"Hc Clot Inhib Protein C,Activ - Protein C Activity",214.5,214.5,,,0 HCPCS,85303,"Hc Clot Inhib Protein C,Activ - Thrombosis Screen (Protein C, Protein S, Antithrombin)",214.5,214.5,,,0 HCPCS,85305,Clot inhibit prot s total,,,8.71,24.61,17 HCPCS,85305,"Hc Clot Inhib Protein S,Total - Protein S Antigen Total",182.0,182.0,,,0 HCPCS,85305,"Hc Clot Inhib Protein S,Total - Protein S,Total & Free",182.0,182.0,,,0 HCPCS,85306,Clot inhibit prot s free,,,11.49,32.48,17 HCPCS,85306,"Hc Clot Inhib Protein S,Free - Protein S Activity",238.5,238.5,,,0 HCPCS,85306,"Hc Clot Inhib Protein S,Free - Protein S Antigen Free",238.5,238.5,,,0 HCPCS,85306,"Hc Clot Inhib Protein S,Free - Protein S Antigen Profile, Free + Total",238.5,238.5,,,0 HCPCS,85306,"Hc Clot Inhib Protein S,Free - Protein S Free",238.5,238.5,,,0 HCPCS,85306,"Hc Clot Inhib Protein S,Free - Thrombosis Screen (Protein C, Protein S, Antithrombin)",238.5,238.5,,,0 HCPCS,85307,Assay Activated Protein C,,,11.49,32.48,17 HCPCS,85307,Hc Activated Prot C (Apc) Resistnce Assay - Apc Resistance,433.0,433.0,,,0 HCPCS,85335,Factor inhibitor test,,,9.65,27.28,17 HCPCS,85335,Hc Factor Inhibitor Test - Adamts13 Inhibitor,205.5,205.5,,,0 HCPCS,85335,Hc Factor Inhibitor Test - Bethesda Inhibitor,205.5,205.5,,,0 HCPCS,85335,Hc Factor Inhibitor Test - Bethesda Inhibitor + Factor Viii Level,205.5,205.5,,,0 HCPCS,85335,Hc Factor Inhibitor Test - Bethesda Inhibitor Human,205.5,205.5,,,0 HCPCS,85337,Thrombomodulin,,,12.95,36.61,17 HCPCS,85345,Coagulation time lee & white,,,3.52,9.94,17 HCPCS,85347,Coagulation time activated,,,3.21,9.07,17 HCPCS,85347,"Hc Coagulation Time, Activated - Activated Clotting Time",79.5,79.5,,,0 HCPCS,85347,"Hc Poct Coagulation Time, Activated - Activated Clotting Time (Act) Hr",79.5,79.5,,,0 HCPCS,85347,"Hc Poct Coagulation Time, Activated - Activated Clotting Time (Act) Lr",79.5,79.5,,,0 HCPCS,85348,Coagulation time otr method,,,3.37,9.52,17 HCPCS,85360,Euglobulin lysis,,,6.31,17.83,17 HCPCS,85362,Fibrin degradation products,,,5.17,14.61,17 HCPCS,85362,"Hc Fibrin Degrad Products, Agglutination - Fibrin Split Products",116.5,116.5,,,0 HCPCS,85366,Fibrinogen test,,,60.35,170.58,17 HCPCS,85366,"Hc Fibrin Degrad Products,Paracoag - Fibrin Monomer",96.0,96.0,,,0 HCPCS,85366,"Hc Fibrin Degrad Products,Paracoag - Markers Of Coagulation And Hemostatic Activation",96.0,96.0,,,0 HCPCS,85370,Fibrinogen test,,,9.32,26.35,17 HCPCS,85378,Fibrin degrade semiquant,,,7.29,20.61,17 HCPCS,85378,"Hc Fibrin Degradproducts,D-Dimer, Qual - D-Dimer,Semiquant",116.5,116.5,,,0 HCPCS,85379,Fibrin degradation quant,,,7.64,21.58,17 HCPCS,85379,"Hc Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative",162.0,162.0,,,0 HCPCS,85379,"Hc Fibrin Degradproducts,D-Dimer, Quant - Markers Of Coag And Hemostatic Activation",162.0,162.0,,,0 HCPCS,85380,Fibrin degradj d-dimer,,,7.64,21.58,17 HCPCS,85384,Fibrinogen activity,,,7.29,20.61,17 HCPCS,85384,"Hc Fibrinogen, Activity - Fibrinogen Level",141.5,141.5,,,0 HCPCS,85384,"Hc Fibrinogen, Activity - Fibrinogen,Quantitative",141.5,141.5,,,0 HCPCS,85385,Fibrinogen antigen,,,10.85,30.66,17 HCPCS,85385,"Hc Fibrinogen, Antigen - Fibrinogen Antigen",141.5,141.5,,,0 HCPCS,85390,Fibrinolysins screen i&r,,,11.61,32.82,17 HCPCS,85390,"Hc Platelet Trans Electron Micoscopy, Interp & Rpt",56.5,56.5,,,0 HCPCS,85390,Noncdm Charge Record,34.23,34.23,,,0 HCPCS,85396,Clotting assay whole blood,,,14.05,26.62,8 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Aptem",1798.0,1798.0,,,0 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Extem",1798.0,1798.0,,,0 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Fibtem",1798.0,1798.0,,,0 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Heptem",1798.0,1798.0,,,0 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Intem",1798.0,1798.0,,,0 HCPCS,85396,"Hc Clotting Assay, Whole Blood - Thromboelastograph Clotting Profile",1798.0,1798.0,,,0 HCPCS,85397,Clotting funct activity,,,23.15,65.42,17 HCPCS,85397,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each - Vwf Gpibm Activity",246.76,246.76,,,0 HCPCS,85397,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each -Adamts-13 Activity",247.0,247.0,,,0 HCPCS,85397,"Hc Coagulation/Fibrinolysis, Functional Activ Nos Each -Adamts-13 Activity W/Reflex Study",247.0,247.0,,,0 HCPCS,85397,Hc Ref Adamts13 Activity By Eliad At Emory,247.0,247.0,,,0 HCPCS,85400,Fibrinolytic plasmin,,,5.78,16.35,17 HCPCS,85410,Fibrinolytic antiplasmin,,,5.78,16.35,17 HCPCS,85410,Hc Fibrinolytic Antiplasmin - Alpha-2 Antiplasmin Assay,404.0,404.0,,,0 HCPCS,85415,Fibrinolytic plasminogen,,,12.89,36.44,17 HCPCS,85415,"Hc Fibrinolytic Plasminogen,Activtr - Plasminogen Activator Inhibitor-1",181.5,181.5,,,0 HCPCS,85415,"Hc Ref Fibrinolytic Plasminogen,Activtr - Plasminogen Activator Inhibitor-1 - Referral",181.5,181.5,,,0 HCPCS,85420,Fibrinolytic plasminogen,,,4.9,13.84,17 HCPCS,85420,Hc Fibrinolytic Plasminogen - Plasminogen Assay,112.0,112.0,,,0 HCPCS,85421,Fibrinolytic plasminogen,,,7.64,21.58,17 HCPCS,85441,Hc Heinz Bodies; Direct - Heinz Body Stain,72.0,72.0,,,0 HCPCS,85441,Heinz bodies direct,,,3.15,8.9,17 HCPCS,85445,"Hc Heinz Bodies; Induced - Heinz Bodies, Induced",100.0,100.0,,,0 HCPCS,85445,Heinz bodies induced,,,5.12,14.46,17 HCPCS,85460,"Hc Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain",50.0,50.0,,,0 HCPCS,85460,"Hc Hemoglobin Fetal,Diff Lysis -Fetal Cell Stain",50.0,50.0,,,0 HCPCS,85460,"Hc Hemoglobin Fetal,Diff Lysis -Rosette Screen Test For Fmh",50.0,50.0,,,0 HCPCS,85460,Hemoglobin fetal,,,5.8,16.39,17 HCPCS,85461,"Hc Hemoglobin Fetal,Rosette - Fetal Bleed Screen",119.5,119.5,,,0 HCPCS,85461,Hemoglobin fetal,,,7.02,19.84,17 HCPCS,85475,Hemolysin acid,,,6.65,18.8,17 HCPCS,85520,Hc Heparin Assay - Fondaparinux (Anti-Xa),208.0,208.0,,,0 HCPCS,85520,Hc Heparin Assay - Fondaparinux Level,208.0,208.0,,,0 HCPCS,85520,Hc Heparin Assay - Hdr Slope Poct,208.0,208.0,,,0 HCPCS,85520,Hc Heparin Assay - Heparin Level - Heparin Level Anti Factor Xa,208.0,208.0,,,0 HCPCS,85520,Hc Heparin Assay - Low Molecular Wgt Heparin,208.0,208.0,,,0 HCPCS,85520,Heparin assay,,,9.82,27.75,17 HCPCS,85525,"Hc Heparin Neutralizatn - Activated Partial Thromboplastin Time (Aptt), Hepz",187.0,187.0,,,0 HCPCS,85525,Hc Heparin Neutralizatn - Heparin Neutralization,187.0,187.0,,,0 HCPCS,85525,Heparin neutralization,,,8.88,25.1,17 HCPCS,85530,Hc Heparin-Protamine Tolerance - Poct Heparin Dose Response,36.0,36.0,,,0 HCPCS,85530,Heparin-protamine tolerance,,,9.82,27.75,17 HCPCS,85536,Iron Stain Peripheral Blood,,,5.16,14.59,17 HCPCS,85540,Hc Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase,106.5,106.5,,,0 HCPCS,85540,Wbc alkaline phosphatase,,,6.45,18.23,17 HCPCS,85547,RBC mechanical fragility,,,6.45,18.23,17 HCPCS,85549,Hc Muramidase - Lysozyme Level,277.5,277.5,,,0 HCPCS,85549,Muramidase,,,14.06,39.75,17 HCPCS,85555,RBC osmotic fragility,,,5.6,15.84,17 HCPCS,85557,RBC osmotic fragility,,,10.02,28.32,17 HCPCS,85576,Blood platelet aggregation,,,18.68,52.81,17 HCPCS,85576,Hc Blood Platelet Aggregation - Choa Platelet Aggregation,329.5,329.5,,,0 HCPCS,85576,Hc Blood Platelet Aggregation - Heparin Induced Thrombin,329.5,329.5,,,0 HCPCS,85576,Hc Blood Platelet Aggregation - P2Y12 Verify Now Assay,329.5,329.5,,,0 HCPCS,85576,Hc Blood Platelet Aggregation - Platelet Aggregation,329.5,329.5,,,0 HCPCS,85576,Hc Blood Platelet Aggregation - Platelet Function Assay - Adp,329.5,329.5,,,0 HCPCS,85576,Hc Blood Platelet Aggregation - Platelet Function Assay - Epi,329.5,329.5,,,0 HCPCS,85576,Noncdm Charge Record,44.14,44.14,,,0 HCPCS,85597,"Hc Phospholipid Neutralization,Platelet - Hexagon Phase Neutralization",277.5,277.5,,,0 HCPCS,85597,Phospholipid pltlt neutraliz,,,13.49,38.12,17 HCPCS,85598,Hexagnal phosph pltlt neutrl,,,13.49,38.12,17 HCPCS,85610,"Hc Poct Prothrombin Time - Protime-Inr, Fingerstick",73.0,73.0,,,0 HCPCS,85610,Hc Prothrombin Time - Cs Dic Profile,73.0,73.0,,,0 HCPCS,85610,Hc Prothrombin Time - Lupus Anticoagulant Panel,73.0,73.0,,,0 HCPCS,85610,Hc Prothrombin Time - Prothrombin Mixing Study,73.0,73.0,,,0 HCPCS,85610,Hc Prothrombin Time - Prothrombin Time,73.0,73.0,,,0 HCPCS,85610,Hc Prothrombin Time - Protime-Inr,73.0,73.0,,,0 HCPCS,85610,Prothrombin time,,,3.22,9.09,17 HCPCS,85611,"Hc Prothrombin Test,Substi,Fractn - Prothrombin Time Mixing Study",58.5,58.5,,,0 HCPCS,85611,Prothrombin test,,,2.96,8.35,17 HCPCS,85612,Viper venom prothrombin time,,,13.12,37.08,17 HCPCS,85613,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm",157.5,157.5,,,0 HCPCS,85613,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm Mix",157.5,157.5,,,0 HCPCS,85613,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Confirm Patient",157.5,157.5,,,0 HCPCS,85613,"Hc Russell Viper Venom, Diluted - Drvvt (Dilute Russel Vv Time)- Drvvt Screen Mix",157.5,157.5,,,0 HCPCS,85613,"Hc Russell Viper Venom, Diluted - Lupus Anticoagulant Panel",157.5,157.5,,,0 HCPCS,85613,Russell viper venom diluted,,,7.19,20.31,17 HCPCS,85635,Hc Reptilase Test - Reptilase Time,159.0,159.0,,,0 HCPCS,85635,Reptilase test,,,7.39,20.88,17 HCPCS,85651,Rbc sed rate nonautomated,,,3.2,9.05,17 HCPCS,85652,"Hc Rbc Sed Rate, Auto - Sedimentation Rate, Automated",65.5,65.5,,,0 HCPCS,85652,Rbc sed rate automated,,,2.03,5.72,17 HCPCS,85660,Hc Rbc Sickle Cell Test - Hemoglobin S Screen Patient,96.0,96.0,,,0 HCPCS,85660,Hc Rbc Sickle Cell Test - Screen Hbs Sickl Ea Unit,96.0,96.0,,,0 HCPCS,85660,Hc Rbc Sickle Cell Test - Sickle Cell Screen,96.0,96.0,,,0 HCPCS,85660,"Hc Rbc Sickle Cell Test - Sickle Cell, Reduction",96.0,96.0,,,0 HCPCS,85660,Hc Rbc Sickle Cell Test - Sickle Solubility Bill,96.0,96.0,,,0 HCPCS,85660,Hc Rbc Sickle Cell Test - Unit Hgbs,96.0,96.0,,,0 HCPCS,85660,RBC sickle cell test,,,4.13,11.68,17 HCPCS,85670,"Hc Thrombin Time, Plasma - Lupus Anticoagulant Panel",83.5,83.5,,,0 HCPCS,85670,"Hc Thrombin Time, Plasma - Thrombin Time",103.5,103.5,,,0 HCPCS,85670,Thrombin time plasma,,,4.33,12.23,17 HCPCS,85675,Thrombin time titer,,,5.14,14.52,17 HCPCS,85705,Thromboplastin inhibition,,,7.22,20.42,17 HCPCS,85730,"Hc Thromboplas Time Partial - Activated Partial Thrombolastin (Aptt), Hepz",107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Aptt,107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Cs Dic Profile,107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Lupus,107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Lupus Anticoagulant Panel,107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Partial Thromboplastin Time,107.5,107.5,,,0 HCPCS,85730,Hc Thromboplas Time Partial - Ptt Sct Confirm,107.5,107.5,,,0 HCPCS,85730,Thromboplastin time partial,,,4.51,12.74,17 HCPCS,85732,Hc Thromboplas Time Part Plasma Frac - Activated Partial Thromboplastin(Atpp) Time Mixing Study,96.0,96.0,,,0 HCPCS,85732,Hc Thromboplas Time Part Plasma Frac - Ptt Mixing Study,96.0,96.0,,,0 HCPCS,85732,Hc Thromboplas Time Part Plasma Frac - Sct Confirm Mix,96.0,96.0,,,0 HCPCS,85732,Hc Thromboplas Time Part Plasma Frac - Sct Screen Mix,96.0,96.0,,,0 HCPCS,85732,Thromboplastin time partial,,,4.85,13.72,17 HCPCS,85810,Blood viscosity examination,,,8.75,24.74,17 HCPCS,85810,"Hc Blood Viscosity Examination - Viscosity, Plasma",187.0,187.0,,,0 HCPCS,85810,"Hc Blood Viscosity Examination - Viscosity, Serum",187.0,187.0,,,0 HCPCS,86000,Agglutinins febrile antigen,,,5.24,14.8,17 HCPCS,86001,Allergen Specific Igg,,,5.87,16.58,17 HCPCS,86003,Allergen specific IgE,,,3.92,11.07,17 HCPCS,86003,Hc Allergen Spec Ige - Allergen Alternaria Tenuis,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Bahia Grass Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Bermuda Grass Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Bluegrass Ige,43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Cat Hair/Dander,Stan",43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Cladosporium Herbarum Ige,43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Cockroach, American Ige",43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Cottonwood Tree Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Dog Dander,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Egg White Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Elm Tree Ige,43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Hickory, White Ige",43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Johnson Grass Ige,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Mite: Dermatophagoides Pteronyssinus,43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Multi Inhalant Screen,43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Oak,White Ige",43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Penicillium Ige,43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Pigweed, Rough Ige",43.5,43.5,,,0 HCPCS,86003,"Hc Allergen Spec Ige - Allergen Ragweed, Short/Common Ige",43.5,43.5,,,0 HCPCS,86003,Hc Allergen Spec Ige - Allergen Specific Ige,43.5,43.5,,,0 HCPCS,86003,Hc Ref Allergen Spec Ige - Allergen Specific Ige,43.5,43.5,,,0 HCPCS,86003,"Hc Ref Allergen Spec Ige - Crude Allergen Extract, Peanut Cmpnts Ige",43.5,43.5,,,0 HCPCS,86005,Allergen specific IgE,,,5.98,16.9,17 HCPCS,86008,Allg spec ige recomb ea,,,13.45,38.01,17 HCPCS,86008,"Hc Rast - Alpha-Gal (Galactose-Alpha-1,3-Galactose) Ige",87.0,87.0,,,0 HCPCS,86008,"Hc Ref Allergen Spec Ige - Recomb/Purified - Allergen, Peanut Cmpnts Ige",87.0,87.0,,,0 HCPCS,86015,Actin antibody each,,,9.04,25.55,15 HCPCS,86015,"Hc Actin (Smooth Muscle) Antibody, Each",49.0,49.0,,,0 HCPCS,86021,Hc Wbc Antibody Identification - Anti-Neutrophil Antibody,147.0,147.0,,,0 HCPCS,86021,Hc Wbc Antibody Identification - Granulocyte(Leukocyte) Antibody Screen,147.0,147.0,,,0 HCPCS,86021,WBC antibody identification,,,11.29,31.91,17 HCPCS,86022,Hc Platelet Antibodies - Heparin-Induced Platelet Antibody,433.0,433.0,,,0 HCPCS,86022,"Hc Platelet Antibodies - Platelet Antibodies, Indirect",433.0,433.0,,,0 HCPCS,86022,Hc Platelet Antibodies - Serotonin Release Assay (Sra) For Hit,433.0,433.0,,,0 HCPCS,86022,"Hc Platelet Antibodies - Serotonin Release Assay, Lmwh",433.0,433.0,,,0 HCPCS,86022,Hc Platelet Antibodies -Platelet Ag Typing(Serology),433.0,433.0,,,0 HCPCS,86022,Hc Platelet Crossmatch Incompatibility Screen,433.0,433.0,,,0 HCPCS,86022,Platelet antibodies,,,13.78,38.94,17 HCPCS,86023,"Hc Immunoglobulin Assay - Platelet Associated Antibodies, Direct",302.5,302.5,,,0 HCPCS,86023,Immunoglobulin assay,,,9.35,26.42,17 HCPCS,86036,Anca screen each antibody,,,9.04,25.55,15 HCPCS,86036,"Hc Antineutrophil Cytoplasm Antibody(Anca) Ifa, Each Antibody",50.0,50.0,,,0 HCPCS,86037,Anca titer each antibody,,,9.04,25.55,15 HCPCS,86038,Antinuclear antibodies,,,9.07,25.63,17 HCPCS,86038,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies),293.0,293.0,,,0 HCPCS,86038,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies)-Centromere,293.0,293.0,,,0 HCPCS,86038,Hc Antinuclear Antibodies - Ana (Antinuclear Antibodies)-W/O Path Rev,293.0,293.0,,,0 HCPCS,86039,Antinuclear antibodies (ANA),,,8.37,23.66,17 HCPCS,86039,Hc Antinuclear Antibodies Titer - Ana Anti Hep2 Nuclear Igg,114.5,114.5,,,0 HCPCS,86039,Hc Antinuclear Antibodies Titer - Ana Titer,114.5,114.5,,,0 HCPCS,86039,Hc Antinuclear Antibodies Titer - Ana Titer W/O Path Review,114.5,114.5,,,0 HCPCS,86041,Acetylcholn rcptr bndng antb,,,13.8,39.01,16 HCPCS,86041,Hc Acetylcholine Receptor Binding Antibody,105.5,105.5,,,0 HCPCS,86042,Acetylcholn rcptr blckg antb,,,13.8,39.01,16 HCPCS,86043,Acetylcholn rcptr modlg antb,,,9.04,25.55,16 HCPCS,86043,Hc Acetylcholine Receptor Modulating Antibody,119.5,119.5,,,0 HCPCS,86051,Aquaporin-4 antb elisa,,,8.65,24.44,15 HCPCS,86052,Aquaporin-4 antb cba each,,,9.04,25.55,15 HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,12.05,79.99,15 HCPCS,86053,"Hc Aquaporin-4 Antibody Flow Cytometry, Facs, Each",50.0,50.0,,,0 HCPCS,86053,"Hc Aquaporin-4 Antibody Titer, Flow Cytometry, Facs, Csf Each",50.0,50.0,,,0 HCPCS,86053,"Hc Aquaporin-4 Antibody Titer, Flow Cytometry, Facs, Each",50.0,50.0,,,0 HCPCS,86053,"Hc Aquaporin-4 Antibody, Flow Cytometry, Facs, Csf, Each",50.0,50.0,,,0 HCPCS,86060,Antistreptolysin o titer,,,5.48,15.48,17 HCPCS,86060,Hc Antistreptolysin O Titer - Antistreptolysin O Titer,83.5,83.5,,,0 HCPCS,86063,Antistreptolysin o screen,,,4.33,12.23,17 HCPCS,86063,Hc Antistreptolysin O Screen - Anti-Streptolysin O,31.5,31.5,,,0 HCPCS,86077,Phys blood bank serv xmatch,,,22.99,67.26,15 HCPCS,86078,Phys blood bank serv reactj,,,35.49,362.28,15 HCPCS,86079,Noncdm Charge Record,46.0,46.0,,,0 HCPCS,86079,Phys blood bank serv authrj,,,35.49,110.81,15 HCPCS,86140,C-reactive protein,,,3.89,10.98,17 HCPCS,86140,Hc C-Reactive Protein - C-Reactive Protein,140.5,140.5,,,0 HCPCS,86140,Hc C-Reactive Protein - Ibd Sgi Diagnostic Prometheus,140.5,140.5,,,0 HCPCS,86140,Hc C-Reactive Protein - Periprosthetic Joint Infection Detection,140.5,140.5,,,0 HCPCS,86141,C-reactive protein hs,,,9.71,27.45,17 HCPCS,86141,"Hc C-Reactive Protein,High Sensitivity - Crp High Sensitivity",272.0,272.0,,,0 HCPCS,86141,"Hc C-Reactive Protein,High Sensitivity - Monitor Crohn's Disease",272.0,272.0,,,0 HCPCS,86146,Beta-2 glycoprotein antibody,,,19.09,53.95,17 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - B2Gp1Igg + B2Gp1Igm",534.5,534.5,,,0 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein 1 Abs Igg+Igm",534.5,534.5,,,0 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Iga",534.5,534.5,,,0 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Igg",534.5,534.5,,,0 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - Beta-2 Glycoprotein Igm",534.5,534.5,,,0 HCPCS,86146,"Hc Beta 2 Glycoprotein I Antibody,Ea - Lupus",534.5,534.5,,,0 HCPCS,86147,Cardiolipin antibody ea ig,,,19.09,53.95,17 HCPCS,86147,Hc Cardiolipin Antibody - Anticardiolipin Antibody Igg + Igm,594.0,594.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Iga",594.0,594.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igg",594.0,594.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igg + Igm",594.0,594.0,,,0 HCPCS,86147,"Hc Cardiolipin Antibody - Cardiolipin Antibody, Igm",594.0,594.0,,,0 HCPCS,86147,Hc Cardiolipin Antibody - Lupus,594.0,594.0,,,0 HCPCS,86148,Anti-phospholipid antibody,,,12.05,34.07,17 HCPCS,86148,Hc Phospholipid Antibody - Antiphosphatidylserine Antibodies,260.0,260.0,,,0 HCPCS,86148,Hc Phospholipid Antibody - Antiphosphatidylserine Antibodies Igg + Igm,260.0,260.0,,,0 HCPCS,86152,Cell enumeration & id,,,188.09,531.65,17 HCPCS,86155,Chemotaxis assay,,,11.99,33.9,17 HCPCS,86156,Cold agglutinin screen,,,6.05,17.11,17 HCPCS,86156,Hc Cold Agglutinin Screen - Cold Agglutinin Screen,170.0,170.0,,,0 HCPCS,86157,Cold agglutinin titer,,,6.05,17.09,17 HCPCS,86157,"Hc Cold Agglutinin, Titer - Cold Agglutinin Titer",205.5,205.5,,,0 HCPCS,86160,Complement antigen,,,9.0,25.44,17 HCPCS,86160,"Hc Complement, Antigen - C1 Esterase Inhibitor",287.0,287.0,,,0 HCPCS,86160,"Hc Complement, Antigen - C2 Complement",287.0,287.0,,,0 HCPCS,86160,"Hc Complement, Antigen - C3 + C4 Complement",287.0,287.0,,,0 HCPCS,86160,"Hc Complement, Antigen - C3 Complement",287.0,287.0,,,0 HCPCS,86160,"Hc Complement, Antigen - C4 Complement",287.0,287.0,,,0 HCPCS,86161,Complement/function activity,,,9.0,25.44,17 HCPCS,86161,"Hc Complement/Function Activity - C1 Esterase Inhibitor, Functional",73.0,73.0,,,0 HCPCS,86161,Hc Complement/Function Activity - Functional C1 Esterase Inhibitor Level,73.0,73.0,,,0 HCPCS,86162,Complement total (ch50),,,15.24,43.08,17 HCPCS,86162,"Hc Complement, Total (Ch50) - Complement Total",479.0,479.0,,,0 HCPCS,86162,"Hc Complement, Total (Ch50) - Total Complement Activity Enzyme",479.0,479.0,,,0 HCPCS,86171,Complement fixation each,,,7.51,21.22,17 HCPCS,86200,Ccp antibody,,,9.71,27.45,17 HCPCS,86200,Hc Cyclic Cirullinated Peptide Antibody - Anti Cyclic Citrullinated Peptide Antibdy Igg,186.0,186.0,,,0 HCPCS,86200,Hc Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy,186.0,186.0,,,0 HCPCS,86200,Hc Cyclic Cirullinated Peptide Antibody - Interstitial Lung Disease Panel,186.0,186.0,,,0 HCPCS,86215,Deoxyribonuclease antibody,,,9.94,28.09,17 HCPCS,86215,"Hc Deoxyribonuclease, Antibody - Anti Dnase B Antibody",319.0,319.0,,,0 HCPCS,86215,"Hc Deoxyribonuclease, Antibody - Dnase B Antibody",319.0,319.0,,,0 HCPCS,86225,Dna antibody native,,,10.31,29.13,17 HCPCS,86225,"Hc Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded",329.5,329.5,,,0 HCPCS,86225,"Hc Dna Antibody, Natv/2 Strand - Anti Nuclear Antibody Screen",329.5,329.5,,,0 HCPCS,86225,"Hc Dna Antibody, Natv/2 Strand - Anti Nuclear Antibody Screen W/Reflux",329.5,329.5,,,0 HCPCS,86226,Dna antibody single strand,,,9.08,25.67,17 HCPCS,86231,Ema each ig class,,,9.07,25.63,15 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Centromere Igg,181.5,181.5,,,0 HCPCS,86235,"Hc Nuclear Antigen Antibody - Anti Chromatin, Igg",181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Jo-1 Igg,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Nuclear Antibody Screen,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Nuclear Antibody Screen W/Reflex,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Smith Igg,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Ssa Igg,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Anti Ssb Igg,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Extractable Nuclear Antigen Panel,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Interstitial Lung Disease Panel,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Myositis Ena Each Additional,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Myositis Extended Panel,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Polymyositis And Dermatomyositis Panel,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Polymyositis Panel,181.5,181.5,,,0 HCPCS,86235,"Hc Nuclear Antigen Antibody - Ribonucleic Protein Antibody, Igg",181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Scleroderma (Scl-70) Antibody,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Sclerosis,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Sjogrens Syndrome-A Ext Nu Ab,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Sjogrens Syndrome-B Ext Nuc Ab,181.5,181.5,,,0 HCPCS,86235,Hc Nuclear Antigen Antibody - Sm Antibody,181.5,181.5,,,0 HCPCS,86235,Nuclear antigen antibody,,,13.45,38.01,17 HCPCS,86255,Fluorescent antibody screen,,,9.04,25.55,17 HCPCS,86255,Hc Fluorescent Antibody; Screen - Ampa-Receptor Antibody Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Ampa-Receptor Antibody Cba Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Anti Endoysial Antibodies,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Anti-Neutrophil Cytoab Pan,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Caspr2-Igg Antibody Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Caspr2-Igg Antibody Cba Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Cns Demyelinating Disease Evaluation,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Csf Enceph Addon,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Csf Paraneo Addon,125.0,125.0,,,0 HCPCS,86255,"Hc Fluorescent Antibody; Screen - Dna (Ds) Antibody, Crithidia Ifa",125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Dppx Antibody Cba,125.0,125.0,,,0 HCPCS,86255,"Hc Fluorescent Antibody; Screen - Dppx Antibody Cba, Csf",125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Encephalopathy Autoimmune Evaluation Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Florescent Antibody Each,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Gaba-B-Receptor Antibody Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Gfap Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Lgi1-Igg Antibody Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Lgi1-Igg Antibody Cba Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Mgiur1 Antibody Cba,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Myelin Oligodendrocyte Glycoprotein Igg,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Nmda Receptor Antibody,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Nmda Receptor Antibody Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Nmo/Aqp4 Igg Facs,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Paraneoplastic Autoantibody Eval Csf,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Parietal Cell Ab,125.0,125.0,,,0 HCPCS,86255,"Hc Fluorescent Antibody; Screen - Parietal Cell Antibody, Igg",125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Phospholipase A2 Receptor Ab Igg,125.0,125.0,,,0 HCPCS,86255,Hc Fluorescent Antibody; Screen - Smooth Muscle Ab,125.0,125.0,,,0 HCPCS,86255,Noncdm Charge Record,1.79,1.79,,,0 HCPCS,86256,Fluorescent antibody titer,,,9.04,25.55,17 HCPCS,86256,Hc Fluorescent Antibody; Titer - Ampa Receptor Antibody If Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Ampa Receptor Antibody If Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Anca Titer,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Anti Endomysial Antibodies,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Dppx Antibody Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Dppx Antibody Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Gbm Ab Titer,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Gfap Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Gfap Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Iglon5 Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Iglon5 Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Mgiur1 Antibody Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Mgiur1 Antibody Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Nif Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Nif Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Nmo/Aqp4 Igg Facs Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - P- Dna (Ds) Antibody, Crithidia Ifa Titer",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Paraneoplastic Ab Titer,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Parietal Cell Ab Titer,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Phospholipase A2 Receptor Ab Igg Titer,137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Smooth Muscle Ab Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Smooth Muscle Ab, Igg",137.0,137.0,,,0 HCPCS,86256,"Hc Fluorescent Antibody; Titer - Smooth Muscle Ab, Igg, Titer",137.0,137.0,,,0 HCPCS,86256,Hc Fluorescent Antibody; Titer - Striated Muscle Ab Titer,137.0,137.0,,,0 HCPCS,86256,Hc Ref Fluorescent Antibody; Titer - Dna (Ds) (Crithidia Luciliae) Ab Igg By Ifa,137.0,137.0,,,0 HCPCS,86256,"Hc Ref Pca-1 Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Ref Pde10A Ab Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Ref Pde10A Ab Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Ref Trim46 Ab Cba,137.0,137.0,,,0 HCPCS,86256,"Hc Ref Trim46 Ab Cba, Csf",137.0,137.0,,,0 HCPCS,86256,Hc Ref Trim46 Ab Ifa Titer,137.0,137.0,,,0 HCPCS,86256,"Hc Ref Trim46 Ab Ifa Titer, Csf",137.0,137.0,,,0 HCPCS,86258,Dgp antibody each ig class,,,9.04,25.55,15 HCPCS,86258,"Hc Gliadin (Deamidated) (Dgp) Antibody, Igg",49.0,49.0,,,0 HCPCS,86277,Growth hormone antibody,,,11.81,33.37,17 HCPCS,86280,Hemagglutination inhibition,,,6.14,17.36,17 HCPCS,86294,Immunoassay tumor qual,,,19.18,54.21,17 HCPCS,86300,"Hc Immunoassay, Tumor Antigen, Ca 15-3 - Cancer Antigen 15-3",385.0,385.0,,,0 HCPCS,86300,"Hc Immunoassay, Tumor Antigen, Ca 15-3 - Cancer Antigen 27.29",385.0,385.0,,,0 HCPCS,86300,Immunoassay tumor ca 15-3,,,15.61,44.12,17 HCPCS,86301,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9",225.5,225.5,,,0 HCPCS,86301,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen Gi (Ca 19-9), Body Fluid",225.5,225.5,,,0 HCPCS,86301,"Hc Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen Gi 19-9",225.5,225.5,,,0 HCPCS,86301,Immunoassay tumor ca 19-9,,,15.61,44.12,17 HCPCS,86304,"Hc Immunoassay, Tumor Antigen, Ca 125 - Ca 125",439.5,439.5,,,0 HCPCS,86304,Immunoassay tumor ca 125,,,15.61,44.12,17 HCPCS,86305,Hc Human Epididymis Protein 4 (He4) - Human Epididymis Protein 4,352.5,352.5,,,0 HCPCS,86305,Human epididymis protein 4,,,15.61,44.12,17 HCPCS,86308,"Hc Heterophile Antibodies,Screen - Mononucleosis Screen",139.5,139.5,,,0 HCPCS,86308,Heterophile antibody screen,,,3.89,10.98,17 HCPCS,86309,Heterophile antibody titer,,,4.85,13.72,17 HCPCS,86310,Heterophile antibody absrbj,,,5.53,15.62,17 HCPCS,86316,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - Angiotensin Ii Type 1 Receptor Ant",225.5,225.5,,,0 HCPCS,86316,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - Chromogranin A",225.5,225.5,,,0 HCPCS,86316,"Hc Immunoassay Tumor Antigen, Other Antigen, Quantitative, Each - P2Psa Prostate Health Index",225.5,225.5,,,0 HCPCS,86316,Immunoassay tumor other,,,15.61,44.12,17 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Diphtheria Antibody Igg",101.0,101.0,,,0 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Haemophilus Influenzae B Antibody",101.0,101.0,,,0 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Pneumococcal Antibody (23 Serotypes)",101.0,101.0,,,0 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Rabies Titer",101.0,101.0,,,0 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Strep Pneumoniae Antibody Serotypes",101.0,101.0,,,0 HCPCS,86317,"Hc Immunoassay,Infect Agent,Quant - Tetanus Antibody",101.0,101.0,,,0 HCPCS,86317,"Hc Ref Immunoassay,Infect Agent,Quant - 14-3-3 Protein Tau, Total, Csf",101.0,101.0,,,0 HCPCS,86317,Immunoassay infectious agent,,,11.24,31.78,17 HCPCS,86317,Noncdm Charge Record,109.0,109.0,,,0 HCPCS,86318,Immunoassay infectious agent,,,13.57,38.35,17 HCPCS,86320,Hc Immunoelectrophoresis Bld - Serum,384.0,384.0,,,0 HCPCS,86320,Serum immunoelectrophoresis,,,22.44,63.43,17 HCPCS,86325,"Hc Immunolectrophoresis, Other Fluids, W/ Concentration - Urine",120.5,120.5,,,0 HCPCS,86325,Other immunoelectrophoresis,,,17.35,49.04,17 HCPCS,86327,Immunoelectrophoresis assay,,,22.44,53.86,10 HCPCS,86328,Ia nfct ab sarscov2 covid19,,,33.96,95.99,17 HCPCS,86329,Immunodiffusion nes,,,10.54,29.79,17 HCPCS,86331,Hc Immunodiffusion Ouchterlony - Hyper Pneumo Extended Panel,287.0,287.0,,,0 HCPCS,86331,Hc Immunodiffusion Ouchterlony - Hyper Pneumo Serology,287.0,287.0,,,0 HCPCS,86331,Immunodiffusion ouchterlony,,,8.99,25.4,17 HCPCS,86332,Hc Immune Complex Assay - C1Q Binding Assay,572.5,572.5,,,0 HCPCS,86332,Hc Immune Complex Assay - Raji Cell Immune Complexes,572.5,572.5,,,0 HCPCS,86332,Immune complex assay,,,18.28,51.66,17 HCPCS,86334,"Hc Immunofixation Electrophoresis, Serum - Ifix",529.0,529.0,,,0 HCPCS,86334,Immunofix e-phoresis serum,,,16.76,47.36,17 HCPCS,86334,Noncdm Charge Record,17.33,17.33,,,0 HCPCS,86335,Hc Immunfix E-Phorsis/Urine/Csf - Beta 2 Transferrin Cerebrospinal Fluid,439.5,439.5,,,0 HCPCS,86335,Hc Immunfix E-Phorsis/Urine/Csf - Immunofixation Urine,439.5,439.5,,,0 HCPCS,86335,Hc Immunfix E-Phorsis/Urine/Csf - Protein Electrophoesis W/Immunofixation,439.5,439.5,,,0 HCPCS,86335,Immunfix e-phorsis/urine/csf,,,22.01,62.22,17 HCPCS,86336,Hc Inhibin A - Inhibin A,311.0,311.0,,,0 HCPCS,86336,Inhibin A,,,11.69,33.05,17 HCPCS,86337,Hc Insulin Antibodies - Insulin Antibody,504.0,504.0,,,0 HCPCS,86337,Insulin antibodies,,,16.06,45.39,17 HCPCS,86340,Hc Intrinsic Factor Antibody - Intrinsic Factor Blocking Antibody,364.5,364.5,,,0 HCPCS,86340,Intrinsic factor antibody,,,11.31,31.97,17 HCPCS,86341,Hc Islet Cell Antibody - Anti-Islet Cell Ab,299.5,299.5,,,0 HCPCS,86341,Hc Islet Cell Antibody - Antigad65 Csf,299.5,299.5,,,0 HCPCS,86341,Hc Islet Cell Antibody - Antiglutamic Acid Decarboxylase (Gad65),299.5,299.5,,,0 HCPCS,86341,"Hc Islet Cell Antibody - Encephalopathy Autoimmune Eval, Csf",299.5,299.5,,,0 HCPCS,86341,"Hc Islet Cell Antibody - Encephalopathy Autoimmune Eval, Serum",299.5,299.5,,,0 HCPCS,86341,Hc Islet Cell Antibody - Glutamic Acid Decarbyl Antibody,299.5,299.5,,,0 HCPCS,86341,Hc Islet Cell Antibody - Islet Cell Antibody Igg,299.5,299.5,,,0 HCPCS,86341,Islet cell antibody,,,17.68,49.97,17 HCPCS,86343,Hc Leukocyte Histamine Release (Lhr) - Chronic Urticaria Index Panel,63.0,63.0,,,0 HCPCS,86343,Leukocyte histamine release,,,9.35,26.42,17 HCPCS,86344,Leukocyte phagocytosis,,,7.79,22.03,17 HCPCS,86352,Cell function assay w/stim,,,101.9,288.02,17 HCPCS,86352,Hc Ref Cmv T Cell Immunity,377.5,377.5,,,0 HCPCS,86352,Hc Ref Immuknow Immune Cell Function,377.5,377.5,,,0 HCPCS,86352,Noncdm Charge Record,408.0,408.0,,,0 HCPCS,86353,Hc Lymphocyte Transformation - Lymphocyte Antigen And Mitogen Panel,398.0,398.0,,,0 HCPCS,86353,Lymphocyte transformation,,,36.77,103.94,17 HCPCS,86355,B cells total count,,,28.3,79.99,17 HCPCS,86355,"Hc B Cells, Total Count - B Cells, Total Count",334.0,334.0,,,0 HCPCS,86355,"Hc B Cells, Total Count - T/B/Nk Cells By Flow To Monitor Anti Cd20",334.0,334.0,,,0 HCPCS,86355,"Hc B Cells, Total Count - T/B/Nk Cells Quantitative Lymphocyte Subset",334.0,334.0,,,0 HCPCS,86355,"Hc Ref B Cells, Total Count - B Cell Subset Analysis",334.0,334.0,,,0 HCPCS,86356,"Hc Mononuclear Cell Antigen, Quantitative, Nos, Ea Antigen - Mononuclear Cell Ag, Quant",317.5,317.5,,,0 HCPCS,86356,"Hc Mononuclear Cell Antigen, Quantitative, Nos, Ea Antigen - T-Cell Lymphocyte Subsets, Bronch",317.5,317.5,,,0 HCPCS,86356,"Hc Ref Mononuclear Cell Antigen, Quant, Nos, Ea Antigen - B Cell Subset Analysis",317.5,317.5,,,0 HCPCS,86356,Mononuclear cell antigen,,,20.09,56.77,17 HCPCS,86357,"Hc Nk Cells, Total Count - Natural Killer Cell Count",334.0,334.0,,,0 HCPCS,86357,Nk cells total count,,,28.3,79.99,17 HCPCS,86359,"Hc T Cells, Total Count - Allogenic Stem Cells With Cd3",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - Allogenic Stem Cells With T-Cells",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - Cd4 T-Cell, Quantitative Lymphocyte Subset",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - Cd4/Cd8 T-Cells, Quantitative Lymphocyte Subset",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - Post Allo Congenital",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - T Cells, Total Count",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - T/B/Nk Cells By Flow To Monitor Anticd20",405.0,405.0,,,0 HCPCS,86359,"Hc T Cells, Total Count - T/B/Nk Cells, Quantitative Lymphocyte Subset",405.0,405.0,,,0 HCPCS,86359,T cells total count,,,28.3,79.99,17 HCPCS,86360,Hc T Cell Absolute Count/Ratio - Allogenic Stem Cells With T-Cells,1079.5,1079.5,,,0 HCPCS,86360,"Hc T Cell Absolute Count/Ratio - Cd4/C8 T-Cells, Quantitative Lymphocyte Subset",1079.5,1079.5,,,0 HCPCS,86360,Hc T Cell Absolute Count/Ratio - Post Allo Congenital,1079.5,1079.5,,,0 HCPCS,86360,Hc T Cell Absolute Count/Ratio - T-Helper Cells Cd4/Cd8 %,1079.5,1079.5,,,0 HCPCS,86360,Hc T Cell Absolute Count/Ratio - T/B/Nk Cells By Flow To Monitor Anticd20,1079.5,1079.5,,,0 HCPCS,86360,"Hc T Cell Absolute Count/Ratio - T/B/Nk Cells, Quantitative Lymphocyte Subset",1079.5,1079.5,,,0 HCPCS,86360,T cell absolute count/ratio,,,35.24,99.6,17 HCPCS,86361,"Hc T Cell Absolute Count - Cd4 T-Cell, Quantitative Lymphocyte Subset",554.0,554.0,,,0 HCPCS,86361,T cell absolute count,,,20.09,56.77,17 HCPCS,86362,Mog-igg1 antb cba each,,,9.04,25.55,15 HCPCS,86363,"Hc Myelin Oligodendrocyte Glycoprotien-Igg1 Antibody Flow Cytometry (Facs), Each",50.0,50.0,,,0 HCPCS,86363,"Hc Myelin Oligodendrocyte Glycoprotien-Igg1 Antibody Titer, Flow Cytometry (Facs), Each",50.0,50.0,,,0 HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,12.05,79.99,15 HCPCS,86364,"Hc Tissue Transglutaminase , Iga",49.0,49.0,,,0 HCPCS,86364,"Hc Tissue Transglutaminase , Igg",49.0,49.0,,,0 HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,8.65,24.44,15 HCPCS,86366,Hc Muscle-Specific Kinase Antibody (Musk),878.0,878.0,,,0 HCPCS,86366,Muscle-specific kinase antb,,,13.8,39.01,16 HCPCS,86367,"Hc Stem Cells, Total Count - Allogenic Stem Cells With Cd3",334.0,334.0,,,0 HCPCS,86367,"Hc Stem Cells, Total Count - Allogenic Stem Cells With T-Cells",334.0,334.0,,,0 HCPCS,86367,"Hc Stem Cells, Total Count - Quant Cd34",334.0,334.0,,,0 HCPCS,86367,Stem cells total count,,,58.34,164.89,17 HCPCS,86376,Hc Microsomal Antibody - Chronic Urticaria Index Panel,348.0,348.0,,,0 HCPCS,86376,Hc Microsomal Antibody - Liver Kidney Microsome Antibody,348.0,348.0,,,0 HCPCS,86376,Hc Microsomal Antibody - Thyroid Peroxidase Antibody,348.0,348.0,,,0 HCPCS,86376,Microsomal antibody each,,,10.91,30.85,17 HCPCS,86381,"Hc Mitochondrial M2 Antibody, Igg",106.5,106.5,,,0 HCPCS,86381,Mitochondrial antibody each,,,19.09,53.95,15 HCPCS,86382,"Hc Neutralization Test, Viral - Rabies Antibody Titer",190.5,190.5,,,0 HCPCS,86382,Neutralization test viral,,,12.68,35.85,17 HCPCS,86384,Nitroblue tetrazolium dye,,,10.21,28.85,17 HCPCS,86386,Nuclear matrix protein 22,,,16.34,46.17,17 HCPCS,86403,"Hc Particle Agglutination Test, Screen - Bacterial Antigen Detection",1302.5,1302.5,,,0 HCPCS,86403,"Hc Particle Agglutination Test, Screen - Cryptococcal Antigen",1302.5,1302.5,,,0 HCPCS,86403,"Hc Particle Agglutination Test, Screen - Cryptococcal Antigen - Csf",1302.5,1302.5,,,0 HCPCS,86403,Particle agglut antbdy scrn,,,8.66,24.46,17 HCPCS,86406,"Hc Particle Agglutination Test, Titer - Cryptococcus Antigen Titer",266.5,266.5,,,0 HCPCS,86406,"Hc Particle Agglutination Test, Titer - Cryptococcus Antigen Titer - Csf",266.5,266.5,,,0 HCPCS,86406,Particle agglut antbdy titr,,,7.98,22.56,17 HCPCS,86408,Neutrlzg antb sarscov2 scr,,,31.6,89.32,15 HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,168.77,9 HCPCS,86413,Sars-cov-2 antb quantitative,,,42.13,109.03,9 HCPCS,86430,Rheumatoid factor test qual,,,4.61,13.02,17 HCPCS,86431,"Hc Rheumatoid Factor, Quant - Interstitial Lung Disease Panel",153.5,153.5,,,0 HCPCS,86431,"Hc Rheumatoid Factor, Quant - Rheumatoid Factor",153.5,153.5,,,0 HCPCS,86431,Rheumatoid factor quant,,,4.25,12.02,17 HCPCS,86480,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Quantiferon? Tb Gold Plus",710.5,710.5,,,0 HCPCS,86480,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test",710.5,710.5,,,0 HCPCS,86480,"Hc Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test, Cell Mediated Immunity Antigen",710.5,710.5,,,0 HCPCS,86480,Tb test cell immun measure,,,46.49,131.4,17 HCPCS,86481,"Hc Tuberculosis Test, Cmiarm, Enumeration-Gamma-Tcells - T-Spot Tuberculosis Test",710.5,710.5,,,0 HCPCS,86481,Tb ag response t-cell susp,,,75.0,212.0,17 HCPCS,86485,Skin test candida,,,13.96,61.5,17 HCPCS,86486,Skin test nos antigen,,,4.69,61.5,17 HCPCS,86490,Coccidioidomycosis skin test,,,55.01,134.64,10 HCPCS,86510,Histoplasmosis skin test,,,5.66,79.42,17 HCPCS,86580,Hc Tb Intradermal Test - Tb Skin Test,74.0,74.0,,,0 HCPCS,86580,TB intradermal test,,,7.62,61.5,17 HCPCS,86581,Hc Ref Pneumococcal Antibody 14 Serotypes,50.0,50.0,,,0 HCPCS,86581,Hc Ref Pneumococcal Antibody 23 Serotypes,98.0,98.0,,,0 HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,195.1,7 HCPCS,86590,Streptokinase antibody,,,9.5,26.84,17 HCPCS,86592,Hc Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp,90.5,90.5,,,0 HCPCS,86592,Hc Syphilis Test Non Treponemal Antibody Qual - Vdrl Csf,90.5,90.5,,,0 HCPCS,86592,Syphilis test non-trep qual,,,3.2,9.05,17 HCPCS,86593,"Hc Syphilis Test, Quantitative - Rapid Plasmin Reagin (Syphilis) Titer",115.5,115.5,,,0 HCPCS,86593,Syphilis test non-trep quant,,,3.3,9.33,17 HCPCS,86596,Hc Paraneoplastic Autoantibody Evaluation,77.0,77.0,,,0 HCPCS,86596,Voltage-gtd ca chnl antb ea,,,9.04,25.55,15 HCPCS,86602,Antinomyces antibody,,,7.64,21.58,17 HCPCS,86603,Adenovirus antibody,,,9.65,27.28,17 HCPCS,86603,"Hc Adenovirus, Antibody - Adenovirus Antibodies",311.5,311.5,,,0 HCPCS,86606,Aspergillus antibody,,,11.29,31.91,17 HCPCS,86606,Hc Aspergillus Antibody - Aspergillus Abs,244.0,244.0,,,0 HCPCS,86606,Hc Aspergillus Antibody - Fungal Antibodies,244.0,244.0,,,0 HCPCS,86606,Hc Aspergillus Antibody - Hypersensitivity Pneumonitis Panel,244.0,244.0,,,0 HCPCS,86606,Noncdm Charge Record,264.0,264.0,,,0 HCPCS,86609,Bacterium antibody,,,9.66,27.31,17 HCPCS,86609,"Hc Bacterium, Antibody - T. Candidus Antibody",281.0,281.0,,,0 HCPCS,86611,Bartonella Antibody,,,7.64,21.58,17 HCPCS,86611,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igg",231.5,231.5,,,0 HCPCS,86611,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igg Titer",231.5,231.5,,,0 HCPCS,86611,"Hc Bartonella, Antibody - Bartonella Ab Panel - Igm",231.5,231.5,,,0 HCPCS,86611,"Hc Bartonella, Antibody - Bartonella Henselae Ab Panel - Igg Igm",231.5,231.5,,,0 HCPCS,86612,Blastomyces antibody,,,9.68,27.35,17 HCPCS,86612,"Hc Blastomyces, Antibody - Blastomyces Antibodies",213.5,213.5,,,0 HCPCS,86612,"Hc Blastomyces, Antibody - Fungal Antibodies",213.5,213.5,,,0 HCPCS,86615,Bordetella antibody,,,9.89,27.96,17 HCPCS,86617,"Hc Lyme Disease Antibody, Confirmatory - B. Burgdorferi Antibodies Wb",125.0,125.0,,,0 HCPCS,86617,"Hc Lyme Disease Antibody, Confirmatory - Lyme Disease, Western Blot",125.0,125.0,,,0 HCPCS,86617,Lyme disease antibody,,,11.62,32.84,17 HCPCS,86618,"Hc Ab, Borrelia Burgdorferi (Lyme) - B Burgdorferi Igg And Igm",405.0,405.0,,,0 HCPCS,86618,"Hc Ab, Borrelia Burgdorferi (Lyme) - Borrelia Burgdorferi Antibody",405.0,405.0,,,0 HCPCS,86618,"Hc Ab, Borrelia Burgdorferi (Lyme) - Borrelia Burgdorferi Antibody With Reflex To Igg A",405.0,405.0,,,0 HCPCS,86618,"Hc Ab, Borrelia Burgdorferi (Lyme) - Lyme Antibodies Total Csf",405.0,405.0,,,0 HCPCS,86618,Hc Lyme Disease Antibody - B. Burgdorferi Antibodies,405.0,405.0,,,0 HCPCS,86618,"Hc Lyme Disease Antibody - Lyme Disease (Borrelia Burgdorferi), Quant",405.0,405.0,,,0 HCPCS,86618,Lyme disease antibody,,,12.77,36.1,17 HCPCS,86619,Borrelia antibody,,,10.04,28.37,17 HCPCS,86622,Brucella antibody,,,6.7,18.93,17 HCPCS,86622,"Hc Brucella, Antibody - Brucella Species Antibody",225.5,225.5,,,0 HCPCS,86625,Campylobacter antibody,,,9.84,27.81,17 HCPCS,86628,Candida antibody,,,9.01,25.46,17 HCPCS,86631,Chlamydia antibody,,,8.87,25.06,17 HCPCS,86631,"Hc Chlamydia, Antibody - Chlamydia Igg Titers",213.5,213.5,,,0 HCPCS,86632,Chlamydia igm antibody,,,9.51,26.88,17 HCPCS,86632,"Hc Chlamydia, Igm, Antibody - Chlamydia Antibody Panel, Igg/Igm",211.0,211.0,,,0 HCPCS,86635,Coccidioides antibody,,,8.6,24.32,17 HCPCS,86635,"Hc Coccidioides, Antibody - Coccidioides Ab By Immunodiffusion",225.5,225.5,,,0 HCPCS,86635,"Hc Coccidioides, Antibody - Coccidioides Antibodies",225.5,225.5,,,0 HCPCS,86635,"Hc Coccidioides, Antibody - Coccidioides Antibody Reflexive Panel",225.5,225.5,,,0 HCPCS,86635,"Hc Coccidioides, Antibody - Coccidioides Titer",225.5,225.5,,,0 HCPCS,86635,"Hc Coccidioides, Antibody - Fungal Antibodies",225.5,225.5,,,0 HCPCS,86635,"Hc Coccidioides, Antibody - Phenylalanine And Tyrosine, Dried Blood Spot",225.5,225.5,,,0 HCPCS,86638,Hc Q Fever Antibody - C. Burnetii (Q-Fever) Igg Phase I Titer,293.0,293.0,,,0 HCPCS,86638,Hc Q Fever Antibody - Coxiella Burnetii Igg Phase I And Ii,293.0,293.0,,,0 HCPCS,86638,Q fever antibody,,,9.09,25.69,17 HCPCS,86641,Cryptococcus antibody,,,10.81,30.55,17 HCPCS,86644,CMV antibody,,,10.79,30.51,17 HCPCS,86644,Hc Cmv Antibody - Cmv Antibody Total,100.0,100.0,,,0 HCPCS,86644,Hc Cmv Antibody - Cmv Igg,100.0,100.0,,,0 HCPCS,86644,Hc Cmv Antibody - Cmv Neg Req,100.0,100.0,,,0 HCPCS,86644,Hc Cmv Antibody - Cytomegalovirus Antibody Igg,100.0,100.0,,,0 HCPCS,86644,Hc Cmv Antibody - Donor Anticytomegalyvirus,100.0,100.0,,,0 HCPCS,86645,Cmv antibody igm,,,12.64,35.72,17 HCPCS,86645,"Hc Cmv Antibody, Igm - Cytomegalovirus Antibody, Igm",143.5,143.5,,,0 HCPCS,86648,Diphtheria antibody,,,11.41,32.25,17 HCPCS,86651,Encephalitis californ antbdy,,,9.89,27.96,17 HCPCS,86651,"Hc Encephalitis Californ Antbdy - Encephalitis, California Arbovirus Antibody Igg",287.0,287.0,,,0 HCPCS,86652,Encephaltis east eqne anbdy,,,9.89,27.96,17 HCPCS,86652,Hc Encephaltis East Eqne Anbdy - Arbo East,287.0,287.0,,,0 HCPCS,86652,Hc Encephaltis East Eqne Anbdy - Csf Arbo Virus Igg,287.0,287.0,,,0 HCPCS,86653,Encephaltis st louis antbody,,,9.89,27.96,17 HCPCS,86653,Hc Encephaltis St Louis Antbody - Arbovirus Antibodies Igg,287.0,287.0,,,0 HCPCS,86653,Hc Encephaltis St Louis Antbody - Csf Arbovirus Antibodies Igg,287.0,287.0,,,0 HCPCS,86654,Encephaltis west eqne antbdy,,,9.89,27.96,17 HCPCS,86654,Hc Encephaltis West Eqne Antbdy - Arbovirus Antibodies Igg,287.0,287.0,,,0 HCPCS,86654,Hc Encephaltis West Eqne Antbdy - Csf Arbovirus Antibodies Igg,287.0,287.0,,,0 HCPCS,86658,Enterovirus antibody,,,9.77,27.62,17 HCPCS,86658,Hc Enterovirus Antibody - Coxsackie B,317.5,317.5,,,0 HCPCS,86658,Hc Enterovirus Antibody - Coxsackie B Virus Antibodies,317.5,317.5,,,0 HCPCS,86658,Hc Enterovirus Antibody - Echovirus Antibodies,317.5,317.5,,,0 HCPCS,86658,Hc Enterovirus Antibody - Echovirus Antibody Type,317.5,317.5,,,0 HCPCS,86663,Epstein-barr antibody,,,9.84,27.81,17 HCPCS,86664,Epstein-barr nuclear antigen,,,11.47,32.41,17 HCPCS,86664,Hc Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Antibodies Vca Igg+Ebna Igg+Vc,367.0,367.0,,,0 HCPCS,86664,Hc Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab,367.0,367.0,,,0 HCPCS,86665,Epstein-barr capsid vca,,,13.61,38.46,17 HCPCS,86665,Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Panel,430.0,430.0,,,0 HCPCS,86665,"Hc Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg+Ebna Igg+Vc",430.0,430.0,,,0 HCPCS,86666,Ehrlichia Antibody,,,7.64,21.58,17 HCPCS,86666,Hc Ehrlichia Antibody - Ehrlichia Chaffeensis Antibodies Igg Igm,157.5,157.5,,,0 HCPCS,86668,Francisella tularensis,,,10.62,30.02,17 HCPCS,86671,Fungus nes antibody,,,9.19,25.97,17 HCPCS,86671,"Hc Fungus, Antibody - Saccharomyces Cerevisiae Antibodies, Igg And Iga",83.5,83.5,,,0 HCPCS,86674,Giardia lamblia antibody,,,11.04,31.21,17 HCPCS,86677,Helicobacter pylori antibody,,,12.64,35.72,17 HCPCS,86682,"Hc Helminth, Antibody - Echinococcus Antibody, Igg",271.0,271.0,,,0 HCPCS,86682,"Hc Helminth, Antibody - Schistosoma Antibody, Igg",271.0,271.0,,,0 HCPCS,86682,"Hc Helminth, Antibody - Strongyloides Serology",271.0,271.0,,,0 HCPCS,86682,"Hc Helminth, Antibody - Toxacara Antibody Total",271.0,271.0,,,0 HCPCS,86682,"Hc Helminth, Antibody - Toxacara Canis",271.0,271.0,,,0 HCPCS,86682,Helminth antibody,,,9.76,27.58,17 HCPCS,86684,Hemophilus influenza antibdy,,,11.88,33.58,17 HCPCS,86687,Htlv-i antibody,,,6.82,19.27,17 HCPCS,86688,Htlv-ii antibody,,,10.5,29.68,17 HCPCS,86689,Hc Htlv Or Hiv Antibody Confirmatory Test - Anti Htlv1 Confirmation,746.5,746.5,,,0 HCPCS,86689,Hc Htlv Or Hiv Antibody Confirmatory Test - Donor Htlv I/Ii Antibody Supplement,746.5,746.5,,,0 HCPCS,86689,Hc Htlv Or Hiv Antibody Confirmatory Test - Htlv1,746.5,746.5,,,0 HCPCS,86689,Hc Htlv/Hiv Confirmatory Test - Hiv-1 Western Blot,746.5,746.5,,,0 HCPCS,86689,Htlv/hiv confirmj antibody,,,14.51,41.02,17 HCPCS,86692,"Hc Hepatitis, Delta Agent - Hepatitis Delta Agent",405.0,405.0,,,0 HCPCS,86692,Hepatitis delta agent antbdy,,,12.87,36.38,17 HCPCS,86694,"Hc Herpes Simplex Test, Unspecified Type - Herpes Simplex Virus Type 1/2 Combined Antibody",189.5,189.5,,,0 HCPCS,86694,Herpes simplex nes antbdy,,,10.79,30.51,17 HCPCS,86695,"Hc Herpes Simplex Test, Type 1 - Herpes Simplex Virus 1 Ab Igg + Herpes Simplex",319.0,319.0,,,0 HCPCS,86695,"Hc Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody",319.0,319.0,,,0 HCPCS,86695,Herpes simplex type 1 test,,,9.89,27.96,17 HCPCS,86696,"Hc Herpes Simplex Test, Type 2 - Herpes Simplex Virus 1 Antibody Igg + Herpes Simplex",418.0,418.0,,,0 HCPCS,86696,"Hc Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody",418.0,418.0,,,0 HCPCS,86696,Herpes simplex type 2 test,,,14.51,41.02,17 HCPCS,86698,Hc Histoplasma - Fungal Antibodies,206.5,206.5,,,0 HCPCS,86698,Hc Histoplasma - Histoplasma Antibodies,206.5,206.5,,,0 HCPCS,86698,Histoplasma antibody,,,10.34,29.23,17 HCPCS,86701,Hc Hiv-1 - Focus Hiv Confirmatory,213.5,213.5,,,0 HCPCS,86701,Hc Hiv-1 - Hiv 1/2 Ab Differentiation Supplemental,213.5,213.5,,,0 HCPCS,86701,Hiv-1antibody,,,6.67,18.85,17 HCPCS,86702,Hc Hiv-2 - Focus Hiv Confirmatory,108.0,108.0,,,0 HCPCS,86702,Hc Hiv-2 - Hiv-1/2 Antibodies Differential Supplemental,108.0,108.0,,,0 HCPCS,86702,Hiv-2 antibody,,,10.14,28.66,17 HCPCS,86703,"Hc Hiv-1/Hiv-2, Single Assay - Donor Screen Panel Bcw",329.5,329.5,,,0 HCPCS,86703,"Hc Hiv-1/Hiv-2, Single Assay - Donor Screen Panel With Cmv Bcw",329.5,329.5,,,0 HCPCS,86703,"Hc Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 And 2 Screen",329.5,329.5,,,0 HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,10.28,29.07,17 HCPCS,86704,"Hc Hep B Core Ab Test, Total - Donor Hepatitis B Core Ab Supplement",287.0,287.0,,,0 HCPCS,86704,"Hc Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total",287.0,287.0,,,0 HCPCS,86704,"Hc Hep B Core Ab Test, Total - Hepatitis B Diagnostic Profile",287.0,287.0,,,0 HCPCS,86704,Hep b core antibody total,,,9.04,25.55,17 HCPCS,86705,"Hc Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm",284.0,284.0,,,0 HCPCS,86705,"Hc Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm Acute Titer",284.0,284.0,,,0 HCPCS,86705,Hep b core antibody igm,,,8.83,24.95,17 HCPCS,86706,Hc Hepatitis B Surface Ab Test - Hepatitis B Diagnostic Profile,269.0,269.0,,,0 HCPCS,86706,Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody,269.0,269.0,,,0 HCPCS,86706,Hc Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody Quantification,203.5,203.5,,,0 HCPCS,86706,Hep b surface antibody,,,8.06,22.77,17 HCPCS,86707,Hc Hepatitis Be Ab Test - Hepatitis B E Antibody,283.0,283.0,,,0 HCPCS,86707,Hepatitis be antibody,,,8.68,24.53,17 HCPCS,86708,Hc Hepatitis A Antibody Haab - Hepatitis A Antibody Igg+ Ig,299.5,299.5,,,0 HCPCS,86708,"Hc Hepatitis A Antibody Haab - Hepatitis A Antibody, Total",299.5,299.5,,,0 HCPCS,86708,Hepatitis a antibody,,,9.29,26.27,17 HCPCS,86709,"Hc Hepatitis Antibody Haab Igm Antibody - Hepatitis A Antibody Total, +Igm",272.0,272.0,,,0 HCPCS,86709,"Hc Hepatitis Antibody Haab Igm Antibody - Hepatitis A Antibody, Igm",272.0,272.0,,,0 HCPCS,86709,Hepatitis a igm antibody,,,8.45,23.87,17 HCPCS,86710,Hc Influenza Virus - Influenza Type A Antibody,497.5,497.5,,,0 HCPCS,86710,Hc Influenza Virus - Influenza Type B Antibody,497.5,497.5,,,0 HCPCS,86710,Influenza virus antibody,,,10.16,28.73,17 HCPCS,86711,Hc Jc Virus - Csf Jc Virus By Prc,139.5,139.5,,,0 HCPCS,86711,John cunningham antibody,,,12.67,35.81,17 HCPCS,86713,Hc Legionella - Legionella Pneumophila Totl Ab,367.0,367.0,,,0 HCPCS,86713,Legionella antibody,,,11.48,32.44,17 HCPCS,86717,Hc Leishmania - Leishmania Antibody Igg (Visceral Leishmaniasis),163.0,163.0,,,0 HCPCS,86717,Leishmania antibody,,,9.19,25.97,17 HCPCS,86720,Leptospira antibody,,,12.15,34.34,17 HCPCS,86723,Listeria monocytogenes,,,9.89,27.96,17 HCPCS,86727,Hc Lymph Choriomeningitis - Lymphocytic Choriomeningitis Antibody,153.5,153.5,,,0 HCPCS,86727,Lymph choriomeningitis ab,,,9.65,27.28,17 HCPCS,86732,Mucormycosis antibody,,,11.25,31.8,17 HCPCS,86735,Hc Mumps - Mumps Antibody,317.935,317.935,,,0 HCPCS,86735,Mumps antibody,,,9.79,27.67,17 HCPCS,86738,Hc Mycoplasma - Mycoplasma Antibody,319.0,319.0,,,0 HCPCS,86738,"Hc Mycoplasma - Mycoplasma Pneumoniae Antibody, Igg",319.0,319.0,,,0 HCPCS,86738,Mycoplasma antibody,,,9.93,28.07,17 HCPCS,86741,Neisseria meningitidis,,,9.89,27.96,17 HCPCS,86744,Hc Nocardia - Nocardia Antibody,72.0,72.0,,,0 HCPCS,86744,Nocardia antibody,,,11.99,33.9,17 HCPCS,86747,"Hc Parvovirus - Parvovirus B19 Antibody, Igg And Igm",364.5,364.5,,,0 HCPCS,86747,Parvovirus antibody,,,11.27,31.86,17 HCPCS,86750,Malaria antibody,,,9.89,27.96,17 HCPCS,86753,"Hc Protozoa, Not Elsewhere - Entamoeba Histolytica Antibody Igg",299.5,299.5,,,0 HCPCS,86753,"Hc Protozoa, Not Elsewhere - Trypanosoma Cruzi Antibody, Igg",299.5,299.5,,,0 HCPCS,86753,"Hc Protozoa, Not Elsewhere - Trypanosoma Cruzi Antibody, Igm",299.5,299.5,,,0 HCPCS,86753,Protozoa antibody nos,,,9.29,26.27,17 HCPCS,86756,Respiratory virus antibody,,,11.92,33.69,17 HCPCS,86757,Hc Rickettsia - Rickettsia Rickettsii Antibody,164.5,164.5,,,0 HCPCS,86757,Hc Rickettsia - Rickettsia Typhi (Typhus Fever) Antibody -Igg,164.5,164.5,,,0 HCPCS,86757,Hc Rickettsia - Rickettsia Typhi (Typhus Fever) Antibody -Igm,164.5,164.5,,,0 HCPCS,86757,Hc Rickettsia - Rocy Mountain Spotted Fever Serology Rickettsia R,164.5,164.5,,,0 HCPCS,86757,Hc Rickettsia - Typhus Serology,164.5,164.5,,,0 HCPCS,86757,Rickettsia Antibody,,,14.51,41.02,17 HCPCS,86759,Rotavirus antibody,,,13.67,38.65,17 HCPCS,86762,"Hc Rubella - Rubella Antibody, Igg",209.0,209.0,,,0 HCPCS,86762,"Hc Rubella - Rubella Antibody, Igm",284.0,284.0,,,0 HCPCS,86762,Rubella antibody,,,10.79,30.51,17 HCPCS,86765,Hc Rubeola - Rubeola Measles Antibody Igg,49.0,49.0,,,0 HCPCS,86765,Rubeola antibody,,,9.66,27.31,17 HCPCS,86768,Salmonella antibody,,,9.89,27.96,17 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Antibody - C3 Complement Level,204.5,204.5,,,0 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Antibody - C3+C4 Complement Level,204.5,204.5,,,0 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Antibody - C4 Complement Level,204.5,204.5,,,0 HCPCS,86769,Hc Sars-Cov-2 Covid-19 Antibody - Sars-Cov-2 (Covid-19) Antibody Igg,204.5,204.5,,,0 HCPCS,86769,Sars-cov-2 covid-19 antibody,,,31.6,89.32,17 HCPCS,86771,Shigella antibody,,,18.36,51.9,17 HCPCS,86774,Tetanus antibody,,,11.1,31.38,17 HCPCS,86777,"Hc Toxoplasma - Toxoplasma Gondii Antibody, Igg/Igm",281.0,281.0,,,0 HCPCS,86777,Hc Toxoplasma - Toxoplasma Gondii Igg Antibody,281.0,281.0,,,0 HCPCS,86777,Toxoplasma antibody,,,10.79,30.51,17 HCPCS,86778,"Hc Toxoplasma, Igm - Toxoplasma Gondii Antibody, Igg/Igm",346.0,346.0,,,0 HCPCS,86778,"Hc Toxoplasma, Igm - Toxoplasma Gondii Antibody, Igm",346.0,346.0,,,0 HCPCS,86778,Toxoplasma antibody igm,,,10.81,30.55,17 HCPCS,86780,Hc Antibody Treponema Pallidum - Donor,163.0,163.0,,,0 HCPCS,86780,Hc Antibody Treponema Pallidum - Donor Syphilis Antibody Total,163.0,163.0,,,0 HCPCS,86780,Hc Antibody Treponema Pallidum - Donor Syphilis Confirmatory,163.0,163.0,,,0 HCPCS,86780,Hc Antibody Treponema Pallidum - Fta-Abs,163.0,163.0,,,0 HCPCS,86780,Hc Antibody Treponema Pallidum - Particle Agglutination,163.0,163.0,,,0 HCPCS,86780,Hc Antibody Treponema Pallidum - Syphilis Antibody Igg And Igm Total,163.0,163.0,,,0 HCPCS,86780,Hc Ref Treponema Pallidum Antibody By Tp-Pa,163.0,163.0,,,0 HCPCS,86780,Treponema pallidum,,,9.93,28.07,17 HCPCS,86784,Hc Trichinella - Trichinella Igg Serology,300.5,300.5,,,0 HCPCS,86784,Trichinella antibody,,,9.42,26.63,17 HCPCS,86787,Hc Varicella-Zoster - Varicella-Zoster Virus Antibody Igg,188.0,188.0,,,0 HCPCS,86787,Varicella-zoster antibody,,,9.66,27.31,17 HCPCS,86788,"Hc West Nile Virus Ab, Igm - West Nile Ab Csf Igm",234.0,234.0,,,0 HCPCS,86788,"Hc West Nile Virus Ab, Igm - West Nile Antibodies, Igg And Igm",234.0,234.0,,,0 HCPCS,86788,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody Igg",234.0,234.0,,,0 HCPCS,86788,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody Serology",234.0,234.0,,,0 HCPCS,86788,"Hc West Nile Virus Ab, Igm - West Nile Virus Antibody, Igm",234.0,234.0,,,0 HCPCS,86788,West nile virus ab igm,,,12.64,35.72,17 HCPCS,86789,Hc West Nile Virus Antibody - Arbo Virus,163.0,163.0,,,0 HCPCS,86789,Hc West Nile Virus Antibody - Arbo Wn,163.0,163.0,,,0 HCPCS,86789,"Hc West Nile Virus Antibody - West Nile Virus Antibody, Igg",163.0,163.0,,,0 HCPCS,86789,"Hc West Nile Virus Antibody - West Nile Virus Antibody, Igm",163.0,163.0,,,0 HCPCS,86789,Hc West Nile Virus Antibody - West Nile Virus Serology,163.0,163.0,,,0 HCPCS,86789,West Nile Virus Antibody,,,10.79,30.51,17 HCPCS,86790,"Hc Antibody, Virus, Nos - Anti-Hepatitis A Virus Igg",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Covid19 Antibody",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Dengue Fever Virus Igg Antibody",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Donor",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Hepatitis A Antibody Total + Igm",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibodies Igg And Igm",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibody Igg",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Hepatitis E Virus (Hev) Antibody Igm",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Htlv I/Ii Antibody",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Htlv I/Ii Antibody With Reflex Confirm",121.0,121.0,,,0 HCPCS,86790,"Hc Antibody, Virus, Nos - Human Hepesvirus 6 Antibody",121.0,121.0,,,0 HCPCS,86790,Virus antibody nos,,,9.66,27.31,17 HCPCS,86793,Yersinia antibody,,,9.89,27.96,17 HCPCS,86794,Zika virus igm antibody,,,12.64,35.72,17 HCPCS,86800,Hc Thyroglobulin Antibody - Anti-Thyroglobulin Ab,376.5,376.5,,,0 HCPCS,86800,Hc Thyroglobulin Antibody - Chronic Urticaria Panel,376.5,376.5,,,0 HCPCS,86800,Hc Thyroglobulin Antibody - Thyroglobulin,376.5,376.5,,,0 HCPCS,86800,Hc Thyroglobulin Antibody - Thyroglobulin Antibody,376.5,376.5,,,0 HCPCS,86800,Thyroglobulin antibody,,,11.93,33.73,17 HCPCS,86803,Hc Hepatitis C Ab Test - Donor Hepatitis C Antibody Supplemental,335.0,335.0,,,0 HCPCS,86803,Hc Hepatitis C Ab Test - Donor Screen Panel Bcw,335.0,335.0,,,0 HCPCS,86803,Hc Hepatitis C Ab Test - Donor Screen Panel With Cmv Bcw,335.0,335.0,,,0 HCPCS,86803,Hc Hepatitis C Ab Test - Employee Exposure Panel,335.0,335.0,,,0 HCPCS,86803,Hc Hepatitis C Ab Test - Focus Hcv Screen,335.0,335.0,,,0 HCPCS,86803,Hc Hepatitis C Ab Test - Hepatitis C Antibody,335.0,335.0,,,0 HCPCS,86803,Hepatitis c ab test,,,10.7,30.25,17 HCPCS,86804,Hep c ab test confirm,,,11.62,32.84,17 HCPCS,86805,Lymphocytotoxicity assay,,,142.13,401.76,17 HCPCS,86806,Lymphocytotoxicity assay,,,35.69,100.89,17 HCPCS,86807,Cytotoxic antibody screening,,,58.99,166.74,17 HCPCS,86808,Cytotoxic antibody screening,,,22.26,62.92,17 HCPCS,86812,"Hc Hla Typing, A,B,Or C /Single - Hla-B27 Antigen",725.0,725.0,,,0 HCPCS,86812,Hla typing a b or c,,,19.36,54.72,17 HCPCS,86813,"Hc Hla Typing, A,B,Or C /Multi - Abc Loci",1331.0,1331.0,,,0 HCPCS,86813,"Hc Hla Typing, A,B,Or C /Multi - Hla Abc Type",1331.0,1331.0,,,0 HCPCS,86813,Hla typing a b or c,,,43.5,122.96,17 HCPCS,86816,Hla typing dr/dq,,,22.63,63.96,17 HCPCS,86817,"Hc Hla Typing, Dr/Dq,Multi Antgn - Hla Typing, Dr/Dq, Multiple Antigens",1679.0,1679.0,,,0 HCPCS,86817,Hla typing dr/dq,,,79.61,225.02,17 HCPCS,86821,Lymphocyte culture mixed,,,27.42,77.51,17 HCPCS,86825,"Hc Hla Crossmatch, Non-Cytotoxic, 1St Serum/Samp Or Dil - Hla Allo Flow Crossmatch",936.0,936.0,,,0 HCPCS,86825,"Hc Hla Crossmatch, Non-Cytotoxic, 1St Serum/Samp Or Dil - Hla Auto Flow Crossmatch",936.0,936.0,,,0 HCPCS,86825,Hla x-math non-cytotoxic,,,82.12,232.12,17 HCPCS,86826,"Hc Hla Crossmatch, Non-Cytotoxic, Serum/Samp - Hla Allo Flow Crossmatch Ea Addl",205.5,205.5,,,0 HCPCS,86826,"Hc Hla Crossmatch, Non-Cytotoxic, Serum/Samp - Hla Auto Flow Crossmatch Ea Addl",205.5,205.5,,,0 HCPCS,86826,Hla x-match noncytotoxc addl,,,27.4,77.44,17 HCPCS,86828,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Antibody Screen",521.5,521.5,,,0 HCPCS,86828,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Monthly Antibody Profile",521.5,521.5,,,0 HCPCS,86828,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Plt Refractory Ab Screen",521.5,521.5,,,0 HCPCS,86828,"Hc Antibody, To Hla, Solid Phase Assays, Qual - Hla Post Transplant Monitoring Dsa",521.5,521.5,,,0 HCPCS,86828,Hla class i&ii antibody qual,,,48.14,136.08,17 HCPCS,86828,Noncdm Charge Record,370.0,370.0,,,0 HCPCS,86829,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Ab Screen",277.5,277.5,,,0 HCPCS,86829,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Bm Crossmatch Report",277.5,277.5,,,0 HCPCS,86829,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Hla Donor Specific Evaluation",277.5,277.5,,,0 HCPCS,86829,"Hc Antibody To Hla, Solid Phase Assay, Qual, Class I Or Ii Ag -Post Tx Ab Monitoring To Identify/Fla",277.5,277.5,,,0 HCPCS,86829,Hla class i/ii antibody qual,,,48.14,136.08,17 HCPCS,86830,"Hc Antibody, To Hla Class I, Solid Phase Assays, Qual - Hla Class I Antibody Specificity Phenotype P",655.0,655.0,,,0 HCPCS,86830,Hla class i phenotype qual,,,71.64,202.5,17 HCPCS,86831,"Hc Antibody, To Hla Class Ii, Solid Phase Assays, Qual - Hla Class Ii Antibody Specificity Phenotype",655.0,655.0,,,0 HCPCS,86831,Hla class ii phenotype qual,,,61.41,173.59,17 HCPCS,86832,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual - Hla Class I Antibody Specificity",1192.5,1192.5,,,0 HCPCS,86832,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Ab Spec Class I Flow",1192.5,1192.5,,,0 HCPCS,86832,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Monthly Antibody Profile",1192.5,1192.5,,,0 HCPCS,86832,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Hla Post Transplant Monitoring Dsa",1192.5,1192.5,,,0 HCPCS,86832,"Hc Antibody, To Hla Ag Class I, Solid Phase Assays, Hd Qual -Post-Tx Antibody Monitoring To Identify",1192.5,1192.5,,,0 HCPCS,86832,Hc Hla Antibodyhigh Def Qual Panel For Ab Id,1192.5,1192.5,,,0 HCPCS,86832,Hla class i high defin qual,,,242.81,686.35,17 HCPCS,86833,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Ab Spec Class Ii Flow",1082.5,1082.5,,,0 HCPCS,86833,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Class Ii Antibody Specificity",1082.5,1082.5,,,0 HCPCS,86833,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Monthly Antibody Profile",1082.5,1082.5,,,0 HCPCS,86833,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Hla Post Transplant Monitoring Dsa",1082.5,1082.5,,,0 HCPCS,86833,"Hc Ab Hla, Solid Phase Assays, Hd Qual, Hla Class Ii - Post-Tx Antibody Monitoring To Identify And F",1082.5,1082.5,,,0 HCPCS,86833,Hla class ii high defin qual,,,244.35,690.7,17 HCPCS,86834,"Hc Ab Hla, Solid Phase Assay, Semi Quant, Hla Class I - Hla Class I Antibody Specificity Dilution St",3354.0,3354.0,,,0 HCPCS,86834,Hla class i semiquant panel,,,268.17,758.03,17 HCPCS,86835,"Hc Ab To Hla, Solid Phase Assay, Semi Quant Hla Class Ii- Hla Class Ii Antibody Specificity Dilution",3028.5,3028.5,,,0 HCPCS,86835,Hla class ii semiquant panel,,,242.22,684.68,17 HCPCS,86849,Hc Unlisted Immunology Procedure - Antiprothrombin Antibody,198.0,198.0,,,0 HCPCS,86849,Hc Unlisted Immunology Procedure - Cadaveric Donor,197.98000000000002,197.98000000000002,,,0 HCPCS,86849,Hc Unlisted Immunology Procedure - Call Back Charge,198.0,198.0,,,0 HCPCS,86849,Hc Unlisted Immunology Procedure - Extended Antiphospholipid Profile,198.0,198.0,,,0 HCPCS,86849,Hc Unlisted Immunology Procedure - Unlisted Immunology Procedure,198.0,198.0,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Antibody Screen,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Antibody Screen Eluate,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Antibody Screen Eluate Gel,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Antibody Screen Gel,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Antibody Screen Rbc,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen - Cold Antibody Screen,225.5,225.5,,,0 HCPCS,86850,Hc Rbc Antibody Screen -Ref Lab Antibody Screen Each Serum,225.5,225.5,,,0 HCPCS,86850,RBC antibody screen,,,7.33,110.81,17 HCPCS,86860,"Hc Rbc Antibody Elution - Antibody Elution (Rbc), Each Elution",484.0,484.0,,,0 HCPCS,86860,"Hc Rbc Antibody Elution -Ref Lab Antibody Elution (Rbc), Each Elution",484.0,484.0,,,0 HCPCS,86860,RBC antibody elution,,,22.28,362.28,17 HCPCS,86870,"Hc Rbc Antibody Identification - Antibody Id, Rbc, Ea Panel, Ea Serum Technique",808.5,808.5,,,0 HCPCS,86870,"Hc Rbc Antibody Identification - Ref Lab Antibody Id, Rbc, Ea Panel, Ea Serum Technique",808.5,808.5,,,0 HCPCS,86870,RBC antibody identification,,,30.61,762.2,17 HCPCS,86880,Coombs test direct,,,4.04,125.44,17 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - C3,262.0,262.0,,,0 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - C3 Gel,262.0,262.0,,,0 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - Direct,262.0,262.0,,,0 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - Igg,262.0,262.0,,,0 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - Igg Gel,262.0,262.0,,,0 HCPCS,86880,Hc Antihuman Globulin Direct Ea Antiserum - Infant,262.0,262.0,,,0 HCPCS,86880,"Hc Antihuman Globulin Direct Ea Antiserum -Ref Lab Direct, Each Antiserum",262.0,262.0,,,0 HCPCS,86885,Coombs test indirect qual,,,4.29,362.28,17 HCPCS,86885,Hc Antihuman Globulin Indir Qual Ea Reagent Red Cell - Indirect,453.5,453.5,,,0 HCPCS,86885,Hc Antihuman Globulin Indir Qual Ea Reagent Red Cell - Ref Lab Indirect,453.5,453.5,,,0 HCPCS,86886,Coombs test indirect titer,,,3.89,362.28,17 HCPCS,86886,Hc Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer,481.0,481.0,,,0 HCPCS,86886,Hc Antihuman Globulin Indirect Ea Antibody Titer - Ref Lab Antibody Titer,481.0,481.0,,,0 HCPCS,86890,Autologous blood process,,,70.03,362.28,17 HCPCS,86890,Hc Autologous Blood Or Component -Collec Processing And Storage,855.5,855.5,,,0 HCPCS,86891,Autologous blood op salvage,,,98.92,1713.21,17 HCPCS,86891,Hc Autologous Blood Or Component -Cellsaver,2065.5,2065.5,,,0 HCPCS,86900,Blood typing serologic abo,,,2.24,282.92,17 HCPCS,86900,Hc Blood Typing Serologic Abo - Abo/Rh Type,262.0,262.0,,,0 HCPCS,86900,Hc Blood Typing Serologic Abo - Donor Abo/Rh Type,262.0,262.0,,,0 HCPCS,86900,Hc Blood Typing Serologic Abo - Infant/Cord,262.0,262.0,,,0 HCPCS,86900,Hc Blood Typing Serologic Abo - Ref Lab Abo/Rh Type,262.0,262.0,,,0 HCPCS,86901,Blood typing serologic rh(d),,,2.24,79.42,17 HCPCS,86901,Hc Blood Typing Serologic Rh - Abo/Rh Type,143.5,143.5,,,0 HCPCS,86901,Hc Blood Typing Serologic Rh - Ref Lab Abo/Rh Type,143.5,143.5,,,0 HCPCS,86902,Blood type antigen donor ea,,,4.76,762.2,17 HCPCS,86902,"Hc Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Each Antigen Test",703.0,703.0,,,0 HCPCS,86902,Hc Ref Blood Type - Rare/ Uncommon Ph,703.0,703.0,,,0 HCPCS,86902,"Hc Ref Blood Type - Rbc Antigen Negative Each, Unit",703.0,703.0,,,0 HCPCS,86902,Hc Ref Blood Type -Molecular Type/Antigen,703.0,703.0,,,0 HCPCS,86904,Blood typing patient serum,,,12.26,125.44,17 HCPCS,86904,"Hc Blood Typing Antigen Screen Patient Plasma/Unit - Blood Typing, Pat",143.5,143.5,,,0 HCPCS,86904,"Hc Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat",143.5,143.5,,,0 HCPCS,86904,"Hc Ref Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat",143.5,143.5,,,0 HCPCS,86905,Blood typing rbc antigens,,,2.87,762.2,17 HCPCS,86905,"Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Pt Blood Typing, Rbc",703.0,703.0,,,0 HCPCS,86905,Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Ref Lab Antigen Typing,703.0,703.0,,,0 HCPCS,86905,Hc Blood Typing Rbc Antigens Oth/Thn Abo/Rh D Each - Ref Lab Phenotype Each,703.0,703.0,,,0 HCPCS,86906,Bld typing serologic rh phnt,,,5.81,79.42,17 HCPCS,86906,"Hc Ref Bb Rh Phenotyping, Pt Testing, Complete",143.5,143.5,,,0 HCPCS,86906,"Hc Ref Lab Bb Rh Phenotyping, Complete",143.5,143.5,,,0 HCPCS,86910,Blood typing paternity test,,,18.12,43.48,10 HCPCS,86911,Blood typing antigen system,,,15.67,37.61,10 HCPCS,86920,Compatibility test spin,,,24.73,362.28,17 HCPCS,86920,"Hc Crossmatch - Immediate Spin Interpretation, Each Unit",213.0,213.0,,,0 HCPCS,86920,"Hc Crossmatch - Immediate Spin Saline Replacement, Each Unit",213.0,213.0,,,0 HCPCS,86920,Hc Crossmatch Prewarm - Incubation Technique Ea Unit,213.0,213.0,,,0 HCPCS,86920,"Hc Ref Crossmatch - Immediate Spin Saline Replacement, Each Unit",213.0,213.0,,,0 HCPCS,86921,Compatibility test incubate,,,22.28,362.28,17 HCPCS,86921,Hc Crossmatch Prewarm - Incubation Technique Ea Unit,421.0,421.0,,,0 HCPCS,86922,Compatibility test antiglob,,,26.45,362.28,17 HCPCS,86922,Hc Crossmatch - Ahg Donor Recipient Major Crossmatch,453.5,453.5,,,0 HCPCS,86922,Hc Crossmatch - Ahg Gel Interpretation,453.5,453.5,,,0 HCPCS,86922,Hc Crossmatch - Antiglobulin Interpretation,453.5,453.5,,,0 HCPCS,86922,Hc Crossmatch - Prewarm Gel Interpretation,453.5,453.5,,,0 HCPCS,86922,Hc Crossmatch - Ref Lab Ahg Interpretation,453.5,453.5,,,0 HCPCS,86922,Hc Crossmatch - Saline Replacement Ahg Interpretation,453.5,453.5,,,0 HCPCS,86923,Compatibility test electric,,,19.83,362.28,17 HCPCS,86923,Hc Electronic Crossmatch,244.0,244.0,,,0 HCPCS,86927,Hc Fresh Frozen Plasma - Thawing,491.0,491.0,,,0 HCPCS,86927,Hc Fresh Frozen Plasma - Thawing Cryo,491.0,491.0,,,0 HCPCS,86927,Plasma fresh frozen,,,13.96,362.28,17 HCPCS,86930,Frozen blood prep,,,82.52,362.28,17 HCPCS,86931,Frozen blood thaw,,,61.94,362.28,17 HCPCS,86931,"Hc Frozen Blood, Each Unit; Thawing - Washed Blood Process",984.0,984.0,,,0 HCPCS,86932,Frozen blood freeze/thaw,,,33.43,168.06,17 HCPCS,86940,"Hc Ref Lab Bb Hemlysins And Agglutinins; Auto, Screen, Each",65.5,65.5,,,0 HCPCS,86940,Hemolysins/agglutinins auto,,,6.58,18.59,17 HCPCS,86941,Hc Bb Hemlysins And Agglutinins; Incubated - Donath-Landsteiner,97.0,97.0,,,0 HCPCS,86941,Hc Ref Lab Bb Hemlysins And Agglutinins; Incubated,97.0,97.0,,,0 HCPCS,86941,Hemolysins/agglutinins,,,9.08,25.67,17 HCPCS,86945,Blood product/irradiation,,,20.57,79.42,17 HCPCS,86945,Hc Irradiation Of Blood - Each Unit,143.5,143.5,,,0 HCPCS,86950,Leukacyte transfusion,,,53.62,362.28,17 HCPCS,86960,Vol reduction of blood/prod,,,23.02,362.28,17 HCPCS,86965,Hc Cryoprecipitate - Pooling,421.0,421.0,,,0 HCPCS,86965,Pooling blood platelets,,,23.02,362.28,17 HCPCS,86970,Hc Bb Pretreament Chemical Treatment Chloroquin Reduction,125.0,125.0,,,0 HCPCS,86970,Hc Chemical Treatment Dithiothreitol,125.0,125.0,,,0 HCPCS,86970,Hc Chemical Treatment Edta Glycine Acid,125.0,125.0,,,0 HCPCS,86970,Hc Pretx Rbc Ab Inc With Chemical Treatment Dithiothreitol,125.0,125.0,,,0 HCPCS,86970,Hc Ref Lab Bb Pretreament Chemical/Drug,125.0,125.0,,,0 HCPCS,86970,Rbc pretx incubatj w/chemicl,,,20.57,125.44,17 HCPCS,86971,Hc Enzyme Treatment Of Rbc Each Cell,703.0,703.0,,,0 HCPCS,86971,Hc Enzyme Treatment Of Rbc Each Panel,703.0,703.0,,,0 HCPCS,86971,Rbc pretx incubatj w/enzymes,,,16.4,362.28,17 HCPCS,86972,Hc Ref Lab Bb Reticulocyte Separation By Density,394.0,394.0,,,0 HCPCS,86972,Hc Reticulocyte Separation/Hypotonic Wash,394.0,394.0,,,0 HCPCS,86972,Rbc pretx incubatj w/density,,,28.89,362.28,17 HCPCS,86975,Hc Antibody Neutralization,198.0,198.0,,,0 HCPCS,86975,Hc Ref Lab Bb Incubation Chemical/Drug,198.0,198.0,,,0 HCPCS,86975,Rbc serum pretx incubj drugs,,,22.28,949.92,17 HCPCS,86976,Hc Ref Lab Bb Dilution Of Serum Each Aliquot,125.0,125.0,,,0 HCPCS,86976,Rbc serum pretx id dilution,,,22.99,61.5,17 HCPCS,86977,"Hc Ref Blood Bank -Rbc Antibody Id - Incubation W/Inhibitors, Each",421.0,421.0,,,0 HCPCS,86977,Rbc serum pretx incubj/inhib,,,24.73,362.28,17 HCPCS,86978,"Hc Red Cell Antibody Allo Absorption, Each",115.5,115.5,,,0 HCPCS,86978,"Hc Red Cell Antibody Auto Absorption, Cold Each",115.5,115.5,,,0 HCPCS,86978,"Hc Red Cell Antibody Auto Absorption, Warm Each",115.5,115.5,,,0 HCPCS,86978,"Hc Ref Lab Bb Red Cell Antibody Absorption, Each",115.5,115.5,,,0 HCPCS,86978,Rbc pretreatment serum,,,24.73,125.44,17 HCPCS,86985,Hc Splitting Of Blood Product - Adult,481.0,481.0,,,0 HCPCS,86985,Hc Splitting Of Blood Product - Neonate,481.0,481.0,,,0 HCPCS,86985,Split blood or products,,,18.12,362.28,17 HCPCS,86999,Hc Abo Discrepancy Workup,72.0,72.0,,,0 HCPCS,86999,Hc Granulocyte Apheresis,72.0,72.0,,,0 HCPCS,86999,Hc Plateletpheresis,72.0,72.0,,,0 HCPCS,86999,Hc Red Cell Processing,72.0,72.0,,,0 HCPCS,86999,"Hc Ref Thawing Rare Reagent Red Cells, Per Cell",72.0,72.0,,,0 HCPCS,86999,"Hc Thawing Rare Reagent Red Cells, Per Cell",72.0,72.0,,,0 HCPCS,86999,Transfusion procedure,,,22.99,61.5,9 HCPCS,87003,Small animal inoculation,,,12.63,35.7,17 HCPCS,87015,Hc Concentration Infection Agents,129.5,129.5,,,0 HCPCS,87015,Hc Concentration Infection Agents-Blood Parasites,129.5,129.5,,,0 HCPCS,87015,Hc Concentration Infection Agents-Charge Specimen Centrifugation,129.5,129.5,,,0 HCPCS,87015,Hc Ref Fecal Microsporidium Exam,129.5,129.5,,,0 HCPCS,87015,Specimen infect agnt concntj,,,5.01,14.16,17 HCPCS,87040,Blood culture for bacteria,,,7.74,21.88,17 HCPCS,87040,Hc Culture - Bacterial Blood,189.5,189.5,,,0 HCPCS,87040,Hc Culture Bacterial Blood - Blood Culture Bacterial/Yeast,189.5,189.5,,,0 HCPCS,87040,"Hc Culture Bacterial Blood - Blood Culture Barteonella/Hacek, Using Isolator",189.5,189.5,,,0 HCPCS,87040,Hc Culture Bacterial Blood - Blood Culture Legionella,189.5,189.5,,,0 HCPCS,87040,Hc Culture Bacterial Blood - Blood Culture Neonate Bacterial/Yeast Culture,189.5,189.5,,,0 HCPCS,87040,Hc Culture Bacterial Blood - Blood Product Culture,189.5,189.5,,,0 HCPCS,87040,Hc Culture Bacterial Blood - Stem Cell Culture,189.5,189.5,,,0 HCPCS,87045,Feces culture aerobic bact,,,7.08,20.01,17 HCPCS,87045,Hc Culture - Fecal(Stool) Culture Bacterial,177.5,177.5,,,0 HCPCS,87046,"Hc Stool Culture, Addl Pathogens - Campylobacter Culture, Stool",115.5,115.5,,,0 HCPCS,87046,"Hc Stool Culture, Addl Pathogens - Ecoli Culture, Fecal (Stool)",115.5,115.5,,,0 HCPCS,87046,"Hc Stool Culture, Addl Pathogens - Fecal (Stool) Plate, Additional",115.5,115.5,,,0 HCPCS,87046,"Hc Stool Culture, Addl Pathogens - Vibrio Culture, Fecal (Stool)",115.5,115.5,,,0 HCPCS,87046,"Hc Stool Culture, Addl Pathogens - Yersinia Culture, Fecal (Stool)",115.5,115.5,,,0 HCPCS,87046,Stool cultr aerobic bact ea,,,7.08,20.01,17 HCPCS,87070,Culture othr specimn aerobic,,,6.47,18.27,17 HCPCS,87070,Hc Culture Bacterial - Aerobic Culture,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Body Fluid Culture Aerobi + Anaerobic Bacterial,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Body Fluid Culture In Bottles,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Bone,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Catherter Tip Culture Bacterial/Yeast,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Cerebrospinal Fluid Culture Bacterial,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Ear,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Equipment,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Eye Culture Bacterial Aerobic Only,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Eye Donor Cornea Rim Culture Bacteria,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Eye Fluid Culture Aerobic And Anaerobic,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Genital,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Mrsa,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Respiratory Aerobic And Anaerobic Sinus Bacterial,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Respiratory Bacterial Culture,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Respiratory Cystic Fibrosis Bacterial Culture,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Respiratory Upper Bacterial Culture,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Throat,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Tissue,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Tissue Culture Aerobic And Anaerobic Bacterial,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Wound/Abscess Aerobic And Anaerobic Bacterial Culture,163.0,163.0,,,0 HCPCS,87070,Hc Culture Bacterial - Wound/Abscess Supreficial Bacterial Culture,163.0,163.0,,,0 HCPCS,87070,Hc Endo Gi Culture H-Pylori,163.0,163.0,,,0 HCPCS,87071,Culture aerobic quant other,,,7.42,20.97,17 HCPCS,87071,Hc Culture - Blind Bronch Quant Culture,65.0,65.0,,,0 HCPCS,87071,Hc Culture - Respiratory Culture Bacterial Quantitative,65.0,65.0,,,0 HCPCS,87071,Hc Culture - Respiratory Culture Bacterial Quantitative Minibal,65.0,65.0,,,0 HCPCS,87073,Culture Bacteria Anaerobic,,,7.25,20.48,17 HCPCS,87075,Cultr bacteria except blood,,,7.1,20.08,17 HCPCS,87075,Hc Culture - Bacterial Anaerobic,179.5,179.5,,,0 HCPCS,87076,Culture anaerobe ident each,,,6.06,17.13,17 HCPCS,87076,Hc Culture - Culture Anaerobic Identification,139.5,139.5,,,0 HCPCS,87076,Hc Culture -Anaerobic Identification - Vitek,139.5,139.5,,,0 HCPCS,87077,Culture Aerobic Identify,,,6.06,17.13,17 HCPCS,87077,Hc Culture - Culture Aerobic Identification,139.5,139.5,,,0 HCPCS,87077,Hc Culture - Gram Negative Identification (Vitek),139.5,139.5,,,0 HCPCS,87077,Hc Culture - Gram Positive Identification (Vitek),139.5,139.5,,,0 HCPCS,87077,Hc Ref Helis Bacteria Identification,139.5,139.5,,,0 HCPCS,87081,Culture screen only,,,4.97,14.06,17 HCPCS,87081,Hc Bacteria Culture Screen - Bacterial Screen Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Carbapenemase-Producer Surveillance,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Eye Culture Amoeba,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Gbs (Pen Allergic) Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Genital Group B Strptococcus Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Helicobacter Pylori Rapid Urea,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Legionella Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Methicillin Resistant Staphylococcus Areus Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Mrsa/Mssa Surgical Screen,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Neisseria Gonorrheae Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Respiratory Beta Steptococcus Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Respiratory Legionella Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Sterility Check,14.0,14.0,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Trichomonas Culture,129.5,129.5,,,0 HCPCS,87081,Hc Bacteria Culture Screen - Vanc Resis Enterococcus Screen,129.5,129.5,,,0 HCPCS,87081,Hc Ref Bacteria Culture Screen - Acanthamoeba And Naegleria Culture,129.5,129.5,,,0 HCPCS,87081,Hc Ref Helicobacter Pylori Culture,129.5,129.5,,,0 HCPCS,87084,Culture of specimen by kit,,,20.3,57.39,17 HCPCS,87086,Hc Bacterial Culture - Urine Culture + Colony Count,186.0,186.0,,,0 HCPCS,87086,Hc Bacterial Culture - Urine Cystoscopic Culture Low Colony Count,186.0,186.0,,,0 HCPCS,87086,Hc Bacterial Culture - Urine Neonatal Culture Low Colony Count,186.0,186.0,,,0 HCPCS,87086,Urine culture/colony count,,,6.05,17.11,17 HCPCS,87088,Hc Bacterial Culture - Charge Urine Identification,154.5,154.5,,,0 HCPCS,87088,"Hc Bacterial Culture - Poct Urine W/Isolation And Presumptive Id, Each Isolate",154.5,154.5,,,0 HCPCS,87088,Hc Bacterial Culture - Ui$ Preliminary Report,154.5,154.5,,,0 HCPCS,87088,Urine bacteria culture,,,6.07,17.15,17 HCPCS,87101,"Hc Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous",132.5,132.5,,,0 HCPCS,87101,Skin fungi culture,,,5.78,16.35,17 HCPCS,87102,Fungus isolation culture,,,6.31,17.83,17 HCPCS,87102,Hc Candida Culture,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Body Fluid Culture Fungal,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Cerebrospinal Fuid Culture Fungal,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Eye Culture Fungal,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Fecal(Stool) Culture Yeast,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Respiratory Culture Yeast,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Respiratory Fungal Culture,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Tissue Fungal Culture,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Urine Culture Fungal,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Urine Culture Yeast,162.0,162.0,,,0 HCPCS,87102,Hc Fungal Culture - Urine Neonatal Fungal Culture,162.0,162.0,,,0 HCPCS,87103,Blood fungus culture,,,15.35,43.38,17 HCPCS,87103,Hc Fungal Culture - Blood Culture Systemic Fungal,170.0,170.0,,,0 HCPCS,87106,Fungi identification yeast,,,7.74,21.88,17 HCPCS,87106,Hc Fungal Culture - Charge Yeast Identification,189.5,189.5,,,0 HCPCS,87106,Hc Fungal Culture - Yeast Identification (Vitek),189.5,189.5,,,0 HCPCS,87107,Fungi identification mold,,,7.74,21.88,17 HCPCS,87107,"Hc Fungus Identification, Mold - Fungal Identification, Mold",175.0,175.0,,,0 HCPCS,87109,Hc Mycoplasma Culture - Mycoplasma / Ureaplasma Culture,279.5,279.5,,,0 HCPCS,87109,Mycoplasma,,,11.54,32.63,17 HCPCS,87110,Chlamydia culture,,,14.7,41.55,17 HCPCS,87116,Hc Mycobacteria Culture - Afb Blood Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Body Fluid Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Cerebrospinal Fluid Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Eye Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Feces(Stool) Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Respiratory Acid Fast Bacilli Culture,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Tissue Culture Tb/Afb,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Urine Culture Acid Fast Bacilli,125.0,125.0,,,0 HCPCS,87116,Hc Mycobacteria Culture - Afb Wound/Abscess Acid Fast Bacilli Culture,125.0,125.0,,,0 HCPCS,87116,Mycobacteria culture,,,8.1,22.9,17 HCPCS,87118,Mycobacteric identification,,,10.96,30.97,17 HCPCS,87140,Culture type immunofluoresc,,,4.18,11.81,17 HCPCS,87143,Culture typing glc/hplc,,,9.39,26.54,17 HCPCS,87147,Culture type immunologic,,,3.89,10.98,17 HCPCS,87147,Hc Culture Typing - Charge Pbp2 (Mrsa),92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Ecoli 0157 Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Staphylococcus Identification,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Strep A Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Strep B Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Strep C Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Strep F Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Strep G Latex,92.5,92.5,,,0 HCPCS,87147,Hc Culture Typing - Streptococcus Typing (Latex),92.5,92.5,,,0 HCPCS,87149,Dna/rna direct probe,,,15.04,42.51,17 HCPCS,87149,Hc Culture Typing- Charge Dna Probe Identification,318.0,318.0,,,0 HCPCS,87150,Dna/rna amplified probe,,,26.32,74.39,17 HCPCS,87150,Hc Culture Typing - Ctx-M-Ppp Detected,144.5,144.5,,,0 HCPCS,87150,Hc Culture Typing - Imp-M-Ppp Detected,144.5,144.5,,,0 HCPCS,87150,Hc Culture Typing - Kpc-M-Ppp Detected,144.5,144.5,,,0 HCPCS,87150,Hc Culture Typing - Ndm-M-Ppp Detected,144.5,144.5,,,0 HCPCS,87150,Hc Culture Typing - Oxa-48-Like-Ppp Detected,144.5,144.5,,,0 HCPCS,87150,Hc Group B Strep By Pcr,144.5,144.5,,,0 HCPCS,87150,Hc Ref Helis H Pylori-Clarithro Resistance Pcr,144.5,144.5,,,0 HCPCS,87152,Culture Type Pulse Field Gel,,,5.81,16.41,17 HCPCS,87153,Dna/rna sequencing,,,86.52,244.56,17 HCPCS,87153,Hc Ref Helis Aerobe Ident By Sequencing,368.0,368.0,,,0 HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,163.55,462.29,15 HCPCS,87158,Culture typing added method,,,5.81,16.41,17 HCPCS,87164,Dark field examination,,,8.06,22.77,17 HCPCS,87166,Dark field examination,,,8.48,23.96,17 HCPCS,87168,Macroscopic Exam Arthropod,,,3.2,9.05,17 HCPCS,87169,"Hc Macroscopic Exam, Parasite - Parasite Identification",83.5,83.5,,,0 HCPCS,87169,"Hc Ref Parasite Examination, Macroscopic",83.5,83.5,,,0 HCPCS,87169,Macroscopic exam parasite,,,3.23,9.14,17 HCPCS,87172,Pinworm Exam,,,3.2,9.05,17 HCPCS,87176,Hc Ref Helis Tissue Processing,106.5,106.5,,,0 HCPCS,87176,Hc Tissue Homogenazation - Culture,106.5,106.5,,,0 HCPCS,87176,Tissue homogenization cultr,,,4.41,12.47,17 HCPCS,87177,Hc Ova And Parasites Smears - Ova And Parasite Examination,153.5,153.5,,,0 HCPCS,87177,Hc Ref Ova And Parasites Smears - Ova And Parasite Examination,153.5,153.5,,,0 HCPCS,87177,Ova and parasites smears,,,6.68,18.87,17 HCPCS,87181,Hc Ref Helis Susceptibility,88.0,88.0,,,0 HCPCS,87181,"Hc Susceptibility Studies, Agar Dilution Method",88.0,88.0,,,0 HCPCS,87181,"Hc Susceptibility Studies, Agar Dilution Method - E-Test",88.0,88.0,,,0 HCPCS,87181,Microbe susceptible diffuse,,,3.56,10.07,17 HCPCS,87183,Sc std carbapenem resist gen,,,35.09,74.39,7 HCPCS,87184,"Hc Susceptibility Studies, Disk Method - Per Plate <=12",73.0,73.0,,,0 HCPCS,87184,Microbe susceptible disk,,,5.61,15.86,17 HCPCS,87185,"Hc Susceptibility Studies, Enzyme Detection",88.0,88.0,,,0 HCPCS,87185,Microbe susceptible enzyme,,,3.56,10.07,17 HCPCS,87186,"Hc Mic Susceptibility Studies, Micro Or Agar Dilution - Fungal Referral",163.0,163.0,,,0 HCPCS,87186,Hc Ref Helis Susceptibility- Mic,163.0,163.0,,,0 HCPCS,87186,"Hc Susceptibility Studies, Micro Or Agar Dilution",163.0,163.0,,,0 HCPCS,87186,"Hc Susceptibility Studies, Micro Or Agar Dilution - Afb Rapid Growing",163.0,163.0,,,0 HCPCS,87186,"Hc Susceptibility Studies, Micro Or Agar Dilution - Fungal",163.0,163.0,,,0 HCPCS,87186,"Hc Susceptibility Studies, Micro Or Agar Dilution - Non Tb",163.0,163.0,,,0 HCPCS,87186,Microbe susceptible mic,,,6.49,18.34,17 HCPCS,87187,Microbe susceptible mlc,,,30.13,85.16,17 HCPCS,87188,"Hc Susceptibility Studies, Macrobroth Dilution Method",50.0,50.0,,,0 HCPCS,87188,"Hc Susceptibility Studies, Macrobroth Dilution Method - Mold Sens Charge",50.0,50.0,,,0 HCPCS,87188,"Hc Susceptibility Studies, Macrobroth Dilution Method - Njh Single Drug Mic",50.0,50.0,,,0 HCPCS,87188,"Hc Susceptibility Studies, Macrobroth Dilution Method - Non-Tb",50.0,50.0,,,0 HCPCS,87188,Microbe suscept macrobroth,,,4.98,14.08,17 HCPCS,87190,Microbe suscept mycobacteri,,,5.48,15.5,17 HCPCS,87197,Bactericidal level serum,,,11.27,31.84,17 HCPCS,87205,Hc Smear - Gram Stain,58.5,58.5,,,0 HCPCS,87205,Hc Smear - Gram Stain By Cytospin,58.5,58.5,,,0 HCPCS,87205,Smear gram stain,,,3.2,9.05,17 HCPCS,87206,"Hc Smear,Fluor Stain,Interp - Afb Stain",106.5,106.5,,,0 HCPCS,87206,"Hc Smear,Fluor Stain,Interp - Fungal Stain",106.5,106.5,,,0 HCPCS,87206,"Hc Smear,Fluor Stain,Interp -Parasite Stain-Cryptosporidium Exam",106.5,106.5,,,0 HCPCS,87206,"Hc Smear,Fluor Stain,Interp -Parasite Stain-Fecal Microsporidium Exam",106.5,106.5,,,0 HCPCS,87206,Smear fluorescent/acid stai,,,4.04,11.43,17 HCPCS,87207,Hc Ref Fecal Microsporidium Exam,122.0,122.0,,,0 HCPCS,87207,"Hc Smear,Inclusion Bodies/Parasites,Interp - Blood Parasites And Check For Duplicate",122.0,122.0,,,0 HCPCS,87207,"Hc Smear,Inclusion Bodies/Parasites,Interp - Malaria Smear",122.0,122.0,,,0 HCPCS,87207,"Hc Smear,Inclusion Bodies/Parasites,Interp - Modified Trichrome Stain",122.0,122.0,,,0 HCPCS,87207,Smear special stain,,,4.49,12.7,17 HCPCS,87209,"Hc Ref Smear, Ova And Parasite - O&P Direct Smear/Conc/Identification",193.5,193.5,,,0 HCPCS,87209,"Hc Smear, Ova And Parasite - Fecal Ova And Parasite Exam",193.5,193.5,,,0 HCPCS,87209,"Hc Smear, Ova And Parasite - O&P Direct Smear/Conc/Identification",193.5,193.5,,,0 HCPCS,87209,"Hc Smear, Ova And Parasite - Trichrome Stain",193.5,193.5,,,0 HCPCS,87209,Smear complex stain,,,13.49,38.12,17 HCPCS,87210,"Hc Smear,Stain,Wet Mnt,Interp - Koh Prep",88.0,88.0,,,0 HCPCS,87210,"Hc Smear,Stain,Wet Mnt,Interp - Wet Prep Genital",88.0,88.0,,,0 HCPCS,87210,"Hc Smear,Stain,Wet Mnt,Interp - Wet Prep Vaginal/Genital",88.0,88.0,,,0 HCPCS,87210,Smear wet mount saline/ink,,,4.37,12.34,17 HCPCS,87220,Hc Tissue Exam By Koh - Koh Prep,65.5,65.5,,,0 HCPCS,87220,Tissue exam for fungi,,,3.2,9.05,17 HCPCS,87230,Assay toxin or antitoxin,,,14.81,41.85,17 HCPCS,87250,Virus inoculate eggs/animal,,,14.67,41.47,17 HCPCS,87252,"Hc Ref Virus Isolation, Cytopathic - Culture, Herpes Simplex Virus",397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Body Fluid Culture Viral,397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Eye Culture Viral,397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Respiratory Culture Viral,397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Tissue Culture Viral,397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Urine Culture Viral,397.0,397.0,,,0 HCPCS,87252,Hc Virus Isolation - Wound/Abcess Culture Viral,397.0,397.0,,,0 HCPCS,87252,Virus inoculation tissue,,,19.55,55.27,17 HCPCS,87253,"Hc Ref Virus Isolation, Centrifuge, - Culture, Herpes Simplex Virus, Each",253.5,253.5,,,0 HCPCS,87253,Virus inoculate tissue addl,,,15.15,42.82,17 HCPCS,87254,"Hc Virus Isolation - Cytomegalovirus(Cmv), Rapid Culture",156.5,156.5,,,0 HCPCS,87254,Hc Virus Isolation - Herpes Simplex Virus/Varicella -Zoster Virus,156.5,156.5,,,0 HCPCS,87254,"Hc Virus Isolation - Viral Respiratory, Rapid Culture",156.5,156.5,,,0 HCPCS,87254,Virus inoculation shell via,,,14.67,41.47,17 HCPCS,87255,Genet virus isolate hsv,,,25.4,71.78,17 HCPCS,87255,"Hc Virus Id,Non-Immunologic Method - Hsv Culture",390.5,390.5,,,0 HCPCS,87260,Adenovirus ag if,,,10.82,30.59,17 HCPCS,87260,"Hc Inf Agent, Fluor, Adenovirus - Respiratory Virus Antigens Panel",52.0,52.0,,,0 HCPCS,87265,Pertussis ag if,,,8.99,25.4,17 HCPCS,87267,Enterovirus antibody dfa,,,10.07,28.45,17 HCPCS,87269,Giardia ag if,,,10.21,28.85,17 HCPCS,87270,Chlamydia trachomatis ag if,,,8.99,25.4,17 HCPCS,87271,Cytomegalovirus dfa,,,10.07,28.45,17 HCPCS,87272,Cryptosporidium ag if,,,8.99,25.4,17 HCPCS,87273,Herpes simplex 2 ag if,,,8.99,25.4,17 HCPCS,87274,Herpes simplex 1 ag if,,,8.99,25.4,17 HCPCS,87275,Influenza b ag if,,,9.19,25.97,17 HCPCS,87276,Influenza a ag if,,,12.05,34.07,17 HCPCS,87278,Legion pneumophilia ag if,,,11.7,33.07,17 HCPCS,87279,Parainfluenza ag if,,,12.32,34.83,17 HCPCS,87280,Respiratory syncytial ag if,,,10.07,28.45,17 HCPCS,87281,"Hc Pneumocystis Carinii Ag, Dfa - Pneumocystis Smear By Dfa",203.5,203.5,,,0 HCPCS,87281,Pneumocystis carinii ag if,,,8.99,25.4,17 HCPCS,87283,Rubeola ag if,,,45.6,128.9,17 HCPCS,87285,Treponema pallidum ag if,,,9.14,25.82,17 HCPCS,87290,"Hc Varicella Ag, Dfa - Varicella Zoster Dfa Direct Antigen",203.5,203.5,,,0 HCPCS,87290,Varicella zoster ag if,,,10.07,28.45,17 HCPCS,87299,Antibody detection nos if,,,12.08,34.13,17 HCPCS,87299,"Hc Ag Detection Nos, Fluor - Toxic Shock Syndrome Antigen",162.0,162.0,,,0 HCPCS,87300,Ag detection polyval if,,,8.99,25.4,17 HCPCS,87300,"Hc Infectious Ag, Dfa, Polyvalent, Ea - Cryptosporidium And Giardia Fa",88.0,88.0,,,0 HCPCS,87301,Adenovirus ag ia,,,8.99,25.4,17 HCPCS,87305,Aspergillus ag ia,,,8.99,25.4,17 HCPCS,87305,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact,188.5,188.5,,,0 HCPCS,87305,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact Ag,188.5,188.5,,,0 HCPCS,87305,Hc Iaad Ia Qual/Semiquan Multiple Step Aspergillus - Aspergillus Galact Bal,188.5,188.5,,,0 HCPCS,87320,Chylmd trach ag ia,,,11.25,31.8,17 HCPCS,87324,Clostridium ag ia,,,8.99,25.4,17 HCPCS,87324,Hc Iaad Ia Clostridium Difficile Toxin - C. Difficile Toxins (By Eia),290.5,290.5,,,0 HCPCS,87327,Cryptococcus neoform ag ia,,,10.07,28.45,17 HCPCS,87328,Cryptosporidium ag ia,,,10.37,29.3,17 HCPCS,87328,Hc Iaad Ia Cryptosporidium - Ova And Parasite Screen,50.0,50.0,,,0 HCPCS,87329,Giardia ag ia,,,8.99,25.4,17 HCPCS,87329,Hc Iaad Ia Giardia - Giardia Lamblia Antigen (By Eia),147.0,147.0,,,0 HCPCS,87332,Cytomegalovirus ag ia,,,8.99,25.4,17 HCPCS,87335,E coli 0157 ag ia,,,9.5,26.84,17 HCPCS,87336,Entamoeb hist dispr ag ia,,,12.0,33.92,17 HCPCS,87337,Entamoeb hist group ag ia,,,8.99,25.4,17 HCPCS,87338,Hc Iaad Ia Hpylori Stool - Helicobacter Pylori Antigen Stool,159.0,159.0,,,0 HCPCS,87338,Hpylori stool ia,,,10.79,30.49,17 HCPCS,87339,H pylori ag ia,,,12.0,33.92,17 HCPCS,87340,Hc Iaad Ia Hepatitis B Surface Antigen - Donor Screen Panel Bcw,189.5,189.5,,,0 HCPCS,87340,Hc Iaad Ia Hepatitis B Surface Antigen - Donor Screen Panel With Cmv Bcw,189.5,189.5,,,0 HCPCS,87340,Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Diagnostic Profile,189.5,189.5,,,0 HCPCS,87340,Hc Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen,189.5,189.5,,,0 HCPCS,87340,Hepatitis b surface ag ia,,,7.75,21.9,17 HCPCS,87341,Hc Donor Iaad Ia Hepatitis B Surface Ag Neutralization - Hepatitis B Surface Confirm,134.0,134.0,,,0 HCPCS,87341,Hepatitis b surface ag ia,,,7.75,21.9,17 HCPCS,87350,Hc Iaad Ia Hepatitis Be Antigen - Hepatitis B E Antigen,213.0,213.0,,,0 HCPCS,87350,Hepatitis be ag ia,,,8.65,24.44,17 HCPCS,87380,Hepatitis delta ag ia,,,13.77,38.92,17 HCPCS,87385,Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen Urine,348.5,348.5,,,0 HCPCS,87385,Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen Urine Random,348.5,348.5,,,0 HCPCS,87385,"Hc Iaad Ia Histoplasm Capsulatum - Histoplasma Antigen, Serum",348.5,348.5,,,0 HCPCS,87385,Histoplasma capsul ag ia,,,9.94,28.09,17 HCPCS,87389,Hc Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single - Focus Hiv Screen,192.5,192.5,,,0 HCPCS,87389,"Hc Iaad, Immunoassay Tech, W/Hiv-1 - Hiv-2 Ab - Hiv Antigen Ab Combo, Single Result",192.5,192.5,,,0 HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,18.06,51.05,17 HCPCS,87389,Noncdm Charge Record,37.5,37.5,,,0 HCPCS,87390,Hiv-1 ag ia,,,18.05,51.01,17 HCPCS,87391,Hiv-2 ag ia,,,16.43,46.43,17 HCPCS,87400,Influenza a/b ag ia,,,10.6,29.96,17 HCPCS,87420,Hc Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen,217.5,217.5,,,0 HCPCS,87420,Resp syncytial ag ia,,,10.43,29.49,17 HCPCS,87425,Hc Iaad Ia Rotavirus - Rotavirus Antigen Detection,213.5,213.5,,,0 HCPCS,87425,Hc Iaad Ia Rotavirus - Rotavirus Antigen Stool,213.5,213.5,,,0 HCPCS,87425,Rotavirus ag ia,,,8.99,25.4,17 HCPCS,87426,Coronavirus ag ia,,,26.5,74.9,15 HCPCS,87426,"Hc Sars Cov-2 - Antigen Detection By Ia, Qual Or Semiquant",126.0,126.0,,,0 HCPCS,87427,"Hc Shiga Toxin Eia, Infectious Agent 1",33.5,33.5,,,0 HCPCS,87427,"Hc Shiga Toxin Eia, Infectious Agent 2",33.5,33.5,,,0 HCPCS,87427,Shiga-like toxin ag ia,,,8.99,25.4,17 HCPCS,87428,Sarscov & inf vir a&b ag ia,,,52.72,149.01,14 HCPCS,87430,Strep a ag ia,,,12.61,35.64,17 HCPCS,87449,Ag detect nos ia mult,,,8.99,25.4,17 HCPCS,87449,Hc Iaad Ia Mult Step Method Nos Each Organism - Fungitell (1-3)-Beta-D-Glucan,162.0,162.0,,,0 HCPCS,87449,"Hc Iaad Ia Mult Step Method Nos Each Organism - Legionella Antigen, Ur",162.0,162.0,,,0 HCPCS,87449,"Hc Iaad Ia Mult Step Method Nos Each Organism - Legionella Antigen, Urine Random",162.0,162.0,,,0 HCPCS,87449,Hc Iaad Ia Mult Step Method Nos Each Organism -Campylobacter (By Eia),162.0,162.0,,,0 HCPCS,87451,Ag detect polyval ia mult,,,7.88,22.28,17 HCPCS,87467,Hepatitis b surface ag quan,,,15.05,53.68,9 HCPCS,87468,Anaplsma phgcytophlm amp prb,,,26.32,74.39,17 HCPCS,87469,Babesia microti amp prb,,,26.32,74.39,17 HCPCS,87471,Bartonella dna amp probe,,,26.32,74.39,17 HCPCS,87471,"Hc Bartonella, Dna, Amp Probe - Bartonella, Dna, Amp Probe",529.0,529.0,,,0 HCPCS,87471,"Hc Ref Bartonella, Dna, Amp Probe - Bartonella Species By Pcr",529.0,529.0,,,0 HCPCS,87472,Bartonella dna quant,,,32.13,90.82,17 HCPCS,87475,Lyme dis dna dir probe,,,15.04,42.51,17 HCPCS,87476,Lyme dis dna amp probe,,,26.32,74.39,17 HCPCS,87478,Borrelia miyamotoi amp prb,,,26.32,74.39,17 HCPCS,87480,Candida dna dir probe,,,15.04,42.51,17 HCPCS,87481,Candida dna amp probe,,,26.32,74.39,17 HCPCS,87481,"Hc Candida, Rna, Amp Probe - Candida Rna, Pcr",148.0,148.0,,,0 HCPCS,87482,Candida dna quant,,,41.81,118.17,17 HCPCS,87483,Cns dna amp probe type 12-25,,,312.59,883.57,17 HCPCS,87483,Hc Infectious Agent Detection By Nucleic Acid - Csf Meningitis/Encephalitis Panogen Pcr,1073.0,1073.0,,,0 HCPCS,87484,Ehrlicha chaffeensis amp prb,,,26.32,74.39,17 HCPCS,87485,Chylmd pneum dna dir probe,,,15.04,42.51,17 HCPCS,87486,Chylmd pneum dna amp probe,,,26.32,74.39,17 HCPCS,87486,"Hc Chylmd Pneum, Dna, Amp Probe - Pneumonia Pathogen Panel",149.0,149.0,,,0 HCPCS,87486,"Hc Chylmd Pneum, Dna, Amp Probe - Respiratory Pathogen Panel By Pcr",149.0,149.0,,,0 HCPCS,87487,Chylmd pneum dna quant,,,32.13,90.82,17 HCPCS,87490,Chylmd trach dna dir probe,,,17.06,48.23,17 HCPCS,87491,Chylmd trach dna amp probe,,,26.32,74.39,17 HCPCS,87491,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia And Gonorrhea Rna",206.5,206.5,,,0 HCPCS,87491,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr",206.5,206.5,,,0 HCPCS,87491,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia Trachomatis Rna",206.5,206.5,,,0 HCPCS,87491,"Hc Chylmd Trach, Dna, Amp Probe - Chlamydia, Gonorrhoeae, Trichomonas Rna",206.5,206.5,,,0 HCPCS,87492,Chylmd trach dna quant,,,40.1,113.36,17 HCPCS,87493,C diff amplified probe,,,27.95,79.01,17 HCPCS,87493,"Hc Clostridium Difficile - Nucleic Acid, Amp Probe - C. Diff Pcr",163.0,163.0,,,0 HCPCS,87493,"Hc Clostridium Difficile - Nucleic Acid, Amp Probe - C. Diff Toxin Assay Fecal",163.0,163.0,,,0 HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,148.78,7 HCPCS,87495,Cytomeg dna dir probe,,,22.52,63.66,17 HCPCS,87496,Cytomeg dna amp probe,,,26.32,74.39,17 HCPCS,87496,"Hc Cytomeg, Dna, Amp Probe - Cytomegalovirus Dna Probe, Amplified",97.0,97.0,,,0 HCPCS,87497,Cytomeg dna quant,,,32.13,90.82,17 HCPCS,87497,"Hc Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr",743.5,743.5,,,0 HCPCS,87497,"Hc Cytomeg, Dna, Quant - Cmv Quantitative Misc Speciment",743.5,743.5,,,0 HCPCS,87497,"Hc Cytomeg, Dna, Quant - Csf Cmv Quantitation",743.5,743.5,,,0 HCPCS,87497,"Hc Cytomeg, Dna, Quant - Cytomegalovirus Viral Load Quantitative, Pcr",743.5,743.5,,,0 HCPCS,87498,Enterovirus probe&revrs trns,,,26.32,74.39,17 HCPCS,87498,"Hc, Enterovirus Probe&Revrs Trns - Cerebrospinal Fluid Enterovirus Pcr",239.5,239.5,,,0 HCPCS,87498,"Hc, Enterovirus Probe&Revrs Trns - Enterovirus Dna Probe, Amplified",239.5,239.5,,,0 HCPCS,87498,"Hc, Enterovirus Probe&Revrs Trns - Enterovirus Rna Probe, Pcr",239.5,239.5,,,0 HCPCS,87500,Vanomycin dna amp probe,,,26.32,74.39,17 HCPCS,87501,Influenza dna amp prob 1+,,,38.48,108.78,17 HCPCS,87502,Influenza dna amp probe,,,71.85,203.1,17 HCPCS,87503,Influenza dna amp prob addl,,,21.92,61.95,17 HCPCS,87505,Hc Enteric Bacterial Pcr,410.0,410.0,,,0 HCPCS,87505,Hc Enteric Parasite Pcr,410.0,410.0,,,0 HCPCS,87505,Hc Enteric Viral Pcr,410.0,410.0,,,0 HCPCS,87505,Nfct agent detection gi,,,96.22,271.97,17 HCPCS,87506,Hc Enteric Bacterial Pcr,839.0,839.0,,,0 HCPCS,87506,Hc Enteric Extended Bacterial Pcr,839.0,839.0,,,0 HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,197.24,557.54,17 HCPCS,87507,"Hc, Iadna-Dna/Rna Probe Tq 12-25 - Gastrointestinal Pathogen Panel",1123.0,1123.0,,,0 HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,312.59,883.57,17 HCPCS,87510,Gardner vag dna dir probe,,,15.04,42.51,17 HCPCS,87511,Gardner vag dna amp probe,,,26.32,74.39,17 HCPCS,87512,Gardner vag dna quant,,,31.32,88.53,17 HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,74.39,7 HCPCS,87516,"Hc Hepatitis B , Dna, Amp Probe - Hepatitis B Dna Probe, Amplified, Donor",154.5,154.5,,,0 HCPCS,87516,Hepatitis b dna amp probe,,,26.32,74.39,17 HCPCS,87517,"Hc Hepatitis B , Dna, Quant - Hepatitis B Dna Probe, Direct",375.5,375.5,,,0 HCPCS,87517,"Hc Hepatitis B , Dna, Quant - Hepatitis B Quantification Patient Dna And P",375.5,375.5,,,0 HCPCS,87517,Hepatitis b dna quant,,,32.13,90.82,17 HCPCS,87520,Hepatitis c rna dir probe,,,23.42,66.19,17 HCPCS,87521,"Hc Iadna Hepatitis C Amplified Probe&Revrse Transcr - Hepatitis C, Donor",154.5,154.5,,,0 HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,26.32,74.39,17 HCPCS,87522,Hc Iadna Hepatitis C Quant & Reverse Transcription - Focus Hcv Confirmatory Test,566.0,566.0,,,0 HCPCS,87522,Hc Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr,566.0,566.0,,,0 HCPCS,87522,Hc Iadna Hepatitis C Quant & Reverse Transcription - Hepatitis C Bdna,566.0,566.0,,,0 HCPCS,87522,Hepatitis c revrs trnscrpj,,,32.13,90.82,17 HCPCS,87523,Hepatitis d quantification,,,32.13,90.82,16 HCPCS,87525,Hepatitis g dna dir probe,,,22.35,63.18,17 HCPCS,87526,Hepatitis g dna amp probe,,,29.45,83.23,17 HCPCS,87527,Hepatitis g dna quant,,,31.32,88.53,17 HCPCS,87528,Hsv dna dir probe,,,15.04,42.51,17 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Csf Herpes Simplex Dna",349.5,349.5,,,0 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Dna",349.5,349.5,,,0 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Virus Dna Pcr, Lesion",349.5,349.5,,,0 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Herpes Simplex Virus Dna Pcr, Neonatal",349.5,349.5,,,0 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Hsv Dna Misc",349.5,349.5,,,0 HCPCS,87529,"Hc Hsv, Dna, Amp Probe - Hsv Pcr",349.5,349.5,,,0 HCPCS,87529,Hsv dna amp probe,,,26.32,74.39,17 HCPCS,87530,"Hc Hsv, Dna, Quant - Hsv Dna, Quantitative",307.0,307.0,,,0 HCPCS,87530,"Hc Hsv, Dna, Quant - Hsv Dna, Quantitative, Csf",307.0,307.0,,,0 HCPCS,87530,Hsv dna quant,,,32.13,90.82,17 HCPCS,87531,Hhv-6 dna dir probe,,,43.5,122.96,17 HCPCS,87532,Hhv-6 dna amp probe,,,26.32,74.39,17 HCPCS,87533,"Hc Hhv-6, Dna, Quant - Hhv-6 Dna Quantitative Pcr, Csf",638.5,638.5,,,0 HCPCS,87533,"Hc Hhv-6, Dna, Quant - Hhv-6 Dna Quantitative Pcr, Plasma",638.5,638.5,,,0 HCPCS,87533,"Hc Hhv-6, Dna, Quant - Hpv Dna, Quantitative",638.5,638.5,,,0 HCPCS,87533,Hhv-6 dna quant,,,31.32,88.53,17 HCPCS,87534,"Hc Hiv-1, Dna, Dir Probe - Hiv-1 Dna Probe, Direct",587.5,587.5,,,0 HCPCS,87534,Hiv-1 dna dir probe,,,16.44,46.47,17 HCPCS,87535,Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Pcr Qualitative Neonatal,154.5,154.5,,,0 HCPCS,87535,"Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Probe, Amplified",154.5,154.5,,,0 HCPCS,87535,"Hc Hiv-1 Probe&Reverse Trnscrpj - Hiv-1 Dna Probe, Amplified, Donor",154.5,154.5,,,0 HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,26.32,74.39,17 HCPCS,87536,Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Viral Load By Pcr,675.5,675.5,,,0 HCPCS,87536,"Hc Hiv-1 Quant&Revrse Trnscrpj - Hiv Rna, Quantitative, Pcr",675.5,675.5,,,0 HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,63.83,180.41,17 HCPCS,87537,Hiv-2 dna dir probe,,,16.44,46.47,17 HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,26.32,74.39,17 HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,43.97,124.27,17 HCPCS,87540,Legion pneumo dna dir prob,,,15.04,42.51,17 HCPCS,87541,Hc Legionella Pneumonia - Amplified Probe,149.0,149.0,,,0 HCPCS,87541,Legion pneumo dna amp prob,,,26.32,74.39,17 HCPCS,87542,Legion pneumo dna quant,,,31.32,88.53,17 HCPCS,87550,Mycobacteria dna dir probe,,,15.04,42.51,17 HCPCS,87551,Hc Ref Afb Dna Detection - Identification,134.0,134.0,,,0 HCPCS,87551,Mycobacteria dna amp probe,,,36.18,102.27,17 HCPCS,87552,Mycobacteria dna quant,,,32.13,90.82,17 HCPCS,87555,M.tuberculo dna dir probe,,,20.16,56.99,17 HCPCS,87556,"Hc M.Tuberculo, Dna, Amp Probe - M. Tuberculosis Dna Probe, Amplified",183.0,183.0,,,0 HCPCS,87556,"Hc M.Tuberculo, Dna, Amp Probe - Mycobacterium Tb Prc, Respiratory",183.0,183.0,,,0 HCPCS,87556,Hc Ref Afb Dna Detection - Identification,183.0,183.0,,,0 HCPCS,87556,M.tuberculo dna amp probe,,,31.26,88.36,17 HCPCS,87557,M.tuberculo dna quant,,,32.13,90.82,17 HCPCS,87560,M.avium-intra dna dir prob,,,20.47,57.85,17 HCPCS,87561,M.avium-intra dna amp prob,,,26.32,74.39,17 HCPCS,87562,M.avium-intra dna quant,,,32.13,90.82,17 HCPCS,87563,Hc Urogenital Ureaplasma/Mycoplasma Pcr,149.0,149.0,,,0 HCPCS,87563,M. genitalium amp probe,,,26.32,74.39,17 HCPCS,87564,Hc Mtb Rifampin Rst Amp Prb Tq - Mycobacterium Tb Pcr Respiratory,213.0,213.0,,,0 HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,162.75,7 HCPCS,87580,M.pneumon dna dir probe,,,15.04,42.51,17 HCPCS,87581,"Hc M.Pneumon, Dna, Amp Probe - Pneumomia Pathogen Panel",149.0,149.0,,,0 HCPCS,87581,"Hc M.Pneumon, Dna, Amp Probe - Respiratory Pathogen Panel By Pcr",149.0,149.0,,,0 HCPCS,87581,M.pneumon dna amp probe,,,26.32,74.39,17 HCPCS,87582,M.pneumon dna quant,,,226.97,641.55,17 HCPCS,87590,N.gonorrhoeae dna dir prob,,,20.16,56.99,17 HCPCS,87591,"Hc N.Gonorrhoeae, Dna, Amp Prob - Chlamydia And Gonorrhea Rna",190.5,190.5,,,0 HCPCS,87591,"Hc N.Gonorrhoeae, Dna, Amp Prob - Chlamydia, Gonorrhea Trichomonas Rna",190.5,190.5,,,0 HCPCS,87591,"Hc N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr",190.5,190.5,,,0 HCPCS,87591,"Hc N.Gonorrhoeae, Dna, Amp Prob - Neisseria Gonorrhea Dna Probe Pcr, Amplified",190.5,190.5,,,0 HCPCS,87591,"Hc N.Gonorrhoeae, Dna, Amp Prob - Neisseria Gonorrhea Rna Probe Pcr, Amplified",190.5,190.5,,,0 HCPCS,87591,N.gonorrhoeae dna amp prob,,,26.32,74.39,17 HCPCS,87592,N.gonorrhoeae dna quant,,,32.13,90.82,17 HCPCS,87593,"Hc Monkeypox Virus Dna, Ql Pcr",306.0,306.0,,,0 HCPCS,87593,Orthopoxvirus amp prb each,,,51.17,108.78,9 HCPCS,87594,Hc Pneumcysts Jirovecii Amp Prb - Pneumocystis Jirovecii Dna,97.0,97.0,,,0 HCPCS,87594,Hc Ref Pneumocystis Jirovecii Dna,97.0,97.0,,,0 HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,74.39,7 HCPCS,87623,Hpv low-risk types,,,26.32,74.39,17 HCPCS,87624,Hc Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pcr,115.5,115.5,,,0 HCPCS,87624,Hpv high-risk types,,,26.32,74.39,17 HCPCS,87625,Hc Human Papillomavirus Types 16 & 18 Only (Hpv) Genotype,121.0,121.0,,,0 HCPCS,87625,Hpv types 16 & 18 only,,,30.41,85.97,17 HCPCS,87626,"Hc Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Hpv, Separately Reported High-Risk Types",195.0,195.0,,,0 HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,148.82,7 HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,1441.11,7 HCPCS,87631,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Influenza/Rsv Panel,391.5,391.5,,,0 HCPCS,87631,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Pneumonia Pathogen Panel,391.5,391.5,,,0 HCPCS,87631,Hc Respiratory Infectious Agent Multiplex Dna Probe 3-5 Target - Respiratory Pathogen Panel By Pcr,391.5,391.5,,,0 HCPCS,87631,Resp virus 3-5 targets,,,106.97,302.38,17 HCPCS,87632,"Hc Respiratory Virus - Incl Multiplex Amp Probe Technique, 6-11 Targets",921.5,921.5,,,0 HCPCS,87632,Resp virus 6-11 targets,,,163.55,462.29,17 HCPCS,87633,Hc Iadna Respiratry Probe & Rev Trnscr 12-25 Target - Respiratory Virus Panel By Pcr,1123.0,1123.0,,,0 HCPCS,87633,Hc Iadna Respiratry Probe & Rev Trnscr 12-25 Target - Upper Respiratory Pathogen Panel,1123.0,1123.0,,,0 HCPCS,87633,Resp virus 12-25 targets,,,312.59,883.57,17 HCPCS,87634,Rsv dna/rna amp probe,,,52.65,148.82,17 HCPCS,87635,Hc Covid-19 Lab Test Non-Cdc - Arup Sars-Cov-2 By Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Eplex Sars-Cov-2 By Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Genexpert Sars-Cov-2 By Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Respiratory Pathogen Panel By Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Simplexa Sars-Cov-2 Rt Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Quest Covid-19 Rna Naat - Arup Sars-Cov-2 By Pcr,200.5,200.5,,,0 HCPCS,87635,Hc Quest Covid-19 Rna Naat - Mayo Sars-Cov-2 Rna Naat,200.5,200.5,,,0 HCPCS,87635,Hc Quest Covid-19 Rna Naat - Quest Sars-Cov-2 Rna(Covid-19) Qualitative Naat,200.5,200.5,,,0 HCPCS,87635,Hc Sars-Cov-2 Covid-19 Amp Prb - Coronavirus Covid19 Miscellaneous By Pcr,200.5,200.5,,,0 HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,38.48,108.78,17 HCPCS,87636,"Hc Iadna, Sars-Cov-2 Covid19 - Influenza Virus Tupes A & B, Multiplex Amp Probe Tech",200.5,200.5,,,0 HCPCS,87636,Sarscov2 & inf a&b amp prb,,,106.97,302.38,15 HCPCS,87637,"Hc Iadna, Sars-Cov-2 Covid19 - Influenza Virus Tupes A & B/ Resp Syncytial Virus, Multiplex Amp Prob",200.5,200.5,,,0 HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,106.97,302.38,15 HCPCS,87640,Staph a dna amp probe,,,26.32,74.39,17 HCPCS,87641,"Hc Mrsa, Dna, Amp Probe - Mrsa Screen By Pcr",197.0,197.0,,,0 HCPCS,87641,Mr-staph dna amp probe,,,26.32,74.39,17 HCPCS,87650,Strep a dna dir probe,,,15.04,42.51,17 HCPCS,87651,"Hc Strep A, Dna, Amp Probe - Strep A Dna Probe, Amplification",97.0,97.0,,,0 HCPCS,87651,Strep a dna amp probe,,,26.32,74.39,17 HCPCS,87652,Strep a dna quant,,,31.32,88.53,17 HCPCS,87653,"Hc Strep B, Dna, Amp Probe - Group B Strep By Pcr",164.5,164.5,,,0 HCPCS,87653,Strep b dna amp probe,,,26.32,74.39,17 HCPCS,87660,Trichomonas vagin dir probe,,,15.04,42.51,17 HCPCS,87661,"Hc Iadna, Trichomonas Vaginalis, Amp Prob Tech- Chlamydia, Gonorrhoeae, Trichomonas Rna",121.0,121.0,,,0 HCPCS,87661,"Hc Iadna, Trichomonas Vaginalis, Amp Prob Tech- Trichomonas Vaginalis Rna",121.0,121.0,,,0 HCPCS,87661,Trichomonas vaginalis amplif,,,26.32,74.39,17 HCPCS,87662,"Hc Iadna, Zika Virus, Amp Probe Tech - Zika Virus Qualitative By Pcr",119.5,119.5,,,0 HCPCS,87662,"Hc Iadna, Zika Virus, Amp Probe Tech - Zika Virus Qualitative By Pcr Urine Random",119.5,119.5,,,0 HCPCS,87662,Zika virus dna/rna amp probe,,,38.48,108.78,17 HCPCS,87797,Detect agent nos dna dir,,,22.52,63.66,17 HCPCS,87798,Detect agent nos dna amp,,,26.32,74.39,17 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Afb Drug Resistance Markers",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Afb Line Probe Assay",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Catecholamines Fract Urine Timed",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Chronic Urticaria Index Panel",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Cortisol, Saliva",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Csf Jc Virus By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Ebola Blood Poct",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Global Fever Special Pathogen Panel",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Jc Virus By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Mtb Rifampin Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Mycobacterium Tb Pcr Respiratory",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Mysoline Level",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Mysoline Level -Tropheryma Whipplei Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Pain Management Doa Panel 1, Urine",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Pain Management Doa Panel 2, Urine",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Parovirus B19 By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Pjp Dna",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Pneumocytstis Jirovecii Dna",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Pneumonia Pathogen Panel",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Poct Ebola",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Poct Ebola Zaire Virus Urine Qual Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Respiratory Culture Quantitative Minibal",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Toxoplasma Gondii Dna By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Urogenital Ureaplasma/Mycoplasma By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Urogenital Ureaplasma/Mycoplasma By Pcr, Donor",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Varicella Zoster Virus Dna Pcr, Lesion",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Vzvon Csf By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - Vzvon Miscellaneous By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - West Nile Virus",306.0,306.0,,,0 HCPCS,87798,"Hc Detect Agent Nos, Dna, Amp - West Nile Virus Csf",306.0,306.0,,,0 HCPCS,87798,Hc Ref Bordetella Parapertussis Pcr,306.0,306.0,,,0 HCPCS,87798,Hc Ref Bordetella Pertussis Pcr,306.0,306.0,,,0 HCPCS,87798,"Hc Ref Detect Agent Nos, Dna, Amp - Csf Gondii Dna By Pcr",306.0,306.0,,,0 HCPCS,87798,"Hc Ref Detect Agent Nos, Dna, Amp - Global Fever Special Pathogen Panel",306.0,306.0,,,0 HCPCS,87798,Noncdm Charge Record,0.06,0.06,,,0 HCPCS,87799,Detect agent nos dna quant,,,32.13,90.82,17 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Bk Virus By Quantitative Pcr Urine Random",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Bk Virus, Dna, From Whole Blood, Report",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Bk Virus, Dna, Urine, Quantitative",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus (Ebv), Csf Ebv Quantition",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus (Ebv), Ebv Dna Quantition",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Epstein-Barr Virus Dna, Quantitative",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Hev Qr Pcr",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Jc Polyoma Virus Dna, Csf, Quantitative",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Parvovirus B19 By Quantitative Pcr",544.0,544.0,,,0 HCPCS,87799,"Hc Detect Agent Nos, Dna, Quant - Varicella Zoster Dna, Quantitative",544.0,544.0,,,0 HCPCS,87799,"Hc Ref Detect Agent Nos, Dna/Rna -Human Herpesvirus 8 By Quantitative Pcr",544.0,544.0,,,0 HCPCS,87800,Detect agnt mult dna direc,,,32.75,92.58,17 HCPCS,87801,Detect agnt mult dna ampli,,,52.65,148.82,17 HCPCS,87801,"Hc Detect Agent, Mult Orgs, Dna, Amp - Donor Nat Hbv/Hcv/Hiv Bcw",353.5,353.5,,,0 HCPCS,87801,"Hc Detect Agent, Mult Orgs, Dna, Amp - Global Fever Special Pathogen Panel",353.5,353.5,,,0 HCPCS,87801,Hc Ref Bacterial Dna Detection - Identification,353.5,353.5,,,0 HCPCS,87801,"Hc Ref Detect Agent, Mult Orgs, Dna, Amp - Global Fever Special Pathogen Panel",353.5,353.5,,,0 HCPCS,87801,Hc Ref Fungal Dna Detection - Identification,353.5,353.5,,,0 HCPCS,87802,Strep b assay w/optic,,,9.55,26.99,17 HCPCS,87803,Clostridium toxin a w/optic,,,12.0,33.92,17 HCPCS,87804,"Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu A Antigen",190.5,190.5,,,0 HCPCS,87804,"Hc Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu Bantigen",190.5,190.5,,,0 HCPCS,87804,Influenza assay w/optic,,,12.41,35.09,17 HCPCS,87806,"Hc Iaadi, Direct Optical, Obs, Hiv Antigens - Hiv Rapid Ag+Ab Combo",144.5,144.5,,,0 HCPCS,87806,Hiv antigen w/hiv antibodies,,,24.58,69.47,17 HCPCS,87806,Noncdm Charge Record,47.88,47.88,,,0 HCPCS,87807,Rsv assay w/optic,,,9.83,27.77,17 HCPCS,87808,Trichomonas assay w/optic,,,11.47,32.41,17 HCPCS,87809,Adenovirus assay w/optic,,,16.32,46.13,17 HCPCS,87810,Chylmd trach assay w/optic,,,26.47,74.81,17 HCPCS,87811,Sars-cov-2 covid19 w/optic,,,31.04,87.73,15 HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,157.9,7 HCPCS,87850,N. gonorrhoeae assay w/optic,,,18.42,52.07,17 HCPCS,87880,Hc Strep A Assay W/Optic - Rapid Strep A Screen,218.5,218.5,,,0 HCPCS,87880,Strep a assay w/optic,,,12.4,35.04,17 HCPCS,87899,Agent nos assay w/optic,,,12.05,34.07,17 HCPCS,87899,Hc Agent Nos Assay W/Optic - Cerebrospinal Fluid Cryptococcal Antigen,129.5,129.5,,,0 HCPCS,87899,Hc Agent Nos Assay W/Optic - Cryptococcal Antigen Blood,129.5,129.5,,,0 HCPCS,87899,Hc Agent Nos Assay W/Optic - Cryptococcal Antigen Titer With Charge,129.5,129.5,,,0 HCPCS,87899,Hc Agent Nos Assay W/Optic - Malaria Screen,129.5,129.5,,,0 HCPCS,87899,Hc Agent Nos Assay W/Optic - Pneumococcol Antigen Urine Random,129.5,129.5,,,0 HCPCS,87899,Hc Agent Nos Assay W/Optic - Shig Toxin Test,129.5,129.5,,,0 HCPCS,87900,"Hc Infectious Agent Drug Susceptibility Phenotype Prediction, Genotype",1044.5,1044.5,,,0 HCPCS,87900,Phenotype infect agent drug,,,97.76,276.34,17 HCPCS,87901,Genotype dna hiv reverse t,,,193.09,545.79,17 HCPCS,87901,"Hc Iahana, Hiv-1, Rev Transcriptase/Protease Regions - Hiv-1, Genotype",1352.5,1352.5,,,0 HCPCS,87902,Genotype dna/rna hep c,,,193.09,545.79,17 HCPCS,87902,"Hc Iagana, Hepatitis C Virus - Hepatitis C Virus Genotype",1308.0,1308.0,,,0 HCPCS,87903,Phenotype dna hiv w/culture,,,366.5,1035.96,17 HCPCS,87904,Phenotype dna hiv w/clt add,,,19.55,55.27,17 HCPCS,87905,Sialidase enzyme assay,,,9.17,25.91,17 HCPCS,87906,Genotype dna/rna hiv,,,96.55,272.91,17 HCPCS,87906,"Hc Iagan, Hiv-1, Other Region - Hiv-1-Integrase Inhibitor Resistance",266.5,266.5,,,0 HCPCS,87910,Genotype cytomegalovirus,,,193.09,545.79,17 HCPCS,87910,"Hc Iagan, Cytomegalovirus - Cmv Resistance Testing",1569.0,1569.0,,,0 HCPCS,87912,Genotype dna hepatitis b,,,193.09,545.79,17 HCPCS,87912,"Hc Iagana, Hepatitis B Virus - Hepatitis B Genotype",1569.0,1569.0,,,0 HCPCS,87913,Nfct agt gntyp alys sarscov2,,,193.09,545.79,17 HCPCS,87999,Autocheck 12 Ct 1-2 Kits,735.5,735.5,,,0 HCPCS,87999,Autocheck 12 Ct 3+ Kits,735.5,735.5,,,0 HCPCS,87999,Autocheck 24 Ct 1-2 Kits,735.5,735.5,,,0 HCPCS,87999,Hc Unlist. Microbiology Proced.,735.5,735.5,,,0 HCPCS,87999,Hc Unlist. Microbiology Proced. - Jc Virus By Pcr Serum/Plasma Qnt,735.5,735.5,,,0 HCPCS,87999,Hc Unlist. Microbiology Proced. - Trofile Dna Hiv-1 Co Receptor Tropism Assay,735.5,735.5,,,0 HCPCS,87999,Hc Unlist. Microbiology Proced. - Trofile Hiv-1 Co Receptor Tropism Assay,735.5,735.5,,,0 HCPCS,87999,Noncdm Charge Record,330.0,330.0,,,0 HCPCS,88000,Autopsy (necropsy) gross,,,155.24,294.18,8 HCPCS,88005,Autopsy (necropsy) gross,,,180.94,342.89,8 HCPCS,88007,Autopsy (necropsy) gross,,,189.51,359.13,8 HCPCS,88012,Autopsy (necropsy) gross,,,155.24,294.18,8 HCPCS,88014,Autopsy (necropsy) gross,,,142.25,269.58,8 HCPCS,88016,Autopsy (necropsy) gross,,,198.32,375.83,8 HCPCS,88020,Autopsy (necropsy) complete,,,267.13,506.22,8 HCPCS,88025,Autopsy (necropsy) complete,,,258.56,489.98,8 HCPCS,88027,Autopsy (necropsy) complete,,,275.69,522.46,8 HCPCS,88028,Autopsy (necropsy) complete,,,155.24,294.18,8 HCPCS,88029,Autopsy (necropsy) complete,,,155.24,294.18,8 HCPCS,88036,Limited autopsy,,,77.62,147.09,8 HCPCS,88037,"Hc Necropsy(Autopsy), Limited, Gross And/Or Microscopic - Single Organ",385.0,385.0,,,0 HCPCS,88037,Limited autopsy,,,69.05,130.84,8 HCPCS,88040,Forensic autopsy (necropsy),,,430.93,816.64,8 HCPCS,88045,Coroners autopsy (necropsy),,,43.1,81.67,8 HCPCS,88104,Cytopath fl nongyn smears,,,33.43,86.54,17 HCPCS,88104,"Hc Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp",261.0,261.0,,,0 HCPCS,88106,Cytopath fl nongyn filter,,,22.99,93.59,17 HCPCS,88106,"Hc Cytopath Fl Nongyn Filter - Lab Cytopath Fluids,Filter,Interp",261.0,261.0,,,0 HCPCS,88108,Cytopath concentrate tech,,,33.43,82.93,17 HCPCS,88108,"Hc Cytopath Concentrate Tech - Lab Cytopath Fluids,Concentratn,Interp",177.5,177.5,,,0 HCPCS,88108,"Hc Cytopath Fluids,Concentratn,Interp - Lab Cytopath Fluids,Concentratn,Int",177.5,177.5,,,0 HCPCS,88108,Noncdm Charge Record,66.33,66.33,,,0 HCPCS,88112,Cytopath cell enhance tech,,,30.39,110.81,17 HCPCS,88112,Hc Cytopath Cell Enhance Tech - Lab Cytopath Liquid Base Non-Gyn,414.5,414.5,,,0 HCPCS,88112,"Hc Cytopath Cell Enhance Tech - Lab Cytopath, Cell Enhance Tech",414.5,414.5,,,0 HCPCS,88120,Cytp urne 3-5 probes ea spec,,,143.5,923.39,17 HCPCS,88121,Cytp urine 3-5 probes cmptr,,,170.89,657.12,17 HCPCS,88125,Forensic cytopathology,,,11.3,110.81,17 HCPCS,88130,Sex chromatin identification,,,13.49,38.12,17 HCPCS,88140,Sex chromatin identification,,,5.99,16.94,17 HCPCS,88141,Cytopath c/v interpret,,,17.68,33.5,8 HCPCS,88141,Noncdm Charge Record,36.68,36.68,,,0 HCPCS,88142,Cytopath c/v thin layer,,,15.2,42.95,17 HCPCS,88142,Hc Cytopath C/V Liquid Based - Lab Cytopath Cerv/Vag Liquid Base Gyn Scrn,148.0,148.0,,,0 HCPCS,88142,Hc Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer,148.0,148.0,,,0 HCPCS,88143,Cytopath c/v thin layer redo,,,17.28,48.84,17 HCPCS,88143,Hc Cytopath C/V Liquid Base Redo - Lab Cytopath Cerv/Vag Liquid Redo,304.5,304.5,,,0 HCPCS,88147,Cytopath c/v automated,,,37.92,107.19,17 HCPCS,88148,Cytopath c/v auto rescreen,,,13.32,39.3,17 HCPCS,88150,Cytopath c/v manual,,,13.32,39.3,17 HCPCS,88152,Cytopath c/v auto redo,,,20.73,58.6,17 HCPCS,88153,Cytopath c/v redo,,,18.02,50.94,17 HCPCS,88155,Cytopath c/v index add-on,,,10.99,31.06,17 HCPCS,88160,Cytopath smear other source,,,22.99,97.11,17 HCPCS,88160,"Hc Cytopath Smear Other Source - Lab Cytopath,Othr Sourc,Screen,Interp Non-Gyn",228.5,228.5,,,0 HCPCS,88161,Cytopath smear other source,,,22.99,100.64,17 HCPCS,88161,"Hc Cytopath Smear Other Source - Lab Cytopath,Othr Sourc,Prep,Scrn,Int",351.5,351.5,,,0 HCPCS,88162,Cytopath smear other source,,,49.47,160.07,17 HCPCS,88164,Cytopath tbs c/v manual,,,13.32,39.3,17 HCPCS,88164,"Hc Cytopath Slides - Cytopath Cerv/Vag, Bethesda System",114.0,114.0,,,0 HCPCS,88165,Cytopath tbs c/v redo,,,31.67,89.51,17 HCPCS,88166,Cytopath tbs c/v auto redo,,,13.32,39.3,17 HCPCS,88167,Cytopath tbs c/v select,,,13.32,39.3,17 HCPCS,88172,Cytp dx eval fna 1st ea site,,,15.95,362.28,17 HCPCS,88172,"Hc Cytp Dx Eval Fna 1St Ea Site - Lab Evaluation Of Fna Smear, First",342.5,342.5,,,0 HCPCS,88173,Cytopath eval fna report,,,49.47,176.52,17 HCPCS,88173,Hc Cytopath Eval Fna Report - Lab Interpretation Of Fna Smear,352.5,352.5,,,0 HCPCS,88174,Cytopath c/v auto in fluid,,,19.03,53.78,17 HCPCS,88175,Cytopath c/v auto fluid redo,,,19.96,56.41,17 HCPCS,88177,Cytp fna eval ea addl,,,6.12,14.69,10 HCPCS,88177,"Hc Cytp Fna Eval Ea Addl - Lab Evaluation Of Fna Smear, Ea Add Eval",22.0,22.0,,,0 HCPCS,88182,Cell marker study,,,49.47,229.56,17 HCPCS,88184,Flowcytometry/ tc 1 marker,,,57.36,762.2,17 HCPCS,88184,"Hc Flowcytometry/ Tech Component, 1 Marker - Lab Flowcytometry/Tech Cmp",611.5,611.5,,,0 HCPCS,88184,"Hc Ref Flowcytometry/ Tech Component, 1 Marker - Mrd Flow",611.5,611.5,,,0 HCPCS,88185,Flowcytometry/tc add-on,,,17.39,41.72,10 HCPCS,88185,"Hc Flowcytometry/Tech Component, Add-On - Lab Flowcytometry/Tech Cmp",79.5,79.5,,,0 HCPCS,88185,"Hc Ref Flowcytometry/Tech Component, Add-On - Mrd Flow",79.5,79.5,,,0 HCPCS,88187,Flowcytometry/read 2-8,,,25.86,49.01,8 HCPCS,88188,Flowcytometry/read 9-15,,,44.6,84.51,8 HCPCS,88188,Noncdm Charge Record,249.0,249.0,,,0 HCPCS,88189,Flowcytometry/read 16 & >,,,60.37,114.4,8 HCPCS,88189,Noncdm Charge Record,405.0,405.0,,,0 HCPCS,88199,Cytopathology procedure,,,49.47,110.81,9 HCPCS,88230,"Hc Tissue Culture, Lymphocyte - Chromosome Analysis Constitutional",1362.5,1362.5,,,0 HCPCS,88230,Tissue culture lymphocyte,,,87.37,246.96,17 HCPCS,88233,Hc Tissue Cult-Solid Tissue Biopsy Non-Neoplastic,944.5,944.5,,,0 HCPCS,88233,Tissue culture skin/biopsy,,,105.55,298.35,17 HCPCS,88235,Tissue culture placenta,,,112.73,318.64,17 HCPCS,88237,Hc Tissue Culture - Bone Marrow,2013.5,2013.5,,,0 HCPCS,88237,Tissue culture bone marrow,,,107.81,304.75,17 HCPCS,88239,Hc Tissue Culture - Solid Tumor,3832.5,3832.5,,,0 HCPCS,88239,Tissue culture tumor,,,110.64,312.74,17 HCPCS,88240,Cell cryopreserve/storage,,,9.8,27.71,17 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study B Cell(Cd19) Analysis",148.0,148.0,,,0 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study Comp Analysis",148.0,148.0,,,0 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study Myeloid(Cd33) Analysis",148.0,148.0,,,0 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Chimerism Study T(Cd3) Cell Analysis",148.0,148.0,,,0 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Hla Freeze",148.0,148.0,,,0 HCPCS,88240,"Hc Cryopreservation,Freeze/Storage-Each Cell- Tissue",148.0,148.0,,,0 HCPCS,88241,Frozen cell preparation,,,9.07,25.63,17 HCPCS,88245,Chromosome analysis 20-25,,,129.88,367.12,17 HCPCS,88248,Chromosome analysis 50-100,,,129.88,367.12,17 HCPCS,88249,Chromosome analysis 100,,,129.88,367.12,17 HCPCS,88261,Chromosome analysis 5,,,198.26,560.4,17 HCPCS,88262,Chromosome analysis 15-20,,,94.12,266.04,17 HCPCS,88262,Hc Chromosome Analysis (Karotype) 15-20 Cell,3515.0,3515.0,,,0 HCPCS,88262,Hc Chromosome Analysis (Karotype) Constitutional 15-20 Cell,3515.0,3515.0,,,0 HCPCS,88263,Chromosome analysis 45,,,112.72,318.61,17 HCPCS,88264,Chromosome analysis 20-25,,,108.46,306.57,17 HCPCS,88264,Hc Chromosome Count 20-25 Cells Neoplastic,3248.5,3248.5,,,0 HCPCS,88267,Chromosome analys placenta,,,141.43,399.77,17 HCPCS,88269,Chromosome analys amniotic,,,130.25,368.16,17 HCPCS,88271,Cytogenetics dna probe,,,16.07,45.41,17 HCPCS,88271,"Hc Cytogenetics, Dna Probe - Alk, Fish",505.0,505.0,,,0 HCPCS,88271,"Hc Cytogenetics, Dna Probe - Molecular Cytogen, Dna Probe",505.0,505.0,,,0 HCPCS,88272,Cytogenetics 3-5,,,30.53,86.28,17 HCPCS,88273,Cytogenetics 10-30,,,26.11,73.8,17 HCPCS,88274,Cytogenetics 25-99,,,31.79,89.85,17 HCPCS,88275,Cytogenetics 100-300,,,38.39,108.52,17 HCPCS,88275,"Hc Cytogenetics, 100-300 - Bcr/Abl1, Fish",250.0,250.0,,,0 HCPCS,88275,Noncdm Charge Record,109.0,109.0,,,0 HCPCS,88280,Chromosome karyotype study,,,25.1,70.96,17 HCPCS,88283,Chromosome banding study,,,51.45,145.43,17 HCPCS,88285,Chromosome count additional,,,20.18,57.05,17 HCPCS,88285,"Hc Chromosome Analysis; Additional Cells Counted, Ea Study",388.5,388.5,,,0 HCPCS,88289,Chromosome study additional,,,25.82,72.99,17 HCPCS,88291,Cyto/molecular report,,,24.59,46.59,8 HCPCS,88291,Hc Cytogenetics; Interp & Report,419.0,419.0,,,0 HCPCS,88291,Noncdm Charge Record,58.38,58.38,,,0 HCPCS,88299,Cytogenetic study,,,49.47,110.81,9 HCPCS,88300,"Hc Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I",83.5,83.5,,,0 HCPCS,88300,"Hc Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I - Oral Path",83.5,83.5,,,0 HCPCS,88300,Surgical path gross,,,8.85,61.5,17 HCPCS,88302,"Hc Surg Path,Level Ii - Lab Surg Path,Level Ii",199.0,199.0,,,0 HCPCS,88302,"Hc Surg Path,Level Ii - Lab Surg Path,Level Ii, Oral Path",199.0,199.0,,,0 HCPCS,88302,Tissue exam by pathologist,,,19.62,79.42,17 HCPCS,88304,"Hc Surg Path,Level Iii - Lab Surg Path,Level Iii",241.5,241.5,,,0 HCPCS,88304,"Hc Surg Path,Level Iii - Lab Surg Path,Level Iii, Oral Path",241.5,241.5,,,0 HCPCS,88304,Tissue exam by pathologist,,,23.54,110.81,17 HCPCS,88305,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv",419.0,419.0,,,0 HCPCS,88305,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Muscle Biopsy",419.0,419.0,,,0 HCPCS,88305,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Nerve Biopsy",419.0,419.0,,,0 HCPCS,88305,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Oral Path",419.0,419.0,,,0 HCPCS,88305,"Hc Surg Path,Level Iv - Lab Surg Path,Level Iv - Renal Biopsy",419.0,419.0,,,0 HCPCS,88305,Noncdm Charge Record,46.27,46.27,,,0 HCPCS,88305,Tissue exam by pathologist,,,26.23,110.81,17 HCPCS,88307,"Hc Surg Path,Level V - Lab Surg Path,Level V",611.5,611.5,,,0 HCPCS,88307,"Hc Surg Path,Level V - Lab Surg Path,Level V - Oral Path",611.5,611.5,,,0 HCPCS,88307,Noncdm Charge Record,228.0,228.0,,,0 HCPCS,88307,Tissue exam by pathologist,,,153.65,762.2,17 HCPCS,88309,"Hc Surg Path,Level Vi - Lab Surg Path,Level Vi",1357.0,1357.0,,,0 HCPCS,88309,Tissue exam by pathologist,,,215.6,1713.21,17 HCPCS,88311,Decalcify tissue,,,6.4,15.36,10 HCPCS,88311,Hc Decalcify Tissue - Lab Decalcify Tissue,58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Decalcify Tissue, Oral Path",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Iii",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Iii, Oral Path",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Iv",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Iv, Oral Path",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level V",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level V, Oral Path",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Vi",58.5,58.5,,,0 HCPCS,88311,"Hc Decalcify Tissue - Lab Surg Path,Level Vi, Oral Path",58.5,58.5,,,0 HCPCS,88312,"Hc Special Stains,Group I - Bundled Charge",394.0,394.0,,,0 HCPCS,88312,"Hc Special Stains,Group I - Lab Special Stains,Group I",394.0,394.0,,,0 HCPCS,88312,"Hc Special Stains,Group I - Lab Special Stains,Group I, Oral Path",394.0,394.0,,,0 HCPCS,88312,Noncdm Charge Record,60.0,60.0,,,0 HCPCS,88312,Special stains group 1,,,49.47,153.45,17 HCPCS,88313,"Hc Special Stains,Group Ii - Bundled Charge",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Iron Biopsy",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Lab Special Stains,Group Ii",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Lab Special Stains,Group Ii, Oral Path",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Muscle Biopsy",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Nerve Biopsy",328.5,328.5,,,0 HCPCS,88313,"Hc Special Stains,Group Ii - Renal Biopsy",328.5,328.5,,,0 HCPCS,88313,Noncdm Charge Record,27.22,27.22,,,0 HCPCS,88313,Special stains group 2,,,33.43,282.92,17 HCPCS,88314,Hc Special Stain I&R Histochemical W/Frozen Tissu,242.5,242.5,,,0 HCPCS,88314,Histochemical stains add-on,,,50.75,121.79,10 HCPCS,88319,Enzyme histochemistry,,,81.35,1713.21,17 HCPCS,88319,Hc Enzyme Histochemistry - Lab Enzyme Histochemistry,1357.0,1357.0,,,0 HCPCS,88321,Microslide consultation,,,33.43,113.93,15 HCPCS,88321,Noncdm Charge Record,240.0,240.0,,,0 HCPCS,88323,Hc Microslide Consult W Slide Prep - Consultation And Report On Referred Material W Sld Prep,243.5,243.5,,,0 HCPCS,88323,Microslide consultation,,,21.83,110.81,17 HCPCS,88323,Noncdm Charge Record,100.0,100.0,,,0 HCPCS,88325,Comprehensive review of data,,,49.47,362.28,15 HCPCS,88329,Path consult introp,,,25.4,125.44,15 HCPCS,88331,"Hc Path Consult In Surg,W Frz Sec - Bundled Charge",342.5,342.5,,,0 HCPCS,88331,"Hc Path Consult In Surg,W Frz Sec - Frozen Section Original",342.5,342.5,,,0 HCPCS,88331,Noncdm Charge Record,97.0,97.0,,,0 HCPCS,88331,Path consult intraop 1 bloc,,,30.39,362.28,17 HCPCS,88332,"Hc Path Consult In Surg,W Addn Frz Sec - Block",133.0,133.0,,,0 HCPCS,88332,"Hc Path Consult In Surg,W Addn Frz Sec - Block - Fs H&E Slide",133.0,133.0,,,0 HCPCS,88332,"Hc Path Consult Intraop Addl - Lab Path Consult In Surg,W Addn Frz Sec",133.0,133.0,,,0 HCPCS,88332,Path consult intraop addl,,,18.4,44.15,10 HCPCS,88333,"Hc Cytologic Consult Intraop Initial - Touch Prep Original , Initial",1357.0,1357.0,,,0 HCPCS,88333,Intraop cyto path consult 1,,,23.54,1713.21,17 HCPCS,88334,"Hc Cytologic Consult Intraop Addl - Touch Prep Original , Each Addl",101.0,101.0,,,0 HCPCS,88334,Hc Intraop Cyto Path Consult 2 - Lab Intraoperative Cyto Path Consult,101.0,101.0,,,0 HCPCS,88334,Intraop cyto path consult 2,,,14.2,34.08,10 HCPCS,88341,Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Bundled Charge,98.0,98.0,,,0 HCPCS,88341,Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Ihc Stain Addl,98.0,98.0,,,0 HCPCS,88341,"Hc Imhistochem/Cytchm Ea Addl Antibody Slide - Ihc Stain Addl, Oral Path",98.0,98.0,,,0 HCPCS,88341,Hc Immunohisto Antb Addl Slide - Lab Imhistochem/Cytchm Ea Addl Ant Sld,98.0,98.0,,,0 HCPCS,88341,Immunohisto antb addl slide,,,46.76,112.24,10 HCPCS,88341,Noncdm Charge Record,44.25,44.25,,,0 HCPCS,88342,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Bundled Charge,342.5,342.5,,,0 HCPCS,88342,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Immunocytochemistry, Initial",342.5,342.5,,,0 HCPCS,88342,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Immunocytochemistry, Initial - Oral Path",342.5,342.5,,,0 HCPCS,88342,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Muscle Biopsy,342.5,342.5,,,0 HCPCS,88342,Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Nerve Biopsy,342.5,342.5,,,0 HCPCS,88342,Immunohisto antb 1st stain,,,53.16,362.28,17 HCPCS,88342,Noncdm Charge Record,70.45,70.45,,,0 HCPCS,88344,"Hc Imhistochem/Cytchm Init Antibody Stain Procedure - Ihc Stain Multiplex, Per Spec",646.5,646.5,,,0 HCPCS,88344,Immunohisto antibody slide,,,99.93,762.2,17 HCPCS,88346,"Hc Immunofluorescent Study,Direct - Crohn's Prognostic Prometheus",611.5,611.5,,,0 HCPCS,88346,"Hc Immunofluorescent Study,Direct - Ibd Sgi Diagnostic Prometheus",611.5,611.5,,,0 HCPCS,88346,"Hc Immunofluorescent Study,Direct - Immunofluorescence Ea Direct",611.5,611.5,,,0 HCPCS,88346,"Hc Immunofluorescent Study,Direct - Renal Biopsy, Each",611.5,611.5,,,0 HCPCS,88346,"Hc Immunofluorescent Study,Indirect - Anti Ribonucleic Acid",611.5,611.5,,,0 HCPCS,88346,Immunofluor antb 1st stain,,,84.78,362.28,17 HCPCS,88346,Noncdm Charge Record,68.84,68.84,,,0 HCPCS,88348,Electron microscopy,,,301.45,1713.21,17 HCPCS,88348,Hc Electron Microscopy Dx- Electron Micoscopy Diagnostic,1357.0,1357.0,,,0 HCPCS,88348,Hc Electron Microscopy Dx- Electron Micoscopy Diagnostic - Renal Biopsy,1357.0,1357.0,,,0 HCPCS,88348,Noncdm Charge Record,135.0,135.0,,,0 HCPCS,88350,"Hc Immunofluorescence - Crohn's Prognostic Prometheus, Each Addl",96.0,96.0,,,0 HCPCS,88350,Hc Immunofluorescence - Ibd Sgi Diagnostic Prometheus,96.0,96.0,,,0 HCPCS,88350,Hc Immunofluorescence - Immunofluorescence Each Additional,96.0,96.0,,,0 HCPCS,88350,Immunofluor antb addl stain,,,63.2,151.69,10 HCPCS,88350,Noncdm Charge Record,85.48,85.48,,,0 HCPCS,88355,Analysis skeletal muscle,,,38.75,362.28,17 HCPCS,88356,Analysis nerve,,,49.47,206.72,17 HCPCS,88358,Analysis tumor,,,65.41,362.28,17 HCPCS,88358,Hc Morphomet Analysis - Tumor,611.5,611.5,,,0 HCPCS,88360,"Hc Morphometric Analysis, Tumor Immumochem - Ihc Quant Tumor Manual Ea Ab Stain",342.5,342.5,,,0 HCPCS,88360,Tumor immunohistochem/manual,,,59.04,362.28,17 HCPCS,88361,Hc Morphometric Analsis Immunohistochemistry Tumor Quant - Comp-Assisted Ea Ab Stn,611.5,611.5,,,0 HCPCS,88361,Hc Morphometric Analsis Immunohistochemistry Tumor Quant - Receptor Comp-Assisted Ea Ab Stn,611.5,611.5,,,0 HCPCS,88361,Tumor immunohistochem/comput,,,56.84,762.2,17 HCPCS,88362,Nerve teasing preparations,,,89.47,1713.21,17 HCPCS,88363,Hc Exam/Selection Of Retrieved Archival - Tissues For Molecular Analysis (Kras),42.5,42.5,,,0 HCPCS,88363,Xm archive tissue molec anal,,,13.8,61.5,15 HCPCS,88364,"Hc In Situ Hybridization(Ish), Per Specimen, Each Addl Single Probe Stain",244.0,244.0,,,0 HCPCS,88364,Insitu hybridization (fish),,,73.97,177.54,10 HCPCS,88365,"Hc In Situ Hybridization(Ish), Per Specimen, Initial Single Probe Stain",633.5,633.5,,,0 HCPCS,88365,Insitu hybridization (fish),,,99.96,362.28,17 HCPCS,88365,Noncdm Charge Record,110.0,110.0,,,0 HCPCS,88366,Insitu hybridization (fish),,,156.03,374.47,17 HCPCS,88367,Insitu hybridization auto,,,58.55,762.2,17 HCPCS,88368,Hc Ish -Ea Probe Single - Manual Initial,611.5,611.5,,,0 HCPCS,88368,Insitu hybridization manual,,,78.91,762.2,17 HCPCS,88369,Hc Ish -Ea Probe Single - Manual Each Additional,271.0,271.0,,,0 HCPCS,88369,M/phmtrc alysishquant/semiq,,,70.55,169.31,10 HCPCS,88371,Protein western blot tissue,,,16.67,40.01,10 HCPCS,88372,Protein analysis w/probe,,,19.67,47.2,10 HCPCS,88373,M/phmtrc alys ishquant/semiq,,,31.86,76.47,10 HCPCS,88374,M/phmtrc alys ishquant/semiq,,,143.5,435.51,17 HCPCS,88375,Optical endomicroscpy interp,,,34.51,65.39,7 HCPCS,88377,Hc Fish Multiplex Probe,646.5,646.5,,,0 HCPCS,88377,"Hc M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb - Her-2 / Neu, Fish",646.5,646.5,,,0 HCPCS,88377,Hc Ref Fish For Biliary Tract Malignancy,646.5,646.5,,,0 HCPCS,88377,M/phmtrc alys ishquant/semiq,,,143.5,588.45,17 HCPCS,88377,Noncdm Charge Record,63.0,63.0,,,0 HCPCS,88380,"Hc Microdissection, Laser Capture - Human Epididymis Protein",266.5,266.5,,,0 HCPCS,88380,Microdissection laser,,,54.21,130.1,10 HCPCS,88381,Hc Microdissection - Manual,457.0,457.0,,,0 HCPCS,88381,Microdissection manual,,,131.36,315.28,10 HCPCS,88387,Noncdm Charge Record,1.0,1.0,,,0 HCPCS,88387,Tiss exam molecular study,,,5.42,13.01,10 HCPCS,88388,Tiss ex molecul study add-on,,,9.83,23.58,10 HCPCS,88399,Surgical pathology procedure,,,49.47,110.81,9 HCPCS,88720,Bilirubin total transcut,,,3.77,10.64,17 HCPCS,88720,Hc Bilirubin Total Transcutane,48.0,48.0,,,0 HCPCS,88738,Hgb quant transcutaneous,,,3.77,10.64,17 HCPCS,88740,Transcutaneous carboxyhb,,,7.03,19.86,17 HCPCS,88741,Transcutaneous methb,,,7.03,19.86,17 HCPCS,89049,Chct for mal hyperthermia,,,45.21,362.28,15 HCPCS,89050,Body fluid cell count,,,3.54,10.01,17 HCPCS,89050,"Hc Cell Count,Misc Body Fluids - Body Fluid Cell Count",164.5,164.5,,,0 HCPCS,89051,Body fluid cell count,,,4.2,11.87,17 HCPCS,89051,Hc Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff,64.0,64.0,,,0 HCPCS,89051,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Shunt(Evd)",64.0,64.0,,,0 HCPCS,89051,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 1",64.0,64.0,,,0 HCPCS,89051,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 2",64.0,64.0,,,0 HCPCS,89051,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 3",64.0,64.0,,,0 HCPCS,89051,"Hc Body Fluid Cell Count W Diff - Csf Cell Count And Diff, Tube 4",64.0,64.0,,,0 HCPCS,89055,Leukocyte assessment fecal,,,3.2,9.05,17 HCPCS,89060,Exam synovial fluid crystals,,,5.5,15.54,17 HCPCS,89060,"Hc Exam,Synovial Fluid Crystals - Body Fluid Crystals",204.5,204.5,,,0 HCPCS,89060,"Hc Exam,Synovial Fluid Crystals - Body Fluid Crystals W/O Path",204.5,204.5,,,0 HCPCS,89060,"Hc Exam,Synovial Fluid Crystals - Synovial Fluid Crystal",204.5,204.5,,,0 HCPCS,89125,Hc Specimen Fat Stain - Fecal Qualitative Fat Stain,133.0,133.0,,,0 HCPCS,89125,Specimen fat stain,,,4.41,12.47,17 HCPCS,89160,Exam feces for meat fibers,,,3.64,10.28,17 HCPCS,89190,Hc Nasal Smear For Eosinophils - Eosinophil Smear,148.0,148.0,,,0 HCPCS,89190,Nasal smear for eosinophils,,,4.34,12.27,17 HCPCS,89220,Hc Sputum Obtaining Spec Aerosol Induced Tx Spx,416.5,416.5,,,0 HCPCS,89220,Sputum specimen collection,,,14.24,362.28,17 HCPCS,89230,Collect sweat for test,,,2.24,110.81,17 HCPCS,89240,Pathology lab procedure,,,49.47,110.81,9 HCPCS,89250,Cultr oocyte/embryo <4 days,,,143.5,1941.52,17 HCPCS,89251,Cultr oocyte/embryo <4 days,,,143.5,2019.68,17 HCPCS,89253,Embryo hatching,,,143.5,362.28,9 HCPCS,89254,Oocyte identification,,,143.5,362.28,9 HCPCS,89255,Prepare embryo for transfer,,,49.47,110.81,9 HCPCS,89257,Sperm identification,,,49.47,110.81,9 HCPCS,89258,Cryopreservation embryo(s),,,628.2,1713.21,9 HCPCS,89259,Cryopreservation sperm,,,143.5,362.28,9 HCPCS,89260,Sperm isolation simple,,,49.47,110.81,9 HCPCS,89261,Sperm isolation complex,,,49.47,110.81,9 HCPCS,89264,Identify sperm tissue,,,49.47,110.81,9 HCPCS,89268,Insemination of oocytes,,,143.5,362.28,9 HCPCS,89272,Extended culture of oocytes,,,628.2,1713.21,9 HCPCS,89280,Assist oocyte fertilization,,,628.2,1713.21,9 HCPCS,89281,Assist oocyte fertilization,,,143.5,362.28,9 HCPCS,89290,Biopsy oocyte polar body,,,143.5,362.28,9 HCPCS,89291,Biopsy oocyte polar body,,,143.5,362.28,9 HCPCS,89300,Semen analysis w/huhner,,,7.38,20.86,17 HCPCS,89310,Semen analysis w/count,,,6.46,18.25,17 HCPCS,89320,Semen anal vol/count/mot,,,9.23,26.1,17 HCPCS,89321,Semen anal sperm detection,,,9.04,25.55,17 HCPCS,89322,Semen anal strict criteria,,,11.63,32.86,17 HCPCS,89325,Sperm antibody test,,,8.0,22.62,17 HCPCS,89329,Sperm evaluation test,,,14.69,41.53,17 HCPCS,89330,Evaluation cervical mucus,,,7.79,22.01,17 HCPCS,89331,Retrograde ejaculation anal,,,14.69,41.53,17 HCPCS,89335,Cryopreserve testicular tiss,,,49.47,110.81,9 HCPCS,89337,Cryopreservation oocyte(s),,,143.5,362.28,9 HCPCS,89342,Storage/year embryo(s),,,143.5,362.28,9 HCPCS,89343,Storage/year sperm/semen,,,143.5,362.28,9 HCPCS,89344,Storage/year reprod tissue,,,143.5,362.28,9 HCPCS,89346,Storage/year oocyte(s),,,170.89,362.28,9 HCPCS,89352,Thawing cryopresrved embryo,,,143.5,362.28,9 HCPCS,89353,Thawing cryopresrved sperm,,,49.47,110.81,9 HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,143.5,362.28,9 HCPCS,89356,Thawing cryopresrved oocyte,,,143.5,362.28,9 HCPCS,89398,Unlisted reprod med lab proc,,,49.47,110.81,9 HCPCS,90371,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03) / .5 Ml In 1 Syringe, Glass (13533-636-30)",382.13,382.13,,,0 HCPCS,90371,NDC Description Not Available,382.13,382.13,,,0 HCPCS,90375,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),841.1,841.1,,,0 HCPCS,90377,"Imogam Rabies-Ht: 1 Vial, Single-Dose In 1 Carton (49281-190-20) / 2 Ml In 1 Vial, Single-Dose (49281-190-58)",1095.2,1095.2,,,0 HCPCS,90377,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-02) / 2 Ml In 1 Vial, Glass (76125-150-03)",864.4449999999999,864.4449999999999,,,0 HCPCS,90377,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-10) / 10 Ml In 1 Vial, Glass (76125-150-11)",801.53,801.53,,,0 HCPCS,90377,NDC Description Not Available,879.3,879.3,,,0 HCPCS,90377,Rabies ig ht&sol human im/sc,,,242.18,513.42,7 HCPCS,90380,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,1223.64,1223.64,,,0 HCPCS,90380,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,1284.41,1284.41,,,0 HCPCS,90460,"Hc Immuniz Admin, Thru Age 18, Any Route,W Counsel, 1St Vaccine/Toxoid",212.0,212.0,,,0 HCPCS,90461,"Hc Immuniz Admin, Thru Age 18, Any Route,W Counsel, Ea Add Vaccine/Toxoid",261.0,261.0,,,0 HCPCS,90461,Noncdm Charge Record,144.68,144.68,,,0 HCPCS,90471,"Hc Immuniz Admin,1 Single/Comb Vac/Toxoid",164.0,164.0,,,0 HCPCS,90471,Immunization admin,,,72.22,153.1,7 HCPCS,90471,Noncdm Charge Record,143.0,143.0,,,0 HCPCS,90472,"Hc Immuniz,Admin,Each Addl",175.0,175.0,,,0 HCPCS,90472,Noncdm Charge Record,145.215,145.215,,,0 HCPCS,90473,Immune admin oral/nasal,,,72.22,153.1,7 HCPCS,90585,Hc Pbb Bacillus Calmette-Guerin Vacc For Tb Live Perq,1437.88,1437.88,,,0 HCPCS,90624,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),576.8,576.8,,,0 HCPCS,90624,NDC Description Not Available,960.565,960.565,,,0 HCPCS,90627,Hc Pbb Tick-Borne Enceph Vacc Inactivated 0.5Ml Im Use,1160.81,1160.81,,,0 HCPCS,90632,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),66.95,66.95,,,0 HCPCS,90632,Hc Pbb Hepa Vaccine Adult Dose For Intramuscular Use,317.24,317.24,,,0 HCPCS,90632,NDC Description Not Available,344.02,344.02,,,0 HCPCS,90636,Hc Pbb Hepa/Hepb Vaccine Adult Im,500.58,500.58,,,0 HCPCS,90636,NDC Description Not Available,525.405,525.405,,,0 HCPCS,90647,NDC Description Not Available,104.845,104.845,,,0 HCPCS,90647,"Pedvaxhib: 10 Vial, Single-Dose In 1 Carton (0006-4897-00) / .5 Ml In 1 Vial, Single-Dose (0006-4897-01)",131.84,131.84,,,0 HCPCS,90651,Hc Pbb 9Vhpv Vacc 2/3 Dose Sched Im Use,1109.31,1109.31,,,0 HCPCS,90653,"Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04)",266.255,266.255,,,0 HCPCS,90653,Hc Iiv Adjuvanted Vaccine For Intramuscular Use,215.27,215.27,,,0 HCPCS,90653,NDC Description Not Available,251.60500000000002,251.60500000000002,,,0 HCPCS,90656,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-123-03) / .5 mL in 1 SYRINGE, GLASS (70461-123-04)",72.1,72.1,,,0 HCPCS,90656,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),78.285,78.285,,,0 HCPCS,90656,Hc Pbb Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use,72.1,72.1,,,0 HCPCS,90656,NDC Description Not Available,72.1,72.1,,,0 HCPCS,90661,"Flucelvax: 10 Syringe, Glass In 1 Carton (70461-654-03) / .5 Ml In 1 Syringe, Glass (70461-654-04)",140.08,140.08,,,0 HCPCS,90661,Hc Cciiv3 Vaccine Abx Free 0.5 Ml For Im Use,80.34,80.34,,,0 HCPCS,90661,NDC Description Not Available,140.08,140.08,,,0 HCPCS,90673,Hc Pbb Riv3 Vaccine Preservative Free For Im Use,147.29,147.29,,,0 HCPCS,90674,"Flucelvax Quadrivalent: 10 SYRINGE, GLASS in 1 CARTON (70461-323-03) / .5 mL in 1 SYRINGE, GLASS (70461-323-04)",129.78,129.78,,,0 HCPCS,90674,NDC Description Not Available,129.78,129.78,,,0 HCPCS,90675,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",1027.73,1027.73,,,0 HCPCS,90675,NDC Description Not Available,1144.38,1144.38,,,0 HCPCS,90675,"RabAvert: 1 KIT in 1 CARTON (58160-964-12) * 1 mL in 1 VIAL, GLASS (58160-966-01) * 1 mL in 1 SYRINGE (58160-967-02)",1639.76,1639.76,,,0 HCPCS,90675,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",1756.67,1756.67,,,0 HCPCS,90677,Hc Pcv20 Vaccine For Intramuscular Use,1061.93,1061.93,,,0 HCPCS,90677,NDC Description Not Available,1091.21,1091.21,,,0 HCPCS,90677,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),1172.79,1172.79,,,0 HCPCS,90677,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),1112.62,1112.62,,,0 HCPCS,90682,Hc Pbb Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,311.06,311.06,,,0 HCPCS,90686,NDC Description Not Available,54.074999999999996,54.074999999999996,,,0 HCPCS,90686,Pbb Vaccine Only - Pr Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use,23.69,23.69,,,0 HCPCS,90688,Hc Pbb Iiv4 Vacc Split Virus 0.5 Ml Dos For Im Use,77.25,77.25,,,0 HCPCS,90694,Hc Aiiv4 Vacc Inactivated Prsrv Fr 0.5Ml Dos Im Use,280.16,280.16,,,0 HCPCS,90698,Hc Pbb Dtap-Ipv/Hib Vaccine For Intramuscular Use,457.32,457.32,,,0 HCPCS,90700,"Hc Pbb Dtap Immunization, Im, <7 Yo",135.96,135.96,,,0 HCPCS,90700,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),23.69,23.69,,,0 HCPCS,90700,NDC Description Not Available,22.66,22.66,,,0 HCPCS,90707,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",409.94,409.94,,,0 HCPCS,90707,NDC Description Not Available,405.01,405.01,,,0 HCPCS,90713,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",182.89,182.89,,,0 HCPCS,90713,NDC Description Not Available,184.37,184.37,,,0 HCPCS,90714,Hc Pbb Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use,139.05,139.05,,,0 HCPCS,90714,NDC Description Not Available,165.315,165.315,,,0 HCPCS,90714,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",159.65,159.65,,,0 HCPCS,90715,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),198.57,198.57,,,0 HCPCS,90715,NDC Description Not Available,197.76,197.76,,,0 HCPCS,90723,NDC Description Not Available,422.0,422.0,,,0 HCPCS,90723,Pediarix: 10 Syringe In 1 Carton (58160-811-52) / .5 Ml In 1 Syringe (58160-811-43),421.27,421.27,,,0 HCPCS,90732,Hc Pbb Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use,902.28,902.28,,,0 HCPCS,90734,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",679.8,679.8,,,0 HCPCS,90734,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),509.85,509.85,,,0 HCPCS,90734,NDC Description Not Available,660.22,660.22,,,0 HCPCS,90739,Hc Pbb Hepb Vaccine Adult 2/4 Dose Schedule For Im Use,579.89,579.89,,,0 HCPCS,90739,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),638.6,638.6,,,0 HCPCS,90739,NDC Description Not Available,622.47,622.47,,,0 HCPCS,90740,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),122.57,122.57,,,0 HCPCS,90740,NDC Description Not Available,286.13,286.13,,,0 HCPCS,90744,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),123.11,123.11,,,0 HCPCS,90744,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),155.53,155.53,,,0 HCPCS,90744,NDC Description Not Available,122.84,122.84,,,0 HCPCS,90749,Hc Pbb Unlisted Vaccine/Toxoid - Meningococcal Mcv4O,1121.67,1121.67,,,0 HCPCS,90750,Hc Hzv Zoster Vacc Recombinant Adjuvanted Im Use,757.05,757.05,,,0 HCPCS,90750,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),700.4,700.4,,,0 HCPCS,90750,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),795.72,795.72,,,0 HCPCS,90756,Hc Pbb Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,121.54,121.54,,,0 HCPCS,90785,Hc Psychotherapy Complex Interactive,513.0,513.0,,,0 HCPCS,90791,Hc Psychiatric Diagnostic Evaluation,628.0,628.0,,,0 HCPCS,90791,Psych diagnostic evaluation,,,178.03,377.43,7 HCPCS,90792,Hc Pbb Psychiatric Diagnostic Eval W/Medical Services,628.0,628.0,,,0 HCPCS,90792,Psych diag eval w/med srvcs,,,178.03,377.43,7 HCPCS,90832,Hc Pbb Psychotherapy Patient &/ Family 30 Minutes,408.0,408.0,,,0 HCPCS,90832,Hc Psychotherapy Patient &/ Family 30 Minutes,408.0,408.0,,,0 HCPCS,90832,Psytx w pt 30 minutes,,,178.03,377.43,7 HCPCS,90833,Hc Pbb Psychotherapy Pt&/Family W/E&M Srvcs 30 Min,331.0,331.0,,,0 HCPCS,90833,Hc Psychotherapy W/Pt/Fam 30Min,331.0,331.0,,,0 HCPCS,90834,Hc Psychotherapy Patient &/ Family 45 Minutes,628.0,628.0,,,0 HCPCS,90834,Psytx w pt 45 minutes,,,178.03,377.43,7 HCPCS,90836,Hc Psychotherapy W/Pt/Fam 45Min,419.0,419.0,,,0 HCPCS,90836,Noncdm Charge Record,364.0,364.0,,,0 HCPCS,90837,Hc Pbb Psychotherapy Patient &/ Family 60 Minutes,628.0,628.0,,,0 HCPCS,90837,Hc Psychotherapy Patient &/ Family 60 Minutes,628.0,628.0,,,0 HCPCS,90837,Psytx w pt 60 minutes,,,178.03,377.43,7 HCPCS,90838,Hc Psychotherapy W/Pt/Fam 60 Min,554.0,554.0,,,0 HCPCS,90839,Psytx crisis initial 60 min,,,178.03,377.43,7 HCPCS,90845,Psychoanalysis,,,178.03,377.43,7 HCPCS,90846,Family psytx w/o pt 50 min,,,178.03,377.43,7 HCPCS,90846,"Hc Family Psychotherapy,No Pt",628.0,628.0,,,0 HCPCS,90847,Family psytx w/pt 50 min,,,178.03,377.43,7 HCPCS,90847,Hc Family Therapy 50 Minutes,628.0,628.0,,,0 HCPCS,90847,Hc Family Therapy 60 Minutes,628.0,628.0,,,0 HCPCS,90847,Hc Pbb Family Psychotherapy W Phys,628.0,628.0,,,0 HCPCS,90849,Multiple family group psytx,,,178.03,377.43,7 HCPCS,90853,Group psychotherapy,,,101.9,216.02,7 HCPCS,90853,Hc Continuing Care Group Therapy,351.0,351.0,,,0 HCPCS,90853,Hc Iop - Group Psychotherapy,351.0,351.0,,,0 HCPCS,90865,Narcosynthesis,,,178.03,377.43,7 HCPCS,90867,Tcranial magn stim tx plan,,,216.58,459.14,7 HCPCS,90868,Tcranial magn stim tx deli,,,216.58,459.14,7 HCPCS,90869,Tcran magn stim redetemine,,,216.58,459.14,7 HCPCS,90870,Electroconvulsive therapy,,,861.34,1826.04,7 HCPCS,90870,"Hc Electroconvulsive Therapy,1 Seiz",1235.0,1235.0,,,0 HCPCS,90880,Hypnotherapy,,,101.9,216.02,7 HCPCS,90899,Psychiatric service/therapy,,,37.58,79.67,7 HCPCS,90912,Bfb training 1st 15 min,,,37.93,80.41,7 HCPCS,90912,Hc Pt Biofeedback Training 1St 15 Minutes,123.0,123.0,,,0 HCPCS,90913,Bfb training ea addl 15 min,,,20.87,44.24,7 HCPCS,90913,Hc Pt Biofeedback Training Addl 15 Minutes,123.0,123.0,,,0 HCPCS,90935,Hc Hemo Dialysis Acute Kindney Injury (Aki),1826.0,1826.0,,,0 HCPCS,90935,Hc Hemo Dialysis Ip Esrd,1826.0,1826.0,,,0 HCPCS,90935,Hc Hemodialysis Ip Non Esrd,1826.0,1826.0,,,0 HCPCS,90935,Hemodialysis one evaluation,,,688.39,1459.39,7 HCPCS,90945,Dialysis one evaluation,,,418.52,887.27,7 HCPCS,90945,Hc Capd/Ipd/Crrt,1327.0,1327.0,,,0 HCPCS,90945,Hc Dialysis - (Crrt) Continuous Renal Replacement Therapy,1327.0,1327.0,,,0 HCPCS,90961,Hc Esrd Related Svc Monthly 20/>Yr Old 2/3 Visits,1252.0,1252.0,,,0 HCPCS,90962,Hc Esrd Related Svc Monthly 20&/>Yr Old 1 Visit,862.0,862.0,,,0 HCPCS,91010,Esophagus motility study,,,374.29,2987.0,12 HCPCS,91010,"Hc Esophageal Motility Study, Manometry - Motility Study, Esophageal",2586.0,2586.0,,,0 HCPCS,91013,Esophgl motil w/stim/perfus,,,1343.0,2572.0,3 HCPCS,91020,Gastric motility studies,,,374.29,2987.0,12 HCPCS,91020,Hc Gastric Motility (Manometric) Studies,2586.0,2586.0,,,0 HCPCS,91022,Duodenal motility study,,,374.29,2987.0,12 HCPCS,91030,Acid perfusion of esophagus,,,374.29,2572.0,10 HCPCS,91034,Gastroesophageal reflux test,,,374.29,2572.0,10 HCPCS,91034,Hc Gastro Reflux Tst W Ph Probe,2271.0,2271.0,,,0 HCPCS,91035,G-esoph reflx tst w/electrod,,,861.34,2572.0,10 HCPCS,91035,Hc G-Esoph Reflex Test W/Electrode Placement,5038.5,5038.5,,,0 HCPCS,91037,Esoph imped function test,,,216.58,2572.0,10 HCPCS,91037,Hc Gastroesophageal Function Test - Impedance Electrode(S),2414.0,2414.0,,,0 HCPCS,91038,Esoph imped funct test > 1hr,,,374.29,2572.0,10 HCPCS,91038,"Hc Esoph Imped Funct Test > 1Hr - Esophageal Ph Monitoring, 24-Hour",2414.0,2414.0,,,0 HCPCS,91040,Esoph balloon distension tst,,,374.29,2572.0,10 HCPCS,91040,Hc Egd Esophageal Ballon Distension Study Dx - Endoflip,1983.0,1983.0,,,0 HCPCS,91065,Breath hydrogen/methane test,,,216.58,2572.0,10 HCPCS,91065,Hc Breath Hydrogen/Methane Test - Breath Hydrogen Test,669.0,669.0,,,0 HCPCS,91110,Gi tract capsule endoscopy,,,909.73,4249.0,10 HCPCS,91110,Hc Gi Tract Capsule Endoscopy - Small Bowel Capsule Enteroscopy Via Ileum,5016.0,5016.0,,,0 HCPCS,91111,Esophageal Capsule Endoscopy,,,909.73,4249.0,10 HCPCS,91111,Hc Gi Tract Imaging Intraluminal Esophagus Wi&R,2384.0,2384.0,,,0 HCPCS,91112,Gi wireless capsule measure,,,909.73,4249.0,10 HCPCS,91113,Gi trc img intral colon i&r,,,932.77,1977.47,7 HCPCS,91117,Colon motility 6 hr study,,,216.58,2572.0,10 HCPCS,91120,Noncdm Charge Record,747.0,747.0,,,0 HCPCS,91120,Rectal sensation test,,,1343.0,2572.0,3 HCPCS,91122,Anal pressure record,,,1343.0,2572.0,3 HCPCS,91122,Hc Anal Pressure Record - Anorectal Manometry,3420.0,3420.0,,,0 HCPCS,91124,Rct snsatn tone&cmplianc std,,,216.58,459.14,7 HCPCS,91125,Anrct mano rct snsatn&balo,,,374.29,793.49,7 HCPCS,91132,Electrogastrography,,,216.58,2572.0,10 HCPCS,91133,Electrogastrography W/Test,,,133.45,2572.0,10 HCPCS,91200,Hc Liver Elastography- W/O Imag,550.0,550.0,,,0 HCPCS,91200,Liver elastography,,,129.06,345.88,9 HCPCS,91299,Gastroenterology procedure,,,129.06,2572.0,10 HCPCS,92002,Eye exam new patient,,,133.54,283.1,7 HCPCS,92004,Eye exam new patient,,,133.54,283.1,7 HCPCS,92012,Eye exam establish patient,,,133.54,283.1,7 HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,133.54,283.1,7 HCPCS,92018,"Hc Ophthalmological Exam/Eval Gener Anesthesia, Manip Glob/Other Manip; Complete",5989.0,5989.0,,,0 HCPCS,92018,New eye exam & treatment,,,2384.68,5055.51,10 HCPCS,92019,Eye exam & treatment,,,2384.68,5055.51,10 HCPCS,92019,"Hc Ophthalmological Exam/Eval Gen Anesthesia, Manip Glob/Other Manip; Limited",5989.0,5989.0,,,0 HCPCS,92020,Special eye evaluation,,,133.45,282.92,7 HCPCS,92025,Corneal Topography,,,59.17,125.44,7 HCPCS,92060,Special eye evaluation,,,59.17,125.44,7 HCPCS,92066,Orthop traing supvj phys/qhp,,,59.17,125.44,7 HCPCS,92081,Visual field examination(s),,,59.17,125.44,7 HCPCS,92082,Visual field examination(s),,,59.17,125.44,7 HCPCS,92083,Visual field examination(s),,,133.45,282.92,7 HCPCS,92132,Cmptr ophth dx img ant segmt,,,59.17,125.44,7 HCPCS,92133,Cmptr ophth img optic nerve,,,59.17,125.44,7 HCPCS,92134,Cptr ophth dx img post segmt,,,59.17,125.44,7 HCPCS,92134,"Hc Cptr Ophth Dx Img Post Segmt - Oct, Retina - Ou - Both Eyes",179.0,179.0,,,0 HCPCS,92136,Hc Ophthalmic Biometry By Partial Coherence Interferometry W/Intraocular Lens Power Calculation,301.0,301.0,,,0 HCPCS,92136,Ophthalmic biometry,,,133.45,282.92,7 HCPCS,92137,Cptrz oph img pst sg rta oct,,,216.58,459.14,7 HCPCS,92145,Corneal hysteresis deter,,,59.17,125.44,7 HCPCS,92201,Opscpy extnd rta draw uni/bi,,,59.17,125.44,7 HCPCS,92202,Opscpy extnd on/mac draw,,,59.17,125.44,7 HCPCS,92227,Remote dx retinal imaging,,,59.17,125.44,7 HCPCS,92228,Remote retinal imaging mgmt,,,37.46,79.42,7 HCPCS,92229,Img rta detc/mntr ds poc aly,,,59.17,125.44,7 HCPCS,92230,Eye exam with photos,,,374.29,793.49,7 HCPCS,92235,Fluorescein angrph uni/bi,,,216.58,459.14,7 HCPCS,92240,Icg angiography uni/bi,,,216.58,459.14,7 HCPCS,92242,Fluorescein icg angiography,,,216.58,459.14,7 HCPCS,92250,Eye exam with photos,,,133.45,282.92,7 HCPCS,92250,Hc Fundal Photography - Autofluorescence - Od - Right Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Autofluorescence - Os - Left Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Autofluorescence - Ou - Both Eyes,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Color Fundus Photography - Od - Right Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Color Fundus Photography - Os - Left Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Color Fundus Photography - Ou - Both Eyes,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Fundus Photos - Od - Right Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Fundus Photos - Os - Left Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Fundus Photos - Ou - Both Eyes,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Monochromatic Fundus Photography Od Right Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Monochromatic Fundus Photography Os Left Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Monochromatic Fundus Photography Ou Both Eyes,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Optic Disc Photos - Od - Right Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Optic Disc Photos - Os - Left Eye,321.0,321.0,,,0 HCPCS,92250,Hc Fundal Photography - Optic Disc Photos - Ou - Both Eyes,321.0,321.0,,,0 HCPCS,92260,Ophthalmoscopy/dynamometry,,,37.46,79.42,7 HCPCS,92265,Eye muscle evaluation,,,59.17,125.44,7 HCPCS,92265,"Hc Needle Oculoelectromyography, 1 Or More Extraocular Muscles, 1 Or Both Eyes",159.0,159.0,,,0 HCPCS,92270,Electro-oculography,,,133.45,282.92,7 HCPCS,92270,Hc Electro-Oculography With Interpretation And Report,321.0,321.0,,,0 HCPCS,92273,Full field erg w/i&r,,,216.58,459.14,7 HCPCS,92273,"Hc Electroretinography (Erg), W/Interpretation And Report, Full Field",773.0,773.0,,,0 HCPCS,92274,"Hc Electroretinography (Erg), W/Interpretation And Report, Multifocal (Mferg)",401.0,401.0,,,0 HCPCS,92274,Multifocal erg w/i&r,,,129.06,273.61,7 HCPCS,92283,Color vision examination,,,59.17,125.44,7 HCPCS,92284,Dark adaptation eye exam,,,448.08,949.92,7 HCPCS,92285,Eye photography,,,37.46,79.42,7 HCPCS,92286,Internal eye photography,,,133.45,282.92,7 HCPCS,92287,Internal eye photography,,,133.45,282.92,7 HCPCS,92311,Contact lens fitting,,,448.08,949.92,7 HCPCS,92312,Contact lens fitting,,,133.45,282.92,7 HCPCS,92313,Contact lens fitting,,,133.45,282.92,7 HCPCS,92315,Rx cntact lens aphakia 1 eye,,,133.45,282.92,7 HCPCS,92316,Rx cntact lens aphakia 2 eye,,,133.45,282.92,7 HCPCS,92317,Rx corneoscleral cntact lens,,,37.46,79.42,7 HCPCS,92325,Modification of contact lens,,,133.45,282.92,7 HCPCS,92326,Replacement of contact lens,,,59.17,125.44,7 HCPCS,92352,Fit aphakia spectcl monofocl,,,59.17,125.44,7 HCPCS,92353,Fit aphakia spectcl multifoc,,,59.17,125.44,7 HCPCS,92354,Fit spectacles single system,,,37.46,79.42,7 HCPCS,92355,Fit spectacles compound lens,,,37.46,79.42,7 HCPCS,92358,Aphakia prosth service temp,,,59.17,125.44,7 HCPCS,92371,Repair & adjust spectacles,,,59.17,125.44,7 HCPCS,92499,Eye service or procedure,,,29.01,61.5,7 HCPCS,92502,Ear and throat examination,,,540.96,2572.0,10 HCPCS,92507,"Hc Slp Speech/Hearing Therapy, Individual",169.0,169.0,,,0 HCPCS,92507,Speech/hearing therapy,,,75.02,171.95,13 HCPCS,92508,"Hc Slp Speech/Hearing Therapy, Group",89.0,89.0,,,0 HCPCS,92508,Speech/hearing therapy,,,22.74,128.0,13 HCPCS,92511,Hc Nasopharyngoscopy With Endoscope,434.0,434.0,,,0 HCPCS,92511,Hc Slp Nasopharyngoscopy,434.0,434.0,,,0 HCPCS,92511,Nasopharyngoscopy,,,200.21,4840.09,11 HCPCS,92512,Nasal function studies,,,216.58,459.14,7 HCPCS,92516,Facial nerve function test,,,216.58,459.14,7 HCPCS,92517,"Hc Vestibular Evoked Myogenic Potential (Vemp) Testing, With Interpretation And Report; Cervical (Cv",432.0,432.0,,,0 HCPCS,92517,Vemp test i&r cervical,,,129.06,273.61,7 HCPCS,92518,Vemp test i&r ocular,,,129.06,273.61,7 HCPCS,92519,Vemp tst i&r cervical&ocular,,,216.58,459.14,7 HCPCS,92520,Hc Slp Laryngeal Function Studies,365.0,365.0,,,0 HCPCS,92520,Laryngeal function studies,,,133.45,282.92,7 HCPCS,92521,Evaluation of speech fluency,,,128.0,298.62,13 HCPCS,92521,Hc Slp Evaluation Of Speech Fluency (Stutter Clutter),242.0,242.0,,,0 HCPCS,92522,Evaluate speech production,,,107.14,249.66,13 HCPCS,92522,Hc Slp Evaluation Of Speech Sound Production Articulate,242.0,242.0,,,0 HCPCS,92523,Hc Slp Eval Speech Sound Product Language Comprehension,408.0,408.0,,,0 HCPCS,92523,Speech sound lang comprehen,,,128.0,512.05,13 HCPCS,92524,Behavral qualit analys voice,,,107.89,246.63,13 HCPCS,92524,Hc Slp Behavioral & Qualit Analysis Voice And Resonance,206.0,206.0,,,0 HCPCS,92526,Hc Slp Oral Function Therapy,202.0,202.0,,,0 HCPCS,92526,Oral function therapy,,,80.01,169.62,7 HCPCS,92537,Caloric vstblr test w/rec,,,129.06,273.61,7 HCPCS,92537,Hc Caloric Vestibular Test W/Rec Bi Bithermal,515.0,515.0,,,0 HCPCS,92538,Caloric vstblr test w/rec,,,216.58,459.14,7 HCPCS,92538,Hc Caloric Vestibular Test W/Rec Bi Monothermal,385.0,385.0,,,0 HCPCS,92540,Basic vestibular evaluation,,,216.58,459.14,7 HCPCS,92540,Hc Aud Basic Vestibular Evaluation,1201.0,1201.0,,,0 HCPCS,92540,Hc Pt Basic Vestibular Eval,1201.0,1201.0,,,0 HCPCS,92541,Hc Aud Spont Nyst Test W/Rec,497.0,497.0,,,0 HCPCS,92541,Hc Ot Spontaneous Nystagmus Test,497.0,497.0,,,0 HCPCS,92541,Spontaneous nystagmus test,,,133.45,282.92,7 HCPCS,92542,Hc Aud Posit Nyst Test W/Rec,497.0,497.0,,,0 HCPCS,92542,Hc Pt Positional Nystagmus Test,497.0,497.0,,,0 HCPCS,92542,Positional nystagmus test,,,133.45,282.92,7 HCPCS,92544,Hc Ot Optokinetic Nystagtest,707.0,707.0,,,0 HCPCS,92544,Optokinetic nystagmus test,,,129.06,273.61,7 HCPCS,92545,Hc Oscillating Tracking Test - Oscillating Tracking Test,707.0,707.0,,,0 HCPCS,92545,Oscillating tracking test,,,216.58,459.14,7 HCPCS,92546,Hc Sinusoidal Vertical Axis Rotational Testing,473.0,473.0,,,0 HCPCS,92546,Sinusoidal rotational test,,,129.06,273.61,7 HCPCS,92547,Hc Use Of Vertical Electrodes,196.0,196.0,,,0 HCPCS,92548,"Hc Cdp-Sot, 6 Conditions Including Interpretation And Report",336.0,336.0,,,0 HCPCS,92548,Posturography,,,133.45,282.92,7 HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,133.45,282.92,7 HCPCS,92549,Hc Cdp-Sot 6 Conditions W/I&R W/Mct & Adt,373.0,373.0,,,0 HCPCS,92550,Hc Tympanometry And Reflex Threshold Measurements,461.0,461.0,,,0 HCPCS,92550,Tympanometry & reflex thresh,,,216.58,459.14,7 HCPCS,92551,"Hc Pbb Pure Tone Hearing Test, Air",261.0,261.0,,,0 HCPCS,92551,"Hc Screening Test, Pure Tone, Air Only",261.0,261.0,,,0 HCPCS,92552,"Hc Pbb Pure Tone Audiometry, Air",390.0,390.0,,,0 HCPCS,92552,"Hc Pure Tone Audiometry, Air",390.0,390.0,,,0 HCPCS,92552,Pure tone audiometry air,,,133.45,282.92,7 HCPCS,92553,Audiometry air & bone,,,129.06,273.61,7 HCPCS,92553,"Hc Audiometry, Air & Bone",765.0,765.0,,,0 HCPCS,92555,Hc Speech Threshold Audiometry,271.0,271.0,,,0 HCPCS,92555,Speech threshold audiometry,,,59.17,125.44,7 HCPCS,92556,"Hc Speech Audiometry, Complete",336.0,336.0,,,0 HCPCS,92556,Speech audiometry complete,,,59.17,125.44,7 HCPCS,92557,Comprehensive hearing test,,,129.06,273.61,7 HCPCS,92557,Hc Comprehensive Hearing Test,913.0,913.0,,,0 HCPCS,92562,Loudness balance test,,,216.58,459.14,7 HCPCS,92563,Tone decay hearing test,,,37.46,79.42,7 HCPCS,92565,"Hc Stenger Test, Pure Tone",239.0,239.0,,,0 HCPCS,92565,Stenger test pure tone,,,59.17,125.44,7 HCPCS,92567,Hc Tympanometry,420.0,420.0,,,0 HCPCS,92567,Tympanometry,,,37.46,79.42,7 HCPCS,92568,Acoustic refl threshold tst,,,37.46,79.42,7 HCPCS,92568,Hc Acoustic Reflex Testing,317.0,317.0,,,0 HCPCS,92570,Acoustic immitance testing,,,129.06,273.61,7 HCPCS,92570,Hc Acoustic Immit Test Tympanometry/Acoust Reflex/Decay,482.0,482.0,,,0 HCPCS,92571,Filtered speech hearing test,,,37.46,79.42,7 HCPCS,92572,Staggered spondaic word test,,,129.06,273.61,7 HCPCS,92575,Sensorineural acuity test,,,37.46,79.42,7 HCPCS,92576,Synthetic sentence test,,,37.46,79.42,7 HCPCS,92577,Stenger test speech,,,374.29,793.49,7 HCPCS,92579,Hc Visual Audiometry (Vra),907.0,907.0,,,0 HCPCS,92579,Visual audiometry (vra),,,216.58,459.14,7 HCPCS,92582,Conditioning play audiometry,,,129.06,273.61,7 HCPCS,92582,Hc Conditioning Play Audiometry,461.0,461.0,,,0 HCPCS,92583,Select picture audiometry,,,59.17,125.44,7 HCPCS,92584,Electrocochleography,,,129.06,273.61,7 HCPCS,92584,Hc Electrocochleography,581.0,581.0,,,0 HCPCS,92586,"Hc Auditory Evoked Potential, Limited",1448.0,1448.0,,,0 HCPCS,92587,Evoked auditory test limited,,,216.58,459.14,7 HCPCS,92587,"Hc Evoked Auditory Test,Limited",860.0,860.0,,,0 HCPCS,92588,Evoked auditory tst complete,,,374.29,793.49,7 HCPCS,92588,"Hc Evoked Auditory Test,Comprehsv",1091.0,1091.0,,,0 HCPCS,92596,Ear protector evaluation,,,37.46,79.42,7 HCPCS,92597,Hc Slp Eval Voice Prosthetic Device,456.0,456.0,,,0 HCPCS,92597,Hc Voice Prosthetic Evalution,456.0,456.0,,,0 HCPCS,92597,Oral speech device eval,,,68.1,144.37,7 HCPCS,92601,Cochlear implt f/up exam <7,,,129.06,273.61,7 HCPCS,92602,Reprogram cochlear implt 7/>,,,129.06,273.61,7 HCPCS,92603,Cochlear implt f/up exam 7/>,,,129.06,273.61,7 HCPCS,92603,"Hc Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog",349.0,349.0,,,0 HCPCS,92604,"Hc Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog",349.0,349.0,,,0 HCPCS,92604,Reprogram cochlear implt 7/>,,,129.06,273.61,7 HCPCS,92605,"Hc Eval,Non-Speech Gen Aug/Alt Commun Dev",533.0,533.0,,,0 HCPCS,92607,Ex for speech device rx 1hr,,,123.46,261.74,7 HCPCS,92607,"Hc Slp Eval,Speech-Gen Aug/Alt Comm Dev,1St Hr",533.0,533.0,,,0 HCPCS,92608,Ex for speech device rx addl,,,48.22,102.23,7 HCPCS,92608,"Hc Slp Eval,Speech-Gen Aug/Alt Comm Dev,Addl 30",117.0,117.0,,,0 HCPCS,92609,"Hc Slp Ther Srvc, Speech Gen Dev Use, W/Prog",396.0,396.0,,,0 HCPCS,92609,Use of speech device service,,,103.59,219.61,7 HCPCS,92610,Evaluate swallowing function,,,58.21,123.41,7 HCPCS,92610,"Hc Pbb Eval,Oral & Pharyngeal Swallow Function",597.0,597.0,,,0 HCPCS,92610,"Hc Slp Eval,Oral & Pharyngeal Swallow Function",597.0,597.0,,,0 HCPCS,92611,"Hc Slp Eval,Swallow Function,Cine/Video Record",597.0,597.0,,,0 HCPCS,92611,Motion fluoroscopy/swallow,,,86.86,184.14,7 HCPCS,92612,Endoscopy swallow (fees) vid,,,53.24,112.87,7 HCPCS,92612,"Hc Slp Endoscopic Eval,Swallow,Cine/Video",268.0,268.0,,,0 HCPCS,92614,"Hc Slp Endoscop Eval,Laryng Sens Test,Cine/Vid",268.0,268.0,,,0 HCPCS,92614,Laryngoscopic sensory vid,,,54.81,116.2,7 HCPCS,92616,Fees w/laryngeal sense test,,,80.74,171.17,7 HCPCS,92616,"Hc Slp Endos Eval,Swal+Laryn Sen Tst,Cine/Vid",937.0,937.0,,,0 HCPCS,92618,Hc Slp Eval Rx N-Sp-Gen Augmt Alt Commun Dev Add 30 Min,288.0,288.0,,,0 HCPCS,92620,Auditory function 60 min,,,129.06,273.61,7 HCPCS,92620,"Hc Auditory Function, 60 Min",437.0,437.0,,,0 HCPCS,92621,"Hc Auditory Function, + 15 Min",108.0,108.0,,,0 HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,129.06,273.61,7 HCPCS,92625,Tinnitus assessment,,,129.06,273.61,7 HCPCS,92626,Eval aud rehab status,,,129.06,273.61,7 HCPCS,92626,"Hc Eval Auditory Rehab Status, 1St Hour",349.0,349.0,,,0 HCPCS,92640,Aud brainstem implt programg,,,129.06,273.61,7 HCPCS,92650,"Hc Auditor Evoked Potentials, Screening W/Stimuli & Analysis",335.0,335.0,,,0 HCPCS,92651,Aep hearing status deter i&r,,,216.58,459.14,7 HCPCS,92652,Aep thrshld est mlt freq i&r,,,216.58,459.14,7 HCPCS,92652,"Hc Auditor Evoked Potentials; Threshold Estimation, Multiple Freq, I&Rpt",635.0,635.0,,,0 HCPCS,92653,Aep neurodiagnostic i&r,,,216.58,459.14,7 HCPCS,92653,"Hc Auditor Evoked Potentials; Neurodiagnostic, W/I&Rpt",635.0,635.0,,,0 HCPCS,92700,Ent procedure/service,,,29.01,61.5,7 HCPCS,92920,Hc Cath Prq Trluml Coronary Angioplasty One Art/Branch,6886.0,6886.0,,,0 HCPCS,92920,Prq cardiac angioplast 1 art,,,5125.78,12102.61,17 HCPCS,92921,Hc Cath Prq Trluml Coronary Angioplasty Addl Branch,8091.0,8091.0,,,0 HCPCS,92921,Prq cardiac angio addl art,,,2572.0,9172.0,5 HCPCS,92924,Hc Cath Prq Trluml Coronary Angio/Atherect One Art/Brnch,8687.0,8687.0,,,0 HCPCS,92924,Prq card angio/athrect 1 art,,,6309.89,24547.7,17 HCPCS,92925,Hc Cath Prq Trluml Coronary Angio/Atherec Addl Art/Brnch,1448.0,1448.0,,,0 HCPCS,92925,Prq card angio/athrect addl,,,2572.0,11685.0,5 HCPCS,92928,Hc Cath Prq Trluml Coronary Stent W/Angio One Art/Brnch,8687.0,8687.0,,,0 HCPCS,92928,Prq card stent w/angio 1 vsl,,,6309.89,24547.7,17 HCPCS,92929,Hc Cath Prq Trluml Coronary Stent W/Angio Addl Art/Brnch,2288.0,2288.0,,,0 HCPCS,92929,Prq card stent w/angio addl,,,2572.0,9172.0,5 HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,18387.08,38980.61,7 HCPCS,92933,Hc Cath Prq Trluml Coronry Stent/Ath/Angio One Art/Brnch,13302.0,13302.0,,,0 HCPCS,92933,Prq card stent/ath/angio,,,6580.16,38980.61,17 HCPCS,92934,Hc Cath Prq Trluml Coronary Stent/Ath/Angio Addl Branch,9853.0,9853.0,,,0 HCPCS,92934,Prq card stent/ath/angio,,,2572.0,9172.0,5 HCPCS,92937,Hc Cath Prq Trluml Coronary Byp Grft Revasc One Vessel,8687.0,8687.0,,,0 HCPCS,92937,Prq revasc byp graft 1 vsl,,,6309.89,24547.7,17 HCPCS,92938,Hc Cath Prq Trluml Coronary Byp Grft Revasc Addl Vessel,12288.0,12288.0,,,0 HCPCS,92938,Prq revasc byp graft addl,,,2572.0,9172.0,5 HCPCS,92941,Hc Cath Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl,8687.0,8687.0,,,0 HCPCS,92941,Prq card revasc mi 1 vsl,,,6309.89,10249.52,6 HCPCS,92943,Hc Cath Prq Trluml Coronry Chronic Occlus Revasc One Vsl,8687.0,8687.0,,,0 HCPCS,92943,Prq card revasc chronic 1vsl,,,6309.89,24547.7,17 HCPCS,92944,Hc Cath Prq Trluml Coronry Chrnic Occlus Revasc Addl Vsl,12288.0,12288.0,,,0 HCPCS,92944,Prq card revasc chronic addl,,,2572.0,9172.0,5 HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,11579.1,24547.7,7 HCPCS,92950,Hc Heart/Lung Resuscitation (Cpr),1510.0,1510.0,,,0 HCPCS,92950,Hc Rt Heart/Lung Resuscitation (Cpr),1510.0,1510.0,,,0 HCPCS,92950,Heart/lung resuscitation cpr,,,216.58,2572.0,10 HCPCS,92953,Hc Temporary External Pacing,994.0,994.0,,,0 HCPCS,92953,Temporary external pacing,,,662.94,3295.0,10 HCPCS,92960,Cardioversion electric ext,,,662.94,3295.0,10 HCPCS,92960,Hc Cardioversion Electric Ext - Cardioversion External,2677.0,2677.0,,,0 HCPCS,92960,"Hc Cardioversion, Elective;Extern",2677.0,2677.0,,,0 HCPCS,92960,"Hc Ep Cardioversion, Elective;Extern",2677.0,2677.0,,,0 HCPCS,92961,Cardioversion electric int,,,662.94,3295.0,10 HCPCS,92961,Hc Cardioversion Electric Int - Cardioversion Internal,2209.0,2209.0,,,0 HCPCS,92972,Hc Percutaneous Transluminal Coronary Lithotripsy,6872.0,6872.0,,,0 HCPCS,92972,Perq trluml coronry lithotrp,,,2572.0,2987.0,2 HCPCS,92973,Hc Cath Prq Transluminal Coronary Mechanicl Thrombectomy,6236.0,6236.0,,,0 HCPCS,92973,Prq coronary mech thrombect,,,1343.0,2572.0,3 HCPCS,92974,Cath place cardio brachytx,,,1343.0,2572.0,3 HCPCS,92974,Hc Cath Transcatheter Placement Of Radiation Delivery Device For Subsequent Coronary Intravascular B,4716.0,4716.0,,,0 HCPCS,92975,Dissolve clot heart vessel,,,2678.54,4221.48,3 HCPCS,92975,"Hc Cath Thrombolysis,Coronary,Ia Infusn",3242.0,3242.0,,,0 HCPCS,92977,Dissolve clot heart vessel,,,1343.0,4221.48,6 HCPCS,92977,Hc Thrombolysis By Intravenous Infusion,2111.0,2111.0,,,0 HCPCS,92978,Endoluminl ivus oct c 1st,,,1343.0,2572.0,3 HCPCS,92978,"Hc Cath Intravasc Us,Heart,1St Vessel",5651.0,5651.0,,,0 HCPCS,92978,Hc Optical Coherence Tomography (Oct),5651.0,5651.0,,,0 HCPCS,92979,Endoluminl ivus oct c ea,,,1343.0,2572.0,3 HCPCS,92979,"Hc Cath Intravasc Coronary Sono,Addn Vessel",3456.0,3456.0,,,0 HCPCS,92986,Hc Cath Percut Aortic Valvuloplasty,6886.0,6886.0,,,0 HCPCS,92986,Revision of aortic valve,,,4840.09,12102.61,17 HCPCS,92987,Hc Cath Percut Mitral Valvuloplasty,8687.0,8687.0,,,0 HCPCS,92987,Revision of mitral valve,,,4840.09,24547.7,17 HCPCS,92990,Hc Cath Percut Pulmonary Valvuloplasty,8687.0,8687.0,,,0 HCPCS,92990,Revision of pulmonary valve,,,4840.09,24547.7,17 HCPCS,92992,Revision of heart chamber,,,4840.09,4840.09,2 HCPCS,92993,Revision of heart chamber,,,4840.09,4840.09,2 HCPCS,92997,"Hc Cath Pul Art Balloon Repair,Perc,1St Vesl",8687.0,8687.0,,,0 HCPCS,92997,Pul art balloon repr percut,,,4840.09,24547.7,14 HCPCS,92998,"Hc Cath Pul Art Balloon Repair,Perc,Addn Ves",3154.0,3154.0,,,0 HCPCS,92998,Pul art balloon repr percut,,,4840.09,9172.0,5 HCPCS,93005,Electrocardiogram tracing,,,59.17,125.44,7 HCPCS,93005,"Hc Electrocardiogram, Tracing",270.0,270.0,,,0 HCPCS,93005,"Hc Electrocardiogram, Tracing - Ecg 12-Lead",270.0,270.0,,,0 HCPCS,93016,Hc Cardiovascular Stress Test - Stress Test Only,34.0,34.0,,,0 HCPCS,93017,Cardiovascular stress test,,,216.58,459.14,7 HCPCS,93017,"Hc Cardiac Stress Tst,Tracing Only",1034.0,1034.0,,,0 HCPCS,93017,"Hc Cardiac Stress Tst,Tracing Only - Stress Test Only, Exercise",1034.0,1034.0,,,0 HCPCS,93017,"Hc Cardiovascular Stress Test - Stress Test Only, Dobutamine",1034.0,1034.0,,,0 HCPCS,93017,Hc Ekg Stress Test Lexiscan,1034.0,1034.0,,,0 HCPCS,93018,Hc Cv Strs Tst Xers&/Or Rx Cont Ecg I&R Only,23.0,23.0,,,0 HCPCS,93024,Cardiac drug stress test,,,448.08,949.92,7 HCPCS,93024,Hc Ergonovine Provocation Test,1933.0,1933.0,,,0 HCPCS,93025,Microvolt t-wave assess,,,129.06,273.61,7 HCPCS,93041,"Hc Rhythm Strip (Ecg), 1-3 Leads, Tracing Only",135.0,135.0,,,0 HCPCS,93041,Rhythm ecg tracing,,,59.17,125.44,7 HCPCS,93050,Art pressure waveform analys,,,29.01,61.5,7 HCPCS,93145,Interrog crtd sins bat ip wo,,,129.06,273.61,7 HCPCS,93146,Interrog crtd sins bat ip w/,,,129.06,273.61,7 HCPCS,93150,Therapy activation ipnss,,,95.36,202.16,7 HCPCS,93151,Interrog&prgrmg ipnss,,,95.36,202.16,7 HCPCS,93152,Interrog&prgrmg ipnss polysm,,,308.07,653.1,7 HCPCS,93153,Interrog w/o prgrmg ipnss,,,95.36,202.16,7 HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,133.45,282.92,7 HCPCS,93225,"Hc Ext Ecg Record Contin 48 Hr, Record - Holter Monitor - Up To 48 Hour",720.0,720.0,,,0 HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,59.17,125.44,7 HCPCS,93226,Hc Ecg Monit/Reprt Up To 48 Hrs - Holter Monitor - 24 Hour,1256.0,1256.0,,,0 HCPCS,93229,Remote 30 day ecg tech supp,,,374.29,793.49,7 HCPCS,93242,Ext ecg>48hr<7d recording,,,37.46,79.42,7 HCPCS,93242,Hc External Ecg>48Hr<7D Recording,107.0,107.0,,,0 HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,133.45,282.92,7 HCPCS,93246,Ext ecg>7d<15d recording,,,37.46,79.42,7 HCPCS,93246,Hc External Ecg>7D<15D Recording,177.0,177.0,,,0 HCPCS,93247,Ext ecg>7d<15d scan a/r,,,133.45,282.92,7 HCPCS,93260,Hc Ep Prgrmg Dev Eval Implantable Subq Lead Dfb System,73.0,73.0,,,0 HCPCS,93260,Prgrmg dev eval impltbl sys,,,37.43,79.36,7 HCPCS,93261,Hc Interrogate Subq Defib - Card Device In Clinic - Subq Icd,73.0,73.0,,,0 HCPCS,93261,Interrogate subq defib,,,37.43,79.36,7 HCPCS,93264,Rem mntr wrls p-art prs snr,,,37.43,79.36,7 HCPCS,93268,Hc Xtrnl Pt Activ Ecg Transmis W/R&I 12Hr<26Hr After 24Hr Wo Vid,775.0,775.0,,,0 HCPCS,95720,Hc Eeg Phys/Qhp Ea Incr>12Hr<26Hr After 24Hr W/Veeg,1021.0,1021.0,,,0 HCPCS,95721,Hc Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video,1018.0,1018.0,,,0 HCPCS,95723,Hc Eeg Complete Std Phys/Qhp>60 Hr<84 Hr W/O Video,1244.0,1244.0,,,0 HCPCS,95724,"Hc Eeg Phys/Qhp >60 Hours< 84 Hours Of Eeg Recording, With Video (Veeg)",1075.0,1075.0,,,0 HCPCS,95725,"Hc Eeg Phys/Qhp >84 Hours Of Eeg Recording, Without Video",987.0,987.0,,,0 HCPCS,95726,"Hc Eeg Phys/Qhp >84 Hours Of Eeg Recording, With Video (Veeg)",1378.0,1378.0,,,0 HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,861.34,1826.04,7 HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,861.34,1826.04,7 HCPCS,95800,"Hc Sleep Study, Unattended, Record Heart Rate/O2 Sat/Resp Anl/Sleep",886.0,886.0,,,0 HCPCS,95800,Slp stdy unattended,,,216.58,459.14,7 HCPCS,95801,Slp stdy unatnd w/anal,,,59.17,125.44,7 HCPCS,95803,Actigraphy testing,,,59.17,125.44,7 HCPCS,95803,"Hc Actigraphy Testing, Recording, Analysis, Interpretation, And Report, 72 Hours To 14 Consecutive D",158.0,158.0,,,0 HCPCS,95805,Hc Multiple Sleep Latency Test,9686.0,9686.0,,,0 HCPCS,95805,Multiple sleep latency test,,,861.34,1826.04,7 HCPCS,95806,"Hc Sleep Study, Unattended, Record Heart Rate/O2 Sat/Resp Anl/Sleep",2220.0,2220.0,,,0 HCPCS,95806,Sleep study unatt&resp efft,,,216.58,459.14,7 HCPCS,95807,Sleep study attended,,,374.29,793.49,7 HCPCS,95808,"Hc Polysomnography, Sleep Stage <4 Para, Attended",10440.0,10440.0,,,0 HCPCS,95808,Polysom any age 1-3> param,,,861.34,1826.04,7 HCPCS,95810,"Hc Polysomnography, Sleep Stage >=4 Para, Attended",9509.0,9509.0,,,0 HCPCS,95810,Polysom 6/> yrs 4/> param,,,861.34,1826.04,7 HCPCS,95811,Hc Pbb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd,9690.0,9690.0,,,0 HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,861.34,1826.04,7 HCPCS,95812,Eeg 41-60 minutes,,,216.58,459.14,7 HCPCS,95812,"Hc Eeg,Extended Monitoring,41-60 Minutes - Eeg",2211.0,2211.0,,,0 HCPCS,95813,Eeg over 1 hour,,,216.58,459.14,7 HCPCS,95813,"Hc Eeg,Extended Monitoring,61-119 Minutes - Eeg",2624.0,2624.0,,,0 HCPCS,95816,Eeg awake and drowsy,,,216.58,459.14,7 HCPCS,95816,"Hc Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy Portable",1666.0,1666.0,,,0 HCPCS,95819,Eeg awake and asleep,,,216.58,459.14,7 HCPCS,95819,"Hc Eeg,W/Awake & Asleep Record - Hyper Stim",1995.0,1995.0,,,0 HCPCS,95822,Eeg coma or sleep only,,,216.58,459.14,7 HCPCS,95822,"Hc Eeg,Coma/Sleep Record Only - Eeg In Coma/Sleep",2406.0,2406.0,,,0 HCPCS,95824,Eeg cerebral death only,,,374.29,793.49,7 HCPCS,95824,Hc Eeg Eval Cerebral Death - Eeg Cerebral Death Eval Only,1956.0,1956.0,,,0 HCPCS,95829,Hc Surgery Electrocorticogram - Electrocorticogram At Surgery,19291.0,19291.0,,,0 HCPCS,95836,Ecog impltd brn npgt <=30 d,,,37.43,79.36,7 HCPCS,95836,Hc Ecog Implanted Brain Npgt W/Rec I&R <30 Days,105.0,105.0,,,0 HCPCS,95851,Range of motion measurements,,,6.64,14.08,7 HCPCS,95852,Hc Ot Range Of Motion Measurements Rpt - Hand,202.0,202.0,,,0 HCPCS,95852,Range of motion measurements,,,4.97,10.54,7 HCPCS,95857,Cholinesterase challenge,,,216.58,459.14,7 HCPCS,95860,"Hc Emg, Needle, One Limb - Emg 1 Limb",642.0,642.0,,,0 HCPCS,95860,Muscle test one limb,,,133.45,282.92,7 HCPCS,95861,"Hc Emg, Needle, Two Limbs - Emg 2 Limbs",524.0,524.0,,,0 HCPCS,95861,Muscle test 2 limbs,,,133.45,282.92,7 HCPCS,95863,"Hc Emg, Needle, 3 Limbs - Emg 3 Limbs",933.0,933.0,,,0 HCPCS,95863,Muscle test 3 limbs,,,129.06,273.61,7 HCPCS,95864,"Hc Emg, Needle, 4 Limbs - Emg 4 Limbs",1895.0,1895.0,,,0 HCPCS,95864,Muscle test 4 limbs,,,129.06,273.61,7 HCPCS,95865,Hc Needle Electromyography; Larynx,369.0,369.0,,,0 HCPCS,95865,Muscle test larynx,,,133.45,282.92,7 HCPCS,95866,Hc Needle Electromyography; Hemidiaphragm,461.0,461.0,,,0 HCPCS,95866,Muscle test hemidiaphragm,,,129.06,273.61,7 HCPCS,95867,"Hc Emg,Needle,Cranial Nerve Supp Mus,Unilat - Emg Head Or Neck Uni",570.0,570.0,,,0 HCPCS,95867,Muscle test cran nerv unilat,,,216.58,459.14,7 HCPCS,95868,"Hc Emg, Needle, Head Or Neck - Emg Head Or Neck Bil",560.0,560.0,,,0 HCPCS,95868,"Hc Emg, Needle, Head Or Neck - Emg Head Or Neck Uni",560.0,560.0,,,0 HCPCS,95868,Muscle test cran nerve bilat,,,216.58,459.14,7 HCPCS,95869,"Hc Emg,Needle,Thor Paraspin Mus,Exc T1/T12 - Emg Thoracic/Paraspinal",570.0,570.0,,,0 HCPCS,95869,Muscle test thor paraspinal,,,216.58,459.14,7 HCPCS,95870,"Hc Emg,1 Extrem,Nonparaspinal - Emg",524.0,524.0,,,0 HCPCS,95870,"Hc Emg,1 Extrem,Nonparaspinal - Manual Muscle Testing",524.0,524.0,,,0 HCPCS,95870,Muscle test nonparaspinal,,,133.45,282.92,7 HCPCS,95872,"Hc Emg, Needle, One Fiber - Emg One Fiber",432.0,432.0,,,0 HCPCS,95872,Muscle test one fiber,,,216.58,459.14,7 HCPCS,95873,Hc Electrical Stimulation Guid W/Chemodenervation,222.0,222.0,,,0 HCPCS,95874,Hc Needle Emg Guid W/Chemodenervation,304.0,304.0,,,0 HCPCS,95875,Limb exercise test,,,129.06,273.61,7 HCPCS,95885,Hc Needle Emg Ea Extremity W/Paraspinl Area Limited,649.0,649.0,,,0 HCPCS,95886,Hc Needle Emg Ea Extremty W/Paraspinl Area Complete,698.0,698.0,,,0 HCPCS,95887,Hc Needle Emg Nonextremty Mscles W/Nerve Conduction,649.0,649.0,,,0 HCPCS,95887,Noncdm Charge Record,564.0,564.0,,,0 HCPCS,95905,"Hc Motor/Sensory Nerve Conduction, Amp & Lat/Velocty Study, Each Limb",527.0,527.0,,,0 HCPCS,95905,Motor &/ sens nrve cndj test,,,448.08,949.92,7 HCPCS,95907,Hc Motor &/Sens 1-2 Nrv Cndj Preconf Eltrode Limb,848.0,848.0,,,0 HCPCS,95907,Nvr cndj tst 1-2 studies,,,216.58,459.14,7 HCPCS,95908,Hc Motor &/Sens 3-4 Nrv Cndj Preconf Eltrode Limb,1438.0,1438.0,,,0 HCPCS,95908,Nrv cndj tst 3-4 studies,,,216.58,459.14,7 HCPCS,95909,Hc Motor &/Sens 5-6 Nrv Cndj Preconf Eltrode Limb,1438.0,1438.0,,,0 HCPCS,95909,Nrv cndj tst 5-6 studies,,,216.58,459.14,7 HCPCS,95910,Hc Nerve Conduction Studies; 7-8 Studies,1438.0,1438.0,,,0 HCPCS,95910,Nrv cndj test 7-8 studies,,,374.29,793.49,7 HCPCS,95911,Hc Motor &/Sens 9-10 Nrv Cndj Preconf Eltrode Limb,2249.0,2249.0,,,0 HCPCS,95911,Noncdm Charge Record,1956.0,1956.0,,,0 HCPCS,95911,Nrv cndj test 9-10 studies,,,374.29,793.49,7 HCPCS,95912,Hc Motor &/Sens 11-12 Nrv Cndj Preconf Eltrode Limb,2586.0,2586.0,,,0 HCPCS,95912,Nrv cndj test 11-12 studies,,,374.29,793.49,7 HCPCS,95913,Motor &/Sens 13/> Nrv Cndj Preconf Eltrode Limb,2586.0,2586.0,,,0 HCPCS,95913,Noncdm Charge Record,2249.0,2249.0,,,0 HCPCS,95913,Nrv cndj test 13/> studies,,,374.29,793.49,7 HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,133.45,282.92,7 HCPCS,95921,Autonomic nrv parasym inervj,,,129.06,273.61,7 HCPCS,95922,Autonomic nrv adrenrg inervj,,,133.45,282.92,7 HCPCS,95923,Autonomic nrv syst funj test,,,133.45,282.92,7 HCPCS,95923,"Hc Testing Autonomic Nervous System Function, Sudomotor",336.0,336.0,,,0 HCPCS,95924,Ans parasymp & symp w/tilt,,,216.58,459.14,7 HCPCS,95924,Hc Testing Of Autonomic Nervous System Function; Combined Parasympathetic And Sympathetic Adrenergic,826.0,826.0,,,0 HCPCS,95925,"Hc Somatosensory Test,Upper Limbs - Somatosensory Test",1438.0,1438.0,,,0 HCPCS,95925,Somatosensory testing,,,216.58,459.14,7 HCPCS,95926,"Hc Somatosensory Test,Lower Limbs - Somatosensory Test",1438.0,1438.0,,,0 HCPCS,95926,Somatosensory testing,,,216.58,459.14,7 HCPCS,95927,"Hc Somatosensory Test,Trunk/Head - Somatosensory Test",668.0,668.0,,,0 HCPCS,95927,Somatosensory testing,,,216.58,459.14,7 HCPCS,95928,C motor evoked uppr limbs,,,861.34,1826.04,7 HCPCS,95928,"Hc Central Motor Evoked Potential Study, Upper Limbs -Tms",5581.0,5581.0,,,0 HCPCS,95929,C motor evoked lwr limbs,,,374.29,793.49,7 HCPCS,95929,"Hc Central Motor Evoked Potential Study, Lower Limbs -Tms",5581.0,5581.0,,,0 HCPCS,95930,Hc Visual Ep Test Cns W/I&R - Visual Evoked Potential Test,1438.0,1438.0,,,0 HCPCS,95930,Visual evoked potential test,,,216.58,459.14,7 HCPCS,95933,Blink reflex test,,,59.17,125.44,7 HCPCS,95933,Hc Blink Reflex Test - Blink Reflex Electrodiagnostic Test,183.0,183.0,,,0 HCPCS,95937,Hc Neuromuscular Junction Test - Neuromuscular Junction Test,848.0,848.0,,,0 HCPCS,95937,Neuromuscular junction test,,,129.06,273.61,7 HCPCS,95938,Hc Sep Central Nervous System(Cns) Recording Upper And Lower,2586.0,2586.0,,,0 HCPCS,95938,Somatosensory testing,,,861.34,1826.04,7 HCPCS,95939,C motor evoked upr&lwr limbs,,,861.34,1826.04,7 HCPCS,95939,Hc Cmep Study Upper Lower Limbs,5581.0,5581.0,,,0 HCPCS,95940,Hc Ionm 1 On 1 In Or W/Attendance Each 15 Minutes,254.0,254.0,,,0 HCPCS,95941,Hc Ionm Remote/Nearby/>1 Patient In Or Per Hour,950.0,950.0,,,0 HCPCS,95954,EEG monitoring/giving drugs,,,374.29,793.49,7 HCPCS,95954,Hc Eeg Monitor W Drg/Activation,1334.0,1334.0,,,0 HCPCS,95955,Hc Eeg During Surgery - Eeg During Nonintracranial Surgery,1473.0,1473.0,,,0 HCPCS,95957,Hc Digital Analysis Of Electroencephalogram (Eeg),2811.0,2811.0,,,0 HCPCS,95958,EEG monitoring/function test,,,861.34,1826.04,7 HCPCS,95958,Hc Wada Activation Test Eeg,4991.0,4991.0,,,0 HCPCS,95961,Electrode stimulation brain,,,861.34,1826.04,7 HCPCS,95961,Hc Eeg Or Cortical/Subcortical Mapping 1St Hr,2482.0,2482.0,,,0 HCPCS,95962,Hc Eeg Or Cortical/Subcortical Mapping Each Additional Hour,308.0,308.0,,,0 HCPCS,95965,Meg spontaneous,,,861.34,1826.04,7 HCPCS,95966,Meg evoked single,,,861.34,1826.04,7 HCPCS,95970,Analyze neurostim no prog,,,133.45,282.92,7 HCPCS,95970,"Hc Analyze Neurostimulator, Brain/Cranial Nerve/Spinal Cord/Peripheral Nerve/Sacral Nerve W/O Progra",386.0,386.0,,,0 HCPCS,95970,Hc Elec Alys Implt Npgt Phys/Qhp W/O Programming,386.0,386.0,,,0 HCPCS,95971,Analyze neurostim simple,,,95.36,202.16,7 HCPCS,95971,"Hc Analyze Neurostimulator, Simple W/Programming",696.0,696.0,,,0 HCPCS,95972,Analyze neurostim complex,,,95.36,202.16,7 HCPCS,95972,"Hc Analyze Neurostimulator, Complex W/Programming",696.0,696.0,,,0 HCPCS,95976,Alys smpl cn npgt prgrmg,,,37.43,79.36,7 HCPCS,95976,Noncdm Charge Record,99.0,99.0,,,0 HCPCS,95977,Alys cplx cn npgt prgrmg,,,95.36,202.16,7 HCPCS,95977,Hc Elec Alys Implt Cplx Cn Npgt Prgrmg,292.0,292.0,,,0 HCPCS,95981,Io anal gast n-stim subsq,,,59.17,125.44,7 HCPCS,95981,Noncdm Charge Record,143.0,143.0,,,0 HCPCS,95982,Hc Elec Alys Nstim Pls Gen Gastric Sbsq W/Reprgrmg,114.0,114.0,,,0 HCPCS,95982,Io ga n-stim subsq w/reprog,,,37.43,79.36,7 HCPCS,95983,Alys brn npgt prgrmg 15 min,,,95.36,202.16,7 HCPCS,95983,Hc Elec Alys Implt Brn Npgt Prgrmg 1St 15 Min,292.0,292.0,,,0 HCPCS,95984,Hc Elec Alys Implt Brn Npgt Prgrmg Ea Addl 15 Min,215.0,215.0,,,0 HCPCS,95990,Spin/brain pump refil & main,,,331.3,2572.0,10 HCPCS,95991,Hc Refilling/Maintenance Of Implantable Pump Or Resv For Rx - Spinal Or Brain,1373.0,1373.0,,,0 HCPCS,95991,Spin/brain pump refil & main,,,307.88,2572.0,10 HCPCS,95992,"Hc Ot Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 HCPCS,95992,"Hc Pbb Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 HCPCS,95992,"Hc Pt Canalith Repositioning Procedure, Per Day",320.0,320.0,,,0 HCPCS,95999,Neurological procedure,,,129.06,273.61,7 HCPCS,96000,Hc Comprehensive Computer-Based Motion Analysis By Video-Taping And 3D Kinematics,1410.0,1410.0,,,0 HCPCS,96000,Motion analysis video/3d,,,374.29,793.49,7 HCPCS,96001,Hc Comprehensive Computer-Based Motion Analysis By Video-Taping And 3D Kinematics; With Dynamic Plan,2750.0,2750.0,,,0 HCPCS,96001,Motion test w/ft press meas,,,861.34,1826.04,7 HCPCS,96002,Dynamic surface emg,,,216.58,459.14,7 HCPCS,96020,Hc Functional Brain Mapping - Mr Head Functional Motor,746.0,746.0,,,0 HCPCS,96040,"Hc Genetic Counseling, Each 30 Min",291.0,291.0,,,0 HCPCS,96040,"Hc Pbb Genetic Counseling, Each 30 Min",291.0,291.0,,,0 HCPCS,96041,"Hc Medical Genetics And Genetic Counseling Services, Each 30 Mins, Total Time Provided By Genetic Co",291.0,291.0,,,0 HCPCS,96105,Assessment of aphasia,,,93.51,198.24,7 HCPCS,96105,Hc Slp Assessment Of Aphasia,448.0,448.0,,,0 HCPCS,96112,Devel tst phys/qhp 1st hr,,,129.06,273.61,7 HCPCS,96116,Hc Neurobehavioral Status Xm Phys/Qhp 1St Hour,826.0,826.0,,,0 HCPCS,96116,Neurobehavioral status exam,,,216.58,459.14,7 HCPCS,96121,Hc Neurobehavioral Status Xm Phys/Qhp Ea Addl Hour,313.0,313.0,,,0 HCPCS,96125,Cognitive test by hc pro,,,98.3,208.4,7 HCPCS,96125,"Hc Ot Standardized Cognitive Performance Testing, Per Hour",270.0,270.0,,,0 HCPCS,96125,Hc Slp Standardized Cognitive Performance Testing,270.0,270.0,,,0 HCPCS,96125,"Hc Slp Standardized Cognitive Performance Testing, Per Hour",270.0,270.0,,,0 HCPCS,96127,Brief emotional/behav assmt,,,37.46,79.42,7 HCPCS,96127,Hc Behav Assmt W/Score & Docd/Stand Instrument,106.0,106.0,,,0 HCPCS,96130,Psycl tst eval phys/qhp 1st,,,216.58,459.14,7 HCPCS,96132,Hc Neuropsychological Tst Eval Phys/Qhp 1St Hour,1410.0,1410.0,,,0 HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,374.29,793.49,7 HCPCS,96133,Hc Neuropsychological Tst Eval Phys/Qhp Ea Addl Hr,408.0,408.0,,,0 HCPCS,96136,Hc Psyl/Nrpsycl Tst Phys/Qhp 2+ Tst 1St 30 Min,336.0,336.0,,,0 HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,133.45,282.92,7 HCPCS,96137,Hc Psycl/Nrpsycl Tst Phys/Qhp 2+ Tst Ea Addl 30 Min,162.0,162.0,,,0 HCPCS,96138,Hc Psycl/Nrpsycl Tst Tech 2+ Tst 1St 30 Min,1048.0,1048.0,,,0 HCPCS,96138,Psycl/nrpsyc tech 1st,,,448.08,949.92,7 HCPCS,96139,Hc Psycl/Nrpsycl Tst Tech 2+ Tst Ea Addl 30 Min,145.0,145.0,,,0 HCPCS,96146,Psycl/nrpsyc tst auto result,,,29.01,61.5,7 HCPCS,96156,Hlth bhv assmt/reassessment,,,101.9,216.02,7 HCPCS,96158,Hc Health Behavior Ivntj Indiv F2F 1St 30 Min,420.0,420.0,,,0 HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,178.03,377.43,7 HCPCS,96159,Hc Health Behavior Ivntj Indiv F2F Ea Addl 15 Min,105.0,105.0,,,0 HCPCS,96160,Pt-focused hlth risk assmt,,,37.58,79.67,7 HCPCS,96161,Caregiver health risk assmt,,,37.58,79.67,7 HCPCS,96164,Hc Health Behavior Ivntj Group F2F 1St 30 Min,76.0,76.0,,,0 HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,37.58,79.67,7 HCPCS,96165,Hc Health Behavior Ivntj Group F2F Ea Addl 15 Min,24.0,24.0,,,0 HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,37.58,79.67,7 HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.52,37.14,7 HCPCS,96203,Mlt fam grp bhv train ea add,,,5.0,10.6,7 HCPCS,96360,"Hc Iv Infusion, Hydration, 31-60 Min",765.0,765.0,,,0 HCPCS,96360,Hydration iv infusion init,,,213.35,452.29,7 HCPCS,96361,"Hc Iv Infusion, Hydration, Ea Add Hour",210.0,210.0,,,0 HCPCS,96361,Hydrate iv infusion add-on,,,46.97,99.57,7 HCPCS,96365,"Hc Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour",1164.0,1164.0,,,0 HCPCS,96365,Ther/proph/diag iv inf init,,,213.35,452.29,7 HCPCS,96366,"Hc Iv Infusion, Therap/Proph/Diagnost,Initial,Ea Add Hour",210.0,210.0,,,0 HCPCS,96366,Ther/proph/diag iv inf addon,,,46.97,99.57,7 HCPCS,96367,"Hc Iv Infusion, Therap/Proph/Diagnost,Add Infusion,1St Hour",567.0,567.0,,,0 HCPCS,96367,Tx/proph/dg addl seq iv inf,,,72.22,153.1,7 HCPCS,96368,"Hc Iv Infusion, Therap/Proph/Diagnost,Concurrent Infusion",331.0,331.0,,,0 HCPCS,96369,"Hc Subcut Infusion, Therap/Proph/Diagnost,Initial,1St Hour",1754.0,1754.0,,,0 HCPCS,96369,Sc ther infusion up to 1 hr,,,213.35,452.29,7 HCPCS,96370,"Hc Pbb Subcut Infusion, Therap/Proph/Diagnost,Ea Add Hour",236.0,236.0,,,0 HCPCS,96370,Sc ther infusion addl hr,,,46.97,99.57,7 HCPCS,96371,"Hc Subq Infusion, Therap/Proph/Diagnost,Ea Add Pump W/Estab New Site",795.0,795.0,,,0 HCPCS,96371,Sc ther infusion reset pump,,,72.22,153.1,7 HCPCS,96372,"Hc Injection,Therap/Proph/Diagnost, Im Or Subcut",288.0,288.0,,,0 HCPCS,96372,Noncdm Charge Record,250.0,250.0,,,0 HCPCS,96372,Ther/proph/diag inj sc/im,,,72.22,153.1,7 HCPCS,96373,"Hc Therapeutic, Prophylactic, Dx Injection - Intra-Arterial",650.0,650.0,,,0 HCPCS,96373,Ther/proph/diag inj ia,,,213.35,452.29,7 HCPCS,96374,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug",620.0,620.0,,,0 HCPCS,96374,Ther/proph/diag inj iv push,,,213.35,452.29,7 HCPCS,96375,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Ea Add, New Drug",343.0,343.0,,,0 HCPCS,96375,Tx/pro/dx inj new drug addon,,,46.97,99.57,7 HCPCS,96376,"Hc Injection,Therap/Proph/Diagnost, Iv Push, Ea Add, Same Drug",343.0,343.0,,,0 HCPCS,96377,Applicaton on-body injector,,,46.97,2987.0,9 HCPCS,96377,Hc Appl On-Body Injector For Timed Subq Injection,836.0,836.0,,,0 HCPCS,96379,Hc Drd Inj Fluor Lapband Adj,6039.0,6039.0,,,0 HCPCS,96379,Ther/prop/diag inj/inf proc,,,46.97,99.57,7 HCPCS,96401,Chemo anti-neopl sq/im,,,72.22,153.1,7 HCPCS,96401,"Hc Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im",797.0,797.0,,,0 HCPCS,96402,Chemo hormon antineopl sq/im,,,72.22,153.1,7 HCPCS,96402,Hc Chemother Hormon Antineopl Sub-Q/Im,428.0,428.0,,,0 HCPCS,96405,Chemo intralesional up to 7,,,72.22,153.1,7 HCPCS,96405,"Hc Intralesional Chemotherapy Admin, <=7 Lesions",222.0,222.0,,,0 HCPCS,96406,Chemo intralesional over 7,,,213.35,452.29,7 HCPCS,96406,"Hc Intralesional Chemotherapy Admin,7+ Lesions",827.0,827.0,,,0 HCPCS,96409,Chemo iv push sngl drug,,,331.3,702.37,7 HCPCS,96409,"Hc Chemother, Iv Push, Sngl Drug",1184.0,1184.0,,,0 HCPCS,96411,Chemo iv push addl drug,,,72.22,153.1,7 HCPCS,96411,"Hc Chemotherapy, Iv Push, Ea Addl Drug",681.0,681.0,,,0 HCPCS,96413,Chemo iv infusion 1 hr,,,331.3,702.37,7 HCPCS,96413,"Hc Chemotherapy, Iv Infusion, <=1 Hr, Sgl Or Initial Drug",1634.0,1634.0,,,0 HCPCS,96415,Chemo iv infusion addl hr,,,72.22,153.1,7 HCPCS,96415,"Hc Chemotherapy, Iv Infusion, Ea Addl Hr",378.0,378.0,,,0 HCPCS,96416,Chemo prolong infuse w/pump,,,331.3,702.37,7 HCPCS,96416,Hc Chemotherapy Initiation Prolonged Infusion >8 Hrs W/Pump,1776.0,1776.0,,,0 HCPCS,96417,Chemo iv infus each addl seq,,,72.22,153.1,7 HCPCS,96417,"Hc Chemotherapy, Iv Infusion, Each Sequential Infusion Diff Drug >=1 Hr",811.0,811.0,,,0 HCPCS,96420,Chemo ia push tecnique,,,331.3,702.37,7 HCPCS,96420,"Hc Chemotherapy Admin, Intra-Arterial, Push Technique",1340.0,1340.0,,,0 HCPCS,96422,Chemo ia infusion up to 1 hr,,,331.3,702.37,7 HCPCS,96422,"Hc Chemother,Ia Infusn Tech,<1 Hr",890.0,890.0,,,0 HCPCS,96423,Chemo ia infuse each addl hr,,,46.97,99.57,7 HCPCS,96423,"Hc Chemother,Ia Infusn Tech,Ea Hr,1-8Hr",125.0,125.0,,,0 HCPCS,96425,Chemotherapy infusion method,,,331.3,702.37,7 HCPCS,96425,"Hc Chemotherapy Admin, Intra-Arterial, Infusion >8 Hours, Use Of Portable Or Implantable Pump",1296.0,1296.0,,,0 HCPCS,96440,Chemotherapy intracavitary,,,331.3,702.37,7 HCPCS,96446,Chemotx admn prtl cavity,,,331.3,702.37,7 HCPCS,96446,"Hc Chemotherapy, Peritoneal Cavity Via Indwelling Port/Catheter",1340.0,1340.0,,,0 HCPCS,96450,Chemotherapy into cns,,,331.3,702.37,7 HCPCS,96450,"Hc Chemotherapy,Cns,W/Lumbar Puncture (Intrathecal)",1340.0,1340.0,,,0 HCPCS,96450,"Hc Pbb Chemother,Cns,W/Lumbar Puncture",1340.0,1340.0,,,0 HCPCS,96521,"Hc Refilling/Maintenance, Portable Pump",1446.0,1446.0,,,0 HCPCS,96521,Refill/maint portable pump,,,213.35,452.29,7 HCPCS,96522,Hc Implant Pump Maintenance,1038.0,1038.0,,,0 HCPCS,96522,Refill/maint pump/resvr syst,,,213.35,452.29,7 HCPCS,96523,"Hc Irrigation, Implanted Vad Drug Delivery Device",286.0,286.0,,,0 HCPCS,96523,Irrig drug delivery device,,,59.17,125.44,7 HCPCS,96542,Chemotherapy injection,,,331.3,702.37,7 HCPCS,96542,"Hc Chemotherapy Inject, Subarachnoid/Intraventricular Via Subq Reservoir",827.0,827.0,,,0 HCPCS,96547,Intraop hipec px 1st 60 min,,,1343.0,1580.0,2 HCPCS,96548,Ntraop hipec px ea add 30min,,,1343.0,1580.0,2 HCPCS,96549,Chemotherapy unspecified,,,46.97,99.57,7 HCPCS,96549,"Hc Chemotherapy, Unspecified Procedure",121.0,121.0,,,0 HCPCS,96567,Photodynamic tx skin,,,201.24,2572.0,10 HCPCS,96570,"Hc Photodynamic Therapy, First 30 Minutes",317.0,317.0,,,0 HCPCS,96570,Photodynmc tx 30 min add-on,,,1343.0,2572.0,3 HCPCS,96571,Photodynamic tx addl 15 min,,,1343.0,2572.0,3 HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,201.24,1580.0,9 HCPCS,96574,Dbrdmt prmlg les w/pdt,,,201.24,4221.48,14 HCPCS,96900,Ultraviolet light therapy,,,37.46,79.42,7 HCPCS,96910,Photochemotherapy with UV-B,,,59.17,125.44,7 HCPCS,96912,Photochemotherapy with UV-A,,,59.17,125.44,7 HCPCS,96913,Photochemotherapy uv-a or b,,,407.74,864.42,7 HCPCS,96920,Laser tx skin < 250 sq cm,,,201.24,4840.09,14 HCPCS,96921,Laser tx skin 250-500 sq cm,,,201.24,4840.09,14 HCPCS,96922,Laser tx skin >500 sq cm,,,407.74,4840.09,14 HCPCS,96999,Dermatological procedure,,,201.24,426.63,7 HCPCS,97010,Hc Ot Hot Or Cold Packs Therapy,35.0,35.0,,,0 HCPCS,97010,Hc Pt Hot Or Cold Packs Therapy,35.0,35.0,,,0 HCPCS,97010,Hot or cold packs therapy,,,6.25,128.0,6 HCPCS,97012,Hc Pt Mechanical Traction Therapy,153.0,153.0,,,0 HCPCS,97012,Mechanical traction therapy,,,13.78,128.0,13 HCPCS,97014,Electric stimulation therapy,,,12.14,128.0,6 HCPCS,97014,Hc Ot Electric Stimulation Therapy (Unattended),175.0,175.0,,,0 HCPCS,97014,Hc Pt Electric Stimulation Therapy (Unattended),175.0,175.0,,,0 HCPCS,97016,Hc Pt Vasopneumatic Device Therapy,38.0,38.0,,,0 HCPCS,97016,Vasopneumatic device therapy,,,11.48,128.0,13 HCPCS,97018,Hc Ot Paraffin Bath Therapy,118.0,118.0,,,0 HCPCS,97018,Paraffin bath therapy,,,5.6,128.0,13 HCPCS,97022,Hc Ot Fluidotherapy,124.0,124.0,,,0 HCPCS,97022,Hc Pt Whirlpool Therapy,124.0,124.0,,,0 HCPCS,97022,Whirlpool therapy,,,15.94,128.0,13 HCPCS,97024,Diathermy eg microwave,,,6.87,128.0,13 HCPCS,97026,Infrared therapy,,,6.58,128.0,13 HCPCS,97028,Ultraviolet therapy,,,8.21,128.0,13 HCPCS,97032,Electrical stimulation,,,14.11,128.0,13 HCPCS,97032,"Hc Ot Electrical Stimulation (Manual), Each 15 Minutes",135.0,135.0,,,0 HCPCS,97032,"Hc Pt Electrical Stimulation (Manual), Each 15 Minutes",135.0,135.0,,,0 HCPCS,97033,Electric current therapy,,,19.0,128.0,13 HCPCS,97033,"Hc Ot Electric Current Therapy - Iontophoresis, Each 15 Minutes",135.0,135.0,,,0 HCPCS,97033,"Hc Pt Electric Current Therapy - Iontophoresis, Each 15 Minutes",135.0,135.0,,,0 HCPCS,97034,Contrast bath therapy,,,13.37,128.0,13 HCPCS,97034,"Hc Ot Contrast Bath Therapy-Contrast Bath, Each 15 Minutes",91.0,91.0,,,0 HCPCS,97035,"Hc Ot Ultrasound Therapy - Ultrasound, Each 15 Minutes",112.0,112.0,,,0 HCPCS,97035,"Hc Pt Ultrasound Therapy - Ultrasound, Each 15 Minutes",112.0,112.0,,,0 HCPCS,97035,Ultrasound therapy,,,13.77,128.0,13 HCPCS,97036,Hydrotherapy,,,32.1,128.0,13 HCPCS,97037,Appl modality 1+lllt po pain,,,37.46,128.0,8 HCPCS,97039,Hc Ot Fluidotherapy,124.0,124.0,,,0 HCPCS,97039,Hc Pt Fluidotherapy,124.0,124.0,,,0 HCPCS,97110,"Hc Ot Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 HCPCS,97110,"Hc Pt Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 HCPCS,97110,"Hc Recreational Tx - Therapeutic Exercises, Each 15 Minutes",180.0,180.0,,,0 HCPCS,97110,Therapeutic exercises,,,27.64,128.0,13 HCPCS,97112,"Hc Ot Neuromuscular Reeducation,1+ Areas, Each 15 Minutes",182.0,182.0,,,0 HCPCS,97112,"Hc Pt Neuromuscular Reeducation,1+ Areas, Each 15 Minutes",182.0,182.0,,,0 HCPCS,97112,Neuromuscular reeducation,,,33.06,128.0,13 HCPCS,97113,Aquatic therapy/exercises,,,34.9,128.0,13 HCPCS,97113,"Hc Pt Aquatic Therapy/Exercises, Each 15 Minutes",169.0,169.0,,,0 HCPCS,97116,Gait training therapy,,,27.64,128.0,13 HCPCS,97116,"Hc Pt Gait Training Therapy, Each 15 Minutes",161.0,161.0,,,0 HCPCS,97124,"Hc Ot Massage Therapy, Each 15 Minutes",136.0,136.0,,,0 HCPCS,97124,"Hc Pt Massage Therapy, Each 15 Minutes",136.0,136.0,,,0 HCPCS,97124,Massage therapy,,,29.79,128.0,13 HCPCS,97129,"Hc Ot Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 HCPCS,97129,"Hc Pt Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 HCPCS,97129,"Hc Recreational Tx - Cognitive Function Therapy, Initial 15 Minutes",164.0,164.0,,,0 HCPCS,97129,"Hc Slp Cognitive Function Therapy Sp, Initial 15 Minutes",164.0,164.0,,,0 HCPCS,97129,Ther ivntj 1st 15 min,,,19.48,49.79,9 HCPCS,97130,"Hc Ot Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 HCPCS,97130,"Hc Pt Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 HCPCS,97130,"Hc Slp Cognitive Function Therapy, Each Addl 15 Minutes",164.0,164.0,,,0 HCPCS,97130,Ther ivntj ea addl 15 min,,,18.12,48.27,9 HCPCS,97140,"Hc Ot Manual Therapy Tech, 1+Regions,Each Addl 15 Minutes",202.0,202.0,,,0 HCPCS,97140,"Hc Pt Manual Therapy Tech, 1+Regions,Each Addl 15 Minutes",202.0,202.0,,,0 HCPCS,97140,Manual therapy 1/> regions,,,26.53,128.0,13 HCPCS,97150,Group therapeutic procedures,,,17.23,128.0,13 HCPCS,97150,Hc Ot Group Therapeutic Procedures,161.0,161.0,,,0 HCPCS,97150,Hc Ot Group Therapeutic Procedures - Group >=2,161.0,161.0,,,0 HCPCS,97150,Hc Pt Group Aquatic Therapeutic Procedures - Group >=2,161.0,161.0,,,0 HCPCS,97150,Hc Pt Group Therapeutic Procedures,161.0,161.0,,,0 HCPCS,97150,Hc Pt Group Therapeutic Procedures - Group >=2,161.0,161.0,,,0 HCPCS,97150,Hc Recreational Group Therapeutic Procedures-Group >=2,161.0,161.0,,,0 HCPCS,97151,Bhv id assmt by phys/qhp,,,101.9,216.02,7 HCPCS,97152,Bhv id suprt assmt by 1 tech,,,101.9,216.02,7 HCPCS,97153,Adaptive behavior tx by tech,,,101.9,216.02,7 HCPCS,97154,Grp adapt bhv tx by tech,,,37.58,79.67,7 HCPCS,97155,Adapt behavior tx phys/qhp,,,178.03,377.43,7 HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,37.58,79.67,7 HCPCS,97157,Mult fam adapt bhv tx gdn,,,37.58,79.67,7 HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,37.58,79.67,7 HCPCS,97161,Hc Pt Physical Therapy Evaluation Low Complex 20 Mins,417.0,417.0,,,0 HCPCS,97161,Hc Recreational Tx - Pt Evaluatioln Low Complex 20 Mins,417.0,417.0,,,0 HCPCS,97161,Pt eval low complex 20 min,,,92.95,226.21,13 HCPCS,97162,Hc Pt Physical Therapy Evaluation Mod Complex 30 Mins,480.0,480.0,,,0 HCPCS,97162,Hc Recreational Tx - Pt Evaluatioln Low Complex 30 Mins,480.0,480.0,,,0 HCPCS,97162,Pt eval mod complex 30 min,,,92.95,226.21,13 HCPCS,97163,Hc Pt Physical Therapy Evaluation High Complex 45 Mins,551.0,551.0,,,0 HCPCS,97163,Hc Recreational Tx - Pt Evaluatioln Low Complex 45 Mins,551.0,551.0,,,0 HCPCS,97163,Pt eval high complex 45 min,,,92.95,226.21,13 HCPCS,97164,Hc Pt Physical Therapy Re-Eval Est Plan Care 20 Mins,203.0,203.0,,,0 HCPCS,97164,Hc Recreational Tx - Pt Re-Evaluation Est Plan Care 20 Mins,203.0,203.0,,,0 HCPCS,97164,Pt re-eval est plan care,,,63.75,156.83,13 HCPCS,97165,Hc Ot Occupational Therapy Eval Low Complex 30 Mins,483.0,483.0,,,0 HCPCS,97165,Hc Ot Occupational Therapy Eval Low Complex 30 Mins -Driving Eval,483.0,483.0,,,0 HCPCS,97165,Hc Recreational Tx - Ot Evaluation Low Complex 30 Mins,483.0,483.0,,,0 HCPCS,97165,Ot eval low complex 30 min,,,95.33,226.21,13 HCPCS,97166,Hc Ot Occupational Therapy Eval Mod Complex 45 Mins,555.0,555.0,,,0 HCPCS,97166,Hc Recreational Tx - Ot Evaluation Low Complex 45 Mins,555.0,555.0,,,0 HCPCS,97166,Ot eval mod complex 45 min,,,99.57,226.21,13 HCPCS,97167,Hc Ot Occupational Therapy Eval High Complex 60 Mins,639.0,639.0,,,0 HCPCS,97167,Hc Ot Occupational Therapy Eval High Complex 60 Mins - Driving,639.0,639.0,,,0 HCPCS,97167,Hc Recreational Tx - Ot Evaluation Low Complex 60 Mins,639.0,639.0,,,0 HCPCS,97167,Ot eval high complex 60 min,,,95.33,226.21,13 HCPCS,97168,Hc Ot Occupational Ther Re-Eval Est Plan Care 30 Mins,203.0,203.0,,,0 HCPCS,97168,Hc Recreational Tx - Ot Re-Evaluation Est Plan Care 30 Mins,203.0,203.0,,,0 HCPCS,97168,Ot re-eval est plan care,,,68.78,156.09,13 HCPCS,97169,Athletic trn eval low cmplx,,,51.89,128.0,6 HCPCS,97170,Athletic trn eval mod cmplx,,,51.89,128.0,6 HCPCS,97171,Athletic trn eval high cmplx,,,51.89,128.0,6 HCPCS,97172,Athletic trn re-eval plan cr,,,26.27,128.0,6 HCPCS,97530,"Hc Ot Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 HCPCS,97530,"Hc Pt Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 HCPCS,97530,"Hc Rt Home O2 Evaluation, Each 15-Minutes",203.0,203.0,,,0 HCPCS,97530,"Hc Therapeutic Actvities Direct Patient Contact (Functional), Each 15 Minutes",203.0,203.0,,,0 HCPCS,97530,Therapeutic activities,,,35.5,128.0,13 HCPCS,97533,"Hc Ot Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 HCPCS,97533,"Hc Pt Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 HCPCS,97533,"Hc Slp Sensory Integrative Techniques, Each 15 Minutes",164.0,164.0,,,0 HCPCS,97533,Sensory Integration,,,61.14,143.18,13 HCPCS,97535,Hc Ot Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 HCPCS,97535,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 HCPCS,97535,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes -Adapt Equip Trgn,204.0,204.0,,,0 HCPCS,97535,Hc Pt Self-Care/Home Mgmt Training Each 15 Minutes -Lymphadema,204.0,204.0,,,0 HCPCS,97535,Hc Slp Self-Care/Home Mgmt Training Each 15 Minutes,204.0,204.0,,,0 HCPCS,97535,Self care mngment training,,,32.08,128.0,13 HCPCS,97537,Community/work reintegration,,,31.1,128.0,13 HCPCS,97537,Hc Ot Community/Work Reintegration Trainj Ea 15 Min,204.0,204.0,,,0 HCPCS,97537,"Hc Recreational Tx - Community/Work Reintegration Trgn, Each 15 Min",204.0,204.0,,,0 HCPCS,97542,"Hc Ot Wheelchair Mngement Training, Ea 15 Min",160.0,160.0,,,0 HCPCS,97542,"Hc Pt Wheelchair Mngement Training, Ea 15 Min",160.0,160.0,,,0 HCPCS,97542,Wheelchair mngment training,,,31.1,128.0,13 HCPCS,97545,Work hardening,,,128.0,378.52,6 HCPCS,97546,Work hardening add-on,,,65.33,150.79,6 HCPCS,97550,Caregiver traing 1st 30 min,,,40.01,84.82,8 HCPCS,97550,Hc Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Performanc,156.0,156.0,,,0 HCPCS,97550,Hc Ot Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,156.0,156.0,,,0 HCPCS,97550,Hc Pt Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,156.0,156.0,,,0 HCPCS,97550,Hc Speech Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Per,156.0,156.0,,,0 HCPCS,97551,Caregiver traing ea addl 15,,,21.14,44.82,8 HCPCS,97551,Hc Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Performanc,84.0,84.0,,,0 HCPCS,97551,Hc Ot Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,84.0,84.0,,,0 HCPCS,97551,Hc Pt Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perform,84.0,84.0,,,0 HCPCS,97551,Hc Speech Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Per,84.0,84.0,,,0 HCPCS,97552,Group caregiver training,,,9.27,19.65,8 HCPCS,97552,Hc Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional Perf,37.0,37.0,,,0 HCPCS,97552,Hc Ot Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional P,37.0,37.0,,,0 HCPCS,97552,Hc Pt Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Functional P,37.0,37.0,,,0 HCPCS,97552,Hc Speech Group Caregiver Training In Strategies And Techniques To Facilitate The Patient's Function,37.0,37.0,,,0 HCPCS,97597,Hc Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 HCPCS,97597,Hc Ot Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 HCPCS,97597,Hc Pbb Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 HCPCS,97597,Hc Pt Debridement Open Wound 20 Sq Cm<,802.0,802.0,,,0 HCPCS,97597,Rmvl devital tis 20 cm/<,,,34.61,4840.09,21 HCPCS,97598,Hc Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 HCPCS,97598,Hc Ot Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 HCPCS,97598,Hc Pbb Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 HCPCS,97598,Hc Pt Debridement Open Wound Ea Addl 20 Sq Cm,760.0,760.0,,,0 HCPCS,97598,Rmvl devital tis addl 20cm/<,,,24.14,2987.0,9 HCPCS,97602,"Hc Ot Non-Selective Debridement W/O Anesthesia, Per Session",802.0,802.0,,,0 HCPCS,97602,"Hc Pt Non-Selective Debridement W/O Anesthesia, Per Session",802.0,802.0,,,0 HCPCS,97602,"Hc Wound Debridemnt, Non-Selective, Ea",802.0,802.0,,,0 HCPCS,97602,Wound(s) care non-selective,,,84.04,4221.48,14 HCPCS,97605,"Hc Negative Pressure Wound Therapy, Utilizing Dme, Including Topical Application(S), Wound Assessmen",4609.0,4609.0,,,0 HCPCS,97605,Hc Negative Pressure Wound Therapy50 Sq Cm,1228.0,1228.0,,,0 HCPCS,97606,Neg press wound tx >50 cm,,,25.89,864.42,11 HCPCS,97607,Hc Neg Pressure Wound Therapy 50 Sq Cm,1294.0,1294.0,,,0 HCPCS,97608,Neg press wound tx >50 cm,,,407.74,864.42,7 HCPCS,97610,Hc Ot Low Frequency Non-Thermal Ultrasound Per Day,769.0,769.0,,,0 HCPCS,97610,Hc Pt Low Frequency Non-Thermal Ultrasound Per Day,769.0,769.0,,,0 HCPCS,97610,Low frequency non-thermal us,,,201.24,426.63,7 HCPCS,97750,"Hc Pt Physical Performance Test, Each 15 Minutes",228.0,228.0,,,0 HCPCS,97750,Physical performance test,,,33.39,128.0,11 HCPCS,97755,Assistive technology assess,,,36.0,128.0,11 HCPCS,97755,Hc Ot Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min,297.0,297.0,,,0 HCPCS,97755,Hc Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min,297.0,297.0,,,0 HCPCS,97760,"Hc Ot Orthotic Mgmt And Training, Each 15 Min",130.0,130.0,,,0 HCPCS,97760,"Hc Pt Orthotic Mgmt And Training, Each 15 Min",130.0,130.0,,,0 HCPCS,97760,"Hc Pt Orthotic Mgmt And Training, Each 15 Min - Splinting Treatment",130.0,130.0,,,0 HCPCS,97760,Orthotic mgmt and training,,,46.68,128.0,13 HCPCS,97761,"Hc Ot Prosthetic Training, Initial Prosthetic(S), Each 15 Minutes",127.0,127.0,,,0 HCPCS,97761,"Hc Pt Prosthetic Training, Initial Prosthetic(S), Each 15 Minutes",127.0,127.0,,,0 HCPCS,97761,Prosthetic training,,,37.95,128.0,13 HCPCS,97763,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,92.0,92.0,,,0 HCPCS,97763,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min - Ckout Orth/Pros Issued,92.0,92.0,,,0 HCPCS,97763,Hc Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min - Splinting,92.0,92.0,,,0 HCPCS,97763,Hc Pt Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,92.0,92.0,,,0 HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,50.76,128.0,13 HCPCS,97802,"Hc Medical Nutrition Therapy, Initial Assessment, Indiv, Each 15 Minutes",136.0,136.0,,,0 HCPCS,97802,"Hc Pbb Med Nutr Ther, 1St, Indiv, Ea 15 Min",136.0,136.0,,,0 HCPCS,97802,Medical nutrition indiv in,,,26.64,128.0,11 HCPCS,97803,"Hc Medical Nutrition Therapy, Re-Assessment, Indiv, Ea 15 Min",117.0,117.0,,,0 HCPCS,97803,"Hc Pbb Med Nutr Ther, Subsq, Indiv, Ea 15 Min",117.0,117.0,,,0 HCPCS,97803,Med nutrition indiv subseq,,,21.39,128.0,11 HCPCS,97804,"Hc Med Nutr Ther, Group, Ea 30 Min",117.0,117.0,,,0 HCPCS,97804,Medical nutrition group,,,12.51,128.0,11 HCPCS,97810,Acupunct w/o stimul 15 min,,,29.01,61.5,7 HCPCS,97810,"Hc Acupuncture, 1 Or More Needles; W/O Electrical Stimulation, Initial 15 Min, Personal One-On-One C",72.0,72.0,,,0 HCPCS,97811,"Hc Acupuncture, 1 Or More Needles; W/O Electrical Stimulation, Ea Add'l 15 Min, Personal One-On-One",37.0,37.0,,,0 HCPCS,97813,Acupunct w/stimul 15 min,,,29.01,61.5,7 HCPCS,97813,"Hc Acupuncture, 1 Or More Needles; W/Electrical Stimulation, Initial 15 Min, Personal One-On-One Con",72.0,72.0,,,0 HCPCS,97814,"Hc Acupuncture, 1 Or More Needles; W/Electrical Stimulation, Ea Add'l 15 Min, Personal One-On-One Co",37.0,37.0,,,0 HCPCS,98000,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Straightforward Medical Decision Making, 15 Min",264.0,264.0,,,0 HCPCS,98001,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Low Medical Decision Making, 30 Min",529.0,529.0,,,0 HCPCS,98002,"Hc Synchronous Audio-Video Visit, E&M, New Patient, Moderate Medical Decision Making, 45 Min",794.0,794.0,,,0 HCPCS,98003,"Hc Synchronous Audio-Video Visit, E&M, New Patient, High Medical Decision Making, 60 Min",1058.0,1058.0,,,0 HCPCS,98004,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, Straightforward Medical Decision Making,",176.0,176.0,,,0 HCPCS,98005,"Hc Synchronous Audio-Video Visit,E&M, Established Patient, Low Medical Decision Making, 20 Min",353.0,353.0,,,0 HCPCS,98006,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, Moderate Medical Decision Making, 30 Min",505.0,505.0,,,0 HCPCS,98007,"Hc Synchronous Audio-Video Visit, E&M, Established Patient, High Medical Decision Making, 40 Min",705.0,705.0,,,0 HCPCS,98008,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Straightforward Medical Decision Making, 15 Min",264.0,264.0,,,0 HCPCS,98009,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Low Medical Decision Making, 30 Min",529.0,529.0,,,0 HCPCS,98010,"Hc Synchronous Audio-Only Visit, E&M, New Patient, Moderate Medical Decision Making, 45 Min",794.0,794.0,,,0 HCPCS,98011,"Hc Synchronous Audio-Only Visit, E&M, New Patient, High Medical Decision Making, 60 Min",1058.0,1058.0,,,0 HCPCS,98012,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Straightforward Medical Decision Making,",176.0,176.0,,,0 HCPCS,98013,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Low Medical Decision Making, 20 Min",353.0,353.0,,,0 HCPCS,98014,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, Moderate Medical Decision Making, 30 Min",505.0,505.0,,,0 HCPCS,98015,"Hc Synchronous Audio-Only Visit, E&M, Established Patient, High Medical Decision Making, 40 Min",705.0,705.0,,,0 HCPCS,98016,"Hc Brief Communication Technology-Based Service, Physician Or Qhcp, 5-10 Min",176.0,176.0,,,0 HCPCS,98960,Hc Education&Training Self-Mgmt Nonphys 1 Pt,184.0,184.0,,,0 HCPCS,98961,Hc Self-Mgmt Educ/Trng Ot 30 Min,152.0,152.0,,,0 HCPCS,98966,Hc Pt Hc Pro Phone 5-10 Min,23.0,23.0,,,0 HCPCS,98968,Hc Pt Hc Pro Phone 21-30 Min,69.0,69.0,,,0 HCPCS,98970,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 5-10 Min",49.0,49.0,,,0 HCPCS,98971,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 11-20 Min",86.0,86.0,,,0 HCPCS,98972,"Hc Qnphcp Online Digitl (E-Visit) Assess/Mgmt Estab, 21 Or More Min",133.0,133.0,,,0 HCPCS,98975,Rem ther mntr 1st setup&edu,,,133.54,283.1,7 HCPCS,98976,Rem ther mntr dev sply resp,,,37.43,79.36,7 HCPCS,98977,Rem ther mntr dv sply mscskl,,,37.43,79.36,7 HCPCS,98978,Rem ther mntr dev sply cbt,,,37.43,79.36,7 HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,37.43,79.36,7 HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,37.43,79.36,7 HCPCS,98986,Rtm dev sply cbt 2-15 d,,,37.43,79.36,7 HCPCS,99000,Hc Handling Fee For Spec Proc,85.0,85.0,,,0 HCPCS,99000,Specimen handling office-lab,,,5.77,5.77,2 HCPCS,99001,Specimen handling pt-lab,,,6.14,6.14,2 HCPCS,99151,Hc Mod Sed Same Phys/Qhp Initial 15 Mins <5 Yrs,678.0,678.0,,,0 HCPCS,99152,Hc Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,240.0,240.0,,,0 HCPCS,99153,Hc Mod Sed Same Phys/Qhp Each Addl 15 Mins,240.0,240.0,,,0 HCPCS,99156,Hc Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,240.0,240.0,,,0 HCPCS,99157,Hc Mod Sed Other Phys/Qhp Each Addl 15 Mins,240.0,240.0,,,0 HCPCS,99170,Anogenital exam child w imag,,,202.78,429.9,7 HCPCS,99183,Hc Rt Phys/Qhp Attn&Supvj Hyprbaric Oxygen Tx /Session,4758.0,4758.0,,,0 HCPCS,99195,Hc Phlebotomy Therapeutic,524.0,524.0,,,0 HCPCS,99195,Phlebotomy,,,133.45,282.92,7 HCPCS,99199,Therapeutic Hypothermia Initial,7309.0,7309.0,,,0 HCPCS,99199,Therapeutic Hypothermia Subsequent Day,7309.0,7309.0,,,0 HCPCS,99202,Hc Pbb Office Outpatient New 15-29 Minutes,529.0,529.0,,,0 HCPCS,99203,Hc Pbb Office Outpatient New 30-44 Minutes,796.0,796.0,,,0 HCPCS,99204,Hc Pbb Office Outpatient New 45-59 Minutes,1038.0,1038.0,,,0 HCPCS,99205,Hc Pbb Office Outpatient New 60-74 Minutes,1352.0,1352.0,,,0 HCPCS,99211,Hc Labor Triage Level One,114.0,114.0,,,0 HCPCS,99211,Hc Office Outpatient Visit 5 Minutes,114.0,114.0,,,0 HCPCS,99211,Hc Pbb Office Outpatient Visit 5 Minutes,114.0,114.0,,,0 HCPCS,99212,Hc Labor Triage Level Two,361.0,361.0,,,0 HCPCS,99212,Hc Office Outpatient Visit 10-19 Minutes,361.0,361.0,,,0 HCPCS,99212,Hc Pbb Office Outpatient Visit 10-19 Minutes,361.0,361.0,,,0 HCPCS,99213,Hc Labor Triage Level Three,399.0,399.0,,,0 HCPCS,99213,Hc Office Outpatient Visit 20-29 Minutes,399.0,399.0,,,0 HCPCS,99213,Hc Pbb Office Outpatient Visit 20-29 Minutes,399.0,399.0,,,0 HCPCS,99214,Hc Labor Triage Level Four,626.0,626.0,,,0 HCPCS,99214,Hc Office Outpatient Visit 30-39 Minutes,626.0,626.0,,,0 HCPCS,99214,Hc Pbb Office Outpatient Visit 30-39 Minutes,626.0,626.0,,,0 HCPCS,99214,Noncdm Charge Record,544.0,544.0,,,0 HCPCS,99215,Hc Labor Triage Level Five,900.0,900.0,,,0 HCPCS,99215,Hc Office Outpatient Visit 40-54 Minutes,900.0,900.0,,,0 HCPCS,99215,Hc Pbb Office Outpatient Visit 40-54 Minutes,900.0,900.0,,,0 HCPCS,99241,Noncdm Charge Record,243.0,243.0,,,0 HCPCS,99242,Hc Pbb Office Consultation New/Estab Patient 30 Min,334.0,334.0,,,0 HCPCS,99242,Noncdm Charge Record,290.0,290.0,,,0 HCPCS,99243,Hc Pbb Office Consultation New/Estab Patient 40 Min,414.0,414.0,,,0 HCPCS,99244,Hc Pbb Office Consultation New/Estab Patient 60 Min,673.0,673.0,,,0 HCPCS,99245,Hc Pbb Office Consultation New/Estab Patient 80 Min,917.0,917.0,,,0 HCPCS,99281,Emergency dept visit,,,84.58,179.31,7 HCPCS,99281,Hc Emergency Department Level 1 Visit Limited/Minor Prob,605.0,605.0,,,0 HCPCS,99282,Emergency dept visit,,,154.01,326.5,7 HCPCS,99282,Hc Emergency Department Level 2 Visit Low/Moder Severity,958.0,958.0,,,0 HCPCS,99283,Emergency dept visit,,,273.8,580.46,7 HCPCS,99283,Hc Emergency Department Level 3 Visit Moderate Severity,1513.0,1513.0,,,0 HCPCS,99284,Emergency dept visit,,,418.52,887.27,7 HCPCS,99284,Hc Emergency Department Level 4 Visit High/Urgent Severity,2018.0,2018.0,,,0 HCPCS,99285,Emergency dept visit,,,597.33,1266.34,7 HCPCS,99285,Hc Emergency Department Level 5 Visit High Severity&Threat Func,2522.0,2522.0,,,0 HCPCS,99291,Critical care first hour,,,828.53,1756.48,7 HCPCS,99291,"Hc Critical Care, E/M 30-74 Minutes",3026.0,3026.0,,,0 HCPCS,99292,"Hc Critical Care, Addl 30 Min",1513.0,1513.0,,,0 HCPCS,99354,Hc Prolng Svc/Ofc/Outpt 1St Hour,494.0,494.0,,,0 HCPCS,99358,"Hc Prolonged Serv,No Contact,1St Hr",523.0,523.0,,,0 HCPCS,99360,Hc Phys Standby Svc Prolng Phys Attn Ea 30 Minutes,250.0,250.0,,,0 HCPCS,99381,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age <1Year,469.0,469.0,,,0 HCPCS,99382,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 1-4 Yrs,490.0,490.0,,,0 HCPCS,99383,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 5-11 Yrs,508.0,508.0,,,0 HCPCS,99384,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 12-17 Yrs,573.0,573.0,,,0 HCPCS,99385,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 18-39Yrs,557.0,557.0,,,0 HCPCS,99386,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 40-64Yrs,642.0,642.0,,,0 HCPCS,99387,Hc Initial Comprehensive Preventive Medicine Evaluation And Management New Patient Age 65 Yrs&>,698.0,698.0,,,0 HCPCS,99391,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age <1,422.0,422.0,,,0 HCPCS,99392,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 1-,451.0,451.0,,,0 HCPCS,99393,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 5-,451.0,451.0,,,0 HCPCS,99394,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 12,490.0,490.0,,,0 HCPCS,99395,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 18,501.0,501.0,,,0 HCPCS,99396,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 40,532.0,532.0,,,0 HCPCS,99397,Hc Periodic Comprehensive Preventive Medicine Reevaluation And Management?Established Patient Age 65,574.0,574.0,,,0 HCPCS,99406,Behav chng smoking 3-10 min,,,37.58,79.67,7 HCPCS,99406,Hc Tobacco Use Cessation Intermediate 3-10 Minutes,129.0,129.0,,,0 HCPCS,99407,Behav chng smoking > 10 min,,,37.58,79.67,7 HCPCS,99407,Hc Pbb Tobacco Use Cessation Intensive >10 Minutes,268.0,268.0,,,0 HCPCS,99407,Hc Tobacco Use Cessation Intensive >10 Minutes,268.0,268.0,,,0 HCPCS,99417,Hc Prolng Off/Op E/M Ea 15 Min,130.0,130.0,,,0 HCPCS,99418,Hc Prolng Inpt/Obs E/M Ea 15 Min,167.0,167.0,,,0 HCPCS,99426,Prin care mgmt staff 1st 30,,,101.9,216.02,7 HCPCS,99437,"Hc Chronic Care Management, Each Add'l 30 Minutes By A Physician Or Other Qualified Health Care Prof",170.0,170.0,,,0 HCPCS,99439,"Hc Chronic Care Management,Each Add'l 20 Minutes Of Clinical Staff Time Directed By A Physician Or O",118.0,118.0,,,0 HCPCS,99442,"Hc Phn Eval,Md & Estab Pt,Parnt,Non Reltd E/M Prvs 7Dys/W/In Nxt 24Hrs;21-30Min",355.0,355.0,,,0 HCPCS,99442,Hc Phys/Qhp Telephone Evaluation 11-20 Min,355.0,355.0,,,0 HCPCS,99443,"Hc Phn Eval,Md & Estab Pt,Parnt,Non Reltd E/M Prvs 7Dys/W/In Nxt 24Hrs;11-20Min",505.0,505.0,,,0 HCPCS,99443,Hc Phys/Qhp Telephone Evaluation 21-30 Min,505.0,505.0,,,0 HCPCS,99445,Rem mntr physiol param 2-15,,,37.43,79.36,7 HCPCS,99446,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 5-10 Min,71.0,71.0,,,0 HCPCS,99447,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 11-20 Min,152.0,152.0,,,0 HCPCS,99448,Hc Ntrprof Phone/Ntrnet/Ehr Assmt&Mgmt 21-30 Min,230.0,230.0,,,0 HCPCS,99453,Rem mntr physiol param setup,,,133.54,283.1,7 HCPCS,99454,Rem mntr physiol param dev,,,37.43,79.36,7 HCPCS,99459,Hc Pelvic Examination,80.0,80.0,,,0 HCPCS,99460,Init nb em per day hosp,,,133.54,283.1,7 HCPCS,99463,Same day nb discharge,,,133.54,283.1,7 HCPCS,99464,Hc Attendance At Delivery And Initial Stabilization Of Newborn,646.0,646.0,,,0 HCPCS,99465,Hc Delivery/Birthing Room Resuscitation,1024.0,1024.0,,,0 HCPCS,99465,Hc Rt Delivery/Birthing Room Resuscitation,1024.0,1024.0,,,0 HCPCS,99465,Nb resuscitation,,,662.94,1405.44,7 HCPCS,99473,Self-meas bp pt educaj/train,,,29.01,61.5,7 HCPCS,99483,Assmt & care pln pt cog imp,,,101.9,216.02,7 HCPCS,99484,Care mgmt svc bhvl hlth cond,,,37.58,79.67,7 HCPCS,99487,Cmplx chron care w/o pt vsit,,,178.03,377.43,7 HCPCS,99490,Chron care mgmt srvc 20 min,,,101.9,216.02,7 HCPCS,99490,"Hc Chronic Care Management, First 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other",235.0,235.0,,,0 HCPCS,99491,"Hc Chronic Care Management, First 30 Minutes Provided Personally By A Physician Or Other Qualified H",254.0,254.0,,,0 HCPCS,99492,1st psyc collab care mgmt,,,101.9,216.02,7 HCPCS,99493,Sbsq psyc collab care mgmt,,,101.9,216.02,7 HCPCS,99495,Trans care mgmt 14 day disch,,,133.54,283.1,7 HCPCS,99496,Hc Transitional Care Mgmt,347.0,347.0,,,0 HCPCS,99496,Trans care mgmt 7 day disch,,,133.54,283.1,7 HCPCS,99497,Advncd care plan 30 min,,,101.9,216.02,7 HCPCS,99497,Hc Advance Care Planning First 30 Mins,238.0,238.0,,,0 HCPCS,99498,Hc Advance Care Planning Each Add'l 30 Mins,150.0,150.0,,,0 HCPCS,99498,Noncdm Charge Record,130.0,130.0,,,0 HCPCS,99499,Hc Delta Acute Care Visit,172.0,172.0,,,0 HCPCS,A2007,Noncdm Charge Record Medical Supplies,141.935,141.935,,,0 HCPCS,A2007,Noncdm Charge Record Pharmacy,151.305,151.305,,,0 HCPCS,A4300,Noncdm Charge Record Medical Supplies,294.555,294.555,,,0 HCPCS,A4641,Hc Rp: I-123 Mibg,8111.0,8111.0,,,0 HCPCS,A4648,Hc Marker Gold Fiducial 18G 20Cm Item# (108393),51.655,51.655,,,0 HCPCS,A4648,Hc Marker Rectal Shadowform 10 Cm Item# (125933),19.8,19.8,,,0 HCPCS,A4648,Noncdm Charge Record Medical Supplies,116.67,116.67,,,0 HCPCS,A4649,Noncdm Charge Record Medical Supplies,4573.8,4573.8,,,0 HCPCS,A7034,Noncdm Charge Record Medical Supplies,20020.0,20020.0,,,0 HCPCS,A7524,Noncdm Charge Record Medical Supplies,7692.3,7692.3,,,0 HCPCS,A9155,NDC Description Not Available,71.34,71.34,,,0 HCPCS,A9270,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,2.06,2.06,,,0 HCPCS,A9270,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0715-22) / 60 Aerosol, Metered In 1 Inhaler",23.82,23.82,,,0 HCPCS,A9270,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0716-22) / 60 Aerosol, Metered In 1 Inhaler",21.91,21.91,,,0 HCPCS,A9270,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0717-22) / 60 Aerosol, Metered In 1 Inhaler",35.69,35.69,,,0 HCPCS,A9270,Alendronate Sodium: 1 Blister Pack In 1 Carton (65862-328-04) / 4 Tablet In 1 Blister Pack,74.16,74.16,,,0 HCPCS,A9270,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),2.6,2.6,,,0 HCPCS,A9270,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61) / 1 Tablet In 1 Blister Pack,5.69,5.69,,,0 HCPCS,A9270,Aprepitant: 5 Blister Pack In 1 Carton (68462-583-85) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 HCPCS,A9270,"Aripiprazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-070-10) / 10 Tablet In 1 Blister Pack",24.43,24.43,,,0 HCPCS,A9270,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6510-61) / 1 Tablet In 1 Blister Pack,77.85,77.85,,,0 HCPCS,A9270,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),113.44,113.44,,,0 HCPCS,A9270,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5) / 200 Spray, Metered In 1 Bottle, Spray",379.16,379.16,,,0 HCPCS,A9270,"Azithromycin: 1 Blister Pack In 1 Carton (50111-788-55) / 3 Tablet, Film Coated In 1 Blister Pack",51.5,51.5,,,0 HCPCS,A9270,Bacitracin Zinc: 14.17 g in 1 TUBE (52959-113-15),18.54,18.54,,,0 HCPCS,A9270,Bacitracin: 1 Tube In 1 Carton (45802-060-01) / 14 G In 1 Tube,13.37,13.37,,,0 HCPCS,A9270,"Bicalutamide: 30 Tablet, Film Coated In 1 Bottle (16714-816-01)",65.84,65.84,,,0 HCPCS,A9270,Biktarvy: 30 Tablet In 1 Blister Pack (61958-2501-3),576.94,576.94,,,0 HCPCS,A9270,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",577.21,577.21,,,0 HCPCS,A9270,Bisacodyl: 50 Blister Pack In 1 Carton (0574-7050-50) / 1 Suppository In 1 Blister Pack,1.04,1.04,,,0 HCPCS,A9270,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39) / 10 Tablet In 1 Blister Pack",32.64,32.64,,,0 HCPCS,A9270,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-10) / 10 Ml In 1 Bottle,234.97,234.97,,,0 HCPCS,A9270,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01) / 5 Ml In 1 Bottle,37.1,37.1,,,0 HCPCS,A9270,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61) / 1 Tablet, Extended Release In 1 Blister Pack",7.79,7.79,,,0 HCPCS,A9270,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04) / 1 Tablet, Extended Release In 1 Blister Pack",5.43,5.43,,,0 HCPCS,A9270,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",17.2,17.2,,,0 HCPCS,A9270,"Butalbital, Acetaminophen, And Caffeine: 50 Blister Pack In 1 Carton (0904-6938-06) / 1 Tablet In 1 Blister Pack",7.92,7.92,,,0 HCPCS,A9270,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61) / 1 Capsule In 1 Blister Pack,6.07,6.07,,,0 HCPCS,A9270,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-094-01)",7.4,7.4,,,0 HCPCS,A9270,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",6.39,6.39,,,0 HCPCS,A9270,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",7.11,7.11,,,0 HCPCS,A9270,Cefadroxil: 100 Capsule In 1 Bottle (16714-388-02),13.5,13.5,,,0 HCPCS,A9270,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),13.39,13.39,,,0 HCPCS,A9270,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),32.17,32.17,,,0 HCPCS,A9270,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61) / 1 Capsule In 1 Blister Pack,27.35,27.35,,,0 HCPCS,A9270,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (63739-178-30) / 6 Tablet, Film Coated In 1 Blister Pack",57.59,57.59,,,0 HCPCS,A9270,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),17.84,17.84,,,0 HCPCS,A9270,"Clopidogrel: 100 Tablet In 1 Box, Unit-Dose (16714-052-11)",17.84,17.84,,,0 HCPCS,A9270,"Clopidogrel: 20 Blister Pack In 1 Carton (0904-6467-10) / 1 Tablet, Film Coated In 1 Blister Pack",35.3,35.3,,,0 HCPCS,A9270,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07) / 1 Tablet, Film Coated In 1 Blister Pack",67.88,67.88,,,0 HCPCS,A9270,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.68,20.68,,,0 HCPCS,A9270,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",35.62,35.62,,,0 HCPCS,A9270,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",35.7,35.7,,,0 HCPCS,A9270,"Cyclosporine: 30 Vial, Single-Use In 1 Tray (10702-808-03) / .4 Ml In 1 Vial, Single-Use",25.42,25.42,,,0 HCPCS,A9270,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",80.25,80.25,,,0 HCPCS,A9270,Diphenhydramine Hcl And Zinc Acetate: 1 Tube In 1 Carton (45802-358-03) / 28 G In 1 Tube,14.42,14.42,,,0 HCPCS,A9270,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10) / 10 Ml In 1 Bottle, Dropper",159.55,159.55,,,0 HCPCS,A9270,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31) / 10 Tablet, Film Coated In 1 Blister Pack",43.3,43.3,,,0 HCPCS,A9270,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31) / 10 Tablet, Film Coated In 1 Blister Pack",42.67,42.67,,,0 HCPCS,A9270,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",47.65,47.65,,,0 HCPCS,A9270,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",49.57,49.57,,,0 HCPCS,A9270,Erythromycin: 1 Tube In 1 Carton (0574-4024-35) / 3.5 G In 1 Tube,64.89,64.89,,,0 HCPCS,A9270,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.43,15.43,,,0 HCPCS,A9270,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04) / 1 Tablet In 1 Blister Pack,39.72,39.72,,,0 HCPCS,A9270,Ezetimibe: 90 Tablet In 1 Bottle (59651-052-90),37.8,37.8,,,0 HCPCS,A9270,"Farxiga: 3 Blister Pack In 1 Carton (0310-6210-39) / 10 Tablet, Film Coated In 1 Blister Pack",84.09,84.09,,,0 HCPCS,A9270,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",84.08,84.08,,,0 HCPCS,A9270,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96) / 120 Aerosol, Metered In 1 Inhaler",9.37,9.37,,,0 HCPCS,A9270,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99) / 120 Spray, Metered In 1 Bottle, Glass",95.9,95.9,,,0 HCPCS,A9270,Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (70700-268-94) / 1 Powder In 1 Dose Pack,361.53,361.53,,,0 HCPCS,A9270,Hc Oxygen - O2 Adm/Daily,199.1,199.1,,,0 HCPCS,A9270,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.5,3.5,,,0 HCPCS,A9270,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,1.54,1.54,,,0 HCPCS,A9270,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",6.71,6.71,,,0 HCPCS,A9270,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",5.49,5.49,,,0 HCPCS,A9270,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),113.3,113.3,,,0 HCPCS,A9270,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0123-23),2.93,2.93,,,0 HCPCS,A9270,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0124-23),3.17,3.17,,,0 HCPCS,A9270,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),1.66,1.66,,,0 HCPCS,A9270,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.45499999999999996,0.45499999999999996,,,0 HCPCS,A9270,"Januvia: 90 Tablet, Film Coated In 1 Bottle (0006-0277-54)",69.22,69.22,,,0 HCPCS,A9270,"Klor-Con: 100 Packet In 1 Carton (0245-0360-01) / 1 Powder, For Solution In 1 Packet (0245-0360-89)",36.6,36.6,,,0 HCPCS,A9270,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04) / 1 Tablet, Film Coated In 1 Blister Pack",33.11,33.11,,,0 HCPCS,A9270,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2) / 2.5 Ml In 1 Bottle, Dropper",106.49,106.49,,,0 HCPCS,A9270,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),6.01,6.01,,,0 HCPCS,A9270,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5) / 5 Ml In 1 Vial, Single-Use",25.79,25.79,,,0 HCPCS,A9270,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3013-5) / 10 Ml In 1 Vial, Single-Use",30.79,30.79,,,0 HCPCS,A9270,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",2.4,2.4,,,0 HCPCS,A9270,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",3.04,3.04,,,0 HCPCS,A9270,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.96,4.96,,,0 HCPCS,A9270,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",6.76,6.76,,,0 HCPCS,A9270,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (62332-505-03) / 3 Ml In 1 Bottle,603.51,603.51,,,0 HCPCS,A9270,"Moxifloxacin Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (0781-7135-93) / 3 Ml In 1 Bottle, Plastic",628.31,628.31,,,0 HCPCS,A9270,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",58.13,58.13,,,0 HCPCS,A9270,NDC Description Not Available,14.42,14.42,,,0 HCPCS,A9270,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13) / 25 Tablet In 1 Bottle,14.81,14.81,,,0 HCPCS,A9270,Noncdm Charge Record Pharmacy,2.94,2.94,,,0 HCPCS,A9270,Novolin N: 1 Vial In 1 Carton (0169-1834-11) / 10 Ml In 1 Vial,1.07,1.07,,,0 HCPCS,A9270,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,1.37,1.37,,,0 HCPCS,A9270,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0) / 10 Tablet, Film Coated In 1 Blister Pack",44.21,44.21,,,0 HCPCS,A9270,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66) / 10 Capsule In 1 Blister Pack,51.07,51.07,,,0 HCPCS,A9270,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0512-23),4.97,4.97,,,0 HCPCS,A9270,Oxycodone And Acetaminophen: 100 Blister Pack In 1 Carton (0904-7094-61) / 1 Tablet In 1 Blister Pack,3.49,3.49,,,0 HCPCS,A9270,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),1.95,1.95,,,0 HCPCS,A9270,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),5.24,5.24,,,0 HCPCS,A9270,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-002-10) / 10 Tablet In 1 Blister Pack,3.19,3.19,,,0 HCPCS,A9270,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-001-01)",0.33,0.33,,,0 HCPCS,A9270,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),93.16,93.16,,,0 HCPCS,A9270,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",146.28,146.28,,,0 HCPCS,A9270,"Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride With Lemon Flavor: 4 L In 1 Jug (64380-769-21)",218.12,218.12,,,0 HCPCS,A9270,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7292-61) / 1 Tablet, Extended Release In 1 Blister Pack",1.57,1.57,,,0 HCPCS,A9270,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65162-002-03)",59.16,59.16,,,0 HCPCS,A9270,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65862-830-30)",60.02,60.02,,,0 HCPCS,A9270,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61) / 1 Tablet In 1 Blister Pack",15.32,15.32,,,0 HCPCS,A9270,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05) / 5 Ml In 1 Bottle, Dropper",694.21,694.21,,,0 HCPCS,A9270,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05) / 5 Ml In 1 Bottle, Dropper",189.74,189.74,,,0 HCPCS,A9270,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61) / 1 Capsule In 1 Blister Pack,3.23,3.23,,,0 HCPCS,A9270,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61) / 1 Capsule In 1 Blister Pack,3.64,3.64,,,0 HCPCS,A9270,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06) / 15 Ml In 1 Bottle, Dropper",151.43,151.43,,,0 HCPCS,A9270,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16714-455-01)",44.74,44.74,,,0 HCPCS,A9270,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",23.15,23.15,,,0 HCPCS,A9270,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",9.03,9.03,,,0 HCPCS,A9270,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",112.03,112.03,,,0 HCPCS,A9270,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51) / 10 Spray, Metered In 1 Cartridge",324.45,324.45,,,0 HCPCS,A9270,Spironolactone: 118 Ml In 1 Bottle (0574-1133-04),57.25,57.25,,,0 HCPCS,A9270,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2902.35,2902.35,,,0 HCPCS,A9270,Ssd Cream: 400 G In 1 Jar (43598-210-40),229.48,229.48,,,0 HCPCS,A9270,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36) / 9 Tablet In 1 Blister Pack,97.51,97.51,,,0 HCPCS,A9270,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85) / 10 Capsule In 1 Blister Pack,60.66,60.66,,,0 HCPCS,A9270,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,61.6,61.6,,,0 HCPCS,A9270,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",34.76,34.76,,,0 HCPCS,A9270,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",326.14,326.14,,,0 HCPCS,A9270,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04) / 1 Capsule, Extended Release In 1 Blister Pack",39.2,39.2,,,0 HCPCS,A9270,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6593-04) / 1 Capsule, Extended Release In 1 Blister Pack",41.14,41.14,,,0 HCPCS,A9270,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",12.58,12.58,,,0 HCPCS,A9270,Topiramate: 60 Tablet In 1 Bottle (69097-122-03),9.07,9.07,,,0 HCPCS,A9270,"Tramadol Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-4151-01)",2.82,2.82,,,0 HCPCS,A9270,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",2.93,2.93,,,0 HCPCS,A9270,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-02) / 15 Ml In 1 Bottle, Plastic",171.59,171.59,,,0 HCPCS,A9270,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (16714-698-03)",23.86,23.86,,,0 HCPCS,A9270,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (31722-152-90)",17.51,17.51,,,0 HCPCS,A9270,Ziprasidone: 60 Capsule In 1 Bottle (16714-838-01),38.8,38.8,,,0 HCPCS,A9270,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",17.08,17.08,,,0 HCPCS,A9270,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (42291-963-01)",16.42,16.42,,,0 HCPCS,A9500,Kit For The Preparation Of Technetium Tc99M Sestamibi: 5 Vial In 1 Carton (45567-0555-1) / 10 Ml In 1 Vial,325.48,325.48,,,0 HCPCS,A9502,Hc Rp: Tc-99M Tetrofosmin Per Study Dose,714.0,714.0,,,0 HCPCS,A9502,"Myoview: 5 Vial In 1 Kit (17156-026-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",714.0,714.0,,,0 HCPCS,A9503,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 HCPCS,A9503,"Technetium Tc 99M Medronate: 30 Injection, Powder, For Solution In 1 Carton (65174-660-30)",132.12,132.12,,,0 HCPCS,A9505,Hc Thallium Tl-201 Per Mci,402.0,402.0,,,0 HCPCS,A9506,Noncdm Charge Record Medical Supplies,742.5,742.5,,,0 HCPCS,A9509,NDC Description Not Available,1664.48,1664.48,,,0 HCPCS,A9509,"Sodium Iodide I 123: 1 Vial, Plastic In 1 Can (48815-1002-5) / 5 Capsule, Gelatin Coated In 1 Vial, Plastic",1683.83,1683.83,,,0 HCPCS,A9510,Hc Technetium Tc-99M Disofenin (Hepatolite) Injection,509.0,509.0,,,0 HCPCS,A9510,NDC Description Not Available,443.0,443.0,,,0 HCPCS,A9512,Technelite: 1 Vial In 1 Carton (11994-090-01) / 12 Ml In 1 Vial,10.44,10.44,,,0 HCPCS,A9513,Lutathera: 1 Vial In 1 Package (69488-003-01) / 20.5 Ml In 1 Vial,593.49,593.49,,,0 HCPCS,A9513,Noncdm Charge Record Pharmacy,350.99,350.99,,,0 HCPCS,A9513,Noncdm Charge Record Radiopharmaceuticals,566.53,566.53,,,0 HCPCS,A9516,"Adreview: 1 Vial, Glass In 1 Container (17156-235-01) / 5 Ml In 1 Vial, Glass",8688.0,8688.0,,,0 HCPCS,A9516,Hc Rp: I-123 Capsule/100 Uci,246.0,246.0,,,0 HCPCS,A9517,Hc I-131 Ther Capsule/Mci,228.0,228.0,,,0 HCPCS,A9517,Sodium Iodide I 131 Diagnostic: 5 Capsule In 1 Vial (65174-461-05),154.52,154.52,,,0 HCPCS,A9520,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 HCPCS,A9520,"Kit For The Preparation Of Lymphoseek (Technetium Tc 99M Tilmanocept): 1 Kit In 1 Carton (65857-425-05) / 1 Kit In 1 Kit * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65857-400-01)",1739.675,1739.675,,,0 HCPCS,A9520,Noncdm Charge Record,1638.57,1638.57,,,0 HCPCS,A9521,Ceretec: 5 Vial In 1 Tray (17156-022-05) / 5 Ml In 1 Vial,4043.09,4043.09,,,0 HCPCS,A9521,NDC Description Not Available,1609.0,1609.0,,,0 HCPCS,A9528,Sodium Iodide I 131 Diagnostic: 5 Capsule In 1 Vial (65174-461-05),45.1,45.1,,,0 HCPCS,A9529,"Hc 1-131 Sodium Iodide Solution, Diagnostic, Per Mci",356.0,356.0,,,0 HCPCS,A9537,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.25,4893.25,,,0 HCPCS,A9537,"Kit For The Preparation Of Technetium Tc 99M Mebrofenin: 5 Vial, Multi-Dose In 1 Kit (45567-0455-1) / 10 Ml In 1 Vial, Multi-Dose",220.82,220.82,,,0 HCPCS,A9538,Hc Tc-99M Pyp/Dose - 25 Mci,230.0,230.0,,,0 HCPCS,A9538,NDC Description Not Available,174.0,174.0,,,0 HCPCS,A9539,Hc Rp: Tc-99M Pentetate Per Study Dose-25 Mci,175.0,175.0,,,0 HCPCS,A9540,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",508.53,508.53,,,0 HCPCS,A9540,Hc Rp Tc-99M Maa/Ds-10 Mci,189.0,189.0,,,0 HCPCS,A9541,"Hc Rp:Tc-99M Sulfur Colloid, Diagnostic, Per Study Dose Up To 20 Mci",356.0,356.0,,,0 HCPCS,A9541,NDC Description Not Available,274.155,274.155,,,0 HCPCS,A9543,"Hc Rp: Yttrium Y-90 Ibritumomab Tiuxetan, Per Dose, Up To 40 Mci",111451.0,111451.0,,,0 HCPCS,A9547,Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01) / 1 Ml In 1 Vial,7412.34,7412.34,,,0 HCPCS,A9548,"Indium Dtpa In 111: 1.5 Ml In 1 Vial, Glass (17156-251-08)",2963.03,2963.03,,,0 HCPCS,A9552,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",1352.7,1352.7,,,0 HCPCS,A9552,Noncdm Charge Record,1314.135,1314.135,,,0 HCPCS,A9552,Noncdm Charge Record Radiopharmaceuticals,1314.0,1314.0,,,0 HCPCS,A9555,Hc Rubidium-82/Dose To 60 Mci,2602.0,2602.0,,,0 HCPCS,A9555,NDC Description Not Available,2024.71,2024.71,,,0 HCPCS,A9557,Hc Rp: Tc-99M Bicisate Dose To 25 Mci,4057.0,4057.0,,,0 HCPCS,A9557,"Neurolite: 2 Kit In 1 Package, Combination (11994-006-02) / 1 Kit In 1 Kit * 1 Injection In 1 Vial (11994-002-01) * 1 Ml In 1 Vial (11994-004-01)",3160.04,3160.04,,,0 HCPCS,A9560,Hc Tc-99M Rbc/Dose-30 Mci,2521.0,2521.0,,,0 HCPCS,A9560,"Ultratag Rbc: 5 Cello Pack In 1 Box (69945-068-20) / 1 Kit In 1 Cello Pack (69945-068-10) * .6 Ml In 1 Syringe, Glass * 1 Ml In 1 Syringe, Glass * 9.5 Mg In 1 Vial, Glass",1963.18,1963.18,,,0 HCPCS,A9561,Hc Tc99M Oxidronate Up To 30 Mc,135.0,135.0,,,0 HCPCS,A9562,Hc Rp: Tc-99M Mag 3/Dose-15 Mci,1270.0,1270.0,,,0 HCPCS,A9562,"Technescan Mag3: 5 Vial In 1 Cello Pack (69945-096-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",960.0,960.0,,,0 HCPCS,A9563,Hc Rp: P-32 Sodium Phosphate/Mci,6010.0,6010.0,,,0 HCPCS,A9567,Hc Rp: Tc-99M Dtpa Aerosol 75 Mci,256.0,256.0,,,0 HCPCS,A9569,Ceretec: 5 Vial In 1 Tray (17156-022-05) / 5 Ml In 1 Vial,5888.0,5888.0,,,0 HCPCS,A9569,Hc Tc99M Ceretec Wbc/125 Mci,7787.0,7787.0,,,0 HCPCS,A9570,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",19.28,19.28,,,0 HCPCS,A9570,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",18.76,18.76,,,0 HCPCS,A9570,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.73,15.73,,,0 HCPCS,A9570,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",54.83,54.83,,,0 HCPCS,A9570,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01) / 10 Ml In 1 Bottle,90.47,90.47,,,0 HCPCS,A9570,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,4.335,4.335,,,0 HCPCS,A9570,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.62,6.62,,,0 HCPCS,A9570,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33) / 10 Ml In 1 Vial, Glass",1.3,1.3,,,0 HCPCS,A9570,Latanoprost: 1 Bottle In 1 Carton (24208-463-25) / 2.5 Ml In 1 Bottle,87.78,87.78,,,0 HCPCS,A9570,Latanoprost: 1 Bottle In 1 Carton (70069-421-01) / 2.5 Ml In 1 Bottle,342.82,342.82,,,0 HCPCS,A9570,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04) / 5 G In 1 Tube,32.96,32.96,,,0 HCPCS,A9570,NDC Description Not Available,0.9,0.9,,,0 HCPCS,A9570,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10) / 10 Tablet In 1 Blister Pack,2.15,2.15,,,0 HCPCS,A9570,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61) / 1 Tablet In 1 Blister Pack,1.37,1.37,,,0 HCPCS,A9570,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",4.12,4.12,,,0 HCPCS,A9572,Hc Rp: In-111 Octreoscan/1 Mci,12977.0,12977.0,,,0 HCPCS,A9575,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-01) / 10 Ml In 1 Vial, Glass",2.16,2.16,,,0 HCPCS,A9575,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-02) / 15 Ml In 1 Vial, Glass",2.16,2.16,,,0 HCPCS,A9575,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-05) / 20 Ml In 1 Vial, Glass",2.15,2.15,,,0 HCPCS,A9575,Dotarem: 10 Vial In 1 Package (67684-2001-3) / 20 Ml In 1 Vial,1.55,1.55,,,0 HCPCS,A9576,"Prohance: 5 Vial, Pharmacy Bulk Package In 1 Box (0270-1111-70) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.57,20.57,,,0 HCPCS,A9577,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",30.64,30.64,,,0 HCPCS,A9577,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose",22.71,22.71,,,0 HCPCS,A9578,"Hc Injection, Gadobenate Dimeglumine (Multihance Multipack), Per Ml",19.57,19.57,,,0 HCPCS,A9579,Hc Gadolinium Per Ml,12.36,12.36,,,0 HCPCS,A9579,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-01) / 10 Ml In 1 Vial, Single-Dose",25.435000000000002,25.435000000000002,,,0 HCPCS,A9579,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-02) / 15 Ml In 1 Vial, Single-Dose",26.79,26.79,,,0 HCPCS,A9579,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-03) / 20 Ml In 1 Vial, Single-Dose",25.25,25.25,,,0 HCPCS,A9579,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-04) / 5 Ml In 1 Vial, Single-Dose",30.59,30.59,,,0 HCPCS,A9581,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05) / 10 Ml In 1 Vial, Single-Dose",72.56,72.56,,,0 HCPCS,A9581,NDC Description Not Available,61.39,61.39,,,0 HCPCS,A9584,"Datscan: 1 Vial, Glass In 1 Container (17156-210-01) / 2.5 Ml In 1 Vial, Glass",2461.41,2461.41,,,0 HCPCS,A9586,Hc Rx 343 Diagnostic Radiopharmaceuticals,4893.0,4893.0,,,0 HCPCS,A9586,NDC Description Not Available,6786.58,6786.58,,,0 HCPCS,A9586,Noncdm Charge Record Radiopharmaceuticals,5232.335,5232.335,,,0 HCPCS,A9587,Hc Gallium Ga-68 Dotatate 0.1 Mci,317.0,317.0,,,0 HCPCS,A9587,"Netspot: 1 Kit In 1 Kit (69488-001-40) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",140.04,140.04,,,0 HCPCS,A9588,NDC Description Not Available,1348.36,1348.36,,,0 HCPCS,A9589,"Cysview: 1 Kit In 1 Carton (10511-3001-2) * 50 Ml In 1 Syringe, Plastic * 50 Ml In 1 Vial, Glass",2989.06,2989.06,,,0 HCPCS,A9591,"Cerianna: 50 Ml In 1 Vial, Multi-Dose (72874-001-01)",4156.6,4156.6,,,0 HCPCS,A9592,"Detectnet: 1 Vial, Single-Use In 1 Can (69945-064-01) / 4 Ml In 1 Vial, Single-Use",2455.68,2455.68,,,0 HCPCS,A9592,Hc Rx 343 Diagnostic Radiopharmaceuticals,4382.65,4382.65,,,0 HCPCS,A9592,Noncdm Charge Record Radiopharmaceuticals,1561.8,1561.8,,,0 HCPCS,A9595,Noncdm Charge Record Radiopharmaceuticals,2903.835,2903.835,,,0 HCPCS,A9595,"Pylarify: 50 Ml In 1 Vial, Multi-Dose (71258-022-01)",927.1,927.1,,,0 HCPCS,A9596,"Illuccix: 1 Kit In 1 Carton (74725-100-25) * 2.5 Ml In 1 Vial, Multi-Dose (74725-102-25) * 6.4 Ml In 1 Vial, Multi-Dose (74725-103-64) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial,",1696.55,1696.55,,,0 HCPCS,A9606,Noncdm Charge Record Pharmacy,0.01,0.01,,,0 HCPCS,A9606,"Xofigo: 6 Ml In 1 Vial, Single-Dose (50419-208-01)",283.99,283.99,,,0 HCPCS,A9607,Noncdm Charge Record Radiopharmaceuticals,576.79,576.79,,,0 HCPCS,A9607,"Pluvicto: 1 Vial, Glass In 1 Package (69488-010-61) / 7.5 Ml In 1 Vial, Glass",449.55,449.55,,,0 HCPCS,A9608,NDC Description Not Available,1594.77,1594.77,,,0 HCPCS,A9608,Noncdm Charge Record Radiopharmaceuticals,1059.7600000000002,1059.7600000000002,,,0 HCPCS,A9698,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1415-09) / 500 Ml In 1 Bottle, Plastic",38.66,38.66,,,0 HCPCS,A9699,Hc Rp: I-131 Mibg (Therapy),18024.0,18024.0,,,0 HCPCS,ALLSK,Noncdm Charge Record Acquisition,30.0,30.0,,,0 HCPCS,B4087,Noncdm Charge Record Medical Supplies,359.7,359.7,,,0 HCPCS,B4088,Noncdm Charge Record Medical Supplies,1016.4,1016.4,,,0 HCPCS,C1052,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 HCPCS,C1062,Intravertebral fx aug impl,,,6156.44,10006.92,3 HCPCS,C1062,Noncdm Charge Record Medical Supplies,3955.55,3955.55,,,0 HCPCS,C1602,Noncdm Charge Record Medical Supplies,8900.855,8900.855,,,0 HCPCS,C1602,Noncdm Charge Record Pharmacy,5944.13,5944.13,,,0 HCPCS,C1603,Noncdm Charge Record Medical Supplies,4797.1,4797.1,,,0 HCPCS,C1605,Noncdm Charge Record Medical Supplies,16247.0,16247.0,,,0 HCPCS,C1713,Noncdm Charge Record Medical Supplies,402.23,402.23,,,0 HCPCS,C1713,Noncdm Charge Record Pharmacy,1654.695,1654.695,,,0 HCPCS,C1714,Noncdm Charge Record Medical Supplies,5066.6,5066.6,,,0 HCPCS,C1715,Hc Brachytherapy Needles,141.785,141.785,,,0 HCPCS,C1715,Hc Prostate Stabilization Needle,374.0,374.0,,,0 HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,357.49,757.88,7 HCPCS,C1717,Hc Hdr Ir-192 Brachytx Per Source,814.5250000000001,814.5250000000001,,,0 HCPCS,C1719,"Hc Brachytx Ns, Radioactive Material Ir-192",815.1,815.1,,,0 HCPCS,C1721,Noncdm Charge Record Medical Supplies,18456.9,18456.9,,,0 HCPCS,C1722,Noncdm Charge Record Medical Supplies,16378.82,16378.82,,,0 HCPCS,C1724,Noncdm Charge Record Medical Supplies,3840.7,3840.7,,,0 HCPCS,C1725,Noncdm Charge Record Medical Supplies,454.59000000000003,454.59000000000003,,,0 HCPCS,C1726,Noncdm Charge Record Medical Supplies,732.23,732.23,,,0 HCPCS,C1728,Hc Prostate Seeding Kit 5/St Item# (17245),25.3,25.3,,,0 HCPCS,C1729,Noncdm Charge Record Medical Supplies,124.27,124.27,,,0 HCPCS,C1730,Noncdm Charge Record Medical Supplies,352.65999999999997,352.65999999999997,,,0 HCPCS,C1731,Noncdm Charge Record Medical Supplies,1305.7,1305.7,,,0 HCPCS,C1732,Noncdm Charge Record Medical Supplies,3031.6,3031.6,,,0 HCPCS,C1733,Noncdm Charge Record Medical Supplies,1771.0,1771.0,,,0 HCPCS,C1734,Noncdm Charge Record Medical Supplies,3861.55,3861.55,,,0 HCPCS,C1747,Noncdm Charge Record Medical Supplies,1324.4,1324.4,,,0 HCPCS,C1748,Noncdm Charge Record Medical Supplies,454.3,454.3,,,0 HCPCS,C1750,Noncdm Charge Record Medical Supplies,334.35,334.35,,,0 HCPCS,C1751,Noncdm Charge Record Medical Supplies,191.23,191.23,,,0 HCPCS,C1752,Noncdm Charge Record Medical Supplies,265.1,265.1,,,0 HCPCS,C1753,Noncdm Charge Record Medical Supplies,1121.47,1121.47,,,0 HCPCS,C1755,Noncdm Charge Record Medical Supplies,1428.91,1428.91,,,0 HCPCS,C1757,Noncdm Charge Record Medical Supplies,867.9,867.9,,,0 HCPCS,C1758,Noncdm Charge Record Medical Supplies,42.9,42.9,,,0 HCPCS,C1759,Noncdm Charge Record Medical Supplies,4144.8,4144.8,,,0 HCPCS,C1760,Noncdm Charge Record Medical Supplies,351.05,351.05,,,0 HCPCS,C1761,Noncdm Charge Record Medical Supplies,7265.005,7265.005,,,0 HCPCS,C1762,Noncdm Charge Record Medical Supplies,2022.8999999999999,2022.8999999999999,,,0 HCPCS,C1762,Noncdm Charge Record Pharmacy,1661.32,1661.32,,,0 HCPCS,C1763,Noncdm Charge Record Medical Supplies,1124.75,1124.75,,,0 HCPCS,C1764,Noncdm Charge Record Medical Supplies,7041.65,7041.65,,,0 HCPCS,C1765,Noncdm Charge Record Medical Supplies,567.03,567.03,,,0 HCPCS,C1766,Noncdm Charge Record Medical Supplies,101.29,101.29,,,0 HCPCS,C1767,Noncdm Charge Record Medical Supplies,25641.0,25641.0,,,0 HCPCS,C1768,Noncdm Charge Record Medical Supplies,2005.3,2005.3,,,0 HCPCS,C1768,Noncdm Charge Record Pharmacy,12862.64,12862.64,,,0 HCPCS,C1769,Noncdm Charge Record Medical Supplies,87.44,87.44,,,0 HCPCS,C1771,Noncdm Charge Record Medical Supplies,3300.55,3300.55,,,0 HCPCS,C1772,Noncdm Charge Record Medical Supplies,15400.0,15400.0,,,0 HCPCS,C1773,Noncdm Charge Record Medical Supplies,858.55,858.55,,,0 HCPCS,C1776,Noncdm Charge Record Medical Supplies,1683.0,1683.0,,,0 HCPCS,C1777,Noncdm Charge Record Medical Supplies,5255.52,5255.52,,,0 HCPCS,C1778,Noncdm Charge Record Medical Supplies,3157.0,3157.0,,,0 HCPCS,C1781,Noncdm Charge Record Medical Supplies,769.55,769.55,,,0 HCPCS,C1782,Noncdm Charge Record Medical Supplies,1435.5,1435.5,,,0 HCPCS,C1783,Noncdm Charge Record Medical Supplies,491.7,491.7,,,0 HCPCS,C1783,Noncdm Charge Record Pharmacy,460.41,460.41,,,0 HCPCS,C1784,Noncdm Charge Record Medical Supplies,53.9,53.9,,,0 HCPCS,C1785,Noncdm Charge Record Medical Supplies,5210.780000000001,5210.780000000001,,,0 HCPCS,C1786,Noncdm Charge Record Medical Supplies,8115.8,8115.8,,,0 HCPCS,C1787,Noncdm Charge Record Medical Supplies,1647.8,1647.8,,,0 HCPCS,C1788,Noncdm Charge Record Medical Supplies,535.7,535.7,,,0 HCPCS,C1789,Noncdm Charge Record Medical Supplies,1612.19,1612.19,,,0 HCPCS,C1813,Noncdm Charge Record Medical Supplies,18763.8,18763.8,,,0 HCPCS,C1814,Noncdm Charge Record Medical Supplies,2325.4,2325.4,,,0 HCPCS,C1815,Noncdm Charge Record Medical Supplies,11369.05,11369.05,,,0 HCPCS,C1817,Noncdm Charge Record Medical Supplies,10822.9,10822.9,,,0 HCPCS,C1819,Noncdm Charge Record Medical Supplies,207.9,207.9,,,0 HCPCS,C1820,Noncdm Charge Record Medical Supplies,17286.5,17286.5,,,0 HCPCS,C1821,Noncdm Charge Record Medical Supplies,3542.0,3542.0,,,0 HCPCS,C1822,Noncdm Charge Record Medical Supplies,26627.19,26627.19,,,0 HCPCS,C1823,Noncdm Charge Record Medical Supplies,26565.0,26565.0,,,0 HCPCS,C1826,Noncdm Charge Record Medical Supplies,3657.5,3657.5,,,0 HCPCS,C1827,Noncdm Charge Record Medical Supplies,27720.0,27720.0,,,0 HCPCS,C1830,Noncdm Charge Record Medical Supplies,505.96500000000003,505.96500000000003,,,0 HCPCS,C1831,Noncdm Charge Record Medical Supplies,2310.0,2310.0,,,0 HCPCS,C1874,Noncdm Charge Record Medical Supplies,5003.635,5003.635,,,0 HCPCS,C1875,Noncdm Charge Record Medical Supplies,3862.1,3862.1,,,0 HCPCS,C1876,Noncdm Charge Record Medical Supplies,2406.8,2406.8,,,0 HCPCS,C1878,Noncdm Charge Record Medical Supplies,1102.155,1102.155,,,0 HCPCS,C1880,Noncdm Charge Record Medical Supplies,1815.0149999999999,1815.0149999999999,,,0 HCPCS,C1882,Noncdm Charge Record Medical Supplies,26026.0,26026.0,,,0 HCPCS,C1883,Noncdm Charge Record Medical Supplies,766.15,766.15,,,0 HCPCS,C1884,Noncdm Charge Record Medical Supplies,2070.89,2070.89,,,0 HCPCS,C1885,Noncdm Charge Record Medical Supplies,5074.3,5074.3,,,0 HCPCS,C1886,Noncdm Charge Record Medical Supplies,6237.0,6237.0,,,0 HCPCS,C1887,Noncdm Charge Record Medical Supplies,259.6,259.6,,,0 HCPCS,C1888,Noncdm Charge Record Medical Supplies,1749.0,1749.0,,,0 HCPCS,C1889,Hc Spaceoar Prostate Radio Therapy 10Ml Item# (117298),5702.55,5702.55,,,0 HCPCS,C1889,Noncdm Charge Record Medical Supplies,1732.42,1732.42,,,0 HCPCS,C1889,Noncdm Charge Record Pharmacy,18673.9,18673.9,,,0 HCPCS,C1890,Noncdm Charge Record Medical Supplies,2623.5,2623.5,,,0 HCPCS,C1892,Noncdm Charge Record Medical Supplies,64.35,64.35,,,0 HCPCS,C1893,Noncdm Charge Record Medical Supplies,35.34,35.34,,,0 HCPCS,C1894,Noncdm Charge Record Medical Supplies,91.85,91.85,,,0 HCPCS,C1896,Noncdm Charge Record Medical Supplies,3850.0,3850.0,,,0 HCPCS,C1897,Noncdm Charge Record Medical Supplies,939.4,939.4,,,0 HCPCS,C1898,Noncdm Charge Record Medical Supplies,691.08,691.08,,,0 HCPCS,C1899,Noncdm Charge Record Medical Supplies,1827.65,1827.65,,,0 HCPCS,C1900,Noncdm Charge Record Medical Supplies,2348.5,2348.5,,,0 HCPCS,C1982,Noncdm Charge Record Medical Supplies,6699.0,6699.0,,,0 HCPCS,C2596,Noncdm Charge Record Medical Supplies,5220.6,5220.6,,,0 HCPCS,C2596,"Probe, robotic, water-jet",,,4419.21,7268.12,3 HCPCS,C2614,Noncdm Charge Record Medical Supplies,1782.0,1782.0,,,0 HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,37674.54,7 HCPCS,C2616,NDC Description Not Available,30021.260000000002,30021.260000000002,,,0 HCPCS,C2616,Noncdm Charge Record Medical Supplies,28422.02,28422.02,,,0 HCPCS,C2617,Noncdm Charge Record Medical Supplies,173.25,173.25,,,0 HCPCS,C2618,Noncdm Charge Record Medical Supplies,5950.45,5950.45,,,0 HCPCS,C2621,Noncdm Charge Record Medical Supplies,9259.98,9259.98,,,0 HCPCS,C2623,Noncdm Charge Record Medical Supplies,2421.65,2421.65,,,0 HCPCS,C2624,Noncdm Charge Record Medical Supplies,27720.0,27720.0,,,0 HCPCS,C2625,Hc Stent Advanix Bil 10Frx9 Item# (99213),206.8,206.8,,,0 HCPCS,C2625,Noncdm Charge Record Medical Supplies,206.85000000000002,206.85000000000002,,,0 HCPCS,C2627,Noncdm Charge Record Medical Supplies,84.1,84.1,,,0 HCPCS,C2628,Noncdm Charge Record Medical Supplies,2182.95,2182.95,,,0 HCPCS,C2629,Noncdm Charge Record Medical Supplies,4855.08,4855.08,,,0 HCPCS,C2630,Noncdm Charge Record Medical Supplies,3632.75,3632.75,,,0 HCPCS,C2631,Noncdm Charge Record Medical Supplies,1111.025,1111.025,,,0 HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,174.06,369.01,7 HCPCS,C2634,Hc Seed Iodine Agx100 For Eye Item# (122080),276.1,276.1,,,0 HCPCS,C2634,Noncdm Charge Record Medical Supplies,385.0,385.0,,,0 HCPCS,C2638,Hc Brachth Seed Str Iod Per Sourc,130.9,130.9,,,0 HCPCS,C2639,"Brachytx, non-stranded,I-125",,,36.64,77.68,7 HCPCS,C2639,"Hc Brachther Seed,Nonstrnd, Iodine 125",101.2,101.2,,,0 HCPCS,C2639,"Hc Brachy Source, Iodine-125",101.2,101.2,,,0 HCPCS,C2640,"Brachytx, stranded, P-103",,,88.26,187.11,7 HCPCS,C2640,"Hc Brachth Sd,Str Pall103 Per Sou",211.2,211.2,,,0 HCPCS,C2641,Hc Palladium-103 Brachytherapy Se,188.1,188.1,,,0 HCPCS,C2642,"Hc Brachythrpysrc,Str,Cesium131",349.8,349.8,,,0 HCPCS,C2643,Hc Bracytx- Nonstranded Cs 131,378.4,378.4,,,0 HCPCS,C2643,Noncdm Charge Record Medical Supplies,68560.8,68560.8,,,0 HCPCS,C5271,Hc Apply Skin Sub - 1St 25 Sq Cm,2458.0,2458.0,,,0 HCPCS,C5271,Low cost skin substitute app,,,1343.0,4840.09,12 HCPCS,C5272,Hc Appl Skinsub Ea Ad 25 Sqcm Mc,2171.0,2171.0,,,0 HCPCS,C5272,Low cost skin substitute app,,,1343.0,2987.0,5 HCPCS,C5273,Hc Apply Skin Sub-1St 100 Sq Cm,12259.0,12259.0,,,0 HCPCS,C5273,Low cost skin substitute app,,,2912.0,11385.0,12 HCPCS,C5274,Low cost skin substitute app,,,1343.0,2987.0,5 HCPCS,C5275,Hc Appl Skinsub-1St 25 Sqcm Mcare,2458.0,2458.0,,,0 HCPCS,C5275,Low cost skin substitute app,,,1343.0,4840.09,12 HCPCS,C5276,Hc Appl Skin Subaddl 25Sqcm Mcare,2171.0,2171.0,,,0 HCPCS,C5276,Low cost skin substitute app,,,1343.0,2987.0,5 HCPCS,C5277,Low cost skin substitute app,,,1343.0,4840.09,12 HCPCS,C5278,Low cost skin substitute app,,,1343.0,2987.0,5 HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,3011.79,10726.0,6 HCPCS,C7500,"Hc Debridement, Bone Includ Epidermis, Dermis, Subq Tissue, Muscle/Fascia, If Performed, First 20 Sq",6905.0,6905.0,,,0 HCPCS,C7501,"Hc Percutaneous Breast Biopsies, Stereotactic Guidance, W/Placement Breast Localization Device(S) ,",7906.0,7906.0,,,0 HCPCS,C7501,Perc bx breast lesions stero,,,3011.79,10726.0,6 HCPCS,C7502,"Hc Percutaneous Breast Biopsies, Magnetic Resonance Guidance, W/Placement Breast Localization Device",7906.0,7906.0,,,0 HCPCS,C7502,Perc bx breast lesions mr,,,3011.79,10726.0,6 HCPCS,C7503,Hc Open Biopsy/Excision Of Deep Cervical Node(S) W/Intraoperative Identification Of Sentinel Lymph N,6905.0,6905.0,,,0 HCPCS,C7503,Open exc cerv node(s) w/ id,,,3011.79,5051.48,5 HCPCS,C7504,"Hc Percutaneous Vertebroplasties, Bone Biopsies Incl When Performed, First Cervicothoracic And Any A",16385.0,16385.0,,,0 HCPCS,C7504,Perq cvt&ls inj vert bodies,,,3514.53,5843.31,5 HCPCS,C7505,"Hc Percutaneous Vertebroplasties, Bone Biopsies Incl When Performed, First Lumbosacral And Any Addl",16385.0,16385.0,,,0 HCPCS,C7505,Perq ls&cvt inj vert bodies,,,3514.53,5843.31,5 HCPCS,C7506,Fusion of finger joints,,,5405.0,10006.92,5 HCPCS,C7506,"Hc Arthrodesis, Interphalangeal Joints, With Or Without Internal Fixation",9791.0,9791.0,,,0 HCPCS,C7507,"Hc Percutaneous Vertebral Augmentations, First Thoracic And Any Addl Thoracic/Lumbar Vertebral Bodie",16385.0,16385.0,,,0 HCPCS,C7507,Perq thor&lumb vert aug,,,5730.0,10006.92,5 HCPCS,C7508,"Hc Percutaneous Vertebral Augmentations, First Lumbar And Any Addl Thoracic/Lumbar Vertebral Bodies,",16385.0,16385.0,,,0 HCPCS,C7508,Perq lumb&thor vert aug,,,5730.0,10006.92,5 HCPCS,C7509,Dx bronch w/ navigation,,,3011.79,11385.0,6 HCPCS,C7510,Bronch/lavag w/ navigation,,,3011.79,11385.0,6 HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,3011.79,11385.0,6 HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,3514.53,11385.0,6 HCPCS,C7513,Cath/angio dialcir w/aplasty,,,5125.78,11385.0,6 HCPCS,C7514,Cath/angio dial cir w/stents,,,5125.78,11385.0,6 HCPCS,C7515,Cath/angio dial cir w/embol,,,6309.89,11385.0,6 HCPCS,C7516,Cor angio w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7517,Cor angio w/ilic/fem angio,,,3514.53,9512.0,5 HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7519,Cor/gft angio w/ flow resrv,,,3514.53,9512.0,5 HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,3514.53,9512.0,5 HCPCS,C7521,R hrt angio w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7522,R hrt angio w/flow resrv,,,3514.53,9512.0,5 HCPCS,C7523,L hrt angio w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7524,L hrt angio w/flow resrv,,,3514.53,9512.0,5 HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7526,L hrt gft ang w/flow resrv,,,3514.53,9512.0,5 HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,3514.53,9675.0,5 HCPCS,C7528,R&l hrt angio w/flow resrv,,,3514.53,9512.0,5 HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,3514.53,9512.0,5 HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,6309.89,10249.52,5 HCPCS,C7531,Angio fem/pop w/ us,,,5730.0,10249.52,5 HCPCS,C7532,Angio w/ us non-coronary,,,5125.78,9512.0,5 HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,5125.78,8382.61,3 HCPCS,C7534,Fem/pop revasc w/arthr & us,,,5730.0,10674.37,5 HCPCS,C7535,Fem/pop revasc w/stent & us,,,5730.0,10674.37,5 HCPCS,C7537,Insrt atril pm w/l vent lead,,,6309.89,10249.52,5 HCPCS,C7538,Insrt vent pm w/l vent lead,,,3514.53,9512.0,5 HCPCS,C7539,Insrt a & v pm w/l vent lead,,,6580.16,10674.37,5 HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,6309.89,10249.52,5 HCPCS,C7541,Ercp w/ pancreatoscopy,,,3514.53,6277.0,5 HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,3514.53,6277.0,5 HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,3514.53,6277.0,5 HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,4419.21,7268.12,5 HCPCS,C7545,Exch bil cath w/ rmv calculi,,,3514.53,6277.0,5 HCPCS,C7545,"Hc Percutaneous Exchg Biliary Drainage Catheter W/Rmvl, Calculi/Debris From Biliary Duct(S) And/Or G",6905.0,6905.0,,,0 HCPCS,C7546,Rep nph/urt cath w/dil stric,,,3011.79,11385.0,6 HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,3011.79,11385.0,6 HCPCS,C7548,Exch neph cath w/ dil stric,,,3011.79,11385.0,6 HCPCS,C7549,Chge urtr stent w/ dil stric,,,3011.79,11385.0,6 HCPCS,C7549,Hc Change Ureterostomy Tube Or Externally Accessible Ureteral Stent Via Ileal Conduit W/Ureteral Str,4862.0,4862.0,,,0 HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,3011.79,11385.0,6 HCPCS,C7550,"Hc Cystourethroscopy, With Biopsy(Ies) With Adjunctive Blue Light Cystoscopy With Fluorescent Imagin",5849.0,5849.0,,,0 HCPCS,C7551,Exc neuroma w/ implnt nv end,,,3011.79,6277.0,5 HCPCS,C7552,R hrt art/grft ang hrt flow,,,3514.53,9512.0,5 HCPCS,C7553,R&l hrt art/vent ang drg ad,,,3514.53,9512.0,5 HCPCS,C7554,Cystureth blu li cyst fl img,,,2678.54,10726.0,6 HCPCS,C7554,Hc Cystourethroscopy With Adjunctive Blue Light Cystoscopy With Fluorescent Imaging Agent,5849.0,5849.0,,,0 HCPCS,C7555,Rmvl thyrd w/autotran parath,,,4962.02,9512.0,5 HCPCS,C7556,Bronch lavage w/ebus,,,3295.0,11385.0,6 HCPCS,C7557,Cor angio/vent w/ffr,,,3514.53,9675.0,5 HCPCS,C7558,Cor angio/vent w/drug admin,,,8333.0,9675.0,2 HCPCS,C7560,Ercp remove forgn body&endo,,,4419.21,11385.0,6 HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,3514.53,5843.31,3 HCPCS,C7563,Trluml ballo angiop all art,,,5125.78,8382.61,3 HCPCS,C7564,Vein mech throm w/intrvas us,,,5125.78,8382.61,3 HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,3514.53,5843.31,3 HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,37.58,79.67,7 HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,101.9,216.02,7 HCPCS,C7903,"Hopd mntl hlt, grp",,,37.58,79.67,7 HCPCS,C8000,Noncdm Charge Record Medical Supplies,9232.3,9232.3,,,0 HCPCS,C8001,3d anat seg imaging preop,,,129.06,273.61,7 HCPCS,C8001,"Hc 3D Anatomical Segmentation Imaging For Preoperative Planning, Data Preparation And Transmission,",243.0,243.0,,,0 HCPCS,C8002,"Prep skin cell susp, automtd",,,6156.44,15090.69,10 HCPCS,C8003,Imp extar knee shck absrb,,,6309.89,37284.11,12 HCPCS,C8004,Sim ang w/prs cath rad emb,,,11579.1,24547.7,7 HCPCS,C8006,Inst pleu-perit shnt w pump,,,6493.4,13766.01,7 HCPCS,C8007,Opn mplnt hpgls ns ary ps gn,,,30951.02,65616.17,7 HCPCS,C8008,Rv/rpl hpgls ns inc cnt pg,,,11176.4,23693.96,7 HCPCS,C8009,Rmv hpgls ns ary and pg,,,3426.48,7264.14,7 HCPCS,C8011,Opn mplnt hpgls ns ary rec,,,30951.02,65616.17,7 HCPCS,C8012,Rv/rpl hpgls ns ary rec,,,11176.4,23693.96,7 HCPCS,C8013,Rmv hpls ns ary rec,,,3426.48,7264.14,7 HCPCS,C8900,Hc Mr Angio Abdomen (Mra) - Mr Abdomen W/ Contrast,2603.5,2603.5,,,0 HCPCS,C8900,"Mra w/cont, abd",,,349.93,965.0,12 HCPCS,C8901,Hc Mra Abd W/O Contrast,2054.5,2054.5,,,0 HCPCS,C8901,"Mra w/o cont, abd",,,239.32,965.0,12 HCPCS,C8902,Hc Mra Abd W/O W Contrast,3294.0,3294.0,,,0 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,349.93,965.0,12 HCPCS,C8903,Hc Mri Breast Uni W Contrast,3620.0,3620.0,,,0 HCPCS,C8903,"Mri w/cont, breast, uni",,,175.93,965.0,12 HCPCS,C8905,Hc Mri Breast Uni W/O W Contrast,4240.0,4240.0,,,0 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,349.93,965.0,12 HCPCS,C8906,Hc Mri Breast Bil W Contrast,3839.5,3839.5,,,0 HCPCS,C8906,"Mri w/cont, breast, bi",,,349.93,965.0,12 HCPCS,C8908,Hc Mri Breast Bil W/O W Contrast,5108.5,5108.5,,,0 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,349.93,965.0,12 HCPCS,C8909,Hc Mr Chest (Mra) - Mr Chest Excluding Myocardium W/ Contrast,2603.5,2603.5,,,0 HCPCS,C8909,"MRA w/cont, chest",,,349.93,965.0,12 HCPCS,C8910,Hc Mr Chest (Mra) - Mr Chest Excluding Myocardium W/O Contrast,2180.0,2180.0,,,0 HCPCS,C8910,"MRA w/o cont, chest",,,239.32,965.0,12 HCPCS,C8911,Hc Mra Chest W/O - W/Contrast,3026.0,3026.0,,,0 HCPCS,C8911,"MRA w/o fol w/cont, chest",,,349.93,965.0,12 HCPCS,C8912,Hc Mra Low Ext W/ Bilateral,2603.5,2603.5,,,0 HCPCS,C8912,"Mra w/cont, lwr ext",,,349.93,965.0,12 HCPCS,C8913,Hc Mra Low Ext W/O Contrast,2064.5,2064.5,,,0 HCPCS,C8913,"Mra w/o cont, lwr ext",,,239.32,965.0,12 HCPCS,C8914,Hc Mra Low Ext W/O W Contrast,3296.0,3296.0,,,0 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,349.93,965.0,12 HCPCS,C8918,Hc Mra Pelvis W/Contrast,2603.5,2603.5,,,0 HCPCS,C8918,"MRA w/cont, pelvis",,,349.93,965.0,12 HCPCS,C8919,Hc Mra Pelvis W/O Contrast,2054.5,2054.5,,,0 HCPCS,C8919,"MRA w/o cont, pelvis",,,239.32,965.0,12 HCPCS,C8920,Hc Mra Pelvis W/O W Contr,3296.0,3296.0,,,0 HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,349.93,965.0,12 HCPCS,C8921,"Hc Tte Congenital Cardiac Anomal W Or W/O Contrast Fb With, Complete",4757.0,4757.0,,,0 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,786.29,1666.94,7 HCPCS,C8922,Hc Tte Cong F/U Or Lmtd; W/Cnt,2621.0,2621.0,,,0 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,786.29,1666.94,7 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,786.29,1666.94,7 HCPCS,C8923,Hc Tte Complete W/Cnt,2752.0,2752.0,,,0 HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,349.93,741.85,7 HCPCS,C8924,Hc Tte F/U Or Lmtd W Cnt,2576.0,2576.0,,,0 HCPCS,C8924,Hc Tte F/U Or Lmtd W/Cnt,2576.0,2576.0,,,0 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,786.29,1666.94,7 HCPCS,C8925,Hc Tee W/Contrast,3807.0,3807.0,,,0 HCPCS,C8926,"Hc Tee Congenital W Or W/O W/Cnt For Cca Incl Probe Plcmt, Img, I&R",6055.0,6055.0,,,0 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,786.29,1666.94,7 HCPCS,C8927,Hc Tte W Or W/O Fol W Con Monitor,5285.0,5285.0,,,0 HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,786.29,1666.94,7 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,786.29,1666.94,7 HCPCS,C8929,Hc Tte Complete W Or W/O Contrast Followed By With,5737.0,5737.0,,,0 HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,786.29,1666.94,7 HCPCS,C8930,Hc Stress Echo With Contrast,5737.0,5737.0,,,0 HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,786.29,1666.94,7 HCPCS,C8931,"MRA, w/dye, spinal canal",,,349.93,965.0,12 HCPCS,C8932,"Hc Mr Angio Spine (Mra) - Mr Spine Angio Wo Contrast, Spinal Canal",3620.0,3620.0,,,0 HCPCS,C8932,"MRA, w/o dye, spinal canal",,,239.32,965.0,12 HCPCS,C8933,Hc Mra Spinal Canal W/O +W/ Contr,5773.5,5773.5,,,0 HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,349.93,965.0,12 HCPCS,C8934,Hc Mra Upper Ext W/Contrast,2603.5,2603.5,,,0 HCPCS,C8934,"MRA, w/dye, upper extremity",,,349.93,965.0,12 HCPCS,C8935,Hc Mr Angio - Mra W/O Contrast Upper Extremity,1947.5,1947.5,,,0 HCPCS,C8935,"MRA, w/o dye, upper extr",,,239.32,965.0,12 HCPCS,C8936,Hc Mra Upper Ext W/O+W/ Contrast,3296.0,3296.0,,,0 HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,349.93,965.0,12 HCPCS,C8937,Hc Mri Breast Cad,1160.0,1160.0,,,0 HCPCS,C8957,Hc Prolongd Iv Inf Req Pump,1608.0,1608.0,,,0 HCPCS,C8957,"Prolonged iv inf, req pump",,,213.35,452.29,7 HCPCS,C9046,"Cocaine Hydrochloride Nasal: 1 Bottle, Glass In 1 Carton (0527-1971-74) / 4 Ml In 1 Bottle, Glass",4.98,4.98,,,0 HCPCS,C9046,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",6.62,6.62,,,0 HCPCS,C9046,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (70839-362-04) / 4 Ml In 1 Bottle, Glass",7.95,7.95,,,0 HCPCS,C9047,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",1852.2,1852.2,,,0 HCPCS,C9145,NDC Description Not Available,8.11,8.11,,,0 HCPCS,C9248,NDC Description Not Available,14.71,14.71,,,0 HCPCS,C9250,Noncdm Charge Record Medical Supplies,1471.8,1471.8,,,0 HCPCS,C9254,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20) / 20 Ml In 1 Vial, Glass",1.42,1.42,,,0 HCPCS,C9254,NDC Description Not Available,1.4,1.4,,,0 HCPCS,C9254,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",2.57,2.57,,,0 HCPCS,C9257,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",22.32,22.32,,,0 HCPCS,C9290,Bupivacaine: 10 Vial In 1 Carton (57884-3251-1) / 10 Ml In 1 Vial,6.12,6.12,,,0 HCPCS,C9290,NDC Description Not Available,87.61,87.61,,,0 HCPCS,C9359,Noncdm Charge Record Medical Supplies,1511.4,1511.4,,,0 HCPCS,C9359,Noncdm Charge Record Pharmacy,1328.7,1328.7,,,0 HCPCS,C9361,Noncdm Charge Record Medical Supplies,2586.1,2586.1,,,0 HCPCS,C9364,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 HCPCS,C9399,Hc Car-T Product - Car-T Aucatzyl,2163000.0,2163000.0,,,0 HCPCS,C9399,Hc Car-T Product - Car-T Tecelra,2995240.0,2995240.0,,,0 HCPCS,C9399,Hc Gene Cell Therapy - Amtagvi,2121800.0,2121800.0,,,0 HCPCS,C9399,Ravicti: 1 Bottle In 1 Carton (75987-050-06) / 25 Ml In 1 Bottle,2462.36,2462.36,,,0 HCPCS,C9399,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",2348.4,2348.4,,,0 HCPCS,C9399,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",240.77,240.77,,,0 HCPCS,C9399,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",241.42,241.42,,,0 HCPCS,C9460,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",47.19,47.19,,,0 HCPCS,C9460,NDC Description Not Available,47.22,47.22,,,0 HCPCS,C9507,Hc Thawed Apheresis Conv Plasma Covid-19,851.0,851.0,,,0 HCPCS,C9600,"Hc Perc Transcatheter Plcmt Of Drug-El Cor Stent(S), W/Coronary Angio, Single",8687.0,8687.0,,,0 HCPCS,C9600,Perc drug-el cor stent sing,,,6309.89,24547.7,15 HCPCS,C9601,"Hc Perc Transcatheter Plcmt Of Drug-El Cor Stent(S), W/Coronary Angio, Each Addl Branch",15676.0,15676.0,,,0 HCPCS,C9601,Perc drug-el cor stent bran,,,1343.0,2987.0,5 HCPCS,C9602,Hc Perc D-E Cor Stent Ath Sng Ar,13302.0,13302.0,,,0 HCPCS,C9602,Perc d-e cor stent ather s,,,6580.16,38980.61,15 HCPCS,C9603,Hc Perc D-E Cor Stnt Athr Br Addl,15676.0,15676.0,,,0 HCPCS,C9603,Perc d-e cor stent ather br,,,1343.0,2572.0,3 HCPCS,C9604,"Hc Perc Translum Revasc Of/Thru Cabg, Any Combo Drug-El Cor Stent(S), Single Vessel",8687.0,8687.0,,,0 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,6309.89,24547.7,15 HCPCS,C9605,"Hc Perc Translum Revasc Of/Thru Cabg, Any Combo Drug-El Cor Stent(S), Each Addl Branch",15676.0,15676.0,,,0 HCPCS,C9605,Perc d-e cor revasc t cabg b,,,1343.0,2572.0,3 HCPCS,C9606,Hc Perc D-E Cor Revasc Sngl Ves,13302.0,13302.0,,,0 HCPCS,C9606,Perc d-e cor revasc w AMI s,,,6580.16,10674.37,4 HCPCS,C9607,Hc Perc D-E Cor Revasc Chronic Sg Ves,13302.0,13302.0,,,0 HCPCS,C9607,Perc d-e cor revasc chro sin,,,6580.16,38980.61,15 HCPCS,C9608,Hc Perc D-E Cor Revas Chronic Add Ves,15676.0,15676.0,,,0 HCPCS,C9608,Perc d-e cor revasc chro add,,,1343.0,2572.0,3 HCPCS,C9610,Noncdm Charge Record Medical Supplies,8701.0,8701.0,,,0 HCPCS,C9724,EPS gast cardia plic,,,4840.09,4840.09,2 HCPCS,C9725,Place endorectal app,,,932.77,4840.09,13 HCPCS,C9726,Rxt breast appl place/remov,,,1343.0,2572.0,3 HCPCS,C9727,Insert palate implants,,,1556.28,4840.09,13 HCPCS,C9728,"Place device/marker, non pro",,,1388.32,5051.48,13 HCPCS,C9733,Non-ophthalmic FVA,,,349.93,954.63,9 HCPCS,C9734,"U/s trtmt, not leiomyomata",,,4557.0,27300.32,12 HCPCS,C9737,Lap esoph augmentation,,,11403.39,11403.39,2 HCPCS,C9738,Blue light cysto imag agent,,,1343.0,2987.0,4 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,3895.0,11401.39,19 HCPCS,C9740,Cysto impl 4 or more,,,5730.0,20129.59,18 HCPCS,C9741,Impl pressure sensor w/angio,,,5611.0,5611.0,1 HCPCS,C9742,Laryngoscopy with injection,,,4249.0,4840.09,3 HCPCS,C9743,Bulking/spacer material impl,,,4840.09,4840.09,2 HCPCS,C9745,Nasal endo eustachian tube,,,10227.73,10227.73,2 HCPCS,C9746,Trans imp balloon cont,,,11403.39,11403.39,2 HCPCS,C9747,"Ablation, HIFU, prostate",,,11403.39,11403.39,2 HCPCS,C9748,Prostatic rf water vapor tx,,,4840.09,4840.09,2 HCPCS,C9749,Repair nasal stenosis w/imp,,,6293.23,6293.23,2 HCPCS,C9750,Ins/rem-replace compl iims,,,11403.39,11403.39,2 HCPCS,C9751,"Microwave bronch, 3d, ebus",,,6309.89,11403.39,9 HCPCS,C9752,Intraosseous des lumb/sacrum,,,11403.39,11403.39,2 HCPCS,C9754,"Perc av fistula, direct",,,11403.39,11403.39,2 HCPCS,C9755,Rf magnetic-guide av fistula,,,11403.39,11403.39,2 HCPCS,C9756,Fluorescence lymph map w/ICG,,,1343.0,2987.0,4 HCPCS,C9756,Hc Fluorescence Lymph Mapping W/ Icg,1010.43,1010.43,,,0 HCPCS,C9757,Spine/lumbar disk surgery,,,5730.0,27300.32,17 HCPCS,C9758,Interatrial shunt IDE,,,6309.89,36424.34,14 HCPCS,C9759,Transcath intraop microinf,,,1343.0,1580.0,2 HCPCS,C9760,Non-blind interatrial shunt,,,6309.89,57237.65,14 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,3895.0,20129.59,17 HCPCS,C9762,Cardiac MRI seg dys strain,,,548.07,1203.95,9 HCPCS,C9763,Cardiac MRI seg dys stress,,,548.07,1203.95,9 HCPCS,C9764,Hc Intravasclithotripsy/Pta,10106.0,10106.0,,,0 HCPCS,C9764,Revasc intravasc lithotripsy,,,4817.0,24547.7,16 HCPCS,C9765,"Hc Intravasc Lithotripsy/Stent Placement(S), Incl Angioplasty",20213.0,20213.0,,,0 HCPCS,C9765,Revasc intra lithotrip-stent,,,4817.0,38980.61,16 HCPCS,C9766,Hc Intravasclitho/Atherectomy,20213.0,20213.0,,,0 HCPCS,C9766,Revasc intra lithotrip-ather,,,5730.0,38980.61,16 HCPCS,C9767,"Hc Revasc Ev W/Ivl And Translum Stent Plcmt, Atherectomy",32518.0,32518.0,,,0 HCPCS,C9767,Revasc lithotrip-stent-ather,,,5730.0,38980.61,16 HCPCS,C9768,Endo us-guide hep porto grad,,,2572.0,2987.0,2 HCPCS,C9769,Cysto w/temp pros implant,,,4419.21,11385.0,8 HCPCS,C9770,"Vitrec/mech pars, subret inj",,,8364.54,8364.54,2 HCPCS,C9771,Nsl/sins cryo post nasal tis,,,8821.68,8821.68,2 HCPCS,C9772,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intrav Lithotripsy/Pta",25429.0,25429.0,,,0 HCPCS,C9772,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Angioplasty",25429.0,25429.0,,,0 HCPCS,C9772,Revasc lithotrip tibi/perone,,,4817.0,24547.7,16 HCPCS,C9773,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intrav Lithotripsy, Stent Plcmt",40674.0,40674.0,,,0 HCPCS,C9773,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Transluminal Stent Plcmt,",40674.0,40674.0,,,0 HCPCS,C9773,Revasc lithotr-stent tib/per,,,4817.0,38980.61,16 HCPCS,C9774,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intrav Lithotripsy, Atherectomy",40674.0,40674.0,,,0 HCPCS,C9774,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Atherectomy, Angioplasty",40674.0,40674.0,,,0 HCPCS,C9774,Revasc lithotr-ather tib/per,,,4817.0,38980.61,16 HCPCS,C9775,"Hc Revasc Endo, Tibial/Peroneal Artery(Ies), W/Intravascular Lithotripsy, Transluminal Stent Plcmt &",41226.0,41226.0,,,0 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,4817.0,38980.61,16 HCPCS,C9776,Hc Fluorescence Bile Duct Imaging W/ Icg,1063.0,1063.0,,,0 HCPCS,C9777,Esophag mucosal integ add-on,,,2572.0,11385.0,12 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,3895.0,10637.27,16 HCPCS,C9779,ESD endoscopy or colonoscopy,,,3011.79,11385.0,17 HCPCS,C9780,Hc Insertion Of Central Venous Catheter Through Central Venous Occlusion Via Inferior And Superior A,24003.0,24003.0,,,0 HCPCS,C9780,Insert cv cath inf & sup app,,,5405.0,17172.02,16 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,5730.0,27300.32,16 HCPCS,C9782,Blind myocar trpl bon marrow,,,6309.89,36424.34,14 HCPCS,C9783,Blind cor sinus reducer impl,,,6309.89,24547.7,16 HCPCS,C9784,Endo sleeve gastro w/tube,,,5405.0,11403.39,9 HCPCS,C9785,Endo outlet restrict w/tube,,,5405.0,22603.4,16 HCPCS,C9789,Instill pharm renal pelvis,,,1227.69,11385.0,17 HCPCS,C9790,Kidney histotripsy w/image,,,4817.0,11403.39,4 HCPCS,C9791,Mri hyperpolarized xenon129,,,1227.69,3126.25,9 HCPCS,C9792,Blind/nonblind trans atrial,,,6309.89,20294.02,16 HCPCS,C9793,Pre-plan 3d model w/ccta,,,861.34,1826.04,7 HCPCS,C9796,Hc Repair Of Enterocutaneous Fistula Small Intestine Or Colon (Excluding Anorectal Fistula) With Plu,7569.0,7569.0,,,0 HCPCS,C9796,Rpr intst excl anrect fist,,,2784.06,5902.2,14 HCPCS,C9797,Hc Vascular Embolization Or Occlusion Procedure With Use Of A Pressure-Generating Catheter; Tumors/O,46160.0,46160.0,,,0 HCPCS,C9797,Vasc emb/occ w/prs cath,,,5405.0,38980.61,14 HCPCS,C9800,Dermal filler inj px/suppl,,,4249.0,4249.0,1 HCPCS,C9901,Endo defect closure GI tract,,,5405.0,22603.4,14 HCPCS,D0120,Periodic oral evaluation,,,133.54,283.1,7 HCPCS,D0140,Limit oral eval problm focus,,,133.54,283.1,7 HCPCS,D0150,Comprehensve oral evaluation,,,133.54,283.1,7 HCPCS,D0160,Extensv oral eval prob focus,,,133.54,283.1,7 HCPCS,D0170,"Re-eval,est pt,problem focus",,,133.54,283.1,7 HCPCS,D0171,Re-eval post-op visit,,,133.54,283.1,7 HCPCS,D0180,Comp periodontal evaluation,,,133.54,283.1,7 HCPCS,D0191,Assessment of a patient,,,133.54,283.1,7 HCPCS,D0210,Intraor complete film series,,,239.32,507.37,7 HCPCS,D0220,Intraoral periapical first,,,87.29,185.05,7 HCPCS,D0240,Intraoral occlusal film,,,87.29,185.05,7 HCPCS,D0250,Extraoral 2d project image,,,87.29,185.05,7 HCPCS,D0251,Extraoral posterior image,,,87.29,185.05,7 HCPCS,D0270,Dental bitewing single image,,,87.29,185.05,7 HCPCS,D0272,Dental bitewings two images,,,87.29,185.05,7 HCPCS,D0273,Bitewings - three images,,,239.32,507.37,7 HCPCS,D0274,Bitewings four images,,,239.32,507.37,7 HCPCS,D0274,"Hc Bitewings, Four Images",742.0,742.0,,,0 HCPCS,D0277,Vert bitewings 7 to 8 images,,,239.32,507.37,7 HCPCS,D0310,Dental saliography,,,239.32,507.37,7 HCPCS,D0320,Dental tmj arthrogram incl i,,,239.32,507.37,7 HCPCS,D0321,Other tmj images by report,,,87.29,185.05,7 HCPCS,D0322,Dental tomographic survey,,,104.86,222.31,7 HCPCS,D0330,Hc Panoramic Radiographic Image,151.0,151.0,,,0 HCPCS,D0330,Panoramic image,,,239.32,507.37,7 HCPCS,D0340,2d cephalometric image,,,87.29,185.05,7 HCPCS,D0350,Oral/facial photo images,,,87.29,185.05,7 HCPCS,D0364,Cone beam ct capt & interp,,,104.86,222.31,7 HCPCS,D0365,Cone beam ct interprete man,,,104.86,222.31,7 HCPCS,D0366,Cone beam ct interprete max,,,104.86,222.31,7 HCPCS,D0367,Cone beam ct interp both jaw,,,104.86,222.31,7 HCPCS,D0368,Cone beam ct interprete TMJ,,,104.86,222.31,7 HCPCS,D0369,Max MRI capture & interprete,,,104.86,222.31,7 HCPCS,D0370,Max ultrasound capt & interp,,,104.86,222.31,7 HCPCS,D0371,Sialoendoscopy capt & interp,,,87.29,185.05,7 HCPCS,D0380,Cone beam ct capture limited,,,104.86,222.31,7 HCPCS,D0381,Cone beam ct capt mandible,,,104.86,222.31,7 HCPCS,D0382,Cone beam ct capt maxilla,,,104.86,222.31,7 HCPCS,D0383,Cone beam ct both jaws,,,104.86,222.31,7 HCPCS,D0384,Cone beam ct capture TMJ,,,104.86,222.31,7 HCPCS,D0385,Max MRI image capture,,,104.86,222.31,7 HCPCS,D0386,Max ultrasound image capture,,,104.86,222.31,7 HCPCS,D0393,Trtmnt simulation 3d image,,,87.29,185.05,7 HCPCS,D0394,Digital sub 2 or more images,,,87.29,185.05,7 HCPCS,D0395,Fusion 2 or more 3d images,,,87.29,185.05,7 HCPCS,D0460,Pulp vitality test,,,648.44,1374.7,7 HCPCS,D0600,Non-ionizing diag proc,,,648.44,1374.7,7 HCPCS,D0701,Fracture of lower extremity M >=61.50,,,87.29,185.05,7 HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,87.29,185.05,7 HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,87.29,185.05,7 HCPCS,D0705,Extra oral post radio image,,,87.29,185.05,7 HCPCS,D0706,Intraoral occlus radio image,,,87.29,185.05,7 HCPCS,D0707,Intraoral periap radio image,,,87.29,185.05,7 HCPCS,D0708,Intraoral bite radio image,,,87.29,185.05,7 HCPCS,D0709,Intraoral cmplt radio images,,,87.29,185.05,7 HCPCS,D1110,Dental prophylaxis adult,,,133.54,283.1,7 HCPCS,D1110,Hc Prophylaxis - Adult,150.0,150.0,,,0 HCPCS,D1206,Hc Topical Application Of Fluoride Varnish,62.0,62.0,,,0 HCPCS,D1510,Space maintainer fxd unilat,,,648.44,1374.7,7 HCPCS,D1516,"Fixed bilat space maint, max",,,648.44,1374.7,7 HCPCS,D1517,"Fixed bilat space maint, man",,,648.44,1374.7,7 HCPCS,D1520,Remove unilat space maintain,,,648.44,1374.7,7 HCPCS,D1526,"Remove bilat space main, max",,,648.44,1374.7,7 HCPCS,D1527,"Remove bilat space main, man",,,648.44,1374.7,7 HCPCS,D1551,Recement space maint - max,,,648.44,1374.7,7 HCPCS,D1552,Recement space maint - man,,,648.44,1374.7,7 HCPCS,D1553,Recement unilat space maint,,,648.44,1374.7,7 HCPCS,D1575,"Dist space maint, fixed unil",,,648.44,1374.7,7 HCPCS,D2140,Amalgam one surface permanen,,,648.44,1374.7,7 HCPCS,D2150,Amalgam two surfaces permane,,,648.44,1374.7,7 HCPCS,D2160,Amalgam three surfaces perma,,,648.44,1374.7,7 HCPCS,D2161,Amalgam 4 or > surfaces perm,,,648.44,1374.7,7 HCPCS,D2330,Resin one surface-anterior,,,648.44,1374.7,7 HCPCS,D2331,Resin two surfaces-anterior,,,648.44,1374.7,7 HCPCS,D2332,Resin three surfaces-anterio,,,648.44,1374.7,7 HCPCS,D2335,Resin 4/> surf or w incis an,,,648.44,1374.7,7 HCPCS,D2390,Ant resin-based cmpst crown,,,648.44,1374.7,7 HCPCS,D2391,Post 1 srfc resinbased cmpst,,,648.44,1374.7,7 HCPCS,D2392,Post 2 srfc resinbased cmpst,,,648.44,1374.7,7 HCPCS,D2393,Post 3 srfc resinbased cmpst,,,648.44,1374.7,7 HCPCS,D2394,Post >=4srfc resinbase cmpst,,,648.44,1374.7,7 HCPCS,D2410,Dental gold foil one surface,,,648.44,1374.7,7 HCPCS,D2420,Dental gold foil two surface,,,648.44,1374.7,7 HCPCS,D2430,Dental gold foil three surfa,,,648.44,1374.7,7 HCPCS,D2510,Dental inlay metalic 1 surf,,,648.44,1374.7,7 HCPCS,D2520,Dental inlay metallic 2 surf,,,648.44,1374.7,7 HCPCS,D2530,Dental inlay metl 3/more sur,,,648.44,1374.7,7 HCPCS,D2542,Dental onlay metallic 2 surf,,,648.44,1374.7,7 HCPCS,D2543,Dental onlay metallic 3 surf,,,648.44,1374.7,7 HCPCS,D2544,Dental onlay metl 4/more sur,,,648.44,1374.7,7 HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,648.44,1374.7,7 HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,648.44,1374.7,7 HCPCS,D2630,Dental onlay porc 3/more sur,,,648.44,1374.7,7 HCPCS,D2642,Dental onlay porcelin 2 surf,,,648.44,1374.7,7 HCPCS,D2643,Dental onlay porcelin 3 surf,,,648.44,1374.7,7 HCPCS,D2644,Dental onlay porc 4/more sur,,,648.44,1374.7,7 HCPCS,D2650,Inlay composite/resin one su,,,648.44,1374.7,7 HCPCS,D2651,Inlay composite/resin two su,,,648.44,1374.7,7 HCPCS,D2652,Dental inlay resin 3/mre sur,,,648.44,1374.7,7 HCPCS,D2662,Dental onlay resin 2 surface,,,648.44,1374.7,7 HCPCS,D2663,Dental onlay resin 3 surface,,,648.44,1374.7,7 HCPCS,D2664,Dental onlay resin 4/mre sur,,,648.44,1374.7,7 HCPCS,D2710,Crown resin-based indirect,,,648.44,1374.7,7 HCPCS,D2712,Crown 3/4 resin-based compos,,,648.44,1374.7,7 HCPCS,D2720,Crown resin w/ high noble me,,,648.44,1374.7,7 HCPCS,D2721,Crown resin w/ base metal,,,648.44,1374.7,7 HCPCS,D2722,Crown resin w/ noble metal,,,648.44,1374.7,7 HCPCS,D2740,Crown porcelain/ceramic subs,,,648.44,1374.7,7 HCPCS,D2750,Crown porcelain w/ h noble m,,,648.44,1374.7,7 HCPCS,D2751,Crown porcelain fused base m,,,648.44,1374.7,7 HCPCS,D2752,Crown porcelain w/ noble met,,,648.44,1374.7,7 HCPCS,D2753,Crown porc fused to titanium,,,648.44,1374.7,7 HCPCS,D2780,Crown 3/4 cast hi noble met,,,648.44,1374.7,7 HCPCS,D2781,Crown 3/4 cast base metal,,,648.44,1374.7,7 HCPCS,D2782,Crown 3/4 cast noble metal,,,648.44,1374.7,7 HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,648.44,1374.7,7 HCPCS,D2790,Crown full cast high noble m,,,648.44,1374.7,7 HCPCS,D2791,Crown full cast base metal,,,648.44,1374.7,7 HCPCS,D2792,Crown full cast noble metal,,,648.44,1374.7,7 HCPCS,D2794,Crown-titanium,,,648.44,1374.7,7 HCPCS,D2799,Provisional crown,,,648.44,1374.7,7 HCPCS,D2910,Recement inlay onlay or part,,,648.44,1374.7,7 HCPCS,D2915,Recement cast or prefab post,,,648.44,1374.7,7 HCPCS,D2920,Re-cement or re-bond crown,,,648.44,1374.7,7 HCPCS,D2921,Reattach tooth fragment,,,648.44,1374.7,7 HCPCS,D2928,Prefab porc/cer crown perm,,,648.44,1374.7,7 HCPCS,D2929,Prefab porc/ceram crown pri,,,648.44,1374.7,7 HCPCS,D2930,Prefab stnlss steel crwn pri,,,648.44,1374.7,7 HCPCS,D2931,Prefab stnlss steel crown pe,,,648.44,1374.7,7 HCPCS,D2932,Prefabricated resin crown,,,648.44,1374.7,7 HCPCS,D2933,Prefab stainless steel crown,,,648.44,1374.7,7 HCPCS,D2934,Prefab steel crown primary,,,648.44,1374.7,7 HCPCS,D2940,Protective restoration,,,648.44,1374.7,7 HCPCS,D2949,Restorative foundation,,,648.44,1374.7,7 HCPCS,D2950,Core build-up incl any pins,,,648.44,1374.7,7 HCPCS,D2951,Tooth pin retention,,,648.44,1374.7,7 HCPCS,D2952,Post and core cast + crown,,,648.44,1374.7,7 HCPCS,D2954,Prefab post/core + crown,,,648.44,1374.7,7 HCPCS,D2957,Each addtnl prefab post,,,648.44,1374.7,7 HCPCS,D2960,Laminate labial veneer,,,648.44,1374.7,7 HCPCS,D2961,Lab labial veneer resin,,,648.44,1374.7,7 HCPCS,D2962,Lab labial veneer porcelain,,,648.44,1374.7,7 HCPCS,D2971,Add proc construct new crown,,,648.44,1374.7,7 HCPCS,D2975,Coping,,,648.44,1374.7,7 HCPCS,D2980,Crown repair,,,648.44,1374.7,7 HCPCS,D2981,Inlay repair,,,648.44,1374.7,7 HCPCS,D2982,Onlay repair,,,648.44,1374.7,7 HCPCS,D2983,Veneer repair,,,648.44,1374.7,7 HCPCS,D2990,Resin infiltration of lesion,,,648.44,1374.7,7 HCPCS,D2999,Dental unspec restorative pr,,,648.44,1374.7,7 HCPCS,D3110,Pulp cap direct,,,648.44,1374.7,7 HCPCS,D3120,Pulp cap indirect,,,648.44,1374.7,7 HCPCS,D3220,Therapeutic pulpotomy,,,648.44,1374.7,7 HCPCS,D3221,Gross pulpal debridement,,,648.44,1374.7,7 HCPCS,D3222,Part pulp for apexogenesis,,,648.44,1374.7,7 HCPCS,D3230,Pulpal therapy anterior prim,,,648.44,1374.7,7 HCPCS,D3240,Pulpal therapy posterior pri,,,648.44,1374.7,7 HCPCS,D3310,"End thxpy, anterior tooth",,,648.44,1374.7,7 HCPCS,D3320,"End thxpy, bicuspid tooth",,,648.44,1374.7,7 HCPCS,D3330,"End thxpy, molar",,,648.44,1374.7,7 HCPCS,D3331,Non-surg tx root canal obs,,,648.44,1374.7,7 HCPCS,D3332,Incomplete endodontic tx,,,648.44,1374.7,7 HCPCS,D3333,Internal root repair,,,648.44,1374.7,7 HCPCS,D3346,Retreat root canal anterior,,,648.44,1374.7,7 HCPCS,D3347,Retreat root canal bicuspid,,,648.44,1374.7,7 HCPCS,D3348,Retreat root canal molar,,,648.44,1374.7,7 HCPCS,D3351,Apexification/recalc initial,,,648.44,1374.7,7 HCPCS,D3352,Apexification/recalc interim,,,648.44,1374.7,7 HCPCS,D3353,Apexification/recalc final,,,648.44,1374.7,7 HCPCS,D3355,Pulpal regeneration initial,,,648.44,1374.7,7 HCPCS,D3356,Pulpal regeneration interim,,,648.44,1374.7,7 HCPCS,D3357,Pulpal regeneration complete,,,648.44,1374.7,7 HCPCS,D3410,Apicoectomy - anterior,,,648.44,1374.7,7 HCPCS,D3421,Root surgery bicuspid,,,648.44,1374.7,7 HCPCS,D3425,Root surgery molar,,,648.44,1374.7,7 HCPCS,D3428,Bone graft peri per tooth,,,648.44,1374.7,7 HCPCS,D3430,Retrograde filling,,,648.44,1374.7,7 HCPCS,D3431,Biological materials,,,648.44,1374.7,7 HCPCS,D3432,Guided tissue regeneration,,,648.44,1374.7,7 HCPCS,D3450,Root amputation,,,648.44,1374.7,7 HCPCS,D3460,Endodontic endosseous implan,,,648.44,4840.09,9 HCPCS,D3470,Intentional replantation,,,648.44,1374.7,7 HCPCS,D3471,Surg rep root res anterior,,,648.44,1374.7,7 HCPCS,D3472,Surg rep root res premolar,,,648.44,1374.7,7 HCPCS,D3473,Surg rep root res molar,,,648.44,1374.7,7 HCPCS,D3501,Surg exp root surf anterior,,,648.44,1374.7,7 HCPCS,D3502,Surg exp root surf premolar,,,648.44,1374.7,7 HCPCS,D3503,Surg exp root surf molar,,,648.44,1374.7,7 HCPCS,D3910,Isolation- tooth w rubb dam,,,648.44,1374.7,7 HCPCS,D3911,Intraorifice barrier,,,648.44,1374.7,7 HCPCS,D3920,Tooth splitting,,,648.44,1374.7,7 HCPCS,D3921,D?cor or submerg erupt tooth,,,648.44,1374.7,7 HCPCS,D3950,Canal prep/fitting of dowel,,,648.44,1374.7,7 HCPCS,D3999,Endodontic procedure,,,648.44,1374.7,7 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3325.49,7050.03,7 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3325.49,7050.03,7 HCPCS,D4212,Gingivectomy/plasty rest,,,3325.49,7050.03,7 HCPCS,D4230,Ana crown exp 4 or> per quad,,,3325.49,7050.03,7 HCPCS,D4231,Ana crown exp 1-3 per quad,,,1556.28,3299.31,7 HCPCS,D4240,Gingival flap proc w/ planin,,,3325.49,7050.03,7 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1556.28,3299.31,7 HCPCS,D4245,Apically positioned flap,,,1556.28,3299.31,7 HCPCS,D4249,Crown lengthen hard tissue,,,648.44,1374.7,7 HCPCS,D4260,Osseous surgery 4 or more,,,4840.09,12588.0,9 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3325.49,7050.03,7 HCPCS,D4263,Bone replce graft first site,,,648.44,4840.09,9 HCPCS,D4263,"Hc Bone Replacement Graft, First Site",1367.0,1367.0,,,0 HCPCS,D4264,Bone replce graft each add,,,4840.09,4840.09,2 HCPCS,D4264,"Hc Bone Replacement Graft, Each Additional",1823.0,1823.0,,,0 HCPCS,D4265,Bio mtrls to aid soft/os reg,,,648.44,1374.7,7 HCPCS,D4266,Guided tiss regen resorble,,,1556.28,3299.31,7 HCPCS,D4267,Guided tiss regen nonresorb,,,1556.28,3299.31,7 HCPCS,D4268,Surgical revision procedure,,,648.44,4840.09,9 HCPCS,D4270,Pedicle soft tissue graft pr,,,1556.28,4840.09,9 HCPCS,D4273,Auto tissue graft 1st tooth,,,1556.28,4840.09,9 HCPCS,D4274,Mesial/distal wedge proc,,,648.44,1374.7,7 HCPCS,D4275,Non-auto graft 1st tooth,,,1556.28,3299.31,7 HCPCS,D4276,Con tissue w dble ped graft,,,1556.28,3299.31,7 HCPCS,D4277,Soft tissue graft firsttooth,,,1556.28,3299.31,7 HCPCS,D4322,Splint intra-coronal,,,648.44,1374.7,7 HCPCS,D4323,Splint extra-coronal,,,648.44,1374.7,7 HCPCS,D4341,Hc Periodontal Scaling And Root Planing - 4 Or More Teeth Per Quadrant,435.0,435.0,,,0 HCPCS,D4341,Periodontal scaling & root,,,648.44,1374.7,7 HCPCS,D4342,Periodontal scaling 1-3teeth,,,648.44,1374.7,7 HCPCS,D4346,Scaling gingiv inflammation,,,648.44,1374.7,7 HCPCS,D4355,Full mouth debridement,,,648.44,4840.09,9 HCPCS,D4355,Hc Full Mouth Debridement,5467.0,5467.0,,,0 HCPCS,D4381,Localized delivery antimicro,,,648.44,1374.7,7 HCPCS,D4910,Periodontal maint procedures,,,648.44,1374.7,7 HCPCS,D4920,Unscheduled dressing change,,,648.44,1374.7,7 HCPCS,D4921,Gingival irrigation per quad,,,133.54,283.1,7 HCPCS,D4999,Unspecified periodontal proc,,,237.57,503.64,7 HCPCS,D5911,Facial moulage sectional,,,648.44,1374.7,7 HCPCS,D5912,Facial moulage complete,,,648.44,1374.7,7 HCPCS,D5983,Radiation applicator,,,648.44,1374.7,7 HCPCS,D5984,Radiation shield,,,648.44,1374.7,7 HCPCS,D5985,Radiation cone locator,,,648.44,1374.7,7 HCPCS,D5987,Commissure splint,,,648.44,1374.7,7 HCPCS,D5988,Surgical splint,,,648.44,1374.7,7 HCPCS,D6920,Dental connector bar,,,648.44,1374.7,7 HCPCS,D7111,Extraction coronal remnants,,,648.44,1374.7,7 HCPCS,D7140,Extraction erupted tooth/exr,,,648.44,4840.09,9 HCPCS,D7140,"Hc Extraction, Erupted Tooth/Exposed Root, Elevation And/Or Forceps Removal, Per Tooth",170.0,170.0,,,0 HCPCS,D7210,"Hc Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth Incl Elevation Of",170.0,170.0,,,0 HCPCS,D7210,Rem imp tooth w mucoper flp,,,1556.28,4840.09,9 HCPCS,D7220,"Hc Removal Of Impacted Tooth - Soft Tissue, Per Tooth",911.0,911.0,,,0 HCPCS,D7220,Impact tooth remov soft tiss,,,648.44,4840.09,9 HCPCS,D7230,"Hc Removal Of Impacted Tooth - Partially Bony, Per Tooth",911.0,911.0,,,0 HCPCS,D7230,Impact tooth remov part bony,,,648.44,4840.09,9 HCPCS,D7240,"Hc Removal Of Impacted Tooth - Completely Bony, Per Tooth",911.0,911.0,,,0 HCPCS,D7240,Impact tooth remov comp bony,,,648.44,4840.09,9 HCPCS,D7241,Impact tooth rem bony w/comp,,,648.44,4840.09,9 HCPCS,D7250,"Hc Removal Of Residual Tooth Roots, Cutting Procedure, Per Tooth",170.0,170.0,,,0 HCPCS,D7250,Tooth root removal,,,648.44,4840.09,9 HCPCS,D7251,Coronectomy,,,1556.28,3299.31,7 HCPCS,D7260,Oral antral fistula closure,,,648.44,4840.09,9 HCPCS,D7261,Primary closure sinus perf,,,648.44,4840.09,9 HCPCS,D7270,Tooth reimplantation,,,648.44,1374.7,7 HCPCS,D7272,Tooth transplantation,,,648.44,1374.7,7 HCPCS,D7280,Exposure of unerupted tooth,,,648.44,1374.7,7 HCPCS,D7286,Hc Incisional Biopsy Of Oral Tissue-Soft,473.0,473.0,,,0 HCPCS,D7291,Transseptal fiberotomy,,,648.44,4840.09,9 HCPCS,D7310,Alveoplasty w/ extraction,,,1556.28,3299.31,7 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1556.28,3299.31,7 HCPCS,D7320,Alveoplasty w/o extraction,,,1556.28,3299.31,7 HCPCS,D7321,Alveoloplasty not w/extracts,,,1556.28,3299.31,7 HCPCS,D7340,Vestibuloplasty ridge extens,,,5937.73,12588.0,7 HCPCS,D7350,Vestibuloplasty exten graft,,,5937.73,12588.0,7 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1556.28,3299.31,7 HCPCS,D7411,Excision benign lesion>1.25c,,,1556.28,3299.31,7 HCPCS,D7412,Excision benign lesion compl,,,1556.28,3299.31,7 HCPCS,D7413,Excision malig lesion<=1.25c,,,1556.28,3299.31,7 HCPCS,D7414,Excision malig lesion>1.25cm,,,1556.28,3299.31,7 HCPCS,D7415,Excision malig les complicat,,,1556.28,3299.31,7 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3325.49,7050.03,7 HCPCS,D7441,Malig tumor > 1.25 cm,,,3325.49,7050.03,7 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3325.49,7050.03,7 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3325.49,7050.03,7 HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,648.44,1374.7,7 HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,648.44,1374.7,7 HCPCS,D7471,Rem exostosis any site,,,3325.49,7050.03,7 HCPCS,D7472,Removal of torus palatinus,,,648.44,1374.7,7 HCPCS,D7473,Remove torus mandibularis,,,648.44,1374.7,7 HCPCS,D7485,Surg reduct osseoustuberosit,,,5937.73,12588.0,7 HCPCS,D7510,I&d absc intraoral soft tiss,,,710.27,1505.78,7 HCPCS,D7511,Incision/drain abscess intra,,,710.27,1505.78,7 HCPCS,D7520,I&d abscess extraoral,,,710.27,1505.78,7 HCPCS,D7521,Incision/drain abscess extra,,,710.27,1505.78,7 HCPCS,D7530,Removal fb skin/areolar tiss,,,648.44,1374.7,7 HCPCS,D7540,Removal of fb reaction,,,648.44,1374.7,7 HCPCS,D7550,Removal of sloughed off bone,,,648.44,1374.7,7 HCPCS,D7670,Closd rductn splint alveolus,,,3325.49,7050.03,7 HCPCS,D7671,Alveolus open reduction,,,5937.73,12588.0,7 HCPCS,D7770,Open reduc compd alveolus fx,,,5937.73,12588.0,7 HCPCS,D7771,Alveolus clsd reduc stblz te,,,3325.49,7050.03,7 HCPCS,D7874,Tmj arthroscopy disc reposit,,,3281.9,6957.62,7 HCPCS,D7922,Place intra-socket bio dress,,,648.44,1374.7,7 HCPCS,D7940,Reshaping bone orthognathic,,,648.44,4840.09,9 HCPCS,D7950,Mandible graft,,,5937.73,12588.0,7 HCPCS,D9930,Treatment of complications,,,648.44,1374.7,7 HCPCS,D9944,"Occ guard, hard, full arch",,,648.44,1374.7,7 HCPCS,D9945,"Occ guard, soft, full arch",,,648.44,1374.7,7 HCPCS,D9946,"Occ guard, hard, part arch",,,648.44,1374.7,7 HCPCS,D9950,Occlusion analysis,,,648.44,1374.7,7 HCPCS,D9951,Limited occlusal adjustment,,,648.44,1374.7,7 HCPCS,D9952,Complete occlusal adjustment,,,648.44,1374.7,7 HCPCS,E1905,Vr cbt therapy,,,674.77,1430.51,7 HCPCS,G0008,Admin influenza virus vac,,,46.97,99.57,7 HCPCS,G0008,Hc Admin Influenza Virus Vac,155.0,155.0,,,0 HCPCS,G0008,Noncdm Charge Record,141.95499999999998,141.95499999999998,,,0 HCPCS,G0009,Admin pneumococcal vaccine,,,46.97,99.57,7 HCPCS,G0009,Hc Admin Pneumococcal Vaccine,150.0,150.0,,,0 HCPCS,G0009,Noncdm Charge Record,145.44,145.44,,,0 HCPCS,G0010,Admin hepatitis b vaccine,,,46.97,99.57,7 HCPCS,G0010,Hc Admin Hepatitis B Vaccine,150.0,150.0,,,0 HCPCS,G0010,Noncdm Charge Record,146.0,146.0,,,0 HCPCS,G0012,Injection of hiv prep drug,,,72.22,153.1,7 HCPCS,G0013,"Hiv prep counsel, clin staff",,,37.58,79.67,7 HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,101.9,216.02,7 HCPCS,G0023,Pin service 60m per month,,,101.9,216.02,7 HCPCS,G0027,Semen analysis,,,4.88,13.78,13 HCPCS,G0101,CA screen;pelvic/breast exam,,,101.9,216.02,7 HCPCS,G0103,Hc Prostate Specific Antigen Scr,329.5,329.5,,,0 HCPCS,G0103,PSA Screening,,,14.48,40.94,13 HCPCS,G0104,CA screen;flexi sigmoidscope,,,932.77,4840.09,18 HCPCS,G0104,Hc Ca Screen;Flexi Sigmoidscope,3011.0,3011.0,,,0 HCPCS,G0104,Hc Pbb Ca Screen;Flexi Sigmoidscope,1033.0,1033.0,,,0 HCPCS,G0105,Colorectal scrn; hi risk ind,,,932.77,5345.54,19 HCPCS,G0105,Hc Colorectal Scrn; Hi Risk Ind,4798.0,4798.0,,,0 HCPCS,G0105,Hc Pbb Colorectal Scrn; Hi Risk Ind,1579.0,1579.0,,,0 HCPCS,G0106,Colon CA screen;barium enema,,,237.18,4840.09,10 HCPCS,G0108,Diab manage trn per indiv,,,56.53,119.84,7 HCPCS,G0108,Hc Diab Manage Trn Per Indiv,225.0,225.0,,,0 HCPCS,G0109,Diab manage trn ind/group,,,16.24,34.43,7 HCPCS,G0109,Hc Pbb Diab Manage Trn Ind/Group,64.0,64.0,,,0 HCPCS,G0117,Glaucoma scrn hgh risk direc,,,29.01,61.5,7 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,37.46,79.42,7 HCPCS,G0120,Colon ca scrn; barium enema,,,237.18,4840.09,10 HCPCS,G0120,Noncdm Charge Record,903.0,903.0,,,0 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,932.77,5345.54,19 HCPCS,G0121,Hc Colon Ca Scrn Not Hi Rsk Ind,3599.0,3599.0,,,0 HCPCS,G0121,Hc Pbb Colon Ca Scrn Not Hi Rsk Ind,2091.0,2091.0,,,0 HCPCS,G0122,Colon ca scrn; barium enema,,,407.81,663.15,8 HCPCS,G0123,Hc Cyto - Auto Thp - Man. Scrn,462.5,462.5,,,0 HCPCS,G0123,Screen cerv/vag thin layer,,,15.2,42.95,13 HCPCS,G0124,Screen c/v thin layer by MD,,,17.68,32.21,6 HCPCS,G0127,Trim nail(s),,,59.17,4840.09,12 HCPCS,G0130,Single energy x-ray study,,,38.52,280.2,15 HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,37.58,79.67,7 HCPCS,G0136,"Hc Administration Of A Standardized, Evidence-Based Social Determinants Of Health Risk Assessment To",66.0,66.0,,,0 HCPCS,G0138,"Hc Iv Infusion Of Cipaglucosidase Alfa-Atga, Including Provider/Supplier Acquisition And Clinical Su",1795.0,1795.0,,,0 HCPCS,G0140,Nav srv peer sup 60 min pr m,,,101.9,216.02,7 HCPCS,G0141,"Scr c/v cyto,autosys and md",,,17.68,32.21,6 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,20.29,57.35,13 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,32.98,93.22,13 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,19.87,56.16,13 HCPCS,G0147,"Scr c/v cyto, automated sys",,,13.32,39.3,13 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,23.96,67.71,13 HCPCS,G0166,"Extrnl counterpulse, per tx",,,133.45,3590.0,8 HCPCS,G0168,Noncdm Charge Record Medical Supplies,39.62,39.62,,,0 HCPCS,G0168,Wound closure by adhesive,,,1343.0,2572.0,3 HCPCS,G0175,"Opps service,sched team conf",,,418.52,887.27,7 HCPCS,G0183,Software meas of cardiac vol,,,87.29,185.05,7 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,551.66,4840.09,16 HCPCS,G0219,Pet img wholbod melano nonco,,,2404.0,3993.0,3 HCPCS,G0235,PET not otherwise specified,,,400.98,3993.0,12 HCPCS,G0237,Hc Therapeutic Procd Strg Endur,201.0,201.0,,,0 HCPCS,G0237,Therapeutic procd strg endur,,,29.01,61.5,7 HCPCS,G0238,"Hc Oth Resp Proc, Indiv",201.0,201.0,,,0 HCPCS,G0238,"Oth resp proc, indiv",,,29.01,61.5,7 HCPCS,G0239,"Hc Rt Oth Resp Proc, Group",201.0,201.0,,,0 HCPCS,G0239,"Oth resp proc, group",,,37.46,79.42,7 HCPCS,G0245,Initial foot exam pt lops,,,133.54,283.1,7 HCPCS,G0246,Followup eval of foot pt lop,,,133.54,283.1,7 HCPCS,G0247,Routine footcare pt w lops,,,201.24,4840.09,9 HCPCS,G0248,Demonstrate use home inr mon,,,133.54,283.1,7 HCPCS,G0249,Provide INR test mater/equip,,,133.54,283.1,7 HCPCS,G0252,PET imaging initial dx,,,2404.0,3993.0,2 HCPCS,G0257,Hc Unsched Dialysis Esrd Pt Hos,4290.0,4290.0,,,0 HCPCS,G0257,Unsched dialysis ESRD pt hos,,,688.39,1459.39,7 HCPCS,G0259,Inject for sacroiliac joint,,,1343.0,2987.0,5 HCPCS,G0260,"Hc Inj Sacroiliac Joint, Provision Of Anesth, Steriod And/Or Other Agent, W/Wo Arthrography",4005.0,4005.0,,,0 HCPCS,G0260,Inj for sacroiliac jt anesth,,,708.02,4840.09,19 HCPCS,G0268,Removal of impacted wax md,,,1343.0,2572.0,3 HCPCS,G0269,"Hc Plcmnt Of Vascular Closure Device, Venous Or Arterial Access Site",1456.0,1456.0,,,0 HCPCS,G0269,Occlusive device in vein art,,,1343.0,2572.0,3 HCPCS,G0270,"Hc Medical Nutrition Therapy; Reassessment And Subsequent Intervention(S) Following Second Referral,",92.0,92.0,,,0 HCPCS,G0270,MNT subs tx for change dx,,,22.26,47.19,7 HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.51,26.52,7 HCPCS,G0271,"Hc Medical Nutrition Therapy, Reassessment And Subsequent Intervention(S) Following Second Referral,",52.0,52.0,,,0 HCPCS,G0276,Pild/placebo control clin tr,,,7118.0,15429.7,12 HCPCS,G0277,"Hc Hbot, Full Body Chamber, 30M - Elective",1025.0,1025.0,,,0 HCPCS,G0278,"Hc Cath Iliac Art Angio,Cardiac Cath",4158.0,4158.0,,,0 HCPCS,G0279,"Hc Diagnostic Digital Breast Tomosynthesis, Bilateral",308.0,308.0,,,0 HCPCS,G0279,"Hc Diagnostic Digital Breast Tomosynthesis, Unilateral",308.0,308.0,,,0 HCPCS,G0279,"Tomosynthesis, mammo",,,12.9,165.0,16 HCPCS,G0281,Elec stim unattend for press,,,11.18,23.7,7 HCPCS,G0281,Hc Pt Elec Stim Unattend For Press,308.0,308.0,,,0 HCPCS,G0283,Elec stim other than wound,,,12.88,27.31,7 HCPCS,G0283,Hc Ot Elec Stim Other Than Wound,308.0,308.0,,,0 HCPCS,G0283,Hc Pt Elec Stim Other Than Wound,308.0,308.0,,,0 HCPCS,G0289,"Arthro, loose body + chondro",,,1343.0,2572.0,3 HCPCS,G0293,"Non-cov surg proc,clin trial",,,37.46,4840.09,9 HCPCS,G0294,"Non-cov proc, clinical trial",,,37.46,4840.09,9 HCPCS,G0296,Visit to determ ldct elig,,,101.9,216.02,7 HCPCS,G0302,Pre-op service LVRS complete,,,374.29,793.49,7 HCPCS,G0303,Pre-op service LVRS 10-15dos,,,216.58,459.14,7 HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,374.29,793.49,7 HCPCS,G0305,Post op service LVRS min 6,,,374.29,793.49,7 HCPCS,G0306,CBC/diffwbc w/o platelet,,,5.83,16.47,13 HCPCS,G0307,CBC without platelet,,,4.85,13.72,13 HCPCS,G0323,Care manage beh svs 20mins,,,37.58,79.67,7 HCPCS,G0328,Fecal blood scrn immunoassay,,,13.54,38.27,12 HCPCS,G0328,Hc Fecal Blood Scrn Immunoassay,114.0,114.0,,,0 HCPCS,G0329,Electromagntic tx for ulcers,,,10.9,23.11,7 HCPCS,G0330,Facility svs dental rehab,,,3325.49,7050.03,7 HCPCS,G0339,"Robot lin-radsurg com, first",,,6397.41,10318.4,7 HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,5252.83,8472.31,7 HCPCS,G0341,Percutaneous islet celltrans,,,4962.02,7972.53,3 HCPCS,G0342,Laparoscopy islet cell trans,,,6580.16,10674.37,3 HCPCS,G0343,Laparotomy islet cell transp,,,6580.16,10674.37,3 HCPCS,G0364,Bone marrow aspirate &biopsy,,,2572.0,2572.0,1 HCPCS,G0365,Vessel mapping hemo access,,,3051.0,4840.09,3 HCPCS,G0378,Hb Observation Carve-Out - Apheresis 2 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Cardiology,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Cardiology 1 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Cardiology 3 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Dialysis 4 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Dialysis 5 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out - Neurology 1 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hb Observation Carve-Out Radiology 1 Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hc Observation Carve-Out - Gastrointestinal,89.0,89.0,,,0 HCPCS,G0378,Hc Observation Carve-Out - Radiology,89.0,89.0,,,0 HCPCS,G0378,Hc Observation Carve-Out - Radiology 2Hr Px,89.0,89.0,,,0 HCPCS,G0378,Hc Observation Carve-Out - Respiratory,89.0,89.0,,,0 HCPCS,G0378,Hc Observation Hourly,89.0,89.0,,,0 HCPCS,G0379,Direct refer hospital observ,,,597.33,1266.34,7 HCPCS,G0379,Hc Direct Admit To Observation,1630.0,1630.0,,,0 HCPCS,G0396,Alcohol/subs interv 15-30mn,,,37.58,79.67,7 HCPCS,G0396,Hc Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment And Brief Intervention,82.0,82.0,,,0 HCPCS,G0397,Alcohol/subs interv >30 min,,,178.03,377.43,7 HCPCS,G0397,"Hc Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment, And Intervention, Gre",402.0,402.0,,,0 HCPCS,G0398,Home sleep test/type 2 porta,,,216.58,459.14,7 HCPCS,G0399,Home sleep test/type 3 porta,,,216.58,459.14,7 HCPCS,G0400,Home sleep test/type 4 porta,,,216.58,459.14,7 HCPCS,G0402,Initial preventive exam,,,133.54,283.1,7 HCPCS,G0404,EKG tracing for initial prev,,,29.01,61.5,7 HCPCS,G0410,Hc Group Therapy 60 Minutes,315.0,315.0,,,0 HCPCS,G0412,Open tx iliac spine uni/bil,,,3514.53,15429.7,14 HCPCS,G0413,Hc Pelvic Ring Fracture Uni/Bil,840.0,840.0,,,0 HCPCS,G0413,Pelvic ring fracture uni/bil,,,3514.53,15429.7,19 HCPCS,G0414,Pelvic ring fx treat int fix,,,3514.53,15429.7,14 HCPCS,G0415,Open tx post pelvic fxcture,,,3281.9,9172.0,14 HCPCS,G0416,Hc Prostate Biopsy 10-12,562.5,562.5,,,0 HCPCS,G0416,"Prostate biopsy, any mthd",,,140.95,762.2,13 HCPCS,G0424,Hc Pulmonary Rehab W Exer,391.0,391.0,,,0 HCPCS,G0429,Dermal filler injection(s),,,2069.52,4387.38,8 HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,14.68,41.49,13 HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,13.72,38.77,13 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,8.99,25.4,13 HCPCS,G0442,Annual alcohol screen 15 min,,,37.58,79.67,7 HCPCS,G0443,Brief alcohol misuse counsel,,,101.9,216.02,7 HCPCS,G0444,Depression Screen annual,,,37.58,79.67,7 HCPCS,G0444,"Hc Annual Depression Screening, 5 To 15 Minutes",63.0,63.0,,,0 HCPCS,G0445,High inten beh couns STD 30m,,,101.9,216.02,7 HCPCS,G0446,Intens behave ther cardio dx,,,37.58,79.67,7 HCPCS,G0447,Behavior counsel obesity 15m,,,101.9,216.02,7 HCPCS,G0448,Place perm pacing cardiovert,,,5405.0,10249.52,5 HCPCS,G0451,Devlopment test interpt&rep,,,101.9,216.02,7 HCPCS,G0452,Hc Clin Lab Interpretation Serv,30.0,30.0,,,0 HCPCS,G0452,Molecular pathology interpr,,,2.48,4.47,6 HCPCS,G0453,Cont intraop neuro monitor,,,1343.0,2572.0,3 HCPCS,G0455,Fecal microbiota prep instil,,,932.77,4840.09,11 HCPCS,G0455,Hc Fecal Microbiota Transplant,759.0,759.0,,,0 HCPCS,G0458,LDR Prostate Brachy comp rat,,,6187.0,6187.0,1 HCPCS,G0460,Autologous PRP for ulcers,,,2069.52,4387.38,7 HCPCS,G0463,Hc Hosp Op Clinic Visit-Mcare Only,120.0,120.0,,,0 HCPCS,G0463,Hospital outpt clinic visit,,,133.54,283.1,7 HCPCS,G0463,Noncdm Charge Record,444.0,444.0,,,0 HCPCS,G0465,Autolog prp diab wound ulcer,,,2069.52,4387.38,7 HCPCS,G0471,Ven blood coll snf/hha,,,8.12,24.04,11 HCPCS,G0472,Hep c screen high risk/other,,,34.76,98.26,12 HCPCS,G0473,Group behave couns 2-10,,,37.58,79.67,7 HCPCS,G0475,Hiv combination assay,,,18.06,51.05,13 HCPCS,G0476,Hpv combo assay ca screen,,,26.32,74.39,13 HCPCS,G0480,Drug test def 1-7 classes,,,85.82,242.59,13 HCPCS,G0480,Hc Drug Screening Cannabinoids Natural - Buprenophine Confirmation,234.0,234.0,,,0 HCPCS,G0480,Hc Drug Screening Cannabinoids Natural - Cannabinoid Confirmation Urine,234.0,234.0,,,0 HCPCS,G0480,Hc Drug Screening Cannabinoids Natural - Thc Confirmation Urine Random,234.0,234.0,,,0 HCPCS,G0480,Hc Drug Screening Cocaine - Methadone,234.0,234.0,,,0 HCPCS,G0480,Hc Drug Test Definitive Drug Id Method Per Day 1-7 Drug Class(Es),234.0,234.0,,,0 HCPCS,G0481,Drug test def 8-14 classes,,,117.44,331.97,13 HCPCS,G0481,"Hc Drug Test Definitive 8-14 Classes -Pain Management Doa Panel1, Urine",469.0,469.0,,,0 HCPCS,G0481,Hc Drug Test Definitive Drug Id Method Per Day 8-14 Drug Class(Es),469.0,469.0,,,0 HCPCS,G0482,Drug test def 15-21 classes,,,149.06,421.33,13 HCPCS,G0482,"Hc Drug Test Definitive 15-21 Classes - Pain Management Doa Panel2, Urine",702.0,702.0,,,0 HCPCS,G0482,Hc Drug Test Definitive Drug Id Method Per Day 15-21 Drug Class(Es),702.0,702.0,,,0 HCPCS,G0482,Noncdm Charge Record,205.18,205.18,,,0 HCPCS,G0483,Drug test def 22+ classes,,,185.19,523.47,13 HCPCS,G0483,Hc Drug Test Definitive Drug Id Method Per Day 22+ Drug Class(Es),936.0,936.0,,,0 HCPCS,G0498,Chemo extend iv infus w/pump,,,331.3,702.37,7 HCPCS,G0499,Hepb screen high risk indiv,,,21.2,59.93,13 HCPCS,G0516,"Insert drug del implant, >4",,,448.08,4221.48,15 HCPCS,G0517,Remove drug implant,,,448.08,4221.48,15 HCPCS,G0518,Remove w insert drug implant,,,448.08,4221.48,15 HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,37.58,79.67,7 HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,101.9,216.02,7 HCPCS,G0541,No pt prsnt train initial 30,,,29.01,61.5,7 HCPCS,G0543,Group train w/o patient,,,29.01,61.5,7 HCPCS,G0544,Post d/c phone follow up,,,101.9,216.02,7 HCPCS,G0552,Supply of digital device,,,133.54,283.1,7 HCPCS,G0553,Monthly tx for dmht 20mins,,,133.54,283.1,7 HCPCS,G0555,Replacment pt electronic sys,,,861.34,1826.04,7 HCPCS,G0556,Adv prim care mgmt lvl 1,,,37.58,79.67,7 HCPCS,G0557,Adv prim care mgmt lvl 2,,,37.58,79.67,7 HCPCS,G0558,Adv prim care mgmt lvl 3,,,101.9,216.02,7 HCPCS,G0561,"Temp tube delivery, unil",,,1343.0,1580.0,2 HCPCS,G0562,Complex simulation w/pet-ct,,,1914.92,4059.64,7 HCPCS,G0564,365 d implant glucose sensor,,,4419.21,7870.0,5 HCPCS,G0565,Rem/ins glu snsr 365 dif sit,,,4419.21,7870.0,5 HCPCS,G0566,3d bn img algor drvd fr mri,,,129.06,273.61,7 HCPCS,G0567,Screening Hep C detect,,,35.09,74.39,7 HCPCS,G0568,"Int psych care mng, 1 cal mo",,,101.9,216.02,7 HCPCS,G0569,"Subs psych care mng, subs mo",,,101.9,216.02,7 HCPCS,G0570,"Care manage serv, pr cal mo",,,37.58,79.67,7 HCPCS,G0659,Drug test def simple all cl,,,46.61,131.74,13 HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,374.29,4840.09,9 HCPCS,G2011,Alcohol/sub abuse assess,,,29.01,61.5,7 HCPCS,G2062,Hc Pt E-Visit-Covid 11-20 Min,91.0,91.0,,,0 HCPCS,G2063,Hc Ot E-Visit-Covid 21+ Min,140.0,140.0,,,0 HCPCS,G2063,Hc Pt E-Visit-Covid 21+ Min,140.0,140.0,,,0 HCPCS,G2063,Hc Sp E-Visit-Covid 21+ Min,140.0,140.0,,,0 HCPCS,G2066,Hc Ide Loop Recorder Tech,172.0,172.0,,,0 HCPCS,G2082,Hc Estpt Esketmn Adm 2Hrspost Obs,2178.0,2178.0,,,0 HCPCS,G2083,Hc Estpt Esketmn Adm 2Hrspost Obs,3182.0,3182.0,,,0 HCPCS,G2086,Off base opioid tx 70min,,,178.03,377.43,7 HCPCS,G2087,"Off base opioid tx, 60 m",,,178.03,377.43,7 HCPCS,G2170,Avf by tissue w thermal e,,,11403.39,11403.39,2 HCPCS,G2171,Avf use magnetic/art/ven,,,11403.39,11403.39,2 HCPCS,G2212,Noncdm Charge Record,113.0,113.0,,,0 HCPCS,G2214,Init/sub psych care m 1st 30,,,101.9,216.02,7 HCPCS,G6001,Echo guidance radiotherapy,,,219.92,321.86,6 HCPCS,G6002,Stereoscopic x-ray guidance,,,81.4,119.14,6 HCPCS,G6003,Radiation treatment delivery,,,288.1,464.68,4 HCPCS,G6004,Radiation treatment delivery,,,236.35,381.21,4 HCPCS,G6005,Radiation treatment delivery,,,236.98,382.23,4 HCPCS,G6006,Radiation treatment delivery,,,235.11,379.21,4 HCPCS,G6007,Radiation treatment delivery,,,430.23,693.92,4 HCPCS,G6008,Radiation treatment delivery,,,326.2,526.13,4 HCPCS,G6009,Radiation treatment delivery,,,325.59,525.14,4 HCPCS,G6010,Radiation treatment delivery,,,323.09,521.11,4 HCPCS,G6011,Radiation treatment delivery,,,429.07,692.05,4 HCPCS,G6012,Radiation treatment delivery,,,429.7,693.06,4 HCPCS,G6013,Radiation treatment delivery,,,431.57,696.08,4 HCPCS,G6014,Radiation treatment delivery,,,428.44,691.03,4 HCPCS,G6015,Radiation tx delivery imrt,,,666.3,1074.67,4 HCPCS,G6016,Delivery comp imrt,,,662.76,1068.98,4 HCPCS,G6017,Intrafraction track motion,,,165.83,267.47,4 HCPCS,G8907,Hc Pt Documnted Not To Hve Expernce W/Evnts For Four Outcme Measurs Prior To Dschg,0.01,0.01,,,0 HCPCS,G8908,Hc Patient Documented To Have Received A Burn Prior To Discharge,0.01,0.01,,,0 HCPCS,G8909,Hc Pr Patient Documented No Burn Prior To D/C,0.01,0.01,,,0 HCPCS,G8910,Hc Pr Patient Documented To Have Experienced A Fall Within Asc,0.01,0.01,,,0 HCPCS,G8911,Hc Pr Patient Documented Not To Have Experienced A Fall In Asc,0.01,0.01,,,0 HCPCS,G8912,"Hc Pat Documntd To Hve Exp A Wrng Site,Wrng Side,Wrng Pt,Wrng Proc/Wrng Implt Evnt",0.01,0.01,,,0 HCPCS,G8913,Hc Pr Patient Documented Not To Have Wrong Event,0.01,0.01,,,0 HCPCS,G8914,Hc Pr Patient Documented To Have Experienced Hospital Transfer Or Admission Upon D/C From Asc,0.01,0.01,,,0 HCPCS,G8915,Hc Pr Patient Not To Have Experienced Transfer To Hosp At D/C,0.01,0.01,,,0 HCPCS,G8916,"Hc Pt W/Preoprtv Ord For Iv Antibiotc Ssi Prophylxis Antibiotc,Initiated On Time",0.01,0.01,,,0 HCPCS,G8917,"Hc Pt W/Preoprtv Ord For Iv Antibiotic Ssi Prophylaxis, Antibiotic,Not Initiated On Time",0.01,0.01,,,0 HCPCS,G8918,Hc Patient Without Preoperative Order For Iv Antibiotic Ssi Prophylaxis,0.01,0.01,,,0 HCPCS,G9143,Warfarin respon genetic test,,,90.54,120.72,5 HCPCS,H0015,Hc Intensive Op Alcohol/Drug Treatment,1758.0,1758.0,,,0 HCPCS,H0035,"Hc Mental Health Partial Hospitalization, Treatment, Less Than 24 Hours",1949.0,1949.0,,,0 HCPCS,H2036,"Hc Alcohol And/Or Other Drug Treatment Program, Per Diem - Mental Health",880.0,880.0,,,0 HCPCS,J0121,NDC Description Not Available,11.21,11.21,,,0 HCPCS,J0121,"Nuzyra: 10 Vial, Glass In 1 Carton (71715-001-02) / 10 Ml In 1 Vial, Glass (71715-001-01)",11.46,11.46,,,0 HCPCS,J0122,NDC Description Not Available,5.51,5.51,,,0 HCPCS,J0122,"Xerava: 1 Vial, Glass In 1 Carton (71773-050-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.74,6.74,,,0 HCPCS,J0122,"Xerava: 12 Carton In 1 Package (71773-100-12) / 1 Vial, Glass In 1 Carton (71773-100-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4.85,4.85,,,0 HCPCS,J0122,"Xerava: 12 Vial, Glass In 1 Carton (71773-050-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.53,6.53,,,0 HCPCS,J0129,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J0129,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",128.87,128.87,,,0 HCPCS,J0131,Acetaminophen: 24 Bag In 1 Carton (67457-940-10) / 100 Ml In 1 Bag,1.62,1.62,,,0 HCPCS,J0131,Acetaminophen: 40 Bag In 1 Carton (36000-306-60) / 100 Ml In 1 Bag,0.41,0.41,,,0 HCPCS,J0131,NDC Description Not Available,0.51,0.51,,,0 HCPCS,J0131,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",1.7449999999999999,1.7449999999999999,,,0 HCPCS,J0132,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,9.98,9.98,,,0 HCPCS,J0132,Acetylcysteine: 4 Vial In 1 Carton (70069-788-04) / 30 Ml In 1 Vial,4.0,4.0,,,0 HCPCS,J0132,Acetylcysteine: 4 Vial In 1 Carton (70594-111-02) / 30 Ml In 1 Vial (70594-111-01),4.33,4.33,,,0 HCPCS,J0132,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",14.18,14.18,,,0 HCPCS,J0132,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (72611-860-04) / 30 Ml In 1 Vial, Single-Dose (72611-860-01)",2.67,2.67,,,0 HCPCS,J0132,NDC Description Not Available,3.8049999999999997,3.8049999999999997,,,0 HCPCS,J0133,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.675,0.675,,,0 HCPCS,J0133,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.97,0.97,,,0 HCPCS,J0133,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.18,1.18,,,0 HCPCS,J0133,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-20) / 20 Ml In 1 Vial, Single-Dose (63323-325-09)",0.76,0.76,,,0 HCPCS,J0133,NDC Description Not Available,0.785,0.785,,,0 HCPCS,J0134,Acetaminophen: 20 Bag In 1 Case (63323-434-00) / 100 Ml In 1 Bag (63323-434-41),0.41,0.41,,,0 HCPCS,J0134,NDC Description Not Available,0.41,0.41,,,0 HCPCS,J0136,Acetaminophen: 24 Container In 1 Case (0264-4100-90) / 100 Ml In 1 Container,0.345,0.345,,,0 HCPCS,J0139,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,376.47,376.47,,,0 HCPCS,J0153,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-01) / 20 mL in 1 VIAL, SINGLE-DOSE",5.49,5.49,,,0 HCPCS,J0153,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-02) / 30 mL in 1 VIAL, SINGLE-DOSE",8.29,8.29,,,0 HCPCS,J0153,Adenosine: 1 Vial In 1 Carton (67457-856-20) / 20 Ml In 1 Vial,11.36,11.36,,,0 HCPCS,J0153,Adenosine: 1 Vial In 1 Carton (67457-857-30) / 30 Ml In 1 Vial,9.42,9.42,,,0 HCPCS,J0153,"Adenosine: 1 Vial, Single-Dose In 1 Carton (55150-192-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 HCPCS,J0153,Adenosine: 10 Vial In 1 Carton (17478-542-02) / 2 Ml In 1 Vial,0.965,0.965,,,0 HCPCS,J0153,"Adenosine: 10 Vial, Single-Dose In 1 Carton (67457-855-02) / 2 Ml In 1 Vial, Single-Dose (67457-855-00)",27.12,27.12,,,0 HCPCS,J0153,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",8.17,8.17,,,0 HCPCS,J0153,NDC Description Not Available,4.385,4.385,,,0 HCPCS,J0171,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,3.57,3.57,,,0 HCPCS,J0171,Adrenalin: 1 Vial In 1 Carton (42023-168-99) / 30 Ml In 1 Vial,3.61,3.61,,,0 HCPCS,J0171,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),6.46,6.46,,,0 HCPCS,J0171,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.94,296.94,,,0 HCPCS,J0171,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,3.805,3.805,,,0 HCPCS,J0171,Epinephrine: 1 Vial In 1 Carton (54288-600-01) / 10 Ml In 1 Vial,3.255,3.255,,,0 HCPCS,J0171,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,3.06,3.06,,,0 HCPCS,J0171,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,33.93,33.93,,,0 HCPCS,J0171,"Epinephrine: 10 Carton In 1 Package (0409-4933-01) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4933-11)",3.09,3.09,,,0 HCPCS,J0171,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,5.445,5.445,,,0 HCPCS,J0171,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,4.22,4.22,,,0 HCPCS,J0171,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.98,296.98,,,0 HCPCS,J0171,Epinephrine: 2 Container In 1 Carton (0093-5986-27) / 1 Syringe In 1 Container (0093-5986-19) / .3 Ml In 1 Syringe,416.81,416.81,,,0 HCPCS,J0171,"Epinephrine: 2 Container In 1 Carton (49502-102-02) / 1 Syringe, Glass In 1 Container (49502-102-01) / .3 Ml In 1 Syringe, Glass",450.8,450.8,,,0 HCPCS,J0171,NDC Description Not Available,5.64,5.64,,,0 HCPCS,J0171,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),3.6,3.6,,,0 HCPCS,J0174,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",3.41,3.41,,,0 HCPCS,J0174,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",3.15,3.15,,,0 HCPCS,J0175,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",9.83,9.83,,,0 HCPCS,J0180,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0040-1) / 7 Ml In 1 Vial, Glass",508.69,508.69,,,0 HCPCS,J0180,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0041-1) / 1 Ml In 1 Vial, Glass",481.43,481.43,,,0 HCPCS,J0185,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",8.37,8.37,,,0 HCPCS,J0202,"Campath: 1 Vial, Single-Use In 1 Carton (58468-0357-1) / 1 Ml In 1 Vial, Single-Use",0.06,0.06,,,0 HCPCS,J0219,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1) / 10 Ml In 1 Vial, Single-Dose",51.09,51.09,,,0 HCPCS,J0222,"Onpattro: 1 Vial, Single-Dose In 1 Carton (71336-1000-1) / 5 Ml In 1 Vial, Single-Dose",242.14,242.14,,,0 HCPCS,J0223,"Givlaari: 1 Vial, Single-Use In 1 Carton (71336-1001-1) / 1 Ml In 1 Vial, Single-Use",270.71,270.71,,,0 HCPCS,J0225,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",11801.41,11801.41,,,0 HCPCS,J0248,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.91,14.91,,,0 HCPCS,J0256,Prolastin-C Liquid: 1 Vial In 1 Carton (13533-705-01) / 20 Ml In 1 Vial (13533-705-11),0.03,0.03,,,0 HCPCS,J0256,"Zemaira: 1 Kit In 1 Carton (0053-7201-02) * 20 Ml In 1 Vial, Single-Dose (0053-7211-01) * 20 Ml In 1 Vial, Single-Dose (0053-7653-20)",13.53,13.53,,,0 HCPCS,J0270,NDC Description Not Available,1.57,1.57,,,0 HCPCS,J0270,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),1.58,1.58,,,0 HCPCS,J0278,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-41) / 2 Ml In 1 Vial, Glass (23155-290-31)",6.24,6.24,,,0 HCPCS,J0278,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-42) / 4 Ml In 1 Vial, Glass (23155-290-32)",7.06,7.06,,,0 HCPCS,J0278,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-785-41) / 2 Ml In 1 Vial, Glass (23155-785-31)",4.77,4.77,,,0 HCPCS,J0278,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-786-41) / 4 Ml In 1 Vial, Glass (23155-786-31)",4.74,4.74,,,0 HCPCS,J0278,"Amikacin Sulfate: 10 Vial, Single-Dose In 1 Carton (63323-815-02) / 2 Ml In 1 Vial, Single-Dose (63323-815-21)",10.82,10.82,,,0 HCPCS,J0278,NDC Description Not Available,4.35,4.35,,,0 HCPCS,J0280,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",15.45,15.45,,,0 HCPCS,J0280,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5922-01) / 20 Ml In 1 Vial, Single-Dose (0409-5922-16)",45.35,45.35,,,0 HCPCS,J0280,NDC Description Not Available,54.959999999999994,54.959999999999994,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18) / 18 Ml In 1 Vial, Glass",2.15,2.15,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (72078-046-18) / 18 Ml In 1 Vial, Glass",1.97,1.97,,,0 HCPCS,J0282,Amiodarone Hydrochloride: 10 Vial In 1 Carton (70436-232-52) / 3 Ml In 1 Vial,2.6,2.6,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-03) / 3 Ml In 1 Vial, Glass (67457-153-00)",3.31,3.31,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-09) / 9 Ml In 1 Vial, Glass (67457-153-99)",2.24,2.24,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (72078-046-09) / 9 Ml In 1 Vial, Glass (72078-046-00)",2.08,2.08,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 10 Vial, Single-Dose In 1 Tray (63323-616-09) / 9 Ml In 1 Vial, Single-Dose (63323-616-02)",1.78,1.78,,,0 HCPCS,J0282,Amiodarone Hydrochloride: 25 Vial In 1 Box (0143-9875-25) / 3 Ml In 1 Vial (0143-9875-01),1.73,1.73,,,0 HCPCS,J0282,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03) / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",1.71,1.71,,,0 HCPCS,J0282,NDC Description Not Available,1.795,1.795,,,0 HCPCS,J0282,amiodarone hydrochloride: 10 SYRINGE in 1 CARTON (25021-302-66) / 3 mL in 1 SYRINGE,11.27,11.27,,,0 HCPCS,J0283,Nexterone: 100 Ml In 1 Bag (43066-150-10),30.02,30.02,,,0 HCPCS,J0285,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),209.465,209.465,,,0 HCPCS,J0285,NDC Description Not Available,19.68,19.68,,,0 HCPCS,J0289,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",153.04,153.04,,,0 HCPCS,J0290,"Ampicillin Sodium: 10 Vial In 1 Carton (72485-422-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-422-01)",7.66,7.66,,,0 HCPCS,J0290,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",6.44,6.44,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",14.35,14.35,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Carton (25021-137-20) / 1 Injection, Powder, For Solution In 1 Vial",8.09,8.09,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Tray (44567-101-10) / 1 Injection, Powder, For Solution In 1 Vial",7.055,7.055,,,0 HCPCS,J0290,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",11.88,11.88,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",10.04,10.04,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3404-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3404-85)",15.47,15.47,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",7.36,7.36,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",15.17,15.17,,,0 HCPCS,J0290,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9408-80)",15.114999999999998,15.114999999999998,,,0 HCPCS,J0290,NDC Description Not Available,7.585000000000001,7.585000000000001,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),18.54,18.54,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),16.48,16.48,,,0 HCPCS,J0295,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,34.14,34.14,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",25.16,25.16,,,0 HCPCS,J0295,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",25.92,25.92,,,0 HCPCS,J0295,"Ampicillin Sodium And Sulbactam Sodium: 10 Vial In 1 Carton (72485-417-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-417-01)",11.05,11.05,,,0 HCPCS,J0295,NDC Description Not Available,16.47,16.47,,,0 HCPCS,J0295,"Unasyn: 10 Vial In 1 Carton (0049-0013-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0013-81)",33.22,33.22,,,0 HCPCS,J0295,"Unasyn: 10 Vial In 1 Carton (0049-0014-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0014-81)",31.43,31.43,,,0 HCPCS,J0330,NDC Description Not Available,4.94,4.94,,,0 HCPCS,J0330,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",8.37,8.37,,,0 HCPCS,J0349,"Rezzayo: 1 Vial In 1 Carton (70842-240-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.1,24.1,,,0 HCPCS,J0360,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-0901-25) / 1 Ml In 1 Vial, Single-Dose",64.51,64.51,,,0 HCPCS,J0360,NDC Description Not Available,29.56,29.56,,,0 HCPCS,J0391,"Artesunate: 1 Injection, Powder, For Solution In 1 Vial (73607-002-01)",111.91,111.91,,,0 HCPCS,J0391,"Artesunate: 2 Kit In 1 Carton (73607-011-11) / 1 Kit In 1 Kit * 1 Injection, Powder, For Solution In 1 Vial (73607-002-01) * 1 Solution In 1 Vial (73607-003-02)",111.91,111.91,,,0 HCPCS,J0401,Abilify Maintena: 1 Kit In 1 Carton (59148-045-80) * 1.5 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.43,17.43,,,0 HCPCS,J0401,Abilify Maintena: 1 Kit In 1 Carton (59148-072-80) * 1.9 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.49,17.49,,,0 HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.27,15.41,7 HCPCS,J0456,Azithromycin: 10 Vial In 1 Carton (25021-180-66) / 5 Ml In 1 Vial,12.36,12.36,,,0 HCPCS,J0456,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),31.93,31.93,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",38.46,38.46,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",21.63,21.63,,,0 HCPCS,J0456,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66) / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",14.83,14.83,,,0 HCPCS,J0456,NDC Description Not Available,20.810000000000002,20.810000000000002,,,0 HCPCS,J0456,Zithromax: 10 Vial In 1 Carton (0069-3150-83) / 5 Ml In 1 Vial (0069-3150-84),26.48,26.48,,,0 HCPCS,J0457,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",78.02,78.02,,,0 HCPCS,J0457,NDC Description Not Available,59.06,59.06,,,0 HCPCS,J0461,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 HCPCS,J0461,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-526-63) / 1 Ml In 1 Vial, Single-Dose",0.48,0.48,,,0 HCPCS,J0461,"Atropine Sulfate: 10 Carton In 1 Box (16729-512-43) / 1 Vial, Multi-Dose In 1 Carton (16729-512-05) / 20 Ml In 1 Vial, Multi-Dose",0.38,0.38,,,0 HCPCS,J0461,"Atropine Sulfate: 10 Carton In 1 Package (0409-4911-34) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4911-11)",0.72,0.72,,,0 HCPCS,J0461,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,0.49,0.49,,,0 HCPCS,J0461,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.02,1.02,,,0 HCPCS,J0461,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-1010-25) / 1 mL in 1 VIAL, SINGLE-DOSE",0.7,0.7,,,0 HCPCS,J0461,NDC Description Not Available,1.16,1.16,,,0 HCPCS,J0475,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-155-01)",814.07,814.07,,,0 HCPCS,J0475,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-156-01)",627.57,627.57,,,0 HCPCS,J0475,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",628.29,628.29,,,0 HCPCS,J0480,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",11043.18,11043.18,,,0 HCPCS,J0485,Belatacept injection,,,3.89,8.25,7 HCPCS,J0485,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",9.48,9.48,,,0 HCPCS,J0490,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,121.34,121.34,,,0 HCPCS,J0490,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,40.09,40.09,,,0 HCPCS,J0491,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00) / 2 Ml In 1 Vial, Glass",33.06,33.06,,,0 HCPCS,J0500,Dicyclomine Hydrochloride: 2 Ml In 1 Vial (70436-147-80),167.21,167.21,,,0 HCPCS,J0500,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",106.09,106.09,,,0 HCPCS,J0500,Dicyclomine: 5 AMPULE in 1 CARTON (17478-015-02) / 2 mL in 1 AMPULE,312.3,312.3,,,0 HCPCS,J0500,NDC Description Not Available,136.995,136.995,,,0 HCPCS,J0515,NDC Description Not Available,169.47,169.47,,,0 HCPCS,J0517,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",467.76,467.76,,,0 HCPCS,J0561,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),83.79,83.79,,,0 HCPCS,J0561,NDC Description Not Available,94.24000000000001,94.24000000000001,,,0 HCPCS,J0565,"Zinplava: 1 Vial, Single-Dose In 1 Carton (0006-3025-00) / 40 Ml In 1 Vial, Single-Dose (0006-3025-01)",84.82,84.82,,,0 HCPCS,J0571,Buprenorphine: 30 Tablet In 1 Bottle (0054-0177-13),3.48,3.48,,,0 HCPCS,J0571,Buprenorphine: 30 Tablet In 1 Bottle (62756-460-83),3.81,3.81,,,0 HCPCS,J0571,NDC Description Not Available,1.9,1.9,,,0 HCPCS,J0577,"Inj, brixadi, 7 days or less",,,417.21,884.49,7 HCPCS,J0578,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-228-01) / .36 Ml In 1 Syringe, Glass",32.98,32.98,,,0 HCPCS,J0578,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-296-01) / .27 Ml In 1 Syringe, Glass",43.98,43.98,,,0 HCPCS,J0578,"Inj brixadi, more than 7 day",,,1668.84,3537.94,7 HCPCS,J0583,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (71288-427-11) / 5 Ml In 1 Vial, Single-Dose (71288-427-10)",1.21,1.21,,,0 HCPCS,J0583,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-9158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-9158-94)",9.66,9.66,,,0 HCPCS,J0583,NDC Description Not Available,2.51,2.51,,,0 HCPCS,J0585,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",16.22,16.22,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.27,16.27,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.95,15.95,,,0 HCPCS,J0585,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.4,16.4,,,0 HCPCS,J0585,"Hc Cams Injection,Onabotulinumtoxina",16.740000000000002,16.740000000000002,,,0 HCPCS,J0585,Noncdm Charge Record Pharmacy,15.96,15.96,,,0 HCPCS,J0586,"Dysport: 1 Vial In 1 Carton (0299-5962-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.12,0.12,,,0 HCPCS,J0586,"Dysport: 1 Vial In 1 Carton (15054-0500-1) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.41,21.41,,,0 HCPCS,J0586,"Dysport: 1 Vial In 1 Carton (15054-0530-6) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.63,21.63,,,0 HCPCS,J0587,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-710-10) / .5 Ml In 1 Vial, Single-Use",45.56,45.56,,,0 HCPCS,J0587,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",40.19,40.19,,,0 HCPCS,J0587,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-712-10) / 2 Ml In 1 Vial, Single-Use",32.29,32.29,,,0 HCPCS,J0588,Noncdm Charge Record Pharmacy,22.09,22.09,,,0 HCPCS,J0588,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1605-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",19.32,19.32,,,0 HCPCS,J0588,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1610-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",13.13,13.13,,,0 HCPCS,J0588,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1620-01) / 200 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.63,12.63,,,0 HCPCS,J0588,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-160-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.8,12.8,,,0 HCPCS,J0588,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-161-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",16.92,16.92,,,0 HCPCS,J0589,"Daxxify: 1 Vial, Single-Use In 1 Carton (72960-112-01) / 1.2 Ml In 1 Vial, Single-Use",10.63,10.63,,,0 HCPCS,J0589,Noncdm Charge Record Pharmacy,10.38,10.38,,,0 HCPCS,J0592,Buprenex: 5 AMPULE in 1 CARTON (12496-0757-5) / 1 mL in 1 AMPULE (12496-0757-1),16.48,16.48,,,0 HCPCS,J0592,NDC Description Not Available,18.67,18.67,,,0 HCPCS,J0594,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",6.81,6.81,,,0 HCPCS,J0594,NDC Description Not Available,7.35,7.35,,,0 HCPCS,J0597,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),179.01,179.01,,,0 HCPCS,J0601,NDC Description Not Available,1.55,1.55,,,0 HCPCS,J0601,"Sevelamer Carbonate: 100 Blister Pack In 1 Box, Unit-Dose (60687-328-31) / 1 Tablet, Film Coated In 1 Blister Pack (60687-328-33)",1.02,1.02,,,0 HCPCS,J0601,"Sevelamer Carbonate: 100 Blister Pack In 1 Carton (0904-6707-82) / 1 Tablet, Film Coated In 1 Blister Pack",2.17,2.17,,,0 HCPCS,J0601,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (16714-814-01)",1.01,1.01,,,0 HCPCS,J0601,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.55,0.55,,,0 HCPCS,J0601,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",0.45,0.45,,,0 HCPCS,J0602,NDC Description Not Available,3.135,3.135,,,0 HCPCS,J0602,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1054-90) / 1 Powder, For Suspension In 1 Packet (0955-1054-01)",1.73,1.73,,,0 HCPCS,J0602,"Sevelamer Carbonate: 90 Packet In 1 Carton (0115-1365-29) / 1 Powder, For Suspension In 1 Packet (0115-1365-30)",3.04,3.04,,,0 HCPCS,J0607,"Fosrenol: 9 Bottle In 1 Package (54092-254-90) / 10 Tablet, Chewable In 1 Bottle (54092-254-10)",0.26,0.26,,,0 HCPCS,J0607,NDC Description Not Available,0.26,0.26,,,0 HCPCS,J0612,"Calcium Gluconate: 20 Vial, Plastic In 1 Carton (70069-728-20) / 100 Ml In 1 Vial, Plastic (70069-728-01)",0.23,0.23,,,0 HCPCS,J0612,"Calcium Gluconate: 20 Vial, Plastic In 1 Tray (63323-360-61) / 100 Ml In 1 Vial, Plastic (63323-360-05)",0.23,0.23,,,0 HCPCS,J0612,Calcium Gluconate: 25 Vial In 1 Carton (0143-9180-25) / 10 Ml In 1 Vial (0143-9180-01),0.43,0.43,,,0 HCPCS,J0612,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-19) / 10 Ml In 1 Vial, Plastic (63323-360-01)",0.43,0.43,,,0 HCPCS,J0612,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-59) / 50 Ml In 1 Vial, Plastic (63323-360-03)",0.23,0.23,,,0 HCPCS,J0612,NDC Description Not Available,0.38,0.38,,,0 HCPCS,J0613,Calcium Gluconate In Sodium Chloride: 24 Pouch In 1 Carton (44567-620-24) / 1 Bag In 1 Pouch (44567-620-01) / 50 Ml In 1 Bag,0.85,0.85,,,0 HCPCS,J0613,NDC Description Not Available,0.85,0.85,,,0 HCPCS,J0630,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",5072.19,5072.19,,,0 HCPCS,J0630,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (42023-205-01) / 2 Ml In 1 Vial, Multi-Dose",5530.57,5530.57,,,0 HCPCS,J0630,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11) / 2 Ml In 1 Vial, Multi-Dose",4350.45,4350.45,,,0 HCPCS,J0630,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",4773.66,4773.66,,,0 HCPCS,J0630,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (72078-038-02) / 2 Ml In 1 Vial, Multi-Dose",5201.2,5201.2,,,0 HCPCS,J0636,Calcitriol: 10 AMPULE in 1 CARTON (17478-931-01) / 1 mL in 1 AMPULE,11.33,11.33,,,0 HCPCS,J0636,NDC Description Not Available,3.55,3.55,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5140-01) / 10 mL in 1 VIAL, SINGLE-USE",43.26,43.26,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",13.66,13.66,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,31.68,31.68,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,23.7,23.7,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Box (63323-711-00) / 50 Ml In 1 Vial,31.09,31.09,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9368-01) / 20 Ml In 1 Vial",13.68,13.68,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",18.61,18.61,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9553-01) / 20 Ml In 1 Vial",25.23,25.23,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,41.44,41.44,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-815-30) / 20 Ml In 1 Vial,39.12,39.12,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,40.28,40.28,,,0 HCPCS,J0640,Leucovorin Calcium: 1 Vial In 1 Carton (25021-828-50) / 50 Ml In 1 Vial,43.26,43.26,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",39.17,39.17,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",41.69,41.69,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.4,18.4,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",34.23,34.23,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-162-30) / 20 Ml In 1 Vial, Single-Dose",23.96,23.96,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-163-30) / 17.5 Ml In 1 Vial, Single-Dose",15.68,15.68,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-164-50) / 50 Ml In 1 Vial, Single-Dose",33.08,33.08,,,0 HCPCS,J0640,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-50) / 50 Ml In 1 Vial, Single-Use",48.84,48.84,,,0 HCPCS,J0666,Exparel: 10 Vial In 1 Carton (65250-266-09) / 20 Ml In 1 Vial (65250-266-20),6.69,6.69,,,0 HCPCS,J0666,Exparel: 4 Vial In 1 Carton (65250-133-04) / 10 Ml In 1 Vial (65250-133-10),5.64,5.64,,,0 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.41,2.99,7 HCPCS,J0666,NDC Description Not Available,5.43,5.43,,,0 HCPCS,J0670,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1036-30) / 30 mL in 1 VIAL, SINGLE-DOSE",7.35,7.35,,,0 HCPCS,J0670,NDC Description Not Available,29.845000000000002,29.845000000000002,,,0 HCPCS,J0670,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-260-37) / 30 Ml In 1 Vial, Single-Dose (63323-260-01)",20.28,20.28,,,0 HCPCS,J0670,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-294-27) / 20 Ml In 1 Vial, Single-Dose (63323-294-01)",40.05,40.05,,,0 HCPCS,J0688,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),2.915,2.915,,,0 HCPCS,J0690,Cefazolin Sodium: 24 Container In 1 Case (0264-3103-11) / 50 Ml In 1 Container,28.35,28.35,,,0 HCPCS,J0690,Cefazolin Sodium: 24 Container In 1 Case (0264-3105-11) / 50 Ml In 1 Container,15.96,15.96,,,0 HCPCS,J0690,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9261-10) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9261-01)",1.84,1.84,,,0 HCPCS,J0690,Cefazolin: 2.2 Ml In 1 Vial (0143-9923-90),8.48,8.48,,,0 HCPCS,J0690,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),2.29,2.29,,,0 HCPCS,J0690,"Cefazolin: 25 Vial In 1 Carton (0409-2585-01) / 1 Injection, Powder, For Solution In 1 Vial (0409-2585-11)",1.57,1.57,,,0 HCPCS,J0690,Cefazolin: 25 Vial In 1 Carton (25021-100-10) / 2.2 Ml In 1 Vial,6.18,6.18,,,0 HCPCS,J0690,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",6.859999999999999,6.859999999999999,,,0 HCPCS,J0690,Cefazolin: 25 Vial In 1 Carton (63323-237-10) / 3 Ml In 1 Vial (63323-237-01),3.81,3.81,,,0 HCPCS,J0690,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6142-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6142-0)",4.64,4.64,,,0 HCPCS,J0690,NDC Description Not Available,5.33,5.33,,,0 HCPCS,J0692,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.44499999999999,36.44499999999999,,,0 HCPCS,J0692,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",34.715,34.715,,,0 HCPCS,J0692,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",6.97,6.97,,,0 HCPCS,J0692,"Cefepime: 10 Vial In 1 Carton (25021-121-20) / 1 Injection, Powder, For Solution In 1 Vial",12.88,12.88,,,0 HCPCS,J0692,Cefepime: 10 Vial In 1 Carton (44567-240-10) / 20 Ml In 1 Vial,12.92,12.92,,,0 HCPCS,J0692,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,6.05,6.05,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6144-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",54.845,54.845,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.375,36.375,,,0 HCPCS,J0692,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",7.21,7.21,,,0 HCPCS,J0692,NDC Description Not Available,30.26,30.26,,,0 HCPCS,J0694,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3123-11) / 50 Ml In 1 Container,81.52,81.52,,,0 HCPCS,J0694,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3125-11) / 50 Ml In 1 Container,72.58,72.58,,,0 HCPCS,J0694,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",21.63,21.63,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",42.74,42.74,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",43.26,43.26,,,0 HCPCS,J0694,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",42.54,42.54,,,0 HCPCS,J0694,NDC Description Not Available,42.75,42.75,,,0 HCPCS,J0695,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",34.72,34.72,,,0 HCPCS,J0696,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3153-11) / 50 Ml In 1 Container,21.31,21.31,,,0 HCPCS,J0696,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3155-11) / 50 Ml In 1 Container,14.18,14.18,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",41.46,41.46,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",3.09,3.09,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6151-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",57.68,57.68,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",1.67,1.67,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-21)",1.54,1.54,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",1.54,1.54,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-21)",1.54,1.54,,,0 HCPCS,J0696,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",1.88,1.88,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",1.635,1.635,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Carton (25021-106-10) / 1 Injection, Powder, For Solution In 1 Vial",1.55,1.55,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20) / 1 Injection, Powder, For Solution In 1 Vial",2.485,2.485,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",3.35,3.35,,,0 HCPCS,J0696,"Ceftriaxone: 25 Vial In 1 Carton (44567-702-25) / 1 Injection, Powder, For Solution In 1 Vial",3.22,3.22,,,0 HCPCS,J0696,NDC Description Not Available,2.06,2.06,,,0 HCPCS,J0697,Cefuroxime Sodium: 25 Vial In 1 Carton (25021-119-20) / 20 Ml In 1 Vial,11.84,11.84,,,0 HCPCS,J0697,"Cefuroxime: 25 Vial In 1 Carton (0143-9567-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9567-01)",9.719999999999999,9.719999999999999,,,0 HCPCS,J0697,NDC Description Not Available,12.65,12.65,,,0 HCPCS,J0699,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",6.58,6.58,,,0 HCPCS,J0699,NDC Description Not Available,6.95,6.95,,,0 HCPCS,J0701,Cefepime: 12 Bag In 1 Box (0338-1301-48) / 100 Ml In 1 Bag,16.74,16.74,,,0 HCPCS,J0702,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Box (51754-5060-1) / 5 Ml In 1 Vial, Multi-Dose",17.09,17.09,,,0 HCPCS,J0702,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01) / 5 Ml In 1 Vial, Multi-Dose",22.1,22.1,,,0 HCPCS,J0702,"Celestone Soluspan: 1 Vial, Multi-Dose In 1 Box (78206-118-01) / 5 Ml In 1 Vial, Multi-Dose",18.02,18.02,,,0 HCPCS,J0703,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3193-11) / 50 Ml In 1 Container,42.57,42.57,,,0 HCPCS,J0703,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3195-11) / 50 Ml In 1 Container,32.18,32.18,,,0 HCPCS,J0706,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,34.44,34.44,,,0 HCPCS,J0706,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",14.31,14.31,,,0 HCPCS,J0706,NDC Description Not Available,16.5,16.5,,,0 HCPCS,J0712,NDC Description Not Available,21.05,21.05,,,0 HCPCS,J0712,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0400-10) / 20 Ml In 1 Vial, Single-Dose (0456-0400-01)",26.68,26.68,,,0 HCPCS,J0712,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",17.83,17.83,,,0 HCPCS,J0713,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",11.44,11.44,,,0 HCPCS,J0713,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",10.81,10.81,,,0 HCPCS,J0713,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",8.595,8.595,,,0 HCPCS,J0713,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",10.469999999999999,10.469999999999999,,,0 HCPCS,J0713,Ceftazidime: 6 Vial In 1 Carton (44567-237-06) / 100 Ml In 1 Vial,8.63,8.63,,,0 HCPCS,J0713,NDC Description Not Available,10.335,10.335,,,0 HCPCS,J0713,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",10.305,10.305,,,0 HCPCS,J0713,"Tazicef: 25 Vial In 1 Carton (0409-5082-16) / 1 Injection, Powder, For Solution In 1 Vial (0409-5082-11)",9.37,9.37,,,0 HCPCS,J0714,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",418.8,418.8,,,0 HCPCS,J0714,NDC Description Not Available,403.63,403.63,,,0 HCPCS,J0717,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",35.34,35.34,,,0 HCPCS,J0735,"Clonidine Hydrochloride: 10 Ml In 1 Vial, Single-Use (0143-9724-01)",179.23,179.23,,,0 HCPCS,J0736,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0775-26) / 4 Ml In 1 Vial (0009-0775-20),12.36,12.36,,,0 HCPCS,J0736,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18) / 6 Ml In 1 Vial (0009-0902-11),5.665,5.665,,,0 HCPCS,J0736,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),26.78,26.78,,,0 HCPCS,J0736,NDC Description Not Available,11.81,11.81,,,0 HCPCS,J0740,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",456.345,456.345,,,0 HCPCS,J0742,NDC Description Not Available,4.29,4.29,,,0 HCPCS,J0742,"Recarbrio: 25 Vial, Single-Dose In 1 Carton (0006-3856-02) / 20 Ml In 1 Vial, Single-Dose (0006-3856-01)",4.27,4.27,,,0 HCPCS,J0743,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",64.89,64.89,,,0 HCPCS,J0743,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-93) / 20 Ml In 1 Vial, Single-Dose (63323-322-21)",27.04,27.04,,,0 HCPCS,J0743,NDC Description Not Available,45.95,45.95,,,0 HCPCS,J0744,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,15.15,15.15,,,0 HCPCS,J0751,Descovy: 30 Tablet In 1 Blister Pack (61958-2002-2),317.58,317.58,,,0 HCPCS,J0751,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",316.14,316.14,,,0 HCPCS,J0770,"Colistimethate Sodium: 1 Vial, Glass In 1 Carton (23155-193-31) / 4 Ml In 1 Vial, Glass",91.26,91.26,,,0 HCPCS,J0770,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,91.99,91.99,,,0 HCPCS,J0770,"Colistimethate: 1 Vial In 1 Carton (70594-023-09) / 1 Injection, Powder, For Solution In 1 Vial",44.77,44.77,,,0 HCPCS,J0770,"Colistimethate: 1 Vial, Glass In 1 Vial (70594-023-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass",120.05,120.05,,,0 HCPCS,J0770,"Colistimethate: 12 Vial, Glass In 1 Carton (70594-023-04) / 1 Injection, Powder, For Solution In 1 Vial, Glass",62.21,62.21,,,0 HCPCS,J0770,Coly-Mycin M: 1 Vial In 1 Carton (42023-107-01) / 2 Ml In 1 Vial,121.16,121.16,,,0 HCPCS,J0780,NDC Description Not Available,25.16,25.16,,,0 HCPCS,J0780,"Prochlorperazine Edisylate: 1 Vial, Multi-Dose In 1 Carton (55150-360-01) / 2 Ml In 1 Vial, Multi-Dose",39.14,39.14,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,22.24,22.24,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),24.58,24.58,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 25 Vial In 1 Carton (25021-790-03) / 2 Ml In 1 Vial,23.18,23.18,,,0 HCPCS,J0780,Prochlorperazine Edisylate: 25 Vial In 1 Package (23155-294-41) / 2 Ml In 1 Vial (23155-294-31),35.6,35.6,,,0 HCPCS,J0834,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,450.71,450.71,,,0 HCPCS,J0834,NDC Description Not Available,330.49,330.49,,,0 HCPCS,J0840,"Crofab: 2 Vial, Glass In 1 Carton (50633-110-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-110-11)",7905.51,7905.51,,,0 HCPCS,J0850,"Cytogam: 1 VIAL, GLASS in 1 CARTON (44206-532-11) / 50 mL in 1 VIAL, GLASS (44206-532-90)",3662.04,3662.04,,,0 HCPCS,J0850,"Cytogam: 1 VIAL, GLASS in 1 CARTON (70257-532-51) / 50 mL in 1 VIAL, GLASS (70257-532-50)",4342.91,4342.91,,,0 HCPCS,J0850,"Cytogam: 1 Vial, Glass In 1 Carton (49591-532-51) / 50 Ml In 1 Vial, Glass (49591-532-50)",4342.9,4342.9,,,0 HCPCS,J0850,NDC Description Not Available,4342.94,4342.94,,,0 HCPCS,J0870,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",149.94,149.94,,,0 HCPCS,J0870,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",131.85,131.85,,,0 HCPCS,J0873,"Daptomycin: 1 Vial, Single-Use In 1 Carton (70594-053-01) / 7 Ml In 1 Vial, Single-Use",0.635,0.635,,,0 HCPCS,J0875,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,41.84,41.84,,,0 HCPCS,J0877,"Daptomycin: 1 VIAL, SINGLE-USE in 1 CARTON (0409-5933-01) / 7 mL in 1 VIAL, SINGLE-USE",0.62,0.62,,,0 HCPCS,J0877,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (0409-0120-01) / 7 Ml In 1 Vial, Single-Dose",0.62,0.62,,,0 HCPCS,J0878,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,0.8899999999999999,0.8899999999999999,,,0 HCPCS,J0878,Daptomycin: 1 Vial In 1 Carton (25021-179-66) / 7 Ml In 1 Vial,0.76,0.76,,,0 HCPCS,J0878,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-147-01) / 7 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 HCPCS,J0878,Daptomycin: 10 Vial In 1 Carton (16729-434-45) / 7 Ml In 1 Vial,2.3049999999999997,2.3049999999999997,,,0 HCPCS,J0878,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,0.88,0.88,,,0 HCPCS,J0878,Daptomycin: 10 Vial In 1 Carton (25021-179-67) / 7 Ml In 1 Vial,0.755,0.755,,,0 HCPCS,J0878,NDC Description Not Available,0.62,0.62,,,0 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),33.48,33.48,,,0 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,19.13,19.13,,,0 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,19.13,19.13,,,0 HCPCS,J0881,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,18.82,18.82,,,0 HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,3.07,6.51,7 HCPCS,J0881,NDC Description Not Available,19.23,19.23,,,0 HCPCS,J0882,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,18.82,18.82,,,0 HCPCS,J0882,NDC Description Not Available,18.81,18.81,,,0 HCPCS,J0883,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,8.75,8.75,,,0 HCPCS,J0883,"Argatroban: 1 Vial, Glass In 1 Carton (67457-212-02) / 2.5 Ml In 1 Vial, Glass",8.83,8.83,,,0 HCPCS,J0883,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",4.7,4.7,,,0 HCPCS,J0883,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),4.38,4.38,,,0 HCPCS,J0885,NDC Description Not Available,27.17,27.17,,,0 HCPCS,J0885,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",16.52,16.52,,,0 HCPCS,J0885,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",66.07,66.07,,,0 HCPCS,J0894,Decitabine: 1 Vial In 1 Carton (16729-224-05) / 20 Ml In 1 Vial,80.36,80.36,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",8.26,8.26,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Dose In 1 Carton (72205-036-01) / 10 Ml In 1 Vial, Single-Dose",79.75,79.75,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",30.75,30.75,,,0 HCPCS,J0894,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",106.23,106.23,,,0 HCPCS,J0895,"Deferoxamine Mesylate: 4 Injection, Powder, Lyophilized, For Solution In 1 Carton (60505-6236-6)",51.92,51.92,,,0 HCPCS,J0895,Deferoxamine: 1 Vial In 1 Box (63323-597-10) / 5.3 Ml In 1 Vial,56.0,56.0,,,0 HCPCS,J0895,NDC Description Not Available,46.665000000000006,46.665000000000006,,,0 HCPCS,J0896,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",95.91,95.91,,,0 HCPCS,J0897,Prolia: 1 Syringe In 1 Carton (55513-710-01) / 1 Ml In 1 Syringe,72.95,72.95,,,0 HCPCS,J0897,Prolia: 1 Syringe In 1 Carton (55513-710-21) / 1 Ml In 1 Syringe,74.17,74.17,,,0 HCPCS,J0897,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",67.01,67.01,,,0 HCPCS,J1010,"Depo-Medrol: 1 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-22) / 1 mL in 1 VIAL, SINGLE-DOSE",1.07,1.07,,,0 HCPCS,J1010,"Depo-Medrol: 1 Vial, Multi-Dose In 1 Carton (0009-0280-02) / 5 Ml In 1 Vial, Multi-Dose",1.07,1.07,,,0 HCPCS,J1010,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 HCPCS,J1010,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-22) / 1 Ml In 1 Vial, Single-Dose",1.68,1.68,,,0 HCPCS,J1010,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 HCPCS,J1010,"Depo-Medrol: 10 Ml In 1 Vial, Multi-Dose (0009-0280-03)",1.06,1.06,,,0 HCPCS,J1010,"Depo-Medrol: 25 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-23) / 1 mL in 1 VIAL, SINGLE-DOSE",1.12,1.12,,,0 HCPCS,J1010,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-03) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 HCPCS,J1010,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-23) / 1 Ml In 1 Vial, Single-Dose",1.23,1.23,,,0 HCPCS,J1010,"Depo-Medrol: 5 Ml In 1 Vial, Multi-Dose (0009-0306-02)",0.99,0.99,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.04,1.04,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1552-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.02,1.02,,,0 HCPCS,J1010,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 HCPCS,J1010,Noncdm Charge Record Pharmacy,1.06,1.06,,,0 HCPCS,J1050,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,1.12,1.12,,,0 HCPCS,J1050,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,1.47,1.47,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00) / 1 Ml In 1 Syringe,0.08,0.08,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (55150-330-01) / 1 Ml In 1 Syringe,1.885,1.885,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (66993-371-79) / 1 Ml In 1 Syringe,2.77,2.77,,,0 HCPCS,J1050,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),0.99,0.99,,,0 HCPCS,J1050,NDC Description Not Available,0.975,0.975,,,0 HCPCS,J1071,Depo-Testosterone: 1 Vial In 1 Carton (0009-0086-01) / 1 Ml In 1 Vial,0.88,0.88,,,0 HCPCS,J1071,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.58,0.58,,,0 HCPCS,J1071,Testosterone Cypionate: 1 Ml In 1 Vial (0143-9659-01),0.39,0.39,,,0 HCPCS,J1071,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.47,0.47,,,0 HCPCS,J1071,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,0.42,0.42,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (55150-277-01) / 1 Ml In 1 Vial, Glass",0.41,0.41,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 HCPCS,J1071,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (47781-911-93) / 1 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 1 Vial, Multi-Dose In 1 Box (63323-165-30) / 30 Ml In 1 Vial, Multi-Dose",1.48,1.48,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (67457-420-10) / 10 Ml In 1 Vial (67457-420-00),0.19,0.19,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),0.72,0.72,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-106-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass",3.1,3.1,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",2.54,2.54,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),0.61,0.61,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-6146-25) / 5 Ml In 1 Vial (0641-6146-01),0.26,0.26,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,0.62,0.62,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (55150-304-25) / 1 Ml In 1 Vial (55150-304-01),1.87,1.87,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05) / 5 Ml In 1 Vial (67457-418-00),0.41,0.41,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-419-01) / 1 Ml In 1 Vial (67457-419-00),0.84,0.84,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-422-54) / 5 Ml In 1 Vial (67457-422-00),0.4,0.4,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),0.86,0.86,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),0.21,0.21,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),3.225,3.225,,,0 HCPCS,J1100,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),3.19,3.19,,,0 HCPCS,J1100,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",1.5,1.5,,,0 HCPCS,J1100,NDC Description Not Available,0.965,0.965,,,0 HCPCS,J1100,Noncdm Charge Record Pharmacy,1.03,1.03,,,0 HCPCS,J1110,Dihydroergotamine Mesylate: 10 Ampule In 1 Carton (81284-411-10) / 1 Ml In 1 Ampule (81284-411-00),149.35,149.35,,,0 HCPCS,J1110,NDC Description Not Available,447.67,447.67,,,0 HCPCS,J1120,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",189.61,189.61,,,0 HCPCS,J1120,"Acetazolamide: 1 Vial In 1 Carton (0143-9006-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",135.07,135.07,,,0 HCPCS,J1120,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,172.14,172.14,,,0 HCPCS,J1120,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",130.18,130.18,,,0 HCPCS,J1120,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",163.13,163.13,,,0 HCPCS,J1160,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61) / 1 Tablet In 1 Blister Pack,5.76,5.76,,,0 HCPCS,J1160,NDC Description Not Available,12.61,12.61,,,0 HCPCS,J1162,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",11823.58,11823.58,,,0 HCPCS,J1162,NDC Description Not Available,10931.305,10931.305,,,0 HCPCS,J1165,NDC Description Not Available,4.3,4.3,,,0 HCPCS,J1170,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),16.42,16.42,,,0 HCPCS,J1170,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),17.87,17.87,,,0 HCPCS,J1170,Dilaudid: 10 Syringe In 1 Carton (76045-009-11) / 1 Ml In 1 Syringe (76045-009-01),24.65,24.65,,,0 HCPCS,J1170,Dilaudid: 10 Syringe In 1 Carton (76045-010-11) / 1 Ml In 1 Syringe (76045-010-01),9.97,9.97,,,0 HCPCS,J1170,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05) / .5 mL in 1 SYRINGE (76045-009-03),24.604999999999997,24.604999999999997,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 1 VIAL in 1 CARTON (17478-540-50) / 50 mL in 1 VIAL,9.19,9.19,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,3.505,3.505,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",3.98,3.98,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-05) / 5 mL in 1 AMPULE,2.39,2.39,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 10 Ampule In 1 Carton (0409-2552-01) / 1 Ml In 1 Ampule (0409-2552-11),5.15,5.15,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),19.4,19.4,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-4264-01) / .5 Ml In 1 Syringe (0409-4264-11),8.58,8.58,,,0 HCPCS,J1170,Hydromorphone Hydrochloride: 10 Vial In 1 Carton (0703-0110-03) / 1 Ml In 1 Vial (0703-0110-01),5.77,5.77,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-05) / 5 Ml In 1 Vial, Single-Dose (0409-2634-25)",3.62,3.62,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-3365-10) / 1 Ml In 1 Vial, Single-Dose (0409-3365-11)",4.14,4.14,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",7.82,7.82,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",19.675,19.675,,,0 HCPCS,J1170,"Hydromorphone Hydrochloride: 50 Ml In 1 Vial, Single-Dose (63323-851-50)",5.33,5.33,,,0 HCPCS,J1170,NDC Description Not Available,14.535,14.535,,,0 HCPCS,J1171,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",1.44,1.44,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 Ampule In 1 Carton (0409-2552-01) / 1 Ml In 1 Ampule (0409-2552-11),5.62,5.62,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),1.94,1.94,,,0 HCPCS,J1171,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-01) / 1 Ml In 1 Vial, Single-Dose (0409-2634-10)",8.59,8.59,,,0 HCPCS,J1171,Hydromorphone Hydrochloride: 20 Vial In 1 Carton (0641-2341-41) / 20 Ml In 1 Vial (0641-2341-39),0.23,0.23,,,0 HCPCS,J1171,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",0.79,0.79,,,0 HCPCS,J1171,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-853-25) / 1 Ml In 1 Vial, Single-Dose (63323-853-03)",0.93,0.93,,,0 HCPCS,J1171,NDC Description Not Available,2.33,2.33,,,0 HCPCS,J1171,Noncdm Charge Record Pharmacy,15.415,15.415,,,0 HCPCS,J1190,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",770.96,770.96,,,0 HCPCS,J1190,"Dexrazoxane: 1 Vial In 1 Box (0143-9248-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",206.86,206.86,,,0 HCPCS,J1190,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,513.5,513.5,,,0 HCPCS,J1190,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",614.91,614.91,,,0 HCPCS,J1200,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),2.6500000000000004,2.6500000000000004,,,0 HCPCS,J1200,NDC Description Not Available,5.404999999999999,5.404999999999999,,,0 HCPCS,J1202,"Opfolda: 4 Bottle, Plastic In 1 Bottle, Plastic (71904-300-01) / 1 Capsule In 1 Bottle, Plastic",142.66,142.66,,,0 HCPCS,J1203,"Pombiliti Atga: 1 Vial, Glass In 1 Carton (71904-200-01) / 105 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",214.48,214.48,,,0 HCPCS,J1205,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,713.42,713.42,,,0 HCPCS,J1205,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,259.33,259.33,,,0 HCPCS,J1205,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-66) / 18 Ml In 1 Vial,137.02,137.02,,,0 HCPCS,J1205,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1203.75,1203.75,,,0 HCPCS,J1205,Chlorothiazide: 1 Vial In 1 Box (63323-658-27) / 18 Ml In 1 Vial,211.15,211.15,,,0 HCPCS,J1230,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",62.67,62.67,,,0 HCPCS,J1230,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",75.88,75.88,,,0 HCPCS,J1250,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1075-02) / 250 Ml In 1 Bag,86.72,86.72,,,0 HCPCS,J1250,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,31.59,31.59,,,0 HCPCS,J1250,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-3724-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-3724-11),19.83,19.83,,,0 HCPCS,J1250,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",32.87,32.87,,,0 HCPCS,J1250,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (70436-203-80) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 HCPCS,J1250,"Dobutamine: 10 Vial, Single-Dose In 1 Carton (70436-203-82) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 HCPCS,J1250,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",29.9,29.9,,,0 HCPCS,J1250,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",27.79,27.79,,,0 HCPCS,J1250,NDC Description Not Available,29.925,29.925,,,0 HCPCS,J1265,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,6.38,6.38,,,0 HCPCS,J1265,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02) / 250 Ml In 1 Bag,4.28,4.28,,,0 HCPCS,J1265,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-5820-01) / 5 Ml In 1 Vial, Single-Dose (0409-5820-11)",16.48,16.48,,,0 HCPCS,J1265,NDC Description Not Available,2.6900000000000004,2.6900000000000004,,,0 HCPCS,J1271,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),112.19,112.19,,,0 HCPCS,J1271,NDC Description Not Available,87.14,87.14,,,0 HCPCS,J1300,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,537.5,537.5,,,0 HCPCS,J1303,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",478.14,478.14,,,0 HCPCS,J1303,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",527.69,527.69,,,0 HCPCS,J1304,"Qalsody: 1 Vial, Single-Use In 1 Carton (64406-109-01) / 15 Ml In 1 Vial, Single-Use",293.34,293.34,,,0 HCPCS,J1305,"Evkeeza: 1 Vial, Single-Use In 1 Carton (61755-013-01) / 2.3 Ml In 1 Vial, Single-Use",333.17,333.17,,,0 HCPCS,J1306,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",29.41,29.41,,,0 HCPCS,J1323,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",348.12,348.12,,,0 HCPCS,J1323,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",428.17,428.17,,,0 HCPCS,J1323,NDC Description Not Available,424.49,424.49,,,0 HCPCS,J1325,Epoprostenol: 1 Vial In 1 Carton (62756-059-40) / 10 Ml In 1 Vial,38.11,38.11,,,0 HCPCS,J1325,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,49.51,49.51,,,0 HCPCS,J1325,Epoprostenol: 1 Vial In 1 Carton (67457-588-10) / 10 Ml In 1 Vial,37.85,37.85,,,0 HCPCS,J1325,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,45.15,45.15,,,0 HCPCS,J1325,Veletri: 1 Vial In 1 Carton (66215-403-01) / 10 Ml In 1 Vial,101.29,101.29,,,0 HCPCS,J1335,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",86.52,86.52,,,0 HCPCS,J1335,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (43598-901-58) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (43598-901-11)",216.3,216.3,,,0 HCPCS,J1335,Ertapenem: 10 Vial In 1 Carton (60505-6196-4) / 20 Ml In 1 Vial (60505-6196-0),253.38,253.38,,,0 HCPCS,J1335,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (0409-3510-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-3510-21)",194.67,194.67,,,0 HCPCS,J1335,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-09) / 1 Injection In 1 Vial, Single-Dose",94.44,94.44,,,0 HCPCS,J1335,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",141.4,141.4,,,0 HCPCS,J1335,"Ertapenem: 5 Vial, Single-Dose In 1 Carton (72266-159-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (72266-159-01)",173.04,173.04,,,0 HCPCS,J1335,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",288.67,288.67,,,0 HCPCS,J1335,NDC Description Not Available,194.15,194.15,,,0 HCPCS,J1364,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),257.83,257.83,,,0 HCPCS,J1364,"Erythrocin Lactobionate: 10 Vial, Patent Delivery System In 1 Tray (0409-6476-44) / 100 Ml In 1 Vial, Patent Delivery System (0409-6476-54)",211.38,211.38,,,0 HCPCS,J1364,"Erythromycin Lactobionate: 5 Vial, Glass In 1 Box (14789-116-05) / 10 Ml In 1 Vial, Glass (14789-116-07)",432.6,432.6,,,0 HCPCS,J1364,NDC Description Not Available,401.515,401.515,,,0 HCPCS,J1380,"Estradiol Valerate: 1 Vial, Multi-Dose In 1 Carton (0517-0420-01) / 5 Ml In 1 Vial, Multi-Dose",59.2,59.2,,,0 HCPCS,J1410,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1592.23,1592.23,,,0 HCPCS,J1411,"Hemgenix: 1 Kit In 1 Carton (0053-0160-16) * 1 Injection, Suspension In 1 Vial, Glass (0053-0099-01)",7210000.0,7210000.0,,,0 HCPCS,J1439,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",4.44,4.44,,,0 HCPCS,J1442,NDC Description Not Available,3.64,3.64,,,0 HCPCS,J1442,Neupogen: 1 Syringe In 1 Box (55513-209-91) / .8 Ml In 1 Syringe,2.74,2.74,,,0 HCPCS,J1447,"Granix: 1 Blister Pack In 1 Carton (63459-910-11) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.58,3.58,,,0 HCPCS,J1447,"Granix: 1 Blister Pack In 1 Carton (63459-912-11) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.5949999999999998,3.5949999999999998,,,0 HCPCS,J1447,"Granix: 1 Syringe, Glass In 1 Carton (63459-912-17) / .8 Ml In 1 Syringe, Glass (63459-912-18)",2.46,2.46,,,0 HCPCS,J1447,"Granix: 10 Blister Pack In 1 Carton (63459-910-15) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.6,3.6,,,0 HCPCS,J1447,"Granix: 10 Blister Pack In 1 Carton (63459-912-15) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.6,3.6,,,0 HCPCS,J1447,NDC Description Not Available,3.59,3.59,,,0 HCPCS,J1450,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,45.46,45.46,,,0 HCPCS,J1450,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,40.685,40.685,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,173.35,173.35,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-67) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,98.16,98.16,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.94,38.94,,,0 HCPCS,J1450,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,30.35,30.35,,,0 HCPCS,J1451,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,32.78,32.78,,,0 HCPCS,J1451,Fomepizole: 1 Vial In 1 Carton (25021-829-02) / 1.5 Ml In 1 Vial,26.76,26.76,,,0 HCPCS,J1453,"Emend: 1 Vial, Single-Dose In 1 Carton (0006-3061-00) / 5 Ml In 1 Vial, Single-Dose (0006-3061-01)",9.32,9.32,,,0 HCPCS,J1453,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",1.82,1.82,,,0 HCPCS,J1453,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (55150-299-01) / 5 Ml In 1 Vial, Single-Dose",1.87,1.87,,,0 HCPCS,J1453,Fosaprepitant: 1 Vial In 1 Carton (43598-948-11) / 1 Ml In 1 Vial,0.1,0.1,,,0 HCPCS,J1453,Fosaprepitant: 1 Vial In 1 Carton (83634-776-10) / 5 Ml In 1 Vial,1.15,1.15,,,0 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (71839-104-01) / 5 Ml In 1 Vial, Single-Dose",8.32,8.32,,,0 HCPCS,J1453,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",7.33,7.33,,,0 HCPCS,J1453,NDC Description Not Available,9.34,9.34,,,0 HCPCS,J1455,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,261.33,261.33,,,0 HCPCS,J1455,Foscarnet: 1 Bottle In 1 Carton (63323-875-50) / 250 Ml In 1 Bottle,261.87,261.87,,,0 HCPCS,J1455,NDC Description Not Available,280.42,280.42,,,0 HCPCS,J1459,NDC Description Not Available,217.45499999999998,217.45499999999998,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",217.39,217.39,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",217.48,217.48,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",217.45,217.45,,,0 HCPCS,J1459,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",209.53,209.53,,,0 HCPCS,J1561,"Gammaked: 1 Vial, Glass In 1 Carton (76125-900-01) / 10 Ml In 1 Vial, Glass (76125-900-02)",209.53,209.53,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15) / 25 Ml In 1 Vial, Glass (13533-800-16)",209.53,209.53,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",174.58,174.58,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",192.07999999999998,192.07999999999998,,,0 HCPCS,J1561,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",192.36,192.36,,,0 HCPCS,J1561,NDC Description Not Available,174.83,174.83,,,0 HCPCS,J1566,Gammagard S/D: 1 Kit In 1 Carton (0944-2656-03) * 96 Ml In 1 Bottle (0338-0001-77) * 96 Ml In 1 Bottle (64764-512-96) * 100 Ml In 1 Bottle (0944-2657-07),277.17,277.17,,,0 HCPCS,J1566,Gammagard S/D: 1 Kit In 1 Carton (0944-2658-04) * 192 Ml In 1 Bottle (0338-0001-37) * 192 Ml In 1 Bottle (64764-511-92) * 200 Ml In 1 Bottle (0944-2659-08),277.19,277.19,,,0 HCPCS,J1568,"Octagam Immune Globulin (Human): 1 Bottle, Glass In 1 Carton (0069-6237-02) / 200 Ml In 1 Bottle, Glass (0069-6237-01)",239.68,239.68,,,0 HCPCS,J1568,"Octagam Immune Globulin (Human): 100 Ml In 1 Bottle, Glass (68982-850-03)",230.87,230.87,,,0 HCPCS,J1568,"Octagam Immune Globulin (Human): 200 Ml In 1 Bottle, Glass (68982-850-04)",230.87,230.87,,,0 HCPCS,J1568,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",230.86,230.86,,,0 HCPCS,J1568,"Octagam Immune Globulin (Human): 50 Ml In 1 Bottle, Glass (68982-850-02)",230.84,230.84,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-02) / 10 Ml In 1 Bottle, Glass (0944-2700-08)",366.68,366.68,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",217.46,217.46,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",212.51999999999998,212.51999999999998,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",205.4,205.4,,,0 HCPCS,J1569,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",209.52,209.52,,,0 HCPCS,J1569,Gammagard liquid injection,,,49.08,104.05,7 HCPCS,J1569,NDC Description Not Available,208.755,208.755,,,0 HCPCS,J1570,Ganciclovir: 25 Vial In 1 Carton (25021-185-10) / 10 Ml In 1 Vial,111.16,111.16,,,0 HCPCS,J1570,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,100.66,100.66,,,0 HCPCS,J1570,"Ganciclovir: 25 Vial, Single-Dose In 1 Carton (42023-173-25) / 10 Ml In 1 Vial, Single-Dose (42023-173-01)",311.23,311.23,,,0 HCPCS,J1570,NDC Description Not Available,311.58,311.58,,,0 HCPCS,J1573,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",220.0,220.0,,,0 HCPCS,J1573,NDC Description Not Available,219.99,219.99,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),9.08,9.08,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),22.6,22.6,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0509-41),17.59,17.59,,,0 HCPCS,J1580,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),9.05,9.05,,,0 HCPCS,J1580,"Gentamicin Sulfate: 25 Vial, Single-Dose In 1 Tray (0409-1207-03) / 2 Ml In 1 Vial, Single-Dose (0409-1207-13)",11.78,11.78,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),16.265,16.265,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),13.76,13.76,,,0 HCPCS,J1580,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),16.805,16.805,,,0 HCPCS,J1580,"Gentamicin: 25 Vial, Multi-Dose In 1 Carton (55150-402-25) / 2 Ml In 1 Vial, Multi-Dose (55150-402-01)",10.66,10.66,,,0 HCPCS,J1580,NDC Description Not Available,12.91,12.91,,,0 HCPCS,J1602,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",98.9,98.9,,,0 HCPCS,J1610,GlucaGen: 10 VIAL in 1 CARTON (0597-0053-45) / 1 mL in 1 VIAL,641.67,641.67,,,0 HCPCS,J1610,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",981.4399999999999,981.4399999999999,,,0 HCPCS,J1610,"Glucagon: 1 Kit In 1 Carton (63323-594-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-06) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",700.61,700.61,,,0 HCPCS,J1610,NDC Description Not Available,800.87,800.87,,,0 HCPCS,J1611,"Glucagon: 1 Kit In 1 Kit (63323-582-82) * 1 Ml In 1 Vial, Single-Dose (63323-583-13) * 1 Ml In 1 Syringe, Glass (63323-185-82)",880.75,880.75,,,0 HCPCS,J1611,NDC Description Not Available,888.77,888.77,,,0 HCPCS,J1626,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01) / 1 Ml In 1 Vial,4.33,4.33,,,0 HCPCS,J1626,"Granisetron: 1 Vial, Single-Use In 1 Box (63323-318-01) / 1 Ml In 1 Vial, Single-Use",8.65,8.65,,,0 HCPCS,J1626,NDC Description Not Available,3.91,3.91,,,0 HCPCS,J1630,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),5.0,5.0,,,0 HCPCS,J1630,Haloperidol: 10 Vial In 1 Carton (25021-806-01) / 1 Ml In 1 Vial,20.16,20.16,,,0 HCPCS,J1630,Haloperidol: 25 Vial In 1 Tray (63323-474-01) / 1 Ml In 1 Vial (63323-474-00),18.56,18.56,,,0 HCPCS,J1630,NDC Description Not Available,17.51,17.51,,,0 HCPCS,J1631,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-469-01) / 1 Ml In 1 Vial,117.2,117.2,,,0 HCPCS,J1631,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-471-01) / 1 Ml In 1 Vial,111.24,111.24,,,0 HCPCS,J1631,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",111.45,111.45,,,0 HCPCS,J1631,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,111.76,111.76,,,0 HCPCS,J1631,Haloperidol Decanoate: 5 Ampule In 1 Box (10147-0922-5) / 1 Ml In 1 Ampule,106.78,106.78,,,0 HCPCS,J1640,NDC Description Not Available,64.91,64.91,,,0 HCPCS,J1640,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),58.28,58.28,,,0 HCPCS,J1642,NDC Description Not Available,10.82,10.82,,,0 HCPCS,J1643,Heparin Sodium And Dextrose: 24 Pouch In 1 Case (0409-7793-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7793-52),1.65,1.65,,,0 HCPCS,J1643,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),14.42,14.42,,,0 HCPCS,J1643,Heparin Sodium: 25 Vial In 1 Container (0069-0058-01) / 10 Ml In 1 Vial (0069-0058-02),1.37,1.37,,,0 HCPCS,J1643,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),2.99,2.99,,,0 HCPCS,J1643,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2720-31)",1.4,1.4,,,0 HCPCS,J1643,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",1.12,1.12,,,0 HCPCS,J1643,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",4.89,4.89,,,0 HCPCS,J1643,NDC Description Not Available,1.61,1.61,,,0 HCPCS,J1644,Heparin Sodium In Dextrose: 24 Container In 1 Case (0264-9587-20) / 250 Ml In 1 Container,2.67,2.67,,,0 HCPCS,J1644,Heparin Sodium In Sodium Chloride: 1 Bag In 1 Carton (0338-0424-18) / 500 Ml In 1 Bag,21.63,21.63,,,0 HCPCS,J1644,Heparin Sodium In Sodium Chloride: 18 Bag In 1 Carton (0338-0431-03) / 500 Ml In 1 Bag,12.64,12.64,,,0 HCPCS,J1644,Heparin Sodium: 24 Pouch In 1 Case (0409-7650-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7650-52),2.46,2.46,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-400-01) / 1 Ml In 1 Vial,10.22,10.22,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-400-10) / 10 Ml In 1 Vial,1.41,1.41,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01) / 1 Ml In 1 Vial,1.29,1.29,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Carton (25021-403-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-047-10) / 10 Ml In 1 Vial (63323-047-01),1.48,1.48,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,3.66,3.66,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),3.16,3.16,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-26) / 1 Ml In 1 Vial (63323-262-09),24.14,24.14,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-262-55) / 1 Ml In 1 Vial,0.96,0.96,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,17.33,17.33,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,3.27,3.27,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-540-15) / 10 Ml In 1 Vial (63323-540-05),3.13,3.13,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-542-01) / 1 Ml In 1 Vial,3.3,3.3,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-542-07) / 5 Ml In 1 Vial,2.23,2.23,,,0 HCPCS,J1644,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),18.525,18.525,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",8.355,8.355,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (63323-540-57) / 10 Ml In 1 Vial, Multi-Dose",1.18,1.18,,,0 HCPCS,J1644,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",32.120000000000005,32.120000000000005,,,0 HCPCS,J1644,NDC Description Not Available,1.84,1.84,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-65) / 1 Syringe In 1 Blister Pack (63323-559-63) / .3 Ml In 1 Syringe,4.390000000000001,4.390000000000001,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-93) / 1 Syringe In 1 Blister Pack (63323-559-21) / .3 Ml In 1 Syringe,4.12,4.12,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8530-23) / .3 mL in 1 SYRINGE (0703-8530-21),8.59,8.59,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8580-23) / 1 mL in 1 SYRINGE (0703-8580-21),8.76,8.76,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8610-23) / .8 mL in 1 SYRINGE (0703-8610-21),8.6,8.6,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5601-00) / .3 Ml In 1 Syringe,6.52,6.52,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5602-00) / .4 Ml In 1 Syringe,6.43,6.43,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,6.74,6.74,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5607-00) / 1 Ml In 1 Syringe,6.52,6.52,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (0781-3256-66) / .6 Ml In 1 Syringe (0781-3256-03),10.13,10.13,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (16714-036-10) / .8 Ml In 1 Syringe (16714-036-01),8.84,8.84,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-70) / .3 Ml In 1 Syringe,3.88,3.88,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-71) / 1 Ml In 1 Syringe,3.8,3.8,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-76) / .4 Ml In 1 Syringe,3.93,3.93,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-77) / .6 Ml In 1 Syringe,4.32,4.32,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-78) / .8 Ml In 1 Syringe,4.25,4.25,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-70) / .8 Ml In 1 Syringe,4.31,4.31,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-71) / 1 Ml In 1 Syringe,3.84,3.84,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-110-10) / .4 Ml In 1 Syringe,10.04,10.04,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-111-10) / .6 Ml In 1 Syringe,10.09,10.09,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-113-10) / 1 Ml In 1 Syringe,10.08,10.08,,,0 HCPCS,J1650,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-115-10) / .8 Ml In 1 Syringe,10.07,10.07,,,0 HCPCS,J1650,NDC Description Not Available,8.445,8.445,,,0 HCPCS,J1652,Fondaparinux Sodium: 10 Syringe In 1 Carton (55111-681-10) / .8 Ml In 1 Syringe (55111-681-11),23.18,23.18,,,0 HCPCS,J1652,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",1.03,1.03,,,0 HCPCS,J1652,NDC Description Not Available,35.16,35.16,,,0 HCPCS,J1670,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",1604.74,1604.74,,,0 HCPCS,J1720,NDC Description Not Available,82.62,82.62,,,0 HCPCS,J1720,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,55.865,55.865,,,0 HCPCS,J1720,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0016-12) / 4 Ml In 1 Vial, Single-Dose",108.84,108.84,,,0 HCPCS,J1720,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",84.61,84.61,,,0 HCPCS,J1742,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",1287.89,1287.89,,,0 HCPCS,J1742,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-22) / 10 Ml In 1 Vial, Single-Dose",1280.85,1280.85,,,0 HCPCS,J1742,"Ibutilide Fumarate: 1 Vial, Glass In 1 Carton (67457-366-10) / 10 Ml In 1 Vial, Glass",1344.15,1344.15,,,0 HCPCS,J1745,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",117.42,117.42,,,0 HCPCS,J1745,Noncdm Charge Record Pharmacy,288.69,288.69,,,0 HCPCS,J1745,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",276.24,276.24,,,0 HCPCS,J1750,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",68.2,68.2,,,0 HCPCS,J1750,NDC Description Not Available,63.37,63.37,,,0 HCPCS,J1756,NDC Description Not Available,2.73,2.73,,,0 HCPCS,J1756,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",1.31,1.31,,,0 HCPCS,J1756,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",2.52,2.52,,,0 HCPCS,J1756,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",2.53,2.53,,,0 HCPCS,J1756,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.625,2.625,,,0 HCPCS,J1786,"Cerezyme: 1 Vial, Glass In 1 Carton (58468-4663-1) / 10 Ml In 1 Vial, Glass",106.11,106.11,,,0 HCPCS,J1790,"Droperidol: 25 Vial, Single-Dose In 1 Tray (0517-9702-25) / 2 Ml In 1 Vial, Single-Dose",11.29,11.29,,,0 HCPCS,J1790,NDC Description Not Available,10.15,10.15,,,0 HCPCS,J1800,NDC Description Not Available,48.62,48.62,,,0 HCPCS,J1808,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",4.87,4.87,,,0 HCPCS,J1815,"1 VIAL, GLASS in 1 PACKAGE (0088-5021-01) / 10 mL in 1 VIAL, GLASS",6.09,6.09,,,0 HCPCS,J1815,"Humalog Mix75/25: 1 Vial, Multi-Dose In 1 Carton (0002-7511-01) / 10 Ml In 1 Vial, Multi-Dose",1.76,1.76,,,0 HCPCS,J1815,"Humulin 70/30: 1 Vial, Multi-Dose In 1 Carton (0002-8715-01) / 10 Ml In 1 Vial, Multi-Dose",3.115,3.115,,,0 HCPCS,J1815,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",0.96,0.96,,,0 HCPCS,J1815,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-17) / 3 Ml In 1 Vial, Multi-Dose",3.21,3.21,,,0 HCPCS,J1815,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 HCPCS,J1815,NDC Description Not Available,4.81,4.81,,,0 HCPCS,J1815,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.04,1.04,,,0 HCPCS,J1817,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,1.54,1.54,,,0 HCPCS,J1817,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",4.12,4.12,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.41,3.41,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,2.23,2.23,,,0 HCPCS,J1817,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,1.03,1.03,,,0 HCPCS,J1817,"Humulin R U-500: 1 Vial, Multi-Dose In 1 Carton (0002-8501-01) / 20 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 HCPCS,J1817,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.34,0.34,,,0 HCPCS,J1817,NDC Description Not Available,2.75,2.75,,,0 HCPCS,J1833,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.45,4.45,,,0 HCPCS,J1833,"Cresemba: 10 Carton In 1 Carton (0469-0420-99) / 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.24,4.24,,,0 HCPCS,J1885,Ketorolac Tromethamine: 10 VIAL in 1 BOX (55390-481-01) / 1 mL in 1 VIAL,2.58,2.58,,,0 HCPCS,J1885,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,5.37,5.37,,,0 HCPCS,J1885,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,4.05,4.05,,,0 HCPCS,J1885,Ketorolac Tromethamine: 25 Vial In 1 Carton (25021-701-01) / 1 Ml In 1 Vial,10.82,10.82,,,0 HCPCS,J1885,Ketorolac Tromethamine: 25 Vial In 1 Carton (70860-701-03) / 1 Ml In 1 Vial (70860-701-41),4.12,4.12,,,0 HCPCS,J1885,Ketorolac Tromethamine: 25 Vial In 1 Carton (72266-119-25) / 2 Ml In 1 Vial (72266-119-01),2.0,2.0,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Carton (72611-722-25) / 1 Ml In 1 Vial, Single-Dose (72611-722-01)",2.58,2.58,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3793-01) / 1 Ml In 1 Vial, Single-Dose (0409-3793-19)",12.85,12.85,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3795-01) / 1 Ml In 1 Vial, Single-Dose (0409-3795-19)",13.96,13.96,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (63323-161-12) / 1 Ml In 1 Vial, Single-Dose (63323-161-21)",3.09,3.09,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",16.45,16.45,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",13.620000000000001,13.620000000000001,,,0 HCPCS,J1885,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",8.76,8.76,,,0 HCPCS,J1885,Ketorolac tromethamine inj,,,0.34,0.72,7 HCPCS,J1885,NDC Description Not Available,4.12,4.12,,,0 HCPCS,J1930,Lanreotide Acetate: 1 Pouch In 1 Carton (69097-906-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,183.19,183.19,,,0 HCPCS,J1930,Lanreotide Acetate: 1 Pouch In 1 Carton (76282-720-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,64.85,64.85,,,0 HCPCS,J1930,Somatuline Depot: 1 Pouch In 1 Carton (15054-1060-4) / 1 Syringe In 1 Pouch / .2 Ml In 1 Syringe,250.82,250.82,,,0 HCPCS,J1930,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,145.785,145.785,,,0 HCPCS,J1932,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,216.345,216.345,,,0 HCPCS,J1932,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,194.09,194.09,,,0 HCPCS,J1938,NDC Description Not Available,7.85,7.85,,,0 HCPCS,J1939,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),4.63,4.63,,,0 HCPCS,J1939,"Bumetanide: 10 VIAL, MULTI-DOSE in 1 BOX (0409-1412-10) / 10 mL in 1 VIAL, MULTI-DOSE (0409-1412-40)",2.89,2.89,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),2.83,2.83,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (25021-321-04) / 4 Ml In 1 Vial,4.93,4.93,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,2.37,2.37,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,2.83,2.83,,,0 HCPCS,J1939,Bumetanide: 10 Vial In 1 Carton (72205-102-07) / 10 Ml In 1 Vial (72205-102-01),2.6,2.6,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (65219-572-10) / 10 Ml In 1 Vial, Multi-Dose (65219-572-01)",3.16,3.16,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",2.14,2.14,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (70860-406-10) / 10 Ml In 1 Vial, Multi-Dose",2.87,2.87,,,0 HCPCS,J1939,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",6.68,6.68,,,0 HCPCS,J1939,NDC Description Not Available,4.135,4.135,,,0 HCPCS,J1940,"Furosemide: 10 Vial, Single-Dose In 1 Carton (0143-9157-10) / 10 Ml In 1 Vial, Single-Dose (0143-9157-01)",1.26,1.26,,,0 HCPCS,J1940,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,8.55,8.55,,,0 HCPCS,J1940,Furosemide: 25 Vial In 1 Carton (72603-133-25) / 2 Ml In 1 Vial (72603-133-01),11.58,11.58,,,0 HCPCS,J1940,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),8.635,8.635,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",4.75,4.75,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",2.58,2.58,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25) / 10 Ml In 1 Vial, Single-Dose",1.6,1.6,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Carton (71288-203-03) / 2 Ml In 1 Vial, Single-Dose (71288-203-02)",4.12,4.12,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",18.27,18.27,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",8.02,8.02,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",5.255000000000001,5.255000000000001,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-25) / 2 Ml In 1 Vial, Single-Dose (0409-6102-35)",14.44,14.44,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-26) / 4 Ml In 1 Vial, Single-Dose (0409-6102-36)",6.42,6.42,,,0 HCPCS,J1940,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-27) / 10 Ml In 1 Vial, Single-Dose (0409-6102-37)",4.58,4.58,,,0 HCPCS,J1940,Hc Cams Furosemide Injection,4.12,4.12,,,0 HCPCS,J1940,NDC Description Not Available,6.335,6.335,,,0 HCPCS,J1943,Aristada Initio: 1 Syringe In 1 Carton (65757-500-03) / 2.4 Ml In 1 Syringe,8.66,8.66,,,0 HCPCS,J1950,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,4154.11,4154.11,,,0 HCPCS,J1950,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,3909.03,3909.03,,,0 HCPCS,J1953,Levetiracetam In Sodium Chloride: 10 Bag In 1 Carton (14789-330-15) / 100 Ml In 1 Bag (14789-330-08),0.72,0.72,,,0 HCPCS,J1953,Levetiracetam: 10 Bag In 1 Carton (43598-637-10) / 100 Ml In 1 Bag (43598-637-52),1.15,1.15,,,0 HCPCS,J1953,Levetiracetam: 10 Bag In 1 Carton (67457-266-10) / 100 Ml In 1 Bag (67457-266-00),0.7,0.7,,,0 HCPCS,J1953,Levetiracetam: 10 Vial In 1 Carton (25021-780-05) / 5 Ml In 1 Vial,0.69,0.69,,,0 HCPCS,J1953,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",0.98,0.98,,,0 HCPCS,J1953,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (72485-106-10) / 5 Ml In 1 Vial, Single-Dose (72485-106-01)",0.22,0.22,,,0 HCPCS,J1953,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.35,0.35,,,0 HCPCS,J1953,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-1886-02) / 5 Ml In 1 Vial, Single-Dose (0409-1886-22)",0.34,0.34,,,0 HCPCS,J1953,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-2011-25) / 5 Ml In 1 Vial, Single-Dose (0409-2011-05)",0.34,0.34,,,0 HCPCS,J1953,NDC Description Not Available,0.345,0.345,,,0 HCPCS,J1955,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,164.19,164.19,,,0 HCPCS,J1955,"Levocarnitine: 10 Vial, Single-Use In 1 Carton (0143-9852-10) / 5 Ml In 1 Vial, Single-Use (0143-9852-01)",154.5,154.5,,,0 HCPCS,J1955,NDC Description Not Available,112.525,112.525,,,0 HCPCS,J1956,Levofloxacin: 1 VIAL in 1 CARTON (17478-107-30) / 30 mL in 1 VIAL,71.58,71.58,,,0 HCPCS,J1956,"Levofloxacin: 1 VIAL, GLASS in 1 CARTON (23155-201-31) / 20 mL in 1 VIAL, GLASS",34.5,34.5,,,0 HCPCS,J1956,Levofloxacin: 150 Ml In 1 Bag (36000-048-24),9.33,9.33,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,26.89,26.89,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,23.84,23.84,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,15.815000000000001,15.815000000000001,,,0 HCPCS,J1956,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,18.82,18.82,,,0 HCPCS,J1956,NDC Description Not Available,7.825,7.825,,,0 HCPCS,J2001,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,477.92,477.92,,,0 HCPCS,J2001,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01) / 5 Ml In 1 Ampule (0409-1209-10),0.28,0.28,,,0 HCPCS,J2001,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3178-17)",0.09,0.09,,,0 HCPCS,J2001,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3178-18)",0.04,0.04,,,0 HCPCS,J2001,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3182-11)",0.36,0.36,,,0 HCPCS,J2001,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3182-21)",0.38,0.38,,,0 HCPCS,J2001,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3182-31)",0.22,0.22,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,2.1,2.1,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-645-86) / 10 Ml In 1 Vial,1.54,1.54,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",0.77,0.77,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",2.39,2.39,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-4903-34) / 1 Syringe In 1 Carton / 5 Ml In 1 Syringe (0409-4903-11),2.73,2.73,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,3.63,3.63,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 10 Vial In 1 Box (73293-0001-2) / 5 Ml In 1 Vial (73293-0001-1),2.13,2.13,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 10 Vial In 1 Carton (72603-505-10) / 5 Ml In 1 Vial (72603-505-01),1.22,1.22,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",1.51,1.51,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",5.18,5.18,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",4.3,4.3,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05) / 5 Ml In 1 Vial, Single-Dose",1.46,1.46,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),1.1,1.1,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1) / 5 Ml In 1 Ampule,1.79,1.79,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 25 Vial In 1 Carton (70756-641-25) / 5 Ml In 1 Vial,2.09,2.09,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",0.65,0.65,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-252-20) / 20 Ml In 1 Vial, Multi-Dose",1.03,1.03,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.48,0.48,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.31,0.31,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4277-17)",0.17,0.17,,,0 HCPCS,J2001,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4278-01) / 50 Ml In 1 Vial, Single-Dose (0409-4278-16)",2.76,2.76,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),2.78,2.78,,,0 HCPCS,J2001,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4283-01) / 5 Ampule In 1 Cello Pack (0409-4283-25) / 5 Ml In 1 Ampule (0409-4283-11),1.04,1.04,,,0 HCPCS,J2001,"Lidocaine: 25 Vial, Single-Dose In 1 Tray (63323-208-05) / 5 Ml In 1 Vial, Single-Dose (63323-208-01)",1.565,1.565,,,0 HCPCS,J2001,NDC Description Not Available,1.435,1.435,,,0 HCPCS,J2001,Vasopressin: 1 Vial In 1 Carton (0548-9701-00) / 1 Ml In 1 Vial,6.2,6.2,,,0 HCPCS,J2001,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07) / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",1.59,1.59,,,0 HCPCS,J2001,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",3.69,3.69,,,0 HCPCS,J2001,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",0.22,0.22,,,0 HCPCS,J2001,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-492-37) / 30 Ml In 1 Vial, Single-Dose (63323-492-07)",1.71,1.71,,,0 HCPCS,J2001,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),2.58,2.58,,,0 HCPCS,J2001,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-487-31) / 30 Ml In 1 Vial, Single-Dose (63323-487-03)",0.2,0.2,,,0 HCPCS,J2001,Xylocaine: 10 AMPULE in 1 CARTON (63323-496-80) / 2 mL in 1 AMPULE,2.06,2.06,,,0 HCPCS,J2001,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-17) / 10 Ml In 1 Vial, Multi-Dose (63323-482-01)",0.19,0.19,,,0 HCPCS,J2001,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-27) / 20 Ml In 1 Vial, Multi-Dose (63323-482-03)",1.08,1.08,,,0 HCPCS,J2001,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27) / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",0.58,0.58,,,0 HCPCS,J2001,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-27) / 20 Ml In 1 Vial, Multi-Dose (63323-485-01)",0.08,0.08,,,0 HCPCS,J2002,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.02,0.02,,,0 HCPCS,J2003,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.08,0.08,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-644-82) / 2 Ml In 1 Vial,0.3,0.3,,,0 HCPCS,J2003,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-645-86) / 10 Ml In 1 Vial,0.16,0.16,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-252-20) / 20 Ml In 1 Vial, Multi-Dose",0.08,0.08,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",0.1,0.1,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",0.07,0.07,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4275-01) / 50 Ml In 1 Vial, Multi-Dose (0409-4275-16)",0.08,0.08,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.04,0.04,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.03,0.03,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.03,0.03,,,0 HCPCS,J2003,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",1.1,1.1,,,0 HCPCS,J2003,Lidocaine: 25 Vial In 1 Tray (63323-201-02) / 2 Ml In 1 Vial (63323-201-01),0.56,0.56,,,0 HCPCS,J2003,Lidocaine: 25 Vial In 1 Tray (63323-201-10) / 10 Ml In 1 Vial (63323-201-03),0.12,0.12,,,0 HCPCS,J2003,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.29,0.29,,,0 HCPCS,J2003,NDC Description Not Available,0.08499999999999999,0.08499999999999999,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",5.68,5.68,,,0 HCPCS,J2003,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",3.84,3.84,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-57) / 50 Ml In 1 Vial, Multi-Dose (63323-485-03)",0.05,0.05,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.09,0.09,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.09,0.09,,,0 HCPCS,J2003,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",0.03,0.03,,,0 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",0.07,0.07,,,0 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.06,0.06,,,0 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3181-01) / 30 Ml In 1 Vial, Single-Dose (0409-3181-11)",0.14,0.14,,,0 HCPCS,J2004,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3183-01) / 20 Ml In 1 Vial, Single-Dose (0409-3183-11)",1.24,1.24,,,0 HCPCS,J2004,Lidocaine Hydrochloride And Epinephrine: 800 Ampule In 1 Case (0409-1209-65) / 5 Ml In 1 Ampule (0409-1209-70),0.42,0.42,,,0 HCPCS,J2004,NDC Description Not Available,0.15,0.15,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-17) / 10 Ml In 1 Vial, Single-Dose (63323-487-01)",0.49,0.49,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-488-17) / 10 Ml In 1 Vial, Single-Dose (63323-488-01)",0.28,0.28,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",3.69,3.69,,,0 HCPCS,J2004,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-27) / 20 Ml In 1 Vial, Single-Dose (63323-489-02)",2.88,2.88,,,0 HCPCS,J2020,Linezolid: 10 Bag In 1 Carton (0781-3433-95) / 300 Ml In 1 Bag (0781-3433-46),93.73,93.73,,,0 HCPCS,J2020,Linezolid: 10 Bag In 1 Carton (66794-236-43) / 300 Ml In 1 Bag (66794-236-63),17.19,17.19,,,0 HCPCS,J2020,NDC Description Not Available,42.47,42.47,,,0 HCPCS,J2060,Lorazepam: 1 BLISTER PACK in 1 BOX (0409-1985-05) / 10 SYRINGE in 1 BLISTER PACK / 1 mL in 1 SYRINGE,3.77,3.77,,,0 HCPCS,J2060,Lorazepam: 10 Cartridge In 1 Carton (0409-1985-30) / 1 Ml In 1 Cartridge (0409-1985-03),15.45,15.45,,,0 HCPCS,J2060,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",7.09,7.09,,,0 HCPCS,J2060,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),3.65,3.65,,,0 HCPCS,J2060,Lorazepam: 25 Vial In 1 Carton (0641-6207-25) / 1 Ml In 1 Vial (0641-6207-01),2.06,2.06,,,0 HCPCS,J2060,NDC Description Not Available,4.33,4.33,,,0 HCPCS,J2150,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01) / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",12.765,12.765,,,0 HCPCS,J2150,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",2.58,2.58,,,0 HCPCS,J2150,NDC Description Not Available,12.74,12.74,,,0 HCPCS,J2175,Demerol: 10 Cartridge In 1 Carton (0409-1176-30) / 1 Ml In 1 Cartridge (0409-1176-03),25.75,25.75,,,0 HCPCS,J2175,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),29.87,29.87,,,0 HCPCS,J2175,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),11.33,11.33,,,0 HCPCS,J2175,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6054-25) / 1 Ml In 1 Vial (0641-6054-01),12.36,12.36,,,0 HCPCS,J2175,NDC Description Not Available,21.475,21.475,,,0 HCPCS,J2182,Nucala: 1 Syringe In 1 Carton (0173-0892-42) / 1 Ml In 1 Syringe,154.68,154.68,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),8.96,8.96,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (0781-3098-95) / 30 Ml In 1 Vial (0781-3098-94),13.22,13.22,,,0 HCPCS,J2185,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",4.86,4.86,,,0 HCPCS,J2185,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",4.76,4.76,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),2.56,2.56,,,0 HCPCS,J2185,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),4.75,4.75,,,0 HCPCS,J2185,NDC Description Not Available,2.55,2.55,,,0 HCPCS,J2186,NDC Description Not Available,31.96,31.96,,,0 HCPCS,J2186,"Vabomere: 6 Vial, Single-Dose In 1 Carton (70842-120-06) / 2 G In 1 Vial, Single-Dose (70842-120-01)",30.52,30.52,,,0 HCPCS,J2210,"Methylergonovine Maleate: 20 Vial, Single-Dose In 1 Carton (0517-0740-20) / 1 Ml In 1 Vial, Single-Dose (0517-0740-01)",122.2,122.2,,,0 HCPCS,J2210,NDC Description Not Available,106.565,106.565,,,0 HCPCS,J2212,"Relistor: 1 Vial, Single-Dose In 1 Carton (65649-551-02) / .6 Ml In 1 Vial, Single-Dose",6.8,6.8,,,0 HCPCS,J2212,Relistor: 7 Blister Pack In 1 Carton (65649-551-03) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,5.8,5.8,,,0 HCPCS,J2212,Relistor: 7 Blister Pack In 1 Carton (65649-552-04) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,8.684999999999999,8.684999999999999,,,0 HCPCS,J2247,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-229-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 HCPCS,J2247,NDC Description Not Available,6.475,6.475,,,0 HCPCS,J2248,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.47,6.47,,,0 HCPCS,J2248,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,8.09,8.09,,,0 HCPCS,J2248,"Micafungin: 1 Vial, Glass In 1 Carton (70594-036-01) / 5 Ml In 1 Vial, Glass",2.25,2.25,,,0 HCPCS,J2248,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 HCPCS,J2248,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 HCPCS,J2248,Micafungin: 10 Vial In 1 Carton (16714-164-10) / 5 Ml In 1 Vial (16714-164-01),8.09,8.09,,,0 HCPCS,J2248,Micafungin: 10 Vial In 1 Carton (16714-301-10) / 5 Ml In 1 Vial (16714-301-01),8.09,8.09,,,0 HCPCS,J2248,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 HCPCS,J2248,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",8.8,8.8,,,0 HCPCS,J2248,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",8.09,8.09,,,0 HCPCS,J2248,NDC Description Not Available,5.085,5.085,,,0 HCPCS,J2250,MIDAZOLAM: 10 VIAL in 1 CARTON (57664-633-43) / 2 mL in 1 VIAL (57664-633-40),1.03,1.03,,,0 HCPCS,J2250,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41) / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",2.35,2.35,,,0 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,0.95,0.95,,,0 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,1.56,1.56,,,0 HCPCS,J2250,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,0.52,0.52,,,0 HCPCS,J2250,Midazolam: 10 Vial In 1 Carton (0641-6059-10) / 5 Ml In 1 Vial (0641-6059-01),1.2149999999999999,1.2149999999999999,,,0 HCPCS,J2250,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),0.6,0.6,,,0 HCPCS,J2250,Midazolam: 10 Vial In 1 Carton (0641-6190-10) / 10 Ml In 1 Vial (0641-6190-01),0.26,0.26,,,0 HCPCS,J2250,Midazolam: 10 Vial In 1 Carton (25021-655-02) / 2 Ml In 1 Vial,0.52,0.52,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2587-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2587-04)",0.41,0.41,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2596-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2596-15)",0.65,0.65,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",1.1,1.1,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",0.87,0.87,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-01) / 1 Ml In 1 Vial, Single-Dose (0409-2308-21)",2.34,2.34,,,0 HCPCS,J2250,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",4.03,4.03,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Carton (0641-6057-25) / 2 Ml In 1 Vial (0641-6057-01),1.475,1.475,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Carton (0641-6061-25) / 1 Ml In 1 Vial (0641-6061-01),1.03,1.03,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Carton (0641-6063-25) / 2 Ml In 1 Vial (0641-6063-01),0.57,0.57,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Carton (0641-6209-25) / 2 Ml In 1 Vial (0641-6209-01),2.47,2.47,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Carton (0641-6281-25) / 2 Ml In 1 Vial (0641-6281-01),0.55,0.55,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Tray (63323-411-25) / 5 Ml In 1 Vial (63323-411-18),2.83,2.83,,,0 HCPCS,J2250,Midazolam: 25 Vial In 1 Tray (63323-412-25) / 1 Ml In 1 Vial (63323-412-18),2.51,2.51,,,0 HCPCS,J2250,NDC Description Not Available,1.37,1.37,,,0 HCPCS,J2251,Midazolam In Sodium Chloride: 10 Bag In 1 Carton (44567-611-10) / 100 Ml In 1 Bag (44567-611-01),1.3,1.3,,,0 HCPCS,J2251,NDC Description Not Available,1.3,1.3,,,0 HCPCS,J2260,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6011-37) / 200 Ml In 1 Bag,37.72,37.72,,,0 HCPCS,J2260,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-87) / 200 Ml In 1 Bag,11.71,11.71,,,0 HCPCS,J2260,Milrinone Lactate: 10 Vial In 1 Box (0143-9709-10) / 20 Ml In 1 Vial (0143-9709-01),10.92,10.92,,,0 HCPCS,J2260,Milrinone Lactate: 10 Vial In 1 Box (0143-9710-10) / 10 Ml In 1 Vial (0143-9710-01),13.52,13.52,,,0 HCPCS,J2260,Milrinone Lactate: 10 Vial In 1 Carton (0143-9374-10) / 20 Ml In 1 Vial (0143-9374-01),6.5,6.5,,,0 HCPCS,J2260,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Carton (0409-0212-02) / 20 Ml In 1 Vial, Single-Dose (0409-0212-11)",30.585,30.585,,,0 HCPCS,J2260,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",34.08,34.08,,,0 HCPCS,J2260,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",20.76,20.76,,,0 HCPCS,J2260,NDC Description Not Available,15.399999999999999,15.399999999999999,,,0 HCPCS,J2265,Minocin: 10 Vial In 1 Carton (70842-160-10) / 1 Injection In 1 Vial (70842-160-01),6.23,6.23,,,0 HCPCS,J2265,NDC Description Not Available,6.25,6.25,,,0 HCPCS,J2270,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),9.95,9.95,,,0 HCPCS,J2270,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1891-01) / 1 Ml In 1 Cartridge (0409-1891-03),8.52,8.52,,,0 HCPCS,J2270,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),10.0,10.0,,,0 HCPCS,J2270,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25) / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",13.36,13.36,,,0 HCPCS,J2270,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",11.030000000000001,11.030000000000001,,,0 HCPCS,J2270,NDC Description Not Available,11.565000000000001,11.565000000000001,,,0 HCPCS,J2272,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-454-01) / 1 Ml In 1 Vial, Single-Dose (63323-454-00)",12.36,12.36,,,0 HCPCS,J2272,NDC Description Not Available,12.36,12.36,,,0 HCPCS,J2274,Duramorph: 10 Ampule In 1 Carton (0641-6020-10) / 10 Ml In 1 Ampule (0641-6020-01),125.57,125.57,,,0 HCPCS,J2274,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",0.9450000000000001,0.9450000000000001,,,0 HCPCS,J2274,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3814-12) / 10 Ml In 1 Vial, Glass (0409-3814-11)",41.0,41.0,,,0 HCPCS,J2274,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",40.72,40.72,,,0 HCPCS,J2274,NDC Description Not Available,16.09,16.09,,,0 HCPCS,J2277,"Aphexda: 1 Vial, Glass In 1 Carton (82737-073-01) / 1.7 Ml In 1 Vial, Glass",235.24,235.24,,,0 HCPCS,J2278,"Prialt: 1 Vial, Glass In 1 Carton (70720-720-10) / 1 Ml In 1 Vial, Glass",27.39,27.39,,,0 HCPCS,J2278,"Prialt: 1 Vial, Glass In 1 Carton (70720-723-10) / 20 Ml In 1 Vial, Glass",7.81,7.81,,,0 HCPCS,J2280,Moxifloxacin Hydrochloride: 1 Bag In 1 Carton (67457-323-25) / 250 Ml In 1 Bag,49.57,49.57,,,0 HCPCS,J2300,NDC Description Not Available,16.48,16.48,,,0 HCPCS,J2300,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01) / 1 Ml In 1 Ampule (0409-1463-71),18.47,18.47,,,0 HCPCS,J2300,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-49) / 1 Ml In 1 Ampule (0409-1463-69),16.48,16.48,,,0 HCPCS,J2310,NDC Description Not Available,66.75,66.75,,,0 HCPCS,J2310,Naloxone Hydrochloride: 1 Syringe In 1 Box (55150-345-01) / 2 Ml In 1 Syringe,69.07,69.07,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,70.94,70.94,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,69.715,69.715,,,0 HCPCS,J2310,Naloxone Hydrochloride: 10 Syringe In 1 Carton (0641-6205-10) / 2 Ml In 1 Syringe (0641-6205-01),68.11,68.11,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",84.65,84.65,,,0 HCPCS,J2310,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",21.63,21.63,,,0 HCPCS,J2315,"Naltrexone, depot form",,,4.25,9.0,7 HCPCS,J2315,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",10.7,10.7,,,0 HCPCS,J2323,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",53.7,53.7,,,0 HCPCS,J2327,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",40.42,40.42,,,0 HCPCS,J2329,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",172.59,172.59,,,0 HCPCS,J2350,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",149.21,149.21,,,0 HCPCS,J2353,NDC Description Not Available,678.715,678.715,,,0 HCPCS,J2353,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0811-81) * 6 Ml In 1 Vial (0078-0790-61) * 2 Ml In 1 Syringe,870.97,870.97,,,0 HCPCS,J2353,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,570.47,570.47,,,0 HCPCS,J2353,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),569.53,569.53,,,0 HCPCS,J2354,NDC Description Not Available,10.1,10.1,,,0 HCPCS,J2354,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10) / 1 Ml In 1 Vial (68462-897-01),7.885,7.885,,,0 HCPCS,J2354,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6175-10) / 1 Ml In 1 Vial, Single-Dose (0641-6175-01)",7.78,7.78,,,0 HCPCS,J2354,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6176-10) / 1 Ml In 1 Vial, Single-Dose (0641-6176-01)",7.57,7.57,,,0 HCPCS,J2354,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3311-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3311-01)",7.91,7.91,,,0 HCPCS,J2354,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3321-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3321-01)",7.57,7.57,,,0 HCPCS,J2354,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",4.16,4.16,,,0 HCPCS,J2354,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",10.74,10.74,,,0 HCPCS,J2354,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-376-01) / 1 Ml In 1 Vial, Single-Dose (63323-376-00)",10.82,10.82,,,0 HCPCS,J2354,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",10.745000000000001,10.745000000000001,,,0 HCPCS,J2354,Sandostatin: 10 Ampule In 1 Package (0078-0182-01) / 1 Ml In 1 Ampule (0078-0182-61),28.58,28.58,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",116.69,116.69,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",105.66,105.66,,,0 HCPCS,J2357,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-86) / 1 Ml In 1 Syringe, Glass",114.12,114.12,,,0 HCPCS,J2357,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",114.12,114.12,,,0 HCPCS,J2358,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,35.56,35.56,,,0 HCPCS,J2358,Olanzapine: 1 Vial In 1 Carton (31722-308-01) / 2 Ml In 1 Vial,14.96,14.96,,,0 HCPCS,J2358,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.74,14.74,,,0 HCPCS,J2358,Zyprexa Intramuscular: 1 Vial In 1 Carton (0002-7597-01) / 2 Ml In 1 Vial,25.08,25.08,,,0 HCPCS,J2371,NDC Description Not Available,0.42,0.42,,,0 HCPCS,J2371,Phenylephrine Hydrochloride: 1 Vial In 1 Carton (81284-213-01) / 10 Ml In 1 Vial (81284-213-00),0.02,0.02,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0781-3466-70) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (42023-215-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (55150-302-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-751-05) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (70756-623-86) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0641-6188-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0641-6188-01)",0.03,0.03,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-3458-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-3458-75)",0.16,0.16,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-9227-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-9227-75)",0.04,0.04,,,0 HCPCS,J2371,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 HCPCS,J2371,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.03,0.03,,,0 HCPCS,J2371,"Vazculep: 1 Vial, Pharmacy Bulk Package In 1 Carton (51754-4020-1) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 HCPCS,J2401,NDC Description Not Available,0.565,0.565,,,0 HCPCS,J2401,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.54,0.54,,,0 HCPCS,J2401,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.23,0.23,,,0 HCPCS,J2404,Cardene Iv: 10 Bag In 1 Carton (43066-021-10) / 200 Ml In 1 Bag,1.14,1.14,,,0 HCPCS,J2404,NDC Description Not Available,1.8,1.8,,,0 HCPCS,J2405,NDC Description Not Available,0.5900000000000001,0.5900000000000001,,,0 HCPCS,J2405,"Ondansetron Hydrochloride: 25 Vial, Single-Dose In 1 Carton (36000-012-25) / 2 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 HCPCS,J2405,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,0.97,0.97,,,0 HCPCS,J2405,Ondansetron: 1 Vial In 1 Carton (72266-124-01) / 20 Ml In 1 Vial,0.52,0.52,,,0 HCPCS,J2405,Ondansetron: 20 Ml In 1 Vial (16729-298-05),0.845,0.845,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),1.03,1.03,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Carton (0641-6080-25) / 2 Ml In 1 Vial (0641-6080-01),0.67,0.67,,,0 HCPCS,J2405,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),2.33,2.33,,,0 HCPCS,J2405,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03) / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",1.29,1.29,,,0 HCPCS,J2405,"Ondansetron: 25 Vial, Single-Use In 1 Carton (60505-6130-5) / 2 Ml In 1 Vial, Single-Use (60505-6130-0)",0.26,0.26,,,0 HCPCS,J2406,Kimyrsa: 1 Vial In 1 Carton (70842-225-01) / 40 Ml In 1 Vial,109.94,109.94,,,0 HCPCS,J2407,"Orbactiv: 3 Vial, Glass In 1 Carton (70842-140-03) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (70842-140-01)",71.74,71.74,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,36.74,36.74,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,36.75,36.75,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-562-01) / .75 Ml In 1 Syringe,36.75,36.75,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,35.73,35.73,,,0 HCPCS,J2426,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,35.32,35.32,,,0 HCPCS,J2426,NDC Description Not Available,15.635,15.635,,,0 HCPCS,J2426,"Paliperidone: 100 Blister Pack In 1 Carton (0904-6935-61) / 1 Tablet, Extended Release In 1 Blister Pack",19.68,19.68,,,0 HCPCS,J2426,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",36.71,36.71,,,0 HCPCS,J2426,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (27808-223-01)",36.76,36.76,,,0 HCPCS,J2426,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (65162-281-03)",36.75,36.75,,,0 HCPCS,J2430,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10) / 10 Ml In 1 Vial,116.81,116.81,,,0 HCPCS,J2430,Pamidronate Disodium: 1 Vial In 1 Carton (67457-446-10) / 10 Ml In 1 Vial,8.58,8.58,,,0 HCPCS,J2430,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18) / 10 Ml In 1 Vial, Single-Dose",60.8,60.8,,,0 HCPCS,J2430,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-325-18) / 10 Ml In 1 Vial, Single-Dose",102.56,102.56,,,0 HCPCS,J2430,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-326-18) / 10 Ml In 1 Vial, Single-Dose",59.1,59.1,,,0 HCPCS,J2440,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),178.87,178.87,,,0 HCPCS,J2469,NDC Description Not Available,31.42,31.42,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",120.02,120.02,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3415-75) / 5 Ml In 1 Vial, Single-Dose",122.47,122.47,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (83634-777-05) / 5 Ml In 1 Vial, Single-Dose",6.49,6.49,,,0 HCPCS,J2469,"Palonosetron Hydrochloride: 1 Vial, Single-Use In 1 Carton (0703-4094-01) / 5 Ml In 1 Vial, Single-Use",15.14,15.14,,,0 HCPCS,J2469,Palonosetron Hydrochloride: 10 Carton In 1 Box (69543-371-10) / 1 Vial In 1 Carton (69543-371-01) / 5 Ml In 1 Vial,30.76,30.76,,,0 HCPCS,J2469,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,59.07,59.07,,,0 HCPCS,J2469,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",126.4,126.4,,,0 HCPCS,J2469,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",21.12,21.12,,,0 HCPCS,J2501,"Paricalcitol: 1 Vial, Single-Dose In 1 Carton (16729-310-63) / 1 Ml In 1 Vial, Single-Dose",9.1,9.1,,,0 HCPCS,J2501,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-1658-01) / 1 Ml In 1 Vial, Single-Dose",30.52,30.52,,,0 HCPCS,J2501,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-4637-01) / 1 Ml In 1 Vial, Single-Dose",14.7,14.7,,,0 HCPCS,J2506,NDC Description Not Available,0.77,0.77,,,0 HCPCS,J2506,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,1294.17,1294.17,,,0 HCPCS,J2506,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,1310.91,1310.91,,,0 HCPCS,J2508,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-160-02) / 10 Ml In 1 Vial, Single-Dose (10122-160-01)",511.1,511.1,,,0 HCPCS,J2508,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-165-02) / 2.5 Ml In 1 Vial, Single-Dose",536.63,536.63,,,0 HCPCS,J2540,NDC Description Not Available,5.745,5.745,,,0 HCPCS,J2540,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",6.67,6.67,,,0 HCPCS,J2540,"Penicillin G Potassium: 1 Vial In 1 Carton (70860-127-51) / 1 Injection, Powder, For Solution In 1 Vial",6.98,6.98,,,0 HCPCS,J2540,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",6.41,6.41,,,0 HCPCS,J2540,"Penicillin G Potassium: 10 Vial In 1 Carton (70860-126-20) / 1 Injection, Powder, For Solution In 1 Vial (70860-126-41)",6.47,6.47,,,0 HCPCS,J2540,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",2.06,2.06,,,0 HCPCS,J2540,Penicillin G Potassium: 50 Ml In 1 Bag (0338-1025-41),9.27,9.27,,,0 HCPCS,J2540,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-22) / 1 Powder, For Solution In 1 Vial",6.57,6.57,,,0 HCPCS,J2540,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",6.51,6.51,,,0 HCPCS,J2540,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-22) / 1 Powder, For Solution In 1 Vial",6.1,6.1,,,0 HCPCS,J2540,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",6.55,6.55,,,0 HCPCS,J2543,NDC Description Not Available,20.200000000000003,20.200000000000003,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",7.72,7.72,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",10.51,10.51,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",22.18,22.18,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3390-04) / 20 Ml In 1 Vial, Single-Use (0409-3390-11)",15.14,15.14,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3113-95) / 15 Ml In 1 Vial, Single-Use (0781-3113-90)",22.32,22.32,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",18.39,18.39,,,0 HCPCS,J2543,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (65219-259-45) / 20 Ml In 1 Vial, Single-Use (65219-259-05)",11.33,11.33,,,0 HCPCS,J2543,Zosyn In Galaxy Containers: 12 Bag In 1 Box (0206-8862-02) / 100 Ml In 1 Bag (0206-8862-01),27.53,27.53,,,0 HCPCS,J2543,Zosyn: 12 Bag In 1 Carton (0338-9638-12) / 100 Ml In 1 Bag (0338-9638-01),27.4,27.4,,,0 HCPCS,J2545,NDC Description Not Available,528.39,528.39,,,0 HCPCS,J2545,Pentam 300: 10 Vial In 1 Tray (63323-113-10) / 3 Ml In 1 Vial (63323-113-01),699.66,699.66,,,0 HCPCS,J2545,Pentamidine Isethionate: 1 Vial In 1 Carton (13925-522-01) / 300 Mg In 1 Vial,650.96,650.96,,,0 HCPCS,J2545,"Pentamidine Isethionate: 1 Vial, Single-Dose In 1 Carton (39822-3030-2) / 6 Ml In 1 Vial, Single-Dose (39822-3030-1)",405.82,405.82,,,0 HCPCS,J2545,Pentamidine Isethionate: 10 Vial In 1 Carton (39822-3050-2) / 3 Ml In 1 Vial,405.82,405.82,,,0 HCPCS,J2545,Pentamidine Isethionate: 10 Vial In 1 Tray (13925-515-10) / 300 Mg In 1 Vial,650.96,650.96,,,0 HCPCS,J2547,NDC Description Not Available,5.25,5.25,,,0 HCPCS,J2547,"Rapivab: 3 VIAL, GLASS in 1 CARTON (61364-181-03) / 20 mL in 1 VIAL, GLASS (61364-181-01)",6.85,6.85,,,0 HCPCS,J2547,"Rapivab: 3 Vial, Glass In 1 Carton (72769-181-03) / 20 Ml In 1 Vial, Glass (72769-181-01)",4.08,4.08,,,0 HCPCS,J2550,NDC Description Not Available,3.5,3.5,,,0 HCPCS,J2550,Phenergan: 25 Vial In 1 Carton (0641-6084-25) / 1 Ml In 1 Vial (0641-6084-01),7.21,7.21,,,0 HCPCS,J2550,Promethazine Hydrochloride: 25 Ampule In 1 Carton (0641-0949-35) / 1 Ml In 1 Ampule (0641-0949-31),2.2,2.2,,,0 HCPCS,J2550,Promethazine Hydrochloride: 25 Ampule In 1 Package (0641-1496-35) / 1 Ml In 1 Ampule (0641-1496-31),2.72,2.72,,,0 HCPCS,J2550,Promethazine Hydrochloride: 25 Vial In 1 Carton (0641-0955-25) / 1 Ml In 1 Vial (0641-0955-21),3.13,3.13,,,0 HCPCS,J2550,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0928-25) / 1 Ml In 1 Vial, Single-Dose (0641-0928-21)",3.42,3.42,,,0 HCPCS,J2550,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0929-25) / 1 Ml In 1 Vial, Single-Dose (0641-0929-21)",4.12,4.12,,,0 HCPCS,J2560,NDC Description Not Available,112.0,112.0,,,0 HCPCS,J2560,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-416-25) / 1 Ml In 1 Vial",125.0,125.0,,,0 HCPCS,J2560,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-441-25) / 1 Ml In 1 Vial",94.01,94.01,,,0 HCPCS,J2560,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),133.83,133.83,,,0 HCPCS,J2560,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),158.34,158.34,,,0 HCPCS,J2560,Phenobarbital Sodium: 25 Vial In 1 Carton (54288-137-25) / 1 Ml In 1 Vial (54288-137-01),132.36,132.36,,,0 HCPCS,J2560,"Phenobarbital Sodium: 3 Vial In 1 Box, Unit-Dose (42494-442-25) / 1 Ml In 1 Vial",187.1,187.1,,,0 HCPCS,J2562,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",1026.7,1026.7,,,0 HCPCS,J2562,Plerixafor: 1 Vial In 1 Carton (25021-416-01) / 1.2 Ml In 1 Vial,72.62,72.62,,,0 HCPCS,J2562,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (0480-4320-01) / 1.2 Ml In 1 Vial, Single-Dose",121.59,121.59,,,0 HCPCS,J2562,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",404.49,404.49,,,0 HCPCS,J2562,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",71.33,71.33,,,0 HCPCS,J2562,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",110.08,110.08,,,0 HCPCS,J2590,NDC Description Not Available,21.12,21.12,,,0 HCPCS,J2590,Oxytocin: 25 Vial In 1 Tray (63323-012-12) / 1 Ml In 1 Vial (63323-012-21),1.44,1.44,,,0 HCPCS,J2590,"Oxytocin: 25 Vial, Multi-Dose In 1 Tray (63323-012-10) / 10 Ml In 1 Vial, Multi-Dose (63323-012-06)",4.25,4.25,,,0 HCPCS,J2590,Pitocin: 25 Vial In 1 Carton (42023-116-02) / 10 Ml In 1 Vial,6.13,6.13,,,0 HCPCS,J2590,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,15.45,15.45,,,0 HCPCS,J2597,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,87.71,87.71,,,0 HCPCS,J2597,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),63.06,63.06,,,0 HCPCS,J2597,Desmopressin Acetate: 1 Vial In 1 Carton (39822-6250-1) / 10 Ml In 1 Vial,17.69,17.69,,,0 HCPCS,J2597,Desmopressin Acetate: 1 Vial In 1 Carton (62756-529-40) / 10 Ml In 1 Vial,54.11,54.11,,,0 HCPCS,J2597,Desmopressin Acetate: 1 Vial In 1 Carton (70095-031-01) / 10 Ml In 1 Vial,53.96,53.96,,,0 HCPCS,J2597,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (65219-295-10) / 10 Ml In 1 Vial, Multi-Dose",15.95,15.95,,,0 HCPCS,J2597,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",52.84,52.84,,,0 HCPCS,J2597,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-11) / 10 Ml In 1 Vial, Multi-Dose",34.2,34.2,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Ampule In 1 Box (43598-931-09) / 1 Ml In 1 Ampule,41.07,41.07,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,48.57,48.57,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-11) / 1 Ml In 1 Ampule,32.64,32.64,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Vial In 1 Carton (25021-460-01) / 1 Ml In 1 Vial,55.18,55.18,,,0 HCPCS,J2597,Desmopressin Acetate: 10 Vial In 1 Carton (83634-451-01) / 1 Ml In 1 Vial (83634-451-41),42.71,42.71,,,0 HCPCS,J2597,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (65219-293-01) / 1 Ml In 1 Vial, Single-Dose (65219-293-00)",16.22,16.22,,,0 HCPCS,J2597,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (70095-026-02) / 1 Ml In 1 Vial, Single-Dose (70095-026-01)",56.05,56.05,,,0 HCPCS,J2597,Desmopressin acetate: 1 VIAL in 1 CARTON (0703-5054-01) / 10 mL in 1 VIAL,55.27,55.27,,,0 HCPCS,J2597,NDC Description Not Available,38.535,38.535,,,0 HCPCS,J2601,Vasopressin In 0.9% Sodium Chloride: 12 Bag In 1 Carton (0338-9647-12) / 100 Ml In 1 Bag,16.22,16.22,,,0 HCPCS,J2675,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",8.76,8.76,,,0 HCPCS,J2680,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",111.24,111.24,,,0 HCPCS,J2690,NDC Description Not Available,1366.66,1366.66,,,0 HCPCS,J2690,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-900-02) / 2 Ml In 1 Vial, Multi-Dose",1498.03,1498.03,,,0 HCPCS,J2690,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",1483.2,1483.2,,,0 HCPCS,J2700,NDC Description Not Available,4.98,4.98,,,0 HCPCS,J2700,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",3.8499999999999996,3.8499999999999996,,,0 HCPCS,J2700,"Oxacillin: 10 Vial, Single-Dose In 1 Carton (63323-813-20) / 20 Ml In 1 Vial, Single-Dose (63323-813-01)",1.54,1.54,,,0 HCPCS,J2704,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,1.16,1.16,,,0 HCPCS,J2704,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.03,1.03,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),1.51,1.51,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-37) / 20 Ml In 1 Vial (63323-269-25),0.62,0.62,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),1.3,1.3,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),0.9,0.9,,,0 HCPCS,J2704,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.3,1.3,,,0 HCPCS,J2704,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),2.55,2.55,,,0 HCPCS,J2704,Diprivan: 20 Vial In 1 Box (63323-269-57) / 50 Ml In 1 Vial (63323-269-23),0.65,0.65,,,0 HCPCS,J2704,NDC Description Not Available,1.4100000000000001,1.4100000000000001,,,0 HCPCS,J2704,Propofol Injectable Emulsion: 10 Vial In 1 Carton (43598-549-10) / 100 Ml In 1 Vial (43598-549-52),1.21,1.21,,,0 HCPCS,J2704,Propofol: 10 Vial In 1 Carton (0069-0209-10) / 20 Ml In 1 Vial (0069-0209-01),1.12,1.12,,,0 HCPCS,J2704,Propofol: 10 Vial In 1 Carton (0069-0248-10) / 100 Ml In 1 Vial,3.65,3.65,,,0 HCPCS,J2704,Propofol: 10 Vial In 1 Carton (25021-608-51) / 100 Ml In 1 Vial,1.27,1.27,,,0 HCPCS,J2704,Propofol: 10 Vial In 1 Tray (0409-4699-24) / 100 Ml In 1 Vial (0409-4699-54),1.18,1.18,,,0 HCPCS,J2704,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6194-10) / 20 Ml In 1 Vial, Single-Use (0641-6194-01)",1.27,1.27,,,0 HCPCS,J2704,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6196-10) / 100 Ml In 1 Vial, Single-Use (0641-6196-01)",1.26,1.26,,,0 HCPCS,J2704,Propofol: 20 Vial In 1 Carton (0069-0234-20) / 50 Ml In 1 Vial,3.195,3.195,,,0 HCPCS,J2704,Propofol: 20 Vial In 1 Tray (0409-4699-33) / 50 Ml In 1 Vial (0409-4699-53),1.4649999999999999,1.4649999999999999,,,0 HCPCS,J2704,"Propofol: 20 Vial, Single-Use In 1 Carton (0641-6195-20) / 50 Ml In 1 Vial, Single-Use (0641-6195-01)",1.29,1.29,,,0 HCPCS,J2704,Propofol: 25 Vial In 1 Carton (25021-608-20) / 20 Ml In 1 Vial,4.43,4.43,,,0 HCPCS,J2704,Propofol: 5 Vial In 1 Carton (0409-4699-30) / 20 Ml In 1 Vial (0409-4699-50),0.93,0.93,,,0 HCPCS,J2710,NDC Description Not Available,3.96,3.96,,,0 HCPCS,J2710,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Carton (0641-6149-10) / 10 Ml In 1 Vial, Multi-Dose (0641-6149-01)",1.93,1.93,,,0 HCPCS,J2710,Noncdm Charge Record Pharmacy,2.06,2.06,,,0 HCPCS,J2720,NDC Description Not Available,13.275,13.275,,,0 HCPCS,J2720,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",15.76,15.76,,,0 HCPCS,J2720,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-35) / 25 Ml In 1 Vial, Single-Dose",10.37,10.37,,,0 HCPCS,J2720,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",16.46,16.46,,,0 HCPCS,J2730,NDC Description Not Available,375.07,375.07,,,0 HCPCS,J2760,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,1158.9650000000001,1158.9650000000001,,,0 HCPCS,J2760,Phentolamine Mesylate: 1 Vial In 1 Carton (51224-012-20) / 1 Injection In 1 Vial,1038.24,1038.24,,,0 HCPCS,J2760,Phentolamine Mesylate: 1 Vial In 1 Carton (68094-101-20) / 1 Injection In 1 Vial,1038.18,1038.18,,,0 HCPCS,J2760,Phentolamine Mesylate: 10 Vial In 1 Box (0143-9564-10) / 1 Ml In 1 Vial,1211.28,1211.28,,,0 HCPCS,J2765,"Metoclopramide: 10 Vial, Single-Use In 1 Carton (0703-4502-93) / 2 Ml In 1 Vial, Single-Use (0703-4502-91)",7.21,7.21,,,0 HCPCS,J2765,Metoclopramide: 25 Vial In 1 Carton (23155-240-41) / 2 Ml In 1 Vial (23155-240-31),8.09,8.09,,,0 HCPCS,J2765,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",4.965,4.965,,,0 HCPCS,J2765,"Metoclopramide: 25 Vial, Single-Use In 1 Tray (0703-4502-04) / 2 Ml In 1 Vial, Single-Use (0703-4502-01)",14.42,14.42,,,0 HCPCS,J2765,NDC Description Not Available,6.18,6.18,,,0 HCPCS,J2783,"Elitek: 1 Kit In 1 Carton (0024-5151-75) * 5 Ml In 1 Vial, Single-Use (0024-5155-74) * 5 Ml In 1 Ampule (0024-5153-74)",885.39,885.39,,,0 HCPCS,J2783,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",886.3,886.3,,,0 HCPCS,J2783,NDC Description Not Available,876.67,876.67,,,0 HCPCS,J2785,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",275.34,275.34,,,0 HCPCS,J2785,NDC Description Not Available,189.52,189.52,,,0 HCPCS,J2785,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",31.71,31.71,,,0 HCPCS,J2785,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",165.88,165.88,,,0 HCPCS,J2785,"Regadenoson: 10 Carton In 1 Package (0409-1401-01) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1401-05)",189.52,189.52,,,0 HCPCS,J2785,"Regadenoson: 5 Ml In 1 Syringe, Glass (16729-477-31)",257.18,257.18,,,0 HCPCS,J2786,"Cinqair: 1 Vial, Single-Use In 1 Carton (59310-610-31) / 10 Ml In 1 Vial, Single-Use",27.69,27.69,,,0 HCPCS,J2791,NDC Description Not Available,40.87,40.87,,,0 HCPCS,J2791,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",42.19,42.19,,,0 HCPCS,J2792,NDC Description Not Available,132.53,132.53,,,0 HCPCS,J2792,"Winrho Sdf: 1 Vial, Glass In 1 Carton (49591-300-51) / 13 Ml In 1 Vial, Glass (49591-300-13)",89.54,89.54,,,0 HCPCS,J2794,Risperidone: 60 Tablet In 1 Bottle (43547-344-06),5.41,5.41,,,0 HCPCS,J2795,NDC Description Not Available,0.83,0.83,,,0 HCPCS,J2795,"Naropin: 1 Vial, Single-Dose In 1 Box (63323-286-30) / 30 Ml In 1 Vial, Single-Dose",0.52,0.52,,,0 HCPCS,J2795,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),0.88,0.88,,,0 HCPCS,J2795,Naropin: 12 Bottle In 1 Case (63323-285-65) / 100 Ml In 1 Bottle (63323-285-51),1.17,1.17,,,0 HCPCS,J2795,Naropin: 12 Bottle In 1 Case (63323-285-67) / 100 Ml In 1 Bottle (63323-285-55),5.73,5.73,,,0 HCPCS,J2795,Naropin: 24 Bag In 1 Case (63323-285-63) / 200 Ml In 1 Bag (63323-285-04),0.905,0.905,,,0 HCPCS,J2795,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",1.23,1.23,,,0 HCPCS,J2795,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-23) / 20 Ml In 1 Vial, Single-Dose (63323-286-05)",0.95,0.95,,,0 HCPCS,J2795,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-35) / 30 Ml In 1 Vial, Single-Dose (63323-286-11)",0.7,0.7,,,0 HCPCS,J2795,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95) / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.26,0.26,,,0 HCPCS,J2795,Naropin: 5 Ampule In 1 Box (63323-285-20) / 20 Ml In 1 Ampule (63323-285-06),1.7,1.7,,,0 HCPCS,J2795,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.73,0.73,,,0 HCPCS,J2795,"Ropivacaine Hydrochloride: 1 Bottle, Glass In 1 Carton (55150-196-99) / 100 Ml In 1 Bottle, Glass",1.3,1.3,,,0 HCPCS,J2795,Ropivacaine Hydrochloride: 1 Vial In 1 Carton (70069-064-01) / 30 Ml In 1 Vial,0.25,0.25,,,0 HCPCS,J2795,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-67) / 200 Ml In 1 Bag,0.46,0.46,,,0 HCPCS,J2795,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-87) / 200 Ml In 1 Bag,0.84,0.84,,,0 HCPCS,J2795,Ropivacaine Hydrochloride: 10 Vial In 1 Carton (70069-064-10) / 30 Ml In 1 Vial,0.26,0.26,,,0 HCPCS,J2795,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (70069-064-25) / 30 Ml In 1 Vial,0.25,0.25,,,0 HCPCS,J2795,"Ropivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-195-20) / 20 Ml In 1 Vial, Single-Dose",1.46,1.46,,,0 HCPCS,J2799,"Uzedy: 1 Syringe, Glass In 1 Carton (51759-520-10) / .28 Ml In 1 Syringe, Glass",56.56,56.56,,,0 HCPCS,J2800,Methocarbamol: 10 Vial In 1 Carton (43598-839-36) / 10 Ml In 1 Vial (43598-839-11),43.26,43.26,,,0 HCPCS,J2800,Methocarbamol: 25 Vial In 1 Carton (25021-675-10) / 10 Ml In 1 Vial,36.1,36.1,,,0 HCPCS,J2800,Methocarbamol: 25 Vial In 1 Carton (63323-778-10) / 10 Ml In 1 Vial (63323-778-21),43.26,43.26,,,0 HCPCS,J2800,Methocarbamol: 25 Vial In 1 Carton (70069-101-25) / 10 Ml In 1 Vial,26.78,26.78,,,0 HCPCS,J2800,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10) / 10 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 HCPCS,J2800,NDC Description Not Available,33.31,33.31,,,0 HCPCS,J2800,Robaxin: 10 Vial In 1 Carton (0641-6103-10) / 10 Ml In 1 Vial (0641-6103-01),121.2,121.2,,,0 HCPCS,J2800,Robaxin: 10 Vial In 1 Carton (0641-6217-10) / 10 Ml In 1 Vial (0641-6217-01),28.84,28.84,,,0 HCPCS,J2800,Robaxin: 25 Vial In 1 Carton (0641-6103-25) / 10 Ml In 1 Vial (0641-6103-01),121.51,121.51,,,0 HCPCS,J2802,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,63.48,63.48,,,0 HCPCS,J2805,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,542.96,542.96,,,0 HCPCS,J2805,NDC Description Not Available,1.54,1.54,,,0 HCPCS,J2820,NDC Description Not Available,152.5,152.5,,,0 HCPCS,J2840,"Kanuma: 1 Vial, Glass In 1 Carton (25682-007-01) / 10 Ml In 1 Vial, Glass",1261.96,1261.96,,,0 HCPCS,J2850,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",97.34,97.34,,,0 HCPCS,J2860,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 HCPCS,J2860,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-421-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 HCPCS,J2916,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",27.52,27.52,,,0 HCPCS,J2916,NDC Description Not Available,26.91,26.91,,,0 HCPCS,J2916,Sodium Ferric Gluconate Complex In Sucrose: 10 Vial In 1 Carton (0143-9570-10) / 5 Ml In 1 Vial (0143-9570-01),27.46,27.46,,,0 HCPCS,J2916,"Sodium Ferric Gluconate Complex In Sucrose: 10 Vial, Single-Dose In 1 Carton (0143-9298-10) / 5 Ml In 1 Vial, Single-Dose (0143-9298-01)",7.1,7.1,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.0,1.0,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",0.91,0.91,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",0.95,0.95,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",0.7,0.7,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Carton (43598-129-25) / 2 Ml In 1 Vial, Single-Dose (43598-129-01)",1.3,1.3,,,0 HCPCS,J2919,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-255-03) / 1 Ml In 1 Vial, Single-Dose (63323-255-01)",3.32,3.32,,,0 HCPCS,J2919,NDC Description Not Available,2.91,2.91,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02) / 4 Ml In 1 Vial,2.0949999999999998,2.0949999999999998,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,1.49,1.49,,,0 HCPCS,J2919,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.05,1.05,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-06) / 1 Ml In 1 Vial,3.22,3.22,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),4.3,4.3,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),1.8,1.8,,,0 HCPCS,J2919,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-26) / 2 Ml In 1 Vial (0009-0047-27),1.69,1.69,,,0 HCPCS,J2930,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",0.76,0.76,,,0 HCPCS,J2930,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,36.48,36.48,,,0 HCPCS,J2930,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.03,1.03,,,0 HCPCS,J2941,NDC Description Not Available,330.29,330.29,,,0 HCPCS,J2941,"Zomacton: 1 Kit In 1 Carton (55566-1801-1) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 5 Ml In 1 Vial",247.45,247.45,,,0 HCPCS,J2997,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",318.37,318.37,,,0 HCPCS,J2997,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",364.395,364.395,,,0 HCPCS,J2997,Alteplase recombinant,,,95.09,201.59,7 HCPCS,J2997,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,364.63,364.63,,,0 HCPCS,J2997,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,300.825,300.825,,,0 HCPCS,J2997,NDC Description Not Available,217.54,217.54,,,0 HCPCS,J3010,FENTANYL CITRATE: 25 AMPULE in 1 CARTON (17478-030-25) / 2 mL in 1 AMPULE,2.06,2.06,,,0 HCPCS,J3010,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",4.33,4.33,,,0 HCPCS,J3010,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),4.7,4.7,,,0 HCPCS,J3010,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),3.3049999999999997,3.3049999999999997,,,0 HCPCS,J3010,Fentanyl Citrate: 10 CARTRIDGE in 1 CARTON (0409-1276-32) / 2 mL in 1 CARTRIDGE (0409-1276-03),7.14,7.14,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",48.71,48.71,,,0 HCPCS,J3010,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25) / 2 Ml In 1 Vial (0641-6027-01),9.27,9.27,,,0 HCPCS,J3010,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6247-25) / 1 Ml In 1 Vial (0641-6247-01),7.4,7.4,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",10.01,10.01,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-02) / 2 Ml In 1 Vial, Single-Dose (63323-806-12)",9.78,9.78,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",6.33,6.33,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25) / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",3.81,3.81,,,0 HCPCS,J3010,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",4.94,4.94,,,0 HCPCS,J3010,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),5.15,5.15,,,0 HCPCS,J3010,NDC Description Not Available,6.605,6.605,,,0 HCPCS,J3030,NDC Description Not Available,51.7,51.7,,,0 HCPCS,J3030,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",175.31,175.31,,,0 HCPCS,J3030,Sumatriptan: 5 Vial In 1 Carton (0143-9638-05) / .5 Ml In 1 Vial (0143-9638-01),51.5,51.5,,,0 HCPCS,J3030,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",46.72,46.72,,,0 HCPCS,J3030,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05) / .5 Ml In 1 Vial, Single-Dose",47.38,47.38,,,0 HCPCS,J3032,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",43.7,43.7,,,0 HCPCS,J3055,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",177.6,177.6,,,0 HCPCS,J3055,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",156.17,156.17,,,0 HCPCS,J3090,NDC Description Not Available,7.64,7.64,,,0 HCPCS,J3090,"Sivextro: 10 Vial, Glass In 1 Carton (67919-040-02) / 4 Ml In 1 Vial, Glass",7.56,7.56,,,0 HCPCS,J3101,NDC Description Not Available,363.98,363.98,,,0 HCPCS,J3101,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",375.74,375.74,,,0 HCPCS,J3105,NDC Description Not Available,12.645,12.645,,,0 HCPCS,J3105,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",83.65,83.65,,,0 HCPCS,J3111,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),28.96,28.96,,,0 HCPCS,J3111,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",29.7,29.7,,,0 HCPCS,J3111,NDC Description Not Available,27.875,27.875,,,0 HCPCS,J3230,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1397-35) / 1 Ml In 1 Ampule (0641-1397-31),124.63,124.63,,,0 HCPCS,J3230,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),75.92,75.92,,,0 HCPCS,J3230,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (55150-318-25) / 1 Ml In 1 Ampule (55150-318-01),125.14,125.14,,,0 HCPCS,J3230,NDC Description Not Available,104.41499999999999,104.41499999999999,,,0 HCPCS,J3240,NDC Description Not Available,4525.23,4525.23,,,0 HCPCS,J3240,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",4887.35,4887.35,,,0 HCPCS,J3243,NDC Description Not Available,8.06,8.06,,,0 HCPCS,J3243,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (0781-3481-92) / 10 Ml In 1 Vial, Single-Dose (0781-3481-70)",11.28,11.28,,,0 HCPCS,J3243,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",11.18,11.18,,,0 HCPCS,J3245,Ilumya: 1 Ml In 1 Carton (47335-177-95),361.18,361.18,,,0 HCPCS,J3246,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,19.9,19.9,,,0 HCPCS,J3246,Aggrastat: 1 Container In 1 Carton (25208-002-02) / 250 Ml In 1 Container,29.74,29.74,,,0 HCPCS,J3246,Aggrastat: 1 Container In 1 Carton (25208-902-02) / 250 Ml In 1 Container,15.88,15.88,,,0 HCPCS,J3246,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",31.67,31.67,,,0 HCPCS,J3246,Tirofiban Hydrochloride: 1 Bag In 1 Carton (14789-102-02) / 250 Ml In 1 Bag,13.84,13.84,,,0 HCPCS,J3246,Tirofiban Hydrochloride: 2 Bag In 1 Carton (14789-102-10) / 250 Ml In 1 Bag,13.84,13.84,,,0 HCPCS,J3246,Tirofiban: 1 Pouch In 1 Carton (55150-430-01) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,19.65,19.65,,,0 HCPCS,J3247,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",42.24,42.24,,,0 HCPCS,J3250,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",227.97,227.97,,,0 HCPCS,J3260,NDC Description Not Available,9.355,9.355,,,0 HCPCS,J3260,Noncdm Charge Record Pharmacy,22.55,22.55,,,0 HCPCS,J3260,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,22.28,22.28,,,0 HCPCS,J3260,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",5.72,5.72,,,0 HCPCS,J3260,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",5.66,5.66,,,0 HCPCS,J3260,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",13.99,13.99,,,0 HCPCS,J3260,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,19.9,19.9,,,0 HCPCS,J3262,"Actemra: 1 Syringe, Glass In 1 Box (50242-138-01) / .9 Ml In 1 Syringe, Glass",16.42,16.42,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",18.27,18.27,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",14.98,14.98,,,0 HCPCS,J3262,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",14.01,14.01,,,0 HCPCS,J3263,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",93.88,93.88,,,0 HCPCS,J3285,Treprostinil: 1 Vial In 1 Carton (42023-207-01) / 20 Ml In 1 Vial,151.4,151.4,,,0 HCPCS,J3285,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",245.34,245.34,,,0 HCPCS,J3301,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",10.28,10.28,,,0 HCPCS,J3301,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",156.04,156.04,,,0 HCPCS,J3301,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",10.3,10.3,,,0 HCPCS,J3301,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",7.69,7.69,,,0 HCPCS,J3301,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",10.39,10.39,,,0 HCPCS,J3301,NDC Description Not Available,9.37,9.37,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01) / 15 G In 1 Tube,0.01,0.01,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),8.79,8.79,,,0 HCPCS,J3301,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,9.21,9.21,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",8.76,8.76,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",9.38,9.38,,,0 HCPCS,J3301,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",7.57,7.57,,,0 HCPCS,J3301,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",583.5,583.5,,,0 HCPCS,J3315,NDC Description Not Available,2163.0,2163.0,,,0 HCPCS,J3315,"Trelstar: 1 Kit In 1 Carton (74676-5906-1) * 2 Ml In 1 Vial, Single-Dose (74676-5906-0) * 2 Ml In 1 Syringe",2130.9,2130.9,,,0 HCPCS,J3316,"Trelstar: 1 Kit In 1 Carton (74676-5902-1) * 2 Ml In 1 Vial, Single-Dose (74676-5902-0) * 2 Ml In 1 Syringe",2131.07,2131.07,,,0 HCPCS,J3316,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",2075.22,2075.22,,,0 HCPCS,J3358,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",37.48,37.48,,,0 HCPCS,J3360,Diazepam: 10 Cartridge In 1 Carton (0409-1273-32) / 2 Ml In 1 Cartridge (0409-1273-03),109.08,109.08,,,0 HCPCS,J3360,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",12.36,12.36,,,0 HCPCS,J3360,NDC Description Not Available,43.32,43.32,,,0 HCPCS,J3370,"10 VIAL in 1 TRAY (0409-6533-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6533-11)",35.02,35.02,,,0 HCPCS,J3370,NDC Description Not Available,32.27,32.27,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61) / 100 Ml In 1 Bottle,40.8,40.8,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Injection, Powder, For Solution In 1 Bottle (0143-9359-01)",46.38,46.38,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9163-01) / 5.13 G In 1 Vial, Pharmacy Bulk Package",15.7,15.7,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01) / 10.25 G In 1 Vial, Pharmacy Bulk Package",15.48,15.48,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",44.685,44.685,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",51.13,51.13,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-6509-49) / 100 Ml In 1 Vial, Pharmacy Bulk Package",6.6,6.6,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (16714-517-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Pharmacy Bulk Package",26.26,26.26,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (71288-026-75) / 95 Ml In 1 Vial, Pharmacy Bulk Package",46.01,46.01,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",30.91,30.91,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",33.92,33.92,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-31) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-59)",6.8,6.8,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-020-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.45,15.45,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.18,6.18,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10) / 1025 Mg In 1 Vial (0143-9162-01),12.12,12.12,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",11.12,11.12,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",21.12,21.12,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),34.43,34.43,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",34.81,34.81,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (71288-023-21) / 20 Ml In 1 Vial, Single-Dose (71288-023-20)",12.98,12.98,,,0 HCPCS,J3370,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Tray (0409-6531-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-6531-11)",14.42,14.42,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 100 Ml In 1 Bag (0338-3551-48),33.61,33.61,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),58.47,58.47,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3580-48),34.795,34.795,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),16.34,16.34,,,0 HCPCS,J3370,Vancomycin Hydrochloride: 25 Vial In 1 Tray (63323-221-10) / 10 Ml In 1 Vial (63323-221-01),29.87,29.87,,,0 HCPCS,J3370,Vancomycin: 12 Bag In 1 Carton (70594-042-03) / 200 Ml In 1 Bag (70594-042-01),34.5,34.5,,,0 HCPCS,J3370,Vancomycin: 12 Bag In 1 Carton (70594-056-03) / 150 Ml In 1 Bag (70594-056-01),25.75,25.75,,,0 HCPCS,J3370,Vancomycin: 6 Bag In 1 Carton (70594-043-02) / 300 Ml In 1 Bag (70594-043-01),33.3,33.3,,,0 HCPCS,J3370,Vancomycin: 6 Bag In 1 Carton (70594-044-02) / 400 Ml In 1 Bag (70594-044-01),34.12,34.12,,,0 HCPCS,J3370,Vancomycin: 6 Bag In 1 Carton (70594-057-02) / 250 Ml In 1 Bag (70594-057-01),27.47,27.47,,,0 HCPCS,J3370,Vancomycin: 6 Bag In 1 Carton (70594-058-02) / 350 Ml In 1 Bag (70594-058-01),28.07,28.07,,,0 HCPCS,J3371,NDC Description Not Available,25.5,25.5,,,0 HCPCS,J3371,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (70594-048-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",42.88,42.88,,,0 HCPCS,J3371,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-339-50) / 10 Ml In 1 Vial (67457-339-00),31.13,31.13,,,0 HCPCS,J3371,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-340-01) / 20 Ml In 1 Vial (67457-340-00),34.36,34.36,,,0 HCPCS,J3380,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",69.2,69.2,,,0 HCPCS,J3392,Hc Gene Cell Therapy - Casgevy (Frozen),9064000.0,9064000.0,,,0 HCPCS,J3393,Hc Gene Cell Therapy - Zynteglo Beta Thal 20Ml,11536000.0,11536000.0,,,0 HCPCS,J3394,Hc Gene Cell Therapy - Lyfgenia,12772000.0,12772000.0,,,0 HCPCS,J3410,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-4201-25) / 1 Ml In 1 Vial, Single-Dose (0517-4201-01)",117.34,117.34,,,0 HCPCS,J3410,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",98.88,98.88,,,0 HCPCS,J3410,NDC Description Not Available,114.78,114.78,,,0 HCPCS,J3411,NDC Description Not Available,20.3,20.3,,,0 HCPCS,J3411,Thiamine Hydrochloride: 25 Vial In 1 Carton (0641-6228-25) / 2 Ml In 1 Vial (0641-6228-01),21.51,21.51,,,0 HCPCS,J3411,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,21.51,21.51,,,0 HCPCS,J3411,Thiamine Hydrochloride: 25 Vial In 1 Carton (70748-347-02) / 2 Ml In 1 Vial,21.55,21.55,,,0 HCPCS,J3411,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (43598-050-25) / 2 Ml In 1 Vial, Multi-Dose (43598-050-11)",13.82,13.82,,,0 HCPCS,J3411,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-273-25) / 2 Ml In 1 Vial, Multi-Dose (55150-273-01)",14.24,14.24,,,0 HCPCS,J3411,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (67457-196-02) / 2 Ml In 1 Vial, Multi-Dose (67457-196-00)",19.09,19.09,,,0 HCPCS,J3411,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25) / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",13.39,13.39,,,0 HCPCS,J3411,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72603-139-25) / 2 Ml In 1 Vial, Multi-Dose (72603-139-01)",20.35,20.35,,,0 HCPCS,J3411,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",10.905,10.905,,,0 HCPCS,J3411,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-09) / 2 Ml In 1 Vial, Multi-Dose (63323-013-21)",14.94,14.94,,,0 HCPCS,J3415,NDC Description Not Available,92.47,92.47,,,0 HCPCS,J3415,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),93.77,93.77,,,0 HCPCS,J3420,Cyanocobalamin: 25 Vial In 1 Carton (25021-502-01) / 1 Ml In 1 Vial,11.52,11.52,,,0 HCPCS,J3420,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",7.21,7.21,,,0 HCPCS,J3420,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",31.93,31.93,,,0 HCPCS,J3420,NDC Description Not Available,29.66,29.66,,,0 HCPCS,J3420,Noncdm Charge Record Pharmacy,29.87,29.87,,,0 HCPCS,J3425,"Cyanokit: 1 VIAL, GLASS in 1 CARTON (11704-370-01) / 250 mL in 1 VIAL, GLASS",0.18,0.18,,,0 HCPCS,J3425,"Cyanokit: 1 Vial, Glass In 1 Carton (50633-310-11) / 250 Ml In 1 Vial, Glass",0.12,0.12,,,0 HCPCS,J3430,NDC Description Not Available,21.07,21.07,,,0 HCPCS,J3430,Phytonadione Phytonadione: 25 Ampule In 1 Carton (43598-405-16) / 1 Ml In 1 Ampule (43598-405-11),22.4,22.4,,,0 HCPCS,J3430,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,103.59,103.59,,,0 HCPCS,J3430,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,18.5,18.5,,,0 HCPCS,J3465,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",14.35,14.35,,,0 HCPCS,J3465,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01) / 20 Ml In 1 Vial, Single-Use",8.24,8.24,,,0 HCPCS,J3465,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",27.5,27.5,,,0 HCPCS,J3465,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (65219-190-30) / 20 Ml In 1 Vial, Single-Dose",12.98,12.98,,,0 HCPCS,J3465,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (70594-067-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 HCPCS,J3465,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",27.51,27.51,,,0 HCPCS,J3470,"Amphadase: 10 Vial, Single-Dose In 1 Carton (0548-9090-10) / 1 Ml In 1 Vial, Single-Dose",241.02,241.02,,,0 HCPCS,J3470,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),23.69,23.69,,,0 HCPCS,J3473,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),3.21,3.21,,,0 HCPCS,J3473,NDC Description Not Available,1.675,1.675,,,0 HCPCS,J3475,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),0.63,0.63,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,4.83,4.83,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4206-54) / 100 Ml In 1 Container,1.88,1.88,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,7.4,7.4,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-421-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.03,2.03,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag (0409-6729-41),4.32,4.32,,,0 HCPCS,J3475,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),17.33,17.33,,,0 HCPCS,J3475,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-553-00) / 50 Ml In 1 Bag,14.17,14.17,,,0 HCPCS,J3475,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-554-00) / 100 Ml In 1 Bag,3.49,3.49,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-01) / 100 Ml In 1 Bag (63323-106-00),4.25,4.25,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-10) / 1000 Ml In 1 Bag,0.5,0.5,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,0.67,0.67,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,14.16,14.16,,,0 HCPCS,J3475,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-02) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.67,2.67,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Glass In 1 Tray (63323-064-23) / 2 Ml In 1 Vial, Glass (63323-064-21)",2.58,2.58,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Plastic In 1 Tray (0409-2168-77) / 20 Ml In 1 Vial, Plastic (0409-2168-17)",0.88,0.88,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",4.8,4.8,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-642-50) / 50 Ml In 1 Vial, Single-Dose (63323-642-02)",2.19,2.19,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",4.36,4.36,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",1.69,1.69,,,0 HCPCS,J3475,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-642-20) / 20 Ml In 1 Vial, Single-Dose (63323-642-01)",1.96,1.96,,,0 HCPCS,J3475,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1708-40) / 50 Ml In 1 Bag,13.64,13.64,,,0 HCPCS,J3475,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1715-40) / 100 Ml In 1 Bag,3.36,3.36,,,0 HCPCS,J3475,NDC Description Not Available,3.7399999999999998,3.7399999999999998,,,0 HCPCS,J3480,NDC Description Not Available,2.45,2.45,,,0 HCPCS,J3480,Potassium Chloride In Dextrose: 1000 Ml In 1 Bag (0338-0683-04),4.33,4.33,,,0 HCPCS,J3480,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00) / 1000 Ml In 1 Container,2.16,2.16,,,0 HCPCS,J3480,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7116-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,1.8,1.8,,,0 HCPCS,J3480,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04) / 1000 Ml In 1 Bag,4.33,4.33,,,0 HCPCS,J3480,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0695-04) / 1000 Ml In 1 Bag,2.31,2.31,,,0 HCPCS,J3480,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34) / 1000 Ml In 1 Bag,3.25,3.25,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-41) / 50 Ml In 1 Bag,1.65,1.65,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,0.88,0.88,,,0 HCPCS,J3480,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48) / 100 Ml In 1 Bag,3.34,3.34,,,0 HCPCS,J3480,Potassium Chloride: 24 Container In 1 Case (0264-1944-20) / 250 Ml In 1 Container,0.41,0.41,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7074-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,4.09,4.09,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.16,2.16,,,0 HCPCS,J3480,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,1.1,1.1,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Multi-Dose In 1 Tray (63323-967-30) / 30 Ml In 1 Vial, Multi-Dose (63323-967-01)",0.49,0.49,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6653-05) / 20 Ml In 1 Vial, Single-Dose (0409-6653-18)",1.36,1.36,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-05) / 5 Ml In 1 Vial, Single-Dose (63323-965-01)",2.4,2.4,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-10) / 10 Ml In 1 Vial, Single-Dose (63323-965-03)",0.83,0.83,,,0 HCPCS,J3480,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",0.51,0.51,,,0 HCPCS,J3485,NDC Description Not Available,7.52,7.52,,,0 HCPCS,J3485,"Retrovir: 5 Vial, Single-Use In 1 Carton (49702-213-26) / 20 Ml In 1 Vial, Single-Use (49702-213-01)",7.01,7.01,,,0 HCPCS,J3486,NDC Description Not Available,97.72,97.72,,,0 HCPCS,J3486,"Ziprasidone Mesylate: 1 Vial, Single-Dose In 1 Carton (43598-848-58) / 1 Ml In 1 Vial, Single-Dose",123.08,123.08,,,0 HCPCS,J3486,"Ziprasidone Mesylate: 10 Vial, Single-Dose In 1 Carton (72266-160-10) / 1 Ml In 1 Vial, Single-Dose (72266-160-01)",142.14,142.14,,,0 HCPCS,J3489,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67) / 100 Ml In 1 Bag,64.89,64.89,,,0 HCPCS,J3489,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-82) / 100 Ml In 1 Bag,189.13,189.13,,,0 HCPCS,J3489,Zoledronic Acid: 1 Bag In 1 Carton (25021-830-82) / 100 Ml In 1 Bag,299.35,299.35,,,0 HCPCS,J3489,Zoledronic Acid: 1 Bag In 1 Carton (72266-152-01) / 100 Ml In 1 Bag,96.0,96.0,,,0 HCPCS,J3489,Zoledronic Acid: 1 Bag In 1 Pouch (67457-794-10) / 100 Ml In 1 Bag,95.17,95.17,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,50.69,50.69,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,203.32,203.32,,,0 HCPCS,J3489,Zoledronic Acid: 1 Vial In 1 Carton (69367-190-50) / 5 Ml In 1 Vial,374.59,374.59,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",46.45,46.45,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",71.39,71.39,,,0 HCPCS,J3489,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (72603-198-01) / 5 Ml In 1 Vial, Glass",83.17,83.17,,,0 HCPCS,J3489,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",238.39,238.39,,,0 HCPCS,J3490,"Auryxia: 200 Tablet, Film Coated In 1 Bottle (59922-631-01)",1.18,1.18,,,0 HCPCS,J3490,Nafcillin: 10 Vial In 1 Box (55150-123-15) / 8 Ml In 1 Vial,54.09,54.09,,,0 HCPCS,J3490,"Praxbind: 2 Vial, Single-Dose In 1 Carton (0597-0197-05) / 50 Ml In 1 Vial, Single-Dose",6083.51,6083.51,,,0 HCPCS,J7030,Hc Normal Saline 1000Cc,429.51,429.51,,,0 HCPCS,J7030,NDC Description Not Available,40.075,40.075,,,0 HCPCS,J7030,Sodium Chloride: 10 BAG in 1 BOX (63323-623-10) / 1000 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7030,Sodium Chloride: 10 Bag In 1 Case (65219-474-10) / 1000 Ml In 1 Bag (65219-474-05),28.84,28.84,,,0 HCPCS,J7030,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),35.95,35.95,,,0 HCPCS,J7030,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),55.93,55.93,,,0 HCPCS,J7030,Sodium Chloride: 100 Ml In 1 Bag (63323-623-61),36.05,36.05,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),33.68,33.68,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),42.45,42.45,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-06),39.7,39.7,,,0 HCPCS,J7030,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),46.345,46.345,,,0 HCPCS,J7030,Sodium Chloride: 12 Container In 1 Case (0264-5802-00) / 1000 Ml In 1 Container,24.84,24.84,,,0 HCPCS,J7030,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,29.409999999999997,29.409999999999997,,,0 HCPCS,J7030,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,39.74,39.74,,,0 HCPCS,J7030,Sodium Chloride: 12 Pouch In 1 Case (0990-7983-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,34.98,34.98,,,0 HCPCS,J7030,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7030,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,47.68,47.68,,,0 HCPCS,J7030,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,51.64,51.64,,,0 HCPCS,J7030,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7030,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),36.004999999999995,36.004999999999995,,,0 HCPCS,J7030,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),64.89,64.89,,,0 HCPCS,J7030,Sodium Chloride: 50 Ml In 1 Bag (63323-623-53),36.05,36.05,,,0 HCPCS,J7030,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),50.47,50.47,,,0 HCPCS,J7030,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),85.13,85.13,,,0 HCPCS,J7030,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),37.34,37.34,,,0 HCPCS,J7030,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),48.31,48.31,,,0 HCPCS,J7030,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,44.07,44.07,,,0 HCPCS,J7030,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,36.05,36.05,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7941-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,18.02,18.02,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,26.96,26.96,,,0 HCPCS,J7042,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,32.77,32.77,,,0 HCPCS,J7042,NDC Description Not Available,18.02,18.02,,,0 HCPCS,J7050,NDC Description Not Available,35.67,35.67,,,0 HCPCS,J7050,SODIUM CHLORIDE: 60 BAG in 1 CARTON (0338-9567-60) / 50 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,35.905,35.905,,,0 HCPCS,J7050,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,34.36,34.36,,,0 HCPCS,J7050,Sodium Chloride: 10 CONTAINER in 1 CARTON (0264-7800-01) / 500 mL in 1 CONTAINER,18.02,18.02,,,0 HCPCS,J7050,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),39.18,39.18,,,0 HCPCS,J7050,Sodium Chloride: 100 Ml In 1 Bag (63323-623-61),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),8.85,8.85,,,0 HCPCS,J7050,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),18.44,18.44,,,0 HCPCS,J7050,Sodium Chloride: 1000 Ml In 1 Bag (63323-623-76),9.01,9.01,,,0 HCPCS,J7050,Sodium Chloride: 116 Container In 1 Case (0264-1800-36) / 25 Ml In 1 Container,35.55,35.55,,,0 HCPCS,J7050,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,16.86,16.86,,,0 HCPCS,J7050,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,9.065,9.065,,,0 HCPCS,J7050,Sodium Chloride: 12 Pouch In 1 Case (0990-7984-20) / 4 Bag In 1 Pouch / 25 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,35.64,35.64,,,0 HCPCS,J7050,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,30.9,30.9,,,0 HCPCS,J7050,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,20.945,20.945,,,0 HCPCS,J7050,Sodium Chloride: 20 Bag In 1 Case (65219-472-20) / 500 Ml In 1 Bag (65219-472-05),19.09,19.09,,,0 HCPCS,J7050,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-36) / 4 Bag In 1 Pouch / 50 Ml In 1 Bag,36.2,36.2,,,0 HCPCS,J7050,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,37.81,37.81,,,0 HCPCS,J7050,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,17.1,17.1,,,0 HCPCS,J7050,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,18.705,18.705,,,0 HCPCS,J7050,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,37.19,37.19,,,0 HCPCS,J7050,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,33.93,33.93,,,0 HCPCS,J7050,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,18.37,18.37,,,0 HCPCS,J7050,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20) / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",36.05,36.05,,,0 HCPCS,J7050,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10) / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),23.0,23.0,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),39.42,39.42,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),36.47,36.47,,,0 HCPCS,J7050,Sodium Chloride: 250 Ml In 1 Bag (63323-623-74),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 32 POUCH in 1 CASE (0409-7983-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 32 Pouch In 1 Case (0990-7983-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,34.16,34.16,,,0 HCPCS,J7050,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10) / 25 Ml In 1 Bag,24.205,24.205,,,0 HCPCS,J7050,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,34.87,34.87,,,0 HCPCS,J7050,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,32.35,32.35,,,0 HCPCS,J7050,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.739999999999995,36.739999999999995,,,0 HCPCS,J7050,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,35.235,35.235,,,0 HCPCS,J7050,Sodium Chloride: 50 Bag In 1 Case (65219-468-50) / 100 Ml In 1 Bag (65219-468-05),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),35.25,35.25,,,0 HCPCS,J7050,Sodium Chloride: 50 Ml In 1 Bag (63323-623-53),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),18.02,18.02,,,0 HCPCS,J7050,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),18.115000000000002,18.115000000000002,,,0 HCPCS,J7050,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),20.39,20.39,,,0 HCPCS,J7050,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),17.5,17.5,,,0 HCPCS,J7050,Sodium Chloride: 60 Bag In 1 Case (65219-466-60) / 50 Ml In 1 Bag (65219-466-05),36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 64 Bag In 1 Case (0487-4301-05) / 50 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7050,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,37.17,37.17,,,0 HCPCS,J7050,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,35.834999999999994,35.834999999999994,,,0 HCPCS,J7060,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,35.16,35.16,,,0 HCPCS,J7060,Dextrose: 10 Pouch In 1 Case (0409-7100-66) / 5 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-7100-68),36.05,36.05,,,0 HCPCS,J7060,Dextrose: 100 Ml In 1 Bag (0338-0551-18),36.05,36.05,,,0 HCPCS,J7060,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.055,36.055,,,0 HCPCS,J7060,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,35.81,35.81,,,0 HCPCS,J7060,Dextrose: 20 Pouch In 1 Case (0990-7923-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,34.709999999999994,34.709999999999994,,,0 HCPCS,J7060,Dextrose: 24 BAG in 1 CASE (0409-7922-30) / 500 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 24 BAG in 1 CASE (0990-7922-25) / 250 mL in 1 BAG,35.92,35.92,,,0 HCPCS,J7060,Dextrose: 24 POUCH in 1 CASE (0409-7922-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 24 Pouch In 1 Case (0990-7922-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,47.85,47.85,,,0 HCPCS,J7060,Dextrose: 24 Pouch In 1 Case (0990-7922-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,31.544999999999998,31.544999999999998,,,0 HCPCS,J7060,Dextrose: 250 Ml In 1 Bag (0338-0017-02),36.05,36.05,,,0 HCPCS,J7060,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.209999999999994,36.209999999999994,,,0 HCPCS,J7060,Dextrose: 32 Pouch In 1 Case (0990-7922-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 4 Bag In 1 Pouch (0338-0017-10) / 25 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 4 Bag In 1 Pouch (0338-0017-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,35.65,35.65,,,0 HCPCS,J7060,Dextrose: 48 Pouch In 1 Case (0990-7923-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 48 Pouch In 1 Case (0990-7923-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,34.715,34.715,,,0 HCPCS,J7060,Dextrose: 50 Ml In 1 Bag (0338-0551-11),36.05,36.05,,,0 HCPCS,J7060,Dextrose: 500 Ml In 1 Bag (0338-0017-03),36.05,36.05,,,0 HCPCS,J7060,Dextrose: 60 BAG in 1 CASE (0990-7923-06) / 50 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 60 BAG in 1 CASE (0990-7923-11) / 100 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7060,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,34.745000000000005,34.745000000000005,,,0 HCPCS,J7060,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,36.05,36.05,,,0 HCPCS,J7060,Glucose: 48 BAG in 1 CARTON (0338-9569-48) / 100 mL in 1 BAG,36.05,36.05,,,0 HCPCS,J7060,NDC Description Not Available,36.155,36.155,,,0 HCPCS,J7070,Dextrose: 10 Bag In 1 Carton (0338-0070-10) / 1000 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7070,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),35.76,35.76,,,0 HCPCS,J7070,Dextrose: 12 Container In 1 Case (0264-7510-00) / 1000 Ml In 1 Container,35.44,35.44,,,0 HCPCS,J7070,Dextrose: 12 Pouch In 1 Case (0990-7922-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.885,35.885,,,0 HCPCS,J7070,Dextrose: 20 Bag In 1 Carton (0338-0066-20) / 500 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7070,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,35.99,35.99,,,0 HCPCS,J7070,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,35.96,35.96,,,0 HCPCS,J7070,Dextrose: 30 Bag In 1 Case (63323-624-74) / 250 Ml In 1 Bag (63323-624-04),36.05,36.05,,,0 HCPCS,J7070,Dextrose: 500 Ml In 1 Bag (0338-0017-03),35.655,35.655,,,0 HCPCS,J7070,NDC Description Not Available,36.03,36.03,,,0 HCPCS,J7100,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),174.02,174.02,,,0 HCPCS,J7100,NDC Description Not Available,173.6,173.6,,,0 HCPCS,J7120,Lactated Ringers: 10 Bag In 1 Carton (17271-710-07) / 1000 Ml In 1 Bag,36.05,36.05,,,0 HCPCS,J7120,Lactated Ringers: 10 Bag In 1 Case (65219-479-10) / 1000 Ml In 1 Bag (65219-479-05),29.76,29.76,,,0 HCPCS,J7120,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),33.705,33.705,,,0 HCPCS,J7120,Lactated Ringers: 12 Container In 1 Case (0264-7750-00) / 1000 Ml In 1 Container,27.64,27.64,,,0 HCPCS,J7120,Lactated Ringers: 12 Pouch In 1 Case (0990-7953-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,31.400000000000002,31.400000000000002,,,0 HCPCS,J7120,Lactated Ringers: 24 Container In 1 Case (0264-7750-10) / 500 Ml In 1 Container,34.105,34.105,,,0 HCPCS,J7120,Lactated Ringers: 24 Container In 1 Case (0264-7750-20) / 250 Ml In 1 Container,36.05,36.05,,,0 HCPCS,J7120,Lactated Ringers: 24 Pouch In 1 Case (0990-7953-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,27.42,27.42,,,0 HCPCS,J7120,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),36.05,36.05,,,0 HCPCS,J7120,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),32.35,32.35,,,0 HCPCS,J7120,NDC Description Not Available,35.09,35.09,,,0 HCPCS,J7165,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-01) / 20 Ml In 1 Vial, Glass (68982-261-81)",7.61,7.61,,,0 HCPCS,J7165,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-02) / 40 Ml In 1 Vial, Glass (68982-261-82)",7.62,7.62,,,0 HCPCS,J7165,NDC Description Not Available,7.79,7.79,,,0 HCPCS,J7168,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",6.44,6.44,,,0 HCPCS,J7168,"Kcentra: 1 Kit In 1 Carton (63833-387-02) * 40 Ml In 1 Vial, Single-Use (63833-397-01) * 40 Ml In 1 Vial, Single-Use (63833-761-40)",6.31,6.31,,,0 HCPCS,J7168,NDC Description Not Available,6.49,6.49,,,0 HCPCS,J7170,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-923-01) / 1 Ml In 1 Vial, Single-Use",138.37,138.37,,,0 HCPCS,J7170,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-930-01) / 2 Ml In 1 Vial, Single-Use",138.37,138.37,,,0 HCPCS,J7179,NDC Description Not Available,4.9,4.9,,,0 HCPCS,J7179,"Vonvendi: 1 Kit In 1 Carton (0944-7551-02) * 5 Ml In 1 Vial, Single-Dose (0944-7550-01) * 5 Ml In 1 Vial, Glass (64764-515-50)",4.9,4.9,,,0 HCPCS,J7179,"Vonvendi: 1 Kit In 1 Carton (0944-7553-02) * 10 Ml In 1 Vial, Single-Dose (0944-7552-01) * 10 Ml In 1 Vial, Glass (64764-516-10)",4.9,4.9,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7810-01) * 4 Ml In 1 Vial, Glass (0169-7811-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7815-01) * 4 Ml In 1 Vial, Glass (0169-7855-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7820-01) * 4 Ml In 1 Vial, Glass (0169-7821-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7825-01) * 4 Ml In 1 Vial, Glass (0169-7829-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.05,5.05,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7830-01) * 4 Ml In 1 Vial, Glass (0169-7831-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 HCPCS,J7182,"Novoeight: 1 Kit In 1 Kit (0169-7850-01) * 4 Ml In 1 Vial, Glass (0169-7851-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 HCPCS,J7183,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 10 Ml In 1 Vial (68982-182-02),3.75,3.75,,,0 HCPCS,J7183,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 5 Ml In 1 Vial (68982-182-01),3.75,3.75,,,0 HCPCS,J7187,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",3.44,3.44,,,0 HCPCS,J7187,"Humate-P: 1 Kit In 1 Carton (63833-617-02) * 15 Ml In 1 Vial (63833-627-01) * 15 Ml In 1 Vial, Single-Dose (63833-765-55)",1.43,1.43,,,0 HCPCS,J7187,NDC Description Not Available,1.62,1.62,,,0 HCPCS,J7188,"Obizur: 1 Kit In 1 Carton (0944-5001-01) * 1 Ml In 1 Vial, Glass (0944-5011-01) * 1 Ml In 1 Syringe, Glass (0944-0011-01)",7.29,7.29,,,0 HCPCS,J7189,NDC Description Not Available,5.545,5.545,,,0 HCPCS,J7189,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",5.53,5.53,,,0 HCPCS,J7189,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01) * 2 Ml In 1 Vial, Glass (0169-7212-11) * 2 Ml In 1 Syringe, Glass (0169-7012-98)",5.58,5.58,,,0 HCPCS,J7189,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01) * 5 Ml In 1 Vial, Glass (0169-7215-11) * 5 Ml In 1 Syringe, Glass (0169-7015-98)",5.54,5.54,,,0 HCPCS,J7192,"Kovaltry: 1 Kit In 1 Box (0026-3821-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-01)",4.55,4.55,,,0 HCPCS,J7192,"Kovaltry: 1 Kit In 1 Box (0026-3824-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-01)",4.32,4.32,,,0 HCPCS,J7192,"Kovaltry: 1 Kit In 1 Box (0026-3828-50) * 5 Ml In 1 Vial, Single-Use (0026-4828-99) * 5 Ml In 1 Syringe (0026-0426-15) * 5 Ml In 1 Vial, Single-Use (0026-4828-01) * 5 Ml In 1 Syringe (0026-042",5.19,5.19,,,0 HCPCS,J7192,NDC Description Not Available,2.59,2.59,,,0 HCPCS,J7195,"Benefix: 1 Kit In 1 Carton (58394-634-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-134-03)",4.2,4.2,,,0 HCPCS,J7195,"Benefix: 1 Kit In 1 Carton (58394-635-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-135-03)",3.58,3.58,,,0 HCPCS,J7195,"Benefix: 1 Kit In 1 Carton (58394-636-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-136-03)",3.58,3.58,,,0 HCPCS,J7195,"Benefix: 1 Kit In 1 Carton (58394-637-03) * 5 Ml In 1 Vial, Single-Use (58394-137-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01)",3.6,3.6,,,0 HCPCS,J7197,NDC Description Not Available,10.38,10.38,,,0 HCPCS,J7197,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",10.38,10.38,,,0 HCPCS,J7197,"Thrombate Iii: 1 Kit In 1 Carton (13533-606-12) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (76297-002-12)",10.38,10.38,,,0 HCPCS,J7296,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),1788.08,1788.08,,,0 HCPCS,J7296,Noncdm Charge Record Pharmacy,1184.5,1184.5,,,0 HCPCS,J7297,Noncdm Charge Record Medical Supplies,874.5,874.5,,,0 HCPCS,J7297,Noncdm Charge Record Pharmacy,1066.85,1066.85,,,0 HCPCS,J7298,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,2323.86,2323.86,,,0 HCPCS,J7298,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),2961.21,2961.21,,,0 HCPCS,J7298,Noncdm Charge Record Medical Supplies,1265.0,1265.0,,,0 HCPCS,J7298,Noncdm Charge Record Pharmacy,1374.75,1374.75,,,0 HCPCS,J7300,Noncdm Charge Record Medical Supplies,1754.5,1754.5,,,0 HCPCS,J7301,Noncdm Charge Record Medical Supplies,1276.0,1276.0,,,0 HCPCS,J7307,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,2700.66,2700.66,,,0 HCPCS,J7307,Noncdm Charge Record Medical Supplies,1780.9,1780.9,,,0 HCPCS,J7316,NDC Description Not Available,12.04,12.04,,,0 HCPCS,J7325,NDC Description Not Available,71.21,71.21,,,0 HCPCS,J7500,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),23.62,23.62,,,0 HCPCS,J7500,NDC Description Not Available,3.09,3.09,,,0 HCPCS,J7501,"Azathioprine Sodium: 1 Vial In 1 Box, Unit-Dose (0143-9566-01) / 10 Ml In 1 Vial",540.75,540.75,,,0 HCPCS,J7502,Cyclosporine: 1 Bottle In 1 Package (0172-7313-20) / 50 Ml In 1 Bottle,21.49,21.49,,,0 HCPCS,J7502,"Cyclosporine: 30 Capsule, Gelatin Coated In 1 Bottle (60505-0134-0)",63.86,63.86,,,0 HCPCS,J7502,Gengraf: 1 Bottle In 1 Carton (0074-7269-50) / 50 Ml In 1 Bottle,31.98,31.98,,,0 HCPCS,J7502,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,30.15,30.15,,,0 HCPCS,J7502,NDC Description Not Available,37.13,37.13,,,0 HCPCS,J7503,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",5.92,5.92,,,0 HCPCS,J7504,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),9419.58,9419.58,,,0 HCPCS,J7504,NDC Description Not Available,9419.57,9419.57,,,0 HCPCS,J7507,NDC Description Not Available,16.04,16.04,,,0 HCPCS,J7507,"Tacrolimus: 100 Blister Pack In 1 Box, Unit-Dose (68084-451-01) / 1 Capsule In 1 Blister Pack (68084-451-11)",16.07,16.07,,,0 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,1.12,1.12,,,0 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,7.78,7.78,,,0 HCPCS,J7507,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,5.29,5.29,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),16.58,16.58,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),16.48,16.48,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Bottle (16729-041-01),1.99,1.99,,,0 HCPCS,J7507,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2045-01)",5.21,5.21,,,0 HCPCS,J7507,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2046-01)",16.08,16.08,,,0 HCPCS,J7507,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),14.965,14.965,,,0 HCPCS,J7509,Methylprednisolone: 100 Blister Pack In 1 Carton (0904-6914-61) / 1 Tablet In 1 Blister Pack,7.4,7.4,,,0 HCPCS,J7509,Methylprednisolone: 100 Tablet In 1 Bottle (42806-400-01),5.83,5.83,,,0 HCPCS,J7509,Methylprednisolone: 100 Tablet In 1 Bottle (68382-916-01),4.71,4.71,,,0 HCPCS,J7509,"Methylprednisolone: 100 Tablet In 1 Bottle, Plastic (0603-4593-21)",3.46,3.46,,,0 HCPCS,J7509,Methylprednisolone: 50 Tablet In 1 Bottle (59762-0050-1),3.34,3.34,,,0 HCPCS,J7509,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),3.32,3.32,,,0 HCPCS,J7509,NDC Description Not Available,7.34,7.34,,,0 HCPCS,J7510,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.8,1.8,,,0 HCPCS,J7510,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",1.74,1.74,,,0 HCPCS,J7510,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.79,2.79,,,0 HCPCS,J7510,Prednisolone: 240 Ml In 1 Bottle (62135-250-37),7.69,7.69,,,0 HCPCS,J7511,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",2648.84,2648.84,,,0 HCPCS,J7512,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,0.22,0.22,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59651-484-01),0.93,0.93,,,0 HCPCS,J7512,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.27,0.27,,,0 HCPCS,J7512,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",1.32,1.32,,,0 HCPCS,J7512,Prednisone: 120 Ml In 1 Bottle (0054-3722-50),2.88,2.88,,,0 HCPCS,J7512,Prednisone: 500 Ml In 1 Bottle (0054-3722-63),2.68,2.68,,,0 HCPCS,J7515,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,7.43,7.43,,,0 HCPCS,J7515,NDC Description Not Available,4.199999999999999,4.199999999999999,,,0 HCPCS,J7516,NDC Description Not Available,279.13,279.13,,,0 HCPCS,J7516,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),296.12,296.12,,,0 HCPCS,J7517,"Cellcept: 1 Bottle, Plastic In 1 Carton (0004-0261-29) / 225 Ml In 1 Bottle, Plastic",46.69,46.69,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (23155-848-51) / 225 Ml In 1 Bottle, Plastic",40.82,40.82,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (66689-307-08) / 250 Ml In 1 Bottle, Plastic",40.81,40.81,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",42.0,42.0,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (69238-1595-2) / 225 Ml In 1 Bottle, Plastic",40.83,40.83,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.06,2.06,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",14.25,14.25,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0054-0163-25),14.33,14.33,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),14.42,14.42,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (16729-094-01),14.14,14.14,,,0 HCPCS,J7517,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (67877-266-01),14.41,14.41,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Capsule In 1 Bottle, Plastic (64380-726-06)",14.82,14.82,,,0 HCPCS,J7517,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",14.68,14.68,,,0 HCPCS,J7517,NDC Description Not Available,2.74,2.74,,,0 HCPCS,J7518,"Mycophenolic Acid: 120 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0378-4201-78)",16.48,16.48,,,0 HCPCS,J7518,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-261-29)",16.48,16.48,,,0 HCPCS,J7518,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (67877-426-12)",16.51,16.51,,,0 HCPCS,J7518,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6785-04) / 1 Tablet, Delayed Release In 1 Blister Pack",17.94,17.94,,,0 HCPCS,J7518,NDC Description Not Available,18.03,18.03,,,0 HCPCS,J7520,NDC Description Not Available,111.86,111.86,,,0 HCPCS,J7520,"Rapamune: 100 Blister Pack In 1 Carton (0008-1041-10) / 1 Tablet, Sugar Coated In 1 Blister Pack",148.53,148.53,,,0 HCPCS,J7520,"Sirolimus: 1 Bottle, Glass In 1 Carton (60505-6197-2) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 HCPCS,J7520,"Sirolimus: 1 Bottle, Glass In 1 Carton (72205-099-78) / 60 Ml In 1 Bottle, Glass",100.97,100.97,,,0 HCPCS,J7520,"Sirolimus: 1 Carton In 1 Kit (69238-1594-3) / 1 Bottle, Glass In 1 Carton (69238-1594-6) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 HCPCS,J7520,Sirolimus: 100 Tablet In 1 Bottle (55111-653-01),61.41,61.41,,,0 HCPCS,J7520,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",1.79,1.79,,,0 HCPCS,J7520,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",30.64,30.64,,,0 HCPCS,J7520,"Sirolimus: 30 Blister Pack In 1 Carton (0904-7248-04) / 1 Tablet, Film Coated In 1 Blister Pack",42.23,42.23,,,0 HCPCS,J7525,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,246.33,246.33,,,0 HCPCS,J7527,Everolimus: 6 Blister Pack In 1 Carton (67877-719-31) / 10 Tablet In 1 Blister Pack (67877-719-33),36.31,36.31,,,0 HCPCS,J7527,Everolimus: 60 Tablet In 1 Bottle (0054-0472-21),38.11,38.11,,,0 HCPCS,J7527,NDC Description Not Available,36.16,36.16,,,0 HCPCS,J7599,Cellcept: 4 Vial In 1 Carton (0004-0298-09) / 20 Ml In 1 Vial,467.1,467.1,,,0 HCPCS,J7599,Mycophenolate Mofetil: 4 Vial In 1 Carton (17478-957-40) / 20 Ml In 1 Vial,420.35,420.35,,,0 HCPCS,J7599,Mycophenolate Mofetil: 4 Vial In 1 Carton (42023-172-04) / 20 Ml In 1 Vial,314.15,314.15,,,0 HCPCS,J7599,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",297.89,297.89,,,0 HCPCS,J7599,NDC Description Not Available,370.47,370.47,,,0 HCPCS,J7606,Formoterol Fumarate: 60 Pouch In 1 Carton (70756-608-60) / 4 Vial In 1 Pouch (70756-608-44) / 2 Ml In 1 Vial,76.39,76.39,,,0 HCPCS,J7606,NDC Description Not Available,78.21000000000001,78.21000000000001,,,0 HCPCS,J7606,Perforomist: 30 Pouch In 1 Carton (49502-605-30) / 1 Vial In 1 Pouch / 2 Ml In 1 Vial,85.36,85.36,,,0 HCPCS,J7606,Perforomist: 60 Pouch In 1 Carton (49502-605-61) / 1 Vial In 1 Pouch (49502-605-95) / 2 Ml In 1 Vial,85.73,85.73,,,0 HCPCS,J7608,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),56.68000000000001,56.68000000000001,,,0 HCPCS,J7608,Acetylcysteine: 25 Vial In 1 Carton (63323-695-04) / 4 Ml In 1 Vial (63323-695-22),24.72,24.72,,,0 HCPCS,J7608,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25) / 4 Ml In 1 Vial, Glass",44.8,44.8,,,0 HCPCS,J7608,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7604-25) / 4 Ml In 1 Vial, Glass",29.95,29.95,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (0409-3307-03) / 30 Ml In 1 Vial (0409-3307-11),4.25,4.25,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (0409-3308-03) / 30 Ml In 1 Vial (0409-3308-11),10.09,10.09,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),11.895,11.895,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (63323-691-30) / 30 Ml In 1 Vial (63323-691-22),11.52,11.52,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10) / 10 Ml In 1 Vial (63323-692-22),18.595,18.595,,,0 HCPCS,J7608,Acetylcysteine: 3 Vial In 1 Carton (63323-693-10) / 10 Ml In 1 Vial (63323-693-22),65.58,65.58,,,0 HCPCS,J7608,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,99.95,99.95,,,0 HCPCS,J7608,NDC Description Not Available,21.93,21.93,,,0 HCPCS,J7611,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",1.86,1.86,,,0 HCPCS,J7611,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30) / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",1.2,1.2,,,0 HCPCS,J7611,NDC Description Not Available,1.585,1.585,,,0 HCPCS,J7612,"Levalbuterol: 30 Pouch In 1 Carton (0093-4147-56) / 1 Vial, Single-Dose In 1 Pouch (0093-4147-19) / .5 Ml In 1 Vial, Single-Dose",8.04,8.04,,,0 HCPCS,J7612,Levalbuterol: 30 Pouch In 1 Carton (0378-6993-93) / 1 Vial In 1 Pouch (0378-6993-31) / .5 Ml In 1 Vial,8.01,8.01,,,0 HCPCS,J7612,NDC Description Not Available,8.04,8.04,,,0 HCPCS,J7613,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-52) / 25 Ampule In 1 Pouch (0378-8270-62) / 3 Ml In 1 Ampule,1.74,1.74,,,0 HCPCS,J7613,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-93) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.72,1.72,,,0 HCPCS,J7613,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-25) / 25 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.82,1.82,,,0 HCPCS,J7613,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.79,1.79,,,0 HCPCS,J7613,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.87,1.87,,,0 HCPCS,J7613,Albuterol Sulfate: 30 VIAL in 1 CARTON (0591-3797-30) / 3 mL in 1 VIAL,1.49,1.49,,,0 HCPCS,J7613,Albuterol Sulfate: 5 POUCH in 1 CARTON (0378-6992-52) / 5 VIAL in 1 POUCH (0378-6992-98) / 3 mL in 1 VIAL,3.84,3.84,,,0 HCPCS,J7613,Albuterol Sulfate: 6 Pouch In 1 Carton (47335-703-52) / 5 Vial In 1 Pouch / 3 Ml In 1 Vial,1.75,1.75,,,0 HCPCS,J7613,Albuterol Sulfate: 60 VIAL in 1 CARTON (0591-3797-60) / 3 mL in 1 VIAL,1.49,1.49,,,0 HCPCS,J7613,NDC Description Not Available,1.69,1.69,,,0 HCPCS,J7614,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-022-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-022-35) / 3 mL in 1 VIAL, SINGLE-DOSE",12.01,12.01,,,0 HCPCS,J7614,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-023-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-023-35) / 3 mL in 1 VIAL, SINGLE-DOSE",7.97,7.97,,,0 HCPCS,J7614,"Levalbuterol Tartrate Hfa Inhalation: 1 Inhaler In 1 Carton (0591-2927-54) / 200 Aerosol, Metered In 1 Inhaler",1.29,1.29,,,0 HCPCS,J7614,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52) / 25 Ampule In 1 Pouch (0378-9691-62) / 3 Ml In 1 Ampule,12.49,12.49,,,0 HCPCS,J7614,Levalbuterol: 1 Pouch In 1 Carton (76204-900-25) / 25 Ampule In 1 Pouch (76204-900-15) / 3 Ml In 1 Ampule,2.4,2.4,,,0 HCPCS,J7614,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",7.77,7.77,,,0 HCPCS,J7614,Levalbuterol: 30 Pouch In 1 Carton (76204-800-01) / 1 Ampule In 1 Pouch (76204-800-11) / 3 Ml In 1 Ampule,3.63,3.63,,,0 HCPCS,J7614,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.4,2.4,,,0 HCPCS,J7614,"Levalbuterol: 6 Pouch In 1 Carton (0093-4148-56) / 5 Vial, Single-Dose In 1 Pouch (0093-4148-45) / 3 Ml In 1 Vial, Single-Dose",8.05,8.05,,,0 HCPCS,J7614,NDC Description Not Available,8.04,8.04,,,0 HCPCS,J7620,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (0378-9671-30) / 30 Ampule In 1 Pouch (0378-9671-64) / 3 Ml In 1 Ampule,8.03,8.03,,,0 HCPCS,J7620,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.12,8.12,,,0 HCPCS,J7620,"Ipratropium Bromide And Albuterol Sulfate: 12 Pouch In 1 Carton (0487-0201-60) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.58,7.58,,,0 HCPCS,J7620,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.96,7.96,,,0 HCPCS,J7620,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.26,8.26,,,0 HCPCS,J7620,"Ipratropium Bromide And Albuterol Sulfate: 6 Pouch In 1 Carton (0487-0201-03) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",8.08,8.08,,,0 HCPCS,J7620,NDC Description Not Available,7.92,7.92,,,0 HCPCS,J7626,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-018-30) / 5 Ampule In 1 Pouch (16714-018-05) / 2 Ml In 1 Ampule,36.0,36.0,,,0 HCPCS,J7626,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-020-30) / 5 Ampule In 1 Pouch (16714-020-05) / 2 Ml In 1 Ampule,35.0,35.0,,,0 HCPCS,J7626,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (69097-321-87) / 5 Ampule In 1 Pouch (69097-321-86) / 2 Ml In 1 Ampule,41.6,41.6,,,0 HCPCS,J7626,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (76282-641-38) / 5 Ampule In 1 Pouch (76282-641-37) / 2 Ml In 1 Ampule,9.33,9.33,,,0 HCPCS,J7626,Budesonide Inhalation: 6 Pouch In 1 Carton (0115-1687-74) / 5 Vial In 1 Pouch (0115-1687-76) / 2 Ml In 1 Vial,33.99,33.99,,,0 HCPCS,J7626,Budesonide Inhalation: 6 Pouch In 1 Carton (68180-984-30) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.17,40.17,,,0 HCPCS,J7626,Budesonide: 30 Pouch In 1 Carton (0487-9601-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,21.51,21.51,,,0 HCPCS,J7626,Budesonide: 30 Pouch In 1 Carton (0487-9701-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,22.63,22.63,,,0 HCPCS,J7626,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",35.71,35.71,,,0 HCPCS,J7626,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,34.96,34.96,,,0 HCPCS,J7626,Budesonide: 6 Pouch In 1 Carton (0487-9701-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.23,40.23,,,0 HCPCS,J7626,Budesonide: 6 Pouch In 1 Carton (0781-7516-87) / 5 Ampule In 1 Pouch (0781-7516-14) / 2 Ml In 1 Ampule (0781-7516-72),39.9,39.9,,,0 HCPCS,J7626,Budesonide: 6 Pouch In 1 Carton (47335-632-49) / 5 Ampule In 1 Pouch (47335-632-48) / 2 Ml In 1 Ampule,13.13,13.13,,,0 HCPCS,J7626,NDC Description Not Available,34.71,34.71,,,0 HCPCS,J7626,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1989-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.3,44.3,,,0 HCPCS,J7626,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1990-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.36,44.36,,,0 HCPCS,J7639,NDC Description Not Available,197.52,197.52,,,0 HCPCS,J7639,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,187.58,187.58,,,0 HCPCS,J7642,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,13.39,13.39,,,0 HCPCS,J7642,Glycopyrrolate: 25 Vial In 1 Carton (0143-9680-25) / 5 Ml In 1 Vial (0143-9680-01),18.53,18.53,,,0 HCPCS,J7642,Glycopyrrolate: 25 Vial In 1 Carton (0143-9681-25) / 2 Ml In 1 Vial (0143-9681-01),23.39,23.39,,,0 HCPCS,J7642,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),13.59,13.59,,,0 HCPCS,J7642,Glycopyrrolate: 25 Vial In 1 Carton (0781-3825-96) / 1 Ml In 1 Vial (0781-3825-71),12.36,12.36,,,0 HCPCS,J7642,Glycopyrrolate: 25 Vial In 1 Carton (70121-1394-5) / 1 Ml In 1 Vial (70121-1394-1),70.02,70.02,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",110.98,110.98,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-543-25) / 1 Ml In 1 Vial, Single-Dose (43547-543-01)",9.06,9.06,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-639-25) / 1 Ml In 1 Vial, Single-Dose (43547-639-01)",12.25,12.25,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (63323-578-02) / 2 Ml In 1 Vial, Single-Dose (63323-578-04)",69.42,69.42,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",42.78,42.78,,,0 HCPCS,J7642,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4602-25) / 2 Ml In 1 Vial, Single-Dose",113.77,113.77,,,0 HCPCS,J7642,NDC Description Not Available,20.634999999999998,20.634999999999998,,,0 HCPCS,J7644,Ipratropium Bromide: 1 Pouch In 1 Carton (0378-7970-93) / 30 Ampule In 1 Pouch (0378-7970-64) / 2.5 Ml In 1 Ampule,7.21,7.21,,,0 HCPCS,J7644,"Ipratropium Bromide: 1 Pouch In 1 Carton (0487-9801-30) / 30 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.15,5.15,,,0 HCPCS,J7644,Ipratropium Bromide: 2 Pouch In 1 Carton (76204-100-60) / 30 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.09,6.09,,,0 HCPCS,J7644,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,8.33,8.33,,,0 HCPCS,J7644,NDC Description Not Available,4.135,4.135,,,0 HCPCS,J7682,NDC Description Not Available,469.545,469.545,,,0 HCPCS,J7682,TOBI: 56 POUCH in 1 CARTON (0078-0494-71) / 4 AMPULE in 1 POUCH (0078-0494-91) / 5 mL in 1 AMPULE (0078-0494-61),578.25,578.25,,,0 HCPCS,J7682,Tobramycin Inhalation Solution: 14 Pouch In 1 Carton (16714-119-03) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule (16714-119-02),484.16,484.16,,,0 HCPCS,J7682,Tobramycin: 14 Pouch In 1 Carton (70756-604-56) / 4 Ampule In 1 Pouch (70756-604-44) / 5 Ml In 1 Ampule,464.25,464.25,,,0 HCPCS,J7682,Tobramycin: 56 Ampule In 1 Carton (0093-4085-63) / 5 Ml In 1 Ampule,464.22,464.22,,,0 HCPCS,J7682,Tobramycin: 56 Pouch In 1 Carton (68180-962-56) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule,487.01,487.01,,,0 HCPCS,J7686,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,20.37,20.37,,,0 HCPCS,J8499,Lithostat: 100 Tablet In 1 Bottle (0178-0500-01),28.09,28.09,,,0 HCPCS,J8501,Aprepitant: 1 Blister Pack In 1 Carton (0781-2321-06) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 HCPCS,J8501,Aprepitant: 1 Blister Pack In 1 Carton (68462-583-40) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 HCPCS,J8501,Aprepitant: 2 Capsule In 1 Dose Pack (0781-2322-46),45.91,45.91,,,0 HCPCS,J8501,Aprepitant: 2 Capsule In 1 Dose Pack (68462-584-58),45.92,45.92,,,0 HCPCS,J8501,Aprepitant: 5 Blister Pack In 1 Carton (0781-2321-51) / 1 Capsule In 1 Blister Pack,49.56,49.56,,,0 HCPCS,J8501,NDC Description Not Available,45.91,45.91,,,0 HCPCS,J8515,Cabergoline: 1 Bottle In 1 Carton (0093-5420-88) / 8 Tablet In 1 Bottle,66.07,66.07,,,0 HCPCS,J8515,Cabergoline: 8 Tablet In 1 Bottle (23155-823-73),66.07,66.07,,,0 HCPCS,J8515,Cabergoline: 8 Tablet In 1 Bottle (50742-118-08),66.05,66.05,,,0 HCPCS,J8515,Cabergoline: 8 Tablet In 1 Bottle (59762-1005-1),66.05,66.05,,,0 HCPCS,J8515,Cabergoline: 8 Tablet In 1 Bottle (70512-860-08),66.09,66.09,,,0 HCPCS,J8522,"Capecitabine: 120 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2512-78)",14.08,14.08,,,0 HCPCS,J8522,Capecitabine: 120 Tablet In 1 Bottle (55111-497-04),14.08,14.08,,,0 HCPCS,J8522,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",14.11,14.11,,,0 HCPCS,J8530,CYCLOPHOSPHAMIDE: 100 CAPSULE in 1 BOTTLE (43975-308-10),29.71,29.71,,,0 HCPCS,J8530,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0382-25),33.73,33.73,,,0 HCPCS,J8530,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25),30.97,30.97,,,0 HCPCS,J8530,Cyclophosphamide: 100 Capsule In 1 Bottle (54879-022-01),8.58,8.58,,,0 HCPCS,J8530,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-619-31),29.73,29.73,,,0 HCPCS,J8530,Cyclophosphamide: 100 Capsule In 1 Bottle (69097-517-07),31.98,31.98,,,0 HCPCS,J8540,"Dexamethasone: 1 BOTTLE, GLASS in 1 BOX (60432-466-08) / 237 mL in 1 BOTTLE, GLASS",2.45,2.45,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.27,0.27,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.23,0.23,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,0.18,0.18,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8181-25) / 1 Tablet In 1 Blister Pack,0.34,0.34,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 HCPCS,J8540,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 HCPCS,J8540,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4184-25)",0.26,0.26,,,0 HCPCS,J8540,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.24,0.24,,,0 HCPCS,J8540,"Dexamethasone: 237 Ml In 1 Bottle, Plastic (64980-509-24)",2.43,2.43,,,0 HCPCS,J8540,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),0.34,0.34,,,0 HCPCS,J8540,NDC Description Not Available,0.02,0.02,,,0 HCPCS,J8610,Methotrexate Sodium: 10 Blister Pack In 1 Carton (0054-8550-25) / 10 Tablet In 1 Blister Pack,12.88,12.88,,,0 HCPCS,J8610,Methotrexate: 100 Tablet In 1 Bottle (42291-505-01),12.84,12.84,,,0 HCPCS,J8610,Methotrexate: 100 Tablet In 1 Bottle (47335-235-83),12.85,12.85,,,0 HCPCS,J8610,Methotrexate: 20 Blister Pack In 1 Carton (0904-7141-10) / 1 Tablet In 1 Blister Pack,12.91,12.91,,,0 HCPCS,J8610,NDC Description Not Available,17.669999999999998,17.669999999999998,,,0 HCPCS,J8700,NDC Description Not Available,45.11,45.11,,,0 HCPCS,J8700,Temozolomide: 1 Bottle In 1 Carton (65162-803-51) / 5 Capsule In 1 Bottle,51.86,51.86,,,0 HCPCS,J8700,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),51.24,51.24,,,0 HCPCS,J8700,"Temozolomide: 20 Blister Pack In 1 Box, Unit-Dose (50268-761-12) / 1 Capsule In 1 Blister Pack (50268-761-11)",16.82,16.82,,,0 HCPCS,J9000,Adriamycin: 1 Vial In 1 Box (0143-9277-01) / 25 Ml In 1 Vial,227.53,227.53,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9085-01) / 10 Ml In 1 Vial,29.87,29.87,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9086-01) / 25 Ml In 1 Vial,27.37,27.37,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9093-01) / 25 Ml In 1 Vial,227.56,227.56,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,17.83,17.83,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,25.71,25.71,,,0 HCPCS,J9000,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,210.94,210.94,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",12.97,12.97,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",13.38,13.38,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",27.87,27.87,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",27.32,27.32,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0277-02) / 10 Ml In 1 Vial, Single-Dose",38.7,38.7,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0358-20) / 5 Ml In 1 Vial, Single-Dose",36.38,36.38,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",39.32,39.32,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3031-20) / 10 Ml In 1 Vial, Single-Dose",39.14,39.14,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",26.96,26.96,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-55) / 5 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-57) / 10 Ml In 1 Vial, Single-Dose",41.97,41.97,,,0 HCPCS,J9000,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",26.98,26.98,,,0 HCPCS,J9010,"Campath: 3 Vial, Single-Use In 1 Carton (58468-0357-3) / 1 Ml In 1 Vial, Single-Use",0.03,0.03,,,0 HCPCS,J9015,NDC Description Not Available,1.03,1.03,,,0 HCPCS,J9017,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),103.21,103.21,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",144.48,144.48,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (63323-637-10) / 10 Ml In 1 Vial, Single-Dose (63323-637-03)",157.96,157.96,,,0 HCPCS,J9017,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",53.03,53.03,,,0 HCPCS,J9017,NDC Description Not Available,123.96,123.96,,,0 HCPCS,J9021,NDC Description Not Available,115.94,115.94,,,0 HCPCS,J9021,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03) / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",126.81,126.81,,,0 HCPCS,J9022,"Inj, atezolizumab,10 mg",,,94.0,199.27,7 HCPCS,J9022,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9022,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",217.855,217.855,,,0 HCPCS,J9022,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",218.875,218.875,,,0 HCPCS,J9023,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",239.29,239.29,,,0 HCPCS,J9023,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",17.495,17.495,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",8.395,8.395,,,0 HCPCS,J9025,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",13.085,13.085,,,0 HCPCS,J9025,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (63323-771-39) / 30 Ml In 1 Vial, Single-Dose",5.19,5.19,,,0 HCPCS,J9025,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.95,1.95,,,0 HCPCS,J9025,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-153-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.69,1.69,,,0 HCPCS,J9026,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),35.91,35.91,,,0 HCPCS,J9026,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),4737.63,4737.63,,,0 HCPCS,J9026,NDC Description Not Available,5297.14,5297.14,,,0 HCPCS,J9029,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),37080.0,37080.0,,,0 HCPCS,J9032,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,118.75,118.75,,,0 HCPCS,J9034,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",61.05,61.05,,,0 HCPCS,J9035,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",171.56,171.56,,,0 HCPCS,J9035,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",185.4,185.4,,,0 HCPCS,J9039,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),325.97,325.97,,,0 HCPCS,J9039,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9040,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",149.35,149.35,,,0 HCPCS,J9040,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",177.64,177.64,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-886-01) / 15 Powder, For Solution In 1 Vial, Single-Dose",115.13,115.13,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-908-01) / 30 Powder, For Solution In 1 Vial, Single-Dose",68.75,68.75,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",161.86,161.86,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",132.87,132.87,,,0 HCPCS,J9040,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",126.0,126.0,,,0 HCPCS,J9041,"Bortezomib: 1 Vial In 1 Carton (0143-9098-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",4.26,4.26,,,0 HCPCS,J9041,"Bortezomib: 1 Vial In 1 Carton (50742-484-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",37.08,37.08,,,0 HCPCS,J9041,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",30.99,30.99,,,0 HCPCS,J9041,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.48,5.48,,,0 HCPCS,J9041,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70710-1411-1) / 3.5 Ml In 1 Vial, Single-Dose",15.34,15.34,,,0 HCPCS,J9041,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70860-225-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",24.66,24.66,,,0 HCPCS,J9041,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (71288-118-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.14,5.14,,,0 HCPCS,J9041,NDC Description Not Available,0.04,0.04,,,0 HCPCS,J9042,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",546.64,546.64,,,0 HCPCS,J9042,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9043,"Jevtana: 1 Kit In 1 Carton (0024-5824-11) * 5.7 Ml In 1 Vial, Glass (0024-5823-15) * 5.7 Ml In 1 Vial, Glass (0024-5822-01)",571.41,571.41,,,0 HCPCS,J9043,NDC Description Not Available,543.89,543.89,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",22.2,22.2,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",25.06,25.06,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",29.83,29.83,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (16729-295-12) / 60 Ml In 1 Vial, Multi-Dose",24.76,24.76,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (50742-447-45) / 45 Ml In 1 Vial, Multi-Dose",92.45,92.45,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",14.92,14.92,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",35.42,35.42,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-166-01) / 45 Ml In 1 Vial, Multi-Dose",31.61,31.61,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-167-01) / 60 Ml In 1 Vial, Multi-Dose",34.79,34.79,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",19.84,19.84,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",17.17,17.17,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-262-05) / 45 Ml In 1 Vial, Multi-Dose",21.18,21.18,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",12.88,12.88,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",29.18,29.18,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",20.15,20.15,,,0 HCPCS,J9045,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",19.46,19.46,,,0 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",137.34,137.34,,,0 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",148.71,148.71,,,0 HCPCS,J9047,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",136.215,136.215,,,0 HCPCS,J9047,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9050,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",1334.88,1334.88,,,0 HCPCS,J9050,"Carmustine: 1 Kit In 1 Carton (23155-790-41) * 3 Ml In 1 Vial (23155-789-31) * 30 Ml In 1 Vial, Single-Dose (23155-788-31)",1291.69,1291.69,,,0 HCPCS,J9050,"Carmustine: 1 Kit In 1 Carton (43598-628-57) * 3 Ml In 1 Vial (43598-860-11) * 30 Ml In 1 Vial, Single-Dose (43598-861-11)",1854.0,1854.0,,,0 HCPCS,J9055,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",196.05,196.05,,,0 HCPCS,J9055,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",195.56,195.56,,,0 HCPCS,J9058,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",80.29,80.29,,,0 HCPCS,J9059,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (10019-079-01) / 1 Injection In 1 Vial, Multi-Dose",57.8,57.8,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,19.99,19.99,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,14.92,14.92,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,270.2,270.2,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,17.25,17.25,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,16.26,16.26,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,15.77,15.77,,,0 HCPCS,J9060,Cisplatin: 1 Vial In 1 Carton (72266-253-01) / 100 Ml In 1 Vial,16.35,16.35,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9504-01) / 50 Ml In 1 Vial, Multi-Dose",12.12,12.12,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9505-01) / 100 Ml In 1 Vial, Multi-Dose",11.0,11.0,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",11.92,11.92,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (44567-511-01) / 200 Ml In 1 Vial, Multi-Dose",21.39,21.39,,,0 HCPCS,J9060,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",23.9,23.9,,,0 HCPCS,J9060,Cisplatin: 100 Ml In 1 Vial (16729-288-38),14.09,14.09,,,0 HCPCS,J9060,Cisplatin: 50 Ml In 1 Vial (16729-288-11),14.5,14.5,,,0 HCPCS,J9061,Noncdm Charge Record Pharmacy,49.45,49.45,,,0 HCPCS,J9061,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",49.175,49.175,,,0 HCPCS,J9063,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",157.32,157.32,,,0 HCPCS,J9065,"Cladribine: 1 Vial In 1 Box, Unit-Dose (0143-9871-01) / 10 Ml In 1 Vial",144.48,144.48,,,0 HCPCS,J9065,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",131.72,131.72,,,0 HCPCS,J9070,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",287.88,287.88,,,0 HCPCS,J9075,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51) / 50 Ml In 1 Vial,5.4350000000000005,5.4350000000000005,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",14.62,14.62,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",11.85,11.85,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",7.0649999999999995,7.0649999999999995,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",15.85,15.85,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",6.73,6.73,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01) / 50 Ml In 1 Vial, Single-Dose",9.4,9.4,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-859-01) / 25 Ml In 1 Vial, Single-Dose",14.92,14.92,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-131-20) / 50 Ml In 1 Vial, Single-Dose",5.36,5.36,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-135-20) / 25 Ml In 1 Vial, Single-Dose",7.79,7.79,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1239-1) / 50 Ml In 1 Vial, Single-Dose",9.01,9.01,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (72603-326-01) / 50 Ml In 1 Vial, Single-Dose",9.99,9.99,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8110-1) / 25 Ml In 1 Vial, Single-Dose",5.1,5.1,,,0 HCPCS,J9075,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8112-1) / 50 Ml In 1 Vial, Single-Dose",53.775,53.775,,,0 HCPCS,J9075,NDC Description Not Available,9.075,9.075,,,0 HCPCS,J9076,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",8.0,8.0,,,0 HCPCS,J9076,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",6.32,6.32,,,0 HCPCS,J9076,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",15.84,15.84,,,0 HCPCS,J9076,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",6.23,6.23,,,0 HCPCS,J9076,NDC Description Not Available,7.6,7.6,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Multi-Dose In 1 Carton (61703-304-36) / 25 Ml In 1 Vial, Multi-Dose",13.9,13.9,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",5.22,5.22,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",4.42,4.42,,,0 HCPCS,J9100,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (71288-109-20) / 20 Ml In 1 Vial, Single-Dose",5.52,5.52,,,0 HCPCS,J9100,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",27.06,27.06,,,0 HCPCS,J9100,NDC Description Not Available,27.81,27.81,,,0 HCPCS,J9119,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",72.85,72.85,,,0 HCPCS,J9130,"Dacarbazine: 10 Vial In 1 Carton (0143-9245-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9245-01)",24.2,24.2,,,0 HCPCS,J9130,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",26.4,26.4,,,0 HCPCS,J9130,NDC Description Not Available,23.1,23.1,,,0 HCPCS,J9144,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",136.17,136.17,,,0 HCPCS,J9144,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9145,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",181.59,181.59,,,0 HCPCS,J9145,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",180.52,180.52,,,0 HCPCS,J9145,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9150,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,185.43,185.43,,,0 HCPCS,J9150,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),290.2,290.2,,,0 HCPCS,J9150,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02) / 4 Ml In 1 Vial,173.02,173.02,,,0 HCPCS,J9150,NDC Description Not Available,290.29,290.29,,,0 HCPCS,J9153,Vyxeos: 40 Ml In 1 Carton (68727-745-02),587.38,587.38,,,0 HCPCS,J9155,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",15.09,15.09,,,0 HCPCS,J9155,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",7.85,7.85,,,0 HCPCS,J9171,Docetaxel: 1 Vial In 1 Carton (25021-245-04) / 4 Ml In 1 Vial,5.75,5.75,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Glass In 1 Carton (45963-765-52) / 4 Ml In 1 Vial, Glass",24.58,24.58,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-10) / 8 Ml In 1 Vial, Multi-Dose",11.06,11.06,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01) / 4 Ml In 1 Vial, Multi-Dose",9.58,9.58,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-02) / 8 Ml In 1 Vial, Multi-Dose",39.23,39.23,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-781-08) / 8 Ml In 1 Vial, Multi-Dose",37.93,37.93,,,0 HCPCS,J9171,"Docetaxel: 1 Vial, Single-Dose In 1 Carton (62332-678-02) / 2 Ml In 1 Vial, Single-Dose",40.03,40.03,,,0 HCPCS,J9173,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,210.73,210.73,,,0 HCPCS,J9173,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,193.5,193.5,,,0 HCPCS,J9173,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9176,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-2291-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",18.05,18.05,,,0 HCPCS,J9177,Noncdm Charge Record Pharmacy,85.1,85.1,,,0 HCPCS,J9177,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",85.13,85.13,,,0 HCPCS,J9177,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",86.8,86.8,,,0 HCPCS,J9179,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",348.25,348.25,,,0 HCPCS,J9181,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",72.69,72.69,,,0 HCPCS,J9181,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9376-01) / 5 Ml In 1 Vial",2.11,2.11,,,0 HCPCS,J9181,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",3.65,3.65,,,0 HCPCS,J9181,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9511-01) / 25 Ml In 1 Vial",3.11,3.11,,,0 HCPCS,J9181,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9512-01) / 50 Ml In 1 Vial",3.2,3.2,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",3.9,3.9,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",5.11,5.11,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",5.25,5.25,,,0 HCPCS,J9181,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",4.67,4.67,,,0 HCPCS,J9181,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",4.94,4.94,,,0 HCPCS,J9181,NDC Description Not Available,5.17,5.17,,,0 HCPCS,J9185,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,629.43,629.43,,,0 HCPCS,J9185,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",180.71,180.71,,,0 HCPCS,J9185,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,748.45,748.45,,,0 HCPCS,J9190,Fluorouracil: 1 Bottle In 1 Carton (25021-215-98) / 50 Ml In 1 Bottle,22.84,22.84,,,0 HCPCS,J9190,Fluorouracil: 1 Bottle In 1 Carton (25021-215-99) / 100 Ml In 1 Bottle,22.04,22.04,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (16729-276-38) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.67,23.67,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-751-50) / 50 Ml In 1 Vial, Pharmacy Bulk Package",22.82,22.82,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.51,23.51,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-51) / 50 Ml In 1 Vial, Pharmacy Bulk Package",11.36,11.36,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",11.89,11.89,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-69) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.61,9.61,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.89,20.89,,,0 HCPCS,J9190,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-189-22) / 100 Ml In 1 Vial, Pharmacy Bulk Package",22.89,22.89,,,0 HCPCS,J9190,Fluorouracil: 10 Vial In 1 Carton (70700-186-23) / 10 Ml In 1 Vial (70700-186-22),41.38,41.38,,,0 HCPCS,J9190,Fluorouracil: 10 Vial In 1 Carton (70700-187-23) / 20 Ml In 1 Vial (70700-187-22),39.4,39.4,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",14.665,14.665,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",10.82,10.82,,,0 HCPCS,J9190,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",11.81,11.81,,,0 HCPCS,J9190,NDC Description Not Available,10.89,10.89,,,0 HCPCS,J9200,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",1984.51,1984.51,,,0 HCPCS,J9201,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,40.65,40.65,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-125-53) / 25 Ml In 1 Vial, Single-Dose",30.35,30.35,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0143-9394-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",9.93,9.93,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",44.12,44.12,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",43.18,43.18,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",39.24,39.24,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",30.94,30.94,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0187-01) / 50 Ml In 1 Vial, Single-Dose",94.28,94.28,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (16714-930-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",34.48,34.48,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",31.935,31.935,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-114-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",39.76,39.76,,,0 HCPCS,J9201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",19.06,19.06,,,0 HCPCS,J9201,NDC Description Not Available,1.03,1.03,,,0 HCPCS,J9202,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2268.86,2268.86,,,0 HCPCS,J9202,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2154.77,2154.77,,,0 HCPCS,J9203,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",535.62,535.62,,,0 HCPCS,J9204,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",568.15,568.15,,,0 HCPCS,J9205,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",159.28,159.28,,,0 HCPCS,J9206,"Camptosar: 1 VIAL, SINGLE-DOSE in 1 CARTON (0009-1111-02) / 5 mL in 1 VIAL, SINGLE-DOSE",39.66,39.66,,,0 HCPCS,J9206,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-0082-02) / 15 Ml In 1 Vial, Single-Dose",35.07,35.07,,,0 HCPCS,J9206,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-05) / 15 Ml In 1 Vial, Single-Dose",31.78,31.78,,,0 HCPCS,J9206,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-55) / 5 Ml In 1 Vial,25.92,25.92,,,0 HCPCS,J9206,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,34.57,34.57,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-131-01) / 5 Ml In 1 Vial, Single-Dose",42.72,42.72,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-354-01) / 15 Ml In 1 Vial, Single-Dose",28.47,28.47,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",25.15,25.15,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-16) / 2 Ml In 1 Vial, Single-Dose",32.98,32.98,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",27.63,27.63,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",24.845,24.845,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6272-1) / 5 Ml In 1 Vial, Single-Use",25.885,25.885,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",40.43,40.43,,,0 HCPCS,J9206,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",60.1,60.1,,,0 HCPCS,J9207,"Ixempra: 1 Kit In 1 Package, Combination (70020-1910-1) * 15 Mg In 1 Vial, Single-Use * 8 Ml In 1 Vial, Single-Use",319.11,319.11,,,0 HCPCS,J9208,Ifosfamide: 1 Vial In 1 Box (0143-9530-01) / 60 Ml In 1 Vial,131.84,131.84,,,0 HCPCS,J9208,Ifosfamide: 1 Vial In 1 Box (0143-9531-01) / 20 Ml In 1 Vial,84.54,84.54,,,0 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",179.98,179.98,,,0 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",154.94,154.94,,,0 HCPCS,J9208,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",143.03,143.03,,,0 HCPCS,J9208,NDC Description Not Available,158.945,158.945,,,0 HCPCS,J9209,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",20.15,20.15,,,0 HCPCS,J9209,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",19.85,19.85,,,0 HCPCS,J9209,NDC Description Not Available,20.89,20.89,,,0 HCPCS,J9210,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-510-01) / 20 Ml In 1 Vial, Single-Use",834.8,834.8,,,0 HCPCS,J9211,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2576-05) / 5 Ml In 1 Vial, Single-Dose",81.37,81.37,,,0 HCPCS,J9211,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2586-91) / 10 Ml In 1 Vial, Single-Dose",251.06,251.06,,,0 HCPCS,J9211,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9217-01) / 5 Ml In 1 Vial, Glass",169.4,169.4,,,0 HCPCS,J9211,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01) / 10 Ml In 1 Vial, Glass",271.12,271.12,,,0 HCPCS,J9211,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9307-01) / 10 Ml In 1 Vial, Glass",121.2,121.2,,,0 HCPCS,J9217,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),1116.52,1116.52,,,0 HCPCS,J9217,Eligard: 1 Kit In 1 Carton (62935-303-30) * .5 Ml In 1 Syringe (62935-305-29) * .5 Ml In 1 Syringe (62935-304-30),1116.52,1116.52,,,0 HCPCS,J9217,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),1116.52,1116.52,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,1108.6,1108.6,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,1116.52,1116.52,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,1097.51,1097.51,,,0 HCPCS,J9217,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,3738.6400000000003,3738.6400000000003,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5024.19,5024.19,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,5053.01,5053.01,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,5706.97,5706.97,,,0 HCPCS,J9217,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5052.92,5052.92,,,0 HCPCS,J9217,NDC Description Not Available,558.43,558.43,,,0 HCPCS,J9223,NDC Description Not Available,0.02,0.02,,,0 HCPCS,J9223,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",450.48,450.48,,,0 HCPCS,J9227,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9228,NDC Description Not Available,0.02,0.02,,,0 HCPCS,J9228,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",417.97,417.97,,,0 HCPCS,J9228,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",422.1,422.1,,,0 HCPCS,J9229,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",6041.32,6041.32,,,0 HCPCS,J9229,NDC Description Not Available,0.1,0.1,,,0 HCPCS,J9245,"Melphalan Hydrochloride: 1 Kit In 1 Carton (54288-109-02) * 10 Ml In 1 Vial, Single-Dose (54288-106-01) * 10 Ml In 1 Vial, Single-Use (54288-107-01)",594.95,594.95,,,0 HCPCS,J9245,"Melphalan: 1 Kit In 1 Carton (63323-760-20) * 10 Ml In 1 Vial, Single-Dose (63323-761-20) * 10 Ml In 1 Vial, Single-Use (63323-732-10)",473.16,473.16,,,0 HCPCS,J9250,"Methotrexate: 5 Vial, Multi-Dose In 1 Carton (61703-350-38) / 2 Ml In 1 Vial, Multi-Dose (61703-350-37)",2.97,2.97,,,0 HCPCS,J9250,NDC Description Not Available,3.09,3.09,,,0 HCPCS,J9255,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,17.62,17.62,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",25.44,25.44,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",11.88,11.88,,,0 HCPCS,J9260,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",6.54,6.54,,,0 HCPCS,J9260,Methotrexate: 10 Vial In 1 Carton (0143-9519-10) / 2 Ml In 1 Vial,14.01,14.01,,,0 HCPCS,J9260,NDC Description Not Available,13.32,13.32,,,0 HCPCS,J9261,Arranon: 50 Ml In 1 Vial (0078-0683-61),399.16,399.16,,,0 HCPCS,J9261,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",336.98,336.98,,,0 HCPCS,J9261,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",339.49,339.49,,,0 HCPCS,J9263,NDC Description Not Available,6.87,6.87,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.08,1.08,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,2.13,2.13,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.585,1.585,,,0 HCPCS,J9263,Oxaliplatin: 1 Vial In 1 Carton (67457-442-20) / 20 Ml In 1 Vial,3.59,3.59,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",2.03,2.03,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-20) / 20 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",4.28,4.28,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3985-01) / 10 Ml In 1 Vial, Single-Use",2.11,2.11,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3986-01) / 20 Ml In 1 Vial, Single-Use",2.15,2.15,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",9.47,9.47,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",5.43,5.43,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9317-80) / 20 Ml In 1 Vial, Single-Use",5.72,5.72,,,0 HCPCS,J9263,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (72266-162-01) / 20 Ml In 1 Vial, Single-Use",0.54,0.54,,,0 HCPCS,J9264,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",39.15,39.15,,,0 HCPCS,J9264,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,39.63,39.63,,,0 HCPCS,J9264,"Paclitaxel Protein-Bound Particles For Injectable Suspension (Albumin-Bound): 1 Vial, Single-Use In 1 Carton (60505-6230-4) / 20 Ml In 1 Vial, Single-Use",39.72,39.72,,,0 HCPCS,J9264,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",36.62,36.62,,,0 HCPCS,J9266,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",45285.77,45285.77,,,0 HCPCS,J9267,"Paclitaxel Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (23155-884-31) / 50 Ml In 1 Vial, Multi-Dose",1.32,1.32,,,0 HCPCS,J9267,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,0.85,0.85,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3216-01) / 16.7 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3218-01) / 50 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.16,1.16,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-22) / 16.7 Ml In 1 Vial, Multi-Dose",1.19,1.19,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.0,1.0,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (62332-622-50) / 50 Ml In 1 Vial, Multi-Dose",2.14,2.14,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-16) / 16.7 Ml In 1 Vial, Multi-Dose",1.86,1.86,,,0 HCPCS,J9267,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",1.8,1.8,,,0 HCPCS,J9268,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",5125.09,5125.09,,,0 HCPCS,J9271,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),137.65,137.65,,,0 HCPCS,J9271,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),112.15,112.15,,,0 HCPCS,J9271,NDC Description Not Available,68.92,68.92,,,0 HCPCS,J9272,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,561.55,561.55,,,0 HCPCS,J9273,Tivdak: 1 Vial In 1 Carton (51144-003-01) / 4 Ml In 1 Vial,228.95,228.95,,,0 HCPCS,J9274,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",501.11,501.11,,,0 HCPCS,J9280,Hc Ag Scrn W/Antisera Ea Un,927.0,927.0,,,0 HCPCS,J9280,"Mitomycin: 1 Vial In 1 Box (0143-9136-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",118.96,118.96,,,0 HCPCS,J9280,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",415.805,415.805,,,0 HCPCS,J9280,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9280-01) / 80 Ml In 1 Vial",463.76,463.76,,,0 HCPCS,J9280,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,444.37,444.37,,,0 HCPCS,J9280,Mitomycin: 1 Vial In 1 Carton (25021-250-20) / 10 Ml In 1 Vial,84.46,84.46,,,0 HCPCS,J9280,Mitomycin: 1 Vial In 1 Carton (25021-251-50) / 40 Ml In 1 Vial,357.92,357.92,,,0 HCPCS,J9280,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-137-20) / 10 Ml In 1 Vial, Single-Dose",584.01,584.01,,,0 HCPCS,J9280,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",344.23,344.23,,,0 HCPCS,J9280,NDC Description Not Available,156.56,156.56,,,0 HCPCS,J9281,"Jelmyto: 1 Kit In 1 Carton (72493-103-03) * 1 Powder, For Solution In 1 Vial, Single-Dose (72493-101-40) * 20 Ml In 1 Vial, Single-Dose (72493-102-20)",731.4,731.4,,,0 HCPCS,J9281,NDC Description Not Available,683.2,683.2,,,0 HCPCS,J9286,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",4283.66,4283.66,,,0 HCPCS,J9286,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",5601.18,5601.18,,,0 HCPCS,J9293,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",329.26,329.26,,,0 HCPCS,J9293,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-12) / 12.5 Ml In 1 Vial, Multi-Dose",363.85,363.85,,,0 HCPCS,J9298,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",449.37,449.37,,,0 HCPCS,J9299,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",76.52000000000001,76.52000000000001,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",78.28,78.28,,,0 HCPCS,J9299,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",77.24,77.24,,,0 HCPCS,J9301,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",203.86,203.86,,,0 HCPCS,J9303,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",411.78,411.78,,,0 HCPCS,J9303,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",428.15,428.15,,,0 HCPCS,J9305,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-166-10) / 10 Ml In 1 Vial, Single-Dose",12.23,12.23,,,0 HCPCS,J9305,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",12.48,12.48,,,0 HCPCS,J9306,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",37.58,37.58,,,0 HCPCS,J9307,Folotyn: 1 Vial In 1 Carton (72893-003-01) / 1 Ml In 1 Vial,880.37,880.37,,,0 HCPCS,J9308,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",171.94,171.94,,,0 HCPCS,J9308,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9309,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9309,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",310.35,310.35,,,0 HCPCS,J9311,"Rituxan Hycela: 1 Vial, Single-Dose In 1 Carton (50242-108-01) / 11.7 Ml In 1 Vial, Single-Dose",116.13,116.13,,,0 HCPCS,J9312,NDC Description Not Available,0.04,0.04,,,0 HCPCS,J9312,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",214.9,214.9,,,0 HCPCS,J9312,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",228.27,228.27,,,0 HCPCS,J9316,NDC Description Not Available,0.01,0.01,,,0 HCPCS,J9316,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",179.75,179.75,,,0 HCPCS,J9316,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",176.81,176.81,,,0 HCPCS,J9317,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",82.13,82.13,,,0 HCPCS,J9319,"Istodax: 1 Kit In 1 Carton (59572-984-01) * 2.2 Ml In 1 Vial, Glass (59572-962-10) * 2.4 Ml In 1 Vial, Glass (59572-973-02)",79.07,79.07,,,0 HCPCS,J9319,"Romidepsin: 1 Kit In 1 Carton (63323-926-88) * 2 Ml In 1 Vial, Single-Dose (63323-925-17) * 2.2 Ml In 1 Vial, Single-Dose (63323-922-03)",78.32,78.32,,,0 HCPCS,J9321,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",288.96000000000004,288.96000000000004,,,0 HCPCS,J9321,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",127.34,127.34,,,0 HCPCS,J9325,Imlygic: 1 Vial In 1 Carton (55513-078-01) / 1 Ml In 1 Vial,285.38,285.38,,,0 HCPCS,J9325,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,164.47,164.47,,,0 HCPCS,J9330,"Temsirolimus: 1 Kit In 1 Carton (72611-785-02) * 1.8 Ml In 1 Vial, Single-Dose (72611-782-01) * 1 Ml In 1 Vial, Single-Dose (72611-780-01)",318.85,318.85,,,0 HCPCS,J9330,"Torisel: 1 Kit In 1 Carton (0008-1179-01) * 25 Ml In 1 Vial, Single-Use (0008-1279-01) * 1.8 Ml In 1 Vial, Single-Use (0008-1125-01)",494.48,494.48,,,0 HCPCS,J9331,"Fyarro: 1 Vial, Single-Use In 1 Carton (80803-153-50) / 20 Ml In 1 Vial, Single-Use",163.93,163.93,,,0 HCPCS,J9332,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",71.93,71.93,,,0 HCPCS,J9333,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-980-79) / 2 Ml In 1 Vial, Glass",53.41,53.41,,,0 HCPCS,J9333,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-983-86) / 6 Ml In 1 Vial, Glass",53.51,53.51,,,0 HCPCS,J9334,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",74.9,74.9,,,0 HCPCS,J9340,"Thiotepa: 1 Vial In 1 Carton (65219-029-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1098.18,1098.18,,,0 HCPCS,J9340,"Thiotepa: 1 Vial, Glass In 1 Box (72205-046-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",1562.08,1562.08,,,0 HCPCS,J9347,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,301.4,301.4,,,0 HCPCS,J9349,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,33.83,33.83,,,0 HCPCS,J9349,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,32.96,32.96,,,0 HCPCS,J9350,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,1490.54,1490.54,,,0 HCPCS,J9350,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,1490.41,1490.41,,,0 HCPCS,J9351,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10) / 4 Ml In 1 Vial,16.56,16.56,,,0 HCPCS,J9351,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,1.1,1.1,,,0 HCPCS,J9351,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",4.96,4.96,,,0 HCPCS,J9352,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",863.81,863.81,,,0 HCPCS,J9353,"Margenza: 1 Vial, Single-Dose In 1 Carton (74527-022-02) / 10 Ml In 1 Vial, Single-Dose (74527-022-01)",117.32,117.32,,,0 HCPCS,J9354,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",96.2,96.2,,,0 HCPCS,J9354,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",94.09,94.09,,,0 HCPCS,J9355,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",257.78,257.78,,,0 HCPCS,J9356,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",192.62,192.62,,,0 HCPCS,J9356,NDC Description Not Available,0.02,0.02,,,0 HCPCS,J9358,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",64.37,64.37,,,0 HCPCS,J9359,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",487.98,487.98,,,0 HCPCS,J9360,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",20.72,20.72,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",74.41,74.41,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",35.97,35.97,,,0 HCPCS,J9370,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",61.09,61.09,,,0 HCPCS,J9380,Noncdm Charge Record Pharmacy,77.47,77.47,,,0 HCPCS,J9380,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",85.65,85.65,,,0 HCPCS,J9380,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",78.39,78.39,,,0 HCPCS,J9390,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,108.15,108.15,,,0 HCPCS,J9390,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,85.22,85.22,,,0 HCPCS,J9390,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",70.04,70.04,,,0 HCPCS,J9390,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-56) / 5 Ml In 1 Vial, Single-Dose",54.53,54.53,,,0 HCPCS,J9394,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",123.6,123.6,,,0 HCPCS,J9394,NDC Description Not Available,123.6,123.6,,,0 HCPCS,J9395,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",239.68,239.68,,,0 HCPCS,J9395,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",75.7,75.7,,,0 HCPCS,J9395,Fulvestrant: 2 Syringe In 1 Carton (25021-471-74) / 5 Ml In 1 Syringe,37.85,37.85,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",30.19,30.19,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",224.69,224.69,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",15.14,15.14,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16714-070-02) / 5 Ml In 1 Syringe, Glass (16714-070-01)",189.48,189.48,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16729-436-30) / 5 Ml In 1 Syringe, Glass (16729-436-31)",178.96,178.96,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",40.65,40.65,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",41.76,41.76,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70121-1463-2) / 5 Ml In 1 Syringe, Glass (70121-1463-3)",9.41,9.41,,,0 HCPCS,J9395,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70860-211-74) / 5 Ml In 1 Syringe, Glass (70860-211-41)",23.84,23.84,,,0 HCPCS,J9395,NDC Description Not Available,32.44,32.44,,,0 HCPCS,J9999,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,39.55,39.55,,,0 HCPCS,L0172,Noncdm Charge Record Medical Supplies,253.0,253.0,,,0 HCPCS,L0174,Noncdm Charge Record Medical Supplies,453.2,453.2,,,0 HCPCS,L0456,Noncdm Charge Record Medical Supplies,1765.5,1765.5,,,0 HCPCS,L0457,Noncdm Charge Record Medical Supplies,1268.99,1268.99,,,0 HCPCS,L0464,Noncdm Charge Record Medical Supplies,2650.9,2650.9,,,0 HCPCS,L0472,Noncdm Charge Record Medical Supplies,766.7,766.7,,,0 HCPCS,L0637,Noncdm Charge Record Medical Supplies,2419.31,2419.31,,,0 HCPCS,L0642,Noncdm Charge Record Medical Supplies,531.3,531.3,,,0 HCPCS,L0650,Noncdm Charge Record Medical Supplies,1611.5,1611.5,,,0 HCPCS,L1686,Noncdm Charge Record Medical Supplies,1644.5,1644.5,,,0 HCPCS,L1820,Noncdm Charge Record Medical Supplies,214.5,214.5,,,0 HCPCS,L1830,Noncdm Charge Record Medical Supplies,41.52,41.52,,,0 HCPCS,L1832,Noncdm Charge Record Medical Supplies,1361.43,1361.43,,,0 HCPCS,L1833,Noncdm Charge Record Medical Supplies,941.6,941.6,,,0 HCPCS,L1930,Noncdm Charge Record Medical Supplies,398.42,398.42,,,0 HCPCS,L1932,Noncdm Charge Record Medical Supplies,1584.16,1584.16,,,0 HCPCS,L3251,Noncdm Charge Record Medical Supplies,171.97,171.97,,,0 HCPCS,L3260,Noncdm Charge Record Medical Supplies,154.0,154.0,,,0 HCPCS,L3670,Noncdm Charge Record Medical Supplies,130.9,130.9,,,0 HCPCS,L3807,Noncdm Charge Record Medical Supplies,403.92,403.92,,,0 HCPCS,L3808,"Hc Whfo, Rigid W/O Joints",783.2,783.2,,,0 HCPCS,L3809,Noncdm Charge Record Medical Supplies,405.45,405.45,,,0 HCPCS,L3906,Hc Who W/O Joints Cf,112.2,112.2,,,0 HCPCS,L3908,Noncdm Charge Record Medical Supplies,96.8,96.8,,,0 HCPCS,L3980,Noncdm Charge Record Medical Supplies,499.4,499.4,,,0 HCPCS,L4361,Noncdm Charge Record Medical Supplies,491.04,491.04,,,0 HCPCS,L4387,Noncdm Charge Record Medical Supplies,295.9,295.9,,,0 HCPCS,L4396,Noncdm Charge Record Medical Supplies,84.94,84.94,,,0 HCPCS,L5450,Noncdm Charge Record Medical Supplies,204.54,204.54,,,0 HCPCS,L8420,Noncdm Charge Record Medical Supplies,44.0,44.0,,,0 HCPCS,L8499,Noncdm Charge Record Medical Supplies,72.44,72.44,,,0 HCPCS,L8501,Hc Tracheostomy Speaking Valve,116.6,116.6,,,0 HCPCS,L8509,Noncdm Charge Record Medical Supplies,458.015,458.015,,,0 HCPCS,L8514,Noncdm Charge Record Medical Supplies,184.8,184.8,,,0 HCPCS,L8604,Noncdm Charge Record Medical Supplies,4893.35,4893.35,,,0 HCPCS,L8606,Noncdm Charge Record Medical Supplies,1483.1950000000002,1483.1950000000002,,,0 HCPCS,L8610,Noncdm Charge Record Medical Supplies,40.7,40.7,,,0 HCPCS,L8612,Noncdm Charge Record Medical Supplies,970.2,970.2,,,0 HCPCS,L8613,Noncdm Charge Record Medical Supplies,607.9549999999999,607.9549999999999,,,0 HCPCS,L8614,Noncdm Charge Record Medical Supplies,15780.05,15780.05,,,0 HCPCS,L8641,Noncdm Charge Record Medical Supplies,1346.18,1346.18,,,0 HCPCS,L8680,Noncdm Charge Record Medical Supplies,1051.46,1051.46,,,0 HCPCS,L8690,Noncdm Charge Record Medical Supplies,5779.95,5779.95,,,0 HCPCS,L8699,Noncdm Charge Record Medical Supplies,16261.365,16261.365,,,0 HCPCS,M0220,Hc Tixagevimab Cilgavimab Injection,398.0,398.0,,,0 HCPCS,M0243,Hc Casirivi Imdevimab Iv Infusion & Monitoring,812.0,812.0,,,0 HCPCS,M0247,Hc Sotrovimab Iv Infusion & Monitoring,1190.0,1190.0,,,0 HCPCS,M0249,Hc Tocilizumab Inj/Inf 1St,943.0,943.0,,,0 HCPCS,M0250,Hc Tocilizumab Inj/Inf 2Nd,943.0,943.0,,,0 HCPCS,P2028,Cephalin floculation test,,,3.71,10.49,13 HCPCS,P2029,Congo red blood test,,,3.71,10.49,13 HCPCS,P2031,Hair analysis,,,3.71,6.76,6 HCPCS,P2033,Blood thymol turbidity,,,3.71,10.49,13 HCPCS,P2038,Blood mucoprotein,,,3.71,10.49,13 HCPCS,P3000,Hc Gyn Tech Screen M'care,172.0,172.0,,,0 HCPCS,P3000,Hc Gyn Tech Screen M'care/Waive,172.0,172.0,,,0 HCPCS,P3000,Screen pap by tech w md supv,,,13.32,39.3,13 HCPCS,P3001,Screening pap smear by phys,,,17.68,32.21,6 HCPCS,P7001,Culture bacterial urine,,,13.22,24.11,6 HCPCS,P9010,"Hc Blood (Whole), For Transfusion, Per Unit",1040.5,1040.5,,,0 HCPCS,P9010,Whole blood for transfusion,,,31.34,402.46,10 HCPCS,P9011,Blood split unit,,,44.81,330.38,10 HCPCS,P9011,"Hc Blood, Split Unit",805.5,805.5,,,0 HCPCS,P9012,"Hc Red Cross Processing - Cryoprecipitate, Single",1470.0,1470.0,,,0 HCPCS,P9012,"Hc Red Cross Processing - Pooled Cryoprecipitate, Each Unit",1470.0,1470.0,,,0 HCPCS,P9016,Hc Red Cross Prod Leukocytes Reduced Flt Rbc,881.5,881.5,,,0 HCPCS,P9017,"Hc Red Cross Proc Ffp (Single Donor), Frozen Within 8Hrs, Each Unit",171.0,171.0,,,0 HCPCS,P9017,Hc Thawed Aph Conv Pls Covid-19,171.0,171.0,,,0 HCPCS,P9021,"Hc Red Cross Proc Red Blood Cells, Each Unit",720.5,720.5,,,0 HCPCS,P9022,Hc Autologous Blood Per Unit,1546.5,1546.5,,,0 HCPCS,P9022,"Hc Red Cross Proc Washed, Red Blood Cells, Each Unit",1546.5,1546.5,,,0 HCPCS,P9026,"Hc Pooled Cryoprecipitate, Pathogen Reduced, Each Unit - Fc15",1262.5,1262.5,,,0 HCPCS,P9026,"Hc Pooled Cryoprecipitate, Pathogen Reduced, Each Unit - Ifc10",694.0,694.0,,,0 HCPCS,P9034,Hc Plasmarichplatelet Bma-Mc Each Unit,1733.5,1733.5,,,0 HCPCS,P9035,"Hc Platelets. Pheresis, Leukocytes Reduced, Each Unit",2290.5,2290.5,,,0 HCPCS,P9037,"Hc Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit",3009.0,3009.0,,,0 HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,1442.89,7 HCPCS,P9039,"Hc Red Cross Proc- Red Blood Cells, Deglycerolized, Each Unit",1784.5,1784.5,,,0 HCPCS,P9040,"Hc Prbc, Irr, Leuko",629.0,629.0,,,0 HCPCS,P9040,"Hc Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit Lf",629.0,629.0,,,0 HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,562.67,7 HCPCS,P9041,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",74.25,74.25,,,0 HCPCS,P9041,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",73.475,73.475,,,0 HCPCS,P9041,Albutein: 1 Vial In 1 Carton (68516-5214-5) / 50 Ml In 1 Vial (68516-5214-6),90.74,90.74,,,0 HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,17.19,10 HCPCS,P9044,"Hc Red Cross Proc Cryoprecipitate Reduced Super, Each Unit",242.5,242.5,,,0 HCPCS,P9045,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),173.99,173.99,,,0 HCPCS,P9045,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",0.935,0.935,,,0 HCPCS,P9045,Albutein: 4 Bag In 1 Carton (68516-5218-4) / 250 Ml In 1 Bag (68516-5218-0),200.98,200.98,,,0 HCPCS,P9045,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),147.77,147.77,,,0 HCPCS,P9045,NDC Description Not Available,203.71,203.71,,,0 HCPCS,P9046,NDC Description Not Available,142.94,142.94,,,0 HCPCS,P9047,Albuked: 1 Vial In 1 Carton (76125-792-10) / 100 Ml In 1 Vial (76125-792-11),207.62,207.62,,,0 HCPCS,P9047,"Albumin (Human): 50 Ml In 1 Bottle, Glass (68982-643-01)",248.33,248.33,,,0 HCPCS,P9047,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",301.915,301.915,,,0 HCPCS,P9047,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",382.39,382.39,,,0 HCPCS,P9047,Flexbumin: 12 Bag In 1 Carton (0944-0493-01) / 50 Ml In 1 Bag (0944-0493-03),244.31,244.31,,,0 HCPCS,P9047,Flexbumin: 6 Bag In 1 Carton (0944-0493-02) / 100 Ml In 1 Bag (0944-0493-04),228.37,228.37,,,0 HCPCS,P9047,NDC Description Not Available,214.865,214.865,,,0 HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,20.81,74.88,10 HCPCS,P9052,"Hc Arc Hla Matched Products Leukocytes Reduced, Aph/Pheresis, Each Unit",3308.0,3308.0,,,0 HCPCS,P9056,"Hc Whole Blood, Leukocytes Reduced, Irradiated, Each Unit",349.5,349.5,,,0 HCPCS,P9059,"Hc Fresh Frozen Plasma 8 - 24 Hours Of Collection, Each Unit",343.0,343.0,,,0 HCPCS,P9073,"Hc Platelets, Pheresis, Pathogen Reduced, Each Unit",1212.5,1212.5,,,0 HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,1287.75,7 HCPCS,P9100,Pathogen test for platelets,,,35.5,125.44,9 HCPCS,P9612,Catheterize for urine spec,,,3.0,2987.0,15 HCPCS,P9615,Urine specimen collect mult,,,3.0,2987.0,8 HCPCS,Q0035,Cardiokymography,,,37.46,79.42,7 HCPCS,Q0091,Obtaining screen pap smear,,,22.99,61.5,9 HCPCS,Q0092,Set up port xray equipment,,,38.52,56.38,3 HCPCS,Q0111,Wet mounts/ w preparations,,,13.32,39.3,12 HCPCS,Q0112,Potassium hydroxide preps,,,4.37,12.36,12 HCPCS,Q0113,Pinworm examinations,,,3.2,9.05,13 HCPCS,Q0114,Fern test,,,7.31,20.65,13 HCPCS,Q0115,Post-coital mucous exam,,,18.75,53.0,13 HCPCS,Q0138,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",5.45,5.45,,,0 HCPCS,Q0144,Azithromycin: 1 Bottle In 1 Carton (59762-3130-1) / 22.5 Ml In 1 Bottle,51.57,51.57,,,0 HCPCS,Q0144,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1) / 30 Ml In 1 Bottle,52.53,52.53,,,0 HCPCS,Q0144,Azithromycin: 22.5 Ml In 1 Bottle (0093-2026-94),31.93,31.93,,,0 HCPCS,Q0144,"Azithromycin: 22.5 Ml In 1 Bottle, Plastic (42806-150-33)",32.96,32.96,,,0 HCPCS,Q0144,"Azithromycin: 30 Ml In 1 Bottle, Plastic (42806-151-34)",46.97,46.97,,,0 HCPCS,Q0144,NDC Description Not Available,107.12,107.12,,,0 HCPCS,Q0144,Zithromax: 1 Bottle In 1 Carton (0069-3130-19) / 22.5 Ml In 1 Bottle,120.51,120.51,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7129-61) / 1 Tablet, Film Coated In 1 Blister Pack",14.54,14.54,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7130-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.49,4.49,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",5.56,5.56,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6017-00)",9.01,9.01,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1054-1)",13.15,13.15,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1056-1)",5.56,5.56,,,0 HCPCS,Q0161,"Chlorpromazine Hydrochloride: 100 Tablet, Sugar Coated In 1 Bottle (72205-104-91)",8.01,8.01,,,0 HCPCS,Q0161,NDC Description Not Available,17.634999999999998,17.634999999999998,,,0 HCPCS,Q0162,NDC Description Not Available,20.595,20.595,,,0 HCPCS,Q0162,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",18.02,18.02,,,0 HCPCS,Q0162,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02) / 50 Ml In 1 Bottle, Plastic",20.28,20.28,,,0 HCPCS,Q0162,"Ondansetron: 3 Blister Pack In 1 Carton (57237-077-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 HCPCS,Q0162,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 HCPCS,Q0162,"Ondansetron: 3 Blister Pack In 1 Dose Pack (62756-240-64) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 HCPCS,Q0162,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",20.08,20.08,,,0 HCPCS,Q0162,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",17.48,17.48,,,0 HCPCS,Q0162,"Ondansetron: 30 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-157-13)",20.86,20.86,,,0 HCPCS,Q0162,Ondansetron: 50 Ml In 1 Bottle (65162-691-79),19.96,19.96,,,0 HCPCS,Q0163,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-1730-30) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",11.33,11.33,,,0 HCPCS,Q0163,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0978-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-0978-10)",17.17,17.17,,,0 HCPCS,Q0163,NDC Description Not Available,16.42,16.42,,,0 HCPCS,Q0164,NDC Description Not Available,4.41,4.41,,,0 HCPCS,Q0164,Prochlorperazine Maleate: 50 Blister Pack In 1 Carton (0904-7381-06) / 1 Tablet In 1 Blister Pack,5.66,5.66,,,0 HCPCS,Q0166,Granisetron Hydrochloride: 2 Blister Pack In 1 Carton (51991-735-20) / 10 Tablet In 1 Blister Pack,212.9,212.9,,,0 HCPCS,Q0166,NDC Description Not Available,212.87,212.87,,,0 HCPCS,Q0167,DRONABINOL: 100 BLISTER PACK in 1 CARTON (0904-6745-61) / 1 CAPSULE in 1 BLISTER PACK,20.53,20.53,,,0 HCPCS,Q0167,Dronabinol: 1 BOTTLE in 1 CARTON (17478-761-06) / 60 CAPSULE in 1 BOTTLE,21.63,21.63,,,0 HCPCS,Q0167,Dronabinol: 1 BOTTLE in 1 CARTON (17478-762-06) / 60 CAPSULE in 1 BOTTLE,22.37,22.37,,,0 HCPCS,Q0167,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,20.47,20.47,,,0 HCPCS,Q0167,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,20.91,20.91,,,0 HCPCS,Q0167,Dronabinol: 30 Blister Pack In 1 Carton (60687-375-21) / 1 Capsule In 1 Blister Pack (60687-375-11),30.62,30.62,,,0 HCPCS,Q0167,Dronabinol: 60 Capsule In 1 Bottle (42858-868-06),6.78,6.78,,,0 HCPCS,Q0167,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),23.93,23.93,,,0 HCPCS,Q0167,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),24.43,24.43,,,0 HCPCS,Q0167,NDC Description Not Available,30.79,30.79,,,0 HCPCS,Q0169,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",3.39,3.39,,,0 HCPCS,Q0169,Promethazine Hydrochloride: 473 Ml In 1 Bottle (27808-051-02),3.09,3.09,,,0 HCPCS,Q0169,Promethazine Hydrochloride: 473 Ml In 1 Bottle (70408-146-34),3.83,3.83,,,0 HCPCS,Q0169,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (64679-608-16)",2.39,2.39,,,0 HCPCS,Q0169,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (70752-138-12)",3.56,3.56,,,0 HCPCS,Q0175,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.55,8.55,,,0 HCPCS,Q0175,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6600-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.46,6.46,,,0 HCPCS,Q0175,Perphenazine: 100 Tablet In 1 Bottle (68382-591-01),12.65,12.65,,,0 HCPCS,Q0477,Noncdm Charge Record Medical Supplies,8232.4,8232.4,,,0 HCPCS,Q0479,Noncdm Charge Record Medical Supplies,13305.6,13305.6,,,0 HCPCS,Q0481,Noncdm Charge Record Medical Supplies,9047.5,9047.5,,,0 HCPCS,Q0495,Noncdm Charge Record Medical Supplies,10776.7,10776.7,,,0 HCPCS,Q0497,Noncdm Charge Record Medical Supplies,823.9,823.9,,,0 HCPCS,Q0498,Noncdm Charge Record Medical Supplies,591.8,591.8,,,0 HCPCS,Q0499,Noncdm Charge Record Medical Supplies,486.2,486.2,,,0 HCPCS,Q0501,Noncdm Charge Record Medical Supplies,374.0,374.0,,,0 HCPCS,Q0506,Noncdm Charge Record Medical Supplies,814.275,814.275,,,0 HCPCS,Q0508,Noncdm Charge Record Medical Supplies,77391.6,77391.6,,,0 HCPCS,Q2009,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),51.16,51.16,,,0 HCPCS,Q2009,"Cerebyx: 10 Vial, Single-Dose In 1 Package (0069-5474-02) / 10 Ml In 1 Vial, Single-Dose (0069-5474-01)",24.05,24.05,,,0 HCPCS,Q2009,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),68.755,68.755,,,0 HCPCS,Q2009,"Cerebyx: 25 Vial, Single-Dose In 1 Carton (0069-5471-02) / 2 Ml In 1 Vial, Single-Dose (0069-5471-01)",63.38,63.38,,,0 HCPCS,Q2009,Fosphenytoin Sodium: 10 Vial In 1 Carton (0641-6137-10) / 10 Ml In 1 Vial (0641-6137-01),20.42,20.42,,,0 HCPCS,Q2009,NDC Description Not Available,43.349999999999994,43.349999999999994,,,0 HCPCS,Q2035,"Hc Pbb Influenza Vacc, Split Virus, When Administered, 3 Yrs&Older, For Im Use (Afluria)",83.43,83.43,,,0 HCPCS,Q2041,Hc Car-T Product - Car-T Yescarta (Fresh),2031922.2000000002,2031922.2000000002,,,0 HCPCS,Q2042,Hc Car-T Product - Car-T Kymriah Dlbcl (Frozen),2240569.3,2240569.3,,,0 HCPCS,Q2042,Hc Car-T Product - Car-T Kymriah R/R (Frozen),2240569.3,2240569.3,,,0 HCPCS,Q2050,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",351.31,351.31,,,0 HCPCS,Q2050,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",610.73,610.73,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-742-01) / 10 Ml In 1 Vial, Single-Dose",1197.72,1197.72,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-541-25) / 25 Ml In 1 Vial, Single-Dose",596.81,596.81,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",815.69,815.69,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",830.79,830.79,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-283-35) / 10 Ml In 1 Vial, Single-Dose",540.6,540.6,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1151.31,1151.31,,,0 HCPCS,Q2050,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",1158.25,1158.25,,,0 HCPCS,Q2053,Hc Car-T Product - Car-T Tecartus Mcl,1903440.0,1903440.0,,,0 HCPCS,Q2054,Hc Car-T Product - Car T Breyanzi (Fresh),2008405.24,2008405.24,,,0 HCPCS,Q2055,Hc Car-T Product - Car T Abecma (Fresh),2053440.96,2053440.96,,,0 HCPCS,Q2056,Hc Car-T Product - Car-T Carvykti Mm,2150868.66,2150868.66,,,0 HCPCS,Q2057,Hc Car-T Product - Car-T Tecelra,2995240.0,2995240.0,,,0 HCPCS,Q3014,Hc Telehealth Facility Fee,51.0,51.0,,,0 HCPCS,Q4081,Epogen: 10 Vial In 1 Package (55513-144-10) / 1 Ml In 1 Vial (55513-144-01),7.17,7.17,,,0 HCPCS,Q4081,Epogen: 10 Vial In 1 Package (55513-148-10) / 1 Ml In 1 Vial (55513-148-01),7.17,7.17,,,0 HCPCS,Q4081,NDC Description Not Available,7.17,7.17,,,0 HCPCS,Q4081,"Procrit: 25 Vial, Single-Dose In 1 Carton (59676-310-02) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",11.56,11.56,,,0 HCPCS,Q4081,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-302-01) / 1 Ml In 1 Vial, Single-Dose (59676-302-00)",11.57,11.57,,,0 HCPCS,Q4081,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-304-01) / 1 Ml In 1 Vial, Single-Dose (59676-304-00)",11.56,11.56,,,0 HCPCS,Q4081,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",4.77,4.77,,,0 HCPCS,Q4100,Noncdm Charge Record Medical Supplies,814.0,814.0,,,0 HCPCS,Q4100,Noncdm Charge Record Pharmacy,33.96,33.96,,,0 HCPCS,Q4103,Noncdm Charge Record Medical Supplies,6.32,6.32,,,0 HCPCS,Q4104,Noncdm Charge Record Medical Supplies,51.185,51.185,,,0 HCPCS,Q4104,Noncdm Charge Record Pharmacy,151.12,151.12,,,0 HCPCS,Q4108,Noncdm Charge Record Medical Supplies,134.68,134.68,,,0 HCPCS,Q4116,Noncdm Charge Record Medical Supplies,52.44,52.44,,,0 HCPCS,Q4116,Noncdm Charge Record Pharmacy,91.41,91.41,,,0 HCPCS,Q4118,Noncdm Charge Record Medical Supplies,3.8,3.8,,,0 HCPCS,Q4118,Noncdm Charge Record Pharmacy,3.38,3.38,,,0 HCPCS,Q4121,Noncdm Charge Record Medical Supplies,133.27,133.27,,,0 HCPCS,Q4122,Dermacell,,,124.82,4840.09,9 HCPCS,Q4125,Noncdm Charge Record Medical Supplies,160.025,160.025,,,0 HCPCS,Q4125,Noncdm Charge Record Pharmacy,7.06,7.06,,,0 HCPCS,Q4127,Talymed,,,124.82,4840.09,9 HCPCS,Q4130,Noncdm Charge Record Medical Supplies,42.495000000000005,42.495000000000005,,,0 HCPCS,Q4130,Noncdm Charge Record Pharmacy,39.79,39.79,,,0 HCPCS,Q4132,Noncdm Charge Record Medical Supplies,164.47,164.47,,,0 HCPCS,Q4133,Noncdm Charge Record Medical Supplies,160.36,160.36,,,0 HCPCS,Q4133,Noncdm Charge Record Pharmacy,202.57999999999998,202.57999999999998,,,0 HCPCS,Q4137,Noncdm Charge Record Medical Supplies,138.05,138.05,,,0 HCPCS,Q4137,Noncdm Charge Record Pharmacy,10.82,10.82,,,0 HCPCS,Q4145,Noncdm Charge Record Medical Supplies,362.74,362.74,,,0 HCPCS,Q4158,Noncdm Charge Record Medical Supplies,120.11,120.11,,,0 HCPCS,Q4158,Noncdm Charge Record Pharmacy,86.13,86.13,,,0 HCPCS,Q4160,Noncdm Charge Record Medical Supplies,182.88,182.88,,,0 HCPCS,Q4166,Noncdm Charge Record Medical Supplies,44.45,44.45,,,0 HCPCS,Q4166,Noncdm Charge Record Pharmacy,36.61,36.61,,,0 HCPCS,Q4180,Noncdm Charge Record Medical Supplies,127.01,127.01,,,0 HCPCS,Q4180,Noncdm Charge Record Pharmacy,126.02,126.02,,,0 HCPCS,Q4186,Noncdm Charge Record Medical Supplies,297.83,297.83,,,0 HCPCS,Q4186,Noncdm Charge Record Pharmacy,288.725,288.725,,,0 HCPCS,Q5101,NDC Description Not Available,3.02,3.02,,,0 HCPCS,Q5101,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,3.9,3.9,,,0 HCPCS,Q5101,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,2.26,2.26,,,0 HCPCS,Q5103,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",226.44,226.44,,,0 HCPCS,Q5104,"Renflexis: 1 Vial In 1 Carton (78206-162-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",24.86,24.86,,,0 HCPCS,Q5105,NDC Description Not Available,5.92,5.92,,,0 HCPCS,Q5105,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",4.77,4.77,,,0 HCPCS,Q5106,NDC Description Not Available,6.49,6.49,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",6.64,6.64,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.63,7.63,,,0 HCPCS,Q5106,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",6.14,6.14,,,0 HCPCS,Q5106,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",8.39,8.39,,,0 HCPCS,Q5107,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",197.0,197.0,,,0 HCPCS,Q5107,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,171.37,171.37,,,0 HCPCS,Q5107,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,168.49,168.49,,,0 HCPCS,Q5108,Fulphila: 1 Syringe In 1 Carton (67457-833-06) / .6 Ml In 1 Syringe,860.05,860.05,,,0 HCPCS,Q5108,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,413.11,413.11,,,0 HCPCS,Q5111,Udenyca: 1 Syringe In 1 Carton (70114-101-01) / .6 Ml In 1 Syringe,1064.5549999999998,1064.5549999999998,,,0 HCPCS,Q5111,Udenyca: 1 Syringe In 1 Carton (70114-130-01) / .6 Ml In 1 Syringe,860.05,860.05,,,0 HCPCS,Q5114,NDC Description Not Available,144.25,144.25,,,0 HCPCS,Q5114,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",148.18,148.18,,,0 HCPCS,Q5114,Ogivri: 1 Vial In 1 Carton (67457-991-15) / 15 Ml In 1 Vial,226.0,226.0,,,0 HCPCS,Q5114,Ogivri: 1 Vial In 1 Carton (83257-001-11) / 15 Ml In 1 Vial,145.18,145.18,,,0 HCPCS,Q5115,Inj truxima 10 mg,,,31.28,66.31,7 HCPCS,Q5115,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",232.24,232.24,,,0 HCPCS,Q5115,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",206.98,206.98,,,0 HCPCS,Q5115,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",177.19,177.19,,,0 HCPCS,Q5116,"Trazimera: 1 Kit In 1 Kit (0069-0305-01) * 20 Ml In 1 Vial, Multi-Dose (0069-0306-01) * 20 Ml In 1 Vial (0069-0307-01)",197.59,197.59,,,0 HCPCS,Q5117,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",186.05,186.05,,,0 HCPCS,Q5118,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",151.63,151.63,,,0 HCPCS,Q5119,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",163.51,163.51,,,0 HCPCS,Q5119,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",116.67,116.67,,,0 HCPCS,Q5121,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",123.6,123.6,,,0 HCPCS,Q5123,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",177.19,177.19,,,0 HCPCS,Q9001,Noncdm Charge Record,1.0,1.0,,,0 HCPCS,Q9002,Noncdm Charge Record,1.0,1.0,,,0 HCPCS,Q9956,"Optison Perflutren Protein-Type A Microspheres: 18 Vial, Single-Use In 1 Carton (0407-2707-18) / 3 Ml In 1 Vial, Single-Use",168.17,168.17,,,0 HCPCS,Q9956,"Optison Perflutren Protein-Type A Microspheres: 5 Vial, Single-Use In 1 Carton (0407-2707-03) / 3 Ml In 1 Vial, Single-Use",570.99,570.99,,,0 HCPCS,Q9957,"Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass",746.69,746.69,,,0 HCPCS,Q9957,"Definity: 4 Vial, Glass In 1 Carton (11994-011-04) / 1.5 Ml In 1 Vial, Glass",606.62,606.62,,,0 HCPCS,Q9958,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,0.78,0.78,,,0 HCPCS,Q9958,Cystografin: 10 Bottle In 1 Package (0270-0149-60) / 100 Ml In 1 Bottle,1.33,1.33,,,0 HCPCS,Q9961,"Conray: 25 Vial, Glass In 1 Box (0019-0953-05) / 50 Ml In 1 Vial, Glass",2.2,2.2,,,0 HCPCS,Q9963,Gastrografin: 12 Bottle In 1 Box (0270-0445-40) / 120 Ml In 1 Bottle,2.51,2.51,,,0 HCPCS,Q9963,Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle,3.49,3.49,,,0 HCPCS,Q9963,"Md Gastroview: 25 Bottle, Glass In 1 Box (0019-4816-04) / 30 Ml In 1 Bottle, Glass",2.98,2.98,,,0 HCPCS,Q9963,NDC Description Not Available,0.95,0.95,,,0 HCPCS,Q9963,Noncdm Charge Record Pharmacy,0.95,0.95,,,0 HCPCS,Q9965,"Hc Isovue 100 Per Ml -Low Osmolar Contrast Material, 100-199Mg/Ml Iodine Concentrate",2.06,2.06,,,0 HCPCS,Q9965,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",70.09,70.09,,,0 HCPCS,Q9965,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-20) / 20 Ml In 1 Vial, Glass",11.28,11.28,,,0 HCPCS,Q9966,"10 BOTTLE, GLASS in 1 BOX (0407-2222-02) / 100 mL in 1 BOTTLE, GLASS",10.21,10.21,,,0 HCPCS,Q9966,10 VIAL in 1 BOX (0407-2222-01) / 50 mL in 1 VIAL,4.97,4.97,,,0 HCPCS,Q9966,"Hc Isovue 200 Per Ml -Low Osmolar Contrast Material, 200-299Mg/Ml Iodine Concentrate",3.09,3.09,,,0 HCPCS,Q9966,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-10) / 100 Ml In 1 Bottle, Plastic (65219-381-03)",4.42,4.42,,,0 HCPCS,Q9966,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-50) / 150 Ml In 1 Bottle, Plastic (65219-381-05)",3.44,3.44,,,0 HCPCS,Q9966,NDC Description Not Available,3.38,3.38,,,0 HCPCS,Q9966,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-30) / 50 Ml In 1 Bottle, Plastic",3.39,3.39,,,0 HCPCS,Q9966,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",37.29,37.29,,,0 HCPCS,Q9966,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",16.44,16.44,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-1413-51) / 50 mL in 1 BOTTLE, GLASS",2.06,2.06,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-1414-03) / 150 mL in 1 BOTTLE, GLASS",4.02,4.02,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-1414-60) / 100 mL in 1 BOTTLE, GLASS",4.35,4.35,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-2223-02) / 100 mL in 1 BOTTLE, GLASS",4.96,4.96,,,0 HCPCS,Q9967,"10 BOTTLE, GLASS in 1 BOX (0407-2223-03) / 150 mL in 1 BOTTLE, GLASS",4.56,4.56,,,0 HCPCS,Q9967,10 VIAL in 1 BOX (0407-2223-01) / 50 mL in 1 VIAL,4.96,4.96,,,0 HCPCS,Q9967,"Hc Isovue 300 Per Ml -Low Osmolar Contrast Material, 300-399Mg/Ml Iodine Concentrate",4.105,4.105,,,0 HCPCS,Q9967,ISOVUE: 10 BOTTLE in 1 BOX (0270-1315-41) / 200 mL in 1 BOTTLE,3.5,3.5,,,0 HCPCS,Q9967,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,4.28,4.28,,,0 HCPCS,Q9967,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",5.2,5.2,,,0 HCPCS,Q9967,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-30) / 50 Ml In 1 Vial, Single-Dose",1.69,1.69,,,0 HCPCS,Q9967,NDC Description Not Available,4.365,4.365,,,0 HCPCS,Q9967,Noncdm Charge Record Pharmacy,2.5,2.5,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Glass In 1 Box (0407-1414-76) / 125 Ml In 1 Bottle, Glass",2.28,2.28,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",5.65,5.65,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",8.29,8.29,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",4.92,4.92,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-65) / 150 Ml In 1 Bottle, Plastic",3.35,3.35,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-87) / 100 Ml In 1 Bottle, Plastic",3.86,3.86,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-48) / 500 Ml In 1 Bottle, Plastic",3.55,3.55,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-72) / 500 Ml In 1 Bottle, Plastic",3.23,3.23,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-82) / 50 Ml In 1 Bottle, Plastic",5.5,5.5,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-84) / 100 Ml In 1 Bottle, Plastic",5.59,5.59,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-86) / 150 Ml In 1 Bottle, Plastic",5.2,5.2,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-88) / 500 Ml In 1 Bottle, Plastic",3.84,3.84,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",6.234999999999999,6.234999999999999,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",4.29,4.29,,,0 HCPCS,Q9967,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",3.995,3.995,,,0 HCPCS,Q9967,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10) / 10 Ml In 1 Vial, Glass",42.12,42.12,,,0 HCPCS,Q9967,"Visipaque: 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-62) / 50 mL in 1 BOTTLE, PLASTIC",8.52,8.52,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",18.33,18.33,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-64) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 HCPCS,Q9967,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-66) / 150 Ml In 1 Bottle, Plastic",4.56,4.56,,,0 HCPCS,Q9968,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",58.36,58.36,,,0 HCPCS,Q9968,NDC Description Not Available,17.54,17.54,,,0 HCPCS,Q9968,Provayblue: 5 Ampule In 1 Carton (0517-0374-05) / 10 Ml In 1 Ampule (0517-0374-01),16.41,16.41,,,0 HCPCS,Q9983,NDC Description Not Available,4950.0,4950.0,,,0 HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1996.56,4232.7,7 HCPCS,Q9991,NDC Description Not Available,3767.74,3767.74,,,0 HCPCS,Q9991,Sublocade: 1 Pouch In 1 Carton (12496-0100-1) / 1 Syringe In 1 Pouch (12496-0100-2) / 1 Solution In 1 Syringe (12496-0100-5),3767.74,3767.74,,,0 HCPCS,Q9991,Sublocade: 1 Pouch In 1 Carton (12496-0300-1) / 1 Syringe In 1 Pouch (12496-0300-2) / 1 Solution In 1 Syringe (12496-0300-5),1370.09,1370.09,,,0 HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1996.56,4232.7,7 HCPCS,R0100,Hc Asc - Facility Fee - Brachioplasty R01008,4025.0,4025.0,,,0 HCPCS,R0100,Hc Asc - Facility Fee - Breast Augmentation/Mastopexy Periareolar (Vertical & Inverted T) R0100050,5750.0,5750.0,,,0 HCPCS,R0100,Hc Asc - Facility Fee - Breast Augmentation/Mastopexy Standard R0100150,6900.0,6900.0,,,0 HCPCS,R0100,"Hc Asc - Facility Fee - Breast Implant Removal, Unilateral R01005",575.0,575.0,,,0 HCPCS,R0100,Hc Asc - Facility Fee - Minor Room Procedure - R010089,288.0,288.0,,,0 HCPCS,R0100,Hc Asc - Facility Fee - Thighplasty(Modified) R010087,5750.0,5750.0,,,0 HCPCS,R0100,Hc Asc - Facility Fee - Thighplasty(Non-Massive Weight Loss) R010086,4600.0,4600.0,,,0 HCPCS,R0200,Hc Asc - Facility Fee - Abdominoplasty (Extended) R02006,8625.0,8625.0,,,0 HCPCS,R0200,Hc Asc - Facility Fee - Abdominoplasty (Full) R02001,6325.0,6325.0,,,0 HCPCS,R0200,Hc Asc - Facility Fee - Abdominoplasty (Mini)/Skin Only Tummy Tuck R02000,4025.0,4025.0,,,0 HCPCS,R0200,Hc Asc - Facility Fee - Asc Abdominoplasty Exparel R02003,414.0,414.0,,,0 HCPCS,R0403,Hc Asc - Facility Fee - Fractional Resurfacing-Face R04030,920.0,920.0,,,0 HCPCS,R0405,Hc Asc - Facility Fee - Chin Implant R04057,575.0,575.0,,,0 HCPCS,R0405,Hc Asc - Facility Fee - Co2 Laser Full Face R04052,2530.0,2530.0,,,0 HCPCS,R0405,Hc Asc - Facility Fee - Co2 Laser Neck/Chest R04053,2300.0,2300.0,,,0 HCPCS,R0405,"Hc Asc - Facility Fee - Revision Procedure Within 1 Year, 2 Hr Or Less R04058",1294.0,1294.0,,,0 HCPCS,R0406,Hc Asc - Facility Fee - Labiaplasty R04068,2300.0,2300.0,,,0 HCPCS,R0406,"Hc Asc - Facility Fee - Scar Revision, Elective, Complex R04063",1438.0,1438.0,,,0 HCPCS,R0406,"Hc Asc - Facility Fee - Scar Revision, Elective, Minimal R04061",575.0,575.0,,,0 HCPCS,R0406,"Hc Asc - Facility Fee - Scar Revision, Elective, Moderate R04062",1035.0,1035.0,,,0 HCPCS,R0500,Hc Asc - Facility Fee - Blepharoplasty (1 Eyelid) R05000,1380.0,1380.0,,,0 HCPCS,R0500,Hc Asc - Facility Fee - Blepharoplasty (Bilateral Extensive) R05001,2875.0,2875.0,,,0 HCPCS,R0500,Hc Asc - Facility Fee - Blepharoplasty (Bilateral) R05002,2300.0,2300.0,,,0 HCPCS,R0500,Hc Asc - Facility Fee - Blepharoplasty (Upper Or Lower + 1 Upper Or Lower) R05003,4600.0,4600.0,,,0 HCPCS,R0500,Hc Asc - Facility Fee - Quad Bleph R05005,5175.0,5175.0,,,0 HCPCS,R0501,Hc Asc - Facility Fee - Ora Only R05010,230.0,230.0,,,0 HCPCS,R0502,Hc Asc - Facility Fee - Ora W/Femto Or Other Services R05020,86.0,86.0,,,0 HCPCS,R0600,Hc Asc - Facility Fee - Fat Graft-Medium (Face) R06004,2300.0,2300.0,,,0 HCPCS,R0600,Hc Asc - Facility Fee - Fat Graft-Small (Face) R06003,1725.0,1725.0,,,0 HCPCS,R0700,Hc Asc - Facility Fee - Lower Facelift/Brow Lift & Upper Or Lower Blephs R07001,16100.0,16100.0,,,0 HCPCS,R0700,Hc Asc - Facility Fee - Lower Facelift/Brow Lift/Necklift & Quad Blephs R07003,23000.0,23000.0,,,0 HCPCS,R0700,Hc Asc - Facility Fee - Lower Facelift/Brow Lift/Necklift & Upper Or Lower Blephs R07002,18400.0,18400.0,,,0 HCPCS,R0700,Hc Asc - Facility Fee - Temporal Brow Lift R07005,3450.0,3450.0,,,0 HCPCS,R0701,Hc Asc - Facility Fee - Bilateral Upper/Lower Blepharoplasty Fn R07019,5750.0,5750.0,,,0 HCPCS,R0701,Hc Asc - Facility Fee - Earlobe Reduction (Bilateral) R0701150,1150.0,1150.0,,,0 HCPCS,R0701,Hc Asc - Facility Fee - Earlobe Reduction (Unilateral) R07011,575.0,575.0,,,0 HCPCS,R0701,Hc Asc - Facility Fee - Earlobe Repair (Bilateral) R0701050,862.0,862.0,,,0 HCPCS,R0701,Hc Asc - Facility Fee - Earlobe Repair (Unilateral) R07010,460.0,460.0,,,0 HCPCS,R0800,Hc Asc - Facility Fee - Ear Piercing R08000,115.0,115.0,,,0 HCPCS,R0800,Hc Asc - Facility Fee - Skin Lesion W/Excision & Intermediate Closure (Per Lesion) R08004,460.0,460.0,,,0 HCPCS,R0800,Hc Asc - Facility Fee - Skin Lesion W/Excision & No Closure (Per Lesion) R08002,86.0,86.0,,,0 HCPCS,R0800,Hc Asc - Facility Fee - Skin Lesion W/Excision & Simple Closure (Per Lesion) R08003,230.0,230.0,,,0 HCPCS,R0800,Hc Asc - Facility Fee - Skin Tags (Per Tag) R08001,34.0,34.0,,,0 HCPCS,R0900,Hc Asc - Facility Fee - Body Contouring/Massive Weight Loss 1St Hour R09008,3450.0,3450.0,,,0 HCPCS,R0900,Hc Asc - Facility Fee - Body Contouring/Massive Weight Loss Each Additional Hour R09009,2875.0,2875.0,,,0 HCPCS,R0900,Hc Asc - Facility Fee - Forehead Lift R09003,5750.0,5750.0,,,0 HCPCS,R0991,Hc Asc - Facility Fee - Gel Breast Implant R09919,1035.0,1035.0,,,0 HCPCS,R0999,"Hc Asc - Facility Fee - Revision Procedure Within 1 Year, 1 Hr Or Less R09996",862.0,862.0,,,0 HCPCS,R1582,Hc Asc - Facility Fee - Face/Neck Full/Extensive (Includes Sma) R15829,10925.0,10925.0,,,0 HCPCS,R1582,Hc Asc - Facility Fee - Facelift Midface/Short Scar (Limited) R15828,8625.0,8625.0,,,0 HCPCS,R1582,Hc Asc - Facility Fee - Panniculectomy (Extended) R15820,7475.0,7475.0,,,0 HCPCS,R1583,Hc Asc - Facility Fee - Lip Lift R15830,1725.0,1725.0,,,0 HCPCS,R1930,Hc Asc - Facility Fee - Gynecomastia (Excision Or Liposuction) R19300,3450.0,3450.0,,,0 HCPCS,R1931,Hc Asc - Facility Fee - Breast Reduction R19318,6900.0,6900.0,,,0 HCPCS,R1931,Hc Asc - Facility Fee - Mastopexy Standard R1931650,4600.0,4600.0,,,0 HCPCS,R1932,Hc Asc - Facility Fee - Breast Augmentation With Implant R19325,1380.0,1380.0,,,0 HCPCS,R1932,Hc Asc - Facility Fee - Removal Intact Mammary Implant R19328,1380.0,1380.0,,,0 HCPCS,R1934,Hc Asc - Facility Fee - Breast Implant Exchange (Unilateral) R19340,2214.0,2214.0,,,0 HCPCS,R1934,"Hc Asc - Facility Fee - Breast Implant Exchange(Bilateral,Eac) R1934050",2012.0,2012.0,,,0 HCPCS,R3040,Hc Asc - Facility Fee - Rhinoplasty (Tip/Partial/Minor) R30400,5175.0,5175.0,,,0 HCPCS,R3041,Hc Asc - Facility Fee - Rhinoplasty (Complete) R30410,5750.0,5750.0,,,0 HCPCS,R3042,Hc Asc - Facility Fee - Septo-Rhinoplasty R30420,7475.0,7475.0,,,0 HCPCS,R3100,Hc Asc - Facility Fee - Astigmatic Keratotomy Femto R31004,920.0,920.0,,,0 HCPCS,R3100,"Hc Asc - Facility Fee - Iol Premium Panoptix, Vivity R31007",1265.0,1265.0,,,0 HCPCS,R3100,"Hc Asc - Facility Fee - Iol Symfony, Restore R31009",1150.0,1150.0,,,0 HCPCS,R3100,Hc Asc - Facility Fee - Premium Lens R31000,224.0,224.0,,,0 HCPCS,R3100,Hc Asc - Facility Fee - Standard R31002,1322.0,1322.0,,,0 HCPCS,R4050,Hc Asc - Facility Fee - Lip Reduction R405001,2300.0,2300.0,,,0 HCPCS,R5001,Hc Asc - Facility Fee - Asc Prp Spine Injection R50010,1150.0,1150.0,,,0 HCPCS,R9008,Hc Asc - Facility Fee - Surgical Binder Garment R90084,126.0,126.0,,,0 HCPCS,R9008,Hc Asc - Facility Fee - Surgical Bra R90083,108.0,108.0,,,0 HCPCS,S0017,"Aminocaproic Acid: 25 Vial, Multi-Dose In 1 Tray (0517-9191-25) / 20 Ml In 1 Vial, Multi-Dose (0517-9191-01)",39.14,39.14,,,0 HCPCS,S0017,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",31.89,31.89,,,0 HCPCS,S0017,NDC Description Not Available,32.620000000000005,32.620000000000005,,,0 HCPCS,S0028,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),4.09,4.09,,,0 HCPCS,S0028,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",4.12,4.12,,,0 HCPCS,S0028,NDC Description Not Available,3.99,3.99,,,0 HCPCS,S0032,NDC Description Not Available,84.745,84.745,,,0 HCPCS,S0032,"Nafcillin Sodium: 10 Vial In 1 Carton (72485-406-10) / 1 Injection, Powder, For Solution In 1 Vial",44.29,44.29,,,0 HCPCS,S0032,Nafcillin: 1 Bottle In 1 Carton (70860-119-99) / 100 Ml In 1 Bottle,86.52,86.52,,,0 HCPCS,S0032,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-09) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.96,9.96,,,0 HCPCS,S0032,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",99.49,99.49,,,0 HCPCS,S0032,Nafcillin: 10 BOTTLE in 1 CARTON (0781-3126-95) / 100 mL in 1 BOTTLE (0781-3126-46),100.08,100.08,,,0 HCPCS,S0032,Nafcillin: 10 Vial In 1 Box (55150-122-15) / 4 Ml In 1 Vial,12.14,12.14,,,0 HCPCS,S0032,Nafcillin: 10 Vial In 1 Box (55150-123-16) / 8 Ml In 1 Vial,101.95,101.95,,,0 HCPCS,S0032,Nafcillin: 10 Vial In 1 Carton (25021-140-10) / 8 Ml In 1 Vial,97.44,97.44,,,0 HCPCS,S0032,"Nafcillin: 10 Vial In 1 Carton (44567-221-10) / 1 Powder, For Solution In 1 Vial",95.2,95.2,,,0 HCPCS,S0032,"Nafcillin: 10 Vial In 1 Carton (44567-222-10) / 1 Powder, For Solution In 1 Vial",95.28,95.28,,,0 HCPCS,S0032,Nafcillin: 10 Vial In 1 Carton (63323-328-20) / 8 Ml In 1 Vial (63323-328-21),124.97,124.97,,,0 HCPCS,S0073,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2560-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",64.3,64.3,,,0 HCPCS,S0073,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",65.14,65.14,,,0 HCPCS,S0073,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",78.02,78.02,,,0 HCPCS,S0073,"Aztreonam: 10 Vial In 1 Tray (63323-401-26) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-21)",59.22,59.22,,,0 HCPCS,S0073,"Aztreonam: 10 Vial In 1 Tray (63323-402-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-01)",79.31,79.31,,,0 HCPCS,S0073,"Aztreonam: 10 Vial In 1 Tray (63323-402-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-03)",58.97,58.97,,,0 HCPCS,S0073,NDC Description Not Available,78.06,78.06,,,0 HCPCS,S0077,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),18.86,18.86,,,0 HCPCS,S0077,Clindamycin Phosphate: 24 Bag In 1 Case (43066-993-24) / 50 Ml In 1 Bag,23.09,23.09,,,0 HCPCS,S0077,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24) / 50 Ml In 1 Bag,18.81,18.81,,,0 HCPCS,S0077,NDC Description Not Available,21.08,21.08,,,0 HCPCS,S0104,Retrovir: 100 Capsule In 1 Bottle (49702-211-20),11.67,11.67,,,0 HCPCS,S0104,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),7.26,7.26,,,0 HCPCS,S0104,Zidovudine: 12 Bottle In 1 Case (31722-509-60) / 60 Tablet In 1 Bottle,7.21,7.21,,,0 HCPCS,S0109,"Methadone Hydrochloride: 3 Tray In 1 Case (68094-031-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-031-59)",8.67,8.67,,,0 HCPCS,S0109,"Methadone Hydrochloride: 5 Ml In 1 Cup, Unit-Dose (17856-3555-5)",8.68,8.68,,,0 HCPCS,S0109,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),1.38,1.38,,,0 HCPCS,S0109,NDC Description Not Available,9.09,9.09,,,0 HCPCS,S0145,"Pegasys: 1 Vial, Single-Use In 1 Box (0004-0350-09) / 1 Ml In 1 Vial, Single-Use",2525.56,2525.56,,,0 HCPCS,S0156,Exemestane: 30 Tablet In 1 Bottle (69097-316-02),46.99,46.99,,,0 HCPCS,S0156,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (0054-0080-13)",73.13,73.13,,,0 HCPCS,S0156,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (59651-516-30)",72.94,72.94,,,0 HCPCS,S0164,NDC Description Not Available,22.05,22.05,,,0 HCPCS,S0164,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,15.14,15.14,,,0 HCPCS,S0164,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,21.88,21.88,,,0 HCPCS,S0164,Protonix I.V.: 25 Carton In 1 Package (0008-0923-60) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,21.81,21.81,,,0 HCPCS,S0169,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41) / 15 Ml In 1 Bottle, Glass",10.75,10.75,,,0 HCPCS,S0169,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15) / 15 Ml In 1 Bottle, Glass",28.6,28.6,,,0 HCPCS,S0169,Rocaltrol: 15 Ml In 1 Bottle (30698-911-15),15.46,15.46,,,0 HCPCS,S0201,"Hc Partial Hospitalization Services, Less Than 24 Hours, Per Diem - Substance Abuse",2338.0,2338.0,,,0 HCPCS,S2083,"gastric band adjustment, percutaneous",,,2572.0,2987.0,2 HCPCS,S2095,"percut occlusion tumor dest, yttrium-90",,,5405.0,6277.0,2 HCPCS,S2225,"Myringotomy, laser-assisted",,,5405.0,6277.0,2 HCPCS,S2342,Nasal endoscop po debrid,,,4797.0,4797.0,1 HCPCS,S2900,Hc Euh Davinci Xi Dual #Sk1801 P,0.01,0.01,,,0 HCPCS,S3620,Hc Newborn Metabolic Screening Panel,365.0,365.0,,,0 HCPCS,S5553,"Tresiba: 5 Syringe, Plastic In 1 Carton (0169-2660-15) / 3 Ml In 1 Syringe, Plastic",0.26,0.26,,,0 HCPCS,S9443,Hc Lactation Op Support,411.0,411.0,,,0 HCPCS,S9480,Hc Adult Iop - Mental Health,1916.0,1916.0,,,0 HCPCS,U0001,2019 nCoV diagnostic P,,,26.94,76.15,13 HCPCS,U0002,COVID-19 lab test non-CDC,,,38.48,108.78,13 HCPCS,U0002,Hc Sars Cov2 Non Cdc Pcr,243.5,243.5,,,0 HCPCS,U0003,Hc Sars Cov2 Non Cdc Pcr,243.5,243.5,,,0 HCPCS,U0005,Hc Sars-Cov-2 Covid-19 Amp Prb - Coronavirus Covid19 By Pcr Add-On,82.5,82.5,,,0 HCPCS,V2524,Cntct lens hydrophil photoch,,,154.45,327.43,7 HCPCS,V2632,Noncdm Charge Record Medical Supplies,218.88,218.88,,,0 HCPCS,V2785,Noncdm Charge Record Medical Supplies,5390.0,5390.0,,,0 HCPCS,V2785,Noncdm Charge Record Pharmacy,6416.9,6416.9,,,0 HCPCS,V2787,Noncdm Charge Record Medical Supplies,746.9,746.9,,,0 HCPCS,V2790,Noncdm Charge Record Medical Supplies,1690.15,1690.15,,,0 HCPCS,V2790,Noncdm Charge Record Pharmacy,1348.27,1348.27,,,0 MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,161136.0,597972.67,30 MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,101764.08,316526.85,30 MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,188799.82,454963.15,24 MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,123929.89,299960.79,24 MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,92779.34,273426.44,30 MS-DRG,006,Liver Transplant Without Mcc,,,42867.56,273426.44,30 MS-DRG,007,Lung Transplant,,,116001.72,342904.09,30 MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,51379.88,211017.9,30 MS-DRG,009,Bone marrow transplant,,,,,0 MS-DRG,010,Pancreas Transplant,,,65201.4,169258.3,27 MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,50055.88,114548.59,24 MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,39163.87,87115.18,24 MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,27328.47,58144.05,24 MS-DRG,014,Allogeneic Bone Marrow Transplant,,,107799.94,284874.16,30 MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,54239.9,184640.66,30 MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,49864.09,184640.66,30 MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,381968.59,809773.41,24 MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,64839.83,211017.9,30 MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,71298.84,171124.42,24 MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,48645.66,117344.58,24 MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,30026.94,74950.39,24 MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,52485.7,121110.78,24 MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,36488.6,80703.72,24 MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,42073.16,94940.56,24 MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,29426.96,64929.83,24 MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,24269.07,52387.15,24 MS-DRG,028,Spinal Procedures With Mcc,,,54931.37,129059.29,24 MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,32087.28,71258.5,24 MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,21386.18,47241.0,24 MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,41490.77,88960.07,24 MS-DRG,032,Ventricular Shunt Procedures With Cc,,,20821.39,45336.67,24 MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,16454.01,35411.1,24 MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,36126.15,82552.86,24 MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,23104.3,48981.12,24 MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,18904.48,40631.35,24 MS-DRG,037,Extracranial Procedures With Mcc,,,31036.0,70498.46,24 MS-DRG,038,Extracranial Procedures With Cc,,,16348.82,34659.5,24 MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,11738.72,26320.9,24 MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,36042.57,80075.31,24 MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,21416.97,47950.08,24 MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,17273.42,37311.73,24 MS-DRG,043,Hyphema,,,,,0 MS-DRG,044,Acute Major Eye Infections,,,,,0 MS-DRG,045,Neurological eye disorders,,,,,0 MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0 MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0 MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0 MS-DRG,049,Major Head & Neck Procedures,,,,,0 MS-DRG,050,Sialoadenectomy,,,,,0 MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0 MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,18008.88,42723.25,24 MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,9501.74,22659.83,24 MS-DRG,054,Nervous System Neoplasms With Mcc,,,15460.83,32874.65,24 MS-DRG,055,Nervous System Neoplasms Without Mcc,,,11044.01,23413.3,24 MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,22511.36,53159.92,24 MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,13472.08,28560.81,24 MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,17113.31,39184.21,24 MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,12618.46,27540.64,24 MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,9203.69,21552.0,24 MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,26329.41,57388.94,24 MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,17532.94,37806.38,24 MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,14423.95,30578.77,24 MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,19765.71,42228.59,24 MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,10488.74,23239.86,24 MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,7098.72,17161.7,24 MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,14994.9,31789.19,24 MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,9092.3,20518.76,24 MS-DRG,069,Transient Ischemia Without Thrombolytic,,,8252.79,19295.31,24 MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,16720.06,36912.6,24 MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,10868.27,23532.66,24 MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,7736.09,18500.79,24 MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,15939.38,34318.18,24 MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,10750.7,23622.18,24 MS-DRG,075,Viral Meningitis With Cc/Mcc,,,17763.82,40159.5,24 MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,9333.81,19787.68,24 MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,15946.59,32825.83,12 MS-DRG,078,Hypertensive Encephalopathy With Cc,,,10290.72,21183.29,12 MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,6875.95,14154.04,12 MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,17997.44,42200.99,24 MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,9331.57,21100.66,24 MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,22181.46,49255.72,24 MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,14338.73,30429.59,24 MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,9859.62,22223.41,24 MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,22060.94,48105.06,24 MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,13527.07,28693.22,24 MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,9117.05,21456.88,24 MS-DRG,088,Concussion With Mcc,,,13966.49,29947.04,24 MS-DRG,089,Concussion With Cc,,,11057.01,24886.68,24 MS-DRG,090,Concussion Without Cc/Mcc,,,8840.66,19750.37,24 MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,17524.14,38698.04,24 MS-DRG,092,Other Disorders Of Nervous System With Cc,,,10919.84,23476.71,24 MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,8140.37,19248.67,24 MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,33035.64,77455.53,24 MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,24721.24,52500.44,24 MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,24721.24,52500.44,24 MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,33848.51,76105.3,24 MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,22263.28,47198.15,24 MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,14059.74,29806.65,24 MS-DRG,100,Seizures With Mcc,,,19112.94,42145.8,24 MS-DRG,101,Seizures Without Mcc,,,9504.84,21231.21,24 MS-DRG,102,Headaches With Mcc,,,11935.18,25302.58,24 MS-DRG,103,Headaches Without Mcc,,,8768.46,19994.7,24 MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0 MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0 MS-DRG,106,Coronary Bypass w PTCA,,,,,0 MS-DRG,107,No Longer Valid,,,,,0 MS-DRG,108,Other Cardiothoracic Procedures,,,,,0 MS-DRG,109,No Longer Valid,,,,,0 MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0 MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0 MS-DRG,112,No Longer Valid,,,,,0 MS-DRG,113,Orbital Procedures With Cc/Mcc,,,22757.69,48246.3,24 MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,12191.48,29631.35,24 MS-DRG,115,Extraocular Procedures Except Orbit,,,15577.29,33023.85,24 MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,17207.92,38119.13,24 MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,11124.04,24631.18,24 MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0 MS-DRG,119,Vein ligation & stripping,,,,,0 MS-DRG,120,Other circulatory system O.R. procedures,,,,,0 MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,11995.53,26093.36,24 MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,6995.59,19052.84,24 MS-DRG,123,Neurological Eye Disorders,,,8283.73,19291.58,24 MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,13446.62,29073.7,24 MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,8515.78,18717.14,24 MS-DRG,126,Acute & Subacute Endocarditis,,,,,0 MS-DRG,127,Heart Failure & Shock,,,,,0 MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0 MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0 MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0 MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0 MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0 MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0 MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0 MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,21164.49,51183.41,24 MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,10088.58,23333.1,24 MS-DRG,137,Mouth Procedures With Cc/Mcc,,,14423.3,32246.13,24 MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,8389.96,20925.33,24 MS-DRG,139,Salivary Gland Procedures,,,12945.12,29146.67,24 MS-DRG,140,Major Head And Neck Procedures With Mcc,,,39597.58,89781.67,24 MS-DRG,141,Major Head And Neck Procedures With Cc,,,21262.14,45608.41,24 MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,16118.33,34170.86,24 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,34051.79,74272.91,24 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,17319.16,37292.62,24 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,12218.3,26820.73,24 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,20701.75,48699.5,24 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,12837.1,28111.33,24 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,8257.95,19263.59,24 MS-DRG,149,Dysequilibrium,,,7709.27,18415.0,24 MS-DRG,150,Epistaxis With Mcc,,,13787.91,29341.98,24 MS-DRG,151,Epistaxis Without Mcc,,,7817.56,18086.76,24 MS-DRG,152,Otitis Media And Uri With Mcc,,,11702.63,26445.86,24 MS-DRG,153,Otitis Media And Uri Without Mcc,,,7340.05,18165.09,24 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,15828.89,34524.23,24 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,9628.6,21490.44,24 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,6934.74,17286.65,24 MS-DRG,157,Dental And Oral Diseases With Mcc,,,16887.18,36416.36,24 MS-DRG,158,Dental And Oral Diseases With Cc,,,9699.76,21365.49,24 MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,6802.73,17611.16,24 MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0 MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0 MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0 MS-DRG,163,Major Chest Procedures With Mcc,,,41502.21,97846.95,24 MS-DRG,164,Major Chest Procedures With Cc,,,24278.75,53431.66,24 MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,18914.12,40097.93,24 MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,34956.1,81756.73,24 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,17939.38,38789.33,24 MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,13962.29,29881.25,24 MS-DRG,169,Mouth Procedures w/o CC,,,,,0 MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0 MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,28258.67,65142.13,24 MS-DRG,174,G.I. hemorrhage w CC,,,,,0 MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,14158.27,30015.53,24 MS-DRG,176,Pulmonary Embolism Without Mcc,,,8400.27,19410.93,24 MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,15821.85,34318.3,24 MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,10231.93,22600.15,24 MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,7938.23,18478.41,24 MS-DRG,180,Respiratory Neoplasms With Mcc,,,17610.36,37333.96,24 MS-DRG,181,Respiratory Neoplasms With Cc,,,11449.95,24371.94,24 MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,8637.48,18456.04,24 MS-DRG,183,Major Chest Trauma With Mcc,,,15533.3,33696.26,24 MS-DRG,184,Major Chest Trauma With Cc,,,11014.72,24243.24,24 MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,8019.71,19065.9,24 MS-DRG,186,Pleural Effusion With Mcc,,,15784.91,33543.4,24 MS-DRG,187,Pleural Effusion With Cc,,,10353.63,22844.46,24 MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,7571.07,17773.42,24 MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,12762.84,27438.06,24 MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,11585.05,25056.41,24 MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8860.25,20119.65,24 MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6674.84,16370.92,24 MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,13591.01,28911.44,24 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,8457.0,19427.72,24 MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,6423.19,16119.14,24 MS-DRG,196,Interstitial Lung Disease With Mcc,,,18676.6,40001.57,24 MS-DRG,197,Interstitial Lung Disease With Cc,,,10209.24,22098.46,24 MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,7223.51,17754.77,24 MS-DRG,199,Pneumothorax With Mcc,,,17593.64,37475.2,24 MS-DRG,200,Pneumothorax With Cc,,,11421.07,24899.74,24 MS-DRG,201,Pneumothorax Without Cc/Mcc,,,6981.15,17734.27,24 MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,9969.97,22510.63,24 MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,7181.23,16893.14,24 MS-DRG,204,Respiratory Signs And Symptoms,,,8363.14,19455.69,24 MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,18182.18,40075.87,24 MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,9341.89,21949.25,24 MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,58682.56,137309.27,24 MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,26255.52,56983.44,24 MS-DRG,209,Complex Aortic Arch Procedures,,,101649.71,215497.39,12 MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0 MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0 MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,97737.53,231260.51,24 MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,52279.85,110833.28,12 MS-DRG,214,No Longer Valid,,,,,0 MS-DRG,215,Other Heart Assist System Implant,,,89669.48,224914.87,24 MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,49305.22,204877.99,24 MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,49305.22,137090.6,24 MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,49305.22,127029.28,24 MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,49305.22,164256.51,24 MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,48988.76,112440.45,24 MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,46414.65,98399.06,24 MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,,,0 MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,,,0 MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,,,0 MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,,,0 MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,,,0 MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,,,0 MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,45598.26,105786.97,24 MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,29781.49,65942.5,24 MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0 MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,49305.22,179890.28,24 MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,49305.22,129679.21,24 MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,49305.22,165929.43,24 MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,49305.22,112941.48,24 MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,49305.22,124913.07,24 MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,38924.58,87293.51,24 MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0 MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0 MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,45372.16,106924.9,24 MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,27151.09,61821.76,24 MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,14253.29,32053.05,24 MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,30162.42,72012.16,24 MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,20820.51,47824.82,24 MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,17975.45,38313.78,24 MS-DRG,245,Aicd Generator Procedures,,,18334.6,103740.4,24 MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0 MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,,,0 MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,,,0 MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,,,0 MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,18334.6,49098.62,24 MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,15221.87,33171.88,24 MS-DRG,252,Other Vascular Procedures With Mcc,,,32762.04,72823.15,24 MS-DRG,253,Other Vascular Procedures With Cc,,,24908.64,54198.07,24 MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,17748.47,37626.76,24 MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,25804.21,55544.05,24 MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,17011.26,36063.87,24 MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,9198.53,24767.32,24 MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,28933.24,62998.75,24 MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,18126.85,42110.32,24 MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,30690.26,72326.36,24 MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,18705.63,40281.8,24 MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,15652.66,34795.64,24 MS-DRG,263,Vein Ligation And Stripping,,,27659.53,61419.07,24 MS-DRG,264,Other Circulatory System O.R. Procedures,,,31462.67,74196.73,24 MS-DRG,265,Aicd Lead Procedures,,,33904.81,75725.29,24 MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,55987.93,127176.19,24 MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,43956.67,99874.41,24 MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,49305.22,141544.66,24 MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,39227.21,88325.29,24 MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,48491.71,108969.34,24 MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,33360.26,73124.61,24 MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,24533.87,55775.0,24 MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,38367.71,83009.3,24 MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,31032.48,66254.58,24 MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,64802.88,150021.8,24 MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,54916.41,131498.62,24 MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,42704.81,98766.21,24 MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,51042.06,108209.17,24 MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,33046.23,71658.14,24 MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,16186.06,34849.05,24 MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,9506.9,21538.95,24 MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,7478.25,17883.47,24 MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,19500.03,41513.14,24 MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,7641.21,17307.17,24 MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,5788.92,15567.08,24 MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,21541.01,46988.36,24 MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,11237.49,24355.15,24 MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,25881.63,57985.5,24 MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,16260.12,36231.71,24 MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,10096.83,21736.64,24 MS-DRG,291,Heart Failure And Shock With Mcc,,,13368.27,28340.73,24 MS-DRG,292,Heart Failure And Shock With Cc,,,8882.94,20231.54,24 MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,5662.06,14953.48,24 MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,12663.84,26068.32,12 MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,8145.53,16767.45,12 MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,15814.82,34781.11,24 MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,7264.77,16221.71,24 MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,4554.4,12885.17,24 MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,16437.67,34847.86,24 MS-DRG,300,Peripheral Vascular Disorders With Cc,,,11040.51,24306.65,24 MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,7356.56,17820.06,24 MS-DRG,302,Atherosclerosis With Mcc,,,11996.56,26714.42,24 MS-DRG,303,Atherosclerosis Without Mcc,,,6934.74,16952.81,24 MS-DRG,304,Hypertension With Mcc,,,12116.19,26591.33,24 MS-DRG,305,Hypertension Without Mcc,,,7742.28,18480.27,24 MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,15443.3,33786.65,24 MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,9553.31,21428.9,24 MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,12437.97,26852.43,24 MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,7624.7,18118.45,24 MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,5770.35,14955.35,24 MS-DRG,311,Angina Pectoris,,,7203.92,17488.07,24 MS-DRG,312,Syncope And Collapse,,,8986.07,20653.04,24 MS-DRG,313,Chest Pain,,,7356.56,17825.64,24 MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,20418.47,45716.68,24 MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,9924.59,22363.29,24 MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,7039.93,17118.79,24 MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,60897.73,131328.78,24 MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,23383.18,49572.34,12 MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,41335.94,93252.78,24 MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,23234.5,49257.14,24 MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,26010.07,60435.44,24 MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,17583.96,38407.19,24 MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,40143.9,90422.82,24 MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,29794.69,67829.85,24 MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,29516.98,64272.57,24 MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,45950.15,107820.8,24 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,23576.72,51548.56,24 MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,16170.23,34280.89,24 MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,42511.27,97481.79,24 MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,23163.25,50181.35,24 MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,16879.3,35784.12,24 MS-DRG,332,Rectal Resection With Mcc,,,33926.81,73636.26,24 MS-DRG,333,Rectal Resection With Cc,,,21917.03,48080.31,24 MS-DRG,334,Rectal Resection Without Cc/Mcc,,,16483.42,35207.83,24 MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,33488.7,76935.4,24 MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,20625.21,44846.25,24 MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,15578.17,33025.72,24 MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,,,0 MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,,,0 MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,,,0 MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,,,0 MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,,,0 MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,,,0 MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,24796.03,57202.11,24 MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,15311.61,32460.61,24 MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,12509.65,26520.46,24 MS-DRG,347,Anal And Stomal Procedures With Mcc,,,22269.43,50242.92,24 MS-DRG,348,Anal And Stomal Procedures With Cc,,,12982.52,28807.01,24 MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,9085.08,20634.41,24 MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,23996.36,51372.35,24 MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,15485.8,32829.9,24 MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,11370.53,26177.29,24 MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,27604.15,62263.34,24 MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,16874.9,36114.35,24 MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,13748.81,29482.14,24 MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,40719.24,90554.44,24 MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,22532.48,47807.84,24 MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,13974.67,30468.75,24 MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,32324.81,68528.6,12 MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,23313.68,49425.0,12 MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0 MS-DRG,362,Endoscopic Tubal Interruption,,,,,0 MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0 MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0 MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0 MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0 MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0 MS-DRG,368,Major Esophageal Disorders With Mcc,,,16078.74,35451.98,24 MS-DRG,369,Major Esophageal Disorders With Cc,,,10494.93,23051.48,24 MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,7197.73,17467.57,24 MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,17672.82,37466.38,24 MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,10615.59,23439.42,24 MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,7480.32,17963.65,24 MS-DRG,374,Digestive Malignancy With Mcc,,,20889.13,44827.15,24 MS-DRG,375,Digestive Malignancy With Cc,,,12672.09,26956.88,24 MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,9105.71,21635.91,24 MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,18155.79,38598.26,24 MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,10167.99,22687.79,24 MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,6565.52,16154.57,24 MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,19336.4,40993.17,24 MS-DRG,381,Complicated Peptic Ulcer With Cc,,,11232.33,24605.06,24 MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,7727.84,19328.87,24 MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,13038.21,30147.97,24 MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,8968.54,20339.73,24 MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,15994.28,34492.38,24 MS-DRG,386,Inflammatory Bowel Disease With Cc,,,10235.03,22605.75,24 MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,6913.08,17103.88,24 MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,15066.16,31940.26,24 MS-DRG,389,Gastrointestinal Obstruction With Cc,,,8268.26,19127.45,24 MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5642.47,14543.18,24 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,13231.91,28051.65,24 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,8047.55,18937.22,24 MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,16143.84,35154.76,24 MS-DRG,394,Other Digestive System Diagnoses With Cc,,,9708.01,21848.53,24 MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6563.45,16501.47,24 MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0 MS-DRG,397,Appendix Procedures With Mcc,,,23143.01,52599.45,24 MS-DRG,398,Appendix Procedures With Cc,,,15389.9,32626.59,24 MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,11593.3,25746.47,24 MS-DRG,400,No Longer Valid,,,,,0 MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0 MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,37443.99,83416.92,24 MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0 MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0 MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,50200.15,115244.93,24 MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,27588.31,59618.09,24 MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,21600.84,45793.78,24 MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,33442.07,74328.35,24 MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,21228.71,45004.87,24 MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,15996.1,34008.59,24 MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,28221.62,66005.2,24 MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,20570.67,45251.75,24 MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,16682.24,35366.35,24 MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,33415.68,74381.43,24 MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,20255.72,42942.13,24 MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,14067.66,29823.44,24 MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,23068.23,50453.1,24 MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,16955.83,35946.36,24 MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,13588.95,29870.08,24 MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,32047.69,74924.92,24 MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,16888.21,36802.42,24 MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,14386.13,31193.24,24 MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,38609.64,86344.53,24 MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,21321.96,48470.21,24 MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,15272.9,32815.21,24 MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,99031.62,222524.37,24 MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,65578.81,150705.4,24 MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,51532.95,116875.4,24 MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,81334.87,177058.2,24 MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,52809.45,116130.22,24 MS-DRG,431,Childhood Mental Disorders,,,,,0 MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,19389.18,41591.69,24 MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,11032.25,24095.9,24 MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,7182.26,17685.76,24 MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,18232.33,38734.14,24 MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,11629.4,25492.83,24 MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,8097.06,20311.74,24 MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,16415.68,35322.47,24 MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,8871.6,20086.07,24 MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,6343.78,15986.73,24 MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,17862.84,40131.07,24 MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,9964.82,22400.6,24 MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,7246.2,17447.05,24 MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,16773.73,35761.94,24 MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,11183.86,24808.35,24 MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,8221.85,19826.83,24 MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,60854.63,142330.17,24 MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,39382.05,86686.34,24 MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0 MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,48960.61,109328.13,24 MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,30493.2,65511.53,24 MS-DRG,452,Complications of treatment w CC,,,,,0 MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,,,0 MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,,,0 MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,,,0 MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,76001.91,179788.38,24 MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,54533.73,121838.97,24 MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,38782.07,91664.77,24 MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,,,0 MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,,,0 MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,50662.01,130282.14,24 MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,25475.19,60794.23,24 MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,52214.75,114656.86,24 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,29475.35,62598.78,24 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,17903.05,38410.08,24 MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,47867.97,108151.99,24 MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,33098.98,72710.63,24 MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,26249.36,55690.54,24 MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,28758.36,69390.26,24 MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,19043.45,40372.11,24 MS-DRG,471,Cervical Spinal Fusion With Mcc,,,44554.01,103114.11,24 MS-DRG,472,Cervical Spinal Fusion With Cc,,,27992.11,61503.31,24 MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,23551.21,50255.66,24 MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,39840.39,95203.81,24 MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,22094.37,46840.06,24 MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,11994.5,26408.56,24 MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,32465.57,73005.72,24 MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,23708.68,50262.4,24 MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,18313.52,39066.58,24 MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,27694.76,62437.43,24 MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,20500.29,44050.13,24 MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,16361.19,34816.15,24 MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,26279.6,56094.37,24 MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0 MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,30464.17,68437.03,24 MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,20470.38,45022.46,24 MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,15852.65,33607.62,24 MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,17635.87,41723.32,24 MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,11899.11,26295.48,24 MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0 MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0 MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,34374.59,75387.73,24 MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,24385.2,51696.62,24 MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,19445.93,41819.37,24 MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,33970.79,74735.97,24 MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,17943.78,41884.67,24 MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,12704.07,28511.89,24 MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,26038.27,60661.87,24 MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,11971.81,41974.18,24 MS-DRG,500,Soft Tissue Procedures With Mcc,,,29916.09,67267.26,24 MS-DRG,501,Soft Tissue Procedures With Cc,,,17452.88,37893.43,24 MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,13914.59,29660.43,24 MS-DRG,503,Foot Procedures With Mcc,,,26628.52,56452.46,24 MS-DRG,504,Foot Procedures With Cc,,,18106.22,39258.67,24 MS-DRG,505,Foot Procedures Without Cc/Mcc,,,17846.13,37833.8,24 MS-DRG,506,Major Thumb Or Joint Procedures,,,13943.62,31823.77,24 MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,17965.77,41145.86,24 MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,13310.49,32641.51,24 MS-DRG,509,Arthroscopy,,,18115.5,37290.5,12 MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,28646.64,60730.88,24 MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,20228.72,43178.99,24 MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,16580.87,35271.22,24 MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,15526.84,33758.67,24 MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,10515.55,23463.65,24 MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,30110.52,65647.41,24 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,20356.01,43154.74,24 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,15393.8,33057.41,24 MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,34952.58,76084.07,24 MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,19670.7,41859.19,24 MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,14780.15,32259.19,24 MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,27324.39,61876.96,24 MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,20704.39,44757.09,24 MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0 MS-DRG,524,Transient ischemia,,,,,0 MS-DRG,525,Other heart assist system implant,,,,,0 MS-DRG,526,No Longer Valid,,,,,0 MS-DRG,527,No Longer Valid,,,,,0 MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0 MS-DRG,529,Ventricular shunt procedures w CC,,,,,0 MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0 MS-DRG,531,Spinal Procedures w CC,,,,,0 MS-DRG,532,Spinal Procedures w/o CC,,,,,0 MS-DRG,533,Fractures Of Femur With Mcc,,,15725.89,33635.58,24 MS-DRG,534,Fractures Of Femur Without Mcc,,,8394.08,19431.45,24 MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,13352.44,28307.17,24 MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,8363.14,19459.42,24 MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,9476.99,22195.42,24 MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,6925.45,17831.24,24 MS-DRG,539,Osteomyelitis With Mcc,,,19402.38,42941.92,24 MS-DRG,540,Osteomyelitis With Cc,,,13349.68,28573.87,24 MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,9001.27,19082.69,24 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,17614.75,39591.83,24 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,10940.47,23569.97,24 MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7793.84,18470.95,24 MS-DRG,545,Connective Tissue Disorders With Mcc,,,23906.62,53641.84,24 MS-DRG,546,Connective Tissue Disorders With Cc,,,11939.83,25908.73,24 MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,7695.87,19992.83,24 MS-DRG,548,Septic Arthritis With Mcc,,,19061.04,42767.84,24 MS-DRG,549,Septic Arthritis With Cc,,,12427.66,26912.13,24 MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8891.19,20699.68,24 MS-DRG,551,Medical Back Problems With Mcc,,,16819.47,36224.75,24 MS-DRG,552,Medical Back Problems Without Mcc,,,9940.06,22326.0,24 MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,13472.41,28573.87,24 MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,8607.57,19879.05,24 MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,13702.57,29049.45,24 MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,8420.9,19888.38,24 MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,15155.01,32900.13,24 MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,8908.72,21055.9,24 MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,18480.41,39405.0,24 MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,11744.91,25399.57,24 MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,8432.24,19390.41,24 MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,14608.7,31074.35,24 MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,9217.09,21098.79,24 MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,15653.82,33314.12,24 MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,10515.55,22570.3,24 MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,7714.43,18372.11,24 MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0 MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0 MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0 MS-DRG,570,Skin Debridement With Mcc,,,27948.13,63910.79,24 MS-DRG,571,Skin Debridement With Cc,,,16937.36,35907.2,24 MS-DRG,572,Skin Debridement Without Cc/Mcc,,,11782.04,25776.32,24 MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,59709.21,130730.09,24 MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,32613.36,73555.58,24 MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,17883.07,42385.7,24 MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,45191.82,114533.73,24 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,25393.37,56527.0,24 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,16206.3,35885.07,24 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,30564.46,69190.69,24 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,17276.06,37638.67,24 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,14769.69,31311.74,24 MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,18059.81,40329.21,24 MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,16939.78,36558.11,24 MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,20906.72,44322.25,24 MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,19045.2,42141.55,24 MS-DRG,592,Skin Ulcers With Mcc,,,19099.75,43653.13,24 MS-DRG,593,Skin Ulcers With Cc,,,12510.53,26522.32,24 MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,8751.96,20563.53,24 MS-DRG,595,Major Skin Disorders With Mcc,,,20730.78,44901.45,24 MS-DRG,596,Major Skin Disorders Without Mcc,,,11148.8,24586.42,24 MS-DRG,597,Malignant Breast Disorders With Mcc,,,16740.3,37290.5,24 MS-DRG,598,Malignant Breast Disorders With Cc,,,11127.14,25496.56,24 MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,8816.93,18746.97,24 MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,9872.0,23823.61,24 MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,6182.89,15680.86,24 MS-DRG,602,Cellulitis With Mcc,,,14577.91,31195.36,24 MS-DRG,603,Cellulitis Without Mcc,,,9085.08,20640.0,24 MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,15024.81,31852.6,24 MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,9526.5,21481.13,24 MS-DRG,606,Minor Skin Disorders With Mcc,,,15386.39,34182.42,24 MS-DRG,607,Minor Skin Disorders Without Mcc,,,8913.88,21302.08,24 MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,21356.27,48378.92,24 MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,14384.37,30494.86,24 MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,32754.12,82051.83,24 MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,18527.92,41020.61,24 MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,12840.2,30849.22,24 MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,27475.71,58248.51,24 MS-DRG,620,O.R. Procedures For Obesity With Cc,,,16152.63,34243.58,24 MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,15075.11,32529.62,24 MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,33385.77,79485.12,24 MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,17855.8,40634.22,24 MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,10345.38,27745.8,24 MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,28643.12,60864.29,24 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,15264.98,32361.76,24 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,13065.03,29170.67,24 MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,34860.21,83779.95,24 MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,21241.9,47769.62,24 MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,14451.15,31617.62,24 MS-DRG,637,Diabetes With Mcc,,,14713.39,31192.39,24 MS-DRG,638,Diabetes With Cc,,,9459.46,21111.85,24 MS-DRG,639,Diabetes Without Cc/Mcc,,,6462.38,15983.0,24 MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,13697.24,29306.84,24 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,8059.93,18911.1,24 MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,12799.97,30920.09,24 MS-DRG,643,Endocrine Disorders With Mcc,,,16555.55,35184.48,24 MS-DRG,644,Endocrine Disorders With Cc,,,10658.91,23514.02,24 MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,8034.15,18726.47,24 MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,43434.11,123445.48,30 MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,34675.46,123445.48,30 MS-DRG,652,Kidney Transplant,,,30485.28,123445.48,30 MS-DRG,653,Major Bladder Procedures With Mcc,,,47788.8,118340.27,24 MS-DRG,654,Major Bladder Procedures With Cc,,,26700.66,59908.94,24 MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,20694.71,44098.96,24 MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,30083.24,69160.97,24 MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,18173.39,38808.44,24 MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,15510.34,33339.04,24 MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,24427.43,54862.57,24 MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,13701.69,29047.58,24 MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,10587.75,23707.98,24 MS-DRG,662,Minor Bladder Procedures With Mcc,,,29007.33,66224.86,24 MS-DRG,663,Minor Bladder Procedures With Cc,,,15447.97,32749.7,24 MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,11136.42,23922.46,24 MS-DRG,665,Prostatectomy With Mcc,,,29532.53,72891.08,24 MS-DRG,666,Prostatectomy With Cc,,,16988.25,37022.49,24 MS-DRG,667,Prostatectomy Without Cc/Mcc,,,10599.09,25028.42,24 MS-DRG,668,Transurethral Procedures With Mcc,,,27762.5,61908.8,24 MS-DRG,669,Transurethral Procedures With Cc,,,15727.72,33342.77,24 MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,9855.49,22624.39,24 MS-DRG,671,Urethral Procedures With Cc/Mcc,,,17776.19,37874.82,24 MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,11285.96,24530.46,24 MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,39037.19,88953.7,24 MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,22647.72,49005.21,24 MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,16142.55,35010.13,24 MS-DRG,682,Renal Failure With Mcc,,,15103.11,32018.59,24 MS-DRG,683,Renal Failure With Cc,,,9167.59,20731.37,24 MS-DRG,684,Renal Failure Without Cc/Mcc,,,6265.4,15593.19,24 MS-DRG,685,Admit For Renal Dialysis,,,,,0 MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,17942.02,40031.29,24 MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,10855.9,23939.25,24 MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7468.97,19136.77,24 MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,12070.82,26037.42,24 MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,8277.54,19494.86,24 MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0 MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0 MS-DRG,693,Urinary Stones With Mcc,,,13902.27,31214.47,24 MS-DRG,694,Urinary Stones Without Mcc,,,8058.9,18976.37,24 MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,11630.43,25729.68,24 MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,7133.79,17247.49,24 MS-DRG,697,Urethral Stricture,,,10331.97,24498.76,24 MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,16628.57,35685.51,24 MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,10517.62,23327.5,24 MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,7158.54,17264.26,24 MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,19671.58,41703.75,24 MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,15288.6,33010.8,24 MS-DRG,709,Penis Procedures With Cc/Mcc,,,22546.55,47798.69,24 MS-DRG,710,Penis Procedures Without Cc/Mcc,,,14401.08,31872.6,24 MS-DRG,711,Testes Procedures With Cc/Mcc,,,19704.8,43261.06,24 MS-DRG,712,Testes Procedures Without Cc/Mcc,,,11031.22,24907.2,24 MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,14912.16,32436.36,24 MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,9690.48,24118.29,24 MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,21756.55,47941.59,24 MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,14636.79,31832.1,24 MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,18705.63,39655.94,24 MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,12704.06,29446.72,24 MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,17829.82,38148.98,24 MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,11580.93,25709.18,24 MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,7514.35,16626.42,24 MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,12368.89,26815.61,24 MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,7676.27,17862.95,24 MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,15119.83,32054.04,24 MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,8427.09,19526.56,24 MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,11353.0,24142.54,24 MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,6259.21,16930.43,24 MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,20812.59,44640.32,24 MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12518.42,29491.47,24 MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,33520.37,83588.88,24 MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,20202.06,42828.37,24 MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,14993.14,32201.66,24 MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,33593.39,84510.26,24 MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,17993.92,38600.39,24 MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,14165.47,30994.7,24 MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,18215.61,38778.72,24 MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,12361.65,27536.91,24 MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,20100.89,42613.89,24 MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,10569.18,25612.19,24 MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,17269.81,36794.95,24 MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,9637.31,20431.1,24 MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,14048.93,30271.06,24 MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,24662.31,54951.73,24 MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,13299.14,31921.6,24 MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,18276.32,38745.8,24 MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,11448.92,24685.26,24 MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,9848.28,22311.07,24 MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,14595.54,31102.86,24 MS-DRG,758,"Infections, Female Reproductive System With Cc",,,10512.46,22656.1,24 MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6599.55,16773.76,24 MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,10163.87,23187.63,24 MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,6537.67,15037.41,24 MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0 MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0 MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0 MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,11306.59,24383.12,24 MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,14330.48,35912.8,24 MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,10895.34,23098.12,24 MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0 MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0 MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,7357.59,16607.78,24 MS-DRG,777,Ectopic Pregnancy,,,,,0 MS-DRG,778,Threatened Abortion,,,,,0 MS-DRG,779,Abortion Without D&C,,,9475.44,20087.93,24 MS-DRG,780,False Labor,,,,,0 MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0 MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0 MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,18997.3,50185.93,24 MS-DRG,784,Cesarean Section With Sterilization With Cc,,,11169.42,24168.64,24 MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,9023.2,22260.72,24 MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,16585.46,35161.18,24 MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,10950.78,25226.11,24 MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,9333.64,22279.36,24 MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,17928.82,38271.32,24 MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,54361.3,126212.35,24 MS-DRG,791,Prematurity With Major Problems,,,37782.69,86195.92,24 MS-DRG,792,Prematurity Without Major Problems,,,23620.71,52009.25,24 MS-DRG,793,Full Term Neonate With Major Problems,,,38755.68,88541.84,24 MS-DRG,794,Neonate With Other Significant Problems,,,15058.24,31923.47,24 MS-DRG,795,Normal Newborn,,,2060.62,8123.71,23 MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,12340.74,27102.22,24 MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,9985.44,23055.21,24 MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,9985.44,22247.66,24 MS-DRG,799,Splenic Procedures With Mcc,,,41916.56,100938.04,24 MS-DRG,800,Splenic Procedures With Cc,,,26789.51,61855.73,24 MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,16931.53,39999.1,24 MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,36969.45,78702.39,24 MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,18356.84,39066.58,24 MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,11401.47,29687.29,24 MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,10291.75,24524.86,24 MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,7461.75,18459.75,24 MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,6571.7,16971.47,24 MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,21497.91,48625.19,24 MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,12773.16,28006.9,24 MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,9815.27,23916.86,24 MS-DRG,811,Red Blood Cell Disorders With Mcc,,,14428.35,30588.1,24 MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,9518.25,21522.16,24 MS-DRG,813,Coagulation Disorders,,,15492.83,32861.92,24 MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,20783.56,44377.07,24 MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,10479.46,23308.87,24 MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6800.66,16184.42,24 MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,22146.27,53820.17,24 MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,12272.12,27344.24,24 MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,8420.9,20434.83,24 MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,53668.95,123598.94,24 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,21767.99,47389.61,24 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,11794.42,26852.43,24 MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,42408.34,99339.42,24 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,22005.51,46691.14,24 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12692.71,29564.21,24 MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,43226.49,101377.5,24 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,22406.67,50096.43,24 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,16530.33,36173.9,24 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,29873.87,65464.83,24 MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,15082.33,32466.21,24 MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,11869.7,26824.47,24 MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,7707.21,17855.49,24 MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,5360.91,14149.66,24 MS-DRG,834,Acute Leukemia With Mcc,,,50370.82,117336.09,24 MS-DRG,835,Acute Leukemia With Cc,,,20423.75,45343.03,24 MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,12802.6,27141.51,24 MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,44339.36,106294.36,24 MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,20437.83,43328.2,24 MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,14132.47,31326.67,24 MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,30532.79,67710.96,24 MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,16170.4,34823.61,24 MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,10847.64,23241.73,24 MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,19524.32,41601.16,24 MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,12325.56,27102.36,24 MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,8629.23,20280.05,24 MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,24881.37,54212.93,24 MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,13104.22,28795.81,24 MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8445.65,20239.0,24 MS-DRG,849,Radiotherapy,,,25910.66,56703.21,24 MS-DRG,850,Acute Leukemia With Other Procedures,,,78254.91,195555.9,24 MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,45520.84,106181.85,24 MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,19652.22,42421.79,24 MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,15245.63,34509.37,24 MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,42090.75,95774.9,24 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,20913.76,46258.05,24 MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,13287.8,30375.49,24 MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,18117.96,39033.48,24 MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,10312.38,23008.59,24 MS-DRG,864,Fever And Inflammatory Conditions,,,9260.41,20953.32,24 MS-DRG,865,Viral Illness With Mcc,,,15221.56,32341.24,24 MS-DRG,866,Viral Illness Without Mcc,,,9124.27,20615.75,24 MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,20488.85,45521.37,24 MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,10829.08,23627.78,24 MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,7420.5,18006.56,24 MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,62879.78,147686.5,24 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,19163.09,41659.63,24 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,10633.13,23482.31,24 MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,36075.12,83421.16,24 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,9886.43,22305.47,24 MS-DRG,881,Depressive Neuroses,,,9427.49,21945.52,24 MS-DRG,882,Neuroses Except Depressive,,,9920.47,24424.16,24 MS-DRG,883,Disorders Of Personality And Impulse Control,,,19145.81,41069.64,24 MS-DRG,884,Organic Disturbances And Intellectual Disability,,,16228.29,35456.22,24 MS-DRG,885,Psychoses,,,14362.37,30448.22,24 MS-DRG,886,Behavioral And Developmental Disorders,,,18527.01,43102.53,24 MS-DRG,887,Other Mental Disorder Diagnoses,,,11495.32,25248.84,24 MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,6436.6,15902.8,24 MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,14527.76,30798.85,24 MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,17426.49,37806.38,24 MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,9098.49,20861.92,24 MS-DRG,901,Wound Debridements For Injuries With Mcc,,,38993.2,94053.15,24 MS-DRG,902,Wound Debridements For Injuries With Cc,,,18916.76,40281.8,24 MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,12363.61,26210.85,24 MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,34387.79,81966.91,24 MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,15124.22,34989.16,24 MS-DRG,906,Hand Procedures For Injuries,,,19354.87,46332.35,24 MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,35849.91,84569.71,24 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,19626.71,42820.91,24 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,13079.47,28879.74,24 MS-DRG,913,Traumatic Injury With Mcc,,,16454.38,34883.29,24 MS-DRG,914,Traumatic Injury Without Mcc,,,9450.18,20912.29,24 MS-DRG,915,Allergic Reactions With Mcc,,,16867.86,36893.49,24 MS-DRG,916,Allergic Reactions Without Mcc,,,6848.1,16824.13,24 MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,15872.0,34808.71,24 MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,9121.18,20382.61,24 MS-DRG,919,Complications Of Treatment With Mcc,,,18180.42,38710.78,24 MS-DRG,920,Complications Of Treatment With Cc,,,10476.36,23090.66,24 MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,7091.5,17236.3,24 MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,17421.41,37024.36,24 MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,10517.62,23377.88,24 MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,189902.13,503635.04,24 MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,65175.01,141784.56,24 MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,30408.75,67515.65,24 MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,36332.88,91855.84,24 MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,21521.66,45625.92,24 MS-DRG,935,Non-Extensive Burns,,,20196.78,46627.45,24 MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,32732.7,72070.31,24 MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,21774.7,47981.47,24 MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,19912.62,42214.75,24 MS-DRG,945,Rehabilitation With Cc/Mcc,,,15697.81,33279.36,24 MS-DRG,946,Rehabilitation Without Cc/Mcc,,,11513.89,25785.62,24 MS-DRG,947,Signs And Symptoms With Mcc,,,13241.59,28072.17,24 MS-DRG,948,Signs And Symptoms Without Mcc,,,8194.0,19327.0,24 MS-DRG,949,Aftercare With Cc/Mcc,,,11127.14,26585.73,24 MS-DRG,950,Aftercare Without Cc/Mcc,,,6044.69,16104.22,24 MS-DRG,951,Other Factors Influencing Health Status,,,5846.67,14766.99,24 MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,61290.1,144956.32,24 MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,35178.67,81145.31,24 MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,69109.18,158454.35,24 MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,39145.4,87244.69,24 MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,27265.56,59305.98,24 MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,26124.43,57673.42,24 MS-DRG,964,Other Multiple Significant Trauma With Cc,,,15472.18,32980.95,24 MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,9410.99,21938.06,24 MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,55925.47,134256.4,24 MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,25276.37,56327.44,24 MS-DRG,974,Hiv With Major Related Condition With Mcc,,,27463.39,63392.78,24 MS-DRG,975,Hiv With Major Related Condition With Cc,,,13466.8,30174.2,24 MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,10015.6,21291.57,24 MS-DRG,977,Hiv With Or Without Other Related Condition,,,13490.56,30609.41,24 MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,43349.65,100933.79,24 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,23702.52,51981.66,24 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,17152.89,36364.13,24 MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0 MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0 MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,32235.08,74368.69,24 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,16533.56,36430.68,24 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,11916.11,26762.92,24 MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0 MS-DRG,999,Ungroupable,,,,,0 NDC,00002021301,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-0213-01) / 3 Ml In 1 Vial, Multi-Dose",6.71,6.71,,,0 NDC,00002120001,NDC Description Not Available,6786.58,6786.58,,,0 NDC,00002418230,"Olumiant: 30 Tablet, Film Coated In 1 Bottle (0002-4182-30)",396.4,396.4,,,0 NDC,00002445301,NDC Description Not Available,72.1,72.1,,,0 NDC,00002512377,"Effient: 90 BLISTER PACK in 1 CARTON (0002-5123-77) / 1 TABLET, FILM COATED in 1 BLISTER PACK (0002-5123-01)",66.25,66.25,,,0 NDC,00002734901,NDC Description Not Available,330.29,330.29,,,0 NDC,00002751001,Humalog: 1 Vial In 1 Carton (0002-7510-01) / 10 Ml In 1 Vial,3.4050000000000002,3.4050000000000002,,,0 NDC,00002751017,Humalog: 1 Vial In 1 Carton (0002-7510-17) / 3 Ml In 1 Vial,1.54,1.54,,,0 NDC,00002751101,"Humalog Mix75/25: 1 Vial, Multi-Dose In 1 Carton (0002-7511-01) / 10 Ml In 1 Vial, Multi-Dose",1.76,1.76,,,0 NDC,00002753301,Humalog: 1 Vial In 1 Carton (0002-7533-01) / 3 Ml In 1 Vial,1.03,1.03,,,0 NDC,00002759701,Zyprexa Intramuscular: 1 Vial In 1 Carton (0002-7597-01) / 2 Ml In 1 Vial,25.08,25.08,,,0 NDC,00002766901,"Cyramza: 1 Vial, Single-Dose In 1 Carton (0002-7669-01) / 10 Ml In 1 Vial, Single-Dose",171.94,171.94,,,0 NDC,00002771401,NDC Description Not Available,16.71,16.71,,,0 NDC,00002771501,NDC Description Not Available,4.81,4.81,,,0 NDC,00002773701,Insulin Lispro: 1 Vial In 1 Carton (0002-7737-01) / 10 Ml In 1 Vial,0.365,0.365,,,0 NDC,00002821501,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-01) / 10 Ml In 1 Vial, Multi-Dose",1.93,1.93,,,0 NDC,00002821517,"Humulin R: 1 Vial, Multi-Dose In 1 Carton (0002-8215-17) / 3 Ml In 1 Vial, Multi-Dose",5.49,5.49,,,0 NDC,00002822201,NDC Description Not Available,2.75,2.75,,,0 NDC,00002831501,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-01) / 10 Ml In 1 Vial, Multi-Dose",0.96,0.96,,,0 NDC,00002831517,"Humulin N: 1 Vial, Multi-Dose In 1 Carton (0002-8315-17) / 3 Ml In 1 Vial, Multi-Dose",3.21,3.21,,,0 NDC,00002850101,"Humulin R U-500: 1 Vial, Multi-Dose In 1 Carton (0002-8501-01) / 20 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 NDC,00002871501,"Humulin 70/30: 1 Vial, Multi-Dose In 1 Carton (0002-8715-01) / 10 Ml In 1 Vial, Multi-Dose",3.115,3.115,,,0 NDC,00002940101,"Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose",9.83,9.83,,,0 NDC,00003029305,"Kenalog-40: 1 Vial, Single-Dose In 1 Carton (0003-0293-05) / 1 Ml In 1 Vial, Single-Dose",10.39,10.39,,,0 NDC,00003029320,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-20) / 5 Ml In 1 Vial, Multi-Dose",10.3,10.3,,,0 NDC,00003029328,"Kenalog-40: 1 Vial, Multi-Dose In 1 Carton (0003-0293-28) / 10 Ml In 1 Vial, Multi-Dose",7.69,7.69,,,0 NDC,00003037113,"Nulojix: 1 Vial, Single-Use In 1 Carton (0003-0371-13) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",9.48,9.48,,,0 NDC,00003049420,"Kenalog-10: 1 Vial, Multi-Dose In 1 Carton (0003-0494-20) / 5 Ml In 1 Vial, Multi-Dose",10.28,10.28,,,0 NDC,00003052811,Sprycel: 1 Bottle In 1 Carton (0003-0528-11) / 60 Tablet In 1 Bottle,422.64,422.64,,,0 NDC,00003085222,Sprycel: 1 Bottle In 1 Carton (0003-0852-22) / 30 Tablet In 1 Bottle,2086.74,2086.74,,,0 NDC,00003085722,Sprycel: 1 Bottle In 1 Carton (0003-0857-22) / 30 Tablet In 1 Bottle,2631.14,2631.14,,,0 NDC,00003089321,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0893-21)",43.26,43.26,,,0 NDC,00003089331,"Eliquis: 10 Blister Pack In 1 Carton (0003-0893-31) / 10 Tablet, Film Coated In 1 Blister Pack",43.3,43.3,,,0 NDC,00003089421,"Eliquis: 60 Tablet, Film Coated In 1 Bottle, Plastic (0003-0894-21)",42.41,42.41,,,0 NDC,00003089431,"Eliquis: 10 Blister Pack In 1 Carton (0003-0894-31) / 10 Tablet, Film Coated In 1 Blister Pack",42.67,42.67,,,0 NDC,00003218713,"Orencia: 1 Vial, Single-Use In 1 Carton (0003-2187-13) / 15 Ml In 1 Vial, Single-Use",128.87,128.87,,,0 NDC,00003229111,"Empliciti: 1 Vial, Single-Use In 1 Carton (0003-2291-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",18.05,18.05,,,0 NDC,00003232711,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2327-11) / 10 Ml In 1 Vial, Single-Use",417.97,417.97,,,0 NDC,00003232822,"Yervoy: 1 Vial, Single-Use In 1 Carton (0003-2328-22) / 40 Ml In 1 Vial, Single-Use",422.1,422.1,,,0 NDC,00003256016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2560-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",64.3,64.3,,,0 NDC,00003257016,"Azactam: 10 Vial, Single-Dose In 1 Carton (0003-2570-16) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",65.14,65.14,,,0 NDC,00003362212,"Reyataz: 30 Capsule, Gelatin Coated In 1 Bottle, Plastic (0003-3622-12)",209.09,209.09,,,0 NDC,00003373413,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3734-13) / 24 Ml In 1 Vial, Single-Dose",76.52000000000001,76.52000000000001,,,0 NDC,00003377211,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3772-11) / 4 Ml In 1 Vial, Single-Dose",78.28,78.28,,,0 NDC,00003377412,"Opdivo: 1 Vial, Single-Dose In 1 Carton (0003-3774-12) / 10 Ml In 1 Vial, Single-Dose",77.24,77.24,,,0 NDC,00003712511,"Opdualag: 1 Vial, Single-Dose In 1 Carton (0003-7125-11) / 20 Ml In 1 Vial, Single-Dose",449.37,449.37,,,0 NDC,00004003822,"Valcyte: 1 Bottle, Plastic In 1 Carton (0004-0038-22) / 60 Tablet, Film Coated In 1 Bottle, Plastic",382.41,382.41,,,0 NDC,00004026129,"Cellcept: 1 Bottle, Plastic In 1 Carton (0004-0261-29) / 225 Ml In 1 Bottle, Plastic",46.69,46.69,,,0 NDC,00004029809,Cellcept: 4 Vial In 1 Carton (0004-0298-09) / 20 Ml In 1 Vial,467.1,467.1,,,0 NDC,00004029830,NDC Description Not Available,467.1,467.1,,,0 NDC,00004035009,"Pegasys: 1 Vial, Single-Use In 1 Box (0004-0350-09) / 1 Ml In 1 Vial, Single-Use",2525.56,2525.56,,,0 NDC,00004080085,Tamiflu: 1 Blister Pack In 1 Carton (0004-0800-85) / 10 Capsule In 1 Blister Pack,65.55,65.55,,,0 NDC,00004080285,Tamiflu: 1 Blister Pack In 1 Carton (0004-0802-85) / 10 Capsule In 1 Blister Pack,60.66,60.66,,,0 NDC,00004082205,"Tamiflu: 1 Bottle, Glass In 1 Carton (0004-0822-05) / 60 Ml In 1 Bottle, Glass",86.37,86.37,,,0 NDC,00005200001,NDC Description Not Available,1091.21,1091.21,,,0 NDC,00005200002,Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01),1172.79,1172.79,,,0 NDC,00005200010,Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01),1112.62,1112.62,,,0 NDC,00006003310,NDC Description Not Available,61.04,61.04,,,0 NDC,00006003313,"Belsomra: 1 Blister Pack In 1 Case (0006-0033-13) / 3 Tablet, Film Coated In 1 Blister Pack",60.98,60.98,,,0 NDC,00006003330,"Belsomra: 3 Case In 1 Carton (0006-0033-30) / 1 Blister Pack In 1 Case (0006-0033-10) / 10 Tablet, Film Coated In 1 Blister Pack",64.12,64.12,,,0 NDC,00006007131,"PROPECIA: 30 TABLET, FILM COATED in 1 BOTTLE (0006-0071-31)",14.42,14.42,,,0 NDC,00006011201,NDC Description Not Available,72.37,72.37,,,0 NDC,00006011228,"Januvia: 100 Blister Pack In 1 Carton (0006-0112-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0112-01)",67.29,67.29,,,0 NDC,00006011231,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0112-31)",80.38,80.38,,,0 NDC,00006022101,NDC Description Not Available,78.91,78.91,,,0 NDC,00006022128,"Januvia: 100 Blister Pack In 1 Carton (0006-0221-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0221-01)",82.4,82.4,,,0 NDC,00006022131,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0221-31)",82.64,82.64,,,0 NDC,00006022154,"Januvia: 90 Tablet, Film Coated In 1 Bottle (0006-0221-54)",82.57,82.57,,,0 NDC,00006022761,"Isentress: 60 Tablet, Film Coated In 1 Bottle (0006-0227-61)",144.56,144.56,,,0 NDC,00006027701,NDC Description Not Available,67.69,67.69,,,0 NDC,00006027728,"Januvia: 100 Blister Pack In 1 Carton (0006-0277-28) / 1 Tablet, Film Coated In 1 Blister Pack (0006-0277-01)",61.8,61.8,,,0 NDC,00006027731,"Januvia: 30 Tablet, Film Coated In 1 Bottle (0006-0277-31)",82.4,82.4,,,0 NDC,00006027754,"Januvia: 90 Tablet, Film Coated In 1 Bottle (0006-0277-54)",69.22,69.22,,,0 NDC,00006033510,NDC Description Not Available,60.96,60.96,,,0 NDC,00006302500,"Zinplava: 1 Vial, Single-Dose In 1 Carton (0006-3025-00) / 40 Ml In 1 Vial, Single-Dose (0006-3025-01)",84.82,84.82,,,0 NDC,00006302601,NDC Description Not Available,137.83,137.83,,,0 NDC,00006302602,Keytruda: 1 Vial In 1 Carton (0006-3026-02) / 4 Ml In 1 Vial (0006-3026-01),137.65,137.65,,,0 NDC,00006302604,Keytruda: 2 Vial In 1 Carton (0006-3026-04) / 4 Ml In 1 Vial (0006-3026-01),112.15,112.15,,,0 NDC,00006306100,"Emend: 1 Vial, Single-Dose In 1 Carton (0006-3061-00) / 5 Ml In 1 Vial, Single-Dose (0006-3061-01)",9.32,9.32,,,0 NDC,00006306101,NDC Description Not Available,9.34,9.34,,,0 NDC,00006306901,"Pifeltro: 30 Tablet, Film Coated In 1 Bottle (0006-3069-01)",254.7,254.7,,,0 NDC,00006307503,NDC Description Not Available,1076.56,1076.56,,,0 NDC,00006307601,NDC Description Not Available,1076.86,1076.86,,,0 NDC,00006307602,"Prevymis: 4 Dose Pack In 1 Carton (0006-3076-02) / 7 Tablet, Film Coated In 1 Dose Pack (0006-3076-01)",593.28,593.28,,,0 NDC,00006307603,NDC Description Not Available,1075.05,1075.05,,,0 NDC,00006307604,"Prevymis: 14 Blister Pack In 1 Carton (0006-3076-04) / 1 Tablet, Film Coated In 1 Blister Pack (0006-3076-03)",1130.68,1130.68,,,0 NDC,00006360301,NDC Description Not Available,34.44,34.44,,,0 NDC,00006360361,"Isentress: 60 Packet In 1 Carton (0006-3603-61) / 1 Granule, For Suspension In 1 Packet (0006-3603-01)",36.05,36.05,,,0 NDC,00006384371,"Invanz: 10 Vial, Single-Dose In 1 Package (0006-3843-71) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",288.67,288.67,,,0 NDC,00006385601,NDC Description Not Available,4.29,4.29,,,0 NDC,00006385602,"Recarbrio: 25 Vial, Single-Dose In 1 Carton (0006-3856-02) / 20 Ml In 1 Vial, Single-Dose (0006-3856-01)",4.27,4.27,,,0 NDC,00006468100,"M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)",409.94,409.94,,,0 NDC,00006468101,NDC Description Not Available,405.01,405.01,,,0 NDC,00006482701,NDC Description Not Available,757.74,757.74,,,0 NDC,00006489700,"Pedvaxhib: 10 Vial, Single-Dose In 1 Carton (0006-4897-00) / .5 Ml In 1 Vial, Single-Dose (0006-4897-01)",131.84,131.84,,,0 NDC,00006489701,NDC Description Not Available,129.28,129.28,,,0 NDC,00006500301,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5003-01) / 12 Ml In 1 Vial, Single-Dose (0006-5003-02)",915.6700000000001,915.6700000000001,,,0 NDC,00006500302,NDC Description Not Available,893.45,893.45,,,0 NDC,00006500401,"Prevymis: 1 Vial, Single-Dose In 1 Carton (0006-5004-01) / 24 Ml In 1 Vial, Single-Dose (0006-5004-02)",1602.51,1602.51,,,0 NDC,00006500402,NDC Description Not Available,1641.48,1641.48,,,0 NDC,00006502801,"Verquvo: 14 Tablet, Film Coated In 1 Bottle (0006-5028-01)",97.39,97.39,,,0 NDC,00006542302,NDC Description Not Available,565.35,565.35,,,0 NDC,00006542312,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5423-12) / 2 Ml In 1 Vial, Single-Dose (0006-5423-02)",564.1,564.1,,,0 NDC,00006542505,NDC Description Not Available,735.94,735.94,,,0 NDC,00006542515,"Bridion: 10 Vial, Single-Dose In 1 Carton (0006-5425-15) / 5 Ml In 1 Vial, Single-Dose (0006-5425-05)",927.88,927.88,,,0 NDC,00008010001,"Besponsa: 1 Vial, Single-Dose In 1 Carton (0008-0100-01) / 4 Ml In 1 Vial, Single-Dose",6041.32,6041.32,,,0 NDC,00008083322,"Effexor Xr: 90 Capsule, Extended Release In 1 Bottle (0008-0833-22)",79.1,79.1,,,0 NDC,00008084401,NDC Description Not Available,75.14,75.14,,,0 NDC,00008092351,Protonix I.V.: 1 Vial In 1 Carton (0008-0923-51) / 10 Ml In 1 Vial,21.88,21.88,,,0 NDC,00008092355,Protonix I.V.: 10 Carton In 1 Package (0008-0923-55) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,21.97,21.97,,,0 NDC,00008092360,Protonix I.V.: 25 Carton In 1 Package (0008-0923-60) / 1 Vial In 1 Carton / 10 Ml In 1 Vial,21.935,21.935,,,0 NDC,00008104110,"Rapamune: 100 Blister Pack In 1 Carton (0008-1041-10) / 1 Tablet, Sugar Coated In 1 Blister Pack",148.53,148.53,,,0 NDC,00008117901,"Torisel: 1 Kit In 1 Carton (0008-1179-01) * 25 Ml In 1 Vial, Single-Use (0008-1279-01) * 1.8 Ml In 1 Vial, Single-Use (0008-1125-01)",494.48,494.48,,,0 NDC,00008121130,"Pristiq Extended-Release: 30 Tablet, Extended Release In 1 Bottle, Plastic (0008-1211-30)",63.09,63.09,,,0 NDC,00008451001,"Mylotarg: 1 Vial, Single-Dose In 1 Carton (0008-4510-01) / 5 Ml In 1 Vial, Single-Dose",535.62,535.62,,,0 NDC,00009000302,Solu-Medrol: 1 Vial In 1 Carton (0009-0003-02) / 4 Ml In 1 Vial,2.0949999999999998,2.0949999999999998,,,0 NDC,00009001103,NDC Description Not Available,82.62,82.62,,,0 NDC,00009001104,"Solu-Cortef: 25 Vial, Single-Dose In 1 Carton (0009-0011-04) / 2 Ml In 1 Vial, Single-Dose (0009-0011-03)",84.61,84.61,,,0 NDC,00009001201,Cortef: 50 Tablet In 1 Bottle (0009-0012-01),0.86,0.86,,,0 NDC,00009001612,"Solu-Cortef: 1 Vial, Single-Dose In 1 Carton (0009-0016-12) / 4 Ml In 1 Vial, Single-Dose",108.84,108.84,,,0 NDC,00009001820,Solu-Medrol: 1 Vial In 1 Carton (0009-0018-20) / 8 Ml In 1 Vial,18.985,18.985,,,0 NDC,00009003101,Cortef: 100 Tablet In 1 Bottle (0009-0031-01),5.55,5.55,,,0 NDC,00009003905,NDC Description Not Available,3.48,3.48,,,0 NDC,00009003906,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-06) / 1 Ml In 1 Vial,3.22,3.22,,,0 NDC,00009003928,Solu-Medrol: 25 Vial In 1 Carton (0009-0039-28) / 1 Ml In 1 Vial (0009-0039-30),4.3,4.3,,,0 NDC,00009003930,NDC Description Not Available,3.58,3.58,,,0 NDC,00009003933,NDC Description Not Available,4.15,4.15,,,0 NDC,00009004722,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-22) / 2 Ml In 1 Vial (0009-0047-25),23.169999999999998,23.169999999999998,,,0 NDC,00009004725,NDC Description Not Available,21.105,21.105,,,0 NDC,00009004726,Solu-Medrol: 25 Vial In 1 Carton (0009-0047-26) / 2 Ml In 1 Vial (0009-0047-27),21.935,21.935,,,0 NDC,00009004727,NDC Description Not Available,21.935,21.935,,,0 NDC,00009008202,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-0082-02) / 15 Ml In 1 Vial, Single-Dose",35.07,35.07,,,0 NDC,00009008601,Depo-Testosterone: 1 Vial In 1 Carton (0009-0086-01) / 1 Ml In 1 Vial,0.88,0.88,,,0 NDC,00009021501,NDC Description Not Available,0.8,0.8,,,0 NDC,00009028002,"Depo-Medrol: 1 Vial, Multi-Dose In 1 Carton (0009-0280-02) / 5 Ml In 1 Vial, Multi-Dose",1.07,1.07,,,0 NDC,00009028003,"Depo-Medrol: 10 Ml In 1 Vial, Multi-Dose (0009-0280-03)",1.06,1.06,,,0 NDC,00009030602,"Depo-Medrol: 5 Ml In 1 Vial, Multi-Dose (0009-0306-02)",0.99,0.99,,,0 NDC,00009041701,Depo-Testosterone: 1 Vial In 1 Carton (0009-0417-01) / 1 Ml In 1 Vial,0.58,0.58,,,0 NDC,00009043601,R-Gene: 1 Container In 1 Carton (0009-0436-01) / 300 Ml In 1 Container,32.96,32.96,,,0 NDC,00009069801,Solu-Medrol: 1 Vial In 1 Carton (0009-0698-01) / 16 Ml In 1 Vial,1.03,1.03,,,0 NDC,00009074630,Depo-Provera: 1 Vial In 1 Carton (0009-0746-30) / 1 Ml In 1 Vial,1.47,1.47,,,0 NDC,00009075801,Solu-Medrol: 1 Vial In 1 Carton (0009-0758-01) / 8 Ml In 1 Vial,1.05,1.05,,,0 NDC,00009076004,Cleocin Pediatric: 1 Bottle In 1 Carton (0009-0760-04) / 100 Ml In 1 Bottle,21.63,21.63,,,0 NDC,00009077520,NDC Description Not Available,4.35,4.35,,,0 NDC,00009077526,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0775-26) / 4 Ml In 1 Vial (0009-0775-20),12.36,12.36,,,0 NDC,00009082501,Solu-Cortef: 1 Vial In 1 Carton (0009-0825-01) / 2 Ml In 1 Vial,55.865,55.865,,,0 NDC,00009085605,Hemabate: 1 Ml In 1 Ampule (0009-0856-05),1273.67,1273.67,,,0 NDC,00009085608,Hemabate: 10 Ampule In 1 Package (0009-0856-08) / 1 Ml In 1 Ampule (0009-0856-05),1382.91,1382.91,,,0 NDC,00009090211,NDC Description Not Available,11.81,11.81,,,0 NDC,00009090218,Cleocin Phosphate: 25 Vial In 1 Carton (0009-0902-18) / 6 Ml In 1 Vial (0009-0902-11),5.665,5.665,,,0 NDC,00009111102,"Camptosar: 1 VIAL, SINGLE-DOSE in 1 CARTON (0009-1111-02) / 5 mL in 1 VIAL, SINGLE-DOSE",39.66,39.66,,,0 NDC,00009307301,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-01) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 NDC,00009307303,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-03) / 1 Ml In 1 Vial, Single-Dose",1.26,1.26,,,0 NDC,00009307322,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3073-22) / 1 Ml In 1 Vial, Single-Dose",1.68,1.68,,,0 NDC,00009307323,"Depo-Medrol: 25 Vial, Single-Dose In 1 Package (0009-3073-23) / 1 Ml In 1 Vial, Single-Dose",1.23,1.23,,,0 NDC,00009311601,Cleocin T: 1 BOTTLE in 1 CARTON (0009-3116-01) / 30 mL in 1 BOTTLE,263.16,263.16,,,0 NDC,00009316901,NDC Description Not Available,1.57,1.57,,,0 NDC,00009316906,Prostin Vr Pediatric: 5 Ampule In 1 Package (0009-3169-06) / 1 Ml In 1 Ampule (0009-3169-01),1.58,1.58,,,0 NDC,00009347501,"Depo-Medrol: 1 Vial, Single-Dose In 1 Package (0009-3475-01) / 1 Ml In 1 Vial, Single-Dose",1.0,1.0,,,0 NDC,00009347522,"Depo-Medrol: 1 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-22) / 1 mL in 1 VIAL, SINGLE-DOSE",1.07,1.07,,,0 NDC,00009347523,"Depo-Medrol: 25 VIAL, SINGLE-DOSE in 1 PACKAGE (0009-3475-23) / 1 mL in 1 VIAL, SINGLE-DOSE",1.12,1.12,,,0 NDC,00009379401,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-01) / 10 Ml In 1 Vial, Single-Dose",1287.89,1287.89,,,0 NDC,00009379422,"Corvert: 1 Vial, Single-Dose In 1 Carton (0009-3794-22) / 10 Ml In 1 Vial, Single-Dose",1280.85,1280.85,,,0 NDC,00009499201,NDC Description Not Available,0.34,0.34,,,0 NDC,00009513803,"Zyvox: 30 Blister Pack In 1 Box, Unit-Dose (0009-5138-03) / 1 Tablet, Film Coated In 1 Blister Pack",27.14,27.14,,,0 NDC,00009519101,"Detrol La: 30 Capsule, Extended Release In 1 Bottle (0009-5191-01)",59.74,59.74,,,0 NDC,00009722401,NDC Description Not Available,9419.57,9419.57,,,0 NDC,00009722402,Atgam: 5 Ampule In 1 Carton (0009-7224-02) / 5 Ml In 1 Ampule (0009-7224-01),9419.58,9419.58,,,0 NDC,00009737611,Depo-Provera: 1 Syringe In 1 Carton (0009-7376-11) / 1 Ml In 1 Syringe,1.12,1.12,,,0 NDC,00009752905,"Camptosar: 1 Vial, Single-Dose In 1 Carton (0009-7529-05) / 15 Ml In 1 Vial, Single-Dose",31.78,31.78,,,0 NDC,00013010110,Azulfidine: 1 Bottle In 1 Carton (0013-0101-10) / 100 Tablet In 1 Bottle,6.96,6.96,,,0 NDC,00013111401,NDC Description Not Available,48.635,48.635,,,0 NDC,00013111421,Cyklokapron: 10 Vial In 1 Box (0013-1114-21) / 10 Ml In 1 Vial (0013-1114-20),86.485,86.485,,,0 NDC,00013257605,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2576-05) / 5 Ml In 1 Vial, Single-Dose",81.37,81.37,,,0 NDC,00013258691,"Idamycin Pfs: 1 Vial, Single-Dose In 1 Carton (0013-2586-91) / 10 Ml In 1 Vial, Single-Dose",251.06,251.06,,,0 NDC,00013530117,Mycobutin: 100 Capsule In 1 Bottle (0013-5301-17),84.17,84.17,,,0 NDC,00019095305,"Conray: 25 Vial, Glass In 1 Box (0019-0953-05) / 50 Ml In 1 Vial, Glass",2.2,2.2,,,0 NDC,00019118827,"Sodium Chloride: 20 Box In 1 Carton (0019-1188-27) / 1 Syringe, Plastic In 1 Box / 125 Ml In 1 Syringe, Plastic",11.33,11.33,,,0 NDC,00019118881,"Sodium Chloride: 20 Box In 1 Carton (0019-1188-81) / 1 Syringe, Plastic In 1 Box / 125 Ml In 1 Syringe, Plastic",58.67,58.67,,,0 NDC,00019481604,"Md Gastroview: 25 Bottle, Glass In 1 Box (0019-4816-04) / 30 Ml In 1 Bottle, Glass",2.98,2.98,,,0 NDC,00019481605,NDC Description Not Available,0.95,0.95,,,0 NDC,00023024004,1 TUBE in 1 CARTON (0023-0240-04) / 3.5 g in 1 TUBE,10.3,10.3,,,0 NDC,00023031204,Refresh Lacri-Lube: 1 Tube In 1 Carton (0023-0312-04) / 3.5 G In 1 Tube,12.11,12.11,,,0 NDC,00023050601,"Refresh Classic: 30 Vial, Single-Use In 1 Carton (0023-0506-01) / .4 Ml In 1 Vial, Single-Use",0.15,0.15,,,0 NDC,00023050650,"Refresh Classic: 50 Vial, Single-Use In 1 Carton (0023-0506-50) / .4 Ml In 1 Vial, Single-Use",0.73,0.73,,,0 NDC,00023066704,Refresh P.M.: 1 Tube In 1 Carton (0023-0667-04) / 3.5 G In 1 Tube,10.51,10.51,,,0 NDC,00023114501,"Botox: 1 Vial In 1 Carton (0023-1145-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.27,16.27,,,0 NDC,00023114502,"Botox: 1 Vial In 1 Carton (0023-1145-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.95,15.95,,,0 NDC,00023392102,"Botox: 1 Vial In 1 Carton (0023-3921-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",16.4,16.4,,,0 NDC,00023585318,"Delzicol: 180 Capsule, Delayed Release In 1 Bottle (0023-5853-18)",17.0,17.0,,,0 NDC,00023585801,Liletta: 1 Tray In 1 Carton (0023-5858-01) / 1 Intrauterine Device In 1 Tray,2323.86,2323.86,,,0 NDC,00023608201,NDC Description Not Available,63.37,63.37,,,0 NDC,00023608210,"Infed: 10 Vial, Single-Dose In 1 Carton (0023-6082-10) / 2 Ml In 1 Vial, Single-Dose (0023-6082-01)",68.2,68.2,,,0 NDC,00023611201,"Zenpep: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, GLASS (0023-6112-01)",31.93,31.93,,,0 NDC,00023611601,"Zenpep: 100 CAPSULE, DELAYED RELEASE in 1 BOTTLE, GLASS (0023-6116-01)",39.66,39.66,,,0 NDC,00023916330,"Restasis: 30 Vial, Single-Use In 1 Tray (0023-9163-30) / .4 Ml In 1 Vial, Single-Use",23.38,23.38,,,0 NDC,00023917705,"Alphagan P: 1 Bottle, Dropper In 1 Carton (0023-9177-05) / 5 Ml In 1 Bottle, Dropper",897.13,897.13,,,0 NDC,00023921110,"Combigan: 1 Bottle, Dropper In 1 Carton (0023-9211-10) / 10 Ml In 1 Bottle, Dropper",1766.45,1766.45,,,0 NDC,00023923201,"Botox Cosmetic: 1 Vial, Glass In 1 Carton (0023-9232-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",16.22,16.22,,,0 NDC,00023927705,"Acular Ls: 1 Bottle, Dropper In 1 Carton (0023-9277-05) / 5 Ml In 1 Bottle, Dropper",1224.67,1224.67,,,0 NDC,00024159601,"Primaquine Phosphate: 100 Tablet, Film Coated In 1 Bottle (0024-1596-01)",8.83,8.83,,,0 NDC,00024279201,NDC Description Not Available,26.91,26.91,,,0 NDC,00024279210,"Ferrlecit: 10 Vial, Single-Use In 1 Carton (0024-2792-10) / 5 Ml In 1 Vial, Single-Use (0024-2792-01)",27.52,27.52,,,0 NDC,00024414260,"Multaq: 60 Tablet, Film Coated In 1 Bottle (0024-4142-60)",58.13,58.13,,,0 NDC,00024515010,"Elitek: 3 Kit In 1 Carton (0024-5150-10) / 1 Kit In 1 Kit * 1 Ml In 1 Vial, Single-Use (0024-5154-11) * 1 Ml In 1 Ampule (0024-5152-11)",886.3,886.3,,,0 NDC,00024515175,"Elitek: 1 Kit In 1 Carton (0024-5151-75) * 5 Ml In 1 Vial, Single-Use (0024-5155-74) * 5 Ml In 1 Ampule (0024-5153-74)",885.39,885.39,,,0 NDC,00024515411,NDC Description Not Available,876.67,876.67,,,0 NDC,00024582315,NDC Description Not Available,543.89,543.89,,,0 NDC,00024582411,"Jevtana: 1 Kit In 1 Carton (0024-5824-11) * 5.7 Ml In 1 Vial, Glass (0024-5823-15) * 5.7 Ml In 1 Vial, Glass (0024-5822-01)",571.41,571.41,,,0 NDC,00024586201,"Mozobil: 1 Vial, Single-Use In 1 Carton (0024-5862-01) / 1.2 Ml In 1 Vial, Single-Use",1026.7,1026.7,,,0 NDC,00024591500,NDC Description Not Available,4700.92,4700.92,,,0 NDC,00024591502,"Dupixent: 2 Syringe, Glass In 1 Carton (0024-5915-02) / 2 Ml In 1 Syringe, Glass (0024-5915-00)",4700.92,4700.92,,,0 NDC,00024592410,"Admelog: 1 Vial, Multi-Dose In 1 Carton (0024-5924-10) / 10 Ml In 1 Vial, Multi-Dose",4.12,4.12,,,0 NDC,00024592605,Admelog: 1 Vial In 1 Carton (0024-5926-05) / 3 Ml In 1 Vial,1.54,1.54,,,0 NDC,00025006131,Lomotil: 100 Tablet In 1 Bottle (0025-0061-31),13.13,13.13,,,0 NDC,00025145134,Cytotec: 100 Blister Pack In 1 Carton (0025-1451-34) / 1 Tablet In 1 Blister Pack,18.14,18.14,,,0 NDC,00025152034,Celebrex: 100 Blister Pack In 1 Carton (0025-1520-34) / 1 Capsule In 1 Blister Pack,43.29,43.29,,,0 NDC,00025152534,Celebrex: 100 Blister Pack In 1 Carton (0025-1525-34) / 1 Capsule In 1 Blister Pack,71.06,71.06,,,0 NDC,00025273231,"Norpace Cr: 100 Capsule, Extended Release In 1 Bottle (0025-2732-31)",18.54,18.54,,,0 NDC,00026382125,"Kovaltry: 1 Kit In 1 Box (0026-3821-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4821-01)",4.55,4.55,,,0 NDC,00026382425,"Kovaltry: 1 Kit In 1 Box (0026-3824-25) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-99) * 2.5 Ml In 1 Syringe (0026-0426-02) * 2.5 Ml In 1 Vial, Single-Use (0026-4824-01)",4.32,4.32,,,0 NDC,00026382850,"Kovaltry: 1 Kit In 1 Box (0026-3828-50) * 5 Ml In 1 Vial, Single-Use (0026-4828-99) * 5 Ml In 1 Syringe (0026-0426-15) * 5 Ml In 1 Vial, Single-Use (0026-4828-01) * 5 Ml In 1 Syringe (0026-042",5.19,5.19,,,0 NDC,00026482401,NDC Description Not Available,2.59,2.59,,,0 NDC,00032004670,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0046-70)",8.38,8.38,,,0 NDC,00032004770,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-0047-70)",18.21,18.21,,,0 NDC,00032120601,"Creon: 1 Bottle In 1 Carton (0032-1206-01) / 100 Capsule, Delayed Release Pellets In 1 Bottle",7.86,7.86,,,0 NDC,00032121201,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-01)",17.97,17.97,,,0 NDC,00032121207,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1212-07)",17.11,17.11,,,0 NDC,00032122401,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-01)",35.62,35.62,,,0 NDC,00032122407,"Creon: 250 Capsule, Delayed Release Pellets In 1 Bottle (0032-1224-07)",33.19,33.19,,,0 NDC,00032263601,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-2636-01)",35.7,35.7,,,0 NDC,00032301613,"Creon: 100 Capsule, Delayed Release Pellets In 1 Bottle (0032-3016-13)",54.83,54.83,,,0 NDC,00037682210,Proctofoam Hc: 1 Canister In 1 Carton (0037-6822-10) / 10 G In 1 Canister,807.48,807.48,,,0 NDC,00037682315,Proctofoam Ns: 1 Canister In 1 Carton (0037-6823-15) / 15 G In 1 Canister,116.39,116.39,,,0 NDC,00037682410,Epifoam: 1 Canister In 1 Carton (0037-6824-10) / 10 G In 1 Canister,117.42,117.42,,,0 NDC,00037683015,Cortifoam: 1 Canister In 1 Carton (0037-6830-15) / 15 G In 1 Canister,133.58,133.58,,,0 NDC,00039485932,NDC Description Not Available,7.21,7.21,,,0 NDC,00046074905,Premarin: 1 Vial In 1 Carton (0046-0749-05) / 5 Ml In 1 Vial,1592.23,1592.23,,,0 NDC,00046087221,"Premarin Vaginal: 1 Tube, With Applicator In 1 Carton (0046-0872-21) / 30 G In 1 Tube, With Applicator",1114.72,1114.72,,,0 NDC,00046110081,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1100-81)",29.87,29.87,,,0 NDC,00046110281,"Premarin: 100 Tablet, Film Coated In 1 Bottle (0046-1102-81)",29.92,29.92,,,0 NDC,00049001381,NDC Description Not Available,18.28,18.28,,,0 NDC,00049001383,"Unasyn: 10 Vial In 1 Carton (0049-0013-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0013-81)",33.22,33.22,,,0 NDC,00049001481,NDC Description Not Available,31.24,31.24,,,0 NDC,00049001483,"Unasyn: 10 Vial In 1 Carton (0049-0014-83) / 1 Injection, Powder, For Solution In 1 Vial (0049-0014-81)",31.43,31.43,,,0 NDC,00049042005,NDC Description Not Available,5.51,5.51,,,0 NDC,00049052022,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-22) / 1 Powder, For Solution In 1 Vial",6.1,6.1,,,0 NDC,00049052023,NDC Description Not Available,1.65,1.65,,,0 NDC,00049052083,"Pfizerpen: 10 Vial In 1 Carton (0049-0520-83) / 1 Powder, For Solution In 1 Vial (0049-0520-84)",6.55,6.55,,,0 NDC,00049052084,NDC Description Not Available,6.1,6.1,,,0 NDC,00049053022,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-22) / 1 Powder, For Solution In 1 Vial",6.57,6.57,,,0 NDC,00049053028,"Pfizerpen: 1 Vial In 1 Carton (0049-0530-28) / 1 Powder, For Solution In 1 Vial",6.51,6.51,,,0 NDC,00049316044,Vfend: 1 Bottle In 1 Carton (0049-3160-44) / 75 Ml In 1 Bottle,248.25,248.25,,,0 NDC,00049319001,"Vfend: 1 Vial, Single-Use In 1 Carton (0049-3190-01) / 20 Ml In 1 Vial, Single-Use",8.24,8.24,,,0 NDC,00049319028,"Vfend: 1 Vial, Single-Dose In 1 Carton (0049-3190-28) / 20 Ml In 1 Vial, Single-Dose",14.35,14.35,,,0 NDC,00049345019,Diflucan: 1 Bottle In 1 Carton (0049-3450-19) / 35 Ml In 1 Bottle,16.03,16.03,,,0 NDC,00049392020,NDC Description Not Available,145.14,145.14,,,0 NDC,00049496030,"Zoloft: 30 Tablet, Film Coated In 1 Bottle (0049-4960-30)",62.83,62.83,,,0 NDC,00053016016,"Hemgenix: 1 Kit In 1 Carton (0053-0160-16) * 1 Injection, Suspension In 1 Vial, Glass (0053-0099-01)",7210000.0,7210000.0,,,0 NDC,00053720102,"Zemaira: 1 Kit In 1 Carton (0053-7201-02) * 20 Ml In 1 Vial, Single-Dose (0053-7211-01) * 20 Ml In 1 Vial, Single-Dose (0053-7653-20)",13.53,13.53,,,0 NDC,00053765320,NDC Description Not Available,7.42,7.42,,,0 NDC,00054001020,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0010-20) / 1 Tablet In 1 Blister Pack,6.79,6.79,,,0 NDC,00054001120,Flecainide Acetate: 100 Blister Pack In 1 Carton (0054-0011-20) / 1 Tablet In 1 Blister Pack,12.95,12.95,,,0 NDC,00054004544,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (0054-0045-44) / 345 Spray In 1 Bottle, Spray",402.7,402.7,,,0 NDC,00054005746,Digoxin: 60 Ml In 1 Bottle (0054-0057-46),25.38,25.38,,,0 NDC,00054006258,"Citalopram: 1 Bottle, Plastic In 1 Carton (0054-0062-58) / 240 Ml In 1 Bottle, Plastic",70.66,70.66,,,0 NDC,00054007725,"Torsemide: 100 Tablet In 1 Bottle, Plastic (0054-0077-25)",2.94,2.94,,,0 NDC,00054008013,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (0054-0080-13)",73.13,73.13,,,0 NDC,00054016325,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0054-0163-25),14.33,14.33,,,0 NDC,00054017613,Buprenorphine: 30 Tablet In 1 Bottle (0054-0176-13),14.03,14.03,,,0 NDC,00054017713,Buprenorphine: 30 Tablet In 1 Bottle (0054-0177-13),3.48,3.48,,,0 NDC,00054023524,Morphine Sulfate: 100 Blister Pack In 1 Carton (0054-0235-24) / 1 Tablet In 1 Blister Pack,2.96,2.96,,,0 NDC,00054023525,Morphine Sulfate: 100 Tablet In 1 Bottle (0054-0235-25),1.89,1.89,,,0 NDC,00054023749,Morphine Sulfate: 100 Ml In 1 Bottle (0054-0237-49),2.13,2.13,,,0 NDC,00054023763,Morphine Sulfate: 500 Ml In 1 Bottle (0054-0237-63),1.37,1.37,,,0 NDC,00054032756,Fluticasone Propionate And Salmeterol: 1 Pouch In 1 Carton (0054-0327-56) / 1 Inhaler In 1 Pouch / 60 Powder In 1 Inhaler,27.12,27.12,,,0 NDC,00054038225,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0382-25),33.73,33.73,,,0 NDC,00054038325,Cyclophosphamide: 100 Capsule In 1 Bottle (0054-0383-25),30.97,30.97,,,0 NDC,00054040022,"Desvenlafaxine: 90 Tablet, Film Coated, Extended Release In 1 Bottle (0054-0400-22)",43.08,43.08,,,0 NDC,00054040713,"Ritonavir: 30 TABLET, FILM COATED in 1 BOTTLE (0054-0407-13)",32.96,32.96,,,0 NDC,00054042623,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (0054-0426-23)",30.14,30.14,,,0 NDC,00054042825,flucytosine: 100 CAPSULE in 1 BOTTLE (0054-0428-25),2682.67,2682.67,,,0 NDC,00054044905,NDC Description Not Available,226.6,226.6,,,0 NDC,00054047221,Everolimus: 60 Tablet In 1 Bottle (0054-0472-21),38.11,38.11,,,0 NDC,00054062263,Dicyclomine Hydrochloride: 473 Ml In 1 Bottle (0054-0622-63),8.53,8.53,,,0 NDC,00054070920,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0709-20) / 100 Tablet In 1 Blister Pack,1.35,1.35,,,0 NDC,00054071020,Methadone Hydrochloride: 1 Blister Pack In 1 Carton (0054-0710-20) / 100 Tablet In 1 Blister Pack,1.55,1.55,,,0 NDC,00054074287,"Albuterol Sulfate: 1 Canister In 1 Carton (0054-0742-87) / 200 Aerosol, Metered In 1 Canister",1.72,1.72,,,0 NDC,00054312041,"Calcitriol: 1 Bottle, Glass In 1 Carton (0054-3120-41) / 15 Ml In 1 Bottle, Glass",10.75,10.75,,,0 NDC,00054317644,"Dexamethasone Intensol: 30 Ml In 1 Bottle, Glass (0054-3176-44)",28.02,28.02,,,0 NDC,00054319446,Diphenoxylate Hydrochloride And Atropine Sulfate: 1 Bottle In 1 Carton (0054-3194-46) / 60 Ml In 1 Bottle,25.29,25.29,,,0 NDC,00054327099,"Fluticasone Propionate: 1 Bottle, Glass In 1 Carton (0054-3270-99) / 120 Spray, Metered In 1 Bottle, Glass",95.9,95.9,,,0 NDC,00054350049,Lidocaine Viscous: 1 Bottle In 1 Carton (0054-3500-49) / 100 Ml In 1 Bottle,3.57,3.57,,,0 NDC,00054350547,Lidocaine Hydrochloride: 50 Ml In 1 Bottle (0054-3505-47),173.04,173.04,,,0 NDC,00054355344,Methadone Hydrochloride: 1 Bottle In 1 Carton (0054-3553-44) / 30 Ml In 1 Bottle,13.93,13.93,,,0 NDC,00054355563,Methadone Hydrochloride: 500 Ml In 1 Bottle (0054-3555-63),1.38,1.38,,,0 NDC,00054372250,Prednisone: 120 Ml In 1 Bottle (0054-3722-50),2.88,2.88,,,0 NDC,00054372263,Prednisone: 500 Ml In 1 Bottle (0054-3722-63),2.68,2.68,,,0 NDC,00054418425,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4184-25)",0.26,0.26,,,0 NDC,00054418625,"Dexamethasone: 100 Tablet In 1 Bottle, Plastic (0054-4186-25)",0.24,0.24,,,0 NDC,00054458111,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0054-4581-11)",21.475,21.475,,,0 NDC,00054814622,Clotrimazole: 70 Blister Pack In 1 Carton (0054-8146-22) / 1 Lozenge In 1 Blister Pack,12.37,12.37,,,0 NDC,00054817525,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8175-25) / 1 Tablet In 1 Blister Pack,0.27,0.27,,,0 NDC,00054817625,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8176-25) / 1 Tablet In 1 Blister Pack,0.23,0.23,,,0 NDC,00054817925,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8179-25) / 1 Tablet In 1 Blister Pack,0.18,0.18,,,0 NDC,00054818125,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8181-25) / 1 Tablet In 1 Blister Pack,0.34,0.34,,,0 NDC,00054818325,Dexamethasone: 100 Blister Pack In 1 Carton (0054-8183-25) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 NDC,00054829925,Furosemide: 10 Blister Pack In 1 Carton (0054-8299-25) / 10 Tablet In 1 Blister Pack,2.68,2.68,,,0 NDC,00054830125,Furosemide: 10 Blister Pack In 1 Carton (0054-8301-25) / 10 Tablet In 1 Blister Pack,5.53,5.53,,,0 NDC,00054849619,Leucovorin Calcium: 5 Blister Pack In 1 Carton (0054-8496-19) / 10 Tablet In 1 Blister Pack,10.09,10.09,,,0 NDC,00054855025,Methotrexate Sodium: 10 Blister Pack In 1 Carton (0054-8550-25) / 10 Tablet In 1 Blister Pack,12.88,12.88,,,0 NDC,00054874025,Prednisone: 10 Blister Pack In 1 Carton (0054-8740-25) / 10 Tablet In 1 Blister Pack,0.22,0.22,,,0 NDC,00056051030,"SUSTIVA: 30 TABLET, FILM COATED in 1 BOTTLE (0056-0510-30)",141.11,141.11,,,0 NDC,00065002315,"Miostat: 12 Vial, Glass In 1 Carton (0065-0023-15) / 1.5 Ml In 1 Vial, Glass",67.71,67.71,,,0 NDC,00065027510,"Azopt: 1 BOTTLE, PLASTIC in 1 CARTON (0065-0275-10) / 10 mL in 1 BOTTLE, PLASTIC",1485.26,1485.26,,,0 NDC,00065030355,"1 BOTTLE, DROPPER in 1 CARTON (0065-0303-55) / 5 mL in 1 BOTTLE, DROPPER",219.44,219.44,,,0 NDC,00065035902,"Cyclomydril: 2 Ml In 1 Bottle, Plastic (0065-0359-02)",152.66,152.66,,,0 NDC,00065035905,"Cyclomydril: 5 Ml In 1 Bottle, Plastic (0065-0359-05)",267.8,267.8,,,0 NDC,00065039515,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0395-15) / 15 Ml In 1 Bottle, Plastic",417.97,417.97,,,0 NDC,00065039602,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0396-02) / 2 Ml In 1 Bottle, Plastic",146.26,146.26,,,0 NDC,00065039702,"Cyclogyl: 1 Bottle, Plastic In 1 Carton (0065-0397-02) / 2 Ml In 1 Bottle, Plastic",190.55,190.55,,,0 NDC,00065041130,Betadine: 1 Bottle In 1 Carton (0065-0411-30) / 30 Ml In 1 Bottle,55.62,55.62,,,0 NDC,00065042636,"Genteal Tears (Moderate): 1 Bottle, Dropper In 1 Carton (0065-0426-36) / 15 Ml In 1 Bottle, Dropper",0.21,0.21,,,0 NDC,00065042915,"Systane Lubricant: 1 Bottle, Dropper In 1 Carton (0065-0429-15) / 15 Ml In 1 Bottle, Dropper",4.035,4.035,,,0 NDC,00065050935,Systane Nighttime: 1 Tube In 1 Carton (0065-0509-35) / 3.5 G In 1 Tube,9.305,9.305,,,0 NDC,00065051801,Genteal Tears Night-Time: 1 Tube In 1 Carton (0065-0518-01) / 3.5 G In 1 Tube,8.79,8.79,,,0 NDC,00065053001,Eye Stream: 30 Ml In 1 Bottle (0065-0530-01),24.72,24.72,,,0 NDC,00065064435,TOBREX: 3.5 g in 1 TUBE (0065-0644-35),927.0,927.0,,,0 NDC,00065064835,TobraDex: 1 TUBE in 1 CARTON (0065-0648-35) / 3.5 g in 1 TUBE,986.77,986.77,,,0 NDC,00065066010,"IOPIDINE: 12 POUCH in 1 CARTON (0065-0660-10) / 2 VIAL, SINGLE-USE in 1 POUCH / .1 mL in 1 VIAL, SINGLE-USE",59.74,59.74,,,0 NDC,00065074114,"Tetracaine Hydrochloride: 12 Blister Pack In 1 Carton (0065-0741-14) / 1 Bottle, Dropper In 1 Blister Pack / 4 Ml In 1 Bottle, Dropper",57.75,57.75,,,0 NDC,00065079515,Bss: 15 Ml In 1 Bottle (0065-0795-15),52.88,52.88,,,0 NDC,00065079550,Bss: 500 Ml In 1 Bottle (0065-0795-50),118.64,118.64,,,0 NDC,00065081701,"Atropine Sulfate: 1 Bottle, Dropper In 1 Carton (0065-0817-01) / 5 Ml In 1 Bottle, Dropper",249.19,249.19,,,0 NDC,00065143105,"Systane Ultra: 1 Bottle, Dropper In 1 Carton (0065-1431-05) / 10 Ml In 1 Bottle, Dropper",0.82,0.82,,,0 NDC,00065401303,"VIGAMOX: 1 BOTTLE, PLASTIC in 1 CARTON (0065-4013-03) / 3 mL in 1 BOTTLE, PLASTIC",753.08,753.08,,,0 NDC,00065427401,"Pataday Twice A Day Relief: 1 Bottle, Plastic In 1 Carton (0065-4274-01) / 5 Ml In 1 Bottle, Plastic",53.56,53.56,,,0 NDC,00067120176,NDC Description Not Available,90.55,90.55,,,0 NDC,00067815202,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-02) / 50 G In 1 Tube,51.83,51.83,,,0 NDC,00067815203,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-03) / 100 G In 1 Tube,81.76,81.76,,,0 NDC,00067815204,Voltaren Arthritis Pain: 1 Tube In 1 Carton (0067-8152-04) / 150 G In 1 Tube,121.54,121.54,,,0 NDC,00068059701,"Rifadin Iv: 1 Vial, Glass In 1 Carton (0068-0597-01) / 10 Ml In 1 Vial, Glass",676.7,676.7,,,0 NDC,00068059901,"Rifadin Iv Novaplus: 1 Vial, Glass In 1 Carton (0068-0599-01) / 10 Ml In 1 Vial, Glass",592.25,592.25,,,0 NDC,00069005801,Heparin Sodium: 25 Vial In 1 Container (0069-0058-01) / 10 Ml In 1 Vial (0069-0058-02),1.37,1.37,,,0 NDC,00069005802,NDC Description Not Available,1.44,1.44,,,0 NDC,00069005903,Heparin Sodium: 25 Vial In 1 Container (0069-0059-03) / 1 Ml In 1 Vial (0069-0059-04),2.99,2.99,,,0 NDC,00069018721,Ibrance: 21 Capsule In 1 Bottle (0069-0187-21),959.62,959.62,,,0 NDC,00069020901,NDC Description Not Available,0.98,0.98,,,0 NDC,00069020910,Propofol: 10 Vial In 1 Carton (0069-0209-10) / 20 Ml In 1 Vial (0069-0209-01),1.12,1.12,,,0 NDC,00069022701,"Lorbrena: 30 Tablet, Film Coated In 1 Bottle (0069-0227-01)",29.92,29.92,,,0 NDC,00069023401,1 VIAL in 1 CARTON (0069-0234-01) / 50 mL in 1 VIAL,1.16,1.16,,,0 NDC,00069023420,Propofol: 20 Vial In 1 Carton (0069-0234-20) / 50 Ml In 1 Vial,3.195,3.195,,,0 NDC,00069023801,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0238-01) / 10 Ml In 1 Vial, Single-Use",163.51,163.51,,,0 NDC,00069024801,1 VIAL in 1 CARTON (0069-0248-01) / 100 mL in 1 VIAL,1.03,1.03,,,0 NDC,00069024810,Propofol: 10 Vial In 1 Carton (0069-0248-10) / 100 Ml In 1 Vial,3.65,3.65,,,0 NDC,00069024901,"Ruxience: 1 Vial, Single-Use In 1 Carton (0069-0249-01) / 50 Ml In 1 Vial, Single-Use",116.67,116.67,,,0 NDC,00069027702,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0277-02) / 10 Ml In 1 Vial, Single-Dose",38.7,38.7,,,0 NDC,00069030501,"Trazimera: 1 Kit In 1 Kit (0069-0305-01) * 20 Ml In 1 Vial, Multi-Dose (0069-0306-01) * 20 Ml In 1 Vial (0069-0307-01)",197.59,197.59,,,0 NDC,00069034201,"Zirabev: 1 Vial, Single-Use In 1 Carton (0069-0342-01) / 16 Ml In 1 Vial, Single-Use",151.63,151.63,,,0 NDC,00069034401,"Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01)",1276.17,1276.17,,,0 NDC,00069035820,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-0358-20) / 5 Ml In 1 Vial, Single-Dose",36.38,36.38,,,0 NDC,00069080901,"Inflectra: 1 Vial, Single-Use In 1 Carton (0069-0809-01) / 10 Ml In 1 Vial, Single-Use",226.44,226.44,,,0 NDC,00069100101,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1001-01)",437.75,437.75,,,0 NDC,00069100201,"Xeljanz: 60 Tablet, Film Coated In 1 Bottle (0069-1002-01)",423.81,423.81,,,0 NDC,00069102902,Xeljanz: 1 Bottle In 1 Carton (0069-1029-02) / 240 Ml In 1 Bottle (0069-1029-01),437.84,437.84,,,0 NDC,00069130501,NDC Description Not Available,5.92,5.92,,,0 NDC,00069130510,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1305-10) / 1 Ml In 1 Vial, Single-Dose (0069-1305-01)",4.77,4.77,,,0 NDC,00069130701,NDC Description Not Available,5.27,5.27,,,0 NDC,00069130710,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1307-10) / 1 Ml In 1 Vial, Single-Dose (0069-1307-01)",7.63,7.63,,,0 NDC,00069130801,NDC Description Not Available,5.55,5.55,,,0 NDC,00069130810,"Retacrit: 10 Vial, Single-Dose In 1 Carton (0069-1308-10) / 1 Ml In 1 Vial, Single-Dose (0069-1308-01)",5.455,5.455,,,0 NDC,00069130901,NDC Description Not Available,10.03,10.03,,,0 NDC,00069130904,"Retacrit: 4 Vial, Single-Dose In 1 Carton (0069-1309-04) / 1 Ml In 1 Vial, Single-Dose (0069-1309-01)",8.39,8.39,,,0 NDC,00069131101,NDC Description Not Available,6.49,6.49,,,0 NDC,00069131110,"Retacrit: 10 Vial, Multi-Dose In 1 Carton (0069-1311-10) / 1 Ml In 1 Vial, Multi-Dose (0069-1311-01)",6.64,6.64,,,0 NDC,00069154220,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-1542-20) / 100 Ml In 1 Vial, Multi-Dose",12.97,12.97,,,0 NDC,00069243201,NDC Description Not Available,493.37,493.37,,,0 NDC,00069252201,NDC Description Not Available,424.49,424.49,,,0 NDC,00069252202,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-2522-02) / 1.1 Ml In 1 Vial, Single-Dose (0069-2522-01)",348.12,348.12,,,0 NDC,00069303020,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3030-20) / 5 Ml In 1 Vial, Single-Dose",39.32,39.32,,,0 NDC,00069303120,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3031-20) / 10 Ml In 1 Vial, Single-Dose",39.14,39.14,,,0 NDC,00069303220,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0069-3032-20) / 25 Ml In 1 Vial, Single-Dose",26.96,26.96,,,0 NDC,00069303420,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0069-3034-20) / 100 Ml In 1 Vial, Multi-Dose",13.38,13.38,,,0 NDC,00069305101,NDC Description Not Available,107.12,107.12,,,0 NDC,00069313019,Zithromax: 1 Bottle In 1 Carton (0069-3130-19) / 22.5 Ml In 1 Bottle,120.51,120.51,,,0 NDC,00069315083,Zithromax: 10 Vial In 1 Carton (0069-3150-83) / 5 Ml In 1 Vial (0069-3150-84),26.48,26.48,,,0 NDC,00069315084,NDC Description Not Available,20.6,20.6,,,0 NDC,00069406189,"Zithromax: 50 Blister Pack In 1 Box, Unit-Dose (0069-4061-89) / 1 Tablet, Film Coated In 1 Blister Pack",14.95,14.95,,,0 NDC,00069449402,"Elrexfio: 1 Vial, Single-Dose In 1 Carton (0069-4494-02) / 1.9 Ml In 1 Vial, Single-Dose (0069-4494-01)",428.17,428.17,,,0 NDC,00069531702,NDC Description Not Available,601.33,601.33,,,0 NDC,00069532103,NDC Description Not Available,200.09,200.09,,,0 NDC,00069547101,NDC Description Not Available,68.52000000000001,68.52000000000001,,,0 NDC,00069547102,"Cerebyx: 25 Vial, Single-Dose In 1 Carton (0069-5471-02) / 2 Ml In 1 Vial, Single-Dose (0069-5471-01)",63.38,63.38,,,0 NDC,00069547401,NDC Description Not Available,63.81,63.81,,,0 NDC,00069547402,"Cerebyx: 10 Vial, Single-Dose In 1 Package (0069-5474-02) / 10 Ml In 1 Vial, Single-Dose (0069-5474-01)",24.05,24.05,,,0 NDC,00069581043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5810-43) / 1 Capsule In 1 Blister Pack,47.38,47.38,,,0 NDC,00069582043,Tikosyn: 40 Blister Pack In 1 Carton (0069-5820-43) / 1 Capsule In 1 Blister Pack,47.49,47.49,,,0 NDC,00069600102,NDC Description Not Available,103.62,103.62,,,0 NDC,00069600110,NDC Description Not Available,47.66,47.66,,,0 NDC,00069600121,Cerebyx: 10 Vial In 1 Package (0069-6001-21) / 10 Ml In 1 Vial (0069-6001-10),51.16,51.16,,,0 NDC,00069600125,Cerebyx: 25 Vial In 1 Carton (0069-6001-25) / 2 Ml In 1 Vial (0069-6001-02),68.755,68.755,,,0 NDC,00069623702,"Octagam Immune Globulin (Human): 1 Bottle, Glass In 1 Carton (0069-6237-02) / 200 Ml In 1 Bottle, Glass (0069-6237-01)",239.68,239.68,,,0 NDC,00069873001,NDC Description Not Available,47.02,47.02,,,0 NDC,00071015523,"Lipitor: 90 Tablet, Film Coated In 1 Bottle (0071-0155-23)",55.62,55.62,,,0 NDC,00071036940,Dilantin: 100 Blister Pack In 1 Carton (0071-0369-40) / 1 Capsule In 1 Blister Pack,8.02,8.02,,,0 NDC,00071041813,Nitrostat: 4 Bottle In 1 Carton (0071-0418-13) / 25 Tablet In 1 Bottle,14.81,14.81,,,0 NDC,00071101268,Lyrica: 90 Capsule In 1 Bottle (0071-1012-68),43.86,43.86,,,0 NDC,00071101341,Lyrica: 100 Blister Pack In 1 Carton (0071-1013-41) / 1 Capsule In 1 Blister Pack,48.18,48.18,,,0 NDC,00071101441,Lyrica: 100 Blister Pack In 1 Carton (0071-1014-41) / 1 Capsule In 1 Blister Pack,48.14,48.14,,,0 NDC,00071101541,Lyrica: 100 Blister Pack In 1 Carton (0071-1015-41) / 1 Capsule In 1 Blister Pack,48.18,48.18,,,0 NDC,00071101641,Lyrica: 100 Blister Pack In 1 Carton (0071-1016-41) / 1 Capsule In 1 Blister Pack,48.17,48.17,,,0 NDC,00071374066,Dilantin: 100 Capsule In 1 Bottle (0071-3740-66),6.18,6.18,,,0 NDC,00074057611,"Venclexta: 1 Blister Pack In 1 Carton (0074-0576-11) / 1 Tablet, Film Coated In 1 Blister Pack",544.5,544.5,,,0 NDC,00074057622,"Venclexta: 120 Tablet, Film Coated In 1 Bottle (0074-0576-22)",179.47,179.47,,,0 NDC,00074165801,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-1658-01) / 1 Ml In 1 Vial, Single-Dose",30.52,30.52,,,0 NDC,00074231030,"Rinvoq: 30 Tablet, Extended Release In 1 Bottle (0074-2310-30)",817.82,817.82,,,0 NDC,00074310832,Gengraf: 3 Blister Pack In 1 Carton (0074-3108-32) / 10 Capsule In 1 Blister Pack,7.43,7.43,,,0 NDC,00074310932,Gengraf: 5 Blister Pack In 1 Carton (0074-3109-32) / 6 Capsule In 1 Blister Pack,30.15,30.15,,,0 NDC,00074334603,Lupron Depot: 1 Kit In 1 Carton (0074-3346-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5024.19,5024.19,,,0 NDC,00074339930,Norvir: 30 Packet In 1 Carton (0074-3399-30) / 1 Powder In 1 Packet,37.08,37.08,,,0 NDC,00074347303,Lupron Depot: 1 Kit In 1 Carton (0074-3473-03) * 1 Swab In 1 Packet * 1.5 Ml In 1 Syringe,5053.01,5053.01,,,0 NDC,00074364103,Lupron Depot: 1 Kit In 1 Carton (0074-3641-03) * 1 Ml In 1 Syringe * 1 Ml In 1 Packet,4154.11,4154.11,,,0 NDC,00074364203,Lupron Depot: 1 Kit In 1 Carton (0074-3642-03) * 1 Ml In 1 Syringe * 1 Swab In 1 Packet,5706.97,5706.97,,,0 NDC,00074366303,Lupron Depot: 1 Kit In 1 Carton (0074-3663-03) * 1.5 Ml In 1 Syringe * 1 Ml In 1 Packet,3909.03,3909.03,,,0 NDC,00074368303,Lupron Depot: 1 Kit In 1 Carton (0074-3683-03) * 1.5 Ml In 1 Syringe * 1 Swab In 1 Packet,5052.92,5052.92,,,0 NDC,00074379902,Humira: 2 Kit In 1 Carton (0074-3799-02) / 1 Kit In 1 Kit * 1 Syringe In 1 Tray / .8 Ml In 1 Syringe * 1 Ml In 1 Packet,376.47,376.47,,,0 NDC,00074434119,Synthroid: 1000 Tablet In 1 Bottle (0074-4341-19),4.51,4.51,,,0 NDC,00074438010,"Nimbex: 10 mL in 1 VIAL, MULTI-DOSE (0074-4380-10)",75.85,75.85,,,0 NDC,00074438220,"Nimbex: 20 mL in 1 VIAL, SINGLE-DOSE (0074-4382-20)",1284.41,1284.41,,,0 NDC,00074445604,"Ultane: 250 Ml In 1 Bottle, Plastic (0074-4456-04)",732.84,732.84,,,0 NDC,00074455211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-4552-11) / 10 Tablet In 1 Blister Pack",5.15,5.15,,,0 NDC,00074463701,"Zemplar: 25 Vial, Single-Dose In 1 Tray (0074-4637-01) / 1 Ml In 1 Vial, Single-Dose",14.7,14.7,,,0 NDC,00074501501,"Skyrizi: 1 Vial, Single-Dose In 1 Carton (0074-5015-01) / 10 Ml In 1 Vial, Single-Dose",40.42,40.42,,,0 NDC,00074518211,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-5182-11) / 10 Tablet In 1 Blister Pack",6.2,6.2,,,0 NDC,00074611413,Depakote Sprinkles: 100 Capsule In 1 Bottle (0074-6114-13),8.06,8.06,,,0 NDC,00074662411,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-6624-11) / 10 Tablet In 1 Blister Pack",6.74,6.74,,,0 NDC,00074706811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7068-11) / 10 Tablet In 1 Blister Pack",6.16,6.16,,,0 NDC,00074706911,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7069-11) / 10 Tablet In 1 Blister Pack",5.66,5.66,,,0 NDC,00074714811,"Synthroid: 10 Blister Pack In 1 Box, Unit-Dose (0074-7148-11) / 10 Tablet In 1 Blister Pack",5.66,5.66,,,0 NDC,00074726950,Gengraf: 1 Bottle In 1 Carton (0074-7269-50) / 50 Ml In 1 Bottle,31.98,31.98,,,0 NDC,00075062101,NDC Description Not Available,8.93,8.93,,,0 NDC,00078010901,Sandimmune: 10 Ampule In 1 Box (0078-0109-01) / 5 Ml In 1 Ampule (0078-0109-61),296.12,296.12,,,0 NDC,00078010961,NDC Description Not Available,279.13,279.13,,,0 NDC,00078018201,Sandostatin: 10 Ampule In 1 Package (0078-0182-01) / 1 Ml In 1 Ampule (0078-0182-61),28.58,28.58,,,0 NDC,00078018261,NDC Description Not Available,28.58,28.58,,,0 NDC,00078024061,NDC Description Not Available,17.94,17.94,,,0 NDC,00078024161,NDC Description Not Available,71.51,71.51,,,0 NDC,00078033184,"Simulect: 1 Vial, Single-Use In 1 Carton (0078-0331-84) / 5 Ml In 1 Vial, Single-Use",11043.18,11043.18,,,0 NDC,00078035834,Diovan: 90 Tablet In 1 Bottle (0078-0358-34),39.14,39.14,,,0 NDC,00078035934,Diovan: 90 Tablet In 1 Bottle (0078-0359-34),42.23,42.23,,,0 NDC,00078041761,NDC Description Not Available,45.61,45.61,,,0 NDC,00078042315,Diovan: 30 Tablet In 1 Bottle (0078-0423-15),32.57,32.57,,,0 NDC,00078049461,NDC Description Not Available,458.1,458.1,,,0 NDC,00078049471,TOBI: 56 POUCH in 1 CARTON (0078-0494-71) / 4 AMPULE in 1 POUCH (0078-0494-91) / 5 mL in 1 AMPULE (0078-0494-61),578.25,578.25,,,0 NDC,00078050115,Exelon: 30 Patch In 1 Carton (0078-0501-15) / 24 H In 1 Patch (0078-0501-61),98.88,98.88,,,0 NDC,00078050215,Exelon: 30 Patch In 1 Carton (0078-0502-15) / 24 H In 1 Patch (0078-0502-61),98.88,98.88,,,0 NDC,00078050261,NDC Description Not Available,98.88,98.88,,,0 NDC,00078051005,"Tegretol Xr: 100 Tablet, Extended Release In 1 Bottle (0078-0510-05)",4.22,4.22,,,0 NDC,00078056845,Coartem: 24 Tablet In 1 Bottle (0078-0568-45),24.29,24.29,,,0 NDC,00078059251,Tasigna: 28 Capsule In 1 Blister Pack (0078-0592-51),143.38,143.38,,,0 NDC,00078065920,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0659-20)",47.65,47.65,,,0 NDC,00078068361,Arranon: 50 Ml In 1 Vial (0078-0683-61),399.16,399.16,,,0 NDC,00078068515,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0685-15)",1044.97,1044.97,,,0 NDC,00078068615,"Promacta: 30 Tablet, Film Coated In 1 Bottle (0078-0686-15)",1848.1,1848.1,,,0 NDC,00078069620,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0696-20)",49.48,49.48,,,0 NDC,00078069802,NDC Description Not Available,832.81,832.81,,,0 NDC,00078072910,Betoptic S: 1 Bottle In 1 Carton (0078-0729-10) / 10 Ml In 1 Bottle,1596.58,1596.58,,,0 NDC,00078077720,"Entresto: 60 Tablet, Film Coated In 1 Bottle (0078-0777-20)",49.57,49.57,,,0 NDC,00078079061,NDC Description Not Available,820.7,820.7,,,0 NDC,00078080461,NDC Description Not Available,536.73,536.73,,,0 NDC,00078081181,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0811-81) * 6 Ml In 1 Vial (0078-0790-61) * 2 Ml In 1 Syringe,870.97,870.97,,,0 NDC,00078081301,Tobrex: 3.5 G In 1 Tube (0078-0813-01),1102.1,1102.1,,,0 NDC,00078081881,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0818-81) * 6 Ml In 1 Vial (0078-0797-61) * 2 Ml In 1 Syringe,570.47,570.47,,,0 NDC,00078082581,Sandostatin Lar Depot: 1 Kit In 1 Kit (0078-0825-81) * 2 Ml In 1 Syringe * 6 Ml In 1 Vial (0078-0804-61),569.53,569.53,,,0 NDC,00078087601,Tobradex: 3.5 G In 1 Tube (0078-0876-01),1173.17,1173.17,,,0 NDC,00078089778,"Triesence: 1 Blister Pack In 1 Carton (0078-0897-78) / 1 Vial, Glass In 1 Blister Pack / 1 Ml In 1 Vial, Glass",583.5,583.5,,,0 NDC,00078091105,NDC Description Not Available,33.58,33.58,,,0 NDC,00078093926,Vigamox: 1 Bottle In 1 Carton (0078-0939-26) / 3 Ml In 1 Bottle,869.32,869.32,,,0 NDC,00078100060,"Leqvio: 1 Syringe, Glass In 1 Carton (0078-1000-60) / 1.5 Ml In 1 Syringe, Glass",29.41,29.41,,,0 NDC,00078116861,"Cosentyx: 5 Ml In 1 Vial, Glass (0078-1168-61)",42.24,42.24,,,0 NDC,00081073088,NDC Description Not Available,5.49,5.49,,,0 NDC,00081079887,NDC Description Not Available,3.09,3.09,,,0 NDC,00081079888,NDC Description Not Available,8.24,8.24,,,0 NDC,00085113204,"Proventil HFA: 1 CANISTER in 1 CARTON (0085-1132-04) / 200 AEROSOL, METERED in 1 CANISTER",2.03,2.03,,,0 NDC,00085432402,"Noxafil: 60 Tablet, Coated In 1 Bottle (0085-4324-02)",296.3,296.3,,,0 NDC,00085433101,"Noxafil: 1 Vial, Glass In 1 Carton (0085-4331-01) / 16.7 Ml In 1 Vial, Glass",1311.28,1311.28,,,0 NDC,00088210201,NDC Description Not Available,19.99,19.99,,,0 NDC,00088222033,"Lantus: 1 Vial, Glass In 1 Carton (0088-2220-33) / 10 Ml In 1 Vial, Glass",1.3,1.3,,,0 NDC,00088502101,"1 VIAL, GLASS in 1 PACKAGE (0088-5021-01) / 10 mL in 1 VIAL, GLASS",6.09,6.09,,,0 NDC,00093001006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (0093-0010-06)",12.05,12.05,,,0 NDC,00093001805,"Tolterodine Tartrate: 500 Tablet, Film Coated In 1 Bottle (0093-0018-05)",12.36,12.36,,,0 NDC,00093005301,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (0093-0053-01),2.76,2.76,,,0 NDC,00093005405,Buspirone Hydrochloride: 500 Tablet In 1 Bottle (0093-0054-05),4.89,4.89,,,0 NDC,00093031101,Loperamide Hydrochloride: 100 Capsule In 1 Bottle (0093-0311-01),4.88,4.88,,,0 NDC,00093031401,"Ketorolac Tromethamine: 100 Tablet, Film Coated In 1 Bottle (0093-0314-01)",7.72,7.72,,,0 NDC,00093031801,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0318-01)",3.59,3.59,,,0 NDC,00093031901,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0319-01)",6.19,6.19,,,0 NDC,00093032001,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0320-01)",7.21,7.21,,,0 NDC,00093032101,"Diltiazem Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0093-0321-01)",8.37,8.37,,,0 NDC,00093078701,Atenolol: 100 Tablet In 1 Bottle (0093-0787-01),2.83,2.83,,,0 NDC,00093081001,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0810-01),2.63,2.63,,,0 NDC,00093081101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (0093-0811-01),5.15,5.15,,,0 NDC,00093083201,Clonazepam: 100 Tablet In 1 Bottle (0093-0832-01),2.75,2.75,,,0 NDC,00093101042,Mupirocin: 1 Tube In 1 Carton (0093-1010-42) / 22 G In 1 Tube,308.03,308.03,,,0 NDC,00093106001,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (0093-1060-01),11.33,11.33,,,0 NDC,00093112589,"Abiraterone Acetate: 120 Tablet, Film Coated In 1 Bottle (0093-1125-89)",116.82,116.82,,,0 NDC,00093202694,Azithromycin: 22.5 Ml In 1 Bottle (0093-2026-94),31.93,31.93,,,0 NDC,00093206506,Cilostazol: 60 Tablet In 1 Bottle (0093-2065-06),6.88,6.88,,,0 NDC,00093217901,Liothyronine Sodium: 100 Tablet In 1 Bottle (0093-2179-01),7.92,7.92,,,0 NDC,00093312701,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3127-01),10.3,10.3,,,0 NDC,00093312901,Disopyramide Phosphate: 100 Capsule In 1 Bottle (0093-3129-01),12.16,12.16,,,0 NDC,00093317431,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (0093-3174-31) / 200 Aerosol, Metered In 1 Inhaler",1.85,1.85,,,0 NDC,00093319601,Cefadroxil: 100 Capsule In 1 Bottle (0093-3196-01),13.11,13.11,,,0 NDC,00093321930,Ketoconazole: 1 Tube In 1 Carton (0093-3219-30) / 30 G In 1 Tube,180.33,180.33,,,0 NDC,00093342501,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3425-01)",2.4,2.4,,,0 NDC,00093342601,"Lorazepam: 100 Tablet In 1 Bottle, Plastic (0093-3426-01)",3.04,3.04,,,0 NDC,00093342605,"Lorazepam: 500 Tablet In 1 Bottle, Plastic (0093-3426-05)",1.76,1.76,,,0 NDC,00093365621,NDC Description Not Available,191.06,191.06,,,0 NDC,00093365721,NDC Description Not Available,413.72,413.72,,,0 NDC,00093405953,Cefadroxil: 50 Tablet In 1 Bottle (0093-4059-53),13.9,13.9,,,0 NDC,00093408563,Tobramycin: 56 Ampule In 1 Carton (0093-4085-63) / 5 Ml In 1 Ampule,464.22,464.22,,,0 NDC,00093412773,Penicillin V Potassium: 100 Ml In 1 Bottle (0093-4127-73),4.12,4.12,,,0 NDC,00093414645,NDC Description Not Available,11.93,11.93,,,0 NDC,00093414719,NDC Description Not Available,8.01,8.01,,,0 NDC,00093414756,"Levalbuterol: 30 Pouch In 1 Carton (0093-4147-56) / 1 Vial, Single-Dose In 1 Pouch (0093-4147-19) / .5 Ml In 1 Vial, Single-Dose",8.04,8.04,,,0 NDC,00093414845,NDC Description Not Available,8.04,8.04,,,0 NDC,00093414856,"Levalbuterol: 6 Pouch In 1 Carton (0093-4148-56) / 5 Vial, Single-Dose In 1 Pouch (0093-4148-45) / 3 Ml In 1 Vial, Single-Dose",8.05,8.05,,,0 NDC,00093524519,NDC Description Not Available,51.48,51.48,,,0 NDC,00093524565,"Olanzapine: 30 Blister Pack In 1 Carton (0093-5245-65) / 1 Tablet, Orally Disintegrating In 1 Blister Pack (0093-5245-19)",51.5,51.5,,,0 NDC,00093524619,NDC Description Not Available,75.15,75.15,,,0 NDC,00093541719,NDC Description Not Available,10.82,10.82,,,0 NDC,00093541919,NDC Description Not Available,28.42,28.42,,,0 NDC,00093542088,Cabergoline: 1 Bottle In 1 Carton (0093-5420-88) / 8 Tablet In 1 Bottle,66.07,66.07,,,0 NDC,00093598619,NDC Description Not Available,382.85,382.85,,,0 NDC,00093598627,Epinephrine: 2 Container In 1 Carton (0093-5986-27) / 1 Syringe In 1 Container (0093-5986-19) / .3 Ml In 1 Syringe,416.81,416.81,,,0 NDC,00093681519,NDC Description Not Available,34.31,34.31,,,0 NDC,00093681545,NDC Description Not Available,34.71,34.71,,,0 NDC,00093681573,"Budesonide: 6 Pouch In 1 Carton (0093-6815-73) / 5 Vial, Single-Dose In 1 Pouch (0093-6815-45) / 2 Ml In 1 Vial, Single-Dose (0093-6815-19)",35.71,35.71,,,0 NDC,00093681619,NDC Description Not Available,24.98,24.98,,,0 NDC,00093681645,NDC Description Not Available,40.17,40.17,,,0 NDC,00093681719,NDC Description Not Available,41.54,41.54,,,0 NDC,00093681745,NDC Description Not Available,41.6,41.6,,,0 NDC,00093729056,"Raloxifene Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (0093-7290-56)",25.75,25.75,,,0 NDC,00093729601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0093-7296-01)",7.13,7.13,,,0 NDC,00093733401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (0093-7334-01),14.42,14.42,,,0 NDC,00093762056,"Letrozole: 30 Tablet, Film Coated In 1 Bottle (0093-7620-56)",64.89,64.89,,,0 NDC,00093811956,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (0093-8119-56)",45.84,45.84,,,0 NDC,00093818064,Oseltamivir Phosphate: 1 Bottle In 1 Carton (0093-8180-64) / 60 Ml In 1 Bottle,87.14,87.14,,,0 NDC,00093901819,NDC Description Not Available,3.77,3.77,,,0 NDC,00093902019,NDC Description Not Available,19.66,19.66,,,0 NDC,00093914801,Venlafaxine Hydrochloride: 100 Tablet In 1 Bottle (0093-9148-01),7.15,7.15,,,0 NDC,00096073204,Aquanil Hc: 118 G In 1 Bottle (0096-0732-04),16.48,16.48,,,0 NDC,00113030410,"Good Sense Nasal: 1 Bottle, Spray In 1 Carton (0113-0304-10) / 30 Ml In 1 Bottle, Spray",9.27,9.27,,,0 NDC,00113095516,good sense lice treatment: 1 BOTTLE in 1 CARTON (0113-0955-16) / 59 mL in 1 BOTTLE,9.27,9.27,,,0 NDC,00113118901,Good Sense Arthritis Pain: 1 Tube In 1 Carton (0113-1189-01) / 100 G In 1 Tube,42.31,42.31,,,0 NDC,00115107201,Dipyridamole: 100 Tablet In 1 Bottle (0115-1072-01),11.07,11.07,,,0 NDC,00115132019,"Colesevelam Hydrochloride: 180 Tablet, Film Coated In 1 Bottle (0115-1320-19)",14.42,14.42,,,0 NDC,00115136529,"Sevelamer Carbonate: 90 Packet In 1 Carton (0115-1365-29) / 1 Powder, For Suspension In 1 Packet (0115-1365-30)",3.04,3.04,,,0 NDC,00115136530,NDC Description Not Available,3.94,3.94,,,0 NDC,00115146853,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (0115-1468-53) / 5 g in 1 TUBE,28.84,28.84,,,0 NDC,00115146860,Lidocaine and Prilocaine: 5 TUBE in 1 CARTON (0115-1468-60) / 5 g in 1 TUBE,28.84,28.84,,,0 NDC,00115168774,Budesonide Inhalation: 6 Pouch In 1 Carton (0115-1687-74) / 5 Vial In 1 Pouch (0115-1687-76) / 2 Ml In 1 Vial,33.99,33.99,,,0 NDC,00115169430,"Epinephrine: 1 Case In 1 Carton (0115-1694-30) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.94,296.94,,,0 NDC,00115169449,"Epinephrine: 2 Case In 1 Carton (0115-1694-49) / 1 Syringe, Glass In 1 Case / .3 Ml In 1 Syringe, Glass",296.98,296.98,,,0 NDC,00115180001,"Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0115-1800-01)",2.43,2.43,,,0 NDC,00116200104,Chlorhexidine Gluconate: 118 Ml In 1 Bottle (0116-2001-04),27.3,27.3,,,0 NDC,00116200116,Chlorhexidine Gluconate: 473 Ml In 1 Bottle (0116-2001-16),42.23,42.23,,,0 NDC,00116400508,Lactulose: 237 Ml In 1 Bottle (0116-4005-08),35.02,35.02,,,0 NDC,00116400516,Lactulose: 473 Ml In 1 Bottle (0116-4005-16),73.41,73.41,,,0 NDC,00121043130,"Milk Of Magnesia: 10 Tray In 1 Case (0121-0431-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",1.99,1.99,,,0 NDC,00121048905,NDC Description Not Available,30.43,30.43,,,0 NDC,00121053005,NDC Description Not Available,4.15,4.15,,,0 NDC,00121058104,Haloperidol: 120 Ml In 1 Bottle (0121-0581-04),1.2,1.2,,,0 NDC,00121059515,NDC Description Not Available,21.08,21.08,,,0 NDC,00121063800,"Guaifenesin Dm: 10 Tray In 1 Case (0121-0638-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0638-05)",8.24,8.24,,,0 NDC,00121063805,NDC Description Not Available,8.82,8.82,,,0 NDC,00121064610,"Amantadine Hydrochloride: 10 Tray In 1 Case (0121-0646-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",13.62,13.62,,,0 NDC,00121072104,Fluoxetine: 120 Ml In 1 Bottle (0121-0721-04),22.61,22.61,,,0 NDC,00121074710,NDC Description Not Available,39.04,39.04,,,0 NDC,00121074740,"Sucralfate: 4 TRAY in 1 CASE (0121-0747-40) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE (0121-0747-10)",44.29,44.29,,,0 NDC,00121075908,Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle (0121-0759-08),1.8,1.8,,,0 NDC,00121076616,Calcium Carbonate: 12 Bottle In 1 Case (0121-0766-16) / 473 Ml In 1 Bottle,1.08,1.08,,,0 NDC,00121077001,"Lorazepam: 1 Bottle, Dropper In 1 Carton (0121-0770-01) / 30 Ml In 1 Bottle, Dropper",3.63,3.63,,,0 NDC,00121077516,Guaifenesin And Codeine Phosphate: 473 Ml In 1 Bottle (0121-0775-16),2.62,2.62,,,0 NDC,00121082016,Theophylline: 473 Ml In 1 Bottle (0121-0820-16),25.49,25.49,,,0 NDC,00121085320,"Sulfamethoxazole And Trimethoprim: 10 Cup, Unit-Dose In 1 Tray (0121-0853-20) / 20 Ml In 1 Cup, Unit-Dose",44.08,44.08,,,0 NDC,00121085340,NDC Description Not Available,62.02,62.02,,,0 NDC,00121086720,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (0121-0867-20) / 10 Capsule In 1 Blister Pack,112.89,112.89,,,0 NDC,00121086802,"Nystatin: 60 Ml In 1 Bottle, Dropper (0121-0868-02)",13.39,13.39,,,0 NDC,00121086805,NDC Description Not Available,8.0,8.0,,,0 NDC,00121087316,Lactulose: 473 Ml In 1 Bottle (0121-0873-16),61.730000000000004,61.730000000000004,,,0 NDC,00121089300,"Chlorhexidine Gluconate: 10 Tray In 1 Case (0121-0893-00) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (0121-0893-15)",7.57,7.57,,,0 NDC,00121090315,NDC Description Not Available,13.39,13.39,,,0 NDC,00121090405,NDC Description Not Available,4.28,4.28,,,0 NDC,00121091030,NDC Description Not Available,5.39,5.39,,,0 NDC,00121091400,"Childrens Ibuprofen Oral Suspension: 10 Tray In 1 Case (0121-0914-00) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (0121-0914-05)",0.86,0.86,,,0 NDC,00121091405,NDC Description Not Available,0.85,0.85,,,0 NDC,00121093505,NDC Description Not Available,6.18,6.18,,,0 NDC,00121094205,NDC Description Not Available,12.88,12.88,,,0 NDC,00121094510,NDC Description Not Available,17.88,17.88,,,0 NDC,00121094816,Potassium Chloride: 473 Ml In 1 Bottle (0121-0948-16),21.63,21.63,,,0 NDC,00121097251,"Lidocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (0121-0972-51) / 50 Ml In 1 Bottle, Glass",25.8,25.8,,,0 NDC,00121097410,NDC Description Not Available,38.94,38.94,,,0 NDC,00121097800,"Diphenhydramine Hydrochloride: 10 Tray In 1 Case (0121-0978-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-0978-10)",17.17,17.17,,,0 NDC,00121097810,NDC Description Not Available,20.85,20.85,,,0 NDC,00121101605,NDC Description Not Available,148.87,148.87,,,0 NDC,00121103605,NDC Description Not Available,57.45,57.45,,,0 NDC,00121104516,Nystatin: 473 Ml In 1 Bottle (0121-1045-16),8.8,8.8,,,0 NDC,00121115430,NDC Description Not Available,5.54,5.54,,,0 NDC,00121119000,"Sodium Citrate And Citric Acid: 10 Tray In 1 Case (0121-1190-00) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose (0121-1190-30)",19.85,19.85,,,0 NDC,00121119030,NDC Description Not Available,20.31,20.31,,,0 NDC,00121127600,"Guaifenesin Dm: 10 Tray In 1 Case (0121-1276-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1276-10)",8.76,8.76,,,0 NDC,00121127610,NDC Description Not Available,7.23,7.23,,,0 NDC,00121131400,"Acetaminophen: 10 Tray In 1 Case (0121-1314-00) / 10 Cup, Unit-Dose In 1 Tray / 10.15 Ml In 1 Cup, Unit-Dose (0121-1314-11)",7.11,7.11,,,0 NDC,00121131411,NDC Description Not Available,4.845,4.845,,,0 NDC,00121148800,"Guaifenesin: 10 Tray In 1 Case (0121-1488-00) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1488-10)",2.0,2.0,,,0 NDC,00121148810,NDC Description Not Available,1.88,1.88,,,0 NDC,00121157610,"Metoclopramide: 10 Tray In 1 Case (0121-1576-10) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose",12.46,12.46,,,0 NDC,00121173010,NDC Description Not Available,16.42,16.42,,,0 NDC,00121173030,"Diphenhydramine Hcl: 3 Tray In 1 Case (0121-1730-30) / 10 Cup, Unit-Dose In 1 Tray / 10 Ml In 1 Cup, Unit-Dose (0121-1730-10)",11.33,11.33,,,0 NDC,00121174405,NDC Description Not Available,2.06,2.06,,,0 NDC,00121176130,"Mag-Al Plus: 10 Tray In 1 Case (0121-1761-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",3.83,3.83,,,0 NDC,00121176230,"Mag-Al Plus Xs: 10 Tray In 1 Case (0121-1762-30) / 10 Cup, Unit-Dose In 1 Tray / 30 Ml In 1 Cup, Unit-Dose",4.64,4.64,,,0 NDC,00121177505,NDC Description Not Available,15.46,15.46,,,0 NDC,00121187010,NDC Description Not Available,7.53,7.53,,,0 NDC,00121188211,NDC Description Not Available,3.78,3.78,,,0 NDC,00121188407,NDC Description Not Available,16.39,16.39,,,0 NDC,00121197100,"Acetaminophen: 10 Tray In 1 Case (0121-1971-00) / 10 Cup, Unit-Dose In 1 Tray / 20.3 Ml In 1 Cup, Unit-Dose (0121-1971-21)",6.57,6.57,,,0 NDC,00121197121,NDC Description Not Available,3.45,3.45,,,0 NDC,00121202410,NDC Description Not Available,216.28,216.28,,,0 NDC,00121231615,NDC Description Not Available,14.4,14.4,,,0 NDC,00121282321,NDC Description Not Available,23.4,23.4,,,0 NDC,00121457715,NDC Description Not Available,6.18,6.18,,,0 NDC,00121467505,NDC Description Not Available,4.28,4.28,,,0 NDC,00121472105,NDC Description Not Available,21.88,21.88,,,0 NDC,00121476605,"Calcium Carbonate: 4 Tray In 1 Case (0121-4766-05) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose",9.61,9.61,,,0 NDC,00121477610,"Megestrol Acetate: 10 mL in 1 CUP, UNIT-DOSE (0121-4776-10)",16.48,16.48,,,0 NDC,00121479905,NDC Description Not Available,31.74,31.74,,,0 NDC,00121481105,NDC Description Not Available,32.96,32.96,,,0 NDC,00121482015,NDC Description Not Available,40.18,40.18,,,0 NDC,00121482705,NDC Description Not Available,26.98,26.98,,,0 NDC,00121495015,NDC Description Not Available,23.49,23.49,,,0 NDC,00121496705,NDC Description Not Available,2.58,2.58,,,0 NDC,00131181067,"Vimpat: 10 Vial, Glass In 1 Carton (0131-1810-67) / 20 Ml In 1 Vial, Glass",2.57,2.57,,,0 NDC,00131247735,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2477-35)",50.47,50.47,,,0 NDC,00131247760,"Vimpat: 6 Blister Pack In 1 Carton (0131-2477-60) / 10 Tablet, Film Coated In 1 Blister Pack",56.46,56.46,,,0 NDC,00131247835,"Vimpat: 60 Tablet, Film Coated In 1 Bottle, Plastic (0131-2478-35)",79.31,79.31,,,0 NDC,00131247860,"Vimpat: 6 Blister Pack In 1 Carton (0131-2478-60) / 10 Tablet, Film Coated In 1 Blister Pack",87.58,87.58,,,0 NDC,00131248060,"Vimpat: 6 Blister Pack In 1 Carton (0131-2480-60) / 10 Tablet, Film Coated In 1 Blister Pack",92.83,92.83,,,0 NDC,00131541072,"Vimpat: 200 Ml In 1 Bottle, Glass (0131-5410-72)",138.92,138.92,,,0 NDC,00132007912,Fleet: 12 SUPPOSITORY in 1 JAR (0132-0079-12),0.42,0.42,,,0 NDC,00132007924,Fleet: 24 SUPPOSITORY in 1 JAR (0132-0079-24),0.34,0.34,,,0 NDC,00132011946,"Fleet: 133 mL in 1 BOTTLE, WITH APPLICATOR (0132-0119-46)",1.54,1.54,,,0 NDC,00132019012,Pedia-Lax: 6 Applicator In 1 Carton (0132-0190-12) / 4 Ml In 1 Applicator,0.34,0.34,,,0 NDC,00132020140,"Fleet: 133 Ml In 1 Bottle, With Applicator (0132-0201-40)",2.06,2.06,,,0 NDC,00135020001,Abreva: 2 G In 1 Tube (0135-0200-01),45.73,45.73,,,0 NDC,00140000501,"Valium: 1 Bottle, Plastic In 1 Carton (0140-0005-01) / 100 Tablet In 1 Bottle, Plastic",22.66,22.66,,,0 NDC,00143900601,"Acetazolamide: 1 Vial In 1 Carton (0143-9006-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",135.07,135.07,,,0 NDC,00143902201,NDC Description Not Available,32.44,32.44,,,0 NDC,00143902202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0143-9022-02) / 5 Ml In 1 Syringe, Glass (0143-9022-01)",30.19,30.19,,,0 NDC,00143908501,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9085-01) / 10 Ml In 1 Vial,29.87,29.87,,,0 NDC,00143908601,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9086-01) / 25 Ml In 1 Vial,27.37,27.37,,,0 NDC,00143909301,Doxorubicin Hydrochloride: 1 Vial In 1 Box (0143-9093-01) / 25 Ml In 1 Vial,227.56,227.56,,,0 NDC,00143909801,"Bortezomib: 1 Vial In 1 Carton (0143-9098-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",4.26,4.26,,,0 NDC,00143913601,"Mitomycin: 1 Vial In 1 Box (0143-9136-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",118.96,118.96,,,0 NDC,00143914101,NDC Description Not Available,32.96,32.96,,,0 NDC,00143915701,NDC Description Not Available,1.71,1.71,,,0 NDC,00143915710,"Furosemide: 10 Vial, Single-Dose In 1 Carton (0143-9157-10) / 10 Ml In 1 Vial, Single-Dose (0143-9157-01)",1.26,1.26,,,0 NDC,00143916101,NDC Description Not Available,17.38,17.38,,,0 NDC,00143916125,Vancomycin Hydrochloride: 25 Vial In 1 Package (0143-9161-25) / 513 Mg In 1 Vial (0143-9161-01),16.34,16.34,,,0 NDC,00143916201,NDC Description Not Available,12.84,12.84,,,0 NDC,00143916210,Vancomycin Hydrochloride: 10 Vial In 1 Package (0143-9162-10) / 1025 Mg In 1 Vial (0143-9162-01),12.12,12.12,,,0 NDC,00143916301,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9163-01) / 5.13 G In 1 Vial, Pharmacy Bulk Package",15.7,15.7,,,0 NDC,00143916401,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0143-9164-01) / 10.25 G In 1 Vial, Pharmacy Bulk Package",15.48,15.48,,,0 NDC,00143918001,NDC Description Not Available,0.42,0.42,,,0 NDC,00143918025,Calcium Gluconate: 25 Vial In 1 Carton (0143-9180-25) / 10 Ml In 1 Vial (0143-9180-01),0.43,0.43,,,0 NDC,00143919201,Foscarnet Sodium: 10 Carton In 1 Case (0143-9192-01) / 1 Bottle In 1 Carton / 250 Ml In 1 Bottle,261.33,261.33,,,0 NDC,00143921701,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9217-01) / 5 Ml In 1 Vial, Glass",169.4,169.4,,,0 NDC,00143921801,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9218-01) / 10 Ml In 1 Vial, Glass",271.12,271.12,,,0 NDC,00143923301,NDC Description Not Available,97.34,97.34,,,0 NDC,00143923401,NDC Description Not Available,22.32,22.32,,,0 NDC,00143924501,NDC Description Not Available,24.74,24.74,,,0 NDC,00143924510,"Dacarbazine: 10 Vial In 1 Carton (0143-9245-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9245-01)",24.2,24.2,,,0 NDC,00143924701,"Dexrazoxane: 1 Vial In 1 Box (0143-9247-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",770.96,770.96,,,0 NDC,00143924801,"Dexrazoxane: 1 Vial In 1 Box (0143-9248-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",206.86,206.86,,,0 NDC,00143924920,Amoxicillin And Clavulanate Potassium: 20 Tablet In 1 Bottle (0143-9249-20),18.35,18.35,,,0 NDC,00143926101,NDC Description Not Available,1.82,1.82,,,0 NDC,00143926110,"Cefazolin: 10 Vial, Pharmacy Bulk Package In 1 Carton (0143-9261-10) / 1 Injection, Powder, For Solution In 1 Vial, Pharmacy Bulk Package (0143-9261-01)",1.84,1.84,,,0 NDC,00143926201,NDC Description Not Available,2.285,2.285,,,0 NDC,00143926225,Cefazolin: 25 Vial In 1 Carton (0143-9262-25) / 3 Ml In 1 Vial (0143-9262-01),2.29,2.29,,,0 NDC,00143927301,NDC Description Not Available,646.73,646.73,,,0 NDC,00143927701,Adriamycin: 1 Vial In 1 Box (0143-9277-01) / 25 Ml In 1 Vial,227.53,227.53,,,0 NDC,00143927901,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9279-01) / 40 Ml In 1 Vial",415.805,415.805,,,0 NDC,00143928001,"Mitomycin: 1 Vial In 1 Box, Unit-Dose (0143-9280-01) / 80 Ml In 1 Vial",463.76,463.76,,,0 NDC,00143928401,NDC Description Not Available,28.11,28.11,,,0 NDC,00143928410,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9284-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9284-01)",28.17,28.17,,,0 NDC,00143929801,NDC Description Not Available,7.06,7.06,,,0 NDC,00143929810,"Sodium Ferric Gluconate Complex In Sucrose: 10 Vial, Single-Dose In 1 Carton (0143-9298-10) / 5 Ml In 1 Vial, Single-Dose (0143-9298-01)",7.1,7.1,,,0 NDC,00143930001,NDC Description Not Available,12.13,12.13,,,0 NDC,00143930010,"Pantoprazole Sodium: 10 Vial In 1 Carton (0143-9300-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9300-01)",12.27,12.27,,,0 NDC,00143930701,"Idarubicin Hydrochloride: 1 Vial, Glass In 1 Box (0143-9307-01) / 10 Ml In 1 Vial, Glass",121.2,121.2,,,0 NDC,00143931001,NDC Description Not Available,9.29,9.29,,,0 NDC,00143931101,NDC Description Not Available,4.24,4.24,,,0 NDC,00143931501,NDC Description Not Available,6.68,6.68,,,0 NDC,00143931601,NDC Description Not Available,4.23,4.23,,,0 NDC,00143931701,NDC Description Not Available,0.23,0.23,,,0 NDC,00143931801,NDC Description Not Available,58.26,58.26,,,0 NDC,00143931810,Norepinephrine Bitartrate: 10 Vial In 1 Carton (0143-9318-10) / 4 Ml In 1 Vial (0143-9318-01),62.66,62.66,,,0 NDC,00143932801,NDC Description Not Available,23.04,23.04,,,0 NDC,00143932901,NDC Description Not Available,35.475,35.475,,,0 NDC,00143932910,"Bupivacaine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (0143-9329-10) / 50 Ml In 1 Vial, Multi-Dose (0143-9329-01)",47.59,47.59,,,0 NDC,00143933010,"Bupivacaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0143-9330-10) / 10 Ml In 1 Vial, Single-Dose (0143-9330-01)",7.0,7.0,,,0 NDC,00143933101,NDC Description Not Available,5.84,5.84,,,0 NDC,00143933301,NDC Description Not Available,4.12,4.12,,,0 NDC,00143933401,NDC Description Not Available,12.285,12.285,,,0 NDC,00143933801,NDC Description Not Available,4.94,4.94,,,0 NDC,00143935501,NDC Description Not Available,27.9,27.9,,,0 NDC,00143935701,NDC Description Not Available,39.145,39.145,,,0 NDC,00143935710,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0143-9357-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0143-9357-01)",30.91,30.91,,,0 NDC,00143935901,"Vancomycin Hydrochloride: 1 Injection, Powder, For Solution In 1 Bottle (0143-9359-01)",46.38,46.38,,,0 NDC,00143936101,"Micafungin: 1 Vial In 1 Carton (0143-9361-01) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.47,6.47,,,0 NDC,00143936801,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9368-01) / 20 Ml In 1 Vial",13.68,13.68,,,0 NDC,00143937401,NDC Description Not Available,0.32,0.32,,,0 NDC,00143937410,Milrinone Lactate: 10 Vial In 1 Carton (0143-9374-10) / 20 Ml In 1 Vial (0143-9374-01),6.5,6.5,,,0 NDC,00143937501,NDC Description Not Available,1.49,1.49,,,0 NDC,00143937601,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9376-01) / 5 Ml In 1 Vial",2.11,2.11,,,0 NDC,00143938001,NDC Description Not Available,1.3,1.3,,,0 NDC,00143938101,NDC Description Not Available,90.85,90.85,,,0 NDC,00143938401,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (0143-9384-01) / 5 Ml In 1 Vial, Single-Dose",1.82,1.82,,,0 NDC,00143938501,"Decitabine: 1 Vial, Single-Dose In 1 Carton (0143-9385-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",8.26,8.26,,,0 NDC,00143938601,NDC Description Not Available,0.51,0.51,,,0 NDC,00143939101,NDC Description Not Available,254.65,254.65,,,0 NDC,00143939201,NDC Description Not Available,353.29,353.29,,,0 NDC,00143939401,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0143-9394-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",9.93,9.93,,,0 NDC,00143939801,NDC Description Not Available,86.52,86.52,,,0 NDC,00143939810,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9398-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0143-9398-01)",86.52,86.52,,,0 NDC,00143950301,"Acetazolamide: 1 Vial In 1 Box, Unit-Dose (0143-9503-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",189.61,189.61,,,0 NDC,00143950401,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9504-01) / 50 Ml In 1 Vial, Multi-Dose",12.12,12.12,,,0 NDC,00143950501,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0143-9505-01) / 100 Ml In 1 Vial, Multi-Dose",11.0,11.0,,,0 NDC,00143950601,NDC Description Not Available,26.3,26.3,,,0 NDC,00143950701,NDC Description Not Available,27.69,27.69,,,0 NDC,00143950801,NDC Description Not Available,23.47,23.47,,,0 NDC,00143950810,Ketamine Hydrochloride: 10 Vial In 1 Box (0143-9508-10) / 10 Ml In 1 Vial (0143-9508-01),18.37,18.37,,,0 NDC,00143950901,NDC Description Not Available,53.28,53.28,,,0 NDC,00143950910,Ketamine Hydrochloride: 10 Vial In 1 Box (0143-9509-10) / 5 Ml In 1 Vial (0143-9509-01),52.64,52.64,,,0 NDC,00143951001,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9510-01) / 5 Ml In 1 Vial",3.65,3.65,,,0 NDC,00143951101,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9511-01) / 25 Ml In 1 Vial",3.11,3.11,,,0 NDC,00143951201,"Etoposide: 1 Vial In 1 Box, Unit-Dose (0143-9512-01) / 50 Ml In 1 Vial",3.2,3.2,,,0 NDC,00143951401,NDC Description Not Available,10.15,10.15,,,0 NDC,00143951901,NDC Description Not Available,13.32,13.32,,,0 NDC,00143951910,Methotrexate: 10 Vial In 1 Carton (0143-9519-10) / 2 Ml In 1 Vial,14.01,14.01,,,0 NDC,00143952501,NDC Description Not Available,138.02,138.02,,,0 NDC,00143953001,Ifosfamide: 1 Vial In 1 Box (0143-9530-01) / 60 Ml In 1 Vial,131.84,131.84,,,0 NDC,00143953101,Ifosfamide: 1 Vial In 1 Box (0143-9531-01) / 20 Ml In 1 Vial,84.54,84.54,,,0 NDC,00143953201,NDC Description Not Available,56.34,56.34,,,0 NDC,00143953225,Dexmedetomidine Hcl: 25 Vial In 1 Carton (0143-9532-25) / 2 Ml In 1 Vial (0143-9532-01),72.6,72.6,,,0 NDC,00143953301,"Allopurinol Sodium: 1 Vial In 1 Box, Unit-Dose (0143-9533-01) / 25 Ml In 1 Vial",5784.48,5784.48,,,0 NDC,00143955101,NDC Description Not Available,290.29,290.29,,,0 NDC,00143955110,Daunorubicin Hydrochloride: 10 Vial In 1 Box (0143-9551-10) / 4 Ml In 1 Vial (0143-9551-01),290.2,290.2,,,0 NDC,00143955201,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9552-01) / 17.5 Ml In 1 Vial",18.61,18.61,,,0 NDC,00143955301,"Leucovorin Calcium: 1 Vial In 1 Box, Unit-Dose (0143-9553-01) / 20 Ml In 1 Vial",25.23,25.23,,,0 NDC,00143955401,Leucovorin Calcium: 1 Vial In 1 Box (0143-9554-01) / 10 Ml In 1 Vial,31.68,31.68,,,0 NDC,00143956401,Phentolamine Mesylate: 1 Vial In 1 Box (0143-9564-01) / 1 Ml In 1 Vial,1158.9650000000001,1158.9650000000001,,,0 NDC,00143956410,Phentolamine Mesylate: 10 Vial In 1 Box (0143-9564-10) / 1 Ml In 1 Vial,1211.28,1211.28,,,0 NDC,00143956601,"Azathioprine Sodium: 1 Vial In 1 Box, Unit-Dose (0143-9566-01) / 10 Ml In 1 Vial",540.75,540.75,,,0 NDC,00143956701,NDC Description Not Available,9.78,9.78,,,0 NDC,00143956725,"Cefuroxime: 25 Vial In 1 Carton (0143-9567-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9567-01)",9.719999999999999,9.719999999999999,,,0 NDC,00143957001,NDC Description Not Available,27.38,27.38,,,0 NDC,00143957010,Sodium Ferric Gluconate Complex In Sucrose: 10 Vial In 1 Carton (0143-9570-10) / 5 Ml In 1 Vial (0143-9570-01),27.46,27.46,,,0 NDC,00143957401,NDC Description Not Available,0.09,0.09,,,0 NDC,00143957501,NDC Description Not Available,0.26,0.26,,,0 NDC,00143957701,NDC Description Not Available,0.02,0.02,,,0 NDC,00143958701,NDC Description Not Available,15.56,15.56,,,0 NDC,00143959301,NDC Description Not Available,91.83,91.83,,,0 NDC,00143959310,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9593-10) / 10 Ml In 1 Vial (0143-9593-01),87.32,87.32,,,0 NDC,00143959401,NDC Description Not Available,1.15,1.15,,,0 NDC,00143959501,NDC Description Not Available,0.36,0.36,,,0 NDC,00143959721,Abiraterone: 120 Tablet In 1 Bottle (0143-9597-21),110.64,110.64,,,0 NDC,00143962101,NDC Description Not Available,29.87,29.87,,,0 NDC,00143962201,"Labetalol Hydrochloride: 1 Vial In 1 Box, Unit-Dose (0143-9622-01) / 20 Ml In 1 Vial",26.99,26.99,,,0 NDC,00143962301,"Labetalol Hydrochloride: 1 Vial In 1 Box, Unit-Dose (0143-9623-01) / 40 Ml In 1 Vial",50.47,50.47,,,0 NDC,00143963301,NDC Description Not Available,695.45,695.45,,,0 NDC,00143963401,NDC Description Not Available,1.8,1.8,,,0 NDC,00143963701,NDC Description Not Available,74.79,74.79,,,0 NDC,00143963710,"Valproate Sodium: 10 Vial, Single-Dose In 1 Tray (0143-9637-10) / 5 Ml In 1 Vial, Single-Dose (0143-9637-01)",74.79,74.79,,,0 NDC,00143963801,NDC Description Not Available,51.7,51.7,,,0 NDC,00143963805,Sumatriptan: 5 Vial In 1 Carton (0143-9638-05) / .5 Ml In 1 Vial (0143-9638-01),51.5,51.5,,,0 NDC,00143965901,Testosterone Cypionate: 1 Ml In 1 Vial (0143-9659-01),0.39,0.39,,,0 NDC,00143966001,NDC Description Not Available,11.63,11.63,,,0 NDC,00143966010,Metoprolol Tartrate: 10 Vial In 1 Carton (0143-9660-10) / 5 Ml In 1 Vial (0143-9660-01),11.35,11.35,,,0 NDC,00143967301,NDC Description Not Available,2.235,2.235,,,0 NDC,00143967325,"Levetiracetam: 25 Vial, Glass In 1 Carton (0143-9673-25) / 5 Ml In 1 Vial, Glass (0143-9673-01)",0.35,0.35,,,0 NDC,00143967401,Argatroban: 2.5 Ml In 1 Vial (0143-9674-01),4.38,4.38,,,0 NDC,00143968001,NDC Description Not Available,29.32,29.32,,,0 NDC,00143968025,Glycopyrrolate: 25 Vial In 1 Carton (0143-9680-25) / 5 Ml In 1 Vial (0143-9680-01),18.53,18.53,,,0 NDC,00143968101,NDC Description Not Available,22.62,22.62,,,0 NDC,00143968125,Glycopyrrolate: 25 Vial In 1 Carton (0143-9681-25) / 2 Ml In 1 Vial (0143-9681-01),23.39,23.39,,,0 NDC,00143968201,NDC Description Not Available,12.24,12.24,,,0 NDC,00143968225,Glycopyrrolate: 25 Vial In 1 Carton (0143-9682-25) / 1 Ml In 1 Vial (0143-9682-01),13.59,13.59,,,0 NDC,00143968401,NDC Description Not Available,3.51,3.51,,,0 NDC,00143968410,"Flumazenil: 10 Vial, Multi-Dose In 1 Box (0143-9684-10) / 5 Ml In 1 Vial, Multi-Dose (0143-9684-01)",19.06,19.06,,,0 NDC,00143968901,NDC Description Not Available,110.39500000000001,110.39500000000001,,,0 NDC,00143968910,Nicardipine Hydrochloride: 10 Vial In 1 Carton (0143-9689-10) / 10 Ml In 1 Vial (0143-9689-01),110.405,110.405,,,0 NDC,00143970101,"Irinotecan Hydrochloride: 5 Ml In 1 Vial, Glass (0143-9701-01)",60.1,60.1,,,0 NDC,00143970201,"Irinotecan Hydrochloride: 2 Ml In 1 Vial, Glass (0143-9702-01)",40.43,40.43,,,0 NDC,00143970910,Milrinone Lactate: 10 Vial In 1 Box (0143-9709-10) / 20 Ml In 1 Vial (0143-9709-01),10.92,10.92,,,0 NDC,00143971001,NDC Description Not Available,13.54,13.54,,,0 NDC,00143971010,Milrinone Lactate: 10 Vial In 1 Box (0143-9710-10) / 10 Ml In 1 Vial (0143-9710-01),13.52,13.52,,,0 NDC,00143971801,NDC Description Not Available,17.15,17.15,,,0 NDC,00143971901,NDC Description Not Available,16.48,16.48,,,0 NDC,00143972001,NDC Description Not Available,8.97,8.97,,,0 NDC,00143972101,NDC Description Not Available,13.29,13.29,,,0 NDC,00143972201,NDC Description Not Available,25.84,25.84,,,0 NDC,00143972401,"Clonidine Hydrochloride: 10 Ml In 1 Vial, Single-Use (0143-9724-01)",179.23,179.23,,,0 NDC,00143972901,NDC Description Not Available,180.42,180.42,,,0 NDC,00143974401,NDC Description Not Available,3.91,3.91,,,0 NDC,00143974601,NDC Description Not Available,17.14,17.14,,,0 NDC,00143975301,NDC Description Not Available,2.13,2.13,,,0 NDC,00143975401,NDC Description Not Available,22.45,22.45,,,0 NDC,00143975425,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Carton (0143-9754-25) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (0143-9754-01)",27.98,27.98,,,0 NDC,00143978401,NDC Description Not Available,21.26,21.26,,,0 NDC,00143978410,"Flumazenil: 10 Vial, Multi-Dose In 1 Box (0143-9784-10) / 5 Ml In 1 Vial, Multi-Dose (0143-9784-01)",13.95,13.95,,,0 NDC,00143978501,NDC Description Not Available,73.25,73.25,,,0 NDC,00143978510,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (0143-9785-10) / 5 Ml In 1 Vial, Single-Dose (0143-9785-01)",73.4,73.4,,,0 NDC,00143978601,NDC Description Not Available,39.64,39.64,,,0 NDC,00143978701,NDC Description Not Available,22.97,22.97,,,0 NDC,00143985001,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9850-01)",1.0,1.0,,,0 NDC,00143985101,"Methylprednisolone Sodium Succinate: 1 Injection, Powder, For Solution In 1 Vial, Multi-Dose (0143-9851-01)",0.91,0.91,,,0 NDC,00143985201,NDC Description Not Available,109.32,109.32,,,0 NDC,00143985210,"Levocarnitine: 10 Vial, Single-Use In 1 Carton (0143-9852-10) / 5 Ml In 1 Vial, Single-Use (0143-9852-01)",154.5,154.5,,,0 NDC,00143985601,NDC Description Not Available,1.57,1.57,,,0 NDC,00143985625,"Ceftriaxone: 25 Vial In 1 Box (0143-9856-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9856-01)",1.635,1.635,,,0 NDC,00143985701,NDC Description Not Available,2.125,2.125,,,0 NDC,00143985801,NDC Description Not Available,2.32,2.32,,,0 NDC,00143987101,"Cladribine: 1 Vial In 1 Box, Unit-Dose (0143-9871-01) / 10 Ml In 1 Vial",144.48,144.48,,,0 NDC,00143987501,NDC Description Not Available,1.73,1.73,,,0 NDC,00143987525,Amiodarone Hydrochloride: 25 Vial In 1 Box (0143-9875-25) / 3 Ml In 1 Vial (0143-9875-01),1.73,1.73,,,0 NDC,00143987701,NDC Description Not Available,42.75,42.75,,,0 NDC,00143987725,"Cefoxitin: 25 Vial In 1 Carton (0143-9877-25) / 1 Injection, Powder, For Solution In 1 Vial (0143-9877-01)",42.74,42.74,,,0 NDC,00143992390,Cefazolin: 2.2 Ml In 1 Vial (0143-9923-90),8.48,8.48,,,0 NDC,00143992490,Cefazolin: 3 Ml In 1 Vial (0143-9924-90),2.915,2.915,,,0 NDC,00143992950,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (0143-9929-50)",20.35,20.35,,,0 NDC,00143997790,NDC Description Not Available,12.675,12.675,,,0 NDC,00143998250,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (0143-9982-50),6.18,6.18,,,0 NDC,00143998275,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (0143-9982-75),2.06,2.06,,,0 NDC,00149003956,NDC Description Not Available,7.9,7.9,,,0 NDC,00168000415,Triamcinolone Acetonide: 1 Tube In 1 Carton (0168-0004-15) / 15 G In 1 Tube,13.275,13.275,,,0 NDC,00168000416,Triamcinolone Acetonide: 453.6 G In 1 Jar (0168-0004-16),86.52,86.52,,,0 NDC,00168000615,Triamcinolone Acetonide: 15 G In 1 Tube (0168-0006-15),20.45,20.45,,,0 NDC,00168002031,Hydrocortisone: 1 Tube In 1 Carton (0168-0020-31) / 28.35 G In 1 Tube,7.38,7.38,,,0 NDC,00168003315,Betamethasone Valerate: 15 G In 1 Tube (0168-0033-15),73.13,73.13,,,0 NDC,00168004015,Betamethasone Valerate: 15 G In 1 Tube (0168-0040-15),100.94,100.94,,,0 NDC,00168005615,Betamethasone Dipropionate: 1 Tube In 1 Carton (0168-0056-15) / 15 G In 1 Tube,221.45,221.45,,,0 NDC,00168008031,Hydrocortisone: 30 G In 1 Tube (0168-0080-31),39.98,39.98,,,0 NDC,00168009930,Ketoconazole: 1 Tube In 1 Carton (0168-0099-30) / 30 G In 1 Tube,187.67,187.67,,,0 NDC,00168014630,Hydrocortisone: 29 G In 1 Tube (0168-0146-30),39.96,39.96,,,0 NDC,00168016215,Clobetasol Propionate: 15 G In 1 Tube (0168-0162-15),560.32,560.32,,,0 NDC,00168020130,Clindamycin Phosphate: 1 Bottle In 1 Carton (0168-0201-30) / 30 Ml In 1 Bottle,80.07,80.07,,,0 NDC,00168020437,Lidocaine: 1 Tube In 1 Carton (0168-0204-37) / 35.44 G In 1 Tube,1081.5,1081.5,,,0 NDC,00168025815,Clotrimazole And Betamethasone Dipropionate: 15 G In 1 Tube (0168-0258-15),73.13,73.13,,,0 NDC,00168026815,Betamethasone Dipropionate: 15 G In 1 Tube (0168-0268-15),299.73,299.73,,,0 NDC,00168035705,NDC Description Not Available,36.05,36.05,,,0 NDC,00168035730,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0168-0357-30) / 30 G In 1 Tube,64.93,64.93,,,0 NDC,00168035755,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0168-0357-55) / 5 G In 1 Tube (0168-0357-05),36.05,36.05,,,0 NDC,00168041630,Tacrolimus: 1 Tube In 1 Carton (0168-0416-30) / 30 G In 1 Tube,938.84,938.84,,,0 NDC,00169183311,Novolin R: 1 Vial In 1 Carton (0169-1833-11) / 10 Ml In 1 Vial,1.37,1.37,,,0 NDC,00169183411,Novolin N: 1 Vial In 1 Carton (0169-1834-11) / 10 Ml In 1 Vial,1.07,1.07,,,0 NDC,00169183711,Novolin 70/30: 1 Vial In 1 Carton (0169-1837-11) / 10 Ml In 1 Vial,1.04,1.04,,,0 NDC,00169266015,"Tresiba: 5 Syringe, Plastic In 1 Carton (0169-2660-15) / 3 Ml In 1 Syringe, Plastic",0.26,0.26,,,0 NDC,00169720101,"Novoseven Rt: 1 Kit In 1 Kit (0169-7201-01) * 1 Ml In 1 Vial, Glass (0169-7211-11) * 1 Ml In 1 Syringe, Glass (0169-7011-98)",5.53,5.53,,,0 NDC,00169720201,"Novoseven Rt: 1 Kit In 1 Kit (0169-7202-01) * 2 Ml In 1 Vial, Glass (0169-7212-11) * 2 Ml In 1 Syringe, Glass (0169-7012-98)",5.58,5.58,,,0 NDC,00169720501,"Novoseven Rt: 1 Kit In 1 Kit (0169-7205-01) * 5 Ml In 1 Vial, Glass (0169-7215-11) * 5 Ml In 1 Syringe, Glass (0169-7015-98)",5.54,5.54,,,0 NDC,00169721111,NDC Description Not Available,5.55,5.55,,,0 NDC,00169721211,NDC Description Not Available,5.54,5.54,,,0 NDC,00169721511,NDC Description Not Available,5.54,5.54,,,0 NDC,00169781001,"Novoeight: 1 Kit In 1 Kit (0169-7810-01) * 4 Ml In 1 Vial, Glass (0169-7811-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 NDC,00169781501,"Novoeight: 1 Kit In 1 Kit (0169-7815-01) * 4 Ml In 1 Vial, Glass (0169-7855-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 NDC,00169782001,"Novoeight: 1 Kit In 1 Kit (0169-7820-01) * 4 Ml In 1 Vial, Glass (0169-7821-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 NDC,00169782501,"Novoeight: 1 Kit In 1 Kit (0169-7825-01) * 4 Ml In 1 Vial, Glass (0169-7829-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.05,5.05,,,0 NDC,00169783001,"Novoeight: 1 Kit In 1 Kit (0169-7830-01) * 4 Ml In 1 Vial, Glass (0169-7831-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 NDC,00169785001,"Novoeight: 1 Kit In 1 Kit (0169-7850-01) * 4 Ml In 1 Vial, Glass (0169-7851-11) * 4 Ml In 1 Syringe, Glass (0169-7008-98)",5.34,5.34,,,0 NDC,00172392560,Diazepam: 100 Tablet In 1 Bottle (0172-3925-60),0.45,0.45,,,0 NDC,00172392670,Diazepam: 500 Tablet In 1 Bottle (0172-3926-70),0.82,0.82,,,0 NDC,00172541146,Fluconazole: 30 TABLET in 1 BOTTLE (0172-5411-46),31.93,31.93,,,0 NDC,00172541160,Fluconazole: 100 TABLET in 1 BOTTLE (0172-5411-60),29.87,29.87,,,0 NDC,00172572860,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (0172-5728-60)",8.76,8.76,,,0 NDC,00172572870,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5728-70)",8.76,8.76,,,0 NDC,00172572970,"Famotidine: 500 Tablet, Film Coated In 1 Bottle (0172-5729-70)",16.56,16.56,,,0 NDC,00172731320,Cyclosporine: 1 Bottle In 1 Package (0172-7313-20) / 50 Ml In 1 Bottle,21.49,21.49,,,0 NDC,00173051700,"Flolan: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0173-0517-00)",403.76,403.76,,,0 NDC,00173051900,"Flolan: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (0173-0519-00)",486.16,486.16,,,0 NDC,00173054700,Mepron: 42 Pouch In 1 Dose Pack (0173-0547-00) / 5 Ml In 1 Pouch,143.46,143.46,,,0 NDC,00173068220,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-20) / 200 Aerosol, Metered In 1 Inhaler",1.1,1.1,,,0 NDC,00173068224,"Ventolin Hfa: 1 Inhaler In 1 Carton (0173-0682-24) / 60 Aerosol, Metered In 1 Inhaler",0.47,0.47,,,0 NDC,00173071520,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0715-20) / 120 Aerosol, Metered In 1 Inhaler",18.36,18.36,,,0 NDC,00173071522,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0715-22) / 60 Aerosol, Metered In 1 Inhaler",23.82,23.82,,,0 NDC,00173071620,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0716-20) / 120 Aerosol, Metered In 1 Inhaler",22.91,22.91,,,0 NDC,00173071622,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0716-22) / 60 Aerosol, Metered In 1 Inhaler",21.91,21.91,,,0 NDC,00173071720,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0717-20) / 120 Aerosol, Metered In 1 Inhaler",57.55,57.55,,,0 NDC,00173071722,"Advair Hfa: 1 Inhaler In 1 Carton (0173-0717-22) / 60 Aerosol, Metered In 1 Inhaler",35.69,35.69,,,0 NDC,00173071920,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0719-20) / 120 Aerosol, Metered In 1 Inhaler",9.95,9.95,,,0 NDC,00173072020,"Flovent Hfa: 1 Inhaler In 1 Carton (0173-0720-20) / 120 Aerosol, Metered In 1 Inhaler",15.4,15.4,,,0 NDC,00173089242,Nucala: 1 Syringe In 1 Carton (0173-0892-42) / 1 Ml In 1 Syringe,154.68,154.68,,,0 NDC,00173089803,Jemperli: 1 Vial In 1 Carton (0173-0898-03) / 10 Ml In 1 Vial,561.55,561.55,,,0 NDC,00178050001,Lithostat: 100 Tablet In 1 Bottle (0178-0500-01),28.09,28.09,,,0 NDC,00185005501,Metolazone: 100 Tablet In 1 Bottle (0185-0055-01),8.76,8.76,,,0 NDC,00185012201,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (0185-0122-01),11.52,11.52,,,0 NDC,00185075701,Sulfadiazine: 100 TABLET in 1 BOTTLE (0185-0757-01),18.2,18.2,,,0 NDC,00185505001,Metolazone: 100 Tablet In 1 Bottle (0185-5050-01),7.55,7.55,,,0 NDC,00186037020,Symbicort: 1 Pouch In 1 Carton (0186-0370-20) / 1 Canister In 1 Pouch / 120 Aerosol In 1 Canister,1689.2,1689.2,,,0 NDC,00186077660,Brilinta: 60 Tablet In 1 Bottle (0186-0776-60),32.3,32.3,,,0 NDC,00186077739,"Brilinta: 10 Blister Pack In 1 Box, Unit-Dose (0186-0777-39) / 10 Tablet In 1 Blister Pack",32.64,32.64,,,0 NDC,00186077760,Brilinta: 60 Tablet In 1 Bottle (0186-0777-60),32.64,32.64,,,0 NDC,00186091612,"Pulmicort Flexhaler: 1 Inhaler In 1 Carton (0186-0916-12) / 120 Aerosol, Powder In 1 Inhaler",18.54,18.54,,,0 NDC,00186198904,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1989-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.3,44.3,,,0 NDC,00186199004,Pulmicort Respules: 6 Pouch In 1 Carton (0186-1990-04) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,44.36,44.36,,,0 NDC,00187006301,Ativan: 100 Tablet In 1 Bottle (0187-0063-01),148.32,148.32,,,0 NDC,00187170405,Mephyton: 1 BOTTLE in 1 CARTON (0187-1704-05) / 100 TABLET in 1 BOTTLE,211.89,211.89,,,0 NDC,00187301220,Mestinon: 473 Ml In 1 Bottle (0187-3012-20),69.12,69.12,,,0 NDC,00187301330,"Mestinon: 30 Tablet, Extended Release In 1 Bottle (0187-3013-30)",165.83,165.83,,,0 NDC,00187320447,Efudex: 1 Tube In 1 Carton (0187-3204-47) / 40 G In 1 Tube,6.18,6.18,,,0 NDC,00187516420,Retin-A: 1 Tube In 1 Carton (0187-5164-20) / 20 G In 1 Tube,86.52,86.52,,,0 NDC,00206886201,NDC Description Not Available,27.49,27.49,,,0 NDC,00206886202,Zosyn In Galaxy Containers: 12 Bag In 1 Box (0206-8862-02) / 100 Ml In 1 Bag (0206-8862-01),27.53,27.53,,,0 NDC,00225052547,NDC Description Not Available,3.15,3.15,,,0 NDC,00225080047,"Neo-Synephrine Mild: 15 Ml In 1 Bottle, Spray (0225-0800-47)",4.12,4.12,,,0 NDC,00225080547,"Neo-Synephrine Regular: 15 Ml In 1 Bottle, Spray (0225-0805-47)",4.12,4.12,,,0 NDC,00225081047,"Neo-Synephrine Maximum: 15 Ml In 1 Bottle, Spray (0225-0810-47)",4.12,4.12,,,0 NDC,00228202710,Alprazolam: 100 Tablet In 1 Bottle (0228-2027-10),2.46,2.46,,,0 NDC,00228202750,Alprazolam: 500 Tablet In 1 Bottle (0228-2027-50),3.05,3.05,,,0 NDC,00228202910,Alprazolam: 100 Tablet In 1 Bottle (0228-2029-10),3.25,3.25,,,0 NDC,00228202950,Alprazolam: 500 Tablet In 1 Bottle (0228-2029-50),3.7,3.7,,,0 NDC,00228207610,Temazepam: 100 Capsule In 1 Bottle (0228-2076-10),2.63,2.63,,,0 NDC,00228277811,"Propranolol Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (0228-2778-11)",7.21,7.21,,,0 NDC,00234057541,"Hibiclens: 118 Ml In 1 Bottle, Pump (0234-0575-41)",5.15,5.15,,,0 NDC,00245001389,NDC Description Not Available,12.42,12.42,,,0 NDC,00245003660,Prevalite: 60 Packet In 1 Carton (0245-0036-60) / 5.5 G In 1 Packet (0245-0036-89),18.54,18.54,,,0 NDC,00245003689,NDC Description Not Available,18.45,18.45,,,0 NDC,00245014489,NDC Description Not Available,26.17,26.17,,,0 NDC,00245014701,Pacerone: 100 Blister Pack In 1 Carton (0245-0147-01) / 1 Tablet In 1 Blister Pack (0245-0147-89),28.24,28.24,,,0 NDC,00245014789,NDC Description Not Available,27.6,27.6,,,0 NDC,00245014790,Pacerone: 90 Tablet In 1 Bottle (0245-0147-90),26.24,26.24,,,0 NDC,00245021111,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0211-11),6.18,6.18,,,0 NDC,00245021201,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0245-0212-01) / 1 Tablet In 1 Blister Pack (0245-0212-89),16.04,16.04,,,0 NDC,00245021211,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0212-11),15.45,15.45,,,0 NDC,00245021289,NDC Description Not Available,16.0,16.0,,,0 NDC,00245021311,Midodrine Hydrochloride: 100 Tablet In 1 Bottle (0245-0213-11),34.57,34.57,,,0 NDC,00245036001,"Klor-Con: 100 Packet In 1 Carton (0245-0360-01) / 1 Powder, For Solution In 1 Packet (0245-0360-89)",36.6,36.6,,,0 NDC,00245036089,NDC Description Not Available,36.72,36.72,,,0 NDC,00245086070,"Vandazole: 1 Tube, With Applicator In 1 Carton (0245-0860-70) / 70 G In 1 Tube, With Applicator",587.87,587.87,,,0 NDC,00245531689,NDC Description Not Available,2.34,2.34,,,0 NDC,00245531701,"Klor-Con M: 100 Blister Pack In 1 Carton (0245-5317-01) / 1 Tablet, Extended Release In 1 Blister Pack (0245-5317-89)",2.25,2.25,,,0 NDC,00245531711,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5317-11)",2.06,2.06,,,0 NDC,00245531789,NDC Description Not Available,2.23,2.23,,,0 NDC,00245531911,"Klor-Con M: 100 Tablet, Extended Release In 1 Bottle (0245-5319-11)",1.79,1.79,,,0 NDC,00254101019,"Diazoxide: 1 Bottle, Dropper In 1 Carton (0254-1010-19) / 30 Ml In 1 Bottle, Dropper",176.13,176.13,,,0 NDC,00254200801,"Colchicine: 100 Tablet, Film Coated In 1 Bottle, Plastic (0254-2008-01)",24.5,24.5,,,0 NDC,00254203601,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0254-2036-01),3.43,3.43,,,0 NDC,00254301278,NDC Description Not Available,679.66,679.66,,,0 NDC,00254302802,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3028-02)",24.08,24.08,,,0 NDC,00254302902,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (0254-3029-02)",24.09,24.09,,,0 NDC,00259160501,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1605-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",19.32,19.32,,,0 NDC,00259161001,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1610-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",13.13,13.13,,,0 NDC,00259162001,"Xeomin: 1 Vial, Single-Use In 1 Carton (0259-1620-01) / 200 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.63,12.63,,,0 NDC,00264151031,Dextrose: 84 Container In 1 Case (0264-1510-31) / 50 Ml In 1 Container,36.05,36.05,,,0 NDC,00264151032,Dextrose: 64 Container In 1 Case (0264-1510-32) / 100 Ml In 1 Container,34.745000000000005,34.745000000000005,,,0 NDC,00264180031,Sodium Chloride: 84 Container In 1 Case (0264-1800-31) / 50 Ml In 1 Container,36.05,36.05,,,0 NDC,00264180032,Sodium Chloride: 64 Container In 1 Case (0264-1800-32) / 100 Ml In 1 Container,38.29,38.29,,,0 NDC,00264180036,Sodium Chloride: 116 Container In 1 Case (0264-1800-36) / 25 Ml In 1 Container,35.55,35.55,,,0 NDC,00264193310,Trophamine: 12 Container In 1 Case (0264-1933-10) / 500 Ml In 1 Container,16.76,16.76,,,0 NDC,00264194420,Potassium Chloride: 24 Container In 1 Case (0264-1944-20) / 250 Ml In 1 Container,0.41,0.41,,,0 NDC,00264210100,Sterile Water: 16 Container In 1 Case (0264-2101-00) / 1000 Ml In 1 Container,12.42,12.42,,,0 NDC,00264210110,Sterile Water: 16 Container In 1 Case (0264-2101-10) / 500 Ml In 1 Container,14.42,14.42,,,0 NDC,00264220100,Sodium Chloride: 16 Container In 1 Case (0264-2201-00) / 1000 Ml In 1 Container,33.05,33.05,,,0 NDC,00264220110,Sodium Chloride: 16 Container In 1 Case (0264-2201-10) / 500 Ml In 1 Container,32.73,32.73,,,0 NDC,00264220300,Lactated Ringers: 16 Container In 1 Case (0264-2203-00) / 1000 Ml In 1 Container,448.17,448.17,,,0 NDC,00264230400,Acetic Acid: 16 Container In 1 Case (0264-2304-00) / 1000 Ml In 1 Container,1.03,1.03,,,0 NDC,00264310311,Cefazolin Sodium: 24 Container In 1 Case (0264-3103-11) / 50 Ml In 1 Container,28.35,28.35,,,0 NDC,00264310511,Cefazolin Sodium: 24 Container In 1 Case (0264-3105-11) / 50 Ml In 1 Container,15.96,15.96,,,0 NDC,00264312311,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3123-11) / 50 Ml In 1 Container,81.52,81.52,,,0 NDC,00264312511,Cefoxitin And Dextrose: 24 Container In 1 Case (0264-3125-11) / 50 Ml In 1 Container,72.58,72.58,,,0 NDC,00264315311,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3153-11) / 50 Ml In 1 Container,21.31,21.31,,,0 NDC,00264315511,Ceftriaxone And Dextrose: 24 Container In 1 Case (0264-3155-11) / 50 Ml In 1 Container,14.18,14.18,,,0 NDC,00264319311,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3193-11) / 50 Ml In 1 Container,42.57,42.57,,,0 NDC,00264319511,Cefepime Hydrochloride And Dextrose: 24 Container In 1 Case (0264-3195-11) / 50 Ml In 1 Container,32.18,32.18,,,0 NDC,00264410090,Acetaminophen: 24 Container In 1 Case (0264-4100-90) / 100 Ml In 1 Container,0.345,0.345,,,0 NDC,00264420452,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4204-52) / 50 Ml In 1 Container,4.83,4.83,,,0 NDC,00264420654,Magnesium Sulfate In Water: 24 Container In 1 Case (0264-4206-54) / 100 Ml In 1 Container,1.88,1.88,,,0 NDC,00264446010,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-10) / 1 Container In 1 Carton / 500 Ml In 1 Container,58.71,58.71,,,0 NDC,00264446030,Nutrilipid I.V. Fat Emulsion: 12 Carton In 1 Case (0264-4460-30) / 1 Container In 1 Carton / 250 Ml In 1 Container,85.49,85.49,,,0 NDC,00264450000,Plenamine: 8 Container In 1 Case (0264-4500-00) / 1000 Ml In 1 Container,515.0,515.0,,,0 NDC,00264553532,Metronidazole: 6 Carton In 1 Case (0264-5535-32) / 4 Container In 1 Carton / 100 Ml In 1 Container,14.21,14.21,,,0 NDC,00264580200,Sodium Chloride: 12 Container In 1 Case (0264-5802-00) / 1000 Ml In 1 Container,24.84,24.84,,,0 NDC,00264580210,Sodium Chloride: 24 Container In 1 Case (0264-5802-10) / 500 Ml In 1 Container,19.78,19.78,,,0 NDC,00264738850,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-50) / 2000 Ml In 1 Container,30.5,30.5,,,0 NDC,00264738860,Sodium Chloride For Irrigation: 4 Container In 1 Case (0264-7388-60) / 3000 Ml In 1 Container,33.8,33.8,,,0 NDC,00264751000,Dextrose: 12 Container In 1 Case (0264-7510-00) / 1000 Ml In 1 Container,35.44,35.44,,,0 NDC,00264751010,Dextrose: 24 Container In 1 Case (0264-7510-10) / 500 Ml In 1 Container,35.99,35.99,,,0 NDC,00264751020,Dextrose: 24 Container In 1 Case (0264-7510-20) / 250 Ml In 1 Container,35.96,35.96,,,0 NDC,00264752000,Dextrose: 12 Container In 1 Case (0264-7520-00) / 1000 Ml In 1 Container,35.41,35.41,,,0 NDC,00264752010,Dextrose: 24 Container In 1 Case (0264-7520-10) / 500 Ml In 1 Container,36.05,36.05,,,0 NDC,00264752020,Dextrose: 24 Container In 1 Case (0264-7520-20) / 250 Ml In 1 Container,35.615,35.615,,,0 NDC,00264761200,Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7612-00) / 1000 Ml In 1 Container,35.84,35.84,,,0 NDC,00264761210,Dextrose And Sodium Chloride: 24 Container In 1 Case (0264-7612-10) / 500 Ml In 1 Container,24.03,24.03,,,0 NDC,00264763800,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7638-00) / 1000 Ml In 1 Container,36.05,36.05,,,0 NDC,00264765200,Potassium Chloride In Dextrose And Sodium Chloride: 12 Container In 1 Case (0264-7652-00) / 1000 Ml In 1 Container,22.32,22.32,,,0 NDC,00264775000,Lactated Ringers: 12 Container In 1 Case (0264-7750-00) / 1000 Ml In 1 Container,27.64,27.64,,,0 NDC,00264775010,Lactated Ringers: 24 Container In 1 Case (0264-7750-10) / 500 Ml In 1 Container,34.105,34.105,,,0 NDC,00264775020,Lactated Ringers: 24 Container In 1 Case (0264-7750-20) / 250 Ml In 1 Container,36.05,36.05,,,0 NDC,00264775100,Dextrose In Lactated Ringers: 12 Container In 1 Case (0264-7751-00) / 1000 Ml In 1 Container,35.63,35.63,,,0 NDC,00264780000,Sodium Chloride: 12 Container In 1 Case (0264-7800-00) / 1000 Ml In 1 Container,22.77,22.77,,,0 NDC,00264780001,Sodium Chloride: 10 CONTAINER in 1 CARTON (0264-7800-01) / 500 mL in 1 CONTAINER,18.02,18.02,,,0 NDC,00264780009,Sodium Chloride: 12 Container In 1 Case (0264-7800-09) / 1000 Ml In 1 Container,14.530000000000001,14.530000000000001,,,0 NDC,00264780010,Sodium Chloride: 24 Container In 1 Case (0264-7800-10) / 500 Ml In 1 Container,20.48,20.48,,,0 NDC,00264780020,Sodium Chloride: 24 Container In 1 Case (0264-7800-20) / 250 Ml In 1 Container,37.19,37.19,,,0 NDC,00264780200,Sodium Chloride: 12 Container In 1 Case (0264-7802-00) / 1000 Ml In 1 Container,36.05,36.05,,,0 NDC,00264780210,Sodium Chloride: 24 Container In 1 Case (0264-7802-10) / 500 Ml In 1 Container,34.5,34.5,,,0 NDC,00264780510,Sodium Chloride: 24 Container In 1 Case (0264-7805-10) / 500 Ml In 1 Container,23.665,23.665,,,0 NDC,00264785000,Sterile Water: 12 Container In 1 Case (0264-7850-00) / 1000 Ml In 1 Container,32.59,32.59,,,0 NDC,00264785010,Sterile Water: 24 Container In 1 Case (0264-7850-10) / 500 Ml In 1 Container,18.585,18.585,,,0 NDC,00264785020,Sterile Water: 24 Container In 1 Case (0264-7850-20) / 250 Ml In 1 Container,22.37,22.37,,,0 NDC,00264786500,Potassium Chloride In Sodium Chloride: 12 Container In 1 Case (0264-7865-00) / 1000 Ml In 1 Container,2.16,2.16,,,0 NDC,00264934155,TrophAmine: 6 CARTON in 1 CASE (0264-9341-55) / 1 CONTAINER in 1 CARTON / 500 mL in 1 CONTAINER,334.165,334.165,,,0 NDC,00264937588,Sodium Chloride: 10 Ml In 1 Ampule (0264-9375-88),5.92,5.92,,,0 NDC,00264958720,Heparin Sodium In Dextrose: 24 Container In 1 Case (0264-9587-20) / 250 Ml In 1 Container,2.67,2.67,,,0 NDC,00264959820,Lidocaine Hydrochloride And Dextrose: 24 Container In 1 Case (0264-9598-20) / 250 Ml In 1 Container,0.02,0.02,,,0 NDC,00270014957,Cystografin: 10 Bottle In 1 Package (0270-0149-57) / 300 Ml In 1 Bottle,0.78,0.78,,,0 NDC,00270014960,Cystografin: 10 Bottle In 1 Package (0270-0149-60) / 100 Ml In 1 Bottle,1.33,1.33,,,0 NDC,00270044535,Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle,3.49,3.49,,,0 NDC,00270044540,Gastrografin: 12 Bottle In 1 Box (0270-0445-40) / 120 Ml In 1 Bottle,2.51,2.51,,,0 NDC,00270055615,Kinevac: 10 Vial In 1 Package (0270-0556-15) / 5 Ml In 1 Vial,542.96,542.96,,,0 NDC,00270111101,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-01) / 10 Ml In 1 Vial, Single-Dose",25.435000000000002,25.435000000000002,,,0 NDC,00270111102,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-02) / 15 Ml In 1 Vial, Single-Dose",26.79,26.79,,,0 NDC,00270111103,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-03) / 20 Ml In 1 Vial, Single-Dose",25.25,25.25,,,0 NDC,00270111104,"Prohance: 5 Vial, Single-Dose In 1 Box (0270-1111-04) / 5 Ml In 1 Vial, Single-Dose",30.59,30.59,,,0 NDC,00270111170,"Prohance: 5 Vial, Pharmacy Bulk Package In 1 Box (0270-1111-70) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.57,20.57,,,0 NDC,00270131525,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-25) / 30 Ml In 1 Vial, Single-Dose",5.2,5.2,,,0 NDC,00270131530,"Isovue 300: 10 Vial, Single-Dose In 1 Box (0270-1315-30) / 50 Ml In 1 Vial, Single-Dose",1.69,1.69,,,0 NDC,00270131535,Isovue 300: 10 Bottle In 1 Box (0270-1315-35) / 100 Ml In 1 Bottle,4.28,4.28,,,0 NDC,00270131541,ISOVUE: 10 BOTTLE in 1 BOX (0270-1315-41) / 200 mL in 1 BOTTLE,3.5,3.5,,,0 NDC,00270516414,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose",30.64,30.64,,,0 NDC,00270516415,"Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose",22.71,22.71,,,0 NDC,00281032608,Nitro-Bid: 48 Packet In 1 Box (0281-0326-08) / 1 G In 1 Packet,6.13,6.13,,,0 NDC,00283061026,Hurricaine: 25 Applicator In 1 Box (0283-0610-26) / .492 G In 1 Applicator (0283-0610-43),9.36,9.36,,,0 NDC,00283061043,NDC Description Not Available,8.22,8.22,,,0 NDC,00283067902,Hurricaine Topical Anesthetic: 59.7 G In 1 Can (0283-0679-02),113.3,113.3,,,0 NDC,00283087131,"Hurricaine Topical Anesthetic: 1 Bottle, Plastic In 1 Box (0283-0871-31) / 28.4 G In 1 Bottle, Plastic",32.87,32.87,,,0 NDC,00299596230,"Dysport: 1 Vial In 1 Carton (0299-5962-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",0.12,0.12,,,0 NDC,00310008828,"Daliresp: 1 Blister Pack In 1 Box, Unit-Dose (0310-0088-28) / 28 Tablet In 1 Blister Pack",64.59,64.59,,,0 NDC,00310072010,"Faslodex: 2 Syringe, Glass In 1 Carton (0310-0720-10) / 5 Ml In 1 Syringe, Glass",239.68,239.68,,,0 NDC,00310110501,NDC Description Not Available,110.48,110.48,,,0 NDC,00310173030,"Fasenra: 1 Syringe, Glass In 1 Carton (0310-1730-30) / 1 Ml In 1 Syringe, Glass",467.76,467.76,,,0 NDC,00310304000,"Saphnelo: 1 Vial, Glass In 1 Carton (0310-3040-00) / 2 Ml In 1 Vial, Glass",33.06,33.06,,,0 NDC,00310450012,Imfinzi: 1 Vial In 1 Carton (0310-4500-12) / 2.4 Ml In 1 Vial,210.73,210.73,,,0 NDC,00310453530,Imjudo: 1 Vial In 1 Carton (0310-4535-30) / 15 Ml In 1 Vial,301.4,301.4,,,0 NDC,00310461150,Imfinzi: 1 Vial In 1 Carton (0310-4611-50) / 10 Ml In 1 Vial,193.5,193.5,,,0 NDC,00310620530,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6205-30)",84.08,84.08,,,0 NDC,00310621030,"Farxiga: 30 Tablet, Film Coated In 1 Bottle, Plastic (0310-6210-30)",84.36,84.36,,,0 NDC,00310621039,"Farxiga: 3 Blister Pack In 1 Carton (0310-6210-39) / 10 Tablet, Film Coated In 1 Blister Pack",84.09,84.09,,,0 NDC,00310772010,"Fulvestrant: 2 SYRINGE, GLASS in 1 CARTON (0310-7720-10) / 5 mL in 1 SYRINGE, GLASS",75.7,75.7,,,0 NDC,00316022515,Desenex: 43 G In 1 Container (0316-0225-15),16.48,16.48,,,0 NDC,00316022530,Desenex: 85 G In 1 Container (0316-0225-30),23.74,23.74,,,0 NDC,00316022975,"Sarna: 222 Ml In 1 Bottle, Pump (0316-0229-75)",33.99,33.99,,,0 NDC,00316023475,"Sarna: 222 Ml In 1 Bottle, Pump (0316-0234-75)",46.35,46.35,,,0 NDC,00327000110,Clorpactin Wcs-90: 5 Vial In 1 Box (0327-0001-10) / 2 G In 1 Vial,7.21,7.21,,,0 NDC,00338000344,Sterile Water: 14 Bag In 1 Carton (0338-0003-44) / 1000 Ml In 1 Bag,31.25,31.25,,,0 NDC,00338000346,Sterile Water: 6 Bag In 1 Carton (0338-0003-46) / 2000 Ml In 1 Bag,256.78,256.78,,,0 NDC,00338000347,Sterile Water: 4 Bag In 1 Carton (0338-0003-47) / 3000 Ml In 1 Bag,59.48,59.48,,,0 NDC,00338000402,"Sterile Water: 24 Bottle, Plastic In 1 Carton (0338-0004-02) / 250 Ml In 1 Bottle, Plastic",2.37,2.37,,,0 NDC,00338000403,"Sterile Water: 18 Bottle, Plastic In 1 Carton (0338-0004-03) / 500 Ml In 1 Bottle, Plastic",13.3,13.3,,,0 NDC,00338000404,"Sterile Water: 12 Bottle, Plastic In 1 Carton (0338-0004-04) / 1000 Ml In 1 Bottle, Plastic",11.63,11.63,,,0 NDC,00338001304,Sterile Water: 1000 Ml In 1 Bag (0338-0013-04),31.53,31.53,,,0 NDC,00338001306,Sterile Water: 2000 Ml In 1 Bag (0338-0013-06),11.92,11.92,,,0 NDC,00338001702,Dextrose: 250 Ml In 1 Bag (0338-0017-02),36.05,36.05,,,0 NDC,00338001703,Dextrose: 500 Ml In 1 Bag (0338-0017-03),35.69,35.69,,,0 NDC,00338001704,Dextrose: 1000 Ml In 1 Bag (0338-0017-04),35.76,35.76,,,0 NDC,00338001710,Dextrose: 4 Bag In 1 Pouch (0338-0017-10) / 25 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338001711,Dextrose: 4 Bag In 1 Pouch (0338-0017-11) / 50 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338001718,Dextrose: 4 Bag In 1 Pouch (0338-0017-18) / 100 Ml In 1 Bag,35.65,35.65,,,0 NDC,00338001731,Dextrose: 16 Bag In 1 Pouch (0338-0017-31) / 50 Ml In 1 Bag,36.055,36.055,,,0 NDC,00338001738,Dextrose: 16 Bag In 1 Pouch (0338-0017-38) / 100 Ml In 1 Bag,35.81,35.81,,,0 NDC,00338001741,Dextrose: 1 Bag In 1 Package (0338-0017-41) / 50 Ml In 1 Bag,35.834999999999994,35.834999999999994,,,0 NDC,00338001748,Dextrose: 1 Bag In 1 Package (0338-0017-48) / 100 Ml In 1 Bag,35.16,35.16,,,0 NDC,00338002302,Dextrose: 250 Ml In 1 Bag (0338-0023-02),35.31,35.31,,,0 NDC,00338002303,Dextrose: 500 Ml In 1 Bag (0338-0023-03),35.875,35.875,,,0 NDC,00338002304,Dextrose: 1000 Ml In 1 Bag (0338-0023-04),35.114999999999995,35.114999999999995,,,0 NDC,00338004303,Sodium Chloride: 500 Ml In 1 Bag (0338-0043-03),35.465,35.465,,,0 NDC,00338004304,Sodium Chloride: 1000 Ml In 1 Bag (0338-0043-04),35.98,35.98,,,0 NDC,00338004727,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-27) / 3000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338004729,Sodium Chloride: 2 Bag In 1 Carton (0338-0047-29) / 5000 Ml In 1 Bag,32.04,32.04,,,0 NDC,00338004744,Sodium Chloride: 14 Bag In 1 Carton (0338-0047-44) / 1000 Ml In 1 Bag,32.11,32.11,,,0 NDC,00338004746,Sodium Chloride: 6 Bag In 1 Carton (0338-0047-46) / 2000 Ml In 1 Bag,28.77,28.77,,,0 NDC,00338004747,Sodium Chloride: 4 Bag In 1 Carton (0338-0047-47) / 3000 Ml In 1 Bag,32.53,32.53,,,0 NDC,00338004802,"Sodium Chloride: 24 Bottle, Plastic In 1 Carton (0338-0048-02) / 250 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 NDC,00338004803,"Sodium Chloride: 18 Bottle, Plastic In 1 Carton (0338-0048-03) / 500 Ml In 1 Bottle, Plastic",34.93,34.93,,,0 NDC,00338004804,"Sodium Chloride: 12 Bottle, Plastic In 1 Carton (0338-0048-04) / 1000 Ml In 1 Bottle, Plastic",35.239999999999995,35.239999999999995,,,0 NDC,00338004902,Sodium Chloride: 250 Ml In 1 Bag (0338-0049-02),23.0,23.0,,,0 NDC,00338004903,Sodium Chloride: 500 Ml In 1 Bag (0338-0049-03),18.02,18.02,,,0 NDC,00338004904,Sodium Chloride: 1000 Ml In 1 Bag (0338-0049-04),33.68,33.68,,,0 NDC,00338004910,Sodium Chloride: 4 Bag In 1 Package (0338-0049-10) / 25 Ml In 1 Bag,24.205,24.205,,,0 NDC,00338004911,Sodium Chloride: 4 Bag In 1 Package (0338-0049-11) / 50 Ml In 1 Bag,34.87,34.87,,,0 NDC,00338004918,Sodium Chloride: 4 Bag In 1 Package (0338-0049-18) / 100 Ml In 1 Bag,32.35,32.35,,,0 NDC,00338004931,Sodium Chloride: 16 Bag In 1 Package (0338-0049-31) / 50 Ml In 1 Bag,35.64,35.64,,,0 NDC,00338004938,Sodium Chloride: 16 Bag In 1 Package (0338-0049-38) / 100 Ml In 1 Bag,30.9,30.9,,,0 NDC,00338004941,Sodium Chloride: 1 Bag In 1 Package (0338-0049-41) / 50 Ml In 1 Bag,35.905,35.905,,,0 NDC,00338004948,Sodium Chloride: 1 Bag In 1 Package (0338-0049-48) / 100 Ml In 1 Bag,34.36,34.36,,,0 NDC,00338005403,Sodium Chloride: 24 Bag In 1 Carton (0338-0054-03) / 500 Ml In 1 Bag,35.94,35.94,,,0 NDC,00338006230,Dextrose: 30 Bag In 1 Carton (0338-0062-30) / 250 Ml In 1 Bag,36.209999999999994,36.209999999999994,,,0 NDC,00338006301,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0063-01) / 10 Ml In 1 Vial, Single-Use",351.31,351.31,,,0 NDC,00338006620,Dextrose: 20 Bag In 1 Carton (0338-0066-20) / 500 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338006701,"Doxil: 1 Vial, Single-Use In 1 Carton (0338-0067-01) / 25 Ml In 1 Vial, Single-Use",610.73,610.73,,,0 NDC,00338006910,Ketorolac Tromethamine: 10 Vial In 1 Carton (0338-0069-10) / 1 Ml In 1 Vial,5.37,5.37,,,0 NDC,00338007010,Dextrose: 10 Bag In 1 Carton (0338-0070-10) / 1000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338007225,Ketorolac Tromethamine: 25 Vial In 1 Carton (0338-0072-25) / 1 Ml In 1 Vial,4.05,4.05,,,0 NDC,00338007704,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0077-04) / 1000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338008503,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0085-03) / 500 Ml In 1 Bag,36.05,36.05,,,0 NDC,00338008504,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0085-04) / 1000 Ml In 1 Bag,36.235,36.235,,,0 NDC,00338008903,Dextrose And Sodium Chloride: 24 Bag In 1 Carton (0338-0089-03) / 500 Ml In 1 Bag,32.77,32.77,,,0 NDC,00338008904,Dextrose And Sodium Chloride: 14 Bag In 1 Carton (0338-0089-04) / 1000 Ml In 1 Bag,26.96,26.96,,,0 NDC,00338011220,Norepinephrine Bitartrate: 20 Bag In 1 Carton (0338-0112-20) / 250 Ml In 1 Bag,51.3,51.3,,,0 NDC,00338011702,Lactated Ringers: 250 Ml In 1 Bag (0338-0117-02),36.05,36.05,,,0 NDC,00338011703,Lactated Ringers: 500 Ml In 1 Bag (0338-0117-03),31.01,31.01,,,0 NDC,00338011704,Lactated Ringers: 1000 Ml In 1 Bag (0338-0117-04),33.705,33.705,,,0 NDC,00338012204,Vancomycin Hydrochloride: 250 Ml In 1 Bag (0338-0122-04),196.82,196.82,,,0 NDC,00338012404,Vancomycin Hydrochloride: 300 Ml In 1 Bag (0338-0124-04),200.94,200.94,,,0 NDC,00338012504,Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0125-04),35.67,35.67,,,0 NDC,00338012612,Myxredlin: 12 Container In 1 Carton (0338-0126-12) / 100 Ml In 1 Container,71.44999999999999,71.44999999999999,,,0 NDC,00338022103,Plasma-Lyte A: 500 Ml In 1 Bag (0338-0221-03),41.54,41.54,,,0 NDC,00338022104,Plasma-Lyte A: 1000 Ml In 1 Bag (0338-0221-04),51.59,51.59,,,0 NDC,00338028947,Glycine: 3000 Ml In 1 Bag (0338-0289-47),86.52,86.52,,,0 NDC,00338032201,Recothrom: 1 Kit In 1 Kit (0338-0322-01) * 5 Ml In 1 Vial (0338-0324-01) * 5 Ml In 1 Syringe,359.54,359.54,,,0 NDC,00338032401,NDC Description Not Available,367.99,367.99,,,0 NDC,00338035702,Osmitrol: 250 Ml In 1 Bag (0338-0357-02),216.3,216.3,,,0 NDC,00338035703,Osmitrol: 500 Ml In 1 Bag (0338-0357-03),271.38,271.38,,,0 NDC,00338041102,Lidocaine Hydrochloride And Dextrose: 24 Bag In 1 Carton (0338-0411-02) / 250 Ml In 1 Bag,0.08,0.08,,,0 NDC,00338042418,Heparin Sodium In Sodium Chloride: 1 Bag In 1 Carton (0338-0424-18) / 500 Ml In 1 Bag,21.63,21.63,,,0 NDC,00338043103,Heparin Sodium In Sodium Chloride: 18 Bag In 1 Carton (0338-0431-03) / 500 Ml In 1 Bag,12.64,12.64,,,0 NDC,00338049906,Prosol: 2000 Ml In 1 Bag (0338-0499-06),515.0,515.0,,,0 NDC,00338050206,Clinisol: 2000 Ml In 1 Bag (0338-0502-06),515.0,515.0,,,0 NDC,00338050741,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0507-41),22.6,22.6,,,0 NDC,00338050748,Gentamicin Sulfate In Sodium Chloride: 100 Ml In 1 Bag (0338-0507-48),9.08,9.08,,,0 NDC,00338050941,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0509-41),17.59,17.59,,,0 NDC,00338051141,Gentamicin Sulfate In Sodium Chloride: 50 Ml In 1 Bag (0338-0511-41),9.05,9.05,,,0 NDC,00338051909,Intralipid: 250 Ml In 1 Bag (0338-0519-09),203.75,203.75,,,0 NDC,00338051958,Intralipid: 100 Ml In 1 Bag (0338-0519-58),135.96,135.96,,,0 NDC,00338055111,Dextrose: 50 Ml In 1 Bag (0338-0551-11),36.05,36.05,,,0 NDC,00338055118,Dextrose: 100 Ml In 1 Bag (0338-0551-18),36.05,36.05,,,0 NDC,00338055311,Sodium Chloride: 50 Ml In 1 Bag (0338-0553-11),36.004999999999995,36.004999999999995,,,0 NDC,00338055318,Sodium Chloride: 100 Ml In 1 Bag (0338-0553-18),36.0,36.0,,,0 NDC,00338065604,"Acetic Acid: 1000 Ml In 1 Bottle, Plastic (0338-0656-04)",25.43,25.43,,,0 NDC,00338066904,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0669-04),43.26,43.26,,,0 NDC,00338067104,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0671-04),25.26,25.26,,,0 NDC,00338067504,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0675-04),43.05,43.05,,,0 NDC,00338068304,Potassium Chloride In Dextrose: 1000 Ml In 1 Bag (0338-0683-04),4.33,4.33,,,0 NDC,00338069104,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0691-04) / 1000 Ml In 1 Bag,4.33,4.33,,,0 NDC,00338069504,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0695-04) / 1000 Ml In 1 Bag,2.31,2.31,,,0 NDC,00338070341,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-41) / 50 Ml In 1 Bag,1.65,1.65,,,0 NDC,00338070348,Potassium Chloride: 24 Bag In 1 Carton (0338-0703-48) / 100 Ml In 1 Bag,0.88,0.88,,,0 NDC,00338070434,Potassium Chloride In Sodium Chloride: 14 Bag In 1 Carton (0338-0704-34) / 1000 Ml In 1 Bag,3.25,3.25,,,0 NDC,00338070948,Potassium Chloride: 24 Bag In 1 Carton (0338-0709-48) / 100 Ml In 1 Bag,3.34,3.34,,,0 NDC,00338071224,Daptomycin In Sodium Chloride: 24 Bag In 1 Carton (0338-0712-24) / 50 Ml In 1 Bag,119.07,119.07,,,0 NDC,00338071424,Daptomycin In Sodium Chloride: 24 Bag In 1 Carton (0338-0714-24) / 50 Ml In 1 Bag,140.21,140.21,,,0 NDC,00338071612,Daptomycin In Sodium Chloride: 12 Bag In 1 Carton (0338-0716-12) / 100 Ml In 1 Bag,244.16,244.16,,,0 NDC,00338071812,Daptomycin In Sodium Chloride: 12 Bag In 1 Carton (0338-0718-12) / 100 Ml In 1 Bag,284.84,284.84,,,0 NDC,00338071906,Dextrose: 2000 Ml In 1 Bag (0338-0719-06),275.525,275.525,,,0 NDC,00338080304,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0803-04),43.41,43.41,,,0 NDC,00338080704,Potassium Chloride In Dextrose And Sodium Chloride: 1000 Ml In 1 Bag (0338-0807-04),37.9,37.9,,,0 NDC,00338081104,Potassium Chloride In Lactated Ringers And Dextrose: 1000 Ml In 1 Bag (0338-0811-04),47.12,47.12,,,0 NDC,00338100702,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1007-02) / 250 Ml In 1 Bag,6.38,6.38,,,0 NDC,00338100902,Dopamine Hydrochloride And Dextrose: 18 Bag In 1 Carton (0338-1009-02) / 250 Ml In 1 Bag,4.28,4.28,,,0 NDC,00338102541,Penicillin G Potassium: 50 Ml In 1 Bag (0338-1025-41),9.27,9.27,,,0 NDC,00338104702,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1047-02) / 250 Ml In 1 Bottle, Glass",88.58,88.58,,,0 NDC,00338104902,"Nitroglycerin In Dextrose: 12 Bottle, Glass In 1 Box (0338-1049-02) / 250 Ml In 1 Bottle, Glass",58.075,58.075,,,0 NDC,00338105548,Metronidazole: 24 Bag In 1 Carton (0338-1055-48) / 100 Ml In 1 Bag,9.54,9.54,,,0 NDC,00338107502,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1075-02) / 250 Ml In 1 Bag,86.72,86.72,,,0 NDC,00338107702,Dobutamine Hydrochloride In Dextrose: 18 Bag In 1 Carton (0338-1077-02) / 250 Ml In 1 Bag,31.59,31.59,,,0 NDC,00338113003,Premasol - Sulfite-Free (Amino Acid): 500 Ml In 1 Bag (0338-1130-03),19.39,19.39,,,0 NDC,00338113004,Premasol - Sulfite-Free (Amino Acid): 1000 Ml In 1 Bag (0338-1130-04),19.43,19.43,,,0 NDC,00338113006,Premasol - Sulfite-Free (Amino Acid): 2000 Ml In 1 Bag (0338-1130-06),21.48,21.48,,,0 NDC,00338130148,Cefepime: 12 Bag In 1 Box (0338-1301-48) / 100 Ml In 1 Bag,16.74,16.74,,,0 NDC,00338130501,"Mesnex: 1 Vial, Multi-Dose In 1 Box (0338-1305-01) / 10 Ml In 1 Vial, Multi-Dose",19.85,19.85,,,0 NDC,00338170840,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1708-40) / 50 Ml In 1 Bag,13.64,13.64,,,0 NDC,00338171540,Magnesium Sulfate: 40 Bag In 1 Carton (0338-1715-40) / 100 Ml In 1 Bag,3.36,3.36,,,0 NDC,00338355148,Vancomycin Hydrochloride: 100 Ml In 1 Bag (0338-3551-48),33.61,33.61,,,0 NDC,00338355248,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3552-48),58.47,58.47,,,0 NDC,00338358048,Vancomycin Hydrochloride: 200 Ml In 1 Bag (0338-3580-48),34.795,34.795,,,0 NDC,00338361250,NDC Description Not Available,22.93,22.93,,,0 NDC,00338381424,Clindamycin Phosphate: 24 Bag In 1 Carton (0338-3814-24) / 50 Ml In 1 Bag (0338-3814-50),18.86,18.86,,,0 NDC,00338381450,NDC Description Not Available,18.67,18.67,,,0 NDC,00338601137,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (0338-6011-37) / 200 Ml In 1 Bag,37.72,37.72,,,0 NDC,00338604537,Fluconazole: 10 Bag In 1 Carton (0338-6045-37) / 200 Ml In 1 Bag,45.46,45.46,,,0 NDC,00338604648,Fluconazole: 10 Bag In 1 Carton (0338-6046-48) / 100 Ml In 1 Bag,40.685,40.685,,,0 NDC,00338954302,Sodium Chloride: 250 Ml In 1 Bag (0338-9543-02),39.42,39.42,,,0 NDC,00338954303,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-03),18.87,18.87,,,0 NDC,00338954304,Sodium Chloride: 500 Ml In 1 Bag (0338-9543-04),22.76,22.76,,,0 NDC,00338954305,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-05),9.01,9.01,,,0 NDC,00338954306,Sodium Chloride: 1000 Ml In 1 Bag (0338-9543-06),39.7,39.7,,,0 NDC,00338955350,NDC Description Not Available,18.81,18.81,,,0 NDC,00338955712,Dexmedetomidine Hydrochloride: 12 Bag In 1 Carton (0338-9557-12) / 100 Ml In 1 Bag,121.54,121.54,,,0 NDC,00338956760,SODIUM CHLORIDE: 60 BAG in 1 CARTON (0338-9567-60) / 50 mL in 1 BAG,36.05,36.05,,,0 NDC,00338956948,Glucose: 48 BAG in 1 CARTON (0338-9569-48) / 100 mL in 1 BAG,36.05,36.05,,,0 NDC,00338958801,NDC Description Not Available,36.05,36.05,,,0 NDC,00338963801,NDC Description Not Available,27.39,27.39,,,0 NDC,00338963812,Zosyn: 12 Bag In 1 Carton (0338-9638-12) / 100 Ml In 1 Bag (0338-9638-01),27.4,27.4,,,0 NDC,00338964712,Vasopressin In 0.9% Sodium Chloride: 12 Bag In 1 Carton (0338-9647-12) / 100 Ml In 1 Bag,16.22,16.22,,,0 NDC,00338978901,NDC Description Not Available,36.05,36.05,,,0 NDC,00338979101,NDC Description Not Available,35.605000000000004,35.605000000000004,,,0 NDC,00338979901,NDC Description Not Available,18.02,18.02,,,0 NDC,00363087143,"473 mL in 1 BOTTLE, PLASTIC (0363-0871-43)",7.21,7.21,,,0 NDC,00378004001,"Clorazepate Dipotassium: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0040-01)",10.3,10.3,,,0 NDC,00378014491,Tamoxifen Citrate: 60 Tablet In 1 Bottle (0378-0144-91),6.83,6.83,,,0 NDC,00378041501,"Diphenoxylate Hydrochloride and Atropine Sulfate: 100 TABLET in 1 BOTTLE, PLASTIC (0378-0415-01)",3.09,3.09,,,0 NDC,00378086001,"Clozapine: 100 Tablet In 1 Bottle, Plastic (0378-0860-01)",12.33,12.33,,,0 NDC,00378087116,NDC Description Not Available,119.47,119.47,,,0 NDC,00378087199,Clonidine: 4 Pouch In 1 Carton (0378-0871-99) / 1 Patch In 1 Pouch (0378-0871-16) / 7 D In 1 Patch,119.48,119.48,,,0 NDC,00378087216,NDC Description Not Available,200.89,200.89,,,0 NDC,00378087299,Clonidine: 4 Pouch In 1 Carton (0378-0872-99) / 1 Patch In 1 Pouch (0378-0872-16) / 7 D In 1 Patch,200.85,200.85,,,0 NDC,00378087316,NDC Description Not Available,279.06,279.06,,,0 NDC,00378110101,"Prazosin Hydrochloride: 100 Capsule In 1 Bottle, Plastic (0378-1101-01)",3.19,3.19,,,0 NDC,00378115001,"Buspirone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (0378-1150-01)",4.81,4.81,,,0 NDC,00378204501,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2045-01)",5.21,5.21,,,0 NDC,00378204601,"Tacrolimus: 100 Capsule In 1 Bottle, Plastic (0378-2046-01)",16.08,16.08,,,0 NDC,00378251278,"Capecitabine: 120 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-2512-78)",14.08,14.08,,,0 NDC,00378306677,"Fenofibrate: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-3066-77)",20.6,20.6,,,0 NDC,00378335016,NDC Description Not Available,83.43,83.43,,,0 NDC,00378335216,NDC Description Not Available,83.43,83.43,,,0 NDC,00378351510,"Mirtazapine: 1000 Tablet, Film Coated In 1 Bottle, Plastic (0378-3515-10)",9.82,9.82,,,0 NDC,00378354752,"Mercaptopurine: 25 Tablet In 1 Bottle, Plastic (0378-3547-52)",13.16,13.16,,,0 NDC,00378363201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3632-01)",7.7,7.7,,,0 NDC,00378363401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-3634-01)",7.34,7.34,,,0 NDC,00378410591,"Abacavir Sulfate: 1 Bottle, Plastic In 1 Carton (0378-4105-91) / 60 Tablet, Film Coated In 1 Bottle, Plastic",36.2,36.2,,,0 NDC,00378415101,"Tramadol Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0378-4151-01)",2.82,2.82,,,0 NDC,00378420178,"Mycophenolic Acid: 120 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0378-4201-78)",16.48,16.48,,,0 NDC,00378427577,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-4275-77)",25.75,25.75,,,0 NDC,00378464016,NDC Description Not Available,40.89,40.89,,,0 NDC,00378464026,Estradiol: 8 Pouch In 1 Carton (0378-4640-26) / 1 Patch In 1 Pouch (0378-4640-16) / 3.5 D In 1 Patch,41.2,41.2,,,0 NDC,00378464216,NDC Description Not Available,40.99,40.99,,,0 NDC,00378543035,Moxifloxacin: 1 Bottle In 1 Carton (0378-5430-35) / 3 Ml In 1 Bottle,603.58,603.58,,,0 NDC,00378561578,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle, Plastic (0378-5615-78)",11.77,11.77,,,0 NDC,00378563059,"Sumatriptan Succinate: 9 Tablet, Film Coated In 1 Bottle, Plastic (0378-5630-59)",97.64,97.64,,,0 NDC,00378580793,"Valsartan: 30 Tablet, Film Coated In 1 Bottle, Plastic (0378-5807-93)",14.6,14.6,,,0 NDC,00378581477,"Valsartan: 90 Tablet, Film Coated In 1 Bottle, Plastic (0378-5814-77)",18.81,18.81,,,0 NDC,00378623201,"Citalopram: 100 Tablet, Film Coated In 1 Bottle, Plastic (0378-6232-01)",6.18,6.18,,,0 NDC,00378647016,NDC Description Not Available,82.45,82.45,,,0 NDC,00378647044,Scopolamine: 24 Pouch In 1 Carton (0378-6470-44) / 1 Patch In 1 Pouch / 3 D In 1 Patch,82.45,82.45,,,0 NDC,00378668877,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle, Plastic (0378-6688-77)",18.54,18.54,,,0 NDC,00378698501,NDC Description Not Available,2.06,2.06,,,0 NDC,00378699252,Albuterol Sulfate: 5 POUCH in 1 CARTON (0378-6992-52) / 5 VIAL in 1 POUCH (0378-6992-98) / 3 mL in 1 VIAL,3.84,3.84,,,0 NDC,00378699331,NDC Description Not Available,8.07,8.07,,,0 NDC,00378699393,Levalbuterol: 30 Pouch In 1 Carton (0378-6993-93) / 1 Vial In 1 Pouch (0378-6993-31) / .5 Ml In 1 Vial,8.01,8.01,,,0 NDC,00378699789,NDC Description Not Available,0.67,0.67,,,0 NDC,00378773293,"Ondansetron: 30 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (0378-7732-93)",20.08,20.08,,,0 NDC,00378797062,NDC Description Not Available,6.98,6.98,,,0 NDC,00378797064,NDC Description Not Available,7.0,7.0,,,0 NDC,00378797093,Ipratropium Bromide: 1 Pouch In 1 Carton (0378-7970-93) / 30 Ampule In 1 Pouch (0378-7970-64) / 2.5 Ml In 1 Ampule,7.21,7.21,,,0 NDC,00378808615,Tretinoin: 1 Tube In 1 Carton (0378-8086-15) / 15 G In 1 Tube,368.59,368.59,,,0 NDC,00378827031,NDC Description Not Available,2.05,2.05,,,0 NDC,00378827052,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-52) / 25 Ampule In 1 Pouch (0378-8270-62) / 3 Ml In 1 Ampule,1.74,1.74,,,0 NDC,00378827062,NDC Description Not Available,1.72,1.72,,,0 NDC,00378827064,NDC Description Not Available,1.78,1.78,,,0 NDC,00378827093,Albuterol Sulfate: 1 Pouch In 1 Carton (0378-8270-93) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.72,1.72,,,0 NDC,00378876058,"Cyclosporine: 6 Pouch In 1 Carton (0378-8760-58) / 5 Vial, Single-Use In 1 Pouch (0378-8760-98) / .4 Ml In 1 Vial, Single-Use",21.94,21.94,,,0 NDC,00378876098,NDC Description Not Available,22.08,22.08,,,0 NDC,00378876516,NDC Description Not Available,7.87,7.87,,,0 NDC,00378876593,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (0378-8765-93) / 1 Film In 1 Pouch (0378-8765-16),18.54,18.54,,,0 NDC,00378876616,NDC Description Not Available,998.16,998.16,,,0 NDC,00378876716,NDC Description Not Available,31.89,31.89,,,0 NDC,00378876816,NDC Description Not Available,66.61,66.61,,,0 NDC,00378907016,NDC Description Not Available,60.9,60.9,,,0 NDC,00378907116,NDC Description Not Available,60.9,60.9,,,0 NDC,00378910216,NDC Description Not Available,6.89,6.89,,,0 NDC,00378910416,NDC Description Not Available,6.89,6.89,,,0 NDC,00378911216,NDC Description Not Available,7.98,7.98,,,0 NDC,00378911616,NDC Description Not Available,8.65,8.65,,,0 NDC,00378911916,NDC Description Not Available,73.13,73.13,,,0 NDC,00378911998,Fentanyl: 5 Pouch In 1 Carton (0378-9119-98) / 1 Patch In 1 Pouch (0378-9119-16) / 72 H In 1 Patch,73.13,73.13,,,0 NDC,00378912116,NDC Description Not Available,51.69,51.69,,,0 NDC,00378912216,NDC Description Not Available,94.98,94.98,,,0 NDC,00378912316,NDC Description Not Available,145.0,145.0,,,0 NDC,00378912416,NDC Description Not Available,192.48,192.48,,,0 NDC,00378967130,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (0378-9671-30) / 30 Ampule In 1 Pouch (0378-9671-64) / 3 Ml In 1 Ampule,8.03,8.03,,,0 NDC,00378967131,NDC Description Not Available,8.24,8.24,,,0 NDC,00378967164,NDC Description Not Available,8.02,8.02,,,0 NDC,00378969152,Levalbuterol: 1 Pouch In 1 Carton (0378-9691-52) / 25 Ampule In 1 Pouch (0378-9691-62) / 3 Ml In 1 Ampule,12.49,12.49,,,0 NDC,00378969162,NDC Description Not Available,12.29,12.29,,,0 NDC,00378973573,Zovirax: 473 mL in 1 BOTTLE (0378-9735-73),43.34,43.34,,,0 NDC,00386000102,NDC Description Not Available,115.36,115.36,,,0 NDC,00386000103,NDC Description Not Available,131.84,131.84,,,0 NDC,00395100392,"Humco Gentian Violet 1%: 59 Ml In 1 Bottle, Plastic (0395-1003-92)",29.87,29.87,,,0 NDC,00395100592,"Humco Gentian Violet 2%: 59 Ml In 1 Bottle, Plastic (0395-1005-92)",3.47,3.47,,,0 NDC,00395103116,NDC Description Not Available,20.175,20.175,,,0 NDC,00406012301,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0123-01),2.28,2.28,,,0 NDC,00406012323,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0123-23),2.93,2.93,,,0 NDC,00406012423,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0124-23),3.17,3.17,,,0 NDC,00406012462,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0124-62),3.09,3.09,,,0 NDC,00406012501,Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle (0406-0125-01),3.4,3.4,,,0 NDC,00406012523,Hydrocodone Bitartrate And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0125-23),4.12,4.12,,,0 NDC,00406048423,Acetaminophen And Codeine Phosphate: 1 Tablet In 1 Blister Pack (0406-0484-23),2.1,2.1,,,0 NDC,00406048462,Acetaminophen And Codeine Phosphate: 100 Tablet In 1 Blister Pack (0406-0484-62),3.09,3.09,,,0 NDC,00406051201,Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle (0406-0512-01),5.15,5.15,,,0 NDC,00406051205,Oxycodone And Acetaminophen: 500 Tablet In 1 Bottle (0406-0512-05),4.12,4.12,,,0 NDC,00406051223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0512-23),4.97,4.97,,,0 NDC,00406051262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0512-62),5.130000000000001,5.130000000000001,,,0 NDC,00406052201,Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle (0406-0522-01),9.81,9.81,,,0 NDC,00406052223,Oxycodone And Acetaminophen: 1 Tablet In 1 Blister Pack (0406-0522-23),9.84,9.84,,,0 NDC,00406052262,Oxycodone And Acetaminophen: 100 Tablet In 1 Blister Pack (0406-0522-62),10.19,10.19,,,0 NDC,00406055201,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (0406-0552-01),2.06,2.06,,,0 NDC,00406055223,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-0552-23),1.95,1.95,,,0 NDC,00406055262,Oxycodone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-0552-62),1.87,1.87,,,0 NDC,00406114201,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (0406-1142-01),2.55,2.55,,,0 NDC,00406117001,"Naltrexone Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0406-1170-01)",15.45,15.45,,,0 NDC,00406123601,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (0406-1236-01),2.52,2.52,,,0 NDC,00406123610,Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle (0406-1236-10),3.09,3.09,,,0 NDC,00406324301,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3243-01),1.66,1.66,,,0 NDC,00406324401,Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle (0406-3244-01),2.53,2.53,,,0 NDC,00406575523,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5755-23),1.56,1.56,,,0 NDC,00406575562,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5755-62),1.69,1.69,,,0 NDC,00406577101,Methadone Hydrochloride: 100 Tablet In 1 Bottle (0406-5771-01),1.92,1.92,,,0 NDC,00406577123,Methadone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-5771-23),1.85,1.85,,,0 NDC,00406577162,Methadone Hydrochloride: 100 Tablet In 1 Blister Pack (0406-5771-62),1.9,1.9,,,0 NDC,00406831501,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8315-01)",6.06,6.06,,,0 NDC,00406831523,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8315-23)",6.76,6.76,,,0 NDC,00406831562,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8315-62)",7.21,7.21,,,0 NDC,00406833001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8330-01)",11.44,11.44,,,0 NDC,00406833023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8330-23)",12.17,12.17,,,0 NDC,00406833062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8330-62)",12.36,12.36,,,0 NDC,00406839001,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Bottle (0406-8390-01)",33.17,33.17,,,0 NDC,00406839023,"Morphine Sulfate: 1 Tablet, Extended Release In 1 Blister Pack (0406-8390-23)",27.53,27.53,,,0 NDC,00406839062,"Morphine Sulfate: 100 Tablet, Extended Release In 1 Blister Pack (0406-8390-62)",27.66,27.66,,,0 NDC,00406851023,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8510-23),5.24,5.24,,,0 NDC,00406851523,Oxycodone Hydrochloride: 1 Tablet In 1 Blister Pack (0406-8515-23),7.74,7.74,,,0 NDC,00406889201,Dextroamphetamine Saccharate And Amphetamine Aspartate And Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0406-8892-01),6.18,6.18,,,0 NDC,00406900076,FENTANYL TRANSDERMAL: 5 POUCH in 1 CARTON (0406-9000-76) / 1 PATCH in 1 POUCH / 72 h in 1 PATCH,192.61,192.61,,,0 NDC,00406910076,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9100-76) / 1 Patch In 1 Pouch / 72 H In 1 Patch,192.46,192.46,,,0 NDC,00406911276,Fentanyl Transdermal: 5 Pouch In 1 Carton (0406-9112-76) / 1 Patch In 1 Pouch / 72 H In 1 Patch,73.13,73.13,,,0 NDC,00406996001,Temazepam: 100 Capsule In 1 Bottle (0406-9960-01),35.85,35.85,,,0 NDC,00406996101,Temazepam: 100 Capsule In 1 Bottle (0406-9961-01),3.25,3.25,,,0 NDC,00407141110,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-10) / 10 Ml In 1 Vial, Glass",70.09,70.09,,,0 NDC,00407141120,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1411-20) / 20 Ml In 1 Vial, Glass",11.28,11.28,,,0 NDC,00407141208,NDC Description Not Available,3.38,3.38,,,0 NDC,00407141220,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1412-20) / 20 Ml In 1 Vial, Glass",16.44,16.44,,,0 NDC,00407141230,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-30) / 50 Ml In 1 Bottle, Plastic",3.39,3.39,,,0 NDC,00407141238,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1412-38) / 50 Ml In 1 Bottle, Plastic",37.29,37.29,,,0 NDC,00407141308,NDC Description Not Available,5.72,5.72,,,0 NDC,00407141310,"Omnipaque: 10 Vial, Glass In 1 Box (0407-1413-10) / 10 Ml In 1 Vial, Glass",42.12,42.12,,,0 NDC,00407141351,"10 BOTTLE, GLASS in 1 BOX (0407-1413-51) / 50 mL in 1 BOTTLE, GLASS",2.06,2.06,,,0 NDC,00407141359,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-59) / 30 Ml In 1 Bottle, Plastic",5.65,5.65,,,0 NDC,00407141361,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-61) / 50 Ml In 1 Bottle, Plastic",8.29,8.29,,,0 NDC,00407141363,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-63) / 100 Ml In 1 Bottle, Plastic",4.92,4.92,,,0 NDC,00407141365,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-65) / 150 Ml In 1 Bottle, Plastic",3.35,3.35,,,0 NDC,00407141387,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1413-87) / 100 Ml In 1 Bottle, Plastic",3.86,3.86,,,0 NDC,00407141403,"10 BOTTLE, GLASS in 1 BOX (0407-1414-03) / 150 mL in 1 BOTTLE, GLASS",3.96,3.96,,,0 NDC,00407141408,NDC Description Not Available,4.36,4.36,,,0 NDC,00407141448,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-48) / 500 Ml In 1 Bottle, Plastic",3.55,3.55,,,0 NDC,00407141460,"10 BOTTLE, GLASS in 1 BOX (0407-1414-60) / 100 mL in 1 BOTTLE, GLASS",4.35,4.35,,,0 NDC,00407141472,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-72) / 500 Ml In 1 Bottle, Plastic",3.23,3.23,,,0 NDC,00407141476,"Omnipaque: 10 Bottle, Glass In 1 Box (0407-1414-76) / 125 Ml In 1 Bottle, Glass",2.28,2.28,,,0 NDC,00407141482,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-82) / 50 Ml In 1 Bottle, Plastic",5.5,5.5,,,0 NDC,00407141484,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-84) / 100 Ml In 1 Bottle, Plastic",5.59,5.59,,,0 NDC,00407141486,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-86) / 150 Ml In 1 Bottle, Plastic",5.2,5.2,,,0 NDC,00407141488,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-88) / 500 Ml In 1 Bottle, Plastic",3.84,3.84,,,0 NDC,00407141489,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-89) / 50 Ml In 1 Bottle, Plastic",6.234999999999999,6.234999999999999,,,0 NDC,00407141491,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-91) / 100 Ml In 1 Bottle, Plastic",4.29,4.29,,,0 NDC,00407141493,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1414-93) / 150 Ml In 1 Bottle, Plastic",3.995,3.995,,,0 NDC,00407141509,"Omnipaque: 10 Bottle, Plastic In 1 Box (0407-1415-09) / 500 Ml In 1 Bottle, Plastic",38.66,38.66,,,0 NDC,00407222201,10 VIAL in 1 BOX (0407-2222-01) / 50 mL in 1 VIAL,4.97,4.97,,,0 NDC,00407222202,"10 BOTTLE, GLASS in 1 BOX (0407-2222-02) / 100 mL in 1 BOTTLE, GLASS",10.21,10.21,,,0 NDC,00407222301,10 VIAL in 1 BOX (0407-2223-01) / 50 mL in 1 VIAL,4.96,4.96,,,0 NDC,00407222302,"10 BOTTLE, GLASS in 1 BOX (0407-2223-02) / 100 mL in 1 BOTTLE, GLASS",4.96,4.96,,,0 NDC,00407222303,"10 BOTTLE, GLASS in 1 BOX (0407-2223-03) / 150 mL in 1 BOTTLE, GLASS",4.56,4.56,,,0 NDC,00407222317,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-17) / 100 Ml In 1 Bottle, Plastic",18.33,18.33,,,0 NDC,00407222362,"Visipaque: 10 BOTTLE, PLASTIC in 1 BOX (0407-2223-62) / 50 mL in 1 BOTTLE, PLASTIC",8.52,8.52,,,0 NDC,00407222364,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-64) / 100 Ml In 1 Bottle, Plastic",7.41,7.41,,,0 NDC,00407222366,"Visipaque: 10 Bottle, Plastic In 1 Box (0407-2223-66) / 150 Ml In 1 Bottle, Plastic",4.56,4.56,,,0 NDC,00407270703,"Optison Perflutren Protein-Type A Microspheres: 5 Vial, Single-Use In 1 Carton (0407-2707-03) / 3 Ml In 1 Vial, Single-Use",570.99,570.99,,,0 NDC,00407270718,"Optison Perflutren Protein-Type A Microspheres: 18 Vial, Single-Use In 1 Carton (0407-2707-18) / 3 Ml In 1 Vial, Single-Use",168.17,168.17,,,0 NDC,00407294301,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-01) / 10 Ml In 1 Vial, Glass",2.16,2.16,,,0 NDC,00407294302,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-02) / 15 Ml In 1 Vial, Glass",2.16,2.16,,,0 NDC,00407294305,"Clariscan: 10 Vial, Glass In 1 Box (0407-2943-05) / 20 Ml In 1 Vial, Glass",2.15,2.15,,,0 NDC,00409000701,NDC Description Not Available,0.05,0.05,,,0 NDC,00409004005,NDC Description Not Available,31.06,31.06,,,0 NDC,00409012001,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (0409-0120-01) / 7 Ml In 1 Vial, Single-Dose",0.62,0.62,,,0 NDC,00409012501,NDC Description Not Available,9.56,9.56,,,0 NDC,00409012525,"Labetalol Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-0125-25) / 20 Ml In 1 Vial, Multi-Dose (0409-0125-01)",17.15,17.15,,,0 NDC,00409015201,NDC Description Not Available,4.615,4.615,,,0 NDC,00409018101,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-01) / 26.3 Ml In 1 Vial, Single-Dose",44.12,44.12,,,0 NDC,00409018125,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0181-25) / 26.3 Ml In 1 Vial, Single-Dose",43.18,43.18,,,0 NDC,00409018201,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0182-01) / 52.6 Ml In 1 Vial, Single-Dose",39.24,39.24,,,0 NDC,00409018301,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0183-01) / 5.26 Ml In 1 Vial, Single-Dose",30.94,30.94,,,0 NDC,00409018701,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (0409-0187-01) / 50 Ml In 1 Vial, Single-Dose",94.28,94.28,,,0 NDC,00409020110,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0201-10) / 8 Ml In 1 Vial, Multi-Dose",11.06,11.06,,,0 NDC,00409021202,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Carton (0409-0212-02) / 20 Ml In 1 Vial, Single-Dose (0409-0212-11)",30.585,30.585,,,0 NDC,00409021210,NDC Description Not Available,16.365000000000002,16.365000000000002,,,0 NDC,00409021211,NDC Description Not Available,30.685000000000002,30.685000000000002,,,0 NDC,00409030201,"Topotecan: 1 Vial, Single-Dose In 1 Carton (0409-0302-01) / 4 Ml In 1 Vial, Single-Dose",4.96,4.96,,,0 NDC,00409036701,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (0409-0367-01) / 4 Ml In 1 Vial, Multi-Dose",9.58,9.58,,,0 NDC,00409080101,"Nipent: 1 Vial, Single-Dose In 1 Carton (0409-0801-01) / 5 Ml In 1 Vial, Single-Dose",5125.09,5125.09,,,0 NDC,00409083011,NDC Description Not Available,70.3,70.3,,,0 NDC,00409100501,NDC Description Not Available,12.32,12.32,,,0 NDC,00409103630,"Carbocaine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1036-30) / 30 mL in 1 VIAL, SINGLE-DOSE",7.35,7.35,,,0 NDC,00409111301,"Indomethacin: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1113-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",155.53,155.53,,,0 NDC,00409114001,"Argatroban: 1 Vial, Single-Dose In 1 Carton (0409-1140-01) / 2.5 Ml In 1 Vial, Single-Dose",4.7,4.7,,,0 NDC,00409114112,NDC Description Not Available,9.95,9.95,,,0 NDC,00409114401,NDC Description Not Available,2.06,2.06,,,0 NDC,00409114402,Verapamil Hydrochloride: 5 Vial In 1 Carton (0409-1144-02) / 4 Ml In 1 Vial (0409-1144-62),35.02,35.02,,,0 NDC,00409114405,Verapamil Hydrochloride: 25 Vial In 1 Carton (0409-1144-05) / 2 Ml In 1 Vial (0409-1144-65),125.75,125.75,,,0 NDC,00409115901,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-01) / 10 Ml In 1 Vial, Single-Dose (0409-1159-18)",8.49,8.49,,,0 NDC,00409115902,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1159-02) / 30 Ml In 1 Vial, Single-Dose (0409-1159-19)",7.025,7.025,,,0 NDC,00409115909,NDC Description Not Available,6.86,6.86,,,0 NDC,00409115918,NDC Description Not Available,8.395,8.395,,,0 NDC,00409115919,NDC Description Not Available,9.19,9.19,,,0 NDC,00409116001,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1160-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1160-18)",5.78,5.78,,,0 NDC,00409116018,NDC Description Not Available,6.8,6.8,,,0 NDC,00409116201,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-01) / 10 Ml In 1 Vial, Single-Dose (0409-1162-18)",10.04,10.04,,,0 NDC,00409116202,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1162-02) / 30 Ml In 1 Vial, Single-Dose (0409-1162-19)",35.695,35.695,,,0 NDC,00409116218,NDC Description Not Available,10.2,10.2,,,0 NDC,00409116219,NDC Description Not Available,5.425,5.425,,,0 NDC,00409116301,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-1163-01) / 50 Ml In 1 Vial, Multi-Dose (0409-1163-18)",5.16,5.16,,,0 NDC,00409116502,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-1165-02) / 30 Ml In 1 Vial, Single-Dose (0409-1165-19)",9.91,9.91,,,0 NDC,00409117401,NDC Description Not Available,215.45,215.45,,,0 NDC,00409117410,Precedex: 10 Bottle In 1 Tray (0409-1174-10) / 100 Ml In 1 Bottle (0409-1174-01),216.3,216.3,,,0 NDC,00409117603,NDC Description Not Available,25.96,25.96,,,0 NDC,00409117630,Demerol: 10 Cartridge In 1 Carton (0409-1176-30) / 1 Ml In 1 Cartridge (0409-1176-03),25.75,25.75,,,0 NDC,00409117803,NDC Description Not Available,29.99,29.99,,,0 NDC,00409117830,Demerol: 10 Cartridge In 1 Carton (0409-1178-30) / 1 Ml In 1 Cartridge (0409-1178-03),29.87,29.87,,,0 NDC,00409120703,"Gentamicin Sulfate: 25 Vial, Single-Dose In 1 Tray (0409-1207-03) / 2 Ml In 1 Vial, Single-Dose (0409-1207-13)",11.78,11.78,,,0 NDC,00409120713,NDC Description Not Available,12.91,12.91,,,0 NDC,00409120901,Lidocaine Hydrochloride And Epinephrine: 10 Ampule In 1 Tray (0409-1209-01) / 5 Ml In 1 Ampule (0409-1209-10),0.28,0.28,,,0 NDC,00409120965,Lidocaine Hydrochloride And Epinephrine: 800 Ampule In 1 Case (0409-1209-65) / 5 Ml In 1 Ampule (0409-1209-70),0.42,0.42,,,0 NDC,00409121501,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-1215-01) / 1 Ml In 1 Vial, Single-Dose (0409-1215-21)",84.65,84.65,,,0 NDC,00409127303,NDC Description Not Available,110.23,110.23,,,0 NDC,00409127332,Diazepam: 10 Cartridge In 1 Carton (0409-1273-32) / 2 Ml In 1 Cartridge (0409-1273-03),109.08,109.08,,,0 NDC,00409127632,Fentanyl Citrate: 10 CARTRIDGE in 1 CARTON (0409-1276-32) / 2 mL in 1 CARTRIDGE (0409-1276-03),7.14,7.14,,,0 NDC,00409128303,NDC Description Not Available,20.61,20.61,,,0 NDC,00409128304,NDC Description Not Available,14.42,14.42,,,0 NDC,00409128305,10 SYRINGE in 1 CARTON (0409-1283-05) / .5 mL in 1 SYRINGE (0409-1283-04),16.42,16.42,,,0 NDC,00409128317,NDC Description Not Available,1.93,1.93,,,0 NDC,00409128331,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1283-31) / 1 Ml In 1 Cartridge (0409-1283-03),1.94,1.94,,,0 NDC,00409131203,NDC Description Not Available,19.985,19.985,,,0 NDC,00409131230,Hydromorphone Hydrochloride: 10 Cartridge In 1 Carton (0409-1312-30) / 1 Ml In 1 Cartridge (0409-1312-03),19.4,19.4,,,0 NDC,00409131901,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-1319-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",44.685,44.685,,,0 NDC,00409132305,"Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-1323-05) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1323-15)",2.39,2.39,,,0 NDC,00409132315,NDC Description Not Available,2.415,2.415,,,0 NDC,00409139121,NDC Description Not Available,8.96,8.96,,,0 NDC,00409139122,Meropenem: 10 Vial In 1 Carton (0409-1391-22) / 20 Ml In 1 Vial (0409-1391-21),8.96,8.96,,,0 NDC,00409140101,"Regadenoson: 10 Carton In 1 Package (0409-1401-01) / 1 Syringe, Plastic In 1 Carton / 5 Ml In 1 Syringe, Plastic (0409-1401-05)",189.52,189.52,,,0 NDC,00409140105,NDC Description Not Available,189.52,189.52,,,0 NDC,00409140305,NDC Description Not Available,13.88,13.88,,,0 NDC,00409141204,Bumetanide: 10 VIAL in 1 BOX (0409-1412-04) / 4 mL in 1 VIAL (0409-1412-34),4.63,4.63,,,0 NDC,00409141210,"Bumetanide: 10 VIAL, MULTI-DOSE in 1 BOX (0409-1412-10) / 10 mL in 1 VIAL, MULTI-DOSE (0409-1412-40)",2.89,2.89,,,0 NDC,00409141811,NDC Description Not Available,53.84,53.84,,,0 NDC,00409146301,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-01) / 1 Ml In 1 Ampule (0409-1463-71),18.47,18.47,,,0 NDC,00409146349,Nalbuphine Hydrochloride: 10 Ampule In 1 Tray (0409-1463-49) / 1 Ml In 1 Ampule (0409-1463-69),16.48,16.48,,,0 NDC,00409146369,NDC Description Not Available,16.48,16.48,,,0 NDC,00409146371,NDC Description Not Available,18.62,18.62,,,0 NDC,00409146461,NDC Description Not Available,14.74,14.74,,,0 NDC,00409146761,NDC Description Not Available,9.66,9.66,,,0 NDC,00409154101,NDC Description Not Available,44.6,44.6,,,0 NDC,00409155910,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1559-10) / 10 Ml In 1 Vial, Single-Dose (0409-1559-18)",9.56,9.56,,,0 NDC,00409155919,NDC Description Not Available,20.6,20.6,,,0 NDC,00409156010,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1560-10) / 10 Ml In 1 Vial, Single-Dose (0409-1560-18)",18.15,18.15,,,0 NDC,00409156018,NDC Description Not Available,19.79,19.79,,,0 NDC,00409156029,"Marcaine: 10 Vial, Single-Dose In 1 Carton (0409-1560-29) / 30 Ml In 1 Vial, Single-Dose (0409-1560-19)",18.06,18.06,,,0 NDC,00409158210,"Marcaine: 10 Vial, Single-Dose In 1 Tray (0409-1582-10) / 10 Ml In 1 Vial, Single-Dose (0409-1582-18)",3.88,3.88,,,0 NDC,00409159601,NDC Description Not Available,205.8,205.8,,,0 NDC,00409159610,Precedex: 10 Carton In 1 Case (0409-1596-10) / 1 Bottle In 1 Carton (0409-1596-01) / 100 Ml In 1 Bottle,116.24,116.24,,,0 NDC,00409161050,"Marcaine: 1 Vial, Multi-Dose In 1 Carton (0409-1610-50) / 50 Ml In 1 Vial, Multi-Dose",1.54,1.54,,,0 NDC,00409163015,NDC Description Not Available,0.55,0.55,,,0 NDC,00409163140,NDC Description Not Available,53.54,53.54,,,0 NDC,00409163221,NDC Description Not Available,174.555,174.555,,,0 NDC,00409166010,Precedex: 10 Bottle In 1 Tray (0409-1660-10) / 100 Ml In 1 Bottle (0409-1660-35),123.23,123.23,,,0 NDC,00409166020,Precedex: 10 Vial In 1 Carton (0409-1660-20) / 20 Ml In 1 Vial (0409-1660-22),25.59,25.59,,,0 NDC,00409166022,NDC Description Not Available,71.42999999999999,71.42999999999999,,,0 NDC,00409166035,NDC Description Not Available,216.3,216.3,,,0 NDC,00409174610,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-10) / 10 Ml In 1 Vial, Single-Dose (0409-1746-70)",21.42,21.42,,,0 NDC,00409174630,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1746-30) / 30 Ml In 1 Vial, Single-Dose (0409-1746-71)",40.4,40.4,,,0 NDC,00409174671,NDC Description Not Available,49.52,49.52,,,0 NDC,00409174910,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-10) / 10 Ml In 1 Vial, Single-Dose (0409-1749-70)",19.74,19.74,,,0 NDC,00409174929,"Marcaine With Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-1749-29) / 30 Ml In 1 Vial, Single-Dose (0409-1749-71)",27.55,27.55,,,0 NDC,00409174970,NDC Description Not Available,29.53,29.53,,,0 NDC,00409174971,NDC Description Not Available,25.75,25.75,,,0 NDC,00409175250,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1752-50) / 50 Ml In 1 Vial, Multi-Dose",18.54,18.54,,,0 NDC,00409175550,"Marcaine With Epinephrine: 1 Vial, Multi-Dose In 1 Carton (0409-1755-50) / 50 Ml In 1 Vial, Multi-Dose",28.27,28.27,,,0 NDC,00409177510,"Dextrose: 10 Carton In 1 Package (0409-1775-10) / 1 Syringe, Plastic In 1 Carton / 10 Ml In 1 Syringe, Plastic (0409-1775-40)",47.72,47.72,,,0 NDC,00409177805,"Metoprolol Tartrate: 10 Vial, Single-Dose In 1 Carton (0409-1778-05) / 5 Ml In 1 Vial, Single-Dose (0409-1778-15)",5.2,5.2,,,0 NDC,00409177815,NDC Description Not Available,5.3,5.3,,,0 NDC,00409188602,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-1886-02) / 5 Ml In 1 Vial, Single-Dose (0409-1886-22)",0.34,0.34,,,0 NDC,00409188622,NDC Description Not Available,0.34,0.34,,,0 NDC,00409189001,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1890-01) / 1 Ml In 1 Cartridge (0409-1890-03),9.95,9.95,,,0 NDC,00409189003,NDC Description Not Available,10.355,10.355,,,0 NDC,00409189013,NDC Description Not Available,15.39,15.39,,,0 NDC,00409189101,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1891-01) / 1 Ml In 1 Cartridge (0409-1891-03),8.52,8.52,,,0 NDC,00409189103,NDC Description Not Available,19.48,19.48,,,0 NDC,00409189113,NDC Description Not Available,17.23,17.23,,,0 NDC,00409189301,Morphine Sulfate: 10 Cartridge In 1 Carton (0409-1893-01) / 1 Ml In 1 Cartridge (0409-1893-03),10.0,10.0,,,0 NDC,00409189303,NDC Description Not Available,22.055,22.055,,,0 NDC,00409190211,NDC Description Not Available,398.61,398.61,,,0 NDC,00409193201,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-01) / 20 mL in 1 VIAL, SINGLE-DOSE",5.49,5.49,,,0 NDC,00409193202,"Adenosine: 1 VIAL, SINGLE-DOSE in 1 CARTON (0409-1932-02) / 30 mL in 1 VIAL, SINGLE-DOSE",8.29,8.29,,,0 NDC,00409196601,NDC Description Not Available,9.73,9.73,,,0 NDC,00409196602,NDC Description Not Available,23.21,23.21,,,0 NDC,00409196605,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-05) / 20 Ml In 1 Vial, Multi-Dose (0409-1966-01)",64.89,64.89,,,0 NDC,00409196607,"Bacteriostatic Sodium Chloride: 25 Vial, Multi-Dose In 1 Tray (0409-1966-07) / 30 Ml In 1 Vial, Multi-Dose (0409-1966-02)",23.35,23.35,,,0 NDC,00409198503,NDC Description Not Available,9.49,9.49,,,0 NDC,00409198505,Lorazepam: 1 BLISTER PACK in 1 BOX (0409-1985-05) / 10 SYRINGE in 1 BLISTER PACK / 1 mL in 1 SYRINGE,3.77,3.77,,,0 NDC,00409198530,Lorazepam: 10 Cartridge In 1 Carton (0409-1985-30) / 1 Ml In 1 Cartridge (0409-1985-03),15.45,15.45,,,0 NDC,00409201105,NDC Description Not Available,0.34,0.34,,,0 NDC,00409201125,"Levetiracetam: 25 Vial, Single-Dose In 1 Carton (0409-2011-25) / 5 Ml In 1 Vial, Single-Dose (0409-2011-05)",0.34,0.34,,,0 NDC,00409201605,NDC Description Not Available,4.02,4.02,,,0 NDC,00409205001,NDC Description Not Available,0.66,0.66,,,0 NDC,00409205105,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Box (0409-2051-05) / 5 Ml In 1 Vial, Multi-Dose (0409-2051-15)",35.95,35.95,,,0 NDC,00409205115,NDC Description Not Available,34.64,34.64,,,0 NDC,00409206605,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-2066-05) / 5 Ml In 1 Vial, Single-Dose (0409-2066-10)",1.51,1.51,,,0 NDC,00409206610,NDC Description Not Available,1.23,1.23,,,0 NDC,00409216817,NDC Description Not Available,0.83,0.83,,,0 NDC,00409216877,"Magnesium Sulfate: 25 Vial, Plastic In 1 Tray (0409-2168-77) / 20 Ml In 1 Vial, Plastic (0409-2168-17)",0.88,0.88,,,0 NDC,00409226720,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-20) / 20 Ml In 1 Vial, Multi-Dose",7.75,7.75,,,0 NDC,00409226754,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (0409-2267-54) / 40 Ml In 1 Vial, Multi-Dose",37.42,37.42,,,0 NDC,00409230504,NDC Description Not Available,1.48,1.48,,,0 NDC,00409230505,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-05) / 5 Ml In 1 Vial, Single-Dose (0409-2305-04)",1.1,1.1,,,0 NDC,00409230516,NDC Description Not Available,2.95,2.95,,,0 NDC,00409230521,NDC Description Not Available,1.03,1.03,,,0 NDC,00409230550,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2305-50) / 5 Ml In 1 Vial, Single-Dose (0409-2305-55)",0.87,0.87,,,0 NDC,00409230801,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-01) / 1 Ml In 1 Vial, Single-Dose (0409-2308-21)",2.34,2.34,,,0 NDC,00409230802,"Midazolam: 10 Vial, Single-Dose In 1 Carton (0409-2308-02) / 2 Ml In 1 Vial, Single-Dose (0409-2308-22)",4.03,4.03,,,0 NDC,00409230821,NDC Description Not Available,1.3800000000000001,1.3800000000000001,,,0 NDC,00409230822,NDC Description Not Available,0.535,0.535,,,0 NDC,00409230869,NDC Description Not Available,0.825,0.825,,,0 NDC,00409233924,NDC Description Not Available,39.14,39.14,,,0 NDC,00409233934,Labetalol Hydrochloride: 10 Carton In 1 Package (0409-2339-34) / 1 Cartridge In 1 Carton / 4 Ml In 1 Cartridge (0409-2339-24),28.145,28.145,,,0 NDC,00409234401,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (0409-2344-01) / 20 Ml In 1 Vial, Single-Dose",32.87,32.87,,,0 NDC,00409234402,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-02) / 20 Ml In 1 Vial, Single-Dose (0409-2344-62)",29.9,29.9,,,0 NDC,00409234462,NDC Description Not Available,29.925,29.925,,,0 NDC,00409234468,NDC Description Not Available,27.93,27.93,,,0 NDC,00409234488,"Dobutamine: 10 Vial, Single-Dose In 1 Tray (0409-2344-88) / 20 Ml In 1 Vial, Single-Dose (0409-2344-68)",27.79,27.79,,,0 NDC,00409234731,NDC Description Not Available,34.68,34.68,,,0 NDC,00409255201,Hydromorphone Hydrochloride: 10 Ampule In 1 Carton (0409-2552-01) / 1 Ml In 1 Ampule (0409-2552-11),5.385,5.385,,,0 NDC,00409255211,NDC Description Not Available,8.5,8.5,,,0 NDC,00409258501,"Cefazolin: 25 Vial In 1 Carton (0409-2585-01) / 1 Injection, Powder, For Solution In 1 Vial (0409-2585-11)",1.57,1.57,,,0 NDC,00409258511,NDC Description Not Available,5.92,5.92,,,0 NDC,00409258704,NDC Description Not Available,1.03,1.03,,,0 NDC,00409258705,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2587-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2587-04)",0.41,0.41,,,0 NDC,00409259605,"Midazolam: 10 Vial, Multi-Dose In 1 Carton (0409-2596-05) / 10 Ml In 1 Vial, Multi-Dose (0409-2596-15)",0.65,0.65,,,0 NDC,00409259615,NDC Description Not Available,0.635,0.635,,,0 NDC,00409263401,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-01) / 1 Ml In 1 Vial, Single-Dose (0409-2634-10)",8.59,8.59,,,0 NDC,00409263405,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Box (0409-2634-05) / 5 Ml In 1 Vial, Single-Dose (0409-2634-25)",3.62,3.62,,,0 NDC,00409263410,NDC Description Not Available,8.36,8.36,,,0 NDC,00409263425,NDC Description Not Available,3.15,3.15,,,0 NDC,00409263450,"Hydromorphone Hydrochloride: 1 Vial, Single-Dose In 1 Box (0409-2634-50) / 50 Ml In 1 Vial, Single-Dose",3.98,3.98,,,0 NDC,00409272002,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-02) / 10 Ml In 1 Vial, Multi-Dose (0409-2720-31)",1.4,1.4,,,0 NDC,00409272003,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (0409-2720-03) / 30 Ml In 1 Vial, Multi-Dose (0409-2720-32)",2.79,2.79,,,0 NDC,00409272030,NDC Description Not Available,7.08,7.08,,,0 NDC,00409272031,NDC Description Not Available,1.43,1.43,,,0 NDC,00409272101,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2721-01) / 1 Ml In 1 Vial, Single-Dose (0409-2721-30)",4.89,4.89,,,0 NDC,00409272130,NDC Description Not Available,1.61,1.61,,,0 NDC,00409272301,"Heparin Sodium: 25 Vial, Single-Dose In 1 Tray (0409-2723-01) / 1 Ml In 1 Vial, Single-Dose (0409-2723-30)",32.120000000000005,32.120000000000005,,,0 NDC,00409272330,NDC Description Not Available,1.81,1.81,,,0 NDC,00409317701,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3177-01) / 50 Ml In 1 Vial, Multi-Dose (0409-3177-16)",0.07,0.07,,,0 NDC,00409317801,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3178-16)",0.06,0.06,,,0 NDC,00409317802,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3178-17)",0.09,0.09,,,0 NDC,00409317803,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3178-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3178-18)",0.04,0.04,,,0 NDC,00409317817,NDC Description Not Available,0.11,0.11,,,0 NDC,00409318101,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3181-01) / 30 Ml In 1 Vial, Single-Dose (0409-3181-11)",0.14,0.14,,,0 NDC,00409318201,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-01) / 20 Ml In 1 Vial, Multi-Dose (0409-3182-11)",0.36,0.36,,,0 NDC,00409318202,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-02) / 30 Ml In 1 Vial, Multi-Dose (0409-3182-21)",0.38,0.38,,,0 NDC,00409318203,"Lidocaine Hydrochloride And Epinephrine: 25 Vial, Multi-Dose In 1 Tray (0409-3182-03) / 50 Ml In 1 Vial, Multi-Dose (0409-3182-31)",0.22,0.22,,,0 NDC,00409318211,NDC Description Not Available,0.36,0.36,,,0 NDC,00409318301,"Lidocaine Hydrochloride And Epinephrine: 5 Vial, Single-Dose In 1 Carton (0409-3183-01) / 20 Ml In 1 Vial, Single-Dose (0409-3183-11)",1.24,1.24,,,0 NDC,00409318905,NDC Description Not Available,14.85,14.85,,,0 NDC,00409321312,"Diazepam: 10 Vial, Multi-Dose In 1 Box (0409-3213-12) / 10 Ml In 1 Vial, Multi-Dose (0409-3213-11)",12.36,12.36,,,0 NDC,00409329461,NDC Description Not Available,1.03,1.03,,,0 NDC,00409329905,Sodium Acetate: 25 Vial In 1 Tray (0409-3299-05) / 50 Ml In 1 Vial (0409-3299-15),17.26,17.26,,,0 NDC,00409329915,NDC Description Not Available,12.2,12.2,,,0 NDC,00409329916,NDC Description Not Available,7.3,7.3,,,0 NDC,00409330703,Acetylcysteine: 3 Vial In 1 Carton (0409-3307-03) / 30 Ml In 1 Vial (0409-3307-11),4.25,4.25,,,0 NDC,00409330803,Acetylcysteine: 3 Vial In 1 Carton (0409-3308-03) / 30 Ml In 1 Vial (0409-3308-11),10.09,10.09,,,0 NDC,00409330811,NDC Description Not Available,6.85,6.85,,,0 NDC,00409333001,NDC Description Not Available,12.88,12.88,,,0 NDC,00409336501,"25 VIAL, SINGLE-DOSE in 1 TRAY (0409-3365-01) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-3365-11)",1.44,1.44,,,0 NDC,00409336510,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (0409-3365-10) / 1 Ml In 1 Vial, Single-Dose (0409-3365-11)",4.14,4.14,,,0 NDC,00409336511,NDC Description Not Available,4.6899999999999995,4.6899999999999995,,,0 NDC,00409337504,"Levophed: 10 Vial, Single-Dose In 1 Carton (0409-3375-04) / 4 Ml In 1 Vial, Single-Dose (0409-3375-14)",87.24,87.24,,,0 NDC,00409337514,NDC Description Not Available,56.14,56.14,,,0 NDC,00409337904,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3379-04) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0409-3379-11)",22.18,22.18,,,0 NDC,00409337911,NDC Description Not Available,1.79,1.79,,,0 NDC,00409339004,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0409-3390-04) / 20 Ml In 1 Vial, Single-Use (0409-3390-11)",15.14,15.14,,,0 NDC,00409339011,NDC Description Not Available,15.04,15.04,,,0 NDC,00409341401,"Metoclopramide: 25 Vial, Single-Dose In 1 Tray (0409-3414-01) / 2 Ml In 1 Vial, Single-Dose (0409-3414-18)",4.965,4.965,,,0 NDC,00409341418,NDC Description Not Available,4.975,4.975,,,0 NDC,00409341421,NDC Description Not Available,4.91,4.91,,,0 NDC,00409351021,NDC Description Not Available,194.15,194.15,,,0 NDC,00409351022,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (0409-3510-22) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-3510-21)",194.67,194.67,,,0 NDC,00409351511,NDC Description Not Available,35.11,35.11,,,0 NDC,00409357811,NDC Description Not Available,11.13,11.13,,,0 NDC,00409361301,Bupivacaine Spinal: 10 Ampule In 1 Carton (0409-3613-01) / 2 Ml In 1 Ampule (0409-3613-11),9.35,9.35,,,0 NDC,00409361311,NDC Description Not Available,9.11,9.11,,,0 NDC,00409371801,"Ampicillin: 10 Vial, Glass In 1 Package (0409-3718-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0409-3718-10)",10.04,10.04,,,0 NDC,00409372001,"Ampicillin: 10 VIAL, GLASS in 1 PACKAGE (0409-3720-01) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS (0409-3720-10)",6.44,6.44,,,0 NDC,00409372010,NDC Description Not Available,6.44,6.44,,,0 NDC,00409372432,Dobutamine In Dextrose: 12 Pouch In 1 Case (0409-3724-32) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-3724-11),19.83,19.83,,,0 NDC,00409379301,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3793-01) / 1 Ml In 1 Vial, Single-Dose (0409-3793-19)",12.85,12.85,,,0 NDC,00409379319,NDC Description Not Available,12.87,12.87,,,0 NDC,00409379501,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (0409-3795-01) / 1 Ml In 1 Vial, Single-Dose (0409-3795-19)",13.96,13.96,,,0 NDC,00409379519,NDC Description Not Available,14.23,14.23,,,0 NDC,00409379619,NDC Description Not Available,3.6,3.6,,,0 NDC,00409381412,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3814-12) / 10 Ml In 1 Vial, Glass (0409-3814-11)",41.0,41.0,,,0 NDC,00409381512,"Morphine Sulfate: 5 Vial, Glass In 1 Carton (0409-3815-12) / 10 Ml In 1 Vial, Glass (0409-3815-11)",40.72,40.72,,,0 NDC,00409397701,NDC Description Not Available,0.52,0.52,,,0 NDC,00409403101,"Mannitol: 25 Vial, Single-Dose In 1 Tray (0409-4031-01) / 50 Ml In 1 Vial, Single-Dose (0409-4031-16)",12.765,12.765,,,0 NDC,00409403116,NDC Description Not Available,12.55,12.55,,,0 NDC,00409409211,NDC Description Not Available,135.37,135.37,,,0 NDC,00409412101,NDC Description Not Available,4.38,4.38,,,0 NDC,00409426401,Hydromorphone Hydrochloride: 10 Syringe In 1 Cello Pack (0409-4264-01) / .5 Ml In 1 Syringe (0409-4264-11),8.58,8.58,,,0 NDC,00409426411,NDC Description Not Available,12.34,12.34,,,0 NDC,00409427501,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4275-01) / 50 Ml In 1 Vial, Multi-Dose (0409-4275-16)",0.08,0.08,,,0 NDC,00409427601,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4276-16)",0.26,0.26,,,0 NDC,00409427602,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4276-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4276-17)",0.16999999999999998,0.16999999999999998,,,0 NDC,00409427616,NDC Description Not Available,0.205,0.205,,,0 NDC,00409427617,NDC Description Not Available,0.27,0.27,,,0 NDC,00409427701,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-01) / 20 Ml In 1 Vial, Multi-Dose (0409-4277-16)",0.03,0.03,,,0 NDC,00409427702,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Tray (0409-4277-02) / 50 Ml In 1 Vial, Multi-Dose (0409-4277-17)",0.17,0.17,,,0 NDC,00409427716,NDC Description Not Available,0.03,0.03,,,0 NDC,00409427801,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4278-01) / 50 Ml In 1 Vial, Single-Dose (0409-4278-16)",2.76,2.76,,,0 NDC,00409427902,"Lidocaine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-4279-02) / 30 Ml In 1 Vial, Single-Dose (0409-4279-16)",1.1,1.1,,,0 NDC,00409427916,NDC Description Not Available,0.53,0.53,,,0 NDC,00409428202,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (0409-4282-02) / 10 Ml In 1 Ampule (0409-4282-12),1.1,1.1,,,0 NDC,00409428212,NDC Description Not Available,0.99,0.99,,,0 NDC,00409428301,Lidocaine Hydrochloride: 5 Cello Pack In 1 Package (0409-4283-01) / 5 Ampule In 1 Cello Pack (0409-4283-25) / 5 Ml In 1 Ampule (0409-4283-11),1.04,1.04,,,0 NDC,00409428311,NDC Description Not Available,1.975,1.975,,,0 NDC,00409428325,NDC Description Not Available,2.9450000000000003,2.9450000000000003,,,0 NDC,00409433201,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-4332-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-4332-11)",6.33,6.33,,,0 NDC,00409433211,NDC Description Not Available,13.51,13.51,,,0 NDC,00409434616,NDC Description Not Available,18.375,18.375,,,0 NDC,00409434673,"Aminocaproic Acid: 25 Vial, Single-Dose In 1 Tray (0409-4346-73) / 20 Ml In 1 Vial, Single-Dose (0409-4346-16)",31.89,31.89,,,0 NDC,00409444401,NDC Description Not Available,5.2,5.2,,,0 NDC,00409452002,NDC Description Not Available,1.84,1.84,,,0 NDC,00409469924,Propofol: 10 Vial In 1 Tray (0409-4699-24) / 100 Ml In 1 Vial (0409-4699-54),1.18,1.18,,,0 NDC,00409469930,Propofol: 5 Vial In 1 Carton (0409-4699-30) / 20 Ml In 1 Vial (0409-4699-50),0.93,0.93,,,0 NDC,00409469933,Propofol: 20 Vial In 1 Tray (0409-4699-33) / 50 Ml In 1 Vial (0409-4699-53),1.4649999999999999,1.4649999999999999,,,0 NDC,00409469954,NDC Description Not Available,0.93,0.93,,,0 NDC,00409471312,NDC Description Not Available,1.38,1.38,,,0 NDC,00409471332,Lidocaine Hydrochloride: 5 Carton In 1 Package (0409-4713-32) / 10 Ampule In 1 Carton (0409-4713-25) / 2 Ml In 1 Ampule (0409-4713-42),2.78,2.78,,,0 NDC,00409471342,NDC Description Not Available,3.09,3.09,,,0 NDC,00409471375,NDC Description Not Available,1.44,1.44,,,0 NDC,00409475503,"Ondansetron: 25 Vial, Single-Dose In 1 Tray (0409-4755-03) / 2 Ml In 1 Vial, Single-Dose (0409-4755-18)",1.29,1.29,,,0 NDC,00409475518,NDC Description Not Available,1.35,1.35,,,0 NDC,00409488303,NDC Description Not Available,101.06,101.06,,,0 NDC,00409488705,"25 VIAL, GLASS in 1 TRAY (0409-4887-05) / 1 mL in 1 VIAL, GLASS (0409-4887-31)",3.88,3.88,,,0 NDC,00409488710,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-10) / 10 Ml In 1 Vial, Plastic (0409-4887-17)",4.17,4.17,,,0 NDC,00409488717,NDC Description Not Available,4.38,4.38,,,0 NDC,00409488720,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-20) / 20 Ml In 1 Vial, Plastic (0409-4887-23)",6.37,6.37,,,0 NDC,00409488723,NDC Description Not Available,6.14,6.14,,,0 NDC,00409488724,NDC Description Not Available,10.66,10.66,,,0 NDC,00409488725,NDC Description Not Available,13.76,13.76,,,0 NDC,00409488750,"Sterile Water: 25 Vial, Plastic In 1 Tray (0409-4887-50) / 50 Ml In 1 Vial, Plastic (0409-4887-24)",7.23,7.23,,,0 NDC,00409488801,NDC Description Not Available,7.92,7.92,,,0 NDC,00409488802,NDC Description Not Available,8.41,8.41,,,0 NDC,00409488803,NDC Description Not Available,5.59,5.59,,,0 NDC,00409488806,NDC Description Not Available,22.09,22.09,,,0 NDC,00409488810,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-10) / 10 Ml In 1 Vial, Single-Dose (0409-4888-02)",3.6,3.6,,,0 NDC,00409488812,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-12) / 10 Ml In 1 Vial, Single-Dose (0409-4888-01)",9.27,9.27,,,0 NDC,00409488820,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-20) / 20 Ml In 1 Vial, Single-Dose (0409-4888-03)",20.784999999999997,20.784999999999997,,,0 NDC,00409488850,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-4888-50) / 50 Ml In 1 Vial, Single-Dose (0409-4888-06)",3.09,3.09,,,0 NDC,00409490014,Sodium Bicarbonate: 10 Carton In 1 Package (0409-4900-14) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe (0409-4900-24),102.12,102.12,,,0 NDC,00409490234,Dextrose: 10 Carton In 1 Container (0409-4902-34) / 1 Syringe In 1 Carton / 50 Ml In 1 Syringe (0409-4902-64),53.705,53.705,,,0 NDC,00409490264,NDC Description Not Available,69.745,69.745,,,0 NDC,00409490311,NDC Description Not Available,2.705,2.705,,,0 NDC,00409490334,Lidocaine Hydrochloride: 10 Carton In 1 Container (0409-4903-34) / 1 Syringe In 1 Carton / 5 Ml In 1 Syringe (0409-4903-11),2.73,2.73,,,0 NDC,00409491011,NDC Description Not Available,2.05,2.05,,,0 NDC,00409491111,NDC Description Not Available,1.16,1.16,,,0 NDC,00409491134,"Atropine Sulfate: 10 Carton In 1 Package (0409-4911-34) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4911-11)",0.72,0.72,,,0 NDC,00409492120,NDC Description Not Available,2.8600000000000003,2.8600000000000003,,,0 NDC,00409492811,NDC Description Not Available,62.989999999999995,62.989999999999995,,,0 NDC,00409492834,Calcium Chloride: 10 Carton In 1 Container (0409-4928-34) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,65.53,65.53,,,0 NDC,00409493301,"Epinephrine: 10 Carton In 1 Package (0409-4933-01) / 1 Syringe, Glass In 1 Carton / 10 Ml In 1 Syringe, Glass (0409-4933-11)",3.09,3.09,,,0 NDC,00409493311,NDC Description Not Available,3.6,3.6,,,0 NDC,00409501701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-5017-01) / 100 Ml In 1 Vial, Pharmacy Bulk Package",51.13,51.13,,,0 NDC,00409508211,NDC Description Not Available,15.45,15.45,,,0 NDC,00409508216,"Tazicef: 25 Vial In 1 Carton (0409-5082-16) / 1 Injection, Powder, For Solution In 1 Vial (0409-5082-11)",9.37,9.37,,,0 NDC,00409508411,"Tazicef: 10 Vial In 1 Carton (0409-5084-11) / 1 Injection, Powder, For Solution In 1 Vial (0409-5084-13)",10.305,10.305,,,0 NDC,00409508413,NDC Description Not Available,10.33,10.33,,,0 NDC,00409523901,NDC Description Not Available,17.52,17.52,,,0 NDC,00409553434,NDC Description Not Available,37.08,37.08,,,0 NDC,00409555512,NDC Description Not Available,33.6,33.6,,,0 NDC,00409582001,"Dopamine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0409-5820-01) / 5 Ml In 1 Vial, Single-Dose (0409-5820-11)",16.48,16.48,,,0 NDC,00409582011,NDC Description Not Available,0.88,0.88,,,0 NDC,00409592101,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5921-01) / 10 Ml In 1 Vial, Single-Dose (0409-5921-16)",15.45,15.45,,,0 NDC,00409592116,NDC Description Not Available,63.94,63.94,,,0 NDC,00409592201,"Aminophylline: 25 Vial, Single-Dose In 1 Tray (0409-5922-01) / 20 Ml In 1 Vial, Single-Dose (0409-5922-16)",45.35,45.35,,,0 NDC,00409592216,NDC Description Not Available,45.98,45.98,,,0 NDC,00409593301,"Daptomycin: 1 VIAL, SINGLE-USE in 1 CARTON (0409-5933-01) / 7 mL in 1 VIAL, SINGLE-USE",0.62,0.62,,,0 NDC,00409601002,NDC Description Not Available,0.93,0.93,,,0 NDC,00409610202,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-02) / 2 Ml In 1 Vial, Single-Dose (0409-6102-19)",18.27,18.27,,,0 NDC,00409610204,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-04) / 4 Ml In 1 Vial, Single-Dose (0409-6102-18)",8.02,8.02,,,0 NDC,00409610210,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-10) / 10 Ml In 1 Vial, Single-Dose (0409-6102-20)",5.255000000000001,5.255000000000001,,,0 NDC,00409610218,NDC Description Not Available,6.335,6.335,,,0 NDC,00409610219,NDC Description Not Available,18.04,18.04,,,0 NDC,00409610220,NDC Description Not Available,5.02,5.02,,,0 NDC,00409610225,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-25) / 2 Ml In 1 Vial, Single-Dose (0409-6102-35)",14.44,14.44,,,0 NDC,00409610226,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-26) / 4 Ml In 1 Vial, Single-Dose (0409-6102-36)",6.42,6.42,,,0 NDC,00409610227,"Furosemide: 25 Vial, Single-Dose In 1 Tray (0409-6102-27) / 10 Ml In 1 Vial, Single-Dose (0409-6102-37)",4.58,4.58,,,0 NDC,00409610235,NDC Description Not Available,14.725,14.725,,,0 NDC,00409610236,NDC Description Not Available,6.635,6.635,,,0 NDC,00409610237,NDC Description Not Available,4.5649999999999995,4.5649999999999995,,,0 NDC,00409614322,"Acetic Acid: 24 BOTTLE, PLASTIC in 1 CASE (0409-6143-22) / 250 mL in 1 BOTTLE, PLASTIC",8.58,8.58,,,0 NDC,00409647644,"Erythrocin Lactobionate: 10 Vial, Patent Delivery System In 1 Tray (0409-6476-44) / 100 Ml In 1 Vial, Patent Delivery System (0409-6476-54)",211.38,211.38,,,0 NDC,00409648201,Erythrocin Lactobionate: 10 Vial In 1 Tray (0409-6482-01) / 10 Ml In 1 Vial (0409-6482-11),257.83,257.83,,,0 NDC,00409648211,NDC Description Not Available,236.88,236.88,,,0 NDC,00409650949,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0409-6509-49) / 100 Ml In 1 Vial, Pharmacy Bulk Package",6.6,6.6,,,0 NDC,00409653101,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Tray (0409-6531-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (0409-6531-11)",14.42,14.42,,,0 NDC,00409653102,"Vancomycin Hydrochloride: 10 Vial In 1 Tray (0409-6531-02) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6531-12)",21.12,21.12,,,0 NDC,00409653112,NDC Description Not Available,21.26,21.26,,,0 NDC,00409653301,"10 VIAL in 1 TRAY (0409-6533-01) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (0409-6533-11)",35.02,35.02,,,0 NDC,00409653311,NDC Description Not Available,39.76,39.76,,,0 NDC,00409653321,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-21) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-11)",33.92,33.92,,,0 NDC,00409653331,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (0409-6533-31) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (0409-6533-59)",6.8,6.8,,,0 NDC,00409653359,NDC Description Not Available,8.21,8.21,,,0 NDC,00409653361,NDC Description Not Available,9.61,9.61,,,0 NDC,00409656201,Testosterone Cypionate: 1 Vial In 1 Carton (0409-6562-01) / 1 Ml In 1 Vial,0.47,0.47,,,0 NDC,00409662502,Sodium Bicarbonate: 25 VIAL in 1 TRAY (0409-6625-02) / 50 mL in 1 VIAL,42.03,42.03,,,0 NDC,00409662514,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (0409-6625-14) / 50 Ml In 1 Vial, Single-Dose (0409-6625-22)",41.695,41.695,,,0 NDC,00409662522,NDC Description Not Available,42.23,42.23,,,0 NDC,00409662530,NDC Description Not Available,33.53,33.53,,,0 NDC,00409662902,"Quelicin: 25 Vial, Multi-Dose In 1 Tray (0409-6629-02) / 10 Ml In 1 Vial, Multi-Dose (0409-6629-12)",8.37,8.37,,,0 NDC,00409663501,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6635-01) / 5 Ml In 1 Vial, Single-Dose (0409-6635-18)",1.27,1.27,,,0 NDC,00409663724,NDC Description Not Available,75.21000000000001,75.21000000000001,,,0 NDC,00409663734,Sodium Bicarbonate: 10 CARTON in 1 PACKAGE (0409-6637-34) / 1 SYRINGE in 1 CARTON / 50 mL in 1 SYRINGE,47.38,47.38,,,0 NDC,00409664802,"Dextrose: 25 Vial, Single-Dose In 1 Tray (0409-6648-02) / 50 Ml In 1 Vial, Single-Dose (0409-6648-16)",18.38,18.38,,,0 NDC,00409664816,NDC Description Not Available,18.65,18.65,,,0 NDC,00409665106,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6651-06) / 10 Ml In 1 Vial, Single-Dose (0409-6651-19)",1.03,1.03,,,0 NDC,00409665119,NDC Description Not Available,1.89,1.89,,,0 NDC,00409665305,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (0409-6653-05) / 20 Ml In 1 Vial, Single-Dose (0409-6653-18)",1.36,1.36,,,0 NDC,00409665318,NDC Description Not Available,39.120000000000005,39.120000000000005,,,0 NDC,00409669501,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-01) / 10 Ml In 1 Vial, Single-Dose (0409-6695-11)",17.89,17.89,,,0 NDC,00409669502,"Amidate: 10 Vial, Single-Dose In 1 Tray (0409-6695-02) / 20 Ml In 1 Vial, Single-Dose (0409-6695-12)",18.45,18.45,,,0 NDC,00409669511,NDC Description Not Available,24.72,24.72,,,0 NDC,00409669512,NDC Description Not Available,27.81,27.81,,,0 NDC,00409672903,24 POUCH in 1 CASE (0409-6729-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG (0409-6729-21),0.63,0.63,,,0 NDC,00409672911,NDC Description Not Available,17.37,17.37,,,0 NDC,00409672923,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag (0409-6729-41),4.32,4.32,,,0 NDC,00409672924,Magnesium Sulfate In Water: 24 Pouch In 1 Case (0409-6729-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-6729-11),17.33,17.33,,,0 NDC,00409672941,NDC Description Not Available,4.18,4.18,,,0 NDC,00409677802,"Lorazepam: 10 VIAL, SINGLE-DOSE in 1 CARTON (0409-6778-02) / 1 mL in 1 VIAL, SINGLE-DOSE (0409-6778-11)",7.09,7.09,,,0 NDC,00409677811,NDC Description Not Available,7.21,7.21,,,0 NDC,00409710066,Dextrose: 10 Pouch In 1 Case (0409-7100-66) / 5 Bag In 1 Pouch / 50 Ml In 1 Bag (0409-7100-68),36.05,36.05,,,0 NDC,00409710168,NDC Description Not Available,36.05,36.05,,,0 NDC,00409710169,NDC Description Not Available,36.05,36.05,,,0 NDC,00409711309,Potassium Chloride in Lactated Ringers and Dextrose: 12 POUCH in 1 CASE (0409-7113-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAG,11.33,11.33,,,0 NDC,00409713809,"Sodium Chloride: 12 BOTTLE, PLASTIC in 1 CASE (0409-7138-09) / 1000 mL in 1 BOTTLE, PLASTIC",36.05,36.05,,,0 NDC,00409729501,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7295-01) / 15 Ml In 1 Vial, Single-Dose (0409-7295-11)",63.92,63.92,,,0 NDC,00409729511,NDC Description Not Available,63.81,63.81,,,0 NDC,00409729973,"Sodium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-7299-73) / 20 Ml In 1 Vial, Single-Dose (0409-7299-83)",13.79,13.79,,,0 NDC,00409729983,NDC Description Not Available,13.75,13.75,,,0 NDC,00409733201,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-11)",1.67,1.67,,,0 NDC,00409733211,NDC Description Not Available,1.565,1.565,,,0 NDC,00409733220,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7332-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7332-21)",1.54,1.54,,,0 NDC,00409733221,NDC Description Not Available,1.725,1.725,,,0 NDC,00409733503,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-03) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-13)",1.54,1.54,,,0 NDC,00409733513,NDC Description Not Available,1.53,1.53,,,0 NDC,00409733520,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7335-20) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7335-21)",1.54,1.54,,,0 NDC,00409733521,NDC Description Not Available,1.56,1.56,,,0 NDC,00409733711,NDC Description Not Available,3.09,3.09,,,0 NDC,00409733721,NDC Description Not Available,3.09,3.09,,,0 NDC,00409733801,"Ceftriaxone Sodium: 10 Vial, Single-Use In 1 Carton (0409-7338-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use (0409-7338-11)",1.88,1.88,,,0 NDC,00409733811,NDC Description Not Available,1.88,1.88,,,0 NDC,00409733821,NDC Description Not Available,2.06,2.06,,,0 NDC,00409739172,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (0409-7391-72) / 15 Ml In 1 Vial, Single-Dose (0409-7391-82)",79.225,79.225,,,0 NDC,00409739182,NDC Description Not Available,79.13,79.13,,,0 NDC,00409741903,Lmd In Sodium Chloride: 12 Pouch In 1 Case (0409-7419-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag (0409-7419-14),174.02,174.02,,,0 NDC,00409741914,NDC Description Not Available,173.6,173.6,,,0 NDC,00409751716,"Dextrose: 10 Carton In 1 Container (0409-7517-16) / 1 Syringe, Plastic In 1 Carton / 50 Ml In 1 Syringe, Plastic (0409-7517-66)",70.04,70.04,,,0 NDC,00409751766,NDC Description Not Available,69.19,69.19,,,0 NDC,00409762059,Heparin Sodium: 12 Pouch In 1 Case (0409-7620-59) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag (0409-7620-49),14.42,14.42,,,0 NDC,00409765005,NDC Description Not Available,2.46,2.46,,,0 NDC,00409765062,Heparin Sodium: 24 Pouch In 1 Case (0409-7650-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7650-52),2.46,2.46,,,0 NDC,00409779362,Heparin Sodium And Dextrose: 24 Pouch In 1 Case (0409-7793-62) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag (0409-7793-52),1.65,1.65,,,0 NDC,00409780911,NDC Description Not Available,5.98,5.98,,,0 NDC,00409781011,NDC Description Not Available,4.48,4.48,,,0 NDC,00409781124,Metronidazole: 24 POUCH in 1 CASE (0409-7811-24) / 1 BAG in 1 POUCH / 100 mL in 1 BAG (0409-7811-31),8.24,8.24,,,0 NDC,00409792203,Dextrose: 24 POUCH in 1 CASE (0409-7922-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAG,36.05,36.05,,,0 NDC,00409792230,Dextrose: 24 BAG in 1 CASE (0409-7922-30) / 500 mL in 1 BAG,36.05,36.05,,,0 NDC,00409798330,NDC Description Not Available,18.02,18.02,,,0 NDC,00409798361,Sodium Chloride: 32 POUCH in 1 CASE (0409-7983-61) / 1 BAG in 1 POUCH / 150 mL in 1 BAG,36.05,36.05,,,0 NDC,00409818301,"Potassium Acetate: 25 Vial, Single-Dose In 1 Tray (0409-8183-01) / 20 Ml In 1 Vial, Single-Dose (0409-8183-11)",14.42,14.42,,,0 NDC,00409818311,NDC Description Not Available,15.45,15.45,,,0 NDC,00409818315,NDC Description Not Available,14.42,14.42,,,0 NDC,00409904201,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9042-01) / 10 Ml In 1 Vial, Single-Dose (0409-9042-11)",16.11,16.11,,,0 NDC,00409904501,"Bupivacaine Hydrochloride And Epinephrine: 10 Vial, Single-Dose In 1 Carton (0409-9045-01) / 10 Ml In 1 Vial, Single-Dose (0409-9045-11)",7.13,7.13,,,0 NDC,00409909309,NDC Description Not Available,8.13,8.13,,,0 NDC,00409909332,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-32) / 2 Ml In 1 Ampule (0409-9093-37),4.7,4.7,,,0 NDC,00409909335,Fentanyl Citrate: 10 Ampule In 1 Cello Pack (0409-9093-35) / 5 Ml In 1 Ampule (0409-9093-45),3.3049999999999997,3.3049999999999997,,,0 NDC,00409909345,NDC Description Not Available,3.38,3.38,,,0 NDC,00409909412,NDC Description Not Available,6.33,6.33,,,0 NDC,00409909416,NDC Description Not Available,4.484999999999999,4.484999999999999,,,0 NDC,00409909418,NDC Description Not Available,4.98,4.98,,,0 NDC,00409909422,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-22) / 2 Ml In 1 Vial, Single-Dose (0409-9094-12)",6.33,6.33,,,0 NDC,00409909425,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-25) / 5 Ml In 1 Vial, Single-Dose (0409-9094-18)",3.81,3.81,,,0 NDC,00409909431,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Tray (0409-9094-31) / 20 Ml In 1 Vial, Single-Dose (0409-9094-16)",4.94,4.94,,,0 NDC,00409909441,NDC Description Not Available,3.87,3.87,,,0 NDC,00409909461,"Fentanyl Citrate: 25 Carton In 1 Tray (0409-9094-61) / 1 Vial, Single-Dose In 1 Carton / 50 Ml In 1 Vial, Single-Dose (0409-9094-41)",48.71,48.71,,,0 NDC,00409915811,NDC Description Not Available,20.81,20.81,,,0 NDC,00409915831,NDC Description Not Available,26.05,26.05,,,0 NDC,00409915850,NDC Description Not Available,24.42,24.42,,,0 NDC,00409915855,NDC Description Not Available,20.77,20.77,,,0 NDC,00409955805,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-05) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-11)",13.07,13.07,,,0 NDC,00409955810,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-10) / 10 Ml In 1 Vial, Multi-Dose (0409-9558-31)",25.9,25.9,,,0 NDC,00409955811,NDC Description Not Available,16.48,16.48,,,0 NDC,00409955849,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Box (0409-9558-49) / 5 Ml In 1 Vial, Multi-Dose (0409-9558-69)",15.96,15.96,,,0 NDC,00409955869,NDC Description Not Available,13.36,13.36,,,0 NDC,00409963015,NDC Description Not Available,13.7,13.7,,,0 NDC,00409973501,NDC Description Not Available,10.44,10.44,,,0 NDC,00409973510,"Cefepime: 10 Vial In 1 Carton (0409-9735-10) / 1 Injection, Powder, For Solution In 1 Vial (0409-9735-01)",6.97,6.97,,,0 NDC,00430375414,"Estrace: 36 Carton In 1 Case (0430-3754-14) / 1 Tube, With Applicator In 1 Carton / 42.5 G In 1 Tube, With Applicator",1491.44,1491.44,,,0 NDC,00436067216,Dakins Quarter: 473 Ml In 1 Bottle (0436-0672-16),49.36,49.36,,,0 NDC,00436093616,Dakins Half: 473 Ml In 1 Bottle (0436-0936-16),14.19,14.19,,,0 NDC,00440509705,NDC Description Not Available,6.16,6.16,,,0 NDC,00456040001,NDC Description Not Available,25.26,25.26,,,0 NDC,00456040010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0400-10) / 20 Ml In 1 Vial, Single-Dose (0456-0400-01)",26.68,26.68,,,0 NDC,00456045801,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0458-01),4.13,4.13,,,0 NDC,00456045901,Armour Thyroid: 100 Tablet In 1 Bottle (0456-0459-01),4.46,4.46,,,0 NDC,00456060001,NDC Description Not Available,16.84,16.84,,,0 NDC,00456060010,"Teflaro: 10 Vial, Single-Dose In 1 Carton (0456-0600-10) / 20 Ml In 1 Vial, Single-Dose (0456-0600-01)",17.83,17.83,,,0 NDC,00456120130,"Linzess: 1 Bottle In 1 Carton (0456-1201-30) / 30 Capsule, Gelatin Coated In 1 Bottle",78.2,78.2,,,0 NDC,00456120304,"Linzess: 1 Bottle In 1 Carton (0456-1203-04) / 4 Capsule, Gelatin Coated In 1 Bottle",78.07,78.07,,,0 NDC,00456120330,"Linzess: 1 Bottle In 1 Carton (0456-1203-30) / 30 Capsule, Gelatin Coated In 1 Bottle",77.85,77.85,,,0 NDC,00456270001,NDC Description Not Available,403.63,403.63,,,0 NDC,00456270010,"Avycaz: 10 Vial, Single-Dose In 1 Carton (0456-2700-10) / 1 Powder, For Solution In 1 Vial, Single-Dose (0456-2700-01)",418.8,418.8,,,0 NDC,00456430001,Monurol: 1 PACKET in 1 CARTON (0456-4300-01) / 1 POWDER in 1 PACKET (0456-4300-08),394.49,394.49,,,0 NDC,00469012599,Xtandi: 1 Bottle In 1 Carton (0469-0125-99) / 120 Capsule In 1 Bottle,409.94,409.94,,,0 NDC,00469042001,"Cresemba: 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.45,4.45,,,0 NDC,00469042099,"Cresemba: 10 Carton In 1 Carton (0469-0420-99) / 1 Vial, Single-Dose In 1 Carton (0469-0420-01) / 5 Ml In 1 Vial, Single-Dose",4.24,4.24,,,0 NDC,00469052001,NDC Description Not Available,462.99,462.99,,,0 NDC,00469052014,Cresemba: 4 Carton In 1 Carton (0469-0520-14) / 14 Blister Pack In 1 Carton (0469-0520-02) / 1 Capsule In 1 Blister Pack,436.72,436.72,,,0 NDC,00469062599,Xtandi: 1 Bottle In 1 Carton (0469-0625-99) / 120 Tablet In 1 Bottle,179.22,179.22,,,0 NDC,00469260130,"Myrbetriq: 1 Bottle In 1 Carton (0469-2601-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",66.37,66.37,,,0 NDC,00469260230,"Myrbetriq: 1 Bottle In 1 Carton (0469-2602-30) / 30 Tablet, Film Coated, Extended Release In 1 Bottle",66.34,66.34,,,0 NDC,00469301601,Prograf: 10 Ampule In 1 Box (0469-3016-01) / 1 Ml In 1 Ampule,246.33,246.33,,,0 NDC,00469305130,"Ambisome: 12.5 Ml In 1 Vial, Single-Dose (0469-3051-30)",97.89,97.89,,,0 NDC,00469321110,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3211-10) / 10 Ml In 1 Vial, Single-Dose",8.8,8.8,,,0 NDC,00469325010,"Mycamine: 10 Vial, Single-Dose In 1 Carton (0469-3250-10) / 5 Ml In 1 Vial, Single-Dose",8.09,8.09,,,0 NDC,00469342510,Vyloy: 1 Vial In 1 Box (0469-3425-10) / 5 Ml In 1 Vial,39.55,39.55,,,0 NDC,00469650189,"Lexiscan: 5 Ml In 1 Syringe, Plastic (0469-6501-89)",275.34,275.34,,,0 NDC,00472016615,Nystatin: 1 Tube In 1 Carton (0472-0166-15) / 15 G In 1 Tube,62.83,62.83,,,0 NDC,00472017934,Triple Antibiotic: 1 TUBE in 1 CARTON (0472-0179-34) / 14 g in 1 TUBE,5.49,5.49,,,0 NDC,00472024260,Permethrin: 1 Tube In 1 Carton (0472-0242-60) / 60 G In 1 Tube,445.99,445.99,,,0 NDC,00472033730,Hydrocortisone: 1 Tube In 1 Carton (0472-0337-30) / 30 G In 1 Tube,40.06,40.06,,,0 NDC,00472037915,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (0472-0379-15) / 15 G In 1 Tube,139.72,139.72,,,0 NDC,00480331001,"Theophylline: 100 Tablet, Extended Release In 1 Bottle (0480-3310-01)",7.72,7.72,,,0 NDC,00480372001,"Pyrimethamine: 100 Tablet In 1 Bottle, Plastic (0480-3720-01)",3082.28,3082.28,,,0 NDC,00480432001,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (0480-4320-01) / 1.2 Ml In 1 Vial, Single-Dose",121.59,121.59,,,0 NDC,00487020100,NDC Description Not Available,7.92,7.92,,,0 NDC,00487020101,"Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (0487-0201-01) / 1 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.96,7.96,,,0 NDC,00487020103,"Ipratropium Bromide And Albuterol Sulfate: 6 Pouch In 1 Carton (0487-0201-03) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",8.08,8.08,,,0 NDC,00487020160,"Ipratropium Bromide And Albuterol Sulfate: 12 Pouch In 1 Carton (0487-0201-60) / 5 Vial, Single-Use In 1 Pouch / 3 Ml In 1 Vial, Single-Use",7.58,7.58,,,0 NDC,00487278401,"Asthmanefrin: 30 Pouch In 1 Carton (0487-2784-01) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",2.74,2.74,,,0 NDC,00487430105,Sodium Chloride: 64 Bag In 1 Case (0487-4301-05) / 50 Ml In 1 Bag,36.05,36.05,,,0 NDC,00487590199,"S2: 30 Pouch In 1 Carton (0487-5901-99) / 1 Vial, Single-Use In 1 Pouch / .5 Ml In 1 Vial, Single-Use",2.94,2.94,,,0 NDC,00487900330,NDC Description Not Available,2.22,2.22,,,0 NDC,00487900360,NDC Description Not Available,1.29,1.29,,,0 NDC,00487900730,NDC Description Not Available,2.33,2.33,,,0 NDC,00487900760,NDC Description Not Available,1.41,1.41,,,0 NDC,00487930103,NDC Description Not Available,1.09,1.09,,,0 NDC,00487930133,NDC Description Not Available,1.03,1.03,,,0 NDC,00487950100,NDC Description Not Available,1.0,1.0,,,0 NDC,00487950101,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9501-01) / 1 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",1.06,1.06,,,0 NDC,00487960101,Budesonide: 6 Pouch In 1 Carton (0487-9601-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,34.96,34.96,,,0 NDC,00487960130,Budesonide: 30 Pouch In 1 Carton (0487-9601-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,21.51,21.51,,,0 NDC,00487970101,Budesonide: 6 Pouch In 1 Carton (0487-9701-01) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.23,40.23,,,0 NDC,00487970130,Budesonide: 30 Pouch In 1 Carton (0487-9701-30) / 1 Ampule In 1 Pouch / 2 Ml In 1 Ampule,22.63,22.63,,,0 NDC,00487980100,NDC Description Not Available,0.96,0.96,,,0 NDC,00487980101,"Ipratropium Bromide: 30 Pouch In 1 Carton (0487-9801-01) / 1 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",1.39,1.39,,,0 NDC,00487980130,"Ipratropium Bromide: 1 Pouch In 1 Carton (0487-9801-30) / 30 Vial, Single-Dose In 1 Pouch / 2.5 Ml In 1 Vial, Single-Dose",5.15,5.15,,,0 NDC,00487990130,"Albuterol Sulfate: 30 Pouch In 1 Carton (0487-9901-30) / 1 Vial, Single-Dose In 1 Pouch / .5 Ml In 1 Vial, Single-Dose",1.2,1.2,,,0 NDC,00496088205,Lmx4: 5 G In 1 Tube (0496-0882-05),29.97,29.97,,,0 NDC,00496088206,Lmx4: 5 Tube In 1 Carton (0496-0882-06) / 5 G In 1 Tube (0496-0882-05),29.88,29.88,,,0 NDC,00496088230,Lmx4: 30 G In 1 Tube (0496-0882-30),194.67,194.67,,,0 NDC,00501340004,NDC Description Not Available,6.18,6.18,,,0 NDC,00517003101,NDC Description Not Available,31.64,31.64,,,0 NDC,00517003125,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Tray (0517-0031-25) / 1 Ml In 1 Vial, Multi-Dose (0517-0031-01)",31.93,31.93,,,0 NDC,00517030110,"Methylene Blue: 10 VIAL, SINGLE-DOSE in 1 TRAY (0517-0301-10) / 1 mL in 1 VIAL, SINGLE-DOSE",21.09,21.09,,,0 NDC,00517037401,NDC Description Not Available,17.54,17.54,,,0 NDC,00517037405,Provayblue: 5 Ampule In 1 Carton (0517-0374-05) / 10 Ml In 1 Ampule (0517-0374-01),16.41,16.41,,,0 NDC,00517040125,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-0401-25) / 1 mL in 1 VIAL, SINGLE-DOSE",1.02,1.02,,,0 NDC,00517042001,"Estradiol Valerate: 1 Vial, Multi-Dose In 1 Carton (0517-0420-01) / 5 Ml In 1 Vial, Multi-Dose",59.2,59.2,,,0 NDC,00517065001,"Injectafer: 1 Vial, Single-Dose In 1 Box (0517-0650-01) / 15 Ml In 1 Vial, Single-Dose",4.44,4.44,,,0 NDC,00517071001,Fomepizole: 1 Vial In 1 Carton (0517-0710-01) / 1.5 Ml In 1 Vial,32.78,32.78,,,0 NDC,00517072001,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Carton (0517-0720-01) / 5 Ml In 1 Vial, Multi-Dose",22.1,22.1,,,0 NDC,00517074001,NDC Description Not Available,129.01,129.01,,,0 NDC,00517074020,"Methylergonovine Maleate: 20 Vial, Single-Dose In 1 Carton (0517-0740-20) / 1 Ml In 1 Vial, Single-Dose (0517-0740-01)",122.2,122.2,,,0 NDC,00517090101,NDC Description Not Available,64.89,64.89,,,0 NDC,00517090125,"Hydralazine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-0901-25) / 1 Ml In 1 Vial, Single-Dose",64.51,64.51,,,0 NDC,00517100401,NDC Description Not Available,1.185,1.185,,,0 NDC,00517101025,"Atropine Sulfate: 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-1010-25) / 1 mL in 1 VIAL, SINGLE-DOSE",0.7,0.7,,,0 NDC,00517102001,NDC Description Not Available,59.89,59.89,,,0 NDC,00517102025,"Vasopressin: 25 Vial, Single-Dose In 1 Carton (0517-1020-25) / 1 Ml In 1 Vial, Single-Dose (0517-1020-01)",210.41,210.41,,,0 NDC,00517104501,NDC Description Not Available,115.73,115.73,,,0 NDC,00517117101,NDC Description Not Available,4.34,4.34,,,0 NDC,00517182001,Chlorothiazide Sodium: 1 Vial In 1 Carton (0517-1820-01) / 18 Ml In 1 Vial,713.42,713.42,,,0 NDC,00517198001,NDC Description Not Available,158.11,158.11,,,0 NDC,00517231001,NDC Description Not Available,2.73,2.73,,,0 NDC,00517231005,"Venofer: 5 Vial, Single-Dose In 1 Box (0517-2310-05) / 10 Ml In 1 Vial, Single-Dose (0517-2310-01)",2.625,2.625,,,0 NDC,00517234001,"Venofer: 1 Vial, Single-Dose In 1 Box (0517-2340-01) / 5 Ml In 1 Vial, Single-Dose",1.31,1.31,,,0 NDC,00517234010,"Venofer: 10 Vial, Single-Dose In 1 Box (0517-2340-10) / 5 Ml In 1 Vial, Single-Dose",2.52,2.52,,,0 NDC,00517234025,"Venofer: 25 Vial, Single-Dose In 1 Tray (0517-2340-25) / 5 Ml In 1 Vial, Single-Dose",2.53,2.53,,,0 NDC,00517250201,NDC Description Not Available,140.31,140.31,,,0 NDC,00517250210,"Caffeine And Sodium Benzoate: 10 Vial, Single-Dose In 1 Box (0517-2502-10) / 2 Ml In 1 Vial, Single-Dose (0517-2502-01)",145.66,145.66,,,0 NDC,00517250501,NDC Description Not Available,103.0,103.0,,,0 NDC,00517302025,"Sterile Water: 25 Vial, Single-Dose In 1 Tray (0517-3020-25) / 20 Ml In 1 Vial, Single-Dose (0517-3020-01)",15.12,15.12,,,0 NDC,00517400225,Papaverine Hydrochloride: 25 Vial In 1 Carton (0517-4002-25) / 2 Ml In 1 Vial (0517-4002-01),178.87,178.87,,,0 NDC,00517420101,NDC Description Not Available,114.78,114.78,,,0 NDC,00517420125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-4201-25) / 1 Ml In 1 Vial, Single-Dose (0517-4201-01)",117.34,117.34,,,0 NDC,00517430001,Paclitaxel Protein Bound Particles Albumin Bound: 1 Vial In 1 Carton (0517-4300-01) / 20 Ml In 1 Vial,39.63,39.63,,,0 NDC,00517460125,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4601-25) / 1 Ml In 1 Vial, Single-Dose",42.78,42.78,,,0 NDC,00517460225,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Tray (0517-4602-25) / 2 Ml In 1 Vial, Single-Dose",113.77,113.77,,,0 NDC,00517460525,"Glycopyrrolate: 25 Vial, Multi-Dose In 1 Tray (0517-4605-25) / 5 Ml In 1 Vial, Multi-Dose",110.98,110.98,,,0 NDC,00517481001,NDC Description Not Available,25.32,25.32,,,0 NDC,00517481025,"Nitroglycerin: 25 Vial, Single-Dose In 1 Tray (0517-4810-25) / 10 Ml In 1 Vial, Single-Dose (0517-4810-01)",6.64,6.64,,,0 NDC,00517560125,"Hydroxyzine Hydrochloride: 25 Vial, Single-Dose In 1 Tray (0517-5601-25) / 1 Ml In 1 Vial, Single-Dose (0517-5601-01)",98.88,98.88,,,0 NDC,00517671001,NDC Description Not Available,87.34,87.34,,,0 NDC,00517671010,"Calcium Chloride: 10 Vial, Glass In 1 Box (0517-6710-10) / 10 Ml In 1 Vial, Glass",87.45,87.45,,,0 NDC,00517730501,NDC Description Not Available,65.23,65.23,,,0 NDC,00517750401,NDC Description Not Available,21.93,21.93,,,0 NDC,00517750425,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7504-25) / 4 Ml In 1 Vial, Glass",44.8,44.8,,,0 NDC,00517760401,NDC Description Not Available,47.315,47.315,,,0 NDC,00517760425,"Acetylcysteine: 25 Vial, Glass In 1 Tray (0517-7604-25) / 4 Ml In 1 Vial, Glass",29.95,29.95,,,0 NDC,00517919101,NDC Description Not Available,33.7,33.7,,,0 NDC,00517919125,"Aminocaproic Acid: 25 Vial, Multi-Dose In 1 Tray (0517-9191-25) / 20 Ml In 1 Vial, Multi-Dose (0517-9191-01)",39.14,39.14,,,0 NDC,00517970201,NDC Description Not Available,14.115,14.115,,,0 NDC,00517970225,"Droperidol: 25 Vial, Single-Dose In 1 Tray (0517-9702-25) / 2 Ml In 1 Vial, Single-Dose",11.29,11.29,,,0 NDC,00527105001,"AcetaZOLAMIDE: 100 TABLET in 1 BOTTLE, PLASTIC (0527-1050-01)",12.04,12.04,,,0 NDC,00527131101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1311-01),22.66,22.66,,,0 NDC,00527131801,Terbutaline Sulfate: 100 Tablet In 1 Bottle (0527-1318-01),19.57,19.57,,,0 NDC,00527136701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle (0527-1367-01)",13.44,13.44,,,0 NDC,00527178801,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1788-01)",15.86,15.86,,,0 NDC,00527179101,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0527-1791-01)",42.23,42.23,,,0 NDC,00527181843,Sumatriptan: 6 Blister Pack In 1 Carton (0527-1818-43) / .1 Ml In 1 Blister Pack,293.41,293.41,,,0 NDC,00527197174,"Cocaine Hydrochloride Nasal: 1 Bottle, Glass In 1 Carton (0527-1971-74) / 4 Ml In 1 Bottle, Glass",4.98,4.98,,,0 NDC,00527239519,"Azithromycin: 1 Blister Pack In 1 Carton (0527-2395-19) / 3 Tablet, Film Coated In 1 Blister Pack",52.45,52.45,,,0 NDC,00527301248,"Mesalamine: 120 Tablet, Delayed Release In 1 Bottle (0527-3012-48)",38.47,38.47,,,0 NDC,00527411637,"Propranolol Hydrochloride: 100 Capsule, Extended Release In 1 Bottle (0527-4116-37)",7.21,7.21,,,0 NDC,00527459113,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4591-13) / 10 Capsule In 1 Blister Pack,51.02,51.02,,,0 NDC,00527459313,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (0527-4593-13) / 10 Capsule In 1 Blister Pack,55.67,55.67,,,0 NDC,00527512162,"Nystatin Oral Suspension: 1 BOTTLE, DROPPER in 1 CARTON (0527-5121-62) / 60 mL in 1 BOTTLE, DROPPER",25.75,25.75,,,0 NDC,00527512570,Lactulose: 473 Ml In 1 Bottle (0527-5125-70),83.43,83.43,,,0 NDC,00527513762,"Oseltamivir Phosphate: 1 Bottle, Plastic In 1 Carton (0527-5137-62) / 60 Ml In 1 Bottle, Plastic",89.04,89.04,,,0 NDC,00527600480,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (0527-6004-80) / 50 Ml In 1 Bottle,232.88,232.88,,,0 NDC,00536114263,Levonorgestrel: 1 Blister Pack In 1 Carton (0536-1142-63) / 1 Tablet In 1 Blister Pack,9.27,9.27,,,0 NDC,00536114397,Rugby Petrolatum Hydrating Skin Protectant: 100 G In 1 Jar (0536-1143-97),7.21,7.21,,,0 NDC,00536114398,Rugby Petrolatum Hydrating Skin Protectant: 454 G In 1 Jar (0536-1143-98),15.27,15.27,,,0 NDC,00536121195,Dibucaine Topical Anesthetic 1% Hemorrhoidal: 1 Tube In 1 Box (0536-1211-95) / 28 G In 1 Tube,6.18,6.18,,,0 NDC,00536121794,"Rugby Tetrahydrozoline Ophthalmic Solution: 1 Bottle, Dropper In 1 Box (0536-1217-94) / 15 Ml In 1 Bottle, Dropper",7.0,7.0,,,0 NDC,00536122858,"Rugby Cherry Flavor: 177 Ml In 1 Bottle, Spray (0536-1228-58)",3.12,3.12,,,0 NDC,00536125391,Sodium Chloride Hypertonicity Ophthalmic: 1 Tube In 1 Carton (0536-1253-91) / 3.5 G In 1 Tube,44.29,44.29,,,0 NDC,00536125494,Sodium Chlorode Hypertonicity Ophthalmic Solution: 1 Bottle In 1 Carton (0536-1254-94) / 15 Ml In 1 Bottle,18.54,18.54,,,0 NDC,00536126328,Bacitracin Zinc: 1 Tube In 1 Box (0536-1263-28) / 28 G In 1 Tube,10.59,10.59,,,0 NDC,00536126511,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-11) / 14.17 G In 1 Tube,5.15,5.15,,,0 NDC,00536126595,Rugby Clotrimazole Antifungal Cream: 1 Tube In 1 Box (0536-1265-95) / 28 G In 1 Tube,8.45,8.45,,,0 NDC,00536126812,"Rugby Anti-Itch: 212 G In 1 Bottle, Pump (0536-1268-12)",22.74,22.74,,,0 NDC,00536128636,"Stomach Relief Regular Strength: 237 Ml In 1 Bottle, Plastic (0536-1286-36)",0.62,0.62,,,0 NDC,00536129434,Diclofenac Sodium: 1 Tube In 1 Carton (0536-1294-34) / 50 G In 1 Tube,38.11,38.11,,,0 NDC,00536131698,Rugby Zinc Oxide 20%: 12 Jar In 1 Case (0536-1316-98) / 454 G In 1 Jar,9.27,9.27,,,0 NDC,00536131730,NDC Description Not Available,4.34,4.34,,,0 NDC,00536135501,Biscolax: 100 SUPPOSITORY in 1 CARTON (0536-1355-01),0.44,0.44,,,0 NDC,00536137575,Miconazole Nitrate 2% Cream Antifungal: 1 Tube In 1 Box (0536-1375-75) / 28.3 G In 1 Tube,5.15,5.15,,,0 NDC,00536140894,"Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Drops: 1 Bottle, Dropper In 1 Box (0536-1408-94) / 15 Ml In 1 Bottle, Dropper",8.47,8.47,,,0 NDC,00536252525,Capsaicin: 1 Tube In 1 Carton (0536-2525-25) / 60 G In 1 Tube,36.03,36.03,,,0 NDC,00548560100,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5601-00) / .3 Ml In 1 Syringe,6.52,6.52,,,0 NDC,00548560200,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5602-00) / .4 Ml In 1 Syringe,6.43,6.43,,,0 NDC,00548560300,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5603-00) / .6 Ml In 1 Syringe,6.74,6.74,,,0 NDC,00548560700,Enoxaparin Sodium: 10 Syringe In 1 Carton (0548-5607-00) / 1 Ml In 1 Syringe,6.52,6.52,,,0 NDC,00548570100,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (0548-5701-00) / 1 Ml In 1 Syringe,0.08,0.08,,,0 NDC,00548590000,Cortrosyn: 10 Vial In 1 Carton (0548-5900-00) / 1 Ml In 1 Vial,450.71,450.71,,,0 NDC,00548909010,"Amphadase: 10 Vial, Single-Dose In 1 Carton (0548-9090-10) / 1 Ml In 1 Vial, Single-Dose",241.02,241.02,,,0 NDC,00548950200,Isoproterenol Hydrochloride: 10 Vial In 1 Carton (0548-9502-00) / 5 Ml In 1 Vial,446.25,446.25,,,0 NDC,00548970100,Vasopressin: 1 Vial In 1 Carton (0548-9701-00) / 1 Ml In 1 Vial,145.02,145.02,,,0 NDC,00555003302,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0033-02),1.37,1.37,,,0 NDC,00555015802,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0158-02),1.27,1.27,,,0 NDC,00555015902,Chlordiazepoxide Hydrochloride: 100 Capsule In 1 Bottle (0555-0159-02),1.61,1.61,,,0 NDC,00555015904,Chlordiazepoxide Hydrochloride: 500 Capsule In 1 Bottle (0555-0159-04),1.03,1.03,,,0 NDC,00555021110,Norethindrone Acetate: 50 Tablet In 1 Bottle (0555-0211-10),9.61,9.61,,,0 NDC,00555048402,Leucovorin Calcium: 100 Tablet In 1 Bottle (0555-0484-02),8.35,8.35,,,0 NDC,00555080802,"Tretinoin: 100 Capsule, Liquid Filled In 1 Bottle (0555-0808-02)",134.65,134.65,,,0 NDC,00555087202,Medroxyprogesterone Acetate: 100 Tablet In 1 Bottle (0555-0872-02),1.63,1.63,,,0 NDC,00555097202,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (0555-0972-02)",6.0,6.0,,,0 NDC,00573055620,Preparation H Medicated Wipes: 48 Cloth In 1 Pouch (0573-0556-20),0.19,0.19,,,0 NDC,00573119120,"DRISTAN 12 HR: 1 BOTTLE, SPRAY in 1 CARTON (0573-1191-20) / 15 mL in 1 BOTTLE, SPRAY",5.15,5.15,,,0 NDC,00573287193,Preparation H: 1 Tube In 1 Carton (0573-2871-93) / 28 G In 1 Tube,11.57,11.57,,,0 NDC,00573287194,Preparation H: 1 Tube In 1 Carton (0573-2871-94) / 57 G In 1 Tube,22.07,22.07,,,0 NDC,00574006915,Glutose: 37.5 g in 1 TUBE (0574-0069-15),4.109999999999999,4.109999999999999,,,0 NDC,00574006930,Glutose: 3 TUBE in 1 CARTON (0574-0069-30) / 37.5 g in 1 TUBE,4.12,4.12,,,0 NDC,00574007015,NDC Description Not Available,4.12,4.12,,,0 NDC,00574007030,NDC Description Not Available,4.12,4.12,,,0 NDC,00574010601,"Bromocriptine Mesylate: 100 Tablet In 1 Bottle, Plastic (0574-0106-01)",14.06,14.06,,,0 NDC,00574010603,"Bromocriptine Mesylate: 30 Tablet In 1 Bottle, Plastic (0574-0106-03)",15.05,15.05,,,0 NDC,00574012225,Ez Char: 25 G In 1 Bottle (0574-0122-25),18.02,18.02,,,0 NDC,00574027500,NDC Description Not Available,1.37,1.37,,,0 NDC,00574052074,Actidose: 120 Ml In 1 Tube (0574-0520-74),17.25,17.25,,,0 NDC,00574052174,Actidose Aqua: 120 Ml In 1 Tube (0574-0521-74),16.63,16.63,,,0 NDC,00574079101,"Methazolamide: 100 Tablet In 1 Bottle, Plastic (0574-0791-01)",19.91,19.91,,,0 NDC,00574082001,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (0574-0820-01) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 NDC,00574113304,Spironolactone: 118 Ml In 1 Bottle (0574-1133-04),57.25,57.25,,,0 NDC,00574200815,"Nystop: 15 G In 1 Bottle, Plastic (0574-2008-15)",98.93,98.93,,,0 NDC,00574200830,"Nystop: 30 G In 1 Bottle, Plastic (0574-2008-30)",194.04,194.04,,,0 NDC,00574204230,Lidocaine And Prilocaine: 1 Tube In 1 Carton (0574-2042-30) / 30 G In 1 Tube,65.04,65.04,,,0 NDC,00574402235,Bacitracin: 1 Tube In 1 Carton (0574-4022-35) / 3.5 G In 1 Tube,467.62,467.62,,,0 NDC,00574402435,Erythromycin: 1 Tube In 1 Carton (0574-4024-35) / 3.5 G In 1 Tube,64.89,64.89,,,0 NDC,00574402450,Erythromycin: 50 Tube In 1 Carton (0574-4024-50) / 1 G In 1 Tube,30.9,30.9,,,0 NDC,00574403105,"Tobramycin And Dexamethasone: 5 Ml In 1 Bottle, Plastic (0574-4031-05)",328.57,328.57,,,0 NDC,00574703412,Aspirin: 12 Packet In 1 Carton (0574-7034-12) / 1 Suppository In 1 Packet,4.58,4.58,,,0 NDC,00574705012,Bisacodyl: 12 Blister Pack In 1 Carton (0574-7050-12) / 1 Suppository In 1 Blister Pack,1.34,1.34,,,0 NDC,00574705050,Bisacodyl: 50 Blister Pack In 1 Carton (0574-7050-50) / 1 Suppository In 1 Blister Pack,1.04,1.04,,,0 NDC,00574709012,Hydrocortisone Acetate: 12 Packet In 1 Box (0574-7090-12) / 1 Suppository In 1 Packet,51.92,51.92,,,0 NDC,00574722406,Hydromorphone Hydrochloride: 6 Packet In 1 Box (0574-7224-06) / 1 Suppository In 1 Packet,25.15,25.15,,,0 NDC,00574722612,Compro: 12 Packet In 1 Carton (0574-7226-12) / 1 Suppository In 1 Packet,45.36,45.36,,,0 NDC,00574985510,Budesonide: 1 Bottle In 1 Carton (0574-9855-10) / 100 Capsule In 1 Bottle,3.99,3.99,,,0 NDC,00591024001,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0240-01)",2.16,2.16,,,0 NDC,00591024101,"Lorazepam: 100 TABLET in 1 BOTTLE, PLASTIC (0591-0241-01)",3.02,3.02,,,0 NDC,00591024105,"Lorazepam: 500 TABLET in 1 BOTTLE, PLASTIC (0591-0241-05)",3.09,3.09,,,0 NDC,00591037101,"Loxapine: 100 Capsule In 1 Bottle, Plastic (0591-0371-01)",6.95,6.95,,,0 NDC,00591039719,"Diclofenac Sodium And Misoprostol: 90 Tablet, Delayed Release In 1 Bottle, Plastic (0591-0397-19)",11.99,11.99,,,0 NDC,00591060501,"Labetalol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-0605-01)",1.89,1.89,,,0 NDC,00591207026,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (0591-2070-26) / 5 g in 1 TUBE,31.93,31.93,,,0 NDC,00591225854,NDC Description Not Available,87.55,87.55,,,0 NDC,00591231245,NDC Description Not Available,747.33,747.33,,,0 NDC,00591240630,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (0591-2406-30)",664.86,664.86,,,0 NDC,00591247260,"Tamoxifen Citrate: 60 Tablet In 1 Bottle, Plastic (0591-2472-60)",6.7,6.7,,,0 NDC,00591251260,"Bosentan: 60 Tablet, Film Coated In 1 Bottle (0591-2512-60)",796.71,796.71,,,0 NDC,00591257920,"Valganciclovir Hydrochloride For Oral: 100 Ml In 1 Bottle, Glass (0591-2579-20)",277.255,277.255,,,0 NDC,00591267911,NDC Description Not Available,33.78,33.78,,,0 NDC,00591267930,Lidocaine: 30 Pouch In 1 Carton (0591-2679-30) / 1 G In 1 Pouch (0591-2679-11),33.92,33.92,,,0 NDC,00591271202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (0591-2712-02)",997.35,997.35,,,0 NDC,00591288201,"Verapamil Hydrochloride: 100 Capsule, Delayed Release Pellets In 1 Bottle, Plastic (0591-2882-01)",6.52,6.52,,,0 NDC,00591292754,"Levalbuterol Tartrate Hfa Inhalation: 1 Inhaler In 1 Carton (0591-2927-54) / 200 Aerosol, Metered In 1 Inhaler",1.29,1.29,,,0 NDC,00591315901,Ursodiol: 100 Capsule In 1 Bottle (0591-3159-01),26.5,26.5,,,0 NDC,00591321726,NDC Description Not Available,1.58,1.58,,,0 NDC,00591321730,Testosterone: 30 Packet In 1 Carton (0591-3217-30) / 5 G In 1 Packet (0591-3217-26),0.77,0.77,,,0 NDC,00591333119,"Bupropion Hydrochloride Xl: 90 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3331-19)",18.88,18.88,,,0 NDC,00591336901,"Butalbital, Acetaminophen, And Caffeine: 100 Tablet In 1 Bottle (0591-3369-01)",6.16,6.16,,,0 NDC,00591352426,NDC Description Not Available,0.68,0.68,,,0 NDC,00591352511,NDC Description Not Available,33.85,33.85,,,0 NDC,00591354160,"Bupropion Hydrochloride Sr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (0591-3541-60)",7.04,7.04,,,0 NDC,00591379730,Albuterol Sulfate: 30 VIAL in 1 CARTON (0591-3797-30) / 3 mL in 1 VIAL,1.49,1.49,,,0 NDC,00591379760,Albuterol Sulfate: 60 VIAL in 1 CARTON (0591-3797-60) / 3 mL in 1 VIAL,1.49,1.49,,,0 NDC,00591401201,"Valproic: 100 Capsule, Liquid Filled In 1 Bottle (0591-4012-01)",2.83,2.83,,,0 NDC,00591534701,"Probenecid: 100 Tablet, Film Coated In 1 Bottle, Plastic (0591-5347-01)",1.8,1.8,,,0 NDC,00592860311,NDC Description Not Available,0.17,0.17,,,0 NDC,00597005345,GlucaGen: 10 VIAL in 1 CARTON (0597-0053-45) / 1 mL in 1 VIAL,641.67,641.67,,,0 NDC,00597005801,Flomax: 100 CAPSULE in 1 BOTTLE (0597-0058-01),15.37,15.37,,,0 NDC,00597008717,"Atrovent Hfa: 1 Canister In 1 Carton (0597-0087-17) / 200 Aerosol, Metered In 1 Canister",19.86,19.86,,,0 NDC,00597010051,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-51) / 10 Spray, Metered In 1 Cartridge",324.45,324.45,,,0 NDC,00597010061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0100-61) / 60 Spray, Metered In 1 Cartridge",1303.98,1303.98,,,0 NDC,00597010860,Pradaxa: 10 Blister Pack In 1 Carton (0597-0108-60) / 6 Capsule In 1 Blister Pack,14.32,14.32,,,0 NDC,00597011630,"Mirapex: 1 BOTTLE, PLASTIC in 1 CARTON (0597-0116-30) / 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC",16.32,16.32,,,0 NDC,00597015237,"Jardiance: 30 Blister Pack In 1 Carton (0597-0152-37) / 1 Tablet, Film Coated In 1 Blister Pack",88.12,88.12,,,0 NDC,00597015330,"Jardiance: 30 Tablet, Film Coated In 1 Bottle (0597-0153-30)",47.92,47.92,,,0 NDC,00597015561,"Stiolto Respimat: 1 Cartridge In 1 Carton (0597-0155-61) / 60 Spray, Metered In 1 Cartridge",1195.83,1195.83,,,0 NDC,00597016061,"Spiriva Respimat: 1 Cartridge In 1 Carton (0597-0160-61) / 60 Spray, Metered In 1 Cartridge",1303.98,1303.98,,,0 NDC,00597019705,"Praxbind: 2 Vial, Single-Dose In 1 Carton (0597-0197-05) / 50 Ml In 1 Vial, Single-Dose",6083.51,6083.51,,,0 NDC,00597035509,Pradaxa: 1 Bottle In 1 Carton (0597-0355-09) / 60 Capsule In 1 Bottle,14.31,14.31,,,0 NDC,00597035556,Pradaxa: 60 Blister Pack In 1 Carton (0597-0355-56) / 1 Capsule In 1 Blister Pack,14.32,14.32,,,0 NDC,00597036082,Pradaxa: 60 Blister Pack In 1 Carton (0597-0360-82) / 1 Capsule In 1 Blister Pack,14.33,14.33,,,0 NDC,00603155404,Potassium Chloride: 100 Pouch In 1 Carton (0603-1554-04) / 1.58 G In 1 Pouch (0603-1554-10),36.68,36.68,,,0 NDC,00603155410,NDC Description Not Available,36.65,36.65,,,0 NDC,00603155416,Potassium Chloride: 30 Pouch In 1 Carton (0603-1554-16) / 1.58 G In 1 Pouch (0603-1554-10),38.62,38.62,,,0 NDC,00603188010,NDC Description Not Available,37.07,37.07,,,0 NDC,00603240632,"Baclofen: 1000 Tablet In 1 Bottle, Plastic (0603-2406-32)",8.08,8.08,,,0 NDC,00603459321,"Methylprednisolone: 100 Tablet In 1 Bottle, Plastic (0603-4593-21)",3.46,3.46,,,0 NDC,00603499821,"Oxycodone and Acetaminophen: 100 TABLET in 1 BOTTLE, PLASTIC (0603-4998-21)",5.15,5.15,,,0 NDC,00641036721,NDC Description Not Available,0.31999999999999995,0.31999999999999995,,,0 NDC,00641036725,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-0367-25) / 1 Ml In 1 Vial (0641-0367-21),0.61,0.61,,,0 NDC,00641037621,NDC Description Not Available,3.2649999999999997,3.2649999999999997,,,0 NDC,00641037625,Diphenhydramine Hydrochloride: 25 Vial In 1 Package (0641-0376-25) / 1 Ml In 1 Vial (0641-0376-21),2.6500000000000004,2.6500000000000004,,,0 NDC,00641040037,NDC Description Not Available,2.23,2.23,,,0 NDC,00641041037,NDC Description Not Available,1.88,1.88,,,0 NDC,00641047621,NDC Description Not Available,115.23,115.23,,,0 NDC,00641047625,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0476-25) / 1 Ml In 1 Vial (0641-0476-21),133.83,133.83,,,0 NDC,00641047721,NDC Description Not Available,191.11,191.11,,,0 NDC,00641047725,Phenobarbital Sodium: 25 Vial In 1 Carton (0641-0477-25) / 1 Ml In 1 Vial (0641-0477-21),158.34,158.34,,,0 NDC,00641049717,NDC Description Not Available,3.72,3.72,,,0 NDC,00641092821,NDC Description Not Available,3.15,3.15,,,0 NDC,00641092825,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0928-25) / 1 Ml In 1 Vial, Single-Dose (0641-0928-21)",3.42,3.42,,,0 NDC,00641092921,NDC Description Not Available,4.12,4.12,,,0 NDC,00641092925,"Promethazine Hydrochloride: 25 Vial, Single-Dose In 1 Package (0641-0929-25) / 1 Ml In 1 Vial, Single-Dose (0641-0929-21)",4.12,4.12,,,0 NDC,00641094831,NDC Description Not Available,2.27,2.27,,,0 NDC,00641094935,Promethazine Hydrochloride: 25 Ampule In 1 Carton (0641-0949-35) / 1 Ml In 1 Ampule (0641-0949-31),2.2,2.2,,,0 NDC,00641095521,NDC Description Not Available,2.83,2.83,,,0 NDC,00641095525,Promethazine Hydrochloride: 25 Vial In 1 Carton (0641-0955-25) / 1 Ml In 1 Vial (0641-0955-21),3.13,3.13,,,0 NDC,00641139731,NDC Description Not Available,130.58,130.58,,,0 NDC,00641139735,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1397-35) / 1 Ml In 1 Ampule (0641-1397-31),124.63,124.63,,,0 NDC,00641139831,NDC Description Not Available,83.89,83.89,,,0 NDC,00641139835,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (0641-1398-35) / 2 Ml In 1 Ampule (0641-1398-31),75.92,75.92,,,0 NDC,00641141031,NDC Description Not Available,12.61,12.61,,,0 NDC,00641149531,NDC Description Not Available,3.5,3.5,,,0 NDC,00641149631,NDC Description Not Available,2.25,2.25,,,0 NDC,00641149635,Promethazine Hydrochloride: 25 Ampule In 1 Package (0641-1496-35) / 1 Ml In 1 Ampule (0641-1496-31),2.72,2.72,,,0 NDC,00641234141,Hydromorphone Hydrochloride: 20 Vial In 1 Carton (0641-2341-41) / 20 Ml In 1 Vial (0641-2341-39),0.23,0.23,,,0 NDC,00641600101,NDC Description Not Available,7.08,7.08,,,0 NDC,00641600601,NDC Description Not Available,0.19,0.19,,,0 NDC,00641600701,NDC Description Not Available,2.83,2.83,,,0 NDC,00641600710,Bumetanide: 10 Vial In 1 Carton (0641-6007-10) / 10 Ml In 1 Vial (0641-6007-01),2.83,2.83,,,0 NDC,00641600801,NDC Description Not Available,6.55,6.55,,,0 NDC,00641601301,NDC Description Not Available,14.48,14.48,,,0 NDC,00641601310,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6013-10) / 5 Ml In 1 Vial (0641-6013-01),14.79,14.79,,,0 NDC,00641601401,NDC Description Not Available,25.86,25.86,,,0 NDC,00641601410,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6014-10) / 10 Ml In 1 Vial (0641-6014-01),26.92,26.92,,,0 NDC,00641601501,NDC Description Not Available,38.16,38.16,,,0 NDC,00641601510,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01),39.14,39.14,,,0 NDC,00641602010,Duramorph: 10 Ampule In 1 Carton (0641-6020-10) / 10 Ml In 1 Ampule (0641-6020-01),125.57,125.57,,,0 NDC,00641602110,Famotidine: 10 Vial In 1 Carton (0641-6021-10) / 20 Ml In 1 Vial (0641-6021-01),10.92,10.92,,,0 NDC,00641602201,NDC Description Not Available,4.12,4.12,,,0 NDC,00641602225,Famotidine: 25 Vial In 1 Carton (0641-6022-25) / 2 Ml In 1 Vial (0641-6022-01),4.09,4.09,,,0 NDC,00641602325,Famotidine: 25 Vial In 1 Carton (0641-6023-25) / 4 Ml In 1 Vial (0641-6023-01),5.15,5.15,,,0 NDC,00641602701,NDC Description Not Available,9.2,9.2,,,0 NDC,00641602725,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6027-25) / 2 Ml In 1 Vial (0641-6027-01),9.27,9.27,,,0 NDC,00641603001,Fentanyl Citrate: 50 Ml In 1 Vial (0641-6030-01),5.15,5.15,,,0 NDC,00641604401,NDC Description Not Available,2.8449999999999998,2.8449999999999998,,,0 NDC,00641604425,Lorazepam: 25 Vial In 1 Carton (0641-6044-25) / 1 Ml In 1 Vial (0641-6044-01),3.65,3.65,,,0 NDC,00641604801,NDC Description Not Available,1.715,1.715,,,0 NDC,00641605201,NDC Description Not Available,12.615,12.615,,,0 NDC,00641605301,NDC Description Not Available,17.12,17.12,,,0 NDC,00641605325,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6053-25) / 1 Ml In 1 Vial (0641-6053-01),11.33,11.33,,,0 NDC,00641605401,NDC Description Not Available,12.46,12.46,,,0 NDC,00641605425,Meperidine Hydrochloride: 25 Vial In 1 Carton (0641-6054-25) / 1 Ml In 1 Vial (0641-6054-01),12.36,12.36,,,0 NDC,00641605601,NDC Description Not Available,1.03,1.03,,,0 NDC,00641605701,NDC Description Not Available,1.41,1.41,,,0 NDC,00641605725,Midazolam: 25 Vial In 1 Carton (0641-6057-25) / 2 Ml In 1 Vial (0641-6057-01),1.475,1.475,,,0 NDC,00641605901,NDC Description Not Available,1.25,1.25,,,0 NDC,00641605910,Midazolam: 10 Vial In 1 Carton (0641-6059-10) / 5 Ml In 1 Vial (0641-6059-01),1.2149999999999999,1.2149999999999999,,,0 NDC,00641606001,NDC Description Not Available,0.59,0.59,,,0 NDC,00641606010,Midazolam: 10 Vial In 1 Carton (0641-6060-10) / 10 Ml In 1 Vial (0641-6060-01),0.6,0.6,,,0 NDC,00641606101,NDC Description Not Available,1.0,1.0,,,0 NDC,00641606125,Midazolam: 25 Vial In 1 Carton (0641-6061-25) / 1 Ml In 1 Vial (0641-6061-01),1.03,1.03,,,0 NDC,00641606301,NDC Description Not Available,0.58,0.58,,,0 NDC,00641606325,Midazolam: 25 Vial In 1 Carton (0641-6063-25) / 2 Ml In 1 Vial (0641-6063-01),0.57,0.57,,,0 NDC,00641607801,NDC Description Not Available,1.02,1.02,,,0 NDC,00641607825,Ondansetron: 25 Vial In 1 Carton (0641-6078-25) / 2 Ml In 1 Vial (0641-6078-01),1.03,1.03,,,0 NDC,00641608001,NDC Description Not Available,0.42,0.42,,,0 NDC,00641608025,Ondansetron: 25 Vial In 1 Carton (0641-6080-25) / 2 Ml In 1 Vial (0641-6080-01),0.67,0.67,,,0 NDC,00641608201,NDC Description Not Available,5.72,5.72,,,0 NDC,00641608401,NDC Description Not Available,5.76,5.76,,,0 NDC,00641608425,Phenergan: 25 Vial In 1 Carton (0641-6084-25) / 1 Ml In 1 Vial (0641-6084-01),7.21,7.21,,,0 NDC,00641610301,NDC Description Not Available,114.76,114.76,,,0 NDC,00641610310,Robaxin: 10 Vial In 1 Carton (0641-6103-10) / 10 Ml In 1 Vial (0641-6103-01),121.2,121.2,,,0 NDC,00641610325,Robaxin: 25 Vial In 1 Carton (0641-6103-25) / 10 Ml In 1 Vial (0641-6103-01),121.51,121.51,,,0 NDC,00641611601,NDC Description Not Available,11.62,11.62,,,0 NDC,00641611610,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6116-10) / 1.5 G In 1 Vial (0641-6116-01),18.54,18.54,,,0 NDC,00641611701,NDC Description Not Available,16.47,16.47,,,0 NDC,00641611710,Ampicillin And Sulbactam: 10 Vial In 1 Carton (0641-6117-10) / 3 G In 1 Vial (0641-6117-01),16.48,16.48,,,0 NDC,00641612501,NDC Description Not Available,10.649999999999999,10.649999999999999,,,0 NDC,00641612525,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6125-25) / 1 Ml In 1 Vial, Single-Dose (0641-6125-01)",13.36,13.36,,,0 NDC,00641612701,NDC Description Not Available,11.06,11.06,,,0 NDC,00641612725,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Package (0641-6127-25) / 1 Ml In 1 Vial, Single-Dose (0641-6127-01)",11.0,11.0,,,0 NDC,00641613201,NDC Description Not Available,24.29,24.29,,,0 NDC,00641613601,NDC Description Not Available,31.965,31.965,,,0 NDC,00641613701,NDC Description Not Available,20.53,20.53,,,0 NDC,00641613710,Fosphenytoin Sodium: 10 Vial In 1 Carton (0641-6137-10) / 10 Ml In 1 Vial (0641-6137-01),20.42,20.42,,,0 NDC,00641614201,NDC Description Not Available,0.03,0.03,,,0 NDC,00641614225,Phenylephrine Hydrochloride: 25 Vial In 1 Carton (0641-6142-25) / 1 Ml In 1 Vial (0641-6142-01),0.03,0.03,,,0 NDC,00641614501,NDC Description Not Available,1.0,1.0,,,0 NDC,00641614601,NDC Description Not Available,0.25,0.25,,,0 NDC,00641614625,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (0641-6146-25) / 5 Ml In 1 Vial (0641-6146-01),0.26,0.26,,,0 NDC,00641614701,NDC Description Not Available,12.93,12.93,,,0 NDC,00641614710,Sterile Water: 10 Vial In 1 Carton (0641-6147-10) / 10 Ml In 1 Vial (0641-6147-01),10.78,10.78,,,0 NDC,00641614901,NDC Description Not Available,1.94,1.94,,,0 NDC,00641614910,"Neostigmine Methylsulfate: 10 Vial, Multi-Dose In 1 Carton (0641-6149-10) / 10 Ml In 1 Vial, Multi-Dose (0641-6149-01)",1.93,1.93,,,0 NDC,00641615101,NDC Description Not Available,13.56,13.56,,,0 NDC,00641615125,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (0641-6151-25) / 1 Ml In 1 Vial, Single-Dose (0641-6151-01)",13.39,13.39,,,0 NDC,00641616701,NDC Description Not Available,6.96,6.96,,,0 NDC,00641617401,NDC Description Not Available,9.5,9.5,,,0 NDC,00641617501,NDC Description Not Available,7.45,7.45,,,0 NDC,00641617510,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6175-10) / 1 Ml In 1 Vial, Single-Dose (0641-6175-01)",7.78,7.78,,,0 NDC,00641617601,NDC Description Not Available,7.675,7.675,,,0 NDC,00641617610,"Octreotide Acetate: 10 Vial, Single-Dose In 1 Carton (0641-6176-10) / 1 Ml In 1 Vial, Single-Dose (0641-6176-01)",7.57,7.57,,,0 NDC,00641618401,NDC Description Not Available,5.86,5.86,,,0 NDC,00641618801,NDC Description Not Available,0.03,0.03,,,0 NDC,00641618810,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0641-6188-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0641-6188-01)",0.03,0.03,,,0 NDC,00641619001,NDC Description Not Available,0.03,0.03,,,0 NDC,00641619010,Midazolam: 10 Vial In 1 Carton (0641-6190-10) / 10 Ml In 1 Vial (0641-6190-01),0.26,0.26,,,0 NDC,00641619410,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6194-10) / 20 Ml In 1 Vial, Single-Use (0641-6194-01)",1.27,1.27,,,0 NDC,00641619520,"Propofol: 20 Vial, Single-Use In 1 Carton (0641-6195-20) / 50 Ml In 1 Vial, Single-Use (0641-6195-01)",1.29,1.29,,,0 NDC,00641619610,"Propofol: 10 Vial, Single-Use In 1 Carton (0641-6196-10) / 100 Ml In 1 Vial, Single-Use (0641-6196-01)",1.26,1.26,,,0 NDC,00641620501,NDC Description Not Available,66.75,66.75,,,0 NDC,00641620510,Naloxone Hydrochloride: 10 Syringe In 1 Carton (0641-6205-10) / 2 Ml In 1 Syringe (0641-6205-01),68.11,68.11,,,0 NDC,00641620601,NDC Description Not Available,20.81,20.81,,,0 NDC,00641620725,Lorazepam: 25 Vial In 1 Carton (0641-6207-25) / 1 Ml In 1 Vial (0641-6207-01),2.06,2.06,,,0 NDC,00641620901,NDC Description Not Available,1.51,1.51,,,0 NDC,00641620925,Midazolam: 25 Vial In 1 Carton (0641-6209-25) / 2 Ml In 1 Vial (0641-6209-01),2.47,2.47,,,0 NDC,00641621001,NDC Description Not Available,1.23,1.23,,,0 NDC,00641621701,NDC Description Not Available,8.55,8.55,,,0 NDC,00641621710,Robaxin: 10 Vial In 1 Carton (0641-6217-10) / 10 Ml In 1 Vial (0641-6217-01),28.84,28.84,,,0 NDC,00641622801,NDC Description Not Available,21.15,21.15,,,0 NDC,00641622825,Thiamine Hydrochloride: 25 Vial In 1 Carton (0641-6228-25) / 2 Ml In 1 Vial (0641-6228-01),21.51,21.51,,,0 NDC,00641623101,NDC Description Not Available,29.56,29.56,,,0 NDC,00641624001,NDC Description Not Available,64.89,64.89,,,0 NDC,00641624401,NDC Description Not Available,34.66,34.66,,,0 NDC,00641624601,NDC Description Not Available,7.21,7.21,,,0 NDC,00641624701,NDC Description Not Available,7.84,7.84,,,0 NDC,00641624725,Fentanyl Citrate: 25 Vial In 1 Carton (0641-6247-25) / 1 Ml In 1 Vial (0641-6247-01),7.4,7.4,,,0 NDC,00641625301,"Regadenoson: 1 Syringe, Plastic In 1 Carton (0641-6253-01) / 5 Ml In 1 Syringe, Plastic",31.71,31.71,,,0 NDC,00641628101,NDC Description Not Available,0.5700000000000001,0.5700000000000001,,,0 NDC,00641628125,Midazolam: 25 Vial In 1 Carton (0641-6281-25) / 2 Ml In 1 Vial (0641-6281-01),0.55,0.55,,,0 NDC,00641921701,NDC Description Not Available,5.08,5.08,,,0 NDC,00641921710,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9217-10) / 5 Ml In 1 Vial (0641-9217-01),9.38,9.38,,,0 NDC,00641921901,NDC Description Not Available,7.58,7.58,,,0 NDC,00641921910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-9219-10) / 25 Ml In 1 Vial (0641-9219-01),24.88,24.88,,,0 NDC,00703001801,Hydromorphone Hydrochloride: 1 Vial In 1 Carton (0703-0018-01) / 50 Ml In 1 Vial,3.505,3.505,,,0 NDC,00703011001,NDC Description Not Available,5.63,5.63,,,0 NDC,00703011003,Hydromorphone Hydrochloride: 10 Vial In 1 Carton (0703-0110-03) / 1 Ml In 1 Vial (0703-0110-01),5.77,5.77,,,0 NDC,00703011301,NDC Description Not Available,3.0,3.0,,,0 NDC,00703024101,"Triamcinolone Acetonide: 1 Vial, Single-Dose In 1 Carton (0703-0241-01) / 1 Ml In 1 Vial, Single-Dose",7.57,7.57,,,0 NDC,00703024301,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (0703-0243-01) / 5 Ml In 1 Vial, Multi-Dose",8.76,8.76,,,0 NDC,00703066601,"Treprostinil: 1 Vial, Multi-Dose In 1 Carton (0703-0666-01) / 20 Ml In 1 Vial, Multi-Dose",245.34,245.34,,,0 NDC,00703115303,"Norepinephrine Bitartrate: 10 VIAL, SINGLE-USE in 1 CARTON (0703-1153-03) / 4 mL in 1 VIAL, SINGLE-USE (0703-1153-01)",78.28,78.28,,,0 NDC,00703291401,NDC Description Not Available,26.93,26.93,,,0 NDC,00703291403,"Vecuronium Bromide: 10 VIAL, SINGLE-USE in 1 CARTON (0703-2914-03) / 10 mL in 1 VIAL, SINGLE-USE (0703-2914-01)",27.16,27.16,,,0 NDC,00703321301,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3213-01) / 5 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 NDC,00703321601,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3216-01) / 16.7 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 NDC,00703321801,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (0703-3218-01) / 50 Ml In 1 Vial, Multi-Dose",1.44,1.44,,,0 NDC,00703331104,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3311-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3311-01)",7.91,7.91,,,0 NDC,00703332104,"Octreotide Acetate: 25 VIAL, SINGLE-USE in 1 TRAY (0703-3321-04) / 1 mL in 1 VIAL, SINGLE-USE (0703-3321-01)",7.57,7.57,,,0 NDC,00703367101,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3671-01) / 2 Ml In 1 Vial, Single-Dose",25.44,25.44,,,0 NDC,00703367501,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (0703-3675-01) / 10 Ml In 1 Vial, Single-Dose",11.88,11.88,,,0 NDC,00703398501,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3985-01) / 10 Ml In 1 Vial, Single-Use",2.11,2.11,,,0 NDC,00703398601,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0703-3986-01) / 20 Ml In 1 Vial, Single-Use",2.15,2.15,,,0 NDC,00703409401,"Palonosetron Hydrochloride: 1 Vial, Single-Use In 1 Carton (0703-4094-01) / 5 Ml In 1 Vial, Single-Use",15.14,15.14,,,0 NDC,00703423901,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4239-01) / 60 Ml In 1 Vial, Multi-Dose",22.2,22.2,,,0 NDC,00703424401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4244-01) / 5 Ml In 1 Vial, Multi-Dose",25.06,25.06,,,0 NDC,00703424601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4246-01) / 15 Ml In 1 Vial, Multi-Dose",29.83,29.83,,,0 NDC,00703424801,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (0703-4248-01) / 45 Ml In 1 Vial, Multi-Dose",29.82,29.82,,,0 NDC,00703450201,NDC Description Not Available,11.535,11.535,,,0 NDC,00703450204,"Metoclopramide: 25 Vial, Single-Use In 1 Tray (0703-4502-04) / 2 Ml In 1 Vial, Single-Use (0703-4502-01)",14.42,14.42,,,0 NDC,00703450291,NDC Description Not Available,12.87,12.87,,,0 NDC,00703450293,"Metoclopramide: 10 Vial, Single-Use In 1 Carton (0703-4502-93) / 2 Ml In 1 Vial, Single-Use (0703-4502-91)",7.21,7.21,,,0 NDC,00703505101,NDC Description Not Available,63.65,63.65,,,0 NDC,00703505401,Desmopressin acetate: 1 VIAL in 1 CARTON (0703-5054-01) / 10 mL in 1 VIAL,55.27,55.27,,,0 NDC,00703514001,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5140-01) / 10 mL in 1 VIAL, SINGLE-USE",43.26,43.26,,,0 NDC,00703514501,"Leucovorin Calcium: 1 VIAL, SINGLE-USE in 1 CARTON (0703-5145-01) / 17.5 mL in 1 VIAL, SINGLE-USE",13.66,13.66,,,0 NDC,00703574811,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (0703-5748-11) / 100 Ml In 1 Vial, Multi-Dose",11.92,11.92,,,0 NDC,00703853023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8530-23) / .3 mL in 1 SYRINGE (0703-8530-21),8.59,8.59,,,0 NDC,00703858023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8580-23) / 1 mL in 1 SYRINGE (0703-8580-21),8.76,8.76,,,0 NDC,00703861023,Enoxaparin Sodium: 10 SYRINGE in 1 CARTON (0703-8610-23) / .8 mL in 1 SYRINGE (0703-8610-21),8.6,8.6,,,0 NDC,00703904001,NDC Description Not Available,1.03,1.03,,,0 NDC,00703950301,NDC Description Not Available,27.15,27.15,,,0 NDC,00703950303,"Sulfamethoxazole And Trimethoprim: 10 Vial, Single-Dose In 1 Carton (0703-9503-03) / 5 Ml In 1 Vial, Single-Dose (0703-9503-01)",27.06,27.06,,,0 NDC,00703951401,NDC Description Not Available,46.56,46.56,,,0 NDC,00703951403,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-03) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-01)",46.26,46.26,,,0 NDC,00703951491,NDC Description Not Available,45.96,45.96,,,0 NDC,00703951493,"Sulfamethoxazole And Trimethoprim: 10 Vial, Multi-Dose In 1 Carton (0703-9514-93) / 10 Ml In 1 Vial, Multi-Dose (0703-9514-91)",42.72,42.72,,,0 NDC,00713026831,Triple Antibiotic: 1 Tube In 1 Carton (0713-0268-31) / 28.4 G In 1 Tube,3.76,3.76,,,0 NDC,00713028031,Bacitracin: 28.4 G In 1 Tube (0713-0280-31),12.57,12.57,,,0 NDC,00713035102,NDC Description Not Available,19.22,19.22,,,0 NDC,00713050306,NDC Description Not Available,81.64,81.64,,,0 NDC,00713052606,NDC Description Not Available,44.21,44.21,,,0 NDC,00713052612,Promethegan: 12 Suppository In 1 Box (0713-0526-12),46.67,46.67,,,0 NDC,00713053612,Promethegan: 12 Suppository In 1 Box (0713-0536-12),63.86,63.86,,,0 NDC,00713056431,Nitroglycerin: 1 Tube In 1 Carton (0713-0564-31) / 30 G In 1 Tube,3.86,3.86,,,0 NDC,00713057460,Metronidazole: 1 Tube In 1 Carton (0713-0574-60) / 60 G In 1 Tube,999.41,999.41,,,0 NDC,00713065540,Triamcinolone Acetonide: 1 Tube In 1 Carton (0713-0655-40) / 5 G In 1 Tube,299.4,299.4,,,0 NDC,00713067815,Nystatin: 1 Tube In 1 Carton (0713-0678-15) / 15 G In 1 Tube,62.83,62.83,,,0 NDC,00713068215,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0682-15) / 15 G In 1 Tube,116.98,116.98,,,0 NDC,00713068315,Gentamicin Sulfate: 1 Tube In 1 Carton (0713-0683-15) / 15 G In 1 Tube,178.17,178.17,,,0 NDC,00713093681,"Colesevelam Hydrochloride: 180 Tablet, Film Coated In 1 Bottle (0713-0936-81)",14.27,14.27,,,0 NDC,00766080155,NDC Description Not Available,55.62,55.62,,,0 NDC,00781106101,Alprazolam: 100 Tablet In 1 Bottle (0781-1061-01),2.5,2.5,,,0 NDC,00781106105,Alprazolam: 500 Tablet In 1 Bottle (0781-1061-05),2.46,2.46,,,0 NDC,00781107701,Alprazolam: 100 Tablet In 1 Bottle (0781-1077-01),2.71,2.71,,,0 NDC,00781183101,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (0781-1831-01)",13.34,13.34,,,0 NDC,00781183120,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1831-20)",13.67,13.67,,,0 NDC,00781185220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (0781-1852-20)",18.28,18.28,,,0 NDC,00781187431,"Amoxicillin And Clavulanate Potassium: 30 Tablet, Film Coated In 1 Bottle (0781-1874-31)",21.63,21.63,,,0 NDC,00781194339,"Amoxicillin And Clavulanate Potassium: 40 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-39)",29.87,29.87,,,0 NDC,00781194382,"Amoxicillin And Clavulanate Potassium: 28 Tablet, Multilayer, Extended Release In 1 Bottle (0781-1943-82)",29.87,29.87,,,0 NDC,00781210301,Tacrolimus: 100 Capsule In 1 Bottle (0781-2103-01),16.58,16.58,,,0 NDC,00781232106,Aprepitant: 1 Blister Pack In 1 Carton (0781-2321-06) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 NDC,00781232151,Aprepitant: 5 Blister Pack In 1 Carton (0781-2321-51) / 1 Capsule In 1 Blister Pack,49.56,49.56,,,0 NDC,00781232206,NDC Description Not Available,45.9,45.9,,,0 NDC,00781232246,Aprepitant: 2 Capsule In 1 Dose Pack (0781-2322-46),45.91,45.91,,,0 NDC,00781304072,NDC Description Not Available,30.86,30.86,,,0 NDC,00781305972,NDC Description Not Available,14.36,14.36,,,0 NDC,00781309895,Meropenem: 10 Vial In 1 Carton (0781-3098-95) / 30 Ml In 1 Vial (0781-3098-94),13.22,13.22,,,0 NDC,00781311390,NDC Description Not Available,22.19,22.19,,,0 NDC,00781311395,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3113-95) / 15 Ml In 1 Vial, Single-Use (0781-3113-90)",22.32,22.32,,,0 NDC,00781311491,NDC Description Not Available,20.98,20.98,,,0 NDC,00781311495,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (0781-3114-95) / 20 Ml In 1 Vial, Single-Use (0781-3114-91)",18.39,18.39,,,0 NDC,00781312695,Nafcillin: 10 BOTTLE in 1 CARTON (0781-3126-95) / 100 mL in 1 BOTTLE (0781-3126-46),100.08,100.08,,,0 NDC,00781315380,NDC Description Not Available,1231.32,1231.32,,,0 NDC,00781315606,NDC Description Not Available,1.435,1.435,,,0 NDC,00781315894,NDC Description Not Available,9.37,9.37,,,0 NDC,00781315972,Olanzapine: 1 Vial In 1 Carton (0781-3159-72) / 2 Ml In 1 Vial,35.56,35.56,,,0 NDC,00781320885,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (0781-3208-85) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",41.46,41.46,,,0 NDC,00781320990,NDC Description Not Available,40.79,40.79,,,0 NDC,00781323294,NDC Description Not Available,22.05,22.05,,,0 NDC,00781323394,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3233-94) / 25 Ml In 1 Vial, Single-Dose",151.25,151.25,,,0 NDC,00781323801,NDC Description Not Available,10.04,10.04,,,0 NDC,00781324494,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (0781-3244-94) / 50 Ml In 1 Vial, Single-Dose",11.85,11.85,,,0 NDC,00781324602,NDC Description Not Available,10.05,10.05,,,0 NDC,00781325603,NDC Description Not Available,10.08,10.08,,,0 NDC,00781325666,Enoxaparin Sodium: 10 Syringe In 1 Carton (0781-3256-66) / .6 Ml In 1 Syringe (0781-3256-03),10.13,10.13,,,0 NDC,00781326204,NDC Description Not Available,10.06,10.06,,,0 NDC,00781326805,NDC Description Not Available,10.08,10.08,,,0 NDC,00781326995,"Ephedrine Sulfate: 10 Vial, Single-Dose In 1 Carton (0781-3269-95) / 1 Ml In 1 Vial, Single-Dose (0781-3269-71)",212.89,212.89,,,0 NDC,00781328909,Clindamycin In 5 Percent Dextrose: 24 Bag In 1 Carton (0781-3289-09) / 50 Ml In 1 Bag (0781-3289-91),26.78,26.78,,,0 NDC,00781328991,NDC Description Not Available,26.92,26.92,,,0 NDC,00781329091,NDC Description Not Available,19.23,19.23,,,0 NDC,00781331275,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3312-75) / 5 Ml In 1 Vial, Single-Dose",120.02,120.02,,,0 NDC,00781331570,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3315-70) / 10 Ml In 1 Vial, Single-Use",9.47,9.47,,,0 NDC,00781331780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-3317-80) / 20 Ml In 1 Vial, Single-Use",5.43,5.43,,,0 NDC,00781340485,NDC Description Not Available,15.54,15.54,,,0 NDC,00781340495,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3404-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3404-85)",15.47,15.47,,,0 NDC,00781340778,NDC Description Not Available,7.02,7.02,,,0 NDC,00781340795,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3407-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3407-78)",7.36,7.36,,,0 NDC,00781340880,NDC Description Not Available,12.09,12.09,,,0 NDC,00781340895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-3408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-3408-80)",15.17,15.17,,,0 NDC,00781341170,NDC Description Not Available,8.61,8.61,,,0 NDC,00781341575,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (0781-3415-75) / 5 Ml In 1 Vial, Single-Dose",122.47,122.47,,,0 NDC,00781341694,"Voriconazole: 1 Vial, Single-Use In 1 Carton (0781-3416-94) / 20 Ml In 1 Vial, Single-Use",27.51,27.51,,,0 NDC,00781343346,NDC Description Not Available,93.73,93.73,,,0 NDC,00781343395,Linezolid: 10 Bag In 1 Carton (0781-3433-95) / 300 Ml In 1 Bag (0781-3433-46),93.73,93.73,,,0 NDC,00781344071,NDC Description Not Available,330.49,330.49,,,0 NDC,00781345170,NDC Description Not Available,13.65,13.65,,,0 NDC,00781345875,NDC Description Not Available,0.23,0.23,,,0 NDC,00781345895,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-3458-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-3458-75)",0.16,0.16,,,0 NDC,00781346670,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (0781-3466-70) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 NDC,00781348170,NDC Description Not Available,8.06,8.06,,,0 NDC,00781348192,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (0781-3481-92) / 10 Ml In 1 Vial, Single-Dose (0781-3481-70)",11.28,11.28,,,0 NDC,00781349380,NDC Description Not Available,41.2,41.2,,,0 NDC,00781353191,"Paclitaxel: 1 Vial, Single-Dose In 1 Carton (0781-3531-91) / 20 Ml In 1 Vial, Single-Dose",36.62,36.62,,,0 NDC,00781353201,NDC Description Not Available,224.69,224.69,,,0 NDC,00781353212,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-3532-12) / 5 Ml In 1 Syringe, Glass (0781-3532-01)",224.69,224.69,,,0 NDC,00781354010,NDC Description Not Available,1.57,1.57,,,0 NDC,00781354310,NDC Description Not Available,1.03,1.03,,,0 NDC,00781354510,NDC Description Not Available,1.34,1.34,,,0 NDC,00781375575,NDC Description Not Available,82.14,82.14,,,0 NDC,00781375595,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (0781-3755-95) / 4 Ml In 1 Vial, Single-Dose (0781-3755-75)",81.88,81.88,,,0 NDC,00781382596,Glycopyrrolate: 25 Vial In 1 Carton (0781-3825-96) / 1 Ml In 1 Vial (0781-3825-71),12.36,12.36,,,0 NDC,00781382975,NDC Description Not Available,49.44,49.44,,,0 NDC,00781522201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5222-01)",6.76,6.76,,,0 NDC,00781522401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (0781-5224-01)",5.79,5.79,,,0 NDC,00781532531,Bromocriptine Mesylate: 30 Tablet In 1 Bottle (0781-5325-31),22.66,22.66,,,0 NDC,00781543920,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (0781-5439-20)",30.9,30.9,,,0 NDC,00781566831,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (0781-5668-31)",169.68,169.68,,,0 NDC,00781601470,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (0781-6014-70) / 10 Ml In 1 Bottle, Plastic",1319.43,1319.43,,,0 NDC,00781602346,Clarithromycin: 100 Ml In 1 Bottle (0781-6023-46),35.74,35.74,,,0 NDC,00781602352,Clarithromycin: 50 Ml In 1 Bottle (0781-6023-52),77.25,77.25,,,0 NDC,00781613694,"Penicillin G Potassium: 1 Vial In 1 Carton (0781-6136-94) / 1 Injection, Powder, For Solution In 1 Vial",6.67,6.67,,,0 NDC,00781707787,"Metronidazole: 1 Tube, With Applicator In 1 Carton (0781-7077-87) / 70 G In 1 Tube, With Applicator",551.05,551.05,,,0 NDC,00781713593,"Moxifloxacin Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (0781-7135-93) / 3 Ml In 1 Bottle, Plastic",628.31,628.31,,,0 NDC,00781716783,Estradiol: 8 Pouch In 1 Carton (0781-7167-83) / 1 Patch In 1 Pouch (0781-7167-58) / 3.5 D In 1 Patch,49.44,49.44,,,0 NDC,00781717775,"Brimonidine: 1 Bottle, Dropper In 1 Carton (0781-7177-75) / 5 Ml In 1 Bottle, Dropper",701.17,701.17,,,0 NDC,00781729685,"Albuterol Sulfate: 1 Canister In 1 Carton (0781-7296-85) / 200 Aerosol, Metered In 1 Canister",0.86,0.86,,,0 NDC,00781751687,Budesonide: 6 Pouch In 1 Carton (0781-7516-87) / 5 Ampule In 1 Pouch (0781-7516-14) / 2 Ml In 1 Ampule (0781-7516-72),39.9,39.9,,,0 NDC,00781905370,NDC Description Not Available,85.33,85.33,,,0 NDC,00781905512,"Fulvestrant: 2 Syringe, Glass In 1 Carton (0781-9055-12) / 5 Ml In 1 Syringe, Glass (0781-9055-01)",15.14,15.14,,,0 NDC,00781915895,"Bivalirudin: 10 Vial, Single-Use In 1 Carton (0781-9158-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (0781-9158-94)",9.66,9.66,,,0 NDC,00781922775,NDC Description Not Available,0.02,0.02,,,0 NDC,00781922795,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (0781-9227-95) / 5 Ml In 1 Vial, Pharmacy Bulk Package (0781-9227-75)",0.04,0.04,,,0 NDC,00781931780,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (0781-9317-80) / 20 Ml In 1 Vial, Single-Use",5.72,5.72,,,0 NDC,00781940485,NDC Description Not Available,15.55,15.55,,,0 NDC,00781940778,NDC Description Not Available,2.74,2.74,,,0 NDC,00781940880,NDC Description Not Available,15.1,15.1,,,0 NDC,00781940895,"Ampicillin: 10 Vial, Glass In 1 Package (0781-9408-95) / 1 Injection, Powder, For Solution In 1 Vial, Glass (0781-9408-80)",15.114999999999998,15.114999999999998,,,0 NDC,00832030000,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0300-00)",12.7,12.7,,,0 NDC,00832030100,"Chlorpromazine Hydrochloride: 100 TABLET, SUGAR COATED in 1 BOTTLE (0832-0301-00)",5.56,5.56,,,0 NDC,00832035611,Doxazosin: 100 Tablet In 1 Bottle (0832-0356-11),4.61,4.61,,,0 NDC,00832046515,"Nyamyc: 1 Bottle, Plastic In 1 Carton (0832-0465-15) / 15 G In 1 Bottle, Plastic",134.93,134.93,,,0 NDC,00832051189,NDC Description Not Available,5.74,5.74,,,0 NDC,00832059011,Diphenoxylate hydrochloride and atropine sulfate: 100 TABLET in 1 BOTTLE (0832-0590-11),3.85,3.85,,,0 NDC,00832121101,Jantoven: 100 Blister Pack In 1 Carton (0832-1211-01) / 1 Tablet In 1 Blister Pack (0832-1211-89),2.27,2.27,,,0 NDC,00832121189,NDC Description Not Available,1.95,1.95,,,0 NDC,00832121289,NDC Description Not Available,2.29,2.29,,,0 NDC,00832125011,"Ramelteon: 100 Tablet, Film Coated In 1 Bottle (0832-1250-11)",50.43,50.43,,,0 NDC,00832142505,"Brimonidine Tartrate And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (0832-1425-05) / 5 Ml In 1 Bottle, Dropper",838.42,838.42,,,0 NDC,00832532411,"Potassium Chloride: 100 Tablet, Extended Release In 1 Bottle (0832-5324-11)",2.11,2.11,,,0 NDC,00832601700,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6017-00)",9.01,9.01,,,0 NDC,00832601900,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (0832-6019-00)",33.3,33.3,,,0 NDC,00832603212,Fluoxetine Hydrochloride: 1 Bottle In 1 Carton (0832-6032-12) / 120 Ml In 1 Bottle,24.33,24.33,,,0 NDC,00832712211,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (0832-7122-11)",3.09,3.09,,,0 NDC,00832712301,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0832-7123-01) / 1 Tablet, Delayed Release In 1 Blister Pack (0832-7123-89)",3.86,3.86,,,0 NDC,00832712311,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (0832-7123-11)",7.29,7.29,,,0 NDC,00832712389,NDC Description Not Available,1.95,1.95,,,0 NDC,00832712489,NDC Description Not Available,2.77,2.77,,,0 NDC,00904043004,"Doxycycline Hyclate: 30 Blister Pack In 1 Carton (0904-0430-04) / 1 Tablet, Coated In 1 Blister Pack",16.43,16.43,,,0 NDC,00904043006,"Doxycycline Hyclate: 50 Blister Pack In 1 Carton (0904-0430-06) / 1 Tablet, Coated In 1 Blister Pack",9.27,9.27,,,0 NDC,00904073431,Triple Antibiotic: 1 Tube In 1 Carton (0904-0734-31) / 28 G In 1 Tube,3.09,3.09,,,0 NDC,00904110231,Major Povidone Iodine: 1 Tube In 1 Carton (0904-1102-31) / 28.35 G In 1 Tube,3.09,3.09,,,0 NDC,00904386575,NDC Description Not Available,0.77,0.77,,,0 NDC,00904530016,NDC Description Not Available,4.12,4.12,,,0 NDC,00904535431,Banophen: 1 Tube In 1 Carton (0904-5354-31) / 28 G In 1 Tube,15.47,15.47,,,0 NDC,00904541501,"Miconazole 3 Combination Pack: 1 Kit In 1 Package, Combination (0904-5415-01) * 3 Suppository In 1 Blister Pack * 9 G In 1 Tube",12.36,12.36,,,0 NDC,00904552261,Doxazosin: 100 Blister Pack In 1 Carton (0904-5522-61) / 1 Tablet In 1 Blister Pack,1.73,1.73,,,0 NDC,00904552361,Doxazosin: 100 Blister Pack In 1 Carton (0904-5523-61) / 1 Tablet In 1 Blister Pack,0.77,0.77,,,0 NDC,00904552461,Doxazosin: 100 Blister Pack In 1 Carton (0904-5524-61) / 1 Tablet In 1 Blister Pack,1.35,1.35,,,0 NDC,00904567761,"Paroxetine: 100 Blister Pack In 1 Box, Unit-Dose (0904-5677-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.76,8.76,,,0 NDC,00904578461,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5784-61) / 1 Capsule In 1 Blister Pack,5.43,5.43,,,0 NDC,00904578561,Fluoxetine: 100 Blister Pack In 1 Carton (0904-5785-61) / 1 Capsule In 1 Blister Pack,8.67,8.67,,,0 NDC,00904578961,Acyclovir: 100 Blister Pack In 1 Carton (0904-5789-61) / 1 Capsule In 1 Blister Pack,5.28,5.28,,,0 NDC,00904579061,"Acyclovir: 100 Blister Pack In 1 Box, Unit-Dose (0904-5790-61) / 1 Tablet In 1 Blister Pack",7.77,7.77,,,0 NDC,00904589161,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5891-61) / 1 Tablet In 1 Blister Pack",10.37,10.37,,,0 NDC,00904589261,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5892-61) / 1 Tablet In 1 Blister Pack",8.81,8.81,,,0 NDC,00904589361,"Pravastatin Sodium: 100 Blister Pack In 1 Box, Unit-Dose (0904-5893-61) / 1 Tablet In 1 Blister Pack",15.32,15.32,,,0 NDC,00904592161,Digoxin: 100 Blister Pack In 1 Carton (0904-5921-61) / 1 Tablet In 1 Blister Pack,4.78,4.78,,,0 NDC,00904592261,Digoxin: 100 Blister Pack In 1 Carton (0904-5922-61) / 1 Tablet In 1 Blister Pack,5.76,5.76,,,0 NDC,00904598426,NDC Description Not Available,137.87,137.87,,,0 NDC,00904600761,Lorazepam: 100 Blister Pack In 1 Carton (0904-6007-61) / 1 Tablet In 1 Blister Pack,0.35,0.35,,,0 NDC,00904600861,Lorazepam: 100 Blister Pack In 1 Carton (0904-6008-61) / 1 Tablet In 1 Blister Pack,0.42,0.42,,,0 NDC,00904605161,Levetiracetam: 100 BLISTER PACK in 1 CARTON (0904-6051-61) / 1 TABLET in 1 BLISTER PACK,9.27,9.27,,,0 NDC,00904608261,Zolpidem Tartrate: 100 Blister Pack In 1 Carton (0904-6082-61) / 1 Tablet In 1 Blister Pack,0.38,0.38,,,0 NDC,00904608561,"Citalopram: 100 Blister Pack In 1 Carton (0904-6085-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.23,9.23,,,0 NDC,00904617261,Carbamazepine: 100 Blister Pack In 1 Carton (0904-6172-61) / 1 Tablet In 1 Blister Pack,3.93,3.93,,,0 NDC,00904626945,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6269-45) / 1 Capsule In 1 Blister Pack,11.95,11.95,,,0 NDC,00904627245,Ziprasidone: 80 Blister Pack In 1 Carton (0904-6272-45) / 1 Capsule In 1 Blister Pack,11.94,11.94,,,0 NDC,00904628361,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6283-61) / 1 Tablet, Film Coated In 1 Blister Pack",40.34,40.34,,,0 NDC,00904629061,"Atorvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6290-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.8,1.8,,,0 NDC,00904629461,"Clopidogrel: 100 Blister Pack In 1 Carton (0904-6294-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.73,15.73,,,0 NDC,00904630061,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6300-61)",7.11,7.11,,,0 NDC,00904630261,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6302-61)",7.48,7.48,,,0 NDC,00904630361,"Carvedilol: 100 Tablet, Film Coated In 1 Box, Unit-Dose (0904-6303-61)",6.26,6.26,,,0 NDC,00904632206,"Metoprolol Succinate: 50 Blister Pack In 1 Carton (0904-6322-06) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.62,1.62,,,0 NDC,00904632261,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6322-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",3.58,3.58,,,0 NDC,00904632361,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6323-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.38,4.38,,,0 NDC,00904632461,"Metoprolol Succinate: 100 Blister Pack In 1 Carton (0904-6324-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",6.6,6.6,,,0 NDC,00904635161,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6351-61) / 1 Tablet, Film Coated In 1 Blister Pack",53.14,53.14,,,0 NDC,00904635261,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6352-61) / 1 Tablet, Film Coated In 1 Blister Pack",58.61,58.61,,,0 NDC,00904635361,"Levofloxacin: 100 Blister Pack In 1 Carton (0904-6353-61) / 1 Tablet, Film Coated In 1 Blister Pack",88.68,88.68,,,0 NDC,00904635861,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6358-61)",14.28,14.28,,,0 NDC,00904635961,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6359-61)",15.71,15.71,,,0 NDC,00904636061,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6360-61)",25.34,25.34,,,0 NDC,00904636161,"Risperidone: 100 Tablet In 1 Box, Unit-Dose (0904-6361-61)",29.94,29.94,,,0 NDC,00904636345,"Divalproex Sodium: 80 Blister Pack In 1 Carton (0904-6363-45) / 1 Tablet, Extended Release In 1 Blister Pack",5.43,5.43,,,0 NDC,00904636361,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-6363-61) / 1 Tablet, Extended Release In 1 Blister Pack",4.07,4.07,,,0 NDC,00904636445,"Divalproex Sodium: 80 BLISTER PACK in 1 CARTON (0904-6364-45) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK",13.39,13.39,,,0 NDC,00904636961,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6369-61) / 1 Tablet In 1 Blister Pack,5.29,5.29,,,0 NDC,00904637061,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6370-61) / 1 Tablet In 1 Blister Pack,5.69,5.69,,,0 NDC,00904637161,Amlodipine Besylate: 100 Blister Pack In 1 Carton (0904-6371-61) / 1 Tablet In 1 Blister Pack,8.24,8.24,,,0 NDC,00904637361,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6373-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.33,0.33,,,0 NDC,00904637461,"Ropinirole: 100 Blister Pack In 1 Carton (0904-6374-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.47,2.47,,,0 NDC,00904637661,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6376-61) / 1 Tablet, Film Coated In 1 Blister Pack",47.64,47.64,,,0 NDC,00904637761,"Olanzapine: 100 Blister Pack In 1 Carton (0904-6377-61) / 1 Tablet, Film Coated In 1 Blister Pack",46.0,46.0,,,0 NDC,00904640161,100 BLISTER PACK in 1 CARTON (0904-6401-61) / 1 CAPSULE in 1 BLISTER PACK,15.36,15.36,,,0 NDC,00904641861,Tizanidine: 100 Blister Pack In 1 Carton (0904-6418-61) / 1 Tablet In 1 Blister Pack,4.25,4.25,,,0 NDC,00904642661,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6426-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.43,15.43,,,0 NDC,00904642761,"Escitalopram: 100 Blister Pack In 1 Carton (0904-6427-61) / 1 Tablet, Film Coated In 1 Blister Pack",15.15,15.15,,,0 NDC,00904643604,Temazepam: 30 Blister Pack In 1 Carton (0904-6436-04) / 1 Capsule In 1 Blister Pack,17.11,17.11,,,0 NDC,00904644961,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6449-61) / 1 Tablet, Extended Release In 1 Blister Pack",5.52,5.52,,,0 NDC,00904645061,"Isosorbide Mononitrate: 100 Blister Pack In 1 Carton (0904-6450-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.62,6.62,,,0 NDC,00904645261,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6452-61) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",5.66,5.66,,,0 NDC,00904645361,"Duloxetine Hydrochloride: 100 BLISTER PACK in 1 CARTON (0904-6453-61) / 1 CAPSULE, DELAYED RELEASE in 1 BLISTER PACK",21.63,21.63,,,0 NDC,00904646707,"Clopidogrel: 30 Blister Pack In 1 Carton (0904-6467-07) / 1 Tablet, Film Coated In 1 Blister Pack",67.88,67.88,,,0 NDC,00904646710,"Clopidogrel: 20 Blister Pack In 1 Carton (0904-6467-10) / 1 Tablet, Film Coated In 1 Blister Pack",35.3,35.3,,,0 NDC,00904647461,"Pantoprazole Sodium: 100 Blister Pack In 1 Carton (0904-6474-61) / 1 Tablet, Delayed Release In 1 Blister Pack",14.74,14.74,,,0 NDC,00904647561,Baclofen: 100 Blister Pack In 1 Carton (0904-6475-61) / 1 Tablet In 1 Blister Pack,2.0,2.0,,,0 NDC,00904648838,Major Lubrifresh Pm: 1 Tube In 1 Carton (0904-6488-38) / 3.5 G In 1 Tube,6.18,6.18,,,0 NDC,00904650061,Fluconazole: 100 Blister Pack In 1 Carton (0904-6500-61) / 1 Tablet In 1 Blister Pack,35.02,35.02,,,0 NDC,00904650106,Fluconazole: 50 Blister Pack In 1 Carton (0904-6501-06) / 1 Tablet In 1 Blister Pack,5.95,5.95,,,0 NDC,00904650161,Fluconazole: 100 Blister Pack In 1 Carton (0904-6501-61) / 1 Tablet In 1 Blister Pack,56.57,56.57,,,0 NDC,00904650261,Celecoxib: 100 Blister Pack In 1 Carton (0904-6502-61) / 1 Capsule In 1 Blister Pack,15.78,15.78,,,0 NDC,00904650361,Celecoxib: 100 Blister Pack In 1 Carton (0904-6503-61) / 1 Capsule In 1 Blister Pack,27.35,27.35,,,0 NDC,00904651061,Aripiprazole: 100 Blister Pack In 1 Carton (0904-6510-61) / 1 Tablet In 1 Blister Pack,77.85,77.85,,,0 NDC,00904651961,"Mirtazapine: 100 Blister Pack In 1 Carton (0904-6519-61) / 1 Tablet, Film Coated In 1 Blister Pack",9.87,9.87,,,0 NDC,00904653061,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6530-61) / 1 Tablet In 1 Blister Pack,0.97,0.97,,,0 NDC,00904655304,"Linezolid: 30 Blister Pack In 1 Carton (0904-6553-04) / 1 Tablet, Film Coated In 1 Blister Pack",658.64,658.64,,,0 NDC,00904655761,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6557-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.96,4.96,,,0 NDC,00904655861,"Morphine Sulfate Extended Release: 100 Blister Pack In 1 Carton (0904-6558-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",5.42,5.42,,,0 NDC,00904656561,"Valacyclovir Hydrochloride: 100 Blister Pack In 1 Carton (0904-6565-61) / 1 Tablet, Film Coated In 1 Blister Pack",10.28,10.28,,,0 NDC,00904657561,Phenobarbital: 100 Blister Pack In 1 Carton (0904-6575-61) / 1 Tablet In 1 Blister Pack,1.64,1.64,,,0 NDC,00904658304,"Lamivudine: 30 Blister Pack In 1 Carton (0904-6583-04) / 1 Tablet, Film Coated In 1 Blister Pack",33.11,33.11,,,0 NDC,00904659204,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6592-04) / 1 Capsule, Extended Release In 1 Blister Pack",39.2,39.2,,,0 NDC,00904659304,"Tolterodine Tartrate: 30 Blister Pack In 1 Carton (0904-6593-04) / 1 Capsule, Extended Release In 1 Blister Pack",41.14,41.14,,,0 NDC,00904659604,"Voriconazole: 30 Blister Pack In 1 Carton (0904-6596-04) / 1 Tablet, Film Coated In 1 Blister Pack",35.02,35.02,,,0 NDC,00904659961,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6599-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.55,8.55,,,0 NDC,00904660061,"Perphenazine: 100 Blister Pack In 1 Carton (0904-6600-61) / 1 Tablet, Film Coated In 1 Blister Pack",6.46,6.46,,,0 NDC,00904662261,Pyridostigmine Bromide: 100 Blister Pack In 1 Carton (0904-6622-61) / 1 Tablet In 1 Blister Pack,2.27,2.27,,,0 NDC,00904662361,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6623-61) / 1 Capsule In 1 Blister Pack,1.12,1.12,,,0 NDC,00904662461,Tacrolimus: 100 Blister Pack In 1 Carton (0904-6624-61) / 1 Capsule In 1 Blister Pack,7.78,7.78,,,0 NDC,00904662735,Ear Drops Major: 1 Bottle In 1 Carton (0904-6627-35) / 15 Ml In 1 Bottle,8.24,8.24,,,0 NDC,00904663561,"Bupropion Hydrochloride: 100 Blister Pack In 1 Carton (0904-6635-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.25,5.25,,,0 NDC,00904663861,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6638-61) / 1 Tablet, Film Coated In 1 Blister Pack",0.77,0.77,,,0 NDC,00904664061,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6640-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.03,2.03,,,0 NDC,00904664161,"Quetiapine: 100 Blister Pack In 1 Carton (0904-6641-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.79,3.79,,,0 NDC,00904666361,Acetazolamide: 100 Blister Pack In 1 Carton (0904-6663-61) / 1 Tablet In 1 Blister Pack,2.41,2.41,,,0 NDC,00904667967,Major Bacitracin Zinc: 144 Packet In 1 Carton (0904-6679-67) / .9 G In 1 Packet,1.03,1.03,,,0 NDC,00904668108,Dofetilide: 40 Blister Pack In 1 Carton (0904-6681-08) / 1 Capsule In 1 Blister Pack,22.34,22.34,,,0 NDC,00904668208,Dofetilide: 40 Blister Pack In 1 Carton (0904-6682-08) / 1 Capsule In 1 Blister Pack,22.54,22.54,,,0 NDC,00904668308,Dofetilide: 40 Blister Pack In 1 Carton (0904-6683-08) / 1 Capsule In 1 Blister Pack,22.72,22.72,,,0 NDC,00904670606,"Omega-3-Acid Ethyl Esters: 50 Blister Pack In 1 Carton (0904-6706-06) / 1 Capsule, Liquid Filled In 1 Blister Pack",14.58,14.58,,,0 NDC,00904670706,"Sevelamer Carbonate: 50 Blister Pack In 1 Carton (0904-6707-06) / 1 Tablet, Film Coated In 1 Blister Pack",0.45,0.45,,,0 NDC,00904670782,"Sevelamer Carbonate: 100 Blister Pack In 1 Carton (0904-6707-82) / 1 Tablet, Film Coated In 1 Blister Pack",2.17,2.17,,,0 NDC,00904670961,Glycopyrrolate: 100 Blister Pack In 1 Carton (0904-6709-61) / 1 Tablet In 1 Blister Pack,4.81,4.81,,,0 NDC,00904673204,Colchicine: 30 Blister Pack In 1 Carton (0904-6732-04) / 1 Capsule In 1 Blister Pack,24.1,24.1,,,0 NDC,00904674561,DRONABINOL: 100 BLISTER PACK in 1 CARTON (0904-6745-61) / 1 CAPSULE in 1 BLISTER PACK,20.53,20.53,,,0 NDC,00904677361,"Acetaminophen: 10 Blister Pack In 1 Box, Unit-Dose (0904-6773-61) / 10 Tablet In 1 Blister Pack",0.52,0.52,,,0 NDC,00904677861,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6778-61) / 1 Tablet, Coated In 1 Blister Pack",4.35,4.35,,,0 NDC,00904677961,"Rosuvastatin Calcium: 100 Blister Pack In 1 Carton (0904-6779-61) / 1 Tablet, Coated In 1 Blister Pack",5.88,5.88,,,0 NDC,00904678261,Haloperidol: 100 Blister Pack In 1 Carton (0904-6782-61) / 1 Tablet In 1 Blister Pack,0.92,0.92,,,0 NDC,00904678504,"Mycophenolic Acid: 30 Blister Pack In 1 Carton (0904-6785-04) / 1 Tablet, Delayed Release In 1 Blister Pack",17.94,17.94,,,0 NDC,00904679104,Modafinil: 30 Blister Pack In 1 Carton (0904-6791-04) / 1 Tablet In 1 Blister Pack,39.47,39.47,,,0 NDC,00904681761,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6817-61) / 1 Tablet In 1 Blister Pack,1.03,1.03,,,0 NDC,00904681861,Midodrine Hydrochloride: 100 Blister Pack In 1 Carton (0904-6818-61) / 1 Tablet In 1 Blister Pack,2.98,2.98,,,0 NDC,00904681907,Midodrine Hydrochloride: 30 Blister Pack In 1 Carton (0904-6819-07) / 1 Tablet In 1 Blister Pack,3.36,3.36,,,0 NDC,00904682104,"Tenofovir Disoproxil Fumarate: 30 Blister Pack In 1 Carton (0904-6821-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.45,20.45,,,0 NDC,00904682805,NDC Description Not Available,18.17,18.17,,,0 NDC,00904682960,Major Medi-Pads: 100 Packet In 1 Package (0904-6829-60) / 2.9 G In 1 Packet,0.05,0.05,,,0 NDC,00904685261,Loratadine: 100 Blister Pack In 1 Carton (0904-6852-61) / 1 Tablet In 1 Blister Pack,1.03,1.03,,,0 NDC,00904690061,Chlorthalidone: 100 Blister Pack In 1 Carton (0904-6900-61) / 1 Tablet In 1 Blister Pack,8.85,8.85,,,0 NDC,00904691461,Methylprednisolone: 100 Blister Pack In 1 Carton (0904-6914-61) / 1 Tablet In 1 Blister Pack,7.4,7.4,,,0 NDC,00904693181,Polyethylene Glycol 3350: 100 Packet In 1 Carton (0904-6931-81) / 17 G In 1 Packet,1.64,1.64,,,0 NDC,00904693186,Polyethylene Glycol 3350: 17 G In 1 Packet (0904-6931-86),1.38,1.38,,,0 NDC,00904693561,"Paliperidone: 100 Blister Pack In 1 Carton (0904-6935-61) / 1 Tablet, Extended Release In 1 Blister Pack",19.68,19.68,,,0 NDC,00904693806,"Butalbital, Acetaminophen, And Caffeine: 50 Blister Pack In 1 Carton (0904-6938-06) / 1 Tablet In 1 Blister Pack",7.92,7.92,,,0 NDC,00904693961,Hydroxyurea: 100 Blister Pack In 1 Carton (0904-6939-61) / 1 Capsule In 1 Blister Pack,8.205,8.205,,,0 NDC,00904696661,Oxycodone Hydrochloride: 100 Blister Pack In 1 Carton (0904-6966-61) / 1 Tablet In 1 Blister Pack,1.37,1.37,,,0 NDC,00904699104,Pregabalin: 30 Blister Pack In 1 Carton (0904-6991-04) / 1 Capsule In 1 Blister Pack,5.72,5.72,,,0 NDC,00904699161,Pregabalin: 100 Blister Pack In 1 Carton (0904-6991-61) / 1 Capsule In 1 Blister Pack,3.39,3.39,,,0 NDC,00904699261,Pregabalin: 100 Blister Pack In 1 Carton (0904-6992-61) / 1 Capsule In 1 Blister Pack,3.17,3.17,,,0 NDC,00904700061,Pregabalin: 100 Blister Pack In 1 Carton (0904-7000-61) / 1 Capsule In 1 Blister Pack,3.23,3.23,,,0 NDC,00904700161,Pregabalin: 100 Blister Pack In 1 Carton (0904-7001-61) / 1 Capsule In 1 Blister Pack,3.64,3.64,,,0 NDC,00904700261,Pregabalin: 100 Blister Pack In 1 Carton (0904-7002-61) / 1 Capsule In 1 Blister Pack,3.71,3.71,,,0 NDC,00904701661,Bumetanide: 100 Blister Pack In 1 Carton (0904-7016-61) / 1 Tablet In 1 Blister Pack,4.68,4.68,,,0 NDC,00904702061,Prazosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7020-61) / 1 Capsule In 1 Blister Pack,5.68,5.68,,,0 NDC,00904702161,Prazosin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7021-61) / 1 Capsule In 1 Blister Pack,7.03,7.03,,,0 NDC,00904702367,Major Bacitracin: 144 Packet In 1 Carton (0904-7023-67) / .9 G In 1 Packet,0.52,0.52,,,0 NDC,00904702404,"Voriconazole: 30 Blister Pack In 1 Carton (0904-7024-04) / 1 Tablet, Film Coated In 1 Blister Pack",13.78,13.78,,,0 NDC,00904704206,Amantadine Hydrochloride: 50 Blister Pack In 1 Carton (0904-7042-06) / 1 Capsule In 1 Blister Pack,6.18,6.18,,,0 NDC,00904704261,Amantadine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7042-61) / 1 Capsule In 1 Blister Pack,4.32,4.32,,,0 NDC,00904704304,"Duloxetine: 30 Blister Pack In 1 Carton (0904-7043-04) / 1 Capsule, Delayed Release In 1 Blister Pack",4.93,4.93,,,0 NDC,00904704361,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7043-61) / 1 Capsule, Delayed Release In 1 Blister Pack",6.13,6.13,,,0 NDC,00904704461,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7044-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.26,5.26,,,0 NDC,00904704561,"Duloxetine: 100 Blister Pack In 1 Carton (0904-7045-61) / 1 Capsule, Delayed Release In 1 Blister Pack",5.9,5.9,,,0 NDC,00904704606,"Hydroxychloroquine Sulfate: 50 Blister Pack In 1 Carton (0904-7046-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.41,5.41,,,0 NDC,00904704661,"Hydroxychloroquine Sulfate: 100 Blister Pack In 1 Carton (0904-7046-61) / 1 Tablet, Film Coated In 1 Blister Pack",5.88,5.88,,,0 NDC,00904705261,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7052-61) / 1 Capsule In 1 Blister Pack,2.59,2.59,,,0 NDC,00904705361,Doxepin Hydrochloride: 100 Blister Pack In 1 Carton (0904-7053-61) / 1 Capsule In 1 Blister Pack,3.48,3.48,,,0 NDC,00904706441,NDC Description Not Available,69.87,69.87,,,0 NDC,00904706704,"Cinacalcet: 30 Blister Pack In 1 Carton (0904-7067-04) / 1 Tablet, Film Coated In 1 Blister Pack",124.71,124.71,,,0 NDC,00904707007,Nadolol: 30 Blister Pack In 1 Carton (0904-7070-07) / 1 Tablet In 1 Blister Pack,12.96,12.96,,,0 NDC,00904707061,Nadolol: 100 Blister Pack In 1 Carton (0904-7070-61) / 1 Tablet In 1 Blister Pack,15.36,15.36,,,0 NDC,00904707107,Nadolol: 30 Blister Pack In 1 Carton (0904-7071-07) / 1 Tablet In 1 Blister Pack,2.55,2.55,,,0 NDC,00904707161,Nadolol: 100 Blister Pack In 1 Carton (0904-7071-61) / 1 Tablet In 1 Blister Pack,17.75,17.75,,,0 NDC,00904707761,"Venlafaxine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7077-61) / 1 Capsule, Extended Release In 1 Blister Pack",1.89,1.89,,,0 NDC,00904707861,"Mycophenolate Mofetil: 100 Blister Pack In 1 Capsule (0904-7078-61) / 1 Tablet, Film Coated In 1 Blister Pack",2.06,2.06,,,0 NDC,00904708106,"Nifedipine: 50 Blister Pack In 1 Carton (0904-7081-06) / 1 Tablet, Extended Release In 1 Blister Pack",2.38,2.38,,,0 NDC,00904708404,"Bupropion Hydrochloride Xl: 30 Blister Pack In 1 Carton (0904-7084-04) / 1 Tablet, Extended Release In 1 Blister Pack",5.43,5.43,,,0 NDC,00904708461,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7084-61) / 1 Tablet, Extended Release In 1 Blister Pack",7.79,7.79,,,0 NDC,00904708761,Clozapine: 100 Blister Pack In 1 Carton (0904-7087-61) / 1 Tablet In 1 Blister Pack,3.44,3.44,,,0 NDC,00904709461,Oxycodone And Acetaminophen: 100 Blister Pack In 1 Carton (0904-7094-61) / 1 Tablet In 1 Blister Pack,3.49,3.49,,,0 NDC,00904709761,Tacrolimus: 100 Blister Pack In 1 Carton (0904-7097-61) / 1 Capsule In 1 Blister Pack,5.29,5.29,,,0 NDC,00904710304,Ezetimibe: 30 Blister Pack In 1 Carton (0904-7103-04) / 1 Tablet In 1 Blister Pack,39.72,39.72,,,0 NDC,00904710310,Ezetimibe: 20 Blister Pack In 1 Carton (0904-7103-10) / 1 Tablet In 1 Blister Pack,22.97,22.97,,,0 NDC,00904710561,Captopril: 100 Blister Pack In 1 Carton (0904-7105-61) / 1 Tablet In 1 Blister Pack,4.48,4.48,,,0 NDC,00904710661,Captopril: 100 Blister Pack In 1 Carton (0904-7106-61) / 1 Tablet In 1 Blister Pack,1.12,1.12,,,0 NDC,00904710761,Rivastigmine Tartrate: 100 Blister Pack In 1 Carton (0904-7107-61) / 1 Capsule In 1 Blister Pack,14.22,14.22,,,0 NDC,00904711906,Calcium Acetate: 50 Blister Pack In 1 Carton (0904-7119-06) / 1 Capsule In 1 Blister Pack,4.08,4.08,,,0 NDC,00904711961,Calcium Acetate: 100 Blister Pack In 1 Carton (0904-7119-61) / 1 Capsule In 1 Blister Pack,6.07,6.07,,,0 NDC,00904712004,"Colchicine: 30 Blister Pack In 1 Carton (0904-7120-04) / 1 Tablet, Film Coated In 1 Blister Pack",20.68,20.68,,,0 NDC,00904712661,Metronidazole: 100 Blister Pack In 1 Carton (0904-7126-61) / 1 Tablet In 1 Blister Pack,3.09,3.09,,,0 NDC,00904712961,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7129-61) / 1 Tablet, Film Coated In 1 Blister Pack",14.54,14.54,,,0 NDC,00904713061,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7130-61) / 1 Tablet, Film Coated In 1 Blister Pack",4.49,4.49,,,0 NDC,00904713161,"Chlorpromazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7131-61) / 1 Tablet, Film Coated In 1 Blister Pack",34.08,34.08,,,0 NDC,00904714110,Methotrexate: 20 Blister Pack In 1 Carton (0904-7141-10) / 1 Tablet In 1 Blister Pack,12.91,12.91,,,0 NDC,00904714461,Dronabinol: 100 Blister Pack In 1 Carton (0904-7144-61) / 1 Capsule In 1 Blister Pack,20.47,20.47,,,0 NDC,00904714504,Dronabinol: 30 Blister Pack In 1 Carton (0904-7145-04) / 1 Capsule In 1 Blister Pack,20.91,20.91,,,0 NDC,00904715404,Buprenorphine: 30 Blister Pack In 1 Carton (0904-7154-04) / 1 Tablet In 1 Blister Pack,7.72,7.72,,,0 NDC,00904715761,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7157-61) / 1 Tablet, Film Coated In 1 Blister Pack",25.74,25.74,,,0 NDC,00904715861,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7158-61) / 1 Tablet, Film Coated In 1 Blister Pack",32.04,32.04,,,0 NDC,00904716061,"Fluphenazine Hydrochloride: 100 Blister Pack In 1 Carton (0904-7160-61) / 1 Tablet, Film Coated In 1 Blister Pack",54.9,54.9,,,0 NDC,00904716507,Aminocaproic Acid: 30 Blister Pack In 1 Carton (0904-7165-07) / 1 Tablet In 1 Blister Pack,118.96,118.96,,,0 NDC,00904716723,"Urea Cream 40%: 1 Bottle, Plastic In 1 Carton (0904-7167-23) / 28.35 G In 1 Bottle, Plastic",135.96,135.96,,,0 NDC,00904716806,Ursodiol: 50 Blister Pack In 1 Carton (0904-7168-06) / 1 Capsule In 1 Blister Pack,21.2,21.2,,,0 NDC,00904716861,Ursodiol: 100 Blister Pack In 1 Carton (0904-7168-61) / 1 Capsule In 1 Blister Pack,19.01,19.01,,,0 NDC,00904717961,Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7179-61) / 1 Tablet In 1 Blister Pack,0.93,0.93,,,0 NDC,00904718245,"Divalproex Sodium: 80 Blister Pack In 1 Carton (0904-7182-45) / 1 Tablet, Extended Release In 1 Blister Pack",10.86,10.86,,,0 NDC,00904718261,"Divalproex Sodium: 100 Blister Pack In 1 Carton (0904-7182-61) / 1 Tablet, Extended Release In 1 Blister Pack",7.91,7.91,,,0 NDC,00904718861,Hydrocortisone: 100 Blister Pack In 1 Carton (0904-7188-61) / 1 Tablet In 1 Blister Pack,6.05,6.05,,,0 NDC,00904720861,"Nifedipine: 100 Blister Pack In 1 Carton (0904-7208-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",4.12,4.12,,,0 NDC,00904721104,Dantrolene Sodium: 30 Blister Pack In 1 Carton (0904-7211-04) / 1 Capsule In 1 Blister Pack,6.82,6.82,,,0 NDC,00904721661,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7216-61) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack",1.2,1.2,,,0 NDC,00904722761,Clonazepam: 100 Blister Pack In 1 Carton (0904-7227-61) / 1 Tablet In 1 Blister Pack,2.15,2.15,,,0 NDC,00904722961,Nifedipine: 100 Blister Pack In 1 Carton (0904-7229-61) / 1 Capsule In 1 Blister Pack,3.53,3.53,,,0 NDC,00904724468,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7244-68) / 1 Tablet, Film Coated In 1 Blister Pack",3.35,3.35,,,0 NDC,00904724568,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7245-68) / 1 Tablet, Film Coated In 1 Blister Pack",7.93,7.93,,,0 NDC,00904724768,"Lacosamide: 60 Blister Pack In 1 Carton (0904-7247-68) / 1 Tablet, Film Coated In 1 Blister Pack",1.09,1.09,,,0 NDC,00904724804,"Sirolimus: 30 Blister Pack In 1 Carton (0904-7248-04) / 1 Tablet, Film Coated In 1 Blister Pack",42.23,42.23,,,0 NDC,00904726361,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7263-61) / 1 Tablet, Film Coated In 1 Blister Pack",3.6,3.6,,,0 NDC,00904726461,"Oxcarbazepine: 100 Blister Pack In 1 Carton (0904-7264-61) / 1 Tablet, Film Coated In 1 Blister Pack",7.21,7.21,,,0 NDC,00904726541,NDC Description Not Available,14.7,14.7,,,0 NDC,00904726661,Dexamethasone: 100 Blister Pack In 1 Carton (0904-7266-61) / 1 Tablet In 1 Blister Pack,0.28,0.28,,,0 NDC,00904726966,NDC Description Not Available,30.99,30.99,,,0 NDC,00904729261,"Potassium Chloride: 100 Blister Pack In 1 Carton (0904-7292-61) / 1 Tablet, Extended Release In 1 Blister Pack",1.57,1.57,,,0 NDC,00904732103,NDC Description Not Available,5.26,5.26,,,0 NDC,00904732466,NDC Description Not Available,13.39,13.39,,,0 NDC,00904732562,NDC Description Not Available,4.1,4.1,,,0 NDC,00904735006,"Azithromycin: 50 Blister Pack In 1 Carton (0904-7350-06) / 1 Tablet, Film Coated In 1 Blister Pack",5.39,5.39,,,0 NDC,00904735061,"Azithromycin: 100 Blister Pack In 1 Carton (0904-7350-61) / 1 Tablet, Film Coated In 1 Blister Pack",8.93,8.93,,,0 NDC,00904735104,"Azithromycin: 30 Blister Pack In 1 Carton (0904-7351-04) / 1 Tablet, Film Coated In 1 Blister Pack",9.69,9.69,,,0 NDC,00904736261,"Risperidone: 100 Blister Pack In 1 Carton (0904-7362-61) / 1 Tablet, Film Coated In 1 Blister Pack",1.54,1.54,,,0 NDC,00904736604,Aripiprazole: 30 Blister Pack In 1 Carton (0904-7366-04) / 1 Tablet In 1 Blister Pack,22.77,22.77,,,0 NDC,00904736761,Aripiprazole: 100 Blister Pack In 1 Carton (0904-7367-61) / 1 Tablet In 1 Blister Pack,24.45,24.45,,,0 NDC,00904736806,Aripiprazole: 50 Blister Pack In 1 Carton (0904-7368-06) / 1 Tablet In 1 Blister Pack,0.99,0.99,,,0 NDC,00904738106,Prochlorperazine Maleate: 50 Blister Pack In 1 Carton (0904-7381-06) / 1 Tablet In 1 Blister Pack,5.66,5.66,,,0 NDC,00904741161,Amitriptyline Hydrochloride: 100 Blister Pack In 1 Carton (0904-7411-61) / 1 Tablet In 1 Blister Pack,2.58,2.58,,,0 NDC,00904741761,Methadone Hydrochloride: 100 Blister Pack In 1 Carton (0904-7417-61) / 1 Tablet In 1 Blister Pack,1.08,1.08,,,0 NDC,00904741844,"Magnesium Citrate: 296 Ml In 1 Bottle, Plastic (0904-7418-44)",4.12,4.12,,,0 NDC,00904747066,"Sucralfate: 10 Ml In 1 Cup, Unit-Dose (0904-7470-66)",29.77,29.77,,,0 NDC,00904749661,"Tramadol Hydrochloride: 100 Blister Pack In 1 Carton (0904-7496-61) / 1 Tablet, Coated In 1 Blister Pack",0.6,0.6,,,0 NDC,00904750561,"Bupropion Hydrochloride Xl: 100 Blister Pack In 1 Carton (0904-7505-61) / 1 Tablet, Extended Release In 1 Blister Pack",6.83,6.83,,,0 NDC,00904775127,NDC Description Not Available,17.6,17.6,,,0 NDC,00904880567,Major Triple Antibiotic: 144 Packet In 1 Carton (0904-8805-67) / .9 G In 1 Packet,0.16,0.16,,,0 NDC,00908000052,NDC Description Not Available,36.05,36.05,,,0 NDC,00941040901,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0409-01),140.6,140.6,,,0 NDC,00941040907,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0409-07),175.09,175.09,,,0 NDC,00941042452,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0424-52),179.76,179.76,,,0 NDC,00941042455,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0424-55),216.3,216.3,,,0 NDC,00941043052,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0430-52),165.83,165.83,,,0 NDC,00941043055,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0430-55),183.96,183.96,,,0 NDC,00941043352,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0433-52),165.83,165.83,,,0 NDC,00941043355,Dianeal Low Calcium With Dextrose: 3000 Ml In 1 Bag (0941-0433-55),183.96,183.96,,,0 NDC,00941045705,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0457-05),182.32,182.32,,,0 NDC,00941045708,Dianeal Low Calcium With Dextrose: 2000 Ml In 1 Bag (0941-0457-08),108.15,108.15,,,0 NDC,00941045901,Dianeal Low Calcium With Dextrose: 6000 Ml In 1 Bag (0941-0459-01),414.58,414.58,,,0 NDC,00941045905,Dianeal Low Calcium With Dextrose: 5000 Ml In 1 Bag (0941-0459-05),161.66,161.66,,,0 NDC,00942064104,Acd-A: 1000 Ml In 1 Bag (0942-0641-04),44.875,44.875,,,0 NDC,00944049301,Flexbumin: 12 Bag In 1 Carton (0944-0493-01) / 50 Ml In 1 Bag (0944-0493-03),244.31,244.31,,,0 NDC,00944049302,Flexbumin: 6 Bag In 1 Carton (0944-0493-02) / 100 Ml In 1 Bag (0944-0493-04),228.37,228.37,,,0 NDC,00944049303,NDC Description Not Available,148.525,148.525,,,0 NDC,00944049304,NDC Description Not Available,372.565,372.565,,,0 NDC,00944049505,Flexbumin: 2 Bag In 1 Carton (0944-0495-05) / 250 Ml In 1 Bag (0944-0495-06),147.77,147.77,,,0 NDC,00944049506,NDC Description Not Available,207.23,207.23,,,0 NDC,00944265603,Gammagard S/D: 1 Kit In 1 Carton (0944-2656-03) * 96 Ml In 1 Bottle (0338-0001-77) * 96 Ml In 1 Bottle (64764-512-96) * 100 Ml In 1 Bottle (0944-2657-07),277.17,277.17,,,0 NDC,00944265804,Gammagard S/D: 1 Kit In 1 Carton (0944-2658-04) * 192 Ml In 1 Bottle (0338-0001-37) * 192 Ml In 1 Bottle (64764-511-92) * 200 Ml In 1 Bottle (0944-2659-08),277.19,277.19,,,0 NDC,00944270002,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-02) / 10 Ml In 1 Bottle, Glass (0944-2700-08)",366.68,366.68,,,0 NDC,00944270004,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-04) / 50 Ml In 1 Bottle, Glass (0944-2700-10)",217.46,217.46,,,0 NDC,00944270005,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-05) / 100 Ml In 1 Bottle, Glass (0944-2700-11)",212.51999999999998,212.51999999999998,,,0 NDC,00944270006,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-06) / 200 Ml In 1 Bottle, Glass (0944-2700-12)",205.4,205.4,,,0 NDC,00944270007,"Gammagard Liquid: 1 Bottle, Glass In 1 Carton (0944-2700-07) / 300 Ml In 1 Bottle, Glass (0944-2700-13)",209.52,209.52,,,0 NDC,00944270010,NDC Description Not Available,781.84,781.84,,,0 NDC,00944270011,NDC Description Not Available,2263.04,2263.04,,,0 NDC,00944270012,NDC Description Not Available,4294.42,4294.42,,,0 NDC,00944270013,NDC Description Not Available,209.52,209.52,,,0 NDC,00944500101,"Obizur: 1 Kit In 1 Carton (0944-5001-01) * 1 Ml In 1 Vial, Glass (0944-5011-01) * 1 Ml In 1 Syringe, Glass (0944-0011-01)",7.29,7.29,,,0 NDC,00944755001,NDC Description Not Available,4.9,4.9,,,0 NDC,00944755102,"Vonvendi: 1 Kit In 1 Carton (0944-7551-02) * 5 Ml In 1 Vial, Single-Dose (0944-7550-01) * 5 Ml In 1 Vial, Glass (64764-515-50)",4.9,4.9,,,0 NDC,00944755302,"Vonvendi: 1 Kit In 1 Carton (0944-7553-02) * 10 Ml In 1 Vial, Single-Dose (0944-7552-01) * 10 Ml In 1 Vial, Glass (64764-516-10)",4.9,4.9,,,0 NDC,00955105490,"Sevelamer Carbonate: 90 Packet In 1 Box (0955-1054-90) / 1 Powder, For Suspension In 1 Packet (0955-1054-01)",1.73,1.73,,,0 NDC,00990613803,"Sodium Chloride: 24 Bottle, Plastic In 1 Case (0990-6138-03) / 500 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 NDC,00990614309,"Acetic Acid: 12 Bottle, Plastic In 1 Case (0990-6143-09) / 1000 Ml In 1 Bottle, Plastic",1.03,1.03,,,0 NDC,00990707426,Potassium Chloride: 24 Pouch In 1 Case (0990-7074-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,4.09,4.09,,,0 NDC,00990707714,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-14) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,2.16,2.16,,,0 NDC,00990707726,Potassium Chloride: 24 Pouch In 1 Case (0990-7077-26) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,1.1,1.1,,,0 NDC,00990711609,Potassium Chloride In Sodium Chloride: 12 Pouch In 1 Case (0990-7116-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,1.8,1.8,,,0 NDC,00990711807,Sterile Water: 6 Bag In 1 Case (0990-7118-07) / 2000 Ml In 1 Bag,18.02,18.02,,,0 NDC,00990712007,Dextrose: 6 Pouch In 1 Case (0990-7120-07) / 1 Bag In 1 Pouch / 2000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990713836,"Sodium Chloride: 9 Bottle, Plastic In 1 Case (0990-7138-36) / 1500 Ml In 1 Bottle, Plastic",36.05,36.05,,,0 NDC,00990713909,"Sterile Water: 12 Bottle, Plastic In 1 Case (0990-7139-09) / 1000 Ml In 1 Bottle, Plastic",1.03,1.03,,,0 NDC,00990767003,Normosol-R: 24 Bag In 1 Case (0990-7670-03) / 500 Ml In 1 Bag,16.04,16.04,,,0 NDC,00990767009,Normosol-R: 12 Bag In 1 Case (0990-7670-09) / 1000 Ml In 1 Bag,21.63,21.63,,,0 NDC,00990771513,NDC Description Not Available,83.22,83.22,,,0 NDC,00990773037,Sodium Chloride: 20 Pouch In 1 Case (0990-7730-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,35.195,35.195,,,0 NDC,00990790209,Potassium Chloride In Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7902-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,28.6,28.6,,,0 NDC,00990791819,Dextrose: 12 Pouch In 1 Case (0990-7918-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990792202,Dextrose: 24 Pouch In 1 Case (0990-7922-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,47.85,47.85,,,0 NDC,00990792203,Dextrose: 24 Pouch In 1 Case (0990-7922-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,31.544999999999998,31.544999999999998,,,0 NDC,00990792209,Dextrose: 12 Pouch In 1 Case (0990-7922-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.885,35.885,,,0 NDC,00990792225,Dextrose: 24 BAG in 1 CASE (0990-7922-25) / 250 mL in 1 BAG,35.92,35.92,,,0 NDC,00990792261,Dextrose: 32 Pouch In 1 Case (0990-7922-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990792306,Dextrose: 60 BAG in 1 CASE (0990-7923-06) / 50 mL in 1 BAG,36.05,36.05,,,0 NDC,00990792311,Dextrose: 60 BAG in 1 CASE (0990-7923-11) / 100 mL in 1 BAG,36.05,36.05,,,0 NDC,00990792313,Dextrose: 48 Pouch In 1 Case (0990-7923-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990792323,Dextrose: 48 Pouch In 1 Case (0990-7923-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,34.715,34.715,,,0 NDC,00990792337,Dextrose: 20 Pouch In 1 Case (0990-7923-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,34.709999999999994,34.709999999999994,,,0 NDC,00990792609,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7926-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,2.06,2.06,,,0 NDC,00990792909,Lactated Ringers And Dextrose: 12 Pouch In 1 Case (0990-7929-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.62,35.62,,,0 NDC,00990793002,Dextrose: 24 Pouch In 1 Case (0990-7930-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990793009,Dextrose: 12 Pouch In 1 Case (0990-7930-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,35.14,35.14,,,0 NDC,00990793519,Dextrose: 12 Pouch In 1 Case (0990-7935-19) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,42.435,42.435,,,0 NDC,00990794109,Dextrose And Sodium Chloride: 12 Pouch In 1 Case (0990-7941-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,18.02,18.02,,,0 NDC,00990795303,Lactated Ringers: 24 Pouch In 1 Case (0990-7953-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,27.42,27.42,,,0 NDC,00990795309,Lactated Ringers: 12 Pouch In 1 Case (0990-7953-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,30.46,30.46,,,0 NDC,00990797205,Sodium Chloride: 12 Bag In 1 Case (0990-7972-05) / 1000 Ml In 1 Bag,19.83,19.83,,,0 NDC,00990797208,Sodium Chloride: 4 Pouch In 1 Case (0990-7972-08) / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,35.72,35.72,,,0 NDC,00990797308,Sterile Water: 4 Pouch In 1 Case (0990-7973-08) / 1 Bag In 1 Pouch / 3000 Ml In 1 Bag,43.26,43.26,,,0 NDC,00990798302,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,33.93,33.93,,,0 NDC,00990798303,Sodium Chloride: 24 Pouch In 1 Case (0990-7983-03) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,19.6,19.6,,,0 NDC,00990798309,Sodium Chloride: 12 Pouch In 1 Case (0990-7983-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,34.98,34.98,,,0 NDC,00990798355,Sodium Chloride: 18 Pouch In 1 Case (0990-7983-55) / 1 Bag In 1 Pouch / 500 Ml In 1 Bag,23.57,23.57,,,0 NDC,00990798361,Sodium Chloride: 32 Pouch In 1 Case (0990-7983-61) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,34.16,34.16,,,0 NDC,00990798413,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-13) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,36.739999999999995,36.739999999999995,,,0 NDC,00990798420,Sodium Chloride: 12 Pouch In 1 Case (0990-7984-20) / 4 Bag In 1 Pouch / 25 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990798423,Sodium Chloride: 48 Pouch In 1 Case (0990-7984-23) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,35.235,35.235,,,0 NDC,00990798436,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-36) / 4 Bag In 1 Pouch / 50 Ml In 1 Bag,36.2,36.2,,,0 NDC,00990798437,Sodium Chloride: 20 Pouch In 1 Case (0990-7984-37) / 4 Bag In 1 Pouch / 100 Ml In 1 Bag,37.81,37.81,,,0 NDC,00990798502,Sodium Chloride: 24 Pouch In 1 Case (0990-7985-02) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,29.5,29.5,,,0 NDC,00990798509,Sodium Chloride: 12 Pouch In 1 Case (0990-7985-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00990799009,Sterile Water: 12 Pouch In 1 Case (0990-7990-09) / 1 Bag In 1 Pouch / 1000 Ml In 1 Bag,36.05,36.05,,,0 NDC,00998063006,"Maxitrol: 5 mL in 1 BOTTLE, PLASTIC (0998-0630-06)",489.25,489.25,,,0 NDC,01000673002,NDC Description Not Available,11.33,11.33,,,0 NDC,01011902239,NDC Description Not Available,8.24,8.24,,,0 NDC,01031031840,NDC Description Not Available,13.73,13.73,,,0 NDC,01093919844,NDC Description Not Available,1.03,1.03,,,0 NDC,01093920444,NDC Description Not Available,25.49,25.49,,,0 NDC,01093941433,NDC Description Not Available,4.115,4.115,,,0 NDC,01093956333,NDC Description Not Available,8.24,8.24,,,0 NDC,01093956633,NDC Description Not Available,14.42,14.42,,,0 NDC,01093956833,NDC Description Not Available,3.11,3.11,,,0 NDC,01093960244,NDC Description Not Available,8.45,8.45,,,0 NDC,01093995659,NDC Description Not Available,3.96,3.96,,,0 NDC,01184517105,NDC Description Not Available,0.77,0.77,,,0 NDC,01254723813,NDC Description Not Available,0.9,0.9,,,0 NDC,01254749380,NDC Description Not Available,15.28,15.28,,,0 NDC,01990301021,NDC Description Not Available,4.42,4.42,,,0 NDC,02390001252,NDC Description Not Available,5.15,5.15,,,0 NDC,03172213747,NDC Description Not Available,11.33,11.33,,,0 NDC,03172293947,NDC Description Not Available,3.09,3.09,,,0 NDC,03932806412,NDC Description Not Available,49.44,49.44,,,0 NDC,03932806808,NDC Description Not Available,43.57,43.57,,,0 NDC,03932815705,NDC Description Not Available,3.79,3.79,,,0 NDC,04056511182,NDC Description Not Available,29.87,29.87,,,0 NDC,04110059419,NDC Description Not Available,1.03,1.03,,,0 NDC,04110081163,NDC Description Not Available,5.15,5.15,,,0 NDC,04110082073,NDC Description Not Available,14.42,14.42,,,0 NDC,04116700881,NDC Description Not Available,29.87,29.87,,,0 NDC,04138800730,NDC Description Not Available,0.05,0.05,,,0 NDC,04167936503,NDC Description Not Available,0.7,0.7,,,0 NDC,04167936513,NDC Description Not Available,9.27,9.27,,,0 NDC,04203710478,NDC Description Not Available,28.7,28.7,,,0 NDC,04203710479,NDC Description Not Available,36.05,36.05,,,0 NDC,04422930760,NDC Description Not Available,0.84,0.84,,,0 NDC,04467710202,NDC Description Not Available,2.55,2.55,,,0 NDC,04628750001,NDC Description Not Available,2.29,2.29,,,0 NDC,04628750030,NDC Description Not Available,11.0,11.0,,,0 NDC,04628750816,NDC Description Not Available,28.54,28.54,,,0 NDC,04858200155,NDC Description Not Available,0.15,0.15,,,0 NDC,04858200440,NDC Description Not Available,0.52,0.52,,,0 NDC,04858280220,NDC Description Not Available,0.65,0.65,,,0 NDC,04910040007,NDC Description Not Available,2.0300000000000002,2.0300000000000002,,,0 NDC,05019014263,NDC Description Not Available,2.09,2.09,,,0 NDC,05019074060,NDC Description Not Available,2.22,2.22,,,0 NDC,05026833611,NDC Description Not Available,4.53,4.53,,,0 NDC,05047463698,NDC Description Not Available,9.08,9.08,,,0 NDC,05047465165,NDC Description Not Available,544.87,544.87,,,0 NDC,05093009802,NDC Description Not Available,1.44,1.44,,,0 NDC,05155200516,NDC Description Not Available,242.05,242.05,,,0 NDC,05155200556,NDC Description Not Available,29.87,29.87,,,0 NDC,05192728650,NDC Description Not Available,90.64,90.64,,,0 NDC,05280048826,NDC Description Not Available,3.09,3.09,,,0 NDC,05483800530,NDC Description Not Available,41.42,41.42,,,0 NDC,05529960104,NDC Description Not Available,10.49,10.49,,,0 NDC,05707400177,NDC Description Not Available,36.03,36.03,,,0 NDC,05846800903,NDC Description Not Available,71.21,71.21,,,0 NDC,05852600557,NDC Description Not Available,4.23,4.23,,,0 NDC,05898060530,NDC Description Not Available,32.7,32.7,,,0 NDC,05898060880,NDC Description Not Available,36.05,36.05,,,0 NDC,05978122550,NDC Description Not Available,8.87,8.87,,,0 NDC,05978156430,NDC Description Not Available,8.89,8.89,,,0 NDC,05978166679,NDC Description Not Available,8.87,8.87,,,0 NDC,05978166685,NDC Description Not Available,10.23,10.23,,,0 NDC,05978166688,NDC Description Not Available,10.26,10.26,,,0 NDC,05978166690,NDC Description Not Available,9.27,9.27,,,0 NDC,05978166692,NDC Description Not Available,7.21,7.21,,,0 NDC,06014629157,NDC Description Not Available,71.34,71.34,,,0 NDC,06014629312,NDC Description Not Available,37.44,37.44,,,0 NDC,06210333302,NDC Description Not Available,5.99,5.99,,,0 NDC,06253000011,NDC Description Not Available,4.47,4.47,,,0 NDC,06299125304,NDC Description Not Available,37.08,37.08,,,0 NDC,06332325410,NDC Description Not Available,86.01,86.01,,,0 NDC,06373603751,NDC Description Not Available,16.74,16.74,,,0 NDC,06373611189,NDC Description Not Available,16.52,16.52,,,0 NDC,06373612002,NDC Description Not Available,16.36,16.36,,,0 NDC,06373612003,NDC Description Not Available,13.39,13.39,,,0 NDC,06373637882,NDC Description Not Available,16.56,16.56,,,0 NDC,06373915770,NDC Description Not Available,3.54,3.54,,,0 NDC,06380710001,NDC Description Not Available,0.915,0.915,,,0 NDC,06380710011,NDC Description Not Available,11.67,11.67,,,0 NDC,06380710055,NDC Description Not Available,1.55,1.55,,,0 NDC,06425333335,NDC Description Not Available,7.22,7.22,,,0 NDC,06425344421,NDC Description Not Available,10.82,10.82,,,0 NDC,06809412059,NDC Description Not Available,10.3,10.3,,,0 NDC,07003013995,NDC Description Not Available,4.12,4.12,,,0 NDC,07007456091,NDC Description Not Available,2.72,2.72,,,0 NDC,07132180230,NDC Description Not Available,39.14,39.14,,,0 NDC,07214000021,NDC Description Not Available,75.19,75.19,,,0 NDC,07214003147,NDC Description Not Available,23.41,23.41,,,0 NDC,07214003868,NDC Description Not Available,20.84,20.84,,,0 NDC,07214045231,NDC Description Not Available,7.54,7.54,,,0 NDC,07214063377,NDC Description Not Available,7.21,7.21,,,0 NDC,07430000070,NDC Description Not Available,4.12,4.12,,,0 NDC,07620402260,NDC Description Not Available,2.06,2.06,,,0 NDC,07620430003,NDC Description Not Available,1.16,1.16,,,0 NDC,07811201103,NDC Description Not Available,4.14,4.14,,,0 NDC,07811201104,NDC Description Not Available,7.21,7.21,,,0 NDC,07811273621,NDC Description Not Available,28.84,28.84,,,0 NDC,07811273623,NDC Description Not Available,21.63,21.63,,,0 NDC,07985407724,NDC Description Not Available,0.95,0.95,,,0 NDC,08019652856,NDC Description Not Available,363.86,363.86,,,0 NDC,08065183004,NDC Description Not Available,12.04,12.04,,,0 NDC,08065183055,NDC Description Not Available,17.67,17.67,,,0 NDC,08065183085,NDC Description Not Available,15.61,15.61,,,0 NDC,08065183150,NDC Description Not Available,1146.39,1146.39,,,0 NDC,08065183905,NDC Description Not Available,820.05,820.05,,,0 NDC,08142102103,NDC Description Not Available,6.08,6.08,,,0 NDC,08290306499,NDC Description Not Available,2.06,2.06,,,0 NDC,08290306545,NDC Description Not Available,2.02,2.02,,,0 NDC,08290306546,NDC Description Not Available,2.24,2.24,,,0 NDC,08290306547,NDC Description Not Available,2.23,2.23,,,0 NDC,08290306553,NDC Description Not Available,4.31,4.31,,,0 NDC,08349020760,NDC Description Not Available,2.35,2.35,,,0 NDC,08349030760,NDC Description Not Available,0.91,0.91,,,0 NDC,08452100026,NDC Description Not Available,2.41,2.41,,,0 NDC,08544636971,NDC Description Not Available,10.14,10.14,,,0 NDC,08765176030,NDC Description Not Available,3.09,3.09,,,0 NDC,08881570123,NDC Description Not Available,1.91,1.91,,,0 NDC,09999001108,NDC Description Not Available,10.3,10.3,,,0 NDC,09999001110,NDC Description Not Available,156.56,156.56,,,0 NDC,09999001116,NDC Description Not Available,6.87,6.87,,,0 NDC,09999001228,NDC Description Not Available,0.62,0.62,,,0 NDC,09999001253,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001273,NDC Description Not Available,0.53,0.53,,,0 NDC,09999001282,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001296,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001302,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001332,NDC Description Not Available,1.03,1.03,,,0 NDC,09999001346,NDC Description Not Available,0.26,0.26,,,0 NDC,09999001362,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001363,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001449,NDC Description Not Available,1.03,1.03,,,0 NDC,09999001454,NDC Description Not Available,0.52,0.52,,,0 NDC,09999001488,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001528,NDC Description Not Available,0.52,0.52,,,0 NDC,09999001541,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001555,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001575,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001580,NDC Description Not Available,0.52,0.52,,,0 NDC,09999001612,NDC Description Not Available,0.52,0.52,,,0 NDC,09999001613,NDC Description Not Available,0.52,0.52,,,0 NDC,09999001617,NDC Description Not Available,0.02,0.02,,,0 NDC,09999001648,NDC Description Not Available,0.4,0.4,,,0 NDC,09999001671,NDC Description Not Available,1.03,1.03,,,0 NDC,09999001693,NDC Description Not Available,0.13,0.13,,,0 NDC,09999001722,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001733,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001734,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001735,NDC Description Not Available,0.02,0.02,,,0 NDC,09999001738,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001784,NDC Description Not Available,36.05,36.05,,,0 NDC,09999001816,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001817,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001831,NDC Description Not Available,0.01,0.01,,,0 NDC,09999001833,NDC Description Not Available,1.03,1.03,,,0 NDC,09999001853,NDC Description Not Available,0.1,0.1,,,0 NDC,09999001855,NDC Description Not Available,0.03,0.03,,,0 NDC,09999001856,NDC Description Not Available,0.1,0.1,,,0 NDC,09999001906,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002017,NDC Description Not Available,0.02,0.02,,,0 NDC,09999002112,NDC Description Not Available,0.04,0.04,,,0 NDC,09999002149,NDC Description Not Available,0.26,0.26,,,0 NDC,09999002169,NDC Description Not Available,0.06,0.06,,,0 NDC,09999002171,NDC Description Not Available,47.44,47.44,,,0 NDC,09999002178,NDC Description Not Available,0.1,0.1,,,0 NDC,09999002184,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002185,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002248,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002282,NDC Description Not Available,0.34,0.34,,,0 NDC,09999002390,NDC Description Not Available,43.78,43.78,,,0 NDC,09999002455,NDC Description Not Available,0.29,0.29,,,0 NDC,09999002465,NDC Description Not Available,0.52,0.52,,,0 NDC,09999002473,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002498,NDC Description Not Available,16.12,16.12,,,0 NDC,09999002531,NDC Description Not Available,0.29,0.29,,,0 NDC,09999002532,NDC Description Not Available,8.76,8.76,,,0 NDC,09999002534,NDC Description Not Available,0.09,0.09,,,0 NDC,09999002536,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002671,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002706,NDC Description Not Available,0.09,0.09,,,0 NDC,09999002729,NDC Description Not Available,0.26,0.26,,,0 NDC,09999002745,NDC Description Not Available,36.05,36.05,,,0 NDC,09999002756,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002759,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002777,NDC Description Not Available,0.08,0.08,,,0 NDC,09999002794,NDC Description Not Available,46.32,46.32,,,0 NDC,09999002804,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002805,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002810,NDC Description Not Available,1664.48,1664.48,,,0 NDC,09999002816,NDC Description Not Available,2.33,2.33,,,0 NDC,09999002818,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002829,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002871,NDC Description Not Available,0.37,0.37,,,0 NDC,09999002877,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002906,NDC Description Not Available,0.2,0.2,,,0 NDC,09999002917,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002925,NDC Description Not Available,0.82,0.82,,,0 NDC,09999002940,NDC Description Not Available,0.24,0.24,,,0 NDC,09999002941,NDC Description Not Available,0.24,0.24,,,0 NDC,09999002953,NDC Description Not Available,1.03,1.03,,,0 NDC,09999002955,NDC Description Not Available,0.01,0.01,,,0 NDC,09999002958,NDC Description Not Available,0.04,0.04,,,0 NDC,09999002974,NDC Description Not Available,0.09,0.09,,,0 NDC,09999002999,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003002,NDC Description Not Available,0.02,0.02,,,0 NDC,09999003007,NDC Description Not Available,0.02,0.02,,,0 NDC,09999003008,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003033,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003089,NDC Description Not Available,123.53,123.53,,,0 NDC,09999003093,NDC Description Not Available,0.04,0.04,,,0 NDC,09999003095,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003096,NDC Description Not Available,0.34,0.34,,,0 NDC,09999003140,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003153,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003157,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003158,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003159,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003160,NDC Description Not Available,0.17,0.17,,,0 NDC,09999003161,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003162,NDC Description Not Available,749.84,749.84,,,0 NDC,09999003180,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003201,NDC Description Not Available,29.18,29.18,,,0 NDC,09999003203,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003209,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003216,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003218,NDC Description Not Available,0.19,0.19,,,0 NDC,09999003227,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003244,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003252,NDC Description Not Available,16.09,16.09,,,0 NDC,09999003273,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003276,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003288,NDC Description Not Available,0.17,0.17,,,0 NDC,09999003323,NDC Description Not Available,0.84,0.84,,,0 NDC,09999003335,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003340,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003347,NDC Description Not Available,0.1,0.1,,,0 NDC,09999003390,NDC Description Not Available,0.02,0.02,,,0 NDC,09999003417,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003419,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003423,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003427,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003428,NDC Description Not Available,0.77,0.77,,,0 NDC,09999003432,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003455,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003456,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003458,NDC Description Not Available,0.42,0.42,,,0 NDC,09999003494,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003497,NDC Description Not Available,27.31,27.31,,,0 NDC,09999003508,NDC Description Not Available,0.77,0.77,,,0 NDC,09999003539,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003540,NDC Description Not Available,0.11,0.11,,,0 NDC,09999003576,NDC Description Not Available,26.99,26.99,,,0 NDC,09999003577,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003584,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003612,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003635,NDC Description Not Available,0.34,0.34,,,0 NDC,09999003683,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003717,NDC Description Not Available,0.13,0.13,,,0 NDC,09999003784,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003793,NDC Description Not Available,1.93,1.93,,,0 NDC,09999003861,NDC Description Not Available,0.86,0.86,,,0 NDC,09999003885,NDC Description Not Available,0.01,0.01,,,0 NDC,09999003911,NDC Description Not Available,22.07,22.07,,,0 NDC,09999003912,NDC Description Not Available,34.6,34.6,,,0 NDC,09999003913,NDC Description Not Available,24.729999999999997,24.729999999999997,,,0 NDC,09999003917,NDC Description Not Available,0.04,0.04,,,0 NDC,09999003918,NDC Description Not Available,32.85,32.85,,,0 NDC,09999003934,NDC Description Not Available,6.56,6.56,,,0 NDC,09999003937,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003938,NDC Description Not Available,1.03,1.03,,,0 NDC,09999003955,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003957,NDC Description Not Available,0.52,0.52,,,0 NDC,09999003987,NDC Description Not Available,180.05,180.05,,,0 NDC,09999004002,NDC Description Not Available,0.26,0.26,,,0 NDC,09999408440,NDC Description Not Available,278.1,278.1,,,0 NDC,09999408582,NDC Description Not Available,30021.260000000002,30021.260000000002,,,0 NDC,09999408587,NDC Description Not Available,174.0,174.0,,,0 NDC,09999408592,NDC Description Not Available,1609.0,1609.0,,,0 NDC,09999408596,NDC Description Not Available,443.0,443.0,,,0 NDC,09999408600,NDC Description Not Available,270.21,270.21,,,0 NDC,09999420100,NDC Description Not Available,2024.71,2024.71,,,0 NDC,09999700072,NDC Description Not Available,19.68,19.68,,,0 NDC,09999700875,NDC Description Not Available,26.93,26.93,,,0 NDC,09999720797,NDC Description Not Available,12.62,12.62,,,0 NDC,09999720798,NDC Description Not Available,27.3,27.3,,,0 NDC,09999720824,NDC Description Not Available,36.05,36.05,,,0 NDC,09999900218,NDC Description Not Available,241.84,241.84,,,0 NDC,10019005561,Brevibloc: 10 Bag In 1 Carton (10019-055-61) / 250 Ml In 1 Bag,523.995,523.995,,,0 NDC,10019007901,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (10019-079-01) / 1 Injection In 1 Vial, Multi-Dose",57.8,57.8,,,0 NDC,10019011539,NDC Description Not Available,41.72,41.72,,,0 NDC,10019012039,NDC Description Not Available,23.05,23.05,,,0 NDC,10019055303,Transderm Scop: 10 Pouch In 1 Box (10019-553-03) / 1 Patch In 1 Pouch / 3 D In 1 Patch,91.72,91.72,,,0 NDC,10019055390,Transderm Scop: 1 Patch In 1 Pouch (10019-553-90) / 3 D In 1 Patch,91.81,91.81,,,0 NDC,10019067010,Brevibloc: 10 Bag In 1 Carton (10019-670-10) / 250 Ml In 1 Bag,540.75,540.75,,,0 NDC,10019067210,Brevibloc: 10 Bag In 1 Carton (10019-672-10) / 250 Ml In 1 Bag,648.9,648.9,,,0 NDC,10019092501,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-925-01) / 20 Ml In 1 Vial, Single-Dose (10019-925-82)",154.94,154.94,,,0 NDC,10019092582,NDC Description Not Available,158.91,158.91,,,0 NDC,10019092602,"Ifosfamide: 1 Vial, Single-Dose In 1 Carton (10019-926-02) / 60 Ml In 1 Vial, Single-Dose (10019-926-16)",143.03,143.03,,,0 NDC,10019092616,NDC Description Not Available,158.98,158.98,,,0 NDC,10019093801,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-938-01) / 25 Ml In 1 Vial, Single-Dose (10019-938-25)",8.0,8.0,,,0 NDC,10019093901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-939-01) / 50 Ml In 1 Vial, Single-Dose (10019-939-50)",6.84,6.84,,,0 NDC,10019093950,NDC Description Not Available,7.6,7.6,,,0 NDC,10019095301,"Mesna: 1 Vial, Multi-Dose In 1 Box (10019-953-01) / 10 Ml In 1 Vial, Multi-Dose (10019-953-62)",20.15,20.15,,,0 NDC,10019095362,NDC Description Not Available,20.89,20.89,,,0 NDC,10019095501,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-955-01) / 25 Ml In 1 Vial, Single-Dose (10019-955-50)",15.844999999999999,15.844999999999999,,,0 NDC,10019095601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (10019-956-01) / 50 Ml In 1 Vial, Single-Dose (10019-956-16)",6.66,6.66,,,0 NDC,10019095616,NDC Description Not Available,10.15,10.15,,,0 NDC,10122016002,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-160-02) / 10 Ml In 1 Vial, Single-Dose (10122-160-01)",511.1,511.1,,,0 NDC,10122016502,"Elfabrio: 1 Vial, Single-Dose In 1 Carton (10122-165-02) / 2.5 Ml In 1 Vial, Single-Dose",536.63,536.63,,,0 NDC,10122032501,NDC Description Not Available,784.14,784.14,,,0 NDC,10122051003,"Curosurf: 3 Ml In 1 Vial, Glass (10122-510-03)",2789.21,2789.21,,,0 NDC,10122061001,NDC Description Not Available,14.71,14.71,,,0 NDC,10122062001,NDC Description Not Available,47.22,47.22,,,0 NDC,10122062010,"Kengreal: 10 Vial, Single-Use In 1 Carton (10122-620-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use (10122-620-01)",47.19,47.19,,,0 NDC,10135062001,"Phenazopyridine Hydrochloride: 100 TABLET, FILM COATED in 1 BOTTLE (10135-620-01)",5.66,5.66,,,0 NDC,10135067181,Clotrimazole: 1 Bottle In 1 Carton (10135-671-81) / 10 Ml In 1 Bottle,121.54,121.54,,,0 NDC,10135072085,Miconazole Nitrate Antifungal Powder: 85 G In 1 Bottle (10135-720-85),19.46,19.46,,,0 NDC,10135073801,Rifabutin: 100 Capsule In 1 Bottle (10135-738-01),41.84,41.84,,,0 NDC,10135074660,Misoprostol: 60 Tablet In 1 Bottle (10135-746-60),2.83,2.83,,,0 NDC,10135075124,Hydrocortisone Acetate: 24 Suppository In 1 Carton (10135-751-24),13.42,13.42,,,0 NDC,10147092103,Haloperidol Decanoate: 3 Ampule In 1 Box (10147-0921-3) / 1 Ml In 1 Ampule,111.76,111.76,,,0 NDC,10147092205,Haloperidol Decanoate: 5 Ampule In 1 Box (10147-0922-5) / 1 Ml In 1 Ampule,106.78,106.78,,,0 NDC,10223020103,"Cetacaine Anesthetic: 1 Bottle, Glass In 1 Box (10223-0201-3) / 20 G In 1 Bottle, Glass",515.0,515.0,,,0 NDC,10361075003,NDC Description Not Available,7.02,7.02,,,0 NDC,10454071010,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-710-10) / .5 Ml In 1 Vial, Single-Use",45.56,45.56,,,0 NDC,10454071110,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-711-10) / 1 Ml In 1 Vial, Single-Use",40.19,40.19,,,0 NDC,10454071210,"Myobloc: 1 Vial, Single-Use In 1 Carton (10454-712-10) / 2 Ml In 1 Vial, Single-Use",32.29,32.29,,,0 NDC,10481011208,"MONSELS SOLUTION: 8 g in 1 BOTTLE, GLASS (10481-0112-8)",52.53,52.53,,,0 NDC,10511300102,"Cysview: 1 Kit In 1 Carton (10511-3001-2) * 50 Ml In 1 Syringe, Plastic * 50 Ml In 1 Vial, Glass",2989.06,2989.06,,,0 NDC,10572010001,Peg-3350 And Electrolytes: 4 L In 1 Jug (10572-100-01),97.05,97.05,,,0 NDC,10572030201,"Peg-3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride: 4 L In 1 Bottle (10572-302-01)",115.36,115.36,,,0 NDC,10631040701,Proctosol-Hc: 1 Tube In 1 Carton (10631-407-01) / 28.35 G In 1 Tube,314.84,314.84,,,0 NDC,10702001850,Oxycodone Hydrochloride: 500 Tablet In 1 Bottle (10702-018-50),2.01,2.01,,,0 NDC,10702005501,Hydrocodone Bitartrate And Homatropine Methylbromide: 100 Tablet In 1 Bottle (10702-055-01),5.15,5.15,,,0 NDC,10702005503,Hydrocodone Bitartrate And Homatropine Methylbromide: 30 Tablet In 1 Bottle (10702-055-03),5.15,5.15,,,0 NDC,10702005650,Oxycodone Hydrochloride: 500 Tablet In 1 Bottle (10702-056-50),2.1,2.1,,,0 NDC,10702010101,Methylphenidate Hydrochloride: 100 Tablet In 1 Bottle (10702-101-01),3.6,3.6,,,0 NDC,10702023701,Ursodiol: 100 Capsule In 1 Bottle (10702-237-01),26.52,26.52,,,0 NDC,10702025301,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle (10702-253-01)",6.18,6.18,,,0 NDC,10702080803,"Cyclosporine: 30 Vial, Single-Use In 1 Tray (10702-808-03) / .4 Ml In 1 Vial, Single-Use",25.42,25.42,,,0 NDC,10888713602,PROGESTERONE: 100 CAPSULE in 1 BOTTLE (10888-7136-2),7.47,7.47,,,0 NDC,11523726808,Miralax: 24 Packet In 1 Carton (11523-7268-8) / 17 G In 1 Packet,1.32,1.32,,,0 NDC,11527016351,Sheffield Bacitracin Zinc: 1 Tube In 1 Carton (11527-163-51) / 14 G In 1 Tube,58.71,58.71,,,0 NDC,11704037001,"Cyanokit: 1 VIAL, GLASS in 1 CARTON (11704-370-01) / 250 mL in 1 VIAL, GLASS",0.18,0.18,,,0 NDC,11980018005,"Pred Forte: 1 Bottle, Dropper In 1 Carton (11980-180-05) / 5 Ml In 1 Bottle, Dropper",694.21,694.21,,,0 NDC,11980077905,"Ocuflox: 1 Bottle, Dropper In 1 Carton (11980-779-05) / 5 Ml In 1 Bottle, Dropper",536.63,536.63,,,0 NDC,11994000602,"Neurolite: 2 Kit In 1 Package, Combination (11994-006-02) / 1 Kit In 1 Kit * 1 Injection In 1 Vial (11994-002-01) * 1 Ml In 1 Vial (11994-004-01)",3160.04,3160.04,,,0 NDC,11994001104,"Definity: 4 Vial, Glass In 1 Carton (11994-011-04) / 1.5 Ml In 1 Vial, Glass",606.62,606.62,,,0 NDC,11994001116,"Definity: 16 Vial, Glass In 1 Carton (11994-011-16) / 1.5 Ml In 1 Vial, Glass",746.69,746.69,,,0 NDC,11994009001,Technelite: 1 Vial In 1 Carton (11994-090-01) / 12 Ml In 1 Vial,10.44,10.44,,,0 NDC,12165010001,Grafco Applicator 15 Cm: 100 Stick In 1 Tube (12165-100-01),0.93,0.93,,,0 NDC,12496010001,Sublocade: 1 Pouch In 1 Carton (12496-0100-1) / 1 Syringe In 1 Pouch (12496-0100-2) / 1 Solution In 1 Syringe (12496-0100-5),3767.74,3767.74,,,0 NDC,12496010005,NDC Description Not Available,3767.74,3767.74,,,0 NDC,12496030001,Sublocade: 1 Pouch In 1 Carton (12496-0300-1) / 1 Syringe In 1 Pouch (12496-0300-2) / 1 Solution In 1 Syringe (12496-0300-5),1370.09,1370.09,,,0 NDC,12496075705,Buprenex: 5 AMPULE in 1 CARTON (12496-0757-5) / 1 mL in 1 AMPULE (12496-0757-1),16.48,16.48,,,0 NDC,12496120201,NDC Description Not Available,21.4,21.4,,,0 NDC,12496120203,"Suboxone: 30 Pouch In 1 Carton (12496-1202-3) / 1 Film, Soluble In 1 Pouch (12496-1202-1)",19.57,19.57,,,0 NDC,12496120801,NDC Description Not Available,36.97,36.97,,,0 NDC,12496120803,"Suboxone: 30 Pouch In 1 Carton (12496-1208-3) / 1 Film, Soluble In 1 Pouch (12496-1208-1)",38.97,38.97,,,0 NDC,12870000101,Silver Nitrate Applicators: 10 Packet In 1 Box (12870-0001-1) / 10 Applicator In 1 Packet / 100 Mg In 1 Applicator,3.06,3.06,,,0 NDC,12870000102,Silver Nitrate Applicators: 100 Applicator In 1 Vial (12870-0001-2) / 100 Mg In 1 Applicator,2.98,2.98,,,0 NDC,13107008305,Lorazepam: 500 Tablet In 1 Bottle (13107-083-05),3.09,3.09,,,0 NDC,13107008405,Lorazepam: 500 Tablet In 1 Bottle (13107-084-05),2.83,2.83,,,0 NDC,13107031901,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (13107-319-01),7.21,7.21,,,0 NDC,13107032001,"Clorazepate Dipotassium: 100 Tablet In 1 Bottle, Plastic (13107-320-01)",6.51,6.51,,,0 NDC,13517010030,"Diazoxide: 1 Bottle, Dropper In 1 Carton (13517-100-30) / 30 Ml In 1 Bottle, Dropper",178.19,178.19,,,0 NDC,13533031805,Hyperrab: 1 Vial In 1 Carton (13533-318-05) / 5 Ml In 1 Vial (13533-318-50),841.1,841.1,,,0 NDC,13533060250,"Thrombate Iii: 1 Kit In 1 Carton (13533-602-50) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (13533-200-10)",10.38,10.38,,,0 NDC,13533060521,NDC Description Not Available,10.38,10.38,,,0 NDC,13533060612,"Thrombate Iii: 1 Kit In 1 Carton (13533-606-12) * 10 Ml In 1 Vial, Glass (13533-605-21) * 10 Ml In 1 Vial, Glass (76297-002-12)",10.38,10.38,,,0 NDC,13533063402,"Hypertet: 1 Syringe, Glass In 1 Box (13533-634-02) / 1 Ml In 1 Syringe, Glass (13533-634-20)",1604.74,1604.74,,,0 NDC,13533063603,"Hyperhep B: 1 Syringe, Glass In 1 Carton (13533-636-03) / .5 Ml In 1 Syringe, Glass (13533-636-30)",382.13,382.13,,,0 NDC,13533063630,NDC Description Not Available,382.13,382.13,,,0 NDC,13533070501,Prolastin-C Liquid: 1 Vial In 1 Carton (13533-705-01) / 20 Ml In 1 Vial (13533-705-11),0.03,0.03,,,0 NDC,13533080015,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-15) / 25 Ml In 1 Vial, Glass (13533-800-16)",209.53,209.53,,,0 NDC,13533080020,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-20) / 50 Ml In 1 Vial, Glass (13533-800-21)",174.58,174.58,,,0 NDC,13533080021,NDC Description Not Available,174.83,174.83,,,0 NDC,13533080024,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-24) / 200 Ml In 1 Vial, Glass (13533-800-25)",192.07999999999998,192.07999999999998,,,0 NDC,13533080025,NDC Description Not Available,175.0,175.0,,,0 NDC,13533080071,"Gamunex-C: 1 Vial, Glass In 1 Carton (13533-800-71) / 100 Ml In 1 Vial, Glass (13533-800-72)",192.36,192.36,,,0 NDC,13533080072,NDC Description Not Available,174.34,174.34,,,0 NDC,13668000701,Zolpidem Tartrate: 100 Tablet In 1 Bottle (13668-007-01),16.14,16.14,,,0 NDC,13668001001,"Citalopram: 100 Tablet, Film Coated In 1 Bottle (13668-010-01)",9.56,9.56,,,0 NDC,13668001005,"Citalopram: 500 Tablet, Film Coated In 1 Bottle (13668-010-05)",9.27,9.27,,,0 NDC,13668008630,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-086-30)",50.47,50.47,,,0 NDC,13668008830,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (13668-088-30)",73.32,73.32,,,0 NDC,13668010501,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle (13668-105-01)",15.45,15.45,,,0 NDC,13668013510,"Escitalopram: 1000 Tablet, Film Coated In 1 Bottle (13668-135-10)",14.88,14.88,,,0 NDC,13668017990,"Rosuvastatin Calcium: 90 Tablet, Coated In 1 Bottle (13668-179-90)",32.32,32.32,,,0 NDC,13668018930,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-189-30)",34.39,34.39,,,0 NDC,13668018990,"Tolterodine Tartrate: 90 Capsule, Extended Release In 1 Bottle (13668-189-90)",34.2,34.2,,,0 NDC,13668019030,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (13668-190-30)",34.32,34.32,,,0 NDC,13668021630,Aripiprazole: 30 Tablet In 1 Bottle (13668-216-30),115.67,115.67,,,0 NDC,13668045301,Anagrelide: 100 Capsule In 1 Bottle (13668-453-01),39.88,39.88,,,0 NDC,13668048450,Minocycline Hydrochloride: 50 Capsule In 1 Bottle (13668-484-50),12.26,12.26,,,0 NDC,13668058130,Tadalafil: 30 Tablet In 1 Bottle (13668-581-30),274.5,274.5,,,0 NDC,13668059180,NDC Description Not Available,49.57,49.57,,,0 NDC,13668060601,"Erythromycin: 100 Tablet, Coated In 1 Bottle (13668-606-01)",41.65,41.65,,,0 NDC,13925050530,Dapsone: 2 BLISTER PACK in 1 CARTON (13925-505-30) / 15 TABLET in 1 BLISTER PACK,11.11,11.11,,,0 NDC,13925051501,NDC Description Not Available,650.96,650.96,,,0 NDC,13925051510,Pentamidine Isethionate: 10 Vial In 1 Tray (13925-515-10) / 300 Mg In 1 Vial,650.96,650.96,,,0 NDC,13925052201,Pentamidine Isethionate: 1 Vial In 1 Carton (13925-522-01) / 300 Mg In 1 Vial,650.96,650.96,,,0 NDC,14537081775,Acd A: 12 Bag In 1 Carton (14537-817-75) / 750 Ml In 1 Bag,359.54,359.54,,,0 NDC,14537096775,Acd A: 12 Bag In 1 Case (14537-967-75) / 750 Ml In 1 Bag,309.15,309.15,,,0 NDC,14789001007,NDC Description Not Available,115.88,115.88,,,0 NDC,14789001505,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (14789-015-05) / 5 Ml In 1 Vial, Single-Dose",1483.2,1483.2,,,0 NDC,14789001507,NDC Description Not Available,1483.2,1483.2,,,0 NDC,14789010202,Tirofiban Hydrochloride: 1 Bag In 1 Carton (14789-102-02) / 250 Ml In 1 Bag,13.84,13.84,,,0 NDC,14789010210,Tirofiban Hydrochloride: 2 Bag In 1 Carton (14789-102-10) / 250 Ml In 1 Bag,13.84,13.84,,,0 NDC,14789010708,NDC Description Not Available,10.82,10.82,,,0 NDC,14789010916,NDC Description Not Available,34.08,34.08,,,0 NDC,14789011605,"Erythromycin Lactobionate: 5 Vial, Glass In 1 Box (14789-116-05) / 10 Ml In 1 Vial, Glass (14789-116-07)",432.6,432.6,,,0 NDC,14789011607,NDC Description Not Available,566.15,566.15,,,0 NDC,14789012207,NDC Description Not Available,191.58,191.58,,,0 NDC,14789013307,NDC Description Not Available,6.18,6.18,,,0 NDC,14789013407,NDC Description Not Available,84.56,84.56,,,0 NDC,14789013707,NDC Description Not Available,4.53,4.53,,,0 NDC,14789025007,NDC Description Not Available,125.66,125.66,,,0 NDC,14789025010,Emerphed: 10 Vial In 1 Carton (14789-250-10) / 10 Ml In 1 Vial (14789-250-07),112.2,112.2,,,0 NDC,14789033015,Levetiracetam In Sodium Chloride: 10 Bag In 1 Carton (14789-330-15) / 100 Ml In 1 Bag (14789-330-08),0.72,0.72,,,0 NDC,14789060007,NDC Description Not Available,145.39,145.39,,,0 NDC,14789060010,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (14789-600-10) / 10 Ml In 1 Vial, Single-Dose",144.48,144.48,,,0 NDC,14789090002,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-900-02) / 2 Ml In 1 Vial, Multi-Dose",1498.03,1498.03,,,0 NDC,14789090007,NDC Description Not Available,1421.9,1421.9,,,0 NDC,14789090107,NDC Description Not Available,1366.66,1366.66,,,0 NDC,14789090110,"Procainamide Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (14789-901-10) / 10 Ml In 1 Vial, Multi-Dose",1483.2,1483.2,,,0 NDC,15054004301,"Onivyde: 1 Vial, Single-Dose In 1 Carton (15054-0043-1) / 10 Ml In 1 Vial, Single-Dose",159.28,159.28,,,0 NDC,15054050001,"Dysport: 1 Vial In 1 Carton (15054-0500-1) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.41,21.41,,,0 NDC,15054053006,"Dysport: 1 Vial In 1 Carton (15054-0530-6) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",21.63,21.63,,,0 NDC,15054106004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1060-4) / 1 Syringe In 1 Pouch / .2 Ml In 1 Syringe,250.82,250.82,,,0 NDC,15054109004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1090-4) / 1 Syringe In 1 Pouch / .3 Ml In 1 Syringe,145.785,145.785,,,0 NDC,15054112004,Somatuline Depot: 1 Pouch In 1 Carton (15054-1120-4) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,194.09,194.09,,,0 NDC,15584010101,"Atripla: 30 Tablet, Film Coated In 1 Bottle, Plastic (15584-0101-1)",431.91,431.91,,,0 NDC,16571012606,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (16571-126-06)",11.94,11.94,,,0 NDC,16571020310,"Diclofenac Sodium: 100 Tablet, Delayed Release In 1 Bottle (16571-203-10)",2.73,2.73,,,0 NDC,16571040110,Cetirizine Hydrochloride: 100 Tablet In 1 Bottle (16571-401-10),8.76,8.76,,,0 NDC,16571067301,Phenobarbital: 100 Tablet In 1 Bottle (16571-673-01),2.37,2.37,,,0 NDC,16571067621,Hydrocortisone Acetate: 12 Suppository In 1 Carton (16571-676-21),81.65,81.65,,,0 NDC,16571068101,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16571-681-01)",2.83,2.83,,,0 NDC,16571068309,Clomipramine Hydrochloride: 90 Capsule In 1 Bottle (16571-683-09),40.68,40.68,,,0 NDC,16571076209,Levocarnitine: 9 Blister Pack In 1 Carton (16571-762-09) / 10 Tablet In 1 Blister Pack,3.83,3.83,,,0 NDC,16571076924,Escitalopram Oxalate: 240 Ml In 1 Bottle (16571-769-24),63.26,63.26,,,0 NDC,16714000601,NDC Description Not Available,8.42,8.42,,,0 NDC,16714001401,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-014-01)",18.66,18.66,,,0 NDC,16714001402,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (16714-014-02)",17.7,17.7,,,0 NDC,16714001601,NDC Description Not Available,8.51,8.51,,,0 NDC,16714001805,NDC Description Not Available,33.82,33.82,,,0 NDC,16714001830,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-018-30) / 5 Ampule In 1 Pouch (16714-018-05) / 2 Ml In 1 Ampule,36.0,36.0,,,0 NDC,16714001905,NDC Description Not Available,39.96,39.96,,,0 NDC,16714002005,NDC Description Not Available,35.02,35.02,,,0 NDC,16714002030,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (16714-020-30) / 5 Ampule In 1 Pouch (16714-020-05) / 2 Ml In 1 Ampule,35.0,35.0,,,0 NDC,16714002601,NDC Description Not Available,8.53,8.53,,,0 NDC,16714003501,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (16714-035-01)",12.55,12.55,,,0 NDC,16714003601,NDC Description Not Available,8.7,8.7,,,0 NDC,16714003610,Enoxaparin Sodium: 10 Syringe In 1 Carton (16714-036-10) / .8 Ml In 1 Syringe (16714-036-01),8.84,8.84,,,0 NDC,16714004601,NDC Description Not Available,8.44,8.44,,,0 NDC,16714004701,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-047-01)",13.87,13.87,,,0 NDC,16714004901,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (16714-049-01)",31.93,31.93,,,0 NDC,16714005202,Clopidogrel: 90 Tablet In 1 Bottle (16714-052-02),25.08,25.08,,,0 NDC,16714005210,Clopidogrel: 10 Tablet In 1 Blister Pack (16714-052-10),17.84,17.84,,,0 NDC,16714005211,"Clopidogrel: 100 Tablet In 1 Box, Unit-Dose (16714-052-11)",17.84,17.84,,,0 NDC,16714005601,NDC Description Not Available,8.63,8.63,,,0 NDC,16714005901,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (16714-059-01)",37.36,37.36,,,0 NDC,16714006301,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-063-01)",1.92,1.92,,,0 NDC,16714006401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (16714-064-01)",5.84,5.84,,,0 NDC,16714006601,NDC Description Not Available,8.98,8.98,,,0 NDC,16714006701,Carbidopa: 100 Tablet In 1 Bottle (16714-067-01),59.74,59.74,,,0 NDC,16714007002,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16714-070-02) / 5 Ml In 1 Syringe, Glass (16714-070-01)",189.48,189.48,,,0 NDC,16714007104,Baclofen: 100 Tablet In 1 Bottle (16714-071-04),9.27,9.27,,,0 NDC,16714008110,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (16714-081-10),2.03,2.03,,,0 NDC,16714009701,Lidocaine Hydrochloride: 100 mL in 1 BOTTLE (16714-097-01),2.06,2.06,,,0 NDC,16714009901,Tacrolimus: 100 Capsule In 1 Bottle (16714-099-01),16.48,16.48,,,0 NDC,16714011001,"Hydroxychloroquine Sulfate: 100 Tablet, Film Coated In 1 Bottle (16714-110-01)",15.08,15.08,,,0 NDC,16714011501,NDC Description Not Available,59.88,59.88,,,0 NDC,16714011601,NDC Description Not Available,60.06,60.06,,,0 NDC,16714011902,NDC Description Not Available,480.99,480.99,,,0 NDC,16714011903,Tobramycin Inhalation Solution: 14 Pouch In 1 Carton (16714-119-03) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule (16714-119-02),484.16,484.16,,,0 NDC,16714013101,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-131-01) / 5 Ml In 1 Vial, Single-Dose",42.72,42.72,,,0 NDC,16714013701,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (16714-137-01) / 50 Ml In 1 Vial, Multi-Dose",1.16,1.16,,,0 NDC,16714014101,Aripiprazole: 30 Tablet In 1 Bottle (16714-141-01),114.33,114.33,,,0 NDC,16714014201,Aripiprazole: 30 Tablet In 1 Bottle (16714-142-01),113.44,113.44,,,0 NDC,16714014301,Aripiprazole: 30 Tablet In 1 Bottle (16714-143-01),97.2,97.2,,,0 NDC,16714014401,Aripiprazole: 30 Tablet In 1 Bottle (16714-144-01),99.82,99.82,,,0 NDC,16714016001,"Ondansetron: 30 Tablet, Film Coated In 1 Bottle (16714-160-01)",17.48,17.48,,,0 NDC,16714016401,NDC Description Not Available,8.09,8.09,,,0 NDC,16714016410,Micafungin: 10 Vial In 1 Carton (16714-164-10) / 5 Ml In 1 Vial (16714-164-01),8.09,8.09,,,0 NDC,16714016601,Liothyronine Sodium: 100 Tablet In 1 Bottle (16714-166-01),5.63,5.63,,,0 NDC,16714017801,Fluorouracil: 1 Tube In 1 Carton (16714-178-01) / 40 G In 1 Tube,1214.05,1214.05,,,0 NDC,16714018201,"Paroxetine: 30 Tablet, Film Coated In 1 Bottle (16714-182-01)",9.68,9.68,,,0 NDC,16714019401,Lamotrigine: 100 Tablet In 1 Bottle (16714-194-01),15.54,15.54,,,0 NDC,16714019601,Lamotrigine: 60 Tablet In 1 Bottle (16714-196-01),19.14,19.14,,,0 NDC,16714019801,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-198-01)",64.77,64.77,,,0 NDC,16714019901,"Voriconazole: 30 Tablet, Film Coated In 1 Bottle (16714-199-01)",247.78,247.78,,,0 NDC,16714020010,NDC Description Not Available,20.34,20.34,,,0 NDC,16714024501,NDC Description Not Available,100.94,100.94,,,0 NDC,16714024530,Mesalamine: 5 Blister Pack In 1 Pouch (16714-245-30) / 6 Suppository In 1 Blister Pack (16714-245-01),128.13,128.13,,,0 NDC,16714024701,NDC Description Not Available,1.21,1.21,,,0 NDC,16714024801,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (16714-248-01) / 5 Ml In 1 Vial, Single-Dose",8.02,8.02,,,0 NDC,16714025001,Tretinoin: 1 Tube In 1 Carton (16714-250-01) / 20 G In 1 Tube,496.46,496.46,,,0 NDC,16714029301,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (16714-293-01),23.92,23.92,,,0 NDC,16714029302,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (16714-293-02),23.67,23.67,,,0 NDC,16714029303,Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle (16714-293-03),22.06,22.06,,,0 NDC,16714029601,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-296-01)",13.66,13.66,,,0 NDC,16714030101,NDC Description Not Available,8.09,8.09,,,0 NDC,16714030110,Micafungin: 10 Vial In 1 Carton (16714-301-10) / 5 Ml In 1 Vial (16714-301-01),8.09,8.09,,,0 NDC,16714030901,NDC Description Not Available,34.76,34.76,,,0 NDC,16714035502,"Levetiracetam: 500 Tablet, Film Coated In 1 Bottle (16714-355-02)",12.04,12.04,,,0 NDC,16714035701,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (16714-357-01)",25.75,25.75,,,0 NDC,16714035801,"Levetiracetam: 473 Ml In 1 Bottle, Plastic (16714-358-01)",24.1,24.1,,,0 NDC,16714036504,Elinest: 6 Blister Pack In 1 Carton (16714-365-04) / 1 Kit In 1 Blister Pack,2.08,2.08,,,0 NDC,16714038801,Cefadroxil: 50 Capsule In 1 Bottle (16714-388-01),13.39,13.39,,,0 NDC,16714038802,Cefadroxil: 100 Capsule In 1 Bottle (16714-388-02),13.5,13.5,,,0 NDC,16714039001,Cefadroxil: 75 Ml In 1 Bottle (16714-390-01),15.84,15.84,,,0 NDC,16714039002,Cefadroxil: 100 Ml In 1 Bottle (16714-390-02),15.45,15.45,,,0 NDC,16714039101,Cefdinir: 30 CAPSULE in 1 BOTTLE (16714-391-01),18.54,18.54,,,0 NDC,16714039102,Cefdinir: 60 CAPSULE in 1 BOTTLE (16714-391-02),18.54,18.54,,,0 NDC,16714039501,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (16714-395-01)",30.46,30.46,,,0 NDC,16714040001,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-400-01),18.24,18.24,,,0 NDC,16714040002,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-400-02),16.14,16.14,,,0 NDC,16714040101,Cefuroxime Axetil: 20 Tablet In 1 Bottle (16714-401-01),32.17,32.17,,,0 NDC,16714040102,Cefuroxime Axetil: 60 Tablet In 1 Bottle (16714-401-02),1.15,1.15,,,0 NDC,16714043901,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (16714-439-01),12.66,12.66,,,0 NDC,16714045501,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (16714-455-01)",44.74,44.74,,,0 NDC,16714047701,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (16714-477-01)",13.67,13.67,,,0 NDC,16714047802,"Amoxicillin and Clavulanate Potassium: 100 TABLET, FILM COATED in 1 BOTTLE (16714-478-02)",17.52,17.52,,,0 NDC,16714048301,Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle In 1 Carton (16714-483-01) / 100 Ml In 1 Bottle,67.16,67.16,,,0 NDC,16714048302,"Clindamycin Palmitate Hydrochloride (Pediatric): 1 Bottle, Plastic In 1 Carton (16714-483-02) / 100 Ml In 1 Bottle, Plastic",47.38,47.38,,,0 NDC,16714048501,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (16714-485-01)",14.71,14.71,,,0 NDC,16714049601,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (16714-496-01) / 15 G In 1 Tube,134.96,134.96,,,0 NDC,16714051701,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (16714-517-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Pharmacy Bulk Package",26.26,26.26,,,0 NDC,16714052601,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (16714-526-01) / 345 Spray, Metered In 1 Bottle, Spray",290.48,290.48,,,0 NDC,16714052902,"Bisoprolol Fumarate: 100 Tablet, Film Coated In 1 Bottle (16714-529-02)",8.18,8.18,,,0 NDC,16714053401,"Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (16714-534-01)",252.35,252.35,,,0 NDC,16714053601,Glycopyrrolate: 1 Vial In 1 Carton (16714-536-01) / 1 Ml In 1 Vial,13.39,13.39,,,0 NDC,16714054901,Lacosamide: 60 Tablet In 1 Bottle (16714-549-01),64.46,64.46,,,0 NDC,16714055701,"Metronidazole: 1 Tube, With Applicator In 1 Carton (16714-557-01) / 70 G In 1 Tube, With Applicator",559.46,559.46,,,0 NDC,16714059001,Digoxin: 100 Tablet In 1 Bottle (16714-590-01),7.61,7.61,,,0 NDC,16714061205,"Sertraline Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (16714-612-05)",10.03,10.03,,,0 NDC,16714061301,"Sertraline Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16714-613-01)",10.3,10.3,,,0 NDC,16714062101,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (16714-621-01)",17.08,17.08,,,0 NDC,16714063101,Alendronate Sodium: 30 Tablet In 1 Bottle (16714-631-01),10.56,10.56,,,0 NDC,16714063201,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-632-01) / 4 Tablet In 1 Blister Pack,74.16,74.16,,,0 NDC,16714063301,Alendronate Sodium: 1 Blister Pack In 1 Carton (16714-633-01) / 4 Tablet In 1 Blister Pack,73.33,73.33,,,0 NDC,16714064401,NDC Description Not Available,100.9,100.9,,,0 NDC,16714064601,Pioglitazone: 30 Tablet In 1 Bottle (16714-646-01),38.11,38.11,,,0 NDC,16714065202,"100 TABLET, FILM COATED in 1 BOTTLE (16714-652-02)",18.97,18.97,,,0 NDC,16714065501,Venlafaxine: 100 Tablet In 1 Bottle (16714-655-01),7.04,7.04,,,0 NDC,16714065601,Venlafaxine: 100 Tablet In 1 Bottle (16714-656-01),6.98,6.98,,,0 NDC,16714066102,Gabapentin: 500 Capsule In 1 Bottle (16714-661-02),1.89,1.89,,,0 NDC,16714066201,Gabapentin: 100 Capsule In 1 Bottle (16714-662-01),3.72,3.72,,,0 NDC,16714066302,Gabapentin: 500 Capsule In 1 Bottle (16714-663-02),5.62,5.62,,,0 NDC,16714067102,"Ondansetron: 1 Bottle, Plastic In 1 Carton (16714-671-02) / 50 Ml In 1 Bottle, Plastic",20.28,20.28,,,0 NDC,16714069001,NDC Description Not Available,1.03,1.03,,,0 NDC,16714069301,Fluconazole: 30 Tablet In 1 Bottle (16714-693-01),0.34,0.34,,,0 NDC,16714069302,Fluconazole: 100 Tablet In 1 Bottle (16714-693-02),43.52,43.52,,,0 NDC,16714069501,Fluconazole: 1 Bottle In 1 Carton (16714-695-01) / 35 Ml In 1 Bottle,25.41,25.41,,,0 NDC,16714069601,Fluconazole: 1 Bottle In 1 Carton (16714-696-01) / 35 Ml In 1 Bottle,89.65,89.65,,,0 NDC,16714069803,"Valacyclovir Hydrochloride: 90 Tablet, Film Coated In 1 Bottle (16714-698-03)",23.86,23.86,,,0 NDC,16714070001,Lamotrigine: 100 Tablet In 1 Bottle (16714-700-01),15.45,15.45,,,0 NDC,16714071701,"Entecavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (16714-717-01)",160.53,160.53,,,0 NDC,16714072002,Fluoxetine: 100 Capsule In 1 Bottle (16714-720-02),7.63,7.63,,,0 NDC,16714072102,Fluoxetine: 100 Capsule In 1 Bottle (16714-721-02),9.19,9.19,,,0 NDC,16714074201,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (16714-742-01) / 10 Ml In 1 Vial, Single-Dose",1197.72,1197.72,,,0 NDC,16714076501,"Valganciclovir: 60 TABLET, FILM COATED in 1 BOTTLE (16714-765-01)",238.96,238.96,,,0 NDC,16714076901,"Nystatin: 15 G In 1 Bottle, Plastic (16714-769-01)",88.58,88.58,,,0 NDC,16714078601,Aripiprazole: 30 TABLET in 1 BOTTLE (16714-786-01),86.52,86.52,,,0 NDC,16714079501,Terbinafine: 30 Tablet In 1 Bottle (16714-795-01),45.6,45.6,,,0 NDC,16714079502,Terbinafine: 100 Tablet In 1 Bottle (16714-795-02),48.23,48.23,,,0 NDC,16714079601,Sumatriptan: 1 Blister Pack In 1 Carton (16714-796-01) / 9 Tablet In 1 Blister Pack,97.25,97.25,,,0 NDC,16714079902,Cetirizine Hydrochloride (Allergy): 100 Tablet In 1 Bottle (16714-799-02),8.76,8.76,,,0 NDC,16714080901,New Day: 1 Blister Pack In 1 Carton (16714-809-01) / 1 Tablet In 1 Blister Pack,35.02,35.02,,,0 NDC,16714081302,Ezetimibe: 90 Tablet In 1 Bottle (16714-813-02),36.48,36.48,,,0 NDC,16714081401,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (16714-814-01)",1.01,1.01,,,0 NDC,16714081601,"Bicalutamide: 30 Tablet, Film Coated In 1 Bottle (16714-816-01)",65.84,65.84,,,0 NDC,16714081602,"Bicalutamide: 100 Tablet, Film Coated In 1 Bottle (16714-816-02)",66.16,66.16,,,0 NDC,16714083001,"Mesalamine: 120 Tablet, Delayed Release In 1 Bottle (16714-830-01)",36.56,36.56,,,0 NDC,16714083201,bumetanide: 100 TABLET in 1 BOTTLE (16714-832-01),7.72,7.72,,,0 NDC,16714083401,"Palonosetron: 1 Vial, Single-Use In 1 Carton (16714-834-01) / 5 Ml In 1 Vial, Single-Use",126.4,126.4,,,0 NDC,16714083701,Ziprasidone: 60 Capsule In 1 Bottle (16714-837-01),38.8,38.8,,,0 NDC,16714083801,Ziprasidone: 60 Capsule In 1 Bottle (16714-838-01),38.8,38.8,,,0 NDC,16714084001,"Dofetilide: 60 CAPSULE in 1 BOTTLE, PLASTIC (16714-840-01)",31.93,31.93,,,0 NDC,16714085701,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-857-01) / 50 Ml In 1 Vial, Single-Dose",9.4,9.4,,,0 NDC,16714085901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (16714-859-01) / 25 Ml In 1 Vial, Single-Dose",14.92,14.92,,,0 NDC,16714086701,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (16714-867-01)",36.71,36.71,,,0 NDC,16714087801,Lidocaine: 1 Tube In 1 Carton (16714-878-01) / 35.44 G In 1 Tube,980.53,980.53,,,0 NDC,16714088601,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-886-01) / 15 Powder, For Solution In 1 Vial, Single-Dose",115.13,115.13,,,0 NDC,16714088701,Clobazam: 100 Tablet In 1 Bottle (16714-887-01),59.33,59.33,,,0 NDC,16714089701,Permethrin: 1 Tube In 1 Container (16714-897-01) / 60 G In 1 Tube,436.74,436.74,,,0 NDC,16714090801,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (16714-908-01) / 30 Powder, For Solution In 1 Vial, Single-Dose",68.75,68.75,,,0 NDC,16714093001,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (16714-930-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",34.48,34.48,,,0 NDC,16714095001,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (16714-950-01)",5.97,5.97,,,0 NDC,16714095501,Ketoconazole: 1 Tube In 1 Carton (16714-955-01) / 15 G In 1 Tube,226.6,226.6,,,0 NDC,16714095502,Ketoconazole: 1 Tube In 1 Carton (16714-955-02) / 30 G In 1 Tube,364.83,364.83,,,0 NDC,16714096401,"Aspirin And Dipyridamole: 60 Capsule, Extended Release In 1 Bottle (16714-964-01)",30.21,30.21,,,0 NDC,16714097302,Phytonadione: 1 Bottle In 1 Carton (16714-973-02) / 30 Tablet In 1 Bottle,237.19,237.19,,,0 NDC,16714098501,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-985-01) / 15 G In 1 Tube,0.01,0.01,,,0 NDC,16714098601,Triamcinolone Acetonide: 1 Tube In 1 Carton (16714-986-01) / 15 G In 1 Tube,17.44,17.44,,,0 NDC,16714098604,Triamcinolone Acetonide: 454 G In 1 Jar (16714-986-04),103.0,103.0,,,0 NDC,16714098801,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-988-01)",30.94,30.94,,,0 NDC,16714099001,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (16714-990-01)",31.31,31.31,,,0 NDC,16729002310,Bicalutamide: 30 Tablet In 1 Bottle (16729-023-10),66.15,66.15,,,0 NDC,16729003510,"Anastrozole: 30 Tablet In 1 Bottle, Plastic (16729-035-10)",48.24,48.24,,,0 NDC,16729004101,Tacrolimus: 100 Capsule In 1 Bottle (16729-041-01),1.99,1.99,,,0 NDC,16729007329,"Capecitabine: 120 Tablet, Film Coated In 1 Bottle, Plastic (16729-073-29)",14.11,14.11,,,0 NDC,16729009401,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (16729-094-01),14.14,14.14,,,0 NDC,16729011408,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-08) / 25 Ml In 1 Vial, Multi-Dose",3.9,3.9,,,0 NDC,16729011411,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-11) / 50 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 NDC,16729011431,"Etoposide: 1 Vial, Multi-Dose In 1 Box (16729-114-31) / 5 Ml In 1 Vial, Multi-Dose",3.86,3.86,,,0 NDC,16729011505,Mitomycin: 1 Vial In 1 Carton (16729-115-05) / 10 Ml In 1 Vial,444.37,444.37,,,0 NDC,16729013600,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (16729-136-00)",2.66,2.66,,,0 NDC,16729013616,"Clonazepam: 500 Tablet In 1 Bottle, Plastic (16729-136-16)",2.39,2.39,,,0 NDC,16729014617,"Quetiapine: 1000 Tablet, Film Coated In 1 Bottle (16729-146-17)",22.66,22.66,,,0 NDC,16729015131,Topotecan Hydrochloride: 1 Vial In 1 Package (16729-151-31) / 4 Ml In 1 Vial,1.1,1.1,,,0 NDC,16729022405,Decitabine: 1 Vial In 1 Carton (16729-224-05) / 20 Ml In 1 Vial,80.36,80.36,,,0 NDC,16729023701,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (16729-237-01)",9.27,9.27,,,0 NDC,16729026129,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (16729-261-29)",16.48,16.48,,,0 NDC,16729027503,NDC Description Not Available,9.37,9.37,,,0 NDC,16729027638,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (16729-276-38) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.67,23.67,,,0 NDC,16729027730,Methotrexate: 1 Vial In 1 Carton (16729-277-30) / 2 Ml In 1 Vial,17.62,17.62,,,0 NDC,16729028811,Cisplatin: 50 Ml In 1 Vial (16729-288-11),14.5,14.5,,,0 NDC,16729028838,Cisplatin: 100 Ml In 1 Vial (16729-288-38),14.09,14.09,,,0 NDC,16729029310,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (16729-293-10)",15.56,15.56,,,0 NDC,16729029512,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (16729-295-12) / 60 Ml In 1 Vial, Multi-Dose",24.76,24.76,,,0 NDC,16729029805,Ondansetron: 20 Ml In 1 Vial (16729-298-05),0.845,0.845,,,0 NDC,16729030610,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (16729-306-10)",17.495,17.495,,,0 NDC,16729031063,"Paricalcitol: 1 Vial, Single-Dose In 1 Carton (16729-310-63) / 1 Ml In 1 Vial, Single-Dose",9.1,9.1,,,0 NDC,16729033101,"Acetazolamide: 100 Capsule, Extended Release In 1 Bottle (16729-331-01)",15.45,15.45,,,0 NDC,16729034810,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (16729-348-10)",183.86,183.86,,,0 NDC,16729042210,Tacrolimus: 1 Tube In 1 Carton (16729-422-10) / 30 G In 1 Tube,1043.39,1043.39,,,0 NDC,16729043310,Ezetimibe: 30 Tablet In 1 Bottle (16729-433-10),40.77,40.77,,,0 NDC,16729043445,Daptomycin: 10 Vial In 1 Carton (16729-434-45) / 7 Ml In 1 Vial,2.3049999999999997,2.3049999999999997,,,0 NDC,16729043630,"Fulvestrant: 2 Syringe, Glass In 1 Carton (16729-436-30) / 5 Ml In 1 Syringe, Glass (16729-436-31)",178.96,178.96,,,0 NDC,16729043631,NDC Description Not Available,4.17,4.17,,,0 NDC,16729044010,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-10)",111.02,111.02,,,0 NDC,16729044015,"Cinacalcet: 90 Tablet, Film Coated In 1 Bottle, Plastic (16729-440-15)",111.05,111.05,,,0 NDC,16729044310,"Bupropion Hydrochloride: 30 Tablet, Extended Release In 1 Bottle (16729-443-10)",18.84,18.84,,,0 NDC,16729044315,"Bupropion Hydrochloride: 90 Tablet, Extended Release In 1 Bottle (16729-443-15)",18.84,18.84,,,0 NDC,16729047731,"Regadenoson: 5 Ml In 1 Syringe, Glass (16729-477-31)",257.18,257.18,,,0 NDC,16729050203,NDC Description Not Available,3.09,3.09,,,0 NDC,16729051243,"Atropine Sulfate: 10 Carton In 1 Box (16729-512-43) / 1 Vial, Multi-Dose In 1 Carton (16729-512-05) / 20 Ml In 1 Vial, Multi-Dose",0.38,0.38,,,0 NDC,16729052563,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-525-63) / 1 Ml In 1 Vial, Single-Dose",1.3,1.3,,,0 NDC,16729052663,"Atropine Sulfate: 1 Vial, Single-Dose In 1 Carton (16729-526-63) / 1 Ml In 1 Vial, Single-Dose",0.48,0.48,,,0 NDC,16864068003,Dermoplast Pain Relieving: 85 G In 1 Can (16864-680-03),23.69,23.69,,,0 NDC,17156002101,Indium In 111 Oxyquinoline: 1 Vial In 1 Box (17156-021-01) / 1 Ml In 1 Vial,7412.34,7412.34,,,0 NDC,17156002205,Ceretec: 5 Vial In 1 Tray (17156-022-05) / 5 Ml In 1 Vial,4965.545,4965.545,,,0 NDC,17156002630,"Myoview: 5 Vial In 1 Kit (17156-026-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",627.315,627.315,,,0 NDC,17156021001,"Datscan: 1 Vial, Glass In 1 Container (17156-210-01) / 2.5 Ml In 1 Vial, Glass",2461.41,2461.41,,,0 NDC,17156023501,"Adreview: 1 Vial, Glass In 1 Container (17156-235-01) / 5 Ml In 1 Vial, Glass",8688.0,8688.0,,,0 NDC,17156025108,"Indium Dtpa In 111: 1.5 Ml In 1 Vial, Glass (17156-251-08)",2963.03,2963.03,,,0 NDC,17238042406,Indocyanine Green: 1 KIT in 1 CARTON (17238-424-06),60.77,60.77,,,0 NDC,17238090011,Bioglo: 100 Packet In 1 Box (17238-900-11) / 1 Mg In 1 Packet (17238-900-99),1.03,1.03,,,0 NDC,17238090030,Bioglo: 300 Packet In 1 Box (17238-900-30) / 1 Mg In 1 Packet (17238-900-99),0.99,0.99,,,0 NDC,17238090099,NDC Description Not Available,1.03,1.03,,,0 NDC,17271070102,Sodium Chloride: 50 Ml In 1 Bag (17271-701-02),36.05,36.05,,,0 NDC,17271070103,Sodium Chloride: 100 Ml In 1 Bag (17271-701-03),39.18,39.18,,,0 NDC,17271070105,Sodium Chloride: 250 Ml In 1 Bag (17271-701-05),36.47,36.47,,,0 NDC,17271070106,Sodium Chloride: 500 Ml In 1 Bag (17271-701-06),18.31,18.31,,,0 NDC,17271070107,Sodium Chloride: 1000 Ml In 1 Bag (17271-701-07),18.44,18.44,,,0 NDC,17271071007,Lactated Ringers: 10 Bag In 1 Carton (17271-710-07) / 1000 Ml In 1 Bag,36.05,36.05,,,0 NDC,17433987600,NDC Description Not Available,14.22,14.22,,,0 NDC,17478001502,Dicyclomine: 5 AMPULE in 1 CARTON (17478-015-02) / 2 mL in 1 AMPULE,312.3,312.3,,,0 NDC,17478003025,FENTANYL CITRATE: 25 AMPULE in 1 CARTON (17478-030-25) / 2 mL in 1 AMPULE,2.06,2.06,,,0 NDC,17478004532,Tetracaine: 25 AMPULE in 1 CARTON (17478-045-32) / 2 mL in 1 AMPULE,328.57,328.57,,,0 NDC,17478006235,Artificial Tears: 1 TUBE in 1 CARTON (17478-062-35) / 3.5 g in 1 TUBE,9.09,9.09,,,0 NDC,17478006412,Gonak Hypromellose: 1 VIAL in 1 CARTON (17478-064-12) / 15 mL in 1 VIAL,24.72,24.72,,,0 NDC,17478007035,Erythromycin: 1 TUBE in 1 CARTON (17478-070-35) / 3.5 g in 1 TUBE,66.96,66.96,,,0 NDC,17478010212,"Tropicamide: 1 BOTTLE, DROPPER in 1 CARTON (17478-102-12) / 15 mL in 1 BOTTLE, DROPPER",38.11,38.11,,,0 NDC,17478010730,Levofloxacin: 1 VIAL in 1 CARTON (17478-107-30) / 30 mL in 1 VIAL,71.58,71.58,,,0 NDC,17478020605,"Phenylephrine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-206-05) / 5 mL in 1 BOTTLE, DROPPER",180.25,180.25,,,0 NDC,17478025310,"AK-FLUOR: 12 VIAL, SINGLE-DOSE in 1 PACKAGE (17478-253-10) / 5 mL in 1 VIAL, SINGLE-DOSE",307.53,307.53,,,0 NDC,17478026312,"Proparacaine Hydrochloride: 1 BOTTLE, DROPPER in 1 CARTON (17478-263-12) / 15 mL in 1 BOTTLE, DROPPER",158.59,158.59,,,0 NDC,17478028810,"Timolol Maleate: 1 BOTTLE, DROPPER in 1 CARTON (17478-288-10) / 5 mL in 1 BOTTLE, DROPPER",61.8,61.8,,,0 NDC,17478029010,"Tobramycin: 1 BOTTLE, DROPPER in 1 CARTON (17478-290-10) / 5 mL in 1 BOTTLE, DROPPER",52.53,52.53,,,0 NDC,17478038020,"Methadone Hydrochloride: 20 mL in 1 VIAL, MULTI-DOSE (17478-380-20)",75.88,75.88,,,0 NDC,17478042020,"Labetalol Hydrochloride: 1 VIAL, MULTI-DOSE in 1 BOX (17478-420-20) / 20 mL in 1 VIAL, MULTI-DOSE",9.92,9.92,,,0 NDC,17478044708,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (17478-447-08)",229.69,229.69,,,0 NDC,17478054005,Hydromorphone Hydrochloride: 10 AMPULE in 1 CARTON (17478-540-05) / 5 mL in 1 AMPULE,2.39,2.39,,,0 NDC,17478054050,Hydromorphone Hydrochloride: 1 VIAL in 1 CARTON (17478-540-50) / 50 mL in 1 VIAL,9.19,9.19,,,0 NDC,17478054202,Adenosine: 10 Vial In 1 Carton (17478-542-02) / 2 Ml In 1 Vial,0.965,0.965,,,0 NDC,17478070102,"IC-Green: 1 KIT in 1 CARTON (17478-701-02) * 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE * 10 mL in 1 AMPULE",283.27,283.27,,,0 NDC,17478071110,Lidocaine: 1 TUBE in 1 CARTON (17478-711-10) / 5 mL in 1 TUBE,29.87,29.87,,,0 NDC,17478071130,"Lidocaine: 1 TUBE, WITH APPLICATOR in 1 CARTON (17478-711-30) / 30 mL in 1 TUBE, WITH APPLICATOR",462.47,462.47,,,0 NDC,17478071310,"Ofloxacin: 1 BOTTLE, DROPPER in 1 CARTON (17478-713-10) / 5 mL in 1 BOTTLE, DROPPER",75.19,75.19,,,0 NDC,17478071511,"Brimonidine: 1 BOTTLE, DROPPER in 1 CARTON (17478-715-11) / 10 mL in 1 BOTTLE, DROPPER",2.06,2.06,,,0 NDC,17478076106,Dronabinol: 1 BOTTLE in 1 CARTON (17478-761-06) / 60 CAPSULE in 1 BOTTLE,21.63,21.63,,,0 NDC,17478076206,Dronabinol: 1 BOTTLE in 1 CARTON (17478-762-06) / 60 CAPSULE in 1 BOTTLE,22.37,22.37,,,0 NDC,17478093101,Calcitriol: 10 AMPULE in 1 CARTON (17478-931-01) / 1 mL in 1 AMPULE,11.33,11.33,,,0 NDC,17478093705,Diltiazem Hydrochloride: 10 VIAL in 1 CARTON (17478-937-05) / 5 mL in 1 VIAL,12.55,12.55,,,0 NDC,17478093710,Diltiazem Hydrochloride: 10 VIAL in 1 CARTON (17478-937-10) / 10 mL in 1 VIAL,7.21,7.21,,,0 NDC,17478093725,Diltiazem Hydrochloride: 1 VIAL in 1 CARTON (17478-937-25) / 25 mL in 1 VIAL,49.44,49.44,,,0 NDC,17478095740,Mycophenolate Mofetil: 4 Vial In 1 Carton (17478-957-40) / 20 Ml In 1 Vial,420.35,420.35,,,0 NDC,17856015001,Hydroxyzine Hydrochloride: 5 mL in 1 CUP (17856-0150-1),1.03,1.03,,,0 NDC,17856355505,"Methadone Hydrochloride: 5 Ml In 1 Cup, Unit-Dose (17856-3555-5)",8.68,8.68,,,0 NDC,17856600204,"Lidocaine Hydrochloride: 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-6002-4) / 5 mL in 1 CUP, UNIT-DOSE (17856-6002-8)",7.21,7.21,,,0 NDC,18657011701,NDC Description Not Available,1.75,1.75,,,0 NDC,18657011702,NDC Description Not Available,1.6,1.6,,,0 NDC,18657011704,Hylenex Recombinant: 4 Box In 1 Carton (18657-117-04) / 1 Vial In 1 Box (18657-117-02) / 1 Ml In 1 Vial (18657-117-01),13.450000000000001,13.450000000000001,,,0 NDC,21922000221,"Clindamycin Phoaphate Topical Solution Usp, 1%: 1 Bottle In 1 Carton (21922-002-21) / 30 Ml In 1 Bottle",147.29,147.29,,,0 NDC,21922000909,Diclofenac Sodium: 1 Tube In 1 Carton (21922-009-09) / 100 G In 1 Tube,210.12,210.12,,,0 NDC,21922001105,Tacrolimus: 1 Tube In 1 Carton (21922-011-05) / 30 G In 1 Tube,1190.94,1190.94,,,0 NDC,21922001704,Clobetasol Propionate: 1 Tube In 1 Carton (21922-017-04) / 15 G In 1 Tube,537.94,537.94,,,0 NDC,21922001902,"Testosterone Gel, 1%: 30 Packet In 1 Carton (21922-019-02) / 5 G In 1 Packet",0.62,0.62,,,0 NDC,21922003923,"Metronidazole Vaginal Gel, 0.75%: 1 Tube, With Applicator In 1 Carton (21922-039-23) / 70 G In 1 Tube, With Applicator",551.05,551.05,,,0 NDC,21922004501,NDC Description Not Available,87.99,87.99,,,0 NDC,21922006304,Triamcinolone Acetonide: 1 Tube In 1 Carton (21922-063-04) / 15 G In 1 Tube,19.67,19.67,,,0 NDC,23155001701,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (23155-017-01),28.32,28.32,,,0 NDC,23155004403,Leflunomide: 30 Tablet In 1 Bottle (23155-044-03),59.05,59.05,,,0 NDC,23155007101,Methimazole: 100 Tablet In 1 Bottle (23155-071-01),0.99,0.99,,,0 NDC,23155012001,"acetazolamide: 100 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (23155-120-01)",15.45,15.45,,,0 NDC,23155016641,"Tranexamic Acid: 10 Vial, Glass In 1 Carton (23155-166-41) / 10 Ml In 1 Vial, Glass (23155-166-31)",43.26,43.26,,,0 NDC,23155019331,"Colistimethate Sodium: 1 Vial, Glass In 1 Carton (23155-193-31) / 4 Ml In 1 Vial, Glass",91.26,91.26,,,0 NDC,23155020131,"Levofloxacin: 1 VIAL, GLASS in 1 CARTON (23155-201-31) / 20 mL in 1 VIAL, GLASS",34.5,34.5,,,0 NDC,23155021631,"Cidofovir Dihydrate: 5 Ml In 1 Vial, Glass (23155-216-31)",456.345,456.345,,,0 NDC,23155024031,NDC Description Not Available,7.8100000000000005,7.8100000000000005,,,0 NDC,23155024041,Metoclopramide: 25 Vial In 1 Carton (23155-240-41) / 2 Ml In 1 Vial (23155-240-31),8.09,8.09,,,0 NDC,23155029031,NDC Description Not Available,6.58,6.58,,,0 NDC,23155029032,NDC Description Not Available,6.445,6.445,,,0 NDC,23155029041,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-41) / 2 Ml In 1 Vial, Glass (23155-290-31)",6.24,6.24,,,0 NDC,23155029042,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-290-42) / 4 Ml In 1 Vial, Glass (23155-290-32)",7.06,7.06,,,0 NDC,23155029431,NDC Description Not Available,35.82,35.82,,,0 NDC,23155029441,Prochlorperazine Edisylate: 25 Vial In 1 Package (23155-294-41) / 2 Ml In 1 Vial (23155-294-31),35.6,35.6,,,0 NDC,23155029442,Prochlorperazine Edisylate: 10 Vial In 1 Package (23155-294-42) / 2 Ml In 1 Vial (23155-294-31),24.58,24.58,,,0 NDC,23155031331,"Acetazolamide: 5 Ml In 1 Vial, Glass (23155-313-31)",163.13,163.13,,,0 NDC,23155047331,NDC Description Not Available,11.065,11.065,,,0 NDC,23155047332,NDC Description Not Available,7.57,7.57,,,0 NDC,23155047333,NDC Description Not Available,3.47,3.47,,,0 NDC,23155049731,NDC Description Not Available,25.16,25.16,,,0 NDC,23155050001,Hydroxyzine Hydrochloride: 100 Tablet In 1 Bottle (23155-500-01),2.4,2.4,,,0 NDC,23155051200,"Nimodipine: 10 Blister Pack In 1 Carton (23155-512-00) / 10 Capsule, Liquid Filled In 1 Blister Pack",66.4,66.4,,,0 NDC,23155051211,NDC Description Not Available,66.37,66.37,,,0 NDC,23155053825,Doxercalciferol: 50 Capsule In 1 Bottle (23155-538-25),28.5,28.5,,,0 NDC,23155054731,NDC Description Not Available,0.51,0.51,,,0 NDC,23155054931,Ondansetron: 1 Vial In 1 Carton (23155-549-31) / 20 Ml In 1 Vial,0.97,0.97,,,0 NDC,23155060031,NDC Description Not Available,2.22,2.22,,,0 NDC,23155060041,"Midazolam Hydrochloride: 25 Vial, Single-Dose In 1 Carton (23155-600-41) / 2 Ml In 1 Vial, Single-Dose (23155-600-31)",2.35,2.35,,,0 NDC,23155060132,NDC Description Not Available,0.8,0.8,,,0 NDC,23155064941,"Carmustine: 1 Kit In 1 Carton (23155-649-41) * 3 Ml In 1 Vial (23155-648-31) * 30 Ml In 1 Vial, Single-Dose (23155-647-31)",1334.88,1334.88,,,0 NDC,23155066201,Calcitriol: 100 Capsule In 1 Bottle (23155-662-01),4.35,4.35,,,0 NDC,23155066301,Calcitriol: 100 Capsule In 1 Bottle (23155-663-01),6.92,6.92,,,0 NDC,23155068631,"Octreotide Acetate: 5 Ml In 1 Vial, Glass (23155-686-31)",4.16,4.16,,,0 NDC,23155074831,NDC Description Not Available,403.5,403.5,,,0 NDC,23155078531,NDC Description Not Available,2.38,2.38,,,0 NDC,23155078541,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-785-41) / 2 Ml In 1 Vial, Glass (23155-785-31)",4.77,4.77,,,0 NDC,23155078631,NDC Description Not Available,1.975,1.975,,,0 NDC,23155078641,"Amikacin Sulfate: 10 Vial, Glass In 1 Carton (23155-786-41) / 4 Ml In 1 Vial, Glass (23155-786-31)",4.74,4.74,,,0 NDC,23155079041,"Carmustine: 1 Kit In 1 Carton (23155-790-41) * 3 Ml In 1 Vial (23155-789-31) * 30 Ml In 1 Vial, Single-Dose (23155-788-31)",1291.69,1291.69,,,0 NDC,23155082373,Cabergoline: 8 Tablet In 1 Bottle (23155-823-73),66.07,66.07,,,0 NDC,23155083711,NDC Description Not Available,4.31,4.31,,,0 NDC,23155084851,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (23155-848-51) / 225 Ml In 1 Bottle, Plastic",40.82,40.82,,,0 NDC,23155085878,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (23155-858-78) / 10 Capsule In 1 Blister Pack,112.87,112.87,,,0 NDC,23155086003,Flucytosine: 30 Capsule In 1 Bottle (23155-860-03),295.87,295.87,,,0 NDC,23155086103,Flucytosine: 30 Capsule In 1 Bottle (23155-861-03),548.31,548.31,,,0 NDC,23155086701,Gabapentin: 100 Capsule In 1 Bottle (23155-867-01),2.67,2.67,,,0 NDC,23155087401,Torsemide: 100 Tablet In 1 Bottle (23155-874-01),10.72,10.72,,,0 NDC,23155088431,"Paclitaxel Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (23155-884-31) / 50 Ml In 1 Vial, Multi-Dose",1.32,1.32,,,0 NDC,23155089331,Methohexital Sodium: 1 Vial In 1 Carton (23155-893-31) / 500 Mg In 1 Vial,419.72,419.72,,,0 NDC,24201010001,NDC Description Not Available,0.395,0.395,,,0 NDC,24201011001,NDC Description Not Available,0.36,0.36,,,0 NDC,24201020101,NDC Description Not Available,333.2,333.2,,,0 NDC,24201040002,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (24201-400-02) / 2 Ml In 1 Vial, Multi-Dose",5072.19,5072.19,,,0 NDC,24208029505,"Tobramycin And Dexamethasone: 1 Bottle, Dropper In 1 Carton (24208-295-05) / 5 Ml In 1 Bottle, Dropper",438.78,438.78,,,0 NDC,24208031510,"Polymyxin B Sulfate And Trimethoprim: 1 Bottle, Dropper In 1 Carton (24208-315-10) / 10 Ml In 1 Bottle, Dropper",48.41,48.41,,,0 NDC,24208034205,"Desmopressin Acetate: 1 Bottle, Pump In 1 Carton (24208-342-05) / 5 Ml In 1 Bottle, Pump",887.86,887.86,,,0 NDC,24208038555,Muro 128: 1 Tube In 1 Carton (24208-385-55) / 3.5 G In 1 Tube,69.01,69.01,,,0 NDC,24208038556,Muro 128: 2 Tube In 1 Carton (24208-385-56) / 3.5 G In 1 Tube,53.56,53.56,,,0 NDC,24208039830,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (24208-398-30) / 345 Spray, Metered In 1 Bottle, Spray",164.63,164.63,,,0 NDC,24208041005,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (24208-410-05) / 5 Ml In 1 Bottle, Dropper",219.95,219.95,,,0 NDC,24208041105,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-05) / 5 Ml In 1 Bottle, Dropper",64.97,64.97,,,0 NDC,24208041110,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (24208-411-10) / 10 Ml In 1 Bottle, Dropper",31.95,31.95,,,0 NDC,24208045705,"Diclofenac Sodium: 1 Bottle, Dropper In 1 Carton (24208-457-05) / 5 Ml In 1 Bottle, Dropper",63.02,63.02,,,0 NDC,24208046325,Latanoprost: 1 Bottle In 1 Carton (24208-463-25) / 2.5 Ml In 1 Bottle,87.78,87.78,,,0 NDC,24208048510,"Dorzolamide Hcl: 1 Bottle, Dropper In 1 Carton (24208-485-10) / 10 Ml In 1 Bottle, Dropper",159.55,159.55,,,0 NDC,24208048610,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (24208-486-10) / 10 Ml In 1 Bottle, Dropper",243.12,243.12,,,0 NDC,24208050505,"Levobunolol Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-505-05) / 5 Ml In 1 Bottle, Dropper",87.32,87.32,,,0 NDC,24208053920,Miochol E: 1 Kit In 1 Blister Pack (24208-539-20) * 2 Ml In 1 Vial * 2 Ml In 1 Ampule,29.01,29.01,,,0 NDC,24208055555,Bacitracin Zinc And Polymyxin B Sulfate: 1 Tube In 1 Carton (24208-555-55) / 3.5 G In 1 Tube,103.26,103.26,,,0 NDC,24208058060,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (24208-580-60) / 5 Ml In 1 Bottle, Dropper",154.5,154.5,,,0 NDC,24208063110,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-631-10) / 10 Ml In 1 Bottle, Dropper",362.78,362.78,,,0 NDC,24208063562,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 1 Bottle, Dropper In 1 Carton (24208-635-62) / 10 Ml In 1 Bottle, Dropper",362.87,362.87,,,0 NDC,24208067004,"Sulfacetamide Sodium: 1 Bottle, Dropper In 1 Carton (24208-670-04) / 15 Ml In 1 Bottle, Dropper",220.42,220.42,,,0 NDC,24208071510,"Prednisolone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-715-10) / 10 Ml In 1 Bottle, Dropper",227.63,227.63,,,0 NDC,24208072002,"Dexamethasone Sodium Phosphate: 1 Bottle, Dropper In 1 Carton (24208-720-02) / 5 Ml In 1 Bottle, Dropper",232.97,232.97,,,0 NDC,24208073006,"Proparacaine Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-730-06) / 15 Ml In 1 Bottle, Dropper",151.43,151.43,,,0 NDC,24208073501,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-01) / 2 Ml In 1 Bottle, Dropper",58.71,58.71,,,0 NDC,24208073506,"Cyclopentolate Hydrochloride: 1 Bottle, Dropper In 1 Carton (24208-735-06) / 15 Ml In 1 Bottle, Dropper",138.02,138.02,,,0 NDC,24208078055,Neomycin And Polymyxin B Sulfates And Bacitracin Zinc: 1 Tube In 1 Carton (24208-780-55) / 3.5 G In 1 Tube,205.0,205.0,,,0 NDC,24208079062,"Neomycin And Polymyxin B Sulfates And Gramicidin: 1 Bottle, Dropper In 1 Carton (24208-790-62) / 10 Ml In 1 Bottle, Dropper",220.63,220.63,,,0 NDC,24208079535,Neomycin And Polymyxin B Sulfates And Dexamethasone: 1 Tube In 1 Carton (24208-795-35) / 3.5 G In 1 Tube,72.02,72.02,,,0 NDC,24208091019,Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube,44.3,44.3,,,0 NDC,24208091055,Erythromycin: 1 Tube In 1 Carton (24208-910-55) / 3.5 G In 1 Tube,68.85,68.85,,,0 NDC,24338010213,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (24338-102-13)",50.3,50.3,,,0 NDC,24338013402,E.E.S: 100 Ml In 1 Bottle (24338-134-02),162.74,162.74,,,0 NDC,24338023005,NDC Description Not Available,212.0,212.0,,,0 NDC,24338023012,"Nymalize: 12 Package In 1 Carton (24338-230-12) / 1 Syringe, Plastic In 1 Package (24338-230-05) / 5 Ml In 1 Syringe, Plastic",212.18,212.18,,,0 NDC,24338023015,NDC Description Not Available,192.58,192.58,,,0 NDC,24338026010,NDC Description Not Available,418.03,418.03,,,0 NDC,24357070105,NDC Description Not Available,15.31,15.31,,,0 NDC,24357070106,Anecream: 5 Tube In 1 Carton (24357-701-06) / 5 G In 1 Tube (24357-701-05),15.42,15.42,,,0 NDC,24357070130,Anecream: 1 Tube In 1 Carton (24357-701-30) / 30 G In 1 Tube,108.15,108.15,,,0 NDC,24510005010,"Nucynta: 100 Tablet, Film Coated In 1 Bottle (24510-050-10)",45.71,45.71,,,0 NDC,24571010206,Prismasol Bgk2/0: 2 Bag In 1 Case (24571-102-06) / 5 L In 1 Bag,288.4,288.4,,,0 NDC,24571010306,Prismasol Bgk2/3.5: 2 Bag In 1 Case (24571-103-06) / 5 L In 1 Bag,288.4,288.4,,,0 NDC,24571010506,Prismasol Bgk4/2.5: 2 Bag In 1 Case (24571-105-06) / 5 L In 1 Bag,123.345,123.345,,,0 NDC,24571010806,Prismasol Bgk0/2.5: 2 Bag In 1 Case (24571-108-06) / 5 L In 1 Bag,288.4,288.4,,,0 NDC,24571011106,Prismasol B22Gk4/0: 2 Bag In 1 Case (24571-111-06) / 5 L In 1 Bag,18.03,18.03,,,0 NDC,24571011605,NDC Description Not Available,1545.0,1545.0,,,0 NDC,24571011606,Phoxillum Bk4/2.5: 2 Bag In 1 Case (24571-116-06) / 5 L In 1 Bag,288.4,288.4,,,0 NDC,24571011705,NDC Description Not Available,288.4,288.4,,,0 NDC,24571011706,Phoxillum B22K4/0: 2 Bag In 1 Case (24571-117-06) / 5 L In 1 Bag,288.4,288.4,,,0 NDC,24979013701,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (24979-137-01)",24.52,24.52,,,0 NDC,25010030515,Demser: 100 Capsule In 1 Bottle (25010-305-15),1977.41,1977.41,,,0 NDC,25021005301,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (25021-053-01) / 1 Ml In 1 Vial,0.62,0.62,,,0 NDC,25021010010,Cefazolin: 25 Vial In 1 Carton (25021-100-10) / 2.2 Ml In 1 Vial,6.18,6.18,,,0 NDC,25021010610,"Ceftriaxone: 25 Vial In 1 Carton (25021-106-10) / 1 Injection, Powder, For Solution In 1 Vial",1.55,1.55,,,0 NDC,25021010720,"Ceftriaxone: 25 Vial In 1 Carton (25021-107-20) / 1 Injection, Powder, For Solution In 1 Vial",2.485,2.485,,,0 NDC,25021011020,"Cefoxitin: 10 Vial In 1 Carton (25021-110-20) / 1 Injection, Powder, For Solution In 1 Vial",21.63,21.63,,,0 NDC,25021011487,Ciprofloxacin: 24 Pouch In 1 Carton (25021-114-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,15.15,15.15,,,0 NDC,25021011920,Cefuroxime Sodium: 25 Vial In 1 Carton (25021-119-20) / 20 Ml In 1 Vial,11.84,11.84,,,0 NDC,25021012120,"Cefepime: 10 Vial In 1 Carton (25021-121-20) / 1 Injection, Powder, For Solution In 1 Vial",12.88,12.88,,,0 NDC,25021012720,"Ceftazidime: 25 Vial In 1 Carton (25021-127-20) / 1 Injection, Powder, For Solution In 1 Vial",8.595,8.595,,,0 NDC,25021012850,"Ceftazidime: 10 Vial In 1 Carton (25021-128-50) / 1 Injection, Powder, For Solution In 1 Vial",11.44,11.44,,,0 NDC,25021013182,Metronidazole: 24 Pouch In 1 Carton (25021-131-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,9.66,9.66,,,0 NDC,25021013281,Levofloxacin: 24 Pouch In 1 Carton (25021-132-81) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,26.89,26.89,,,0 NDC,25021013282,Levofloxacin: 24 Pouch In 1 Carton (25021-132-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,23.84,23.84,,,0 NDC,25021013283,Levofloxacin: 24 Pouch In 1 Carton (25021-132-83) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,15.815000000000001,15.815000000000001,,,0 NDC,25021013720,"Ampicillin: 10 Vial In 1 Carton (25021-137-20) / 1 Injection, Powder, For Solution In 1 Vial",8.09,8.09,,,0 NDC,25021014010,Nafcillin: 10 Vial In 1 Carton (25021-140-10) / 8 Ml In 1 Vial,97.44,97.44,,,0 NDC,25021017915,Daptomycin: 1 Vial In 1 Carton (25021-179-15) / 7 Ml In 1 Vial,0.8899999999999999,0.8899999999999999,,,0 NDC,25021017916,Daptomycin: 10 Vial In 1 Carton (25021-179-16) / 7 Ml In 1 Vial,0.88,0.88,,,0 NDC,25021017966,Daptomycin: 1 Vial In 1 Carton (25021-179-66) / 7 Ml In 1 Vial,0.76,0.76,,,0 NDC,25021017967,Daptomycin: 10 Vial In 1 Carton (25021-179-67) / 7 Ml In 1 Vial,0.755,0.755,,,0 NDC,25021018066,Azithromycin: 10 Vial In 1 Carton (25021-180-66) / 5 Ml In 1 Vial,12.36,12.36,,,0 NDC,25021018466,Fluconazole: 10 Pouch In 1 Carton (25021-184-66) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,173.35,173.35,,,0 NDC,25021018467,Fluconazole: 10 Pouch In 1 Carton (25021-184-67) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,98.16,98.16,,,0 NDC,25021018482,Fluconazole: 10 Pouch In 1 Carton (25021-184-82) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,38.94,38.94,,,0 NDC,25021018487,Fluconazole: 10 Pouch In 1 Carton (25021-184-87) / 1 Bag In 1 Pouch / 200 Ml In 1 Bag,30.35,30.35,,,0 NDC,25021018510,Ganciclovir: 25 Vial In 1 Carton (25021-185-10) / 10 Ml In 1 Vial,111.16,111.16,,,0 NDC,25021019110,Micafungin: 1 Vial In 1 Carton (25021-191-10) / 5 Ml In 1 Vial,8.09,8.09,,,0 NDC,25021020401,Vinorelbine: 1 Vial In 1 Carton (25021-204-01) / 1 Ml In 1 Vial,108.15,108.15,,,0 NDC,25021020405,Vinorelbine: 1 Vial In 1 Carton (25021-204-05) / 5 Ml In 1 Vial,85.22,85.22,,,0 NDC,25021020725,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-25) / 25 Ml In 1 Vial,17.83,17.83,,,0 NDC,25021020751,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (25021-207-51) / 100 Ml In 1 Vial,25.71,25.71,,,0 NDC,25021021598,Fluorouracil: 1 Bottle In 1 Carton (25021-215-98) / 50 Ml In 1 Bottle,22.84,22.84,,,0 NDC,25021021599,Fluorouracil: 1 Bottle In 1 Carton (25021-215-99) / 100 Ml In 1 Bottle,22.04,22.04,,,0 NDC,25021023002,Irinotecan Hydrochloride: 1 Vial In 1 Carton (25021-230-02) / 2 Ml In 1 Vial,34.57,34.57,,,0 NDC,25021023320,Oxaliplatin: 1 Vial In 1 Carton (25021-233-20) / 20 Ml In 1 Vial,1.08,1.08,,,0 NDC,25021023550,Gemcitabine: 1 Vial In 1 Carton (25021-235-50) / 25 Ml In 1 Vial,40.65,40.65,,,0 NDC,25021024202,Fludarabine Phosphate: 1 Vial In 1 Carton (25021-242-02) / 2 Ml In 1 Vial,629.43,629.43,,,0 NDC,25021024504,Docetaxel: 1 Vial In 1 Carton (25021-245-04) / 4 Ml In 1 Vial,5.75,5.75,,,0 NDC,25021024851,Cyclophosphamide: 1 Vial In 1 Carton (25021-248-51) / 50 Ml In 1 Vial,5.4350000000000005,5.4350000000000005,,,0 NDC,25021025020,Mitomycin: 1 Vial In 1 Carton (25021-250-20) / 10 Ml In 1 Vial,84.46,84.46,,,0 NDC,25021025150,Mitomycin: 1 Vial In 1 Carton (25021-251-50) / 40 Ml In 1 Vial,357.92,357.92,,,0 NDC,25021025350,Cisplatin: 1 Vial In 1 Carton (25021-253-50) / 50 Ml In 1 Vial,19.99,19.99,,,0 NDC,25021025351,Cisplatin: 1 Vial In 1 Carton (25021-253-51) / 100 Ml In 1 Vial,14.92,14.92,,,0 NDC,25021025550,Paclitaxel: 1 Vial In 1 Carton (25021-255-50) / 50 Ml In 1 Vial,0.85,0.85,,,0 NDC,25021030266,amiodarone hydrochloride: 10 SYRINGE in 1 CARTON (25021-302-66) / 3 mL in 1 SYRINGE,11.27,11.27,,,0 NDC,25021030520,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-20) / 18 Ml In 1 Vial,259.33,259.33,,,0 NDC,25021030566,Chlorothiazide Sodium: 1 Vial In 1 Carton (25021-305-66) / 18 Ml In 1 Vial,137.02,137.02,,,0 NDC,25021030884,Esmolol Hydrochloride: 10 Bag In 1 Carton (25021-308-84) / 250 Ml In 1 Bag,691.61,691.61,,,0 NDC,25021031002,Sodium Nitroprusside: 1 VIAL in 1 CARTON (25021-310-02) / 2 mL in 1 VIAL,61.24,61.24,,,0 NDC,25021031102,Furosemide: 25 Vial In 1 Carton (25021-311-02) / 2 Ml In 1 Vial,8.55,8.55,,,0 NDC,25021031202,Verapamil Hydrochloride: 25 Vial In 1 Carton (25021-312-02) / 2 Ml In 1 Vial,43.26,43.26,,,0 NDC,25021031387,Milrinone Lactate In Dextrose: 10 Bag In 1 Carton (25021-313-87) / 200 Ml In 1 Bag,11.71,11.71,,,0 NDC,25021031905,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-05) / 5 Ml In 1 Vial,11.48,11.48,,,0 NDC,25021031910,Diltiazem Hydrochloride: 10 Vial In 1 Carton (25021-319-10) / 10 Ml In 1 Vial,14.3,14.3,,,0 NDC,25021032104,Bumetanide: 10 Vial In 1 Carton (25021-321-04) / 4 Ml In 1 Vial,4.93,4.93,,,0 NDC,25021032110,Bumetanide: 10 Vial In 1 Carton (25021-321-10) / 10 Ml In 1 Vial,2.37,2.37,,,0 NDC,25021040001,Heparin Sodium: 25 Vial In 1 Carton (25021-400-01) / 1 Ml In 1 Vial,10.22,10.22,,,0 NDC,25021040010,Heparin Sodium: 25 Vial In 1 Carton (25021-400-10) / 10 Ml In 1 Vial,1.41,1.41,,,0 NDC,25021040201,Heparin Sodium: 25 Vial In 1 Carton (25021-402-01) / 1 Ml In 1 Vial,1.29,1.29,,,0 NDC,25021040301,Heparin Sodium: 25 Vial In 1 Carton (25021-403-01) / 1 Ml In 1 Vial,0.71,0.71,,,0 NDC,25021041070,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-70) / .3 Ml In 1 Syringe,3.88,3.88,,,0 NDC,25021041071,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-71) / 1 Ml In 1 Syringe,3.8,3.8,,,0 NDC,25021041076,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-76) / .4 Ml In 1 Syringe,3.93,3.93,,,0 NDC,25021041077,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-77) / .6 Ml In 1 Syringe,4.32,4.32,,,0 NDC,25021041078,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-410-78) / .8 Ml In 1 Syringe,4.25,4.25,,,0 NDC,25021041170,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-70) / .8 Ml In 1 Syringe,4.31,4.31,,,0 NDC,25021041171,Enoxaparin Sodium: 10 Syringe In 1 Carton (25021-411-71) / 1 Ml In 1 Syringe,3.84,3.84,,,0 NDC,25021041601,Plerixafor: 1 Vial In 1 Carton (25021-416-01) / 1.2 Ml In 1 Vial,72.62,72.62,,,0 NDC,25021041882,Tranexamic Acid: 10 Bag In 1 Carton (25021-418-82) / 100 Ml In 1 Bag,74.16,74.16,,,0 NDC,25021046001,Desmopressin Acetate: 10 Vial In 1 Carton (25021-460-01) / 1 Ml In 1 Vial,55.18,55.18,,,0 NDC,25021046810,Levothyroxine Sodium: 1 Vial In 1 Carton (25021-468-10) / 5 Ml In 1 Vial,408.91,408.91,,,0 NDC,25021047174,Fulvestrant: 2 Syringe In 1 Carton (25021-471-74) / 5 Ml In 1 Syringe,37.85,37.85,,,0 NDC,25021050002,Thiamine Hydrochloride: 25 Vial In 1 Carton (25021-500-02) / 2 Ml In 1 Vial,21.51,21.51,,,0 NDC,25021050201,Cyanocobalamin: 25 Vial In 1 Carton (25021-502-01) / 1 Ml In 1 Vial,11.52,11.52,,,0 NDC,25021060103,Caffeine Citrate: 1 Vial In 1 Carton (25021-601-03) / 3 Ml In 1 Vial,35.075,35.075,,,0 NDC,25021060820,Propofol: 25 Vial In 1 Carton (25021-608-20) / 20 Ml In 1 Vial,4.43,4.43,,,0 NDC,25021060851,Propofol: 10 Vial In 1 Carton (25021-608-51) / 100 Ml In 1 Vial,1.27,1.27,,,0 NDC,25021061551,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 10 Bottle In 1 Carton (25021-615-51) / 100 Ml In 1 Bottle,216.3,216.3,,,0 NDC,25021065502,Midazolam: 10 Vial In 1 Carton (25021-655-02) / 2 Ml In 1 Vial,0.52,0.52,,,0 NDC,25021067167,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-67) / 200 Ml In 1 Bag,0.46,0.46,,,0 NDC,25021067187,Ropivacaine Hydrochloride: 10 Bag In 1 Carton (25021-671-87) / 200 Ml In 1 Bag,0.84,0.84,,,0 NDC,25021067377,Glydo: 10 Syringe In 1 Carton (25021-673-77) / 11 Ml In 1 Syringe,27.81,27.81,,,0 NDC,25021067510,Methocarbamol: 25 Vial In 1 Carton (25021-675-10) / 10 Ml In 1 Vial,36.1,36.1,,,0 NDC,25021068220,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-682-20) / 20 Ml In 1 Vial,37.29,37.29,,,0 NDC,25021068310,Ketamine Hydrochloride: 10 Vial In 1 Carton (25021-683-10) / 10 Ml In 1 Vial,4.12,4.12,,,0 NDC,25021070101,Ketorolac Tromethamine: 25 Vial In 1 Carton (25021-701-01) / 1 Ml In 1 Vial,10.82,10.82,,,0 NDC,25021075110,Pantoprazole Sodium: 10 Vial In 1 Carton (25021-751-10) / 10 Ml In 1 Vial,15.14,15.14,,,0 NDC,25021078005,Levetiracetam: 10 Vial In 1 Carton (25021-780-05) / 5 Ml In 1 Vial,0.69,0.69,,,0 NDC,25021079002,Prochlorperazine Edisylate: 10 Vial In 1 Carton (25021-790-02) / 2 Ml In 1 Vial,22.24,22.24,,,0 NDC,25021079003,Prochlorperazine Edisylate: 25 Vial In 1 Carton (25021-790-03) / 2 Ml In 1 Vial,23.18,23.18,,,0 NDC,25021079120,"Lacosamide: 10 Vial, Glass In 1 Carton (25021-791-20) / 20 Ml In 1 Vial, Glass",1.42,1.42,,,0 NDC,25021080601,Haloperidol: 10 Vial In 1 Carton (25021-806-01) / 1 Ml In 1 Vial,20.16,20.16,,,0 NDC,25021081230,Acetylcysteine: 4 Vial In 1 Carton (25021-812-30) / 30 Ml In 1 Vial,54.965,54.965,,,0 NDC,25021081430,Leucovorin Calcium: 1 Vial In 1 Carton (25021-814-30) / 10 Ml In 1 Vial,41.44,41.44,,,0 NDC,25021081530,Leucovorin Calcium: 1 Vial In 1 Carton (25021-815-30) / 20 Ml In 1 Vial,39.12,39.12,,,0 NDC,25021081630,Leucovorin Calcium: 1 Vial In 1 Carton (25021-816-30) / 17.5 Ml In 1 Vial,40.28,40.28,,,0 NDC,25021082667,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-67) / 100 Ml In 1 Bag,64.89,64.89,,,0 NDC,25021082682,Zoledronic Acid: 1 Bag In 1 Carton (25021-826-82) / 100 Ml In 1 Bag,189.13,189.13,,,0 NDC,25021082850,Leucovorin Calcium: 1 Vial In 1 Carton (25021-828-50) / 50 Ml In 1 Vial,43.26,43.26,,,0 NDC,25021082902,Fomepizole: 1 Vial In 1 Carton (25021-829-02) / 1.5 Ml In 1 Vial,26.76,26.76,,,0 NDC,25021083082,Zoledronic Acid: 1 Bag In 1 Carton (25021-830-82) / 100 Ml In 1 Bag,299.35,299.35,,,0 NDC,25208000104,"Aggrastat: 1 Vial, Glass In 1 Carton (25208-001-04) / 15 Ml In 1 Vial, Glass",31.67,31.67,,,0 NDC,25208000201,Aggrastat: 1 Bag In 1 Carton (25208-002-01) / 100 Ml In 1 Bag,19.9,19.9,,,0 NDC,25208000202,Aggrastat: 1 Container In 1 Carton (25208-002-02) / 250 Ml In 1 Container,29.74,29.74,,,0 NDC,25208090202,Aggrastat: 1 Container In 1 Carton (25208-902-02) / 250 Ml In 1 Container,15.88,15.88,,,0 NDC,25682000101,Soliris: 1 Vial In 1 Carton (25682-001-01) / 30 Ml In 1 Vial,537.5,537.5,,,0 NDC,25682000701,"Kanuma: 1 Vial, Glass In 1 Carton (25682-007-01) / 10 Ml In 1 Vial, Glass",1261.96,1261.96,,,0 NDC,25682002501,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-025-01) / 3 Ml In 1 Vial, Glass",478.14,478.14,,,0 NDC,25682002801,"Ultomiris: 1 Vial, Glass In 1 Carton (25682-028-01) / 11 Ml In 1 Vial, Glass",527.69,527.69,,,0 NDC,27241004910,Entacapone: 100 Tablet In 1 Bottle (27241-049-10),16.36,16.36,,,0 NDC,27241009809,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (27241-098-09)",28.21,28.21,,,0 NDC,27241013421,NDC Description Not Available,12.16,12.16,,,0 NDC,27241013909,Oseltamivir Phosphate: 1 Pouch In 1 Carton (27241-139-09) / 1 Bottle In 1 Pouch / 60 Ml In 1 Bottle,80.54,80.54,,,0 NDC,27241014501,Silodosin: 30 Capsule In 1 Bottle (27241-145-01),32.44,32.44,,,0 NDC,27241015909,NDC Description Not Available,368.8,368.8,,,0 NDC,27241015919,Valganciclovir Hydrochloride: 1 Pouch In 1 Carton (27241-159-19) / 1 Bottle In 1 Pouch / 100 Ml In 1 Bottle,679.76,679.76,,,0 NDC,27437005056,Methergine: 28 Tablet In 1 Bottle (27437-050-56),269.34,269.34,,,0 NDC,27808000201,"Risperidone: 30 Ml In 1 Bottle, Unit-Dose (27808-002-01)",43.92,43.92,,,0 NDC,27808003301,Theophylline: 473 Ml In 1 Bottle (27808-033-01),24.58,24.58,,,0 NDC,27808003501,"Hydrocodone Bitartrate And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (27808-035-01)",2.42,2.42,,,0 NDC,27808005102,Promethazine Hydrochloride: 473 Ml In 1 Bottle (27808-051-02),3.09,3.09,,,0 NDC,27808008201,"Morphine Sulfate: 1 Bottle, Unit-Dose In 1 Carton (27808-082-01) / 30 Ml In 1 Bottle, Unit-Dose",1.78,1.78,,,0 NDC,27808008202,"Morphine Sulfate: 1 Bottle, Unit-Dose In 1 Carton (27808-082-02) / 120 Ml In 1 Bottle, Unit-Dose",2.27,2.27,,,0 NDC,27808019001,Colesevelam Hydrochloride: 180 Tablet In 1 Bottle (27808-190-01),14.31,14.31,,,0 NDC,27808020601,Febuxostat: 30 Tablet In 1 Bottle (27808-206-01),44.63,44.63,,,0 NDC,27808022301,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (27808-223-01)",36.76,36.76,,,0 NDC,27808023401,Doxycycline Hyclate: 50 Tablet In 1 Bottle (27808-234-01),22.27,22.27,,,0 NDC,29033003001,"Acetazolamide: 100 Capsule, Extended Release In 1 Bottle (29033-030-01)",15.47,15.47,,,0 NDC,29300011316,"Lamotrigine: 60 Tablet In 1 Bottle, Plastic (29300-113-16)",19.06,19.06,,,0 NDC,29300013901,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-139-01)",6.2,6.2,,,0 NDC,29300014001,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle, Plastic (29300-140-01)",11.52,11.52,,,0 NDC,29300015501,"Alfuzosin Hydrochloride: 100 Tablet, Extended Release In 1 Bottle, Plastic (29300-155-01)",15.24,15.24,,,0 NDC,29300023916,"Tolterodine Tartrate: 60 Tablet In 1 Bottle, Plastic (29300-239-16)",11.97,11.97,,,0 NDC,29300035501,"Tramadol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (29300-355-01)",2.93,2.93,,,0 NDC,29300041301,"Cyclobenzaprine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (29300-413-01)",4.66,4.66,,,0 NDC,30698091115,Rocaltrol: 15 Ml In 1 Bottle (30698-911-15),15.46,15.46,,,0 NDC,31722001490,Droxidopa: 90 Capsule In 1 Bottle (31722-014-90),132.59,132.59,,,0 NDC,31722001590,Droxidopa: 90 Capsule In 1 Bottle (31722-015-90),255.99,255.99,,,0 NDC,31722005360,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (31722-053-60)",38.4,38.4,,,0 NDC,31722006331,Famotidine: 50 Ml In 1 Bottle (31722-063-31),22.14,22.14,,,0 NDC,31722010330,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (31722-103-30)",110.52,110.52,,,0 NDC,31722011650,NDC Description Not Available,0.06,0.06,,,0 NDC,31722013130,"Dutasteride: 30 Capsule, Liquid Filled In 1 Bottle (31722-131-30)",21.81,21.81,,,0 NDC,31722015130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (31722-151-30)",14.55,14.55,,,0 NDC,31722015290,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (31722-152-90)",17.51,17.51,,,0 NDC,31722015390,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (31722-153-90)",18.82,18.82,,,0 NDC,31722020531,NDC Description Not Available,0.47,0.47,,,0 NDC,31722030801,Olanzapine: 1 Vial In 1 Carton (31722-308-01) / 2 Ml In 1 Vial,14.96,14.96,,,0 NDC,31722050560,Nevirapine: 60 Tablet In 1 Bottle (31722-505-60),39.14,39.14,,,0 NDC,31722050960,Zidovudine: 12 Bottle In 1 Case (31722-509-60) / 60 Tablet In 1 Bottle,7.21,7.21,,,0 NDC,31722053530,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (31722-535-30)",146.26,146.26,,,0 NDC,31722053712,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (31722-537-12)",12.63,12.63,,,0 NDC,31722055612,"Lopinavir And Ritonavir: 120 Tablet, Film Coated In 1 Bottle (31722-556-12)",33.27,33.27,,,0 NDC,31722056224,Abacavir: 240 Ml In 1 Bottle (31722-562-24),70.74,70.74,,,0 NDC,31722059730,Ritonavir: 30 Tablet In 1 Bottle (31722-597-30),33.4,33.4,,,0 NDC,31722059912,"Rufinamide: 120 Tablet, Film Coated In 1 Bottle (31722-599-12)",86.72,86.72,,,0 NDC,31722061290,Pregabalin: 90 Capsule In 1 Bottle (31722-612-90),31.95,31.95,,,0 NDC,31722062160,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-621-60),13.61,13.61,,,0 NDC,31722062260,Dabigatran Etexilate: 60 Capsule In 1 Bottle (31722-622-60),13.58,13.58,,,0 NDC,31722063031,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-630-31),51.11,51.11,,,0 NDC,31722063231,Oseltamivir Phosphate: 10 Capsule In 1 Carton (31722-632-31),55.5,55.5,,,0 NDC,31722064630,"Tadalafil: 30 Tablet, Film Coated In 1 Bottle (31722-646-30)",274.53,274.53,,,0 NDC,31722067631,NDC Description Not Available,55.92,55.92,,,0 NDC,31722067635,NDC Description Not Available,55.93,55.93,,,0 NDC,31722068110,NDC Description Not Available,33.64,33.64,,,0 NDC,31722068147,Acyclovir: 473 Ml In 1 Bottle (31722-681-47),31.73,31.73,,,0 NDC,31722070430,"Valacyclovir: 30 Tablet, Film Coated In 1 Bottle (31722-704-30)",26.04,26.04,,,0 NDC,31722072610,"Montelukast Sodium: 1000 Tablet, Film Coated In 1 Bottle (31722-726-10)",20.6,20.6,,,0 NDC,31722074920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (31722-749-20)",662.17,662.17,,,0 NDC,31722080560,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (31722-805-60)",11.94,11.94,,,0 NDC,31722081360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (31722-813-60)",64.85,64.85,,,0 NDC,31722082111,"Tetrabenazine: 112 Tablet, Coated In 1 Bottle (31722-821-11)",281.6,281.6,,,0 NDC,31722083260,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle (31722-832-60)",232.71,232.71,,,0 NDC,31722083330,Entecavir: 30 Tablet In 1 Bottle (31722-833-30),160.69,160.69,,,0 NDC,31722083710,"Valganciclovir: 1 Bottle, Glass In 1 Carton (31722-837-10) / 100 Ml In 1 Bottle, Glass",632.13,632.13,,,0 NDC,31722086903,Tolvaptan: 1 Blister Pack In 1 Carton (31722-869-03) / 10 Tablet In 1 Blister Pack,2037.23,2037.23,,,0 NDC,31722086931,NDC Description Not Available,2101.2,2101.2,,,0 NDC,31722093502,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (31722-935-02)",943.74,943.74,,,0 NDC,31722093612,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (31722-936-12)",9.35,9.35,,,0 NDC,32909011500,"Varibar Nectar: 240 mL in 1 BOTTLE, PLASTIC (32909-115-00)",28.22,28.22,,,0 NDC,32909016802,Liquid Polibar Plus: 1900 mL in 1 JUG (32909-168-02),59.74,59.74,,,0 NDC,32909018702,"E-Z-Paque: 12 Bottle, Plastic In 1 Carton (32909-187-02) / 355 Ml In 1 Bottle, Plastic",13.67,13.67,,,0 NDC,32909075003,"E-Z-Paque: 24 Bottle, Plastic In 1 Carton (32909-750-03) / 176 G In 1 Bottle, Plastic",13.47,13.47,,,0 NDC,32909076401,E-Z-Hd: 24 Bottle In 1 Carton (32909-764-01) / 340 G In 1 Bottle,25.28,25.28,,,0 NDC,32909081455,"Tagitol V: 24 Box In 1 Case (32909-814-55) / 3 Bottle, Glass In 1 Box / 20 Ml In 1 Bottle, Glass",81.85,81.85,,,0 NDC,32909092603,"NeuLumEX: 450 mL in 1 BOTTLE, PLASTIC (32909-926-03)",13.22,13.22,,,0 NDC,32909092703,"Neulumex: 450 Ml In 1 Bottle, Plastic (32909-927-03)",341.4,341.4,,,0 NDC,33342000409,Nevirapine: 60 Tablet In 1 Bottle (33342-004-09),39.14,39.14,,,0 NDC,33342005407,Pioglitazone: 30 Tablet In 1 Bottle (33342-054-07),25.46,25.46,,,0 NDC,33342006410,"Valsartan: 90 Tablet, Film Coated In 1 Bottle (33342-064-10)",7.72,7.72,,,0 NDC,33342008909,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (33342-089-09),14.53,14.53,,,0 NDC,33342009009,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (33342-090-09),13.93,13.93,,,0 NDC,33342009709,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-097-09)",12.46,12.46,,,0 NDC,33342009809,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (33342-098-09)",12.58,12.58,,,0 NDC,33342025666,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-256-66) / 10 Capsule In 1 Blister Pack,51.07,51.07,,,0 NDC,33342025866,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (33342-258-66) / 10 Capsule In 1 Blister Pack,55.64,55.64,,,0 NDC,33342032186,Clobetasol Propionate: 1 Bottle In 1 Carton (33342-321-86) / 50 Ml In 1 Bottle,14.42,14.42,,,0 NDC,33342040535,Lidocaine: 1 Tube In 1 Carton (33342-405-35) / 35.44 G In 1 Tube,1086.65,1086.65,,,0 NDC,33342044711,Pyrazinamide: 100 Tablet In 1 Bottle (33342-447-11),22.6,22.6,,,0 NDC,35573043302,Ketoconazole: 100 Tablet In 1 Bottle (35573-433-02),14.18,14.18,,,0 NDC,35573044525,"Levalbuterol: 25 Pouch In 1 Carton (35573-445-25) / 25 Vial, Single-Dose In 1 Pouch / 3 Ml In 1 Vial, Single-Dose",7.77,7.77,,,0 NDC,36000001225,"Ondansetron Hydrochloride: 25 Vial, Single-Dose In 1 Carton (36000-012-25) / 2 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 NDC,36000003310,Metoprolol: 10 Vial In 1 Carton (36000-033-10) / 5 Ml In 1 Vial,3.77,3.77,,,0 NDC,36000004824,Levofloxacin: 150 Ml In 1 Bag (36000-048-24),9.33,9.33,,,0 NDC,36000014801,NDC Description Not Available,23.54,23.54,,,0 NDC,36000024201,"Tobramycin: 1 Vial, Multi-Dose In 1 Carton (36000-242-01) / 30 Ml In 1 Vial, Multi-Dose",5.72,5.72,,,0 NDC,36000028225,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-282-25) / 2 Ml In 1 Vial, Single-Dose",4.75,4.75,,,0 NDC,36000028325,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-283-25) / 4 Ml In 1 Vial, Single-Dose",2.58,2.58,,,0 NDC,36000028425,"Furosemide: 25 Vial, Single-Dose In 1 Box (36000-284-25) / 10 Ml In 1 Vial, Single-Dose",1.6,1.6,,,0 NDC,36000030660,Acetaminophen: 40 Bag In 1 Carton (36000-306-60) / 100 Ml In 1 Bag,0.41,0.41,,,0 NDC,36000030801,NDC Description Not Available,19.84,19.84,,,0 NDC,36000030810,"Naloxone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (36000-308-10) / 1 Ml In 1 Vial, Single-Dose (36000-308-01)",21.63,21.63,,,0 NDC,36000032001,NDC Description Not Available,10.004999999999999,10.004999999999999,,,0 NDC,36000032201,NDC Description Not Available,9.14,9.14,,,0 NDC,36000032202,Labetalol Hydrochloride: 1 Vial In 1 Carton (36000-322-02) / 20 Ml In 1 Vial (36000-322-01),9.15,9.15,,,0 NDC,39328002405,NDC Description Not Available,35.14,35.14,,,0 NDC,39328002430,Lidocaine: 1 Tube In 1 Carton (39328-024-30) / 30 G In 1 Tube,212.87,212.87,,,0 NDC,39328002455,Lidocaine: 5 Tube In 1 Carton (39328-024-55) / 5 G In 1 Tube,35.14,35.14,,,0 NDC,39328002924,Hydrocortisone Acetate: 24 Suppository In 1 Carton (39328-029-24),7.63,7.63,,,0 NDC,39328006325,NDC Description Not Available,14.27,14.27,,,0 NDC,39822015101,Liothyronine Sodium: 1 Vial In 1 Carton (39822-0151-1) / 1 Ml In 1 Vial,1089.3,1089.3,,,0 NDC,39822019001,"Acetazolamide: 1 Vial, Glass In 1 Carton (39822-0190-1) / 5 Ml In 1 Vial, Glass",130.18,130.18,,,0 NDC,39822031005,"Neomycin Sulfate: 100 Blister Pack In 1 Box, Unit-Dose (39822-0310-5) / 1 Tablet In 1 Blister Pack (39822-0310-7)",6.18,6.18,,,0 NDC,39822041201,Tobramycin: 1 Vial In 1 Carton (39822-0412-1) / 30 Ml In 1 Vial,22.28,22.28,,,0 NDC,39822041206,Tobramycin: 6 Vial In 1 Carton (39822-0412-6) / 30 Ml In 1 Vial,19.9,19.9,,,0 NDC,39822100001,Tranexamic Acid: 10 Vial In 1 Carton (39822-1000-1) / 10 Ml In 1 Vial,14.11,14.11,,,0 NDC,39822105505,Amphotericin B: 10 Ml In 1 Vial (39822-1055-5),209.465,209.465,,,0 NDC,39822110001,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (39822-1100-1) / 10 Ml In 1 Vial, Multi-Dose",3.08,3.08,,,0 NDC,39822120105,Neomycin And Polymyxin B Sulfates: 50 Ampule In 1 Carton (39822-1201-5) / 1 Ml In 1 Ampule,50.98,50.98,,,0 NDC,39822303001,NDC Description Not Available,405.82,405.82,,,0 NDC,39822303002,"Pentamidine Isethionate: 1 Vial, Single-Dose In 1 Carton (39822-3030-2) / 6 Ml In 1 Vial, Single-Dose (39822-3030-1)",405.82,405.82,,,0 NDC,39822305001,NDC Description Not Available,405.82,405.82,,,0 NDC,39822305002,Pentamidine Isethionate: 10 Vial In 1 Carton (39822-3050-2) / 3 Ml In 1 Vial,405.82,405.82,,,0 NDC,39822552502,NDC Description Not Available,3.98,3.98,,,0 NDC,39822625001,Desmopressin Acetate: 1 Vial In 1 Carton (39822-6250-1) / 10 Ml In 1 Vial,17.69,17.69,,,0 NDC,42023010301,NDC Description Not Available,1083.56,1083.56,,,0 NDC,42023010401,Aplisol: 1 Vial In 1 Carton (42023-104-01) / 1 Ml In 1 Vial,41.2,41.2,,,0 NDC,42023010501,"Brevital Sodium: 1 Vial In 1 Carton (42023-105-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",50.25,50.25,,,0 NDC,42023010701,Coly-Mycin M: 1 Vial In 1 Carton (42023-107-01) / 2 Ml In 1 Vial,121.16,121.16,,,0 NDC,42023011310,Ketalar: 10 Vial In 1 Carton (42023-113-10) / 20 Ml In 1 Vial,23.87,23.87,,,0 NDC,42023011410,Ketalar: 10 Vial In 1 Carton (42023-114-10) / 10 Ml In 1 Vial,30.38,30.38,,,0 NDC,42023011602,Pitocin: 25 Vial In 1 Carton (42023-116-02) / 10 Ml In 1 Vial,6.13,6.13,,,0 NDC,42023011625,Pitocin: 25 Vial In 1 Tray (42023-116-25) / 1 Ml In 1 Vial,15.45,15.45,,,0 NDC,42023011925,"Tigan: 25 Vial, Single-Dose In 1 Tray (42023-119-25) / 2 Ml In 1 Vial, Single-Dose",227.97,227.97,,,0 NDC,42023014625,Dexmedetomidine Hydrochloride: 25 Vial In 1 Carton (42023-146-25) / 2 Ml In 1 Vial,23.06,23.06,,,0 NDC,42023015901,NDC Description Not Available,8.48,8.48,,,0 NDC,42023015925,Adrenalin: 25 Vial In 1 Carton (42023-159-25) / 1 Ml In 1 Vial (42023-159-01),6.46,6.46,,,0 NDC,42023016401,NDC Description Not Available,764.98,764.98,,,0 NDC,42023016410,Vasostrict: 10 Vial In 1 Carton (42023-164-10) / 1 Ml In 1 Vial (42023-164-01),320.02,320.02,,,0 NDC,42023016425,Vasostrict: 25 Vial In 1 Carton (42023-164-25) / 1 Ml In 1 Vial (42023-164-01),349.64,349.64,,,0 NDC,42023016801,Adrenalin: 1 Vial In 1 Carton (42023-168-01) / 30 Ml In 1 Vial,477.92,477.92,,,0 NDC,42023016899,Adrenalin: 1 Vial In 1 Carton (42023-168-99) / 30 Ml In 1 Vial,3.61,3.61,,,0 NDC,42023017204,Mycophenolate Mofetil: 4 Vial In 1 Carton (42023-172-04) / 20 Ml In 1 Vial,314.15,314.15,,,0 NDC,42023017301,NDC Description Not Available,158.36499999999998,158.36499999999998,,,0 NDC,42023017325,"Ganciclovir: 25 Vial, Single-Dose In 1 Carton (42023-173-25) / 10 Ml In 1 Vial, Single-Dose (42023-173-01)",311.23,311.23,,,0 NDC,42023017901,NDC Description Not Available,18.67,18.67,,,0 NDC,42023018201,Argatroban: 1 Vial In 1 Carton (42023-182-01) / 2.5 Ml In 1 Vial,8.75,8.75,,,0 NDC,42023018701,NDC Description Not Available,345.67,345.67,,,0 NDC,42023019501,"Posaconazole: 1 Vial, Glass In 1 Carton (42023-195-01) / 16.7 Ml In 1 Vial, Glass",1208.71,1208.71,,,0 NDC,42023020101,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (42023-201-01) / 5 Ml In 1 Vial, Single-Dose",456.8,456.8,,,0 NDC,42023020501,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (42023-205-01) / 2 Ml In 1 Vial, Multi-Dose",5530.57,5530.57,,,0 NDC,42023020701,Treprostinil: 1 Vial In 1 Carton (42023-207-01) / 20 Ml In 1 Vial,151.4,151.4,,,0 NDC,42023021401,NDC Description Not Available,0.04,0.04,,,0 NDC,42023021410,"Phenylephrine Hydrochloride: 10 Vial, Pharmacy Bulk Package In 1 Carton (42023-214-10) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 NDC,42023021501,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (42023-215-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 NDC,42023021601,NDC Description Not Available,125.66,125.66,,,0 NDC,42023022901,NDC Description Not Available,6.47,6.47,,,0 NDC,42023022910,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-229-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 NDC,42023023001,NDC Description Not Available,6.48,6.48,,,0 NDC,42023023010,"Micafungin: 10 Vial, Single-Dose In 1 Carton (42023-230-10) / 10 Ml In 1 Vial, Single-Dose",6.47,6.47,,,0 NDC,42023024301,"Ephedrine Sulfate: 10 Ml In 1 Vial, Single-Dose (42023-243-01)",18.77,18.77,,,0 NDC,42192032901,Np Thyroid 30: 100 Tablet In 1 Bottle (42192-329-01),3.77,3.77,,,0 NDC,42192060806,"Gabapentin: 6 Ml In 1 Cup, Unit-Dose (42192-608-06)",20.435000000000002,20.435000000000002,,,0 NDC,42192060816,Gabapentin: 470 Ml In 1 Bottle (42192-608-16),29.22,29.22,,,0 NDC,42192060840,"Gabapentin: 40 Cup, Unit-Dose In 1 Box (42192-608-40) / 6 Ml In 1 Cup, Unit-Dose",21.725,21.725,,,0 NDC,42192061405,NDC Description Not Available,4.3,4.3,,,0 NDC,42192080201,PHENAZOPYRIDINE HYDROCHLORIDE: 100 TABLET in 1 CONTAINER (42192-802-01),14.42,14.42,,,0 NDC,42291007615,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-15) / 15 G In 1 Tube,462.37,462.37,,,0 NDC,42291007630,Clobetasol Propionate: 1 Tube In 1 Carton (42291-076-30) / 30 G In 1 Tube,924.94,924.94,,,0 NDC,42291007715,Clobetasol Propionate: 1 Tube In 1 Carton (42291-077-15) / 15 G In 1 Tube,560.32,560.32,,,0 NDC,42291007760,Clobetasol Propionate: 1 Tube In 1 Carton (42291-077-60) / 60 G In 1 Tube,1070.17,1070.17,,,0 NDC,42291008430,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (42291-084-30)",27.17,27.17,,,0 NDC,42291008830,Acitretin: 30 Capsule In 1 Bottle (42291-088-30),138.67,138.67,,,0 NDC,42291009430,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (42291-094-30) / 30 Ml In 1 Bottle, Spray",524.38,524.38,,,0 NDC,42291039930,Lidocaine: 1 Tube In 1 Carton (42291-399-30) / 30 G In 1 Tube,121.13,121.13,,,0 NDC,42291041260,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-412-60)",30.86,30.86,,,0 NDC,42291041360,"Dofetilide: 60 Capsule In 1 Bottle, Plastic (42291-413-60)",30.9,30.9,,,0 NDC,42291041630,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (42291-416-30)",47.12,47.12,,,0 NDC,42291045490,"Eplerenone: 90 Tablet, Coated In 1 Bottle (42291-454-90)",16.18,16.18,,,0 NDC,42291045930,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (42291-459-30)",111.15,111.15,,,0 NDC,42291047660,Lubiprostone: 60 Capsule In 1 Bottle (42291-476-60),24.33,24.33,,,0 NDC,42291047711,NDC Description Not Available,48.46,48.46,,,0 NDC,42291049511,NDC Description Not Available,48.47,48.47,,,0 NDC,42291050501,Methotrexate: 100 Tablet In 1 Bottle (42291-505-01),12.84,12.84,,,0 NDC,42291056190,Midodrine Hydrochloride: 90 Tablet In 1 Bottle (42291-561-90),6.7,6.7,,,0 NDC,42291065712,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42291-657-12)",8.24,8.24,,,0 NDC,42291077360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (42291-773-60)",23.14,23.14,,,0 NDC,42291080030,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (42291-800-30)",20.28,20.28,,,0 NDC,42291085630,Valsartan: 30 Tablet In 1 Bottle (42291-856-30),30.62,30.62,,,0 NDC,42291085890,Valsartan: 90 Tablet In 1 Bottle (42291-858-90),18.8,18.8,,,0 NDC,42291089790,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-897-90)",15.03,15.03,,,0 NDC,42291089890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (42291-898-90)",16.84,16.84,,,0 NDC,42291092301,Ursodiol: 100 Capsule In 1 Bottle (42291-923-01),26.5,26.5,,,0 NDC,42291096301,"Zolpidem Tartrate: 100 Tablet, Film Coated In 1 Bottle (42291-963-01)",16.42,16.42,,,0 NDC,42292005401,NDC Description Not Available,40.17,40.17,,,0 NDC,42367054032,Ryanodex Dantrolene Sodium: 1 Vial In 1 Carton (42367-540-32) / 20 Ml In 1 Vial,7729.34,7729.34,,,0 NDC,42367057022,NDC Description Not Available,307.71,307.71,,,0 NDC,42385092230,Atazanavir: 30 Capsule In 1 Bottle (42385-922-30),180.54,180.54,,,0 NDC,42494030124,Hydrocortisone Acetate: 24 SUPPOSITORY in 1 BOX (42494-301-24),77.25,77.25,,,0 NDC,42494034112,Hydrocortisone Acetate: 1 Blister Pack In 1 Box (42494-341-12) / 12 Suppository In 1 Blister Pack,51.5,51.5,,,0 NDC,42494041501,NDC Description Not Available,108.77,108.77,,,0 NDC,42494041601,NDC Description Not Available,147.56,147.56,,,0 NDC,42494041625,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-416-25) / 1 Ml In 1 Vial",125.0,125.0,,,0 NDC,42494044101,NDC Description Not Available,98.88,98.88,,,0 NDC,42494044125,"Phenobarbital Sodium: 25 Vial In 1 Box, Unit-Dose (42494-441-25) / 1 Ml In 1 Vial",94.01,94.01,,,0 NDC,42494044201,NDC Description Not Available,134.07,134.07,,,0 NDC,42494044225,"Phenobarbital Sodium: 3 Vial In 1 Box, Unit-Dose (42494-442-25) / 1 Ml In 1 Vial",187.1,187.1,,,0 NDC,42571013252,Cromolyn Sodium: 96 Carton In 1 Carton (42571-132-52) / 1 Tray In 1 Carton / 8 Ampule In 1 Tray / 5 Ml In 1 Ampule (42571-132-21),23.36,23.36,,,0 NDC,42571013295,NDC Description Not Available,23.36,23.36,,,0 NDC,42571013725,Ketorolac Tromethamine: 5 Ml In 1 Bottle (42571-137-25),382.13,382.13,,,0 NDC,42571014126,Dorzolamide Hydrochloride Ophthalmic Solution: 1 Bottle In 1 Carton (42571-141-26) / 10 Ml In 1 Bottle,240.97,240.97,,,0 NDC,42571014726,Dorzolamide Hydrochloride And Timolol Maleate Ophthalmic Solution: 1 Bottle In 1 Carton (42571-147-26) / 10 Ml In 1 Bottle,439.81,439.81,,,0 NDC,42571016101,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (42571-161-01)",13.61,13.61,,,0 NDC,42571016242,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (42571-162-42)",18.22,18.22,,,0 NDC,42571022130,Rasagiline: 30 Tablet In 1 Bottle (42571-221-30),90.64,90.64,,,0 NDC,42571036983,Roflumilast: 28 Tablet In 1 Bottle (42571-369-83),37.91,37.91,,,0 NDC,42571039212,Rufinamide: 120 Tablet In 1 Bottle (42571-392-12),102.78,102.78,,,0 NDC,42658002101,Daunorubicin Hydrochloride: 1 Vial In 1 Box (42658-021-01) / 4 Ml In 1 Vial,185.43,185.43,,,0 NDC,42658002102,Daunorubicin Hydrochloride: 10 Vial In 1 Carton (42658-021-02) / 4 Ml In 1 Vial,173.02,173.02,,,0 NDC,42658016005,Prednisolone: 100 Tablet In 1 Bottle (42658-160-05),50.64,50.64,,,0 NDC,42747076101,"Poteligeo: 1 Vial, Glass In 1 Carton (42747-761-01) / 5 Ml In 1 Vial, Glass",568.15,568.15,,,0 NDC,42794000908,Flucytosine: 30 Capsule In 1 Bottle (42794-009-08),135.21,135.21,,,0 NDC,42794001008,Flucytosine: 30 Capsule In 1 Bottle (42794-010-08),254.68,254.68,,,0 NDC,42799021701,"Opium Tincture Deodorized: 118 Ml In 1 Bottle, Plastic (42799-217-01)",27.96,27.96,,,0 NDC,42799080601,Ivermectin: 2 Blister Pack In 1 Carton (42799-806-01) / 10 Tablet In 1 Blister Pack,17.92,17.92,,,0 NDC,42799081501,"Prednisolone Sodium Phosphate: 237 Ml In 1 Bottle, Plastic (42799-815-01)",1.74,1.74,,,0 NDC,42799095201,NDC Description Not Available,61.25,61.25,,,0 NDC,42806010201,"Ethambutol Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (42806-102-01)",5.66,5.66,,,0 NDC,42806013324,Leucovorin Calcium: 24 Tablet In 1 Bottle (42806-133-24),30.01,30.01,,,0 NDC,42806014731,"Azithromycin: 15 Ml In 1 Bottle, Plastic (42806-147-31)",104.54,104.54,,,0 NDC,42806015033,"Azithromycin: 22.5 Ml In 1 Bottle, Plastic (42806-150-33)",32.96,32.96,,,0 NDC,42806015134,"Azithromycin: 30 Ml In 1 Bottle, Plastic (42806-151-34)",46.97,46.97,,,0 NDC,42806026698,NDC Description Not Available,12.08,12.08,,,0 NDC,42806027098,NDC Description Not Available,12.08,12.08,,,0 NDC,42806034101,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle, Plastic (42806-341-01)",7.18,7.18,,,0 NDC,42806035830,Leucovorin Calcium: 30 Tablet In 1 Bottle (42806-358-30),6.07,6.07,,,0 NDC,42806040001,Methylprednisolone: 100 Tablet In 1 Bottle (42806-400-01),5.83,5.83,,,0 NDC,42806041430,"Bupropion Hydrochloride Xl: 30 Tablet, Extended Release In 1 Bottle, Plastic (42806-414-30)",15.48,15.48,,,0 NDC,42806050109,Nicardipine Hydrochloride: 90 Capsule In 1 Bottle (42806-501-09),56.65,56.65,,,0 NDC,42806051330,Quinidine Sulfate: 30 Tablet In 1 Bottle (42806-513-30),54.38,54.38,,,0 NDC,42806054909,"Dutasteride: 90 Capsule, Liquid Filled In 1 Bottle (42806-549-09)",22.4,22.4,,,0 NDC,42806054930,"Dutasteride: 30 Capsule, Liquid Filled In 1 Bottle (42806-549-30)",21.8,21.8,,,0 NDC,42806055212,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (42806-552-12)",7.77,7.77,,,0 NDC,42806060022,Oxcarbazepine: 1 Bottle In 1 Carton (42806-600-22) / 250 Ml In 1 Bottle,41.2,41.2,,,0 NDC,42806065830,"Entecavir: 30 Tablet In 1 Bottle, Plastic (42806-658-30)",160.24,160.24,,,0 NDC,42806071401,Benzonatate: 100 Capsule In 1 Bottle (42806-714-01),8.82,8.82,,,0 NDC,42806075760,Sulfadiazine: 60 Tablet In 1 Bottle (42806-757-60),72.78,72.78,,,0 NDC,42806079960,Rifampin: 60 Capsule In 1 Bottle (42806-799-60),21.03,21.03,,,0 NDC,42858000101,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-001-01)",0.33,0.33,,,0 NDC,42858000110,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-001-10) / 10 Tablet In 1 Blister Pack,2.15,2.15,,,0 NDC,42858000201,"Oxycodone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-002-01)",0.62,0.62,,,0 NDC,42858000210,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (42858-002-10) / 10 Tablet In 1 Blister Pack,3.19,3.19,,,0 NDC,42858010201,"Oxycodone And Acetaminophen: 100 Tablet In 1 Bottle, Plastic (42858-102-01)",0.92,0.92,,,0 NDC,42858011830,Lidocaine 5%: 30 POUCH in 1 PACKAGE (42858-118-30) / 1 PATCH in 1 POUCH,9.27,9.27,,,0 NDC,42858030101,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-301-01)",0.42,0.42,,,0 NDC,42858030125,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-301-25) / 25 Tablet In 1 Blister Pack,0.68,0.68,,,0 NDC,42858030201,"Hydromorphone Hydrochloride: 100 Tablet In 1 Bottle, Plastic (42858-302-01)",1.23,1.23,,,0 NDC,42858030225,Hydromorphone Hydrochloride: 4 Blister Pack In 1 Carton (42858-302-25) / 25 Tablet In 1 Blister Pack,0.98,0.98,,,0 NDC,42858035340,Buprenorphine: 4 Pouch In 1 Carton (42858-353-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,325.11,325.11,,,0 NDC,42858049340,Buprenorphine: 4 Pouch In 1 Carton (42858-493-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,348.39,348.39,,,0 NDC,42858051501,"Ms Contin: 100 Tablet In 1 Bottle, Plastic (42858-515-01)",19.88,19.88,,,0 NDC,42858058640,Buprenorphine: 4 Pouch In 1 Carton (42858-586-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,502.64,502.64,,,0 NDC,42858075040,Buprenorphine: 4 Pouch In 1 Carton (42858-750-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,232.58,232.58,,,0 NDC,42858080401,"Morphine Sulfate Extended Release: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (42858-804-01)",4.04,4.04,,,0 NDC,42858083940,Buprenorphine: 4 Pouch In 1 Carton (42858-839-40) / 1 Patch In 1 Pouch / 168 H In 1 Patch,616.87,616.87,,,0 NDC,42858086806,Dronabinol: 60 Capsule In 1 Bottle (42858-868-06),6.78,6.78,,,0 NDC,43063005706,"Lorazepam: 6 TABLET in 1 BOTTLE, PLASTIC (43063-057-06)",6.18,6.18,,,0 NDC,43066000710,Rocuronium Bromide: 10 Vial In 1 Carton (43066-007-10) / 5 Ml In 1 Vial,14.12,14.12,,,0 NDC,43066000801,NDC Description Not Available,9.48,9.48,,,0 NDC,43066000810,"Tranexamic Acid: 10 Carton In 1 Box (43066-008-10) / 1 Vial, Single-Dose In 1 Carton / 10 Ml In 1 Vial, Single-Dose (43066-008-01)",14.08,14.08,,,0 NDC,43066001610,Cardene Iv: 10 Bag In 1 Carton (43066-016-10) / 200 Ml In 1 Bag,341.73,341.73,,,0 NDC,43066002110,Cardene Iv: 10 Bag In 1 Carton (43066-021-10) / 200 Ml In 1 Bag,1.14,1.14,,,0 NDC,43066002410,Cardene Iv: 10 Bag In 1 Carton (43066-024-10) / 200 Ml In 1 Bag,365.96,365.96,,,0 NDC,43066009001,NDC Description Not Available,22.91,22.91,,,0 NDC,43066015010,Nexterone: 100 Ml In 1 Bag (43066-150-10),89.995,89.995,,,0 NDC,43066015401,NDC Description Not Available,0.65,0.65,,,0 NDC,43066055712,Dexmedetomidine Hydrochloride In 0.9% Sodium Chloride: 12 Bag In 1 Carton (43066-557-12) / 100 Ml In 1 Bag,346.08,346.08,,,0 NDC,43066099324,Clindamycin Phosphate: 24 Bag In 1 Case (43066-993-24) / 50 Ml In 1 Bag,23.09,23.09,,,0 NDC,43066099524,Clindamycin Phosphate: 24 Bag In 1 Case (43066-995-24) / 50 Ml In 1 Bag,18.81,18.81,,,0 NDC,43386005019,Gavilyte-N: 438.4 G In 1 Bottle (43386-050-19),100.94,100.94,,,0 NDC,43386009019,Gavilyte G Tm: 274.31 G In 1 Bottle (43386-090-19),112.475,112.475,,,0 NDC,43386009660,Clobetasol Propionate: 1 Tube In 1 Carton (43386-096-60) / 15 G In 1 Tube,560.32,560.32,,,0 NDC,43386016106,Misoprostol: 60 Tablet In 1 Bottle (43386-161-06),5.15,5.15,,,0 NDC,43386070002,"Sodium Sulfate, Potassium Sulfate, Magnesium Sulfate: 1 Bottle In 1 Container (43386-700-02) / 177 Ml In 1 Bottle",212.18,212.18,,,0 NDC,43386077001,Flucytosine: 100 Capsule In 1 Bottle (43386-770-01),568.57,568.57,,,0 NDC,43528000301,NDC Description Not Available,622.47,622.47,,,0 NDC,43528000305,Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01),638.6,638.6,,,0 NDC,43547026810,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-268-10)",9.03,9.03,,,0 NDC,43547027310,"Ropinirole Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (43547-273-10)",8.43,8.43,,,0 NDC,43547028110,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-281-10)",15.45,15.45,,,0 NDC,43547028210,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (43547-282-10)",16.14,16.14,,,0 NDC,43547028810,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle (43547-288-10)",7.0,7.0,,,0 NDC,43547034106,Risperidone: 60 Tablet In 1 Bottle (43547-341-06),16.48,16.48,,,0 NDC,43547034206,Risperidone: 60 Tablet In 1 Bottle (43547-342-06),27.4,27.4,,,0 NDC,43547034406,Risperidone: 60 Tablet In 1 Bottle (43547-344-06),5.41,5.41,,,0 NDC,43547034506,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (43547-345-06)",16.11,16.11,,,0 NDC,43547037803,"Voriconazole: 30 Tablet, Coated In 1 Bottle (43547-378-03)",90.64,90.64,,,0 NDC,43547040610,"Clonazepam: 100 Tablet In 1 Bottle, Plastic (43547-406-10)",2.3,2.3,,,0 NDC,43547054301,NDC Description Not Available,11.76,11.76,,,0 NDC,43547054325,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-543-25) / 1 Ml In 1 Vial, Single-Dose (43547-543-01)",9.06,9.06,,,0 NDC,43547054401,NDC Description Not Available,12.05,12.05,,,0 NDC,43547063901,NDC Description Not Available,18.3,18.3,,,0 NDC,43547063925,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (43547-639-25) / 1 Ml In 1 Vial, Single-Dose (43547-639-01)",12.25,12.25,,,0 NDC,43598000452,AUGMENTIN: 100 mL in 1 BOTTLE (43598-004-52),353.29,353.29,,,0 NDC,43598005011,NDC Description Not Available,13.8,13.8,,,0 NDC,43598005025,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (43598-050-25) / 2 Ml In 1 Vial, Multi-Dose (43598-050-11)",13.82,13.82,,,0 NDC,43598005111,"Calcitonin Salmon: 1 Vial, Multi-Dose In 1 Carton (43598-051-11) / 2 Ml In 1 Vial, Multi-Dose",4350.45,4350.45,,,0 NDC,43598008711,NDC Description Not Available,0.87,0.87,,,0 NDC,43598012745,NDC Description Not Available,2.6,2.6,,,0 NDC,43598012811,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-128-11) / 8 Ml In 1 Vial, Multi-Dose",0.95,0.95,,,0 NDC,43598012901,NDC Description Not Available,26.2,26.2,,,0 NDC,43598012925,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Carton (43598-129-25) / 2 Ml In 1 Vial, Single-Dose (43598-129-01)",1.3,1.3,,,0 NDC,43598013074,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (43598-130-74) / 16 Ml In 1 Vial, Multi-Dose",0.7,0.7,,,0 NDC,43598014211,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (43598-142-11) / 50 Ml In 1 Vial, Single-Dose",336.98,336.98,,,0 NDC,43598016911,NDC Description Not Available,19.52,19.52,,,0 NDC,43598017001,Chlorthalidone: 100 Tablet In 1 Bottle (43598-170-01),4.38,4.38,,,0 NDC,43598017205,NDC Description Not Available,4.12,4.12,,,0 NDC,43598021025,Ssd Cream: 25 G In 1 Tube (43598-210-25),32.84,32.84,,,0 NDC,43598021040,Ssd Cream: 400 G In 1 Jar (43598-210-40),229.48,229.48,,,0 NDC,43598021050,Ssd Cream: 50 G In 1 Tube (43598-210-50),53.56,53.56,,,0 NDC,43598021055,Ssd Cream: 50 G In 1 Jar (43598-210-55),53.56,53.56,,,0 NDC,43598021085,Ssd Cream: 85 G In 1 Tube (43598-210-85),95.57,95.57,,,0 NDC,43598026202,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-02) / 5 Ml In 1 Syringe, Glass (43598-262-11)",40.65,40.65,,,0 NDC,43598026211,NDC Description Not Available,43.26,43.26,,,0 NDC,43598026223,"Fulvestrant: 2 Syringe, Glass In 1 Carton (43598-262-23) / 5 Ml In 1 Syringe, Glass (43598-262-11)",41.76,41.76,,,0 NDC,43598028335,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (43598-283-35) / 10 Ml In 1 Vial, Single-Dose",540.6,540.6,,,0 NDC,43598030562,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (43598-305-62)",8.395,8.395,,,0 NDC,43598033011,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (43598-330-11) / 5 Ml In 1 Vial, Glass",46.45,46.45,,,0 NDC,43598039467,Tetrabenazine: 112 Tablet In 1 Bottle (43598-394-67),272.5,272.5,,,0 NDC,43598040511,NDC Description Not Available,21.33,21.33,,,0 NDC,43598040516,Phytonadione Phytonadione: 25 Ampule In 1 Carton (43598-405-16) / 1 Ml In 1 Ampule (43598-405-11),22.4,22.4,,,0 NDC,43598042660,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (43598-426-60) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",30.99,30.99,,,0 NDC,43598043501,Nitroglycerin: 100 Tablet In 1 Bottle (43598-435-01),1.37,1.37,,,0 NDC,43598043635,NDC Description Not Available,0.92,0.92,,,0 NDC,43598045202,"Albendazole: 2 Tablet, Film Coated In 1 Bottle (43598-452-02)",412.6,412.6,,,0 NDC,43598054125,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (43598-541-25) / 25 Ml In 1 Vial, Single-Dose",596.81,596.81,,,0 NDC,43598054910,Propofol Injectable Emulsion: 10 Vial In 1 Carton (43598-549-10) / 100 Ml In 1 Vial (43598-549-52),1.21,1.21,,,0 NDC,43598054952,NDC Description Not Available,1.21,1.21,,,0 NDC,43598057860,"Tadalafil: 60 Tablet, Film Coated In 1 Bottle (43598-578-60)",274.53,274.53,,,0 NDC,43598058723,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (43598-587-23) / 2 Ml In 1 Vial, Single-Dose",86.52,86.52,,,0 NDC,43598062857,"Carmustine: 1 Kit In 1 Carton (43598-628-57) * 3 Ml In 1 Vial (43598-860-11) * 30 Ml In 1 Vial, Single-Dose (43598-861-11)",1854.0,1854.0,,,0 NDC,43598063710,Levetiracetam: 10 Bag In 1 Carton (43598-637-10) / 100 Ml In 1 Bag (43598-637-52),1.15,1.15,,,0 NDC,43598063752,NDC Description Not Available,1.14,1.14,,,0 NDC,43598067230,"Pyrimethamine: 30 Tablet In 1 Bottle, Plastic (43598-672-30)",2872.73,2872.73,,,0 NDC,43598069811,"Carboprost Tromethamine: 1 Vial, Single-Dose In 1 Carton (43598-698-11) / 1 Ml In 1 Vial, Single-Dose",1355.54,1355.54,,,0 NDC,43598072511,NDC Description Not Available,31.7,31.7,,,0 NDC,43598074101,Ramelteon: 100 Tablet In 1 Bottle (43598-741-01),52.71,52.71,,,0 NDC,43598074130,Ramelteon: 30 Tablet In 1 Bottle (43598-741-30),51.8,51.8,,,0 NDC,43598075952,NDC Description Not Available,0.01,0.01,,,0 NDC,43598076507,"Olopatadine Hydrochloride Ophthalmic Solution: 1 Bottle, Plastic In 1 Carton (43598-765-07) / 5 Ml In 1 Bottle, Plastic",39.14,39.14,,,0 NDC,43598083911,NDC Description Not Available,34.4,34.4,,,0 NDC,43598083936,Methocarbamol: 10 Vial In 1 Carton (43598-839-36) / 10 Ml In 1 Vial (43598-839-11),43.26,43.26,,,0 NDC,43598084811,NDC Description Not Available,123.62,123.62,,,0 NDC,43598084858,"Ziprasidone Mesylate: 1 Vial, Single-Dose In 1 Carton (43598-848-58) / 1 Ml In 1 Vial, Single-Dose",123.08,123.08,,,0 NDC,43598085130,Deferasirox: 30 Tablet In 1 Bottle (43598-851-30),3.12,3.12,,,0 NDC,43598089116,NDC Description Not Available,24.72,24.72,,,0 NDC,43598090111,NDC Description Not Available,216.3,216.3,,,0 NDC,43598090158,"Ertapenem Sodium: 10 Vial, Single-Dose In 1 Carton (43598-901-58) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (43598-901-11)",216.3,216.3,,,0 NDC,43598091406,Vasopressin: 25 Vial In 1 Carton (43598-914-06) / 1 Ml In 1 Vial (43598-914-11),99.52,99.52,,,0 NDC,43598091411,NDC Description Not Available,99.52,99.52,,,0 NDC,43598091425,Vasopressin: 25 Vial In 1 Carton (43598-914-25) / 1 Ml In 1 Vial (43598-914-11),99.52,99.52,,,0 NDC,43598093109,Desmopressin Acetate: 10 Ampule In 1 Box (43598-931-09) / 1 Ml In 1 Ampule,41.07,41.07,,,0 NDC,43598093111,NDC Description Not Available,34.27,34.27,,,0 NDC,43598094511,NDC Description Not Available,5.44,5.44,,,0 NDC,43598094811,Fosaprepitant: 1 Vial In 1 Carton (43598-948-11) / 1 Ml In 1 Vial,0.1,0.1,,,0 NDC,43598097511,NDC Description Not Available,346.08,346.08,,,0 NDC,43598097710,Diclofenac Sodium: 1 Tube In 1 Carton (43598-977-10) / 100 G In 1 Tube,51.67,51.67,,,0 NDC,43825010201,"Ofirmev: 24 VIAL, GLASS in 1 CARTON (43825-102-01) / 100 mL in 1 VIAL, GLASS",1.7449999999999999,1.7449999999999999,,,0 NDC,43825020001,"Terlivaz: 1 Vial, Single-Dose In 1 Carton (43825-200-01) / 5 Ml In 1 Vial, Single-Dose",2348.4,2348.4,,,0 NDC,43975030810,CYCLOPHOSPHAMIDE: 100 CAPSULE in 1 BOTTLE (43975-308-10),29.71,29.71,,,0 NDC,43975032203,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (43975-322-03)",28.97,28.97,,,0 NDC,43975032303,"Tolterodine Tartrate: 30 Capsule, Extended Release In 1 Bottle (43975-323-03)",28.95,28.95,,,0 NDC,44087100502,"Saizen: 1 Kit In 1 Carton (44087-1005-2) * 3 Ml In 1 Vial, Glass * 3.5 Ml In 1 Vial, Glass",1775.72,1775.72,,,0 NDC,44087353501,"Bavencio: 1 Vial, Single-Dose In 1 Carton (44087-3535-1) / 10 Ml In 1 Vial, Single-Dose",239.29,239.29,,,0 NDC,44087500003,Tepmetko: 3 Blister Pack In 1 Carton (44087-5000-3) / 10 Tablet In 1 Blister Pack,1669.12,1669.12,,,0 NDC,44183010630,Doxepin Hydrochloride: 30 Tablet In 1 Bottle (44183-106-30),58.71,58.71,,,0 NDC,44206025105,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-05) / 50 Ml In 1 Vial, Glass (44206-251-90)",301.915,301.915,,,0 NDC,44206025110,"Alburx: 1 Vial, Glass In 1 Carton (44206-251-10) / 100 Ml In 1 Vial, Glass (44206-251-91)",434.53499999999997,434.53499999999997,,,0 NDC,44206025190,NDC Description Not Available,142.94,142.94,,,0 NDC,44206030001,"Rhophylac: 1 Syringe, Glass In 1 Carton (44206-300-01) / 2 Ml In 1 Syringe, Glass (44206-300-90)",42.19,42.19,,,0 NDC,44206030090,NDC Description Not Available,40.87,40.87,,,0 NDC,44206031025,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-25) / 250 Ml In 1 Vial, Glass (44206-310-90)",74.25,74.25,,,0 NDC,44206031050,"Alburx: 1 Vial, Glass In 1 Carton (44206-310-50) / 500 Ml In 1 Vial, Glass (44206-310-91)",73.475,73.475,,,0 NDC,44206031090,NDC Description Not Available,208.06,208.06,,,0 NDC,44206031091,NDC Description Not Available,353.88,353.88,,,0 NDC,44206043605,"Privigen: 1 Vial, Glass In 1 Carton (44206-436-05) / 50 Ml In 1 Vial, Glass (44206-436-90)",217.39,217.39,,,0 NDC,44206043690,NDC Description Not Available,217.445,217.445,,,0 NDC,44206043710,"Privigen: 1 Vial, Glass In 1 Carton (44206-437-10) / 100 Ml In 1 Vial, Glass (44206-437-91)",217.48,217.48,,,0 NDC,44206043791,NDC Description Not Available,217.47,217.47,,,0 NDC,44206043820,"Privigen: 1 Vial, Glass In 1 Carton (44206-438-20) / 200 Ml In 1 Vial, Glass (44206-438-92)",217.45,217.45,,,0 NDC,44206043892,NDC Description Not Available,217.46,217.46,,,0 NDC,44206043940,"Privigen: 1 Vial, Glass In 1 Carton (44206-439-40) / 400 Ml In 1 Vial, Glass (44206-439-93)",209.53,209.53,,,0 NDC,44206053211,"Cytogam: 1 VIAL, GLASS in 1 CARTON (44206-532-11) / 50 mL in 1 VIAL, GLASS (44206-532-90)",3662.04,3662.04,,,0 NDC,44523061701,"Urea: 1 Bottle, Plastic In 1 Carton (44523-617-01) / 28.35 G In 1 Bottle, Plastic",373.89,373.89,,,0 NDC,44567010110,"Ampicillin: 10 Vial In 1 Tray (44567-101-10) / 1 Injection, Powder, For Solution In 1 Vial",7.055,7.055,,,0 NDC,44567010310,"Ampicillin: 10 Vial In 1 Tray (44567-103-10) / 1 Injection, Powder, For Solution In 1 Vial",11.88,11.88,,,0 NDC,44567021110,Ampicillin And Sulbactam: 10 Vial In 1 Carton (44567-211-10) / 20 Ml In 1 Vial,34.14,34.14,,,0 NDC,44567022110,"Nafcillin: 10 Vial In 1 Carton (44567-221-10) / 1 Powder, For Solution In 1 Vial",95.2,95.2,,,0 NDC,44567022210,"Nafcillin: 10 Vial In 1 Carton (44567-222-10) / 1 Powder, For Solution In 1 Vial",95.28,95.28,,,0 NDC,44567023525,"Ceftazidime: 25 Vial In 1 Carton (44567-235-25) / 1 Injection, Powder, For Solution In 1 Vial",10.469999999999999,10.469999999999999,,,0 NDC,44567023610,"Ceftazidime: 10 Vial In 1 Carton (44567-236-10) / 1 Injection, Powder, For Solution In 1 Vial",10.81,10.81,,,0 NDC,44567023706,Ceftazidime: 6 Vial In 1 Carton (44567-237-06) / 100 Ml In 1 Vial,8.63,8.63,,,0 NDC,44567024010,Cefepime: 10 Vial In 1 Carton (44567-240-10) / 20 Ml In 1 Vial,12.92,12.92,,,0 NDC,44567024110,Cefepime: 10 Vial In 1 Carton (44567-241-10) / 20 Ml In 1 Vial,6.05,6.05,,,0 NDC,44567024525,"Cefoxitin: 25 Vial In 1 Carton (44567-245-25) / 1 Injection, Powder, For Solution In 1 Vial",43.26,43.26,,,0 NDC,44567024625,"Cefoxitin: 25 Vial In 1 Carton (44567-246-25) / 1 Injection, Powder, For Solution In 1 Vial",42.54,42.54,,,0 NDC,44567031110,"Penicillin G Potassium: 10 Vial In 1 Tray (44567-311-10) / 1 Injection, Powder, For Solution In 1 Vial",2.06,2.06,,,0 NDC,44567040201,NDC Description Not Available,141.77,141.77,,,0 NDC,44567040206,"Meropenem: 6 Vial In 1 Carton (44567-402-06) / 1 Injection, Powder, For Solution In 1 Vial (44567-402-01)",142.3,142.3,,,0 NDC,44567042024,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-420-24) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,7.4,7.4,,,0 NDC,44567042124,Magnesium Sulfate In Water: 24 Pouch In 1 Carton (44567-421-24) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.03,2.03,,,0 NDC,44567043724,Levofloxacin: 24 Pouch In 1 Carton (44567-437-24) / 1 Bag In 1 Pouch / 150 Ml In 1 Bag,18.82,18.82,,,0 NDC,44567045001,NDC Description Not Available,401.99,401.99,,,0 NDC,44567045010,Esmolol Hydrochloride: 10 Bag In 1 Carton (44567-450-10) / 250 Ml In 1 Bag (44567-450-01),401.7,401.7,,,0 NDC,44567050301,NDC Description Not Available,0.43,0.43,,,0 NDC,44567051101,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (44567-511-01) / 200 Ml In 1 Vial, Multi-Dose",21.39,21.39,,,0 NDC,44567053001,Cisplatin: 1 Vial In 1 Carton (44567-530-01) / 50 Ml In 1 Vial,270.2,270.2,,,0 NDC,44567061101,NDC Description Not Available,1.3,1.3,,,0 NDC,44567061110,Midazolam In Sodium Chloride: 10 Bag In 1 Carton (44567-611-10) / 100 Ml In 1 Bag (44567-611-01),1.3,1.3,,,0 NDC,44567062001,NDC Description Not Available,0.85,0.85,,,0 NDC,44567062024,Calcium Gluconate In Sodium Chloride: 24 Pouch In 1 Carton (44567-620-24) / 1 Bag In 1 Pouch (44567-620-01) / 50 Ml In 1 Bag,0.85,0.85,,,0 NDC,44567062101,NDC Description Not Available,0.85,0.85,,,0 NDC,44567064001,NDC Description Not Available,135.6,135.6,,,0 NDC,44567064201,NDC Description Not Available,316.195,316.195,,,0 NDC,44567070125,"Ceftriaxone: 25 Vial In 1 Carton (44567-701-25) / 1 Injection, Powder, For Solution In 1 Vial",3.35,3.35,,,0 NDC,44567070225,"Ceftriaxone: 25 Vial In 1 Carton (44567-702-25) / 1 Injection, Powder, For Solution In 1 Vial",3.22,3.22,,,0 NDC,44567070625,"Cefazolin: 25 Vial In 1 Carton (44567-706-25) / 1 Injection, Powder, For Solution In 1 Vial",6.859999999999999,6.859999999999999,,,0 NDC,44567084001,NDC Description Not Available,5.37,5.37,,,0 NDC,45567045501,"Kit For The Preparation Of Technetium Tc 99M Mebrofenin: 5 Vial, Multi-Dose In 1 Kit (45567-0455-1) / 10 Ml In 1 Vial, Multi-Dose",220.82,220.82,,,0 NDC,45567055501,Kit For The Preparation Of Technetium Tc99M Sestamibi: 5 Vial In 1 Carton (45567-0555-1) / 10 Ml In 1 Vial,325.48,325.48,,,0 NDC,45802000403,Hydrocortisone: 1 Tube In 1 Carton (45802-004-03) / 28 G In 1 Tube,39.14,39.14,,,0 NDC,45802001402,Hydrocortisone: 1 Tube In 1 Carton (45802-014-02) / 20 G In 1 Tube,17.73,17.73,,,0 NDC,45802004635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-046-35) / 15 G In 1 Tube,178.19,178.19,,,0 NDC,45802004811,Nystatin: 1 Tube In 1 Carton (45802-048-11) / 30 G In 1 Tube,94.76,94.76,,,0 NDC,45802004835,Nystatin: 1 Tube In 1 Carton (45802-048-35) / 15 G In 1 Tube,63.01,63.01,,,0 NDC,45802005003,dibucaine: 1 TUBE in 1 CARTON (45802-050-03) / 28 g in 1 TUBE,6.18,6.18,,,0 NDC,45802005505,Triamcinolone Acetonide: 454 G In 1 Jar (45802-055-05),149.1,149.1,,,0 NDC,45802005535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-055-35) / 15 G In 1 Tube,19.87,19.87,,,0 NDC,45802005611,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-11) / 30 G In 1 Tube,356.22,356.22,,,0 NDC,45802005635,Gentamicin Sulfate: 1 Tube In 1 Carton (45802-056-35) / 15 G In 1 Tube,178.11,178.11,,,0 NDC,45802005911,Nystatin: 1 Tube In 1 Carton (45802-059-11) / 30 G In 1 Tube,94.76,94.76,,,0 NDC,45802005935,Nystatin: 1 Tube In 1 Carton (45802-059-35) / 15 G In 1 Tube,63.03,63.03,,,0 NDC,45802006000,NDC Description Not Available,0.9,0.9,,,0 NDC,45802006001,Bacitracin: 1 Tube In 1 Carton (45802-060-01) / 14 G In 1 Tube,13.37,13.37,,,0 NDC,45802006070,Bacitracin: 144 Packet In 1 Carton (45802-060-70) / .9 G In 1 Packet,0.97,0.97,,,0 NDC,45802006405,Triamcinolone Acetonide: 454 G In 1 Jar (45802-064-05),83.43,83.43,,,0 NDC,45802006435,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-35) / 15 G In 1 Tube,14.15,14.15,,,0 NDC,45802006436,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-064-36) / 80 G In 1 Tube,33.99,33.99,,,0 NDC,45802006535,Triamcinolone Acetonide: 1 Tube In 1 Carton (45802-065-35) / 15 G In 1 Tube,36.39,36.39,,,0 NDC,45802009846,Mesalamine: 60 Ml In 1 Bottle (45802-098-46),87.55,87.55,,,0 NDC,45802009851,Mesalamine: 7 Bottle In 1 Carton (45802-098-51) / 60 Ml In 1 Bottle,87.55,87.55,,,0 NDC,45802011222,Mupirocin: 1 Tube In 1 Carton (45802-112-22) / 22 G In 1 Tube,40.53,40.53,,,0 NDC,45802014301,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-01) / 14 G In 1 Tube,4.28,4.28,,,0 NDC,45802014303,Triple Antibiotic: 1 Tube In 1 Carton (45802-143-03) / 28 G In 1 Tube,6.28,6.28,,,0 NDC,45802016000,Diclofenac Sodium: 1 Tube In 1 Carton (45802-160-00) / 100 G In 1 Tube,64.89,64.89,,,0 NDC,45802018816,Hemorrhoidal: 1 Tube In 1 Carton (45802-188-16) / 57 G In 1 Tube,5.15,5.15,,,0 NDC,45802027603,Hydrocortisone: 1 Tube In 1 Carton (45802-276-03) / 28 G In 1 Tube,4.12,4.12,,,0 NDC,45802035758,NDC Description Not Available,4.12,4.12,,,0 NDC,45802035803,Diphenhydramine Hcl And Zinc Acetate: 1 Tube In 1 Carton (45802-358-03) / 28 G In 1 Tube,14.42,14.42,,,0 NDC,45802041059,"Oxymetazoline Hcl: 1 Bottle, Spray In 1 Carton (45802-410-59) / 30 Ml In 1 Bottle, Spray",4.12,4.12,,,0 NDC,45802041954,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (45802-419-54)",119.48,119.48,,,0 NDC,45802043411,Clotrimazole: 1 Tube In 1 Carton (45802-434-11) / 28 G In 1 Tube,30.9,30.9,,,0 NDC,45802043803,Hydrocortisone: 1 Tube In 1 Carton (45802-438-03) / 28 G In 1 Tube,4.12,4.12,,,0 NDC,45802046564,Ketoconazole: 120 Ml In 1 Bottle (45802-465-64),109.18,109.18,,,0 NDC,45802047201,NDC Description Not Available,65.92,65.92,,,0 NDC,45802047264,Hydrocortisone Acetate Pramoxine Hcl: 1 Tube In 1 Carton (45802-472-64) / 28.35 G In 1 Tube,566.5,566.5,,,0 NDC,45802047265,Hydrocortisone Acetate Pramoxine Hcl: 30 Tube In 1 Carton (45802-472-65) / 4 G In 1 Tube (45802-472-01),32.68,32.68,,,0 NDC,45802056201,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-01) / 30 Ml In 1 Bottle, With Applicator",98.03,98.03,,,0 NDC,45802056202,"Clindamycin Phosphate: 1 Bottle, With Applicator In 1 Carton (45802-562-02) / 60 Ml In 1 Bottle, With Applicator",208.96,208.96,,,0 NDC,45802070000,Tacrolimus: 1 Tube In 1 Carton (45802-700-00) / 30 G In 1 Tube,432.6,432.6,,,0 NDC,45802073000,Acetaminophen Pain Reliever Fever Reducer: 1 Suppository In 1 Blister Pack (45802-730-00),2.0,2.0,,,0 NDC,45802073030,Acetaminophen Pain Reliever Fever Reducer: 12 Blister Pack In 1 Carton (45802-730-30) / 1 Suppository In 1 Blister Pack,2.14,2.14,,,0 NDC,45802073032,Acetaminophen Pain Reliever Fever Reducer: 50 Blister Pack In 1 Carton (45802-730-32) / 1 Suppository In 1 Blister Pack,1.99,1.99,,,0 NDC,45802073033,Acetaminophen Pain Reliever Fever Reducer: 100 Blister Pack In 1 Carton (45802-730-33) / 1 Suppository In 1 Blister Pack,2.06,2.06,,,0 NDC,45802073200,NDC Description Not Available,1.98,1.98,,,0 NDC,45802075800,NDC Description Not Available,63.69,63.69,,,0 NDC,45802075830,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-758-30) / 1 Suppository In 1 Blister Pack (45802-758-00),63.86,63.86,,,0 NDC,45802075900,NDC Description Not Available,59.43,59.43,,,0 NDC,45802075930,Promethazine Hydrochloride: 12 Blister Pack In 1 Carton (45802-759-30) / 1 Suppository In 1 Blister Pack (45802-759-00),63.86,63.86,,,0 NDC,45802093716,Hydrocortisone: 59 Ml In 1 Bottle (45802-937-16),192.61,192.61,,,0 NDC,45802095301,Diclofenac Sodium: 1 Tube In 1 Carton (45802-953-01) / 100 G In 1 Tube,52.7,52.7,,,0 NDC,45963041806,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (45963-418-06)",25.75,25.75,,,0 NDC,45963043864,Enulose: 473 Ml In 1 Bottle (45963-438-64),83.36,83.36,,,0 NDC,45963043965,Constulose: 946 Ml In 1 Bottle (45963-439-65),77.16,77.16,,,0 NDC,45963060755,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-55) / 1 Ml In 1 Vial, Single-Dose",70.04,70.04,,,0 NDC,45963060756,"Vinorelbine: 1 Vial, Single-Dose In 1 Carton (45963-607-56) / 5 Ml In 1 Vial, Single-Dose",54.53,54.53,,,0 NDC,45963060955,"Fludarabine Phosphate: 1 Vial, Glass In 1 Carton (45963-609-55) / 2 Ml In 1 Vial, Glass",180.71,180.71,,,0 NDC,45963073355,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-55) / 5 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 NDC,45963073357,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (45963-733-57) / 10 Ml In 1 Vial, Single-Dose",41.97,41.97,,,0 NDC,45963073360,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (45963-733-60) / 100 Ml In 1 Vial, Multi-Dose",27.87,27.87,,,0 NDC,45963076552,"Docetaxel: 1 Vial, Glass In 1 Carton (45963-765-52) / 4 Ml In 1 Vial, Glass",24.58,24.58,,,0 NDC,46287000604,Sodium Polystyrene Sulfonate: 120 Ml In 1 Bottle (46287-006-04),522.3,522.3,,,0 NDC,46287000660,"Sodium Polystyrene Sulfonate: 10 Bottle, Unit-Dose In 1 Carton (46287-006-60) / 60 Ml In 1 Bottle, Unit-Dose",79.19,79.19,,,0 NDC,46287002001,Carospir: 473 Ml In 1 Bottle (46287-020-01),31.59,31.59,,,0 NDC,46287002004,Carospir: 118 Ml In 1 Bottle (46287-020-04),68.9,68.9,,,0 NDC,46287002020,NDC Description Not Available,73.47,73.47,,,0 NDC,46287002050,"Carospir: 10 Cup, Unit-Dose In 1 Carton (46287-020-50) / 5 Ml In 1 Cup, Unit-Dose",92.7,92.7,,,0 NDC,46287002410,"Potassium Phosphates: 10 Vial, Single-Dose In 1 Carton (46287-024-10) / 15 Ml In 1 Vial, Single-Dose",161.71,161.71,,,0 NDC,46287002415,"Potassium Phosphates: 1 Vial, Single-Dose In 1 Carton (46287-024-15) / 15 Ml In 1 Vial, Single-Dose",161.71,161.71,,,0 NDC,46783016001,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-160-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",12.8,12.8,,,0 NDC,46783016101,"Xeomin: 1 Vial, Single-Use In 1 Carton (46783-161-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Use",16.92,16.92,,,0 NDC,47335004940,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (47335-049-40) / 10 Ml In 1 Vial, Single-Dose",1151.31,1151.31,,,0 NDC,47335017795,Ilumya: 1 Ml In 1 Carton (47335-177-95),361.18,361.18,,,0 NDC,47335023583,Methotrexate: 100 Tablet In 1 Bottle (47335-235-83),12.85,12.85,,,0 NDC,47335023683,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-236-83)",1227.82,1227.82,,,0 NDC,47335023783,"Ambrisentan: 30 Tablet, Film Coated In 1 Bottle (47335-237-83)",370.73,370.73,,,0 NDC,47335032213,"Memantine Hydrochloride: 500 Tablet, Film Coated In 1 Bottle (47335-322-13)",21.63,21.63,,,0 NDC,47335048583,"Bicalutamide: 30 Tablet, Film Coated In 1 Bottle (47335-485-83)",66.95,66.95,,,0 NDC,47335048588,"Bicalutamide: 100 Tablet, Film Coated In 1 Bottle (47335-485-88)",66.8,66.8,,,0 NDC,47335063148,NDC Description Not Available,12.3,12.3,,,0 NDC,47335063248,NDC Description Not Available,13.06,13.06,,,0 NDC,47335063249,Budesonide: 6 Pouch In 1 Carton (47335-632-49) / 5 Ampule In 1 Pouch (47335-632-48) / 2 Ml In 1 Ampule,13.13,13.13,,,0 NDC,47335063348,NDC Description Not Available,21.63,21.63,,,0 NDC,47335070348,NDC Description Not Available,1.66,1.66,,,0 NDC,47335070352,Albuterol Sulfate: 6 Pouch In 1 Carton (47335-703-52) / 5 Vial In 1 Pouch / 3 Ml In 1 Vial,1.75,1.75,,,0 NDC,47335075648,NDC Description Not Available,7.91,7.91,,,0 NDC,47335089060,NDC Description Not Available,45.11,45.11,,,0 NDC,47335089160,NDC Description Not Available,45.48,45.48,,,0 NDC,47335089260,NDC Description Not Available,45.47,45.47,,,0 NDC,47335095688,"Alfuzosin Hydrochloride: 100 Tablet, Extended Release In 1 Bottle (47335-956-88)",15.29,15.29,,,0 NDC,47335099201,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-01) / 1 Bag In 1 Pouch / 50 Ml In 1 Bag,14.16,14.16,,,0 NDC,47335099202,Magnesium Sulfate: 24 Pouch In 1 Case (47335-992-02) / 1 Bag In 1 Pouch / 100 Ml In 1 Bag,2.67,2.67,,,0 NDC,47335099301,Metronidazole: 1 Bag In 1 Pouch (47335-993-01) / 100 Ml In 1 Bag,5.86,5.86,,,0 NDC,47426020101,"Cinvanti: 1 Vial, Glass In 1 Carton (47426-201-01) / 18 Ml In 1 Vial, Glass",8.37,8.37,,,0 NDC,47426030102,"Zynrelef: 1 Carton In 1 Kit (47426-301-02) / 1 Vial, Single-Dose In 1 Carton (47426-301-04) / 14 Ml In 1 Vial, Single-Dose (47426-301-06)",653.02,653.02,,,0 NDC,47426040101,NDC Description Not Available,8.11,8.11,,,0 NDC,47781017601,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, Amphetamine Sulfate Tablets,Cii: 100 Tablet In 1 Bottle (47781-176-01)",5.81,5.81,,,0 NDC,47781033530,"Pyridostigmine Bromide: 30 Tablet, Extended Release In 1 Bottle (47781-335-30)",84.8,84.8,,,0 NDC,47781035503,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-355-03) / 1 Film In 1 Pouch (47781-355-11),17.51,17.51,,,0 NDC,47781035511,NDC Description Not Available,16.49,16.49,,,0 NDC,47781035603,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-356-03) / 1 Film In 1 Pouch (47781-356-11),31.93,31.93,,,0 NDC,47781035611,NDC Description Not Available,31.71,31.71,,,0 NDC,47781035703,Buprenorphine And Naloxone Sublingual Film: 30 Pouch In 1 Carton (47781-357-03) / 1 Film In 1 Pouch (47781-357-11),31.93,31.93,,,0 NDC,47781035711,NDC Description Not Available,31.4,31.4,,,0 NDC,47781042311,NDC Description Not Available,73.14,73.14,,,0 NDC,47781042411,NDC Description Not Available,76.57,76.57,,,0 NDC,47781042447,Fentanyl System: 5 Pouch In 1 Carton (47781-424-47) / 1 Patch In 1 Pouch (47781-424-11),76.22,76.22,,,0 NDC,47781042611,NDC Description Not Available,140.12,140.12,,,0 NDC,47781042647,Fentanyl System: 5 Pouch In 1 Carton (47781-426-47) / 1 Patch In 1 Pouch (47781-426-11),140.08,140.08,,,0 NDC,47781042711,NDC Description Not Available,213.86,213.86,,,0 NDC,47781042811,NDC Description Not Available,283.84,283.84,,,0 NDC,47781046813,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (47781-468-13) / 10 Capsule In 1 Blister Pack,51.18,51.18,,,0 NDC,47781056401,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-564-01),39.99,39.99,,,0 NDC,47781056501,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-565-01),40.17,40.17,,,0 NDC,47781056601,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-566-01),40.02,40.02,,,0 NDC,47781056701,Lisdexamfetamine Dimesylate: 100 Capsule In 1 Bottle (47781-567-01),39.95,39.95,,,0 NDC,47781061791,"Rocuronium Bromide: 10 VIAL, MULTI-DOSE in 1 CARTON (47781-617-91) / 10 mL in 1 VIAL, MULTI-DOSE (47781-617-22)",23.94,23.94,,,0 NDC,47781091193,"Testosterone Cypionate: 1 Vial, Single-Dose In 1 Carton (47781-911-93) / 1 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 NDC,48102005711,Erythromycin: 50 Tube In 1 Carton (48102-057-11) / 1 G In 1 Tube,42.26,42.26,,,0 NDC,48433020230,"Mineral Oil: 30 Ml In 1 Cup, Unit-Dose (48433-202-30)",2.06,2.06,,,0 NDC,48433021905,NDC Description Not Available,2.43,2.43,,,0 NDC,48433021940,"Senna Syrup: 40 Cup, Unit-Dose In 1 Box (48433-219-40) / 5 Ml In 1 Cup, Unit-Dose (48433-219-05)",2.58,2.58,,,0 NDC,48433023015,Strong Iodine Solution: 14 Ml In 1 Bottle (48433-230-15),42.96,42.96,,,0 NDC,48783011208,"Monsels Solution: 14 G In 1 Vial, Single-Dose (48783-112-08)",50.48,50.48,,,0 NDC,48815100205,"Sodium Iodide I 123: 1 Vial, Plastic In 1 Can (48815-1002-5) / 5 Capsule, Gelatin Coated In 1 Vial, Plastic",1683.83,1683.83,,,0 NDC,49281019020,"Imogam Rabies-Ht: 1 Vial, Single-Dose In 1 Carton (49281-190-20) / 2 Ml In 1 Vial, Single-Dose (49281-190-58)",1095.2,1095.2,,,0 NDC,49281021510,"Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)",159.65,159.65,,,0 NDC,49281021558,NDC Description Not Available,159.65,159.65,,,0 NDC,49281021588,NDC Description Not Available,170.98,170.98,,,0 NDC,49281024658,NDC Description Not Available,1237.13,1237.13,,,0 NDC,49281024858,NDC Description Not Available,1051.63,1051.63,,,0 NDC,49281025251,"Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58)",1027.73,1027.73,,,0 NDC,49281054758,NDC Description Not Available,80.41,80.41,,,0 NDC,49281057500,Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe,1223.64,1223.64,,,0 NDC,49281057515,Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe,1284.41,1284.41,,,0 NDC,49281075221,"Tubersol: 1 Vial, Multi-Dose In 1 Carton (49281-752-21) / 1 Ml In 1 Vial, Multi-Dose (49281-752-78)",41.2,41.2,,,0 NDC,49281075278,NDC Description Not Available,42.52,42.52,,,0 NDC,49281086010,"Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78)",182.89,182.89,,,0 NDC,49281086078,NDC Description Not Available,184.37,184.37,,,0 NDC,49348003729,"Sunmark Eye Drops Original Formula: 1 Bottle, Plastic In 1 Carton (49348-037-29) / 15 Ml In 1 Bottle, Plastic",8.24,8.24,,,0 NDC,49348009529,"Sunmark Dry Eye Relief: 1 Bottle, Plastic In 1 Carton (49348-095-29) / 15 Ml In 1 Bottle, Plastic",17.51,17.51,,,0 NDC,49348015078,Sunmark Lice Treatment: 1 Bottle In 1 Carton (49348-150-78) / 59 Ml In 1 Bottle,11.33,11.33,,,0 NDC,49348015529,Sunmark Antifungal: 1 Tube In 1 Carton (49348-155-29) / 15 G In 1 Tube,16.48,16.48,,,0 NDC,49348017934,Sunmark Hydrogen Peroxide 3 Percent: 118 Ml In 1 Bottle (49348-179-34),2.06,2.06,,,0 NDC,49348017937,Sunmark Hydrogen Peroxide 3 Percent: 236 Ml In 1 Bottle (49348-179-37),2.06,2.06,,,0 NDC,49348027472,Sunmark Double Antibiotic: 1 Tube In 1 Carton (49348-274-72) / 28.4 G In 1 Tube,3.13,3.13,,,0 NDC,49348027972,Sunmark Clotrimazole: 1 Tube In 1 Carton (49348-279-72) / 30 G In 1 Tube,26.93,26.93,,,0 NDC,49348044172,Sunmark Hydrocortisone Plus: 1 Tube In 1 Carton (49348-441-72) / 28.4 G In 1 Tube,4.12,4.12,,,0 NDC,49348053077,"Sunmark Miconazole 7: 1 Tube, With Applicator In 1 Carton (49348-530-77) / 45 G In 1 Tube, With Applicator",11.33,11.33,,,0 NDC,49348079376,Clotrimazole: 1 Tube In 1 Carton (49348-793-76) / 45 G In 1 Tube,23.69,23.69,,,0 NDC,49348085472,Sunmark Anti-Itch: 1 Tube In 1 Carton (49348-854-72) / 28.4 G In 1 Tube,17.58,17.58,,,0 NDC,49348087277,Sunmark Miconazole 7: 1 Tube In 1 Carton (49348-872-77) / 45 G In 1 Tube,8.45,8.45,,,0 NDC,49401010101,Benlysta: 1 Vial In 1 Carton (49401-101-01) / 1.5 Ml In 1 Vial,121.34,121.34,,,0 NDC,49401010201,Benlysta: 1 Vial In 1 Carton (49401-102-01) / 5 Ml In 1 Vial,40.09,40.09,,,0 NDC,49411005030,"Amicar: 30 Tablet In 1 Bottle, Plastic (49411-050-30)",88.58,88.58,,,0 NDC,49411005208,"Amicar: 236.5 Ml In 1 Bottle, Plastic (49411-052-08)",255.65,255.65,,,0 NDC,49502010201,NDC Description Not Available,225.26,225.26,,,0 NDC,49502010202,"Epinephrine: 2 Container In 1 Carton (49502-102-02) / 1 Syringe, Glass In 1 Container (49502-102-01) / .3 Ml In 1 Syringe, Glass",450.8,450.8,,,0 NDC,49502060530,Perforomist: 30 Pouch In 1 Carton (49502-605-30) / 1 Vial In 1 Pouch / 2 Ml In 1 Vial,85.36,85.36,,,0 NDC,49502060561,Perforomist: 60 Pouch In 1 Carton (49502-605-61) / 1 Vial In 1 Pouch (49502-605-95) / 2 Ml In 1 Vial,85.73,85.73,,,0 NDC,49502060595,NDC Description Not Available,80.2,80.2,,,0 NDC,49502090001,NDC Description Not Available,294.58,294.58,,,0 NDC,49591030013,NDC Description Not Available,132.53,132.53,,,0 NDC,49591030051,"Winrho Sdf: 1 Vial, Glass In 1 Carton (49591-300-51) / 13 Ml In 1 Vial, Glass (49591-300-13)",89.54,89.54,,,0 NDC,49591053250,NDC Description Not Available,4342.94,4342.94,,,0 NDC,49591053251,"Cytogam: 1 Vial, Glass In 1 Carton (49591-532-51) / 50 Ml In 1 Vial, Glass (49591-532-50)",4342.9,4342.9,,,0 NDC,49609010101,"Fludeoxyglucose F 18: 30 Ml In 1 Vial, Multi-Dose (49609-101-01)",1352.7,1352.7,,,0 NDC,49702020548,Epivir: 240 Ml In 1 Bottle (49702-205-48),4.99,4.99,,,0 NDC,49702021120,Retrovir: 100 Capsule In 1 Bottle (49702-211-20),11.67,11.67,,,0 NDC,49702021301,NDC Description Not Available,5.305,5.305,,,0 NDC,49702021326,"Retrovir: 5 Vial, Single-Use In 1 Carton (49702-213-26) / 20 Ml In 1 Vial, Single-Use (49702-213-01)",7.01,7.01,,,0 NDC,49702022813,"Tivicay: 30 Tablet, Film Coated In 1 Bottle (49702-228-13)",326.14,326.14,,,0 NDC,49702023113,"Triumeq: 30 Tablet, Film Coated In 1 Bottle (49702-231-13)",544.15,544.15,,,0 NDC,49702025018,"Rukobia: 1 Bottle In 1 Carton (49702-250-18) / 60 Tablet, Film Coated, Extended Release In 1 Bottle",422.83,422.83,,,0 NDC,49884023183,"Praziquantel: 6 Tablet, Film Coated In 1 Bottle (49884-231-83)",323.29,323.29,,,0 NDC,49884031152,NDC Description Not Available,17.72,17.72,,,0 NDC,49884031552,NDC Description Not Available,20.74,20.74,,,0 NDC,49884046564,NDC Description Not Available,12.36,12.36,,,0 NDC,49884076852,NDC Description Not Available,1836.31,1836.31,,,0 NDC,49884077052,NDC Description Not Available,2101.2,2101.2,,,0 NDC,49938010130,Dapsone: 2 Blister Pack In 1 Carton (49938-101-30) / 15 Tablet In 1 Blister Pack,12.36,12.36,,,0 NDC,49938010230,Dapsone: 2 Blister Pack In 1 Carton (49938-102-30) / 15 Tablet In 1 Blister Pack,9.84,9.84,,,0 NDC,49999014215,Bacitracin: 14 g in 1 TUBE (49999-142-15),18.54,18.54,,,0 NDC,49999014320,SILVADENE: 1 TUBE in 1 CARTON (49999-143-20) / 20 g in 1 TUBE,66.95,66.95,,,0 NDC,49999018525,Silver Sulfadiazine: 25 g in 1 TUBE (49999-185-25),101.04,101.04,,,0 NDC,49999089990,Oxycodone Hydchloride: 90 Tablet In 1 Bottle (49999-899-90),6.18,6.18,,,0 NDC,50090081500,Bacitracin: 1 Tube In 1 Carton (50090-0815-0) / 14 G In 1 Tube,17.51,17.51,,,0 NDC,50111056001,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-560-01),3.34,3.34,,,0 NDC,50111056101,Trazodone Hydrochloride: 100 Tablet In 1 Bottle (50111-561-01),4.81,4.81,,,0 NDC,50111064701,Fluoxetine: 100 Capsule In 1 Bottle (50111-647-01),8.8,8.8,,,0 NDC,50111078751,"Azithromycin: 1 Blister Pack In 1 Carton (50111-787-51) / 6 Tablet, Film Coated In 1 Blister Pack",27.98,27.98,,,0 NDC,50111078810,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-788-10)",54.9,54.9,,,0 NDC,50111078855,"Azithromycin: 1 Blister Pack In 1 Carton (50111-788-55) / 3 Tablet, Film Coated In 1 Blister Pack",51.5,51.5,,,0 NDC,50111078910,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (50111-789-10)",67.34,67.34,,,0 NDC,50111091801,Torsemide: 100 Tablet In 1 Bottle (50111-918-01),11.09,11.09,,,0 NDC,50228011301,Fluoxetine: 100 Capsule In 1 Bottle (50228-113-01),6.66,6.66,,,0 NDC,50228011401,Fluoxetine: 100 Capsule In 1 Bottle (50228-114-01),9.56,9.56,,,0 NDC,50228017501,"Bupropion Hydrochloride Sr: 100 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50228-175-01)",5.29,5.29,,,0 NDC,50228018960,"Levetiracetam Extended-Release: 60 Tablet, Film Coated, Extended Release In 1 Bottle (50228-189-60)",16.57,16.57,,,0 NDC,50228019260,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-192-60)",38.78,38.78,,,0 NDC,50228019360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (50228-193-60)",60.46,60.46,,,0 NDC,50228037990,Ezetimibe: 90 Tablet In 1 Bottle (50228-379-90),41.18,41.18,,,0 NDC,50228042360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Package (50228-423-60)",23.15,23.15,,,0 NDC,50228045801,Carbidopa And Levodopa: 100 Tablet In 1 Bottle (50228-458-01),4.27,4.27,,,0 NDC,50228048101,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-481-01),3.47,3.47,,,0 NDC,50228048201,Diltiazem Hydrochloride: 100 Tablet In 1 Bottle (50228-482-01),5.25,5.25,,,0 NDC,50242003706,NDC Description Not Available,363.98,363.98,,,0 NDC,50242004062,"Xolair: 1 Vial, Single-Use In 1 Carton (50242-040-62) / 1.2 Ml In 1 Vial, Single-Use",114.12,114.12,,,0 NDC,50242004110,Cathflo Activase: 10 Vial In 1 Carton (50242-041-10) / 2 Ml In 1 Vial,300.825,300.825,,,0 NDC,50242004164,Cathflo Activase: 1 Vial In 1 Carton (50242-041-64) / 2 Ml In 1 Vial,364.63,364.63,,,0 NDC,50242004406,NDC Description Not Available,217.54,217.54,,,0 NDC,50242004413,"Activase: 1 Kit In 1 Carton (50242-044-13) * 50 Ml In 1 Vial, Single-Use * 50 Ml In 1 Vial, Single-Use",318.37,318.37,,,0 NDC,50242005121,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-051-21) / 10 Ml In 1 Vial, Single-Use",214.9,214.9,,,0 NDC,50242005306,"Rituxan: 1 Vial, Single-Use In 1 Carton (50242-053-06) / 50 Ml In 1 Vial, Single-Use",230.255,230.255,,,0 NDC,50242006001,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-060-01) / 4 Ml In 1 Vial, Single-Use",39.67,39.67,,,0 NDC,50242006101,"Avastin: 1 Vial, Single-Use In 1 Carton (50242-061-01) / 16 Ml In 1 Vial, Single-Use",191.2,191.2,,,0 NDC,50242007001,"Gazyva: 1 Vial, Single-Use In 1 Carton (50242-070-01) / 40 Ml In 1 Vial, Single-Use",203.86,203.86,,,0 NDC,50242007701,"Herceptin Hylecta: 1 Vial, Single-Dose In 1 Carton (50242-077-01) / 5 Ml In 1 Vial, Single-Dose",192.62,192.62,,,0 NDC,50242008527,"Activase: 1 Kit In 1 Carton (50242-085-27) * 100 Ml In 1 Vial, Single-Use * 100 Ml In 1 Vial, Single-Use",364.395,364.395,,,0 NDC,50242008701,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-087-01) / 8 Ml In 1 Vial, Single-Use",96.2,96.2,,,0 NDC,50242008801,"Kadcyla: 1 Vial, Single-Use In 1 Carton (50242-088-01) / 5 Ml In 1 Vial, Single-Use",94.09,94.09,,,0 NDC,50242010039,NDC Description Not Available,197.52,197.52,,,0 NDC,50242010040,Pulmozyme: 5 Pouch In 1 Carton (50242-100-40) / 6 Ampule In 1 Pouch (50242-100-39) / 2.5 Ml In 1 Ampule,187.58,187.58,,,0 NDC,50242010501,"Polivy: 1 Vial, Single-Dose In 1 Carton (50242-105-01) / 20 Ml In 1 Vial, Single-Dose",310.35,310.35,,,0 NDC,50242010801,"Rituxan Hycela: 1 Vial, Single-Dose In 1 Carton (50242-108-01) / 11.7 Ml In 1 Vial, Single-Dose",116.13,116.13,,,0 NDC,50242012047,"Tnkase: 1 Kit In 1 Carton (50242-120-47) * 1 Vial, Single-Use In 1 Carton (50242-037-06) / 10 Ml In 1 Vial, Single-Use * 1 Vial, Single-Use In 1 Carton (50242-901-09) / 10 Ml In 1 Vial, Single-Us",375.74,375.74,,,0 NDC,50242012501,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-125-01) / 2.5 Ml In 1 Vial, Single-Dose",4283.66,4283.66,,,0 NDC,50242012701,"Columvi: 1 Vial, Single-Dose In 1 Carton (50242-127-01) / 10 Ml In 1 Vial, Single-Dose",5601.18,5601.18,,,0 NDC,50242013201,"Herceptin: 1 Vial, Single-Dose In 1 Carton (50242-132-01) / 15 Ml In 1 Vial, Single-Dose",257.78,257.78,,,0 NDC,50242013501,"Actemra: 1 Vial, Single-Use In 1 Box (50242-135-01) / 4 Ml In 1 Vial, Single-Use",18.27,18.27,,,0 NDC,50242013601,"Actemra: 1 Vial, Single-Use In 1 Box (50242-136-01) / 10 Ml In 1 Vial, Single-Use",14.98,14.98,,,0 NDC,50242013701,"Actemra: 1 Vial, Single-Use In 1 Box (50242-137-01) / 20 Ml In 1 Vial, Single-Use",14.01,14.01,,,0 NDC,50242013801,"Actemra: 1 Syringe, Glass In 1 Box (50242-138-01) / .9 Ml In 1 Syringe, Glass",16.42,16.42,,,0 NDC,50242014201,Lunsumio: 1 Vial In 1 Carton (50242-142-01) / 30 Ml In 1 Vial,1490.54,1490.54,,,0 NDC,50242014501,"Perjeta: 1 Vial, Single-Use In 1 Carton (50242-145-01) / 14 Ml In 1 Vial, Single-Use",37.58,37.58,,,0 NDC,50242015001,"Ocrevus: 1 Vial, Single-Use In 1 Carton (50242-150-01) / 10 Ml In 1 Vial, Single-Use",149.21,149.21,,,0 NDC,50242015901,Lunsumio: 1 Vial In 1 Carton (50242-159-01) / 1 Ml In 1 Vial,1490.41,1490.41,,,0 NDC,50242021401,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-214-01) / .5 Ml In 1 Syringe, Glass",116.69,116.69,,,0 NDC,50242021501,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-01) / 1 Ml In 1 Syringe, Glass",105.66,105.66,,,0 NDC,50242021586,"Xolair Pfs: 1 Syringe, Glass In 1 Carton (50242-215-86) / 1 Ml In 1 Syringe, Glass",114.12,114.12,,,0 NDC,50242024501,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-245-01) / 15 Ml In 1 Vial, Single-Dose",179.75,179.75,,,0 NDC,50242026001,"Phesgo: 1 Vial, Single-Dose In 1 Carton (50242-260-01) / 10 Ml In 1 Vial, Single-Dose",176.81,176.81,,,0 NDC,50242091701,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-917-01) / 20 Ml In 1 Vial, Single-Use",217.855,217.855,,,0 NDC,50242091801,"Tecentriq: 1 Vial, Single-Use In 1 Carton (50242-918-01) / 14 Ml In 1 Vial, Single-Use",218.875,218.875,,,0 NDC,50242092301,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-923-01) / 1 Ml In 1 Vial, Single-Use",138.37,138.37,,,0 NDC,50242093001,"Hemlibra: 1 Vial, Single-Use In 1 Carton (50242-930-01) / 2 Ml In 1 Vial, Single-Use",31201.965,31201.965,,,0 NDC,50268004315,Artificial Tears: 15 Ml In 1 Bottle (50268-043-15),0.52,0.52,,,0 NDC,50268004911,NDC Description Not Available,36.21,36.21,,,0 NDC,50268006111,NDC Description Not Available,13.5,13.5,,,0 NDC,50268006211,NDC Description Not Available,15.2,15.2,,,0 NDC,50268006911,NDC Description Not Available,12.56,12.56,,,0 NDC,50268007411,NDC Description Not Available,4.64,4.64,,,0 NDC,50268008611,NDC Description Not Available,148.9,148.9,,,0 NDC,50268008711,NDC Description Not Available,107.73,107.73,,,0 NDC,50268008811,NDC Description Not Available,105.18,105.18,,,0 NDC,50268008911,NDC Description Not Available,93.56,93.56,,,0 NDC,50268008915,"Aripiprazole: 50 Blister Pack In 1 Box, Unit-Dose (50268-089-15) / 1 Tablet In 1 Blister Pack (50268-089-11)",102.08,102.08,,,0 NDC,50268009011,NDC Description Not Available,107.53,107.53,,,0 NDC,50268009012,"Aripiprazole: 20 Blister Pack In 1 Box, Unit-Dose (50268-090-12) / 1 Tablet In 1 Blister Pack (50268-090-11)",110.21,110.21,,,0 NDC,50268012711,NDC Description Not Available,4.05,4.05,,,0 NDC,50268013011,NDC Description Not Available,5.45,5.45,,,0 NDC,50268013111,NDC Description Not Available,4.76,4.76,,,0 NDC,50268014011,NDC Description Not Available,28.07,28.07,,,0 NDC,50268014311,NDC Description Not Available,7.34,7.34,,,0 NDC,50268015311,NDC Description Not Available,111.78,111.78,,,0 NDC,50268016211,NDC Description Not Available,17.22,17.22,,,0 NDC,50268016411,NDC Description Not Available,39.08,39.08,,,0 NDC,50268016711,NDC Description Not Available,8.24,8.24,,,0 NDC,50268016811,NDC Description Not Available,15.76,15.76,,,0 NDC,50268016911,NDC Description Not Available,8.37,8.37,,,0 NDC,50268017311,NDC Description Not Available,2.47,2.47,,,0 NDC,50268017315,Clonazepam: 50 Blister Pack In 1 Box (50268-173-15) / 1 Tablet In 1 Blister Pack (50268-173-11),2.5,2.5,,,0 NDC,50268017611,NDC Description Not Available,7.6,7.6,,,0 NDC,50268017811,NDC Description Not Available,21.04,21.04,,,0 NDC,50268017911,NDC Description Not Available,25.2,25.2,,,0 NDC,50268018411,NDC Description Not Available,69.12,69.12,,,0 NDC,50268018711,NDC Description Not Available,14.93,14.93,,,0 NDC,50268018911,NDC Description Not Available,0.71,0.71,,,0 NDC,50268019011,NDC Description Not Available,1.49,1.49,,,0 NDC,50268019560,Capsaicin External Analgesic: 1 Tube In 1 Carton (50268-195-60) / 60 G In 1 Tube,36.05,36.05,,,0 NDC,50268026011,NDC Description Not Available,5.53,5.53,,,0 NDC,50268027911,NDC Description Not Available,19.29,19.29,,,0 NDC,50268029511,NDC Description Not Available,21.63,21.63,,,0 NDC,50268029811,NDC Description Not Available,44.64,44.64,,,0 NDC,50268029812,"Ezetimibe: 20 Blister Pack In 1 Box, Unit-Dose (50268-298-12) / 1 Tablet In 1 Blister Pack (50268-298-11)",44.48,44.48,,,0 NDC,50268030411,NDC Description Not Available,11.77,11.77,,,0 NDC,50268031111,NDC Description Not Available,18.54,18.54,,,0 NDC,50268031411,NDC Description Not Available,11.31,11.31,,,0 NDC,50268031415,"Finasteride: 50 Blister Pack In 1 Box (50268-314-15) / 1 Tablet, Film Coated In 1 Blister Pack (50268-314-11)",11.33,11.33,,,0 NDC,50268032011,NDC Description Not Available,14.55,14.55,,,0 NDC,50268032111,NDC Description Not Available,20.51,20.51,,,0 NDC,50268033011,NDC Description Not Available,4.9,4.9,,,0 NDC,50268033111,NDC Description Not Available,354.11,354.11,,,0 NDC,50268033211,NDC Description Not Available,666.82,666.82,,,0 NDC,50268033212,Flucytosine: 20 Blister Pack In 1 Box (50268-332-12) / 1 Capsule In 1 Blister Pack (50268-332-11),666.75,666.75,,,0 NDC,50268033711,NDC Description Not Available,34.37,34.37,,,0 NDC,50268033911,NDC Description Not Available,58.2,58.2,,,0 NDC,50268036611,NDC Description Not Available,26.96,26.96,,,0 NDC,50268040511,NDC Description Not Available,3.97,3.97,,,0 NDC,50268040611,NDC Description Not Available,7.21,7.21,,,0 NDC,50268041111,NDC Description Not Available,51.93,51.93,,,0 NDC,50268041211,NDC Description Not Available,15.07,15.07,,,0 NDC,50268044811,NDC Description Not Available,3.34,3.34,,,0 NDC,50268045011,NDC Description Not Available,20.43,20.43,,,0 NDC,50268047011,NDC Description Not Available,20.47,20.47,,,0 NDC,50268047013,Levetiracetam Levetiracetam: 30 Blister Pack In 1 Box (50268-470-13) / 5 Ml In 1 Blister Pack (50268-470-11),23.44,23.44,,,0 NDC,50268047611,NDC Description Not Available,65.08,65.08,,,0 NDC,50268047711,NDC Description Not Available,21.63,21.63,,,0 NDC,50268047811,NDC Description Not Available,21.63,21.63,,,0 NDC,50268052511,NDC Description Not Available,11.18,11.18,,,0 NDC,50268052515,"Meloxicam: 50 Blister Pack In 1 Box, Unit-Dose (50268-525-15) / 1 Tablet In 1 Blister Pack (50268-525-11)",11.33,11.33,,,0 NDC,50268052711,NDC Description Not Available,12.85,12.85,,,0 NDC,50268053511,NDC Description Not Available,2.83,2.83,,,0 NDC,50268054011,NDC Description Not Available,3.72,3.72,,,0 NDC,50268054111,NDC Description Not Available,3.59,3.59,,,0 NDC,50268054211,NDC Description Not Available,5.75,5.75,,,0 NDC,50268055311,NDC Description Not Available,7.08,7.08,,,0 NDC,50268056311,NDC Description Not Available,4.81,4.81,,,0 NDC,50268057011,NDC Description Not Available,86.54,86.54,,,0 NDC,50268057611,NDC Description Not Available,96.3,96.3,,,0 NDC,50268058411,NDC Description Not Available,20.67,20.67,,,0 NDC,50268058511,NDC Description Not Available,14.4,14.4,,,0 NDC,50268059711,NDC Description Not Available,4.074999999999999,4.074999999999999,,,0 NDC,50268059811,NDC Description Not Available,5.35,5.35,,,0 NDC,50268059815,"Nifedipine Er: 50 Blister Pack In 1 Box, Unit-Dose (50268-598-15) / 1 Tablet, Film Coated, Extended Release In 1 Blister Pack (50268-598-11)",8.24,8.24,,,0 NDC,50268060311,NDC Description Not Available,2.06,2.06,,,0 NDC,50268063011,NDC Description Not Available,12.97,12.97,,,0 NDC,50268063111,NDC Description Not Available,21.79,21.79,,,0 NDC,50268063211,NDC Description Not Available,23.19,23.19,,,0 NDC,50268063311,NDC Description Not Available,43.33,43.33,,,0 NDC,50268063911,NDC Description Not Available,14.48,14.48,,,0 NDC,50268064011,NDC Description Not Available,2.75,2.75,,,0 NDC,50268064211,NDC Description Not Available,8.19,8.19,,,0 NDC,50268064411,NDC Description Not Available,4.96,4.96,,,0 NDC,50268064511,NDC Description Not Available,9.9,9.9,,,0 NDC,50268064515,Oxycodone And Acetaminophen: 50 Blister Pack In 1 Box (50268-645-15) / 1 Tablet In 1 Blister Pack (50268-645-11),10.3,10.3,,,0 NDC,50268064905,NDC Description Not Available,19.65,19.65,,,0 NDC,50268066711,NDC Description Not Available,15.46,15.46,,,0 NDC,50268066811,NDC Description Not Available,17.35,17.35,,,0 NDC,50268067815,Polyvinyl Alcohol: 15 Ml In 1 Bottle (50268-678-15),12.05,12.05,,,0 NDC,50268068311,NDC Description Not Available,204.06,204.06,,,0 NDC,50268068411,NDC Description Not Available,5.73,5.73,,,0 NDC,50268068511,NDC Description Not Available,3.09,3.09,,,0 NDC,50268068611,NDC Description Not Available,3.5,3.5,,,0 NDC,50268069411,NDC Description Not Available,25.75,25.75,,,0 NDC,50268070811,NDC Description Not Available,51.84,51.84,,,0 NDC,50268070815,Ramelteon: 50 Blister Pack In 1 Box (50268-708-15) / 1 Tablet In 1 Blister Pack (50268-708-11),52.53,52.53,,,0 NDC,50268070911,NDC Description Not Available,4.87,4.87,,,0 NDC,50268071711,NDC Description Not Available,33.495000000000005,33.495000000000005,,,0 NDC,50268071811,NDC Description Not Available,126.26,126.26,,,0 NDC,50268072011,NDC Description Not Available,1.96,1.96,,,0 NDC,50268072411,NDC Description Not Available,6.26,6.26,,,0 NDC,50268072511,NDC Description Not Available,12.41,12.41,,,0 NDC,50268073211,NDC Description Not Available,43.95,43.95,,,0 NDC,50268073911,NDC Description Not Available,259.78,259.78,,,0 NDC,50268074211,NDC Description Not Available,2.3,2.3,,,0 NDC,50268074511,NDC Description Not Available,30.99,30.99,,,0 NDC,50268074811,NDC Description Not Available,5.41,5.41,,,0 NDC,50268075511,NDC Description Not Available,1.31,1.31,,,0 NDC,50268075611,NDC Description Not Available,2.67,2.67,,,0 NDC,50268075711,NDC Description Not Available,8.24,8.24,,,0 NDC,50268075811,NDC Description Not Available,20.41,20.41,,,0 NDC,50268076011,NDC Description Not Available,4.93,4.93,,,0 NDC,50268076111,NDC Description Not Available,16.84,16.84,,,0 NDC,50268076112,"Temozolomide: 20 Blister Pack In 1 Box, Unit-Dose (50268-761-12) / 1 Capsule In 1 Blister Pack (50268-761-11)",16.82,16.82,,,0 NDC,50268076211,NDC Description Not Available,13.77,13.77,,,0 NDC,50268076411,NDC Description Not Available,5.64,5.64,,,0 NDC,50268076511,NDC Description Not Available,5.48,5.48,,,0 NDC,50268076611,NDC Description Not Available,5.71,5.71,,,0 NDC,50268077211,NDC Description Not Available,18.97,18.97,,,0 NDC,50268077911,NDC Description Not Available,3.53,3.53,,,0 NDC,50268078711,NDC Description Not Available,538.69,538.69,,,0 NDC,50268078811,NDC Description Not Available,21.56,21.56,,,0 NDC,50268078911,NDC Description Not Available,24.27,24.27,,,0 NDC,50268081411,NDC Description Not Available,11.6,11.6,,,0 NDC,50268081611,NDC Description Not Available,4.37,4.37,,,0 NDC,50268087228,Urea: 28.35 G In 1 Tube (50268-872-28),373.63,373.63,,,0 NDC,50383002505,Ofloxacin: 1 BOTTLE in 1 CARTON (50383-025-05) / 5 mL in 1 BOTTLE,618.03,618.03,,,0 NDC,50383004224,Prednisolone: 1 BOTTLE in 1 CARTON (50383-042-24) / 240 mL in 1 BOTTLE,2.79,2.79,,,0 NDC,50383017290,Levocarnitine: 9 BLISTER PACK in 1 CARTON (50383-172-90) / 10 TABLET in 1 BLISTER PACK,3.55,3.55,,,0 NDC,50383018902,"Gatifloxacin: 1 BOTTLE, DROPPER in 1 CARTON (50383-189-02) / 2.5 mL in 1 BOTTLE, DROPPER",426.17,426.17,,,0 NDC,50383023310,"Dorzolamide Hydrochloride and Timolol Maleate: 1 BOTTLE, DROPPER in 1 BOX (50383-233-10) / 10 mL in 1 BOTTLE, DROPPER",441.87,441.87,,,0 NDC,50383036315,NDC Description Not Available,4.12,4.12,,,0 NDC,50383066730,Lidocaine and Prilocaine: 1 TUBE in 1 CARTON (50383-667-30) / 30 g in 1 TUBE,191.58,191.58,,,0 NDC,50383070530,Lorazepam: 1 BOTTLE in 1 CARTON (50383-705-30) / 30 mL in 1 BOTTLE,2.62,2.62,,,0 NDC,50383074120,"Albuterol Sulfate: 1 BOTTLE, GLASS in 1 CARTON (50383-741-20) / 20 mL in 1 BOTTLE, GLASS",1.86,1.86,,,0 NDC,50383077504,"Lidocaine Hydrochloride: 100 mL in 1 BOTTLE, PLASTIC (50383-775-04)",7.06,7.06,,,0 NDC,50383077515,NDC Description Not Available,3.9,3.9,,,0 NDC,50383077930,NDC Description Not Available,7.53,7.53,,,0 NDC,50383077931,Lactulose: 4 TRAY in 1 CASE (50383-779-31) / 10 CUP in 1 TRAY (50383-779-30) / 30 mL in 1 CUP,8.67,8.67,,,0 NDC,50383077933,Lactulose: 10 TRAY in 1 CASE (50383-779-33) / 10 CUP in 1 TRAY / 30 mL in 1 CUP,7.86,7.86,,,0 NDC,50383082316,Sulfamethoxazole and Trimethoprim: 473 mL in 1 BOTTLE (50383-823-16),24.72,24.72,,,0 NDC,50419020801,"Xofigo: 6 Ml In 1 Vial, Single-Dose (50419-208-01)",283.99,283.99,,,0 NDC,50419032001,NDC Description Not Available,61.39,61.39,,,0 NDC,50419032005,"Eovist: 5 Vial, Single-Dose In 1 Box (50419-320-05) / 10 Ml In 1 Vial, Single-Dose",72.56,72.56,,,0 NDC,50419042301,Mirena: 1 Intrauterine Device In 1 Carton (50419-423-01),2961.21,2961.21,,,0 NDC,50419042401,Kyleena: 1 Intrauterine Device In 1 Carton (50419-424-01),1788.08,1788.08,,,0 NDC,50458002800,NDC Description Not Available,1136.605,1136.605,,,0 NDC,50458002802,"Spravato: 2 Blister Pack In 1 Kit (50458-028-02) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",975.6,975.6,,,0 NDC,50458002803,"Spravato: 3 Blister Pack In 1 Kit (50458-028-03) / 1 Vial, Single-Use In 1 Blister Pack / .2 Ml In 1 Vial, Single-Use (50458-028-00)",2902.35,2902.35,,,0 NDC,50458030001,"Risperdal: 10 Blister Pack In 1 Box, Unit-Dose (50458-300-01) / 10 Tablet In 1 Blister Pack",21.22,21.22,,,0 NDC,50458056001,Invega Sustenna: 1 Syringe In 1 Kit (50458-560-01) / .25 Ml In 1 Syringe,36.74,36.74,,,0 NDC,50458056101,Invega Sustenna: 1 Syringe In 1 Kit (50458-561-01) / .5 Ml In 1 Syringe,36.75,36.75,,,0 NDC,50458056201,Invega Sustenna: 1 Syringe In 1 Kit (50458-562-01) / .75 Ml In 1 Syringe,36.75,36.75,,,0 NDC,50458056301,Invega Sustenna: 1 Syringe In 1 Kit (50458-563-01) / 1 Ml In 1 Syringe,35.73,35.73,,,0 NDC,50458056401,Invega Sustenna: 1 Syringe In 1 Kit (50458-564-01) / 1.5 Ml In 1 Syringe,35.32,35.32,,,0 NDC,50458057701,NDC Description Not Available,39.13,39.13,,,0 NDC,50458057710,"Xarelto: 10 Blister Pack In 1 Box, Unit-Dose (50458-577-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-577-01)",41.89,41.89,,,0 NDC,50458057760,"Xarelto: 60 Tablet, Film Coated In 1 Bottle (50458-577-60)",41.12,41.12,,,0 NDC,50458057801,NDC Description Not Available,78.11,78.11,,,0 NDC,50458057810,"Xarelto: 10 Blister Pack In 1 Carton (50458-578-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-578-01)",83.52,83.52,,,0 NDC,50458057830,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-578-30)",82.37,82.37,,,0 NDC,50458057901,NDC Description Not Available,78.26,78.26,,,0 NDC,50458057910,"Xarelto: 10 Blister Pack In 1 Carton (50458-579-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-579-01)",83.41,83.41,,,0 NDC,50458057930,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-579-30)",82.47,82.47,,,0 NDC,50458057989,"Xarelto: 1000 Tablet, Film Coated In 1 Bottle (50458-579-89)",82.2,82.2,,,0 NDC,50458058001,NDC Description Not Available,78.15,78.15,,,0 NDC,50458058010,"Xarelto: 10 Blister Pack In 1 Carton (50458-580-10) / 10 Tablet, Film Coated In 1 Blister Pack (50458-580-01)",83.98,83.98,,,0 NDC,50458058030,"Xarelto: 30 Tablet, Film Coated In 1 Bottle (50458-580-30)",82.25,82.25,,,0 NDC,50458058090,"Xarelto: 90 Tablet, Film Coated In 1 Bottle (50458-580-90)",86.18,86.18,,,0 NDC,50458059601,Risperidone: 30 Ml In 1 Bottle (50458-596-01),31.6,31.6,,,0 NDC,50474047009,"Briviact: 100 Blister Pack In 1 Carton (50474-470-09) / 1 Tablet, Film Coated In 1 Blister Pack",103.52,103.52,,,0 NDC,50474057009,"Briviact: 100 Blister Pack In 1 Carton (50474-570-09) / 1 Tablet, Film Coated In 1 Blister Pack",103.06,103.06,,,0 NDC,50474059866,"Keppra Xr: 60 Tablet, Film Coated, Extended Release In 1 Bottle, Plastic (50474-598-66)",38.62,38.62,,,0 NDC,50474067066,"Briviact: 1 Bottle In 1 Carton (50474-670-66) / 60 Tablet, Film Coated In 1 Bottle",103.52,103.52,,,0 NDC,50474071079,"Cimzia: 2 Syringe, Glass In 1 Carton (50474-710-79) / 1 Ml In 1 Syringe, Glass",35.34,35.34,,,0 NDC,50474077009,"Briviact: 100 Blister Pack In 1 Carton (50474-770-09) / 1 Tablet, Film Coated In 1 Blister Pack",101.77,101.77,,,0 NDC,50474080503,Neupro: 30 Pouch In 1 Carton (50474-805-03) / 1 Patch In 1 Pouch / 24 H In 1 Patch,116.39,116.39,,,0 NDC,50474098079,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-980-79) / 2 Ml In 1 Vial, Glass",53.41,53.41,,,0 NDC,50474098386,"Rystiggo: 1 Vial, Glass In 1 Carton (50474-983-86) / 6 Ml In 1 Vial, Glass",53.51,53.51,,,0 NDC,50484001030,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-30) / 30 G In 1 Tube,1330.24,1330.24,,,0 NDC,50484001090,Collagenase Santyl: 1 Tube In 1 Carton (50484-010-90) / 90 G In 1 Tube,2150.44,2150.44,,,0 NDC,50486055032,Zilactin-B: 1 Tube In 1 Carton (50486-550-32) / 7 G In 1 Tube,6.18,6.18,,,0 NDC,50580053504,NDC Description Not Available,106.09,106.09,,,0 NDC,50580057401,Motrin Arthritis Pain: 1 Tube In 1 Carton (50580-574-01) / 50 G In 1 Tube,18.44,18.44,,,0 NDC,50632001001,"Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)",1756.67,1756.67,,,0 NDC,50633011012,"Crofab: 2 Vial, Glass In 1 Carton (50633-110-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-110-11)",7905.51,7905.51,,,0 NDC,50633012011,"Digifab: 1 Vial, Glass In 1 Carton (50633-120-11) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (50633-120-12)",11823.58,11823.58,,,0 NDC,50633012012,NDC Description Not Available,10931.22,10931.22,,,0 NDC,50633012111,NDC Description Not Available,10931.39,10931.39,,,0 NDC,50633031011,"Cyanokit: 1 Vial, Glass In 1 Carton (50633-310-11) / 250 Ml In 1 Vial, Glass",0.12,0.12,,,0 NDC,50742011301,Desipramine Hydrochloride: 100 Tablet In 1 Bottle (50742-113-01),7.21,7.21,,,0 NDC,50742011808,Cabergoline: 8 Tablet In 1 Bottle (50742-118-08),66.05,66.05,,,0 NDC,50742017501,"Isosorbide Mononitrate: 100 Tablet, Extended Release In 1 Bottle, Plastic (50742-175-01)",12.23,12.23,,,0 NDC,50742023901,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-239-01),7.88,7.88,,,0 NDC,50742024001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (50742-240-01),10.89,10.89,,,0 NDC,50742024930,"Diltiazem Hydrochloride: 30 Capsule, Extended Release In 1 Bottle (50742-249-30)",4.92,4.92,,,0 NDC,50742026001,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-260-01)",3.3,3.3,,,0 NDC,50742026101,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-261-01)",7.96,7.96,,,0 NDC,50742026201,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (50742-262-01)",9.27,9.27,,,0 NDC,50742035201,Her Style: 1 Blister Pack In 1 Carton (50742-352-01) / 1 Tablet In 1 Blister Pack,38.11,38.11,,,0 NDC,50742036260,"Ivabradine: 60 Tablet, Film Coated In 1 Bottle (50742-362-60)",34.42,34.42,,,0 NDC,50742036401,NDC Description Not Available,33.12,33.12,,,0 NDC,50742036430,Buprenorphine And Naloxone: 30 Pouch In 1 Carton (50742-364-30) / 1 Film In 1 Pouch (50742-364-01),32.96,32.96,,,0 NDC,50742037201,NDC Description Not Available,296.6,296.6,,,0 NDC,50742037301,NDC Description Not Available,420.17,420.17,,,0 NDC,50742037304,Buprenorphine: 4 Pouch In 1 Carton (50742-373-04) / 1 Patch In 1 Pouch / 168 H In 1 Patch,420.15,420.15,,,0 NDC,50742037401,NDC Description Not Available,450.11,450.11,,,0 NDC,50742037501,NDC Description Not Available,649.24,649.24,,,0 NDC,50742037601,NDC Description Not Available,797.22,797.22,,,0 NDC,50742044745,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (50742-447-45) / 45 Ml In 1 Vial, Multi-Dose",92.45,92.45,,,0 NDC,50742048401,"Bortezomib: 1 Vial In 1 Carton (50742-484-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",37.08,37.08,,,0 NDC,50742050501,NDC Description Not Available,73.02,73.02,,,0 NDC,50742050524,"Scopolamine: 24 Pouch In 1 Carton (50742-505-24) / 1 Patch, Extended Release In 1 Pouch",82.4,82.4,,,0 NDC,50742051501,NDC Description Not Available,229.18,229.18,,,0 NDC,50742061501,"Metoprolol Succinate: 100 Tablet, Extended Release In 1 Bottle (50742-615-01)",3.35,3.35,,,0 NDC,50804016438,"Citroma: 296 Ml In 1 Bottle, Plastic (50804-164-38)",3.1,3.1,,,0 NDC,50881000560,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-005-60)",1094.43,1094.43,,,0 NDC,50881000705,Opzelura: 1 Tube In 1 Carton (50881-007-05) / 60 G In 1 Tube,5055.24,5055.24,,,0 NDC,50881001060,"Jakafi: 60 Tablet In 1 Bottle, Plastic (50881-010-60)",1221.98,1221.98,,,0 NDC,50881001303,Monjuvi: 1 Vial In 1 Carton (50881-013-03) / 5 Ml In 1 Vial,33.83,33.83,,,0 NDC,51079002301,NDC Description Not Available,11.87,11.87,,,0 NDC,51079002401,NDC Description Not Available,13.2,13.2,,,0 NDC,51079002801,NDC Description Not Available,16.07,16.07,,,0 NDC,51079005101,NDC Description Not Available,18.79,18.79,,,0 NDC,51079005801,NDC Description Not Available,7.09,7.09,,,0 NDC,51079005820,Chlorthalidone: 100 Blister Pack In 1 Carton (51079-058-20) / 1 Tablet In 1 Blister Pack (51079-058-01),8.24,8.24,,,0 NDC,51079007401,NDC Description Not Available,1.54,1.54,,,0 NDC,51079008301,NDC Description Not Available,4.64,4.64,,,0 NDC,51079008601,NDC Description Not Available,9.06,9.06,,,0 NDC,51079009301,NDC Description Not Available,26.07,26.07,,,0 NDC,51079014101,NDC Description Not Available,2.4,2.4,,,0 NDC,51079016401,NDC Description Not Available,47.07,47.07,,,0 NDC,51079016501,NDC Description Not Available,188.13,188.13,,,0 NDC,51079016901,NDC Description Not Available,3.71,3.71,,,0 NDC,51079017001,NDC Description Not Available,3.32,3.32,,,0 NDC,51079020401,NDC Description Not Available,36.17,36.17,,,0 NDC,51079028401,NDC Description Not Available,0.85,0.85,,,0 NDC,51079028501,NDC Description Not Available,1.1,1.1,,,0 NDC,51079029401,NDC Description Not Available,15.45,15.45,,,0 NDC,51079037401,NDC Description Not Available,3.46,3.46,,,0 NDC,51079037501,NDC Description Not Available,2.26,2.26,,,0 NDC,51079037520,Chlordiazepoxide Hydrochloride: 100 Blister Pack In 1 Carton (51079-375-20) / 1 Capsule In 1 Blister Pack (51079-375-01),2.06,2.06,,,0 NDC,51079037901,NDC Description Not Available,14.29,14.29,,,0 NDC,51079037920,"Mycophenolate Mofetil: 100 Blister Pack In 1 Carton (51079-379-20) / 1 Tablet, Film Coated In 1 Blister Pack (51079-379-01)",14.25,14.25,,,0 NDC,51079043601,NDC Description Not Available,2.11,2.11,,,0 NDC,51079043701,NDC Description Not Available,3.0,3.0,,,0 NDC,51079043801,NDC Description Not Available,3.26,3.26,,,0 NDC,51079044401,NDC Description Not Available,0.88,0.88,,,0 NDC,51079045301,NDC Description Not Available,7.61,7.61,,,0 NDC,51079057401,NDC Description Not Available,9.17,9.17,,,0 NDC,51079059701,NDC Description Not Available,8.85,8.85,,,0 NDC,51079059901,NDC Description Not Available,6.0,6.0,,,0 NDC,51079060801,NDC Description Not Available,18.55,18.55,,,0 NDC,51079063001,NDC Description Not Available,6.28,6.28,,,0 NDC,51079063101,NDC Description Not Available,9.09,9.09,,,0 NDC,51079063201,NDC Description Not Available,15.09,15.09,,,0 NDC,51079064401,NDC Description Not Available,3493.76,3493.76,,,0 NDC,51079067001,NDC Description Not Available,22.49,22.49,,,0 NDC,51079069001,NDC Description Not Available,2.11,2.11,,,0 NDC,51079072101,NDC Description Not Available,14.29,14.29,,,0 NDC,51079075901,NDC Description Not Available,2.87,2.87,,,0 NDC,51079081220,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-812-20) / 1 TABLET in 1 BLISTER PACK (51079-812-01),22.4,22.4,,,0 NDC,51079081320,Nadolol: 100 BLISTER PACK in 1 CARTON (51079-813-20) / 1 TABLET in 1 BLISTER PACK (51079-813-01),22.66,22.66,,,0 NDC,51079081701,NDC Description Not Available,1.48,1.48,,,0 NDC,51079081801,NDC Description Not Available,16.05,16.05,,,0 NDC,51079082101,NDC Description Not Available,11.92,11.92,,,0 NDC,51079091701,NDC Description Not Available,19.39,19.39,,,0 NDC,51079092101,NDC Description Not Available,2.32,2.32,,,0 NDC,51079092201,NDC Description Not Available,12.35,12.35,,,0 NDC,51079092301,NDC Description Not Available,6.23,6.23,,,0 NDC,51079093201,NDC Description Not Available,5.55,5.55,,,0 NDC,51079097801,NDC Description Not Available,2.59,2.59,,,0 NDC,51079098501,NDC Description Not Available,2.68,2.68,,,0 NDC,51079098601,NDC Description Not Available,4.52,4.52,,,0 NDC,51079098620,Buspirone Hydrochloride: 100 Blister Pack In 1 Carton (51079-986-20) / 1 Tablet In 1 Blister Pack (51079-986-01),4.52,4.52,,,0 NDC,51144000160,Tukysa: 60 Tablet In 1 Bottle (51144-001-60),2.23,2.23,,,0 NDC,51144000260,Tukysa: 60 Tablet In 1 Bottle (51144-002-60),4.46,4.46,,,0 NDC,51144000301,Tivdak: 1 Vial In 1 Carton (51144-003-01) / 4 Ml In 1 Vial,228.95,228.95,,,0 NDC,51144002001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-020-01) / 2 Ml In 1 Vial, Single-Dose",85.13,85.13,,,0 NDC,51144003001,"Padcev Ejfv: 1 Vial, Single-Dose In 1 Box (51144-030-01) / 3 Ml In 1 Vial, Single-Dose",86.8,86.8,,,0 NDC,51144005001,"Adcetris: 1 Vial, Single-Dose In 1 Box (51144-050-01) / 10.5 Ml In 1 Vial, Single-Dose",546.64,546.64,,,0 NDC,51167020001,"Kalydeco: 4 Blister Pack In 1 Carton (51167-200-01) / 14 Tablet, Film Coated In 1 Blister Pack",1846.02,1846.02,,,0 NDC,51167033101,"Trikafta: 4 Blister Pack In 1 Carton (51167-331-01) / 1 Kit In 1 Blister Pack * 14 Tablet, Film Coated In 1 Blister Pack (51167-431-14) * 7 Tablet, Film Coated In 1 Blister Pack (51167-531-07)",1367.11,1367.11,,,0 NDC,51224001120,Cholestyramine: 60 Pouch In 1 Carton (51224-011-20) / 8.3 G In 1 Pouch,12.2,12.2,,,0 NDC,51224001220,Phentolamine Mesylate: 1 Vial In 1 Carton (51224-012-20) / 1 Injection In 1 Vial,1038.24,1038.24,,,0 NDC,51224002206,"Azithromycin Dihydrate: 1 Blister Pack In 1 Carton (51224-022-06) / 6 Tablet, Film Coated In 1 Blister Pack",28.07,28.07,,,0 NDC,51224016212,NDC Description Not Available,4.1,4.1,,,0 NDC,51224016299,NDC Description Not Available,4.12,4.12,,,0 NDC,51293062701,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (51293-627-01)",3.09,3.09,,,0 NDC,51407073750,Clobetasol Propionate: 1 Bottle In 1 Carton (51407-737-50) / 50 Ml In 1 Bottle,1.03,1.03,,,0 NDC,51552072002,Nifedipine: 5 G In 1 Container (51552-0720-2),0.99,0.99,,,0 NDC,51660020030,Ezetimibe: 30 Tablet In 1 Bottle (51660-200-30),37.08,37.08,,,0 NDC,51660020090,Ezetimibe: 90 Tablet In 1 Bottle (51660-200-90),37.08,37.08,,,0 NDC,51660099628,"Colesevelam hydrochloride: 180 TABLET, FILM COATED in 1 BOTTLE (51660-996-28)",13.39,13.39,,,0 NDC,51672125901,Clobetasol Propionate: 1 Tube In 1 Carton (51672-1259-1) / 15 G In 1 Tube,560.34,560.34,,,0 NDC,51672127201,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (51672-1272-1) / 15 G In 1 Tube,67.5,67.5,,,0 NDC,51672129302,"Clobetasol Propionate: 1 Bottle, Plastic In 1 Carton (51672-1293-2) / 25 Ml In 1 Bottle, Plastic",191.06,191.06,,,0 NDC,51672130005,"Ammonium Lactate: 225 G In 1 Bottle, Plastic (51672-1300-5)",154.38,154.38,,,0 NDC,51672130200,"Terconazole: 1 Tube, With Applicator In 1 Carton (51672-1302-0) / 20 G In 1 Tube, With Applicator",147.29,147.29,,,0 NDC,51672131200,Mupirocin: 1 Tube In 1 Carton (51672-1312-0) / 22 G In 1 Tube,89.74,89.74,,,0 NDC,51672139500,Tretinoin: 1 Tube In 1 Carton (51672-1395-0) / 20 G In 1 Tube,474.06,474.06,,,0 NDC,51672200102,Miconazole Nitrate: 1 Tube In 1 Carton (51672-2001-2) / 30 G In 1 Tube,7.21,7.21,,,0 NDC,51672200201,Clotrimazole: 1 Tube In 1 Carton (51672-2002-1) / 15 G In 1 Tube,30.9,30.9,,,0 NDC,51672200202,Clotrimazole: 1 Tube In 1 Carton (51672-2002-2) / 30 G In 1 Tube,39.97,39.97,,,0 NDC,51672200306,Clotrimazole: 1 Tube In 1 Carton (51672-2003-6) / 45 G In 1 Tube,28.84,28.84,,,0 NDC,51672201002,Hydrocortisone: 1 Tube In 1 Carton (51672-2010-2) / 28.4 G In 1 Tube,5.89,5.89,,,0 NDC,51672201302,Hydrocortisone With Aloe: 1 Tube In 1 Carton (51672-2013-2) / 28.4 G In 1 Tube,5.99,5.99,,,0 NDC,51672202001,Tolnaftate Antifungal: 1 Tube In 1 Carton (51672-2020-1) / 15 G In 1 Tube,18.54,18.54,,,0 NDC,51672203506,"Miconazole Nitrate: 1 Tube, With Applicator In 1 Carton (51672-2035-6) / 45 G In 1 Tube, With Applicator",11.47,11.47,,,0 NDC,51672203701,Clotrimazole: 1 Bottle In 1 Carton (51672-2037-1) / 10 Ml In 1 Bottle,162.74,162.74,,,0 NDC,51672207501,Bacitracin Zinc: 1 Tube In 1 Carton (51672-2075-1) / 15 G In 1 Tube,17.53,17.53,,,0 NDC,51672208001,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-1) / 15 G In 1 Tube,28.88,28.88,,,0 NDC,51672208002,Terbinafine Hydrochloride: 1 Tube In 1 Carton (51672-2080-2) / 30 G In 1 Tube,43.26,43.26,,,0 NDC,51672211500,NDC Description Not Available,3.83,3.83,,,0 NDC,51672211600,NDC Description Not Available,2.78,2.78,,,0 NDC,51672302002,Lidocaine: 1 Tube In 1 Carton (51672-3020-2) / 30 G In 1 Tube,824.0,824.0,,,0 NDC,51672302009,Lidocaine: 1 Tube In 1 Carton (51672-3020-9) / 35.44 G In 1 Tube,1141.48,1141.48,,,0 NDC,51672400101,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4001-1),2.68,2.68,,,0 NDC,51672400201,Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle (51672-4002-1),5.3,5.3,,,0 NDC,51672404201,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4042-1),4.29,4.29,,,0 NDC,51672404301,Clorazepate Dipotassium: 100 Tablet In 1 Bottle (51672-4043-1),3.88,3.88,,,0 NDC,51672404709,Carbamazepine: 450 Ml In 1 Bottle (51672-4047-9),21.12,21.12,,,0 NDC,51672404801,Clotrimazole And Betamethasone Dipropionate: 1 Tube In 1 Carton (51672-4048-1) / 15 G In 1 Tube,111.24,111.24,,,0 NDC,51672411806,Fluorouracil: 1 Tube In 1 Carton (51672-4118-6) / 40 G In 1 Tube,1387.41,1387.41,,,0 NDC,51672412401,"Carbamazepine: 100 Tablet, Extended Release In 1 Bottle (51672-4124-1)",6.63,6.63,,,0 NDC,51754010301,NDC Description Not Available,73.66,73.66,,,0 NDC,51754010304,"Cupric Chloride: 25 Vial, Single-Dose In 1 Carton (51754-0103-4) / 10 Ml In 1 Vial, Single-Dose",56.65,56.65,,,0 NDC,51754010801,Tranexamic Acid In Sodium Chloride: 100 Ml In 1 Bag (51754-0108-1),88.97,88.97,,,0 NDC,51754010803,Tranexamic Acid In Sodium Chloride: 1000 Ml In 1 Case (51754-0108-3),90.31,90.31,,,0 NDC,51754020304,Verapamil Hydrochloride: 25 Vial In 1 Carton (51754-0203-4) / 2 Ml In 1 Vial,38.94,38.94,,,0 NDC,51754050001,Caffeine Citrate: 1 Vial In 1 Carton (51754-0500-1) / 3 Ml In 1 Vial,12.83,12.83,,,0 NDC,51754050201,NDC Description Not Available,16.5,16.5,,,0 NDC,51754122001,NDC Description Not Available,3.97,3.97,,,0 NDC,51754200104,"Potassium Acetate: 25 Vial, Single-Dose In 1 Carton (51754-2001-4) / 20 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 NDC,51754402001,"Vazculep: 1 Vial, Pharmacy Bulk Package In 1 Carton (51754-4020-1) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 NDC,51754500101,NDC Description Not Available,37.834999999999994,37.834999999999994,,,0 NDC,51754500104,Sodium Bicarbonate: 25 Vial In 1 Carton (51754-5001-4) / 50 Ml In 1 Vial,36.815,36.815,,,0 NDC,51754500105,Sodium Bicarbonate: 20 Vial In 1 Carton (51754-5001-5) / 50 Ml In 1 Vial,37.91,37.91,,,0 NDC,51754501104,Sodium Bicarbonate: 25 Vial In 1 Carton (51754-5011-4) / 10 Ml In 1 Vial,33.39,33.39,,,0 NDC,51754501201,NDC Description Not Available,25.31,25.31,,,0 NDC,51754506001,"Betamethasone Sodium Phosphate And Betamethasone Acetate: 1 Vial, Multi-Dose In 1 Box (51754-5060-1) / 5 Ml In 1 Vial, Multi-Dose",17.09,17.09,,,0 NDC,51754600101,NDC Description Not Available,18.75,18.75,,,0 NDC,51759052010,"Uzedy: 1 Syringe, Glass In 1 Carton (51759-520-10) / .28 Ml In 1 Syringe, Glass",56.56,56.56,,,0 NDC,51862045301,NDC Description Not Available,119.48,119.48,,,0 NDC,51862045401,NDC Description Not Available,201.29,201.29,,,0 NDC,51862045501,NDC Description Not Available,279.13,279.13,,,0 NDC,51862045801,NDC Description Not Available,4.09,4.09,,,0 NDC,51862046001,NDC Description Not Available,19.67,19.67,,,0 NDC,51991014499,NDC Description Not Available,84.12,84.12,,,0 NDC,51991035106,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (51991-351-06)",68.61,68.61,,,0 NDC,51991038199,NDC Description Not Available,36.07,36.07,,,0 NDC,51991052601,Terbinafine Hydrochloride: 100 Tablet In 1 Bottle (51991-526-01),47.15,47.15,,,0 NDC,51991073520,Granisetron Hydrochloride: 2 Blister Pack In 1 Carton (51991-735-20) / 10 Tablet In 1 Blister Pack,212.9,212.9,,,0 NDC,51991073599,NDC Description Not Available,212.97,212.97,,,0 NDC,51991074690,"Duloxetine Delayed-Release: 90 Capsule, Delayed Release Pellets In 1 Bottle (51991-746-90)",24.76,24.76,,,0 NDC,51991087733,"Eplerenone: 30 Tablet, Film Coated In 1 Bottle (51991-877-33)",15.52,15.52,,,0 NDC,51991087790,"Eplerenone: 90 Tablet, Film Coated In 1 Bottle (51991-877-90)",15.5,15.5,,,0 NDC,51991090001,Clobazam: 100 Tablet In 1 Bottle (51991-900-01),40.57,40.57,,,0 NDC,51991090601,"Tetracycline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (51991-906-01)",28.94,28.94,,,0 NDC,52015008001,"Dificid: 1 Bottle In 1 Carton (52015-080-01) / 20 Tablet, Film Coated In 1 Bottle",1090.28,1090.28,,,0 NDC,52244010010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-100-10)",15.45,15.45,,,0 NDC,52244020010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-200-10)",22.71,22.71,,,0 NDC,52244030010,"Theo-24: 100 Capsule, Extended Release In 1 Bottle (52244-300-10)",27.81,27.81,,,0 NDC,52268001101,NDC Description Not Available,243.08,243.08,,,0 NDC,52268001201,"Suprep Bowel Prep: 2 Bottle, Plastic In 1 Carton (52268-012-01) / 177.4 Ml In 1 Bottle, Plastic",251.35,251.35,,,0 NDC,52268010001,"Golytely: 4 L In 1 Bottle, Plastic (52268-100-01)",92.07499999999999,92.07499999999999,,,0 NDC,52536009605,NDC Description Not Available,30.73,30.73,,,0 NDC,52536010303,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (52536-103-03)",39.09,39.09,,,0 NDC,52536010605,Vancomycin Hydrochloride For Oral Solution: 1 Kit In 1 Carton (52536-106-05) * 7.5 G In 1 Bottle (52536-096-05) * 145 Ml In 1 Bottle (52536-086-05),24.75,24.75,,,0 NDC,52565001426,Triamcinolone Acetonide: 1 JAR in 1 CARTON (52565-014-26) / 454 g in 1 JAR,149.29,149.29,,,0 NDC,52652195001,"Thyquidity: 1 Bottle, Glass In 1 Carton (52652-1950-1) / 100 Ml In 1 Bottle, Glass",31.93,31.93,,,0 NDC,52652500101,Katerzia: 1 Bottle In 1 Carton (52652-5001-1) / 150 Ml In 1 Bottle,38.04,38.04,,,0 NDC,52652800101,Zonisade: 1 Bottle In 1 Carton (52652-8001-1) / 150 Ml In 1 Bottle,127.36,127.36,,,0 NDC,52817023510,"Ramelteon: 100 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-10)",50.29,50.29,,,0 NDC,52817023530,"Ramelteon: 30 Tablet, Film Coated In 1 Bottle, Plastic (52817-235-30)",50.28,50.28,,,0 NDC,52817027030,"Bisoprolol: 30 Tablet, Film Coated In 1 Bottle (52817-270-30)",8.12,8.12,,,0 NDC,52817061004,"Clonidine Transdermal System Usp, 0.1 Mg/Day: 4 Pouch In 1 Carton (52817-610-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",282.22,282.22,,,0 NDC,52817061104,"Clonidine Transdermal System Usp, 0.2 Mg/Day: 4 Pouch In 1 Carton (52817-611-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",474.98,474.98,,,0 NDC,52817061204,"Clonidine Transdermal System Usp, 0.3 Mg/Day: 4 Pouch In 1 Carton (52817-612-04) / 1 Patch In 1 Pouch / 1 D In 1 Patch",659.2,659.2,,,0 NDC,52817081508,"Aminocaproic Acid: 236.5 Ml In 1 Bottle, Plastic (52817-815-08)",252.17,252.17,,,0 NDC,52817082415,"Betamethasone Dipropionate Usp, 0.05%: 1 Tube In 1 Carton (52817-824-15) / 15 G In 1 Tube",221.66,221.66,,,0 NDC,52817083004,Levocarnitine: 118 Ml In 1 Bottle (52817-830-04),7.11,7.11,,,0 NDC,52959011315,Bacitracin Zinc: 14.17 g in 1 TUBE (52959-113-15),18.54,18.54,,,0 NDC,53436008401,NDC Description Not Available,142.76,142.76,,,0 NDC,53436008430,"Veltassa: 30 Packet In 1 Carton (53436-084-30) / 1 Powder, For Suspension In 1 Packet (53436-084-01)",148.15,148.15,,,0 NDC,53436016801,NDC Description Not Available,128.9,128.9,,,0 NDC,53436016830,"Veltassa: 30 Packet In 1 Carton (53436-168-30) / 1 Powder, For Suspension In 1 Packet (53436-168-01)",130.27,130.27,,,0 NDC,53436025201,NDC Description Not Available,140.29,140.29,,,0 NDC,53746057101,Bethanechol Chloride: 100 Tablet In 1 Bottle (53746-571-01),3.09,3.09,,,0 NDC,53746064101,Flecainide Acetate: 100 Tablet In 1 Bottle (53746-641-01),9.09,9.09,,,0 NDC,54092018981,Pentasa: 240 Capsule In 1 Bottle (54092-189-81),13.14,13.14,,,0 NDC,54092019112,Pentasa: 120 Capsule In 1 Bottle (54092-191-12),26.26,26.26,,,0 NDC,54092025410,NDC Description Not Available,0.26,0.26,,,0 NDC,54092025490,"Fosrenol: 9 Bottle In 1 Package (54092-254-90) / 10 Tablet, Chewable In 1 Bottle (54092-254-10)",0.26,0.26,,,0 NDC,54288010301,NDC Description Not Available,9.205,9.205,,,0 NDC,54288010310,Epinephrine: 10 Ampule In 1 Box (54288-103-10) / 1 Ml In 1 Ampule,33.93,33.93,,,0 NDC,54288010502,NDC Description Not Available,1827.11,1827.11,,,0 NDC,54288010515,Dehydrated Alcohol: 10 Ampule In 1 Carton (54288-105-15) / 5 Ml In 1 Ampule (54288-105-02),1811.8,1811.8,,,0 NDC,54288010902,"Melphalan Hydrochloride: 1 Kit In 1 Carton (54288-109-02) * 10 Ml In 1 Vial, Single-Dose (54288-106-01) * 10 Ml In 1 Vial, Single-Use (54288-107-01)",594.95,594.95,,,0 NDC,54288012001,Epinephrine: 1 Vial In 1 Carton (54288-120-01) / 10 Ml In 1 Vial,3.805,3.805,,,0 NDC,54288013601,NDC Description Not Available,77.76,77.76,,,0 NDC,54288013701,NDC Description Not Available,94.24,94.24,,,0 NDC,54288013725,Phenobarbital Sodium: 25 Vial In 1 Carton (54288-137-25) / 1 Ml In 1 Vial (54288-137-01),132.36,132.36,,,0 NDC,54288014701,Methylene Blue: 1 Vial In 1 Carton (54288-147-01) / 10 Ml In 1 Vial,765.44,765.44,,,0 NDC,54288016401,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-164-01) / 5 Ml In 1 Vial, Multi-Dose",14.92,14.92,,,0 NDC,54288016501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-165-01) / 15 Ml In 1 Vial, Multi-Dose",35.42,35.42,,,0 NDC,54288016601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-166-01) / 45 Ml In 1 Vial, Multi-Dose",31.61,31.61,,,0 NDC,54288016701,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (54288-167-01) / 60 Ml In 1 Vial, Multi-Dose",34.79,34.79,,,0 NDC,54288060001,Epinephrine: 1 Vial In 1 Carton (54288-600-01) / 10 Ml In 1 Vial,3.255,3.255,,,0 NDC,54295030815,"Urea: 1 Bottle, Plastic In 1 Carton (54295-308-15) / 28 G In 1 Bottle, Plastic",373.89,373.89,,,0 NDC,54482014407,Carnitor: 10 Blister Pack In 1 Carton (54482-144-07) / 9 Tablet In 1 Blister Pack,5.0,5.0,,,0 NDC,54482014701,Carnitor: 5 Vial In 1 Carton (54482-147-01) / 5 Ml In 1 Vial,164.19,164.19,,,0 NDC,54643564901,Infuvite Adult: 1 Kit In 1 Carton (54643-5649-1) * 5 Ml In 1 Vial (54643-5657-1) * 5 Ml In 1 Vial (54643-5659-1),47.555,47.555,,,0 NDC,54643565002,Infuvite Adult: 1 Kit In 1 Carton (54643-5650-2) * 50 Ml In 1 Vial (54643-5661-2) * 50 Ml In 1 Vial (54643-5663-2),40.34,40.34,,,0 NDC,54766077804,"Analpram Hc: 28.4 G In 1 Tube, With Applicator (54766-778-04)",1176.26,1176.26,,,0 NDC,54828000101,NDC Description Not Available,4950.0,4950.0,,,0 NDC,54838050280,"Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle, Plastic (54838-502-80)",10.12,10.12,,,0 NDC,54838050615,"Hyosyne: 15 Ml In 1 Bottle, Plastic (54838-506-15)",19.83,19.83,,,0 NDC,54838051240,"Doxepin Hydrochloride: 120 Ml In 1 Bottle, Plastic (54838-512-40)",4.39,4.39,,,0 NDC,54838055170,"Escitalopram: 240 mL in 1 BOTTLE, PLASTIC (54838-551-70)",69.01,69.01,,,0 NDC,54879002201,Cyclophosphamide: 100 Capsule In 1 Bottle (54879-022-01),8.58,8.58,,,0 NDC,54932020881,"Codeine Phosphate and Guaifenesin: 473 mL in 1 BOTTLE, PLASTIC (54932-208-81)",2.08,2.08,,,0 NDC,55111011230,"Moxifloxacin: 30 Tablet, Film Coated In 1 Bottle (55111-112-30)",97.85,97.85,,,0 NDC,55111014401,Fluconazole: 100 Tablet In 1 Bottle (55111-144-01),30.56,30.56,,,0 NDC,55111015830,"Omeprazole: 30 Capsule, Delayed Release In 1 Bottle (55111-158-30)",15.11,15.11,,,0 NDC,55111017915,Tizanidine: 150 Tablet In 1 Bottle (55111-179-15),4.75,4.75,,,0 NDC,55111026279,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-262-79)",6.19,6.19,,,0 NDC,55111026379,"Olanzapine: 10 Tablet, Orally Disintegrating In 1 Blister Pack (55111-263-79)",10.8,10.8,,,0 NDC,55111027490,Pravastatin Sodium: 90 Tablet In 1 Bottle (55111-274-90),17.51,17.51,,,0 NDC,55111029136,Sumatriptan Succinate: 36 Tablet In 1 Bottle (55111-291-36),97.49,97.49,,,0 NDC,55111049704,Capecitabine: 120 Tablet In 1 Bottle (55111-497-04),14.08,14.08,,,0 NDC,55111053201,"Divalproex Sodium: 100 Capsule, Delayed Release In 1 Bottle (55111-532-01)",4.06,4.06,,,0 NDC,55111055610,"Decitabine: 1 Vial, Single-Use In 1 Carton (55111-556-10) / 10 Ml In 1 Vial, Single-Use",30.75,30.75,,,0 NDC,55111062930,"Eszopiclone: 30 Tablet, Coated In 1 Bottle (55111-629-30)",42.09,42.09,,,0 NDC,55111065301,Sirolimus: 100 Tablet In 1 Bottle (55111-653-01),61.41,61.41,,,0 NDC,55111067811,NDC Description Not Available,41.61,41.61,,,0 NDC,55111067911,NDC Description Not Available,53.85,53.85,,,0 NDC,55111068011,NDC Description Not Available,30.91,30.91,,,0 NDC,55111068110,Fondaparinux Sodium: 10 Syringe In 1 Carton (55111-681-10) / .8 Ml In 1 Syringe (55111-681-11),23.18,23.18,,,0 NDC,55111068507,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (55111-685-07) / 5 Ml In 1 Vial, Glass",71.39,71.39,,,0 NDC,55111068852,"Zoledronic Acid: 100 Ml In 1 Bottle, Glass (55111-688-52)",238.39,238.39,,,0 NDC,55111069407,"Palonosetron: 1 Vial, Single-Use In 1 Carton (55111-694-07) / 5 Ml In 1 Vial, Single-Use",21.12,21.12,,,0 NDC,55111073130,"Valsartan: 30 Tablet, Film Coated In 1 Bottle (55111-731-30)",6.44,6.44,,,0 NDC,55111076260,"Valganciclovir: 60 Tablet, Film Coated In 1 Bottle (55111-762-60)",232.72,232.72,,,0 NDC,55135013201,"Trodelvy: 1 Vial In 1 Box (55135-132-01) / 1 Powder, For Solution In 1 Vial",82.13,82.13,,,0 NDC,55150011420,"Ampicillin: 10 Vial In 1 Box (55150-114-20) / 1 Injection, Powder, For Solution In 1 Vial",14.35,14.35,,,0 NDC,55150011620,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-116-20) / 1 Injection, Powder, For Solution In 1 Vial",25.16,25.16,,,0 NDC,55150011720,"Ampicillin And Sulbactam: 10 Vial In 1 Carton (55150-117-20) / 1 Injection, Powder, For Solution In 1 Vial",25.92,25.92,,,0 NDC,55150012030,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-120-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",7.72,7.72,,,0 NDC,55150012150,"Piperacillin And Tazobactam: 10 Vial In 1 Box (55150-121-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",10.51,10.51,,,0 NDC,55150012215,Nafcillin: 10 Vial In 1 Box (55150-122-15) / 4 Ml In 1 Vial,12.14,12.14,,,0 NDC,55150012315,Nafcillin: 10 Vial In 1 Box (55150-123-15) / 8 Ml In 1 Vial,54.09,54.09,,,0 NDC,55150012316,Nafcillin: 10 Vial In 1 Box (55150-123-16) / 8 Ml In 1 Vial,101.95,101.95,,,0 NDC,55150012409,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-09) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.96,9.96,,,0 NDC,55150012499,"Nafcillin: 1 Vial, Pharmacy Bulk Package In 1 Box (55150-124-99) / 100 Ml In 1 Vial, Pharmacy Bulk Package",99.49,99.49,,,0 NDC,55150012715,"Oxacillin: 10 Vial In 1 Box (55150-127-15) / 1 Injection, Powder, For Solution In 1 Vial",3.8499999999999996,3.8499999999999996,,,0 NDC,55150015410,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-154-10) / 10 Ml In 1 Vial, Single-Dose",0.675,0.675,,,0 NDC,55150015520,"Acyclovir Sodium: 10 Vial, Single-Dose In 1 Carton (55150-155-20) / 20 Ml In 1 Vial, Single-Dose",0.97,0.97,,,0 NDC,55150016102,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-161-02) / 2 Ml In 1 Vial, Single-Dose",5.18,5.18,,,0 NDC,55150016205,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-162-05) / 5 Ml In 1 Vial, Single-Dose",4.3,4.3,,,0 NDC,55150016330,"Lidocaine Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-163-30) / 30 Ml In 1 Vial, Single-Dose",8.11,8.11,,,0 NDC,55150016505,"Lidocaine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-165-05) / 5 Ml In 1 Vial, Single-Dose",1.46,1.46,,,0 NDC,55150016613,"Sildenafil: 1 Vial, Single-Dose In 1 Carton (55150-166-13) / 12.5 Ml In 1 Vial, Single-Dose",689.09,689.09,,,0 NDC,55150016710,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-167-10) / 10 Ml In 1 Vial, Single-Dose",11.33,11.33,,,0 NDC,55150016830,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-168-30) / 30 Ml In 1 Vial, Single-Dose",11.33,11.33,,,0 NDC,55150016910,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-169-10) / 10 Ml In 1 Vial, Single-Dose",7.55,7.55,,,0 NDC,55150017030,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-170-30) / 30 Ml In 1 Vial, Single-Dose",10.525,10.525,,,0 NDC,55150017110,"Bupivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-171-10) / 10 Ml In 1 Vial, Single-Dose",13.37,13.37,,,0 NDC,55150017301,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-01) / .5 Ml In 1 Vial, Single-Dose",46.72,46.72,,,0 NDC,55150017305,"Sumatriptan: 5 Vial, Single-Dose In 1 Carton (55150-173-05) / .5 Ml In 1 Vial, Single-Dose",47.38,47.38,,,0 NDC,55150017410,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (55150-174-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",38.46,38.46,,,0 NDC,55150017705,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (55150-177-05) / 5 Ml In 1 Vial, Single-Dose",0.98,0.98,,,0 NDC,55150018301,NDC Description Not Available,55.205,55.205,,,0 NDC,55150018302,NDC Description Not Available,82.67,82.67,,,0 NDC,55150018310,"Nicardipine Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-183-10) / 10 Ml In 1 Vial, Single-Dose (55150-183-01)",91.85,91.85,,,0 NDC,55150019201,"Adenosine: 1 Vial, Single-Dose In 1 Carton (55150-192-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 NDC,55150019410,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-194-10) / 10 Ml In 1 Vial, Single-Dose",31.78,31.78,,,0 NDC,55150019520,"Ropivacaine Hydrochloride: 25 Vial, Single-Dose In 1 Carton (55150-195-20) / 20 Ml In 1 Vial, Single-Dose",1.46,1.46,,,0 NDC,55150019699,"Ropivacaine Hydrochloride: 1 Bottle, Glass In 1 Carton (55150-196-99) / 100 Ml In 1 Bottle, Glass",1.3,1.3,,,0 NDC,55150020200,NDC Description Not Available,30.66,30.66,,,0 NDC,55150020210,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (55150-202-10) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (55150-202-00)",30.74,30.74,,,0 NDC,55150020720,"Meropenem: 10 Vial In 1 Carton (55150-207-20) / 1 Injection, Powder, For Solution In 1 Vial",4.86,4.86,,,0 NDC,55150020830,"Meropenem: 10 Vial In 1 Carton (55150-208-30) / 1 Injection, Powder, For Solution In 1 Vial",4.76,4.76,,,0 NDC,55150020902,Dexmedetomidine: 25 Vial In 1 Carton (55150-209-02) / 2 Ml In 1 Vial,27.42,27.42,,,0 NDC,55150022110,"Etomidate: 10 Vial, Single-Dose In 1 Carton (55150-221-10) / 10 Ml In 1 Vial, Single-Dose",34.96,34.96,,,0 NDC,55150022310,"Methocarbamol: 25 Vial, Single-Dose In 1 Carton (55150-223-10) / 10 Ml In 1 Vial, Single-Dose",43.26,43.26,,,0 NDC,55150022505,"Rocuronium Bromide: 10 Vial, Multi-Dose In 1 Carton (55150-225-05) / 5 Ml In 1 Vial, Multi-Dose",27.67,27.67,,,0 NDC,55150023000,NDC Description Not Available,25.96,25.96,,,0 NDC,55150023100,NDC Description Not Available,44.88,44.88,,,0 NDC,55150023200,NDC Description Not Available,20.91,20.91,,,0 NDC,55150023300,NDC Description Not Available,18.73,18.73,,,0 NDC,55150023501,NDC Description Not Available,12.945,12.945,,,0 NDC,55150023502,NDC Description Not Available,16.92,16.92,,,0 NDC,55150025050,"Bupivacaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-250-50) / 50 Ml In 1 Vial, Multi-Dose",2.75,2.75,,,0 NDC,55150025110,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-251-10) / 10 Ml In 1 Vial, Multi-Dose",0.65,0.65,,,0 NDC,55150025220,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-252-20) / 20 Ml In 1 Vial, Multi-Dose",0.555,0.555,,,0 NDC,55150025410,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-254-10) / 10 Ml In 1 Vial, Multi-Dose",0.1,0.1,,,0 NDC,55150025520,"Lidocaine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-255-20) / 20 Ml In 1 Vial, Multi-Dose",0.07,0.07,,,0 NDC,55150025930,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (55150-259-30) / 30 Ml In 1 Vial, Single-Dose",14.18,14.18,,,0 NDC,55150026705,"Fluphenazine Decanoate: 1 Vial, Multi-Dose In 1 Carton (55150-267-05) / 5 Ml In 1 Vial, Multi-Dose",111.24,111.24,,,0 NDC,55150027301,NDC Description Not Available,13.92,13.92,,,0 NDC,55150027325,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (55150-273-25) / 2 Ml In 1 Vial, Multi-Dose (55150-273-01)",14.24,14.24,,,0 NDC,55150027701,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (55150-277-01) / 1 Ml In 1 Vial, Glass",0.41,0.41,,,0 NDC,55150028209,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-09) / 1 Injection In 1 Vial, Single-Dose",94.44,94.44,,,0 NDC,55150028220,"Ertapenem: 10 Vial, Single-Dose In 1 Carton (55150-282-20) / 1 Injection In 1 Vial, Single-Dose",141.4,141.4,,,0 NDC,55150028801,NDC Description Not Available,16.4,16.4,,,0 NDC,55150029901,"Fosaprepitant Dimeglumine: 1 Vial, Single-Dose In 1 Carton (55150-299-01) / 5 Ml In 1 Vial, Single-Dose",1.87,1.87,,,0 NDC,55150030201,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (55150-302-01) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.03,0.03,,,0 NDC,55150030401,NDC Description Not Available,1.8399999999999999,1.8399999999999999,,,0 NDC,55150030425,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (55150-304-25) / 1 Ml In 1 Vial (55150-304-01),1.87,1.87,,,0 NDC,55150030610,"Progesterone: 10 Ml In 1 Vial, Multi-Dose (55150-306-10)",8.76,8.76,,,0 NDC,55150030701,NDC Description Not Available,0.81,0.81,,,0 NDC,55150030801,"Olanzapine: 1 Vial, Single-Dose In 1 Carton (55150-308-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.74,14.74,,,0 NDC,55150031801,NDC Description Not Available,124.94,124.94,,,0 NDC,55150031825,Chlorpromazine Hydrochloride: 25 Ampule In 1 Carton (55150-318-25) / 1 Ml In 1 Ampule (55150-318-01),125.14,125.14,,,0 NDC,55150031901,NDC Description Not Available,72.1,72.1,,,0 NDC,55150032201,NDC Description Not Available,11.33,11.33,,,0 NDC,55150032301,NDC Description Not Available,7.56,7.56,,,0 NDC,55150032401,NDC Description Not Available,3.45,3.45,,,0 NDC,55150033001,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (55150-330-01) / 1 Ml In 1 Syringe,1.885,1.885,,,0 NDC,55150033501,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-335-01) / 45 Ml In 1 Vial, Multi-Dose",19.84,19.84,,,0 NDC,55150033701,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (55150-337-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.48,5.48,,,0 NDC,55150034501,Naloxone Hydrochloride: 1 Syringe In 1 Box (55150-345-01) / 2 Ml In 1 Syringe,69.07,69.07,,,0 NDC,55150035401,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (55150-354-01) / 15 Ml In 1 Vial, Single-Dose",28.47,28.47,,,0 NDC,55150036001,"Prochlorperazine Edisylate: 1 Vial, Multi-Dose In 1 Carton (55150-360-01) / 2 Ml In 1 Vial, Multi-Dose",39.14,39.14,,,0 NDC,55150037000,NDC Description Not Available,324.45,324.45,,,0 NDC,55150037001,"Vasopressin: 1 Vial, Multi-Dose In 1 Carton (55150-370-01) / 1 Ml In 1 Vial, Multi-Dose",276.64,276.64,,,0 NDC,55150037024,"Vasopressin: 25 Vial, Multi-Dose In 1 Carton (55150-370-24) / 1 Ml In 1 Vial, Multi-Dose",324.45,324.45,,,0 NDC,55150037025,"Vasopressin: 25 Vial, Multi-Dose In 1 Carton (55150-370-25) / 1 Ml In 1 Vial, Multi-Dose",298.71,298.71,,,0 NDC,55150038601,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (55150-386-01) / 60 Ml In 1 Vial, Multi-Dose",17.17,17.17,,,0 NDC,55150038801,"Posaconazole: 1 Vial, Single-Dose In 1 Carton (55150-388-01) / 16.7 Ml In 1 Vial, Single-Dose",1316.55,1316.55,,,0 NDC,55150040001,NDC Description Not Available,17.88,17.88,,,0 NDC,55150040201,NDC Description Not Available,10.98,10.98,,,0 NDC,55150040225,"Gentamicin: 25 Vial, Multi-Dose In 1 Carton (55150-402-25) / 2 Ml In 1 Vial, Multi-Dose (55150-402-01)",10.66,10.66,,,0 NDC,55150042001,NDC Description Not Available,604.61,604.61,,,0 NDC,55150042501,NDC Description Not Available,11.97,11.97,,,0 NDC,55150042510,"Diltiazem Hydrochloride: 10 Vial, Single-Dose In 1 Carton (55150-425-10) / 5 Ml In 1 Vial, Single-Dose (55150-425-01)",16.48,16.48,,,0 NDC,55150042701,NDC Description Not Available,47.67,47.67,,,0 NDC,55150043001,Tirofiban: 1 Pouch In 1 Carton (55150-430-01) / 1 Bag In 1 Pouch / 250 Ml In 1 Bag,19.65,19.65,,,0 NDC,55150043801,NDC Description Not Available,41.615,41.615,,,0 NDC,55150043810,"Ketamine Hydrochloride: 10 Vial, Multi-Dose In 1 Carton (55150-438-10) / 20 Ml In 1 Vial, Multi-Dose",11.35,11.35,,,0 NDC,55289048702,"Lorazepam: 2 TABLET in 1 BOTTLE, PLASTIC (55289-487-02)",49.96,49.96,,,0 NDC,55289048704,"Lorazepam: 4 TABLET in 1 BOTTLE, PLASTIC (55289-487-04)",1.29,1.29,,,0 NDC,55289048779,"Lorazepam: 1 TABLET in 1 BOTTLE, PLASTIC (55289-487-79)",80.34,80.34,,,0 NDC,55292032020,"Isturisa: 20 Tablet, Coated In 1 Blister Pack (55292-320-20)",544.63,544.63,,,0 NDC,55292032060,"Isturisa: 60 Tablet, Coated In 1 Blister Pack (55292-320-60)",544.62,544.62,,,0 NDC,55292070254,NDC Description Not Available,64.91,64.91,,,0 NDC,55292070255,Panhematin: 1 Vial In 1 Carton (55292-702-55) / 48 Ml In 1 Vial (55292-702-54),58.28,58.28,,,0 NDC,55390012510,Midazolam: 10 VIAL in 1 BOX (55390-125-10) / 10 mL in 1 VIAL,0.95,0.95,,,0 NDC,55390013702,Midazolam: 10 VIAL in 1 BOX (55390-137-02) / 2 mL in 1 VIAL,1.56,1.56,,,0 NDC,55390013705,Midazolam: 10 VIAL in 1 BOX (55390-137-05) / 5 mL in 1 VIAL,0.52,0.52,,,0 NDC,55390048101,Ketorolac Tromethamine: 10 VIAL in 1 BOX (55390-481-01) / 1 mL in 1 VIAL,2.58,2.58,,,0 NDC,55513002101,NDC Description Not Available,31.12,31.12,,,0 NDC,55513002104,Aranesp: 1 Blister Pack In 1 Package (55513-021-04) / 4 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe (55513-021-01),33.48,33.48,,,0 NDC,55513002301,NDC Description Not Available,18.81,18.81,,,0 NDC,55513002501,NDC Description Not Available,19.185000000000002,19.185000000000002,,,0 NDC,55513002701,NDC Description Not Available,19.13,19.13,,,0 NDC,55513002801,Aranesp: 1 Blister Pack In 1 Package (55513-028-01) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,18.975,18.975,,,0 NDC,55513003201,Aranesp: 1 Blister Pack In 1 Package (55513-032-01) / 1 Syringe In 1 Blister Pack / 1 Ml In 1 Syringe,19.13,19.13,,,0 NDC,55513005701,NDC Description Not Available,33.49,33.49,,,0 NDC,55513005901,Imdelltra (Amg757): 1 Kit In 1 Package (55513-059-01) * 1 Mg In 1 Vial (55513-103-01) * 7 Ml In 1 Vial (55513-068-01),35.91,35.91,,,0 NDC,55513006901,NDC Description Not Available,5297.14,5297.14,,,0 NDC,55513007330,"Sensipar: 30 Tablet, Coated In 1 Bottle, Plastic (55513-073-30)",116.33,116.33,,,0 NDC,55513007701,Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01),4737.63,4737.63,,,0 NDC,55513007801,Imlygic: 1 Vial In 1 Carton (55513-078-01) / 1 Ml In 1 Vial,285.38,285.38,,,0 NDC,55513007901,Imlygic: 1 Vial In 1 Carton (55513-079-01) / 1 Ml In 1 Vial,164.47,164.47,,,0 NDC,55513011101,Aranesp: 1 Blister Pack In 1 Package (55513-111-01) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,18.82,18.82,,,0 NDC,55513012601,NDC Description Not Available,7.17,7.17,,,0 NDC,55513013201,"Kanjinti: 1 Vial, Multi-Dose In 1 Carton (55513-132-01) / 20 Ml In 1 Vial, Multi-Dose",186.05,186.05,,,0 NDC,55513014401,NDC Description Not Available,8.08,8.08,,,0 NDC,55513014410,Epogen: 10 Vial In 1 Package (55513-144-10) / 1 Ml In 1 Vial (55513-144-01),7.17,7.17,,,0 NDC,55513014810,Epogen: 10 Vial In 1 Package (55513-148-10) / 1 Ml In 1 Vial (55513-148-01),7.17,7.17,,,0 NDC,55513016001,Blincyto: 1 Kit In 1 Package (55513-160-01) * 3.088 Ml In 1 Vial (55513-150-01) * 10.6 Ml In 1 Vial (55513-155-01),325.97,325.97,,,0 NDC,55513019001,Neulasta: 1 Syringe In 1 Carton (55513-190-01) / .6 Ml In 1 Syringe,1310.91,1310.91,,,0 NDC,55513019201,Neulasta: 1 Kit In 1 Carton (55513-192-01) * .6 Ml In 1 Syringe,1294.17,1294.17,,,0 NDC,55513020601,Mvasi: 1 Vial In 1 Carton (55513-206-01) / 4 Ml In 1 Vial,171.37,171.37,,,0 NDC,55513020701,Mvasi: 1 Vial In 1 Carton (55513-207-01) / 16 Ml In 1 Vial,168.49,168.49,,,0 NDC,55513020901,NDC Description Not Available,2.6900000000000004,2.6900000000000004,,,0 NDC,55513020991,Neupogen: 1 Syringe In 1 Box (55513-209-91) / .8 Ml In 1 Syringe,2.74,2.74,,,0 NDC,55513022101,Nplate: 1 Vial In 1 Carton (55513-221-01) / .5 Ml In 1 Vial,63.48,63.48,,,0 NDC,55513032601,"Riabni: 1 Vial, Single-Dose In 1 Carton (55513-326-01) / 50 Ml In 1 Vial, Single-Dose",177.19,177.19,,,0 NDC,55513047801,NDC Description Not Available,10.91,10.91,,,0 NDC,55513053001,NDC Description Not Available,4.54,4.54,,,0 NDC,55513067001,"Avsola: 1 Vial, Single-Dose In 1 Carton (55513-670-01) / 10 Ml In 1 Vial, Single-Dose",123.6,123.6,,,0 NDC,55513071001,Prolia: 1 Syringe In 1 Carton (55513-710-01) / 1 Ml In 1 Syringe,72.95,72.95,,,0 NDC,55513071021,Prolia: 1 Syringe In 1 Carton (55513-710-21) / 1 Ml In 1 Syringe,74.17,74.17,,,0 NDC,55513073001,"Xgeva: 1 Vial, Single-Use In 1 Carton (55513-730-01) / 1.7 Ml In 1 Vial, Single-Use",67.01,67.01,,,0 NDC,55513080060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-800-60)",38.03,38.03,,,0 NDC,55513081060,"Corlanor: 60 Tablet, Film Coated In 1 Bottle (55513-810-60)",43.25,43.25,,,0 NDC,55513088001,NDC Description Not Available,26.28,26.28,,,0 NDC,55513088002,Evenity: 2 Syringe In 1 Carton (55513-880-02) / 1.17 Ml In 1 Syringe (55513-880-01),28.96,28.96,,,0 NDC,55513092401,NDC Description Not Available,4.74,4.74,,,0 NDC,55513095401,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-954-01) / 5 Ml In 1 Vial, Single-Dose",411.78,411.78,,,0 NDC,55513095601,"Vectibix: 1 Vial, Single-Dose In 1 Carton (55513-956-01) / 20 Ml In 1 Vial, Single-Dose",428.15,428.15,,,0 NDC,55513099801,NDC Description Not Available,29.47,29.47,,,0 NDC,55513099802,"Evenity: 2 Syringe, Glass In 1 Carton (55513-998-02) / 1.17 Ml In 1 Syringe, Glass (55513-998-01)",29.7,29.7,,,0 NDC,55566105001,Adstiladrin: 4 Vial In 1 Carton (55566-1050-1) / 20 Ml In 1 Vial (55566-1050-0),37080.0,37080.0,,,0 NDC,55566180101,"Zomacton: 1 Kit In 1 Carton (55566-1801-1) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 5 Ml In 1 Vial",729.615,729.615,,,0 NDC,55566220000,Ddavp: 10 Ampule In 1 Carton (55566-2200-0) / 1 Ml In 1 Ampule,87.71,87.71,,,0 NDC,55566280000,NDC Description Not Available,2179.48,2179.48,,,0 NDC,55566280001,Cervidil: 1 Pouch In 1 Carton (55566-2800-1) / 10 Mg In 1 Pouch (55566-2800-0),2282.51,2282.51,,,0 NDC,55566830301,"Firmagon: 1 Kit In 1 Carton (55566-8303-1) * 4 Ml In 1 Vial, Glass * 4.2 Ml In 1 Syringe",15.09,15.09,,,0 NDC,55566840301,"Firmagon: 1 Kit In 1 Carton (55566-8403-1) * 3 Ml In 1 Syringe * 3 Ml In 1 Vial, Glass",7.85,7.85,,,0 NDC,57237001830,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (57237-018-30)",28.31,28.31,,,0 NDC,57237001890,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (57237-018-90)",28.25,28.25,,,0 NDC,57237007710,"Ondansetron: 3 Blister Pack In 1 Carton (57237-077-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 NDC,57237011490,"Alfuzosin Hydrochloride: 90 Tablet, Film Coated, Extended Release In 1 Bottle (57237-114-90)",15.23,15.23,,,0 NDC,57237015430,Modafinil: 30 Tablet In 1 Bottle (57237-154-30),77.12,77.12,,,0 NDC,57237015490,Modafinil: 90 Tablet In 1 Bottle (57237-154-90),79.08,79.08,,,0 NDC,57237018090,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (57237-180-90),10.64,10.64,,,0 NDC,57237018290,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (57237-182-90),9.18,9.18,,,0 NDC,57237027424,Lamivudine: 240 Ml In 1 Bottle (57237-274-24),45.36,45.36,,,0 NDC,57237032721,Bisacodyl: 3 Blister Pack In 1 Carton (57237-327-21) / 4 Suppository In 1 Blister Pack (57237-327-04),2.06,2.06,,,0 NDC,57648000201,The Magic Bullet: 100 Suppository In 1 Carton (57648-002-01),1.13,1.13,,,0 NDC,57664022388,Oxycodone Hydrochloride: 100 Tablet In 1 Bottle (57664-223-88),1.54,1.54,,,0 NDC,57664039288,Venlafaxine: 100 Tablet In 1 Bottle (57664-392-88),6.89,6.89,,,0 NDC,57664063343,MIDAZOLAM: 10 VIAL in 1 CARTON (57664-633-43) / 2 mL in 1 VIAL (57664-633-40),1.03,1.03,,,0 NDC,57664068331,NDC Description Not Available,93.73,93.73,,,0 NDC,57782039726,"Cromolyn Sodium: 1 Bottle In 1 Carton (57782-397-26) / 200 Spray, Metered In 1 Bottle",46.35,46.35,,,0 NDC,57884325101,Bupivacaine: 10 Vial In 1 Carton (57884-3251-1) / 10 Ml In 1 Vial,6.12,6.12,,,0 NDC,57894003001,"Remicade: 1 Vial, Single-Use In 1 Box (57894-030-01) / 10 Ml In 1 Vial, Single-Use",276.24,276.24,,,0 NDC,57894005427,"Stelara: 1 Vial, Single-Use In 1 Box (57894-054-27) / 26 Ml In 1 Vial, Single-Use",37.48,37.48,,,0 NDC,57894016001,"Infliximab: 1 Vial, Single-Use In 1 Box (57894-160-01) / 10 Ml In 1 Vial, Single-Use",117.42,117.42,,,0 NDC,57894024030,"Lazcluze: 1 Bottle In 1 Carton (57894-240-30) / 30 Tablet, Film Coated In 1 Bottle",874.64,874.64,,,0 NDC,57894035001,"Simponi Aria: 1 Vial, Single-Dose In 1 Carton (57894-350-01) / 4 Ml In 1 Vial, Single-Dose",98.9,98.9,,,0 NDC,57894044901,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-449-01) / 3 Ml In 1 Vial, Single-Dose",85.65,85.65,,,0 NDC,57894045001,"Tecvayli: 1 Vial, Single-Dose In 1 Carton (57894-450-01) / 1.7 Ml In 1 Vial, Single-Dose",78.39,78.39,,,0 NDC,57894046901,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-469-01) / 1.5 Ml In 1 Vial, Single-Dose",177.6,177.6,,,0 NDC,57894047001,"Talvey: 1 Vial, Single-Dose In 1 Carton (57894-470-01) / 1 Ml In 1 Vial, Single-Dose",156.17,156.17,,,0 NDC,57894050101,"Rybrevant: 1 Vial, Single-Use In 1 Carton (57894-501-01) / 1 Injection In 1 Vial, Single-Use (57894-501-00)",49.175,49.175,,,0 NDC,57894050301,"Darzalex Faspro: 1 Vial, Single-Dose In 1 Box (57894-503-01) / 15 Ml In 1 Vial, Single-Dose",136.17,136.17,,,0 NDC,57894050505,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-05) / 5 Ml In 1 Vial, Single-Dose",181.59,181.59,,,0 NDC,57894050520,"Darzalex Iv: 1 Vial, Single-Dose In 1 Box (57894-505-20) / 20 Ml In 1 Vial, Single-Dose",180.52,180.52,,,0 NDC,57896013101,Dibucaine: 1 Tube In 1 Box (57896-131-01) / 28 G In 1 Tube,7.11,7.11,,,0 NDC,57896014509,NDC Description Not Available,44.25,44.25,,,0 NDC,57896018405,Gericare Artificial Tears Lubricant Eye: 1 BOTTLE in 1 CARTON (57896-184-05) / 15 mg in 1 BOTTLE,0.04,0.04,,,0 NDC,57896043516,SORBITOL: 473 mL in 1 BOTTLE (57896-435-16),2.06,2.06,,,0 NDC,57896044312,Bisacodyl: 2 Blister Pack In 1 Carton (57896-443-12) / 6 Suppository In 1 Blister Pack (57896-443-66),0.97,0.97,,,0 NDC,57896044401,BISACODYL: 4 BLISTER PACK in 1 CARTON (57896-444-01) / 25 SUPPOSITORY in 1 BLISTER PACK,0.39,0.39,,,0 NDC,57896044412,BISACODYL: 2 BLISTER PACK in 1 CARTON (57896-444-12) / 6 SUPPOSITORY in 1 BLISTER PACK,0.88,0.88,,,0 NDC,57970010001,Dalvance: 1 Vial In 1 Package (57970-100-01) / 25 Ml In 1 Vial,41.84,41.84,,,0 NDC,58151011032,NDC Description Not Available,8.24,8.24,,,0 NDC,58151031001,Nitrostat: 1 Bottle In 1 Carton (58151-310-01) / 100 Tablet In 1 Bottle,3.09,3.09,,,0 NDC,58151031094,NDC Description Not Available,2.02,2.02,,,0 NDC,58160081043,NDC Description Not Available,22.66,22.66,,,0 NDC,58160081052,Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43),23.69,23.69,,,0 NDC,58160081143,NDC Description Not Available,422.0,422.0,,,0 NDC,58160081152,Pediarix: 10 Syringe In 1 Carton (58160-811-52) / .5 Ml In 1 Syringe (58160-811-43),421.27,421.27,,,0 NDC,58160081543,NDC Description Not Available,525.405,525.405,,,0 NDC,58160081912,Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01),700.4,700.4,,,0 NDC,58160082043,NDC Description Not Available,153.35000000000002,153.35000000000002,,,0 NDC,58160082052,Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43),122.84,122.84,,,0 NDC,58160082101,NDC Description Not Available,305.91,305.91,,,0 NDC,58160082111,Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01),155.53,155.53,,,0 NDC,58160082143,NDC Description Not Available,286.13,286.13,,,0 NDC,58160082311,Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03),795.72,795.72,,,0 NDC,58160082643,NDC Description Not Available,344.02,344.02,,,0 NDC,58160082652,Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43),66.95,66.95,,,0 NDC,58160082703,NDC Description Not Available,660.22,660.22,,,0 NDC,58160082730,Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03),509.85,509.85,,,0 NDC,58160084201,NDC Description Not Available,202.91,202.91,,,0 NDC,58160084243,NDC Description Not Available,193.065,193.065,,,0 NDC,58160084252,Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43),198.57,198.57,,,0 NDC,58160088441,NDC Description Not Available,71.96,71.96,,,0 NDC,58160088452,Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41),78.285,78.285,,,0 NDC,58160089041,NDC Description Not Available,23.69,23.69,,,0 NDC,58160090941,NDC Description Not Available,54.074999999999996,54.074999999999996,,,0 NDC,58160095509,"Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01)",679.8,679.8,,,0 NDC,58160096412,"RabAvert: 1 KIT in 1 CARTON (58160-964-12) * 1 mL in 1 VIAL, GLASS (58160-966-01) * 1 mL in 1 SYRINGE (58160-967-02)",1639.76,1639.76,,,0 NDC,58160097602,NDC Description Not Available,953.96,953.96,,,0 NDC,58160097606,NDC Description Not Available,967.17,967.17,,,0 NDC,58160097620,Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02),576.8,576.8,,,0 NDC,58284022801,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-228-01) / .36 Ml In 1 Syringe, Glass",32.98,32.98,,,0 NDC,58284029601,"Brixadi: 1 Syringe, Glass In 1 Carton (58284-296-01) / .27 Ml In 1 Syringe, Glass",43.98,43.98,,,0 NDC,58394063403,"Benefix: 1 Kit In 1 Carton (58394-634-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-134-03)",4.2,4.2,,,0 NDC,58394063503,"Benefix: 1 Kit In 1 Carton (58394-635-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-135-03)",3.58,3.58,,,0 NDC,58394063603,"Benefix: 1 Kit In 1 Carton (58394-636-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01) * 5 Ml In 1 Vial, Single-Use (58394-136-03)",3.58,3.58,,,0 NDC,58394063703,"Benefix: 1 Kit In 1 Carton (58394-637-03) * 5 Ml In 1 Vial, Single-Use (58394-137-03) * 5 Ml In 1 Syringe (58394-041-11) * 1 Ml In 1 Packet (0069-1111-01)",3.6,3.6,,,0 NDC,58468003001,NDC Description Not Available,4525.23,4525.23,,,0 NDC,58468003002,"Thyrogen: 2 Vial, Single-Dose In 1 Carton (58468-0030-2) / 1 Ml In 1 Vial, Single-Dose (58468-0030-1)",4887.35,4887.35,,,0 NDC,58468004001,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0040-1) / 7 Ml In 1 Vial, Glass",508.69,508.69,,,0 NDC,58468004101,"Fabrazyme: 1 Vial, Glass In 1 Carton (58468-0041-1) / 1 Ml In 1 Vial, Glass",481.43,481.43,,,0 NDC,58468008001,"Thymoglobulin: 1 Vial, Glass In 1 Carton (58468-0080-1) / 5 Ml In 1 Vial, Glass",2648.84,2648.84,,,0 NDC,58468013101,NDC Description Not Available,9.87,9.87,,,0 NDC,58468022501,"Cablivi: 1 Kit In 1 Carton (58468-0225-1) * 1 Ml In 1 Vial, Glass (58468-0227-1) * 1 Ml In 1 Syringe, Glass (58468-0229-1)",1852.2,1852.2,,,0 NDC,58468035701,"Campath: 1 Vial, Single-Use In 1 Carton (58468-0357-1) / 1 Ml In 1 Vial, Single-Use",0.06,0.06,,,0 NDC,58468035703,"Campath: 3 Vial, Single-Use In 1 Carton (58468-0357-3) / 1 Ml In 1 Vial, Single-Use",0.03,0.03,,,0 NDC,58468042601,"Nexviazyme: 1 Vial, Single-Dose In 1 Carton (58468-0426-1) / 10 Ml In 1 Vial, Single-Dose",51.09,51.09,,,0 NDC,58468466301,"Cerezyme: 1 Vial, Glass In 1 Carton (58468-4663-1) / 10 Ml In 1 Vial, Glass",106.11,106.11,,,0 NDC,58602000640,"Olopatadine Hydrochloride: 1 Bottle, Plastic In 1 Carton (58602-006-40) / 5 Ml In 1 Bottle, Plastic",29.61,29.61,,,0 NDC,58602060407,Diclofenac Sodium: 1 Tube In 1 Carton (58602-604-07) / 100 G In 1 Tube,43.12,43.12,,,0 NDC,58657067501,"Ciprofloxacin: 100 Tablet, Coated In 1 Bottle (58657-675-01)",16.22,16.22,,,0 NDC,58914011210,Viokace: 1 BOTTLE in 1 CARTON (58914-112-10) / 100 TABLET in 1 BOTTLE,13.97,13.97,,,0 NDC,58914050101,NDC Description Not Available,93.16,93.16,,,0 NDC,58914050156,Canasa: 30 Suppository In 1 Box (58914-501-56),99.46,99.46,,,0 NDC,58980040912,Stratuscare Glycerin Laxative Pediatric: 12 Suppository In 1 Jar (58980-409-12),1.81,1.81,,,0 NDC,58980040925,Stratuscare Glycerin Laxative Pediatric: 25 Suppository In 1 Jar (58980-409-25),1.15,1.15,,,0 NDC,58980041012,Stratuscare Adult Glycerin: 12 Suppository In 1 Jar (58980-410-12),0.77,0.77,,,0 NDC,58980078011,NDC Description Not Available,107.12,107.12,,,0 NDC,58980078021,NDC Description Not Available,135.02,135.02,,,0 NDC,59011041010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-410-10)",23.13,23.13,,,0 NDC,59011041020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-410-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",23.81,23.81,,,0 NDC,59011041510,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-415-10)",33.94,33.94,,,0 NDC,59011041520,"Oxycontin: 2 Blister Pack In 1 Carton (59011-415-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",35.0,35.0,,,0 NDC,59011042010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-420-10)",43.06,43.06,,,0 NDC,59011042020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-420-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",44.38,44.38,,,0 NDC,59011044010,"Oxycontin: 100 Tablet, Film Coated, Extended Release In 1 Bottle (59011-440-10)",73.67,73.67,,,0 NDC,59011044020,"Oxycontin: 2 Blister Pack In 1 Carton (59011-440-20) / 10 Tablet, Film Coated, Extended Release In 1 Blister Pack",76.14,76.14,,,0 NDC,59011075004,Butrans: 4 Pouch In 1 Carton (59011-750-04) / 1 Patch In 1 Pouch / 168 H In 1 Patch,386.25,386.25,,,0 NDC,59137023101,"Gleolan: 1 Vial, Single-Dose In 1 Carton (59137-231-01) / 1 Powder, For Solution In 1 Vial, Single-Dose",8483.4,8483.4,,,0 NDC,59148002050,Samsca: 1 Blister Pack In 1 Carton (59148-020-50) / 10 Tablet In 1 Blister Pack,2144.94,2144.94,,,0 NDC,59148002150,Samsca: 1 Blister Pack In 1 Carton (59148-021-50) / 10 Tablet In 1 Blister Pack,2225.23,2225.23,,,0 NDC,59148004580,Abilify Maintena: 1 Kit In 1 Carton (59148-045-80) * 1.5 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.43,17.43,,,0 NDC,59148007280,Abilify Maintena: 1 Kit In 1 Carton (59148-072-80) * 1.9 Ml In 1 Syringe * 5 Ml In 1 Syringe,17.49,17.49,,,0 NDC,59212000201,Dyrenium: 100 Capsule In 1 Bottle (59212-002-01),63.86,63.86,,,0 NDC,59310030240,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-302-40) / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",924.87,924.87,,,0 NDC,59310030480,"Qvar Redihaler: 1 Inhaler In 1 Carton (59310-304-80) / 1 Canister In 1 Inhaler / 120 Aerosol, Metered In 1 Canister",1239.88,1239.88,,,0 NDC,59310057922,"PROAIR: 1 INHALER in 1 CARTON (59310-579-22) / 200 AEROSOL, METERED in 1 INHALER",2.0,2.0,,,0 NDC,59310061031,"Cinqair: 1 Vial, Single-Use In 1 Carton (59310-610-31) / 10 Ml In 1 Vial, Single-Use",27.69,27.69,,,0 NDC,59338077501,"Feraheme: 1 Vial, Single-Use In 1 Carton (59338-775-01) / 17 Ml In 1 Vial, Single-Use",5.45,5.45,,,0 NDC,59365512801,Paragard T 380A: 1 Pouch In 1 Carton (59365-5128-1) / 1 Intrauterine Device In 1 Pouch,2316.47,2316.47,,,0 NDC,59385002101,NDC Description Not Available,29.05,29.05,,,0 NDC,59385002201,NDC Description Not Available,29.11,29.11,,,0 NDC,59385002301,NDC Description Not Available,45.73,45.73,,,0 NDC,59385002401,NDC Description Not Available,59.15,59.15,,,0 NDC,59385002501,NDC Description Not Available,66.3,66.3,,,0 NDC,59385002701,NDC Description Not Available,71.79,71.79,,,0 NDC,59417010310,Vyvanse: 100 Capsule In 1 Bottle (59417-103-10),56.02,56.02,,,0 NDC,59417010410,Vyvanse: 100 Capsule In 1 Bottle (59417-104-10),56.14,56.14,,,0 NDC,59417010510,Vyvanse: 100 Capsule In 1 Bottle (59417-105-10),55.88,55.88,,,0 NDC,59417010610,Vyvanse: 100 Capsule In 1 Bottle (59417-106-10),56.03,56.03,,,0 NDC,59417010710,Vyvanse: 100 Capsule In 1 Bottle (59417-107-10),55.96,55.96,,,0 NDC,59572071101,"Reblozyl: 1 Vial, Glass In 1 Carton (59572-711-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",95.91,95.91,,,0 NDC,59572098401,"Istodax: 1 Kit In 1 Carton (59572-984-01) * 2.2 Ml In 1 Vial, Glass (59572-962-10) * 2.4 Ml In 1 Vial, Glass (59572-973-02)",79.07,79.07,,,0 NDC,59630026601,NDC Description Not Available,6.95,6.95,,,0 NDC,59630026610,"Fetroja: 10 Vial, Single-Use In 1 Carton (59630-266-10) / 10 Ml In 1 Vial, Single-Use (59630-266-01)",6.58,6.58,,,0 NDC,59651000715,Azithromycin: 1 Bottle In 1 Carton (59651-007-15) / 15 Ml In 1 Bottle,93.22,93.22,,,0 NDC,59651002675,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (59651-026-75),31.16,31.16,,,0 NDC,59651005290,Ezetimibe: 90 Tablet In 1 Bottle (59651-052-90),37.8,37.8,,,0 NDC,59651008630,"Darunavir: 30 Tablet, Film Coated In 1 Bottle (59651-086-30)",271.92,271.92,,,0 NDC,59651021430,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (59651-214-30) / 200 Spray, Metered In 1 Bottle, Spray",379.04,379.04,,,0 NDC,59651024130,"Imatinib Mesylate: 30 Tablet, Film Coated In 1 Bottle (59651-241-30)",1313.66,1313.66,,,0 NDC,59651029960,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (59651-299-60)",6.83,6.83,,,0 NDC,59651033101,Flucytosine: 100 Capsule In 1 Bottle (59651-331-01),295.86,295.86,,,0 NDC,59651033201,Flucytosine: 100 Capsule In 1 Bottle (59651-332-01),552.8,552.8,,,0 NDC,59651038130,Clomipramine Hydrochloride: 30 Capsule In 1 Bottle (59651-381-30),40.43,40.43,,,0 NDC,59651039401,Baclofen: 100 Tablet In 1 Bottle (59651-394-01),0.26,0.26,,,0 NDC,59651042011,Sildenafil Citrate: 1 Bottle In 1 Carton (59651-420-11) / 112 Ml In 1 Bottle,285.5,285.5,,,0 NDC,59651044401,"Valganciclovir: 1 Bottle, Glass In 1 Carton (59651-444-01) / 100 Ml In 1 Bottle, Glass",568.95,568.95,,,0 NDC,59651048401,Prednisone: 100 Tablet In 1 Bottle (59651-484-01),0.93,0.93,,,0 NDC,59651049101,Prednisolone: 100 Tablet In 1 Bottle (59651-491-01),60.15,60.15,,,0 NDC,59651049901,"Hydroxyzine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (59651-499-01)",1.7,1.7,,,0 NDC,59651051630,"Exemestane: 30 Tablet, Film Coated In 1 Bottle (59651-516-30)",72.94,72.94,,,0 NDC,59651072201,Clonazepam: 100 Tablet In 1 Bottle (59651-722-01),2.53,2.53,,,0 NDC,59651087350,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (59651-873-50)",20.6,20.6,,,0 NDC,59676027801,"Edurant: 30 Tablet, Film Coated In 1 Bottle (59676-278-01)",209.59,209.59,,,0 NDC,59676030200,NDC Description Not Available,13.24,13.24,,,0 NDC,59676030201,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-302-01) / 1 Ml In 1 Vial, Single-Dose (59676-302-00)",11.57,11.57,,,0 NDC,59676030400,NDC Description Not Available,18.06,18.06,,,0 NDC,59676030401,"Procrit: 6 Vial, Single-Dose In 1 Carton (59676-304-01) / 1 Ml In 1 Vial, Single-Dose (59676-304-00)",11.56,11.56,,,0 NDC,59676031000,NDC Description Not Available,27.17,27.17,,,0 NDC,59676031002,"Procrit: 25 Vial, Single-Dose In 1 Carton (59676-310-02) / 1 Ml In 1 Vial, Single-Dose (59676-310-00)",11.56,11.56,,,0 NDC,59676032000,NDC Description Not Available,29.66,29.66,,,0 NDC,59676032004,"Procrit: 4 Vial, Multi-Dose In 1 Carton (59676-320-04) / 1 Ml In 1 Vial, Multi-Dose (59676-320-00)",16.52,16.52,,,0 NDC,59676034000,NDC Description Not Available,59.87,59.87,,,0 NDC,59676034001,"Procrit: 4 Vial, Single-Dose In 1 Carton (59676-340-01) / 1 Ml In 1 Vial, Single-Dose (59676-340-00)",66.07,66.07,,,0 NDC,59676056201,"Prezista: 60 Tablet, Film Coated In 1 Bottle, Plastic (59676-562-01)",155.58,155.58,,,0 NDC,59676056630,"Prezista: 30 Tablet, Film Coated In 1 Bottle, Plastic (59676-566-30)",311.19,311.19,,,0 NDC,59676061001,"Yondelis: 20 Ml In 1 Vial, Single-Use (59676-610-01)",863.81,863.81,,,0 NDC,59746001032,"Risperidone: 3 Blister Pack In 1 Carton (59746-010-32) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",17.72,17.72,,,0 NDC,59746002022,"Risperidone: 7 Blister Pack In 1 Carton (59746-020-22) / 4 Tablet, Orally Disintegrating In 1 Blister Pack",19.86,19.86,,,0 NDC,59746003022,"Risperidone: 7 Blister Pack In 1 Carton (59746-030-22) / 4 Tablet, Orally Disintegrating In 1 Blister Pack",32.14,32.14,,,0 NDC,59746017506,Prednisone: 100 Tablet In 1 Bottle (59746-175-06),0.27,0.27,,,0 NDC,59746038306,Terazosin: 100 Capsule In 1 Bottle (59746-383-06),5.61,5.61,,,0 NDC,59746038506,Terazosin: 100 Capsule In 1 Bottle (59746-385-06),5.76,5.76,,,0 NDC,59762005001,Methylprednisolone: 50 Tablet In 1 Bottle (59762-0050-1),3.34,3.34,,,0 NDC,59762007301,Hydrocortisone: 50 Tablet In 1 Bottle (59762-0073-1),1.0,1.0,,,0 NDC,59762007401,Hydrocortisone: 100 Tablet In 1 Bottle (59762-0074-1),2.06,2.06,,,0 NDC,59762011701,"Mesalamine: 180 Capsule, Delayed Release In 1 Bottle (59762-0117-1)",15.11,15.11,,,0 NDC,59762011801,NDC Description Not Available,12.03,12.03,,,0 NDC,59762013102,Silver Sulfadiazine: 1 Tube In 1 Carton (59762-0131-2) / 25 G In 1 Tube,32.96,32.96,,,0 NDC,59762013104,Silver Sulfadiazine: 400 G In 1 Jar (59762-0131-4),233.81,233.81,,,0 NDC,59762017006,"Tolterodine Tartrate: 60 Tablet, Film Coated In 1 Bottle (59762-0170-6)",11.95,11.95,,,0 NDC,59762033302,"Latanoprost: 1 Bottle, Dropper In 1 Carton (59762-0333-2) / 2.5 Ml In 1 Bottle, Dropper",106.49,106.49,,,0 NDC,59762093503,Voriconazole: 1 Bottle In 1 Carton (59762-0935-3) / 75 Ml In 1 Bottle,349.9,349.9,,,0 NDC,59762100101,"Sirolimus: 100 Tablet, Sugar Coated In 1 Bottle (59762-1001-1)",30.64,30.64,,,0 NDC,59762100501,Cabergoline: 8 Tablet In 1 Bottle (59762-1005-1),66.05,66.05,,,0 NDC,59762106101,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (59762-1061-1),3.09,3.09,,,0 NDC,59762130804,Linezolid: 150 Ml In 1 Bottle (59762-1308-4),21.72,21.72,,,0 NDC,59762135001,Rifabutin: 100 Capsule In 1 Bottle (59762-1350-1),63.07,63.07,,,0 NDC,59762171001,"100 BLISTER PACK in 1 CARTON (59762-1710-1) / 1 TABLET, FILM COATED in 1 BLISTER PACK",14.63,14.63,,,0 NDC,59762205801,Sildenafil: 1 Bottle In 1 Carton (59762-2058-1) / 112 Ml In 1 Bottle,286.34,286.34,,,0 NDC,59762311001,Azithromycin: 1 Bottle In 1 Carton (59762-3110-1) / 15 Ml In 1 Bottle,79.82,79.82,,,0 NDC,59762313001,Azithromycin: 1 Bottle In 1 Carton (59762-3130-1) / 22.5 Ml In 1 Bottle,51.57,51.57,,,0 NDC,59762314001,Azithromycin: 1 Bottle In 1 Carton (59762-3140-1) / 30 Ml In 1 Bottle,52.53,52.53,,,0 NDC,59762330403,"Nitroglycerin: 4 Bottle, Glass In 1 Carton (59762-3304-3) / 25 Tablet In 1 Bottle, Glass",9.2,9.2,,,0 NDC,59762371901,Alprazolam: 100 Tablet In 1 Bottle (59762-3719-1),2.17,2.17,,,0 NDC,59762372001,Alprazolam: 100 Tablet In 1 Bottle (59762-3720-1),2.6,2.6,,,0 NDC,59762500802,Misoprostol: 100 Tablet In 1 Bottle (59762-5008-2),4.36,4.36,,,0 NDC,59762503001,Fluconazole: 1 Bottle In 1 Carton (59762-5030-1) / 35 Ml In 1 Bottle,67.64,67.64,,,0 NDC,59922063101,"Auryxia: 200 Tablet, Film Coated In 1 Bottle (59922-631-01)",1.18,1.18,,,0 NDC,59923061501,NDC Description Not Available,8.15,8.15,,,0 NDC,60219107601,Azathioprine: 100 Tablet In 1 Bottle (60219-1076-1),23.62,23.62,,,0 NDC,60219152201,Tetracycline Hydrochloride: 100 Capsule In 1 Bottle (60219-1522-1),28.38,28.38,,,0 NDC,60219157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.04,1.04,,,0 NDC,60219157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (60219-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 NDC,60219161701,NDC Description Not Available,38.78,38.78,,,0 NDC,60219172107,"Etravirine: 120 Tablet In 1 Bottle, Plastic (60219-1721-7)",48.36,48.36,,,0 NDC,60219174802,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1748-2) / 2 Ml In 1 Bottle, Dropper",142.91,142.91,,,0 NDC,60219174903,"Atropine: 1 Bottle, Dropper In 1 Carton (60219-1749-3) / 5 Ml In 1 Bottle, Dropper",210.28,210.28,,,0 NDC,60267070550,"Sodium Thiosulfate: 50 Ml In 1 Vial, Single-Dose (60267-705-50)",385.8,385.8,,,0 NDC,60432006500,"Amoxicillin And Clavulanate Potassium: 100 Ml In 1 Bottle, Plastic (60432-065-00)",20.6,20.6,,,0 NDC,60432006547,"Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle, Plastic (60432-065-47)",30.58,30.58,,,0 NDC,60432006575,"Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle, Plastic (60432-065-75)",30.9,30.9,,,0 NDC,60432015004,"Hydroxyzine Hydrochloride: 118 mL in 1 BOTTLE, PLASTIC (60432-150-04)",6.18,6.18,,,0 NDC,60432015016,"Hydroxyzine Hydrochloride: 473 mL in 1 BOTTLE, PLASTIC (60432-150-16)",3.91,3.91,,,0 NDC,60432046608,"Dexamethasone: 1 BOTTLE, GLASS in 1 BOX (60432-466-08) / 237 mL in 1 BOTTLE, GLASS",2.45,2.45,,,0 NDC,60432060816,"PROMETHAZINE HYDROCHLORIDE: 473 mL in 1 BOTTLE, PLASTIC (60432-608-16)",3.39,3.39,,,0 NDC,60432065104,"DOXEPIN HYDROCHLORIDE: 118 mL in 1 BOTTLE, PLASTIC (60432-651-04)",3.6,3.6,,,0 NDC,60505013400,"Cyclosporine: 30 Capsule, Gelatin Coated In 1 Bottle (60505-0134-0)",63.86,63.86,,,0 NDC,60505015900,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (60505-0159-0),12.36,12.36,,,0 NDC,60505016501,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0165-1),8.55,8.55,,,0 NDC,60505016601,Fluvoxamine Maleate: 100 Tablet In 1 Bottle (60505-0166-1),7.11,7.11,,,0 NDC,60505017009,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-0170-9),17.32,17.32,,,0 NDC,60505025701,Desmopressin Acetate: 100 Tablet In 1 Bottle (60505-0257-1),10.07,10.07,,,0 NDC,60505056001,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (60505-0560-1) / 10 Ml In 1 Bottle, Dropper",145.23,145.23,,,0 NDC,60505056401,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (60505-0564-1) / 5 Ml In 1 Bottle, Dropper",691.13,691.13,,,0 NDC,60505081500,"Desmopressin Acetate: 1 Bottle, Spray In 1 Carton (60505-0815-0) / 50 Spray In 1 Bottle, Spray",227.77,227.77,,,0 NDC,60505082306,"Calcitonin Salmon: 1 Bottle, Glass In 1 Carton (60505-0823-6) / 30 Spray, Metered In 1 Bottle, Glass",427.45,427.45,,,0 NDC,60505082601,"Ipratropium Bromide: 1 Bottle, Spray In 1 Carton (60505-0826-1) / 345 Spray, Metered In 1 Bottle, Spray",402.73,402.73,,,0 NDC,60505082901,"Fluticasone Propionate: 1 Bottle, Spray In 1 Carton (60505-0829-1) / 120 Spray, Metered In 1 Bottle, Spray",87.76,87.76,,,0 NDC,60505083305,"Azelastine Hydrochloride: 1 Bottle, Spray In 1 Carton (60505-0833-5) / 200 Spray, Metered In 1 Bottle, Spray",379.16,379.16,,,0 NDC,60505100301,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-1) / 5 Ml In 1 Bottle, Dropper",385.22,385.22,,,0 NDC,60505100302,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60505-1003-2) / 10 Ml In 1 Bottle, Dropper",770.44,770.44,,,0 NDC,60505100501,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60505-1005-1) / 5 Ml In 1 Bottle, Dropper",1161.84,1161.84,,,0 NDC,60505132309,Pravastatin Sodium: 90 Tablet In 1 Bottle (60505-1323-9),17.51,17.51,,,0 NDC,60505258008,"Atorvastatin Calcium: 1000 Tablet, Film Coated In 1 Bottle (60505-2580-8)",20.6,20.6,,,0 NDC,60505311000,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3110-0) / 10 Tablet, Film Coated In 1 Blister Pack",40.19,40.19,,,0 NDC,60505311008,"Olanzapine: 1000 Tablet, Film Coated In 1 Bottle (60505-3110-8)",39.72,39.72,,,0 NDC,60505311100,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3111-0) / 10 Tablet, Film Coated In 1 Blister Pack",44.21,44.21,,,0 NDC,60505311300,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3113-0) / 10 Tablet, Film Coated In 1 Blister Pack",65.5,65.5,,,0 NDC,60505311303,"30 TABLET, FILM COATED in 1 BOTTLE (60505-3113-3)",59.26,59.26,,,0 NDC,60505324603,"Famciclovir: 30 Tablet, Film Coated In 1 Bottle (60505-3246-3)",25.24,25.24,,,0 NDC,60505325006,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (60505-3250-6)",56.22,56.22,,,0 NDC,60505327500,"Olanzapine: 10 Blister Pack In 1 Carton (60505-3275-0) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",51.48,51.48,,,0 NDC,60505327503,"Olanzapine: 30 Tablet, Orally Disintegrating In 1 Bottle (60505-3275-3)",51.49,51.49,,,0 NDC,60505328006,"Levetiracetam: 60 Tablet, Film Coated, Extended Release In 1 Bottle (60505-3280-6)",16.04,16.04,,,0 NDC,60505343803,Selegiline Hydrochloride: 60 Tablet In 1 Bottle (60505-3438-3),7.62,7.62,,,0 NDC,60505464203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4642-3)",59.55,59.55,,,0 NDC,60505464303,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (60505-4643-3)",59.53,59.53,,,0 NDC,60505612800,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-0) / 2 Ml In 1 Vial, Single-Use",27.63,27.63,,,0 NDC,60505612801,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6128-1) / 5 Ml In 1 Vial, Single-Use",24.845,24.845,,,0 NDC,60505613000,NDC Description Not Available,0.66,0.66,,,0 NDC,60505613005,"Ondansetron: 25 Vial, Single-Use In 1 Carton (60505-6130-5) / 2 Ml In 1 Vial, Single-Use (60505-6130-0)",0.26,0.26,,,0 NDC,60505613206,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-6) / 10 Ml In 1 Vial,2.13,2.13,,,0 NDC,60505613207,Oxaliplatin: 1 Vial In 1 Carton (60505-6132-7) / 20 Ml In 1 Vial,1.585,1.585,,,0 NDC,60505614200,NDC Description Not Available,4.68,4.68,,,0 NDC,60505614205,"Cefazolin: 25 Vial, Single-Dose In 1 Carton (60505-6142-5) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose (60505-6142-0)",4.64,4.64,,,0 NDC,60505614400,NDC Description Not Available,37.185,37.185,,,0 NDC,60505614404,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6144-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",54.845,54.845,,,0 NDC,60505614500,NDC Description Not Available,33.315,33.315,,,0 NDC,60505614504,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6145-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.375,36.375,,,0 NDC,60505614600,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6146-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",36.44499999999999,36.44499999999999,,,0 NDC,60505614700,"Cefepime: 1 Vial, Single-Dose In 1 Carton (60505-6147-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",34.715,34.715,,,0 NDC,60505614704,"Cefepime: 10 Vial, Single-Dose In 1 Carton (60505-6147-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",7.21,7.21,,,0 NDC,60505614800,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6148-0) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",3.09,3.09,,,0 NDC,60505614900,NDC Description Not Available,41.2,41.2,,,0 NDC,60505615104,"Ceftriaxone Sodium: 1 Vial, Single-Use In 1 Carton (60505-6151-4) / 1 Injection, Powder, For Solution In 1 Vial, Single-Use",57.68,57.68,,,0 NDC,60505615900,NDC Description Not Available,19.23,19.23,,,0 NDC,60505619301,Palonosetron: 1 Vial In 1 Carton (60505-6193-1) / 5 Ml In 1 Vial,59.07,59.07,,,0 NDC,60505619600,NDC Description Not Available,253.29,253.29,,,0 NDC,60505619604,Ertapenem: 10 Vial In 1 Carton (60505-6196-4) / 20 Ml In 1 Vial (60505-6196-0),253.38,253.38,,,0 NDC,60505619702,"Sirolimus: 1 Bottle, Glass In 1 Carton (60505-6197-2) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 NDC,60505620201,Cyclosporine: 30 Vial In 1 Tray (60505-6202-1) / .4 Ml In 1 Vial,21.78,21.78,,,0 NDC,60505622800,"Bendamustine Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (60505-6228-0) / 5 Ml In 1 Vial, Multi-Dose",80.29,80.29,,,0 NDC,60505623004,"Paclitaxel Protein-Bound Particles For Injectable Suspension (Albumin-Bound): 1 Vial, Single-Use In 1 Carton (60505-6230-4) / 20 Ml In 1 Vial, Single-Use",39.72,39.72,,,0 NDC,60505623100,NDC Description Not Available,6.58,6.58,,,0 NDC,60505623600,NDC Description Not Available,50.81,50.81,,,0 NDC,60505623606,"Deferoxamine Mesylate: 4 Injection, Powder, Lyophilized, For Solution In 1 Carton (60505-6236-6)",51.92,51.92,,,0 NDC,60505623800,NDC Description Not Available,42.52,42.52,,,0 NDC,60505627201,"Irinotecan Hydrochloride: 1 Vial, Single-Use In 1 Carton (60505-6272-1) / 5 Ml In 1 Vial, Single-Use",25.885,25.885,,,0 NDC,60505627700,"Cisplatin: 1 Vial, Multi-Dose In 1 Carton (60505-6277-0) / 50 Ml In 1 Vial, Multi-Dose",23.9,23.9,,,0 NDC,60505700802,Fentanyl: 5 Pouch In 1 Carton (60505-7008-2) / 1 Patch In 1 Pouch (60505-7008-0) / 72 H In 1 Patch,214.09,214.09,,,0 NDC,60505706100,NDC Description Not Available,2.06,2.06,,,0 NDC,60505708000,NDC Description Not Available,73.13,73.13,,,0 NDC,60505708100,NDC Description Not Available,76.22,76.22,,,0 NDC,60505708400,NDC Description Not Available,284.28,284.28,,,0 NDC,60687010011,NDC Description Not Available,27.57,27.57,,,0 NDC,60687010411,NDC Description Not Available,26.32,26.32,,,0 NDC,60687010511,NDC Description Not Available,5.76,5.76,,,0 NDC,60687012711,NDC Description Not Available,13.22,13.22,,,0 NDC,60687015711,NDC Description Not Available,105.39,105.39,,,0 NDC,60687016811,NDC Description Not Available,100.94,100.94,,,0 NDC,60687016911,NDC Description Not Available,11.42,11.42,,,0 NDC,60687017811,NDC Description Not Available,11.72,11.72,,,0 NDC,60687017911,NDC Description Not Available,101.96,101.96,,,0 NDC,60687018811,NDC Description Not Available,17.82,17.82,,,0 NDC,60687018821,"Entacapone: 30 Blister Pack In 1 Box, Unit-Dose (60687-188-21) / 1 Tablet, Film Coated In 1 Blister Pack (60687-188-11)",17.92,17.92,,,0 NDC,60687021111,NDC Description Not Available,3.14,3.14,,,0 NDC,60687021511,NDC Description Not Available,7.86,7.86,,,0 NDC,60687021695,NDC Description Not Available,80.34,80.34,,,0 NDC,60687022611,NDC Description Not Available,8.8,8.8,,,0 NDC,60687022911,NDC Description Not Available,2.73,2.73,,,0 NDC,60687023011,NDC Description Not Available,2.96,2.96,,,0 NDC,60687023411,NDC Description Not Available,25.68,25.68,,,0 NDC,60687024440,NDC Description Not Available,22.46,22.46,,,0 NDC,60687024511,NDC Description Not Available,25.36,25.36,,,0 NDC,60687024940,NDC Description Not Available,24.32,24.32,,,0 NDC,60687025611,NDC Description Not Available,24.97,24.97,,,0 NDC,60687025844,NDC Description Not Available,40.22,40.22,,,0 NDC,60687025871,"Theophylline: 5 TRAY in 1 CASE (60687-258-71) / 10 CUP, UNIT-DOSE in 1 TRAY (60687-258-50) / 15 mL in 1 CUP, UNIT-DOSE (60687-258-44)",50.47,50.47,,,0 NDC,60687026611,NDC Description Not Available,26.44,26.44,,,0 NDC,60687027211,NDC Description Not Available,14.86,14.86,,,0 NDC,60687027562,NDC Description Not Available,20.17,20.17,,,0 NDC,60687027566,"Phenytoin: 5 Tray In 1 Case (60687-275-66) / 10 Cup, Unit-Dose In 1 Tray (60687-275-63) / 4 Ml In 1 Cup, Unit-Dose (60687-275-62)",19.06,19.06,,,0 NDC,60687028311,NDC Description Not Available,19.84,19.84,,,0 NDC,60687029211,NDC Description Not Available,2.58,2.58,,,0 NDC,60687029311,NDC Description Not Available,3.15,3.15,,,0 NDC,60687029995,NDC Description Not Available,14.42,14.42,,,0 NDC,60687030295,NDC Description Not Available,13.27,13.27,,,0 NDC,60687030911,NDC Description Not Available,455.42,455.42,,,0 NDC,60687031211,NDC Description Not Available,16.81,16.81,,,0 NDC,60687031395,NDC Description Not Available,14.36,14.36,,,0 NDC,60687031511,NDC Description Not Available,6.7,6.7,,,0 NDC,60687031795,NDC Description Not Available,7.18,7.18,,,0 NDC,60687031911,NDC Description Not Available,43.43,43.43,,,0 NDC,60687032711,NDC Description Not Available,13.53,13.53,,,0 NDC,60687032811,NDC Description Not Available,1.55,1.55,,,0 NDC,60687032831,"Sevelamer Carbonate: 100 Blister Pack In 1 Box, Unit-Dose (60687-328-31) / 1 Tablet, Film Coated In 1 Blister Pack (60687-328-33)",1.02,1.02,,,0 NDC,60687032833,NDC Description Not Available,0.81,0.81,,,0 NDC,60687033011,NDC Description Not Available,43.26,43.26,,,0 NDC,60687034011,NDC Description Not Available,4.72,4.72,,,0 NDC,60687034511,NDC Description Not Available,2.81,2.81,,,0 NDC,60687034911,NDC Description Not Available,23.48,23.48,,,0 NDC,60687035111,NDC Description Not Available,5.25,5.25,,,0 NDC,60687035895,NDC Description Not Available,29.5,29.5,,,0 NDC,60687037311,NDC Description Not Available,44.67,44.67,,,0 NDC,60687037511,NDC Description Not Available,30.61,30.61,,,0 NDC,60687037521,Dronabinol: 30 Blister Pack In 1 Carton (60687-375-21) / 1 Capsule In 1 Blister Pack (60687-375-11),30.62,30.62,,,0 NDC,60687037711,NDC Description Not Available,1.32,1.32,,,0 NDC,60687038111,NDC Description Not Available,283.8,283.8,,,0 NDC,60687038595,NDC Description Not Available,14.39,14.39,,,0 NDC,60687038611,NDC Description Not Available,30.97,30.97,,,0 NDC,60687038711,NDC Description Not Available,1.35,1.35,,,0 NDC,60687038811,NDC Description Not Available,1.56,1.56,,,0 NDC,60687038911,NDC Description Not Available,39.61,39.61,,,0 NDC,60687039011,NDC Description Not Available,4.04,4.04,,,0 NDC,60687039111,NDC Description Not Available,4.46,4.46,,,0 NDC,60687039479,NDC Description Not Available,1.29,1.29,,,0 NDC,60687039579,NDC Description Not Available,0.45,0.45,,,0 NDC,60687039725,"Mesalamine: 30 Blister Pack In 1 Box, Unit-Dose (60687-397-25) / 1 Tablet, Delayed Release In 1 Blister Pack (60687-397-95)",45.06,45.06,,,0 NDC,60687039795,NDC Description Not Available,44.98,44.98,,,0 NDC,60687039811,NDC Description Not Available,3.25,3.25,,,0 NDC,60687040211,NDC Description Not Available,4.05,4.05,,,0 NDC,60687040579,NDC Description Not Available,2.82,2.82,,,0 NDC,60687040995,NDC Description Not Available,4.84,4.84,,,0 NDC,60687041311,NDC Description Not Available,6.03,6.03,,,0 NDC,60687041511,NDC Description Not Available,12.47,12.47,,,0 NDC,60687041611,NDC Description Not Available,73.13,73.13,,,0 NDC,60687041911,NDC Description Not Available,18.05,18.05,,,0 NDC,60687042095,NDC Description Not Available,40.56,40.56,,,0 NDC,60687042311,NDC Description Not Available,10.19,10.19,,,0 NDC,60687042321,"Clobazam: 30 Blister Pack In 1 Box, Unit-Dose (60687-423-21) / 1 Tablet In 1 Blister Pack (60687-423-11)",8.45,8.45,,,0 NDC,60687042501,"Nifedipine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-425-01) / 1 CAPSULE in 1 BLISTER PACK (60687-425-11)",4.46,4.46,,,0 NDC,60687042945,NDC Description Not Available,2.25,2.25,,,0 NDC,60687043311,NDC Description Not Available,1.87,1.87,,,0 NDC,60687043611,NDC Description Not Available,16.64,16.64,,,0 NDC,60687043811,NDC Description Not Available,2.74,2.74,,,0 NDC,60687044411,NDC Description Not Available,2.51,2.51,,,0 NDC,60687044711,NDC Description Not Available,8.36,8.36,,,0 NDC,60687045111,NDC Description Not Available,17.99,17.99,,,0 NDC,60687045311,NDC Description Not Available,1.07,1.07,,,0 NDC,60687045911,NDC Description Not Available,20.84,20.84,,,0 NDC,60687046111,NDC Description Not Available,0.59,0.59,,,0 NDC,60687046411,NDC Description Not Available,1.03,1.03,,,0 NDC,60687047011,NDC Description Not Available,10.43,10.43,,,0 NDC,60687047311,NDC Description Not Available,5.84,5.84,,,0 NDC,60687048011,NDC Description Not Available,4.89,4.89,,,0 NDC,60687048111,NDC Description Not Available,8.12,8.12,,,0 NDC,60687048411,NDC Description Not Available,5.33,5.33,,,0 NDC,60687049211,NDC Description Not Available,1.9,1.9,,,0 NDC,60687049311,NDC Description Not Available,6.18,6.18,,,0 NDC,60687049411,NDC Description Not Available,1.76,1.76,,,0 NDC,60687049511,NDC Description Not Available,5.88,5.88,,,0 NDC,60687050611,NDC Description Not Available,5.83,5.83,,,0 NDC,60687051711,NDC Description Not Available,5.55,5.55,,,0 NDC,60687052311,NDC Description Not Available,204.04,204.04,,,0 NDC,60687052479,NDC Description Not Available,40.29,40.29,,,0 NDC,60687052511,NDC Description Not Available,111.84,111.84,,,0 NDC,60687052611,NDC Description Not Available,1.8,1.8,,,0 NDC,60687053011,NDC Description Not Available,3.09,3.09,,,0 NDC,60687053440,NDC Description Not Available,128.23,128.23,,,0 NDC,60687053811,NDC Description Not Available,10.82,10.82,,,0 NDC,60687054011,NDC Description Not Available,2.8,2.8,,,0 NDC,60687054401,"Clonazepam: 100 Blister Pack In 1 Box, Unit-Dose (60687-544-01) / 1 Tablet In 1 Blister Pack (60687-544-11)",2.32,2.32,,,0 NDC,60687054411,NDC Description Not Available,2.39,2.39,,,0 NDC,60687054911,NDC Description Not Available,6.01,6.01,,,0 NDC,60687055011,NDC Description Not Available,3.34,3.34,,,0 NDC,60687055511,NDC Description Not Available,2.58,2.58,,,0 NDC,60687055633,NDC Description Not Available,22.07,22.07,,,0 NDC,60687057511,NDC Description Not Available,7.21,7.21,,,0 NDC,60687057640,NDC Description Not Available,23.91,23.91,,,0 NDC,60687057686,"Midazolam Hydrochloride: 3 Tray In 1 Case (60687-576-86) / 10 Cup, Unit-Dose In 1 Tray (60687-576-46) / 5 Ml In 1 Cup, Unit-Dose (60687-576-40)",22.24,22.24,,,0 NDC,60687057811,NDC Description Not Available,20.59,20.59,,,0 NDC,60687057901,"Hydromorphone Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (60687-579-01) / 1 Tablet In 1 Blister Pack (60687-579-11)",1.03,1.03,,,0 NDC,60687057911,NDC Description Not Available,2.37,2.37,,,0 NDC,60687058111,NDC Description Not Available,2.97,2.97,,,0 NDC,60687058211,NDC Description Not Available,3.92,3.92,,,0 NDC,60687058311,NDC Description Not Available,14.42,14.42,,,0 NDC,60687058511,NDC Description Not Available,13.68,13.68,,,0 NDC,60687058601,"Rifampin: 100 Blister Pack In 1 Box, Unit-Dose (60687-586-01) / 1 Capsule In 1 Blister Pack (60687-586-11)",24.72,24.72,,,0 NDC,60687058611,NDC Description Not Available,4.9,4.9,,,0 NDC,60687058811,NDC Description Not Available,2.51,2.51,,,0 NDC,60687059011,NDC Description Not Available,2.54,2.54,,,0 NDC,60687059111,NDC Description Not Available,3.96,3.96,,,0 NDC,60687059211,NDC Description Not Available,4.12,4.12,,,0 NDC,60687059633,NDC Description Not Available,58.4,58.4,,,0 NDC,60687060211,NDC Description Not Available,4.39,4.39,,,0 NDC,60687060711,NDC Description Not Available,9.235,9.235,,,0 NDC,60687061011,NDC Description Not Available,677.75,677.75,,,0 NDC,60687061211,NDC Description Not Available,3.3,3.3,,,0 NDC,60687061911,NDC Description Not Available,15.16,15.16,,,0 NDC,60687062311,NDC Description Not Available,3.15,3.15,,,0 NDC,60687062711,NDC Description Not Available,0.73,0.73,,,0 NDC,60687063311,NDC Description Not Available,12.66,12.66,,,0 NDC,60687063511,NDC Description Not Available,14.63,14.63,,,0 NDC,60687063811,NDC Description Not Available,0.59,0.59,,,0 NDC,60687064211,NDC Description Not Available,5.13,5.13,,,0 NDC,60687065711,NDC Description Not Available,2.02,2.02,,,0 NDC,60687066111,NDC Description Not Available,2.86,2.86,,,0 NDC,60687066811,NDC Description Not Available,4.73,4.73,,,0 NDC,60687066911,NDC Description Not Available,1.7,1.7,,,0 NDC,60687067211,NDC Description Not Available,7.11,7.11,,,0 NDC,60687067611,NDC Description Not Available,8.43,8.43,,,0 NDC,60687067911,NDC Description Not Available,5.33,5.33,,,0 NDC,60687068011,NDC Description Not Available,3.52,3.52,,,0 NDC,60687068711,NDC Description Not Available,13.26,13.26,,,0 NDC,60687069111,NDC Description Not Available,38.35,38.35,,,0 NDC,60687069211,NDC Description Not Available,16.86,16.86,,,0 NDC,60687069911,NDC Description Not Available,14.53,14.53,,,0 NDC,60687071111,NDC Description Not Available,4.97,4.97,,,0 NDC,60687072011,NDC Description Not Available,29.37,29.37,,,0 NDC,60687072111,NDC Description Not Available,7.76,7.76,,,0 NDC,60687072211,NDC Description Not Available,7.67,7.67,,,0 NDC,60687072311,NDC Description Not Available,29.46,29.46,,,0 NDC,60687072511,NDC Description Not Available,13.84,13.84,,,0 NDC,60687072711,NDC Description Not Available,40.07,40.07,,,0 NDC,60687073311,NDC Description Not Available,18.03,18.03,,,0 NDC,60687073411,NDC Description Not Available,27.79,27.79,,,0 NDC,60687073511,NDC Description Not Available,8.91,8.91,,,0 NDC,60687073842,NDC Description Not Available,39.52,39.52,,,0 NDC,60687074211,NDC Description Not Available,6.49,6.49,,,0 NDC,60687074340,NDC Description Not Available,0.92,0.92,,,0 NDC,60687074501,"Duloxetine: 100 Blister Pack In 1 Carton (60687-745-01) / 1 Capsule, Delayed Release In 1 Blister Pack (60687-745-11)",27.81,27.81,,,0 NDC,60687074511,NDC Description Not Available,27.81,27.81,,,0 NDC,60687074601,Misoprostol: 100 Blister Pack In 1 Carton (60687-746-01) / 1 Tablet In 1 Blister Pack (60687-746-11),9.78,9.78,,,0 NDC,60687074611,NDC Description Not Available,9.77,9.77,,,0 NDC,60687075011,NDC Description Not Available,18.56,18.56,,,0 NDC,60687075232,Dabigatran Etexilate: 20 Blister Pack In 1 Carton (60687-752-32) / 1 Capsule In 1 Blister Pack (60687-752-33),51.71,51.71,,,0 NDC,60687075311,NDC Description Not Available,23.31,23.31,,,0 NDC,60687075811,NDC Description Not Available,18.38,18.38,,,0 NDC,60687076040,NDC Description Not Available,3.92,3.92,,,0 NDC,60687076111,NDC Description Not Available,21.74,21.74,,,0 NDC,60687076811,NDC Description Not Available,6.73,6.73,,,0 NDC,60687076911,NDC Description Not Available,18.43,18.43,,,0 NDC,60687078211,NDC Description Not Available,7.66,7.66,,,0 NDC,60687078911,NDC Description Not Available,25.12,25.12,,,0 NDC,60687079511,NDC Description Not Available,0.65,0.65,,,0 NDC,60687079742,NDC Description Not Available,17.96,17.96,,,0 NDC,60687080040,NDC Description Not Available,6.2,6.2,,,0 NDC,60687080311,NDC Description Not Available,27.58,27.58,,,0 NDC,60687080711,NDC Description Not Available,2.91,2.91,,,0 NDC,60687081211,NDC Description Not Available,0.73,0.73,,,0 NDC,60687081840,NDC Description Not Available,10.57,10.57,,,0 NDC,60687081911,NDC Description Not Available,44.3,44.3,,,0 NDC,60687083042,NDC Description Not Available,11.93,11.93,,,0 NDC,60687083811,NDC Description Not Available,0.68,0.68,,,0 NDC,60687084540,NDC Description Not Available,20.38,20.38,,,0 NDC,60758011905,"Prednisolone Acetate: 1 Bottle, Dropper In 1 Carton (60758-119-05) / 5 Ml In 1 Bottle, Dropper",189.74,189.74,,,0 NDC,60758077305,"Ketorolac Tromethamine: 1 Bottle, Dropper In 1 Carton (60758-773-05) / 5 Ml In 1 Bottle, Dropper",262.66,262.66,,,0 NDC,60758080105,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-801-05) / 5 Ml In 1 Bottle, Dropper",23.69,23.69,,,0 NDC,60758080110,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-801-10) / 10 Ml In 1 Bottle, Dropper",31.06,31.06,,,0 NDC,60758080205,"Timolol Maleate: 1 Bottle, Dropper In 1 Carton (60758-802-05) / 5 Ml In 1 Bottle, Dropper",13.25,13.25,,,0 NDC,60758088010,"Fluorometholone: 1 Bottle, Dropper In 1 Carton (60758-880-10) / 10 Ml In 1 Bottle, Dropper",614.91,614.91,,,0 NDC,60793021505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-215-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",305.03499999999997,305.03499999999997,,,0 NDC,60793021721,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-217-21) * 20 Ml In 1 Vial, Glass (60793-317-01) * 20 Ml In 1 Vial, Glass (60793-221-09)",1408.01,1408.01,,,0 NDC,60793031501,NDC Description Not Available,312.09,312.09,,,0 NDC,60793070102,NDC Description Not Available,71.4,71.4,,,0 NDC,60793070110,Bicillin L-A: 10 Syringe In 1 Package (60793-701-10) / 2 Ml In 1 Syringe (60793-701-02),83.79,83.79,,,0 NDC,60793070204,NDC Description Not Available,117.08,117.08,,,0 NDC,60793070505,"Thrombin-Jmi: 1 Kit In 1 Carton (60793-705-05) * 5 Ml In 1 Vial, Glass (60793-315-01) * 5 Ml In 1 Vial, Glass (60793-218-09)",342.88,342.88,,,0 NDC,60951060270,Endocet: 100 Tablet In 1 Bottle (60951-602-70),5.15,5.15,,,0 NDC,60977014127,NDC Description Not Available,375.07,375.07,,,0 NDC,61269041020,"Etopophos: 1 Vial, Single-Dose In 1 Carton (61269-410-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",72.69,72.69,,,0 NDC,61269051812,"Pulmicort Flexhaler: 1 Inhaler In 1 Carton (61269-518-12) / 120 Aerosol, Powder In 1 Inhaler",18.39,18.39,,,0 NDC,61269073041,"Miconazole 7: 1 Tube, With Applicator In 1 Carton (61269-730-41) / 45 G In 1 Tube, With Applicator",7.21,7.21,,,0 NDC,61269073063,"Miconazole 7: 1 Tube, With Applicator In 1 Carton (61269-730-63) / 45 G In 1 Tube, With Applicator",7.21,7.21,,,0 NDC,61269073607,Miconazole 7: 7 Suppository In 1 Box (61269-736-07),5.15,5.15,,,0 NDC,61269098135,Docosanol: 1 Tube In 1 Package (61269-981-35) / 2 G In 1 Tube,52.06,52.06,,,0 NDC,61314001405,Diclofenac Sodium: 1 Bottle In 1 Carton (61314-014-05) / 5 Ml In 1 Bottle,263.68,263.68,,,0 NDC,61314001425,Diclofenac Sodium: 1 Bottle In 1 Carton (61314-014-25) / 2.5 Ml In 1 Bottle,161.71,161.71,,,0 NDC,61314001601,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (61314-016-01) / 15 Ml In 1 Bottle,158.62,158.62,,,0 NDC,61314001910,Dorzolamide Hydrochloride: 10 Ml In 1 Bottle (61314-019-10),241.02,241.02,,,0 NDC,61314004475,"Trifluridine: 1 Bottle, Plastic In 1 Carton (61314-044-75) / 7.5 Ml In 1 Bottle, Plastic",803.4,803.4,,,0 NDC,61314012605,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-05) / 5 Ml In 1 Bottle,310.98,310.98,,,0 NDC,61314012610,Ketorolac Tromethamine: 1 Bottle In 1 Carton (61314-126-10) / 10 Ml In 1 Bottle,757.05,757.05,,,0 NDC,61314014305,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-05) / 5 Ml In 1 Bottle,63.9,63.9,,,0 NDC,61314014310,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-10) / 10 Ml In 1 Bottle,234.97,234.97,,,0 NDC,61314014315,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-143-15) / 15 Ml In 1 Bottle,353.29,353.29,,,0 NDC,61314014405,Brimonidine Tartrate: 1 Bottle In 1 Carton (61314-144-05) / 5 Ml In 1 Bottle,691.13,691.13,,,0 NDC,61314020315,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-203-15) / 15 Ml In 1 Bottle,355.35,355.35,,,0 NDC,61314020415,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (61314-204-15) / 15 Ml In 1 Bottle,363.59,363.59,,,0 NDC,61314022605,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-226-05)",54.37,54.37,,,0 NDC,61314022705,"Timolol Maleate: 5 Ml In 1 Bottle, Plastic (61314-227-05)",48.28,48.28,,,0 NDC,61314022715,"Timolol Maleate: 15 Ml In 1 Bottle, Plastic (61314-227-15)",176.13,176.13,,,0 NDC,61314031801,Zarxio: 1 Blister Pack In 1 Carton (61314-318-01) / 1 Syringe In 1 Blister Pack / .5 Ml In 1 Syringe,3.9,3.9,,,0 NDC,61314031805,NDC Description Not Available,3.8,3.8,,,0 NDC,61314032601,Zarxio: 1 Blister Pack In 1 Carton (61314-326-01) / 1 Syringe In 1 Blister Pack / .8 Ml In 1 Syringe,2.26,2.26,,,0 NDC,61314032605,NDC Description Not Available,2.24,2.24,,,0 NDC,61314035501,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-01) / 3 Ml In 1 Bottle, Plastic",50.47,50.47,,,0 NDC,61314035502,"Tropicamide: 1 Bottle, Plastic In 1 Carton (61314-355-02) / 15 Ml In 1 Bottle, Plastic",171.59,171.59,,,0 NDC,61314039601,Cyclopentolate Hydrochloride: 2 Ml In 1 Bottle (61314-396-01),60.76,60.76,,,0 NDC,61314054701,Latanoprost: 1 Bottle In 1 Carton (61314-547-01) / 2.5 Ml In 1 Bottle,342.89,342.89,,,0 NDC,61314062810,"Polymyxin B Sulfate And Trimethoprim: 10 Ml In 1 Bottle, Plastic (61314-628-10)",62.83,62.83,,,0 NDC,61314063006,"Neomycin And Polymyxin B Sulfates And Dexamethasone: 5 Ml In 1 Bottle, Plastic (61314-630-06)",158.62,158.62,,,0 NDC,61314063136,Neomycin And Polymyxin B Sulfates And Dexamethasone: 3.5 G In 1 Tube (61314-631-36),158.62,158.62,,,0 NDC,61314063305,"Gentamicin Sulfate: 1 Bottle, Dropper In 1 Carton (61314-633-05) / 5 Ml In 1 Bottle, Dropper",78.28,78.28,,,0 NDC,61314063705,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-05) / 5 Ml In 1 Bottle, Plastic",199.61,199.61,,,0 NDC,61314063710,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-10) / 10 Ml In 1 Bottle, Plastic",398.61,398.61,,,0 NDC,61314063715,"Prednisolone Acetate: 1 Bottle, Plastic In 1 Carton (61314-637-15) / 15 Ml In 1 Bottle, Plastic",575.77,575.77,,,0 NDC,61314064175,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 7.5 Ml In 1 Bottle, Plastic (61314-641-75)",613.88,613.88,,,0 NDC,61314064305,"Tobramycin: 5 Ml In 1 Bottle, Plastic (61314-643-05)",122.57,122.57,,,0 NDC,61314064511,"Neomycin And Polymyxin B Sulfates And Hydrocortisone: 10 Ml In 1 Bottle, Plastic (61314-645-11)",378.01,378.01,,,0 NDC,61314064705,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-05) / 5 Ml In 1 Bottle,524.27,524.27,,,0 NDC,61314064725,Tobramycin And Dexamethasone: 1 Bottle In 1 Carton (61314-647-25) / 2.5 Ml In 1 Bottle,261.62,261.62,,,0 NDC,61314065605,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-05) / 5 Ml In 1 Bottle, Plastic",170.98,170.98,,,0 NDC,61314065625,"Ciprofloxacin Hydrochloride: 1 Bottle, Plastic In 1 Carton (61314-656-25) / 2.5 Ml In 1 Bottle, Plastic",90.46,90.46,,,0 NDC,61314067225,"Gatifloxacin: 1 Bottle, Dropper In 1 Carton (61314-672-25) / 2.5 Ml In 1 Bottle, Dropper",426.02,426.02,,,0 NDC,61314070101,"Sulfacetamide Sodium: 15 Ml In 1 Bottle, Plastic (61314-701-01)",200.85,200.85,,,0 NDC,61364018103,"Rapivab: 3 VIAL, GLASS in 1 CARTON (61364-181-03) / 20 mL in 1 VIAL, GLASS (61364-181-01)",6.85,6.85,,,0 NDC,61570013120,Silvadene: 1 Tube In 1 Carton (61570-131-20) / 20 G In 1 Tube,39.14,39.14,,,0 NDC,61570013125,Silvadene: 1 Tube In 1 Carton (61570-131-25) / 25 G In 1 Tube,33.99,33.99,,,0 NDC,61570013140,Silvadene: 400 G In 1 Jar (61570-131-40),213.21,213.21,,,0 NDC,61570013155,Silvadene: 1 Tube In 1 Carton (61570-131-55) / 50 G In 1 Tube,55.62,55.62,,,0 NDC,61703026205,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-262-05) / 45 Ml In 1 Vial, Multi-Dose",21.18,21.18,,,0 NDC,61703030436,"Cytarabine: 1 Vial, Multi-Dose In 1 Carton (61703-304-36) / 25 Ml In 1 Vial, Multi-Dose",13.9,13.9,,,0 NDC,61703030538,"Cytarabine: 5 Vial, Single-Dose In 1 Carton (61703-305-38) / 5 Ml In 1 Vial, Single-Dose (61703-305-58)",27.06,27.06,,,0 NDC,61703030558,NDC Description Not Available,27.81,27.81,,,0 NDC,61703030906,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-06) / 1 Ml In 1 Vial, Single-Dose",74.41,74.41,,,0 NDC,61703030916,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-16) / 2 Ml In 1 Vial, Single-Dose",35.97,35.97,,,0 NDC,61703030926,"Vincristine Sulfate: 1 Vial, Single-Dose In 1 Carton (61703-309-26) / 1 Ml In 1 Vial, Single-Dose",61.09,61.09,,,0 NDC,61703031922,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (61703-319-22) / 20 Ml In 1 Vial, Single-Dose",5.22,5.22,,,0 NDC,61703032418,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-324-18) / 10 Ml In 1 Vial, Single-Dose",60.8,60.8,,,0 NDC,61703032518,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-325-18) / 10 Ml In 1 Vial, Single-Dose",102.56,102.56,,,0 NDC,61703032618,"Pamidronate Disodium: 1 Vial, Single-Dose In 1 Carton (61703-326-18) / 10 Ml In 1 Vial, Single-Dose",59.1,59.1,,,0 NDC,61703033218,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (61703-332-18) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",161.86,161.86,,,0 NDC,61703033918,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-18) / 5 Ml In 1 Vial, Multi-Dose",12.88,12.88,,,0 NDC,61703033922,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-22) / 15 Ml In 1 Vial, Multi-Dose",29.18,29.18,,,0 NDC,61703033950,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-50) / 45 Ml In 1 Vial, Multi-Dose",20.15,20.15,,,0 NDC,61703033956,"Carboplatin: 1 Vial, Multi-Dose In 1 Carton (61703-339-56) / 60 Ml In 1 Vial, Multi-Dose",19.46,19.46,,,0 NDC,61703034222,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-22) / 16.7 Ml In 1 Vial, Multi-Dose",1.19,1.19,,,0 NDC,61703034250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (61703-342-50) / 50 Ml In 1 Vial, Multi-Dose",1.0,1.0,,,0 NDC,61703034909,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-09) / 5 Ml In 1 Vial, Single-Dose",25.15,25.15,,,0 NDC,61703034916,"Irinotecan Hydrochloride: 1 Vial, Single-Dose In 1 Carton (61703-349-16) / 2 Ml In 1 Vial, Single-Dose",32.98,32.98,,,0 NDC,61703035009,NDC Description Not Available,3.09,3.09,,,0 NDC,61703035037,NDC Description Not Available,3.09,3.09,,,0 NDC,61703035038,"Methotrexate: 5 Vial, Multi-Dose In 1 Carton (61703-350-38) / 2 Ml In 1 Vial, Multi-Dose (61703-350-37)",2.97,2.97,,,0 NDC,61703036322,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (61703-363-22) / 20 Ml In 1 Vial, Single-Dose",2.03,2.03,,,0 NDC,61703040841,"Methotrexate: 1 Vial, Single-Dose In 1 Carton (61703-408-41) / 40 Ml In 1 Vial, Single-Dose",6.54,6.54,,,0 NDC,61703043401,NDC Description Not Available,49.44,49.44,,,0 NDC,61755000801,"Libtayo: 1 Vial, Single-Use In 1 Carton (61755-008-01) / 7 Ml In 1 Vial, Single-Use",72.85,72.85,,,0 NDC,61755001301,"Evkeeza: 1 Vial, Single-Use In 1 Carton (61755-013-01) / 2.3 Ml In 1 Vial, Single-Use",333.17,333.17,,,0 NDC,61874011511,NDC Description Not Available,198.69,198.69,,,0 NDC,61874011520,"Vraylar: 2 Blister Pack In 1 Carton (61874-115-20) / 10 Capsule, Gelatin Coated In 1 Blister Pack (61874-115-11)",208.88,208.88,,,0 NDC,61874013011,NDC Description Not Available,198.24,198.24,,,0 NDC,61874013020,"Vraylar: 2 Blister Pack In 1 Carton (61874-130-20) / 10 Capsule, Gelatin Coated In 1 Blister Pack (61874-130-11)",209.09,209.09,,,0 NDC,61874013030,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-130-30)",208.58,208.58,,,0 NDC,61874014530,"Vraylar: 30 Capsule, Gelatin Coated In 1 Bottle (61874-145-30)",208.65,208.65,,,0 NDC,61958040101,"Viread: 30 Tablet, Coated In 1 Bottle, Plastic (61958-0401-1)",180.25,180.25,,,0 NDC,61958060101,"Emtriva: 30 Capsule In 1 Bottle, Plastic (61958-0601-1)",77.32,77.32,,,0 NDC,61958090101,Cayston: 2 Carton In 1 Package (61958-0901-1) / 1 Kit In 1 Carton * 1 Ml In 1 Vial * 1 Ml In 1 Ampule,615.22,615.22,,,0 NDC,61958140101,"Tybost: 30 Tablet, Film Coated In 1 Bottle (61958-1401-1)",43.08,43.08,,,0 NDC,61958190101,"Genvoya: 30 Tablet In 1 Bottle, Plastic (61958-1901-1)",576.87,576.87,,,0 NDC,61958200201,"Descovy: 30 Tablet In 1 Bottle, Plastic (61958-2002-1)",316.14,316.14,,,0 NDC,61958200202,Descovy: 30 Tablet In 1 Blister Pack (61958-2002-2),317.58,317.58,,,0 NDC,61958220101,"Epclusa: 28 Tablet, Film Coated In 1 Bottle, Plastic (61958-2201-1)",3850.14,3850.14,,,0 NDC,61958230101,"Vemlidy: 30 Tablet In 1 Bottle, Plastic (61958-2301-1)",208.49,208.49,,,0 NDC,61958250101,"Biktarvy: 30 Tablet In 1 Bottle, Plastic (61958-2501-1)",577.21,577.21,,,0 NDC,61958250103,Biktarvy: 30 Tablet In 1 Blister Pack (61958-2501-3),576.94,576.94,,,0 NDC,61958290101,"Veklury: 1 VIAL, SINGLE-DOSE in 1 CARTON (61958-2901-1) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL, SINGLE-DOSE",1427.58,1427.58,,,0 NDC,61958290102,"Veklury: 1 Vial, Single-Dose In 1 Carton (61958-2901-2) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",14.91,14.91,,,0 NDC,61959000101,NDC Description Not Available,114.61,114.61,,,0 NDC,61990061100,NDC Description Not Available,90.12,90.12,,,0 NDC,62135022560,Tetracycline Hydrochloride: 60 Capsule In 1 Bottle (62135-225-60),28.41,28.41,,,0 NDC,62135024260,"Naltrexone Hydrochloride: 60 Tablet, Film Coated In 1 Bottle (62135-242-60)",32.44,32.44,,,0 NDC,62135025037,Prednisolone: 240 Ml In 1 Bottle (62135-250-37),7.69,7.69,,,0 NDC,62135030801,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle, Plastic (62135-308-01)",16.0,16.0,,,0 NDC,62135041746,"Doxycycline: 60 Ml In 1 Bottle, Glass (62135-417-46)",27.81,27.81,,,0 NDC,62135043690,Sucralfate: 90 Tablet In 1 Bottle (62135-436-90),17.92,17.92,,,0 NDC,62135043730,Prednisolone: 30 Tablet In 1 Bottle (62135-437-30),60.56,60.56,,,0 NDC,62135045230,Doxercalciferol: 30 Capsule In 1 Bottle (62135-452-30),82.17,82.17,,,0 NDC,62135050247,Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle (62135-502-47),22.87,22.87,,,0 NDC,62135051352,Hyoscyamine Sulfate: 20 Ml In 1 Bottle (62135-513-52),71.84,71.84,,,0 NDC,62135071215,NDC Description Not Available,63.27,63.27,,,0 NDC,62135071242,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (62135-712-42),35.91,35.91,,,0 NDC,62135073045,NDC Description Not Available,394.27,394.27,,,0 NDC,62135075047,Hydroxyzine Hydrochloride: 473 Ml In 1 Bottle (62135-750-47),32.74,32.74,,,0 NDC,62135081305,NDC Description Not Available,45.08,45.08,,,0 NDC,62135086759,NDC Description Not Available,373.04,373.04,,,0 NDC,62135087151,NDC Description Not Available,95.79,95.79,,,0 NDC,62135087746,"Doxycycline: 60 Ml In 1 Bottle, Glass (62135-877-46)",120.51,120.51,,,0 NDC,62175026037,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (62175-260-37)",3.17,3.17,,,0 NDC,62175026137,"Nifedipine: 100 Tablet, Film Coated, Extended Release In 1 Bottle (62175-261-37)",8.24,8.24,,,0 NDC,62175045232,Buprenorphine And Naloxone: 30 Tablet In 1 Bottle (62175-452-32),21.12,21.12,,,0 NDC,62295332207,NDC Description Not Available,0.41,0.41,,,0 NDC,62327044404,NDC Description Not Available,644.78,644.78,,,0 NDC,62332003331,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (62332-033-31)",6.81,6.81,,,0 NDC,62332011990,Pregabalin: 90 Capsule In 1 Bottle (62332-119-90),20.99,20.99,,,0 NDC,62332023330,"Vilazodone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (62332-233-30)",30.3,30.3,,,0 NDC,62332024631,Amantadine: 100 Capsule In 1 Bottle (62332-246-31),7.0,7.0,,,0 NDC,62332047831,"Entacapone: 100 Tablet, Film Coated In 1 Bottle (62332-478-31)",15.01,15.01,,,0 NDC,62332048625,Clobetasol Propionate: 1 Bottle In 1 Carton (62332-486-25) / 25 Ml In 1 Bottle,371.83,371.83,,,0 NDC,62332050503,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (62332-505-03) / 3 Ml In 1 Bottle,603.51,603.51,,,0 NDC,62332058204,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-04) / 5 G In 1 Tube,32.96,32.96,,,0 NDC,62332058231,Lidocaine And Prilocaine: 1 Tube In 1 Carton (62332-582-31) / 30 G In 1 Tube,130.81,130.81,,,0 NDC,62332058515,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (62332-585-15) / 15 G In 1 Tube,149.35,149.35,,,0 NDC,62332059901,NDC Description Not Available,8.04,8.04,,,0 NDC,62332060001,NDC Description Not Available,4.12,4.12,,,0 NDC,62332061931,Cyclophosphamide: 100 Capsule In 1 Bottle (62332-619-31),29.73,29.73,,,0 NDC,62332062250,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (62332-622-50) / 50 Ml In 1 Vial, Multi-Dose",2.14,2.14,,,0 NDC,62332063060,Metronidazole: 1 Tube In 1 Carton (62332-630-60) / 60 G In 1 Tube,963.74,963.74,,,0 NDC,62332067802,"Docetaxel: 1 Vial, Single-Dose In 1 Carton (62332-678-02) / 2 Ml In 1 Vial, Single-Dose",40.03,40.03,,,0 NDC,62332074130,Acitretin: 30 Capsule In 1 Bottle (62332-741-30),112.44,112.44,,,0 NDC,62332074905,Brimonidine Tartrate: 1 Bottle In 1 Carton (62332-749-05) / 5 Ml In 1 Bottle,799.28,799.28,,,0 NDC,62332075150,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-751-50) / 50 Ml In 1 Vial, Pharmacy Bulk Package",22.82,22.82,,,0 NDC,62332077931,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (62332-779-31) / 100 Ml In 1 Vial, Pharmacy Bulk Package",23.51,23.51,,,0 NDC,62541040210,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-402-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",1.54,1.54,,,0 NDC,62541040310,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-403-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",13.51,13.51,,,0 NDC,62541040410,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-404-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",21.89,21.89,,,0 NDC,62541040510,"Pancreaze: 1 Bottle, Glass In 1 Carton (62541-405-10) / 100 Capsule, Delayed Release In 1 Bottle, Glass",27.25,27.25,,,0 NDC,62559013807,Hydrocortisone: 7 Bottle In 1 Box (62559-138-07) / 60 Ml In 1 Bottle (62559-138-11),92.76,92.76,,,0 NDC,62559015304,Opium Tincture Deodorized: 118 Ml In 1 Bottle (62559-153-04),28.44,28.44,,,0 NDC,62559015717,NDC Description Not Available,1.43,1.43,,,0 NDC,62559022530,Aminocaproic Acid: 30 Tablet In 1 Bottle (62559-225-30),81.29,81.29,,,0 NDC,62559024101,Methazolamide: 100 Tablet In 1 Bottle (62559-241-01),29.49,29.49,,,0 NDC,62559026530,Tranexamic Acid: 30 Tablet In 1 Bottle (62559-265-30),18.87,18.87,,,0 NDC,62559035660,NDC Description Not Available,111.855,111.855,,,0 NDC,62559038001,Flecainide Acetate: 100 Tablet In 1 Bottle (62559-380-01),6.18,6.18,,,0 NDC,62559039020,Vancomycin Hydrochloride: 2 Blister Pack In 1 Carton (62559-390-20) / 10 Capsule In 1 Blister Pack,112.88,112.88,,,0 NDC,62559039050,Vancomycin Hydrochloride: 50 Capsule In 1 Bottle (62559-390-50),113.03,113.03,,,0 NDC,62559043130,Hydrocortisone: 1 Tube In 1 Carton (62559-431-30) / 30 G In 1 Tube,299.73,299.73,,,0 NDC,62559049001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (62559-490-01),3.09,3.09,,,0 NDC,62559051101,"Indapamide: 100 Tablet, Film Coated In 1 Bottle (62559-511-01)",2.83,2.83,,,0 NDC,62559067030,Arimidex: 30 Tablet In 1 Bottle (62559-670-30),235.61,235.61,,,0 NDC,62559072101,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-721-01),20.17,20.17,,,0 NDC,62559072201,Terbutaline Sulfate: 100 Tablet In 1 Bottle (62559-722-01),23.56,23.56,,,0 NDC,62559082001,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62559-820-01),9.17,9.17,,,0 NDC,62559099330,Fluconazole: 30 Tablet In 1 Bottle (62559-993-30),50.9,50.9,,,0 NDC,62584069311,NDC Description Not Available,20.37,20.37,,,0 NDC,62584099411,NDC Description Not Available,1.61,1.61,,,0 NDC,62756005940,Epoprostenol: 1 Vial In 1 Carton (62756-059-40) / 10 Ml In 1 Vial,38.11,38.11,,,0 NDC,62756006040,Epoprostenol: 1 Vial In 1 Carton (62756-060-40) / 10 Ml In 1 Vial,49.51,49.51,,,0 NDC,62756018388,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (62756-183-88)",3.43,3.43,,,0 NDC,62756022483,"Tiagabine Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (62756-224-83)",16.65,16.65,,,0 NDC,62756024064,"Ondansetron: 3 Blister Pack In 1 Dose Pack (62756-240-64) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 NDC,62756046083,Buprenorphine: 30 Tablet In 1 Bottle (62756-460-83),3.81,3.81,,,0 NDC,62756052088,"Sumatriptan Succinate: 100 Tablet, Film Coated In 1 Bottle (62756-520-88)",97.46,97.46,,,0 NDC,62756052940,Desmopressin Acetate: 1 Vial In 1 Carton (62756-529-40) / 10 Ml In 1 Vial,54.11,54.11,,,0 NDC,62756079788,"Divalproex Sodium: 100 Tablet, Delayed Release In 1 Bottle (62756-797-88)",6.28,6.28,,,0 NDC,62756095601,Mexiletine Hydrochloride: 100 Capsule In 1 Bottle (62756-956-01),10.91,10.91,,,0 NDC,62856021201,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-212-01) / 2 Ml In 1 Vial, Single-Dose",3.41,3.41,,,0 NDC,62856021501,"Leqembi: 1 Vial, Single-Dose In 1 Carton (62856-215-01) / 5 Ml In 1 Vial, Single-Dose",3.15,3.15,,,0 NDC,62856027230,Fycompa: 30 Tablet In 1 Bottle (62856-272-30),79.12,79.12,,,0 NDC,62856038901,"Halaven: 1 Vial, Single-Dose In 1 Carton (62856-389-01) / 2 Ml In 1 Vial, Single-Dose",348.25,348.25,,,0 NDC,62856058352,"Banzel: 120 Tablet, Film Coated In 1 Bottle (62856-583-52)",22.87,22.87,,,0 NDC,62856072005,NDC Description Not Available,10.21,10.21,,,0 NDC,62935022104,NDC Description Not Available,1116.52,1116.52,,,0 NDC,62935022305,Eligard: 1 Kit In 1 Carton (62935-223-05) * .375 Ml In 1 Syringe (62935-221-04) * .375 Ml In 1 Syringe (62935-224-05),1116.52,1116.52,,,0 NDC,62935022710,Eligard: 1 Syringe In 1 Carton (62935-227-10) / .375 Ml In 1 Syringe,1108.6,1108.6,,,0 NDC,62935030330,Eligard: 1 Kit In 1 Carton (62935-303-30) * .5 Ml In 1 Syringe (62935-305-29) * .5 Ml In 1 Syringe (62935-304-30),1116.52,1116.52,,,0 NDC,62935030640,Eligard: 1 Syringe In 1 Carton (62935-306-40) / .5 Ml In 1 Syringe,1116.52,1116.52,,,0 NDC,62935045345,Eligard: 1 Kit In 1 Carton (62935-453-45) * .375 Ml In 1 Syringe (62935-454-44) * .375 Ml In 1 Syringe (62935-455-45),1116.52,1116.52,,,0 NDC,62935046150,Eligard: 1 Syringe In 1 Carton (62935-461-50) / .375 Ml In 1 Syringe,1097.51,1097.51,,,0 NDC,62935075680,Eligard: 1 Syringe In 1 Carton (62935-756-80) / .25 Ml In 1 Syringe,3738.6400000000003,3738.6400000000003,,,0 NDC,63020053330,"Iclusig: 30 Tablet, Film Coated In 1 Bottle (63020-533-30)",3003.84,3003.84,,,0 NDC,63037013725,NDC Description Not Available,3.09,3.09,,,0 NDC,63044048409,"Ammonium Lactate: 225 g in 1 BOTTLE, PLASTIC (63044-484-09)",129.78,129.78,,,0 NDC,63304008913,"Mesalamine: 120 Capsule, Extended Release In 1 Bottle (63304-089-13)",23.63,23.63,,,0 NDC,63304035160,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (63304-351-60)",24.11,24.11,,,0 NDC,63304035260,"Lubiprostone: 60 Capsule, Gelatin Coated In 1 Bottle (63304-352-60)",24.08,24.08,,,0 NDC,63304045001,"Morphine Sulfate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (63304-450-01)",6.08,6.08,,,0 NDC,63304077301,Lorazepam: 100 Tablet In 1 Bottle (63304-773-01),0.47,0.47,,,0 NDC,63304096201,BROMOCRIPTINE MESYLATE: 100 TABLET in 1 BOTTLE (63304-962-01),13.53,13.53,,,0 NDC,63323001001,NDC Description Not Available,17.54,17.54,,,0 NDC,63323001002,Gentamicin: 25 Vial In 1 Tray (63323-010-02) / 2 Ml In 1 Vial (63323-010-01),16.265,16.265,,,0 NDC,63323001003,NDC Description Not Available,13.37,13.37,,,0 NDC,63323001020,Gentamicin: 25 Vial In 1 Tray (63323-010-20) / 20 Ml In 1 Vial (63323-010-03),13.76,13.76,,,0 NDC,63323001201,NDC Description Not Available,13.32,13.32,,,0 NDC,63323001203,NDC Description Not Available,14.46,14.46,,,0 NDC,63323001206,NDC Description Not Available,4.46,4.46,,,0 NDC,63323001210,"Oxytocin: 25 Vial, Multi-Dose In 1 Tray (63323-012-10) / 10 Ml In 1 Vial, Multi-Dose (63323-012-06)",4.25,4.25,,,0 NDC,63323001212,Oxytocin: 25 Vial In 1 Tray (63323-012-12) / 1 Ml In 1 Vial (63323-012-21),1.44,1.44,,,0 NDC,63323001217,NDC Description Not Available,6.27,6.27,,,0 NDC,63323001301,NDC Description Not Available,21.33,21.33,,,0 NDC,63323001302,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-02) / 2 Ml In 1 Vial, Multi-Dose (63323-013-01)",10.905,10.905,,,0 NDC,63323001309,"Thiamine: 25 Vial, Multi-Dose In 1 Tray (63323-013-09) / 2 Ml In 1 Vial, Multi-Dose (63323-013-21)",14.94,14.94,,,0 NDC,63323001321,NDC Description Not Available,21.47,21.47,,,0 NDC,63323002401,NDC Description Not Available,23.47,23.47,,,0 NDC,63323002425,"Mannitol: 25 Vial, Single-Dose In 1 Tray (63323-024-25) / 50 Ml In 1 Vial, Single-Dose (63323-024-01)",2.58,2.58,,,0 NDC,63323004400,NDC Description Not Available,29.66,29.66,,,0 NDC,63323004710,Heparin Sodium: 25 Vial In 1 Tray (63323-047-10) / 10 Ml In 1 Vial (63323-047-01),1.48,1.48,,,0 NDC,63323006401,NDC Description Not Available,5.05,5.05,,,0 NDC,63323006402,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-02) / 2 Ml In 1 Vial, Single-Dose",4.36,4.36,,,0 NDC,63323006403,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-064-03) / 2 Ml In 1 Vial, Single-Dose (63323-064-01)",4.8,4.8,,,0 NDC,63323006404,NDC Description Not Available,2.16,2.16,,,0 NDC,63323006411,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-064-11) / 10 Ml In 1 Vial, Single-Dose (63323-064-04)",1.69,1.69,,,0 NDC,63323006421,NDC Description Not Available,2.59,2.59,,,0 NDC,63323006423,"Magnesium Sulfate: 25 Vial, Glass In 1 Tray (63323-064-23) / 2 Ml In 1 Vial, Glass (63323-064-21)",2.58,2.58,,,0 NDC,63323008305,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-083-05) / 5 Ml In 1 Vial, Single-Dose (63323-083-03)",72.44,72.44,,,0 NDC,63323008950,"Sodium Bicarbonate: 25 Vial, Single-Dose In 1 Tray (63323-089-50) / 50 Ml In 1 Vial, Single-Dose (63323-089-25)",107.12,107.12,,,0 NDC,63323009301,NDC Description Not Available,19.91,19.91,,,0 NDC,63323009330,"Sodium Chloride: 25 Vial, Plastic In 1 Tray (63323-093-30) / 30 Ml In 1 Vial, Plastic (63323-093-01)",5.54,5.54,,,0 NDC,63323009502,NDC Description Not Available,17.57,17.57,,,0 NDC,63323009903,NDC Description Not Available,19.61,19.61,,,0 NDC,63323010161,"Doxorubicin Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (63323-101-61) / 100 Ml In 1 Vial, Multi-Dose",27.32,27.32,,,0 NDC,63323010351,Cisplatin: 1 Vial In 1 Carton (63323-103-51) / 50 Ml In 1 Vial,17.25,17.25,,,0 NDC,63323010364,Cisplatin: 1 Vial In 1 Carton (63323-103-64) / 200 Ml In 1 Vial,16.26,16.26,,,0 NDC,63323010365,Cisplatin: 1 Vial In 1 Carton (63323-103-65) / 100 Ml In 1 Vial,15.77,15.77,,,0 NDC,63323010401,NDC Description Not Available,5.17,5.17,,,0 NDC,63323010405,"Etoposide: 10 Box In 1 Carton (63323-104-05) / 1 Vial, Multi-Dose In 1 Box (63323-104-01) / 5 Ml In 1 Vial, Multi-Dose",4.94,4.94,,,0 NDC,63323010406,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-06) / 5 Ml In 1 Vial, Multi-Dose",5.11,5.11,,,0 NDC,63323010425,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-25) / 25 Ml In 1 Vial, Multi-Dose",5.25,5.25,,,0 NDC,63323010450,"Etoposide: 1 Vial, Multi-Dose In 1 Carton (63323-104-50) / 50 Ml In 1 Vial, Multi-Dose",4.67,4.67,,,0 NDC,63323010600,NDC Description Not Available,4.34,4.34,,,0 NDC,63323010601,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-01) / 100 Ml In 1 Bag (63323-106-00),4.25,4.25,,,0 NDC,63323010602,NDC Description Not Available,13.83,13.83,,,0 NDC,63323010610,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-10) / 1000 Ml In 1 Bag,0.5,0.5,,,0 NDC,63323010615,Magnesium Sulfate: 24 Bag In 1 Case (63323-106-15) / 500 Ml In 1 Bag,0.67,0.67,,,0 NDC,63323011301,NDC Description Not Available,686.56,686.56,,,0 NDC,63323011310,Pentam 300: 10 Vial In 1 Tray (63323-113-10) / 3 Ml In 1 Vial (63323-113-01),699.66,699.66,,,0 NDC,63323011700,NDC Description Not Available,10.47,10.47,,,0 NDC,63323011701,NDC Description Not Available,11.14,11.14,,,0 NDC,63323011710,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-10) / 10 Ml In 1 Vial, Single-Dose (63323-117-00)",14.665,14.665,,,0 NDC,63323011719,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-19) / 10 Ml In 1 Vial, Single-Dose (63323-117-31)",10.82,10.82,,,0 NDC,63323011720,"Fluorouracil: 10 Vial, Single-Dose In 1 Tray (63323-117-20) / 20 Ml In 1 Vial, Single-Dose (63323-117-01)",11.81,11.81,,,0 NDC,63323011751,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-51) / 50 Ml In 1 Vial, Pharmacy Bulk Package",11.36,11.36,,,0 NDC,63323011761,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-61) / 100 Ml In 1 Vial, Pharmacy Bulk Package",11.89,11.89,,,0 NDC,63323011769,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-117-69) / 100 Ml In 1 Vial, Pharmacy Bulk Package",9.61,9.61,,,0 NDC,63323012020,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (63323-120-20) / 20 Ml In 1 Vial, Single-Dose",4.42,4.42,,,0 NDC,63323012553,"Gemcitabine: 1 Vial, Single-Dose In 1 Box (63323-125-53) / 25 Ml In 1 Vial, Single-Dose",30.35,30.35,,,0 NDC,63323012800,NDC Description Not Available,21.46,21.46,,,0 NDC,63323012820,"Dacarbazine: 10 Vial, Single-Dose In 1 Tray (63323-128-20) / 20 Ml In 1 Vial, Single-Dose (63323-128-00)",26.4,26.4,,,0 NDC,63323013002,NDC Description Not Available,111.53,111.53,,,0 NDC,63323013003,NDC Description Not Available,90.81,90.81,,,0 NDC,63323013011,Doxy 100: 10 Vial In 1 Tray (63323-130-11) / 10 Ml In 1 Vial (63323-130-02),112.19,112.19,,,0 NDC,63323013013,Doxy 100: 10 Vial In 1 Tray (63323-130-13) / 10 Ml In 1 Vial (63323-130-03),90.72,90.72,,,0 NDC,63323013210,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-10) / 10 Ml In 1 Vial, Multi-Dose",329.26,329.26,,,0 NDC,63323013212,"Mitoxantrone: 1 Vial, Multi-Dose In 1 Box (63323-132-12) / 12.5 Ml In 1 Vial, Multi-Dose",363.85,363.85,,,0 NDC,63323013610,"Bleomycin: 1 Vial In 1 Carton (63323-136-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",149.35,149.35,,,0 NDC,63323013720,"Bleomycin: 1 Vial In 1 Carton (63323-137-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",177.64,177.64,,,0 NDC,63323014010,"Cladribine: 1 Vial, Single-Dose In 1 Carton (63323-140-10) / 10 Ml In 1 Vial, Single-Dose",131.72,131.72,,,0 NDC,63323014210,"Ifosfamide: 1 Vial, Single-Dose In 1 Box (63323-142-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",179.98,179.98,,,0 NDC,63323016100,NDC Description Not Available,15.12,15.12,,,0 NDC,63323016101,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-161-01) / 1 Ml In 1 Vial, Single-Use (63323-161-00)",16.45,16.45,,,0 NDC,63323016112,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Tray (63323-161-12) / 1 Ml In 1 Vial, Single-Dose (63323-161-21)",3.09,3.09,,,0 NDC,63323016121,NDC Description Not Available,3.28,3.28,,,0 NDC,63323016200,NDC Description Not Available,12.045,12.045,,,0 NDC,63323016201,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-01) / 1 Ml In 1 Vial, Single-Use (63323-162-00)",13.620000000000001,13.620000000000001,,,0 NDC,63323016202,"Ketorolac Tromethamine: 25 Vial, Single-Use In 1 Tray (63323-162-02) / 2 Ml In 1 Vial, Single-Use (63323-162-03)",8.76,8.76,,,0 NDC,63323016203,NDC Description Not Available,8.76,8.76,,,0 NDC,63323016223,NDC Description Not Available,2.01,2.01,,,0 NDC,63323016225,NDC Description Not Available,1.03,1.03,,,0 NDC,63323016425,NDC Description Not Available,36.05,36.05,,,0 NDC,63323016426,NDC Description Not Available,36.05,36.05,,,0 NDC,63323016501,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-165-01) / 1 Ml In 1 Vial (63323-165-02),3.225,3.225,,,0 NDC,63323016502,NDC Description Not Available,3.2199999999999998,3.2199999999999998,,,0 NDC,63323016505,"Dexamethasone Sodium Phosphate: 25 Vial, Multi-Dose In 1 Tray (63323-165-05) / 5 Ml In 1 Vial, Multi-Dose (63323-165-03)",1.5,1.5,,,0 NDC,63323016530,"Dexamethasone Sodium Phosphate: 1 Vial, Multi-Dose In 1 Box (63323-165-30) / 30 Ml In 1 Vial, Multi-Dose",1.48,1.48,,,0 NDC,63323017005,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-170-05) / 5 Ml In 1 Vial, Single-Dose",70.01,70.01,,,0 NDC,63323017301,NDC Description Not Available,12.76,12.76,,,0 NDC,63323017302,Gentamicin: 25 Vial In 1 Tray (63323-173-02) / 2 Ml In 1 Vial (63323-173-01),16.805,16.805,,,0 NDC,63323017876,Sterile Water: 10 Bag In 1 Case (63323-178-76) / 1000 Ml In 1 Bag,27.294999999999998,27.294999999999998,,,0 NDC,63323018000,NDC Description Not Available,92.47,92.47,,,0 NDC,63323018001,Pyridoxine Hydrochloride: 25 Vial In 1 Tray (63323-180-01) / 1 Ml In 1 Vial (63323-180-00),93.77,93.77,,,0 NDC,63323018410,"Folic Acid: 1 Vial, Multi-Dose In 1 Carton (63323-184-10) / 10 Ml In 1 Vial, Multi-Dose",5.15,5.15,,,0 NDC,63323018500,NDC Description Not Available,24.59,24.59,,,0 NDC,63323018507,NDC Description Not Available,17.62,17.62,,,0 NDC,63323018508,NDC Description Not Available,24.16,24.16,,,0 NDC,63323018509,NDC Description Not Available,15.645,15.645,,,0 NDC,63323018510,Sterile Water: 25 Vial In 1 Tray (63323-185-10) / 10 Ml In 1 Vial (63323-185-07),18.4,18.4,,,0 NDC,63323018520,Sterile Water: 25 Vial In 1 Tray (63323-185-20) / 20 Ml In 1 Vial (63323-185-08),24.45,24.45,,,0 NDC,63323018550,Sterile Water: 25 Vial In 1 Tray (63323-185-50) / 50 Ml In 1 Vial (63323-185-09),31.42,31.42,,,0 NDC,63323018600,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-00) / 100 Ml In 1 Vial, Single-Dose",45.5,45.5,,,0 NDC,63323018601,NDC Description Not Available,20.325,20.325,,,0 NDC,63323018602,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-02) / 2 Ml In 1 Vial, Single-Dose (63323-186-04)",4.39,4.39,,,0 NDC,63323018603,NDC Description Not Available,8.8,8.8,,,0 NDC,63323018604,NDC Description Not Available,4.6,4.6,,,0 NDC,63323018610,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-10) / 10 Ml In 1 Vial, Single-Dose (63323-186-01)",20.29,20.29,,,0 NDC,63323018620,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-186-20) / 20 Ml In 1 Vial, Single-Dose (63323-186-03)",8.175,8.175,,,0 NDC,63323018730,"Sodium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-187-30) / 30 Ml In 1 Vial, Single-Dose",19.57,19.57,,,0 NDC,63323019202,Fludarabine: 1 Vial In 1 Box (63323-192-02) / 2 Ml In 1 Vial,748.45,748.45,,,0 NDC,63323019355,Irinotecan Hydrochloride: 1 Vial In 1 Box (63323-193-55) / 5 Ml In 1 Vial,25.92,25.92,,,0 NDC,63323020101,NDC Description Not Available,0.56,0.56,,,0 NDC,63323020102,Lidocaine: 25 Vial In 1 Tray (63323-201-02) / 2 Ml In 1 Vial (63323-201-01),0.56,0.56,,,0 NDC,63323020103,NDC Description Not Available,0.5700000000000001,0.5700000000000001,,,0 NDC,63323020110,Lidocaine: 25 Vial In 1 Tray (63323-201-10) / 10 Ml In 1 Vial (63323-201-03),0.12,0.12,,,0 NDC,63323020202,Lidocaine: 25 Vial In 1 Tray (63323-202-02) / 2 Ml In 1 Vial (63323-202-01),0.29,0.29,,,0 NDC,63323020301,NDC Description Not Available,20.42,20.42,,,0 NDC,63323020500,"Omegaven: 10 Vial, Single-Dose In 1 Carton (63323-205-00) / 100 Ml In 1 Vial, Single-Dose (63323-205-31)",235.25,235.25,,,0 NDC,63323020521,NDC Description Not Available,54.3,54.3,,,0 NDC,63323020531,NDC Description Not Available,235.25,235.25,,,0 NDC,63323020801,NDC Description Not Available,1.495,1.495,,,0 NDC,63323020805,"Lidocaine: 25 Vial, Single-Dose In 1 Tray (63323-208-05) / 5 Ml In 1 Vial, Single-Dose (63323-208-01)",1.565,1.565,,,0 NDC,63323022110,Vancomycin Hydrochloride: 25 Vial In 1 Tray (63323-221-10) / 10 Ml In 1 Vial (63323-221-01),29.87,29.87,,,0 NDC,63323022901,NDC Description Not Available,16.16,16.16,,,0 NDC,63323022905,"Protamine Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-229-05) / 5 Ml In 1 Vial, Single-Dose (63323-229-01)",16.46,16.46,,,0 NDC,63323022921,NDC Description Not Available,10.39,10.39,,,0 NDC,63323022930,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-30) / 25 Ml In 1 Vial, Single-Dose",15.76,15.76,,,0 NDC,63323022935,"Protamine Sulfate: 1 Vial, Single-Dose In 1 Box (63323-229-35) / 25 Ml In 1 Vial, Single-Dose",10.37,10.37,,,0 NDC,63323023701,NDC Description Not Available,3.815,3.815,,,0 NDC,63323023710,Cefazolin: 25 Vial In 1 Carton (63323-237-10) / 3 Ml In 1 Vial (63323-237-01),3.81,3.81,,,0 NDC,63323025503,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-255-03) / 1 Ml In 1 Vial, Single-Dose (63323-255-01)",3.32,3.32,,,0 NDC,63323025803,"Methylprednisolone Sodium Succinate: 25 Vial, Single-Dose In 1 Tray (63323-258-03) / 2 Ml In 1 Vial, Single-Dose (63323-258-01)",46.24,46.24,,,0 NDC,63323026001,NDC Description Not Available,12.31,12.31,,,0 NDC,63323026037,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-260-37) / 30 Ml In 1 Vial, Single-Dose (63323-260-01)",20.28,20.28,,,0 NDC,63323026201,Heparin Sodium: 25 Vial In 1 Tray (63323-262-01) / 1 Ml In 1 Vial,3.66,3.66,,,0 NDC,63323026203,NDC Description Not Available,3.56,3.56,,,0 NDC,63323026206,Heparin Sodium: 25 Vial In 1 Tray (63323-262-06) / 1 Ml In 1 Vial (63323-262-03),3.16,3.16,,,0 NDC,63323026209,NDC Description Not Available,1.04,1.04,,,0 NDC,63323026211,NDC Description Not Available,3.57,3.57,,,0 NDC,63323026226,Heparin Sodium: 25 Vial In 1 Tray (63323-262-26) / 1 Ml In 1 Vial (63323-262-09),24.14,24.14,,,0 NDC,63323026255,Heparin Sodium: 25 Vial In 1 Tray (63323-262-55) / 1 Ml In 1 Vial,0.96,0.96,,,0 NDC,63323026530,"Methylprednisolone Sodium Succinate: 1 Vial, Multi-Dose In 1 Carton (63323-265-30) / 16 Ml In 1 Vial, Multi-Dose",0.76,0.76,,,0 NDC,63323026922,NDC Description Not Available,2.245,2.245,,,0 NDC,63323026925,NDC Description Not Available,1.61,1.61,,,0 NDC,63323026929,Diprivan: 10 Vial In 1 Box (63323-269-29) / 20 Ml In 1 Vial (63323-269-22),1.51,1.51,,,0 NDC,63323026937,Diprivan: 10 Vial In 1 Box (63323-269-37) / 20 Ml In 1 Vial (63323-269-25),0.62,0.62,,,0 NDC,63323026950,Diprivan: 20 Vial In 1 Box (63323-269-50) / 50 Ml In 1 Vial (63323-269-30),2.55,2.55,,,0 NDC,63323026957,Diprivan: 20 Vial In 1 Box (63323-269-57) / 50 Ml In 1 Vial (63323-269-23),0.65,0.65,,,0 NDC,63323026965,Diprivan: 10 Vial In 1 Box (63323-269-65) / 100 Ml In 1 Vial (63323-269-35),1.3,1.3,,,0 NDC,63323026967,Diprivan: 10 Vial In 1 Box (63323-269-67) / 100 Ml In 1 Vial (63323-269-21),0.9,0.9,,,0 NDC,63323026978,Diprivan: 10 Vial In 1 Box (63323-269-78) / 100 Ml In 1 Vial (63323-269-31),1.3,1.3,,,0 NDC,63323027301,"Sumatriptan Succinate: 1 Vial, Single-Dose In 1 Carton (63323-273-01) / .5 Ml In 1 Vial, Single-Dose",175.31,175.31,,,0 NDC,63323027810,"Vinblastine Sulfate: 1 Vial, Multi-Dose In 1 Box (63323-278-10) / 10 Ml In 1 Vial, Multi-Dose",20.72,20.72,,,0 NDC,63323028001,NDC Description Not Available,9.1,9.1,,,0 NDC,63323028002,Furosemide: 25 Vial In 1 Tray (63323-280-02) / 2 Ml In 1 Vial (63323-280-01),8.635,8.635,,,0 NDC,63323028401,NDC Description Not Available,32.27,32.27,,,0 NDC,63323028420,Vancomycin Hydrochloride: 10 Vial In 1 Tray (63323-284-20) / 20 Ml In 1 Vial (63323-284-01),34.43,34.43,,,0 NDC,63323028507,NDC Description Not Available,5.28,5.28,,,0 NDC,63323028520,Naropin: 5 Ampule In 1 Box (63323-285-20) / 20 Ml In 1 Ampule (63323-285-06),1.7,1.7,,,0 NDC,63323028523,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-285-23) / 20 Ml In 1 Vial, Single-Dose (63323-285-07)",1.23,1.23,,,0 NDC,63323028551,NDC Description Not Available,0.83,0.83,,,0 NDC,63323028563,Naropin: 24 Bag In 1 Case (63323-285-63) / 200 Ml In 1 Bag (63323-285-04),0.905,0.905,,,0 NDC,63323028564,Naropin: 12 Bottle In 1 Case (63323-285-64) / 200 Ml In 1 Bottle (63323-285-57),0.88,0.88,,,0 NDC,63323028565,Naropin: 12 Bottle In 1 Case (63323-285-65) / 100 Ml In 1 Bottle (63323-285-51),1.17,1.17,,,0 NDC,63323028567,Naropin: 12 Bottle In 1 Case (63323-285-67) / 100 Ml In 1 Bottle (63323-285-55),5.73,5.73,,,0 NDC,63323028603,NDC Description Not Available,0.53,0.53,,,0 NDC,63323028605,NDC Description Not Available,2.37,2.37,,,0 NDC,63323028611,NDC Description Not Available,0.94,0.94,,,0 NDC,63323028620,Naropin: 5 Ampule In 1 Box (63323-286-20) / 20 Ml In 1 Ampule (63323-286-01),0.73,0.73,,,0 NDC,63323028623,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-23) / 20 Ml In 1 Vial, Single-Dose (63323-286-05)",0.95,0.95,,,0 NDC,63323028630,"Naropin: 1 Vial, Single-Dose In 1 Box (63323-286-30) / 30 Ml In 1 Vial, Single-Dose",0.52,0.52,,,0 NDC,63323028635,"Naropin: 25 Vial, Single-Dose In 1 Carton (63323-286-35) / 30 Ml In 1 Vial, Single-Dose (63323-286-11)",0.7,0.7,,,0 NDC,63323028695,"Naropin: 25 Vial, Single-Dose In 1 Tray (63323-286-95) / 30 Ml In 1 Vial, Single-Dose (63323-286-93)",0.26,0.26,,,0 NDC,63323028703,NDC Description Not Available,0.78,0.78,,,0 NDC,63323029401,NDC Description Not Available,47.38,47.38,,,0 NDC,63323029427,"Polocaine-Mpf: 25 Vial, Single-Dose In 1 Tray (63323-294-27) / 20 Ml In 1 Vial, Single-Dose (63323-294-01)",40.05,40.05,,,0 NDC,63323030601,NDC Description Not Available,12.72,12.72,,,0 NDC,63323030602,"Tobramycin: 25 Vial, Multi-Dose In 1 Tray (63323-306-02) / 2 Ml In 1 Vial, Multi-Dose (63323-306-01)",13.99,13.99,,,0 NDC,63323030630,"Tobramycin: 10 Vial, Multi-Dose In 1 Tray (63323-306-30) / 30 Ml In 1 Vial, Multi-Dose (63323-306-05)",3.35,3.35,,,0 NDC,63323031461,Vancomycin Hydrochloride: 1 Bottle In 1 Carton (63323-314-61) / 100 Ml In 1 Bottle,40.8,40.8,,,0 NDC,63323031801,"Granisetron: 1 Vial, Single-Use In 1 Box (63323-318-01) / 1 Ml In 1 Vial, Single-Use",8.65,8.65,,,0 NDC,63323032201,NDC Description Not Available,64.86,64.86,,,0 NDC,63323032221,NDC Description Not Available,27.04,27.04,,,0 NDC,63323032225,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-25) / 20 Ml In 1 Vial, Single-Dose (63323-322-01)",64.89,64.89,,,0 NDC,63323032293,"Imipenem And Cilastatin: 25 Vial, Single-Dose In 1 Carton (63323-322-93) / 20 Ml In 1 Vial, Single-Dose (63323-322-21)",27.04,27.04,,,0 NDC,63323032503,NDC Description Not Available,0.81,0.81,,,0 NDC,63323032509,NDC Description Not Available,0.76,0.76,,,0 NDC,63323032510,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-10) / 10 Ml In 1 Vial, Single-Dose (63323-325-03)",1.18,1.18,,,0 NDC,63323032520,"Acyclovir: 10 Vial, Single-Dose In 1 Tray (63323-325-20) / 20 Ml In 1 Vial, Single-Dose (63323-325-09)",0.76,0.76,,,0 NDC,63323032820,Nafcillin: 10 Vial In 1 Carton (63323-328-20) / 8 Ml In 1 Vial (63323-328-21),124.97,124.97,,,0 NDC,63323032821,NDC Description Not Available,124.98,124.98,,,0 NDC,63323034021,NDC Description Not Available,3.65,3.65,,,0 NDC,63323035120,"Rifampin: 1 Vial In 1 Box (63323-351-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",475.73,475.73,,,0 NDC,63323036001,NDC Description Not Available,0.425,0.425,,,0 NDC,63323036003,NDC Description Not Available,0.31,0.31,,,0 NDC,63323036005,NDC Description Not Available,0.28500000000000003,0.28500000000000003,,,0 NDC,63323036019,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-19) / 10 Ml In 1 Vial, Plastic (63323-360-01)",0.43,0.43,,,0 NDC,63323036059,"Calcium Gluconate: 25 Vial, Plastic In 1 Tray (63323-360-59) / 50 Ml In 1 Vial, Plastic (63323-360-03)",0.23,0.23,,,0 NDC,63323036061,"Calcium Gluconate: 20 Vial, Plastic In 1 Tray (63323-360-61) / 100 Ml In 1 Vial, Plastic (63323-360-05)",0.23,0.23,,,0 NDC,63323036711,"POLYMYXIN B: 10 VIAL in 1 CARTON (63323-367-11) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (63323-367-01)",47.38,47.38,,,0 NDC,63323037302,Ondansetron: 25 Vial In 1 Tray (63323-373-02) / 2 Ml In 1 Vial (63323-373-00),2.33,2.33,,,0 NDC,63323037600,NDC Description Not Available,10.74,10.74,,,0 NDC,63323037601,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-376-01) / 1 Ml In 1 Vial, Single-Dose (63323-376-00)",10.82,10.82,,,0 NDC,63323037700,NDC Description Not Available,10.73,10.73,,,0 NDC,63323037701,"Octreotide: 10 Vial, Single-Dose In 1 Tray (63323-377-01) / 1 Ml In 1 Vial, Single-Dose (63323-377-00)",10.745000000000001,10.745000000000001,,,0 NDC,63323037905,"Octreotide: 1 Vial, Multi-Dose In 1 Carton (63323-379-05) / 5 Ml In 1 Vial, Multi-Dose",10.74,10.74,,,0 NDC,63323039306,Colistimethate: 1 Vial In 1 Box (63323-393-06) / 2 Ml In 1 Vial,91.99,91.99,,,0 NDC,63323039801,NDC Description Not Available,31.69,31.69,,,0 NDC,63323039810,Azithromycin: 10 Vial In 1 Tray (63323-398-10) / 5 Ml In 1 Vial (63323-398-01),31.93,31.93,,,0 NDC,63323040101,NDC Description Not Available,78.08500000000001,78.08500000000001,,,0 NDC,63323040120,"Aztreonam: 10 Vial In 1 Tray (63323-401-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-01)",78.02,78.02,,,0 NDC,63323040121,NDC Description Not Available,59.075,59.075,,,0 NDC,63323040126,"Aztreonam: 10 Vial In 1 Tray (63323-401-26) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-401-21)",59.22,59.22,,,0 NDC,63323040201,NDC Description Not Available,78.995,78.995,,,0 NDC,63323040203,NDC Description Not Available,59.08,59.08,,,0 NDC,63323040220,"Aztreonam: 10 Vial In 1 Tray (63323-402-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-01)",79.31,79.31,,,0 NDC,63323040230,"Aztreonam: 10 Vial In 1 Tray (63323-402-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (63323-402-03)",58.97,58.97,,,0 NDC,63323040301,NDC Description Not Available,13.09,13.09,,,0 NDC,63323040703,Caffeine Citrate: 1 Vial In 1 Box (63323-407-03) / 3 Ml In 1 Vial,134.93,134.93,,,0 NDC,63323041115,NDC Description Not Available,2.51,2.51,,,0 NDC,63323041118,NDC Description Not Available,2.85,2.85,,,0 NDC,63323041125,Midazolam: 25 Vial In 1 Tray (63323-411-25) / 5 Ml In 1 Vial (63323-411-18),2.83,2.83,,,0 NDC,63323041218,NDC Description Not Available,2.4,2.4,,,0 NDC,63323041225,Midazolam: 25 Vial In 1 Tray (63323-412-25) / 1 Ml In 1 Vial (63323-412-18),2.51,2.51,,,0 NDC,63323041701,NDC Description Not Available,49.44,49.44,,,0 NDC,63323041801,NDC Description Not Available,1170.15,1170.15,,,0 NDC,63323041820,Cisatracurium: 10 Vial In 1 Carton (63323-418-20) / 20 Ml In 1 Vial (63323-418-01),1170.13,1170.13,,,0 NDC,63323042405,"Flumazenil: 10 Vial, Multi-Dose In 1 Tray (63323-424-05) / 5 Ml In 1 Vial, Multi-Dose (63323-424-01)",29.47,29.47,,,0 NDC,63323043400,Acetaminophen: 20 Bag In 1 Case (63323-434-00) / 100 Ml In 1 Bag (63323-434-41),0.41,0.41,,,0 NDC,63323043441,NDC Description Not Available,0.41,0.41,,,0 NDC,63323045100,NDC Description Not Available,12.690000000000001,12.690000000000001,,,0 NDC,63323045200,NDC Description Not Available,11.26,11.26,,,0 NDC,63323045400,NDC Description Not Available,12.469999999999999,12.469999999999999,,,0 NDC,63323045401,"Morphine Sulfate: 25 Vial, Single-Dose In 1 Box (63323-454-01) / 1 Ml In 1 Vial, Single-Dose (63323-454-00)",12.36,12.36,,,0 NDC,63323046101,NDC Description Not Available,40.7,40.7,,,0 NDC,63323046201,NDC Description Not Available,50.1,50.1,,,0 NDC,63323046217,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-462-17) / 10 Ml In 1 Vial, Single-Dose (63323-462-04)",27.01,27.01,,,0 NDC,63323046231,"Sensorcaine Mpf: 5 Vial, Single-Dose In 1 Box (63323-462-31) / 30 Ml In 1 Vial, Single-Dose (63323-462-02)",29.87,29.87,,,0 NDC,63323046237,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-462-37) / 30 Ml In 1 Vial, Single-Dose (63323-462-01)",43.28,43.28,,,0 NDC,63323046301,NDC Description Not Available,30.15,30.15,,,0 NDC,63323046401,NDC Description Not Available,10.3,10.3,,,0 NDC,63323046402,NDC Description Not Available,32.96,32.96,,,0 NDC,63323046417,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-464-17) / 10 Ml In 1 Vial, Single-Dose (63323-464-01)",28.4,28.4,,,0 NDC,63323046501,NDC Description Not Available,10.3,10.3,,,0 NDC,63323046557,"Sensorcaine: 25 Vial, Multi-Dose In 1 Tray (63323-465-57) / 50 Ml In 1 Vial, Multi-Dose (63323-465-01)",21.38,21.38,,,0 NDC,63323046601,NDC Description Not Available,20.6,20.6,,,0 NDC,63323046603,NDC Description Not Available,22.66,22.66,,,0 NDC,63323046802,NDC Description Not Available,47.235,47.235,,,0 NDC,63323046817,"Sensorcaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-468-17) / 10 Ml In 1 Vial, Single-Dose (63323-468-01)",26.67,26.67,,,0 NDC,63323046901,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-469-01) / 1 Ml In 1 Vial,117.2,117.2,,,0 NDC,63323047101,Haloperidol Decanoate: 1 Vial In 1 Carton (63323-471-01) / 1 Ml In 1 Vial,111.24,111.24,,,0 NDC,63323047400,NDC Description Not Available,22.99,22.99,,,0 NDC,63323047401,Haloperidol: 25 Vial In 1 Tray (63323-474-01) / 1 Ml In 1 Vial (63323-474-00),18.56,18.56,,,0 NDC,63323047701,NDC Description Not Available,0.24,0.24,,,0 NDC,63323047727,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-477-27) / 20 Ml In 1 Vial, Single-Dose (63323-477-01)",0.54,0.54,,,0 NDC,63323047801,NDC Description Not Available,0.89,0.89,,,0 NDC,63323047827,"Nesacaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-478-27) / 20 Ml In 1 Vial, Single-Dose (63323-478-01)",0.23,0.23,,,0 NDC,63323048101,NDC Description Not Available,0.16,0.16,,,0 NDC,63323048203,NDC Description Not Available,0.13,0.13,,,0 NDC,63323048205,NDC Description Not Available,0.16,0.16,,,0 NDC,63323048217,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-17) / 10 Ml In 1 Vial, Multi-Dose (63323-482-01)",0.19,0.19,,,0 NDC,63323048227,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-482-27) / 20 Ml In 1 Vial, Multi-Dose (63323-482-03)",1.08,1.08,,,0 NDC,63323048303,NDC Description Not Available,0.54,0.54,,,0 NDC,63323048327,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-483-27) / 20 Ml In 1 Vial, Multi-Dose (63323-483-03)",0.58,0.58,,,0 NDC,63323048501,NDC Description Not Available,0.38499999999999995,0.38499999999999995,,,0 NDC,63323048503,NDC Description Not Available,0.06,0.06,,,0 NDC,63323048527,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-27) / 20 Ml In 1 Vial, Multi-Dose (63323-485-01)",0.08,0.08,,,0 NDC,63323048541,NDC Description Not Available,0.09,0.09,,,0 NDC,63323048557,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-485-57) / 50 Ml In 1 Vial, Multi-Dose (63323-485-03)",0.05,0.05,,,0 NDC,63323048601,NDC Description Not Available,0.11,0.11,,,0 NDC,63323048602,NDC Description Not Available,0.08,0.08,,,0 NDC,63323048605,NDC Description Not Available,0.03,0.03,,,0 NDC,63323048617,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-17) / 10 Ml In 1 Vial, Multi-Dose (63323-486-01)",0.09,0.09,,,0 NDC,63323048627,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-27) / 20 Ml In 1 Vial, Multi-Dose (63323-486-02)",0.09,0.09,,,0 NDC,63323048657,"Xylocaine: 25 Vial, Multi-Dose In 1 Tray (63323-486-57) / 50 Ml In 1 Vial, Multi-Dose (63323-486-05)",0.03,0.03,,,0 NDC,63323048701,NDC Description Not Available,0.6,0.6,,,0 NDC,63323048703,NDC Description Not Available,0.26,0.26,,,0 NDC,63323048707,NDC Description Not Available,0.37,0.37,,,0 NDC,63323048717,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-17) / 10 Ml In 1 Vial, Single-Dose (63323-487-01)",0.49,0.49,,,0 NDC,63323048731,"Xylocaine Mpf: 5 Vial, Single-Dose In 1 Carton (63323-487-31) / 30 Ml In 1 Vial, Single-Dose (63323-487-03)",0.2,0.2,,,0 NDC,63323048737,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-487-37) / 30 Ml In 1 Vial, Single-Dose (63323-487-07)",0.22,0.22,,,0 NDC,63323048801,NDC Description Not Available,1.51,1.51,,,0 NDC,63323048807,NDC Description Not Available,0.15,0.15,,,0 NDC,63323048817,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-488-17) / 10 Ml In 1 Vial, Single-Dose (63323-488-01)",0.28,0.28,,,0 NDC,63323048902,NDC Description Not Available,4.62,4.62,,,0 NDC,63323048917,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-17) / 10 Ml In 1 Vial, Single-Dose (63323-489-01)",3.69,3.69,,,0 NDC,63323048927,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-489-27) / 20 Ml In 1 Vial, Single-Dose (63323-489-02)",2.88,2.88,,,0 NDC,63323049204,NDC Description Not Available,7.16,7.16,,,0 NDC,63323049207,NDC Description Not Available,2.25,2.25,,,0 NDC,63323049208,NDC Description Not Available,2.54,2.54,,,0 NDC,63323049209,NDC Description Not Available,4.48,4.48,,,0 NDC,63323049227,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-27) / 2 Ml In 1 Vial, Single-Dose (63323-492-04)",5.68,5.68,,,0 NDC,63323049237,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Tray (63323-492-37) / 30 Ml In 1 Vial, Single-Dose (63323-492-07)",1.71,1.71,,,0 NDC,63323049257,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-492-57) / 5 Ml In 1 Vial, Single-Dose (63323-492-09)",3.84,3.84,,,0 NDC,63323049297,Xylocaine Mpf: 5 Ampule In 1 Box (63323-492-97) / 10 Ml In 1 Ampule (63323-492-08),2.58,2.58,,,0 NDC,63323049504,NDC Description Not Available,1.76,1.76,,,0 NDC,63323049507,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-07) / 5 Ml In 1 Vial, Single-Dose (63323-495-04)",1.59,1.59,,,0 NDC,63323049509,NDC Description Not Available,3.09,3.09,,,0 NDC,63323049527,"Xylocaine Mpf: 25 Vial, Single-Dose In 1 Carton (63323-495-27) / 2 Ml In 1 Vial, Single-Dose (63323-495-09)",3.69,3.69,,,0 NDC,63323049680,Xylocaine: 10 AMPULE in 1 CARTON (63323-496-80) / 2 mL in 1 AMPULE,2.06,2.06,,,0 NDC,63323050601,Dexamethasone Sodium Phosphate: 25 Vial In 1 Tray (63323-506-01) / 1 Ml In 1 Vial (63323-506-00),3.19,3.19,,,0 NDC,63323050701,NDC Description Not Available,0.52,0.52,,,0 NDC,63323050719,NDC Description Not Available,2.37,2.37,,,0 NDC,63323050801,NDC Description Not Available,2.55,2.55,,,0 NDC,63323050821,NDC Description Not Available,4.76,4.76,,,0 NDC,63323050830,Meropenem: 10 Vial In 1 Carton (63323-508-30) / 20 Ml In 1 Vial (63323-508-01),2.56,2.56,,,0 NDC,63323050831,Meropenem: 10 Vial In 1 Carton (63323-508-31) / 20 Ml In 1 Vial (63323-508-21),4.75,4.75,,,0 NDC,63323051610,Dexamethasone Sodium Phosphate: 10 Vial In 1 Tray (63323-516-10) / 10 Ml In 1 Vial (63323-516-01),0.72,0.72,,,0 NDC,63323051701,NDC Description Not Available,1.66,1.66,,,0 NDC,63323051901,NDC Description Not Available,18.02,18.02,,,0 NDC,63323052301,NDC Description Not Available,1.62,1.62,,,0 NDC,63323053021,NDC Description Not Available,20.58,20.58,,,0 NDC,63323053101,NDC Description Not Available,9.86,9.86,,,0 NDC,63323053313,NDC Description Not Available,4.46,4.46,,,0 NDC,63323053508,NDC Description Not Available,4.38,4.38,,,0 NDC,63323054001,Heparin Sodium: 25 Vial In 1 Tray (63323-540-01) / 1 Ml In 1 Vial,17.33,17.33,,,0 NDC,63323054005,NDC Description Not Available,2.84,2.84,,,0 NDC,63323054007,NDC Description Not Available,1.13,1.13,,,0 NDC,63323054011,Heparin Sodium: 25 Vial In 1 Tray (63323-540-11) / 10 Ml In 1 Vial,3.27,3.27,,,0 NDC,63323054015,Heparin Sodium: 25 Vial In 1 Tray (63323-540-15) / 10 Ml In 1 Vial (63323-540-05),3.13,3.13,,,0 NDC,63323054033,NDC Description Not Available,1.0,1.0,,,0 NDC,63323054057,"Heparin Sodium: 25 Vial, Multi-Dose In 1 Tray (63323-540-57) / 10 Ml In 1 Vial, Multi-Dose",1.18,1.18,,,0 NDC,63323054201,Heparin Sodium: 25 Vial In 1 Tray (63323-542-01) / 1 Ml In 1 Vial,3.3,3.3,,,0 NDC,63323054207,Heparin Sodium: 25 Vial In 1 Tray (63323-542-07) / 5 Ml In 1 Vial,2.23,2.23,,,0 NDC,63323054209,NDC Description Not Available,2.93,2.93,,,0 NDC,63323054213,Heparin Sodium: 25 Vial In 1 Tray (63323-542-13) / 1 Ml In 1 Vial (63323-542-09),14.2,14.2,,,0 NDC,63323055921,NDC Description Not Available,4.68,4.68,,,0 NDC,63323055963,NDC Description Not Available,4.345,4.345,,,0 NDC,63323055965,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-65) / 1 Syringe In 1 Blister Pack (63323-559-63) / .3 Ml In 1 Syringe,4.390000000000001,4.390000000000001,,,0 NDC,63323055993,Enoxaparin Sodium: 10 Blister Pack In 1 Carton (63323-559-93) / 1 Syringe In 1 Blister Pack (63323-559-21) / .3 Ml In 1 Syringe,4.12,4.12,,,0 NDC,63323056421,NDC Description Not Available,4.4,4.4,,,0 NDC,63323056463,NDC Description Not Available,4.35,4.35,,,0 NDC,63323056621,NDC Description Not Available,4.38,4.38,,,0 NDC,63323056663,NDC Description Not Available,4.08,4.08,,,0 NDC,63323057802,"Glycopyrrolate: 25 Vial, Single-Dose In 1 Carton (63323-578-02) / 2 Ml In 1 Vial, Single-Dose (63323-578-04)",69.42,69.42,,,0 NDC,63323057803,NDC Description Not Available,37.7,37.7,,,0 NDC,63323057804,NDC Description Not Available,48.41,48.41,,,0 NDC,63323057901,NDC Description Not Available,1.54,1.54,,,0 NDC,63323058282,"Glucagon: 1 Kit In 1 Kit (63323-582-82) * 1 Ml In 1 Vial, Single-Dose (63323-583-13) * 1 Ml In 1 Syringe, Glass (63323-185-82)",880.75,880.75,,,0 NDC,63323058313,NDC Description Not Available,1210.25,1210.25,,,0 NDC,63323058421,NDC Description Not Available,4.39,4.39,,,0 NDC,63323058463,NDC Description Not Available,3.99,3.99,,,0 NDC,63323058621,NDC Description Not Available,4.38,4.38,,,0 NDC,63323058663,NDC Description Not Available,4.34,4.34,,,0 NDC,63323058921,NDC Description Not Available,4.4,4.4,,,0 NDC,63323059303,"Glucagon: 1 Kit In 1 Carton (63323-593-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-03) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",981.4399999999999,981.4399999999999,,,0 NDC,63323059403,"Glucagon: 1 Kit In 1 Carton (63323-594-03) * 1 Ml In 1 Vial, Single-Dose (63323-596-06) * 1 Ml In 1 Vial, Single-Dose (63323-185-03)",700.61,700.61,,,0 NDC,63323059603,NDC Description Not Available,800.87,800.87,,,0 NDC,63323059606,NDC Description Not Available,840.32,840.32,,,0 NDC,63323059608,NDC Description Not Available,643.13,643.13,,,0 NDC,63323059611,NDC Description Not Available,567.29,567.29,,,0 NDC,63323059710,Deferoxamine: 1 Vial In 1 Box (63323-597-10) / 5.3 Ml In 1 Vial,56.0,56.0,,,0 NDC,63323060400,NDC Description Not Available,48.62,48.62,,,0 NDC,63323060708,NDC Description Not Available,4.12,4.12,,,0 NDC,63323061400,NDC Description Not Available,61.15,61.15,,,0 NDC,63323061421,NDC Description Not Available,15.18,15.18,,,0 NDC,63323061601,NDC Description Not Available,1.68,1.68,,,0 NDC,63323061602,NDC Description Not Available,1.58,1.58,,,0 NDC,63323061603,"Amiodarone Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-616-03) / 3 Ml In 1 Vial, Single-Dose (63323-616-01)",1.71,1.71,,,0 NDC,63323061609,"Amiodarone Hydrochloride: 10 Vial, Single-Dose In 1 Tray (63323-616-09) / 9 Ml In 1 Vial, Single-Dose (63323-616-02)",1.78,1.78,,,0 NDC,63323061701,NDC Description Not Available,14.870000000000001,14.870000000000001,,,0 NDC,63323061710,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-10) / 10 Ml In 1 Vial, Single-Dose (63323-617-01)",34.08,34.08,,,0 NDC,63323061720,"Milrinone Lactate: 10 Vial, Single-Dose In 1 Tray (63323-617-20) / 20 Ml In 1 Vial, Single-Dose (63323-617-02)",20.76,20.76,,,0 NDC,63323062310,Sodium Chloride: 10 BAG in 1 BOX (63323-623-10) / 1000 mL in 1 BAG,36.05,36.05,,,0 NDC,63323062353,Sodium Chloride: 50 Ml In 1 Bag (63323-623-53),36.05,36.05,,,0 NDC,63323062361,Sodium Chloride: 100 Ml In 1 Bag (63323-623-61),36.05,36.05,,,0 NDC,63323062374,Sodium Chloride: 250 Ml In 1 Bag (63323-623-74),36.05,36.05,,,0 NDC,63323062376,Sodium Chloride: 1000 Ml In 1 Bag (63323-623-76),9.01,9.01,,,0 NDC,63323062404,NDC Description Not Available,36.155,36.155,,,0 NDC,63323062405,NDC Description Not Available,36.05,36.05,,,0 NDC,63323062406,NDC Description Not Available,36.05,36.05,,,0 NDC,63323062407,NDC Description Not Available,36.03,36.03,,,0 NDC,63323062474,Dextrose: 30 Bag In 1 Case (63323-624-74) / 250 Ml In 1 Bag (63323-624-04),36.05,36.05,,,0 NDC,63323062600,Sodium Chloride: 50 Bag In 1 Case (63323-626-00) / 100 Ml In 1 Bag (63323-626-02),18.02,18.02,,,0 NDC,63323062601,NDC Description Not Available,18.02,18.02,,,0 NDC,63323062602,NDC Description Not Available,35.02,35.02,,,0 NDC,63323062603,NDC Description Not Available,32.26,32.26,,,0 NDC,63323062604,NDC Description Not Available,35.24,35.24,,,0 NDC,63323063150,"Leucovorin Calcium: 1 Vial, Single-Use In 1 Carton (63323-631-50) / 50 Ml In 1 Vial, Single-Use",48.84,48.84,,,0 NDC,63323063703,NDC Description Not Available,165.19,165.19,,,0 NDC,63323063710,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (63323-637-10) / 10 Ml In 1 Vial, Single-Dose (63323-637-03)",157.96,157.96,,,0 NDC,63323064201,NDC Description Not Available,2.02,2.02,,,0 NDC,63323064202,NDC Description Not Available,1.99,1.99,,,0 NDC,63323064220,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Tray (63323-642-20) / 20 Ml In 1 Vial, Single-Dose (63323-642-01)",1.96,1.96,,,0 NDC,63323064250,"Magnesium Sulfate: 25 Vial, Single-Dose In 1 Carton (63323-642-50) / 50 Ml In 1 Vial, Single-Dose (63323-642-02)",2.19,2.19,,,0 NDC,63323064907,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-07) / 5 Ml In 1 Vial, Single-Dose",436.27,436.27,,,0 NDC,63323064916,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-649-16) / 5 Ml In 1 Vial, Single-Dose",456.8,456.8,,,0 NDC,63323065102,"Adenosine: 10 Vial, Single-Use In 1 Tray (63323-651-02) / 2 Ml In 1 Vial, Single-Use (63323-651-00)",8.17,8.17,,,0 NDC,63323065210,"Esmolol Hydrochloride: 25 Vial, Single-Dose In 1 Tray (63323-652-10) / 10 Ml In 1 Vial, Single-Dose (63323-652-01)",69.27,69.27,,,0 NDC,63323065521,NDC Description Not Available,4.41,4.41,,,0 NDC,63323065820,Chlorothiazide: 1 Vial In 1 Box (63323-658-20) / 18 Ml In 1 Vial,1203.75,1203.75,,,0 NDC,63323065827,Chlorothiazide: 1 Vial In 1 Box (63323-658-27) / 18 Ml In 1 Vial,211.15,211.15,,,0 NDC,63323065903,Indomethacin: 1 Vial In 1 Carton (63323-659-03) / 1 Ml In 1 Vial,1307.47,1307.47,,,0 NDC,63323066005,Metoprolol: 10 Vial In 1 Tray (63323-660-05) / 5 Ml In 1 Vial (63323-660-01),6.18,6.18,,,0 NDC,63323066400,NDC Description Not Available,12.73,12.73,,,0 NDC,63323066500,NDC Description Not Available,31.84,31.84,,,0 NDC,63323066501,"Terbutaline Sulfate: 25 Vial, Single-Use In 1 Tray (63323-665-01) / 1 Ml In 1 Vial, Single-Use (63323-665-00)",83.65,83.65,,,0 NDC,63323067102,NDC Description Not Available,30.9,30.9,,,0 NDC,63323068517,"Posaconazole: 1 Vial, Single-Dose In 1 Carton (63323-685-17) / 16.7 Ml In 1 Vial, Single-Dose",1165.96,1165.96,,,0 NDC,63323069030,Acetylcysteine: 3 Vial In 1 Carton (63323-690-30) / 30 Ml In 1 Vial (63323-690-22),11.895,11.895,,,0 NDC,63323069130,Acetylcysteine: 3 Vial In 1 Carton (63323-691-30) / 30 Ml In 1 Vial (63323-691-22),11.52,11.52,,,0 NDC,63323069210,Acetylcysteine: 3 Vial In 1 Carton (63323-692-10) / 10 Ml In 1 Vial (63323-692-22),18.595,18.595,,,0 NDC,63323069310,Acetylcysteine: 3 Vial In 1 Carton (63323-693-10) / 10 Ml In 1 Vial (63323-693-22),65.58,65.58,,,0 NDC,63323069404,Acetylcysteine: 25 Vial In 1 Carton (63323-694-04) / 4 Ml In 1 Vial (63323-694-22),56.68000000000001,56.68000000000001,,,0 NDC,63323069504,Acetylcysteine: 25 Vial In 1 Carton (63323-695-04) / 4 Ml In 1 Vial (63323-695-22),24.72,24.72,,,0 NDC,63323071050,Leucovorin Calcium: 1 Vial In 1 Box (63323-710-50) / 20 Ml In 1 Vial,23.7,23.7,,,0 NDC,63323071100,Leucovorin Calcium: 1 Vial In 1 Box (63323-711-00) / 50 Ml In 1 Vial,31.09,31.09,,,0 NDC,63323071303,NDC Description Not Available,57.68,57.68,,,0 NDC,63323071501,NDC Description Not Available,123.6,123.6,,,0 NDC,63323071505,"Fulvestrant: 2 Syringe, Glass In 1 Carton (63323-715-05) / 5 Ml In 1 Syringe, Glass (63323-715-01)",123.6,123.6,,,0 NDC,63323072801,NDC Description Not Available,2.08,2.08,,,0 NDC,63323072810,"Micafungin: 10 Carton In 1 Carton (63323-728-10) / 1 Vial, Single-Dose In 1 Carton (63323-728-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 NDC,63323072901,NDC Description Not Available,2.08,2.08,,,0 NDC,63323072910,"Micafungin: 10 Carton In 1 Carton (63323-729-10) / 1 Vial, Single-Dose In 1 Carton (63323-729-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",2.08,2.08,,,0 NDC,63323073803,NDC Description Not Available,4.12,4.12,,,0 NDC,63323073806,NDC Description Not Available,4.12,4.12,,,0 NDC,63323073911,NDC Description Not Available,3.925,3.925,,,0 NDC,63323073912,"Famotidine: 25 Vial, Single-Dose In 1 Tray (63323-739-12) / 2 Ml In 1 Vial, Single-Dose (63323-739-11)",4.12,4.12,,,0 NDC,63323075100,NDC Description Not Available,0.03,0.03,,,0 NDC,63323075105,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (63323-751-05) / 5 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 NDC,63323076020,"Melphalan: 1 Kit In 1 Carton (63323-760-20) * 10 Ml In 1 Vial, Single-Dose (63323-761-20) * 10 Ml In 1 Vial, Single-Use (63323-732-10)",473.16,473.16,,,0 NDC,63323076210,Topotecan Hydrochloride: 1 Vial In 1 Box (63323-762-10) / 4 Ml In 1 Vial,16.56,16.56,,,0 NDC,63323076316,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-16) / 16.7 Ml In 1 Vial, Multi-Dose",1.86,1.86,,,0 NDC,63323076350,"Paclitaxel: 1 Vial, Multi-Dose In 1 Carton (63323-763-50) / 50 Ml In 1 Vial, Multi-Dose",1.8,1.8,,,0 NDC,63323077139,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (63323-771-39) / 30 Ml In 1 Vial, Single-Dose",5.19,5.19,,,0 NDC,63323077810,Methocarbamol: 25 Vial In 1 Carton (63323-778-10) / 10 Ml In 1 Vial (63323-778-21),43.26,43.26,,,0 NDC,63323077821,NDC Description Not Available,32.22,32.22,,,0 NDC,63323080601,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-01) / 1 Ml In 1 Vial, Single-Dose (63323-806-11)",10.01,10.01,,,0 NDC,63323080602,"Fentanyl Citrate: 25 Vial, Single-Dose In 1 Carton (63323-806-02) / 2 Ml In 1 Vial, Single-Dose (63323-806-12)",9.78,9.78,,,0 NDC,63323080611,NDC Description Not Available,9.55,9.55,,,0 NDC,63323080612,NDC Description Not Available,10.16,10.16,,,0 NDC,63323080613,NDC Description Not Available,5.0,5.0,,,0 NDC,63323080650,"Fentanyl Citrate: 1 Vial, Single-Dose In 1 Carton (63323-806-50) / 50 Ml In 1 Vial, Single-Dose",4.33,4.33,,,0 NDC,63323080801,NDC Description Not Available,9.254999999999999,9.254999999999999,,,0 NDC,63323081301,NDC Description Not Available,4.98,4.98,,,0 NDC,63323081320,"Oxacillin: 10 Vial, Single-Dose In 1 Carton (63323-813-20) / 20 Ml In 1 Vial, Single-Dose (63323-813-01)",1.54,1.54,,,0 NDC,63323081502,"Amikacin Sulfate: 10 Vial, Single-Dose In 1 Carton (63323-815-02) / 2 Ml In 1 Vial, Single-Dose (63323-815-21)",10.82,10.82,,,0 NDC,63323082000,Smoflipid: 10 Bag In 1 Case (63323-820-00) / 100 Ml In 1 Bag (63323-820-01),16.48,16.48,,,0 NDC,63323082001,NDC Description Not Available,95.22,95.22,,,0 NDC,63323082004,NDC Description Not Available,112.62,112.62,,,0 NDC,63323082005,NDC Description Not Available,3.35,3.35,,,0 NDC,63323082424,NDC Description Not Available,36.05,36.05,,,0 NDC,63323082426,NDC Description Not Available,36.05,36.05,,,0 NDC,63323084221,NDC Description Not Available,167.59,167.59,,,0 NDC,63323085103,NDC Description Not Available,8.44,8.44,,,0 NDC,63323085107,NDC Description Not Available,4.81,4.81,,,0 NDC,63323085110,"Hydromorphone Hydrochloride: 10 Vial, Single-Dose In 1 Carton (63323-851-10) / 1 Ml In 1 Vial, Single-Dose (63323-851-03)",7.82,7.82,,,0 NDC,63323085150,"Hydromorphone Hydrochloride: 50 Ml In 1 Vial, Single-Dose (63323-851-50)",5.33,5.33,,,0 NDC,63323085203,NDC Description Not Available,12.605,12.605,,,0 NDC,63323085303,NDC Description Not Available,9.27,9.27,,,0 NDC,63323085325,"Hydromorphone Hydrochloride: 25 Vial, Single-Dose In 1 Carton (63323-853-25) / 1 Ml In 1 Vial, Single-Dose (63323-853-03)",0.93,0.93,,,0 NDC,63323085403,NDC Description Not Available,0.6,0.6,,,0 NDC,63323086910,Dextrose And Sodium Chloride: 10 Bag In 1 Case (63323-869-10) / 1000 Ml In 1 Bag (63323-869-01),37.65,37.65,,,0 NDC,63323086974,Dextrose And Sodium Chloride: 20 Bag In 1 Case (63323-869-74) / 500 Ml In 1 Bag (63323-869-04),36.05,36.05,,,0 NDC,63323087550,Foscarnet: 1 Bottle In 1 Carton (63323-875-50) / 250 Ml In 1 Bottle,261.87,261.87,,,0 NDC,63323088101,NDC Description Not Available,107.11,107.11,,,0 NDC,63323088116,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-881-16) / 15 Ml In 1 Vial, Single-Dose (63323-881-01)",105.84,105.84,,,0 NDC,63323088330,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (63323-883-30) / 25 Ml In 1 Vial, Single-Dose",26.98,26.98,,,0 NDC,63323088401,NDC Description Not Available,68.97,68.97,,,0 NDC,63323088406,"Sodium Phosphates: 25 Vial, Single-Dose In 1 Tray (63323-884-06) / 5 Ml In 1 Vial, Single-Dose (63323-884-01)",72.92,72.92,,,0 NDC,63323088510,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-10) / 5 Ml In 1 Vial, Single-Dose",273.62,273.62,,,0 NDC,63323088514,"Levothyroxine Sodium: 1 Vial, Single-Dose In 1 Carton (63323-885-14) / 5 Ml In 1 Vial, Single-Dose",234.02,234.02,,,0 NDC,63323088601,NDC Description Not Available,102.47,102.47,,,0 NDC,63323092403,NDC Description Not Available,25.52,25.52,,,0 NDC,63323092688,"Romidepsin: 1 Kit In 1 Carton (63323-926-88) * 2 Ml In 1 Vial, Single-Dose (63323-925-17) * 2.2 Ml In 1 Vial, Single-Dose (63323-922-03)",78.32,78.32,,,0 NDC,63323093000,NDC Description Not Available,98.95,98.95,,,0 NDC,63323093001,"Vasopressin: 25 Vial, Single-Dose In 1 Tray (63323-930-01) / 1 Ml In 1 Vial, Single-Dose (63323-930-00)",99.51,99.51,,,0 NDC,63323096010,"Tigecycline: 10 Vial, Single-Dose In 1 Carton (63323-960-10) / 5 Ml In 1 Vial, Single-Dose (63323-960-01)",11.18,11.18,,,0 NDC,63323096321,NDC Description Not Available,7.93,7.93,,,0 NDC,63323096501,NDC Description Not Available,2.45,2.45,,,0 NDC,63323096502,NDC Description Not Available,0.54,0.54,,,0 NDC,63323096503,NDC Description Not Available,0.96,0.96,,,0 NDC,63323096505,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-05) / 5 Ml In 1 Vial, Single-Dose (63323-965-01)",2.4,2.4,,,0 NDC,63323096510,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-10) / 10 Ml In 1 Vial, Single-Dose (63323-965-03)",0.83,0.83,,,0 NDC,63323096520,"Potassium Chloride: 25 Vial, Single-Dose In 1 Tray (63323-965-20) / 20 Ml In 1 Vial, Single-Dose (63323-965-02)",0.51,0.51,,,0 NDC,63323096730,"Potassium Chloride: 25 Vial, Multi-Dose In 1 Tray (63323-967-30) / 30 Ml In 1 Vial, Multi-Dose (63323-967-01)",0.49,0.49,,,0 NDC,63402020430,Aptiom: 30 Tablet In 1 Bottle (63402-204-30),188.1,188.1,,,0 NDC,63402020830,Aptiom: 30 Tablet In 1 Bottle (63402-208-30),183.34,183.34,,,0 NDC,63402030430,"Latuda: 30 Tablet, Film Coated In 1 Bottle (63402-304-30)",204.97,204.97,,,0 NDC,63459010310,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-103-10) / 10 Ml In 1 Vial, Single-Use",206.98,206.98,,,0 NDC,63459010450,"Truxima: 1 Vial, Single-Use In 1 Carton (63459-104-50) / 50 Ml In 1 Vial, Single-Use",177.19,177.19,,,0 NDC,63459034804,"Bendeka: 1 Vial, Multi-Dose In 1 Carton (63459-348-04) / 4 Ml In 1 Vial, Multi-Dose",61.05,61.05,,,0 NDC,63459091001,NDC Description Not Available,3.6,3.6,,,0 NDC,63459091011,"Granix: 1 Blister Pack In 1 Carton (63459-910-11) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.58,3.58,,,0 NDC,63459091012,NDC Description Not Available,3.57,3.57,,,0 NDC,63459091015,"Granix: 10 Blister Pack In 1 Carton (63459-910-15) / 1 Syringe, Glass In 1 Blister Pack (63459-910-12) / .5 Ml In 1 Syringe, Glass (63459-910-01)",3.6,3.6,,,0 NDC,63459091201,NDC Description Not Available,3.6,3.6,,,0 NDC,63459091211,"Granix: 1 Blister Pack In 1 Carton (63459-912-11) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.5949999999999998,3.5949999999999998,,,0 NDC,63459091212,NDC Description Not Available,3.59,3.59,,,0 NDC,63459091215,"Granix: 10 Blister Pack In 1 Carton (63459-912-15) / 1 Syringe, Glass In 1 Blister Pack (63459-912-12) / .8 Ml In 1 Syringe, Glass (63459-912-01)",3.6,3.6,,,0 NDC,63459091217,"Granix: 1 Syringe, Glass In 1 Carton (63459-912-17) / .8 Ml In 1 Syringe, Glass (63459-912-18)",2.46,2.46,,,0 NDC,63481068447,Voltaren: 1 TUBE in 1 CARTON (63481-684-47) / 100 g in 1 TUBE,233.81,233.81,,,0 NDC,63629107201,"Potassium Chloride Extended-Release: 100 Tablet, Extended Release In 1 Bottle (63629-1072-1)",2.21,2.21,,,0 NDC,63629122101,"Albendazole 200 Mg: 2 Tablet, Film Coated In 1 Bottle (63629-1221-1)",943.78,943.78,,,0 NDC,63629185501,Hydroxyzine Hydrochloride: 120 mL in 1 BOTTLE (63629-1855-1),3.09,3.09,,,0 NDC,63629245501,Clobetasol Propionate: 1 Tube In 1 Carton (63629-2455-1) / 60 G In 1 Tube,47.38,47.38,,,0 NDC,63629245801,Clobetasol Propionate: 1 Tube In 1 Carton (63629-2458-1) / 15 G In 1 Tube,17.76,17.76,,,0 NDC,63629252801,Hydrocortisone: 1 Tube In 1 Carton (63629-2528-1) / 20 G In 1 Tube,17.87,17.87,,,0 NDC,63629932301,Betamethasone Dipropionate: 1 Tube In 1 Carton (63629-9323-1) / 15 G In 1 Tube,169.95,169.95,,,0 NDC,63646001004,"Ketoconazole: 120 Ml In 1 Bottle, Plastic (63646-010-04)",85.29,85.29,,,0 NDC,63739000333,"Temazepam: 3 Blister Pack In 1 Box, Unit-Dose (63739-003-33) / 10 Capsule In 1 Blister Pack",20.81,20.81,,,0 NDC,63739000833,"Voriconazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-008-33) / 10 Tablet In 1 Blister Pack",85.44,85.44,,,0 NDC,63739005274,"Sky Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (63739-052-74)",6.06,6.06,,,0 NDC,63739006933,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-069-33) / 10 Tablet In 1 Blister Pack",36.42,36.42,,,0 NDC,63739007010,"Aripiprazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-070-10) / 10 Tablet In 1 Blister Pack",24.43,24.43,,,0 NDC,63739007410,"Aripiprazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-074-10) / 10 Tablet In 1 Blister Pack",21.81,21.81,,,0 NDC,63739007633,"Valganciclovir: 3 Blister Pack In 1 Box, Unit-Dose (63739-076-33) / 10 Tablet, Film Coated In 1 Blister Pack",183.88,183.88,,,0 NDC,63739007710,"Valacyclovir: 10 Blister Pack In 1 Box, Unit-Dose (63739-077-10) / 10 Tablet, Film Coated In 1 Blister Pack",5.88,5.88,,,0 NDC,63739007833,"Aripiprazole: 3 Blister Pack In 1 Box, Unit-Dose (63739-078-33) / 10 Tablet In 1 Blister Pack",30.21,30.21,,,0 NDC,63739011510,"Fluconazole: 10 Blister Pack In 1 Box, Unit-Dose (63739-115-10) / 10 Tablet In 1 Blister Pack",7.75,7.75,,,0 NDC,63739014510,"Midodrine Hydrochloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-145-10) / 10 Tablet In 1 Blister Pack",1.32,1.32,,,0 NDC,63739015870,NDC Description Not Available,11.15,11.15,,,0 NDC,63739015977,NDC Description Not Available,1.65,1.65,,,0 NDC,63739016070,"Nystatin: 5 Ml In 1 Cup, Unit-Dose (63739-160-70)",5.99,5.99,,,0 NDC,63739016434,"Potassium Chloride: 5 Tray In 1 Case (63739-164-34) / 10 Cup, Unit-Dose In 1 Tray / 15 Ml In 1 Cup, Unit-Dose (63739-164-74)",36.05,36.05,,,0 NDC,63739017830,"Clopidogrel Bisulfate: 5 Blister Pack In 1 Carton (63739-178-30) / 6 Tablet, Film Coated In 1 Blister Pack",57.59,57.59,,,0 NDC,63739019210,Phenobarbital: 10 Blister Pack In 1 Box (63739-192-10) / 10 Tablet In 1 Blister Pack,2.1,2.1,,,0 NDC,63739019372,NDC Description Not Available,35.45,35.45,,,0 NDC,63739019861,Sky Peg3350: 30 Pouch In 1 Carton (63739-198-61) / 17 G In 1 Pouch (63739-198-62),1.49,1.49,,,0 NDC,63739020301,"Atovaquone: 5 Ml In 1 Cup, Unit-Dose (63739-203-01)",293.91,293.91,,,0 NDC,63739047910,"Baclofen: 10 Blister Pack In 1 Box, Unit-Dose (63739-479-10) / 10 Tablet In 1 Blister Pack",1.92,1.92,,,0 NDC,63739050501,NDC Description Not Available,8.91,8.91,,,0 NDC,63739050601,NDC Description Not Available,7.5,7.5,,,0 NDC,63739054410,"Spironolactone: 10 Blister Pack In 1 Box, Unit-Dose (63739-544-10) / 10 Tablet In 1 Blister Pack",1.03,1.03,,,0 NDC,63739054972,NDC Description Not Available,15.09,15.09,,,0 NDC,63739076001,NDC Description Not Available,1.49,1.49,,,0 NDC,63739077710,"Hydroxychloroquine Sulfate: 10 Blister Pack In 1 Box, Unit-Dose (63739-777-10) / 10 Tablet, Film Coated In 1 Blister Pack",15.29,15.29,,,0 NDC,63739079801,"Childrens Ibuprofen Oral Suspension: 5 Ml In 1 Cup, Unit-Dose (63739-798-01)",0.89,0.89,,,0 NDC,63739093114,NDC Description Not Available,1.33,1.33,,,0 NDC,63739095311,NDC Description Not Available,2.9,2.9,,,0 NDC,63739097210,"Potassium Chloride: 10 Blister Pack In 1 Box, Unit-Dose (63739-972-10) / 10 Tablet, Extended Release In 1 Blister Pack",2.49,2.49,,,0 NDC,63739097601,NDC Description Not Available,2.72,2.72,,,0 NDC,63739098832,"Ziprasidone Hydrochloride: 4 Blister Pack In 1 Box, Unit-Dose (63739-988-32) / 10 Capsule In 1 Blister Pack",12.04,12.04,,,0 NDC,63739099510,"Divalproex Sodium: 10 Blister Pack In 1 Box, Unit-Dose (63739-995-10) / 10 Capsule In 1 Blister Pack",3.07,3.07,,,0 NDC,63739099764,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (63739-997-64) / 50 Ml In 1 Bottle,143.17,143.17,,,0 NDC,63833038602,"Kcentra: 1 Kit In 1 Carton (63833-386-02) * 20 Ml In 1 Vial, Single-Use (63833-396-01) * 20 Ml In 1 Vial, Single-Use (63833-761-20)",6.44,6.44,,,0 NDC,63833038702,"Kcentra: 1 Kit In 1 Carton (63833-387-02) * 40 Ml In 1 Vial, Single-Use (63833-397-01) * 40 Ml In 1 Vial, Single-Use (63833-761-40)",6.31,6.31,,,0 NDC,63833039701,NDC Description Not Available,6.49,6.49,,,0 NDC,63833061602,"Humate-P: 1 Kit In 1 Carton (63833-616-02) * 10 Ml In 1 Vial (63833-626-01) * 10 Ml In 1 Vial, Single-Dose (63833-765-54)",3.44,3.44,,,0 NDC,63833061702,"Humate-P: 1 Kit In 1 Carton (63833-617-02) * 15 Ml In 1 Vial (63833-627-01) * 15 Ml In 1 Vial, Single-Dose (63833-765-55)",1.43,1.43,,,0 NDC,63833062701,NDC Description Not Available,1.62,1.62,,,0 NDC,63833082502,Berinert: 1 Kit In 1 Carton (63833-825-02) * 10 Ml In 1 Vial (63833-835-01) * 10 Ml In 1 Vial (63833-765-15),179.01,179.01,,,0 NDC,64253020230,"Sodium Chloride: 60 Syringe, Plastic In 1 Box (64253-202-30) / 10 Ml In 1 Syringe, Plastic",5.15,5.15,,,0 NDC,64253040030,NDC Description Not Available,0.43,0.43,,,0 NDC,64253090030,NDC Description Not Available,40.57,40.57,,,0 NDC,64281011005,NDC Description Not Available,584.01,584.01,,,0 NDC,64380011601,"Sodium Sulfate, Potassium Sulfate And Magnesium Sulfate Oral: 2 Bottle In 1 Carton (64380-116-01) / 177 Ml In 1 Bottle (64380-116-02)",212.6,212.6,,,0 NDC,64380015201,NDC Description Not Available,0.54,0.54,,,0 NDC,64380015701,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle, Plastic (64380-157-01)",6.16,6.16,,,0 NDC,64380016601,"Phenobarbital: 473 Ml In 1 Bottle, Plastic (64380-166-01)",3.2,3.2,,,0 NDC,64380017201,NDC Description Not Available,51.41,51.41,,,0 NDC,64380071003,"Lamivudine: 60 Tablet, Film Coated In 1 Bottle (64380-710-03)",25.76,25.76,,,0 NDC,64380071404,Tenofovir Disoproxil Fumarate: 30 Tablet In 1 Bottle (64380-714-04),146.14,146.14,,,0 NDC,64380072206,Tacrolimus: 100 Capsule In 1 Container (64380-722-06),14.965,14.965,,,0 NDC,64380072406,Calcitriol: 100 Capsule In 1 Container (64380-724-06),7.16,7.16,,,0 NDC,64380072506,"Mycophenolate Mofetil: 100 Tablet, Film Coated In 1 Bottle, Plastic (64380-725-06)",14.68,14.68,,,0 NDC,64380072606,"Mycophenolate Mofetil: 100 Capsule In 1 Bottle, Plastic (64380-726-06)",14.82,14.82,,,0 NDC,64380074108,Buspirone Hydrochloride: 1000 Tablet In 1 Bottle (64380-741-08),2.58,2.58,,,0 NDC,64380074206,Buspirone Hydrochloride: 100 Tablet In 1 Bottle (64380-742-06),4.62,4.62,,,0 NDC,64380076621,Polyethylene Glycol 3350 And Electrolytes With Lemon Flavor: 4 L In 1 Jug (64380-766-21),259.56,259.56,,,0 NDC,64380076921,"Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride With Lemon Flavor: 4 L In 1 Jug (64380-769-21)",238.84,238.84,,,0 NDC,64380078206,"Prednisone: 100 Tablet In 1 Bottle, Plastic (64380-782-06)",1.32,1.32,,,0 NDC,64380078932,Lidocaine: 35.44 G In 1 Tube (64380-789-32),1134.95,1134.95,,,0 NDC,64380079701,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-797-01),51.18,51.18,,,0 NDC,64380079901,Oseltamivir Phosphate: 10 Capsule In 1 Blister Pack (64380-799-01),55.56,55.56,,,0 NDC,64380082706,Ketoconazole: 100 Tablet In 1 Bottle (64380-827-06),1.67,1.67,,,0 NDC,64380083406,Acetazolamide: 100 Tablet In 1 Bottle (64380-834-06),9.38,9.38,,,0 NDC,64380087500,NDC Description Not Available,38.8,38.8,,,0 NDC,64380088100,NDC Description Not Available,3.43,3.43,,,0 NDC,64380088304,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (64380-883-04)",110.87,110.87,,,0 NDC,64380097106,"Hydrocortisone: 100 Tablet In 1 Bottle, Plastic (64380-971-06)",3.86,3.86,,,0 NDC,64406000801,"Tysabri: 1 Vial, Single-Use In 1 Carton (64406-008-01) / 15 Ml In 1 Vial, Single-Use",53.7,53.7,,,0 NDC,64406010901,"Qalsody: 1 Vial, Single-Use In 1 Carton (64406-109-01) / 15 Ml In 1 Vial, Single-Use",293.34,293.34,,,0 NDC,64679001202,NDC Description Not Available,24.49,24.49,,,0 NDC,64679046550,NDC Description Not Available,173.04,173.04,,,0 NDC,64679060816,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (64679-608-16)",2.39,2.39,,,0 NDC,64764008060,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-080-60)",26.78,26.78,,,0 NDC,64764024060,"Amitiza: 60 Capsule, Gelatin Coated In 1 Bottle (64764-240-60)",26.76,26.76,,,0 NDC,64764030020,"Entyvio: 1 Vial, Single-Dose In 1 Carton (64764-300-20) / 5 Ml In 1 Vial, Single-Dose",69.2,69.2,,,0 NDC,64764051192,NDC Description Not Available,315.7,315.7,,,0 NDC,64764073030,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-730-30)",70.77,70.77,,,0 NDC,64764075030,"Trintellix: 30 Tablet, Film Coated In 1 Bottle (64764-750-30)",57.07,57.07,,,0 NDC,64764080028,"Livtencity: 1 Bottle In 1 Carton (64764-800-28) / 28 Tablet, Coated In 1 Bottle",961.76,961.76,,,0 NDC,64764080056,"Livtencity: 1 Bottle In 1 Carton (64764-800-56) / 56 Tablet, Coated In 1 Bottle",946.45,946.45,,,0 NDC,64764080530,"Rozerem: 30 Tablet, Film Coated In 1 Bottle (64764-805-30)",55.62,55.62,,,0 NDC,64850050201,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (64850-502-01)",5.94,5.94,,,0 NDC,64896066201,"Rytary: 100 Capsule, Extended Release In 1 Bottle (64896-662-01)",13.18,13.18,,,0 NDC,64950020610,"Hydrocodone Bitartrate And Homatropine Methylbromide: 100 Tablet In 1 Bottle, Plastic (64950-206-10)",5.05,5.05,,,0 NDC,64950021703,Isoniazid: 30 Tablet In 1 Bottle (64950-217-03),11.38,11.38,,,0 NDC,64950034205,NDC Description Not Available,42.095,42.095,,,0 NDC,64950035405,NDC Description Not Available,24.73,24.73,,,0 NDC,64950036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (64950-362-04) / 4 Ml In 1 Bottle, Glass",6.62,6.62,,,0 NDC,64980028203,Mesalamine: 5 Package In 1 Carton (64980-282-03) / 6 Suppository In 1 Package,102.03,102.03,,,0 NDC,64980032430,Proctozone-Hc: 1 Tube In 1 Carton (64980-324-30) / 30 G In 1 Tube,314.99,314.99,,,0 NDC,64980040906,"Sertraline Hydrochloride: 1 Bottle, Plastic In 1 Carton (64980-409-06) / 60 Ml In 1 Bottle, Plastic",23.69,23.69,,,0 NDC,64980044715,"Calcitriol: 1 Bottle, Glass In 1 Carton (64980-447-15) / 15 Ml In 1 Bottle, Glass",28.6,28.6,,,0 NDC,64980050924,"Dexamethasone: 237 Ml In 1 Bottle, Plastic (64980-509-24)",2.43,2.43,,,0 NDC,64980051305,Timolol Maleate: 1 Bottle In 1 Carton (64980-513-05) / 5 Ml In 1 Bottle,54.59,54.59,,,0 NDC,64980051405,Timolol Maleate: 1 Bottle In 1 Carton (64980-514-05) / 5 Ml In 1 Bottle,61.7,61.7,,,0 NDC,64980051505,"Ofloxacin: 1 Bottle, Plastic In 1 Carton (64980-515-05) / 5 Ml In 1 Bottle, Plastic",253.38,253.38,,,0 NDC,64980052660,"Nitazoxanide: 6 Tablet, Film Coated In 1 Bottle (64980-526-60)",595.58,595.58,,,0 NDC,64980056601,Dapsone: 100 Tablet In 1 Bottle (64980-566-01),7.21,7.21,,,0 NDC,64980056603,Dapsone: 30 Tablet In 1 Bottle (64980-566-03),11.33,11.33,,,0 NDC,64980056703,Dapsone: 30 Tablet In 1 Bottle (64980-567-03),8.89,8.89,,,0 NDC,64980059248,Lactulose Solution: 473 Ml In 1 Bottle (64980-592-48),79.07,79.07,,,0 NDC,65162000203,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65162-002-03)",59.16,59.16,,,0 NDC,65162003416,"Omega-3-Acid Ethyl Esters: 120 Capsule, Liquid Filled In 1 Bottle (65162-034-16)",7.97,7.97,,,0 NDC,65162008203,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-082-03)",194.38,194.38,,,0 NDC,65162008774,"Itraconazole: 150 Ml In 1 Bottle, Glass (65162-087-74)",176.47,176.47,,,0 NDC,65162028103,"Paliperidone: 30 Tablet, Extended Release In 1 Bottle (65162-281-03)",36.75,36.75,,,0 NDC,65162035109,Sildenafil: 90 Tablet In 1 Bottle (65162-351-09),72.12,72.12,,,0 NDC,65162059606,Aspirin And Extended-Release Dipyridamole: 60 Capsule In 1 Bottle (65162-596-06),30.15,30.15,,,0 NDC,65162064978,Oxcarbazepine: 1 Bottle In 1 Carton (65162-649-78) / 250 Ml In 1 Bottle,24.61,24.61,,,0 NDC,65162067384,Risperidone: 30 Ml In 1 Bottle (65162-673-84),21.94,21.94,,,0 NDC,65162068110,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-681-10),9.87,9.87,,,0 NDC,65162068210,Phenazopyridine Hydrochloride: 100 Tablet In 1 Bottle (65162-682-10),14.36,14.36,,,0 NDC,65162069179,Ondansetron: 50 Ml In 1 Bottle (65162-691-79),19.96,19.96,,,0 NDC,65162069806,NDC Description Not Available,6.8,6.8,,,0 NDC,65162070588,Escitalopram Oxalate: 240 Ml In 1 Bottle (65162-705-88),46.96,46.96,,,0 NDC,65162079104,NDC Description Not Available,37.07,37.07,,,0 NDC,65162079108,Lidocaine: 30 Pouch In 1 Carton (65162-791-08) / 1 Patch In 1 Pouch (65162-791-04),37.08,37.08,,,0 NDC,65162080351,Temozolomide: 1 Bottle In 1 Carton (65162-803-51) / 5 Capsule In 1 Bottle,51.86,51.86,,,0 NDC,65162082534,Rivastigmine: 30 Patch In 1 Carton (65162-825-34) / 24 H In 1 Patch,60.77,60.77,,,0 NDC,65162087903,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-879-03)",192.51,192.51,,,0 NDC,65162088003,"Lurasidone Hydrochloride: 30 Tablet, Coated In 1 Bottle (65162-880-03)",193.11,193.11,,,0 NDC,65162089709,Aripiprazole: 90 Tablet In 1 Bottle (65162-897-09),115.36,115.36,,,0 NDC,65162098904,NDC Description Not Available,64.89,64.89,,,0 NDC,65162099304,NDC Description Not Available,64.89,64.89,,,0 NDC,65174027030,"Draximage Maa: 30 Injection, Powder, For Solution In 1 Kit (65174-270-30)",508.53,508.53,,,0 NDC,65174046105,Sodium Iodide I 131 Diagnostic: 5 Capsule In 1 Vial (65174-461-05),99.81,99.81,,,0 NDC,65174066030,"Technetium Tc 99M Medronate: 30 Injection, Powder, For Solution In 1 Carton (65174-660-30)",132.12,132.12,,,0 NDC,65197040010,Ad First Aid Multipurpose: 1 Tube In 1 Box (65197-400-10) / 42.5 G In 1 Tube,2.4,2.4,,,0 NDC,65219001200,NDC Description Not Available,3.09,3.09,,,0 NDC,65219001401,NDC Description Not Available,9.27,9.27,,,0 NDC,65219001601,NDC Description Not Available,5.77,5.77,,,0 NDC,65219002920,"Thiotepa: 1 Vial In 1 Carton (65219-029-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",1098.18,1098.18,,,0 NDC,65219003900,NDC Description Not Available,74.85,74.85,,,0 NDC,65219003901,"Vasopressin: 25 Vial, Single-Dose In 1 Tray (65219-039-01) / 1 Ml In 1 Vial, Single-Dose (65219-039-00)",99.91,99.91,,,0 NDC,65219005209,NDC Description Not Available,103.59,103.59,,,0 NDC,65219005229,"Potassium Phosphates: 25 Vial, Single-Dose In 1 Tray (65219-052-29) / 5 Ml In 1 Vial, Single-Dose (65219-052-09)",103.55,103.55,,,0 NDC,65219005409,NDC Description Not Available,111.09,111.09,,,0 NDC,65219005609,NDC Description Not Available,71.69,71.69,,,0 NDC,65219013120,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-131-20) / 50 Ml In 1 Vial, Single-Dose",5.36,5.36,,,0 NDC,65219013520,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (65219-135-20) / 25 Ml In 1 Vial, Single-Dose",7.79,7.79,,,0 NDC,65219016201,NDC Description Not Available,0.85,0.85,,,0 NDC,65219018401,NDC Description Not Available,15.79,15.79,,,0 NDC,65219018701,NDC Description Not Available,25.61,25.61,,,0 NDC,65219018801,NDC Description Not Available,40.43,40.43,,,0 NDC,65219018810,Ketamine Hydrochloride: 10 Vial In 1 Tray (65219-188-10) / 10 Ml In 1 Vial (65219-188-01),42.78,42.78,,,0 NDC,65219019030,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (65219-190-30) / 20 Ml In 1 Vial, Single-Dose",12.98,12.98,,,0 NDC,65219022201,NDC Description Not Available,43.95,43.95,,,0 NDC,65219022401,NDC Description Not Available,31.71,31.71,,,0 NDC,65219023801,NDC Description Not Available,38.55,38.55,,,0 NDC,65219024001,NDC Description Not Available,36.05,36.05,,,0 NDC,65219025700,NDC Description Not Available,15.66,15.66,,,0 NDC,65219025905,NDC Description Not Available,11.35,11.35,,,0 NDC,65219025945,"Piperacillin And Tazobactam: 10 Vial, Single-Use In 1 Carton (65219-259-45) / 20 Ml In 1 Vial, Single-Use (65219-259-05)",11.33,11.33,,,0 NDC,65219029300,NDC Description Not Available,16.05,16.05,,,0 NDC,65219029301,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (65219-293-01) / 1 Ml In 1 Vial, Single-Dose (65219-293-00)",16.22,16.22,,,0 NDC,65219029510,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (65219-295-10) / 10 Ml In 1 Vial, Multi-Dose",15.95,15.95,,,0 NDC,65219036801,NDC Description Not Available,2.73,2.73,,,0 NDC,65219038110,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-10) / 100 Ml In 1 Bottle, Plastic (65219-381-03)",4.42,4.42,,,0 NDC,65219038150,"Iodixanol: 10 Bottle, Plastic In 1 Box (65219-381-50) / 150 Ml In 1 Bottle, Plastic (65219-381-05)",3.44,3.44,,,0 NDC,65219043301,NDC Description Not Available,21.11,21.11,,,0 NDC,65219044501,NDC Description Not Available,20.83,20.83,,,0 NDC,65219044702,NDC Description Not Available,15.06,15.06,,,0 NDC,65219045805,NDC Description Not Available,36.05,36.05,,,0 NDC,65219046005,NDC Description Not Available,36.05,36.05,,,0 NDC,65219046660,Sodium Chloride: 60 Bag In 1 Case (65219-466-60) / 50 Ml In 1 Bag (65219-466-05),36.05,36.05,,,0 NDC,65219046850,Sodium Chloride: 50 Bag In 1 Case (65219-468-50) / 100 Ml In 1 Bag (65219-468-05),36.05,36.05,,,0 NDC,65219047005,NDC Description Not Available,53.255,53.255,,,0 NDC,65219047205,NDC Description Not Available,18.79,18.79,,,0 NDC,65219047220,Sodium Chloride: 20 Bag In 1 Case (65219-472-20) / 500 Ml In 1 Bag (65219-472-05),19.09,19.09,,,0 NDC,65219047405,NDC Description Not Available,39.055,39.055,,,0 NDC,65219047410,Sodium Chloride: 10 Bag In 1 Case (65219-474-10) / 1000 Ml In 1 Bag (65219-474-05),28.84,28.84,,,0 NDC,65219047905,NDC Description Not Available,35.09,35.09,,,0 NDC,65219047910,Lactated Ringers: 10 Bag In 1 Case (65219-479-10) / 1000 Ml In 1 Bag (65219-479-05),29.76,29.76,,,0 NDC,65219053101,NDC Description Not Available,38.82,38.82,,,0 NDC,65219053301,NDC Description Not Available,80.36,80.36,,,0 NDC,65219053901,NDC Description Not Available,38.4,38.4,,,0 NDC,65219057001,NDC Description Not Available,7.19,7.19,,,0 NDC,65219057004,"Bumetanide: 10 Vial, Single-Dose In 1 Carton (65219-570-04) / 4 Ml In 1 Vial, Single-Dose (65219-570-01)",6.68,6.68,,,0 NDC,65219057201,NDC Description Not Available,3.29,3.29,,,0 NDC,65219057210,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (65219-572-10) / 10 Ml In 1 Vial, Multi-Dose (65219-572-01)",3.16,3.16,,,0 NDC,65219059210,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-592-10) / 10 Ml In 1 Vial, Single-Dose",240.77,240.77,,,0 NDC,65219059420,"Tyenne: 1 Vial, Single-Dose In 1 Carton (65219-594-20) / 20 Ml In 1 Vial, Single-Dose",241.42,241.42,,,0 NDC,65250013304,Exparel: 4 Vial In 1 Carton (65250-133-04) / 10 Ml In 1 Vial (65250-133-10),5.64,5.64,,,0 NDC,65250013310,NDC Description Not Available,5.43,5.43,,,0 NDC,65250026609,Exparel: 10 Vial In 1 Carton (65250-266-09) / 20 Ml In 1 Vial (65250-266-20),6.69,6.69,,,0 NDC,65250026620,NDC Description Not Available,174.42,174.42,,,0 NDC,65282150501,Sodium Chloride: 5 Tray In 1 Carton (65282-1505-1) / 5 Ampule In 1 Tray / 5 Ml In 1 Ampule,4.12,4.12,,,0 NDC,65282160501,Lidocaine Hydrochloride: 25 Ampule In 1 Carton (65282-1605-1) / 5 Ml In 1 Ampule,1.79,1.79,,,0 NDC,65302050304,NDC Description Not Available,31.78,31.78,,,0 NDC,65302050410,NDC Description Not Available,21.63,21.63,,,0 NDC,65597040601,"Enhertu: 1 Vial, Single-Dose In 1 Carton (65597-406-01) / 5 Ml In 1 Vial, Single-Dose",64.37,64.37,,,0 NDC,65628005001,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-01) * 236 Ml In 1 Bottle, Plastic * .2 G In 1 Bottle, Glass * ",405.92,405.92,,,0 NDC,65628005004,"Diphenhydramine Hydrochloride And Lidocaine Hydrochloride And Aluminum Hydroxide And Magnesium Hydro: 1 Kit In 1 Container (65628-050-04) * 118 Ml In 1 Bottle, Plastic * .1 G In 1 Bottle, Glass * ",300.47,300.47,,,0 NDC,65628020405,Firvanq: 1 Kit In 1 Carton (65628-204-05) * 3.75 G In 1 Bottle * 147 Ml In 1 Bottle,18.54,18.54,,,0 NDC,65628020605,Firvanq: 1 Kit In 1 Carton (65628-206-05) * 7.5 G In 1 Bottle * 145 Ml In 1 Bottle,14.71,14.71,,,0 NDC,65649030103,Xifaxan: 30 Tablet In 1 Bottle (65649-301-03),45.84,45.84,,,0 NDC,65649030302,Xifaxan: 60 Tablet In 1 Bottle (65649-303-02),239.54,239.54,,,0 NDC,65649030303,Xifaxan: 6 Blister Pack In 1 Carton (65649-303-03) / 10 Tablet In 1 Blister Pack,236.16,236.16,,,0 NDC,65649031112,Diuril: 1 Bottle In 1 Carton (65649-311-12) / 237 Ml In 1 Bottle,12.46,12.46,,,0 NDC,65649055102,"Relistor: 1 Vial, Single-Dose In 1 Carton (65649-551-02) / .6 Ml In 1 Vial, Single-Dose",6.8,6.8,,,0 NDC,65649055103,Relistor: 7 Blister Pack In 1 Carton (65649-551-03) / 1 Syringe In 1 Blister Pack / .6 Ml In 1 Syringe,5.8,5.8,,,0 NDC,65649055204,Relistor: 7 Blister Pack In 1 Carton (65649-552-04) / 1 Syringe In 1 Blister Pack / .4 Ml In 1 Syringe,8.684999999999999,8.684999999999999,,,0 NDC,65757030001,"Vivitrol: 1 Kit In 1 Carton (65757-300-01) * 4 Ml In 1 Vial, Glass (65757-302-02) * 4 Ml In 1 Vial, Glass (65757-304-03)",10.7,10.7,,,0 NDC,65757050003,Aristada Initio: 1 Syringe In 1 Carton (65757-500-03) / 2.4 Ml In 1 Syringe,8.66,8.66,,,0 NDC,65857042505,"Kit For The Preparation Of Lymphoseek (Technetium Tc 99M Tilmanocept): 1 Kit In 1 Carton (65857-425-05) / 1 Kit In 1 Kit * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (65857-400-01)",1739.675,1739.675,,,0 NDC,65862003660,"Lamivudine And Zidovudine: 60 Tablet, Film Coated In 1 Bottle (65862-036-60)",52.73,52.73,,,0 NDC,65862004930,"Efavirenz: 30 Tablet, Film Coated In 1 Bottle (65862-049-30)",134.93,134.93,,,0 NDC,65862007360,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (65862-073-60)",36.18,36.18,,,0 NDC,65862007601,"Ciprofloxacin: 100 Tablet, Film Coated In 1 Bottle (65862-076-01)",16.51,16.51,,,0 NDC,65862007850,"Ciprofloxacin: 50 Tablet, Film Coated In 1 Bottle (65862-078-50)",20.29,20.29,,,0 NDC,65862009620,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (65862-096-20)",30.82,30.82,,,0 NDC,65862010701,Zidovudine: 100 Capsule In 1 Bottle (65862-107-01),7.26,7.26,,,0 NDC,65862014401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (65862-144-01)",3.43,3.43,,,0 NDC,65862014636,Sumatriptan: 1 Blister Pack In 1 Carton (65862-146-36) / 9 Tablet In 1 Blister Pack,97.51,97.51,,,0 NDC,65862014930,"Finasteride: 30 Tablet, Film Coated In 1 Bottle (65862-149-30)",11.32,11.32,,,0 NDC,65862019201,Fluoxetine: 100 Capsule In 1 Bottle (65862-192-01),9.33,9.33,,,0 NDC,65862019301,Fluoxetine: 100 Capsule In 1 Bottle (65862-193-01),9.29,9.29,,,0 NDC,65862022560,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-225-60)",21.63,21.63,,,0 NDC,65862022660,"Clarithromycin: 60 Tablet, Film Coated In 1 Bottle (65862-226-60)",21.72,21.72,,,0 NDC,65862024608,"Levetiracetam: 120 Tablet, Film Coated In 1 Bottle (65862-246-08)",12.55,12.55,,,0 NDC,65862029084,Ribavirin: 84 Capsule In 1 Bottle (65862-290-84),34.34,34.34,,,0 NDC,65862029590,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (65862-295-90)",31.17,31.17,,,0 NDC,65862030130,Emtricitabine: 30 Capsule In 1 Bottle (65862-301-30),69.68,69.68,,,0 NDC,65862030612,"Fluoxetine: 120 Ml In 1 Bottle, Glass (65862-306-12)",21.12,21.12,,,0 NDC,65862031560,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (65862-315-60)",25.39,25.39,,,0 NDC,65862032804,Alendronate Sodium: 1 Blister Pack In 1 Carton (65862-328-04) / 4 Tablet In 1 Blister Pack,74.16,74.16,,,0 NDC,65862035730,"Clopidogrel: 30 Tablet, Film Coated In 1 Bottle (65862-357-30)",25.02,25.02,,,0 NDC,65862035790,"Clopidogrel: 90 Tablet, Film Coated In 1 Bottle (65862-357-90)",24.72,24.72,,,0 NDC,65862037301,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-373-01)",16.62,16.62,,,0 NDC,65862037305,"Escitalopram: 500 Tablet, Film Coated In 1 Bottle (65862-373-05)",16.16,16.16,,,0 NDC,65862037501,"Escitalopram: 100 Tablet, Film Coated In 1 Bottle (65862-375-01)",17.58,17.58,,,0 NDC,65862037505,"Escitalopram: 500 Tablet, Film Coated In 1 Bottle (65862-375-05)",17.51,17.51,,,0 NDC,65862039010,"Ondansetron: 3 Blister Pack In 1 Carton (65862-390-10) / 10 Tablet, Orally Disintegrating In 1 Blister Pack",20.08,20.08,,,0 NDC,65862042130,"Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (65862-421-30)",138.02,138.02,,,0 NDC,65862045660,"Alprazolam: 60 Tablet, Extended Release In 1 Bottle (65862-456-60)",12.88,12.88,,,0 NDC,65862045860,"Galantamine: 60 Tablet, Film Coated In 1 Bottle (65862-458-60)",10.64,10.64,,,0 NDC,65862049647,Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle (65862-496-47),33.54,33.54,,,0 NDC,65862049730,"Efavirenz, Emtricitabine And Tenofovir Disoproxil Fumarate: 30 Tablet, Film Coated In 1 Bottle (65862-497-30)",410.15,410.15,,,0 NDC,65862050220,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-502-20)",13.64,13.64,,,0 NDC,65862050301,"Amoxicillin And Clavulanate Potassium: 100 Tablet, Film Coated In 1 Bottle (65862-503-01)",17.73,17.73,,,0 NDC,65862050320,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Film Coated In 1 Bottle (65862-503-20)",18.76,18.76,,,0 NDC,65862051230,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-512-30),25.28,25.28,,,0 NDC,65862051330,Pioglitazone Hydrochloride: 30 Tablet In 1 Bottle (65862-513-30),33.6,33.6,,,0 NDC,65862052790,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-527-90)",15.02,15.02,,,0 NDC,65862052890,"Venlafaxine Hydrochloride: 90 Capsule, Extended Release In 1 Bottle (65862-528-90)",16.87,16.87,,,0 NDC,65862053450,Amoxicillin And Clavulanate Potassium: 50 Ml In 1 Bottle (65862-534-50),27.81,27.81,,,0 NDC,65862053475,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (65862-534-75),24.6,24.6,,,0 NDC,65862055990,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-559-90)",18.54,18.54,,,0 NDC,65862056090,"Pantoprazole Sodium: 90 Tablet, Delayed Release In 1 Bottle (65862-560-90)",19.57,19.57,,,0 NDC,65862059501,"Divalproex Sodium: 100 Tablet, Film Coated, Extended Release In 1 Bottle (65862-595-01)",14.65,14.65,,,0 NDC,65862059801,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (65862-598-01),15.76,15.76,,,0 NDC,65862060130,Modafinil: 30 Tablet In 1 Bottle (65862-601-30),93.46,93.46,,,0 NDC,65862060330,"Moxifloxacin Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (65862-603-30)",98.14,98.14,,,0 NDC,65862064169,"Azithromycin: 1 Blister Pack In 1 Carton (65862-641-69) / 6 Tablet, Film Coated In 1 Blister Pack",27.96,27.96,,,0 NDC,65862067701,Alprazolam: 100 Tablet In 1 Bottle (65862-677-01),3.15,3.15,,,0 NDC,65862068730,"Ritonavir: 30 Tablet, Film Coated In 1 Bottle (65862-687-30)",33.38,33.38,,,0 NDC,65862070260,Ziprasidone Hydrochloride: 60 Capsule In 1 Bottle (65862-702-60),32.34,32.34,,,0 NDC,65862075360,Valganciclovir Hydrochloride: 60 Tablet In 1 Bottle (65862-753-60),248.51,248.51,,,0 NDC,65862076990,"Fenofibrate: 90 Tablet, Coated In 1 Bottle (65862-769-90)",20.6,20.6,,,0 NDC,65862083030,"Prasugrel: 30 Tablet, Film Coated In 1 Bottle (65862-830-30)",60.02,60.02,,,0 NDC,65862084130,Entecavir: 1 Bottle In 1 Carton (65862-841-30) / 30 Tablet In 1 Bottle,160.7,160.7,,,0 NDC,65862086001,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (65862-860-01)",16.77,16.77,,,0 NDC,65862092127,"Sevelamer Carbonate: 270 Tablet, Film Coated In 1 Bottle (65862-921-27)",0.55,0.55,,,0 NDC,65862093008,NDC Description Not Available,2.84,2.84,,,0 NDC,65862093108,NDC Description Not Available,1.99,1.99,,,0 NDC,65862094601,"Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle, Dropper In 1 Carton (65862-946-01) / 10 Ml In 1 Bottle, Dropper",439.81,439.81,,,0 NDC,65862095430,Lurasidone Hydrochloride: 30 Tablet In 1 Bottle (65862-954-30),184.01,184.01,,,0 NDC,65862096701,"Eszopiclone: 100 Tablet, Film Coated In 1 Bottle (65862-967-01)",42.1,42.1,,,0 NDC,65862096730,"Eszopiclone: 30 Tablet, Film Coated In 1 Bottle (65862-967-30)",42.11,42.11,,,0 NDC,65862096901,"Eszopiclone: 100 Tablet, Film Coated In 1 Bottle (65862-969-01)",42.23,42.23,,,0 NDC,66215040201,Veletri: 1 Vial In 1 Carton (66215-402-01) / 10 Ml In 1 Vial,45.15,45.15,,,0 NDC,66215040301,Veletri: 1 Vial In 1 Carton (66215-403-01) / 10 Ml In 1 Vial,101.29,101.29,,,0 NDC,66215050115,"Opsumit: 1 Blister Pack In 1 Carton (66215-501-15) / 15 Tablet, Film Coated In 1 Blister Pack",1494.72,1494.72,,,0 NDC,66215050130,"Opsumit: 1 Bottle In 1 Carton (66215-501-30) / 30 Tablet, Film Coated In 1 Bottle",1451.78,1451.78,,,0 NDC,66259014601,NDC Description Not Available,246.61,246.61,,,0 NDC,66267094420,NDC Description Not Available,35.02,35.02,,,0 NDC,66267094520,NDC Description Not Available,55.62,55.62,,,0 NDC,66267096200,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (66267-962-00),2.06,2.06,,,0 NDC,66302020603,Tyvaso: 4 Ampule In 1 Box (66302-206-03) / 2.9 Ml In 1 Ampule,20.37,20.37,,,0 NDC,66658023001,"Synagis: .5 Ml In 1 Vial, Single-Dose (66658-230-01)",4501.1,4501.1,,,0 NDC,66658023401,NDC Description Not Available,796.07,796.07,,,0 NDC,66658023407,"Kineret: 7 Syringe, Glass In 1 Carton (66658-234-07) / .67 Ml In 1 Syringe, Glass",851.81,851.81,,,0 NDC,66658051001,"Gamifant: 1 Vial, Single-Use In 1 Carton (66658-510-01) / 20 Ml In 1 Vial, Single-Use",834.8,834.8,,,0 NDC,66685101201,Amoxicillin And Clavulanate Potassium: 75 Ml In 1 Bottle (66685-1012-1),20.48,20.48,,,0 NDC,66689002001,NDC Description Not Available,15.37,15.37,,,0 NDC,66689002301,NDC Description Not Available,19.57,19.57,,,0 NDC,66689003101,NDC Description Not Available,15.09,15.09,,,0 NDC,66689003601,NDC Description Not Available,23.95,23.95,,,0 NDC,66689006201,NDC Description Not Available,148.92,148.92,,,0 NDC,66689030708,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (66689-307-08) / 250 Ml In 1 Bottle, Plastic",40.81,40.81,,,0 NDC,66689040101,NDC Description Not Available,29.96,29.96,,,0 NDC,66689040601,NDC Description Not Available,114.67,114.67,,,0 NDC,66733094823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-948-23) / 50 Ml In 1 Vial, Single-Dose",196.05,196.05,,,0 NDC,66733095823,"Erbitux: 1 Vial, Single-Dose In 1 Carton (66733-958-23) / 100 Ml In 1 Vial, Single-Dose",195.56,195.56,,,0 NDC,66758005002,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (66758-050-02) / 8 Ml In 1 Vial, Multi-Dose",39.23,39.23,,,0 NDC,66794015501,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-155-01)",814.07,814.07,,,0 NDC,66794015601,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-156-01)",627.57,627.57,,,0 NDC,66794015701,"Gablofen: 20 Ml In 1 Syringe, Glass (66794-157-01)",628.29,628.29,,,0 NDC,66794021102,NDC Description Not Available,4.12,4.12,,,0 NDC,66794021963,NDC Description Not Available,27.26,27.26,,,0 NDC,66794022802,NDC Description Not Available,19.83,19.83,,,0 NDC,66794023002,NDC Description Not Available,22.66,22.66,,,0 NDC,66794023042,"Dexmedetomidine: 25 Vial, Glass In 1 Carton (66794-230-42) / 2 Ml In 1 Vial, Glass (66794-230-02)",22.66,22.66,,,0 NDC,66794023302,NDC Description Not Available,2.58,2.58,,,0 NDC,66794023502,NDC Description Not Available,137.32,137.32,,,0 NDC,66794023643,Linezolid: 10 Bag In 1 Carton (66794-236-43) / 300 Ml In 1 Bag (66794-236-63),17.19,17.19,,,0 NDC,66794023663,NDC Description Not Available,17.3,17.3,,,0 NDC,66794023702,NDC Description Not Available,108.56,108.56,,,0 NDC,66794023741,Doxycycline: 10 Vial In 1 Carton (66794-237-41) / 10 Ml In 1 Vial,108.28,108.28,,,0 NDC,66794025802,NDC Description Not Available,21.18,21.18,,,0 NDC,66794025841,Pantoprazole Sodium I.V.: 1 Vial In 1 Carton (66794-258-41) / 10 Ml In 1 Vial,21.13,21.13,,,0 NDC,66993001968,"Albuterol Sulfate Hfa: 1 Inhaler In 1 Carton (66993-019-68) / 200 Aerosol, Metered In 1 Inhaler",1.1,1.1,,,0 NDC,66993002227,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-022-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-022-35) / 3 mL in 1 VIAL, SINGLE-DOSE",12.01,12.01,,,0 NDC,66993002327,"Levalbuterol Hydrochloride: 2 POUCH in 1 CARTON (66993-023-27) / 12 VIAL, SINGLE-DOSE in 1 POUCH (66993-023-35) / 3 mL in 1 VIAL, SINGLE-DOSE",7.97,7.97,,,0 NDC,66993006602,Phenoxybenzamine Hydrochloride: 100 Capsule In 1 Bottle (66993-066-02),466.59,466.59,,,0 NDC,66993007996,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-079-96) / 120 Aerosol, Metered In 1 Inhaler",9.37,9.37,,,0 NDC,66993008096,"Fluticasone Propionate Hfa: 1 Inhaler In 1 Carton (66993-080-96) / 120 Aerosol, Metered In 1 Inhaler",14.57,14.57,,,0 NDC,66993008696,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-086-96) / 120 Aerosol, Metered In 1 Inhaler",22.29,22.29,,,0 NDC,66993008796,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-087-96) / 120 Aerosol, Metered In 1 Inhaler",27.81,27.81,,,0 NDC,66993008896,"Fluticasone Propionate And Salmeterol Hfa: 1 Inhaler In 1 Carton (66993-088-96) / 120 Aerosol, Metered In 1 Inhaler",36.34,36.34,,,0 NDC,66993016502,"Colchicine: 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (66993-165-02)",29.48,29.48,,,0 NDC,66993037179,Medroxyprogesterone Acetate: 1 Syringe In 1 Carton (66993-371-79) / 1 Ml In 1 Syringe,2.77,2.77,,,0 NDC,66993045630,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-456-30)",80.22,80.22,,,0 NDC,66993045730,"Dapagliflozin: 30 Tablet, Film Coated In 1 Bottle, Plastic (66993-457-30)",80.25,80.25,,,0 NDC,66993049084,NDC Description Not Available,1127.85,1127.85,,,0 NDC,66993072757,"Sulfamethoxazole And Trimethoprim: 473 Ml In 1 Bottle, Plastic (66993-727-57)",27.06,27.06,,,0 NDC,66993083102,Triamterene: 100 Capsule In 1 Bottle (66993-831-02),43.03,43.03,,,0 NDC,66993084451,NDC Description Not Available,51.76,51.76,,,0 NDC,67066000501,"Chirhostim: 8 Ml In 1 Vial, Single-Use (67066-005-01)",97.34,97.34,,,0 NDC,67157010150,"Ascor: 1 Vial, Glass In 1 Carton (67157-101-50) / 50 Ml In 1 Vial, Glass",30.69,30.69,,,0 NDC,67253065110,Propylthiouracil: 100 Tablet In 1 Bottle (67253-651-10),3.18,3.18,,,0 NDC,67386013051,"Vyepti: 1 Vial, Single-Dose In 1 Carton (67386-130-51) / 1 Ml In 1 Vial, Single-Dose",43.7,43.7,,,0 NDC,67386031401,Onfi: 1 Bottle In 1 Carton (67386-314-01) / 100 Tablet In 1 Bottle,107.32,107.32,,,0 NDC,67386082019,Northera: 90 Capsule In 1 Bottle (67386-820-19),176.58,176.58,,,0 NDC,67457015300,NDC Description Not Available,3.31,3.31,,,0 NDC,67457015303,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-03) / 3 Ml In 1 Vial, Glass (67457-153-00)",3.31,3.31,,,0 NDC,67457015309,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (67457-153-09) / 9 Ml In 1 Vial, Glass (67457-153-99)",2.24,2.24,,,0 NDC,67457015318,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (67457-153-18) / 18 Ml In 1 Vial, Glass",2.15,2.15,,,0 NDC,67457015399,NDC Description Not Available,2.42,2.42,,,0 NDC,67457016200,NDC Description Not Available,338.05,338.05,,,0 NDC,67457016202,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-162-02) / 2 Ml In 1 Vial, Multi-Dose (67457-162-00)",241.36,241.36,,,0 NDC,67457016300,NDC Description Not Available,321.68,321.68,,,0 NDC,67457016302,"Sotradecol: 5 Vial, Multi-Dose In 1 Carton (67457-163-02) / 2 Ml In 1 Vial, Multi-Dose (67457-163-00)",337.84,337.84,,,0 NDC,67457018100,NDC Description Not Available,32.96,32.96,,,0 NDC,67457018120,Ketamine Hydrochloride: 10 VIAL in 1 CARTON (67457-181-20) / 20 mL in 1 VIAL (67457-181-00),204.9,204.9,,,0 NDC,67457018200,NDC Description Not Available,5.66,5.66,,,0 NDC,67457018750,"Aloprim: 1 Vial, Glass In 1 Carton (67457-187-50) / 25 Ml In 1 Vial, Glass",9856.07,9856.07,,,0 NDC,67457019600,NDC Description Not Available,18.99,18.99,,,0 NDC,67457019602,"Thiamine Hydrochloride: 25 Vial, Multi-Dose In 1 Carton (67457-196-02) / 2 Ml In 1 Vial, Multi-Dose (67457-196-00)",19.09,19.09,,,0 NDC,67457019700,NDC Description Not Available,313.12,313.12,,,0 NDC,67457019803,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-03) / 3 Ml In 1 Vial, Glass (67457-198-00)",157.55,157.55,,,0 NDC,67457019805,"Ultiva: 10 Vial, Glass In 1 Carton (67457-198-05) / 5 Ml In 1 Vial, Glass (67457-198-99)",521.23,521.23,,,0 NDC,67457021202,"Argatroban: 1 Vial, Glass In 1 Carton (67457-212-02) / 2.5 Ml In 1 Vial, Glass",8.83,8.83,,,0 NDC,67457021720,"Methadone Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (67457-217-20) / 20 Ml In 1 Vial, Multi-Dose",62.67,62.67,,,0 NDC,67457022005,"Isosulfan Blue: 6 Vial, Glass In 1 Carton (67457-220-05) / 5 Ml In 1 Vial, Glass (67457-220-00)",58.36,58.36,,,0 NDC,67457026600,NDC Description Not Available,0.82,0.82,,,0 NDC,67457026610,Levetiracetam: 10 Bag In 1 Carton (67457-266-10) / 100 Ml In 1 Bag (67457-266-00),0.7,0.7,,,0 NDC,67457029200,NDC Description Not Available,79.82,79.82,,,0 NDC,67457029750,"Ethacrynic Sodium: 1 Vial, Single-Dose In 1 Carton (67457-297-50) / 50 Ml In 1 Vial, Single-Dose",9393.6,9393.6,,,0 NDC,67457029900,NDC Description Not Available,128.43,128.43,,,0 NDC,67457032325,Moxifloxacin Hydrochloride: 1 Bag In 1 Carton (67457-323-25) / 250 Ml In 1 Bag,49.57,49.57,,,0 NDC,67457033900,NDC Description Not Available,16.82,16.82,,,0 NDC,67457033950,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-339-50) / 10 Ml In 1 Vial (67457-339-00),31.13,31.13,,,0 NDC,67457034000,NDC Description Not Available,34.18,34.18,,,0 NDC,67457034001,Vancomycin Hydrochloride: 10 Vial In 1 Carton (67457-340-01) / 20 Ml In 1 Vial (67457-340-00),34.36,34.36,,,0 NDC,67457036610,"Ibutilide Fumarate: 1 Vial, Glass In 1 Carton (67457-366-10) / 10 Ml In 1 Vial, Glass",1344.15,1344.15,,,0 NDC,67457037212,NDC Description Not Available,10.3,10.3,,,0 NDC,67457037412,NDC Description Not Available,2.58,2.58,,,0 NDC,67457038431,NDC Description Not Available,1.12,1.12,,,0 NDC,67457038510,NDC Description Not Available,1.6,1.6,,,0 NDC,67457039054,Zoledronic Acid: 1 Vial In 1 Carton (67457-390-54) / 5 Ml In 1 Vial,50.69,50.69,,,0 NDC,67457041800,NDC Description Not Available,0.08499999999999999,0.08499999999999999,,,0 NDC,67457041805,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-418-05) / 5 Ml In 1 Vial (67457-418-00),0.41,0.41,,,0 NDC,67457041900,NDC Description Not Available,0.955,0.955,,,0 NDC,67457041901,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-419-01) / 1 Ml In 1 Vial (67457-419-00),0.84,0.84,,,0 NDC,67457042000,NDC Description Not Available,0.19,0.19,,,0 NDC,67457042010,Dexamethasone Sodium Phosphate: 10 Vial In 1 Carton (67457-420-10) / 10 Ml In 1 Vial (67457-420-00),0.19,0.19,,,0 NDC,67457042200,NDC Description Not Available,0.42,0.42,,,0 NDC,67457042254,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-422-54) / 5 Ml In 1 Vial (67457-422-00),0.4,0.4,,,0 NDC,67457042300,NDC Description Not Available,0.97,0.97,,,0 NDC,67457042312,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (67457-423-12) / 1 Ml In 1 Vial (67457-423-00),0.86,0.86,,,0 NDC,67457042600,NDC Description Not Available,5.07,5.07,,,0 NDC,67457042612,Haloperidol Lactate: 25 Vial In 1 Carton (67457-426-12) / 1 Ml In 1 Vial (67457-426-00),5.0,5.0,,,0 NDC,67457042800,NDC Description Not Available,5.23,5.23,,,0 NDC,67457043010,Pamidronate Disodium: 1 Vial In 1 Carton (67457-430-10) / 10 Ml In 1 Vial,116.81,116.81,,,0 NDC,67457043300,NDC Description Not Available,0.03,0.03,,,0 NDC,67457043650,Doxorubicin Hydrochloride: 1 Vial In 1 Carton (67457-436-50) / 25 Ml In 1 Vial,210.94,210.94,,,0 NDC,67457043700,NDC Description Not Available,62.75,62.75,,,0 NDC,67457043800,NDC Description Not Available,24.72,24.72,,,0 NDC,67457043810,Vecuronium Bromide: 10 Vial In 1 Carton (67457-438-10) / 10 Ml In 1 Vial (67457-438-00),21.63,21.63,,,0 NDC,67457044220,Oxaliplatin: 1 Vial In 1 Carton (67457-442-20) / 20 Ml In 1 Vial,3.59,3.59,,,0 NDC,67457044610,Pamidronate Disodium: 1 Vial In 1 Carton (67457-446-10) / 10 Ml In 1 Vial,8.58,8.58,,,0 NDC,67457044800,NDC Description Not Available,4.08,4.08,,,0 NDC,67457047300,NDC Description Not Available,7.58,7.58,,,0 NDC,67457052810,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-528-10) / 10 Ml In 1 Vial, Single-Dose",39.17,39.17,,,0 NDC,67457052920,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-529-20) / 20 Ml In 1 Vial, Single-Dose",41.69,41.69,,,0 NDC,67457053035,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (67457-530-35) / 17.5 Ml In 1 Vial, Single-Dose",18.4,18.4,,,0 NDC,67457055300,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-553-00) / 50 Ml In 1 Bag,14.17,14.17,,,0 NDC,67457055400,Magnesium Sulfate: 1 Bag In 1 Pouch (67457-554-00) / 100 Ml In 1 Bag,3.49,3.49,,,0 NDC,67457058200,NDC Description Not Available,39.41,39.41,,,0 NDC,67457058210,"Fondaparinux Sodium: 10 Syringe, Glass In 1 Carton (67457-582-10) / .5 Ml In 1 Syringe, Glass (67457-582-00)",1.03,1.03,,,0 NDC,67457058300,NDC Description Not Available,46.35,46.35,,,0 NDC,67457058400,NDC Description Not Available,38.63,38.63,,,0 NDC,67457058500,NDC Description Not Available,23.18,23.18,,,0 NDC,67457058810,Epoprostenol: 1 Vial In 1 Carton (67457-588-10) / 10 Ml In 1 Vial,37.85,37.85,,,0 NDC,67457061730,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (67457-617-30) / 26.3 Ml In 1 Vial, Single-Dose",31.935,31.935,,,0 NDC,67457061910,Zoledronic Acid: 1 Vial In 1 Carton (67457-619-10) / 100 Ml In 1 Vial,203.32,203.32,,,0 NDC,67457064000,NDC Description Not Available,72.82,72.82,,,0 NDC,67457064500,NDC Description Not Available,94.93,94.93,,,0 NDC,67457065725,Esmolol Hydrochloride In Sodium Chloride: 1 Bag In 1 Pouch (67457-657-25) / 250 Ml In 1 Bag,1039.27,1039.27,,,0 NDC,67457066520,"Posaconazole: 1 Vial, Glass In 1 Carton (67457-665-20) / 16.7 Ml In 1 Vial, Glass",1243.49,1243.49,,,0 NDC,67457067502,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (67457-675-02) / 2 Ml In 1 Vial, Multi-Dose",4773.66,4773.66,,,0 NDC,67457070500,NDC Description Not Available,20.97,20.97,,,0 NDC,67457077800,NDC Description Not Available,27.07,27.07,,,0 NDC,67457078108,"Docetaxel: 1 Vial, Multi-Dose In 1 Carton (67457-781-08) / 8 Ml In 1 Vial, Multi-Dose",37.93,37.93,,,0 NDC,67457079410,Zoledronic Acid: 1 Bag In 1 Pouch (67457-794-10) / 100 Ml In 1 Bag,95.17,95.17,,,0 NDC,67457082312,NDC Description Not Available,34.81,34.81,,,0 NDC,67457082399,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (67457-823-99) / 25 Ml In 1 Vial, Single-Dose (67457-823-12)",34.81,34.81,,,0 NDC,67457083306,Fulphila: 1 Syringe In 1 Carton (67457-833-06) / .6 Ml In 1 Syringe,860.05,860.05,,,0 NDC,67457085200,NDC Description Not Available,67.045,67.045,,,0 NDC,67457085350,Acetazolamide: 1 Vial In 1 Carton (67457-853-50) / 5 Ml In 1 Vial,172.14,172.14,,,0 NDC,67457085500,NDC Description Not Available,4.45,4.45,,,0 NDC,67457085502,"Adenosine: 10 Vial, Single-Dose In 1 Carton (67457-855-02) / 2 Ml In 1 Vial, Single-Dose (67457-855-00)",27.12,27.12,,,0 NDC,67457085620,Adenosine: 1 Vial In 1 Carton (67457-856-20) / 20 Ml In 1 Vial,11.36,11.36,,,0 NDC,67457085730,Adenosine: 1 Vial In 1 Carton (67457-857-30) / 30 Ml In 1 Vial,9.42,9.42,,,0 NDC,67457086301,Granisetron Hydrochloride: 1 Vial In 1 Carton (67457-863-01) / 1 Ml In 1 Vial,4.33,4.33,,,0 NDC,67457088700,NDC Description Not Available,0.975,0.975,,,0 NDC,67457088799,Medroxyprogesterone Acetate: 1 Vial In 1 Carton (67457-887-99) / 1 Ml In 1 Vial (67457-887-00),0.99,0.99,,,0 NDC,67457090200,NDC Description Not Available,29.36,29.36,,,0 NDC,67457092500,NDC Description Not Available,354.72,354.72,,,0 NDC,67457094010,Acetaminophen: 24 Bag In 1 Carton (67457-940-10) / 100 Ml In 1 Bag,1.62,1.62,,,0 NDC,67457099115,Ogivri: 1 Vial In 1 Carton (67457-991-15) / 15 Ml In 1 Vial,226.0,226.0,,,0 NDC,67684190101,Lipiodol: 1 Ampule In 1 Carton (67684-1901-1) / 10 Ml In 1 Ampule,2704.78,2704.78,,,0 NDC,67684190102,Lipiodol: 1 Vial In 1 Carton (67684-1901-2) / 10 Ml In 1 Vial,1733.14,1733.14,,,0 NDC,67684200103,Dotarem: 10 Vial In 1 Package (67684-2001-3) / 20 Ml In 1 Vial,1.55,1.55,,,0 NDC,67850015000,NDC Description Not Available,17.72,17.72,,,0 NDC,67877012425,Silver Sulfadiazine: 25 G In 1 Tube (67877-124-25),32.96,32.96,,,0 NDC,67877012450,Silver Sulfadiazine: 50 G In 1 Jar (67877-124-50),54.59,54.59,,,0 NDC,67877014601,Temazepam: 100 Capsule In 1 Bottle (67877-146-01),2.94,2.94,,,0 NDC,67877019890,Amlodipine Besylate: 90 Tablet In 1 Bottle (67877-198-90),6.44,6.44,,,0 NDC,67877023022,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (67877-230-22) / 225 Ml In 1 Bottle, Plastic",42.0,42.0,,,0 NDC,67877025001,"Quetiapine: 100 Tablet, Film Coated In 1 Bottle (67877-250-01)",24.72,24.72,,,0 NDC,67877025115,Triamcinolone Acetonide: 15 G In 1 Tube (67877-251-15),20.635,20.635,,,0 NDC,67877025145,Triamcinolone Acetonide: 454 G In 1 Jar (67877-251-45),113.04,113.04,,,0 NDC,67877026601,Mycophenolate Mofetil: 100 Capsule In 1 Bottle (67877-266-01),14.41,14.41,,,0 NDC,67877028660,Riluzole: 60 Tablet In 1 Bottle (67877-286-60),125.77,125.77,,,0 NDC,67877029809,NDC Description Not Available,12.1,12.1,,,0 NDC,67877041920,"Linezolid: 20 Tablet, Film Coated In 1 Bottle (67877-419-20)",662.29,662.29,,,0 NDC,67877041933,"Linezolid: 1 Blister Pack In 1 Carton (67877-419-33) / 10 Tablet, Film Coated In 1 Blister Pack",654.98,654.98,,,0 NDC,67877041984,"Linezolid: 3 Blister Pack In 1 Carton (67877-419-84) / 10 Tablet, Film Coated In 1 Blister Pack",662.24,662.24,,,0 NDC,67877042257,NDC Description Not Available,12.1,12.1,,,0 NDC,67877042612,"Mycophenolic Acid: 120 Tablet, Delayed Release In 1 Bottle (67877-426-12)",16.51,16.51,,,0 NDC,67877050330,"Cinacalcet: 30 Tablet, Film Coated In 1 Bottle (67877-503-30)",110.49,110.49,,,0 NDC,67877053814,Temozolomide: 14 Capsule In 1 Bottle (67877-538-14),51.24,51.24,,,0 NDC,67877054360,Cefdinir: 60 Capsule In 1 Bottle (67877-543-60),18.46,18.46,,,0 NDC,67877058901,Colchicine: 100 Tablet In 1 Bottle (67877-589-01),13.785,13.785,,,0 NDC,67877059001,"Metoprolol Succinate: 100 Tablet, Film Coated, Extended Release In 1 Bottle (67877-590-01)",4.64,4.64,,,0 NDC,67877063830,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-638-30)",183.97,183.97,,,0 NDC,67877063930,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (67877-639-30)",183.97,183.97,,,0 NDC,67877071931,Everolimus: 6 Blister Pack In 1 Carton (67877-719-31) / 10 Tablet In 1 Blister Pack (67877-719-33),36.31,36.31,,,0 NDC,67877071933,NDC Description Not Available,36.17,36.17,,,0 NDC,67877072033,NDC Description Not Available,36.16,36.16,,,0 NDC,67877072133,NDC Description Not Available,24.03,24.03,,,0 NDC,67877073295,Lacosamide Oral Solution: 200 Ml In 1 Bottle (67877-732-95),133.335,133.335,,,0 NDC,67877073360,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (67877-733-60)",41.33,41.33,,,0 NDC,67877073460,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle (67877-734-60)",64.59,64.59,,,0 NDC,67877075360,Dronabinol: 60 Capsule In 1 Bottle (67877-753-60),23.93,23.93,,,0 NDC,67877075460,Dronabinol: 60 Capsule In 1 Bottle (67877-754-60),24.43,24.43,,,0 NDC,67877075701,"Nifedipine: 100 Tablet, Extended Release In 1 Bottle (67877-757-01)",5.02,5.02,,,0 NDC,67877084201,"Famotidine: 100 Tablet, Film Coated In 1 Bottle (67877-842-01)",8.76,8.76,,,0 NDC,67877087920,"Cefpodoxime Proxetil: 20 Tablet, Film Coated In 1 Bottle (67877-879-20)",30.56,30.56,,,0 NDC,67919002010,Entereg: 6 BLISTER PACK in 1 CARTON (67919-020-10) / 5 CAPSULE in 1 BLISTER PACK,786.89,786.89,,,0 NDC,67919003001,"Zerbaxa: 10 Vial, Single-Dose In 1 Carton (67919-030-01) / 10 Ml In 1 Vial, Single-Dose",34.72,34.72,,,0 NDC,67919004002,"Sivextro: 10 Vial, Glass In 1 Carton (67919-040-02) / 4 Ml In 1 Vial, Glass",7.56,7.56,,,0 NDC,67919004099,NDC Description Not Available,7.64,7.64,,,0 NDC,67919004199,NDC Description Not Available,1898.04,1898.04,,,0 NDC,68084002111,NDC Description Not Available,36.2,36.2,,,0 NDC,68084002121,"Abacavir: 30 Blister Pack In 1 Box, Unit-Dose (68084-021-21) / 1 Tablet, Film Coated In 1 Blister Pack (68084-021-11)",36.05,36.05,,,0 NDC,68084004411,NDC Description Not Available,9.61,9.61,,,0 NDC,68084004511,NDC Description Not Available,9.05,9.05,,,0 NDC,68084004611,NDC Description Not Available,9.78,9.78,,,0 NDC,68084007001,"Ciprofloxacin: 100 Blister Pack In 1 Box, Unit-Dose (68084-070-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-070-11)",11.33,11.33,,,0 NDC,68084007011,NDC Description Not Available,11.2,11.2,,,0 NDC,68084007511,NDC Description Not Available,109.3,109.3,,,0 NDC,68084008311,NDC Description Not Available,4.81,4.81,,,0 NDC,68084010411,NDC Description Not Available,30.61,30.61,,,0 NDC,68084010511,NDC Description Not Available,37.08,37.08,,,0 NDC,68084010611,NDC Description Not Available,37.08,37.08,,,0 NDC,68084010811,NDC Description Not Available,7.09,7.09,,,0 NDC,68084010911,NDC Description Not Available,16.42,16.42,,,0 NDC,68084011911,NDC Description Not Available,3.63,3.63,,,0 NDC,68084014911,NDC Description Not Available,7.34,7.34,,,0 NDC,68084018911,NDC Description Not Available,6.19,6.19,,,0 NDC,68084020211,NDC Description Not Available,3.32,3.32,,,0 NDC,68084020411,NDC Description Not Available,5.8,5.8,,,0 NDC,68084020511,NDC Description Not Available,7.62,7.62,,,0 NDC,68084021511,NDC Description Not Available,14.34,14.34,,,0 NDC,68084022011,NDC Description Not Available,21.59,21.59,,,0 NDC,68084022101,"Ondansetron Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-221-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-221-11)",18.02,18.02,,,0 NDC,68084022111,NDC Description Not Available,18.01,18.01,,,0 NDC,68084022911,NDC Description Not Available,3.09,3.09,,,0 NDC,68084026911,NDC Description Not Available,15.21,15.21,,,0 NDC,68084027011,NDC Description Not Available,14.05,14.05,,,0 NDC,68084027201,"Risperidone: 100 Blister Pack In 1 Box, Unit-Dose (68084-272-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-272-11)",16.48,16.48,,,0 NDC,68084027211,NDC Description Not Available,16.08,16.08,,,0 NDC,68084028011,NDC Description Not Available,5.83,5.83,,,0 NDC,68084028211,NDC Description Not Available,3.42,3.42,,,0 NDC,68084028411,NDC Description Not Available,3.63,3.63,,,0 NDC,68084028811,NDC Description Not Available,1.53,1.53,,,0 NDC,68084029111,NDC Description Not Available,14.57,14.57,,,0 NDC,68084029901,"Tamsulosin Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-299-01) / 1 Capsule In 1 Blister Pack (68084-299-11)",15.45,15.45,,,0 NDC,68084029911,NDC Description Not Available,15.22,15.22,,,0 NDC,68084030011,NDC Description Not Available,5.05,5.05,,,0 NDC,68084030911,NDC Description Not Available,22.37,22.37,,,0 NDC,68084031011,NDC Description Not Available,4.42,4.42,,,0 NDC,68084031311,NDC Description Not Available,5.06,5.06,,,0 NDC,68084034201,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-342-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-342-11)",7.61,7.61,,,0 NDC,68084034211,NDC Description Not Available,7.42,7.42,,,0 NDC,68084034401,"Topiramate: 100 Blister Pack In 1 Box, Unit-Dose (68084-344-01) / 1 Tablet, Film Coated In 1 Blister Pack (68084-344-11)",22.33,22.33,,,0 NDC,68084034411,NDC Description Not Available,22.23,22.23,,,0 NDC,68084035411,NDC Description Not Available,1.96,1.96,,,0 NDC,68084041511,NDC Description Not Available,13.78,13.78,,,0 NDC,68084044611,NDC Description Not Available,12.45,12.45,,,0 NDC,68084044911,NDC Description Not Available,1.99,1.99,,,0 NDC,68084045011,NDC Description Not Available,16.03,16.03,,,0 NDC,68084045101,"Tacrolimus: 100 Blister Pack In 1 Box, Unit-Dose (68084-451-01) / 1 Capsule In 1 Blister Pack (68084-451-11)",16.07,16.07,,,0 NDC,68084045111,NDC Description Not Available,16.08,16.08,,,0 NDC,68084047911,NDC Description Not Available,5.81,5.81,,,0 NDC,68084049411,NDC Description Not Available,5.99,5.99,,,0 NDC,68084053611,NDC Description Not Available,24.62,24.62,,,0 NDC,68084053911,NDC Description Not Available,2.73,2.73,,,0 NDC,68084054911,NDC Description Not Available,30.1,30.1,,,0 NDC,68084059201,"Isosorbide Mononitrate: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-592-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-592-11)",7.21,7.21,,,0 NDC,68084059711,NDC Description Not Available,5.95,5.95,,,0 NDC,68084059811,NDC Description Not Available,7.28,7.28,,,0 NDC,68084060311,NDC Description Not Available,13.46,13.46,,,0 NDC,68084061711,NDC Description Not Available,15.54,15.54,,,0 NDC,68084061811,NDC Description Not Available,16.53,16.53,,,0 NDC,68084062111,NDC Description Not Available,94.94,94.94,,,0 NDC,68084063201,"Potassium Chloride: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-632-01) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACK (68084-632-11)",2.56,2.56,,,0 NDC,68084064301,"Pantoprazole Sodium: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-643-01) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-643-11)",13.54,13.54,,,0 NDC,68084064511,NDC Description Not Available,5.34,5.34,,,0 NDC,68084065401,"Sotalol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-654-01) / 1 Tablet In 1 Blister Pack (68084-654-11)",8.24,8.24,,,0 NDC,68084065411,NDC Description Not Available,6.49,6.49,,,0 NDC,68084069711,NDC Description Not Available,5.94,5.94,,,0 NDC,68084069811,NDC Description Not Available,13.48,13.48,,,0 NDC,68084069911,NDC Description Not Available,9.94,9.94,,,0 NDC,68084070911,NDC Description Not Available,15.11,15.11,,,0 NDC,68084072311,NDC Description Not Available,34.04,34.04,,,0 NDC,68084072811,NDC Description Not Available,86.52,86.52,,,0 NDC,68084072911,NDC Description Not Available,14.86,14.86,,,0 NDC,68084073511,NDC Description Not Available,153.66,153.66,,,0 NDC,68084073811,NDC Description Not Available,1.59,1.59,,,0 NDC,68084075395,NDC Description Not Available,0.49,0.49,,,0 NDC,68084077595,NDC Description Not Available,0.95,0.95,,,0 NDC,68084077611,NDC Description Not Available,5.98,5.98,,,0 NDC,68084078211,NDC Description Not Available,11.49,11.49,,,0 NDC,68084079095,NDC Description Not Available,40.28,40.28,,,0 NDC,68084080511,NDC Description Not Available,7.2,7.2,,,0 NDC,68084080801,"Tramadol Hydrochloride: 100 Blister Pack In 1 Box, Unit-Dose (68084-808-01) / 1 Tablet, Coated In 1 Blister Pack (68084-808-11)",3.6,3.6,,,0 NDC,68084080811,NDC Description Not Available,3.39,3.39,,,0 NDC,68084082311,NDC Description Not Available,7.9,7.9,,,0 NDC,68084083611,NDC Description Not Available,3.94,3.94,,,0 NDC,68084083695,NDC Description Not Available,3.56,3.56,,,0 NDC,68084084411,NDC Description Not Available,7.09,7.09,,,0 NDC,68084085111,NDC Description Not Available,3.97,3.97,,,0 NDC,68084085195,NDC Description Not Available,3.44,3.44,,,0 NDC,68084085411,NDC Description Not Available,6.51,6.51,,,0 NDC,68084085611,NDC Description Not Available,7.85,7.85,,,0 NDC,68084085911,NDC Description Not Available,2.15,2.15,,,0 NDC,68084086211,NDC Description Not Available,3.94,3.94,,,0 NDC,68084086701,"Oxcarbazepine: 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-867-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-867-11)",18.28,18.28,,,0 NDC,68084087511,NDC Description Not Available,19.57,19.57,,,0 NDC,68084089695,NDC Description Not Available,6.83,6.83,,,0 NDC,68084090711,NDC Description Not Available,18.03,18.03,,,0 NDC,68084092195,NDC Description Not Available,54.59,54.59,,,0 NDC,68084092895,NDC Description Not Available,10.33,10.33,,,0 NDC,68084096495,NDC Description Not Available,12.12,12.12,,,0 NDC,68084096518,NDC Description Not Available,53.56,53.56,,,0 NDC,68084096595,NDC Description Not Available,551.54,551.54,,,0 NDC,68084096811,NDC Description Not Available,2.48,2.48,,,0 NDC,68084097511,NDC Description Not Available,5.64,5.64,,,0 NDC,68084098833,NDC Description Not Available,3.16,3.16,,,0 NDC,68084099611,NDC Description Not Available,3.83,3.83,,,0 NDC,68094000159,NDC Description Not Available,2.02,2.02,,,0 NDC,68094000162,"Morphine Sulfate: 3 Tray In 1 Case (68094-001-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-001-59)",5.15,5.15,,,0 NDC,68094000559,NDC Description Not Available,2.39,2.39,,,0 NDC,68094000561,Oxycodone Hydrochloride: 10 Blister Pack In 1 Carton (68094-005-61) / 10 Tablet In 1 Blister Pack (68094-005-59),2.17,2.17,,,0 NDC,68094000759,NDC Description Not Available,13.13,13.13,,,0 NDC,68094002959,NDC Description Not Available,9.48,9.48,,,0 NDC,68094003059,NDC Description Not Available,5.94,5.94,,,0 NDC,68094003159,NDC Description Not Available,7.61,7.61,,,0 NDC,68094003162,"Methadone Hydrochloride: 3 Tray In 1 Case (68094-031-62) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-031-59)",8.67,8.67,,,0 NDC,68094003459,NDC Description Not Available,0.22,0.22,,,0 NDC,68094004359,NDC Description Not Available,39.09,39.09,,,0 NDC,68094004459,NDC Description Not Available,4.37,4.37,,,0 NDC,68094004501,NDC Description Not Available,8.33,8.33,,,0 NDC,68094004558,Morphine Sulfate: 50 Bag In 1 Case (68094-045-58) / 1 Syringe In 1 Bag / .5 Ml In 1 Syringe (68094-045-01),12.36,12.36,,,0 NDC,68094006359,NDC Description Not Available,19.47,19.47,,,0 NDC,68094010120,Phentolamine Mesylate: 1 Vial In 1 Carton (68094-101-20) / 1 Injection In 1 Vial,1038.18,1038.18,,,0 NDC,68094012359,NDC Description Not Available,24.87,24.87,,,0 NDC,68094012959,NDC Description Not Available,11.27,11.27,,,0 NDC,68094023159,NDC Description Not Available,3.49,3.49,,,0 NDC,68094023161,"Acetaminophen: 10 Tray In 1 Case (68094-231-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-231-59)",3.78,3.78,,,0 NDC,68094025062,"Megestrol Acetate: 3 TRAY in 1 CASE (68094-250-62) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE (68094-250-59)",3.09,3.09,,,0 NDC,68094049459,NDC Description Not Available,0.98,0.98,,,0 NDC,68094049461,"Childrens Ibuprofen: 10 Tray In 1 Case (68094-494-61) / 10 Cup, Unit-Dose In 1 Tray / 5 Ml In 1 Cup, Unit-Dose (68094-494-59)",0.99,0.99,,,0 NDC,68094050359,NDC Description Not Available,1.6,1.6,,,0 NDC,68094060059,NDC Description Not Available,1.03,1.03,,,0 NDC,68094075458,Morphine Sulfate: 50 BAG in 1 CASE (68094-754-58) / 1 SYRINGE in 1 BAG / .5 mL in 1 SYRINGE (68094-754-01),9.27,9.27,,,0 NDC,68094076459,NDC Description Not Available,22.17,22.17,,,0 NDC,68094086759,NDC Description Not Available,6.7,6.7,,,0 NDC,68180011309,"Levetiracetam: 90 Tablet, Film Coated In 1 Bottle (68180-113-09)",12.67,12.67,,,0 NDC,68180011507,"Levetiracetam: 60 Tablet, Film Coated In 1 Bottle (68180-115-07)",25.27,25.27,,,0 NDC,68180015001,Famotidine: 50 Ml In 1 Bottle (68180-150-01),1.49,1.49,,,0 NDC,68180015106,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-151-06)",59.74,59.74,,,0 NDC,68180015206,"Mirabegron: 30 Tablet, Film Coated, Extended Release In 1 Bottle (68180-152-06)",59.74,59.74,,,0 NDC,68180016611,NDC Description Not Available,112.92,112.92,,,0 NDC,68180018008,Cefadroxil: 50 Capsule In 1 Bottle (68180-180-08),13.39,13.39,,,0 NDC,68180028001,Ethambutol Hydrochloride: 100 Tablet In 1 Bottle (68180-280-01),2.15,2.15,,,0 NDC,68180029506,"Duloxetine: 30 Capsule, Delayed Release In 1 Bottle (68180-295-06)",28.27,28.27,,,0 NDC,68180029509,"Duloxetine: 90 Capsule, Delayed Release In 1 Bottle (68180-295-09)",27.81,27.81,,,0 NDC,68180030320,Cefuroxime Axetil: 20 Tablet In 1 Bottle (68180-303-20),28.84,28.84,,,0 NDC,68180030360,Cefuroxime Axetil: 60 Tablet In 1 Bottle (68180-303-60),28.84,28.84,,,0 NDC,68180031906,"Bupropion Hydrochloride Xl: 30 Tablet, Extended Release In 1 Bottle (68180-319-06)",17.18,17.18,,,0 NDC,68180031909,"Bupropion Hydrochloride Xl: 90 Tablet, Extended Release In 1 Bottle (68180-319-09)",17.2,17.2,,,0 NDC,68180034606,"Darunavir: 30 Tablet, Film Coated In 1 Bottle (68180-346-06)",271.92,271.92,,,0 NDC,68180065701,Doxycycline: 60 Ml In 1 Bottle (68180-657-01),24.47,24.47,,,0 NDC,68180065906,Rifampin: 30 Capsule In 1 Bottle (68180-659-06),16.54,16.54,,,0 NDC,68180065907,Rifampin: 60 Capsule In 1 Bottle (68180-659-07),16.29,16.29,,,0 NDC,68180067006,Lurasidone Hydrochloride: 30 Tablet In 1 Bottle (68180-670-06),184.17,184.17,,,0 NDC,68180067801,"Oseltamivir Phosphate: 1 Bottle, Glass In 1 Carton (68180-678-01) / 60 Ml In 1 Bottle, Glass",76.86,76.86,,,0 NDC,68180071160,Cefdinir: 60 Capsule In 1 Bottle (68180-711-60),18.51,18.51,,,0 NDC,68180086111,"Azithromycin: 6 Tablet, Film Coated In 1 Blister Pack (68180-861-11)",27.63,27.63,,,0 NDC,68180086211,"Azithromycin: 1 Blister Pack In 1 Carton (68180-862-11) / 3 Tablet, Film Coated In 1 Blister Pack",46.5,46.5,,,0 NDC,68180096204,NDC Description Not Available,509.61,509.61,,,0 NDC,68180096256,Tobramycin: 56 Pouch In 1 Carton (68180-962-56) / 4 Ampule In 1 Pouch / 5 Ml In 1 Ampule,487.01,487.01,,,0 NDC,68180096301,"Albuterol Sulfate: 1 Canister In 1 Carton (68180-963-01) / 200 Aerosol, Metered In 1 Canister",1.98,1.98,,,0 NDC,68180096411,NDC Description Not Available,66.51,66.51,,,0 NDC,68180096412,Tiotropium Bromide: 3 Blister Pack In 1 Carton (68180-964-12) / 10 Capsule In 1 Blister Pack,66.47,66.47,,,0 NDC,68180098405,NDC Description Not Available,39.96,39.96,,,0 NDC,68180098430,Budesonide Inhalation: 6 Pouch In 1 Carton (68180-984-30) / 5 Ampule In 1 Pouch / 2 Ml In 1 Ampule,40.17,40.17,,,0 NDC,68220011310,"Levsin Sl: 100 Tablet, Orally Disintegrating In 1 Bottle (68220-113-10)",12.36,12.36,,,0 NDC,68308015215,"Nystatin: 15 G In 1 Bottle, Plastic (68308-152-15)",79.17,79.17,,,0 NDC,68308015230,"Nystatin: 30 G In 1 Bottle, Plastic (68308-152-30)",146.44,146.44,,,0 NDC,68382001801,Venlafaxine: 100 Tablet In 1 Bottle (68382-018-01),2.95,2.95,,,0 NDC,68382002001,Venlafaxine: 100 Tablet In 1 Bottle (68382-020-01),7.4,7.4,,,0 NDC,68382002201,Atenolol: 100 Tablet In 1 Bottle (68382-022-01),2.53,2.53,,,0 NDC,68382005001,Meloxicam: 100 Tablet In 1 Bottle (68382-050-01),11.37,11.37,,,0 NDC,68382009201,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-092-01)",7.13,7.13,,,0 NDC,68382009301,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-093-01)",7.21,7.21,,,0 NDC,68382009401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-094-01)",7.4,7.4,,,0 NDC,68382009501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68382-095-01)",7.72,7.72,,,0 NDC,68382020906,"Anastrozole: 30 Tablet, Coated In 1 Bottle (68382-209-06)",48.62,48.62,,,0 NDC,68382022714,Amiodarone Hydrochloride: 60 Tablet In 1 Bottle (68382-227-14),12.02,12.02,,,0 NDC,68382044405,"Famotidine: 50 Ml In 1 Bottle, Plastic (68382-444-05)",27.3,27.3,,,0 NDC,68382052001,"Sirolimus: 100 Tablet, Film Coated In 1 Bottle (68382-520-01)",1.79,1.79,,,0 NDC,68382059101,Perphenazine: 100 Tablet In 1 Bottle (68382-591-01),12.65,12.65,,,0 NDC,68382072001,"Budesonide: 100 Capsule, Coated Pellets In 1 Bottle (68382-720-01)",89.61,89.61,,,0 NDC,68382077316,Ezetimibe: 90 Tablet In 1 Bottle (68382-773-16),41.2,41.2,,,0 NDC,68382078401,Doxazosin: 100 Tablet In 1 Bottle (68382-784-01),4.28,4.28,,,0 NDC,68382086002,NDC Description Not Available,169.47,169.47,,,0 NDC,68382091601,Methylprednisolone: 100 Tablet In 1 Bottle (68382-916-01),4.71,4.71,,,0 NDC,68382091818,Methylprednisolone: 50 Tablet In 1 Bottle (68382-918-18),3.32,3.32,,,0 NDC,68382099701,NDC Description Not Available,102.53,102.53,,,0 NDC,68382099710,Arsenic Trioxide: 10 Vial In 1 Carton (68382-997-10) / 10 Ml In 1 Vial (68382-997-01),103.21,103.21,,,0 NDC,68462012090,Nicardipine Hydrochloride: 90 Capsule In 1 Bottle (68462-120-90),56.24,56.24,,,0 NDC,68462012801,Zonisamide: 100 Capsule In 1 Bottle (68462-128-01),2.0,2.0,,,0 NDC,68462013001,Zonisamide: 100 Capsule In 1 Bottle (68462-130-01),5.95,5.95,,,0 NDC,68462013801,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (68462-138-01)",8.1,8.1,,,0 NDC,68462013901,"Oxcarbazepine: 100 Tablet, Film Coated In 1 Bottle (68462-139-01)",16.22,16.22,,,0 NDC,68462015713,"Ondansetron: 30 Tablet, Orally Disintegrating In 1 Box, Unit-Dose (68462-157-13)",20.86,20.86,,,0 NDC,68462015740,NDC Description Not Available,20.85,20.85,,,0 NDC,68462016501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (68462-165-01)",6.41,6.41,,,0 NDC,68462018022,Mupirocin: 22 G In 1 Tube (68462-180-22),154.13,154.13,,,0 NDC,68462018117,Clotrimazole: 15 G In 1 Tube (68462-181-17),71.89,71.89,,,0 NDC,68462025601,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-256-01)",8.91,8.91,,,0 NDC,68462025801,"Ropinirole: 100 Tablet, Film Coated In 1 Bottle (68462-258-01)",9.24,9.24,,,0 NDC,68462030450,Norethindrone Acetate: 50 Tablet In 1 Bottle (68462-304-50),9.73,9.73,,,0 NDC,68462031417,Nystatin And Triamcinolone Acetonide: 1 Tube In 1 Carton (68462-314-17) / 15 G In 1 Tube,202.91,202.91,,,0 NDC,68462033190,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-331-90),12.1,12.1,,,0 NDC,68462033290,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-332-90),12.02,12.02,,,0 NDC,68462033390,Pramipexole Dihydrochloride: 90 Tablet In 1 Bottle (68462-333-90),12.12,12.12,,,0 NDC,68462033701,"Fluphenazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle, Plastic (68462-337-01)",33.22,33.22,,,0 NDC,68462040444,NDC Description Not Available,25.75,25.75,,,0 NDC,68462041820,Lidocaine: 1 Tube In 1 Carton (68462-418-20) / 35.44 G In 1 Tube,1141.24,1141.24,,,0 NDC,68462042169,Atovaquone: 42 Pouch In 1 Carton (68462-421-69) / 5 Ml In 1 Pouch,148.84,148.84,,,0 NDC,68462046940,NDC Description Not Available,4.98,4.98,,,0 NDC,68462047040,NDC Description Not Available,2.13,2.13,,,0 NDC,68462047054,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (68462-470-54) / 10 Ml In 1 Vial, Multi-Dose (68462-470-40)",2.14,2.14,,,0 NDC,68462053435,Tacrolimus: 1 Tube In 1 Carton (68462-534-35) / 30 G In 1 Tube,939.23,939.23,,,0 NDC,68462058340,Aprepitant: 1 Blister Pack In 1 Carton (68462-583-40) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 NDC,68462058385,Aprepitant: 5 Blister Pack In 1 Carton (68462-583-85) / 1 Capsule In 1 Blister Pack,49.57,49.57,,,0 NDC,68462058458,Aprepitant: 2 Capsule In 1 Dose Pack (68462-584-58),45.92,45.92,,,0 NDC,68462058540,NDC Description Not Available,45.91,45.91,,,0 NDC,68462063925,NDC Description Not Available,1.03,1.03,,,0 NDC,68462071182,NDC Description Not Available,87.34,87.34,,,0 NDC,68462075601,NDC Description Not Available,3.5,3.5,,,0 NDC,68462089356,"Varenicline Tartrate: 56 Tablet, Film Coated In 1 Bottle (68462-893-56)",33.4,33.4,,,0 NDC,68462089701,NDC Description Not Available,7.88,7.88,,,0 NDC,68462089710,Octreotide Acetate: 10 Vial In 1 Carton (68462-897-10) / 1 Ml In 1 Vial (68462-897-01),7.885,7.885,,,0 NDC,68462090401,Posaconazole: 1 Vial In 1 Carton (68462-904-01) / 16.7 Ml In 1 Vial,1017.98,1017.98,,,0 NDC,68462091101,Posaconazole: 1 Vial In 1 Carton (68462-911-01) / 16.7 Ml In 1 Vial,983.53,983.53,,,0 NDC,68516521400,Albutein: 2 Bag In 1 Carton (68516-5214-0) / 500 Ml In 1 Bag (68516-5214-8),208.29,208.29,,,0 NDC,68516521402,Albutein: 1 Vial In 1 Carton (68516-5214-2) / 500 Ml In 1 Vial (68516-5214-4),402.22,402.22,,,0 NDC,68516521405,Albutein: 1 Vial In 1 Carton (68516-5214-5) / 50 Ml In 1 Vial (68516-5214-6),90.74,90.74,,,0 NDC,68516521800,NDC Description Not Available,179.055,179.055,,,0 NDC,68516521804,Albutein: 4 Bag In 1 Carton (68516-5218-4) / 250 Ml In 1 Bag (68516-5218-0),200.98,200.98,,,0 NDC,68516521900,NDC Description Not Available,315.81,315.81,,,0 NDC,68547011110,"Xacduro: 1 Kit In 1 Carton (68547-111-10) * 5 Ml In 1 Vial, Single-Dose (68547-211-20) * 2.5 Ml In 1 Vial, Single-Dose (68547-311-30)",684.95,684.95,,,0 NDC,68547050102,"Giapreza: 1 Vial, Single-Dose In 1 Carton (68547-501-02) / 1 Ml In 1 Vial, Single-Dose",4021.91,4021.91,,,0 NDC,68682031001,Metyrosine: 100 Capsule In 1 Bottle (68682-310-01),1433.04,1433.04,,,0 NDC,68682046410,"Brinzolamide: 1 Bottle, Plastic In 1 Carton (68682-464-10) / 10 Ml In 1 Bottle, Plastic",1334.88,1334.88,,,0 NDC,68682092064,Tetracaine Hydrochloride: 1 Bottle In 1 Carton (68682-920-64) / 15 Ml In 1 Bottle,389.34,389.34,,,0 NDC,68727071201,"Zepzelca: 8 Ml In 1 Vial, Single-Dose (68727-712-01)",450.48,450.48,,,0 NDC,68727074502,Vyxeos: 40 Ml In 1 Carton (68727-745-02),587.38,587.38,,,0 NDC,68727080001,Defitelio: 2.5 Ml In 1 Vial (68727-800-01),2813.14,2813.14,,,0 NDC,68727080002,Defitelio: 25 Ml In 1 Carton (68727-800-02),2813.15,2813.15,,,0 NDC,68727090001,NDC Description Not Available,115.94,115.94,,,0 NDC,68727090003,"Rylaze: 3 Vial, Single-Dose In 1 Carton (68727-900-03) / .5 Ml In 1 Vial, Single-Dose (68727-900-01)",126.81,126.81,,,0 NDC,68803061210,"Visionblue: 10 Pouch In 1 Carton (68803-612-10) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",316.06,316.06,,,0 NDC,68803072205,"Tissueblue: 10 Pouch In 1 Carton (68803-722-05) / 1 Syringe, Glass In 1 Pouch / .5 Ml In 1 Syringe, Glass",655.08,655.08,,,0 NDC,68817013450,"Abraxane: 1 Vial, Single-Use In 1 Carton (68817-134-50) / 20 Ml In 1 Vial, Single-Use",39.15,39.15,,,0 NDC,68968341001,NDC Description Not Available,88.24,88.24,,,0 NDC,68982018201,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 5 Ml In 1 Vial (68982-182-01),3.75,3.75,,,0 NDC,68982018202,Wilate - Von Willebrand Factor/Coagulation Factor Viii Complex (Human): 10 Ml In 1 Vial (68982-182-02),3.75,3.75,,,0 NDC,68982026101,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-01) / 20 Ml In 1 Vial, Glass (68982-261-81)",7.61,7.61,,,0 NDC,68982026102,"Balfaxar: 1 Vial, Glass In 1 Carton (68982-261-02) / 40 Ml In 1 Vial, Glass (68982-261-82)",7.62,7.62,,,0 NDC,68982026181,NDC Description Not Available,7.79,7.79,,,0 NDC,68982026182,NDC Description Not Available,7.79,7.79,,,0 NDC,68982062302,"Albumin (Human): 250 Ml In 1 Bottle, Glass (68982-623-02)",0.935,0.935,,,0 NDC,68982062303,"Albumin (Human): 500 Ml In 1 Bottle, Glass (68982-623-03)",486.045,486.045,,,0 NDC,68982064301,"Albumin (Human): 50 Ml In 1 Bottle, Glass (68982-643-01)",248.33,248.33,,,0 NDC,68982085002,"Octagam Immune Globulin (Human): 50 Ml In 1 Bottle, Glass (68982-850-02)",230.84,230.84,,,0 NDC,68982085003,"Octagam Immune Globulin (Human): 100 Ml In 1 Bottle, Glass (68982-850-03)",230.87,230.87,,,0 NDC,68982085004,"Octagam Immune Globulin (Human): 200 Ml In 1 Bottle, Glass (68982-850-04)",230.87,230.87,,,0 NDC,68982085005,"Octagam Immune Globulin (Human): 300 Ml In 1 Bottle, Glass (68982-850-05)",230.86,230.86,,,0 NDC,68992301001,"Envarsus Xr: 1 Pouch In 1 Carton (68992-3010-1) / 1 Bottle In 1 Pouch / 100 Tablet, Extended Release In 1 Bottle",5.92,5.92,,,0 NDC,69097012203,Topiramate: 60 Tablet In 1 Bottle (69097-122-03),9.07,9.07,,,0 NDC,69097012403,Topiramate: 60 Tablet In 1 Bottle (69097-124-03),24.76,24.76,,,0 NDC,69097014260,Albuterol Sulfate: 1 Canister In 1 Carton (69097-142-60) / 200 Inhalant In 1 Canister,1.33,1.33,,,0 NDC,69097031602,Exemestane: 30 Tablet In 1 Bottle (69097-316-02),46.99,46.99,,,0 NDC,69097031886,NDC Description Not Available,34.19,34.19,,,0 NDC,69097032132,NDC Description Not Available,41.61,41.61,,,0 NDC,69097032186,NDC Description Not Available,41.6,41.6,,,0 NDC,69097032187,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (69097-321-87) / 5 Ampule In 1 Pouch (69097-321-86) / 2 Ml In 1 Ampule,41.6,41.6,,,0 NDC,69097041002,Cinacalcet: 30 Tablet In 1 Bottle (69097-410-02),110.51,110.51,,,0 NDC,69097045805,Fenofibrate: 90 Tablet In 1 Bottle (69097-458-05),20.6,20.6,,,0 NDC,69097051403,"Abacavir: 60 Tablet, Film Coated In 1 Bottle (69097-514-03)",34.82,34.82,,,0 NDC,69097051707,Cyclophosphamide: 100 Capsule In 1 Bottle (69097-517-07),31.98,31.98,,,0 NDC,69097052444,Diclofenac Sodium: 1 Tube In 1 Carton (69097-524-44) / 100 G In 1 Tube,189.52,189.52,,,0 NDC,69097052603,"Tadalafil: 60 Tablet, Film Coated In 1 Bottle (69097-526-03)",274.52,274.52,,,0 NDC,69097057967,"Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (69097-579-67) / 1 Granule, For Solution In 1 Dose Pack",361.58,361.58,,,0 NDC,69097064202,Emtricitabine: 30 Capsule In 1 Bottle (69097-642-02),69.78,69.78,,,0 NDC,69097070831,NDC Description Not Available,18.48,18.48,,,0 NDC,69097070896,Phytonadione: 10 Vial In 1 Carton (69097-708-96) / 1 Ml In 1 Vial,18.5,18.5,,,0 NDC,69097080232,"Testosterone Cypionate: 1 Vial, Glass In 1 Carton (69097-802-32) / 1 Ml In 1 Vial, Glass",0.42,0.42,,,0 NDC,69097086107,Zonisamide: 100 Capsule In 1 Bottle (69097-861-07),7.72,7.72,,,0 NDC,69097087067,Lanreotide Acetate: 1 Syringe In 1 Carton (69097-870-67) / .5 Ml In 1 Syringe,216.345,216.345,,,0 NDC,69097090667,Lanreotide Acetate: 1 Pouch In 1 Carton (69097-906-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,183.19,183.19,,,0 NDC,69097099902,Phytonadione: 30 Tablet In 1 Bottle (69097-999-02),223.14,223.14,,,0 NDC,69238105401,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1054-1)",13.15,13.15,,,0 NDC,69238105601,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1056-1)",5.56,5.56,,,0 NDC,69238106001,"Chlorpromazine Hydrochloride: 100 Tablet, Film Coated In 1 Bottle (69238-1060-1)",53.62,53.62,,,0 NDC,69238110903,Clomipramine Hcl: 30 Capsule In 1 Bottle (69238-1109-3),39.5,39.5,,,0 NDC,69238110909,Clomipramine Hcl: 90 Capsule In 1 Bottle (69238-1109-9),40.68,40.68,,,0 NDC,69238112409,Nadolol: 90 Tablet In 1 Bottle (69238-1124-9),19.57,19.57,,,0 NDC,69238112601,Ethacrynic Acid: 100 Tablet In 1 Bottle (69238-1126-1),87.21,87.21,,,0 NDC,69238115403,Ezetimibe: 30 Tablet In 1 Bottle (69238-1154-3),41.2,41.2,,,0 NDC,69238120302,Buprenorphine: 4 Pouch In 1 Carton (69238-1203-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,450.11,450.11,,,0 NDC,69238120502,Buprenorphine: 4 Pouch In 1 Carton (69238-1205-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,797.22,797.22,,,0 NDC,69238130501,Clobazam: 100 Tablet In 1 Bottle (69238-1305-1),65.99,65.99,,,0 NDC,69238149001,Bumetanide: 100 Tablet In 1 Bottle (69238-1490-1),9.78,9.78,,,0 NDC,69238150301,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (69238-1503-1),182.65,182.65,,,0 NDC,69238150502,Buprenorphine: 4 Pouch In 1 Carton (69238-1505-2) / 1 Patch In 1 Pouch / 168 H In 1 Patch,420.24,420.24,,,0 NDC,69238153205,Clobetasol Propionate: 1 Tube In 1 Carton (69238-1532-5) / 15 G In 1 Tube,462.37,462.37,,,0 NDC,69238154001,Ursodiol: 100 Capsule In 1 Bottle (69238-1540-1),27.05,27.05,,,0 NDC,69238159403,"Sirolimus: 1 Carton In 1 Kit (69238-1594-3) / 1 Bottle, Glass In 1 Carton (69238-1594-6) / 60 Ml In 1 Bottle, Glass",114.33,114.33,,,0 NDC,69238159406,NDC Description Not Available,97.46,97.46,,,0 NDC,69238159502,"Mycophenolate Mofetil: 1 Bottle, Plastic In 1 Carton (69238-1595-2) / 225 Ml In 1 Bottle, Plastic",40.83,40.83,,,0 NDC,69238160502,Methylergonovine Maleate: 12 Tablet In 1 Bottle (69238-1605-2),242.9,242.9,,,0 NDC,69238160508,Methylergonovine Maleate: 28 Tablet In 1 Bottle (69238-1605-8),242.79,242.79,,,0 NDC,69238161503,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (69238-1615-3) / 5 Ml In 1 Bottle, Dropper",567.34,567.34,,,0 NDC,69238161701,NDC Description Not Available,38.62,38.62,,,0 NDC,69238173102,Pyridostigmine Bromide: 473 Ml In 1 Bottle (69238-1731-2),49.56,49.56,,,0 NDC,69238174508,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1745-8) / 15 Ml In 1 Bottle,355.35,355.35,,,0 NDC,69238174608,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (69238-1746-8) / 15 Ml In 1 Bottle,17.69,17.69,,,0 NDC,69238202708,Spironolactone: 118 Ml In 1 Bottle (69238-2027-8),62.69,62.69,,,0 NDC,69292056201,Metolazone: 100 Tablet In 1 Bottle (69292-562-01),9.27,9.27,,,0 NDC,69292056401,Metolazone: 100 Tablet In 1 Bottle (69292-564-01),11.01,11.01,,,0 NDC,69292060560,Digoxin: 1 Bottle In 1 Carton (69292-605-60) / 60 Ml In 1 Bottle,23.15,23.15,,,0 NDC,69315030615,"Nystatin: 15 G In 1 Bottle, Plastic (69315-306-15)",83.7,83.7,,,0 NDC,69315030630,"Nystatin: 30 G In 1 Bottle, Plastic (69315-306-30)",167.89,167.89,,,0 NDC,69315030802,"Ciprofloxacin: 1 Bottle, Plastic In 1 Carton (69315-308-02) / 2.5 Ml In 1 Bottle, Plastic",45.32,45.32,,,0 NDC,69315031228,Procto-Med Hc: 1 Tube In 1 Carton (69315-312-28) / 28 G In 1 Tube,302.82,302.82,,,0 NDC,69315050460,Nystatin: 1 Bottle In 1 Package (69315-504-60) / 60 Ml In 1 Bottle,13.39,13.39,,,0 NDC,69315090401,Lorazepam: 100 Tablet In 1 Bottle (69315-904-01),2.18,2.18,,,0 NDC,69315090501,Lorazepam: 100 Tablet In 1 Bottle (69315-905-01),2.85,2.85,,,0 NDC,69315090505,Lorazepam: 500 Tablet In 1 Bottle (69315-905-05),2.69,2.69,,,0 NDC,69315091001,Diphenoxylate Hydrochloride And Atropine Sulfate: 100 Tablet In 1 Bottle (69315-910-01),2.02,2.02,,,0 NDC,69315091010,Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle (69315-910-10),2.36,2.36,,,0 NDC,69339013603,NDC Description Not Available,42.89,42.89,,,0 NDC,69339013815,"Dash Chlorhexidine Gluconate 0.12% Oral Rinse: 15 Ml In 1 Cup, Unit-Dose (69339-138-15)",7.9,7.9,,,0 NDC,69339014801,NDC Description Not Available,44.12,44.12,,,0 NDC,69339015201,NDC Description Not Available,12.774999999999999,12.774999999999999,,,0 NDC,69339015301,NDC Description Not Available,2.06,2.06,,,0 NDC,69339015705,NDC Description Not Available,24.29,24.29,,,0 NDC,69339016298,NDC Description Not Available,56.79,56.79,,,0 NDC,69339016398,NDC Description Not Available,56.76,56.76,,,0 NDC,69339017402,NDC Description Not Available,13.73,13.73,,,0 NDC,69344010233,Indocin: 30 Suppository In 1 Box (69344-102-33),912.43,912.43,,,0 NDC,69367019050,Zoledronic Acid: 1 Vial In 1 Carton (69367-190-50) / 5 Ml In 1 Vial,374.59,374.59,,,0 NDC,69367019101,Phenazopyridine Hydrochloride: 100 TABLET in 1 BOTTLE (69367-191-01),9.78,9.78,,,0 NDC,69367020301,"Butalbital, Acetaminophen, Caffeine: 100 Tablet In 1 Bottle (69367-203-01)",6.13,6.13,,,0 NDC,69367024312,Hydrocortisone Acetate: 12 Suppository In 1 Carton (69367-243-12),51.5,51.5,,,0 NDC,69367027216,Codeine-Guaifenesin: 473 Ml In 1 Bottle (69367-272-16),2.31,2.31,,,0 NDC,69367034960,"Lacosamide: 60 Tablet, Film Coated In 1 Bottle, Plastic (69367-349-60)",64.03,64.03,,,0 NDC,69374030920,NDC Description Not Available,1.44,1.44,,,0 NDC,69374033005,NDC Description Not Available,1.73,1.73,,,0 NDC,69374051101,NDC Description Not Available,19.57,19.57,,,0 NDC,69374052825,NDC Description Not Available,28.41,28.41,,,0 NDC,69374052950,NDC Description Not Available,47.44,47.44,,,0 NDC,69374054350,NDC Description Not Available,359.32,359.32,,,0 NDC,69374055950,NDC Description Not Available,59.7,59.7,,,0 NDC,69374091910,NDC Description Not Available,51.63,51.63,,,0 NDC,69374092510,NDC Description Not Available,4.46,4.46,,,0 NDC,69374095710,NDC Description Not Available,0.72,0.72,,,0 NDC,69374097950,NDC Description Not Available,41.2,41.2,,,0 NDC,69374098255,NDC Description Not Available,21.63,21.63,,,0 NDC,69374098410,NDC Description Not Available,376.78,376.78,,,0 NDC,69374099715,NDC Description Not Available,64.89,64.89,,,0 NDC,69396002301,Dibucaine: 1 Tube In 1 Box (69396-023-01) / 28.4 G In 1 Tube,3.09,3.09,,,0 NDC,69452013117,Dofetilide: 60 Capsule In 1 Bottle (69452-131-17),35.12,35.12,,,0 NDC,69452013217,Dofetilide: 60 Capsule In 1 Bottle (69452-132-17),35.02,35.02,,,0 NDC,69452015020,"Valproic Acid: 100 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-150-20)",3.2,3.2,,,0 NDC,69452017272,"Azithromycin: 3 Blister Pack In 1 Carton (69452-172-72) / 3 Tablet, Film Coated In 1 Blister Pack",49.49,49.49,,,0 NDC,69452017313,"Azithromycin: 30 Tablet, Film Coated In 1 Bottle (69452-173-13)",67.9,67.9,,,0 NDC,69452020713,"Calcitriol: 30 Capsule, Liquid Filled In 1 Bottle, Plastic (69452-207-13)",4.38,4.38,,,0 NDC,69452034213,"Modafinil: 30 Tablet In 1 Bottle, Plastic (69452-342-13)",79.18,79.18,,,0 NDC,69452034460,NDC Description Not Available,85.49,85.49,,,0 NDC,69452034560,NDC Description Not Available,89.74,89.74,,,0 NDC,69452035060,NDC Description Not Available,212.77,212.77,,,0 NDC,69488000140,"Netspot: 1 Kit In 1 Kit (69488-001-40) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",140.04,140.04,,,0 NDC,69488000301,Lutathera: 1 Vial In 1 Package (69488-003-01) / 20.5 Ml In 1 Vial,593.49,593.49,,,0 NDC,69488001061,"Pluvicto: 1 Vial, Glass In 1 Package (69488-010-61) / 7.5 Ml In 1 Vial, Glass",449.55,449.55,,,0 NDC,69536016288,"Plan B One-Step: 1 Blister Pack In 1 Box, Unit-Dose (69536-162-88) / 1 Tablet In 1 Blister Pack",38.66,38.66,,,0 NDC,69543013120,Alendronate: 2 BLISTER PACK in 1 CARTON (69543-131-20) / 10 TABLET in 1 BLISTER PACK,74.16,74.16,,,0 NDC,69543037101,NDC Description Not Available,31.42,31.42,,,0 NDC,69543037110,Palonosetron Hydrochloride: 10 Carton In 1 Box (69543-371-10) / 1 Vial In 1 Carton (69543-371-01) / 5 Ml In 1 Vial,30.76,30.76,,,0 NDC,69543045101,NDC Description Not Available,36.76,36.76,,,0 NDC,69584084210,Sotalol Hydrochloride: 100 Tablet In 1 Bottle (69584-842-10),11.33,11.33,,,0 NDC,69616027230,Fycompa: 30 Tablet In 1 Bottle (69616-272-30),89.55,89.55,,,0 NDC,69616027830,Fycompa: 30 Tablet In 1 Bottle (69616-278-30),169.18,169.18,,,0 NDC,69784023010,"Sodium Acetate: 50 Ml In 1 Vial, Pharmacy Bulk Package (69784-230-10)",24.75,24.75,,,0 NDC,69784023110,"Sodium Acetate: 100 Ml In 1 Vial, Pharmacy Bulk Package (69784-231-10)",21.63,21.63,,,0 NDC,69784024001,Carboprost Tromethamine: 1 Ml In 1 Ampule (69784-240-01),1380.2,1380.2,,,0 NDC,69784081001,"Sodium Phenylacetate And Sodium Benzoate: 1 Vial, Single-Dose In 1 Carton (69784-810-01) / 50 Ml In 1 Vial, Single-Dose",9064.0,9064.0,,,0 NDC,69918030130,Tranexamic Acid: 30 Tablet In 1 Bottle (69918-301-30),19.3,19.3,,,0 NDC,69918073501,NDC Description Not Available,1038.24,1038.24,,,0 NDC,69918073510,"Isoproterenol Hydrochloride: 10 Vial, Single-Dose In 1 Carton (69918-735-10) / 5 Ml In 1 Vial, Single-Dose",1038.24,1038.24,,,0 NDC,69918089901,Desmopressin Acetate: 1 Ml In 1 Ampule (69918-899-01),63.06,63.06,,,0 NDC,69918089902,NDC Description Not Available,34.35,34.35,,,0 NDC,69918089910,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-10) / 1 Ml In 1 Ampule,48.57,48.57,,,0 NDC,69918089911,Desmopressin Acetate: 10 Ampule In 1 Carton (69918-899-11) / 1 Ml In 1 Ampule,32.64,32.64,,,0 NDC,69918090110,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-10) / 10 Ml In 1 Vial, Multi-Dose",52.84,52.84,,,0 NDC,69918090111,"Desmopressin Acetate: 1 Vial, Multi-Dose In 1 Carton (69918-901-11) / 10 Ml In 1 Vial, Multi-Dose",190.655,190.655,,,0 NDC,69932000101,NDC Description Not Available,1348.36,1348.36,,,0 NDC,69932000201,NDC Description Not Available,1594.77,1594.77,,,0 NDC,69945006401,"Detectnet: 1 Vial, Single-Use In 1 Can (69945-064-01) / 4 Ml In 1 Vial, Single-Use",2455.68,2455.68,,,0 NDC,69945006820,"Ultratag Rbc: 5 Cello Pack In 1 Box (69945-068-20) / 1 Kit In 1 Cello Pack (69945-068-10) * .6 Ml In 1 Syringe, Glass * 1 Ml In 1 Syringe, Glass * 9.5 Mg In 1 Vial, Glass",1963.18,1963.18,,,0 NDC,69945009620,"Technescan Mag3: 5 Vial In 1 Cello Pack (69945-096-20) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",960.0,960.0,,,0 NDC,69968006009,Polysporin First Aid Antibiotic: 144 Packet In 1 Carton (69968-0060-9) / .9 G In 1 Packet,1.03,1.03,,,0 NDC,70004008544,NDC Description Not Available,34.31,34.31,,,0 NDC,70004025340,NDC Description Not Available,2.0549999999999997,2.0549999999999997,,,0 NDC,70004026032,NDC Description Not Available,147.86,147.86,,,0 NDC,70004030022,NDC Description Not Available,47.53,47.53,,,0 NDC,70004054135,NDC Description Not Available,112.51,112.51,,,0 NDC,70004077140,NDC Description Not Available,308.59,308.59,,,0 NDC,70004080740,NDC Description Not Available,275.87,275.87,,,0 NDC,70004081012,NDC Description Not Available,4.5,4.5,,,0 NDC,70004085009,NDC Description Not Available,28.84,28.84,,,0 NDC,70004092059,NDC Description Not Available,57.68,57.68,,,0 NDC,70004092359,NDC Description Not Available,48.07,48.07,,,0 NDC,70004092444,NDC Description Not Available,57.16,57.16,,,0 NDC,70004092459,NDC Description Not Available,28.5,28.5,,,0 NDC,70004092644,NDC Description Not Available,48.67,48.67,,,0 NDC,70010002803,Ramelteon: 30 Tablet In 1 Bottle (70010-028-03),44.29,44.29,,,0 NDC,70010011301,"Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate And Amphetamine Sulfate: 100 Tablet In 1 Bottle (70010-113-01)",6.18,6.18,,,0 NDC,70010014901,"Butalbital, Acetaminophen And Caffeine: 100 Tablet In 1 Bottle (70010-149-01)",6.17,6.17,,,0 NDC,70010049101,"Metformin: 100 Tablet, Extended Release In 1 Bottle (70010-491-01)",3.09,3.09,,,0 NDC,70020191001,"Ixempra: 1 Kit In 1 Package, Combination (70020-1910-1) * 15 Mg In 1 Vial, Single-Use * 8 Ml In 1 Vial, Single-Use",319.11,319.11,,,0 NDC,70069001701,"Olopatadine: 1 Bottle, Plastic In 1 Carton (70069-017-01) / 5 Ml In 1 Bottle, Plastic",33.99,33.99,,,0 NDC,70069002101,NDC Description Not Available,2.255,2.255,,,0 NDC,70069002125,Dexamethasone Sodium Phosphate: 25 Vial In 1 Carton (70069-021-25) / 1 Ml In 1 Vial (70069-021-01),0.21,0.21,,,0 NDC,70069005101,Dorzolamide Hydrochloride And Timolol Maleate: 1 Bottle In 1 Carton (70069-051-01) / 10 Ml In 1 Bottle,90.47,90.47,,,0 NDC,70069006401,Ropivacaine Hydrochloride: 1 Vial In 1 Carton (70069-064-01) / 30 Ml In 1 Vial,0.25,0.25,,,0 NDC,70069006410,Ropivacaine Hydrochloride: 10 Vial In 1 Carton (70069-064-10) / 30 Ml In 1 Vial,0.26,0.26,,,0 NDC,70069006425,Ropivacaine Hydrochloride: 25 Vial In 1 Carton (70069-064-25) / 30 Ml In 1 Vial,0.25,0.25,,,0 NDC,70069007101,NDC Description Not Available,39.83,39.83,,,0 NDC,70069010101,NDC Description Not Available,26.75,26.75,,,0 NDC,70069010125,Methocarbamol: 25 Vial In 1 Carton (70069-101-25) / 10 Ml In 1 Vial,26.78,26.78,,,0 NDC,70069012101,Tropicamide: 1 Bottle In 1 Carton (70069-121-01) / 15 Ml In 1 Bottle,128.45,128.45,,,0 NDC,70069013101,Tobramycin: 1 Bottle In 1 Carton (70069-131-01) / 5 Ml In 1 Bottle,7.04,7.04,,,0 NDC,70069015101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-151-01) / 20 Ml In 1 Vial,1170.08,1170.08,,,0 NDC,70069015110,Cisatracurium Besylate: 10 Vial In 1 Carton (70069-151-10) / 20 Ml In 1 Vial,1170.08,1170.08,,,0 NDC,70069016101,Cisatracurium Besylate: 1 Vial In 1 Carton (70069-161-01) / 10 Ml In 1 Vial,54.25,54.25,,,0 NDC,70069018101,Pilocarpine Hydrochloride: 1 Bottle In 1 Carton (70069-181-01) / 15 Ml In 1 Bottle,334.36,334.36,,,0 NDC,70069023101,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-231-01) / 5 Ml In 1 Bottle,37.1,37.1,,,0 NDC,70069023201,Brimonidine Tartrate: 1 Bottle In 1 Carton (70069-232-01) / 10 Ml In 1 Bottle,30.03,30.03,,,0 NDC,70069030101,NDC Description Not Available,3.68,3.68,,,0 NDC,70069031101,Polymyxin B Sulfate And Trimethoprim Sulfate: 1 Bottle In 1 Carton (70069-311-01) / 10 Ml In 1 Bottle,42.23,42.23,,,0 NDC,70069036101,NDC Description Not Available,27.14,27.14,,,0 NDC,70069036110,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-361-10) / 5 Ml In 1 Vial (70069-361-01),27.43,27.43,,,0 NDC,70069036201,NDC Description Not Available,49.03,49.03,,,0 NDC,70069036210,Sulfamethoxazole And Trimethoprim: 10 Vial In 1 Carton (70069-362-10) / 10 Ml In 1 Vial (70069-362-01),49.24,49.24,,,0 NDC,70069038401,"Haloperidol Decanoate: 1 Vial, Multi-Dose In 1 Carton (70069-384-01) / 5 Ml In 1 Vial, Multi-Dose",111.45,111.45,,,0 NDC,70069042101,Latanoprost: 1 Bottle In 1 Carton (70069-421-01) / 2.5 Ml In 1 Bottle,342.82,342.82,,,0 NDC,70069050601,NDC Description Not Available,67.1,67.1,,,0 NDC,70069060101,Proparacaine Hydrochloride: 1 Bottle In 1 Carton (70069-601-01) / 15 Ml In 1 Bottle,157.59,157.59,,,0 NDC,70069067101,NDC Description Not Available,25.17,25.17,,,0 NDC,70069070101,Timolol Maleate: 1 Bottle In 1 Carton (70069-701-01) / 5 Ml In 1 Bottle,19.42,19.42,,,0 NDC,70069072801,NDC Description Not Available,0.23,0.23,,,0 NDC,70069072820,"Calcium Gluconate: 20 Vial, Plastic In 1 Carton (70069-728-20) / 100 Ml In 1 Vial, Plastic (70069-728-01)",0.23,0.23,,,0 NDC,70069078801,NDC Description Not Available,4.0,4.0,,,0 NDC,70069078804,Acetylcysteine: 4 Vial In 1 Carton (70069-788-04) / 30 Ml In 1 Vial,4.0,4.0,,,0 NDC,70069080601,NDC Description Not Available,1.8,1.8,,,0 NDC,70069081001,Valganciclovir Hydrochloride: 100 Ml In 1 Bottle (70069-810-01),568.92,568.92,,,0 NDC,70092104646,NDC Description Not Available,0.785,0.785,,,0 NDC,70092110836,NDC Description Not Available,191.09,191.09,,,0 NDC,70092111450,NDC Description Not Available,46.02,46.02,,,0 NDC,70092111850,NDC Description Not Available,59.5,59.5,,,0 NDC,70092116037,NDC Description Not Available,173.04,173.04,,,0 NDC,70092117405,NDC Description Not Available,149.43,149.43,,,0 NDC,70092123903,NDC Description Not Available,5.66,5.66,,,0 NDC,70092128108,NDC Description Not Available,714.1,714.1,,,0 NDC,70092133807,NDC Description Not Available,53.61,53.61,,,0 NDC,70092142743,NDC Description Not Available,4.12,4.12,,,0 NDC,70092154746,NDC Description Not Available,14.1,14.1,,,0 NDC,70092162303,NDC Description Not Available,26.12,26.12,,,0 NDC,70092903417,NDC Description Not Available,34.11,34.11,,,0 NDC,70092905405,NDC Description Not Available,48.07,48.07,,,0 NDC,70092917405,NDC Description Not Available,149.49,149.49,,,0 NDC,70092933807,NDC Description Not Available,55.88,55.88,,,0 NDC,70095002602,"Desmopressin Acetate: 10 Vial, Single-Dose In 1 Carton (70095-026-02) / 1 Ml In 1 Vial, Single-Dose (70095-026-01)",56.05,56.05,,,0 NDC,70095003101,Desmopressin Acetate: 1 Vial In 1 Carton (70095-031-01) / 10 Ml In 1 Vial,53.96,53.96,,,0 NDC,70100042401,NDC Description Not Available,53.14,53.14,,,0 NDC,70100042402,"Indocyanine Green: 6 Package In 1 Carton (70100-424-02) / 1 Kit In 1 Package * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial * 10 Ml In 1 Vial, Plastic (0409-4887-17)",91.67,91.67,,,0 NDC,70114010101,Udenyca: 1 Syringe In 1 Carton (70114-101-01) / .6 Ml In 1 Syringe,1064.5549999999998,1064.5549999999998,,,0 NDC,70114013001,Udenyca: 1 Syringe In 1 Carton (70114-130-01) / .6 Ml In 1 Syringe,860.05,860.05,,,0 NDC,70114034001,"Loqtorzi: 1 Vial, Glass In 1 Carton (70114-340-01) / 6 Ml In 1 Vial, Glass",93.88,93.88,,,0 NDC,70121104901,NDC Description Not Available,9.37,9.37,,,0 NDC,70121104902,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1049-2) / 1 Ml In 1 Vial (70121-1049-1),8.79,8.79,,,0 NDC,70121116801,"Triamcinolone Acetonide: 1 Vial, Multi-Dose In 1 Carton (70121-1168-1) / 5 Ml In 1 Vial, Multi-Dose",9.38,9.38,,,0 NDC,70121123901,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (70121-1239-1) / 50 Ml In 1 Vial, Single-Dose",9.01,9.01,,,0 NDC,70121139405,Glycopyrrolate: 25 Vial In 1 Carton (70121-1394-5) / 1 Ml In 1 Vial (70121-1394-1),70.02,70.02,,,0 NDC,70121146302,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70121-1463-2) / 5 Ml In 1 Syringe, Glass (70121-1463-3)",9.41,9.41,,,0 NDC,70121148301,NDC Description Not Available,61.43,61.43,,,0 NDC,70121148307,"Arsenic Trioxide: 10 Vial, Single-Dose In 1 Carton (70121-1483-7) / 10 Ml In 1 Vial, Single-Dose (70121-1483-1)",53.03,53.03,,,0 NDC,70121155201,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1552-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 NDC,70121157301,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1573-1) / 1 Ml In 1 Vial, Single-Dose",1.02,1.02,,,0 NDC,70121157401,"Methylprednisolone Acetate: 1 Vial, Single-Dose In 1 Carton (70121-1574-1) / 1 Ml In 1 Vial, Single-Dose",0.89,0.89,,,0 NDC,70121158501,NDC Description Not Available,65.92,65.92,,,0 NDC,70121164205,Vasopressin: 25 Vial In 1 Carton (70121-1642-5) / 1 Ml In 1 Vial (70121-1642-1),454.49,454.49,,,0 NDC,70121165101,Triamcinolone Acetonide: 1 Vial In 1 Carton (70121-1651-1) / 1 Ml In 1 Vial,9.21,9.21,,,0 NDC,70121169402,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (70121-1694-2) / 1.2 Ml In 1 Vial, Single-Dose",404.49,404.49,,,0 NDC,70121171601,NDC Description Not Available,648.9,648.9,,,0 NDC,70121171901,NDC Description Not Available,13.6,13.6,,,0 NDC,70121172001,NDC Description Not Available,3.3,3.3,,,0 NDC,70255001002,"Mektovi: 1 Bottle In 1 Carton (70255-010-02) / 180 Tablet, Film Coated In 1 Bottle",325.09,325.09,,,0 NDC,70255002504,NDC Description Not Available,19.14,19.14,,,0 NDC,70257005105,NDC Description Not Available,219.99,219.99,,,0 NDC,70257005151,"Hepagam B: 1 Vial, Glass In 1 Carton (70257-051-51) / 5 Ml In 1 Vial, Glass (70257-051-05)",220.0,220.0,,,0 NDC,70257053251,"Cytogam: 1 VIAL, GLASS in 1 CARTON (70257-532-51) / 50 mL in 1 VIAL, GLASS (70257-532-50)",4342.91,4342.91,,,0 NDC,70324022701,NDC Description Not Available,105.74000000000001,105.74000000000001,,,0 NDC,70324065201,NDC Description Not Available,125.66,125.66,,,0 NDC,70377000911,"Rosuvastatin Calcium: 30 Tablet, Film Coated In 1 Bottle, Plastic (70377-009-11)",32.27,32.27,,,0 NDC,70377011711,Oxcarbazepine: 1 Bottle In 1 Carton (70377-117-11) / 250 Ml In 1 Bottle,48.8,48.8,,,0 NDC,70408014634,Promethazine Hydrochloride: 473 Ml In 1 Bottle (70408-146-34),3.83,3.83,,,0 NDC,70436002082,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-020-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",15.45,15.45,,,0 NDC,70436002182,"Vancomycin Hydrochloride: 10 Vial In 1 Carton (70436-021-82) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",6.18,6.18,,,0 NDC,70436002980,"Voriconazole: 1 Injection, Powder, Lyophilized, For Solution In 1 Box (70436-029-80)",27.5,27.5,,,0 NDC,70436008955,Ganciclovir: 25 Vial In 1 Carton (70436-089-55) / 10 Ml In 1 Vial,100.66,100.66,,,0 NDC,70436014780,Dicyclomine Hydrochloride: 2 Ml In 1 Vial (70436-147-80),167.21,167.21,,,0 NDC,70436020380,"Dobutamine: 1 Vial, Single-Dose In 1 Carton (70436-203-80) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 NDC,70436020382,"Dobutamine: 10 Vial, Single-Dose In 1 Carton (70436-203-82) / 20 Ml In 1 Vial, Single-Dose",28.07,28.07,,,0 NDC,70436023252,Amiodarone Hydrochloride: 10 Vial In 1 Carton (70436-232-52) / 3 Ml In 1 Vial,2.6,2.6,,,0 NDC,70461002403,"Fluad: 10 Syringe, Glass In 1 Carton (70461-024-03) / .5 Ml In 1 Syringe, Glass (70461-024-04)",266.255,266.255,,,0 NDC,70461002404,NDC Description Not Available,215.27,215.27,,,0 NDC,70461012303,"FLUAD QUADRIVALENT: 10 SYRINGE, GLASS in 1 CARTON (70461-123-03) / .5 mL in 1 SYRINGE, GLASS (70461-123-04)",72.1,72.1,,,0 NDC,70461032303,"Flucelvax Quadrivalent: 10 SYRINGE, GLASS in 1 CARTON (70461-323-03) / .5 mL in 1 SYRINGE, GLASS (70461-323-04)",129.78,129.78,,,0 NDC,70461032304,NDC Description Not Available,129.78,129.78,,,0 NDC,70461065403,"Flucelvax: 10 Syringe, Glass In 1 Carton (70461-654-03) / .5 Ml In 1 Syringe, Glass (70461-654-04)",140.08,140.08,,,0 NDC,70461065404,NDC Description Not Available,140.08,140.08,,,0 NDC,70512052005,"Olopatadine Hcl: 1 Bottle, Plastic In 1 Carton (70512-520-05) / 5 Ml In 1 Bottle, Plastic",26.78,26.78,,,0 NDC,70512084001,NDC Description Not Available,16.48,16.48,,,0 NDC,70512084301,NDC Description Not Available,3.55,3.55,,,0 NDC,70512086008,Cabergoline: 8 Tablet In 1 Bottle (70512-860-08),66.09,66.09,,,0 NDC,70594002301,"Colistimethate: 1 Vial, Glass In 1 Vial (70594-023-01) / 1 Injection, Powder, For Solution In 1 Vial, Glass",120.05,120.05,,,0 NDC,70594002304,"Colistimethate: 12 Vial, Glass In 1 Carton (70594-023-04) / 1 Injection, Powder, For Solution In 1 Vial, Glass",62.21,62.21,,,0 NDC,70594002309,"Colistimethate: 1 Vial In 1 Carton (70594-023-09) / 1 Injection, Powder, For Solution In 1 Vial",44.77,44.77,,,0 NDC,70594003601,"Micafungin: 1 Vial, Glass In 1 Carton (70594-036-01) / 5 Ml In 1 Vial, Glass",2.25,2.25,,,0 NDC,70594004101,NDC Description Not Available,38.97,38.97,,,0 NDC,70594004201,NDC Description Not Available,34.5,34.5,,,0 NDC,70594004203,Vancomycin: 12 Bag In 1 Carton (70594-042-03) / 200 Ml In 1 Bag (70594-042-01),34.5,34.5,,,0 NDC,70594004301,NDC Description Not Available,66.49,66.49,,,0 NDC,70594004302,Vancomycin: 6 Bag In 1 Carton (70594-043-02) / 300 Ml In 1 Bag (70594-043-01),33.3,33.3,,,0 NDC,70594004401,NDC Description Not Available,30.31,30.31,,,0 NDC,70594004402,Vancomycin: 6 Bag In 1 Carton (70594-044-02) / 400 Ml In 1 Bag (70594-044-01),34.12,34.12,,,0 NDC,70594004801,"Vancomycin Hydrochloride: 1 Vial, Glass In 1 Carton (70594-048-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",42.88,42.88,,,0 NDC,70594004902,"Polymyxin B: 10 Vial, Glass In 1 Carton (70594-049-02) / 1 Injection, Powder, For Solution In 1 Vial, Glass",48.28,48.28,,,0 NDC,70594005301,"Daptomycin: 1 Vial, Single-Use In 1 Carton (70594-053-01) / 7 Ml In 1 Vial, Single-Use",0.635,0.635,,,0 NDC,70594005601,NDC Description Not Available,25.94,25.94,,,0 NDC,70594005603,Vancomycin: 12 Bag In 1 Carton (70594-056-03) / 150 Ml In 1 Bag (70594-056-01),25.75,25.75,,,0 NDC,70594005701,NDC Description Not Available,27.31,27.31,,,0 NDC,70594005702,Vancomycin: 6 Bag In 1 Carton (70594-057-02) / 250 Ml In 1 Bag (70594-057-01),27.47,27.47,,,0 NDC,70594005801,NDC Description Not Available,27.97,27.97,,,0 NDC,70594005802,Vancomycin: 6 Bag In 1 Carton (70594-058-02) / 350 Ml In 1 Bag (70594-058-01),28.07,28.07,,,0 NDC,70594006701,"Voriconazole: 1 Vial, Single-Dose In 1 Carton (70594-067-01) / 20 Ml In 1 Vial, Single-Dose",8.65,8.65,,,0 NDC,70594011101,NDC Description Not Available,3.61,3.61,,,0 NDC,70594011102,Acetylcysteine: 4 Vial In 1 Carton (70594-111-02) / 30 Ml In 1 Vial (70594-111-01),4.33,4.33,,,0 NDC,70677100201,Clotrimazole 1% Athletes Foot: 1 Tube In 1 Carton (70677-1002-1) / 30 G In 1 Tube,17.51,17.51,,,0 NDC,70677109001,Foster And Thrive Ready To Use Mineral Oil Laxative: 1 Bottle In 1 Carton (70677-1090-1) / 133 Ml In 1 Bottle,11.48,11.48,,,0 NDC,70677110801,Foster And Thrive Hemorrhoidal: 1 Tube In 1 Carton (70677-1108-1) / 57 G In 1 Tube,3.09,3.09,,,0 NDC,70677112501,Arthritis Pain: 1 Tube In 1 Carton (70677-1125-1) / 100 G In 1 Tube,52.02,52.02,,,0 NDC,70677115301,Foster And Thrive Earwax Removal Kit Ear Wax Drops: 1 Kit In 1 Kit (70677-1153-1) * 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,14.42,14.42,,,0 NDC,70677115401,Foster And Thrive Earwax Removal Drops: 1 Bottle In 1 Box (70677-1154-1) / 15 Ml In 1 Bottle,1.03,1.03,,,0 NDC,70677121201,Double Antibiotic: 1 Tube In 1 Carton (70677-1212-1) / 28.4 G In 1 Tube,3.09,3.09,,,0 NDC,70677122201,"Foster And Thrive Miconazole: 1 Tube, With Applicator In 1 Carton (70677-1222-1) / 45 G In 1 Tube, With Applicator",9.27,9.27,,,0 NDC,70677122501,Foster And Thrive Miconazole 7: 1 Tube In 1 Carton (70677-1225-1) / 45 G In 1 Tube,9.27,9.27,,,0 NDC,70677122601,Foster And Thrive Miconazole 3: 1 Kit In 1 Carton (70677-1226-1) * 3 Blister Pack In 1 Kit (0113-6650-00) / 1 Suppository In 1 Blister Pack * 1 Tube In 1 Kit (0113-8123-00) / 9 G In 1 Tube,11.33,11.33,,,0 NDC,70700016722,NDC Description Not Available,42.87,42.87,,,0 NDC,70700018622,NDC Description Not Available,21.34,21.34,,,0 NDC,70700018623,Fluorouracil: 10 Vial In 1 Carton (70700-186-23) / 10 Ml In 1 Vial (70700-186-22),41.38,41.38,,,0 NDC,70700018723,Fluorouracil: 10 Vial In 1 Carton (70700-187-23) / 20 Ml In 1 Vial (70700-187-22),39.4,39.4,,,0 NDC,70700018822,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-188-22) / 50 Ml In 1 Vial, Pharmacy Bulk Package",20.89,20.89,,,0 NDC,70700018922,"Fluorouracil: 1 Vial, Pharmacy Bulk Package In 1 Carton (70700-189-22) / 100 Ml In 1 Vial, Pharmacy Bulk Package",22.89,22.89,,,0 NDC,70700026894,Fosfomycin Tromethamine: 1 Dose Pack In 1 Carton (70700-268-94) / 1 Powder In 1 Dose Pack,361.53,361.53,,,0 NDC,70700026899,Fosfomycin Tromethamine: 1 Powder In 1 Packet (70700-268-99),361.53,361.53,,,0 NDC,70700028922,Testosterone Cypionate: 1 Vial In 1 Carton (70700-289-22) / 1 Ml In 1 Vial,0.42,0.42,,,0 NDC,70710101401,Phytonadione: 1 Bottle In 1 Carton (70710-1014-1) / 100 Tablet In 1 Bottle,232.12,232.12,,,0 NDC,70710101403,Phytonadione: 30 Tablet In 1 Bottle (70710-1014-3),235.46,235.46,,,0 NDC,70710114003,Fluconazole: 30 Tablet In 1 Bottle (70710-1140-3),51.6,51.6,,,0 NDC,70710115903,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1159-3)",59.74,59.74,,,0 NDC,70710115909,"Mirabegron: 90 Tablet, Extended Release In 1 Bottle (70710-1159-9)",59.74,59.74,,,0 NDC,70710116003,"Mirabegron: 30 Tablet, Extended Release In 1 Bottle (70710-1160-3)",59.39,59.39,,,0 NDC,70710116009,"Mirabegron: 90 Tablet, Extended Release In 1 Bottle (70710-1160-9)",59.74,59.74,,,0 NDC,70710134401,Ramelteon: 100 Tablet In 1 Bottle (70710-1344-1),50.05,50.05,,,0 NDC,70710134403,Ramelteon: 30 Tablet In 1 Bottle (70710-1344-3),50.92,50.92,,,0 NDC,70710135901,NDC Description Not Available,1.4,1.4,,,0 NDC,70710141101,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70710-1411-1) / 3.5 Ml In 1 Vial, Single-Dose",15.34,15.34,,,0 NDC,70710153001,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1530-1) / 10 Ml In 1 Vial, Single-Dose",815.69,815.69,,,0 NDC,70710153101,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Carton (70710-1531-1) / 25 Ml In 1 Vial, Single-Dose",830.79,830.79,,,0 NDC,70710164301,NDC Description Not Available,22.66,22.66,,,0 NDC,70710171001,"Ketorolac Tromethamine: 100 Tablet, Film Coated In 1 Bottle (70710-1710-1)",6.97,6.97,,,0 NDC,70710172601,"Nelarabine: 1 Vial, Single-Dose In 1 Carton (70710-1726-1) / 50 Ml In 1 Vial, Single-Dose",339.49,339.49,,,0 NDC,70710185206,NDC Description Not Available,979.52,979.52,,,0 NDC,70710185207,Indomethacin: 5 Blister Pack In 1 Carton (70710-1852-7) / 6 Suppository In 1 Blister Pack (70710-1852-6),849.75,849.75,,,0 NDC,70710188601,NDC Description Not Available,1.42,1.42,,,0 NDC,70710195807,Indomethacin: 5 Blister Pack In 1 Carton (70710-1958-7) / 6 Suppository In 1 Blister Pack (70710-1958-6),862.26,862.26,,,0 NDC,70720072010,"Prialt: 1 Vial, Glass In 1 Carton (70720-720-10) / 1 Ml In 1 Vial, Glass",27.39,27.39,,,0 NDC,70720072310,"Prialt: 1 Vial, Glass In 1 Carton (70720-723-10) / 20 Ml In 1 Vial, Glass",7.81,7.81,,,0 NDC,70720095036,Zoladex: 1 Pouch In 1 Carton (70720-950-36) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2268.86,2268.86,,,0 NDC,70720095130,Zoladex: 1 Pouch In 1 Carton (70720-951-30) / 1 Syringe In 1 Pouch / 1 Implant In 1 Syringe,2154.77,2154.77,,,0 NDC,70727049725,Rhopressa: 1 Bottle In 1 Carton (70727-497-25) / 2.5 Ml In 1 Bottle,208.06,208.06,,,0 NDC,70727052925,"Rocklatan: 1 Bottle, Plastic In 1 Carton (70727-529-25) / 2.5 Ml In 1 Bottle, Plastic",1529.55,1529.55,,,0 NDC,70748012906,"Leflunomide: 30 Tablet, Film Coated In 1 Bottle (70748-129-06)",59.34,59.34,,,0 NDC,70748025807,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (70748-258-07)",267.34,267.34,,,0 NDC,70748032302,NDC Description Not Available,2.83,2.83,,,0 NDC,70748032311,Bumetanide: 10 Vial In 1 Carton (70748-323-11) / 10 Ml In 1 Vial,2.83,2.83,,,0 NDC,70748033202,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-02) / 5 Ml In 1 Bottle,190.5,190.5,,,0 NDC,70748033204,Prednisolone Acetate: 1 Bottle In 1 Carton (70748-332-04) / 15 Ml In 1 Bottle,570.62,570.62,,,0 NDC,70748034701,NDC Description Not Available,21.51,21.51,,,0 NDC,70748034702,Thiamine Hydrochloride: 25 Vial In 1 Carton (70748-347-02) / 2 Ml In 1 Vial,21.55,21.55,,,0 NDC,70752011303,Lidocaine: 1 Tube In 1 Carton (70752-113-03) / 35.44 G In 1 Tube,1141.24,1141.24,,,0 NDC,70752012905,"Triamcinolone Acetonide: 60 Ml In 1 Bottle, With Applicator (70752-129-05)",135.96,135.96,,,0 NDC,70752013812,"Promethazine Hydrochloride: 473 Ml In 1 Bottle, Plastic (70752-138-12)",3.56,3.56,,,0 NDC,70752017110,Propylthiouracil: 100 Tablet In 1 Bottle (70752-171-10),2.95,2.95,,,0 NDC,70756001405,NDC Description Not Available,3.88,3.88,,,0 NDC,70756040411,Nitrofurantoin (Monohydrate/Macrocrystals): 100 Capsule In 1 Bottle (70756-404-11),14.7,14.7,,,0 NDC,70756060444,NDC Description Not Available,89.88,89.88,,,0 NDC,70756060456,Tobramycin: 14 Pouch In 1 Carton (70756-604-56) / 4 Ampule In 1 Pouch (70756-604-44) / 5 Ml In 1 Ampule,464.25,464.25,,,0 NDC,70756060730,"Ofloxacin: 1 Bottle, Dropper In 1 Carton (70756-607-30) / 5 Ml In 1 Bottle, Dropper",253.38,253.38,,,0 NDC,70756060844,NDC Description Not Available,76.22,76.22,,,0 NDC,70756060860,Formoterol Fumarate: 60 Pouch In 1 Carton (70756-608-60) / 4 Vial In 1 Pouch (70756-608-44) / 2 Ml In 1 Vial,76.39,76.39,,,0 NDC,70756060915,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (70756-609-15)",391.16,391.16,,,0 NDC,70756062386,"Phenylephrine Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (70756-623-86) / 10 Ml In 1 Vial, Pharmacy Bulk Package",0.04,0.04,,,0 NDC,70756062925,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-629-25) / 2 Ml In 1 Bottle, Dropper",146.28,146.28,,,0 NDC,70756064125,Lidocaine Hydrochloride: 25 Vial In 1 Carton (70756-641-25) / 5 Ml In 1 Vial,2.09,2.09,,,0 NDC,70756064185,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-641-85) / 5 Ml In 1 Vial,2.1,2.1,,,0 NDC,70756064482,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-644-82) / 2 Ml In 1 Vial,0.3,0.3,,,0 NDC,70756064586,Lidocaine Hydrochloride: 1 Vial In 1 Carton (70756-645-86) / 10 Ml In 1 Vial,0.85,0.85,,,0 NDC,70756064935,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (70756-649-35) / 15 Ml In 1 Bottle, Dropper",405.61,405.61,,,0 NDC,70756065225,Atropine Sulfate: 1 Bottle In 1 Carton (70756-652-25) / 5 Ml In 1 Bottle,210.18,210.18,,,0 NDC,70756070360,"Ranolazine: 60 Tablet, Film Coated, Extended Release In 1 Bottle (70756-703-60)",23.32,23.32,,,0 NDC,70756072111,Acetazolamide: 100 Tablet In 1 Bottle (70756-721-11),9.51,9.51,,,0 NDC,70839036204,"Cocaine Hydrochloride: 1 Bottle, Glass In 1 Carton (70839-362-04) / 4 Ml In 1 Bottle, Glass",7.95,7.95,,,0 NDC,70842012001,NDC Description Not Available,31.96,31.96,,,0 NDC,70842012006,"Vabomere: 6 Vial, Single-Dose In 1 Carton (70842-120-06) / 2 G In 1 Vial, Single-Dose (70842-120-01)",30.52,30.52,,,0 NDC,70842014003,"Orbactiv: 3 Vial, Glass In 1 Carton (70842-140-03) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass (70842-140-01)",71.74,71.74,,,0 NDC,70842016001,NDC Description Not Available,6.25,6.25,,,0 NDC,70842016010,Minocin: 10 Vial In 1 Carton (70842-160-10) / 1 Injection In 1 Vial (70842-160-01),6.23,6.23,,,0 NDC,70842022501,Kimyrsa: 1 Vial In 1 Carton (70842-225-01) / 40 Ml In 1 Vial,109.94,109.94,,,0 NDC,70842024001,"Rezzayo: 1 Vial In 1 Carton (70842-240-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial",24.1,24.1,,,0 NDC,70860010010,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-100-10) / 5 Ml In 1 Vial, Single-Dose (70860-100-41)",21.63,21.63,,,0 NDC,70860010041,NDC Description Not Available,21.02,21.02,,,0 NDC,70860011999,Nafcillin: 1 Bottle In 1 Carton (70860-119-99) / 100 Ml In 1 Bottle,86.52,86.52,,,0 NDC,70860012541,NDC Description Not Available,14.95,14.95,,,0 NDC,70860012566,"Azithromycin: 10 Vial, Single-Dose In 1 Carton (70860-125-66) / 5 Ml In 1 Vial, Single-Dose (70860-125-41)",14.83,14.83,,,0 NDC,70860012620,"Penicillin G Potassium: 10 Vial In 1 Carton (70860-126-20) / 1 Injection, Powder, For Solution In 1 Vial (70860-126-41)",6.47,6.47,,,0 NDC,70860012641,NDC Description Not Available,5.98,5.98,,,0 NDC,70860012751,"Penicillin G Potassium: 1 Vial In 1 Carton (70860-127-51) / 1 Injection, Powder, For Solution In 1 Vial",6.98,6.98,,,0 NDC,70860021174,"Fulvestrant: 2 Syringe, Glass In 1 Carton (70860-211-74) / 5 Ml In 1 Syringe, Glass (70860-211-41)",23.84,23.84,,,0 NDC,70860022510,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (70860-225-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",24.66,24.66,,,0 NDC,70860030105,Diltiazem Hydrochloride: 10 Vial In 1 Carton (70860-301-05) / 5 Ml In 1 Vial (70860-301-41),14.08,14.08,,,0 NDC,70860030125,Diltiazem Hydrochloride: 10 Vial In 1 Carton (70860-301-25) / 25 Ml In 1 Vial (70860-301-43),42.23,42.23,,,0 NDC,70860030141,NDC Description Not Available,13.47,13.47,,,0 NDC,70860030143,NDC Description Not Available,42.23,42.23,,,0 NDC,70860040241,NDC Description Not Available,2.51,2.51,,,0 NDC,70860040541,NDC Description Not Available,5.96,5.96,,,0 NDC,70860040610,"Bumetanide: 10 Vial, Multi-Dose In 1 Carton (70860-406-10) / 10 Ml In 1 Vial, Multi-Dose",2.87,2.87,,,0 NDC,70860040641,NDC Description Not Available,2.89,2.89,,,0 NDC,70860045441,NDC Description Not Available,48.44,48.44,,,0 NDC,70860060041,NDC Description Not Available,1.9,1.9,,,0 NDC,70860070041,NDC Description Not Available,8.24,8.24,,,0 NDC,70860070103,Ketorolac Tromethamine: 25 Vial In 1 Carton (70860-701-03) / 1 Ml In 1 Vial (70860-701-41),4.12,4.12,,,0 NDC,70860070141,NDC Description Not Available,4.12,4.12,,,0 NDC,70860077641,NDC Description Not Available,0.52,0.52,,,0 NDC,70860077841,NDC Description Not Available,27.81,27.81,,,0 NDC,70860078141,NDC Description Not Available,2.93,2.93,,,0 NDC,70860078142,NDC Description Not Available,22.52,22.52,,,0 NDC,70860078405,"Valproate Sodium: 10 Vial, Single-Dose In 1 Carton (70860-784-05) / 5 Ml In 1 Vial, Single-Dose (70860-784-41)",20.61,20.61,,,0 NDC,70860078441,NDC Description Not Available,17.23,17.23,,,0 NDC,70954004110,Rifabutin: 100 Capsule In 1 Bottle (70954-041-10),63.04,63.04,,,0 NDC,70954013510,Dapsone: 30 Tablet In 1 Bottle (70954-135-10),8.89,8.89,,,0 NDC,70954013520,Dapsone: 100 Tablet In 1 Bottle (70954-135-20),7.94,7.94,,,0 NDC,70954013610,Dapsone: 30 Tablet In 1 Bottle (70954-136-10),10.86,10.86,,,0 NDC,70954013620,Dapsone: 100 Tablet In 1 Bottle (70954-136-20),7.38,7.38,,,0 NDC,70954014810,Pyridostigmine: 473 Ml In 1 Bottle (70954-148-10),45.49,45.49,,,0 NDC,70954024010,Carbamazepine: 1 Bottle In 1 Carton (70954-240-10) / 450 Ml In 1 Bottle,13.43,13.43,,,0 NDC,70954027310,Fluphenazine Hydrochloride: 100 Tablet In 1 Bottle (70954-273-10),15.82,15.82,,,0 NDC,70954031610,Famotidine: 50 Ml In 1 Bottle (70954-316-10),21.97,21.97,,,0 NDC,70954044410,Misoprostol: 60 Tablet In 1 Bottle (70954-444-10),5.15,5.15,,,0 NDC,70954045510,Bisoprolol Fumarate: 30 Tablet In 1 Bottle (70954-455-10),6.78,6.78,,,0 NDC,70954048410,Pyrazinamide: 60 Tablet In 1 Bottle (70954-484-10),23.31,23.31,,,0 NDC,70954049210,Levocarnitine: 90 Blister Pack In 1 Carton (70954-492-10) / 10 Tablet In 1 Blister Pack,3.95,3.95,,,0 NDC,70954051810,Lidocaine Hydrochloride: 1 Bottle In 1 Carton (70954-518-10) / 50 Ml In 1 Bottle,232.78,232.78,,,0 NDC,70954060005,NDC Description Not Available,18.67,18.67,,,0 NDC,70954060010,"Fluoxetine Hydrochloride: 120 Ml In 1 Bottle, Plastic (70954-600-10)",37.46,37.46,,,0 NDC,71019008503,NDC Description Not Available,202.91,202.91,,,0 NDC,71205086930,Pregabalin: 30 Capsule In 1 Bottle (71205-869-30),0.67,0.67,,,0 NDC,71205090930,Diphenoxylate Hydrochloride And Atropine Sulfate: 30 Tablet In 1 Bottle (71205-909-30),0.82,0.82,,,0 NDC,71205090955,Diphenoxylate Hydrochloride And Atropine Sulfate: 500 Tablet In 1 Bottle (71205-909-55),0.79,0.79,,,0 NDC,71258002201,"Pylarify: 50 Ml In 1 Vial, Multi-Dose (71258-022-01)",927.1,927.1,,,0 NDC,71266510001,NDC Description Not Available,21.12,21.12,,,0 NDC,71266510201,NDC Description Not Available,18.61,18.61,,,0 NDC,71266510301,NDC Description Not Available,33.92,33.92,,,0 NDC,71266513001,NDC Description Not Available,75.58,75.58,,,0 NDC,71266523001,NDC Description Not Available,247.94,247.94,,,0 NDC,71266629001,NDC Description Not Available,57.49,57.49,,,0 NDC,71266635001,NDC Description Not Available,69.66,69.66,,,0 NDC,71266636001,NDC Description Not Available,72.19,72.19,,,0 NDC,71266802001,NDC Description Not Available,1276.17,1276.17,,,0 NDC,71266861001,NDC Description Not Available,296.98,296.98,,,0 NDC,71266901001,NDC Description Not Available,1.0,1.0,,,0 NDC,71266901101,NDC Description Not Available,0.4,0.4,,,0 NDC,71266907002,NDC Description Not Available,2.73,2.73,,,0 NDC,71266908002,NDC Description Not Available,14.44,14.44,,,0 NDC,71266908004,NDC Description Not Available,13.88,13.88,,,0 NDC,71266911003,NDC Description Not Available,47.55,47.55,,,0 NDC,71285604401,NDC Description Not Available,34.32,34.32,,,0 NDC,71285701801,NDC Description Not Available,56.26,56.26,,,0 NDC,71285706001,NDC Description Not Available,48.67,48.67,,,0 NDC,71286200301,NDC Description Not Available,1.03,1.03,,,0 NDC,71288002320,NDC Description Not Available,12.07,12.07,,,0 NDC,71288002321,"Vancomycin Hydrochloride: 10 Vial, Single-Dose In 1 Carton (71288-023-21) / 20 Ml In 1 Vial, Single-Dose (71288-023-20)",12.98,12.98,,,0 NDC,71288002675,"Vancomycin Hydrochloride: 1 Vial, Pharmacy Bulk Package In 1 Carton (71288-026-75) / 95 Ml In 1 Vial, Pharmacy Bulk Package",46.01,46.01,,,0 NDC,71288003120,NDC Description Not Available,9.98,9.98,,,0 NDC,71288003220,NDC Description Not Available,17.62,17.62,,,0 NDC,71288010120,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (71288-101-20) / 20 Ml In 1 Vial, Single-Dose",0.42,0.42,,,0 NDC,71288010610,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-106-10) / 15 Powder, For Solution In 1 Vial, Single-Dose",132.87,132.87,,,0 NDC,71288010720,"Bleomycin: 1 Vial, Single-Dose In 1 Carton (71288-107-20) / 30 Powder, For Solution In 1 Vial, Single-Dose",126.0,126.0,,,0 NDC,71288010920,"Cytarabine: 1 Vial, Single-Dose In 1 Carton (71288-109-20) / 20 Ml In 1 Vial, Single-Dose",5.52,5.52,,,0 NDC,71288011450,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-114-50) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",39.76,39.76,,,0 NDC,71288011530,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-115-30) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.95,1.95,,,0 NDC,71288011610,NDC Description Not Available,7.35,7.35,,,0 NDC,71288011611,"Busulfan: 8 Vial, Single-Dose In 1 Carton (71288-116-11) / 10 Ml In 1 Vial, Single-Dose (71288-116-10)",6.81,6.81,,,0 NDC,71288011728,"Gemcitabine: 1 Vial, Single-Dose In 1 Carton (71288-117-28) / 26.3 Ml In 1 Vial, Single-Dose",19.06,19.06,,,0 NDC,71288011810,"Bortezomib: 1 Vial, Single-Dose In 1 Carton (71288-118-10) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",5.14,5.14,,,0 NDC,71288013720,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-137-20) / 10 Ml In 1 Vial, Single-Dose",584.01,584.01,,,0 NDC,71288013850,"Mitomycin: 1 Vial, Single-Dose In 1 Carton (71288-138-50) / 40 Ml In 1 Vial, Single-Dose",344.23,344.23,,,0 NDC,71288015395,"Azacitidine: 1 Vial, Single-Dose In 1 Carton (71288-153-95) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",1.69,1.69,,,0 NDC,71288015501,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (71288-155-01) / 1.2 Ml In 1 Vial, Single-Dose",71.33,71.33,,,0 NDC,71288016120,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-161-20) / 10 Ml In 1 Vial, Single-Dose",34.23,34.23,,,0 NDC,71288016230,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-162-30) / 20 Ml In 1 Vial, Single-Dose",23.96,23.96,,,0 NDC,71288016330,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-163-30) / 17.5 Ml In 1 Vial, Single-Dose",15.68,15.68,,,0 NDC,71288016450,"Leucovorin Calcium: 1 Vial, Single-Dose In 1 Carton (71288-164-50) / 50 Ml In 1 Vial, Single-Dose",33.08,33.08,,,0 NDC,71288016610,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-166-10) / 10 Ml In 1 Vial, Single-Dose",12.23,12.23,,,0 NDC,71288016750,"Pemetrexed: 1 Vial, Single-Dose In 1 Carton (71288-167-50) / 50 Ml In 1 Vial, Single-Dose",12.48,12.48,,,0 NDC,71288020185,"Regadenoson: 1 Syringe, Plastic In 1 Carton (71288-201-85) / 5 Ml In 1 Syringe, Plastic",165.88,165.88,,,0 NDC,71288020302,NDC Description Not Available,4.295,4.295,,,0 NDC,71288020303,"Furosemide: 25 Vial, Single-Dose In 1 Carton (71288-203-03) / 2 Ml In 1 Vial, Single-Dose (71288-203-02)",4.12,4.12,,,0 NDC,71288020304,NDC Description Not Available,3.03,3.03,,,0 NDC,71288020310,NDC Description Not Available,1.72,1.72,,,0 NDC,71288030301,NDC Description Not Available,7.48,7.48,,,0 NDC,71288030302,"Cyanocobalamin: 25 Vial, Multi-Dose In 1 Carton (71288-303-02) / 1 Ml In 1 Vial, Multi-Dose (71288-303-01)",7.21,7.21,,,0 NDC,71288040210,NDC Description Not Available,1.75,1.75,,,0 NDC,71288040301,NDC Description Not Available,1.63,1.63,,,0 NDC,71288042710,NDC Description Not Available,1.21,1.21,,,0 NDC,71288042711,"Bivalirudin: 10 Vial, Single-Dose In 1 Carton (71288-427-11) / 5 Ml In 1 Vial, Single-Dose (71288-427-10)",1.21,1.21,,,0 NDC,71288043484,NDC Description Not Available,6.5,6.5,,,0 NDC,71288060010,NDC Description Not Available,12.76,12.76,,,0 NDC,71288060011,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (71288-600-11) / 10 Ml In 1 Vial, Single-Dose (71288-600-10)",12.79,12.79,,,0 NDC,71288070005,NDC Description Not Available,17.51,17.51,,,0 NDC,71288071611,NDC Description Not Available,39.0,39.0,,,0 NDC,71288071910,NDC Description Not Available,2.2,2.2,,,0 NDC,71288072096,"Cisatracurium Besylate: 10 Vial, Single-Dose In 1 Carton (71288-720-96) / 5 Ml In 1 Vial, Single-Dose (71288-720-95)",14.42,14.42,,,0 NDC,71288080320,NDC Description Not Available,273.84,273.84,,,0 NDC,71288080321,"Mycophenolate Mofetil: 4 Vial, Single-Dose In 1 Carton (71288-803-21) / 20 Ml In 1 Vial, Single-Dose (71288-803-20)",297.89,297.89,,,0 NDC,71336100001,"Onpattro: 1 Vial, Single-Dose In 1 Carton (71336-1000-1) / 5 Ml In 1 Vial, Single-Dose",242.14,242.14,,,0 NDC,71336100101,"Givlaari: 1 Vial, Single-Use In 1 Carton (71336-1001-1) / 1 Ml In 1 Vial, Single-Use",270.71,270.71,,,0 NDC,71336100301,"Amvuttra: 1 Syringe, Glass In 1 Carton (71336-1003-1) / .5 Ml In 1 Syringe, Glass",11801.41,11801.41,,,0 NDC,71351002105,NDC Description Not Available,2.15,2.15,,,0 NDC,71369002015,"Doptelet: 1 Blister Pack In 1 Carton (71369-020-15) / 15 Tablet, Film Coated In 1 Blister Pack (71369-020-16)",1780.61,1780.61,,,0 NDC,71369002016,NDC Description Not Available,1695.72,1695.72,,,0 NDC,71399004903,Asper Flex: 1 Package In 1 Carton (71399-0049-3) / 30 G In 1 Package,51.61,51.61,,,0 NDC,71399005101,Onelax Saline Laxative: 296 Ml In 1 Bottle (71399-0051-1),3.93,3.93,,,0 NDC,71399011001,Hemorrhoidal Hygiene Pads: 175 Ml In 1 Jar (71399-0110-1),0.05,0.05,,,0 NDC,71399012202,Medpura Vitamin A And D Vitamin A And D: 1 Tube In 1 Carton (71399-0122-2) / 56 G In 1 Tube,3.09,3.09,,,0 NDC,71399012204,Medpura Vitamin A And D Vitamin A And D: 113 G In 1 Tube (71399-0122-4),4.91,4.91,,,0 NDC,71399282901,Dibucaine: 28 G In 1 Tube (71399-2829-1),4.12,4.12,,,0 NDC,71399510101,Hydrophor: 454 G In 1 Jar (71399-5101-1),12.36,12.36,,,0 NDC,71399510102,Hydrophor: 100 G In 1 Jar (71399-5101-2),6.18,6.18,,,0 NDC,71399788901,Magnesium Citrate Saline Laxative: 296 Ml In 1 Bottle (71399-7889-1),4.12,4.12,,,0 NDC,71399846002,Onelax: 12 Blister Pack In 1 Box (71399-8460-2) / 1 Suppository In 1 Blister Pack,0.85,0.85,,,0 NDC,71449001140,NDC Description Not Available,70.35,70.35,,,0 NDC,71449007851,NDC Description Not Available,0.8,0.8,,,0 NDC,71469023101,"Gleolan: 1 Vial, Single-Dose In 1 Carton (71469-231-01) / 1 Powder, For Solution In 1 Vial, Single-Dose",8365.23,8365.23,,,0 NDC,71506001458,NDC Description Not Available,22.66,22.66,,,0 NDC,71506002859,NDC Description Not Available,22.31,22.31,,,0 NDC,71506007405,NDC Description Not Available,21.41,21.41,,,0 NDC,71699005030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-050-30)",170.44,170.44,,,0 NDC,71699010030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-100-30)",165.78,165.78,,,0 NDC,71699020030,"Xcopri: 30 Tablet, Film Coated In 1 Bottle (71699-200-30)",170.4,170.4,,,0 NDC,71699020128,"Xcopri Titration Pack: 1 Kit In 1 Carton (71699-201-28) * 1 Tablet In 1 Blister Pack * 1 Tablet, Film Coated In 1 Blister Pack",160.60500000000002,160.60500000000002,,,0 NDC,71715000101,NDC Description Not Available,11.21,11.21,,,0 NDC,71715000102,"Nuzyra: 10 Vial, Glass In 1 Carton (71715-001-02) / 10 Ml In 1 Vial, Glass (71715-001-01)",11.46,11.46,,,0 NDC,71715000221,"Nuzyra: 1 Blister Pack In 1 Carton (71715-002-21) / 6 Tablet, Film Coated In 1 Blister Pack (71715-002-28)",1138.41,1138.41,,,0 NDC,71740011230,"Sski: 1 Bottle, With Applicator In 1 Carton (71740-112-30) / 30 Ml In 1 Bottle, With Applicator",15.61,15.61,,,0 NDC,71773005001,NDC Description Not Available,6.17,6.17,,,0 NDC,71773005005,"Xerava: 1 Vial, Glass In 1 Carton (71773-050-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.74,6.74,,,0 NDC,71773005012,"Xerava: 12 Vial, Glass In 1 Carton (71773-050-12) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",6.53,6.53,,,0 NDC,71773010005,NDC Description Not Available,4.85,4.85,,,0 NDC,71773010012,"Xerava: 12 Carton In 1 Package (71773-100-12) / 1 Vial, Glass In 1 Carton (71773-100-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",4.85,4.85,,,0 NDC,71837584301,NDC Description Not Available,446.61,446.61,,,0 NDC,71837584305,"Leukine: 5 Vial, Single-Dose In 1 Carton (71837-5843-5) / 1 Ml In 1 Vial, Single-Dose (71837-5843-1)",758.31,758.31,,,0 NDC,71839010401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (71839-104-01) / 5 Ml In 1 Vial, Single-Dose",8.32,8.32,,,0 NDC,71839011010,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-110-10) / .4 Ml In 1 Syringe,10.04,10.04,,,0 NDC,71839011110,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-111-10) / .6 Ml In 1 Syringe,10.09,10.09,,,0 NDC,71839011310,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-113-10) / 1 Ml In 1 Syringe,10.08,10.08,,,0 NDC,71839011510,Enoxaparin Sodium: 10 Syringe In 1 Carton (71839-115-10) / .8 Ml In 1 Syringe,10.07,10.07,,,0 NDC,71858004004,Tirosint: 3 Blister Pack In 1 Carton (71858-0040-4) / 10 Capsule In 1 Blister Pack,6.52,6.52,,,0 NDC,71863020205,NDC Description Not Available,0.52,0.52,,,0 NDC,71904020001,"Pombiliti Atga: 1 Vial, Glass In 1 Carton (71904-200-01) / 105 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",214.48,214.48,,,0 NDC,71904030001,"Opfolda: 4 Bottle, Plastic In 1 Bottle, Plastic (71904-300-01) / 1 Capsule In 1 Bottle, Plastic",142.66,142.66,,,0 NDC,71921022610,"Dorzolamide Hydrochloride Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (71921-226-10) / 10 Ml In 1 Bottle, Dispensing",441.87,441.87,,,0 NDC,72060014240,Caplyta: 30 Capsule In 1 Bottle (72060-142-40),239.65,239.65,,,0 NDC,72078000200,NDC Description Not Available,30.35,30.35,,,0 NDC,72078000204,"Norepinephrine Bitartrate: 10 Vial, Single-Dose In 1 Carton (72078-002-04) / 4 Ml In 1 Vial, Single-Dose (72078-002-00)",75.54,75.54,,,0 NDC,72078003300,NDC Description Not Available,4.32,4.32,,,0 NDC,72078003400,NDC Description Not Available,242.66,242.66,,,0 NDC,72078003802,"Miacalcin: 1 Vial, Multi-Dose In 1 Carton (72078-038-02) / 2 Ml In 1 Vial, Multi-Dose",5201.2,5201.2,,,0 NDC,72078004600,NDC Description Not Available,1.86,1.86,,,0 NDC,72078004609,"Amiodarone Hydrochloride: 10 Vial, Glass In 1 Carton (72078-046-09) / 9 Ml In 1 Vial, Glass (72078-046-00)",2.08,2.08,,,0 NDC,72078004618,"Amiodarone Hydrochloride: 1 Vial, Glass In 1 Carton (72078-046-18) / 18 Ml In 1 Vial, Glass",1.97,1.97,,,0 NDC,72162203703,Risperidone: 30 Ml In 1 Bottle (72162-2037-3),40.34,40.34,,,0 NDC,72196701801,NDC Description Not Available,183.775,183.775,,,0 NDC,72205000590,"Rosuvastatin Calcium: 90 Tablet, Film Coated In 1 Bottle (72205-005-90)",32.22,32.22,,,0 NDC,72205001190,Pregabalin: 90 Capsule In 1 Bottle (72205-011-90),30.4,30.4,,,0 NDC,72205002830,"Febuxostat: 30 Tablet, Film Coated In 1 Bottle (72205-028-30)",34.01,34.01,,,0 NDC,72205003101,"Decitabine: 1 Vial, Single-Use In 1 Carton (72205-031-01) / 20 Ml In 1 Vial, Single-Use",106.23,106.23,,,0 NDC,72205003601,"Decitabine: 1 Vial, Single-Dose In 1 Carton (72205-036-01) / 10 Ml In 1 Vial, Single-Dose",79.75,79.75,,,0 NDC,72205003960,Dofetilide: 60 Capsule In 1 Bottle (72205-039-60),35.11,35.11,,,0 NDC,72205004160,Dofetilide: 60 Capsule In 1 Bottle (72205-041-60),35.12,35.12,,,0 NDC,72205004211,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-042-11) / 10 Capsule In 1 Blister Pack,51.28,51.28,,,0 NDC,72205004411,Oseltamivir Phosphate: 1 Blister Pack In 1 Carton (72205-044-11) / 10 Capsule In 1 Blister Pack,55.67,55.67,,,0 NDC,72205004601,"Thiotepa: 1 Vial, Glass In 1 Box (72205-046-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Glass",1562.08,1562.08,,,0 NDC,72205004930,Aminocaproic Acid: 30 Tablet In 1 Bottle (72205-049-30),81.06,81.06,,,0 NDC,72205005108,Albendazole: 2 Tablet In 1 Bottle (72205-051-08),825.18,825.18,,,0 NDC,72205005401,"Fosaprepitant: 1 Vial, Single-Dose In 1 Carton (72205-054-01) / 5 Ml In 1 Vial, Single-Dose",7.33,7.33,,,0 NDC,72205005976,Sildenafil Citrate: 1 Bottle In 1 Carton (72205-059-76) / 112 Ml In 1 Bottle,143.17,143.17,,,0 NDC,72205006078,"Oseltamivir Phosphate: 60 Ml In 1 Bottle, Glass (72205-060-78)",85.31,85.31,,,0 NDC,72205007290,Droxidopa: 90 Capsule In 1 Bottle (72205-072-90),84.1,84.1,,,0 NDC,72205008530,Tiagabine Hydrochloride: 30 Tablet In 1 Bottle (72205-085-30),28.58,28.58,,,0 NDC,72205009978,"Sirolimus: 1 Bottle, Glass In 1 Carton (72205-099-78) / 60 Ml In 1 Bottle, Glass",100.97,100.97,,,0 NDC,72205010101,NDC Description Not Available,5.63,5.63,,,0 NDC,72205010201,NDC Description Not Available,2.6,2.6,,,0 NDC,72205010207,Bumetanide: 10 Vial In 1 Carton (72205-102-07) / 10 Ml In 1 Vial (72205-102-01),2.6,2.6,,,0 NDC,72205010491,"Chlorpromazine Hydrochloride: 100 Tablet, Sugar Coated In 1 Bottle (72205-104-91)",8.01,8.01,,,0 NDC,72205017072,Acyclovir Suspension: 473 Ml In 1 Bottle (72205-170-72),43.47,43.47,,,0 NDC,72205018460,"Darunavir: 60 Tablet, Film Coated In 1 Bottle, Plastic (72205-184-60)",135.96,135.96,,,0 NDC,72205018530,"Darunavir: 30 Tablet, Film Coated In 1 Bottle, Plastic (72205-185-30)",271.92,271.92,,,0 NDC,72205020111,NDC Description Not Available,56.07,56.07,,,0 NDC,72205020113,NDC Description Not Available,56.11,56.11,,,0 NDC,72205020132,Roflumilast: 2 Blister Pack In 1 Carton (72205-201-32) / 14 Tablet In 1 Blister Pack (72205-201-13),56.1,56.1,,,0 NDC,72205020730,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-207-30)",182.07,182.07,,,0 NDC,72205020830,"Lurasidone Hydrochloride: 30 Tablet, Film Coated In 1 Bottle (72205-208-30)",178.73,178.73,,,0 NDC,72205024901,"Plerixafor: 1 Vial, Single-Dose In 1 Carton (72205-249-01) / 1.2 Ml In 1 Vial, Single-Dose",110.08,110.08,,,0 NDC,72205026030,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-260-30),37.1,37.1,,,0 NDC,72205026130,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-261-30),36.24,36.24,,,0 NDC,72205026230,Vilazodone Hydrochloride: 30 Tablet In 1 Bottle (72205-262-30),37.08,37.08,,,0 NDC,72241001022,"Raloxifene Hydrochloride: 30 Tablet, Coated In 1 Bottle (72241-010-22)",25.71,25.71,,,0 NDC,72241001103,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (72241-011-03),14.51,14.51,,,0 NDC,72241001203,Rivastigmine Tartrate: 60 Capsule In 1 Bottle (72241-012-03),14.22,14.22,,,0 NDC,72241002305,Celecoxib: 100 Capsule In 1 Bottle (72241-023-05),16.59,16.59,,,0 NDC,72266010101,Dexrazoxane: 1 Vial In 1 Carton (72266-101-01) / 50 Ml In 1 Vial,513.5,513.5,,,0 NDC,72266010201,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-102-01) / 20 Ml In 1 Vial, Multi-Dose",34.62,34.62,,,0 NDC,72266010301,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-103-01) / 40 Ml In 1 Vial, Multi-Dose",24.06,24.06,,,0 NDC,72266010341,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72266-103-41) / 40 Ml In 1 Vial, Multi-Dose",24.08,24.08,,,0 NDC,72266011801,NDC Description Not Available,3.71,3.71,,,0 NDC,72266011925,Ketorolac Tromethamine: 25 Vial In 1 Carton (72266-119-25) / 2 Ml In 1 Vial (72266-119-01),2.0,2.0,,,0 NDC,72266012401,Ondansetron: 1 Vial In 1 Carton (72266-124-01) / 20 Ml In 1 Vial,0.52,0.52,,,0 NDC,72266012701,NDC Description Not Available,99.71,99.71,,,0 NDC,72266012705,"Dicyclomine Hydrochloride: 5 Vial, Single-Dose In 1 Carton (72266-127-05) / 2 Ml In 1 Vial, Single-Dose (72266-127-01)",106.09,106.09,,,0 NDC,72266014601,NDC Description Not Available,17.0,17.0,,,0 NDC,72266015201,Zoledronic Acid: 1 Bag In 1 Carton (72266-152-01) / 100 Ml In 1 Bag,96.0,96.0,,,0 NDC,72266015801,Moxifloxacin Ophthalmic Solution: 1 Bottle In 1 Carton (72266-158-01) / 3 Ml In 1 Bottle,50.3,50.3,,,0 NDC,72266015901,NDC Description Not Available,173.04,173.04,,,0 NDC,72266015905,"Ertapenem: 5 Vial, Single-Dose In 1 Carton (72266-159-05) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose (72266-159-01)",173.04,173.04,,,0 NDC,72266016001,NDC Description Not Available,71.82,71.82,,,0 NDC,72266016010,"Ziprasidone Mesylate: 10 Vial, Single-Dose In 1 Carton (72266-160-10) / 1 Ml In 1 Vial, Single-Dose (72266-160-01)",142.14,142.14,,,0 NDC,72266016041,NDC Description Not Available,43.17,43.17,,,0 NDC,72266016201,"Oxaliplatin: 1 Vial, Single-Use In 1 Carton (72266-162-01) / 20 Ml In 1 Vial, Single-Use",0.54,0.54,,,0 NDC,72266019701,Dorzolamide Hydrochloride: 1 Bottle In 1 Carton (72266-197-01) / 10 Ml In 1 Bottle,64.89,64.89,,,0 NDC,72266020401,NDC Description Not Available,19.68,19.68,,,0 NDC,72266025101,NDC Description Not Available,3.55,3.55,,,0 NDC,72266025301,Cisplatin: 1 Vial In 1 Carton (72266-253-01) / 100 Ml In 1 Vial,16.35,16.35,,,0 NDC,72319002302,"Posaconazole: 60 Tablet, Delayed Release In 1 Bottle (72319-023-02)",266.78,266.78,,,0 NDC,72485010101,NDC Description Not Available,6.85,6.85,,,0 NDC,72485010401,"Caffeine Citrate: 1 Vial, Glass In 1 Carton (72485-104-01) / 3 Ml In 1 Vial, Glass",28.785,28.785,,,0 NDC,72485010501,"Sodium Nitroprusside: 1 Vial, Single-Dose In 1 Carton (72485-105-01) / 2 Ml In 1 Vial, Single-Dose",86.52,86.52,,,0 NDC,72485010601,NDC Description Not Available,0.21,0.21,,,0 NDC,72485010610,"Levetiracetam: 10 Vial, Single-Dose In 1 Carton (72485-106-10) / 5 Ml In 1 Vial, Single-Dose (72485-106-01)",0.22,0.22,,,0 NDC,72485011301,NDC Description Not Available,302.82,302.82,,,0 NDC,72485011310,Isoproterenol Hydrochloride: 10 Ampule In 1 Carton (72485-113-10) / 5 Ml In 1 Ampule (72485-113-01),302.82,302.82,,,0 NDC,72485020101,"Azacitidine: 1 Injection, Powder, Lyophilized, For Solution In 1 Carton (72485-201-01)",13.085,13.085,,,0 NDC,72485040401,NDC Description Not Available,19.42,19.42,,,0 NDC,72485040601,NDC Description Not Available,44.51,44.51,,,0 NDC,72485040610,"Nafcillin Sodium: 10 Vial In 1 Carton (72485-406-10) / 1 Injection, Powder, For Solution In 1 Vial",44.29,44.29,,,0 NDC,72485041701,NDC Description Not Available,11.45,11.45,,,0 NDC,72485041710,"Ampicillin Sodium And Sulbactam Sodium: 10 Vial In 1 Carton (72485-417-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-417-01)",11.05,11.05,,,0 NDC,72485042201,NDC Description Not Available,7.69,7.69,,,0 NDC,72485042210,"Ampicillin Sodium: 10 Vial In 1 Carton (72485-422-10) / 1 Injection, Powder, For Solution In 1 Vial (72485-422-01)",7.66,7.66,,,0 NDC,72485050101,NDC Description Not Available,6.7,6.7,,,0 NDC,72485050701,NDC Description Not Available,13.39,13.39,,,0 NDC,72485050725,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72485-507-25) / 2 Ml In 1 Vial, Multi-Dose (72485-507-01)",13.39,13.39,,,0 NDC,72485051001,NDC Description Not Available,24.76,24.76,,,0 NDC,72485067031,Erythromycin: 50 Tube In 1 Carton (72485-670-31) / 1 G In 1 Tube,72.16,72.16,,,0 NDC,72485067035,Erythromycin: 1 Tube In 1 Carton (72485-670-35) / 3.5 G In 1 Tube,104.19,104.19,,,0 NDC,72493010140,NDC Description Not Available,683.2,683.2,,,0 NDC,72493010303,"Jelmyto: 1 Kit In 1 Carton (72493-103-03) * 1 Powder, For Solution In 1 Vial, Single-Dose (72493-101-40) * 20 Ml In 1 Vial, Single-Dose (72493-102-20)",731.4,731.4,,,0 NDC,72572012201,NDC Description Not Available,0.41,0.41,,,0 NDC,72578000506,Modafinil: 30 Tablet In 1 Bottle (72578-005-06),79.52,79.52,,,0 NDC,72578000516,Modafinil: 90 Tablet In 1 Bottle (72578-005-16),78.93,78.93,,,0 NDC,72578005616,Felbamate: 90 Tablet In 1 Bottle (72578-056-16),10.64,10.64,,,0 NDC,72578005716,Felbamate: 90 Tablet In 1 Bottle (72578-057-16),10.36,10.36,,,0 NDC,72578013606,Febuxostat: 30 Tablet In 1 Bottle (72578-136-06),35.24,35.24,,,0 NDC,72578015001,Acetazolamide: 100 Tablet In 1 Bottle (72578-150-01),9.97,9.97,,,0 NDC,72603010101,"Oxaliplatin: 1 Vial, Single-Dose In 1 Carton (72603-101-01) / 20 Ml In 1 Vial, Single-Dose",4.28,4.28,,,0 NDC,72603010301,"Doxorubicin Hydrochloride: 1 Vial, Single-Dose In 1 Package (72603-103-01) / 10 Ml In 1 Vial, Single-Dose",1158.25,1158.25,,,0 NDC,72603011501,Tamsulosin Hydrochloride: 100 Capsule In 1 Bottle (72603-115-01),15.23,15.23,,,0 NDC,72603012801,NDC Description Not Available,25.35,25.35,,,0 NDC,72603012810,"Pantoprazole Sodium: 10 Vial, Single-Dose In 1 Carton (72603-128-10) / 10 Ml In 1 Vial, Single-Dose (72603-128-01)",25.24,25.24,,,0 NDC,72603013301,NDC Description Not Available,11.585,11.585,,,0 NDC,72603013325,Furosemide: 25 Vial In 1 Carton (72603-133-25) / 2 Ml In 1 Vial (72603-133-01),11.58,11.58,,,0 NDC,72603013901,NDC Description Not Available,20.3,20.3,,,0 NDC,72603013925,"Thiamine: 25 Vial, Multi-Dose In 1 Carton (72603-139-25) / 2 Ml In 1 Vial, Multi-Dose (72603-139-01)",20.35,20.35,,,0 NDC,72603014601,"Labetalol Hydrochloride: 1 Vial, Multi-Dose In 1 Carton (72603-146-01) / 20 Ml In 1 Vial, Multi-Dose",27.4,27.4,,,0 NDC,72603014701,"Daptomycin: 1 Vial, Single-Dose In 1 Carton (72603-147-01) / 7 Ml In 1 Vial, Single-Dose",1.03,1.03,,,0 NDC,72603016701,Methazolamide: 100 Tablet In 1 Bottle (72603-167-01),28.58,28.58,,,0 NDC,72603017401,"Valganciclovir: 1 Bottle, Glass In 1 Carton (72603-174-01) / 100 Ml In 1 Bottle, Glass",557.12,557.12,,,0 NDC,72603018501,NDC Description Not Available,8.55,8.55,,,0 NDC,72603018601,"Ofloxacin: 5 Ml In 1 Bottle, Dropper (72603-186-01)",567.44,567.44,,,0 NDC,72603019501,NDC Description Not Available,8.61,8.61,,,0 NDC,72603019801,"Zoledronic Acid: 1 Vial, Glass In 1 Carton (72603-198-01) / 5 Ml In 1 Vial, Glass",83.17,83.17,,,0 NDC,72603020501,NDC Description Not Available,8.45,8.45,,,0 NDC,72603020901,NDC Description Not Available,45.32,45.32,,,0 NDC,72603020925,Sodium Bicarbonate: 25 Vial In 1 Carton (72603-209-25) / 50 Ml In 1 Vial (72603-209-01),45.32,45.32,,,0 NDC,72603021001,"Penicillin G Potassium: 1 Vial In 1 Carton (72603-210-01) / 1 Injection, Powder, For Solution In 1 Vial",6.41,6.41,,,0 NDC,72603022101,NDC Description Not Available,7.18,7.18,,,0 NDC,72603025101,NDC Description Not Available,5.24,5.24,,,0 NDC,72603025201,Oxcarbazepine: 1 Bottle In 1 Carton (72603-252-01) / 250 Ml In 1 Bottle,24.88,24.88,,,0 NDC,72603031701,NDC Description Not Available,61.26,61.26,,,0 NDC,72603032601,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (72603-326-01) / 50 Ml In 1 Vial, Single-Dose",9.99,9.99,,,0 NDC,72603035001,NDC Description Not Available,7.21,7.21,,,0 NDC,72603041201,NDC Description Not Available,1.39,1.39,,,0 NDC,72603047401,NDC Description Not Available,3.64,3.64,,,0 NDC,72603050510,Lidocaine Hydrochloride: 10 Vial In 1 Carton (72603-505-10) / 5 Ml In 1 Vial (72603-505-01),1.22,1.22,,,0 NDC,72603062001,NDC Description Not Available,76.22,76.22,,,0 NDC,72611071601,"Dexrazoxane: 1 Vial, Single-Dose In 1 Carton (72611-716-01) / 50 Ml In 1 Vial, Single-Dose",614.91,614.91,,,0 NDC,72611072201,NDC Description Not Available,2.54,2.54,,,0 NDC,72611072225,"Ketorolac Tromethamine: 25 Vial, Single-Dose In 1 Carton (72611-722-25) / 1 Ml In 1 Vial, Single-Dose (72611-722-01)",2.58,2.58,,,0 NDC,72611074001,NDC Description Not Available,4.12,4.12,,,0 NDC,72611078502,"Temsirolimus: 1 Kit In 1 Carton (72611-785-02) * 1.8 Ml In 1 Vial, Single-Dose (72611-782-01) * 1 Ml In 1 Vial, Single-Dose (72611-780-01)",318.85,318.85,,,0 NDC,72611086001,NDC Description Not Available,2.67,2.67,,,0 NDC,72611086004,"Acetylcysteine: 4 Vial, Single-Dose In 1 Carton (72611-860-04) / 30 Ml In 1 Vial, Single-Dose (72611-860-01)",2.67,2.67,,,0 NDC,72618300002,"Nurtec Odt: 1 Blister Pack In 1 Carton (72618-3000-2) / 8 Tablet, Orally Disintegrating In 1 Blister Pack",514.59,514.59,,,0 NDC,72626270101,"Sofosbuvir And Velpatasvir: 2 Blister Pack In 1 Carton (72626-2701-1) / 14 Tablet, Film Coated In 1 Blister Pack",1236.0,1236.0,,,0 NDC,72694095401,"Oncaspar: 1 Vial, Single-Use In 1 Carton (72694-954-01) / 5 Ml In 1 Vial, Single-Use",45285.77,45285.77,,,0 NDC,72769018101,NDC Description Not Available,5.25,5.25,,,0 NDC,72769018103,"Rapivab: 3 Vial, Glass In 1 Carton (72769-181-03) / 20 Ml In 1 Vial, Glass (72769-181-01)",4.08,4.08,,,0 NDC,72789035630,"Lorazepam: 30 Tablet In 1 Bottle, Plastic (72789-356-30)",1.31,1.31,,,0 NDC,72874000101,"Cerianna: 50 Ml In 1 Vial, Multi-Dose (72874-001-01)",4156.6,4156.6,,,0 NDC,72888002406,NDC Description Not Available,38.7,38.7,,,0 NDC,72888003401,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-034-01)",5.87,5.87,,,0 NDC,72888003501,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-035-01)",6.39,6.39,,,0 NDC,72888003601,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-036-01)",6.38,6.38,,,0 NDC,72888003701,"Carvedilol: 100 Tablet, Film Coated In 1 Bottle (72888-037-01)",5.43,5.43,,,0 NDC,72888012515,NDC Description Not Available,7.05,7.05,,,0 NDC,72888012526,Lidocaine Hydrochloride: 100 Ml In 1 Bottle (72888-125-26),6.01,6.01,,,0 NDC,72888013801,Nitroglycerin: 1 Bottle In 1 Carton (72888-138-01) / 100 Tablet In 1 Bottle,1.36,1.36,,,0 NDC,72888014330,"Desvenlafaxine: 30 Tablet, Extended Release In 1 Package (72888-143-30)",39.66,39.66,,,0 NDC,72888015201,Clonazepam: 100 Tablet In 1 Bottle (72888-152-01),2.69,2.69,,,0 NDC,72888018230,Buprenorphine Hydrochloride: 30 Tablet In 1 Bottle (72888-182-30),8.7,8.7,,,0 NDC,72893000201,Beleodaq: 1 Vial In 1 Carton (72893-002-01) / 10 Ml In 1 Vial,118.75,118.75,,,0 NDC,72893000301,Folotyn: 1 Vial In 1 Carton (72893-003-01) / 1 Ml In 1 Vial,880.37,880.37,,,0 NDC,72903085301,"Elahere: 1 Vial, Single-Use In 1 Carton (72903-853-01) / 20 Ml In 1 Vial, Single-Use",157.32,157.32,,,0 NDC,72960011201,"Daxxify: 1 Vial, Single-Use In 1 Carton (72960-112-01) / 1.2 Ml In 1 Vial, Single-Use",10.63,10.63,,,0 NDC,73043000501,"Cyclosporine: 3 Pouch In 1 Carton (73043-005-01) / 10 Vial, Single-Use In 1 Pouch / .4 Ml In 1 Vial, Single-Use",6.92,6.92,,,0 NDC,73090042001,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-420-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 NDC,73090042101,"Sylvant: 1 Vial, Single-Dose In 1 Box (73090-421-01) / 1 Injection, Powder, For Solution In 1 Vial, Single-Dose",361.39,361.39,,,0 NDC,73090800002,NDC Description Not Available,71.59,71.59,,,0 NDC,73150015006,"Briumvi: 1 Vial, Single-Dose In 1 Carton (73150-150-06) / 6 Ml In 1 Vial, Single-Dose",172.59,172.59,,,0 NDC,73293000101,NDC Description Not Available,2.1,2.1,,,0 NDC,73293000102,Lidocaine Hydrochloride: 10 Vial In 1 Box (73293-0001-2) / 5 Ml In 1 Vial (73293-0001-1),2.13,2.13,,,0 NDC,73336007530,"Gemtesa: 30 Tablet, Film Coated In 1 Bottle (73336-075-30)",70.04,70.04,,,0 NDC,73475304105,"Vyvgart: 1 Vial, Single-Dose In 1 Carton (73475-3041-5) / 20 Ml In 1 Vial, Single-Dose",71.93,71.93,,,0 NDC,73475310203,"Vyvgart Hytrulo: 1 Vial, Single-Dose In 1 Carton (73475-3102-3) / 5.6 Ml In 1 Vial, Single-Dose",74.9,74.9,,,0 NDC,73535020801,Monjuvi: 1 Vial In 1 Carton (73535-208-01) / 5 Ml In 1 Vial,32.96,32.96,,,0 NDC,73562010410,Viokace: 1 Bottle In 1 Carton (73562-104-10) / 100 Tablet In 1 Bottle,18.29,18.29,,,0 NDC,73562011001,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-110-01)",17.66,17.66,,,0 NDC,73562011101,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-111-01)",26.29,26.29,,,0 NDC,73562011201,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-112-01)",34.72,34.72,,,0 NDC,73562011601,"Zenpep: 100 Capsule, Delayed Release In 1 Bottle (73562-116-01)",43.01,43.01,,,0 NDC,73607000201,"Artesunate: 1 Injection, Powder, For Solution In 1 Vial (73607-002-01)",111.91,111.91,,,0 NDC,73607001111,"Artesunate: 2 Kit In 1 Carton (73607-011-11) / 1 Kit In 1 Kit * 1 Injection, Powder, For Solution In 1 Vial (73607-002-01) * 1 Solution In 1 Vial (73607-003-02)",111.91,111.91,,,0 NDC,74527002202,"Margenza: 1 Vial, Single-Dose In 1 Carton (74527-022-02) / 10 Ml In 1 Vial, Single-Dose (74527-022-01)",117.32,117.32,,,0 NDC,74676590200,NDC Description Not Available,2131.07,2131.07,,,0 NDC,74676590201,"Trelstar: 1 Kit In 1 Carton (74676-5902-1) * 2 Ml In 1 Vial, Single-Dose (74676-5902-0) * 2 Ml In 1 Syringe",2131.07,2131.07,,,0 NDC,74676590400,NDC Description Not Available,2194.93,2194.93,,,0 NDC,74676590401,"Trelstar: 1 Kit In 1 Carton (74676-5904-1) * 2 Ml In 1 Vial, Single-Dose (74676-5904-0) * 2 Ml In 1 Syringe",2075.22,2075.22,,,0 NDC,74676590601,"Trelstar: 1 Kit In 1 Carton (74676-5906-1) * 2 Ml In 1 Vial, Single-Dose (74676-5906-0) * 2 Ml In 1 Syringe",2130.9,2130.9,,,0 NDC,74725010025,"Illuccix: 1 Kit In 1 Carton (74725-100-25) * 2.5 Ml In 1 Vial, Multi-Dose (74725-102-25) * 6.4 Ml In 1 Vial, Multi-Dose (74725-103-64) * 1 Injection, Powder, Lyophilized, For Solution In 1 Vial,",1696.55,1696.55,,,0 NDC,75826010700,"Diphenoxylate Hydrochloride And Atropine Sulfate: 1000 Tablet In 1 Bottle, Plastic (75826-107-00)",0.42,0.42,,,0 NDC,75826014110,"Phenobarbital: 100 Tablet In 1 Bottle, Plastic (75826-141-10)",0.67,0.67,,,0 NDC,75834014706,NDC Description Not Available,81.37,81.37,,,0 NDC,75834015801,Verapamil Hydrochloride: 100 Tablet In 1 Bottle (75834-158-01),5.61,5.61,,,0 NDC,75834017001,Nivagen Zinc Oxide: 28.4 G In 1 Tube (75834-170-01),7.01,7.01,,,0 NDC,75834022101,Carbamazepine: 100 Tablet In 1 Bottle (75834-221-01),5.75,5.75,,,0 NDC,75834024201,"Erythromycin: 100 Tablet, Film Coated In 1 Bottle (75834-242-01)",47.59,47.59,,,0 NDC,75834024230,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-242-30)",46.6,46.6,,,0 NDC,75834024330,"Erythromycin: 30 Tablet, Film Coated In 1 Bottle (75834-243-30)",71.93,71.93,,,0 NDC,75834028030,"Potassium Iodide: 30 Ml In 1 Bottle, With Applicator (75834-280-30)",8.85,8.85,,,0 NDC,75834029501,Erythromycin Ethylsuccinate: 100 Ml In 1 Bottle (75834-295-01),157.96,157.96,,,0 NDC,75834031101,Niva Thyroid: 100 Tablet In 1 Bottle (75834-311-01),1.46,1.46,,,0 NDC,75834031201,Niva Thyroid: 100 Tablet In 1 Bottle (75834-312-01),4.21,4.21,,,0 NDC,75907002311,NDC Description Not Available,119.48,119.48,,,0 NDC,75907002411,NDC Description Not Available,59.56,59.56,,,0 NDC,75907004301,Trimethoprim: 100 Tablet In 1 Bottle (75907-043-01),8.4,8.4,,,0 NDC,75907005860,"Tamoxifen Citrate: 60 Tablet, Film Coated In 1 Bottle (75907-058-60)",6.7,6.7,,,0 NDC,75907006030,"Nystatin: 30 G In 1 Bottle, Plastic (75907-060-30)",146.41,146.41,,,0 NDC,75907006901,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-069-01)",2.5,2.5,,,0 NDC,75907007001,"Nortriptyline Hydrochloride: 100 Capsule In 1 Bottle, Plastic (75907-070-01)",4.98,4.98,,,0 NDC,75907009540,Fluorouracil: 1 Tube In 1 Carton (75907-095-40) / 40 G In 1 Tube,928.03,928.03,,,0 NDC,75907012907,"Phenylephrine Hydrochloride: 1 Bottle, Dropper In 1 Carton (75907-129-07) / 2 Ml In 1 Bottle, Dropper",141.11,141.11,,,0 NDC,75987005006,Ravicti: 1 Bottle In 1 Carton (75987-050-06) / 25 Ml In 1 Bottle,2462.36,2462.36,,,0 NDC,76014000333,NDC Description Not Available,3.96,3.96,,,0 NDC,76014000432,NDC Description Not Available,0.03,0.03,,,0 NDC,76045000100,NDC Description Not Available,2.58,2.58,,,0 NDC,76045000401,NDC Description Not Available,6.99,6.99,,,0 NDC,76045000410,NDC Description Not Available,13.73,13.73,,,0 NDC,76045000501,NDC Description Not Available,12.42,12.42,,,0 NDC,76045000901,NDC Description Not Available,19.17,19.17,,,0 NDC,76045000905,Dilaudid: 24 SYRINGE in 1 CARTON (76045-009-05) / .5 mL in 1 SYRINGE (76045-009-03),24.604999999999997,24.604999999999997,,,0 NDC,76045000906,Dilaudid: 10 Syringe In 1 Carton (76045-009-06) / .5 Ml In 1 Syringe (76045-009-96),17.87,17.87,,,0 NDC,76045000911,Dilaudid: 10 Syringe In 1 Carton (76045-009-11) / 1 Ml In 1 Syringe (76045-009-01),24.65,24.65,,,0 NDC,76045000996,NDC Description Not Available,19.345,19.345,,,0 NDC,76045001001,NDC Description Not Available,20.130000000000003,20.130000000000003,,,0 NDC,76045001011,Dilaudid: 10 Syringe In 1 Carton (76045-010-11) / 1 Ml In 1 Syringe (76045-010-01),9.97,9.97,,,0 NDC,76045010610,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-106-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass",3.1,3.1,,,0 NDC,76045010910,"Dexamethasone Sodium Phosphate: 24 Blister Pack In 1 Carton (76045-109-10) / 1 Syringe, Glass In 1 Blister Pack / 1 Ml In 1 Syringe, Glass (76045-109-01)",2.54,2.54,,,0 NDC,76045020400,NDC Description Not Available,43.75,43.75,,,0 NDC,76045021000,NDC Description Not Available,3.26,3.26,,,0 NDC,76045038313,NDC Description Not Available,40.555,40.555,,,0 NDC,76045073701,NDC Description Not Available,17.51,17.51,,,0 NDC,76075010101,"Kyprolis: 1 Vial, Single-Use In 1 Carton (76075-101-01) / 30 Ml In 1 Vial, Single-Use",136.215,136.215,,,0 NDC,76075010201,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-102-01) / 15 Ml In 1 Vial, Single-Dose",137.34,137.34,,,0 NDC,76075010301,"Kyprolis: 1 Vial, Single-Dose In 1 Carton (76075-103-01) / 10 Ml In 1 Vial, Single-Dose",148.71,148.71,,,0 NDC,76125015002,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-02) / 2 Ml In 1 Vial, Glass (76125-150-03)",864.4449999999999,864.4449999999999,,,0 NDC,76125015003,NDC Description Not Available,899.51,899.51,,,0 NDC,76125015010,"Kedrab: 1 Vial, Glass In 1 Box (76125-150-10) / 10 Ml In 1 Vial, Glass (76125-150-11)",801.53,801.53,,,0 NDC,76125015011,NDC Description Not Available,871.98,871.98,,,0 NDC,76125079025,Albuked: 1 Vial In 1 Carton (76125-790-25) / 250 Ml In 1 Vial (76125-790-26),173.99,173.99,,,0 NDC,76125079026,NDC Description Not Available,168.14,168.14,,,0 NDC,76125079210,Albuked: 1 Vial In 1 Carton (76125-792-10) / 100 Ml In 1 Vial (76125-792-11),207.62,207.62,,,0 NDC,76125079211,NDC Description Not Available,185.18,185.18,,,0 NDC,76125090001,"Gammaked: 1 Vial, Glass In 1 Carton (76125-900-01) / 10 Ml In 1 Vial, Glass (76125-900-02)",209.53,209.53,,,0 NDC,76204010001,Ipratropium Bromide: 30 Pouch In 1 Carton (76204-100-01) / 1 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,8.33,8.33,,,0 NDC,76204010060,Ipratropium Bromide: 2 Pouch In 1 Carton (76204-100-60) / 30 Ampule In 1 Pouch / 2.5 Ml In 1 Ampule,6.09,6.09,,,0 NDC,76204020001,Albuterol Sulfate: 30 Pouch In 1 Carton (76204-200-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.87,1.87,,,0 NDC,76204020025,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-25) / 25 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.82,1.82,,,0 NDC,76204020030,Albuterol Sulfate: 1 Pouch In 1 Carton (76204-200-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,1.79,1.79,,,0 NDC,76204060001,Ipratropium Bromide And Albuterol Sulfate: 30 Pouch In 1 Carton (76204-600-01) / 1 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.26,8.26,,,0 NDC,76204060030,Ipratropium Bromide And Albuterol Sulfate: 1 Pouch In 1 Carton (76204-600-30) / 30 Ampule In 1 Pouch / 3 Ml In 1 Ampule,8.12,8.12,,,0 NDC,76204080001,Levalbuterol: 30 Pouch In 1 Carton (76204-800-01) / 1 Ampule In 1 Pouch (76204-800-11) / 3 Ml In 1 Ampule,3.63,3.63,,,0 NDC,76204080011,NDC Description Not Available,3.65,3.65,,,0 NDC,76204090001,Levalbuterol: 30 Pouch In 1 Carton (76204-900-01) / 1 Ampule In 1 Pouch (76204-900-11) / 3 Ml In 1 Ampule,2.4,2.4,,,0 NDC,76204090011,NDC Description Not Available,2.42,2.42,,,0 NDC,76204090025,Levalbuterol: 1 Pouch In 1 Carton (76204-900-25) / 25 Ampule In 1 Pouch (76204-900-15) / 3 Ml In 1 Ampule,2.4,2.4,,,0 NDC,76282010339,Diclofenac Sodium: 1 Tube In 1 Carton (76282-103-39) / 100 G In 1 Tube,15.45,15.45,,,0 NDC,76282056890,Pregabalin: 90 Capsule In 1 Bottle (76282-568-90),0.12,0.12,,,0 NDC,76282057190,Pregabalin: 90 Capsule In 1 Bottle (76282-571-90),0.2,0.2,,,0 NDC,76282064138,Budesonide Inhalation Suspension: 6 Pouch In 1 Carton (76282-641-38) / 5 Ampule In 1 Pouch (76282-641-37) / 2 Ml In 1 Ampule,9.33,9.33,,,0 NDC,76282066339,Diclofenac Sodium: 1 Tube In 1 Carton (76282-663-39) / 100 G In 1 Tube,15.45,15.45,,,0 NDC,76282072067,Lanreotide Acetate: 1 Pouch In 1 Carton (76282-720-67) / 1 Syringe In 1 Pouch / .5 Ml In 1 Syringe,64.85,64.85,,,0 NDC,76282073952,Oseltamivir Phosphate: 1 Bottle In 1 Carton (76282-739-52) / 60 Ml In 1 Bottle,12.1,12.1,,,0 NDC,76282074030,Phytonadione: 1 Bottle In 1 Carton (76282-740-30) / 30 Tablet In 1 Bottle,30.3,30.3,,,0 NDC,76297000112,NDC Description Not Available,30.47,30.47,,,0 NDC,76297000122,NDC Description Not Available,38.97,38.97,,,0 NDC,76297000132,NDC Description Not Available,36.05,36.05,,,0 NDC,76310002411,NDC Description Not Available,280.86,280.86,,,0 NDC,76310002415,NDC Description Not Available,279.98,279.98,,,0 NDC,76329124001,Phytonadione: 1 Syringe In 1 Carton (76329-1240-1) / .5 Ml In 1 Syringe,105.355,105.355,,,0 NDC,76329146901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-1469-1) / 2 Ml In 1 Syringe,70.94,70.94,,,0 NDC,76329301105,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3011-5) / 5 Ml In 1 Vial, Single-Use",25.79,25.79,,,0 NDC,76329301205,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3012-5) / 5 Ml In 1 Vial, Single-Use",27.73,27.73,,,0 NDC,76329301305,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3013-5) / 10 Ml In 1 Vial, Single-Use",30.79,30.79,,,0 NDC,76329301505,"Lidocaine Hydrochloride: 25 Vial, Single-Use In 1 Box (76329-3015-5) / 20 Ml In 1 Vial, Single-Use",44.09,44.09,,,0 NDC,76329330201,Dextrose Monohydrate: 1 Syringe In 1 Carton (76329-3302-1) / 50 Ml In 1 Syringe,57.68,57.68,,,0 NDC,76329330401,Calcium Chloride: 10 Syringe In 1 Package (76329-3304-1) / 10 Ml In 1 Syringe,45.39,45.39,,,0 NDC,76329331601,Epinephrine: 10 VIAL in 1 PACKAGE (76329-3316-1) / 10 mL in 1 VIAL,4.22,4.22,,,0 NDC,76329331801,Epinephrine: 10 Carton In 1 Package (76329-3318-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,5.445,5.445,,,0 NDC,76329334001,Atropine Sulfate: 10 Carton In 1 Package (76329-3340-1) / 1 Syringe In 1 Carton / 10 Ml In 1 Syringe,0.49,0.49,,,0 NDC,76329335201,Sodium Bicarbonate: 1 Syringe In 1 Carton (76329-3352-1) / 50 Ml In 1 Syringe,77.63,77.63,,,0 NDC,76329336901,Naloxone Hydrochloride: 10 Syringe In 1 Box (76329-3369-1) / 2 Ml In 1 Syringe,69.715,69.715,,,0 NDC,76329339001,Lidocaine Hydrochloride: 10 Syringe In 1 Package (76329-3390-1) / 5 Ml In 1 Syringe,3.63,3.63,,,0 NDC,76329630005,Lidocaine Hydrochloride: 25 Vial In 1 Carton (76329-6300-5) / 4 Ml In 1 Vial,130.81,130.81,,,0 NDC,76329826100,NDC Description Not Available,4.33,4.33,,,0 NDC,76329906000,Epinephrine: 1 Vial In 1 Carton (76329-9060-0) / 30 Ml In 1 Vial,3.06,3.06,,,0 NDC,76385010201,Primaquine Phosphate: 100 Tablet In 1 Bottle (76385-102-01),6.5,6.5,,,0 NDC,76420008501,"Kenalog-40: 1 Ml In 1 Vial, Single-Dose (76420-085-01)",156.04,156.04,,,0 NDC,77790002215,"Vista Gonio Eye Lubricant: 1 Bottle, Dropper In 1 Carton (77790-022-15) / 15 Ml In 1 Bottle, Dropper",19.315,19.315,,,0 NDC,78206011801,"Celestone Soluspan: 1 Vial, Multi-Dose In 1 Box (78206-118-01) / 5 Ml In 1 Vial, Multi-Dose",18.02,18.02,,,0 NDC,78206014501,Nexplanon: 1 Blister Pack In 1 Carton (78206-145-01) / 1 Implant In 1 Blister Pack,2700.66,2700.66,,,0 NDC,78206016201,"Renflexis: 1 Vial In 1 Carton (78206-162-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial (78206-162-99)",24.86,24.86,,,0 NDC,79952011001,"Zynlonta: 1 Vial, Single-Dose In 1 Carton (79952-110-01) / 2 Ml In 1 Vial, Single-Dose",487.98,487.98,,,0 NDC,80446040101,"Kimmtrak: 1 Vial, Glass In 1 Carton (80446-401-01) / .5 Ml In 1 Vial, Glass",501.11,501.11,,,0 NDC,80803015350,"Fyarro: 1 Vial, Single-Use In 1 Carton (80803-153-50) / 20 Ml In 1 Vial, Single-Use",163.93,163.93,,,0 NDC,80830167408,NDC Description Not Available,0.23,0.23,,,0 NDC,80830169101,NDC Description Not Available,111.58,111.58,,,0 NDC,80830169102,"Potassium Phosphates: 10 Vial, Single-Dose In 1 Carton (80830-1691-2) / 15 Ml In 1 Vial, Single-Dose (80830-1691-1)",108.15,108.15,,,0 NDC,80830169201,NDC Description Not Available,100.94,100.94,,,0 NDC,80830232901,NDC Description Not Available,87.29,87.29,,,0 NDC,80830246501,NDC Description Not Available,13.02,13.02,,,0 NDC,81033000220,NDC Description Not Available,10.34,10.34,,,0 NDC,81033006620,Likmez: 200 Ml In 1 Bottle (81033-066-20),58.97,58.97,,,0 NDC,81033010210,NDC Description Not Available,2.08,2.08,,,0 NDC,81033010405,NDC Description Not Available,83.18,83.18,,,0 NDC,81033024130,NDC Description Not Available,3.66,3.66,,,0 NDC,81284015300,NDC Description Not Available,6.41,6.41,,,0 NDC,81284021301,Phenylephrine Hydrochloride: 1 Vial In 1 Carton (81284-213-01) / 10 Ml In 1 Vial (81284-213-00),0.02,0.02,,,0 NDC,81284031500,NDC Description Not Available,1730.4,1730.4,,,0 NDC,81284031505,Bludigo: 5 Ampule In 1 Carton (81284-315-05) / 5 Ml In 1 Ampule (81284-315-00),1346.75,1346.75,,,0 NDC,81284041100,NDC Description Not Available,248.61,248.61,,,0 NDC,81284041110,Dihydroergotamine Mesylate: 10 Ampule In 1 Carton (81284-411-10) / 1 Ml In 1 Ampule (81284-411-00),149.35,149.35,,,0 NDC,81284061100,NDC Description Not Available,12.16,12.16,,,0 NDC,81284061110,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-611-10) / 10 Ml In 1 Vial, Single-Dose (81284-611-00)",12.6,12.6,,,0 NDC,81284061200,NDC Description Not Available,3.99,3.99,,,0 NDC,81284061210,"Tranexamic Acid: 10 Vial, Single-Dose In 1 Carton (81284-612-10) / 10 Ml In 1 Vial, Single-Dose (81284-612-00)",11.555,11.555,,,0 NDC,81298501001,NDC Description Not Available,640.61,640.61,,,0 NDC,81298811001,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8110-1) / 25 Ml In 1 Vial, Single-Dose",5.1,5.1,,,0 NDC,81298811201,"Cyclophosphamide: 1 Vial, Single-Dose In 1 Carton (81298-8112-1) / 50 Ml In 1 Vial, Single-Dose",53.775,53.775,,,0 NDC,81298965801,NDC Description Not Available,225.84,225.84,,,0 NDC,81298965901,NDC Description Not Available,115.05,115.05,,,0 NDC,81643927001,"Floxuridine: 1 Vial In 1 Box, Unit-Dose (81643-9270-1) / 5 Injection, Powder, Lyophilized, For Solution In 1 Vial",1984.51,1984.51,,,0 NDC,81665010496,Cromolyn Sodium: 12 Pouch In 1 Carton (81665-104-96) / 8 Ampule In 1 Pouch / 5 Ml In 1 Ampule,12.63,12.63,,,0 NDC,81964020415,Amoxicillin And Clavulanate Potassium: 150 Ml In 1 Bottle (81964-204-15),12.36,12.36,,,0 NDC,81964022114,"Amoxicillin And Clavulanate Potassium: 20 Tablet, Coated In 1 Bottle (81964-221-14)",19.28,19.28,,,0 NDC,82182045505,"Brimonidine Tartrate And Timolol Maleate: 5 Ml In 1 Bottle, Plastic (82182-455-05)",798.94,798.94,,,0 NDC,82182077305,"Brimonidine Tartrate: 1 Bottle, Dropper In 1 Carton (82182-773-05) / 5 Ml In 1 Bottle, Dropper",691.1,691.1,,,0 NDC,82260081305,"Timolol Maleate: 1 Bottle, Dispensing In 1 Carton (82260-813-05) / 5 Ml In 1 Bottle, Dispensing",9.27,9.27,,,0 NDC,82347040504,NDC Description Not Available,45.97,45.97,,,0 NDC,82347050504,NDC Description Not Available,12.35,12.35,,,0 NDC,82347050505,Lidocaine 5%: 30 Pouch In 1 Package (82347-0505-5) / 14 G In 1 Pouch (82347-0505-4),12.34,12.34,,,0 NDC,82584060510,"Cosopt: 1 Bottle, Dropper In 1 Carton (82584-605-10) / 10 Ml In 1 Bottle, Dropper",1047.51,1047.51,,,0 NDC,82584079201,Akten: 1 Tube In 1 Carton (82584-792-01) / 1 Ml In 1 Tube,100.94,100.94,,,0 NDC,82584079225,Akten: 25 Tube In 1 Carton (82584-792-25) / 1 Ml In 1 Tube,100.94,100.94,,,0 NDC,82705000201,"Epkinly: 1 Vial, Glass In 1 Carton (82705-002-01) / .8 Ml In 1 Vial, Glass",288.96000000000004,288.96000000000004,,,0 NDC,82705001001,"Epkinly: 1 Vial, Glass In 1 Carton (82705-010-01) / .8 Ml In 1 Vial, Glass",127.34,127.34,,,0 NDC,82737007301,"Aphexda: 1 Vial, Glass In 1 Carton (82737-073-01) / 1.7 Ml In 1 Vial, Glass",235.24,235.24,,,0 NDC,82959011101,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-111-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",149.94,149.94,,,0 NDC,82959011201,"Rytelo: 1 Vial, Single-Dose In 1 Carton (82959-112-01) / 1 Injection, Powder, Lyophilized, For Solution In 1 Vial, Single-Dose",131.85,131.85,,,0 NDC,83257000111,Ogivri: 1 Vial In 1 Carton (83257-001-11) / 15 Ml In 1 Vial,145.18,145.18,,,0 NDC,83257000311,NDC Description Not Available,144.25,144.25,,,0 NDC,83257000412,"Ogivri: 1 Kit In 1 Carton (83257-004-12) * 20 Ml In 1 Vial, Multi-Dose (83257-003-11) * 20 Ml In 1 Vial (83257-002-11)",148.18,148.18,,,0 NDC,83257000541,Fulphila: 1 Syringe In 1 Carton (83257-005-41) / .6 Ml In 1 Syringe,413.11,413.11,,,0 NDC,83634045101,Desmopressin Acetate: 10 Vial In 1 Carton (83634-451-01) / 1 Ml In 1 Vial (83634-451-41),42.71,42.71,,,0 NDC,83634045141,NDC Description Not Available,42.72,42.72,,,0 NDC,83634050041,NDC Description Not Available,0.12,0.12,,,0 NDC,83634077610,Fosaprepitant: 1 Vial In 1 Carton (83634-776-10) / 5 Ml In 1 Vial,1.15,1.15,,,0 NDC,83634077705,"Palonosetron Hydrochloride: 1 Vial, Single-Dose In 1 Carton (83634-777-05) / 5 Ml In 1 Vial, Single-Dose",6.49,6.49,,,0 NDC,83634077941,NDC Description Not Available,5.725,5.725,,,0 NDC,88888444445,NDC Description Not Available,721.0,721.0,,,0