code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Assistant Surgeon,,,,,0
,,Assistant Surgeon (when a qualifed resident surgeon is not available),,,,,0
,,Bilateral Procedure,,,,,0
,,Computed tomography services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers,,,,,0
,,Minimum Assistant Surgeon,,,,,0
,,"Nonexcepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,,,0
,,Return to the operation room for a related procedure during the postoperative period,,,,,0
,,"Services, procedures, and/or surgeries furnished at off-campus provider-based outpatient departments",,,,,0
,,Surgical Team,,,,,0
,,Two Surgeons,,,,,0
,,Unknown,,,,,0
,,X ray taken using film,,,,,0
APR-DRG,11,LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,57318.48,57318.48,3
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,7098.26,7098.26,3
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,7719.36,7719.36,3
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,10381.21,10381.21,3
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES",,,17923.12,17923.12,3
APR-DRG,111,Room & Board - Private (One Bed) - Medical/Surgical/Gyn,,,24932.65,24932.65,3
APR-DRG,1111,VERTIGO & OTHER LABYRINTH DISORDERS,,,6033.52,6033.52,3
APR-DRG,1112,VERTIGO & OTHER LABYRINTH DISORDERS,,,6033.52,6033.52,3
APR-DRG,1113,VERTIGO & OTHER LABYRINTH DISORDERS,,,7541.91,7541.91,3
APR-DRG,1114,VERTIGO & OTHER LABYRINTH DISORDERS,,,12067.05,12067.05,3
APR-DRG,112,Room & Board - Private (One Bed) - Obstetrics (OB),,,37088.43,37088.43,3
APR-DRG,113,Room & Board - Private (One Bed) - Pediatric,,,69917.9,69917.9,3
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT,,,3016.76,3016.76,3
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT,,,4613.87,4613.87,3
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT,,,8784.1,8784.1,3
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT,,,9937.57,9937.57,3
APR-DRG,114,Room & Board - Private (One Bed) - Psychiatric,,,142054.01,142054.01,3
APR-DRG,1141,DENTAL DISEASES AND DISORDERS,,,3904.05,3904.05,3
APR-DRG,1142,DENTAL DISEASES AND DISORDERS,,,5678.61,5678.61,3
APR-DRG,1143,DENTAL DISEASES AND DISORDERS,,,5678.61,5678.61,3
APR-DRG,1144,DENTAL DISEASES AND DISORDERS,,,13664.16,13664.16,3
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,5234.97,5234.97,3
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,8517.92,8517.92,3
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,14196.53,14196.53,3
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES",,,16237.28,16237.28,3
APR-DRG,12,LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,108159.8,108159.8,3
APR-DRG,1201,MAJOR RESPIRATORY & CHEST PROCEDURES,,,14640.17,14640.17,3
APR-DRG,1202,MAJOR RESPIRATORY & CHEST PROCEDURES,,,17923.12,17923.12,3
APR-DRG,1203,MAJOR RESPIRATORY & CHEST PROCEDURES,,,28570.51,28570.51,3
APR-DRG,1204,MAJOR RESPIRATORY & CHEST PROCEDURES,,,44097.97,44097.97,3
APR-DRG,1211,OTHER RESPIRATORY & CHEST PROCEDURES,,,12954.33,12954.33,3
APR-DRG,1212,OTHER RESPIRATORY & CHEST PROCEDURES,,,17302.02,17302.02,3
APR-DRG,1213,OTHER RESPIRATORY & CHEST PROCEDURES,,,28215.6,28215.6,3
APR-DRG,1214,OTHER RESPIRATORY & CHEST PROCEDURES,,,43388.14,43388.14,3
APR-DRG,13,LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,108159.8,108159.8,3
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,29014.15,29014.15,3
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,53148.25,53148.25,3
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,64860.39,64860.39,3
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS,,,68498.25,68498.25,3
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE,,,9582.66,9582.66,3
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE,,,25731.21,25731.21,3
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE,,,25731.21,25731.21,3
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE,,,25731.21,25731.21,3
APR-DRG,1321,BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,3460.4,3460.4,3
APR-DRG,1322,BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,4525.14,4525.14,3
APR-DRG,1323,BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,13575.43,13575.43,3
APR-DRG,1324,BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,19254.04,19254.04,3
APR-DRG,1331,RESPIRATORY FAILURE,,,3992.77,3992.77,3
APR-DRG,1332,RESPIRATORY FAILURE,,,10026.3,10026.3,3
APR-DRG,1333,RESPIRATORY FAILURE,,,17479.48,17479.48,3
APR-DRG,1334,RESPIRATORY FAILURE,,,22536.99,22536.99,3
APR-DRG,1341,PULMONARY EMBOLISM,,,5146.24,5146.24,3
APR-DRG,1342,PULMONARY EMBOLISM,,,7275.72,7275.72,3
APR-DRG,1343,PULMONARY EMBOLISM,,,13043.06,13043.06,3
APR-DRG,1344,PULMONARY EMBOLISM,,,17302.02,17302.02,3
APR-DRG,1351,MAJOR CHEST & RESPIRATORY TRAUMA,,,7009.54,7009.54,3
APR-DRG,1352,MAJOR CHEST & RESPIRATORY TRAUMA,,,7364.45,7364.45,3
APR-DRG,1353,MAJOR CHEST & RESPIRATORY TRAUMA,,,13930.34,13930.34,3
APR-DRG,1354,MAJOR CHEST & RESPIRATORY TRAUMA,,,16592.19,16592.19,3
APR-DRG,1361,RESPIRATORY MALIGNANCY,,,5323.7,5323.7,3
APR-DRG,1362,RESPIRATORY MALIGNANCY,,,9582.66,9582.66,3
APR-DRG,1363,RESPIRATORY MALIGNANCY,,,15438.72,15438.72,3
APR-DRG,1364,RESPIRATORY MALIGNANCY,,,20141.32,20141.32,3
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,4613.87,4613.87,3
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,8872.83,8872.83,3
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,8872.83,8872.83,3
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS,,,17124.56,17124.56,3
APR-DRG,1381,BRONCHIOLITIS & RSV PNEUMONIA,,,3282.95,3282.95,3
APR-DRG,1382,BRONCHIOLITIS & RSV PNEUMONIA,,,4968.78,4968.78,3
APR-DRG,1383,BRONCHIOLITIS & RSV PNEUMONIA,,,7098.26,7098.26,3
APR-DRG,1384,BRONCHIOLITIS & RSV PNEUMONIA,,,11357.22,11357.22,3
APR-DRG,1391,OTHER PNEUMONIA,,,4170.23,4170.23,3
APR-DRG,1392,OTHER PNEUMONIA,,,6565.89,6565.89,3
APR-DRG,1393,OTHER PNEUMONIA,,,9848.84,9848.84,3
APR-DRG,1394,OTHER PNEUMONIA,,,17745.66,17745.66,3
APR-DRG,14,LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT,,,108159.8,108159.8,3
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5856.07,5856.07,3
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,7186.99,7186.99,3
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,9139.01,9139.01,3
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,14019.07,14019.07,3
APR-DRG,1411,ASTHMA,,,3460.4,3460.4,3
APR-DRG,1412,ASTHMA,,,5501.15,5501.15,3
APR-DRG,1413,ASTHMA,,,7098.26,7098.26,3
APR-DRG,1414,ASTHMA,,,12421.96,12421.96,3
APR-DRG,1421,INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,4613.87,4613.87,3
APR-DRG,1422,INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,6299.71,6299.71,3
APR-DRG,1423,INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,7896.82,7896.82,3
APR-DRG,1424,INTERSTITIAL & ALVEOLAR LUNG DISEASES,,,11712.14,11712.14,3
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,4968.78,4968.78,3
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,7453.18,7453.18,3
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,11357.22,11357.22,3
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,21738.43,21738.43,3
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,4258.96,4258.96,3
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,6477.17,6477.17,3
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,7009.54,7009.54,3
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES",,,12421.96,12421.96,3
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,3549.13,3549.13,3
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6210.98,6210.98,3
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6210.98,6210.98,3
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,12244.51,12244.51,3
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,25819.94,25819.94,3
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,37620.8,37620.8,3
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,60069.06,60069.06,3
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,98222.23,98222.23,3
APR-DRG,1611,CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,126171.64,126171.64,3
APR-DRG,1612,CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,132826.27,132826.27,3
APR-DRG,1613,CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,211173.35,211173.35,3
APR-DRG,1614,CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT,,,288366.98,288366.98,3
APR-DRG,1621,CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,33095.66,33095.66,3
APR-DRG,1622,CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,39572.82,39572.82,3
APR-DRG,1623,CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,54567.9,54567.9,3
APR-DRG,1624,CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX,,,102037.55,102037.55,3
APR-DRG,1631,CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,42057.21,42057.21,3
APR-DRG,1632,CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,43210.68,43210.68,3
APR-DRG,1633,CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,61666.17,61666.17,3
APR-DRG,1634,CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX,,,98932.05,98932.05,3
APR-DRG,1651,CORONARY BYPASS W AMI OR COMPLEX PDX,,,33805.48,33805.48,3
APR-DRG,1652,CORONARY BYPASS W AMI OR COMPLEX PDX,,,38863.0,38863.0,3
APR-DRG,1653,CORONARY BYPASS W AMI OR COMPLEX PDX,,,53680.62,53680.62,3
APR-DRG,1654,CORONARY BYPASS W AMI OR COMPLEX PDX,,,79056.92,79056.92,3
APR-DRG,1661,CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,32740.74,32740.74,3
APR-DRG,1662,CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,35757.5,35757.5,3
APR-DRG,1663,CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,40371.38,40371.38,3
APR-DRG,1664,CORONARY BYPASS W/O AMI OR COMPLEX PDX,,,63884.38,63884.38,3
APR-DRG,1671,OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,27062.13,27062.13,3
APR-DRG,1672,OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,33273.11,33273.11,3
APR-DRG,1673,OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,47114.73,47114.73,3
APR-DRG,1674,OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES,,,61666.17,61666.17,3
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,22891.9,22891.9,3
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,31942.19,31942.19,3
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,43565.6,43565.6,3
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,47026.0,47026.0,3
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,19697.68,19697.68,3
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,22359.53,22359.53,3
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,23513.0,23513.0,3
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK",,,39839.01,39839.01,3
APR-DRG,1711,"PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,18011.84,18011.84,3
APR-DRG,1712,"PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,20673.69,20673.69,3
APR-DRG,1713,"PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,20673.69,20673.69,3
APR-DRG,1714,"PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK",,,34870.22,34870.22,3
APR-DRG,1741,PERCUTANEOUS CORONARY INTERVENTION W AMI,,,15083.81,15083.81,3
APR-DRG,1742,PERCUTANEOUS CORONARY INTERVENTION W AMI,,,18189.3,18189.3,3
APR-DRG,1743,PERCUTANEOUS CORONARY INTERVENTION W AMI,,,20584.97,20584.97,3
APR-DRG,1744,PERCUTANEOUS CORONARY INTERVENTION W AMI,,,30699.99,30699.99,3
APR-DRG,1751,PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,20407.51,20407.51,3
APR-DRG,1752,PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,21383.52,21383.52,3
APR-DRG,1753,PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,29635.25,29635.25,3
APR-DRG,1754,PERCUTANEOUS CORONARY INTERVENTION W/O AMI,,,32918.2,32918.2,3
APR-DRG,1761,CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,12510.69,12510.69,3
APR-DRG,1762,CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,15971.09,15971.09,3
APR-DRG,1763,CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,22093.35,22093.35,3
APR-DRG,1764,CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT,,,45783.8,45783.8,3
APR-DRG,1771,CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,11357.22,11357.22,3
APR-DRG,1772,CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,14019.07,14019.07,3
APR-DRG,1773,CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,21560.98,21560.98,3
APR-DRG,1774,CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,26618.49,26618.49,3
APR-DRG,1801,OTHER CIRCULATORY SYSTEM PROCEDURES,,,10736.12,10736.12,3
APR-DRG,1802,OTHER CIRCULATORY SYSTEM PROCEDURES,,,12067.05,12067.05,3
APR-DRG,1803,OTHER CIRCULATORY SYSTEM PROCEDURES,,,26174.85,26174.85,3
APR-DRG,1804,OTHER CIRCULATORY SYSTEM PROCEDURES,,,28304.33,28304.33,3
APR-DRG,1811,LOWER EXTREMITY ARTERIAL PROCEDURES,,,13575.43,13575.43,3
APR-DRG,1812,LOWER EXTREMITY ARTERIAL PROCEDURES,,,24489.01,24489.01,3
APR-DRG,1813,LOWER EXTREMITY ARTERIAL PROCEDURES,,,36733.52,36733.52,3
APR-DRG,1814,LOWER EXTREMITY ARTERIAL PROCEDURES,,,40815.02,40815.02,3
APR-DRG,1821,OTHER PERIPHERAL VASCULAR PROCEDURES,,,18987.86,18987.86,3
APR-DRG,1822,OTHER PERIPHERAL VASCULAR PROCEDURES,,,19342.77,19342.77,3
APR-DRG,1823,OTHER PERIPHERAL VASCULAR PROCEDURES,,,31853.46,31853.46,3
APR-DRG,1824,OTHER PERIPHERAL VASCULAR PROCEDURES,,,59714.15,59714.15,3
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION,,,6033.52,6033.52,3
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION,,,7364.45,7364.45,3
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION,,,11623.41,11623.41,3
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION,,,18011.84,18011.84,3
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,7630.63,7630.63,3
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,10203.75,10203.75,3
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,11889.59,11889.59,3
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,16680.92,16680.92,3
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,9671.38,9671.38,3
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,12954.33,12954.33,3
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,19165.31,19165.31,3
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,31853.46,31853.46,3
APR-DRG,1931,ACUTE & SUBACUTE ENDOCARDITIS,,,6832.08,6832.08,3
APR-DRG,1932,ACUTE & SUBACUTE ENDOCARDITIS,,,8163.0,8163.0,3
APR-DRG,1933,ACUTE & SUBACUTE ENDOCARDITIS,,,10824.85,10824.85,3
APR-DRG,1934,ACUTE & SUBACUTE ENDOCARDITIS,,,16592.19,16592.19,3
APR-DRG,1941,HEART FAILURE,,,5146.24,5146.24,3
APR-DRG,1942,HEART FAILURE,,,7719.36,7719.36,3
APR-DRG,1943,HEART FAILURE,,,11357.22,11357.22,3
APR-DRG,1944,HEART FAILURE,,,21827.16,21827.16,3
APR-DRG,1961,CARDIAC ARREST & SHOCK,,,3371.68,3371.68,3
APR-DRG,1962,CARDIAC ARREST & SHOCK,,,4258.96,4258.96,3
APR-DRG,1963,CARDIAC ARREST & SHOCK,,,9316.47,9316.47,3
APR-DRG,1964,CARDIAC ARREST & SHOCK,,,13752.89,13752.89,3
APR-DRG,1971,PERIPHERAL & OTHER VASCULAR DISORDERS,,,6565.89,6565.89,3
APR-DRG,1972,PERIPHERAL & OTHER VASCULAR DISORDERS,,,7808.09,7808.09,3
APR-DRG,1973,PERIPHERAL & OTHER VASCULAR DISORDERS,,,12421.96,12421.96,3
APR-DRG,1974,PERIPHERAL & OTHER VASCULAR DISORDERS,,,14817.63,14817.63,3
APR-DRG,1981,ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,4525.14,4525.14,3
APR-DRG,1982,ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,5856.07,5856.07,3
APR-DRG,1983,ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,6210.98,6210.98,3
APR-DRG,1984,ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS,,,11712.14,11712.14,3
APR-DRG,1991,HYPERTENSION,,,5767.34,5767.34,3
APR-DRG,1992,HYPERTENSION,,,6477.17,6477.17,3
APR-DRG,1993,HYPERTENSION,,,9316.47,9316.47,3
APR-DRG,1994,HYPERTENSION,,,9316.47,9316.47,3
APR-DRG,2001,CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,5501.15,5501.15,3
APR-DRG,2002,CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,5501.15,5501.15,3
APR-DRG,2003,CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,8074.28,8074.28,3
APR-DRG,2004,CARDIAC STRUCTURAL & VALVULAR DISORDERS,,,9848.84,9848.84,3
APR-DRG,201,CRANIOTOMY FOR TRAUMA,,,18721.67,18721.67,3
APR-DRG,2011,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,5412.43,5412.43,3
APR-DRG,2012,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,7364.45,7364.45,3
APR-DRG,2013,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,11179.77,11179.77,3
APR-DRG,2014,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS,,,17656.93,17656.93,3
APR-DRG,202,CRANIOTOMY FOR TRAUMA,,,18721.67,18721.67,3
APR-DRG,203,CRANIOTOMY FOR TRAUMA,,,22891.9,22891.9,3
APR-DRG,2031,CHEST PAIN,,,4613.87,4613.87,3
APR-DRG,2032,CHEST PAIN,,,6388.44,6388.44,3
APR-DRG,2033,CHEST PAIN,,,6388.44,6388.44,3
APR-DRG,2034,CHEST PAIN,,,9493.93,9493.93,3
APR-DRG,204,CRANIOTOMY FOR TRAUMA,,,44985.25,44985.25,3
APR-DRG,2041,SYNCOPE & COLLAPSE,,,5678.61,5678.61,3
APR-DRG,2042,SYNCOPE & COLLAPSE,,,6477.17,6477.17,3
APR-DRG,2043,SYNCOPE & COLLAPSE,,,11445.95,11445.95,3
APR-DRG,2044,SYNCOPE & COLLAPSE,,,11445.95,11445.95,3
APR-DRG,2051,CARDIOMYOPATHY,,,4525.14,4525.14,3
APR-DRG,2052,CARDIOMYOPATHY,,,5856.07,5856.07,3
APR-DRG,2053,CARDIOMYOPATHY,,,9582.66,9582.66,3
APR-DRG,2054,CARDIOMYOPATHY,,,14817.63,14817.63,3
APR-DRG,2061,"MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,7009.54,7009.54,3
APR-DRG,2062,"MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,10292.48,10292.48,3
APR-DRG,2063,"MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,15083.81,15083.81,3
APR-DRG,2064,"MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE",,,16592.19,16592.19,3
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,5767.34,5767.34,3
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,7719.36,7719.36,3
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,14019.07,14019.07,3
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,14019.07,14019.07,3
APR-DRG,21,HEART &/OR LUNG TRANSPLANT,,,78258.36,78258.36,3
APR-DRG,211,CRANIOTOMY EXCEPT FOR TRAUMA,,,19786.41,19786.41,3
APR-DRG,212,CRANIOTOMY EXCEPT FOR TRAUMA,,,29369.07,29369.07,3
APR-DRG,213,CRANIOTOMY EXCEPT FOR TRAUMA,,,44985.25,44985.25,3
APR-DRG,214,CRANIOTOMY EXCEPT FOR TRAUMA,,,74265.59,74265.59,3
APR-DRG,22,HEART &/OR LUNG TRANSPLANT,,,78258.36,78258.36,3
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,13486.7,13486.7,3
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,19165.31,19165.31,3
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,35668.78,35668.78,3
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,63352.01,63352.01,3
APR-DRG,221,VENTRICULAR SHUNT PROCEDURES,,,12954.33,12954.33,3
APR-DRG,222,VENTRICULAR SHUNT PROCEDURES,,,16414.74,16414.74,3
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,5767.34,5767.34,3
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,18011.84,18011.84,3
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,18011.84,18011.84,3
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES",,,31232.36,31232.36,3
APR-DRG,223,VENTRICULAR SHUNT PROCEDURES,,,19254.04,19254.04,3
APR-DRG,2231,OTHER SMALL & LARGE BOWEL PROCEDURES,,,8429.19,8429.19,3
APR-DRG,2232,OTHER SMALL & LARGE BOWEL PROCEDURES,,,14019.07,14019.07,3
APR-DRG,2233,OTHER SMALL & LARGE BOWEL PROCEDURES,,,16503.46,16503.46,3
APR-DRG,2234,OTHER SMALL & LARGE BOWEL PROCEDURES,,,37975.71,37975.71,3
APR-DRG,224,VENTRICULAR SHUNT PROCEDURES,,,40371.38,40371.38,3
APR-DRG,2241,PERITONEAL ADHESIOLYSIS,,,12688.15,12688.15,3
APR-DRG,2242,PERITONEAL ADHESIOLYSIS,,,14019.07,14019.07,3
APR-DRG,2243,PERITONEAL ADHESIOLYSIS,,,20141.32,20141.32,3
APR-DRG,2244,PERITONEAL ADHESIOLYSIS,,,29635.25,29635.25,3
APR-DRG,2261,ANAL PROCEDURES,,,7719.36,7719.36,3
APR-DRG,2262,ANAL PROCEDURES,,,10292.48,10292.48,3
APR-DRG,2263,ANAL PROCEDURES,,,14196.53,14196.53,3
APR-DRG,2264,ANAL PROCEDURES,,,18899.13,18899.13,3
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,9937.57,9937.57,3
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,17479.48,17479.48,3
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,21383.52,21383.52,3
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL",,,31232.36,31232.36,3
APR-DRG,2281,"INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,6122.25,6122.25,3
APR-DRG,2282,"INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,10292.48,10292.48,3
APR-DRG,2283,"INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,13397.97,13397.97,3
APR-DRG,2284,"INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES",,,29191.61,29191.61,3
APR-DRG,2291,OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,12776.88,12776.88,3
APR-DRG,2292,OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,13397.97,13397.97,3
APR-DRG,2293,OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,22448.26,22448.26,3
APR-DRG,2294,OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES,,,31587.27,31587.27,3
APR-DRG,23,HEART &/OR LUNG TRANSPLANT,,,102392.46,102392.46,3
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES,,,16326.01,16326.01,3
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES,,,20052.6,20052.6,3
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES,,,32829.47,32829.47,3
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES,,,48978.02,48978.02,3
APR-DRG,231,SPINAL PROCEDURES,,,10203.75,10203.75,3
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES,,,14640.17,14640.17,3
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES,,,19254.04,19254.04,3
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES,,,23867.91,23867.91,3
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES,,,45695.07,45695.07,3
APR-DRG,232,SPINAL PROCEDURES,,,19786.41,19786.41,3
APR-DRG,2321,GASTRIC FUNDOPLICATION,,,6832.08,6832.08,3
APR-DRG,2322,GASTRIC FUNDOPLICATION,,,12688.15,12688.15,3
APR-DRG,2323,GASTRIC FUNDOPLICATION,,,16769.65,16769.65,3
APR-DRG,2324,GASTRIC FUNDOPLICATION,,,36822.24,36822.24,3
APR-DRG,233,SPINAL PROCEDURES,,,30699.99,30699.99,3
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,11534.68,11534.68,3
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,13752.89,13752.89,3
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,16148.55,16148.55,3
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,25997.39,25997.39,3
APR-DRG,234,SPINAL PROCEDURES,,,44452.88,44452.88,3
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,6565.89,6565.89,3
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,8163.0,8163.0,3
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,13486.7,13486.7,3
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,23956.64,23956.64,3
APR-DRG,24,HEART &/OR LUNG TRANSPLANT,,,163703.71,163703.71,3
APR-DRG,2401,DIGESTIVE MALIGNANCY,,,6743.35,6743.35,3
APR-DRG,2402,DIGESTIVE MALIGNANCY,,,9671.38,9671.38,3
APR-DRG,2403,DIGESTIVE MALIGNANCY,,,16503.46,16503.46,3
APR-DRG,2404,DIGESTIVE MALIGNANCY,,,16503.46,16503.46,3
APR-DRG,241,EXTRACRANIAL VASCULAR PROCEDURES,,,8961.56,8961.56,3
APR-DRG,2411,PEPTIC ULCER & GASTRITIS,,,5767.34,5767.34,3
APR-DRG,2412,PEPTIC ULCER & GASTRITIS,,,7541.91,7541.91,3
APR-DRG,2413,PEPTIC ULCER & GASTRITIS,,,11268.49,11268.49,3
APR-DRG,2414,PEPTIC ULCER & GASTRITIS,,,16858.38,16858.38,3
APR-DRG,242,EXTRACRANIAL VASCULAR PROCEDURES,,,13664.16,13664.16,3
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS,,,4525.14,4525.14,3
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS,,,7098.26,7098.26,3
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS,,,13397.97,13397.97,3
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS,,,17834.39,17834.39,3
APR-DRG,243,EXTRACRANIAL VASCULAR PROCEDURES,,,18632.94,18632.94,3
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS,,,3904.05,3904.05,3
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS,,,7009.54,7009.54,3
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS,,,10824.85,10824.85,3
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS,,,18189.3,18189.3,3
APR-DRG,244,EXTRACRANIAL VASCULAR PROCEDURES,,,33184.38,33184.38,3
APR-DRG,2441,DIVERTICULITIS & DIVERTICULOSIS,,,5234.97,5234.97,3
APR-DRG,2442,DIVERTICULITIS & DIVERTICULOSIS,,,7009.54,7009.54,3
APR-DRG,2443,DIVERTICULITIS & DIVERTICULOSIS,,,12333.23,12333.23,3
APR-DRG,2444,DIVERTICULITIS & DIVERTICULOSIS,,,15438.72,15438.72,3
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE,,,6122.25,6122.25,3
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE,,,8517.92,8517.92,3
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE,,,11534.68,11534.68,3
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE,,,15083.81,15083.81,3
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,5323.7,5323.7,3
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6210.98,6210.98,3
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,8163.0,8163.0,3
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,11889.59,11889.59,3
APR-DRG,2471,INTESTINAL OBSTRUCTION,,,3637.86,3637.86,3
APR-DRG,2472,INTESTINAL OBSTRUCTION,,,6122.25,6122.25,3
APR-DRG,2473,INTESTINAL OBSTRUCTION,,,11002.31,11002.31,3
APR-DRG,2474,INTESTINAL OBSTRUCTION,,,13930.34,13930.34,3
APR-DRG,2481,MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,5767.34,5767.34,3
APR-DRG,2482,MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,8695.37,8695.37,3
APR-DRG,2483,MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,15616.18,15616.18,3
APR-DRG,2484,MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS,,,17213.29,17213.29,3
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA & VOMITING",,,3904.05,3904.05,3
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA & VOMITING",,,5234.97,5234.97,3
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA & VOMITING",,,11357.22,11357.22,3
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA & VOMITING",,,12865.6,12865.6,3
APR-DRG,2511,ABDOMINAL PAIN,,,4170.23,4170.23,3
APR-DRG,2512,ABDOMINAL PAIN,,,5678.61,5678.61,3
APR-DRG,2513,ABDOMINAL PAIN,,,7364.45,7364.45,3
APR-DRG,2514,ABDOMINAL PAIN,,,12155.78,12155.78,3
APR-DRG,2521,"MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,6033.52,6033.52,3
APR-DRG,2522,"MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,9582.66,9582.66,3
APR-DRG,2523,"MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,13043.06,13043.06,3
APR-DRG,2524,"MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE",,,17213.29,17213.29,3
APR-DRG,2531,OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,5589.88,5589.88,3
APR-DRG,2532,OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,7453.18,7453.18,3
APR-DRG,2533,OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,12067.05,12067.05,3
APR-DRG,2534,OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,14906.35,14906.35,3
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,4702.6,4702.6,3
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,7896.82,7896.82,3
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,13043.06,13043.06,3
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,13575.43,13575.43,3
APR-DRG,2601,"MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,14462.71,14462.71,3
APR-DRG,2602,"MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,23601.73,23601.73,3
APR-DRG,2603,"MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,26174.85,26174.85,3
APR-DRG,2604,"MAJOR PANCREAS, LIVER & SHUNT PROCEDURES",,,50663.86,50663.86,3
APR-DRG,261,OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,11712.14,11712.14,3
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES,,,10913.58,10913.58,3
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES,,,18455.49,18455.49,3
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES,,,18544.21,18544.21,3
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES,,,45783.8,45783.8,3
APR-DRG,262,OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,14817.63,14817.63,3
APR-DRG,263,OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,21472.25,21472.25,3
APR-DRG,2631,CHOLECYSTECTOMY,,,9227.74,9227.74,3
APR-DRG,2632,CHOLECYSTECTOMY,,,11623.41,11623.41,3
APR-DRG,2633,CHOLECYSTECTOMY,,,16858.38,16858.38,3
APR-DRG,2634,CHOLECYSTECTOMY,,,25731.21,25731.21,3
APR-DRG,264,OTHER NERVOUS SYSTEM & RELATED PROCEDURES,,,39040.45,39040.45,3
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,11002.31,11002.31,3
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,13486.7,13486.7,3
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,18366.76,18366.76,3
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES",,,38508.08,38508.08,3
APR-DRG,271,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Non Sterile Supply,,,14196.53,14196.53,3
APR-DRG,272,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Sterile Supply,,,18544.21,18544.21,3
APR-DRG,273,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Take Home Supplies,,,30345.08,30345.08,3
APR-DRG,274,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Prosthetic/Orthotic Devices,,,46493.63,46493.63,3
APR-DRG,2791,HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,5234.97,5234.97,3
APR-DRG,2792,HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,8606.65,8606.65,3
APR-DRG,2793,HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,12244.51,12244.51,3
APR-DRG,2794,HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS,,,16237.28,16237.28,3
APR-DRG,2801,ALCOHOLIC LIVER DISEASE,,,4347.69,4347.69,3
APR-DRG,2802,ALCOHOLIC LIVER DISEASE,,,7630.63,7630.63,3
APR-DRG,2803,ALCOHOLIC LIVER DISEASE,,,11445.95,11445.95,3
APR-DRG,2804,ALCOHOLIC LIVER DISEASE,,,27239.59,27239.59,3
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,6388.44,6388.44,3
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,8695.37,8695.37,3
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,11978.32,11978.32,3
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS,,,12510.69,12510.69,3
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,5234.97,5234.97,3
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,6832.08,6832.08,3
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,12510.69,12510.69,3
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,20407.51,20407.51,3
APR-DRG,2831,OTHER DISORDERS OF THE LIVER,,,4081.5,4081.5,3
APR-DRG,2832,OTHER DISORDERS OF THE LIVER,,,6210.98,6210.98,3
APR-DRG,2833,OTHER DISORDERS OF THE LIVER,,,11091.04,11091.04,3
APR-DRG,2834,OTHER DISORDERS OF THE LIVER,,,15704.91,15704.91,3
APR-DRG,2841,DISORDERS OF GALLBLADDER & BILIARY TRACT,,,5589.88,5589.88,3
APR-DRG,2842,DISORDERS OF GALLBLADDER & BILIARY TRACT,,,6743.35,6743.35,3
APR-DRG,2843,DISORDERS OF GALLBLADDER & BILIARY TRACT,,,13397.97,13397.97,3
APR-DRG,2844,DISORDERS OF GALLBLADDER & BILIARY TRACT,,,17124.56,17124.56,3
APR-DRG,291,Durable Medical Equipment (Other Than Renal) - Rental,,,16237.28,16237.28,3
APR-DRG,292,Durable Medical Equipment (Other Than Renal) - Purchase of New DME,,,17124.56,17124.56,3
APR-DRG,293,Durable Medical Equipment (Other Than Renal) - Purchase of Used DME,,,21915.89,21915.89,3
APR-DRG,294,Durable Medical Equipment (Other Than Renal) - Supplies/Drugs for DME,,,33184.38,33184.38,3
APR-DRG,301,Laboratory - Chemistry,,,21206.06,21206.06,3
APR-DRG,302,Laboratory - Immunology,,,31853.46,31853.46,3
APR-DRG,303,Laboratory - Renal Patient (Home),,,43831.78,43831.78,3
APR-DRG,3031,DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,61488.71,61488.71,3
APR-DRG,3032,DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,61488.71,61488.71,3
APR-DRG,3033,DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,61488.71,61488.71,3
APR-DRG,3034,DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK,,,76395.07,76395.07,3
APR-DRG,304,Laboratory - Non-Routine Dialysis,,,59536.69,59536.69,3
APR-DRG,3041,DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,31409.82,31409.82,3
APR-DRG,3042,DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,35580.05,35580.05,3
APR-DRG,3043,DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,46671.09,46671.09,3
APR-DRG,3044,DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK,,,55189.0,55189.0,3
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,7808.09,7808.09,3
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,17479.48,17479.48,3
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,27683.23,27683.23,3
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,41081.2,41081.2,3
APR-DRG,3081,HIP & FEMUR FRACTURE REPAIR,,,13309.25,13309.25,3
APR-DRG,3082,HIP & FEMUR FRACTURE REPAIR,,,20052.6,20052.6,3
APR-DRG,3083,HIP & FEMUR FRACTURE REPAIR,,,28747.97,28747.97,3
APR-DRG,3084,HIP & FEMUR FRACTURE REPAIR,,,39129.18,39129.18,3
APR-DRG,3091,OTHER SIGNIFICANT HIP & FEMUR SURGERY,,,18632.94,18632.94,3
APR-DRG,3092,OTHER SIGNIFICANT HIP & FEMUR SURGERY,,,19431.5,19431.5,3
APR-DRG,3093,OTHER SIGNIFICANT HIP & FEMUR SURGERY,,,34958.95,34958.95,3
APR-DRG,3094,OTHER SIGNIFICANT HIP & FEMUR SURGERY,,,38596.81,38596.81,3
APR-DRG,3101,INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,12599.42,12599.42,3
APR-DRG,3102,INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,15261.27,15261.27,3
APR-DRG,3103,INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,29901.44,29901.44,3
APR-DRG,3104,INTERVERTEBRAL DISC EXCISION & DECOMPRESSION,,,34781.49,34781.49,3
APR-DRG,3121,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,11179.77,11179.77,3
APR-DRG,3122,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,20141.32,20141.32,3
APR-DRG,3123,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,26795.95,26795.95,3
APR-DRG,3124,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES",,,56165.01,56165.01,3
APR-DRG,3131,KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,13575.43,13575.43,3
APR-DRG,3132,KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,17834.39,17834.39,3
APR-DRG,3133,KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,25731.21,25731.21,3
APR-DRG,3134,KNEE & LOWER LEG PROCEDURES EXCEPT FOOT,,,36289.87,36289.87,3
APR-DRG,3141,FOOT & TOE PROCEDURES,,,10381.21,10381.21,3
APR-DRG,3142,FOOT & TOE PROCEDURES,,,11978.32,11978.32,3
APR-DRG,3143,FOOT & TOE PROCEDURES,,,18987.86,18987.86,3
APR-DRG,3144,FOOT & TOE PROCEDURES,,,22359.53,22359.53,3
APR-DRG,3151,"SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,7808.09,7808.09,3
APR-DRG,3152,"SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,13664.16,13664.16,3
APR-DRG,3153,"SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,21649.71,21649.71,3
APR-DRG,3154,"SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,41258.66,41258.66,3
APR-DRG,3161,HAND & WRIST PROCEDURES,,,6832.08,6832.08,3
APR-DRG,3162,HAND & WRIST PROCEDURES,,,10824.85,10824.85,3
APR-DRG,3163,HAND & WRIST PROCEDURES,,,14373.98,14373.98,3
APR-DRG,3164,HAND & WRIST PROCEDURES,,,27949.41,27949.41,3
APR-DRG,3171,"TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,10115.03,10115.03,3
APR-DRG,3172,"TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,14107.8,14107.8,3
APR-DRG,3173,"TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,16148.55,16148.55,3
APR-DRG,3174,"TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES",,,29901.44,29901.44,3
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,13309.25,13309.25,3
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,14462.71,14462.71,3
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,18544.21,18544.21,3
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES,,,29280.34,29280.34,3
APR-DRG,3211,CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,18899.13,18899.13,3
APR-DRG,3212,CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,24134.1,24134.1,3
APR-DRG,3213,CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,32297.1,32297.1,3
APR-DRG,3214,CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP,,,38774.27,38774.27,3
APR-DRG,3221,SHOULDER & ELBOW JOINT REPLACEMENT,,,13930.34,13930.34,3
APR-DRG,3222,SHOULDER & ELBOW JOINT REPLACEMENT,,,15793.64,15793.64,3
APR-DRG,3223,SHOULDER & ELBOW JOINT REPLACEMENT,,,21738.43,21738.43,3
APR-DRG,3224,SHOULDER & ELBOW JOINT REPLACEMENT,,,23158.09,23158.09,3
APR-DRG,3401,FRACTURE OF FEMUR,,,3815.32,3815.32,3
APR-DRG,3402,FRACTURE OF FEMUR,,,4702.6,4702.6,3
APR-DRG,3403,FRACTURE OF FEMUR,,,6299.71,6299.71,3
APR-DRG,3404,FRACTURE OF FEMUR,,,11712.14,11712.14,3
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,4525.14,4525.14,3
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,7896.82,7896.82,3
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,7896.82,7896.82,3
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,9760.11,9760.11,3
APR-DRG,3421,"FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,5589.88,5589.88,3
APR-DRG,3422,"FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,8517.92,8517.92,3
APR-DRG,3423,"FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,8517.92,8517.92,3
APR-DRG,3424,"FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK",,,15882.37,15882.37,3
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,6210.98,6210.98,3
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,7630.63,7630.63,3
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,12954.33,12954.33,3
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG,,,18100.57,18100.57,3
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,5856.07,5856.07,3
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,9582.66,9582.66,3
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,16326.01,16326.01,3
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS",,,18721.67,18721.67,3
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS,,,8163.0,8163.0,3
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS,,,11712.14,11712.14,3
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS,,,13841.61,13841.61,3
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS,,,22270.8,22270.8,3
APR-DRG,3471,"OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,5944.8,5944.8,3
APR-DRG,3472,"OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,8340.46,8340.46,3
APR-DRG,3473,"OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,10913.58,10913.58,3
APR-DRG,3474,"OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES",,,17035.83,17035.83,3
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6122.25,6122.25,3
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,7630.63,7630.63,3
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,8872.83,8872.83,3
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,13575.43,13575.43,3
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,6299.71,6299.71,3
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,7364.45,7364.45,3
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,14019.07,14019.07,3
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES,,,14107.8,14107.8,3
APR-DRG,3611,SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,14196.53,14196.53,3
APR-DRG,3612,SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,17035.83,17035.83,3
APR-DRG,3613,SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,25465.02,25465.02,3
APR-DRG,3614,SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES,,,46049.99,46049.99,3
APR-DRG,3621,MASTECTOMY PROCEDURES,,,13397.97,13397.97,3
APR-DRG,3622,MASTECTOMY PROCEDURES,,,19431.5,19431.5,3
APR-DRG,3623,MASTECTOMY PROCEDURES,,,19697.68,19697.68,3
APR-DRG,3624,MASTECTOMY PROCEDURES,,,34958.95,34958.95,3
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY,,,12865.6,12865.6,3
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY,,,13664.16,13664.16,3
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY,,,20939.88,20939.88,3
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY,,,28215.6,28215.6,3
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,6210.98,6210.98,3
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,10824.85,10824.85,3
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,17302.02,17302.02,3
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES",,,26263.58,26263.58,3
APR-DRG,3801,SKIN ULCERS,,,4791.33,4791.33,3
APR-DRG,3802,SKIN ULCERS,,,9139.01,9139.01,3
APR-DRG,3803,SKIN ULCERS,,,14107.8,14107.8,3
APR-DRG,3804,SKIN ULCERS,,,19963.87,19963.87,3
APR-DRG,3811,MAJOR SKIN DISORDERS,,,3460.4,3460.4,3
APR-DRG,3812,MAJOR SKIN DISORDERS,,,5589.88,5589.88,3
APR-DRG,3813,MAJOR SKIN DISORDERS,,,11091.04,11091.04,3
APR-DRG,3814,MAJOR SKIN DISORDERS,,,21915.89,21915.89,3
APR-DRG,3821,MALIGNANT BREAST DISORDERS,,,5323.7,5323.7,3
APR-DRG,3822,MALIGNANT BREAST DISORDERS,,,6299.71,6299.71,3
APR-DRG,3823,MALIGNANT BREAST DISORDERS,,,9050.29,9050.29,3
APR-DRG,3824,MALIGNANT BREAST DISORDERS,,,10558.67,10558.67,3
APR-DRG,3831,CELLULITIS & OTHER SKIN INFECTIONS,,,4791.33,4791.33,3
APR-DRG,3832,CELLULITIS & OTHER SKIN INFECTIONS,,,6920.81,6920.81,3
APR-DRG,3833,CELLULITIS & OTHER SKIN INFECTIONS,,,13309.25,13309.25,3
APR-DRG,3834,CELLULITIS & OTHER SKIN INFECTIONS,,,14728.9,14728.9,3
APR-DRG,3841,"CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,6832.08,6832.08,3
APR-DRG,3842,"CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,8340.46,8340.46,3
APR-DRG,3843,"CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,9493.93,9493.93,3
APR-DRG,3844,"CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE",,,17035.83,17035.83,3
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,4968.78,4968.78,3
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,8074.28,8074.28,3
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,8074.28,8074.28,3
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS",,,15793.64,15793.64,3
APR-DRG,401,SPINAL DISORDERS & INJURIES,,,7186.99,7186.99,3
APR-DRG,4011,ADRENAL PROCEDURES,,,21028.61,21028.61,3
APR-DRG,4012,ADRENAL PROCEDURES,,,21028.61,21028.61,3
APR-DRG,4013,ADRENAL PROCEDURES,,,26174.85,26174.85,3
APR-DRG,4014,ADRENAL PROCEDURES,,,43920.51,43920.51,3
APR-DRG,402,SPINAL DISORDERS & INJURIES,,,10736.12,10736.12,3
APR-DRG,403,SPINAL DISORDERS & INJURIES,,,14019.07,14019.07,3
APR-DRG,4031,PROCEDURES FOR OBESITY,,,12244.51,12244.51,3
APR-DRG,4032,PROCEDURES FOR OBESITY,,,13043.06,13043.06,3
APR-DRG,4033,PROCEDURES FOR OBESITY,,,16592.19,16592.19,3
APR-DRG,4034,PROCEDURES FOR OBESITY,,,33273.11,33273.11,3
APR-DRG,404,SPINAL DISORDERS & INJURIES,,,25198.84,25198.84,3
APR-DRG,4041,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,10824.85,10824.85,3
APR-DRG,4042,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,12599.42,12599.42,3
APR-DRG,4043,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,19520.23,19520.23,3
APR-DRG,4044,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES",,,43121.95,43121.95,3
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,8517.92,8517.92,3
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,13220.52,13220.52,3
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,16858.38,16858.38,3
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS",,,32297.1,32297.1,3
APR-DRG,41,TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,,,42500.86,42500.86,3
APR-DRG,411,NERVOUS SYSTEM MALIGNANCY,,,6565.89,6565.89,3
APR-DRG,412,NERVOUS SYSTEM MALIGNANCY,,,11091.04,11091.04,3
APR-DRG,413,NERVOUS SYSTEM MALIGNANCY,,,17390.75,17390.75,3
APR-DRG,414,NERVOUS SYSTEM MALIGNANCY,,,17390.75,17390.75,3
APR-DRG,42,TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,,,64239.29,64239.29,3
APR-DRG,4201,DIABETES,,,4880.06,4880.06,3
APR-DRG,4202,DIABETES,,,5944.8,5944.8,3
APR-DRG,4203,DIABETES,,,9316.47,9316.47,3
APR-DRG,4204,DIABETES,,,19608.95,19608.95,3
APR-DRG,421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,5323.7,5323.7,3
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,4436.42,4436.42,3
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,8251.73,8251.73,3
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,13930.34,13930.34,3
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS",,,14019.07,14019.07,3
APR-DRG,422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,10469.94,10469.94,3
APR-DRG,4221,HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,3637.86,3637.86,3
APR-DRG,4222,HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,5057.51,5057.51,3
APR-DRG,4223,HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,9937.57,9937.57,3
APR-DRG,4224,HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS,,,9937.57,9937.57,3
APR-DRG,423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,10469.94,10469.94,3
APR-DRG,4231,INBORN ERRORS OF METABOLISM,,,4613.87,4613.87,3
APR-DRG,4232,INBORN ERRORS OF METABOLISM,,,7098.26,7098.26,3
APR-DRG,4233,INBORN ERRORS OF METABOLISM,,,8606.65,8606.65,3
APR-DRG,4234,INBORN ERRORS OF METABOLISM,,,20584.97,20584.97,3
APR-DRG,424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS,,,17745.66,17745.66,3
APR-DRG,4241,OTHER ENDOCRINE DISORDERS,,,5856.07,5856.07,3
APR-DRG,4242,OTHER ENDOCRINE DISORDERS,,,6299.71,6299.71,3
APR-DRG,4243,OTHER ENDOCRINE DISORDERS,,,15350.0,15350.0,3
APR-DRG,4244,OTHER ENDOCRINE DISORDERS,,,15350.0,15350.0,3
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,4791.33,4791.33,3
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,6654.62,6654.62,3
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,10026.3,10026.3,3
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,11623.41,11623.41,3
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS,,,4791.33,4791.33,3
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS,,,7009.54,7009.54,3
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS,,,13131.79,13131.79,3
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS,,,20673.69,20673.69,3
APR-DRG,4271,THYROID DISORDERS,,,4347.69,4347.69,3
APR-DRG,4272,THYROID DISORDERS,,,7985.55,7985.55,3
APR-DRG,4273,THYROID DISORDERS,,,8251.73,8251.73,3
APR-DRG,4274,THYROID DISORDERS,,,15704.91,15704.91,3
APR-DRG,43,TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,,,84912.98,84912.98,3
APR-DRG,431,MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,8429.19,8429.19,3
APR-DRG,432,MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,11978.32,11978.32,3
APR-DRG,433,MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,14906.35,14906.35,3
APR-DRG,434,MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES,,,27594.5,27594.5,3
APR-DRG,44,TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE,,,207801.68,207801.68,3
APR-DRG,4401,KIDNEY TRANSPLANT,,,35313.86,35313.86,3
APR-DRG,4402,KIDNEY TRANSPLANT,,,38153.17,38153.17,3
APR-DRG,4403,KIDNEY TRANSPLANT,,,59891.6,59891.6,3
APR-DRG,4404,KIDNEY TRANSPLANT,,,62642.18,62642.18,3
APR-DRG,441,INTRACRANIAL HEMORRHAGE,,,6477.17,6477.17,3
APR-DRG,4411,MAJOR BLADDER PROCEDURES,,,14640.17,14640.17,3
APR-DRG,4412,MAJOR BLADDER PROCEDURES,,,17568.2,17568.2,3
APR-DRG,4413,MAJOR BLADDER PROCEDURES,,,30522.54,30522.54,3
APR-DRG,4414,MAJOR BLADDER PROCEDURES,,,38064.44,38064.44,3
APR-DRG,442,INTRACRANIAL HEMORRHAGE,,,14817.63,14817.63,3
APR-DRG,4421,KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,10736.12,10736.12,3
APR-DRG,4422,KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,13664.16,13664.16,3
APR-DRG,4423,KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,19431.5,19431.5,3
APR-DRG,4424,KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY,,,36023.69,36023.69,3
APR-DRG,443,INTRACRANIAL HEMORRHAGE,,,18100.57,18100.57,3
APR-DRG,4431,KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,10203.75,10203.75,3
APR-DRG,4432,KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,14373.98,14373.98,3
APR-DRG,4433,KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,26707.22,26707.22,3
APR-DRG,4434,KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY,,,29990.17,29990.17,3
APR-DRG,444,INTRACRANIAL HEMORRHAGE,,,30699.99,30699.99,3
APR-DRG,4441,RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,,,7453.18,7453.18,3
APR-DRG,4442,RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,,,11978.32,11978.32,3
APR-DRG,4443,RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,,,28126.87,28126.87,3
APR-DRG,4444,RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR,,,29635.25,29635.25,3
APR-DRG,4451,OTHER BLADDER PROCEDURES,,,9760.11,9760.11,3
APR-DRG,4452,OTHER BLADDER PROCEDURES,,,10913.58,10913.58,3
APR-DRG,4453,OTHER BLADDER PROCEDURES,,,13930.34,13930.34,3
APR-DRG,4454,OTHER BLADDER PROCEDURES,,,24666.47,24666.47,3
APR-DRG,4461,URETHRAL & TRANSURETHRAL PROCEDURES,,,6654.62,6654.62,3
APR-DRG,4462,URETHRAL & TRANSURETHRAL PROCEDURES,,,10292.48,10292.48,3
APR-DRG,4463,URETHRAL & TRANSURETHRAL PROCEDURES,,,15704.91,15704.91,3
APR-DRG,4464,URETHRAL & TRANSURETHRAL PROCEDURES,,,26884.67,26884.67,3
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,9937.57,9937.57,3
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,11712.14,11712.14,3
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,15971.09,15971.09,3
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES",,,33982.94,33982.94,3
APR-DRG,451,CVA & PRECEREBRAL OCCLUSION W INFARCT,,,8163.0,8163.0,3
APR-DRG,452,CVA & PRECEREBRAL OCCLUSION W INFARCT,,,10381.21,10381.21,3
APR-DRG,453,CVA & PRECEREBRAL OCCLUSION W INFARCT,,,17834.39,17834.39,3
APR-DRG,454,CVA & PRECEREBRAL OCCLUSION W INFARCT,,,33095.66,33095.66,3
APR-DRG,461,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,7186.99,7186.99,3
APR-DRG,4611,KIDNEY & URINARY TRACT MALIGNANCY,,,5589.88,5589.88,3
APR-DRG,4612,KIDNEY & URINARY TRACT MALIGNANCY,,,6388.44,6388.44,3
APR-DRG,4613,KIDNEY & URINARY TRACT MALIGNANCY,,,9848.84,9848.84,3
APR-DRG,4614,KIDNEY & URINARY TRACT MALIGNANCY,,,12688.15,12688.15,3
APR-DRG,462,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,8429.19,8429.19,3
APR-DRG,4621,NEPHRITIS & NEPHROSIS,,,5412.43,5412.43,3
APR-DRG,4622,NEPHRITIS & NEPHROSIS,,,7098.26,7098.26,3
APR-DRG,4623,NEPHRITIS & NEPHROSIS,,,9760.11,9760.11,3
APR-DRG,4624,NEPHRITIS & NEPHROSIS,,,23246.81,23246.81,3
APR-DRG,463,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,8429.19,8429.19,3
APR-DRG,4631,KIDNEY & URINARY TRACT INFECTIONS,,,4791.33,4791.33,3
APR-DRG,4632,KIDNEY & URINARY TRACT INFECTIONS,,,6832.08,6832.08,3
APR-DRG,4633,KIDNEY & URINARY TRACT INFECTIONS,,,10647.4,10647.4,3
APR-DRG,4634,KIDNEY & URINARY TRACT INFECTIONS,,,11534.68,11534.68,3
APR-DRG,464,NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT,,,15882.37,15882.37,3
APR-DRG,4651,URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,5678.61,5678.61,3
APR-DRG,4652,URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,6565.89,6565.89,3
APR-DRG,4653,URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,8784.1,8784.1,3
APR-DRG,4654,URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,11091.04,11091.04,3
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,4436.42,4436.42,3
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,7541.91,7541.91,3
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,11268.49,11268.49,3
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,20851.15,20851.15,3
APR-DRG,4681,"OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,4525.14,4525.14,3
APR-DRG,4682,"OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,7364.45,7364.45,3
APR-DRG,4683,"OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,13309.25,13309.25,3
APR-DRG,4684,"OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS",,,13486.7,13486.7,3
APR-DRG,4691,ACUTE KIDNEY INJURY,,,4880.06,4880.06,3
APR-DRG,4692,ACUTE KIDNEY INJURY,,,7275.72,7275.72,3
APR-DRG,4693,ACUTE KIDNEY INJURY,,,13397.97,13397.97,3
APR-DRG,4694,ACUTE KIDNEY INJURY,,,33006.93,33006.93,3
APR-DRG,4701,CHRONIC KIDNEY DISEASE,,,4347.69,4347.69,3
APR-DRG,4702,CHRONIC KIDNEY DISEASE,,,8606.65,8606.65,3
APR-DRG,4703,CHRONIC KIDNEY DISEASE,,,11357.22,11357.22,3
APR-DRG,4704,CHRONIC KIDNEY DISEASE,,,22182.08,22182.08,3
APR-DRG,471,TRANSIENT ISCHEMIA,,,4347.69,4347.69,3
APR-DRG,472,TRANSIENT ISCHEMIA,,,7275.72,7275.72,3
APR-DRG,473,TRANSIENT ISCHEMIA,,,7630.63,7630.63,3
APR-DRG,474,TRANSIENT ISCHEMIA,,,11268.49,11268.49,3
APR-DRG,4801,MAJOR MALE PELVIC PROCEDURES,,,11091.04,11091.04,3
APR-DRG,4802,MAJOR MALE PELVIC PROCEDURES,,,12067.05,12067.05,3
APR-DRG,4803,MAJOR MALE PELVIC PROCEDURES,,,20318.78,20318.78,3
APR-DRG,4804,MAJOR MALE PELVIC PROCEDURES,,,33361.84,33361.84,3
APR-DRG,481,"PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,5944.8,5944.8,3
APR-DRG,482,"PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,6210.98,6210.98,3
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY,,,7719.36,7719.36,3
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY,,,9405.2,9405.2,3
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY,,,14817.63,14817.63,3
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY,,,24134.1,24134.1,3
APR-DRG,483,"PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,12067.05,12067.05,3
APR-DRG,4831,"PENIS, TESTES & SCROTAL PROCEDURES",,,9937.57,9937.57,3
APR-DRG,4832,"PENIS, TESTES & SCROTAL PROCEDURES",,,13309.25,13309.25,3
APR-DRG,4833,"PENIS, TESTES & SCROTAL PROCEDURES",,,19165.31,19165.31,3
APR-DRG,4834,"PENIS, TESTES & SCROTAL PROCEDURES",,,30433.81,30433.81,3
APR-DRG,484,"PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS",,,17390.75,17390.75,3
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,11002.31,11002.31,3
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,13043.06,13043.06,3
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,16592.19,16592.19,3
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,33805.48,33805.48,3
APR-DRG,491,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,8429.19,8429.19,3
APR-DRG,492,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,15438.72,15438.72,3
APR-DRG,493,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,18278.03,18278.03,3
APR-DRG,494,BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,27239.59,27239.59,3
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,4525.14,4525.14,3
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,6388.44,6388.44,3
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,9671.38,9671.38,3
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,16858.38,16858.38,3
APR-DRG,501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,6122.25,6122.25,3
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,4613.87,4613.87,3
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,7009.54,7009.54,3
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,7009.54,7009.54,3
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,16414.74,16414.74,3
APR-DRG,502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,9139.01,9139.01,3
APR-DRG,503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,15350.0,15350.0,3
APR-DRG,504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS,,,30877.45,30877.45,3
APR-DRG,51,TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,39927.74,39927.74,3
APR-DRG,5101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,11357.22,11357.22,3
APR-DRG,5102,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,11445.95,11445.95,3
APR-DRG,5103,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,21738.43,21738.43,3
APR-DRG,5104,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS",,,44807.79,44807.79,3
APR-DRG,511,VIRAL MENINGITIS,,,4968.78,4968.78,3
APR-DRG,5111,UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,11623.41,11623.41,3
APR-DRG,5112,UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,13309.25,13309.25,3
APR-DRG,5113,UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,17124.56,17124.56,3
APR-DRG,5114,UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY,,,40460.1,40460.1,3
APR-DRG,512,VIRAL MENINGITIS,,,5412.43,5412.43,3
APR-DRG,5121,UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,10736.12,10736.12,3
APR-DRG,5122,UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,11445.95,11445.95,3
APR-DRG,5123,UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,18100.57,18100.57,3
APR-DRG,5124,UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG,,,35934.96,35934.96,3
APR-DRG,513,VIRAL MENINGITIS,,,10736.12,10736.12,3
APR-DRG,5131,UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,7098.26,7098.26,3
APR-DRG,5132,UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,10115.03,10115.03,3
APR-DRG,5133,UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,14817.63,14817.63,3
APR-DRG,5134,UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,26973.4,26973.4,3
APR-DRG,514,VIRAL MENINGITIS,,,11445.95,11445.95,3
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,8074.28,8074.28,3
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,14019.07,14019.07,3
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,20584.97,20584.97,3
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,34426.58,34426.58,3
APR-DRG,5171,DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,6299.71,6299.71,3
APR-DRG,5172,DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,8517.92,8517.92,3
APR-DRG,5173,DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,10558.67,10558.67,3
APR-DRG,5174,DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,22803.17,22803.17,3
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,7630.63,7630.63,3
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,11091.04,11091.04,3
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,19608.95,19608.95,3
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES,,,33095.66,33095.66,3
APR-DRG,5191,UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,8251.73,8251.73,3
APR-DRG,5192,UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,12510.69,12510.69,3
APR-DRG,5193,UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,17834.39,17834.39,3
APR-DRG,5194,UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA,,,32297.1,32297.1,3
APR-DRG,52,TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,46404.9,46404.9,3
APR-DRG,521,ALTERATION IN CONSCIOUSNESS,,,5412.43,5412.43,3
APR-DRG,522,ALTERATION IN CONSCIOUSNESS,,,8163.0,8163.0,3
APR-DRG,523,ALTERATION IN CONSCIOUSNESS,,,10203.75,10203.75,3
APR-DRG,524,ALTERATION IN CONSCIOUSNESS,,,15438.72,15438.72,3
APR-DRG,53,TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,112507.48,112507.48,3
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,5234.97,5234.97,3
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,7985.55,7985.55,3
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,9493.93,9493.93,3
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,17035.83,17035.83,3
APR-DRG,531,SEIZURE,,,4347.69,4347.69,3
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,4347.69,4347.69,3
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,6122.25,6122.25,3
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,7364.45,7364.45,3
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,14551.44,14551.44,3
APR-DRG,532,SEIZURE,,,7009.54,7009.54,3
APR-DRG,5321,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4081.5,4081.5,3
APR-DRG,5322,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,5234.97,5234.97,3
APR-DRG,5323,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6388.44,6388.44,3
APR-DRG,5324,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,12067.05,12067.05,3
APR-DRG,533,SEIZURE,,,10824.85,10824.85,3
APR-DRG,534,SEIZURE,,,27683.23,27683.23,3
APR-DRG,54,TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE,,,144094.76,144094.76,3
APR-DRG,5401,CESAREAN DELIVERY,,,6565.89,6565.89,3
APR-DRG,5402,CESAREAN DELIVERY,,,8340.46,8340.46,3
APR-DRG,5403,CESAREAN DELIVERY,,,10647.4,10647.4,3
APR-DRG,5404,CESAREAN DELIVERY,,,18987.86,18987.86,3
APR-DRG,541,MIGRAINE & OTHER HEADACHES,,,4702.6,4702.6,3
APR-DRG,5411,VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,7364.45,7364.45,3
APR-DRG,5412,VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,7364.45,7364.45,3
APR-DRG,5413,VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,7364.45,7364.45,3
APR-DRG,5414,VAGINAL DELIVERY W STERILIZATION &/OR D&C,,,9671.38,9671.38,3
APR-DRG,542,MIGRAINE & OTHER HEADACHES,,,6565.89,6565.89,3
APR-DRG,5421,VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,6299.71,6299.71,3
APR-DRG,5422,VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,7364.45,7364.45,3
APR-DRG,5423,VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,8961.56,8961.56,3
APR-DRG,5424,VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C,,,14196.53,14196.53,3
APR-DRG,543,MIGRAINE & OTHER HEADACHES,,,6565.89,6565.89,3
APR-DRG,544,MIGRAINE & OTHER HEADACHES,,,11712.14,11712.14,3
APR-DRG,551,HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,5412.43,5412.43,3
APR-DRG,552,HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,10381.21,10381.21,3
APR-DRG,553,HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,17124.56,17124.56,3
APR-DRG,554,HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE,,,21560.98,21560.98,3
APR-DRG,5601,VAGINAL DELIVERY,,,5767.34,5767.34,3
APR-DRG,5602,VAGINAL DELIVERY,,,6388.44,6388.44,3
APR-DRG,5603,VAGINAL DELIVERY,,,7985.55,7985.55,3
APR-DRG,5604,VAGINAL DELIVERY,,,9582.66,9582.66,3
APR-DRG,561,"BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,6122.25,6122.25,3
APR-DRG,5611,POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,3371.68,3371.68,3
APR-DRG,5612,POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,4347.69,4347.69,3
APR-DRG,5613,POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,5944.8,5944.8,3
APR-DRG,5614,POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE,,,14019.07,14019.07,3
APR-DRG,562,"BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,7364.45,7364.45,3
APR-DRG,563,"BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,10558.67,10558.67,3
APR-DRG,564,"BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA",,,16947.11,16947.11,3
APR-DRG,5641,"ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4081.5,4081.5,3
APR-DRG,5642,"ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4791.33,4791.33,3
APR-DRG,5643,"ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5856.07,5856.07,3
APR-DRG,5644,"ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,13486.7,13486.7,3
APR-DRG,5661,OTHER ANTEPARTUM DIAGNOSES,,,4170.23,4170.23,3
APR-DRG,5662,OTHER ANTEPARTUM DIAGNOSES,,,5057.51,5057.51,3
APR-DRG,5663,OTHER ANTEPARTUM DIAGNOSES,,,7009.54,7009.54,3
APR-DRG,5664,OTHER ANTEPARTUM DIAGNOSES,,,13309.25,13309.25,3
APR-DRG,571,"CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,3637.86,3637.86,3
APR-DRG,572,"CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,6743.35,6743.35,3
APR-DRG,573,"CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,12688.15,12688.15,3
APR-DRG,574,"CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA",,,18632.94,18632.94,3
APR-DRG,5801,"NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,2750.58,2750.58,3
APR-DRG,5802,"NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,3460.4,3460.4,3
APR-DRG,5803,"NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,5678.61,5678.61,3
APR-DRG,5804,"NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE",,,9316.47,9316.47,3
APR-DRG,581,OTHER DISORDERS OF NERVOUS SYSTEM,,,7541.91,7541.91,3
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,976.01,976.01,3
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1419.65,1419.65,3
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,2129.48,2129.48,3
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3637.86,3637.86,3
APR-DRG,582,OTHER DISORDERS OF NERVOUS SYSTEM,,,9937.57,9937.57,3
APR-DRG,583,OTHER DISORDERS OF NERVOUS SYSTEM,,,15616.18,15616.18,3
APR-DRG,5831,NEONATE W ECMO,,,139037.25,139037.25,3
APR-DRG,5832,NEONATE W ECMO,,,160864.41,160864.41,3
APR-DRG,5833,NEONATE W ECMO,,,218094.16,218094.16,3
APR-DRG,5834,NEONATE W ECMO,,,275412.64,275412.64,3
APR-DRG,584,OTHER DISORDERS OF NERVOUS SYSTEM,,,25376.29,25376.29,3
APR-DRG,5881,NEONATE BWT <1500G W MAJOR PROCEDURE,,,93785.81,93785.81,3
APR-DRG,5882,NEONATE BWT <1500G W MAJOR PROCEDURE,,,142497.65,142497.65,3
APR-DRG,5883,NEONATE BWT <1500G W MAJOR PROCEDURE,,,145514.41,145514.41,3
APR-DRG,5884,NEONATE BWT <1500G W MAJOR PROCEDURE,,,203542.72,203542.72,3
APR-DRG,5891,NEONATE BWT <500G OR GA <24 WEEKS,,,44097.97,44097.97,3
APR-DRG,5892,NEONATE BWT <500G OR GA <24 WEEKS,,,36644.79,36644.79,3
APR-DRG,5893,NEONATE BWT <500G OR GA <24 WEEKS,,,29102.88,29102.88,3
APR-DRG,5894,NEONATE BWT <500G OR GA <24 WEEKS,,,621.1,621.1,3
APR-DRG,591,ANOXIC & OTHER SEVERE BRAIN DAMAGE,,,4702.6,4702.6,3
APR-DRG,5911,NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,1242.2,1242.2,3
APR-DRG,5912,NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,44364.15,44364.15,3
APR-DRG,5913,NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,83315.87,83315.87,3
APR-DRG,5914,NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE,,,149152.27,149152.27,3
APR-DRG,592,ANOXIC & OTHER SEVERE BRAIN DAMAGE,,,7275.72,7275.72,3
APR-DRG,593,ANOXIC & OTHER SEVERE BRAIN DAMAGE,,,10913.58,10913.58,3
APR-DRG,5931,NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,1419.65,1419.65,3
APR-DRG,5932,NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,77459.81,77459.81,3
APR-DRG,5933,NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,106651.42,106651.42,3
APR-DRG,5934,NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE,,,123509.79,123509.79,3
APR-DRG,594,ANOXIC & OTHER SEVERE BRAIN DAMAGE,,,14462.71,14462.71,3
APR-DRG,6021,NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,12510.69,12510.69,3
APR-DRG,6022,NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,72402.29,72402.29,3
APR-DRG,6023,NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,78702.0,78702.0,3
APR-DRG,6024,NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,87397.38,87397.38,3
APR-DRG,6031,NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,1419.65,1419.65,3
APR-DRG,6032,NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,54301.72,54301.72,3
APR-DRG,6033,NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,57673.4,57673.4,3
APR-DRG,6034,NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION,,,118452.28,118452.28,3
APR-DRG,6071,NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,20230.05,20230.05,3
APR-DRG,6072,NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,49865.3,49865.3,3
APR-DRG,6073,NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,56519.93,56519.93,3
APR-DRG,6074,NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM,,,61843.63,61843.63,3
APR-DRG,6081,NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,27062.13,27062.13,3
APR-DRG,6082,NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,40105.19,40105.19,3
APR-DRG,6083,NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,48889.29,48889.29,3
APR-DRG,6084,NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION,,,51373.69,51373.69,3
APR-DRG,6091,NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,31764.73,31764.73,3
APR-DRG,6092,NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,33450.57,33450.57,3
APR-DRG,6093,NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,60778.89,60778.89,3
APR-DRG,6094,NEONATE BWT 1500-2499G W MAJOR PROCEDURE,,,141344.18,141344.18,3
APR-DRG,61,PANCREAS TRANSPLANT,,,54390.45,54390.45,3
APR-DRG,6111,NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,11889.59,11889.59,3
APR-DRG,6112,NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,19342.77,19342.77,3
APR-DRG,6113,NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,33628.03,33628.03,3
APR-DRG,6114,NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY,,,61666.17,61666.17,3
APR-DRG,6121,NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,22359.53,22359.53,3
APR-DRG,6122,NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,33184.38,33184.38,3
APR-DRG,6123,NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,42234.67,42234.67,3
APR-DRG,6124,NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND,,,46493.63,46493.63,3
APR-DRG,6131,NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,12865.6,12865.6,3
APR-DRG,6132,NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,23424.27,23424.27,3
APR-DRG,6133,NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,37709.53,37709.53,3
APR-DRG,6134,NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION,,,57850.85,57850.85,3
APR-DRG,6141,NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,12244.51,12244.51,3
APR-DRG,6142,NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,23867.91,23867.91,3
APR-DRG,6143,NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,26884.67,26884.67,3
APR-DRG,6144,NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION,,,46493.63,46493.63,3
APR-DRG,62,PANCREAS TRANSPLANT,,,54390.45,54390.45,3
APR-DRG,6211,NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,2839.31,2839.31,3
APR-DRG,6212,NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,16326.01,16326.01,3
APR-DRG,6213,NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,21738.43,21738.43,3
APR-DRG,6214,NEONATE BWT 2000-2499G W MAJOR ANOMALY,,,48356.92,48356.92,3
APR-DRG,6221,NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,11889.59,11889.59,3
APR-DRG,6222,NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,18544.21,18544.21,3
APR-DRG,6223,NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,23690.46,23690.46,3
APR-DRG,6224,NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND,,,38153.17,38153.17,3
APR-DRG,6231,NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,8695.37,8695.37,3
APR-DRG,6232,NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,11179.77,11179.77,3
APR-DRG,6233,NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,28925.43,28925.43,3
APR-DRG,6234,NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION,,,35047.68,35047.68,3
APR-DRG,6251,NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,14462.71,14462.71,3
APR-DRG,6252,NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,15882.37,15882.37,3
APR-DRG,6253,NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,22980.63,22980.63,3
APR-DRG,6254,NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION,,,32297.1,32297.1,3
APR-DRG,6261,"NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,2661.85,2661.85,3
APR-DRG,6262,"NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,2750.58,2750.58,3
APR-DRG,6263,"NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,6654.62,6654.62,3
APR-DRG,6264,"NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,21560.98,21560.98,3
APR-DRG,63,PANCREAS TRANSPLANT,,,61222.53,61222.53,3
APR-DRG,6301,NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,19963.87,19963.87,3
APR-DRG,6302,NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,30345.08,30345.08,3
APR-DRG,6303,NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,109668.18,109668.18,3
APR-DRG,6304,NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE,,,207624.22,207624.22,3
APR-DRG,6311,NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,11179.77,11179.77,3
APR-DRG,6312,NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,11179.77,11179.77,3
APR-DRG,6313,NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,26795.95,26795.95,3
APR-DRG,6314,NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE,,,93253.44,93253.44,3
APR-DRG,6331,NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,3282.95,3282.95,3
APR-DRG,6332,NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,9050.29,9050.29,3
APR-DRG,6333,NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,36556.06,36556.06,3
APR-DRG,6334,NEONATE BIRTHWT >2499G W MAJOR ANOMALY,,,92721.07,92721.07,3
APR-DRG,6341,"NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,6654.62,6654.62,3
APR-DRG,6342,"NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,14551.44,14551.44,3
APR-DRG,6343,"NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,29369.07,29369.07,3
APR-DRG,6344,"NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND",,,90502.87,90502.87,3
APR-DRG,6361,NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,6743.35,6743.35,3
APR-DRG,6362,NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,8074.28,8074.28,3
APR-DRG,6363,NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,11534.68,11534.68,3
APR-DRG,6364,NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION,,,21294.79,21294.79,3
APR-DRG,6391,NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,5323.7,5323.7,3
APR-DRG,6392,NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,8429.19,8429.19,3
APR-DRG,6393,NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,24489.01,24489.01,3
APR-DRG,6394,NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION,,,24489.01,24489.01,3
APR-DRG,64,PANCREAS TRANSPLANT,,,117653.73,117653.73,3
APR-DRG,6401,"NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,2129.48,2129.48,3
APR-DRG,6402,"NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,2661.85,2661.85,3
APR-DRG,6403,"NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,4258.96,4258.96,3
APR-DRG,6404,"NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM",,,17745.66,17745.66,3
APR-DRG,6501,SPLENECTOMY,,,13220.52,13220.52,3
APR-DRG,6502,SPLENECTOMY,,,13220.52,13220.52,3
APR-DRG,6503,SPLENECTOMY,,,22093.35,22093.35,3
APR-DRG,6504,SPLENECTOMY,,,39572.82,39572.82,3
APR-DRG,6511,OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,9937.57,9937.57,3
APR-DRG,6512,OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,11357.22,11357.22,3
APR-DRG,6513,OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,18987.86,18987.86,3
APR-DRG,6514,OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS,,,43565.6,43565.6,3
APR-DRG,6601,MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,6743.35,6743.35,3
APR-DRG,6602,MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,11712.14,11712.14,3
APR-DRG,6603,MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,14906.35,14906.35,3
APR-DRG,6604,MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL,,,24489.01,24489.01,3
APR-DRG,6611,COAGULATION & PLATELET DISORDERS,,,7098.26,7098.26,3
APR-DRG,6612,COAGULATION & PLATELET DISORDERS,,,11889.59,11889.59,3
APR-DRG,6613,COAGULATION & PLATELET DISORDERS,,,11889.59,11889.59,3
APR-DRG,6614,COAGULATION & PLATELET DISORDERS,,,23246.81,23246.81,3
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS,,,7364.45,7364.45,3
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS,,,9582.66,9582.66,3
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS,,,13043.06,13043.06,3
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS,,,24577.74,24577.74,3
APR-DRG,6631,OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,4791.33,4791.33,3
APR-DRG,6632,OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,6388.44,6388.44,3
APR-DRG,6633,OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,10381.21,10381.21,3
APR-DRG,6634,OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS,,,13930.34,13930.34,3
APR-DRG,6801,MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,21383.52,21383.52,3
APR-DRG,6802,MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,21383.52,21383.52,3
APR-DRG,6803,MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,25376.29,25376.29,3
APR-DRG,6804,MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,52882.07,52882.07,3
APR-DRG,6811,OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,9848.84,9848.84,3
APR-DRG,6812,OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,11978.32,11978.32,3
APR-DRG,6813,OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,27062.13,27062.13,3
APR-DRG,6814,OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS,,,49776.58,49776.58,3
APR-DRG,6901,ACUTE LEUKEMIA,,,7719.36,7719.36,3
APR-DRG,6902,ACUTE LEUKEMIA,,,17035.83,17035.83,3
APR-DRG,6903,ACUTE LEUKEMIA,,,54834.09,54834.09,3
APR-DRG,6904,ACUTE LEUKEMIA,,,54834.09,54834.09,3
APR-DRG,6911,"LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,7985.55,7985.55,3
APR-DRG,6912,"LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,9760.11,9760.11,3
APR-DRG,6913,"LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,15616.18,15616.18,3
APR-DRG,6914,"LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA",,,29990.17,29990.17,3
APR-DRG,6921,RADIOTHERAPY,,,5501.15,5501.15,3
APR-DRG,6922,RADIOTHERAPY,,,9316.47,9316.47,3
APR-DRG,6923,RADIOTHERAPY,,,12954.33,12954.33,3
APR-DRG,6924,RADIOTHERAPY,,,30078.89,30078.89,3
APR-DRG,6941,LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,5678.61,5678.61,3
APR-DRG,6942,LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,8606.65,8606.65,3
APR-DRG,6943,LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,9493.93,9493.93,3
APR-DRG,6944,LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR,,,17656.93,17656.93,3
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,5057.51,5057.51,3
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,8961.56,8961.56,3
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,24134.1,24134.1,3
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,45606.35,45606.35,3
APR-DRG,6961,OTHER CHEMOTHERAPY,,,5589.88,5589.88,3
APR-DRG,6962,OTHER CHEMOTHERAPY,,,10913.58,10913.58,3
APR-DRG,6963,OTHER CHEMOTHERAPY,,,10913.58,10913.58,3
APR-DRG,6964,OTHER CHEMOTHERAPY,,,28215.6,28215.6,3
APR-DRG,71,ALLOGENEIC BONE MARROW TRANSPLANT,,,56076.29,56076.29,3
APR-DRG,7101,INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,9139.01,9139.01,3
APR-DRG,7102,INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,14728.9,14728.9,3
APR-DRG,7103,INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,28659.24,28659.24,3
APR-DRG,7104,INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE,,,57052.3,57052.3,3
APR-DRG,7111,"POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,9493.93,9493.93,3
APR-DRG,7112,"POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,14107.8,14107.8,3
APR-DRG,7113,"POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,29901.44,29901.44,3
APR-DRG,7114,"POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE",,,74531.77,74531.77,3
APR-DRG,72,ALLOGENEIC BONE MARROW TRANSPLANT,,,59004.32,59004.32,3
APR-DRG,7201,SEPTICEMIA & DISSEMINATED INFECTIONS,,,5146.24,5146.24,3
APR-DRG,7202,SEPTICEMIA & DISSEMINATED INFECTIONS,,,7541.91,7541.91,3
APR-DRG,7203,SEPTICEMIA & DISSEMINATED INFECTIONS,,,12954.33,12954.33,3
APR-DRG,7204,SEPTICEMIA & DISSEMINATED INFECTIONS,,,27949.41,27949.41,3
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,7541.91,7541.91,3
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,9139.01,9139.01,3
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,17568.2,17568.2,3
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,31942.19,31942.19,3
APR-DRG,7221,FEVER,,,3637.86,3637.86,3
APR-DRG,7222,FEVER,,,5234.97,5234.97,3
APR-DRG,7223,FEVER,,,6122.25,6122.25,3
APR-DRG,7224,FEVER,,,8251.73,8251.73,3
APR-DRG,7231,VIRAL ILLNESS,,,3105.49,3105.49,3
APR-DRG,7232,VIRAL ILLNESS,,,5767.34,5767.34,3
APR-DRG,7233,VIRAL ILLNESS,,,6388.44,6388.44,3
APR-DRG,7234,VIRAL ILLNESS,,,13930.34,13930.34,3
APR-DRG,7241,OTHER INFECTIOUS & PARASITIC DISEASES,,,5678.61,5678.61,3
APR-DRG,7242,OTHER INFECTIOUS & PARASITIC DISEASES,,,5856.07,5856.07,3
APR-DRG,7243,OTHER INFECTIOUS & PARASITIC DISEASES,,,12954.33,12954.33,3
APR-DRG,7244,OTHER INFECTIOUS & PARASITIC DISEASES,,,17479.48,17479.48,3
APR-DRG,73,ALLOGENEIC BONE MARROW TRANSPLANT,,,72047.38,72047.38,3
APR-DRG,731,ORBIT AND EYE PROCEDURES,,,9405.2,9405.2,3
APR-DRG,732,ORBIT AND EYE PROCEDURES,,,11800.86,11800.86,3
APR-DRG,733,ORBIT AND EYE PROCEDURES,,,17035.83,17035.83,3
APR-DRG,734,ORBIT AND EYE PROCEDURES,,,31409.82,31409.82,3
APR-DRG,74,ALLOGENEIC BONE MARROW TRANSPLANT,,,131140.43,131140.43,3
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,8517.92,8517.92,3
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,8517.92,8517.92,3
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,21560.98,21560.98,3
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE,,,51462.41,51462.41,3
APR-DRG,7501,SCHIZOPHRENIA,,,6832.08,6832.08,3
APR-DRG,7502,SCHIZOPHRENIA,,,6832.08,6832.08,3
APR-DRG,7503,SCHIZOPHRENIA,,,10115.03,10115.03,3
APR-DRG,7504,SCHIZOPHRENIA,,,17035.83,17035.83,3
APR-DRG,7511,MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,5412.43,5412.43,3
APR-DRG,7512,MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,6299.71,6299.71,3
APR-DRG,7513,MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,10292.48,10292.48,3
APR-DRG,7514,MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES,,,19076.58,19076.58,3
APR-DRG,7521,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,2129.48,2129.48,3
APR-DRG,7522,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,3194.22,3194.22,3
APR-DRG,7523,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,8517.92,8517.92,3
APR-DRG,7524,DISORDERS OF PERSONALITY & IMPULSE CONTROL,,,33716.75,33716.75,3
APR-DRG,7531,BIPOLAR DISORDERS,,,5678.61,5678.61,3
APR-DRG,7532,BIPOLAR DISORDERS,,,6388.44,6388.44,3
APR-DRG,7533,BIPOLAR DISORDERS,,,8340.46,8340.46,3
APR-DRG,7534,BIPOLAR DISORDERS,,,13397.97,13397.97,3
APR-DRG,7541,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,4791.33,4791.33,3
APR-DRG,7542,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,5589.88,5589.88,3
APR-DRG,7543,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,5589.88,5589.88,3
APR-DRG,7544,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,13131.79,13131.79,3
APR-DRG,7551,ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5146.24,5146.24,3
APR-DRG,7552,ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5146.24,5146.24,3
APR-DRG,7553,ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5146.24,5146.24,3
APR-DRG,7554,ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,10558.67,10558.67,3
APR-DRG,7561,ACUTE ANXIETY & DELIRIUM STATES,,,4880.06,4880.06,3
APR-DRG,7562,ACUTE ANXIETY & DELIRIUM STATES,,,7098.26,7098.26,3
APR-DRG,7563,ACUTE ANXIETY & DELIRIUM STATES,,,8429.19,8429.19,3
APR-DRG,7564,ACUTE ANXIETY & DELIRIUM STATES,,,11091.04,11091.04,3
APR-DRG,7571,ORGANIC MENTAL HEALTH DISTURBANCES,,,3904.05,3904.05,3
APR-DRG,7572,ORGANIC MENTAL HEALTH DISTURBANCES,,,5057.51,5057.51,3
APR-DRG,7573,ORGANIC MENTAL HEALTH DISTURBANCES,,,8340.46,8340.46,3
APR-DRG,7574,ORGANIC MENTAL HEALTH DISTURBANCES,,,19342.77,19342.77,3
APR-DRG,7581,BEHAVIORAL DISORDERS,,,5146.24,5146.24,3
APR-DRG,7582,BEHAVIORAL DISORDERS,,,5146.24,5146.24,3
APR-DRG,7583,BEHAVIORAL DISORDERS,,,7275.72,7275.72,3
APR-DRG,7584,BEHAVIORAL DISORDERS,,,9582.66,9582.66,3
APR-DRG,7591,EATING DISORDERS,,,5412.43,5412.43,3
APR-DRG,7592,EATING DISORDERS,,,5767.34,5767.34,3
APR-DRG,7593,EATING DISORDERS,,,9139.01,9139.01,3
APR-DRG,7594,EATING DISORDERS,,,48090.74,48090.74,3
APR-DRG,7601,OTHER MENTAL HEALTH DISORDERS,,,3282.95,3282.95,3
APR-DRG,7602,OTHER MENTAL HEALTH DISORDERS,,,4258.96,4258.96,3
APR-DRG,7603,OTHER MENTAL HEALTH DISORDERS,,,7453.18,7453.18,3
APR-DRG,7604,OTHER MENTAL HEALTH DISORDERS,,,13486.7,13486.7,3
APR-DRG,7701,"DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3371.68,3371.68,3
APR-DRG,7702,"DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3371.68,3371.68,3
APR-DRG,7703,"DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,6299.71,6299.71,3
APR-DRG,7704,"DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,7364.45,7364.45,3
APR-DRG,7721,ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,2573.12,2573.12,3
APR-DRG,7722,ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,3726.59,3726.59,3
APR-DRG,7723,ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,4347.69,4347.69,3
APR-DRG,7724,ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY,,,16503.46,16503.46,3
APR-DRG,7731,OPIOID ABUSE & DEPENDENCE,,,1952.02,1952.02,3
APR-DRG,7732,OPIOID ABUSE & DEPENDENCE,,,6299.71,6299.71,3
APR-DRG,7733,OPIOID ABUSE & DEPENDENCE,,,7009.54,7009.54,3
APR-DRG,7734,OPIOID ABUSE & DEPENDENCE,,,11800.86,11800.86,3
APR-DRG,7741,COCAINE ABUSE & DEPENDENCE,,,2573.12,2573.12,3
APR-DRG,7742,COCAINE ABUSE & DEPENDENCE,,,5323.7,5323.7,3
APR-DRG,7743,COCAINE ABUSE & DEPENDENCE,,,7453.18,7453.18,3
APR-DRG,7744,COCAINE ABUSE & DEPENDENCE,,,11712.14,11712.14,3
APR-DRG,7751,ALCOHOL ABUSE & DEPENDENCE,,,5501.15,5501.15,3
APR-DRG,7752,ALCOHOL ABUSE & DEPENDENCE,,,7896.82,7896.82,3
APR-DRG,7753,ALCOHOL ABUSE & DEPENDENCE,,,11889.59,11889.59,3
APR-DRG,7754,ALCOHOL ABUSE & DEPENDENCE,,,25642.48,25642.48,3
APR-DRG,7761,OTHER DRUG ABUSE & DEPENDENCE,,,4436.42,4436.42,3
APR-DRG,7762,OTHER DRUG ABUSE & DEPENDENCE,,,6122.25,6122.25,3
APR-DRG,7763,OTHER DRUG ABUSE & DEPENDENCE,,,6122.25,6122.25,3
APR-DRG,7764,OTHER DRUG ABUSE & DEPENDENCE,,,11889.59,11889.59,3
APR-DRG,7921,EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10647.4,10647.4,3
APR-DRG,7922,EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,14107.8,14107.8,3
APR-DRG,7923,EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,32030.92,32030.92,3
APR-DRG,7924,EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,41258.66,41258.66,3
APR-DRG,7931,MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,9582.66,9582.66,3
APR-DRG,7932,MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,15704.91,15704.91,3
APR-DRG,7933,MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,18011.84,18011.84,3
APR-DRG,7934,MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,34515.31,34515.31,3
APR-DRG,7941,NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,7985.55,7985.55,3
APR-DRG,7942,NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10913.58,10913.58,3
APR-DRG,7943,NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,16059.82,16059.82,3
APR-DRG,7944,NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,25819.94,25819.94,3
APR-DRG,81,AUTOLOGOUS BONE MARROW TRANSPLANT,,,6388.44,6388.44,3
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,4081.5,4081.5,3
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,5412.43,5412.43,3
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,9050.29,9050.29,3
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,17302.02,17302.02,3
APR-DRG,8111,ALLERGIC REACTIONS,,,2750.58,2750.58,3
APR-DRG,8112,ALLERGIC REACTIONS,,,5234.97,5234.97,3
APR-DRG,8113,ALLERGIC REACTIONS,,,7098.26,7098.26,3
APR-DRG,8114,ALLERGIC REACTIONS,,,14551.44,14551.44,3
APR-DRG,8121,POISONING OF MEDICINAL AGENTS,,,2928.03,2928.03,3
APR-DRG,8122,POISONING OF MEDICINAL AGENTS,,,5146.24,5146.24,3
APR-DRG,8123,POISONING OF MEDICINAL AGENTS,,,7453.18,7453.18,3
APR-DRG,8124,POISONING OF MEDICINAL AGENTS,,,16414.74,16414.74,3
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT,,,5856.07,5856.07,3
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT,,,8163.0,8163.0,3
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT,,,12865.6,12865.6,3
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT,,,14551.44,14551.44,3
APR-DRG,8151,"OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,3637.86,3637.86,3
APR-DRG,8152,"OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,6832.08,6832.08,3
APR-DRG,8153,"OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,14019.07,14019.07,3
APR-DRG,8154,"OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES",,,15261.27,15261.27,3
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,7098.26,7098.26,3
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,7098.26,7098.26,3
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,8251.73,8251.73,3
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,13930.34,13930.34,3
APR-DRG,8171,OVERDOSE,,,4968.78,4968.78,3
APR-DRG,8172,OVERDOSE,,,5944.8,5944.8,3
APR-DRG,8173,OVERDOSE,,,9227.74,9227.74,3
APR-DRG,8174,OVERDOSE,,,16503.46,16503.46,3
APR-DRG,82,AUTOLOGOUS BONE MARROW TRANSPLANT,,,26529.76,26529.76,3
APR-DRG,821,EYE INFECTIONS AND OTHER EYE DISORDERS,,,4702.6,4702.6,3
APR-DRG,822,EYE INFECTIONS AND OTHER EYE DISORDERS,,,7364.45,7364.45,3
APR-DRG,823,EYE INFECTIONS AND OTHER EYE DISORDERS,,,8340.46,8340.46,3
APR-DRG,824,EYE INFECTIONS AND OTHER EYE DISORDERS,,,17302.02,17302.02,3
APR-DRG,83,AUTOLOGOUS BONE MARROW TRANSPLANT,,,70184.09,70184.09,3
APR-DRG,84,AUTOLOGOUS BONE MARROW TRANSPLANT,,,70184.09,70184.09,3
APR-DRG,8411,EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,14373.98,14373.98,3
APR-DRG,8412,EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,16326.01,16326.01,3
APR-DRG,8413,EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,55898.83,55898.83,3
APR-DRG,8414,EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT,,,152346.49,152346.49,3
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,9405.2,9405.2,3
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,16680.92,16680.92,3
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,37709.53,37709.53,3
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS,,,76217.61,76217.61,3
APR-DRG,8431,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,4170.23,4170.23,3
APR-DRG,8432,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,5146.24,5146.24,3
APR-DRG,8433,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,8695.37,8695.37,3
APR-DRG,8434,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT,,,17923.12,17923.12,3
APR-DRG,8441,PARTIAL THICKNESS BURNS W/O SKIN GRAFT,,,3105.49,3105.49,3
APR-DRG,8442,PARTIAL THICKNESS BURNS W/O SKIN GRAFT,,,6210.98,6210.98,3
APR-DRG,8443,PARTIAL THICKNESS BURNS W/O SKIN GRAFT,,,8784.1,8784.1,3
APR-DRG,8444,PARTIAL THICKNESS BURNS W/O SKIN GRAFT,,,21117.34,21117.34,3
APR-DRG,8501,"PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,16237.28,16237.28,3
APR-DRG,8502,"PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,20230.05,20230.05,3
APR-DRG,8503,"PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,21738.43,21738.43,3
APR-DRG,8504,"PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE",,,34870.22,34870.22,3
APR-DRG,8601,REHABILITATION,,,9760.11,9760.11,3
APR-DRG,8602,REHABILITATION,,,12688.15,12688.15,3
APR-DRG,8603,REHABILITATION,,,18189.3,18189.3,3
APR-DRG,8604,REHABILITATION,,,19431.5,19431.5,3
APR-DRG,8611,"SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,5146.24,5146.24,3
APR-DRG,8612,"SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,7186.99,7186.99,3
APR-DRG,8613,"SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,12510.69,12510.69,3
APR-DRG,8614,"SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS",,,13397.97,13397.97,3
APR-DRG,8621,OTHER AFTERCARE & CONVALESCENCE,,,7186.99,7186.99,3
APR-DRG,8622,OTHER AFTERCARE & CONVALESCENCE,,,7186.99,7186.99,3
APR-DRG,8623,OTHER AFTERCARE & CONVALESCENCE,,,7186.99,7186.99,3
APR-DRG,8624,OTHER AFTERCARE & CONVALESCENCE,,,7186.99,7186.99,3
APR-DRG,8631,NEONATAL AFTERCARE,,,4347.69,4347.69,3
APR-DRG,8632,NEONATAL AFTERCARE,,,19875.14,19875.14,3
APR-DRG,8633,NEONATAL AFTERCARE,,,38774.27,38774.27,3
APR-DRG,8634,NEONATAL AFTERCARE,,,60423.97,60423.97,3
APR-DRG,8901,HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,7453.18,7453.18,3
APR-DRG,8902,HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,7808.09,7808.09,3
APR-DRG,8903,HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,17568.2,17568.2,3
APR-DRG,8904,HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS,,,28747.97,28747.97,3
APR-DRG,891,MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,20141.32,20141.32,3
APR-DRG,892,MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,21383.52,21383.52,3
APR-DRG,8921,HIV W MAJOR HIV RELATED CONDITION,,,6210.98,6210.98,3
APR-DRG,8922,HIV W MAJOR HIV RELATED CONDITION,,,9493.93,9493.93,3
APR-DRG,8923,HIV W MAJOR HIV RELATED CONDITION,,,12333.23,12333.23,3
APR-DRG,8924,HIV W MAJOR HIV RELATED CONDITION,,,16059.82,16059.82,3
APR-DRG,893,MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,55810.1,55810.1,3
APR-DRG,8931,HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,6832.08,6832.08,3
APR-DRG,8932,HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,7541.91,7541.91,3
APR-DRG,8933,HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,14462.71,14462.71,3
APR-DRG,8934,HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,15793.64,15793.64,3
APR-DRG,894,MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,55810.1,55810.1,3
APR-DRG,8941,HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,6122.25,6122.25,3
APR-DRG,8942,HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,7009.54,7009.54,3
APR-DRG,8943,HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,7896.82,7896.82,3
APR-DRG,8944,HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND,,,14196.53,14196.53,3
APR-DRG,91,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,36556.06,36556.06,3
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,27594.5,27594.5,3
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,31587.27,31587.27,3
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,36910.97,36910.97,3
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,84114.43,84114.43,3
APR-DRG,911,OTHER MAJOR HEAD & NECK PROCEDURES,,,11268.49,11268.49,3
APR-DRG,9111,EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,14373.98,14373.98,3
APR-DRG,9112,EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,19165.31,19165.31,3
APR-DRG,9113,EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,28659.24,28659.24,3
APR-DRG,9114,EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA,,,49865.3,49865.3,3
APR-DRG,912,OTHER MAJOR HEAD & NECK PROCEDURES,,,27683.23,27683.23,3
APR-DRG,9121,MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,19165.31,19165.31,3
APR-DRG,9122,MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,24932.65,24932.65,3
APR-DRG,9123,MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,32474.56,32474.56,3
APR-DRG,9124,MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,67167.32,67167.32,3
APR-DRG,913,OTHER MAJOR HEAD & NECK PROCEDURES,,,58028.31,58028.31,3
APR-DRG,914,OTHER MAJOR HEAD & NECK PROCEDURES,,,58738.13,58738.13,3
APR-DRG,92,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,44541.61,44541.61,3
APR-DRG,921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,21560.98,21560.98,3
APR-DRG,922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,21560.98,21560.98,3
APR-DRG,923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,24577.74,24577.74,3
APR-DRG,924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES,,,44186.69,44186.69,3
APR-DRG,93,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,61045.07,61045.07,3
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,6920.81,6920.81,3
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,9139.01,9139.01,3
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,13664.16,13664.16,3
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE,,,32385.83,32385.83,3
APR-DRG,94,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,248261.78,248261.78,3
APR-DRG,9501,EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,12333.23,12333.23,3
APR-DRG,9502,EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,22270.8,22270.8,3
APR-DRG,9503,EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,37620.8,37620.8,3
APR-DRG,9504,EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,91212.69,91212.69,3
APR-DRG,951,CLEFT LIP & PALATE REPAIR,,,8784.1,8784.1,3
APR-DRG,9511,MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,8074.28,8074.28,3
APR-DRG,9512,MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,17568.2,17568.2,3
APR-DRG,9513,MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,29723.98,29723.98,3
APR-DRG,9514,MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,34515.31,34515.31,3
APR-DRG,952,CLEFT LIP & PALATE REPAIR,,,8784.1,8784.1,3
APR-DRG,9521,NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,8074.28,8074.28,3
APR-DRG,9522,NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,14728.9,14728.9,3
APR-DRG,9523,NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,23069.36,23069.36,3
APR-DRG,9524,NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,30966.18,30966.18,3
APR-DRG,953,CLEFT LIP & PALATE REPAIR,,,13575.43,13575.43,3
APR-DRG,954,CLEFT LIP & PALATE REPAIR,,,19342.77,19342.77,3
APR-DRG,971,TONSIL & ADENOID PROCEDURES,,,4081.5,4081.5,3
APR-DRG,972,TONSIL & ADENOID PROCEDURES,,,7009.54,7009.54,3
APR-DRG,973,TONSIL & ADENOID PROCEDURES,,,10558.67,10558.67,3
APR-DRG,974,TONSIL & ADENOID PROCEDURES,,,24134.1,24134.1,3
APR-DRG,981,"OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,7630.63,7630.63,3
APR-DRG,982,"OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,11445.95,11445.95,3
APR-DRG,983,"OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,14995.08,14995.08,3
APR-DRG,984,"OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES",,,28836.7,28836.7,3
CDM,10104150,Resuscitator Manual Medium 10f,27.0,27.0,4.0,21.6,23
CDM,10945194,System DRN 35cm 700ml Blu Strl Lf Be2 Mntr Trndcr Atch Vntrc,742.0,742.0,109.82,593.6,23
CDM,10961170,Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq,38.0,38.0,5.62,30.4,23
CDM,11100001,HB Med-Sur-Gy/Pvt,4149.6,4149.6,2489.76,3319.68,4
CDM,11100003,Tele Private Med Surg,4583.25,4583.25,2749.95,3666.6,4
CDM,11100021,HB Pvt Gyn,4149.6,4149.6,2489.76,3319.68,4
CDM,11100023,Tele Private Gyn,4323.9,4323.9,2594.34,3459.12,4
CDM,11100501,Trauma Private Med Surg,4349.1,4349.1,2609.46,3479.28,4
CDM,11100503,Trauma Tele Private Med Surg,4758.6,4758.6,2855.16,3806.88,4
CDM,11100521,Trauma Private Gyn,4349.1,4349.1,2609.46,3479.28,4
CDM,11100523,Trauma Tele Private Gyn,4758.6,4758.6,2855.16,3806.88,4
CDM,11200001,Private OB,4364.85,4364.85,2618.91,3491.88,4
CDM,11200002,Tele Private OB,4522.35,4522.35,2713.41,3617.88,4
CDM,11200501,Trauma Private OB,3961.65,3961.65,2376.99,3169.32,4
CDM,11200502,Trauma Tele Private OB,4310.25,4310.25,2586.15,3448.2,4
CDM,11400002,Private Psy,3848.25,3848.25,2308.95,3078.6,4
CDM,11400502,Trauma Private Psy,3536.4,3536.4,2121.84,2829.12,4
CDM,11500001,Inpatient Hospice,4158.0,4158.0,2494.8,3326.4,4
CDM,11500501,Trauma Inpatient Hospice,4065.6,4065.6,2439.36,3252.48,4
CDM,11800001,Private Rehab Room,4149.6,4149.6,2489.76,3319.68,4
CDM,12100001,Semiprivate Medsurg,3118.5,3118.5,1871.1,2494.8,4
CDM,12100003,Tele Semiprivate,3458.7,3458.7,2075.22,2766.96,4
CDM,12100021,Semiprivate Gyn,3118.5,3118.5,1871.1,2494.8,4
CDM,12100023,Tele Semiprivate Gyn,3458.7,3458.7,2075.22,2766.96,4
CDM,12100501,Trauma Semiprivate Medsurg,3400.95,3400.95,2040.57,2720.76,4
CDM,12100503,Trauma Tele Semiprivate,3919.65,3919.65,2351.79,3135.72,4
CDM,12100521,Trauma Semiprivate Gyn,3208.8,3208.8,1925.28,2567.04,4
CDM,12100523,Trauma Tele Semiprivate Gyn,3698.1,3698.1,2218.86,2958.48,4
CDM,12200001,Semiprivate OB,3201.45,3201.45,1920.87,2561.16,4
CDM,12200002,Tele Semiprivate OB,3060.75,3060.75,1836.45,2448.6,4
CDM,12200501,Trauma Semiprivate OB,3662.4,3662.4,2197.44,2929.92,4
CDM,12200502,Trauma Tele Semiprivate OB,3496.5,3496.5,2097.9,2797.2,4
CDM,12400002,Semiprivate Psych,3561.6,3561.6,2136.96,2849.28,4
CDM,12400502,Trauma Semiprivate Psych,3795.75,3795.75,2277.45,3036.6,4
CDM,16400001,Tele.Isolation,6825.0,6825.0,4095.0,5460.0,4
CDM,16400002,Isolation Med Surg,6700.05,6700.05,4020.03,5360.04,4
CDM,16400004,Isolation Med Surg,6700.05,6700.05,4020.03,5360.04,4
CDM,16400005,Isolation OB,4561.2,4561.2,2736.72,3648.96,4
CDM,16400006,Tele.Isolation OB,4583.25,4583.25,2749.95,3666.6,4
CDM,16400007,Isolation High-Risk Scu,7087.5,7087.5,4252.5,5670.0,4
CDM,16400022,Isolation Gyn,6700.05,6700.05,4020.03,5360.04,4
CDM,16400501,Trauma Tele.Isolation,4900.35,4900.35,2940.21,3920.28,4
CDM,16400502,Trauma Isolation Med Surg,4738.65,4738.65,2843.19,3790.92,4
CDM,16400504,Trauma Isolation Med Surg,4738.65,4738.65,2843.19,3790.92,4
CDM,16400505,Trauma Isolation OB,4996.95,4996.95,2998.17,3997.56,4
CDM,16400506,Trauma Tele.Isolation OB,4424.7,4424.7,2654.82,3539.76,4
CDM,16400507,Trauma Isolation High-Risk Scu,5495.7,5495.7,3297.42,4396.56,4
CDM,16400522,Trauma Isolation Gyn,4738.65,4738.65,2843.19,3790.92,4
CDM,17000001,General Nursery,1117.8,1117.8,670.68,894.24,4
CDM,17100001,Nursery/Level I,2199.96,2199.96,1319.98,1759.97,4
CDM,17100002,Nursery Level I,2199.96,2199.96,1319.98,1759.97,4
CDM,17200002,Nursery Level II,5400.0,5400.0,3240.0,4320.0,4
CDM,17300001,Nursery Level III,8038.44,8038.44,4823.06,6430.75,4
CDM,17400001,Nursery/Level IV,10033.2,10033.2,6019.92,8026.56,4
CDM,19818886,Dressing Hydrofiber Aquacel 0.75in X 18in Silver,30.0,30.0,4.44,24.0,23
CDM,19818887,Dressing Wound Square 6x6in 2 Layer Absorbent Nonwoven Soft,55.0,55.0,8.14,44.0,23
CDM,19862990,Tracheostomy Tray,279.0,279.0,41.29,223.2,23
CDM,19935012,Kit Dressing Thk3.3cm Large Standard 26x15cm 2 Adhesive,123.0,123.0,18.2,98.4,23
CDM,19980952,Restraint Vest Small 65in Back Closure Quick Release Tie,37.0,37.0,5.48,29.6,23
CDM,19988898,Catheter Pressure 3.5mm 5mm 82cm 2cm Sensor Tip External,58.0,58.0,8.58,46.4,23
CDM,19993849,Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq,29.0,29.0,4.29,23.2,23
CDM,19993898,Tray Catheterization 16fr Foley Antireflux Evident Seal,37.0,37.0,5.48,29.6,23
CDM,19994800,Kit Crntmy 25ga 5/8in Strl Rzr Ndl Drp,701.0,701.0,103.75,560.8,23
CDM,19996917,Kit Thoracentesis 8fr 22ga 7.5in 1.5in 3 Way Stopcock,134.0,134.0,19.83,107.2,23
CDM,20000001,Intensive Care Icu OB,8864.11,8864.11,5318.47,7091.29,4
CDM,20000501,Trauma Intensive Care Icu OB,8798.7,8798.7,5279.22,7038.96,4
CDM,20100001,Intensive Care Icu Surgical,9663.8,9663.8,5798.28,7731.04,4
CDM,20100501,Trauma Intensive Care Icu Surgical,9372.62,9372.62,5623.57,7498.1,4
CDM,20200001,Intensive Care Icu Medical,8864.11,8864.11,5318.47,7091.29,4
CDM,20200501,Trauma Intensive Care Icu Medical,9372.62,9372.62,5623.57,7498.1,4
CDM,20600001,Intermediate Care,5794.06,5794.06,3476.44,4635.25,4
CDM,20600002,Intermediate Care Burn,12631.52,12631.52,7578.91,10105.22,4
CDM,20600005,Intermediate Care,5794.06,5794.06,3476.44,4635.25,4
CDM,20600501,Trauma Intermediate Care,6055.7,6055.7,3633.42,4844.56,4
CDM,20600502,Trauma Intermediate Care Burn,12320.29,12320.29,7392.17,9856.23,4
CDM,20700001,Intensive Care Icu Burn,13792.02,13792.02,8275.21,11033.62,4
CDM,20700501,Trauma Intensive Care Icu Burn,13400.61,13400.61,8040.37,10720.49,4
CDM,21000001,Intensive Care Icu Medical,8361.93,8361.93,5017.16,6689.54,4
CDM,21400005,Intermediate Coronary Care Unit,7115.98,7115.98,4269.59,5692.78,4
CDM,21400505,Trauma Intermediate Coronary Care Unit,5836.26,5836.26,3501.76,4669.01,4
CDM,21900001,Intermediate Care,4810.8,4810.8,2886.48,3848.64,4
CDM,22900001,Breast Milk Proc/Store/Dist,13.0,13.0,7.8,10.4,4
CDM,25000141,Toradol 30 Mg,37.0,37.0,5.48,29.6,23
CDM,25000153,"Rocephin 250mg, Im",59.0,59.0,8.73,47.2,23
CDM,25000157,Depoprovera 150mg,180.0,180.0,26.64,144.0,23
CDM,25000182,Rocephin Injection,59.0,59.0,8.73,47.2,23
CDM,25000187,Rocephin 250mg,34.0,34.0,5.03,27.2,23
CDM,25000189,Bicillin Injection,44.0,44.0,6.51,35.2,23
CDM,25000226,Depo Provera Inject,171.0,171.0,25.31,136.8,23
CDM,25000229,Plan B,39.0,39.0,5.77,31.2,23
CDM,25000327,Oral Contraceptives,11.0,11.0,1.63,8.8,23
CDM,25000990,Nitric Oxide (per Hr),789.0,789.0,116.77,631.2,23
CDM,25002130,Zithromax,24.0,24.0,3.55,19.2,23
CDM,25800060,IV Fluids,61.0,61.0,9.03,48.8,23
CDM,25800062,IV Fluids 500ml,64.0,64.0,9.47,51.2,23
CDM,25800063,I.V. Fluid 100ml,64.0,64.0,9.47,51.2,23
CDM,25800080,IV Fluids 1000ml,64.0,64.0,9.47,51.2,23
CDM,25800267,"IV Fluids, 100cc",34.0,34.0,5.03,27.2,23
CDM,25800269,"IV Fluids, 1000cc",64.0,64.0,9.47,51.2,23
CDM,25800401,I.V. Fluids,64.0,64.0,9.47,51.2,23
CDM,25800402,I.V. Fluids 1000cc,64.0,64.0,9.47,51.2,23
CDM,25800404,IV Fluid 1000cc,64.0,64.0,9.47,51.2,23
CDM,25800405,"IV Fluid, # Bags",61.0,61.0,9.03,48.8,23
CDM,25800407,IV Fluids 1000ml,64.0,64.0,9.47,51.2,23
CDM,25800411,Solution Intravenous Viaflex Latex Free Plasma-Lyte A,29.0,29.0,4.29,23.2,23
CDM,25900227,Oral Contraceptives,12.0,12.0,1.78,9.6,23
CDM,26000001,IV Hydra Initial (31 Min to 1 Hr),1030.0,1030.0,152.44,824.0,23
CDM,26000003,IV Hydra Add'l (31 Min to 1 Hr),399.05,399.05,59.06,319.24,23
CDM,26000005,"IV Infus Ther,Prophylax,Dx Initial (16 Min to 1 Hr)",1796.0,1796.0,265.81,1436.8,23
CDM,26000006,"IV Infus Ther,Prophylax,Dx Add'l (31 Min to 1 Hr)",399.05,399.05,59.06,319.24,23
CDM,26000007,"IV Infus Ther,Prophylax,Dx Add'l New Med (31 Min to 1 Hr)",601.45,601.45,89.01,481.16,23
CDM,26000008,"IV Infus Ther,Prophylax,Dx Add'l Concur (31 Min to 1 Hr)",849.85,849.85,125.78,679.88,23
CDM,26000111,"IV Push-Ther,Prophylax,Dx 1st Med",724.5,724.5,107.23,579.6,23
CDM,26000112,"IV Push-Ther,Prophylax,Dx Add'l Med",601.45,601.45,89.01,481.16,23
CDM,26000113,"IV Push-Ther,Prophylax,Dx Ea Push Same Med",555.0,555.0,82.14,444.0,23
CDM,26000114,Picc/Portacath Line Flush,491.0,491.0,72.67,392.8,23
CDM,26000140,Bamlanivimab Infusion,993.0,993.0,146.96,794.4,23
CDM,26000160,"Injection, Tixagevimab and Cilgavimab W/ Post Admin Monitoring",543.0,543.0,80.36,434.4,23
CDM,27000036,Central Line Dressing Tray With Biopatch,47.0,47.0,6.96,37.6,23
CDM,27000087,Kit Thoracotomy,203.0,203.0,30.04,162.4,23
CDM,27000253,Tray Thoracentesis/Parace,67.0,67.0,9.92,53.6,23
CDM,27000254,Central Line Dressing Tray With Biopatch,47.0,47.0,6.96,37.6,23
CDM,27000364,Artery Arterial Catheriza,42.0,42.0,6.22,33.6,23
CDM,27000392,Kit Pressure Monitoring,250.0,250.0,37.0,200.0,23
CDM,27000406,Delivery System Closed In,65.0,65.0,9.62,52.0,23
CDM,27000475,Needle Port-Cath 20ga X 1,34.0,34.0,5.03,27.2,23
CDM,27000543,Kit Thoracotomy,36.0,36.0,5.33,28.8,23
CDM,27000551,Chest Unit Drainage Pleur,69.0,69.0,10.21,55.2,23
CDM,27000562,Tray Foley Preconnected 1,22.0,22.0,3.26,17.6,23
CDM,27000577,Sleeve Knee Regular Dvt,388.0,388.0,57.42,310.4,23
CDM,27000578,Sleeve Knee X-Large Dvt,469.0,469.0,69.41,375.2,23
CDM,27000579,Sleeve Thigh Regular Dvt,238.0,238.0,35.22,190.4,23
CDM,27000580,Sleeve Thigh X-Large Dvt,616.0,616.0,91.17,492.8,23
CDM,27000697,10ml Posiflush Saline Syringe,10.0,10.0,1.48,8.0,23
CDM,27000709,Tray Circumcision,47.0,47.0,6.96,37.6,23
CDM,27000810,Needle Spinal 18ga,16.0,16.0,2.37,12.8,23
CDM,27000811,Needle Spinal Sterile 20g,10.0,10.0,1.48,8.0,23
CDM,27000968,Dialysis Fluid Bag,166.0,166.0,24.57,132.8,23
CDM,27000969,Dialysis Filter,699.0,699.0,103.45,559.2,23
CDM,27000986,Catheter Foley 16fr,18.0,18.0,2.66,14.4,23
CDM,27001046,Wire Guide Dual Purpose,362.0,362.0,53.58,289.6,23
CDM,27001111,Catheter Foley 5cc 18fr,19.0,19.0,2.81,15.2,23
CDM,27001115,Tube Feeding Ng 8fr 43in En,65.0,65.0,9.62,52.0,23
CDM,27001178,Central Line Dressing Tray With Biopatch,47.0,47.0,6.96,37.6,23
CDM,27001225,Tube Feeding Nasogastric,10.0,10.0,1.48,8.0,23
CDM,27001235,Stapler Skin Disposable 3,38.0,38.0,5.62,30.4,23
CDM,27001240,Aquacel Ag 4x4,92.0,92.0,13.62,73.6,23
CDM,27001274,Bovie Pencil Valleylab,34.0,34.0,5.03,27.2,23
CDM,27001358,Chest Imot Dry Suction Sy,316.0,316.0,46.77,252.8,23
CDM,27001418,Precision Introd.26g(1.9f),149.0,149.0,22.05,119.2,23
CDM,27001419,26g Catheter(1.9f 1st Picc Bd),260.0,260.0,38.48,208.0,23
CDM,27001420,Picc Tray (Bd Procedure Tray),219.0,219.0,32.41,175.2,23
CDM,27001421,Precision Introducer 22g(2.8f),183.0,183.0,27.08,146.4,23
CDM,27001422,22g Catheter(2.8f 1st Picc Bd),343.0,343.0,50.76,274.4,23
CDM,27001423,Argyle Picc 1.9frx39cm Dual Lu,423.0,423.0,62.6,338.4,23
CDM,27001424,20g(3fr)Bdl Cath Picc Dual Lum,154.0,154.0,22.79,123.2,23
CDM,27001432,Tube Nasogastric Feeding,91.0,91.0,13.47,72.8,23
CDM,27001649,Central Line Dressing Tray,34.0,34.0,5.03,27.2,23
CDM,27001653,Percutaneous Introducer Kits,2364.0,2364.0,349.87,1891.2,23
CDM,27001655,Sutures,211.0,211.0,31.23,168.8,23
CDM,27001657,Swan Ganz Catheters,604.0,604.0,89.39,483.2,23
CDM,27001658,Guidewire .35x.68cm,64.0,64.0,9.47,51.2,23
CDM,27001660,Huber Needle,17.0,17.0,2.52,13.6,23
CDM,27001671,Needles 18 Ga/7cm (Cook),30.0,30.0,4.44,24.0,23
CDM,27001716,Electrodes Operative,122.0,122.0,18.06,97.6,23
CDM,27001726,Needle Port-Cath 20ga X 1,16.0,16.0,2.37,12.8,23
CDM,27001779,Tray Catheter Urethral 14,16.0,16.0,2.37,12.8,23
CDM,27001781,Ace Wrap,34.0,34.0,5.03,27.2,23
CDM,27001782,Splint,64.0,64.0,9.47,51.2,23
CDM,27001783,Splint - Supply,266.0,266.0,39.37,212.8,23
CDM,27001785,Ace Wrap,34.0,34.0,5.03,27.2,23
CDM,27001786,Ace Wrap Supply,31.0,31.0,4.59,24.8,23
CDM,27001788,Wrist Brace,60.0,60.0,8.88,48.0,23
CDM,27002257,Cast Application Supply,567.0,567.0,83.92,453.6,23
CDM,27002259,Sling,108.0,108.0,15.98,86.4,23
CDM,27002260,Ace Bandage,14.0,14.0,2.07,11.2,23
CDM,27002261,Urinary Drainage Bag,28.0,28.0,4.14,22.4,23
CDM,27002265,Pelvic Tray,138.0,138.0,20.42,110.4,23
CDM,27002267,Ortho Traction Pins,408.0,408.0,60.38,326.4,23
CDM,27002268,Ace Bandage,147.0,147.0,21.76,117.6,23
CDM,27002510,Nuva Ring,10.0,10.0,1.48,8.0,23
CDM,27002516,Fiberglass Casting,129.0,129.0,19.09,103.2,23
CDM,27002518,Knee Immobilizer,232.0,232.0,34.34,185.6,23
CDM,27002522,Cast Shoe,51.0,51.0,7.55,40.8,23
CDM,27002524,Post OP Shoe,38.0,38.0,5.62,30.4,23
CDM,27002525,Hinged Knee Brace,705.0,705.0,104.34,564.0,23
CDM,27002527,Hinged Knee Sleeve,129.0,129.0,19.09,103.2,23
CDM,27002528,Universal Knee Brace,728.0,728.0,107.74,582.4,23
CDM,27002530,3d Walking Boot,197.0,197.0,29.16,157.6,23
CDM,27002531,Knee Immobilizer,232.0,232.0,34.34,185.6,23
CDM,27002532,Shoulder Immobilizer,232.0,232.0,34.34,185.6,23
CDM,27002533,Philadelphia Collar,207.0,207.0,30.64,165.6,23
CDM,27002534,Soft Collar,130.0,130.0,19.24,104.0,23
CDM,27002535,Arm Sling,94.0,94.0,13.91,75.2,23
CDM,27002536,Active Ankle Brace,417.0,417.0,61.72,333.6,23
CDM,27002538,Knee Brace,762.0,762.0,112.78,609.6,23
CDM,27002543,Sandbag,19.0,19.0,2.81,15.2,23
CDM,27002548,Abduction Pillow,96.0,96.0,14.21,76.8,23
CDM,27002549,Neoprene Knee Sleeve,68.0,68.0,10.06,54.4,23
CDM,27002550,Cuff and Collar,38.0,38.0,5.62,30.4,23
CDM,27002551,Post OP Shoe,38.0,38.0,5.62,30.4,23
CDM,27002552,Tlso Pre Fab,2419.0,2419.0,358.01,1935.2,23
CDM,27002564,"Cvp Kit, Double Lumen",569.0,569.0,84.21,455.2,23
CDM,27002565,"Ett, Double-Lumen",837.0,837.0,123.88,669.6,23
CDM,27002573,Radial Artery Set (Arrow),92.0,92.0,13.62,73.6,23
CDM,27002576,Epidural Tray,316.0,316.0,46.77,252.8,23
CDM,27002587,Kit Quad Lumen Cather,148.0,148.0,21.9,118.4,23
CDM,27002604,Epidural Tray,132.0,132.0,19.54,105.6,23
CDM,27002673,Delivery System Closed In,141.0,141.0,20.87,112.8,23
CDM,27002706,Stockings Antiembolish Ex,36.0,36.0,5.33,28.8,23
CDM,27002710,Bag Urine Leg,15.0,15.0,2.22,12.0,23
CDM,27002884,Et/Co2 Sensors,34.0,34.0,5.03,27.2,23
CDM,27002885,Cpap Circuit,1347.0,1347.0,199.36,1077.6,23
CDM,27002886,Flutter Valve,167.0,167.0,24.72,133.6,23
CDM,27002938,Inflation Device,250.0,250.0,37.0,200.0,23
CDM,27002939,"Catheter, Thrombectomy",1076.0,1076.0,159.25,860.8,23
CDM,27002961,Pad Defi,50.0,50.0,7.4,40.0,23
CDM,27002979,Jcd 7.0-38-20,17.0,17.0,2.52,13.6,23
CDM,27002985,Super Arrow Flex Introducer-C,425.0,425.0,62.9,340.0,23
CDM,27002994,Kit Percutaneous Introducer,810.0,810.0,119.88,648.0,23
CDM,27003008,Central Line Dressing Tray,49.0,49.0,7.25,39.2,23
CDM,27003028,Lumbo-Sacral Support,39.0,39.0,5.77,31.2,23
CDM,27003045,Foot Plate-Prefb,577.0,577.0,85.4,461.6,23
CDM,27003049,Dressing Stick,31.0,31.0,4.59,24.8,23
CDM,27003050,Leg Lifter,52.0,52.0,7.7,41.6,23
CDM,27003051,Reacher,117.0,117.0,17.32,93.6,23
CDM,27003053,Abduction Pillow,404.0,404.0,59.79,323.2,23
CDM,27003054,Compression Glove,87.0,87.0,12.88,69.6,23
CDM,27003055,Dowel,49.0,49.0,7.25,39.2,23
CDM,27003063,Simple Hand-Based Splint,52.0,52.0,7.7,41.6,23
CDM,27003080,Custom Finger Splint,10.0,10.0,1.48,8.0,23
CDM,27003084,Compression Glove,87.0,87.0,12.88,69.6,23
CDM,27003085,Dowel,49.0,49.0,7.25,39.2,23
CDM,27003090,Laryngectomy Tube,667.0,667.0,98.72,533.6,23
CDM,27003091,Inhealth Advan.Indwelling Pros,859.0,859.0,127.13,687.2,23
CDM,27003093,Inhealth Low Pressure Prosthesis,491.0,491.0,72.67,392.8,23
CDM,27003095,Provox/Atox Prosthesis,893.0,893.0,132.16,714.4,23
CDM,27003097,Plug Insert,339.0,339.0,50.17,271.2,23
CDM,27003104,Interceed Sup/Admin,424.0,424.0,62.75,339.2,23
CDM,27003105,Pudendal Kit,102.0,102.0,15.1,81.6,23
CDM,27003108,Dressing Hemostasis,441.0,441.0,65.27,352.8,23
CDM,27003113,Tegaderm Dressing,51.0,51.0,7.55,40.8,23
CDM,27003114,Tegaderm Dressing,20.0,20.0,2.96,16.0,23
CDM,27003115,"Wound Gel, Carrington",103.0,103.0,15.24,82.4,23
CDM,27003117,"Little Ones, White Collar 4x4",39.0,39.0,5.77,31.2,23
CDM,27003119,"Pouch, Active Life",36.0,36.0,5.33,28.8,23
CDM,27003120,"Flange, Sur-Fit",42.0,42.0,6.22,33.6,23
CDM,27003121,Pouch Drainable Opaque,20.0,20.0,2.96,16.0,23
CDM,27003127,High Flow Continuous,406.0,406.0,60.09,324.8,23
CDM,27003132,Wrist Brace,60.0,60.0,8.88,48.0,23
CDM,27004266,13.5mm/3.2mm Wire Guide,1747.0,1747.0,258.56,1397.6,23
CDM,27004327,Medium Wire Cutter 160mm,4148.0,4148.0,613.9,3318.4,23
CDM,27007489,Mini-Clip Str 3mm,1693.0,1693.0,250.56,1354.4,23
CDM,27007874,13.0/3.2 Wire Gude W/ Troc Tip,591.0,591.0,87.47,472.8,23
CDM,27010807,"Bipolar Cord,Disposable",683.0,683.0,101.08,546.4,23
CDM,27010880,Colostomy Bag & Supplies,509.0,509.0,75.33,407.2,23
CDM,27010993,Humeral Fracture Brace,196.0,196.0,29.01,156.8,23
CDM,27010994,Wound Care Shoe,309.0,309.0,45.73,247.2,23
CDM,27011002,4fr Catheter Cobra 2,166.0,166.0,24.57,132.8,23
CDM,27011028,7.1 Fr 100cm Pigtail Cath,60.0,60.0,8.88,48.0,23
CDM,27011032,Air Guard Valved Introducer,335.0,335.0,49.58,268.0,23
CDM,27011052,Bead Block 100-300,667.0,667.0,98.72,533.6,23
CDM,27011053,Bead Block 300-500,667.0,667.0,98.72,533.6,23
CDM,27011061,Cath 5fr 100cm Berenstein,35.0,35.0,5.18,28.0,23
CDM,27011065,Cath 5fr 40cm Berenstein,40.0,40.0,5.92,32.0,23
CDM,27011067,Cath 5fr 65cm Berenstein,40.0,40.0,5.92,32.0,23
CDM,27011068,Cath 5fr 65cm Cobra1,35.0,35.0,5.18,28.0,23
CDM,27011069,Cath 5fr 65cm Cobra2,35.0,35.0,5.18,28.0,23
CDM,27011070,Cath 5fr 65cm Ns Straight,60.0,60.0,8.88,48.0,23
CDM,27011071,Cath 5fr 65cm Pig,40.0,40.0,5.92,32.0,23
CDM,27011073,Cath 5fr 80 Cm Mikalesson,35.0,35.0,5.18,28.0,23
CDM,27011074,Cath 5fr 80cm Sos1,166.0,166.0,24.57,132.8,23
CDM,27011075,Cath 5fr 80cm Sos2,35.0,35.0,5.18,28.0,23
CDM,27011088,Coil 15-250 Micron (2vl/Bx),477.0,477.0,70.6,381.6,23
CDM,27011089,Coil 250-355 Micron (5vl/Bx),463.0,463.0,68.52,370.4,23
CDM,27011090,Coil 355-500 Micron (5vl/Bx),384.0,384.0,56.83,307.2,23
CDM,27011093,Coil Pusher 16,544.0,544.0,80.51,435.2,23
CDM,27011096,Connectory Tuohy,90.0,90.0,13.32,72.0,23
CDM,27011098,Contra Flush Catheter,199.0,199.0,29.45,159.2,23
CDM,27011099,Cope Suture Anchor Set,199.0,199.0,29.45,159.2,23
CDM,27011114,Flo-Switch Hp,380.0,380.0,56.24,304.0,23
CDM,27011121,Gtgw.180cm-45deg Angle,501.0,501.0,74.15,400.8,23
CDM,27011129,Jcd 10.0-38-20,42.0,42.0,6.22,33.6,23
CDM,27011131,Jcd 14.0-38-20,51.0,51.0,7.55,40.8,23
CDM,27011132,Jcd 16.0-38-20,51.0,51.0,7.55,40.8,23
CDM,27011139,Jcd-20.0-38-20 Dilator,36.0,36.0,5.33,28.8,23
CDM,27011142,Jcd-D18.0-38-20 Dilator,51.0,51.0,7.55,40.8,23
CDM,27011150,Kit Gastrostomy 18fr,541.0,541.0,80.07,432.8,23
CDM,27011162,Microsphere Embogold 500-700,734.0,734.0,108.63,587.2,23
CDM,27011163,Microsphere Embogold 700-900,734.0,734.0,108.63,587.2,23
CDM,27011172,Olcott Torque Device,65.0,65.0,9.62,52.0,23
CDM,27011176,Perc Gastrostomy Set,1079.0,1079.0,159.69,863.2,23
CDM,27011190,Ring Transjugular Set,1404.0,1404.0,207.79,1123.2,23
CDM,27011195,Safety Peg Kit Moni Bolster,1497.0,1497.0,221.56,1197.6,23
CDM,27011202,Set Neff Perc Access,244.0,244.0,36.11,195.2,23
CDM,27011215,Skater Nephro Cath 8fr X 35cm,288.0,288.0,42.62,230.4,23
CDM,27011216,Snare Amplatz 10mm,916.0,916.0,135.57,732.8,23
CDM,27011217,Snare Amplatz 5mm,916.0,916.0,135.57,732.8,23
CDM,27011252,Triple Lumen Catheter Size 24,250.0,250.0,37.0,200.0,23
CDM,27011255,Tube Gastrostomy 18fr,80.0,80.0,11.84,64.0,23
CDM,27011256,Tube Gastrostomy 22fr,76.0,76.0,11.25,60.8,23
CDM,27011257,Tube Jejunal Feeding 18 Fr O.D,300.0,300.0,44.4,240.0,23
CDM,27011262,Tube Tj Feeding 22 Fr 45cm End,651.0,651.0,96.35,520.8,23
CDM,27011267,Ultrasound Probe Covers,46.0,46.0,6.81,36.8,23
CDM,27011270,.014 Nitrex Guidewire,1219.0,1219.0,180.41,975.2,23
CDM,27011302,Drsg Anti Sft Sil 8x20 20x50cm,248.0,248.0,36.7,198.4,23
CDM,27011309,Drsng Anti Sft Sil 4x4 10x10cm,28.0,28.0,4.14,22.4,23
CDM,27011323,Jcd 9.0-38-20,42.0,42.0,6.22,33.6,23
CDM,27011423,Kit 135cm 2.7fr 20mm Img 1 Syr Rapex Tip Radiopq,1875.0,1875.0,277.5,1500.0,23
CDM,27011425,Mic Transgastric Jejunal Feeding Kit 18f 45cm,500.0,500.0,74.0,400.0,23
CDM,27011431,Tube Gstrm Std 18fr 10cm 5ml 60ml Entuit Thrive Bln Rtnt,90.0,90.0,13.32,72.0,23
CDM,27011432,Tube Fd Std 20fr 10cm 20ml Entuit Thrive Bln Rtnt Lg Gstrm,90.0,90.0,13.32,72.0,23
CDM,27011433,Tube Fd Std 22fr 10cm 20ml Entuit Thrive Bln Rtnt Lg Gstrm,90.0,90.0,13.32,72.0,23
CDM,27100022,Posterior Elbow Splint,112.0,112.0,16.58,89.6,23
CDM,27200011,Catheter Foley 16fr,18.0,18.0,2.66,14.4,23
CDM,27200045,Paracentesis Tray,214.0,214.0,31.67,171.2,23
CDM,27200047,Biliary Plastic Stents,1091.0,1091.0,161.47,872.8,23
CDM,27200049,Jagtomes Rx Cannulating Sphinc,1255.0,1255.0,185.74,1004.0,23
CDM,27200050,Extractor Balloon,1388.0,1388.0,205.42,1110.4,23
CDM,27200051,Trapezoid Retrieval Baskets,2263.0,2263.0,334.92,1810.4,23
CDM,27200053,Esophageal Stent,11672.0,11672.0,1727.46,9337.6,23
CDM,27200054,Colonic and Duodenal Stent,16179.0,16179.0,2394.49,12943.2,23
CDM,27200055,Cre Balloons,1523.0,1523.0,225.4,1218.4,23
CDM,27200056,Esophageal/Pyloric Balloon Dil,1750.0,1750.0,259.0,1400.0,23
CDM,27200057,Esophageal/Pyloric/Colonic Ba,1750.0,1750.0,259.0,1400.0,23
CDM,27200060,Venous Port - Maintenance,184.0,184.0,27.23,147.2,23
CDM,27200061,Dressing,42.0,42.0,6.22,33.6,23
CDM,27200062,"Dressing, Burn Supplies",206.0,206.0,30.49,164.8,23
CDM,27200063,IV Start Supply,228.0,228.0,33.74,182.4,23
CDM,27200066,Nephrostomy Bag,299.0,299.0,44.25,239.2,23
CDM,27200067,Dressing Change,64.0,64.0,9.47,51.2,23
CDM,27200068,Catheter Foley,34.0,34.0,5.03,27.2,23
CDM,27200069,Leg Bag,34.0,34.0,5.03,27.2,23
CDM,27200074,Acticoat Dressing,315.0,315.0,46.62,252.0,23
CDM,27200075,Feeding/Ng Tube,19.0,19.0,2.81,15.2,23
CDM,27200076,Triple Lumen Cath,222.0,222.0,32.86,177.6,23
CDM,27200080,"Injection, IV, Antibiotic",214.0,214.0,31.67,171.2,23
CDM,27200081,"Steroid Injection, IV Supply",192.0,192.0,28.42,153.6,23
CDM,27200085,"Ett, Laser",897.0,897.0,132.76,717.6,23
CDM,27200086,"Ett, Rae",118.0,118.0,17.46,94.4,23
CDM,27200087,"Ett, Wire Reinf",362.0,362.0,53.58,289.6,23
CDM,27200088,"Ett, Endotrol/Mlt",138.0,138.0,20.42,110.4,23
CDM,27200090,"Cvp Kit, Single Lumen",238.0,238.0,35.22,190.4,23
CDM,27200092,Cvp Kit Triple Lumen,569.0,569.0,84.21,455.2,23
CDM,27200109,Epidural Tray,160.0,160.0,23.68,128.0,23
CDM,27200111,O2 Therapy-Ea 8 Hrs,296.0,296.0,43.81,236.8,23
CDM,27200113,Peak Flow Meter,487.0,487.0,72.08,389.6,23
CDM,27200114,Heart Nebulizer,440.0,440.0,65.12,352.0,23
CDM,27200116,Mdi Spacer,192.0,192.0,28.42,153.6,23
CDM,27200117,Inc Spir-Disposable,319.0,319.0,47.21,255.2,23
CDM,27200118,Inner Cannula,134.0,134.0,19.83,107.2,23
CDM,27200119,Nasal Prongs,26.0,26.0,3.85,20.8,23
CDM,27200120,Vent Kit Only,500.0,500.0,74.0,400.0,23
CDM,27200125,Sleep Apnea Supply Kit,1443.0,1443.0,213.56,1154.4,23
CDM,27200126,Tracheostomy-Pipe Cleaner,84.0,84.0,12.43,67.2,23
CDM,27200128,Tube Trach #8 Dct,377.0,377.0,55.8,301.6,23
CDM,27200129,Tube Trach #6 Dct,377.0,377.0,55.8,301.6,23
CDM,27200130,Tube Trach #10 Dct,335.0,335.0,49.58,268.0,23
CDM,27200131,Tube Tracheostomy 4-Dcfs,342.0,342.0,50.62,273.6,23
CDM,27200132,Tube Tracheostomy 8-Dcfs,326.0,326.0,48.25,260.8,23
CDM,27200134,Cont Oxy Hood-Pediatrics,866.0,866.0,128.17,692.8,23
CDM,27200135,He-Ox Rx Airway Obs + Supply,947.0,947.0,140.16,757.6,23
CDM,27200136,Trach Tube/Passy Muir,554.0,554.0,81.99,443.2,23
CDM,27200137,Intubation Specialty Tube,1545.0,1545.0,228.66,1236.0,23
CDM,27200138,Pulse Oximetry Sensor,292.0,292.0,43.22,233.6,23
CDM,27200139,Vent Circuit Kit,423.0,423.0,62.6,338.4,23
CDM,27200140,Specialty Vent Circuit Kit,990.0,990.0,146.52,792.0,23
CDM,27200143,Blood Gas Kit,112.0,112.0,16.58,89.6,23
CDM,27200144,Red Rubber Catheter,54.0,54.0,7.99,43.2,23
CDM,27200151,Choice Pt X-Support Guidewire,605.0,605.0,89.54,484.0,23
CDM,27200152,Choice Pt Guidewire,605.0,605.0,89.54,484.0,23
CDM,27200154,Custom Left Heart Kit W/Transd,69.0,69.0,10.21,55.2,23
CDM,27200156,Micropuncture Set,102.0,102.0,15.1,81.6,23
CDM,27200157,.025 X 260cm 7cm Emerald Guidewire,21.0,21.0,3.11,16.8,23
CDM,27200158,6fr Al 1 St Guiding Cath,199.0,199.0,29.45,159.2,23
CDM,27200162,6fr Mpa-1 Guiding Cath,189.0,189.0,27.97,151.2,23
CDM,27200163,6ft Jr 4 St Guiding Cath,199.0,199.0,29.45,159.2,23
CDM,27200167,7fr Jl5 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200169,7fr Jr 5 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200170,7fr Mpa-1 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200176,7fr Im Guiding Cath,180.0,180.0,26.64,144.0,23
CDM,27200177,6fr AR 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200178,6fr Jl4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200179,6fr Jr 4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200180,.035 X 260cm 3cm Emerald Guidewire,22.0,22.0,3.26,17.6,23
CDM,27200184,.035 X 150cm 3cm Emerald Guidewire,22.0,22.0,3.26,17.6,23
CDM,27200186,7fr Jl4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200188,7fr Jr 4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200190,6fr Al 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200192,7fr Al 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200194,6fr Jr 4 Guiding Cath,189.0,189.0,27.97,151.2,23
CDM,27200195,6fr Xb 3 Guiding Cath,199.0,199.0,29.45,159.2,23
CDM,27200196,6fr Xb 3.5 Guiding Cath,199.0,199.0,29.45,159.2,23
CDM,27200198,6fr Jl3.5 Guiding Cath,180.0,180.0,26.64,144.0,23
CDM,27200199,6fr Jr 3.5 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200200,6fr Al .75 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200201,7fr Al .75 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200204,.025 X 150cm Emerald Guidewire,21.0,21.0,3.11,16.8,23
CDM,27200207,7fr-100cm Swan-Ganz Td Cathete,189.0,189.0,27.97,151.2,23
CDM,27200214,Filter Wire Ex-300cm,5361.0,5361.0,793.43,4288.8,23
CDM,27200218,.014-145cm Export Catheter,1865.0,1865.0,276.02,1492.0,23
CDM,27200231,6fr Al 2 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200247,7fr Lcb Guiding Cath,199.0,199.0,29.45,159.2,23
CDM,27200248,7fr Jr 4 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200249,7fr AR 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CDM,27200250,"Glide Wire,.035 Straight",112.0,112.0,16.58,89.6,23
CDM,27200252,190cm J Tip Bmw Guidewire,348.0,348.0,51.5,278.4,23
CDM,27200283,Hi-Torque Pilot 50 Guide Wire,302.0,302.0,44.7,241.6,23
CDM,27200285,Doc Guide Wire Extension,324.0,324.0,47.95,259.2,23
CDM,27200294,7fr Wedge Pressure Cath,153.0,153.0,22.64,122.4,23
CDM,27200295,Cardiac Cath Pack,190.0,190.0,28.12,152.0,23
CDM,27200296,Contrast Inject Line-Low Press,7.0,7.0,1.04,5.6,23
CDM,27200299,6fr - 10cm Pinnacle Introducer,40.0,40.0,5.92,32.0,23
CDM,27200305,6fr Ebu 3.0 Guiding Catheter,189.0,189.0,27.97,151.2,23
CDM,27200306,6fr Ebu 3.5 Guiding Catheter,169.0,169.0,25.01,135.2,23
CDM,27200307,6fr Ebu 4.0 Guiding Catheter,169.0,169.0,25.01,135.2,23
CDM,27200308,7fr Ebu 3.0 Guiding Catheter,161.0,161.0,23.83,128.8,23
CDM,27200309,7fr Ebu 3.5 Guiding Catheter,161.0,161.0,23.83,128.8,23
CDM,27200310,7fr Ebu 4.0 Guiding Catheter,161.0,161.0,23.83,128.8,23
CDM,27200315,.014 - 300cm Asahi Miraclebros,691.0,691.0,102.27,552.8,23
CDM,27200318,.014 - 300cm All-Star Wire,307.0,307.0,45.44,245.6,23
CDM,27200319,Eagle Eye Coronary Imaging Cat,2449.0,2449.0,362.45,1959.2,23
CDM,27200324,V-18 Control Wire,340.0,340.0,50.32,272.0,23
CDM,27200338,Voyager Nc 2.5 X 15mm Balloon,634.0,634.0,93.83,507.2,23
CDM,27200373,Catheter Baldilat 12 Atm 1.5mm 142cm 12mm Rapex,413.0,413.0,61.12,330.4,23
CDM,27200376,Catheter Blndil 21cm .022in 2mm 142cm Lf 12mm Spntr Lgnd,413.0,413.0,61.12,330.4,23
CDM,27200422,Spacer (Mdi),215.0,215.0,31.82,172.0,23
CDM,27200425,"Catheterization Kit, Straight",60.0,60.0,8.88,48.0,23
CDM,27200426,Blood Administration Set Up,3.0,3.0,0.44,2.4,23
CDM,27200427,Intra-Uterine Press Cath,92.0,92.0,13.62,73.6,23
CDM,27200428,"Pack, C-Section",157.0,157.0,23.24,125.6,23
CDM,27200430,"Catheterization Kit, Foley",64.0,64.0,9.47,51.2,23
CDM,27200431,"Catheterization Kit, Straight",180.0,180.0,26.64,144.0,23
CDM,27200433,Karmen Cannula,1131.0,1131.0,167.39,904.8,23
CDM,27200434,Stomahesive Paste 2 Oz Tube,108.0,108.0,15.98,86.4,23
CDM,27200436,"Pouch, Urostomy Opaque",34.0,34.0,5.03,27.2,23
CDM,27200437,Flexible Flange,42.0,42.0,6.22,33.6,23
CDM,27200438,"Irrigator, Visiflow W/Cone",201.0,201.0,29.75,160.8,23
CDM,27200440,Stomahesive Powder,56.0,56.0,8.29,44.8,23
CDM,27200442,Wound Pouch Med.,68.0,68.0,10.06,54.4,23
CDM,27200443,Medical Adhesive,68.0,68.0,10.06,54.4,23
CDM,27200444,Drain Tube Attachment,10.0,10.0,1.48,8.0,23
CDM,27200447,"Uni-Solve Wipes,Adhes. Remover",103.0,103.0,15.24,82.4,23
CDM,27200449,Ace Wrap Supply,34.0,34.0,5.03,27.2,23
CDM,27200456,Mic G-18 Introducer Kit,585.0,585.0,86.58,468.0,23
CDM,27200457,Cath Cen Ven 4fr 1 Lum Try 3cg Shrlk Sty Maximal Brr Pic,249.0,249.0,36.85,199.2,23
CDM,27200458,Cath 5fr 1lum Try 3cg Shrlk Sty Maximal Brr Picc P,260.0,260.0,38.48,208.0,23
CDM,27200460,Micro Microintruducer 7cm 5.0fr Flecura Guidewire,39.0,39.0,5.77,31.2,23
CDM,27200462,Sheath Guid 65cm 6fr Pn Dstn .038in Str Hydphi,224.0,224.0,33.15,179.2,23
CDM,27200470,Embosphere Pre-Filled Syringe 300-500 Microns/2ml,625.0,625.0,92.5,500.0,23
CDM,27200471,Introducer Sheath 7fr .1in 80cm Tuohy Borst Sidearm Radiopq,250.0,250.0,37.0,200.0,23
CDM,27200473,Catheter Guid Mpc Curve 5fr .056in 90cm Braid Radiopq Soft,893.0,893.0,132.16,714.4,23
CDM,27200474,Catheter Angiographic Motarjeme Curve 5fr .046in 100cm Braid,310.0,310.0,45.88,248.0,23
CDM,27200475,Catheter Angiographic .035in Pigtail 5fr .052in 90cm Ultra,305.0,305.0,45.14,244.0,23
CDM,27200477,Guidewire Vascular .014in 300cm 20cm Exchange Radiopq Distal,896.0,896.0,132.61,716.8,23
CDM,27200479,Catheter Infus 90d .014in Micro Str 1.9-2.4fr .017in 155cm,1688.0,1688.0,249.82,1350.4,23
CDM,27200482,Catheter Reperfusion 4max,3225.0,3225.0,477.3,2580.0,23
CDM,27200496,Introducer Sheath .035in 7fr .1in 70cm Anl1 Curve,163.0,163.0,24.12,130.4,23
CDM,27200561,Guide Wire,338.0,338.0,50.02,270.4,23
CDM,27200714,Compression Hose Lg/Xlg Knee,131.0,131.0,19.39,104.8,23
CDM,27200751,"Grasping Forceps, 10mm X 120cm",744.0,744.0,110.11,595.2,23
CDM,27200753,"Grasping Forceps, 8mm X 120cm",708.0,708.0,104.78,566.4,23
CDM,27200766,"Probe, Electrohydraulic Lithot",428.0,428.0,63.34,342.4,23
CDM,27200769,Bipolar Forceps,573.0,573.0,84.8,458.4,23
CDM,27201399,Bipolar Bovie,14.0,14.0,2.07,11.2,23
CDM,27201400,Micro Clips,39.0,39.0,5.77,31.2,23
CDM,27201403,Abd Binder,39.0,39.0,5.77,31.2,23
CDM,27201407,Dermabond,87.0,87.0,12.88,69.6,23
CDM,27201456,"Grasping Forceps, 10mm X 120cm",744.0,744.0,110.11,595.2,23
CDM,27201458,"Grasping Forceps, Stone Retrie",705.0,705.0,104.34,564.0,23
CDM,27201474,"Grasping Forceps, 8mm X 120cm",707.0,707.0,104.64,565.6,23
CDM,27201492,Jp Drain (Hemaduct),90.0,90.0,13.32,72.0,23
CDM,27201536,Compression Hose Reg. Knee,101.0,101.0,14.95,80.8,23
CDM,27201630,"Cath,Chest Tube Rt. Angled",135.0,135.0,19.98,108.0,23
CDM,27201681,Catheter Angio .038in Ka2 Crv 5fr .046in 65cm Prfm,153.0,153.0,22.64,122.4,23
CDM,27201801,Guidewire .35x150cm Bentson,76.0,76.0,11.25,60.8,23
CDM,27201805,5x1235x20cm Unifuse Kit,550.0,550.0,81.4,440.0,23
CDM,27201806,5x135x10cm Unifuse Kit,550.0,550.0,81.4,440.0,23
CDM,27201808,Temporary Dialysis Cath,315.0,315.0,46.62,252.0,23
CDM,27201819,Guidewire .035/260m Exchange,149.0,149.0,22.05,119.2,23
CDM,27201820,Guidewire .035-150cm Angled Stiff,167.0,167.0,24.72,133.6,23
CDM,27201825,5fr-100cm at Catheter,37.0,37.0,5.48,29.6,23
CDM,27201827,Amplatz Guidewire 260cm,129.0,129.0,19.09,103.2,23
CDM,27201829,Glidecath C2 Hydeophilic,175.0,175.0,25.9,140.0,23
CDM,27201831,Guidewire Amplatz Super,425.0,425.0,62.9,340.0,23
CDM,27201833,Transcend Steerable,546.0,546.0,80.81,436.8,23
CDM,27201836,Guidewire .035-260cm Bentson E,88.0,88.0,13.02,70.4,23
CDM,27201837,10.2fr Mp Drain Catheter,296.0,296.0,43.81,236.8,23
CDM,27201838,11fr-70cm Introducer Set,233.0,233.0,34.48,186.4,23
CDM,27201843,35-5-8 Embolization Coil,167.0,167.0,24.72,133.6,23
CDM,27201845,6fr Balkan Introducer Set,60.0,60.0,8.88,48.0,23
CDM,27201847,8.5fr Mp Drain Catheter,311.0,311.0,46.03,248.8,23
CDM,27201848,9.5fr Biliary Drain Cath.,296.0,296.0,43.81,236.8,23
CDM,27201851,Filter Retrieval Set,886.0,886.0,131.13,708.8,23
CDM,27201852,Guidewire Cope Mandril,116.0,116.0,17.17,92.8,23
CDM,27201853,Lewis Micropunture Set,130.0,130.0,19.24,104.0,23
CDM,27201854,Micropuncture Set,102.0,102.0,15.1,81.6,23
CDM,27201857,12-20mmx120cm Std Snare,1119.0,1119.0,165.61,895.2,23
CDM,27201858,9-15mmx120cm Std Snare,1119.0,1119.0,165.61,895.2,23
CDM,27201860,Pinnacle Introducer 5fr 10cm,80.0,80.0,11.84,64.0,23
CDM,27201861,Conquest Pta Balloon Dilatatio,753.0,753.0,111.44,602.4,23
CDM,27201865,Guidewire 3mm J Fixed Core .03,46.0,46.0,6.81,36.8,23
CDM,27201867,8fr 10cm Pinnacle Introducer,72.0,72.0,10.66,57.6,23
CDM,27201870,Fogarty 5.5-40cm,352.0,352.0,52.1,281.6,23
CDM,27201876,Meditech Accustick II Introduc,209.0,209.0,30.93,167.2,23
CDM,27201878,.038-145 Amplatz Extra Stiff,76.0,76.0,11.25,60.8,23
CDM,27201879,9fr Single Lumen Hickman,241.0,241.0,35.67,192.8,23
CDM,27201881,.035-150cm 3mm J Guidewire,68.0,68.0,10.06,54.4,23
CDM,27201888,7fr 10cm Pinnacle Introducer,71.0,71.0,10.51,56.8,23
CDM,27201891,8fr Flexima Biliary Catheter,271.0,271.0,40.11,216.8,23
CDM,27201906,Wound Paste,118.0,118.0,17.46,94.4,23
CDM,27201931,Catheter Foley 16fr,18.0,18.0,2.66,14.4,23
CDM,27202388,Catheter Foley 16fr,19.0,19.0,2.81,15.2,23
CDM,27202419,Catheter Foley 16fr,18.0,18.0,2.66,14.4,23
CDM,27202447,Catheter Foley 16fr,18.0,18.0,2.66,14.4,23
CDM,27202471,Cragg-Mcnamara 5-40-20 Infusio,315.0,315.0,46.62,252.0,23
CDM,27202473,15mm Amplatz Snare,916.0,916.0,135.57,732.8,23
CDM,27202474,25mm Amplatz Snare,916.0,916.0,135.57,732.8,23
CDM,27202475,10fr X 35cm Skater Nephrostomy,254.0,254.0,37.59,203.2,23
CDM,27202476,Chron Carbothane Cath 14.5f X 19cm,1054.0,1054.0,155.99,843.2,23
CDM,27202477,23cm Sport Pack Perm Dialysis,921.0,921.0,136.31,736.8,23
CDM,27202484,Conquest Dialation Balloon 5mm,717.0,717.0,106.12,573.6,23
CDM,27202485,Conquest Dialation Balloon 6mm,717.0,717.0,106.12,573.6,23
CDM,27202488,Conquest Dialation Balloon 7mm,717.0,717.0,106.12,573.6,23
CDM,27202489,Conquest Dialation Balloon 8mm,717.0,717.0,106.12,573.6,23
CDM,27202490,Conquest Dialation Balloon 8mm,717.0,717.0,106.12,573.6,23
CDM,27202491,Conquest Dialation Balloon 10m,717.0,717.0,106.12,573.6,23
CDM,27202492,Conquest Dialation Balloon 10m,717.0,717.0,106.12,573.6,23
CDM,27202493,Conquest Dialation Balloon 12m,717.0,717.0,106.12,573.6,23
CDM,27202502,6frx45cm Renal Guiding Sheath,260.0,260.0,38.48,208.0,23
CDM,27202507,Guidewire .018x180cm Segway Gt,417.0,417.0,61.72,333.6,23
CDM,27202511,6fr Dial Ease Introducer Sheat,43.0,43.0,6.36,34.4,23
CDM,27202514,10fr 25cm Pinnacle Sheath Intr,67.0,67.0,9.92,53.6,23
CDM,27202515,5fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CDM,27202518,7fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CDM,27202522,Disposable Tip Deflecting Wire,567.0,567.0,83.92,453.6,23
CDM,27202523,10fr Pinnacle Introducer,76.0,76.0,11.25,60.8,23
CDM,27202525,5fr Tear-Away Introducer,81.0,81.0,11.99,64.8,23
CDM,27202526,6fr Tear-Away Introducer,856.0,856.0,126.69,684.8,23
CDM,27202528,9fr Tear-Away Introducer,81.0,81.0,11.99,64.8,23
CDM,27202530,18 Ga Needle Sterile Guide,65.0,65.0,9.62,52.0,23
CDM,27202538,Catheter 10fr Flexima,291.0,291.0,43.07,232.8,23
CDM,27202543,Glidecath: 100cm Straight,838.0,838.0,124.02,670.4,23
CDM,27202544,Guidecath 5fr-100cm,175.0,175.0,25.9,140.0,23
CDM,27202545,Guidewire .035/150cm,1424.0,1424.0,210.75,1139.2,23
CDM,27202550,Guidewire .035-260cm Rosen,68.0,68.0,10.06,54.4,23
CDM,27202551,10.2fr Biliary Drain Cath,289.0,289.0,42.77,231.2,23
CDM,27202552,12.0fr Biliary Drain Cath,296.0,296.0,43.81,236.8,23
CDM,27202553,12.0fr Mp Drain Catheter,296.0,296.0,43.81,236.8,23
CDM,27202554,14.0fr Biliary Drain,296.0,296.0,43.81,236.8,23
CDM,27202557,7fr-100cm Montef 10re Cat,54.0,54.0,7.99,43.2,23
CDM,27202564,5fr.100cmhinck Headhunter,167.0,167.0,24.72,133.6,23
CDM,27202565,8fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CDM,27202572,"Amplatz Sup Guidewire,035/75gw",331.0,331.0,48.99,264.8,23
CDM,27202585,"Tubing, Aspiration",1279.0,1279.0,189.29,1023.2,23
CDM,27202591,"Balloon, Hyperform 7mm X 7mm",4005.0,4005.0,592.74,3204.0,23
CDM,27202593,"Catheter, Envoy 6f Guiding",884.0,884.0,130.83,707.2,23
CDM,27202600,Guidwire Glide .038 150 Angle,154.0,154.0,22.79,123.2,23
CDM,27202603,Guidewire Transend Ex .014st,1036.0,1036.0,153.33,828.8,23
CDM,27202608,"Guidewire, Synchro2",1251.0,1251.0,185.15,1000.8,23
CDM,27202613,Cath 6fr 1lum Try 3cg Shrlk Maximal Brr Picc P,1010.0,1010.0,149.48,808.0,23
CDM,27202696,10mmx5cmx110cm 0.025 Guidewire,15219.0,15219.0,2252.41,12175.2,23
CDM,27202697,10mmx10cmx110cm 0.025 Guidewir,18251.0,18251.0,2701.15,14600.8,23
CDM,27202698,13mmx5cmx110cm 0.025 Guidewire,15219.0,15219.0,2252.41,12175.2,23
CDM,27202790,Alligator Retrieval,8967.0,8967.0,1327.12,7173.6,23
CDM,27202811,Guidewire Silverspeed .016,735.0,735.0,108.78,588.0,23
CDM,27202853,Alumafoam Splint,17.0,17.0,2.52,13.6,23
CDM,27202854,Aquacel Silver 4x4,51.0,51.0,7.55,40.8,23
CDM,27202855,Aquacel Silver 6x6,117.0,117.0,17.32,93.6,23
CDM,27202875,Dynamic Finger Flexion Strap,18.0,18.0,2.66,14.4,23
CDM,27202891,Neoprene Tennis Elbow Strap,135.0,135.0,19.98,108.0,23
CDM,27202911,Gwire Vasc 185cm .014in Prss Clip Conctr Radiopq Tip Trq Dev,1772.0,1772.0,262.26,1417.6,23
CDM,27202912,Abbott Vascular,207.0,207.0,30.64,165.6,23
CDM,27202913,Cath Baldilat .035in 5fr 9mm 75cm 40mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CDM,27202914,Cath Baldilat .035in 5fr 8mm 75cm 40mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CDM,27202915,Catheter Baldilat Lp 5.3fr 4mm 75cm 40mm High Pressure,525.0,525.0,77.7,420.0,23
CDM,27202917,Catheter Balloon Dilit Coyote 2 X 220 150cm Otw,900.0,900.0,133.2,720.0,23
CDM,27202918,"Balloon Coyote 2.5 X 220, 150cm, Otw",900.0,900.0,133.2,720.0,23
CDM,27202919,Catheter Balloon Dilit Coyote 3 X 100 150cm Otw,900.0,900.0,133.2,720.0,23
CDM,27202920,Cath Baldilat .035in 5fr 5mm 135cm 200mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CDM,27202922,Set Introd 40cm 4fr Mpnch Psh+ .018in Ntnl Trnstls Stf Cannu,105.0,105.0,15.54,84.0,23
CDM,27202923,Gwire Vasc 1.5mm Rsn Curve .035in 180cm 1.5mm Cvd Cath Exch,45.0,45.0,6.66,36.0,23
CDM,27202926,Sheath Guid 45cm 6fr .087in Chk-Flo Flxr .018/.038in Anl0,125.0,125.0,18.5,100.0,23
CDM,27202928,Gwire Vasc .035in 145cm 20cm Str Flexibile Tip Flpy Bntsn Lg,51.0,51.0,7.55,40.8,23
CDM,27202930,Cath Guid .035in 5mm Spc 3.1fr 150cm Lp Tpr Tip Sprt Radiopq,2257.0,2257.0,334.04,1805.6,23
CDM,27202931,Cath Guid .014in 3-1.9fr 150cm 3 Radiopq Mrkr Low Cx Prfl,2257.0,2257.0,334.04,1805.6,23
CDM,27202936,Burn Pad 36x24in Abs Drsg Slvr Strl,221.0,221.0,32.71,176.8,23
CDM,27202954,Cg510 Glide Catheter Simmon1,1253.0,1253.0,185.44,1002.4,23
CDM,27202959,Catheter Glide Simmons 2,171.0,171.0,25.31,136.8,23
CDM,27202960,Catheter Vertebral 5fr,40.0,40.0,5.92,32.0,23
CDM,27202965,System Drg Dlv L135 Cm 12cm Ekosonic Mach 4 Intlgnt Cath,6738.0,6738.0,997.22,5390.4,23
CDM,27202967,System Drg Dlv L135 Cm 40cm Ekosonic Intlgnt Cath Microsonic,7074.0,7074.0,1046.95,5659.2,23
CDM,27202969,System Drg Dlv L106 Cm 6cm Ekosonic Intlgnt Cath Microsonic,7074.0,7074.0,1046.95,5659.2,23
CDM,27202970,System Drg Dlv L106 Cm 12cm Ekosonic Cath US Thrmbs 106cm 12,7074.0,7074.0,1046.95,5659.2,23
CDM,27202973,Kit Cath Peritoneum Strt Pleurx 1000ml,2226.0,2226.0,329.45,1780.8,23
CDM,27202981,"Turnpike Catheter, Smooth Shaft, 135cm",1377.0,1377.0,203.8,1101.6,23
CDM,27202982,"Turnpike Catheter, Smooth Shaft, 155cm",1561.0,1561.0,231.03,1248.8,23
CDM,27202983,Guidewire Vasc 180cm .014in Hbrd Radiopq Str Tip,394.0,394.0,58.31,315.2,23
CDM,27202984,Gdwire Vasc Strght; Sprg L200cm L9 Cm Od.008 In,1238.0,1238.0,183.22,990.4,23
CDM,27202985,Gdwire Vasc 25d L150 Cm Rnd Curve L200 Cm L170,1337.0,1337.0,197.88,1069.6,23
CDM,27202986,"Gdwire Vasc Slip Coat Stnlss Stl Polymer 25 D, L",1337.0,1337.0,197.88,1069.6,23
CDM,27202987,Gdwire Vasc Slip-Coat; Stnlss Stl; Polymer 25 D;,919.0,919.0,136.01,735.2,23
CDM,27202990,Marksman Catheter,2000.0,2000.0,296.0,1600.0,23
CDM,27202991,Guidewire Vasc 200cm .014in Str 3cm Traxcess Ntnl,844.0,844.0,124.91,675.2,23
CDM,27202992,Guidewire Vasc Traxcess 3x200 Ex,878.0,878.0,129.94,702.4,23
CDM,27203001,Unit Therapeutic Incision Mngmnt Sys Peel Plc Kt,1238.0,1238.0,183.22,990.4,23
CDM,27203003,Catheter Baldilat .035in 5mm 75cm 40mm High Pressure Lp,500.0,500.0,74.0,400.0,23
CDM,27203005,Catheter Baldilat Lp 5.3fr 6mm 135cm 40mm High Pressure,500.0,500.0,74.0,400.0,23
CDM,27203006,Catheter Baldilat Lp 5.3fr 8mm 75cm 20mm High Pressure,500.0,500.0,74.0,400.0,23
CDM,27203057,6f Dilator,10.0,10.0,1.48,8.0,23
CDM,27203059,8f Dilator,18.0,18.0,2.66,14.4,23
CDM,27203060,10f Dilator,22.0,22.0,3.26,17.6,23
CDM,27203061,12f Dilator,30.0,30.0,4.44,24.0,23
CDM,27203062,14f Dilator,37.0,37.0,5.48,29.6,23
CDM,27203082,Lumbar Puncture Tray,229.0,229.0,33.89,183.2,23
CDM,27203087,Steri-Drape,20.0,20.0,2.96,16.0,23
CDM,27203090,Cre Wg 6-8mm Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203091,Cre Wg 8-10 Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203092,Cre Wg 10-12 Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203093,Cre 12-15mm Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203094,Cre 15-18 Mm Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203095,Cre 18-20 Mm Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203096,Alliance Inflation Syringe,52.0,52.0,7.7,41.6,23
CDM,27203097,2.3mm Interject Inj Needle23g,732.0,732.0,108.34,585.6,23
CDM,27203098,Dreamwire .035 260str Stnd,281.0,281.0,41.59,224.8,23
CDM,27203099,Extractor Rx 9-12 Mm,240.0,240.0,35.52,192.0,23
CDM,27203100,Extractor Rx 12-15 Mm,229.0,229.0,33.89,183.2,23
CDM,27203101,Extractor Rx 15-18 Mm,229.0,229.0,33.89,183.2,23
CDM,27203102,22g Blue Sheath (Stiffer),386.0,386.0,57.13,308.8,23
CDM,27203105,19g Bx Needle,515.0,515.0,76.22,412.0,23
CDM,27203106,Cytology Brush Echo -19,244.0,244.0,36.11,195.2,23
CDM,27203108,Olympus Endo Jaw(Cold Forceps),15.0,15.0,2.22,12.0,23
CDM,27203109,Roth Net,1278.0,1278.0,189.14,1022.4,23
CDM,27203110,Erbe Probe,288.0,288.0,42.62,230.4,23
CDM,27203111,Ercp Forcep,691.0,691.0,102.27,552.8,23
CDM,27203112,Rx Dilatation Balloon 4-4/5.8,414.0,414.0,61.27,331.2,23
CDM,27203113,Rx Dilatation Balloon 6-4/5.8,414.0,414.0,61.27,331.2,23
CDM,27203114,Rx Dilatation Balloon 8-4/5.8,414.0,414.0,61.27,331.2,23
CDM,27203115,Rx Dilatation Balloon 10-4/5.8,414.0,414.0,61.27,331.2,23
CDM,27203116,Encore 26 Single,35.0,35.0,5.18,28.0,23
CDM,27203117,Injection Probe 10fr,431.0,431.0,63.79,344.8,23
CDM,27203118,Injection Probe 7fr,431.0,431.0,63.79,344.8,23
CDM,27203154,Coil Axium 3d Qc-4-8-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203160,Coil Axium 3d Qc-7-20-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203161,Coil Axium 3d Qc-7-30-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203163,Coil Axium 3d Qc-8-30-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203164,Coil Axium 3d Qc-9-20-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203165,Coil Axium 3d Qc-9-30-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203166,Coil Axium 3d Qc-10-20-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203168,Coil Axium 3d Qc-12-40-3d,1395.0,1395.0,206.46,1116.0,23
CDM,27203180,Roth Net,1278.0,1278.0,189.14,1022.4,23
CDM,27203181,2.3mm Interject Inj Needle23g,732.0,732.0,108.34,585.6,23
CDM,27203186,Injection Probe 7fr,431.0,431.0,63.79,344.8,23
CDM,27203195,Cre Wg 10-12 Dilation Balloon,324.0,324.0,47.95,259.2,23
CDM,27203202,Extractor Rx 9-12 Mm,229.0,229.0,33.89,183.2,23
CDM,27203208,Olympus Endo Jaw(Cold Forceps),14.0,14.0,2.07,11.2,23
CDM,27203214,Kit Snr Agn 90d 200cm 2.3-3fr 7mm Mcth Loop Coil,1625.0,1625.0,240.5,1300.0,23
CDM,27203215,Catheter Guid Sim2 Curve 6fr 90cm Env,901.0,901.0,133.35,720.8,23
CDM,27203216,Catheter Guid Sim2 Curve 6fr 100cm Env,901.0,901.0,133.35,720.8,23
CDM,27203217,Guidewire Vasc 175cm Rnd Prfl Agile Tip Smtr Rot,1575.0,1575.0,233.1,1260.0,23
CDM,27203220,Introducer Shth Lng 5fr 30cm Gry Lf Traw Hi Kink Rst Ulsmth,102.0,102.0,15.1,81.6,23
CDM,27203221,Introducer Shth Lng 6fr 30cm Lf Traw Unq Lck Hi Kink Rst,102.0,102.0,15.1,81.6,23
CDM,27203222,Sheath Intro Lng 7fr 30cm Traw Fnl Ulsmth Dil Tpr Ptfe,102.0,102.0,15.1,81.6,23
CDM,27203406,4.5x20 4.5x20 Viatrac Balloon,1500.0,1500.0,222.0,1200.0,23
CDM,27203407,5x20 Viatrac Balloon,1500.0,1500.0,222.0,1200.0,23
CDM,27203408,6x20 Viatrac Balloon,1500.0,1500.0,222.0,1200.0,23
CDM,27203411,9fr-30 Tear-Away Introducer,51.0,51.0,7.55,40.8,23
CDM,27203413,16fr-30cm Tear-Away Introducer,49.0,49.0,7.25,39.2,23
CDM,27203422,4.0x20mm Viatrac Balloon,1500.0,1500.0,222.0,1200.0,23
CDM,27203423,125cm Vetebral Catheter,65.0,65.0,9.62,52.0,23
CDM,27203425,Catheter Intvn 5fr .056in .046in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CDM,27203427,Catheter Intvn 8fr .088in .071in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CDM,27203429,Sheath Guid 65cm 8fr Pn Dstn .038in Str Hydphi,224.0,224.0,33.15,179.2,23
CDM,27203450,105-5092-150 Echelon 14 Micro,1751.0,1751.0,259.15,1400.8,23
CDM,27203478,36-154 Coil Detachable Interlo,1320.0,1320.0,195.36,1056.0,23
CDM,27203481,Marker Straight 2-Tip 150cm/6c,1137.0,1137.0,168.28,909.6,23
CDM,27203484,Starclose Se,700.0,700.0,103.6,560.0,23
CDM,27203494,Alligator Retrieval,8340.0,8340.0,1234.32,6672.0,23
CDM,27203497,Alligator Retrieval,8340.0,8340.0,1234.32,6672.0,23
CDM,27203508,Microcatheter Pre-Shaped 45 2-,2837.0,2837.0,419.88,2269.6,23
CDM,27203509,Guidewire Standard Pre-Shap 1,2151.0,2151.0,318.35,1720.8,23
CDM,27203511,Guidewire Soft Pre-Shaped 200c,1838.0,1838.0,272.02,1470.4,23
CDM,27203514,Sheath Shuttle 7f 90cm,413.0,413.0,61.12,330.4,23
CDM,27203515,Sheath Shuttle 6f 90cm,483.0,483.0,71.48,386.4,23
CDM,27203516,Sheath Shuttle 6fr 80cm.,595.0,595.0,88.06,476.0,23
CDM,27203517,Roadrunners Conners.035x260cm,160.0,160.0,23.68,128.0,23
CDM,27203519,Catheter Envoy 5fr Mipd 9,1048.0,1048.0,155.1,838.4,23
CDM,27203520,Catheter Envoy Straight 9,1048.0,1048.0,155.1,838.4,23
CDM,27203528,Microcath.Prowler Select P 3,1055.0,1055.0,156.14,844.0,23
CDM,27203532,Guidewire Hydrophilic Coat S 2,39.0,39.0,5.77,31.2,23
CDM,27203533,Guidewire Hydrophilic Coated T,585.0,585.0,86.58,468.0,23
CDM,27203539,Cath.Lumen Delivery Neuron 1,1719.0,1719.0,254.41,1375.2,23
CDM,27203545,Device Protection Spider Fx 5.,4170.0,4170.0,617.16,3336.0,23
CDM,27203546,Device Distal Protection Spide,4170.0,4170.0,617.16,3336.0,23
CDM,27203548,Catheter Balloon Guide 9f 80cm,2364.0,2364.0,349.87,1891.2,23
CDM,27203561,Shunt Prtnvn Dnvr Asct 25-40ml/Min Ample Flowrate,5625.0,5625.0,832.5,4500.0,23
CDM,27203565,Catheter Angio Vtk Curve 5fr 125cm Cerebrum Trnb,33.0,33.0,4.88,26.4,23
CDM,27203580,Safeguard 24cm Pressure Devce,66.0,66.0,9.77,52.8,23
CDM,27203590,Needle 25g,119.0,119.0,17.61,95.2,23
CDM,27203591,Resolution235cm,228.0,228.0,33.74,182.4,23
CDM,27203592,Rx Lithotripter Basket3,379.0,379.0,56.09,303.2,23
CDM,27203596,Autotome Rx 44-20mm,622.0,622.0,92.06,497.6,23
CDM,27203597,Autotome Rx 44-20mm,592.0,592.0,87.62,473.6,23
CDM,27203599,Needleknife Rx,260.0,260.0,38.48,208.0,23
CDM,27203621,Laceration Tray,30.0,30.0,4.44,24.0,23
CDM,27203624,Standard Peg Kit 20,517.0,517.0,76.52,413.6,23
CDM,27203683,Jagwire/025/Straight 450cm,533.0,533.0,78.88,426.4,23
CDM,27203702,Catheter Tr Renegade Hi Flo 13,1257.0,1257.0,186.04,1005.6,23
CDM,27203703,Catheter Embolic F-Idc 2d 3mm,1321.0,1321.0,195.51,1056.8,23
CDM,27203704,Catheter Embolic 2/5mm X 5.8cm,1258.0,1258.0,186.18,1006.4,23
CDM,27203740,Catheter Renegade Stc-18 130/2,1664.0,1664.0,246.27,1331.2,23
CDM,27203741,Catheter Embolic F-3mm X 12cm,1321.0,1321.0,195.51,1056.8,23
CDM,27203742,Catheter Embolic F-4mm X 8cm,1258.0,1258.0,186.18,1006.4,23
CDM,27203743,4mm X 15cm Catheter Embolic F-,1321.0,1321.0,195.51,1056.8,23
CDM,27203745,Coil Embolization 2d Helix 5mm 15cm 8 Coil Occlusion System,1258.0,1258.0,186.18,1006.4,23
CDM,27203746,Coil Embolization 2d Helix 6mm 10cm 18 Coil Occlusion System,1258.0,1258.0,186.18,1006.4,23
CDM,27203747,Coil Embolization 2d Helix 6mm 20cm 18 Coil Occlusion System,1258.0,1258.0,186.18,1006.4,23
CDM,27203748,8mm X 20cm Catheter Embolic F-,1258.0,1258.0,186.18,1006.4,23
CDM,27203755,Catheter Embolic F-Idc Vortx Dcm,1258.0,1258.0,186.18,1006.4,23
CDM,27203756,Catheter Embolic F-2/4mm X 4.1cm,1258.0,1258.0,186.18,1006.4,23
CDM,27203776,Catheter Athrcm 145cm Stlth 360 1.25mm Orbtl Cls,9488.0,9488.0,1404.22,7590.4,23
CDM,27203777,Guidewire Vasc 360 Orbtl,488.0,488.0,72.22,390.4,23
CDM,27203790,Microcatheter Microvention,2390.0,2390.0,353.72,1912.0,23
CDM,27203800,032 Catheter Reperfusion,3817.0,3817.0,564.92,3053.6,23
CDM,27203805,"Supplies, Non-Sterile Penumbra",913.0,913.0,135.12,730.4,23
CDM,27203808,1008195-20 Balloon Viatrac,1500.0,1500.0,222.0,1200.0,23
CDM,27203815,Ballon-Trek Mini Rx 2.0mm X 12mm,685.0,685.0,101.38,548.0,23
CDM,27203816,Ballon-TREK MINI RX 2.0MM X 15MM,652.0,652.0,96.5,521.6,23
CDM,27203817,Ballon-TREK RX 2.50MM X 12MM,685.0,685.0,101.38,548.0,23
CDM,27203818,Ballon-TREK RX 2.50MM X 15MM,652.0,652.0,96.5,521.6,23
CDM,27203819,Ballon-TREK RX 3.0MM X 12MM,652.0,652.0,96.5,521.6,23
CDM,27203822,Set Thrombectomy Spiroflex,6464.0,6464.0,956.67,5171.2,23
CDM,27203824,Ballon-TREK RX 3.0MM X 15MM,652.0,652.0,96.5,521.6,23
CDM,27203828,Balloon Nc Trek 2.5 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203829,Balloon Nc Trek 2.5 X 20mm,652.0,652.0,96.5,521.6,23
CDM,27203830,Balloon Nc Trek 2.5 X 25mm,652.0,652.0,96.5,521.6,23
CDM,27203832,Balloon Nc Trek 2.75 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203833,"Balloon, Mini Trek Otw 1.50 X",652.0,652.0,96.5,521.6,23
CDM,27203836,"Balloon, Mini Trek Otw 2.00 X",652.0,652.0,96.5,521.6,23
CDM,27203837,"Balloon, Mini Trek Otw 2.00 X",652.0,652.0,96.5,521.6,23
CDM,27203839,Balloon Nc Trek 2.75 X 20mm,652.0,652.0,96.5,521.6,23
CDM,27203842,Balloon Nc Trek 3.0 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203843,Balloon Nc Trek 3.0 X 15mm,652.0,652.0,96.5,521.6,23
CDM,27203844,Balloon Nc Trek 3.0 X 20mm,685.0,685.0,101.38,548.0,23
CDM,27203845,Balloon Nc Trek 3.0 X 25mm,652.0,652.0,96.5,521.6,23
CDM,27203849,Balloon Nc Trek 3.5 X 8mm,652.0,652.0,96.5,521.6,23
CDM,27203850,Balloon Nc Trek 3.5 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203851,Balloon Nc Trek 3.5 X 15mm,652.0,652.0,96.5,521.6,23
CDM,27203852,Balloon Nc Trek 3.5 X 20mm,685.0,685.0,101.38,548.0,23
CDM,27203853,Balloon Nc Trek 3.5 X 25mm,652.0,652.0,96.5,521.6,23
CDM,27203855,Balloon Nc Trek 3.75 X 15mm,652.0,652.0,96.5,521.6,23
CDM,27203857,Balloon Nc Trek 4.0 X 8mm,652.0,652.0,96.5,521.6,23
CDM,27203858,Balloon Nc Trek 4.0 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203859,Balloon Nc Trek 4.0 X 15mm,652.0,652.0,96.5,521.6,23
CDM,27203860,Balloon Nc Trek 4.0 X 20mm,652.0,652.0,96.5,521.6,23
CDM,27203862,Balloon Nc Trek 5.0 X 12mm,652.0,652.0,96.5,521.6,23
CDM,27203864,Catheter Guid Ebu3.75 Curve 8fr .09in 90cm Left,163.0,163.0,24.12,130.4,23
CDM,27203869,Catheter Angio Jacky Radl 3.5 Curve 5fr 110cm,88.0,88.0,13.02,70.4,23
CDM,27203870,Chocolate Ptca Balloon Catheter 2.0x10 Mm 5f,750.0,750.0,111.0,600.0,23
CDM,27203871,Chocolate Ptca Balloon Catheter 2.0x15 Mm 5f,750.0,750.0,111.0,600.0,23
CDM,27203873,Chocolate Ptca Balloon Catheter 2.5x10 Mm 5f,788.0,788.0,116.62,630.4,23
CDM,27203874,Chocolate Ptca Balloon Catheter 2.5x15 Mm 5f,750.0,750.0,111.0,600.0,23
CDM,27203875,Chocolate Ptca Balloon Catheter 2.5x20 Mm 5f,750.0,750.0,111.0,600.0,23
CDM,27203876,Chocolate Ptca Balloon Catheter 3.0x10 Mm 6f,750.0,750.0,111.0,600.0,23
CDM,27203878,Chocolate Ptca Balloon Catheter 3.0x20 Mm 6f,750.0,750.0,111.0,600.0,23
CDM,27203879,Chocolate Ptca Balloon Catheter 3.5x10 Mm 6f,750.0,750.0,111.0,600.0,23
CDM,27203880,Chocolate Ptca Balloon Catheter 3.5x15 Mm 6f,750.0,750.0,111.0,600.0,23
CDM,27203881,Chocolate Ptca Balloon Catheter 3.5x20 Mm 6f,750.0,750.0,111.0,600.0,23
CDM,27203882,Catheter Dlv Sys .062in 5max Max Trk Tch 125cm 129,4175.0,4175.0,617.9,3340.0,23
CDM,27203891,Kit Gel Pad Large Arctic Sun,6305.0,6305.0,933.14,5044.0,23
CDM,27203895,Ballon-TREK RX 3.50MM X 12MM,652.0,652.0,96.5,521.6,23
CDM,27203896,Ballon-TREK RX 3.50MM X 15MM,652.0,652.0,96.5,521.6,23
CDM,27203897,Ballon-TREK RX 4.0MM X 15MM,652.0,652.0,96.5,521.6,23
CDM,27203905,Cl - 07665 Sheath Set Super Arrow Flex 65cm,290.0,290.0,42.92,232.0,23
CDM,27203908,Guidewire Asahi Grand Slam .014x300cm 14940,234.0,234.0,34.63,187.2,23
CDM,27203909,La6ebu375 Catheter Guidingebu 3.75,464.0,464.0,68.67,371.2,23
CDM,27203912,Catheter Guideliner 5571,1227.0,1227.0,181.6,981.6,23
CDM,27203917,French Large Peel Away Introducer 22,51.0,51.0,7.55,40.8,23
CDM,27203920,Flexor Ceckflo Introducer,76.0,76.0,11.25,60.8,23
CDM,27203923,Set Catheter 15.5fr 55cm 2 Lumen Titan Hd Long Term,475.0,475.0,70.3,380.0,23
CDM,27203928,Dressing Adherent Mepilex Border 9.2 X 9.2 282400,37.0,37.0,5.48,29.6,23
CDM,27203931,G12565 Introducer Tracheostomy Percutaneous Ciaglia Blm,1124.0,1124.0,166.35,899.2,23
CDM,27203938,Fa-55150-1030 Catheter Marksman,3259.0,3259.0,482.33,2607.2,23
CDM,27203957,Coil Detachment Handle,739.0,739.0,109.37,591.2,23
CDM,27203958,Catheter Delivery System .038in Sims Curve 5fr .04,329.0,329.0,48.69,263.2,23
CDM,27203979,Catheter Baldilat 12mm 75cm 40mm High Pressure Lp,500.0,500.0,74.0,400.0,23
CDM,27203999,Turnpike Catheter Lp 150cm,1488.0,1488.0,220.22,1190.4,23
CDM,27204020,Safire Tx Catheter 8mm Large Curl,3388.0,3388.0,501.42,2710.4,23
CDM,27204021,Safire Cath 7f 4mm Lgcrl (US),2138.0,2138.0,316.42,1710.4,23
CDM,27204024,Safire Cath 7f 5mm Lg Crl (US),2165.0,2165.0,320.42,1732.0,23
CDM,27204041,"Agilis Nxt 8.5f Steer Sm Crl,G2",2914.0,2914.0,431.27,2331.2,23
CDM,27204046,C-Lock Hemo 8f 12cm 038gw-G2,59.0,59.0,8.73,47.2,23
CDM,27204048,C-Lock Hemo 6f 12cm 038gw-G2,56.0,56.0,8.29,44.8,23
CDM,27204058,"Hemo Intro 8.5f 60cm Csta Gw,G2",508.0,508.0,75.18,406.4,23
CDM,27204061,"Ep 5f Quad 5mm 120cm Crd,G2",795.0,795.0,117.66,636.0,23
CDM,27204063,"Ep 5f Quad 5mm 120cm Jsn,G2",835.0,835.0,123.58,668.0,23
CDM,27204080,"Epl 7f Duo 2/10 2m 95 S-Lgcrl,G2",2932.0,2932.0,433.94,2345.6,23
CDM,27204088,"Velocity, Assembly, Navx Patch, Ensite",2948.0,2948.0,436.3,2358.4,23
CDM,27204095,Orion 21 Microcatheter,2172.0,2172.0,321.46,1737.6,23
CDM,27204096,Mini Attachable Catheter 5f,591.0,591.0,87.47,472.8,23
CDM,27204097,Captivator Snare Large Oval Stiff,16.0,16.0,2.37,12.8,23
CDM,27204102,Dreamwire .035 260 Str Stnd,230.0,230.0,34.04,184.0,23
CDM,27204103,Glidewire .035 260 Str,230.0,230.0,34.04,184.0,23
CDM,27204105,Extractor Rx 9-12 Mm,189.0,189.0,27.97,151.2,23
CDM,27204106,Extractor Rx 12-15 Mm,189.0,189.0,27.97,151.2,23
CDM,27204107,Cytology Brush,134.0,134.0,19.83,107.2,23
CDM,27204108,Roth Net,105.0,105.0,15.54,84.0,23
CDM,27204109,Fiapc Probe,245.0,245.0,36.26,196.0,23
CDM,27204114,Navien Intracranial Catheter 6fx 1,680.0,680.0,100.64,544.0,23
CDM,27204115,Navien Intracranial Catheter 6fx 115cm,714.0,714.0,105.67,571.2,23
CDM,27204116,Navien Intracranial Catheter 5fx 115cm,1176.0,1176.0,174.05,940.8,23
CDM,27204117,Navien Intracranial Catheter 5fx 125cm,1235.0,1235.0,182.78,988.0,23
CDM,27204119,Pinnacle Rdc Sheath 6fr,2374.0,2374.0,351.35,1899.2,23
CDM,27204124,Dignity Port 6.6f,500.0,500.0,74.0,400.0,23
CDM,27204130,Exceisior Xt-27 Microcatheter 150 Cm/80cm Straight,2807.0,2807.0,415.44,2245.6,23
CDM,27204131,Exceisior Xt-27 Microcatheter 150cm/18cm Straight,2807.0,2807.0,415.44,2245.6,23
CDM,27204147,Introd Shth 8.5fr 91cm 71cm Dual Reach Bidir Erg Hndl Atrm,2642.0,2642.0,391.02,2113.6,23
CDM,27204148,Introd Shth 8.5fr 71cm 50mm Strbl Erg Hndl Atrm Tip Intgr,2642.0,2642.0,391.02,2113.6,23
CDM,27204150,Cable Cath Blk 150cm Rspn Ep Hexpl,225.0,225.0,33.3,180.0,23
CDM,27204153,Cath Ep 2-5-2mm Spc 1mm 6fr 115cm 4mm Qdpl Med Swp Strbl,1490.0,1490.0,220.52,1192.0,23
CDM,27204154,Cath Ep 5mm Spc 1mm 5fr 115cm 2mm Hexpl Med Swp Strbl Lvwr,1608.0,1608.0,237.98,1286.4,23
CDM,27204164,Catheter Reperfusion,6176.0,6176.0,914.05,4940.8,23
CDM,27204168,Flexor Ansel Guiding Sheath/ Str,248.0,248.0,36.7,198.4,23
CDM,27204171,Catheter Angio Sim 3 Crv 5fr,123.0,123.0,18.2,98.4,23
CDM,27204214,Gwire Vasc .035in 15mm 260cm 4cm 2 Cvd Exch Xstif Lndrqs Ss,620.0,620.0,91.76,496.0,23
CDM,27204216,Site-Rite 6 Ultrasound System 21 Ga Needle Guide Kit,60.0,60.0,8.88,48.0,23
CDM,27204218,Balloon Dilatation Catheter 6mmx40mmx135cm,550.0,550.0,81.4,440.0,23
CDM,27204239,Acuity Cutaway Lead Delivery System - Percutaneous Catheters,5010.0,5010.0,741.48,4008.0,23
CDM,27204245,Mustang Balloon Catheter 3.0mm X 20mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204246,Mustang Balloon Catheter 3.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204248,Mustang Balloon Catheter 4.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204249,Mustang Balloon Catheter 4.0mm X 80mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204253,Mustang Balloon Catheter 6.0mm X 80mm X 135cm,501.0,501.0,74.15,400.8,23
CDM,27204254,Mustang Balloon Catheter 6.0mm X 100mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204257,Mustang Balloon Catheter 6.0mm X 220mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204258,Mustang Balloon Catheter 7.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204259,Mustang Balloon Catheter 8.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204260,Mustang Balloon Catheter 9.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204261,Mustang Balloon Catheter 5.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204262,Mustang Balloon Catheter 5.0mm X 100mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204270,Mustang Balloon Catheter 10.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CDM,27204292,Guidewire X-Pedion-10 Re 2,778.0,778.0,115.14,622.4,23
CDM,27204293,Mirage Re .008,1288.0,1288.0,190.62,1030.4,23
CDM,27204299,Turnpike Catheter Lp 135cm,1313.0,1313.0,194.32,1050.4,23
CDM,27204303,Cath Ball Dilatation Viatrac 14 Plus Xcelon .014 in L,739.0,739.0,109.37,591.2,23
CDM,27204305,Sheath Check-Flo Flexor .035 in L55 Cm Od6 Fr Curv Strat,163.0,163.0,24.12,130.4,23
CDM,27204306,Cath Cxi Stainless Steel Polymer L135 Cm Od4 Fr,490.0,490.0,72.52,392.0,23
CDM,27204309,Transform Compliant 3mm X 10mm,4222.0,4222.0,624.86,3377.6,23
CDM,27204310,Transform Compliant 3mm X 15mm,4021.0,4021.0,595.11,3216.8,23
CDM,27204311,Transform Compliant 4mm X 10mm,4021.0,4021.0,595.11,3216.8,23
CDM,27204312,Transform Compliant 4mm X 15mm,4222.0,4222.0,624.86,3377.6,23
CDM,27204319,Transform Super Compliant 3mm X 5mm,4222.0,4222.0,624.86,3377.6,23
CDM,27204321,Transform Super Compliant 4mm X 7mm,4021.0,4021.0,595.11,3216.8,23
CDM,27204324,Transform Super Compliant 7mm X 7mm,4021.0,4021.0,595.11,3216.8,23
CDM,27204334,Glidesheath Slender 6f,160.0,160.0,23.68,128.0,23
CDM,27204337,Viewflex Ice Plus Catheter,8102.0,8102.0,1199.1,6481.6,23
CDM,27204338,System Fec Mgmt 60cc Ns Lf Dignishield Cath Syr Cl,298.0,298.0,44.1,238.4,23
CDM,27204354,Cath Baldilat .014in 5fr 2.5mm 20mm Coron Rapex Ult Lp Guid,390.0,390.0,57.72,312.0,23
CDM,27204360,Cath Baldilat .014in 5fr 3.5mm 20mm Coron Rapex Ult Lp Guid,336.0,336.0,49.73,268.8,23
CDM,27204362,Cath Baldilat .021in 5fr 4mm 8mm Coron Rapex Hypotube Slim,371.0,371.0,54.91,296.8,23
CDM,27204363,Cath Baldilat .021in 5fr 4mm 12mm Coron Rapex Lp Flxb Tung,353.0,353.0,52.24,282.4,23
CDM,27204368,Cath Baldilat 2.25mm 15mm Coron Rapex Flxb Dual Tung Mrkr,371.0,371.0,54.91,296.8,23
CDM,27204371,Cath Baldilat 3.25mm 8mm Coron Rapex Dual Tung Mrkr Flxb,336.0,336.0,49.73,268.8,23
CDM,27204372,Cath Baldilat 3.25mm 20mm Coron Rapex Dual Tung Mrkr Flxb,371.0,371.0,54.91,296.8,23
CDM,27204374,Cath Baldilat 4.5mm 8mm Coron Rapex Flxb Dual Tung Mrkr Smth,353.0,353.0,52.24,282.4,23
CDM,27204375,Cath Baldilat 4.5mm 15mm Coron Rapex Dual Tung Mrkr Flxb,336.0,336.0,49.73,268.8,23
CDM,27204376,Cath Baldilat 5mm 15mm Coron Rapex Flxb Dual Tung Mrkr Smth,371.0,371.0,54.91,296.8,23
CDM,27204404,Sheath Long Neuronmax 90/4 Straight 6f 088,1086.0,1086.0,160.73,868.8,23
CDM,27204405,Catheter Ultrasound Eagle Eye Gold Od5 Fr Short Tip,1999.0,1999.0,295.85,1599.2,23
CDM,27204407,Trevo Microcatheter,1147.0,1147.0,169.76,917.6,23
CDM,27204409,Retriever Stent Trevo Xp 3 X 20,14776.0,14776.0,2186.85,11820.8,23
CDM,27204423,Gwire Vasc 190cm .014in Core to Tip Str 16cm a Fldr Xt,414.0,414.0,61.27,331.2,23
CDM,27204424,Gwire Vasc 300cm .014in Core to Tip Str 16cm a Fldr Xt,414.0,414.0,61.27,331.2,23
CDM,27204431,Gwire Vasc Rsn Curve J Curve Lng .035in 260cm 1.5mm Exch,82.0,82.0,12.14,65.6,23
CDM,27204437,Flowgate Balloon Guide Catheter 8f X 95cm,2746.0,2746.0,406.41,2196.8,23
CDM,27204440,Certus PR Ablation 15cm-17 Gauge,5500.0,5500.0,814.0,4400.0,23
CDM,27204442,Cath Athrcm 135cm .58in Rtbl Rtl 1.25mm Ptfe Shth Precnct,1364.0,1364.0,201.87,1091.2,23
CDM,27204443,Cath Athrcm 135cm .58in Rtbl Rtl 1.5mm Ptfe Shth Precnct,1364.0,1364.0,201.87,1091.2,23
CDM,27204444,Cath Athrcm 135cm .58in Rtbl Rtl 1.75mm Precnct Exchgl Rot,1364.0,1364.0,201.87,1091.2,23
CDM,27204446,Catheter Guid .035in 4.8-3.7fr 90cm Low Crossing P,418.0,418.0,61.86,334.4,23
CDM,27204447,Catheter Gd .035in Mpb 9fr 7.2fr 45cm Atn Cmnd Sur,588.0,588.0,87.02,470.4,23
CDM,27204449,Catheter Gd 3drc Crv 6fr .070in 100cm Blu Ylw Strl,120.0,120.0,17.76,96.0,23
CDM,27204450,Pack Cath 28/45cm 14.5fr Carbothane Mh Mxd 2 Lum Sh Hmdial,921.0,921.0,136.31,736.8,23
CDM,27204451,Pack Cath 33/50cm 14.5fr Carbothane Mh Mxd 2 Lum Sh Hmdial,248.0,248.0,36.7,198.4,23
CDM,27204453,Obt Shth 10cm 6fr Flxb 5mm,4908.0,4908.0,726.38,3926.4,23
CDM,27204454,Gwire Vasc 300cm .014in Shp Tip Str 3cm Runthrough Ns Ptfe,235.0,235.0,34.78,188.0,23
CDM,27204456,Cath Ep .014in 2.6-1.8fr .021-.018in 150cm 70cm Coron Mic,1621.0,1621.0,239.91,1296.8,23
CDM,27204457,Gwire Vasc .014in 180cm 3cm Str Shp Tip Runthrough Ns Coron,247.0,247.0,36.56,197.6,23
CDM,27204459,Arctic Front Advance Cryoablation Catheter 28mm,12401.0,12401.0,1835.35,9920.8,23
CDM,27204472,Flexcath Advance 12 Steerable Sheath - 12 Fr,3307.0,3307.0,489.44,2645.6,23
CDM,27204474,Achieve Mapping Catheter Sm,2618.0,2618.0,387.46,2094.4,23
CDM,27204478,Cath Ep 5-5-5mm Spc Csl Curve 6fr 65cm Mp Dcapl Fix Curve,965.0,965.0,142.82,772.0,23
CDM,27204479,Gwire Vasc 325cm .009in Flpy Wrclp Trq Flxb Lng Tpr 2.8cm,457.0,457.0,67.64,365.6,23
CDM,27204480,Gwire Vasc 325cm .009in Flpy Wrclp Trq Flxb Lng Tpr 2.2cm,457.0,457.0,67.64,365.6,23
CDM,27204482,Cath Infus Mic 1.9fr 1.25mm .5mm 1.5cm Dlv Drblty Dtch Tip,5498.0,5498.0,813.7,4398.4,23
CDM,27204484,Gwire Vasc 190cm .014in Radiopq Mrkr Core to Tip Str 3cm,207.0,207.0,30.64,165.6,23
CDM,27204485,Gwire Vasc 300cm .014in Radiopq Mrkr Core to Tip Str 3cm,207.0,207.0,30.64,165.6,23
CDM,27204486,Gwire Vasc 300cm .014in Strbl Core to Tip Radiopq Str 3cm,207.0,207.0,30.64,165.6,23
CDM,27204487,Gwire Vasc 180cm .014in Radiopq Mrkr Str 3cm a Fldr Fc,207.0,207.0,30.64,165.6,23
CDM,27204489,Gwire Vasc 190cm .014in Str 3cm Htorq Whspr Ms Ss Hydphi,217.0,217.0,32.12,173.6,23
CDM,27204492,Gwire Vasc 180cm .035in Jkt Core to Tip Atrm 1.5mm Rad Std J,117.0,117.0,17.32,93.6,23
CDM,27204493,Gwire Vasc 260cm .035in Jkt Core to Tip Atrm 1.5mm Rad Std J,131.0,131.0,19.39,104.8,23
CDM,27204494,Guidewire Vasc .014in 300cm 3cm Strg Med Sprt Htorq Whspr Ms,207.0,207.0,30.64,165.6,23
CDM,27204495,Microcatheter Headway 21,2288.0,2288.0,338.62,1830.4,23
CDM,27204496,Microcatheter Headway Duo 17,2563.0,2563.0,379.32,2050.4,23
CDM,27204497,6fr Jr 5 Guide Catheter,124.0,124.0,18.35,99.2,23
CDM,27204498,6fr Lcb Guide Catheter,124.0,124.0,18.35,99.2,23
CDM,27204501,7fr Al 1.0 Guide Catheter,124.0,124.0,18.35,99.2,23
CDM,27204502,6fr Mradial Guide Catheter,130.0,130.0,19.24,104.0,23
CDM,27204504,6fr Mac3030 Guide Catheter,124.0,124.0,18.35,99.2,23
CDM,27204505,6fr Ima Guide Catheter,124.0,124.0,18.35,99.2,23
CDM,27204506,5fr Jr4 Diagnostic Catheter 125cm,193.0,193.0,28.56,154.4,23
CDM,27204510,Cath Athrcm 135cm Rtbl Rtl+ 2.25mm Bur Precnct Exchgl Rot,3409.0,3409.0,504.53,2727.2,23
CDM,27204514,Otw Mini Trek II 1.20 X 8mm Bdc,551.0,551.0,81.55,440.8,23
CDM,27204518,Otw Mini Trek II 1.50 X 6mm Bdc,551.0,551.0,81.55,440.8,23
CDM,27204524,Mini Trek Rx 1.20 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204525,Mini Trek Rx 1.20 X 15mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204526,Mini Trek Rx 1.20 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204529,Mini Trek Rx 1.50 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204532,Mini Trek Rx 2.00 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204536,Mini Trek Rx 2.25 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204542,Trek Rx 2.50 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204547,Trek Rx 2.75 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204548,Trek Rx 2.75 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204551,Trek Rx 3.00 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204556,Trek Rx 3.25 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204560,Trek Rx 3.50 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204569,Trek Rx 4.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204577,Nc Trek Rx 2.00 X 15mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204578,Nc Trek Rx 2.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204580,Nc Trek Rx 3.00 X 8mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204582,Nc Trek Rx 4.50 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204583,Nc Trek Rx 5.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204584,Asahi Prowater Ptca Guide Wire 180cm,207.0,207.0,30.64,165.6,23
CDM,27204585,Hi-Torque Iron Man Guide Wire,217.0,217.0,32.12,173.6,23
CDM,27204587,Temporary Pacing Catheter 5fr,509.0,509.0,75.33,407.2,23
CDM,27204588,Cath Dx 135cm 4.2fr Fetch 2 .014in Hydphi Rapex Aspirat,63.0,63.0,9.32,50.4,23
CDM,27204589,Hi Torque 150 Gide Wire 0.014 Straight Tip 3.0 X 190cm,207.0,207.0,30.64,165.6,23
CDM,27204595,Nc Trek Rx 3.50 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204596,Nc Trek Rx 3.75 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CDM,27204599,Headway Duo Microtheter,2307.0,2307.0,341.44,1845.6,23
CDM,27204603,Occlusion Balloon Xc Catheter 4mm X 11mm,3647.0,3647.0,539.76,2917.6,23
CDM,27204608,Cath Baldilat Ult Lp 5fr 5mm 12mm Coron 2 Lum Rapex Flxb,345.0,345.0,51.06,276.0,23
CDM,27204610,Cath Baldilat Rnd 4.5mm 12mm 2 Mrkr Rapex Ml Lr Smth Flxb,362.0,362.0,53.58,289.6,23
CDM,27204611,Cath Baldilat Rnd 2mm 12mm 2 Mrkr Rapex Ml Lr Smth Flxb,345.0,345.0,51.06,276.0,23
CDM,27204616,Gwire Vasc .012in 200cm 55cm Sft Pshp Acces Lgth Synchro2,1283.0,1283.0,189.88,1026.4,23
CDM,27204617,Gwire Vasc .012in 300cm 55cm Sft Pshp Acces Lgth Synchro2,1593.0,1593.0,235.76,1274.4,23
CDM,27204618,Drsg 6x3.5in Gntl Ps Strp Anmc Flxb Brthbl Ionic Slvr Sil,53.0,53.0,7.84,42.4,23
CDM,27204624,"Gwire Vsc 190cm .014"" Mkr Tp Str 3cm Htrq Bl Mwt U",207.0,207.0,30.64,165.6,23
CDM,27204628,Flow Restoration Catheter (6-10mm) X 155cm,11238.0,11238.0,1663.22,8990.4,23
CDM,27204629,Flow Restoration Catheter (11-14mm) X 155cm,11238.0,11238.0,1663.22,8990.4,23
CDM,27204631,Aspiration Guide Catheter 20f X 95cm,5738.0,5738.0,849.22,4590.4,23
CDM,27204633,Trevo Xp 6mm X 25mm,13402.0,13402.0,1983.5,10721.6,23
CDM,27204634,Trevo Xp Provue Retriever 4.0 X 30mm,14072.0,14072.0,2082.66,11257.6,23
CDM,27204639,Guidewire Vascular Str .035in 150cm Bentson Smooth,33.0,33.0,4.88,26.4,23
CDM,27204640,Catheter Baldilat .035in 8fr 18mm 80cm 4cm Gold,722.0,722.0,106.86,577.6,23
CDM,27204641,Catheter Baldilat .035in 8fr 16mm 80cm 4cm Gold,722.0,722.0,106.86,577.6,23
CDM,27204642,Catheter Baldilat .035in 7fr 14mm 80cm 4cm Gold,688.0,688.0,101.82,550.4,23
CDM,27204645,Coil Embl 132cm .064mm Penumbra Ruby Ace 5max,5484.0,5484.0,811.63,4387.2,23
CDM,27204647,Introducer Shth Ped 5fr 21ga 40cm 7cm Gry Hub,103.0,103.0,15.24,82.4,23
CDM,27204648,Introducer Shth Ped 6fr 21ga 40cm 7cm Grn Hub,108.0,108.0,15.98,86.4,23
CDM,27204658,Catheter Ablt 115cm 8fr 4mm D Curve Flexability 4,5249.0,5249.0,776.85,4199.2,23
CDM,27204661,Catheter Angio Jacky Radl Curve 5fr 3.5mm 100cm 2,438.0,438.0,64.82,350.4,23
CDM,27204663,Guidewire Vasc 80cm .035in Jkt Core to Tip Atrm,80.0,80.0,11.84,64.0,23
CDM,27204664,035in 150cm 7cm Standard Tip Fix,20.0,20.0,2.96,16.0,23
CDM,27204687,Set Introd 16fr 20-35mm 70cm G,713.0,713.0,105.52,570.4,23
CDM,27204688,Set Introd 6fr 8fr 13.75in 3 W,249.0,249.0,36.85,199.2,23
CDM,27204691,Catheter Angiographic Cobra 2 Curve 4fr .041in 65c,613.0,613.0,90.72,490.4,23
CDM,27204695,"Indigo Catheter 8, Xtorq Tip 115cm",7255.0,7255.0,1073.74,5804.0,23
CDM,27204696,Indigo Separator 8,4700.0,4700.0,695.6,3760.0,23
CDM,27204697,Max Aspiration Tubing 3,1095.0,1095.0,162.06,876.0,23
CDM,27204698,Sealant Hemostatic Needle Free Adapter Floseal Matrix 10ml,913.0,913.0,135.12,730.4,23
CDM,27204699,Sealant Hemostatic Needle Free Adapter Floseal Matrix 5ml,499.0,499.0,73.85,399.2,23
CDM,27204700,Catheter Interventional 6fr .07in .056in 145cm 20c,1183.0,1183.0,175.08,946.4,23
CDM,27204705,Catheter Echelon 10 Micro,1687.0,1687.0,249.68,1349.6,23
CDM,27204708,Guidewire .016 Fathom,893.0,893.0,132.16,714.4,23
CDM,27204710,Manifold Kit,58.0,58.0,8.58,46.4,23
CDM,27204711,Axs Catalyst 5 Distal Access Catheter 0.058in X 11,3878.0,3878.0,573.94,3102.4,23
CDM,27204717,Catheter Angiographic Cobra 2 Curve 5fr 80cm Torcon Nb,65.0,65.0,9.62,52.0,23
CDM,27204718,Catheter Angiographic .046in Uac Curve 5fr .046in 90cm,150.0,150.0,22.2,120.0,23
CDM,27204722,Introducer Sheath .035in 10fr .134in 45cm Anl0 Curve Str Tip,113.0,113.0,16.72,90.4,23
CDM,27204723,Introducer Sheath .035in 12fr .162in 45cm Anl0 Curve Str Tip,138.0,138.0,20.42,110.4,23
CDM,27204724,Set Ndl 45mm 15ga Ezio Ss 1 Port Shrp Block Drsg,1663.0,1663.0,246.12,1330.4,23
CDM,27204725,Snare Endscp .98in 47in 1 Loop Gold Plated Tungsten,900.0,900.0,133.2,720.0,23
CDM,27204726,Separator Thrmb Indg 6 Latex Free,2700.0,2700.0,399.6,2160.0,23
CDM,27204729,Catheter Thrmb 6fr Indg Aspirat Latex Free,4725.0,4725.0,699.3,3780.0,23
CDM,27204737,Six Fr Asahi Fubuki Guide Catheter Dilator Kit 80cm/Straight,300.0,300.0,44.4,240.0,23
CDM,27204738,Introducer Shth 7fr 2.5cm 10cm Dilat Radiopq Mrkr,56.0,56.0,8.29,44.8,23
CDM,27204739,Introducer Shth 8fr 2.5cm 10cm Gwire Dilat Radiopq,56.0,56.0,8.29,44.8,23
CDM,27204741,Introducer Shth 8fr 2.5cm 25cm Dilat Radiopq Mrkr,71.0,71.0,10.51,56.8,23
CDM,27204742,Catheter Angiographic Judkins Right 4 Curve 5fr 10,111.0,111.0,16.43,88.8,23
CDM,27204748,Kit Craniotomy Cranial Acces Codman,635.0,635.0,93.98,508.0,23
CDM,27204754,Guidewire Vascular .014in 300cm 11cm Radiopq Str T,450.0,450.0,66.6,360.0,23
CDM,27204755,Guidewire Vasc 180cm Asahi Ptca Sion Blue,375.0,375.0,55.5,300.0,23
CDM,27204756,Guidewire Vasc 180cm .014in Str 3cm Sion Asahi Ss,375.0,375.0,55.5,300.0,23
CDM,27204763,Catheter Angio .035in Vert Curve 5fr .046in 125cm,35.0,35.0,5.18,28.0,23
CDM,27204765,Catheter Guid Al1 Curve 8fr 90cm Coron Sh Lnchr,163.0,163.0,24.12,130.4,23
CDM,27204779,Catheter Thrmb 125cm 6fr Neuron Sim Curve Slct,313.0,313.0,46.32,250.4,23
CDM,27204783,Catheter Ultrasound .035in 8.5fr 90cm 100cm Otw Radiopq,2500.0,2500.0,370.0,2000.0,23
CDM,27204785,Catheter Baldilat Ultra Lp Taper 6fr 4mm 150cm 220mm Coyote,857.0,857.0,126.84,685.6,23
CDM,27204786,Guidewire Vascular Str Short Taper .014in 300cm 8cm Robust,343.0,343.0,50.76,274.4,23
CDM,27204787,Omni Flush (Vcf) 5fr 100cm,35.0,35.0,5.18,28.0,23
CDM,27204790,System Embl Prtc 104.5cm .035in Prox Crbrl Cath,4000.0,4000.0,592.0,3200.0,23
CDM,27204795,Introducer Sheath .021in Str Thin Wall 6fr 20ga 10cm 45cm,138.0,138.0,20.42,110.4,23
CDM,27204797,Guidewire Vasc 190cm .014in Strbl Radiopq Kink Rst,38.0,38.0,5.62,30.4,23
CDM,27204798,Tube Gastrostomy 20fr 14.25x11.25x9in Handrail Chr,45.0,45.0,6.66,36.0,23
CDM,27204799,Needle Intraosseous 15ga 25mm Ez Connect Wrist Ban,1375.0,1375.0,203.5,1100.0,23
CDM,27204812,Solitaire Platinum Revascularization Device 4-40,10563.0,10563.0,1563.32,8450.4,23
CDM,27204823,Introducer Sheath .038in Stand,45.0,45.0,6.66,36.0,23
CDM,27204824,Set Tubing 2.6mr 2 Way Communication Irrigation Pump,200.0,200.0,29.6,160.0,23
CDM,27204826,Axs Catalyst 5 Distal Access Catheter,4875.0,4875.0,721.5,3900.0,23
CDM,27204830,Impella Rp US Hde Pump Set,102500.0,102500.0,15170.0,82000.0,23
CDM,27204832,Sheath Introd 16fr 6.2mm 5.3mm 28cm Dryseal Dilat,668.0,668.0,98.86,534.4,23
CDM,27204835,System Thrmb Zelantedvt,7313.0,7313.0,1082.32,5850.4,23
CDM,27204840,Axs Infinity Ls .088 Long Guide Sheath 90cm,1463.0,1463.0,216.52,1170.4,23
CDM,27204841,Axs Infinity Ls .088 Long Guide Sheath 80cm,1463.0,1463.0,216.52,1170.4,23
CDM,27204843,ER-Reboa Catheter,4988.0,4988.0,738.22,3990.4,23
CDM,27204846,Pericardio Set and Tray,474.0,474.0,70.15,379.2,23
CDM,27204849,Flexor Ansel Guiding Sheath W/Check-Flo 7f 2.5mm X 45cm Str,113.0,113.0,16.72,90.4,23
CDM,27204850,Viatrac 14 Plus Rx 5mm X 30mm X 135cm,625.0,625.0,92.5,500.0,23
CDM,27204852,"Mustang 7fr 12.0mm X 60mm, 135cm",500.0,500.0,74.0,400.0,23
CDM,27204854,Sterling Otw 5mm X 100mm X 135cm,685.0,685.0,101.38,548.0,23
CDM,27204855,Sterling Otw 6mm X 100mm X 135cm,685.0,685.0,101.38,548.0,23
CDM,27204857,Tear-Away Intro Sheath 8f 30cm,477.0,477.0,70.6,381.6,23
CDM,27204858,Sterling Otw 4mm X 220mm X 135cm,830.0,830.0,122.84,664.0,23
CDM,27204870,Catheter Delivery System 0-.02in Micro Str 2.6-2.95fr .025in,2325.0,2325.0,344.1,1860.0,23
CDM,27204876,Catheter Angio Radialtiger Curve 6fr 4mm 110cm,438.0,438.0,64.82,350.4,23
CDM,27204880,Gui Vas St Str .035in 260cm Flexible Tip,100.0,100.0,14.8,80.0,23
CDM,27204883,Int Sheath .035in 7fr .1in 70cm Anl0 Curve Str Tip,163.0,163.0,24.12,130.4,23
CDM,27204885,Cat Bald 6mm 75cm 40mm High Pres Lp Infla Pt,463.0,463.0,68.52,370.4,23
CDM,27204887,Cat Bald 5fr 9mm 75cm 60mm High Pres Lp Infl,463.0,463.0,68.52,370.4,23
CDM,27204888,Cat Bald Lp 5.8fr 12mm 75cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204889,Sth Gui .018-.038in Anl2 Crve 6fr .087in 90cm Radi,250.0,250.0,37.0,200.0,23
CDM,27204890,Cat Bald Ult Lp Tap 6fr 2.5mm 150cm 100mm Otw,686.0,686.0,101.53,548.8,23
CDM,27204892,Cat Bald Lp 5.3fr 5mm 75cm 20mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204896,Cat Bald Lp 5.3fr 7mm 135cm 100mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204899,Cat Bald Lp 5.3fr 6mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204910,Shth Gu .018/.038in Anl1 Cve 6fr .087in 45cm Rad,113.0,113.0,16.72,90.4,23
CDM,27204912,Catr Bald 14 Atm Lp Taer 7fr 5mm 150cm 150mm,754.0,754.0,111.59,603.2,23
CDM,27204913,Catbald Lp 5.3fr 7mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204914,Cat Bald .035in 7mm 75cm 60mm High Pres Lp,463.0,463.0,68.52,370.4,23
CDM,27204916,Cat Bald .035in 8mm 75cm 60mm High Pre Lp,463.0,463.0,68.52,370.4,23
CDM,27204917,Cat Bald Lp 5.8fr 9mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27204918,Cat Guid Ebu3.75 Curve 7fr .081in 100cm Luch,163.0,163.0,24.12,130.4,23
CDM,27204919,Cat Bald .035in 6mm 75cm 60mm High Pres Lp,463.0,463.0,68.52,370.4,23
CDM,27204927,Guidewire Vasc 185cm Strl Lf Verrata + Prss Disp,1688.0,1688.0,249.82,1350.4,23
CDM,27204933,Set Cat 15.5fr 24cm 3 Lumen Bas Gwire Dil Scal,278.0,278.0,41.14,222.4,23
CDM,27204942,Catheter US Kodama,1500.0,1500.0,222.0,1200.0,23
CDM,27204943,Glove Compression Large Open Finger Seamless Latex Free PR,43.0,43.0,6.36,34.4,23
CDM,27204944,Glove Cmpr Xs 5-6in Lf Istnr F F Thrp Mach Wshbl 80% Nyl 20% PR,30.0,30.0,4.44,24.0,23
CDM,27204945,Glove Cmpr Med Lf Istnr Anemb F F L/R Hnd Edema Cntrl PR,30.0,30.0,4.44,24.0,23
CDM,27204946,Glove Cmpr Sm 23-32 Mmhg 6-7in Lf Istnr F F Thrp Nyl Spndx PR,30.0,30.0,4.44,24.0,23
CDM,27204947,Glove Cmpr Lg 23-32 Mmhg 8-9in Lf Istnr F F Thrp Nyl Spndx PR,30.0,30.0,4.44,24.0,23
CDM,27204948,Glove Cmpr Xs 5-6in Lf Istnr Opn Fngr Ltwt Blnd Smls Sprt PR,30.0,30.0,4.44,24.0,23
CDM,27204949,Glove Cmpr Sm Lf Istnr Opn Fngr Smls 80% Nyl 20% Spndx 23-32 PR,30.0,30.0,4.44,24.0,23
CDM,27204950,Glove Cmpr MD Lf Istnr Opn Fngr Smls 80% Nyl 20% Spndx 23-32 PR,30.0,30.0,4.44,24.0,23
CDM,27204951,Sphere Embl Ylw Embsph 100-300um Mcsph Ns Prefl,608.0,608.0,89.98,486.4,23
CDM,27205021,Catheter Infus Mic .027in Phenom,2000.0,2000.0,296.0,1600.0,23
CDM,27205025,Catheter Infs Mic .45in Phenom,2000.0,2000.0,296.0,1600.0,23
CDM,27205029,Guidewire Vascular 15d .018in 180cm 5cm Intermedia,216.0,216.0,31.97,172.8,23
CDM,27205032,Kit Biopsy Tlab Metal Straight Curve L60 Cm L65 Cm,1350.0,1350.0,199.8,1080.0,23
CDM,27205033,System Embolic Protection 3.2-4.2fr 6mm 320cm 190c,3488.0,3488.0,516.22,2790.4,23
CDM,27205035,Catheter Intvn 180- D 2.4-2.9fr .021in 125cm Swift,6000.0,6000.0,888.0,4800.0,23
CDM,27205036,Catheter Baldilat Ultra Lp 5fr 1.5mm 12mm 2 Lumen,300.0,300.0,44.4,240.0,23
CDM,27205037,Catheter Baldilat Ultra Lp 5fr 1.5mm 15mm 2 Lumen,300.0,300.0,44.4,240.0,23
CDM,27205038,Catheter Baldilat 2.25mm 10mm Rapex Legend Semicom,1033.0,1033.0,152.88,826.4,23
CDM,27205039,Catheter Baldilat Lp 5.3fr 4mm 75cm 20mm High Pres,463.0,463.0,68.52,370.4,23
CDM,27205040,Catheter Baldilat Ultra Lp 5fr 1.5mm 20mm 2 Lumen,300.0,300.0,44.4,240.0,23
CDM,27205042,Catheter Baldilat Ultra Lp 5fr 1.5mm 8mm 2 Lumen R,300.0,300.0,44.4,240.0,23
CDM,27205051,Catheter Gd Strg 6fr 115cm Strl Lf Sofia Disp Strk,4990.0,4990.0,738.52,3992.0,23
CDM,27205089,Catheter Angio Rbt Crv 5fr 90cm Trnb Ad Acpt .035in Gw,32.5,32.5,4.81,26.0,23
CDM,27205705,Catheter Intvn .021in 750 Psi 2.4fr 150cm 90cm Progreat Mcth,775.0,775.0,114.7,620.0,23
CDM,27205706,Catheter Intvn .021in Mic 2.4-2.9fr .022in 130cm Progreat,775.0,775.0,114.7,620.0,23
CDM,27205734,Guidewire Vasc Ang .025in 150cm 3cm Gldwr Hdrph,101.13,101.13,14.97,80.9,23
CDM,27205736,Guidewire Vasc Ang .025in 260cm 3cm Gldwr Hdrph,144.0,144.0,21.31,115.2,23
CDM,27205752,Guidewire Vasc Std Strg .035in 150cm 1cm Gldwr Jkt Cor To,72.5,72.5,10.73,58.0,23
CDM,27205764,Guidewire Vasc Strg .035in 180cm 3cm Gldwr Shp Tip Hdrph,107.0,107.0,15.84,85.6,23
CDM,27205915,Kit Incision and Drainage Ecc,400.0,400.0,59.2,320.0,23
CDM,27205917,Kit Introd .035in 9fr 18ga 10c,309.0,309.0,45.73,247.2,23
CDM,27205921,Guidewire Vasc Ang .035in 150cm 3cm Laureate Fxcr,75.0,75.0,11.1,60.0,23
CDM,27205922,Catheter Cen Ven 9fr 3mm 1.3mm .7mm 90cm 2 Lumen T,355.0,355.0,52.54,284.0,23
CDM,27205932,Speculum Vag Med Grn Ns Lf ER-,168.0,168.0,24.86,134.4,23
CDM,27205934,Tray Catheterization 16fr 2 Co,73.0,73.0,10.8,58.4,23
CDM,27205939,Kit Laceration,26.0,26.0,3.85,20.8,23
CDM,27205941,Catheter Urethral 14fr Foley 2,26.0,26.0,3.85,20.8,23
CDM,27205943,Envelope Defibrillator 3.35x3in Resorb Aigisrx Mino,2488.0,2488.0,368.22,1990.4,23
CDM,27205950,Catheter Angio Brnstn 1 Crv 5fr .046in 125cm Prfm Wng Hub,138.0,138.0,20.42,110.4,23
CDM,27206309,"Guidewire Hi-Torque Comm Es .014"" 300cm",988.0,988.0,146.22,790.4,23
CDM,27219613,Tray Catheterization 16fr Urine Meter Foley Statlo,40.0,40.0,5.92,32.0,23
CDM,27219615,Tube Gstrm 18fr 10cm 5-10ml Entuit Enfit Bln Rtnt Fd,90.0,90.0,13.32,72.0,23
CDM,27219618,Set Gstrm Lg 20-24fr 22-26fr Strl Entuit Srt Coons Dil Plwy,213.0,213.0,31.52,170.4,23
CDM,27219620,Inst Ablat Spinestar 5-10 Gen2,7250.0,7250.0,1073.0,5800.0,23
CDM,27219625,Catheter Blndil 5mm 40cm 100mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CDM,27219631,Catheter Blndil 7mm 40cm 60mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CDM,27219645,Catheter Blndil 6mm 75cm 100mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CDM,27219647,Catheter Blndil 7mm 75cm 60mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CDM,27219649,Catheter Blndil 8mm 75cm 60mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CDM,27219667,Guidewire Vasc Strg .035in 260cm 6cm Hiwire Bntsn Atrm X,57.0,57.0,8.44,45.6,23
CDM,27219670,Catheter Chlgm Spyscope Ds Acc Dlv Disp,6875.0,6875.0,1017.5,5500.0,23
CDM,27219674,Catheter Hmdial 14.5fr 19cm Mh Mxd Sportpack 2 Lum Kink Rst,225.0,225.0,33.3,180.0,23
CDM,27219675,Sheath Gd 8fr 2.9mm 40cm Strl Flxr Chfl Blkn Disp Acpt .038,188.0,188.0,27.82,150.4,23
CDM,27219676,Microcatheter Crbrvasc Thnwl 2fr .019in 130cm 70cm Progreat,1625.0,1625.0,240.5,1300.0,23
CDM,27219679,Embrotrap II Revascularization Device (5x33),9500.0,9500.0,1406.0,7600.0,23
CDM,27219680,Catheter Angio.038in Chgb Crv 5fr,313.0,313.0,46.32,250.4,23
CDM,27219681,Catheter Angio Rosch Infr Mes Crv Tpr 5fr 65cm Strl 41,313.0,313.0,46.32,250.4,23
CDM,27219682,Catheter Angiographic Angle 4fr.041in 65cm 15cm 2 Braid,123.0,123.0,18.2,98.4,23
CDM,27219736,Guidewire Vasc 300cm .014in Radiopq Core to Tip,188.0,188.0,27.82,150.4,23
CDM,27219896,Catheter Infs Mic 2.1-1.7fr 5fr .017in 155cm .34ml 150cm,1588.0,1588.0,235.02,1270.4,23
CDM,27219897,Retriever Escp Trevo Xp Provue,13641.0,13641.0,2018.87,10912.8,23
CDM,27219898,Catheter Baldilat Lp 5.3fr 4mm 75cm 60mm High Pressure,463.0,463.0,68.52,370.4,23
CDM,27219899,Introducer Sheath .035in Anl1 Curve 11.4fr 10fr 45cm High,200.0,200.0,29.6,160.0,23
CDM,27219913,Catheter Sct 16mm 105cm Strl Lf Clottriever Disp,11988.0,11988.0,1774.22,9590.4,23
CDM,27219914,Catheter Sct 4.6mm 15cm Strl Lf Clottriever Shth Disp,3238.0,3238.0,479.22,2590.4,23
CDM,27219915,Set Thrombectomy 6fr 3mm 120cm 15mm Otw Contrast Injec Port,5013.0,5013.0,741.92,4010.4,23
CDM,27219916,Guidewire Vasc Ang .035in 150cm Hiwire Radopq Flx Tp Stf,423.0,423.0,62.6,338.4,23
CDM,27219917,Catheter Angiographic Kmp Curve 5fr 40cm Torcon Nb Advantage,194.0,194.0,28.71,155.2,23
CDM,27219920,Catheter Ultrasound 20mhz 3.4fr 135cm Scanner Transducer,1688.0,1688.0,249.82,1350.4,23
CDM,27219921,Catheter Gd Mpc Crv 6fr 100cm Env Lg Inr Lum Radopq Brd Sft,928.0,928.0,137.34,742.4,23
CDM,27219924,Guidewire Vasc .014in 180cm Strl Lf Cnfnz Pro 12 Disp,333.0,333.0,49.28,266.4,23
CDM,27219926,Guidewire Vasc .014in 180cm Strl Lf Fielder Fc Disp,200.0,200.0,29.6,160.0,23
CDM,27219927,Guidewire Vasc .014in 300cm Strl Lf Grand Slam Disp,288.0,288.0,42.62,230.4,23
CDM,27219928,Guidewire Vasc .014in 180cm Strl Lf Mrclbrs 6 Disp,333.0,333.0,49.28,266.4,23
CDM,27219931,Guidewire Vasc .014in 180cm Strl Lf P-H2o Disp,200.0,200.0,29.6,160.0,23
CDM,27219932,Guidewire Vasc .014in 300cm Strl Lf P-H2o Disp,200.0,200.0,29.6,160.0,23
CDM,27219934,Medtronic Aortic and Peripheral Vascular - Div Med,4750.0,4750.0,703.0,3800.0,23
CDM,27219941,Catheter Primafit Sage,27.0,27.0,4.0,21.6,23
CDM,27219942,Drain Incision Small Stature 1 Chamber Suction Control,51.0,51.0,7.55,40.8,23
CDM,27219943,Catheter External Drain Large 1.9mm Latex Free Bactiseal Evd,1229.0,1229.0,181.89,983.2,23
CDM,27219946,Canister Wound Drain C500ml Gel Tube Clmp Conctr Charcoal,84.0,84.0,12.43,67.2,23
CDM,27219947,Pad Wound Drain Tube Clmp Conctr Sensatrac Vac Sterile,43.0,43.0,6.36,34.4,23
CDM,27219950,Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq,29.0,29.0,4.29,23.2,23
CDM,27219955,Device Securing Standard 8fr Kit Retrieval Probe Catheter,232.0,232.0,34.34,185.6,23
CDM,27219959,Kit Cath .032in 8.5fr 18ga 16cm Lf 2.5in Blu Flxtp Arwg+Ard,327.0,327.0,48.4,261.6,23
CDM,27219961,Suture Absorbable 3-0 Sh-1 27in Braid Coated Vicryl Undyed,185.0,185.0,27.38,148.0,23
CDM,27219963,Dressing Abthera Snsa Trc Foam Opn Abd Neg Prss,920.0,920.0,136.16,736.0,23
CDM,27219969,Kit Cath Strg 13fr 30cm Strl Pwr-Trialysis 3 Lum Kink Rst,563.0,563.0,83.32,450.4,23
CDM,27219971,Catheter Hmdial 15cm Schn Xl Kink Rst Tip Clip Sh Rem Sty,119.0,119.0,17.61,95.2,23
CDM,27219972,Set Cath 24cm Schn Xl Bsc Sil Acute Hmdial,238.0,238.0,35.22,190.4,23
CDM,27219975,Kit Dressing Midline Custom Change Tray,48.0,48.0,7.1,38.4,23
CDM,27219983,Cath Umb 3.5f Pu 15in,34.0,34.0,5.03,27.2,23
CDM,27219984,Cath Umb 5f Pu 15in,34.0,34.0,5.03,27.2,23
CDM,27219985,"Catheter, 8f Thoracic",35.0,35.0,5.18,28.0,23
CDM,27219986,Cath Trocar Fnl 10f 9in,35.0,35.0,5.18,28.0,23
CDM,27219988,"Kit, Chest Tube",74.0,74.0,10.95,59.2,23
CDM,27219989,Umbilical Vessel Catheter Tray 88-160408,127.0,127.0,18.8,101.6,23
CDM,27219990,Catheter Gd Strg 5fr .068in .055in 115cm 17cm Sofia Dist Acc,3040.0,3040.0,449.92,2432.0,23
CDM,27219991,Catheter Gd Strg 5fr .068in .055in 125cm 17cm Sofia Dist Acc,3230.0,3230.0,478.04,2584.0,23
CDM,27220083,Axs Vecta 046 125 Cm,4225.0,4225.0,625.3,3380.0,23
CDM,27220084,Cath Thromb Axs Vecta 71 2-4 Mm L132 Cm L150 Cm Od.082-.085,6750.0,6750.0,999.0,5400.0,23
CDM,27220094,Catheter Angio Chuang 2.5 Crv 5fr 80cm Trnb Ad Bcntp Mp Ss,313.0,313.0,46.32,250.4,23
CDM,27220096,Flowtriever Bundle,22500.0,22500.0,3330.0,18000.0,23
CDM,27220098,Tube Ng 8fr 36in Lf Entflx Fd Sty Y St,27.0,27.0,4.0,21.6,23
CDM,27220107,Soehendra Biliary Dilation Catheter,198.0,198.0,29.3,158.4,23
CDM,27220108,Spybite Biopsy Forceps,1338.0,1338.0,198.02,1070.4,23
CDM,27220109,Pancreatic Stent 5fr,115.0,115.0,17.02,92.0,23
CDM,27220110,Ligating Device,220.0,220.0,32.56,176.0,23
CDM,27220111,Echotip Procore Biopsy Needle,1013.0,1013.0,149.92,810.4,23
CDM,27220112,Misc Central Line Supply,220.0,220.0,32.56,176.0,23
CDM,27220117,Catheter Axs Catalyst 7 .068 ID X132cm,5288.0,5288.0,782.62,4230.4,23
CDM,27220120,"Kit Triple Lumen Cvc, 7fr 20 Cm",360.0,360.0,53.28,288.0,23
CDM,27220123,Dressing Wound Square 6x6in 2 Layer Absorbent Nonwoven Soft,56.0,56.0,8.29,44.8,23
CDM,27220124,Tray Spnl 20ga 3.5in Strl Lf 3 Spng Stk Prp Well Bndg Adlt,49.0,49.0,7.25,39.2,23
CDM,27220130,Dressing Prfy H2o Calcium Alg Na Cmc Gntl Dbrd,31.0,31.0,4.59,24.8,23
CDM,27220131,Dressing Biatain Ag 4x4in 1 Pc Rem Abs Wnd Alg,27.0,27.0,4.0,21.6,23
CDM,27220135,Tray Dressing Cardinal Central Line Grady Custom,43.0,43.0,6.36,34.4,23
CDM,27220137,Device Inflat 12fr 3in Pressure Gauge Latex Free Encore 26,94.0,94.0,13.91,75.2,23
CDM,27220138,Device Cmpr Lg 29cm Tr Band 2 Bln Trns Adj Strap Air Trtn,83.0,83.0,12.28,66.4,23
CDM,27220139,Umbilical Catheter 3.5,85.0,85.0,12.58,68.0,23
CDM,27220340,Catheter Angiographic Angle 5fr .047in 65cm 25cm 1 Braid,123.0,123.0,18.2,98.4,23
CDM,27220342,Catheter Blnocc 900- Psi 2.2-2.9fr 6- Mm .02in 130,2488.0,2488.0,368.22,1990.4,23
CDM,27220347,Catheter Angio Jl 4 Crv 5fr .047in 100cm Infnt Thrlmn Radopq,97.0,97.0,14.36,77.6,23
CDM,27220348,Catheter Angio Al 1 Crv 6fr 100cm Infnt Lt Cor,97.0,97.0,14.36,77.6,23
CDM,27220349,Kit Picc Dressing Change Tray 215,59.0,59.0,8.73,47.2,23
CDM,27220352,Guidewire Vasc 90d 60d 2cm .018in 180cm 25cm Gldwr Gt Tip,393.0,393.0,58.16,314.4,23
CDM,27220353,Device Inflat 12fr Pressure Gauge Encore 26 20ml,367.0,367.0,54.32,293.6,23
CDM,27220360,Safe-T-Centesis Tray 8fr (Carefusion),443.0,443.0,65.56,354.4,23
CDM,27220361,Safe-T-Centesis Tray 6fr (Carefusion),481.0,481.0,71.19,384.8,23
CDM,27220362,"Anasept Gel - Hydrogel Dressing, Wound Filler, Gel, per Fluid Ounce",75.0,75.0,11.1,60.0,23
CDM,27220363,"Profore Multi-Layer Compression Band System, E/P, Latex, Tan",98.0,98.0,14.5,78.4,23
CDM,27220364,"Endoscope, Single-Use",7325.0,7325.0,1084.1,5860.0,23
CDM,27300022,Stocking Compression 20-30 Mmhg Large Bk Od15.5-18,49.0,49.0,7.25,39.2,23
CDM,27300023,Stocking Compression 20-30 Mmhg X-Large Bk Od17.5-20,49.0,49.0,7.25,39.2,23
CDM,27400001,"Skin Barrier, Solid 6X6 or Equival",36.0,36.0,5.33,28.8,23
CDM,27400002,"Skin Barrier, Solid 8x8 or Equivalent",135.0,135.0,19.98,108.0,23
CDM,27400003,Neck Ext. Splint,94.0,94.0,13.91,75.2,23
CDM,27400004,Cervical Collar,202.0,202.0,29.9,161.6,23
CDM,27400005,Aspen Collar,524.0,524.0,77.55,419.2,23
CDM,27400006,Miami Collar,938.0,938.0,138.82,750.4,23
CDM,27400008,Cervical Thoracic Orthosis(Cto,1679.0,1679.0,248.49,1343.2,23
CDM,27400010,Jewett Brace,1496.0,1496.0,221.41,1196.8,23
CDM,27400011,Custom to Fit Tlso,6431.0,6431.0,951.79,5144.8,23
CDM,27400013,Lso Brace,3917.0,3917.0,579.72,3133.6,23
CDM,27400014,Ctlso Brace,6393.0,6393.0,946.16,5114.4,23
CDM,27400017,Knee Immobilizer,371.0,371.0,54.91,296.8,23
CDM,27400019,Ankle Foot Orthosis,345.0,345.0,51.06,276.0,23
CDM,27400022,Shoulder Abduction,388.0,388.0,57.42,310.4,23
CDM,27400024,Custom Elbow,97.0,97.0,14.36,77.6,23
CDM,27400025,Airplane Splint,406.0,406.0,60.09,324.8,23
CDM,27400026,Dynamic Wrist Splint,107.0,107.0,15.84,85.6,23
CDM,27400027,Any Finger Splint,198.0,198.0,29.3,158.4,23
CDM,27400028,Ulnar/Radial Gutter,69.0,69.0,10.21,55.2,23
CDM,27400029,Wrist Cockup Splint,202.0,202.0,29.9,161.6,23
CDM,27400030,Spring Wire Assist Splint Prefab,195.0,195.0,28.86,156.0,23
CDM,27400034,Resting Hand Splint-Custom,214.0,214.0,31.67,171.2,23
CDM,27400038,Heel Lift,127.0,127.0,18.8,101.6,23
CDM,27400039,Hinged Elbow Brace,431.0,431.0,63.79,344.8,23
CDM,27400040,Dorsal Block Splint W/Kleine,47.0,47.0,6.96,37.6,23
CDM,27400050,Simple Hand Based Spl,55.0,55.0,8.14,44.0,23
CDM,27400051,Dorsal Block Splint,34.0,34.0,5.03,27.2,23
CDM,27400053,Ball Splint/Finger Abd Splint,161.0,161.0,23.83,128.8,23
CDM,27400054,Canv/Leath/Ezy-on Wrist Splint,99.0,99.0,14.65,79.2,23
CDM,27400055,Gauntlet With Thumb Spica,91.0,91.0,13.47,72.8,23
CDM,27400056,Prefab Burn Splint,349.0,349.0,51.65,279.2,23
CDM,27400057,Spasticity Splint,164.0,164.0,24.27,131.2,23
CDM,27400058,Forearm Sarmiento,195.0,195.0,28.86,156.0,23
CDM,27400060,Thumb Spica,72.0,72.0,10.66,57.6,23
CDM,27400061,Whfo Wr Gaunlet/Thumb Spica,185.0,185.0,27.38,148.0,23
CDM,27400066,Safe Position Splint,107.0,107.0,15.84,85.6,23
CDM,27400067,Foam Foot Drop Stop-Prefab,47.0,47.0,6.96,37.6,23
CDM,27400071,Forearm Based Outrigger,160.0,160.0,23.68,128.0,23
CDM,27400078,Knee Extension Splint(S/P Bka),215.0,215.0,31.82,172.0,23
CDM,27400080,Resting Hand Splint-Prefab,328.0,328.0,48.54,262.4,23
CDM,27400085,Hand Based Outrigger,118.0,118.0,17.46,94.4,23
CDM,27400086,Posterior Elbow Splint-Prefab,105.0,105.0,15.54,84.0,23
CDM,27400087,Foot Drop Splint Prefab,278.0,278.0,41.14,222.4,23
CDM,27400090,Foot Drop Splint-Custom,237.0,237.0,35.08,189.6,23
CDM,27400091,Resting Hand/Volar Wrist Custom,209.0,209.0,30.93,167.2,23
CDM,27400098,Custom Resting Hand,198.0,198.0,29.3,158.4,23
CDM,27400105,Extensor Tendon Splint,132.0,132.0,19.54,105.6,23
CDM,27400108,Humeral Fx Brace,179.0,179.0,26.49,143.2,23
CDM,27400109,Hinged Elbow Brace,1285.0,1285.0,190.18,1028.0,23
CDM,27400114,Splint Orthopedic 5ydx6in Fast,46.0,46.0,6.81,36.8,23
CDM,27400115,Immobilizer Orthopedic Univers,45.0,45.0,6.66,36.0,23
CDM,27403807,Splint (Prefab) Wrist Hand Finger W/O Joint,251.0,251.0,37.15,200.8,23
CDM,27403808,Splint (Custom-Fab) Wrist Hand Finger W/O Joint,125.0,125.0,18.5,100.0,23
CDM,27403905,Splint (Custom-Fab) Wrist Hand Finger Incl Joint,134.0,134.0,19.83,107.2,23
CDM,27403960,Splint (Prefabricated) Shoulder Elbow Wrist Hand (Airplane) Abduction,406.0,406.0,60.09,324.8,23
CDM,27500006,Capsurenovusfix Lead,8340.0,8340.0,1234.32,6672.0,23
CDM,27500040,Tendril St Pkg Lead,1920.0,1920.0,284.16,1536.0,23
CDM,27500046,Corox Bipolar Lead,5739.0,5739.0,849.37,4591.2,23
CDM,27500059,Lead Attain Performa Usa Crt,5840.0,5840.0,864.32,4672.0,23
CDM,27500062,Lv Quickflex Lead,5739.0,5739.0,849.37,4591.2,23
CDM,27500154,Lead Pcng 53cm Solia S Ecrdl Strd Elute Bipol Act,1125.0,1125.0,166.5,900.0,23
CDM,27500155,Lead Pcng 60cm Promri Solia S Strd Elut,1125.0,1125.0,166.5,900.0,23
CDM,27500218,Isoflex Optim,1330.0,1330.0,196.84,1064.0,23
CDM,27500395,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Dr 2 Chmbr Is-1 Conctr,18765.0,18765.0,2777.22,15012.0,23
CDM,27500397,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Sr 1 Chmbr Is-1 Conctr,14960.0,14960.0,2214.08,11968.0,23
CDM,27500398,Pcmkr Crd Thk6mm Sm 41x50 X6 Endurity Sr 1 Chmbr Is-1 Conctr,12335.0,12335.0,1825.58,9868.0,23
CDM,27500399,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Dr Rf Chmbr Is-1 Conctr,19946.0,19946.0,2952.01,15956.8,23
CDM,27500400,Pcmkr Crd Thk6mm Sm Endurity Dr Rf Chmbr Is-1 Conctr Atcpt,17322.0,17322.0,2563.66,13857.6,23
CDM,27500401,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 1 Chmbr Is-1 Conctr,16141.0,16141.0,2388.87,12912.8,23
CDM,27500416,Dfbr Crd Evera MRI Surescan Df-1 Pin Plg Xt Dr,41500.0,41500.0,6142.0,33200.0,23
CDM,27500417,Evera MRI Xt Dr Icd (Dual Chamber Icd) Df4 Header,41500.0,41500.0,6142.0,33200.0,23
CDM,27500418,Dfbr Crd Visia Af MRI Df4 Vr,36500.0,36500.0,5402.0,29200.0,23
CDM,27500419,Visia Vr Icd (Single Chamber Icd) Df 1 Header,36500.0,36500.0,5402.0,29200.0,23
CDM,27500422,Defibrillator Cardiac .99cm 5.37x7.68cm 2 Chamber Extend,37500.0,37500.0,5550.0,30000.0,23
CDM,27500432,Lead Pacing X4 86 Cm Conctr Acuity Left Ventricle Spiral S,6750.0,6750.0,999.0,5400.0,23
CDM,27500435,Inventra 7 Vr-T Dx,49688.0,49688.0,7353.82,39750.4,23
CDM,27503025,Tendril Sts 2088tc/46,1478.0,1478.0,218.74,1182.4,23
CDM,27503032,Fortify Assura Vr 40,53200.0,53200.0,7873.6,42560.0,23
CDM,27503033,Fortify Assura Vr 40 Df4 Connector,53200.0,53200.0,7873.6,42560.0,23
CDM,27503034,Ellipse Vr 36,53200.0,53200.0,7873.6,42560.0,23
CDM,27503038,Unify Assura Crt-D 40,85120.0,85120.0,12597.76,68096.0,23
CDM,27503043,Capsure Vdd2 Lead 5038s-52,828.0,828.0,122.54,662.4,23
CDM,27503050,Accent Dr Pacemaker Generator,17142.0,17142.0,2537.02,13713.6,23
CDM,27503052,Tendril Sts 2088tc/46 Lead/Electrode/Access,1478.0,1478.0,218.74,1182.4,23
CDM,27503053,Tendril Sts 2088tc/52 Lead/Electrode/Access,1478.0,1478.0,218.74,1182.4,23
CDM,27503059,Fortify Assura Vr 40 Df4 Connector Icd/Defib/Resync,53200.0,53200.0,7873.6,42560.0,23
CDM,27503064,Quadra Assura Crt-D 40 Df4 Connector Icd/Defib/Resync,85120.0,85120.0,12597.76,68096.0,23
CDM,27503076,Lead 407665 Capsurefix Novus,1478.0,1478.0,218.74,1182.4,23
CDM,27503081,Lead 5076-35 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CDM,27503082,Lead 5076-65 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CDM,27503083,Lead 5076-85 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CDM,27503084,Lead 5076110 Capsurefix Novus Pacing,1478.0,1478.0,218.74,1182.4,23
CDM,27503089,Lead 6947m55 Df4 Active Dc Sprint 55 Cm,11822.0,11822.0,1749.66,9457.6,23
CDM,27503090,Lead 6947m62 Df4 Active Dc Sprint 62 Cm,11822.0,11822.0,1749.66,9457.6,23
CDM,27503093,Pacemaker Single Chamber Adapta Sr,10344.0,10344.0,1530.91,8275.2,23
CDM,27503214,Ellipse Next Gene Dr 36 Df4 Conn,45811.0,45811.0,6780.03,36648.8,23
CDM,27503215,Fortify Assura Next Gene Vr 40,39900.0,39900.0,5905.2,31920.0,23
CDM,27503223,Fortify Assura Next Gene Vr 40 System,51722.0,51722.0,7654.86,41377.6,23
CDM,27503224,Fortify Assura Next Gene Vr 40 Df4 Conn System,51722.0,51722.0,7654.86,41377.6,23
CDM,27503225,Ellipse Next Gene Vr 36 System,51722.0,51722.0,7654.86,41377.6,23
CDM,27503235,Generator Pulse Sq-Rx and Q-Trak Electrode,71926.0,71926.0,10645.05,57540.8,23
CDM,27503237,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 2 Chmbr Is-1 Conctr,19566.0,19566.0,2895.77,15652.8,23
CDM,27503240,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 1 Chmbr Is-1 Conctr,17774.0,17774.0,2630.55,14219.2,23
CDM,27503268,Envelope Defibrillator Medium 2.5x2.75in Pacemaker,1738.0,1738.0,257.22,1390.4,23
CDM,27503305,Percepta Bipolar Crtp,29835.0,29835.0,4415.58,23868.0,23
CDM,27503321,Lead Pcng J Crv 45cm Ingevity MRI Psv Fx Prefrm Atr,1125.0,1125.0,166.5,900.0,23
CDM,27503324,Lead Pcng Strg 52cm Ingevity MRI Act Bp Flx Tp Sty Av,1125.0,1125.0,166.5,900.0,23
CDM,27503326,Pacemaker Crd Azure Wirelessly,13750.0,13750.0,2035.0,11000.0,23
CDM,27503327,Pacemaker Crd Azure,12000.0,12000.0,1776.0,9600.0,23
CDM,27503329,Lead Pcng 10mm Spc Sm Strg 6.2fr 2mm 45cm Strl Cp Nv Bp Scr,1250.0,1250.0,185.0,1000.0,23
CDM,27503330,Edora Promri Sr-T-Sing Chmbr Pacemaker-Rate-Ad,13375.0,13375.0,1979.5,10700.0,23
CDM,27503331,Pm Cardiac Acld Lat Nxt Dr-El 4.45 X 5.88 X 0.75,7625.0,7625.0,1128.5,6100.0,23
CDM,27503332,Dfbr Crd .99cm 5.37x7.36cm Resonate Heartlogic,23893.0,23893.0,3536.16,19114.4,23
CDM,27800001,Prokera,2140.0,2140.0,316.72,1712.0,23
CDM,27800017,Mahurkar Elite Se Catheter Only 16cm,121.0,121.0,17.91,96.8,23
CDM,27800018,Mahurkar Elite Se Catheter Only 20cm,127.0,127.0,18.8,101.6,23
CDM,27800019,Mahurkar Elite Se Catheter Only 24cm,121.0,121.0,17.91,96.8,23
CDM,27800021,"Yttrium-90,per Source",48863.0,48863.0,7231.72,39090.4,23
CDM,27800033,System Crd Monitr Rvl Impltable Ins Loop,13900.0,13900.0,2057.2,11120.0,23
CDM,27800040,Stent Endo 100cm 14mm 40mm 75cm Unconstrain Flex,2625.0,2625.0,388.5,2100.0,23
CDM,27800046,Space Oar Hydrogel,7125.0,7125.0,1054.5,5700.0,23
CDM,27800053,Ace68 Reperfusion Catheter Kit,6988.0,6988.0,1034.22,5590.4,23
CDM,27800055,Option Elite Vena Cava Filter System,2941.0,2941.0,435.27,2352.8,23
CDM,27800060,Coil Embl 7cm 8mm Nst 2.8 Loop Sft Enh Radopc .035in Pln,294.0,294.0,43.51,235.2,23
CDM,27800064,Glidesheath Slender Ss (.021) 5fr 10cm,138.0,138.0,20.42,110.4,23
CDM,27800065,Glidesheath Slender Ss (.021) 7fr 10cm,138.0,138.0,20.42,110.4,23
CDM,27800066,Visicoil Lung Gold Seeds 0.50mm X 0.50cm Length,338.0,338.0,50.02,270.4,23
CDM,27801008,Sprint 6947 Rv Lead,16139.0,16139.0,2388.57,12911.2,23
CDM,27801020,Bradycardia Lead,1920.0,1920.0,284.16,1536.0,23
CDM,27801029,Maximo II Crt-D,77107.0,77107.0,11411.84,61685.6,23
CDM,27801030,Setrox S 45 Lead,1793.0,1793.0,265.36,1434.4,23
CDM,27801033,Maximo II Dr Dual Icd,55588.0,55588.0,8227.02,44470.4,23
CDM,27801046,9frx16x90-75cm Wall,5303.0,5303.0,784.84,4242.4,23
CDM,27801051,8.5fr-22cm Nephrour,361.0,361.0,53.43,288.8,23
CDM,27801052,8.5fr-24cm Nephrour,350.0,350.0,51.8,280.0,23
CDM,27801053,8.5fr-28cm Nephrour,350.0,350.0,51.8,280.0,23
CDM,27801058,Wall Stent 8fr/ 12x,3605.0,3605.0,533.54,2884.0,23
CDM,27801061,8.5fr-26cm Nephro-U,361.0,361.0,53.43,288.8,23
CDM,27801067,Greenfield Filter-J,3156.0,3156.0,467.09,2524.8,23
CDM,27801072,Filter Birds Nest Vena Cava Ju,3442.0,3442.0,509.42,2753.6,23
CDM,27801082,Coil Complex Helica,1287.0,1287.0,190.48,1029.6,23
CDM,27801089,Zilver Stent 7x40,4170.0,4170.0,617.16,3336.0,23
CDM,27801091,Zilver Stent 6x40,4170.0,4170.0,617.16,3336.0,23
CDM,27801095,6ft Proglide Closur,863.0,863.0,127.72,690.4,23
CDM,27801096,Coil Microplex 18re,2050.0,2050.0,303.4,1640.0,23
CDM,27801110,"Stent, Biliary, Pal",9320.0,9320.0,1379.36,7456.0,23
CDM,27801141,Percut(Mmxcm)10x10,13684.0,13684.0,2025.23,10947.2,23
CDM,27801284,2mm Mini Snare,1870.0,1870.0,276.76,1496.0,23
CDM,27801371,Coil Embl 14cm 3mm .018in Nst 14.9 Loop Sft Radopc,270.0,270.0,39.96,216.0,23
CDM,27801372,Coil Embl 14cm 4mm Nst 11.1 Loop Sft Radopc .018in,270.0,270.0,39.96,216.0,23
CDM,27801373,Coil Embl 14cm 5mm Nst 8.9 Loop Sft Enh Radopc,270.0,270.0,39.96,216.0,23
CDM,27801374,Coil Embl 5cm 2mm Nst 8 Loop Sft Enh Radopc Mciol,229.0,229.0,33.89,183.2,23
CDM,27801377,Coil Embl 7cm 2mm Nst 11.1 Loop Sft Enh Radopc,249.0,249.0,36.85,199.2,23
CDM,27801378,Coil Embl 7cm 5mm Nst 4.5 Loop Sft Enh Radopc,249.0,249.0,36.85,199.2,23
CDM,27801379,Coil Embl 7cm 6mm Nst 3.7 Loop Sft Enh Radopc,249.0,249.0,36.85,199.2,23
CDM,27801392,Catheter Thrombectomy Solitaire 6mm 40mm,10563.0,10563.0,1563.32,8450.4,23
CDM,27801400,Coil Embl 7cm 8mm Nst 2.8 Loop Sft Enh Radopc,249.0,249.0,36.85,199.2,23
CDM,27801407,Coil Embl 7cm 5mm Nst Pltn Synth Fbr Acpt .035in,249.0,249.0,36.85,199.2,23
CDM,27801409,Coil Embl 4cm 4-2mm Trnd Mcl Mlfrm Sft .018in Pltn,270.0,270.0,39.96,216.0,23
CDM,27801410,Coil Embl 5cm 5-2mm Trnd Mcl Cath .018in Pltn Strl,270.0,270.0,39.96,216.0,23
CDM,27801411,Coil Embl 9cm 7-3mm Trnd Mlfrm Sft Xsect Ideally,270.0,270.0,39.96,216.0,23
CDM,27801412,"Cath, Sofia 6fr 131cm",5302.0,5302.0,784.7,4241.6,23
CDM,27801413,"Cath, Sofia 6fr 125cm",5302.0,5302.0,784.7,4241.6,23
CDM,27801414,Plug Cardio 7mm 10mm Amplzr Ntnl Type II Dlv Sys,2080.0,2080.0,307.84,1664.0,23
CDM,27801417,Coil Embl 12.5cm 10-5mm Trnd Sm Std Pltn,270.0,270.0,39.96,216.0,23
CDM,27801419,Coil Embl 8cm 8-4mm Trnd .035in Std Sm Pltn,270.0,270.0,39.96,216.0,23
CDM,27801420,Coil Embl 8.2cm 8-5mm Trnd Mlfrm Pltn,270.0,270.0,39.96,216.0,23
CDM,27801421,Coil Embl 2cm 1mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801424,Coil Embl 2cm 1.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801425,Coil Embl 3cm 1.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801427,Coil Embl 2cm 2mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801428,Coil Embl 3cm 2mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801429,Coil Embl 4cm 2mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801430,Coil Embl 3cm 2.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801431,Coil Embl 6cm 2.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801432,Coil Embl 4cm 3mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801433,Coil Embl 6cm 3mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801434,Coil Embl 8cm 3mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801435,Coil Embl 6cm 3.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801436,Coil Embl 8cm 3.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801437,Coil Embl 10cm 3.5mm Axium Prm X Sft 3d,3988.0,3988.0,590.22,3190.4,23
CDM,27801442,Coil Embl 2cm 1.5mm Axium Prm Dtch X Sft Hlx,2988.0,2988.0,442.22,2390.4,23
CDM,27801443,Coil Embl 3cm 1.5mm Axium Prm Dtch X Sft Hlx,2988.0,2988.0,442.22,2390.4,23
CDM,27801447,Coil Embl 3cm 2mm Axium Prm Dtch X Sft Hlx,2988.0,2988.0,442.22,2390.4,23
CDM,27801449,Coil Embl 6cm 2mm Axium Prm X Sft Hlx,2988.0,2988.0,442.22,2390.4,23
CDM,27801450,"Stent, Non-Coat/Cov W/O Del",12969.0,12969.0,1919.41,10375.2,23
CDM,27801482,Coil Embl 6cm 3mm Axium Prm Dtch X Sft Hlx,2988.0,2988.0,442.22,2390.4,23
CDM,27801497,Port Implinfn 11.4fr 12fr Vtx Peelpro 2 Dtch Cath,1455.0,1455.0,215.34,1164.0,23
CDM,27801499,Lead Pcng 62cm Rv Trplr Scr in Xtd-Retrac Hlx,6100.0,6100.0,902.8,4880.0,23
CDM,27801500,Coil Embl .018in 2mm 2cm Azur Cx Hdrcl Dtch Loop S,2125.0,2125.0,314.5,1700.0,23
CDM,27801501,Coil Embl .018in 2mm 4cm Azur Cx Hdrcl Dtch Loop S,2125.0,2125.0,314.5,1700.0,23
CDM,27801502,Coil Embl .018in 3mm 4cm Azur Cx Hdrcl Dtch Loop S,2125.0,2125.0,314.5,1700.0,23
CDM,27801503,Coil Embl .018in 3mm 8cm Azur Cx Hdrcl Dtch Loop S,2125.0,2125.0,314.5,1700.0,23
CDM,27801527,Coil Embl 34cm 14mm Azur Hdrcl Dtch Nonhydrogel,2975.0,2975.0,440.3,2380.0,23
CDM,27801528,Coil Embl 4mm .018in 15cm Azur Dtch Pltn,2127.0,2127.0,314.8,1701.6,23
CDM,27801531,Coil Embl 4mm .018in 20cm Azur Dtch Pltn,2244.0,2244.0,332.11,1795.2,23
CDM,27802002,Coil Embl 14cm 6mm Nst 7.4 Loop Sft Radopc .018in,270.0,270.0,39.96,216.0,23
CDM,27802003,Coil Embl 14cm 8mm Nst 5.6 Loop Sft Radopc .018in,270.0,270.0,39.96,216.0,23
CDM,27802004,Coil Embl 14cm 10mm Nst 4.5 Loop Sft Radopc .018in,270.0,270.0,39.96,216.0,23
CDM,27802005,Coil Embl 14cm 8mm Nst 5.6 Loop Pltn Synth Fbr Art,270.0,270.0,39.96,216.0,23
CDM,27802006,Coil Embl 14cm 10mm Nst 4.5 Loop Sft .035in Pltn,270.0,270.0,39.96,216.0,23
CDM,27802008,Coil Embl 9.5cm 8-4mm Trnd Mcl Mciol Sft Spc Push,270.0,270.0,39.96,216.0,23
CDM,27802009,Coil Embl 4.1cm 5-3mm Trnd Sft .035in Std Sm Pltn,270.0,270.0,39.96,216.0,23
CDM,27802011,Coil Embl 14cm 6mm Nst Sft Cath Xtd Embl Endhole,270.0,270.0,39.96,216.0,23
CDM,27802012,Coil Embl 7cm 4mm Nst 5.6 Loop Sft Enh Radopc .035,249.0,249.0,36.85,199.2,23
CDM,27802013,Coil Embolization .035in 10mm 7cm 2.2 Loop Soft Enhanced,249.0,249.0,36.85,199.2,23
CDM,27802014,Coil Embl 14cm 20mm Nst 2.2 Loop Sft Enh Radopc,270.0,270.0,39.96,216.0,23
CDM,27802015,Coil Embl 3cm 2mm Nst 4.8 Loop Sft Enh Radopc,229.0,229.0,33.89,183.2,23
CDM,27802016,Coil Embl 3cm 3mm Nst 3.2 Loop Sft Enh Radopc,229.0,229.0,33.89,183.2,23
CDM,27802017,Coil Embl 5cm 3mm Nst 5.3 Loop Sft Enh Radopc,229.0,229.0,33.89,183.2,23
CDM,27802018,Coil Embl 7cm 6mm Nst 3.7 Loop Sft Enh Radopc .035,249.0,249.0,36.85,199.2,23
CDM,27802020,Coil Embl 14cm 16mm Nst 2.8 Loop Sft Xtd Enh,270.0,270.0,39.96,216.0,23
CDM,27802021,Coil Embl 7cm 3mm Nst 7.4 Loop Sft Enh Radopc,249.0,249.0,36.85,199.2,23
CDM,27802022,Coil Embl 7cm 4mm .018in Nst Cath Loop Sft Str Wg,249.0,249.0,36.85,199.2,23
CDM,27802024,Coil Embl 7cm 3mm Nst 7.4 Loop Pltn Synth Fbr Strl,249.0,249.0,36.85,199.2,23
CDM,27802025,Quadra Assura Mp Crt-D,42750.0,42750.0,6327.0,34200.0,23
CDM,27802026,Quadra Assura Mp Crt-D Df4 Connector,42750.0,42750.0,6327.0,34200.0,23
CDM,27802036,"Quartet, Wide Spacing 86cm",5375.0,5375.0,795.5,4300.0,23
CDM,27802045,Stent Vasc 60mm 6mm Gore Tigris Cbas Ntnl Flplmr,3738.0,3738.0,553.22,2990.4,23
CDM,27802047,Stent Vasc 100mm 6mm Gore Tigris Cbas Ntnl Flplmr,3738.0,3738.0,553.22,2990.4,23
CDM,27803013,Mesh Implt,650.0,650.0,96.2,520.0,23
CDM,27803015,Coil Embolization .018in Standard Length 2d 2mm 4c,943.0,943.0,139.56,754.4,23
CDM,27803050,Biliary Metal Stents,5087.0,5087.0,752.88,4069.6,23
CDM,27803070,Rx Stent 7x5 Cm,169.0,169.0,25.01,135.2,23
CDM,27803071,Rx Stent 7x7 Cm,161.0,161.0,23.83,128.8,23
CDM,27803072,Rx Stent 7x12 Cm,161.0,161.0,23.83,128.8,23
CDM,27803073,Rx Stent 10x5,161.0,161.0,23.83,128.8,23
CDM,27803074,Rx Stent 10x7cm,161.0,161.0,23.83,128.8,23
CDM,27803076,Rx Stent 10x12 Cm,161.0,161.0,23.83,128.8,23
CDM,27803078,Rx Stent 8.5 X7cm,161.0,161.0,23.83,128.8,23
CDM,27803081,Rx Stent 7x10 Cm,161.0,161.0,23.83,128.8,23
CDM,27803094,Transhepatic Biliary Stent Spv,6456.0,6456.0,955.49,5164.8,23
CDM,27803173,Vbh071502 Catheter Viabahn 8mm,5107.0,5107.0,755.84,4085.6,23
CDM,27803185,10fr-30cm Tear Away Introducer,579.0,579.0,85.69,463.2,23
CDM,27803207,Cath.Viabahn 8mm X 15cm 1,5107.0,5107.0,755.84,4085.6,23
CDM,27803208,Cath.Viabahn 8mm X 15cm 2,5107.0,5107.0,755.84,4085.6,23
CDM,27803221,Prelude Sheath,43.0,43.0,6.36,34.4,23
CDM,27803230,10.2fr 22cm Nephroureterostom,350.0,350.0,51.8,280.0,23
CDM,27803233,5fr/65cm Mpa Catheter,312.0,312.0,46.18,249.6,23
CDM,27803234,7fr Tear-Away Introducer,462.0,462.0,68.38,369.6,23
CDM,27803244,Cath Micro MC 2.8f 130cm,1890.0,1890.0,279.72,1512.0,23
CDM,27803246,Dual Picc Line,307.0,307.0,45.44,245.6,23
CDM,27803247,Gasttostomy (Peg Kit) Pull Typ,271.0,271.0,40.11,216.8,23
CDM,27803252,"Lc Bead,100-300um",4887.0,4887.0,723.28,3909.6,23
CDM,27803253,Picc Line Tray W/O Device,134.0,134.0,19.83,107.2,23
CDM,27803254,Pinnacle Guidewire 6fr Straigh,278.0,278.0,41.14,222.4,23
CDM,27803255,Sheath Gd Lima Crv 6fr 45cm 5cm Pn Dstn Xcut Vlv Radopq Ss,205.0,205.0,30.34,164.0,23
CDM,27803258,Single Picc Line,216.0,216.0,31.97,172.8,23
CDM,27803260,Tube Gastrostomy 24fr,59.0,59.0,8.73,47.2,23
CDM,27803261,"Uhf Pigtail Sizing Cath 5 Fr,1",315.0,315.0,46.62,252.0,23
CDM,27803262,"Uhf Pigtail Sizing Cath 5fr,2",71.0,71.0,10.51,56.8,23
CDM,27803263,Venous Access,165.0,165.0,24.42,132.0,23
CDM,27803265,Jcd 12.0-38-20,19.0,19.0,2.81,15.2,23
CDM,27803294,Band Tr 24cm,123.0,123.0,18.2,98.4,23
CDM,27803295,Band Tr 29cm,123.0,123.0,18.2,98.4,23
CDM,27803312,Stent Corotid Straight Rx Acculink 6x40,6590.0,6590.0,975.32,5272.0,23
CDM,27803317,Stent Corotid Tapped Rx Acculink 6-8x40,6590.0,6590.0,975.32,5272.0,23
CDM,27803441,Stent Metal Bare Int35012ux,2422.0,2422.0,358.46,1937.6,23
CDM,27803490,Rx Stent/11.5 X 5,64.0,64.0,9.47,51.2,23
CDM,27803499,Central Line Tray W /Biopatch,264.0,264.0,39.07,211.2,23
CDM,27803520,Wallflex Bil Uncovered 10x60,6005.0,6005.0,888.74,4804.0,23
CDM,27803522,Wallflex Bil Uncovered 10x100,6005.0,6005.0,888.74,4804.0,23
CDM,27803523,Wallflex Bil Uncovered 10x40,6005.0,6005.0,888.74,4804.0,23
CDM,27803524,Wallflex Bil Covered 10x40,9476.0,9476.0,1402.45,7580.8,23
CDM,27803525,Wallflex Bil Covered 10x60,9476.0,9476.0,1402.45,7580.8,23
CDM,27803527,Wallflex Bil Pc Covered 10x40,9142.0,9142.0,1353.02,7313.6,23
CDM,27803528,Wallflex Bil Pc Covered 10x60,9142.0,9142.0,1353.02,7313.6,23
CDM,27803533,Wallflex Ent Duo 27/22x12 230cm,8756.0,8756.0,1295.89,7004.8,23
CDM,27803543,Wallflex Esoph Full Cov 18/15,8507.0,8507.0,1259.04,6805.6,23
CDM,27803548,Wallflex Esoph Part Cov 18/12,8507.0,8507.0,1259.04,6805.6,23
CDM,27803576,Stent Bare Metal Int30012ux,2422.0,2422.0,358.46,1937.6,23
CDM,27803789,"Brachytx, Non-Str,Hdr IR-192",700.0,700.0,103.6,560.0,23
CDM,27803880,Device Perclose,789.0,789.0,116.77,631.2,23
CDM,27803943,Viator Stent 10 X 6,11885.0,11885.0,1758.98,9508.0,23
CDM,27803945,Viator Stent 10 X 8,11885.0,11885.0,1758.98,9508.0,23
CDM,27803964,Gore Viabil Endoprosthesis 10mm X 4cm X 40cm,3216.0,3216.0,475.97,2572.8,23
CDM,27803966,Gore Viabil Endoprosthesis 10mm X 8cm X 40cm,3216.0,3216.0,475.97,2572.8,23
CDM,27803969,Amplatz Anchor System 10 X 30,117.0,117.0,17.32,93.6,23
CDM,27804060,"Implantable Cardiac Monitor, Confirm Ic",11676.0,11676.0,1728.05,9340.8,23
CDM,27804080,G08261 Embolization Coil,278.0,278.0,41.14,222.4,23
CDM,27804088,"Reliance Df4 Lead, Aicd, Endo Single Coil",13964.0,13964.0,2066.67,11171.2,23
CDM,27804089,"Reliance Gore Df4 Lead,Aicd, Endo Single Coil",13964.0,13964.0,2066.67,11171.2,23
CDM,27804094,"Q-1458 Quartet Lead, Aicd, Endo Single Coil",8566.0,8566.0,1267.77,6852.8,23
CDM,27804098,Enterprise 22mm Stent No-Tip,16138.0,16138.0,2388.42,12910.4,23
CDM,27804113,Implantable Tissue Marker,520.0,520.0,76.96,416.0,23
CDM,27804872,Coil Embolization .02in Complex 5mm 13cm Soft the Penumbra,6108.0,6108.0,903.98,4886.4,23
CDM,27804880,Coil Embolization .02in Complex 6mm 15cm Soft the Penumbra,6250.0,6250.0,925.0,5000.0,23
CDM,27804881,Coil Embolization .02in Complex 7mm 20cm Soft the Penumbra,6375.0,6375.0,943.5,5100.0,23
CDM,27804882,Coil Embolization .02in Complex 8mm 20cm Soft the Penumbra,6375.0,6375.0,943.5,5100.0,23
CDM,27804883,Coil Embolization .02in Complex 9mm 25cm Soft the Penumbra,6500.0,6500.0,962.0,5200.0,23
CDM,27804884,Coil Embolization .02in Standard Complex 11mm 35cm Complex,6188.0,6188.0,915.82,4950.4,23
CDM,27804885,Coil Embolization .02in Standard Complex 6mm 15cm Complex,5175.0,5175.0,765.9,4140.0,23
CDM,27805011,20 Fr Safety Peg Kit Pull,142.0,142.0,21.02,113.6,23
CDM,27805012,24 Fr Safety Peg Kit Pull,142.0,142.0,21.02,113.6,23
CDM,27805020,Pill Cam Capsule,532.0,532.0,78.74,425.6,23
CDM,27805090,Xience Xpedition Des 3.50 Mm X 23 Mm,6208.0,6208.0,918.78,4966.4,23
CDM,27805096,Xience Xpedition Des 4.00 Mm X 15 Mm,6208.0,6208.0,918.78,4966.4,23
CDM,27805118,Coil Embl 2cm 1mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805119,Coil Embl 3cm 1mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805120,Coil Embl 2cm 1.5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805121,Coil Embl 3cm 1.5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805122,Coil Embl 4cm 1.5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805124,Coil Embl 4cm 2mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805125,Coil Embl 6cm 2mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805126,Coil Embl 4cm 2.5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805128,Coil Embl 6cm 3mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805129,Coil Embl 8cm 3mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805130,Coil Embl 10cm 3mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805131,Coil Embl 6cm 4mm Trgt Dtch Ult 360d,5352.0,5352.0,792.1,4281.6,23
CDM,27805132,Coil Embl 8cm 4mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805133,Coil Embl 10cm 5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805134,Coil Embl 15cm 5mm Trgt Dtch Ult 360d,5097.0,5097.0,754.36,4077.6,23
CDM,27805175,ENDOTAK RELIANCE G AF (Active Fixation) LEADS,13300.0,13300.0,1968.4,10640.0,23
CDM,27805184,ENDOTAK RELIANCE AF (Active Fixation) LEADS,11231.0,11231.0,1662.19,8984.8,23
CDM,27805235,Stent Endoprsth 6mm 7fr 5cm 120cm .035in Hep Bioactive C,7061.0,7061.0,1045.03,5648.8,23
CDM,27805298,Target Coils 360 Soft 4mm X 8cm,4827.0,4827.0,714.4,3861.6,23
CDM,27805305,Target Coils 360 Soft 6mm X 15cm,4827.0,4827.0,714.4,3861.6,23
CDM,27805343,Target Xl Detachable Coils 360 Soft 6 X 20cm,5903.0,5903.0,873.64,4722.4,23
CDM,27805344,Target Xl Detachable Coils 360 Soft 7 X 20cm,5903.0,5903.0,873.64,4722.4,23
CDM,27805345,Target Xl Detachable Coils 360 Soft 8 X 30cm,5903.0,5903.0,873.64,4722.4,23
CDM,27805357,Target Xl Detachable Coils 360 Standard 10 X 40cm,5903.0,5903.0,873.64,4722.4,23
CDM,27805407,Stent Duodenal Wallflex .035 in L9 Cm L230 Cm Od22-27 Mm,7537.0,7537.0,1115.48,6029.6,23
CDM,27805410,Onyx 34 Kit Avm US,6651.0,6651.0,984.35,5320.8,23
CDM,27805414,Stent Bil 10mm 8.5fr 40mm Flly Covered Trnshep Wallflex,7978.0,7978.0,1180.74,6382.4,23
CDM,27805423,Stent Bil 10mm 40mm Uncvr Wallflex,5395.0,5395.0,798.46,4316.0,23
CDM,27805424,Stent Bil 10mm 60mm Uncvr Wallflex,5395.0,5395.0,798.46,4316.0,23
CDM,27805444,Occluder Septal 25mm,18552.0,18552.0,2745.7,14841.6,23
CDM,27805539,Coil Target 3d 6mm X 15cm,4502.0,4502.0,666.3,3601.6,23
CDM,27805542,Coil Target 3d 10mm X 30cm,4502.0,4502.0,666.3,3601.6,23
CDM,27805543,Coil Embl 10cm 4mm Trgt Dtch Ult 360d,4752.0,4752.0,703.3,3801.6,23
CDM,27805544,Coil Target 360 Ultra 3.5mm X 8cm,5401.0,5401.0,799.35,4320.8,23
CDM,27805545,Coil Target 360 Ultra 4.5mm X 10cm,5671.0,5671.0,839.31,4536.8,23
CDM,27805546,Coil Target 360 Nano 2mm X 3cm,5671.0,5671.0,839.31,4536.8,23
CDM,27805547,Coil Target 360 Nano 2mm X 4cm,5671.0,5671.0,839.31,4536.8,23
CDM,27805548,Coil Target 360 Nano 2.5mm X 4cm,5401.0,5401.0,799.35,4320.8,23
CDM,27805549,Coil Target 360 Nano 3mm X 4cm,5671.0,5671.0,839.31,4536.8,23
CDM,27805550,Coil Target 360 Nano 3mm X 6cm,5401.0,5401.0,799.35,4320.8,23
CDM,27805551,Coil Target 360 Nano 3.5mm X 6cm,5671.0,5671.0,839.31,4536.8,23
CDM,27805552,Sensation Plus 40cc Iab 7.5,3004.0,3004.0,444.59,2403.2,23
CDM,27805553,Sensation Plus 50cc Iab 8.0,3154.0,3154.0,466.79,2523.2,23
CDM,27805554,Vascade Vascular Closure Device 5fr,550.0,550.0,81.4,440.0,23
CDM,27805555,Vascade Vascular Closure Device 6/7fr,550.0,550.0,81.4,440.0,23
CDM,27805635,Stent Vasc 10-8mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CDM,27805636,Stent Vasc 9-7mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CDM,27805637,Stent Vasc 8-6mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CDM,27805644,Og Tdl Cmplx Fill Coil 4x7,4327.0,4327.0,640.4,3461.6,23
CDM,27805648,Og Tdl Cmplx Fill Coil 5x10,4327.0,4327.0,640.4,3461.6,23
CDM,27805649,Coil Embolization .012in 5mm 15cm Complex Fill Detachable,3738.0,3738.0,553.22,2990.4,23
CDM,27805651,Og Tdl Cmplx Fill Coil 6x15,4121.0,4121.0,609.91,3296.8,23
CDM,27805652,Og Tdl Cmplx Fill Coil 6x20,4121.0,4121.0,609.91,3296.8,23
CDM,27805653,Og Tdl Cmplx Fill Coil 7x15,4327.0,4327.0,640.4,3461.6,23
CDM,27805654,Og Tdl Cmplx Fill Coil 7x21,4121.0,4121.0,609.91,3296.8,23
CDM,27805658,Og Tdl Cmplx Fill Coil 9x25,4121.0,4121.0,609.91,3296.8,23
CDM,27805711,Og Cmplx Xtrasoft Coil 2x2,4121.0,4121.0,609.91,3296.8,23
CDM,27805713,Og Cmplx Xtrasoft Coil 3x4,4121.0,4121.0,609.91,3296.8,23
CDM,27805714,Og Cmplx Xtrasoft Coil 3x6,4121.0,4121.0,609.91,3296.8,23
CDM,27805717,Og Cmplx Xtrasoft Coil 4x6,4121.0,4121.0,609.91,3296.8,23
CDM,27805718,Og Cmplx Xtrasoft Coil 4x8,4121.0,4121.0,609.91,3296.8,23
CDM,27805719,Og Cmplx Xtrasoft Coil 4x10,4121.0,4121.0,609.91,3296.8,23
CDM,27805723,Og Cmplx Xtrasoft Coil 3.5x5,4121.0,4121.0,609.91,3296.8,23
CDM,27805727,Og Helical Xtrsoft Coil 2x6,3148.0,3148.0,465.9,2518.4,23
CDM,27805735,Device Cmpr Gold Fmstp Pneum Dome Intgr Dgt Mnmtr Adj Belt,290.0,290.0,42.92,232.0,23
CDM,27805737,Prtcl Embl 1 Vl Lq Sys Trfl Nbca 1gm,6546.0,6546.0,968.81,5236.8,23
CDM,27805751,Filter Embl Vc Femoral Navalign Dlv Set Strl Disp Pltn Celect,3032.0,3032.0,448.74,2425.6,23
CDM,27805753,Filter Embl Navalign Dlv Uniset Strl Disp Pltn Celect,3032.0,3032.0,448.74,2425.6,23
CDM,27805754,Syr Inflat Dfl Indfltr Embl Coil Trf Dcs 2 Pltn,816.0,816.0,120.77,652.8,23
CDM,27805765,Cath Angio 5fr 8mm 110cm 2 Lum Bln Syr Wdg Prss Strl Latex,138.0,138.0,20.42,110.4,23
CDM,27805779,Lead Dfbr 58cm 8fr Optisure Ecrdm Optim 1 Coil Df4 Conctr,10761.0,10761.0,1592.63,8608.8,23
CDM,27805780,Lead Dfbr 65cm 8fr Optisure Ecrdm 1 Coil Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CDM,27805781,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df1 Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CDM,27805783,Lead Dfbr 58cm 8fr Optisure Ecrdm 2 Coil Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CDM,27805784,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df4 220 Dual Shock,10761.0,10761.0,1592.63,8608.8,23
CDM,27805785,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df4 230 Dual Shock,10761.0,10761.0,1592.63,8608.8,23
CDM,27805788,Stent Coron 8mm 2.25mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CDM,27805798,Stent Coron 23mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CDM,27805799,Stent Coron 28mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CDM,27805800,Stent Coron 33mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CDM,27805801,Stent Coron 38mm 2.5mm .034-.029in 5fr Everolimus,3996.0,3996.0,591.41,3196.8,23
CDM,27805822,Stent Coron 23mm 3.25mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CDM,27805837,Stent Trchbr 25mm 16fr 5cm Introd Slf Xpd Gnt Rsch,5249.0,5249.0,776.85,4199.2,23
CDM,27805853,Lead Pcng 88cm 5.3fr 5.1fr .014-.018in Offst S Lv,5840.0,5840.0,864.32,4672.0,23
CDM,27805860,Generator Esurg Demipulse Ncp,57141.0,57141.0,8456.87,45712.8,23
CDM,27806094,Device Embl 12mm 3.25mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806102,Device Embl 16mm 3.5mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806107,Device Embl 14mm 3.75mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806108,Device Embl 16mm 3.75mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806114,Device Embl 16mm 4mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806124,Device Embl 12mm 4.5mm Pipeline Flx 55d Nrvsc 75%,34227.0,34227.0,5065.6,27381.6,23
CDM,27806166,Coil Embl 30cm 8mm Helipaq 18 Mciol Hlcl Loop Dtch,1000.0,1000.0,148.0,800.0,23
CDM,27806167,Coil Embl 6cm 3mm .0115in Axium 1 Hand OP Dtch,1668.0,1668.0,246.86,1334.4,23
CDM,27806168,Coil Embl 50cm 25mm .0145in Axium 1 Hand OP Dtch,1575.0,1575.0,233.1,1260.0,23
CDM,27806169,System Embolization Nonadhesive Delivery Syringe Lower,5908.0,5908.0,874.38,4726.4,23
CDM,27806179,Stent Vascular 4.5mm 28mm W/O Distal Tip Enterprise Nitinol,13910.0,13910.0,2058.68,11128.0,23
CDM,27806180,Stent Vascular 4.5mm 37mm W/O Distal Tip Enterprise Nitinol,13910.0,13910.0,2058.68,11128.0,23
CDM,27806183,Defibrillator Crd .99cm 5.37x7.36cm Dynagen,33750.0,33750.0,4995.0,27000.0,23
CDM,27806184,Catheter Central Venous Pro-Fuse Triniflex Od8 Fr Attachable,500.0,500.0,74.0,400.0,23
CDM,27806195,Claria MRI Quad Crt-D Device,52375.0,52375.0,7751.5,41900.0,23
CDM,27806196,Dfbr Crd 13mm 51x74mm Claria MRI Crt-D Surescan,52375.0,52375.0,7751.5,41900.0,23
CDM,27806201,Target Xl Soft 2mm X 6cm -Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806202,Target Xl Soft 3mm X 6cm -Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806203,Target Xl Soft 3mm X 9cm - Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806204,Target Xl Soft 4mm X 8cm - Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806206,Target Xl Soft 5mm X 10cm Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806207,Target Xl Soft 5mm X 15cm -Coil,5904.0,5904.0,873.79,4723.2,23
CDM,27806219,Stent Vasc 5mm 6fr 80mm 120cm Peri Supera,5375.0,5375.0,795.5,4300.0,23
CDM,27806232,Stent Vasc 6mm 6fr 60mm 120cm Peri Supera,2062.5,2062.5,305.25,1650.0,23
CDM,27806256,Dev Emb 25mm 4mm,13979.0,13979.0,2068.89,11183.2,23
CDM,27806257,Dev Emb 30mm 4mm,13979.0,13979.0,2068.89,11183.2,23
CDM,27806268,Dev Emb 30mm 5mm,13979.0,13979.0,2068.89,11183.2,23
CDM,27806269,Dev Emb 55d 5mm 33,13979.0,13979.0,2068.89,11183.2,23
CDM,27806270,Dev Emb 55d 2.5mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806272,Dev Emb 16mm 2.5m,32603.0,32603.0,4825.24,26082.4,23
CDM,27806282,Dev Emb 12mm 3mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806294,Dev Emb 55d 3.5mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806295,Dev Emb 55d 3.5mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806300,Dev Emb 12mm 3.75,13041.0,13041.0,1930.07,10432.8,23
CDM,27806302,Dev Emb 16mm 3.75,13041.0,13041.0,1930.07,10432.8,23
CDM,27806314,Dev Emb 55d 4.25mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806315,Dev Emb 55d 4.25mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806325,Dev Emb 55d 4.75mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806328,Dev Emb 12mm 5mm,13041.0,13041.0,1930.07,10432.8,23
CDM,27806329,Dev Emb 55d 5mm 14,13041.0,13041.0,1930.07,10432.8,23
CDM,27806364,Stent Vasc Blue 40mm 6mm Innova Sprfc Fem Art Slf,2125.0,2125.0,314.5,1700.0,23
CDM,27806376,Innova 8mm X 40mm X 130cm,2125.0,2125.0,314.5,1700.0,23
CDM,27806378,Innova 8mm X 80mm X 130cm,2125.0,2125.0,314.5,1700.0,23
CDM,27806381,Coil Embl 18d .018in 2mm 2cm Azur Hdrcl Dtch Pltn Ddrgl Peri,2125.0,2125.0,314.5,1700.0,23
CDM,27806382,Coil Embl 18d .018in 2mm 4cm Azur Hdrcl Dtch Pltn Ddrgl Peri,2125.0,2125.0,314.5,1700.0,23
CDM,27806385,Coil Embl .018in 4mm 5cm Azur,2125.0,2125.0,314.5,1700.0,23
CDM,27806390,System Embl 5mm .018in 15cm Azur 18 Dtch Hdrcl Peri,2125.0,2125.0,314.5,1700.0,23
CDM,27806393,Coil Embl .018in 6mm .021in 10cm 135cm Azur Dtch Pltn Ddrgl,2125.0,2125.0,314.5,1700.0,23
CDM,27806396,Coil Embl 6mm .018in 15cm 135cm Azur 18 Coil Dtch Hdrcl Pltn,2125.0,2125.0,314.5,1700.0,23
CDM,27806397,Coil Embl .018in 8mm .021in 15cm 135cm Azur Dtch Pltn Ddrgl,2125.0,2125.0,314.5,1700.0,23
CDM,27806405,Coil Embl 8mm 20cm Azur Hdrcl 18 Coils Dtch,2125.0,2125.0,314.5,1700.0,23
CDM,27806411,Coil Embl .018in 4mm .021-.027in 13cm Strl Azur Cx Dtch Pltn,2125.0,2125.0,314.5,1700.0,23
CDM,27806412,Coil Embl .018in 5mm .021-.027in 16cm Azur Cx Dtch Sft Flxb,2125.0,2125.0,314.5,1700.0,23
CDM,27806413,Coil Embl .018in 6mm .021-.027in 20cm Azur Cx Dtch Sft Flxb,2125.0,2125.0,314.5,1700.0,23
CDM,27806414,Coil Embl .018in 7mm .021-.027in 24cm Azur Cx Dtch Sft Flxb,2125.0,2125.0,314.5,1700.0,23
CDM,27806436,Coil Embl .035in 4mm 7cm Azur Cx Dtch Sft Sld Cor Flxb Ddrgl,3125.0,3125.0,462.5,2500.0,23
CDM,27806437,Coil Embl .035in 5mm 11cm Azur Cx Dtch Sft Sld Cor Flxb,3125.0,3125.0,462.5,2500.0,23
CDM,27806439,Coil Embl .035in 6mm 17cm Azur Cx Dtch Cx Sect Cvrgls Flxb,3125.0,3125.0,462.5,2500.0,23
CDM,27806441,Coil Embl .035in 8mm 24cm Azur Cx Dtch Sft Sld Cor Flxb,3125.0,3125.0,462.5,2500.0,23
CDM,27806443,Coil Embl .035in 13mm 24cm Azur Cx Dtch Sft Sld Cor Flxb,3125.0,3125.0,462.5,2500.0,23
CDM,27806445,Coil Embl .035in 10mm .038in 26cm 150cm Azur Frme Elc Dtch,3125.0,3125.0,462.5,2500.0,23
CDM,27806450,Coil Embl Azur Dtch Cntrlr,425.0,425.0,62.9,340.0,23
CDM,27809021,Tent Vasc Strg 10mm 30mm Xact Slf Xpd Cls Cell Fl,4938.0,4938.0,730.82,3950.4,23
CDM,27809930,Stent Endoth 12mm 8fr 40mm 100cm Flex Recons,2438.0,2438.0,360.82,1950.4,23
CDM,27809931,Set Hmdial 33ml Lf Aqdx Bld Crct Uf-500,2250.0,2250.0,333.0,1800.0,23
CDM,27815890,Coil Embol L14cm Loop Od5mm 0.018in Platinum Hydrogel Polyme,818.13,818.13,121.08,654.5,23
CDM,27815929,Stent Endoprsth 59mm 7mm 11mm 7fr Gore Vbhn 135cm,8138.0,8138.0,1204.42,6510.4,23
CDM,27815932,Catheter Infus 18fr Trevo Pro Mic Nrvsc,1269.0,1269.0,187.81,1015.2,23
CDM,27815934,Coil Embolization 4mm 12cm Complex Fill Trufill Dcs Orbit,3738.0,3738.0,553.22,2990.4,23
CDM,27815942,Coil Embl 3d 3mm 6cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815945,Coil Embl 3d 3.5mm 6cm Axium Prm Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815946,Coil Embl 3d 3.5mm 8cm Axium Frm Nrvsc V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815950,Coil Embl 3d 4mm 10cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815955,Coil Embl 3d 5mm 15cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815957,Coil Embl 3d 6mm 10cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815958,Coil Embl 3d 6mm 15cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815959,Coil Embl 3d 6mm 20cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815963,Coil Embl 3d 7mm 20cm Axium Frm V01,4488.0,4488.0,664.22,3590.4,23
CDM,27815966,Coil Embl 3d 8mm 20cm Axium Frm V01,5238.0,5238.0,775.22,4190.4,23
CDM,27815968,Coil Embl 3d 9mm 20cm Axium Frm V01,5238.0,5238.0,775.22,4190.4,23
CDM,27815970,Coil Embl 3d 10mm 20cm Axium Frm V01,5238.0,5238.0,775.22,4190.4,23
CDM,27815986,Stent 4.5mm 30mm 5.0mm Neuroform Atlas,18125.0,18125.0,2682.5,14500.0,23
CDM,27815987,Neuroform Atlas 4.5x21mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27815988,Neuroform Atlas 4.0x24mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27815989,Neuroform Atlas 4.0x21mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27815990,Neuroform Atlas 3.0x24mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27815991,Neuroform Atlas 3.0x21mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27815992,Neuroform Atlas 3.0x15mm,17038.0,17038.0,2521.62,13630.4,23
CDM,27816003,Stent Esph 18mm 22fr 100cm Rem Covered Radiopq,5250.0,5250.0,777.0,4200.0,23
CDM,27816038,Holder Tube 100mm Blue Tio Unq Oral Arwy Dsgn Cnv,20.0,20.0,2.96,16.0,23
CDM,27816077,System Coron Stent 38mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816078,System Coron Stent 33mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816079,System Coron Stent 28mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816080,System Coron Stent 23mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816081,System Coron Stent 18mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816082,System Coron Stent 15mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816083,System Coron Stent 12mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816084,System Coron Stent 8mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816085,System Coron Stent 38mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816086,System Coron Stent 33mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816087,System Coron Stent 28mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816088,System Coron Stent 23mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816089,System Coron Stent 18mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816090,System Coron Stent 15mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816091,System Coron Stent 12mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816092,System Coron Stent 8mm 3.5mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816093,System Coron Stent 38mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816094,System Coron Stent 33mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816095,System Coron Stent 28mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816096,System Coron Stent 23mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816097,System Coron Stent 18mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816099,System Coron Stent 12mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816101,System Coron Stent 38mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816102,System Coron Stent 33mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816103,System Coron Stent 28mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816104,System Coron Stent 23mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816105,System Coron Stent 18mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816106,System Coron Stent 15mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816107,System Coron Stent 12mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816108,System Coron Stent 8mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,27816109,System Coron Stent 38mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816110,System Coron Stent 33mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816111,System Coron Stent 28mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816112,System Coron Stent 23mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816113,System Coron Stent 18mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816114,System Coron Stent 15mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816115,System Coron Stent 12mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816117,System Coron Stent 38mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816118,System Coron Stent 33mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816119,System Coron Stent 28mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816120,System Coron Stent 23mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816121,System Coron Stent 18mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816122,System Coron Stent 15mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816175,System Coron Stent 12mm 4mm Xience Alpine,3000.0,3000.0,444.0,2400.0,23
CDM,27816182,System Coron Stent 12mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816183,System Coron Stent 8mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816184,System Coron Stent 12mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816185,System Coron Stent 15mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816186,System Coron Stent 18mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,27816187,Coil Embolization 360d 5mm 15cm Detachable Soft Target,4539.0,4539.0,671.77,3631.2,23
CDM,27816190,Coil Embl .02in Cmplx 4mm 10cm the Penumbra Coil 400 Xsft,6900.0,6900.0,1021.2,5520.0,23
CDM,27816191,Coil Embl .02in Cmplx 4mm 8cm the Penumbra Coil 400 Sft,6075.0,6075.0,899.1,4860.0,23
CDM,27816195,Coil Embolization 15cm J Coil 400,6550.0,6550.0,969.4,5240.0,23
CDM,27816250,Catheter Hmdial 20cm Schn Xl Kink Rst Tip Clip Sh Rem Sty,119.0,119.0,17.61,95.2,23
CDM,27816270,Catheter Thrmb .044in 140cm Strl Lf Indg Sys Asp Kt Cor,4850.0,4850.0,717.8,3880.0,23
CDM,27816301,Plug Ocl 5mm 12x6.5mm Strl Lf Mvp Mech Dtch Full,3738.0,3738.0,553.22,2990.4,23
CDM,27816302,Plug Ocl Mic 7mm Strl Lf Mvp Mech Vasc Disp V03,3738.0,3738.0,553.22,2990.4,23
CDM,27816303,Plug Ocl 9mm Strl Lf Mvp V03,3738.0,3738.0,553.22,2990.4,23
CDM,27816308,Stent Opth 50um 230um 80um 360um Strl Istent Inj 2 Preld 1,3688.0,3688.0,545.82,2950.4,23
CDM,27816309,Axios Stent and Electrocautery 15x10,11625.0,11625.0,1720.5,9300.0,23
CDM,27816310,Wallflex Biliary Stent,6738.0,6738.0,997.22,5390.4,23
CDM,27816371,Stent Endoprosthesis Viabahn Heparin Nitinol Eptfe L25 Cm L120 Cm Od6 Mm,15988.0,15988.0,2366.22,12790.4,23
CDM,27816375,Rev 278-C1889- Implant/Inserted Device Noc,7413.0,7413.0,1097.12,5930.4,23
CDM,30000002,Comp Metabolic Panel,472.0,472.0,69.86,377.6,23
CDM,30000003,"T Cell Receptor (Tcr) Beta Gene Rearrang, Pcr (So)",1035.0,1035.0,153.18,828.0,23
CDM,30000004,Unlisted Chemistry Procedure (So)Gene,145.0,145.0,21.46,116.0,23
CDM,30000005,T -Cell Antigen Receptor Beta (So) Clon,1229.35,1229.35,181.94,983.48,23
CDM,30000006,T -Cell Antigen Receptor Gamma (So) Clon,1554.8,1554.8,230.11,1243.84,23
CDM,30000007,Unlisted Chemistry Procedure (So) Clon,145.0,145.0,21.46,116.0,23
CDM,30000009,Hla -B High Resolution- Pcr (Quest),564.0,564.0,83.47,451.2,23
CDM,30000011,Enhanced Liver Fibrosis (Elf) Score (So),850.0,850.0,125.8,680.0,23
CDM,30000018,"Benzodiazpne,UR-Eia",318.0,318.0,47.06,254.4,23
CDM,30000019,Cocain Metab.UR-Eia,313.0,313.0,46.32,250.4,23
CDM,30000020,"Phencyclidne,UR-Eia",245.0,245.0,36.26,196.0,23
CDM,30000021,"Opiates,UR-Eia",495.0,495.0,73.26,396.0,23
CDM,30000022,"Thc, UR-Eia",387.0,387.0,57.28,309.6,23
CDM,30000023,"Barbiturate,UR-Eia",305.0,305.0,45.14,244.0,23
CDM,30000024,Amikacin-Random,430.0,430.0,63.64,344.0,23
CDM,30000025,Amitriptyline-Random,280.0,280.0,41.44,224.0,23
CDM,30000026,Clozapine (So),346.0,346.0,51.21,276.8,23
CDM,30000027,Carbamazpine-Random,376.05,376.05,55.66,300.84,23
CDM,30000028,Cyclosporine,354.2,354.2,52.42,283.36,23
CDM,30000029,Desipramine-Random,186.0,186.0,27.53,148.8,23
CDM,30000030,"Digoxin, Total",345.0,345.0,51.06,276.0,23
CDM,30000031,"Valproic Acid, Total",319.0,319.0,47.21,255.2,23
CDM,30000034,Gentamicin-Random,463.0,463.0,68.52,370.4,23
CDM,30000035,Haloperidol,98.0,98.0,14.5,78.4,23
CDM,30000037,Lidocaine-Random,239.0,239.0,35.37,191.2,23
CDM,30000038,Lithium-Random,246.0,246.0,36.41,196.8,23
CDM,30000039,Nortriptyline-Random,176.0,176.0,26.05,140.8,23
CDM,30000040,Phenobarb-Random,294.0,294.0,43.51,235.2,23
CDM,30000041,Dilantin-Random,330.05,330.05,48.85,264.04,23
CDM,30000042,Phenytoin Free (So),205.0,205.0,30.34,164.0,23
CDM,30000043,Primidone/Myso-Rand.,188.0,188.0,27.82,150.4,23
CDM,30000044,Procainamide-Random,287.0,287.0,42.48,229.6,23
CDM,30000046,Drug Assay Methotrexate,388.0,388.0,57.42,310.4,23
CDM,30000047,Theophylline-Random,260.0,260.0,38.48,208.0,23
CDM,30000048,Tobramycin-Random,457.0,457.0,67.64,365.6,23
CDM,30000049,Topiramate/Topamaz,141.0,141.0,20.87,112.8,23
CDM,30000050,Vancomycin-Random,433.0,433.0,64.08,346.4,23
CDM,30000051,Drug Assay Salicylate,232.0,232.0,34.34,185.6,23
CDM,30000052,"Gabapentin, Whl Bld/Ser/Plasma",380.0,380.0,56.24,304.0,23
CDM,30000053,Drug Assay Amiodarone,81.0,81.0,11.99,64.8,23
CDM,30000054,Lamotrigine (So),431.0,431.0,63.79,344.8,23
CDM,30000055,Olanzapine/Zyprexa,247.0,247.0,36.56,197.6,23
CDM,30000057,"Carnitine, Ester",197.0,197.0,29.16,157.6,23
CDM,30000058,Fecal Occult Blood Test,86.0,86.0,12.73,68.8,23
CDM,30000060,"Calcium, Ionized",375.0,375.0,55.5,300.0,23
CDM,30000067,Newborn Screen,234.0,234.0,34.63,187.2,23
CDM,30000068,T-Transglutamin Igg,248.0,248.0,36.7,198.4,23
CDM,30000069,Anti Gm1 Ab Titer,817.65,817.65,121.01,654.12,23
CDM,30000071,Anti Gq1b Ab Titer,817.65,817.65,121.01,654.12,23
CDM,30000073,Mitochondrial Ab,817.65,817.65,121.01,654.12,23
CDM,30000084,Prostatic Acid Phosphatase,216.0,216.0,31.97,172.8,23
CDM,30000086,"Psa, Total Screening",338.0,338.0,50.02,270.4,23
CDM,30000087,Preg Assoc Plasma Protein,160.0,160.0,23.68,128.0,23
CDM,30000089,D-Hcg Free & Intact,474.0,474.0,70.15,379.2,23
CDM,30000090,Fetal Screen Rhig,172.0,172.0,25.46,137.6,23
CDM,30000091,"Osmotic Fragility,Erythrocytes",312.0,312.0,46.18,249.6,23
CDM,30000092,Donor Hgb S (Arc),231.15,231.15,34.21,184.92,23
CDM,30000093,Epicoccum Purpurascn,99.0,99.0,14.65,79.2,23
CDM,30000095,Platelet Ab Screen (Arc),493.0,493.0,72.96,394.4,23
CDM,30000096,Antiphospholipid Igg,398.0,398.0,58.9,318.4,23
CDM,30000097,Antiphospholipid Igm,398.0,398.0,58.9,318.4,23
CDM,30000098,Antihistone Ab,395.6,395.6,58.55,316.48,23
CDM,30000099,Murine Typhus Igg,89.0,89.0,13.17,71.2,23
CDM,30000100,Pigeon Serum,38.0,38.0,5.62,30.4,23
CDM,30000101,T. Candidus,38.0,38.0,5.62,30.4,23
CDM,30000102,T.Vulgaris,38.0,38.0,5.62,30.4,23
CDM,30000103,S. Viridis,38.0,38.0,5.62,30.4,23
CDM,30000104,"Cd19,Total B %",210.0,210.0,31.08,168.0,23
CDM,30000107,Candida Skin Test,393.0,393.0,58.16,314.4,23
CDM,30000108,Adenovirus Ab,192.0,192.0,28.42,153.6,23
CDM,30000109,Blastomyces Ab,152.0,152.0,22.5,121.6,23
CDM,30000110,Coccidiodes Ab,155.0,155.0,22.94,124.0,23
CDM,30000113,Influenza a Ab,201.0,201.0,29.75,160.8,23
CDM,30000114,Influenza B Ab,201.0,201.0,29.75,160.8,23
CDM,30000118,Mumps Igm,130.0,130.0,19.24,104.0,23
CDM,30000121,Rsv Ab,279.0,279.0,41.29,223.2,23
CDM,30000124,Antibody Screen (Arc),420.9,420.9,62.29,336.72,23
CDM,30000126,Antibody Screen,420.9,420.9,62.29,336.72,23
CDM,30000128,RBC Elution (Arc),575.5,575.5,85.17,460.4,23
CDM,30000129,RBC Elution,575.5,575.5,85.17,460.4,23
CDM,30000130,Antibody ID,874.0,874.0,129.35,699.2,23
CDM,30000131,Antibody ID (Arc),874.0,874.0,129.35,699.2,23
CDM,30000136,Direct Coombs (Arc),241.5,241.5,35.74,193.2,23
CDM,30000146,"Blood Typing, Serologic, Abo (Arc)",285.2,285.2,42.21,228.16,23
CDM,30000149,"Blood Typing, Serologic, Rh (D) (Arc)",172.0,172.0,25.46,137.6,23
CDM,30000153,Blood Type Ag Donor Ea,760.0,760.0,112.48,608.0,23
CDM,30000154,Blood Type Ag Donor Ea (Arc),952.2,952.2,140.93,761.76,23
CDM,30000160,Patient Ag Typing (Arc),609.5,609.5,90.21,487.6,23
CDM,30000161,Patient Ag Typing,609.5,609.5,90.21,487.6,23
CDM,30000179,Rh Phenotype (Arc),717.6,717.6,106.2,574.08,23
CDM,30000180,Crossmatch Is Ea Unit,476.1,476.1,70.46,380.88,23
CDM,30000185,Crossmatch Incub Ea Unit,455.0,455.0,67.34,364.0,23
CDM,30000187,Platelet Crossmatch (Arc),455.0,455.0,67.34,364.0,23
CDM,30000190,Crossmatch Ahg (Arc),563.5,563.5,83.4,450.8,23
CDM,30000191,Crossmatch Ahg,607.2,607.2,89.87,485.76,23
CDM,30000192,Crossmatch Electronic,532.45,532.45,78.8,425.96,23
CDM,30000198,RBC Pretx Chem (Arc),337.0,337.0,49.88,269.6,23
CDM,30000199,RBC Pretx Enz (Arc),1030.4,1030.4,152.5,824.32,23
CDM,30000201,RBC Pretx Drug (Arc),380.0,380.0,56.24,304.0,23
CDM,30000204,RBC Pretx Ab ID Diff Ea Absorp (Arc),446.0,446.0,66.01,356.8,23
CDM,30000205,Aliquot Blood Products Ea,530.0,530.0,78.44,424.0,23
CDM,30000208,Concentration,145.0,145.0,21.46,116.0,23
CDM,30000209,"Stool Cult, Aerobic-Campy",296.7,296.7,43.91,237.36,23
CDM,30000210,"Stool, Cult, Aerobic-Yersinnia",296.7,296.7,43.91,237.36,23
CDM,30000211,"Homogenization, Tissue",120.0,120.0,17.76,96.0,23
CDM,30000212,Wet Prep,168.0,168.0,24.86,134.4,23
CDM,30000213,Skin Prep: 10% Koh,198.0,198.0,29.3,158.4,23
CDM,30000214,Herpes Viral Culture,478.0,478.0,70.74,382.4,23
CDM,30000215,"Cytomegalovirus, Dna",1040.0,1040.0,153.92,832.0,23
CDM,30000217,Hiv /Rna Pcr Quant,893.0,893.0,132.16,714.4,23
CDM,30000220,"Ebv Dna-Pcr, Qual",726.8,726.8,107.57,581.44,23
CDM,30000221,CSF Exam-Hematology,298.0,298.0,44.1,238.4,23
CDM,30000222,Fluid Exam-Heme,298.0,298.0,44.1,238.4,23
CDM,30000225,"Pertussis,State Lab",410.01,410.01,60.68,328.01,23
CDM,30000228,"Fish,Aml, Aml1/Eto,Translocation8,21,Probe",520.0,520.0,76.96,416.0,23
CDM,30000229,"Fish,Aml, Aml1/Eto,Translocation8,21,100-300 Cells",492.0,492.0,72.82,393.6,23
CDM,30000230,"Fish,Mll,11g23,Gene Rearrang,Probe",397.0,397.0,58.76,317.6,23
CDM,30000231,"Fish,Mll,11g23,Gene Rearrang,100-300 Cells",413.0,413.0,61.12,330.4,23
CDM,30000232,"Sc Anemia,Dna Probe,Fetus",387.0,387.0,57.28,309.6,23
CDM,30000234,"Fish,Dup 22q11.2, Probe",413.0,413.0,61.12,330.4,23
CDM,30000235,"Fish,Dup 22q11.2, 100-300 Cells",413.0,413.0,61.12,330.4,23
CDM,30000236,Thyroglobulin Panel,102.0,102.0,15.1,81.6,23
CDM,30000237,"Thyroglobulin Panel, Antibody",104.0,104.0,15.39,83.2,23
CDM,30000240,"Vasc Endothelial Gf,Elisa",817.65,817.65,121.01,654.12,23
CDM,30000241,POCT Lactate Venous (Meter),367.0,367.0,54.32,293.6,23
CDM,30000242,POCT Troponin Venous (Meter),445.05,445.05,65.87,356.04,23
CDM,30000251,Hla I/II Ab Scr Plt Trans (Arc),853.0,853.0,126.24,682.4,23
CDM,30000300,Methadone - Urine,313.0,313.0,46.32,250.4,23
CDM,30000302,Abid Ea Selected Cell,252.0,252.0,37.3,201.6,23
CDM,30000411,Ffp Thawing Ea Unit,658.0,658.0,97.38,526.4,23
CDM,30000420,Venipuncture,47.0,47.0,6.96,37.6,23
CDM,30000425,Crossmatch - Mass Transfusion,314.0,314.0,46.47,251.2,23
CDM,30000426,Quantiferon-TB Gold,543.95,543.95,80.5,435.16,23
CDM,30000427,Serotonin Release Assay (Sra) Unfractionated,545.0,545.0,80.66,436.0,23
CDM,30000428,Serotonin Release Assay (Sra) Lmwh,290.0,290.0,42.92,232.0,23
CDM,30000503,Nuclear Antigen Antibody,71.0,71.0,10.51,56.8,23
CDM,30000504,Allergen Specific Ige,32.0,32.0,4.74,25.6,23
CDM,30000505,Mumps Antibody,96.0,96.0,14.21,76.8,23
CDM,30000508,Chorionic Gonadotropin Test,338.1,338.1,50.04,270.48,23
CDM,30000509,Quantitative Assay Drug,247.0,247.0,36.56,197.6,23
CDM,30000515,Platelet Antibodies,347.0,347.0,51.36,277.6,23
CDM,30000519,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30000521,Nuclear Antigen Antibody,144.0,144.0,21.31,115.2,23
CDM,30000525,Blood Glucose Check,84.0,84.0,12.43,67.2,23
CDM,30000526,Allegen - Mosquito Q,96.0,96.0,14.21,76.8,23
CDM,30000527,"Oligoclonal Bands,CSF(So)",193.2,193.2,28.59,154.56,23
CDM,30000528,"Protein,Total and Electrophoresis,CSF(So)",209.0,209.0,30.93,167.2,23
CDM,30000529,"Protein,Total and Electrophoresis,Qnt,CSF(So)",252.0,252.0,37.3,201.6,23
CDM,30000530,"Viscosity, Serum(So)",85.0,85.0,12.58,68.0,23
CDM,30000570,Ia-2 Islet Cell Ab (So),193.0,193.0,28.56,154.4,23
CDM,30000571,Lymph Sub 1 B Cells Tot (So),206.0,206.0,30.49,164.8,23
CDM,30000610,Immunoassay Tumor Other,326.0,326.0,48.25,260.8,23
CDM,30000611,Tissue Exam by Pathologist,793.8,793.8,117.48,635.04,23
CDM,30000612,Decalcify Tissue,197.8,197.8,29.27,158.24,23
CDM,30000613,Special Stains Group 2,219.0,219.0,32.41,175.2,23
CDM,30000634,Assay of Manganese,119.0,119.0,17.61,95.2,23
CDM,30000635,Assay of Copper,92.0,92.0,13.62,73.6,23
CDM,30000636,Immunoassay Quant Nos Nonab,358.0,358.0,52.98,286.4,23
CDM,30000706,Rhd Variant by Snp (Arc),1725.0,1725.0,255.3,1380.0,23
CDM,30000710,Rhce Variant by Snp (Arc),1491.0,1491.0,220.67,1192.8,23
CDM,30000715,Cd19 B-Cells (Flow Cytometry) So,122.0,122.0,18.06,97.6,23
CDM,30000716,Xhea Licensed RBC Panel (Arc),1269.6,1269.6,187.9,1015.68,23
CDM,30000750,Adamts 13 Inhibitor (So),527.0,527.0,78.0,421.6,23
CDM,30000753,Hla Ab ID (Arc),560.0,560.0,82.88,448.0,23
CDM,30000771,B-Cell Clonality Panel (IGK)(SO),1124.0,1124.0,166.35,899.2,23
CDM,30000772,"B-Cell Clonality Panel,Unlisted Proc(SO)",848.0,848.0,125.5,678.4,23
CDM,30000773,"MYD88, Mutation Analysis(SO)",186.0,186.0,27.53,148.8,23
CDM,30000774,"Kit D816, Mutation Analysis (So)",1979.0,1979.0,292.89,1583.2,23
CDM,30000781,"Fish, B-Cell Malig, IGH, 14q32,100-300 Cells(SO)",413.0,413.0,61.12,330.4,23
CDM,30000782,Zap -70(So),322.0,322.0,47.66,257.6,23
CDM,30000827,"Fish, High-Grade LymphPanel,DNA Probe(SO)-2",492.0,492.0,72.82,393.6,23
CDM,30000828,"Fish, High-Grade LymphPanel,DNA Probe(SO)-3",492.0,492.0,72.82,393.6,23
CDM,30000829,"Fish, High-Grade LymphPanel,DNA Probe(SO)-4",492.0,492.0,72.82,393.6,23
CDM,30000830,"Fish, High-Grade LymphPanel,DNA Probe(SO)-5",492.0,492.0,72.82,393.6,23
CDM,30000831,"Fish, High-Grade LymphPanel,DNA Probe(SO)-6",492.0,492.0,72.82,393.6,23
CDM,30000832,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-1",492.0,492.0,72.82,393.6,23
CDM,30000833,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-2",520.0,520.0,76.96,416.0,23
CDM,30000834,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-3",520.0,520.0,76.96,416.0,23
CDM,30000835,"CLL Prognostic Panel, Comp,First Marker(SO)",390.0,390.0,57.72,312.0,23
CDM,30000866,Hmgcr Antibody (Igg) - Qd (So),646.0,646.0,95.61,516.8,23
CDM,30040001,Abid Ea Selected Cell (Arc),427.8,427.8,63.31,342.24,23
CDM,30050138,Direct Coombs,241.5,241.5,35.74,193.2,23
CDM,30050141,Antibody Titer,503.7,503.7,74.55,402.96,23
CDM,30050148,"Blood Typing, Serologic, Abo",285.2,285.2,42.21,228.16,23
CDM,30050149,"Blood Typing, Serologic, Rh (D)",172.0,172.0,25.46,137.6,23
CDM,30050300,Fentanyl - Urine,390.0,390.0,57.72,312.0,23
CDM,30050301,Amphetamine - Urine,378.0,378.0,55.94,302.4,23
CDM,30050302,Methaqualone - Urine,249.0,249.0,36.85,199.2,23
CDM,30050303,Propoxyphene - Urine,134.0,134.0,19.83,107.2,23
CDM,30050420,ACT,124.2,124.2,18.38,99.36,23
CDM,30050421,Quantitative Screen Metals,210.0,210.0,31.08,168.0,23
CDM,30050425,Platelet Antibodies,112.0,112.0,16.58,89.6,23
CDM,30050427,Assay of Dibucaine Number,74.0,74.0,10.95,59.2,23
CDM,30050435,Virus Antibody Nos,299.0,299.0,44.25,239.2,23
CDM,30050439,Procalcitonin - Serum,516.35,516.35,76.42,413.08,23
CDM,30050440,"Eosinophil Smear, Urine",63.0,63.0,9.32,50.4,23
CDM,30050442,"Enterovirus Rna, Qual, Rt-Pcr So",342.0,342.0,50.62,273.6,23
CDM,30050445,Jak2 R/X-Exon12 (So),846.0,846.0,125.21,676.8,23
CDM,30050446,Proteinase -3 Antibody (So),563.5,563.5,83.4,450.8,23
CDM,30050449,Molecular Cytogenetics; Dna Probe( Fish) (So),585.0,585.0,86.58,468.0,23
CDM,30050450,Interphase in Situ Hybridization (25-99) Cells (So),537.0,537.0,79.48,429.6,23
CDM,30050451,"T - Cell Receptor Gamma Gene Rearrangement, Pcr (So)",1554.8,1554.8,230.11,1243.84,23
CDM,30050452,Molecular Cytogenetics; Dna Probe( Fish) (So),504.0,504.0,74.59,403.2,23
CDM,30050454,Molecular Cytogenetics; Dna Probe( Fish) (So),559.0,559.0,82.73,447.2,23
CDM,30050455,Interphase in Situ Hybridization (100-300) Cells (So),322.0,322.0,47.66,257.6,23
CDM,30050457,Interphase in Situ Hybridization (100-300) Cells (So),520.0,520.0,76.96,416.0,23
CDM,30050458,Molecular Cytogenetics; Dna Probe( Fish) (So),481.0,481.0,71.19,384.8,23
CDM,30050459,Interphase in Situ Hybridization (100-300) Cells (So),322.0,322.0,47.66,257.6,23
CDM,30050460,Molecular Cytogenetics; Dna Probe( Fish) (So)Cml,492.0,492.0,72.82,393.6,23
CDM,30050461,Interphase in Situ Hybridization (100-300) Cells (So)Cml,520.0,520.0,76.96,416.0,23
CDM,30050462,Pml/Rara T(15;17) Quant (Pcr) (So),1157.0,1157.0,171.24,925.6,23
CDM,30050463,Braf Mutation Analysis (So),1312.0,1312.0,194.18,1049.6,23
CDM,30050464,Apoliprotein (So),139.0,139.0,20.57,111.2,23
CDM,30050466,Cbfb/Myh11 Inv(16) Quant Pcr (So),972.0,972.0,143.86,777.6,23
CDM,30050467,C-Kit Mutation Analysis (So),2200.0,2200.0,325.6,1760.0,23
CDM,30050469,"Nmda- Receptor Antibody , CSF(Mayo)",387.0,387.0,57.28,309.6,23
CDM,30050471,Agna-1 (Mayo),86.0,86.0,12.73,68.8,23
CDM,30050472,Amphiphysin (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050473,Anna-1 (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050474,Anna-2 (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050475,Anna-3 (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050476,Crmp-5-Igg,56.0,56.0,8.29,44.8,23
CDM,30050477,Pca-1 (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050478,Pca-2 (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050479,Pca-Tr (Mayo),56.0,56.0,8.29,44.8,23
CDM,30050481,"Hepatitis B Virus Drug Resistance, Genotype (So)",900.0,900.0,133.2,720.0,23
CDM,30050486,Molecular Cytogenetics: Dna Probe (Fish) (So) Fol,585.0,585.0,86.58,468.0,23
CDM,30050487,Interphase in Situ Hybridization(100-300) Cells (So) Fol,322.0,322.0,47.66,257.6,23
CDM,30050488,Ganglioside Gq1b Antibody (Igg)(So),817.65,817.65,121.01,654.12,23
CDM,30050489,"Melanoma, Braf V600 Mutation (So)",1482.0,1482.0,219.34,1185.6,23
CDM,30050490,"Nras, Mutation Analysis (So)",1802.0,1802.0,266.7,1441.6,23
CDM,30050492,Nmo/Aqp4-Igg Cba (Mayo),55.0,55.0,8.14,44.0,23
CDM,30050493,Gad65 Abs (Mayo),66.0,66.0,9.77,52.8,23
CDM,30050495,"Nmo/Aqp4-Igg Cba, CSF (Mayo)",387.0,387.0,57.28,309.6,23
CDM,30050496,Abl Kinase Domain Mutation in Cml (So),1554.0,1554.0,229.99,1243.2,23
CDM,30050497,Allergen Specific (Mold Group),99.0,99.0,14.65,79.2,23
CDM,30050503,Platelet Function P2y12,497.95,497.95,73.7,398.36,23
CDM,30050520,T Cell; Absolute Cd4 Count,273.7,273.7,40.51,218.96,23
CDM,30050550,Phospholipase A2 Ab Quant (So),817.65,817.65,121.01,654.12,23
CDM,30050560,Phospholipase A2 Scrn (So),774.0,774.0,114.55,619.2,23
CDM,30050561,Brca1&2 Seq & Full Dup/Del (So),7287.0,7287.0,1078.48,5829.6,23
CDM,30050563,Viscosity,120.0,120.0,17.76,96.0,23
CDM,30100001,Oxycarbazepine So,329.0,329.0,48.69,263.2,23
CDM,30100003,"Chem 4, Electrolyte Panel",298.0,298.0,44.1,238.4,23
CDM,30100007,"Chem 3, Lipid Panel",293.25,293.25,43.4,234.6,23
CDM,30100010,"Ph, Misc Fluids",129.95,129.95,19.23,103.96,23
CDM,30100012,"Drug Scrn,Non-Tox1",213.0,213.0,31.52,170.4,23
CDM,30100014,Tacrolimus,554.3,554.3,82.04,443.44,23
CDM,30100015,"Digitoxin, Serum",218.0,218.0,32.26,174.4,23
CDM,30100016,Drug Assay Felbamate,92.0,92.0,13.62,73.6,23
CDM,30100017,Bupropion/Wellbutrin,247.0,247.0,36.56,197.6,23
CDM,30100018,Acetaminophen,672.75,672.75,99.57,538.2,23
CDM,30100021,B-Oh Butyric Acid,192.0,192.0,28.42,153.6,23
CDM,30100022,"Acth, Plasma",461.0,461.0,68.23,368.8,23
CDM,30100023,Albumin (Bcg),129.95,129.95,19.23,103.96,23
CDM,30100024,"Albumin,Fluid",179.4,179.4,26.55,143.52,23
CDM,30100025,"Microalbumin, UR",446.0,446.0,66.01,356.8,23
CDM,30100027,Alcohol Screen Blood or Body Fluid,399.0,399.0,59.05,319.2,23
CDM,30100028,"Aldolase, Serum",222.0,222.0,32.86,177.6,23
CDM,30100029,"Aldosterone, Serum",355.35,355.35,52.59,284.28,23
CDM,30100030,"Aldosterone, UR-24hr",355.35,355.35,52.59,284.28,23
CDM,30100031,Alpha-1-Antitrypsin,299.0,299.0,44.25,239.2,23
CDM,30100032,Alpha-1 at Phenotype,206.0,206.0,30.49,164.8,23
CDM,30100035,Alpha-Fetoprotein,377.2,377.2,55.83,301.76,23
CDM,30100036,"Afp, Amniotic Fluid",238.0,238.0,35.22,190.4,23
CDM,30100037,Aluminum,218.0,218.0,32.26,174.4,23
CDM,30100039,"Amino Acid-Scn,Urine",423.0,423.0,62.6,338.4,23
CDM,30100040,Homocysteine,390.0,390.0,57.72,312.0,23
CDM,30100041,"Cystine, Urine-24hr",248.0,248.0,36.7,198.4,23
CDM,30100042,"Amino Acids-Qnt,Plas",490.0,490.0,72.52,392.0,23
CDM,30100044,"Ammonia,Blood",375.0,375.0,55.5,300.0,23
CDM,30100046,"Amylase,Serum",301.0,301.0,44.55,240.8,23
CDM,30100047,"Amylase,Fluid",301.0,301.0,44.55,240.8,23
CDM,30100049,Androstenedione,251.0,251.0,37.15,200.8,23
CDM,30100050,Angio-1 Convert Enz.,325.0,325.0,48.1,260.0,23
CDM,30100051,Angio-1 Conv Enz-CSF,325.0,325.0,48.1,260.0,23
CDM,30100052,"Arsenic,Urine-24hr",255.0,255.0,37.74,204.0,23
CDM,30100053,"Vitamin C, Serum",214.2,214.2,31.7,171.36,23
CDM,30100054,Pentobarbital-Quant,263.0,263.0,38.92,210.4,23
CDM,30100055,Beta-2 Microglobulin,347.3,347.3,51.4,277.84,23
CDM,30100056,"Bile Acids, Serum",261.0,261.0,38.63,208.8,23
CDM,30100057,"Bilirubin,Total",160.0,160.0,23.68,128.0,23
CDM,30100060,"Bilirubin,Direct",133.0,133.0,19.68,106.4,23
CDM,30100061,"Bili, Direct - Fluid",133.0,133.0,19.68,106.4,23
CDM,30100064,"Hiv -1 Rna, Quant,Rt-Pcr (Quest)",618.7,618.7,91.57,494.96,23
CDM,30100065,Pth-Realated Protein So,499.1,499.1,73.87,399.28,23
CDM,30100067,"Occult Blood, Gastric",83.0,83.0,12.28,66.4,23
CDM,30100068,"Vitamin D, Serum",304.0,304.0,44.99,243.2,23
CDM,30100069,"Calcitonin, Serum",421.87,421.87,62.44,337.5,23
CDM,30100070,Calcium,159.85,159.85,23.66,127.88,23
CDM,30100071,"Calcium,Synvl Fluid",139.0,139.0,20.57,111.2,23
CDM,30100073,"Calcium,Ionized,Wb",357.0,357.0,52.84,285.6,23
CDM,30100074,Stone Analysis,437.25,437.25,64.71,349.8,23
CDM,30100075,Co2 Content,77.0,77.0,11.4,61.6,23
CDM,30100076,CEA,454.25,454.25,67.23,363.4,23
CDM,30100077,"Carnitine, Total",236.0,236.0,34.93,188.8,23
CDM,30100078,"Carnitine, Free",236.0,236.0,34.93,188.8,23
CDM,30100079,"Carotene, Serum",258.0,258.0,38.18,206.4,23
CDM,30100080,"Catecholamines,Plasm",259.9,259.9,38.47,207.92,23
CDM,30100081,"Catecholam.,UR Frac",259.9,259.9,38.47,207.92,23
CDM,30100082,"Ceruloplasmin,Serum",236.0,236.0,34.93,188.8,23
CDM,30100084,Chloride,119.0,119.0,17.61,95.2,23
CDM,30100085,"Chloride, Urine",173.65,173.65,25.7,138.92,23
CDM,30100086,"Chloride,Fluid",105.0,105.0,15.54,84.0,23
CDM,30100087,"Toxoplasma Gondii Dna,Qual,Pcr So",676.2,676.2,100.08,540.96,23
CDM,30100088,Cholesterol,134.0,134.0,19.83,107.2,23
CDM,30100090,"Catacholamines,Frac,UR So",138.0,138.0,20.42,110.4,23
CDM,30100096,"Citric Acid, UR-24hr",194.0,194.0,28.71,155.2,23
CDM,30100098,"Copper, Serum",251.85,251.85,37.27,201.48,23
CDM,30100099,"Copper, Urine-24hr",251.85,251.85,37.27,201.48,23
CDM,30100100,"Cortisol Free, UR-24h",302.0,302.0,44.7,241.6,23
CDM,30100101,"Cortisol,Serum",650.0,650.0,96.2,520.0,23
CDM,30100102,"Thiopurine Methyl Transferase, Qt",791.0,791.0,117.07,632.8,23
CDM,30100104,Pancreatic Elastase-1 So,389.85,389.85,57.7,311.88,23
CDM,30100105,CKMB-Meia,355.0,355.0,52.54,284.0,23
CDM,30100106,Creatinine,149.0,149.0,22.05,119.2,23
CDM,30100107,"Creatinine,Fluid",173.65,173.65,25.7,138.92,23
CDM,30100109,"Creatinine, Urine",173.65,173.65,25.7,138.92,23
CDM,30100110,"Aluminum, 24hr Urine So",208.0,208.0,30.78,166.4,23
CDM,30100112,"Cryoglobulin,Serum",119.6,119.6,17.7,95.68,23
CDM,30100113,"Cryocrit,Serum",104.0,104.0,15.39,83.2,23
CDM,30100114,Cyanide,252.0,252.0,37.3,201.6,23
CDM,30100115,"Vitamin B12,Serum",457.7,457.7,67.74,366.16,23
CDM,30100116,"Dhea-So4, Serum",434.0,434.0,64.23,347.2,23
CDM,30100117,"Deoxycortisol,11-Bld",194.0,194.0,28.71,155.2,23
CDM,30100118,Dihydrotestosterone,250.0,250.0,37.0,200.0,23
CDM,30100119,"Vit D,1,25-Dihydroxy",533.0,533.0,78.88,426.4,23
CDM,30100120,"Amylase, Isoenzymes",311.0,311.0,46.03,248.8,23
CDM,30100121,"Erythropoietin,Serum",345.0,345.0,51.06,276.0,23
CDM,30100122,Estradiol; Total,405.0,405.0,59.94,324.0,23
CDM,30100123,"Estriol(Free),Serum",209.0,209.0,30.93,167.2,23
CDM,30100126,"Estrone, Serum",294.0,294.0,43.51,235.2,23
CDM,30100127,"Ethylene Glycol,Bld",48.53,48.53,7.18,38.82,23
CDM,30100128,"Stool Fat, Qual",96.0,96.0,14.21,76.8,23
CDM,30100129,"Fecal Fat, Quant",268.0,268.0,39.66,214.4,23
CDM,30100130,"Fatty Acids,Ess-Ser",227.0,227.0,33.6,181.6,23
CDM,30100131,"Ferritin,Serum",313.95,313.95,46.46,251.16,23
CDM,30100132,Fetal Fibronectin,1105.0,1105.0,163.54,884.0,23
CDM,30100133,"Folate,Serum",395.0,395.0,58.46,316.0,23
CDM,30100134,"Folate, RBC",371.0,371.0,54.91,296.8,23
CDM,30100136,Galactose-1-Phos,224.0,224.0,33.15,179.2,23
CDM,30100137,"Immunoglob-a,Serum",273.0,273.0,40.4,218.4,23
CDM,30100138,"Immunoglob-G,Serum",273.0,273.0,40.4,218.4,23
CDM,30100139,"Immunoglob-M,Serum",273.0,273.0,40.4,218.4,23
CDM,30100140,"Immuno-Igg,CSF",172.0,172.0,25.46,137.6,23
CDM,30100141,"Immunoglob-Igd,Serum",288.65,288.65,42.72,230.92,23
CDM,30100142,"Immunoglob-Ige,Serum",204.0,204.0,30.19,163.2,23
CDM,30100143,"Ph, Ven.",292.0,292.0,43.22,233.6,23
CDM,30100144,"Ph, Art.",292.0,292.0,43.22,233.6,23
CDM,30100146,Creatinine Clearance Test,24.0,24.0,3.55,19.2,23
CDM,30100147,"Vitamin B 6, Plasma (So)",204.7,204.7,30.3,163.76,23
CDM,30100148,Blood Gas-Venous,597.0,597.0,88.36,477.6,23
CDM,30100149,Blood Gas-Arterial,597.0,597.0,88.36,477.6,23
CDM,30100151,Blood Gas-Cord Art.,597.0,597.0,88.36,477.6,23
CDM,30100154,"Mercury, Blood (So)",73.0,73.0,10.8,58.4,23
CDM,30100155,Protein Western Blot Test (So),1177.53,1177.53,174.27,942.02,23
CDM,30100156,Immunoassay Nonantibody (So),195.0,195.0,28.86,156.0,23
CDM,30100157,Immunoassay Quant Nos Nonab (So),195.0,195.0,28.86,156.0,23
CDM,30100158,"Bld. Gas+Sat. Prof, Art",799.25,799.25,118.29,639.4,23
CDM,30100159,"Bld. Gas+Sat. Prof, Ven",799.25,799.25,118.29,639.4,23
CDM,30100161,"Saturation Prof, Ven.",214.0,214.0,31.67,171.2,23
CDM,30100162,"Saturation Prof, Art.",214.0,214.0,31.67,171.2,23
CDM,30100165,"Gastrin,Serum",281.0,281.0,41.59,224.8,23
CDM,30100166,Interlukin-6 (So),500.0,500.0,74.0,400.0,23
CDM,30100167,"Glucose,Fluid",366.0,366.0,54.17,292.8,23
CDM,30100168,"Glucose,CSF",366.0,366.0,54.17,292.8,23
CDM,30100170,"Mercury, 24-Hour Urine (So)",55.0,55.0,8.14,44.0,23
CDM,30100171,Glucose,381.0,381.0,56.39,304.8,23
CDM,30100172,Jak2 Gene Analysis P.Val617phe Variant (So),570.4,570.4,84.42,456.32,23
CDM,30100173,"Glucose,Fasting Bld",381.0,381.0,56.39,304.8,23
CDM,30100174,Glucose-Wb,165.6,165.6,24.51,132.48,23
CDM,30100175,Jak2 Targeted Sequence Analysis (So),570.4,570.4,84.42,456.32,23
CDM,30100178,"POCT, Glucose (Meter)",146.05,146.05,21.62,116.84,23
CDM,30100179,Calr Gene Analysis Common Variants in Exon 9 (So),570.4,570.4,84.42,456.32,23
CDM,30100184,Mpl Gene Analysis Sequence Analysis Exon 10 (So),570.4,570.4,84.42,456.32,23
CDM,30100187,"Glucose,Bld-2hr Pp",133.0,133.0,19.68,106.4,23
CDM,30100193,"Gtt,Oral-3hr Gtt",290.0,290.0,42.92,232.0,23
CDM,30100197,"Gtt,Prenatal(100gm)",290.0,290.0,42.92,232.0,23
CDM,30100200,3rd Hour-Gtt Specimen,99.0,99.0,14.65,79.2,23
CDM,30100203,"G6pd, RBC Quant",242.0,242.0,35.82,193.6,23
CDM,30100206,"Fsh,Serum",480.0,480.0,71.04,384.0,23
CDM,30100207,"Lh,Serum",585.0,585.0,86.58,468.0,23
CDM,30100208,Growth Hormone,160.0,160.0,23.68,128.0,23
CDM,30100209,"Haptoglobin,Serum",391.0,391.0,57.87,312.8,23
CDM,30100211,Hgb Elect - Family,234.0,234.0,34.63,187.2,23
CDM,30100212,Hgb Electrophoresis,234.0,234.0,34.63,187.2,23
CDM,30100216,"Hgb Phenotyping, Family Member",271.0,271.0,40.11,216.8,23
CDM,30100218,"Hgb Phenotyping, Complete",271.0,271.0,40.11,216.8,23
CDM,30100221,Hgb Glucose A1c,255.3,255.3,37.78,204.24,23
CDM,30100227,"Hemosiderin, Urine",87.0,87.0,12.88,69.6,23
CDM,30100229,Homovanillic Acid-24h,131.0,131.0,19.39,104.8,23
CDM,30100231,"Serotonin,Urine-24",223.0,223.0,33.0,178.4,23
CDM,30100232,"Progesterone,17a-Oh",311.0,311.0,46.03,248.8,23
CDM,30100233,T-Transglutaminase Iga,248.0,248.0,36.7,198.4,23
CDM,30100234,Gliadin Ab Igg,301.0,301.0,44.55,240.8,23
CDM,30100236,Igf Binding Protein-3,461.15,461.15,68.25,368.92,23
CDM,30100237,Gad-65 Autoantibody,461.15,461.15,68.25,368.92,23
CDM,30100238,"Trypsin,Fecal",152.0,152.0,22.5,121.6,23
CDM,30100239,Caffeine (So),380.0,380.0,56.24,304.0,23
CDM,30100240,"Insulin, Serum",324.0,324.0,47.95,259.2,23
CDM,30100241,"Iron-Total,Serum",229.0,229.0,33.89,183.2,23
CDM,30100244,"Steroids-17keto,24hr",367.0,367.0,54.32,293.6,23
CDM,30100247,"Lactic Acid, Blood",367.0,367.0,54.32,293.6,23
CDM,30100248,"Lactic Acid, CSF",333.0,333.0,49.28,266.4,23
CDM,30100251,"Ldh,Total-Serum",175.95,175.95,26.04,140.76,23
CDM,30100252,"Ldh,Fluid",175.95,175.95,26.04,140.76,23
CDM,30100254,"Lead,Blood",230.0,230.0,34.04,184.0,23
CDM,30100255,"Lead,Urine-24hr",195.0,195.0,28.86,156.0,23
CDM,30100263,Magnesium,216.2,216.2,32.0,172.96,23
CDM,30100266,"Mercury,Urine-24hr",169.0,169.0,25.01,135.2,23
CDM,30100267,"Metaneph.Tot,UR",508.0,508.0,75.18,406.4,23
CDM,30100268,"Metanephrines, Frac, Plasma",544.0,544.0,80.51,435.2,23
CDM,30100271,"Myoglobin-Qual,Urine",276.0,276.0,40.85,220.8,23
CDM,30100272,B-Type Natriurtic Peptide,533.0,533.0,78.88,426.4,23
CDM,30100274,"Albumin-Immuno,Ser",264.0,264.0,39.07,211.2,23
CDM,30100275,"Albumin,CSF-Immuno",264.0,264.0,39.07,211.2,23
CDM,30100278,Free Kappa,264.0,264.0,39.07,211.2,23
CDM,30100279,Free Lambda,264.0,264.0,39.07,211.2,23
CDM,30100296,5'-Nucleotidase,190.0,190.0,28.12,152.0,23
CDM,30100297,Methylmalonic Acid,278.0,278.0,41.14,222.4,23
CDM,30100298,Organic Acid,278.0,278.0,41.14,222.4,23
CDM,30100300,Osmolality,265.0,265.0,39.22,212.0,23
CDM,30100301,"Osmolality,Fluid",216.0,216.0,31.97,172.8,23
CDM,30100302,"Osmolality,Urine",272.0,272.0,40.26,217.6,23
CDM,30100303,"Oxalate, Urine-24hr",150.0,150.0,22.2,120.0,23
CDM,30100304,Parathormone Intact,838.0,838.0,124.02,670.4,23
CDM,30100306,"Ph, Stool",123.0,123.0,18.2,98.4,23
CDM,30100307,Alk Phosphatase,133.4,133.4,19.74,106.72,23
CDM,30100309,Alk Phos Isoenzymes,269.0,269.0,39.81,215.2,23
CDM,30100311,Phosphorus,150.0,150.0,22.2,120.0,23
CDM,30100313,"Phosphorus, Urine",164.0,164.0,24.27,131.2,23
CDM,30100315,"Porphyrins,UR-Quant",178.0,178.0,26.34,142.4,23
CDM,30100316,"Potassium, Wb",141.0,141.0,20.87,112.8,23
CDM,30100317,Potassium,141.0,141.0,20.87,112.8,23
CDM,30100318,"Potassium,Plasma",141.0,141.0,20.87,112.8,23
CDM,30100319,"Potassium,Fluid",150.99,150.99,22.35,120.79,23
CDM,30100320,"Potassium, Urine",151.0,151.0,22.35,120.8,23
CDM,30100321,Prealbumin,282.0,282.0,41.74,225.6,23
CDM,30100324,"Progesterone, Serum",342.0,342.0,50.62,273.6,23
CDM,30100325,"Prolactin,Serum",437.0,437.0,64.68,349.6,23
CDM,30100326,Prostatic Antigen,343.0,343.0,50.76,274.4,23
CDM,30100329,"Protein,Total",138.0,138.0,20.42,110.4,23
CDM,30100330,"Protein,UR (Quant)",192.05,192.05,28.42,153.64,23
CDM,30100331,"Protein,Fluid",240.35,240.35,35.57,192.28,23
CDM,30100332,"Protein, CSF",240.35,240.35,35.57,192.28,23
CDM,30100333,"Protein Elect, Serum",357.0,357.0,52.84,285.6,23
CDM,30100335,"Protein Elect, Urine",410.55,410.55,60.76,328.44,23
CDM,30100338,"Pyruvic Acid, Blood",278.0,278.0,41.14,222.4,23
CDM,30100339,Acetcholn Reptor Ad,302.0,302.0,44.7,241.6,23
CDM,30100340,"Renin, Blood",370.3,370.3,54.8,296.24,23
CDM,30100341,"Sodium, Wb",136.0,136.0,20.13,108.8,23
CDM,30100342,Sodium,220.0,220.0,32.56,176.0,23
CDM,30100344,"Sodium, Urine",158.0,158.0,23.38,126.4,23
CDM,30100345,"Sodium,Fluid",93.0,93.0,13.76,74.4,23
CDM,30100346,Igf-1(Somatomedin C),331.0,331.0,48.99,264.8,23
CDM,30100350,"Testosterone, Serum",422.0,422.0,62.46,337.6,23
CDM,30100353,"Thyroglobulin, Quant",356.0,356.0,52.69,284.8,23
CDM,30100354,"Thyroxine,Total(T4)",370.3,370.3,54.8,296.24,23
CDM,30100355,Free Thyroxine,304.75,304.75,45.1,243.8,23
CDM,30100356,Thyroxine Bind.Glob.,190.0,190.0,28.12,152.0,23
CDM,30100357,"Tsh,Serum-Irma",257.6,257.6,38.12,206.08,23
CDM,30100358,"Vitamin E, Serum",285.0,285.0,42.18,228.0,23
CDM,30100359,"Sgot(Ast),Serum",109.25,109.25,16.17,87.4,23
CDM,30100360,Sgpt(Alt)-Rate,109.25,109.25,16.17,87.4,23
CDM,30100361,Transferrin,351.0,351.0,51.95,280.8,23
CDM,30100363,Triglyceride,152.0,152.0,22.5,121.6,23
CDM,30100364,"Triglyceride,Fluid",152.0,152.0,22.5,121.6,23
CDM,30100366,T3-Triiodothyronine,347.3,347.3,51.4,277.84,23
CDM,30100367,Troponin-1,478.4,478.4,70.8,382.72,23
CDM,30100368,Troponin-T,387.0,387.0,57.28,309.6,23
CDM,30100369,Urea Nitrogen,111.0,111.0,16.43,88.8,23
CDM,30100370,"Urea Nitrogen,Fluid",165.0,165.0,24.42,132.0,23
CDM,30100371,"Urea Nitrogen,Urine",171.0,171.0,25.31,136.8,23
CDM,30100373,Uric Acid,140.0,140.0,20.72,112.0,23
CDM,30100374,"Uric Acid,Syn Fluid",146.0,146.0,21.61,116.8,23
CDM,30100375,"Uric Acid, Urine",146.0,146.0,21.61,116.8,23
CDM,30100376,"Vma, Urine-24hr",129.0,129.0,19.09,103.2,23
CDM,30100377,Vasoac Intes Polypep,234.0,234.0,34.63,187.2,23
CDM,30100378,Adh Result,311.0,311.0,46.03,248.8,23
CDM,30100379,"Vitamin a, Serum",267.0,267.0,39.52,213.6,23
CDM,30100380,"Volatile, Drug Screen",351.0,351.0,51.95,280.8,23
CDM,30100381,"D-Xylose, Serum",131.0,131.0,19.39,104.8,23
CDM,30100383,"Zinc, Serum",207.0,207.0,30.64,165.6,23
CDM,30100384,"C-Peptide, Random",370.0,370.0,54.76,296.0,23
CDM,30100387,"*Hcg, Serum, Quant",474.0,474.0,70.15,379.2,23
CDM,30100390,Pregnancy Test,101.0,101.0,14.95,80.8,23
CDM,30100393,"B-2 Transferrin, Fld",351.0,351.0,51.95,280.8,23
CDM,30100395,Basic Metabolic Panel,420.9,420.9,62.29,336.72,23
CDM,30100396,"Bilirubin,Total-Transcutaneous",56.0,56.0,8.29,44.8,23
CDM,30100401,"Fecal Occult Blood,Fit",191.0,191.0,28.27,152.8,23
CDM,30100412,"Occult Blood, Stool",86.0,86.0,12.73,68.8,23
CDM,30100414,"Cpk,Total-Serum",231.0,231.0,34.19,184.8,23
CDM,30100415,"POCT, Creatinine (Meter)",149.0,149.0,22.05,119.2,23
CDM,30100422,"Lipase, Serum",282.0,282.0,41.74,225.6,23
CDM,30100423,"Chol,Hdl",190.0,190.0,28.12,152.0,23
CDM,30100425,"Chol-Ldl, Direct",187.0,187.0,27.68,149.6,23
CDM,30100430,"Chem 8, Metabolic Panel",345.0,345.0,51.06,276.0,23
CDM,30100434,Renal Panel,362.25,362.25,53.61,289.8,23
CDM,30100435,Hepatic Profile,373.0,373.0,55.2,298.4,23
CDM,30100437,"Cholesterol,Fluid",134.0,134.0,19.83,107.2,23
CDM,30100441,"Glucose,1hr (50gm)",341.0,341.0,50.47,272.8,23
CDM,30100442,"Ggtp,Serum",184.0,184.0,27.23,147.2,23
CDM,30100443,"Magnesium, Urine",160.0,160.0,23.68,128.0,23
CDM,30100444,Thiopurine Metabolites Serum (So),332.0,332.0,49.14,265.6,23
CDM,30100445,Ria Nonab (So),782.0,782.0,115.74,625.6,23
CDM,30100446,Ria Nonab (So),461.15,461.15,68.25,368.92,23
CDM,30100447,Ria Nonab (So),461.15,461.15,68.25,368.92,23
CDM,30100448,Ria Nonab (So),448.0,448.0,66.3,358.4,23
CDM,30100449,Ria Nonab (So),461.15,461.15,68.25,368.92,23
CDM,30100450,Hemodynamics,597.0,597.0,88.36,477.6,23
CDM,30100451,Abg Analysis,597.0,597.0,88.36,477.6,23
CDM,30100452,Protein Western Blot Test (So),2867.0,2867.0,424.32,2293.6,23
CDM,30100453,Ria Nonab (So),461.15,461.15,68.25,368.92,23
CDM,30100454,Alpha-1 Antitrypsin-Serum (So),71.3,71.3,10.55,57.04,23
CDM,30100456,Hla B5701,768.0,768.0,113.66,614.4,23
CDM,30100457,"Immunoglobulin,Igg-CSF (So)",30.0,30.0,4.44,24.0,23
CDM,30100458,Ceruloplasmin-Serum (So),26.0,26.0,3.85,20.8,23
CDM,30100481,Pd-L1 Ihc W/Interp (S0),811.0,811.0,120.03,648.8,23
CDM,30100482,Lynch Syn Pan Addl Slide (So),650.9,650.9,96.33,520.72,23
CDM,30100483,Lynch Syn Pan 1st Slide (So),810.75,810.75,119.99,648.6,23
CDM,30100490,Levetiracetam (So),333.0,333.0,49.28,266.4,23
CDM,30100501,"Feces, Chloride (So)",96.0,96.0,14.21,76.8,23
CDM,30100502,"Feces, Sodium (So)",93.0,93.0,13.76,74.4,23
CDM,30100505,"Feces, Potassium (So)",234.0,234.0,34.63,187.2,23
CDM,30100510,"Allergy Panel 19, Seafood Group-Qd (So)",40.0,40.0,5.92,32.0,23
CDM,30100511,Tree Nut Allergy Panel-Qd (So),91.0,91.0,13.47,72.8,23
CDM,30100512,Allergy-Shellfish Panel-Qd (So),30.0,30.0,4.44,24.0,23
CDM,30100513,Allergen Specific Ige Tilapia-Qd (So),40.0,40.0,5.92,32.0,23
CDM,30100514,Salmon (F41) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100515,Codfish (F3) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100516,Catfish Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100517,Allergen Specific Ige Whitefish-Qd (So),40.0,40.0,5.92,32.0,23
CDM,30100518,Tuna Ige-Qd (So),3.73,3.73,0.55,2.98,23
CDM,30100519,Allergen Specific Ige Red Snapper-Qd (So),32.22,32.22,4.77,25.78,23
CDM,30100520,Egg White (F1) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CDM,30100521,Cow's Milk (F2) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100522,Wheat (F4) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100523,Soybean(F14)Ige-Qd (So),3.73,3.73,0.55,2.98,23
CDM,30100524,Strawberry (F44) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100525,Clam (F207) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CDM,30100526,Crab (F23) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100527,Lobster (F80) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CDM,30100528,Shrimp (F240) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CDM,30100622,Zonisamide (So),417.0,417.0,61.72,333.6,23
CDM,30100635,Cortisol;Free,254.0,254.0,37.59,203.2,23
CDM,30100636,Other Source,157.55,157.55,23.32,126.04,23
CDM,30100637,"Quantitative, Each Specimen",213.0,213.0,31.52,170.4,23
CDM,30100643,"Quantitative, Each Specimen",362.0,362.0,53.58,289.6,23
CDM,30100654,"Carnitine(Total and Free),Quantitative,Each Specimen",335.0,335.0,49.58,268.0,23
CDM,30100660,POCT Glucose Meter,92.0,92.0,13.62,73.6,23
CDM,30100668,"C1 Inhibitor , Functional (So)",267.0,267.0,39.52,213.6,23
CDM,30100669,Tetanus Antitoxoid (So),250.0,250.0,37.0,200.0,23
CDM,30100670,Histamine Release -Cu (So),295.0,295.0,43.66,236.0,23
CDM,30100671,Tryptase (So),652.0,652.0,96.5,521.6,23
CDM,30100672,Alpha- Fetoprotein Af (So),62.0,62.0,9.18,49.6,23
CDM,30100680,Maternal Serum Afp (So),163.3,163.3,24.17,130.64,23
CDM,30100681,C1 Esterase Inhibitor Protein (So),256.0,256.0,37.89,204.8,23
CDM,30100687,Cystatin C (So),334.65,334.65,49.53,267.72,23
CDM,30100716,Drug Assay Itraconzaole (So),41.0,41.0,6.07,32.8,23
CDM,30100717,"Oxycodone and Metabolite Total, Urine (So)",210.0,210.0,31.08,168.0,23
CDM,30100719,Thrombin-Antithrom Quant (So),421.0,421.0,62.31,336.8,23
CDM,30100722,Very Long Fatty Acids (So),389.0,389.0,57.57,311.2,23
CDM,30100724,Levamisole,366.0,366.0,54.17,292.8,23
CDM,30100725,Interleuk 2 Rec Cd25 (So),358.0,358.0,52.98,286.4,23
CDM,30100729,Cea Cyst Fluid (So),370.0,370.0,54.76,296.0,23
CDM,30100730,Paraneo Autoab Quant Ria(So),186.0,186.0,27.53,148.8,23
CDM,30100732,Cardio Iq Nt Probnp (So),464.0,464.0,68.67,371.2,23
CDM,30100740,Adalimumab Quant (So),247.0,247.0,36.56,197.6,23
CDM,30100741,Anti Adalimumab Ab (So),362.0,362.0,53.58,289.6,23
CDM,30100743,"Chromium, Serum (So)",81.0,81.0,11.99,64.8,23
CDM,30100744,"Manganese, Serum (So)",120.0,120.0,17.76,96.0,23
CDM,30100745,Selenium (So),202.4,202.4,29.96,161.92,23
CDM,30100759,Ganglioside Gd1b Ab (So),358.0,358.0,52.98,286.4,23
CDM,30100762,Interleukin-6 Ruo,684.0,684.0,101.23,547.2,23
CDM,30100800,"Calprotectin, Stool (So)",496.0,496.0,73.41,396.8,23
CDM,30100802,Fungitell « (1-3)-▀-D-Glucan Assay (So),450.0,450.0,66.6,360.0,23
CDM,30100803,Prothrombin Fragment 1.2 (So),676.0,676.0,100.05,540.8,23
CDM,30100804,"Testosterone, Free (So)",138.0,138.0,20.42,110.4,23
CDM,30100805,Thrombin-Antithrombin (Tat) Complex (So),556.0,556.0,82.29,444.8,23
CDM,30100806,Voriconazole (So),375.0,375.0,55.5,300.0,23
CDM,30104400,"Admark« Phospho-Tau/Total-Tau/a Beta42,Analysis and Interp,CSF (So)",3550.0,3550.0,525.4,2840.0,23
CDM,30104589,"Bile Acids, Fractionated and Total (So)",364.0,364.0,53.87,291.2,23
CDM,30105047,"Amylase,Urine",268.0,268.0,39.66,214.4,23
CDM,30105057,"Bili, Total-Fluid",160.0,160.0,23.68,128.0,23
CDM,30105071,"Calcium, Urine",159.85,159.85,23.66,127.88,23
CDM,30105151,Blood Gas-Cord Ven.,597.0,597.0,88.36,477.6,23
CDM,30105168,"Glucose,Urine(Quant)",241.0,241.0,35.67,192.8,23
CDM,30105248,"Lactic Acid, Fluid",333.0,333.0,49.28,266.4,23
CDM,30105252,"Ldh,CSF",153.0,153.0,22.64,122.4,23
CDM,30105255,Ria Nonantibody,597.0,597.0,88.36,477.6,23
CDM,30105257,Assay of Vitamin B-12,349.0,349.0,51.65,279.2,23
CDM,30105261,"Quantitative, by Radioimmunoassay(Eg:Ria)",597.0,597.0,88.36,477.6,23
CDM,30105262,"Quantitative, by Radioimmunoassay(Eg:Ria)",597.0,597.0,88.36,477.6,23
CDM,30105269,"Ethambutol, Serum (Nms)",315.0,315.0,46.62,252.0,23
CDM,30105270,"Pyrazinamide, Serum (Nms)",460.0,460.0,68.08,368.0,23
CDM,30105271,Nephrocheck Acute Kidney Injury,277.15,277.15,41.02,221.72,23
CDM,30105275,Free Phenytoin,157.0,157.0,23.24,125.6,23
CDM,30150004,"Comp, Metabolic Panel",573.85,573.85,84.93,459.08,23
CDM,30150174,"Fluor Noninfec Agnt Ab Scr,Ea",51.0,51.0,7.55,40.8,23
CDM,30150176,Candida,92.0,92.0,13.62,73.6,23
CDM,30150178,"Extractable Nuclear Antigen,Antibody to, Any Method",130.0,130.0,19.24,104.0,23
CDM,30150185,Coccidioides,89.0,89.0,13.17,71.2,23
CDM,30150196,"Fluor Noninfect Agent Ab Scr, Ea Ab",85.0,85.0,12.58,68.0,23
CDM,30150202,"Carnitine, Urine (Quest 30338)",418.0,418.0,61.86,334.4,23
CDM,30150203,C17-Hydroxypregnenolone(Quest 8352),230.0,230.0,34.04,184.0,23
CDM,30150204,Immune Complex Detection by C1q Binding(Q 36735),102.0,102.0,15.1,81.6,23
CDM,30150205,"Chromosomal Microarray, Prenatal (Quest 90927)",5175.0,5175.0,765.9,4140.0,23
CDM,30150206,"Allergy Panel,Mold Group (Quest 7911)",99.0,99.0,14.65,79.2,23
CDM,30150209,Myositis Assess Autoab (Q10185)Nuc Ag Ab,320.0,320.0,47.36,256.0,23
CDM,30150210,MYOSITIS ASSESS AUTOAB (Q10185)Non AB,301.0,301.0,44.55,240.8,23
CDM,30150212,Hypoglycemic Mass Spec (So),428.0,428.0,63.34,342.4,23
CDM,30159016,Urine Creatinine (So),119.0,119.0,17.61,95.2,23
CDM,30159017,Organic Acids (So),418.0,418.0,61.86,334.4,23
CDM,30159018,"Cobalt, Plasma (So)",352.0,352.0,52.1,281.6,23
CDM,30159020,Integrated Maternal Serum Screen (So),1246.0,1246.0,184.41,996.8,23
CDM,30159067,"Hypoglycemic Agent Screen, Serum (Mayo)",397.0,397.0,58.76,317.6,23
CDM,30159072,Ach Receptor (Muscle Binding Abs) Mayo,218.0,218.0,32.26,174.4,23
CDM,30159088,Tsh Receptor Binding Ab Trab (So),817.65,817.65,121.01,654.12,23
CDM,30159090,Infliximab Drug Concentration,247.0,247.0,36.56,197.6,23
CDM,30159091,Anti-Infliximab Ab,362.0,362.0,53.58,289.6,23
CDM,30160027,"Albumin, CSF (So)",54.0,54.0,7.99,43.2,23
CDM,30160028,"Occult Blood Guaiac, Fecal",96.0,96.0,14.21,76.8,23
CDM,30160029,"Oxycodone and Metabolite, Quant Serum (So-Quest)",333.0,333.0,49.28,266.4,23
CDM,30160031,"Anti-Mullerian Hormone (Amh), Female (So)",362.0,362.0,53.58,289.6,23
CDM,30160033,Infliximab Rd (So),329.0,329.0,48.69,263.2,23
CDM,30160034,Infliximab Ab Ibd (So),817.65,817.65,121.01,654.12,23
CDM,30160035,Infliximab Ibd (So),329.0,329.0,48.69,263.2,23
CDM,30160036,Champva General Health Panel,665.0,665.0,98.42,532.0,23
CDM,30160040,Urine Creatinine Qd (So),41.0,41.0,6.07,32.8,23
CDM,30160041,Urine Protein Qd (So,42.0,42.0,6.22,33.6,23
CDM,30160042,Follicle Stimulating Hormone (So),84.0,84.0,12.43,67.2,23
CDM,30160043,Luteinizing Hormone (So),84.0,84.0,12.43,67.2,23
CDM,30160044,Myositis Specific 11 Ab Protein Western Blot (So),236.9,236.9,35.06,189.52,23
CDM,30160050,Interleukin-6 (Il-6) (So),358.0,358.0,52.98,286.4,23
CDM,30160055,Stone Risk Profile - Ammonia (So),32.0,32.0,4.74,25.6,23
CDM,30160056,Stone Risk Profile - Calcium Urine Quant (So),35.0,35.0,5.18,28.0,23
CDM,30160057,Stone Risk Profile - Citrate (So),32.0,32.0,4.74,25.6,23
CDM,30160058,Stone Risk Profile - Creatinine (So),32.0,32.0,4.74,25.6,23
CDM,30160059,Stone Risk Profile - Magnesium (So),35.0,35.0,5.18,28.0,23
CDM,30160060,Stone Risk Profile - Oxalate (So),32.0,32.0,4.74,25.6,23
CDM,30160061,Stone Risk Profile - Ph Body Fluid (So),35.0,35.0,5.18,28.0,23
CDM,30160062,Stone Risk Profile - Phosphate Urine (So),35.0,35.0,5.18,28.0,23
CDM,30160063,Stone Risk Profile - Potassium Urine (So),32.0,32.0,4.74,25.6,23
CDM,30160064,Stone Risk Profile - Sodium Urine (So),35.0,35.0,5.18,28.0,23
CDM,30160065,Stone Risk Profile - Sulfate Urine (So),32.0,32.0,4.74,25.6,23
CDM,30160066,Stone Risk Profile - Uric Acid (So),32.0,32.0,4.74,25.6,23
CDM,30160070,"Assay Protein, Serum (So)",32.0,32.0,4.74,25.6,23
CDM,30160071,Protein Electrophoresis Serum (So),32.0,32.0,4.74,25.6,23
CDM,30160072,Assay Creatinine Urine (So),48.0,48.0,7.1,38.4,23
CDM,30160073,Assay Protein Urine (So),54.0,54.0,7.99,43.2,23
CDM,30160074,"Protein Electrophoresis, Urine (So)",54.0,54.0,7.99,43.2,23
CDM,30160080,Kappa Free Light Chain Ab,181.7,181.7,26.89,145.36,23
CDM,30160081,Lambda Free Light Chain Ab,181.7,181.7,26.89,145.36,23
CDM,30160085,Alpha-2-Macroglobulin (So),182.0,182.0,26.94,145.6,23
CDM,30160086,Clozapine Drug Assay,150.0,150.0,22.2,120.0,23
CDM,30160087,Drug Test Presumptive Dir Opt Obs T-Cup,148.0,148.0,21.9,118.4,23
CDM,30200001,Proteus Ox-19 Ab,114.0,114.0,16.87,91.2,23
CDM,30200002,Typhoid O Antibody,114.0,114.0,16.87,91.2,23
CDM,30200003,Typhoid H Antibody,114.0,114.0,16.87,91.2,23
CDM,30200004,*Alternaria Alternata Ige,99.0,99.0,14.65,79.2,23
CDM,30200005,*Penicillium Notatum Ige,99.0,99.0,14.65,79.2,23
CDM,30200006,*Kentucky/June Bluegrass Ige,99.0,99.0,14.65,79.2,23
CDM,30200007,*Mouse Epithelia Ige,99.0,99.0,14.65,79.2,23
CDM,30200008,*Clam Ige,99.0,99.0,14.65,79.2,23
CDM,30200009,*Walnut (Food) Ige,99.0,99.0,14.65,79.2,23
CDM,30200010,*Scallop Ige,99.0,99.0,14.65,79.2,23
CDM,30200011,Ige Allergen Sesame Seed,99.0,99.0,14.65,79.2,23
CDM,30200012,Ige Allergen Nettle,99.0,99.0,14.65,79.2,23
CDM,30200013,Ige Allergen Sheep Sorrel,99.0,99.0,14.65,79.2,23
CDM,30200014,Mk82 Latex-Rst,99.0,99.0,14.65,79.2,23
CDM,30200015,Curvularia Lunato,99.0,99.0,14.65,79.2,23
CDM,30200016,Heluminthosporium I.,99.0,99.0,14.65,79.2,23
CDM,30200017,"Egg, Chicken",99.0,99.0,14.65,79.2,23
CDM,30200018,"Milk, Cow's",99.0,99.0,14.65,79.2,23
CDM,30200019,Wheat,99.0,99.0,14.65,79.2,23
CDM,30200020,OAT,99.0,99.0,14.65,79.2,23
CDM,30200021,CORN,99.0,99.0,14.65,79.2,23
CDM,30200022,Soybean,99.0,99.0,14.65,79.2,23
CDM,30200023,Peanut,99.0,99.0,14.65,79.2,23
CDM,30200024,TUNA,99.0,99.0,14.65,79.2,23
CDM,30200025,Codfish,99.0,99.0,14.65,79.2,23
CDM,30200026,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30200027,Shrimp,99.0,99.0,14.65,79.2,23
CDM,30200028,BEEF,99.0,99.0,14.65,79.2,23
CDM,30200029,RICE,5.6,5.6,0.83,4.48,23
CDM,30200030,White Potato,99.0,99.0,14.65,79.2,23
CDM,30200031,Yellow Onion,99.0,99.0,14.65,79.2,23
CDM,30200032,Honey Bee,99.0,99.0,14.65,79.2,23
CDM,30200033,White Faced Hornet,99.0,99.0,14.65,79.2,23
CDM,30200034,Yellow Jacket,99.0,99.0,14.65,79.2,23
CDM,30200035,Paper Wasp,99.0,99.0,14.65,79.2,23
CDM,30200036,Yellow Faced Hornet,99.0,99.0,14.65,79.2,23
CDM,30200037,Short Ragweed,99.0,99.0,14.65,79.2,23
CDM,30200038,Yellow Dock,99.0,99.0,14.65,79.2,23
CDM,30200039,Lamb's Quarters,99.0,99.0,14.65,79.2,23
CDM,30200040,Pigweed,99.0,99.0,14.65,79.2,23
CDM,30200041,Marsh Elder,99.0,99.0,14.65,79.2,23
CDM,30200042,English Plantain,99.0,99.0,14.65,79.2,23
CDM,30200043,Cocklebur,99.0,99.0,14.65,79.2,23
CDM,30200044,Bermuda Grass,99.0,99.0,14.65,79.2,23
CDM,30200045,Perennial Ryegrass,99.0,99.0,14.65,79.2,23
CDM,30200046,Timothy,99.0,99.0,14.65,79.2,23
CDM,30200047,Johnson Grass,99.0,99.0,14.65,79.2,23
CDM,30200048,Bahia Grass,99.0,99.0,14.65,79.2,23
CDM,30200049,White Oak,99.0,99.0,14.65,79.2,23
CDM,30200050,ELM,99.0,99.0,14.65,79.2,23
CDM,30200051,Black Walnut,99.0,99.0,14.65,79.2,23
CDM,30200052,White Ash,99.0,99.0,14.65,79.2,23
CDM,30200053,White Pine,99.0,99.0,14.65,79.2,23
CDM,30200054,Pecan,99.0,99.0,14.65,79.2,23
CDM,30200055,Cottonwood,99.0,99.0,14.65,79.2,23
CDM,30200056,Sycamore,99.0,99.0,14.65,79.2,23
CDM,30200058,Eucalyptus,99.0,99.0,14.65,79.2,23
CDM,30200059,Red Cedar,99.0,99.0,14.65,79.2,23
CDM,30200060,Red Maple,99.0,99.0,14.65,79.2,23
CDM,30200062,Dog Hair,99.0,99.0,14.65,79.2,23
CDM,30200063,Horse Hair,99.0,99.0,14.65,79.2,23
CDM,30200064,Feather Mix,99.0,99.0,14.65,79.2,23
CDM,30200065,D.Pteronyssinus,99.0,99.0,14.65,79.2,23
CDM,30200066,D.Farinae Mite,99.0,99.0,14.65,79.2,23
CDM,30200067,Cockroach,99.0,99.0,14.65,79.2,23
CDM,30200068,Pen. Brevicomp,99.0,99.0,14.65,79.2,23
CDM,30200069,"Clado, Herbarium",99.0,99.0,14.65,79.2,23
CDM,30200070,Candida Albicans,99.0,99.0,14.65,79.2,23
CDM,30200071,Alternaria Tenuis,99.0,99.0,14.65,79.2,23
CDM,30200072,Perinuclear Ab Scrn,326.0,326.0,48.25,260.8,23
CDM,30200073,Cytoplasmic Ab Scrn,610.65,610.65,90.38,488.52,23
CDM,30200074,Plt Ab: Hla Class 1,420.0,420.0,62.16,336.0,23
CDM,30200075,Plt Ab: Gp Iib/Iiia,420.0,420.0,62.16,336.0,23
CDM,30200076,Plt Ab: Gp Ib/IX,420.0,420.0,62.16,336.0,23
CDM,30200077,Plt Ab: Gp Ia/Iib,420.0,420.0,62.16,336.0,23
CDM,30200078,Plt Ab: Gp IV,420.0,420.0,62.16,336.0,23
CDM,30200079,Ana Screen,291.0,291.0,43.07,232.8,23
CDM,30200080,Strep Aso,132.0,132.0,19.54,105.6,23
CDM,30200081,C-Reactive Protein,235.0,235.0,34.78,188.0,23
CDM,30200082,C-Reactive Protein-Hs,268.0,268.0,39.66,214.4,23
CDM,30200083,"Crp-Hs,Micro",268.0,268.0,39.66,214.4,23
CDM,30200084,Complement-3c,387.55,387.55,57.36,310.04,23
CDM,30200085,Complement-4,387.55,387.55,57.36,310.04,23
CDM,30200086,"Complement-C3,Synvl",387.55,387.55,57.36,310.04,23
CDM,30200087,"Complement-C4,Synvl",387.55,387.55,57.36,310.04,23
CDM,30200088,"Complement Tot,Ch50",290.0,290.0,42.92,232.0,23
CDM,30200089,"Complemnt Tot,Ch100",199.0,199.0,29.45,159.2,23
CDM,30200090,Fungal Serology,157.0,157.0,23.24,125.6,23
CDM,30200091,Parasitic Serology,157.0,157.0,23.24,125.6,23
CDM,30200092,Viral Serology,157.0,157.0,23.24,125.6,23
CDM,30200093,Misc. Serology,157.0,157.0,23.24,125.6,23
CDM,30200094,Strep Antid-Nase B,190.0,190.0,28.12,152.0,23
CDM,30200095,"Ds-Dna Ab,Crithidia",291.0,291.0,43.07,232.8,23
CDM,30200096,"Ds-Dna Ab,Eia",325.0,325.0,48.1,260.0,23
CDM,30200097,"Jo-1 Ab Screen, Eia",395.6,395.6,58.55,316.48,23
CDM,30200098,"Scl-70 Ab Screen, Eia",395.6,395.6,58.55,316.48,23
CDM,30200099,Anticentromere Scrn,395.6,395.6,58.55,316.48,23
CDM,30200100,Smith (Sm) Ab Screen,373.75,373.75,55.32,299.0,23
CDM,30200101,Rnp Ab Screen,373.75,373.75,55.32,299.0,23
CDM,30200102,Ssa (Ro) Ab Screen,373.75,373.75,55.32,299.0,23
CDM,30200103,Ssb (La) Ab Screen,373.75,373.75,55.32,299.0,23
CDM,30200104,Perinuclear Ab,50.0,50.0,7.4,40.0,23
CDM,30200105,Smooth Muscle Ab,204.7,204.7,30.3,163.76,23
CDM,30200106,Parietal Cell Ab,204.7,204.7,30.3,163.76,23
CDM,30200107,Adrenal Ab Screen,239.2,239.2,35.4,191.36,23
CDM,30200108,Basement Mem Ab Scrn,239.2,239.2,35.4,191.36,23
CDM,30200109,Rmsf Antibody Igg,239.2,239.2,35.4,191.36,23
CDM,30200110,Rmsf Antibody Igm,239.2,239.2,35.4,191.36,23
CDM,30200111,Cancer Antigen 15-3,230.0,230.0,34.04,184.0,23
CDM,30200112,Cancer Ag 27-29,230.0,230.0,34.04,184.0,23
CDM,30200113,Carbohydrate Ag 19-9,388.7,388.7,57.53,310.96,23
CDM,30200114,Infect Mono Screen,204.7,204.7,30.3,163.76,23
CDM,30200115,Ca-125 Immunoassay Tumor Antigen,529.0,529.0,78.29,423.2,23
CDM,30200116,Diphtheria Ab,248.0,248.0,36.7,198.4,23
CDM,30200117,Dnp Antibody,225.0,225.0,33.3,180.0,23
CDM,30200118,Hypersens Pneumo Scr,425.0,425.0,62.9,340.0,23
CDM,30200119,Immune Complex(C1q),224.0,224.0,33.15,179.2,23
CDM,30200120,"Immunofixation,Ser",518.65,518.65,76.76,414.92,23
CDM,30200121,"Immunofixation,Urine",531.3,531.3,78.63,425.04,23
CDM,30200122,Inhibin-A,77.0,77.0,11.4,61.6,23
CDM,30200123,Insulin Auto Ab,259.0,259.0,38.33,207.2,23
CDM,30200124,Intrinsic Factor Ab,270.0,270.0,39.96,216.0,23
CDM,30200125,Pancreatic Islet Ab,280.6,280.6,41.53,224.48,23
CDM,30200126,Phagocytic Charge,431.0,431.0,63.79,344.8,23
CDM,30200127,"Cd3, Total T%",380.99,380.99,56.39,304.79,23
CDM,30200128,Lymph Subsets:Cd4&Cd8,573.85,573.85,84.93,459.08,23
CDM,30200129,L-K Microsomal Ab,324.0,324.0,47.95,259.2,23
CDM,30200131,Rapid Strep Test,306.0,306.0,45.29,244.8,23
CDM,30200132,Crypto.Antigen Scrn,306.0,306.0,45.29,244.8,23
CDM,30200133,"Crypto.Ag,CSF-Qual",306.0,306.0,45.29,244.8,23
CDM,30200138,"Crypto.Ag,CSF-Quant",259.9,259.9,38.47,207.92,23
CDM,30200139,"Crypto.Ag,Bld-Quant",259.9,259.9,38.47,207.92,23
CDM,30200140,"Rheumatoid Factor, Bld",234.6,234.6,34.72,187.68,23
CDM,30200141,"Rheumatoid Factor, Syn Fld",234.6,234.6,34.72,187.68,23
CDM,30200142,"Cytomegalovirus Igg Avidity, Elisa (So)",215.0,215.0,31.82,172.0,23
CDM,30200143,Interstitial Lung Disease Panel (So),1946.0,1946.0,288.01,1556.8,23
CDM,30200144,CCP Antibody (So),195.0,195.0,28.86,156.0,23
CDM,30200145,Natural Killer Cellls So,128.0,128.0,18.94,102.4,23
CDM,30200146,Ia-2 Ab (So),193.0,193.0,28.56,154.4,23
CDM,30200147,Lymph Subset B Cell Tot (So),206.0,206.0,30.49,164.8,23
CDM,30200149,"Ppd, TB Skin",89.0,89.0,13.17,71.2,23
CDM,30200150,Fta - Abs,247.25,247.25,36.59,197.8,23
CDM,30200151,Rheumatoid Factor Quantitative (So),195.0,195.0,28.86,156.0,23
CDM,30200152,"Gad65, Ia-2, and Insulin Autoantibody (So)",363.0,363.0,53.72,290.4,23
CDM,30200153,Gad65 Neurological Syndrome Antibody Test (So),913.0,913.0,135.12,730.4,23
CDM,30200154,"Mog Ab, Cba - Serum (So)",1320.0,1320.0,195.36,1056.0,23
CDM,30200155,Ia-2 Antibody (So),360.0,360.0,53.28,288.0,23
CDM,30200156,Zinc Transporter 8 (Znt8) Antibody (So),168.0,168.0,24.86,134.4,23
CDM,30200157,Rpr (Qual),153.0,153.0,22.64,122.4,23
CDM,30200159,"Vdrl,CSF",153.0,153.0,22.64,122.4,23
CDM,30200160,"Vdrl-CSF,Quant",173.0,173.0,25.6,138.4,23
CDM,30200161,Rpr (Quant),173.0,173.0,25.6,138.4,23
CDM,30200162,Aspergillus Fumigatus,78.0,78.0,11.54,62.4,23
CDM,30200163,B.Henselae Igg,126.0,126.0,18.65,100.8,23
CDM,30200164,B.Henselae Igm,126.0,126.0,18.65,100.8,23
CDM,30200165,B.Quintana Igg,126.0,126.0,18.65,100.8,23
CDM,30200166,B.Quintana Igm,126.0,126.0,18.65,100.8,23
CDM,30200168,Lyme Ab Total,410.55,410.55,60.76,328.44,23
CDM,30200170,B. Abortus Igg,197.0,197.0,29.16,157.6,23
CDM,30200171,B. Abortus Igm,197.0,197.0,29.16,157.6,23
CDM,30200172,Chlam Pnuemo Igg,203.0,203.0,30.04,162.4,23
CDM,30200173,Chlam Pnuemo Iga,203.0,203.0,30.04,162.4,23
CDM,30200174,Chlam Trach Igg,203.0,203.0,30.04,162.4,23
CDM,30200175,Chlam Trach Iga,203.0,203.0,30.04,162.4,23
CDM,30200176,Chlam Psittaci Icg,203.0,203.0,30.04,162.4,23
CDM,30200177,Chlam Psittaci Iga,203.0,203.0,30.04,162.4,23
CDM,30200178,Chlam Pnuemo Igm,247.25,247.25,36.59,197.8,23
CDM,30200179,Chlam Trach Igm,247.25,247.25,36.59,197.8,23
CDM,30200180,"Q Fever Igg, Acute",250.0,250.0,37.0,200.0,23
CDM,30200181,"Q Fever Igg, Conval.",250.0,250.0,37.0,200.0,23
CDM,30200182,Cmv Igg,298.0,298.0,44.1,238.4,23
CDM,30200183,Cmv Igg Ab-Eia,298.0,298.0,44.1,238.4,23
CDM,30200184,Cmv Igm,205.0,205.0,30.34,164.0,23
CDM,30200202,Coxsackie B1 Titer,168.0,168.0,24.86,134.4,23
CDM,30200203,Coxsackie B2 Titer,168.0,168.0,24.86,134.4,23
CDM,30200204,Coxsackie B3 Titer,168.0,168.0,24.86,134.4,23
CDM,30200205,Coxsackie B4 Titer,168.0,168.0,24.86,134.4,23
CDM,30200206,Coxsackie B5 Titer,168.0,168.0,24.86,134.4,23
CDM,30200207,Coxsackie B6 Titer,168.0,168.0,24.86,134.4,23
CDM,30200208,Echovirus 4 Titer,168.0,168.0,24.86,134.4,23
CDM,30200209,Echovirus 9 Titer,168.0,168.0,24.86,134.4,23
CDM,30200210,Echovirus 11 Titer,168.0,168.0,24.86,134.4,23
CDM,30200211,Coxsackie A2 Titer,168.0,168.0,24.86,134.4,23
CDM,30200212,Coxsackie A4 Titer,168.0,168.0,24.86,134.4,23
CDM,30200213,Coxsackie A10 Titer,168.0,168.0,24.86,134.4,23
CDM,30200214,Coxsackie A16 Titer,168.0,168.0,24.86,134.4,23
CDM,30200215,Ebv Nuclear Ab,234.6,234.6,34.72,187.68,23
CDM,30200216,Ebv Capsid Igg Ab,263.35,263.35,38.98,210.68,23
CDM,30200217,Ebv Capsid Igm Ab,263.35,263.35,38.98,210.68,23
CDM,30200218,Ehrlichia Igg,280.0,280.0,41.44,224.0,23
CDM,30200219,Ehrlichia Igm,280.0,280.0,41.44,224.0,23
CDM,30200220,Tularemia Antibody,213.15,213.15,31.55,170.52,23
CDM,30200227,H.Pylori Iga,207.0,207.0,30.64,165.6,23
CDM,30200228,H.Pylori Igg Ab-Eia,330.0,330.0,48.84,264.0,23
CDM,30200229,Cysticercus Igg,289.0,289.0,42.77,231.2,23
CDM,30200230,Echinococcus Igg,289.0,289.0,42.77,231.2,23
CDM,30200231,Filaria Ab,289.0,289.0,42.77,231.2,23
CDM,30200232,Strongyloides Igg,191.0,191.0,28.27,152.8,23
CDM,30200233,Schistosoma Igg,289.0,289.0,42.77,231.2,23
CDM,30200236,Hepatitis Delta Ab,312.8,312.8,46.29,250.24,23
CDM,30200237,Hsv 1/2 Igm,185.0,185.0,27.38,148.0,23
CDM,30200244,Hsv-I Igg,230.0,230.0,34.04,184.0,23
CDM,30200245,Hsv - II Igg,213.9,213.9,31.66,171.12,23
CDM,30200246,Histoplasma Ab (S),137.0,137.0,20.28,109.6,23
CDM,30200247,Hiv-1/2,255.0,255.0,37.74,204.0,23
CDM,30200248,Hbv Core Ab,327.75,327.75,48.51,262.2,23
CDM,30200249,Hepatitis-B Core M,365.7,365.7,54.12,292.56,23
CDM,30200250,Hbv Surface Ab,257.0,257.0,38.04,205.6,23
CDM,30200251,Hbv E Ab,192.0,192.0,28.42,153.6,23
CDM,30200253,Hav Igm Ab,356.0,356.0,52.69,284.8,23
CDM,30200254,L. Pneumoph. Ab - Total,219.0,219.0,32.41,175.2,23
CDM,30200256,Lgv Antibody Screen,214.0,214.0,31.67,171.2,23
CDM,30200257,Mycoplasma Igg,149.0,149.0,22.05,119.2,23
CDM,30200258,Mycoplasma Igm,149.0,149.0,22.05,119.2,23
CDM,30200259,Parvovirus Igg,219.0,219.0,32.41,175.2,23
CDM,30200260,Parvovirus Igm,219.0,219.0,32.41,175.2,23
CDM,30200261,Ent. Histolytica Ab,165.0,165.0,24.42,132.0,23
CDM,30200262,Rubella Immune Scrn,230.0,230.0,34.04,184.0,23
CDM,30200263,Rubella Igg,217.0,217.0,32.12,173.6,23
CDM,30200264,Rubella Igm,217.0,217.0,32.12,173.6,23
CDM,30200265,Rubeola (Measles) Igm,224.25,224.25,33.19,179.4,23
CDM,30200266,Rubeola (Measles) Igg,224.25,224.25,33.19,179.4,23
CDM,30200267,Toxoplasma Igg,372.0,372.0,55.06,297.6,23
CDM,30200268,"Toxo Ab-Igg,CSF",372.0,372.0,55.06,297.6,23
CDM,30200270,Toxoplasma Igm,230.0,230.0,34.04,184.0,23
CDM,30200271,"Toxo Ab-Igm,CSF",230.0,230.0,34.04,184.0,23
CDM,30200272,"Treponemal Igg, CSF",234.6,234.6,34.72,187.68,23
CDM,30200273,Treponemal-Igg-Eia,247.25,247.25,36.59,197.8,23
CDM,30200275,Varicella Zoster Igm,297.85,297.85,44.08,238.28,23
CDM,30200276,Varicella Zoster,297.85,297.85,44.08,238.28,23
CDM,30200281,Htlv I/II Ab,299.0,299.0,44.25,239.2,23
CDM,30200282,"Thyroglob Ab, Quant",336.0,336.0,49.73,268.8,23
CDM,30200284,Hcv Ab (2nd Gen),343.0,343.0,50.76,274.4,23
CDM,30200285,Hla-B27,582.0,582.0,86.14,465.6,23
CDM,30200295,Dog Dander (E5) Ige With Reflex to Component Panel,9.0,9.0,1.33,7.2,23
CDM,30200296,Dog Dander Component Panel,93.15,93.15,13.79,74.52,23
CDM,30200297,Cat Dander Component Panel,98.0,98.0,14.5,78.4,23
CDM,30200310,Smooth Muscle Ab Titer,70.0,70.0,10.36,56.0,23
CDM,30200315,Cbc & Plat,209.3,209.3,30.98,167.44,23
CDM,30200335,Neutraphil Ab ID (So),244.0,244.0,36.11,195.2,23
CDM,30200337,Echovirus Ab CSF (So),205.0,205.0,30.34,164.0,23
CDM,30200338,Enceph Auto Eval CSF Ria (So),434.0,434.0,64.23,347.2,23
CDM,30200339,Enceph Ab Screen CSF (So),360.0,360.0,53.28,288.0,23
CDM,30200340,Enceph Islet Cell Ab CSF (So),234.0,234.0,34.63,187.2,23
CDM,30200343,Human Epididymis Prot 4 (So),495.0,495.0,73.26,396.0,23
CDM,30200344,Coccidioides Ab (So),132.0,132.0,19.54,105.6,23
CDM,30200347,Chikungunya Ab (So),197.0,197.0,29.16,157.6,23
CDM,30200370,Focus Hiv-1 Confirmation,283.0,283.0,41.88,226.4,23
CDM,30200371,Focus Hiv-2 Confirmation,329.0,329.0,48.69,263.2,23
CDM,30200373,Abpa Allergen Spec Ige (So),99.0,99.0,14.65,79.2,23
CDM,30200375,C3 Nephritic Factor (So),231.0,231.0,34.19,184.8,23
CDM,30200379,Ana Ifa With Reflex (So),201.0,201.0,29.75,160.8,23
CDM,30200380,Wbc Ab ID (Neutrophil) (So),236.0,236.0,34.93,188.8,23
CDM,30200382,Ampa Recept Fluor Ab Screen (So),387.0,387.0,57.28,309.6,23
CDM,30200388,Paraneo Autoab Eval Ria(So),186.0,186.0,27.53,148.8,23
CDM,30200389,Paraneo Autoab Titer Ria(So),120.0,120.0,17.76,96.0,23
CDM,30200390,Nmda Recep Ab Serum,184.0,184.0,27.23,147.2,23
CDM,30200400,Beta Glucosidase So,1282.0,1282.0,189.74,1025.6,23
CDM,30200401,Hiv 1/2 Ag/Ab 4th Generation So,257.0,257.0,38.04,205.6,23
CDM,30200450,Proteinase-3 Antibody,206.0,206.0,30.49,164.8,23
CDM,30200451,Myeloperoxidase Antibody,610.65,610.65,90.38,488.52,23
CDM,30200452,"Platelet Igg Ab,Indirect",301.0,301.0,44.55,240.8,23
CDM,30200453,Platelet Glycoprot. Ab,501.0,501.0,74.15,400.8,23
CDM,30200454,Cyclic Citurullinate Antibody,387.0,387.0,57.28,309.6,23
CDM,30200455,Parietal Antibody Titer,239.2,239.2,35.4,191.36,23
CDM,30200491,"Immunoassay, Tumor Antigen, Quant",315.0,315.0,46.62,252.0,23
CDM,30200499,Leukocyte Histamine Release,235.0,235.0,34.78,188.0,23
CDM,30200511,Prothrombin Fragment (E),348.0,348.0,51.5,278.4,23
CDM,30200636,Leukocyte Histamine Release,52.0,52.0,7.7,41.6,23
CDM,30200638,Wbc Antibody Identification,31.0,31.0,4.59,24.8,23
CDM,30200650,Leukocyte Histamine Release,48.0,48.0,7.1,38.4,23
CDM,30200652,Wbc Antibody Identification,29.0,29.0,4.29,23.2,23
CDM,30200681,Flow Cytometry First Marker,801.0,801.0,118.55,640.8,23
CDM,30200682,Flow Cytometry Ea Addl Marker,131.1,131.1,19.4,104.88,23
CDM,30200686,Heparin Assay,199.0,199.0,29.45,159.2,23
CDM,30200711,"Drug Screen, Any Number Drug Classes",518.65,518.65,76.76,414.92,23
CDM,30200759,Blood Platelet Aggregation,122.0,122.0,18.06,97.6,23
CDM,30200790,Platelet Antibodies,184.0,184.0,27.23,147.2,23
CDM,30200791,Platelet Antibodies,106.0,106.0,15.69,84.8,23
CDM,30200806,Treponema Pallidum,234.6,234.6,34.72,187.68,23
CDM,30200818,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30200819,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30200820,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30200843,Ag Detect Nos Eia Mult,307.0,307.0,45.44,245.6,23
CDM,30200868,Detect Agent Nos Dna Amp,579.0,579.0,85.69,463.2,23
CDM,30200895,"T3, Free",382.0,382.0,56.54,305.6,23
CDM,30200919,Spectrophotometry,234.0,234.0,34.63,187.2,23
CDM,30200921,Spectrophotometry,234.0,234.0,34.63,187.2,23
CDM,30200927,Immunoassay Tumor Other,178.0,178.0,26.34,142.4,23
CDM,30200939,Immunoassay Tumor Other,266.0,266.0,39.37,212.8,23
CDM,30200941,Cardiolipin Antibody,53.0,53.0,7.84,42.4,23
CDM,30200945,Glycoprotein Antibody,107.0,107.0,15.84,85.6,23
CDM,30200946,Cardiolipin Antibody,254.15,254.15,37.61,203.32,23
CDM,30200947,Phospholipid Antibody,83.0,83.0,12.28,66.4,23
CDM,30200954,"Antibody Encephalitis, California (La Crosse)",38.0,38.0,5.62,30.4,23
CDM,30200955,"Antibody Encephalitis, Eastern Equine",38.0,38.0,5.62,30.4,23
CDM,30200956,"Antibody Encephalitis, St. Louis",38.0,38.0,5.62,30.4,23
CDM,30200957,"Antibody Encephalitis, Western Equine",38.0,38.0,5.62,30.4,23
CDM,30200963,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30200969,Insulin Antibodies,326.0,326.0,48.25,260.8,23
CDM,30200976,Protozoa Antibody Nos,81.0,81.0,11.99,64.8,23
CDM,30200978,Detect Agent Nos Dna Amp,676.2,676.2,100.08,540.96,23
CDM,30200982,Bartonella Dna Amp Probe,662.0,662.0,97.98,529.6,23
CDM,30200999,Glycoprotein Antibody,93.0,93.0,13.76,74.4,23
CDM,30201005,Bordetella Antibody,114.0,114.0,16.87,91.2,23
CDM,30201011,Complement Antigen,224.0,224.0,33.15,179.2,23
CDM,30201013,Immunodiffusion,122.0,122.0,18.06,97.6,23
CDM,30201015,Immunoassay Tumor Ca 19-9,137.0,137.0,20.28,109.6,23
CDM,30201025,Cariolipin Antibody,53.0,53.0,7.84,42.4,23
CDM,30201038,Chlamydia Antibody,131.0,131.0,19.39,104.8,23
CDM,30201041,Assay Serum Cholinesterase,87.0,87.0,12.88,69.6,23
CDM,30201043,Assay of Chromium,97.0,97.0,14.36,77.6,23
CDM,30201045,Immunoassay Tumor Other,293.0,293.0,43.36,234.4,23
CDM,30201049,Cold Agglutinin Titer,36.0,36.0,5.33,28.8,23
CDM,30201051,Collagen Crosslinks,149.0,149.0,22.05,119.2,23
CDM,30201053,Complement Antigen,224.0,224.0,33.15,179.2,23
CDM,30201055,Complement Antigen,200.0,200.0,29.6,160.0,23
CDM,30201057,Complement Antigen,230.0,230.0,34.04,184.0,23
CDM,30201059,Complement Antigen,230.0,230.0,34.04,184.0,23
CDM,30201061,Complement Antigen,224.0,224.0,33.15,179.2,23
CDM,30201063,Ria Nonantibody,597.0,597.0,88.36,477.6,23
CDM,30201065,Cortisol Free,254.0,254.0,37.59,203.2,23
CDM,30201067,Quantitative Assay Drug,225.0,225.0,33.3,180.0,23
CDM,30201071,Leukocyte Histamine Release,235.0,235.0,34.78,188.0,23
CDM,30201074,Leukocyte Histamine Release,204.0,204.0,30.19,163.2,23
CDM,30201080,Helminth Antibody,226.0,226.0,33.45,180.8,23
CDM,30201086,Virus Antibody Nos,267.0,267.0,39.52,213.6,23
CDM,30201111,Fluorescent Antibody Screen,186.0,186.0,27.53,148.8,23
CDM,30201153,Allergen Specific Igg,149.0,149.0,22.05,119.2,23
CDM,30201171,Chorionic Gonadotropin Test,243.0,243.0,35.96,194.4,23
CDM,30201202,Assay of Homocystine,347.0,347.0,51.36,277.6,23
CDM,30201207,Detection Herpes Simplex Virus (Hsv-1 or Hsv-2) Amplified Probe Tq,324.3,324.3,48.0,259.44,23
CDM,30201211,Detection Herpes Virus-6 (Hhv-6) Amplified Probe Tq,452.0,452.0,66.9,361.6,23
CDM,30201213,Placental Lactogen,321.0,321.0,47.51,256.8,23
CDM,30201220,Immunodiffusion Ouchterlony,19.0,19.0,2.81,15.2,23
CDM,30201224,Islet Cell Antibody,234.0,234.0,34.63,187.2,23
CDM,30201227,Igg 1 2 3 or 4 Each,84.0,84.0,12.43,67.2,23
CDM,30201229,Inhibin A,128.0,128.0,18.94,102.4,23
CDM,30201238,Quantitative Assay Drug,247.0,247.0,36.56,197.6,23
CDM,30201252,Leishmania Antibody,174.0,174.0,25.75,139.2,23
CDM,30201254,Assay of Lipase,125.0,125.0,18.5,100.0,23
CDM,30201256,Assay of Lipoprotein(A),186.0,186.0,27.53,148.8,23
CDM,30201269,Antinuclear Antibodies,72.0,72.0,10.66,57.6,23
CDM,30201271,Nuclear Antigen Antibody,76.0,76.0,11.25,60.8,23
CDM,30201272,Fluorescent Antibody Screen,61.0,61.0,9.03,48.8,23
CDM,30201276,Lyme Disease Antibody,104.0,104.0,15.39,83.2,23
CDM,30201282,B Cells Total Count,111.0,111.0,16.43,88.8,23
CDM,30201286,Mac Sensitivity,150.0,150.0,22.2,120.0,23
CDM,30201287,Microbe Suscept Mycobacteri,106.0,106.0,15.69,84.8,23
CDM,30201322,Fluorescent Antibody Screen,387.0,387.0,57.28,309.6,23
CDM,30201324,Assay of Nicotine,562.0,562.0,83.18,449.6,23
CDM,30201335,Fluorescent Antibody Screen,171.0,171.0,25.31,136.8,23
CDM,30201336,Fluorescent Antibody Screen,266.0,266.0,39.37,212.8,23
CDM,30201338,Detect Agent Nos Dna Quant,951.0,951.0,140.75,760.8,23
CDM,30201354,Assay of Porphobilinogen,162.0,162.0,23.98,129.6,23
CDM,30201358,Assay of Urine Porphyrins,83.0,83.0,12.28,66.4,23
CDM,30201363,Proinsulin So,488.0,488.0,72.22,390.4,23
CDM,30201384,Immunoassay Infectious Agent,143.0,143.0,21.16,114.4,23
CDM,30201390,Allergen Specific Ige,96.0,96.0,14.21,76.8,23
CDM,30201392,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30201481,Reptilase Test,187.0,187.0,27.68,149.6,23
CDM,30201486,Ribosomal P Antibody (So),213.0,213.0,31.52,170.4,23
CDM,30201487,Immunoassay Nonantibody,248.0,248.0,36.7,198.4,23
CDM,30201493,Quantitative Assay Drug,247.0,247.0,36.56,197.6,23
CDM,30201495,Immunoassay Quant Nos Nonab,317.0,317.0,46.92,253.6,23
CDM,30201497,Fungus Antibody,149.0,149.0,22.05,119.2,23
CDM,30201499,Fungus Antibody,71.0,71.0,10.51,56.8,23
CDM,30201503,Assay of Selenium,147.0,147.0,21.76,117.6,23
CDM,30201508,Assay of Sex Hormone Globul,63.0,63.0,9.32,50.4,23
CDM,30201510,Bacterium Antibody,36.0,36.0,5.33,28.8,23
CDM,30201524,T3 Reverse,181.0,181.0,26.79,144.8,23
CDM,30201535,Assay of Testosterone,75.0,75.0,11.1,60.0,23
CDM,30201536,Assay of Total Testosterone,75.0,75.0,11.1,60.0,23
CDM,30201538,Assay of Testosterone,75.0,75.0,11.1,60.0,23
CDM,30201546,Thyroid Stimulating Immunoglobulin So,351.9,351.9,52.08,281.52,23
CDM,30201549,Ria Nonantibody,416.0,416.0,61.57,332.8,23
CDM,30201551,Helminth Antibody,104.0,104.0,15.39,83.2,23
CDM,30201559,Prorozoa Antibody Nos,59.0,59.0,8.73,47.2,23
CDM,30201563,Detect Agent Nos Dna Quant,996.0,996.0,147.41,796.8,23
CDM,30201566,Vitamin B1 Plasma (Thiamine) So,225.4,225.4,33.36,180.32,23
CDM,30201569,Assay of Vitamin K,356.0,356.0,52.69,284.8,23
CDM,30201571,Assay of Nos Vitamin,182.0,182.0,26.94,145.6,23
CDM,30201573,Assay of Vtamin B-6,452.0,452.0,66.9,361.6,23
CDM,30201578,Blood Clot Factor VIII Test,397.0,397.0,58.76,317.6,23
CDM,30201580,Quantitative Assay Drug,247.0,247.0,36.56,197.6,23
CDM,30201581,West Nile Ab CSF So,193.0,193.0,28.56,154.4,23
CDM,30201584,West Nile Ab Serum So,186.0,186.0,27.53,148.8,23
CDM,30201588,Spectrophotometry,234.0,234.0,34.63,187.2,23
CDM,30201590,Assay of Urine Creatinine,102.0,102.0,15.1,81.6,23
CDM,30201591,Assay of 5-Hiaa,221.0,221.0,32.71,176.8,23
CDM,30201593,Immunoassay Nonantibody,288.0,288.0,42.62,230.4,23
CDM,30201614,Immunoassay Nonantibody,272.0,272.0,40.26,217.6,23
CDM,30201618,Hiv-2 Dna Amp Probe,749.0,749.0,110.85,599.2,23
CDM,30201620,Assay of Thyroglobulin,281.0,281.0,41.59,224.8,23
CDM,30201628,Immunoassay Infectious Agent,54.0,54.0,7.99,43.2,23
CDM,30201640,Varicella-Zoster Antibody,297.85,297.85,44.08,238.28,23
CDM,30201658,Immunoassay Infectious Agent,33.0,33.0,4.88,26.4,23
CDM,30201691,Fluorescent Antibody Screen,387.0,387.0,57.28,309.6,23
CDM,30201707,Wbc Antibody Identification,92.0,92.0,13.62,73.6,23
CDM,30201708,Fluorescent Antibody Screen,83.0,83.0,12.28,66.4,23
CDM,30201711,Hiv-2 Wb,320.0,320.0,47.36,256.0,23
CDM,30201712,Antinuclear Antibodies,24.0,24.0,3.55,19.2,23
CDM,30201727,Immunohistochemistry,413.0,413.0,61.12,330.4,23
CDM,30201729,Fluorescent Antibody Titer,197.0,197.0,29.16,157.6,23
CDM,30201735,Nait Platelet Ab (So),361.0,361.0,53.43,288.8,23
CDM,30201736,Fluorescent Antibody Screen,27.0,27.0,4.0,21.6,23
CDM,30201737,Lymph Choriomeningitis Ab,29.0,29.0,4.29,23.2,23
CDM,30201754,Glycated Protein,263.35,263.35,38.98,210.68,23
CDM,30201759,Fluorescent Antibody Screen,35.0,35.0,5.18,28.0,23
CDM,30201760,Fluorescent Antibody Titer,35.0,35.0,5.18,28.0,23
CDM,30201761,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30201762,Ria Nonantibody,367.0,367.0,54.32,293.6,23
CDM,30201767,Immunoassay Quant Nos Nonab,358.0,358.0,52.98,286.4,23
CDM,30201769,Detection Cytomegalovirus (Cmv) Amplified Probe Tq,318.0,318.0,47.06,254.4,23
CDM,30201771,Fluorescent Antibody Screen,55.0,55.0,8.14,44.0,23
CDM,30201772,Fluorescent Antibody Titer,55.0,55.0,8.14,44.0,23
CDM,30201802,Detect Agent Nos Dna Amp,676.2,676.2,100.08,540.96,23
CDM,30201817,Quantitative Assay Drug,247.0,247.0,36.56,197.6,23
CDM,30201837,Cells Total Count,74.0,74.0,10.95,59.2,23
CDM,30201838,Cells Total Count,74.0,74.0,10.95,59.2,23
CDM,30201839,Institu Hybridization (Fish),393.0,393.0,58.16,314.4,23
CDM,30201842,Fluorescent Antibody Screen,38.0,38.0,5.62,30.4,23
CDM,30201843,Fluorescent Antibody Titer,38.0,38.0,5.62,30.4,23
CDM,30201844,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30201845,"Immunoassay for Infectious Agent,Ab,Quant",31.0,31.0,4.59,24.8,23
CDM,30201846,Allergen Specific Igg Quant,140.0,140.0,20.72,112.0,23
CDM,30201847,Allergen Specific Ige,99.0,99.0,14.65,79.2,23
CDM,30201848,Anti-Cardiolipin Igg,398.0,398.0,58.9,318.4,23
CDM,30201849,Anti-Cardiolipin Igm,398.0,398.0,58.9,318.4,23
CDM,30201865,Bcr/Abl T(9;22) Fish (Gen),663.0,663.0,98.12,530.4,23
CDM,30201869,KRAS Gene Mutation Detection (RQD),952.0,952.0,140.9,761.6,23
CDM,30201933,Jak2 V617f Mutation Quant (So),981.0,981.0,145.19,784.8,23
CDM,30201958,Focus Hiv 1/2 Ab Scrn,309.0,309.0,45.73,247.2,23
CDM,30201960,Focus Lymphocyte Subsets,573.85,573.85,84.93,459.08,23
CDM,30201961,Strep Pneumoniae Igg Ab Panel (So),354.2,354.2,52.42,283.36,23
CDM,30201965,Mthfr Mutation Analysis (So),850.0,850.0,125.8,680.0,23
CDM,30201966,Factor V Leiden Mutation,611.8,611.8,90.55,489.44,23
CDM,30201967,Factor II (Pt) Gene Mutation,614.0,614.0,90.87,491.2,23
CDM,30201968,Cystic Fib 97 Mutation Rqd,1343.0,1343.0,198.76,1074.4,23
CDM,30201975,Huntington's Dna (So),1143.0,1143.0,169.16,914.4,23
CDM,30201977,Hered Hemochrom Dna Anal Rqd,740.0,740.0,109.52,592.0,23
CDM,30201980,Allergen Specific Ige (So),40.0,40.0,5.92,32.0,23
CDM,30201983,Allergen Specific (Food) Ige (So),46.0,46.0,6.81,36.8,23
CDM,30201984,Allergen Specific (Enviro) Ige (So),46.0,46.0,6.81,36.8,23
CDM,30201987,Immune Complex Detection by C1q Binding (So),34.0,34.0,5.03,27.2,23
CDM,30201988,Ampa -Receptor Antibody (So) Mayo,387.0,387.0,57.28,309.6,23
CDM,30201989,"Nmda -Receptor Antibody, Serum (Mml)",387.0,387.0,57.28,309.6,23
CDM,30201995,"Acylcarnitine,Plasma(So)",352.0,352.0,52.1,281.6,23
CDM,30201996,"Aspergillus Antigen, Eia, Serum(So)",315.0,315.0,46.62,252.0,23
CDM,30201997,"Viral Respiratory,Rapid Culture With Reflex(So)",250.0,250.0,37.0,200.0,23
CDM,30201998,Anti-Mullerian Hormone AssessrÖ(So),459.0,459.0,67.93,367.2,23
CDM,30201999,Hiv-1 Integrase Genotype(So),676.0,676.0,100.05,540.8,23
CDM,30202000,"Hpv 8 Dna,Qual(So)",676.2,676.2,100.08,540.96,23
CDM,30202001,"Chromgranin a,Ecl",329.0,329.0,48.69,263.2,23
CDM,30202002,Euromyelitis Optica(So),301.0,301.0,44.55,240.8,23
CDM,30202003,Inhibin a(So),155.0,155.0,22.94,124.0,23
CDM,30202004,Inhibin B(So),459.0,459.0,67.93,367.2,23
CDM,30202007,"Fish, Myeloma 17p-,Rea14q32 (So) Dna Probe (So)",4290.0,4290.0,634.92,3432.0,23
CDM,30202008,"Fish, Myeloma 17p-,Rea14q32(So) Hybridization(So)",691.15,691.15,102.29,552.92,23
CDM,30202009,"Fish, Myeloma Igh Panel(So) Dna Probe (So)",2405.8,2405.8,356.06,1924.64,23
CDM,30202010,"Fish, Myeloma Igh Panel(So) Hybridization(So)",1046.0,1046.0,154.81,836.8,23
CDM,30202011,"Liver Fibrosis, Fibro Test-Actitest Panel (So)",492.0,492.0,72.82,393.6,23
CDM,30202012,"Hiv-1, Rna Qualitative Tma(So)",521.0,521.0,77.11,416.8,23
CDM,30202013,"Viral ID, Respiratory(So)",349.0,349.0,51.65,279.2,23
CDM,30202015,Qnatal Advanced(So),2554.0,2554.0,377.99,2043.2,23
CDM,30202016,"Metanephrines,Frac,UR(So)",244.0,244.0,36.11,195.2,23
CDM,30202017,"Aspergillus Antigen,Eia(So)",310.0,310.0,45.88,248.0,23
CDM,30202018,Hiv-1 Confirmation,323.0,323.0,47.8,258.4,23
CDM,30202019,Hiv-2 Confirmation,329.0,329.0,48.69,263.2,23
CDM,30202021,"Pneumocysttis Jirovecii, Qual Rt Pcr (So)",676.2,676.2,100.08,540.96,23
CDM,30202022,Chikungunya Ab Reflex to Titer (So),219.0,219.0,32.41,175.2,23
CDM,30202026,Hepatitis C Viral Rna Ns3 Genotype(So),509.0,509.0,75.33,407.2,23
CDM,30202027,"Hepatitis C Viral Rna, (So)",1076.0,1076.0,159.25,860.8,23
CDM,30202030,Rna Polymerase III Antibody,228.0,228.0,33.74,182.4,23
CDM,30202031,Islet Cell Ab (So),362.0,362.0,53.58,289.6,23
CDM,30202032,Islet Cell Ab (So),362.01,362.01,53.58,289.61,23
CDM,30202034,Voltage-Gtd Ca Chnl Ab (So),323.0,323.0,47.8,258.4,23
CDM,30202035,Voltage-Gtd Ca Chnl Ab (So),449.0,449.0,66.45,359.2,23
CDM,30202036,Voltage-Gtd Ca Chnl Ab (So),452.0,452.0,66.9,361.6,23
CDM,30202040,Rapid Hiv-1/Hiv-2 (1 Result) Ab,230.0,230.0,34.04,184.0,23
CDM,30202041,Aquaporin-4 Antb Cba (So),2533.0,2533.0,374.88,2026.4,23
CDM,30207009,"Hepatitis E Virus (Hev) Ab (Igg, Igm) (So)",336.0,336.0,49.73,268.8,23
CDM,30250310,Mitochondrial Ab Titer,70.0,70.0,10.36,56.0,23
CDM,30250312,mRNA,271.0,271.0,40.11,216.8,23
CDM,30250313,C-Anca Titer,34.0,34.0,5.03,27.2,23
CDM,30250314,P-Anca Titer,34.0,34.0,5.03,27.2,23
CDM,30250315,Atypical P-Anca Titer,80.0,80.0,11.84,64.0,23
CDM,30250325,Allergen Specific Ige Tilapia (So),99.0,99.0,14.65,79.2,23
CDM,30250326,Allergen Specific Ige Trout (So),99.0,99.0,14.65,79.2,23
CDM,30250327,Hepatitis a Igg,328.0,328.0,48.54,262.4,23
CDM,30250328,Hiv-1 Ag With Hiv-1/2 Ab,327.0,327.0,48.4,261.6,23
CDM,30250329,"Ds-Dna an, Crithidia Titer",150.0,150.0,22.2,120.0,23
CDM,30250342,Ana Ifa W/Reflex (So),323.15,323.15,47.83,258.52,23
CDM,30250380,Chikungunya Igg Titer(So),210.0,210.0,31.08,168.0,23
CDM,30250382,"Ana Screen Ifa, W/Titer and Pattern",142.0,142.0,21.02,113.6,23
CDM,30250383,"Legionella Pneumophila Ab (Igg), Ifa (So)",156.0,156.0,23.09,124.8,23
CDM,30250384,Copeptin (So),130.0,130.0,19.24,104.0,23
CDM,30250388,Aquaporin-4 Antb Cba (So),372.6,372.6,55.14,298.08,23
CDM,30250389,Aquaporin-4 Antb Cba (So),2533.0,2533.0,374.88,2026.4,23
CDM,30250390,Hsv 1 Igg (So),129.95,129.95,19.23,103.96,23
CDM,30250391,Hsv 2 Igg (So),190.9,190.9,28.25,152.72,23
CDM,30250392,Hsv 2 Igg Inhibition (So),400.0,400.0,59.2,320.0,23
CDM,30250393,Aquaporin-4 Antb Cba (So),563.5,563.5,83.4,450.8,23
CDM,30250394,Aquaporin-4 Antb Cba (So),528.0,528.0,78.14,422.4,23
CDM,30250395,Myositis Specific 11 Ab Nuclear Ag (So),219.65,219.65,32.51,175.72,23
CDM,30250396,Kappa/Lambda Ish,377.0,377.0,55.8,301.6,23
CDM,30250397,Kappa/Lambda Ish,377.0,377.0,55.8,301.6,23
CDM,30250399,Fluorescent Ab Screen (So),2043.0,2043.0,302.36,1634.4,23
CDM,30250400,Ia Infectious Ag Ab Sars-Cov2 Covid 19,349.0,349.0,51.65,279.2,23
CDM,30250401,Sars-Cov-2 Covid-19 Antibody,83.0,83.0,12.28,66.4,23
CDM,30250402,"Chromogranin a, Rebaseline (So)",149.0,149.0,22.05,119.2,23
CDM,30250403,Fluorescent Ab Screen (So),1648.0,1648.0,243.9,1318.4,23
CDM,30250404,Fluorescent Ab Screen (So),1493.0,1493.0,220.96,1194.4,23
CDM,30250405,Fluorescent Ab Screen (So),3099.0,3099.0,458.65,2479.2,23
CDM,30250406,Fluorescent Ab Screen (So),3352.0,3352.0,496.1,2681.6,23
CDM,30250407,Islet Cell Ab (So),362.0,362.0,53.58,289.6,23
CDM,30250408,Islet Cell Ab (So),362.0,362.0,53.58,289.6,23
CDM,30250409,Islet Cell Ab (So),362.01,362.01,53.58,289.61,23
CDM,30250410,Peanut (F13) Ige (So),30.0,30.0,4.44,24.0,23
CDM,30250411,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 1 Ab Ige (So),60.0,60.0,8.88,48.0,23
CDM,30250412,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 2 Ab Ige (So),60.0,60.0,8.88,48.0,23
CDM,30250413,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 3 Ab Ige (So),60.0,60.0,8.88,48.0,23
CDM,30250414,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 8 Ab Ige (So),60.0,60.0,8.88,48.0,23
CDM,30250415,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 9 Ab Ige (So),60.0,60.0,8.88,48.0,23
CDM,30250416,"Peanut, Total With Reflex to Peanut Component Panel (So)",15.0,15.0,2.22,12.0,23
CDM,30500002,Misc. Smear,117.3,117.3,17.36,93.84,23
CDM,30500003,Bld Plat Agg - Teg,508.3,508.3,75.23,406.64,23
CDM,30500004,Fibrinogen Act - Teg,258.75,258.75,38.29,207.0,23
CDM,30500006,"RBC, Schistocyte Cnt",132.0,132.0,19.54,105.6,23
CDM,30500009,"Coag Time, Activated-Teg",336.95,336.95,49.87,269.56,23
CDM,30500013,Fibrinolysins Scrn -Teg,141.0,141.0,20.87,112.8,23
CDM,30500015,"Hemoglobin, Micro(Meter)",88.55,88.55,13.11,70.84,23
CDM,30500016,Platelet Antibody Screen Indirect (So),362.0,362.0,53.58,289.6,23
CDM,30500017,Hgb & Hct,88.55,88.55,13.11,70.84,23
CDM,30500024,"Reticulocytes, Automated",154.0,154.0,22.79,123.2,23
CDM,30500027,Platelet Count (Wb),146.05,146.05,21.62,116.84,23
CDM,30500028,Bone Marrow Exam,1050.0,1050.0,155.4,840.0,23
CDM,30500029,Factor II Assay,636.0,636.0,94.13,508.8,23
CDM,30500030,Factor V Assay,653.2,653.2,96.67,522.56,23
CDM,30500031,Factor VII Assay,584.0,584.0,86.43,467.2,23
CDM,30500032,Factor VIII Assay,671.6,671.6,99.4,537.28,23
CDM,30500034,Ristocetin Cofactor,688.0,688.0,101.82,550.4,23
CDM,30500035,Von Willebrand Ag,499.0,499.0,73.85,399.2,23
CDM,30500036,Factor IX Assay,671.0,671.0,99.31,536.8,23
CDM,30500037,Factor X Assay,584.0,584.0,86.43,467.2,23
CDM,30500038,Factor XI Assay,584.0,584.0,86.43,467.2,23
CDM,30500039,Factor XII Assay,621.0,621.0,91.91,496.8,23
CDM,30500040,Factor XIII Screen,370.0,370.0,54.76,296.0,23
CDM,30500041,Protein S Activity,566.95,566.95,83.91,453.56,23
CDM,30500042,Factor at-III Assay,566.95,566.95,83.91,453.56,23
CDM,30500043,At-III Antigen,494.0,494.0,73.11,395.2,23
CDM,30500044,Protein C Activity,715.3,715.3,105.86,572.24,23
CDM,30500045,Act Prot-C Resist (Fv-Leiden),394.0,394.0,58.31,315.2,23
CDM,30500046,D-Dimer,339.0,339.0,50.17,271.2,23
CDM,30500047,Fibrinogen Quant.,343.85,343.85,50.89,275.08,23
CDM,30500049,Plasminogen Activ.,436.0,436.0,64.53,348.8,23
CDM,30500052,K-B Hgb Fetal Screen **,154.0,154.0,22.79,123.2,23
CDM,30500054,"Hemolysis, Sucrose",59.0,59.0,8.73,47.2,23
CDM,30500055,Heparin Assay,554.3,554.3,82.04,443.44,23
CDM,30500056,Iron Stores-Bm,186.0,186.0,27.53,148.8,23
CDM,30500057,Wbc Lap Stain,131.0,131.0,19.39,104.8,23
CDM,30500058,Lysozyme,212.75,212.75,31.49,170.2,23
CDM,30500059,"Plt Agg, Thrombin",410.0,410.0,60.68,328.0,23
CDM,30500060,"Plt Agg, Adp",410.0,410.0,60.68,328.0,23
CDM,30500061,"Plt Agg, Collagen",410.0,410.0,60.68,328.0,23
CDM,30500062,"Plt Agg, Ristocetin",410.0,410.0,60.68,328.0,23
CDM,30500063,"Plt Agg, Aracdnc Acid",410.0,410.0,60.68,328.0,23
CDM,30500064,Pfa-Collagen/Epi,712.0,712.0,105.38,569.6,23
CDM,30500065,Pfa-Collagen/Adp,712.0,712.0,105.38,569.6,23
CDM,30500066,Platelet Agg-Heprin,593.0,593.0,87.76,474.4,23
CDM,30500067,Plat Neutralization,420.0,420.0,62.16,336.0,23
CDM,30500068,Pt(Prothrombin Time),129.0,129.0,19.09,103.2,23
CDM,30500069,"Pt,Coumadin Therapy",182.85,182.85,27.06,146.28,23
CDM,30500071,Pt+Normal Plasma,203.0,203.0,30.04,162.4,23
CDM,30500072,"Pt, Hepzyme-Treated",198.0,198.0,29.3,158.4,23
CDM,30500073,Dilute Russell's Viper Venom,310.0,310.0,45.88,248.0,23
CDM,30500074,Sed Rate Westergren,99.0,99.0,14.65,79.2,23
CDM,30500075,Donor Hgb S-Arc,166.0,166.0,24.57,132.8,23
CDM,30500076,Donor Hgb S-Gmh,166.0,166.0,24.57,132.8,23
CDM,30500077,Sickledex,231.15,231.15,34.21,184.92,23
CDM,30500078,Thrombin Time,145.0,145.0,21.46,116.0,23
CDM,30500079,"Appt, Hepzyme-Treated",153.0,153.0,22.64,122.4,23
CDM,30500080,APTT,179.4,179.4,26.55,143.52,23
CDM,30500082,Aptt Heparin Therapy,153.0,153.0,22.64,122.4,23
CDM,30500083,Ptt-Saline,153.0,153.0,22.64,122.4,23
CDM,30500084,Aptt + Apc,233.0,233.0,34.48,186.4,23
CDM,30500085,Factor Def Scrn-Coag,233.0,233.0,34.48,186.4,23
CDM,30500086,Factor Inhib Screen,196.0,196.0,29.01,156.8,23
CDM,30500087,"Viscosity, Serum",243.0,243.0,35.96,194.4,23
CDM,30500088,Transfusion Reaction,470.0,470.0,69.56,376.0,23
CDM,30500091,"Sed Rate, Capillary Photometry",131.1,131.1,19.4,104.88,23
CDM,30500102,RBC Morphology Exam,132.0,132.0,19.54,105.6,23
CDM,30500104,Hgb & Hct,88.55,88.55,13.11,70.84,23
CDM,30500105,"Cbc, Plat & Diff",282.9,282.9,41.87,226.32,23
CDM,30500108,RBC Morphology,132.0,132.0,19.54,105.6,23
CDM,30500110,Sickledex,166.0,166.0,24.57,132.8,23
CDM,30500112,"Cbc, Plat & Diff, Idp",194.0,194.0,28.71,155.2,23
CDM,30500113,Beta-2 Glycoprotein Antibodies,339.25,339.25,50.21,271.4,23
CDM,30500114,Von Willebran Protease Act Q,497.0,497.0,73.56,397.6,23
CDM,30500115,Silica Clotting Time,153.0,153.0,22.64,122.4,23
CDM,30500118,"Eosinophil Smear, Urine",63.0,63.0,9.32,50.4,23
CDM,30500119,"Esoinophil Smear, Urine",63.0,63.0,9.32,50.4,23
CDM,30500121,Fibrin Monomer (So),320.0,320.0,47.36,256.0,23
CDM,30500122,Activated Protein C Resistance (So),432.4,432.4,64.0,345.92,23
CDM,30500130,Apixaban Quantitative Assay,329.0,329.0,48.69,263.2,23
CDM,30500131,Rivaroxaban Quantitative Assay,329.0,329.0,48.69,263.2,23
CDM,30500135,Anti-Xa Ds,435.0,435.0,64.38,348.0,23
CDM,30500136,Doac-Stop Anti-Xa,1173.0,1173.0,173.6,938.4,23
CDM,30600001,Blood Cult. Routine,611.8,611.8,90.55,489.44,23
CDM,30600002,Stool Culture,343.0,343.0,50.76,274.4,23
CDM,30600003,Bone Marrow Culture,480.7,480.7,71.14,384.56,23
CDM,30600004,CSF Culture,480.7,480.7,71.14,384.56,23
CDM,30600005,Exudate Culture,480.7,480.7,71.14,384.56,23
CDM,30600006,Fluid/Tissue Cult.,480.7,480.7,71.14,384.56,23
CDM,30600007,Genital Culture,480.7,480.7,71.14,384.56,23
CDM,30600008,"Misc Cult,Referral",390.0,390.0,57.72,312.0,23
CDM,30600009,Misc. Culture,480.7,480.7,71.14,384.56,23
CDM,30600010,Sputum Culture,480.7,480.7,71.14,384.56,23
CDM,30600011,Throat Culture,410.0,410.0,60.68,328.0,23
CDM,30600012,Anaerobe Culture,542.8,542.8,80.33,434.24,23
CDM,30600013,"Malaria Rapid Antigen Test,Evd",246.0,246.0,36.41,196.8,23
CDM,30600016,"Gc Cult,Vag/Cervix",410.01,410.01,60.68,328.01,23
CDM,30600017,"Gc Cult,Urethral",410.01,410.01,60.68,328.01,23
CDM,30600018,"Gc Cult,Anal",410.01,410.01,60.68,328.01,23
CDM,30600019,"Gc Cult,Throat",410.01,410.01,60.68,328.01,23
CDM,30600020,Gc Culture Eye,410.01,410.01,60.68,328.01,23
CDM,30600021,Urine Culture,480.0,480.0,71.04,384.0,23
CDM,30600023,Fungus Cult. Derm.,326.6,326.6,48.34,261.28,23
CDM,30600024,"Fungus Culture,Misc.",399.05,399.05,59.06,319.24,23
CDM,30600025,Fungus Cult. Blood,343.36,343.36,50.82,274.69,23
CDM,30600028,"Chlam Cult,Referral",212.0,212.0,31.38,169.6,23
CDM,30600029,Afb Culture-Misc,465.75,465.75,68.93,372.6,23
CDM,30600030,"Afb Culture, Blood",465.75,465.75,68.93,372.6,23
CDM,30600031,Culture I.D.-Immunologic,122.0,122.0,18.06,97.6,23
CDM,30600032,Culture I.D.-Probe Biochem,468.0,468.0,69.26,374.4,23
CDM,30600033,Pinworm Exam,134.0,134.0,19.83,107.2,23
CDM,30600034,"Ova & Parasites, Urn",273.0,273.0,40.4,218.4,23
CDM,30600035,"O&P,Ethylacetate",273.0,273.0,40.4,218.4,23
CDM,30600036,Sens.Special Panel,307.05,307.05,45.44,245.64,23
CDM,30600039,Influenza Virus -a/B Amplified Probe,408.0,408.0,60.38,326.4,23
CDM,30600042,Pas/Koh Prep,234.6,234.6,34.72,187.68,23
CDM,30600044,Cryptosporidium Scrn.,195.0,195.0,28.86,156.0,23
CDM,30600045,Malaria/Parasite Smr,229.0,229.0,33.89,183.2,23
CDM,30600047,Microsporidium,391.0,391.0,57.87,312.8,23
CDM,30600048,"O&P,Pva/Trichrome",367.0,367.0,54.32,293.6,23
CDM,30600049,Eb Virus Dna Quant Pcr (So),1007.0,1007.0,149.04,805.6,23
CDM,30600052,"O & P Direct, Smear",198.95,198.95,29.44,159.16,23
CDM,30600053,Koh Level,198.0,198.0,29.3,158.4,23
CDM,30600054,"Cytomegalovirus, Rapid Culture (So)",65.0,65.0,9.62,52.0,23
CDM,30600055,"Viral Cult,Referral",357.0,357.0,52.84,285.6,23
CDM,30600057,"C.Diff. Assay,Stool",274.0,274.0,40.55,219.2,23
CDM,30600059,Eia Giardia Screen,195.0,195.0,28.86,156.0,23
CDM,30600060,H.Pylori Ag -Stool,334.0,334.0,49.43,267.2,23
CDM,30600061,Hbv Surface Ag,255.0,255.0,37.74,204.0,23
CDM,30600063,Hbv E Ag,173.65,173.65,25.7,138.92,23
CDM,30600064,Histoplasma Ag,455.0,455.0,67.34,364.0,23
CDM,30600066,"Rotavirus Ag, Stool",249.0,249.0,36.85,199.2,23
CDM,30600070,"L. Pneumo-1 Ag, Urine",271.0,271.0,40.11,216.8,23
CDM,30600071,Chlamydia Detection,374.0,374.0,55.35,299.2,23
CDM,30600072,Cmv Dna-Pcr Fluids,905.0,905.0,133.94,724.0,23
CDM,30600074,Coccidia Smear,273.0,273.0,40.4,218.4,23
CDM,30600076,"Hcv Rna-Pcr, Quant",1023.0,1023.0,151.4,818.4,23
CDM,30600077,Hsv Dna-Pcr,901.0,901.0,133.35,720.8,23
CDM,30600078,Hiv-1 Dna-Pcr,750.0,750.0,111.0,600.0,23
CDM,30600080,Direct M. TB Test,625.6,625.6,92.59,500.48,23
CDM,30600081,Gc Detection,374.0,374.0,55.35,299.2,23
CDM,30600083,Thyroid Perox Ab; Tpo,964.0,964.0,142.67,771.2,23
CDM,30600084,"Jcv Dna-Pcr,CSF",828.0,828.0,122.54,662.4,23
CDM,30600085,"Vzv Dna-Pcr,CSF",632.0,632.0,93.54,505.6,23
CDM,30600086,Influenza-a Ag,412.85,412.85,61.1,330.28,23
CDM,30600087,Influenza-B Ag,412.85,412.85,61.1,330.28,23
CDM,30600088,Rsv Assay,219.0,219.0,32.41,175.2,23
CDM,30600089,Hiv Genotyping,1830.0,1830.0,270.84,1464.0,23
CDM,30600090,Hcv Genotyping,1980.0,1980.0,293.04,1584.0,23
CDM,30600093,"Cytomegalovirus, Rapid Culture - Quest (So)",171.0,171.0,25.31,136.8,23
CDM,30600094,Richettsia Antibody Igm,72.0,72.0,10.66,57.6,23
CDM,30600095,"Parvovirus B19 Pcr, Qual",537.05,537.05,79.48,429.64,23
CDM,30600096,"Hbv Dna-Pcr,Quant",533.0,533.0,78.88,426.4,23
CDM,30600100,"E.Coli O157, Culture(So)",190.0,190.0,28.12,152.0,23
CDM,30600101,"Cytomegalovirus Dna, Qualitative Real-Time Pcr, Saliva (So)",210.0,210.0,31.08,168.0,23
CDM,30600200,Gram Stain,190.0,190.0,28.12,152.0,23
CDM,30600202,Pas/Koh Prep,234.6,234.6,34.72,187.68,23
CDM,30600203,Afb Stain,234.6,234.6,34.72,187.68,23
CDM,30600205,India Ink Prep,216.0,216.0,31.97,172.8,23
CDM,30600206,Vaginal Wet Prep,216.0,216.0,31.97,172.8,23
CDM,30600207,Strep a Ag-Throat,249.55,249.55,36.93,199.64,23
CDM,30600209,Koh Prep,234.6,234.6,34.72,187.68,23
CDM,30600210,Vaginal Wet Prep,172.0,172.0,25.46,137.6,23
CDM,30600221,Bordetella Pertussis/Parapertussis Qual/Pcr(So),676.2,676.2,100.08,540.96,23
CDM,30600224,"Trichomonas Vaginalis Rna, Qual",307.0,307.0,45.44,245.6,23
CDM,30600225,"Clostridium Difficile Toxin, Gene ,Pcr",487.0,487.0,72.08,389.6,23
CDM,30600229,Iadna-Dna/Rna GI Pthgn Multiplex Probe Tq 12-25,1742.0,1742.0,257.82,1393.6,23
CDM,30630621,Jc Polyoma Quant Pcr (So),884.0,884.0,130.83,707.2,23
CDM,30650009,Sputum Culture,480.7,480.7,71.14,384.56,23
CDM,30650014,Culture I.D.-Aerobe Biochem,261.0,261.0,38.63,208.8,23
CDM,30650094,Richettsia Antibody Igg,72.0,72.0,10.66,57.6,23
CDM,30650312,"T.Pallidum Pcr Ql,CSF Q",676.2,676.2,100.08,540.96,23
CDM,30650319,Jc Poly Qual Pcr (So),676.2,676.2,100.08,540.96,23
CDM,30650321,Hcv Rna Ns5a Drug (So),1460.5,1460.5,216.15,1168.4,23
CDM,30650326,Hpv Genotyping,319.0,319.0,47.21,255.2,23
CDM,30650327,Culture Screen Only (So),36.0,36.0,5.33,28.8,23
CDM,30650328,Smear Gram Stain (So),36.0,36.0,5.33,28.8,23
CDM,30650329,Microbe Susceptible Diffuse (So),72.0,72.0,10.66,57.6,23
CDM,30650330,Cyclospora & Isospora Concentration (So),116.0,116.0,17.17,92.8,23
CDM,30650331,Cyclospora & Isospora Stain (So),108.0,108.0,15.98,86.4,23
CDM,30650340,Covid-19 Lab Test Non-Cdc,335.0,335.0,49.58,268.0,23
CDM,30650350,Respiratory Virus Panel 12-25 Targets,2674.0,2674.0,395.75,2139.2,23
CDM,30650351,Bordetella Pertussis,301.3,301.3,44.59,241.04,23
CDM,30650352,Chlamydophila/Chlamydia Pneumoniae,297.85,297.85,44.08,238.28,23
CDM,30650353,Mycoplasma Pneumoniae,274.0,274.0,40.55,219.2,23
CDM,30650354,Bordetella Parapertussis,301.3,301.3,44.59,241.04,23
CDM,30650355,Detection Enterovirus (Ev) Amplified Probe Tq,137.0,137.0,20.28,109.6,23
CDM,30650356,Detection Human Parechovirus (Hpev) Amplified Probe Tq,131.0,131.0,19.39,104.8,23
CDM,30650357,Detection Varicella Zoster (Vzv) Amplified Probe Tq,301.3,301.3,44.59,241.04,23
CDM,30650360,Biofire« Filmarray« Meningitis/Encephalitis (Me) Panel,1465.0,1465.0,216.82,1172.0,23
CDM,30650371,Sarscov Coronavirus Ag Ia,268.0,268.0,39.66,214.4,23
CDM,30650372,"Respiratory Syncytial Virus (Rsv), Immunoassay (So)",121.0,121.0,17.91,96.8,23
CDM,30650373,Iadna Sarscov2 & Inf a&B & Rsv Mult Amp Probe Tq,855.0,855.0,126.54,684.0,23
CDM,30650374,Iadna Dna/Rna Rsv Amplified Probe Technique,260.0,260.0,38.48,208.0,23
CDM,30650380,Eplex Blood Culture ID (Gram-Neg) Ea Isolate,151.8,151.8,22.47,121.44,23
CDM,30650381,Eplex Blood Culture ID (Gram-POS) Ea Isolate,135.7,135.7,20.08,108.56,23
CDM,30650382,Eplex Blood Culture ID (Fungal-Pathogen) Ea Isolate,228.85,228.85,33.87,183.08,23
CDM,30650383,"Monkeypox Virus Dna, Qualitative Real-Time Pcr Part 1 (So-Quest)",432.4,432.4,64.0,345.92,23
CDM,30650384,"Monkeypox Virus Dna, Qualitative Real-Time Pcr Part 2 (So-Quest)",432.4,432.4,64.0,345.92,23
CDM,30650385,"Herpes Simplex Virus, Type 1 and 2 Dna, Quant Pcr (So)",813.0,813.0,120.32,650.4,23
CDM,30650386,Varicella-Zoster Virus Dna Quant Pcr (So),1007.0,1007.0,149.04,805.6,23
CDM,30700042,"Urine, Timed Collect",129.0,129.0,19.09,103.2,23
CDM,30700080,"Ph, Urine-Dipstick",120.0,120.0,17.76,96.0,23
CDM,30700081,Urinalysis With Microscopy,213.0,213.0,31.52,170.4,23
CDM,30700082,Urinalysis,182.0,182.0,26.94,145.6,23
CDM,30700083,"Urinalysis, Top",182.0,182.0,26.94,145.6,23
CDM,30700084,Pregnancy Test-Urine,112.7,112.7,16.68,90.16,23
CDM,30700085,"Preg Test,Urine",98.0,98.0,14.5,78.4,23
CDM,30700096,Specific Gravity,120.0,120.0,17.76,96.0,23
CDM,30750027,"Clinitest, Stool",171.0,171.0,25.31,136.8,23
CDM,30900004,"Crystals,Fluid",222.0,222.0,32.86,177.6,23
CDM,30900005,Nasal Smear for Eos,169.0,169.0,25.01,135.2,23
CDM,30900009,Mss Sequential Screen-2 (So),737.0,737.0,109.08,589.6,23
CDM,30900013,C-Anca Titer (So),34.0,34.0,5.03,27.2,23
CDM,30900014,P-Anca Titer (So),34.0,34.0,5.03,27.2,23
CDM,30900015,Atypical P-Anca Titer (So),80.0,80.0,11.84,64.0,23
CDM,30900024,B.Henselae Igg Titer (So),126.0,126.0,18.65,100.8,23
CDM,30900025,B.Henselae Igm Titer (So),96.0,96.0,14.21,76.8,23
CDM,30900026,B.Quintana Igg Titer (So),96.0,96.0,14.21,76.8,23
CDM,31000006,Pdgfra Mutation Analysis (Quest),1415.0,1415.0,209.42,1132.0,23
CDM,31000018,ER/PR Her2 W/Reflex to Her2 Fish (So),731.0,731.0,108.19,584.8,23
CDM,31000019,"Fish, Her-2/Neu (So)",1112.0,1112.0,164.58,889.6,23
CDM,31000022,"Lynch Syndrome Tumor Panel, Ihc (So)",810.75,810.75,119.99,648.6,23
CDM,31000026,Molecular Cytogenetics: Dna Probe (Fish) (So) Mn,413.0,413.0,61.12,330.4,23
CDM,31000027,Interphase in Situ Hybridization(100-300) Cells (So) Mn,192.0,192.0,28.42,153.6,23
CDM,31000062,Molecular Cytogenetics: Dna Probe (Fish) (So) Ros1,585.0,585.0,86.58,468.0,23
CDM,31000063,Interphase in Situ Hybridization (25-99 Cells (So) Ros1,378.0,378.0,55.94,302.4,23
CDM,31000073,Colonseq Panel - Part 1 - Quest So,1377.0,1377.0,203.8,1101.6,23
CDM,31000074,Colonseq Panel - Part 2 - Quest So,1377.0,1377.0,203.8,1101.6,23
CDM,31000075,Notch3 (Cadasil) Sequencing Test (So),7125.0,7125.0,1054.5,5700.0,23
CDM,31000076,Familial Hypocalciuric Hypercalcemia (Casr) Evaluation (So),5200.0,5200.0,769.6,4160.0,23
CDM,31000099,Colorectal Can. Mut. Panel Kra So,1271.0,1271.0,188.11,1016.8,23
CDM,31000100,Colorectal Can. Mut. Panel Bra So,1636.0,1636.0,242.13,1308.8,23
CDM,31000102,Hla II Typing 1 (So),1051.0,1051.0,155.55,840.8,23
CDM,31000103,Hla I Typing Comp (So),1339.0,1339.0,198.17,1071.2,23
CDM,31000122,Mgmt Microdissection Pcr (So),715.0,715.0,105.82,572.0,23
CDM,31000123,Mgmt Gene Analysis (So),887.0,887.0,131.28,709.6,23
CDM,31000124,Calr Mutation Analysis (So),1431.0,1431.0,211.79,1144.8,23
CDM,31000126,Cadasil,4160.0,4160.0,615.68,3328.0,23
CDM,31000135,Aml Prognostic Cebpa (So),794.0,794.0,117.51,635.2,23
CDM,31000136,Aml Prognostic Flt3 (So),572.0,572.0,84.66,457.6,23
CDM,31000137,Aml Prognostic Flt3 Anal (So),413.0,413.0,61.12,330.4,23
CDM,31000138,Aml Prognostic Npm1 (So),917.0,917.0,135.72,733.6,23
CDM,31000145,"Kras Gene Analysis; Variants in Exon 2 (Eg, Codons 12 & 13)",695.0,695.0,102.86,556.0,23
CDM,31000146,"Kras Gene Analysis; Add'l Variant(S) (Eg, Codon 61, Codon 146)",695.0,695.0,102.86,556.0,23
CDM,31000147,Thyroseq - Braf Analysis (So),1053.4,1053.4,155.9,842.72,23
CDM,31000148,Thyroseq - Kras Analysis (So),832.0,832.0,123.14,665.6,23
CDM,31000149,Thyroseq - Pten Analysis (So),182.0,182.0,26.94,145.6,23
CDM,31000150,Thryoseq - Mopath Level 2 (So),757.0,757.0,112.04,605.6,23
CDM,31000151,Thryoseq - Mopath Level 4 (So),1110.9,1110.9,164.41,888.72,23
CDM,31000152,Thryoseq - Mopath Level 5 (So),1646.8,1646.8,243.73,1317.44,23
CDM,31000153,Thryoseq - Mopath Level 6 (So),1570.0,1570.0,232.36,1256.0,23
CDM,31000154,Thryoseq - Unlisted Mopath (So),2.0,2.0,0.3,1.6,23
CDM,31000155,Jak2 R/X Calr (So),1308.0,1308.0,193.58,1046.4,23
CDM,31000156,Jak2 V617f (So),920.0,920.0,136.16,736.0,23
CDM,31000157,Jak2 R/X-Csf3r (So),1308.0,1308.0,193.58,1046.4,23
CDM,31000158,"Jak2-Exons-12,13 Seq (So)",1164.0,1164.0,172.27,931.2,23
CDM,31000159,Mpl Mutation Analysis (So),736.0,736.0,108.93,588.8,23
CDM,31000160,Nras Gene Analysis Variants Exon 2&3 (So),695.0,695.0,102.86,556.0,23
CDM,31000161,Hras Gene Analysis (So),695.0,695.0,102.86,556.0,23
CDM,31000162,"Leukovantage, Myloproliferative Neoplasm (So)",4269.0,4269.0,631.81,3415.2,23
CDM,31000163,Leukovantage Acute Myeloid Leukemia (So),4500.0,4500.0,666.0,3600.0,23
CDM,31000164,Leukovantage Myelodysplastic Syndrome (So),4425.0,4425.0,654.9,3540.0,23
CDM,31000170,"Pd-L1 Lung (Pembrolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CDM,31000171,"Pd-L1 Lung (Nivolumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CDM,31000172,"Pd-L1 Lung (Atezolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CDM,31000173,"Pd-L1 Bladder (Atezolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CDM,31000174,"Pd-L1 Non-Lung (Pembrolizumab), Ihc (So)",1085.6,1085.6,160.67,868.48,23
CDM,31000175,"Pd-L1 Monocyte Expression, Sle Flare, 1st Marker (So)",485.0,485.0,71.78,388.0,23
CDM,31000176,"Pd-L1 Monocyte Expression, Sle Flare, Addl Marker (So)",203.0,203.0,30.04,162.4,23
CDM,31000180,Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe,424.35,424.35,62.8,339.48,23
CDM,31000185,Cyp2c19 Genotype,886.0,886.0,131.13,708.8,23
CDM,31000193,Pik3ca Mutation Analysis (So),922.0,922.0,136.46,737.6,23
CDM,31000195,Leukovantage Myeloid (So),4107.0,4107.0,607.84,3285.6,23
CDM,31000200,Ttr Dna Sequence Testing (So),3292.45,3292.45,487.28,2633.96,23
CDM,31000445,Solid Tumor Core Panel - 1 of 3 (So),3500.0,3500.0,518.0,2800.0,23
CDM,31000446,Solid Tumor Core Panel - 2 of 3 (So),2333.0,2333.0,345.28,1866.4,23
CDM,31000447,Solid Tumor Core Panel - 3 of 3 (So),2333.0,2333.0,345.28,1866.4,23
CDM,31000450,Hla-B 58 01 Typing (So),799.0,799.0,118.25,639.2,23
CDM,31000451,Myd88 Mutation Analysis (So),1234.0,1234.0,182.63,987.2,23
CDM,31000452,Mlh1 Methylation (So),984.0,984.0,145.63,787.2,23
CDM,31000453,Tp53 Gene Trgt Sequence Alys (So),2198.0,2198.0,325.3,1758.4,23
CDM,31000455,"Chromosomal Microarray, POC, ClarisureΓ« Oligo-Snp (So)",4535.6,4535.6,671.27,3628.48,23
CDM,31000456,"Cbfb/Myh11 Inv(16), Quantitative, Real-Time Pcr (So)",420.0,420.0,62.16,336.0,23
CDM,31000457,"Aml1/Eto T(8;21) Quantitative, Real-Time Pcr (So)",672.0,672.0,99.46,537.6,23
CDM,31100004,Addition Karyo Charge,380.0,380.0,56.24,304.0,23
CDM,31100005,Ca - 15 Cells Charge,2037.0,2037.0,301.48,1629.6,23
CDM,31100006,Ca - Fragile X Charge,2617.0,2617.0,387.32,2093.6,23
CDM,31100008,Cell Cnt/Karyo Typ,2103.0,2103.0,311.24,1682.4,23
CDM,31100010,"Cytology, Gyn Lbp",338.0,338.0,50.02,270.4,23
CDM,31100017,Cytopathology Eval of Fina,264.0,264.0,39.07,211.2,23
CDM,31100019,Fine Needle Aspiration,444.0,444.0,65.71,355.2,23
CDM,31100025,"Fna-Misc,Cyto",308.0,308.0,45.58,246.4,23
CDM,31100034,"Tis Cult, Amino Charg",1059.0,1059.0,156.73,847.2,23
CDM,31100035,"Tis Cult, Lymph Charge",1765.0,1765.0,261.22,1412.0,23
CDM,31100036,"Tis Cult, Other Charge",2232.0,2232.0,330.34,1785.6,23
CDM,31100095,Cytopatah C/V Thin Layer Redo,164.0,164.0,24.27,131.2,23
CDM,31100096,Cytopath Eval Fna Report,594.0,594.0,87.91,475.2,23
CDM,31100111,Molecular Cytogen; Dna Probe (So),565.8,565.8,83.74,452.64,23
CDM,31100112,Interphase in Situ Hybird (So),520.0,520.0,76.96,416.0,23
CDM,31100116,Tissue Culture for Neoplastic Disorder (So),1047.65,1047.65,155.05,838.12,23
CDM,31100117,Chromosome Analysis 20-25 Cells (So),1262.7,1262.7,186.88,1010.16,23
CDM,31100120,Molecular Cytogen; Dna Probe (So),413.0,413.0,61.12,330.4,23
CDM,31100121,Interphase Insitu Hybird (So),369.0,369.0,54.61,295.2,23
CDM,31100126,"Pnh Flow Cytometry, 1st Mrk (So)",280.0,280.0,41.44,224.0,23
CDM,31100127,"Pnh Flow Cytometry, Ea Addl Mrk (So)",215.05,215.05,31.83,172.04,23
CDM,31100132,Flow Cytometry;16 or More Markers (So),215.05,215.05,31.83,172.04,23
CDM,31100134,Molecular Cytogen Dna Probe (So),413.0,413.0,61.12,330.4,23
CDM,31100141,Enriched Prep Surepath,545.0,545.0,80.66,436.0,23
CDM,31100143,Molec Cytg Interphase Ish Analyze 100-300 Cll (So),520.0,520.0,76.96,416.0,23
CDM,31100144,"Fish, Locus-Specific Probe (X1) (So)",565.8,565.8,83.74,452.64,23
CDM,31150011,"Cytology, Urinary",353.0,353.0,52.24,282.4,23
CDM,31150012,"Cytology,Fluid",467.08,467.08,69.13,373.66,23
CDM,31150013,"Cytology,Breast",400.0,400.0,59.2,320.0,23
CDM,31150015,"Cytology,Misc",353.0,353.0,52.24,282.4,23
CDM,31200001,Tooth,291.0,291.0,43.07,232.8,23
CDM,31200002,Foreign Body,291.0,291.0,43.07,232.8,23
CDM,31200004,Intrauterine Device,291.0,291.0,43.07,232.8,23
CDM,31200005,"Appendix,Incidential",451.95,451.95,66.89,361.56,23
CDM,31200007,"Testis,Castration",451.95,451.95,66.89,361.56,23
CDM,31200009,Skin Plastic Repair,451.95,451.95,66.89,361.56,23
CDM,31200010,"Amput,Digit-Traumat.",451.95,451.95,66.89,361.56,23
CDM,31200011,Hernia Sac,451.95,451.95,66.89,361.56,23
CDM,31200012,Hydrocele,451.95,451.95,66.89,361.56,23
CDM,31200013,"Vas Deferens, Steril.",451.95,451.95,66.89,361.56,23
CDM,31200014,Vaginal Mucosa,451.95,451.95,66.89,361.56,23
CDM,31200015,Nasal Polyp,603.75,603.75,89.35,483.0,23
CDM,31200016,Colostomy Stoma,603.75,603.75,89.35,483.0,23
CDM,31200017,"Foreskin,Non-Newborn",603.75,603.75,89.35,483.0,23
CDM,31200018,"Bone/Frag,Non-Pathologic",603.75,603.75,89.35,483.0,23
CDM,31200019,Cartilage Shavings,603.75,603.75,89.35,483.0,23
CDM,31200020,Carpal Tunnel Tissue,603.75,603.75,89.35,483.0,23
CDM,31200021,Dupuytren's Contrac.,603.75,603.75,89.35,483.0,23
CDM,31200022,"Femoral Head,N-Fract",603.75,603.75,89.35,483.0,23
CDM,31200024,"Cyst,Synovial",603.75,603.75,89.35,483.0,23
CDM,31200025,"Cyst,Ganglion",603.75,603.75,89.35,483.0,23
CDM,31200026,Fissure / Fistula,603.75,603.75,89.35,483.0,23
CDM,31200027,Intervertebral Disc,603.75,603.75,89.35,483.0,23
CDM,31200028,"Joint, Loose Body",603.75,603.75,89.35,483.0,23
CDM,31200032,"Skin Biopsy,Punch",603.75,603.75,89.35,483.0,23
CDM,31200033,"Skin Excision,Debrid",603.75,603.75,89.35,483.0,23
CDM,31200034,"Cyst,Pilonidal",603.75,603.75,89.35,483.0,23
CDM,31200035,"Soft Tissue,Debrid",603.75,603.75,89.35,483.0,23
CDM,31200036,"Soft Tissue,Lipoma",603.75,603.75,89.35,483.0,23
CDM,31200037,Aneurysm,603.75,603.75,89.35,483.0,23
CDM,31200038,"Vein, Varicosity",603.75,603.75,89.35,483.0,23
CDM,31200039,Embolis/Thrombus,603.75,603.75,89.35,483.0,23
CDM,31200040,Hematoma,603.75,603.75,89.35,483.0,23
CDM,31200041,Hemorrhoids,603.75,603.75,89.35,483.0,23
CDM,31200042,"Artery/Vein, Plaque",603.75,603.75,89.35,483.0,23
CDM,31200043,Cholesteatoma,603.75,603.75,89.35,483.0,23
CDM,31200045,Cornea,603.75,603.75,89.35,483.0,23
CDM,31200047,Tonsil/Adenoids,603.75,603.75,89.35,483.0,23
CDM,31200048,Gall Blad./Bile Duct,603.75,603.75,89.35,483.0,23
CDM,31200049,Spermatocele,603.75,603.75,89.35,483.0,23
CDM,31200051,Vas Deferens,603.75,603.75,89.35,483.0,23
CDM,31200052,"Cyst,Bartholin",603.75,603.75,89.35,483.0,23
CDM,31200055,Bronchus Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200056,"Trachea, Biopsy",793.8,793.8,117.48,635.04,23
CDM,31200057,"Larynx, Biopsy",793.8,793.8,117.48,635.04,23
CDM,31200058,Nasopharynx,793.8,793.8,117.48,635.04,23
CDM,31200059,Nasal Mucosa Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200060,Stomach Polyp,793.8,793.8,117.48,635.04,23
CDM,31200061,Duodenum Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200062,Colorectal Polyp,793.8,793.8,117.48,635.04,23
CDM,31200063,Peritoneum Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200064,UR Bladder Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200065,Prostate Chips,793.8,793.8,117.48,635.04,23
CDM,31200066,Cell Block,793.8,793.8,117.48,635.04,23
CDM,31200067,"Femoral Head, Fract.",793.8,793.8,117.48,635.04,23
CDM,31200068,Synovium,793.8,793.8,117.48,635.04,23
CDM,31200069,Meninges Resection,793.8,793.8,117.48,635.04,23
CDM,31200070,"Skin Biopsy,Shave",793.8,793.8,117.48,635.04,23
CDM,31200071,"Skin Excision,Other",793.8,793.8,117.48,635.04,23
CDM,31200072,"Soft Tissue,Other",793.8,793.8,117.48,635.04,23
CDM,31200073,Breast Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200074,"Breast,Reduction",793.8,793.8,117.48,635.04,23
CDM,31200075,Artery/Vein Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200076,Lymph Node Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200077,Bone Marrow Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200078,Spleen,793.8,793.8,117.48,635.04,23
CDM,31200079,"Amput,Extrm-Traumat.",793.8,793.8,117.48,635.04,23
CDM,31200080,Joint Resection,793.8,793.8,117.48,635.04,23
CDM,31200081,Muscle Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200082,"Amput,Digit-Nontraum",793.8,793.8,117.48,635.04,23
CDM,31200083,Heart Valve,793.8,793.8,117.48,635.04,23
CDM,31200084,"Lip, Wedge Biopsy",793.8,793.8,117.48,635.04,23
CDM,31200085,Tongue Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200086,Tonsil Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200087,Oral/Gingiva Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200088,Salivary Gland Bx,793.8,793.8,117.48,635.04,23
CDM,31200089,Parathyroid Gland,793.8,793.8,117.48,635.04,23
CDM,31200090,Pituitary Tumor,793.8,793.8,117.48,635.04,23
CDM,31200091,Nerve Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200092,Pleural Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200093,Pericardium Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200094,Thyroglossal Duct,793.8,793.8,117.48,635.04,23
CDM,31200095,Esophagus Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200096,Stomach Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200097,Sm.Intestine Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200098,Colon Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200099,Omentum Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200100,Kidney Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200101,Ureter Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200102,Urethra Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200103,Prostate Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200104,Endocervical Scrape,793.8,793.8,117.48,635.04,23
CDM,31200105,Endometrial Scrape,793.8,793.8,117.48,635.04,23
CDM,31200106,Cervical Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200107,"Vagina, Biopsy",793.8,793.8,117.48,635.04,23
CDM,31200108,Vulva / Labia Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200109,Ovary,793.8,793.8,117.48,635.04,23
CDM,31200110,Endometrial Polyp,793.8,793.8,117.48,635.04,23
CDM,31200111,"Uterus, Prolapse",793.8,793.8,117.48,635.04,23
CDM,31200112,Fallopian Tube Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200113,"Fallop. Tube,Ectopic",793.8,793.8,117.48,635.04,23
CDM,31200114,"Ovary,Wedge Biopsy",793.8,793.8,117.48,635.04,23
CDM,31200115,"POC, Spontaneous",793.8,793.8,117.48,635.04,23
CDM,31200116,"Placenta, N-3rd Trim.",793.8,793.8,117.48,635.04,23
CDM,31200117,Stomach Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200118,"Colon, Seg Resection",1016.6,1016.6,150.46,813.28,23
CDM,31200119,"Pancreas, Biopsy",1016.6,1016.6,150.46,813.28,23
CDM,31200120,Liver Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200121,Ureter Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200122,Testis Biopsy,1016.6,1016.6,150.46,813.28,23
CDM,31200123,Prostate Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200124,Bone Biopsy,1016.6,1016.6,150.46,813.28,23
CDM,31200125,"Tumor,Dental",1016.6,1016.6,150.46,813.28,23
CDM,31200126,"Meninges,Tumor",1016.6,1016.6,150.46,813.28,23
CDM,31200127,"Breast,Simple Mast.",1016.6,1016.6,150.46,813.28,23
CDM,31200128,Lymph Node Resectn,1016.6,1016.6,150.46,813.28,23
CDM,31200129,Liver Biopsy,1016.6,1016.6,150.46,813.28,23
CDM,31200130,"Amput,Extrm-Non Traum",1016.6,1016.6,150.46,813.28,23
CDM,31200131,"Bone/Frag,Pathologic",1016.6,1016.6,150.46,813.28,23
CDM,31200132,"Mediastinum,Mass",1016.6,1016.6,150.46,813.28,23
CDM,31200133,"Soft Tissue,Bx/Excis",1016.6,1016.6,150.46,813.28,23
CDM,31200134,"Eye, Enucleation",1016.6,1016.6,150.46,813.28,23
CDM,31200135,Thyroid Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200136,Adrenal Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200137,Brain Biopsy,1016.6,1016.6,150.46,813.28,23
CDM,31200138,"Lung, Wedge Biopsy",1016.6,1016.6,150.46,813.28,23
CDM,31200139,Myocardium Biopsy,1016.6,1016.6,150.46,813.28,23
CDM,31200140,Thymus Tumor,1016.6,1016.6,150.46,813.28,23
CDM,31200141,Small Intes. Resectn,1016.6,1016.6,150.46,813.28,23
CDM,31200142,Nephrectomy,1016.6,1016.6,150.46,813.28,23
CDM,31200143,Testis Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200144,Uterus,1016.6,1016.6,150.46,813.28,23
CDM,31200145,Cervical Cone,1016.6,1016.6,150.46,813.28,23
CDM,31200146,"Placenta, Third Trim.",1016.6,1016.6,150.46,813.28,23
CDM,31200147,"Ovary,Tumor",1016.6,1016.6,150.46,813.28,23
CDM,31200148,Small Intes. Tumor,1341.0,1341.0,198.47,1072.8,23
CDM,31200149,"Colon, Seg Resec,Tumor",1341.0,1341.0,198.47,1072.8,23
CDM,31200150,UR Bladder Resection,1341.0,1341.0,198.47,1072.8,23
CDM,31200151,"Testis Resect,Tumor",1341.0,1341.0,198.47,1072.8,23
CDM,31200152,Bone Resection,1341.0,1341.0,198.47,1072.8,23
CDM,31200153,"Soft Tissue,Tumor",1341.0,1341.0,198.47,1072.8,23
CDM,31200154,"Breast,Mast.W/Nodes",1341.0,1341.0,198.47,1072.8,23
CDM,31200156,"Tongue, Resectn,Tumor",1341.0,1341.0,198.47,1072.8,23
CDM,31200158,Lung Resection,1341.0,1341.0,198.47,1072.8,23
CDM,31200159,Esophagus Resection,1140.0,1140.0,168.72,912.0,23
CDM,31200160,"Colon, Total Resectn",1341.0,1341.0,198.47,1072.8,23
CDM,31200161,Pancreas,1341.0,1341.0,198.47,1072.8,23
CDM,31200162,"Prostate,Resectn Rad",1341.0,1341.0,198.47,1072.8,23
CDM,31200163,"Uterus, Tumor",1341.0,1341.0,198.47,1072.8,23
CDM,31200164,"Fetus, W/Dissection",1341.0,1341.0,198.47,1072.8,23
CDM,31200165,Vulva Resection,1341.0,1341.0,198.47,1072.8,23
CDM,31200166,Stain Grp I - Acid Fast Bact,453.1,453.1,67.06,362.48,23
CDM,31200169,Stain Grp I - Fite Stain,453.1,453.1,67.06,362.48,23
CDM,31200170,Stain Grp I - Gram Stain,453.1,453.1,67.06,362.48,23
CDM,31200171,Stain Grp I - Gr Meth Silver,453.1,453.1,67.06,362.48,23
CDM,31200173,Stain Grp I - Reticul Stain,453.1,453.1,67.06,362.48,23
CDM,31200176,Stain Grp II - Collo Iron,497.95,497.95,73.7,398.36,23
CDM,31200178,Stain Grp II - Diff Quck,497.95,497.95,73.7,398.36,23
CDM,31200179,Stain Grp II - Congo Red,497.95,497.95,73.7,398.36,23
CDM,31200180,Stain Grp II - Crystal Violet,497.95,497.95,73.7,398.36,23
CDM,31200181,Stain Grp II - Elastic,497.95,497.95,73.7,398.36,23
CDM,31200182,Stain Grp II - Giemsa,497.95,497.95,73.7,398.36,23
CDM,31200183,Stain Grp II - Iron,497.95,497.95,73.7,398.36,23
CDM,31200185,Stain Grp II - Masson Tri,497.95,497.95,73.7,398.36,23
CDM,31200186,Stain Grp II - Mucicarmine,497.95,497.95,73.7,398.36,23
CDM,31200188,Stain Grp II - Pas,497.95,497.95,73.7,398.36,23
CDM,31200189,Stain Grp II - Pas Alc Blue,497.95,497.95,73.7,398.36,23
CDM,31200190,Stain Grp II - Pas W / WO Diad,497.95,497.95,73.7,398.36,23
CDM,31200199,Stain Grp II - Fontana Masson,487.0,487.0,72.08,389.6,23
CDM,31200201,Stain Grp II - Calcium Stain,487.0,487.0,72.08,389.6,23
CDM,31200235,*Stain: Ki-67 (Mib-1),932.65,932.65,138.03,746.12,23
CDM,31200236,*Stain: Cytokeratin 7,810.75,810.75,119.99,648.6,23
CDM,31200241,*Stain: P16,810.75,810.75,119.99,648.6,23
CDM,31200243,*Stain: Tdt,810.75,810.75,119.99,648.6,23
CDM,31200247,Estrogen Receptor,932.65,932.65,138.03,746.12,23
CDM,31200248,Progesterone Recep.,932.65,932.65,138.03,746.12,23
CDM,31200256,Insulin,810.75,810.75,119.99,648.6,23
CDM,31200286,"Immunof,Dir Charge",902.75,902.75,133.61,722.2,23
CDM,31200287,"Immunof, Ind Charge",842.95,842.95,124.76,674.36,23
CDM,31200288,*Stain: Her2neu,932.65,932.65,138.03,746.12,23
CDM,31200302,*Stain: Gcdfp-15,810.75,810.75,119.99,648.6,23
CDM,31200304,*Stain: Helicobacter Pylori,549.0,549.0,81.25,439.2,23
CDM,31200307,*Stain: P10,810.75,810.75,119.99,648.6,23
CDM,31200332,Adhesions Pelvic,603.75,603.75,89.35,483.0,23
CDM,31200334,Ampulla of Vater,557.0,557.0,82.44,445.6,23
CDM,31200335,Amputation-Extremity Non-Traumatic,557.0,557.0,82.44,445.6,23
CDM,31200337,Arteriovenous Malformation (Avm),817.65,817.65,121.01,654.12,23
CDM,31200338,Arteriovenous Malformation (Avm) Complex,817.65,817.65,121.01,654.12,23
CDM,31200339,Axillary Tail/Axilla - Lymph Nodes Resection,869.0,869.0,128.61,695.2,23
CDM,31200340,Bone Marrow Particle Clot,817.65,817.65,121.01,654.12,23
CDM,31200341,Breast Excision of Discrete Lesion,817.65,817.65,121.01,654.12,23
CDM,31200342,Breast Needle Core Tissue Biopsy,817.65,817.65,121.01,654.12,23
CDM,31200343,Breast Incisional Biopsy,817.65,817.65,121.01,654.12,23
CDM,31200344,Breast Quadrantectomy/Partial Mastectomy/Segmentectomy,817.65,817.65,121.01,654.12,23
CDM,31200345,Cervix Amputation Without Uterus,869.0,869.0,128.61,695.2,23
CDM,31200346,"Colon ""Donut",817.65,817.65,121.01,654.12,23
CDM,31200347,Colon Donut,603.75,603.75,89.35,483.0,23
CDM,31200350,Cyst - Dermoid of Soft Tissue/Ovary (Eg Teratoma),869.0,869.0,128.61,695.2,23
CDM,31200352,Cyst - Epidermoid,679.65,679.65,100.59,543.72,23
CDM,31200353,Cyst - Ovarian Non-Neoplastic,793.8,793.8,117.48,635.04,23
CDM,31200354,Cyst Nos Neoplastic,1016.6,1016.6,150.46,813.28,23
CDM,31200355,Cyst Nos Nonneoplastic,793.8,793.8,117.48,635.04,23
CDM,31200359,Dura Mater - Tumor Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200360,Endometrial Polyp,793.8,793.8,117.48,635.04,23
CDM,31200361,Endoscopic Mucosal Resection (Emr),887.0,887.0,131.28,709.6,23
CDM,31200362,Epiglottis Biopsy/Simple Excision,793.8,793.8,117.48,635.04,23
CDM,31200363,Esophageal Polyp,793.8,793.8,117.48,635.04,23
CDM,31200365,Gastric Polyp,793.8,793.8,117.48,635.04,23
CDM,31200366,Mucosa Biopsy - Gingiva,793.8,793.8,117.48,635.04,23
CDM,31200367,Mucosa Biopsy - Nasal,793.8,793.8,117.48,635.04,23
CDM,31200368,Mucosa Biopsy - Nos,793.8,793.8,117.48,635.04,23
CDM,31200369,Nasal Septum,679.65,679.65,100.59,543.72,23
CDM,31200370,Omentum Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200371,Omentum Resection - for Tumor,1341.0,1341.0,198.47,1072.8,23
CDM,31200372,Oral Cyst,793.8,793.8,117.48,635.04,23
CDM,31200373,Panniculus,793.8,793.8,117.48,635.04,23
CDM,31200374,Penis Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200375,Penis Resection for Tumor,1341.0,1341.0,198.47,1072.8,23
CDM,31200376,Pericardiium Biopsy or Tissue,793.8,793.8,117.48,635.04,23
CDM,31200378,Peritoneum Resection - for Tumor,1341.0,1341.0,198.47,1072.8,23
CDM,31200381,Pleura Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200383,Scar - Soft Tissue,679.65,679.65,100.59,543.72,23
CDM,31200384,Skin Wart (Eg Verruca Vulgaris),793.8,793.8,117.48,635.04,23
CDM,31200385,Spinal Cord Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200386,Spinal Cord Tumor Excision,1016.6,1016.6,150.46,813.28,23
CDM,31200387,Stoma (Any Site),679.65,679.65,100.59,543.72,23
CDM,31200388,Stomach Polyp,793.8,793.8,117.48,635.04,23
CDM,31200389,Supernumerary Digit,448.0,448.0,66.3,358.4,23
CDM,31200391,Surgical Margin Complicated Exam,1016.6,1016.6,150.46,813.28,23
CDM,31200392,Thymus Incidential,448.0,448.0,66.3,358.4,23
CDM,31200394,Vocal Cord Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200395,Vocal Cord Resection,1016.6,1016.6,150.46,813.28,23
CDM,31200396,Bone Cyst,1016.6,1016.6,150.46,813.28,23
CDM,31200397,Breast Biopsy Without Margin Exam,793.8,793.8,117.48,635.04,23
CDM,31200398,Cyst - Ovarian Neoplastic,1016.6,1016.6,150.46,813.28,23
CDM,31200401,Diverticulum - Bladder/Urethra,660.0,660.0,97.68,528.0,23
CDM,31200402,Dura Mater,793.8,793.8,117.48,635.04,23
CDM,31200405,Fat Pad Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200406,Leep Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200407,Ligament,745.0,745.0,110.26,596.0,23
CDM,31200408,Lymph Node for Lymphoma Workup,1016.6,1016.6,150.46,813.28,23
CDM,31200410,Mucosa Biopsy - Oral,793.8,793.8,117.48,635.04,23
CDM,31200411,Nail Nail Bed or Scrapping for Fungus,660.0,660.0,97.68,528.0,23
CDM,31200412,Nerve Tumor,1016.6,1016.6,150.46,813.28,23
CDM,31200417,Pleura Resection - for Tumor,1118.0,1118.0,165.46,894.4,23
CDM,31200420,Scar - Keloid,793.8,793.8,117.48,635.04,23
CDM,31200421,Scar - Skin (Simple/Cicatrix),660.0,660.0,97.68,528.0,23
CDM,31200422,Scar - Skin (Tumor Excision/Re-Excision,793.8,793.8,117.48,635.04,23
CDM,31200423,Sinus Contents,448.0,448.0,66.3,358.4,23
CDM,31200425,Surgical Margin Uncomplicated Exam,1163.8,1163.8,172.24,931.04,23
CDM,31200426,Thyroid Biopsy,922.3,922.3,136.5,737.84,23
CDM,31200427,Turbinates (Nasal Conchae),660.0,660.0,97.68,528.0,23
CDM,31200428,Uvula Simple Excision,448.0,448.0,66.3,358.4,23
CDM,31200429,Vein Biopsy/Segment,922.3,922.3,136.5,737.84,23
CDM,31200457,"Appendix, Non-Incidental",603.75,603.75,89.35,483.0,23
CDM,31200458,Sentinel Lymph Node(S),1016.6,1016.6,150.46,813.28,23
CDM,31200459,Needle Core Biopsy,793.8,793.8,117.48,635.04,23
CDM,31200460,"Tissue, Gross Only",266.0,266.0,39.37,212.8,23
CDM,31200462,First Tissue Block W Fs (Single Spec),668.15,668.15,98.89,534.52,23
CDM,31200463,Each Add Tissue Block W Frozen Section(S),456.55,456.55,67.57,365.24,23
CDM,31200464,ER/PR Quantitiative Ihc,1151.15,1151.15,170.37,920.92,23
CDM,31200470,"Urinary Bladder, Tur",1016.6,1016.6,150.46,813.28,23
CDM,31200471,Intraoperative Cytologic Examination (Touch Prep) Initial Site,1184.0,1184.0,175.23,947.2,23
CDM,31200472,Intraoperative Cytologic Examination (Touch Prep) Add Site,280.0,280.0,41.44,224.0,23
CDM,31200473,Ihc Stain - Additional,880.9,880.9,130.37,704.72,23
CDM,31200541,Insulin,599.0,599.0,88.65,479.2,23
CDM,31200584,ER/PR Paraffin (So),663.0,663.0,98.12,530.4,23
CDM,31200585,Her2 Ihc W/Interpret (So),645.0,645.0,95.46,516.0,23
CDM,31200586,Surg Path Fetus and Placenta,1341.0,1341.0,198.47,1072.8,23
CDM,31200600,Ihc Stain - First,810.75,810.75,119.99,648.6,23
CDM,31900004,Chromosomal Microarray Postnatal (So),4535.6,4535.6,671.27,3628.48,23
CDM,31900005,Cll-Igvh Mutation Status (So),2662.25,2662.25,394.01,2129.8,23
CDM,31900007,Microsatelite Instability (Msi) (So),1565.0,1565.0,231.62,1252.0,23
CDM,31900008,Spinal Muscular Atrophy Screen (So),606.0,606.0,89.69,484.8,23
CDM,31900009,P210 Bcr-Abl1 (So),897.0,897.0,132.76,717.6,23
CDM,31900011,Egfr Mutation Analysis (So),2031.0,2031.0,300.59,1624.8,23
CDM,31900014,P190 Bcr-Abl1 (So),959.1,959.1,141.95,767.28,23
CDM,31900023,"Fish Dna Probe, Each (So)",672.75,672.75,99.57,538.2,23
CDM,31900024,Interphase in Situ Hybridization (So),754.4,754.4,111.65,603.52,23
CDM,31900030,Pancreatitis Press (So),2200.0,2200.0,325.6,1760.0,23
CDM,31900031,Pancreatitis Spink-1 (So),2200.0,2200.0,325.6,1760.0,23
CDM,31900032,Pancreatitis Ctrc (So),1359.0,1359.0,201.13,1087.2,23
CDM,32000005,Mandible 1-3 View Rdg,467.0,467.0,69.12,373.6,23
CDM,32000007,Mandible Compl 4+ View Rdg,664.0,664.0,98.27,531.2,23
CDM,32000013,Nasal Bones Compl 3+View Rdg,632.0,632.0,93.54,505.6,23
CDM,32000020,Skull 1-3view W/WO Stereo Rdg,741.0,741.0,109.67,592.8,23
CDM,32000024,X-Ray Panorex,664.0,664.0,98.27,531.2,23
CDM,32000028,Tmj Bilat Open & Closed Rdg,857.0,857.0,126.84,685.6,23
CDM,32000031,Neck Soft Tissue Rdg,617.0,617.0,91.32,493.6,23
CDM,32000058,Ribs Bilat X-Ray 3view Rdg,888.0,888.0,131.42,710.4,23
CDM,32000060,Ribs Bilat X-Ray 4+View Rdg,1097.1,1097.1,162.37,877.68,23
CDM,32000062,Sternum X-Ray 2+View Rdg,828.0,828.0,122.54,662.4,23
CDM,32000064,Sternoclavicu Jnts 3+View Rdg,1378.0,1378.0,203.94,1102.4,23
CDM,32000065,Shoulder 1 View Rdg,1134.0,1134.0,167.83,907.2,23
CDM,32000073,X-Ray Exam Spine 1 View,642.85,642.85,95.14,514.28,23
CDM,32000075,Thoracic Spine 1 View Rdg,642.85,642.85,95.14,514.28,23
CDM,32000078,Rad Exam Spine 2 or 3 Views,873.0,873.0,129.2,698.4,23
CDM,32000080,Cervical Spine 4+View Rdg,1461.0,1461.0,216.23,1168.8,23
CDM,32000081,Cervical Spine Complete W/ Flex/Ext Rdg,1317.0,1317.0,194.92,1053.6,23
CDM,32000084,Thoracic Spine 2 View Rdg,927.0,927.0,137.2,741.6,23
CDM,32000088,Thoracolumbar 2view Rdg,939.0,939.0,138.97,751.2,23
CDM,32000092,Lumbosacral Spine 2-3view Rdg,1031.0,1031.0,152.59,824.8,23
CDM,32000095,Lumbosacral Spine 4+View Rdg,1428.0,1428.0,211.34,1142.4,23
CDM,32000097,Lumbosac Com + Bending 6 Views,1592.0,1592.0,235.62,1273.6,23
CDM,32000109,Pelvis X-Ray 1-2 View Rdg,649.0,649.0,96.05,519.2,23
CDM,32000111,Pelvis X-Ray Compl 3+View Rdg,708.0,708.0,104.78,566.4,23
CDM,32000112,Venography Superior Sagittal Sinus Rs&I,8643.4,8643.4,1279.22,6914.72,23
CDM,32000119,Sacroiliac Jnt 3+View Rdg,710.0,710.0,105.08,568.0,23
CDM,32000122,X-Ray Exam Sacrum Tailbone 2+ View,768.0,768.0,113.66,614.4,23
CDM,32000123,Myelography Cervical S&I Rdg,2333.0,2333.0,345.28,1866.4,23
CDM,32000124,Myelography Thoracic S&I Rdg,1976.0,1976.0,292.45,1580.8,23
CDM,32000125,Myelography Lumbar S&I Rdg,2058.0,2058.0,304.58,1646.4,23
CDM,32000126,Myelography Complete S&I Rdg,1898.0,1898.0,280.9,1518.4,23
CDM,32000131,X-Ray Exam Collar Bone,848.7,848.7,125.61,678.96,23
CDM,32000133,Clavicle Complete Rt Rdg,848.7,848.7,125.61,678.96,23
CDM,32000139,X-Ray Exam Shoulder Blade,734.85,734.85,108.76,587.88,23
CDM,32000141,Scapula Complete Rt Rdg,734.85,734.85,108.76,587.88,23
CDM,32000156,X-Ray Exam Shoulder 2+ View,1134.0,1134.0,167.83,907.2,23
CDM,32000158,Shoulder Compl 2+Views Rt Rdg,1134.0,1134.0,167.83,907.2,23
CDM,32000163,X-Ray Shoulder W/Contrast,1595.0,1595.0,236.06,1276.0,23
CDM,32000167,Acromiclavicular Jnts Bi Drg,864.0,864.0,127.87,691.2,23
CDM,32000173,X-Ray Exam Humerus 2+ View,986.0,986.0,145.93,788.8,23
CDM,32000175,Humerus 2+View Rt Rdg,986.0,986.0,145.93,788.8,23
CDM,32000179,X-Ray Exam Elbow 2+ View,734.85,734.85,108.76,587.88,23
CDM,32000181,Elbow 2 View Rt Rdg,734.85,734.85,108.76,587.88,23
CDM,32000188,X-Ray Exam Elbow 3+ View,803.85,803.85,118.97,643.08,23
CDM,32000190,Elbow Compl 3+View Rt Rdg,803.85,803.85,118.97,643.08,23
CDM,32000200,X-Ray Exam Forearm 2+ View,792.35,792.35,117.27,633.88,23
CDM,32000202,Forearm X-Ray 2 View Rt Rdg,792.35,792.35,117.27,633.88,23
CDM,32000210,X-Ray Upper Ext Infant 2+ View,667.0,667.0,98.72,533.6,23
CDM,32000216,Wrist 2 View Lt Rdg,580.0,580.0,85.84,464.0,23
CDM,32000218,X-Ray Exam Wrist 2+ View,580.0,580.0,85.84,464.0,23
CDM,32000225,X-Ray Exam Wrist 3+ View,723.35,723.35,107.06,578.68,23
CDM,32000227,Wrist 3+View Rt Rdg,723.35,723.35,107.06,578.68,23
CDM,32000232,X-Ray Wrist W/Contrast,988.0,988.0,146.22,790.4,23
CDM,32000235,Hand 2 View Lt Rdg,637.0,637.0,94.28,509.6,23
CDM,32000237,X-Ray Exam Hand 2+ View,637.0,637.0,94.28,509.6,23
CDM,32000243,X-Ray Exam Hand 3+ View,797.76,797.76,118.07,638.21,23
CDM,32000244,X-Ray Exam Hand 2+ View Bilat,1274.0,1274.0,188.55,1019.2,23
CDM,32000246,X-Ray Exam Hand 3+ View Bilat,1416.0,1416.0,209.57,1132.8,23
CDM,32000254,Finger(S) 2+View Lt Rdg,575.0,575.0,85.1,460.0,23
CDM,32000256,X-Ray Exam Finger(S) 2+ View,575.0,575.0,85.1,460.0,23
CDM,32000258,Inject Vascular Unlstd Proc,9509.0,9509.0,1407.33,7607.2,23
CDM,32000285,X-Ray Hip W/Contrast,1275.0,1275.0,188.7,1020.0,23
CDM,32000305,X-Ray Exam Knee 1 or 2 Views,668.0,668.0,98.86,534.4,23
CDM,32000315,X-Ray Exam Knee 3 View,775.53,775.53,114.78,620.42,23
CDM,32000320,X-Ray Exam Knee 4+ View,889.81,889.81,131.69,711.85,23
CDM,32000322,Knee 4+View Rt Rdg,889.81,889.81,131.69,711.85,23
CDM,32000334,X-Ray Exam Tibula and Fibula 2+ View,704.0,704.0,104.19,563.2,23
CDM,32000336,X-Ray Exam Tibula and Fibula 2+ View Bilat,1408.0,1408.0,208.38,1126.4,23
CDM,32000345,Low Ext Infant 2+View Rt Rdg,592.0,592.0,87.62,473.6,23
CDM,32000349,Ankle 2 View Lt Rdg,784.0,784.0,116.03,627.2,23
CDM,32000351,X-Ray Exam Ankle 2+ View,784.0,784.0,116.03,627.2,23
CDM,32000359,X-Ray Exam Ankle 3+ View,848.0,848.0,125.5,678.4,23
CDM,32000364,X-Ray Exam Ankle 3+ View Bilat,1058.0,1058.0,156.58,846.4,23
CDM,32000369,Foot 2 View Lt Rdg,641.0,641.0,94.87,512.8,23
CDM,32000371,X-Ray Exam Foot 2+ View,641.0,641.0,94.87,512.8,23
CDM,32000375,X-Ray Exam Foot 3+ View Bilat,1398.0,1398.0,206.9,1118.4,23
CDM,32000377,X-Ray Exam Foot 3+ View,699.0,699.0,103.45,559.2,23
CDM,32000383,X-Ray Exam Calcaneus 2+ View Bilat,1232.0,1232.0,182.34,985.6,23
CDM,32000387,Calcaneus 2+View Lt Rdg,616.0,616.0,91.17,492.8,23
CDM,32000389,X-Ray Exam Calcaneus 2+ View,616.0,616.0,91.17,492.8,23
CDM,32000398,X-Ray Exam Toe(S) 2+ View,481.85,481.85,71.31,385.48,23
CDM,32000412,"Kub-Kidney,Ureter,Bladder Rdg",638.0,638.0,94.42,510.4,23
CDM,32000419,X-Ray Exam Abdomen 2 Views,920.0,920.0,136.16,736.0,23
CDM,32000421,Xr 2 Vw Abd W/ Single View Chest,1265.0,1265.0,187.22,1012.0,23
CDM,32000432,X-Ray Exam Esophagus Sgl Contrast,941.0,941.0,139.27,752.8,23
CDM,32000434,X-Ray Exam Swallow Function Sgl Contrast,1378.0,1378.0,203.94,1102.4,23
CDM,32000436,Esophageal FB Removal S&I Spv,5322.0,5322.0,787.66,4257.6,23
CDM,32000441,Ugi W/O Kub Rdg,1480.0,1480.0,219.04,1184.0,23
CDM,32000448,X-Ray Ugi W/ Air Con W/O Kub,1720.4,1720.4,254.62,1376.32,23
CDM,32000457,Xr Small Bowel Single Contrast,1290.0,1290.0,190.92,1032.0,23
CDM,32000463,X-Ray Exam Barium Enema Sgl Contrast,1823.9,1823.9,269.94,1459.12,23
CDM,32000465,Xr Colon Double Contrast,1860.0,1860.0,275.28,1488.0,23
CDM,32000470,X-Ray Bile Ducts/Pancreas,1122.0,1122.0,166.06,897.6,23
CDM,32000477,Radiological;Biliary Ductal,1401.0,1401.0,207.35,1120.8,23
CDM,32000478,Radiological;Pancreatic Ductal,1401.0,1401.0,207.35,1120.8,23
CDM,32000479,Radiological;Biliary & Pancrea,1401.0,1401.0,207.35,1120.8,23
CDM,32000481,X-Ray Guide for GI Tube,1377.0,1377.0,203.8,1101.6,23
CDM,32000485,X-Ray Guide GI Dilation,1305.0,1305.0,193.14,1044.0,23
CDM,32000502,X-Ray Urinary Tract Antegrade W/Contrast,1551.0,1551.0,229.55,1240.8,23
CDM,32000503,Cystography 3+ View,1146.0,1146.0,169.61,916.8,23
CDM,32000509,X-Ray Urethra/Bladder Retrograde,1052.0,1052.0,155.7,841.6,23
CDM,32000516,Hysterosalpingography Rdg,1436.0,1436.0,212.53,1148.8,23
CDM,32000517,Transcervic Cath Fallopian Spv,1246.0,1246.0,184.41,996.8,23
CDM,32000555,Angio Pulmonary Nonsele Spv,3496.0,3496.0,517.41,2796.8,23
CDM,32000556,"Artery Xray, Chest",8740.0,8740.0,1293.52,6992.0,23
CDM,32000560,X-Ray Nonvascular Shunt,783.0,783.0,115.88,626.4,23
CDM,32000562,Extremity Uni Venogram Spv,3231.36,3231.36,478.24,2585.09,23
CDM,32000563,Extremity Bi Venogram Spv,4551.0,4551.0,673.55,3640.8,23
CDM,32000564,Inferior Veno Cavagram Spv,9062.0,9062.0,1341.18,7249.6,23
CDM,32000565,Superior Veno Cavagram Spv,4404.5,4404.5,651.87,3523.6,23
CDM,32000566,Renal Venograph Uni Selec Spv,9062.0,9062.0,1341.18,7249.6,23
CDM,32000568,Adrenal Veno Unilat Sel Spv,6342.25,6342.25,938.65,5073.8,23
CDM,32000570,Sinus/Jugular Venogram Spn,9641.6,9641.6,1426.96,7713.28,23
CDM,32000572,Epidural Venogram Spn,2783.0,2783.0,411.88,2226.4,23
CDM,32000574,Trans-Hep Port W/Hemodynam Spv,9062.0,9062.0,1341.18,7249.6,23
CDM,32000575,Trans-Hep Port W/O Hemodyn Spv,4603.45,4603.45,681.31,3682.76,23
CDM,32000576,Hepatic Wedge Veno W/Eval Spv,7625.0,7625.0,1128.5,6100.0,23
CDM,32000578,Venous Sampling W/WO Angi Spv,8625.0,8625.0,1276.5,6900.0,23
CDM,32000579,X-Ray Transcath Therapy Embolization,12712.0,12712.0,1881.38,10169.6,23
CDM,32000580,"Transcath Embolization, S&I",12712.57,12712.57,1881.46,10170.06,23
CDM,32000585,Remove Cva Device Obstruct,878.0,878.0,129.94,702.4,23
CDM,32000607,X-Ray Control Catheter Change,1602.0,1602.0,237.1,1281.6,23
CDM,32000609,Abscess Drainage Under X-Ray,2937.18,2937.18,434.7,2349.74,23
CDM,32000612,Fluoroscopy <1 Hr Phys/Qhp,1312.15,1312.15,194.2,1049.72,23
CDM,32000614,Fluoro Time Up to 1 Hr,1656.0,1656.0,245.09,1324.8,23
CDM,32000615,Prosthetic Valve Cine Fluoro,1656.0,1656.0,245.09,1324.8,23
CDM,32000621,X-Ray Exam Fistula,1110.33,1110.33,164.33,888.26,23
CDM,32000624,X-Ray Exam Surgical Specimen,1579.0,1579.0,233.69,1263.2,23
CDM,32000733,Fluoro Guide Cv Access Dev Spv,1217.85,1217.85,180.24,974.28,23
CDM,32000734,Fluoro Guide Needle Placement,1739.95,1739.95,257.51,1391.96,23
CDM,32000736,Fluoro Guidance for Needle Pla,717.0,717.0,106.12,573.6,23
CDM,32000739,Fluoroguide for Spine Inject,1073.0,1073.0,158.8,858.4,23
CDM,32000764,Bone Age Studies X-Ray Rdg,510.0,510.0,75.48,408.0,23
CDM,32000766,Bone Length Studies Rdg,629.0,629.0,93.09,503.2,23
CDM,32000768,Bone Survey Osseous Limit Rdg,645.0,645.0,95.46,516.0,23
CDM,32000770,Bone Survey Osseous Compl Rdg,2145.0,2145.0,317.46,1716.0,23
CDM,32000772,Bone Survey Osseous Infant Rdg,490.0,490.0,72.52,392.0,23
CDM,32000773,Bone Density Scan Axial,1116.02,1116.02,165.17,892.82,23
CDM,32000774,Bone Densisty Scan Periph Nuc,558.9,558.9,82.72,447.12,23
CDM,32000802,Manual Appl Stress Pfrmd Phys/Qhp Joint Films,433.0,433.0,64.08,346.4,23
CDM,32000813,X-Ray Urethra/Bladder Voiding,1762.95,1762.95,260.92,1410.36,23
CDM,32000815,"Adrenal, Bilateral",6639.0,6639.0,982.57,5311.2,23
CDM,32000822,"Transcatheter Biopsy, Radiological Supervision and Interpretation",5092.2,5092.2,753.65,4073.76,23
CDM,32000824,Radiological Guidance for Percutaneous Drainage,2937.26,2937.26,434.71,2349.81,23
CDM,32000825,"Abscess, Fistula, Sinus Tract Study",1496.0,1496.0,221.41,1196.8,23
CDM,32000826,US Guide Tissue Ablation,1443.0,1443.0,213.56,1154.4,23
CDM,32000828,"Intravascular Stent, Perc, Initial Vessel",26107.3,26107.3,3863.88,20885.84,23
CDM,32000840,Fluroscopy Procedure,710.0,710.0,105.08,568.0,23
CDM,32000843,Removal of Tunneled Intraperitoneal Catheter,9615.0,9615.0,1423.02,7692.0,23
CDM,32000853,Xr T-L Spine 2 or 3 Views,833.0,833.0,123.28,666.4,23
CDM,32000854,Xr T-L Spine Incl Skull 1 View,606.05,606.05,89.7,484.84,23
CDM,32000857,Xr Hip Unilat W/Pelvis 1 View,458.0,458.0,67.78,366.4,23
CDM,32000858,Xr Hip Unilat W/Pelvis 2-3 Vw,518.0,518.0,76.66,414.4,23
CDM,32000859,Xr Hip Unilat W/Pelvis 4+ Vw,726.0,726.0,107.45,580.8,23
CDM,32000860,Xr Hip Bilat W/Pelvis 2 Views,1036.0,1036.0,153.33,828.8,23
CDM,32000861,Xr Hip Bilat W/Pelvis 3-4 View,1194.0,1194.0,176.71,955.2,23
CDM,32000862,Xr Hip Bilat W/Pelvis 5+ Views,1350.0,1350.0,199.8,1080.0,23
CDM,32000863,Xr Femur 1 View,477.0,477.0,70.6,381.6,23
CDM,32000864,Xr Femur Min 2 Views,722.2,722.2,106.89,577.76,23
CDM,32000865,Radiographic Procedure,1331.0,1331.0,196.99,1064.8,23
CDM,32000868,Lymph Vessel X-Ray Trunk,6336.5,6336.5,937.8,5069.2,23
CDM,32000869,Xr Small Bowel Follow-Through Add On,1904.4,1904.4,281.85,1523.52,23
CDM,32000875,"Bilateral x-ray of femur, minimum 2 views",930.0,930.0,137.64,744.0,23
CDM,32300001,Thoracic Arch Angio Spn,18212.0,18212.0,2695.38,14569.6,23
CDM,32300002,Aortogram Abd Catheter Spv,6578.17,6578.17,973.57,5262.54,23
CDM,32300003,Aortography Bilat Lower,7787.0,7787.0,1152.48,6229.6,23
CDM,32300013,Angio Spinal Selective,15255.9,15255.9,2257.87,12204.72,23
CDM,32300014,Angio Extremity Unilat Spv,9062.0,9062.0,1341.18,7249.6,23
CDM,32300015,Angio Ext Bilat,8986.1,8986.1,1329.94,7188.88,23
CDM,32300018,Angio Visceral,12463.0,12463.0,1844.52,9970.4,23
CDM,32300019,Angio Adrenal Unilat Spv,7866.0,7866.0,1164.17,6292.8,23
CDM,32300021,Angio Pelvic Selective Spv,15255.9,15255.9,2257.87,12204.72,23
CDM,32300022,Angio Pulmonary Unilat Spv,7883.25,7883.25,1166.72,6306.6,23
CDM,32300023,Angio Pulmonary Bilateral Spv,9428.85,9428.85,1395.47,7543.08,23
CDM,32300024,Angio Selective Add'l Vess Spv,5529.2,5529.2,818.32,4423.36,23
CDM,32300026,Angio W/Exist Cath Fu Stdy Spv,4025.0,4025.0,595.7,3220.0,23
CDM,32300071,Inject: Illiac Angio,8615.0,8615.0,1275.02,6892.0,23
CDM,32300072,"Transcatheter Retrieval,Percutaneous of Intravas FB Inci",14852.0,14852.0,2198.1,11881.6,23
CDM,32400001,Chest X-Ray,695.0,695.0,102.86,556.0,23
CDM,32400002,X-Ray Exam Chest 1 View,695.0,695.0,102.86,556.0,23
CDM,32400006,X-Ray Exam Chest 2 View,787.0,787.0,116.48,629.6,23
CDM,32400008,Chest 2view W/Apical Lordo Rdg,752.0,752.0,111.3,601.6,23
CDM,32400010,Chest X-Ray 4+View Rdg,857.0,857.0,126.84,685.6,23
CDM,33100001,IV Chemo Push-Ea Addtl Med,857.9,857.9,126.97,686.32,23
CDM,33100002,IV Chemo Push-1st Med Initl1vs,948.0,948.0,140.3,758.4,23
CDM,33100004,IV Chemo Push1st Med Dur Infus,600.0,600.0,88.8,480.0,23
CDM,33100007,Inject Chemo-Im/Sq Non Hormona,631.35,631.35,93.44,505.08,23
CDM,33100008,Inject Chemo-Im/Sq Hormonal,659.0,659.0,97.53,527.2,23
CDM,33100018,Chemotherapy Admin Intra-Arterial Push Tq,891.0,891.0,131.87,712.8,23
CDM,33300001,Simulation-Simple,1882.0,1882.0,278.54,1505.6,23
CDM,33300002,Simulation-Intermediat,2790.0,2790.0,412.92,2232.0,23
CDM,33300003,Simulation-Complex,3913.45,3913.45,579.19,3130.76,23
CDM,33300004,3d Radiotherapy Plan W/ Vol Histo,13783.0,13783.0,2039.88,11026.4,23
CDM,33300007,Central Axis Calculation,1255.8,1255.8,185.86,1004.64,23
CDM,33300008,IMRT,14432.0,14432.0,2135.94,11545.6,23
CDM,33300012,Telether Plan Special,1950.0,1950.0,288.6,1560.0,23
CDM,33300014,Tld/Microdosimetry,942.0,942.0,139.42,753.6,23
CDM,33300015,Radiation Treatment Aid(S) Simple,1128.0,1128.0,166.94,902.4,23
CDM,33300019,Radiation Treatment Aid(S) Complex,2494.35,2494.35,369.16,1995.48,23
CDM,33300022,Continuing Physics/Wk,1599.0,1599.0,236.65,1279.2,23
CDM,33300023,Spec Medical Physics Consult,1856.0,1856.0,274.69,1484.8,23
CDM,33300026,Telether Plan Simple,2906.0,2906.0,430.09,2324.8,23
CDM,33300028,Telether Plan Complex,3242.0,3242.0,479.82,2593.6,23
CDM,33300030,Brachyther Plan Complex,3152.0,3152.0,466.5,2521.6,23
CDM,33300033,"Rad Tx Del >= 1 Mev, Complex",2222.95,2222.95,329.0,1778.36,23
CDM,33300035,Imrt Tx Delivery Simple,7368.0,7368.0,1090.46,5894.4,23
CDM,33300037,Imrt Tx Delivery Complex,7974.75,7974.75,1180.26,6379.8,23
CDM,33300040,Guidance for Radiation Tx Dlvr,3801.9,3801.9,562.68,3041.52,23
CDM,33300047,Port Image(S),796.0,796.0,117.81,636.8,23
CDM,33300049,"Rad Tx Del >= 1 Mev, Simple",1330.0,1330.0,196.84,1064.0,23
CDM,33300050,Special Treatment,6620.0,6620.0,979.76,5296.0,23
CDM,33300053,Imrt Treatment Device,9895.0,9895.0,1464.46,7916.0,23
CDM,33300055,Cranial Only X 1,36887.4,36887.4,5459.34,29509.92,23
CDM,33300057,Robt Lin-Radsurg Fract 1-5,14867.2,14867.2,2200.35,11893.76,23
CDM,33300067,Cbct Infusion Radioactive Mat,2159.0,2159.0,319.53,1727.2,23
CDM,33300073,Ins Vag Brachytx Device,2390.85,2390.85,353.85,1912.68,23
CDM,33300088,Resp Motion Mgmt Sim,1666.35,1666.35,246.62,1333.08,23
CDM,33300090,Hdr Rdncl Skn Surf Brchytx Les >2cm or Mlt Les,1026.95,1026.95,151.99,821.56,23
CDM,33300091,Hdr Rdncl Skn Surf Brachytx Les Up to 2 Cm,893.0,893.0,132.16,714.4,23
CDM,33300092,Stereotactic Body Radiation Management,3000.0,3000.0,444.0,2400.0,23
CDM,33500001,IV Chemo Into Cns W/Spinal Pun,1255.0,1255.0,185.74,1004.0,23
CDM,33500002,"Chemo Tx Admn IV Nfs Tq Up 1 Hr, Sng or 1st Sbst/Drug",1473.15,1473.15,218.03,1178.52,23
CDM,33500003,IV Chemo Inf Prolonged Gtr8hrs,1430.6,1430.6,211.73,1144.48,23
CDM,33500004,IV Chemo Inf Med Ea Addtl Hr,438.15,438.15,64.85,350.52,23
CDM,33500005,IV Chemo Inf Ea New Med 16-90,748.0,748.0,110.7,598.4,23
CDM,34100005,Thyroid Ca/Mets Image Whol Nuc,3049.8,3049.8,451.37,2439.84,23
CDM,34100006,Thyroid Carcinoma Metatases Up,884.0,884.0,130.83,707.2,23
CDM,34100007,Parathyroid Scan Nuc,2308.05,2308.05,341.59,1846.44,23
CDM,34100008,Adrenal Scan Cortx&/Medu Nuc,3673.0,3673.0,543.6,2938.4,23
CDM,34100013,Lymphoscintigraphy Nuc,2444.0,2444.0,361.71,1955.2,23
CDM,34100015,Liver & Spleen Imaging Static,2042.0,2042.0,302.22,1633.6,23
CDM,34100020,Gastric Emptying Nuc,3115.0,3115.0,461.02,2492.0,23
CDM,34100021,Acute GI Bleeding Imaging Nuc,2343.98,2343.98,346.91,1875.18,23
CDM,34100022,Bowel Imaging Meckles Scan Nuc,1820.0,1820.0,269.36,1456.0,23
CDM,34100024,Bone Imaging Limited Nuc,1915.0,1915.0,283.42,1532.0,23
CDM,34100025,NM Bone Imaging Whole Body,3347.65,3347.65,495.45,2678.12,23
CDM,34100026,NM Bone Imaging 3 Phase Study,3234.95,3234.95,478.77,2587.96,23
CDM,34100030,Cardiac Perfusion Single Nuc,7649.0,7649.0,1132.05,6119.2,23
CDM,34100031,Cardiac Scan,9411.0,9411.0,1392.83,7528.8,23
CDM,34100032,Cardiac Scan Gated Nuc,3654.25,3654.25,540.83,2923.4,23
CDM,34100034,Pulm (Lung) Perfusion Imag,2905.0,2905.0,429.94,2324.0,23
CDM,34100038,Brain Scan W/Vascular Flo Nuc,2805.0,2805.0,415.14,2244.0,23
CDM,34100042,Kid.Img.Mor.W/Vas.Singlew/O Ph,3248.0,3248.0,480.7,2598.4,23
CDM,34100043,Kid.Img.Mor.W/Vas.Singlew/Phar,3968.0,3968.0,587.26,3174.4,23
CDM,34100044,Kid.Img.Mor.W/Vas.Multi W&W/O,3408.0,3408.0,504.38,2726.4,23
CDM,34100045,Voiding Cystogram Nuc,1695.0,1695.0,250.86,1356.0,23
CDM,34100046,NM Rp Loclzj Tum Plnr 1 Area Single Day Imaging,1853.95,1853.95,274.38,1483.16,23
CDM,34100048,Tumor Single Day,2365.55,2365.55,350.1,1892.44,23
CDM,34100049,NM Tumor Localalization Spect,3726.0,3726.0,551.45,2980.8,23
CDM,34100060,Tumor Imaging Whole Body Nuc,3750.0,3750.0,555.0,3000.0,23
CDM,34100062,Hepatobiliary Imag W Glbldr,3296.5,3296.5,487.88,2637.2,23
CDM,34100064,Pulmonary Ventilation Imaging,1629.0,1629.0,241.09,1303.2,23
CDM,34100065,Pulmon Vent Imag W Perfus,3854.0,3854.0,570.39,3083.2,23
CDM,34100067,Quant Diff Pulm Perfusion,1629.0,1629.0,241.09,1303.2,23
CDM,34100073,Thyroid Imaging,1315.0,1315.0,194.62,1052.0,23
CDM,34100074,Thyroid Imaging W/Multi Determ Inc Suprs/Dc,2141.0,2141.0,316.87,1712.8,23
CDM,34100076,Parathyrd Planar W/Spect&CT,4422.0,4422.0,654.46,3537.6,23
CDM,34100077,Rp Loclzj Tum Spect 2 Area/Sep Acquisj Img,4893.0,4893.0,724.16,3914.4,23
CDM,34100080,NM Rp Loclzj Tum Spect W/CT 1,3756.0,3756.0,555.89,3004.8,23
CDM,34100081,Rp Loclzj Tum Spect CT 2area/Sep Acquisj Img,5321.0,5321.0,787.51,4256.8,23
CDM,34200013,Init Hyperthyroid Therapy Nuc,3401.7,3401.7,503.45,2721.36,23
CDM,34200014,Brachyther Plan Simple,2813.0,2813.0,416.32,2250.4,23
CDM,34200015,Brachyther Plan Inter,2990.0,2990.0,442.52,2392.0,23
CDM,34200016,Nuclear Rx Intra-Arterial,1900.95,1900.95,281.34,1520.76,23
CDM,34200017,Hdr Brachytx 1 Channel,8030.0,8030.0,1188.44,6424.0,23
CDM,34200018,Hdr Brachytx 2-12 Channel,9960.15,9960.15,1474.1,7968.12,23
CDM,34200019,Hdr Brachytx Over 12 Chan,8886.0,8886.0,1315.13,7108.8,23
CDM,34200020,NM Radiopharm Therapy IV Admin,933.0,933.0,138.08,746.4,23
CDM,34300001,"Tc-99m Sestambi/Cardiolite, Dx per Study",516.0,516.0,76.37,412.8,23
CDM,34300002,"Tc-99m Tetrofosmin Myoview, Dx per Study",812.0,812.0,120.18,649.6,23
CDM,34300003,"Tc-99m Mdp, Dx Up to 30 Mci",312.0,312.0,46.18,249.6,23
CDM,34300004,"Ti-201 Thallous Chloride, Dx per Mci",131.0,131.0,19.39,104.8,23
CDM,34300005,"I-123, Dx Capsule per 100 Uci (Max 999 Uci)",2008.0,2008.0,297.18,1606.4,23
CDM,34300006,99mtc Ceretec-Labld - Wbc,1888.0,1888.0,279.42,1510.4,23
CDM,34300007,"Tc-99m Mebrofenin, Dx Up to 15 Mci",335.0,335.0,49.58,268.0,23
CDM,34300008,"Tc-99m Pentetate (Dtpa), Dx Up to 25 Mci",409.0,409.0,60.53,327.2,23
CDM,34300009,"Tc-99m Maauc, Dx Up to 10 Mci",425.0,425.0,62.9,340.0,23
CDM,34300010,"Tc-99m Sulfur Colloid, Dx Up to 20 Mci",523.0,523.0,77.4,418.4,23
CDM,34300011,Tc-99m Exametazime (Ceretec) Up to 25 Mci,4651.0,4651.0,688.35,3720.8,23
CDM,34300016,"I-123 Mibg, Dx Up to 15 Mci",10753.0,10753.0,1591.44,8602.4,23
CDM,34300020,"In-111 Pentetreotide, Dx Up to 6 Mci",12489.0,12489.0,1848.37,9991.2,23
CDM,34300021,"Tc-99m Pertechnetate, Dx per Mci",227.0,227.0,33.6,181.6,23
CDM,34300024,"Tc-99m Tilmanocept (Lymphoseek), Dx Up to 0.5 Mci",1571.0,1571.0,232.51,1256.8,23
CDM,34300025,"F-18 Sodium Fluoride, Dx Up to 30 Mci",312.0,312.0,46.18,249.6,23
CDM,34300026,"Gallium Ga-68, Dotatate, Diagnostic",8000.0,8000.0,1184.0,6400.0,23
CDM,34300027,"F-18 Fluciclovine, Dx per Mci",11015.0,11015.0,1630.22,8812.0,23
CDM,34300028,"I-123 Ioflupane Dx, Up to 5 Mci",6000.0,6000.0,888.0,4800.0,23
CDM,34300029,"Ga-68 Gallium Dotatate Dx, per 0.1 Mci",167.0,167.0,24.72,133.6,23
CDM,34300030,Tc-99m Pyrophosphate Up to 25 Mci,1200.0,1200.0,177.6,960.0,23
CDM,34300031,"Cu-64 Copper Dotatate, Dx per Mci",9250.0,9250.0,1369.0,7400.0,23
CDM,34300045,"I-131 Sodium Iodide Cap(S) Dx, per Mci",350.0,350.0,51.8,280.0,23
CDM,34300046,"I-131 Iodide Sol, Dx Each Addl Mci (Add on to 34300045)",26.0,26.0,3.85,20.8,23
CDM,34300047,"I-131 Sodium Iodide Dx, per Uci (Up to 100 Uci)",236.0,236.0,34.93,188.8,23
CDM,34300052,In-111 Oxyquinoline Dx per 0.5 Mci,7234.0,7234.0,1070.63,5787.2,23
CDM,34300055,"I-125 Iothalamate, Dx Up to 10 Uci",5000.0,5000.0,740.0,4000.0,23
CDM,34300056,Rb-82 Rubidium Dx Up to 60 Mci,300.0,300.0,44.4,240.0,23
CDM,34300057,Tc-99m Bicisate Dx Up to 25 Mci,4038.0,4038.0,597.62,3230.4,23
CDM,34300058,Xe-133 Xenon Dx per 10 Mci,327.0,327.0,48.4,261.6,23
CDM,34300060,Tc-99m Oxidronate Dx Up to 30 Mci,113.0,113.0,16.72,90.4,23
CDM,34300062,Tc-99m Aerosol Dx Up to 75 Mci,367.0,367.0,54.32,293.6,23
CDM,34300064,Tc-99m Auto Wbc Dx per Study,5981.0,5981.0,885.19,4784.8,23
CDM,34300065,In-111 Indium Auto Wbc Dx per Study,7590.0,7590.0,1123.32,6072.0,23
CDM,34300066,In-111 Indium Auto Platelet Dx per Study,7263.0,7263.0,1074.92,5810.4,23
CDM,34400001,I-125 Sodium Iothalamate Therapeutic per Uci,207.0,207.0,30.64,165.6,23
CDM,34400013,Ra-223 Radium Dichloride Ther per Uci,391.0,391.0,57.87,312.8,23
CDM,35000007,CT Lower Ext W/O&W/Dye,4800.0,4800.0,710.4,3840.0,23
CDM,35000009,CT Angio Abdominal Arteries,9707.0,9707.0,1436.64,7765.6,23
CDM,35000010,3d Render W/O Intrp Postproces,2200.0,2200.0,325.6,1760.0,23
CDM,35000011,3d Render W/Intrp Postproces,3306.0,3306.0,489.29,2644.8,23
CDM,35000014,CT Guidance Needle Placement,4567.0,4567.0,675.92,3653.6,23
CDM,35000015,"CT, Visceral Tissue Ablation",3324.0,3324.0,491.95,2659.2,23
CDM,35000020,Unlisted CT Procedure,1400.0,1400.0,207.2,1120.0,23
CDM,35000108,Ablation Bone Tumor Perc W/Img,18181.0,18181.0,2690.79,14544.8,23
CDM,35000305,CT Hrt W/O Dye W/Ca Test,4693.0,4693.0,694.56,3754.4,23
CDM,35000306,CT Hrt W/3d Image,2374.75,2374.75,351.46,1899.8,23
CDM,35000308,CT Angio Hrt W/3d Image,3955.0,3955.0,585.34,3164.0,23
CDM,35000352,"CT, Abd and Pelvis W/O Contrast",7437.0,7437.0,1100.68,5949.6,23
CDM,35000353,"CT, Abd and Pelvis W/Contrast",10272.0,10272.0,1520.26,8217.6,23
CDM,35000354,Iliac Revasc,19302.75,19302.75,2856.81,15442.2,23
CDM,35000355,Iliac Revasc W/Stent,35812.25,35812.25,5300.21,28649.8,23
CDM,35000357,Iliac Revasc W/Stent Add-On,14620.0,14620.0,2163.76,11696.0,23
CDM,35000358,Fem/Popl Revas W/Tla,24568.6,24568.6,3636.15,19654.88,23
CDM,35000359,Fem/Popl Revas W/Ather,32096.0,32096.0,4750.21,25676.8,23
CDM,35000360,Fem/Popl Revasc W/Stent,45356.0,45356.0,6712.69,36284.8,23
CDM,35000361,Fem/Popl Revasc Stnt & Ather,73816.0,73816.0,10924.77,59052.8,23
CDM,35000362,Tib/per Revasc W/Tla,30941.0,30941.0,4579.27,24752.8,23
CDM,35000363,Tib/per Revasc W/Ather,45356.0,45356.0,6712.69,36284.8,23
CDM,35000364,Tib/per Revasc W/Stent,34500.0,34500.0,5106.0,27600.0,23
CDM,35000365,Tib/per Revasc Stent & Ather,46326.0,46326.0,6856.25,37060.8,23
CDM,35000366,Tib/per Revasc Add-On,13042.0,13042.0,1930.22,10433.6,23
CDM,35000368,Revsc Opn/Prq Tib/Pero Stent,14615.0,14615.0,2163.02,11692.0,23
CDM,35000381,"CT, Abd and Pelvis W&W/O Contrast",11888.0,11888.0,1759.42,9510.4,23
CDM,35000400,Vein X-Ray Eye Socket,2838.2,2838.2,420.05,2270.56,23
CDM,35100001,Head/Brain CT W/O Dye Ect,4026.0,4026.0,595.85,3220.8,23
CDM,35100002,Head/Brain CT W/ Dye Ect,4594.0,4594.0,679.91,3675.2,23
CDM,35100003,Head/Brain CT W&WO Dye Ect,6096.15,6096.15,902.23,4876.92,23
CDM,35100004,Orbit/Sella/Ear W/O Dye Ect,4489.6,4489.6,664.46,3591.68,23
CDM,35100005,Orbit/Sella/Ear W/Dye Ect,5027.8,5027.8,744.11,4022.24,23
CDM,35100006,Orb/Sella/Ear W&WO Dye Ect,4991.0,4991.0,738.67,3992.8,23
CDM,35100007,Maxillofac CT W/O Dye Ect,4725.0,4725.0,699.3,3780.0,23
CDM,35100008,Maxillofac CT W/Dye Ect,6480.0,6480.0,959.04,5184.0,23
CDM,35100009,Maxillofac CT W&WO Dye Ect,7547.0,7547.0,1116.96,6037.6,23
CDM,35100010,Soft Tiss Neck CT W/O Dye Ect,4095.0,4095.0,606.06,3276.0,23
CDM,35100011,Soft Tiss Neck CT W/Dye Ect,5424.0,5424.0,802.75,4339.2,23
CDM,35100012,Soft Tiss Neck CT W&WO Dye Ect,6319.0,6319.0,935.21,5055.2,23
CDM,35100013,Head Cta W & W/O Dye Ect,6849.0,6849.0,1013.65,5479.2,23
CDM,35100014,Neck Cta W & W/O Dye Ect,7876.35,7876.35,1165.7,6301.08,23
CDM,35100015,"Brain Perfusion W/Cont CT, Ect",6102.0,6102.0,903.1,4881.6,23
CDM,35200001,Thorax CT W/O Dye Bct,4341.0,4341.0,642.47,3472.8,23
CDM,35200002,Thorax CT W/Dye Bct,5044.0,5044.0,746.51,4035.2,23
CDM,35200003,Thorax CT W&WO Dye Bct,5903.25,5903.25,873.68,4722.6,23
CDM,35200004,Thorax Cta W&WO Dye Bct,6610.0,6610.0,978.28,5288.0,23
CDM,35200005,Cervical Spine CT W/O Dye Ect,7208.0,7208.0,1066.78,5766.4,23
CDM,35200006,Cervical Spine CT W/Dye Ect,9771.0,9771.0,1446.11,7816.8,23
CDM,35200007,Cervical Spine CT W&WO Dye Ect,10974.0,10974.0,1624.15,8779.2,23
CDM,35200008,Thoracic Spine CT W/O Dye Ect,4444.0,4444.0,657.71,3555.2,23
CDM,35200009,Thoracic Spine CT W/Dye Ect,5666.05,5666.05,838.58,4532.84,23
CDM,35200010,Thoracic Spine CT W&WO Dye Ect,5730.0,5730.0,848.04,4584.0,23
CDM,35200011,Lumbar Spine CT W/O Dye Ect,4538.0,4538.0,671.62,3630.4,23
CDM,35200012,Lumbar Spine CT W/Dye Ect,5525.75,5525.75,817.81,4420.6,23
CDM,35200013,Lumbar Spine CT W&WO Dye Ect,5459.0,5459.0,807.93,4367.2,23
CDM,35200014,Pelvis Cta W&WO Dye Bct,5003.0,5003.0,740.44,4002.4,23
CDM,35200015,CT Pelvis W/O Dye,4157.0,4157.0,615.24,3325.6,23
CDM,35200017,Pelvis CT W/Dye Bct,5705.0,5705.0,844.34,4564.0,23
CDM,35200018,Pelvis CT W&WO Dye Bct,6641.0,6641.0,982.87,5312.8,23
CDM,35200020,CT Upper Ext W/O Dye,3520.0,3520.0,520.96,2816.0,23
CDM,35200023,CT Upper Ext W/Dye,3722.0,3722.0,550.86,2977.6,23
CDM,35200027,CT Upper Ext W/O&W/Dye,3894.0,3894.0,576.31,3115.2,23
CDM,35200029,CT Angio Upper Extm W/O&W/Dye,4683.95,4683.95,693.22,3747.16,23
CDM,35200032,CT Lower Ext W/O Dye,3290.0,3290.0,486.92,2632.0,23
CDM,35200035,CT Lower Ext W/Dye,4148.0,4148.0,613.9,3318.4,23
CDM,35200041,CT Angio Lower Ext W/O&W/Dye,5233.0,5233.0,774.48,4186.4,23
CDM,35200043,CT Abdomen W/O Dye,3828.0,3828.0,566.54,3062.4,23
CDM,35200046,CT Abdomen W/Dye,5085.0,5085.0,752.58,4068.0,23
CDM,35200048,Abdomen CT W&WO Dye Bct,5831.0,5831.0,862.99,4664.8,23
CDM,35200049,Abdomen Cta W&WO Dye Bct,9285.0,9285.0,1374.18,7428.0,23
CDM,35200059,Follow Up Study CT Limited Bct,2036.0,2036.0,301.33,1628.8,23
CDM,35200060,"Cta, Abdomen and Pelvis, W Dye",8074.0,8074.0,1194.95,6459.2,23
CDM,35200063,Low Dose CT Thorax Lung Ca Scr,2394.0,2394.0,354.31,1915.2,23
CDM,36000003,Ligate Oviduct(S) Add-On,653.2,653.2,96.67,522.56,23
CDM,36000027,Breast Surgery Procedure Cbc,6601.0,6601.0,976.95,5280.8,23
CDM,36000028,L&D Level 1 1st 30 Min,2320.83,2320.83,343.48,1856.66,23
CDM,36000029,L&D Level 2 1st 30 Min,2819.45,2819.45,417.28,2255.56,23
CDM,36000031,Perq Sacroplasty Bilateral Njx,14317.5,14317.5,2118.99,11454.0,23
CDM,36000038,L&D Level 3 1st 30 Min,3149.01,3149.01,466.05,2519.21,23
CDM,36000039,L&D Level 4 1st 30 Min,3254.0,3254.0,481.59,2603.2,23
CDM,36000040,L&D Level 5 1st 30 Min,2219.0,2219.0,328.41,1775.2,23
CDM,36000042,L&D Level 6 1st 30 Min,3873.0,3873.0,573.2,3098.4,23
CDM,36000043,L&D Level 1 Add 15 Min,1044.32,1044.32,154.56,835.46,23
CDM,36000044,L&D Level 2 Add 15 Min,1270.09,1270.09,187.97,1016.07,23
CDM,36000045,L&D Level 3 Add 15 Min,1416.68,1416.68,209.67,1133.34,23
CDM,36000046,L&D Level 4 Add 15 Min,1463.0,1463.0,216.52,1170.4,23
CDM,36000047,L&D Level 5 Add 15 Min,999.0,999.0,147.85,799.2,23
CDM,36000048,L&D Level 6 Add 15 Min,1741.0,1741.0,257.67,1392.8,23
CDM,36000116,Placement of a Needle for Intraosseous Infusion,2041.25,2041.25,302.1,1633.0,23
CDM,36000117,Level 1 1st 30 Min,14445.0,14445.0,2137.86,11556.0,23
CDM,36000118,Level 2 1st 30 Min,17541.58,17541.58,2596.15,14033.26,23
CDM,36000119,Level 3 1st 30 Min,19610.96,19610.96,2902.42,15688.77,23
CDM,36000120,Level 4 1st 30 Min,21679.27,21679.27,3208.53,17343.42,23
CDM,36000121,Level 5 1st 30 Min,23735.81,23735.81,3512.9,18988.65,23
CDM,36000122,Level 6 1st 30 Min,25804.12,25804.12,3819.01,20643.3,23
CDM,36000123,Level 1 Add 15 Min,6471.36,6471.36,957.76,5177.09,23
CDM,36000124,Level 2 Add 15 Min,7858.08,7858.08,1163.0,6286.46,23
CDM,36000125,Level 3 Add 15 Min,8828.57,8828.57,1306.63,7062.86,23
CDM,36000126,Level 4 Add 15 Min,9753.05,9753.05,1443.45,7802.44,23
CDM,36000127,Level 5 Add 15 Min,10821.98,10821.98,1601.65,8657.58,23
CDM,36000128,Level 6 Add 15 Min,11613.78,11613.78,1718.84,9291.02,23
CDM,36100001,Fna Bx W/O Img Gdn 1st Les,2041.25,2041.25,302.1,1633.0,23
CDM,36100002,Biopsy of External Ear,2364.4,2364.4,349.93,1891.52,23
CDM,36100007,"Percut Kyphoplasty, Thor",30813.0,30813.0,4560.32,24650.4,23
CDM,36100008,Acne Surgery,2041.25,2041.25,302.1,1633.0,23
CDM,36100009,I&D Abscess Simple/Single,2796.8,2796.8,413.93,2237.44,23
CDM,36100010,Hypothermia (Critical Care) 1st 30-74 Min,8998.0,8998.0,1331.7,7198.4,23
CDM,36100012,Hypothermia (Critical Care) Addl 30 Min,3690.35,3690.35,546.17,2952.28,23
CDM,36100013,"Percut Kyphoplasty, Lumb",28773.0,28773.0,4258.4,23018.4,23
CDM,36100014,"Percut Kyphoplasty, Add-On",16503.65,16503.65,2442.54,13202.92,23
CDM,36100017,Myelography via Lumbar Injection;Thoracic;Including S&I,2501.25,2501.25,370.18,2001.0,23
CDM,36100018,Myelography via Lumbar Injection;Lumbosacral;Including S&I,2983.1,2983.1,441.5,2386.48,23
CDM,36100019,Myelography via Lumbar Injection' 2or More Regions;Including S&I,5871.0,5871.0,868.91,4696.8,23
CDM,36100020,I&D Abscess Complex/Multiple,3588.0,3588.0,531.02,2870.4,23
CDM,36100022,Drain/Inject-Finger/Toe With US Guidance,2494.35,2494.35,369.16,1995.48,23
CDM,36100023,Drain/Inject-Wrist Elbow Ankle With US Guidance,2133.25,2133.25,315.72,1706.6,23
CDM,36100024,Drain/Inject-Shoulder Hip Knee With US Guidance,3617.9,3617.9,535.45,2894.32,23
CDM,36100025,Ablation Therapy Bone Tumor(S) Perq,11590.85,11590.85,1715.45,9272.68,23
CDM,36100026,Percutaneous Tibial Nerve Stimulation,2041.25,2041.25,302.1,1633.0,23
CDM,36100027,Anoscopy HRA W/Biopsy,2903.75,2903.75,429.76,2323.0,23
CDM,36100028,I&D Pilonidal Cyst Simple,3505.2,3505.2,518.77,2804.16,23
CDM,36100029,Cysto W/Dilat Rx Balo Cath Urtl Strix/Sten Male,12213.0,12213.0,1807.52,9770.4,23
CDM,36100030,Remove FB Subq Simple,3933.13,3933.13,582.1,3146.5,23
CDM,36100032,Transcervical Ablation Uterine Fibroid Rf,17836.0,17836.0,2639.73,14268.8,23
CDM,36100033,Suprachoroidal Space Njx Pharmacologic Agent,918.85,918.85,135.99,735.08,23
CDM,36100034,Remove FB Subq Complex,12057.75,12057.75,1784.55,9646.2,23
CDM,36100035,I&D Abscess Hematoma/Fluid,10551.25,10551.25,1561.58,8441.0,23
CDM,36100041,Punc Asp Abscess/Cyst/Hematoma,2226.4,2226.4,329.51,1781.12,23
CDM,36100042,"Tracheostomy, Planned",9182.0,9182.0,1358.94,7345.6,23
CDM,36100044,Endoven Abltj Incmptnt Vein Mchnchem 1st Vein,11487.0,11487.0,1700.08,9189.6,23
CDM,36100045,Endoven Abltj Incmptnt Vein Mchn Sbsq Veins-Add On,3320.0,3320.0,491.36,2656.0,23
CDM,36100046,Chemodenerv Parotid/Subm Salivary Glands Bilateral,2041.25,2041.25,302.1,1633.0,23
CDM,36100047,Breast Bx W/Plce Local Dev & Imaging of Spec Add'l Lese,3859.0,3859.0,571.13,3087.2,23
CDM,36100048,Njx Pltlt Plasma W/Img Harvest/Preparation,2041.25,2041.25,302.1,1633.0,23
CDM,36100049,I&D Complex Post OP Wound Inf,9396.0,9396.0,1390.61,7516.8,23
CDM,36100050,Cystoscopy and Treatment,11632.25,11632.25,1721.57,9305.8,23
CDM,36100051,Debride Skin,4330.0,4330.0,640.84,3464.0,23
CDM,36100052,Bil Sel Cath Plac Ext Carotid Angio W S&I,30987.0,30987.0,4586.08,24789.6,23
CDM,36100053,Bronchoscopy W/Placement Tracheal Stent,16138.0,16138.0,2388.42,12910.4,23
CDM,36100054,Revision of Lower Leg Tendon,6964.0,6964.0,1030.67,5571.2,23
CDM,36100055,Bronchoscopy Balloon Occlusion,16138.0,16138.0,2388.42,12910.4,23
CDM,36100056,Implnt Bio Implnt for Soft Tissue Reinforcement,8897.0,8897.0,1316.76,7117.6,23
CDM,36100058,Debride First 20 Sq Cm,2187.3,2187.3,323.72,1749.84,23
CDM,36100059,Cervicoplasty,4300.0,4300.0,636.4,3440.0,23
CDM,36100060,Insertion of Tunneled Intraperitoneal Catheter,15151.25,15151.25,2242.38,12121.0,23
CDM,36100062,Bil Blepharoplasty Lower Eyelid,6450.0,6450.0,954.6,5160.0,23
CDM,36100063,Debride Skin & Subcutaneous,2497.8,2497.8,369.67,1998.24,23
CDM,36100064,Bil Blepharoplasty Lower Eyelid Herniated Fat Pad,6450.0,6450.0,954.6,5160.0,23
CDM,36100065,Debride Skin/Sq/Muscle,7864.85,7864.85,1164.0,6291.88,23
CDM,36100066,Bil Blepharoplasty Upper Eyelid,6450.0,6450.0,954.6,5160.0,23
CDM,36100067,Debride Bone,12742.0,12742.0,1885.82,10193.6,23
CDM,36100069,Bil Blepharoplasty Upper Eyelid W/Excessive Skin,6450.0,6450.0,954.6,5160.0,23
CDM,36100070,"Pare Wart/Callus/Hyperkaratotic Lesion, Single",2041.25,2041.25,302.1,1633.0,23
CDM,36100071,Rhytidectomy Forehead,4300.0,4300.0,636.4,3440.0,23
CDM,36100072,Rhytidectomy Neck W/Platysmal Tightening,8459.0,8459.0,1251.93,6767.2,23
CDM,36100073,"Pare Wart/Callus, 2-4 Lesions",2041.25,2041.25,302.1,1633.0,23
CDM,36100074,"Pare Wart/Callus, >4 Lesions",2041.25,2041.25,302.1,1633.0,23
CDM,36100076,Rhytidectomy Cheek Chin & Neck,8459.0,8459.0,1251.93,6767.2,23
CDM,36100078,Removal of Skin Tags (1-15),2041.25,2041.25,302.1,1633.0,23
CDM,36100079,Rhytidectomy Smas Flap,8459.0,8459.0,1251.93,6767.2,23
CDM,36100080,Excision Skin Abd Infraumbilical Panniculectomy,15376.0,15376.0,2275.65,12300.8,23
CDM,36100081,Removal of Skin Tags;Ea Add 10,1775.0,1775.0,262.7,1420.0,23
CDM,36100082,Shave Les Trunk Arm Leg <0.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,36100085,Shave Trunk Arm Leg >2.0cm,2041.25,2041.25,302.1,1633.0,23
CDM,36100088,Shave Scalp/Neck/Hnd/Ft 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CDM,36100090,Shave Scalp/Neck/Hnd/Feet >2.0,2041.25,2041.25,302.1,1633.0,23
CDM,36100093,Excision Excessive Skin & Subq Tissue Thigh,6700.0,6700.0,991.6,5360.0,23
CDM,36100095,Bil Excision Excessive Skin & Subq Tissue Thigh,10500.0,10500.0,1554.0,8400.0,23
CDM,36100097,Excision Excessive Skin & Subq Tissue Arm,6700.0,6700.0,991.6,5360.0,23
CDM,36100099,Exc Benign Lesion T/a/L 0.5 Cm/<,3933.13,3933.13,582.1,3146.5,23
CDM,36100100,Quadratus Lumborum-Anes,3306.25,3306.25,489.32,2645.0,23
CDM,36100101,Exc Benign Lesion T/a/L 0.6-1.0 Cm,5352.1,5352.1,792.11,4281.68,23
CDM,36100103,Exc Benign Lesion T/a/L 1.1-2.0 Cm,5352.1,5352.1,792.11,4281.68,23
CDM,36100105,Exc Benign Lesion T/a/L 2.1-3.0 Cm,7297.9,7297.9,1080.09,5838.32,23
CDM,36100107,Exc Benign Lesion T/a/L 3.1-4.0 Cm,10505.0,10505.0,1554.74,8404.0,23
CDM,36100109,"Exc, Benign,>4.0 Cm, T/a/L",7435.9,7435.9,1100.51,5948.72,23
CDM,36100110,N Block Spenopalatine Gangl,2041.25,2041.25,302.1,1633.0,23
CDM,36100111,Exc Benign Scalp Genit Hand Ft,3854.8,3854.8,570.51,3083.84,23
CDM,36100113,Bil Excision Excessive Skin & Subq Tissue Arm,10500.0,10500.0,1554.0,8400.0,23
CDM,36100114,Excision Excessive Skin & Subq Tissue Other Area,6700.0,6700.0,991.6,5360.0,23
CDM,36100115,Exc Benign Scalp Genit Hnd Ft,6934.5,6934.5,1026.31,5547.6,23
CDM,36100116,Excision Excessive Skin & Subq Tissue Abdomen,12746.0,12746.0,1886.41,10196.8,23
CDM,36100117,Suction Assisted Lipectomy Head & Neck,8459.0,8459.0,1251.93,6767.2,23
CDM,36100118,Exc Ben Scal Gent Hd Ft Neck,8214.45,8214.45,1215.74,6571.56,23
CDM,36100119,Suction Assisted Lipectomy Trunk,8459.0,8459.0,1251.93,6767.2,23
CDM,36100120,Exc Beng Scp Gent Hd Ft Nk,7935.75,7935.75,1174.49,6348.6,23
CDM,36100122,"Exc Beng Sc, Genit Hd Ft Neck",11157.3,11157.3,1651.28,8925.84,23
CDM,36100124,"Exc,Benign,>4.0 Cm,Sclp/H/F",10870.0,10870.0,1608.76,8696.0,23
CDM,36100125,Ablate Inf Turbinate Superf,5537.81,5537.81,819.6,4430.25,23
CDM,36100126,Exc Benign Face Ear Nose Muc,2501.25,2501.25,370.18,2001.0,23
CDM,36100127,Suction Assisted Lipectomy Upper Extremity,4300.0,4300.0,636.4,3440.0,23
CDM,36100128,Suction Assisted Lipectomy Lower Extremity,8459.0,8459.0,1251.93,6767.2,23
CDM,36100129,Bil Mastectomy Gynecomastia,13480.5,13480.5,1995.11,10784.4,23
CDM,36100130,Exc Benign Face Ear Nose Muc,6147.9,6147.9,909.89,4918.32,23
CDM,36100132,"Exc, Beng Fc, ER,Nos,Muc 1.1-2",7465.8,7465.8,1104.94,5972.64,23
CDM,36100133,Bil Mastopexy,23064.0,23064.0,3413.47,18451.2,23
CDM,36100134,Bil Breast Reduction,23064.0,23064.0,3413.47,18451.2,23
CDM,36100135,Exc Benign Lesion F/E/E/N/L/M 2.1-3.0cm,9994.0,9994.0,1479.11,7995.2,23
CDM,36100138,Exc Benign Lesion F/E/E/N/L/M 3.1-4.0cm,6648.0,6648.0,983.9,5318.4,23
CDM,36100141,"Exc Benign,>4.0 Cm,F/E/Mem",15310.0,15310.0,2265.88,12248.0,23
CDM,36100142,"Exc.Malig,Tr/a/L,0.6-1.0cm",3855.95,3855.95,570.68,3084.76,23
CDM,36100143,"Exc.Malig,Tr/a/L,1.1-2.0cm",4434.0,4434.0,656.23,3547.2,23
CDM,36100144,"Exc.Malig Tr/a/L,2.1-3.0cm",7539.4,7539.4,1115.83,6031.52,23
CDM,36100145,Exc Malign Tr Arm Leg 3.1-4.0,6592.0,6592.0,975.62,5273.6,23
CDM,36100146,"Exc Malig>4.0 Cm,Trnk/a/L",6817.2,6817.2,1008.95,5453.76,23
CDM,36100147,"Exc Malign Scap Gent Hd,Ft Nk",3933.13,3933.13,582.1,3146.5,23
CDM,36100148,Exc Malignant Lesion S/N/H/F/G 1.1-2.0 Cm,6934.5,6934.5,1026.31,5547.6,23
CDM,36100154,Exc Malignant Lesion F/E/E/N/L 0.5 Cm/<,4185.0,4185.0,619.38,3348.0,23
CDM,36100159,Exc Malignant Lesion F/E/E/N/L 1.1-2.0 Cm,6030.0,6030.0,892.44,4824.0,23
CDM,36100165,Trim of Nondystrophic Nail(S) Any,2041.25,2041.25,302.1,1633.0,23
CDM,36100166,Debridement Nail(S) 1-5,2041.25,2041.25,302.1,1633.0,23
CDM,36100169,Debride Nails 6/>,2041.25,2041.25,302.1,1633.0,23
CDM,36100170,Breast Augmentation With Implant,22226.0,22226.0,3289.45,17780.8,23
CDM,36100171,Nipple/Areola Reconstruction,8987.0,8987.0,1330.08,7189.6,23
CDM,36100172,Bil Peri-Implant Capsulectomy Breast Complete,13480.5,13480.5,1995.11,10784.4,23
CDM,36100173,Avulsion Nail Plate Partial/Complete Simple 1st,2041.25,2041.25,302.1,1633.0,23
CDM,36100176,Avulsion Nail Plate Partial/Complete Simple Ea Addl,2041.25,2041.25,302.1,1633.0,23
CDM,36100178,I&D Subungual Hematoma,2041.25,2041.25,302.1,1633.0,23
CDM,36100180,Excision Nail Matrix Permanent Removal,7257.65,7257.65,1074.13,5806.12,23
CDM,36100181,Excision Tumor Soft Tiss Face/Scalp Subq <2cm,3823.0,3823.0,565.8,3058.4,23
CDM,36100182,Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm/>,3823.0,3823.0,565.8,3058.4,23
CDM,36100183,Wedge Excision Skin Nail Fold,2041.25,2041.25,302.1,1633.0,23
CDM,36100186,Intralesional Inj Up to 7 Les,2041.25,2041.25,302.1,1633.0,23
CDM,36100188,Injection Intralesional >7 Lesions,2041.25,2041.25,302.1,1633.0,23
CDM,36100190,Saline Injection < 10.0cc,2501.25,2501.25,370.18,2001.0,23
CDM,36100193,"Insert,Implant Contraceptive",5960.0,5960.0,882.08,4768.0,23
CDM,36100204,Genioplasty Augmentation,13808.0,13808.0,2043.58,11046.4,23
CDM,36100205,Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti,13808.0,13808.0,2043.58,11046.4,23
CDM,36100206,Bilat Inject Trigger Point 1-2 Musc,2129.8,2129.8,315.21,1703.84,23
CDM,36100208,Escharotomy Each Addl Incision,2903.75,2903.75,429.76,2323.0,23
CDM,36100209,Escharotomy First Incision,2041.25,2041.25,302.1,1633.0,23
CDM,36100210,Rhinp Prim Complete Xtrnl Parts,13808.0,13808.0,2043.58,11046.4,23
CDM,36100212,Rhinoplasty Primary W/Major Septal Repair,13808.0,13808.0,2043.58,11046.4,23
CDM,36100213,Vulvectomy Simple Partial,7371.0,7371.0,1090.91,5896.8,23
CDM,36100217,Wound Dehiscence Simple Closur,4836.0,4836.0,715.73,3868.8,23
CDM,36100218,"Bil Sel Cath Plac Sub Clav,/Innom Uni W/Angio and S/I",21915.25,21915.25,3243.46,17532.2,23
CDM,36100219,Packing of Wound Dehisience,2168.9,2168.9,321.0,1735.12,23
CDM,36100220,Bil Injection Aa&/Strd Axillary Nerve W/Img Gdn,8466.0,8466.0,1252.97,6772.8,23
CDM,36100234,"Repr Complex,1.1 to 2.5 Cm",2869.25,2869.25,424.65,2295.4,23
CDM,36100235,Repr Complex Trk 2.6-7.5cm,3109.6,3109.6,460.22,2487.68,23
CDM,36100248,Chem Peel Face Epidermal,2041.25,2041.25,302.1,1633.0,23
CDM,36100251,Initial Tx First Degree Burn,2041.25,2041.25,302.1,1633.0,23
CDM,36100253,"Inital Treatment, 1% Burn",2041.25,2041.25,302.1,1633.0,23
CDM,36100254,Part Thick Burn Dress/Debrd;Sm,2041.25,2041.25,302.1,1633.0,23
CDM,36100255,Part Thick Burn Dress/Debrd;MD (Tbsa 5%-10%),3933.13,3933.13,582.1,3146.5,23
CDM,36100256,Part Thick Burn Dress/Debrd;Lg (Tbsa >10%),2035.5,2035.5,301.25,1628.4,23
CDM,36100257,"Dest, Premalignant Lesion 1st",2041.25,2041.25,302.1,1633.0,23
CDM,36100259,"Dest, Premalignant Lesion 2-14",1775.0,1775.0,262.7,1420.0,23
CDM,36100260,"Les Dest, Benign Premal > 15",2041.25,2041.25,302.1,1633.0,23
CDM,36100262,"Dest Flat Warts Mollu,Milla",568.1,568.1,84.08,454.48,23
CDM,36100266,"Dest. Flat Warts, >15 Lesions",2041.25,2041.25,302.1,1633.0,23
CDM,36100269,Chemical Cautery Tissue,2041.25,2041.25,302.1,1633.0,23
CDM,36100270,Mid Line Insertion,6447.0,6447.0,954.16,5157.6,23
CDM,36100273,Les Dstr Malig Trnk Arm 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CDM,36100274,Les Dstr Malig Trnk Arm 1.1-2.,2041.25,2041.25,302.1,1633.0,23
CDM,36100275,Les Dstr Malig Trnk Arm 2.1-3.,2041.25,2041.25,302.1,1633.0,23
CDM,36100278,Les Dstr Malig Sclp Nck 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CDM,36100279,Les Dstr Malig Sclp Nck 1.1-2.,2041.25,2041.25,302.1,1633.0,23
CDM,36100281,Les Dstr Malig Sclp Nck 3.1-4.,2041.25,2041.25,302.1,1633.0,23
CDM,36100282,Lesion Dstr Malig Face Ear <.5,2041.25,2041.25,302.1,1633.0,23
CDM,36100283,Les Dstr Malig Face Ear 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CDM,36100286,"Bil Reopen Fallopian Tube,Transcerv Cath",8690.55,8690.55,1286.2,6952.44,23
CDM,36100287,Njx Noncmpnd Sclerosant Multiple Incmptnt Veins,6675.75,6675.75,988.01,5340.6,23
CDM,36100298,Punct Aspir Cyst Breast Bic,2501.25,2501.25,370.18,2001.0,23
CDM,36100299,Destruction Penis Lesion(S),7192.0,7192.0,1064.42,5753.6,23
CDM,36100301,Punct Aspir Ea Addt Cyst Bic,1775.0,1775.0,262.7,1420.0,23
CDM,36100306,Breast Bx Needle W/0 Imaging,3160.2,3160.2,467.71,2528.16,23
CDM,36100323,Bx Muscle Needle Percut Bct,5188.8,5188.8,767.94,4151.04,23
CDM,36100326,Bx Bone Trocar/Ndle Supf Bct,5537.81,5537.81,819.6,4430.25,23
CDM,36100328,Bx Bone Trocar/Ndle Deep Bct,9172.0,9172.0,1357.46,7337.6,23
CDM,36100329,Inject Sinus Tract Diagnostic,1775.0,1775.0,262.7,1420.0,23
CDM,36100330,Remove Foreign Body (Simple),4773.65,4773.65,706.5,3818.92,23
CDM,36100332,Carpal Tunnel Injection,2041.25,2041.25,302.1,1633.0,23
CDM,36100333,Inject Tendon Sheath Ligament,2270.1,2270.1,335.97,1816.08,23
CDM,36100336,Inj Tendon Origin/Insertion,2041.25,2041.25,302.1,1633.0,23
CDM,36100337,Inject Trigger Point 1-2 Musc,2129.8,2129.8,315.21,1703.84,23
CDM,36100338,Trigger Point Injections: Three or More Muscles,2196.5,2196.5,325.08,1757.2,23
CDM,36100339,Drain/Inject-Finger/Toe WO US Guidance,2041.25,2041.25,302.1,1633.0,23
CDM,36100345,Drain/Inject-Wrist Elbow Ankle WO US Guidance,2632.35,2632.35,389.59,2105.88,23
CDM,36100348,Drain/Inject-Shoulder Hip Knee WO US Guidance,2703.65,2703.65,400.14,2162.92,23
CDM,36100354,"Aspiration/Inj.,Gangion Cyst",2041.25,2041.25,302.1,1633.0,23
CDM,36100355,Arch Bar Removal,7188.0,7188.0,1063.82,5750.4,23
CDM,36100356,Removal Implant; Superficial,7188.0,7188.0,1063.82,5750.4,23
CDM,36100357,"Sequestrectomy, Mandible",12260.0,12260.0,1814.48,9808.0,23
CDM,36100359,Excision of Torus Mandibularis,8809.0,8809.0,1303.73,7047.2,23
CDM,36100360,Excision of Maxillary Torus,7365.0,7365.0,1090.02,5892.0,23
CDM,36100364,Reduce Alveolar Ridge Fracture,5722.0,5722.0,846.86,4577.6,23
CDM,36100368,Biopsy Neck,5322.2,5322.2,787.69,4257.76,23
CDM,36100369,"Biopsy, Neck/Thorax",5062.3,5062.3,749.22,4049.84,23
CDM,36100376,Injection Shoulder Arthrograph,1775.0,1775.0,262.7,1420.0,23
CDM,36100380,Injection Wrist Arthrography,1775.0,1775.0,262.7,1420.0,23
CDM,36100382,I&D Abscess Finger Simple,2041.25,2041.25,302.1,1633.0,23
CDM,36100383,I&D Abscess Complicated Finger,7086.3,7086.3,1048.77,5669.04,23
CDM,36100386,Injection Hip Arthro W/O Anes,1775.0,1775.0,262.7,1420.0,23
CDM,36100389,Sacroiliac Jt Inj With Arthrography,3639.75,3639.75,538.68,2911.8,23
CDM,36100407,Strapping of Ankle and/or Ft,2041.25,2041.25,302.1,1633.0,23
CDM,36100408,"Splinting, Toes",2041.25,2041.25,302.1,1633.0,23
CDM,36100409,Unna Boot,2041.25,2041.25,302.1,1633.0,23
CDM,36100411,"Biopsy, Intranasal",2501.25,2501.25,370.18,2001.0,23
CDM,36100418,Control Nasal Hemorrhage With Nasal Packs and/or Cautery,2041.25,2041.25,302.1,1633.0,23
CDM,36100422,Nasal Endoscopy Dx Uni/Bilat,2041.25,2041.25,302.1,1633.0,23
CDM,36100423,Endotracheal Intubation,3326.95,3326.95,492.39,2661.56,23
CDM,36100428,Et/Trach Change,2041.25,2041.25,302.1,1633.0,23
CDM,36100432,"Laryngoscopy, Indirect, Dx",2041.25,2041.25,302.1,1633.0,23
CDM,36100437,"Laryngoscopy, Fiberoptic, Dx",3441.95,3441.95,509.41,2753.56,23
CDM,36100442,Trach Punc Percut Aspir,10209.0,10209.0,1510.93,8167.2,23
CDM,36100444,Tracheobronchoscopy,3355.7,3355.7,496.64,2684.56,23
CDM,36100446,Bronchoscopy W or W/O Washing,5537.81,5537.81,819.6,4430.25,23
CDM,36100448,Bronchoscopy W/Brushing,5537.81,5537.81,819.6,4430.25,23
CDM,36100449,Bronchoscopy W/Bal,5537.81,5537.81,819.6,4430.25,23
CDM,36100450,Bronch Dx /Endobronchial Bx Single/Multiple Lobe,5537.81,5537.81,819.6,4430.25,23
CDM,36100452,Transbronch Bx W&W/O Fluo,9847.0,9847.0,1457.36,7877.6,23
CDM,36100453,Bron W/Trans Needl Aspir,9847.0,9847.0,1457.36,7877.6,23
CDM,36100454,Bronchoscopy Dilate/Fx Repr,12044.0,12044.0,1782.51,9635.2,23
CDM,36100456,"Bronch Tx, FB Removal",7171.4,7171.4,1061.37,5737.12,23
CDM,36100457,Bronchoscopy W/FB Removal,7171.4,7171.4,1061.37,5737.12,23
CDM,36100458,Bronchoscopy W/ Tumor,9937.25,9937.25,1470.71,7949.8,23
CDM,36100459,Bronchoscopy Intracav Rad Addl,5537.81,5537.81,819.6,4430.25,23
CDM,36100461,"Bronchoscopy, Clear Airways",6874.7,6874.7,1017.46,5499.76,23
CDM,36100463,"Bronchoscopy, Reclear Airway",2903.75,2903.75,429.76,2323.0,23
CDM,36100467,Nasotreacheal Suction,2041.25,2041.25,302.1,1633.0,23
CDM,36100471,Pleural Biopsy,5062.3,5062.3,749.22,4049.84,23
CDM,36100480,Insert Indwelling Cath,13841.4,13841.4,2048.53,11073.12,23
CDM,36100482,Chest Tube Insertion,6656.2,6656.2,985.12,5324.96,23
CDM,36100485,Chemical Pleurodesis,3453.45,3453.45,511.11,2762.76,23
CDM,36100486,Removal of Pleural Catheter,2175.0,2175.0,321.9,1740.0,23
CDM,36100488,Insrt New/Repl Pcmkr/Ld-Atrial,30887.0,30887.0,4571.28,24709.6,23
CDM,36100489,Insrt New/Repl Pcmkr/Ld-Vent,30407.0,30407.0,4500.24,24325.6,23
CDM,36100490,Insrt New/Repl Pcmkr/Ld- a / V,35761.55,35761.55,5292.71,28609.24,23
CDM,36100491,Temp Pacemaker Wire,21196.0,21196.0,3137.01,16956.8,23
CDM,36100492,Insrt Pcmkr W Exist Sngl Ld,22175.0,22175.0,3281.9,17740.0,23
CDM,36100493,Insrt Pcmkr W Exist Dual Lds,29429.0,29429.0,4355.49,23543.2,23
CDM,36100495,Reposition Icd Lead,8366.0,8366.0,1238.17,6692.8,23
CDM,36100496,Insrt Sngl Icd Lead Transveno,22495.0,22495.0,3329.26,17996.0,23
CDM,36100497,Insrt Dual Icd Lead Transveno,22495.0,22495.0,3329.26,17996.0,23
CDM,36100500,Relocation Skin Pkt Cardiovert-Defib,7456.0,7456.0,1103.49,5964.8,23
CDM,36100501,Insert Lead to Prev Pcmkr / Icd,31511.0,31511.0,4663.63,25208.8,23
CDM,36100502,L Ventr Pacing Lead Add +Pock,50601.0,50601.0,7488.95,40480.8,23
CDM,36100503,Reposition Lv Pcmkr Lead,7930.0,7930.0,1173.64,6344.0,23
CDM,36100504,Remove Pcmkr Only,22795.0,22795.0,3373.66,18236.0,23
CDM,36100505,Remove Pcmkr Electrode,9491.0,9491.0,1404.67,7592.8,23
CDM,36100506,Remove Icd Generator Only,10052.15,10052.15,1487.72,8041.72,23
CDM,36100507,Transvenous Removal Icd Lead,11934.7,11934.7,1766.34,9547.76,23
CDM,36100508,Insrt/Repl Sgl/Dual Icd Ld/Gen,71464.0,71464.0,10576.67,57171.2,23
CDM,36100518,Remove Intra-Aortic Balloon,6173.2,6173.2,913.63,4938.56,23
CDM,36100557,Injection Contrast Venography,2888.8,2888.8,427.54,2311.04,23
CDM,36100558,"Intro Cath, Sup/Inf Vena Cava",8722.75,8722.75,1290.97,6978.2,23
CDM,36100559,Select Cath Venous 1st Order,3186.65,3186.65,471.62,2549.32,23
CDM,36100560,Select Cath Venous 2nd Order,16258.0,16258.0,2406.18,13006.4,23
CDM,36100562,Select Cath Lt/Rt Pulm Artery,2722.0,2722.0,402.86,2177.6,23
CDM,36100563,Select Cath Segmental Pulm Art,4234.0,4234.0,626.63,3387.2,23
CDM,36100565,Intro Needle Extremity Artery,3296.0,3296.0,487.81,2636.8,23
CDM,36100568,Intro Catheter Aorta,4801.0,4801.0,710.55,3840.8,23
CDM,36100569,Selct Art 1st Ord Thor/Brach,8252.4,8252.4,1221.36,6601.92,23
CDM,36100570,Selct Art 2nd Ord Thor/Brach,7279.5,7279.5,1077.37,5823.6,23
CDM,36100571,Selct Art 3rd Ord Thor/Brach,6971.0,6971.0,1031.71,5576.8,23
CDM,36100572,Selct Art Add'l 2nd/3rd Th/Br,1886.0,1886.0,279.13,1508.8,23
CDM,36100573,Selct Art 1st Ord Abd/Pelv,3581.0,3581.0,529.99,2864.8,23
CDM,36100574,Selct Art 1st Ord Abd/Pelv/Le,5736.2,5736.2,848.96,4588.96,23
CDM,36100575,Selct Art 2nd Ord Abd/Pelv/Le,8822.8,8822.8,1305.77,7058.24,23
CDM,36100576,Selct Art 3rd Ord Abd/Pelv/Le,8492.75,8492.75,1256.93,6794.2,23
CDM,36100577,"Selct Art, Addt'l, Abd/Pelv/Le",4664.4,4664.4,690.33,3731.52,23
CDM,36100592,"Injection(S), Spider Vein",2041.25,2041.25,302.1,1633.0,23
CDM,36100594,Injection Therapy of Vein,2041.25,2041.25,302.1,1633.0,23
CDM,36100596,"Endovenous Rf, 1st Vein",11653.0,11653.0,1724.64,9322.4,23
CDM,36100597,"Endovenous Rf, Vein Add On",6433.0,6433.0,952.08,5146.4,23
CDM,36100598,"Endovenous Laser, 1st Vein",11467.0,11467.0,1697.12,9173.6,23
CDM,36100599,Endovenous Laser Vein Add-On,6839.0,6839.0,1012.17,5471.2,23
CDM,36100600,Percut Portal Vein Cath,6395.0,6395.0,946.46,5116.0,23
CDM,36100601,Venous Cath Selct Org Bld Samp,1821.0,1821.0,269.51,1456.8,23
CDM,36100602,Ins Non-Tun Cvc <5 Spv,6197.0,6197.0,917.16,4957.6,23
CDM,36100603,Central Line Placement,13815.0,13815.0,2044.62,11052.0,23
CDM,36100608,Ins Tun Cvc W/O Port >5 Spv,12423.0,12423.0,1838.6,9938.4,23
CDM,36100610,Ins Tun Cvc W/Port >5 Spv,23715.0,23715.0,3509.82,18972.0,23
CDM,36100612,Insert Tunneled Cv Cath,14002.0,14002.0,2072.3,11201.6,23
CDM,36100613,Insert Tunneled Cv Cath W/Port,9620.0,9620.0,1423.76,7696.0,23
CDM,36100616,Insertion of Picc Catheter,7593.0,7593.0,1123.76,6074.4,23
CDM,36100619,Insert Picc WO Port/Pump >5,7414.05,7414.05,1097.28,5931.24,23
CDM,36100621,Ins Perh Cvc W/ Port >5 Spv,20364.0,20364.0,3013.87,16291.2,23
CDM,36100623,Repair Tun/N-Tun Cvc WO Pt Spv,3201.6,3201.6,473.84,2561.28,23
CDM,36100628,Replce Non-Tun Cvc WO Port Spv,6054.0,6054.0,895.99,4843.2,23
CDM,36100629,Replce Tun Cvc W/O Port Spv,11393.05,11393.05,1686.17,9114.44,23
CDM,36100630,Replce Tun Cvc W/ Port Spv,12249.18,12249.18,1812.88,9799.34,23
CDM,36100634,Replce Comp Picc W/O Port Spv,9481.0,9481.0,1403.19,7584.8,23
CDM,36100635,Replce Comp Picc W/Port Spv,9077.0,9077.0,1343.4,7261.6,23
CDM,36100636,Removal Tun Cvc W/O Port Spv,4906.0,4906.0,726.09,3924.8,23
CDM,36100638,Removal Tun Cvc W/Port Spv,6710.0,6710.0,993.08,5368.0,23
CDM,36100640,Blood Draw Central Line,1775.0,1775.0,262.7,1420.0,23
CDM,36100642,Declot Vascular Access Device,2964.7,2964.7,438.78,2371.76,23
CDM,36100645,Mech Removal Obstr Cvc Spv,10555.75,10555.75,1562.25,8444.6,23
CDM,36100647,Reposit Cvc W/ Fluoro Guid Spv,4396.45,4396.45,650.67,3517.16,23
CDM,36100648,"Inj W/Fluro, Eval Cv Device",2041.25,2041.25,302.1,1633.0,23
CDM,36100649,Arterial Puncture,2041.25,2041.25,302.1,1633.0,23
CDM,36100650,Bilateral Drain/Inject-Shoulder Hip Knee WO US Guidance,5054.25,5054.25,748.03,4043.4,23
CDM,36100652,Arterial Line Insert,3928.4,3928.4,581.4,3142.72,23
CDM,36100657,Insert Hepatic Shunt (Tips),38202.0,38202.0,5653.9,30561.6,23
CDM,36100658,Remove Hepatic Shunt (Tips),29807.0,29807.0,4411.44,23845.6,23
CDM,36100659,Prim Art Mech Thrombectomy,20330.85,20330.85,3008.97,16264.68,23
CDM,36100660,Prim Art M-Thrombect Add-On,4836.0,4836.0,715.73,3868.8,23
CDM,36100662,Venous Mech Thrombectomy,18732.35,18732.35,2772.39,14985.88,23
CDM,36100663,Venous M-Thrombectomy Add-On,12389.0,12389.0,1833.57,9911.2,23
CDM,36100664,"Thrombolytic Therapy, Stroke",2428.8,2428.8,359.46,1943.04,23
CDM,36100665,Transcatheter Biopsy,13359.0,13359.0,1977.13,10687.2,23
CDM,36100681,"Transcath Stent, Cca W/Eps",21427.95,21427.95,3171.34,17142.36,23
CDM,36100682,"Transcath Stent, Cca W/O Eps",19533.9,19533.9,2891.02,15627.12,23
CDM,36100685,Temporal Artery Biopsy,9841.0,9841.0,1456.47,7872.8,23
CDM,36100687,Phleb Veins-Extrem-Up to 20,9907.0,9907.0,1466.24,7925.6,23
CDM,36100688,Phleb Veins-Extrem-20+,10848.0,10848.0,1605.5,8678.4,23
CDM,36100689,Vascular Surgery Procedure,12742.0,12742.0,1885.82,10193.6,23
CDM,36100691,Diagnostic Bone Marrow; Aspiration(S),5062.3,5062.3,749.22,4049.84,23
CDM,36100693,Diagnostic Bone Marrow; Biopsy(Ies),5779.56,5779.56,855.37,4623.65,23
CDM,36100695,Bx Lymph Node(S) Ndl Bct,5308.4,5308.4,785.64,4246.72,23
CDM,36100697,Inj Lymphangiography,2563.0,2563.0,379.32,2050.4,23
CDM,36100698,Identify Sentinel Node,2041.25,2041.25,302.1,1633.0,23
CDM,36100699,Biopsy of Lip,2041.25,2041.25,302.1,1633.0,23
CDM,36100701,I&D Abscess Intra-Oral Simple,2041.25,2041.25,302.1,1633.0,23
CDM,36100702,I&D Abscess Intra-Oral Complex,3486.8,3486.8,516.05,2789.44,23
CDM,36100703,Biopsy Vestibule of Mouth,2041.25,2041.25,302.1,1633.0,23
CDM,36100705,Exc/Les/Mouth W/Simple Repair,9329.95,9329.95,1380.83,7463.96,23
CDM,36100706,Exc/Les/Mouth W/Complex Repair,5537.81,5537.81,819.6,4430.25,23
CDM,36100709,I&D Extraoral Sublingual,2041.25,2041.25,302.1,1633.0,23
CDM,36100711,"I&D,Floor/Mouth-Submandibular",5417.65,5417.65,801.81,4334.12,23
CDM,36100713,Biopsy Anterior 2/3 of Tongue,3172.85,3172.85,469.58,2538.28,23
CDM,36100715,Biopsy Posterior 1/3 Tongue,5629.0,5629.0,833.09,4503.2,23
CDM,36100717,"Biopsy, Floor of Mouth",4649.45,4649.45,688.12,3719.56,23
CDM,36100718,Exc Lesion Floor of Mouth,7141.0,7141.0,1056.87,5712.8,23
CDM,36100719,Excision of Fibrous Tuberosity,5537.81,5537.81,819.6,4430.25,23
CDM,36100723,"Alveoloplasty, Each Quadrant",7732.6,7732.6,1144.42,6186.08,23
CDM,36100724,Completely Bony,2141.3,2141.3,316.91,1713.04,23
CDM,36100725,"Biopsy Palate, Uvula",2501.25,2501.25,370.18,2001.0,23
CDM,36100727,"Exc Palate, Uvula,W/O Closure",5537.81,5537.81,819.6,4430.25,23
CDM,36100729,"Dest Lesion, Palate or Uvula",7229.0,7229.0,1069.89,5783.2,23
CDM,36100730,"Biopsy of Salivary Gland,Needl",4309.0,4309.0,637.73,3447.2,23
CDM,36100733,Biopsy of Salivary Gland,9563.0,9563.0,1415.32,7650.4,23
CDM,36100738,G-Tube Insertion,7962.6,7962.6,1178.46,6370.08,23
CDM,36100742,Naso Gastric Tube Place,2080.35,2080.35,307.89,1664.28,23
CDM,36100747,Reposition Gastrostomy Tube,5739.0,5739.0,849.37,4591.2,23
CDM,36100751,Intro Long GI Tube,2603.6,2603.6,385.33,2082.88,23
CDM,36100757,I&D Abscess Perirectal,10182.1,10182.1,1506.95,8145.68,23
CDM,36100758,"Anoscopy, Diagnostic, Inc Spec Collect",2041.25,2041.25,302.1,1633.0,23
CDM,36100759,Anoscopy and Biopsy,4535.6,4535.6,671.27,3628.48,23
CDM,36100760,Destr Condyloma Anal - Chemic,2041.25,2041.25,302.1,1633.0,23
CDM,36100763,Anal Cryo Surgery,2041.25,2041.25,302.1,1633.0,23
CDM,36100764,"Liver Biopsy, Needle, Percut",6459.6,6459.6,956.02,5167.68,23
CDM,36100769,Bx Liver Addtl Proc Percut Bct,1775.0,1775.0,262.7,1420.0,23
CDM,36100770,Exploratory Laparotomy,5479.75,5479.75,811.0,4383.8,23
CDM,36100773,"Ablation, Liver Tumor; Rf",11574.0,11574.0,1712.95,9259.2,23
CDM,36100774,Drain Cholecystostomy S&I Bct,10582.29,10582.29,1566.18,8465.83,23
CDM,36100786,Pancreatitis Place Drain Bct,9060.0,9060.0,1340.88,7248.0,23
CDM,36100800,Thrombolytic Art Therapy W/S/I Any Meth Init Day,9758.0,9758.0,1444.18,7806.4,23
CDM,36100802,Thrombolytic Venous Therapy W S/I Any Meth Init Day,11711.0,11711.0,1733.23,9368.8,23
CDM,36100806,Bx Retroperitone Mass Perc Bct,7974.0,7974.0,1180.15,6379.2,23
CDM,36100810,Throm Art/Ven Therapy W S/I Inc F/U Cath Subsq Day,13594.0,13594.0,2011.91,10875.2,23
CDM,36100813,Gastrostomy Tube Place S&I Spv,17627.0,17627.0,2608.8,14101.6,23
CDM,36100814,G Tube Check,10200.5,10200.5,1509.67,8160.4,23
CDM,36100815,Replace G/C Tube Perc,3933.13,3933.13,582.1,3146.5,23
CDM,36100816,Replace G-J Tube Perc,7937.3,7937.3,1174.72,6349.84,23
CDM,36100818,Bx Renal Percut Trocar/Ndl Bct,9973.23,9973.23,1476.04,7978.58,23
CDM,36100822,"Remove Urter Stent, Percut",9762.0,9762.0,1444.78,7809.6,23
CDM,36100823,Change Ext/Int Ureter Stent,8934.9,8934.9,1322.37,7147.92,23
CDM,36100824,Remove Renal Tube With Fluro,3406.3,3406.3,504.13,2725.04,23
CDM,36100825,Aspir/Inject Renal Cyst/Pelvis,4429.0,4429.0,655.49,3543.2,23
CDM,36100831,"Ablation, Renal Tumor, Rf",20047.0,20047.0,2966.96,16037.6,23
CDM,36100833,Change of Ureter Tube/Stent,3943.35,3943.35,583.62,3154.68,23
CDM,36100834,Inject for Ureter X-Ray,1775.0,1775.0,262.7,1420.0,23
CDM,36100836,Drain Bladder by Needle,2041.25,2041.25,302.1,1633.0,23
CDM,36100841,Drainage of Bladder,6341.0,6341.0,938.47,5072.8,23
CDM,36100842,Inject Cystography/Voiding,1775.0,1775.0,262.7,1420.0,23
CDM,36100844,Inject Cystography/Void Retro,1775.0,1775.0,262.7,1420.0,23
CDM,36100848,Insert Straight Cath in & Out,2041.25,2041.25,302.1,1633.0,23
CDM,36100849,Cath Insert Indwelling,2041.25,2041.25,302.1,1633.0,23
CDM,36100851,Insert Complicated Cath,2318.4,2318.4,343.12,1854.72,23
CDM,36100853,Change Cysto Tube Complicated,4550.55,4550.55,673.48,3640.44,23
CDM,36100854,Instill Bladder Anticancer Age,2366.7,2366.7,350.27,1893.36,23
CDM,36100858,Residual Urine by Ultrasound,1775.0,1775.0,262.7,1420.0,23
CDM,36100860,Cystourethroscopy,4153.0,4153.0,614.64,3322.4,23
CDM,36100861,Cystourethro W Ureteral Cath,7768.25,7768.25,1149.7,6214.6,23
CDM,36100862,Perc Dilate Ureter W Balloon,8277.7,8277.7,1225.1,6622.16,23
CDM,36100863,Cysto W Stent Removal,9687.6,9687.6,1433.76,7750.08,23
CDM,36100864,Cysto W Ureter Stent Plcmnt,10091.0,10091.0,1493.47,8072.8,23
CDM,36100865,Dilate Urethra Stricture Male Initial,2041.25,2041.25,302.1,1633.0,23
CDM,36100866,Dilate Stricture Male Subseq,2041.25,2041.25,302.1,1633.0,23
CDM,36100871,Dorsal Slit Exc Newborn,8016.0,8016.0,1186.37,6412.8,23
CDM,36100873,"Les, Dest, Chem Penis, Simple",2041.25,2041.25,302.1,1633.0,23
CDM,36100875,Cryosurg Penis Lesion(S) Simpl,2041.25,2041.25,302.1,1633.0,23
CDM,36100876,Biopsy of Penis,5537.81,5537.81,819.6,4430.25,23
CDM,36100877,Circumcision,5758.05,5758.05,852.19,4606.44,23
CDM,36100880,Paraphimosis Reduction,2041.25,2041.25,302.1,1633.0,23
CDM,36100883,Aspiration of Hydrocele,2610.5,2610.5,386.35,2088.4,23
CDM,36100884,Removal of Sperm Duct(S),7126.55,7126.55,1054.73,5701.24,23
CDM,36100885,Biopsy Prostate Needle/Punch,7634.85,7634.85,1129.96,6107.88,23
CDM,36100887,I&D Abscess Vulvar Perineal,2647.3,2647.3,391.8,2117.84,23
CDM,36100888,Abltj Perc Uxtr/Perph Nrv,7825.0,7825.0,1158.1,6260.0,23
CDM,36100889,Abltj Perc Plex/Trncl Nrv,20106.0,20106.0,2975.69,16084.8,23
CDM,36100890,Ire Abltj 1+Tum Organ Perq,21903.0,21903.0,3241.64,17522.4,23
CDM,36100891,Ablate Pulm Tumor Perq Crybl,18773.75,18773.75,2778.52,15019.0,23
CDM,36100892,Perq Abltj Lvr Cryoablation,15823.0,15823.0,2341.8,12658.4,23
CDM,36100893,Evasc Ven Artlz Tibl/Prnl Vn,53704.0,53704.0,7948.19,42963.2,23
CDM,36100902,Cess Therapy Cath Removalw/ Vess Close,8884.9,8884.9,1314.97,7107.92,23
CDM,36100903,"Cryosurgery, Vulvar",7174.85,7174.85,1061.88,5739.88,23
CDM,36100906,Destroy Lesion(S) Vulva Extens,5041.6,5041.6,746.16,4033.28,23
CDM,36100909,"Vulvar Biopsy, One Lesion",2501.25,2501.25,370.18,2001.0,23
CDM,36100914,"Vulvar Bx, Each Addl Lesion",2041.25,2041.25,302.1,1633.0,23
CDM,36100920,"Colposcopy, Vulva",2041.25,2041.25,302.1,1633.0,23
CDM,36100921,"Colposcopy, Vulva + Vulva Bx",2041.25,2041.25,302.1,1633.0,23
CDM,36100923,Colpocentesis,5537.81,5537.81,819.6,4430.25,23
CDM,36100925,Destroy Vaginal Lesion(S) Simp,6297.0,6297.0,931.96,5037.6,23
CDM,36100929,Vaginal Biopsy Simple,5621.2,5621.2,831.94,4496.96,23
CDM,36100930,Bil Sacroiliac Jt Inj With Arthrography,5460.2,5460.2,808.11,4368.16,23
CDM,36100933,Vaginal Irrigation,2041.25,2041.25,302.1,1633.0,23
CDM,36100934,Insertion of T&O,10568.5,10568.5,1564.14,8454.8,23
CDM,36100935,Pessary Insertion,2041.25,2041.25,302.1,1633.0,23
CDM,36100940,Colposcopy of Vagina,2041.25,2041.25,302.1,1633.0,23
CDM,36100941,"Colposcopy, Vagina With Cervix",2041.25,2041.25,302.1,1633.0,23
CDM,36100942,Colposcopy Bx of Vagina+Cervix,2978.5,2978.5,440.82,2382.8,23
CDM,36100945,Colposcopy Without Biopsy,2041.25,2041.25,302.1,1633.0,23
CDM,36100951,Colposcopy W/Bx & Ecc,2041.25,2041.25,302.1,1633.0,23
CDM,36100956,Colposcopy + Cx Bx,2088.4,2088.4,309.08,1670.72,23
CDM,36100957,"Unlisted Procedure, Nervous System",1930.0,1930.0,285.64,1544.0,23
CDM,36100960,Colposcopy + Ecc,2041.25,2041.25,302.1,1633.0,23
CDM,36100961,Colposcopy W/Leep Bx,6706.0,6706.0,992.49,5364.8,23
CDM,36100963,Colposcopy W/Leep Cone,9772.7,9772.7,1446.36,7818.16,23
CDM,36100964,Cervical Biopsy,3866.3,3866.3,572.21,3093.04,23
CDM,36100967,"Cryosurgery, Cervix",2041.25,2041.25,302.1,1633.0,23
CDM,36100968,Leep + Ecc + Cone,10383.35,10383.35,1536.74,8306.68,23
CDM,36100969,Revision of Cervix,6223.0,6223.0,921.0,4978.4,23
CDM,36100970,Endometrial Biopsy,2041.25,2041.25,302.1,1633.0,23
CDM,36100974,Endometrial Bx in Conj W/Colp,2041.25,2041.25,302.1,1633.0,23
CDM,36100976,Dilation & Curettage Dx&/Ther Nonobstetric,7782.0,7782.0,1151.74,6225.6,23
CDM,36100977,Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve,7448.55,7448.55,1102.39,5958.84,23
CDM,36100978,Insertion Iud,2041.25,2041.25,302.1,1633.0,23
CDM,36100981,Non Sel Cath Plac Aort W Angio Inc S/I,17553.0,17553.0,2597.84,14042.4,23
CDM,36100982,Sel Cath Plac Ext Carotid Angio W S&I,15168.5,15168.5,2244.94,12134.8,23
CDM,36100983,Iud Removal,1952.5,1952.5,288.97,1562.0,23
CDM,36100984,Sel Cath Plac Common/Inom Intracranial Carotid,22966.65,22966.65,3399.06,18373.32,23
CDM,36100985,Sel Cath Plac Internal Intracranial Carotid Unilateral,23918.85,23918.85,3539.99,19135.08,23
CDM,36100986,"Sel Cath Plac Sub Clav,/Innom Uni W/Angio and S/I",17063.7,17063.7,2525.43,13650.96,23
CDM,36100987,"Sel Cath Plac Sub Clav,/Vert W/Angio and S/I",60254.0,60254.0,8917.59,48203.2,23
CDM,36100988,Sel Cath Plac Ext Carotid Angio W S&I,23756.7,23756.7,3515.99,19005.36,23
CDM,36100989,Inject Hysterosalpingography,1775.0,1775.0,262.7,1420.0,23
CDM,36100991,"Hysteroscopy, Biopsy",13168.2,13168.2,1948.89,10534.56,23
CDM,36100993,Amniocentesis US,3118.8,3118.8,461.58,2495.04,23
CDM,36100999,Insert Cervical Dilator,2041.25,2041.25,302.1,1633.0,23
CDM,36101000,Episitomy/Vaginal Repair,9202.0,9202.0,1361.9,7361.6,23
CDM,36101001,Delivery of Placenta,6861.0,6861.0,1015.43,5488.8,23
CDM,36101003,Trtmt of Spontaneous Abortion,7739.0,7739.0,1145.37,6191.2,23
CDM,36101004,Trmt of Missed Abort.-1st Trim,9435.75,9435.75,1396.49,7548.6,23
CDM,36101005,Ind/Abortion/Dilation&Curettag,5223.3,5223.3,773.05,4178.64,23
CDM,36101007,Abortion by Vag. Sup. Insert,2465.6,2465.6,364.91,1972.48,23
CDM,36101009,Removal Ceralage Suture,5683.3,5683.3,841.13,4546.64,23
CDM,36101010,Remove Cerclage Suture,5683.3,5683.3,841.13,4546.64,23
CDM,36101011,Bx Thyroid Perc Needle Bct,2898.0,2898.0,428.9,2318.4,23
CDM,36101012,Bx Thyroid US,4218.2,4218.2,624.29,3374.56,23
CDM,36101016,Emboliza Intracran/Sp Cord Spn,31499.65,31499.65,4661.95,25199.72,23
CDM,36101019,Embolization Extracranial,27904.0,27904.0,4129.79,22323.2,23
CDM,36101020,Intracranial Angioplasty,17698.5,17698.5,2619.38,14158.8,23
CDM,36101021,Intracran Angioplasty W/Stent,17394.0,17394.0,2574.31,13915.2,23
CDM,36101022,"Dilate Ic Vasospasm, Init",10772.05,10772.05,1594.26,8617.64,23
CDM,36101023,Dilate Ic Vasospasm Add-On,9848.6,9848.6,1457.59,7878.88,23
CDM,36101025,Spinal Cord Cyst Perc Aspi Bct,2642.7,2642.7,391.12,2114.16,23
CDM,36101026,Bx Spinal Cord Perc Needle Bct,3903.1,3903.1,577.66,3122.48,23
CDM,36101027,Dx Lumbar Puncture W/O Imaging,3605.25,3605.25,533.58,2884.2,23
CDM,36101032,Therapeutic Lumbar Puncture W/O Imaging,2849.7,2849.7,421.76,2279.76,23
CDM,36101033,Placement of Prostate Fiducial Markers,5364.75,5364.75,793.98,4291.8,23
CDM,36101039,Injection Epidural Blood Patch,4400.0,4400.0,651.2,3520.0,23
CDM,36101042,Injection Myelo/CT Spinal,4716.0,4716.0,697.97,3772.8,23
CDM,36101044,Inject Diskography Ea Lev Lumb,2409.0,2409.0,356.53,1927.2,23
CDM,36101045,Inject Diskography Ea Lev Cerv,2496.0,2496.0,369.41,1996.8,23
CDM,36101048,Implant Neuroelectrodes,13513.0,13513.0,1999.92,10810.4,23
CDM,36101051,Inj Anes/Strd Ilioinguinal/Iliohypogastric Nerve,3453.45,3453.45,511.11,2762.76,23
CDM,36101052,Inj Anes/Strd Other Peripheral Nerve,5983.0,5983.0,885.48,4786.4,23
CDM,36101059,Inject Anest Txforamen L/S Sng,4064.1,4064.1,601.49,3251.28,23
CDM,36101061,Transfor Inj Lum/Sac Addt Spn,4690.0,4690.0,694.12,3752.0,23
CDM,36101062,Inject Anest Lumbar Thoracic,5439.5,5439.5,805.05,4351.6,23
CDM,36101064,Njx Anes Celiac Plexus W/WO Img Guidance,5015.0,5015.0,742.22,4012.0,23
CDM,36101065,Chemodenerve Mus Inv Fac Nerve,3933.13,3933.13,582.1,3146.5,23
CDM,36101070,Destr Peripheral Nerve,8339.8,8339.8,1234.29,6671.84,23
CDM,36101072,Destr Neurolyitc Celiac Plexus,6569.0,6569.0,972.21,5255.2,23
CDM,36101075,"FB Removal, Eye",2041.25,2041.25,302.1,1633.0,23
CDM,36101078,Repair Laceration Conjunctiva,5063.45,5063.45,749.39,4050.76,23
CDM,36101079,Rpr Lacer Cornea Non-Perfor,8972.0,8972.0,1327.86,7177.6,23
CDM,36101080,Cornea Sclera Wound Tissue Glu,5537.81,5537.81,819.6,4430.25,23
CDM,36101082,Excise Lesn Cornea Not Pterygm,5997.0,5997.0,887.56,4797.6,23
CDM,36101085,Scraping Cornea Diagnostic,2041.25,2041.25,302.1,1633.0,23
CDM,36101087,Paracentesis Ant Chamb Eye Wdx,5537.81,5537.81,819.6,4430.25,23
CDM,36101090,Trabeculoplasty by Laser,3369.5,3369.5,498.69,2695.6,23
CDM,36101093,Destruction Ciliary Body,6866.65,6866.65,1016.26,5493.32,23
CDM,36101094,Transscleral Cyclophotocoagula,6349.15,6349.15,939.67,5079.32,23
CDM,36101096,Iridotomy Laser Surgery,7642.0,7642.0,1131.02,6113.6,23
CDM,36101097,Iridoplasty Photocoagulation,2563.35,2563.35,379.38,2050.68,23
CDM,36101098,Yag Laser Capsulotomy,2501.25,2501.25,370.18,2001.0,23
CDM,36101100,Inject Vitreous Pars Pla/Limbl,8619.0,8619.0,1275.61,6895.2,23
CDM,36101101,Injection Intravitreal Drug,2504.7,2504.7,370.7,2003.76,23
CDM,36101103,Retinal Detach Rpr Cryo/Diath,7769.0,7769.0,1149.81,6215.2,23
CDM,36101106,Photocoagulation Retinal Tear,2501.25,2501.25,370.18,2001.0,23
CDM,36101107,Destroy Lesion Retina Cryo/Dia,4906.0,4906.0,726.09,3924.8,23
CDM,36101108,Destroy Lesion Retina Photocoa,2501.25,2501.25,370.18,2001.0,23
CDM,36101111,Tx Extensive Retinopathy Photocoagulation,7387.0,7387.0,1093.28,5909.6,23
CDM,36101113,Chemodenerv Extraocular Muscle,2041.25,2041.25,302.1,1633.0,23
CDM,36101115,Inject Medication Retrobulbar,2041.25,2041.25,302.1,1633.0,23
CDM,36101117,Inject Medication Tenon's Caps,2302.3,2302.3,340.74,1841.84,23
CDM,36101120,Incision Eyelid Fold,7159.0,7159.0,1059.53,5727.2,23
CDM,36101121,Excise Chalazion Single,2424.2,2424.2,358.78,1939.36,23
CDM,36101122,Excise Chalazion Multiple,2539.2,2539.2,375.8,2031.36,23
CDM,36101123,"Excise Chalazion,Mult,Diff Lid",2041.25,2041.25,302.1,1633.0,23
CDM,36101124,Biopsy of Eyelid,2645.0,2645.0,391.46,2116.0,23
CDM,36101125,Correct Trichiasis Electrosurg,2041.25,2041.25,302.1,1633.0,23
CDM,36101126,Excise Lesion Eyelid Smpl Clos,2957.8,2957.8,437.75,2366.24,23
CDM,36101127,Temporary Tarsorraphy,8553.7,8553.7,1265.95,6842.96,23
CDM,36101128,Construct Intemar Adhes Etc.,7543.0,7543.0,1116.36,6034.4,23
CDM,36101130,Repair Ectropion by Suture,5537.81,5537.81,819.6,4430.25,23
CDM,36101135,Suture Wound Eyelid Partial Th,7718.0,7718.0,1142.26,6174.4,23
CDM,36101136,Suture Wound Eyelid Full Thick,10632.0,10632.0,1573.54,8505.6,23
CDM,36101138,Remove Foreign Body Eyelid,2041.25,2041.25,302.1,1633.0,23
CDM,36101139,Canthoplasty,9333.0,9333.0,1381.28,7466.4,23
CDM,36101141,Biopsy of Conjunctiva,3689.2,3689.2,546.0,2951.36,23
CDM,36101142,Excise Lesion Conjunctiva <1 C,5406.15,5406.15,800.11,4324.92,23
CDM,36101143,Incision Conjunctival Lesion,5406.15,5406.15,800.11,4324.92,23
CDM,36101144,Excise Lesion Conjunctiva >1 C,5537.81,5537.81,819.6,4430.25,23
CDM,36101145,Injection Subconjunctiva,2041.25,2041.25,302.1,1633.0,23
CDM,36101152,Close Tear Duct Opening,2041.25,2041.25,302.1,1633.0,23
CDM,36101154,Dilate Lacrimal Punctum,2041.25,2041.25,302.1,1633.0,23
CDM,36101158,Biopsy External Ear Canal,5537.81,5537.81,819.6,4430.25,23
CDM,36101162,Remove FB Ear W/O Anes,2041.25,2041.25,302.1,1633.0,23
CDM,36101165,"Debridement,Ear Wash Placement",2041.25,2041.25,302.1,1633.0,23
CDM,36101171,"Myringotomy W Aspir, E Tube In",2041.25,2041.25,302.1,1633.0,23
CDM,36101176,Tympanostomy Local Anes,2417.3,2417.3,357.76,1933.84,23
CDM,36101183,Ivus Initial Vessel,9435.75,9435.75,1396.49,7548.6,23
CDM,36101184,Ivus - Addit Vessel,10140.7,10140.7,1500.82,8112.56,23
CDM,36101185,Inject Si Joint Arthrgrphy&/Anes/Steroid W/Image,3639.75,3639.75,538.68,2911.8,23
CDM,36101186,Bil Inject Si Joint Arthrgrphy&/Anes/Steroid W/Image,5460.2,5460.2,808.11,4368.16,23
CDM,36101187,Closure Device Placement,2653.0,2653.0,392.64,2122.4,23
CDM,36101192,Partially Bony,2141.3,2141.3,316.91,1713.04,23
CDM,36101193,Soft Tissue,2141.3,2141.3,316.91,1713.04,23
CDM,36101198,Njx Interlaminar Crv/Thrc,2831.3,2831.3,419.03,2265.04,23
CDM,36101199,Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,2501.25,2501.25,370.18,2001.0,23
CDM,36101202,Tca Peel,2041.25,2041.25,302.1,1633.0,23
CDM,36101209,Hr Anoscopy W/ Bx,3448.85,3448.85,510.43,2759.08,23
CDM,36101211,Hr Ano W/Ablation of Tumor,6197.0,6197.0,917.16,4957.6,23
CDM,36101214,Cystometrogram W/Vp&Up,2394.0,2394.0,354.31,1915.2,23
CDM,36101225,Injection Aa&/Strd Brachial Plexus W/Img Gdn,3997.4,3997.4,591.62,3197.92,23
CDM,36101226,Injection Aa&/Strd Axillary Nerve W/Img Gdn,5809.8,5809.8,859.85,4647.84,23
CDM,36101227,Inj Anes/Strd Intercostal Nerve 1st Level,3933.13,3933.13,582.1,3146.5,23
CDM,36101228,Inj Anes/Strd Intercostal Nerve Addl Level,5694.8,5694.8,842.83,4555.84,23
CDM,36101229,Injection Aa&/Strd Sciatic Nerve W/Img Gdn,3933.13,3933.13,582.1,3146.5,23
CDM,36101230,Injection Aa&/Strd Femoral Nerve W/Img Gdn,5046.2,5046.2,746.84,4036.96,23
CDM,36101231,Bilat_Inj Paravert F Jnt C/T 1 Lev,6242.0,6242.0,923.82,4993.6,23
CDM,36101232,Bilat_Inj Paravert F Jnt C/T 2 Lev,2907.0,2907.0,430.24,2325.6,23
CDM,36101233,Bilat_Inj Paravert F Jnt C/T 3 Lev,2160.0,2160.0,319.68,1728.0,23
CDM,36101234,Bilat_Inj Paravert F Jnt L/S 1 Lev,7798.15,7798.15,1154.13,6238.52,23
CDM,36101235,Bilat_Inj Paravert F Jnt L/S 2 Lev,3592.6,3592.6,531.7,2874.08,23
CDM,36101236,Bilat_Inj Paravert F Jnt L/S 3 Lev,4630.0,4630.0,685.24,3704.0,23
CDM,36101254,Bil Rmvl Bil DRN Cath Perc Fluor G,2501.25,2501.25,370.18,2001.0,23
CDM,36101256,Bil Convert Nephrostomy Cath,5430.3,5430.3,803.68,4344.24,23
CDM,36101257,Bil Perq Arterial Translum Thromec,56408.0,56408.0,8348.38,45126.4,23
CDM,36101264,Removal Impacted Cerumen Instrument Unilat,2041.25,2041.25,302.1,1633.0,23
CDM,36101267,Revised Eye Lashes,2041.25,2041.25,302.1,1633.0,23
CDM,36101274,Laryngoscopy W/Biopsy,11222.85,11222.85,1660.98,8978.28,23
CDM,36101281,Ins Mark Abd/Pel for Rt Perq,3129.15,3129.15,463.11,2503.32,23
CDM,36101284,Circum 28 Days or Older,7355.4,7355.4,1088.6,5884.32,23
CDM,36101285,Female Genital System Procedur,1775.0,1775.0,262.7,1420.0,23
CDM,36101286,Antepartum Manipulation,5014.0,5014.0,742.07,4011.2,23
CDM,36101288,Aspir/Inj Thyroid Cyst,3010.7,3010.7,445.58,2408.56,23
CDM,36101290,Endovasc Tempry Vesel Ocl Nir,12815.9,12815.9,1896.75,10252.72,23
CDM,36101292,Dilate Ic Vasospasm Add-On,7563.55,7563.55,1119.41,6050.84,23
CDM,36101295,Remove Foreign Body From Eye,2041.25,2041.25,302.1,1633.0,23
CDM,36101310,Bronchoscopy Treat Blockage,13850.6,13850.6,2049.89,11080.48,23
CDM,36101313,Injection Aa&/Strd Fem Nrv Cont Nfs Cath Img Gdn,3933.13,3933.13,582.1,3146.5,23
CDM,36101315,Tap Block Unil by Injection,6097.3,6097.3,902.4,4877.84,23
CDM,36101317,Tap Block Bi Injection,6097.3,6097.3,902.4,4877.84,23
CDM,36101350,"Dx Laryngoscopy, Except Nb",4037.65,4037.65,597.57,3230.12,23
CDM,36101351,"Replace Duod/Jej Tube Perc,Spv",6582.6,6582.6,974.22,5266.08,23
CDM,36101355,Drain External Ear Lesion,2041.25,2041.25,302.1,1633.0,23
CDM,36101402,Insert Cath Pleura W/O Image,5537.81,5537.81,819.6,4430.25,23
CDM,36101403,Insert Cath Pleura W/ Image,6181.0,6181.0,914.79,4944.8,23
CDM,36101404,Navigation Bronchoscopy W/Markers,15202.0,15202.0,2249.9,12161.6,23
CDM,36101405,Endovasc Intracran Adm Rx 1st,17660.55,17660.55,2613.76,14128.44,23
CDM,36101406,Endovasc Intracran Adm Rx Add,14474.0,14474.0,2142.15,11579.2,23
CDM,36101407,US Vascular Non-Coronary Init,7754.45,7754.45,1147.66,6203.56,23
CDM,36101408,US Vascular Non-Coron Add Ea,5171.0,5171.0,765.31,4136.8,23
CDM,36101409,Xr Cholangiogram Transhepatic,5561.4,5561.4,823.09,4449.12,23
CDM,36101410,Xr Cholangiogram Thru Cath,8238.25,8238.25,1219.26,6590.6,23
CDM,36101411,Pl Bil DRN Cath Perc Ext Rad,11028.17,11028.17,1632.17,8822.54,23
CDM,36101412,Pl Bil DRN Cath Perc Int/Ext R,13216.95,13216.95,1956.11,10573.56,23
CDM,36101413,Conv Ext Bil DRN Cath to Int/E,6591.8,6591.8,975.59,5273.44,23
CDM,36101414,Exch Bil DRN Cath Perc Rad,9641.0,9641.0,1426.87,7712.8,23
CDM,36101415,Rmvl Bil DRN Cath Perc Fluor G,3201.6,3201.6,473.84,2561.28,23
CDM,36101416,Plmt Stent Bile Duct Perc Rad Exis Accs,18400.0,18400.0,2723.2,14720.0,23
CDM,36101417,Plmt Stent Bile Duct Perc Rad New Accs W/O Cath,10898.0,10898.0,1612.9,8718.4,23
CDM,36101420,Dilation Biliary Duct/Ampulla,5442.0,5442.0,805.42,4353.6,23
CDM,36101421,Endolumin Bx Biliary Tree Perq,5895.0,5895.0,872.46,4716.0,23
CDM,36101422,Extract Stone Duct Biliary,2246.0,2246.0,332.41,1796.8,23
CDM,36101423,Sclerotx Fluid Collection Perq,5722.4,5722.4,846.92,4577.92,23
CDM,36101424,Plmt Nephrostomy Cath Prq New Access Rs&I,8231.0,8231.0,1218.19,6584.8,23
CDM,36101425,Plmt Ureteral Stent Prq Neph/Ureterogram Pre-Exist,6450.35,6450.35,954.65,5160.28,23
CDM,36101426,Plmt Ureteral Stent Prq Neph/Ureterogram New Acces,6450.35,6450.35,954.65,5160.28,23
CDM,36101427,Plmt Ureteral Stent Prq Nep/Urt New Acces Sep Cath,6450.35,6450.35,954.65,5160.28,23
CDM,36101428,Inj Antegrade Neph/Uret Comp,2861.2,2861.2,423.46,2288.96,23
CDM,36101429,Inj Antegrade Neph/Uret Comp,3904.25,3904.25,577.83,3123.4,23
CDM,36101430,Place Nephroureteral Cath Prq,7940.0,7940.0,1175.12,6352.0,23
CDM,36101431,Convert Nephrostomy Cath,5430.3,5430.3,803.68,4344.24,23
CDM,36101432,Chg Tube Nephro/Pyelo,7381.85,7381.85,1092.51,5905.48,23
CDM,36101438,Ball Dilat Ureteral Stricture,3163.0,3163.0,468.12,2530.4,23
CDM,36101439,Perq Arterial Translum Thromec,37605.0,37605.0,5565.54,30084.0,23
CDM,36101440,Inj of Sub Spinal Canal Upper/Mid Back; W/Image,3451.15,3451.15,510.77,2760.92,23
CDM,36101441,Inj of Sub Spinal Canal Lower Back/Sacrum; W/Image,3743.25,3743.25,554.0,2994.6,23
CDM,36101445,Laryngoscopy Flexible Therapeutic Injection Uni,6932.2,6932.2,1025.97,5545.76,23
CDM,36101502,Bronchoscopy Rigid/Flex Ebus Interven Peri Lesion,8829.7,8829.7,1306.8,7063.76,23
CDM,36101503,Bronchoscopy Rigid/Flex Ebus Sampling 1 or 2 Node,12428.0,12428.0,1839.34,9942.4,23
CDM,36101504,Bronchoscopy Rigid/Flex Ebus Sampling 3/> Node,12428.0,12428.0,1839.34,9942.4,23
CDM,36101520,Removal of Salivary Stone,6425.0,6425.0,950.9,5140.0,23
CDM,36101985,Anus Surgery Procedure,2175.0,2175.0,321.9,1740.0,23
CDM,36101989,Drainage of Arm Bursa,6677.0,6677.0,988.2,5341.6,23
CDM,36101990,Esophageal Capsule Endoscopy,5522.0,5522.0,817.26,4417.6,23
CDM,36101991,GI Tract Capsule Endoscopy,6051.0,6051.0,895.55,4840.8,23
CDM,36101995,Rem Imp Tooth W Mucoper Fip,2141.3,2141.3,316.91,1713.04,23
CDM,36101998,Sel Cath Plc Intracrn Brnch Ic/Vert Art W/Angio,54877.0,54877.0,8121.8,43901.6,23
CDM,36102082,Ecc Cervical Scrape,2501.25,2501.25,370.18,2001.0,23
CDM,36102095,"Excision of Cyst,Fibro Adrenoma",12668.4,12668.4,1874.92,10134.72,23
CDM,36102101,N Block Inj Plantar Digit,2041.25,2041.25,302.1,1633.0,23
CDM,36102150,"Breast Biopsy, Open, Incisional",5774.15,5774.15,854.57,4619.32,23
CDM,36102151,Excision Breast Lesion,5239.4,5239.4,775.43,4191.52,23
CDM,36102155,Exc Tr-Emt Mlg+Marg 0.5<Cm,3933.13,3933.13,582.1,3146.5,23
CDM,36102172,"Sinogram, Therapeutic",2501.25,2501.25,370.18,2001.0,23
CDM,36102183,"Fibrinolysis via Chest Tube/Catheter, Initial",3017.6,3017.6,446.6,2414.08,23
CDM,36102185,Percutaneous Rfa Lung Tumor(S),13360.0,13360.0,1977.28,10688.0,23
CDM,36102189,Repair of Blood Vessel Direct Lower Extremity,3642.05,3642.05,539.02,2913.64,23
CDM,36102195,Pseudoaneurysm Tx Injection (Thrombin),2282.75,2282.75,337.85,1826.2,23
CDM,36102197,"Injection of Sclerosing Solution; Multiple Veins, Same Leg",2711.7,2711.7,401.33,2169.36,23
CDM,36102205,"Open Rfa, Liver Tumor(S) Using U/S Guidance",6592.5,6592.5,975.69,5274.0,23
CDM,36102207,"Percutaneous Cryoablation, Liver Tumor(S)",2175.0,2175.0,321.9,1740.0,23
CDM,36102208,Perc. Cholecystostomy,10582.5,10582.5,1566.21,8466.0,23
CDM,36102217,Change of Abscess Drain (Inc. Injection),7322.0,7322.0,1083.66,5857.6,23
CDM,36102218,Abscessogram (Tube Check),1775.0,1775.0,262.7,1420.0,23
CDM,36102219,J-Tube Placement Under Fluoro Guidance,5340.6,5340.6,790.41,4272.48,23
CDM,36102222,"Contrast Injection for G-, J-, G-J, C Tube Radiological Evaluation",2041.25,2041.25,302.1,1633.0,23
CDM,36102224,"Open Cryo, Renal Tumor(S) Includes US Guidance",6365.25,6365.25,942.06,5092.2,23
CDM,36102226,"Removal, Transuretheral Approach Includes Imaging",3027.95,3027.95,448.14,2422.36,23
CDM,36102230,"Percutaneous Cryoablation, Renal Tumor(S)",25310.0,25310.0,3745.88,20248.0,23
CDM,36102231,Aspirate Bladder (Diagnostic) by Trocar/Catheter,2041.25,2041.25,302.1,1633.0,23
CDM,36102235,"Biopsy, Prostate",7634.85,7634.85,1129.96,6107.88,23
CDM,36102238,Puncture Shunt Tube/Reservoir Aspiration/Inj Px,5779.9,5779.9,855.43,4623.92,23
CDM,36102244,Injection Cervical/Thoracic sngl LEVel,5265.0,5265.0,779.22,4212.0,23
CDM,36102245,Njx Txforamen Cerv/Thorax Each Addl Level,2285.0,2285.0,338.18,1828.0,23
CDM,36102255,"Mechanical Removal Obstructive Material G-, J-, G-J, C O",2949.75,2949.75,436.56,2359.8,23
CDM,36102280,Exc. of Gum Lesion,5537.81,5537.81,819.6,4430.25,23
CDM,36102281,Simple Tooth Extraction,2141.3,2141.3,316.91,1713.04,23
CDM,36102290,Comp Bony W/Surg.Comp,2141.3,2141.3,316.91,1713.04,23
CDM,36102310,Ins Endovas Vena Cava Filter,20972.55,20972.55,3103.94,16778.04,23
CDM,36102311,Reposition Endov Vena Cava Fil,14382.0,14382.0,2128.54,11505.6,23
CDM,36102312,Replace Endovas Vena Cava Fil,14055.3,14055.3,2080.18,11244.24,23
CDM,36102313,Sel Cath Plmt Renal 1st Ord Uni,17981.0,17981.0,2661.19,14384.8,23
CDM,36102314,Sel Cath Plmt Renal 1st Ord Bil,19601.75,19601.75,2901.06,15681.4,23
CDM,36102315,Supslctv Cath 2nd+Ord Renal&Acc Artery/S&I,16105.75,16105.75,2383.65,12884.6,23
CDM,36102316,Sprsel Cath Pl Rena 1st Ord Bil,12894.0,12894.0,1908.31,10315.2,23
CDM,36102318,Dstr Cerv/Thor Paravet Sngl,3766.25,3766.25,557.4,3013.0,23
CDM,36102319,Dstr Cerv/Thor Paravet Ea Addl,2041.25,2041.25,302.1,1633.0,23
CDM,36102320,Unilateral Dstr Lumb/Sac Paravet; Sngl,9050.5,9050.5,1339.47,7240.4,23
CDM,36102321,Unilateral Dstr Lumb/Sac Paravet; Ea Addl,3060.15,3060.15,452.9,2448.12,23
CDM,36102324,IR Sel Cath Plac Internal Carotid Intracranial Carotid Bilateral,34457.45,34457.45,5099.7,27565.96,23
CDM,36102329,Placement of Soft Tissue Localization Device; 1st,2811.75,2811.75,416.14,2249.4,23
CDM,36102330,Excl Debride- Subq > 20sq Cm,4372.3,4372.3,647.1,3497.84,23
CDM,36102331,Excl Debride- Muscle > 20sq Cm,4889.8,4889.8,723.69,3911.84,23
CDM,36102333,Biopsy of Nail Unit,2501.25,2501.25,370.18,2001.0,23
CDM,36102342,Rem/Debride Devitalized Tissue W/O Anes,453.1,453.1,67.06,362.48,23
CDM,36102343,Placement of Soft Tissue Localization Device; Each,2445.0,2445.0,361.86,1956.0,23
CDM,36102345,Exc. Gum Each Quad(Gingivectomy),3766.25,3766.25,557.4,3013.0,23
CDM,36102360,I&D Abscess Scrotum,8873.4,8873.4,1313.26,7098.72,23
CDM,36102362,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,6794.0,6794.0,1005.51,5435.2,23
CDM,36102363,Breast Bx W/ Plce Local Dev and Imaging of Spec Ea Add'e,4986.0,4986.0,737.93,3988.8,23
CDM,36102364,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,7720.0,7720.0,1142.56,6176.0,23
CDM,36102365,Breast Bx W/ Plce Local Dev and Imaging of Spec Ea Add'e,4304.66,4304.66,637.09,3443.73,23
CDM,36102366,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,7718.0,7718.0,1142.26,6174.4,23
CDM,36102368,Plce Breast Local Dev Percut 1st Lesion Inc Mammo Guide,3222.3,3222.3,476.9,2577.84,23
CDM,36102369,Plce Breast Local Dev Percut Ea Add'l Lesion Inc Mammo Guide,1832.0,1832.0,271.14,1465.6,23
CDM,36102372,Plce Breast Local Dev Percut 1st Lesion Inc Ultrsnd Guide,3933.13,3933.13,582.1,3146.5,23
CDM,36102373,Plce Breast Local Dev Percut Ea Add'l Lesion Inc Ultrsnd Guide,1984.0,1984.0,293.63,1587.2,23
CDM,36102376,Perq Image-Guided Catheter Fluid Collection,3933.13,3933.13,582.1,3146.5,23
CDM,36102380,Injection Intravitreal Drug-Both Eyes,3757.05,3757.05,556.04,3005.64,23
CDM,36103335,Remove Vagina Lesion,5537.81,5537.81,819.6,4430.25,23
CDM,36103340,Chemodenerv 1 Extermity 1-4,3717.95,3717.95,550.26,2974.36,23
CDM,36103341,Chemodenerv 1 Exterm 1-4 Ea,2902.0,2902.0,429.5,2321.6,23
CDM,36103342,Chemodenerv 1 Exterm --5/>Mus,3933.13,3933.13,582.1,3146.5,23
CDM,36103343,Chemodenerv 1 Exterm --5/> Ea,2902.0,2902.0,429.5,2321.6,23
CDM,36103344,Chemodenerv Trunk Musc 1-5,6238.0,6238.0,923.22,4990.4,23
CDM,36103352,Open/Peq Place Stent Ea Add,25332.0,25332.0,3749.14,20265.6,23
CDM,36103353,Open/Pero Place Stent Same,42865.0,42865.0,6344.02,34292.0,23
CDM,36103354,Open/Perq Place Stent 1st,39904.0,39904.0,5905.79,31923.2,23
CDM,36103358,Vasc Embolize/Occlude Artery,50096.3,50096.3,7414.25,40077.04,23
CDM,36103359,Vasc Embolize/Occlude Bleed,49740.0,49740.0,7361.52,39792.0,23
CDM,36103361,Vasc Embolize/Occlude Venous,55896.0,55896.0,8272.61,44716.8,23
CDM,36103374,Chemodenerv Musc Neck Dyston,2501.25,2501.25,370.18,2001.0,23
CDM,36103376,Vasc Embolize/Occlude Organ,58731.0,58731.0,8692.19,46984.8,23
CDM,36103388,"Removal, Under Anesthesia, of External Fix System",7121.95,7121.95,1054.05,5697.56,23
CDM,36103390,"Chemodenervation of Muscle(S); Larynx, Unilateral, Percd",2501.25,2501.25,370.18,2001.0,23
CDM,36103392,"Img-Gde Fluid Collect Drain / Cath (Eg, Abcss, Hema, Seu",8497.35,8497.35,1257.61,6797.88,23
CDM,36103394,"Cysto, W/ Ureter and/or Pyelo; W/ Litho Inc Inst of Ind",12605.0,12605.0,1865.54,10084.0,23
CDM,36103395,"Img-Gde Fluid Collect Drain / Cath (Eg, Abcss, Hema, Seu",9641.0,9641.0,1426.87,7712.8,23
CDM,36103396,Removal Foreign Body Shoulder Deep Sub Fac/Intra Musc,4752.95,4752.95,703.44,3802.36,23
CDM,36103397,Tranbronchial Needle Aspiration Biospy Ea Addtl Lobe,6087.0,6087.0,900.88,4869.6,23
CDM,36103398,"Bronch With Computer-Assisted, Image-Guided Navigation",5000.2,5000.2,740.03,4000.16,23
CDM,36103399,Chemodenerv Eccrine Glands,2041.25,2041.25,302.1,1633.0,23
CDM,36103401,Ligation of Hemorrhoid(S),2496.65,2496.65,369.5,1997.32,23
CDM,36103402,Adductor Canal,5983.0,5983.0,885.48,4786.4,23
CDM,36103404,Remove FB Arm Superficial,6626.3,6626.3,980.69,5301.04,23
CDM,36103405,Insert Abdomen - Venous Drain,7187.0,7187.0,1063.68,5749.6,23
CDM,36103407,Destruction of Skin Lesions,2041.25,2041.25,302.1,1633.0,23
CDM,36103411,Tprnl Plmt Biodegradable Matrl Periprostatic,20959.9,20959.9,3102.07,16767.92,23
CDM,36103420,Bilateral Plmt Nephrostomy Cath Prq New Access Rs&I,8231.0,8231.0,1218.19,6584.8,23
CDM,36103421,Bilateral Select Cath Lt/Rt Pulm Artery,4083.0,4083.0,604.28,3266.4,23
CDM,36103422,Bilateral Chg Tube Nephro/Pyelo,7381.85,7381.85,1092.51,5905.48,23
CDM,36103423,Bilateral Sel Cath Plac Common/Inom Intracranial Carotid,32264.4,32264.4,4775.13,25811.52,23
CDM,36103424,"Bilateral Sel Cath Plac Sub Clav,/Vert W/Angio and S/I",90381.0,90381.0,13376.39,72304.8,23
CDM,36103425,Bilateral Destruction Neurolytic Agt Genicular Nerve W/Img,11400.0,11400.0,1687.2,9120.0,23
CDM,36103426,Bilateral Injection Aa&/Strd Genicular Nrv Branches W/Img,4148.0,4148.0,613.9,3318.4,23
CDM,36103427,Bilateral Change Ext/Int Ureter Stent,8934.9,8934.9,1322.37,7147.92,23
CDM,36103428,Bilateral Sel Cath Plac Ext Carotid Angio W S&I,16752.0,16752.0,2479.3,13401.6,23
CDM,36103429,Bilateral Vascular Surgery Procedure,16620.0,16620.0,2459.76,13296.0,23
CDM,36103430,Bilateral Inj Aa&/Strd Femoral Nerve W/Img Gdn,7569.3,7569.3,1120.26,6055.44,23
CDM,36103431,Bilateral Inj Aa&/Strd Other Peripheral Nerve/Branch,5983.0,5983.0,885.48,4786.4,23
CDM,36103432,Bilateral Pl Bil DRN Cath Perc Int/Ext R,10597.25,10597.25,1568.39,8477.8,23
CDM,36103433,Bil Exch Bil DRN Cath Perc Rad,9419.19,9419.19,1394.04,7535.35,23
CDM,36107101,Bilateral Inj Antegrade Neph/Uret Comp,3904.25,3904.25,577.83,3123.4,23
CDM,36107102,Bilateral Place Nephroureteral Cath Prq,7940.0,7940.0,1175.12,6352.0,23
CDM,36107103,Bilateral Inj Anes/Strd Suprascapular,6029.0,6029.0,892.29,4823.2,23
CDM,36107104,Thrombolytic Venous Therapy,17567.0,17567.0,2599.92,14053.6,23
CDM,36107105,Thromblytic Art/Ven Therapy,17567.0,17567.0,2599.92,14053.6,23
CDM,36107106,Cessj Therapy Cath Removal,20202.05,20202.05,2989.9,16161.64,23
CDM,36191374,"Destroy Mucles Facial, Trigeminal, Cervical, Spinal",2863.5,2863.5,423.8,2290.8,23
CDM,36191375,Myomectomy Vag Method,5898.0,5898.0,872.9,4718.4,23
CDM,36191376,Remove Drug Implant Contraceptive,8837.4,8837.4,1307.94,7069.92,23
CDM,36191377,Remove With Reinsertion of Drug Implant,2041.25,2041.25,302.1,1633.0,23
CDM,36191378,Inj Anes/Strd Paracervical Nerve,2686.4,2686.4,397.59,2149.12,23
CDM,36191381,Transbronchial Bx W/Addl Lobe,5439.5,5439.5,805.05,4351.6,23
CDM,36191387,Tendon Sheath Incision,3193.55,3193.55,472.65,2554.84,23
CDM,36191389,Inj Paravert F Jnt C/T 2 Lev,3592.6,3592.6,531.7,2874.08,23
CDM,36191396,"Tenotomy, Percutaneous, Achilles Tendon ; Local Anesthesia",3766.25,3766.25,557.4,3013.0,23
CDM,36191398,"Unlisted Procedure, Foot or Toes",1775.0,1775.0,262.7,1420.0,23
CDM,36191399,Inj Anes/Strd Pudendal Nerve,2501.25,2501.25,370.18,2001.0,23
CDM,36191400,Intmd Wnd Repair S/Tr/Ext,3510.95,3510.95,519.62,2808.76,23
CDM,36191403,"Arthrotomy W/Expl,Drain,Rmvl of Loose/FB Interphalangeal Jnt Ea",4442.45,4442.45,657.48,3553.96,23
CDM,36191405,"Closed Treatment of Carpometacarpal Dislocation,Thumb,W/Manipulation",2041.25,2041.25,302.1,1633.0,23
CDM,36191450,Remove Cerumen Impacted Irrig/Lavage Unilat,2041.25,2041.25,302.1,1633.0,23
CDM,36191451,Iridotomy Laser Surgery-Both Eyes,11463.0,11463.0,1696.52,9170.4,23
CDM,36191452,Inj Anes/Strd Greater Occipital Nerve,2501.25,2501.25,370.18,2001.0,23
CDM,36191453,Inject Stellate Ganglion,4274.0,4274.0,632.55,3419.2,23
CDM,36191454,Destroy Intercostal Neurolytic,5247.0,5247.0,776.56,4197.6,23
CDM,36191455,Inj Paravert F Jnt L/S 2 Lev,3592.6,3592.6,531.7,2874.08,23
CDM,36191456,Inj Paravert F Jnt L/S 3 Lev,4630.0,4630.0,685.24,3704.0,23
CDM,36191457,Inj Paravert F Jnt C/T 3 Lev,2398.9,2398.9,355.04,1919.12,23
CDM,36191458,Inj Paravert F Jnt L/S 1 Lev,7798.15,7798.15,1154.13,6238.52,23
CDM,36191459,Inj Paravert F Jnt C/T 1 Lev,7420.95,7420.95,1098.3,5936.76,23
CDM,36191460,Nblock Inj Hypogas Plxs,4327.0,4327.0,640.4,3461.6,23
CDM,36191461,Inj Anes/Strd Suprascapular,4619.55,4619.55,683.69,3695.64,23
CDM,36191462,Bone Marrow Biopsy(Ies) & Aspiration(S),7610.0,7610.0,1126.28,6088.0,23
CDM,36191465,"Pan Retinal Photocoagulation, Both Eyes",15964.0,15964.0,2362.67,12771.2,23
CDM,36191467,"Argon Laser Gonioplasty, One Eye",4996.75,4996.75,739.52,3997.4,23
CDM,36191469,Laryngoscopy W/ Inj Augmentation Unilateral,3862.85,3862.85,571.7,3090.28,23
CDM,36191472,Implant Neuroelectrodes Sacral Nerve,11309.1,11309.1,1673.75,9047.28,23
CDM,36191473,Pvb Thoracic Single Inj Site,4312.0,4312.0,638.18,3449.6,23
CDM,36191475,Place Needles Pelvic for Rt,10933.85,10933.85,1618.21,8747.08,23
CDM,36191476,Insertion Catheter Artery,731.4,731.4,108.25,585.12,23
CDM,36191477,Destruction Anal Lesion(S),6323.0,6323.0,935.8,5058.4,23
CDM,36191479,Curette/Treat Cornea,2784.15,2784.15,412.05,2227.32,23
CDM,36191480,Paracentesis Ant Cham W/ Rmvl Vitreous W/WO Air Inj,10439.7,10439.7,1545.08,8351.76,23
CDM,36191481,Njx Px Cntrst Kne Arthg Cntrst Enhncd CT/MRI Kne,997.05,997.05,147.56,797.64,23
CDM,36191482,Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,26035.0,26035.0,3853.18,20828.0,23
CDM,36191483,Removal Subcutaneous Cardiac Rhythm Monitor,3933.13,3933.13,582.1,3146.5,23
CDM,36191484,Fna Bx W/ US Guide 1st Lesion,5362.0,5362.0,793.58,4289.6,23
CDM,36191485,Fna Bx W/ US Guide Ea Addtl,1713.0,1713.0,253.52,1370.4,23
CDM,36191486,Fna Bx W/ Fluoro Guide 1st Lesion,3933.13,3933.13,582.1,3146.5,23
CDM,36191487,Fna Bx W/ Fluoro Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CDM,36191488,Fna Bx W/ CT Guide 1st Lesion,4224.0,4224.0,625.15,3379.2,23
CDM,36191489,Fna Bx W/ CT Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CDM,36191490,Fna Bx W/ MR Guide 1st Lesion,2648.45,2648.45,391.97,2118.76,23
CDM,36191491,Fna Bx W/ MR Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CDM,36191492,Tangential (Shave) Bx Skin; 1st Lesion,1877.95,1877.95,277.94,1502.36,23
CDM,36191493,Punch Bx Skin; 1st Lesion,1877.95,1877.95,277.94,1502.36,23
CDM,36191494,Incisional (Wedge) Bx Skin; 1st Lesion,3340.75,3340.75,494.43,2672.6,23
CDM,36191495,Tangential (Shave) Bx Skin; Ea Addtl,1035.0,1035.0,153.18,828.0,23
CDM,36191496,Punch Bx Skin; Ea Addtl,652.05,652.05,96.5,521.64,23
CDM,36191497,Incisional (Wedge) Bx Skin; Ea Addtl,517.5,517.5,76.59,414.0,23
CDM,36191498,Perq Replacement Gtube Not Req Rev Gastro Tract,1930.85,1930.85,285.77,1544.68,23
CDM,36191499,Perq Replacement Gtube Requiring Rev Gastro Tract,1679.0,1679.0,248.49,1343.2,23
CDM,36191500,Perq Dilation Xst Trc Endourologic Px W/Img,8267.35,8267.35,1223.57,6613.88,23
CDM,36191503,Fna Bx W/O Img Gdn Ea Addl,1098.25,1098.25,162.54,878.6,23
CDM,36191504,CT/MR Contrast Enhanced Arthrg Knee Inj Px Bilateral,997.05,997.05,147.56,797.64,23
CDM,36191505,Bilateral Destr Lumb/Sac Facet Jnt; Single,4889.8,4889.8,723.69,3911.84,23
CDM,36191507,Remove Impacted Ear Wax Irrig/Lavage Bil,2041.25,2041.25,302.1,1633.0,23
CDM,36191508,Ins Picc W/ Imaging 5 Yr+,7149.74,7149.74,1058.16,5719.79,23
CDM,36191509,Clsd Tx Post Hip Arthroplasty Disloc,6425.0,6425.0,950.9,5140.0,23
CDM,36191510,Chemical Peel (Tca) Nonfacial,2041.25,2041.25,302.1,1633.0,23
CDM,36191511,Simple Excision of Anal Lesion(S),8074.15,8074.15,1194.97,6459.32,23
CDM,36191512,Bilateral Carpal Tunnel Inj,2041.25,2041.25,302.1,1633.0,23
CDM,36191513,Bil Inject Txforamen Epi L/S Sngl,5900.81,5900.81,873.32,4720.65,23
CDM,36191514,Repair Retinal Detachment Inj Px,7476.0,7476.0,1106.45,5980.8,23
CDM,36191515,Removal Sweat Gland Lesion,9969.0,9969.0,1475.41,7975.2,23
CDM,36191516,Bil Removal Impacted Cerumen Instrument,2041.25,2041.25,302.1,1633.0,23
CDM,36191517,Biopsy of Rectum,6464.15,6464.15,956.69,5171.32,23
CDM,36191518,Excision Hidradenitis Inguinal Simple/Interm,7409.0,7409.0,1096.53,5927.2,23
CDM,36191519,Bilateral Drain/Inject-Shoulder Hip Knee With US Guidance,3617.9,3617.9,535.45,2894.32,23
CDM,36191526,Unlisted Neuro Px,3651.25,3651.25,540.38,2921.0,23
CDM,36191528,Bil Correction of Lid Retraction,6479.0,6479.0,958.89,5183.2,23
CDM,36191529,Access Thoracic Lymph Duct,1775.0,1775.0,262.7,1420.0,23
CDM,36191535,Pericardiocentesis W/Imaging,4813.9,4813.9,712.46,3851.12,23
CDM,36191536,Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly,699.2,699.2,103.48,559.36,23
CDM,36191537,Perq Prcrd Drg 0-5yr/Any Age W/Cgen Car Anomaly,699.2,699.2,103.48,559.36,23
CDM,36191540,Dx Lumbar Puncture W/Fl or CT Guidance,3933.13,3933.13,582.1,3146.5,23
CDM,36191541,Therapeutic Lumbar Puncture W/Fl or CT Guidance,2710.55,2710.55,401.16,2168.44,23
CDM,36191550,Injection Aa&/Strd Nerves Nrvtg Si Joint W/Img,4026.0,4026.0,595.85,3220.8,23
CDM,36191551,Injection Aa&/Strd Genicular Nrv Branches W/Img,4634.5,4634.5,685.91,3707.6,23
CDM,36191552,Destruction Neurolytic Agt Genicular Nerve W/Img,11400.0,11400.0,1687.2,9120.0,23
CDM,36191553,Radiofrequency Abltj Nrv Nrvtg Si Jt W/Img Gdn,6721.75,6721.75,994.82,5377.4,23
CDM,36191555,Bil Greater Occipital Nerve Inj,2501.25,2501.25,370.18,2001.0,23
CDM,36191556,Cystourethroscopy W/ Fulguration <.5cm Lesn,5886.0,5886.0,871.13,4708.8,23
CDM,36191560,I&D Submandibular Abscess,9192.0,9192.0,1360.42,7353.6,23
CDM,36191563,"Nasal/Sinus Endoscopy, Dx",2501.25,2501.25,370.18,2001.0,23
CDM,36191564,Colonoscopy W/Lesion Removal,3659.3,3659.3,541.58,2927.44,23
CDM,36191566,Laryngoscopy for Aspiration,2903.75,2903.75,429.76,2323.0,23
CDM,36191567,Proctosigmoidoscopy W/Bx Single/Multiple,5285.4,5285.4,782.24,4228.32,23
CDM,36191568,Proctosigmoidoscopy Dx,4878.3,4878.3,721.99,3902.64,23
CDM,36191573,Ugi Endo-Remove FB,4194.0,4194.0,620.71,3355.2,23
CDM,36191580,I&D Parotid Abscess; Simple,9106.0,9106.0,1347.69,7284.8,23
CDM,36191585,Clsd Tx Artclr Fx Mtcrphlngl/Iphal Jt W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,36191586,I&D Pilonidal Cyst Complex,6475.0,6475.0,958.3,5180.0,23
CDM,36191590,Core Needle Bx Lung/Mediastinum Perq W/Img,7940.0,7940.0,1175.12,6352.0,23
CDM,36191600,CSF Shunt Reprogramming,2041.25,2041.25,302.1,1633.0,23
CDM,36191601,Cystourethroscopy With Fulguration Small Bladder Tumor(S),9902.0,9902.0,1465.5,7921.6,23
CDM,36191602,Av Anastomosis Open/Direct Any Site,19504.0,19504.0,2886.59,15603.2,23
CDM,36191605,Bilateral Multlay Comprs Lwr Leg Application,2041.25,2041.25,302.1,1633.0,23
CDM,36191606,Bilateral Application of Unna Boot,2041.25,2041.25,302.1,1633.0,23
CDM,36191610,Excision Hidradenitis Axillary Complex Repair,10479.0,10479.0,1550.89,8383.2,23
CDM,36191611,Excision Hidradenitis Inguinal Complex Repair,8549.0,8549.0,1265.25,6839.2,23
CDM,36191612,Excision H/P/P/U Simple/Intermediate Repair,11463.0,11463.0,1696.52,9170.4,23
CDM,36191613,Excision H/P/P/U Complex Repair,8549.0,8549.0,1265.25,6839.2,23
CDM,36191615,Laparoscopic Cholecystectomy,31577.0,31577.0,4673.4,25261.6,23
CDM,36191616,Ligation of Arteriovenous Fistula,7221.0,7221.0,1068.71,5776.8,23
CDM,36191617,Perq Av Fistula Creation Uxtr Single Access,31910.0,31910.0,4722.68,25528.0,23
CDM,36191618,Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc,3596.08,3596.08,532.22,2876.86,23
CDM,36191619,Revision Hand/Foot Nerve,4965.7,4965.7,734.92,3972.56,23
CDM,36191620,Removal of remaining cervix with repair of pelvic floor through abdomen,9680.0,9680.0,1432.64,7744.0,23
CDM,36191621,Collagen Cross-Linking of Cornea,7382.0,7382.0,1092.54,5905.6,23
CDM,36191622,Cannulation Thoracic Duct,3000.0,3000.0,444.0,2400.0,23
CDM,37000023,Level 1 1st 30 Min,1205.22,1205.22,178.37,964.18,23
CDM,37000024,Level 2 1st 30 Min,2291.72,2291.72,339.17,1833.38,23
CDM,37000025,Level 3 1st 30 Min,3385.64,3385.64,501.07,2708.51,23
CDM,37000026,Level 4 1st 30 Min,3961.22,3961.22,586.26,3168.98,23
CDM,37000027,Level 5 1st 30 Min,4636.44,4636.44,686.19,3709.15,23
CDM,37000028,Level 1 Add 15 Min,490.78,490.78,72.64,392.62,23
CDM,37000029,Level 2 Add 15 Min,864.96,864.96,128.01,691.97,23
CDM,37000030,Level 3 Add 15 Min,1407.68,1407.68,208.34,1126.14,23
CDM,37000031,Level 4 Add 15 Min,1560.32,1560.32,230.93,1248.26,23
CDM,37000032,Level 5 Add 15 Min,1786.1,1786.1,264.34,1428.88,23
CDM,37000033,Mod Sed Same Phys/Qhp Initial 15 Mins; <5 Yrs,534.24,534.24,79.07,427.39,23
CDM,37000034,Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,1327.12,1327.12,196.41,1061.7,23
CDM,37000035,Mod Sed Same Phys/Qhp Each Addl 15 Mins,661.44,661.44,97.89,529.15,23
CDM,37000036,Mod Sed Other Phys/Qhp Initial 15 Mins; <5 Yrs,614.8,614.8,90.99,491.84,23
CDM,37000037,Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,596.78,596.78,88.32,477.42,23
CDM,37000038,Mod Sed Other Phys/Qhp Each Addl 15 Mins,225.78,225.78,33.42,180.62,23
CDM,37000123,Epidural Fee,3006.16,3006.16,444.91,2404.93,23
CDM,37000124,Ea AddÆL 60-90 Min,675.22,675.22,99.93,540.18,23
CDM,39000001,Whole Blood Unit,2412.7,2412.7,357.08,1930.16,23
CDM,39000002,Pooled Cryo,904.0,904.0,133.79,723.2,23
CDM,39000003,RBC Leukored Unit,1792.85,1792.85,265.34,1434.28,23
CDM,39000004,Fresh Frozen Plasma Unit,723.35,723.35,107.06,578.68,23
CDM,39000012,Platelet Pheresis Leukored Unit,5484.35,5484.35,811.68,4387.48,23
CDM,39000013,Platelet Pheresis Leukored Irr Unit,5621.0,5621.0,831.91,4496.8,23
CDM,39000016,RBC Leukored Irr Unit,2277.0,2277.0,337.0,1821.6,23
CDM,39000017,Ffp-Cryo Poor Plasma,581.9,581.9,86.12,465.52,23
CDM,39000026,Ffp-Frozen 24 Hour,731.4,731.4,108.25,585.12,23
CDM,39000060,RBC Leukored Aliquot,675.05,675.05,99.91,540.04,23
CDM,39000061,RBC Leukored Irr Aliquot,675.05,675.05,99.91,540.04,23
CDM,39000062,"Platelet Pheresis, Lr Aliquot",675.05,675.05,99.91,540.04,23
CDM,39000063,Platelet Pheresis Lr Irr Aliquot,675.05,675.05,99.91,540.04,23
CDM,39000064,Single Cryo,904.0,904.0,133.79,723.2,23
CDM,39000065,Thawed Ffp Aliquot,675.05,675.05,99.91,540.04,23
CDM,39000066,"Platelets, Pheresis, Pathogen Reduced, Ea Unit",3076.25,3076.25,455.28,2461.0,23
CDM,39000070,Cryo fib comp path redu each,2275.0,2275.0,336.7,1820.0,23
CDM,39100001,"Transfusion, Blood",3136.05,3136.05,464.14,2508.84,23
CDM,40100003,Dx Digital Breast Tomosynthesis; Unilateral,179.4,179.4,26.55,143.52,23
CDM,40100008,Dx Digital Breast Tomosynthesis; Bilateral,636.0,636.0,94.13,508.8,23
CDM,40100012,Dx Mammo Incl Cad Uni,892.4,892.4,132.08,713.92,23
CDM,40100013,Dx Mammo Incl Cad Bi,1146.0,1146.0,169.61,916.8,23
CDM,40200002,Ultrasound Breast Complete,1112.0,1112.0,164.58,889.6,23
CDM,40200003,Echo Exam Head,1410.0,1410.0,208.68,1128.0,23
CDM,40200005,"Ophth US, B W/Non-Quant A",615.0,615.0,91.02,492.0,23
CDM,40200006,"Echo Exam of Eye, Thickness",287.0,287.0,42.48,229.6,23
CDM,40200007,Ultrasonography,409.0,409.0,60.53,327.2,23
CDM,40200008,Ultrasound Breast Limited,1055.0,1055.0,156.14,844.0,23
CDM,40200011,US Exam Head and Neck,1712.35,1712.35,253.43,1369.88,23
CDM,40200012,"Ultrasound Exam, Chest",1011.0,1011.0,149.63,808.8,23
CDM,40200014,US Exam Chest,1011.0,1011.0,149.63,808.8,23
CDM,40200018,"US Abd, Rt W/Image",2181.0,2181.0,322.79,1744.8,23
CDM,40200021,Echo Exam Abdomen,1382.0,1382.0,204.54,1105.6,23
CDM,40200023,"US Retroperit, Rt W/Image; Complete",1655.0,1655.0,244.94,1324.0,23
CDM,40200025,"US Retroper, Rt W/Image Ltd",1417.95,1417.95,209.86,1134.36,23
CDM,40200034,"OB US <14 Wks, Single Fetus",1444.0,1444.0,213.71,1155.2,23
CDM,40200036,US Scrotum,1540.0,1540.0,227.92,1232.0,23
CDM,40200037,"Ultrasound,Transrectal",1594.0,1594.0,235.91,1275.2,23
CDM,40200038,"US Extremity, Non-Vasc Rt W/Im Com",1676.94,1676.94,248.19,1341.55,23
CDM,40200039,OB US >/= 14 Wks Sngl Fetus,1552.99,1552.99,229.84,1242.39,23
CDM,40200042,US Guidance for Vascular Acess,1447.85,1447.85,214.28,1158.28,23
CDM,40200044,OB US >= 14 Wks Addl Fetus,943.0,943.0,139.56,754.4,23
CDM,40200045,Needle Placement US Guide Bic,1462.0,1462.0,216.38,1169.6,23
CDM,40200047,Echo Guide Amniocentesis,1082.0,1082.0,160.14,865.6,23
CDM,40200049,US Guidance Intraoperative,1296.0,1296.0,191.81,1036.8,23
CDM,40200052,US Preg Uterus 1st Gest,1397.0,1397.0,206.76,1117.6,23
CDM,40200054,"OB US Nuchal Meas, 1 Gest",742.0,742.0,109.82,593.6,23
CDM,40200056,"OB US, Limited, Fetus(S)",1412.0,1412.0,208.98,1129.6,23
CDM,40200062,US Preg Uterus F/U,1360.0,1360.0,201.28,1088.0,23
CDM,40200064,Transvaginal U/S Pregnant,991.3,991.3,146.71,793.04,23
CDM,40200065,"Ultrasound, Extremity, Nonvascular, Limited",1224.0,1224.0,181.15,979.2,23
CDM,40200067,Biophysical Profile W/Nst,1407.0,1407.0,208.24,1125.6,23
CDM,40200069,Biophysical Profile W/O Nst,1555.95,1555.95,230.28,1244.76,23
CDM,40200071,Fetal Dopp Velocimetry Umb Art,1455.9,1455.9,215.47,1164.72,23
CDM,40200072,Fetal Dopp Velocimetry Mid Cer,785.0,785.0,116.18,628.0,23
CDM,40200073,Fetal Echo (2d),1867.0,1867.0,276.32,1493.6,23
CDM,40200075,Fetal Doppler Echo,835.0,835.0,123.58,668.0,23
CDM,40200078,OB US Detailed Addl Fetus,1262.0,1262.0,186.78,1009.6,23
CDM,40200079,US Transvaginal,1562.85,1562.85,231.3,1250.28,23
CDM,40200083,US Hysterosono W/WO Doppler,1336.0,1336.0,197.73,1068.8,23
CDM,40200085,US Pelvis(Non-OB)Comp W/Rt Img,1760.07,1760.07,260.49,1408.06,23
CDM,40200087,US Pelvis Ltd/Fu Non-OB,1156.9,1156.9,171.22,925.52,23
CDM,40200125,US Preg Uterus Ea Addl Gest,700.35,700.35,103.65,560.28,23
CDM,40200126,Duplex Scan of Hemodialysis Access,1292.0,1292.0,191.22,1033.6,23
CDM,40200128,"US Guidance Endomyocardial Biopsy, Imaging S & I",454.0,454.0,67.19,363.2,23
CDM,40200132,US Abdl Aorta Screen Aaa,790.05,790.05,116.93,632.04,23
CDM,40200133,Echo Exam Eye,338.0,338.0,50.02,270.4,23
CDM,40200134,Echo Exam Eye Water Bath,547.0,547.0,80.96,437.6,23
CDM,40200135,"B-Scan Ultrasound, Unilateral or Bilateral",538.0,538.0,79.62,430.4,23
CDM,40300003,Breast Tomosynthesis Bilat,240.35,240.35,35.57,192.28,23
CDM,40300010,Scr Mammo Bi Incl Cad,748.65,748.65,110.8,598.92,23
CDM,40400008,Pet/CT Skull Base Mid-Thigh,10477.0,10477.0,1550.6,8381.6,23
CDM,40400030,Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT,8129.0,8129.0,1203.09,6503.2,23
CDM,40400031,Myocrd Img Pet Prfuj 1std Rest/Stress Cncrnt CT,7271.0,7271.0,1076.11,5816.8,23
CDM,40400032,Aqmbf Pet Rest and Pharmacologic Stress (Add-On),3197.0,3197.0,473.16,2557.6,23
CDM,40400055,Pet/CT Whole Body,10477.0,10477.0,1550.6,8381.6,23
CDM,40400056,"Brain Imaging, Positron Emission Tomo (Pet); Metabolic Eval",8658.0,8658.0,1281.38,6926.4,23
CDM,40400057,"Myocardial Imaging, Positron Emission Tomography (Pet), Metabolic Eval",7964.0,7964.0,1178.67,6371.2,23
CDM,40400058,Pet/CT Cardiac Metabolic Eval,7226.0,7226.0,1069.45,5780.8,23
CDM,40400060,Pet Imaging Limited Area Chest/Head/Neck,4694.0,4694.0,694.71,3755.2,23
CDM,40400061,Pet Imaging Skull Base to Mid-Thigh,6311.0,6311.0,934.03,5048.8,23
CDM,40400062,Pet Imaging Whole Body,5321.0,5321.0,787.51,4256.8,23
CDM,41000001,Ventilation Assist/Mgt Initial,7781.0,7781.0,1151.59,6224.8,23
CDM,41000009,"Mech Vent, Ea Subseq Day",7087.0,7087.0,1048.88,5669.6,23
CDM,41000017,Aerosal Rx Sub Admin (O2),757.85,757.85,112.16,606.28,23
CDM,41000021,Aerosol Treatment Initial,757.85,757.85,112.16,606.28,23
CDM,41000022,Aersol Treatment Subsequent,757.85,757.85,112.16,606.28,23
CDM,41000027,Delivery Assist,757.85,757.85,112.16,606.28,23
CDM,41000031,Incentive Spirometer Subsequen,757.85,757.85,112.16,606.28,23
CDM,41000034,Initial Inhalation Tx Airway Obs,757.85,757.85,112.16,606.28,23
CDM,41000040,"Mdi, Initial Rx",757.85,757.85,112.16,606.28,23
CDM,41000041,"Mdi, Subsequent Rx",757.85,757.85,112.16,606.28,23
CDM,41000042,Micro Neb Subsequent,757.85,757.85,112.16,606.28,23
CDM,41000043,"Micro Neb, Setup",757.85,757.85,112.16,606.28,23
CDM,41000045,Neo Micro Subsquent,757.85,757.85,112.16,606.28,23
CDM,41000050,Sputum Induction Initial,757.85,757.85,112.16,606.28,23
CDM,41000055,"Micro Nebulizer, Cont; Initial",1673.25,1673.25,247.64,1338.6,23
CDM,41000059,Repeat Neb Treatment,725.65,725.65,107.4,580.52,23
CDM,41000062,Sleep Apnea/Bipap,2727.0,2727.0,403.6,2181.6,23
CDM,41000063,Neo Cpap,2727.0,2727.0,403.6,2181.6,23
CDM,41000065,Patient Assessment/Education,706.1,706.1,104.5,564.88,23
CDM,41000067,"Chest Pt, Inital Rx",787.0,787.0,116.48,629.6,23
CDM,41000069,Cpt/Vest,787.0,787.0,116.48,629.6,23
CDM,41000073,Sipap Setup,787.0,787.0,116.48,629.6,23
CDM,41000074,"Chest Pt, Subsequent Rx",698.0,698.0,103.3,558.4,23
CDM,41000077,Sipap Ea Shift,698.0,698.0,103.3,558.4,23
CDM,41000078,Subsequent Chest Therapy,698.0,698.0,103.3,558.4,23
CDM,41000081,Asthma Teaching-Nebulizer &Mdi,706.1,706.1,104.5,564.88,23
CDM,41000110,Spec Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CDM,41000111,Neo Mech Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CDM,41000112,Mech Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CDM,41000119,"Spec Vent, Ea Subseq Day",7086.98,7086.98,1048.87,5669.58,23
CDM,41000120,Neo Mech Vent Subseq,7087.0,7087.0,1048.88,5669.6,23
CDM,41000121,"Neo Micro Neb, Setup",706.1,706.1,104.5,564.88,23
CDM,41000150,Sputum Induction Subseq,706.1,706.1,104.5,564.88,23
CDM,41000190,Neo Ventilation Subseq,7087.0,7087.0,1048.88,5669.6,23
CDM,41200001,Aerosol Inhal. of Pentamidine,700.0,700.0,103.6,560.0,23
CDM,42000002,Pediatric Feeding,792.0,792.0,117.22,633.6,23
CDM,42000009,Paraffin Bath,229.0,229.0,33.89,183.2,23
CDM,42000010,Whirlpool,328.0,328.0,48.54,262.4,23
CDM,42000011,Elec Stim Cons Atten Ea 15 Min,301.0,301.0,44.55,240.8,23
CDM,42000012,Ultrasound Ea 15 Min,224.0,224.0,33.15,179.2,23
CDM,42000015,Exercise Each 15 Minutes,403.65,403.65,59.74,322.92,23
CDM,42000016,Neuro-Musc Re-ED Ea 15 Min,381.8,381.8,56.51,305.44,23
CDM,42000017,Gait Training Ea 15 Min,342.0,342.0,50.62,273.6,23
CDM,42000018,Tilt Table - Each 15 Min,191.0,191.0,28.27,152.8,23
CDM,42000019,Joint Mobilization Ea 15 Min,500.0,500.0,74.0,400.0,23
CDM,42000020,Group Activity/Exercise,161.0,161.0,23.83,128.8,23
CDM,42000021,Functional Activities Ea 15 Mi,380.65,380.65,56.34,304.52,23
CDM,42000023,W/C Management Training Ea 15m,290.0,290.0,42.92,232.0,23
CDM,42000026,Orthotic Fit/Train Init Ea 15,276.0,276.0,40.85,220.8,23
CDM,42000027,Prosthetic Training Ea 15 Min,221.0,221.0,32.71,176.8,23
CDM,42000028,Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,344.0,344.0,50.91,275.2,23
CDM,42000034,Work Hardening-Pt,207.0,207.0,30.64,165.6,23
CDM,42000045,Scar Management Ea 15 Min,191.0,191.0,28.27,152.8,23
CDM,42000050,Work Hardening Add-On,102.0,102.0,15.1,81.6,23
CDM,42000088,Fluidiotherapy-Gp,328.0,328.0,48.54,262.4,23
CDM,42000120,Manual Therapy Tqs 1/> Regions Each 15 Minutes,500.01,500.01,74.0,400.01,23
CDM,42000125,Debridement First 20 Sq Cm or Less,2187.3,2187.3,323.72,1749.84,23
CDM,42000126,Pt Low Frequency Non Contrast/Thermal per Day,582.0,582.0,86.14,465.6,23
CDM,42000226,Debridement Open Wound Ea Addl 20 Sq Cm,2041.25,2041.25,302.1,1633.0,23
CDM,42000228,Pt Electric Stim Ther Unsupervised Non-Wound,272.0,272.0,40.26,217.6,23
CDM,42400010,Pt Eval Low Complex,726.0,726.0,107.45,580.8,23
CDM,42400011,Pt Eval Mod Complex,743.0,743.0,109.96,594.4,23
CDM,42400012,Pt Eval High Complex,806.5,806.5,119.36,645.2,23
CDM,42400013,Pt Re-Eval,528.0,528.0,78.14,422.4,23
CDM,43000010,Paraffin Bath,229.0,229.0,33.89,183.2,23
CDM,43000011,Whirlpool,328.0,328.0,48.54,262.4,23
CDM,43000012,Elec Stim Cons Atten Ea 15 Min,301.0,301.0,44.55,240.8,23
CDM,43000013,Ultrasound Heat Ea 15 Min,224.0,224.0,33.15,179.2,23
CDM,43000014,Fluidiotherapy,328.0,328.0,48.54,262.4,23
CDM,43000015,Therapeutic Exercise Ea 15min,386.1,386.1,57.14,308.88,23
CDM,43000016,Neuromuscular Re-ED Ea. 15 Min,381.8,381.8,56.51,305.44,23
CDM,43000018,Scar Management Ea 15 Min,191.0,191.0,28.27,152.8,23
CDM,43000019,Joint Mobilization Ea 15 Min,500.0,500.0,74.0,400.0,23
CDM,43000020,Group Activity/Exercise,143.0,143.0,21.16,114.4,23
CDM,43000021,Activ.to Increase Func.Ea 15mi,380.65,380.65,56.34,304.52,23
CDM,43000023,Sensory Integrat Tech Ea 15min,208.0,208.0,30.78,166.4,23
CDM,43000024,Adl Training Each 15 Mins,248.0,248.0,36.7,198.4,23
CDM,43000028,"Splint/Ort-Fab,Fit/Tra/Q 15min",276.0,276.0,40.85,220.8,23
CDM,43000029,Prosth/Training Ea 15 Min,221.0,221.0,32.71,176.8,23
CDM,43000030,Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,344.0,344.0,50.91,275.2,23
CDM,43000044,Work Hardening-Ot,207.0,207.0,30.64,165.6,23
CDM,43000060,Work Hardening Add-on-Ot,102.0,102.0,15.1,81.6,23
CDM,43000065,Apply Multlay Comprs Arm/Hand-Lt,2041.25,2041.25,302.1,1633.0,23
CDM,43000080,Occ Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,379.0,379.0,56.09,303.2,23
CDM,43000081,Occ Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,349.6,349.6,51.74,279.68,23
CDM,43000093,Apply Multlay Comprs Arm/Hand-Rt,2041.25,2041.25,302.1,1633.0,23
CDM,43000119,Ot Electric Stim Ther Unsupervised Non-Wound,272.0,272.0,40.26,217.6,23
CDM,43400060,Ot Eval Low Complex,726.0,726.0,107.45,580.8,23
CDM,43400061,Ot Eval Mod Complex,743.0,743.0,109.96,594.4,23
CDM,43400062,Ot Eval High Complex,770.0,770.0,113.96,616.0,23
CDM,43400063,Ot Re-Eval,528.0,528.0,78.14,422.4,23
CDM,44000001,Individual Speech Therapy,629.0,629.0,93.09,503.2,23
CDM,44000004,Treatmet of Swallow & Oral Fun,792.0,792.0,117.22,633.6,23
CDM,44000007,Ther Ser/Speech-Generating Dev,431.0,431.0,63.79,344.8,23
CDM,44000044,Behavioral and Qualitative Analysis of Voice and Resonae,1072.0,1072.0,158.66,857.6,23
CDM,44000050,Speech Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,379.0,379.0,56.09,303.2,23
CDM,44000051,Speech Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,349.6,349.6,51.74,279.68,23
CDM,44300005,Group Speech Ther Each 15min,188.0,188.0,27.82,150.4,23
CDM,44400003,Evaluation for Voice Prosthesi,1176.0,1176.0,174.05,940.8,23
CDM,44400009,Eval.of Swallow & Oral Func.,1288.0,1288.0,190.62,1030.4,23
CDM,44400012,Motion Fluo Eval of Swallowing,1288.0,1288.0,190.62,1030.4,23
CDM,44400014,Flex Fib Endo Eval/Swallowing,2142.0,2142.0,317.02,1713.6,23
CDM,44400020,"Observation, testing, and recording of abnormal eye movement",844.7,844.7,125.02,675.76,23
CDM,44400030,Acoustic Immittance Testing,344.0,344.0,50.91,275.2,23
CDM,44400031,Tympanometry and Reflex Thresh,234.0,234.0,34.63,187.2,23
CDM,44400034,"Eval of Only Speech Snd Prod (Motor Speech, Artic, Etc)",1000.0,1000.0,148.0,800.0,23
CDM,44400035,"Evaluation of Speech Fluency (Eg, Stuttering, Clutterin)",596.0,596.0,88.21,476.8,23
CDM,44400036,"Eval of Speech, Language & Cognition-Communication",1188.0,1188.0,175.82,950.4,23
CDM,44400056,"Eval of Speech, Language & Cognition-Comm",1188.0,1188.0,175.82,950.4,23
CDM,45000006,Closed Tratment of Proximal Ulna/W Manipulation,4833.45,4833.45,715.35,3866.76,23
CDM,45000009,Applyfore Arm Splint,2041.25,2041.25,302.1,1633.0,23
CDM,45000018,Repair of Nail Bed,2594.4,2594.4,383.97,2075.52,23
CDM,45000020,Lac Repr Sclp Nck Hnd Ft <2.6c,2041.25,2041.25,302.1,1633.0,23
CDM,45000021,"Treat Knee Dislocation,W/O Anesthesia",2041.25,2041.25,302.1,1633.0,23
CDM,45000022,Lac Repr Sclp Nck Hnd Ft 2.6-7,2041.25,2041.25,302.1,1633.0,23
CDM,45000023,Rep Sc/Nk/Ax/Gen/Tk 7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000025,Rep Sc/Nk/Ax/Gen/ 12.6-20.0 Cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000027,Rep Sc/Nk/Ax/Gen/ 20.1-30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000029,Rep Sc/Nk/Ax/Gen/Tk > 30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000030,Lac Rep.Fac/Ear/Lid/Nose<2.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000031,Lac Repr Fce Ear Eye Lp 2.6-5.,2041.25,2041.25,302.1,1633.0,23
CDM,45000032,Lac Repr Fce Ear Eye Lp 5.1-7.,2041.25,2041.25,302.1,1633.0,23
CDM,45000034,Lac Rep Fce Ear Eye Lp 7.6-12.,2041.25,2041.25,302.1,1633.0,23
CDM,45000036,Lac Rep Fce Ear Eye Lp12.6-20.,2041.25,2041.25,302.1,1633.0,23
CDM,45000038,Rp Si Fa Ear Nos Lip 20.1-30.0,2041.25,2041.25,302.1,1633.0,23
CDM,45000039,Amputation of toe at joint between forefoot and toes,7632.0,7632.0,1129.54,6105.6,23
CDM,45000041,Int Rep Sclp Trnk Extrm <2.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000042,Int Rep Sclp Trk Ext 2.6-7.5cm,2891.1,2891.1,427.88,2312.88,23
CDM,45000043,Int Rep Sclp Trk Ext7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000044,Int Rep Sclp Trk Extrm12.6-20.,2567.95,2567.95,380.06,2054.36,23
CDM,45000046,Int Rep S/Tr/Ext/20.1-30.0cm,3084.3,3084.3,456.48,2467.44,23
CDM,45000049,Int Repr N-Hf/Genit <2.6cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000051,Int Repr Nck Hnd Ft 2.6-7.5 Cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000052,Int Repr Nck Hnd Ft 7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000053,Int Rep Nck Hnd Ft 12.6-20.0cm,2643.85,2643.85,391.29,2115.08,23
CDM,45000055,Int Repr Fce Ear Eye Lp<2.5cm,3095.8,3095.8,458.18,2476.64,23
CDM,45000056,Int Repr F/E/L/Mm 2.6-5.0cm,2112.55,2112.55,312.66,1690.04,23
CDM,45000057,Int Wnd Repr Face/Mm 5.1-7.5cm,2482.85,2482.85,367.46,1986.28,23
CDM,45000058,Int Rep Fce Ear Lp 7.6-12.5 Cm,3302.8,3302.8,488.81,2642.24,23
CDM,45000059,Rep Int Fce Ear Lp 12.6-20.0cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000063,Incision of Breast Lesion,6234.0,6234.0,922.63,4987.2,23
CDM,45000066,Simple Repair F/E/E/N/L/M >30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CDM,45000069,Clsd Tx Ulna Fx W/Manip,2458.7,2458.7,363.89,1966.96,23
CDM,45000070,Clsd Tx Distal Rad/Ulna Shaft Fx (Colles or Smith) W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000075,Clsd Tx Distal Fibular Fx,2041.25,2041.25,302.1,1633.0,23
CDM,45000077,Clsd Tx Calcaneal Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000078,Clsd Tx Talus Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000079,Clsd Fracture Toe W Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000081,Clsd Tx Metatarsal Joint Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000088,Repair Tongue Laceration,2041.25,2041.25,302.1,1633.0,23
CDM,45000089,Drainage of Gum Lesion,2041.25,2041.25,302.1,1633.0,23
CDM,45000090,I&D Peritonsillar Abscess,2041.25,2041.25,302.1,1633.0,23
CDM,45000093,I & D Perianal Abcess,7613.0,7613.0,1126.72,6090.4,23
CDM,45000094,I & D Bartholin Abscess,2041.25,2041.25,302.1,1633.0,23
CDM,45000113,Cmplx Rpr Sclp Arm Lgs 1.1-2.5,3933.13,3933.13,582.1,3146.5,23
CDM,45000114,Repr Comp Scalp Arms Lgs 2.5-7,3933.13,3933.13,582.1,3146.5,23
CDM,45000115,Cmplx Rpr Sclp Arm Lgs Ea Add,1775.0,1775.0,262.7,1420.0,23
CDM,45000116,"Repr Complex Mouth Neck Hds,Ft",3933.13,3933.13,582.1,3146.5,23
CDM,45000117,"Repr Comp Mouth,Neck,Hds,Ft2.6",4924.3,4924.3,728.8,3939.44,23
CDM,45000118,Repair Wound/Lesion Add-On,2672.0,2672.0,395.46,2137.6,23
CDM,45000120,Cmplx Rpr Eye Nose Ear 1.1-2.5,4817.35,4817.35,712.97,3853.88,23
CDM,45000121,"Repr Comp Eyel, Nose,Ears Lips",5406.0,5406.0,800.09,4324.8,23
CDM,45000122,Cmplx Rpr Eye Nose Ear Add-On,1775.0,1775.0,262.7,1420.0,23
CDM,45000128,"Explore Wound, Abdomen",6027.0,6027.0,892.0,4821.6,23
CDM,45000129,"Explore Wound, Extremity",5253.0,5253.0,777.44,4202.4,23
CDM,45000135,Interdental Fixation,4708.1,4708.1,696.8,3766.48,23
CDM,45000138,Clsd Tx Nasal Fx W/O Stabl,6428.0,6428.0,951.34,5142.4,23
CDM,45000140,Clsd Tx Maxilla Leforte I+Wires,9532.0,9532.0,1410.74,7625.6,23
CDM,45000141,Clsd Tx Mandibular Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000142,Reset Dislocated Jaw,2041.25,2041.25,302.1,1633.0,23
CDM,45000148,Clavicular Fx WO Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000150,Clsd Tx Acromioclavicular Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000154,Clsd Txt Proximal Humerus W/Manipu,17499.55,17499.55,2589.93,13999.64,23
CDM,45000156,"Open treatment of broken upper arm bone, upper end",36769.0,36769.0,5441.81,29415.2,23
CDM,45000157,Clsd Tx Shoulder Dislc W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000158,Clsd Tx Shoulder Disloc W Manip,2903.75,2903.75,429.76,2323.0,23
CDM,45000160,Clsd Tx Shoulder Disloc W Humeral,8397.0,8397.0,1242.76,6717.6,23
CDM,45000162,Clsd Tx Shldr Disloc Prox Hum Fx,5138.2,5138.2,760.45,4110.56,23
CDM,45000163,Removal of Arm Foreign Body,9773.0,9773.0,1446.4,7818.4,23
CDM,45000168,Clsd Tx Humeral Shaft Fx W/Manip,5246.3,5246.3,776.45,4197.04,23
CDM,45000175,Clsd Tx Elbow Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000176,Clsd Tx Elbow Dislocation,9689.0,9689.0,1433.97,7751.2,23
CDM,45000177,Treat Elbow Fracture,5537.81,5537.81,819.6,4430.25,23
CDM,45000179,Radial Hd/Neck Fx WO Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000181,Clsd Txt Radial Hd/Neck Fx W/Out M,6450.0,6450.0,954.6,5160.0,23
CDM,45000186,Clsd Txt Radial Shaft Fx W/Manipul,5888.0,5888.0,871.42,4710.4,23
CDM,45000189,Clsd Tx Radial Shaft Fx W/Dislocation,2855.45,2855.45,422.61,2284.36,23
CDM,45000190,Clsd Tx Ulnar Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000194,Clsd Tx Radius/Ulna Fx W/Manip,8128.2,8128.2,1202.97,6502.56,23
CDM,45000196,Treat Fracture Radius/Ulna,7417.5,7417.5,1097.79,5934.0,23
CDM,45000200,Clsd Tx Carpal Fx W/Manip,5423.4,5423.4,802.66,4338.72,23
CDM,45000203,Treat Wrist Bone Fracture,2041.25,2041.25,302.1,1633.0,23
CDM,45000205,Clsd Tx Radioulnar (Wrist) Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000207,Clsd Tx Lunate (Wrist) Dislocation,8034.0,8034.0,1189.03,6427.2,23
CDM,45000209,Repair Hand Tendon,7523.0,7523.0,1113.4,6018.4,23
CDM,45000210,Repair Finger Tendon,6848.0,6848.0,1013.5,5478.4,23
CDM,45000211,Clsd Tx Metacarpal Fx Single W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000213,Treat Metacarpal Fracture,2041.25,2041.25,302.1,1633.0,23
CDM,45000216,Treat Thumb Fracture,2748.5,2748.5,406.78,2198.8,23
CDM,45000217,Treat Hand Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000218,"Metacarpophlangeal Disloc,Sing",2041.25,2041.25,302.1,1633.0,23
CDM,45000219,Clsd Tx Mcp (Knuckle) Dislocation,5138.2,5138.2,760.45,4110.56,23
CDM,45000220,Clsd Tx Prox/Mid Finger Shft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000223,Clsd Tx Prox/Mid Finger Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000224,"Treat Finger Fracture, Each",8530.0,8530.0,1262.44,6824.0,23
CDM,45000227,Clsd Tx Finger Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000230,"Treat Finger Fracture, Each",9221.0,9221.0,1364.71,7376.8,23
CDM,45000231,Clsd Tx Ipjt Disloc W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000235,Clsd Tx Finger Dislocation,16294.0,16294.0,2411.51,13035.2,23
CDM,45000238,Clsd Tx Femoral Fx Prox End Nck W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000241,Clsd Tx Hip Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000244,Clsd Tx Spont Hip Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000246,Clsd Tx Femoral Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000248,Clsd Tx Femur Distal End Medial/Lateral Condyle Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000255,Clsd Tx Kneecap Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000261,Clsd Tx Tibia Shaft Fx W/Manip,8733.1,8733.1,1292.5,6986.48,23
CDM,45000264,Treatment of Ankle Fracture,8733.1,8733.1,1292.5,6986.48,23
CDM,45000267,Clsd Tx Distal Fibula Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000270,Clsd Frac Bimall Ankle WO Mani,1607.7,1607.7,237.94,1286.16,23
CDM,45000272,Clsd Tx Bimalleolar Ankle Fx W/Manip,4741.45,4741.45,701.73,3793.16,23
CDM,45000273,Cltx Trimalleolar Ankle Fx W/O Manipulation,1037.3,1037.3,153.52,829.84,23
CDM,45000275,Clsd Tx Trimalleolar Fx W/Manip,4778.25,4778.25,707.18,3822.6,23
CDM,45000277,Clsd Tx Tibial Fx W/Manip,7594.0,7594.0,1123.91,6075.2,23
CDM,45000278,Clsd Tx Ankle Dislocation,5274.0,5274.0,780.55,4219.2,23
CDM,45000283,Clsd Tx Metatarsal Fx W/O Manip Ea Bone,2041.25,2041.25,302.1,1633.0,23
CDM,45000285,Clsd Tx Metatarsal Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000286,Clsd Tx Great Toe Phlx/Phlg W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,45000289,Clsd Fx Toe W/O Manipulation,2041.25,2041.25,302.1,1633.0,23
CDM,45000292,Clsd Tx Ipjt (Toe) Dislocation,2041.25,2041.25,302.1,1633.0,23
CDM,45000296,App'l Finger Splint,2041.25,2041.25,302.1,1633.0,23
CDM,45000298,Apply Clavicle Strap,2041.25,2041.25,302.1,1633.0,23
CDM,45000299,Strapping Hand or Finger,2041.25,2041.25,302.1,1633.0,23
CDM,45000310,Apply Knee Immobilizer,2041.25,2041.25,302.1,1633.0,23
CDM,45000317,Control Nasal Hemorr Ant Simpl,2041.25,2041.25,302.1,1633.0,23
CDM,45000319,Control Nasal Hemorr Ant Compl,2041.25,2041.25,302.1,1633.0,23
CDM,45000333,Thoracotomy W/Cardiac Massage,6226.1,6226.1,921.46,4980.88,23
CDM,45000337,Repair Blood Vessel Lesion,12590.0,12590.0,1863.32,10072.0,23
CDM,45000356,Repair Tongue Laceration 2.6cm,3200.45,3200.45,473.67,2560.36,23
CDM,45000357,"I&D Abscess Plate, Uvula",2923.3,2923.3,432.65,2338.64,23
CDM,45000358,Remove FB Pharynx,2041.25,2041.25,302.1,1633.0,23
CDM,45000367,Incise External Hemorrhoid,2701.35,2701.35,399.8,2161.08,23
CDM,45000374,Cath Insert Indwelling,2041.25,2041.25,302.1,1633.0,23
CDM,45000376,Cystostomy Tube,2041.25,2041.25,302.1,1633.0,23
CDM,45000378,Treatment of Penis Lesion,2041.25,2041.25,302.1,1633.0,23
CDM,45000385,Remove Vaginal FB W/Anesthesia,8477.0,8477.0,1254.6,6781.6,23
CDM,45000395,Remove FB Eye Conj Superficial,2041.25,2041.25,302.1,1633.0,23
CDM,45000398,Eye Exam W/O Slit Lamp,2041.25,2041.25,302.1,1633.0,23
CDM,45000399,Eye Exam Slit Lamp,2041.25,2041.25,302.1,1633.0,23
CDM,45000400,Paracentesis Ant Chamb Eye Wdx,5537.81,5537.81,819.6,4430.25,23
CDM,45000402,Irrigation Eye,5108.3,5108.3,756.03,4086.64,23
CDM,45000404,Drainage of Eyelid Abscess,2310.35,2310.35,341.93,1848.28,23
CDM,45000405,Incision of Eye Lid Fold,7159.0,7159.0,1059.53,5727.2,23
CDM,45000407,Drainage External Ear Abscess/Hematoma Cmplx,9524.0,9524.0,1409.55,7619.2,23
CDM,45000413,Nasopharyngoscopy W/Endoscope,606.0,606.0,89.69,484.8,23
CDM,45000426,Inject-Intra-Arterial Only,1634.0,1634.0,241.83,1307.2,23
CDM,45000443,Emergency Department Visit May Not Req Phys/Qhp,861.35,861.35,127.48,689.08,23
CDM,45000447,Emergency Department Visit Straightforward Mdm,1498.0,1498.0,221.7,1198.4,23
CDM,45000451,Emergency Department Visit Low Mdm,2779.0,2779.0,411.29,2223.2,23
CDM,45000455,Emergency Department Visit Moderate Mdm,4253.0,4253.0,629.44,3402.4,23
CDM,45000459,Emergency Department Visit High Mdm,6238.0,6238.0,923.22,4990.4,23
CDM,45000462,Critical Care 1st Hr,8998.0,8998.0,1331.7,7198.4,23
CDM,45000464,Critical Care Add'l 0.5 Hr,3912.3,3912.3,579.02,3129.84,23
CDM,45000468,Newborn Resuscitation,1530.0,1530.0,226.44,1224.0,23
CDM,45000471,Strapping,68.0,68.0,10.06,54.4,23
CDM,45000473,Application Finger Splint Dynamic,2041.25,2041.25,302.1,1633.0,23
CDM,45000476,Repair Mouth Laceration,2041.25,2041.25,302.1,1633.0,23
CDM,45000477,Clsd Tx Finger Dislocation,7544.0,7544.0,1116.51,6035.2,23
CDM,45000479,Clsd Tx Ipjt (Toe) Dislocation,4530.0,4530.0,670.44,3624.0,23
CDM,45000480,Open Tx Proximal Fibula/Shaft Fx,16355.0,16355.0,2420.54,13084.0,23
CDM,45000481,"Upper GI Endoscopy, Diagnosis",3677.7,3677.7,544.3,2942.16,23
CDM,45000491,Wound Dehiscence Simple Closur,2418.0,2418.0,357.86,1934.4,23
CDM,45000493,"Splint Application, Wrist",2041.25,2041.25,302.1,1633.0,23
CDM,45000501,Removal of Foot Foreign Body,2501.25,2501.25,370.18,2001.0,23
CDM,45000502,Replace Duod/Jej Tube Perc,2862.0,2862.0,423.58,2289.6,23
CDM,45000526,Intercostal Nerve Block/Multi,3789.0,3789.0,560.77,3031.2,23
CDM,45000529,Trigeminal Nerve Block,2117.15,2117.15,313.34,1693.72,23
CDM,45000536,Penile Injection,2041.25,2041.25,302.1,1633.0,23
CDM,45000538,Open Tx of Phalangeal Shaft Fx,10389.0,10389.0,1537.57,8311.2,23
CDM,45000541,Treat Dislocation /Fx,5537.81,5537.81,819.6,4430.25,23
CDM,45000542,Repair Lip/Complex,5537.81,5537.81,819.6,4430.25,23
CDM,45000543,Laryngoscopy W/FB Rem,7162.0,7162.0,1059.98,5729.6,23
CDM,45000544,Clsd Tx Talus Fx W/Manip,2903.75,2903.75,429.76,2323.0,23
CDM,45000545,Treat Humerus Fx,9431.0,9431.0,1395.79,7544.8,23
CDM,45000550,Cysto W Ureter Stent Plcmnt,10091.0,10091.0,1493.47,8072.8,23
CDM,45000560,Treat Humerus Fx,3010.7,3010.7,445.58,2408.56,23
CDM,45000562,Treat Heel Fx,5013.0,5013.0,741.92,4010.4,23
CDM,45000563,Repair Mouth Lacerations,3648.95,3648.95,540.04,2919.16,23
CDM,45000575,Treatment Fibula Fracture,7588.85,7588.85,1123.15,6071.08,23
CDM,45000580,I & D Complex Post OP Wound Inf,6628.0,6628.0,980.94,5302.4,23
CDM,45000581,Closed Tx Mandibular Fracture W/Manipulation,5537.81,5537.81,819.6,4430.25,23
CDM,45000584,I & D Floor Mouth Sub Mandibular,1227.0,1227.0,181.6,981.6,23
CDM,45000592,"I&D,Floor of Mouth-Submental",6417.0,6417.0,949.72,5133.6,23
CDM,45000593,Clsd Tx Nasal Fx W/ Stabl,10787.0,10787.0,1596.48,8629.6,23
CDM,45000594,Reduce Mandibular Interdental,10267.0,10267.0,1519.52,8213.6,23
CDM,45000595,Deb Skin Bone at Fx Site,7728.0,7728.0,1143.74,6182.4,23
CDM,45000599,"Amputation Toe, Interphalangeal Joint",8960.0,8960.0,1326.08,7168.0,23
CDM,45000600,Closed Fracture Treatment of Great Toe or Phalanx,2041.25,2041.25,302.1,1633.0,23
CDM,45000607,Repair Lip,3760.5,3760.5,556.55,3008.4,23
CDM,45000608,Amputation of Finger/Thumb,8660.0,8660.0,1281.68,6928.0,23
CDM,45000612,Level 3 Partial Trauma Activation W/O Prenotificat,10892.2,10892.2,1612.05,8713.76,23
CDM,45000630,Clsd Tx Post Ankle Fx W/Manip,5138.2,5138.2,760.45,4110.56,23
CDM,45000634,Twist Drill Hole Implt Ventricular Cath/Device,5284.25,5284.25,782.07,4227.4,23
CDM,45000635,Completed Mse,861.35,861.35,127.48,689.08,23
CDM,46000001,Spiro Lung Vol/Pf,876.0,876.0,129.65,700.8,23
CDM,46000002,Spirometry,532.0,532.0,78.74,425.6,23
CDM,46000006,Bronchospasm Eval Pre and Post,1633.0,1633.0,241.68,1306.4,23
CDM,46000007,Spirometry Pre & Post,1633.0,1633.0,241.68,1306.4,23
CDM,46000010,Bronchoprovocation,1723.85,1723.85,255.13,1379.08,23
CDM,46000015,Max Volume Ventilation (Mvv),164.0,164.0,24.27,131.2,23
CDM,46000027,"Maxflw-Vol Curves, I+R",798.0,798.0,118.1,638.4,23
CDM,46000031,Six Minute Walk(Pulm Stress Simple),727.95,727.95,107.74,582.36,23
CDM,46000035,Et/Co2 Oxygen Uptake,1636.03,1636.03,242.13,1308.82,23
CDM,46000037,Met Cart V02,1636.03,1636.03,242.13,1308.82,23
CDM,46000044,Neo Pulse Oximetry Single,440.0,440.0,65.12,352.0,23
CDM,46000046,Pulse Oximetry,440.0,440.0,65.12,352.0,23
CDM,46000055,Oximetry Continuous,728.28,728.28,107.79,582.62,23
CDM,46000056,Pulse Ox-Overnight,728.27,728.27,107.78,582.62,23
CDM,46000060,Breathing Exercise,1531.8,1531.8,226.71,1225.44,23
CDM,46000061,Mini Bal Lavage,1531.8,1531.8,226.71,1225.44,23
CDM,46000066,Surfactant Administration,631.0,631.0,93.39,504.8,23
CDM,46000070,Met Cart Vco2,1636.03,1636.03,242.13,1308.82,23
CDM,46000071,Plethysmo Lung Vol / Air Resist,1250.0,1250.0,185.0,1000.0,23
CDM,46000075,Pulm Func Test Plethysmogr,1250.0,1250.0,185.0,1000.0,23
CDM,46000076,Pulm Func Test by Gas,630.0,630.0,93.24,504.0,23
CDM,46000078,C02/Membrane Diffuse Capac,1114.35,1114.35,164.92,891.48,23
CDM,46000082,Aspirate Pleura W/O Imaging,3933.13,3933.13,582.1,3146.5,23
CDM,46000083,Aspirate Pleura W/ Imaging,5136.0,5136.0,760.13,4108.8,23
CDM,46000084,Bronchial Valve Init Insert,8887.2,8887.2,1315.31,7109.76,23
CDM,46000085,Bronchial Valve Addl Insert,5173.85,5173.85,765.73,4139.08,23
CDM,46000086,Bronchial Valve Remov Init,2903.75,2903.75,429.76,2323.0,23
CDM,46000091,High Altitude Simulation Testing(Hast) O2 Titration,500.0,500.0,74.0,400.0,23
CDM,46000092,"Oxygen Uptake, Expired Gas Analysis; Rest, Indirect",276.0,276.0,40.85,220.8,23
CDM,47000001,"Ipv Scr, 2 Ears, Pure Tone,Air",225.0,225.0,33.3,180.0,23
CDM,47000006,"Hearing Aid Check, Monaural",103.0,103.0,15.24,82.4,23
CDM,47000007,"Hearing Aid Check, Binaural",288.0,288.0,42.62,230.4,23
CDM,47000022,Canalith Repositioning Proc,153.0,153.0,22.64,122.4,23
CDM,47000024,Hearing Aid Examination & Selection Binaural,476.0,476.0,70.45,380.8,23
CDM,47100001,"Nasal Pharyngoscopy, Simple",606.0,606.0,89.69,484.8,23
CDM,47100002,Spontaneous Nystagmus Test,491.0,491.0,72.67,392.8,23
CDM,47100003,Positional Nystagmus Test,437.0,437.0,64.68,349.6,23
CDM,47100007,Hearing Screening,225.0,225.0,33.3,180.0,23
CDM,47100013,Audiometry,215.0,215.0,31.82,172.0,23
CDM,47100014,Audiometry - Air Only,220.0,220.0,32.56,176.0,23
CDM,47100018,Air and Bone Conduction (One),78.0,78.0,11.54,62.4,23
CDM,47100019,Audiometry - Air and Bone,438.0,438.0,64.82,350.4,23
CDM,47100020,Speech Audiometry Threshold,194.0,194.0,28.71,155.2,23
CDM,47100026,Audiometric Battery,802.5,802.5,118.77,642.0,23
CDM,47100032,"Stenger Test, Pure Tone",278.0,278.0,41.14,222.4,23
CDM,47100033,Tympanometry,259.0,259.0,38.33,207.2,23
CDM,47100044,"Acoustic Reflex Testing, Both",344.0,344.0,50.91,275.2,23
CDM,47100049,"Stenger Test, Speech",743.0,743.0,109.96,594.4,23
CDM,47100061,Evoke Otoacoustic Emission Ltd,632.0,632.0,93.54,505.6,23
CDM,47100064,Evoke Otoacoustic Dx/Compre,879.0,879.0,130.09,703.2,23
CDM,47100067,Hearing Aid Eval 75 Min,108.0,108.0,15.98,86.4,23
CDM,47100088,Ncs/Emg <=4 Limb,564.0,564.0,83.47,451.2,23
CDM,47100089,Ncs/Emg 5+Limb,821.1,821.1,121.52,656.88,23
CDM,47100098,Muscl Test W/N Test Non-Extr,191.0,191.0,28.27,152.8,23
CDM,47100132,"Caloric Vstblar Test W/Rec,Bilat",894.0,894.0,132.31,715.2,23
CDM,47100133,"Caloric Vstblar Test W/Rec,Bilat;Monothermal",975.0,975.0,144.3,780.0,23
CDM,47100137,Gll Fitting Visit,215.0,215.0,31.82,172.0,23
CDM,47100138,Gll Visit - Post 4th Visit,25.0,25.0,3.7,20.0,23
CDM,47100140,Aep Neurodx Interpretation and Report,543.0,543.0,80.36,434.4,23
CDM,47100141,Aep Threshold Estimation Mlt Frequencies I&R,543.0,543.0,80.36,434.4,23
CDM,47100142,Aep Hearing Status Deter Broadband Stimuli I&R,329.0,329.0,48.69,263.2,23
CDM,47100143,Aep Scr Auditory Potential W/Stimuli Auto Alys,590.27,590.27,87.36,472.22,23
CDM,47200002,Cochlear Implt Exam 7 > Yrs,436.0,436.0,64.53,348.8,23
CDM,47200003,Reprogram Codhlear Implt 7 > Yrs,631.0,631.0,93.39,504.8,23
CDM,47200011,Psc041 Catheter Thrmb 141cm 4.1fr .041in Reperfusion,3813.0,3813.0,564.32,3050.4,23
CDM,47900003,Hearing Screening (Oae),817.38,817.38,120.97,653.9,23
CDM,48000001,Perc Insertion Intraaortic Bal,6396.3,6396.3,946.65,5117.04,23
CDM,48000002,Cardiopulmonary Resuscitation,2336.0,2336.0,345.73,1868.8,23
CDM,48000003,Temp Transcut Pacing,2619.0,2619.0,387.61,2095.2,23
CDM,48000004,Cardioversion,4493.0,4493.0,664.96,3594.4,23
CDM,48000014,Single Lead Icd Programming / Evaluation in Person,363.0,363.0,53.72,290.4,23
CDM,48000015,Dual Lead Icd Program/ Eval in Person,377.0,377.0,55.8,301.6,23
CDM,48000016,Sq-Cardiac Rhythm Monitor / Loop Recorder Program / Eval in Person,303.0,303.0,44.84,242.4,23
CDM,48000017,Pacemaker Interrog / Eval in Person,335.0,335.0,49.58,268.0,23
CDM,48000020,Transesophageal Echo,4631.05,4631.05,685.4,3704.84,23
CDM,48000021,Echo Doppler Complete,3497.15,3497.15,517.58,2797.72,23
CDM,48000022,Color Flow Mapping,3041.0,3041.0,450.07,2432.8,23
CDM,48000023,Transthoracic Echo,3748.0,3748.0,554.7,2998.4,23
CDM,48000024,Insertion Swan Ganz,4993.3,4993.3,739.01,3994.64,23
CDM,48000025,Perc Closure Atrial Septal Def,33591.5,33591.5,4971.54,26873.2,23
CDM,48000026,Relocation Skin Pkt for Pacemaker,7456.0,7456.0,1103.49,5964.8,23
CDM,48000028,Test Icd Gen Initial Implant,8403.0,8403.0,1243.64,6722.4,23
CDM,48000029,Ep Eval Icd Gen & Programming,7753.0,7753.0,1147.44,6202.4,23
CDM,48000030,Tilt Table Evaluation,2783.0,2783.0,411.88,2226.4,23
CDM,48000045,Lt Heart Cath Including V Gram,25389.7,25389.7,3757.68,20311.76,23
CDM,48000046,Lhc W/ V Gram and Grafts,27033.05,27033.05,4000.89,21626.44,23
CDM,48000047,R&Lhc W/V Gram,30859.1,30859.1,4567.15,24687.28,23
CDM,48000048,R&Lhc W/V Gram and Grafts,27594.0,27594.0,4083.91,22075.2,23
CDM,48000050,Removal Pacemaker Electrodes,7530.0,7530.0,1114.44,6024.0,23
CDM,48000054,Cpet Patient Interface Kit,424.0,424.0,62.75,339.2,23
CDM,48000055,Analyze/Ind/Term Tachycardia,238.0,238.0,35.22,190.4,23
CDM,48000057,Prq Cardiac Angioplast 1 Art,20811.55,20811.55,3080.11,16649.24,23
CDM,48000058,Prq Cardiac Angio Addl Art,9614.0,9614.0,1422.87,7691.2,23
CDM,48000059,Prq Card Stent W/Angio 1 Vsl,32850.0,32850.0,4861.8,26280.0,23
CDM,48000060,Prq Card Stent W/Angio Addl,9152.0,9152.0,1354.5,7321.6,23
CDM,48000061,Prq Revasc Byp Graft 1 Vsl,21413.0,21413.0,3169.12,17130.4,23
CDM,48000062,Prq Revasc Byp Graft Addl,19107.0,19107.0,2827.84,15285.6,23
CDM,48000063,Prq Card Revasc Mi 1 Vsl,37397.0,37397.0,5534.76,29917.6,23
CDM,48000064,Prq Card Revasc Chronic 1vsl,34452.0,34452.0,5098.9,27561.6,23
CDM,48000065,Prq Card Revasc Chronic Addl,30314.0,30314.0,4486.47,24251.2,23
CDM,48000066,Relocation Skin Pkt Cardiovert-Defib,6168.0,6168.0,912.86,4934.4,23
CDM,48000067,S-Icd Interrog / Eval in Person,386.0,386.0,57.13,308.8,23
CDM,48000070,Prq Trluml Coronary Angio/Athe,31368.0,31368.0,4642.46,25094.4,23
CDM,48000071,Insertion of Impella Device - Rp,20058.0,20058.0,2968.58,16046.4,23
CDM,48000111,S-Icd/Loop Recorder Interrog / Eval Remote Up to 30 Days,204.0,204.0,30.19,163.2,23
CDM,48100001,Insrt Icd Pulse Gen W Sngl Lead,27824.0,27824.0,4117.95,22259.2,23
CDM,48100003,Insrt/Repl Sgl/Dual Icd Ld/Gen,40394.0,40394.0,5978.31,32315.2,23
CDM,48100004,Perc Coronary Thrombectomy,8588.44,8588.44,1271.09,6870.75,23
CDM,48100006,Endomyocardial Biopsy,8869.95,8869.95,1312.75,7095.96,23
CDM,48100022,Intravasc Cornary Flow Measure,6392.85,6392.85,946.14,5114.28,23
CDM,48100023,Intravasc Cor. Flow Addit Vess,5261.0,5261.0,778.63,4208.8,23
CDM,48100026,Insert Subcutaneous Aicd,129402.0,129402.0,19151.5,103521.6,23
CDM,48100027,Insertion Phrenic Nerve Stimulator System,111360.0,111360.0,16481.28,89088.0,23
CDM,48100028,Add-on Insj Phrenic Nrv Stimulator Transvns Sensing Ld,55680.0,55680.0,8240.64,44544.0,23
CDM,48100029,Left Heart Cath by Transeptal Puncture,16178.0,16178.0,2394.34,12942.4,23
CDM,48100030,Right Heart Cath,16734.8,16734.8,2476.75,13387.84,23
CDM,48100031,Lhc W/V Gram,24190.0,24190.0,3580.12,19352.0,23
CDM,48100032,R/Lhc W/V Gram (S&I),18756.0,18756.0,2775.89,15004.8,23
CDM,48100033,Coronary Angio W/O Lhc,17282.2,17282.2,2557.77,13825.76,23
CDM,48100034,Coronary Angio W/O Lhc W/Graft Inj,19300.45,19300.45,2856.47,15440.36,23
CDM,48100035,Rhc/Coronary Angio W/O Lhc,31123.6,31123.6,4606.29,24898.88,23
CDM,48100036,Rhc/Coronary Angio W/O Lhc W/Graft Inj,29342.0,29342.0,4342.62,23473.6,23
CDM,48100038,Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,8031.0,8031.0,1188.59,6424.8,23
CDM,48100039,Rmvl Phrenic Nrv Stimulator Pulse Generator Only,8031.0,8031.0,1188.59,6424.8,23
CDM,48100040,Inj. Supravalvular Aortography,2041.25,2041.25,302.1,1633.0,23
CDM,48100042,Iliac/Fem Angio W/Cardiac Cath,5431.45,5431.45,803.85,4345.16,23
CDM,48100043,Repositioning Phrenic Nrv Stimulator Transvns Ld,8031.0,8031.0,1188.59,6424.8,23
CDM,48100044,Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator,73292.0,73292.0,10847.22,58633.6,23
CDM,48100045,Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,32152.0,32152.0,4758.5,25721.6,23
CDM,48100050,Remove/Repl Pcmkr W Sngl Ld,35655.0,35655.0,5276.94,28524.0,23
CDM,48100051,Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Leads,37913.0,37913.0,5611.12,30330.4,23
CDM,48100052,Remove/Replac Pcmkr W Multi Ld,43902.0,43902.0,6497.5,35121.6,23
CDM,48100054,Insrt Icd W Exist Multi Lds,46254.0,46254.0,6845.59,37003.2,23
CDM,48100055,Remove/Repl Icd W Sngl Ld,69695.75,69695.75,10314.97,55756.6,23
CDM,48100056,Remove/Repl Icd W Dual Lds,87076.0,87076.0,12887.25,69660.8,23
CDM,48100057,Remove/Repl Icd W Multi Lds,113448.65,113448.65,16790.4,90758.92,23
CDM,48100058,Insrt Pcmkr Gen Only Exist Multi,26240.0,26240.0,3883.52,20992.0,23
CDM,48100059,Remv & Replc Pm Gen Dual Lead,36271.0,36271.0,5368.11,29016.8,23
CDM,48100062,Right Ventricular Recording,2880.0,2880.0,426.24,2304.0,23
CDM,48100063,Intra-Atrial Pacing,12000.0,12000.0,1776.0,9600.0,23
CDM,48100067,Complete Eps W/Oinduction of Arrhythmia,16101.0,16101.0,2382.95,12880.8,23
CDM,48100068,Complete Eps With Induction Arrhythmia,26450.0,26450.0,3914.6,21160.0,23
CDM,48100069,Left Atrial or Coronary Sinus Pacing & Recording,13424.0,13424.0,1986.75,10739.2,23
CDM,48100070,Left Ventricular Pacing & Recording,20377.5,20377.5,3015.87,16302.0,23
CDM,48100072,Electrophys Map 3d,13202.0,13202.0,1953.9,10561.6,23
CDM,48100073,Program Stimulation and Pacing After Drug Infusion,9424.25,9424.25,1394.79,7539.4,23
CDM,48100074,Av Node Ablation,26536.25,26536.25,3927.36,21229.0,23
CDM,48100077,Intracardiac Echocardiography,10686.0,10686.0,1581.53,8548.8,23
CDM,48100080,"Comp Ep Eval Inc Arrhyth Ind Ventric Pac, His Rec, Cath Ablat",71012.0,71012.0,10509.78,56809.6,23
CDM,48100081,"Comp Ep Eval Inc Arrhyth Ind Ventric Pac, His Rec, Cath Ablat W/Tx Ve",70698.0,70698.0,10463.3,56558.4,23
CDM,48100082,Ablatae Arrhythmia - Add On,18117.0,18117.0,2681.32,14493.6,23
CDM,48100083,"Comp Ep Eval Inc Trans Sept Cath, Insert Elect Cath, Induct Arrhyth,",71012.0,71012.0,10509.78,56809.6,23
CDM,48100084,Tx L/R Atrial Fib Addl,17325.0,17325.0,2564.1,13860.0,23
CDM,48100086,Med Admin & Hemodynamic Measurment (W/Nitric Oxide),2041.25,2041.25,302.1,1633.0,23
CDM,48100098,Coronary Atherectomy,17120.0,17120.0,2533.76,13696.0,23
CDM,48100100,Inj. Proc During Cath Pulmonary Angiography,4222.8,4222.8,624.97,3378.24,23
CDM,48100102,Inj. Pro During Cath/Lv/La/S&I,3053.25,3053.25,451.88,2442.6,23
CDM,48100103,Insert Left Heart Vad Arterial,20346.0,20346.0,3011.21,16276.8,23
CDM,48100104,Removal Left Heart Vad,10046.4,10046.4,1486.87,8037.12,23
CDM,48100110,Ecmo/Ecls Insj Prph Cannula,19365.0,19365.0,2866.02,15492.0,23
CDM,48100111,Intro Cath Dialysis Circuit,5072.65,5072.65,750.75,4058.12,23
CDM,48100112,Intro Cath Dialysis Circuit; W Angio,28063.45,28063.45,4153.39,22450.76,23
CDM,48100113,Intro Cath Dialysis Circuit; W Trans Intra Stent,33726.05,33726.05,4991.46,26980.84,23
CDM,48100114,Thrmbc/Nfs Dialysis Circuit,17553.0,17553.0,2597.84,14042.4,23
CDM,48100115,Thrmbc/Nfs Dialysis Circuit; W Angio,55310.4,55310.4,8185.94,44248.32,23
CDM,48100116,Thrmbc/Nfs Dialysis Circuit; W Trans Intra Stent,42833.0,42833.0,6339.28,34266.4,23
CDM,48100117,Balo Angiop Ctr Dialysis Seg,12647.7,12647.7,1871.86,10118.16,23
CDM,48100118,Trluml Balo Angiop 1st Art,17015.0,17015.0,2518.22,13612.0,23
CDM,48100119,Trluml Balo Angiop Addl Art,11610.0,11610.0,1718.28,9288.0,23
CDM,48100120,Trluml Balo Angiop 1st Vein,25755.0,25755.0,3811.74,20604.0,23
CDM,48100121,Trluml Balo Angiop Addl Vein,19354.0,19354.0,2864.39,15483.2,23
CDM,48100122,Tcat Plmt IV Stent Ctr Dialysis Seg W/Img S&I,9784.0,9784.0,1448.03,7827.2,23
CDM,48100123,Dialyis Circuit Vasc Emboli Occls Evasc Img S&I,9784.0,9784.0,1448.03,7827.2,23
CDM,48100126,Perc Drug-Eluting Cor Stent; Single Vessel,53417.0,53417.0,7905.72,42733.6,23
CDM,48100127,Perc Drug-Eluting Cor Stent; Ea Addl Branch,39039.0,39039.0,5777.77,31231.2,23
CDM,48100128,Perc Drug-Eluting Cor Stent & Atherect; Singl Vess,39039.0,39039.0,5777.77,31231.2,23
CDM,48100129,Perc Drug-Eluting Cor Stent & Atherect; Ea Addl Br,26268.0,26268.0,3887.66,21014.4,23
CDM,48100130,Perc Drug-Eluting Cor Revasc of or Thro Cabg;Sing,39039.0,39039.0,5777.77,31231.2,23
CDM,48100131,Perc Drug-Eluting Cor Revasc of or Thr Cabg; Ea Ad,27638.0,27638.0,4090.42,22110.4,23
CDM,48100132,Perc Drug-Eluting Cor W/ Ami;Single Ves,59386.0,59386.0,8789.13,47508.8,23
CDM,48100133,Perc Drug-Eluting Cor Revasc Cto;Single Vess,44289.95,44289.95,6554.91,35431.96,23
CDM,48100134,Perc Drug-Eluting Cor Revasc Cto; Ea Addl Vessel,39830.0,39830.0,5894.84,31864.0,23
CDM,48100140,Transcath Insj/Rpl Perm Leadless Pm Rv W/Img,53954.0,53954.0,7985.19,43163.2,23
CDM,48100145,Insj Perq Vad W/Rs&I R Heart Venous Access Only,20346.0,20346.0,3011.21,16276.8,23
CDM,48100146,Removal Perq R Heart Vad Venous Cannula Sep Insj,8736.0,8736.0,1292.93,6988.8,23
CDM,48100147,Rhc Chd W/Img Cath Trgt Zone Nml Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CDM,48100148,Rhc Chd W/Img Cath Trgt Zone Abnl Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CDM,48100149,Lhc Chd W/Img Cath Trgt Zone Nml/Abnl Nt Cnj,10697.0,10697.0,1583.16,8557.6,23
CDM,48100150,Lhc/Rhc Chd W/Img Cath Trgt Zone Nml Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CDM,48100151,Lhc/Rhc Chd W/Img Cath Trgt Zone Abnl Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CDM,48100152,Car Outp Meas During Heart Cath Eval Chd Add-On,3000.0,3000.0,444.0,2400.0,23
CDM,48200001,Stress Echo,3585.0,3585.0,530.58,2868.0,23
CDM,48200002,Cardiac Stress Test,3585.0,3585.0,530.58,2868.0,23
CDM,48300001,"Tte, Complete",5169.25,5169.25,765.05,4135.4,23
CDM,48300003,Tte. Limited,3497.15,3497.15,517.58,2797.72,23
CDM,48300004,Echo W/Stress Test,4651.75,4651.75,688.46,3721.4,23
CDM,48300007,Tte 2d W or W/O Fol W/Contrast; Follow-Up or Ltd,2668.0,2668.0,394.86,2134.4,23
CDM,48300008,Tte 2d W or W/O Fol W/Contrast; Doppler,5422.25,5422.25,802.49,4337.8,23
CDM,48300009,Doppler Echo Exam Heart (Add-On),989.0,989.0,146.37,791.2,23
CDM,48300010,Myocrd Strain Img Spckl Trck (Add-On),1000.0,1000.0,148.0,800.0,23
CDM,48300011,3d Echo Img Tee/Tte Cgen Car Anomal Add-On,2000.0,2000.0,296.0,1600.0,23
CDM,51000008,Clsd Tx Humeral Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,51000018,Wrist-Capitate,2041.25,2041.25,302.1,1633.0,23
CDM,51000022,Clsd Tx Medial Malleolus Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,51000023,Clsd Tx Prox/Shaft Fibula Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CDM,51000038,Amnio Infusion (Adb),2501.25,2501.25,370.18,2001.0,23
CDM,51000041,"Ophalmol Exam, Inter, Np",550.0,550.0,81.4,440.0,23
CDM,51000042,"Opthalmol Exam, Compre, Np",642.0,642.0,95.02,513.6,23
CDM,51000043,"Opthalmol Exam, Inter, Ep",500.0,500.0,74.0,400.0,23
CDM,51000044,"Opthalmol Exam, Compre, Ep",525.0,525.0,77.7,420.0,23
CDM,51000046,Gonioscopy Exam,318.0,318.0,47.06,254.4,23
CDM,51000050,Im/Sq Injection,286.0,286.0,42.33,228.8,23
CDM,51000055,Lactation Services,200.0,200.0,29.6,160.0,23
CDM,51000058,Visit Level 2 - Np,551.0,551.0,81.55,440.8,23
CDM,51000059,Visit Level 3 - Np,562.0,562.0,83.18,449.6,23
CDM,51000060,Visit Level 4 - Np,626.28,626.28,92.69,501.02,23
CDM,51000061,Visit Level 5-Np,739.0,739.0,109.37,591.2,23
CDM,51000062,Visit Level 1 - Ep,540.6,540.6,80.01,432.48,23
CDM,51000063,Visit Level 2-Ep,551.82,551.82,81.67,441.46,23
CDM,51000064,Visit Level 3-Ep,562.02,562.02,83.18,449.62,23
CDM,51000065,Visit Level 4-Ep,573.24,573.24,84.84,458.59,23
CDM,51000066,Visit Level 5-Ep,623.22,623.22,92.24,498.58,23
CDM,51000070,Office Consultation Level - 4,440.0,440.0,65.12,352.0,23
CDM,51000086,Trim of Dystrophic Nail(S),1775.0,1775.0,262.7,1420.0,23
CDM,51000087,New Medicare Phys Exam,404.91,404.91,59.93,323.93,23
CDM,51000158,Visit Level Bccp 2 - Np,551.0,551.0,81.55,440.8,23
CDM,51000159,Visit Level Bccp 3 - Np,562.0,562.0,83.18,449.6,23
CDM,51000161,Visit Level Bccp 5-Np,739.0,739.0,109.37,591.2,23
CDM,51000163,Visit Level Bccp 2 - Ep,551.82,551.82,81.67,441.46,23
CDM,51000164,Visit Level Bccp 3 - Ep,562.02,562.02,83.18,449.62,23
CDM,51000166,Visit Level Bccp 5-Ep,623.22,623.22,92.24,498.58,23
CDM,51000190,Cmptr Ophth Img Optic Nerve,500.0,500.0,74.0,400.0,23
CDM,51000191,Cptr Ophth Dx Img Post Segmt,500.0,500.0,74.0,400.0,23
CDM,51000201,Suture or Staple Removal W/O Anes-Add on to Office Visit,115.0,115.0,17.02,92.0,23
CDM,51000202,Suture and Staple Removal W/O Anes-Add on to Office Visit,270.25,270.25,40.0,216.2,23
CDM,51000211,Advance Care Planning First 30 Mins,500.0,500.0,74.0,400.0,23
CDM,51000212,Advance Care Planning Ea Addl 30 Mins (Add-On),500.0,500.0,74.0,400.0,23
CDM,51000220,"Community Health Integration Svcs for Sdoh, 60 Min per Calendar Month",210.0,210.0,31.08,168.0,23
CDM,51000221,"Community Health Integration Services, Each Additional 30 Minutes per Calendar Month",34.0,34.0,5.03,27.2,23
CDM,51000222,Principle Illness Navigation Svcs 60 Min per Calendar Month,210.0,210.0,31.08,168.0,23
CDM,51000223,"Principle Illness Navigation Svcs, Each Additional 30 Min per Calendar Month",34.0,34.0,5.03,27.2,23
CDM,51000224,"Administration of a Standardized, Evidence-Based Social Determinants of Health Risk Assessment Tool, 5-15 Minutes",74.8,74.8,11.07,59.84,23
CDM,51000225,Principal Illness Navigation - Peer Support 60 Min per Calendar Month,210.0,210.0,31.08,168.0,23
CDM,51000226,"Principal Illness Navigation - Peer Support, Each Additional 30 Min per Calendar Month",34.0,34.0,5.03,27.2,23
CDM,51000260,Visit Level Bccp 4 - Np,626.28,626.28,92.69,501.02,23
CDM,51000265,Visit Level Bccp 4-Ep,573.24,573.24,84.84,458.59,23
CDM,51000313,Discharge Phone Call and F/U Appt Within 14 Days,500.0,500.0,74.0,400.0,23
CDM,51000314,Discharge Phone Call and F/U Appt Within 7 Days,557.0,557.0,82.44,445.6,23
CDM,51000315,Isolation Evaluation - Np,739.0,739.0,109.37,591.2,23
CDM,51000316,Isolation Evaluation - Ep,623.22,623.22,92.24,498.58,23
CDM,51000320,Neg Press Wd Tx - 50 Sq Cm or Less,724.5,724.5,107.23,579.6,23
CDM,51000321,Neg Press Wd Tx-> Than 50 Sq Cm,1278.8,1278.8,189.26,1023.04,23
CDM,51000322,"Annual Wellness Visit, Initial Visit",660.0,660.0,97.68,528.0,23
CDM,51000323,"Annual Wellness Visit, Subseq Visit",500.0,500.0,74.0,400.0,23
CDM,51000324,Complex Chronic Care Mgmt - 1st Hr per Month,318.0,318.0,47.06,254.4,23
CDM,51000325,Chronic Care Mgmt - 20 Min. per Month,350.0,350.0,51.8,280.0,23
CDM,51000326,Complex Chronic Care Mgmt û Ea Addl 30 Min per Month,113.0,113.0,16.72,90.4,23
CDM,51000327,Eye Exam With Photos,712.0,712.0,105.38,569.6,23
CDM,51000329,Chronic Care Mgmt - Addl 20 Min. per Month,152.0,152.0,22.5,121.6,23
CDM,51100021,Njx Anes/Strd Other Peripheral Nerve,8339.8,8339.8,1234.29,6671.84,23
CDM,60000610,Catheter Embl 80cm 7fr 14mm Fgrty Art Ss Sil Bln,130.0,130.0,19.24,104.0,23
CDM,61000001,MRI Tmj MRI,5209.5,5209.5,771.01,4167.6,23
CDM,61000002,MRI:Orbit/Face/Neckw/O Contr.,5569.45,5569.45,824.28,4455.56,23
CDM,61000003,MRI Orbit/Face/Neck/W/Dye MRI,5708.0,5708.0,844.78,4566.4,23
CDM,61000004,MRI Orb/Face/Neck W&WO Dye MRI,8010.0,8010.0,1185.48,6408.0,23
CDM,61000005,Mra Head W/O Dye,4456.0,4456.0,659.49,3564.8,23
CDM,61000006,Mra Head W/ Dye,5605.0,5605.0,829.54,4484.0,23
CDM,61000007,Mra Head W & W/O Dye,8010.0,8010.0,1185.48,6408.0,23
CDM,61000008,Mra Neck W/O Dye,4449.0,4449.0,658.45,3559.2,23
CDM,61000009,Mra Neck W/ Dye,5180.0,5180.0,766.64,4144.0,23
CDM,61000010,Mra Neck W&WO Dye,7165.5,7165.5,1060.49,5732.4,23
CDM,61000011,MRI Chest W/O Dye,5462.5,5462.5,808.45,4370.0,23
CDM,61000012,MRI Chest W/Dye,4916.0,4916.0,727.57,3932.8,23
CDM,61000013,MRI Chest W&WO Dye,6798.0,6798.0,1006.1,5438.4,23
CDM,61000014,Mra Chest W&WO Dye,3497.0,3497.0,517.56,2797.6,23
CDM,61000015,Mra Spinal Canal W/WO Dye,5545.0,5545.0,820.66,4436.0,23
CDM,61000016,Mra Pelvis W/WO Dye,4113.0,4113.0,608.72,3290.4,23
CDM,61000019,MRI Upper Ext W/O Dye,5925.0,5925.0,876.9,4740.0,23
CDM,61000024,MRI Upper Ext W/O&W/Dye,8249.0,8249.0,1220.85,6599.2,23
CDM,61000028,MRI Joint Upper Ext W/O Dye,5356.7,5356.7,792.79,4285.36,23
CDM,61000032,MRI Joint Upper Ext W/Dye,6698.75,6698.75,991.42,5359.0,23
CDM,61000035,MRI Joint Upper Ext W/O&W/Dye,7234.65,7234.65,1070.73,5787.72,23
CDM,61000042,MRI Lower Ext W/O Dye,5635.0,5635.0,833.98,4508.0,23
CDM,61000044,MRI Lower Ext W/Dye,5972.0,5972.0,883.86,4777.6,23
CDM,61000047,MRI Lower Ext W/O&W/Dye,9499.0,9499.0,1405.85,7599.2,23
CDM,61000051,MRI Joint Lower Ext W/O Dye,5034.7,5034.7,745.14,4027.76,23
CDM,61000055,MRI Joint Lower Ext W/Dye,5950.0,5950.0,880.6,4760.0,23
CDM,61000056,MRI Joint Lower Ext W/O&W/Dye Bilat,13741.0,13741.0,2033.67,10992.8,23
CDM,61000057,MRI Joint Lower Ext W/O&W/Dye,8313.0,8313.0,1230.32,6650.4,23
CDM,61000059,MRI Abdomen W/O Dye,5642.0,5642.0,835.02,4513.6,23
CDM,61000060,MRI Abdomen W/ Dye,5491.0,5491.0,812.67,4392.8,23
CDM,61000062,MRI Abdomen W&WO Dye,6574.0,6574.0,972.95,5259.2,23
CDM,61000063,Mra Abdomen WO Cont,4068.0,4068.0,602.06,3254.4,23
CDM,61000064,MRI Card Morph W/O Cont,4510.3,4510.3,667.52,3608.24,23
CDM,61000066,MRI Card Morph W&W/O,5065.0,5065.0,749.62,4052.0,23
CDM,61000067,MRI Card Morph W&W/O W/Stress,5251.0,5251.0,777.15,4200.8,23
CDM,61000068,MRI Spectroscopy,4122.0,4122.0,610.06,3297.6,23
CDM,61000069,Mra Abdomen W Dye,4319.0,4319.0,639.21,3455.2,23
CDM,61000070,Mra Abdomen W/O Dye,2500.0,2500.0,370.0,2000.0,23
CDM,61000071,Mra Chest W Dye,4022.0,4022.0,595.26,3217.6,23
CDM,61000072,Mra Chest W/O Dye,2977.0,2977.0,440.6,2381.6,23
CDM,61000073,Mra Low Ext W&WO Dye Bi MRI,6665.4,6665.4,986.48,5332.32,23
CDM,61000074,Mra Low Ext W&WO Dye Lt,3332.7,3332.7,493.24,2666.16,23
CDM,61000075,Mra Low Ext W/WO Dye Rt,3332.7,3332.7,493.24,2666.16,23
CDM,61000077,"MRI W/Cont, Brst, Uni, MRI",1389.0,1389.0,205.57,1111.2,23
CDM,61000081,"MRI W/Ofol W/Con,Brst,Uni,MRI",2015.95,2015.95,298.36,1612.76,23
CDM,61000082,"MRI W/Con, Brst, Bi,MRI",1597.35,1597.35,236.41,1277.88,23
CDM,61000087,"MRI Breast W/WO Contrast Incl Cad, Bilateral",5963.0,5963.0,882.52,4770.4,23
CDM,61000110,MRI Guidance Needle Placement,2912.0,2912.0,430.98,2329.6,23
CDM,61000116,"Mra, W/O Dye, Spinal Canal",4243.0,4243.0,627.96,3394.4,23
CDM,61000117,"Mra, W/O&W/Dye, Spinal Canal",4145.75,4145.75,613.57,3316.6,23
CDM,61000118,"Mra, W/Dye, Upper Extremity",2742.0,2742.0,405.82,2193.6,23
CDM,61000119,"Mra, W/Odye, Upper Extremity",2164.0,2164.0,320.27,1731.2,23
CDM,61000120,"Mra, W/O&W/Dye, Upper Extremity",3991.65,3991.65,590.76,3193.32,23
CDM,61000126,MRI Breast Without Contrast Material Bilateral,4311.0,4311.0,638.03,3448.8,23
CDM,61000130,MRI Pelvis Tx Plan W/O Contrast,3374.0,3374.0,499.35,2699.2,23
CDM,61100001,MRI Brain W/O Dye,5561.0,5561.0,823.03,4448.8,23
CDM,61100003,MRI Brain W/Dye,5387.0,5387.0,797.28,4309.6,23
CDM,61100005,MRI Brain W&WO Dye,7610.0,7610.0,1126.28,6088.0,23
CDM,61200001,MRI Cervical Spine W/O Dye,4773.0,4773.0,706.4,3818.4,23
CDM,61200004,MRI Cervical Spine W Contrast,5419.0,5419.0,802.01,4335.2,23
CDM,61200005,MRI Thoracic Spine W/O Dye,4778.0,4778.0,707.14,3822.4,23
CDM,61200006,MRI Thoracic Spine W/Dye,6243.75,6243.75,924.08,4995.0,23
CDM,61200007,MRI Lumbar Spine W/O Dye,4804.0,4804.0,710.99,3843.2,23
CDM,61200008,MRI Lumbar Spine W/ Dye,5581.0,5581.0,825.99,4464.8,23
CDM,61200009,MRI Cervical Spine W&WO Dye,8124.0,8124.0,1202.35,6499.2,23
CDM,61200010,MRI Thoracic Spine W&WO Dye,6830.0,6830.0,1010.84,5464.0,23
CDM,61200011,MRI Lumbar Spine W&WO Dye,7167.0,7167.0,1060.72,5733.6,23
CDM,61200012,MRI Pelvis W/O Dye,4901.0,4901.0,725.35,3920.8,23
CDM,61200013,MRI Pelvis W/ Dye,4852.0,4852.0,718.1,3881.6,23
CDM,61200014,MRI Pelvis W&WO Dye,6779.25,6779.25,1003.33,5423.4,23
CDM,61800010,"Mra W/O Fol W/Cont, Abd, Cbc",5046.2,5046.2,746.84,4036.96,23
CDM,62200001,Intro Aortic Balloons,5547.0,5547.0,820.96,4437.6,23
CDM,62300002,Hydrocolloid Dsg 16 Sq in or Less,43.0,43.0,6.36,34.4,23
CDM,62300003,Hydrocolloid Dsg more than 16sq in,131.0,131.0,19.39,104.8,23
CDM,62300006,Alginate Dressing <= 16 Sq In,44.0,44.0,6.51,35.2,23
CDM,62400002,Trevo Retriever-Ide#G100056,4937.0,4937.0,730.68,3949.6,23
CDM,62400003,Trevo 18 Microcatheter-Ide#G100056,199.0,199.0,29.45,159.2,23
CDM,63600011,Pneumonia Vaccine Prevnar,30.0,30.0,4.44,24.0,23
CDM,63600012,Pneumonia Vaccine Pneumovax,30.0,30.0,4.44,24.0,23
CDM,63600022,Gardasil-9 Vaccine,493.0,493.0,72.96,394.4,23
CDM,63600025,Rx Eap Nucala Charge,80.0,80.0,11.84,64.0,23
CDM,63600043,Menveo Vaccine,413.0,413.0,61.12,330.4,23
CDM,63600101,"Tc-99m Mertiatide, Dx Up to 15 Mci",784.0,784.0,116.03,627.2,23
CDM,63600104,Anti-Thrombin III,6.0,6.0,0.89,4.8,23
CDM,63600112,Darbepoetin Alfa 1,16.0,16.0,2.37,12.8,23
CDM,63600119,"F-18 Fdg, Dx Up to 45 Mci",1722.0,1722.0,254.86,1377.6,23
CDM,63600120,Ga-67 Gallium Citra,169.0,169.0,25.01,135.2,23
CDM,63600121,I-131 Therapeutic per Mci,26.0,26.0,3.85,20.8,23
CDM,63600122,I-131 Capsule Therapeutic per Mci,350.0,350.0,51.8,280.0,23
CDM,63600170,Penicillin G Benz L,158.0,158.0,23.38,126.4,23
CDM,63600183,"Tc-99m Labeled RBC, Dx Up to 30 Mci",371.0,371.0,54.91,296.8,23
CDM,63600192,Vitamin B-12 1000mg,32.0,32.0,4.74,25.6,23
CDM,63600209,Tc-99m Dmsa Nuc,1886.0,1886.0,279.13,1508.8,23
CDM,63600210,Sr-89 Strontium Chloride Therapeutic per Mci,3784.0,3784.0,560.03,3027.2,23
CDM,63600211,Sm-153 Samarium Lexidronam Therapeutic Up to 150 Mci,48815.0,48815.0,7224.62,39052.0,23
CDM,63600212,"In-111 Pentetate, Dx per 0.5 Mci",7022.0,7022.0,1039.26,5617.6,23
CDM,63600214,"Piflufolastat F-18, Dx, 1 Mci (Pylarify)",1354.0,1354.0,200.39,1083.2,23
CDM,63600324,Hep a Vaccine,72.0,72.0,10.66,57.6,23
CDM,63600325,Hepa Vaccine Ped/Adol 2 Dose Im,72.0,72.0,10.66,57.6,23
CDM,63600326,Hep a/B Twinrx Vaccine,98.0,98.0,14.5,78.4,23
CDM,63600327,Pedvaxhib Vaccine,38.0,38.0,5.62,30.4,23
CDM,63600336,Rotavirus 3 Dose Vaccine,108.0,108.0,15.98,86.4,23
CDM,63600337,Pentacel Vaccine,130.0,130.0,19.24,104.0,23
CDM,63600338,Dtap Vaccine,38.0,38.0,5.62,30.4,23
CDM,63600344,Mmr Vaccine,83.0,83.0,12.28,66.4,23
CDM,63600346,Mmrv Vaccine,19.0,19.0,2.81,15.2,23
CDM,63600348,Polio Vaccine,32.0,32.0,4.74,25.6,23
CDM,63600349,Tenivac Vaccine,30.0,30.0,4.44,24.0,23
CDM,63600350,Tdap Vaccine,54.0,54.0,7.99,43.2,23
CDM,63600351,Varicella Vaccine,414.0,414.0,61.27,331.2,23
CDM,63600355,Dtap Hepb Vaccine,108.0,108.0,15.98,86.4,23
CDM,63600360,Hep B Vaccine Adult 3 Dose,230.0,230.0,34.04,184.0,23
CDM,63600374,Penicillin G Benz La 1.2 Mu,159.0,159.0,23.53,127.2,23
CDM,63600384,"Dexamethasone,4mg/Ml 5ml",16.0,16.0,2.37,12.8,23
CDM,63600396,Vancomycin 1gm Vial,24.0,24.0,3.55,19.2,23
CDM,63600402,"Njx, Rho(D) Immune Globulin (Human), (Rhophylac)",534.0,534.0,79.03,427.2,23
CDM,63600405,Rh Immune Globulin- 300 Mcg,131.0,131.0,19.39,104.8,23
CDM,63600461,Novoseven F7 2.0,10222.0,10222.0,1512.86,8177.6,23
CDM,63600462,Menveo Vaccine,410.0,410.0,60.68,328.0,23
CDM,63600467,Meningitis Vaccine,569.62,569.62,84.3,455.7,23
CDM,63600526,Kit Tiss Clsr 4ml Artiss Frzn Slnt,811.0,811.0,120.03,648.8,23
CDM,63600527,Kit Tiss Clsr 10ml Artiss Frzn Slnt,1814.0,1814.0,268.47,1451.2,23
CDM,63600528,Kit Tiss Clsr 2ml Artiss Frzn Slnt,475.0,475.0,70.3,380.0,23
CDM,63603031,Hepa Vaccine Ped/Adol 2 Dose Im,72.0,72.0,10.66,57.6,23
CDM,63603296,Dtap Ipv Vaccine,185.0,185.0,27.38,148.0,23
CDM,63603300,Hep B Vaccine Immunosupressed,100.0,100.0,14.8,80.0,23
CDM,63603301,Hep B Vaccine Ped/Adult 3 Dose,100.0,100.0,14.8,80.0,23
CDM,63604091,Kit Tiss Clsr Frzn Slnt Artiss 4ml,836.0,836.0,123.73,668.8,23
CDM,63604093,Hiberix Vaccine,87.19,87.19,12.9,69.75,23
CDM,63604117,Pfizer Covid Vaccine 30mcg/0.3ml,268.0,268.0,39.66,214.4,23
CDM,63604118,Moderna Covid Vaccine 25 Mcg/0.25 Ml,281.0,281.0,41.59,224.8,23
CDM,63604201,Nirsevimab-Alip 50 Mg/0.5 Ml (Beyfortus),1585.98,1585.98,234.73,1268.78,23
CDM,63604202,Nirsevimab-Alip 100 Mg/1 Ml (Beyfortus),1585.98,1585.98,234.73,1268.78,23
CDM,63690324,Depo Provera Inject 1mg,50.0,50.0,7.4,40.0,23
CDM,63690325,Ceftriaxone per 250 Mg,35.0,35.0,5.18,28.0,23
CDM,63690354,Flu Vaccine Adjuvanted Pf >= 65 Years (for Amb),161.0,161.0,23.83,128.8,23
CDM,63690360,Rotavirus 2 Dose Vaccine,108.0,108.0,15.98,86.4,23
CDM,63690370,Acthib Vaccine,71.0,71.0,10.51,56.8,23
CDM,63690430,Rx Fasenra 30mg/Ml Solution,447.0,447.0,66.16,357.6,23
CDM,63690431,Rx Dupixent 200mg Solution,4200.0,4200.0,621.6,3360.0,23
CDM,63690434,Rx Dupixent 300mg Solution,4200.0,4200.0,621.6,3360.0,23
CDM,63690436,Rx Cabotegravir/Rilpivirine 400&600mg/2ml Im,51.08,51.08,7.56,40.86,23
CDM,63690437,Rx Cabotegravir/Rilpivirine 600&900mg/2ml Im,51.08,51.08,7.56,40.86,23
CDM,63690440,Immunization-Hep B 3-Dose Immunsup Im,638.0,638.0,94.42,510.4,23
CDM,63690441,Immunization-Hep B 3-Dose Ped/Adol Im,110.0,110.0,16.28,88.0,23
CDM,63690442,Immunization-Hep B 3-Dose Adult Im,243.0,243.0,35.96,194.4,23
CDM,63690445,Immunization-Dtap-Ipv Vaccine 4-6 Yrs Im (2022),236.0,236.0,34.93,188.8,23
CDM,63690447,Dtap- Ipv- Hib- Hepb Combined Vaccine Im,560.24,560.24,82.92,448.19,23
CDM,63690450,Flu (Iiv4) Prsv Free 0.5 Ml 2021-2022,25.0,25.0,3.7,20.0,23
CDM,63690454,Flu Vaccine Fluad (Aiiv4) Pf >= 65 Years 2023-2024,161.0,161.0,23.83,128.8,23
CDM,63690455,Flu Vaccine Afluria 2023-2024,25.0,25.0,3.7,20.0,23
CDM,63690458,Flu Vaccine Fluzone (Iiv4) 6mos-3yrs 2023-2024,25.0,25.0,3.7,20.0,23
CDM,63690460,Immunization-Hep B Ig-Im,2487.0,2487.0,368.08,1989.6,23
CDM,63690461,Pneumonia Prevnar 20 Vaccine,872.06,872.06,129.06,697.65,23
CDM,63690463,Flu (Iiv4) Prsv Free 0.5 Ml 2022-2023,25.0,25.0,3.7,20.0,23
CDM,68000010,Level 2 Partial Trauma Activation W/O Prenotificat,21699.7,21699.7,3211.56,17359.76,23
CDM,68000065,Level 1 Full Trauma Activation W/O Prenotification,40594.4,40594.4,6007.97,32475.52,23
CDM,68100003,Level 1 Full Trauma Activation,40594.4,40594.4,6007.97,32475.52,23
CDM,68100004,Level 2 Partial Trauma Activation,21699.7,21699.7,3211.56,17359.76,23
CDM,68100005,Level 3 Partial Trauma Activation,10892.2,10892.2,1612.05,8713.76,23
CDM,70000003,Apply Long Arm Cast,2145.9,2145.9,317.59,1716.72,23
CDM,70000004,Apply Short Arm Cast,2145.9,2145.9,317.59,1716.72,23
CDM,70000005,Apply Long Arm Splint,2041.25,2041.25,302.1,1633.0,23
CDM,70000006,Apply Short Arm Splint Static,2041.25,2041.25,302.1,1633.0,23
CDM,70000009,Apply Long Leg Cast,2041.25,2041.25,302.1,1633.0,23
CDM,70000011,Apply Cylinder Cast,2041.25,2041.25,302.1,1633.0,23
CDM,70000012,Apply Short Leg Cast,2041.25,2041.25,302.1,1633.0,23
CDM,70000013,Apply Short Leg Cast Walking,2041.25,2041.25,302.1,1633.0,23
CDM,70000015,Appl Rigid Total Contact Leg Cast,2225.25,2225.25,329.34,1780.2,23
CDM,70000016,Apply Long Leg Splint,2041.25,2041.25,302.1,1633.0,23
CDM,70000017,Apply Short Leg Splint,2041.25,2041.25,302.1,1633.0,23
CDM,70000018,Removal Full Arm/Leg Cast,2041.25,2041.25,302.1,1633.0,23
CDM,70000225,Catheter Angio Sos O2 Curve 5fr 80cm Vscr Radiopq,175.0,175.0,25.9,140.0,23
CDM,70000282,Needle Bscp 140cm 19ga 21ga 15mm Strl 3mm Wang Rtrct Trnbr,133.0,133.0,19.68,106.4,23
CDM,70000311,Catheter Urth 16fr 30ml Strl Lf Bard Lbrsl 2w Fl Bln Sil,224.0,224.0,33.15,179.2,23
CDM,70000626,Guidewire Vasc 145cm .035in Flxb Flpy Tip Fltwr,331.0,331.0,48.99,264.8,23
CDM,70000646,Transcend Steerable,546.0,546.0,80.81,436.8,23
CDM,70000650,Stent Ureteral Flexima Large Regular Pigtail Curve L22 Cm Od2.66 Mm,266.0,266.0,39.37,212.8,23
CDM,70000823,Guidewire Vasc 60cm .018in Flpy Sftp Ang Tpr 7cm,98.0,98.0,14.5,78.4,23
CDM,70000837,Needle Biop 20ga 15cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,70000838,Needle Biop 20ga 20cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,70001048,Catheter Guid 100cm 6fr Shr Nx Bal Std Jl4 Curve,118.0,118.0,17.46,94.4,23
CDM,70001049,Catheter Guid 100cm 6fr Shr Nx Bal Std Jr4 Curve,163.0,163.0,24.12,130.4,23
CDM,70001411,Kit Syr 150ml Lf Mrk5 Prvs Qkfl Qkfl Tube Fasturn Sty,575.0,575.0,85.1,460.0,23
CDM,70001510,Support Orthopedic Universal Binder Velcro Closure Yellow,538.0,538.0,79.62,430.4,23
CDM,71000014,Phase II Recovery < 6hrs,3696.85,3696.85,547.13,2957.48,23
CDM,71000033,Phase II Recovery > 6hrs,5437.95,5437.95,804.82,4350.36,23
CDM,71000040,Level 1 1st 30 Min,2450.7,2450.7,362.7,1960.56,23
CDM,71000041,Level 2 1st 30 Min,3089.1,3089.1,457.19,2471.28,23
CDM,71000042,Level 3 1st 30 Min,4114.95,4114.95,609.01,3291.96,23
CDM,71000043,Level 4 1st 30 Min,4457.25,4457.25,659.67,3565.8,23
CDM,71000044,Level 5 1st 30 Min,6168.75,6168.75,912.97,4935.0,23
CDM,71000045,Level 1 Add 15 Min,1285.2,1285.2,190.21,1028.16,23
CDM,71000046,Level 2 Add 15 Min,1543.5,1543.5,228.44,1234.8,23
CDM,71000047,Level 3 Add 15 Min,2054.85,2054.85,304.12,1643.88,23
CDM,71000048,Level 4 Add 15 Min,2231.25,2231.25,330.22,1785.0,23
CDM,71000049,Level 5 Add 15 Min,3087.0,3087.0,456.88,2469.6,23
CDM,71000050,GI Procedure Recovery,832.46,832.46,123.2,665.97,23
CDM,71000051,Cardiology Recovery,832.46,832.46,123.2,665.97,23
CDM,71000133,Phase II Recovery > 6hrs,3894.0,3894.0,576.31,3115.2,23
CDM,71000134,IR Recovery,832.46,832.46,123.2,665.97,23
CDM,71900020,Extended Recovery 1st 30 Mins,1482.0,1482.0,219.34,1185.6,23
CDM,71900021,Extended Recovery Ea Addtl 15 Mins,837.0,837.0,123.88,669.6,23
CDM,72000001,Fetal Scalp Blood,1917.0,1917.0,283.72,1533.6,23
CDM,72000003,D & C Postpartum,5735.88,5735.88,848.91,4588.7,23
CDM,72200001,Vaginal Delivery Only Complica,10065.6,10065.6,1489.71,8052.48,23
CDM,72200002,Vaginal Delivery Only Uncompl.,10065.6,10065.6,1489.71,8052.48,23
CDM,73000001,EKG,675.15,675.15,99.92,540.12,23
CDM,73000011,Cardiac Stress Test,3585.0,3585.0,530.58,2868.0,23
CDM,73100001,Ecg Monit/Reprt Up to 48 Hrs,1052.25,1052.25,155.73,841.8,23
CDM,73100003,Cardiac Event Recording,659.0,659.0,97.53,527.2,23
CDM,73100010,External Ecg Rec>48hr<7d Recording,184.0,184.0,27.23,147.2,23
CDM,73100011,External Ecg Rec>48hr<7d Scanning Alys W/Report,396.0,396.0,58.61,316.8,23
CDM,73100012,External Ecg Rec>7d<15d Recording,278.3,278.3,41.19,222.64,23
CDM,73100013,External Ecg Rec>7d<15d Scanning Alys W/Report,666.0,666.0,98.57,532.8,23
CDM,74000001,Eeg Up to 1 Hour,2056.2,2056.2,304.32,1644.96,23
CDM,74000002,Eeg Extended Monitoring 61-119 Minutes,3261.4,3261.4,482.69,2609.12,23
CDM,74000003,"Eeg, Awake and Drowsy",1707.0,1707.0,252.64,1365.6,23
CDM,74000004,"Eeg, W/Awake & Asleep Record",2227.55,2227.55,329.68,1782.04,23
CDM,74000005,"Eeg, Sleep Only",2409.0,2409.0,356.53,1927.2,23
CDM,74000012,Ssep 4 Ext,6944.0,6944.0,1027.71,5555.2,23
CDM,74000014,Cmep Upper Limbs,1351.0,1351.0,199.95,1080.8,23
CDM,74000015,Intraoperative Monitoring Neuro in or Ea 15 Min,4241.0,4241.0,627.67,3392.8,23
CDM,74000030,Ionm Remote/Nearby/>1 Patient in or per Hour,1280.0,1280.0,189.44,1024.0,23
CDM,74000050,Eeg Cont Rec W/Video by Tech Min 8 Channels,4241.0,4241.0,627.67,3392.8,23
CDM,74000052,Eeg W/O Video (Ceribell) 2-12 Hr Intermittent Mntr,3669.0,3669.0,543.01,2935.2,23
CDM,74000054,Eeg W/O Vid by Tech Ea Incr 12-26hr Unmonitored,7938.45,7938.45,1174.89,6350.76,23
CDM,74000055,Eeg W/O Video (Ceribell) Ea Incr 12-26 Hr Intmt Mntr,6998.0,6998.0,1035.7,5598.4,23
CDM,74000057,Veeg by Tech 2-12 Hours Unmonitored,1311.0,1311.0,194.03,1048.8,23
CDM,74000058,Veeg by Tech 2-12 Hr Intermittent Monitoring,5246.0,5246.0,776.41,4196.8,23
CDM,74000060,Veeg by Tech Ea Incr 12-26 Hr Unmonitored,7938.45,7938.45,1174.89,6350.76,23
CDM,74000061,Veeg by Tech Ea Incr 12-26 Hr Intermittent Mntr,10349.0,10349.0,1531.65,8279.2,23
CDM,74000065,Eeg During (Carotid) Surgery,1044.0,1044.0,154.51,835.2,23
CDM,75000046,Sb Endoscop Excluding Ileum Dx,5537.81,5537.81,819.6,4430.25,23
CDM,75000047,Sb Endo-Bx Single Multiple,4286.05,4286.05,634.34,3428.84,23
CDM,75000050,Sb Endo-Ctrl of Bleed Any Meth,4729.95,4729.95,700.03,3783.96,23
CDM,75000051,"Sb Endo-Ablat of Tum,Les Other",4387.25,4387.25,649.31,3509.8,23
CDM,75000101,"Colonoscopy, Endoscopic Ultrasound Examination",3501.75,3501.75,518.26,2801.4,23
CDM,75000102,Sigmoidscopy W/Ultrasound,5202.6,5202.6,769.98,4162.08,23
CDM,75000120,Upper GI Endoscopy W/US Fn Bx,4902.45,4902.45,725.56,3921.96,23
CDM,75000125,Upper GI Endoscopy W/US Fn Bx,6186.0,6186.0,915.53,4948.8,23
CDM,75000137,"Esoph Gastro Reflux Test, Prolonged 1-24 Hrs.",2904.9,2904.9,429.93,2323.92,23
CDM,75000138,Esophageal Motility Study W/ Interp & Report,3926.1,3926.1,581.06,3140.88,23
CDM,75000139,"Esoph Gastroesoph Reflux Test Funct W/Rec, Anlys,Rpt",1775.0,1775.0,262.7,1420.0,23
CDM,75000140,Rectal Sensation Tone & Comply Balloon Distention,1775.0,1775.0,262.7,1420.0,23
CDM,75000141,Anorectal Manometry,2900.3,2900.3,429.24,2320.24,23
CDM,75000142,"Emg Anal or Urethral Sphincter, Other Than Needle",1775.0,1775.0,262.7,1420.0,23
CDM,75000145,G-Esoph Reflx Tst W/Electrode,8798.65,8798.65,1302.2,7038.92,23
CDM,75000182,Anoscopy Dx W/HRA,2041.25,2041.25,302.1,1633.0,23
CDM,75000200,Colonscopy Dx,4945.0,4945.0,731.86,3956.0,23
CDM,75000201,Colonscopy Thera 1 Intervention,5442.0,5442.0,805.42,4353.6,23
CDM,75000202,Colonscopy Thera 2 Intervention,5984.0,5984.0,885.63,4787.2,23
CDM,75000203,Colonscopy Thera 3 Intervention,6582.0,6582.0,974.14,5265.6,23
CDM,75000204,Egd Dx,4215.0,4215.0,623.82,3372.0,23
CDM,75000205,Egd Thera 1 Intervention,4637.0,4637.0,686.28,3709.6,23
CDM,75000206,Egd Thera 2 Intervention,5101.0,5101.0,754.95,4080.8,23
CDM,75000207,Egd Thera 3 Intervention,5610.0,5610.0,830.28,4488.0,23
CDM,75000208,Ercp Dx,7943.0,7943.0,1175.56,6354.4,23
CDM,75000209,Ercp Thera 1 Intervention,8735.0,8735.0,1292.78,6988.0,23
CDM,75000210,Ercp Thera 2 Intervention,9610.0,9610.0,1422.28,7688.0,23
CDM,75000211,Ercp Thera 3 Intervention,9610.0,9610.0,1422.28,7688.0,23
CDM,75000212,Sigmoidoscopy Dx,5027.0,5027.0,744.0,4021.6,23
CDM,75000213,Sigmoidoscopy Thera 1 Intervention,5529.0,5529.0,818.29,4423.2,23
CDM,75000214,Sigmoidoscopy Thera 2 Intervention,6081.0,6081.0,899.99,4864.8,23
CDM,75000215,Sigmoidoscopy Thera 3 Intervention,6692.0,6692.0,990.42,5353.6,23
CDM,75000216,Colonscopy via Stoma Dx,3952.0,3952.0,584.9,3161.6,23
CDM,75000217,Colonscopy via Stoma 1 Intervention,4347.0,4347.0,643.36,3477.6,23
CDM,75000218,Colonscopy via Stoma 2 Intervention,4510.0,4510.0,667.48,3608.0,23
CDM,75000219,Colonscopy via Stoma 3 Intervention,4962.1,4962.1,734.39,3969.68,23
CDM,75000222,Egd Transoral Biopsy Single/Multi-IP Bedside,3950.0,3950.0,584.6,3160.0,23
CDM,76100003,Therapeutic Apheresis Red Blood Cells,11430.0,11430.0,1691.64,9144.0,23
CDM,76100004,Plateletpheresis,8063.0,8063.0,1193.32,6450.4,23
CDM,76100007,Badder Irrig/Instill Simple,2041.25,2041.25,302.1,1633.0,23
CDM,76100009,Iol Calculations (Ophthalmic Biometry),457.6,457.6,67.72,366.08,23
CDM,76100011,Insert Straight Cath,2041.25,2041.25,302.1,1633.0,23
CDM,76100013,"Urinary Cath, Indwelling",2041.25,2041.25,302.1,1633.0,23
CDM,76100028,Exc. Lesion Mucosa&Sub W/O Repair,7663.6,7663.6,1134.21,6130.88,23
CDM,76100030,Orchiectomy Simple,7139.0,7139.0,1056.57,5711.2,23
CDM,76100032,Lip Surgery Procedure,1775.0,1775.0,262.7,1420.0,23
CDM,76100040,Indental Wiring,5285.4,5285.4,782.24,4228.32,23
CDM,76100044,Lip Repair,2941.7,2941.7,435.37,2353.36,23
CDM,76100045,Drainage of Mouth Lesion,3933.13,3933.13,582.1,3146.5,23
CDM,76100046,Leukopheresis,7902.0,7902.0,1169.5,6321.6,23
CDM,76100047,Plateletpheresis,8063.0,8063.0,1193.32,6450.4,23
CDM,76100048,Plasmapheresis,9881.0,9881.0,1462.39,7904.8,23
CDM,76100055,Cover Eye W/ Membrane,5461.35,5461.35,808.28,4369.08,23
CDM,76100060,Penile Injection,3891.6,3891.6,575.96,3113.28,23
CDM,76100061,Bone Bx Exc.,8231.7,8231.7,1218.29,6585.36,23
CDM,76100062,Treat Nasa Septal Fx,7856.8,7856.8,1162.81,6285.44,23
CDM,76100063,Direct Laryngoscopy,2501.25,2501.25,370.18,2001.0,23
CDM,76100064,Nasal/Sinus Endoscopy,8142.0,8142.0,1205.02,6513.6,23
CDM,76100071,Removal of Gum Tissue,6091.0,6091.0,901.47,4872.8,23
CDM,76100073,Drainage of Salivary Gland,2041.25,2041.25,302.1,1633.0,23
CDM,76100078,Laryngoscopy W/Vc Inj+Scope,6592.5,6592.5,975.69,5274.0,23
CDM,76100090,Skin Sub Graft Trnk/Arm/Leg 25,3676.55,3676.55,544.13,2941.24,23
CDM,76100091,Skin Sub Graft T/a/L Addl 25,1775.0,1775.0,262.7,1420.0,23
CDM,76100096,Skin Sub Grft F/N/Hf/G Child 100,4184.85,4184.85,619.36,3347.88,23
CDM,76100097,Skin Sub Grft F/N/Hf/G Ch Add 100,2041.25,2041.25,302.1,1633.0,23
CDM,76100098,Apply Multilayer Compression Below Knee W/Ankle Foot,2041.25,2041.25,302.1,1633.0,23
CDM,76100103,Exc. Anal Ext. Tag/Papilla,5537.81,5537.81,819.6,4430.25,23
CDM,76100104,Skin Tissue Procedure,1775.0,1775.0,262.7,1420.0,23
CDM,76100105,Laryngoscope W/Vc Inj,8165.0,8165.0,1208.42,6532.0,23
CDM,76100110,Abdom Paracentesis W/O Imag,2942.85,2942.85,435.54,2354.28,23
CDM,76100112,Abdom Paracentesis W Imag,3933.13,3933.13,582.1,3146.5,23
CDM,76100113,Peritoneal Lavage W Imag,3210.8,3210.8,475.2,2568.64,23
CDM,76100114,Removal of Support Implant,18676.0,18676.0,2764.05,14940.8,23
CDM,76100117,Alveoplasty W/Extractions,2141.3,2141.3,316.91,1713.04,23
CDM,76100120,Amputation of Finger Thumb,10874.4,10874.4,1609.41,8699.52,23
CDM,76100122,Injection Epidural Blood Patch,2519.0,2519.0,372.81,2015.2,23
CDM,76100123,Blepharoptosis,7510.65,7510.65,1111.58,6008.52,23
CDM,76100130,"Laryngoscopy, Fiberoptic W/Bx",3007.25,3007.25,445.07,2405.8,23
CDM,76100135,Topography,254.1,254.1,37.61,203.28,23
CDM,76100141,Ear Microscopy Examination,178.0,178.0,26.34,142.4,23
CDM,76100145,Bil Nasal/Sinus Endoscopy,11312.55,11312.55,1674.26,9050.04,23
CDM,76100146,Neg Pressure Wound Therapy Non-Dme </= 50 Sq Cm,1223.6,1223.6,181.09,978.88,23
CDM,76100147,Neg Pressure Wound Therapy Non-Dme > 50 Cm,1275.0,1275.0,188.7,1020.0,23
CDM,76200002,Observation Room,182.85,182.85,27.06,146.28,23
CDM,76200028,Obs. Rm. Ecc,182.85,182.85,27.06,146.28,23
CDM,76200077,Observation Room Carveout,182.85,182.85,27.06,146.28,23
CDM,77000001,Pelvic/Breast Exam,282.0,282.0,41.74,225.6,23
CDM,77100006,Immunization Admin 1st,155.25,155.25,22.98,124.2,23
CDM,77100007,Administration Pneumo Vaccine,155.25,155.25,22.98,124.2,23
CDM,77100011,Immunization Admin Ea Addl,124.0,124.0,18.35,99.2,23
CDM,77100018,Administration Flu Vaccine,155.25,155.25,22.98,124.2,23
CDM,77100040,Administration of Hepatitis B Vaccine,148.5,148.5,21.98,118.8,23
CDM,77100106,Covid Immmunization Administration,151.0,151.0,22.35,120.8,23
CDM,78000010,Telehealth Facility Fee,122.0,122.0,18.06,97.6,23
CDM,80000016,Needle Biop 19ga 6cm 2 1/3in Coaxial Introd Echotip,32.0,32.0,4.74,25.6,23
CDM,80000446,Guidewire,120.44,120.44,17.83,96.35,23
CDM,80000635,Sheath Introd 10cm 6fr Pncl Peri Snpon Dilat Lock,219.0,219.0,32.41,175.2,23
CDM,80000652,Catheter Embolectomy 5.5fr 11mm 80cm,225.0,225.0,33.3,180.0,23
CDM,80000808,Catheter DRN Pgtl Crv 10fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1175.0,1175.0,173.9,940.0,23
CDM,80001077,Forceps Biopsy Channel-Guard Precisor Broncho L115,98.0,98.0,14.5,78.4,23
CDM,80002673,Catheter Xtrn DRN 80cm Strl Edm Cls Tip Ba Imprg Sil Lmbr,566.0,566.0,83.77,452.8,23
CDM,80003206,Catheter Pa 110cm 7fr 10mm Arw 1 Lum Bln Wdg Prss,168.0,168.0,24.86,134.4,23
CDM,80006629,Needle Biop 22ga 10cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,80006647,.035-150cm Rosen Guidewire,30.0,30.0,4.44,24.0,23
CDM,80006661,8 X 40 Fluency Sten,7858.0,7858.0,1162.98,6286.4,23
CDM,80006676,Microsphere Embogold 500-700,2575.0,2575.0,381.1,2060.0,23
CDM,80006677,Microsphere Embogold 700-900,515.0,515.0,76.22,412.0,23
CDM,80006724,Inflation Device Monarch-25,713.0,713.0,105.52,570.4,23
CDM,80008338,Dressing Brn 16x16in Strl Lf Actct Anbctrl Fst Act Brr Cntrl,156.0,156.0,23.09,124.8,23
CDM,80008414,Catheter Blndil 5mm 75cm 2cm Conq Radopq Rpd Infl Shthls,463.0,463.0,68.52,370.4,23
CDM,80008417,Conquest Dialation Balloon 6mm,463.0,463.0,68.52,370.4,23
CDM,80008418,Catheter Blndil 7mm 75cm 2cm Conq Radopq Rpd Infl Shthls,663.0,663.0,98.12,530.4,23
CDM,80008465,Needle Bx 18ga 9cm Achv Automate Prgm Ltwt Sprg Ld Act Echgn,212.0,212.0,31.38,169.6,23
CDM,80008503,Catheter Angiographic Chuang C Curve 5fr 80cm Torcon Nb,63.0,63.0,9.32,50.4,23
CDM,80008514,Set Intro .018in 5fr 21ga 10cm Strl 7cm Mpnch Psh+ Trnstls,88.0,88.0,13.02,70.4,23
CDM,80008528,Stent Ureteral Pigtail Curve 10.2fr 24cm Radiopq Sideport,312.0,312.0,46.18,249.6,23
CDM,80008543,Catheter Drain .038in 14fr 25cm 6 Sideport Mac-Loc Locking,250.0,250.0,37.0,200.0,23
CDM,80008562,Catheter Thrombectomy 5fr 135cm 40cm Occluding Ball Wire,425.0,425.0,62.9,340.0,23
CDM,80008571,Titan Hd Basic Set 15.5f X 28cm Straight W/Sideholes,2188.0,2188.0,323.82,1750.4,23
CDM,80008651,Guidewire Vascular Str .018in 180cm 25cm Shapeable Shaft,398.0,398.0,58.9,318.4,23
CDM,80008773,Stent Vascular .035in 8mm 6fr 30mm 80cm Self Expanding,2284.0,2284.0,338.03,1827.2,23
CDM,80008831,Set Cath 20cm 15.5fr 3 Lum Basic Gwire Dilat Scpl,288.0,288.0,42.62,230.4,23
CDM,80008835,Catheter Art Ln 8fr 110cm Sg C Vip 7 Lum Cco Amc Thrmbsh,538.0,538.0,79.62,430.4,23
CDM,80008880,Catheter Intravenous Standard,9.0,9.0,1.33,7.2,23
CDM,80008883,Catheter IV Std 18ga 1.16in Gr,9.0,9.0,1.33,7.2,23
CDM,80008930,Device Clsr 70cm 6fr Angsl Vip .035in Vasc Clgn,1600.0,1600.0,236.8,1280.0,23
CDM,80008931,Device Closure 8fr .038in 70cm Hemostatic Bioabsorbable,5250.0,5250.0,777.0,4200.0,23
CDM,80008933,Sleeve Cmpr Lg Scd Exp Anemb Cuf Ft,73.0,73.0,10.8,58.4,23
CDM,80009072,Guidewire Vasc Std Ang .035in 260cm 3cm Gldwr Gld Tch Flxb,555.0,555.0,82.14,444.0,23
CDM,80009076,Guidewire Vasc 150cm .035in Radiopq Std Shft Flxb,402.0,402.0,59.5,321.6,23
CDM,80009079,Sheath Introd 10cm 5fr Pncl Peri Ss Hydphi Ptfe,219.0,219.0,32.41,175.2,23
CDM,80009081,Sheath Introd 10cm 8fr Pncl Peri Ss Hydphi Ptfe,219.0,219.0,32.41,175.2,23
CDM,80009082,Sheath Introd 10cm 9fr Pncl Peri Ss Hydphi Ptfe,272.0,272.0,40.26,217.6,23
CDM,80009989,"Amplatz Sup Guidewire,035/75gw",331.0,331.0,48.99,264.8,23
CDM,80010526,Catheter DRN Pgtl Crv 12fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1175.0,1175.0,173.9,940.0,23
CDM,80010527,Catheter DRN Pgtl Crv 14fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1135.0,1135.0,167.98,908.0,23
CDM,80010528,Dilator Vascular 12fr 20cm Radiopq Hydphi Sterile Disposable,27.0,27.0,4.0,21.6,23
CDM,80010529,Needle Biop 18ga 10cm Chiba Sterile Disposable,27.0,27.0,4.0,21.6,23
CDM,80010530,Needle Biop 18ga 15cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,80010531,Needle Biop 18ga 20cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,80010532,Needle Biop 20ga 10cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CDM,80010533,Needle Biop Universal 17ga 10cm Coaxial Echotip Introd Temno,79.0,79.0,11.69,63.2,23
CDM,80010534,Needle Biop Universal 17ga 15cm Coaxial Echotip Introd,32.0,32.0,4.74,25.6,23
CDM,80010535,Needle Biop 18ga 15cm Coaxial Automated Programmable Achieve,98.0,98.0,14.5,78.4,23
CDM,80010537,Needle Bx Unv Thnwl 20ga 19ga 20cm Clr 15cm Coax Intro Blnt,83.0,83.0,12.28,66.4,23
CDM,80010562,Dressing Burn 36x36in 17 Ply Gauze,824.0,824.0,121.95,659.2,23
CDM,80010609,Amplatz Super Stiff Guidewire,507.0,507.0,75.04,405.6,23
CDM,80010636,Filter Embl 65cm 30mm 7fr 49mm Strl 71cm,2313.0,2313.0,342.32,1850.4,23
CDM,80016126,Catheter Guid 100cm 6fr Lnchr Ebu3 Curve Coron Nyl,120.0,120.0,17.76,96.0,23
CDM,80017153,Catheter Sct Kt 2 Lum Coil Xtd Lgth,200.0,200.0,29.6,160.0,23
CDM,80017284,Catheter Baldilat 3.5mm 25mm Coron Rapex Radiopq,250.0,250.0,37.0,200.0,23
CDM,80017798,Needle Biop 6cm 20ga 19ga 11cm 6cm Coaxial Introd Automated,281.0,281.0,41.59,224.8,23
CDM,80017919,Snare Endscp Mini Standard Oval 2.4mm 195cmx20mm Polypectomy,465.0,465.0,68.82,372.0,23
CDM,80017977,Envelope Abs 3.3x2.9in Anbctrl Tyrx Polyarylate,2238.0,2238.0,331.22,1790.4,23
CDM,80018159,Tray Cath Lf a Neos 2 Tier Dsgn Fn Tip Fcp Ins Deph Fr Mgln,127.0,127.0,18.8,101.6,23
CDM,80018207,Set Catheter .035in 15cm 70cm Sidehole Removable Stylet Tip,375.0,375.0,55.5,300.0,23
CDM,80018208,Set Catheter .035in 24cm 70cm Sidehole Removable S,375.0,375.0,55.5,300.0,23
CDM,80018297,Dressing Brn 16x16in Strl Lf Actct Flx 3 Anmc Brr Flxb Sft,151.0,151.0,22.35,120.8,23
CDM,80018653,Dressing Foam 20x8in Gentle Adherence Polyurethane Foam Pad,167.0,167.0,24.72,133.6,23
CDM,80018681,Balloon Nc Trek 3.25 X 15mm,488.0,488.0,72.22,390.4,23
CDM,80018713,Band Compression Regular 24cm 2 Balloon Air Injec Port,83.0,83.0,12.28,66.4,23
CDM,80072204,Catheter Blndil 21cm .022in 2.5mm 142cm Lf 15mm Spntr Lgnd,413.0,413.0,61.12,330.4,23
CDM,80072296,Catheter Blndil 3.5mm .027in 3.5mm 138cm Lf 21mm Nc Spntr Rx,425.0,425.0,62.9,340.0,23
CDM,80074158,Lead Pacing 10mm Space Small Str 6.2fr 2mm 52cm 20,1013.0,1013.0,149.92,810.4,23
CDM,80074159,Lead Pacing 10mm Space Small Str 6.2fr 2mm 58cm 20,1013.0,1013.0,149.92,810.4,23
CDM,80074161,Wrench Kit 5873w Sterile Pacing Lead Repair,80.0,80.0,11.84,64.0,23
CDM,80078363,Cath.Balloon Guide Concent 1,2691.0,2691.0,398.27,2152.8,23
CDM,80078369,System Embl Prtc 320cm Crtd Lwr Xtrmt Cptr Wire,4170.0,4170.0,617.16,3336.0,23
CDM,80078381,Guidewire Hydrophilic Coat 0 2,496.0,496.0,73.41,396.8,23
CDM,80078382,Guidewire Hydrophilic Coat 0 1,555.0,555.0,82.14,444.0,23
CDM,80078384,Guidewire Vasc 260cm .035in Radiopq Flxb Core To,623.0,623.0,92.2,498.4,23
CDM,80078385,Guidewire Vascular,584.0,584.0,86.43,467.2,23
CDM,80079016,Sheath Guid 80cm 6fr 2.2mm Flxr Sh Aq Radiopq Stf,378.0,378.0,55.94,302.4,23
CDM,80079025,Guidewire Standard Pre-Shap 2,1387.0,1387.0,205.28,1109.6,23
CDM,80079147,Device Closure 6fr Suture Mediate Knot Pusher Latex Free,650.0,650.0,96.2,520.0,23
CDM,80079222,Introducer Sheath Short 7fr 21ga 4cm Orange Hub Tubing,48.0,48.0,7.1,38.4,23
CDM,80079315,Tray Drain 8fr 25ga 1in Needle Pro Needle Retractable Safety,171.0,171.0,25.31,136.8,23
CDM,80079343,Pleurx Peritoneal Catheter Kit,2439.0,2439.0,360.97,1951.2,23
CDM,80079508,Amplatz Super Stiff Exchange Guidewire .038x260,106.0,106.0,15.69,84.8,23
CDM,80079510,Guidewire Vasc 180cm .016in Str Tip Strbl,744.0,744.0,110.11,595.2,23
CDM,80079570,Coil Embl 15cm 5mm Intlk Fbr Idc 18 Coil 2d Std,943.0,943.0,139.56,754.4,23
CDM,80079575,Coil Embolization .018in 2d Helix Buck 10mm 30cm Occlusion,1022.0,1022.0,151.26,817.6,23
CDM,80079577,Coil Embolization .018in 2d Helix Taper 12mm 30cm 18 Coil,1022.0,1022.0,151.26,817.6,23
CDM,80079579,Coil Embolization .018in 2d Helix 14mm 30cm Interlock Idc,1022.0,1022.0,151.26,817.6,23
CDM,80097220,Valve Rotating Hemostatic,58.0,58.0,8.58,46.4,23
CDM,80097221,Device Torque Glidecath .010-.,15.0,15.0,2.22,12.0,23
CDM,80097222,Sheath Introd 10cm 5fr Pncl Peri Ss Hydphi Ptfe,22.0,22.0,3.26,17.6,23
CDM,80097223,Introducer Sheath .035in 6fr 10cm 2.5cm Mini Gwire Dilat,22.0,22.0,3.26,17.6,23
CDM,80097335,Contol Wire 200cm .018 V-18,189.0,189.0,27.97,151.2,23
CDM,80097341,Axium Coil Detacher,135.0,135.0,19.98,108.0,23
CDM,80097344,Guidewire Vascular Taper .018in 300cm 8cm Radiopq Str Tip,197.0,197.0,29.16,157.6,23
CDM,80097363,Agent Hemostatic Microfibrillar Flour Latex Free Avitene,1537.0,1537.0,227.48,1229.6,23
CDM,80097383,Stent Vascular Str Lp 10mm 8fr 40mm 132cm Self Expandable,4125.0,4125.0,610.5,3300.0,23
CDM,80097387,System Cor Stnt 2.25mm 12mm Intgr Microtrac Rx 1 Strn Intgr,1750.0,1750.0,259.0,1400.0,23
CDM,80097412,System Cor Stnt 3mm 9mm Intgr Microtrac Rx 1 Strn Intgr Tip,1750.0,1750.0,259.0,1400.0,23
CDM,80097421,System Cor Stnt 4mm 12mm Intgr Microtrac Rx 1 Strn Intgr Tip,1750.0,1750.0,259.0,1400.0,23
CDM,80097435,Set Thrombectomy Long Taper 4fr 2mm 135cm Otw Rapex Catheter,4488.0,4488.0,664.22,3590.4,23
CDM,80097439,Kit Temp Sm Ns Lf Arc Sn Arcticgel Disp,2405.0,2405.0,355.94,1924.0,23
CDM,80097440,Kit Cooling Large Pad Latex Free Arcticgel Nonstrl,4960.0,4960.0,734.08,3968.0,23
CDM,80097441,Pad Temp Unv Thn Ns Lf Arc Sn Inlt Otlt Cnct Antm Arcticgel,4500.0,4500.0,666.0,3600.0,23
CDM,80097469,Catheter Baldilat 2mm 12mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80097477,Catheter Baldilat 4mm 15mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80100001,Hemodialysis Inpatient,3267.0,3267.0,483.52,2613.6,23
CDM,80100003,Hemodialysis-Acute-I/P,3300.0,3300.0,488.4,2640.0,23
CDM,80100211,Lead Pcng 11mm Spc 6.8fr 58cm Durata 1 Coil True Bp Actfx,5250.0,5250.0,777.0,4200.0,23
CDM,80100212,Lead Pacing 11mm Spacing 6.8fr 65cm True Bipol Active Fix,5250.0,5250.0,777.0,4200.0,23
CDM,80100213,Lead Pacing 11mm Space 6.8fr 58cm 1 Coil True Bipol Active,5250.0,5250.0,777.0,4200.0,23
CDM,80100226,Set Introd .018in 5fr 21ga 40c,173.0,173.0,25.6,138.4,23
CDM,80100237,Sheath Guid 70cm 7fr 2.5mm Flxr Introd / Flxr Guid,225.0,225.0,33.3,180.0,23
CDM,80100241,Sheath Guid 45cm 5fr .074in Chk-Flo Flxr .018/.038in Anl0,202.5,202.5,29.97,162.0,23
CDM,80100243,Sheath Guid 45cm 6fr 2.2mm Flxr Chk-Flo Multpur,188.0,188.0,27.82,150.4,23
CDM,80100245,Sheath Guid 45cm 7fr .1in Flxr Chk-Flo Anl0 Curve,188.0,188.0,27.82,150.4,23
CDM,80100246,Sheath Guid 45cm 7fr 2.5mm Flxr Chk-Flo Anl3 Curve,188.0,188.0,27.82,150.4,23
CDM,80100247,Sheath Guid .018/.038in Anl0 Curve 8fr .113in 45cm Radiopq,203.0,203.0,30.04,162.4,23
CDM,80100259,Guidewire Vascular Taper .014in 300cm 18gm Tip Load Approach,417.0,417.0,61.72,333.6,23
CDM,80100260,Guidewire Vascular Taper .014in 300cm 25gm Tip Load Approach,417.0,417.0,61.72,333.6,23
CDM,80100269,Cxi Support Catheter Str/ 4.0fr-.035-135cm,488.0,488.0,72.22,390.4,23
CDM,80100275,Catheter Angiographic Angle Kmp Curve Taper 5fr 65cm Lp,325.0,325.0,48.1,260.0,23
CDM,80100343,Catheter Baldilat 6mm 135cm 80mm Peri Otw Tpr Tip,425.0,425.0,62.9,340.0,23
CDM,80100357,Catheter Baldilat 2mm 150cm 150mm Otw Inflat Port,425.0,425.0,62.9,340.0,23
CDM,80100378,Catheter Baldilat 12mm 75cm 40mm High Pressure Lp Mustang,430.0,430.0,63.64,344.0,23
CDM,80100381,Catheter Baldilat 2mm 150cm 150mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CDM,80100382,Catheter Baldilat 2mm 150cm 220mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CDM,80100416,Catheter Baldilat 6mm 20mm 135cm Otw Tpr Tip Lp,425.0,425.0,62.9,340.0,23
CDM,80100421,Sterling Otw 7mm X 20mm X 135cm,418.0,418.0,61.86,334.4,23
CDM,80100433,Catheter Baldilat 4mm 75cm 20mm Hi-Prs Nybax,430.0,430.0,63.64,344.0,23
CDM,80100450,Catheter Baldilat .035in 7mm 75cm 40mm High Pressure Lp,438.0,438.0,64.82,350.4,23
CDM,80100456,Catheter Baldilat 10mm 75cm 20mm Hi-Prs Nybax,438.0,438.0,64.82,350.4,23
CDM,80100554,Catheter Blndil 6mm 90cm 20mm PR Ctbln Otw Infl Port Tpr Tip,1750.0,1750.0,259.0,1400.0,23
CDM,80100582,Guidewire Vascular Angled .035in 260cm 25cm Glidew,450.0,450.0,66.6,360.0,23
CDM,80100584,Catheter Angiographic Angle 4fr .041in 100cm 15cm 2 Braid,121.0,121.0,17.91,96.8,23
CDM,80100614,Catheter Baldilat 4mm 150cm 220mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CDM,80200001,Peritoneal Dialysis-Inpat,1724.0,1724.0,255.15,1379.2,23
CDM,80200005,Catheter Cen Ven .032in 9.3fr 38cm 75cm 3 Infus Lumen Extn,1955.0,1955.0,289.34,1564.0,23
CDM,80200008,Guidewire Vasc 180cm .014in Atrm X Flpy Tip,200.0,200.0,29.6,160.0,23
CDM,80200013,Set Acces 10cm 5fr 21ga Mpnch Slht .018in Ss,100.0,100.0,14.8,80.0,23
CDM,80200065,Flexor Introducer W/Lg Check-Flo Valve 10f .038in X 3.4mm X 30cm,193.0,193.0,28.56,154.4,23
CDM,80200098,Guidewire Vasc 260cm .018in Flpy Tip Radiopq Shrt,203.0,203.0,30.04,162.4,23
CDM,80200103,Catheter Intvn 6fr 5.1fr .056in 150cm 25cm Rapex,1183.0,1183.0,175.08,946.4,23
CDM,80200104,Catheter Guid 100cm 7fr Lnchr Ebu3.75 Curve Coron,163.0,163.0,24.12,130.4,23
CDM,80200105,Catheter Angio 100cm 5fr Optitorque Radl Tig 4.5,88.0,88.0,13.02,70.4,23
CDM,80200271,Tray Trch 8.5fr Shly Blu Rhino Flxb Adlt Perc,1631.0,1631.0,241.39,1304.8,23
CDM,80202089,Set Tubing 2.6mr 2 Way Communication Irrigation Pump,125.0,125.0,18.5,100.0,23
CDM,80202090,Catheter Ep 110cm 7fr Safire Tx 2-5-2mm Spc 1mm,2125.0,2125.0,314.5,1700.0,23
CDM,80202091,Safire Tx Catheter 8mm Large Curl,1500.0,1500.0,222.0,1200.0,23
CDM,80202094,Catheter Ep 115cm 7fr Safire Comfortgrip 2-5-2mm,1625.0,1625.0,240.5,1300.0,23
CDM,80202104,Needle Trnspt 50d Brk Crv 18ga 98cm Bvl Sty Ss Adlt,400.0,400.0,59.2,320.0,23
CDM,80202106,Needle Procedure 18ga 71cm Stylet Brk-1 Adult Transseptal,438.0,438.0,64.82,350.4,23
CDM,80202116,Introd Shth 8fr 50cm 12cm 2 Distal Gwire Hmsts Vlv,28.0,28.0,4.14,22.4,23
CDM,80202118,Introd Shth 6fr 50cm 12cm 2 Distal Gwire Hmsts Vlv,28.0,28.0,4.14,22.4,23
CDM,80202131,Catheter Ep 120cm 5fr Rspn 5mm Spc Crnnd Curve,213.0,213.0,31.52,170.4,23
CDM,80202133,Catheter Ep 120cm 5fr Rspn 5mm Spc Jsphsn Curve,213.0,213.0,31.52,170.4,23
CDM,80202150,Catheter Ep 95cm 7fr Lvwr 2-10-2mm Spc Sup Lg Curl,1938.0,1938.0,286.82,1550.4,23
CDM,80202158,Kit Eltrd Ns Lf Ensite Navx Srfc Disp,2250.0,2250.0,333.0,1800.0,23
CDM,80202163,Lead Packing Tendril Sts Steroid Silicone Helix L46cm Od6fr,1125.0,1125.0,166.5,900.0,23
CDM,80202164,Lead Pacing Tendril Sts Optim Steroid L52 Cm Od6 Fr Endocard Is-1 Bipolar Con,1125.0,1125.0,166.5,900.0,23
CDM,80202165,Lead Pacing Tendril Sts Steroid Silicone Helix L58 Od6 Fr Endocard,1125.0,1125.0,166.5,900.0,23
CDM,80202184,Kit Procedure .035in 21ga 65cm,1000.0,1000.0,148.0,800.0,23
CDM,80202189,Kit Cath .032in 8.5fr 18ga 16cm Lf 2.5in Blu Flxtp Arwg+Ard,349.0,349.0,51.65,279.2,23
CDM,80202203,Tray Catheterization 16fr 2 Conctr Temperature Sense,69.0,69.0,10.21,55.2,23
CDM,80202219,Catheter Blndil 11 Atm 8mm 180cm 4cm Hrcn Rx Loprfl Radopq,603.0,603.0,89.24,482.4,23
CDM,80202586,Coil Embolization .02in Complex 14mm 40cm Soft the Penumbra,6188.0,6188.0,915.82,4950.4,23
CDM,80202609,Coil Embl .02in Cmplx 5mm 9cm the Penumbra Coil 400 Sft,5490.0,5490.0,812.52,4392.0,23
CDM,80202611,Coil Embolization .02in Standard Complex 10mm 30cm Complex,5513.0,5513.0,815.92,4410.4,23
CDM,80202615,Coil Embolization .02in Standard Complex 12mm 35cm Complex,5570.0,5570.0,824.36,4456.0,23
CDM,80202620,Coil Embl .02in Cmplx 6mm 10cm the Penumbra Coil 400 Sft,5513.0,5513.0,815.92,4410.4,23
CDM,80202624,Coil Embl .02in Cmplx 7mm 15cm the Penumbra Coil 400 Sft,5625.0,5625.0,832.5,4500.0,23
CDM,80202626,Coil Embl .02in Cmplx 8mm 15cm the Penumbra Coil 400 Sft,5625.0,5625.0,832.5,4500.0,23
CDM,80202641,Coil Embolization .02in Complex 10mm 30cm Soft the Penumbra,5963.0,5963.0,882.52,4770.4,23
CDM,80202904,Neuron Max 088 6f Sheath,1138.0,1138.0,168.42,910.4,23
CDM,80202923,Guidewire Vasc 260cm .035in Flpy Tip Xstif Str Tpr,68.0,68.0,10.06,54.4,23
CDM,80202926,Set Interventional .038in 10fr 40cm 62.5cm Catheter Cannu,1131.0,1131.0,167.39,904.8,23
CDM,80202933,Introd Cath 80cm 10fr 3.4mm Chk-Flo Flxr Lg Vlv,265.0,265.0,39.22,212.0,23
CDM,80202946,Sheath Guid 90cm 6fr 2.2mm Flxr Chk-Flo Anl1 Curve,378.0,378.0,55.94,302.4,23
CDM,80202956,Ligator Endoscopic Duette 2.8mm - 9.15-13mm - 5fr,795.0,795.0,117.66,636.0,23
CDM,80203000,Kit Catheter 8.5fr 16cm 3 Lumen Expand Chloraprep Safety,825.0,825.0,122.1,660.0,23
CDM,80206650,Lead Pcng Strg 7fr 58cm Isflx Abrsn Rst Is-1 Bp Cnct Tine Fx,680.0,680.0,100.64,544.0,23
CDM,80206746,Lead Pacing Steroid Eluting L78-88 Cm Heart Left Otw Bipolar,3563.0,3563.0,527.32,2850.4,23
CDM,80206800,Kit Ndl Gd 21ga 96in Strt US,54.0,54.0,7.99,43.2,23
CDM,80206804,Catheter 6fr X 135 Cm 9mm Cleaner Sterile,1988.0,1988.0,294.22,1590.4,23
CDM,80206850,Antimicrobial Kit,55.0,55.0,8.14,44.0,23
CDM,80206851,Dressing Gel 144x10in Effective Protection Knit Roll,118.0,118.0,17.46,94.4,23
CDM,80206904,Catheter Baldilat 7mm 135cm 120mm Hi-Prs Nybax,430.0,430.0,63.64,344.0,23
CDM,80206952,Cat Bald Lp 5.8fr 10mm 135cm 20mm High Pre,438.0,438.0,64.82,350.4,23
CDM,80206999,Catheter Baldilat Lp 5.3fr 4mm 75cm 60mm High Pressure,438.0,438.0,64.82,350.4,23
CDM,80207000,Catheter Baldilat .035in 5mm 135cm 60mm High Pressure Lp,438.0,438.0,64.82,350.4,23
CDM,80207005,Cat Bald .035in 6mm 75cm 60mm High Pres Lp,438.0,438.0,64.82,350.4,23
CDM,80207025,Catheter Balloon Dilatation Mustang Nybax L135cm L80mm Od5.3fr,438.0,438.0,64.82,350.4,23
CDM,80207070,Sterling Otw 5mm X 20mm X 40cm,418.0,418.0,61.86,334.4,23
CDM,80207073,Sterling Otw 5mm X 20mm X 135cm,418.0,418.0,61.86,334.4,23
CDM,80207152,Coyote Otw 1.5mm X 40mm X 90cm,417.5,417.5,61.79,334.0,23
CDM,80207153,Coyote Otw 2mm X 60mm X 90cm,418.0,418.0,61.86,334.4,23
CDM,80207154,Catheter Blndil 2.5mm 90cm 60mm Cyte Otw Ult Loprfl Nybax,418.0,418.0,61.86,334.4,23
CDM,80207155,Catheter Blndil 3mm 90cm 60mm Cyte Otw Ult Loprfl Nybax Bsld,417.5,417.5,61.79,334.0,23
CDM,80207171,Catheter Baldilat 3.5mm 150cm 60mm Otw Ult Lp,425.0,425.0,62.9,340.0,23
CDM,80207174,Catheter Baldilat 2.5mm 150cm 80mm Otw Ult Lp,417.5,417.5,61.79,334.0,23
CDM,80207776,Imager II 5f .038in X 65cm Bern,25.48,25.48,3.77,20.38,23
CDM,80207911,Device Flow Control 1050 Psi 1 Way High Pressure Floswitch,11.43,11.43,1.69,9.14,23
CDM,80207912,Device Athrcm 165cm .018in Truepath .017in Peri,3920.0,3920.0,580.16,3136.0,23
CDM,80207925,Gui Vas St Str .035in 260cm Flexible Tip,100.0,100.0,14.8,80.0,23
CDM,80207927,Gdwre Vasc Tper .038in 145cm 6cm Str Tip Am,67.0,67.0,9.92,53.6,23
CDM,80207931,Guidewire Vascular 6cm J .035in 145cm 3mm Flexible Tip,76.0,76.0,11.25,60.8,23
CDM,80207933,Guidewire Vascular Short Large J Flat Spring Coil .035in 180,104.0,104.0,15.39,83.2,23
CDM,80207935,Guidewire Vasc 260cm .035in Flpy Tip Fltwr Coil 3,104.0,104.0,15.39,83.2,23
CDM,80207943,Guidewire Vasc 260cm .018in Flpy Tip Radiopq Lng,203.0,203.0,30.04,162.4,23
CDM,80207946,Guidewire Vascular Short .025in 260cm 3cm Radiopq Platinum,202.0,202.0,29.9,161.6,23
CDM,80207950,V-14 Control Wire .014in X 300cm 8cm Angled Tip,318.5,318.5,47.14,254.8,23
CDM,80207956,V-18 Control Wire .018in X 110cm 8cm Straight Tip,211.0,211.0,31.23,168.8,23
CDM,80208051,Stent Ureteral Large Regular Pigtail Curve 2.66mm 24cm,266.0,266.0,39.37,212.8,23
CDM,80208053,Flexima Ureteral Stent 8f X 28cm 27-404,266.0,266.0,39.37,212.8,23
CDM,80208176,Stent Biliary Duodenal Bend 10fr 5cm Preload Rapex Delivery,325.0,325.0,48.1,260.0,23
CDM,80215246,Catheter Angiographic .038in 21ml/Sec Radial Tiger Curve Str,88.0,88.0,13.02,70.4,23
CDM,80300177,Defibrillator Cardiac,45500.0,45500.0,6734.0,36400.0,23
CDM,80307573,Tray Surg 14fr 18ga 29cm 5cm 19 Sideport Catheter Echogenic,450.0,450.0,66.6,360.0,23
CDM,80307582,Guidewire,207.5,207.5,30.71,166.0,23
CDM,80307621,System Dtch Strl Lf Inzone Disp,505.0,505.0,74.74,404.0,23
CDM,80307686,Cable Cath Blue 150cm Rspn Ep Bipol Trplr Qdpl,175.0,175.0,25.9,140.0,23
CDM,80307688,Cable Cath Blk 150cm Rspn Ep Hexpl Octpl Dcapl,225.0,225.0,33.3,180.0,23
CDM,80307694,Cable Cath Safire Ep Gntr Intfc,375.0,375.0,55.5,300.0,23
CDM,80307768,Target Coils 360 Soft 3mm X 6cm,4755.0,4755.0,703.74,3804.0,23
CDM,80307775,Coil Embolization 360d 5mm 10cm Detachable Soft Target,4755.0,4755.0,703.74,3804.0,23
CDM,80307782,Coil Embolization Target 360 D L15 Cm Od7 Mm Detachable Soft,4755.0,4755.0,703.74,3804.0,23
CDM,80307785,Coil Embolization Target 360 D L20 Cm Od8 Mm Detachable Soft,4755.0,4755.0,703.74,3804.0,23
CDM,80307794,Coil Embolization Helical 1.5mm 1cm Detachable Ultra Target,3322.0,3322.0,491.66,2657.6,23
CDM,80307825,Target Xl Detachable Coils 360 Soft 18 X 50cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307826,Target Xl Detachable Coils 360 Soft 20 X 50cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307832,Target Xl Detachable Coils 360 Standard 12 X 45cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307833,Target Xl Detachable Coils 360 Standard 14 X 50cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307835,Target Xl Detachable Coils 360 Standard 18 X 50cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307836,Target Xl Detachable Coils 360 Standard 20 X 50cm,6188.0,6188.0,915.82,4950.4,23
CDM,80307955,Cath Baldilat .021in 5fr 1.5mm 8mm Coron Otw Flxb Tung Mrkr,175.0,175.0,25.9,140.0,23
CDM,80307960,Catheter Baldilat 2.25mm 20mm Coron Rapex Radiopq,175.0,175.0,25.9,140.0,23
CDM,80307962,Catheter Blndil 3.25mm 8mm Nc Trek Rx Radopq Smth Rnd Tip,213.0,213.0,31.52,170.4,23
CDM,80307965,Catheter Baldilat 4.5mm 8mm Coron Rapex Radiopq,213.0,213.0,31.52,170.4,23
CDM,80308022,Defibrillator Crd 40j Unify Asr Rf Telem Df1 Is-1 Cnct,24250.0,24250.0,3589.0,19400.0,23
CDM,80308046,Agent Hmst Sm Disc Strl Statseal Top K Ferrate Hdrph Plmr,225.0,225.0,33.3,180.0,23
CDM,80308067,Introducer Sheath 6fr 25cm 2.5cm Dilat Kink Resistant,43.0,43.0,6.36,34.4,23
CDM,80308211,Kit Introd 10cm 6fr 21ga Glidesheath Slndr .021in,138.0,138.0,20.42,110.4,23
CDM,80308219,Guidewire Vascular Angle Standard .035in 180cm 3cm,108.0,108.0,15.98,86.4,23
CDM,80308230,Kit Cath .014in 5ml/Sec 20ga 8cm 1.3in Powerglide Full Mdln,208.0,208.0,30.78,166.4,23
CDM,80308231,Kit Cath 5ml/Sec Full 20ga 10cm Powerglide Mdln Pwr Inj IV,205.0,205.0,30.34,164.0,23
CDM,80308271,Pad Instr 2 Patient Tracker Always-on Tip Tracked Spin Drive,1000.0,1000.0,148.0,800.0,23
CDM,80308274,Brush Cytology Always-on Tip Tracked Spin Drive L15 Mm,1418.0,1418.0,209.86,1134.4,23
CDM,80308275,Forceps Biopsy Always-on Tip Tracked Spin Drive L900,1418.0,1418.0,209.86,1134.4,23
CDM,80308278,Biopsy Needle Anso Always-on Tip Tracked Spin Drive Od21,1418.0,1418.0,209.86,1134.4,23
CDM,80308316,Guidewire Vascular Str .014in,759.0,759.0,112.33,607.2,23
CDM,80308564,Catheter Blndil 21cm .022in 2.5mm 142cm Lf 15mm Spntr Lgnd,413.0,413.0,61.12,330.4,23
CDM,80308611,Device Clsr 5fr Vascade Fem Art,525.0,525.0,77.7,420.0,23
CDM,80308625,Catheter Cryoablation 3-5-2mm Space 55mm Medium 9fr 90cm 8mm,4750.0,4750.0,703.0,3800.0,23
CDM,80308630,Catheter Cryoablation 2-5-2mm,3125.0,3125.0,462.5,2500.0,23
CDM,80308633,Cable Catheter Coaxial Umbilical Disposable,260.0,260.0,38.48,208.0,23
CDM,80308640,Catheter Electrophysiology 3d,2375.0,2375.0,351.5,1900.0,23
CDM,80308718,Stent Vasc 6mm 100mm 120cm Eve,3375.0,3375.0,499.5,2700.0,23
CDM,80308757,Og Tdl Cmplx Fill Coil 8x24,4364.0,4364.0,645.87,3491.2,23
CDM,80308759,Coil Embolization 9mm 25cm Com,4364.0,4364.0,645.87,3491.2,23
CDM,80308760,Coil Embolization 10mm 30cm Co,4364.0,4364.0,645.87,3491.2,23
CDM,80308761,Coil Embolization 12mm 30cm Co,4364.0,4364.0,645.87,3491.2,23
CDM,80308813,Coil Embolization 2mm 1.5cm Co,4364.0,4364.0,645.87,3491.2,23
CDM,80308815,Coil Embolization 3mm 3cm Comp,4364.0,4364.0,645.87,3491.2,23
CDM,80308823,Coil Embolization 2.5mm 5cm Co,4364.0,4364.0,645.87,3491.2,23
CDM,80308827,Og Cmplx Xtrasoft Coil 3.5x9,4364.0,4364.0,645.87,3491.2,23
CDM,80308828,Coil Embolization 3.5mm 7.5cm,4364.0,4364.0,645.87,3491.2,23
CDM,80308829,Coil Embolization 2mm 4cm Heli,3333.0,3333.0,493.28,2666.4,23
CDM,80308831,Coil Embolization 2mm 8cm Heli,3333.0,3333.0,493.28,2666.4,23
CDM,80308846,Probe Surg Certus 20cm 17ga Ablt,5500.0,5500.0,814.0,4400.0,23
CDM,80308854,Kit Procedure .035in 21ga 90cm,1000.0,1000.0,148.0,800.0,23
CDM,80308874,Catheter Guid .018in 150cm Sup,508.0,508.0,75.18,406.4,23
CDM,80308878,Catheter Guid .035in 4fr 150cm 3 Radiopq Marker Support,508.0,508.0,75.18,406.4,23
CDM,80308883,Quick Cross 4f .018in X 150cm,430.0,430.0,63.64,344.0,23
CDM,80308885,Catheter Guid .035in 4.8-3.7fr 90cm Low Crossing P,418.0,418.0,61.86,334.4,23
CDM,80308892,Kit Pressure Monitr 38cm Transducer Catheter Tunneling,2146.0,2146.0,317.61,1716.8,23
CDM,80308952,Obturator Sheath 5fr 10cm 5mm Flexible,10.0,10.0,1.48,8.0,23
CDM,80308956,Catheter Guid 150cm 1.8-2.6fr Finecross Mg Coron,1063.0,1063.0,157.32,850.4,23
CDM,80308961,Cath Infus Mic 1.9fr 1.25mm .5mm 3cm Dlv Drblty Dtch Tip,5498.0,5498.0,813.7,4398.4,23
CDM,80308973,Guidewire Vasc 190cm .014in Core to Tip Radiopq,188.0,188.0,27.82,150.4,23
CDM,80309131,Otw Mini Trek II 1.20 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309147,Mini Trek Rx 2.00 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309150,Mini Trek Rx 2.25 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309151,Mini Trek Rx 2.25 X 8mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309152,Catheter Baldilat 2.25mm 12mm Coron Rapex Ult Lp,175.0,175.0,25.9,140.0,23
CDM,80309154,Mini Trek Rx 2.25 X 20mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309155,Mini Trek Rx 2.25 X 25mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309156,Catheter Blndil 2.25mm 30mm Trek Slim Sl Rx Ult Loprfl,175.0,175.0,25.9,140.0,23
CDM,80309159,Trek Rx 2.75 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309161,Trek Rx 2.75 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309162,Trek Rx 2.75 X 15mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309170,Trek Rx 3.25 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309193,Catheter Baldilat 2mm 15mm Coron Rapex Radiopq,250.0,250.0,37.0,200.0,23
CDM,80309195,Catheter Blndil 2.25mm 6mm Nc Trek Rx Radopq Smth Rnd Tip,175.0,175.0,25.9,140.0,23
CDM,80309196,Nc Trek Rx 3.25 X 06mm Bdc,175.0,175.0,25.9,140.0,23
CDM,80309276,"Guidewire Hi-Torque Comm Es .014"" 300cm",988.0,988.0,146.22,790.4,23
CDM,80309325,Stent Eprsth 3.5mm 23mm 19mm L,17219.0,17219.0,2548.41,13775.2,23
CDM,80309338,Catheter Baldilat 4.5mm 12mm Coron Rapex Radiopq,213.0,213.0,31.52,170.4,23
CDM,80309350,Valve Hemostasis 1 Unit Bleedback Control Valve Copilot,118.0,118.0,17.46,94.4,23
CDM,80309438,Lead Pcng Lv Atn Starfix,4125.0,4125.0,610.5,3300.0,23
CDM,80309461,Device Drg Dlv Ekosonic Mach 4 Infus Cath US Core,6738.0,6738.0,997.22,5390.4,23
CDM,80309492,Dressing Foam 6x3.5in 7 Day Adhesive Antimicrobial Flexible,45.0,45.0,6.66,36.0,23
CDM,80309550,Set Vntrc Ast 17.4x13.8in Impella Cp 9.3in 10-40c,62500.0,62500.0,9250.0,50000.0,23
CDM,80309583,Dvc Embl 25mm 4.5mm Ppln Flx 55d 75% Cocr 25% Pltn,34948.0,34948.0,5172.3,27958.4,23
CDM,80309603,Tube Endbr 9fr Strl Uniblocker Adlt,89.0,89.0,13.17,71.2,23
CDM,80309664,Tray Infus Port Lp 1 Lum Introd Ndl Tnl Tl Cath 6,1613.0,1613.0,238.72,1290.4,23
CDM,80309673,Catheter Thrmb 14mm Flowtriever Strl Latex Free,11625.0,11625.0,1720.5,9300.0,23
CDM,80309674,Catheter Thrmb 18mm Strl Lf Flowtriever,11625.0,11625.0,1720.5,9300.0,23
CDM,80309675,Catheter Guid 6.7mm Flowtriever 1 Ins Aspirate,6875.0,6875.0,1017.5,5500.0,23
CDM,80309726,Catheter Vasc 135cm 2.6-2.9fr 1.6fr Turnpike Ml Lr,1313.0,1313.0,194.32,1050.4,23
CDM,80309747,Left Heart Pacing Lead - Quadripolar - Attain Performa S MRI Surescan,4125.0,4125.0,610.5,3300.0,23
CDM,80310058,Device Embl 2.5mm 14mm Strl Lf,32603.0,32603.0,4825.24,26082.4,23
CDM,80310086,Introd Shth Ped 6fr 21ga 40cm 7cm Grn Hub Dilat,102.0,102.0,15.1,81.6,23
CDM,80310399,Stent Vasc Epic Nitinol L60mm L120cm Od9mm Iliac,1463.0,1463.0,216.52,1170.4,23
CDM,80310536,Guidewire Vasc 260cm .035in Flxb Sprg Coil Tip Std,1045.0,1045.0,154.66,836.0,23
CDM,80310746,Device Embolizationá 30mm 4.5mmá Pipeline Flx 55d Nrvsc 75%,34948.0,34948.0,5172.3,27958.4,23
CDM,80310751,Device Embl 25mm 5mm Pipeline Flx 55d Nrvsc 75%,34948.0,34948.0,5172.3,27958.4,23
CDM,80310753,Device Embl 5mm 35mm Strl Lf Pipeline Flx 48 Strn Brd Mesh,34948.0,34948.0,5172.3,27958.4,23
CDM,80310803,Device Embl 55d 4.5mm 14mm Strl Lf Pipeline Flx 48 Strn Brd,32603.0,32603.0,4825.24,26082.4,23
CDM,80310808,Device Embl 4.75mm 12mm Strl Lf Pipeline Flx 48 Strn Brd,32603.0,32603.0,4825.24,26082.4,23
CDM,80310811,Device Embl 4.75mm 18mm Strl Lf Pipeline Flx 48 Strn Brd,32603.0,32603.0,4825.24,26082.4,23
CDM,80310824,Catheter Ablt 115cm 8fr 4mm 1-4-1mm Spc F-J Curve,4125.0,4125.0,610.5,3300.0,23
CDM,80315167,Sheath Introd 28cm 9.8mm 26fr Gore Dryseal Hydphi,863.0,863.0,127.72,690.4,23
CDM,80315269,Coyote MR 1.5mm X 40mm X 150cm,417.5,417.5,61.79,334.0,23
CDM,80315539,Stent Endoprsth 5mm 10cm 120cm Flexible Self Expand Radiopq,9875.0,9875.0,1461.5,7900.0,23
CDM,80316650,Button Gstrm 18fr 3cm 5ml Strl,260.0,260.0,38.48,208.0,23
CDM,80316651,Kit Gastrostomy Lp Taper 18fr,260.0,260.0,38.48,208.0,23
CDM,80316652,Kit Gastrostomy Lp Taper 18fr,260.0,260.0,38.48,208.0,23
CDM,80317103,Stent Vascular Taper 8-6mm 30mm Self Expandable ER,6113.0,6113.0,904.72,4890.4,23
CDM,80318102,Guidewire Vasc 145cm .035in Flpy Tip Xstif Str Tpr,65.0,65.0,9.62,52.0,23
CDM,80318123,Sheath Guid Anl0 Curve Str 5fr .074in 90cm Chk-Flo Valve,392.6,392.6,58.1,314.08,23
CDM,80318677,System Crd Monitr Rvl Linq Mycarelink Ins Loop,11613.0,11613.0,1718.72,9290.4,23
CDM,80320688,Needle Bx 23ga 5.1cm Procytin,424.0,424.0,62.75,339.2,23
CDM,80320735,Chocolate Ptca Balloon Catheter 2.0x10 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320736,Chocolate Ptca Balloon Catheter 2.0x15 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320737,Chocolate Ptca Balloon Catheter 2.0x20 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320738,Chocolate Ptca Balloon Catheter 2.5x10 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320739,Chocolate Ptca Balloon Catheter 2.5x15 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320740,Chocolate Ptca Balloon Catheter 2.5x20 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CDM,80320741,Chocolate Ptca Balloon Catheter 3.0x10 Mm 6f,1875.0,1875.0,277.5,1500.0,23
CDM,80320742,Catheter Baldilat 3mm 140cm 15mm Rapex Ntnl Latex,1875.0,1875.0,277.5,1500.0,23
CDM,80320743,Chocolate Ptca Balloon Catheter 3.0x20 Mm 6f,1875.0,1875.0,277.5,1500.0,23
CDM,80320744,Chocolate Ptca Balloon Catheter 3.5x10 Mm 6f,1875.0,1875.0,277.5,1500.0,23
CDM,80320745,Chocolate Ptca Balloon Catheter 3.5x15 Mm 6f,1875.0,1875.0,277.5,1500.0,23
CDM,80320746,Chocolate Ptca Balloon Catheter 3.5x20 Mm 6f,1875.0,1875.0,277.5,1500.0,23
CDM,80320781,Dressing 8x8in Anbctrl Latex Hydrofera Foam Blue,33.0,33.0,4.88,26.4,23
CDM,80320783,Catheter Angiographic .035in Omni Flush 0 Curve 5fr 65cm,35.0,35.0,5.18,28.0,23
CDM,80320785,Introducer Sheath .035in 7fr .,200.0,200.0,29.6,160.0,23
CDM,80320787,Set Drain .038in 18fr L 40cm 32 Side Port Luer Lock Lock,280.0,280.0,41.44,224.0,23
CDM,80320788,Pack Catheter 19fr 36cm 19cm 2,2254.0,2254.0,333.59,1803.2,23
CDM,80320789,Catheter Angiographic .046in Uac Curve 5fr .046in 90cm,150.0,150.0,22.2,120.0,23
CDM,80320791,Snare Endscp .59in 47in 1 Loop Gold Plated Tungsten,725.0,725.0,107.3,580.0,23
CDM,80320793,Introducer Sheath 9fr 25cm 2.5cm Dilat Kink Resistant,429.0,429.0,63.49,343.2,23
CDM,80320794,Catheter Angiographic .038in V,313.0,313.0,46.32,250.4,23
CDM,80320795,Introducer Catheter .038in 8fr 90cm Tuohy Borst Sidearm,378.0,378.0,55.94,302.4,23
CDM,80320799,Electrode Dfbr 45cm Trplr Eblm S-Icd 11.5fr Sbq,10000.0,10000.0,1480.0,8000.0,23
CDM,80320806,System Cor Stnt 2.8mm 16mm Gft,5988.0,5988.0,886.22,4790.4,23
CDM,80320807,System Cor Stnt 2.8mm 26mm Gft,5988.0,5988.0,886.22,4790.4,23
CDM,80320808,System Cor Stnt 3.5mm 16mm Gft,5988.0,5988.0,886.22,4790.4,23
CDM,80320809,System Cor Stnt 3.5mm 26mm Gft,5988.0,5988.0,886.22,4790.4,23
CDM,80320810,System Cor Stnt 4mm 16mm Gftms,5988.0,5988.0,886.22,4790.4,23
CDM,80320812,Catheter Angio 100cm 5fr Crds Infnt Jl3.5 Curve,97.0,97.0,14.36,77.6,23
CDM,80320813,Catheter Angio Jl 4 Crv 5fr .047in 100cm Infnt Thrlmn Radopq,97.0,97.0,14.36,77.6,23
CDM,80320814,Catheter Angio 100cm 5fr Crds Infnt Jr4 Curve,97.0,97.0,14.36,77.6,23
CDM,80320830,Catheter Blndil 2mm 150cm 80mm Cyte Mnrl Ult Loprfl Nybax,417.5,417.5,61.79,334.0,23
CDM,80320833,Coyote MR 3mm X 80mm X 150cm,1045.0,1045.0,154.66,836.0,23
CDM,80320839,Catheter Angio Std Al 1 Crv 5fr 100cm Infnt Thrlmn Brd Atrm,19.0,19.0,2.81,15.2,23
CDM,80320840,Catheter Angio Ima Crv 5fr 100,19.0,19.0,2.81,15.2,23
CDM,80320841,Catheter Angio Jl 5 Crv 5fr 100cm Infnt Thrlmn Slct Radopq,19.0,19.0,2.81,15.2,23
CDM,80320843,Catheter Angio Ima Crv 6fr .057in 100cm Infnt Thrlmn Radopq,19.0,19.0,2.81,15.2,23
CDM,80320853,Catheter Angio Multipurpose1 Crd Crv 6fr 100cm St+ 2 Sh Brd,19.0,19.0,2.81,15.2,23
CDM,80320854,Catheter Thrmb 135cm 4fr Unfs Flw-Thru Hub Infus,438.0,438.0,64.82,350.4,23
CDM,80320859,Catheter Blndil 20mm 100cm Lf,1382.0,1382.0,204.54,1105.6,23
CDM,80320864,System Coron Stent 13mm 5mm Mtlnk Ul Xcelon Mcgld,1188.0,1188.0,175.82,950.4,23
CDM,80320865,Balloon Sz 70cm 27mm Amplzr 3 Lum Sft Distal Tip,775.0,775.0,114.7,620.0,23
CDM,80320866,Catheter Guid 90cm 6fr Lnchr Ima Curve Peri Nyl Lg,120.0,120.0,17.76,96.0,23
CDM,80320868,Catheter Guid 100cm 5fr Lnchr Ebu5 Curve Coron Nyl,120.0,120.0,17.76,96.0,23
CDM,80320870,Catheter Guid Extra Backup 4.5 Left Curve 6fr .071,120.0,120.0,17.76,96.0,23
CDM,80321005,Catheter Angio Std Jl 4 Crv 6f,22.0,22.0,3.26,17.6,23
CDM,80321053,Zimmon Pancreatic Stent 7fr 12cm,178.0,178.0,26.34,142.4,23
CDM,80321106,Prevena Neg. Prss 13cm Peel & Plc Ptch,1238.0,1238.0,183.22,990.4,23
CDM,80321110,Guidewire Vasc 175cm .014in Radiopq Prox Conctr,1500.0,1500.0,222.0,1200.0,23
CDM,80321113,Cable Pcng 8ft Pacel Ep Bipol Temp Thrsh,65.0,65.0,9.62,52.0,23
CDM,80321115,Catheter Intvn 5fr .056in .046in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CDM,80321116,Catheter Intvn 7fr .078in .062in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CDM,80321162,Sheath Guid 65cm 8fr Pn Dstn .038in Str Hydphi,224.0,224.0,33.15,179.2,23
CDM,80321202,Introducer Shth 8fr 2.9mm 80cm,188.0,188.0,27.82,150.4,23
CDM,80321958,Coloplast Fistula Wound Mgr.-Small 14021,29.0,29.0,4.29,23.2,23
CDM,80321959,System 156-228mm Ost Midi Ctf 2 Spout Drain Port,127.0,127.0,18.8,101.6,23
CDM,80321960,Coloplast Fistula Wound Mgr.-Large 14041,130.0,130.0,19.24,104.0,23
CDM,80321970,Introducer Shth 7fr 2.5cm 25cm Dilat Radiopq Mrkr,65.0,65.0,9.62,52.0,23
CDM,80322008,Strip Glucose Nova Stat,81.0,81.0,11.99,64.8,23
CDM,80322020,Catheter Ultrasound .035in 8.5fr 90cm 100cm Otw Radiopq,2500.0,2500.0,370.0,2000.0,23
CDM,80322040,Plug Cardio 14mm .087in 10mm 1,2080.0,2080.0,307.84,1664.0,23
CDM,80322152,Kyphon Xpede Bone Cement and Mixer,625.0,625.0,92.5,500.0,23
CDM,80322156,Catheter Baldilat 2.5mm 30mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322157,Catheter Baldilat 2mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322159,Catheter Baldilat Ultra Lp 5fr 1.5mm 12mm 2 Lumen,250.0,250.0,37.0,200.0,23
CDM,80322160,Catheter Baldilat 1.5mm 8mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322163,Catheter Baldilat 3mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322164,Catheter Baldilat 3mm 20mm Coron Rapex Ult Lp,175.0,175.0,25.9,140.0,23
CDM,80322166,Catheter Baldilat 2.5mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322167,Trek Coronary Dilatation Catheter 2.50 Mm X 8 Mm / Rapid-Exchange,213.0,213.0,31.52,170.4,23
CDM,80322168,Catheter Baldilat 2mm 20mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322169,Catheter Baldilat 2mm 8mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CDM,80322170,Catheter Baldilat Ultra Lp 5fr 1.5mm 15mm 2 Lumen,250.0,250.0,37.0,200.0,23
CDM,80322173,Guidewire Vasc 190cm .014in Jointless Sprg Coil,188.0,188.0,27.82,150.4,23
CDM,80322174,Guidewire Vasc 300cm .014in Core to Tip Radiopq,188.0,188.0,27.82,150.4,23
CDM,80322178,Guidewire Vasc 300cm .014in Jointless Sprg Coil,188.0,188.0,27.82,150.4,23
CDM,80322247,Dressing 6x6in Adh Hydrofera Foam Blue,336.0,336.0,49.73,268.8,23
CDM,80322254,Kit Bone Cement Kyphon Xpander II 3 L15 Mm Tamp 1 Step,8000.0,8000.0,1184.0,6400.0,23
CDM,80322255,Tamp 20/3 Introd Surg Bone Kphpk Xpndr II 1stp,8000.0,8000.0,1184.0,6400.0,23
CDM,80322256,Tamp 15/2 Kit 1st Frac Surg Bone Xpr II Osteo,8000.0,8000.0,1184.0,6400.0,23
CDM,80322257,Tamp 10/2 Kit 1st Frac Surg Bone Xpr II Osteo,8000.0,8000.0,1184.0,6400.0,23
CDM,80322259,Adapter Bn Cmnt Kyphon Mul-Tap Xpndr 8 Ga,50.0,50.0,7.4,40.0,23
CDM,80322260,Xpede Cement and Mixer With Size 2 Multi-Tap,675.0,675.0,99.9,540.0,23
CDM,80322261,Xpede Cement and Mixer With Size 3 Multi-Tap,675.0,675.0,99.9,540.0,23
CDM,80322312,Guidewire Vasc 180cm .014in Str 3cm Sion Asahi Ss,375.0,375.0,55.5,300.0,23
CDM,80322314,Guidewire Vasc Rg3,575.0,575.0,85.1,460.0,23
CDM,80322340,Catheter Guid 3drc Curve 8fr 90cm Coron Lnchr,163.0,163.0,24.12,130.4,23
CDM,80322347,Catheter Guid Xb3.5 Curve 8fr 90cm Coron Sh Lnchr,163.0,163.0,24.12,130.4,23
CDM,80322352,Stent Uret 10.2fr 26cm Pgtl Curve Radiopq Sdprt,312.0,312.0,46.18,249.6,23
CDM,80322353,Stent Uret 10.2fr 28cm Pgtl Curve Lp Radiopq Sdprt,312.0,312.0,46.18,249.6,23
CDM,80322411,Omni Flush (Vcf) 5fr 100cm,35.0,35.0,5.18,28.0,23
CDM,80322554,Biopsy Needle Procore Echotip Fine L5 Cm Od22,257.0,257.0,38.04,205.6,23
CDM,80322620,Kit Cath 61cm Palindrome Prcs Smtr Tip 44cm Chrnc,1445.0,1445.0,213.86,1156.0,23
CDM,80322663,Catheter Drain Lp Taper Spiral 5fr 19ga 10cm 4 Drain Hole,46.0,46.0,6.81,36.8,23
CDM,80322674,Sponge Absorbable Thk10mm 100 12.5x8cm Hemostat Surgifoam,22.0,22.0,3.26,17.6,23
CDM,80322779,Set Ndl 15ga 45mm Strl Lf Ezio Ez-Cnct Wrst Band Std Ll Cath,340.0,340.0,50.32,272.0,23
CDM,80323010,"Viabahn Endoprosthesis , 8x5",8765.0,8765.0,1297.22,7012.0,23
CDM,80323432,Forceps Surgical L5 1/2 in Alligator Serrate Jaw Sterile Lat,1335.0,1335.0,197.58,1068.0,23
CDM,80323626,Stent Vascular 6mm 80mm 125cm Drug Elute Otw Delivery System,4488.0,4488.0,664.22,3590.4,23
CDM,80323627,Stent Vascular Zilver Ptx 125cm 80mm 100mm Od6 Fr,4488.0,4488.0,664.22,3590.4,23
CDM,80323628,Stent Vascular 6mm 120mm 125cm Drug Elute Otw Delivery,4988.0,4988.0,738.22,3990.4,23
CDM,80323642,Axs Catalyst 6 Distal Access Catheter,5288.0,5288.0,782.62,4230.4,23
CDM,80323683,Wallflex 10f 1-Use Colonic Stnt 22mm X 6cm X 2.3m,6160.0,6160.0,911.68,4928.0,23
CDM,80323684,Wallflex 10f 1-Use Colonic Stent 22mm X 9cm X 2.3m,6160.0,6160.0,911.68,4928.0,23
CDM,80323793,Catheter Angio Jr5 Crv 5fr 100,19.0,19.0,2.81,15.2,23
CDM,80323794,Catheter Angio Std Jr 4 Crv 6fr 100cm Infnt Thrlmn Vestan,19.0,19.0,2.81,15.2,23
CDM,80323795,Catheter Angio Jr 5 Crv 6fr .0,19.0,19.0,2.81,15.2,23
CDM,80323798,Catheter Angio AR 1 Mod Crv 6fr .057in 100cm Infnt Thrlmn,19.0,19.0,2.81,15.2,23
CDM,80323801,Catheter Angio Lcab Crv 6fr .079in .057in 100cm Lf Infnt,19.0,19.0,2.81,15.2,23
CDM,80323828,Guidewire Vasc 190cm .014in Strbl Radiopq Kink Rst,188.0,188.0,27.82,150.4,23
CDM,80323834,Waste Management Kit,578.0,578.0,85.54,462.4,23
CDM,80323864,Coil Embl 5cm 5mm Nst Pltn Synth Fbr Acpt .018in,250.0,250.0,37.0,200.0,23
CDM,80323876,Coil Embl 14.2cm 10-4mm Trnd Mciol Sft Spc Push,275.0,275.0,40.7,220.0,23
CDM,80324671,Catheter Angio .038in Ka2 Crv 5fr .046in 40cm Impr,150.0,150.0,22.2,120.0,23
CDM,80324728,Perivac Kit,1255.0,1255.0,185.74,1004.0,23
CDM,80324729,Turnpike Catheter Lp 135cm,1313.0,1313.0,194.32,1050.4,23
CDM,80324730,Turnpike Catheter Lp 150cm,1488.0,1488.0,220.22,1190.4,23
CDM,80324799,Red 68 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CDM,80324814,Dressing Hdrcld 8x8in Cmfl Plus Abs Wtprf Top Flm,14.0,14.0,2.07,11.2,23
CDM,80325042,Pacemaker Crd Thk6mm 59x56mm 15cc Qd Alr Mp Rf Is4-Llll Is-1,16625.0,16625.0,2460.5,13300.0,23
CDM,80325088,Medihoney Dressing 1.5oz Tube,28.0,28.0,4.14,22.4,23
CDM,80325219,Catheter Ocl 46mm 140cm Coda B,1043.0,1043.0,154.36,834.4,23
CDM,80325319,Spinestar Ablation Instr 17.5 Cm L15 Mm L10 Mm Od11 Ga Therm,7250.0,7250.0,1073.0,5800.0,23
CDM,80325490,Catheter Angio Sm Jl Coron 3.5,19.0,19.0,2.81,15.2,23
CDM,80325491,Catheter Angio Jl Coron 4 Curve 6fr .079in .057in,19.0,19.0,2.81,15.2,23
CDM,80325492,Catheter Angio Jl 5 Crv 6fr .0,19.0,19.0,2.81,15.2,23
CDM,80325494,Catheter Angio 125cm 6fr Crds St+ Jr4 Curve Coron,84.0,84.0,12.43,67.2,23
CDM,80325495,Catheter Angio 125cm 6fr Crds St+ Jl4 Curve Coron,84.0,84.0,12.43,67.2,23
CDM,80325501,Catheter Angio Lcab Crv 5fr .047in 100cm Infnt Thrlmn Radopq,19.0,19.0,2.81,15.2,23
CDM,80325505,Catheter Angio Multpur A2 Curv,19.0,19.0,2.81,15.2,23
CDM,80325506,Infiniti Thrulumen Angiographic Catheter Al II 6f X 100cm X .057 X .038inch,19.0,19.0,2.81,15.2,23
CDM,80325507,Catheter Angio 3d Right Coron Curve Thnwl 6fr .057,19.0,19.0,2.81,15.2,23
CDM,80325646,Prelude Snap Introducer Sheath 7fr .092in 13cm,193.0,193.0,28.56,154.4,23
CDM,80325686,Catheter Gd Eh Crv 9fr 50cm St,530.0,530.0,78.44,424.0,23
CDM,80325920,Set Intro 10fr 3.3mm 30cm Strl 41cm Ckfl Disp Acpt .038in Gw,112.0,112.0,16.58,89.6,23
CDM,80326001,Pack Srg Crd Cath Haz Grady Mem Hsp,247.0,247.0,36.56,197.6,23
CDM,80326063,Introd Shth 6fr .083in 13cm Rbst Vlv Splt Sdprt,88.0,88.0,13.02,70.4,23
CDM,80326064,Introd Shth 8fr .105in 13cm Rbst Vlv Splt Sdprt,193.0,193.0,28.56,154.4,23
CDM,80326066,Introd Shth 9fr .118in 13cm Rbst Vlv Splt Sdprt,191.0,191.0,28.27,152.8,23
CDM,80326081,Catheter Angio Jacky Radl 3.5 Crv 5fr 110cm Optitorque 2 Sd,88.0,88.0,13.02,70.4,23
CDM,80326084,Catheter Angio Radialtiger Curve 6fr 4mm 110cm,88.0,88.0,13.02,70.4,23
CDM,80326156,Stent Lacrimal Duct Mini Monoka,146.0,146.0,21.61,116.8,23
CDM,80326288,Guidewire Vasc 325cm .012in Viperwire Adv Coron,488.0,488.0,72.22,390.4,23
CDM,80326289,Lubricant Inst 20ml Viperslide Vl Disp Diamondback 360 Orbt,225.0,225.0,33.3,180.0,23
CDM,80326302,Catheter Athrcm 145cm Stlth 360 1.25mm Orbtl Cls,9488.0,9488.0,1404.22,7590.4,23
CDM,80326668,Generator Pcmkr 83.1x69.1mm Eblm S-Icd 12.7mm 59.5,42500.0,42500.0,6290.0,34000.0,23
CDM,80332534,Pack Srg Ep Stup Haz Grady Mem Hsp,165.0,165.0,24.42,132.0,23
CDM,80332539,Dfbr Crd 13mm 51x73mm Claria MRI Crt-D Surescan,52375.0,52375.0,7751.5,41900.0,23
CDM,80332586,Catheter Angel,5625.0,5625.0,832.5,4500.0,23
CDM,80332596,Retriever Escp 3mm 20mm Trevo Xp Provue,13118.0,13118.0,1941.46,10494.4,23
CDM,80332665,Guidewire Vasc .014in 200cm 35cm Synchro2 Sft Atrm Rbn Ntnl,1238.0,1238.0,183.22,990.4,23
CDM,80332666,Guidewire Vasc .014in 300cm 35cm Synchro2 Sft Hdrph,1313.0,1313.0,194.32,1050.4,23
CDM,80332668,Guidewire Vasc .014in 300cm 35cm Synchro2 Sft Hdrph,1313.0,1313.0,194.32,1050.4,23
CDM,80333053,Guidewire Vasc 185cm Strl Lf Verrata + Prss Disp,1688.0,1688.0,249.82,1350.4,23
CDM,80338007,Dressing Bio 2x2in Strl Lf Intgr Bl Mx Mesh Bvn,6325.0,6325.0,936.1,5060.0,23
CDM,80338397,Guidewire Vasc 180cm .035in Flx Tp Ang 25cm 5cm,400.0,400.0,59.2,320.0,23
CDM,80339398,Stent Eprsth .035in 9mm 13mm 8,6725.0,6725.0,995.3,5380.0,23
CDM,80339427,Stent Eprsth .035in 8mm 11mm 7fr 59mm 80cm Gore Vbhn Bln,8935.0,8935.0,1322.38,7148.0,23
CDM,80339456,Catheter Guid Blue Ylw 100cm 6fr Crds Vsbr 3drc,93.0,93.0,13.76,74.4,23
CDM,80339548,Catheter Infs 4 4/3fr 65cm Clarivein,1250.0,1250.0,185.0,1000.0,23
CDM,80339549,Catheter Infs 2 2/3fr 45cm Clarivein,1250.0,1250.0,185.0,1000.0,23
CDM,80339613,Catheter,254.0,254.0,37.59,203.2,23
CDM,80339688,Dawson-Mueller Mp Drain Cath 8.5f X 25cm,229.0,229.0,33.89,183.2,23
CDM,80339778,Set Acc 6fr 22ga 4fr 15cm Strl 22cm Neff Chba Tip Ndl Shth,231.0,231.0,34.19,184.8,23
CDM,80339901,Catheter Angio .038in Vtk Crv 5fr 125cm Trnb Ad Bcntp Nyl Ss,313.0,313.0,46.32,250.4,23
CDM,80339903,Catheter Angio Tpr Loprfl Rc2 Crv 5fr 65cm Strl Trnb Ad,313.0,313.0,46.32,250.4,23
CDM,80339904,Catheter Angio Rdc 5fr 65cm Tr,313.0,313.0,46.32,250.4,23
CDM,80340007,Catheter Angio .035in 5fr 90cm,275.0,275.0,40.7,220.0,23
CDM,80340027,Catheter Angio Gpc Crv 6.7fr 1,275.0,275.0,40.7,220.0,23
CDM,80340035,Catheter Sprt .018in 3.4-2.2fr 150cm Crosscath,363.0,363.0,53.72,290.4,23
CDM,80340040,Catheter Sprt 2.3fr 150cm Cxi Ang Tip Brd Kink Rst Radopq Ss,488.0,488.0,72.22,390.4,23
CDM,80340047,Cxi Support Cath 2.6f .018in 90cm Angled Tip,1363.0,1363.0,201.72,1090.4,23
CDM,80340149,Cxi Support Cath 2.6f .018in 135cm Ang2 Tip,546.0,546.0,80.81,436.8,23
CDM,80340257,Catheter Angio .038in Sim1 Crv 5fr 100cm Trnb Ad Bcntp Ang,313.0,313.0,46.32,250.4,23
CDM,80340258,Catheter Angio Ang Sim2 Crv 5f,313.0,313.0,46.32,250.4,23
CDM,80340292,Catheter Gd Strg 2.3fr 135cm Cxi Mrkr Band Kink Rst Radopq,488.0,488.0,72.22,390.4,23
CDM,80340300,Cxi Support Cath 2.6f .018in 150cm Angled Tip,546.0,546.0,80.81,436.8,23
CDM,80340303,Cxi Support Cath 2.6f .018in 65cm Angled Tip,546.0,546.0,80.81,436.8,23
CDM,80340427,Catheter Angio Ap2 Crv 5fr 110,275.0,275.0,40.7,220.0,23
CDM,80340435,Catheter Angio Neff Crv 5fr 80cm Strl Trnb Ad 8 Sdprt Atrm,275.0,275.0,40.7,220.0,23
CDM,80340481,Catheter Angio Sim2 Crv 5fr 12,613.0,613.0,90.72,490.4,23
CDM,80340505,Introducer Shth 7fr 40cm Strl,188.0,188.0,27.82,150.4,23
CDM,80340514,Introducer Shth .035in 8fr .11,200.0,200.0,29.6,160.0,23
CDM,80340523,Sheath Guid 90cm 2.5fr Chk-Flo Flxr Raabe,188.0,188.0,27.82,150.4,23
CDM,80340526,Introducer Shth .038in 9fr .12,163.0,163.0,24.12,130.4,23
CDM,80340603,Introducer Cath Lg 18fr 5.9mm,318.0,318.0,47.06,254.4,23
CDM,80340732,Guidewire Vasc .018in 5fr 40cm Strl 10cm Mpnch Sh Trnls Co G47713,134.0,134.0,19.83,107.2,23
CDM,80340741,Micropuncture Push-Plus 4f .018in 40cm,150.0,150.0,22.2,120.0,23
CDM,80340801,Introducer Shth 13fr 30cm Strl 5cm Plwy Mp Perc Disp,163.0,163.0,24.12,130.4,23
CDM,80340822,Sheath Gd .018/.038in Anl3 Crv,188.0,188.0,27.82,150.4,23
CDM,80341008,Guidewire Vasc Ang Std Tpr .018in 100cm 7.25cm Cope Sft Coil,127.0,127.0,18.8,101.6,23
CDM,80341020,Guidewire Vasc Crv .035in 80cm,73.0,73.0,10.8,58.4,23
CDM,80341269,Guidewire Vasc Strg Tpr .014in 300cm Aprch Smth Nvg Hdrph Ss,499.0,499.0,73.85,399.2,23
CDM,80341288,Guidewire Vasc Ang Shrt Tpr .018in 60cm 7cm Cp Mdrl Dist Tip,106.0,106.0,15.69,84.8,23
CDM,80341336,Guidewire Vasc 1cm Strg Tpr .035in 80cm 7cm Amptz Xstif Flpy,73.0,73.0,10.8,58.4,23
CDM,80341468,Retriever Escp Cloversnare 4 Loop Vasc,1485.0,1485.0,219.78,1188.0,23
CDM,80341936,Guidewire Vasc 15cm Strg 2 Crv Tpr .035in 180cm 7cm Lndrqs,753.0,753.0,111.44,602.4,23
CDM,80341943,Introducer Cath 16fr 5.3mm 45cm Prfrmr CK-Flw Acpt .038in Gw,318.0,318.0,47.06,254.4,23
CDM,80341972,Catheter DRN .038in 16fr 40cm,280.0,280.0,41.44,224.0,23
CDM,80342073,Flexor Ansel Guiding Sheath W/Check-Flo 5f 1.9mm X 90cm Str,35.06,35.06,5.19,28.05,23
CDM,80343505,Catheter - Pg Pro 18g 10cm Rt Basic,168.0,168.0,24.86,134.4,23
CDM,80343506,Catheter - Dot Pg Pro 18g10cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CDM,80343507,Catheter - Pg Pro 18g 8cm Rt Basic,168.0,168.0,24.86,134.4,23
CDM,80343508,Catheter - Dot Pg Pro 18g 8cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CDM,80349638,Catheter DRN Pgtl Crv 8fr 25cm Sktr Chc Lck Lck Troc Sty Lg,227.0,227.0,33.6,181.6,23
CDM,80349650,Kit Mctrdcr .018in Tpr 5fr 40cm 7cm Vsi Smth Ndl Gw Reg Dil,474.0,474.0,70.15,379.2,23
CDM,80354408,Protector Hl Unv Lf Prevalon Bt Adj Strch Pnl Stab Wdg Fm,131.0,131.0,19.39,104.8,23
CDM,80359036,Catheter - Pg Pro 20g 10cm Rt Basic,168.0,168.0,24.86,134.4,23
CDM,80359037,Catheter - Pg Pro 20g 8cm Rt Basic,168.0,168.0,24.86,134.4,23
CDM,80359038,Catheter - Dot Pg Pro 20g10cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CDM,80359039,Catheter - Dot Pg Pro 20g 8cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CDM,80359050,Catheter US Kodama,300.0,300.0,44.4,240.0,23
CDM,80359064,Dressing Brn 48x4in Strl Lf Actct Flx 3 Anmc Brr 1 Lyr Knit,179.0,179.0,26.49,143.2,23
CDM,80367856,Set Intro 5fr Mcstk Ntnl Wre Radopq Tip Coax Stf,38.0,38.0,5.62,30.4,23
CDM,80367857,Set Intro 5fr Mcstk Radopq Coax Stf Wre Ntnl,38.0,38.0,5.62,30.4,23
CDM,80370352,Guidewire Srg 45d .018in 180cm 3cm Gldwr Gl Ang Flx Tp Hdrph,301.0,301.0,44.55,240.8,23
CDM,80370708,Glidewire Advantage Peripheral Distal 25cm X 0.018in X 300cm,550.0,550.0,81.4,440.0,23
CDM,80370711,Catheter Intvn .021in Mic 2.4-2.9fr .022in 130cm Progreat,775.0,775.0,114.7,620.0,23
CDM,80370715,Catheter Intvn Mic 2.8fr .027in 150cm 90cm Progreat Hmst Vlv,775.0,775.0,114.7,620.0,23
CDM,80370803,Catheter Angio Ang 4fr .041in 120cm Gldcath Gld Tch 2 Brd Ss,121.0,121.0,17.91,96.8,23
CDM,80370843,Introducer Shth .035in 11fr 10cm 2.5cm Pncl Gw Dil Kink Rst,22.0,22.0,3.26,17.6,23
CDM,80370953,System Cor Stnt 2.5mm 24mm Cbr Pzf Rx Dlv Sys Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CDM,80370959,System Coron Stent 24mm 2.75mm Cbr Pzf Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CDM,80370960,System Coron Stent 30mm 2.75mm Cbr Pzf Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CDM,80370964,System Cor Stnt 3mm 18mm Cbr Pzf Rx Dlv Sys Polyzene-F Cocr,2125.0,2125.0,314.5,1700.0,23
CDM,80370969,System Coronary Stent Cobra Pzf Polyzene-F L15mm,2125.0,2125.0,314.5,1700.0,23
CDM,80370970,System Cor Stnt 3.5mm 18mm Cbr Pzf Rx Dlv Sys Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CDM,80370972,System Coronary Stent Cobra L30mm Id3.5mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CDM,80370976,System Coronary Stent Cobra L18mm Id4mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CDM,80370978,System Coronary Stent Cobra L30 Mm Id4 Mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CDM,80371591,Stent Eprsth 8mm 7fr 10cm 120cm Vbhn Dlv Sys Hep Sprfc Fem,7488.0,7488.0,1108.22,5990.4,23
CDM,80378904,Guidewire Vasc Strg .038in 145cm Strl 5cm Amptz Flxb Ult Stf,69.0,69.0,10.21,55.2,23
CDM,80379042,Kit Cath 13fr 20cm Strl Pwr-Trialysis 3 Lum Shrt Term Dlys,596.0,596.0,88.21,476.8,23
CDM,80379099,Percepta Quad Crtp MRI Surescan,16500.0,16500.0,2442.0,13200.0,23
CDM,80379103,Catheter Primafit Sage,27.0,27.0,4.0,21.6,23
CDM,80379263,Needle Pricrdcts 5fr 15cm 1stp Fx Ll,46.0,46.0,6.81,36.8,23
CDM,80379287,Catheter DRN 5fr 10cm 1stp 4 Sh Slip Fit Vlv Ll Smth Ins,250.0,250.0,37.0,200.0,23
CDM,80379354,Catheter Arwyex Lg 19fr 4.7mm 56cm Strl Lf Antr Rpft Blnt,146.23,146.23,21.64,116.98,23
CDM,80379380,Kit DRN Aspira Prtnl Cath Ins Try Blu Vlv Strt,1788.0,1788.0,264.62,1430.4,23
CDM,80379488,Rigiflex II Single Use Achalasia Balloon Dilator,1690.0,1690.0,250.12,1352.0,23
CDM,80379581,Introducer Shth 12fr 30cm Sh Plwy Trnstls Acpt .038in Gw,165.0,165.0,24.42,132.0,23
CDM,80379595,Introducer Cath .038in 14fr 45cm Ckfl Prfrmr Radopq,388.0,388.0,57.42,310.4,23
CDM,80379596,Cxi Support Cath 4f .035in 90cm Straight Tip,493.0,493.0,72.96,394.4,23
CDM,80379607,Catheter Angio Kmp Crv Ang 5fr,63.0,63.0,9.32,50.4,23
CDM,80379614,Catheter Angio .035in Vanschie4 Crv 5fr 65cm Strl Bcntp Bfur,388.0,388.0,57.42,310.4,23
CDM,80379622,Catheter Angio Vanschie 3 Crv,160.0,160.0,23.68,128.0,23
CDM,80379624,Catheter Angio Vanschie 5 Crv,160.0,160.0,23.68,128.0,23
CDM,80379641,System Dlv 3.2v 120mah 6.7mm 25.9mm Micra Surescan Hbrd,26875.0,26875.0,3977.5,21500.0,23
CDM,80379642,Introducer Shth 23fr 55.7cm 69.9cm Micra Stpck Radopq Dil,1500.0,1500.0,222.0,1200.0,23
CDM,80379711,Stent Eprsth 8mm 10cm Strl 120cm Vbhn Flxb Slf Xpd Radopq,9808.0,9808.0,1451.58,7846.4,23
CDM,80379742,Set Hmdial 27x22x9cm 165ml Strl Lf Prismaflex Hmfltr Bg,426.0,426.0,63.05,340.8,23
CDM,80379770,Tube Gstrm 18fr 10cm 5-10ml Entuit Enfit Bln Rtnt Fd,90.0,90.0,13.32,72.0,23
CDM,80379771,Tube Fd 20fr 10cm 20ml Entuit Bln Rtnt MR Conditional Lg,90.0,90.0,13.32,72.0,23
CDM,80379775,Kit Angio 65in Acist Cvi Angiotouch 3w Hi-Prs Stpck Prm,1500.0,1500.0,222.0,1200.0,23
CDM,80379803,Catheter Blndil 8mm 75cm 60mm Lutonix Drg Coat Acpt .035in,4250.0,4250.0,629.0,3400.0,23
CDM,80390068,Tray Cath 4fr 20cm Powermidline Microez Flexura Stlk Nrs Max,337.0,337.0,49.88,269.6,23
CDM,80390093,Catheter Baldilat 5mm 130cm 60mm Pcltxl Latex Free,3500.0,3500.0,518.0,2800.0,23
CDM,80397345,Lead Pcng 69cm Selectsecure Bp Fx Scr in Atr Vntrc Cath Dlv,1013.0,1013.0,149.92,810.4,23
CDM,80397351,Lead Pacing Capsure Sense Steroid Eluting L52 Cm Atrium Right Vent,1013.0,1013.0,149.92,810.4,23
CDM,80397372,Lead Pcng 6.6fr 53cm Unplr Fx Scr Is-1 Sil Myocardium,993.0,993.0,146.96,794.4,23
CDM,80397421,Stylet Ld 17cm Kt Acc Ous,78.0,78.0,11.54,62.4,23
CDM,80397496,Catheter Gd 130d Lng 7.1fr 5.7fr 65cm Atn Slct II Surevalve,403.0,403.0,59.64,322.4,23
CDM,80397498,Catheter Gd 90d Lng 7.1fr 5.7fr 65cm Atn Slct II Surevalve,403.0,403.0,59.64,322.4,23
CDM,80397542,Lead Pacing Sprint Quattro Secure L58 Cm 1 Coil Defib,7875.0,7875.0,1165.5,6300.0,23
CDM,80397543,Lead Pacing Sprint Quattro Secure Steroid Eluting Silicone Helix L65,7875.0,7875.0,1165.5,6300.0,23
CDM,80398619,System Coron Stent 38mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398620,System Coron Stent 33mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398621,System Coron Stent 28mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398622,System Coron Stent 23mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398629,System Cor Stnt 4mm 18mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CDM,80398631,System Coron Stent 15mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398632,System Coron Stent 12mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398634,System Coron Stent 8mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398635,System Coron Stent 38mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398636,System Coron Stent 33mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398638,System Coron Stent 28mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398639,System Coron Stent 23mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398640,System Coron Stent 18mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398647,System Coron Stent 15mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398650,System Coron Stent 12mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398655,System Coron Stent 8mm 3.5mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398661,System Coron Stent 38mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398666,System Coron Stent 33mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398672,System Coron Stent 28mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398673,System Coron Stent 23mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398679,System Coron Stent 18mm 3.25mm Xience Srr,1750.0,1750.0,259.0,1400.0,23
CDM,80398680,System Coron Stent 15mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398682,System Coron Stent 12mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398683,System Coron Stent 8mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398684,System Coron Stent 38mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398685,System Coron Stent 33mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398686,System Coron Stent 28mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398687,System Coron Stent 23mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398688,System Coron Stent 18mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398689,System Coron Stent 15mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398690,System Coron Stent 12mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398691,System Coron Stent 8mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CDM,80398692,System Coron Stent 38mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398693,System Coron Stent 33mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398699,System Coron Stent 28mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398700,System Coron Stent 23mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398701,System Coron Stent 18mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398702,System Coron Stent 15mm 2.75mm Xience Srr,1750.0,1750.0,259.0,1400.0,23
CDM,80398703,System Coron Stent 12mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398704,System Coron Stent 8mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398705,System Coron Stent 38mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398706,System Coron Stent 33mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398707,System Coron Stent 28mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398708,System Coron Stent 23mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398709,System Coron Stent 18mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398710,System Coron Stent 15mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398770,System Coron Stent 12mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398771,System Coron Stent 8mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398772,System Coron Stent 12mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398773,System Coron Stent 15mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398774,System Coron Stent 18mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398775,System Cor Stnt 2.25mm 23mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CDM,80398776,System Cor Stnt 2.25mm 28mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CDM,80398777,Stent Coron 33mm 2.25mm Everolimus Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398778,Stent Coron 38mm 2.25mm Everolimus Xience Srr,3000.0,3000.0,444.0,2400.0,23
CDM,80398779,System Cor Stnt 2.5mm 8mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CDM,80398824,Kit Vascath Dressing Change Tray 215 Grady Memorial Hosp,1634.0,1634.0,241.83,1307.2,23
CDM,80399090,Advance Capsule Endoscopy Delivery Device,413.0,413.0,61.12,330.4,23
CDM,80399191,"Kit Aln Removal and/or Repositioning, 2in1 Rs",1063.0,1063.0,157.32,850.4,23
CDM,80399252,Coil Embl 3d 9mm 30cm Axium Prm Frm V01,5238.0,5238.0,775.22,4190.4,23
CDM,80399275,Catheter Intvn 5.1fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CDM,80399276,Catheter Intvn 5.7fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CDM,80399277,Catheter Intvn 6.5fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CDM,80399285,Set Cath Unv 5mm 9cm Mlkr ER Crico,1186.75,1186.75,175.64,949.4,23
CDM,80405583,Catheter Thrmb .044in 140cm Strl Lf Indg Sys Asp Kt Cor,4850.0,4850.0,717.8,3880.0,23
CDM,80405589,System Cor Stnt 2mm 8mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CDM,80405590,System Cor Stnt 2mm 12mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CDM,80405592,System Cor Stnt 2mm 18mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CDM,80405594,System Cor Stnt 2mm 26mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CDM,80406242,Plug Ocl 3mm 12x5.3mm Mvp Mech Dtch Full Resheathable Ntnl,3738.0,3738.0,553.22,2990.4,23
CDM,80406243,Plug Ocl 5mm 12x6.5mm Strl Lf Mvp Mech Dtch Full,3738.0,3738.0,553.22,2990.4,23
CDM,80406244,Plug Ocl Mic 7mm Strl Lf Mvp Mech Vasc Disp V03,3738.0,3738.0,553.22,2990.4,23
CDM,80406245,Plug Ocl 9mm Strl Lf Mvp V03,3738.0,3738.0,553.22,2990.4,23
CDM,80406246,Kit Oc 14fr Ns Halyard Ast 24 Hr Chg Reuse,31.0,31.0,4.59,24.8,23
CDM,80406248,Guidewire Vasc .014in 180cm Strl Lf Cnfnz Pro 12 Disp,333.0,333.0,49.28,266.4,23
CDM,80406250,Guidewire Vasc .014in 180cm Strl Lf Fielder Fc Disp,198.0,198.0,29.3,158.4,23
CDM,80406252,Guidewire Vasc .014in 180cm Strl Lf Mrclbrs 6 Disp,333.0,333.0,49.28,266.4,23
CDM,80406253,Guidewire Vasc .014in 300cm Strl Lf Mrclbrs 6 Disp,333.0,333.0,49.28,266.4,23
CDM,80406254,Guidewire Vasc .014in 300cm Strl Lf Mrclbrs 3 Disp,333.0,333.0,49.28,266.4,23
CDM,80406255,Guidewire Vasc .014in 180cm Strl Lf P-H2o Disp,198.0,198.0,29.3,158.4,23
CDM,80406275,Vascular Vein Kit,353.0,353.0,52.24,282.4,23
CDM,80406279,Pacemaker Assurity MRI 6mm X 50mm X 47mm 10.44 Cc 2 Chmbr Is-1 Con,12225.0,12225.0,1809.3,9780.0,23
CDM,80406478,Dressing Gel Strl Lf Isrb Abs Tube Nadh Cdxmr Iod 10gm,35.0,35.0,5.18,28.0,23
CDM,80406479,Dressing Gel Strl Iodoflex 3 in 1 Mode Abs Pd Nadh Cdxmr Iod,30.0,30.0,4.44,24.0,23
CDM,80406484,Probe Srg Strl Icare Ta01i Ic100,215.0,215.0,31.82,172.0,23
CDM,80406513,Marker Endoscopic Spot Ex Tattoo Prefill Perm Syringe,950.0,950.0,140.6,760.0,23
CDM,80406516,Biliary Electrohydraulic Lithotripter Probe 1.9fr 375cm,1072.5,1072.5,158.73,858.0,23
CDM,80406525,"Kit Triple Lumen Cvc, Agb+ 7 French, Pressure Rated, 20cm",366.0,366.0,54.17,292.8,23
CDM,80406587,Immobilizer Orth Xl W 36- in 20in 1 Pnl Fngr Pckt Crcmf,37.45,37.45,5.54,29.96,23
CDM,80406669,"Cath, Ep, 5-5-5-5-5mm Spc Crnnd 2 Crv 5fr 115cm Strbl 8",130.0,130.0,19.24,104.0,23
CDM,80406670,Catheter Ep 2-10-2mm Spc Sup Lg Curl Crv 7fr 95cm 2mm Lvwr,365.0,365.0,54.02,292.0,23
CDM,80406671,Catheter Ep 5mm Spc Crnnd Crv 5fr 120cm Rspn Qdpl,98.0,98.0,14.5,78.4,23
CDM,80406768,Filter Ivc Sentry,3125.0,3125.0,462.5,2500.0,23
CDM,80406772,Needle Bx 13ga 7cm Trgd Coax U-T Wl Clr Cd D Stp Disp Mag,29.0,29.0,4.29,23.2,23
CDM,80406791,Sleeve Cmpr Lg Kn Lgth Kdl Scd Exp Disp Repro,29.0,29.0,4.29,23.2,23
CDM,80406812,Device Rbtc Corpath Grx Csst,313.0,313.0,46.32,250.4,23
CDM,80407157,Catheter Gd .5in 150cm Strl Lf,2625.0,2625.0,388.5,2100.0,23
CDM,80411441,Coil Embl 3mm 14cm Nst Mciol Pltn .018in Cath,278.73,278.73,41.25,222.98,23
CDM,80411446,Nester Embolization Microcoil .018in 2mm X 3cm,264.0,264.0,39.07,211.2,23
CDM,80411448,Coil Embl 2mm 5cm Nst Mciol Pltn .018in Cath,264.0,264.0,39.07,211.2,23
CDM,80411450,Nester Embolization Microcoil .018in 5mm X 5cm,264.0,264.0,39.07,211.2,23
CDM,80411458,Coil Embl 12mm 14cm Nst Mciol Pltn .035in Cath,264.0,264.0,39.07,211.2,23
CDM,80411470,Coil Embl 3-2mm Trnd Mciol Pltn .018in Cath,291.0,291.0,43.07,232.8,23
CDM,80411471,Coil Embl 4-2mm Trnd Mciol Pltn .018in Cath,290.0,290.0,42.92,232.0,23
CDM,80411479,Coil Embl 5.8cm 6-3mm Trnd Sft .035in Std Sm Pltn,275.0,275.0,40.7,220.0,23
CDM,80411491,Pack Vascath Insertion 215 Latex Free Custom Grady,138.0,138.0,20.42,110.4,23
CDM,80411496,Sheath Intro Lng .091in 90cm S,1363.0,1363.0,201.72,1090.4,23
CDM,80411509,Device Scr 12fr Dk Blue Bridle Pro,40.0,40.0,5.92,32.0,23
CDM,80411641,Catheter Baldilat 2.5mm 150cm 220mm Otw Inflat,425.0,425.0,62.9,340.0,23
CDM,80411678,Coyote MR 2mm X 60mm X 150cm,1045.0,1045.0,154.66,836.0,23
CDM,80411683,Coyote MR 2.5mm X 60mm X 150cm,1045.0,1045.0,154.66,836.0,23
CDM,80411691,Catheter Blndil 3mm 150cm 60mm Cyte Mnrl Ult Loprfl Nybax,417.5,417.5,61.79,334.0,23
CDM,80411696,Catheter Blndil 3.5mm 150cm 60mm Cyte Mnrl Ult Loprfl Nybax,418.0,418.0,61.86,334.4,23
CDM,80412022,Guidewire Vasc 3mm Rds J Crv .,207.0,207.0,30.64,165.6,23
CDM,80412031,Guidewire Vasc 1.5mm Rds J Crv Rsn .035in 150cm Strl 4cm,274.0,274.0,40.55,219.2,23
CDM,80412469,Catheter Ep 10mm Spc Jsn Crv 5fr 120cm Rspn Qdpl,213.0,213.0,31.52,170.4,23
CDM,80412587,Catheter Ep 1-4-1mm Spc 7fr 99,3738.0,3738.0,553.22,2990.4,23
CDM,80412733,Catheter Ablation Tacticath 2-2-2 Mm Space Damato Type,6750.0,6750.0,999.0,5400.0,23
CDM,80412736,Catheter Ablt 2-2-2mm Spc F-J,6750.0,6750.0,999.0,5400.0,23
CDM,80412749,Introducer Shth Sm Curl 71cm A,2235.0,2235.0,330.78,1788.0,23
CDM,80412750,Introducer Shth .032in Lg Curl,2000.0,2000.0,296.0,1600.0,23
CDM,80415153,Basket Spec Rtrvl 12mm .8mm 120cm Strl 0tp Arwy Loprfl Flt,622.0,622.0,92.06,497.6,23
CDM,80415237,Lifter Srg 10ml Strl Everlift Submucosal Lft Agnt Mthyln Blu,197.5,197.5,29.23,158.0,23
CDM,80415571,Basket Spec Rtrvl 286cmx15mm Strl Lf Spgl Disp,1269.0,1269.0,187.81,1015.2,23
CDM,80415572,Snare Escp 286cmx9mm Strl Lf Spgl Disp,1269.0,1269.0,187.81,1015.2,23
CDM,80415604,Dilator Endoscopic Cre L3 Cm L75 Cm Od10-11-12 Mm Sterile Disp Jagwire,734.0,734.0,108.63,587.2,23
CDM,80415621,Needle Biopsy Acquire Od19 Ga Odses1.14 Mm Ult Sterile Lf Disp,1300.0,1300.0,192.4,1040.0,23
CDM,80416024,Catheter Chlgm Spyscope Ds II Acc Dlv,6125.0,6125.0,906.5,4900.0,23
CDM,80416028,Lead Pacing Endotak Reliance S Steroid Silicone L59cm Endocardial Df4-Llho,6500.0,6500.0,962.0,5200.0,23
CDM,80416033,"Lead Defibrillator Reliance 4-Front, Dual Coil 59cm",6500.0,6500.0,962.0,5200.0,23
CDM,80416167,Defibrillator Crd .99cm 5.37x7.79cm 31.5cc Mmnt Heartlogic,29700.0,29700.0,4395.6,23760.0,23
CDM,80416179,Resonate El Aicd Dual Chamber 5.37cm 7.68cm 0.99cm,28250.0,28250.0,4181.0,22600.0,23
CDM,80416183,Defibrillator Crd .99cm 5.37x8.08cm 32cc Mmnt Heartlogic,33420.0,33420.0,4946.16,26736.0,23
CDM,80416190,Defibrillator Crd .99cm 5.37x8.18cm 32.5cc Resonate,35493.0,35493.0,5252.96,28394.4,23
CDM,80416207,Catheter DRN 10fr 5cm 5cc Strl Ltx Word 2w Fl Bln Barth Gl,288.0,288.0,42.62,230.4,23
CDM,80418587,Catheter Reperfusion 4.7-3.8fr .035in 164cm 3max,3725.0,3725.0,551.3,2980.0,23
CDM,80418588,Coil Embl 15mm 45cm Penumbra Coil 400 Cmplx Sft,6300.0,6300.0,932.4,5040.0,23
CDM,80418589,Coil Embl 18mm 45cm Penumbra Coil 400 Cmplx Sft,6300.0,6300.0,932.4,5040.0,23
CDM,80418590,Coil Embl Hlx 1mm 1cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418591,Coil Embl Hlx 1mm 2cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418592,Coil Embl Hlx 1mm 3cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418593,Coil Embl Hlx 2mm 2cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418594,Coil Embl Hlx 2mm 3cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418595,Coil Embl Hlx 2mm 4cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418596,Coil Embl Hlcl 2mm 6cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418597,Coil Embl Hlcl 2mm 8cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418598,Coil Embl Hlx 3mm 4cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418599,Coil Embl Hlx 3mm 6cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418600,Coil Embl Hlx 3mm 8cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418601,Coil Embl Hlx 4mm 6cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418602,Coil Embl Hlx 4mm 8cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418603,Coil Embl Hlcl 4mm 10cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418604,Coil Embl Hlcl 4mm 15cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418605,Coil Embl Hlcl 5mm 10cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418606,Coil Embl Hlcl 5mm 15cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418607,Coil Embl Hlx 1.5mm 1cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418608,Coil Embl Hlx 1.5mm 2cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418609,Coil Embl Hlx 1.5mm 3cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418610,Coil Embl Hlx 2.5mm 4cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418611,Coil Embl Hlcl 2.5mm 6cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418612,Coil Embl Hlcl 2.5mm 8cm Smrt Coil X Sft,2675.0,2675.0,395.9,2140.0,23
CDM,80418613,Coil Embl 4.5mm 15cm Smrt Coil Wv X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418614,Coil Embl 2mm 3cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418615,Coil Embl 3mm 4cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418616,Coil Embl 3mm 6cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418617,Coil Embl 3mm 8cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418618,Coil Embl 4mm 6cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418619,Coil Embl 4mm 8cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418620,Coil Embl 4mm 10cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418621,Coil Embl 5mm 6cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418622,Coil Embl 5mm 10cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418623,Coil Embl 5mm 15cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418624,Coil Embl 6mm 10cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418625,Coil Embl 6mm 15cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418626,Coil Embl 7mm 15cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418627,Coil Embl 7mm 20cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418628,Coil Embl 8mm 20cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418629,Coil Embl 9mm 20cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418630,Coil Embl Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418631,Coil Embl 10mm 30cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418632,Coil Embl 3.5mm 6cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418633,Coil Embl 3.5mm 8cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418634,Coil Embl 4.5mm 10cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418635,Coil Embl Std 4mm 8cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418636,Coil Embl Std 5mm 10cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418637,Coil Embl Std 5mm 15cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418638,Coil Embl Std 6mm 15cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418639,Coil Embl Std 6mm 20cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418640,Coil Embl Std 7mm 15cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418641,Coil Embl Std 7mm 20cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418642,Coil Embl Std 7mm 25cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418643,Coil Embl Std 8mm 20cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418644,Coil Embl Std 8mm 30cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418645,Coil Embl Std 9mm 20cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418646,Coil Embl Std 9mm 30cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418647,Coil Embl Std 10mm 30cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418648,Coil Embl Std 10mm 45cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418649,Coil Embl Std 11in 35in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418650,Coil Embl Std 11mm 45cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418651,Coil Embl Std 11mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418652,Coil Embl Std 12in 35in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418653,Coil Embl Std 12mm 45cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418654,Coil Embl Std 12mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418655,Coil Embl Std 13mm 45cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418656,Coil Embl Std 13mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418657,Coil Embl Std 14mm 45cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418658,Coil Embl Std 14mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418659,Coil Embl Std 15in 45in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418660,Coil Embl Std 15in 60in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418661,Coil Embl Std 16in 45in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418662,Coil Embl Std 16mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418663,Coil Embl Std 18in 45in Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418664,Coil Embl Std 18mm 60cm Smrt Coil,4025.0,4025.0,595.7,3220.0,23
CDM,80418665,Coil Embl 1mm 1cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418666,Coil Embl 1mm 2cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418667,Coil Embl 1mm 3cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418668,Coil Embl 1mm 4cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418669,Coil Embl 1mm 1.5cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418670,Coil Embl 2mm 2cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418671,Coil Embl 2mm 3cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418672,Coil Embl 2mm 4cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418673,Coil Embl 2mm 5cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418674,Coil Embl 2mm 6cm Smrt Coil Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418675,Coil Embl 8mm 2cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418676,Coil Embl 3mm 4cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418677,Coil Embl 3mm 6cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418678,Coil Embl 3mm 8cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418679,Coil Embl 4mm 6cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418680,Coil Embl 4mm 8cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418681,Coil Embl 4mm 10cm Penumbra Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418682,Coil Embl 1.5mm 2cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418683,Coil Embl 1.5mm 3cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418684,Coil Embl 1.5mm 4cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418685,Coil Embl 2.5mm 3cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418686,Coil Embl 2.5mm 4cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418687,Coil Embl 2.5mm 6cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418688,Coil Embl 2.5mm 8cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418689,Coil Embl 3.5mm 6cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418690,Coil Embl 3.5mm 8cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418691,Coil Embl 4.5mm 12cm Smrt Coil X Sft,4025.0,4025.0,595.7,3220.0,23
CDM,80418692,Catheter Dlv Sys .053in 4.3-6fr 134cm 130cm 4max Max Trk Tch,3725.0,3725.0,551.3,2980.0,23
CDM,80418693,Red 68 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CDM,80418694,Catheter Dlv Sys .062in 5-6fr 115cm 119cm 5max Tpr Inr Shft,3725.0,3725.0,551.3,2980.0,23
CDM,80418695,Red 62 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CDM,80418696,Red 62 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CDM,80418699,Catheter Dlv Sys Strg .07in 105cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418700,Catheter Dlv Sys Brnstn Crv 6fr .07in 130cm Lf 105cm Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418701,Catheter Prss Mntr Mp Crv .07in 105cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418702,Catheter Dlv Sys Brnstn Crv 5fr .07in 130cm Lf 105cm Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418703,Catheter Dlv Sys Strg .07in 95cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418704,Catheter Dlv Sys Brnstn Crv Strg 5fr .07in 120cm Lf 95cm,2238.0,2238.0,331.22,1790.4,23
CDM,80418705,Catheter Prss Mntr Mp Crv .07in 95cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CDM,80418706,Catheter Dlv Sys Brnstn Crv Mp 5fr .07in 120cm Lf 95cm,2238.0,2238.0,331.22,1790.4,23
CDM,80418708,Catheter Dlv Sys Mp Crv 6fr .07in 105cm 8cm Neuron Lum Flxb,1588.0,1588.0,235.02,1270.4,23
CDM,80418709,Catheter Dlv Sys .035in .038in 6fr .07in 95cm 6cm Neuron Lum,1588.0,1588.0,235.02,1270.4,23
CDM,80418710,Catheter Dlv Sys Strg Tpr 5-6fr .053in 105cm 12cm Neuron Lum,1588.0,1588.0,235.02,1270.4,23
CDM,80418711,Catheter Dlv Sys .035in .038in 5fr .053in 105cm 12cm Neuron,1588.0,1588.0,235.02,1270.4,23
CDM,80418712,Catheter Dlv Sys .035in .038in 5fr .053in 105cm 6cm Neuron,1588.0,1588.0,235.02,1270.4,23
CDM,80418713,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 12cm Neuron - Pnd6f11512,1588.0,1588.0,235.02,1270.4,23
CDM,80418714,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 12cm Neuron - Pnd6f11512m,1588.0,1588.0,235.02,1270.4,23
CDM,80418715,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 6cm Neuron,1588.0,1588.0,235.02,1270.4,23
CDM,80418716,Sheath Intro Lng Mp Crv 6fr 8fr .088in 80cm 4cm Neuron Mxss,1138.0,1138.0,168.42,910.4,23
CDM,80418717,Catheter Dlv Sys Strg .088in 90cm Lf Neuron Max Dil,1138.0,1138.0,168.42,910.4,23
CDM,80418718,Catheter Dlv Sys .035in .038in Sim Crv Full Lgth 5fr .04in,313.0,313.0,46.32,250.4,23
CDM,80418719,Catheter Dlv Sys .018in 1 Crv 5fr .04in 130cm 9cm Neuron Lum,313.0,313.0,46.32,250.4,23
CDM,80418720,Catheter Dlv Sys Bernstein Crv 6fr 5.6fr .04in 105cm Lf 9cm,313.0,313.0,46.32,250.4,23
CDM,80418721,Catheter Dlv Sys .035in .038in 1 6fr .04in 105cm 9cm Max,313.0,313.0,46.32,250.4,23
CDM,80418722,Catheter Dlv Sys Brnstn Crv 6fr 5.6fr .04in 125cm Lf 9cm,313.0,313.0,46.32,250.4,23
CDM,80418723,Catheter Thrmb 1 Crv 6fr 5.6fr .04in 125cm Lf 9cm Neuron,313.0,313.0,46.32,250.4,23
CDM,80418724,Catheter Thrmb 54cm Strl Lf Penumbra Sys Kt Reperfusion,4375.0,4375.0,647.5,3500.0,23
CDM,80418730,Catheter Dlv Sys Mic 3d 2.6-2.95fr .025in 160cm Px 400 Vlc,2590.0,2590.0,383.32,2072.0,23
CDM,80418731,Catheter Reperfusion 6-4.3fr .041in 143cm 4max,3725.0,3725.0,551.3,2980.0,23
CDM,80418732,Catheter Thrmb 6fr .64in 132cm Lf Penumbra Sys 5max Ace,5975.0,5975.0,884.3,4780.0,23
CDM,80418733,Catheter Thrmb 132cm Lf Penumbra Sys 5max Ace Reperfusion,5725.0,5725.0,847.3,4580.0,23
CDM,80418758,Guidewire Vascular Asahi Gladius Mongo L190 Cm Od.014 in Sterile,1663.0,1663.0,246.12,1330.4,23
CDM,80418763,Guidewire Vasc Strg Tpr .014in,333.0,333.0,49.28,266.4,23
CDM,80418764,Guidewire Vasc Strg Tpr .014in 190cm Strl Lf 16cm a Fldr,333.0,333.0,49.28,266.4,23
CDM,80418767,Guidewire Vasc .014in 190cm Strl Lf Asahi Sion Disp,333.0,333.0,49.28,266.4,23
CDM,80418768,Guidewire Vasc .014in 300cm Fi,60.0,60.0,8.88,48.0,23
CDM,80418769,Guidewire Vasc Strg Tpr .014in,60.0,60.0,8.88,48.0,23
CDM,80435628,Needle Aspiration L1400 Mm L80 Mmod2.2 Mm Odsec22 W/O Sidehole,4595.0,4595.0,680.06,3676.0,23
CDM,80435629,Needle Aspiration L1400 Mm L80 Mmod2.2 Mm Odsec22 With Sidehole,4595.0,4595.0,680.06,3676.0,23
CDM,80436768,Plug Cv .038in Loprfl 6mm 4fr 11mm Strl Lf 125cm Amplzr 2,2375.0,2375.0,351.5,1900.0,23
CDM,80436769,Plug Cardio 13.5mm 8mm 4fr Amplzr .038in Lp Ntnl,2375.0,2375.0,351.5,1900.0,23
CDM,80436783,Axs Vecta 046 146 Cm,4225.0,4225.0,625.3,3380.0,23
CDM,80436784,Axs Vecta 046 160cm,4225.0,4225.0,625.3,3380.0,23
CDM,80436791,Kit Intro .021in 80cm 6fr 21ga 25cm Strl 1.5in Glidesheath,120.0,120.0,17.76,96.0,23
CDM,80436798,Sheath Intro 8.2mm 22fr 33cm Gore Dryseal Flx Hdrph,1585.0,1585.0,234.58,1268.0,23
CDM,80436800,Sheath Intro 8.8mm 24fr 33cm Gore Dryseal Flx Hdrph,1585.0,1585.0,234.58,1268.0,23
CDM,80436802,Sheath Introducer Gore Dryseal Flex Hydro L33 Cm Od9.5 Mm Id26 Fr,1585.0,1585.0,234.58,1268.0,23
CDM,80436934,Stent Eprsth 14mm 90mm 100mm Vici Vns Stnt Cath Ntnl Acpt,5250.0,5250.0,777.0,4200.0,23
CDM,80437094,Microcatheter Infs .035in Swan 2.4fr .021in 130cm Direxion,1288.0,1288.0,190.62,1030.4,23
CDM,80437095,Catheter Infs Mic 2.4-3fr .021in 155cm Direxion Torqueable,1288.0,1288.0,190.62,1030.4,23
CDM,80437111,Catheter Infs Mic 2.8-3fr .027in 155cm Direxion Hfl,1287.5,1287.5,190.55,1030.0,23
CDM,80437420,Guidewire Vasc .014in 130cm St,200.0,200.0,29.6,160.0,23
CDM,80437421,Guidewire Vasc .014in 190cm St,208.0,208.0,30.78,166.4,23
CDM,80437445,Catheter Blndil 5.5mm 135cm 15,450.0,450.0,66.6,360.0,23
CDM,80437446,Catheter Blndil 5.5mm 135cm 30,450.0,450.0,66.6,360.0,23
CDM,80437447,Catheter Blndil 5.5mm 135cm 40,450.0,450.0,66.6,360.0,23
CDM,80437452,Catheter Blndil 6mm 135cm 15mm,450.0,450.0,66.6,360.0,23
CDM,80437453,Catheter Blndil 6mm 135cm 40mm,450.0,450.0,66.6,360.0,23
CDM,80437702,Catheter Blndil 6mm 90cm 40mm,198.0,198.0,29.3,158.4,23
CDM,80438567,Device Clsr 14fr Manta Vasc,3125.0,3125.0,462.5,2500.0,23
CDM,80438594,Kit Intro .018in Mic 5fr 21ga 3fr 45cm Strl 15cm,250.0,250.0,37.0,200.0,23
CDM,80438621,Bronchoscope Glidescope,369.0,369.0,54.61,295.2,23
CDM,80462380,Catheter Dx 100cm 5fr .047in Dxterity Noto Curve,188.0,188.0,27.82,150.4,23
CDM,80462743,Catheter Gd 3drc Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CDM,80462749,Catheter Gd 3dright Crv 6fr 10,120.0,120.0,17.76,96.0,23
CDM,80462786,Catheter Gd Al.75 Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CDM,80462851,Catheter Gd Ebu3.5 Crv 6fr 90c,120.0,120.0,17.76,96.0,23
CDM,80463011,Catheter Gd Std Jr3.5 Crv 6fr,120.0,120.0,17.76,96.0,23
CDM,80463074,Catheter Gd Mp1 Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CDM,80463110,Catheter Gd Rcb Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CDM,80463182,Catheter Gd 3dright Crv 7fr 10,120.0,120.0,17.76,96.0,23
CDM,80463185,Catheter Gd Al1 Crv 7fr 90cm S,120.0,120.0,17.76,96.0,23
CDM,80463262,Catheter Gd Ebu3 Crv 7fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CDM,80463270,Catheter Guiding Launcher Nylon Ebu3.5 Curve L90cm Od7 Fr,125.0,125.0,18.5,100.0,23
CDM,80463283,Catheter Gd Ebu4 Crv 7fr 90cm,120.0,120.0,17.76,96.0,23
CDM,80463387,Catheter Gd Std Jr4 Crv 7fr 100cm Strl Lf Lnchr Lg Lum,120.0,120.0,17.76,96.0,23
CDM,80463914,Catheter Blndil 4mm 142cm Lf 8mm Nc Euphora Rx Loprfl Radopq,425.0,425.0,62.9,340.0,23
CDM,80464046,System Cor Stnt 3mm 15mm 140cm,3238.0,3238.0,479.22,2590.4,23
CDM,80464064,System Cor Stnt 3.5mm 15mm 140,3238.0,3238.0,479.22,2590.4,23
CDM,80464076,System Cor Stnt 3.5mm 38mm 140,3238.0,3238.0,479.22,2590.4,23
CDM,80464684,Catheter Gd Ar2 Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CDM,80464714,Catheter Gd Ebu3 Crv 6fr 100cm Strl Shr Nx Bal Sftp Dist Slv,120.0,120.0,17.76,96.0,23
CDM,80464781,Catheter Gd Ima Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CDM,80464812,Catheter Gd Std Jl3 Crv 6fr 100cm Strl Shr Nx Bal Sftp Dist,120.0,120.0,17.76,96.0,23
CDM,80465083,Catheter Gd Std Jl3 Crv 7fr 100cm Strl Shr Nx Bal Sftp Dist,120.0,120.0,17.76,96.0,23
CDM,80467374,Guidewire Vasc 220cm .008-.012in Hbrd Radiopq Str,1426.0,1426.0,211.05,1140.8,23
CDM,80467375,Guidewire Vasc 220cm .008-.012in Distal Tip,1495.0,1495.0,221.26,1196.0,23
CDM,80467376,Guidewire Vasc 200cm .012-.014in Hbrd Radiopq Str,1035.0,1035.0,153.18,828.0,23
CDM,80467381,Introducer Sheath 088 80 Cm,1100.0,1100.0,162.8,880.0,23
CDM,80467382,Introducer Sheath 088 90 Cm,1100.0,1100.0,162.8,880.0,23
CDM,80467400,Catheter Blnocc Thk.9mm 3cm 3mm 1.1in 6- Mm 2fr,5238.0,5238.0,775.22,4190.4,23
CDM,80469324,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CDM,80469325,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd 1 Coil,6500.0,6500.0,962.0,5200.0,23
CDM,80469326,Lead Dfbr 59cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd 2 Coil,6500.0,6500.0,962.0,5200.0,23
CDM,80472491,Catheter Dlv Sys Mic .025in 135cm Lntrn Hflo Strg Tip,1625.0,1625.0,240.5,1300.0,23
CDM,80472492,Catheter Dlv Sys 45d Mic .025in 135cm Lntrn Hflo,1625.0,1625.0,240.5,1300.0,23
CDM,80472494,Catheter Dlv Sys Mic .025in 150cm Lntrn Hflo Strg Tip,1625.0,1625.0,240.5,1300.0,23
CDM,80472495,Catheter Dlv Sys 45d Mic .025in 150cm Lntrn Hflo,1625.0,1625.0,240.5,1300.0,23
CDM,80472496,Catheter Dlv Sys 150cm .025in Lntrn 90d Mic Hflo,1625.0,1625.0,240.5,1300.0,23
CDM,80472497,Coil Embl Std .02in 3mm 5cm Penumbra Coil 400 Ruby Cmplx Lg,1975.0,1975.0,292.3,1580.0,23
CDM,80472498,Coil Embl Std .02in 3mm 12cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472499,Coil Embl Std .02in 3mm 20cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472501,Coil Embl Std .02in 4mm 20cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472503,Coil Embl Std .02in 4mm 35cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472504,Coil Embl Std .02in 5mm 12cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472506,Coil Embl 30cm .02in 5mm Penumbra Coil 400 Ruby,3225.0,3225.0,477.3,2580.0,23
CDM,80472508,Coil Embl Std Cmplx .02in 6mm 20cm Ruby Lg Volume Full Dtch,2475.0,2475.0,366.3,1980.0,23
CDM,80472509,Coil Embl Std .02in 6mm 30cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472510,Coil Embl Std .02in 7mm 25cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472512,Coil Embl Std .02in 8mm 25cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472513,Coil Embl Std .02in 8mm 40cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472515,Coil Embl Std .02in 10mm 35cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472517,Coil Embl Std .02in 12mm 60cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472519,Coil Embl Std .02in 14mm 60cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472520,Coil Embl Std .02in 16mm 60cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472521,Coil Embl Std .02in 18mm 60cm Ruby Cmplx Lg Volume Dtch Frm,3225.0,3225.0,477.3,2580.0,23
CDM,80472522,Coil Embl Std .02in 20mm 60cm Ruby Cmplx Lg Volume Flly Dtch,3225.0,3225.0,477.3,2580.0,23
CDM,80472523,Coil Embl Std .02in 24mm 60cm Ruby Cmplx Lg Volume Dtch Frm,3225.0,3225.0,477.3,2580.0,23
CDM,80472524,Coil Embl Std .02in 28mm 60cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472525,Coil Embl Std .02in 32mm 60cm Penumbra Coil 400 Ruby Cmplx,3225.0,3225.0,477.3,2580.0,23
CDM,80472526,Coil Embl Std 36mm 60cm Ruby,3225.0,3225.0,477.3,2580.0,23
CDM,80472527,Coil Embl Std 40mm 60cm Ruby,3225.0,3225.0,477.3,2580.0,23
CDM,80472528,Coil Embl .02in 2mm 1cm Penumbra Coil 400 Ruby Cmplx Lg,1975.0,1975.0,292.3,1580.0,23
CDM,80472529,Coil Embl .02in 2mm 2cm Penumbra Coil 400 Ruby Cmplx Lg,1975.0,1975.0,292.3,1580.0,23
CDM,80472530,Coil Embl .02in 2mm 4cm Penumbra Coil 400 Ruby Cmplx Lg,1975.0,1975.0,292.3,1580.0,23
CDM,80472531,Coil Embl Std Cmplx .02in 3mm 5cm Ruby Lg Volume Full Dtch,1975.0,1975.0,292.3,1580.0,23
CDM,80472532,Coil Embl .02in 3mm 15cm Ruby Cmplx Lg Volume Flly Dtch,2475.0,2475.0,366.3,1980.0,23
CDM,80472533,Coil Embl .02in 4mm 6cm Penumbra Coil 400 Ruby Cmplx Lg,1975.0,1975.0,292.3,1580.0,23
CDM,80472534,Coil Embl .02in 4mm 15cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472535,Coil Embl .02in 6mm 20cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80472536,Coil Embl .02in 6mm 30cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472537,Coil Embl .02in 8mm 35cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472538,Coil Embl .02in 8mm 60cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472541,Coil Embl .02in 16mm 50cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472542,Coil Embl .02in 20mm 60cm Penumbra Coil 400 Ruby Cmplx Lg,3225.0,3225.0,477.3,2580.0,23
CDM,80472543,Coil Embl 8-10mm 60cm Pod,4475.0,4475.0,662.3,3580.0,23
CDM,80472544,Coil Embl 10-12mm 60cm Pod,4475.0,4475.0,662.3,3580.0,23
CDM,80472545,Coil Embl 12-14mm 60cm Pod,4475.0,4475.0,662.3,3580.0,23
CDM,80472546,Coil Embl 3mm 20cm Pod,4475.0,4475.0,662.3,3580.0,23
CDM,80472547,Coil Embl 4mm 30cm Ruby Pod Cmplx Occulusion Dev,4475.0,4475.0,662.3,3580.0,23
CDM,80472548,Coil Embl 5mm 30cm Ruby Pod Cmplx Occulusion Dev,4475.0,4475.0,662.3,3580.0,23
CDM,80472549,Coil Embl 6mm 50cm Ruby Pod Cmplx,4475.0,4475.0,662.3,3580.0,23
CDM,80472550,Coil Embl 8mm 60cm Ruby Pod Cmplx Occulusion Dev,4475.0,4475.0,662.3,3580.0,23
CDM,80472551,Coil Embl J-Sft 15cm Strl Lf Pod Pk,2475.0,2475.0,366.3,1980.0,23
CDM,80472552,Coil Embl J-Sft 30cm Strl Lf Pod Pk,3225.0,3225.0,477.3,2580.0,23
CDM,80472553,Coil Embl J-Sft 45cm Strl Lf Pod Pk,3225.0,3225.0,477.3,2580.0,23
CDM,80472554,Coil Embl J 5cm Pod Pk Sft,2475.0,2475.0,366.3,1980.0,23
CDM,80472555,Coil Embl J-Sft 60cm Strl Lf Pod Pk,3225.0,3225.0,477.3,2580.0,23
CDM,80472556,Handle Inst Ruby Dtch Coil,595.0,595.0,88.06,476.0,23
CDM,80479796,Stent Eprsth 11mm 5cm 120cm Go,8940.0,8940.0,1323.12,7152.0,23
CDM,80479806,Stent Eprsth 8-10mm 4cm 2cm Gore Vtr Acpt .035- in Gw 10fr,13240.0,13240.0,1959.52,10592.0,23
CDM,80479860,Stent Eprsth 6mm 5cm Strl 120c,8940.0,8940.0,1323.12,7152.0,23
CDM,80479863,Stent Eprsth 6mm 10cm Strl 120cm Vbhn Flxb Slf Xpd Radopq,9808.0,9808.0,1451.58,7846.4,23
CDM,80479964,Catheter Gd Il3.5 Crv 6fr 100cm Heartrail III Radopq Lg Inr,175.0,175.0,25.9,140.0,23
CDM,80479980,Kit Intro .021in 6fr 22ga 10cm 45cm Glidesheath Slndr Shth,234.0,234.0,34.63,187.2,23
CDM,80479987,Catheter Blndil 1.5mm 6mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479988,Catheter Blndil 1.5mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479989,Catheter Blndil 1.5mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479990,Catheter Blndil 2mm 8mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479991,Catheter Blndil 2mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479992,Catheter Blndil 2mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479993,Catheter Blndil 2mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479994,Catheter Blndil 2.25mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479995,Catheter Blndil 2.25mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479996,Catheter Blndil 2.25mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479997,Catheter Blndil 2.5mm 8mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479998,Catheter Blndil 2.5mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80479999,Catheter Blndil 2.5mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80480000,Catheter Blndil 2.5mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CDM,80480001,Catheter Blndil 1.5mm 6mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480002,Catheter Blndil 1.5mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480003,Catheter Blndil 1.5mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480004,Catheter Blndil 2mm 8mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480005,Catheter Blndil 2mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480006,Catheter Blndil 2mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480007,Catheter Blndil 2mm 20mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480008,Catheter Blndil 2.25mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480009,Catheter Blndil 2.25mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480010,Catheter Blndil 2.25mm 20mm Takeru Rx Smcpnt Ptca,288.0,288.0,42.62,230.4,23
CDM,80480011,Catheter Blndil 2.25mm 8mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480012,Catheter Blndil 2.5mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480013,Catheter Blndil 2.5mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CDM,80480014,Catheter Blndil 2.5mm 20mm Takeru Rx Smcpnt Ptca,288.0,288.0,42.62,230.4,23
CDM,80480015,Catheter Blndil 2mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480016,Catheter Blndil 2mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480017,Catheter Blndil 2mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480018,Catheter Blndil 2mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480019,Catheter Blndil 2.25mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480020,Catheter Blndil 2.25mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480021,Catheter Blndil 2.25mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480022,Catheter Blndil 2.25mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480023,Catheter Blndil 2.5mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480024,Catheter Blndil 2.5mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480025,Catheter Blndil 2.5mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480026,Catheter Blndil 2.5mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480027,Catheter Blndil 2.75mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480028,Catheter Blndil 2.75mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480029,Catheter Blndil 2.75mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CDM,80480030,Catheter Blndil 2.75mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480031,Catheter Blndil 3mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480032,Catheter Blndil 3mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480033,Catheter Blndil 3mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480034,Catheter Blndil 3mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480035,Catheter Blndil 3.25mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480036,Catheter Blndil 3.25mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480037,Catheter Blndil 3.25mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480038,Catheter Blndil 3.25mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480039,Catheter Blndil 3.5mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480040,Catheter Blndil 3.5mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480041,Catheter Blndil 3.5mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480042,Catheter Blndil 3.5mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480043,Catheter Blndil 4mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480044,Catheter Blndil 4mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480045,Catheter Blndil 4mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480046,Catheter Blndil 4mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CDM,80480267,Catheter Angio Fl3.5 Crv 6fr 1,18.0,18.0,2.66,14.4,23
CDM,80480297,Catheter Angio Pgtl Fl4 Fr4 Cr,18.0,18.0,2.66,14.4,23
CDM,80480434,Guidewire Vasc Strg .014in 185,159.0,159.0,23.53,127.2,23
CDM,80480440,Vascular Guidewire,159.0,159.0,23.53,127.2,23
CDM,80483366,Catheter Gd 6fr 150cm Guidezil,968.0,968.0,143.26,774.4,23
CDM,80483368,Catheter Gd 7fr 150cm Guidezil,968.0,968.0,143.26,774.4,23
CDM,80483728,Catheter Thrmb 24fr Triever24,30000.0,30000.0,4440.0,24000.0,23
CDM,80483729,Catheter Asp 16fr 113cm Trieve,30000.0,30000.0,4440.0,24000.0,23
CDM,80484687,Guidewire Vasc 3mm Rds J Crv .,26.0,26.0,3.85,20.8,23
CDM,80484901,Introducer Shth .021in 29cm 7f,188.0,188.0,27.82,150.4,23
CDM,80485079,Introducer Shth 9fr .035in 45c,750.0,750.0,111.0,600.0,23
CDM,80485932,Guidewire Vasc 300cm Asahi Mrc,238.0,238.0,35.22,190.4,23
CDM,80486783,Catheter Infusion Asahi Sasuke L145 Cm Od3.3 Fr Sterile,1088.0,1088.0,161.02,870.4,23
CDM,80488018,Coil Embl Hlx 10mm 30cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488019,Coil Embl Hlx 2mm 4cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488020,Coil Embl Hlx 2mm 6cm Concerto Latticefx Dtch POS Ld,1563.0,1563.0,231.32,1250.4,23
CDM,80488021,Coil Embl Hlx 3mm 4cm Concerto Latticefx Dtch POS Ld,521.0,521.0,77.11,416.8,23
CDM,80488022,Coil Embl Hlx 4mm 10cm Concerto Latticefx Dtch POS Ld,521.0,521.0,77.11,416.8,23
CDM,80488023,Coil Embl Hlx 4mm 8cm Concerto Latticefx Dtch POS Ld,521.0,521.0,77.11,416.8,23
CDM,80488024,Coil Embl Hlx 5mm 15cm Concerto Latticefx Dtch POS Ld,781.0,781.0,115.59,624.8,23
CDM,80488025,Coil Embl Hlx 5mm 20cm Concert,781.0,781.0,115.59,624.8,23
CDM,80488026,Coil Embl Hlx 6mm 20cm Concerto Latticefx Dtch POS Ld,781.0,781.0,115.59,624.8,23
CDM,80488027,Coil Embl Hlx 7mm 30cm Concerto Latticefx Dtch POS Ld,521.0,521.0,77.11,416.8,23
CDM,80488028,Coil Embl Hlx 8mm 30cm Concert,781.0,781.0,115.59,624.8,23
CDM,80488029,Coil Embl Hlx 9mm 30cm Concert,781.0,781.0,115.59,624.8,23
CDM,80488030,Coil Embl 3d 10mm 30cm Concert,1563.0,1563.0,231.32,1250.4,23
CDM,80488031,Coil Embl Hlx 12mm 30cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488032,Coil Embl 3d 12mm 40cm Concert,1563.0,1563.0,231.32,1250.4,23
CDM,80488033,Coil Embl Hlx 14mm 30cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488034,Coil Embl 3d 14mm 40cm Concert,1563.0,1563.0,231.32,1250.4,23
CDM,80488035,Coil Embl 3d 16mm 40cm Concert,1563.0,1563.0,231.32,1250.4,23
CDM,80488036,Coil Embl Hlx 16mm 40cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488037,Coil Embl 3d 18mm 40cm Concert,1563.0,1563.0,231.32,1250.4,23
CDM,80488038,Coil Embl Hlx 18mm 40cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488039,Coil Embl 3d 2mm 2cm Concerto,781.0,781.0,115.59,624.8,23
CDM,80488040,Coil Embl 3d 2mm 4cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488041,Coil Embl Hlx 20mm 50cm Concer,781.0,781.0,115.59,624.8,23
CDM,80488042,Coil Embl 3d 3mm 4cm Concerto,1562.0,1562.0,231.18,1249.6,23
CDM,80488043,Coil Embl 3d 4mm 10cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488044,Coil Embl 3d 6mm 20cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488045,Coil Embl 3d 7mm 30cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488046,Coil Embl 3d 8mm 30cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488047,Coil Embl 3d 9mm 30cm Concerto,1563.0,1563.0,231.32,1250.4,23
CDM,80488443,Guidewire Vasc .014in 215cm Strl Lf Synchro2 Hdrph Disp,1484.0,1484.0,219.63,1187.2,23
CDM,80488444,Guidewire Vasc .014in 215cm Strl Lf Synchro2 Pshp Hdrph Disp,1484.0,1484.0,219.63,1187.2,23
CDM,80488445,Guidewire Vasc .014in 300cm St,1841.0,1841.0,272.47,1472.8,23
CDM,80488825,Needle Bx 16fr 50.5cm Trnjug I,954.0,954.0,141.19,763.2,23
CDM,80488968,Pacemaker Crd Strl Cblt Dr 2 Chmbr Df4 Inln Cnct Radopq,33750.0,33750.0,4995.0,27000.0,23
CDM,80488974,Cobalt Hf Quad Crt-D MRI Surescan,44750.0,44750.0,6623.0,35800.0,23
CDM,80488978,Cobalt Vr MRI Surescan Single-Chamber Icd System W/Surescan Dr-Icd Device & Surescan Defibrillation Lead,28250.0,28250.0,4181.0,22600.0,23
CDM,80488987,Sling Pt C600lb Reposition Disp,191.0,191.0,28.27,152.8,23
CDM,80488988,Mattress Maxi Air,214.0,214.0,31.67,171.2,23
CDM,80488989,Sling Pt C600lb Xl Flites Gp Loop Disp,67.0,67.0,9.92,53.6,23
CDM,80492559,Overtube Escp 13.2mm 11mm 1320mm Lf 1 Bln Entrscp Splnt Tube,640.0,640.0,94.72,512.0,23
CDM,80494565,Stent Vasc 10mm Spc 3-1 4mm 31,10563.0,10563.0,1563.32,8450.4,23
CDM,80494566,Stent Vasc 10mm Spc 3-1 4mm 50mm 40mm Solitaire Parametric,10563.0,10563.0,1563.32,8450.4,23
CDM,80494569,Device Thrmb 200cm 6mm .021-.0,10638.0,10638.0,1574.42,8510.4,23
CDM,80494576,Cath Endovas Bashir Ster Lf Si,6988.0,6988.0,1034.22,5590.4,23
CDM,80494606,Sling Pt C600lb Med Blu Ns Flites Clip Disp,77.0,77.0,11.4,61.6,23
CDM,80494607,Sling Pt C600lb Xl Flites Clip Disp,77.0,77.0,11.4,61.6,23
CDM,80494608,Sling Pt Xl C600lb Std 4 Pnt Clip Flite Disp,77.0,77.0,11.4,61.6,23
CDM,80494609,Sling Pt C600lb Xxl Flites Gp Loop Disp,67.0,67.0,9.92,53.6,23
CDM,80494610,Sheet Trnsf 77x30in Lf Maxislide Flites Disp,28.0,28.0,4.14,22.4,23
CDM,80494613,Sling Lft,42.0,42.0,6.22,33.6,23
CDM,80494614,Sling Lft Disposable Loop,42.0,42.0,6.22,33.6,23
CDM,80494615,Sling Pt C454kg 210x145cm Reposition W Srfc Mlt Loop Disp,212.0,212.0,31.38,169.6,23
CDM,80500867,Catheter Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,23
CDM,80500868,System Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,23
CDM,80500869,Catheter Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,23
CDM,80500870,Catheter Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,23
CDM,80501124,Trevo Nxt Provue Retriever 3x32 Microcatheter,13116.0,13116.0,1941.17,10492.8,23
CDM,80501125,Retriever Trevo Nxt Provueá 4x41 Microcatheter,13500.0,13500.0,1998.0,10800.0,23
CDM,80501126,Microcatheter Trevo Track 21,1748.0,1748.0,258.7,1398.4,23
CDM,80501239,Button Gstrm 20fr 3cm 5ml Strl,256.0,256.0,37.89,204.8,23
CDM,80501376,Kit Jjnstm 22fr 45cm 7-10ml St,854.0,854.0,126.39,683.2,23
CDM,80501378,Kit Jjnstm 22fr 45cm 7-10ml St,854.0,854.0,126.39,683.2,23
CDM,80501379,Kit Jjnstm 22fr 45cm 7-10ml St,854.0,854.0,126.39,683.2,23
CDM,80501667,Button Gstrm 20fr .8cm 5ml Strl Lf Mcky Secur-Lok Radopq,256.1,256.1,37.9,204.88,23
CDM,80501672,Mic-Key G Feeding Tube 20f 5ml 2cm,256.0,256.0,37.89,204.8,23
CDM,80501692,Button Gstrm 18fr 5cm 5ml Strl,256.0,256.0,37.89,204.8,23
CDM,80501790,Dfbr Crd Cblt Vr Df4 MR Conditional,28250.0,28250.0,4181.0,22600.0,23
CDM,80501791,Dfbr Crd Crome Df1 MR Conditional,43250.0,43250.0,6401.0,34600.0,23
CDM,80501813,Defibrillator Crd Edora 8 Qdpl Hf-T,18500.0,18500.0,2738.0,14800.0,23
CDM,80501816,Lead Icd Sentus Promri Otw Qdpl Lt Vntrc L 85/49,6750.0,6750.0,999.0,5400.0,23
CDM,80501822,Defibrillator Crd Acticor 7 Hf-T Qp,49500.0,49500.0,7326.0,39600.0,23
CDM,80501824,Defibrillator Crd Acticor 7 Vr-T Dx,43500.0,43500.0,6438.0,34800.0,23
CDM,80501825,Defibrillator Cardiac Ilivia Neo 7 Dr T Conn,43750.0,43750.0,6475.0,35000.0,23
CDM,80501831,Defibrillator Cardiac Intica Neo 7,49500.0,49500.0,7326.0,39600.0,23
CDM,80501837,Lead Dfbr 65cm Strl Lf 15cm Plexa Promri Df4 Crd Disp S Dx,10000.0,10000.0,1480.0,8000.0,23
CDM,80501838,Lead Dfbr 65cm Strl Lf 17cm Plexa Promri Df4 Crd Disp S Dx,10000.0,10000.0,1480.0,8000.0,23
CDM,80501887,System Coron Stent 15mm 2.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80501888,System Coron Stent 15mm 3mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80501889,System Coron Stent 15mm 3.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80501890,System Coron Stent 15mm 4mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80501891,System Coron Stent 15mm 4.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80501892,System Coron Stent 15mm 5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CDM,80502188,Defibrillator Crd Thk12mm 51x69mm 31cc Gallant Impl 2 Chmbr,18750.0,18750.0,2775.0,15000.0,23
CDM,80502190,Defibrillator Crd Thk12mm 51x74mm 34cc Gallant Hf Df4 Is-4,24250.0,24250.0,3589.0,19400.0,23
CDM,80502192,Defibrillator Crd Thk12mm 51x63mm 30cc Gallant 1 Chmbr Df4,18750.0,18750.0,2775.0,15000.0,23
CDM,80502268,Lead Pcng 47mm Spc Trd S 4.7fr 86cm Ns Lf Qrtt 4 Eltrd Is-4,3400.0,3400.0,503.2,2720.0,23
CDM,80502278,Generator Pacemaker Assurity MRI Thk6 Mm W50 Mm X H47 Mm,4000.0,4000.0,592.0,3200.0,23
CDM,80502307,Particles Embl 2.5mm 1ml Grn Embocube Syr Geltn 50mg .024in,163.0,163.0,24.12,130.4,23
CDM,80502308,Particles Embl 5mm 3ml Rd Embocube Syr Geltn 50mg .04in Mcth,325.0,325.0,48.1,260.0,23
CDM,80502316,Microcatheter Infs .021in 160cm Strl Lf Phenom Disp,2988.0,2988.0,442.22,2390.4,23
CDM,80502317,Catheter Infs Mic Strg .021in 150cm Phenom,2988.0,2988.0,442.22,2390.4,23
CDM,80502318,Catheter Sct 71 125cm Lg Bore,6750.0,6750.0,999.0,5400.0,23
CDM,80502319,Catheter Sct 71 132cm Lg Bore,6750.0,6750.0,999.0,5400.0,23
CDM,80502333,Microcatheter Crbrvasc 6fr .108in .088in 95cm Strl Lf 90cm,2988.0,2988.0,442.22,2390.4,23
CDM,80502334,Microcatheter Crbrvasc 6fr .108in .088in 105cm Strl Lf 90cm,2988.0,2988.0,442.22,2390.4,23
CDM,80502335,Catheter Thrmb 6fr .108in .088in 100cm Strl Lf Zoom Lg Dist,7488.0,7488.0,1108.22,5990.4,23
CDM,80502336,Catheter Thrmb 6fr .108in .088in 110cm Strl Lf Zoom Lg Dist,7488.0,7488.0,1108.22,5990.4,23
CDM,80502337,Catheter Thrmb .083in 137cm Strl Lf Zoom Reperfusion,6213.0,6213.0,919.52,4970.4,23
CDM,80502338,Catheter Thrmb .055in 137cm Strl Lf Zoom Reperfusion,5283.0,5283.0,781.88,4226.4,23
CDM,80502339,Catheter Thrmb .045in 144cm Strl Lf Zoom Reperfusion,6213.0,6213.0,919.52,4970.4,23
CDM,80502340,Catheter Thrmb .051in .035in 158cm Strl Lf Zoom Reperfusion,4213.0,4213.0,623.52,3370.4,23
CDM,80502347,Mac Arrowguardblue Catheter Kit,402.0,402.0,59.5,321.6,23
CDM,80502430,Embotrap III Revascularization 5x22 194cm,9500.0,9500.0,1406.0,7600.0,23
CDM,80502431,Embotrap III Revascularization 5x37 195cm,9500.0,9500.0,1406.0,7600.0,23
CDM,80502434,"Cerebase Long Guide Sheath 0.090"" X 8f X 90cm",1125.0,1125.0,166.5,900.0,23
CDM,80502435,"Cerebase Long Guide Sheath 0.090"" X 8f X 95cm",1125.0,1125.0,166.5,900.0,23
CDM,80502436,"Cerebase Long Guide Sheath 0.090"" X 8f X 80cm",1125.0,1125.0,166.5,900.0,23
CDM,80502439,Introducer Cath Xl 20fr 40cm Strl 56cm Ckfl Dil Radopq Disp,981.0,981.0,145.19,784.8,23
CDM,80502440,Plug Cv 155cm 7mm 12.5mm Strl Lf 125cm Amplzr Ty IV Dlv Sys,2375.0,2375.0,351.5,1900.0,23
CDM,80502477,Catheter Pa Std 8fr 110cm Strl Ltx Sg Ccombo Vip Svo2 Td Co,670.0,670.0,99.16,536.0,23
CDM,80502486,Guidewire Vasc 80cm .014in Intmd Tip Radiopq Kink,608.0,608.0,89.98,486.4,23
CDM,80502523,Set Ndl 15ga 15mm Strl Lf Ezio Wrst Band Shrp Blck Xtn Disp,342.0,342.0,50.62,273.6,23
CDM,80502524,Set Ndl 15ga 44mm Strl Lf Ez-Cnct Ndl Vise Wrsbnd Shrp,342.0,342.0,50.62,273.6,23
CDM,80502638,Button Gstrm 20fr 3.5cm 5ml St,256.0,256.0,37.89,204.8,23
CDM,80502639,Kit Pg 20fr Pul Evv Enfit,227.0,227.0,33.6,181.6,23
CDM,80502640,Kit Pg 20fr Push Evv Enfit,227.0,227.0,33.6,181.6,23
CDM,80502641,Kit Pg 24fr Pul Evv Enfit,227.0,227.0,33.6,181.6,23
CDM,80502642,Kit Pg 20fr Pul Evv Enfit Std,155.0,155.0,22.94,124.0,23
CDM,80502643,Kit Pg 20fr Push Evv Enfit Std,155.0,155.0,22.94,124.0,23
CDM,80502644,Button 1.7cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CDM,80502645,Button 2.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CDM,80502646,Button 3.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CDM,80502647,Button 4.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CDM,80502648,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502649,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502650,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502651,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502652,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,455.0,455.0,67.34,364.0,23
CDM,80502653,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,455.0,455.0,67.34,364.0,23
CDM,80502654,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,455.0,455.0,67.34,364.0,23
CDM,80502655,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502656,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502657,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502658,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502659,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Push Evv,455.0,455.0,67.34,364.0,23
CDM,80502660,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Push Evv,455.0,455.0,67.34,364.0,23
CDM,80502661,Kit Pg 20fr Sil Clmp Fenestrate Drp Push Evv Std,148.0,148.0,21.9,118.4,23
CDM,80502664,Monitor Crd Lux-Dx Ins Strl Latex Free Disp,11250.0,11250.0,1665.0,9000.0,23
CDM,80502665,Stent Endoprsth Vns 20mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502666,Stent Endoprsth Vns 42mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502667,Stent Endoprsth Vns 68mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502668,Stent Endoprsth Vns 94mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502669,Stent Endoprsth Vns 20mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502670,Stent Endoprsth Vns 40mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502671,Stent Endoprsth Vns 40mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502672,Stent Endoprsth Vns 60mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502673,Stent Endoprsth Vns 60mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502674,Stent Endoprsth Vns 90mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502675,Stent Endoprsth Vns 90mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502676,Stent Endoprsth Vns 20mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502677,Stent Endoprsth Vns 40mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502678,Stent Endoprsth Vns 60mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502679,Stent Endoprsth Vns 90mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502680,Stent Endoprsth Vns 20mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502681,Stent Endoprsth Vns 40mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502682,Stent Endoprsth Vns 60mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502683,Stent Endoprsth Vns 90mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502684,Stent Endoprsth Vns 40mm 18mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CDM,80502685,Stent Endoprsth Vns 60mm 18mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CDM,80502686,Stent Endoprsth Vns 40mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CDM,80502687,Stent Endoprsth Vns 55mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CDM,80502688,System Coron Stent 8mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502689,System Coron Stent 8mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502690,System Coron Stent 8mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502691,System Coron Stent 8mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502692,System Coron Stent 12mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502693,System Coron Stent 12mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502694,System Coron Stent 12mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502695,System Coron Stent 12mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502696,System Coron Stent 16mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502697,System Coron Stent 16mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502698,System Coron Stent 16mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502699,System Coron Stent 16mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502700,System Coron Stent 20mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502701,System Coron Stent 20mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502702,System Coron Stent 20mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502703,System Coron Stent 20mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502704,System Coron Stent 24mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502705,System Coron Stent 24mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502706,System Coron Stent 24mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502707,System Coron Stent 24mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502708,System Coron Stent 28mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502709,System Coron Stent 28mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502710,System Coron Stent 28mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502711,System Coron Stent 28mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502712,System Coron Stent 32mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502713,System Coron Stent 32mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502714,System Coron Stent 32mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502715,System Coron Stent 32mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CDM,80502736,Catheter Ep 100cm 5fr Xplr St 5mm Spc Crnnd Curve,988.0,988.0,146.22,790.4,23
CDM,80502750,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,23
CDM,80502751,Tube 14fr 3 Port Repl Str Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502752,Tube 16fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502753,Tube 18fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502754,Tube 20fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502755,Tube 22fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502756,Tube 24fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CDM,80502757,Forceps Endscp 130cm 1.2mm Coredx Mini Strl Disp,1310.0,1310.0,193.88,1048.0,23
CDM,80502758,Kit Syr 1 Pk Gel Prefl Predye Orise 10ml,238.0,238.0,35.22,190.4,23
CDM,80502759,Kit Syr 1 Pk Gel Prefl Predye Orise Intjct 10ml 23,300.0,300.0,44.4,240.0,23
CDM,80502760,Device Hmst Rsl 360 235cm 11mm 2.8mm Chnl,17900.0,17900.0,2649.2,14320.0,23
CDM,80502761,Forceps Endscp Algtr Grsp Cath 9mm 2.4mm Rsc 230cm,188.0,188.0,27.82,150.4,23
CDM,80502762,Forceps Grsp Rat Tooth Algtr Jaw Cath 230cm 2.4mm,213.0,213.0,31.52,170.4,23
CDM,80502777,Device Biop 22ga Acquire Endbr US Fn Ndl Strl,888.0,888.0,131.42,710.4,23
CDM,80502778,Device Biop 25ga Acquire Endbr US Fn Ndl Strl,888.0,888.0,131.42,710.4,23
CDM,80502779,Marker Fdcl Str 5mm .018in Lumicoil Pltn,416.0,416.0,61.57,332.8,23
CDM,80502780,Marker Fdcl 5mm .018in Lumicoil Fig 8 Pltn,416.0,416.0,61.57,332.8,23
CDM,80502781,Device Biop 139cm 25ga Acquire Endscp US Fn Ndl,4938.0,4938.0,730.82,3950.4,23
CDM,80502782,Guidewire Endscp .025fr 260cm Jgwr Rev Tung Rnd,424.0,424.0,62.75,339.2,23
CDM,80502783,Guidewire Endscp .025fr 260cm Jgwr Rev Tung Rnd,424.0,424.0,62.75,339.2,23
CDM,80502784,Guidewire Endscp .025in 450cm Rnd Tip Jgwr Rev Ang,424.0,424.0,62.75,339.2,23
CDM,80502785,Guidewire Endscp .025fr 500cm Rev Jgwr Tung Str,424.0,424.0,62.75,339.2,23
CDM,80502786,Button 1.2cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502787,Button 1.7cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502788,Button 3.4cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502789,Button 4.4cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502790,Button 1.7cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502791,Button 2.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502792,Button 3.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502793,Button 4.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CDM,80502794,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502795,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502796,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502797,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502798,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,440.0,440.0,65.12,352.0,23
CDM,80502799,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,440.0,440.0,65.12,352.0,23
CDM,80502800,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,440.0,440.0,65.12,352.0,23
CDM,80502801,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502802,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502803,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502804,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502805,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,23
CDM,80502806,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Push Evv,440.0,440.0,65.12,352.0,23
CDM,80502807,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Push Evv,440.0,440.0,65.12,352.0,23
CDM,80502808,Stent Trchbr 10mm 16fr 20mm Uncover Xpd Prox Rels,7168.0,7168.0,1060.86,5734.4,23
CDM,80502809,Tube Jjnstm 8.5fr Evv Pgtl Tip Feed Thr the Pg Stf,341.0,341.0,50.47,272.8,23
CDM,80502810,Tube Jjnstm 8.5fr Evv Pgtl Tip Feed Thr the Pg Stf,341.0,341.0,50.47,272.8,23
CDM,80502811,Tube Jjnstm 68cm 12fr Evv Bntp Thr the Pg Suture,341.0,341.0,50.47,272.8,23
CDM,80502812,Tube Jjnstm 12fr Evv Pgtl Tip Feed Thr the Pg Stf,341.0,341.0,50.47,272.8,23
CDM,80502813,Kit Pg 24fr Xlcn Sil Trocar Cannu Rnd Xtrn Blstr,219.0,219.0,32.41,175.2,23
CDM,80502814,Kit Pg 24fr Sil Clmp Fenestrate Drp Push Evv Std,148.0,148.0,21.9,118.4,23
CDM,80502815,Kit Pg 18fr Lp Pul 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CDM,80502816,Kit Pg 18fr Lp Pul 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CDM,80502817,Kit Pg 18fr Lp Pul 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CDM,80502818,Kit Pg 24fr Lp Pul 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CDM,80502819,Kit Pg 24fr Lp Pul 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CDM,80502820,Kit Pg 24fr Lp Pul 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CDM,80502821,Kit Pg 18fr Lp Push 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CDM,80502822,Kit Pg 18fr Lp Push 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CDM,80502823,Kit Pg 18fr Lp Push 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CDM,80502824,Kit Pg 24fr Lp Push 1stp Btn 1.7cm,447.0,447.0,66.16,357.6,23
CDM,80502839,Tube 12fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502840,Tube 14fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502841,Tube 16fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502842,Tube 18fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502843,Tube 20fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502844,Tube 24fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502845,Tube 28fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502846,Tube 12fr Std PR Repl Bln Blstr Gstrm Evv Right,78.0,78.0,11.54,62.4,23
CDM,80502847,Tube 28fr Std PR Repl Bln Blstr Gstrm Evv Right,78.0,78.0,11.54,62.4,23
CDM,80502848,Tube 22fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CDM,80502849,Sphntm 5mm 450cm 3.9fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,23
CDM,80502850,Sphntm 5mm 450cm 4.4fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,23
CDM,80502851,Sphntm 5mm 450cm 3.9fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,23
CDM,80502852,Sphntm 5mm 450cm 4.4fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,23
CDM,80502853,Guidewire Endscp 3.9fr 20mm Jgwr Rev Tung Str 5mm,1002.0,1002.0,148.3,801.6,23
CDM,80502854,Sphntm 20mm 5mm 3.9fr .025in Jgwr Jagtome Atme Rev,1002.0,1002.0,148.3,801.6,23
CDM,80502855,Guidewire Endscp 3.9fr .025in 20mm Rev Hprfr Jgwr,1002.0,1002.0,148.3,801.6,23
CDM,80502856,Guidewire Endscp 3.9fr .025in 20mm Strp Hydphi Tpr,1002.0,1002.0,148.3,801.6,23
CDM,80502860,Lead Dfbr 70cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CDM,80502861,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CDM,80502862,Lead Dfbr 59cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CDM,80502863,System Crd Monitr Lux-Dx Cln Ast Kit Mbl Dev,498.0,498.0,73.7,398.4,23
CDM,80502864,Needle Aspirat 15mm 20ga 1.8mm Excelon Trnbr Syr,315.0,315.0,46.62,252.0,23
CDM,80502865,Stylet Lead Grn Orng 90cm .014in Str Sft Knob Cap,113.0,113.0,16.72,90.4,23
CDM,80502867,Lead Pcng 45cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CDM,80502868,Lead Pcng 52cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CDM,80502869,Lead Pcng 59cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CDM,80502870,Catheter Cardio 40cm Aust C Multpur St Slct Pcng,1125.0,1125.0,166.5,900.0,23
CDM,80502871,Mcth Infus 80cm 3-2.8fr .027in Rngd Hfl Hydphi Kit,900.0,900.0,133.2,720.0,23
CDM,80502872,Stent Vasc 7mm 20mm 75cm Slf Xpd Ilc Art Ep Ntnl,1463.0,1463.0,216.52,1170.4,23
CDM,80502874,Stent Endoprsth Vns 90mm 18mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CDM,80502875,Stent Endoprsth Vns 80mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CDM,80502876,Catheter Baldilat 4mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502877,Catheter Baldilat 4mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502878,Catheter Baldilat 4mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502879,Catheter Baldilat 4mm 80cm 100mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502880,Catheter Baldilat 4mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CDM,80502881,Catheter Baldilat 4mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CDM,80502882,Catheter Baldilat 5mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502883,Catheter Baldilat 5mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502884,Catheter Baldilat 5mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502885,Catheter Baldilat 5mm 80cm 100mm Otw Drg Coat,3488.0,3488.0,516.22,2790.4,23
CDM,80502886,Catheter Baldilat 5mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CDM,80502887,Catheter Baldilat 5mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CDM,80502888,Catheter Baldilat 6mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502889,Catheter Baldilat 6mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502890,Catheter Baldilat 6mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502891,Catheter Baldilat 6mm 80cm 100mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502892,Catheter Baldilat 6mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CDM,80502893,Catheter Baldilat 6mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CDM,80502894,Catheter Baldilat 7mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502895,Catheter Baldilat 7mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502896,Catheter Baldilat 7mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CDM,80502897,Catheter Guid 7fr Hflo Sftp Dx Crd,606.0,606.0,89.69,484.8,23
CDM,80502898,Catheter Baldilat 3mm 142cm 25mm Otw Push Coil,270.0,270.0,39.96,216.0,23
CDM,80502899,Catheter Guid 100cm 6fr Mach1 Fr4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502900,Catheter Guid 100cm 6fr Mach1 Q-Curve 4.5 Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502901,Catheter Guid 100cm 6fr Mach1 Fr3 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502902,Catheter Guid 100cm 6fr Mach1 Rc4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502903,Catheter Guid 100cm 6fr Mach1 Fr3.5 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502904,Catheter Guid 100cm 6fr Mach1 Radl Curve Peri,103.0,103.0,15.24,82.4,23
CDM,80502905,Catheter Guid 100cm 6fr Mach1 Art4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502906,Catheter Guid 100cm 6fr Mach1 Ml4.5 Curve Peri,103.0,103.0,15.24,82.4,23
CDM,80502907,Catheter Guid 90cm 6fr Mach1 Mann Im Curve Peri,103.0,103.0,15.24,82.4,23
CDM,80502908,Catheter Guid 100cm 8fr Mach1 Fl3 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502909,Catheter Guid 100cm 8fr Mach1 Jr4.5 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CDM,80502910,Catheter Baldilat 2.25mm 142cm 25mm Tpr Distal,270.0,270.0,39.96,216.0,23
CDM,80502911,Guidewire Vasc 185cm .014in Flxb Intmd Tip Mdrt,159.0,159.0,23.53,127.2,23
CDM,80502912,Catheter Baldilat 2mm 142cm 40mm Radiopq Optileap,275.0,275.0,40.7,220.0,23
CDM,80502913,Catheter Guid 100cm 6fr Rwy Fcr3.5 Curve Fem Ptfe,103.0,103.0,15.24,82.4,23
CDM,80502914,Catheter Guid 100cm 6fr Rwy Vl5 Curve Fem Ptfe Lg,103.0,103.0,15.24,82.4,23
CDM,80502915,Stylet Lead 100cm .014in Sft Wht Cap Grn Knob Str,113.0,113.0,16.72,90.4,23
CDM,80502916,Stylet Lead 45cm .014in Str Limber,113.0,113.0,16.72,90.4,23
CDM,80502925,Occluder Cv 45d 5mm 13-17mm 3mm Strl Lf Amplzr 2 Disc Slf,16558.0,16558.0,2450.58,13246.4,23
CDM,80502926,Occluder Cv 45d Crv 7mm 15-19mm 3mm Strl Lf Amplzr 2 Disk,16558.0,16558.0,2450.58,13246.4,23
CDM,80502927,Occluder Cv 45d Crv 10mm 18-22mm 3mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CDM,80502928,Occluder Cv 45d Crv 12mm 22-26mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CDM,80502929,Occluder Cv 45d Crv 15mm 25-29mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CDM,80502930,Occluder Cv 45d Crv 18mm 28-32mm 4mm Amplzr 2 Disc Slf Xpd,16558.0,16558.0,2450.58,13246.4,23
CDM,80502931,Occluder Cv 45d Crv 30mm 40-44mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CDM,80502932,Occluder Cv 45d Crv 18mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CDM,80502933,Occluder Cv 45d Crv 25mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,16558.0,16558.0,2450.58,13246.4,23
CDM,80502934,Occluder Cv 45d Crv 30mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,16558.0,16558.0,2450.58,13246.4,23
CDM,80502935,Catheter Es 180d 6fr 80cm Amplzr Torqvue Shth Reinf Radopq,1840.0,1840.0,272.32,1472.0,23
CDM,80502936,Guidewire Vasc Mod J Crv .035in 260cm Strl Lf 7.5mm Amplzr,133.0,133.0,19.68,106.4,23
CDM,80502937,Guidewire Vasc Mod J Crv .035in 260cm Strl Lf 1.5mm Amplzr,133.0,133.0,19.68,106.4,23
CDM,80502938,Guidewire Vasc J Crv .035in 300cm Strl Lf 6mm Amplzr Flx Tp,133.0,133.0,19.68,106.4,23
CDM,80502939,Guidewire Vasc J Crv .035in 300cm Strl Lf 6mm Amplzr Flx Tp,133.0,133.0,19.68,106.4,23
CDM,80502940,Catheter Dlv Sys 180d 5fr 60cm Amplzr Torqvue Shth Dil Reinf,1840.0,1840.0,272.32,1472.0,23
CDM,80502941,Catheter Dlv Sys 45d 6fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CDM,80502942,Catheter Dlv Sys 45d 7fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CDM,80502943,System Dlv 45d 7fr 80cm Amplzr Torqvue Lfric Radopq Tip,1840.0,1840.0,272.32,1472.0,23
CDM,80502944,Catheter Dlv Sys 45d 8fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CDM,80502945,Catheter Dlv Sys 45d 8fr 80cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CDM,80502946,Catheter Dlv Sys 45d 9fr 80cm Amplzr Torqvue Radopq Tip,1840.0,1840.0,272.32,1472.0,23
CDM,80502947,Occluder Cv Cone 6-4mm 10mm 7mm Strl Lf Amplzr Slf Xpd Scr,10763.0,10763.0,1592.92,8610.4,23
CDM,80502948,Occluder Cv 10mm Strl Lf Amplzr Ductal Disp,10763.0,10763.0,1592.92,8610.4,23
CDM,80502949,Occluder Cv 8mm Strl Lf Amplzr Ductal Disp,10763.0,10763.0,1592.92,8610.4,23
CDM,80502950,Occluder Cv 9mm 3mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CDM,80502951,Occluder Cv 10mm 4mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CDM,80502952,Occluder Cv 11mm 5mm 4mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CDM,80502953,Occluder Cv 11mm 5mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CDM,80502954,Occluder Cv 12mm 6mm 4.25mm Amplzr Torqvue Lp 2 Artc Disc 6,12863.0,12863.0,1903.72,10290.4,23
CDM,80502955,Occluder Cv 12mm 6mm 6.25mm Amplzr Torqvue Lp 2 Artc Disc 6,12863.0,12863.0,1903.72,10290.4,23
CDM,80502956,Occluder Cv 35mm Strl Lf Amplzr,24988.0,24988.0,3698.22,19990.4,23
CDM,80502957,Sheath Dlv 45d 9fr .15in .118in 100cm Strl Lf Amplzr Torqvue,2170.0,2170.0,321.16,1736.0,23
CDM,80502958,Sheath Dlv 45d 12fr .189in .157in 100cm Strl Lf Amplzr,2170.0,2170.0,321.16,1736.0,23
CDM,80502959,Sheath Dlv 45d 14fr .215in .184in 100cm Strl Lf Amplzr,2170.0,2170.0,321.16,1736.0,23
CDM,80502960,System Dlv 90d 4fr 1.4in 1.17in 60cm 160cm Amplzr Torqvue Ss,1840.0,1840.0,272.32,1472.0,23
CDM,80502961,System Dlv 90d 4fr .055in .046in 80cm 195cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CDM,80502962,System Dlv 90d 5fr .068in .059in 60cm 160cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CDM,80502963,System Dlv 90d 5fr .068in .059in 80cm 195cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CDM,80502964,Occluder Cv Crv 6mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CDM,80502965,Occluder Cv Crv 8mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CDM,80502966,Occluder Cv 12mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv Sys,19933.0,19933.0,2950.08,15946.4,23
CDM,80502967,Occluder Cv 14mm 22mm 7mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,19933.0,19933.0,2950.08,15946.4,23
CDM,80502968,Occluder Cv Crv 18mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CDM,80502972,Introducer Shth .038in 8fr 80cm Strl Flxr Shtl Sl 1 Dil T-B,188.0,188.0,27.82,150.4,23
CDM,80502973,Retriever Trevo Nxt Provue 6 X,13500.0,13500.0,1998.0,10800.0,23
CDM,80502976,Canister Sct Ns Penumbra Eng,900.0,900.0,133.2,720.0,23
CDM,80502978,Coil Embl Std .02in 4mm 10cm Penumbra Coil 400 Ruby Cmplx Lg,2475.0,2475.0,366.3,1980.0,23
CDM,80502979,Coil Embl 1mm 2cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502980,Coil Embl 1mm 5cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502981,Coil Embl 2mm 2cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502982,Coil Embl 2mm 4cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502983,Coil Embl 2mm 10cm Strl Lf Ruby Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502984,Coil Embl 3mm 4cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502985,Coil Embl 3mm 10cm Strl Lf Ruby Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502986,Coil Embl 3mm 15cm Strl Lf Ruby Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502987,Coil Embl 4mm 6cm Strl Lf Ruby Lp,1975.0,1975.0,292.3,1580.0,23
CDM,80502988,Coil Embl 4mm 15cm Strl Lf Ruby Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502989,Coil Embl 4mm 30cm Strl Lf Ruby Lp,3225.0,3225.0,477.3,2580.0,23
CDM,80502990,Coil Embl 3cm Strl Lf Pk Coil Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502991,Coil Embl 6cm Strl Lf Pk Coil Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502992,Coil Embl 10cm Strl Lf Pk Coil Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502993,Coil Embl 15cm Strl Lf Pk Coil Lp,2475.0,2475.0,366.3,1980.0,23
CDM,80502994,Coil Embl 30cm Strl Lf Pk Coil Lp,3225.0,3225.0,477.3,2580.0,23
CDM,80502995,Handle Inst Strl Lf Dtch Disp Lp Coil Sys,595.0,595.0,88.06,476.0,23
CDM,80503313,System Nrstm Barostim Neo Ipg 1 Modl 1036 Csl Cmbn Kt Csl Ld,87500.0,87500.0,12950.0,70000.0,23
CDM,80503314,Generator Nrstm Strl Lf Barostim Neo Pls Modl 2102,78750.0,78750.0,11655.0,63000.0,23
CDM,80503315,Kit Nrstm Shrt Strl Lf Barostim Neo Ld Crtd Sin Modl 1036,17500.0,17500.0,2590.0,14000.0,23
CDM,80512467,Lancet Phleb 2mm Xlng Cnvx 21ga Orng Strl Lf Unstk 3 Ato,30.0,30.0,4.44,24.0,23
CDM,80512489,Kit Biopsy Disposable Needle Semi-Automatic 18g X 10cm,140.0,140.0,20.72,112.0,23
CDM,80512490,Kit Biopsy Disposable Needle Semi-Automatic 18g X 16cm,140.0,140.0,20.72,112.0,23
CDM,80512491,Kit Biopsy Disposable Needle Semi-Automatic 18g X 20cm,140.0,140.0,20.72,112.0,23
CDM,80512492,Kit Biopsy Disposable Needle Semi-Automatic 20g X 10cm,140.0,140.0,20.72,112.0,23
CDM,80512493,Kit Biopsy Disposable Needle Semi-Automatic 20g X 16cm,140.0,140.0,20.72,112.0,23
CDM,80512494,Kit Biopsy Disposable Needle Semi-Automatic 20g X 20cm,140.0,140.0,20.72,112.0,23
CDM,80513519,Catheter Flowtriever Sys 40 Micron Filtration 60cc Collect Syringe,30000.0,30000.0,4440.0,24000.0,23
CDM,80513606,Device Thrmb 20mm 4mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CDM,80513607,Device Thrmb 40mm 5mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CDM,80513608,Device Thrmb 30mm 6mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CDM,80513610,Matrix Tiss 25cmx13cmx1mm Surgimend Flat Rect Bvn,12187.5,12187.5,1803.75,9750.0,23
CDM,80513611,Matrix Tiss 16cmx4cmx1mm Surgimend Flat Rect Bvn,2400.0,2400.0,355.2,1920.0,23
CDM,80513612,Matrix Tiss 3cmx3cmx1mm Surgimend Flat Sq Bvn Derm,337.5,337.5,49.95,270.0,23
CDM,80513613,Matrix Tiss 7cmx4cmx1mm Surgimend Flat Rect Bvn,1050.0,1050.0,155.4,840.0,23
CDM,80513614,Matrix Tiss 30cmx20cmx1mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CDM,80513615,Matrix Tiss 7cmx4cmx.6mm Surgimend Thn Flat Rect,1050.0,1050.0,155.4,840.0,23
CDM,80513616,Mesh Surg Surgimend 6x5cm Strl Aclr Drml Tiss Mtrx,1125.0,1125.0,166.5,900.0,23
CDM,80513617,Matrix Tiss 3cmx3cmx.6mm Surgimend Thn Flat Sq Bvn,337.5,337.5,49.95,270.0,23
CDM,80513618,Matrix Tiss 25cmx.3cmx1mm Surgimend Flat Rect Bvn,282.5,282.5,41.81,226.0,23
CDM,80513619,Matrix Tiss 25cmx.6cmx1mm Surgimend Flat Rect Bvn,562.5,562.5,83.25,450.0,23
CDM,80513620,Matrix Tiss 25cmx1cmx1mm Surgimend Flat Rect Bvn,937.5,937.5,138.75,750.0,23
CDM,80513621,Matrix Tiss 15cmx10cmx1mm Surgimend Flat Semioval,6750.0,6750.0,999.0,5400.0,23
CDM,80513622,Matrix Tiss 17cmx7cmx1mm Surgimend Flat Rect Bvn,5355.0,5355.0,792.54,4284.0,23
CDM,80513623,Matrix Tiss 15cmx15cmx1mm Surgimend Flat Semioval,10125.0,10125.0,1498.5,8100.0,23
CDM,80513624,Matrix Tiss 20cmx8cmx1mm Surgimend Flat Rect Bvn,7200.0,7200.0,1065.6,5760.0,23
CDM,80513625,Matrix Tiss 15cmx10cmx1mm Surgimend Flat Semioval,5130.0,5130.0,759.24,4104.0,23
CDM,80513626,Matrix Tiss 17cmx7cmx1mm Surgimend Flat Semioval,5355.0,5355.0,792.54,4284.0,23
CDM,80513627,Matrix Tiss 16cmx8cmx.6mm Surgimend Thn Flat,5760.0,5760.0,852.48,4608.0,23
CDM,80513628,Matrix Tiss 20cmx10cmx.6mm Surgimend Flat Rect Bvn,9000.0,9000.0,1332.0,7200.0,23
CDM,80513629,Matrix Tiss 16cmx6cmx1mm Surgimend Flat Semioval,4320.0,4320.0,639.36,3456.0,23
CDM,80513630,Matrix Tiss 12cmx8cmx.6mm Surgimend Thn Flat Ovl,4320.0,4320.0,639.36,3456.0,23
CDM,80513631,Matrix Tiss 15cmx10cmx.6mm Surgimend Thn Flat Ovl,6750.0,6750.0,999.0,5400.0,23
CDM,80513632,Matrix Tiss 12cmx8cmx.6mm Surgimend Thn Flat Rect,3600.0,3600.0,532.8,2880.0,23
CDM,80513633,Matrix Tiss 15cmx10cmx.6mm Surgimend Thn Flat Rect,5625.0,5625.0,832.5,4500.0,23
CDM,80513634,Matrix Tiss 6cmx5cmx2mm Surgimend Flat Rect Bvn,1125.0,1125.0,166.5,900.0,23
CDM,80513635,Matrix Tiss 25cmx13cmx2mm Surgimend Flat Rect Bvn,12187.5,12187.5,1803.75,9750.0,23
CDM,80513636,Matrix Tiss 30cmx20cmx2mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CDM,80513637,Matrix Tiss 20cmx20cmx2mm Surgimend Flat Sq Bvn,15000.0,15000.0,2220.0,12000.0,23
CDM,80513638,Matrix Tiss 25cmx20cmx2mm Surgimend Flat Rect Bvn,18750.0,18750.0,2775.0,15000.0,23
CDM,80513639,Matrix Tiss 15cmx10cmx2mm Surgimend Flat Bvn Derm,5625.0,5625.0,832.5,4500.0,23
CDM,80513640,Mesh Surg Surgimend 20x20mm Prfr Aclr Clgn Mtrx,15000.0,15000.0,2220.0,12000.0,23
CDM,80513641,Matrix Tiss 25cmx13cmx2mm Surgimend Flat Bvn Derm,12187.5,12187.5,1803.75,9750.0,23
CDM,80513642,Matrix Tiss 20cmx16cmx2mm Surgimend Flat Bvn Derm,12000.0,12000.0,1776.0,9600.0,23
CDM,80513643,Mesh Surg Surgimend Mp 25cmx20cmx2mm,18750.0,18750.0,2775.0,15000.0,23
CDM,80513644,Mesh Surg Surgimend 30x20cm Macroporous Aclr Clgn,22500.0,22500.0,3330.0,18000.0,23
CDM,80513645,Mesh Surg Surgimend 40x25cm Thk2mm,37500.0,37500.0,5550.0,30000.0,23
CDM,80513646,Matrix Tiss 6cmx5cmx3mm Surgimend Flat Rect Bvn,1350.0,1350.0,199.8,1080.0,23
CDM,80513647,Matrix Tiss 20cmx20cmx3mm Surgimend Flat Sq Bvn,18000.0,18000.0,2664.0,14400.0,23
CDM,80513648,Matrix Tiss 25cmx10cmx3mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CDM,80513649,Matrix Tiss 25cmx10cmx3mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CDM,80513650,Matrix Tiss 6cmx5cmx4mm Surgimend Flat Rect Bvn,1425.0,1425.0,210.9,1140.0,23
CDM,80513651,Matrix Tiss 25cmx10cmx4mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CDM,80513652,Matrix Tiss 25cmx10cmx4mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CDM,80513653,Matrix Tiss Biodrestore Sm Amnio Algrf Morselize,1500.0,1500.0,222.0,1200.0,23
CDM,80513654,Matrix Tiss Biodrestore Med Amnio Algrf Morselize,2750.0,2750.0,407.0,2200.0,23
CDM,80513655,Matrix Tiss Biodrestore Lg Amnio Algrf Morselize,4375.0,4375.0,647.5,3500.0,23
CDM,80513656,Matrix Tiss Biodrestore Xl Amnio Algrf Morselize,7500.0,7500.0,1110.0,6000.0,23
CDM,80513657,Matrix Tiss Biodrestore 2xl Amnio Algrf Morselize,10375.0,10375.0,1535.5,8300.0,23
CDM,80513658,Matrix Tiss Biodfactor Sm Amnio Algrf Morselize,2337.5,2337.5,345.95,1870.0,23
CDM,80513659,Matrix Tiss Biodfactor Med Amnio Algrf Morselize,3700.0,3700.0,547.6,2960.0,23
CDM,80513660,Matrix Tiss Biodfactor Lg Amnio Algrf Morselize,7200.0,7200.0,1065.6,5760.0,23
CDM,80513661,Matrix Tiss Biodfactor Xl Amnio Algrf Morselize,14250.0,14250.0,2109.0,11400.0,23
CDM,80513662,Matrix Tiss Biodfactor 2xl Amnio Algrf Morselize,21875.0,21875.0,3237.5,17500.0,23
CDM,80513663,Graft Sft Tis 2x1.5cm Bioddryflex Plcnt Membr,2870.0,2870.0,424.76,2296.0,23
CDM,80513664,Graft Sft Tis 3x2cm Bioddryflex Plcnt Membr Algrf,3150.0,3150.0,466.2,2520.0,23
CDM,80513665,Graft Sft Tis 6x2cm Bioddryflex Plcnt Membr Algrf,5132.5,5132.5,759.61,4106.0,23
CDM,80513666,Graft Sft Tis 4x4cm Bioddryflex Plcnt Membr Algrf,6482.5,6482.5,959.41,5186.0,23
CDM,80513708,Graft Sft Tis 8x4cm Bioddryflex Plcnt Membr Algrf,11250.0,11250.0,1665.0,9000.0,23
CDM,80513709,Graft Sft Tis 2x1.5cm Biodfence G3 Plcnt Membr,2375.0,2375.0,351.5,1900.0,23
CDM,80513710,Graft Sft Tis 2x2cm Biodfence G3 Plcnt Membr Algrf,3000.0,3000.0,444.0,2400.0,23
CDM,80513711,Graft Sft Tis 3x2cm Biodfence G3 Plcnt Membr Algrf,3250.0,3250.0,481.0,2600.0,23
CDM,80513712,Graft Sft Tis 4x2cm Biodfence G3 Plcnt Membr Algrf,5000.0,5000.0,740.0,4000.0,23
CDM,80513713,Graft Sft Tis 6x2cm Biodfence G3 Plcnt Membr Algrf,5500.0,5500.0,814.0,4400.0,23
CDM,80513714,Graft Sft Tis 6x3cm Biodfence G3 Plcnt Membr Algrf,7125.0,7125.0,1054.5,5700.0,23
CDM,80513715,Graft Sft Tis 8x4cm Biodfence G3 Plcnt Membr Algrf,12000.0,12000.0,1776.0,9600.0,23
CDM,80513716,Graft Sft Tis 6x3cm Biodfence Sntr Plcnt Membr,7125.0,7125.0,1054.5,5700.0,23
CDM,80513717,Graft Sft Tis 4x4cm Biodfence Sntr Plcnt Membr,6750.0,6750.0,999.0,5400.0,23
CDM,80513718,Graft Sft Tis 8x4cm Biodfence Sntr Plcnt Membr,12000.0,12000.0,1776.0,9600.0,23
CDM,80513719,Graft Sft Tis 4x2cm Biodfence Sntr Plcnt Tiss,5250.0,5250.0,777.0,4200.0,23
CDM,80513720,Graft Sft Tis 6x2cm Biodfence Sntr Plcnt Tiss,5500.0,5500.0,814.0,4400.0,23
CDM,80513721,Graft Sft Tis 8x2cm Biodfence Sntr Plcnt Tiss,6000.0,6000.0,888.0,4800.0,23
CDM,80513722,Graft Sft Tis 4x3cm Biodfence Sntr Plcnt Tiss,6500.0,6500.0,962.0,5200.0,23
CDM,80513723,Matrix Tiss 40cmx25cmx1mm Surgimend Flat Rect Bvn,37500.0,37500.0,5550.0,30000.0,23
CDM,80513724,Matrix Tiss 20cmx10cmx1mm Surgimend Flat Bvn Derm,17250.0,17250.0,2553.0,13800.0,23
CDM,80513725,Matrix Tiss 20cmx16cmx2mm Surgimend Flat Rect Bvn,12000.0,12000.0,1776.0,9600.0,23
CDM,80513726,Matrix Tiss 40cmx25cmx2mm Surgimend Flat Rect Bvn,37500.0,37500.0,5550.0,30000.0,23
CDM,80513727,Matrix Tiss 25cmx20cmx3mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CDM,80513728,Graft Sft Tis 4x4cm Biodfence G3 Plcnt Membr Algrf,6750.0,6750.0,999.0,5400.0,23
CDM,80513729,Matrix Tiss 6cmx5cmx1mm Surgimend Flat Rect Bvn,1125.0,1125.0,166.5,900.0,23
CDM,80513730,Matrix Tiss 12cmx6cmx1mm Surgimend Flat Rect Bvn,2700.0,2700.0,399.6,2160.0,23
CDM,80513731,Matrix Tiss 10cmx10cmx1mm Surgimend Flat Sq Bvn,3750.0,3750.0,555.0,3000.0,23
CDM,80513732,Matrix Tiss 15cmx10cmx1mm Surgimend Flat Rect Bvn,5625.0,5625.0,832.5,4500.0,23
CDM,80513733,Matrix Tiss 20cmx10cmx1mm Surgimend Flat Rect Bvn,7500.0,7500.0,1110.0,6000.0,23
CDM,80513734,Matrix Tiss 12cmx4cmx1mm Surgimend Flat Rect Bvn,1800.0,1800.0,266.4,1440.0,23
CDM,80513735,Matrix Tiss 16cmx6cmx1mm Surgimend Flat Rect Bvn,3600.0,3600.0,532.8,2880.0,23
CDM,80513736,Matrix Tiss 16cmx8cmx1mm Surgimend Flat Rect Bvn,4800.0,4800.0,710.4,3840.0,23
CDM,80513737,Matrix Tiss 12cmx6cmx3mm Surgimend Flat Rect Bvn,3240.0,3240.0,479.52,2592.0,23
CDM,80513738,Matrix Tiss 15cmx10cmx3mm Surgimend Flat Rect Bvn,6750.0,6750.0,999.0,5400.0,23
CDM,80513739,Matrix Tiss 20cmx16cmx3mm Surgimend Flat Rect Bvn,14400.0,14400.0,2131.2,11520.0,23
CDM,80513740,Matrix Tiss 40cmx25cmx3mm Surgimend Flat Rect Bvn,45000.0,45000.0,6660.0,36000.0,23
CDM,80513741,Matrix Tiss 30cmx20cmx3mm Surgimend Flat Rect Bvn,27000.0,27000.0,3996.0,21600.0,23
CDM,80513742,Matrix Tiss 12cmx6cmx4mm Surgimend Flat Rect Bvn,3420.0,3420.0,506.16,2736.0,23
CDM,80513743,Matrix Tiss 15cmx10cmx4mm Surgimend Flat Rect Bvn,7125.0,7125.0,1054.5,5700.0,23
CDM,80513744,Matrix Tiss 25cmx13cmx4mm Surgimend Flat Rect Bvn,15437.5,15437.5,2284.75,12350.0,23
CDM,80513745,Matrix Tiss 40cmx25cmx4mm Surgimend Flat Rect Bvn,47500.0,47500.0,7030.0,38000.0,23
CDM,80513746,Matrix Tiss 30cmx20cmx4mm Surgimend Flat Rect Bvn,28500.0,28500.0,4218.0,22800.0,23
CDM,80513747,Matrix Tiss 20cmx16cmx1mm Surgimend Flat Rect Bvn,12000.0,12000.0,1776.0,9600.0,23
CDM,80513748,Matrix Tiss 25cmx13cmx3mm Surgimend Flat Rect Bvn,14625.0,14625.0,2164.5,11700.0,23
CDM,80514007,Catheter Blndil .064in 3.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CDM,80514008,Catheter Blndil .064in 4mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CDM,80514009,Catheter Blndil .064in 4.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CDM,80514010,Catheter Blndil .064in 5mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CDM,80514011,Catheter Blndil .064in 5.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CDM,80514012,Catheter Blndil .064in 6mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CDM,80514013,Catheter Blndil .064in 6.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CDM,80514014,Catheter Blndil .064in 7mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CDM,80514015,Catheter Blndil 10 Atm 6 Atm .014in 2.5-.052mm 135cm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CDM,80514016,Catheter Blndil 10 Atm 6 Atm .014in 3-.052mm 40mm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CDM,80514017,Catheter Blndil 10 Atm 6 Atm .014in 3.5-.052mm 135cm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CDM,80514018,Catheter Blndil 10 Atm 6 Atm .014in 4-.052mm 40mm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CDM,80514019,Guidewire Srg Strg Tip 185cm Omniwire Prss Gw,1688.0,1688.0,249.82,1350.4,23
CDM,80514065,M-Drain Catheter L25 Cm Od8 Fr Lock 1 Step Large Oval Sidehole,145.0,145.0,21.46,116.0,23
CDM,80514066,M-Drain Catheter L25 Cm Od10 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CDM,80514067,M-Drain Catheter L25 Cm Od12 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CDM,80514068,M-Drain Catheter L25 Cm Od14 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CDM,80514069,M-Drain Catheter L25 Cm Od16 Fr 1 Step Lock Sterile Latex Free Disp,29.0,29.0,4.29,23.2,23
CDM,80514070,M-Drain Catheter L40 Cm Od8 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CDM,80514071,M-Drain Catheter L40 Cm Od10 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CDM,80514072,M-Drain Catheter L40 Cm Od12 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CDM,80514073,M-Drain Catheter L40 Cm Od14 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CDM,80514076,Catheter Chlgm 65cm Spgl Cholangioscopy,6875.0,6875.0,1017.5,5500.0,23
CDM,80527810,Guidewire Vasc 215cm .014in Sft Acces Pshp 45cm,1484.0,1484.0,219.63,1187.2,23
CDM,80527811,Guidewire Vasc 215cm .014in Sft Acces Lgth Str 35,1484.0,1484.0,219.63,1187.2,23
CDM,80527812,Guidewire Vasc 300cm .014in Sft Exch Pshp 45cm,1841.0,1841.0,272.47,1472.8,23
CDM,80527813,Guidewire Vasc 300cm .014in Sft Exch Lgth Str 35cm,1841.0,1841.0,272.47,1472.8,23
CDM,80527814,Guidewire Vasc 215cm .014in Pshp Acces Std 45cm,1484.0,1484.0,219.63,1187.2,23
CDM,80527815,Guidewire Vasc 215cm .014in Acces Std 45cm Ntnl Ss,1484.0,1484.0,219.63,1187.2,23
CDM,80527816,Guidewire Vasc 300cm .014in Exch Pshp Std 35cm,1841.0,1841.0,272.47,1472.8,23
CDM,80527817,Guidewire Vasc 300cm .014in Exch Std 35cm Snchr,1841.0,1841.0,272.47,1472.8,23
CDM,80527818,Guidewire Vasc 215cm .014in Acces Sprt Pshp 35cm,1484.0,1484.0,219.63,1187.2,23
CDM,80527819,Guidewire Vasc 215cm .014in Acces Sprt 35 Snchr,1484.0,1484.0,219.63,1187.2,23
CDM,80527820,Guidewire Vasc 300cm .014in Exch Sprt Pshp 35cm,1841.0,1841.0,272.47,1472.8,23
CDM,80527868,Kit Mctrdcr 6fr 21ga 20cm Mnstck Echtp Chba Gw Ntnl Tung,838.0,838.0,124.02,670.4,23
CDM,80527869,Kit Mctrdcr .018in 6fr 21ga 20cm Mnstck Echtp Troc Gw Tung,838.0,838.0,124.02,670.4,23
CDM,80527870,Kit Mctrdcr .018in .038in Rsn Crv 6fr 20cm 80cm Mnstck Echtp,838.0,838.0,124.02,670.4,23
CDM,80528373,Kit Surgical Osteocool Od10 Ga Bone Access Sterile Latex Free Disposable,1260.0,1260.0,186.48,1008.0,23
CDM,80528374,System Bone Cement Kyphon 2 Delivery Gun Filler Device,1363.0,1363.0,201.72,1090.4,23
CDM,80528375,Stent Vasc 5mm 40mm Zl Ptx Drg Elute Acpt .035in Gw,2938.0,2938.0,434.82,2350.4,23
CDM,80528376,Stent Vasc 5mm 60mm Zl Ptx Drg Elute Acpt .035in Gw,3738.0,3738.0,553.22,2990.4,23
CDM,80528377,Stent Vasc 5mm 80mm Zl Ptx Drg Elute Acpt .035in Gw,4488.0,4488.0,664.22,3590.4,23
CDM,80528378,Stent Vasc 5mm 100mm Zl Ptx Drg Elute Acpt .035in Gw,4488.0,4488.0,664.22,3590.4,23
CDM,80528379,Stent Vasc 5mm 120mm Zl Ptx Drg Elute Acpt .035in Gw,4988.0,4988.0,738.22,3990.4,23
CDM,80528380,Stent Vasc 5mm 140mm Zl Ptx Drg Elute Acpt .035in Gw,5988.0,5988.0,886.22,4790.4,23
CDM,80528381,Stent Vasc 6mm 140mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,5988.0,5988.0,886.22,4790.4,23
CDM,80528382,Stent Vasc 7mm 140mm 125cm Zl Ptx Otw Drg Elute Peri Acpt,5988.0,5988.0,886.22,4790.4,23
CDM,80528383,Stent Vasc 8mm 40mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,2938.0,2938.0,434.82,2350.4,23
CDM,80528384,Stent Vasc 8mm 60mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,3738.0,3738.0,553.22,2990.4,23
CDM,80528385,Stent Vasc 8mm 80mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,4488.0,4488.0,664.22,3590.4,23
CDM,80528386,Stent Vasc 8mm 100mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,4488.0,4488.0,664.22,3590.4,23
CDM,80528387,Pad Eg Ns Lf Cord Dspr Eltrd Adlt Disp Rf Pain Mgmt Sys,18.75,18.75,2.78,15.0,23
CDM,80528388,Kit Eltx 17ga 100mm Strl 4mm Act Tip Rf Tube Prb Intro Disp,1875.0,1875.0,277.5,1500.0,23
CDM,80528389,Kit Eltx 17ga 150mm Strl Lf 4mm Coolief Cl Rf Prb Disp,1875.0,1875.0,277.5,1500.0,23
CDM,80528390,Kit Eltx 17ga 50mm Strl Lf 2mm Coolief Act Tip Cl Rad Frq,1875.0,1875.0,277.5,1500.0,23
CDM,80528391,Kit Eltx 17ga 50mm Strl Lf Coolief Disp,1875.0,1875.0,277.5,1500.0,23
CDM,80528392,Kit Eltx 17ga 75mm Strl Lf 2mm Coolief Act Tip Prb Intro,1875.0,1875.0,277.5,1500.0,23
CDM,80528393,Kit Eltx 17ga 75mm Strl 4mm Coolief Act Tip Rf Tube Prb,1875.0,1875.0,277.5,1500.0,23
CDM,80528394,Kit Eltx 17ga 75mm Strl 5.5mm Coolief Act Tip Rf Tube Prb,1875.0,1875.0,277.5,1500.0,23
CDM,80528395,Kit Eltx 17ga 100mm Strl Lf 4mm 2 Brtt Cl Rf Prb Intro Disp,3325.0,3325.0,492.1,2660.0,23
CDM,80528396,Kit Esurg Strl Coolief Multicool Rf Disp,3325.0,3325.0,492.1,2660.0,23
CDM,80528397,Kit Eltx 17ga 50mm Strl Lf 2mm 2 Brtt Rf Prb Intro Disp,3325.0,3325.0,492.1,2660.0,23
CDM,80528398,Kit Eltx Coolief 2 Prb 4 Intro 2 Tube Multicool Kn,3325.0,3325.0,492.1,2660.0,23
CDM,80528399,Kit Eltx Coolief Cl Rf Crv,3325.0,3325.0,492.1,2660.0,23
CDM,80528400,Kit Eltx 17ga 75mm Strl Lf 4mm 2 Brtt Cl Rf Prb Intro Disp,3325.0,3325.0,492.1,2660.0,23
CDM,80528401,Kit Eltx Coolief Multicool Rf Thor,3325.0,3325.0,492.1,2660.0,23
CDM,80528488,Mixer Bn Cmnt C20gm Strl Kyphon Ll Fit Dspns Plng Stirr Pdl,220.0,220.0,32.56,176.0,23
CDM,80528489,Cement Bn Strl Kphx Hv-R Pwdr Mx Bd Dspns Plng 30% Baso4,358.0,358.0,52.98,286.4,23
CDM,80528490,Cement Bn Strl Lf Hv-R Kphx Mxr Grad Mrk Dspns Plng Ll Fit,578.0,578.0,85.54,462.4,23
CDM,80528491,Cement Bn Kyphon 10% Ha Activos 10,840.0,840.0,124.32,672.0,23
CDM,80528492,Cement Bn Crtdg Cncrt Crng Sys,275.0,275.0,40.7,220.0,23
CDM,80528493,System Bn Cmnt 3 Kyphon Gun Fil Dev,1363.0,1363.0,201.72,1090.4,23
CDM,80528494,Cement Bn Kyphon Xpede Mxr,345.0,345.0,51.06,276.0,23
CDM,80528495,Introducer Orth Bvl Kphx 1 Stp Osteo Sys,413.0,413.0,61.12,330.4,23
CDM,80528496,Curette Srg 2 Xpr Kyphon T Tip Disp,1363.0,1363.0,201.72,1090.4,23
CDM,80528497,Injector Bn Cmnt 3 Kphx Bln Kyphpl,345.0,345.0,51.06,276.0,23
CDM,80528498,Device Bn Bx 3 Kphx Kyphon Spne,413.0,413.0,61.12,330.4,23
CDM,80528499,Filler Bn Void 2 Kphx,345.0,345.0,51.06,276.0,23
CDM,80528500,Device Bn Bx 2 Cone Tpr Xpndr Kphx Xpr Ll Fit Spec Clt Cnn,385.0,385.0,56.98,308.0,23
CDM,80528501,Tamp Srg 20/2 Xpr II Kt Osteo Intro Sys,8000.0,8000.0,1184.0,6400.0,23
CDM,80528502,Kit Eltx 17ga 7mm Ylw Osteocool Rf Prb,10183.0,10183.0,1507.08,8146.4,23
CDM,80528503,Kit Eltx 17ga 10mm Osteocool Prb Rf,10183.0,10183.0,1507.08,8146.4,23
CDM,80528504,Probe Esurg 17ga 15mm Orng Osteocool Kt Rf Ablt Sys,10183.0,10183.0,1507.08,8146.4,23
CDM,80528505,Kit Eltx 17ga 20mm Osteocool Prb Rf,10183.0,10183.0,1507.08,8146.4,23
CDM,80528506,Introducer Orth 3 8ga Kyphon 1stp Osteo Intro Kt Troc Dmd,3300.0,3300.0,488.4,2640.0,23
CDM,80528507,Cannula Srg 3 Strl Kyphon Ast Drct Bn Perc Disp,1500.0,1500.0,222.0,1200.0,23
CDM,80528508,Introducer Orth Bvl Dmd Pur Taupe Strl Xpr Kyphon Osteo,3300.0,3300.0,488.4,2640.0,23
CDM,80528509,Introducer Orth Wht Xpr Sty Troc Hndl Cnn Disp Kyphpl,1155.0,1155.0,170.94,924.0,23
CDM,80528510,Introducer Orth Xpr Kyphon Adv Osteo,1155.0,1155.0,170.94,924.0,23
CDM,80528511,Introducer Orth 2 Dmd 3.4mm Kyphon Xpr Osteo Intro,1155.0,1155.0,170.94,924.0,23
CDM,80528512,Introducer Orth 2 Bvl 3.4mm Kyphon Xpr Osteo Intro,1155.0,1155.0,170.94,924.0,23
CDM,80528513,Kit Bn Cmnt Vrtbpl,2250.0,2250.0,333.0,1800.0,23
CDM,80528515,Needle Troc Strg 10ga Kyphon V Osteo Intro Vrtbpl,625.0,625.0,92.5,500.0,23
CDM,80528516,Kit Bn Cmnt Crv 13ga Vrtbpl,1450.0,1450.0,214.6,1160.0,23
CDM,80528517,Introducer Orth Bvl 11ga Acc Troc Vrtbpl,625.0,625.0,92.5,500.0,23
CDM,80528536,Allevyn Ag Foam,56.0,56.0,8.29,44.8,23
CDM,80528613,Stent Vasc 10mm 40mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528614,Stent Vasc 10mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528615,Stent Vasc 10mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528616,Stent Vasc 10mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528617,Stent Vasc 10mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528618,Stent Vasc 10mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528619,Stent Vasc 12mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528620,Stent Vasc 12mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528621,Stent Vasc 12mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528622,Stent Vasc 12mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528623,Stent Vasc 12mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528624,Stent Vasc 14mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528625,Stent Vasc 14mm 80mm Slf Xpd Rot Thbwhl Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528626,Stent Vasc 14mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528627,Stent Vasc 14mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528628,Stent Vasc 14mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528629,Stent Vasc 16mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528630,Stent Vasc 16mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528631,Stent Vasc 16mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528632,Stent Vasc 16mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528633,Stent Vasc 18mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528634,Stent Vasc 18mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528635,Stent Vasc 18mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528636,Stent Vasc 18mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528637,Stent Vasc 18mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528638,Stent Vasc 18mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528639,Stent Vasc 20mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528640,Stent Vasc 20mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528641,Stent Vasc 20mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528642,Stent Vasc 20mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CDM,80528643,Stent Vasc 20mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CDM,80528645,Guidewire Vasc 15d Ang .018in 80cm 5cm Ntrx Radopq,145.0,145.0,21.46,116.0,23
CDM,80528660,Coil Embl 3mm 20mm Strl Lf Pod Disp,4475.0,4475.0,662.3,3580.0,23
CDM,80528661,Coil Embl 4mm 30mm Strl Lf Pod Disp,4475.0,4475.0,662.3,3580.0,23
CDM,80528662,Coil Embl 5mm 30mm Strl Lf Pod Disp,4475.0,4475.0,662.3,3580.0,23
CDM,80528663,Coil Embl 6mm 50mm Strl Lf Pod Disp,4475.0,4475.0,662.3,3580.0,23
CDM,80528664,Coil Embl .02in Thk Shapeless 7cm Strl the Penumbra Coil 400,2600.0,2600.0,384.8,2080.0,23
CDM,80528665,Coil Embl .02in Thk Shapeless 10cm Strl the Penumbra Coil,2600.0,2600.0,384.8,2080.0,23
CDM,80528666,Coil Embl .02in Thk Shapeless 15cm Strl the Penumbra Coil,2600.0,2600.0,384.8,2080.0,23
CDM,80528667,Coil Embl .02in Thk Shapeless 25cm Strl the Penumbra Coil,3475.0,3475.0,514.3,2780.0,23
CDM,80528668,Coil Embl .02in Thk Shapeless 35cm Strl the Penumbra Coil,3475.0,3475.0,514.3,2780.0,23
CDM,80528669,Coil Embl .02in Thk Shapeless 40cm Strl the Penumbra Coil,3475.0,3475.0,514.3,2780.0,23
CDM,80528670,Coil Embl .02in Thk Shapeless 50cm Strl the Penumbra Coil,3475.0,3475.0,514.3,2780.0,23
CDM,80528671,Coil Embl .02in Thk Shapeless 60cm Strl the Penumbra Coil,3475.0,3475.0,514.3,2780.0,23
CDM,80528672,Transducer US Refinity Intravascular Short Tip Strl Latex Free Disp,1688.0,1688.0,249.82,1350.4,23
CDM,80528686,Prestige Plus Complex Xtra Coil Pack 1.5mm X 3cm,1875.0,1875.0,277.5,1500.0,23
CDM,80528687,Prestige Plus Complex Xtra Coil Pack 2mm X 6cm,1875.0,1875.0,277.5,1500.0,23
CDM,80528689,Coil Embl Hlcl 3mm 10cm Strl Pstg+ Ult Dtch Cntrlr,1875.0,1875.0,277.5,1500.0,23
CDM,80528691,Prestige Plus Complex Coil Pack 4mm X 13cm,1875.0,1875.0,277.5,1500.0,23
CDM,80528693,Prestige Plus Complex Coil Pack 5mm X 17cm,2125.0,2125.0,314.5,1700.0,23
CDM,80528694,Prestige Plus Complex Coil Pack 6mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80528703,Device Clsr 35mm Atriclip Prov Tip 1st OP-en Lt Atr,13750.0,13750.0,2035.0,11000.0,23
CDM,80528704,Device Clsr 40mm Atriclip Prov Tip 1st OP-en Lt Atr,13750.0,13750.0,2035.0,11000.0,23
CDM,80528705,Device Clsr 45mm Atriclip Prov Tip 1st OP-en Clip Lt Atr,13750.0,13750.0,2035.0,11000.0,23
CDM,80528706,Device Clsr 50mm Atriclip Prov Tip 1st OP-en Clip Lt Atr,13750.0,13750.0,2035.0,11000.0,23
CDM,80528716,Catheter Angio Rbt Crv 5fr 90cm Strl Lf Bcntp Radopq Brd Tpr,812.0,812.0,120.18,649.6,23
CDM,80528717,Catheter US 2.5mm .044in 138cm Strl Lf 12mm Shockwave C2,11750.0,11750.0,1739.0,9400.0,23
CDM,80528718,Catheter US 3mm .045in 138cm Strl Lf 12mm Shockwave C2 Cnct,11750.0,11750.0,1739.0,9400.0,23
CDM,80528719,Catheter US 3.5mm .045in 138cm Strl Lf 12mm Shockwave C2,11750.0,11750.0,1739.0,9400.0,23
CDM,80528720,Catheter US 4mm .047in 138cm Strl Lf 12mm Shockwave C2 Cnct,11750.0,11750.0,1739.0,9400.0,23
CDM,80528721,Cable Slv 13cmx244cm Strl,150.0,150.0,22.2,120.0,23
CDM,80528722,Cable US Cnct Intvasc Lthtrp,2798.0,2798.0,414.1,2238.4,23
CDM,80528724,Catheter Blndil 3.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528725,Catheter Blndil 4mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528726,Catheter Blndil 4.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528727,Catheter Blndil 5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528728,Catheter Blndil 5.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528729,Catheter Blndil 6mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528730,Catheter Blndil 6.5mm 110cm 60mm Shockwave M5 Peri Acpt 7fr,6875.0,6875.0,1017.5,5500.0,23
CDM,80528731,Device Ston Rem 7mm 60mm 110mm Shockwave M5 Acpt 7fr Shth,6875.0,6875.0,1017.5,5500.0,23
CDM,80528732,Catheter Blndil 10 Atm 6 Atm .052in Od Sec 2.5mm Guideware,6875.0,6875.0,1017.5,5500.0,23
CDM,80528733,Catheter Blndil 10 Atm 6 Atm .052in Od 3.052mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CDM,80528734,Catheter Blndil 10 Atm 6 Atm .054in Od 3.5mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CDM,80528735,Catheter Blndil 10 Atm 6 Atm .054in Od 4mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CDM,80529959,Catheter Endo Hemospray L220 Hemostat 3.7 Hemo-10,3663.0,3663.0,542.12,2930.4,23
CDM,80529960,Catheter Endo Hemospray L220 Hemostat 2.8 Hemo-7,3663.0,3663.0,542.12,2930.4,23
CDM,80529966,Cage Spnl 8d Sm 5mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529967,Cage Spnl 8d Sm 6mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529968,Cage Spnl 8d Sm 7mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529969,Cage Spnl 8d Sm 8mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529970,Cage Spnl 8d Sm 9mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529971,Cage Spnl 8d Sm 10mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529972,Cage Spnl 8d Lg 5mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529973,Cage Spnl 8d Lg 6mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529974,Cage Spnl 8d Lg 7mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529975,Cage Spnl 8d Lg 8mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529976,Cage Spnl 8d Lg 9mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529977,Cage Spnl 8d Lg 10mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529978,Cage Spnl 4d Sm 5mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529979,Cage Spnl 4d Sm 6mm Strl Cndt Rgh Elev Srfc Ftprnt Eit Crv,2250.0,2250.0,333.0,1800.0,23
CDM,80529980,Cage Spnl 4d Sm 7mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529981,Cage Spnl 4d Sm 8mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529982,Cage Spnl 4d Sm 9mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529983,Cage Spnl 4d Sm 10mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529984,Cage Spnl 4d Lg 5mm Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529985,Cage Spnl 4d Lg 6mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529986,Cage Spnl 4d Lg 7mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529987,Cage Spnl 4d Lg 8mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529988,Cage Spnl 4d Lg 9mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529989,Cage Spnl 4d Lg 10mm Strl Lf Eit Crv Intrbd Fs,2250.0,2250.0,333.0,1800.0,23
CDM,80529990,Cage Spnl 0d 28x10x7mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529991,Cage Spnl 0d 28x10x8mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529992,Cage Spnl 0d 28x10x9mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529993,Cage Spnl 0d 28x10x10mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529994,Cage Spnl 0d 28x10x11mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529995,Cage Spnl 0d 28x10x12mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529996,Cage Spnl 0d 28x10x13mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529997,Cage Spnl 0d 28x10x15mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529998,Cage Spnl 8d 28x10x8mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80529999,Cage Spnl 8d 28x10x9mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530000,Cage Spnl 8d 28x10x10mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530001,Cage Spnl 8d 28x10x11mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530002,Cage Spnl 8d 28x10x12mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530003,Cage Spnl 8d 28x10x13mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530004,Cage Spnl 8d 28x10x14mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530005,Cage Spnl 8d 28x10x15mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530006,Cage Spnl 0d 32x12x8mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530007,Cage Spnl 0d 32x12x9mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530008,Cage Spnl 0d 32x12x10mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530009,Cage Spnl 0d 32x12x11mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530010,Cage Spnl 0d 32x12x13mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530011,Cage Spnl 8d 28x10x15mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530012,Cage Spnl 8d 32x12x8mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530013,Cage Spnl 8d 32x12x9mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530014,Cage Spnl 8d 32x12x10mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530015,Cage Spnl 8d 32x12x11mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530016,Cage Spnl 8d 32x12x12mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530017,Cage Spnl 8d 32x12x13mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530018,Cage Spnl 8d 32x12x14mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530019,Cage Spnl 8d 32x12x15mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530020,Cage Spnl 12d 32x12x9mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530021,Cage Spnl 12d 32x12x10mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530022,Cage Spnl 12d 32x12x11mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530023,Cage Spnl 12d 32x12x12mm Strl Lf Eit Tlif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530024,Cage Spnl 12d Crv 32x12x13mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530025,Cage Spnl 4d 22x9x7mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530026,Cage Spnl 4d Strg Blt 22x9x8mm Strl Cndt Rgh Elev Srfc,7500.0,7500.0,1110.0,6000.0,23
CDM,80530027,Cage Spnl 4d 22x9x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530028,Cage Spnl 4d 22x9x10mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530029,Cage Spnl 4d 22x9x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530030,Cage Spnl 4d 22x9x12mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530031,Cage Spnl 4d 22x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530032,Cage Spnl 4d 22x9x14mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530033,Cage Spnl 4d 22x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530034,Cage Spnl 8d 22x9x8mm Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530035,Cage Spnl 8d 22x9x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530036,Cage Spnl 8d 22x9x10mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530037,Cage Spnl 8d 22x9x11mm Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530038,Cage Spnl 8d 22x9x12mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530039,Cage Spnl 8d 22x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530040,Cage Spnl 8d Strg 22x9x14mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530041,Cage Spnl 8d Strg 22x9x15mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530042,Cage Spnl 12d Strg 22x9x9mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530043,Cage Spnl 12d 22x9x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530044,Cage Spnl 12d Strg 22x9x13mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530045,Cage Spnl 12d 22x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530046,Cage Spnl 18d Strg 22x9x11mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530047,Cage Spnl 18d 22x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530048,Cage Spnl 18d 22x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530049,Cage Spnl 4d 26x9x7mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530050,Cage Spnl 4d 26x9x8mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530051,Cage Spnl 4d 26x9x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530052,Cage Spnl 4d 26x9x10mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530053,Cage Spnl 4d Strg 26x9x11mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530054,Cage Spnl 4d 12mm,7500.0,7500.0,1110.0,6000.0,23
CDM,80530055,Cage Spnl 4d 26x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530056,Cage Spnl 4d 26x9x14mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530057,Cage Spnl 4d 26x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530058,Cage Spnl 8d Strg 26x9x8mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530059,Cage Spnl 8d 26x9x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530060,Cage Spnl 8d 26x9x10mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530061,Cage Spnl 8d 26x9x11mm Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530062,Cage Spnl 8d 26x9x12mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530063,Cage Spnl 8d 26x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530064,Cage Spnl 8d Strg 26x9x14mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530065,Cage Spnl 8d Strg 26x9x15mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530066,Cage Spnl 12d Strg 26x9x10mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530067,Cage Spnl 12d 26x9x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530068,Cage Spnl 12d 26x9x13mm Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530069,Cage Spnl 12d 26x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530070,Cage Spnl 18d Strg 26x9x11mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530071,Cage Spnl 18d 26x9x13mm Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530072,Cage Spnl 18d 26x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530073,Cage Spnl 4d 30x9x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530074,Cage Spnl 4d 30x9x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530075,Cage Spnl 4d 30x9x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530076,Cage Spnl 4d 30x9x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530077,Cage Spnl 4d 26x11x7mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530078,Cage Spnl 4d 26x11x9mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530079,Cage Spnl 4d 26x11x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530080,Cage Spnl 4d 26x11x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530081,Cage Spnl 4d 26x11x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530082,Cage Spnl 8d Strg 22x11x9mm Strl Cndt Rgh Elev Srfc Ftprnt,7500.0,7500.0,1110.0,6000.0,23
CDM,80530083,Cage Spnl 8d 26x11x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530084,Cage Spnl 8d 26x11x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530085,Cage Spnl 8d 26x11x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530086,Cage Spnl 12d 26x11x11mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530087,Cage Spnl 12d 26x11x13mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530088,Cage Spnl 12d 26x11x15mm Strl Lf Eit Plif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530089,Cage Spnl 5d Sm 8mm Strl Lf Eit Alif,7500.0,7500.0,1110.0,6000.0,23
CDM,80530090,Cage Spnl 5d Sm 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530091,Cage Spnl 5d Sm 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530092,Cage Spnl 5d Sm 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530093,Cage Spnl 10d Sm 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530094,Cage Spnl 10d Sm 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530095,Cage Spnl 10d Sm 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530096,Cage Spnl 10d Sm 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530097,Cage Spnl 10d Sm 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530098,Cage Spnl 15d Sm 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530099,Cage Spnl 15d Sm 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530100,Cage Spnl 15d Sm 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530101,Cage Spnl 15d Sm 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530102,Cage Spnl 15d Sm 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530103,Cage Spnl 20d Sm 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530104,Cage Spnl 20d Sm 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530105,Cage Spnl 20d Sm 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530106,Cage Spnl 5d Med 8mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530107,Cage Spnl 5d Med 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530108,Cage Spnl 5d Med 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530109,Cage Spnl 10d Med 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530110,Cage Spnl 10d Med 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530111,Cage Spnl 10d Med 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530112,Cage Spnl 10d Med 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530113,Cage Spnl 10d Med 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530114,Cage Spnl 15d Med 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530115,Cage Spnl 15d Med 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530116,Cage Spnl 15d Med 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530117,Cage Spnl 15d Med 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530118,Cage Spnl 15d Med 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530119,Cage Spnl 20d Med 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530120,Cage Spnl 20d Med 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530121,Cage Spnl 20d Med 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530122,Cage Spnl 20d Med 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530123,Cage Spnl 5d Lg 8mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530124,Cage Spnl 5d Lg 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530125,Cage Spnl 5d Lg 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530126,Cage Spnl 5d Lg 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530127,Cage Spnl 10d Lg 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530128,Cage Spnl 10d Lg 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530129,Cage Spnl 10d Lg 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530130,Cage Spnl 10d Lg 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530131,Cage Spnl 10d Lg 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530132,Cage Spnl 15d Lg 10mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530133,Cage Spnl 15d Lg 12mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530134,Cage Spnl 15d Lg 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530135,Cage Spnl 15d Lg 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530136,Cage Spnl 15d Lg 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530137,Cage Spnl 20d 29mm Lg 40x12mm Strl Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530138,Cage Spnl 20d Lg 14mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530139,Cage Spnl 20d Lg 16mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530140,Cage Spnl 20d Lg 18mm Strl Lf Eit Alif,8750.0,8750.0,1295.0,7000.0,23
CDM,80530141,Cage Spnl 0d 40x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,8750.0,8750.0,1295.0,7000.0,23
CDM,80530142,Cage Spnl 0d 40x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,8750.0,8750.0,1295.0,7000.0,23
CDM,80530143,Cage Spnl 0d 40x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530144,Cage Spnl 0d 40x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530145,Cage Spnl 0d 40x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530146,Cage Spnl 0d 45x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530147,Cage Spnl 0d 45x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530148,Cage Spnl 0d 45x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530149,Cage Spnl 0d 45x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530150,Cage Spnl 0d 45x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530151,Cage Spnl 0d 50x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530152,Cage Spnl 0d 50x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530153,Cage Spnl 0d 50x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530154,Cage Spnl 0d 50x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530155,Cage Spnl 0d 50x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530156,Cage Spnl 0d 55x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530157,Cage Spnl 0d 55x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530158,Cage Spnl 0d 55x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530159,Cage Spnl 0d 55x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530160,Cage Spnl 0d 55x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530161,Cage Spnl 0d 60x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530162,Cage Spnl 0d 60x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530163,Cage Spnl 0d 60x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530164,Cage Spnl 0d 60x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530165,Cage Spnl 0d 60x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530166,Cage Spnl 0d 40x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530167,Cage Spnl 0d 40x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530168,Cage Spnl 0d 40x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530169,Cage Spnl 0d 40x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530170,Cage Spnl 0d 40x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530171,Cage Spnl 0d 45x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530172,Cage Spnl 0d 45x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530173,Cage Spnl 0d 45x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530174,Cage Spnl 0d 45x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530175,Cage Spnl 0d 45x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530176,Cage Spnl 0d 50x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530177,Cage Spnl 0d 50x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530178,Cage Spnl 0d 50x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530179,Cage Spnl 0d 50x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530180,Cage Spnl 0d 50x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530181,Cage Spnl 0d 55x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530182,Cage Spnl 0d 55x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530183,Cage Spnl 0d 55x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530184,Cage Spnl 0d 55x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530185,Cage Spnl 0d 55x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530186,Cage Spnl 0d 60x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530187,Cage Spnl 0d 60x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530188,Cage Spnl 0d 60x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530189,Cage Spnl 0d 60x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530190,Cage Spnl 0d 60x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530191,Cage Spnl 0d 40x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530192,Cage Spnl 0d 40x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530193,Cage Spnl 0d 40x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530194,Cage Spnl 0d 40x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530195,Cage Spnl 0d 40x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530196,Cage Spnl 0d 45x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530197,Cage Spnl 0d 45x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530198,Cage Spnl 0d 45x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530199,Cage Spnl 0d 45x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530200,Cage Spnl 0d 45x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530201,Cage Spnl 0d 50x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530202,Cage Spnl 0d 50x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530203,Cage Spnl 0d 50x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530204,Cage Spnl 0d 50x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530205,Cage Spnl 0d 50x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530206,Cage Spnl 0d 55x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530207,Cage Spnl 0d 55x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530208,Cage Spnl 0d 55x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530209,Cage Spnl 0d 55x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530210,Cage Spnl 0d 55x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530211,Cage Spnl 0d 60x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530212,Cage Spnl 0d 60x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530213,Cage Spnl 0d 60x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530214,Cage Spnl 0d 60x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530215,Cage Spnl 0d 60x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530216,Cage Spnl 8d 40x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530217,Cage Spnl 8d 40x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530218,Cage Spnl 8d 40x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530219,Cage Spnl 8d 40x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530220,Cage Spnl 8d 40x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530221,Cage Spnl 8d 45x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530222,Cage Spnl 8d 45x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530223,Cage Spnl 8d 45x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530224,Cage Spnl 8d 45x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530225,Cage Spnl 8d 45x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530226,Cage Spnl 8d 50x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530227,Cage Spnl 8d 50x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530228,Cage Spnl 8d 50x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530229,Cage Spnl 8d 50x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530230,Cage Spnl 8d 50x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530231,Cage Spnl 8d 55x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530232,Cage Spnl 8d 55x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530233,Cage Spnl 8d 55x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530234,Cage Spnl 8d 55x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530235,Cage Spnl 8d 55x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530236,Cage Spnl 8d 60x18x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530237,Cage Spnl 8d 60x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530238,Cage Spnl 8d 60x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530239,Cage Spnl 8d 60x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530240,Cage Spnl 8d 60x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530241,Cage Spnl 8d 40x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530242,Cage Spnl 8d 40x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530243,Cage Spnl 8d 40x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530244,Cage Spnl 8d 40x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530245,Cage Spnl 8d 40x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530246,Cage Spnl 8d 45x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530247,Cage Spnl 8d 45x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530248,Cage Spnl 8d 45x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530249,Cage Spnl 8d 45x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530250,Cage Spnl 8d 45x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530251,Cage Spnl 8d 50x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530252,Cage Spnl 8d 50x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530253,Cage Spnl 8d 50x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530254,Cage Spnl 8d 50x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530255,Cage Spnl 8d 50x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530256,Cage Spnl 8d 55x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530257,Cage Spnl 8d 55x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530258,Cage Spnl 8d 55x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530259,Cage Spnl 8d 55x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530260,Cage Spnl 8d 55x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530261,Cage Spnl 8d 60x22x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530262,Cage Spnl 8d 60x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530263,Cage Spnl 8d 60x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530264,Cage Spnl 8d 60x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530265,Cage Spnl 8d 60x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530266,Cage Spnl 8d 40x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530267,Cage Spnl 8d 40x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530268,Cage Spnl 8d 40x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530269,Cage Spnl 8d 40x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530270,Cage Spnl 8d 40x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530271,Cage Spnl 8d 45x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530272,Cage Spnl 8d 45x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530273,Cage Spnl 8d 45x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530274,Cage Spnl 8d 45x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530275,Cage Spnl 8d 45x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530276,Cage Spnl 8d 50x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530277,Cage Spnl 8d 50x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530278,Cage Spnl 8d 50x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530279,Cage Spnl 8d 50x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530280,Cage Spnl 8d 50x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530281,Cage Spnl 8d 55x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530282,Cage Spnl 8d 55x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530283,Cage Spnl 8d 55x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530284,Cage Spnl 8d 55x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530285,Cage Spnl 8d 55x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530286,Cage Spnl 8d 60x26x8mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530287,Cage Spnl 8d 60x26x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530288,Cage Spnl 8d 60x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530289,Cage Spnl 8d 60x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530290,Cage Spnl 8d 60x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit Lat,10000.0,10000.0,1480.0,8000.0,23
CDM,80530291,Cage Spnl 16d 40x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530292,Cage Spnl 16d 40x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530293,Cage Spnl 16d 40x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530294,Cage Spnl 16d 40x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530295,Cage Spnl 16d 45x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530296,Cage Spnl 16d 45x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530297,Cage Spnl 16d 45x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530298,Cage Spnl 16d 45x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530299,Cage Spnl 16d 50x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530300,Cage Spnl 16d 50x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530301,Cage Spnl 16d 50x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530302,Cage Spnl 16d 50x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530303,Cage Spnl 16d 55x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530304,Cage Spnl 16d 55x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530305,Cage Spnl 16d 55x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530306,Cage Spnl 16d 55x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530307,Cage Spnl 16d 60x18x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530308,Cage Spnl 16d 60x18x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530309,Cage Spnl 16d 60x18x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530310,Cage Spnl 16d 60x18x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530311,Cage Spnl 16d 40x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530312,Cage Spnl 16d 40x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530313,Cage Spnl 16d 40x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530314,Cage Spnl 16d 40x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530315,Cage Spnl 16d 45x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530316,Cage Spnl 16d 45x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530317,Cage Spnl 16d 45x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530318,Cage Spnl 16d 45x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530319,Cage Spnl 16d 50x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530320,Cage Spnl 16d 50x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530321,Cage Spnl 16d 50x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530322,Cage Spnl 16d 50x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530323,Cage Spnl 16d 55x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530324,Cage Spnl 16d 55x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530325,Cage Spnl 16d 55x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530326,Cage Spnl 16d 55x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530327,Cage Spnl 16d 60x22x10mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530328,Cage Spnl 16d 60x22x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530329,Cage Spnl 16d 60x22x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530330,Cage Spnl 16d 60x22x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530331,Cage Spnl 16d 40x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530332,Cage Spnl 16d 40x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530333,Cage Spnl 16d 40x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530334,Cage Spnl 16d 45x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530335,Cage Spnl 16d 45x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530336,Cage Spnl 16d 45x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530337,Cage Spnl 16d 50x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530338,Cage Spnl 16d 50x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530339,Cage Spnl 16d 50x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530340,Cage Spnl 16d 55x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530341,Cage Spnl 16d 55x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530342,Cage Spnl 16d 55x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530343,Cage Spnl 16d 60x26x12mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530344,Cage Spnl 16d 60x26x14mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530345,Cage Spnl 16d 60x26x16mm Strl Lf Rgh Elev Srfc Ftprnt Eit,10000.0,10000.0,1480.0,8000.0,23
CDM,80530346,Cannula Prfsn 20d Angiovac Dil Fnl Tip Radopq Coil Reinf (3000),18750.0,18750.0,2775.0,15000.0,23
CDM,80530347,Cannula Prfsn 20d Angiovac Dil Fnl Tip Radopq Coil Reinf (3010),18750.0,18750.0,2775.0,15000.0,23
CDM,80530355,Coil Embl Hlcl 1mm 1cm Strl Lf Pstg+ X Pk Disp,1875.0,1875.0,277.5,1500.0,23
CDM,80530356,Coil Embl Hlcl 2mm 4cm Strl Pstg+ Hlclxpk,1875.0,1875.0,277.5,1500.0,23
CDM,80530357,Prestige Plus Helical Xtra Coil Pack 2mm X 6cm,1875.0,1875.0,277.5,1500.0,23
CDM,80530358,Prestige Plus Helical Xtra Coil Pack 2mm X 8cm,1875.0,1875.0,277.5,1500.0,23
CDM,80530361,Coil Embl Hlcl 3mm 15cm Strl Pstg+ Hlclxpk,1875.0,1875.0,277.5,1500.0,23
CDM,80530365,Prestige Plus Helical Coil Pack 5mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80530383,Prestige Plus Complex Coil Pack 8mm X 30cm,2125.0,2125.0,314.5,1700.0,23
CDM,80530386,Prestige Plus Complex Coil Pack 10mm X 40cm,2375.0,2375.0,351.5,1900.0,23
CDM,80530387,Prestige Plus Complex 18 Coil 12mm X 40cm,2375.0,2375.0,351.5,1900.0,23
CDM,80530394,Coil Embl Pstg+ 1 Detactment Cntrlr,487.5,487.5,72.15,390.0,23
CDM,80530408,Catheter Baldilat 60mm 3.5mm 7mm Shockwave M5 Cx,8625.0,8625.0,1276.5,6900.0,23
CDM,80530424,Jet Port Plus II Hp Pur Kit 6.6f,500.0,500.0,74.0,400.0,23
CDM,80530426,Surgical Pack Clean Closure Custom,397.0,397.0,58.76,317.6,23
CDM,80530838,Prestige Plus Complex Coil Pack 8mm X 30cm,2125.0,2125.0,314.5,1700.0,23
CDM,80540600,Kit Implant Supply,689.0,689.0,101.97,551.2,23
CDM,80544216,Kit Dcmprs .035in 14fr 6fr 175cm Strl 10 DRN Sdprt Cath Gw,420.0,420.0,62.16,336.0,23
CDM,80544333,Avaflex Vertebral Balloon System 11g X 15mm Afb1115,5000.0,5000.0,740.0,4000.0,23
CDM,80544334,Avaflex Vertebral Balloon System 11g X 20mm Afb1120,3000.0,3000.0,444.0,2400.0,23
CDM,80544566,Guidewire Vasc 300cm .014in Radiopq J 3cm Htrq Wh,177.5,177.5,26.27,142.0,23
CDM,80544567,Guidewire Vasc Hydphi Coat Jtp Ld 11 167kg/In,300.0,300.0,44.4,240.0,23
CDM,80544568,Guidewire Vasc Hydphi Coat Jtp Ld 11 167kg/In,300.0,300.0,44.4,240.0,23
CDM,80544569,Guidewire Vasc Hydphi Coat Jtp Ld 14 224kg/In,300.0,300.0,44.4,240.0,23
CDM,80544570,Guidewire Vasc Hydphi Coat Jtp Ld 14 224kg/In,300.0,300.0,44.4,240.0,23
CDM,80544571,Guidewire Vasc 300cm .014in Str 3cm Htorq Adv Lt,177.5,177.5,26.27,142.0,23
CDM,80544572,System Coron Stent 12mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544573,System Coron Stent 15mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544574,System Coron Stent 18mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544575,System Coron Stent 23mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544576,System Coron Stent 28mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544577,System Coron Stent 33mm 4.5mm Xience Skypoint,912.5,912.5,135.05,730.0,23
CDM,80544578,System Coron Stent 12mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544579,System Coron Stent 15mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544580,System Coron Stent 18mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544581,System Coron Stent 23mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544582,System Coron Stent 28mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544583,System Coron Stent 33mm 5mm Xience Skypoint Mtlnk,912.5,912.5,135.05,730.0,23
CDM,80544584,Guidewire Vasc 50cm .018in Str 2cm Htrq Fl,177.5,177.5,26.27,142.0,23
CDM,80544585,Guidewire Vasc 175cm .014in Str 3cm Htrq Esprt,177.5,177.5,26.27,142.0,23
CDM,80544587,Introd Shth 5fr 50cm 12cm Hmsts Vlv Gwire Sdprt,43.75,43.75,6.48,35.0,23
CDM,80544588,Introd Shth 6fr 50cm 12cm 2 Distal Gwire Hmsts Vlv,43.75,43.75,6.48,35.0,23
CDM,80544590,Introd Shth 7fr 50cm 12cm Hmsts Vlv Sdprt Dilat,43.75,43.75,6.48,35.0,23
CDM,80544592,Introd Shth 6fr 50cm 12cm Hmsts Vlv Sdprt Dilat,43.75,43.75,6.48,35.0,23
CDM,80544593,Introd Shth 8fr 12cm Dilat Gwire Luer Lock Lock,43.75,43.75,6.48,35.0,23
CDM,80544595,Introd Shth 8fr 5fr 23cm Hmsts Vlv Sdprt Dilat,53.13,53.13,7.86,42.5,23
CDM,80544596,Introd Shth 9fr 12cm Hmsts Gwire Fstcth .038in,43.75,43.75,6.48,35.0,23
CDM,80544599,Introd Shth 11fr 50cm 12cm Lg Lum Hmsts Vlv Sdprt,33.98,33.98,5.03,27.18,23
CDM,80544600,Introd Shth 10fr 23cm Hmsts Fstcth Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544601,Introd Shth 12fr 12cm Lg Lum Dilat Gwire Fstcth,33.98,33.98,5.03,27.18,23
CDM,80544602,Introd Shth 6fr 23cm Hmsts Vlv Gwire Sdprt Dilat,53.13,53.13,7.86,42.5,23
CDM,80544603,Introd Shth 13fr 12cm Hmsts Fstcth .038in Trnspt,33.98,33.98,5.03,27.18,23
CDM,80544604,Introd Shth 9.5fr 12cm Hmsts Fstcth .038in Trnspt,33.98,33.98,5.03,27.18,23
CDM,80544605,Introd Shth 10.5fr 12cm Hmsts Fstcth .038in Trnspt,33.98,33.98,5.03,27.18,23
CDM,80544606,Introd Shth 8.5fr 50cm 12cm 2 Distal Gwire Hmsts,43.75,43.75,6.48,35.0,23
CDM,80544607,Introd Shth 5fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544608,Introd Shth 6fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544609,Introd Shth 7fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544610,Introd Shth 8fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544611,Introd Shth 8.5fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544612,Introd Shth 9fr 23cm Hmsts Fstcth .038in Trnspt,53.13,53.13,7.86,42.5,23
CDM,80544615,Introd Shth 4fr 5cm Hmsts Fstcth .021in Trnspt,28.13,28.13,4.16,22.5,23
CDM,80544616,Introd Shth 5fr 5cm Hmsts Fstcth .038in Trnspt,28.13,28.13,4.16,22.5,23
CDM,80544617,Introd Shth 5fr 5cm Hmsts Set Fstcth .021in Trnspt,28.13,28.13,4.16,22.5,23
CDM,80544618,Introd Cath 5cm 6fr .038in Fstcth Hmsts,28.13,28.13,4.16,22.5,23
CDM,80544619,Introd Shth 6fr 5cm Hmsts Set Fstcth .021in Trnspt,28.13,28.13,4.16,22.5,23
CDM,80544620,Introd Shth 7fr 5cm Hmsts Sdprt Dilat Gwire Fstcth,28.13,28.13,4.16,22.5,23
CDM,80544621,Introd Shth 10fr 80cm 30cm Hmsts Vlv Sdprt Dilat,43.75,43.75,6.48,35.0,23
CDM,80544622,Introd Shth 11fr 30cm Hmsts Fstcth Trnspt,43.75,43.75,6.48,35.0,23
CDM,80544623,Introd Shth 10.5fr 30cm Hmsts Fstcth .038in Trnspt,43.75,43.75,6.48,35.0,23
CDM,80544624,Introd Shth 12fr 30cm Lg Lum Hmsts Vlv Dilat Gwire,43.75,43.75,6.48,35.0,23
CDM,80544625,Introd Shth 14fr 80cm 30cm Lg Lum Hmsts Vlv Sdprt,43.75,43.75,6.48,35.0,23
CDM,80544634,Sleeve Cath 30cm 9- Fr Reposition Luer Lock Lock,26.25,26.25,3.88,21.0,23
CDM,80544635,Sleeve Cath 60cm 9- Fr Reposition Luer Lock Lock,26.88,26.88,3.98,21.5,23
CDM,80544636,Sleeve Cath 30cm 9- Fr Reposition Luer Lock Lock,27.5,27.5,4.07,22.0,23
CDM,80544637,Sleeve Cath 60cm 9- Fr Reposition Luer Lock Lock,27.5,27.5,4.07,22.0,23
CDM,80544638,Introd Shth 4fr 50cm 8.5cm 2 Distal Gwire Hmsts,28.13,28.13,4.16,22.5,23
CDM,80544639,Introd Shth 5fr 50cm 8.5cm Hmsts Vlv Fstcth .021in,28.13,28.13,4.16,22.5,23
CDM,80544640,Introd Shth 6fr 50cm 8.5cm Hmsts Vlv Fstcth .021in,28.13,28.13,4.16,22.5,23
CDM,80544641,Introd Cath 8.5cm 7fr .025in Trnspt Fstcth Hmsts,28.13,28.13,4.16,22.5,23
CDM,80544642,Introd Shth 6fr 40cm Cath Fstcth .038in,43.75,43.75,6.48,35.0,23
CDM,80544643,Introd Cath 40cm 7fr .038in Trnspt Fstcth Hmsts,43.75,43.75,6.48,35.0,23
CDM,80544644,Introd Shth 8fr 40cm Cath Fstcth .038in,43.75,43.75,6.48,35.0,23
CDM,80544645,Set Introd 85cm 8fr Fstcth Vasc Cath,112.5,112.5,16.65,90.0,23
CDM,80544646,Introd Shth 8fr 7cm 85cm J Curve Hmsts Fstcth,112.5,112.5,16.65,90.0,23
CDM,80544647,Introd Shth 7fr 45cm Hmsts Fstcth 30d .038in,90.0,90.0,13.32,72.0,23
CDM,80544648,Introd Shth 6fr 45cm Hmsts Fstcth 30d Trnspt,90.0,90.0,13.32,72.0,23
CDM,80544649,Introd Shth 7fr 85cm Hmsts Fstcth J Curve Trnspt,112.5,112.5,16.65,90.0,23
CDM,80544650,Introd Shth 7fr 85cm Hmsts Fstcth Trnspt,112.5,112.5,16.65,90.0,23
CDM,80544651,Introd Shth 7fr 40cm Hmsts Vlv Sdprt Dilat Fstcth,125.63,125.63,18.59,100.5,23
CDM,80544652,Introd Shth 7fr 98cm Hmsts Fstcth 40d .038in,110.0,110.0,16.28,88.0,23
CDM,80544653,Introd Shth 7fr 40cm Hmsts Fstcth 60d Trnspt,86.88,86.88,12.86,69.5,23
CDM,80544654,Introd Shth 7fr 85cm Hmsts Fstcth .038in Gspc,148.13,148.13,21.92,118.5,23
CDM,80544655,Introd Shth 5fr 5cm Radiopq Hmsts Vlv Sdprt Gwire,27.5,27.5,4.07,22.0,23
CDM,80544656,Introd Shth 6fr 5cm Radiopq Hmsts Vlv Sdprt Gwire,27.5,27.5,4.07,22.0,23
CDM,80544657,Introd Shth 7fr 5cm Radiopq Hmsts Vlv Sdprt Gwire,28.13,28.13,4.16,22.5,23
CDM,80544666,Introd Shth 4fr 23cm Radiopq Hmsts Vlv Sdprt Gwire,53.13,53.13,7.86,42.5,23
CDM,80544667,Introd Shth 6fr 80cm 23cm 2 Distal Gwire Hmsts Vlv,53.13,53.13,7.86,42.5,23
CDM,80544668,Introd Shth 7fr 23cm Radiopq Hmsts Vlv Sdprt Gwire,53.13,53.13,7.86,42.5,23
CDM,80544669,Introd Shth 10fr 23cm Radiopq Hmsts Vlv Sdprt,53.13,53.13,7.86,42.5,23
CDM,80544670,Introd Shth 14fr 30cm Radiopq Hmsts Vlv Sdprt,62.5,62.5,9.25,50.0,23
CDM,80544671,Introd Shth 16fr 35cm 2 Tpr Dilat Hmsts Vlv Gwire,56.25,56.25,8.32,45.0,23
CDM,80544672,Introd Shth 18fr 30cm Radiopq Hmsts Vlv Sdprt,106.88,106.88,15.82,85.5,23
CDM,80544673,Introd Shth 20fr 30cm Radiopq Hmsts Vlv Sdprt,110.63,110.63,16.37,88.5,23
CDM,80544674,Introd Shth 6fr 12cm Radiopq Hmsts Vlv Sdprt Gwire,200.0,200.0,29.6,160.0,23
CDM,80544675,Introd Shth 7fr 12cm Radiopq Hmsts Vlv Sdprt Gwire,200.0,200.0,29.6,160.0,23
CDM,80544676,Introd Shth 8fr 12cm Radiopq Hmsts Vlv Sdprt Gwire,200.0,200.0,29.6,160.0,23
CDM,80544677,Introd Shth 12fr 30cm Radiopq Hmsts Vlv Sdprt,62.5,62.5,9.25,50.0,23
CDM,80544678,Set Introd 5cm 4fr Ultm Vasc Cath,27.5,27.5,4.07,22.0,23
CDM,80544679,Set Introd 5cm 5fr Ultm Vasc Cath,27.5,27.5,4.07,22.0,23
CDM,80544680,Introd Shth 6fr 50cm 5cm Gwire Hmsts Vlv Sdprt,27.5,27.5,4.07,22.0,23
CDM,80544681,Set Introd 5cm 7fr Ultm Vasc Cath,27.5,27.5,4.07,22.0,23
CDM,80544682,Set Introd 5cm 8fr Ultm Vasc Cath,27.5,27.5,4.07,22.0,23
CDM,80544683,Introd Shth 5fr 8.5cm Hmsts Vlv Sdprt Dilat Ultm,27.5,27.5,4.07,22.0,23
CDM,80544684,Introd Shth 6fr 8.5cm Hmsts Vlv Sdprt Dilat Ultm,27.5,27.5,4.07,22.0,23
CDM,80544685,Introd Shth 7fr 8.5cm Hmsts Vlv Sdprt Dilat Ultm,27.5,27.5,4.07,22.0,23
CDM,80544697,Introd Shth 4fr 80cm 23cm 2 Distal Gwire Hmsts Vlv,45.0,45.0,6.66,36.0,23
CDM,80544698,Introd Shth 4fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544699,Introd Shth 5fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544700,Introd Shth 5fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544701,Introd Shth 6fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544702,Introd Shth 6fr 80cm 23cm 2 Distal Gwire Hmsts Vlv,45.0,45.0,6.66,36.0,23
CDM,80544703,Introd Shth 7fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544704,Introd Shth 7fr 80cm 23cm 2 Distal Gwire Hmsts Vlv,45.0,45.0,6.66,36.0,23
CDM,80544705,Introd Shth 8fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544706,Introd Shth 8fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544707,Introd Shth 9fr 50cm 23cm Gwire Hmsts Vlv Sdprt Lp,45.0,45.0,6.66,36.0,23
CDM,80544708,Forceps Biop Lsr Shrp Jaw Lp 50cm 5.4fr Curve,362.5,362.5,53.65,290.0,23
CDM,80544709,Forceps Biop Lg Volume Lsr Shrp Jaw Lp 50cm 5.4fr,362.5,362.5,53.65,290.0,23
CDM,80544710,Forceps Biop Lg Volume Lsr Shrp Jaw Lp 105cm 5.4fr,362.5,362.5,53.65,290.0,23
CDM,80544711,Forceps Biop Lsr Shrp Jaw Lp 50cm 7fr Curve,362.5,362.5,53.65,290.0,23
CDM,80544712,Forceps Biop Lsr Shrp Jaw Lp 50cm 7fr Curve,362.5,362.5,53.65,290.0,23
CDM,80544713,Forceps Biop Lsr Shrp Jaw Lp 105cm 7fr Str,362.5,362.5,53.65,290.0,23
CDM,80544714,Forceps Biop Lsr Shrp Jaw Lp Coat 105cm 7fr Str,362.5,362.5,53.65,290.0,23
CDM,80544726,Introd Shth 4fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544727,Introd Shth 5fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544728,Introd Shth 6fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544729,Introd Shth 7fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544730,Introd Shth 8fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544731,Introd Shth 9fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544732,Introd Shth 5fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544733,Introd Shth 6fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544734,Introd Shth 7fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544735,Introd Shth 8fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544736,Introd Shth 9fr 25cm Gwire Hmsts Vlv Sdprt Dilat,46.25,46.25,6.84,37.0,23
CDM,80544737,Introd Cath 12cm 4fr .025in Std Rad Engage Tr,87.5,87.5,12.95,70.0,23
CDM,80544738,Introd Cath 12cm 5fr .025in Std Rad Engage Tr Ndl,87.5,87.5,12.95,70.0,23
CDM,80544739,Introd Cath 12cm 6fr .025in Std Rad Engage Tr Ndl,87.5,87.5,12.95,70.0,23
CDM,80544740,Introd Cath 25cm 4fr .025in Std Rad Engage Tr Ndl,87.5,87.5,12.95,70.0,23
CDM,80544741,Introd Cath 25cm 5fr .025in Std Rad Engage Tr Ndl,87.5,87.5,12.95,70.0,23
CDM,80544742,Introd Cath 25cm 6fr .025in Std Rad Engage Tr Ndl,87.5,87.5,12.95,70.0,23
CDM,80544743,Introd Cath 12cm 5fr .025in Rad Engage Tr Ndl Shth,93.75,93.75,13.88,75.0,23
CDM,80544744,Introd Cath 12cm 6fr .025in Rad Engage Tr Ndl Shth,93.75,93.75,13.88,75.0,23
CDM,80544745,Introd Cath 25cm 6fr .025in Rad Engage Tr Ndl Shth,93.75,93.75,13.88,75.0,23
CDM,80544746,Introd Cath 8.5cm 4fr .025in Std Rad Engage Tr,87.5,87.5,12.95,70.0,23
CDM,80544747,Introd Cath 8.5cm 5fr .025in Rad Engage Tr Coat,93.75,93.75,13.88,75.0,23
CDM,80544748,Set Introd 5fr Engage Tr Vasc Cath,87.5,87.5,12.95,70.0,23
CDM,80544749,Introd Cath 8.5cm 6fr .025in Rad Engage Tr Coat,93.75,93.75,13.88,75.0,23
CDM,80544750,Introd Shth 6fr 20ga 50cm 8.5cm 1 Distal Gwire,87.5,87.5,12.95,70.0,23
CDM,80544752,Catheter Baldilat 5mm 135cm 60mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544753,Catheter Baldilat 7mm 150cm 200mm Otw Pcltxl Rngr,4987.5,4987.5,738.15,3990.0,23
CDM,80544754,Catheter Thrmb Zelantedvt Clothunter Hlcl Rot Acpt,6750.0,6750.0,999.0,5400.0,23
CDM,80544755,Catheter Baldilat 4mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544756,Catheter Baldilat 4mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544757,Catheter Baldilat 4mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544758,Catheter Baldilat 4mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544759,Catheter Baldilat 4mm 50cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544760,Catheter Baldilat 4mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544761,Catheter Baldilat 4mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544762,Catheter Baldilat 4mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544763,Catheter Baldilat 4mm 50cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544764,Catheter Baldilat 4mm 75cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544765,Catheter Baldilat 5mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544766,Catheter Baldilat 5mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544767,Catheter Baldilat 5mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544768,Catheter Baldilat 5mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544769,Catheter Baldilat 5mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544770,Catheter Baldilat 5mm 50cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544771,Catheter Baldilat 5mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544772,Catheter Baldilat 5mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544773,Catheter Baldilat 5mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544774,Catheter Baldilat 5mm 50cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544775,Catheter Baldilat 5mm 75cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544776,Catheter Baldilat 6mm 135cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544777,Catheter Baldilat 6mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544778,Catheter Baldilat 6mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544779,Catheter Baldilat 6mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544780,Catheter Baldilat 6mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544781,Catheter Baldilat 6mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544782,Catheter Baldilat 6mm 50cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544783,Catheter Baldilat 6mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544784,Catheter Baldilat 6mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544785,Catheter Baldilat 6mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544786,Catheter Baldilat 6mm 50cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544787,Catheter Baldilat 6mm 75cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544788,Catheter Baldilat 7mm 135cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544789,Catheter Baldilat 7mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544790,Catheter Baldilat 7mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544791,Catheter Baldilat 7mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544792,Catheter Baldilat 7mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544793,Catheter Baldilat 7mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544794,Catheter Baldilat 7mm 50cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544795,Catheter Baldilat 7mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544796,Catheter Baldilat 7mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544797,Catheter Baldilat 7mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544798,Catheter Baldilat 7mm 50cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544799,Catheter Baldilat 7mm 75cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544800,Catheter Baldilat 8mm 135cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544801,Catheter Baldilat 8mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544802,Catheter Baldilat 8mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544803,Catheter Baldilat 8mm 50cm 30mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544804,Catheter Baldilat 8mm 75cm 30mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544805,Catheter Baldilat 8mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544806,Catheter Baldilat 8mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544807,Catheter Baldilat 8mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544808,Catheter Baldilat 8mm 50cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544809,Catheter Baldilat 8mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544810,Catheter Baldilat 8mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544811,Catheter Baldilat 8mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544812,Catheter Baldilat 8mm 50cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544813,Catheter Baldilat 8mm 75cm 100mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544814,Catheter Baldilat 9mm 50cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544815,Catheter Baldilat 9mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544816,Catheter Baldilat 9mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544817,Catheter Baldilat 9mm 50cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544818,Catheter Baldilat 9mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544819,Catheter Baldilat 9mm 50cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544820,Catheter Baldilat 9mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544821,Catheter Baldilat 10mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544822,Catheter Baldilat 10mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544823,Catheter Baldilat 10mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544824,Catheter Baldilat 10mm 75cm 80mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544825,Catheter Baldilat 12mm 135cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544826,Catheter Baldilat 12mm 75cm 20mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544827,Catheter Baldilat 12mm 135cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544828,Catheter Baldilat 12mm 75cm 40mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544829,Catheter Baldilat 12mm 135cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544830,Catheter Baldilat 12mm 75cm 60mm Strl Latex Free,450.0,450.0,66.6,360.0,23
CDM,80544831,Catheter Baldilat 4mm 135cm 80mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544832,Catheter Baldilat 4mm 150cm 120mm Otw Pcltxl Rngr,3487.5,3487.5,516.15,2790.0,23
CDM,80544833,Catheter Baldilat 4mm 150cm 200mm Otw Pcltxl Rngr,4987.5,4987.5,738.15,3990.0,23
CDM,80544834,Catheter Baldilat 5mm 135cm 80mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544835,Catheter Baldilat 5mm 150cm 120mm Otw Pcltxl Rngr,3487.5,3487.5,516.15,2790.0,23
CDM,80544836,Catheter Baldilat 6mm 135cm 80mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544837,Catheter Baldilat 6mm 150cm 120mm Otw Pcltxl Rngr,3487.5,3487.5,516.15,2790.0,23
CDM,80544838,Catheter Baldilat 7mm 135cm 60mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544839,Catheter Baldilat 7mm 135cm 80mm Otw Pcltxl Rngr,3237.5,3237.5,479.15,2590.0,23
CDM,80544840,Catheter Baldilat 7mm 80cm 100mm Otw Drg Coat,3237.5,3237.5,479.15,2590.0,23
CDM,80544841,Catheter Baldilat 7mm 150cm 120mm Otw Pcltxl Rngr,3487.5,3487.5,516.15,2790.0,23
CDM,80544842,Catheter Baldilat 3.75mm 142cm 9mm Tpr Distal Shft,269.5,269.5,39.89,215.6,23
CDM,80544843,Catheter Guid Lcb Curve 6fr 90cm Fem Lg Lum,102.9,102.9,15.23,82.32,23
CDM,80544844,Catheter Baldilat .017in 6mm 143cm 8mm 2 Lum Tpr,275.0,275.0,40.7,220.0,23
CDM,80544845,System Coron Stent 8mm 2.25mm Sng Xd Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544846,System Coron Stent 8mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544847,System Coron Stent 8mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544848,System Coron Stent 8mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544849,System Coron Stent 8mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544850,System Coron Stent 8mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544851,System Coron Stent 12mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544852,System Coron Stent 12mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544853,System Coron Stent 12mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544854,System Coron Stent 12mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544855,System Coron Stent 12mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544856,System Coron Stent 12mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544857,System Coron Stent 12mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544858,System Coron Stent 12mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544859,System Coron Stent 16mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544860,System Coron Stent 16mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544861,System Coron Stent 16mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544862,System Coron Stent 16mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544863,System Coron Stent 16mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544864,System Coron Stent 16mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544865,System Coron Stent 16mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544866,System Coron Stent 16mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544867,System Coron Stent 20mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544868,System Coron Stent 20mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544869,System Coron Stent 20mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544870,System Coron Stent 20mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544871,System Coron Stent 20mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544872,System Coron Stent 20mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544873,System Coron Stent 20mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544874,System Coron Stent 20mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544875,System Coron Stent 24mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544876,System Coron Stent 24mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544877,System Coron Stent 24mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544878,System Coron Stent 24mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544879,System Coron Stent 24mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544880,System Coron Stent 24mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544881,System Coron Stent 24mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544882,System Coron Stent 24mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544883,System Coron Stent 28mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544884,System Coron Stent 28mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544885,System Coron Stent 28mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544886,System Coron Stent 28mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544887,System Coron Stent 28mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544888,System Coron Stent 28mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544889,System Coron Stent 28mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544890,System Coron Stent 28mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544891,System Coron Stent 32mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544892,System Coron Stent 32mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544893,System Coron Stent 32mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544894,System Coron Stent 32mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544895,System Coron Stent 32mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544896,System Coron Stent 32mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544897,System Coron Stent 32mm 4.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544898,System Coron Stent 32mm 5mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544899,System Coron Stent 38mm 2.25mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544900,System Coron Stent 38mm 2.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544901,System Coron Stent 38mm 2.75mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544902,System Coron Stent 38mm 3mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544903,System Coron Stent 38mm 3.5mm Sng Xd Mnrl,1625.0,1625.0,240.5,1300.0,23
CDM,80544904,System Coron Stent 38mm 4mm Sng Xd Mnrl Everolimus,1625.0,1625.0,240.5,1300.0,23
CDM,80544905,System Coron Stent 48mm 2.5mm Sng Xd Mnrl,2500.0,2500.0,370.0,2000.0,23
CDM,80544906,System Coron Stent 48mm 2.75mm Sng Xd Mnrl,2500.0,2500.0,370.0,2000.0,23
CDM,80544907,System Coron Stent 48mm 3mm Sng Xd Everolimus,2500.0,2500.0,370.0,2000.0,23
CDM,80544908,System Coron Stent 48mm 3.5mm Sng Xd Everolimus,2500.0,2500.0,370.0,2000.0,23
CDM,80544909,System Coron Stent 48mm 4mm Sng Xd Everolimus,2500.0,2500.0,370.0,2000.0,23
CDM,80549302,Catheter Intvn .021in Mic 2.4-2.9fr .022in 130cm Progreat,825.0,825.0,122.1,660.0,23
CDM,80549308,Introducer Shth Shrt 6fr 4cm Grn Strl Prelude Nwr,47.5,47.5,7.03,38.0,23
CDM,80549310,Catheter Angio C2 Crv 5fr 65cm Strl Lf Gldcath Radifocus Brd,132.95,132.95,19.68,106.36,23
CDM,80549311,Guidewire Vascular Angle .035i,123.0,123.0,18.2,98.4,23
CDM,80549321,Soft-Vu Angio Cath Cobra 2 Non-Braided .035in 5f X 65cm,35.0,35.0,5.18,28.0,23
CDM,80549327,Guidewire Uro Strg .035in 260cm 7cm Amp Spst,106.14,106.14,15.71,84.91,23
CDM,80549333,Guidewire,65.0,65.0,9.62,52.0,23
CDM,80549334,Guidewire Uro Strg .035in 180cm 7cm Amp Spst,101.48,101.48,15.02,81.18,23
CDM,80549349,Device Infl 30 Atm 14in Clr Lf Mnrch Xtn Tbg Plycrb,142.5,142.5,21.09,114.0,23
CDM,80549357,Kit Ndl Gd 18ga 48in Strl Lf Disp Strt US Sys,60.93,60.93,9.02,48.74,23
CDM,80549359,Catheter Angio Bern Crv 5fr 40cm Imgr2 Brd Trq Slct Crbrl,25.48,25.48,3.77,20.38,23
CDM,80549502,Catheter Hmdial 24cm Schn Xl Sil Kink Rst Tip Clip,217.5,217.5,32.19,174.0,23
CDM,80549503,Kit Cath Drflw Tnl Trocar Strl Latex Free Disp,65.0,65.0,9.62,52.0,23
CDM,80549504,Guidewire Vasc 70cm .035in Evenmore 5cm J Fix Core,27.5,27.5,4.07,22.0,23
CDM,80549505,Guidewire Vasc 70cm .035in Evenmore 5cm J Fix Core,27.5,27.5,4.07,22.0,23
CDM,80549506,Introd Cath 15fr Embosafe Vlv Splt Lp Hndl Strl,117.5,117.5,17.39,94.0,23
CDM,80549507,Introd Cath 16fr Embosafe Vlv Splt Lp Hndl Strl,117.5,117.5,17.39,94.0,23
CDM,80549508,Set Hmdial 7fr Hmcth,130.0,130.0,19.24,104.0,23
CDM,80549509,Kit Cath Adlt 24cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549510,Kit Cath Adlt 24cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549511,Kit Cath Adlt 28cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549512,Kit Cath Adlt 28cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549513,Kit Cath Adlt 32cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549514,Kit Cath Adlt 32cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549515,Kit Cath Adlt 36cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549516,Kit Cath Adlt 36cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549517,Kit Cath Adlt 40cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549518,Kit Cath Adlt 24cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CDM,80549519,Kit Cath Adlt 28cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CDM,80549520,Kit Cath Adlt 32cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CDM,80549521,Kit Cath Adlt 36cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CDM,80549522,Kit Cath Adlt 55cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549523,Kit Cath Adlt 22cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549524,Kit Cath Adlt 20cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CDM,80549525,Kit Cath Adlt 48cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CDM,80549526,Kit Cath Adlt 24cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549527,Kit Cath Adlt 28cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549528,Kit Cath Adlt 32cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549529,Kit Cath Adlt 36cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549530,Kit Cath Adlt 40cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549531,Kit Cath Adlt 48cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549532,Kit Cath Adlt 55cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CDM,80549533,Catheter Hmdial 24cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549534,Catheter Hmdial 28cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549535,Catheter Hmdial 32cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549536,Catheter Hmdial 36cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549537,Catheter Hmdial 40cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549538,Catheter Hmdial 55cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549539,Catheter Hmdial 48cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CDM,80549540,Kit Cath Evenmore Repr Chrnc Dlys,230.0,230.0,34.04,184.0,23
CDM,80549541,Kit Cath Adlt 20cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549542,Kit Cath Adlt 22cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549543,Kit Cath Adlt 24cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549544,Kit Cath Adlt 24cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549545,Kit Cath Adlt 28cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549546,Kit Cath Adlt 32cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549547,Kit Cath Adlt 32cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549548,Kit Cath Adlt 36cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549549,Set Cath Adlt 36cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549550,Kit Cath Adlt 40cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549551,Kit Cath Adlt 48cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549552,Kit Cath Adlt 55cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549553,Kit Cath Adlt 20cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549554,Kit Cath Adlt 22cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549555,Kit Cath Adlt 24cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549556,Kit Cath Adlt 24cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549557,Kit Cath Adlt 28cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549558,Kit Cath Adlt 28cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549559,Kit Cath Adlt 32cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549560,Kit Cath Adlt 32cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549561,Kit Cath Adlt 36cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549562,Kit Cath Adlt 40cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549563,Kit Cath Adlt 48cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549564,Kit Cath Adlt 55cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CDM,80549565,Catheter Hmdial 20cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549566,Catheter Hmdial 22cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549567,Catheter Hmdial 24cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549568,Catheter Hmdial 28cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549569,Catheter Hmdial 28cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549570,Catheter Hmdial 32cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549571,Catheter Hmdial 36cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549572,Catheter Hmdial 40cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549573,Catheter Hmdial 48cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549574,Catheter Hmdial 55cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CDM,80549575,Set Cath 24cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549576,Set Cath 28cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549577,Set Cath 32cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549578,Set Cath 36cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549579,Set Cath 40cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549580,Set Cath 55cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549581,Set Cath 24cm 14.5fr Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549582,Set Cath 28cm 14.5fr Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549583,Set Cath 32cm 14.5fr Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549584,Set Cath 36cm 14.5fr Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549585,Set Cath 20cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549586,Set Cath 22cm 14.5fr Str Durathane Evenmore Basic,575.0,575.0,85.1,460.0,23
CDM,80549587,Catheter Hmdial 24cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CDM,80549588,Catheter Hmdial 28cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CDM,80549589,Catheter Hmdial 32cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CDM,80549590,Catheter Hmdial 55cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CDM,80549591,Set Cath 12cm Sil Schn Xl Basic Acute Hmdial,217.5,217.5,32.19,174.0,23
CDM,80549593,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CDM,80549594,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CDM,80549595,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549596,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CDM,80549597,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CDM,80549598,Kit Cath Adlt 40cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CDM,80549599,Kit Cath Adlt 48cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CDM,80549600,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549601,Kit Cath Adlt 40cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549602,Kit Cath Adlt 48cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549603,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549604,Catheter Hmdial Clr 20cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549605,Catheter Hmdial Clr 22cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549606,Catheter Hmdial Clr 28cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549607,Catheter Hmdial Clr 40cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549608,Catheter Hmdial Clr 48cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549609,Catheter Hmdial Clr 55cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549610,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549611,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549612,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549613,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax 1 Vlv,862.5,862.5,127.65,690.0,23
CDM,80549614,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549615,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CDM,80549616,Kit Cath Adlt 40cm 15.5fr Pu Bioflo Duramax Endexo,937.5,937.5,138.75,750.0,23
CDM,80549617,Kit Cath Adlt 48cm 15.5fr Pu Bioflo Duramax Endexo,937.5,937.5,138.75,750.0,23
CDM,80549618,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax Endexo,937.5,937.5,138.75,750.0,23
CDM,80549619,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549620,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549621,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549622,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549623,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549624,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549625,Kit Cath Adlt 40cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549626,Kit Cath Adlt 48cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549627,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax,817.5,817.5,120.99,654.0,23
CDM,80549628,Kit Cath Adlt 28cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CDM,80549629,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax Endexo,863.0,863.0,127.72,690.4,23
CDM,80549630,Catheter Hmdial Clr 24cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CDM,80549631,Catheter Hmdial Clr 32cm 15.5fr Bioflo Duramax,718.0,718.0,106.26,574.4,23
CDM,80549633,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CDM,80549634,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549635,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549636,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549637,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549638,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CDM,80549644,Catheter Hmdial 15cm Schn Xl Sil Kink Rst Tip Clip,217.5,217.5,32.19,174.0,23
CDM,80549645,Catheter Hmdial 20cm Schn Xl Sil Kink Rst Tip Clip,217.5,217.5,32.19,174.0,23
CDM,80549654,Catheter Thrmb 18fr 85cm Strl Lf Alphavac Mp Mech Asp,22500.0,22500.0,3330.0,18000.0,23
CDM,80549655,Spinejack Case Kit 4.2mm,9371.0,9371.0,1386.91,7496.8,23
CDM,80549656,Spinejack Case Kit 5.0mm,9371.0,9371.0,1386.91,7496.8,23
CDM,80549657,Spinejack Case Kit 5.8mm,9371.0,9371.0,1386.91,7496.8,23
CDM,80549660,Mcth Infus 135cm 3-2.8fr Rngd Peri Vortec Plus Hdr,1861.2,1861.2,275.46,1488.96,23
CDM,80549661,Stent Intrcran 9mm 4.5mm Wingspan Hydphi Slf Xpd,15980.0,15980.0,2365.04,12784.0,23
CDM,80549675,Retriever Endscp 200cm 4mm Trevo Nxt Provue Ntnl,13500.0,13500.0,1998.0,10800.0,23
CDM,80549676,Stent Intrcran 12mm 4mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CDM,80549677,Stent Intrcran 20mm 4mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CDM,80549678,Stent Intrcran 20mm 5mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CDM,80549679,Stent Intrcran 30mm 5mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CDM,80549680,Stent Intrcran 40mm 5mm Srps Evol Flw Dvrtr Strl,37145.0,37145.0,5497.46,29716.0,23
CDM,80549713,Kit Cath 1.4fr Lf Radopq Dehp-Fr Sft Stab Wng Pu Peri,1342.0,1342.0,198.62,1073.6,23
CDM,80549714,Introducer Shth 1.4fr Strl Lf Plwy Disp,468.0,468.0,69.26,374.4,23
CDM,80549715,Catheter Cv 1.4fr Lf Radopq Dehp-Fr Sft Stab Wng Pu Peri,513.0,513.0,75.92,410.4,23
CDM,80549717,Introducer Shth 1.9fr Plwy Loprfl,443.0,443.0,65.56,354.4,23
CDM,80549718,Catheter Cv 1.9fr Lf Ftprnt Picc 1 Lum Radopq Sft Stab Wng,485.0,485.0,71.78,388.0,23
CDM,80549719,Kit Cath 1.9fr Lf 2 Lum Radopq Picc Cmplt Pu,1760.0,1760.0,260.48,1408.0,23
CDM,80549720,Catheter IV 1.9fr Lf Ftprnt Plwy 2 Lum Radopq Dehp-Fr Picc,900.0,900.0,133.2,720.0,23
CDM,80549722,Recorder Crd Sm Slim Cnfrm Rx 1 Tch Prgm Data Stor Rmt Mntr,11250.0,11250.0,1665.0,9000.0,23
CDM,80549723,Recorder Crd Sm Slim Cnfrm Rx 1 Tch Prgm Data Stor Rmt Mntr,50000.0,50000.0,7400.0,40000.0,23
CDM,80549724,Recorder Crd Sm Slim Cnfrm Rx 1 Tch Prgm Data Stor Rmt Mntr,92500.0,92500.0,13690.0,74000.0,23
CDM,80550165,Gelpoint V-Path Transvaginal Access Platform With 11cm Inner Alesi Ring,1687.5,1687.5,249.75,1350.0,23
CDM,80550166,Gelpoint V-Path Transvaginal Access Platform With 9.5cm Inner Alesi Ring,1687.5,1687.5,249.75,1350.0,23
CDM,80550607,Catheter Blnocc Mn 165cm Trmo,8488.0,8488.0,1256.22,6790.4,23
CDM,80551704,Drain Wnd Strl Cls Wnd DRN Irr Disp,750.0,750.0,111.0,600.0,23
CDM,80551711,Kit Cath 4fr Lf P Picc 2 Lum Picc Ln,218.13,218.13,32.28,174.5,23
CDM,80551731,Probe Esurg 15mm Strl Lf Optablate 2 Kt Disp,12125.0,12125.0,1794.5,9700.0,23
CDM,80551732,Kit Bn Bx 11ga Lf Ivas,207.5,207.5,30.71,166.0,23
CDM,80551733,Kit Fx 10ga 15mm Strl Lf Ivas Disp Elt,6500.0,6500.0,962.0,5200.0,23
CDM,80551734,Drill Hnd 11ga Strl Lf Optablate Disp,1020.0,1020.0,150.96,816.0,23
CDM,80551735,Needle Bn Cmnt Crv Strl Lf Avaflex Disp,1307.5,1307.5,193.51,1046.0,23
CDM,80551736,Catheter Blndil 1.50mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551737,Catheter Blndil 1.50mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551738,Catheter Blndil 1.50mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551739,Catheter Blndil 1.50mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551740,Catheter Blndil 1.50mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551741,Catheter Blndil 2mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551742,Catheter Blndil 2mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551743,Catheter Blndil 2mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551744,Catheter Blndil 2mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551745,Catheter Blndil 2mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551746,Catheter Blndil 2.25mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551747,Catheter Blndil 2.25mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551748,Catheter Blndil 2.25mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551749,Catheter Blndil 2.25mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551750,Catheter Blndil 2.25mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551751,Catheter Blndil 2.50mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551752,Catheter Blndil 2.50mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551753,Catheter Blndil 2.50mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551754,Catheter Blndil 2.50mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551755,Catheter Blndil 2.50mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551756,Catheter Blndil 2.50mm 145cm Strl Lf 25mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551757,Catheter Blndil 2.75mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551758,Catheter Blndil 2.75mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551759,Catheter Blndil 2.75mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551760,Catheter Blndil 2.75mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551761,Catheter Blndil 2.75mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551762,Catheter Blndil 3mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551763,Catheter Blndil 3mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551764,Catheter Blndil 3mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551765,Catheter Blndil 3mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551766,Catheter Blndil 3mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551767,Catheter Blndil 3mm 145cm Strl Lf 25mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551768,Catheter Blndil 3.25mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551769,Catheter Blndil 3.25mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551770,Catheter Blndil 3.25mm 12mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551771,Catheter Blndil 3.25mm 15mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551772,Catheter Blndil 3.25mm 20mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551773,Catheter Blndil 3.5mm 6mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551774,Catheter Blndil 3.5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551775,Catheter Blndil 3.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551776,Catheter Blndil 3.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551777,Catheter Blndil 3.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551778,Catheter Blndil 3.5mm 25mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551779,Catheter Blndil 3.75mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551780,Catheter Blndil 3.75mm 12mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551781,Catheter Blndil 3.75mm 15mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551782,Catheter Blndil 3.75mm 20mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CDM,80551783,Catheter Blndil 4mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551784,Catheter Blndil 4mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551785,Catheter Blndil 4mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551786,Catheter Blndil 4mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551787,Catheter Blndil 4.5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551788,Catheter Blndil 4.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551789,Catheter Blndil 4.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551790,Catheter Blndil 4.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551791,Catheter Blndil 5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551792,Catheter Blndil 5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551793,Catheter Blndil 5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551794,Catheter Blndil 5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551795,Catheter Blndil 5.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551796,Catheter Blndil 5.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551797,Catheter Blndil 5.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551798,Catheter Blndil 6mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551799,Catheter Blndil 6mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551800,Catheter Blndil 6mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CDM,80551960,Prestige Plus Complex Xtra Pack1mm X 3cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551961,Prestige Plus Complex Xtra Pack1.5mm X 3cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551962,Prestige Plus Complex Xtra Pack1.5mm X 6cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551963,Prestige Plus Complex Xtra Pack1.5mm X 8cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551964,Prestige Plus Complex Xtra Pack2mm X 4cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551965,Prestige Plus Complex Xtra Pack2mm X 6cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551966,Prestige Plus Complex Xtra Pack2mm X 8cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551967,Prestige Plus Complex Xtra Pack2mm X 12cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551968,Prestige Plus Complex Xtra Pack2.5mm X 8cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551969,Prestige Plus Complex Xtra Pack3mm X 10cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551970,Prestige Plus Complex Xtra Pack3mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551971,Prestige Plus Complex Xtra Pack3.5mm X 8cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551972,Prestige Plus Complex Pack4mm X 10cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551973,Prestige Plus Complex Pack4mm X 13cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551974,Prestige Plus Complex Pack4mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551975,Prestige Plus Complex Pack4mm X 35cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551976,Prestige Plus Helical Pack4mm X 40cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551977,Prestige Plus Complex Pack5mm X 10cm,1875.0,1875.0,277.5,1500.0,23
CDM,80551978,Prestige Plus Complex Pack5mm X 17cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551979,Prestige Plus Complex Pack5mm X 40cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551980,Prestige Plus Helical Pack5mm X 40cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551981,Prestige Plus Complex Pack6mm X 15cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551982,Prestige Plus Complex Pack6mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551983,Prestige Plus Complex Pack6mm X 35cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551984,Prestige Plus Complex Pack6mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551985,Prestige Plus Helical Pack6mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551986,Prestige Plus Complex Pack7mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80551987,Prestige Plus Complex Pack7mm X 35cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551988,Prestige Plus Complex Pack7mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551989,Prestige Plus Helical Pack7mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551990,Prestige Plus Complex Pack8mm X 30cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551991,Prestige Plus Complex Pack8mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551992,Prestige Plus Complex Pack8mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80551993,Prestige Plus Helical Pack8mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80551994,Prestige Plus Complex Pack9mm X 30cm,2375.0,2375.0,351.5,1900.0,23
CDM,80551995,Prestige Plus Complex Pack9mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80551996,Prestige Plus Complex Pack10mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80551997,Prestige Plus Complex Pack10mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80551998,Prestige Plus Helical Pack10mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80551999,Prestige Plus Complex Pack11mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552000,Prestige Plus Complex Pack12mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552001,Prestige Plus Complex Pack12mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552002,Prestige Plus Complex Pack13mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552003,Prestige Plus Complex Pack14mm X 45cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552004,Prestige Plus Complex Pack14mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552005,Prestige Plus Complex Pack15mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552006,Prestige Plus Complex Pack15mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552007,Prestige Plus Complex Pack16mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552008,Prestige Plus Complex Pack16mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552009,Prestige Plus Complex Pack18mm X 50cm,2625.0,2625.0,388.5,2100.0,23
CDM,80552010,Prestige Plus Complex Pack18mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552011,Prestige Plus Complex Pack20mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552012,Prestige Plus Complex Pack22mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552013,Prestige Plus Complex Pack24mm X 65cm,2875.0,2875.0,425.5,2300.0,23
CDM,80552014,Prestige Plus Complex Xtra Pack2.5mm X 12cm,2125.0,2125.0,314.5,1700.0,23
CDM,80552015,Prestige Plus Complex Xtra Pack3.5mm X 12cm,2125.0,2125.0,314.5,1700.0,23
CDM,80552016,Prestige Plus Complex Xtra Pack3.5mm X 20cm,2125.0,2125.0,314.5,1700.0,23
CDM,80552017,Prestige Plus Complex Xtra Pack3.5mm X 30cm,2375.0,2375.0,351.5,1900.0,23
CDM,80552018,Device Embl Optm Hndhld Dtch Cntrlr,513.0,513.0,75.92,410.4,23
CDM,80567166,Ensite Precision Surface Electrode Patch Kit,3250.0,3250.0,481.0,2600.0,23
CDM,80567296,Implantable Loop Recorder,11613.0,11613.0,1718.72,9290.4,23
CDM,80569632,"Innate Instrument Kit, for 4.5mm",738.0,738.0,109.22,590.4,23
CDM,80569633,"Innate Implant, 4.5mm X 35mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569634,"Innate Implant, 4.5mm X 40mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569635,"Innate Implant, 4.5mm X 45mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569636,"Innate Implant, 4.5mm X 50mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569637,"Innate Implant, 4.5mm X 55mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569638,"Innate Implant, 4.5mm X 65mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569639,"Innate Implant, 4.5mm X 75mm",2488.0,2488.0,368.22,1990.4,23
CDM,80569640,"Innate Instrument Kit, for 3.6mm",738.0,738.0,109.22,590.4,23
CDM,80569641,Innate Implant 3.6mm X 25mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569642,Innate Implant 3.6mm X 30mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569643,Innate Implant 3.6mm X 35mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569644,Innate Implant 3.6mm X 40mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569645,Innate Implant 3.6mm X 45mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569646,Innate Implant 3.6mm X 50mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569647,Innate Implant 3.6mm X 55mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569648,Inframe Instrument Kit for 2.0mm,738.0,738.0,109.22,590.4,23
CDM,80569649,Inframe Implant 2.0mm X 12mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569650,Inframe Implant 2.0mm X 14mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569651,Inframe Implant 2.0mm X 16mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569652,Inframe Implant 2.0mm X 18mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569653,Inframe Implant 2.0mm X 20mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569654,Inframe Implant 2.0mm X 22mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569655,Inframe Implant 2.0mm X 24mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569656,Inframe Implant 2.0mm X 26mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569657,Inframe Implant 2.0mm X 28mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569658,Inframe Implant 2.0mm X 30mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569659,Inframe Implant 2.0mm X 32mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569660,Inframe Implant 2.0mm X 34mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569661,Inframe Implant 2.0mm X 36mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569662,Inframe Implant 2.0mm X 38mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569663,Inframe Implant 2.0mm X 40mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569664,Inframe Implant 2.0mm X 42mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569665,Inframe Implant 2.0mm X 44mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569666,Inframe Implant 2.0mm X 46mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569667,Inframe Implant 2.0mm X 48mm,2488.0,2488.0,368.22,1990.4,23
CDM,80569680,Walrus .087 Balloon Guide Catheter 90cm,4375.0,4375.0,647.5,3500.0,23
CDM,80569681,Walrus .087 Balloon Guide Catheter 95cm,4375.0,4375.0,647.5,3500.0,23
CDM,80569684,Red 72 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CDM,80569685,Red 72 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CDM,80585011,Angio-Seal Vip Vascular Closure Device 6f,1680.0,1680.0,248.64,1344.0,23
CDM,80594023,System Asp 6f Slct 105cm Strl Indg Sys Htorq + Lght Flsh Asp,24425.0,24425.0,3614.9,19540.0,23
CDM,80594024,System Asp 6f Slct 1005cm Strl Indg Sys Htorq + Lght Flsh,24425.0,24425.0,3614.9,19540.0,23
CDM,80594078,Recorder Crd Lux-Dx-II+ Mbl Cln Ast Vw Rltm S Ecg Apl Prgm,10750.0,10750.0,1591.0,8600.0,23
CDM,80596520,Probe Ablt 15ga 15cm Neuwave Mcwv PR Xt,5923.0,5923.0,876.6,4738.4,23
CDM,80599155,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 2.50,660.0,660.0,97.68,528.0,23
CDM,80599156,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 2.75,660.0,660.0,97.68,528.0,23
CDM,80599157,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 3.00,660.0,660.0,97.68,528.0,23
CDM,80599158,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 3.50,660.0,660.0,97.68,528.0,23
CDM,80599159,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 4.00,660.0,660.0,97.68,528.0,23
CDM,82000002,Emergency Dialysis,3757.05,3757.05,556.04,3005.64,23
CDM,83100001,Intpatient Dialysis Crrt,3267.0,3267.0,483.52,2613.6,23
CDM,90000013,Consultation With Family,253.0,253.0,37.44,202.4,23
CDM,90000024,Mh Assessment by a Non-Physician,249.0,249.0,36.85,199.2,23
CDM,90000030,Medication Administ Comp,86.0,86.0,12.73,68.8,23
CDM,90000035,Group Skills Train/Devl 15 Min,30.0,30.0,4.44,24.0,23
CDM,90000045,Crisis Intervention,137.0,137.0,20.28,109.6,23
CDM,90000048,Psychosocial Rehabilitation,42.0,42.0,6.22,33.6,23
CDM,90000054,Nursing Assessment,99.0,99.0,14.65,79.2,23
CDM,90000056,Rn Services 15mins,99.0,99.0,14.65,79.2,23
CDM,90000057,Lpn Services 15mins,75.0,75.0,11.1,60.0,23
CDM,90000058,Community Transitional Planning,70.0,70.0,10.36,56.0,23
CDM,90000067,Psych Dx Eval (No Med Service),800.4,800.4,118.46,640.32,23
CDM,90000068,Psych Dx Eval (With Med Service),576.0,576.0,85.25,460.8,23
CDM,90000069,Interactive Complexity,321.0,321.0,47.51,256.8,23
CDM,90000070,Case Management,53.55,53.55,7.93,42.84,23
CDM,90000078,Peer Support Whole Health & Wellness,51.0,51.0,7.55,40.8,23
CDM,90000080,Behavior Counsel Obesity 15m,111.0,111.0,16.43,88.8,23
CDM,90000081,"Annual Depression Screening, 5 to 15 Minutes",78.0,78.0,11.54,62.4,23
CDM,91400004,Individual Psychotherapy 30 Mins,541.0,541.0,80.07,432.8,23
CDM,91400006,Individual Psychotherapy 60 Min,658.0,658.0,97.38,526.4,23
CDM,91400024,Individual Psychotherapy 45 Min,541.0,541.0,80.07,432.8,23
CDM,91400061,Psychotherapy W/Pat W/E&M Srvcs 30 Min (Add-On),382.0,382.0,56.54,305.6,23
CDM,91400062,Individual Counseling 45 Min Add On,571.0,571.0,84.51,456.8,23
CDM,91400063,"Psychotherapy, 60min W/Pat and or Fam W E/M(Add-On)",706.0,706.0,104.49,564.8,23
CDM,91400071,Psychotherapy for Crisis First 60 Minutes,682.0,682.0,100.94,545.6,23
CDM,91400072,Psychotherapy for Crisis; Addl 30 Min,264.0,264.0,39.07,211.2,23
CDM,91600001,Family Psychotherapy W/O Patient Present 50 Min,1054.0,1054.0,155.99,843.2,23
CDM,91600009,Psy Family Therapy W Pt,1054.0,1054.0,155.99,843.2,23
CDM,91800013,Cognitive Testing,684.0,684.0,101.23,547.2,23
CDM,91800019,Psychological Tst Eval Svc Phys/Qhp First Hour,587.0,587.0,86.88,469.6,23
CDM,91800023,Neurobehavioral Status Xm Phys/Qhp 1st Hour,705.0,705.0,104.34,564.0,23
CDM,91800025,Neuropsychol Tst Eval Phys/Qhp 1st Hour,1115.5,1115.5,165.09,892.4,23
CDM,91800026,Neuropsychol Tst Eval Physl/Qph Ea Addl Hr,496.0,496.0,73.41,396.8,23
CDM,91800027,Psycl/Nrpsycl Tst Tech 2+ Tst 1st 30 Min,124.0,124.0,18.35,99.2,23
CDM,91800028,Psycl/Nrpsyc Tst Tech 2+ Tst Ea Addl 30 Min,60.0,60.0,8.88,48.0,23
CDM,91800029,Psycl/Nrpsycl Tst Phy/Qhp Tst 1st 30 Min,166.0,166.0,24.57,132.8,23
CDM,91800030,Psycl/Nrpsycl Tst Phy/Qhp Tst Addl 30 Min,64.0,64.0,9.47,51.2,23
CDM,91800031,Health Behavior Assessment/Re-Assessment,568.0,568.0,84.06,454.4,23
CDM,91800032,Health Behavior Ivntj Indiv F2f 1st 30 Min,284.0,284.0,42.03,227.2,23
CDM,91800050,Behav Assmt W/Score & Docd/Stand Instrument,82.0,82.0,12.14,65.6,23
CDM,91800051,Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm,71.0,71.0,10.51,56.8,23
CDM,92000001,"Cystometrogram, Simple",1871.0,1871.0,276.91,1496.8,23
CDM,92000002,"Cystometrogram, Complex",2175.0,2175.0,321.9,1740.0,23
CDM,92000004,"Uroflowmetry, Complex",1775.0,1775.0,262.7,1420.0,23
CDM,92000005,Interrog&Prgrmg Impl Phrenic Nrv Stimulator Sys,228.0,228.0,33.74,182.4,23
CDM,92000006,Interrog&Prgrmg Ipnss During Polysomnography,705.0,705.0,104.34,564.0,23
CDM,92000007,Intra-Abdominal Pressure Test,2041.25,2041.25,302.1,1633.0,23
CDM,92000008,Interrogation Without Programming Ipnss,228.0,228.0,33.74,182.4,23
CDM,92000009,Fetal Contraction Stress Test,1775.0,1775.0,262.7,1420.0,23
CDM,92000010,Fetal Non Stress Test,2485.15,2485.15,367.8,1988.12,23
CDM,92000011,Vision Screen,207.0,207.0,30.64,165.6,23
CDM,92000015,Ambulatory Bp Mntr W/Sw 24 Hr+ Recording Only,301.0,301.0,44.55,240.8,23
CDM,92000018,Ambulatory Bp Mntr W/Sw 24 Hr+ Scanning Analysis & Report,301.0,301.0,44.55,240.8,23
CDM,92000020,Visual Field Exam Uni/Bil Intermed,191.0,191.0,28.27,152.8,23
CDM,92000028,Visual Field Exam Uni/Bil Extended,463.0,463.0,68.52,370.4,23
CDM,92000032,Flourescein Angioscopy W Photo,533.0,533.0,78.88,426.4,23
CDM,92000035,Ophthalmoscopy W/ Fundus Photo,326.0,326.0,48.25,260.8,23
CDM,92000036,Slit Lamp Photography,191.0,191.0,28.27,152.8,23
CDM,92000037,Polysomnography,7176.0,7176.0,1062.05,5740.8,23
CDM,92000038,Polysomnography W/Cpap,9804.9,9804.9,1451.13,7843.92,23
CDM,92000055,Guide Nerv Destr Elec Stim,396.0,396.0,58.61,316.8,23
CDM,92000056,Guide Nerv Destr Needle Emg,290.0,290.0,42.92,232.0,23
CDM,92000058,Liver Elastography,655.5,655.5,97.01,524.4,23
CDM,92000059,Cmptr Ophthalmic Dx Img Ant Segmt W/I&R Uni/Bi,161.0,161.0,23.83,128.8,23
CDM,92000065,Color Vision Examination,167.0,167.0,24.72,133.6,23
CDM,92000072,Cont Gluc Mntr Phys/Qhp Prov Eqp,593.0,593.0,87.76,474.4,23
CDM,92000073,Home Sleep Study,1490.5,1490.5,220.59,1192.4,23
CDM,92000075,Ophthalmoscopy Ext Optic Nerve Drawing Uni or Bil,169.0,169.0,25.01,135.2,23
CDM,92000080,Slp Stdy Unattended W/Hrt Rate/O2 Sat/Resp/Slp Time,1002.0,1002.0,148.3,801.6,23
CDM,92000081,Slp Stdy Unatnd W/Min Hrt Rate/O2 Sat/Resp Analysis,966.0,966.0,142.97,772.8,23
CDM,92000090,Quan MR Tis WO MRI 1orgn,2289.0,2289.0,338.77,1831.2,23
CDM,92000091,Quan MR Tiss W/MRI 1orgn,1315.6,1315.6,194.71,1052.48,23
CDM,92100001,Single Lead Pacemaker Program / Eval in Person,347.3,347.3,51.4,277.84,23
CDM,92100002,Dual Lead Pacemaker Program / Eval in Person,306.0,306.0,45.29,244.8,23
CDM,92100003,Pacemaker Sngl/Dual/Multi Interrog / Eval in Person,224.0,224.0,33.15,179.2,23
CDM,92100005,US Duplex Ca,2806.0,2806.0,415.29,2244.8,23
CDM,92100006,Ultrasound study of arm and leg arteries,346.15,346.15,51.23,276.92,23
CDM,92100007,US Duplex Ca,2135.0,2135.0,315.98,1708.0,23
CDM,92100013,Ankle/Brachial Indices (Abi),768.0,768.0,113.66,614.4,23
CDM,92100015,Ext Arterial Pvr Study,1828.0,1828.0,270.54,1462.4,23
CDM,92100017,US Low Ext Arteries Comp,2256.0,2256.0,333.89,1804.8,23
CDM,92100018,Low Ext Arteries Ltd,1881.4,1881.4,278.45,1505.12,23
CDM,92100020,Upper Ext Arteries Comp,2163.15,2163.15,320.15,1730.52,23
CDM,92100022,Upper Ext Arteries Ltd,1881.4,1881.4,278.45,1505.12,23
CDM,92100025,US Ext Veins Doppler Comp,2521.0,2521.0,373.11,2016.8,23
CDM,92100028,US Ext Veins Doppler Ltd,2118.0,2118.0,313.46,1694.4,23
CDM,92100032,Abd/Retroper Doppler Comp US,3461.0,3461.0,512.23,2768.8,23
CDM,92100033,Abd/Retroper Doppler Ltd US,1882.0,1882.0,278.54,1505.6,23
CDM,92100034,Sngl Lead Pm Program Eval,204.0,204.0,30.19,163.2,23
CDM,92100035,Sngl Lead Icd Program Eval,262.0,262.0,38.78,209.6,23
CDM,92100036,Pacemaker Sngl/Dual/Multi Peri-Procedure Eval in Person,212.0,212.0,31.38,169.6,23
CDM,92100037,Icd Sngl/Dual/Multi Peri-Procedure Eval in Person,225.0,225.0,33.3,180.0,23
CDM,92100038,Pacemaker/Icd Interrog / Eval Remote Up to 90 Days,292.0,292.0,43.22,233.6,23
CDM,92100039,Mult Lead Pm Program Eval,163.0,163.0,24.12,130.4,23
CDM,92100040,Multi-Lead Icd Program / Eval in Person,419.0,419.0,62.01,335.2,23
CDM,92100041,Interrog / Eval Scrms or Loop Recorder in Clinic,238.0,238.0,35.22,190.4,23
CDM,92100043,Icd Interrogation,262.0,262.0,38.78,209.6,23
CDM,92100044,Dual Lead Pm Program Eval,204.0,204.0,30.19,163.2,23
CDM,92100045,Dual Lead Icd Program Eval,264.0,264.0,39.07,211.2,23
CDM,92100052,Carotid Duplex,2806.0,2806.0,415.29,2244.8,23
CDM,92100063,Vascular Study Ult,2182.7,2182.7,323.04,1746.16,23
CDM,92100072,Multi-Lead Pacemaker Program / Eval in Person,306.0,306.0,45.29,244.8,23
CDM,92100080,Transcran Doppler Comp US,3664.0,3664.0,542.27,2931.2,23
CDM,92100081,Transcran Doppler Ltd US,2371.0,2371.0,350.91,1896.8,23
CDM,92100082,Tcd. Vasoreactivity Study,1989.0,1989.0,294.37,1591.2,23
CDM,92100083,Tcd. Emboli Detct W/O Inj,967.0,967.0,143.12,773.6,23
CDM,92100084,Tcd. Emboli Detect W/Inj,967.0,967.0,143.12,773.6,23
CDM,92100090,Vas Lab Pvr Lower Ext With Exercise,2049.3,2049.3,303.3,1639.44,23
CDM,92100091,Vessel Mapping for Hd Access Bilateral,2207.0,2207.0,326.64,1765.6,23
CDM,92100092,Vessel Mapping for Hd Access Unilateral,838.0,838.0,124.02,670.4,23
CDM,92200001,Electromyogram - 1 Extermity,683.0,683.0,101.08,546.4,23
CDM,92200003,Emg Limited (Thoracic Psp),299.0,299.0,44.25,239.2,23
CDM,92200004,Emg Limited Ext,486.0,486.0,71.93,388.8,23
CDM,92200010,RNS,288.0,288.0,42.62,230.4,23
CDM,92200011,Nvr Cndj Tst 1-2 Studies,706.0,706.0,104.49,564.8,23
CDM,92200012,Nrv Cndj Tst 3-4 Studies,2619.0,2619.0,387.61,2095.2,23
CDM,92200013,Nrv Cndj Tst 5-6 Studies,4517.2,4517.2,668.55,3613.76,23
CDM,92200014,Nrv Cndj Test 7-8 Studies,5236.0,5236.0,774.93,4188.8,23
CDM,92200015,Nrv Cndj Test 9-10 Studies,7525.6,7525.6,1113.79,6020.48,23
CDM,92200016,Nvr Cndj Tst 11-12 Studies,3570.0,3570.0,528.36,2856.0,23
CDM,92200017,Nrv Cndj Tst 13- or More Studies,5327.0,5327.0,788.4,4261.6,23
CDM,92200018,Needle Emg W/1 Fiber Electrode Quan Meas Jitter,802.0,802.0,118.7,641.6,23
CDM,92200040,Orbicularis Oculi Reflex,258.0,258.0,38.18,206.4,23
CDM,92200043,Emg Cranial Nerve Unilateral,617.0,617.0,91.32,493.6,23
CDM,92300002,Pap Smear,97.0,97.0,14.36,77.6,23
CDM,92400001,"Perc. Allergy Test, Immed. Rea",105.0,105.0,15.54,84.0,23
CDM,92400002,"Allergy Testing, Extracts",105.0,105.0,15.54,84.0,23
CDM,92400011,Intradermal Test #,163.0,163.0,24.12,130.4,23
CDM,92400012,Patch Tests - Each,1012.26,1012.26,149.81,809.81,23
CDM,92400034,Ingest Challenge Ini 120 Min,1825.0,1825.0,270.1,1460.0,23
CDM,94000001,Gastric Intubation/Aspiration W/WO Lavage,2041.25,2041.25,302.1,1633.0,23
CDM,94000003,"Allergy Injections, 2 or More",84.0,84.0,12.43,67.2,23
CDM,94000006,"Photochemotherapy,Uvb",293.25,293.25,43.4,234.6,23
CDM,94000007,"Photochemotherapy, Puva",182.0,182.0,26.94,145.6,23
CDM,94000021,Phlebotomy,532.0,532.0,78.74,425.6,23
CDM,94000022,Therapeutic Phlebotomy,532.0,532.0,78.74,425.6,23
CDM,94000023,Tc Mag Stimj Fcsd Lw Frq Emgnt Pls Pn 1st Nerve,369.0,369.0,54.61,295.2,23
CDM,94000024,Add-on - Tc Mag Stimj Fcsd Lw Frq Emgnt Pls Pn Ea Add Nrv,184.0,184.0,27.23,147.2,23
CDM,94000033,Acupunct W/O Stimul 15 Min,92.0,92.0,13.62,73.6,23
CDM,94000034,Acupunct W/O Stimul Addl 15m,47.0,47.0,6.96,37.6,23
CDM,94000035,Acupunct W/Stimul 15 Min,119.0,119.0,17.61,95.2,23
CDM,94000036,Acupunct W/Stimul Addl 15m,79.0,79.0,11.69,63.2,23
CDM,94200001,"Mnt - Individual, Initial per 15 Min",225.4,225.4,33.36,180.32,23
CDM,94200002,"Mnt - Individual, Follow-Up per 15 Min",124.2,124.2,18.38,99.36,23
CDM,94200003,"Mnt - Group, Initial or Follow-Up per 30 Min",97.75,97.75,14.47,78.2,23
CDM,94200004,"Dsmt - Individual, Initial or Follow-Up per 30 Min",253.0,253.0,37.44,202.4,23
CDM,94200005,"Dsmt - Group, Initial or Follow-Up per 30 Min",144.9,144.9,21.45,115.92,23
CDM,94200012,Mnt - Individual (Beyond Initial 3hrs or Beyond 2hrs in Subq Yrs) - per 15 Min,100.0,100.0,14.8,80.0,23
CDM,94200013,Mnt - Group (Beyond Initial 3hrs or Beyond 2hrs in Sebq Yrs) - per 30 Min,63.0,63.0,9.32,50.4,23
CDM,94200014,Childbirth Education Class,53.0,53.0,7.84,42.4,23
CDM,94200015,Centering Preg Group Session,143.0,143.0,21.16,114.4,23
CDM,94400001,Alcohol/Substance Screen & Interven 15-30 Min,107.0,107.0,15.84,85.6,23
CDM,94400002,Alcohol/Substance Screen & Intervention >30 Min,199.0,199.0,29.45,159.2,23
CDM,94600011,Kinair III W/O Scale,178.0,178.0,26.34,142.4,23
CDM,RX-001,(EPCLUSA) SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS [132135],1124.58,1124.58,166.44,899.66,23
CDM,RX-002,(RILUTEK) RILUZOLE 50 MG PO TABS [16124],141.58,141.58,20.95,113.26,23
CDM,RX-003,(RILUTEK) RILUZOLE 50 MG PO TABS [16124],159.96,159.96,23.67,127.97,23
CDM,RX-004,(SIMBRINZA) BRINZOLAMIDE-BRIMONIDINE 1-0.2 % OP SUSP [119650],831.31,831.31,123.03,665.05,23
CDM,RX-005,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1016.15,1016.15,150.39,812.92,23
CDM,RX-006,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1069.63,1069.63,158.31,855.7,23
CDM,RX-007,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1069.63,1069.63,158.31,855.7,23
CDM,RX-008,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],342.64,342.64,50.71,274.11,23
CDM,RX-009,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],591.74,591.74,87.58,473.39,23
CDM,RX-010,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],591.74,591.74,87.58,473.39,23
CDM,RX-011,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],664.13,664.13,98.29,531.3,23
CDM,RX-012,ABACAVIR SULFATE 300 MG PO TABS [24438],45.33,45.33,6.71,36.26,23
CDM,RX-013,ABACAVIR SULFATE 300 MG PO TABS [24438],47.21,47.21,6.99,37.77,23
CDM,RX-014,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
CDM,RX-015,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
CDM,RX-016,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
CDM,RX-017,ABEMACICLIB 100 MG PO TABS [138035],1147.78,1147.78,169.87,918.22,23
CDM,RX-018,ABEMACICLIB 150 MG PO TABS [138036],1147.78,1147.78,169.87,918.22,23
CDM,RX-019,ABEMACICLIB 200 MG PO TABS [138037],1147.78,1147.78,169.87,918.22,23
CDM,RX-020,ABEMACICLIB 50 MG PO TABS [138034],1147.78,1147.78,169.87,918.22,23
CDM,RX-021,ABIRATERONE ACETATE 250 MG PO TABS [108272],451.22,451.22,66.78,360.98,23
CDM,RX-022,ABIRATERONE ACETATE 500 MG PO TABS [136472],785.15,785.15,116.2,628.12,23
CDM,RX-023,ABLYSINOL IA SOLN [142912],1605.15,1605.15,237.56,1284.12,23
CDM,RX-024,ABLYSINOL IA SOLN [142912],2908.55,2908.55,430.47,2326.84,23
CDM,RX-025,ABLYSINOL IA SOLN [142912],2908.55,2908.55,430.47,2326.84,23
CDM,RX-026,ACALABRUTINIB 100 MG PO CAPS [138135],978.79,978.79,144.86,783.03,23
CDM,RX-027,ACAMPROSATE CALCIUM 333 MG PO TBEC [39720],8.26,8.26,1.22,6.61,23
CDM,RX-028,ACARBOSE 25 MG PO TABS [22148],6.0,6.0,0.89,4.8,23
CDM,RX-029,ACARBOSE 25 MG PO TABS [22148],6.0,6.0,0.89,4.8,23
CDM,RX-030,ACCU-CHEK AVIVA PLUS VI STRP [111020],364.5,364.5,53.95,291.6,23
CDM,RX-031,ACD FORMULA A 0.73-2.45-2.2 GM/100ML VI SOLN [16825],56.4,56.4,8.35,45.12,23
CDM,RX-032,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],46.53,46.53,6.89,37.22,23
CDM,RX-033,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],46.53,46.53,6.89,37.22,23
CDM,RX-034,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],61.1,61.1,9.04,48.88,23
CDM,RX-035,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],61.1,61.1,9.04,48.88,23
CDM,RX-036,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],82.25,82.25,12.17,65.8,23
CDM,RX-037,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],82.25,82.25,12.17,65.8,23
CDM,RX-038,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],192.26,192.26,28.45,153.81,23
CDM,RX-039,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],192.26,192.26,28.45,153.81,23
CDM,RX-040,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],220.96,220.96,32.7,176.77,23
CDM,RX-041,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
CDM,RX-042,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
CDM,RX-043,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
CDM,RX-044,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
CDM,RX-045,ACETAMINOPHEN 160 MG/5ML PO SUSP [8943],9.99,9.99,1.48,7.99,23
CDM,RX-046,ACETAMINOPHEN 160 MG/5ML PO SUSP [8943],16.64,16.64,2.46,13.31,23
CDM,RX-047,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-048,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-049,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-050,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-051,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-052,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-053,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-054,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-055,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
CDM,RX-056,ACETAMINOPHEN 325 MG RECTAL SUPP [104],6.0,6.0,0.89,4.8,23
CDM,RX-057,ACETAMINOPHEN 325 MG RECTAL SUPP [104],6.0,6.0,0.89,4.8,23
CDM,RX-058,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-059,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-060,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-061,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-062,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-063,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-064,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-065,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-066,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-067,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-068,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-069,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
CDM,RX-070,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
CDM,RX-071,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
CDM,RX-072,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
CDM,RX-073,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.26,11.26,1.67,9.01,23
CDM,RX-074,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.45,11.45,1.69,9.16,23
CDM,RX-075,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.45,11.45,1.69,9.16,23
CDM,RX-076,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],13.36,13.36,1.98,10.69,23
CDM,RX-077,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],13.36,13.36,1.98,10.69,23
CDM,RX-078,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],14.13,14.13,2.09,11.3,23
CDM,RX-079,ACETAMINOPHEN 80 MG RECTAL SUPP [8946],6.0,6.0,0.89,4.8,23
CDM,RX-080,ACETAMINOPHEN 80 MG RECTAL SUPP [8946],6.0,6.0,0.89,4.8,23
CDM,RX-081,ACETAMINOPHEN CHILDRENS 160 MG/5ML PO SUSP [141782],14.42,14.42,2.13,11.54,23
CDM,RX-082,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],6.0,6.0,0.89,4.8,23
CDM,RX-083,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],84.48,84.48,12.5,67.58,23
CDM,RX-084,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],88.93,88.93,13.16,71.14,23
CDM,RX-085,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
CDM,RX-086,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
CDM,RX-087,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
CDM,RX-088,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
CDM,RX-089,ACETAZOLAMIDE 250 MG PO TABS [113],6.0,6.0,0.89,4.8,23
CDM,RX-090,ACETAZOLAMIDE 250 MG PO TABS [113],13.01,13.01,1.93,10.41,23
CDM,RX-091,ACETAZOLAMIDE 250 MG PO TABS [113],15.49,15.49,2.29,12.39,23
CDM,RX-092,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],6.0,6.0,0.89,4.8,23
CDM,RX-093,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
CDM,RX-094,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
CDM,RX-095,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
CDM,RX-096,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],170.52,170.52,25.24,136.42,23
CDM,RX-097,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],171.47,171.47,25.38,137.18,23
CDM,RX-098,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],205.2,205.2,30.37,164.16,23
CDM,RX-099,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],206.29,206.29,30.53,165.03,23
CDM,RX-100,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],207.84,207.84,30.76,166.27,23
CDM,RX-1000,BEVACIZUMAB 400 MG/16ML IV SOLN [107095],9678.04,9678.04,1432.35,7742.43,23
CDM,RX-1001,BEVACIZUMAB 5 MG/0.2 ML OPHTH SYRINGE [600506],148.85,148.85,22.03,119.08,23
CDM,RX-1002,BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN [144263],2436.49,2436.49,360.6,1949.19,23
CDM,RX-1003,BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN [144264],8473.16,8473.16,1254.03,6778.53,23
CDM,RX-1004,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN [146213],2142.0,2142.0,317.02,1713.6,23
CDM,RX-1005,BEVACIZUMAB-BVZR 400 MG/16ML IV SOLN [146214],7449.13,7449.13,1102.47,5959.3,23
CDM,RX-1006,BEVESPI:GLYCOPYRROLATE-FORMOTEROL 9-4.8 MCG/ACT IN AERO [132336],1552.9,1552.9,229.83,1242.32,23
CDM,RX-1007,BEXAROTENE 75 MG PO CAPS [27027],979.07,979.07,144.9,783.26,23
CDM,RX-1008,BICALUTAMIDE 50 MG PO TABS [15746],57.0,57.0,8.44,45.6,23
CDM,RX-1009,BICALUTAMIDE 50 MG PO TABS [15746],85.79,85.79,12.7,68.63,23
CDM,RX-101,ACETIC ACID 0.25 % IR SOLN [8963],51.7,51.7,7.65,41.36,23
CDM,RX-1010,BICALUTAMIDE 50 MG PO TABS [15746],86.27,86.27,12.77,69.02,23
CDM,RX-1011,BICALUTAMIDE 50 MG PO TABS [15746],86.3,86.3,12.77,69.04,23
CDM,RX-1012,BICALUTAMIDE 50 MG PO TABS [15746],87.11,87.11,12.89,69.69,23
CDM,RX-1013,BIKTARVY:BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 PO TAB [138899],635.79,635.79,94.1,508.63,23
CDM,RX-1014,BIKTARVY:BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 PO TAB [138899],635.79,635.79,94.1,508.63,23
CDM,RX-1015,BIMATOPROST 0.01 % OP SOLN [104804],1038.94,1038.94,153.76,831.15,23
CDM,RX-1016,BIMATOPROST 0.03 % OP SOLN [29904],507.56,507.56,75.12,406.05,23
CDM,RX-1017,BINIMETINIB 15 MG PO TABS [140467],404.05,404.05,59.8,323.24,23
CDM,RX-1018,BIOGAIA PROTECTIS BABY/VIT D PO LIQD [137222],9.0,9.0,1.33,7.2,23
CDM,RX-1019,BIOGAIA PROTECTIS BABY/VIT D PO LIQD [137222],111.46,111.46,16.5,89.17,23
CDM,RX-102,ACETIC ACID 2 % OT SOLN [17801],173.23,173.23,25.64,138.58,23
CDM,RX-1020,BIOTENE ORALBALANCE DRY MOUTH MT GEL [97660],46.2,46.2,6.84,36.96,23
CDM,RX-1021,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],12.34,12.34,1.83,9.87,23
CDM,RX-1022,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],14.3,14.3,2.12,11.44,23
CDM,RX-1023,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],38.98,38.98,5.77,31.18,23
CDM,RX-1024,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1025,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1026,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1027,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1028,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1029,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-103,ACETIC ACID 2 % OT SOLN [17801],207.84,207.84,30.76,166.27,23
CDM,RX-1030,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1031,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1032,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1033,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1034,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
CDM,RX-1035,BISACODYL 10 MG RECTAL SUPP [1080],9.1,9.1,1.35,7.28,23
CDM,RX-1036,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1037,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1038,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1039,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-104,ACETIC ACID 3 % SOLN [15091],88.07,88.07,13.03,70.46,23
CDM,RX-1040,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1041,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1042,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
CDM,RX-1043,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1044,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1045,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1046,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1047,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1048,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
CDM,RX-1049,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP [1090],22.0,22.0,3.26,17.6,23
CDM,RX-105,ACETIC ACID 3 % SOLN [15091],260.63,260.63,38.57,208.5,23
CDM,RX-1050,BISOPROLOL FUMARATE 10 MG PO TABS [18287],6.6,6.6,0.98,5.28,23
CDM,RX-1051,BISOPROLOL FUMARATE 5 MG PO TABS [18288],6.0,6.0,0.89,4.8,23
CDM,RX-1052,BISOPROLOL FUMARATE 5 MG PO TABS [18288],6.6,6.6,0.98,5.28,23
CDM,RX-1053,BISOPROLOL FUMARATE 5 MG PO TABS [18288],10.59,10.59,1.57,8.47,23
CDM,RX-1054,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],326.76,326.76,48.36,261.41,23
CDM,RX-1055,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],326.76,326.76,48.36,261.41,23
CDM,RX-1056,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],407.16,407.16,60.26,325.73,23
CDM,RX-1057,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],407.16,407.16,60.26,325.73,23
CDM,RX-1058,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],452.4,452.4,66.96,361.92,23
CDM,RX-1059,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],655.98,655.98,97.09,524.78,23
CDM,RX-106,ACETIC ACID 5 % SOLN [14702],39.48,39.48,5.84,31.58,23
CDM,RX-1060,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],1767.85,1767.85,261.64,1414.28,23
CDM,RX-1061,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
CDM,RX-1062,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
CDM,RX-1063,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
CDM,RX-1064,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
CDM,RX-1065,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
CDM,RX-1066,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],159.44,159.44,23.6,127.55,23
CDM,RX-1067,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],179.27,179.27,26.53,143.42,23
CDM,RX-1068,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],203.73,203.73,30.15,162.98,23
CDM,RX-1069,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],235.54,235.54,34.86,188.43,23
CDM,RX-107,ACETIC ACID 5 % SOLN [14702],272.3,272.3,40.3,217.84,23
CDM,RX-1070,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],267.01,267.01,39.52,213.61,23
CDM,RX-1071,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],311.32,311.32,46.08,249.06,23
CDM,RX-1072,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],356.1,356.1,52.7,284.88,23
CDM,RX-1073,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],373.83,373.83,55.33,299.06,23
CDM,RX-1074,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],423.53,423.53,62.68,338.82,23
CDM,RX-1075,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],480.0,480.0,71.04,384.0,23
CDM,RX-1076,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],480.0,480.0,71.04,384.0,23
CDM,RX-1077,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],181.86,181.86,26.92,145.49,23
CDM,RX-1078,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],196.06,196.06,29.02,156.85,23
CDM,RX-1079,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],196.06,196.06,29.02,156.85,23
CDM,RX-108,ACETYLCHOLINE CHLORIDE 20 MG IO SOLR [76641],590.69,590.69,87.42,472.55,23
CDM,RX-1080,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],294.52,294.52,43.59,235.62,23
CDM,RX-1081,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],984.0,984.0,145.63,787.2,23
CDM,RX-1082,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],1180.8,1180.8,174.76,944.64,23
CDM,RX-1083,BORTEZOMIB 3.5 MG IJ SOLR [121955],4866.71,4866.71,720.27,3893.37,23
CDM,RX-1084,BOSENTAN 125 MG PO TABS [31876],879.95,879.95,130.23,703.96,23
CDM,RX-1085,BOSENTAN 6.25 MG/ML (NICU) ORAL SYRINGE [600626],59.37,59.37,8.79,47.5,23
CDM,RX-1086,BOSUTINIB 100 MG PO TABS [116397],677.95,677.95,100.34,542.36,23
CDM,RX-1087,BOSUTINIB 400 MG PO TABS [136063],2405.88,2405.88,356.07,1924.7,23
CDM,RX-1088,BOSUTINIB 500 MG PO TABS [116398],2405.88,2405.88,356.07,1924.7,23
CDM,RX-1089,BRENTUXIMAB VEDOTIN 50 MG IV SOLR [110307],37039.2,37039.2,5481.8,29631.36,23
CDM,RX-109,ACETYLCYSTEINE 20 % IN SOLN [123],6.1,6.1,0.9,4.88,23
CDM,RX-1090,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],58.75,58.75,8.7,47.0,23
CDM,RX-1091,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],85.22,85.22,12.61,68.18,23
CDM,RX-1092,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],141.38,141.38,20.92,113.1,23
CDM,RX-1093,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],141.38,141.38,20.92,113.1,23
CDM,RX-1094,BRINZOLAMIDE 1 % OP SUSP [22953],1200.52,1200.52,177.68,960.42,23
CDM,RX-1095,BRINZOLAMIDE 1 % OP SUSP [22953],1283.44,1283.44,189.95,1026.75,23
CDM,RX-1096,BRINZOLAMIDE 1 % OP SUSP [22953],1350.97,1350.97,199.94,1080.78,23
CDM,RX-1097,BRINZOLAMIDE 1 % OP SUSP [22953],1446.88,1446.88,214.14,1157.5,23
CDM,RX-1098,BRIVARACETAM 100 MG PO TABS [131451],127.57,127.57,18.88,102.06,23
CDM,RX-1099,BRIVARACETAM 25 MG PO TABS [131448],127.56,127.56,18.88,102.05,23
CDM,RX-110,ACETYLCYSTEINE 20 % IN SOLN [123],81.45,81.45,12.05,65.16,23
CDM,RX-1100,BRIVARACETAM 50 MG PO TABS [131449],127.57,127.57,18.88,102.06,23
CDM,RX-1101,BRIVARACETAM 75 MG PO TABS [131450],127.56,127.56,18.88,102.05,23
CDM,RX-1102,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],17.65,17.65,2.61,14.12,23
CDM,RX-1103,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],17.65,17.65,2.61,14.12,23
CDM,RX-1104,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],19.45,19.45,2.88,15.56,23
CDM,RX-1105,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],19.45,19.45,2.88,15.56,23
CDM,RX-1106,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],29.38,29.38,4.35,23.5,23
CDM,RX-1107,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],29.46,29.46,4.36,23.57,23
CDM,RX-1108,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
CDM,RX-1109,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
CDM,RX-111,ACETYLCYSTEINE 20 % IN SOLN [123],81.47,81.47,12.06,65.18,23
CDM,RX-1110,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
CDM,RX-1111,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
CDM,RX-1112,BSS IO SOLN [37579],71.35,71.35,10.56,57.08,23
CDM,RX-1113,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],27.97,27.97,4.14,22.38,23
CDM,RX-1114,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],43.99,43.99,6.51,35.19,23
CDM,RX-1115,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.22,44.22,6.54,35.38,23
CDM,RX-1116,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.22,44.22,6.54,35.38,23
CDM,RX-1117,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.25,44.25,6.55,35.4,23
CDM,RX-1118,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
CDM,RX-1119,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
CDM,RX-112,ACETYLCYSTEINE 20 % IN SOLN [123],90.08,90.08,13.33,72.06,23
CDM,RX-1120,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
CDM,RX-1121,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],29.46,29.46,4.36,23.57,23
CDM,RX-1122,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1123,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1124,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1125,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1126,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1127,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1128,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
CDM,RX-1129,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.49,52.49,7.77,41.99,23
CDM,RX-113,ACETYLCYSTEINE 20 % IN SOLN [123],132.37,132.37,19.59,105.9,23
CDM,RX-1130,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.49,52.49,7.77,41.99,23
CDM,RX-1131,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.64,52.64,7.79,42.11,23
CDM,RX-1132,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.64,52.64,7.79,42.11,23
CDM,RX-1133,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],57.85,57.85,8.56,46.28,23
CDM,RX-1134,BUDESONIDE 180 MCG/ACT IN AEPB [96977],1041.47,1041.47,154.14,833.18,23
CDM,RX-1135,BUDESONIDE 3 MG PO CPEP [31576],6.0,6.0,0.89,4.8,23
CDM,RX-1136,BUDESONIDE 3 MG PO CPEP [31576],89.77,89.77,13.29,71.82,23
CDM,RX-1137,BUDESONIDE 3 MG PO CPEP [31576],119.59,119.59,17.7,95.67,23
CDM,RX-1138,BUDESONIDE 90 MCG/ACT IN AEPB [96976],777.76,777.76,115.11,622.21,23
CDM,RX-1139,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO [81454],720.23,720.23,106.59,576.18,23
CDM,RX-114,ACETYLCYSTEINE 20 % IN SOLN [123],154.07,154.07,22.8,123.26,23
CDM,RX-1140,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO [81454],922.15,922.15,136.48,737.72,23
CDM,RX-1141,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO [81453],626.14,626.14,92.67,500.91,23
CDM,RX-1142,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO [81453],806.76,806.76,119.4,645.41,23
CDM,RX-1143,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1144,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1145,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1146,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1147,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1148,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1149,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-115,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],134.71,134.71,19.94,107.77,23
CDM,RX-1150,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1151,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1152,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1153,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1154,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1155,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1156,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1157,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1158,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-1159,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
CDM,RX-116,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],192.26,192.26,28.45,153.81,23
CDM,RX-1160,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],23.97,23.97,3.55,19.18,23
CDM,RX-1161,BUMETANIDE 0.5 MG PO TABS [9309],6.0,6.0,0.89,4.8,23
CDM,RX-1162,BUMETANIDE 0.5 MG PO TABS [9309],11.3,11.3,1.67,9.04,23
CDM,RX-1163,BUMETANIDE 1 MG PO TABS [9310],6.0,6.0,0.89,4.8,23
CDM,RX-1164,BUMETANIDE 1 MG PO TABS [9310],7.05,7.05,1.04,5.64,23
CDM,RX-1165,BUMETANIDE 1 MG PO TABS [9310],7.05,7.05,1.04,5.64,23
CDM,RX-1166,BUMETANIDE 1 MG PO TABS [9310],10.04,10.04,1.49,8.03,23
CDM,RX-1167,BUMETANIDE 1 MG PO TABS [9310],12.55,12.55,1.86,10.04,23
CDM,RX-1168,BUMETANIDE 1 MG PO TABS [9310],12.68,12.68,1.88,10.14,23
CDM,RX-1169,BUPIVACAINE HCL (PF) 0.125 % IJ SOLN IN NS PF [601394],42.73,42.73,6.32,34.18,23
CDM,RX-117,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],192.26,192.26,28.45,153.81,23
CDM,RX-1170,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1171,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1172,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1173,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1174,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1175,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1176,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1177,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1178,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
CDM,RX-1179,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],24.91,24.91,3.69,19.93,23
CDM,RX-118,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],248.58,248.58,36.79,198.86,23
CDM,RX-1180,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],27.78,27.78,4.11,22.22,23
CDM,RX-1181,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],28.77,28.77,4.26,23.02,23
CDM,RX-1182,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],36.99,36.99,5.47,29.59,23
CDM,RX-1183,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],38.92,38.92,5.76,31.14,23
CDM,RX-1184,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],40.33,40.33,5.97,32.26,23
CDM,RX-1185,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],40.33,40.33,5.97,32.26,23
CDM,RX-1186,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],46.25,46.25,6.84,37.0,23
CDM,RX-1187,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1188,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1189,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-119,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],258.96,258.96,38.33,207.17,23
CDM,RX-1190,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1191,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1192,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1193,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1194,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1195,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1196,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1197,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1198,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
CDM,RX-1199,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],29.29,29.29,4.33,23.43,23
CDM,RX-120,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],258.96,258.96,38.33,207.17,23
CDM,RX-1200,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],29.57,29.57,4.38,23.66,23
CDM,RX-1201,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],30.32,30.32,4.49,24.26,23
CDM,RX-1202,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],32.2,32.2,4.77,25.76,23
CDM,RX-1203,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],40.89,40.89,6.05,32.71,23
CDM,RX-1204,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],44.56,44.56,6.59,35.65,23
CDM,RX-1205,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
CDM,RX-1206,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
CDM,RX-1207,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
CDM,RX-1208,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
CDM,RX-1209,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.56,22.56,3.34,18.05,23
CDM,RX-121,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],280.08,280.08,41.45,224.06,23
CDM,RX-1210,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],27.08,27.08,4.01,21.66,23
CDM,RX-1211,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],27.78,27.78,4.11,22.22,23
CDM,RX-1212,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],29.47,29.47,4.36,23.58,23
CDM,RX-1213,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],29.76,29.76,4.4,23.81,23
CDM,RX-1214,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],30.79,30.79,4.56,24.63,23
CDM,RX-1215,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],30.79,30.79,4.56,24.63,23
CDM,RX-1216,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],33.56,33.56,4.97,26.85,23
CDM,RX-1217,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],46.25,46.25,6.84,37.0,23
CDM,RX-1218,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],22.0,22.0,3.26,17.6,23
CDM,RX-1219,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],25.56,25.56,3.78,20.45,23
CDM,RX-122,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],280.08,280.08,41.45,224.06,23
CDM,RX-1220,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],29.37,29.37,4.35,23.5,23
CDM,RX-1221,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],37.06,37.06,5.48,29.65,23
CDM,RX-1222,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],22.0,22.0,3.26,17.6,23
CDM,RX-1223,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],28.2,28.2,4.17,22.56,23
CDM,RX-1224,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],30.74,30.74,4.55,24.59,23
CDM,RX-1225,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],30.74,30.74,4.55,24.59,23
CDM,RX-1226,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],36.19,36.19,5.36,28.95,23
CDM,RX-1227,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],37.89,37.89,5.61,30.31,23
CDM,RX-1228,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],37.93,37.93,5.61,30.34,23
CDM,RX-1229,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],43.15,43.15,6.39,34.52,23
CDM,RX-123,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],452.4,452.4,66.96,361.92,23
CDM,RX-1230,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],43.15,43.15,6.39,34.52,23
CDM,RX-1231,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],65.43,65.43,9.68,52.34,23
CDM,RX-1232,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],65.43,65.43,9.68,52.34,23
CDM,RX-1233,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],68.25,68.25,10.1,54.6,23
CDM,RX-1234,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],68.25,68.25,10.1,54.6,23
CDM,RX-1235,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
CDM,RX-1236,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
CDM,RX-1237,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
CDM,RX-1238,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.42,22.42,3.32,17.94,23
CDM,RX-1239,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],28.63,28.63,4.24,22.9,23
CDM,RX-124,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],497.64,497.64,73.65,398.11,23
CDM,RX-1240,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],38.45,38.45,5.69,30.76,23
CDM,RX-1241,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],44.23,44.23,6.55,35.38,23
CDM,RX-1242,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],46.53,46.53,6.89,37.22,23
CDM,RX-1243,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],55.28,55.28,8.18,44.22,23
CDM,RX-1244,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],73.47,73.47,10.87,58.78,23
CDM,RX-1245,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],73.47,73.47,10.87,58.78,23
CDM,RX-1246,BUPRENORPHINE ER 128 MG/0.36ML SC SOSY [160397],5185.49,5185.49,767.45,4148.39,23
CDM,RX-1247,BUPRENORPHINE ER 16 MG/0.32ML SC SOSY [160399],1491.09,1491.09,220.68,1192.87,23
CDM,RX-1248,BUPRENORPHINE ER 24 MG/0.48ML SC SOSY [160400],1491.09,1491.09,220.68,1192.87,23
CDM,RX-1249,BUPRENORPHINE ER 32 MG/0.64ML SC SOSY [160401],1491.09,1491.09,220.68,1192.87,23
CDM,RX-125,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],739.97,739.97,109.52,591.98,23
CDM,RX-1250,BUPRENORPHINE ER 64 MG/0.18ML SC SOSY [160395],5185.49,5185.49,767.45,4148.39,23
CDM,RX-1251,BUPRENORPHINE ER 96 MG/0.27ML SC SOSY [160396],5185.49,5185.49,767.45,4148.39,23
CDM,RX-1252,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],69.41,69.41,10.27,55.53,23
CDM,RX-1253,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],69.42,69.42,10.27,55.54,23
CDM,RX-1254,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],76.82,76.82,11.37,61.46,23
CDM,RX-1255,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],76.82,76.82,11.37,61.46,23
CDM,RX-1256,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],85.56,85.56,12.66,68.45,23
CDM,RX-1257,BUPRENORPHINE HCL 2 MG SL SUBL [34711],6.0,6.0,0.89,4.8,23
CDM,RX-1258,BUPRENORPHINE HCL 2 MG SL SUBL [34711],11.52,11.52,1.7,9.22,23
CDM,RX-1259,BUPRENORPHINE HCL 2 MG SL SUBL [34711],11.52,11.52,1.7,9.22,23
CDM,RX-126,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],770.77,770.77,114.07,616.62,23
CDM,RX-1260,BUPRENORPHINE HCL 2 MG SL SUBL [34711],19.46,19.46,2.88,15.57,23
CDM,RX-1261,BUPRENORPHINE HCL 2 MG SL SUBL [34711],19.46,19.46,2.88,15.57,23
CDM,RX-1262,BUPRENORPHINE HCL 2 MG SL SUBL [34711],21.15,21.15,3.13,16.92,23
CDM,RX-1263,BUPRENORPHINE HCL 2 MG SL SUBL [34711],21.31,21.31,3.15,17.05,23
CDM,RX-1264,BUPRENORPHINE HCL 8 MG SL SUBL [34712],6.0,6.0,0.89,4.8,23
CDM,RX-1265,BUPRENORPHINE HCL 8 MG SL SUBL [34712],19.74,19.74,2.92,15.79,23
CDM,RX-1266,BUPRENORPHINE HCL 8 MG SL SUBL [34712],19.74,19.74,2.92,15.79,23
CDM,RX-1267,BUPRENORPHINE HCL 8 MG SL SUBL [34712],39.88,39.88,5.9,31.9,23
CDM,RX-1268,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],21.22,21.22,3.14,16.98,23
CDM,RX-1269,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],22.33,22.33,3.3,17.86,23
CDM,RX-127,ACIDOPHILUS PROBIOTIC 0.5 MG PO TABS [140827],6.0,6.0,0.89,4.8,23
CDM,RX-1270,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],22.33,22.33,3.3,17.86,23
CDM,RX-1271,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],26.75,26.75,3.96,21.4,23
CDM,RX-1272,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
CDM,RX-1273,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
CDM,RX-1274,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
CDM,RX-1275,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
CDM,RX-1276,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],47.84,47.84,7.08,38.27,23
CDM,RX-1277,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
CDM,RX-1278,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
CDM,RX-1279,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
CDM,RX-128,ACITRETIN 10 MG PO CAPS [13980],135.11,135.11,20.0,108.09,23
CDM,RX-1280,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
CDM,RX-1281,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
CDM,RX-1282,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
CDM,RX-1283,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
CDM,RX-1284,BUPROPION HCL 100 MG PO TABS [9321],9.97,9.97,1.48,7.98,23
CDM,RX-1285,BUPROPION HCL 75 MG PO TABS [9322],6.0,6.0,0.89,4.8,23
CDM,RX-1286,BUPROPION HCL 75 MG PO TABS [9322],6.0,6.0,0.89,4.8,23
CDM,RX-1287,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],6.0,6.0,0.89,4.8,23
CDM,RX-1288,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.83,7.83,1.16,6.26,23
CDM,RX-1289,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.93,7.93,1.17,6.34,23
CDM,RX-129,ACITRETIN 10 MG PO CAPS [13980],135.11,135.11,20.0,108.09,23
CDM,RX-1290,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.94,7.94,1.18,6.35,23
CDM,RX-1291,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.94,7.94,1.18,6.35,23
CDM,RX-1292,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],9.12,9.12,1.35,7.3,23
CDM,RX-1293,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
CDM,RX-1294,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
CDM,RX-1295,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
CDM,RX-1296,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
CDM,RX-1297,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.09,9.09,1.35,7.27,23
CDM,RX-1298,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.1,9.1,1.35,7.28,23
CDM,RX-1299,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.11,9.11,1.35,7.29,23
CDM,RX-130,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
CDM,RX-1300,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.11,9.11,1.35,7.29,23
CDM,RX-1301,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],44.41,44.41,6.57,35.53,23
CDM,RX-1302,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],7.43,7.43,1.1,5.94,23
CDM,RX-1303,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],7.43,7.43,1.1,5.94,23
CDM,RX-1304,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],20.26,20.26,3.0,16.21,23
CDM,RX-1305,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
CDM,RX-1306,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
CDM,RX-1307,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
CDM,RX-1308,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],24.54,24.54,3.63,19.63,23
CDM,RX-1309,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],24.54,24.54,3.63,19.63,23
CDM,RX-131,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
CDM,RX-1310,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],341.55,341.55,50.55,273.24,23
CDM,RX-1311,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
CDM,RX-1312,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
CDM,RX-1313,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
CDM,RX-1314,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],28.1,28.1,4.16,22.48,23
CDM,RX-1315,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],29.6,29.6,4.38,23.68,23
CDM,RX-1316,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-1317,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-1318,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-1319,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-132,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
CDM,RX-1320,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-1321,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
CDM,RX-1322,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
CDM,RX-1323,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
CDM,RX-1324,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
CDM,RX-1325,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
CDM,RX-1326,BUSPIRONE HCL 15 MG PO TABS [17464],9.5,9.5,1.41,7.6,23
CDM,RX-1327,BUSPIRONE HCL 15 MG PO TABS [17464],9.65,9.65,1.43,7.72,23
CDM,RX-1328,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-1329,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-133,ACITRETIN 25 MG PO CAPS [13979],252.79,252.79,37.41,202.23,23
CDM,RX-1330,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-1331,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-1332,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-1333,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
CDM,RX-1334,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
CDM,RX-1335,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
CDM,RX-1336,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
CDM,RX-1337,BUSULFAN 2 MG PO TABS [9325],121.71,121.71,18.01,97.37,23
CDM,RX-1338,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
CDM,RX-1339,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
CDM,RX-134,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
CDM,RX-1340,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
CDM,RX-1341,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
CDM,RX-1342,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],9.17,9.17,1.36,7.34,23
CDM,RX-1343,BUTORPHANOL TARTRATE 1 MG/ML IJ SOLN [9333],63.97,63.97,9.47,51.18,23
CDM,RX-1344,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT [100265],12968.61,12968.61,1919.35,10374.89,23
CDM,RX-1345,CABAZITAXEL 60 MG/6ML IV SOLN [104015],38911.35,38911.35,5758.88,31129.08,23
CDM,RX-1346,CABENUVA ER 400 & 600 MG/2ML IM [150959],13741.45,13741.45,2033.73,10993.16,23
CDM,RX-1347,CABENUVA ER 600 & 900 MG/3ML IM [150960],20612.2,20612.2,3050.61,16489.76,23
CDM,RX-1348,CABENUVA ER 600 & 900 MG/3ML IM [150960],20612.2,20612.2,3050.61,16489.76,23
CDM,RX-1349,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
CDM,RX-135,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
CDM,RX-1350,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
CDM,RX-1351,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
CDM,RX-1352,CABOTEGRAVIR ER 600 MG/3ML IM SUER [154652],12220.57,12220.57,1808.64,9776.46,23
CDM,RX-1353,CABOTEGRAVIR ER 600 MG/3ML IM SUER [154652],12220.57,12220.57,1808.64,9776.46,23
CDM,RX-1354,CABOZANTINIB S-MALATE 20 MG PO TABS [131594],2661.69,2661.69,393.93,2129.35,23
CDM,RX-1355,CABOZANTINIB S-MALATE 3 X 20 MG PO KIT [118196],908.07,908.07,134.39,726.46,23
CDM,RX-1356,CABOZANTINIB S-MALATE 40 MG PO TABS [131595],2661.69,2661.69,393.93,2129.35,23
CDM,RX-1357,CABOZANTINIB S-MALATE 60 MG PO TABS [131596],2661.69,2661.69,393.93,2129.35,23
CDM,RX-1358,CABOZANTINIB(100MG DAILY DOSE) 80 & 20 MG PO KIT [148508],1362.1,1362.1,201.59,1089.68,23
CDM,RX-1359,CABOZANTINIB(140MG DAILY DOSE) 3 X 20 MG & 80 MG PO KIT [148506],681.05,681.05,100.8,544.84,23
CDM,RX-136,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
CDM,RX-1360,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1361,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1362,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1363,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1364,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1365,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1366,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
CDM,RX-1367,CAFFEINE ANHYDROUS POWD [17500],379.28,379.28,56.13,303.42,23
CDM,RX-1368,CAFFEINE CITRATE 20 MG/ML PO SOLN [77411],206.24,206.24,30.52,164.99,23
CDM,RX-1369,CAFFEINE CITRATE 20 MG/ML PO SOLN [77411],1588.87,1588.87,235.15,1271.1,23
CDM,RX-137,ACYCLOVIR 200 MG PO CAPS [8969],6.16,6.16,0.91,4.93,23
CDM,RX-1370,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],56.4,56.4,8.35,45.12,23
CDM,RX-1371,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],67.68,67.68,10.02,54.14,23
CDM,RX-1372,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],88.34,88.34,13.07,70.67,23
CDM,RX-1373,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],103.92,103.92,15.38,83.14,23
CDM,RX-1374,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],124.71,124.71,18.46,99.77,23
CDM,RX-1375,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],161.77,161.77,23.94,129.42,23
CDM,RX-1376,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],173.2,173.2,25.63,138.56,23
CDM,RX-1377,CAFFEINE-SODIUM BENZOATE 125-125 MG/ML IJ SOLN [1262],189.71,189.71,28.08,151.77,23
CDM,RX-1378,CALAMINE 8-8 % EX LOTN [78879],11.0,11.0,1.63,8.8,23
CDM,RX-1379,CALCIPOTRIENE 0.005 % EX OINT [12244],1187.1,1187.1,175.69,949.68,23
CDM,RX-138,ACYCLOVIR 200 MG PO CAPS [8969],7.19,7.19,1.06,5.75,23
CDM,RX-1380,CALCIPOTRIENE 0.005 % EX OINT [12244],1256.18,1256.18,185.91,1004.94,23
CDM,RX-1381,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN [15738],446.9,446.9,66.14,357.52,23
CDM,RX-1382,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],2793.6,2793.6,413.45,2234.88,23
CDM,RX-1383,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],2793.6,2793.6,413.45,2234.88,23
CDM,RX-1384,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],6072.0,6072.0,898.66,4857.6,23
CDM,RX-1385,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],8079.86,8079.86,1195.82,6463.89,23
CDM,RX-1386,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
CDM,RX-1387,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
CDM,RX-1388,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
CDM,RX-1389,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
CDM,RX-139,ACYCLOVIR 200 MG/5ML PO SUSP [8970],203.76,203.76,30.16,163.01,23
CDM,RX-1390,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
CDM,RX-1391,CALCITRIOL 0.25 MCG PO CAPS [9350],6.02,6.02,0.89,4.82,23
CDM,RX-1392,CALCITRIOL 0.25 MCG PO CAPS [9350],6.02,6.02,0.89,4.82,23
CDM,RX-1393,CALCITRIOL 1 MCG/ML IV SOLN [9348],44.07,44.07,6.52,35.26,23
CDM,RX-1394,CALCITRIOL 1 MCG/ML PO SOLN [16218],674.82,674.82,99.87,539.86,23
CDM,RX-1395,CALCITRIOL 1 MCG/ML PO SOLN [16218],674.82,674.82,99.87,539.86,23
CDM,RX-1396,CALCITRIOL 1 MCG/ML PO SOLN [16218],844.87,844.87,125.04,675.9,23
CDM,RX-1397,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS [22456],6.0,6.0,0.89,4.8,23
CDM,RX-1398,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS [22456],6.0,6.0,0.89,4.8,23
CDM,RX-1399,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],6.77,6.77,1.0,5.42,23
CDM,RX-140,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1402.51,1402.51,207.57,1122.01,23
CDM,RX-1400,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],13.54,13.54,2.0,10.83,23
CDM,RX-1401,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],14.46,14.46,2.14,11.57,23
CDM,RX-1402,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],57.81,57.81,8.56,46.25,23
CDM,RX-1403,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],58.75,58.75,8.7,47.0,23
CDM,RX-1404,CALCIUM CHLORIDE 10 % IV SOLN [1306],56.4,56.4,8.35,45.12,23
CDM,RX-1405,CALCIUM CHLORIDE 10 % IV SOLN [1306],59.22,59.22,8.76,47.38,23
CDM,RX-1406,CALCIUM CHLORIDE 10 % IV SOLN [1306],71.16,71.16,10.53,56.93,23
CDM,RX-1407,CALCIUM CHLORIDE 10 % IV SOLN [1306],88.86,88.86,13.15,71.09,23
CDM,RX-1408,CALCIUM CHLORIDE 10 % IV SOLN [1306],100.42,100.42,14.86,80.34,23
CDM,RX-1409,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
CDM,RX-141,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
CDM,RX-1410,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
CDM,RX-1411,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
CDM,RX-1412,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
CDM,RX-1413,CALCIUM CITRATE 950 (200 CA) MG PO TABS [1308],6.0,6.0,0.89,4.8,23
CDM,RX-1414,CALCIUM GLUCONATE (ANTIDOTE) 2.5 % EX GEL [87801],140.3,140.3,20.76,112.24,23
CDM,RX-1415,CALCIUM GLUCONATE (ANTIDOTE) 2.5 % EX GEL [87801],140.3,140.3,20.76,112.24,23
CDM,RX-1416,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.4,56.4,8.35,45.12,23
CDM,RX-1417,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.4,56.4,8.35,45.12,23
CDM,RX-1418,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-1419,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-142,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
CDM,RX-1420,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-1421,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-1422,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-1423,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
CDM,RX-1424,CALCIUM GLUCONATE 3 GM IN SODIUM CHLORIDE 250 ML [600608],70.5,70.5,10.43,56.4,23
CDM,RX-1425,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-1426,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-1427,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-1428,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-1429,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-143,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
CDM,RX-1430,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
CDM,RX-1431,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],105.22,105.22,15.57,84.18,23
CDM,RX-1432,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],105.22,105.22,15.57,84.18,23
CDM,RX-1433,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
CDM,RX-1434,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
CDM,RX-1435,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
CDM,RX-1436,CALFACTANT IN NACL 35-0.9 MG/ML-% INTRATRACHEA SUSP [135334],1843.63,1843.63,272.86,1474.9,23
CDM,RX-1437,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],30.26,30.26,4.48,24.21,23
CDM,RX-1438,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],38.61,38.61,5.71,30.89,23
CDM,RX-1439,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],43.83,43.83,6.49,35.06,23
CDM,RX-144,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
CDM,RX-1440,CANDIDA ALBICANS SKN TST ANTGN ID SOLN [17524],1267.4,1267.4,187.58,1013.92,23
CDM,RX-1441,CANGRELOR TETRASODIUM 50 MG IV SOLR [128482],3039.64,3039.64,449.87,2431.71,23
CDM,RX-1442,CANGRELOR TETRASODIUM 50 MG IV SOLR [128482],3039.65,3039.65,449.87,2431.72,23
CDM,RX-1443,CANGRELOR TETRASODIUM 50 MG IV SOLR NO NF [601128482],3039.65,3039.65,449.87,2431.72,23
CDM,RX-1444,CANNABIDIOL 100 MG/ML PO SOLN [141265],3115.09,3115.09,461.03,2492.07,23
CDM,RX-1445,CANTHARIDIN 0.7% TOPICAL LIQUID [600824],752.12,752.12,111.31,601.7,23
CDM,RX-1446,CAPECITABINE 150 MG PO TABS [22993],76.47,76.47,11.32,61.18,23
CDM,RX-1447,CAPECITABINE 500 MG PO TABS [22994],169.2,169.2,25.04,135.36,23
CDM,RX-1448,CAPECITABINE 500 MG PO TABS [22994],169.39,169.39,25.07,135.51,23
CDM,RX-1449,CAPECITABINE 500 MG PO TABS [22994],169.39,169.39,25.07,135.51,23
CDM,RX-145,ACYCLOVIR 400 MG PO TABS [8971],6.0,6.0,0.89,4.8,23
CDM,RX-1450,CAPECITABINE 500 MG PO TABS [22994],210.93,210.93,31.22,168.74,23
CDM,RX-1451,CAPIVASERTIB 160 MG PO TABS [601360],1452.0,1452.0,214.9,1161.6,23
CDM,RX-1452,CAPIVASERTIB 200 MG PO TABS [601361],1452.0,1452.0,214.9,1161.6,23
CDM,RX-1453,CAPLACIZUMAB-YHDP 11 MG IJ KIT [142802],26023.64,26023.64,3851.5,20818.91,23
CDM,RX-1454,CAPREOMYCIN SULFATE 1 G IJ SOLR [9394],848.02,848.02,125.51,678.42,23
CDM,RX-1455,CAPSAICIN 0.025 % EX CREA [1350],46.82,46.82,6.93,37.46,23
CDM,RX-1456,CAPSAICIN 0.025 % EX CREA [1350],46.82,46.82,6.93,37.46,23
CDM,RX-1457,CAPTOPRIL 100 MG PO TABS [9400],14.54,14.54,2.15,11.63,23
CDM,RX-1458,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
CDM,RX-1459,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
CDM,RX-146,ACYCLOVIR 400 MG PO TABS [8971],8.42,8.42,1.25,6.74,23
CDM,RX-1460,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
CDM,RX-1461,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
CDM,RX-1462,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
CDM,RX-1463,CAPTOPRIL 12.5 MG PO TABS [9401],6.0,6.0,0.89,4.8,23
CDM,RX-1464,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
CDM,RX-1465,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
CDM,RX-1466,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
CDM,RX-1467,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
CDM,RX-1468,CAPTOPRIL 12.5 MG PO TABS [9401],7.97,7.97,1.18,6.38,23
CDM,RX-1469,CAPTOPRIL 12.5 MG PO TABS [9401],8.07,8.07,1.19,6.46,23
CDM,RX-147,ACYCLOVIR 400 MG PO TABS [8971],8.43,8.43,1.25,6.74,23
CDM,RX-1470,CAPTOPRIL 25 MG PO TABS [9402],6.0,6.0,0.89,4.8,23
CDM,RX-1471,CAPTOPRIL 25 MG PO TABS [9402],6.38,6.38,0.94,5.1,23
CDM,RX-1472,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
CDM,RX-1473,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
CDM,RX-1474,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
CDM,RX-1475,CAPTOPRIL 25 MG PO TABS [9402],8.45,8.45,1.25,6.76,23
CDM,RX-1476,CAPTOPRIL 25 MG PO TABS [9402],8.68,8.68,1.28,6.94,23
CDM,RX-1477,CAPTOPRIL 25 MG PO TABS [9402],8.75,8.75,1.3,7.0,23
CDM,RX-1478,CAPTOPRIL 25 MG PO TABS [9402],8.76,8.76,1.3,7.01,23
CDM,RX-1479,CAPTOPRIL 50 MG PO TABS [9403],11.07,11.07,1.64,8.86,23
CDM,RX-148,ACYCLOVIR 400 MG PO TABS [8971],8.86,8.86,1.31,7.09,23
CDM,RX-1480,CAPTOPRIL 50 MG PO TABS [9403],13.63,13.63,2.02,10.9,23
CDM,RX-1481,CAPTOPRIL 50 MG PO TABS [9403],13.63,13.63,2.02,10.9,23
CDM,RX-1482,CARBACHOL 0.01 % IO SOLN [19704],216.93,216.93,32.11,173.54,23
CDM,RX-1483,CARBAMAZEPINE 100 MG PO CHEW [1355],6.0,6.0,0.89,4.8,23
CDM,RX-1484,CARBAMAZEPINE 100 MG PO CHEW [1355],6.0,6.0,0.89,4.8,23
CDM,RX-1485,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],120.03,120.03,17.76,96.02,23
CDM,RX-1486,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],290.59,290.59,43.01,232.47,23
CDM,RX-1487,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],344.85,344.85,51.04,275.88,23
CDM,RX-1488,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],782.28,782.28,115.78,625.82,23
CDM,RX-1489,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
CDM,RX-149,ACYCLOVIR 400 MG PO TABS [8971],8.87,8.87,1.31,7.1,23
CDM,RX-1490,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
CDM,RX-1491,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
CDM,RX-1492,CARBAMAZEPINE 200 MG PO TABS [1357],7.52,7.52,1.11,6.02,23
CDM,RX-1493,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
CDM,RX-1494,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
CDM,RX-1495,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
CDM,RX-1496,CARBAMAZEPINE ER 100 MG PO TB12 [27634],9.33,9.33,1.38,7.46,23
CDM,RX-1497,CARBAMAZEPINE ER 200 MG PO CP12 [27632],10.0,10.0,1.48,8.0,23
CDM,RX-1498,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
CDM,RX-1499,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
CDM,RX-150,ACYCLOVIR 400 MG PO TABS [8971],10.19,10.19,1.51,8.15,23
CDM,RX-1500,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
CDM,RX-1501,CARBAMAZEPINE ER 200 MG PO TB12 [27635],18.61,18.61,2.75,14.89,23
CDM,RX-1502,CARBAMAZEPINE ER 300 MG PO CP12 [27633],10.0,10.0,1.48,8.0,23
CDM,RX-1503,CARBAMAZEPINE ER 400 MG PO TB12 [27636],19.53,19.53,2.89,15.62,23
CDM,RX-1504,CARBAMAZEPINE ER 400 MG PO TB12 [27636],19.53,19.53,2.89,15.62,23
CDM,RX-1505,CARBAMAZEPINE ER 400 MG PO TB12 [27636],37.18,37.18,5.5,29.74,23
CDM,RX-1506,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
CDM,RX-1507,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
CDM,RX-1508,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
CDM,RX-1509,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
CDM,RX-151,ACYCLOVIR 400 MG PO TABS [8971],10.19,10.19,1.51,8.15,23
CDM,RX-1510,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1511,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1512,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1513,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1514,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1515,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1516,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1517,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1518,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
CDM,RX-1519,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-152,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
CDM,RX-1520,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1521,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1522,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1523,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1524,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1525,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1526,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
CDM,RX-1527,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1528,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1529,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-153,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
CDM,RX-1530,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1531,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1532,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1533,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1534,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
CDM,RX-1535,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],7.44,7.44,1.1,5.95,23
CDM,RX-1536,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.18,8.18,1.21,6.54,23
CDM,RX-1537,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.19,8.19,1.21,6.55,23
CDM,RX-1538,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.49,8.49,1.26,6.79,23
CDM,RX-1539,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.49,8.49,1.26,6.79,23
CDM,RX-154,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
CDM,RX-1540,CARBOPLATIN 450 MG/45ML IV SOLN [39267],199.56,199.56,29.53,159.65,23
CDM,RX-1541,CARBOPLATIN 450 MG/45ML IV SOLN [39267],220.04,220.04,32.57,176.03,23
CDM,RX-1542,CARBOPLATIN 450 MG/45ML IV SOLN [39267],303.37,303.37,44.9,242.7,23
CDM,RX-1543,CARBOPLATIN 450 MG/45ML IV SOLN [39267],303.37,303.37,44.9,242.7,23
CDM,RX-1544,CARBOPLATIN 600 MG/60ML IV SOLN [40055],234.34,234.34,34.68,187.47,23
CDM,RX-1545,CARBOPLATIN 600 MG/60ML IV SOLN [40055],276.12,276.12,40.87,220.9,23
CDM,RX-1546,CARBOPLATIN 600 MG/60ML IV SOLN [40055],308.56,308.56,45.67,246.85,23
CDM,RX-1547,CARBOPLATIN 600 MG/60ML IV SOLN [40055],334.7,334.7,49.54,267.76,23
CDM,RX-1548,CARBOPLATIN 600 MG/60ML IV SOLN [40055],452.4,452.4,66.96,361.92,23
CDM,RX-1549,CARBOPLATIN 600 MG/60ML IV SOLN [40055],488.6,488.6,72.31,390.88,23
CDM,RX-155,ACYCLOVIR 400 MG PO TABS [8971],17.61,17.61,2.61,14.09,23
CDM,RX-1550,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],477.74,477.74,70.71,382.19,23
CDM,RX-1551,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],633.36,633.36,93.74,506.69,23
CDM,RX-1552,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],633.36,633.36,93.74,506.69,23
CDM,RX-1553,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],669.56,669.56,99.09,535.65,23
CDM,RX-1554,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
CDM,RX-1555,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
CDM,RX-1556,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
CDM,RX-1557,CARBOXYMETHYLCELLULOSE SOD PF 1 % OP GEL [137687],6.0,6.0,0.89,4.8,23
CDM,RX-1558,CARDIOPLEGIA DEL NIDO FORMULA PF SOLN [145785],319.45,319.45,47.28,255.56,23
CDM,RX-1559,CARFILZOMIB 10 MG IV SOLR [140767],2058.66,2058.66,304.68,1646.93,23
CDM,RX-156,ACYCLOVIR 400 MG PO TABS [8971],17.61,17.61,2.61,14.09,23
CDM,RX-1560,CARFILZOMIB 30 MG IV SOLR [132039],5369.47,5369.47,794.68,4295.58,23
CDM,RX-1561,CARFILZOMIB 60 MG IV SOLR [115839],10738.92,10738.92,1589.36,8591.14,23
CDM,RX-1562,CARIPRAZINE HCL 3 MG PO CAPS [130651],236.34,236.34,34.98,189.07,23
CDM,RX-1563,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
CDM,RX-1564,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
CDM,RX-1565,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
CDM,RX-1566,CARVEDILOL 12.5 MG PO TABS [15749],6.0,6.0,0.89,4.8,23
CDM,RX-1567,CARVEDILOL 12.5 MG PO TABS [15749],9.88,9.88,1.46,7.9,23
CDM,RX-1568,CARVEDILOL 12.5 MG PO TABS [15749],10.03,10.03,1.48,8.02,23
CDM,RX-1569,CARVEDILOL 12.5 MG PO TABS [15749],10.03,10.03,1.48,8.02,23
CDM,RX-157,ACYCLOVIR 5 % EX OINT [8968],529.22,529.22,78.32,423.38,23
CDM,RX-1570,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
CDM,RX-1571,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
CDM,RX-1572,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
CDM,RX-1573,CARVEDILOL 25 MG PO TABS [15748],6.0,6.0,0.89,4.8,23
CDM,RX-1574,CARVEDILOL 25 MG PO TABS [15748],9.88,9.88,1.46,7.9,23
CDM,RX-1575,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
CDM,RX-1576,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
CDM,RX-1577,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
CDM,RX-1578,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
CDM,RX-1579,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
CDM,RX-158,ACYCLOVIR 5 % EX OINT [8968],678.6,678.6,100.43,542.88,23
CDM,RX-1580,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
CDM,RX-1581,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
CDM,RX-1582,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
CDM,RX-1583,CARVEDILOL 3.125 MG PO TABS [18551],6.0,6.0,0.89,4.8,23
CDM,RX-1584,CARVEDILOL 3.125 MG PO TABS [18551],7.94,7.94,1.18,6.35,23
CDM,RX-1585,CARVEDILOL 3.125 MG PO TABS [18551],7.94,7.94,1.18,6.35,23
CDM,RX-1586,CARVEDILOL 3.125 MG PO TABS [18551],9.17,9.17,1.36,7.34,23
CDM,RX-1587,CARVEDILOL 3.125 MG PO TABS [18551],9.88,9.88,1.46,7.9,23
CDM,RX-1588,CARVEDILOL 3.125 MG PO TABS [18551],10.03,10.03,1.48,8.02,23
CDM,RX-1589,CARVEDILOL 3.125 MG PO TABS [18551],10.03,10.03,1.48,8.02,23
CDM,RX-159,ACYCLOVIR 5 % EX OINT [8968],1187.05,1187.05,175.68,949.64,23
CDM,RX-1590,CARVEDILOL 3.125 MG PO TABS [18551],10.04,10.04,1.49,8.03,23
CDM,RX-1591,CARVEDILOL 3.125 MG PO TABS [18551],10.05,10.05,1.49,8.04,23
CDM,RX-1592,CARVEDILOL 3.125 MG PO TABS [18551],10.05,10.05,1.49,8.04,23
CDM,RX-1593,CARVEDILOL 6.25 MG PO TABS [15747],6.0,6.0,0.89,4.8,23
CDM,RX-1594,CARVEDILOL 6.25 MG PO TABS [15747],6.0,6.0,0.89,4.8,23
CDM,RX-1595,CARVEDILOL 6.25 MG PO TABS [15747],8.64,8.64,1.28,6.91,23
CDM,RX-1596,CARVEDILOL 6.25 MG PO TABS [15747],9.17,9.17,1.36,7.34,23
CDM,RX-1597,CARVEDILOL 6.25 MG PO TABS [15747],9.88,9.88,1.46,7.9,23
CDM,RX-1598,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
CDM,RX-1599,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
CDM,RX-160,ACYCLOVIR 5 % EX OINT [8968],1308.09,1308.09,193.6,1046.47,23
CDM,RX-1600,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
CDM,RX-1601,CARVEDILOL 6.25 MG PO TABS [15747],10.05,10.05,1.49,8.04,23
CDM,RX-1602,CASPOFUNGIN ACETATE 50 MG IV SOLR [29567],1329.22,1329.22,196.72,1063.38,23
CDM,RX-1603,CASPOFUNGIN ACETATE 70 MG IV SOLR [29568],1381.08,1381.08,204.4,1104.86,23
CDM,RX-1604,CEFACLOR 250 MG PO CAPS [9430],12.16,12.16,1.8,9.73,23
CDM,RX-1605,CEFACLOR 250 MG/5ML PO SUSR [9434],2014.89,2014.89,298.2,1611.91,23
CDM,RX-1606,CEFACLOR 500 MG PO CAPS [9431],23.8,23.8,3.52,19.04,23
CDM,RX-1607,CEFADROXIL 500 MG PO CAPS [9436],16.92,16.92,2.5,13.54,23
CDM,RX-1608,CEFADROXIL 500 MG PO CAPS [9436],16.92,16.92,2.5,13.54,23
CDM,RX-1609,CEFADROXIL 500 MG PO CAPS [9436],17.49,17.49,2.59,13.99,23
CDM,RX-161,ACYCLOVIR 5 % EX OINT [8968],1308.09,1308.09,193.6,1046.47,23
CDM,RX-1610,CEFADROXIL 500 MG/5ML PO SUSR [9439],245.66,245.66,36.36,196.53,23
CDM,RX-1611,CEFAZOLIN 1 G VIAL FOR OPHTHALMIC PROCEDURES [600554],52.0,52.0,7.7,41.6,23
CDM,RX-1612,CEFAZOLIN 1G IN 50ML DEXTROSE (ISO-OSMOTIC) PREMIXED SOLUTION [139272],29.61,29.61,4.38,23.69,23
CDM,RX-1613,CEFAZOLIN 1GM/D5W 50ML MB PLUS [600020],52.0,52.0,7.7,41.6,23
CDM,RX-1614,CEFAZOLIN 1GM/NS 50ML MB PLUS-OR ONLY [600362],52.0,52.0,7.7,41.6,23
CDM,RX-1615,CEFAZOLIN 2 G/D5W 100 ML IVPB [600789],52.0,52.0,7.7,41.6,23
CDM,RX-1616,CEFAZOLIN 2G/10ML FOR OR USE [601171],52.0,52.0,7.7,41.6,23
CDM,RX-1617,CEFAZOLIN FORT OPHTH 50 MG/ML 10ML [600048],58.75,58.75,8.7,47.0,23
CDM,RX-1618,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-1619,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-162,ACYCLOVIR 800 MG PO TABS [8972],19.82,19.82,2.93,15.86,23
CDM,RX-1620,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-1621,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-1622,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-1623,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
CDM,RX-1624,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],35.25,35.25,5.22,28.2,23
CDM,RX-1625,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],28.55,28.55,4.23,22.84,23
CDM,RX-1626,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],47.94,47.94,7.1,38.35,23
CDM,RX-1627,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],47.94,47.94,7.1,38.35,23
CDM,RX-1628,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.04,62.04,9.18,49.63,23
CDM,RX-1629,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.33,62.33,9.22,49.86,23
CDM,RX-163,ACYCLOVIR 800 MG PO TABS [8972],19.82,19.82,2.93,15.86,23
CDM,RX-1630,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.33,62.33,9.22,49.86,23
CDM,RX-1631,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],70.73,70.73,10.47,56.58,23
CDM,RX-1632,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],233.4,233.4,34.54,186.72,23
CDM,RX-1633,CEFAZOLIN SODIUM 100 G IJ SOLR [31086],542.88,542.88,80.35,434.3,23
CDM,RX-1634,CEFAZOLIN SODIUM 2 G IJ SOLR [155174],34.36,34.36,5.09,27.49,23
CDM,RX-1635,CEFAZOLIN SODIUM 2 G IJ SOLR [155174],34.37,34.37,5.09,27.5,23
CDM,RX-1636,CEFAZOLIN SODIUM 300 G IJ SOLR [31087],1377.6,1377.6,203.88,1102.08,23
CDM,RX-1637,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
CDM,RX-1638,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
CDM,RX-1639,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
CDM,RX-164,ACYCLOVIR 800 MG PO TABS [8972],21.39,21.39,3.17,17.11,23
CDM,RX-1640,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],45.76,45.76,6.77,36.61,23
CDM,RX-1641,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR [141430],83.25,83.25,12.32,66.6,23
CDM,RX-1642,CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN [129842],22.0,22.0,3.26,17.6,23
CDM,RX-1643,CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN [129842],52.17,52.17,7.72,41.74,23
CDM,RX-1644,CEFDINIR 125 MG/5ML PO SUSR [22290],313.93,313.93,46.46,251.14,23
CDM,RX-1645,CEFDINIR 125 MG/5ML PO SUSR [22290],314.32,314.32,46.52,251.46,23
CDM,RX-1646,CEFDINIR 125 MG/5ML PO SUSR [22290],314.32,314.32,46.52,251.46,23
CDM,RX-1647,CEFDINIR 250 MG/5ML PO SUSR [39522],593.4,593.4,87.82,474.72,23
CDM,RX-1648,CEFDINIR 250 MG/5ML PO SUSR [39522],593.78,593.78,87.88,475.02,23
CDM,RX-1649,CEFDINIR 300 MG PO CAPS [22289],19.04,19.04,2.82,15.23,23
CDM,RX-165,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],75.2,75.2,11.13,60.16,23
CDM,RX-1650,CEFDINIR 300 MG PO CAPS [22289],24.0,24.0,3.55,19.2,23
CDM,RX-1651,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
CDM,RX-1652,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
CDM,RX-1653,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
CDM,RX-1654,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
CDM,RX-1655,CEFEPIME 1 G/100 ML NS MB PLUS [600880],58.9,58.9,8.72,47.12,23
CDM,RX-1656,CEFEPIME 2 G/100 ML NS MB PLUS [600881],71.4,71.4,10.57,57.12,23
CDM,RX-1657,CEFEPIME HCL 1 G IJ SOLR [16369],32.15,32.15,4.76,25.72,23
CDM,RX-1658,CEFEPIME HCL 1 G IJ SOLR [16369],32.43,32.43,4.8,25.94,23
CDM,RX-1659,CEFEPIME HCL 1 G IJ SOLR [16369],33.84,33.84,5.01,27.07,23
CDM,RX-166,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],75.2,75.2,11.13,60.16,23
CDM,RX-1660,CEFEPIME HCL 1 G IJ SOLR [16369],34.35,34.35,5.08,27.48,23
CDM,RX-1661,CEFEPIME HCL 1 G IJ SOLR [16369],35.82,35.82,5.3,28.66,23
CDM,RX-1662,CEFEPIME HCL 1 G IJ SOLR [16369],88.05,88.05,13.03,70.44,23
CDM,RX-1663,CEFEPIME HCL 1 G IJ SOLR [16369],88.05,88.05,13.03,70.44,23
CDM,RX-1664,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],54.71,54.71,8.1,43.77,23
CDM,RX-1665,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],55.28,55.28,8.18,44.22,23
CDM,RX-1666,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],56.69,56.69,8.39,45.35,23
CDM,RX-1667,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.75,174.75,25.86,139.8,23
CDM,RX-1668,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.75,174.75,25.86,139.8,23
CDM,RX-1669,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.76,174.76,25.86,139.81,23
CDM,RX-167,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],97.69,97.69,14.46,78.15,23
CDM,RX-1670,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR [146561],916.46,916.46,135.64,733.17,23
CDM,RX-1671,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR [146561],916.47,916.47,135.64,733.18,23
CDM,RX-1672,CEFIXIME 100 MG/5ML PO SUSR [9446],730.46,730.46,108.11,584.37,23
CDM,RX-1673,CEFIXIME 100 MG/5ML PO SUSR [9446],892.82,892.82,132.14,714.26,23
CDM,RX-1674,CEFIXIME 400 MG PO CAPS [119958],107.86,107.86,15.96,86.29,23
CDM,RX-1675,CEFOXITIN 1 G/NS 100 ML MB PLUS-OR ONLY [600367],131.83,131.83,19.51,105.46,23
CDM,RX-1676,CEFOXITIN SODIUM 1 G IV SOLR [9461],22.0,22.0,3.26,17.6,23
CDM,RX-1677,CEFOXITIN SODIUM 1 G IV SOLR [9461],33.84,33.84,5.01,27.07,23
CDM,RX-1678,CEFOXITIN SODIUM 1 G IV SOLR [9461],39.43,39.43,5.84,31.54,23
CDM,RX-1679,CEFOXITIN SODIUM 1 G IV SOLR [9461],56.12,56.12,8.31,44.9,23
CDM,RX-168,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],97.69,97.69,14.46,78.15,23
CDM,RX-1680,CEFOXITIN SODIUM 2 G IV SOLR [9463],33.84,33.84,5.01,27.07,23
CDM,RX-1681,CEFOXITIN SODIUM 2 G IV SOLR [9463],56.4,56.4,8.35,45.12,23
CDM,RX-1682,CEFOXITIN SODIUM 2 G IV SOLR [9463],78.74,78.74,11.65,62.99,23
CDM,RX-1683,CEFOXITIN SODIUM 2 G IV SOLR [9463],102.89,102.89,15.23,82.31,23
CDM,RX-1684,CEFOXITIN SODIUM 2 G IV SOLR [9463],103.67,103.67,15.34,82.94,23
CDM,RX-1685,CEFPODOXIME PROXETIL 100 MG PO TABS [9468],31.67,31.67,4.69,25.34,23
CDM,RX-1686,CEFPODOXIME PROXETIL 200 MG PO TABS [9469],39.75,39.75,5.88,31.8,23
CDM,RX-1687,CEFPODOXIME PROXETIL 200 MG PO TABS [9469],39.75,39.75,5.88,31.8,23
CDM,RX-1688,CEFTAROLINE FOSAMIL 400 MG IV SOLR [106033],919.13,919.13,136.03,735.3,23
CDM,RX-1689,CEFTAROLINE FOSAMIL 400 MG IV SOLR [106033],1013.37,1013.37,149.98,810.7,23
CDM,RX-169,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],129.9,129.9,19.23,103.92,23
CDM,RX-1690,CEFTAROLINE FOSAMIL 400MG/NS 250 ML MB PLUS [600686],586.59,586.59,86.82,469.27,23
CDM,RX-1691,CEFTAROLINE FOSAMIL 600 MG IV SOLR [106034],919.13,919.13,136.03,735.3,23
CDM,RX-1692,CEFTAROLINE FOSAMIL 600 MG IV SOLR [106034],1013.37,1013.37,149.98,810.7,23
CDM,RX-1693,CEFTAROLINE FOSAMIL 600MG/NS 250 ML MB PLUS [600745],586.59,586.59,86.82,469.27,23
CDM,RX-1694,CEFTAZIDIME 1 G IJ SOLR [9474],24.05,24.05,3.56,19.24,23
CDM,RX-1695,CEFTAZIDIME 1 G IJ SOLR [9474],25.38,25.38,3.76,20.3,23
CDM,RX-1696,CEFTAZIDIME 1 G IJ SOLR [9474],29.33,29.33,4.34,23.46,23
CDM,RX-1697,CEFTAZIDIME 2 G IV SOLR [27291],53.88,53.88,7.97,43.1,23
CDM,RX-1698,CEFTAZIDIME 2 G IV SOLR [27291],56.4,56.4,8.35,45.12,23
CDM,RX-1699,CEFTAZIDIME 2 G IV SOLR [27291],68.22,68.22,10.1,54.58,23
CDM,RX-170,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],181.86,181.86,26.92,145.49,23
CDM,RX-1700,CEFTAZIDIME 2.25MG/0.1ML OPHTH SYRINGE [600306],27.0,27.0,4.0,21.6,23
CDM,RX-1701,CEFTAZIDIME 50MG/ML FORTIFIED OPHTH SOLN 10 ML [600627],47.0,47.0,6.96,37.6,23
CDM,RX-1702,CEFTAZIDIME AND DEXTROSE 2-5 GM-%(50ML) IV SOLR [141425],122.53,122.53,18.13,98.02,23
CDM,RX-1703,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR [127500],1634.88,1634.88,241.96,1307.9,23
CDM,RX-1704,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR [126371],686.29,686.29,101.57,549.03,23
CDM,RX-1705,CEFTRIAXONE +LIDOCAINE 1% IM INJ [600534],54.05,54.05,8.0,43.24,23
CDM,RX-1706,CEFTRIAXONE 1 G/D5W 100 ML MB PLUS [600014],54.87,54.87,8.12,43.9,23
CDM,RX-1707,CEFTRIAXONE 2 G/D5W 100 ML MB PLUS [600043],176.08,176.08,26.06,140.86,23
CDM,RX-1708,CEFTRIAXONE CUSTOM 1 G VIAL FOR DESENSITIZATION [600701],22.0,22.0,3.26,17.6,23
CDM,RX-1709,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-171,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.54,10508.54,1555.26,8406.83,23
CDM,RX-1710,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1711,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1712,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1713,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1714,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1715,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1716,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1717,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1718,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
CDM,RX-1719,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],198.96,198.96,29.45,159.17,23
CDM,RX-172,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.56,10508.56,1555.27,8406.85,23
CDM,RX-1720,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],198.97,198.97,29.45,159.18,23
CDM,RX-1721,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],199.18,199.18,29.48,159.34,23
CDM,RX-1722,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],199.18,199.18,29.48,159.34,23
CDM,RX-1723,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],89.98,89.98,13.32,71.98,23
CDM,RX-1724,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],145.49,145.49,21.53,116.39,23
CDM,RX-1725,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],1470.86,1470.86,217.69,1176.69,23
CDM,RX-1726,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
CDM,RX-1727,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
CDM,RX-1728,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
CDM,RX-1729,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
CDM,RX-173,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.58,10508.58,1555.27,8406.86,23
CDM,RX-1730,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
CDM,RX-1731,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],24.82,24.82,3.67,19.86,23
CDM,RX-1732,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],33.84,33.84,5.01,27.07,23
CDM,RX-1733,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.19,355.19,52.57,284.15,23
CDM,RX-1734,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.59,355.59,52.63,284.47,23
CDM,RX-1735,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.59,355.59,52.63,284.47,23
CDM,RX-1736,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],22.0,22.0,3.26,17.6,23
CDM,RX-1737,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],22.0,22.0,3.26,17.6,23
CDM,RX-1738,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],69.64,69.64,10.31,55.71,23
CDM,RX-1739,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
CDM,RX-174,ADEFOVIR DIPIVOXIL 10 MG PO TABS [33816],253.68,253.68,37.54,202.94,23
CDM,RX-1740,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
CDM,RX-1741,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
CDM,RX-1742,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
CDM,RX-1743,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],116.28,116.28,17.21,93.02,23
CDM,RX-1744,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],116.41,116.41,17.23,93.13,23
CDM,RX-1745,CEFUROXIME 0.75 G/D5W 100 ML MB PLUS [600018],109.23,109.23,16.17,87.38,23
CDM,RX-1746,CEFUROXIME 0.75 G/D5W 100 ML MB PLUS [600018],109.23,109.23,16.17,87.38,23
CDM,RX-1747,CEFUROXIME 1.5 G/D5W 100ML MB PLUS [600019],140.32,140.32,20.77,112.26,23
CDM,RX-1748,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.66,20.66,3.06,16.53,23
CDM,RX-1749,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
CDM,RX-175,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],517.32,517.32,76.56,413.86,23
CDM,RX-1750,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
CDM,RX-1751,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
CDM,RX-1752,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
CDM,RX-1753,CEFUROXIME AXETIL 250 MG PO TABS [9495],23.81,23.81,3.52,19.05,23
CDM,RX-1754,CEFUROXIME AXETIL 250 MG PO TABS [9495],26.63,26.63,3.94,21.3,23
CDM,RX-1755,CEFUROXIME AXETIL 250 MG PO TABS [9495],26.72,26.72,3.95,21.38,23
CDM,RX-1756,CEFUROXIME SODIUM 1.5 G IM SOLR [601005],25.38,25.38,3.76,20.3,23
CDM,RX-1757,CEFUROXIME SODIUM 1.5 G IM SOLR [601005],32.98,32.98,4.88,26.38,23
CDM,RX-1758,CEFUROXIME SODIUM 1.5 G IV SOLR [27299],32.98,32.98,4.88,26.38,23
CDM,RX-1759,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
CDM,RX-176,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],577.49,577.49,85.47,461.99,23
CDM,RX-1760,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
CDM,RX-1761,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
CDM,RX-1762,CEFUROXIME SODIUM 750 MG IM SOLR [601004],22.0,22.0,3.26,17.6,23
CDM,RX-1763,CEFUROXIME SODIUM 750 MG IM SOLR [601004],22.0,22.0,3.26,17.6,23
CDM,RX-1764,CELECOXIB 100 MG PO CAPS [24500],20.53,20.53,3.04,16.42,23
CDM,RX-1765,CELECOXIB 100 MG PO CAPS [24500],21.64,21.64,3.2,17.31,23
CDM,RX-1766,CELECOXIB 100 MG PO CAPS [24500],21.7,21.7,3.21,17.36,23
CDM,RX-1767,CELECOXIB 100 MG PO CAPS [24500],21.71,21.71,3.21,17.37,23
CDM,RX-1768,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
CDM,RX-1769,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
CDM,RX-177,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],703.56,703.56,104.13,562.85,23
CDM,RX-1770,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
CDM,RX-1771,CELECOXIB 100 MG PO CAPS [24500],56.46,56.46,8.36,45.17,23
CDM,RX-1772,CELECOXIB 200 MG PO CAPS [24501],35.43,35.43,5.24,28.34,23
CDM,RX-1773,CELECOXIB 200 MG PO CAPS [24501],35.58,35.58,5.27,28.46,23
CDM,RX-1774,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
CDM,RX-1775,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
CDM,RX-1776,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
CDM,RX-1777,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
CDM,RX-1778,CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN [141478],33168.18,33168.18,4908.89,26534.54,23
CDM,RX-1779,CEPHALEXIN 125 MG/5ML PO SUSR [9501],103.06,103.06,15.25,82.45,23
CDM,RX-178,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],771.46,771.46,114.18,617.17,23
CDM,RX-1780,CEPHALEXIN 125 MG/5ML PO SUSR [9501],103.06,103.06,15.25,82.45,23
CDM,RX-1781,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
CDM,RX-1782,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
CDM,RX-1783,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
CDM,RX-1784,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
CDM,RX-1785,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
CDM,RX-1786,CEPHALEXIN 250 MG/5ML PO SUSR [9502],124.71,124.71,18.46,99.77,23
CDM,RX-1787,CEPHALEXIN 250 MG/5ML PO SUSR [9502],124.71,124.71,18.46,99.77,23
CDM,RX-1788,CEPHALEXIN 250 MG/5ML PO SUSR [9502],199.17,199.17,29.48,159.34,23
CDM,RX-1789,CEPHALEXIN 250 MG/5ML PO SUSR [9502],199.17,199.17,29.48,159.34,23
CDM,RX-179,ADENOSINE 6 MG/2ML IV SOLN [38703],31.73,31.73,4.7,25.38,23
CDM,RX-1790,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1791,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1792,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1793,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1794,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1795,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1796,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1797,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
CDM,RX-1798,CEPHALEXIN 500 MG PO CAPS [9500],6.34,6.34,0.94,5.07,23
CDM,RX-1799,CEPHALEXIN 500 MG PO CAPS [9500],6.36,6.36,0.94,5.09,23
CDM,RX-180,ADENOSINE 6 MG/2ML IV SOLN [38703],34.96,34.96,5.17,27.97,23
CDM,RX-1800,CEPHALEXIN 500 MG PO CAPS [9500],6.36,6.36,0.94,5.09,23
CDM,RX-1801,CERITINIB 150 MG PO TABS [143717],742.36,742.36,109.87,593.89,23
CDM,RX-1802,CETAPHIL GENTLE CLEANSER EX LIQD [131430],30.08,30.08,4.45,24.06,23
CDM,RX-1803,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
CDM,RX-1804,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
CDM,RX-1805,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
CDM,RX-1806,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
CDM,RX-1807,CETIRIZINE HCL 10 MG PO TABS [9506],7.2,7.2,1.07,5.76,23
CDM,RX-1808,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
CDM,RX-1809,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
CDM,RX-181,ADENOSINE 6 MG/2ML IV SOLN [38703],34.96,34.96,5.17,27.97,23
CDM,RX-1810,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
CDM,RX-1811,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
CDM,RX-1812,CETIRIZINE HCL 5 MG PO TABS [15349],11.73,11.73,1.74,9.38,23
CDM,RX-1813,CETIRIZINE HCL 5 MG PO TABS [15349],11.73,11.73,1.74,9.38,23
CDM,RX-1814,CETIRIZINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [31239],6.0,6.0,0.89,4.8,23
CDM,RX-1815,CETIRIZINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [31239],6.0,6.0,0.89,4.8,23
CDM,RX-1816,CETUXIMAB 100 MG/50ML IV SOLN [37989],2835.95,2835.95,419.72,2268.76,23
CDM,RX-1817,CETUXIMAB 200 MG/100ML IV SOLN [107101],4931.23,4931.23,729.82,3944.98,23
CDM,RX-1818,CHARCOAL ACTIVATED PO LIQD [27099],102.89,102.89,15.23,82.31,23
CDM,RX-1819,CHARCOAL ACTIVATED PO LIQD [27099],102.89,102.89,15.23,82.31,23
CDM,RX-182,ADENOSINE 6 MG/2ML IV SOLN [38703],35.25,35.25,5.22,28.2,23
CDM,RX-1820,CHARCOAL ACTIVATED PO LIQD [27099],128.35,128.35,19.0,102.68,23
CDM,RX-1821,CHARCOAL ACTIVATED PO LIQD [27099],175.63,175.63,25.99,140.5,23
CDM,RX-1822,CHARCOAL ACTIVATED PO LIQD [27099],175.63,175.63,25.99,140.5,23
CDM,RX-1823,CHLORAMBUCIL 2 MG PO TABS [9513],137.79,137.79,20.39,110.23,23
CDM,RX-1824,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR [25518],227.1,227.1,33.61,181.68,23
CDM,RX-1825,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
CDM,RX-1826,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
CDM,RX-1827,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
CDM,RX-1828,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-1829,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-183,ADENOSINE 6 MG/2ML IV SOLN [38703],89.68,89.68,13.27,71.74,23
CDM,RX-1830,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-1831,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-1832,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-1833,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
CDM,RX-1834,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
CDM,RX-1835,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
CDM,RX-1836,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
CDM,RX-1837,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.0,6.0,0.89,4.8,23
CDM,RX-1838,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.21,6.21,0.92,4.97,23
CDM,RX-1839,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.21,6.21,0.92,4.97,23
CDM,RX-184,ADENOSINE 6 MG/2ML IV SOLN [38703],89.68,89.68,13.27,71.74,23
CDM,RX-1840,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.0,9.0,1.33,7.2,23
CDM,RX-1841,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.17,9.17,1.36,7.34,23
CDM,RX-1842,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.52,9.52,1.41,7.62,23
CDM,RX-1843,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.59,9.59,1.42,7.67,23
CDM,RX-1844,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.73,9.73,1.44,7.78,23
CDM,RX-1845,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
CDM,RX-1846,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
CDM,RX-1847,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
CDM,RX-1848,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.3,10.3,1.52,8.24,23
CDM,RX-1849,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
CDM,RX-185,ADENOSINE 6 MG/2ML IV SOLN [38703],90.24,90.24,13.36,72.19,23
CDM,RX-1850,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
CDM,RX-1851,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
CDM,RX-1852,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],55.58,55.58,8.23,44.46,23
CDM,RX-1853,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN NOSE TO TOES FLOOR STOCK KIT [601209],6.0,6.0,0.89,4.8,23
CDM,RX-1854,CHLORHEXIDINE GLUCONATE 4 % EX SOLN [28188],47.9,47.9,7.09,38.32,23
CDM,RX-1855,CHLORHEXIDINE MTHWASH 0.12% 1ML ORAL SYRINGE [600166],9.0,9.0,1.33,7.2,23
CDM,RX-1856,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
CDM,RX-1857,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
CDM,RX-1858,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
CDM,RX-1859,CHLOROPROCAINE HCL 1 % IJ SOLN [9523],93.79,93.79,13.88,75.03,23
CDM,RX-186,ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR [118951],19380.01,19380.01,2868.24,15504.01,23
CDM,RX-1860,CHLOROQUINE PHOSPHATE 250 MG PO TABS [1637],43.22,43.22,6.4,34.58,23
CDM,RX-1861,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],8.21,8.21,1.22,6.57,23
CDM,RX-1862,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],37.65,37.65,5.57,30.12,23
CDM,RX-1863,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],109.64,109.64,16.23,87.71,23
CDM,RX-1864,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],321.76,321.76,47.62,257.41,23
CDM,RX-1865,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],164.63,164.63,24.37,131.7,23
CDM,RX-1866,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],227.3,227.3,33.64,181.84,23
CDM,RX-1867,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],280.08,280.08,41.45,224.06,23
CDM,RX-1868,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],470.31,470.31,69.61,376.25,23
CDM,RX-1869,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],470.31,470.31,69.61,376.25,23
CDM,RX-187,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],6.0,6.0,0.89,4.8,23
CDM,RX-1870,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],754.0,754.0,111.59,603.2,23
CDM,RX-1871,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1171.75,1171.75,173.42,937.4,23
CDM,RX-1872,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1171.75,1171.75,173.42,937.4,23
CDM,RX-1873,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1811.39,1811.39,268.09,1449.11,23
CDM,RX-1874,CHLORPHENIRAMINE MALEATE 4 MG PO TABS [1645],6.0,6.0,0.89,4.8,23
CDM,RX-1875,CHLORPHENIRAMINE MALEATE 4 MG PO TABS [1645],6.0,6.0,0.89,4.8,23
CDM,RX-1876,CHLORPHENIRAMINE-PSEUDOEPH 4-60 MG PO TABS [9578],6.0,6.0,0.89,4.8,23
CDM,RX-1877,CHLORPHENIRAMINE-PSEUDOEPH 4-60 MG PO TABS [9578],6.0,6.0,0.89,4.8,23
CDM,RX-1878,CHLORPROMAZINE HCL 10 MG PO TABS [1653],19.75,19.75,2.92,15.8,23
CDM,RX-1879,CHLORPROMAZINE HCL 10 MG PO TABS [1653],19.75,19.75,2.92,15.8,23
CDM,RX-188,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],27.73,27.73,4.1,22.18,23
CDM,RX-1880,CHLORPROMAZINE HCL 10 MG PO TABS [1653],20.21,20.21,2.99,16.17,23
CDM,RX-1881,CHLORPROMAZINE HCL 10 MG PO TABS [1653],20.21,20.21,2.99,16.17,23
CDM,RX-1882,CHLORPROMAZINE HCL 100 MG PO TABS [1654],69.97,69.97,10.36,55.98,23
CDM,RX-1883,CHLORPROMAZINE HCL 100 MG PO TABS [1654],69.97,69.97,10.36,55.98,23
CDM,RX-1884,CHLORPROMAZINE HCL 200 MG PO TABS [1655],83.96,83.96,12.43,67.17,23
CDM,RX-1885,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
CDM,RX-1886,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
CDM,RX-1887,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
CDM,RX-1888,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
CDM,RX-1889,CHLORPROMAZINE HCL 25 MG PO TABS [1656],28.88,28.88,4.27,23.1,23
CDM,RX-189,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],102.19,102.19,15.12,81.75,23
CDM,RX-1890,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.18,35.18,5.21,28.14,23
CDM,RX-1891,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
CDM,RX-1892,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
CDM,RX-1893,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
CDM,RX-1894,CHLORPROMAZINE HCL 25 MG PO TABS [1656],52.17,52.17,7.72,41.74,23
CDM,RX-1895,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
CDM,RX-1896,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
CDM,RX-1897,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
CDM,RX-1898,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
CDM,RX-1899,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.11,150.11,22.22,120.09,23
CDM,RX-190,ADULT MAGIC MOUTHWASH(MLX:BEN:NYS:LIDO) [600003],6.0,6.0,0.89,4.8,23
CDM,RX-1900,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.12,150.12,22.22,120.1,23
CDM,RX-1901,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.12,150.12,22.22,120.1,23
CDM,RX-1902,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.13,150.13,22.22,120.1,23
CDM,RX-1903,CHLORPROMAZINE HCL 50 MG PO TABS [1657],41.14,41.14,6.09,32.91,23
CDM,RX-1904,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
CDM,RX-1905,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
CDM,RX-1906,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
CDM,RX-1907,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
CDM,RX-1908,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
CDM,RX-1909,CHLORPROMAZINE HCL 50 MG PO TABS [1657],70.69,70.69,10.46,56.55,23
CDM,RX-191,ADULT MAGIC MOUTHWASH(MLX:BEN:NYS:LIDO) [600003],27.73,27.73,4.1,22.18,23
CDM,RX-1910,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN [129102],172.0,172.0,25.46,137.6,23
CDM,RX-1911,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1912,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1913,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1914,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1915,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1916,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1917,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
CDM,RX-1918,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-1919,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-192,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN [111479],5757.02,5757.02,852.04,4605.62,23
CDM,RX-1920,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-1921,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-1922,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-1923,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
CDM,RX-1924,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
CDM,RX-1925,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
CDM,RX-1926,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
CDM,RX-1927,CHOCOLATE SYRUP [600435],11.0,11.0,1.63,8.8,23
CDM,RX-1928,CHOLECALCIFEROL 400 UNIT/ML (NICU) ORAL SYRINGE [600672],9.0,9.0,1.33,7.2,23
CDM,RX-1929,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],16.92,16.92,2.5,13.54,23
CDM,RX-193,ALBENDAZOLE 200 MG PO TABS [8979],431.5,431.5,63.86,345.2,23
CDM,RX-1930,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],46.3,46.3,6.85,37.04,23
CDM,RX-1931,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],108.25,108.25,16.02,86.6,23
CDM,RX-1932,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
CDM,RX-1933,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
CDM,RX-1934,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
CDM,RX-1935,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
CDM,RX-1936,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
CDM,RX-1937,CHOLECALCIFEROL-D3 50000 UNITS PO CAPS [88945],6.0,6.0,0.89,4.8,23
CDM,RX-1938,CHOLECALCIFEROL-D3 50000 UNITS PO CAPS [88945],6.0,6.0,0.89,4.8,23
CDM,RX-1939,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],15.75,15.75,2.33,12.6,23
CDM,RX-194,ALBENDAZOLE 200 MG PO TABS [8979],750.81,750.81,111.12,600.65,23
CDM,RX-1940,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],15.75,15.75,2.33,12.6,23
CDM,RX-1941,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.01,24.01,3.55,19.21,23
CDM,RX-1942,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.02,24.02,3.55,19.22,23
CDM,RX-1943,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.04,24.04,3.56,19.23,23
CDM,RX-1944,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR [1676],1277.63,1277.63,189.09,1022.1,23
CDM,RX-1945,CHROMIC CHLORIDE 40 MCG/10ML IV SOLN [126887],103.06,103.06,15.25,82.45,23
CDM,RX-1946,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],123.86,123.86,18.33,99.09,23
CDM,RX-1947,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],136.85,136.85,20.25,109.48,23
CDM,RX-1948,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],212.98,212.98,31.52,170.38,23
CDM,RX-1949,CIDOFOVIR 1% CREAM 37.5G [600524],2596.03,2596.03,384.21,2076.82,23
CDM,RX-195,ALBENDAZOLE 200 MG PO TABS [8979],750.81,750.81,111.12,600.65,23
CDM,RX-1950,CIDOFOVIR 75 MG/ML IV SOLN [17378],2584.08,2584.08,382.44,2067.26,23
CDM,RX-1951,CIDOFOVIR 75 MG/ML IV SOLN [17378],3001.75,3001.75,444.26,2401.4,23
CDM,RX-1952,CIDOFOVIR INTRALESIONAL 15 MG/ML INJ [600892],669.56,669.56,99.09,535.65,23
CDM,RX-1953,CIDOFOVIR INTRALESIONAL 15 MG/ML INJ [600892],669.56,669.56,99.09,535.65,23
CDM,RX-1954,CILOSTAZOL 100 MG PO TABS [24474],8.58,8.58,1.27,6.86,23
CDM,RX-1955,CILOSTAZOL 100 MG PO TABS [24474],10.58,10.58,1.57,8.46,23
CDM,RX-1956,CILOSTAZOL 50 MG PO TABS [24473],9.06,9.06,1.34,7.25,23
CDM,RX-1957,CILOSTAZOL 50 MG PO TABS [24473],10.5,10.5,1.55,8.4,23
CDM,RX-1958,CILOSTAZOL 50 MG PO TABS [24473],10.5,10.5,1.55,8.4,23
CDM,RX-1959,CIMETIDINE 800 MG PO TABS [9607],23.58,23.58,3.49,18.86,23
CDM,RX-196,ALBENDAZOLE 200 MG PO TABS [8979],750.88,750.88,111.13,600.7,23
CDM,RX-1960,CINACALCET HCL 30 MG PO TABS [38100],132.72,132.72,19.64,106.18,23
CDM,RX-1961,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
CDM,RX-1962,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
CDM,RX-1963,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
CDM,RX-1964,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
CDM,RX-1965,CINACALCET HCL 30 MG PO TABS [38100],133.91,133.91,19.82,107.13,23
CDM,RX-1966,CINACALCET HCL 30 MG PO TABS [38100],139.73,139.73,20.68,111.78,23
CDM,RX-1967,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
CDM,RX-1968,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
CDM,RX-1969,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
CDM,RX-197,ALBENDAZOLE 200 MG PO TABS [8979],858.69,858.69,127.09,686.95,23
CDM,RX-1970,CINACALCET HCL 60 MG PO TABS [38101],238.68,238.68,35.32,190.94,23
CDM,RX-1971,CINACALCET HCL 60 MG PO TABS [38101],240.59,240.59,35.61,192.47,23
CDM,RX-1972,CINACALCET HCL 60 MG PO TABS [38101],251.05,251.05,37.16,200.84,23
CDM,RX-1973,CINACALCET HCL 90 MG PO TABS [38102],357.69,357.69,52.94,286.15,23
CDM,RX-1974,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
CDM,RX-1975,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
CDM,RX-1976,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
CDM,RX-1977,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
CDM,RX-1978,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
CDM,RX-1979,CINACALCET HCL 90 MG PO TABS [38102],376.57,376.57,55.73,301.26,23
CDM,RX-198,ALBENDAZOLE 200 MG PO TABS [8979],907.4,907.4,134.3,725.92,23
CDM,RX-1980,CIPROFLOXACIN 500 MG/5ML (10%) PO SUSR [22988],689.16,689.16,102.0,551.33,23
CDM,RX-1981,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],59.22,59.22,8.76,47.38,23
CDM,RX-1982,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],78.96,78.96,11.69,63.17,23
CDM,RX-1983,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],108.38,108.38,16.04,86.7,23
CDM,RX-1984,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],204.86,204.86,30.32,163.89,23
CDM,RX-1985,CIPROFLOXACIN HCL 250 MG PO TABS [25118],6.0,6.0,0.89,4.8,23
CDM,RX-1986,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
CDM,RX-1987,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
CDM,RX-1988,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
CDM,RX-1989,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.31,21.31,3.15,17.05,23
CDM,RX-199,ALBUMIN HUMAN 25 % IV SOLN [8981],224.07,224.07,33.16,179.26,23
CDM,RX-1990,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.54,21.54,3.19,17.23,23
CDM,RX-1991,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.6,21.6,3.2,17.28,23
CDM,RX-1992,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
CDM,RX-1993,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
CDM,RX-1994,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
CDM,RX-1995,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
CDM,RX-1996,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
CDM,RX-1997,CIPROFLOXACIN HCL 500 MG PO TABS [25119],14.94,14.94,2.21,11.95,23
CDM,RX-1998,CIPROFLOXACIN HCL 500 MG PO TABS [25119],14.94,14.94,2.21,11.95,23
CDM,RX-1999,CIPROFLOXACIN HCL 500 MG PO TABS [25119],24.41,24.41,3.61,19.53,23
CDM,RX-200,ALBUMIN HUMAN 25 % IV SOLN [8981],268.03,268.03,39.67,214.42,23
CDM,RX-2000,CIPROFLOXACIN HCL 500 MG PO TABS [25119],25.23,25.23,3.73,20.18,23
CDM,RX-2001,CIPROFLOXACIN HCL 500 MG PO TABS [25119],26.01,26.01,3.85,20.81,23
CDM,RX-2002,CIPROFLOXACIN HCL 500 MG PO TABS [25119],26.26,26.26,3.89,21.01,23
CDM,RX-2003,CIPROFLOXACIN HCL 750 MG PO TABS [25120],25.6,25.6,3.79,20.48,23
CDM,RX-2004,CIPROFLOXACIN HCL 750 MG PO TABS [25120],25.61,25.61,3.79,20.49,23
CDM,RX-2005,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.05,26.05,3.86,20.84,23
CDM,RX-2006,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.44,26.44,3.91,21.15,23
CDM,RX-2007,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.44,26.44,3.91,21.15,23
CDM,RX-2008,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.54,26.54,3.93,21.23,23
CDM,RX-2009,CIPROFLOXACIN HCL 750 MG PO TABS [25120],36.01,36.01,5.33,28.81,23
CDM,RX-201,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
CDM,RX-2010,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
CDM,RX-2011,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
CDM,RX-2012,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
CDM,RX-2013,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
CDM,RX-2014,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
CDM,RX-2015,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
CDM,RX-2016,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
CDM,RX-2017,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
CDM,RX-2018,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
CDM,RX-2019,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
CDM,RX-202,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
CDM,RX-2020,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
CDM,RX-2021,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],579.95,579.95,85.83,463.96,23
CDM,RX-2022,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],882.38,882.38,130.59,705.9,23
CDM,RX-2023,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],915.25,915.25,135.46,732.2,23
CDM,RX-2024,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
CDM,RX-2025,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
CDM,RX-2026,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
CDM,RX-2027,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],980.44,980.44,145.11,784.35,23
CDM,RX-2028,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN [119122],39.48,39.48,5.84,31.58,23
CDM,RX-2029,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN [119122],78.96,78.96,11.69,63.17,23
CDM,RX-203,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
CDM,RX-2030,CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN [130887],1120.32,1120.32,165.81,896.26,23
CDM,RX-2031,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],51.42,51.42,7.61,41.14,23
CDM,RX-2032,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],56.4,56.4,8.35,45.12,23
CDM,RX-2033,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],56.4,56.4,8.35,45.12,23
CDM,RX-2034,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],95.61,95.61,14.15,76.49,23
CDM,RX-2035,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
CDM,RX-2036,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
CDM,RX-2037,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
CDM,RX-2038,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],136.96,136.96,20.27,109.57,23
CDM,RX-2039,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],142.94,142.94,21.16,114.35,23
CDM,RX-204,ALBUMIN HUMAN 25 % IV SOLN [8981],434.31,434.31,64.28,347.45,23
CDM,RX-2040,CISPLATIN 100 MG/100ML IV SOLN [88377],187.49,187.49,27.75,149.99,23
CDM,RX-2041,CISPLATIN 100 MG/100ML IV SOLN [88377],209.58,209.58,31.02,167.66,23
CDM,RX-2042,CISPLATIN 100 MG/100ML IV SOLN [88377],213.91,213.91,31.66,171.13,23
CDM,RX-2043,CISPLATIN 200 MG/200ML IV SOLN [88378],384.34,384.34,56.88,307.47,23
CDM,RX-2044,CISPLATIN 200 MG/200ML IV SOLN [88378],497.64,497.64,73.65,398.11,23
CDM,RX-2045,CISPLATIN 50 MG/50ML IV SOLN [88376],104.79,104.79,15.51,83.83,23
CDM,RX-2046,CISPLATIN 50 MG/50ML IV SOLN [88376],106.96,106.96,15.83,85.57,23
CDM,RX-2047,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.41,11.41,1.69,9.13,23
CDM,RX-2048,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.66,11.66,1.73,9.33,23
CDM,RX-2049,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.66,11.66,1.73,9.33,23
CDM,RX-205,ALBUMIN HUMAN 25 % IV SOLN [8981],519.51,519.51,76.89,415.61,23
CDM,RX-2050,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],12.13,12.13,1.8,9.7,23
CDM,RX-2051,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],11.91,11.91,1.76,9.53,23
CDM,RX-2052,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],11.99,11.99,1.77,9.59,23
CDM,RX-2053,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.01,12.01,1.78,9.61,23
CDM,RX-2054,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.34,12.34,1.83,9.87,23
CDM,RX-2055,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.65,12.65,1.87,10.12,23
CDM,RX-2056,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.66,12.66,1.87,10.13,23
CDM,RX-2057,CITALOPRAM HYDROBROMIDE 40 MG PO TABS [23490],13.07,13.07,1.93,10.46,23
CDM,RX-2058,CLADRIBINE 10 MG/10ML IV SOLN [130886],1519.02,1519.02,224.81,1215.22,23
CDM,RX-2059,CLARITHROMYCIN 250 MG PO TABS [9616],28.28,28.28,4.19,22.62,23
CDM,RX-206,ALBUMIN HUMAN 25 % IV SOLN [8981],708.48,708.48,104.86,566.78,23
CDM,RX-2060,CLARITHROMYCIN 250 MG/5ML PO SUSR [12886],443.92,443.92,65.7,355.14,23
CDM,RX-2061,CLARITHROMYCIN 250 MG/5ML PO SUSR [12886],715.7,715.7,105.92,572.56,23
CDM,RX-2062,CLARITHROMYCIN 500 MG PO TABS [9617],21.25,21.25,3.14,17.0,23
CDM,RX-2063,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
CDM,RX-2064,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
CDM,RX-2065,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
CDM,RX-2066,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
CDM,RX-2067,CLINDAMYCIN 1 MG/0.1 ML NS 0.5 ML INTRAVITREAL SYRINGE [600661],27.0,27.0,4.0,21.6,23
CDM,RX-2068,CLINDAMYCIN 50MG/ML OPHTH SOLN 5 ML [600423],54.52,54.52,8.07,43.62,23
CDM,RX-2069,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
CDM,RX-207,ALBUMIN HUMAN 25 % IV SOLN [8981],708.48,708.48,104.86,566.78,23
CDM,RX-2070,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
CDM,RX-2071,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
CDM,RX-2072,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
CDM,RX-2073,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],126.87,126.87,18.78,101.5,23
CDM,RX-2074,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],168.87,168.87,24.99,135.1,23
CDM,RX-2075,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
CDM,RX-2076,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
CDM,RX-2077,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
CDM,RX-2078,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.57,241.57,35.75,193.26,23
CDM,RX-2079,CLINDAMYCIN PHOSPHATE 1 % EX LOTN [19711],453.08,453.08,67.06,362.46,23
CDM,RX-208,ALBUMIN HUMAN 5 % IV SOLN [8982],223.68,223.68,33.1,178.94,23
CDM,RX-2080,CLINDAMYCIN PHOSPHATE 1 % EX LOTN [19711],543.79,543.79,80.48,435.03,23
CDM,RX-2081,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],96.13,96.13,14.23,76.9,23
CDM,RX-2082,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],125.36,125.36,18.55,100.29,23
CDM,RX-2083,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],176.67,176.67,26.15,141.34,23
CDM,RX-2084,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],317.43,317.43,46.98,253.94,23
CDM,RX-2085,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],341.24,341.24,50.5,272.99,23
CDM,RX-2086,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],409.43,409.43,60.6,327.54,23
CDM,RX-2087,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],491.31,491.31,72.71,393.05,23
CDM,RX-2088,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN [82301],22.0,22.0,3.26,17.6,23
CDM,RX-2089,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN [82301],22.0,22.0,3.26,17.6,23
CDM,RX-209,ALBUMIN HUMAN 5 % IV SOLN [8982],223.68,223.68,33.1,178.94,23
CDM,RX-2090,CLINDAMYCIN PHOSPHATE 9 GM/60ML IJ SOLN [107160],121.85,121.85,18.03,97.48,23
CDM,RX-2091,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],22.0,22.0,3.26,17.6,23
CDM,RX-2092,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],24.06,24.06,3.56,19.25,23
CDM,RX-2093,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],30.8,30.8,4.56,24.64,23
CDM,RX-2094,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],60.16,60.16,8.9,48.13,23
CDM,RX-2095,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],60.16,60.16,8.9,48.13,23
CDM,RX-2096,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
CDM,RX-2097,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
CDM,RX-2098,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
CDM,RX-2099,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],39.01,39.01,5.77,31.21,23
CDM,RX-210,ALBUMIN HUMAN 5 % IV SOLN [8982],270.36,270.36,40.01,216.29,23
CDM,RX-2100,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],73.56,73.56,10.89,58.85,23
CDM,RX-2101,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],73.56,73.56,10.89,58.85,23
CDM,RX-2102,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
CDM,RX-2103,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
CDM,RX-2104,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
CDM,RX-2105,CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN [136501],60.16,60.16,8.9,48.13,23
CDM,RX-2106,CLOBAZAM 10 MG PO TABS [111272],14.67,14.67,2.17,11.74,23
CDM,RX-2107,CLOBAZAM 10 MG PO TABS [111272],14.67,14.67,2.17,11.74,23
CDM,RX-2108,CLOBAZAM 10 MG PO TABS [111272],86.04,86.04,12.73,68.83,23
CDM,RX-2109,CLOBAZAM 10 MG PO TABS [111272],86.04,86.04,12.73,68.83,23
CDM,RX-211,ALBUMIN HUMAN 5 % IV SOLN [8982],407.16,407.16,60.26,325.73,23
CDM,RX-2110,CLOBAZAM 10 MG PO TABS [111272],90.36,90.36,13.37,72.29,23
CDM,RX-2111,CLOBAZAM 10 MG PO TABS [111272],162.67,162.67,24.08,130.14,23
CDM,RX-2112,CLOBAZAM 20 MG PO TABS [111273],180.72,180.72,26.75,144.58,23
CDM,RX-2113,CLOBAZAM 20 MG PO TABS [111273],292.28,292.28,43.26,233.82,23
CDM,RX-2114,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
CDM,RX-2115,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
CDM,RX-2116,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
CDM,RX-2117,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
CDM,RX-2118,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
CDM,RX-2119,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],841.13,841.13,124.49,672.9,23
CDM,RX-212,ALBUMIN HUMAN 5 % IV SOLN [8982],420.36,420.36,62.21,336.29,23
CDM,RX-2120,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1039.31,1039.31,153.82,831.45,23
CDM,RX-2121,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
CDM,RX-2122,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
CDM,RX-2123,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
CDM,RX-2124,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
CDM,RX-2125,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
CDM,RX-2126,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],562.62,562.62,83.27,450.1,23
CDM,RX-2127,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
CDM,RX-2128,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
CDM,RX-2129,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
CDM,RX-213,ALBUMIN HUMAN 5 % IV SOLN [8982],420.36,420.36,62.21,336.29,23
CDM,RX-2130,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
CDM,RX-2131,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
CDM,RX-2132,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],724.13,724.13,107.17,579.3,23
CDM,RX-2133,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],851.95,851.95,126.09,681.56,23
CDM,RX-2134,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],1361.91,1361.91,201.56,1089.53,23
CDM,RX-2135,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],109.12,109.12,16.15,87.3,23
CDM,RX-2136,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
CDM,RX-2137,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
CDM,RX-2138,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
CDM,RX-2139,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
CDM,RX-214,ALBUMIN HUMAN 5 % IV SOLN [8982],708.48,708.48,104.86,566.78,23
CDM,RX-2140,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
CDM,RX-2141,CLOMIPHENE CITRATE 50 MG PO TABS [1753],32.53,32.53,4.81,26.02,23
CDM,RX-2142,CLOMIPHENE CITRATE 50 MG PO TABS [1753],53.09,53.09,7.86,42.47,23
CDM,RX-2143,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],6.0,6.0,0.89,4.8,23
CDM,RX-2144,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],6.0,6.0,0.89,4.8,23
CDM,RX-2145,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
CDM,RX-2146,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
CDM,RX-2147,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
CDM,RX-2148,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],6.0,6.0,0.89,4.8,23
CDM,RX-2149,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
CDM,RX-215,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2150,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
CDM,RX-2151,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
CDM,RX-2152,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
CDM,RX-2153,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
CDM,RX-2154,CLOMIPRAMINE HCL 75 MG PO CAPS [9636],6.0,6.0,0.89,4.8,23
CDM,RX-2155,CLOMIPRAMINE HCL 75 MG PO CAPS [9636],190.34,190.34,28.17,152.27,23
CDM,RX-2156,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2157,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2158,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2159,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-216,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2160,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2161,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2162,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2163,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2164,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2165,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2166,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2167,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
CDM,RX-2168,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2169,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-217,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2170,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2171,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2172,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2173,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2174,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2175,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2176,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2177,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2178,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
CDM,RX-2179,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
CDM,RX-218,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2180,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
CDM,RX-2181,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
CDM,RX-2182,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.58,143.58,21.25,114.86,23
CDM,RX-2183,CLONIDINE 0.1 MG/24HR TD PTWK [141259],304.51,304.51,45.07,243.61,23
CDM,RX-2184,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
CDM,RX-2185,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
CDM,RX-2186,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
CDM,RX-2187,CLONIDINE 0.2 MG/24HR TD PTWK [141260],217.18,217.18,32.14,173.74,23
CDM,RX-2188,CLONIDINE 0.2 MG/24HR TD PTWK [141260],496.9,496.9,73.54,397.52,23
CDM,RX-2189,CLONIDINE 0.3 MG/24HR TD PTWK [141261],300.94,300.94,44.54,240.75,23
CDM,RX-219,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2190,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
CDM,RX-2191,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
CDM,RX-2192,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
CDM,RX-2193,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],135.32,135.32,20.03,108.26,23
CDM,RX-2194,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],196.06,196.06,29.02,156.85,23
CDM,RX-2195,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],205.4,205.4,30.4,164.32,23
CDM,RX-2196,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2197,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2198,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2199,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-220,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
CDM,RX-2200,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2201,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2202,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
CDM,RX-2203,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2204,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2205,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2206,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2207,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2208,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
CDM,RX-2209,CLONIDINE HCL 0.3 MG PO TABS [1757],6.0,6.0,0.89,4.8,23
CDM,RX-221,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
CDM,RX-2210,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],74.94,74.94,11.09,59.95,23
CDM,RX-2211,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
CDM,RX-2212,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
CDM,RX-2213,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
CDM,RX-2214,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],115.33,115.33,17.07,92.26,23
CDM,RX-2215,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],115.33,115.33,17.07,92.26,23
CDM,RX-2216,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],120.57,120.57,17.84,96.46,23
CDM,RX-2217,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],120.57,120.57,17.84,96.46,23
CDM,RX-2218,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],20.51,20.51,3.04,16.41,23
CDM,RX-2219,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],23.27,23.27,3.44,18.62,23
CDM,RX-222,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
CDM,RX-2220,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],23.27,23.27,3.44,18.62,23
CDM,RX-2221,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.03,32.03,4.74,25.62,23
CDM,RX-2222,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.68,32.68,4.84,26.14,23
CDM,RX-2223,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.68,32.68,4.84,26.14,23
CDM,RX-2224,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.72,32.72,4.84,26.18,23
CDM,RX-2225,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.72,32.72,4.84,26.18,23
CDM,RX-2226,CLOTRIMAZOLE 1 % EX CREA [1767],11.32,11.32,1.68,9.06,23
CDM,RX-2227,CLOTRIMAZOLE 1 % EX CREA [1767],40.33,40.33,5.97,32.26,23
CDM,RX-2228,CLOTRIMAZOLE 1 % EX SOLN [1768],83.34,83.34,12.33,66.67,23
CDM,RX-2229,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
CDM,RX-223,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
CDM,RX-2230,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
CDM,RX-2231,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
CDM,RX-2232,CLOTRIMAZOLE 10 MG MT TROC [9644],6.72,6.72,0.99,5.38,23
CDM,RX-2233,CLOTRIMAZOLE 10 MG MT TROC [9644],7.56,7.56,1.12,6.05,23
CDM,RX-2234,CLOTRIMAZOLE 10 MG MT TROC [9644],15.12,15.12,2.24,12.1,23
CDM,RX-2235,CLOVE OIL OIL [1770],11.0,11.0,1.63,8.8,23
CDM,RX-2236,CLOVE OIL OIL [1770],32.77,32.77,4.85,26.22,23
CDM,RX-2237,CLOZAPINE 100 MG PO TABS [9647],16.07,16.07,2.38,12.86,23
CDM,RX-2238,CLOZAPINE 100 MG PO TABS [9647],16.12,16.12,2.39,12.9,23
CDM,RX-2239,CLOZAPINE 100 MG PO TABS [9647],16.12,16.12,2.39,12.9,23
CDM,RX-224,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
CDM,RX-2240,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
CDM,RX-2241,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
CDM,RX-2242,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
CDM,RX-2243,CLOZAPINE 200 MG PO TABS [70324],29.72,29.72,4.4,23.78,23
CDM,RX-2244,CLOZAPINE 200 MG PO TABS [70324],30.62,30.62,4.53,24.5,23
CDM,RX-2245,CLOZAPINE 200 MG PO TABS [70324],30.74,30.74,4.55,24.59,23
CDM,RX-2246,CLOZAPINE 25 MG PO TABS [9648],6.2,6.2,0.92,4.96,23
CDM,RX-2247,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
CDM,RX-2248,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
CDM,RX-2249,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
CDM,RX-225,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
CDM,RX-2250,CLOZAPINE 25 MG PO TBDP [38479],14.1,14.1,2.09,11.28,23
CDM,RX-2251,COAGULATION FACTOR IX (RECOMB BENEFIX) 1000 UNITS IV KIT [132828],4149.2,4149.2,614.08,3319.36,23
CDM,RX-2252,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],22.0,22.0,3.26,17.6,23
CDM,RX-2253,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],22.0,22.0,3.26,17.6,23
CDM,RX-2254,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],5338.3,5338.3,790.07,4270.64,23
CDM,RX-2255,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],5338.3,5338.3,790.07,4270.64,23
CDM,RX-2256,COAGULATION FACTOR IX (RECOMB IXINITY) 500 UNITS IV SOLR [19813],2669.15,2669.15,395.03,2135.32,23
CDM,RX-2257,COAGULATION FACTOR IX (RECOMB IXINITY) 500 UNITS IV SOLR [19813],2669.15,2669.15,395.03,2135.32,23
CDM,RX-2258,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT [132829],22.0,22.0,3.26,17.6,23
CDM,RX-2259,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT [132826],1344.8,1344.8,199.03,1075.84,23
CDM,RX-226,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
CDM,RX-2260,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT [132827],2386.2,2386.2,353.16,1908.96,23
CDM,RX-2261,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR [92854],13611.4,13611.4,2014.49,10889.12,23
CDM,RX-2262,COBIMETINIB FUMARATE 20 MG PO TABS [129853],585.56,585.56,86.66,468.45,23
CDM,RX-2263,COCAINE HCL 40 MG/ML NA SOLN [139948],964.32,964.32,142.72,771.46,23
CDM,RX-2264,CODEINE SULFATE 30 MG PO TABS [1802],6.0,6.0,0.89,4.8,23
CDM,RX-2265,COENZYME Q10 200 MG PO CAPS [41804],6.0,6.0,0.89,4.8,23
CDM,RX-2266,COENZYME Q10 200 MG PO CAPS [41804],6.0,6.0,0.89,4.8,23
CDM,RX-2267,CO-ENZYME Q-10 30 MG PO CAPS [14952],6.0,6.0,0.89,4.8,23
CDM,RX-2268,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
CDM,RX-2269,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
CDM,RX-227,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
CDM,RX-2270,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
CDM,RX-2271,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
CDM,RX-2272,COLCHICINE 0.6 MG PO TABS [1821],38.53,38.53,5.7,30.82,23
CDM,RX-2273,COLCHICINE 0.6 MG PO TABS [1821],40.56,40.56,6.0,32.45,23
CDM,RX-2274,COLESEVELAM HCL 625 MG PO TABS [28372],18.56,18.56,2.75,14.85,23
CDM,RX-2275,COLESEVELAM HCL 625 MG PO TABS [28372],18.6,18.6,2.75,14.88,23
CDM,RX-2276,COLESEVELAM HCL 625 MG PO TABS [28372],20.99,20.99,3.11,16.79,23
CDM,RX-2277,COLESTIPOL HCL 1 G PO TABS [13884],6.0,6.0,0.89,4.8,23
CDM,RX-2278,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.45,145.45,21.53,116.36,23
CDM,RX-2279,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.45,145.45,21.53,116.36,23
CDM,RX-228,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],23.97,23.97,3.55,19.18,23
CDM,RX-2280,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.49,145.49,21.53,116.39,23
CDM,RX-2281,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.49,145.49,21.53,116.39,23
CDM,RX-2282,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],151.55,151.55,22.43,121.24,23
CDM,RX-2283,COLLAGENASE 250 UNIT/GM EX OINT [9682],1249.59,1249.59,184.94,999.67,23
CDM,RX-2284,COMBIGAN: BRIMONIDINE-TIMOLOL 0.2-0.5 % OP SOLN [87834],803.47,803.47,118.91,642.78,23
CDM,RX-2285,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],68.77,68.77,10.18,55.02,23
CDM,RX-2286,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],72.98,72.98,10.8,58.38,23
CDM,RX-2287,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],72.98,72.98,10.8,58.38,23
CDM,RX-2288,COMPLERA:EMTRICITAB-RILPIVIR-TENOFOVIR200-25-300MGTAB [110232],578.62,578.62,85.64,462.9,23
CDM,RX-2289,CONIVAPTAN HCL IN DEXTROSE 20-5 MG/100ML-% IV SOLN [96988],2818.93,2818.93,417.2,2255.14,23
CDM,RX-229,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],88.34,88.34,13.07,70.67,23
CDM,RX-2290,CONJ ESTROG-MEDROXYPROGEST ACE 0.3-1.5 MG PO TABS [37459],974.61,974.61,144.24,779.69,23
CDM,RX-2291,CONJ ESTROG-MEDROXYPROGEST ACE 0.45-1.5 MG PO TABS [35957],49.88,49.88,7.38,39.9,23
CDM,RX-2292,CONJ ESTROG-MEDROXYPROGEST ACE 0.625-2.5 MG PO TABS [14196],49.88,49.88,7.38,39.9,23
CDM,RX-2293,CONJ ESTROG-MEDROXYPROGEST ACE PO TABS [16032],49.88,49.88,7.38,39.9,23
CDM,RX-2294,COPPER GLUCONATE 2 MG PO TABS [113295],6.0,6.0,0.89,4.8,23
CDM,RX-2295,CORINZ MOISTURIZER/PLAQUE PREVENTER MOUTH SWAB [601215],6.0,6.0,0.89,4.8,23
CDM,RX-2296,COSYNTROPIN 0.25 MG IJ SOLR [9686],374.38,374.38,55.41,299.5,23
CDM,RX-2297,COSYNTROPIN 0.25 MG IJ SOLR [9686],374.38,374.38,55.41,299.5,23
CDM,RX-2298,COSYNTROPIN 0.25 MG IJ SOLR [9686],398.9,398.9,59.04,319.12,23
CDM,RX-2299,COSYNTROPIN 0.25 MG IJ SOLR [9686],482.17,482.17,71.36,385.74,23
CDM,RX-230,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],133.13,133.13,19.7,106.5,23
CDM,RX-2300,COVID-19 MODERNA MRNA VACCINE IM 6 MONTHS TO 11 YEARS [601343],583.6,583.6,86.37,466.88,23
CDM,RX-2301,COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY [161643],618.66,618.66,91.56,494.93,23
CDM,RX-2302,COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY [161643],618.66,618.66,91.56,494.93,23
CDM,RX-2303,CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN [145824],7447.14,7447.14,1102.18,5957.71,23
CDM,RX-2304,CRIZOTINIB 200 MG PO CAPS [110349],1559.52,1559.52,230.81,1247.62,23
CDM,RX-2305,CRIZOTINIB 250 MG PO CAPS [110350],1559.52,1559.52,230.81,1247.62,23
CDM,RX-2306,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],23.5,23.5,3.48,18.8,23
CDM,RX-2307,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],31.34,31.34,4.64,25.07,23
CDM,RX-2308,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],31.96,31.96,4.73,25.57,23
CDM,RX-2309,CROMOLYN SODIUM 4 % OP SOLN [9691],161.08,161.08,23.84,128.86,23
CDM,RX-231,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],235.52,235.52,34.86,188.42,23
CDM,RX-2310,CROMOLYN SODIUM 4 % OP SOLN [9691],161.3,161.3,23.87,129.04,23
CDM,RX-2311,CROMOLYN SODIUM 5.2 MG/ACT NA AERS [24325],60.62,60.62,8.97,48.5,23
CDM,RX-2312,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR [141229],4007.52,4007.52,593.11,3206.02,23
CDM,RX-2313,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR [29313],9709.13,9709.13,1436.95,7767.3,23
CDM,RX-2314,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR [29313],9709.13,9709.13,1436.95,7767.3,23
CDM,RX-2315,CULTURELLE KIDS PO PACK [114621],6.0,6.0,0.89,4.8,23
CDM,RX-2316,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
CDM,RX-2317,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
CDM,RX-2318,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
CDM,RX-2319,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],140.73,140.73,20.83,112.58,23
CDM,RX-232,ALBUTEROL SULFATE 4 MG PO TABS [254],27.61,27.61,4.09,22.09,23
CDM,RX-2320,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],164.76,164.76,24.38,131.81,23
CDM,RX-2321,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],164.76,164.76,24.38,131.81,23
CDM,RX-2322,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2323,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2324,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2325,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2326,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2327,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2328,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
CDM,RX-2329,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],25.38,25.38,3.76,20.3,23
CDM,RX-233,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
CDM,RX-2330,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],25.38,25.38,3.76,20.3,23
CDM,RX-2331,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],38.98,38.98,5.77,31.18,23
CDM,RX-2332,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],38.98,38.98,5.77,31.18,23
CDM,RX-2333,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],39.03,39.03,5.78,31.22,23
CDM,RX-2334,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],39.03,39.03,5.78,31.22,23
CDM,RX-2335,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],40.06,40.06,5.93,32.05,23
CDM,RX-2336,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],40.06,40.06,5.93,32.05,23
CDM,RX-2337,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],41.08,41.08,6.08,32.86,23
CDM,RX-2338,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2339,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-234,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
CDM,RX-2340,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2341,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2342,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2343,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2344,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2345,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
CDM,RX-2346,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
CDM,RX-2347,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
CDM,RX-2348,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
CDM,RX-2349,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
CDM,RX-235,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
CDM,RX-2350,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
CDM,RX-2351,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
CDM,RX-2352,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
CDM,RX-2353,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],8.13,8.13,1.2,6.5,23
CDM,RX-2354,CYCLOPENTOLATE HCL 0.5 % OP SOLN [9699],299.17,299.17,44.28,239.34,23
CDM,RX-2355,CYCLOPENTOLATE HCL 0.5 % OP SOLN [9699],458.0,458.0,67.78,366.4,23
CDM,RX-2356,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],69.42,69.42,10.27,55.54,23
CDM,RX-2357,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],76.76,76.76,11.36,61.41,23
CDM,RX-2358,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],78.96,78.96,11.69,63.17,23
CDM,RX-2359,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],151.34,151.34,22.4,121.07,23
CDM,RX-236,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],118.06,118.06,17.47,94.45,23
CDM,RX-2360,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],165.69,165.69,24.52,132.55,23
CDM,RX-2361,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],175.37,175.37,25.95,140.3,23
CDM,RX-2362,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],184.12,184.12,27.25,147.3,23
CDM,RX-2363,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],297.36,297.36,44.01,237.89,23
CDM,RX-2364,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],127.78,127.78,18.91,102.22,23
CDM,RX-2365,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],211.31,211.31,31.27,169.05,23
CDM,RX-2366,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],216.44,216.44,32.03,173.15,23
CDM,RX-2367,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN [9701],192.34,192.34,28.47,153.87,23
CDM,RX-2368,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN [9701],303.62,303.62,44.94,242.9,23
CDM,RX-2369,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],928.9,928.9,137.48,743.12,23
CDM,RX-237,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],266.15,266.15,39.39,212.92,23
CDM,RX-2370,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],1456.32,1456.32,215.54,1165.06,23
CDM,RX-2371,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],1639.44,1639.44,242.64,1311.55,23
CDM,RX-2372,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],2398.02,2398.02,354.91,1918.42,23
CDM,RX-2373,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],2402.47,2402.47,355.57,1921.98,23
CDM,RX-2374,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
CDM,RX-2375,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
CDM,RX-2376,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
CDM,RX-2377,CYCLOPHOSPHAMIDE 100 MG/10 ML ORAL SYRINGE [600575],129.9,129.9,19.23,103.92,23
CDM,RX-2378,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],1456.32,1456.32,215.54,1165.06,23
CDM,RX-2379,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4169.77,4169.77,617.13,3335.82,23
CDM,RX-238,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],287.94,287.94,42.62,230.35,23
CDM,RX-2380,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4192.57,4192.57,620.5,3354.06,23
CDM,RX-2381,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4447.74,4447.74,658.27,3558.19,23
CDM,RX-2382,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4447.74,4447.74,658.27,3558.19,23
CDM,RX-2383,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],77.53,77.53,11.47,62.02,23
CDM,RX-2384,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],80.76,80.76,11.95,64.61,23
CDM,RX-2385,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],83.43,83.43,12.35,66.74,23
CDM,RX-2386,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],728.16,728.16,107.77,582.53,23
CDM,RX-2387,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1351.46,1351.46,200.02,1081.17,23
CDM,RX-2388,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1357.76,1357.76,200.95,1086.21,23
CDM,RX-2389,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1441.56,1441.56,213.35,1153.25,23
CDM,RX-239,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],287.95,287.95,42.62,230.36,23
CDM,RX-2390,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN [149222],1441.56,1441.56,213.35,1153.25,23
CDM,RX-2391,CYCLOSERINE 250 MG PO CAPS [9704],325.21,325.21,48.13,260.17,23
CDM,RX-2392,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],20.8,20.8,3.08,16.64,23
CDM,RX-2393,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],25.31,25.31,3.75,20.25,23
CDM,RX-2394,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],25.62,25.62,3.79,20.5,23
CDM,RX-2395,CYCLOSPORINE 0.05 % OP EMUL [35209],18.01,18.01,2.67,14.41,23
CDM,RX-2396,CYCLOSPORINE 0.05 % OP EMUL [35209],57.66,57.66,8.53,46.13,23
CDM,RX-2397,CYCLOSPORINE 0.05 % OP EMUL [35209],60.69,60.69,8.98,48.55,23
CDM,RX-2398,CYCLOSPORINE 0.05 % OP EMUL [35209],60.7,60.7,8.98,48.56,23
CDM,RX-2399,CYCLOSPORINE 100 MG PO CAPS [9706],83.0,83.0,12.28,66.4,23
CDM,RX-240,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],342.16,342.16,50.64,273.73,23
CDM,RX-2400,CYCLOSPORINE 100 MG PO CAPS [9706],93.03,93.03,13.77,74.42,23
CDM,RX-2401,CYCLOSPORINE 100 MG PO CAPS [9706],93.1,93.1,13.78,74.48,23
CDM,RX-2402,CYCLOSPORINE 2% OPHTH SOLN [600638],141.47,141.47,20.94,113.18,23
CDM,RX-2403,CYCLOSPORINE 50 MG/ML IV SOLN [9705],203.19,203.19,30.07,162.55,23
CDM,RX-2404,CYCLOSPORINE 50 MG/ML IV SOLN [9705],325.73,325.73,48.21,260.58,23
CDM,RX-2405,CYCLOSPORINE MODIFIED (GENGRAF) 100 MG/ML PO SOLN [28844],982.53,982.53,145.41,786.02,23
CDM,RX-2406,CYCLOSPORINE MODIFIED (GENGRAF) 100 MG/ML PO SOLN [28844],1633.77,1633.77,241.8,1307.02,23
CDM,RX-2407,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
CDM,RX-2408,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
CDM,RX-2409,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
CDM,RX-241,ALECTINIB HCL 150 MG PO CAPS [130073],378.61,378.61,56.03,302.89,23
CDM,RX-2410,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2411,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2412,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2413,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2414,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2415,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2416,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
CDM,RX-2417,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP [2032],250.24,250.24,37.04,200.19,23
CDM,RX-2418,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP [2032],250.24,250.24,37.04,200.19,23
CDM,RX-2419,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-242,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.74,13.74,2.03,10.99,23
CDM,RX-2420,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-2421,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-2422,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-2423,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-2424,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
CDM,RX-2425,CYPROHEPTADINE HCL 4 MG PO TABS [2033],7.56,7.56,1.12,6.05,23
CDM,RX-2426,CYSTEINE HCL 50 MG/ML IV SOLN [2034],121.16,121.16,17.93,96.93,23
CDM,RX-2427,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],95.52,95.52,14.14,76.42,23
CDM,RX-2428,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],105.57,105.57,15.62,84.46,23
CDM,RX-2429,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],108.6,108.6,16.07,86.88,23
CDM,RX-243,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.74,13.74,2.03,10.99,23
CDM,RX-2430,CYTARABINE (PF) 20 MG/ML IJ SOLN [96982],57.0,57.0,8.44,45.6,23
CDM,RX-2431,CYTARABINE (PF) 20 MG/ML IJ SOLN [96982],147.22,147.22,21.79,117.78,23
CDM,RX-2432,CYTRA-2 500-334 MG/5ML PO SOLN [16208],186.38,186.38,27.58,149.1,23
CDM,RX-2433,DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS [105342],18.65,18.65,2.76,14.92,23
CDM,RX-2434,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],17.72,17.72,2.62,14.18,23
CDM,RX-2435,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],18.65,18.65,2.76,14.92,23
CDM,RX-2436,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],18.65,18.65,2.76,14.92,23
CDM,RX-2437,DABRAFENIB MESYLATE 75 MG PO CAPS [120606],593.13,593.13,87.78,474.5,23
CDM,RX-2438,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
CDM,RX-2439,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
CDM,RX-244,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.76,13.76,2.04,11.01,23
CDM,RX-2440,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
CDM,RX-2441,DACARBAZINE 200 MG IV SOLR [2091],92.55,92.55,13.7,74.04,23
CDM,RX-2442,DACTINOMYCIN 0.5 MG IV SOLR [28912],4611.15,4611.15,682.45,3688.92,23
CDM,RX-2443,DACTINOMYCIN 0.5 MG IV SOLR [28912],4611.16,4611.16,682.45,3688.93,23
CDM,RX-2444,DACTINOMYCIN 0.5 MG IV SOLR [28912],8223.14,8223.14,1217.02,6578.51,23
CDM,RX-2445,DALBAVANCIN HCL 500 MG IV SOLR [124486],5401.45,5401.45,799.41,4321.16,23
CDM,RX-2446,DANAZOL 200 MG PO CAPS [2120],42.63,42.63,6.31,34.1,23
CDM,RX-2447,DANAZOL 200 MG PO CAPS [2120],42.63,42.63,6.31,34.1,23
CDM,RX-2448,DANAZOL 200 MG PO CAPS [2120],48.35,48.35,7.16,38.68,23
CDM,RX-2449,DANAZOL 200 MG PO CAPS [2120],48.35,48.35,7.16,38.68,23
CDM,RX-245,ALENDRONATE SODIUM 35 MG PO TABS [29072],89.33,89.33,13.22,71.46,23
CDM,RX-2450,DANAZOL 50 MG PO CAPS [9715],17.05,17.05,2.52,13.64,23
CDM,RX-2451,DANTROLENE SODIUM 100 MG PO CAPS [9717],10.19,10.19,1.51,8.15,23
CDM,RX-2452,DANTROLENE SODIUM 20 MG IV SOLR [9716],326.76,326.76,48.36,261.41,23
CDM,RX-2453,DANTROLENE SODIUM 20 MG IV SOLR [9716],331.01,331.01,48.99,264.81,23
CDM,RX-2454,DANTROLENE SODIUM 20 MG IV SOLR [9716],401.01,401.01,59.35,320.81,23
CDM,RX-2455,DANTROLENE SODIUM 25 MG PO CAPS [9718],6.0,6.0,0.89,4.8,23
CDM,RX-2456,DANTROLENE SODIUM 25 MG PO CAPS [9718],9.11,9.11,1.35,7.29,23
CDM,RX-2457,DANTROLENE SODIUM 50 MG PO CAPS [9719],8.13,8.13,1.2,6.5,23
CDM,RX-2458,DANTROLENE SODIUM 50 MG PO CAPS [9719],9.42,9.42,1.39,7.54,23
CDM,RX-2459,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],95.81,95.81,14.18,76.65,23
CDM,RX-246,ALENDRONATE SODIUM 70 MG PO TABS [29048],88.39,88.39,13.08,70.71,23
CDM,RX-2460,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
CDM,RX-2461,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
CDM,RX-2462,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
CDM,RX-2463,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS [122959],95.81,95.81,14.18,76.65,23
CDM,RX-2464,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS [122959],103.88,103.88,15.37,83.1,23
CDM,RX-2465,DAPSONE 100 MG PO TABS [2131],12.69,12.69,1.88,10.15,23
CDM,RX-2466,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
CDM,RX-2467,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
CDM,RX-2468,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
CDM,RX-2469,DAPSONE 25 MG PO TABS [2132],10.35,10.35,1.53,8.28,23
CDM,RX-247,ALFUZOSIN HCL ER 10 MG PO TB24 [36982],19.81,19.81,2.93,15.85,23
CDM,RX-2470,DAPSONE 25 MG PO TABS [2132],11.6,11.6,1.72,9.28,23
CDM,RX-2471,DAPSONE 25 MG PO TABS [2132],12.87,12.87,1.9,10.3,23
CDM,RX-2472,DAPTOMYCIN 350 MG IV SOLR [140312],303.42,303.42,44.91,242.74,23
CDM,RX-2473,DAPTOMYCIN 350 MG IV SOLR [140312],303.42,303.42,44.91,242.74,23
CDM,RX-2474,DAPTOMYCIN 350 MG IV SOLR [140312],1090.28,1090.28,161.36,872.22,23
CDM,RX-2475,DAPTOMYCIN 350 MG IV SOLR [140312],1090.28,1090.28,161.36,872.22,23
CDM,RX-2476,DAPTOMYCIN 500 MG IV SOLR [36989],96.61,96.61,14.3,77.29,23
CDM,RX-2477,DAPTOMYCIN 500 MG IV SOLR [36989],124.71,124.71,18.46,99.77,23
CDM,RX-2478,DAPTOMYCIN 500 MG IV SOLR [36989],129.9,129.9,19.23,103.92,23
CDM,RX-2479,DAPTOMYCIN 500 MG IV SOLR [36989],155.88,155.88,23.07,124.7,23
CDM,RX-248,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2480,DAPTOMYCIN 500 MG IV SOLR [36989],181.86,181.86,26.92,145.49,23
CDM,RX-2481,DAPTOMYCIN 500 MG IV SOLR [36989],280.08,280.08,41.45,224.06,23
CDM,RX-2482,DAPTOMYCIN 500 MG IV SOLR [36989],368.78,368.78,54.58,295.02,23
CDM,RX-2483,DAPTOMYCIN 500 MG IV SOLR [36989],372.47,372.47,55.13,297.98,23
CDM,RX-2484,DAPTOMYCIN 500 MG IV SOLR [36989],1555.63,1555.63,230.23,1244.5,23
CDM,RX-2485,DAPTOMYCIN 500 MG IV SOLR [36989],1555.63,1555.63,230.23,1244.5,23
CDM,RX-2486,DAPTOMYCIN 500 MG IV SOLR [36989],1555.66,1555.66,230.24,1244.53,23
CDM,RX-2487,DAPTOMYCIN 500 MG IV SOLR [36989],1625.61,1625.61,240.59,1300.49,23
CDM,RX-2488,DAPTOMYCIN 500MG/NS 50ML MB PLUS [600543],1055.42,1055.42,156.2,844.34,23
CDM,RX-2489,DARATUMUMAB 100 MG/5ML IV SOLN [129889],2708.52,2708.52,400.86,2166.82,23
CDM,RX-249,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2490,DARATUMUMAB 100 MG/5ML IV SOLN [129889],2708.52,2708.52,400.86,2166.82,23
CDM,RX-2491,DARATUMUMAB 400 MG/20ML IV SOLN [129890],8929.79,8929.79,1321.61,7143.83,23
CDM,RX-2492,DARATUMUMAB 400 MG/20ML IV SOLN [129890],9419.14,9419.14,1394.03,7535.31,23
CDM,RX-2493,DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN [148342],32096.18,32096.18,4750.23,25676.94,23
CDM,RX-2494,DARBEPOETIN ALFA 100 MCG/0.5ML IJ SOSY [129113],2702.81,2702.81,400.02,2162.25,23
CDM,RX-2495,DARBEPOETIN ALFA 100 MCG/0.5ML IJ SOSY [129113],2702.81,2702.81,400.02,2162.25,23
CDM,RX-2496,DARBEPOETIN ALFA 150 MCG/0.3ML IJ SOSY [129115],3524.8,3524.8,521.67,2819.84,23
CDM,RX-2497,DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY [129116],4699.73,4699.73,695.56,3759.78,23
CDM,RX-2498,DARBEPOETIN ALFA 25 MCG/0.42ML IJ SOSY [129107],761.62,761.62,112.72,609.3,23
CDM,RX-2499,DARBEPOETIN ALFA 300 MCG/0.6ML IJ SOSY [129117],7049.6,7049.6,1043.34,5639.68,23
CDM,RX-250,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2500,DARBEPOETIN ALFA 40 MCG/0.4ML IJ SOSY [129109],1218.59,1218.59,180.35,974.87,23
CDM,RX-2501,DARBEPOETIN ALFA 40 MCG/0.4ML IJ SOSY [129109],1218.59,1218.59,180.35,974.87,23
CDM,RX-2502,DARBEPOETIN ALFA 500 MCG/ML IJ SOSY [129118],11749.32,11749.32,1738.9,9399.46,23
CDM,RX-2503,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY [129111],1621.69,1621.69,240.01,1297.35,23
CDM,RX-2504,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY [129111],1621.69,1621.69,240.01,1297.35,23
CDM,RX-2505,DAROLUTAMIDE 300 MG PO TABS [144456],537.37,537.37,79.53,429.9,23
CDM,RX-2506,DARUNAVIR 100 MG/ML PO SUSP [119111],763.27,763.27,112.96,610.62,23
CDM,RX-2507,DARUNAVIR 100 MG/ML PO SUSP [119111],3639.66,3639.66,538.67,2911.73,23
CDM,RX-2508,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
CDM,RX-2509,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
CDM,RX-251,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2510,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
CDM,RX-2511,DARUNAVIR 600 MG PO TABS [92851],172.39,172.39,25.51,137.91,23
CDM,RX-2512,DARUNAVIR 600 MG PO TABS [92851],186.9,186.9,27.66,149.52,23
CDM,RX-2513,DARUNAVIR 75 MG PO TABS [97053],25.36,25.36,3.75,20.29,23
CDM,RX-2514,DARUNAVIR 800 MG PO TABS [117385],293.43,293.43,43.43,234.74,23
CDM,RX-2515,DARUNAVIR 800 MG PO TABS [117385],335.81,335.81,49.7,268.65,23
CDM,RX-2516,DARUN-COBIC-EMTRICIT-TENOFAF 800-150-200-10 MG PO TABS [140319],711.31,711.31,105.27,569.05,23
CDM,RX-2517,DASATINIB 100 MG PO TABS [92897],2123.88,2123.88,314.33,1699.1,23
CDM,RX-2518,DASATINIB 20 MG PO TABS [76717],664.12,664.12,98.29,531.3,23
CDM,RX-2519,DASATINIB 50 MG PO TABS [76718],1328.24,1328.24,196.58,1062.59,23
CDM,RX-252,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2520,DASATINIB 70 MG PO TABS [76719],1328.24,1328.24,196.58,1062.59,23
CDM,RX-2521,DAUNORUBICIN HCL 20 MG/4ML IV SOLN [140089],606.87,606.87,89.82,485.5,23
CDM,RX-2522,DECITABINE 50 MG IV SOLR [76364],452.4,452.4,66.96,361.92,23
CDM,RX-2523,DECITABINE 50 MG IV SOLR [76364],452.4,452.4,66.96,361.92,23
CDM,RX-2524,DECITABINE 50 MG IV SOLR [76364],2095.2,2095.2,310.09,1676.16,23
CDM,RX-2525,DECITABINE 50 MG IV SOLR [76364],2884.2,2884.2,426.86,2307.36,23
CDM,RX-2526,DECITABINE 50 MG IV SOLR [76364],4669.88,4669.88,691.14,3735.9,23
CDM,RX-2527,DECITABINE 50 MG IV SOLR [76364],4934.87,4934.87,730.36,3947.9,23
CDM,RX-2528,DECITABINE 50 MG IV SOLR [76364],4936.03,4936.03,730.53,3948.82,23
CDM,RX-2529,DECITABINE-CEDAZURIDINE 35-100 MG PO TABS [149207],5267.38,5267.38,779.57,4213.9,23
CDM,RX-253,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2530,DEFERASIROX 180 MG PO TABS [127578],354.43,354.43,52.46,283.54,23
CDM,RX-2531,DEFERASIROX 250 MG PO TBSO [43416],465.48,465.48,68.89,372.38,23
CDM,RX-2532,DEFERASIROX 360 MG PO TABS [127579],686.96,686.96,101.67,549.57,23
CDM,RX-2533,DEFERASIROX 500 MG PO TBSO [43417],649.52,649.52,96.13,519.62,23
CDM,RX-2534,DEFERASIROX 500 MG PO TBSO [43417],725.93,725.93,107.44,580.74,23
CDM,RX-2535,DEFERASIROX 500 MG PO TBSO [43417],809.94,809.94,119.87,647.95,23
CDM,RX-2536,DEFERASIROX 90 MG PO TABS [127577],197.26,197.26,29.19,157.81,23
CDM,RX-2537,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],211.61,211.61,31.32,169.29,23
CDM,RX-2538,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],214.08,214.08,31.68,171.26,23
CDM,RX-2539,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],214.08,214.08,31.68,171.26,23
CDM,RX-254,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2540,DEFEROXAMINE MESYLATE 500 MG IJ SOLR [9723],83.24,83.24,12.32,66.59,23
CDM,RX-2541,DEFEROXAMINE MESYLATE 500 MG IJ SOLR [9723],180.48,180.48,26.71,144.38,23
CDM,RX-2542,DEGARELIX ACETATE 80 MG SC SOLR [96986],1705.67,1705.67,252.44,1364.54,23
CDM,RX-2543,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR [147298],2661.23,2661.23,393.86,2128.98,23
CDM,RX-2544,DEKAS ESSENTIAL PO LIQD [133290],219.4,219.4,32.47,175.52,23
CDM,RX-2545,DEL NIDO CARDIOPLEGIA SOLUTION - COMPOUNDED [601219],235.35,235.35,34.83,188.28,23
CDM,RX-2546,DEMECLOCYCLINE HCL 150 MG PO TABS [9726],44.19,44.19,6.54,35.35,23
CDM,RX-2547,DEMECLOCYCLINE HCL 150 MG PO TABS [9726],49.98,49.98,7.4,39.98,23
CDM,RX-2548,DEMECLOCYCLINE HCL 300 MG PO TABS [9727],80.22,80.22,11.87,64.18,23
CDM,RX-2549,DEMECLOCYCLINE HCL 300 MG PO TABS [9727],147.81,147.81,21.88,118.25,23
CDM,RX-255,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2550,DENOSUMAB 120 MG/1.7ML SC SOLN [105768],10473.42,10473.42,1550.07,8378.74,23
CDM,RX-2551,DENOSUMAB 60 MG/ML SC SOSY [143143],5693.82,5693.82,842.69,4555.06,23
CDM,RX-2552,DENOSUMAB 60 MG/ML SC SOSY [143143],5693.82,5693.82,842.69,4555.06,23
CDM,RX-2553,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],10.07,10.07,1.49,8.06,23
CDM,RX-2554,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],12.86,12.86,1.9,10.29,23
CDM,RX-2555,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],16.18,16.18,2.39,12.94,23
CDM,RX-2556,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],16.18,16.18,2.39,12.94,23
CDM,RX-2557,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.1,20.1,2.97,16.08,23
CDM,RX-2558,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.27,20.27,3.0,16.22,23
CDM,RX-2559,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.27,20.27,3.0,16.22,23
CDM,RX-256,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2560,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],25.93,25.93,3.84,20.74,23
CDM,RX-2561,DESCOVY:EMTRICITABINE-TENOFOVIR AF 200-25 MG TAB [131499],342.68,342.68,50.72,274.14,23
CDM,RX-2562,DESIPRAMINE HCL 25 MG PO TABS [2286],9.43,9.43,1.4,7.54,23
CDM,RX-2563,DESIPRAMINE HCL 25 MG PO TABS [2286],9.43,9.43,1.4,7.54,23
CDM,RX-2564,DESIPRAMINE HCL 50 MG PO TABS [2287],12.59,12.59,1.86,10.07,23
CDM,RX-2565,DESIPRAMINE HCL 50 MG PO TABS [2287],17.75,17.75,2.63,14.2,23
CDM,RX-2566,DESMOPRESSIN ACE SPRAY REFRIG 0.01 % NA SOLN [27770],807.74,807.74,119.55,646.19,23
CDM,RX-2567,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
CDM,RX-2568,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
CDM,RX-2569,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
CDM,RX-257,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2570,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
CDM,RX-2571,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
CDM,RX-2572,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
CDM,RX-2573,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],34.6,34.6,5.12,27.68,23
CDM,RX-2574,DESMOPRESSIN ACETATE 0.2 MG PO TABS [16053],17.69,17.69,2.62,14.15,23
CDM,RX-2575,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],108.25,108.25,16.02,86.6,23
CDM,RX-2576,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],108.25,108.25,16.02,86.6,23
CDM,RX-2577,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],164.72,164.72,24.38,131.78,23
CDM,RX-2578,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],205.25,205.25,30.38,164.2,23
CDM,RX-2579,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],205.25,205.25,30.38,164.2,23
CDM,RX-258,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
CDM,RX-2580,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],245.07,245.07,36.27,196.06,23
CDM,RX-2581,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],245.07,245.07,36.27,196.06,23
CDM,RX-2582,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],754.0,754.0,111.59,603.2,23
CDM,RX-2583,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1263.46,1263.46,186.99,1010.77,23
CDM,RX-2584,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1265.07,1265.07,187.23,1012.06,23
CDM,RX-2585,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1554.72,1554.72,230.1,1243.78,23
CDM,RX-2586,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1554.72,1554.72,230.1,1243.78,23
CDM,RX-2587,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1818.58,1818.58,269.15,1454.86,23
CDM,RX-2588,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1833.3,1833.3,271.33,1466.64,23
CDM,RX-2589,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1833.3,1833.3,271.33,1466.64,23
CDM,RX-259,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2590,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2075.53,2075.53,307.18,1660.42,23
CDM,RX-2591,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2078.44,2078.44,307.61,1662.75,23
CDM,RX-2592,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2868.71,2868.71,424.57,2294.97,23
CDM,RX-2593,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],84.6,84.6,12.52,67.68,23
CDM,RX-2594,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],84.6,84.6,12.52,67.68,23
CDM,RX-2595,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],197.45,197.45,29.22,157.96,23
CDM,RX-2596,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],245.07,245.07,36.27,196.06,23
CDM,RX-2597,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],245.07,245.07,36.27,196.06,23
CDM,RX-2598,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],775.4,775.4,114.76,620.32,23
CDM,RX-2599,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],807.7,807.7,119.54,646.16,23
CDM,RX-260,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2600,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],807.7,807.7,119.54,646.16,23
CDM,RX-2601,DESONIDE 0.05 % EX CREA [2291],312.35,312.35,46.23,249.88,23
CDM,RX-2602,DESONIDE 0.05 % EX CREA [2291],336.1,336.1,49.74,268.88,23
CDM,RX-2603,DESONIDE 0.05 % EX CREA [2291],1053.28,1053.28,155.89,842.62,23
CDM,RX-2604,DESONIDE 0.05 % EX OINT [9751],312.35,312.35,46.23,249.88,23
CDM,RX-2605,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24 [127581],53.93,53.93,7.98,43.14,23
CDM,RX-2606,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24 [127581],56.17,56.17,8.31,44.94,23
CDM,RX-2607,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],53.9,53.9,7.98,43.12,23
CDM,RX-2608,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],53.93,53.93,7.98,43.14,23
CDM,RX-2609,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],82.34,82.34,12.19,65.87,23
CDM,RX-261,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2610,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
CDM,RX-2611,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
CDM,RX-2612,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
CDM,RX-2613,DEXAMETHASONE 0.5 MG/5ML PO SOLN [2320],11.0,11.0,1.63,8.8,23
CDM,RX-2614,DEXAMETHASONE 0.5 MG/5ML PO SOLN [2320],103.92,103.92,15.38,83.14,23
CDM,RX-2615,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL [99452],4168.43,4168.43,616.93,3334.74,23
CDM,RX-2616,DEXAMETHASONE 1 MG/ML PO CONC [17946],139.26,139.26,20.61,111.41,23
CDM,RX-2617,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
CDM,RX-2618,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
CDM,RX-2619,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
CDM,RX-262,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2620,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
CDM,RX-2621,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
CDM,RX-2622,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
CDM,RX-2623,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],24.82,24.82,3.67,19.86,23
CDM,RX-2624,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],29.56,29.56,4.37,23.65,23
CDM,RX-2625,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],29.57,29.57,4.38,23.66,23
CDM,RX-2626,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],42.3,42.3,6.26,33.84,23
CDM,RX-2627,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN [2335],251.61,251.61,37.24,201.29,23
CDM,RX-2628,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2629,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-263,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2630,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2631,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2632,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2633,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2634,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2635,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2636,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
CDM,RX-2637,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],38.97,38.97,5.77,31.18,23
CDM,RX-2638,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2639,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-264,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2640,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2641,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2642,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2643,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2644,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
CDM,RX-2645,DEXMEDETOMIDINE 1000 MCG/ 250 ML NS PREMIXED [600983],794.33,794.33,117.56,635.46,23
CDM,RX-2646,DEXMEDETOMIDINE 1000 MCG/ 250 ML NS PREMIXED [600983],794.33,794.33,117.56,635.46,23
CDM,RX-2647,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
CDM,RX-2648,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
CDM,RX-2649,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
CDM,RX-265,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2650,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
CDM,RX-2651,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],29.61,29.61,4.38,23.69,23
CDM,RX-2652,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.46,30.46,4.51,24.37,23
CDM,RX-2653,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.46,30.46,4.51,24.37,23
CDM,RX-2654,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.57,30.57,4.52,24.46,23
CDM,RX-2655,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],40.61,40.61,6.01,32.49,23
CDM,RX-2656,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],73.32,73.32,10.85,58.66,23
CDM,RX-2657,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
CDM,RX-2658,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
CDM,RX-2659,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
CDM,RX-266,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2660,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
CDM,RX-2661,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],205.77,205.77,30.45,164.62,23
CDM,RX-2662,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],299.72,299.72,44.36,239.78,23
CDM,RX-2663,DEXMEDETOMIDINE HCL IN NACL 1000 MCG/250ML IV SOLN [149499],849.76,849.76,125.76,679.81,23
CDM,RX-2664,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],138.56,138.56,20.51,110.85,23
CDM,RX-2665,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],138.56,138.56,20.51,110.85,23
CDM,RX-2666,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],164.98,164.98,24.42,131.98,23
CDM,RX-2667,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],164.98,164.98,24.42,131.98,23
CDM,RX-2668,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],245.07,245.07,36.27,196.06,23
CDM,RX-2669,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],245.07,245.07,36.27,196.06,23
CDM,RX-267,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
CDM,RX-2670,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],373.44,373.44,55.27,298.75,23
CDM,RX-2671,DEXRAZOXANE HCL 250 MG IV SOLR [143119],1079.49,1079.49,159.76,863.59,23
CDM,RX-2672,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1570.47,1570.47,232.43,1256.38,23
CDM,RX-2673,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1570.47,1570.47,232.43,1256.38,23
CDM,RX-2674,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
CDM,RX-2675,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
CDM,RX-2676,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
CDM,RX-2677,DEXTRAN 40 IN D5W 10 % IV SOLN [9759],311.2,311.2,46.06,248.96,23
CDM,RX-2678,DEXTRAN 40 IN SALINE 10-0.9 % IV SOLN [23876],324.82,324.82,48.07,259.86,23
CDM,RX-2679,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
CDM,RX-268,ALLOPURINOL SODIUM 500 MG IV SOLR [25408],12104.71,12104.71,1791.5,9683.77,23
CDM,RX-2680,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
CDM,RX-2681,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
CDM,RX-2682,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
CDM,RX-2683,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
CDM,RX-2684,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
CDM,RX-2685,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
CDM,RX-2686,DEXTROMETHORPHAN-QUINIDINE 20-10 MG PO CAPS [106035],136.3,136.3,20.17,109.04,23
CDM,RX-2687,DEXTROSE 10 % IV SOLN [2357],24.68,24.68,3.65,19.74,23
CDM,RX-2688,DEXTROSE 10 % IV SOLN [2357],25.85,25.85,3.83,20.68,23
CDM,RX-2689,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
CDM,RX-269,ALPELISIB (200 MG DAILY DOSE) 200 MG PO TBPK [143872],2580.9,2580.9,381.97,2064.72,23
CDM,RX-2690,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
CDM,RX-2691,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
CDM,RX-2692,DEXTROSE 10 % IV SOLN [2357],29.38,29.38,4.35,23.5,23
CDM,RX-2693,DEXTROSE 10 % IV SOLN [2357],32.9,32.9,4.87,26.32,23
CDM,RX-2694,DEXTROSE 10 % IV SOLN [2357],32.9,32.9,4.87,26.32,23
CDM,RX-2695,DEXTROSE 10 % IV SOLN [2357],35.25,35.25,5.22,28.2,23
CDM,RX-2696,DEXTROSE 10 % IV SOLN [2357],42.3,42.3,6.26,33.84,23
CDM,RX-2697,DEXTROSE 10% (NICU) IV BOLUS SYRINGE [600457],32.9,32.9,4.87,26.32,23
CDM,RX-2698,DEXTROSE 10% WITH HEPARIN 1 UNIT/ML PREMIX (NICU) 250 ML (AKA UVC) [600995],90.29,90.29,13.36,72.23,23
CDM,RX-2699,DEXTROSE 10% WITH HEPARIN 1 UNIT/ML PREMIX (NICU) 500 ML (AKA UVC) [601155],195.57,195.57,28.94,156.46,23
CDM,RX-270,ALPELISIB (250 MG DAILY DOSE) 200 & 50 MG PO TBPK [143873],1484.27,1484.27,219.67,1187.42,23
CDM,RX-2700,DEXTROSE 20 % IV SOLN [2359],63.45,63.45,9.39,50.76,23
CDM,RX-2701,DEXTROSE 20 % IV SOLN [2359],79.9,79.9,11.83,63.92,23
CDM,RX-2702,DEXTROSE 25% SOLN [600726],23.03,23.03,3.41,18.42,23
CDM,RX-2703,DEXTROSE 250 MG/ML IV SOLN [2361],106.96,106.96,15.83,85.57,23
CDM,RX-2704,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],25.85,25.85,3.83,20.68,23
CDM,RX-2705,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],32.9,32.9,4.87,26.32,23
CDM,RX-2706,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],25.85,25.85,3.83,20.68,23
CDM,RX-2707,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],32.9,32.9,4.87,26.32,23
CDM,RX-2708,DEXTROSE 5 % FLUSH [600779],22.0,22.0,3.26,17.6,23
CDM,RX-2709,DEXTROSE 5 % FLUSH [600779],2909.5,2909.5,430.61,2327.6,23
CDM,RX-271,ALPELISIB (300 MG DAILY DOSE) 2 X 150 MG PO TBPK [143874],1484.27,1484.27,219.67,1187.42,23
CDM,RX-2710,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS [400297],28.2,28.2,4.17,22.56,23
CDM,RX-2711,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS [400297],32.9,32.9,4.87,26.32,23
CDM,RX-2712,DEXTROSE 5 % IV BOLUS [400293],24.68,24.68,3.65,19.74,23
CDM,RX-2713,DEXTROSE 5 % IV BOLUS [400293],25.85,25.85,3.83,20.68,23
CDM,RX-2714,DEXTROSE 5 % IV BOLUS [400293],32.9,32.9,4.87,26.32,23
CDM,RX-2715,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2716,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2717,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2718,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2719,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-272,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN [104955],2298.9,2298.9,340.24,1839.12,23
CDM,RX-2720,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2721,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2722,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2723,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2724,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2725,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
CDM,RX-2726,DEXTROSE 5 % IV SOLN [2364],23.5,23.5,3.48,18.8,23
CDM,RX-2727,DEXTROSE 5 % IV SOLN [2364],23.5,23.5,3.48,18.8,23
CDM,RX-2728,DEXTROSE 5 % IV SOLN [2364],24.68,24.68,3.65,19.74,23
CDM,RX-2729,DEXTROSE 5 % IV SOLN [2364],25.85,25.85,3.83,20.68,23
CDM,RX-273,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN [104955],2298.9,2298.9,340.24,1839.12,23
CDM,RX-2730,DEXTROSE 5 % IV SOLN [2364],28.2,28.2,4.17,22.56,23
CDM,RX-2731,DEXTROSE 5 % IV SOLN [2364],29.38,29.38,4.35,23.5,23
CDM,RX-2732,DEXTROSE 5 % IV SOLN [2364],30.55,30.55,4.52,24.44,23
CDM,RX-2733,DEXTROSE 5 % IV SOLN [2364],32.9,32.9,4.87,26.32,23
CDM,RX-2734,DEXTROSE 5 % IV SOLN [2364],37.6,37.6,5.56,30.08,23
CDM,RX-2735,DEXTROSE 5 % IV SOLN [2364],37.6,37.6,5.56,30.08,23
CDM,RX-2736,DEXTROSE 5 % IV SOLN [2364],40.42,40.42,5.98,32.34,23
CDM,RX-2737,DEXTROSE 5 % IV SOLN [2364],40.89,40.89,6.05,32.71,23
CDM,RX-2738,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2739,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-274,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
CDM,RX-2740,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2741,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2742,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2743,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2744,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2745,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2746,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
CDM,RX-2747,DEXTROSE 5% FLUID - DIALYSIS [601063],23.5,23.5,3.48,18.8,23
CDM,RX-2748,DEXTROSE 5% FLUID - DIALYSIS [601063],24.68,24.68,3.65,19.74,23
CDM,RX-2749,DEXTROSE 5% FLUID - DIALYSIS [601063],25.85,25.85,3.83,20.68,23
CDM,RX-275,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
CDM,RX-2750,DEXTROSE 5% FLUID - DIALYSIS [601063],32.9,32.9,4.87,26.32,23
CDM,RX-2751,DEXTROSE 5% FLUID - DIALYSIS [601063],37.6,37.6,5.56,30.08,23
CDM,RX-2752,DEXTROSE 5% FLUID - DIALYSIS [601063],40.89,40.89,6.05,32.71,23
CDM,RX-2753,DEXTROSE 5% FLUSH 2 ML IV SYRINGE (NICU) [600456],27.0,27.0,4.0,21.6,23
CDM,RX-2754,DEXTROSE 50 % IV SOLN [2365],22.0,22.0,3.26,17.6,23
CDM,RX-2755,DEXTROSE 50 % IV SOLN [2365],29.38,29.38,4.35,23.5,23
CDM,RX-2756,DEXTROSE 50 % IV SOLN [2365],29.38,29.38,4.35,23.5,23
CDM,RX-2757,DEXTROSE 50 % IV SOLN [2365],74.73,74.73,11.06,59.78,23
CDM,RX-2758,DEXTROSE 50 % IV SOLN [2365],84.6,84.6,12.52,67.68,23
CDM,RX-2759,DEXTROSE 50 % IV SOLN [2365],91.65,91.65,13.56,73.32,23
CDM,RX-276,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
CDM,RX-2760,DEXTROSE 50 % IV SOLN [2365],95.26,95.26,14.1,76.21,23
CDM,RX-2761,DEXTROSE 50 % IV SOLN [2365],102.41,102.41,15.16,81.93,23
CDM,RX-2762,DEXTROSE 50 % IV SOLN [2365],105.22,105.22,15.57,84.18,23
CDM,RX-2763,DEXTROSE 70 % IV SOLN [2367],84.6,84.6,12.52,67.68,23
CDM,RX-2764,DEXTROSE 70 % IV SOLN [2367],103.92,103.92,15.38,83.14,23
CDM,RX-2765,DEXTROSE 70 % IV SOLN [2367],112.58,112.58,16.66,90.06,23
CDM,RX-2766,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],22.0,22.0,3.26,17.6,23
CDM,RX-2767,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],28.2,28.2,4.17,22.56,23
CDM,RX-2768,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],32.9,32.9,4.87,26.32,23
CDM,RX-2769,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],32.9,32.9,4.87,26.32,23
CDM,RX-277,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
CDM,RX-2770,DEXTROSE-SODIUM CHLORIDE 10-0.2 % IV SOLN [15865],22.33,22.33,3.3,17.86,23
CDM,RX-2771,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],28.2,28.2,4.17,22.56,23
CDM,RX-2772,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],28.2,28.2,4.17,22.56,23
CDM,RX-2773,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],32.9,32.9,4.87,26.32,23
CDM,RX-2774,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],22.0,22.0,3.26,17.6,23
CDM,RX-2775,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],25.85,25.85,3.83,20.68,23
CDM,RX-2776,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],28.2,28.2,4.17,22.56,23
CDM,RX-2777,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],32.9,32.9,4.87,26.32,23
CDM,RX-2778,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],25.85,25.85,3.83,20.68,23
CDM,RX-2779,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],32.9,32.9,4.87,26.32,23
CDM,RX-278,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
CDM,RX-2780,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],32.9,32.9,4.87,26.32,23
CDM,RX-2781,DIATRIZOATE MEGLUMINE & SODIUM 66-10 % (37% IODINE) SOLN [9828],325.36,325.36,48.15,260.29,23
CDM,RX-2782,DIATRIZOATE MEGLUMINE 18 % UR SOLN [9823],167.58,167.58,24.8,134.06,23
CDM,RX-2783,DIATRIZOATE MEGLUMINE 30 % UR SOLN [27735],257.91,257.91,38.17,206.33,23
CDM,RX-2784,DIAZEPAM 10 MG RECTAL GEL [87867],1194.12,1194.12,176.73,955.3,23
CDM,RX-2785,DIAZEPAM 10 MG RECTAL GEL [87867],1380.56,1380.56,204.32,1104.45,23
CDM,RX-2786,DIAZEPAM 2.5 MG RECTAL GEL [87865],1163.81,1163.81,172.24,931.05,23
CDM,RX-2787,DIAZEPAM 20 MG RECTAL GEL [87869],1380.56,1380.56,204.32,1104.45,23
CDM,RX-2788,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
CDM,RX-2789,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
CDM,RX-279,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
CDM,RX-2790,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
CDM,RX-2791,DIAZEPAM 5 MG/5ML PO SOLN [113363],303.42,303.42,44.91,242.74,23
CDM,RX-2792,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
CDM,RX-2793,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
CDM,RX-2794,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
CDM,RX-2795,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
CDM,RX-2796,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.9,127.9,18.93,102.32,23
CDM,RX-2797,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.9,127.9,18.93,102.32,23
CDM,RX-2798,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.91,127.91,18.93,102.33,23
CDM,RX-2799,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.91,127.91,18.93,102.33,23
CDM,RX-280,ALPRAZOLAM 1 MG PO TABS [326],6.0,6.0,0.89,4.8,23
CDM,RX-2800,DIAZEPAM 5 MG/ML IJ SOLN [2401],174.89,174.89,25.88,139.91,23
CDM,RX-2801,DIAZEPAM 5 MG/ML IJ SOLN [2401],174.91,174.91,25.89,139.93,23
CDM,RX-2802,DIAZEPAM ELIXIR 1MG/ML ORAL SYRINGE [600063],9.0,9.0,1.33,7.2,23
CDM,RX-2803,DIAZOXIDE 50 MG/ML PO SUSP [19713],1699.21,1699.21,251.48,1359.37,23
CDM,RX-2804,DIBUCAINE (PERIANAL) 1 % EX OINT [27667],18.43,18.43,2.73,14.74,23
CDM,RX-2805,DIBUCAINE (PERIANAL) 1 % EX OINT [27667],28.17,28.17,4.17,22.54,23
CDM,RX-2806,DIBUCAINE 1 % EX OINT [2412],27.64,27.64,4.09,22.11,23
CDM,RX-2807,DIBUCAINE 1 % EX OINT [2412],30.93,30.93,4.58,24.74,23
CDM,RX-2808,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],82.25,82.25,12.17,65.8,23
CDM,RX-2809,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],193.86,193.86,28.69,155.09,23
CDM,RX-281,ALPRAZOLAM 1 MG PO TABS [326],6.0,6.0,0.89,4.8,23
CDM,RX-2810,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],284.09,284.09,42.05,227.27,23
CDM,RX-2811,DICLOFENAC SODIUM 1 % EX GEL [150015],19.74,19.74,2.92,15.79,23
CDM,RX-2812,DICLOFENAC SODIUM 1 % EX GEL [150015],56.4,56.4,8.35,45.12,23
CDM,RX-2813,DICLOFENAC SODIUM 1 % EX GEL [150015],63.92,63.92,9.46,51.14,23
CDM,RX-2814,DICLOFENAC SODIUM 1 % EX GEL [150015],67.68,67.68,10.02,54.14,23
CDM,RX-2815,DICLOFENAC SODIUM 1 % EX GEL [150015],69.09,69.09,10.23,55.27,23
CDM,RX-2816,DICLOFENAC SODIUM 1 % EX GEL [150015],71.91,71.91,10.64,57.53,23
CDM,RX-2817,DICLOFENAC SODIUM 1 % EX GEL [150015],108.25,108.25,16.02,86.6,23
CDM,RX-2818,DICLOFENAC SODIUM 1 % EX GEL [150015],204.62,204.62,30.28,163.7,23
CDM,RX-2819,DICLOFENAC SODIUM 1 % EX GEL [150015],213.18,213.18,31.55,170.54,23
CDM,RX-282,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],490.14,490.14,72.54,392.11,23
CDM,RX-2820,DICLOFENAC SODIUM 1 % EX GEL [150015],227.18,227.18,33.62,181.74,23
CDM,RX-2821,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
CDM,RX-2822,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
CDM,RX-2823,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
CDM,RX-2824,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-2825,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-2826,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-2827,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-2828,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-2829,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
CDM,RX-283,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],624.96,624.96,92.49,499.97,23
CDM,RX-2830,DICLOFENAC SODIUM 75 MG PO TBEC [15341],8.34,8.34,1.23,6.67,23
CDM,RX-2831,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],6.0,6.0,0.89,4.8,23
CDM,RX-2832,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],6.48,6.48,0.96,5.18,23
CDM,RX-2833,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],7.06,7.06,1.04,5.65,23
CDM,RX-2834,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2835,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2836,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2837,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2838,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2839,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-284,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],624.97,624.97,92.5,499.98,23
CDM,RX-2840,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
CDM,RX-2841,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
CDM,RX-2842,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
CDM,RX-2843,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
CDM,RX-2844,DIGOXIN 0.05 MG/ML PO SOLN [43556],560.75,560.75,82.99,448.6,23
CDM,RX-2845,DIGOXIN 0.05 MG/ML PO SOLN [43556],633.36,633.36,93.74,506.69,23
CDM,RX-2846,DIGOXIN 0.125 MG PO TABS [2444],6.0,6.0,0.89,4.8,23
CDM,RX-2847,DIGOXIN 0.125 MG PO TABS [2444],9.9,9.9,1.47,7.92,23
CDM,RX-2848,DIGOXIN 0.125 MG PO TABS [2444],10.81,10.81,1.6,8.65,23
CDM,RX-2849,DIGOXIN 0.125 MG PO TABS [2444],10.81,10.81,1.6,8.65,23
CDM,RX-285,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],666.54,666.54,98.65,533.23,23
CDM,RX-2850,DIGOXIN 0.25 MG PO TABS [2445],7.92,7.92,1.17,6.34,23
CDM,RX-2851,DIGOXIN 0.25 MG PO TABS [2445],9.77,9.77,1.45,7.82,23
CDM,RX-2852,DIGOXIN 0.25 MG PO TABS [2445],10.81,10.81,1.6,8.65,23
CDM,RX-2853,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
CDM,RX-2854,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
CDM,RX-2855,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
CDM,RX-2856,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
CDM,RX-2857,DIGOXIN 0.25 MG/ML IJ SOLN [2442],35.14,35.14,5.2,28.11,23
CDM,RX-2858,DIGOXIN 0.25 MG/ML IJ SOLN [2442],35.14,35.14,5.2,28.11,23
CDM,RX-2859,DIGOXIN 2 MG (0.25 MG/ML)/8 ML SYRINGE INTRA-AMNIOTIC [600689],33.36,33.36,4.94,26.69,23
CDM,RX-286,ALTEPLASE 100 MG IV SOLR [9002],26717.89,26717.89,3954.25,21374.31,23
CDM,RX-2860,DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432],15101.07,15101.07,2234.96,12080.86,23
CDM,RX-2861,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],364.11,364.11,53.89,291.29,23
CDM,RX-2862,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],564.52,564.52,83.55,451.62,23
CDM,RX-2863,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],594.23,594.23,87.95,475.38,23
CDM,RX-2864,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],676.34,676.34,100.1,541.07,23
CDM,RX-2865,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],751.49,751.49,111.22,601.19,23
CDM,RX-2866,DIHYDROERGOTAMINE MESYLATE 4 MG/ML NA SOLN [18031],1668.72,1668.72,246.97,1334.98,23
CDM,RX-2867,DILTIAZEM 2% OINTMENT [600603],24.07,24.07,3.56,19.26,23
CDM,RX-2868,DILTIAZEM HCL 120 MG PO TABS [2474],13.56,13.56,2.01,10.85,23
CDM,RX-2869,DILTIAZEM HCL 120 MG PO TABS [2474],13.56,13.56,2.01,10.85,23
CDM,RX-287,ALTEPLASE 100 MG IV SOLR [9002],26717.89,26717.89,3954.25,21374.31,23
CDM,RX-2870,DILTIAZEM HCL 125 MG/25ML IV SOLN [97253],51.35,51.35,7.6,41.08,23
CDM,RX-2871,DILTIAZEM HCL 25 MG/5ML IV SOLN [97252],3516.7,3516.7,520.47,2813.36,23
CDM,RX-2872,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
CDM,RX-2873,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
CDM,RX-2874,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
CDM,RX-2875,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
CDM,RX-2876,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
CDM,RX-2877,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
CDM,RX-2878,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
CDM,RX-2879,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
CDM,RX-288,ALTEPLASE 1MG/1 ML SW IV SYRINGE(NICU) [600333],640.19,640.19,94.75,512.15,23
CDM,RX-2880,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
CDM,RX-2881,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.38,22.38,3.31,17.9,23
CDM,RX-2882,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],35.16,35.16,5.2,28.13,23
CDM,RX-2883,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],35.16,35.16,5.2,28.13,23
CDM,RX-2884,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
CDM,RX-2885,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
CDM,RX-2886,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
CDM,RX-2887,DILTIAZEM HCL 90 MG PO TABS [2477],10.07,10.07,1.49,8.06,23
CDM,RX-2888,DILTIAZEM HCL 90 MG PO TABS [2477],10.07,10.07,1.49,8.06,23
CDM,RX-2889,DILTIAZEM HCL ER BEADS 360 MG PO CP24 [29277],7.94,7.94,1.18,6.35,23
CDM,RX-289,ALTEPLASE 2 MG IJ SOLR [31310],694.12,694.12,102.73,555.3,23
CDM,RX-2890,DILTIAZEM HCL ER BEADS 360 MG PO CP24 [29277],11.03,11.03,1.63,8.82,23
CDM,RX-2891,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 [29270],6.0,6.0,0.89,4.8,23
CDM,RX-2892,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 [29270],6.0,6.0,0.89,4.8,23
CDM,RX-2893,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],6.0,6.0,0.89,4.8,23
CDM,RX-2894,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],6.0,6.0,0.89,4.8,23
CDM,RX-2895,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],7.12,7.12,1.05,5.7,23
CDM,RX-2896,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
CDM,RX-2897,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
CDM,RX-2898,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
CDM,RX-2899,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],9.65,9.65,1.43,7.72,23
CDM,RX-290,ALTEPLASE 2 MG IJ SOLR [31310],728.82,728.82,107.87,583.06,23
CDM,RX-2900,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],9.99,9.99,1.48,7.99,23
CDM,RX-2901,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
CDM,RX-2902,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
CDM,RX-2903,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
CDM,RX-2904,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.6,12.6,1.86,10.08,23
CDM,RX-2905,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.6,12.6,1.86,10.08,23
CDM,RX-2906,DIMERCAPROL 100 MG/ML IM SOLN [9872],725.84,725.84,107.42,580.67,23
CDM,RX-2907,DINOPROSTONE 20 MG VA SUPP [9875],6737.53,6737.53,997.15,5390.02,23
CDM,RX-2908,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511],24.49,24.49,3.62,19.59,23
CDM,RX-2909,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511],24.49,24.49,3.62,19.59,23
CDM,RX-291,ALTEPLASE 50 MG IV SOLR [9003],13358.96,13358.96,1977.13,10687.17,23
CDM,RX-2910,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],11.0,11.0,1.63,8.8,23
CDM,RX-2911,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],11.1,11.1,1.64,8.88,23
CDM,RX-2912,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],12.76,12.76,1.89,10.21,23
CDM,RX-2913,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],13.32,13.32,1.97,10.66,23
CDM,RX-2914,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],15.53,15.53,2.3,12.42,23
CDM,RX-2915,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],16.64,16.64,2.46,13.31,23
CDM,RX-2916,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],17.83,17.83,2.64,14.26,23
CDM,RX-2917,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
CDM,RX-2918,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
CDM,RX-2919,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
CDM,RX-292,ALTEPLASE 50 MG IV SOLR [9003],13358.96,13358.96,1977.13,10687.17,23
CDM,RX-2920,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],34.54,34.54,5.11,27.63,23
CDM,RX-2921,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2922,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2923,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2924,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2925,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2926,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
CDM,RX-2927,DIPHENHYDRAMINE HCL 50 MG PO CAPS [2510],6.0,6.0,0.89,4.8,23
CDM,RX-2928,DIPHENHYDRAMINE HCL 50 MG PO CAPS [2510],6.0,6.0,0.89,4.8,23
CDM,RX-2929,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-293,ALTEPLASE BOLUS FROM BAG [601220],2671.79,2671.79,395.42,2137.43,23
CDM,RX-2930,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2931,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2932,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2933,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2934,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2935,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2936,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
CDM,RX-2937,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2938,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2939,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-294,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],6.0,6.0,0.89,4.8,23
CDM,RX-2940,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2941,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2942,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2943,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
CDM,RX-2944,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451],151.81,151.81,22.47,121.45,23
CDM,RX-2945,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451],151.81,151.81,22.47,121.45,23
CDM,RX-2946,DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP [116158],307.35,307.35,45.49,245.88,23
CDM,RX-2947,DIPYRIDAMOLE 25 MG PO TABS [2528],6.68,6.68,0.99,5.34,23
CDM,RX-2948,DIPYRIDAMOLE 5 MG/ML IV SOLN [9891],102.89,102.89,15.23,82.31,23
CDM,RX-2949,DIPYRIDAMOLE 5 MG/ML IV SOLN [9891],102.89,102.89,15.23,82.31,23
CDM,RX-295,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],10.72,10.72,1.59,8.58,23
CDM,RX-2950,DISOPYRAMIDE PHOSPHATE ER 100 MG PO CP12 [2537],24.36,24.36,3.61,19.49,23
CDM,RX-2951,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.0,6.0,0.89,4.8,23
CDM,RX-2952,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.0,6.0,0.89,4.8,23
CDM,RX-2953,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.67,6.67,0.99,5.34,23
CDM,RX-2954,DIVALPROEX SODIUM 125 MG PO TBEC [2551],6.0,6.0,0.89,4.8,23
CDM,RX-2955,DIVALPROEX SODIUM 125 MG PO TBEC [2551],6.0,6.0,0.89,4.8,23
CDM,RX-2956,DIVALPROEX SODIUM 125 MG PO TBEC [2551],10.02,10.02,1.48,8.02,23
CDM,RX-2957,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
CDM,RX-2958,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
CDM,RX-2959,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
CDM,RX-296,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],10.72,10.72,1.59,8.58,23
CDM,RX-2960,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.2,8.2,1.21,6.56,23
CDM,RX-2961,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.2,8.2,1.21,6.56,23
CDM,RX-2962,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
CDM,RX-2963,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
CDM,RX-2964,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
CDM,RX-2965,DIVALPROEX SODIUM 250 MG PO TBEC [2552],10.18,10.18,1.51,8.14,23
CDM,RX-2966,DIVALPROEX SODIUM 250 MG PO TBEC [2552],22.78,22.78,3.37,18.22,23
CDM,RX-2967,DIVALPROEX SODIUM 500 MG PO TBEC [2553],6.0,6.0,0.89,4.8,23
CDM,RX-2968,DIVALPROEX SODIUM 500 MG PO TBEC [2553],6.69,6.69,0.99,5.35,23
CDM,RX-2969,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.11,15.11,2.24,12.09,23
CDM,RX-297,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],17.77,17.77,2.63,14.22,23
CDM,RX-2970,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.11,15.11,2.24,12.09,23
CDM,RX-2971,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.19,15.19,2.25,12.15,23
CDM,RX-2972,DIVALPROEX SODIUM 500 MG PO TBEC [2553],18.77,18.77,2.78,15.02,23
CDM,RX-2973,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
CDM,RX-2974,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
CDM,RX-2975,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
CDM,RX-2976,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],7.75,7.75,1.15,6.2,23
CDM,RX-2977,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],11.62,11.62,1.72,9.3,23
CDM,RX-2978,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2979,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-298,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.36,18.36,2.72,14.69,23
CDM,RX-2980,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2981,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2982,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2983,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2984,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
CDM,RX-2985,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],34.71,34.71,5.14,27.77,23
CDM,RX-2986,DOBUTAMINE DRIP (NICU) IV SYRINGE [600250],56.4,56.4,8.35,45.12,23
CDM,RX-2987,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],28.67,28.67,4.24,22.94,23
CDM,RX-2988,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],39.11,39.11,5.79,31.29,23
CDM,RX-2989,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],43.62,43.62,6.46,34.9,23
CDM,RX-299,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.62,18.62,2.76,14.9,23
CDM,RX-2990,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],203.51,203.51,30.12,162.81,23
CDM,RX-2991,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],203.51,203.51,30.12,162.81,23
CDM,RX-2992,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],207.84,207.84,30.76,166.27,23
CDM,RX-2993,DOCETAXEL 160 MG/16ML IV SOLN [107444],1920.6,1920.6,284.25,1536.48,23
CDM,RX-2994,DOCETAXEL 20 MG/2ML IV SOLN [107446],205.4,205.4,30.4,164.32,23
CDM,RX-2995,DOCETAXEL 20 MG/ML IV CONC [105295],303.42,303.42,44.91,242.74,23
CDM,RX-2996,DOCETAXEL 80 MG/4ML IV CONC [107151],384.54,384.54,56.91,307.63,23
CDM,RX-2997,DOCETAXEL 80 MG/4ML IV CONC [107151],1180.8,1180.8,174.76,944.64,23
CDM,RX-2998,DOCETAXEL 80 MG/4ML IV CONC [107151],1519.02,1519.02,224.81,1215.22,23
CDM,RX-2999,DOCETAXEL 80 MG/4ML IV CONC [107151],2793.6,2793.6,413.45,2234.88,23
CDM,RX-300,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.62,18.62,2.76,14.9,23
CDM,RX-3000,DOCETAXEL 80 MG/4ML IV CONC [107151],3695.32,3695.32,546.91,2956.26,23
CDM,RX-3001,DOCETAXEL 80 MG/8ML IV SOLN [107443],992.11,992.11,146.83,793.69,23
CDM,RX-3002,DOCETAXEL 80 MG/8ML IV SOLN [107443],1082.4,1082.4,160.2,865.92,23
CDM,RX-3003,DOCETAXEL 80 MG/8ML IV SOLN [107443],3840.97,3840.97,568.46,3072.78,23
CDM,RX-3004,DOCUSATE CALCIUM 240 MG PO CAPS [2565],6.0,6.0,0.89,4.8,23
CDM,RX-3005,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3006,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3007,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3008,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3009,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-301,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],19.6,19.6,2.9,15.68,23
CDM,RX-3010,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3011,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3012,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
CDM,RX-3013,DOCUSATE SODIUM 150 MG/15ML PO LIQD [2569],6.0,6.0,0.89,4.8,23
CDM,RX-3014,DOCUSATE SODIUM 150 MG/15ML PO LIQD [2569],31.13,31.13,4.61,24.9,23
CDM,RX-3015,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
CDM,RX-3016,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
CDM,RX-3017,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
CDM,RX-3018,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],31.13,31.13,4.61,24.9,23
CDM,RX-3019,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],60.03,60.03,8.88,48.02,23
CDM,RX-302,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],19.6,19.6,2.9,15.68,23
CDM,RX-3020,DOFETILIDE 125 MCG PO CAPS [26965],40.21,40.21,5.95,32.17,23
CDM,RX-3021,DOFETILIDE 125 MCG PO CAPS [26965],40.21,40.21,5.95,32.17,23
CDM,RX-3022,DOFETILIDE 125 MCG PO CAPS [26965],45.8,45.8,6.78,36.64,23
CDM,RX-3023,DOFETILIDE 125 MCG PO CAPS [26965],45.8,45.8,6.78,36.64,23
CDM,RX-3024,DOFETILIDE 125 MCG PO CAPS [26965],62.51,62.51,9.25,50.01,23
CDM,RX-3025,DOFETILIDE 125 MCG PO CAPS [26965],63.13,63.13,9.34,50.5,23
CDM,RX-3026,DOFETILIDE 250 MCG PO CAPS [26966],40.21,40.21,5.95,32.17,23
CDM,RX-3027,DOFETILIDE 250 MCG PO CAPS [26966],45.8,45.8,6.78,36.64,23
CDM,RX-3028,DOFETILIDE 250 MCG PO CAPS [26966],63.13,63.13,9.34,50.5,23
CDM,RX-3029,DOFETILIDE 500 MCG PO CAPS [26967],40.21,40.21,5.95,32.17,23
CDM,RX-303,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
CDM,RX-3030,DOFETILIDE 500 MCG PO CAPS [26967],62.51,62.51,9.25,50.01,23
CDM,RX-3031,DOFETILIDE 500 MCG PO CAPS [26967],63.13,63.13,9.34,50.5,23
CDM,RX-3032,DOLUTEGRAVIR SODIUM 50 MG PO TABS [121434],361.8,361.8,53.55,289.44,23
CDM,RX-3033,DOMPERIDONE 10 MG TABLET [600570],6.0,6.0,0.89,4.8,23
CDM,RX-3034,DONEPEZIL HCL 10 MG PO TABS [18787],6.0,6.0,0.89,4.8,23
CDM,RX-3035,DONEPEZIL HCL 10 MG PO TABS [18787],6.0,6.0,0.89,4.8,23
CDM,RX-3036,DONEPEZIL HCL 5 MG PO TABS [18786],6.0,6.0,0.89,4.8,23
CDM,RX-3037,DONEPEZIL HCL 5 MG PO TABS [18786],6.0,6.0,0.89,4.8,23
CDM,RX-3038,DONEPEZIL HCL 5 MG PO TABS [18786],40.66,40.66,6.02,32.53,23
CDM,RX-3039,DONEPEZIL HCL 5 MG PO TABS [18786],40.67,40.67,6.02,32.54,23
CDM,RX-304,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
CDM,RX-3040,DONEPEZIL HCL 5 MG PO TABS [18786],40.68,40.68,6.02,32.54,23
CDM,RX-3041,DONEPEZIL HCL 5 MG PO TABS [18786],40.68,40.68,6.02,32.54,23
CDM,RX-3042,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.0,22.0,3.26,17.6,23
CDM,RX-3043,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.0,22.0,3.26,17.6,23
CDM,RX-3044,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.59,22.59,3.34,18.07,23
CDM,RX-3045,DOPAMINE HCL 40 MG/ML IV SOLN [2595],32.86,32.86,4.86,26.29,23
CDM,RX-3046,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN [14845],108.25,108.25,16.02,86.6,23
CDM,RX-3047,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN [14845],119.08,119.08,17.62,95.26,23
CDM,RX-3048,DORAVIRINE 100 MG PO TABS [141306],286.29,286.29,42.37,229.03,23
CDM,RX-3049,DORNASE ALFA 2.5 MG/2.5ML IN SOLN [12211],605.17,605.17,89.57,484.14,23
CDM,RX-305,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
CDM,RX-3050,DORNASE ALFA 2.5 MG/2.5ML IN SOLN [12211],605.2,605.2,89.57,484.16,23
CDM,RX-3051,DORZOLAMIDE HCL 2 % OP SOLN [14471],84.6,84.6,12.52,67.68,23
CDM,RX-3052,DORZOLAMIDE HCL 2 % OP SOLN [14471],176.63,176.63,26.14,141.3,23
CDM,RX-3053,DORZOLAMIDE HCL 2 % OP SOLN [14471],198.71,198.71,29.41,158.97,23
CDM,RX-3054,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.66,259.66,38.43,207.73,23
CDM,RX-3055,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
CDM,RX-3056,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
CDM,RX-3057,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
CDM,RX-3058,DORZOLAMIDE HCL 2 % OP SOLN [14471],353.84,353.84,52.37,283.07,23
CDM,RX-3059,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],108.25,108.25,16.02,86.6,23
CDM,RX-306,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
CDM,RX-3060,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],262.54,262.54,38.86,210.03,23
CDM,RX-3061,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
CDM,RX-3062,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
CDM,RX-3063,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
CDM,RX-3064,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],462.21,462.21,68.41,369.77,23
CDM,RX-3065,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],462.21,462.21,68.41,369.77,23
CDM,RX-3066,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
CDM,RX-3067,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
CDM,RX-3068,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
CDM,RX-3069,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
CDM,RX-307,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
CDM,RX-3070,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
CDM,RX-3071,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN [152028],35807.75,35807.75,5299.55,28646.2,23
CDM,RX-3072,DOVATO:DOLUTEGRAVIR-LAMIVUDINE 50-300 MG PO TABS [143520],466.84,466.84,69.09,373.47,23
CDM,RX-3073,DOXAPRAM HCL 20 MG/ML IV SOLN [2607],248.42,248.42,36.77,198.74,23
CDM,RX-3074,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
CDM,RX-3075,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
CDM,RX-3076,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
CDM,RX-3077,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.35,6.35,0.94,5.08,23
CDM,RX-3078,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.0,6.0,0.89,4.8,23
CDM,RX-3079,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.0,6.0,0.89,4.8,23
CDM,RX-308,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],25.03,25.03,3.7,20.02,23
CDM,RX-3080,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.35,6.35,0.94,5.08,23
CDM,RX-3081,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.0,6.0,0.89,4.8,23
CDM,RX-3082,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.66,6.66,0.99,5.33,23
CDM,RX-3083,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.66,6.66,0.99,5.33,23
CDM,RX-3084,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.0,6.0,0.89,4.8,23
CDM,RX-3085,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.99,6.99,1.03,5.59,23
CDM,RX-3086,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.99,6.99,1.03,5.59,23
CDM,RX-3087,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
CDM,RX-3088,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
CDM,RX-3089,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
CDM,RX-309,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],25.03,25.03,3.7,20.02,23
CDM,RX-3090,DOXEPIN HCL 10 MG/ML PO CONC [2614],194.67,194.67,28.81,155.74,23
CDM,RX-3091,DOXEPIN HCL 10 MG/ML PO CONC [2614],276.82,276.82,40.97,221.46,23
CDM,RX-3092,DOXEPIN HCL 100 MG PO CAPS [2609],9.27,9.27,1.37,7.42,23
CDM,RX-3093,DOXEPIN HCL 100 MG PO CAPS [2609],9.27,9.27,1.37,7.42,23
CDM,RX-3094,DOXEPIN HCL 100 MG PO CAPS [2609],9.39,9.39,1.39,7.51,23
CDM,RX-3095,DOXEPIN HCL 100 MG PO CAPS [2609],9.4,9.4,1.39,7.52,23
CDM,RX-3096,DOXEPIN HCL 150 MG PO CAPS [2610],15.65,15.65,2.32,12.52,23
CDM,RX-3097,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
CDM,RX-3098,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
CDM,RX-3099,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
CDM,RX-310,ALUM AMMONIUM (BULK) POWD [345],39.16,39.16,5.8,31.33,23
CDM,RX-3100,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
CDM,RX-3101,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
CDM,RX-3102,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
CDM,RX-3103,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
CDM,RX-3104,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
CDM,RX-3105,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
CDM,RX-3106,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
CDM,RX-3107,DOXEPIN HCL 75 MG PO CAPS [2613],8.51,8.51,1.26,6.81,23
CDM,RX-3108,DOXERCALCIFEROL 2.5 MCG PO CAPS [25354],78.4,78.4,11.6,62.72,23
CDM,RX-3109,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],127.63,127.63,18.89,102.1,23
CDM,RX-311,ALUM AMMONIUM (BULK) POWD [345],89.49,89.49,13.24,71.59,23
CDM,RX-3110,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],127.63,127.63,18.89,102.1,23
CDM,RX-3111,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],304.98,304.98,45.14,243.98,23
CDM,RX-3112,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],542.88,542.88,80.35,434.3,23
CDM,RX-3113,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],601.7,601.7,89.05,481.36,23
CDM,RX-3114,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],622.81,622.81,92.18,498.25,23
CDM,RX-3115,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
CDM,RX-3116,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
CDM,RX-3117,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
CDM,RX-3118,DOXORUBICIN HCL 50 MG IV SOLR [2619],1035.3,1035.3,153.22,828.24,23
CDM,RX-3119,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],1260.15,1260.15,186.5,1008.12,23
CDM,RX-312,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
CDM,RX-3120,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],1571.4,1571.4,232.57,1257.12,23
CDM,RX-3121,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],2368.63,2368.63,350.56,1894.9,23
CDM,RX-3122,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],2941.89,2941.89,435.4,2353.51,23
CDM,RX-3123,DOXYCYCLINE 100MG/ NS 100ML MB PLUS [600021],121.32,121.32,17.96,97.06,23
CDM,RX-3124,DOXYCYCLINE 100MG/ NS 100ML MB PLUS [600021],121.32,121.32,17.96,97.06,23
CDM,RX-3125,DOXYCYCLINE 100MG/D5W 100ML MB PLUS [601073],121.32,121.32,17.96,97.06,23
CDM,RX-3126,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],82.76,82.76,12.25,66.21,23
CDM,RX-3127,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],82.76,82.76,12.25,66.21,23
CDM,RX-3128,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],85.56,85.56,12.66,68.45,23
CDM,RX-3129,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],85.56,85.56,12.66,68.45,23
CDM,RX-313,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
CDM,RX-3130,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],90.03,90.03,13.32,72.02,23
CDM,RX-3131,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],109.43,109.43,16.2,87.54,23
CDM,RX-3132,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],121.11,121.11,17.92,96.89,23
CDM,RX-3133,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],121.11,121.11,17.92,96.89,23
CDM,RX-3134,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
CDM,RX-3135,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
CDM,RX-3136,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
CDM,RX-3137,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],136.82,136.82,20.25,109.46,23
CDM,RX-3138,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
CDM,RX-3139,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
CDM,RX-314,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
CDM,RX-3140,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
CDM,RX-3141,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.02,6.02,0.89,4.82,23
CDM,RX-3142,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],10.03,10.03,1.48,8.02,23
CDM,RX-3143,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.13,11.13,1.65,8.9,23
CDM,RX-3144,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.14,11.14,1.65,8.91,23
CDM,RX-3145,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.14,11.14,1.65,8.91,23
CDM,RX-3146,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.59,11.59,1.72,9.27,23
CDM,RX-3147,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR [9902],98.73,98.73,14.61,78.98,23
CDM,RX-3148,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR [9902],114.84,114.84,17.0,91.87,23
CDM,RX-3149,DRONABINOL 5 MG PO CAPS [9905],17.51,17.51,2.59,14.01,23
CDM,RX-315,ALUMINUM CHLORIDE 20 % EX SOLN [9028],44.07,44.07,6.52,35.26,23
CDM,RX-3150,DRONABINOL 5 MG PO CAPS [9905],57.63,57.63,8.53,46.1,23
CDM,RX-3151,DRONABINOL 5 MG PO CAPS [9905],63.67,63.67,9.42,50.94,23
CDM,RX-3152,DRONABINOL 5 MG PO CAPS [9905],80.76,80.76,11.95,64.61,23
CDM,RX-3153,DRONABINOL 5 MG PO CAPS [9905],80.76,80.76,11.95,64.61,23
CDM,RX-3154,DRONEDARONE HCL 400 MG PO TABS [98329],76.14,76.14,11.27,60.91,23
CDM,RX-3155,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],27.3,27.3,4.04,21.84,23
CDM,RX-3156,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],54.6,54.6,8.08,43.68,23
CDM,RX-3157,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],54.6,54.6,8.08,43.68,23
CDM,RX-3158,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],59.96,59.96,8.87,47.97,23
CDM,RX-3159,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],59.98,59.98,8.88,47.98,23
CDM,RX-316,ALUMINUM CHLORIDE 20 % EX SOLN [9028],47.87,47.87,7.08,38.3,23
CDM,RX-3160,DROSPIRENONE-ETHINYL ESTRADIOL 3-0.02 MG PO TABS [70784],674.48,674.48,99.82,539.58,23
CDM,RX-3161,DROSPIRENONE-ETHINYL ESTRADIOL 3-0.03 MG PO TABS [30433],582.7,582.7,86.24,466.16,23
CDM,RX-3162,DROXIDOPA 100 MG PO CAPS [124960],159.25,159.25,23.57,127.4,23
CDM,RX-3163,DTAP-HEPATITIS B RECOMB-IPV IM SUSY [34550],465.95,465.95,68.96,372.76,23
CDM,RX-3164,DTAP-IPV VACCINE 0.5 ML IM SUSY [153537],290.92,290.92,43.06,232.74,23
CDM,RX-3165,DTAP-IPV-HIB VACCINE IM SUSR [92074],477.52,477.52,70.67,382.02,23
CDM,RX-3166,DTAP-IPV-HIB VACCINE IM SUSR [92074],540.34,540.34,79.97,432.27,23
CDM,RX-3167,DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY [150593],705.15,705.15,104.36,564.12,23
CDM,RX-3168,DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY [150593],705.55,705.55,104.42,564.44,23
CDM,RX-3169,DULOXETINE HCL 20 MG PO CPEP [39275],8.22,8.22,1.22,6.58,23
CDM,RX-317,ALUMINUM CHLORIDE 20 % EX SOLN [9028],65.43,65.43,9.68,52.34,23
CDM,RX-3170,DULOXETINE HCL 20 MG PO CPEP [39275],29.24,29.24,4.33,23.39,23
CDM,RX-3171,DULOXETINE HCL 20 MG PO CPEP [39275],31.58,31.58,4.67,25.26,23
CDM,RX-3172,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
CDM,RX-3173,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
CDM,RX-3174,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
CDM,RX-3175,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
CDM,RX-3176,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
CDM,RX-3177,DULOXETINE HCL 20 MG PO CPEP [39275],38.38,38.38,5.68,30.7,23
CDM,RX-3178,DULOXETINE HCL 20 MG PO CPEP [39275],47.04,47.04,6.96,37.63,23
CDM,RX-3179,DULOXETINE HCL 30 MG PO CPEP [39276],36.19,36.19,5.36,28.95,23
CDM,RX-318,ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP [353],13.54,13.54,2.0,10.83,23
CDM,RX-3180,DULOXETINE HCL 30 MG PO CPEP [39276],36.6,36.6,5.42,29.28,23
CDM,RX-3181,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
CDM,RX-3182,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
CDM,RX-3183,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
CDM,RX-3184,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
CDM,RX-3185,DULOXETINE HCL 60 MG PO CPEP [39277],8.1,8.1,1.2,6.48,23
CDM,RX-3186,DULOXETINE HCL 60 MG PO CPEP [39277],36.6,36.6,5.42,29.28,23
CDM,RX-3187,DULOXETINE HCL 60 MG PO CPEP [39277],36.86,36.86,5.46,29.49,23
CDM,RX-3188,DULOXETINE HCL 60 MG PO CPEP [39277],36.86,36.86,5.46,29.49,23
CDM,RX-3189,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-319,ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP [353],37.8,37.8,5.59,30.24,23
CDM,RX-3190,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3191,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3192,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3193,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3194,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3195,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
CDM,RX-3196,DUPILUMAB 200 MG/1.14ML SC SOSY [144953],10634.95,10634.95,1573.97,8507.96,23
CDM,RX-3197,DUPILUMAB 300 MG/2ML SC SOSY [135611],6061.93,6061.93,897.17,4849.54,23
CDM,RX-3198,DURVALUMAB 120 MG/2.4ML IV SOLN [136524],3067.91,3067.91,454.05,2454.33,23
CDM,RX-3199,DURVALUMAB 500 MG/10ML IV SOLN [136525],12782.93,12782.93,1891.87,10226.34,23
CDM,RX-320,ALUM-MG HYDRX-SIMETH 15ML ORAL SYRINGE [600112],21.15,21.15,3.13,16.92,23
CDM,RX-3200,DYCLONINE HCL 2 MG MT LOZG [78044],6.0,6.0,0.89,4.8,23
CDM,RX-3201,ECONAZOLE NITRATE 1 % EX CREA [9915],130.1,130.1,19.25,104.08,23
CDM,RX-3202,ECONAZOLE NITRATE 1 % EX CREA [9915],409.99,409.99,60.68,327.99,23
CDM,RX-3203,ECONAZOLE NITRATE 1 % EX CREA [9915],409.99,409.99,60.68,327.99,23
CDM,RX-3204,ECULIZUMAB 300 MG/30ML IV SOLN [81696],19803.83,19803.83,2930.97,15843.06,23
CDM,RX-3205,EFAVIRENZ 200 MG PO CAPS [23900],55.31,55.31,8.19,44.25,23
CDM,RX-3206,EFAVIRENZ 200 MG PO CAPS [23900],61.46,61.46,9.1,49.17,23
CDM,RX-3207,EFAVIRENZ 50 MG PO CAPS [23898],13.84,13.84,2.05,11.07,23
CDM,RX-3208,EFAVIRENZ 50 MG PO CAPS [23898],15.38,15.38,2.28,12.3,23
CDM,RX-3209,EFAVIRENZ 600 MG PO TABS [32298],154.9,154.9,22.93,123.92,23
CDM,RX-321,ALVIMOPAN 12 MG PO CAPS [91870],679.94,679.94,100.63,543.95,23
CDM,RX-3210,EFAVIRENZ 600 MG PO TABS [32298],161.35,161.35,23.88,129.08,23
CDM,RX-3211,EFAVIRENZ 600 MG PO TABS [32298],161.35,161.35,23.88,129.08,23
CDM,RX-3212,EFAVIRENZ 600 MG PO TABS [32298],169.85,169.85,25.14,135.88,23
CDM,RX-3213,ELACESTRANT HYDROCHLORIDE 345 MG PO TABS [158864],2884.88,2884.88,426.96,2307.9,23
CDM,RX-3214,ELACESTRANT HYDROCHLORIDE 86 MG PO TABS [158863],1083.9,1083.9,160.42,867.12,23
CDM,RX-3215,ELBASVIR-GRAZOPREVIR 50-100 MG PO TABS [130661],1023.36,1023.36,151.46,818.69,23
CDM,RX-3216,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],113.7,113.7,16.83,90.96,23
CDM,RX-3217,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],238.82,238.82,35.35,191.06,23
CDM,RX-3218,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],239.08,239.08,35.38,191.26,23
CDM,RX-3219,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],377.03,377.03,55.8,301.62,23
CDM,RX-322,ALVIMOPAN 12 MG PO CAPS [91870],710.77,710.77,105.19,568.62,23
CDM,RX-3220,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],237.75,237.75,35.19,190.2,23
CDM,RX-3221,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],238.82,238.82,35.35,191.06,23
CDM,RX-3222,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],239.08,239.08,35.38,191.26,23
CDM,RX-3223,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],377.02,377.02,55.8,301.62,23
CDM,RX-3224,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],377.03,377.03,55.8,301.62,23
CDM,RX-3225,ELOTUZUMAB 300 MG IV SOLR [129989],6908.9,6908.9,1022.52,5527.12,23
CDM,RX-3226,ELOTUZUMAB 400 MG IV SOLR [129990],9211.79,9211.79,1363.34,7369.43,23
CDM,RX-3227,ELTROMBOPAG OLAMINE 12.5 MG PO PACK [142346],1026.83,1026.83,151.97,821.46,23
CDM,RX-3228,EMICIZUMAB-KXWH 105 MG/0.7ML SC SOLN [138196],38541.92,38541.92,5704.2,30833.54,23
CDM,RX-3229,EMICIZUMAB-KXWH 60 MG/0.4ML SC SOLN [138195],22023.93,22023.93,3259.54,17619.14,23
CDM,RX-323,ALVIMOPAN 12 MG PO CAPS [91870],715.73,715.73,105.93,572.58,23
CDM,RX-3230,EMTRICITABINE 200 MG PO CAPS [36252],90.78,90.78,13.44,72.62,23
CDM,RX-3231,EMTRICITABINE 200 MG PO CAPS [36252],90.78,90.78,13.44,72.62,23
CDM,RX-3232,EMTRICITABINE 200 MG PO CAPS [36252],92.93,92.93,13.75,74.34,23
CDM,RX-3233,ENALAPRIL MALEATE 10 MG PO TABS [9924],9.14,9.14,1.35,7.31,23
CDM,RX-3234,ENALAPRIL MALEATE 5 MG PO TABS [9927],7.13,7.13,1.06,5.7,23
CDM,RX-3235,ENALAPRIL MALEATE 5 MG PO TABS [9927],8.7,8.7,1.29,6.96,23
CDM,RX-3236,ENALAPRIL MALEATE 5 MG PO TABS [9927],8.7,8.7,1.29,6.96,23
CDM,RX-3237,ENALAPRILAT 1.25 MG/ML IV SOLN [9929],53.48,53.48,7.92,42.78,23
CDM,RX-3238,ENALAPRILAT 1.25 MG/ML IV SOLN [9929],53.49,53.49,7.92,42.79,23
CDM,RX-3239,ENCORAFENIB 75 MG PO CAPS [140469],411.81,411.81,60.95,329.45,23
CDM,RX-324,ALVIMOPAN 12 MG PO CAPS [91870],744.3,744.3,110.16,595.44,23
CDM,RX-3240,ENCORAFENIB 75 MG PO CAPS [140469],411.81,411.81,60.95,329.45,23
CDM,RX-3241,ENCORAFENIB 75 MG PO CAPS [140469],617.72,617.72,91.42,494.18,23
CDM,RX-3242,ENCORAFENIB 75 MG PO CAPS [140469],617.72,617.72,91.42,494.18,23
CDM,RX-3243,ENEMA 7-19 GM/133ML RECTAL ENEM [2805],8.13,8.13,1.2,6.5,23
CDM,RX-3244,ENFORTUMAB VEDOTIN-EJFV 20 MG IV SOLR [146059],8528.13,8528.13,1262.16,6822.5,23
CDM,RX-3245,ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR [146060],12792.19,12792.19,1893.24,10233.75,23
CDM,RX-3246,ENFUVIRTIDE 90 MG SC SOLR [113624],278.96,278.96,41.29,223.17,23
CDM,RX-3247,ENFUVIRTIDE 90 MG SC SOLR [113624],278.96,278.96,41.29,223.17,23
CDM,RX-3248,ENOXAPARIN 40MG IN 500ML BSS PLUS-OR [601462],156539.96,156539.96,23167.91,125231.97,23
CDM,RX-3249,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN [601018],22.0,22.0,3.26,17.6,23
CDM,RX-325,AMANTADINE HCL 100 MG PO CAPS [364],7.92,7.92,1.17,6.34,23
CDM,RX-3250,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],52.57,52.57,7.78,42.06,23
CDM,RX-3251,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],101.33,101.33,15.0,81.06,23
CDM,RX-3252,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],101.33,101.33,15.0,81.06,23
CDM,RX-3253,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],103.3,103.3,15.29,82.64,23
CDM,RX-3254,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],111.04,111.04,16.43,88.83,23
CDM,RX-3255,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],111.04,111.04,16.43,88.83,23
CDM,RX-3256,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],67.68,67.68,10.02,54.14,23
CDM,RX-3257,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],93.53,93.53,13.84,74.82,23
CDM,RX-3258,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],123.93,123.93,18.34,99.14,23
CDM,RX-3259,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],124.28,124.28,18.39,99.42,23
CDM,RX-326,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
CDM,RX-3260,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],124.28,124.28,18.39,99.42,23
CDM,RX-3261,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],133.23,133.23,19.72,106.58,23
CDM,RX-3262,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],133.23,133.23,19.72,106.58,23
CDM,RX-3263,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],379.55,379.55,56.17,303.64,23
CDM,RX-3264,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],75.02,75.02,11.1,60.02,23
CDM,RX-3265,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],78.74,78.74,11.65,62.99,23
CDM,RX-3266,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],116.91,116.91,17.3,93.53,23
CDM,RX-3267,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],152.85,152.85,22.62,122.28,23
CDM,RX-3268,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],152.85,152.85,22.62,122.28,23
CDM,RX-3269,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],154.9,154.9,22.93,123.92,23
CDM,RX-327,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
CDM,RX-3270,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],166.54,166.54,24.65,133.23,23
CDM,RX-3271,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],166.54,166.54,24.65,133.23,23
CDM,RX-3272,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],459.82,459.82,68.05,367.86,23
CDM,RX-3273,ENOXAPARIN SODIUM 20 MG/0.2ML SC SOLN [601019],22.0,22.0,3.26,17.6,23
CDM,RX-3274,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],22.0,22.0,3.26,17.6,23
CDM,RX-3275,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],22.0,22.0,3.26,17.6,23
CDM,RX-3276,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],25.38,25.38,3.76,20.3,23
CDM,RX-3277,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],25.38,25.38,3.76,20.3,23
CDM,RX-3278,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],32.9,32.9,4.87,26.32,23
CDM,RX-3279,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],33.68,33.68,4.98,26.94,23
CDM,RX-328,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
CDM,RX-3280,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],33.68,33.68,4.98,26.94,23
CDM,RX-3281,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],36.19,36.19,5.36,28.95,23
CDM,RX-3282,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],36.19,36.19,5.36,28.95,23
CDM,RX-3283,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],39.36,39.36,5.83,31.49,23
CDM,RX-3284,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],39.36,39.36,5.83,31.49,23
CDM,RX-3285,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],41.98,41.98,6.21,33.58,23
CDM,RX-3286,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],105.46,105.46,15.61,84.37,23
CDM,RX-3287,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
CDM,RX-3288,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
CDM,RX-3289,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
CDM,RX-329,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
CDM,RX-3290,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
CDM,RX-3291,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
CDM,RX-3292,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],33.84,33.84,5.01,27.07,23
CDM,RX-3293,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.18,44.18,6.54,35.34,23
CDM,RX-3294,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.79,44.79,6.63,35.83,23
CDM,RX-3295,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.79,44.79,6.63,35.83,23
CDM,RX-3296,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],48.17,48.17,7.13,38.54,23
CDM,RX-3297,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],48.17,48.17,7.13,38.54,23
CDM,RX-3298,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],52.47,52.47,7.77,41.98,23
CDM,RX-3299,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],140.61,140.61,20.81,112.49,23
CDM,RX-330,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
CDM,RX-3300,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],30.27,30.27,4.48,24.22,23
CDM,RX-3301,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],30.29,30.29,4.48,24.23,23
CDM,RX-3302,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],50.76,50.76,7.51,40.61,23
CDM,RX-3303,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],66.75,66.75,9.88,53.4,23
CDM,RX-3304,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],66.75,66.75,9.88,53.4,23
CDM,RX-3305,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],67.29,67.29,9.96,53.83,23
CDM,RX-3306,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],72.33,72.33,10.7,57.86,23
CDM,RX-3307,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],72.33,72.33,10.7,57.86,23
CDM,RX-3308,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],211.18,211.18,31.25,168.94,23
CDM,RX-3309,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],41.74,41.74,6.18,33.39,23
CDM,RX-331,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
CDM,RX-3310,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],41.74,41.74,6.18,33.39,23
CDM,RX-3311,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],44.39,44.39,6.57,35.51,23
CDM,RX-3312,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],67.68,67.68,10.02,54.14,23
CDM,RX-3313,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],88.82,88.82,13.15,71.06,23
CDM,RX-3314,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],88.82,88.82,13.15,71.06,23
CDM,RX-3315,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.68,89.68,13.27,71.74,23
CDM,RX-3316,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.77,89.77,13.29,71.82,23
CDM,RX-3317,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.77,89.77,13.29,71.82,23
CDM,RX-3318,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],252.95,252.95,37.44,202.36,23
CDM,RX-3319,ENTACAPONE 200 MG PO TABS [26547],18.57,18.57,2.75,14.86,23
CDM,RX-332,AMANTADINE HCL 100 MG PO CAPS [364],16.38,16.38,2.42,13.1,23
CDM,RX-3320,ENTACAPONE 200 MG PO TABS [26547],18.59,18.59,2.75,14.87,23
CDM,RX-3321,ENTACAPONE 200 MG PO TABS [26547],21.34,21.34,3.16,17.07,23
CDM,RX-3322,ENTECAVIR 0.05 MG/ML PO SOLN [41149],558.38,558.38,82.64,446.7,23
CDM,RX-3323,ENTECAVIR 0.05 MG/ML PO SOLN [41149],2916.84,2916.84,431.69,2333.47,23
CDM,RX-3324,ENTECAVIR 0.5 MG PO TABS [41147],192.4,192.4,28.48,153.92,23
CDM,RX-3325,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
CDM,RX-3326,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
CDM,RX-3327,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
CDM,RX-3328,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
CDM,RX-3329,ENZALUTAMIDE 40 MG PO CAPS [116385],561.95,561.95,83.17,449.56,23
CDM,RX-333,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],9.0,9.0,1.33,7.2,23
CDM,RX-3330,ENZALUTAMIDE 40 MG PO TABS [151581],561.95,561.95,83.17,449.56,23
CDM,RX-3331,ENZALUTAMIDE 80 MG PO TABS [151582],977.82,977.82,144.72,782.26,23
CDM,RX-3332,EPHEDRINE 50MG/10ML NS IV SYRINGE [600340],71.26,71.26,10.55,57.01,23
CDM,RX-3333,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],43.94,43.94,6.5,35.15,23
CDM,RX-3334,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],67.68,67.68,10.02,54.14,23
CDM,RX-3335,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
CDM,RX-3336,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
CDM,RX-3337,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
CDM,RX-3338,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],129.96,129.96,19.23,103.97,23
CDM,RX-3339,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],150.9,150.9,22.33,120.72,23
CDM,RX-334,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],23.22,23.22,3.44,18.58,23
CDM,RX-3340,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
CDM,RX-3341,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
CDM,RX-3342,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
CDM,RX-3343,EPHEDRINE SULFATE-NACL 50-0.9 MG/5ML-% IV SOSY [131475],78.35,78.35,11.6,62.68,23
CDM,RX-3344,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],75.94,75.94,11.24,60.75,23
CDM,RX-3345,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],75.94,75.94,11.24,60.75,23
CDM,RX-3346,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],84.38,84.38,12.49,67.5,23
CDM,RX-3347,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],84.38,84.38,12.49,67.5,23
CDM,RX-3348,EPINEPHRINE 0.1 MG/10ML IV SOSY [148640],25.38,25.38,3.76,20.3,23
CDM,RX-3349,EPINEPHRINE 0.15 MG/0.3ML IJ SOAJ [123475],1197.75,1197.75,177.27,958.2,23
CDM,RX-335,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],23.41,23.41,3.46,18.73,23
CDM,RX-3350,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],706.88,706.88,104.62,565.5,23
CDM,RX-3351,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],810.18,810.18,119.91,648.14,23
CDM,RX-3352,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],1197.75,1197.75,177.27,958.2,23
CDM,RX-3353,"EPINEPHRINE 0.3ML (1:1000,1MG/ML) IN 500ML BSS PLUS-OR [600381]",110.91,110.91,16.41,88.73,23
CDM,RX-3354,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],28.2,28.2,4.17,22.56,23
CDM,RX-3355,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],55.56,55.56,8.22,44.45,23
CDM,RX-3356,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],57.58,57.58,8.52,46.06,23
CDM,RX-3357,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],77.51,77.51,11.47,62.01,23
CDM,RX-3358,EPINEPHRINE 1 MG/ML IJ SOLN [121301],70.39,70.39,10.42,56.31,23
CDM,RX-3359,EPINEPHRINE 1 MG/ML IJ SOLN [121301],407.16,407.16,60.26,325.73,23
CDM,RX-336,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],274.16,274.16,40.58,219.33,23
CDM,RX-3360,EPINEPHRINE 1 MG/ML IJ SOLN [121301],787.2,787.2,116.51,629.76,23
CDM,RX-3361,EPINEPHRINE 1 MG/ML IJ SOLN [121301],903.61,903.61,133.73,722.89,23
CDM,RX-3362,EPINEPHRINE 16000 MCG/500 ML NS - ANE [900576],188.36,188.36,27.88,150.69,23
CDM,RX-3363,EPINEPHRINE 30 MG/30ML IJ SOLN [138138],885.6,885.6,131.07,708.48,23
CDM,RX-3364,EPINEPHRINE 30 MG/30ML IJ SOLN [138138],986.27,986.27,145.97,789.02,23
CDM,RX-3365,EPINEPHRINE DRIP (NICU) [600317],43.71,43.71,6.47,34.97,23
CDM,RX-3366,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],217.84,217.84,32.24,174.27,23
CDM,RX-3367,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],291.75,291.75,43.18,233.4,23
CDM,RX-3368,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
CDM,RX-3369,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
CDM,RX-337,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],276.0,276.0,40.85,220.8,23
CDM,RX-3370,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
CDM,RX-3371,EPINEPHRINE PF 1 MG/ML IJ SOLN [137697],82.25,82.25,12.17,65.8,23
CDM,RX-3372,EPINEPHRINE PF 1 MG/ML IJ SOLN [137697],82.25,82.25,12.17,65.8,23
CDM,RX-3373,EPIRUBICIN HCL 50 MG/25ML IV SOLN [88008],224.46,224.46,33.22,179.57,23
CDM,RX-3374,EPLERENONE 25 MG PO TABS [36983],6.0,6.0,0.89,4.8,23
CDM,RX-3375,EPLERENONE 25 MG PO TABS [36983],16.32,16.32,2.42,13.06,23
CDM,RX-3376,EPLERENONE 25 MG PO TABS [36983],19.59,19.59,2.9,15.67,23
CDM,RX-3377,EPLERENONE 25 MG PO TABS [36983],19.59,19.59,2.9,15.67,23
CDM,RX-3378,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
CDM,RX-3379,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
CDM,RX-338,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],283.36,283.36,41.94,226.69,23
CDM,RX-3380,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
CDM,RX-3381,EPLERENONE 25 MG PO TABS [36983],23.5,23.5,3.48,18.8,23
CDM,RX-3382,EPLERENONE 50 MG PO TABS [36984],19.59,19.59,2.9,15.67,23
CDM,RX-3383,EPLERENONE 50 MG PO TABS [36984],19.59,19.59,2.9,15.67,23
CDM,RX-3384,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
CDM,RX-3385,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
CDM,RX-3386,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
CDM,RX-3387,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],172.3,172.3,25.5,137.84,23
CDM,RX-3388,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],172.3,172.3,25.5,137.84,23
CDM,RX-3389,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],249.56,249.56,36.93,199.65,23
CDM,RX-339,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],283.36,283.36,41.94,226.69,23
CDM,RX-3390,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],309.57,309.57,45.82,247.66,23
CDM,RX-3391,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],309.59,309.59,45.82,247.67,23
CDM,RX-3392,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],483.62,483.62,71.58,386.9,23
CDM,RX-3393,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],750.08,750.08,111.01,600.06,23
CDM,RX-3394,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.86,1051.86,155.68,841.49,23
CDM,RX-3395,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.9,1051.9,155.68,841.52,23
CDM,RX-3396,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.9,1051.9,155.68,841.52,23
CDM,RX-3397,EPOETIN ALFA 20000 UNIT/ML IJ SOLN [14643],1866.48,1866.48,276.24,1493.18,23
CDM,RX-3398,EPOETIN ALFA 40000 UNIT/ML IJ SOLN [24513],3245.49,3245.49,480.33,2596.39,23
CDM,RX-3399,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN [140055],499.0,499.0,73.85,399.2,23
CDM,RX-340,AMIKACIN 250 MG/ML NEBU SOLN [600539],20.87,20.87,3.09,16.7,23
CDM,RX-3400,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN [140055],499.0,499.0,73.85,399.2,23
CDM,RX-3401,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN [140052],114.63,114.63,16.97,91.7,23
CDM,RX-3402,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN [140052],114.63,114.63,16.97,91.7,23
CDM,RX-3403,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN [140054],205.96,205.96,30.48,164.77,23
CDM,RX-3404,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN [140054],205.96,205.96,30.48,164.77,23
CDM,RX-3405,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 1.2ML/HR SYRINGE WEAN 3 [900543],170.17,170.17,25.19,136.14,23
CDM,RX-3406,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 2.3ML/HR SYRINGE WEAN 2 [900542],170.17,170.17,25.19,136.14,23
CDM,RX-3407,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 4.5ML/HR SYRINGE WEAN 1 [900541],170.17,170.17,25.19,136.14,23
CDM,RX-3408,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 9ML/HR SYRINGE INITIATION [600846],211.62,211.62,31.32,169.3,23
CDM,RX-3409,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],218.66,218.66,32.36,174.93,23
CDM,RX-341,AMIKACIN 4 MG/ML OPHTH SOLN 10 ML [600865],20.87,20.87,3.09,16.7,23
CDM,RX-3410,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],218.66,218.66,32.36,174.93,23
CDM,RX-3411,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],257.95,257.95,38.18,206.36,23
CDM,RX-3412,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.13,201.13,29.77,160.9,23
CDM,RX-3413,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.36,201.36,29.8,161.09,23
CDM,RX-3414,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.36,201.36,29.8,161.09,23
CDM,RX-3415,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],153.03,153.03,22.65,122.42,23
CDM,RX-3416,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],377.76,377.76,55.91,302.21,23
CDM,RX-3417,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],388.15,388.15,57.45,310.52,23
CDM,RX-3418,ERGOTAMINE-CAFFEINE 1-100 MG PO TABS [9949],72.56,72.56,10.74,58.05,23
CDM,RX-3419,ERIBULIN MESYLATE 1 MG/2ML IV SOLN [105737],4280.76,4280.76,633.55,3424.61,23
CDM,RX-342,AMIKACIN 400MCG/0.1ML OPHTH SYRINGE [600273],27.0,27.0,4.0,21.6,23
CDM,RX-3420,ERLOTINIB HCL 100 MG PO TABS [40090],980.33,980.33,145.09,784.26,23
CDM,RX-3421,ERLOTINIB HCL 150 MG PO TABS [40091],1108.83,1108.83,164.11,887.06,23
CDM,RX-3422,ERLOTINIB HCL 25 MG PO TABS [40089],410.24,410.24,60.72,328.19,23
CDM,RX-3423,ERTAPENEM 1 G/NS 100ML MB PLUS- DO NOT USE [601011],284.97,284.97,42.18,227.98,23
CDM,RX-3424,ERTAPENEM 1 G/NS 50ML MB PLUS [600038],284.97,284.97,42.18,227.98,23
CDM,RX-3425,ERTAPENEM SODIUM 1 G IJ SOLR [31922],280.08,280.08,41.45,224.06,23
CDM,RX-3426,ERTAPENEM SODIUM 1 G IJ SOLR [31922],452.4,452.4,66.96,361.92,23
CDM,RX-3427,ERTAPENEM SODIUM 1 G IJ SOLR [31922],529.63,529.63,78.39,423.7,23
CDM,RX-3428,ERTAPENEM SODIUM 1 G IJ SOLR [31922],549.63,549.63,81.35,439.7,23
CDM,RX-3429,ERTAPENEM SODIUM 1 G IJ SOLR [31922],582.06,582.06,86.14,465.65,23
CDM,RX-343,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],80.66,80.66,11.94,64.53,23
CDM,RX-3430,ERTAPENEM SODIUM 1 G IJ SOLR [31922],627.94,627.94,92.94,502.35,23
CDM,RX-3431,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],280.08,280.08,41.45,224.06,23
CDM,RX-3432,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],529.63,529.63,78.39,423.7,23
CDM,RX-3433,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],582.06,582.06,86.14,465.65,23
CDM,RX-3434,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
CDM,RX-3435,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
CDM,RX-3436,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
CDM,RX-3437,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
CDM,RX-3438,ERYTHROMYCIN 333 MG PO TBEC [144426],49.65,49.65,7.35,39.72,23
CDM,RX-3439,ERYTHROMYCIN 333 MG PO TBEC [144426],60.62,60.62,8.97,48.5,23
CDM,RX-344,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],80.66,80.66,11.94,64.53,23
CDM,RX-3440,ERYTHROMYCIN 5 MG/GM OP OINT [2888],40.88,40.88,6.05,32.7,23
CDM,RX-3441,ERYTHROMYCIN 5 MG/GM OP OINT [2888],40.88,40.88,6.05,32.7,23
CDM,RX-3442,ERYTHROMYCIN 5 MG/GM OP OINT [2888],48.02,48.02,7.11,38.42,23
CDM,RX-3443,ERYTHROMYCIN 5 MG/GM OP OINT [2888],55.28,55.28,8.18,44.22,23
CDM,RX-3444,ERYTHROMYCIN 5 MG/GM OP OINT [2888],58.36,58.36,8.64,46.69,23
CDM,RX-3445,ERYTHROMYCIN 5 MG/GM OP OINT [2888],84.41,84.41,12.49,67.53,23
CDM,RX-3446,ERYTHROMYCIN 5 MG/GM OP OINT [2888],84.44,84.44,12.5,67.55,23
CDM,RX-3447,ERYTHROMYCIN 5 MG/GM OP OINT [2888],86.76,86.76,12.84,69.41,23
CDM,RX-3448,ERYTHROMYCIN 5 MG/GM OP OINT [2888],87.67,87.67,12.98,70.14,23
CDM,RX-3449,ERYTHROMYCIN 5 MG/GM OP OINT [2888],89.31,89.31,13.22,71.45,23
CDM,RX-345,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],121.07,121.07,17.92,96.86,23
CDM,RX-3450,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1280.84,1280.84,189.56,1024.67,23
CDM,RX-3451,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
CDM,RX-3452,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
CDM,RX-3453,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
CDM,RX-3454,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1480.92,1480.92,219.18,1184.74,23
CDM,RX-3455,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1480.92,1480.92,219.18,1184.74,23
CDM,RX-3456,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],382.44,382.44,56.6,305.95,23
CDM,RX-3457,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],496.48,496.48,73.48,397.18,23
CDM,RX-3458,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],496.48,496.48,73.48,397.18,23
CDM,RX-3459,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],787.2,787.2,116.51,629.76,23
CDM,RX-346,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],127.36,127.36,18.85,101.89,23
CDM,RX-3460,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],6.0,6.0,0.89,4.8,23
CDM,RX-3461,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],20.36,20.36,3.01,16.29,23
CDM,RX-3462,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],20.6,20.6,3.05,16.48,23
CDM,RX-3463,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],22.17,22.17,3.28,17.74,23
CDM,RX-3464,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.25,21.25,3.14,17.0,23
CDM,RX-3465,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.49,21.49,3.18,17.19,23
CDM,RX-3466,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.62,21.62,3.2,17.3,23
CDM,RX-3467,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],23.13,23.13,3.42,18.5,23
CDM,RX-3468,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],23.13,23.13,3.42,18.5,23
CDM,RX-3469,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],90.49,90.49,13.39,72.39,23
CDM,RX-347,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],31.11,31.11,4.6,24.89,23
CDM,RX-3470,ESCITALOPRAM OXALATE 5 MG PO TABS [37635],19.51,19.51,2.89,15.61,23
CDM,RX-3471,ESCITALOPRAM OXALATE 5 MG PO TABS [37635],21.2,21.2,3.14,16.96,23
CDM,RX-3472,ESMOLOL DRIP (NICU) 10 MG/ML [601034],201.43,201.43,29.81,161.14,23
CDM,RX-3473,ESMOLOL DRIP (NICU) 10 MG/ML [601034],390.43,390.43,57.78,312.34,23
CDM,RX-3474,ESMOLOL DRIP (NICU) 20 MG/ML DOUBLE CONCENTRATED [601099],683.92,683.92,101.22,547.14,23
CDM,RX-3475,ESMOLOL DRIP (NICU) 20 MG/ML DOUBLE CONCENTRATED [601099],1190.05,1190.05,176.13,952.04,23
CDM,RX-3476,ESMOLOL DRIP (NICU) 5 MG/ML IV SYRINGE [600427],143.35,143.35,21.22,114.68,23
CDM,RX-3477,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],28.2,28.2,4.17,22.56,23
CDM,RX-3478,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.13,41.13,6.09,32.9,23
CDM,RX-3479,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.13,41.13,6.09,32.9,23
CDM,RX-348,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],42.3,42.3,6.26,33.84,23
CDM,RX-3480,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.36,41.36,6.12,33.09,23
CDM,RX-3481,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],68.58,68.58,10.15,54.86,23
CDM,RX-3482,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],93.32,93.32,13.81,74.66,23
CDM,RX-3483,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],110.85,110.85,16.41,88.68,23
CDM,RX-3484,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],383.95,383.95,56.82,307.16,23
CDM,RX-3485,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],542.88,542.88,80.35,434.3,23
CDM,RX-3486,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],542.88,542.88,80.35,434.3,23
CDM,RX-3487,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],678.6,678.6,100.43,542.88,23
CDM,RX-3488,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],1759.68,1759.68,260.43,1407.74,23
CDM,RX-3489,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],420.36,420.36,62.21,336.29,23
CDM,RX-349,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],43.71,43.71,6.47,34.97,23
CDM,RX-3490,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],420.36,420.36,62.21,336.29,23
CDM,RX-3491,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],586.24,586.24,86.76,468.99,23
CDM,RX-3492,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],632.42,632.42,93.6,505.94,23
CDM,RX-3493,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],678.6,678.6,100.43,542.88,23
CDM,RX-3494,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],746.46,746.46,110.48,597.17,23
CDM,RX-3495,ESOMEPRAZOLE 20 MG PO CPDR [29745],6.0,6.0,0.89,4.8,23
CDM,RX-3496,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
CDM,RX-3497,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
CDM,RX-3498,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
CDM,RX-3499,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
CDM,RX-350,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],45.12,45.12,6.68,36.1,23
CDM,RX-3500,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
CDM,RX-3501,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
CDM,RX-3502,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
CDM,RX-3503,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
CDM,RX-3504,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
CDM,RX-3505,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
CDM,RX-3506,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
CDM,RX-3507,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
CDM,RX-3508,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
CDM,RX-3509,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
CDM,RX-351,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],69.12,69.12,10.23,55.3,23
CDM,RX-3510,ESOMEPRAZOLE 20 MG PO PACK [78615],54.01,54.01,7.99,43.21,23
CDM,RX-3511,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
CDM,RX-3512,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
CDM,RX-3513,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
CDM,RX-3514,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
CDM,RX-3515,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
CDM,RX-3516,ESOMEPRAZOLE 40 MG PO PACK [78616],54.01,54.01,7.99,43.21,23
CDM,RX-3517,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],6.0,6.0,0.89,4.8,23
CDM,RX-3518,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],6.0,6.0,0.89,4.8,23
CDM,RX-3519,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
CDM,RX-352,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],69.12,69.12,10.23,55.3,23
CDM,RX-3520,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
CDM,RX-3521,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
CDM,RX-3522,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.14,41.14,6.09,32.91,23
CDM,RX-3523,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.57,41.57,6.15,33.26,23
CDM,RX-3524,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.57,41.57,6.15,33.26,23
CDM,RX-3525,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.68,41.68,6.17,33.34,23
CDM,RX-3526,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.41,42.41,6.28,33.93,23
CDM,RX-3527,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
CDM,RX-3528,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
CDM,RX-3529,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
CDM,RX-353,AMIKACIN SULFATE LIPOSOME 590 MG/8.4ML IN SUSP [141480],2004.66,2004.66,296.69,1603.73,23
CDM,RX-3530,ESTERIFIED ESTROGENS 0.3 MG PO TABS [9963],10.67,10.67,1.58,8.54,23
CDM,RX-3531,ESTERIFIED ESTROGENS 0.625 MG PO TABS [9964],15.16,15.16,2.24,12.13,23
CDM,RX-3532,ESTERIFIED ESTROGENS 1.25 MG PO TABS [9965],21.15,21.15,3.13,16.92,23
CDM,RX-3533,ESTRADIOL 0.05 MG/24HR TD PTTW [27459],53.28,53.28,7.89,42.62,23
CDM,RX-3534,ESTRADIOL 0.05 MG/24HR TD PTTW [27459],84.62,84.62,12.52,67.7,23
CDM,RX-3535,ESTRADIOL 0.1 MG/24HR TD PTTW [27461],53.37,53.37,7.9,42.7,23
CDM,RX-3536,ESTRADIOL 0.1 MG/24HR TD PTTW [27461],53.37,53.37,7.9,42.7,23
CDM,RX-3537,ESTRADIOL 0.1 MG/GM VA CREA [9969],1114.09,1114.09,164.89,891.27,23
CDM,RX-3538,ESTRADIOL 0.1 MG/GM VA CREA [9969],1357.06,1357.06,200.84,1085.65,23
CDM,RX-3539,ESTRADIOL 1 MG PO TABS [9967],6.0,6.0,0.89,4.8,23
CDM,RX-354,AMILORIDE HCL 5 MG PO TABS [391],6.0,6.0,0.89,4.8,23
CDM,RX-3540,ESTRADIOL 1 MG PO TABS [9967],6.0,6.0,0.89,4.8,23
CDM,RX-3541,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
CDM,RX-3542,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
CDM,RX-3543,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
CDM,RX-3544,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
CDM,RX-3545,ESTRADIOL 7.5 MCG/24HR VA RING [160600],1849.89,1849.89,273.78,1479.91,23
CDM,RX-3546,ESTRADIOL 7.5 MCG/24HR VA RING [160600],1962.54,1962.54,290.46,1570.03,23
CDM,RX-3547,ESTRADIOL VALERATE 10 MG/ML IM OIL [2930],600.49,600.49,88.87,480.39,23
CDM,RX-3548,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],544.05,544.05,80.52,435.24,23
CDM,RX-3549,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],629.14,629.14,93.11,503.31,23
CDM,RX-355,AMILORIDE HCL 5 MG PO TABS [391],6.07,6.07,0.9,4.86,23
CDM,RX-3550,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],736.3,736.3,108.97,589.04,23
CDM,RX-3551,ESTRADIOL-NORGESTIMATE 1/1-0.09 MG (15/15) PO TABS [26950],36.34,36.34,5.38,29.07,23
CDM,RX-3552,ESTRAMUSTINE PHOSPHATE SODIUM 140 MG PO CAPS [9971],87.08,87.08,12.89,69.66,23
CDM,RX-3553,ESTROGENS CONJUGATED 0.3 MG PO TABS [9973],39.89,39.89,5.9,31.91,23
CDM,RX-3554,ESTROGENS CONJUGATED 0.45 MG PO TABS [36198],39.89,39.89,5.9,31.91,23
CDM,RX-3555,ESTROGENS CONJUGATED 0.625 MG PO TABS [9974],39.89,39.89,5.9,31.91,23
CDM,RX-3556,ESTROGENS CONJUGATED 0.625 MG/GM VA CREA [9977],1609.29,1609.29,238.17,1287.43,23
CDM,RX-3557,ESTROGENS CONJUGATED 1.25 MG PO TABS [2938],39.89,39.89,5.9,31.91,23
CDM,RX-3558,ESTROGENS CONJUGATED 25 MG IJ SOLR [9972],1483.42,1483.42,219.55,1186.74,23
CDM,RX-3559,ESZOPICLONE 2 MG PO TABS [40321],54.82,54.82,8.11,43.86,23
CDM,RX-356,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],380.02,380.02,56.24,304.02,23
CDM,RX-3560,ETANERCEPT 25 MG/0.5ML SC SOSY [107154],3095.81,3095.81,458.18,2476.65,23
CDM,RX-3561,ETANERCEPT 25 MG/0.5ML SC SOSY [107154],3095.81,3095.81,458.18,2476.65,23
CDM,RX-3562,ETHACRYNATE SODIUM 50 MG IV SOLR [9979],11533.77,11533.77,1707.0,9227.02,23
CDM,RX-3563,ETHACRYNATE SODIUM 50 MG IV SOLR [9979],11536.8,11536.8,1707.45,9229.44,23
CDM,RX-3564,ETHACRYNIC ACID 25 MG PO TABS [9980],12.69,12.69,1.88,10.15,23
CDM,RX-3565,ETHACRYNIC ACID 25 MG PO TABS [9980],104.76,104.76,15.5,83.81,23
CDM,RX-3566,ETHACRYNIC ACID 25 MG PO TABS [9980],127.01,127.01,18.8,101.61,23
CDM,RX-3567,ETHAMBUTOL HCL 100 MG PO TABS [9982],6.0,6.0,0.89,4.8,23
CDM,RX-3568,ETHAMBUTOL HCL 100 MG PO TABS [9982],6.0,6.0,0.89,4.8,23
CDM,RX-3569,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
CDM,RX-357,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],8061.51,8061.51,1193.1,6449.21,23
CDM,RX-3570,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
CDM,RX-3571,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
CDM,RX-3572,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.44,7.44,1.1,5.95,23
CDM,RX-3573,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.64,7.64,1.13,6.11,23
CDM,RX-3574,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.64,7.64,1.13,6.11,23
CDM,RX-3575,ETHAMBUTOL HCL 400 MG PO TABS [9983],8.4,8.4,1.24,6.72,23
CDM,RX-3576,ETHIODIZED OIL 480 MG/ML IJ OIL [153523],3716.07,3716.07,549.98,2972.86,23
CDM,RX-3577,ETHIONAMIDE 250 MG PO TABS [9988],31.62,31.62,4.68,25.3,23
CDM,RX-3578,ETHOSUXIMIDE 250 MG PO CAPS [9989],7.49,7.49,1.11,5.99,23
CDM,RX-3579,ETHOSUXIMIDE 250 MG PO CAPS [9989],10.49,10.49,1.55,8.39,23
CDM,RX-358,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],8485.73,8485.73,1255.89,6788.58,23
CDM,RX-3580,ETHOSUXIMIDE 250 MG PO CAPS [9989],13.09,13.09,1.94,10.47,23
CDM,RX-3581,ETHOSUXIMIDE 250 MG/5ML PO SOLN [38489],117.95,117.95,17.46,94.36,23
CDM,RX-3582,ETHOSUXIMIDE 250 MG/5ML PO SOLN [38489],769.52,769.52,113.89,615.62,23
CDM,RX-3583,ETOMIDATE 2 MG/ML IV SOLN [20472],22.0,22.0,3.26,17.6,23
CDM,RX-3584,ETOMIDATE 2 MG/ML IV SOLN [20472],25.06,25.06,3.71,20.05,23
CDM,RX-3585,ETOMIDATE 2 MG/ML IV SOLN [20472],31.82,31.82,4.71,25.46,23
CDM,RX-3586,ETOMIDATE 2 MG/ML IV SOLN [20472],35.07,35.07,5.19,28.06,23
CDM,RX-3587,ETOMIDATE 2 MG/ML IV SOLN [20472],35.82,35.82,5.3,28.66,23
CDM,RX-3588,ETOMIDATE 2 MG/ML IV SOLN [20472],37.89,37.89,5.61,30.31,23
CDM,RX-3589,ETOMIDATE 2 MG/ML IV SOLN [20472],37.89,37.89,5.61,30.31,23
CDM,RX-359,AMINOCAPROIC ACID 1000 MG PO TABS [39594],211.58,211.58,31.31,169.26,23
CDM,RX-3590,ETOMIDATE 2 MG/ML IV SOLN [20472],45.12,45.12,6.68,36.1,23
CDM,RX-3591,ETOMIDATE 2 MG/ML IV SOLN [20472],52.17,52.17,7.72,41.74,23
CDM,RX-3592,ETONOGESTREL 68 MG SC IMPL [77012],3129.03,3129.03,463.1,2503.22,23
CDM,RX-3593,ETONOGESTREL 68 MG SC IMPL [77012],3687.63,3687.63,545.77,2950.1,23
CDM,RX-3594,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.75,735.75,108.89,588.6,23
CDM,RX-3595,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.75,735.75,108.89,588.6,23
CDM,RX-3596,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.76,735.76,108.89,588.61,23
CDM,RX-3597,ETOPOSIDE 1 GM/50ML IV SOLN [121723],354.77,354.77,52.51,283.82,23
CDM,RX-3598,ETOPOSIDE 1 GM/50ML IV SOLN [121723],562.68,562.68,83.28,450.14,23
CDM,RX-3599,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
CDM,RX-360,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],41.08,41.08,6.08,32.86,23
CDM,RX-3600,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
CDM,RX-3601,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
CDM,RX-3602,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
CDM,RX-3603,ETOPOSIDE 100 MG/5ML IV SOLN [123430],70.18,70.18,10.39,56.14,23
CDM,RX-3604,ETOPOSIDE 100 MG/5ML IV SOLN [123430],70.18,70.18,10.39,56.14,23
CDM,RX-3605,ETOPOSIDE 50 MG PO CAPS [10001],378.66,378.66,56.04,302.93,23
CDM,RX-3606,ETOPOSIDE 500 MG/25ML IV SOLN [121722],197.45,197.45,29.22,157.96,23
CDM,RX-3607,ETOPOSIDE 500 MG/25ML IV SOLN [121722],221.15,221.15,32.73,176.92,23
CDM,RX-3608,ETRAVIRINE 100 MG PO TABS [89432],63.03,63.03,9.33,50.42,23
CDM,RX-3609,ETRAVIRINE 100 MG PO TABS [89432],70.41,70.41,10.42,56.33,23
CDM,RX-361,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],41.08,41.08,6.08,32.86,23
CDM,RX-3610,ETRAVIRINE 200 MG PO TABS [106632],129.72,129.72,19.2,103.78,23
CDM,RX-3611,EVACUATED BAG 1000 ML [600690],22.0,22.0,3.26,17.6,23
CDM,RX-3612,EVACUATED BAG 1000 ML [600690],28.2,28.2,4.17,22.56,23
CDM,RX-3613,EVEROLIMUS 10 MG PO TABS [97390],2386.44,2386.44,353.19,1909.15,23
CDM,RX-3614,EVEROLIMUS 2.5 MG PO TABS [104100],2281.53,2281.53,337.67,1825.22,23
CDM,RX-3615,EVEROLIMUS 5 MG PO TABS [97389],2386.44,2386.44,353.19,1909.15,23
CDM,RX-3616,EVEROLIMUS 7.5 MG PO TABS [112975],2386.44,2386.44,353.19,1909.15,23
CDM,RX-3617,EVOTAZ:ATAZANAVIR-COBICISTAT 300-150 MG PO TABS [126934],249.82,249.82,36.97,199.86,23
CDM,RX-3618,EXEMESTANE 25 MG PO TABS [26551],61.25,61.25,9.06,49.0,23
CDM,RX-3619,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
CDM,RX-362,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],50.76,50.76,7.51,40.61,23
CDM,RX-3620,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
CDM,RX-3621,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
CDM,RX-3622,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
CDM,RX-3623,EXEMESTANE 25 MG PO TABS [26551],199.39,199.39,29.51,159.51,23
CDM,RX-3624,EYE WASH OP SOLN [3000],13.32,13.32,1.97,10.66,23
CDM,RX-3625,EYE WASH OP SOLN [3000],17.2,17.2,2.55,13.76,23
CDM,RX-3626,EZETIMIBE 10 MG PO TABS [34153],6.0,6.0,0.89,4.8,23
CDM,RX-3627,EZETIMIBE 10 MG PO TABS [34153],12.3,12.3,1.82,9.84,23
CDM,RX-3628,EZETIMIBE 10 MG PO TABS [34153],47.64,47.64,7.05,38.11,23
CDM,RX-3629,EZETIMIBE 10 MG PO TABS [34153],48.33,48.33,7.15,38.66,23
CDM,RX-363,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],55.46,55.46,8.21,44.37,23
CDM,RX-3630,EZETIMIBE 10 MG PO TABS [34153],48.33,48.33,7.15,38.66,23
CDM,RX-3631,EZETIMIBE 10 MG PO TABS [34153],53.04,53.04,7.85,42.43,23
CDM,RX-3632,EZETIMIBE 10 MG PO TABS [34153],53.04,53.04,7.85,42.43,23
CDM,RX-3633,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
CDM,RX-3634,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
CDM,RX-3635,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
CDM,RX-3636,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
CDM,RX-3637,EZETIMIBE 10 MG PO TABS [34153],64.86,64.86,9.6,51.89,23
CDM,RX-3638,"FALMINA,ORSYTHIA,LEVONORG-ETHINYL ESTRAD 0.1/0.02MG TAB [20638]",152.28,152.28,22.54,121.82,23
CDM,RX-3639,"FALMINA,ORSYTHIA,LEVONORG-ETHINYL ESTRAD 0.1/0.02MG TAB [20638]",152.28,152.28,22.54,121.82,23
CDM,RX-364,AMINOCAPROIC ACID 500 MG PO TABS [9063],33.66,33.66,4.98,26.93,23
CDM,RX-3640,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3641,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3642,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3643,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3644,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3645,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3646,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
CDM,RX-3647,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
CDM,RX-3648,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
CDM,RX-3649,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
CDM,RX-365,AMINOCAPROIC ACID 500 MG PO TABS [9063],95.21,95.21,14.09,76.17,23
CDM,RX-3650,FAMOTIDINE 20 MG PO TABS [10011],7.32,7.32,1.08,5.86,23
CDM,RX-3651,FAMOTIDINE 20 MG PO TABS [10011],8.14,8.14,1.2,6.51,23
CDM,RX-3652,FAMOTIDINE 20 MG PO TABS [10011],9.76,9.76,1.44,7.81,23
CDM,RX-3653,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
CDM,RX-3654,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
CDM,RX-3655,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
CDM,RX-3656,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
CDM,RX-3657,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
CDM,RX-3658,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
CDM,RX-3659,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
CDM,RX-366,AMINOCAPROIC ACID 500 MG PO TABS [9063],105.79,105.79,15.66,84.63,23
CDM,RX-3660,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
CDM,RX-3661,FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR [146089],8909.91,8909.91,1318.67,7127.93,23
CDM,RX-3662,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],125.57,125.57,18.58,100.46,23
CDM,RX-3663,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],148.31,148.31,21.95,118.65,23
CDM,RX-3664,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],194.85,194.85,28.84,155.88,23
CDM,RX-3665,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],322.87,322.87,47.78,258.3,23
CDM,RX-3666,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],139.65,139.65,20.67,111.72,23
CDM,RX-3667,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],163.25,163.25,24.16,130.6,23
CDM,RX-3668,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],200.34,200.34,29.65,160.27,23
CDM,RX-3669,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],216.5,216.5,32.04,173.2,23
CDM,RX-367,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR [142181],8467.41,8467.41,1253.18,6773.93,23
CDM,RX-3670,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],219.79,219.79,32.53,175.83,23
CDM,RX-3671,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],225.62,225.62,33.39,180.5,23
CDM,RX-3672,FAT EMULSION PLANT BASED (SOY) 30 % IV EMUL [153540],289.81,289.81,42.89,231.85,23
CDM,RX-3673,FEBUXOSTAT 40 MG PO TABS [97133],14.1,14.1,2.09,11.28,23
CDM,RX-3674,FEBUXOSTAT 40 MG PO TABS [97133],58.17,58.17,8.61,46.54,23
CDM,RX-3675,FEBUXOSTAT 40 MG PO TABS [97133],62.05,62.05,9.18,49.64,23
CDM,RX-3676,FEBUXOSTAT 80 MG PO TABS [97134],62.05,62.05,9.18,49.64,23
CDM,RX-3677,FELBAMATE 600 MG PO TABS [10025],18.0,18.0,2.66,14.4,23
CDM,RX-3678,FELBAMATE 600 MG PO TABS [10025],27.84,27.84,4.12,22.27,23
CDM,RX-3679,FELBAMATE 600 MG PO TABS [10025],28.13,28.13,4.16,22.5,23
CDM,RX-368,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR [142181],9703.06,9703.06,1436.05,7762.45,23
CDM,RX-3680,FELBAMATE 600 MG PO TABS [10025],91.91,91.91,13.6,73.53,23
CDM,RX-3681,FELBAMATE 600 MG/5ML PO SUSP [10023],351.51,351.51,52.02,281.21,23
CDM,RX-3682,FELBAMATE 600 MG/5ML PO SUSP [10023],5484.64,5484.64,811.73,4387.71,23
CDM,RX-3683,FELODIPINE ER 10 MG PO TB24 [27491],12.77,12.77,1.89,10.22,23
CDM,RX-3684,FELODIPINE ER 2.5 MG PO TB24 [27489],7.11,7.11,1.05,5.69,23
CDM,RX-3685,FELODIPINE ER 5 MG PO TB24 [27490],7.11,7.11,1.05,5.69,23
CDM,RX-3686,FELODIPINE ER 5 MG PO TB24 [27490],7.11,7.11,1.05,5.69,23
CDM,RX-3687,FENOFIBRATE 160 MG PO TABS [28252],6.0,6.0,0.89,4.8,23
CDM,RX-3688,FENOFIBRATE 160 MG PO TABS [28252],11.17,11.17,1.65,8.94,23
CDM,RX-3689,FENOFIBRATE 160 MG PO TABS [28252],11.17,11.17,1.65,8.94,23
CDM,RX-369,AMINOPHYLLINE 25 MG/ML IV SOLN [407],72.57,72.57,10.74,58.06,23
CDM,RX-3690,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
CDM,RX-3691,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
CDM,RX-3692,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
CDM,RX-3693,FENOFIBRATE 54 MG PO TABS [31336],6.13,6.13,0.91,4.9,23
CDM,RX-3694,FENTANYL 10 MCG/ML NS (NICU) IV SYRINGE [601365],27.0,27.0,4.0,21.6,23
CDM,RX-3695,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],207.58,207.58,30.72,166.06,23
CDM,RX-3696,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],207.58,207.58,30.72,166.06,23
CDM,RX-3697,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
CDM,RX-3698,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
CDM,RX-3699,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
CDM,RX-370,AMINOPHYLLINE 25 MG/ML IV SOLN [407],72.57,72.57,10.74,58.06,23
CDM,RX-3700,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.9,87.9,13.01,70.32,23
CDM,RX-3701,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
CDM,RX-3702,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
CDM,RX-3703,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
CDM,RX-3704,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
CDM,RX-3705,FENTANYL 2 MCG/ML + 0.0625% BUPIVACAINE/250ML NS EPIDURAL [601340],153.56,153.56,22.73,122.85,23
CDM,RX-3706,FENTANYL 2 MCG/ML + 0.0625% BUPIVACAINE/250ML NS EPIDURAL [601340],191.45,191.45,28.33,153.16,23
CDM,RX-3707,FENTANYL 2000MCG/NS 100ML PREMIX [600036],268.41,268.41,39.72,214.73,23
CDM,RX-3708,FENTANYL 200MCG + 0.1% BUPIVACAINE/100ML NS EPIDURAL [600403],52.0,52.0,7.7,41.6,23
CDM,RX-3709,FENTANYL 200MCG + 0.1% BUPIVACAINE/100ML NS EPIDURAL [600403],90.67,90.67,13.42,72.54,23
CDM,RX-371,AMINOPHYLLINE 25 MG/ML IV SOLN [407],103.88,103.88,15.37,83.1,23
CDM,RX-3710,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],67.78,67.78,10.03,54.22,23
CDM,RX-3711,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],78.27,78.27,11.58,62.62,23
CDM,RX-3712,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
CDM,RX-3713,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
CDM,RX-3714,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
CDM,RX-3715,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
CDM,RX-3716,FENTANYL 2500 MCG/50 ML PREMIX [600898],107.45,107.45,15.9,85.96,23
CDM,RX-3717,FENTANYL 2500 MCG/50 ML PREMIX [600898],129.32,129.32,19.14,103.46,23
CDM,RX-3718,FENTANYL 2500 MCG/50 ML PREMIX [600898],129.32,129.32,19.14,103.46,23
CDM,RX-3719,FENTANYL 2500 MCG/50 ML PREMIX [600898],144.9,144.9,21.45,115.92,23
CDM,RX-372,AMINOPHYLLINE 25 MG/ML IV SOLN [407],103.88,103.88,15.37,83.1,23
CDM,RX-3720,FENTANYL 2500 MCG/50 ML PREMIX [600898],177.81,177.81,26.32,142.25,23
CDM,RX-3721,FENTANYL 2500 MCG/50 ML PREMIX [600898],177.81,177.81,26.32,142.25,23
CDM,RX-3722,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],114.14,114.14,16.89,91.31,23
CDM,RX-3723,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
CDM,RX-3724,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
CDM,RX-3725,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
CDM,RX-3726,FENTANYL 5000 MCG/100 ML PREMIX [600900],199.9,199.9,29.59,159.92,23
CDM,RX-3727,FENTANYL 5000 MCG/100 ML PREMIX [600900],199.9,199.9,29.59,159.92,23
CDM,RX-3728,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],174.11,174.11,25.77,139.29,23
CDM,RX-3729,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],174.11,174.11,25.77,139.29,23
CDM,RX-373,AMINOSALICYLIC ACID 4 G PO PACK [27661],37.6,37.6,5.56,30.08,23
CDM,RX-3730,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
CDM,RX-3731,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
CDM,RX-3732,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
CDM,RX-3733,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
CDM,RX-3734,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [143702],22.0,22.0,3.26,17.6,23
CDM,RX-3735,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3736,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3737,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3738,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3739,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-374,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3740,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3741,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3742,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3743,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3744,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3745,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3746,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3747,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3748,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3749,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-375,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3750,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3751,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
CDM,RX-3752,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],47.94,47.94,7.1,38.35,23
CDM,RX-3753,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],47.94,47.94,7.1,38.35,23
CDM,RX-3754,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],59.13,59.13,8.75,47.3,23
CDM,RX-3755,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],62.04,62.04,9.18,49.63,23
CDM,RX-3756,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],62.04,62.04,9.18,49.63,23
CDM,RX-3757,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],129.9,129.9,19.23,103.92,23
CDM,RX-3758,FENTANYL CITRATE PF PCA 50 MCG/ML IV SOLN 50 ML [600897],92.45,92.45,13.68,73.96,23
CDM,RX-3759,FENTANYL DRIP SYRINGE [600895],92.45,92.45,13.68,73.96,23
CDM,RX-376,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3760,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN [121091],4657.08,4657.08,689.25,3725.66,23
CDM,RX-3761,FERRIC SUBSULFATE PASTE [3059],70.5,70.5,10.43,56.4,23
CDM,RX-3762,FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS [110156],6.0,6.0,0.89,4.8,23
CDM,RX-3763,FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS [110156],6.0,6.0,0.89,4.8,23
CDM,RX-3764,FERROUS SULFATE (FE=15MG/1ML) NICU ORAL SYRINGE [600518],9.0,9.0,1.33,7.2,23
CDM,RX-3765,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],15.23,15.23,2.25,12.18,23
CDM,RX-3766,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],15.23,15.23,2.25,12.18,23
CDM,RX-3767,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],16.38,16.38,2.42,13.1,23
CDM,RX-3768,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],16.38,16.38,2.42,13.1,23
CDM,RX-3769,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.13,19.13,2.83,15.3,23
CDM,RX-377,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3770,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.35,19.35,2.86,15.48,23
CDM,RX-3771,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.35,19.35,2.86,15.48,23
CDM,RX-3772,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
CDM,RX-3773,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
CDM,RX-3774,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
CDM,RX-3775,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
CDM,RX-3776,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],18.57,18.57,2.75,14.86,23
CDM,RX-3777,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],19.27,19.27,2.85,15.42,23
CDM,RX-3778,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],27.03,27.03,4.0,21.62,23
CDM,RX-3779,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],41.13,41.13,6.09,32.9,23
CDM,RX-378,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3780,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],42.07,42.07,6.23,33.66,23
CDM,RX-3781,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],50.29,50.29,7.44,40.23,23
CDM,RX-3782,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],50.53,50.53,7.48,40.42,23
CDM,RX-3783,FIDAXOMICIN 200 MG PO TABS [108708],1024.35,1024.35,151.6,819.48,23
CDM,RX-3784,FILGRASTIM-AAFI 300 MCG/0.5ML IJ SOSY [141269],861.99,861.99,127.57,689.59,23
CDM,RX-3785,FILGRASTIM-AAFI 300 MCG/0.5ML IJ SOSY [141269],861.99,861.99,127.57,689.59,23
CDM,RX-3786,FILGRASTIM-AAFI 480 MCG/0.8ML IJ SOSY [141270],1379.18,1379.18,204.12,1103.34,23
CDM,RX-3787,FILGRASTIM-AAFI 480 MCG/0.8ML IJ SOSY [141270],1379.18,1379.18,204.12,1103.34,23
CDM,RX-3788,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY [129082],1079.9,1079.9,159.83,863.92,23
CDM,RX-3789,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY [129082],1079.9,1079.9,159.83,863.92,23
CDM,RX-379,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3790,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY [129083],1532.92,1532.92,226.87,1226.34,23
CDM,RX-3791,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY [129083],1532.93,1532.93,226.87,1226.34,23
CDM,RX-3792,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
CDM,RX-3793,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
CDM,RX-3794,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
CDM,RX-3795,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
CDM,RX-3796,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-3797,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-3798,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-3799,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-380,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
CDM,RX-3800,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-3801,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
CDM,RX-3802,FINASTERIDE 5 MG PO TABS [10037],14.72,14.72,2.18,11.78,23
CDM,RX-3803,FINASTERIDE 5 MG PO TABS [10037],14.72,14.72,2.18,11.78,23
CDM,RX-3804,FINASTERIDE 5 MG PO TABS [10037],14.86,14.86,2.2,11.89,23
CDM,RX-3805,FLECAINIDE ACETATE 100 MG PO TABS [10041],16.83,16.83,2.49,13.46,23
CDM,RX-3806,FLECAINIDE ACETATE 100 MG PO TABS [10041],16.83,16.83,2.49,13.46,23
CDM,RX-3807,FLECAINIDE ACETATE 100 MG PO TABS [10041],18.88,18.88,2.79,15.1,23
CDM,RX-3808,FLECAINIDE ACETATE 100 MG PO TABS [10041],28.09,28.09,4.16,22.47,23
CDM,RX-3809,FLECAINIDE ACETATE 100 MG PO TABS [10041],28.09,28.09,4.16,22.47,23
CDM,RX-381,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
CDM,RX-3810,FLECAINIDE ACETATE 150 MG PO TABS [10042],20.42,20.42,3.02,16.34,23
CDM,RX-3811,FLECAINIDE ACETATE 150 MG PO TABS [10042],20.42,20.42,3.02,16.34,23
CDM,RX-3812,FLECAINIDE ACETATE 150 MG PO TABS [10042],25.97,25.97,3.84,20.78,23
CDM,RX-3813,FLECAINIDE ACETATE 150 MG PO TABS [10042],25.97,25.97,3.84,20.78,23
CDM,RX-3814,FLECAINIDE ACETATE 50 MG PO TABS [10043],8.19,8.19,1.21,6.55,23
CDM,RX-3815,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
CDM,RX-3816,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
CDM,RX-3817,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
CDM,RX-3818,FLECAINIDE ACETATE 50 MG PO TABS [10043],12.03,12.03,1.78,9.62,23
CDM,RX-3819,FLEET ENEMA RECTAL ENEM [154328],9.38,9.38,1.39,7.5,23
CDM,RX-382,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
CDM,RX-3820,FLEET PEDIATRIC 3.5-9.5 GM/66ML RECTAL ENEM [3128],11.17,11.17,1.65,8.94,23
CDM,RX-3821,FLOXURIDINE 0.5 G IJ SOLR [3177],538.36,538.36,79.68,430.69,23
CDM,RX-3822,FLUCONAZOLE 10 MG/ML PO SUSR [14232],11.0,11.0,1.63,8.8,23
CDM,RX-3823,FLUCONAZOLE 10 MG/ML PO SUSR [14232],149.58,149.58,22.14,119.66,23
CDM,RX-3824,FLUCONAZOLE 10 MG/ML PO SUSR [14232],152.46,152.46,22.56,121.97,23
CDM,RX-3825,FLUCONAZOLE 100 MG PO TABS [10044],30.74,30.74,4.55,24.59,23
CDM,RX-3826,FLUCONAZOLE 100 MG PO TABS [10044],39.09,39.09,5.79,31.27,23
CDM,RX-3827,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
CDM,RX-3828,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
CDM,RX-3829,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
CDM,RX-383,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
CDM,RX-3830,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
CDM,RX-3831,FLUCONAZOLE 100 MG PO TABS [10044],41.22,41.22,6.1,32.98,23
CDM,RX-3832,FLUCONAZOLE 100 MG PO TABS [10044],41.38,41.38,6.12,33.1,23
CDM,RX-3833,FLUCONAZOLE 100 MG PO TABS [10044],44.8,44.8,6.63,35.84,23
CDM,RX-3834,FLUCONAZOLE 150 MG PO TABS [13577],63.88,63.88,9.45,51.1,23
CDM,RX-3835,FLUCONAZOLE 150 MG PO TABS [13577],63.89,63.89,9.46,51.11,23
CDM,RX-3836,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-3837,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-3838,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-3839,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-384,AMIODARONE HCL 200 MG PO TABS [9066],15.53,15.53,2.3,12.42,23
CDM,RX-3840,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-3841,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
CDM,RX-3842,FLUCONAZOLE 150 MG PO TABS [13577],65.69,65.69,9.72,52.55,23
CDM,RX-3843,FLUCONAZOLE 150 MG PO TABS [13577],284.18,284.18,42.06,227.34,23
CDM,RX-3844,FLUCONAZOLE 200 MG PO TABS [10045],8.2,8.2,1.21,6.56,23
CDM,RX-3845,FLUCONAZOLE 200 MG PO TABS [10045],56.52,56.52,8.36,45.22,23
CDM,RX-3846,FLUCONAZOLE 200 MG PO TABS [10045],63.97,63.97,9.47,51.18,23
CDM,RX-3847,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
CDM,RX-3848,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
CDM,RX-3849,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
CDM,RX-385,AMIODARONE HCL 200 MG PO TABS [9066],15.62,15.62,2.31,12.5,23
CDM,RX-3850,FLUCONAZOLE 200 MG PO TABS [10045],67.47,67.47,9.99,53.98,23
CDM,RX-3851,FLUCONAZOLE 200 MG PO TABS [10045],67.71,67.71,10.02,54.17,23
CDM,RX-3852,FLUCONAZOLE 200 MG PO TABS [10045],76.83,76.83,11.37,61.46,23
CDM,RX-3853,FLUCONAZOLE 200 MG PO TABS [10045],190.52,190.52,28.2,152.42,23
CDM,RX-3854,FLUCONAZOLE 40 MG/ML PO SUSR [14233],146.1,146.1,21.62,116.88,23
CDM,RX-3855,FLUCONAZOLE 40 MG/ML PO SUSR [14233],473.31,473.31,70.05,378.65,23
CDM,RX-3856,FLUCONAZOLE 40 MG/ML PO SUSR [14233],488.22,488.22,72.26,390.58,23
CDM,RX-3857,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],22.56,22.56,3.34,18.05,23
CDM,RX-3858,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],25.38,25.38,3.76,20.3,23
CDM,RX-3859,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],33.84,33.84,5.01,27.07,23
CDM,RX-386,AMIODARONE HCL 200 MG PO TABS [9066],15.67,15.67,2.32,12.54,23
CDM,RX-3860,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],33.84,33.84,5.01,27.07,23
CDM,RX-3861,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
CDM,RX-3862,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
CDM,RX-3863,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
CDM,RX-3864,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],50.76,50.76,7.51,40.61,23
CDM,RX-3865,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],97.0,97.0,14.36,77.6,23
CDM,RX-3866,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],24.44,24.44,3.62,19.55,23
CDM,RX-3867,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],31.02,31.02,4.59,24.82,23
CDM,RX-3868,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],39.48,39.48,5.84,31.58,23
CDM,RX-3869,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],40.42,40.42,5.98,32.34,23
CDM,RX-387,AMIODARONE HCL 200 MG PO TABS [9066],15.9,15.9,2.35,12.72,23
CDM,RX-3870,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],40.42,40.42,5.98,32.34,23
CDM,RX-3871,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],78.96,78.96,11.69,63.17,23
CDM,RX-3872,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],108.25,108.25,16.02,86.6,23
CDM,RX-3873,FLUCYTOSINE 250 MG PO CAPS [10051],162.38,162.38,24.03,129.9,23
CDM,RX-3874,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
CDM,RX-3875,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
CDM,RX-3876,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
CDM,RX-3877,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
CDM,RX-3878,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
CDM,RX-3879,FLUCYTOSINE 500 MG PO CAPS [10052],275.55,275.55,40.78,220.44,23
CDM,RX-388,AMIODARONE HCL 200 MG PO TABS [9066],37.34,37.34,5.53,29.87,23
CDM,RX-3880,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
CDM,RX-3881,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
CDM,RX-3882,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
CDM,RX-3883,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
CDM,RX-3884,FLUCYTOSINE 500 MG PO CAPS [10052],672.7,672.7,99.56,538.16,23
CDM,RX-3885,FLUDARABINE PHOSPHATE 50 MG IV SOLR [10053],427.52,427.52,63.27,342.02,23
CDM,RX-3886,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN [41294],856.08,856.08,126.7,684.86,23
CDM,RX-3887,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN [41294],1070.14,1070.14,158.38,856.11,23
CDM,RX-3888,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
CDM,RX-3889,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
CDM,RX-389,AMIODARONE HCL 200 MG PO TABS [9066],37.34,37.34,5.53,29.87,23
CDM,RX-3890,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
CDM,RX-3891,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
CDM,RX-3892,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],7.52,7.52,1.11,6.02,23
CDM,RX-3893,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],7.52,7.52,1.11,6.02,23
CDM,RX-3894,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],36.66,36.66,5.43,29.33,23
CDM,RX-3895,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],38.19,38.19,5.65,30.55,23
CDM,RX-3896,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],39.95,39.95,5.91,31.96,23
CDM,RX-3897,FLUNISOLIDE 25 MCG/ACT (0.025%) NA SOLN [32375],279.89,279.89,41.42,223.91,23
CDM,RX-3898,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],173.55,173.55,25.69,138.84,23
CDM,RX-3899,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],706.88,706.88,104.62,565.5,23
CDM,RX-390,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],30.84,30.84,4.56,24.67,23
CDM,RX-3900,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],706.88,706.88,104.62,565.5,23
CDM,RX-3901,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],146.21,146.21,21.64,116.97,23
CDM,RX-3902,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],151.99,151.99,22.49,121.59,23
CDM,RX-3903,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],194.21,194.21,28.74,155.37,23
CDM,RX-3904,FLUOCINOLONE ACETONIDE 0.025 % EX OINT [3185],146.21,146.21,21.64,116.97,23
CDM,RX-3905,FLUOCINOLONE ACETONIDE 0.025 % EX OINT [3185],146.92,146.92,21.74,117.54,23
CDM,RX-3906,FLUOCINOLONE ACETONIDE 0.19 MG INTRAVITREAL IMPL [126242],27533.99,27533.99,4075.03,22027.19,23
CDM,RX-3907,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
CDM,RX-3908,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
CDM,RX-3909,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
CDM,RX-391,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],30.84,30.84,4.56,24.67,23
CDM,RX-3910,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
CDM,RX-3911,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
CDM,RX-3912,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
CDM,RX-3913,FLUOCINONIDE 0.05 % EX GEL [3188],231.71,231.71,34.29,185.37,23
CDM,RX-3914,FLUOCINONIDE 0.05 % EX GEL [3188],449.01,449.01,66.45,359.21,23
CDM,RX-3915,FLUOCINONIDE 0.05 % EX GEL [3188],781.3,781.3,115.63,625.04,23
CDM,RX-3916,FLUOCINONIDE 0.05 % EX GEL [3188],781.3,781.3,115.63,625.04,23
CDM,RX-3917,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
CDM,RX-3918,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
CDM,RX-3919,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
CDM,RX-392,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],43.66,43.66,6.46,34.93,23
CDM,RX-3920,FLUOCINONIDE 0.05 % EX SOLN [3190],207.84,207.84,30.76,166.27,23
CDM,RX-3921,FLUORESCEIN SODIUM 0.6 MG OP STRP [27662],6.0,6.0,0.89,4.8,23
CDM,RX-3922,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3923,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3924,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3925,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3926,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3927,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
CDM,RX-3928,FLUORESCEIN SODIUM 10 % IV SOLN [135586],268.14,268.14,39.68,214.51,23
CDM,RX-3929,FLUORESCEIN SODIUM 10 % IV SOLN [135586],336.1,336.1,49.74,268.88,23
CDM,RX-393,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],43.66,43.66,6.46,34.93,23
CDM,RX-3930,FLUORESCEIN SODIUM 10 % IV SOLN [135586],336.1,336.1,49.74,268.88,23
CDM,RX-3931,FLUORESCEIN SODIUM/BENOXINATE 0.3-0.4 % OP SOLN [151853],166.28,166.28,24.61,133.02,23
CDM,RX-3932,FLUORESCEIN SODIUM/BENOXINATE 0.3-0.4 % OP SOLN [151853],166.28,166.28,24.61,133.02,23
CDM,RX-3933,FLUOROMETHOLONE ACETATE 0.1 % OP SUSP [10063],406.98,406.98,60.23,325.58,23
CDM,RX-3934,FLUOROMETHOLONE ACETATE 0.1 % OP SUSP [10063],565.58,565.58,83.71,452.46,23
CDM,RX-3935,FLUOROURACIL 5 % EX CREA [10065],280.08,280.08,41.45,224.06,23
CDM,RX-3936,FLUOROURACIL 5 % EX CREA [10065],844.28,844.28,124.95,675.42,23
CDM,RX-3937,FLUOROURACIL 5 % EX CREA [10065],1104.58,1104.58,163.48,883.66,23
CDM,RX-3938,FLUOROURACIL 5 GM/100ML IV SOLN [98249],95.7,95.7,14.16,76.56,23
CDM,RX-3939,FLUOROURACIL 5 GM/100ML IV SOLN [98249],152.42,152.42,22.56,121.94,23
CDM,RX-394,AMIODARONE HCL IN DEXTROSE 150-4.21 MG/100ML-% IV SOLN [108619],180.13,180.13,26.66,144.1,23
CDM,RX-3940,FLUOROURACIL 5 GM/100ML IV SOLN [98249],256.74,256.74,38.0,205.39,23
CDM,RX-3941,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
CDM,RX-3942,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
CDM,RX-3943,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
CDM,RX-3944,FLUOXETINE HCL 10 MG PO CAPS [10069],6.0,6.0,0.89,4.8,23
CDM,RX-3945,FLUOXETINE HCL 10 MG PO CAPS [10069],11.37,11.37,1.68,9.1,23
CDM,RX-3946,FLUOXETINE HCL 10 MG PO CAPS [10069],11.97,11.97,1.77,9.58,23
CDM,RX-3947,FLUOXETINE HCL 10 MG PO CAPS [10069],12.22,12.22,1.81,9.78,23
CDM,RX-3948,FLUOXETINE HCL 10 MG PO CAPS [10069],12.22,12.22,1.81,9.78,23
CDM,RX-3949,FLUOXETINE HCL 20 MG PO CAPS [10070],6.0,6.0,0.89,4.8,23
CDM,RX-395,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN [108620],215.51,215.51,31.9,172.41,23
CDM,RX-3950,FLUOXETINE HCL 20 MG PO CAPS [10070],11.68,11.68,1.73,9.34,23
CDM,RX-3951,FLUOXETINE HCL 20 MG PO CAPS [10070],11.83,11.83,1.75,9.46,23
CDM,RX-3952,FLUOXETINE HCL 20 MG PO CAPS [10070],11.83,11.83,1.75,9.46,23
CDM,RX-3953,FLUOXETINE HCL 20 MG PO CAPS [10070],12.54,12.54,1.86,10.03,23
CDM,RX-3954,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],23.03,23.03,3.41,18.42,23
CDM,RX-3955,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],26.77,26.77,3.96,21.42,23
CDM,RX-3956,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],26.77,26.77,3.96,21.42,23
CDM,RX-3957,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],31.35,31.35,4.64,25.08,23
CDM,RX-3958,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],32.15,32.15,4.76,25.72,23
CDM,RX-3959,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],33.12,33.12,4.9,26.5,23
CDM,RX-396,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
CDM,RX-3960,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],442.9,442.9,65.55,354.32,23
CDM,RX-3961,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
CDM,RX-3962,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
CDM,RX-3963,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
CDM,RX-3964,FLUOXETINE HCL 40 MG PO CAPS [21086],17.05,17.05,2.52,13.64,23
CDM,RX-3965,FLUOXETINE HCL 40 MG PO CAPS [21086],17.05,17.05,2.52,13.64,23
CDM,RX-3966,FLUOXETINE HCL 40 MG PO CAPS [21086],23.92,23.92,3.54,19.14,23
CDM,RX-3967,FLUOXETINE HCL 40 MG PO CAPS [21086],23.97,23.97,3.55,19.18,23
CDM,RX-3968,FLUPHENAZINE 2.5MG/5ML ORAL SYRINGE [600199],43.62,43.62,6.46,34.9,23
CDM,RX-3969,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],364.11,364.11,53.89,291.29,23
CDM,RX-397,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
CDM,RX-3970,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],364.11,364.11,53.89,291.29,23
CDM,RX-3971,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],465.98,465.98,68.97,372.78,23
CDM,RX-3972,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],547.41,547.41,81.02,437.93,23
CDM,RX-3973,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],678.6,678.6,100.43,542.88,23
CDM,RX-3974,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],701.07,701.07,103.76,560.86,23
CDM,RX-3975,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
CDM,RX-3976,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
CDM,RX-3977,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
CDM,RX-3978,FLUPHENAZINE HCL 10 MG PO TABS [3219],28.14,28.14,4.16,22.51,23
CDM,RX-3979,FLUPHENAZINE HCL 10 MG PO TABS [3219],54.52,54.52,8.07,43.62,23
CDM,RX-398,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
CDM,RX-3980,FLUPHENAZINE HCL 10 MG PO TABS [3219],54.52,54.52,8.07,43.62,23
CDM,RX-3981,FLUPHENAZINE HCL 2.5 MG PO TABS [3220],31.96,31.96,4.73,25.57,23
CDM,RX-3982,FLUPHENAZINE HCL 2.5 MG/5ML PO ELIX [10072],166.28,166.28,24.61,133.02,23
CDM,RX-3983,FLUPHENAZINE HCL 2.5 MG/ML IJ SOLN [3216],755.98,755.98,111.89,604.78,23
CDM,RX-3984,FLUPHENAZINE HCL 5 MG PO TABS [3221],43.24,43.24,6.4,34.59,23
CDM,RX-3985,FLUPHENAZINE HCL 5 MG PO TABS [3221],43.24,43.24,6.4,34.59,23
CDM,RX-3986,FLURBIPROFEN 100 MG PO TABS [10078],9.71,9.71,1.44,7.77,23
CDM,RX-3987,FLUTICASONE PROPIONATE 0.005 % EX OINT [10083],148.48,148.48,21.98,118.78,23
CDM,RX-3988,FLUTICASONE PROPIONATE 0.005 % EX OINT [10083],296.66,296.66,43.91,237.33,23
CDM,RX-3989,FLUTICASONE PROPIONATE 0.05 % EX CREA [10082],148.48,148.48,21.98,118.78,23
CDM,RX-399,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
CDM,RX-3990,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],328.01,328.01,48.55,262.41,23
CDM,RX-3991,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],331.68,331.68,49.09,265.34,23
CDM,RX-3992,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],331.68,331.68,49.09,265.34,23
CDM,RX-3993,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],363.05,363.05,53.73,290.44,23
CDM,RX-3994,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],363.05,363.05,53.73,290.44,23
CDM,RX-3995,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO [40698],1023.92,1023.92,151.54,819.14,23
CDM,RX-3996,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO [40698],1077.8,1077.8,159.51,862.24,23
CDM,RX-3997,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO [40699],1485.26,1485.26,219.82,1188.21,23
CDM,RX-3998,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO [40699],1590.42,1590.42,235.38,1272.34,23
CDM,RX-3999,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO [40697],764.83,764.83,113.19,611.86,23
CDM,RX-400,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
CDM,RX-4000,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO [40697],805.09,805.09,119.15,644.07,23
CDM,RX-4001,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB [155854],212.45,212.45,31.44,169.96,23
CDM,RX-4002,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB [155854],1173.13,1173.13,173.62,938.5,23
CDM,RX-4003,FLUTICASONE-SALMETEROL 115-21 MCG/ACT IN AERO [77174],1255.27,1255.27,185.78,1004.22,23
CDM,RX-4004,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],212.45,212.45,31.44,169.96,23
CDM,RX-4005,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],1457.51,1457.51,215.71,1166.01,23
CDM,RX-4006,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],1473.05,1473.05,218.01,1178.44,23
CDM,RX-4007,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],346.32,346.32,51.26,277.06,23
CDM,RX-4008,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1044.03,1044.03,154.52,835.22,23
CDM,RX-4009,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1700.61,1700.61,251.69,1360.49,23
CDM,RX-401,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
CDM,RX-4010,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1718.77,1718.77,254.38,1375.02,23
CDM,RX-4011,FLUVASTATIN SODIUM 20 MG PO CAPS [12411],23.49,23.49,3.48,18.79,23
CDM,RX-4012,FLUVASTATIN SODIUM 20 MG PO CAPS [12411],23.53,23.53,3.48,18.82,23
CDM,RX-4013,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.49,23.49,3.48,18.79,23
CDM,RX-4014,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.49,23.49,3.48,18.79,23
CDM,RX-4015,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.53,23.53,3.48,18.82,23
CDM,RX-4016,FLUVOXAMINE MALEATE 100 MG PO TABS [10084],12.42,12.42,1.84,9.94,23
CDM,RX-4017,FLUVOXAMINE MALEATE 50 MG PO TABS [10085],12.08,12.08,1.79,9.66,23
CDM,RX-4018,FLUVOXAMINE MALEATE 50 MG PO TABS [10085],12.1,12.1,1.79,9.68,23
CDM,RX-4019,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-402,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
CDM,RX-4020,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4021,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4022,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4023,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4024,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4025,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4026,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4027,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4028,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4029,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-403,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
CDM,RX-4030,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4031,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
CDM,RX-4032,FOLIC ACID 5 MG/ML IJ SOLN [3232],22.0,22.0,3.26,17.6,23
CDM,RX-4033,FOLIC ACID 5 MG/ML IJ SOLN [3232],189.44,189.44,28.04,151.55,23
CDM,RX-4034,FOLIC ACID 5 MG/ML IJ SOLN [3232],298.37,298.37,44.16,238.7,23
CDM,RX-4035,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],2990.46,2990.46,442.59,2392.37,23
CDM,RX-4036,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],3117.37,3117.37,461.37,2493.9,23
CDM,RX-4037,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],4554.0,4554.0,673.99,3643.2,23
CDM,RX-4038,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],5257.17,5257.17,778.06,4205.74,23
CDM,RX-4039,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],339.02,339.02,50.17,271.22,23
CDM,RX-404,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
CDM,RX-4040,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],484.87,484.87,71.76,387.9,23
CDM,RX-4041,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],484.87,484.87,71.76,387.9,23
CDM,RX-4042,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],511.97,511.97,75.77,409.58,23
CDM,RX-4043,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],127.2,127.2,18.83,101.76,23
CDM,RX-4044,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
CDM,RX-4045,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
CDM,RX-4046,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
CDM,RX-4047,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],224.46,224.46,33.22,179.57,23
CDM,RX-4048,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],268.9,268.9,39.8,215.12,23
CDM,RX-4049,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],484.86,484.86,71.76,387.89,23
CDM,RX-405,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
CDM,RX-4050,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],484.86,484.86,71.76,387.89,23
CDM,RX-4051,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],338.43,338.43,50.09,270.74,23
CDM,RX-4052,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],338.43,338.43,50.09,270.74,23
CDM,RX-4053,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],484.86,484.86,71.76,387.89,23
CDM,RX-4054,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],484.86,484.86,71.76,387.89,23
CDM,RX-4055,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],511.97,511.97,75.77,409.58,23
CDM,RX-4056,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],155.88,155.88,23.07,124.7,23
CDM,RX-4057,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],284.75,284.75,42.14,227.8,23
CDM,RX-4058,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],303.42,303.42,44.91,242.74,23
CDM,RX-4059,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],383.64,383.64,56.78,306.91,23
CDM,RX-406,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
CDM,RX-4060,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],785.6,785.6,116.27,628.48,23
CDM,RX-4061,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1053.7,1053.7,155.95,842.96,23
CDM,RX-4062,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
CDM,RX-4063,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
CDM,RX-4064,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
CDM,RX-4065,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1185.4,1185.4,175.44,948.32,23
CDM,RX-4066,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1317.12,1317.12,194.93,1053.7,23
CDM,RX-4067,FOSCARNET SODIUM 2.4MG/0.1ML OPHTH SYRINGE [600360],928.24,928.24,137.38,742.59,23
CDM,RX-4068,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1348.9,1348.9,199.64,1079.12,23
CDM,RX-4069,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1348.9,1348.9,199.64,1079.12,23
CDM,RX-407,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
CDM,RX-4070,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1416.96,1416.96,209.71,1133.57,23
CDM,RX-4071,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1650.7,1650.7,244.3,1320.56,23
CDM,RX-4072,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
CDM,RX-4073,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
CDM,RX-4074,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
CDM,RX-4075,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
CDM,RX-4076,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],378.51,378.51,56.02,302.81,23
CDM,RX-4077,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],378.51,378.51,56.02,302.81,23
CDM,RX-4078,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],412.9,412.9,61.11,330.32,23
CDM,RX-4079,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],22.0,22.0,3.26,17.6,23
CDM,RX-408,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
CDM,RX-4080,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],22.0,22.0,3.26,17.6,23
CDM,RX-4081,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],83.48,83.48,12.36,66.78,23
CDM,RX-4082,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],83.48,83.48,12.36,66.78,23
CDM,RX-4083,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],84.6,84.6,12.52,67.68,23
CDM,RX-4084,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],210.09,210.09,31.09,168.07,23
CDM,RX-4085,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],87.9,87.9,13.01,70.32,23
CDM,RX-4086,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],133.28,133.28,19.73,106.62,23
CDM,RX-4087,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
CDM,RX-4088,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
CDM,RX-4089,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
CDM,RX-409,AMITRIPTYLINE HCL 75 MG PO TABS [437],8.53,8.53,1.26,6.82,23
CDM,RX-4090,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
CDM,RX-4091,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
CDM,RX-4092,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
CDM,RX-4093,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
CDM,RX-4094,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],548.73,548.73,81.21,438.98,23
CDM,RX-4095,FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12 [148727],699.74,699.74,103.56,559.79,23
CDM,RX-4096,FREAMINE III 10 % IV SOLN [3264],184.03,184.03,27.24,147.22,23
CDM,RX-4097,FREESTYLE LITE TEST VI STRP [81725],338.82,338.82,50.15,271.06,23
CDM,RX-4098,FRUQUINTINIB 1 MG CAPSULE [601355],1180.8,1180.8,174.76,944.64,23
CDM,RX-4099,FRUQUINTINIB 5 MG CAPSULE [601356],3734.28,3734.28,552.67,2987.42,23
CDM,RX-410,AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN [152540],11557.09,11557.09,1710.45,9245.67,23
CDM,RX-4100,FULVESTRANT 250 MG/5ML IM SOSY [107125],350.1,350.1,51.81,280.08,23
CDM,RX-4101,FULVESTRANT 250 MG/5ML IM SOSY [107125],395.85,395.85,58.59,316.68,23
CDM,RX-4102,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
CDM,RX-4103,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
CDM,RX-4104,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
CDM,RX-4105,FULVESTRANT 250 MG/5ML IM SOSY [107125],678.6,678.6,100.43,542.88,23
CDM,RX-4106,FULVESTRANT 250 MG/5ML IM SOSY [107125],688.8,688.8,101.94,551.04,23
CDM,RX-4107,FULVESTRANT 250 MG/5ML IM SOSY [107125],2649.14,2649.14,392.07,2119.31,23
CDM,RX-4108,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
CDM,RX-4109,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
CDM,RX-411,AMLOD/VALSA/HCTZ 10-160-25 MG TABS [97747],51.04,51.04,7.55,40.83,23
CDM,RX-4110,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
CDM,RX-4111,FULVESTRANT 250 MG/5ML IM SOSY [107125],2903.95,2903.95,429.78,2323.16,23
CDM,RX-4112,FULVESTRANT 250 MG/5ML IM SOSY [107125],2943.48,2943.48,435.64,2354.78,23
CDM,RX-4113,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4114,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4115,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4116,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4117,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4118,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4119,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-412,AMLOD/VALSA/HCTZ 10-160-25 MG TABS [97747],69.09,69.09,10.23,55.27,23
CDM,RX-4120,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4121,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4122,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4123,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4124,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4125,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4126,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4127,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4128,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4129,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-413,AMLOD/VALSA/HCTZ 10-320-25 MG TABS [97748],64.79,64.79,9.59,51.83,23
CDM,RX-4130,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4131,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4132,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4133,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4134,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4135,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4136,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4137,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4138,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4139,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-414,AMLOD/VALSA/HCTZ 10-320-25 MG TABS [97748],87.71,87.71,12.98,70.17,23
CDM,RX-4140,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4141,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
CDM,RX-4142,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.52,22.52,3.33,18.02,23
CDM,RX-4143,FUROSEMIDE 10 MG/ML IJ SOLN [3291],23.59,23.59,3.49,18.87,23
CDM,RX-4144,FUROSEMIDE 10 MG/ML IJ SOLN [3291],28.2,28.2,4.17,22.56,23
CDM,RX-4145,FUROSEMIDE 10 MG/ML IJ SOLN [3291],28.25,28.25,4.18,22.6,23
CDM,RX-4146,FUROSEMIDE 10 MG/ML IJ SOLN [3291],32.9,32.9,4.87,26.32,23
CDM,RX-4147,FUROSEMIDE 10 MG/ML PO SOLN [3292],42.87,42.87,6.34,34.3,23
CDM,RX-4148,FUROSEMIDE 10 MG/ML PO SOLN [3292],48.79,48.79,7.22,39.03,23
CDM,RX-4149,FUROSEMIDE 10 MG/ML PO SOLN [3292],48.79,48.79,7.22,39.03,23
CDM,RX-415,AMLOD/VALSA/HCTZ 5-160-25 MG TAB [97745],44.99,44.99,6.66,35.99,23
CDM,RX-4150,FUROSEMIDE 10 MG/ML PO SOLN [3292],82.91,82.91,12.27,66.33,23
CDM,RX-4151,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],22.52,22.52,3.33,18.02,23
CDM,RX-4152,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],28.2,28.2,4.17,22.56,23
CDM,RX-4153,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],28.25,28.25,4.18,22.6,23
CDM,RX-4154,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],32.9,32.9,4.87,26.32,23
CDM,RX-4155,FUROSEMIDE 10MG/ML ORAL SYRINGE (NICU) [600107],9.0,9.0,1.33,7.2,23
CDM,RX-4156,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-4157,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-4158,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-4159,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-416,AMLOD/VALSA/HCTZ 5-160-25 MG TAB [97745],60.91,60.91,9.01,48.73,23
CDM,RX-4160,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-4161,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
CDM,RX-4162,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
CDM,RX-4163,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
CDM,RX-4164,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
CDM,RX-4165,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
CDM,RX-4166,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
CDM,RX-4167,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
CDM,RX-4168,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
CDM,RX-4169,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
CDM,RX-417,AMLODIPINE 1MG/ML ORAL SUSP [900083],40.53,40.53,6.0,32.42,23
CDM,RX-4170,FUROSEMIDE 80 MG PO TABS [3296],6.17,6.17,0.91,4.94,23
CDM,RX-4171,FUROSEMIDE 80 MG PO TABS [3296],7.4,7.4,1.1,5.92,23
CDM,RX-4172,FUTIBATINIB (20 MG DAILY DOSE) 4 MG PO TBPK [157736],711.44,711.44,105.29,569.15,23
CDM,RX-4173,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4174,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4175,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4176,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4177,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4178,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4179,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-418,AMLODIPINE BESYLATE 10 MG PO TABS [9069],6.0,6.0,0.89,4.8,23
CDM,RX-4180,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4181,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4182,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4183,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
CDM,RX-4184,GABAPENTIN 250 MG/5ML PO SOLN [29169],89.4,89.4,13.23,71.52,23
CDM,RX-4185,GABAPENTIN 250 MG/5ML PO SOLN [29169],561.7,561.7,83.13,449.36,23
CDM,RX-4186,GABAPENTIN 250 MG/5ML PO SOLN [29169],1282.62,1282.62,189.83,1026.1,23
CDM,RX-4187,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
CDM,RX-4188,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
CDM,RX-4189,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
CDM,RX-419,AMLODIPINE BESYLATE 10 MG PO TABS [9069],10.6,10.6,1.57,8.48,23
CDM,RX-4190,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
CDM,RX-4191,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
CDM,RX-4192,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4193,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4194,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4195,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4196,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4197,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
CDM,RX-4198,GABAPENTIN 300 MG PO CAPS [18308],6.27,6.27,0.93,5.02,23
CDM,RX-4199,GABAPENTIN 300 MG PO CAPS [18308],6.3,6.3,0.93,5.04,23
CDM,RX-420,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.16,11.16,1.65,8.93,23
CDM,RX-4200,GABAPENTIN 300 MG PO CAPS [18308],6.3,6.3,0.93,5.04,23
CDM,RX-4201,GABAPENTIN 300 MG PO CAPS [18308],6.48,6.48,0.96,5.18,23
CDM,RX-4202,GABAPENTIN 300 MG PO CAPS [18308],6.48,6.48,0.96,5.18,23
CDM,RX-4203,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
CDM,RX-4204,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
CDM,RX-4205,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
CDM,RX-4206,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
CDM,RX-4207,GABAPENTIN 400 MG PO CAPS [18307],6.26,6.26,0.93,5.01,23
CDM,RX-4208,GABAPENTIN 400 MG PO CAPS [18307],7.33,7.33,1.08,5.86,23
CDM,RX-4209,GABAPENTIN 400 MG PO CAPS [18307],7.5,7.5,1.11,6.0,23
CDM,RX-421,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.17,11.17,1.65,8.94,23
CDM,RX-4210,GABAPENTIN 400 MG PO CAPS [18307],7.51,7.51,1.11,6.01,23
CDM,RX-4211,GABAPENTIN 400 MG PO CAPS [18307],7.54,7.54,1.12,6.03,23
CDM,RX-4212,GABAPENTIN 600 MG PO TABS [25855],6.0,6.0,0.89,4.8,23
CDM,RX-4213,GABAPENTIN 600 MG PO TABS [25855],6.0,6.0,0.89,4.8,23
CDM,RX-4214,GABAPENTIN 600 MG PO TABS [25855],11.2,11.2,1.66,8.96,23
CDM,RX-4215,GABAPENTIN 600 MG PO TABS [25855],11.39,11.39,1.69,9.11,23
CDM,RX-4216,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
CDM,RX-4217,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
CDM,RX-4218,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
CDM,RX-4219,GABAPENTIN 600 MG PO TABS [25855],11.87,11.87,1.76,9.5,23
CDM,RX-422,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.21,11.21,1.66,8.97,23
CDM,RX-4220,GABAPENTIN 600 MG PO TABS [25855],11.88,11.88,1.76,9.5,23
CDM,RX-4221,GABAPENTIN 600 MG PO TABS [25855],11.89,11.89,1.76,9.51,23
CDM,RX-4222,GABAPENTIN 600 MG PO TABS [25855],11.92,11.92,1.76,9.54,23
CDM,RX-4223,GABAPENTIN 800 MG PO TABS [25856],14.25,14.25,2.11,11.4,23
CDM,RX-4224,GABAPENTIN 800 MG PO TABS [25856],14.25,14.25,2.11,11.4,23
CDM,RX-4225,GABAPENTIN 800 MG PO TABS [25856],14.27,14.27,2.11,11.42,23
CDM,RX-4226,GABAPENTIN 800 MG PO TABS [25856],14.3,14.3,2.12,11.44,23
CDM,RX-4227,GABAPENTIN 800 MG PO TABS [25856],14.34,14.34,2.12,11.47,23
CDM,RX-4228,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],271.53,271.53,40.19,217.22,23
CDM,RX-4229,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],385.05,385.05,56.99,308.04,23
CDM,RX-423,AMLODIPINE BESYLATE 2.5 MG PO TABS [9070],7.49,7.49,1.11,5.99,23
CDM,RX-4230,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],475.48,475.48,70.37,380.38,23
CDM,RX-4231,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],271.53,271.53,40.19,217.22,23
CDM,RX-4232,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],385.05,385.05,56.99,308.04,23
CDM,RX-4233,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],475.48,475.48,70.37,380.38,23
CDM,RX-4234,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN [93574],642.22,642.22,95.05,513.78,23
CDM,RX-4235,GALANTAMINE HYDROBROMIDE ER 16 MG PO CP24 [41139],28.69,28.69,4.25,22.95,23
CDM,RX-4236,GAMMAGARD 10 GM/100ML IJ SOLN [110369],5301.11,5301.11,784.56,4240.89,23
CDM,RX-4237,GAMMAGARD 20 GM/200ML IJ SOLN [110370],10602.22,10602.22,1569.13,8481.78,23
CDM,RX-4238,GANCICLOVIR 2MG/0.1 ML OPHTH SYRINGE [600255],378.39,378.39,56.0,302.71,23
CDM,RX-4239,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],205.4,205.4,30.4,164.32,23
CDM,RX-424,AMLODIPINE BESYLATE 2.5 MG PO TABS [9070],8.15,8.15,1.21,6.52,23
CDM,RX-4240,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],319.3,319.3,47.26,255.44,23
CDM,RX-4241,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],336.1,336.1,49.74,268.88,23
CDM,RX-4242,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],440.05,440.05,65.13,352.04,23
CDM,RX-4243,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],440.05,440.05,65.13,352.04,23
CDM,RX-4244,GELCLAIR MT GEL [32810],174.33,174.33,25.8,139.46,23
CDM,RX-4245,GELCLAIR MT GEL [32810],211.35,211.35,31.28,169.08,23
CDM,RX-4246,GEMCITABINE 2G INTRAVESICAL SYRINGE [900333],211.47,211.47,31.3,169.18,23
CDM,RX-4247,GEMCITABINE HCL 1 G IV SOLR [17122],214.42,214.42,31.73,171.54,23
CDM,RX-4248,GEMCITABINE HCL 1 G IV SOLR [17122],228.74,228.74,33.85,182.99,23
CDM,RX-4249,GEMCITABINE HCL 1 G IV SOLR [17122],231.77,231.77,34.3,185.42,23
CDM,RX-425,AMLODIPINE BESYLATE 5 MG PO TABS [9071],6.0,6.0,0.89,4.8,23
CDM,RX-4250,GEMCITABINE HCL 1 G IV SOLR [17122],232.86,232.86,34.46,186.29,23
CDM,RX-4251,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],73.43,73.43,10.87,58.74,23
CDM,RX-4252,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],208.52,208.52,30.86,166.82,23
CDM,RX-4253,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],211.47,211.47,31.3,169.18,23
CDM,RX-4254,GEMCITABINE HCL 200 MG/2ML IV SOLN [138583],205.4,205.4,30.4,164.32,23
CDM,RX-4255,GEMFIBROZIL 600 MG PO TABS [3378],10.65,10.65,1.58,8.52,23
CDM,RX-4256,GEMFIBROZIL 600 MG PO TABS [3378],10.79,10.79,1.6,8.63,23
CDM,RX-4257,GEMFIBROZIL 600 MG PO TABS [3378],10.89,10.89,1.61,8.71,23
CDM,RX-4258,GEMFIBROZIL 600 MG PO TABS [3378],10.89,10.89,1.61,8.71,23
CDM,RX-4259,GEMFIBROZIL 600 MG PO TABS [3378],11.43,11.43,1.69,9.14,23
CDM,RX-426,AMLODIPINE BESYLATE 5 MG PO TABS [9071],7.73,7.73,1.14,6.18,23
CDM,RX-4260,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR [137728],30496.62,30496.62,4513.5,24397.3,23
CDM,RX-4261,GENTAMICIN 0.1% TOPICAL SOLUTION FOR CEA GRAFTS IN NS [600724],202.28,202.28,29.94,161.82,23
CDM,RX-4262,GENTAMICIN 0.5ML (80MG/ML) WITH 0.5ML OF DEXAMETHASONE-OR [600380],52.0,52.0,7.7,41.6,23
CDM,RX-4263,GENTAMICIN 10MG-HEPARIN 2000 UNITS/2 ML FLUSH (FOR HEMODIALYSIS CATHETER) 2 ML [601165],52.0,52.0,7.7,41.6,23
CDM,RX-4264,GENTAMICIN 160MG+POLYMIXIN B 200MG+NEOMYCIN 1000MG/2L  IRRIGATION SOLN [600859],754.0,754.0,111.59,603.2,23
CDM,RX-4265,GENTAMICIN 80 MG/500 ML NS FOR IRRIGATION [600768],52.0,52.0,7.7,41.6,23
CDM,RX-4266,GENTAMICIN FORT 95MG/7ML OPHTH SOL [600051],47.0,47.0,6.96,37.6,23
CDM,RX-4267,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN [15906],22.56,22.56,3.34,18.05,23
CDM,RX-4268,GENTAMICIN IN SALINE 1.6-0.9 MG/ML-% IV SOLN [15911],23.03,23.03,3.41,18.42,23
CDM,RX-4269,GENTAMICIN IN SALINE 1-0.9 MG/ML-% IV SOLN [15908],23.97,23.97,3.55,19.18,23
CDM,RX-427,AMLODIPINE BESYLATE 5 MG PO TABS [9071],8.41,8.41,1.24,6.73,23
CDM,RX-4270,GENTAMICIN SULFATE 0.1 % EX CREA [3423],213.82,213.82,31.65,171.06,23
CDM,RX-4271,GENTAMICIN SULFATE 0.1 % EX CREA [3423],213.82,213.82,31.65,171.06,23
CDM,RX-4272,GENTAMICIN SULFATE 0.1 % EX CREA [3423],384.18,384.18,56.86,307.34,23
CDM,RX-4273,GENTAMICIN SULFATE 0.1 % EX OINT [3424],213.82,213.82,31.65,171.06,23
CDM,RX-4274,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
CDM,RX-4275,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
CDM,RX-4276,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
CDM,RX-4277,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],90.15,90.15,13.34,72.12,23
CDM,RX-4278,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],90.15,90.15,13.34,72.12,23
CDM,RX-4279,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],93.97,93.97,13.91,75.18,23
CDM,RX-428,AMLODIPINE-BENAZEPRIL 5-40 MG PO CAPSULE [76437],18.84,18.84,2.79,15.07,23
CDM,RX-4280,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],185.55,185.55,27.46,148.44,23
CDM,RX-4281,GENTAMICIN SULFATE 10 MG/ML (NICU) IM INJ [3425],34.78,34.78,5.15,27.82,23
CDM,RX-4282,GENTAMICIN SULFATE 10 MG/ML (NICU) IM INJ [3425],34.8,34.8,5.15,27.84,23
CDM,RX-4283,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4284,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4285,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4286,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4287,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4288,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
CDM,RX-4289,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],26.17,26.17,3.87,20.94,23
CDM,RX-429,AMLODIPINE-BENAZEPRIL 5-40 MG PO CAPSULE [76437],19.05,19.05,2.82,15.24,23
CDM,RX-4290,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],26.18,26.18,3.87,20.94,23
CDM,RX-4291,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN [132344],33.49,33.49,4.96,26.79,23
CDM,RX-4292,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN [132344],37.3,37.3,5.52,29.84,23
CDM,RX-4293,GENTIAN VIOLET 0.00165% SOLUTION  [600756],162.38,162.38,24.03,129.9,23
CDM,RX-4294,GENTIAN VIOLET 1 % EX SOLN [3430],39.1,39.1,5.79,31.28,23
CDM,RX-4295,GENVOYA 3-TABLET PACK:150-150-200-10 MG PO TABLET [601168],1410.59,1410.59,208.77,1128.47,23
CDM,RX-4296,GENVOYA:150-150-200-10 MG PO TABLET [129834],635.79,635.79,94.1,508.63,23
CDM,RX-4297,GLATIRAMER ACETATE 20 MG/ML SC SOSY [126886],933.36,933.36,138.14,746.69,23
CDM,RX-4298,GLIMEPIRIDE 1 MG PO TABS [16355],6.0,6.0,0.89,4.8,23
CDM,RX-4299,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
CDM,RX-430,AMLODIPINE-BENAZEPRIL HCL 10-20 MG PO CAPS [33111],15.61,15.61,2.31,12.49,23
CDM,RX-4300,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
CDM,RX-4301,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
CDM,RX-4302,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
CDM,RX-4303,GLIMEPIRIDE 4 MG PO TABS [16357],6.0,6.0,0.89,4.8,23
CDM,RX-4304,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
CDM,RX-4305,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
CDM,RX-4306,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
CDM,RX-4307,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
CDM,RX-4308,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
CDM,RX-4309,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
CDM,RX-431,AMLODIPINE-BENAZEPRIL HCL 10-20 MG PO CAPS [33111],15.61,15.61,2.31,12.49,23
CDM,RX-4310,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
CDM,RX-4311,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
CDM,RX-4312,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
CDM,RX-4313,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
CDM,RX-4314,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
CDM,RX-4315,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
CDM,RX-4316,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
CDM,RX-4317,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
CDM,RX-4318,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
CDM,RX-4319,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
CDM,RX-432,AMLODIPINE-BENAZEPRIL HCL 10-40 MG PO CAPS [76438],22.76,22.76,3.37,18.21,23
CDM,RX-4320,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
CDM,RX-4321,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
CDM,RX-4322,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.4,6.4,0.95,5.12,23
CDM,RX-4323,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.4,6.4,0.95,5.12,23
CDM,RX-4324,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
CDM,RX-4325,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
CDM,RX-4326,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
CDM,RX-4327,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
CDM,RX-4328,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
CDM,RX-4329,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
CDM,RX-433,AMLODIPINE-BENAZEPRIL HCL 10-40 MG PO CAPS [76438],23.02,23.02,3.41,18.42,23
CDM,RX-4330,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
CDM,RX-4331,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
CDM,RX-4332,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
CDM,RX-4333,GLUCAGON HCL 1 MG IJ SOLR [128092],994.55,994.55,147.19,795.64,23
CDM,RX-4334,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
CDM,RX-4335,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
CDM,RX-4336,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
CDM,RX-4337,GLUCAGON HCL RDNA (DIAGNOSTIC) 1 MG IJ SOLR [41581],675.42,675.42,99.96,540.34,23
CDM,RX-4338,GLUCAGON HCL RDNA (DIAGNOSTIC) 1 MG IJ SOLR [41581],675.42,675.42,99.96,540.34,23
CDM,RX-4339,GLUCOCARD SHINE TEST VI STRP [126110],84.6,84.6,12.52,67.68,23
CDM,RX-434,AMLODIPINE-BENAZEPRIL HCL 2.5-10 MG PO CAPS [14820],12.48,12.48,1.85,9.98,23
CDM,RX-4340,GLUCOCARD SHINE W/DEVICE KIT [126108],6.0,6.0,0.89,4.8,23
CDM,RX-4341,GLUCOSE 15 GM/32ML PO GEL [136642],6.0,6.0,0.89,4.8,23
CDM,RX-4342,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
CDM,RX-4343,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
CDM,RX-4344,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
CDM,RX-4345,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
CDM,RX-4346,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
CDM,RX-4347,GLUCOSE 40 % PO GEL [81823],18.51,18.51,2.74,14.81,23
CDM,RX-4348,GLUCOSE 40 % PO GEL [81823],18.51,18.51,2.74,14.81,23
CDM,RX-4349,GLUCOSE 40 % PO GEL [81823],18.57,18.57,2.75,14.86,23
CDM,RX-435,AMLODIPINE-BENAZEPRIL HCL 2.5-10 MG PO CAPS [14820],12.48,12.48,1.85,9.98,23
CDM,RX-4350,GLUCOSE GEL 1.5 GRAM/3 ML (NICU) ORAL SYRINGE [601148],9.0,9.0,1.33,7.2,23
CDM,RX-4351,GLYBURIDE 2.5 MG PO TABS [10126],6.0,6.0,0.89,4.8,23
CDM,RX-4352,GLYBURIDE 2.5 MG PO TABS [10126],6.0,6.0,0.89,4.8,23
CDM,RX-4353,GLYBURIDE 5 MG PO TABS [3489],6.0,6.0,0.89,4.8,23
CDM,RX-4354,GLYCERIN (ADULT) 2 G RECTAL SUPP [40994],6.0,6.0,0.89,4.8,23
CDM,RX-4355,GLYCERIN (ADULT) 2 G RECTAL SUPP [40994],6.0,6.0,0.89,4.8,23
CDM,RX-4356,GLYCERIN (LAXATIVE) 1 G RECTAL SUPP [101313],6.0,6.0,0.89,4.8,23
CDM,RX-4357,GLYCERIN (LAXATIVE) 1.2 G RECTAL SUPP [76974],6.0,6.0,0.89,4.8,23
CDM,RX-4358,GLYCINE DILUENT IV SOLN [16639],66.27,66.27,9.81,53.02,23
CDM,RX-4359,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-436,AMLODIPINE-BENAZEPRIL HCL 5-10 MG PO CAPS [14821],12.73,12.73,1.88,10.18,23
CDM,RX-4360,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4361,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4362,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4363,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4364,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4365,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4366,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4367,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4368,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4369,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-437,AMLODIPINE-BENAZEPRIL HCL 5-10 MG PO CAPS [14821],12.73,12.73,1.88,10.18,23
CDM,RX-4370,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4371,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4372,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4373,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4374,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
CDM,RX-4375,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],39.75,39.75,5.88,31.8,23
CDM,RX-4376,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],76.38,76.38,11.3,61.1,23
CDM,RX-4377,GLYCOPYRROLATE 0.2 MG/ML NEBU SOLN [600767],6.0,6.0,0.89,4.8,23
CDM,RX-4378,GLYCOPYRROLATE 0.6 MG/3 ML IV SYRINGE [600773],401.06,401.06,59.36,320.85,23
CDM,RX-4379,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
CDM,RX-438,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
CDM,RX-4380,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
CDM,RX-4381,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
CDM,RX-4382,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
CDM,RX-4383,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
CDM,RX-4384,GLYCOPYRROLATE 1 MG/5ML PO SOLN [106192],1569.14,1569.14,232.23,1255.31,23
CDM,RX-4385,GLYCOPYRROLATE PF 1 MG/5ML IJ SOSY [150980],90.24,90.24,13.36,72.19,23
CDM,RX-4386,GLYCOPYRROLATE PF 1 MG/5ML IJ SOSY [150980],90.24,90.24,13.36,72.19,23
CDM,RX-4387,GOLIMUMAB 50 MG/4ML IV SOLN [121069],6069.56,6069.56,898.29,4855.65,23
CDM,RX-4388,GOSERELIN ACETATE 10.8 MG SC IMPL [16254],8865.18,8865.18,1312.05,7092.14,23
CDM,RX-4389,GOSERELIN ACETATE 3.6 MG SC IMPL [10137],3192.06,3192.06,472.42,2553.65,23
CDM,RX-439,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
CDM,RX-4390,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],21.48,21.48,3.18,17.18,23
CDM,RX-4391,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],22.5,22.5,3.33,18.0,23
CDM,RX-4392,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],23.44,23.44,3.47,18.75,23
CDM,RX-4393,GUAIFENESIN 100 MG/5ML PO LIQD [76829],6.0,6.0,0.89,4.8,23
CDM,RX-4394,GUAIFENESIN 100 MG/5ML PO LIQD [76829],8.98,8.98,1.33,7.18,23
CDM,RX-4395,GUAIFENESIN 100 MG/5ML PO LIQD [76829],8.98,8.98,1.33,7.18,23
CDM,RX-4396,GUAIFENESIN 100 MG/5ML PO LIQD [76829],9.87,9.87,1.46,7.9,23
CDM,RX-4397,GUAIFENESIN 100 MG/5ML PO LIQD [76829],9.87,9.87,1.46,7.9,23
CDM,RX-4398,GUAIFENESIN 100 MG/5ML PO LIQD [76829],22.24,22.24,3.29,17.79,23
CDM,RX-4399,GUAIFENESIN 100 MG/5ML PO LIQD [76829],24.46,24.46,3.62,19.57,23
CDM,RX-440,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
CDM,RX-4400,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4401,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4402,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4403,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4404,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4405,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4406,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4407,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
CDM,RX-4408,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
CDM,RX-4409,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
CDM,RX-441,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],36.97,36.97,5.47,29.58,23
CDM,RX-4410,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
CDM,RX-4411,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],20.21,20.21,2.99,16.17,23
CDM,RX-4412,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],20.21,20.21,2.99,16.17,23
CDM,RX-4413,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],63.78,63.78,9.44,51.02,23
CDM,RX-4414,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],206.86,206.86,30.62,165.49,23
CDM,RX-4415,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
CDM,RX-4416,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
CDM,RX-4417,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
CDM,RX-4418,GUANFACINE HCL 1 MG PO TABS [10149],6.0,6.0,0.89,4.8,23
CDM,RX-4419,GUANFACINE HCL 1 MG PO TABS [10149],9.07,9.07,1.34,7.26,23
CDM,RX-442,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],37.01,37.01,5.48,29.61,23
CDM,RX-4420,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR [99744],73.55,73.55,10.89,58.84,23
CDM,RX-4421,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP [125244],158.24,158.24,23.42,126.59,23
CDM,RX-4422,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931],74.91,74.91,11.09,59.93,23
CDM,RX-4423,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931],74.91,74.91,11.09,59.93,23
CDM,RX-4424,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
CDM,RX-4425,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
CDM,RX-4426,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
CDM,RX-4427,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
CDM,RX-4428,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
CDM,RX-4429,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
CDM,RX-443,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],37.01,37.01,5.48,29.61,23
CDM,RX-4430,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
CDM,RX-4431,HALOPERIDOL 10 MG PO TABS [3580],6.51,6.51,0.96,5.21,23
CDM,RX-4432,HALOPERIDOL 10 MG PO TABS [3580],6.74,6.74,1.0,5.39,23
CDM,RX-4433,HALOPERIDOL 10 MG PO TABS [3580],6.75,6.75,1.0,5.4,23
CDM,RX-4434,HALOPERIDOL 10 MG PO TABS [3580],8.86,8.86,1.31,7.09,23
CDM,RX-4435,HALOPERIDOL 10 MG PO TABS [3580],9.44,9.44,1.4,7.55,23
CDM,RX-4436,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
CDM,RX-4437,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
CDM,RX-4438,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
CDM,RX-4439,HALOPERIDOL 20 MG PO TABS [3582],12.96,12.96,1.92,10.37,23
CDM,RX-444,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],87.71,87.71,12.98,70.17,23
CDM,RX-4440,HALOPERIDOL 20 MG PO TABS [3582],12.96,12.96,1.92,10.37,23
CDM,RX-4441,HALOPERIDOL 20 MG PO TABS [3582],17.01,17.01,2.52,13.61,23
CDM,RX-4442,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
CDM,RX-4443,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
CDM,RX-4444,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
CDM,RX-4445,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
CDM,RX-4446,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
CDM,RX-4447,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],155.88,155.88,23.07,124.7,23
CDM,RX-4448,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],155.88,155.88,23.07,124.7,23
CDM,RX-4449,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],191.52,191.52,28.34,153.22,23
CDM,RX-445,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.13,29.13,4.31,23.3,23
CDM,RX-4450,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],204.0,204.0,30.19,163.2,23
CDM,RX-4451,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],207.84,207.84,30.76,166.27,23
CDM,RX-4452,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
CDM,RX-4453,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
CDM,RX-4454,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
CDM,RX-4455,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],230.37,230.37,34.09,184.3,23
CDM,RX-4456,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],240.33,240.33,35.57,192.26,23
CDM,RX-4457,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],10.65,10.65,1.58,8.52,23
CDM,RX-4458,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],19.7,19.7,2.92,15.76,23
CDM,RX-4459,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],211.0,211.0,31.23,168.8,23
CDM,RX-446,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.15,29.15,4.31,23.32,23
CDM,RX-4460,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
CDM,RX-4461,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
CDM,RX-4462,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
CDM,RX-4463,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
CDM,RX-4464,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.56,22.56,3.34,18.05,23
CDM,RX-4465,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.56,22.56,3.34,18.05,23
CDM,RX-4466,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],33.79,33.79,5.0,27.03,23
CDM,RX-4467,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],33.79,33.79,5.0,27.03,23
CDM,RX-4468,HEMIN 350 MG IV SOLR [136986],33215.34,33215.34,4915.87,26572.27,23
CDM,RX-4469,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],39.95,39.95,5.91,31.96,23
CDM,RX-447,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.16,29.16,4.32,23.33,23
CDM,RX-4470,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],39.95,39.95,5.91,31.96,23
CDM,RX-4471,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],49.35,49.35,7.3,39.48,23
CDM,RX-4472,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],61.1,61.1,9.04,48.88,23
CDM,RX-4473,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],61.1,61.1,9.04,48.88,23
CDM,RX-4474,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],68.15,68.15,10.09,54.52,23
CDM,RX-4475,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],68.15,68.15,10.09,54.52,23
CDM,RX-4476,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],25.85,25.85,3.83,20.68,23
CDM,RX-4477,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],28.2,28.2,4.17,22.56,23
CDM,RX-4478,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],30.55,30.55,4.52,24.44,23
CDM,RX-4479,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],30.55,30.55,4.52,24.44,23
CDM,RX-448,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.67,25.67,3.8,20.54,23
CDM,RX-4480,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],35.25,35.25,5.22,28.2,23
CDM,RX-4481,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],35.25,35.25,5.22,28.2,23
CDM,RX-4482,HEPARIN 1500 UNITS IN NS 500 ML IR USE ONLY [900131],84.6,84.6,12.52,67.68,23
CDM,RX-4483,HEPARIN 4000 UNITS/1000 ML NS IR [600453],47.0,47.0,6.96,37.6,23
CDM,RX-4484,HEPARIN 4000 UNITS/1000 ML NS IR [600453],47.0,47.0,6.96,37.6,23
CDM,RX-4485,HEPARIN 4000 UNITS/1000 ML NS IR [600453],84.6,84.6,12.52,67.68,23
CDM,RX-4486,HEPARIN 4000 UNITS/1000 ML NS IR [600453],147.22,147.22,21.79,117.78,23
CDM,RX-4487,HEPARIN IN NS 50-0.45 UNIT/ML-% IJ SOLN - SUBTHERAPEUTIC [600015848],49.35,49.35,7.3,39.48,23
CDM,RX-4488,HEPARIN NA (PORK) LOCK FLSH PF 1 UNIT/ML IV SOLN [159294],27.0,27.0,4.0,21.6,23
CDM,RX-4489,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN [15235],22.0,22.0,3.26,17.6,23
CDM,RX-449,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.7,25.7,3.8,20.56,23
CDM,RX-4490,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN [15235],22.0,22.0,3.26,17.6,23
CDM,RX-4491,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4492,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4493,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4494,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4495,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4496,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4497,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4498,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
CDM,RX-4499,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],23.36,23.36,3.46,18.69,23
CDM,RX-450,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.7,25.7,3.8,20.56,23
CDM,RX-4500,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],23.36,23.36,3.46,18.69,23
CDM,RX-4501,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],38.36,38.36,5.68,30.69,23
CDM,RX-4502,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.48,39.48,5.84,31.58,23
CDM,RX-4503,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.48,39.48,5.84,31.58,23
CDM,RX-4504,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.91,39.91,5.91,31.93,23
CDM,RX-4505,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.91,39.91,5.91,31.93,23
CDM,RX-4506,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.19,40.19,5.95,32.15,23
CDM,RX-4507,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.19,40.19,5.95,32.15,23
CDM,RX-4508,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.99,40.99,6.07,32.79,23
CDM,RX-4509,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],42.73,42.73,6.32,34.18,23
CDM,RX-451,AMLODIPINE-VALSARTAN 5 MG-320 MG TABS [82364],32.59,32.59,4.82,26.07,23
CDM,RX-4510,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
CDM,RX-4511,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
CDM,RX-4512,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
CDM,RX-4513,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
CDM,RX-4514,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],44.14,44.14,6.53,35.31,23
CDM,RX-4515,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],53.73,53.73,7.95,42.98,23
CDM,RX-4516,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],42.87,42.87,6.34,34.3,23
CDM,RX-4517,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],48.96,48.96,7.25,39.17,23
CDM,RX-4518,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],49.3,49.3,7.3,39.44,23
CDM,RX-4519,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],49.32,49.32,7.3,39.46,23
CDM,RX-452,AMLODIPINE-VALSARTAN 5 MG-320 MG TABS [82364],32.6,32.6,4.82,26.08,23
CDM,RX-4520,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4521,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4522,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4523,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4524,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4525,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4526,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4527,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
CDM,RX-4528,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],23.47,23.47,3.47,18.78,23
CDM,RX-4529,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],23.71,23.71,3.51,18.97,23
CDM,RX-453,AMMONIUM LACTATE 12 % EX LOTN [10380],22.21,22.21,3.29,17.77,23
CDM,RX-4530,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],24.44,24.44,3.62,19.55,23
CDM,RX-4531,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],90.37,90.37,13.37,72.3,23
CDM,RX-4532,HEPARIN SODIUM NEBU 5000 UNITS/1 ML SOLN [600647],22.0,22.0,3.26,17.6,23
CDM,RX-4533,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP [91034],389.19,389.19,57.6,311.35,23
CDM,RX-4534,HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [91033],202.66,202.66,29.99,162.13,23
CDM,RX-4535,HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [143142],597.99,597.99,88.5,478.39,23
CDM,RX-4536,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY [153543],400.15,400.15,59.22,320.12,23
CDM,RX-4537,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN [153546],656.5,656.5,97.16,525.2,23
CDM,RX-4538,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN [153546],2794.42,2794.42,413.57,2235.54,23
CDM,RX-4539,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [140796],704.62,704.62,104.28,563.7,23
CDM,RX-454,AMMONIUM LACTATE 12 % EX LOTN [10380],85.36,85.36,12.63,68.29,23
CDM,RX-4540,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [140796],704.62,704.62,104.28,563.7,23
CDM,RX-4541,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
CDM,RX-4542,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
CDM,RX-4543,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
CDM,RX-4544,HEPATITIS B VAC RECOMBINANT 40 MCG/ML IJ SUSP [10185],734.72,734.72,108.74,587.78,23
CDM,RX-4545,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
CDM,RX-4546,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
CDM,RX-4547,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
CDM,RX-4548,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY [156081],144.36,144.36,21.37,115.49,23
CDM,RX-4549,HETASTARCH-NACL 6-0.9 % IV SOLN [25174],136.4,136.4,20.19,109.12,23
CDM,RX-455,AMMONIUM LACTATE 12 % EX LOTN [10380],143.22,143.22,21.2,114.58,23
CDM,RX-4550,HETASTARCH-NACL 6-0.9 % IV SOLN [25174],198.39,198.39,29.36,158.71,23
CDM,RX-4551,HISTAMINE PHOSPHATE 2.75 MG/ML IJ SOLN [116996],1558.66,1558.66,230.68,1246.93,23
CDM,RX-4552,HPV 9-VALENT RECOMB VACCINE IM SUSP [126317],1210.27,1210.27,179.12,968.22,23
CDM,RX-4553,HPV 9-VALENT RECOMB VACCINE IM SUSP [126317],1210.27,1210.27,179.12,968.22,23
CDM,RX-4554,HUMALOG MIX 75-25 VIAL [70693],386.39,386.39,57.19,309.11,23
CDM,RX-4555,HYALURONAN 88 MG/4ML I-ARTICULAR SOSY [123951],100188.0,100188.0,14827.82,80150.4,23
CDM,RX-4556,HYALURONIDASE BOVINE 150 UNIT/ML IJ SOLN [91037],260.48,260.48,38.55,208.38,23
CDM,RX-4557,HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN [40449],546.62,546.62,80.9,437.3,23
CDM,RX-4558,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4559,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-456,AMMONIUM LACTATE 12 % EX LOTN [10380],165.39,165.39,24.48,132.31,23
CDM,RX-4560,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4561,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4562,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4563,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4564,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4565,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4566,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
CDM,RX-4567,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
CDM,RX-4568,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
CDM,RX-4569,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
CDM,RX-457,AMMONIUM LACTATE 12 % EX LOTN [10380],183.48,183.48,27.16,146.78,23
CDM,RX-4570,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
CDM,RX-4571,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],22.0,22.0,3.26,17.6,23
CDM,RX-4572,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],60.92,60.92,9.02,48.74,23
CDM,RX-4573,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],73.78,73.78,10.92,59.02,23
CDM,RX-4574,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],80.75,80.75,11.95,64.6,23
CDM,RX-4575,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],80.77,80.77,11.95,64.62,23
CDM,RX-4576,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],84.6,84.6,12.52,67.68,23
CDM,RX-4577,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],84.6,84.6,12.52,67.68,23
CDM,RX-4578,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],481.54,481.54,71.27,385.23,23
CDM,RX-4579,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-458,AMOXAPINE 50 MG PO TABS [449],6.07,6.07,0.9,4.86,23
CDM,RX-4580,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4581,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4582,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4583,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4584,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4585,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4586,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4587,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4588,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-4589,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
CDM,RX-459,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
CDM,RX-4590,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4591,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4592,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4593,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4594,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4595,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4596,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4597,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4598,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4599,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-460,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
CDM,RX-4600,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4601,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4602,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
CDM,RX-4603,HYDROCHLORIC ACID 37 % LIQD [10203],22.0,22.0,3.26,17.6,23
CDM,RX-4604,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-4605,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-4606,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-4607,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-4608,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-4609,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
CDM,RX-461,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
CDM,RX-4610,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
CDM,RX-4611,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
CDM,RX-4612,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
CDM,RX-4613,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4614,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4615,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4616,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4617,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4618,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-4619,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
CDM,RX-462,AMOXICILLIN 250 MG PO CHEW [452],6.0,6.0,0.89,4.8,23
CDM,RX-4620,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],23.13,23.13,3.42,18.5,23
CDM,RX-4621,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],23.13,23.13,3.42,18.5,23
CDM,RX-4622,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
CDM,RX-4623,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
CDM,RX-4624,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
CDM,RX-4625,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],26.3,26.3,3.89,21.04,23
CDM,RX-4626,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],26.3,26.3,3.89,21.04,23
CDM,RX-4627,HYDROCORTISONE (PERIANAL) 1 % EX CREA [147467],233.44,233.44,34.55,186.75,23
CDM,RX-4628,HYDROCORTISONE (PERIANAL) 1 % EX CREA [147467],2139.33,2139.33,316.62,1711.46,23
CDM,RX-4629,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA [28824],339.67,339.67,50.27,271.74,23
CDM,RX-463,AMOXICILLIN 250 MG/5ML PO SUSR [454],24.82,24.82,3.67,19.86,23
CDM,RX-4630,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA [28824],339.72,339.72,50.28,271.78,23
CDM,RX-4631,HYDROCORTISONE 1 % EX CREA [3726],11.0,11.0,1.63,8.8,23
CDM,RX-4632,HYDROCORTISONE 1 % EX CREA [3726],11.0,11.0,1.63,8.8,23
CDM,RX-4633,HYDROCORTISONE 1 % EX CREA [3726],18.82,18.82,2.79,15.06,23
CDM,RX-4634,HYDROCORTISONE 1 % EX CREA [3726],25.9,25.9,3.83,20.72,23
CDM,RX-4635,HYDROCORTISONE 1 % EX CREA [3726],33.85,33.85,5.01,27.08,23
CDM,RX-4636,HYDROCORTISONE 1 % EX LOTN [3728],40.73,40.73,6.03,32.58,23
CDM,RX-4637,HYDROCORTISONE 1 % EX OINT [3731],16.32,16.32,2.42,13.06,23
CDM,RX-4638,HYDROCORTISONE 1 % EX OINT [3731],18.82,18.82,2.79,15.06,23
CDM,RX-4639,HYDROCORTISONE 1 % EX OINT [3731],321.14,321.14,47.53,256.91,23
CDM,RX-464,AMOXICILLIN 250 MG/5ML PO SUSR [454],25.2,25.2,3.73,20.16,23
CDM,RX-4640,HYDROCORTISONE 10 MG PO TABS [3733],6.0,6.0,0.89,4.8,23
CDM,RX-4641,HYDROCORTISONE 10 MG PO TABS [3733],8.08,8.08,1.2,6.46,23
CDM,RX-4642,HYDROCORTISONE 10 MG PO TABS [3733],9.58,9.58,1.42,7.66,23
CDM,RX-4643,HYDROCORTISONE 100 MG/60ML RECTAL ENEM [10210],111.46,111.46,16.5,89.17,23
CDM,RX-4644,HYDROCORTISONE 2.5 % EX CREA [3727],45.44,45.44,6.73,36.35,23
CDM,RX-4645,HYDROCORTISONE 2.5 % EX CREA [3727],50.8,50.8,7.52,40.64,23
CDM,RX-4646,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
CDM,RX-4647,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
CDM,RX-4648,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
CDM,RX-4649,HYDROCORTISONE 2.5 % EX OINT [3732],23.32,23.32,3.45,18.66,23
CDM,RX-465,AMOXICILLIN 250 MG/5ML PO SUSR [454],25.2,25.2,3.73,20.16,23
CDM,RX-4650,HYDROCORTISONE 2.5 % EX OINT [3732],51.7,51.7,7.65,41.36,23
CDM,RX-4651,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
CDM,RX-4652,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
CDM,RX-4653,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
CDM,RX-4654,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
CDM,RX-4655,HYDROCORTISONE 20 MG PO TABS [3734],18.16,18.16,2.69,14.53,23
CDM,RX-4656,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
CDM,RX-4657,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
CDM,RX-4658,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
CDM,RX-4659,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
CDM,RX-466,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
CDM,RX-4660,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
CDM,RX-4661,HYDROCORTISONE ACETATE 10 % EX FOAM [19732],1608.2,1608.2,238.01,1286.56,23
CDM,RX-4662,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],17.63,17.63,2.61,14.1,23
CDM,RX-4663,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],67.8,67.8,10.03,54.24,23
CDM,RX-4664,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],67.8,67.8,10.03,54.24,23
CDM,RX-4665,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],85.31,85.31,12.63,68.25,23
CDM,RX-4666,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.1,93.1,13.78,74.48,23
CDM,RX-4667,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.16,93.16,13.79,74.53,23
CDM,RX-4668,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.16,93.16,13.79,74.53,23
CDM,RX-4669,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],98.07,98.07,14.51,78.46,23
CDM,RX-467,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
CDM,RX-4670,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],307.75,307.75,45.55,246.2,23
CDM,RX-4671,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],307.76,307.76,45.55,246.21,23
CDM,RX-4672,HYDROCORTISONE MICRONIZED POWD [10217],350.1,350.1,51.81,280.08,23
CDM,RX-4673,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],88.55,88.55,13.11,70.84,23
CDM,RX-4674,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],99.51,99.51,14.73,79.61,23
CDM,RX-4675,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],125.06,125.06,18.51,100.05,23
CDM,RX-4676,HYDROCORTISONE-ACETIC ACID 1-2 % OT SOLN [24385],660.6,660.6,97.77,528.48,23
CDM,RX-4677,HYDROCORTISONE-ALOE 0.5 % EX CREA [3747],25.9,25.9,3.83,20.72,23
CDM,RX-4678,HYDROCORT-PRAMOXINE (PERIANAL) 1-1 % EX FOAM [28849],765.1,765.1,113.23,612.08,23
CDM,RX-4679,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-468,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
CDM,RX-4680,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4681,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4682,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4683,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4684,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4685,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
CDM,RX-4686,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],23.41,23.41,3.46,18.73,23
CDM,RX-4687,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],23.41,23.41,3.46,18.73,23
CDM,RX-4688,HYDROMORPHONE 15000MCG/30ML NS PED [600240],27.0,27.0,4.0,21.6,23
CDM,RX-4689,HYDROMORPHONE 30000MCG/30ML NS PED [600241],46.63,46.63,6.9,37.3,23
CDM,RX-469,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
CDM,RX-4690,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
CDM,RX-4691,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
CDM,RX-4692,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
CDM,RX-4693,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
CDM,RX-4694,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],23.41,23.41,3.46,18.73,23
CDM,RX-4695,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],23.41,23.41,3.46,18.73,23
CDM,RX-4696,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],33.46,33.46,4.95,26.77,23
CDM,RX-4697,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],33.47,33.47,4.95,26.78,23
CDM,RX-4698,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
CDM,RX-4699,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
CDM,RX-470,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
CDM,RX-4700,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
CDM,RX-4701,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
CDM,RX-4702,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4703,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4704,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4705,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4706,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4707,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
CDM,RX-4708,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],23.41,23.41,3.46,18.73,23
CDM,RX-4709,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],23.9,23.9,3.54,19.12,23
CDM,RX-471,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
CDM,RX-4710,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],24.35,24.35,3.6,19.48,23
CDM,RX-4711,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],24.37,24.37,3.61,19.5,23
CDM,RX-4712,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
CDM,RX-4713,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
CDM,RX-4714,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
CDM,RX-4715,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
CDM,RX-4716,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
CDM,RX-4717,HYDROMORPHONE HCL PF 500 MG/50ML IJ SOLN [93106],480.68,480.68,71.14,384.54,23
CDM,RX-4718,HYDROPHOR EX OINT [20140],33.04,33.04,4.89,26.43,23
CDM,RX-4719,HYDROQUINONE 4 % EX CREA [10230],282.11,282.11,41.75,225.69,23
CDM,RX-472,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
CDM,RX-4720,HYDROQUINONE 4 % EX CREA [10230],402.94,402.94,59.64,322.35,23
CDM,RX-4721,HYDROXOCOBALAMIN 5 G IV SOLR [110577],2868.04,2868.04,424.47,2294.43,23
CDM,RX-4722,HYDROXOCOBALAMIN 5 G IV SOLR [110577],3029.93,3029.93,448.43,2423.94,23
CDM,RX-4723,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],6.0,6.0,0.89,4.8,23
CDM,RX-4724,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],7.13,7.13,1.06,5.7,23
CDM,RX-4725,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
CDM,RX-4726,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
CDM,RX-4727,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
CDM,RX-4728,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.67,19.67,2.91,15.74,23
CDM,RX-4729,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.45,20.45,3.03,16.36,23
CDM,RX-473,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
CDM,RX-4730,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.5,20.5,3.03,16.4,23
CDM,RX-4731,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.5,20.5,3.03,16.4,23
CDM,RX-4732,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.64,20.64,3.05,16.51,23
CDM,RX-4733,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.64,20.64,3.05,16.51,23
CDM,RX-4734,HYDROXYPROGESTERONE-17 250 MG/ML IM INJ [600511],2409.48,2409.48,356.6,1927.58,23
CDM,RX-4735,HYDROXYUREA 200 MG PO CAPS [23009],6.0,6.0,0.89,4.8,23
CDM,RX-4736,HYDROXYUREA 200 MG PO CAPS [23009],6.0,6.0,0.89,4.8,23
CDM,RX-4737,HYDROXYUREA 300 MG PO CAPS [23010],6.0,6.0,0.89,4.8,23
CDM,RX-4738,HYDROXYUREA 300 MG PO CAPS [23010],6.0,6.0,0.89,4.8,23
CDM,RX-4739,HYDROXYUREA 400 MG PO CAPS [23011],6.0,6.0,0.89,4.8,23
CDM,RX-474,AMOXICILLIN 500 MG/10 ML ORAL SYRINGE [601147],9.0,9.0,1.33,7.2,23
CDM,RX-4740,HYDROXYUREA 400 MG PO CAPS [23011],6.0,6.0,0.89,4.8,23
CDM,RX-4741,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
CDM,RX-4742,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
CDM,RX-4743,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
CDM,RX-4744,HYDROXYUREA 500 MG PO CAPS [10236],6.01,6.01,0.89,4.81,23
CDM,RX-4745,HYDROXYUREA 500 MG PO CAPS [10236],6.93,6.93,1.03,5.54,23
CDM,RX-4746,HYDROXYUREA ORAL SOLN 100 MG/ML [600816],10.67,10.67,1.58,8.54,23
CDM,RX-4747,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],133.41,133.41,19.74,106.73,23
CDM,RX-4748,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],2653.86,2653.86,392.77,2123.09,23
CDM,RX-4749,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],2653.86,2653.86,392.77,2123.09,23
CDM,RX-475,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
CDM,RX-4750,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
CDM,RX-4751,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
CDM,RX-4752,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
CDM,RX-4753,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
CDM,RX-4754,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
CDM,RX-4755,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],93.73,93.73,13.87,74.98,23
CDM,RX-4756,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],285.2,285.2,42.21,228.16,23
CDM,RX-4757,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],864.16,864.16,127.9,691.33,23
CDM,RX-4758,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],1746.69,1746.69,258.51,1397.35,23
CDM,RX-4759,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],1746.69,1746.69,258.51,1397.35,23
CDM,RX-476,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
CDM,RX-4760,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4761,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4762,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4763,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4764,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4765,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4766,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
CDM,RX-4767,HYDROXYZINE HCL 50 MG/ML IM SOLN [3770],167.63,167.63,24.81,134.1,23
CDM,RX-4768,HYDROXYZINE HCL 50 MG/ML IM SOLN [3770],207.4,207.4,30.7,165.92,23
CDM,RX-4769,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-477,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
CDM,RX-4770,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4771,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4772,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4773,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4774,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4775,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4776,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
CDM,RX-4777,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
CDM,RX-4778,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
CDM,RX-4779,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
CDM,RX-478,AMOXICILLIN-CLAVULANATE 40 MG/ML (NICU) ORAL SYRINGE [601393],9.0,9.0,1.33,7.2,23
CDM,RX-4780,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
CDM,RX-4781,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
CDM,RX-4782,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
CDM,RX-4783,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
CDM,RX-4784,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
CDM,RX-4785,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
CDM,RX-4786,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
CDM,RX-4787,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
CDM,RX-4788,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],64.3,64.3,9.52,51.44,23
CDM,RX-4789,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],395.88,395.88,58.59,316.7,23
CDM,RX-479,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],86.72,86.72,12.83,69.38,23
CDM,RX-4790,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],397.66,397.66,58.85,318.13,23
CDM,RX-4791,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],406.58,406.58,60.17,325.26,23
CDM,RX-4792,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],6.0,6.0,0.89,4.8,23
CDM,RX-4793,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],6.0,6.0,0.89,4.8,23
CDM,RX-4794,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
CDM,RX-4795,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
CDM,RX-4796,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
CDM,RX-4797,HYPROMELLOSE (GONIOSCOPIC) 2.5 % OP SOLN [77164],104.77,104.77,15.51,83.82,23
CDM,RX-4798,HYPROMELLOSE 0.3 % OP GEL [91018],36.66,36.66,5.43,29.33,23
CDM,RX-4799,HYPROMELLOSE 0.3 % OP GEL [91018],40.33,40.33,5.97,32.26,23
CDM,RX-480,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],87.89,87.89,13.01,70.31,23
CDM,RX-4800,HYPROMELLOSE 0.3 % OP GEL [91018],55.23,55.23,8.17,44.18,23
CDM,RX-4801,IBALIZUMAB-UIYK 200 MG/1.33ML IV SOLN [139365],4628.39,4628.39,685.0,3702.71,23
CDM,RX-4802,IBRUTINIB 140 MG PO CAPS [122260],793.42,793.42,117.43,634.74,23
CDM,RX-4803,IBRUTINIB 140 MG PO CAPS [122260],793.42,793.42,117.43,634.74,23
CDM,RX-4804,IBRUTINIB 70 MG PO CAPS [139004],2111.74,2111.74,312.54,1689.39,23
CDM,RX-4805,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4806,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4807,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4808,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4809,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-481,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],93.3,93.3,13.81,74.64,23
CDM,RX-4810,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4811,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4812,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
CDM,RX-4813,IBUPROFEN 100 MG/5ML PO SUSP [10246],8.84,8.84,1.31,7.07,23
CDM,RX-4814,IBUPROFEN 100 MG/5ML PO SUSP [10246],8.84,8.84,1.31,7.07,23
CDM,RX-4815,IBUPROFEN 100 MG/5ML PO SUSP [10246],17.49,17.49,2.59,13.99,23
CDM,RX-4816,IBUPROFEN 100 MG/5ML PO SUSP [10246],22.74,22.74,3.37,18.19,23
CDM,RX-4817,IBUPROFEN 100 MG/5ML PO SUSP [10246],42.15,42.15,6.24,33.72,23
CDM,RX-4818,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
CDM,RX-4819,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
CDM,RX-482,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],195.77,195.77,28.97,156.62,23
CDM,RX-4820,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
CDM,RX-4821,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
CDM,RX-4822,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
CDM,RX-4823,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4824,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4825,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4826,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4827,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4828,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4829,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-483,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],202.65,202.65,29.99,162.12,23
CDM,RX-4830,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4831,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
CDM,RX-4832,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4833,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4834,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4835,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4836,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4837,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4838,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-4839,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
CDM,RX-484,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],202.65,202.65,29.99,162.12,23
CDM,RX-4840,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4841,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4842,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4843,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4844,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4845,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4846,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4847,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
CDM,RX-4848,IBUPROFEN LYSINE 10 MG/ML IV SOLN [76780],1593.19,1593.19,235.79,1274.55,23
CDM,RX-4849,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],424.73,424.73,62.86,339.78,23
CDM,RX-485,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],203.62,203.62,30.14,162.9,23
CDM,RX-4850,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],1223.05,1223.05,181.01,978.44,23
CDM,RX-4851,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],1954.94,1954.94,289.33,1563.95,23
CDM,RX-4852,ICATIBANT ACETATE 30 MG/3ML SC SOSY [159283],32151.6,32151.6,4758.44,25721.28,23
CDM,RX-4853,ICATIBANT ACETATE 30 MG/3ML SC SOSY [159283],33843.79,33843.79,5008.88,27075.03,23
CDM,RX-4854,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
CDM,RX-4855,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
CDM,RX-4856,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
CDM,RX-4857,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],280.08,280.08,41.45,224.06,23
CDM,RX-4858,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],487.62,487.62,72.17,390.1,23
CDM,RX-4859,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],745.11,745.11,110.28,596.09,23
CDM,RX-486,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.26,17.26,2.55,13.81,23
CDM,RX-4860,IDARUBICIN HCL 20 MG/20ML IV SOLN [88243],814.56,814.56,120.55,651.65,23
CDM,RX-4861,IDARUBICIN HCL 20 MG/20ML IV SOLN [88243],1296.52,1296.52,191.88,1037.22,23
CDM,RX-4862,IDARUBICIN HCL 5 MG/5ML IV SOLN [88241],251.61,251.61,37.24,201.29,23
CDM,RX-4863,IDARUBICIN HCL 5 MG/5ML IV SOLN [88241],384.41,384.41,56.89,307.53,23
CDM,RX-4864,IDARUCIZUMAB 2.5 GM/50ML IV SOLN [129598],7745.47,7745.47,1146.33,6196.38,23
CDM,RX-4865,IFOSFAMIDE 1 G IV SOLR [10248],190.91,190.91,28.25,152.73,23
CDM,RX-4866,IFOSFAMIDE 1 G IV SOLR [10248],190.91,190.91,28.25,152.73,23
CDM,RX-4867,IFOSFAMIDE 1 G IV SOLR [10248],270.98,270.98,40.11,216.78,23
CDM,RX-4868,IFOSFAMIDE 3 GM/60ML IV SOLN [87926],486.56,486.56,72.01,389.25,23
CDM,RX-4869,IFOSFAMIDE 3 GM/60ML IV SOLN [87926],486.56,486.56,72.01,389.25,23
CDM,RX-487,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
CDM,RX-4870,ILEX SKIN PROTECTANT 58.3 % EX PSTE [32703],29.33,29.33,4.34,23.46,23
CDM,RX-4871,ILOPERIDONE 12 MG PO TABS [99450],282.45,282.45,41.8,225.96,23
CDM,RX-4872,ILOPROST 10 MCG/ML IN SOLN [40413],678.25,678.25,100.38,542.6,23
CDM,RX-4873,ILOPROST 10 MCG/ML IN SOLN [40413],678.3,678.3,100.39,542.64,23
CDM,RX-4874,ILOPROST 20 MCG/ML IN SOLN [99765],678.25,678.25,100.38,542.6,23
CDM,RX-4875,ILOPROST 20 MCG/ML IN SOLN [99765],678.3,678.3,100.39,542.64,23
CDM,RX-4876,ILOPROST 5 MCG/0.25 ML NEB SYRINGE [600683],100.03,100.03,14.8,80.02,23
CDM,RX-4877,IMATINIB MESYLATE 100 MG PO TABS [32979],423.62,423.62,62.7,338.9,23
CDM,RX-4878,IMIPENEM-CILAST 500MG/NS 100ML MB PLUS [600013],226.0,226.0,33.45,180.8,23
CDM,RX-4879,IMIPENEM-CILASTATIN 500 MG IV SOLR [9603],63.25,63.25,9.36,50.6,23
CDM,RX-488,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
CDM,RX-4880,IMIPENEM-CILASTATIN 500 MG IV SOLR [9603],169.66,169.66,25.11,135.73,23
CDM,RX-4881,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
CDM,RX-4882,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
CDM,RX-4883,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
CDM,RX-4884,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
CDM,RX-4885,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
CDM,RX-4886,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
CDM,RX-4887,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
CDM,RX-4888,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
CDM,RX-4889,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
CDM,RX-489,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
CDM,RX-4890,IMIPRAMINE HCL 50 MG PO TABS [3862],6.2,6.2,0.92,4.96,23
CDM,RX-4891,IMIQUIMOD 5 % EX CREA [20718],17.63,17.63,2.61,14.1,23
CDM,RX-4892,IMIQUIMOD 5 % EX CREA [20718],17.68,17.68,2.62,14.14,23
CDM,RX-4893,IMIQUIMOD 5 % EX CREA [20718],157.27,157.27,23.28,125.82,23
CDM,RX-4894,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML IJ SOLN [106116],4432.56,4432.56,656.02,3546.05,23
CDM,RX-4895,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML IJ SOLN [106117],8865.12,8865.12,1312.04,7092.1,23
CDM,RX-4896,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML IJ SOLN [106117],8865.12,8865.12,1312.04,7092.1,23
CDM,RX-4897,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IJ SOLN [106115],2549.16,2549.16,377.28,2039.33,23
CDM,RX-4898,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY [154569],10473.42,10473.42,1550.07,8378.74,23
CDM,RX-4899,INCOBOTULINUMTOXINA 100 UNITS IM SOLR [104407],1784.42,1784.42,264.09,1427.54,23
CDM,RX-490,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
CDM,RX-4900,INDIGO CARMINE 5 ML/100 ML 0.9% SODIUM CHLORIDE -OR [600393],104.3,104.3,15.44,83.44,23
CDM,RX-4901,INDIGO CARMINE 5 ML/200 ML 0.9% SODIUM CHLORIDE -OR [600394],104.3,104.3,15.44,83.44,23
CDM,RX-4902,INDIGO CARMINE 5 ML/250 ML 0.9% SODIUM CHLORIDE -OR [600395],104.3,104.3,15.44,83.44,23
CDM,RX-4903,INDIGO CARMINE 5 ML/300 ML 0.9% SODIUM CHLORIDE -OR [600396],104.3,104.3,15.44,83.44,23
CDM,RX-4904,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN [10265],741.61,741.61,109.76,593.29,23
CDM,RX-4905,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN [10265],741.63,741.63,109.76,593.3,23
CDM,RX-4906,INDOCYANINE GREEN 25 MG IV SOLR [10266],399.59,399.59,59.14,319.67,23
CDM,RX-4907,INDOCYANINE GREEN 25 MG IV SOLR [10266],515.43,515.43,76.28,412.34,23
CDM,RX-4908,INDOCYANINE GREEN 25 MG IV SOLR [10266],835.38,835.38,123.64,668.3,23
CDM,RX-4909,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
CDM,RX-491,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],166.28,166.28,24.61,133.02,23
CDM,RX-4910,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
CDM,RX-4911,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
CDM,RX-4912,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
CDM,RX-4913,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
CDM,RX-4914,INDOMETHACIN 25 MG/5ML PO SUSP [3900],214.92,214.92,31.81,171.94,23
CDM,RX-4915,INDOMETHACIN 25 MG/5ML PO SUSP [3900],6463.2,6463.2,956.55,5170.56,23
CDM,RX-4916,INDOMETHACIN 25 MG/5ML PO SUSP [3900],7189.33,7189.33,1064.02,5751.46,23
CDM,RX-4917,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
CDM,RX-4918,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
CDM,RX-4919,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
CDM,RX-492,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],215.31,215.31,31.87,172.25,23
CDM,RX-4920,INDOMETHACIN 50 MG RECTAL SUPP [3901],1424.46,1424.46,210.82,1139.57,23
CDM,RX-4921,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1558.66,1558.66,230.68,1246.93,23
CDM,RX-4922,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1606.32,1606.32,237.74,1285.06,23
CDM,RX-4923,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1793.53,1793.53,265.44,1434.82,23
CDM,RX-4924,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1847.07,1847.07,273.37,1477.66,23
CDM,RX-4925,INFLIXIMAB 100 MG IV SOLR [23796],1658.7,1658.7,245.49,1326.96,23
CDM,RX-4926,INFLIXIMAB 100 MG IV SOLR [23796],3545.5,3545.5,524.73,2836.4,23
CDM,RX-4927,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
CDM,RX-4928,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
CDM,RX-4929,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
CDM,RX-493,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],313.64,313.64,46.42,250.91,23
CDM,RX-4930,INFLIXIMAB-AXXQ 100 MG IV SOLR [148314],1746.0,1746.0,258.41,1396.8,23
CDM,RX-4931,INFLIXIMAB-DYYB 100 MG IV SOLR [133781],2872.92,2872.92,425.19,2298.34,23
CDM,RX-4932,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [132331],341.87,341.87,50.6,273.5,23
CDM,RX-4933,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [132331],341.87,341.87,50.6,273.5,23
CDM,RX-4934,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY [164759],341.88,341.88,50.6,273.5,23
CDM,RX-4935,INFLUENZA VAC TISS-CULT SUBUNT 0.5 ML IM SUSY [126912],167.96,167.96,24.86,134.37,23
CDM,RX-4936,INFLUENZA VAC TISS-CULT SUBUNT 0.5 ML IM SUSY [126912],167.96,167.96,24.86,134.37,23
CDM,RX-4937,INFLUENZA VIRUS VAC LIVE TRIVALENT NA SUSP [601410],131.59,131.59,19.48,105.27,23
CDM,RX-4938,INFUVITE ADULT IV SOLN [118189],86.77,86.77,12.84,69.42,23
CDM,RX-4939,INFUVITE PEDIATRIC IV SOLN [133350],968.1,968.1,143.28,774.48,23
CDM,RX-494,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.08,23.08,3.42,18.46,23
CDM,RX-4940,INSULIN 3 UNIT/ML (NICU) DILUTION - DRIP COMPOUNDING ONLY [601207],10.0,10.0,1.48,8.0,23
CDM,RX-4941,INSULIN ASPART (NOVOLOG) 100 UNIT/ML SC SOLN [28534],12.5,12.5,1.85,10.0,23
CDM,RX-4942,INSULIN ASPART (NOVOLOG) 100 UNIT/ML SC SOLN [28534],12.5,12.5,1.85,10.0,23
CDM,RX-4943,INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP [33666],12.5,12.5,1.85,10.0,23
CDM,RX-4944,INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP [33666],12.5,12.5,1.85,10.0,23
CDM,RX-4945,INSULIN DEGLUDEC 100 UNIT/ML SC SOLN [142324],12.5,12.5,1.85,10.0,23
CDM,RX-4946,INSULIN DETEMIR (LEVEMIR) 100 UNIT/ML SC SOLN [70261],15.0,15.0,2.22,12.0,23
CDM,RX-4947,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER DKA [900303],52.0,52.0,7.7,41.6,23
CDM,RX-4948,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER PREMIX [601093],52.0,52.0,7.7,41.6,23
CDM,RX-4949,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER PREMIX CTS [601118],52.0,52.0,7.7,41.6,23
CDM,RX-495,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.27,23.27,3.44,18.62,23
CDM,RX-4950,INSULIN DRIP- DKA 100 UNITS/100 ML NS PREMIXED [601087],52.0,52.0,7.7,41.6,23
CDM,RX-4951,INSULIN GLARGINE (LANTUS) 100 UNIT/ML SC SOLN [28282],12.5,12.5,1.85,10.0,23
CDM,RX-4952,INSULIN GLULISINE 100 UNIT/ML IJ SOLN [87889],385.41,385.41,57.04,308.33,23
CDM,RX-4953,INSULIN LISPRO 100 UNIT/ML SC SOLN [17405],15.0,15.0,2.22,12.0,23
CDM,RX-4954,INSULIN NOVOLIN NPH 100 UNIT/ML SC SUSP [10284],10.0,10.0,1.48,8.0,23
CDM,RX-4955,INSULIN NOVOLIN NPH 100 UNIT/ML SC SUSP [10284],10.0,10.0,1.48,8.0,23
CDM,RX-4956,INSULIN NOVOLIN REGULAR 100 UNIT/ML IJ SOLN [10289],10.0,10.0,1.48,8.0,23
CDM,RX-4957,INSULIN NOVOLIN REGULAR 100 UNIT/ML IJ SOLN [10289],10.0,10.0,1.48,8.0,23
CDM,RX-4958,INSULIN REGULAR 1 UNIT/ML INFUSION [400170],52.0,52.0,7.7,41.6,23
CDM,RX-4959,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOPN [131443],15.0,15.0,2.22,12.0,23
CDM,RX-496,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-4960,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOPN [131443],15.0,15.0,2.22,12.0,23
CDM,RX-4961,IODINE STRONG 5 % SOLN [3961],16.22,16.22,2.4,12.98,23
CDM,RX-4962,IODINE STRONG 5 % SOLN [3961],167.56,167.56,24.8,134.05,23
CDM,RX-4963,IODINE STRONG 5 % SOLN [3961],327.52,327.52,48.47,262.02,23
CDM,RX-4964,IODIXANOL 270 MG/ML IV SOLN [17594],381.22,381.22,56.42,304.98,23
CDM,RX-4965,IOHEXOL 240 MG/ML IJ SOLN [10321],203.51,203.51,30.12,162.81,23
CDM,RX-4966,IOHEXOL 240 MG/ML IJ SOLN [10321],353.22,353.22,52.28,282.58,23
CDM,RX-4967,IOHEXOL 300 MG/ML 30 ML PO SOLUTION [600706],216.29,216.29,32.01,173.03,23
CDM,RX-4968,IOHEXOL 300 MG/ML 30 ML PO SOLUTION [600706],216.29,216.29,32.01,173.03,23
CDM,RX-4969,IOHEXOL 300 MG/ML 50 ML MIXED WITH 50ML STERILE WATER-OR GU [600389],273.69,273.69,40.51,218.95,23
CDM,RX-497,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-4970,IOHEXOL 300 MG/ML IJ SOLN [10322],208.88,208.88,30.91,167.1,23
CDM,RX-4971,IOHEXOL 300 MG/ML IJ SOLN [10322],216.29,216.29,32.01,173.03,23
CDM,RX-4972,IOHEXOL 300 MG/ML IJ SOLN [10322],237.88,237.88,35.21,190.3,23
CDM,RX-4973,IOHEXOL 300 MG/ML IJ SOLN [10322],410.56,410.56,60.76,328.45,23
CDM,RX-4974,IOHEXOL 300 MG/ML IJ SOLN [10322],451.65,451.65,66.84,361.32,23
CDM,RX-4975,IOHEXOL 300 MG/ML IJ SOLN [10322],598.87,598.87,88.63,479.1,23
CDM,RX-4976,IOHEXOL 300 MG/ML IJ SOLN [10322],658.81,658.81,97.5,527.05,23
CDM,RX-4977,IOHEXOL 350 MG/ML 25 ML ORAL SOLUTION [601156],130.77,130.77,19.35,104.62,23
CDM,RX-4978,IOHEXOL 350 MG/ML IV SOLN [10323],235.54,235.54,34.86,188.43,23
CDM,RX-4979,IOHEXOL 350 MG/ML IV SOLN [10323],456.55,456.55,67.57,365.24,23
CDM,RX-498,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-4980,IOHEXOL 350 MG/ML IV SOLN [10323],502.17,502.17,74.32,401.74,23
CDM,RX-4981,IOHEXOL 350 MG/ML IV SOLN [10323],629.97,629.97,93.24,503.98,23
CDM,RX-4982,IOHEXOL 350 MG/ML IV SOLN [10323],675.03,675.03,99.9,540.02,23
CDM,RX-4983,IOHEXOL 350 MG/ML IV SOLN [10323],693.31,693.31,102.61,554.65,23
CDM,RX-4984,IOHEXOL 350 MG/ML IV SOLN [10323],1762.01,1762.01,260.78,1409.61,23
CDM,RX-4985,IOHEXOL 350 MG/ML IV SOLN 500ML [601143],1498.65,1498.65,221.8,1198.92,23
CDM,RX-4986,IOPAMIDOL 76 % IV SOLN [10328],328.52,328.52,48.62,262.82,23
CDM,RX-4987,IOTHALAMATE MEGLUMINE 60 % IJ SOLN [10333],86.48,86.48,12.8,69.18,23
CDM,RX-4988,IPILIMUMAB 200 MG/40ML IV SOLN [107492],107804.52,107804.52,15955.07,86243.62,23
CDM,RX-4989,IPILIMUMAB 50 MG/10ML IV SOLN [107491],26951.18,26951.18,3988.77,21560.94,23
CDM,RX-499,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-4990,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.0,6.0,0.89,4.8,23
CDM,RX-4991,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.0,6.0,0.89,4.8,23
CDM,RX-4992,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.21,6.21,0.92,4.97,23
CDM,RX-4993,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.28,8.28,1.23,6.62,23
CDM,RX-4994,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.28,8.28,1.23,6.62,23
CDM,RX-4995,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.37,8.37,1.24,6.7,23
CDM,RX-4996,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.69,8.69,1.29,6.95,23
CDM,RX-4997,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.93,8.93,1.32,7.14,23
CDM,RX-4998,IPRATROPIUM BROMIDE HFA 17 MCG/ACT IN AERS [41142],1207.72,1207.72,178.74,966.18,23
CDM,RX-4999,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],6.0,6.0,0.89,4.8,23
CDM,RX-500,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-5000,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],9.89,9.89,1.46,7.91,23
CDM,RX-5001,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.38,10.38,1.54,8.3,23
CDM,RX-5002,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.79,10.79,1.6,8.63,23
CDM,RX-5003,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.82,10.82,1.6,8.66,23
CDM,RX-5004,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.82,10.82,1.6,8.66,23
CDM,RX-5005,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],156.19,156.19,23.12,124.95,23
CDM,RX-5006,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],176.67,176.67,26.15,141.34,23
CDM,RX-5007,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],214.43,214.43,31.74,171.54,23
CDM,RX-5008,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],291.75,291.75,43.18,233.4,23
CDM,RX-5009,IRINOTECAN HCL 40 MG/2ML IV SOLN [91055],90.24,90.24,13.36,72.19,23
CDM,RX-501,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-5010,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ [129616],9044.25,9044.25,1338.55,7235.4,23
CDM,RX-5011,IRON DEXTRAN 50 MG/ML IJ SOLN [3990],175.72,175.72,26.01,140.58,23
CDM,RX-5012,IRON DEXTRAN 50 MG/ML IJ SOLN [3990],193.73,193.73,28.67,154.98,23
CDM,RX-5013,IRON SUCROSE 20 MG/ML IV SOLN [29132],233.4,233.4,34.54,186.72,23
CDM,RX-5014,IRON SUCROSE 20 MG/ML IV SOLN [29132],294.36,294.36,43.57,235.49,23
CDM,RX-5015,IRON SUCROSE 20 MG/ML IV SOLN [29132],294.36,294.36,43.57,235.49,23
CDM,RX-5016,IRON SUCROSE 20 MG/ML IV SOLN [29132],570.48,570.48,84.43,456.38,23
CDM,RX-5017,IRON SUCROSE 20 MG/ML IV SOLN [29132],570.48,570.48,84.43,456.38,23
CDM,RX-5018,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN [147355],2559.18,2559.18,378.76,2047.34,23
CDM,RX-5019,ISATUXIMAB-IRFC 500 MG/25ML IV SOLN [147356],12795.86,12795.86,1893.79,10236.69,23
CDM,RX-502,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-5020,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS [127503],456.78,456.78,67.6,365.42,23
CDM,RX-5021,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS [127503],523.65,523.65,77.5,418.92,23
CDM,RX-5022,ISAVUCONAZONIUM SULFATE 372 MG IV SOLR [127504],1435.31,1435.31,212.43,1148.25,23
CDM,RX-5023,ISAVUCONAZONIUM SULFATE 372 MG IV SOLR [127504],1552.3,1552.3,229.74,1241.84,23
CDM,RX-5024,ISOFLURANE IN SOLN [4008],103.92,103.92,15.38,83.14,23
CDM,RX-5025,ISOFLURANE IN SOLN [4008],103.92,103.92,15.38,83.14,23
CDM,RX-5026,ISOFLURANE IN SOLN [4008],124.71,124.71,18.46,99.77,23
CDM,RX-5027,ISOFLURANE IN SOLN [4008],207.84,207.84,30.76,166.27,23
CDM,RX-5028,ISONIAZID 100 MG PO TABS [4026],6.0,6.0,0.89,4.8,23
CDM,RX-5029,ISONIAZID 100 MG/ML IJ SOLN [4024],1154.76,1154.76,170.9,923.81,23
CDM,RX-503,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
CDM,RX-5030,ISONIAZID 300 MG PO TABS [4027],6.0,6.0,0.89,4.8,23
CDM,RX-5031,ISONIAZID 300 MG PO TABS [4027],6.0,6.0,0.89,4.8,23
CDM,RX-5032,ISONIAZID 300 MG PO TABS [4027],6.06,6.06,0.9,4.85,23
CDM,RX-5033,ISONIAZID 300 MG PO TABS [4027],6.07,6.07,0.9,4.86,23
CDM,RX-5034,ISONIAZID 300 MG PO TABS [4027],6.21,6.21,0.92,4.97,23
CDM,RX-5035,ISONIAZID 300 MG PO TABS [4027],22.0,22.0,3.26,17.6,23
CDM,RX-5036,ISONIAZID 50 MG/5ML PO SYRP [4025],77.84,77.84,11.52,62.27,23
CDM,RX-5037,ISONIAZID 50 MG/5ML PO SYRP [4025],1542.14,1542.14,228.24,1233.71,23
CDM,RX-5038,ISOPROPYL ALCOHOL 70 % SOLN [4030],11.12,11.12,1.65,8.9,23
CDM,RX-5039,ISOPROPYL ALCOHOL 70 % SOLN [4030],13.34,13.34,1.97,10.67,23
CDM,RX-504,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.84,23.84,3.53,19.07,23
CDM,RX-5040,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],527.8,527.8,78.11,422.24,23
CDM,RX-5041,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],565.5,565.5,83.69,452.4,23
CDM,RX-5042,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],633.36,633.36,93.74,506.69,23
CDM,RX-5043,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],633.36,633.36,93.74,506.69,23
CDM,RX-5044,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],728.16,728.16,107.77,582.53,23
CDM,RX-5045,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],785.24,785.24,116.22,628.19,23
CDM,RX-5046,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],785.24,785.24,116.22,628.19,23
CDM,RX-5047,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],787.2,787.2,116.51,629.76,23
CDM,RX-5048,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1388.04,1388.04,205.43,1110.43,23
CDM,RX-5049,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1388.04,1388.04,205.43,1110.43,23
CDM,RX-505,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],24.22,24.22,3.58,19.38,23
CDM,RX-5050,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1571.4,1571.4,232.57,1257.12,23
CDM,RX-5051,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1571.4,1571.4,232.57,1257.12,23
CDM,RX-5052,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],2095.2,2095.2,310.09,1676.16,23
CDM,RX-5053,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],2095.2,2095.2,310.09,1676.16,23
CDM,RX-5054,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],4470.37,4470.37,661.61,3576.3,23
CDM,RX-5055,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],5434.79,5434.79,804.35,4347.83,23
CDM,RX-5056,ISOSORB DINITRATE-HYDRALAZINE 20-37.5 MG PO TABS [41893],15.67,15.67,2.32,12.54,23
CDM,RX-5057,ISOSORB DINITRATE-HYDRALAZINE 20-37.5 MG PO TABS [41893],25.84,25.84,3.82,20.67,23
CDM,RX-5058,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5059,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-506,AMOXICILLIN-POT CLAVULANATE ER 1000-62.5 MG PO TB12 [33862],39.63,39.63,5.87,31.7,23
CDM,RX-5060,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5061,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5062,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5063,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5064,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
CDM,RX-5065,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
CDM,RX-5066,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
CDM,RX-5067,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
CDM,RX-5068,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
CDM,RX-5069,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
CDM,RX-507,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS [9081],8.06,8.06,1.19,6.45,23
CDM,RX-5070,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.35,6.35,0.94,5.08,23
CDM,RX-5071,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
CDM,RX-5072,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
CDM,RX-5073,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
CDM,RX-5074,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],6.0,6.0,0.89,4.8,23
CDM,RX-5075,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],9.53,9.53,1.41,7.62,23
CDM,RX-5076,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],9.67,9.67,1.43,7.74,23
CDM,RX-5077,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],20.1,20.1,2.97,16.08,23
CDM,RX-5078,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],20.1,20.1,2.97,16.08,23
CDM,RX-5079,ISOSORBIDE MONONITRATE ER 120 MG PO TB24 [27278],6.0,6.0,0.89,4.8,23
CDM,RX-508,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
CDM,RX-5080,ISOSORBIDE MONONITRATE ER 120 MG PO TB24 [27278],41.37,41.37,6.12,33.1,23
CDM,RX-5081,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],6.0,6.0,0.89,4.8,23
CDM,RX-5082,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.73,7.73,1.14,6.18,23
CDM,RX-5083,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.81,7.81,1.16,6.25,23
CDM,RX-5084,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.89,7.89,1.17,6.31,23
CDM,RX-5085,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.89,7.89,1.17,6.31,23
CDM,RX-5086,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],15.76,15.76,2.33,12.61,23
CDM,RX-5087,ISOSULFAN BLUE 1 % SC SOLN [10358],3099.25,3099.25,458.69,2479.4,23
CDM,RX-5088,ISOSULFAN BLUE 1 % SC SOLN [10358],3686.28,3686.28,545.57,2949.02,23
CDM,RX-5089,ISOTRETINOIN 10 MG PO CAPS [10359],88.78,88.78,13.14,71.02,23
CDM,RX-509,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
CDM,RX-5090,ISOTRETINOIN 20 MG PO CAPS [10360],105.28,105.28,15.58,84.22,23
CDM,RX-5091,ISOTRETINOIN 40 MG PO CAPS [10361],107.51,107.51,15.91,86.01,23
CDM,RX-5092,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],204.9,204.9,30.33,163.92,23
CDM,RX-5093,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],1204.42,1204.42,178.25,963.54,23
CDM,RX-5094,ITRACONAZOLE 100 MG PO CAPS [10364],26.59,26.59,3.94,21.27,23
CDM,RX-5095,ITRACONAZOLE 100 MG PO CAPS [10364],40.82,40.82,6.04,32.66,23
CDM,RX-5096,ITRACONAZOLE 100 MG PO CAPS [10364],43.73,43.73,6.47,34.98,23
CDM,RX-5097,ITRACONAZOLE 100 MG PO CAPS [10364],104.2,104.2,15.42,83.36,23
CDM,RX-5098,ITRACONAZOLE 100 MG PO CAPS [10364],104.55,104.55,15.47,83.64,23
CDM,RX-5099,IVABRADINE HCL 5 MG PO TABS [127687],51.66,51.66,7.65,41.33,23
CDM,RX-510,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
CDM,RX-5100,IVABRADINE HCL 5 MG PO TABS [127687],58.84,58.84,8.71,47.07,23
CDM,RX-5101,IVERMECTIN 3 MG PO TABS [25820],23.36,23.36,3.46,18.69,23
CDM,RX-5102,IVERMECTIN 3 MG PO TABS [25820],26.25,26.25,3.88,21.0,23
CDM,RX-5103,IVOSIDENIB 250 MG PO TABS [140572],1750.82,1750.82,259.12,1400.66,23
CDM,RX-5104,JANUMET 50-1000 MG (SITAGLIPTIN-METFORMIN) PO TABS [81540],31.02,31.02,4.59,24.82,23
CDM,RX-5105,JANUMET 50-500 MG (SITAGLIPTIN-METFORMIN) PO TABS [81541],31.02,31.02,4.59,24.82,23
CDM,RX-5106,JANUMET XR 100-1000 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112685],62.04,62.04,9.18,49.63,23
CDM,RX-5107,JANUMET XR 50-1000 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112684],31.02,31.02,4.59,24.82,23
CDM,RX-5108,JANUMET XR 50-500 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112683],31.02,31.02,4.59,24.82,23
CDM,RX-5109,K & NA CIT-CIT AC 550-500-334 MG/5ML PO SYRP [11058],276.0,276.0,40.85,220.8,23
CDM,RX-511,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
CDM,RX-5110,K & NA PHOSPHATES 280-160-250 MG PO PACK [70284],6.0,6.0,0.89,4.8,23
CDM,RX-5111,KALETRA:LOPINAVIR-RITONAVIR 100-25 MG PO TABS [88806],21.66,21.66,3.21,17.33,23
CDM,RX-5112,KALETRA:LOPINAVIR-RITONAVIR 100-25 MG PO TABS [88806],24.07,24.07,3.56,19.26,23
CDM,RX-5113,KALETRA:LOPINAVIR-RITONAVIR 200-50 MG PO TABS [43391],43.32,43.32,6.41,34.66,23
CDM,RX-5114,KALETRA:LOPINAVIR-RITONAVIR 200-50 MG PO TABS [43391],48.14,48.14,7.12,38.51,23
CDM,RX-5115,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],595.14,595.14,88.08,476.11,23
CDM,RX-5116,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],1519.72,1519.72,224.92,1215.78,23
CDM,RX-5117,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],1788.37,1788.37,264.68,1430.7,23
CDM,RX-5118,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
CDM,RX-5119,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
CDM,RX-512,AMPHOTERICIN 1MG/ML (NICU) COMPOUNDING [600499],106.09,106.09,15.7,84.87,23
CDM,RX-5120,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
CDM,RX-5121,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
CDM,RX-5122,KCL 2 MEQ/ML IV SOLN [6429],27.99,27.99,4.14,22.39,23
CDM,RX-5123,KCL 2 MEQ/ML IV SOLN [6429],107.17,107.17,15.86,85.74,23
CDM,RX-5124,KCL 2 MEQ/ML IV SOLN [6429],122.33,122.33,18.1,97.86,23
CDM,RX-5125,KCL 20 MEQ PO PACK [6434],50.14,50.14,7.42,40.11,23
CDM,RX-5126,KCL 20 MEQ/15ML (10%) PO SOLN [76913],19.74,19.74,2.92,15.79,23
CDM,RX-5127,KCL 20 MEQ/15ML (10%) PO SOLN [76913],19.74,19.74,2.92,15.79,23
CDM,RX-5128,KCL 20 MEQ/15ML (10%) PO SOLN [76913],45.41,45.41,6.72,36.33,23
CDM,RX-5129,KCL 20 MEQ/15ML (10%) PO SOLN [76913],87.42,87.42,12.94,69.94,23
CDM,RX-513,AMPHOTERICIN B 0.15% OPHTHALMIC SOLN [600727],64.3,64.3,9.52,51.44,23
CDM,RX-5130,KCL 20 MEQ/15ML (10%) PO SOLN [76913],101.33,101.33,15.0,81.06,23
CDM,RX-5131,KCL 20 MEQ/15ML (10%) PO SOLN [76913],109.9,109.9,16.27,87.92,23
CDM,RX-5132,KCL 20 MEQ/15ML (10%) PO SOLN [76913],1259.77,1259.77,186.45,1007.82,23
CDM,RX-5133,KCL 20 MEQ/15ML (10%) PO SOLN [76913],1259.77,1259.77,186.45,1007.82,23
CDM,RX-5134,KCL 40 MEQ/ 500 ML NS PREMIXED [601084],52.0,52.0,7.7,41.6,23
CDM,RX-5135,KCL 40 MEQ/ 500 ML NS PREMIXED [601084],52.0,52.0,7.7,41.6,23
CDM,RX-5136,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
CDM,RX-5137,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
CDM,RX-5138,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
CDM,RX-5139,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
CDM,RX-514,AMPHOTERICIN B 50 MG IV SOLR [464],233.4,233.4,34.54,186.72,23
CDM,RX-5140,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],47.0,47.0,6.96,37.6,23
CDM,RX-5141,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],51.7,51.7,7.65,41.36,23
CDM,RX-5142,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],51.7,51.7,7.65,41.36,23
CDM,RX-5143,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],56.4,56.4,8.35,45.12,23
CDM,RX-5144,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],56.4,56.4,8.35,45.12,23
CDM,RX-5145,KCL IN DEXTROSE-NACL 20-5-0.2 MEQ/L-%-% IV SOLN [102458],51.7,51.7,7.65,41.36,23
CDM,RX-5146,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],28.2,28.2,4.17,22.56,23
CDM,RX-5147,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],32.9,32.9,4.87,26.32,23
CDM,RX-5148,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],37.6,37.6,5.56,30.08,23
CDM,RX-5149,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],32.9,32.9,4.87,26.32,23
CDM,RX-515,AMPHOTERICIN B 5MCG/0.1ML OPHTH SYRINGE [600253],27.0,27.0,4.0,21.6,23
CDM,RX-5150,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],42.3,42.3,6.26,33.84,23
CDM,RX-5151,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],61.1,61.1,9.04,48.88,23
CDM,RX-5152,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],37.6,37.6,5.56,30.08,23
CDM,RX-5153,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],56.4,56.4,8.35,45.12,23
CDM,RX-5154,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],56.4,56.4,8.35,45.12,23
CDM,RX-5155,KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN [102453],47.0,47.0,6.96,37.6,23
CDM,RX-5156,KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN [102453],56.4,56.4,8.35,45.12,23
CDM,RX-5157,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],28.2,28.2,4.17,22.56,23
CDM,RX-5158,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],32.9,32.9,4.87,26.32,23
CDM,RX-5159,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],37.6,37.6,5.56,30.08,23
CDM,RX-516,AMPHOTERICIN B LIPID 5 MG/ML IV SUSP [22981],475.02,475.02,70.3,380.02,23
CDM,RX-5160,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],61.1,61.1,9.04,48.88,23
CDM,RX-5161,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],32.9,32.9,4.87,26.32,23
CDM,RX-5162,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],32.9,32.9,4.87,26.32,23
CDM,RX-5163,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],47.0,47.0,6.96,37.6,23
CDM,RX-5164,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],65.8,65.8,9.74,52.64,23
CDM,RX-5165,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],27.0,27.0,4.0,21.6,23
CDM,RX-5166,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],28.2,28.2,4.17,22.56,23
CDM,RX-5167,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],29.52,29.52,4.37,23.62,23
CDM,RX-5168,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],30.18,30.18,4.47,24.14,23
CDM,RX-5169,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],35.25,35.25,5.22,28.2,23
CDM,RX-517,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.67,1002.67,148.4,802.14,23
CDM,RX-5170,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],35.25,35.25,5.22,28.2,23
CDM,RX-5171,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],37.42,37.42,5.54,29.94,23
CDM,RX-5172,KETAMINE 10MG/1 ML IV SYRINGE [601024],27.0,27.0,4.0,21.6,23
CDM,RX-5173,KETAMINE 50MG/1 ML IV SYRINGE [600247],27.0,27.0,4.0,21.6,23
CDM,RX-5174,KETAMINE HCL 10 MG/ML IJ SOLN [4236],102.8,102.8,15.21,82.24,23
CDM,RX-5175,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
CDM,RX-5176,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
CDM,RX-5177,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
CDM,RX-5178,KETAMINE HCL 10 MG/ML IJ SOLN [4236],126.01,126.01,18.65,100.81,23
CDM,RX-5179,KETAMINE HCL 100 MG/ML IJ SOLN [4237],43.01,43.01,6.37,34.41,23
CDM,RX-518,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.7,1002.7,148.4,802.16,23
CDM,RX-5180,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.86,46.86,6.94,37.49,23
CDM,RX-5181,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
CDM,RX-5182,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
CDM,RX-5183,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
CDM,RX-5184,KETAMINE HCL 100 MG/ML IJ SOLN [4237],57.86,57.86,8.56,46.29,23
CDM,RX-5185,KETAMINE HCL 100 MG/ML IJ SOLN [4237],71.87,71.87,10.64,57.5,23
CDM,RX-5186,KETAMINE HCL 100 MG/ML IJ SOLN [4237],75.23,75.23,11.13,60.18,23
CDM,RX-5187,KETAMINE HCL 100 MG/ML IJ SOLN [4237],85.17,85.17,12.61,68.14,23
CDM,RX-5188,KETAMINE HCL 50 MG/ML IJ SOLN [4238],22.0,22.0,3.26,17.6,23
CDM,RX-5189,KETAMINE HCL 50 MG/ML IJ SOLN [4238],36.1,36.1,5.34,28.88,23
CDM,RX-519,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.7,1002.7,148.4,802.16,23
CDM,RX-5190,KETAMINE HCL 50 MG/ML IJ SOLN [4238],39.58,39.58,5.86,31.66,23
CDM,RX-5191,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
CDM,RX-5192,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
CDM,RX-5193,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
CDM,RX-5194,KETAMINE INFUSION 10 MG/ML- MAXIMUM CONCENTRATION [900940],327.54,327.54,48.48,262.03,23
CDM,RX-5195,KETOCONAZOLE 2 % EX CREA [10368],133.8,133.8,19.8,107.04,23
CDM,RX-5196,KETOCONAZOLE 2 % EX CREA [10368],495.1,495.1,73.27,396.08,23
CDM,RX-5197,KETOCONAZOLE 2 % EX CREA [10368],495.1,495.1,73.27,396.08,23
CDM,RX-5198,KETOCONAZOLE 2 % EX CREA [10368],683.69,683.69,101.19,546.95,23
CDM,RX-5199,KETOCONAZOLE 2 % EX SHAM [14132],102.37,102.37,15.15,81.9,23
CDM,RX-520,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1252.87,1252.87,185.42,1002.3,23
CDM,RX-5200,KETOCONAZOLE 2 % EX SHAM [14132],102.37,102.37,15.15,81.9,23
CDM,RX-5201,KETOCONAZOLE 2 % EX SHAM [14132],130.94,130.94,19.38,104.75,23
CDM,RX-5202,KETOCONAZOLE 200 MG PO TABS [10369],14.86,14.86,2.2,11.89,23
CDM,RX-5203,KETOCONAZOLE 200 MG PO TABS [10369],14.86,14.86,2.2,11.89,23
CDM,RX-5204,KETOCONAZOLE 200 MG PO TABS [10369],17.82,17.82,2.64,14.26,23
CDM,RX-5205,KETOROLAC TROMETHAMINE 0.4 % OP SOLN [36631],283.62,283.62,41.98,226.9,23
CDM,RX-5206,KETOROLAC TROMETHAMINE 0.4 % OP SOLN [36631],1114.48,1114.48,164.94,891.58,23
CDM,RX-5207,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],397.74,397.74,58.87,318.19,23
CDM,RX-5208,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],399.62,399.62,59.14,319.7,23
CDM,RX-5209,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],400.68,400.68,59.3,320.54,23
CDM,RX-521,AMPHOTERICIN B ORAL SOLUTION 1MG/ML [600673],687.65,687.65,101.77,550.12,23
CDM,RX-5210,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],402.9,402.9,59.63,322.32,23
CDM,RX-5211,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],402.9,402.9,59.63,322.32,23
CDM,RX-5212,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],688.8,688.8,101.94,551.04,23
CDM,RX-5213,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],701.04,701.04,103.75,560.83,23
CDM,RX-5214,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
CDM,RX-5215,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
CDM,RX-5216,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
CDM,RX-5217,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
CDM,RX-5218,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
CDM,RX-5219,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.65,10.65,1.58,8.52,23
CDM,RX-522,AMPICILLIN 1 G/100ML NS MB PLUS [600007],76.48,76.48,11.32,61.18,23
CDM,RX-5220,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],34.38,34.38,5.09,27.5,23
CDM,RX-5221,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5222,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5223,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5224,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5225,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5226,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5227,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5228,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5229,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-523,AMPICILLIN 1 G/50 ML NS MB PLUS [601074],76.48,76.48,11.32,61.18,23
CDM,RX-5230,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5231,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5232,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5233,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5234,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5235,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
CDM,RX-5236,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5237,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5238,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5239,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-524,AMPICILLIN 2 G/ NS 100ML MB PLUS [600008],87.99,87.99,13.02,70.39,23
CDM,RX-5240,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5241,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5242,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5243,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5244,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5245,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5246,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5247,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5248,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
CDM,RX-5249,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],28.15,28.15,4.17,22.52,23
CDM,RX-525,AMPICILLIN 2 G/100ML D5W MB PLUS [600886],87.99,87.99,13.02,70.39,23
CDM,RX-5250,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],32.15,32.15,4.76,25.72,23
CDM,RX-5251,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],32.15,32.15,4.76,25.72,23
CDM,RX-5252,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],36.83,36.83,5.45,29.46,23
CDM,RX-5253,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5254,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5255,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5256,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5257,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5258,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5259,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-526,AMPICILLIN 500 MG PO CAPS [466],6.0,6.0,0.89,4.8,23
CDM,RX-5260,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
CDM,RX-5261,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],46.25,46.25,6.84,37.0,23
CDM,RX-5262,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],46.25,46.25,6.84,37.0,23
CDM,RX-5263,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],32.48,32.48,4.81,25.98,23
CDM,RX-5264,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],48.7,48.7,7.21,38.96,23
CDM,RX-5265,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],57.3,57.3,8.48,45.84,23
CDM,RX-5266,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],59.79,59.79,8.85,47.83,23
CDM,RX-5267,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],63.41,63.41,9.38,50.73,23
CDM,RX-5268,KPHOS 0.05 MM/ML D5W (NICU) IV SYRINGE [600714],32.34,32.34,4.79,25.87,23
CDM,RX-5269,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],83.41,83.41,12.34,66.73,23
CDM,RX-527,AMPICILLIN SODIUM 1 G IJ SOLR [469],22.56,22.56,3.34,18.05,23
CDM,RX-5270,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],83.41,83.41,12.34,66.73,23
CDM,RX-5271,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],210.06,210.06,31.09,168.05,23
CDM,RX-5272,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],210.06,210.06,31.09,168.05,23
CDM,RX-5273,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],223.89,223.89,33.14,179.11,23
CDM,RX-5274,L.E.T. TOPICAL GEL 3ML [600054],23.5,23.5,3.48,18.8,23
CDM,RX-5275,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5276,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5277,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5278,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5279,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-528,AMPICILLIN SODIUM 1 G IJ SOLR [469],27.3,27.3,4.04,21.84,23
CDM,RX-5280,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5281,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5282,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5283,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5284,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5285,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5286,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
CDM,RX-5287,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5288,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5289,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-529,AMPICILLIN SODIUM 1 G IJ SOLR [469],33.84,33.84,5.01,27.07,23
CDM,RX-5290,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5291,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5292,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5293,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5294,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5295,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5296,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5297,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5298,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
CDM,RX-5299,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-530,AMPICILLIN SODIUM 1 G IJ SOLR [469],35.06,35.06,5.19,28.05,23
CDM,RX-5300,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5301,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5302,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5303,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5304,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5305,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5306,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5307,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
CDM,RX-5308,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.0,22.0,3.26,17.6,23
CDM,RX-5309,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.38,22.38,3.31,17.9,23
CDM,RX-531,AMPICILLIN SODIUM 1 G IJ SOLR [469],38.57,38.57,5.71,30.86,23
CDM,RX-5310,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.38,22.38,3.31,17.9,23
CDM,RX-5311,LABETALOL HCL 5 MG/ML IV SOLN [10372],23.81,23.81,3.52,19.05,23
CDM,RX-5312,LABETALOL HCL 5 MG/ML IV SOLN [10372],23.81,23.81,3.52,19.05,23
CDM,RX-5313,LABETALOL HCL 5 MG/ML IV SOLN [10372],33.84,33.84,5.01,27.07,23
CDM,RX-5314,LABETALOL HCL 5 MG/ML IV SOLN [10372],33.84,33.84,5.01,27.07,23
CDM,RX-5315,LABETALOL HCL 5 MG/ML IV SOLN [10372],39.48,39.48,5.84,31.58,23
CDM,RX-5316,LABETALOL HCL 5 MG/ML IV SOLN [10372],45.12,45.12,6.68,36.1,23
CDM,RX-5317,LABETALOL HCL 5 MG/ML IV SOLN [10372],51.23,51.23,7.58,40.98,23
CDM,RX-5318,LABETALOL HCL 5 MG/ML IV SOLN [10372],51.23,51.23,7.58,40.98,23
CDM,RX-5319,LABETALOL HCL 5 MG/ML IV SOLN [10372],58.47,58.47,8.65,46.78,23
CDM,RX-532,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.59,40.59,6.01,32.47,23
CDM,RX-5320,LABETALOL HCL 5 MG/ML IV SOLN [10372],64.68,64.68,9.57,51.74,23
CDM,RX-5321,LABETALOL HCL 5 MG/ML IV SOLN [10372],64.68,64.68,9.57,51.74,23
CDM,RX-5322,LABETALOL HCL 5 MG/ML IV SOLN [10372],78.96,78.96,11.69,63.17,23
CDM,RX-5323,LABETALOL HCL 5 MG/ML IV SOLN [10372],119.17,119.17,17.64,95.34,23
CDM,RX-5324,LABETALOL HCL 5 MG/ML IV SOLN [10372],243.21,243.21,36.0,194.57,23
CDM,RX-5325,LACOSAMIDE 10 MG/ML PO SOLN [103580],145.82,145.82,21.58,116.66,23
CDM,RX-5326,LACOSAMIDE 10 MG/ML PO SOLN [103580],262.0,262.0,38.78,209.6,23
CDM,RX-5327,LACOSAMIDE 10 MG/ML PO SOLN [103580],262.0,262.0,38.78,209.6,23
CDM,RX-5328,LACOSAMIDE 10 MG/ML PO SOLN [103580],380.87,380.87,56.37,304.7,23
CDM,RX-5329,LACOSAMIDE 100 MG PO TABS [96969],11.57,11.57,1.71,9.26,23
CDM,RX-533,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.59,40.59,6.01,32.47,23
CDM,RX-5330,LACOSAMIDE 100 MG PO TABS [96969],79.01,79.01,11.69,63.21,23
CDM,RX-5331,LACOSAMIDE 100 MG PO TABS [96969],79.01,79.01,11.69,63.21,23
CDM,RX-5332,LACOSAMIDE 100 MG PO TABS [96969],83.52,83.52,12.36,66.82,23
CDM,RX-5333,LACOSAMIDE 100 MG PO TABS [96969],84.43,84.43,12.5,67.54,23
CDM,RX-5334,LACOSAMIDE 100 MG PO TABS [96969],107.89,107.89,15.97,86.31,23
CDM,RX-5335,LACOSAMIDE 150 MG PO TABS [96970],13.88,13.88,2.05,11.1,23
CDM,RX-5336,LACOSAMIDE 150 MG PO TABS [96970],83.68,83.68,12.38,66.94,23
CDM,RX-5337,LACOSAMIDE 150 MG PO TABS [96970],83.68,83.68,12.38,66.94,23
CDM,RX-5338,LACOSAMIDE 150 MG PO TABS [96970],88.46,88.46,13.09,70.77,23
CDM,RX-5339,LACOSAMIDE 150 MG PO TABS [96970],89.44,89.44,13.24,71.55,23
CDM,RX-534,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
CDM,RX-5340,LACOSAMIDE 150 MG PO TABS [96970],103.86,103.86,15.37,83.09,23
CDM,RX-5341,LACOSAMIDE 150 MG PO TABS [96970],114.26,114.26,16.91,91.41,23
CDM,RX-5342,LACOSAMIDE 200 MG PO TABS [96971],13.88,13.88,2.05,11.1,23
CDM,RX-5343,LACOSAMIDE 200 MG PO TABS [96971],83.7,83.7,12.39,66.96,23
CDM,RX-5344,LACOSAMIDE 200 MG PO TABS [96971],83.7,83.7,12.39,66.96,23
CDM,RX-5345,LACOSAMIDE 200 MG PO TABS [96971],89.44,89.44,13.24,71.55,23
CDM,RX-5346,LACOSAMIDE 200 MG PO TABS [96971],89.46,89.46,13.24,71.57,23
CDM,RX-5347,LACOSAMIDE 200 MG PO TABS [96971],103.89,103.89,15.38,83.11,23
CDM,RX-5348,LACOSAMIDE 200 MG PO TABS [96971],114.3,114.3,16.92,91.44,23
CDM,RX-5349,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
CDM,RX-535,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
CDM,RX-5350,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
CDM,RX-5351,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
CDM,RX-5352,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
CDM,RX-5353,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.45,305.45,45.21,244.36,23
CDM,RX-5354,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
CDM,RX-5355,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
CDM,RX-5356,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
CDM,RX-5357,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
CDM,RX-5358,LACOSAMIDE 200 MG/20ML IV SOLN [96972],437.32,437.32,64.72,349.86,23
CDM,RX-5359,LACOSAMIDE 200 MG/20ML IV SOLN [96972],437.32,437.32,64.72,349.86,23
CDM,RX-536,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
CDM,RX-5360,LACOSAMIDE 200 MG/20ML IV SOLN [96972],448.26,448.26,66.34,358.61,23
CDM,RX-5361,LACOSAMIDE 50 MG PO TABS [96968],50.54,50.54,7.48,40.43,23
CDM,RX-5362,LACOSAMIDE 50 MG PO TABS [96968],50.54,50.54,7.48,40.43,23
CDM,RX-5363,LACOSAMIDE 50 MG PO TABS [96968],53.43,53.43,7.91,42.74,23
CDM,RX-5364,LACOSAMIDE 50 MG PO TABS [96968],54.0,54.0,7.99,43.2,23
CDM,RX-5365,LACOSAMIDE 50 MG PO TABS [96968],54.03,54.03,8.0,43.22,23
CDM,RX-5366,LACOSAMIDE 50 MG PO TABS [96968],68.09,68.09,10.08,54.47,23
CDM,RX-5367,LACOSAMIDE 50 MG PO TABS [96968],74.91,74.91,11.09,59.93,23
CDM,RX-5368,LACTASE 3000 UNITS PO TABS [22469],6.0,6.0,0.89,4.8,23
CDM,RX-5369,LACTATED RINGERS IV BOLUS ML [400296],22.0,22.0,3.26,17.6,23
CDM,RX-537,AMPICILLIN SODIUM 125 MG IJ SOLR [471],24.54,24.54,3.63,19.63,23
CDM,RX-5370,LACTATED RINGERS IV BOLUS ML [400296],24.68,24.68,3.65,19.74,23
CDM,RX-5371,LACTATED RINGERS IV BOLUS ML [400296],25.85,25.85,3.83,20.68,23
CDM,RX-5372,LACTATED RINGERS IV BOLUS ML [400296],28.2,28.2,4.17,22.56,23
CDM,RX-5373,LACTATED RINGERS IV BOLUS ML/KG [600858],22.0,22.0,3.26,17.6,23
CDM,RX-5374,LACTATED RINGERS IV BOLUS ML/KG [600858],24.68,24.68,3.65,19.74,23
CDM,RX-5375,LACTATED RINGERS IV BOLUS ML/KG [600858],25.85,25.85,3.83,20.68,23
CDM,RX-5376,LACTATED RINGERS IV BOLUS ML/KG [600858],28.2,28.2,4.17,22.56,23
CDM,RX-5377,LACTATED RINGERS IV SOLN [4318],22.0,22.0,3.26,17.6,23
CDM,RX-5378,LACTATED RINGERS IV SOLN [4318],24.68,24.68,3.65,19.74,23
CDM,RX-5379,LACTATED RINGERS IV SOLN [4318],25.85,25.85,3.83,20.68,23
CDM,RX-538,AMPICILLIN SODIUM 125 MG IJ SOLR [471],24.54,24.54,3.63,19.63,23
CDM,RX-5380,LACTATED RINGERS IV SOLN [4318],28.2,28.2,4.17,22.56,23
CDM,RX-5381,LACTATED RINGERS IV SOLN [4318],32.9,32.9,4.87,26.32,23
CDM,RX-5382,LACTATED RINGERS IV SOLN [4318],32.9,32.9,4.87,26.32,23
CDM,RX-5383,LACTINEX PO PACK [4323],6.0,6.0,0.89,4.8,23
CDM,RX-5384,LACTULOSE 10 GM/15ML SOLN [38245],10.72,10.72,1.59,8.58,23
CDM,RX-5385,LACTULOSE 10 GM/15ML SOLN [38245],11.57,11.57,1.71,9.26,23
CDM,RX-5386,LACTULOSE 10 GM/15ML SOLN [38245],11.57,11.57,1.71,9.26,23
CDM,RX-5387,LACTULOSE 10 GM/15ML SOLN [38245],13.96,13.96,2.07,11.17,23
CDM,RX-5388,LACTULOSE 10 GM/15ML SOLN [38245],13.96,13.96,2.07,11.17,23
CDM,RX-5389,LACTULOSE 10 GM/15ML SOLN [38245],88.26,88.26,13.06,70.61,23
CDM,RX-539,AMPICILLIN SODIUM 2 G IJ SOLR [472],40.11,40.11,5.94,32.09,23
CDM,RX-5390,LACTULOSE 10 GM/15ML SOLN [38245],149.52,149.52,22.13,119.62,23
CDM,RX-5391,LACTULOSE 10 GM/15ML SOLN [38245],157.71,157.71,23.34,126.17,23
CDM,RX-5392,LACTULOSE 10 GM/15ML SOLN [38245],157.71,157.71,23.34,126.17,23
CDM,RX-5393,LAMIVUDINE 10 MG/ML PO SOLN [15881],70.36,70.36,10.41,56.29,23
CDM,RX-5394,LAMIVUDINE 10 MG/ML PO SOLN [15881],237.61,237.61,35.17,190.09,23
CDM,RX-5395,LAMIVUDINE 10 MG/ML PO SOLN [15881],451.5,451.5,66.82,361.2,23
CDM,RX-5396,LAMIVUDINE 10 MG/ML PO SOLN [15881],451.5,451.5,66.82,361.2,23
CDM,RX-5397,LAMIVUDINE 10 MG/ML PO SOLN [15881],501.26,501.26,74.19,401.01,23
CDM,RX-5398,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
CDM,RX-5399,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
CDM,RX-540,AMPICILLIN SODIUM 2 G IJ SOLR [472],42.3,42.3,6.26,33.84,23
CDM,RX-5400,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
CDM,RX-5401,LAMIVUDINE 150 MG PO TABS [15880],33.66,33.66,4.98,26.93,23
CDM,RX-5402,LAMIVUDINE 300 MG PO TABS [33937],67.24,67.24,9.95,53.79,23
CDM,RX-5403,LAMIVUDINE 300 MG PO TABS [33937],67.24,67.24,9.95,53.79,23
CDM,RX-5404,LAMIVUDINE 300 MG PO TABS [33937],67.32,67.32,9.96,53.86,23
CDM,RX-5405,LAMIVUDINE 300 MG PO TABS [33937],67.32,67.32,9.96,53.86,23
CDM,RX-5406,LAMOTRIGINE 100 MG PO TABS [13982],6.0,6.0,0.89,4.8,23
CDM,RX-5407,LAMOTRIGINE 100 MG PO TABS [13982],6.0,6.0,0.89,4.8,23
CDM,RX-5408,LAMOTRIGINE 100 MG PO TABS [13982],22.33,22.33,3.3,17.86,23
CDM,RX-5409,LAMOTRIGINE 100 MG PO TABS [13982],23.27,23.27,3.44,18.62,23
CDM,RX-541,AMPICILLIN SODIUM 2 G IJ SOLR [472],62.04,62.04,9.18,49.63,23
CDM,RX-5410,LAMOTRIGINE 100 MG PO TBDP [96941],48.02,48.02,7.11,38.42,23
CDM,RX-5411,LAMOTRIGINE 150 MG PO TABS [14266],24.48,24.48,3.62,19.58,23
CDM,RX-5412,LAMOTRIGINE 150 MG PO TABS [14266],24.9,24.9,3.69,19.92,23
CDM,RX-5413,LAMOTRIGINE 150 MG PO TABS [14266],25.23,25.23,3.73,20.18,23
CDM,RX-5414,LAMOTRIGINE 150 MG PO TABS [14266],25.23,25.23,3.73,20.18,23
CDM,RX-5415,LAMOTRIGINE 150 MG PO TABS [14266],26.49,26.49,3.92,21.19,23
CDM,RX-5416,LAMOTRIGINE 200 MG PO TABS [13983],26.57,26.57,3.93,21.26,23
CDM,RX-5417,LAMOTRIGINE 200 MG PO TABS [13983],26.65,26.65,3.94,21.32,23
CDM,RX-5418,LAMOTRIGINE 200 MG PO TABS [13983],27.53,27.53,4.07,22.02,23
CDM,RX-5419,LAMOTRIGINE 200 MG PO TABS [13983],27.53,27.53,4.07,22.02,23
CDM,RX-542,AMPICILLIN SODIUM 2 G IJ SOLR [472],74.81,74.81,11.07,59.85,23
CDM,RX-5420,LAMOTRIGINE 200 MG PO TABS [13983],28.84,28.84,4.27,23.07,23
CDM,RX-5421,LAMOTRIGINE 200 MG PO TABS [13983],29.13,29.13,4.31,23.3,23
CDM,RX-5422,LAMOTRIGINE 200 MG PO TABS [13983],71.21,71.21,10.54,56.97,23
CDM,RX-5423,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
CDM,RX-5424,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
CDM,RX-5425,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
CDM,RX-5426,LAMOTRIGINE 25 MG PO TABS [13981],19.56,19.56,2.89,15.65,23
CDM,RX-5427,LAMOTRIGINE 25 MG PO TABS [13981],20.26,20.26,3.0,16.21,23
CDM,RX-5428,LAMOTRIGINE 25 MG PO TABS [13981],20.26,20.26,3.0,16.21,23
CDM,RX-5429,LAMOTRIGINE 25 MG PO TBDP [97830],75.53,75.53,11.18,60.42,23
CDM,RX-543,AMPICILLIN SODIUM 2 G IJ SOLR [472],74.83,74.83,11.07,59.86,23
CDM,RX-5430,LAMOTRIGINE 5 MG PO CHEW [102040],14.35,14.35,2.12,11.48,23
CDM,RX-5431,LAMOTRIGINE 5 MG PO CHEW [102040],14.35,14.35,2.12,11.48,23
CDM,RX-5432,LAMOTRIGINE 5 MG PO CHEW [102040],53.69,53.69,7.95,42.95,23
CDM,RX-5433,LANCETS ULTRA THIN MISC [98127],12.69,12.69,1.88,10.15,23
CDM,RX-5434,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],9556.98,9556.98,1414.43,7645.58,23
CDM,RX-5435,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],26998.12,26998.12,3995.72,21598.5,23
CDM,RX-5436,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],27779.4,27779.4,4111.35,22223.52,23
CDM,RX-5437,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],29030.24,29030.24,4296.48,23224.19,23
CDM,RX-5438,LANSINOH LANOLIN EX CREA [146009],12.47,12.47,1.85,9.98,23
CDM,RX-5439,LANSOPRAZOLE 15 MG PO CPDR [27691],26.64,26.64,3.94,21.31,23
CDM,RX-544,AMPICILLIN SODIUM 2 G IJ SOLR [472],78.74,78.74,11.65,62.99,23
CDM,RX-5440,LANSOPRAZOLE 30 MG PO CPDR [27692],26.62,26.62,3.94,21.3,23
CDM,RX-5441,LANSOPRAZOLE 30 MG PO CPDR [27692],26.64,26.64,3.94,21.31,23
CDM,RX-5442,LANSOPRAZOLE 30 MG PO CPDR [27692],27.73,27.73,4.1,22.18,23
CDM,RX-5443,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],60.95,60.95,9.02,48.76,23
CDM,RX-5444,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],60.95,60.95,9.02,48.76,23
CDM,RX-5445,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],67.72,67.72,10.02,54.18,23
CDM,RX-5446,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],67.72,67.72,10.02,54.18,23
CDM,RX-5447,LANTHANUM CARBONATE 500 MG PO CHEW [39975],67.72,67.72,10.02,54.18,23
CDM,RX-5448,LANTHANUM CARBONATE 500 MG PO CHEW [39975],67.72,67.72,10.02,54.18,23
CDM,RX-5449,LAROTRECTINIB SULFATE 100 MG PO CAPS [141817],2359.69,2359.69,349.23,1887.75,23
CDM,RX-545,AMPICILLIN SODIUM 2 G IJ SOLR [472],78.74,78.74,11.65,62.99,23
CDM,RX-5450,LAROTRECTINIB SULFATE 25 MG PO CAPS [141816],886.55,886.55,131.21,709.24,23
CDM,RX-5451,LATANOPROST 0.005 % OP SOLN [18621],91.37,91.37,13.52,73.1,23
CDM,RX-5452,LATANOPROST 0.005 % OP SOLN [18621],105.57,105.57,15.62,84.46,23
CDM,RX-5453,LATANOPROST 0.005 % OP SOLN [18621],369.55,369.55,54.69,295.64,23
CDM,RX-5454,LATANOPROST 0.005 % OP SOLN [18621],369.55,369.55,54.69,295.64,23
CDM,RX-5455,LATANOPROST 0.005 % OP SOLN [18621],370.61,370.61,54.85,296.49,23
CDM,RX-5456,LATANOPROST 0.005 % OP SOLN [18621],1061.08,1061.08,157.04,848.86,23
CDM,RX-5457,LATANOPROSTENE BUNOD 0.024 % OP SOLN [138150],1020.08,1020.08,150.97,816.06,23
CDM,RX-5458,LECANEMAB-IRMB 200 MG/2ML IV SOLN [158774],1018.02,1018.02,150.67,814.42,23
CDM,RX-5459,LECANEMAB-IRMB 500 MG/5ML IV SOLN [158775],2257.96,2257.96,334.18,1806.37,23
CDM,RX-546,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5460,LEECH [600052],94.0,94.0,13.91,75.2,23
CDM,RX-5461,LEFLUNOMIDE 10 MG PO TABS [23872],77.11,77.11,11.41,61.69,23
CDM,RX-5462,LEFLUNOMIDE 10 MG PO TABS [23872],77.2,77.2,11.43,61.76,23
CDM,RX-5463,LEFLUNOMIDE 10 MG PO TABS [23872],77.2,77.2,11.43,61.76,23
CDM,RX-5464,LEFLUNOMIDE 10 MG PO TABS [23872],232.55,232.55,34.42,186.04,23
CDM,RX-5465,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
CDM,RX-5466,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
CDM,RX-5467,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
CDM,RX-5468,LEFLUNOMIDE 20 MG PO TABS [23873],77.2,77.2,11.43,61.76,23
CDM,RX-5469,LENACAPAVIR SODIUM 300 MG PO TABS [166793],2837.25,2837.25,419.91,2269.8,23
CDM,RX-547,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5470,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN [158494],29601.0,29601.0,4380.95,23680.8,23
CDM,RX-5471,LENALIDOMIDE 10 MG PO CAPS [43719],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5472,LENALIDOMIDE 10 MG PO CAPS [43719],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5473,LENALIDOMIDE 15 MG PO CAPS [76783],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5474,LENALIDOMIDE 2.5 MG PO CAPS [113288],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5475,LENALIDOMIDE 2.5 MG PO CAPS [113288],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5476,LENALIDOMIDE 20 MG PO CAPS [120646],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5477,LENALIDOMIDE 20 MG PO CAPS [120646],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5478,LENALIDOMIDE 25 MG PO CAPS [76784],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5479,LENALIDOMIDE 25 MG PO CAPS [76784],2706.75,2706.75,400.6,2165.4,23
CDM,RX-548,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5480,LENALIDOMIDE 5 MG PO CAPS [43718],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5481,LENALIDOMIDE 5 MG PO CAPS [43718],2706.75,2706.75,400.6,2165.4,23
CDM,RX-5482,LENVATINIB (10 MG DAILY DOSE) 10 MG PO CPPK [127013],2908.03,2908.03,430.39,2326.42,23
CDM,RX-5483,LENVATINIB (10 MG DAILY DOSE) 10 MG PO CPPK [127013],2908.03,2908.03,430.39,2326.42,23
CDM,RX-5484,LENVATINIB (12 MG DAILY DOSE) 3 X 4 MG PO CPPK [140942],1092.6,1092.6,161.7,874.08,23
CDM,RX-5485,LENVATINIB (12 MG DAILY DOSE) 3 X 4 MG PO CPPK [140942],1092.6,1092.6,161.7,874.08,23
CDM,RX-5486,LENVATINIB (14 MG DAILY DOSE) 10 & 4 MG PO CPPK [127009],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5487,LENVATINIB (14 MG DAILY DOSE) 10 & 4 MG PO CPPK [127009],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5488,LENVATINIB (18 MG DAILY DOSE) 10 MG & 2 X 4 MG PO CPPK [131714],1092.6,1092.6,161.7,874.08,23
CDM,RX-5489,LENVATINIB (18 MG DAILY DOSE) 10 MG & 2 X 4 MG PO CPPK [131714],1092.6,1092.6,161.7,874.08,23
CDM,RX-549,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5490,LENVATINIB (20 MG DAILY DOSE) 2 X 10 MG PO CPPK [127008],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5491,LENVATINIB (20 MG DAILY DOSE) 2 X 10 MG PO CPPK [127008],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5492,LENVATINIB (24 MG DAILY DOSE) 2 X 10 MG & 4 MG PO CPPK [127014],1092.6,1092.6,161.7,874.08,23
CDM,RX-5493,LENVATINIB (24 MG DAILY DOSE) 2 X 10 MG & 4 MG PO CPPK [127014],1092.6,1092.6,161.7,874.08,23
CDM,RX-5494,LENVATINIB (4 MG DAILY DOSE) 4 MG PO CPPK [140943],2908.03,2908.03,430.39,2326.42,23
CDM,RX-5495,LENVATINIB (4 MG DAILY DOSE) 4 MG PO CPPK [140943],2908.03,2908.03,430.39,2326.42,23
CDM,RX-5496,LENVATINIB (8 MG DAILY DOSE) 2 X 4 MG PO CPPK [131713],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5497,LENVATINIB (8 MG DAILY DOSE) 2 X 4 MG PO CPPK [131713],1638.89,1638.89,242.56,1311.11,23
CDM,RX-5498,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
CDM,RX-5499,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
CDM,RX-550,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5500,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
CDM,RX-5501,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
CDM,RX-5502,LETROZOLE 2.5 MG PO TABS [21509],85.15,85.15,12.6,68.12,23
CDM,RX-5503,LETROZOLE 2.5 MG PO TABS [21509],85.24,85.24,12.62,68.19,23
CDM,RX-5504,LETROZOLE 2.5 MG PO TABS [21509],141.09,141.09,20.88,112.87,23
CDM,RX-5505,LEUCOVORIN 50 MG/50 ML NS IVPB MB PLUS [600560],52.0,52.0,7.7,41.6,23
CDM,RX-5506,LEUCOVORIN CALCIUM 100 MG IJ SOLR [4392],103.92,103.92,15.38,83.14,23
CDM,RX-5507,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],53.24,53.24,7.88,42.59,23
CDM,RX-5508,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],60.39,60.39,8.94,48.31,23
CDM,RX-5509,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],64.34,64.34,9.52,51.47,23
CDM,RX-551,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5510,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],64.34,64.34,9.52,51.47,23
CDM,RX-5511,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],98.47,98.47,14.57,78.78,23
CDM,RX-5512,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
CDM,RX-5513,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
CDM,RX-5514,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
CDM,RX-5515,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],326.76,326.76,48.36,261.41,23
CDM,RX-5516,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],11.06,11.06,1.64,8.85,23
CDM,RX-5517,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],11.1,11.1,1.64,8.88,23
CDM,RX-5518,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],13.16,13.16,1.95,10.53,23
CDM,RX-5519,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],15.28,15.28,2.26,12.22,23
CDM,RX-552,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5520,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],15.28,15.28,2.26,12.22,23
CDM,RX-5521,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],49.64,49.64,7.35,39.71,23
CDM,RX-5522,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],56.4,56.4,8.35,45.12,23
CDM,RX-5523,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],56.4,56.4,8.35,45.12,23
CDM,RX-5524,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT [21044],16404.63,16404.63,2427.89,13123.7,23
CDM,RX-5525,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT [21045],19548.45,19548.45,2893.17,15638.76,23
CDM,RX-5526,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT [33669],4113.99,4113.99,608.87,3291.19,23
CDM,RX-5527,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT [21108],26064.67,26064.67,3857.57,20851.74,23
CDM,RX-5528,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT [109063],39097.59,39097.59,5786.44,31278.07,23
CDM,RX-5529,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT [40801],8227.97,8227.97,1217.74,6582.38,23
CDM,RX-553,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
CDM,RX-5530,LEUPROLIDE ACETATE 3.75 MG IM KIT [13691],4240.08,4240.08,627.53,3392.06,23
CDM,RX-5531,LEUPROLIDE ACETATE 3.75 MG IM KIT [13691],5468.17,5468.17,809.29,4374.54,23
CDM,RX-5532,LEUPROLIDE ACETATE 7.5 MG IM KIT [10392],6516.2,6516.2,964.4,5212.96,23
CDM,RX-5533,LEUPROLIDE ACETATE 7.5 MG SC KIT [32893],1577.31,1577.31,233.44,1261.85,23
CDM,RX-5534,LEUPROLIDE ACETATE 7.5 MG SC KIT [32893],1577.31,1577.31,233.44,1261.85,23
CDM,RX-5535,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],9.41,9.41,1.39,7.53,23
CDM,RX-5536,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],9.41,9.41,1.39,7.53,23
CDM,RX-5537,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],30.26,30.26,4.48,24.21,23
CDM,RX-5538,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.49,31.49,4.66,25.19,23
CDM,RX-5539,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.53,31.53,4.67,25.22,23
CDM,RX-554,AMPICILLIN-SULB 1.5 G/NS 50ML MB PLUS [600015],121.09,121.09,17.92,96.87,23
CDM,RX-5540,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.53,31.53,4.67,25.22,23
CDM,RX-5541,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],9.41,9.41,1.39,7.53,23
CDM,RX-5542,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],9.41,9.41,1.39,7.53,23
CDM,RX-5543,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.24,30.24,4.48,24.19,23
CDM,RX-5544,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.26,30.26,4.48,24.21,23
CDM,RX-5545,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.26,30.26,4.48,24.21,23
CDM,RX-5546,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],31.53,31.53,4.67,25.22,23
CDM,RX-5547,LEVALBUTEROL TARTRATE 45 MCG/ACT IN AERO [43472],334.47,334.47,49.5,267.58,23
CDM,RX-5548,LEVETIRACETAM 100 MG/ML PO SOLN [36590],15.09,15.09,2.23,12.07,23
CDM,RX-5549,LEVETIRACETAM 100 MG/ML PO SOLN [36590],166.8,166.8,24.69,133.44,23
CDM,RX-555,AMPICILLIN-SULB 3 G/D5W 100ML MB PLUS [600885],157.46,157.46,23.3,125.97,23
CDM,RX-5550,LEVETIRACETAM 100 MG/ML PO SOLN [36590],194.57,194.57,28.8,155.66,23
CDM,RX-5551,LEVETIRACETAM 100 MG/ML PO SOLN [36590],279.68,279.68,41.39,223.74,23
CDM,RX-5552,LEVETIRACETAM 100 MG/ML PO SOLN [36590],944.83,944.83,139.83,755.86,23
CDM,RX-5553,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1009.99,1009.99,149.48,807.99,23
CDM,RX-5554,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1009.99,1009.99,149.48,807.99,23
CDM,RX-5555,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1131.0,1131.0,167.39,904.8,23
CDM,RX-5556,LEVETIRACETAM 100 MG/ML PO SOLN [36590],2802.65,2802.65,414.79,2242.12,23
CDM,RX-5557,LEVETIRACETAM 1000 MG PO TABS [70773],7.9,7.9,1.17,6.32,23
CDM,RX-5558,LEVETIRACETAM 1000 MG PO TABS [70773],7.9,7.9,1.17,6.32,23
CDM,RX-5559,LEVETIRACETAM 1000 MG PO TABS [70773],32.82,32.82,4.86,26.26,23
CDM,RX-556,AMPICILLIN-SULB 3 G/NS 100ML MB PLUS [600016],157.59,157.59,23.32,126.07,23
CDM,RX-5560,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
CDM,RX-5561,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
CDM,RX-5562,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
CDM,RX-5563,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
CDM,RX-5564,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
CDM,RX-5565,LEVETIRACETAM 250 MG PO TABS [26816],6.0,6.0,0.89,4.8,23
CDM,RX-5566,LEVETIRACETAM 250 MG PO TABS [26816],12.17,12.17,1.8,9.74,23
CDM,RX-5567,LEVETIRACETAM 250 MG PO TABS [26816],13.52,13.52,2.0,10.82,23
CDM,RX-5568,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
CDM,RX-5569,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
CDM,RX-557,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],22.0,22.0,3.26,17.6,23
CDM,RX-5570,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
CDM,RX-5571,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
CDM,RX-5572,LEVETIRACETAM 500 MG PO TABS [26817],14.87,14.87,2.2,11.9,23
CDM,RX-5573,LEVETIRACETAM 500 MG PO TABS [26817],16.37,16.37,2.42,13.1,23
CDM,RX-5574,LEVETIRACETAM 500 MG PO TABS [26817],16.37,16.37,2.42,13.1,23
CDM,RX-5575,LEVETIRACETAM 500 MG PO TABS [26817],16.41,16.41,2.43,13.13,23
CDM,RX-5576,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5577,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5578,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5579,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-558,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],23.69,23.69,3.51,18.95,23
CDM,RX-5580,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5581,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5582,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
CDM,RX-5583,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5584,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5585,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5586,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5587,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5588,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5589,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-559,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],24.26,24.26,3.59,19.41,23
CDM,RX-5590,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
CDM,RX-5591,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.56,22.56,3.34,18.05,23
CDM,RX-5592,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],44.51,44.51,6.59,35.61,23
CDM,RX-5593,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],59.22,59.22,8.76,47.38,23
CDM,RX-5594,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],318.48,318.48,47.14,254.78,23
CDM,RX-5595,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
CDM,RX-5596,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
CDM,RX-5597,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
CDM,RX-5598,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
CDM,RX-5599,LEVETIRACETAM 750 MG PO TABS [26818],20.14,20.14,2.98,16.11,23
CDM,RX-560,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],28.94,28.94,4.28,23.15,23
CDM,RX-5600,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
CDM,RX-5601,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
CDM,RX-5602,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
CDM,RX-5603,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
CDM,RX-5604,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
CDM,RX-5605,LEVETIRACETAM 750 MG PO TABS [26818],77.33,77.33,11.44,61.86,23
CDM,RX-5606,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],44.65,44.65,6.61,35.72,23
CDM,RX-5607,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],62.51,62.51,9.25,50.01,23
CDM,RX-5608,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
CDM,RX-5609,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
CDM,RX-561,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],31.02,31.02,4.59,24.82,23
CDM,RX-5610,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
CDM,RX-5611,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
CDM,RX-5612,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
CDM,RX-5613,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
CDM,RX-5614,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
CDM,RX-5615,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],210.06,210.06,31.09,168.05,23
CDM,RX-5616,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],261.41,261.41,38.69,209.13,23
CDM,RX-5617,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],60.63,60.63,8.97,48.5,23
CDM,RX-5618,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],70.97,70.97,10.5,56.78,23
CDM,RX-5619,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],85.54,85.54,12.66,68.43,23
CDM,RX-562,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],36.36,36.36,5.38,29.09,23
CDM,RX-5620,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],148.09,148.09,21.92,118.47,23
CDM,RX-5621,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],148.09,148.09,21.92,118.47,23
CDM,RX-5622,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
CDM,RX-5623,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
CDM,RX-5624,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
CDM,RX-5625,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
CDM,RX-5626,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],280.08,280.08,41.45,224.06,23
CDM,RX-5627,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],368.78,368.78,54.58,295.02,23
CDM,RX-5628,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],34.78,34.78,5.15,27.82,23
CDM,RX-5629,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],78.96,78.96,11.69,63.17,23
CDM,RX-563,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],38.26,38.26,5.66,30.61,23
CDM,RX-5630,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],144.19,144.19,21.34,115.35,23
CDM,RX-5631,LEVOBUNOLOL HCL 0.5 % OP SOLN [10394],104.7,104.7,15.5,83.76,23
CDM,RX-5632,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],55.28,55.28,8.18,44.22,23
CDM,RX-5633,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.29,200.29,29.64,160.23,23
CDM,RX-5634,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.29,200.29,29.64,160.23,23
CDM,RX-5635,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.8,200.8,29.72,160.64,23
CDM,RX-5636,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.8,200.8,29.72,160.64,23
CDM,RX-5637,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],213.58,213.58,31.61,170.86,23
CDM,RX-5638,LEVOCARNITINE 200 MG/ML IV SOLN [20954],185.35,185.35,27.43,148.28,23
CDM,RX-5639,LEVOCARNITINE 200 MG/ML IV SOLN [20954],185.35,185.35,27.43,148.28,23
CDM,RX-564,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],43.5,43.5,6.44,34.8,23
CDM,RX-5640,LEVOCARNITINE 200 MG/ML IV SOLN [20954],202.0,202.0,29.9,161.6,23
CDM,RX-5641,LEVOFLOXACIN 250 MG PO TABS [18918],69.22,69.22,10.24,55.38,23
CDM,RX-5642,LEVOFLOXACIN 250 MG PO TABS [18918],79.02,79.02,11.69,63.22,23
CDM,RX-5643,LEVOFLOXACIN 250 MG PO TABS [18918],79.11,79.11,11.71,63.29,23
CDM,RX-5644,LEVOFLOXACIN 500 MG PO TABS [18919],79.06,79.06,11.7,63.25,23
CDM,RX-5645,LEVOFLOXACIN 500 MG PO TABS [18919],90.56,90.56,13.4,72.45,23
CDM,RX-5646,LEVOFLOXACIN 7.5 MG/1.5 ML D5W PO SOLN [600821],9.0,9.0,1.33,7.2,23
CDM,RX-5647,LEVOFLOXACIN 75 MG/15 ML D5W PO SOLN [600822],15.8,15.8,2.34,12.64,23
CDM,RX-5648,LEVOFLOXACIN 750 MG PO TABS [28964],106.58,106.58,15.77,85.26,23
CDM,RX-5649,LEVOFLOXACIN 750 MG PO TABS [28964],108.6,108.6,16.07,86.88,23
CDM,RX-565,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],44.84,44.84,6.64,35.87,23
CDM,RX-5650,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],22.56,22.56,3.34,18.05,23
CDM,RX-5651,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],23.74,23.74,3.51,18.99,23
CDM,RX-5652,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],33.84,33.84,5.01,27.07,23
CDM,RX-5653,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],33.84,33.84,5.01,27.07,23
CDM,RX-5654,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],28.2,28.2,4.17,22.56,23
CDM,RX-5655,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],32.9,32.9,4.87,26.32,23
CDM,RX-5656,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],33.37,33.37,4.94,26.7,23
CDM,RX-5657,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],34.31,34.31,5.08,27.45,23
CDM,RX-5658,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],34.31,34.31,5.08,27.45,23
CDM,RX-5659,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],35.25,35.25,5.22,28.2,23
CDM,RX-566,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],29.9,29.9,4.43,23.92,23
CDM,RX-5660,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],36.66,36.66,5.43,29.33,23
CDM,RX-5661,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],56.4,56.4,8.35,45.12,23
CDM,RX-5662,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],56.4,56.4,8.35,45.12,23
CDM,RX-5663,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],62.04,62.04,9.18,49.63,23
CDM,RX-5664,LEVONORGESTREL 1.5 MG PO TABS [99438],108.25,108.25,16.02,86.6,23
CDM,RX-5665,LEVONORGESTREL 1.5 MG PO TABS [99438],145.8,145.8,21.58,116.64,23
CDM,RX-5666,LEVONORGESTREL 1.5 MG PO TABS [99438],158.27,158.27,23.42,126.62,23
CDM,RX-5667,LEVONORGESTREL 1.5 MG PO TABS [99438],158.31,158.31,23.43,126.65,23
CDM,RX-5668,LEVONORGESTREL 1.5 MG PO TABS [99438],168.87,168.87,24.99,135.1,23
CDM,RX-5669,LEVONORGESTREL 19.5 MG IU IUD [133838],3687.63,3687.63,545.77,2950.1,23
CDM,RX-567,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],35.25,35.25,5.22,28.2,23
CDM,RX-5670,LEVONORGESTREL 20 MCG/DAY IU IUD [29280],3687.63,3687.63,545.77,2950.1,23
CDM,RX-5671,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],399.4,399.4,59.11,319.52,23
CDM,RX-5672,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],415.35,415.35,61.47,332.28,23
CDM,RX-5673,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],415.35,415.35,61.47,332.28,23
CDM,RX-5674,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],477.66,477.66,70.69,382.13,23
CDM,RX-5675,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],544.51,544.51,80.59,435.61,23
CDM,RX-5676,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5677,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5678,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5679,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-568,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],42.98,42.98,6.36,34.38,23
CDM,RX-5680,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5681,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5682,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
CDM,RX-5683,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],9.34,9.34,1.38,7.47,23
CDM,RX-5684,LEVOTHYROXINE SODIUM 100 MCG/5ML PO SOLN [150958],653.35,653.35,96.7,522.68,23
CDM,RX-5685,LEVOTHYROXINE SODIUM 100 MCG/5ML PO SOLN [150958],653.35,653.35,96.7,522.68,23
CDM,RX-5686,LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN [157997],349.79,349.79,51.77,279.83,23
CDM,RX-5687,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5688,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5689,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-569,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],47.47,47.47,7.03,37.98,23
CDM,RX-5690,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5691,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5692,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5693,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
CDM,RX-5694,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
CDM,RX-5695,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
CDM,RX-5696,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
CDM,RX-5697,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
CDM,RX-5698,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
CDM,RX-5699,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
CDM,RX-570,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],50.76,50.76,7.51,40.61,23
CDM,RX-5700,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
CDM,RX-5701,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
CDM,RX-5702,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
CDM,RX-5703,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5704,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5705,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5706,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5707,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5708,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-5709,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
CDM,RX-571,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],68.62,68.62,10.16,54.9,23
CDM,RX-5710,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
CDM,RX-5711,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
CDM,RX-5712,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
CDM,RX-5713,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
CDM,RX-5714,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
CDM,RX-5715,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
CDM,RX-5716,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-5717,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-5718,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-5719,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-572,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],72.24,72.24,10.69,57.79,23
CDM,RX-5720,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-5721,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
CDM,RX-5722,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5723,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5724,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5725,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5726,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5727,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5728,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5729,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-573,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],82.13,82.13,12.16,65.7,23
CDM,RX-5730,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5731,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
CDM,RX-5732,LEVOTHYROXINE SODIUM 500 MCG IV SOLR [111525],1843.46,1843.46,272.83,1474.77,23
CDM,RX-5733,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5734,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5735,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5736,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5737,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5738,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-5739,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
CDM,RX-574,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],89.96,89.96,13.31,71.97,23
CDM,RX-5740,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5741,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5742,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5743,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5744,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5745,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
CDM,RX-5746,LIDOCAINE 1% 14 ML/PAPAVERINE (30 MG/ML) 2 ML-OR [600386],58.81,58.81,8.7,47.05,23
CDM,RX-5747,LIDOCAINE 2% (NEBULIZED USE ONLY) [601113],6.0,6.0,0.89,4.8,23
CDM,RX-5748,LIDOCAINE 2% 3ML/.75% MARCAINE 3ML/200MG WYDASE 1ML [600382],259.41,259.41,38.39,207.53,23
CDM,RX-5749,LIDOCAINE 4 % EX CREA [23461],19.74,19.74,2.92,15.79,23
CDM,RX-575,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IV SOLR [27283],52.1,52.1,7.71,41.68,23
CDM,RX-5750,LIDOCAINE 4 % EX CREA [23461],19.74,19.74,2.92,15.79,23
CDM,RX-5751,LIDOCAINE 4 % EX CREA [23461],25.38,25.38,3.76,20.3,23
CDM,RX-5752,LIDOCAINE 4 % EX CREA [23461],39.48,39.48,5.84,31.58,23
CDM,RX-5753,LIDOCAINE 4 % EX CREA [23461],39.48,39.48,5.84,31.58,23
CDM,RX-5754,LIDOCAINE 4 % EX CREA [23461],46.06,46.06,6.82,36.85,23
CDM,RX-5755,LIDOCAINE 4 % EX CREAM- LARGE TUBE [123899],46.39,46.39,6.87,37.11,23
CDM,RX-5756,LIDOCAINE 4 % EX CREAM- LARGE TUBE [123899],49.62,49.62,7.34,39.7,23
CDM,RX-5757,LIDOCAINE 5 % EX OINT [41831],749.71,749.71,110.96,599.77,23
CDM,RX-5758,LIDOCAINE 5 % EX OINT [41831],891.94,891.94,132.01,713.55,23
CDM,RX-5759,LIDOCAINE 5 % EX OINT [41831],1038.64,1038.64,153.72,830.91,23
CDM,RX-576,ANACAULASE-BCDB 8.8 % EX GEL [158792],9563.37,9563.37,1415.38,7650.7,23
CDM,RX-5760,LIDOCAINE 5 % EX OINT [41831],1038.64,1038.64,153.72,830.91,23
CDM,RX-5761,LIDOCAINE 5 % EX OINT [41831],1038.75,1038.75,153.73,831.0,23
CDM,RX-5762,LIDOCAINE 5 % EX PTCH [28203],12.22,12.22,1.81,9.78,23
CDM,RX-5763,LIDOCAINE 5 % EX PTCH [28203],16.08,16.08,2.38,12.86,23
CDM,RX-5764,LIDOCAINE 5 % EX PTCH [28203],16.08,16.08,2.38,12.86,23
CDM,RX-5765,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
CDM,RX-5766,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
CDM,RX-5767,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
CDM,RX-5768,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
CDM,RX-5769,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
CDM,RX-577,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],46.64,46.64,6.9,37.31,23
CDM,RX-5770,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
CDM,RX-5771,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
CDM,RX-5772,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
CDM,RX-5773,LIDOCAINE 5 % EX PTCH [28203],48.32,48.32,7.15,38.66,23
CDM,RX-5774,LIDOCAINE 5 % EX PTCH [28203],63.23,63.23,9.36,50.58,23
CDM,RX-5775,LIDOCAINE 5 % EX PTCH [28203],63.23,63.23,9.36,50.58,23
CDM,RX-5776,LIDOCAINE 5 % EX PTCH [28203],86.45,86.45,12.79,69.16,23
CDM,RX-5777,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY [143139],42.8,42.8,6.33,34.24,23
CDM,RX-5778,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN [143138],22.0,22.0,3.26,17.6,23
CDM,RX-5779,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY [143140],41.01,41.01,6.07,32.81,23
CDM,RX-578,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],52.48,52.48,7.77,41.98,23
CDM,RX-5780,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY [143140],50.53,50.53,7.48,40.42,23
CDM,RX-5781,LIDOCAINE HCL (PF) 0.5 % IJ SOLN [105032],24.44,24.44,3.62,19.55,23
CDM,RX-5782,LIDOCAINE HCL (PF) 0.5 % IJ SOLN [105032],81.78,81.78,12.1,65.42,23
CDM,RX-5783,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5784,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5785,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5786,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5787,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5788,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5789,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-579,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],52.48,52.48,7.77,41.98,23
CDM,RX-5790,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5791,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5792,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5793,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5794,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5795,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5796,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5797,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5798,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
CDM,RX-5799,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.17,22.17,3.28,17.74,23
CDM,RX-580,ANAGRELIDE HCL 1 MG PO CAPS [20447],104.22,104.22,15.42,83.38,23
CDM,RX-5800,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.19,22.19,3.28,17.75,23
CDM,RX-5801,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5802,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5803,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5804,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5805,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5806,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5807,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
CDM,RX-5808,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],40.8,40.8,6.04,32.64,23
CDM,RX-5809,LIDOCAINE HCL 0.01 % IJ SOLN-ALLERGY CLINIC [600699],22.0,22.0,3.26,17.6,23
CDM,RX-581,ANAKINRA 100 MG/0.67ML SC SOSY [31784],829.25,829.25,122.73,663.4,23
CDM,RX-5810,LIDOCAINE HCL 0.1 % IJ SOLN-ALLERGY CLINIC [600698],22.0,22.0,3.26,17.6,23
CDM,RX-5811,LIDOCAINE HCL 0.5 % IJ SOLN [4451],26.79,26.79,3.96,21.43,23
CDM,RX-5812,LIDOCAINE HCL 0.5 % IJ SOLN [4451],31.26,31.26,4.63,25.01,23
CDM,RX-5813,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5814,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5815,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5816,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5817,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5818,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5819,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-582,ANAKINRA 100 MG/0.67ML SC SOSY [31784],829.26,829.26,122.73,663.41,23
CDM,RX-5820,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5821,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5822,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5823,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5824,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
CDM,RX-5825,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
CDM,RX-5826,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
CDM,RX-5827,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
CDM,RX-5828,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
CDM,RX-5829,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
CDM,RX-583,ANASTROZOLE 1 MG PO TABS [16205],9.74,9.74,1.44,7.79,23
CDM,RX-5830,LIDOCAINE HCL 2 % IJ SOLN [4454],22.38,22.38,3.31,17.9,23
CDM,RX-5831,LIDOCAINE HCL 2 % IJ SOLN [4454],22.38,22.38,3.31,17.9,23
CDM,RX-5832,LIDOCAINE HCL 2 % IJ SOLN [4454],23.69,23.69,3.51,18.95,23
CDM,RX-5833,LIDOCAINE HCL 4 % EX SOLN [4450],171.47,171.47,25.38,137.18,23
CDM,RX-5834,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
CDM,RX-5835,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
CDM,RX-5836,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
CDM,RX-5837,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
CDM,RX-5838,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
CDM,RX-5839,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
CDM,RX-584,ANASTROZOLE 1 MG PO TABS [16205],56.39,56.39,8.35,45.11,23
CDM,RX-5840,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
CDM,RX-5841,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
CDM,RX-5842,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL [143152],39.48,39.48,5.84,31.58,23
CDM,RX-5843,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL [143152],39.48,39.48,5.84,31.58,23
CDM,RX-5844,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],33.56,33.56,4.97,26.85,23
CDM,RX-5845,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],33.84,33.84,5.01,27.07,23
CDM,RX-5846,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],35.65,35.65,5.28,28.52,23
CDM,RX-5847,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],39.72,39.72,5.88,31.78,23
CDM,RX-5848,LIDOCAINE IN D5W 4-5 MG/ML-% IV SOLN [14868],44.65,44.65,6.61,35.72,23
CDM,RX-5849,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
CDM,RX-585,ANASTROZOLE 1 MG PO TABS [16205],62.53,62.53,9.25,50.02,23
CDM,RX-5850,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
CDM,RX-5851,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
CDM,RX-5852,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],10.02,10.02,1.48,8.02,23
CDM,RX-5853,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],36.17,36.17,5.35,28.94,23
CDM,RX-5854,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],36.17,36.17,5.35,28.94,23
CDM,RX-5855,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
CDM,RX-5856,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
CDM,RX-5857,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
CDM,RX-5858,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
CDM,RX-5859,LIDOCAINE/BUPIVACAINE/HYALURONIDASE - OR EYE BLOCK [600384],261.55,261.55,38.71,209.24,23
CDM,RX-586,ANASTROZOLE 1 MG PO TABS [16205],63.36,63.36,9.38,50.69,23
CDM,RX-5860,LIDOCAINE/EPI/NS-OR TUMESCENT MIXTURE [600385],68.54,68.54,10.14,54.83,23
CDM,RX-5861,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN [10426],22.0,22.0,3.26,17.6,23
CDM,RX-5862,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN [10426],51.47,51.47,7.62,41.18,23
CDM,RX-5863,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
CDM,RX-5864,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
CDM,RX-5865,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
CDM,RX-5866,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.33,22.33,3.3,17.86,23
CDM,RX-5867,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],31.59,31.59,4.68,25.27,23
CDM,RX-5868,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],31.59,31.59,4.68,25.27,23
CDM,RX-5869,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],64.02,64.02,9.47,51.22,23
CDM,RX-587,ANASTROZOLE 1 MG PO TABS [16205],63.44,63.44,9.39,50.75,23
CDM,RX-5870,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],64.02,64.02,9.47,51.22,23
CDM,RX-5871,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],26.21,26.21,3.88,20.97,23
CDM,RX-5872,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],30.55,30.55,4.52,24.44,23
CDM,RX-5873,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],30.6,30.6,4.53,24.48,23
CDM,RX-5874,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],92.62,92.62,13.71,74.1,23
CDM,RX-5875,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],96.26,96.26,14.25,77.01,23
CDM,RX-5876,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],96.26,96.26,14.25,77.01,23
CDM,RX-5877,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
CDM,RX-5878,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
CDM,RX-5879,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
CDM,RX-588,ANGIOTENSIN II ACETATE 2.5 MG/ML IV SOLN [138537],5358.54,5358.54,793.06,4286.83,23
CDM,RX-5880,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
CDM,RX-5881,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],32.06,32.06,4.74,25.65,23
CDM,RX-5882,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],28.49,28.49,4.22,22.79,23
CDM,RX-5883,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],66.04,66.04,9.77,52.83,23
CDM,RX-5884,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],72.29,72.29,10.7,57.83,23
CDM,RX-5885,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],122.11,122.11,18.07,97.69,23
CDM,RX-5886,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],122.11,122.11,18.07,97.69,23
CDM,RX-5887,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],37.79,37.79,5.59,30.23,23
CDM,RX-5888,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],37.79,37.79,5.59,30.23,23
CDM,RX-5889,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],43.15,43.15,6.39,34.52,23
CDM,RX-589,ANIDULAFUNGIN 100 MG IV SOLR [88093],751.35,751.35,111.2,601.08,23
CDM,RX-5890,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],46.25,46.25,6.84,37.0,23
CDM,RX-5891,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],46.61,46.61,6.9,37.29,23
CDM,RX-5892,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX KIT [11934],214.69,214.69,31.77,171.75,23
CDM,RX-5893,LIDOCAINE-TRANSPARENT DRESSING 4 % EX KIT [30183],129.9,129.9,19.23,103.92,23
CDM,RX-5894,LINACLOTIDE 145 MCG PO CAPS [117011],98.38,98.38,14.56,78.7,23
CDM,RX-5895,LINDANE 1 % EX SHAM [4498],515.97,515.97,76.36,412.78,23
CDM,RX-5896,LINEZOLID 100 MG/5ML PO SUSR [28225],966.29,966.29,143.01,773.03,23
CDM,RX-5897,LINEZOLID 100 MG/5ML PO SUSR [28225],2386.35,2386.35,353.18,1909.08,23
CDM,RX-5898,LINEZOLID 100 MG/5ML PO SUSR [28225],2784.0,2784.0,412.03,2227.2,23
CDM,RX-5899,LINEZOLID 600 MG PO TABS [28224],476.28,476.28,70.49,381.02,23
CDM,RX-590,ANIDULAFUNGIN 100 MG/ D5W 100 ML MB PLUS [601076],723.48,723.48,107.08,578.78,23
CDM,RX-5900,LINEZOLID 600 MG PO TABS [28224],476.28,476.28,70.49,381.02,23
CDM,RX-5901,LINEZOLID 600 MG PO TABS [28224],689.91,689.91,102.11,551.93,23
CDM,RX-5902,LINEZOLID 600 MG PO TABS [28224],691.68,691.68,102.37,553.34,23
CDM,RX-5903,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
CDM,RX-5904,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
CDM,RX-5905,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
CDM,RX-5906,LINEZOLID 600 MG PO TABS [28224],692.44,692.44,102.48,553.95,23
CDM,RX-5907,LINEZOLID 600 MG PO TABS [28224],692.45,692.45,102.48,553.96,23
CDM,RX-5908,LINEZOLID 600 MG/300ML IV SOLN [130884],78.96,78.96,11.69,63.17,23
CDM,RX-5909,LINEZOLID 600 MG/300ML IV SOLN [130884],98.73,98.73,14.61,78.98,23
CDM,RX-591,ANIFROLUMAB-FNIA 300 MG/2ML IV SOLN [153222],16193.9,16193.9,2396.7,12955.12,23
CDM,RX-5910,LINEZOLID 600 MG/300ML IV SOLN [130884],171.47,171.47,25.38,137.18,23
CDM,RX-5911,LINEZOLID 600 MG/300ML IV SOLN [130884],207.84,207.84,30.76,166.27,23
CDM,RX-5912,LINEZOLID 600 MG/300ML IV SOLN [130884],212.4,212.4,31.44,169.92,23
CDM,RX-5913,LINEZOLID 600 MG/300ML IV SOLN [130884],224.07,224.07,33.16,179.26,23
CDM,RX-5914,LINEZOLID 600 MG/300ML IV SOLN [130884],224.07,224.07,33.16,179.26,23
CDM,RX-5915,LINEZOLID 600 MG/300ML IV SOLN [130884],303.42,303.42,44.91,242.74,23
CDM,RX-5916,LINEZOLID 600 MG/300ML IV SOLN [130884],325.6,325.6,48.19,260.48,23
CDM,RX-5917,LINEZOLID 600 MG/300ML IV SOLN [130884],415.08,415.08,61.43,332.06,23
CDM,RX-5918,LIOTHYRONINE SODIUM 10 MCG/ML IV SOLN [10442],1538.67,1538.67,227.72,1230.94,23
CDM,RX-5919,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],6.0,6.0,0.89,4.8,23
CDM,RX-592,ANTIHEMOPHIL FACT BD TRUNCATED 1000 UNITS IV SOLR [147322],22.0,22.0,3.26,17.6,23
CDM,RX-5920,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],6.0,6.0,0.89,4.8,23
CDM,RX-5921,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],13.56,13.56,2.01,10.85,23
CDM,RX-5922,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
CDM,RX-5923,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
CDM,RX-5924,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
CDM,RX-5925,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
CDM,RX-5926,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.75,6.75,1.0,5.4,23
CDM,RX-5927,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],8.89,8.89,1.32,7.11,23
CDM,RX-5928,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],10.33,10.33,1.53,8.26,23
CDM,RX-5929,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],7.48,7.48,1.11,5.98,23
CDM,RX-593,ANTIHEMOPHIL FACT BD TRUNCATED 2000 UNITS IV SOLR [147324],22.0,22.0,3.26,17.6,23
CDM,RX-5930,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],9.34,9.34,1.38,7.47,23
CDM,RX-5931,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],11.97,11.97,1.77,9.58,23
CDM,RX-5932,LISDEXAMFETAMINE DIMESYLATE 20 MG PO CAPS [89783],72.91,72.91,10.79,58.33,23
CDM,RX-5933,LISDEXAMFETAMINE DIMESYLATE 30 MG PO CAPS [81474],72.91,72.91,10.79,58.33,23
CDM,RX-5934,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
CDM,RX-5935,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
CDM,RX-5936,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
CDM,RX-5937,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
CDM,RX-5938,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
CDM,RX-5939,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
CDM,RX-594,ANTIHEMOPHIL FACT BD TRUNCATED 2000 UNITS IV SOLR [147324],13105.4,13105.4,1939.6,10484.32,23
CDM,RX-5940,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
CDM,RX-5941,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
CDM,RX-5942,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
CDM,RX-5943,LISINOPRIL 20 MG PO TABS [4526],74.97,74.97,11.1,59.98,23
CDM,RX-5944,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
CDM,RX-5945,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
CDM,RX-5946,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
CDM,RX-5947,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
CDM,RX-5948,LISINOPRIL 40 MG PO TABS [10450],7.32,7.32,1.08,5.86,23
CDM,RX-5949,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
CDM,RX-595,ANTIHEMOPHIL FACT BD TRUNCATED 500 UNITS IV SOLR [147321],22.0,22.0,3.26,17.6,23
CDM,RX-5950,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
CDM,RX-5951,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
CDM,RX-5952,LISINOPRIL-HCTZ 10-12.5 MG TABLET [24711],6.0,6.0,0.89,4.8,23
CDM,RX-5953,LISINOPRIL-HCTZ 10-12.5 MG TABLET [24711],6.0,6.0,0.89,4.8,23
CDM,RX-5954,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
CDM,RX-5955,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
CDM,RX-5956,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
CDM,RX-5957,LISINOPRIL-HCTZ 20-25 MG TABLET [10453],6.0,6.0,0.89,4.8,23
CDM,RX-5958,LITHIUM CARBONATE 300 MG PO CAPS [4529],6.0,6.0,0.89,4.8,23
CDM,RX-5959,LITHIUM CARBONATE 300 MG PO CAPS [4529],6.0,6.0,0.89,4.8,23
CDM,RX-596,ANTIHEMOPHIL FACTOR (RAHF-PFM) 1000 UNITS IV SOLR [76367],22.0,22.0,3.26,17.6,23
CDM,RX-5960,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
CDM,RX-5961,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
CDM,RX-5962,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
CDM,RX-5963,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
CDM,RX-5964,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
CDM,RX-5965,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
CDM,RX-5966,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
CDM,RX-5967,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
CDM,RX-5968,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
CDM,RX-5969,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
CDM,RX-597,ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR [78225],22.0,22.0,3.26,17.6,23
CDM,RX-5970,LOMUSTINE 100 MG PO CAPS [10460],4072.67,4072.67,602.76,3258.14,23
CDM,RX-5971,LOMUSTINE 40 MG PO CAPS [10461],1696.93,1696.93,251.15,1357.54,23
CDM,RX-5972,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],19.18,19.18,2.84,15.34,23
CDM,RX-5973,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],19.18,19.18,2.84,15.34,23
CDM,RX-5974,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],20.87,20.87,3.09,16.7,23
CDM,RX-5975,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-5976,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-5977,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-5978,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-5979,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-598,ANTIHEMOPHIL FACTOR (RAHF-PFM) 500 UNITS IV SOLR [76366],22.0,22.0,3.26,17.6,23
CDM,RX-5980,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
CDM,RX-5981,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.27,6.27,0.93,5.02,23
CDM,RX-5982,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.42,6.42,0.95,5.14,23
CDM,RX-5983,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5984,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5985,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5986,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5987,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5988,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5989,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-599,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 1000 UNITS IV KIT [32961],4984.1,4984.1,737.65,3987.28,23
CDM,RX-5990,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5991,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
CDM,RX-5992,LORATADINE 5 MG/5ML PO SOLN [106208],32.15,32.15,4.76,25.72,23
CDM,RX-5993,LORATADINE 5 MG/5ML PO SOLN [106208],46.25,46.25,6.84,37.0,23
CDM,RX-5994,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-5995,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-5996,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-5997,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-5998,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-5999,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-600,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 1000 UNITS IV KIT [32961],4984.1,4984.1,737.65,3987.28,23
CDM,RX-6000,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
CDM,RX-6001,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
CDM,RX-6002,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
CDM,RX-6003,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
CDM,RX-6004,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6005,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6006,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6007,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6008,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6009,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-601,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 2000 UNITS IV KIT [33863],9968.2,9968.2,1475.29,7974.56,23
CDM,RX-6010,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6011,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6012,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6013,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
CDM,RX-6014,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
CDM,RX-6015,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
CDM,RX-6016,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
CDM,RX-6017,LORAZEPAM 2 MG PO TABS [4574],6.03,6.03,0.89,4.82,23
CDM,RX-6018,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6019,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-602,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 2000 UNITS IV KIT [33863],9968.2,9968.2,1475.29,7974.56,23
CDM,RX-6020,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6021,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6022,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6023,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6024,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6025,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
CDM,RX-6026,LORAZEPAM 2 MG/ML IJ SOLN [10467],56.4,56.4,8.35,45.12,23
CDM,RX-6027,LORAZEPAM 2 MG/ML IJ SOLN [10467],56.4,56.4,8.35,45.12,23
CDM,RX-6028,LORAZEPAM 2 MG/ML IJ SOLN [10467],60.07,60.07,8.89,48.06,23
CDM,RX-6029,LORAZEPAM 2 MG/ML IJ SOLN [10467],65.99,65.99,9.77,52.79,23
CDM,RX-603,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 500 UNITS IV KIT [32960],2866.35,2866.35,424.22,2293.08,23
CDM,RX-6030,LORAZEPAM 2 MG/ML PO CONC [4571],9.0,9.0,1.33,7.2,23
CDM,RX-6031,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
CDM,RX-6032,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
CDM,RX-6033,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
CDM,RX-6034,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
CDM,RX-6035,LORLATINIB 100 MG PO TABS [141713],2486.25,2486.25,367.96,1989.0,23
CDM,RX-6036,LORLATINIB 25 MG PO TABS [141712],934.13,934.13,138.25,747.3,23
CDM,RX-6037,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
CDM,RX-6038,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
CDM,RX-6039,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
CDM,RX-604,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 500 UNITS IV KIT [32960],2866.35,2866.35,424.22,2293.08,23
CDM,RX-6040,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
CDM,RX-6041,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.4,14.4,2.13,11.52,23
CDM,RX-6042,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.46,14.46,2.14,11.57,23
CDM,RX-6043,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.48,14.48,2.14,11.58,23
CDM,RX-6044,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
CDM,RX-6045,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
CDM,RX-6046,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
CDM,RX-6047,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
CDM,RX-6048,LOSARTAN POTASSIUM 100 MG PO TABS [22588],28.54,28.54,4.22,22.83,23
CDM,RX-6049,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
CDM,RX-605,ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR [70405],22.0,22.0,3.26,17.6,23
CDM,RX-6050,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
CDM,RX-6051,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
CDM,RX-6052,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.86,7.86,1.16,6.29,23
CDM,RX-6053,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.86,7.86,1.16,6.29,23
CDM,RX-6054,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.89,7.89,1.17,6.31,23
CDM,RX-6055,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.92,7.92,1.17,6.34,23
CDM,RX-6056,LOSARTAN POTASSIUM 50 MG PO TABS [14824],6.0,6.0,0.89,4.8,23
CDM,RX-6057,LOSARTAN POTASSIUM 50 MG PO TABS [14824],6.0,6.0,0.89,4.8,23
CDM,RX-6058,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
CDM,RX-6059,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
CDM,RX-606,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS IV SOLR [143148],6831.0,6831.0,1010.99,5464.8,23
CDM,RX-6060,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
CDM,RX-6061,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
CDM,RX-6062,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
CDM,RX-6063,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
CDM,RX-6064,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
CDM,RX-6065,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
CDM,RX-6066,LOSARTAN POTASSIUM 50 MG PO TABS [14824],20.93,20.93,3.1,16.74,23
CDM,RX-6067,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-6068,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-6069,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-607,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS IV SOLR [143148],6831.0,6831.0,1010.99,5464.8,23
CDM,RX-6070,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-6071,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-6072,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
CDM,RX-6073,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6074,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6075,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6076,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6077,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6078,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6079,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-608,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR [143149],17077.5,17077.5,2527.47,13662.0,23
CDM,RX-6080,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
CDM,RX-6081,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],31.59,31.59,4.68,25.27,23
CDM,RX-6082,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6083,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6084,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6085,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6086,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6087,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6088,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-6089,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
CDM,RX-609,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR [143149],17077.5,17077.5,2527.47,13662.0,23
CDM,RX-6090,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],23.13,23.13,3.42,18.5,23
CDM,RX-6091,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],23.13,23.13,3.42,18.5,23
CDM,RX-6092,LOTEPREDNOL ETABONATE 0.5 % OP GEL [117945],1019.69,1019.69,150.91,815.75,23
CDM,RX-6093,LOXAPINE SUCCINATE 10 MG PO CAPS [4599],6.0,6.0,0.89,4.8,23
CDM,RX-6094,LOXAPINE SUCCINATE 25 MG PO CAPS [4600],9.05,9.05,1.34,7.24,23
CDM,RX-6095,LOXAPINE SUCCINATE 50 MG PO CAPS [4602],12.09,12.09,1.79,9.67,23
CDM,RX-6096,LUBIPROSTONE 24 MCG PO CAPS [70472],31.4,31.4,4.65,25.12,23
CDM,RX-6097,LUBIPROSTONE 24 MCG PO CAPS [70472],31.7,31.7,4.69,25.36,23
CDM,RX-6098,LUBIPROSTONE 24 MCG PO CAPS [70472],34.89,34.89,5.16,27.91,23
CDM,RX-6099,LUBIPROSTONE 8 MCG PO CAPS [91534],31.4,31.4,4.65,25.12,23
CDM,RX-610,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR [143147],3415.5,3415.5,505.49,2732.4,23
CDM,RX-6100,LUBIPROSTONE 8 MCG PO CAPS [91534],34.89,34.89,5.16,27.91,23
CDM,RX-6101,LUBIPROSTONE 8 MCG PO CAPS [91534],74.03,74.03,10.96,59.22,23
CDM,RX-6102,LUBRIFRESH P.M. OP OINT [21064],30.42,30.42,4.5,24.34,23
CDM,RX-6103,LURASIDONE HCL 20 MG PO TABS [112380],6.0,6.0,0.89,4.8,23
CDM,RX-6104,LURASIDONE HCL 20 MG PO TABS [112380],198.52,198.52,29.38,158.82,23
CDM,RX-6105,LURASIDONE HCL 20 MG PO TABS [112380],209.72,209.72,31.04,167.78,23
CDM,RX-6106,LURASIDONE HCL 20 MG PO TABS [112380],220.75,220.75,32.67,176.6,23
CDM,RX-6107,LURASIDONE HCL 40 MG PO TABS [106031],6.0,6.0,0.89,4.8,23
CDM,RX-6108,LURASIDONE HCL 40 MG PO TABS [106031],198.52,198.52,29.38,158.82,23
CDM,RX-6109,LURASIDONE HCL 40 MG PO TABS [106031],209.72,209.72,31.04,167.78,23
CDM,RX-611,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR [24585],3398.71,3398.71,503.01,2718.97,23
CDM,RX-6110,LURASIDONE HCL 40 MG PO TABS [106031],220.75,220.75,32.67,176.6,23
CDM,RX-6111,LURASIDONE HCL 60 MG PO TABS [121854],198.68,198.68,29.4,158.94,23
CDM,RX-6112,LURASIDONE HCL 60 MG PO TABS [121854],209.72,209.72,31.04,167.78,23
CDM,RX-6113,LURASIDONE HCL 60 MG PO TABS [121854],220.75,220.75,32.67,176.6,23
CDM,RX-6114,LURASIDONE HCL 80 MG PO TABS [106032],163.82,163.82,24.25,131.06,23
CDM,RX-6115,LURASIDONE HCL 80 MG PO TABS [106032],196.47,196.47,29.08,157.18,23
CDM,RX-6116,LURASIDONE HCL 80 MG PO TABS [106032],198.52,198.52,29.38,158.82,23
CDM,RX-6117,LURASIDONE HCL 80 MG PO TABS [106032],209.5,209.5,31.01,167.6,23
CDM,RX-6118,LURASIDONE HCL 80 MG PO TABS [106032],209.72,209.72,31.04,167.78,23
CDM,RX-6119,LURASIDONE HCL 80 MG PO TABS [106032],220.75,220.75,32.67,176.6,23
CDM,RX-612,ANTIVENIN LATRODECTUS MACTANS IJ KIT [24188],143.98,143.98,21.31,115.18,23
CDM,RX-6120,LURBINECTEDIN 4 MG IV SOLR [148628],24621.96,24621.96,3644.05,19697.57,23
CDM,RX-6121,LUSPATERCEPT-AAMT 25 MG SC SOLR [145779],306066.12,306066.12,45297.79,244852.9,23
CDM,RX-6122,LUSPATERCEPT-AAMT 75 MG SC SOLR [145780],2754581.78,2754581.78,407678.1,2203665.42,23
CDM,RX-6123,LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407],147864.54,147864.54,21883.95,118291.63,23
CDM,RX-6124,"LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN [10475]",15366.14,15366.14,2274.19,12292.91,23
CDM,RX-6125,"LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN [10475]",15366.14,15366.14,2274.19,12292.91,23
CDM,RX-6126,"MAFENIDE 5% (PLUS NYSTATIN 500,000 UNITS) TOP SOL-50GM/1000ML SW [900288]",207.65,207.65,30.73,166.12,23
CDM,RX-6127,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],282.55,282.55,41.82,226.04,23
CDM,RX-6128,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],338.13,338.13,50.04,270.5,23
CDM,RX-6129,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],1742.37,1742.37,257.87,1393.9,23
CDM,RX-613,ANTIVENIN MICRURUS FULVIUS IV SOLR [121713],25514.5,25514.5,3776.15,20411.6,23
CDM,RX-6130,MAGNESIUM CHLORIDE DELAY RELEASE 71.5 MG PO TAB [104022],6.0,6.0,0.89,4.8,23
CDM,RX-6131,MAGNESIUM CHLORIDE DELAY RELEASE 71.5 MG PO TAB [104022],6.0,6.0,0.89,4.8,23
CDM,RX-6132,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
CDM,RX-6133,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
CDM,RX-6134,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
CDM,RX-6135,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
CDM,RX-6136,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
CDM,RX-6137,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
CDM,RX-6138,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
CDM,RX-6139,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
CDM,RX-614,APALUTAMIDE 60 MG PO TABS [138939],576.83,576.83,85.37,461.46,23
CDM,RX-6140,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],13.92,13.92,2.06,11.14,23
CDM,RX-6141,MAGNESIUM GLUCONATE 500 MG PO TABS [121727],6.0,6.0,0.89,4.8,23
CDM,RX-6142,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6143,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6144,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6145,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6146,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6147,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
CDM,RX-6148,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.28,11.28,1.67,9.02,23
CDM,RX-6149,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],12.41,12.41,1.84,9.93,23
CDM,RX-615,APIXABAN 2.5 MG PO TABS [118319],57.0,57.0,8.44,45.6,23
CDM,RX-6150,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],12.69,12.69,1.88,10.15,23
CDM,RX-6151,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],20.01,20.01,2.96,16.01,23
CDM,RX-6152,MAGNESIUM LACTATE 84 MG (7MEQ) PO TBCR [4715],6.0,6.0,0.89,4.8,23
CDM,RX-6153,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
CDM,RX-6154,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
CDM,RX-6155,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
CDM,RX-6156,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
CDM,RX-6157,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
CDM,RX-6158,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
CDM,RX-6159,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
CDM,RX-616,APIXABAN 2.5 MG PO TABS [118319],57.0,57.0,8.44,45.6,23
CDM,RX-6160,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
CDM,RX-6161,MAGNESIUM SULFATE 4 G IN 50ML D5W PREMIX [600398],22.0,22.0,3.26,17.6,23
CDM,RX-6162,MAGNESIUM SULFATE 4 G IN 50ML D5W PREMIX [600398],52.0,52.0,7.7,41.6,23
CDM,RX-6163,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],22.0,22.0,3.26,17.6,23
CDM,RX-6164,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],22.0,22.0,3.26,17.6,23
CDM,RX-6165,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],30.55,30.55,4.52,24.44,23
CDM,RX-6166,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
CDM,RX-6167,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
CDM,RX-6168,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
CDM,RX-6169,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
CDM,RX-617,APIXABAN 5 MG PO TABS [118352],57.0,57.0,8.44,45.6,23
CDM,RX-6170,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],36.66,36.66,5.43,29.33,23
CDM,RX-6171,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
CDM,RX-6172,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
CDM,RX-6173,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
CDM,RX-6174,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],51.23,51.23,7.58,40.98,23
CDM,RX-6175,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],51.23,51.23,7.58,40.98,23
CDM,RX-6176,MAGNESIUM SULFATE 4 GM/50ML IV SOLN [129091],57.3,57.3,8.48,45.84,23
CDM,RX-6177,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
CDM,RX-6178,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
CDM,RX-6179,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
CDM,RX-618,APIXABAN 5 MG PO TABS [118352],57.0,57.0,8.44,45.6,23
CDM,RX-6180,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],51.7,51.7,7.65,41.36,23
CDM,RX-6181,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],138.56,138.56,20.51,110.85,23
CDM,RX-6182,MAGNESIUM SULFATE 50 % IJ SOLN [4720],22.0,22.0,3.26,17.6,23
CDM,RX-6183,MAGNESIUM SULFATE 50 % IJ SOLN [4720],22.0,22.0,3.26,17.6,23
CDM,RX-6184,MAGNESIUM SULFATE 50 % IJ SOLN [4720],30.46,30.46,4.51,24.37,23
CDM,RX-6185,MAGNESIUM SULFATE 50 % IJ SOLN [4720],51.05,51.05,7.56,40.84,23
CDM,RX-6186,MAGNESIUM SULFATE 50 % IJ SOLN [4720],121.03,121.03,17.91,96.82,23
CDM,RX-6187,MANGANESE CHLORIDE 0.1 MG/ML IV SOLN [4744],193.73,193.73,28.67,154.98,23
CDM,RX-6188,MANNITOL 20 % IV SOLN [4749],99.59,99.59,14.74,79.67,23
CDM,RX-6189,MANNITOL 20 % IV SOLN [4749],235.35,235.35,34.83,188.28,23
CDM,RX-619,APIXABAN STARTER PACK 5 MG PO TBPK [149445],57.0,57.0,8.44,45.6,23
CDM,RX-6190,MANNITOL 20 % IV SOLN [4749],254.8,254.8,37.71,203.84,23
CDM,RX-6191,MANNITOL 20 % IV SOLN [4749],293.7,293.7,43.47,234.96,23
CDM,RX-6192,MANNITOL 25 % IV SOLN [4750],34.08,34.08,5.04,27.26,23
CDM,RX-6193,MANNITOL 25 % IV SOLN [4750],34.31,34.31,5.08,27.45,23
CDM,RX-6194,MARAVIROC 150 MG PO TABS [87998],127.27,127.27,18.84,101.82,23
CDM,RX-6195,MARAVIROC 150 MG PO TABS [87998],149.83,149.83,22.17,119.86,23
CDM,RX-6196,MARAVIROC 300 MG PO TABS [87999],127.27,127.27,18.84,101.82,23
CDM,RX-6197,MARAVIROC 300 MG PO TABS [87999],149.83,149.83,22.17,119.86,23
CDM,RX-6198,MARGETUXIMAB-CMKB 250 MG/10ML IV SOLN [151592],7880.88,7880.88,1166.37,6304.7,23
CDM,RX-6199,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR [144934]",429.0,429.0,63.49,343.2,23
CDM,RX-620,APRACLONIDINE HCL 0.5 % OP SOLN [9119],337.54,337.54,49.96,270.03,23
CDM,RX-6200,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR [144934]",429.0,429.0,63.49,343.2,23
CDM,RX-6201,MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [141262],1092.88,1092.88,161.75,874.3,23
CDM,RX-6202,MECLIZINE HCL 25 MG PO CHEW [4822],6.0,6.0,0.89,4.8,23
CDM,RX-6203,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6204,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6205,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6206,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6207,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6208,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6209,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-621,APRACLONIDINE HCL 1 % OP SOLN [9120],2323.79,2323.79,343.92,1859.03,23
CDM,RX-6210,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6211,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
CDM,RX-6212,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],6.0,6.0,0.89,4.8,23
CDM,RX-6213,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],6.0,6.0,0.89,4.8,23
CDM,RX-6214,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],7.88,7.88,1.17,6.3,23
CDM,RX-6215,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],129.9,129.9,19.23,103.92,23
CDM,RX-6216,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],178.7,178.7,26.45,142.96,23
CDM,RX-6217,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],380.24,380.24,56.28,304.19,23
CDM,RX-6218,MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS [4855],6.0,6.0,0.89,4.8,23
CDM,RX-6219,MEDROXYPROGESTERONE ACETATE 5 MG PO TABS [4856],6.0,6.0,0.89,4.8,23
CDM,RX-622,APREPITANT 125 MG PO CAPS [35489],656.62,656.62,97.18,525.3,23
CDM,RX-6220,MEFLOQUINE HCL 250 MG PO TABS [10520],63.68,63.68,9.42,50.94,23
CDM,RX-6221,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
CDM,RX-6222,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
CDM,RX-6223,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
CDM,RX-6224,MEGESTROL ACETATE 40 MG PO TABS [4871],6.43,6.43,0.95,5.14,23
CDM,RX-6225,MEGESTROL ACETATE 40 MG PO TABS [4871],8.03,8.03,1.19,6.42,23
CDM,RX-6226,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],84.6,84.6,12.52,67.68,23
CDM,RX-6227,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],155.88,155.88,23.07,124.7,23
CDM,RX-6228,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
CDM,RX-6229,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
CDM,RX-623,APREPITANT 125 MG PO CAPS [35489],1044.31,1044.31,154.56,835.45,23
CDM,RX-6230,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
CDM,RX-6231,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],612.55,612.55,90.66,490.04,23
CDM,RX-6232,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],939.92,939.92,139.11,751.94,23
CDM,RX-6233,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6234,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6235,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6236,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6237,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6238,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6239,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-624,APREPITANT 125 MG PO CAPS [35489],1044.31,1044.31,154.56,835.45,23
CDM,RX-6240,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6241,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6242,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6243,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
CDM,RX-6244,MELOXICAM 15 MG PO TABS [20580],21.92,21.92,3.24,17.54,23
CDM,RX-6245,MELOXICAM 15 MG PO TABS [20580],22.78,22.78,3.37,18.22,23
CDM,RX-6246,MELOXICAM 15 MG PO TABS [20580],22.78,22.78,3.37,18.22,23
CDM,RX-6247,MELOXICAM 7.5 MG PO TABS [20566],14.57,14.57,2.16,11.66,23
CDM,RX-6248,MELOXICAM 7.5 MG PO TABS [20566],14.57,14.57,2.16,11.66,23
CDM,RX-6249,MELOXICAM 7.5 MG PO TABS [20566],14.9,14.9,2.21,11.92,23
CDM,RX-625,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
CDM,RX-6250,MELPHALAN 2 MG PO TABS [10523],57.4,57.4,8.5,45.92,23
CDM,RX-6251,MELPHALAN 2 MG PO TABS [10523],63.85,63.85,9.45,51.08,23
CDM,RX-6252,MELPHALAN FLUFENAMIDE HCL 20 MG IV SOLR [151632],28842.0,28842.0,4268.62,23073.6,23
CDM,RX-6253,MEMANTINE HCL 10 MG PO TABS [36966],6.0,6.0,0.89,4.8,23
CDM,RX-6254,MEMANTINE HCL 10 MG PO TABS [36966],28.65,28.65,4.24,22.92,23
CDM,RX-6255,MEMANTINE HCL 10 MG PO TABS [36966],28.66,28.66,4.24,22.93,23
CDM,RX-6256,MEMANTINE HCL 10 MG PO TABS [36966],28.69,28.69,4.25,22.95,23
CDM,RX-6257,MEMANTINE HCL 10 MG PO TABS [36966],41.81,41.81,6.19,33.45,23
CDM,RX-6258,MEMANTINE HCL 5 MG PO TABS [37170],6.0,6.0,0.89,4.8,23
CDM,RX-6259,MEMANTINE HCL 5 MG PO TABS [37170],6.0,6.0,0.89,4.8,23
CDM,RX-626,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
CDM,RX-6260,MEMANTINE HCL 5 MG PO TABS [37170],28.65,28.65,4.24,22.92,23
CDM,RX-6261,MEMANTINE HCL 5 MG PO TABS [37170],28.66,28.66,4.24,22.93,23
CDM,RX-6262,MEMANTINE HCL 5 MG PO TABS [37170],41.79,41.79,6.18,33.43,23
CDM,RX-6263,MEMANTINE HCL 5 MG PO TABS [37170],41.81,41.81,6.19,33.45,23
CDM,RX-6264,MEMANTINE HCL 5 MG PO TABS [37170],41.81,41.81,6.19,33.45,23
CDM,RX-6265,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
CDM,RX-6266,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
CDM,RX-6267,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
CDM,RX-6268,MEMANTINE HCL ER 28 MG PO CP24 [119105],87.38,87.38,12.93,69.9,23
CDM,RX-6269,MEMANTINE HCL ER 7 MG PO CP24 [119102],87.38,87.38,12.93,69.9,23
CDM,RX-627,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
CDM,RX-6270,MENING ACY&W-135 DIPHTH CONJ IM SOLN [153529],672.38,672.38,99.51,537.9,23
CDM,RX-6271,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN [158040],753.8,753.8,111.56,603.04,23
CDM,RX-6272,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN [158040],753.8,753.8,111.56,603.04,23
CDM,RX-6273,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY [126594],932.84,932.84,138.06,746.27,23
CDM,RX-6274,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY [126594],932.84,932.84,138.06,746.27,23
CDM,RX-6275,MENINGOCOCCAL B VAC (RECOMB) IM SUSY [126056],815.52,815.52,120.7,652.42,23
CDM,RX-6276,MENTHOL-ZINC OXIDE 0.44-20.6 % EX OINT [125794],21.7,21.7,3.21,17.36,23
CDM,RX-6277,MENTHOL-ZINC OXIDE 0.44-20.6 % EX OINT [125794],21.7,21.7,3.21,17.36,23
CDM,RX-6278,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],22.0,22.0,3.26,17.6,23
CDM,RX-6279,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],34.07,34.07,5.04,27.26,23
CDM,RX-628,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
CDM,RX-6280,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],34.08,34.08,5.04,27.26,23
CDM,RX-6281,MEPERIDINE HCL 50 MG/ML IJ SOLN [4904],22.0,22.0,3.26,17.6,23
CDM,RX-6282,MEPERIDINE HCL 75 MG/ML IJ SOLN [4905],36.08,36.08,5.34,28.86,23
CDM,RX-6283,MEPERIDINE HCL 75 MG/ML IJ SOLN [4905],36.1,36.1,5.34,28.88,23
CDM,RX-6284,MEPIVACAINE HCL (PF) 1 % IJ SOLN [104825],62.89,62.89,9.31,50.31,23
CDM,RX-6285,MEPIVACAINE HCL (PF) 2 % IJ SOLN [104826],69.75,69.75,10.32,55.8,23
CDM,RX-6286,MEPIVACAINE HCL 1 % IJ SOLN [4914],39.48,39.48,5.84,31.58,23
CDM,RX-6287,MEPOLIZUMAB 100 MG SC SOLR [129832],10723.71,10723.71,1587.11,8578.97,23
CDM,RX-6288,MEPOLIZUMAB 100 MG/ML SC SOAJ [144001],11535.26,11535.26,1707.22,9228.21,23
CDM,RX-6289,MERCAPTOPURINE 25 MG PO TAB [600743],9.62,9.62,1.42,7.7,23
CDM,RX-629,APREPITANT 40 MG PO CAPS [76843],414.48,414.48,61.34,331.58,23
CDM,RX-6290,MERCAPTOPURINE 50 MG PO TABS [10531],19.23,19.23,2.85,15.38,23
CDM,RX-6291,MERCAPTOPURINE 50 MG PO TABS [10531],33.75,33.75,5.0,27.0,23
CDM,RX-6292,MERCAPTOPURINE 50 MG PO TABS [10531],38.47,38.47,5.69,30.78,23
CDM,RX-6293,MEROPENEM 1 G IV SOLR [17380],32.43,32.43,4.8,25.94,23
CDM,RX-6294,MEROPENEM 1 G IV SOLR [17380],32.43,32.43,4.8,25.94,23
CDM,RX-6295,MEROPENEM 1 G IV SOLR [17380],33.28,33.28,4.93,26.62,23
CDM,RX-6296,MEROPENEM 1 G IV SOLR [17380],33.28,33.28,4.93,26.62,23
CDM,RX-6297,MEROPENEM 1 G IV SOLR [17380],33.84,33.84,5.01,27.07,23
CDM,RX-6298,MEROPENEM 1 G IV SOLR [17380],33.84,33.84,5.01,27.07,23
CDM,RX-6299,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
CDM,RX-630,APREPITANT 40 MG PO CAPS [76843],414.48,414.48,61.34,331.58,23
CDM,RX-6300,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
CDM,RX-6301,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
CDM,RX-6302,MEROPENEM 1 G IV SOLR [17380],107.59,107.59,15.92,86.07,23
CDM,RX-6303,MEROPENEM 1 G IV SOLR [17380],155.88,155.88,23.07,124.7,23
CDM,RX-6304,MEROPENEM 1 G IV SOLR [17380],157.73,157.73,23.34,126.18,23
CDM,RX-6305,MEROPENEM 1 G/NS 100 ML MB PLUS [600040],206.52,206.52,30.56,165.22,23
CDM,RX-6306,MEROPENEM 2 G IV SOLR [162316],162.41,162.41,24.04,129.93,23
CDM,RX-6307,MEROPENEM 2 G/NS 100 ML MB PLUS [601489],192.1,192.1,28.43,153.68,23
CDM,RX-6308,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
CDM,RX-6309,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
CDM,RX-631,APREPITANT 80 MG PO CAPS [35488],425.99,425.99,63.05,340.79,23
CDM,RX-6310,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
CDM,RX-6311,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
CDM,RX-6312,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
CDM,RX-6313,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
CDM,RX-6314,MEROPENEM 500 MG IV SOLR [17379],56.4,56.4,8.35,45.12,23
CDM,RX-6315,MEROPENEM 500 MG IV SOLR [17379],85.61,85.61,12.67,68.49,23
CDM,RX-6316,MEROPENEM-VABORBACTAM 2 (1-1) G IV SOLR [137726],875.76,875.76,129.61,700.61,23
CDM,RX-6317,MESALAMINE 1000 MG RECTAL SUPP [40369],165.39,165.39,24.48,132.31,23
CDM,RX-6318,MESALAMINE 1000 MG RECTAL SUPP [40369],181.09,181.09,26.8,144.87,23
CDM,RX-6319,MESALAMINE 4 G RECTAL ENEM [10535],100.03,100.03,14.8,80.02,23
CDM,RX-632,APREPITANT 80 MG PO CAPS [35488],668.34,668.34,98.91,534.67,23
CDM,RX-6320,MESALAMINE 4 G RECTAL ENEM [10535],105.22,105.22,15.57,84.18,23
CDM,RX-6321,MESALAMINE 4 G RECTAL ENEM [10535],105.74,105.74,15.65,84.59,23
CDM,RX-6322,MESALAMINE ER 0.375 G PO CP24 [95687],7.05,7.05,1.04,5.64,23
CDM,RX-6323,MESALAMINE ER 0.375 G PO CP24 [95687],21.56,21.56,3.19,17.25,23
CDM,RX-6324,MESALAMINE ER 0.375 G PO CP24 [95687],21.57,21.57,3.19,17.26,23
CDM,RX-6325,MESALAMINE ER 0.375 G PO CP24 [95687],21.57,21.57,3.19,17.26,23
CDM,RX-6326,MESALAMINE ER 0.375 G PO CP24 [95687],22.79,22.79,3.37,18.23,23
CDM,RX-6327,MESALAMINE ER 0.375 G PO CP24 [95687],23.99,23.99,3.55,19.19,23
CDM,RX-6328,MESALAMINE ER 250 MG PO CPCR [10533],17.13,17.13,2.54,13.7,23
CDM,RX-6329,MESNA 100 MG/ML IV SOLN [10537],103.92,103.92,15.38,83.14,23
CDM,RX-633,APREPITANT 80 MG PO CAPS [35488],668.34,668.34,98.91,534.67,23
CDM,RX-6330,MESNA 100 MG/ML IV SOLN [10537],103.92,103.92,15.38,83.14,23
CDM,RX-6331,MESNA 100 MG/ML IV SOLN [10537],129.9,129.9,19.23,103.92,23
CDM,RX-6332,MESNA 100 MG/ML IV SOLN [10537],129.9,129.9,19.23,103.92,23
CDM,RX-6333,MESNA 100 MG/ML IV SOLN [10537],309.49,309.49,45.8,247.59,23
CDM,RX-6334,MESNA 100 MG/ML IV SOLN [10537],309.49,309.49,45.8,247.59,23
CDM,RX-6335,MESNA 400 MG PO TABS [20077],366.87,366.87,54.3,293.5,23
CDM,RX-6336,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
CDM,RX-6337,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
CDM,RX-6338,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
CDM,RX-6339,METFORMIN HCL 1000 MG PO TABS [24398],6.77,6.77,1.0,5.42,23
CDM,RX-634,AQUAPHOR EX OINT [612],40.42,40.42,5.98,32.34,23
CDM,RX-6340,METFORMIN HCL 1000 MG PO TABS [24398],6.77,6.77,1.0,5.42,23
CDM,RX-6341,METFORMIN HCL 1000 MG PO TABS [24398],6.78,6.78,1.0,5.42,23
CDM,RX-6342,METFORMIN HCL 1000 MG PO TABS [24398],6.82,6.82,1.01,5.46,23
CDM,RX-6343,METFORMIN HCL 1000 MG PO TABS [24398],6.87,6.87,1.02,5.5,23
CDM,RX-6344,METFORMIN HCL 1000 MG PO TABS [24398],7.17,7.17,1.06,5.74,23
CDM,RX-6345,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
CDM,RX-6346,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
CDM,RX-6347,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
CDM,RX-6348,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
CDM,RX-6349,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
CDM,RX-635,AQUAPHOR EX OINT [612],97.74,97.74,14.47,78.19,23
CDM,RX-6350,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
CDM,RX-6351,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
CDM,RX-6352,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
CDM,RX-6353,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
CDM,RX-6354,METFORMIN HCL ER (MOD) 1000 MG PO TB24 [91028],78.34,78.34,11.59,62.67,23
CDM,RX-6355,METFORMIN HCL ER (MOD) 1000 MG PO TB24 [91028],503.66,503.66,74.54,402.93,23
CDM,RX-6356,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
CDM,RX-6357,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
CDM,RX-6358,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
CDM,RX-6359,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
CDM,RX-636,ARGATROBAN 100 MCG/1000 ML NS [600814],1279.2,1279.2,189.32,1023.36,23
CDM,RX-6360,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
CDM,RX-6361,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
CDM,RX-6362,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
CDM,RX-6363,METHACHOLINE CHLORIDE 100 MG IN SOLR [27032],411.69,411.69,60.93,329.35,23
CDM,RX-6364,METHACHOLINE CHLORIDE 100 MG IN SOLR [27032],411.69,411.69,60.93,329.35,23
CDM,RX-6365,METHADONE 0.5MG/0.5ML ORAL SYRINGE- NOT USED [600060],9.0,9.0,1.33,7.2,23
CDM,RX-6366,METHADONE 1MG/1ML ORAL SYRINGE (NICU) [600058],9.0,9.0,1.33,7.2,23
CDM,RX-6367,METHADONE 5MG/5ML ORAL SYRINGE [600061],9.0,9.0,1.33,7.2,23
CDM,RX-6368,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6369,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-637,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],747.84,747.84,110.68,598.27,23
CDM,RX-6370,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6371,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6372,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6373,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6374,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6375,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6376,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6377,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
CDM,RX-6378,METHADONE HCL 10 MG/ML IJ SOLN [10546],36.6,36.6,5.42,29.28,23
CDM,RX-6379,METHADONE HCL 10 MG/ML IJ SOLN [10546],1377.93,1377.93,203.93,1102.34,23
CDM,RX-638,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1069.38,1069.38,158.27,855.5,23
CDM,RX-6380,METHADONE HCL 10 MG/ML IJ SOLN [10546],1492.83,1492.83,220.94,1194.26,23
CDM,RX-6381,METHADONE HCL 10 MG/ML IJ SOLN [10546],1640.6,1640.6,242.81,1312.48,23
CDM,RX-6382,METHADONE HCL 10 MG/ML PO CONC [15996],109.77,109.77,16.25,87.82,23
CDM,RX-6383,METHADONE HCL 40 MG PO TBSO [41938],6.0,6.0,0.89,4.8,23
CDM,RX-6384,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-6385,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-6386,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-6387,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-6388,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-6389,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
CDM,RX-639,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1271.33,1271.33,188.16,1017.06,23
CDM,RX-6390,METHADONE HCL 5 MG/5ML PO SOLN [4952],173.2,173.2,25.63,138.56,23
CDM,RX-6391,METHADONE HCL 5 MG/5ML PO SOLN [4952],593.78,593.78,87.88,475.02,23
CDM,RX-6392,METHAZOLAMIDE 50 MG PO TABS [4962],16.87,16.87,2.5,13.5,23
CDM,RX-6393,METHAZOLAMIDE 50 MG PO TABS [4962],25.95,25.95,3.84,20.76,23
CDM,RX-6394,METHAZOLAMIDE 50 MG PO TABS [4962],36.02,36.02,5.33,28.82,23
CDM,RX-6395,METHAZOLAMIDE 50 MG PO TABS [4962],48.02,48.02,7.11,38.42,23
CDM,RX-6396,METHENAMINE MANDELATE 1 G PO TABS [4966],11.14,11.14,1.65,8.91,23
CDM,RX-6397,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6398,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6399,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-640,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1780.92,1780.92,263.58,1424.74,23
CDM,RX-6400,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6401,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6402,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6403,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6404,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
CDM,RX-6405,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6406,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6407,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6408,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6409,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-641,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1780.92,1780.92,263.58,1424.74,23
CDM,RX-6410,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6411,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6412,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
CDM,RX-6413,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],35.02,35.02,5.18,28.02,23
CDM,RX-6414,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],50.76,50.76,7.51,40.61,23
CDM,RX-6415,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],50.76,50.76,7.51,40.61,23
CDM,RX-6416,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],56.4,56.4,8.35,45.12,23
CDM,RX-6417,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],89.33,89.33,13.22,71.46,23
CDM,RX-6418,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],89.33,89.33,13.22,71.46,23
CDM,RX-6419,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-642,ARGATROBAN 50 MG/50ML IV SOLN [110617],779.33,779.33,115.34,623.46,23
CDM,RX-6420,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6421,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6422,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6423,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6424,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6425,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
CDM,RX-6426,METHOHEXITAL 1MG/ML SW IV SYRINGE-NEURO [600710],252.54,252.54,37.38,202.03,23
CDM,RX-6427,METHOHEXITAL SODIUM 0.5 G IJ SOLR [70545],504.58,504.58,74.68,403.66,23
CDM,RX-6428,METHOHEXITAL SODIUM 100 MG/10ML IV SOSY [129214],290.82,290.82,43.04,232.66,23
CDM,RX-6429,METHOTREXATE PF OPHTHALMIC INJECTION 0.4 MG/0.1 ML [600931],57.0,57.0,8.44,45.6,23
CDM,RX-643,ARGATROBAN 50 MG/50ML IV SOLN [110617],3005.64,3005.64,444.83,2404.51,23
CDM,RX-6430,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],172.86,172.86,25.58,138.29,23
CDM,RX-6431,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],178.23,178.23,26.38,142.58,23
CDM,RX-6432,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],190.87,190.87,28.25,152.7,23
CDM,RX-6433,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
CDM,RX-6434,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
CDM,RX-6435,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
CDM,RX-6436,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],58.38,58.38,8.64,46.7,23
CDM,RX-6437,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6438,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6439,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-644,ARGININE HCL (DIAGNOSTIC) 10 % IV SOLN [9123],196.06,196.06,29.02,156.85,23
CDM,RX-6440,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6441,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6442,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6443,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
CDM,RX-6444,METHYLENE BLUE (ANTIDOTE) 1 % IV SOLN [156115],820.0,820.0,121.36,656.0,23
CDM,RX-6445,METHYLENE BLUE (ANTIDOTE) 1 % IV SOLN [156115],820.0,820.0,121.36,656.0,23
CDM,RX-6446,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],256.74,256.74,38.0,205.39,23
CDM,RX-6447,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],261.38,261.38,38.68,209.1,23
CDM,RX-6448,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],261.53,261.53,38.71,209.22,23
CDM,RX-6449,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],276.06,276.06,40.86,220.85,23
CDM,RX-645,ARIPIPRAZOLE 10 MG PO TABS [34369],6.0,6.0,0.89,4.8,23
CDM,RX-6450,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],276.06,276.06,40.86,220.85,23
CDM,RX-6451,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],290.42,290.42,42.98,232.34,23
CDM,RX-6452,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],102.67,102.67,15.2,82.14,23
CDM,RX-6453,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],102.68,102.68,15.2,82.14,23
CDM,RX-6454,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],162.54,162.54,24.06,130.03,23
CDM,RX-6455,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],162.54,162.54,24.06,130.03,23
CDM,RX-6456,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN [91651],668.86,668.86,98.99,535.09,23
CDM,RX-6457,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN [91651],668.86,668.86,98.99,535.09,23
CDM,RX-6458,METHYLNALTREXONE BROMIDE 150 MG PO TABS [132871],145.72,145.72,21.57,116.58,23
CDM,RX-6459,METHYLNALTREXONE BROMIDE 8 MG/0.4ML SC SOLN [112618],668.84,668.84,98.99,535.07,23
CDM,RX-646,ARIPIPRAZOLE 10 MG PO TABS [34369],129.59,129.59,19.18,103.67,23
CDM,RX-6460,METHYLPHENIDATE 30 MG/9HR TD PTCH [76396],33.95,33.95,5.02,27.16,23
CDM,RX-6461,METHYLPHENIDATE HCL 10 MG PO TABS [4986],6.0,6.0,0.89,4.8,23
CDM,RX-6462,METHYLPHENIDATE HCL 10 MG PO TABS [4986],6.0,6.0,0.89,4.8,23
CDM,RX-6463,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6464,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6465,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6466,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6467,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6468,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
CDM,RX-6469,METHYLPHENIDATE HCL 5 MG PO TABS [4988],11.57,11.57,1.71,9.26,23
CDM,RX-647,ARIPIPRAZOLE 10 MG PO TABS [34369],138.01,138.01,20.43,110.41,23
CDM,RX-6470,METHYLPHENIDATE HCL 5 MG PO TABS [4988],11.58,11.58,1.71,9.26,23
CDM,RX-6471,METHYLPHENIDATE HCL ER (OSM) 36 MG PO TBCR [28751],30.93,30.93,4.58,24.74,23
CDM,RX-6472,METHYLPHENIDATE HCL ER (OSM) 54 MG PO TBCR [29388],33.65,33.65,4.98,26.92,23
CDM,RX-6473,METHYLPHENIDATE HCL ER 18 MG PO TB24 [129103],29.25,29.25,4.33,23.4,23
CDM,RX-6474,METHYLPREDNISOLONE 16 MG PO TABS [4992],14.6,14.6,2.16,11.68,23
CDM,RX-6475,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.22,16.22,2.4,12.98,23
CDM,RX-6476,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.65,16.65,2.46,13.32,23
CDM,RX-6477,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.65,16.65,2.46,13.32,23
CDM,RX-6478,METHYLPREDNISOLONE 2 MG PO TABS [10573],9.26,9.26,1.37,7.41,23
CDM,RX-6479,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.0,6.0,0.89,4.8,23
CDM,RX-648,ARIPIPRAZOLE 10 MG PO TABS [34369],138.01,138.01,20.43,110.41,23
CDM,RX-6480,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.72,6.72,0.99,5.38,23
CDM,RX-6481,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.72,6.72,0.99,5.38,23
CDM,RX-6482,METHYLPREDNISOLONE 4 MG PO TABS [4993],7.76,7.76,1.15,6.21,23
CDM,RX-6483,METHYLPREDNISOLONE 4 MG PO TABS [4993],7.76,7.76,1.15,6.21,23
CDM,RX-6484,METHYLPREDNISOLONE 4 MG PO TABS [4993],10.12,10.12,1.5,8.1,23
CDM,RX-6485,METHYLPREDNISOLONE 4 MG PO TABS [4993],10.12,10.12,1.5,8.1,23
CDM,RX-6486,METHYLPREDNISOLONE 4 MG PO TBPK [4991],130.03,130.03,19.24,104.02,23
CDM,RX-6487,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
CDM,RX-6488,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
CDM,RX-6489,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
CDM,RX-649,ARIPIPRAZOLE 10 MG PO TABS [34369],138.59,138.59,20.51,110.87,23
CDM,RX-6490,METHYLPREDNISOLONE 8 MG PO TABS [10576],10.08,10.08,1.49,8.06,23
CDM,RX-6491,METHYLPREDNISOLONE ACETATE 20 MG/0.5 ML IN LIDOCAINE 1% 0.5ML INJ [601363],32.26,32.26,4.77,25.81,23
CDM,RX-6492,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],22.52,22.52,3.33,18.02,23
CDM,RX-6493,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.07,49.07,7.26,39.26,23
CDM,RX-6494,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.07,49.07,7.26,39.26,23
CDM,RX-6495,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.17,49.17,7.28,39.34,23
CDM,RX-6496,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.96,49.96,7.39,39.97,23
CDM,RX-6497,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],54.35,54.35,8.04,43.48,23
CDM,RX-6498,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],54.38,54.38,8.05,43.5,23
CDM,RX-6499,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],64.07,64.07,9.48,51.26,23
CDM,RX-650,ARIPIPRAZOLE 10 MG PO TABS [34369],138.59,138.59,20.51,110.87,23
CDM,RX-6500,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],64.12,64.12,9.49,51.3,23
CDM,RX-6501,METHYLPREDNISOLONE ACETATE 40 MG/ML IN LIDOCAINE 1% 2ML INJ [601370],64.95,64.95,9.61,51.96,23
CDM,RX-6502,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],168.87,168.87,24.99,135.1,23
CDM,RX-6503,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],177.79,177.79,26.31,142.23,23
CDM,RX-6504,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],195.56,195.56,28.94,156.45,23
CDM,RX-6505,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],205.32,205.32,30.39,164.26,23
CDM,RX-6506,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],36.44,36.44,5.39,29.15,23
CDM,RX-6507,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],42.87,42.87,6.34,34.3,23
CDM,RX-6508,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],42.87,42.87,6.34,34.3,23
CDM,RX-6509,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],48.18,48.18,7.13,38.54,23
CDM,RX-651,ARIPIPRAZOLE 10 MG PO TABS [34369],138.89,138.89,20.56,111.11,23
CDM,RX-6510,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],48.19,48.19,7.13,38.55,23
CDM,RX-6511,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],58.76,58.76,8.7,47.01,23
CDM,RX-6512,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],23.02,23.02,3.41,18.42,23
CDM,RX-6513,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],23.02,23.02,3.41,18.42,23
CDM,RX-6514,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],27.08,27.08,4.01,21.66,23
CDM,RX-6515,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],27.08,27.08,4.01,21.66,23
CDM,RX-6516,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],30.27,30.27,4.48,24.22,23
CDM,RX-6517,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],30.29,30.29,4.48,24.23,23
CDM,RX-6518,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],34.3,34.3,5.08,27.44,23
CDM,RX-6519,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],36.49,36.49,5.4,29.19,23
CDM,RX-652,ARIPIPRAZOLE 10 MG PO TABS [34369],139.03,139.03,20.58,111.22,23
CDM,RX-6520,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],114.32,114.32,16.92,91.46,23
CDM,RX-6521,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],120.12,120.12,17.78,96.1,23
CDM,RX-6522,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],126.18,126.18,18.67,100.94,23
CDM,RX-6523,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],221.19,221.19,32.74,176.95,23
CDM,RX-6524,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6525,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6526,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6527,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6528,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6529,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-653,ARIPIPRAZOLE 10 MG PO TABS [34369],139.03,139.03,20.58,111.22,23
CDM,RX-6530,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
CDM,RX-6531,METOCLOPRAMIDE HCL 10 MG/10ML PO SOLN [77710],22.85,22.85,3.38,18.28,23
CDM,RX-6532,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6533,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6534,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6535,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6536,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6537,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6538,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6539,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-654,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
CDM,RX-6540,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
CDM,RX-6541,METOLAZONE 10 MG PO TABS [10586],13.26,13.26,1.96,10.61,23
CDM,RX-6542,METOLAZONE 10 MG PO TABS [10586],13.26,13.26,1.96,10.61,23
CDM,RX-6543,METOLAZONE 10 MG PO TABS [10586],14.81,14.81,2.19,11.85,23
CDM,RX-6544,METOLAZONE 10 MG PO TABS [10586],15.67,15.67,2.32,12.54,23
CDM,RX-6545,METOLAZONE 10 MG PO TABS [10586],16.49,16.49,2.44,13.19,23
CDM,RX-6546,METOLAZONE 10 MG PO TABS [10586],16.5,16.5,2.44,13.2,23
CDM,RX-6547,METOLAZONE 2.5 MG PO TABS [10587],6.0,6.0,0.89,4.8,23
CDM,RX-6548,METOLAZONE 2.5 MG PO TABS [10587],9.75,9.75,1.44,7.8,23
CDM,RX-6549,METOLAZONE 2.5 MG PO TABS [10587],9.75,9.75,1.44,7.8,23
CDM,RX-655,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
CDM,RX-6550,METOLAZONE 2.5 MG PO TABS [10587],11.52,11.52,1.7,9.22,23
CDM,RX-6551,METOLAZONE 2.5 MG PO TABS [10587],12.12,12.12,1.79,9.7,23
CDM,RX-6552,METOLAZONE 2.5 MG PO TABS [10587],12.12,12.12,1.79,9.7,23
CDM,RX-6553,METOLAZONE 2.5 MG PO TABS [10587],15.44,15.44,2.29,12.35,23
CDM,RX-6554,METOLAZONE 5 MG PO TABS [10588],11.08,11.08,1.64,8.86,23
CDM,RX-6555,METOLAZONE 5 MG PO TABS [10588],13.09,13.09,1.94,10.47,23
CDM,RX-6556,METOLAZONE 5 MG PO TABS [10588],13.77,13.77,2.04,11.02,23
CDM,RX-6557,METOLAZONE 5 MG PO TABS [10588],13.78,13.78,2.04,11.02,23
CDM,RX-6558,METOLAZONE 5 MG PO TABS [10588],17.55,17.55,2.6,14.04,23
CDM,RX-6559,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],6.0,6.0,0.89,4.8,23
CDM,RX-656,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
CDM,RX-6560,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],6.0,6.0,0.89,4.8,23
CDM,RX-6561,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.45,7.45,1.1,5.96,23
CDM,RX-6562,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.87,7.87,1.16,6.3,23
CDM,RX-6563,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.94,7.94,1.18,6.35,23
CDM,RX-6564,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.77,8.77,1.3,7.02,23
CDM,RX-6565,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
CDM,RX-6566,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
CDM,RX-6567,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
CDM,RX-6568,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.92,8.92,1.32,7.14,23
CDM,RX-6569,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],9.62,9.62,1.42,7.7,23
CDM,RX-657,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
CDM,RX-6570,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],6.0,6.0,0.89,4.8,23
CDM,RX-6571,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],11.85,11.85,1.75,9.48,23
CDM,RX-6572,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],11.85,11.85,1.75,9.48,23
CDM,RX-6573,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],13.02,13.02,1.93,10.42,23
CDM,RX-6574,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],13.15,13.15,1.95,10.52,23
CDM,RX-6575,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],14.41,14.41,2.13,11.53,23
CDM,RX-6576,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6577,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6578,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6579,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-658,ARIPIPRAZOLE 15 MG PO TABS [34370],138.19,138.19,20.45,110.55,23
CDM,RX-6580,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6581,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6582,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6583,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6584,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6585,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
CDM,RX-6586,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.02,6.02,0.89,4.82,23
CDM,RX-6587,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6588,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6589,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-659,ARIPIPRAZOLE 15 MG PO TABS [34370],138.56,138.56,20.51,110.85,23
CDM,RX-6590,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6591,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6592,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6593,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6594,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6595,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
CDM,RX-6596,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.02,6.02,0.89,4.82,23
CDM,RX-6597,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
CDM,RX-6598,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
CDM,RX-6599,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
CDM,RX-660,ARIPIPRAZOLE 15 MG PO TABS [34370],138.59,138.59,20.51,110.87,23
CDM,RX-6600,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6601,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6602,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6603,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6604,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6605,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6606,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6607,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
CDM,RX-6608,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6609,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-661,ARIPIPRAZOLE 15 MG PO TABS [34370],139.03,139.03,20.58,111.22,23
CDM,RX-6610,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6611,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6612,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6613,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6614,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6615,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
CDM,RX-6616,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-6617,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-6618,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-6619,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-662,ARIPIPRAZOLE 15 MG PO TABS [34370],139.04,139.04,20.58,111.23,23
CDM,RX-6620,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-6621,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
CDM,RX-6622,METRONIDAZOLE 0.0005MG/ML ORAL SYRINGE DESENSITIZATIO [600735],9.0,9.0,1.33,7.2,23
CDM,RX-6623,METRONIDAZOLE 0.005 MG/ML NS IV DESENSITIZATION [600641],27.0,27.0,4.0,21.6,23
CDM,RX-6624,METRONIDAZOLE 0.005MG/ML ORAL SYRINGE DESENSITIZATION [600736],9.0,9.0,1.33,7.2,23
CDM,RX-6625,METRONIDAZOLE 0.05 MG/ML NS IV DESENSITIZATION [600642],27.0,27.0,4.0,21.6,23
CDM,RX-6626,METRONIDAZOLE 0.05MG/ML ORAL SYRINGE DESENSITIZATION [600737],9.0,9.0,1.33,7.2,23
CDM,RX-6627,METRONIDAZOLE 0.5 MG/ML NS IV DESENSITIZATION [600643],27.0,27.0,4.0,21.6,23
CDM,RX-6628,METRONIDAZOLE 0.5MG/ML ORAL SYRINGE DESENSITIZATION [600738],9.0,9.0,1.33,7.2,23
CDM,RX-6629,METRONIDAZOLE 0.75 % EX CREA [19805],333.13,333.13,49.3,266.5,23
CDM,RX-663,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
CDM,RX-6630,METRONIDAZOLE 0.75 % EX CREA [19805],546.62,546.62,80.9,437.3,23
CDM,RX-6631,METRONIDAZOLE 0.75 % EX CREA [19805],1048.56,1048.56,155.19,838.85,23
CDM,RX-6632,METRONIDAZOLE 0.75 % EX CREA [19805],1600.08,1600.08,236.81,1280.06,23
CDM,RX-6633,METRONIDAZOLE 0.75 % EX CREA [19805],2183.86,2183.86,323.21,1747.09,23
CDM,RX-6634,METRONIDAZOLE 0.75 % EX GEL [19741],618.38,618.38,91.52,494.7,23
CDM,RX-6635,METRONIDAZOLE 0.75 % EX GEL [19741],644.17,644.17,95.34,515.34,23
CDM,RX-6636,METRONIDAZOLE 0.75 % EX GEL [19741],1047.52,1047.52,155.03,838.02,23
CDM,RX-6637,METRONIDAZOLE 0.75 % EX GEL [19741],1048.26,1048.26,155.14,838.61,23
CDM,RX-6638,METRONIDAZOLE 0.75 % EX GEL [19741],1048.56,1048.56,155.19,838.85,23
CDM,RX-6639,METRONIDAZOLE 0.75 % VA GEL [10592],576.1,576.1,85.26,460.88,23
CDM,RX-664,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
CDM,RX-6640,METRONIDAZOLE 0.75 % VA GEL [10592],576.1,576.1,85.26,460.88,23
CDM,RX-6641,METRONIDAZOLE 0.75 % VA GEL [10592],585.34,585.34,86.63,468.27,23
CDM,RX-6642,METRONIDAZOLE 0.75 % VA GEL [10592],602.75,602.75,89.21,482.2,23
CDM,RX-6643,METRONIDAZOLE 0.75 % VA GEL [10592],614.63,614.63,90.97,491.7,23
CDM,RX-6644,METRONIDAZOLE 20MG/ML PEDIATRIC ORAL SUSPENSION [600799],391.14,391.14,57.89,312.91,23
CDM,RX-6645,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-6646,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-6647,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-6648,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-6649,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-665,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
CDM,RX-6650,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
CDM,RX-6651,METRONIDAZOLE 5 MG/ML NS IV DESENSITIZATION [600644],27.0,27.0,4.0,21.6,23
CDM,RX-6652,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6653,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6654,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6655,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6656,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6657,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6658,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6659,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-666,ARIPIPRAZOLE 2 MG PO TABS [70306],137.4,137.4,20.34,109.92,23
CDM,RX-6660,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6661,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6662,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
CDM,RX-6663,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6664,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6665,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6666,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6667,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6668,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-6669,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
CDM,RX-667,ARIPIPRAZOLE 2 MG PO TABS [70306],138.59,138.59,20.51,110.87,23
CDM,RX-6670,METRONIDAZOLE 5MG/ML ORAL SYRINGE DESENSITIZATION [600739],9.0,9.0,1.33,7.2,23
CDM,RX-6671,METYRAPONE 250 MG PO CAPS [21867],273.36,273.36,40.46,218.69,23
CDM,RX-6672,METYROSINE 250 MG PO CAPS [10594],1598.24,1598.24,236.54,1278.59,23
CDM,RX-6673,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
CDM,RX-6674,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
CDM,RX-6675,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
CDM,RX-6676,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
CDM,RX-6677,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
CDM,RX-6678,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
CDM,RX-6679,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],676.8,676.8,100.17,541.44,23
CDM,RX-668,ARIPIPRAZOLE 2 MG PO TABS [70306],138.89,138.89,20.56,111.11,23
CDM,RX-6680,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],736.04,736.04,108.93,588.83,23
CDM,RX-6681,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],736.04,736.04,108.93,588.83,23
CDM,RX-6682,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],202.65,202.65,29.99,162.12,23
CDM,RX-6683,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],423.0,423.0,62.6,338.4,23
CDM,RX-6684,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],423.0,423.0,62.6,338.4,23
CDM,RX-6685,MICONAZOLE NITRATE 2 % EX CREA [5039],12.41,12.41,1.84,9.93,23
CDM,RX-6686,MICONAZOLE NITRATE 2 % EX CREA [5039],12.41,12.41,1.84,9.93,23
CDM,RX-6687,MICONAZOLE NITRATE 2 % EX CREA [5039],15.53,15.53,2.3,12.42,23
CDM,RX-6688,MICONAZOLE NITRATE 2 % EX CREA [5039],24.82,24.82,3.67,19.86,23
CDM,RX-6689,MICONAZOLE NITRATE 2 % EX CREA [5039],33.84,33.84,5.01,27.07,23
CDM,RX-669,ARIPIPRAZOLE 2 MG PO TABS [70306],139.05,139.05,20.58,111.24,23
CDM,RX-6690,MICONAZOLE NITRATE 2 % EX POWD [10599],26.48,26.48,3.92,21.18,23
CDM,RX-6691,MICONAZOLE NITRATE 2 % EX POWD [10599],38.76,38.76,5.74,31.01,23
CDM,RX-6692,"MICRONOR, JOLIVETTE, NORETHINDRONE 0.35 MG TAB PO [19743]",11.0,11.0,1.63,8.8,23
CDM,RX-6693,"MICRONOR, JOLIVETTE, NORETHINDRONE 0.35 MG TAB PO [19743]",11.0,11.0,1.63,8.8,23
CDM,RX-6694,MIDAZOLAM 100 MG/100ML IV SOLN [149629],129.32,129.32,19.14,103.46,23
CDM,RX-6695,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
CDM,RX-6696,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
CDM,RX-6697,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
CDM,RX-6698,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
CDM,RX-6699,MIDAZOLAM 2MG/1 ML ORAL SYRINGE [600055],9.0,9.0,1.33,7.2,23
CDM,RX-670,ARIPIPRAZOLE 2 MG PO TABS [70306],139.05,139.05,20.58,111.24,23
CDM,RX-6700,MIDAZOLAM 50MG/NS 50ML PREMIX [600037],127.35,127.35,18.85,101.88,23
CDM,RX-6701,MIDAZOLAM 5MG/2.5ML ORAL SYRINGE [600056],14.1,14.1,2.09,11.28,23
CDM,RX-6702,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN [144943],22.0,22.0,3.26,17.6,23
CDM,RX-6703,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN [144943],22.0,22.0,3.26,17.6,23
CDM,RX-6704,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN [144941],22.0,22.0,3.26,17.6,23
CDM,RX-6705,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN [144941],22.0,22.0,3.26,17.6,23
CDM,RX-6706,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6707,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6708,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6709,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-671,ARIPIPRAZOLE 20 MG PO TABS [34371],194.85,194.85,28.84,155.88,23
CDM,RX-6710,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6711,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6712,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6713,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6714,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6715,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6716,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
CDM,RX-6717,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],29.74,29.74,4.4,23.79,23
CDM,RX-6718,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],29.76,29.76,4.4,23.81,23
CDM,RX-6719,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],30.08,30.08,4.45,24.06,23
CDM,RX-672,ARIPIPRAZOLE 20 MG PO TABS [34371],194.91,194.91,28.85,155.93,23
CDM,RX-6720,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],30.08,30.08,4.45,24.06,23
CDM,RX-6721,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],316.27,316.27,46.81,253.02,23
CDM,RX-6722,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],834.08,834.08,123.44,667.26,23
CDM,RX-6723,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
CDM,RX-6724,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
CDM,RX-6725,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
CDM,RX-6726,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
CDM,RX-6727,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
CDM,RX-6728,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
CDM,RX-6729,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
CDM,RX-673,ARIPIPRAZOLE 20 MG PO TABS [34371],195.41,195.41,28.92,156.33,23
CDM,RX-6730,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
CDM,RX-6731,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
CDM,RX-6732,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
CDM,RX-6733,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],38.92,38.92,5.76,31.14,23
CDM,RX-6734,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],38.92,38.92,5.76,31.14,23
CDM,RX-6735,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],42.4,42.4,6.28,33.92,23
CDM,RX-6736,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],42.4,42.4,6.28,33.92,23
CDM,RX-6737,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],51.89,51.89,7.68,41.51,23
CDM,RX-6738,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],51.89,51.89,7.68,41.51,23
CDM,RX-6739,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.8 MG/100ML-% IV SOLN [147994],129.32,129.32,19.14,103.46,23
CDM,RX-674,ARIPIPRAZOLE 20 MG PO TABS [34371],196.61,196.61,29.1,157.29,23
CDM,RX-6740,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.8 MG/100ML-% IV SOLN [147994],129.32,129.32,19.14,103.46,23
CDM,RX-6741,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],82.68,82.68,12.24,66.14,23
CDM,RX-6742,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],82.68,82.68,12.24,66.14,23
CDM,RX-6743,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
CDM,RX-6744,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
CDM,RX-6745,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
CDM,RX-6746,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
CDM,RX-6747,MIDAZOLAM-SODIUM CHLORIDE (PF) 100-0.8 MG/100ML-% IV SOLN [160632],54.48,54.48,8.06,43.58,23
CDM,RX-6748,MIDODRINE HCL 10 MG PO TABS [33083],6.06,6.06,0.9,4.85,23
CDM,RX-6749,MIDODRINE HCL 10 MG PO TABS [33083],7.95,7.95,1.18,6.36,23
CDM,RX-675,ARIPIPRAZOLE 20 MG PO TABS [34371],196.63,196.63,29.1,157.3,23
CDM,RX-6750,MIDODRINE HCL 10 MG PO TABS [33083],7.95,7.95,1.18,6.36,23
CDM,RX-6751,MIDODRINE HCL 10 MG PO TABS [33083],20.46,20.46,3.03,16.37,23
CDM,RX-6752,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
CDM,RX-6753,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
CDM,RX-6754,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
CDM,RX-6755,MIDODRINE HCL 10 MG PO TABS [33083],41.08,41.08,6.08,32.86,23
CDM,RX-6756,MIDODRINE HCL 10 MG PO TABS [33083],41.08,41.08,6.08,32.86,23
CDM,RX-6757,MIDODRINE HCL 10 MG PO TABS [33083],45.69,45.69,6.76,36.55,23
CDM,RX-6758,MIDODRINE HCL 2.5 MG PO TABS [10609],6.0,6.0,0.89,4.8,23
CDM,RX-6759,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
CDM,RX-676,ARIPIPRAZOLE 20 MG PO TABS [34371],196.63,196.63,29.1,157.3,23
CDM,RX-6760,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
CDM,RX-6761,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
CDM,RX-6762,MIDODRINE HCL 2.5 MG PO TABS [10609],7.96,7.96,1.18,6.37,23
CDM,RX-6763,MIDODRINE HCL 2.5 MG PO TABS [10609],10.28,10.28,1.52,8.22,23
CDM,RX-6764,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
CDM,RX-6765,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
CDM,RX-6766,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
CDM,RX-6767,MIDODRINE HCL 5 MG PO TABS [10610],11.37,11.37,1.68,9.1,23
CDM,RX-6768,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
CDM,RX-6769,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
CDM,RX-677,ARIPIPRAZOLE 30 MG PO TABS [34372],194.91,194.91,28.85,155.93,23
CDM,RX-6770,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
CDM,RX-6771,MIDODRINE HCL 5 MG PO TABS [10610],12.74,12.74,1.89,10.19,23
CDM,RX-6772,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
CDM,RX-6773,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
CDM,RX-6774,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
CDM,RX-6775,MIDODRINE HCL 5 MG PO TABS [10610],19.54,19.54,2.89,15.63,23
CDM,RX-6776,MIDODRINE HCL 5 MG PO TABS [10610],21.1,21.1,3.12,16.88,23
CDM,RX-6777,MIDOSTAURIN 25 MG PO CAPS [136518],857.72,857.72,126.94,686.18,23
CDM,RX-6778,MIDOSTAURIN 25 MG PO CAPS [136518],857.72,857.72,126.94,686.18,23
CDM,RX-6779,MILK THISTLE XTRA PO CAPS [97005],6.0,6.0,0.89,4.8,23
CDM,RX-678,ARIPIPRAZOLE 30 MG PO TABS [34372],196.41,196.41,29.07,157.13,23
CDM,RX-6780,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],22.28,22.28,3.3,17.82,23
CDM,RX-6781,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],22.56,22.56,3.34,18.05,23
CDM,RX-6782,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],23.69,23.69,3.51,18.95,23
CDM,RX-6783,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],32.34,32.34,4.79,25.87,23
CDM,RX-6784,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],35.25,35.25,5.22,28.2,23
CDM,RX-6785,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],35.25,35.25,5.22,28.2,23
CDM,RX-6786,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],40.57,40.57,6.0,32.46,23
CDM,RX-6787,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],45.78,45.78,6.78,36.62,23
CDM,RX-6788,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],53.58,53.58,7.93,42.86,23
CDM,RX-6789,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
CDM,RX-679,ARIPIPRAZOLE 30 MG PO TABS [34372],196.63,196.63,29.1,157.3,23
CDM,RX-6790,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
CDM,RX-6791,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
CDM,RX-6792,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
CDM,RX-6793,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],90.24,90.24,13.36,72.19,23
CDM,RX-6794,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],174.94,174.94,25.89,139.95,23
CDM,RX-6795,MINERAL OIL LIGHT OIL [27386],102.42,102.42,15.16,81.94,23
CDM,RX-6796,MINERAL OIL LIGHT OIL [27386],118.39,118.39,17.52,94.71,23
CDM,RX-6797,MINERAL OIL PO OIL [5086],6.0,6.0,0.89,4.8,23
CDM,RX-6798,MINERAL OIL PO OIL [5086],9.31,9.31,1.38,7.45,23
CDM,RX-6799,MINERAL OIL PO OIL [5086],13.54,13.54,2.0,10.83,23
CDM,RX-680,ARIPIPRAZOLE 5 MG PO TABS [36438],6.0,6.0,0.89,4.8,23
CDM,RX-6800,MINERAL OIL PO OIL [5086],15.57,15.57,2.3,12.46,23
CDM,RX-6801,MINERAL OIL PO OIL [5086],31.13,31.13,4.61,24.9,23
CDM,RX-6802,MINOCYCLINE HCL 100 MG IV SOLR [10612],1017.46,1017.46,150.58,813.97,23
CDM,RX-6803,MINOCYCLINE HCL 100 MG IV SOLR [10612],1017.46,1017.46,150.58,813.97,23
CDM,RX-6804,MINOCYCLINE HCL 100 MG PO CAPS [5110],6.21,6.21,0.92,4.97,23
CDM,RX-6805,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
CDM,RX-6806,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
CDM,RX-6807,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
CDM,RX-6808,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-6809,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-681,ARIPIPRAZOLE 5 MG PO TABS [36438],6.0,6.0,0.89,4.8,23
CDM,RX-6810,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-6811,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-6812,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-6813,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
CDM,RX-6814,MINOXIDIL 10 MG PO TABS [5114],9.95,9.95,1.47,7.96,23
CDM,RX-6815,MINOXIDIL 10 MG PO TABS [5114],9.97,9.97,1.48,7.98,23
CDM,RX-6816,MINOXIDIL 2.5 MG PO TABS [5115],6.0,6.0,0.89,4.8,23
CDM,RX-6817,MINOXIDIL 2.5 MG PO TABS [5115],6.0,6.0,0.89,4.8,23
CDM,RX-6818,MINOXIDIL 2.5 MG PO TABS [5115],7.97,7.97,1.18,6.38,23
CDM,RX-6819,MINOXIDIL 2.5 MG PO TABS [5115],7.97,7.97,1.18,6.38,23
CDM,RX-682,ARIPIPRAZOLE 5 MG PO TABS [36438],129.59,129.59,19.18,103.67,23
CDM,RX-6820,MIRABEGRON ER 25 MG PO TB24 [116079],86.54,86.54,12.81,69.23,23
CDM,RX-6821,MIRABEGRON ER 50 MG PO TB24 [116080],77.89,77.89,11.53,62.31,23
CDM,RX-6822,MIRABEGRON ER 50 MG PO TB24 [116080],77.89,77.89,11.53,62.31,23
CDM,RX-6823,MIRABEGRON ER 50 MG PO TB24 [116080],86.54,86.54,12.81,69.23,23
CDM,RX-6824,MIRABEGRON ER 50 MG PO TB24 [116080],86.54,86.54,12.81,69.23,23
CDM,RX-6825,MIRTAZAPINE 15 MG PO TABS [17466],6.0,6.0,0.89,4.8,23
CDM,RX-6826,MIRTAZAPINE 15 MG PO TABS [17466],6.0,6.0,0.89,4.8,23
CDM,RX-6827,MIRTAZAPINE 15 MG PO TABS [17466],12.69,12.69,1.88,10.15,23
CDM,RX-6828,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
CDM,RX-6829,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
CDM,RX-683,ARIPIPRAZOLE 5 MG PO TABS [36438],129.59,129.59,19.18,103.67,23
CDM,RX-6830,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
CDM,RX-6831,MIRTAZAPINE 15 MG PO TABS [17466],13.44,13.44,1.99,10.75,23
CDM,RX-6832,MIRTAZAPINE 15 MG PO TBDP [29531],11.07,11.07,1.64,8.86,23
CDM,RX-6833,MIRTAZAPINE 30 MG PO TABS [17465],6.06,6.06,0.9,4.85,23
CDM,RX-6834,MIRTAZAPINE 30 MG PO TABS [17465],6.07,6.07,0.9,4.86,23
CDM,RX-6835,MIRTAZAPINE 30 MG PO TABS [17465],13.15,13.15,1.95,10.52,23
CDM,RX-6836,MIRTAZAPINE 30 MG PO TABS [17465],13.15,13.15,1.95,10.52,23
CDM,RX-6837,MIRTAZAPINE 30 MG PO TBDP [29532],11.41,11.41,1.69,9.13,23
CDM,RX-6838,MIRTAZAPINE 30 MG PO TBDP [29532],24.71,24.71,3.66,19.77,23
CDM,RX-6839,MIRTAZAPINE 45 MG PO TABS [24945],13.32,13.32,1.97,10.66,23
CDM,RX-684,ARIPIPRAZOLE 5 MG PO TABS [36438],137.81,137.81,20.4,110.25,23
CDM,RX-6840,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
CDM,RX-6841,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
CDM,RX-6842,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
CDM,RX-6843,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
CDM,RX-6844,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
CDM,RX-6845,MIRTAZAPINE 7.5 MG PO TABS [38421],12.38,12.38,1.83,9.9,23
CDM,RX-6846,MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN [158049],20591.22,20591.22,3047.5,16472.98,23
CDM,RX-6847,MISOPROSTOL 100 MCG PO TABS [10628],6.0,6.0,0.89,4.8,23
CDM,RX-6848,MISOPROSTOL 100 MCG PO TABS [10628],6.0,6.0,0.89,4.8,23
CDM,RX-6849,MISOPROSTOL 100 MCG PO TABS [10628],11.66,11.66,1.73,9.33,23
CDM,RX-685,ARIPIPRAZOLE 5 MG PO TABS [36438],137.81,137.81,20.4,110.25,23
CDM,RX-6850,MISOPROSTOL 100 MCG PO TABS [10628],11.66,11.66,1.73,9.33,23
CDM,RX-6851,MISOPROSTOL 100 MCG PO TABS [10628],23.65,23.65,3.5,18.92,23
CDM,RX-6852,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
CDM,RX-6853,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
CDM,RX-6854,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
CDM,RX-6855,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
CDM,RX-6856,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
CDM,RX-6857,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
CDM,RX-6858,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
CDM,RX-6859,MISOPROSTOL 200 MCG PO TABS [10629],12.82,12.82,1.9,10.26,23
CDM,RX-686,ARIPIPRAZOLE 5 MG PO TABS [36438],138.56,138.56,20.51,110.85,23
CDM,RX-6860,MISOPROSTOL 200 MCG PO TABS [10629],33.16,33.16,4.91,26.53,23
CDM,RX-6861,MISOPROSTOL 25 MCG PO TABLET [600801],15.62,15.62,2.31,12.5,23
CDM,RX-6862,MITOMYCIN 0.2 MG OP KIT [115145],1501.56,1501.56,222.23,1201.25,23
CDM,RX-6863,MITOMYCIN 0.2 MG OP KIT [115145],1501.56,1501.56,222.23,1201.25,23
CDM,RX-6864,MITOMYCIN 20 MG IV SOLR [10630],2059.76,2059.76,304.84,1647.81,23
CDM,RX-6865,MITOMYCIN 20 MG IV SOLR [10630],2206.89,2206.89,326.62,1765.51,23
CDM,RX-6866,MITOMYCIN 20 MG IV SOLR [10630],2206.95,2206.95,326.63,1765.56,23
CDM,RX-6867,MITOMYCIN 40 MG IV SOLR [10631],3581.57,3581.57,530.07,2865.26,23
CDM,RX-6868,MITOMYCIN 5 MG IV SOLR [10632],893.67,893.67,132.26,714.94,23
CDM,RX-6869,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],669.12,669.12,99.03,535.3,23
CDM,RX-687,ARIPIPRAZOLE 5 MG PO TABS [36438],138.59,138.59,20.51,110.87,23
CDM,RX-6870,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],679.19,679.19,100.52,543.35,23
CDM,RX-6871,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],1604.55,1604.55,237.47,1283.64,23
CDM,RX-6872,MODAFINIL 100 MG PO TABS [24702],95.29,95.29,14.1,76.23,23
CDM,RX-6873,MODAFINIL 100 MG PO TABS [24702],95.52,95.52,14.14,76.42,23
CDM,RX-6874,MODAFINIL 100 MG PO TABS [24702],114.22,114.22,16.9,91.38,23
CDM,RX-6875,MODAFINIL 100 MG PO TABS [24702],114.33,114.33,16.92,91.46,23
CDM,RX-6876,MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN [140890],14234.65,14234.65,2106.73,11387.72,23
CDM,RX-6877,MOMETASONE FUROATE 0.1 % EX CREA [10646],205.86,205.86,30.47,164.69,23
CDM,RX-6878,MOMETASONE FUROATE 0.1 % EX OINT [10648],193.1,193.1,28.58,154.48,23
CDM,RX-6879,MOMETASONE FUROATE 100 MCG/ACT IN AERO [126310],454.08,454.08,67.2,363.26,23
CDM,RX-688,ARIPIPRAZOLE 5 MG PO TABS [36438],139.03,139.03,20.58,111.22,23
CDM,RX-6880,MOMETASONE FUROATE 110 MCG/ACT IN AEPB [91877],420.93,420.93,62.3,336.74,23
CDM,RX-6881,MOMETASONE FUROATE 110 MCG/ACT IN AEPB [91877],698.22,698.22,103.34,558.58,23
CDM,RX-6882,MOMETASONE FUROATE 200 MCG/ACT IN AERO [126311],533.63,533.63,78.98,426.9,23
CDM,RX-6883,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],345.24,345.24,51.1,276.19,23
CDM,RX-6884,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],454.52,454.52,67.27,363.62,23
CDM,RX-6885,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],533.38,533.38,78.94,426.7,23
CDM,RX-6886,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],753.95,753.95,111.58,603.16,23
CDM,RX-6887,MOMETASONE FUROATE 50 MCG/ACT NA SUSP [21905],989.63,989.63,146.47,791.7,23
CDM,RX-6888,MONTELUKAST SODIUM 10 MG PO TABS [22509],6.0,6.0,0.89,4.8,23
CDM,RX-6889,MONTELUKAST SODIUM 10 MG PO TABS [22509],6.0,6.0,0.89,4.8,23
CDM,RX-689,ARIPIPRAZOLE 5 MG PO TABS [36438],139.04,139.04,20.58,111.23,23
CDM,RX-6890,MONTELUKAST SODIUM 10 MG PO TABS [22509],22.46,22.46,3.32,17.97,23
CDM,RX-6891,MONTELUKAST SODIUM 10 MG PO TABS [22509],23.42,23.42,3.47,18.74,23
CDM,RX-6892,MONTELUKAST SODIUM 10 MG PO TABS [22509],25.88,25.88,3.83,20.7,23
CDM,RX-6893,MONTELUKAST SODIUM 10 MG PO TABS [22509],26.56,26.56,3.93,21.25,23
CDM,RX-6894,MONTELUKAST SODIUM 10 MG PO TABS [22509],26.6,26.6,3.94,21.28,23
CDM,RX-6895,MONTELUKAST SODIUM 4 MG PO CHEW [27234],23.64,23.64,3.5,18.91,23
CDM,RX-6896,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
CDM,RX-6897,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
CDM,RX-6898,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
CDM,RX-6899,MONTELUKAST SODIUM 5 MG PO CHEW [22510],19.3,19.3,2.86,15.44,23
CDM,RX-690,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
CDM,RX-6900,MONTELUKAST SODIUM 5 MG PO CHEW [22510],23.64,23.64,3.5,18.91,23
CDM,RX-6901,MONTELUKAST SODIUM 5 MG PO CHEW [22510],26.56,26.56,3.93,21.25,23
CDM,RX-6902,MORPHINE 0.1% TOPICAL GEL 15G [601016],67.17,67.17,9.94,53.74,23
CDM,RX-6903,MORPHINE SULF 0.4 MG/1 ML ORAL SYRINGE (NICU) [600676],9.0,9.0,1.33,7.2,23
CDM,RX-6904,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],9.0,9.0,1.33,7.2,23
CDM,RX-6905,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],109.12,109.12,16.15,87.3,23
CDM,RX-6906,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],333.77,333.77,49.4,267.02,23
CDM,RX-6907,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],27.0,27.0,4.0,21.6,23
CDM,RX-6908,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],27.0,27.0,4.0,21.6,23
CDM,RX-6909,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],54.52,54.52,8.07,43.62,23
CDM,RX-691,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
CDM,RX-6910,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],54.52,54.52,8.07,43.62,23
CDM,RX-6911,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],150.47,150.47,22.27,120.38,23
CDM,RX-6912,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],49.0,49.0,7.25,39.2,23
CDM,RX-6913,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],109.03,109.03,16.14,87.22,23
CDM,RX-6914,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],150.47,150.47,22.27,120.38,23
CDM,RX-6915,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],150.47,150.47,22.27,120.38,23
CDM,RX-6916,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN [139936],22.0,22.0,3.26,17.6,23
CDM,RX-6917,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
CDM,RX-6918,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
CDM,RX-6919,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
CDM,RX-692,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
CDM,RX-6920,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
CDM,RX-6921,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],22.0,22.0,3.26,17.6,23
CDM,RX-6922,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],22.0,22.0,3.26,17.6,23
CDM,RX-6923,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],29.26,29.26,4.33,23.41,23
CDM,RX-6924,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-6925,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-6926,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-6927,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-6928,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-6929,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
CDM,RX-693,ARIPIPRAZOLE ER 300 MG IM PRSY [137688],6613.42,6613.42,978.79,5290.74,23
CDM,RX-6930,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],29.48,29.48,4.36,23.58,23
CDM,RX-6931,MORPHINE SULFATE 10 MG RECTAL SUPP [5180],29.38,29.38,4.35,23.5,23
CDM,RX-6932,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],6.0,6.0,0.89,4.8,23
CDM,RX-6933,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
CDM,RX-6934,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
CDM,RX-6935,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
CDM,RX-6936,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
CDM,RX-6937,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],184.03,184.03,27.24,147.22,23
CDM,RX-6938,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
CDM,RX-6939,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
CDM,RX-694,ARIPIPRAZOLE ER 720 MG/2.4ML IM PRSY [159920],13226.79,13226.79,1957.56,10581.43,23
CDM,RX-6940,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
CDM,RX-6941,MORPHINE SULFATE 2 MG/ML IJ SOLN [5170],22.0,22.0,3.26,17.6,23
CDM,RX-6942,MORPHINE SULFATE 2 MG/ML IJ SOLN [5170],22.0,22.0,3.26,17.6,23
CDM,RX-6943,MORPHINE SULFATE 20MG/ML O/S 2ML [600069],9.0,9.0,1.33,7.2,23
CDM,RX-6944,MORPHINE SULFATE 20MG/ML O/S 3ML [600068],9.0,9.0,1.33,7.2,23
CDM,RX-6945,MORPHINE SULFATE 20MG/ML O/S 5ML [600067],12.93,12.93,1.91,10.34,23
CDM,RX-6946,MORPHINE SULFATE 30 MG PO TABS [5179],6.0,6.0,0.89,4.8,23
CDM,RX-6947,MORPHINE SULFATE 30 MG PO TABS [5179],7.26,7.26,1.07,5.81,23
CDM,RX-6948,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],87.8,87.8,12.99,70.24,23
CDM,RX-6949,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],171.69,171.69,25.41,137.35,23
CDM,RX-695,ARIPIPRAZOLE ER 960 MG/3.2ML IM PRSY [159921],17635.72,17635.72,2610.09,14108.58,23
CDM,RX-6950,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],253.83,253.83,37.57,203.06,23
CDM,RX-6951,MORPHINE SULFATE CR 100 MG PO TB12 [119131],42.71,42.71,6.32,34.17,23
CDM,RX-6952,MORPHINE SULFATE CR 100 MG PO TB12 [119131],42.73,42.73,6.32,34.18,23
CDM,RX-6953,MORPHINE SULFATE CR 100 MG PO TB12 [119131],43.24,43.24,6.4,34.59,23
CDM,RX-6954,MORPHINE SULFATE CR 15 MG PO TB12 [119129],6.0,6.0,0.89,4.8,23
CDM,RX-6955,MORPHINE SULFATE CR 15 MG PO TB12 [119129],6.46,6.46,0.96,5.17,23
CDM,RX-6956,MORPHINE SULFATE CR 15 MG PO TB12 [119129],7.88,7.88,1.17,6.3,23
CDM,RX-6957,MORPHINE SULFATE CR 15 MG PO TB12 [119129],9.59,9.59,1.42,7.67,23
CDM,RX-6958,MORPHINE SULFATE CR 15 MG PO TB12 [119129],9.6,9.6,1.42,7.68,23
CDM,RX-6959,MORPHINE SULFATE CR 15 MG PO TB12 [119129],25.88,25.88,3.83,20.7,23
CDM,RX-696,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],660.51,660.51,97.76,528.41,23
CDM,RX-6960,MORPHINE SULFATE CR 30 MG PO TB12 [119091],6.0,6.0,0.89,4.8,23
CDM,RX-6961,MORPHINE SULFATE CR 30 MG PO TB12 [119091],7.06,7.06,1.04,5.65,23
CDM,RX-6962,MORPHINE SULFATE CR 30 MG PO TB12 [119091],14.91,14.91,2.21,11.93,23
CDM,RX-6963,MORPHINE SULFATE CR 30 MG PO TB12 [119091],17.3,17.3,2.56,13.84,23
CDM,RX-6964,MORPHINE SULFATE CR 30 MG PO TB12 [119091],17.32,17.32,2.56,13.86,23
CDM,RX-6965,MORPHINE SULFATE ER BEADS 30 MG PO CP24 [32709],26.94,26.94,3.99,21.55,23
CDM,RX-6966,MORPHINE SULFATE PCA 5 MG/ML IV SOLN [40877006],340.38,340.38,50.38,272.3,23
CDM,RX-6967,MORPHINE SULFATE PCA 5 MG/ML IV SOLN [40877006],861.0,861.0,127.43,688.8,23
CDM,RX-6968,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],65.43,65.43,9.68,52.34,23
CDM,RX-6969,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.8,630.8,93.36,504.64,23
CDM,RX-697,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],2073.38,2073.38,306.86,1658.7,23
CDM,RX-6970,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
CDM,RX-6971,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
CDM,RX-6972,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
CDM,RX-6973,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],657.23,657.23,97.27,525.78,23
CDM,RX-6974,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],685.33,685.33,101.43,548.26,23
CDM,RX-6975,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],790.88,790.88,117.05,632.7,23
CDM,RX-6976,MOXIFLOXACIN HCL 400 MG PO TABS [26854],115.69,115.69,17.12,92.55,23
CDM,RX-6977,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.76,117.76,17.43,94.21,23
CDM,RX-6978,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.89,117.89,17.45,94.31,23
CDM,RX-6979,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.89,117.89,17.45,94.31,23
CDM,RX-698,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],2074.25,2074.25,306.99,1659.4,23
CDM,RX-6980,MOXIFLOXACIN HCL 400 MG/250ML IV SOLN [128685],214.93,214.93,31.81,171.94,23
CDM,RX-6981,MULTIPLE VIT W/IRON ORAL SYRINGE (NICU) [600159],9.0,9.0,1.33,7.2,23
CDM,RX-6982,MULTIPLE VITAMIN (NICU) ORAL SYRINGE [600220],9.0,9.0,1.33,7.2,23
CDM,RX-6983,MULTIPLE VITAMIN (NICU) ORAL SYRINGE [600220],9.0,9.0,1.33,7.2,23
CDM,RX-6984,MUPIROCIN 2 % EX OINT [10674],52.84,52.84,7.82,42.27,23
CDM,RX-6985,MUPIROCIN 2 % EX OINT [10674],108.22,108.22,16.02,86.58,23
CDM,RX-6986,MUPIROCIN 2 % EX OINT [10674],185.1,185.1,27.39,148.08,23
CDM,RX-6987,MUPIROCIN 2 % EX OINT [10674],332.57,332.57,49.22,266.06,23
CDM,RX-6988,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],3667.09,3667.09,542.73,2933.67,23
CDM,RX-6989,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],3667.09,3667.09,542.73,2933.67,23
CDM,RX-699,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN [136839],7749.58,7749.58,1146.94,6199.66,23
CDM,RX-6990,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],4192.52,4192.52,620.49,3354.02,23
CDM,RX-6991,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],6.0,6.0,0.89,4.8,23
CDM,RX-6992,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],6.0,6.0,0.89,4.8,23
CDM,RX-6993,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.44,18.44,2.73,14.75,23
CDM,RX-6994,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
CDM,RX-6995,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
CDM,RX-6996,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
CDM,RX-6997,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
CDM,RX-6998,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
CDM,RX-6999,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
CDM,RX-700,ARTEMETHER-LUMEFANTRINE 20-120 MG PO TABS [96948],31.67,31.67,4.69,25.34,23
CDM,RX-7000,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.78,18.78,2.78,15.02,23
CDM,RX-7001,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],6.0,6.0,0.89,4.8,23
CDM,RX-7002,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],7.35,7.35,1.09,5.88,23
CDM,RX-7003,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],7.35,7.35,1.09,5.88,23
CDM,RX-7004,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],36.89,36.89,5.46,29.51,23
CDM,RX-7005,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
CDM,RX-7006,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
CDM,RX-7007,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
CDM,RX-7008,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.3,37.3,5.52,29.84,23
CDM,RX-7009,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.38,37.38,5.53,29.9,23
CDM,RX-701,ARTIFICIAL TEARS 83-15 % OP OINT [120301],30.42,30.42,4.5,24.34,23
CDM,RX-7010,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.38,37.38,5.53,29.9,23
CDM,RX-7011,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],93.49,93.49,13.84,74.79,23
CDM,RX-7012,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],338.43,338.43,50.09,270.74,23
CDM,RX-7013,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],439.64,439.64,65.07,351.71,23
CDM,RX-7014,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],488.5,488.5,72.3,390.8,23
CDM,RX-7015,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],21.48,21.48,3.18,17.18,23
CDM,RX-7016,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],21.48,21.48,3.18,17.18,23
CDM,RX-7017,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],42.07,42.07,6.23,33.66,23
CDM,RX-7018,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.94,42.94,6.36,34.35,23
CDM,RX-7019,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.95,42.95,6.36,34.36,23
CDM,RX-702,ASCIMINIB HCL 40 MG PO TABS [154292],1467.16,1467.16,217.14,1173.73,23
CDM,RX-7020,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.95,42.95,6.36,34.36,23
CDM,RX-7021,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],47.0,47.0,6.96,37.6,23
CDM,RX-7022,NA CHONDROIT SULF-NA HYALURON 20-15 MG/0.5ML IO SOSY [153560],780.38,780.38,115.5,624.3,23
CDM,RX-7023,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],49.97,49.97,7.4,39.98,23
CDM,RX-7024,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],49.97,49.97,7.4,39.98,23
CDM,RX-7025,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
CDM,RX-7026,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
CDM,RX-7027,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
CDM,RX-7028,NA HYALUR & NA CHOND-NA HYALUR 0.55-0.5 ML IO KIT [28917],1084.8,1084.8,160.55,867.84,23
CDM,RX-7029,NA HYALUR & NA CHOND-NA HYALUR 0.85-0.5 ML IO KIT [152574],1241.78,1241.78,183.78,993.42,23
CDM,RX-703,ASCORBIC ACID 500 MG/ML IJ SOLN [654],409.43,409.43,60.6,327.54,23
CDM,RX-7030,NA SULFATE-K SULFATE-MG SULF 17.5-3.13-1.6 GM/177ML PO SOLN [104829],229.29,229.29,33.93,183.43,23
CDM,RX-7031,NAB-PACLITAXEL 100 MG IV SUSR [40475],4797.06,4797.06,709.96,3837.65,23
CDM,RX-7032,NABUMETONE 500 MG PO TABS [10676],6.47,6.47,0.96,5.18,23
CDM,RX-7033,NACL 0.45% FLUSH 2ML IV SYRINGE (NICU) [600297],27.0,27.0,4.0,21.6,23
CDM,RX-7034,NADOLOL 20 MG PO TABS [5330],6.0,6.0,0.89,4.8,23
CDM,RX-7035,NADOLOL 20 MG PO TABS [5330],15.94,15.94,2.36,12.75,23
CDM,RX-7036,NADOLOL 20 MG PO TABS [5330],15.94,15.94,2.36,12.75,23
CDM,RX-7037,NADOLOL 20 MG PO TABS [5330],15.96,15.96,2.36,12.77,23
CDM,RX-7038,NADOLOL 20 MG PO TABS [5330],17.24,17.24,2.55,13.79,23
CDM,RX-7039,NADOLOL 20 MG PO TABS [5330],17.24,17.24,2.55,13.79,23
CDM,RX-704,ASCORBIC ACID OPHTH SOLN 100 MG/ML [600732],33.8,33.8,5.0,27.04,23
CDM,RX-7040,NADOLOL 20 MG PO TABS [5330],21.91,21.91,3.24,17.53,23
CDM,RX-7041,NADOLOL 20 MG PO TABS [5330],29.1,29.1,4.31,23.28,23
CDM,RX-7042,NADOLOL 40 MG PO TABS [5331],6.0,6.0,0.89,4.8,23
CDM,RX-7043,NADOLOL 40 MG PO TABS [5331],18.62,18.62,2.76,14.9,23
CDM,RX-7044,NADOLOL 40 MG PO TABS [5331],18.64,18.64,2.76,14.91,23
CDM,RX-7045,NADOLOL 40 MG PO TABS [5331],18.65,18.65,2.76,14.92,23
CDM,RX-7046,NADOLOL 40 MG PO TABS [5331],25.63,25.63,3.79,20.5,23
CDM,RX-7047,NADOLOL 40 MG PO TABS [5331],33.97,33.97,5.03,27.18,23
CDM,RX-7048,NADOLOL 40 MG PO TABS [5331],33.99,33.99,5.03,27.19,23
CDM,RX-7049,NAFCILLIN 1 G/NS 100ML MB PLUS [601061],117.37,117.37,17.37,93.9,23
CDM,RX-705,ASENAPINE MALEATE 5 MG SL SUBL [99746],109.19,109.19,16.16,87.35,23
CDM,RX-7050,NAFCILLIN 2 G/NS 100ML MB PLUS [601060],117.37,117.37,17.37,93.9,23
CDM,RX-7051,NAFCILLIN SODIUM 1 G IJ SOLR [5333],53.58,53.58,7.93,42.86,23
CDM,RX-7052,NAFCILLIN SODIUM 1 G IJ SOLR [5333],62.04,62.04,9.18,49.63,23
CDM,RX-7053,NAFCILLIN SODIUM 1 G IJ SOLR [5333],64.86,64.86,9.6,51.89,23
CDM,RX-7054,NAFCILLIN SODIUM 1 G IJ SOLR [5333],64.86,64.86,9.6,51.89,23
CDM,RX-7055,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.15,68.15,10.09,54.52,23
CDM,RX-7056,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.62,68.62,10.16,54.9,23
CDM,RX-7057,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.62,68.62,10.16,54.9,23
CDM,RX-7058,NAFCILLIN SODIUM 1 G IJ SOLR [5333],83.98,83.98,12.43,67.18,23
CDM,RX-7059,NAFCILLIN SODIUM 10 G IV SOLR [139273],452.4,452.4,66.96,361.92,23
CDM,RX-706,ASPIRIN 300 MG RECTAL SUPP [693],6.86,6.86,1.02,5.49,23
CDM,RX-7060,NAFCILLIN SODIUM 10 G IV SOLR [139273],523.17,523.17,77.43,418.54,23
CDM,RX-7061,NAFCILLIN SODIUM 10 G IV SOLR [139273],523.18,523.18,77.43,418.54,23
CDM,RX-7062,NAFCILLIN SODIUM 2 G IJ SOLR [5335],46.31,46.31,6.85,37.05,23
CDM,RX-7063,NAFCILLIN SODIUM 2 G IJ SOLR [5335],57.99,57.99,8.58,46.39,23
CDM,RX-7064,NAFCILLIN SODIUM 2 G IJ SOLR [5335],70.5,70.5,10.43,56.4,23
CDM,RX-7065,NAFCILLIN SODIUM 2 G IJ SOLR [5335],70.5,70.5,10.43,56.4,23
CDM,RX-7066,NAFCILLIN SODIUM 2 G IJ SOLR [5335],82.05,82.05,12.14,65.64,23
CDM,RX-7067,NAFCILLIN SODIUM 2 G IJ SOLR [5335],112.76,112.76,16.69,90.21,23
CDM,RX-7068,NAFCILLIN SODIUM 2 G IJ SOLR [5335],112.76,112.76,16.69,90.21,23
CDM,RX-7069,NAFCILLIN SODIUM 2 G IJ SOLR [5335],114.32,114.32,16.92,91.46,23
CDM,RX-707,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
CDM,RX-7070,NAFCILLIN SODIUM 2 G IJ SOLR [5335],150.12,150.12,22.22,120.1,23
CDM,RX-7071,NALBUPHINE (NUBAIN) 10 MG/0.5 ML IV SYRINGE [116010],27.0,27.0,4.0,21.6,23
CDM,RX-7072,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
CDM,RX-7073,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
CDM,RX-7074,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
CDM,RX-7075,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],25.15,25.15,3.72,20.12,23
CDM,RX-7076,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],25.15,25.15,3.72,20.12,23
CDM,RX-7077,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],36.35,36.35,5.38,29.08,23
CDM,RX-7078,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],203.82,203.82,30.17,163.06,23
CDM,RX-7079,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],203.86,203.86,30.17,163.09,23
CDM,RX-708,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
CDM,RX-7080,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],43.24,43.24,6.4,34.59,23
CDM,RX-7081,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],271.99,271.99,40.25,217.59,23
CDM,RX-7082,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],384.39,384.39,56.89,307.51,23
CDM,RX-7083,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],28.2,28.2,4.17,22.56,23
CDM,RX-7084,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],28.2,28.2,4.17,22.56,23
CDM,RX-7085,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],32.98,32.98,4.88,26.38,23
CDM,RX-7086,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],33.84,33.84,5.01,27.07,23
CDM,RX-7087,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],58.75,58.75,8.7,47.0,23
CDM,RX-7088,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],70.27,70.27,10.4,56.22,23
CDM,RX-7089,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],89.29,89.29,13.21,71.43,23
CDM,RX-709,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
CDM,RX-7090,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],89.29,89.29,13.21,71.43,23
CDM,RX-7091,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],102.73,102.73,15.2,82.18,23
CDM,RX-7092,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],102.73,102.73,15.2,82.18,23
CDM,RX-7093,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],326.76,326.76,48.36,261.41,23
CDM,RX-7094,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],389.0,389.0,57.57,311.2,23
CDM,RX-7095,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
CDM,RX-7096,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
CDM,RX-7097,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
CDM,RX-7098,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
CDM,RX-7099,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
CDM,RX-710,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
CDM,RX-7100,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],563.62,563.62,83.42,450.9,23
CDM,RX-7101,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],563.62,563.62,83.42,450.9,23
CDM,RX-7102,NALOXONE ORAL SYRINGE 0.4 MG/ML [600765],369.55,369.55,54.69,295.64,23
CDM,RX-7103,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],35.75,35.75,5.29,28.6,23
CDM,RX-7104,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],44.21,44.21,6.54,35.37,23
CDM,RX-7105,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],70.5,70.5,10.43,56.4,23
CDM,RX-7106,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
CDM,RX-7107,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
CDM,RX-7108,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
CDM,RX-7109,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
CDM,RX-711,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
CDM,RX-7110,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
CDM,RX-7111,NAPROXEN 500 MG PO TABS [5393],6.0,6.0,0.89,4.8,23
CDM,RX-7112,NAPROXEN 500 MG PO TABS [5393],6.09,6.09,0.9,4.87,23
CDM,RX-7113,NAPROXEN 500 MG PO TABS [5393],6.29,6.29,0.93,5.03,23
CDM,RX-7114,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
CDM,RX-7115,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
CDM,RX-7116,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
CDM,RX-7117,NATAMYCIN 5 % OP SUSP [10692],1653.95,1653.95,244.78,1323.16,23
CDM,RX-7118,NATEGLINIDE 120 MG PO TABS [29438],6.0,6.0,0.89,4.8,23
CDM,RX-7119,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
CDM,RX-712,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
CDM,RX-7120,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
CDM,RX-7121,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
CDM,RX-7122,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
CDM,RX-7123,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
CDM,RX-7124,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
CDM,RX-7125,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
CDM,RX-7126,NEBIVOLOL HCL 10 MG PO TABS [89286],34.38,34.38,5.09,27.5,23
CDM,RX-7127,NEBIVOLOL HCL 20 MG PO TABS [97266],36.09,36.09,5.34,28.87,23
CDM,RX-7128,NEBIVOLOL HCL 5 MG PO TABS [89284],34.38,34.38,5.09,27.5,23
CDM,RX-7129,NEFAZODONE HCL 100 MG PO TABS [13444],22.56,22.56,3.34,18.05,23
CDM,RX-713,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7130,NEFAZODONE HCL 150 MG PO TABS [13445],22.99,22.99,3.4,18.39,23
CDM,RX-7131,NEOMYCIN SULFATE 500 MG PO TABS [5472],6.42,6.42,0.95,5.14,23
CDM,RX-7132,NEOMYCIN SULFATE 500 MG PO TABS [5472],6.99,6.99,1.03,5.59,23
CDM,RX-7133,NEOMYCIN SULFATE 500 MG PO TABS [5472],7.98,7.98,1.18,6.38,23
CDM,RX-7134,NEOMYCIN SULFATE 500 MG PO TABS [5472],9.29,9.29,1.37,7.43,23
CDM,RX-7135,NEOMYCIN SULFATE 500 MG PO TABS [5472],9.31,9.31,1.38,7.45,23
CDM,RX-7136,NEOMYCIN-POLYMYXIN B GU 40-200000 IR SOLN [70678],64.19,64.19,9.5,51.35,23
CDM,RX-7137,NEOMYCIN-POLYMYXIN B GU 40-200000 IR SOLN [70678],66.39,66.39,9.83,53.11,23
CDM,RX-7138,NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75-10000-.025 OP SOLN [5474],238.31,238.31,35.27,190.65,23
CDM,RX-7139,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN [34814],395.4,395.4,58.52,316.32,23
CDM,RX-714,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7140,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP [28810],379.57,379.57,56.18,303.66,23
CDM,RX-7141,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP [28810],395.4,395.4,58.52,316.32,23
CDM,RX-7142,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],50.76,50.76,7.51,40.61,23
CDM,RX-7143,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],50.76,50.76,7.51,40.61,23
CDM,RX-7144,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],95.39,95.39,14.12,76.31,23
CDM,RX-7145,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],95.39,95.39,14.12,76.31,23
CDM,RX-7146,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],145.49,145.49,21.53,116.39,23
CDM,RX-7147,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],25.85,25.85,3.83,20.68,23
CDM,RX-7148,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],80.7,80.7,11.94,64.56,23
CDM,RX-7149,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],129.9,129.9,19.23,103.92,23
CDM,RX-715,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7150,NERATINIB MALEATE 40 MG PO TABS [137213],358.48,358.48,53.06,286.78,23
CDM,RX-7151,NEVIRAPINE 200 MG PO TABS [17403],50.78,50.78,7.52,40.62,23
CDM,RX-7152,NEVIRAPINE 200 MG PO TABS [17403],50.98,50.98,7.55,40.78,23
CDM,RX-7153,NEVIRAPINE 50 MG/5ML PO SUSP [24119],713.89,713.89,105.66,571.11,23
CDM,RX-7154,NEVIRAPINE 50 MG/5ML PO SUSP [24119],772.25,772.25,114.29,617.8,23
CDM,RX-7155,NEVIRAPINE ER 400 MG PO TB24 [107815],93.22,93.22,13.8,74.58,23
CDM,RX-7156,NEVIRAPINE ER 400 MG PO TB24 [107815],101.96,101.96,15.09,81.57,23
CDM,RX-7157,NEVIRAPINE ER 400 MG PO TB24 [107815],145.55,145.55,21.54,116.44,23
CDM,RX-7158,NIACIN 100 MG PO TABS [5539],6.0,6.0,0.89,4.8,23
CDM,RX-7159,NIACIN 100 MG PO TABS [5539],6.0,6.0,0.89,4.8,23
CDM,RX-716,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7160,NIACIN 500 MG PO TABS [5542],6.0,6.0,0.89,4.8,23
CDM,RX-7161,NIACIN ER (ANTIHYPERLIPIDEMIC) 1000 MG PO TBCR [27183],35.18,35.18,5.21,28.14,23
CDM,RX-7162,NIACIN ER (ANTIHYPERLIPIDEMIC) 1000 MG PO TBCR [27183],43.36,43.36,6.42,34.69,23
CDM,RX-7163,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],19.92,19.92,2.95,15.94,23
CDM,RX-7164,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],24.52,24.52,3.63,19.62,23
CDM,RX-7165,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],24.52,24.52,3.63,19.62,23
CDM,RX-7166,NIACIN ER (ANTIHYPERLIPIDEMIC) 750 MG PO TBCR [27182],28.38,28.38,4.2,22.7,23
CDM,RX-7167,NICARDIPINE 1MG/10ML NS [600263],180.57,180.57,26.72,144.46,23
CDM,RX-7168,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],99.29,99.29,14.69,79.43,23
CDM,RX-7169,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],104.66,104.66,15.49,83.73,23
CDM,RX-717,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7170,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],104.66,104.66,15.49,83.73,23
CDM,RX-7171,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],110.33,110.33,16.33,88.26,23
CDM,RX-7172,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],121.24,121.24,17.94,96.99,23
CDM,RX-7173,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],132.59,132.59,19.62,106.07,23
CDM,RX-7174,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],132.59,132.59,19.62,106.07,23
CDM,RX-7175,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],159.74,159.74,23.64,127.79,23
CDM,RX-7176,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],159.74,159.74,23.64,127.79,23
CDM,RX-7177,NICARDIPINE HCL 20 MG PO CAPS [10712],72.83,72.83,10.78,58.26,23
CDM,RX-7178,NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN [94219],459.94,459.94,68.07,367.95,23
CDM,RX-7179,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN [94576],800.32,800.32,118.45,640.26,23
CDM,RX-718,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7180,NICARDIPINE INTRATHECAL/INTRAVENTRICULAR SYRINGE [600495],27.0,27.0,4.0,21.6,23
CDM,RX-7181,NICOTINE 14 MG/24HR TD PT24 [27862],8.03,8.03,1.19,6.42,23
CDM,RX-7182,NICOTINE 14 MG/24HR TD PT24 [27862],9.67,9.67,1.43,7.74,23
CDM,RX-7183,NICOTINE 14 MG/24HR TD PT24 [27862],10.03,10.03,1.48,8.02,23
CDM,RX-7184,NICOTINE 14 MG/24HR TD PT24 [27862],10.03,10.03,1.48,8.02,23
CDM,RX-7185,NICOTINE 14 MG/24HR TD PT24 [27862],10.07,10.07,1.49,8.06,23
CDM,RX-7186,NICOTINE 14 MG/24HR TD PT24 [27862],11.84,11.84,1.75,9.47,23
CDM,RX-7187,NICOTINE 14 MG/24HR TD PT24 [27862],11.84,11.84,1.75,9.47,23
CDM,RX-7188,NICOTINE 21 MG/24HR TD PT24 [27863],8.03,8.03,1.19,6.42,23
CDM,RX-7189,NICOTINE 21 MG/24HR TD PT24 [27863],10.03,10.03,1.48,8.02,23
CDM,RX-719,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7190,NICOTINE 21 MG/24HR TD PT24 [27863],10.07,10.07,1.49,8.06,23
CDM,RX-7191,NICOTINE 21 MG/24HR TD PT24 [27863],10.07,10.07,1.49,8.06,23
CDM,RX-7192,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
CDM,RX-7193,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
CDM,RX-7194,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
CDM,RX-7195,NICOTINE 21 MG/24HR TD PT24 [27863],12.09,12.09,1.79,9.67,23
CDM,RX-7196,NICOTINE 21 MG/24HR TD PT24 [27863],13.4,13.4,1.98,10.72,23
CDM,RX-7197,NICOTINE 7 MG/24HR TD PT24 [27860],8.03,8.03,1.19,6.42,23
CDM,RX-7198,NICOTINE 7 MG/24HR TD PT24 [27860],10.03,10.03,1.48,8.02,23
CDM,RX-7199,NICOTINE 7 MG/24HR TD PT24 [27860],10.07,10.07,1.49,8.06,23
CDM,RX-720,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
CDM,RX-7200,NICOTINE 7 MG/24HR TD PT24 [27860],11.24,11.24,1.66,8.99,23
CDM,RX-7201,NICOTINE 7 MG/24HR TD PT24 [27860],11.84,11.84,1.75,9.47,23
CDM,RX-7202,NICOTINE 7 MG/24HR TD PT24 [27860],11.84,11.84,1.75,9.47,23
CDM,RX-7203,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
CDM,RX-7204,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
CDM,RX-7205,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
CDM,RX-7206,NIFEDIPINE 20 MG PO CAPS [5559],6.0,6.0,0.89,4.8,23
CDM,RX-7207,NIFEDIPINE 20 MG PO CAPS [5559],10.83,10.83,1.6,8.66,23
CDM,RX-7208,NIFEDIPINE 20 MG PO CAPS [5559],10.83,10.83,1.6,8.66,23
CDM,RX-7209,NIFEDIPINE 90 MG PO TB24 [37662],14.26,14.26,2.11,11.41,23
CDM,RX-721,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7210,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
CDM,RX-7211,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
CDM,RX-7212,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
CDM,RX-7213,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.16,6.16,0.91,4.93,23
CDM,RX-7214,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.16,6.16,0.91,4.93,23
CDM,RX-7215,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.17,6.17,0.91,4.94,23
CDM,RX-7216,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.23,6.23,0.92,4.98,23
CDM,RX-7217,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],8.41,8.41,1.24,6.73,23
CDM,RX-7218,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],6.0,6.0,0.89,4.8,23
CDM,RX-7219,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],6.0,6.0,0.89,4.8,23
CDM,RX-722,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7220,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.45,10.45,1.55,8.36,23
CDM,RX-7221,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.6,10.6,1.57,8.48,23
CDM,RX-7222,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.66,10.66,1.58,8.53,23
CDM,RX-7223,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.78,10.78,1.6,8.62,23
CDM,RX-7224,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.88,10.88,1.61,8.7,23
CDM,RX-7225,NILOTINIB HCL 150 MG PO CAPS [103756],760.66,760.66,112.58,608.53,23
CDM,RX-7226,NILOTINIB HCL 200 MG PO CAPS [88720],760.66,760.66,112.58,608.53,23
CDM,RX-7227,NILOTINIB HCL 50 MG PO CAPS [139459],760.66,760.66,112.58,608.53,23
CDM,RX-7228,NIMODIPINE 30 MG PO CAPS [10722],16.21,16.21,2.4,12.97,23
CDM,RX-7229,NIMODIPINE 30 MG PO CAPS [10722],86.53,86.53,12.81,69.22,23
CDM,RX-723,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7230,NIMODIPINE 30 MG PO CAPS [10722],90.39,90.39,13.38,72.31,23
CDM,RX-7231,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
CDM,RX-7232,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
CDM,RX-7233,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
CDM,RX-7234,NIMODIPINE 6 MG/ML PO SOLN [147917],249.32,249.32,36.9,199.46,23
CDM,RX-7235,NIMODIPINE 6 MG/ML PO SOLN [147917],249.32,249.32,36.9,199.46,23
CDM,RX-7236,NIMODIPINE 6 MG/ML PO SOLN [147917],249.33,249.33,36.9,199.46,23
CDM,RX-7237,NIMODIPINE 6 MG/ML PO SOLN [147917],249.33,249.33,36.9,199.46,23
CDM,RX-7238,NIMODIPINE 6 MG/ML PO SOLN [147917],7889.67,7889.67,1167.67,6311.74,23
CDM,RX-7239,NIRAPARIB TOSYLATE 100 MG PO TABS [160494],2197.22,2197.22,325.19,1757.78,23
CDM,RX-724,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7240,NIRAPARIB TOSYLATE 200 MG PO TABS [160495],2197.22,2197.22,325.19,1757.78,23
CDM,RX-7241,NIRAPARIB TOSYLATE 300 MG PO TABS [160496],2197.22,2197.22,325.19,1757.78,23
CDM,RX-7242,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],11.0,11.0,1.63,8.8,23
CDM,RX-7243,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],11.0,11.0,1.63,8.8,23
CDM,RX-7244,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],628.84,628.84,93.07,503.07,23
CDM,RX-7245,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],4542.27,4542.27,672.26,3633.82,23
CDM,RX-7246,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],6.0,6.0,0.89,4.8,23
CDM,RX-7247,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],6.0,6.0,0.89,4.8,23
CDM,RX-7248,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
CDM,RX-7249,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
CDM,RX-725,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7250,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
CDM,RX-7251,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],628.84,628.84,93.07,503.07,23
CDM,RX-7252,NIROGACESTAT HYDROBROMIDE 50 MG PO TABS [162518],684.87,684.87,101.36,547.9,23
CDM,RX-7253,NIRSEVIMAB-ALIP 100 MG/ML IM SOSY [161424],1942.02,1942.02,287.42,1553.62,23
CDM,RX-7254,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY [161423],1942.02,1942.02,287.42,1553.62,23
CDM,RX-7255,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY [161423],1942.02,1942.02,287.42,1553.62,23
CDM,RX-7256,NISOLDIPINE ER 30 MG PO TB24 [27494],84.33,84.33,12.48,67.46,23
CDM,RX-7257,NISOLDIPINE ER 40 MG PO TB24 [27495],84.33,84.33,12.48,67.46,23
CDM,RX-7258,NITAZOXANIDE 100 MG/5ML PO SUSR [34708],1822.83,1822.83,269.78,1458.26,23
CDM,RX-7259,NITAZOXANIDE 500 MG PO TABS [39254],578.63,578.63,85.64,462.9,23
CDM,RX-726,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
CDM,RX-7260,NITAZOXANIDE 500 MG PO TABS [39254],578.63,578.63,85.64,462.9,23
CDM,RX-7261,NITAZOXANIDE 500 MG PO TABS [39254],609.09,609.09,90.15,487.27,23
CDM,RX-7262,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
CDM,RX-7263,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
CDM,RX-7264,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
CDM,RX-7265,NITHIODOTE 300MG/10ML&12.5 GM/50ML IV KIT [141438],747.84,747.84,110.68,598.27,23
CDM,RX-7266,NITROFURANTOIN 10MG/ML ORAL SUSPENSION   [600894],64.02,64.02,9.47,51.22,23
CDM,RX-7267,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.03,10.03,1.48,8.02,23
CDM,RX-7268,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
CDM,RX-7269,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
CDM,RX-727,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
CDM,RX-7270,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
CDM,RX-7271,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],20.77,20.77,3.07,16.62,23
CDM,RX-7272,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],20.77,20.77,3.07,16.62,23
CDM,RX-7273,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],6.0,6.0,0.89,4.8,23
CDM,RX-7274,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],7.95,7.95,1.18,6.36,23
CDM,RX-7275,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],16.59,16.59,2.46,13.27,23
CDM,RX-7276,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],16.62,16.62,2.46,13.3,23
CDM,RX-7277,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],17.93,17.93,2.65,14.34,23
CDM,RX-7278,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],19.2,19.2,2.84,15.36,23
CDM,RX-7279,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],27.89,27.89,4.13,22.31,23
CDM,RX-728,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
CDM,RX-7280,NITROGLYCERIN 0.1 MG/HR TD PT24 [27471],7.43,7.43,1.1,5.94,23
CDM,RX-7281,NITROGLYCERIN 0.1 MG/HR TD PT24 [27471],8.74,8.74,1.29,6.99,23
CDM,RX-7282,NITROGLYCERIN 0.2 % OINT [601025],195.05,195.05,28.87,156.04,23
CDM,RX-7283,NITROGLYCERIN 0.2 MG/HR TD PT24 [27472],8.94,8.94,1.32,7.15,23
CDM,RX-7284,NITROGLYCERIN 0.3 MG SL SUBL [5603],203.95,203.95,30.18,163.16,23
CDM,RX-7285,NITROGLYCERIN 0.3 MG SL SUBL [5603],203.95,203.95,30.18,163.16,23
CDM,RX-7286,NITROGLYCERIN 0.3 MG SL SUBL [5603],345.83,345.83,51.18,276.66,23
CDM,RX-7287,NITROGLYCERIN 0.3 MG/HR TD PT24 [27473],247.37,247.37,36.61,197.9,23
CDM,RX-7288,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7289,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-729,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
CDM,RX-7290,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7291,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7292,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7293,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7294,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7295,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
CDM,RX-7296,NITROGLYCERIN 0.4 MG SL SUBL [5604],9.12,9.12,1.35,7.3,23
CDM,RX-7297,NITROGLYCERIN 0.4 MG/HR TD PT24 [27474],8.69,8.69,1.29,6.95,23
CDM,RX-7298,NITROGLYCERIN 0.4 MG/HR TD PT24 [27474],10.22,10.22,1.51,8.18,23
CDM,RX-7299,NITROGLYCERIN 0.6 MG SL SUBL [5605],203.95,203.95,30.18,163.16,23
CDM,RX-730,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],117.52,117.52,17.39,94.02,23
CDM,RX-7300,NITROGLYCERIN 0.6 MG SL SUBL [5605],203.95,203.95,30.18,163.16,23
CDM,RX-7301,NITROGLYCERIN 0.6 MG SL SUBL [5605],345.83,345.83,51.18,276.66,23
CDM,RX-7302,NITROGLYCERIN 0.6 MG/HR TD PT24 [27475],11.27,11.27,1.67,9.02,23
CDM,RX-7303,NITROGLYCERIN 0.6 MG/HR TD PT24 [27475],11.27,11.27,1.67,9.02,23
CDM,RX-7304,NITROGLYCERIN 2 % TD OINT [5606],14.24,14.24,2.11,11.39,23
CDM,RX-7305,NITROGLYCERIN 2 % TD OINT [5606],202.65,202.65,29.99,162.12,23
CDM,RX-7306,NITROGLYCERIN 200 MCG/ML D5W 5 ML IV SYRINGE ANGIO [600811],27.0,27.0,4.0,21.6,23
CDM,RX-7307,NITROGLYCERIN 200 MCG/ML D5W 5 ML IV SYRINGE ANGIO [600811],56.4,56.4,8.35,45.12,23
CDM,RX-7308,NITROGLYCERIN 5 MG/ML IV SOLN [5599],87.71,87.71,12.98,70.17,23
CDM,RX-7309,NITROGLYCERIN IN D5W 200-5 MCG/ML-% IV SOLN [15859],116.91,116.91,17.3,93.53,23
CDM,RX-731,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],120.39,120.39,17.82,96.31,23
CDM,RX-7310,NITROPRUSSIDE 100 MCG/ML INTRACATH/ANGIO [601483],27.0,27.0,4.0,21.6,23
CDM,RX-7311,NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN [18908],108.25,108.25,16.02,86.6,23
CDM,RX-7312,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN [135444],205.4,205.4,30.4,164.32,23
CDM,RX-7313,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN [135444],256.74,256.74,38.0,205.39,23
CDM,RX-7314,NIVOLUMAB 100 MG/10ML IV SOLN [126374],9850.94,9850.94,1457.94,7880.75,23
CDM,RX-7315,NIVOLUMAB 120 MG/12ML IV SOLN [153706],11821.16,11821.16,1749.53,9456.93,23
CDM,RX-7316,NIVOLUMAB 240 MG/24ML IV SOLN [138555],23642.37,23642.37,3499.07,18913.9,23
CDM,RX-7317,NIVOLUMAB 40 MG/4ML IV SOLN [126373],3940.41,3940.41,583.18,3152.33,23
CDM,RX-7318,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN [155386],45903.06,45903.06,6793.65,36722.45,23
CDM,RX-7319,NORELGESTROMIN-ETH ESTRADIOL 150-35 MCG/24HR TD PTWK [32248],198.01,198.01,29.31,158.41,23
CDM,RX-732,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],126.72,126.72,18.75,101.38,23
CDM,RX-7320,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],22.0,22.0,3.26,17.6,23
CDM,RX-7321,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],28.2,28.2,4.17,22.56,23
CDM,RX-7322,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],28.2,28.2,4.17,22.56,23
CDM,RX-7323,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],45.12,45.12,6.68,36.1,23
CDM,RX-7324,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],45.12,45.12,6.68,36.1,23
CDM,RX-7325,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],46.93,46.93,6.95,37.54,23
CDM,RX-7326,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],76.3,76.3,11.29,61.04,23
CDM,RX-7327,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],76.3,76.3,11.29,61.04,23
CDM,RX-7328,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],81.31,81.31,12.03,65.05,23
CDM,RX-7329,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],81.31,81.31,12.03,65.05,23
CDM,RX-733,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],117.21,117.21,17.35,93.77,23
CDM,RX-7330,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],90.73,90.73,13.43,72.58,23
CDM,RX-7331,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],93.64,93.64,13.86,74.91,23
CDM,RX-7332,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],94.5,94.5,13.99,75.6,23
CDM,RX-7333,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],94.5,94.5,13.99,75.6,23
CDM,RX-7334,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],98.56,98.56,14.59,78.85,23
CDM,RX-7335,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],98.56,98.56,14.59,78.85,23
CDM,RX-7336,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],116.79,116.79,17.28,93.43,23
CDM,RX-7337,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],116.83,116.83,17.29,93.46,23
CDM,RX-7338,NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN [133062],173.2,173.2,25.63,138.56,23
CDM,RX-7339,NOREPINEPHRINE-SODIUM CHLORIDE 16-0.9 MG/500ML-% IV SOLN [601178],6633.66,6633.66,981.78,5306.93,23
CDM,RX-734,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],120.39,120.39,17.82,96.31,23
CDM,RX-7340,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],96.35,96.35,14.26,77.08,23
CDM,RX-7341,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],155.88,155.88,23.07,124.7,23
CDM,RX-7342,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],155.88,155.88,23.07,124.7,23
CDM,RX-7343,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],197.02,197.02,29.16,157.62,23
CDM,RX-7344,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],197.02,197.02,29.16,157.62,23
CDM,RX-7345,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],212.01,212.01,31.38,169.61,23
CDM,RX-7346,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],213.95,213.95,31.66,171.16,23
CDM,RX-7347,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],213.95,213.95,31.66,171.16,23
CDM,RX-7348,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],228.54,228.54,33.82,182.83,23
CDM,RX-7349,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],228.54,228.54,33.82,182.83,23
CDM,RX-735,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],120.39,120.39,17.82,96.31,23
CDM,RX-7350,NORETHIN ACE-ETH ESTRAD-FE 1-20 MG-MCG PO TABS [10735],11.0,11.0,1.63,8.8,23
CDM,RX-7351,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
CDM,RX-7352,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
CDM,RX-7353,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
CDM,RX-7354,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
CDM,RX-7355,NORETHINDRONE ACETATE 5 MG PO TABS [10747],34.22,34.22,5.06,27.38,23
CDM,RX-7356,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
CDM,RX-7357,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
CDM,RX-7358,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
CDM,RX-7359,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
CDM,RX-736,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],126.72,126.72,18.75,101.38,23
CDM,RX-7360,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
CDM,RX-7361,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],553.03,553.03,81.85,442.42,23
CDM,RX-7362,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],553.03,553.03,81.85,442.42,23
CDM,RX-7363,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],607.08,607.08,89.85,485.66,23
CDM,RX-7364,NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG PO TABS [10752],132.16,132.16,19.56,105.73,23
CDM,RX-7365,NORMAL SALINE FLUSH 0.9 % IV SOLN [116540],22.0,22.0,3.26,17.6,23
CDM,RX-7366,NORMAL SALINE FLUSH 0.9 % IV SOLN [116540],22.0,22.0,3.26,17.6,23
CDM,RX-7367,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
CDM,RX-7368,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
CDM,RX-7369,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
CDM,RX-737,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],194.86,194.86,28.84,155.89,23
CDM,RX-7370,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
CDM,RX-7371,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
CDM,RX-7372,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
CDM,RX-7373,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
CDM,RX-7374,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
CDM,RX-7375,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
CDM,RX-7376,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
CDM,RX-7377,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
CDM,RX-7378,NORTRIPTYLINE HCL 75 MG PO CAPS [5677],19.83,19.83,2.93,15.86,23
CDM,RX-7379,NORTRIPTYLINE HCL 75 MG PO CAPS [5677],19.83,19.83,2.93,15.86,23
CDM,RX-738,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],194.86,194.86,28.84,155.89,23
CDM,RX-7380,NXSTAGE RFP 400 DIALYSIS SOLUTION [600422],102.84,102.84,15.22,82.27,23
CDM,RX-7381,NXSTAGE RFP 400 DIALYSIS SOLUTION [600422],102.84,102.84,15.22,82.27,23
CDM,RX-7382,NXSTAGE RFP 401 DIALYSIS SOLUTION [600421],102.84,102.84,15.22,82.27,23
CDM,RX-7383,NXSTAGE RFP 401 DIALYSIS SOLUTION [600421],102.84,102.84,15.22,82.27,23
CDM,RX-7384,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
CDM,RX-7385,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
CDM,RX-7386,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
CDM,RX-7387,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.49,82.49,12.21,65.99,23
CDM,RX-7388,NYSTATIN 100000 UNIT/GM EX CREA [5749],113.67,113.67,16.82,90.94,23
CDM,RX-7389,NYSTATIN 100000 UNIT/GM EX CREA [5749],113.67,113.67,16.82,90.94,23
CDM,RX-739,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],214.26,214.26,31.71,171.41,23
CDM,RX-7390,NYSTATIN 100000 UNIT/GM EX CREA [5749],114.06,114.06,16.88,91.25,23
CDM,RX-7391,NYSTATIN 100000 UNIT/GM EX OINT [5750],78.96,78.96,11.69,63.17,23
CDM,RX-7392,NYSTATIN 100000 UNIT/GM EX OINT [5750],82.28,82.28,12.18,65.82,23
CDM,RX-7393,NYSTATIN 100000 UNIT/GM EX OINT [5750],82.28,82.28,12.18,65.82,23
CDM,RX-7394,NYSTATIN 100000 UNIT/GM EX OINT [5750],109.12,109.12,16.15,87.3,23
CDM,RX-7395,NYSTATIN 100000 UNIT/GM EX OINT [5750],113.67,113.67,16.82,90.94,23
CDM,RX-7396,NYSTATIN 100000 UNIT/GM EX OINT [5750],113.67,113.67,16.82,90.94,23
CDM,RX-7397,NYSTATIN 100000 UNIT/GM EX POWD [39136],95.03,95.03,14.06,76.02,23
CDM,RX-7398,NYSTATIN 100000 UNIT/GM EX POWD [39136],95.03,95.03,14.06,76.02,23
CDM,RX-7399,NYSTATIN 100000 UNIT/GM EX POWD [39136],100.81,100.81,14.92,80.65,23
CDM,RX-740,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],214.26,214.26,31.71,171.41,23
CDM,RX-7400,NYSTATIN 100000 UNIT/GM EX POWD [39136],106.13,106.13,15.71,84.9,23
CDM,RX-7401,NYSTATIN 100000 UNIT/GM EX POWD [39136],118.93,118.93,17.6,95.14,23
CDM,RX-7402,NYSTATIN 100000 UNIT/GM EX POWD [39136],121.27,121.27,17.95,97.02,23
CDM,RX-7403,NYSTATIN 100000 UNIT/GM EX POWD [39136],121.27,121.27,17.95,97.02,23
CDM,RX-7404,NYSTATIN 100000 UNIT/GM EX POWD [39136],162.19,162.19,24.0,129.75,23
CDM,RX-7405,NYSTATIN 100000 UNIT/GM EX POWD [39136],194.54,194.54,28.79,155.63,23
CDM,RX-7406,NYSTATIN 100000 UNIT/GM EX POWD [39136],201.61,201.61,29.84,161.29,23
CDM,RX-7407,NYSTATIN 100000 UNIT/GM EX POWD [39136],209.36,209.36,30.99,167.49,23
CDM,RX-7408,NYSTATIN 100000 UNIT/GM EX POWD [39136],323.5,323.5,47.88,258.8,23
CDM,RX-7409,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
CDM,RX-741,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],225.54,225.54,33.38,180.43,23
CDM,RX-7410,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
CDM,RX-7411,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
CDM,RX-7412,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
CDM,RX-7413,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
CDM,RX-7414,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
CDM,RX-7415,NYSTATIN 100000 UNIT/ML MT SUSP [5751],165.9,165.9,24.55,132.72,23
CDM,RX-7416,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
CDM,RX-7417,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
CDM,RX-7418,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
CDM,RX-7419,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
CDM,RX-742,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
CDM,RX-7420,NYSTATIN 100000 UNIT/ML MT SUSP [5751],565.5,565.5,83.69,452.4,23
CDM,RX-7421,NYSTATIN 100000U/ML ORAL SYRINGE (NICU) [600175],9.0,9.0,1.33,7.2,23
CDM,RX-7422,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX OINT [5755],87.99,87.99,13.02,70.39,23
CDM,RX-7423,OBINUTUZUMAB 1000 MG/40ML IV SOLN [122192],26148.26,26148.26,3869.94,20918.61,23
CDM,RX-7424,OBIZUR:ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR [126034],4111.25,4111.25,608.46,3289.0,23
CDM,RX-7425,OBIZUR:ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR [126034],4111.25,4111.25,608.46,3289.0,23
CDM,RX-7426,OCRELIZUMAB 300 MG/10ML IV SOLN [135612],62665.95,62665.95,9274.56,50132.76,23
CDM,RX-7427,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-7428,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-7429,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-743,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
CDM,RX-7430,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-7431,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-7432,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
CDM,RX-7433,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],38.19,38.19,5.65,30.55,23
CDM,RX-7434,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],38.19,38.19,5.65,30.55,23
CDM,RX-7435,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],56.07,56.07,8.3,44.86,23
CDM,RX-7436,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],56.07,56.07,8.3,44.86,23
CDM,RX-7437,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],142.28,142.28,21.06,113.82,23
CDM,RX-7438,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY [153517],44.56,44.56,6.59,35.65,23
CDM,RX-7439,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY [153517],44.56,44.56,6.59,35.65,23
CDM,RX-744,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
CDM,RX-7440,OCTREOTIDE ACETATE 20 MG IM KIT [24435],14015.09,14015.09,2074.23,11212.07,23
CDM,RX-7441,OCTREOTIDE ACETATE 30 MG IM KIT [24436],20986.53,20986.53,3106.01,16789.22,23
CDM,RX-7442,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
CDM,RX-7443,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
CDM,RX-7444,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
CDM,RX-7445,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
CDM,RX-7446,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
CDM,RX-7447,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
CDM,RX-7448,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY [153516],22.56,22.56,3.34,18.05,23
CDM,RX-7449,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY [153516],22.56,22.56,3.34,18.05,23
CDM,RX-745,ATENOLOL 100 MG PO TABS [716],7.01,7.01,1.04,5.61,23
CDM,RX-7450,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7451,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7452,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7453,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7454,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7455,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
CDM,RX-7456,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],189.44,189.44,28.04,151.55,23
CDM,RX-7457,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],189.44,189.44,28.04,151.55,23
CDM,RX-7458,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],231.96,231.96,34.33,185.57,23
CDM,RX-7459,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],231.97,231.97,34.33,185.58,23
CDM,RX-746,ATENOLOL 100 MG PO TABS [716],7.02,7.02,1.04,5.62,23
CDM,RX-7460,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY [153518],206.29,206.29,30.53,165.03,23
CDM,RX-7461,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY [153518],206.29,206.29,30.53,165.03,23
CDM,RX-7462,ODEFSEY:EMTRICIT-RILPIV-TENOFOV AF 200-25-25 MG TAB [131019],578.62,578.62,85.64,462.9,23
CDM,RX-7463,OFATUMUMAB 100 MG/5ML IV CONC [100258],2106.9,2106.9,311.82,1685.52,23
CDM,RX-7464,OFATUMUMAB 100 MG/5ML IV CONC [100258],2106.98,2106.98,311.83,1685.58,23
CDM,RX-7465,OFATUMUMAB 1000 MG/50ML IV CONC [116047],18318.34,18318.34,2711.11,14654.67,23
CDM,RX-7466,OLANZAPINE 10 MG IM SOLR [38263],179.7,179.7,26.6,143.76,23
CDM,RX-7467,OLANZAPINE 10 MG IM SOLR [38263],184.16,184.16,27.26,147.33,23
CDM,RX-7468,OLANZAPINE 10 MG IM SOLR [38263],184.16,184.16,27.26,147.33,23
CDM,RX-7469,OLANZAPINE 10 MG IM SOLR [38263],205.2,205.2,30.37,164.16,23
CDM,RX-747,ATENOLOL 100 MG PO TABS [716],75.33,75.33,11.15,60.26,23
CDM,RX-7470,OLANZAPINE 10 MG IM SOLR [38263],234.61,234.61,34.72,187.69,23
CDM,RX-7471,OLANZAPINE 10 MG PO TABS [17937],62.12,62.12,9.19,49.7,23
CDM,RX-7472,OLANZAPINE 10 MG PO TABS [17937],87.07,87.07,12.89,69.66,23
CDM,RX-7473,OLANZAPINE 10 MG PO TABS [17937],87.07,87.07,12.89,69.66,23
CDM,RX-7474,OLANZAPINE 10 MG PO TABS [17937],87.98,87.98,13.02,70.38,23
CDM,RX-7475,OLANZAPINE 10 MG PO TABS [17937],93.61,93.61,13.85,74.89,23
CDM,RX-7476,OLANZAPINE 10 MG PO TABS [17937],93.61,93.61,13.85,74.89,23
CDM,RX-7477,OLANZAPINE 10 MG PO TBDP [28160],14.34,14.34,2.12,11.47,23
CDM,RX-7478,OLANZAPINE 10 MG PO TBDP [28160],66.26,66.26,9.81,53.01,23
CDM,RX-7479,OLANZAPINE 10 MG PO TBDP [28160],89.49,89.49,13.24,71.59,23
CDM,RX-748,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
CDM,RX-7480,OLANZAPINE 10 MG PO TBDP [28160],89.49,89.49,13.24,71.59,23
CDM,RX-7481,OLANZAPINE 10 MG PO TBDP [28160],90.81,90.81,13.44,72.65,23
CDM,RX-7482,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
CDM,RX-7483,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
CDM,RX-7484,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
CDM,RX-7485,OLANZAPINE 10 MG PO TBDP [28160],128.39,128.39,19.0,102.71,23
CDM,RX-7486,OLANZAPINE 10 MG PO TBDP [28160],128.4,128.4,19.0,102.72,23
CDM,RX-7487,OLANZAPINE 15 MG PO TABS [26952],127.65,127.65,18.89,102.12,23
CDM,RX-7488,OLANZAPINE 15 MG PO TABS [26952],129.36,129.36,19.15,103.49,23
CDM,RX-7489,OLANZAPINE 15 MG PO TABS [26952],129.36,129.36,19.15,103.49,23
CDM,RX-749,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
CDM,RX-7490,OLANZAPINE 15 MG PO TABS [26952],131.93,131.93,19.53,105.54,23
CDM,RX-7491,OLANZAPINE 15 MG PO TBDP [28161],131.35,131.35,19.44,105.08,23
CDM,RX-7492,OLANZAPINE 15 MG PO TBDP [28161],131.35,131.35,19.44,105.08,23
CDM,RX-7493,OLANZAPINE 15 MG PO TBDP [28161],133.93,133.93,19.82,107.14,23
CDM,RX-7494,OLANZAPINE 15 MG PO TBDP [28161],133.94,133.94,19.82,107.15,23
CDM,RX-7495,OLANZAPINE 2.5 MG PO TABS [21057],52.51,52.51,7.77,42.01,23
CDM,RX-7496,OLANZAPINE 2.5 MG PO TABS [21057],52.63,52.63,7.79,42.1,23
CDM,RX-7497,OLANZAPINE 2.5 MG PO TABS [21057],52.63,52.63,7.79,42.1,23
CDM,RX-7498,OLANZAPINE 20 MG PO TABS [28158],160.43,160.43,23.74,128.34,23
CDM,RX-7499,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
CDM,RX-750,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
CDM,RX-7500,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
CDM,RX-7501,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
CDM,RX-7502,OLANZAPINE 20 MG PO TBDP [28162],27.94,27.94,4.14,22.35,23
CDM,RX-7503,OLANZAPINE 20 MG PO TBDP [28162],173.2,173.2,25.63,138.56,23
CDM,RX-7504,OLANZAPINE 20 MG PO TBDP [28162],177.04,177.04,26.2,141.63,23
CDM,RX-7505,OLANZAPINE 20 MG PO TBDP [28162],177.04,177.04,26.2,141.63,23
CDM,RX-7506,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
CDM,RX-7507,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
CDM,RX-7508,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
CDM,RX-7509,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
CDM,RX-751,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
CDM,RX-7510,OLANZAPINE 20 MG PO TBDP [28162],226.12,226.12,33.47,180.9,23
CDM,RX-7511,OLANZAPINE 20 MG PO TBDP [28162],226.13,226.13,33.47,180.9,23
CDM,RX-7512,OLANZAPINE 5 MG PO TABS [17936],51.19,51.19,7.58,40.95,23
CDM,RX-7513,OLANZAPINE 5 MG PO TABS [17936],62.05,62.05,9.18,49.64,23
CDM,RX-7514,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
CDM,RX-7515,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
CDM,RX-7516,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
CDM,RX-7517,OLANZAPINE 5 MG PO TBDP [28159],9.76,9.76,1.44,7.81,23
CDM,RX-7518,OLANZAPINE 5 MG PO TBDP [28159],65.68,65.68,9.72,52.54,23
CDM,RX-7519,OLANZAPINE 5 MG PO TBDP [28159],65.68,65.68,9.72,52.54,23
CDM,RX-752,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
CDM,RX-7520,OLANZAPINE 5 MG PO TBDP [28159],65.8,65.8,9.74,52.64,23
CDM,RX-7521,OLANZAPINE 5 MG PO TBDP [28159],65.8,65.8,9.74,52.64,23
CDM,RX-7522,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
CDM,RX-7523,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
CDM,RX-7524,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
CDM,RX-7525,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
CDM,RX-7526,OLANZAPINE 5 MG PO TBDP [28159],86.93,86.93,12.87,69.54,23
CDM,RX-7527,OLANZAPINE 5 MG PO TBDP [28159],86.95,86.95,12.87,69.56,23
CDM,RX-7528,OLANZAPINE 7.5 MG PO TABS [17938],75.6,75.6,11.19,60.48,23
CDM,RX-7529,OLANZAPINE 7.5 MG PO TABS [17938],75.6,75.6,11.19,60.48,23
CDM,RX-753,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
CDM,RX-7530,OLAPARIB 100 MG PO TABS [137495],654.48,654.48,96.86,523.58,23
CDM,RX-7531,OLAPARIB 100 MG PO TABS [137495],654.48,654.48,96.86,523.58,23
CDM,RX-7532,OLODATEROL HCL 2.5 MCG/ACT IN AERS [125003],1054.72,1054.72,156.1,843.78,23
CDM,RX-7533,OLOPATADINE HCL 0.1 % OP SOLN [19452],42.87,42.87,6.34,34.3,23
CDM,RX-7534,OLOPATADINE HCL 0.1 % OP SOLN [19452],44.37,44.37,6.57,35.5,23
CDM,RX-7535,OLOPATADINE HCL 0.1 % OP SOLN [19452],62.04,62.04,9.18,49.63,23
CDM,RX-7536,OLOPATADINE HCL 0.1 % OP SOLN [19452],135.32,135.32,20.03,108.26,23
CDM,RX-7537,OLOPATADINE HCL 0.1 % OP SOLN [19452],841.32,841.32,124.52,673.06,23
CDM,RX-7538,OLOPATADINE HCL 0.1 % OP SOLN [19452],883.41,883.41,130.74,706.73,23
CDM,RX-7539,OMADACYCLINE TOSYLATE 100 MG IV SOLR [142195],1619.07,1619.07,239.62,1295.26,23
CDM,RX-754,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
CDM,RX-7540,OMADACYCLINE TOSYLATE 150 MG PO TABS [142196],1035.79,1035.79,153.3,828.63,23
CDM,RX-7541,OMADACYCLINE TOSYLATE 150 MG PO TABS [142196],1035.8,1035.8,153.3,828.64,23
CDM,RX-7542,OMALIZUMAB 150 MG/ML SC SOSY [141226],4299.34,4299.34,636.3,3439.47,23
CDM,RX-7543,OMALIZUMAB 300 MG/2  ML SC SOSY [163424],8598.69,8598.69,1272.61,6878.95,23
CDM,RX-7544,OMALIZUMAB 75 MG/0.5ML SC SOSY [141227],4299.34,4299.34,636.3,3439.47,23
CDM,RX-7545,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
CDM,RX-7546,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
CDM,RX-7547,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
CDM,RX-7548,OMEPRAZOLE 20 MG PO CPDR [27694],6.0,6.0,0.89,4.8,23
CDM,RX-7549,OMEPRAZOLE 20 MG PO CPDR [27694],20.2,20.2,2.99,16.16,23
CDM,RX-755,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
CDM,RX-7550,OMEPRAZOLE 20 MG PO CPDR [27694],20.43,20.43,3.02,16.34,23
CDM,RX-7551,OMEPRAZOLE 20 MG PO CPDR [27694],20.43,20.43,3.02,16.34,23
CDM,RX-7552,OMEPRAZOLE 2MG/ML ORAL SUSP 50ML [900092],62.93,62.93,9.31,50.34,23
CDM,RX-7553,OMEPRAZOLE 40 MG PO CPDR [27695],34.76,34.76,5.14,27.81,23
CDM,RX-7554,ONABOTULINUMTOXINA 100 UNITS IJ SOLR [102429],2255.84,2255.84,333.86,1804.67,23
CDM,RX-7555,ONDANSETRON 0.8 MG/ML ORAL SYRINGE (NICU) [600700],22.55,22.55,3.34,18.04,23
CDM,RX-7556,ONDANSETRON 4 MG PO TBDP [27697],96.49,96.49,14.28,77.19,23
CDM,RX-7557,ONDANSETRON 4 MG PO TBDP [27697],96.53,96.53,14.29,77.22,23
CDM,RX-7558,ONDANSETRON 4 MG PO TBDP [27697],96.53,96.53,14.29,77.22,23
CDM,RX-7559,ONDANSETRON 4 MG PO TBDP [27697],97.72,97.72,14.46,78.18,23
CDM,RX-756,ATEZOLIZUMAB 1200 MG/20ML IV SOLN [131700],34160.52,34160.52,5055.76,27328.42,23
CDM,RX-7560,ONDANSETRON 4 MG PO TBDP [27697],97.72,97.72,14.46,78.18,23
CDM,RX-7561,ONDANSETRON 4 MG PO TBDP [27697],100.08,100.08,14.81,80.06,23
CDM,RX-7562,ONDANSETRON 8 MG PO TBDP [27698],160.79,160.79,23.8,128.63,23
CDM,RX-7563,ONDANSETRON 8 MG PO TBDP [27698],166.71,166.71,24.67,133.37,23
CDM,RX-7564,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
CDM,RX-7565,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
CDM,RX-7566,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
CDM,RX-7567,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
CDM,RX-7568,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
CDM,RX-7569,ONDANSETRON HCL 4 MG PO TABS [10778],104.79,104.79,15.51,83.83,23
CDM,RX-757,ATEZOLIZUMAB 840 MG/14ML IV SOLN [143206],23912.37,23912.37,3539.03,19129.9,23
CDM,RX-7570,ONDANSETRON HCL 4 MG PO TABS [10778],105.06,105.06,15.55,84.05,23
CDM,RX-7571,ONDANSETRON HCL 4 MG PO TABS [10778],106.1,106.1,15.7,84.88,23
CDM,RX-7572,ONDANSETRON HCL 4 MG PO TABS [10778],107.29,107.29,15.88,85.83,23
CDM,RX-7573,ONDANSETRON HCL 4 MG PO TABS [10778],107.29,107.29,15.88,85.83,23
CDM,RX-7574,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7575,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7576,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7577,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7578,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7579,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-758,ATEZOLIZUMAB-HYALURONIDAS-TQJS 1875-30000 MG-UT/15ML SC SOLN [165424],34160.51,34160.51,5055.76,27328.41,23
CDM,RX-7580,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7581,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7582,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7583,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7584,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7585,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
CDM,RX-7586,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],44.28,44.28,6.55,35.42,23
CDM,RX-7587,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],44.47,44.47,6.58,35.58,23
CDM,RX-7588,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],105.22,105.22,15.57,84.18,23
CDM,RX-7589,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
CDM,RX-759,ATOMOXETINE HCL 40 MG PO CAPS [34447],80.77,80.77,11.95,64.62,23
CDM,RX-7590,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
CDM,RX-7591,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
CDM,RX-7592,ONDANSETRON HCL 8 MG PO TABS [10779],154.48,154.48,22.86,123.58,23
CDM,RX-7593,ONDANSETRON HCL 8 MG PO TABS [10779],167.7,167.7,24.82,134.16,23
CDM,RX-7594,ONDANSETRON HCL 8 MG PO TABS [10779],170.31,170.31,25.21,136.25,23
CDM,RX-7595,ONDANSETRON HCL 8 MG PO TABS [10779],174.5,174.5,25.83,139.6,23
CDM,RX-7596,ONDANSETRON HCL 8 MG PO TABS [10779],178.66,178.66,26.44,142.93,23
CDM,RX-7597,ONDANSETRON HCL 8 MG PO TABS [10779],178.71,178.71,26.45,142.97,23
CDM,RX-7598,ON-Q C-BLOC PUMP 400ML [600359],984.0,984.0,145.63,787.2,23
CDM,RX-7599,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
CDM,RX-760,ATOMOXETINE HCL 60 MG PO CAPS [34448],80.77,80.77,11.95,64.62,23
CDM,RX-7600,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
CDM,RX-7601,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
CDM,RX-7602,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
CDM,RX-7603,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
CDM,RX-7604,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
CDM,RX-7605,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
CDM,RX-7606,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
CDM,RX-7607,ON-Q PUMP 270 ML 2 ML/HR SINGLE LUMEN [600356],607.39,607.39,89.89,485.91,23
CDM,RX-7608,ON-Q PUMP 400 ML 4 ML/HR DUAL LUMEN [600357],902.0,902.0,133.5,721.6,23
CDM,RX-7609,ON-Q PUMP 400 ML 5 ML/HR SINGLE LUMEN [600358],861.0,861.0,127.43,688.8,23
CDM,RX-761,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
CDM,RX-7610,OPIUM 10 MG/ML (1%) PO TINC [99404],2153.34,2153.34,318.69,1722.67,23
CDM,RX-7611,OPIUM 10 MG/ML (1%) PO TINC [99404],2156.77,2156.77,319.2,1725.42,23
CDM,RX-7612,OPIUM TINCTURE 6MG/0.6ML ORAL SYRINGE [900147],12.96,12.96,1.92,10.37,23
CDM,RX-7613,OPTI-FREE REPLENISH SOLN [76618],45.12,45.12,6.68,36.1,23
CDM,RX-7614,"OR BACITRACIN 50,000 UNITS IN 1500 ML NS IR-NEURO [600521]",128.61,128.61,19.03,102.89,23
CDM,RX-7615,"OR CEFAZOLIN 1G+BACITRACIN 50,000UNITS+GENT80/1500 ML [600523]",143.0,143.0,21.16,114.4,23
CDM,RX-7616,OR CHLORHEXIDINE 0.12% 473 ML WITH 500 ML NSIR [600531],91.23,91.23,13.5,72.98,23
CDM,RX-7617,OR NEOMYCIN-POLYMYXIN B (NEOSPORIN GU) 3 ML/3000 ML NS IR [600438],267.7,267.7,39.62,214.16,23
CDM,RX-7618,OR NEOMYCIN-POLYMYXIN B 2 ML/1500 ML NS IR [600522],252.38,252.38,37.35,201.9,23
CDM,RX-7619,OR ONLY-CEFAZOLIN 1G/NS 1000ML IRRIGATION SOLN [600501],73.59,73.59,10.89,58.87,23
CDM,RX-762,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
CDM,RX-7620,OR ONLY-CEFAZOLIN 1GM/NS 1500ML IRRIG [600502],99.44,99.44,14.72,79.55,23
CDM,RX-7621,ORA-PLUS PO LIQD [5851],23.69,23.69,3.51,18.95,23
CDM,RX-7622,ORA-PLUS PO LIQD [5851],96.27,96.27,14.25,77.02,23
CDM,RX-7623,ORA-PLUS PO LIQD [5851],204.81,204.81,30.31,163.85,23
CDM,RX-7624,ORA-SWEET PO SYRP [5852],96.27,96.27,14.25,77.02,23
CDM,RX-7625,ORA-SWEET SF PO SYRP [5853],96.27,96.27,14.25,77.02,23
CDM,RX-7626,ORLISTAT 120 MG PO CAPS [23901],27.16,27.16,4.02,21.73,23
CDM,RX-7627,"ORTHO TRI-CYCLEN,TRINESSA,0.18/0.215/0.25 MG-35 MCG PO TABS [101584]",170.23,170.23,25.19,136.18,23
CDM,RX-7628,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.33,66.33,9.82,53.06,23
CDM,RX-7629,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-763,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
CDM,RX-7630,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-7631,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-7632,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-7633,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-7634,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
CDM,RX-7635,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],78.59,78.59,11.63,62.87,23
CDM,RX-7636,OSELTAMIVIR PHOSPHATE 45 MG PO CAPS [88705],66.65,66.65,9.86,53.32,23
CDM,RX-7637,OSELTAMIVIR PHOSPHATE 45 MG PO CAPS [88705],78.59,78.59,11.63,62.87,23
CDM,RX-7638,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],617.3,617.3,91.36,493.84,23
CDM,RX-7639,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],617.76,617.76,91.43,494.21,23
CDM,RX-764,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],19.01,19.01,2.81,15.21,23
CDM,RX-7640,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],652.82,652.82,96.62,522.26,23
CDM,RX-7641,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],687.2,687.2,101.71,549.76,23
CDM,RX-7642,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],15.8,15.8,2.34,12.64,23
CDM,RX-7643,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],15.8,15.8,2.34,12.64,23
CDM,RX-7644,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.58,72.58,10.74,58.06,23
CDM,RX-7645,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7646,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7647,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7648,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7649,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-765,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],19.03,19.03,2.82,15.22,23
CDM,RX-7650,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7651,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
CDM,RX-7652,OSIMERTINIB MESYLATE 40 MG PO TABS [129873],2052.23,2052.23,303.73,1641.78,23
CDM,RX-7653,OSIMERTINIB MESYLATE 80 MG PO TABS [129874],2052.23,2052.23,303.73,1641.78,23
CDM,RX-7654,OXACILLIN 1 G/D5W 100 ML MB PLUS [600042],113.95,113.95,16.86,91.16,23
CDM,RX-7655,OXACILLIN 2 G/D5W 100ML MB PLUS [600041],145.9,145.9,21.59,116.72,23
CDM,RX-7656,OXACILLIN SODIUM 1 G IJ SOLR [5924],46.76,46.76,6.92,37.41,23
CDM,RX-7657,OXACILLIN SODIUM 1 G IJ SOLR [5924],68.15,68.15,10.09,54.52,23
CDM,RX-7658,OXALIPLATIN 100 MG/20ML IV SOLN [99604],129.9,129.9,19.23,103.92,23
CDM,RX-7659,OXALIPLATIN 100 MG/20ML IV SOLN [99604],233.4,233.4,34.54,186.72,23
CDM,RX-766,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
CDM,RX-7660,OXALIPLATIN 100 MG/20ML IV SOLN [99604],434.31,434.31,64.28,347.45,23
CDM,RX-7661,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
CDM,RX-7662,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
CDM,RX-7663,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
CDM,RX-7664,OXALIPLATIN 100 MG/20ML IV SOLN [99604],787.2,787.2,116.51,629.76,23
CDM,RX-7665,OXALIPLATIN 100 MG/20ML IV SOLN [99604],1391.97,1391.97,206.01,1113.58,23
CDM,RX-7666,OXALIPLATIN 50 MG/10ML IV SOLN [99602],129.9,129.9,19.23,103.92,23
CDM,RX-7667,OXALIPLATIN 50 MG/10ML IV SOLN [99602],224.07,224.07,33.16,179.26,23
CDM,RX-7668,OXALIPLATIN 50 MG/10ML IV SOLN [99602],233.4,233.4,34.54,186.72,23
CDM,RX-7669,OXALIPLATIN 50 MG/10ML IV SOLN [99602],233.4,233.4,34.54,186.72,23
CDM,RX-767,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
CDM,RX-7670,OXALIPLATIN 50 MG/10ML IV SOLN [99602],452.4,452.4,66.96,361.92,23
CDM,RX-7671,OXALIPLATIN 50 MG/10ML IV SOLN [99602],695.99,695.99,103.01,556.79,23
CDM,RX-7672,OXALIPLATIN 50 MG/10ML IV SOLN [99602],695.99,695.99,103.01,556.79,23
CDM,RX-7673,OXANDROLONE 10 MG PO TABS [33826],88.13,88.13,13.04,70.5,23
CDM,RX-7674,OXANDROLONE 10 MG PO TABS [33826],103.12,103.12,15.26,82.5,23
CDM,RX-7675,OXANDROLONE 10MG/10ML ORAL SYRINGE [600066],722.83,722.83,106.98,578.26,23
CDM,RX-7676,OXANDROLONE 1MG/1ML ORAL SYRINGE [600065],9.02,9.02,1.33,7.22,23
CDM,RX-7677,OXANDROLONE 2.5 MG PO TABS [10803],26.0,26.0,3.85,20.8,23
CDM,RX-7678,OXANDROLONE 2.5 MG PO TABS [10803],31.45,31.45,4.65,25.16,23
CDM,RX-7679,OXCARBAZEPINE 150 MG PO TABS [27049],6.72,6.72,0.99,5.38,23
CDM,RX-768,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
CDM,RX-7680,OXCARBAZEPINE 150 MG PO TABS [27049],6.8,6.8,1.01,5.44,23
CDM,RX-7681,OXCARBAZEPINE 150 MG PO TABS [27049],7.1,7.1,1.05,5.68,23
CDM,RX-7682,OXCARBAZEPINE 150 MG PO TABS [27049],7.1,7.1,1.05,5.68,23
CDM,RX-7683,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
CDM,RX-7684,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
CDM,RX-7685,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
CDM,RX-7686,OXCARBAZEPINE 300 MG PO TABS [21061],12.34,12.34,1.83,9.87,23
CDM,RX-7687,OXCARBAZEPINE 300 MG PO TABS [21061],12.41,12.41,1.84,9.93,23
CDM,RX-7688,OXCARBAZEPINE 300 MG PO TABS [21061],12.41,12.41,1.84,9.93,23
CDM,RX-7689,OXCARBAZEPINE 300 MG PO TABS [21061],12.95,12.95,1.92,10.36,23
CDM,RX-769,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
CDM,RX-7690,OXCARBAZEPINE 300 MG PO TABS [21061],12.95,12.95,1.92,10.36,23
CDM,RX-7691,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],24.84,24.84,3.68,19.87,23
CDM,RX-7692,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7693,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7694,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7695,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7696,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7697,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
CDM,RX-7698,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],895.44,895.44,132.53,716.35,23
CDM,RX-7699,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],895.44,895.44,132.53,716.35,23
CDM,RX-770,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
CDM,RX-7700,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],933.98,933.98,138.23,747.18,23
CDM,RX-7701,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],1710.36,1710.36,253.13,1368.29,23
CDM,RX-7702,OXCARBAZEPINE 600 MG PO TABS [21157],22.56,22.56,3.34,18.05,23
CDM,RX-7703,OXCARBAZEPINE 600 MG PO TABS [21157],22.81,22.81,3.38,18.25,23
CDM,RX-7704,OXCARBAZEPINE 600 MG PO TABS [21157],23.8,23.8,3.52,19.04,23
CDM,RX-7705,OXCARBAZEPINE 600 MG PO TABS [21157],23.8,23.8,3.52,19.04,23
CDM,RX-7706,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7707,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7708,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7709,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-771,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],25.82,25.82,3.82,20.66,23
CDM,RX-7710,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7711,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7712,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7713,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7714,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7715,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7716,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
CDM,RX-7717,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],59.22,59.22,8.76,47.38,23
CDM,RX-7718,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],202.4,202.4,29.96,161.92,23
CDM,RX-7719,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],202.4,202.4,29.96,161.92,23
CDM,RX-772,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],25.82,25.82,3.82,20.66,23
CDM,RX-7720,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],1746.69,1746.69,258.51,1397.35,23
CDM,RX-7721,OXYCODONE ER 13.5 MG PO C12A [131610],55.03,55.03,8.14,44.02,23
CDM,RX-7722,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
CDM,RX-7723,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
CDM,RX-7724,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
CDM,RX-7725,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
CDM,RX-7726,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
CDM,RX-7727,OXYCODONE HCL 10 MG PO TABS [87795],6.84,6.84,1.01,5.47,23
CDM,RX-7728,OXYCODONE HCL 10 MG PO TABS [87795],7.46,7.46,1.1,5.97,23
CDM,RX-7729,OXYCODONE HCL 100 MG/5ML PO CONC [10812],9.72,9.72,1.44,7.78,23
CDM,RX-773,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],27.14,27.14,4.02,21.71,23
CDM,RX-7730,OXYCODONE HCL 100 MG/5ML PO CONC [10812],471.29,471.29,69.75,377.03,23
CDM,RX-7731,OXYCODONE HCL 100 MG/5ML PO CONC [10812],633.36,633.36,93.74,506.69,23
CDM,RX-7732,OXYCODONE HCL 100 MG/5ML PO CONC [10812],717.54,717.54,106.2,574.03,23
CDM,RX-7733,OXYCODONE HCL 100 MG/5ML PO CONC [10812],1091.95,1091.95,161.61,873.56,23
CDM,RX-7734,OXYCODONE HCL 100 MG/5ML PO CONC [10812],1116.06,1116.06,165.18,892.85,23
CDM,RX-7735,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
CDM,RX-7736,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
CDM,RX-7737,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
CDM,RX-7738,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
CDM,RX-7739,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
CDM,RX-774,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],27.14,27.14,4.02,21.71,23
CDM,RX-7740,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
CDM,RX-7741,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
CDM,RX-7742,OXYCODONE HCL 15 MG PO TABS [28899],12.13,12.13,1.8,9.7,23
CDM,RX-7743,OXYCODONE HCL 15 MG PO TABS [28899],12.14,12.14,1.8,9.71,23
CDM,RX-7744,OXYCODONE HCL 20 MG PO TABS [87822],6.0,6.0,0.89,4.8,23
CDM,RX-7745,OXYCODONE HCL 30 MG PO TABS [28900],6.0,6.0,0.89,4.8,23
CDM,RX-7746,OXYCODONE HCL 30 MG PO TABS [28900],16.87,16.87,2.5,13.5,23
CDM,RX-7747,OXYCODONE HCL 30 MG PO TABS [28900],22.99,22.99,3.4,18.39,23
CDM,RX-7748,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7749,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-775,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7750,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7751,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7752,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7753,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7754,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7755,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7756,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
CDM,RX-7757,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],9.0,9.0,1.33,7.2,23
CDM,RX-7758,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],24.75,24.75,3.66,19.8,23
CDM,RX-7759,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],32.53,32.53,4.81,26.02,23
CDM,RX-776,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7760,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],34.95,34.95,5.17,27.96,23
CDM,RX-7761,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],37.6,37.6,5.56,30.08,23
CDM,RX-7762,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],40.54,40.54,6.0,32.43,23
CDM,RX-7763,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],40.54,40.54,6.0,32.43,23
CDM,RX-7764,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],537.23,537.23,79.51,429.78,23
CDM,RX-7765,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],537.23,537.23,79.51,429.78,23
CDM,RX-7766,OXYCODONE HCL ER 10 MG PO T12A [121730],31.96,31.96,4.73,25.57,23
CDM,RX-7767,OXYCODONE HCL ER 10 MG PO T12A [121730],32.81,32.81,4.86,26.25,23
CDM,RX-7768,OXYCODONE HCL ER 20 MG PO T12A [121733],59.6,59.6,8.82,47.68,23
CDM,RX-7769,OXYCODONE HCL ER 20 MG PO T12A [121733],61.12,61.12,9.05,48.9,23
CDM,RX-777,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7770,OXYCODONE HCL ER 40 MG PO T12A [121735],94.03,94.03,13.92,75.22,23
CDM,RX-7771,OXYCODONE HCL ER 40 MG PO T12A [121735],96.4,96.4,14.27,77.12,23
CDM,RX-7772,OXYCODONE HCL ER 80 MG PO T12A [121737],164.07,164.07,24.28,131.26,23
CDM,RX-7773,OXYCODONE HCL ER 80 MG PO T12A [121737],168.28,168.28,24.91,134.62,23
CDM,RX-7774,OXYCODONE LIQ 120MG/6ML ORAL SYRINGE [600062],32.36,32.36,4.79,25.89,23
CDM,RX-7775,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],6.0,6.0,0.89,4.8,23
CDM,RX-7776,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],6.76,6.76,1.0,5.41,23
CDM,RX-7777,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],15.86,15.86,2.35,12.69,23
CDM,RX-7778,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],16.69,16.69,2.47,13.35,23
CDM,RX-7779,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],16.78,16.78,2.48,13.42,23
CDM,RX-778,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7780,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],23.2,23.2,3.43,18.56,23
CDM,RX-7781,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],23.22,23.22,3.44,18.58,23
CDM,RX-7782,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.0,6.0,0.89,4.8,23
CDM,RX-7783,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.0,6.0,0.89,4.8,23
CDM,RX-7784,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.43,6.43,0.95,5.14,23
CDM,RX-7785,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.43,6.43,0.95,5.14,23
CDM,RX-7786,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.44,6.44,0.95,5.15,23
CDM,RX-7787,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.44,6.44,0.95,5.15,23
CDM,RX-7788,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.51,6.51,0.96,5.21,23
CDM,RX-7789,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.54,6.54,0.97,5.23,23
CDM,RX-779,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7790,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],8.93,8.93,1.32,7.14,23
CDM,RX-7791,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],8.95,8.95,1.32,7.16,23
CDM,RX-7792,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
CDM,RX-7793,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
CDM,RX-7794,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
CDM,RX-7795,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],12.69,12.69,1.88,10.15,23
CDM,RX-7796,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],12.69,12.69,1.88,10.15,23
CDM,RX-7797,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],18.76,18.76,2.78,15.01,23
CDM,RX-7798,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-7799,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-780,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
CDM,RX-7800,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-7801,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-7802,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-7803,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
CDM,RX-7804,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],57.72,57.72,8.54,46.18,23
CDM,RX-7805,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],78.96,78.96,11.69,63.17,23
CDM,RX-7806,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],78.96,78.96,11.69,63.17,23
CDM,RX-7807,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],90.2,90.2,13.35,72.16,23
CDM,RX-7808,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],90.2,90.2,13.35,72.16,23
CDM,RX-7809,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],231.5,231.5,34.26,185.2,23
CDM,RX-781,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],25.82,25.82,3.82,20.66,23
CDM,RX-7810,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],231.5,231.5,34.26,185.2,23
CDM,RX-7811,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],51.7,51.7,7.65,41.36,23
CDM,RX-7812,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],60.07,60.07,8.89,48.06,23
CDM,RX-7813,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
CDM,RX-7814,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
CDM,RX-7815,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
CDM,RX-7816,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],121.24,121.24,17.94,96.99,23
CDM,RX-7817,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
CDM,RX-7818,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
CDM,RX-7819,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
CDM,RX-782,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],25.85,25.85,3.83,20.68,23
CDM,RX-7820,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
CDM,RX-7821,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
CDM,RX-7822,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
CDM,RX-7823,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
CDM,RX-7824,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
CDM,RX-7825,PACLITAXEL 300 MG/50ML IV CONC [31097],256.74,256.74,38.0,205.39,23
CDM,RX-7826,PACLITAXEL 300 MG/50ML IV CONC [31097],280.08,280.08,41.45,224.06,23
CDM,RX-7827,PACLITAXEL 300 MG/50ML IV CONC [31097],332.79,332.79,49.25,266.23,23
CDM,RX-7828,PACLITAXEL 300 MG/50ML IV CONC [31097],413.57,413.57,61.21,330.86,23
CDM,RX-7829,PACLITAXEL 300 MG/50ML IV CONC [31097],447.88,447.88,66.29,358.3,23
CDM,RX-783,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.11,27.11,4.01,21.69,23
CDM,RX-7830,PACLITAXEL 300 MG/50ML IV CONC [31097],452.4,452.4,66.96,361.92,23
CDM,RX-7831,PACLITAXEL 300 MG/50ML IV CONC [31097],584.92,584.92,86.57,467.94,23
CDM,RX-7832,PAL FLUID 100ML [600030],76.92,76.92,11.38,61.54,23
CDM,RX-7833,PAL FLUID 50 ML [600997],73.75,73.75,10.92,59.0,23
CDM,RX-7834,PALBOCICLIB 100 MG PO CAPS [126961],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7835,PALBOCICLIB 100 MG PO TABS [147304],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7836,PALBOCICLIB 100 MG PO TABS [147304],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7837,PALBOCICLIB 125 MG PO CAPS [126962],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7838,PALBOCICLIB 125 MG PO TABS [147305],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7839,PALBOCICLIB 125 MG PO TABS [147305],2737.4,2737.4,405.14,2189.92,23
CDM,RX-784,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.11,27.11,4.01,21.69,23
CDM,RX-7840,PALBOCICLIB 75 MG PO CAPS [126960],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7841,PALBOCICLIB 75 MG PO TABS [147303],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7842,PALBOCICLIB 75 MG PO TABS [147303],2737.4,2737.4,405.14,2189.92,23
CDM,RX-7843,PALIPERIDONE ER 1.5 MG PO TB24 [100004],68.95,68.95,10.2,55.16,23
CDM,RX-7844,PALIPERIDONE ER 1.5 MG PO TB24 [100004],69.16,69.16,10.24,55.33,23
CDM,RX-7845,PALIPERIDONE ER 1.5 MG PO TB24 [100004],132.19,132.19,19.56,105.75,23
CDM,RX-7846,PALIPERIDONE ER 3 MG PO TB24 [78064],62.11,62.11,9.19,49.69,23
CDM,RX-7847,PALIPERIDONE ER 3 MG PO TB24 [78064],68.95,68.95,10.2,55.16,23
CDM,RX-7848,PALIPERIDONE ER 3 MG PO TB24 [78064],68.95,68.95,10.2,55.16,23
CDM,RX-7849,PALIPERIDONE ER 3 MG PO TB24 [78064],70.55,70.55,10.44,56.44,23
CDM,RX-785,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.14,27.14,4.02,21.71,23
CDM,RX-7850,PALIPERIDONE ER 3 MG PO TB24 [78064],132.49,132.49,19.61,105.99,23
CDM,RX-7851,PALIPERIDONE ER 6 MG PO TB24 [78065],68.95,68.95,10.2,55.16,23
CDM,RX-7852,PALIPERIDONE ER 6 MG PO TB24 [78065],132.34,132.34,19.59,105.87,23
CDM,RX-7853,PALIPERIDONE ER 6 MG PO TB24 [78065],132.34,132.34,19.59,105.87,23
CDM,RX-7854,PALIPERIDONE ER 6 MG PO TB24 [78065],132.49,132.49,19.61,105.99,23
CDM,RX-7855,PALIPERIDONE ER 9 MG PO TB24 [78066],95.29,95.29,14.1,76.23,23
CDM,RX-7856,PALIPERIDONE ER 9 MG PO TB24 [78066],198.73,198.73,29.41,158.98,23
CDM,RX-7857,PALIPERIDONE ER 9 MG PO TB24 [78066],198.73,198.73,29.41,158.98,23
CDM,RX-7858,PALIPERIDONE PALMITATE ER 39 MG/0.25ML IM SUSY [143121],2077.08,2077.08,307.41,1661.66,23
CDM,RX-7859,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY [143122],3611.88,3611.88,534.56,2889.5,23
CDM,RX-786,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.14,27.14,4.02,21.71,23
CDM,RX-7860,PALONOSETRON HCL 0.25 MG/5ML IV SOLN [36591],93.53,93.53,13.84,74.82,23
CDM,RX-7861,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN [32589],81.46,81.46,12.06,65.17,23
CDM,RX-7862,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN [32589],140.3,140.3,20.76,112.24,23
CDM,RX-7863,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP [98035],24.21,24.21,3.58,19.37,23
CDM,RX-7864,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP [98035],24.21,24.21,3.58,19.37,23
CDM,RX-7865,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],45.69,45.69,6.76,36.55,23
CDM,RX-7866,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],47.97,47.97,7.1,38.38,23
CDM,RX-7867,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],47.97,47.97,7.1,38.38,23
CDM,RX-7868,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP [98034],11.17,11.17,1.65,8.94,23
CDM,RX-7869,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP [98034],12.11,12.11,1.79,9.69,23
CDM,RX-787,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],8.95,8.95,1.32,7.16,23
CDM,RX-7870,PANITUMUMAB 100 MG/5ML IV SOLN [107084],5500.17,5500.17,814.03,4400.14,23
CDM,RX-7871,PANITUMUMAB 400 MG/20ML IV SOLN [107086],22000.68,22000.68,3256.1,17600.54,23
CDM,RX-7872,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],17.86,17.86,2.64,14.29,23
CDM,RX-7873,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],17.86,17.86,2.64,14.29,23
CDM,RX-7874,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],18.73,18.73,2.77,14.98,23
CDM,RX-7875,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],18.73,18.73,2.77,14.98,23
CDM,RX-7876,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],24.76,24.76,3.66,19.81,23
CDM,RX-7877,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
CDM,RX-7878,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
CDM,RX-7879,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
CDM,RX-788,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],8.95,8.95,1.32,7.16,23
CDM,RX-7880,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
CDM,RX-7881,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],27.53,27.53,4.07,22.02,23
CDM,RX-7882,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.63,28.63,4.24,22.9,23
CDM,RX-7883,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.63,28.63,4.24,22.9,23
CDM,RX-7884,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.67,28.67,4.24,22.94,23
CDM,RX-7885,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.79,28.79,4.26,23.03,23
CDM,RX-7886,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.79,28.79,4.26,23.03,23
CDM,RX-7887,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],32.95,32.95,4.88,26.36,23
CDM,RX-7888,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],36.66,36.66,5.43,29.33,23
CDM,RX-7889,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
CDM,RX-789,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.04,9.04,1.34,7.23,23
CDM,RX-7890,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
CDM,RX-7891,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
CDM,RX-7892,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
CDM,RX-7893,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
CDM,RX-7894,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
CDM,RX-7895,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],81.27,81.27,12.03,65.02,23
CDM,RX-7896,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],81.27,81.27,12.03,65.02,23
CDM,RX-7897,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-7898,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-7899,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-790,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.04,9.04,1.34,7.23,23
CDM,RX-7900,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-7901,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-7902,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
CDM,RX-7903,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.07,19.07,2.82,15.26,23
CDM,RX-7904,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.21,19.21,2.84,15.37,23
CDM,RX-7905,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.23,19.23,2.85,15.38,23
CDM,RX-7906,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],168.87,168.87,24.99,135.1,23
CDM,RX-7907,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],194.85,194.85,28.84,155.88,23
CDM,RX-7908,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],215.17,215.17,31.85,172.14,23
CDM,RX-7909,PARACERVICAL BLOCK LIDOCAINE/VASOPRESSIN [900445],424.61,424.61,62.84,339.69,23
CDM,RX-791,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.13,9.13,1.35,7.3,23
CDM,RX-7910,PARAGARD INTRAUTERINE COPPER IU IUD [6040],2685.35,2685.35,397.43,2148.28,23
CDM,RX-7911,PARAGARD INTRAUTERINE COPPER IU IUD [6040],3458.01,3458.01,511.79,2766.41,23
CDM,RX-7912,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
CDM,RX-7913,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
CDM,RX-7914,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
CDM,RX-7915,PARICALCITOL 2 MCG/ML IV SOLN [31688],24.02,24.02,3.55,19.22,23
CDM,RX-7916,PARICALCITOL 2 MCG/ML IV SOLN [31688],24.05,24.05,3.56,19.24,23
CDM,RX-7917,PARICALCITOL 2 MCG/ML IV SOLN [31688],27.5,27.5,4.07,22.0,23
CDM,RX-7918,PARICALCITOL 2 MCG/ML IV SOLN [31688],34.18,34.18,5.06,27.34,23
CDM,RX-7919,PAROMOMYCIN SULFATE 250 MG PO CAPS [10854],26.65,26.65,3.94,21.32,23
CDM,RX-792,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],13.56,13.56,2.01,10.85,23
CDM,RX-7920,PAROXETINE HCL 10 MG PO TABS [16632],6.0,6.0,0.89,4.8,23
CDM,RX-7921,PAROXETINE HCL 10 MG PO TABS [16632],12.31,12.31,1.82,9.85,23
CDM,RX-7922,PAROXETINE HCL 10 MG PO TABS [16632],12.46,12.46,1.84,9.97,23
CDM,RX-7923,PAROXETINE HCL 10 MG PO TABS [16632],13.23,13.23,1.96,10.58,23
CDM,RX-7924,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],295.02,295.02,43.66,236.02,23
CDM,RX-7925,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],1293.96,1293.96,191.51,1035.17,23
CDM,RX-7926,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],1548.85,1548.85,229.23,1239.08,23
CDM,RX-7927,PAROXETINE HCL 20 MG PO TABS [10855],6.0,6.0,0.89,4.8,23
CDM,RX-7928,PAROXETINE HCL 20 MG PO TABS [10855],12.43,12.43,1.84,9.94,23
CDM,RX-7929,PAROXETINE HCL 20 MG PO TABS [10855],12.85,12.85,1.9,10.28,23
CDM,RX-793,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],25.82,25.82,3.82,20.66,23
CDM,RX-7930,PAROXETINE HCL 20 MG PO TABS [10855],13.11,13.11,1.94,10.49,23
CDM,RX-7931,PAROXETINE HCL 20 MG PO TABS [10855],13.11,13.11,1.94,10.49,23
CDM,RX-7932,PAROXETINE HCL 20 MG PO TABS [10855],13.81,13.81,2.04,11.05,23
CDM,RX-7933,PAROXETINE HCL 30 MG PO TABS [10856],12.78,12.78,1.89,10.22,23
CDM,RX-7934,PAROXETINE HCL 30 MG PO TABS [10856],12.78,12.78,1.89,10.22,23
CDM,RX-7935,PAROXETINE HCL 30 MG PO TABS [10856],13.23,13.23,1.96,10.58,23
CDM,RX-7936,PAROXETINE HCL 40 MG PO TABS [16633],13.52,13.52,2.0,10.82,23
CDM,RX-7937,PAROXETINE HCL 40 MG PO TABS [16633],13.98,13.98,2.07,11.18,23
CDM,RX-7938,PAROXETINE HCL 40 MG PO TABS [16633],14.26,14.26,2.11,11.41,23
CDM,RX-7939,PATIROMER SORBITEX CALCIUM 8.4 G PO PACK [129781],184.48,184.48,27.3,147.58,23
CDM,RX-794,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.65,26.65,3.94,21.32,23
CDM,RX-7940,PATIROMER SORBITEX CALCIUM 8.4 G PO PACK [129781],221.45,221.45,32.77,177.16,23
CDM,RX-7941,PEDIATRACE ELEMENTS [600640],22.0,22.0,3.26,17.6,23
CDM,RX-7942,PEDIATRIC MAGIC MOUTH WASH [600772],667.29,667.29,98.76,533.83,23
CDM,RX-7943,PEDIATRIC OPHTHALMIC DILATING DROPS-EYE CLINIC USE ONLY (CYCLOPENTOLATE/PHENYLEPHRINE/TETRACAINE/TROPICAMIDE) [600991],216.5,216.5,32.04,173.2,23
CDM,RX-7944,PEG 3350 17 G PO PACK [100055],6.0,6.0,0.89,4.8,23
CDM,RX-7945,PEG 3350 17 G PO PACK [100055],6.0,6.0,0.89,4.8,23
CDM,RX-7946,PEG 3350 17 G PO PACK [100055],7.05,7.05,1.04,5.64,23
CDM,RX-7947,PEG 3350 17 G PO PACK [100055],7.28,7.28,1.08,5.82,23
CDM,RX-7948,PEG 3350 17 G PO PACK [100055],7.85,7.85,1.16,6.28,23
CDM,RX-7949,PEG 3350 17 G PO PACK [100055],7.85,7.85,1.16,6.28,23
CDM,RX-795,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.65,26.65,3.94,21.32,23
CDM,RX-7950,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR [10839],121.24,121.24,17.94,96.99,23
CDM,RX-7951,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR [10839],138.56,138.56,20.51,110.85,23
CDM,RX-7952,PEGASPARGASE 750 UNIT/ML IJ SOLN [117290],81410.8,81410.8,12048.8,65128.64,23
CDM,RX-7953,PEGFILGRASTIM 6 MG/0.6ML SC SOSY [129092],19485.03,19485.03,2883.78,15588.02,23
CDM,RX-7954,PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY [145763],11917.92,11917.92,1763.85,9534.34,23
CDM,RX-7955,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY [142198],12675.3,12675.3,1875.94,10140.24,23
CDM,RX-7956,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY [140359],6337.65,6337.65,937.97,5070.12,23
CDM,RX-7957,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY [140359],6337.65,6337.65,937.97,5070.12,23
CDM,RX-7958,PEGINTERFERON ALFA-2A 180 MCG/0.5ML SC SOSY [153536],3101.25,3101.25,458.98,2481.0,23
CDM,RX-7959,PEGINTERFERON ALFA-2A 180 MCG/ML SC SOLN [34034],3101.25,3101.25,458.98,2481.0,23
CDM,RX-796,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.84,26.84,3.97,21.47,23
CDM,RX-7960,PEMBROLIZUMAB 100 MG/4ML IV SOLN [126697],17905.47,17905.47,2650.01,14324.38,23
CDM,RX-7961,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],155.88,155.88,23.07,124.7,23
CDM,RX-7962,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],155.88,155.88,23.07,124.7,23
CDM,RX-7963,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],457.12,457.12,67.65,365.7,23
CDM,RX-7964,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],719.32,719.32,106.46,575.46,23
CDM,RX-7965,PEMETREXED (GENERIC) DISODIUM 1000 MG IV SOLR [155891],4815.1,4815.1,712.63,3852.08,23
CDM,RX-7966,PEMETREXED (GENERIC) DISODIUM 500 MG IV SOLR [601146],678.6,678.6,100.43,542.88,23
CDM,RX-7967,PEMETREXED DISODIUM 100 MG IV SOLR [89350],565.5,565.5,83.69,452.4,23
CDM,RX-7968,PEMETREXED DISODIUM 100 MG IV SOLR [89350],678.6,678.6,100.43,542.88,23
CDM,RX-7969,PEMETREXED DISODIUM 100 MG IV SOLR [89350],2823.64,2823.64,417.9,2258.91,23
CDM,RX-797,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],27.11,27.11,4.01,21.69,23
CDM,RX-7970,PEMETREXED DISODIUM 100 MG/4ML IV SOLN [156174],497.64,497.64,73.65,398.11,23
CDM,RX-7971,PEMETREXED DISODIUM 500 MG IV SOLR [37894],12274.55,12274.55,1816.63,9819.64,23
CDM,RX-7972,"PENICILLIN G 10,000 UNITS/ML ID INJ [600556]",22.0,22.0,3.26,17.6,23
CDM,RX-7973,PENICILLIN G 100 UNITS/ML ID INJ [110050],22.0,22.0,3.26,17.6,23
CDM,RX-7974,PENICILLIN G 1000 UNITS/ML ID INJ [110052],22.0,22.0,3.26,17.6,23
CDM,RX-7975,PENICILLIN G 2 MU/NS 50ML-OR ONLY [600368],223.33,223.33,33.05,178.66,23
CDM,RX-7976,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY [107078],1452.53,1452.53,214.97,1162.02,23
CDM,RX-7977,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY [159286],2640.71,2640.71,390.83,2112.57,23
CDM,RX-7978,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],137.74,137.74,20.39,110.19,23
CDM,RX-7979,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],233.37,233.37,34.54,186.7,23
CDM,RX-798,ATOVAQUONE 750 MG/5ML PO SUSP [14953],158.05,158.05,23.39,126.44,23
CDM,RX-7980,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],237.53,237.53,35.15,190.02,23
CDM,RX-7981,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],243.13,243.13,35.98,194.5,23
CDM,RX-7982,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],256.74,256.74,38.0,205.39,23
CDM,RX-7983,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR [6086],24.6,24.6,3.64,19.68,23
CDM,RX-7984,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR [6086],71.75,71.75,10.62,57.4,23
CDM,RX-7985,PENICILLIN G SODIUM 5000000 UNITS IJ SOLR [6087],224.06,224.06,33.16,179.25,23
CDM,RX-7986,PENICILLIN G SODIUM 5000000 UNITS IJ SOLR [6087],224.07,224.07,33.16,179.26,23
CDM,RX-7987,PENICILLIN V POTASSIUM 125 MG/5ML PO SOLR [6090],47.0,47.0,6.96,37.6,23
CDM,RX-7988,PENICILLIN V POTASSIUM 125 MG/5ML PO SOLR [6090],68.62,68.62,10.16,54.9,23
CDM,RX-7989,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
CDM,RX-799,ATOVAQUONE 750 MG/5ML PO SUSP [14953],172.27,172.27,25.5,137.82,23
CDM,RX-7990,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
CDM,RX-7991,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
CDM,RX-7992,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR [6091],52.64,52.64,7.79,42.11,23
CDM,RX-7993,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR [6091],76.14,76.14,11.27,60.91,23
CDM,RX-7994,PENICILLIN V POTASSIUM 500 MG PO TABS [6093],6.03,6.03,0.89,4.82,23
CDM,RX-7995,PENICILLIN VK 50MG/ML (NICU/PEDS) ORAL SYRINGE [600138],9.0,9.0,1.33,7.2,23
CDM,RX-7996,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],150.69,150.69,22.3,120.55,23
CDM,RX-7997,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],156.72,156.72,23.19,125.38,23
CDM,RX-7998,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],165.26,165.26,24.46,132.21,23
CDM,RX-7999,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],442.0,442.0,65.42,353.6,23
CDM,RX-800,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3486.93,3486.93,516.07,2789.54,23
CDM,RX-8000,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],656.88,656.88,97.22,525.5,23
CDM,RX-8001,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],680.49,680.49,100.71,544.39,23
CDM,RX-8002,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],680.49,680.49,100.71,544.39,23
CDM,RX-8003,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3673.56,3673.56,543.69,2938.85,23
CDM,RX-8004,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3674.32,3674.32,543.8,2939.46,23
CDM,RX-8005,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3827.29,3827.29,566.44,3061.83,23
CDM,RX-8006,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],6852.26,6852.26,1014.13,5481.81,23
CDM,RX-8007,PENTOSTATIN 10 MG IV SOLR [10910],8960.1,8960.1,1326.09,7168.08,23
CDM,RX-8008,PENTOXIFYLLINE ER 400 MG PO TBCR [21300],6.0,6.0,0.89,4.8,23
CDM,RX-8009,PEPPERMINT OIL OIL [6116],116.4,116.4,17.23,93.12,23
CDM,RX-801,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3567.68,3567.68,528.02,2854.14,23
CDM,RX-8010,PEPPERMINT SPIRIT (BULK) SPRT [28205],47.38,47.38,7.01,37.9,23
CDM,RX-8011,PERAMIVIR 200 MG/20ML IV SOLN [126226],1246.4,1246.4,184.47,997.12,23
CDM,RX-8012,PERAMIVIR 200 MG/20ML IV SOLN [126226],1246.4,1246.4,184.47,997.12,23
CDM,RX-8013,PERAMPANEL 8 MG PO TABS [121708],212.52,212.52,31.45,170.02,23
CDM,RX-8014,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP [31270],1459.28,1459.28,215.97,1167.42,23
CDM,RX-8015,PERFLUTREN PROTEIN A MICROSPH IV SUSP [82177],635.17,635.17,94.01,508.14,23
CDM,RX-8016,PERFLUTREN PROTEIN A MICROSPH IV SUSP [82177],635.17,635.17,94.01,508.14,23
CDM,RX-8017,PERMETHRIN 1 % EX LIQD [10918],47.42,47.42,7.02,37.94,23
CDM,RX-8018,PERMETHRIN 1 % EX LIQD [10918],59.07,59.07,8.74,47.26,23
CDM,RX-8019,PERMETHRIN 1 % EX LIQD [10918],73.21,73.21,10.84,58.57,23
CDM,RX-802,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3989.54,3989.54,590.45,3191.63,23
CDM,RX-8020,PERMETHRIN 5 % EX CREA [10917],444.94,444.94,65.85,355.95,23
CDM,RX-8021,PERMETHRIN 5 % EX CREA [10917],447.88,447.88,66.29,358.3,23
CDM,RX-8022,PERMETHRIN 5 % EX CREA [10917],456.93,456.93,67.63,365.54,23
CDM,RX-8023,PERMETHRIN 5 % EX CREA [10917],466.66,466.66,69.07,373.33,23
CDM,RX-8024,PERPHENAZINE 2 MG PO TABS [6157],6.0,6.0,0.89,4.8,23
CDM,RX-8025,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
CDM,RX-8026,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
CDM,RX-8027,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
CDM,RX-8028,PERPHENAZINE 2 MG PO TABS [6157],9.24,9.24,1.37,7.39,23
CDM,RX-8029,PERPHENAZINE 4 MG PO TABS [6158],7.49,7.49,1.11,5.99,23
CDM,RX-803,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],32.27,32.27,4.78,25.82,23
CDM,RX-8030,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
CDM,RX-8031,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
CDM,RX-8032,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
CDM,RX-8033,PERPHENAZINE 4 MG PO TABS [6158],12.63,12.63,1.87,10.1,23
CDM,RX-8034,PERPHENAZINE 8 MG PO TABS [6159],9.09,9.09,1.35,7.27,23
CDM,RX-8035,PERPHENAZINE 8 MG PO TABS [6159],11.88,11.88,1.76,9.5,23
CDM,RX-8036,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
CDM,RX-8037,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
CDM,RX-8038,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
CDM,RX-8039,PERPHENAZINE 8 MG PO TABS [6159],15.33,15.33,2.27,12.26,23
CDM,RX-804,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],33.6,33.6,4.97,26.88,23
CDM,RX-8040,PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML MAINTENANCE SC SOLN [148696],28165.94,28165.94,4168.56,22532.75,23
CDM,RX-8041,PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML LOAD SC SOLN [148697],42250.61,42250.61,6253.09,33800.49,23
CDM,RX-8042,PERTUZUMAB 420 MG/14ML IV SOLN [115244],20707.03,20707.03,3064.64,16565.62,23
CDM,RX-8043,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],6.0,6.0,0.89,4.8,23
CDM,RX-8044,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],6.0,6.0,0.89,4.8,23
CDM,RX-8045,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],7.48,7.48,1.11,5.98,23
CDM,RX-8046,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
CDM,RX-8047,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
CDM,RX-8048,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
CDM,RX-8049,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
CDM,RX-805,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],33.6,33.6,4.97,26.88,23
CDM,RX-8050,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
CDM,RX-8051,PHENELZINE SULFATE 15 MG PO TABS [10933],6.0,6.0,0.89,4.8,23
CDM,RX-8052,PHENOBARBITAL 10 MG/ML NS (NICU) INJECTION [601368],106.63,106.63,15.78,85.3,23
CDM,RX-8053,PHENOBARBITAL 100 MG/10 ML (10MG/ML) NS (NICU) INJECTION [601369],319.3,319.3,47.26,255.44,23
CDM,RX-8054,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],6.0,6.0,0.89,4.8,23
CDM,RX-8055,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],17.39,17.39,2.57,13.91,23
CDM,RX-8056,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],17.39,17.39,2.57,13.91,23
CDM,RX-8057,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],25.17,25.17,3.73,20.14,23
CDM,RX-8058,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],25.17,25.17,3.73,20.14,23
CDM,RX-8059,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
CDM,RX-806,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],38.73,38.73,5.73,30.98,23
CDM,RX-8060,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
CDM,RX-8061,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
CDM,RX-8062,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],375.36,375.36,55.55,300.29,23
CDM,RX-8063,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
CDM,RX-8064,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
CDM,RX-8065,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
CDM,RX-8066,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
CDM,RX-8067,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-8068,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-8069,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-807,ATOVAQUONE-PROGUANIL HCL 62.5-25 MG PO TABS [28686],11.94,11.94,1.77,9.55,23
CDM,RX-8070,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-8071,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-8072,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
CDM,RX-8073,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],187.06,187.06,27.68,149.65,23
CDM,RX-8074,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],205.4,205.4,30.4,164.32,23
CDM,RX-8075,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],205.4,205.4,30.4,164.32,23
CDM,RX-8076,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],256.74,256.74,38.0,205.39,23
CDM,RX-8077,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],256.74,256.74,38.0,205.39,23
CDM,RX-8078,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],264.33,264.33,39.12,211.46,23
CDM,RX-8079,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],264.35,264.35,39.12,211.48,23
CDM,RX-808,ATOVAQUONE-PROGUANIL HCL 62.5-25 MG PO TABS [28686],12.62,12.62,1.87,10.1,23
CDM,RX-8080,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],319.29,319.29,47.25,255.43,23
CDM,RX-8081,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],319.3,319.3,47.26,255.44,23
CDM,RX-8082,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],90.93,90.93,13.46,72.74,23
CDM,RX-8083,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],90.93,90.93,13.46,72.74,23
CDM,RX-8084,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],93.53,93.53,13.84,74.82,23
CDM,RX-8085,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],108.25,108.25,16.02,86.6,23
CDM,RX-8086,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],108.25,108.25,16.02,86.6,23
CDM,RX-8087,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.36,113.36,16.78,90.69,23
CDM,RX-8088,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
CDM,RX-8089,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
CDM,RX-809,ATRIPLA:EFAVIRENZ-EMTRICITAB-TENOFOV 600-200-300MGTAB [76835],429.03,429.03,63.5,343.22,23
CDM,RX-8090,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
CDM,RX-8091,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],136.92,136.92,20.26,109.54,23
CDM,RX-8092,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],136.94,136.94,20.27,109.55,23
CDM,RX-8093,PHENOL 1.4 % MT LIQD [36976],11.0,11.0,1.63,8.8,23
CDM,RX-8094,PHENOL 1.4 % MT LIQD [36976],13.32,13.32,1.97,10.66,23
CDM,RX-8095,PHENOL 1.4 % MT LIQD [36976],15.81,15.81,2.34,12.65,23
CDM,RX-8096,PHENOL 1.4 % MT LIQD [36976],37.44,37.44,5.54,29.95,23
CDM,RX-8097,PHENOL EX LIQD [6227],1520.28,1520.28,225.0,1216.22,23
CDM,RX-8098,PHENOL LIQD [41124],1082.4,1082.4,160.2,865.92,23
CDM,RX-8099,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],129.9,129.9,19.23,103.92,23
CDM,RX-810,ATRIPLA:EFAVIRENZ-EMTRICITAB-TENOFOV 600-200-300MGTAB [76835],429.03,429.03,63.5,343.22,23
CDM,RX-8100,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
CDM,RX-8101,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
CDM,RX-8102,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
CDM,RX-8103,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1465.95,1465.95,216.96,1172.76,23
CDM,RX-8104,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1465.95,1465.95,216.96,1172.76,23
CDM,RX-8105,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1710.94,1710.94,253.22,1368.75,23
CDM,RX-8106,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1710.95,1710.95,253.22,1368.76,23
CDM,RX-8107,PHENYLEPHRINE 10 MG/20 ML NS INJ SYRINGE - UROLOGY [600546],135.53,135.53,20.06,108.42,23
CDM,RX-8108,PHENYLEPHRINE 25MG/250ML NS FOR OR HEART PACK USE ONLY [601335],73.75,73.75,10.92,59.0,23
CDM,RX-8109,PHENYLEPHRINE BOLUS FROM IV BAG FOR CARDIAC NARRATOR [900575],35.25,35.25,5.22,28.2,23
CDM,RX-811,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN [734],70.84,70.84,10.48,56.67,23
CDM,RX-8110,PHENYLEPHRINE HCL 0.25 % NA SOLN [6243],19.53,19.53,2.89,15.62,23
CDM,RX-8111,PHENYLEPHRINE HCL 0.5 % NA SOLN [6244],19.53,19.53,2.89,15.62,23
CDM,RX-8112,PHENYLEPHRINE HCL 1 MG/10ML IV SOSY [140845],28.2,28.2,4.17,22.56,23
CDM,RX-8113,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
CDM,RX-8114,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
CDM,RX-8115,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
CDM,RX-8116,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],280.08,280.08,41.45,224.06,23
CDM,RX-8117,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],280.08,280.08,41.45,224.06,23
CDM,RX-8118,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],407.16,407.16,60.26,325.73,23
CDM,RX-8119,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],424.13,424.13,62.77,339.3,23
CDM,RX-812,ATROPINE SULFATE 0.4 MG/ML IV SOLN [731],63.34,63.34,9.37,50.67,23
CDM,RX-8120,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],424.13,424.13,62.77,339.3,23
CDM,RX-8121,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8122,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8123,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8124,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8125,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8126,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8127,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8128,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8129,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-813,ATROPINE SULFATE 1 % OP SOLN [736],194.62,194.62,28.8,155.7,23
CDM,RX-8130,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8131,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8132,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8133,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8134,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8135,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
CDM,RX-8136,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.56,22.56,3.34,18.05,23
CDM,RX-8137,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],28.2,28.2,4.17,22.56,23
CDM,RX-8138,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],50.76,50.76,7.51,40.61,23
CDM,RX-8139,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.12,56.12,8.31,44.9,23
CDM,RX-814,ATROPINE SULFATE 1 % OP SOLN [736],196.89,196.89,29.14,157.51,23
CDM,RX-8140,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.12,56.12,8.31,44.9,23
CDM,RX-8141,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.4,56.4,8.35,45.12,23
CDM,RX-8142,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],93.42,93.42,13.83,74.74,23
CDM,RX-8143,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],103.92,103.92,15.38,83.14,23
CDM,RX-8144,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],103.92,103.92,15.38,83.14,23
CDM,RX-8145,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.32,114.32,16.92,91.46,23
CDM,RX-8146,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.32,114.32,16.92,91.46,23
CDM,RX-8147,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.58,114.58,16.96,91.66,23
CDM,RX-8148,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY [131510],27.0,27.0,4.0,21.6,23
CDM,RX-8149,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY [131510],172.12,172.12,25.47,137.7,23
CDM,RX-815,ATROPINE SULFATE 1 % OP SOLN [736],207.24,207.24,30.67,165.79,23
CDM,RX-8150,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % RECTAL SUPP [124555],6.0,6.0,0.89,4.8,23
CDM,RX-8151,PHENYTOIN 125 MG/5ML PO SUSP [6255],92.78,92.78,13.73,74.22,23
CDM,RX-8152,PHENYTOIN 125 MG/5ML PO SUSP [6255],160.09,160.09,23.69,128.07,23
CDM,RX-8153,PHENYTOIN 125 MG/5ML PO SUSP [6255],170.95,170.95,25.3,136.76,23
CDM,RX-8154,PHENYTOIN 125 MG/5ML PO SUSP [6255],350.34,350.34,51.85,280.27,23
CDM,RX-8155,PHENYTOIN 50 MG PO CHEW [11018],6.0,6.0,0.89,4.8,23
CDM,RX-8156,PHENYTOIN 50 MG PO CHEW [11018],8.46,8.46,1.25,6.77,23
CDM,RX-8157,PHENYTOIN 50 MG PO CHEW [11018],8.46,8.46,1.25,6.77,23
CDM,RX-8158,PHENYTOIN 50 MG PO CHEW [11018],12.62,12.62,1.87,10.1,23
CDM,RX-8159,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
CDM,RX-816,ATROPINE SULFATE 1 % OP SOLN [736],207.24,207.24,30.67,165.79,23
CDM,RX-8160,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
CDM,RX-8161,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
CDM,RX-8162,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
CDM,RX-8163,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
CDM,RX-8164,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-8165,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-8166,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-8167,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-8168,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-8169,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
CDM,RX-817,ATROPINE SULFATE 1 % OP SOLN [736],215.74,215.74,31.93,172.59,23
CDM,RX-8170,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],10.79,10.79,1.6,8.63,23
CDM,RX-8171,PHENYTOIN SODIUM EXTENDED 30 MG PO CAPS [11019],8.43,8.43,1.25,6.74,23
CDM,RX-8172,PHOXILLUM BK4/2.5 32-4-2.5-1 MEQ-MMOL/L EC SOLN [153889],414.7,414.7,61.38,331.76,23
CDM,RX-8173,PHYSOSTIGMINE SALICYLATE 0.4 MG/ML IJ SOLN [601350],471.25,471.25,69.74,377.0,23
CDM,RX-8174,PHYTONADIONE 5 MG PO TABS [11024],40.37,40.37,5.97,32.3,23
CDM,RX-8175,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
CDM,RX-8176,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
CDM,RX-8177,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
CDM,RX-8178,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
CDM,RX-8179,PHYTONADIONE 5 MG PO TABS [11024],274.3,274.3,40.6,219.44,23
CDM,RX-818,ATROPINE SULFATE 1 % OP SOLN [736],227.1,227.1,33.61,181.68,23
CDM,RX-8180,PILOCARPINE HCL 1 % OP SOLN [6279],360.72,360.72,53.39,288.58,23
CDM,RX-8181,PILOCARPINE HCL 1 % OP SOLN [6279],383.42,383.42,56.75,306.74,23
CDM,RX-8182,PILOCARPINE HCL 1 % OP SOLN [6279],383.42,383.42,56.75,306.74,23
CDM,RX-8183,PILOCARPINE HCL 1 % OP SOLN [6279],420.96,420.96,62.3,336.77,23
CDM,RX-8184,PILOCARPINE HCL 2 % OP SOLN [6280],368.95,368.95,54.6,295.16,23
CDM,RX-8185,PILOCARPINE HCL 2 % OP SOLN [6280],377.24,377.24,55.83,301.79,23
CDM,RX-8186,PILOCARPINE HCL 2 % OP SOLN [6280],380.08,380.08,56.25,304.06,23
CDM,RX-8187,PILOCARPINE HCL 2 % OP SOLN [6280],430.52,430.52,63.72,344.42,23
CDM,RX-8188,PILOCARPINE HCL 4 % OP SOLN [6282],383.07,383.07,56.69,306.46,23
CDM,RX-8189,PILOCARPINE HCL 4 % OP SOLN [6282],386.81,386.81,57.25,309.45,23
CDM,RX-819,ATROPINE SULFATE 1 % OP SOLN [736],227.1,227.1,33.61,181.68,23
CDM,RX-8190,PILOCARPINE HCL 4 % OP SOLN [6282],398.46,398.46,58.97,318.77,23
CDM,RX-8191,PILOCARPINE HCL 4 % OP SOLN [6282],451.1,451.1,66.76,360.88,23
CDM,RX-8192,PILOCARPINE HCL 5 MG PO TABS [12803],7.6,7.6,1.12,6.08,23
CDM,RX-8193,PILOCARPINE HCL 5 MG PO TABS [12803],8.53,8.53,1.26,6.82,23
CDM,RX-8194,PIMECROLIMUS 1 % EX CREA [32052],998.27,998.27,147.74,798.62,23
CDM,RX-8195,PIMECROLIMUS 1 % EX CREA [32052],1054.85,1054.85,156.12,843.88,23
CDM,RX-8196,PIMECROLIMUS 1 % EX CREA [32052],1177.07,1177.07,174.21,941.66,23
CDM,RX-8197,PINDOLOL 10 MG PO TABS [6296],7.05,7.05,1.04,5.64,23
CDM,RX-8198,PINDOLOL 10 MG PO TABS [6296],8.46,8.46,1.25,6.77,23
CDM,RX-8199,PINDOLOL 10 MG PO TABS [6296],8.46,8.46,1.25,6.77,23
CDM,RX-820,ATROPINE SULFATE 1 % OP SOLN [736],268.73,268.73,39.77,214.98,23
CDM,RX-8200,PINDOLOL 5 MG PO TABS [6297],6.0,6.0,0.89,4.8,23
CDM,RX-8201,PINDOLOL 5 MG PO TABS [6297],6.21,6.21,0.92,4.97,23
CDM,RX-8202,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.93,32.93,4.87,26.34,23
CDM,RX-8203,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.93,32.93,4.87,26.34,23
CDM,RX-8204,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.94,32.94,4.88,26.35,23
CDM,RX-8205,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.94,32.94,4.88,26.35,23
CDM,RX-8206,PIOGLITAZONE HCL 15 MG PO TABS [25528],73.06,73.06,10.81,58.45,23
CDM,RX-8207,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],22.0,22.0,3.26,17.6,23
CDM,RX-8208,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],22.0,22.0,3.26,17.6,23
CDM,RX-8209,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],39.32,39.32,5.82,31.46,23
CDM,RX-821,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],50.76,50.76,7.51,40.61,23
CDM,RX-8210,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],57.85,57.85,8.56,46.28,23
CDM,RX-8211,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],31.02,31.02,4.59,24.82,23
CDM,RX-8212,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],58.98,58.98,8.73,47.18,23
CDM,RX-8213,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],86.79,86.79,12.84,69.43,23
CDM,RX-8214,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],36.66,36.66,5.43,29.33,23
CDM,RX-8215,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],38.36,38.36,5.68,30.69,23
CDM,RX-8216,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],59.68,59.68,8.83,47.74,23
CDM,RX-8217,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],59.68,59.68,8.83,47.74,23
CDM,RX-8218,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],78.63,78.63,11.64,62.9,23
CDM,RX-8219,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
CDM,RX-822,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],56.4,56.4,8.35,45.12,23
CDM,RX-8220,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
CDM,RX-8221,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
CDM,RX-8222,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],119.3,119.3,17.66,95.44,23
CDM,RX-8223,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],119.3,119.3,17.66,95.44,23
CDM,RX-8224,PIPERACILLIN SOD-TAZOBACTAM SO 40.5 (36-4.5) G IV SOLR [12587],303.42,303.42,44.91,242.74,23
CDM,RX-8225,PIPERACILLIN SOD-TAZOBACTAM SO 40.5 (36-4.5) G IV SOLR [12587],663.98,663.98,98.27,531.18,23
CDM,RX-8226,PIPERACILLIN-TAZOBACTAM IN DEX 3-0.375 GM/50ML IV SOLN [34524],120.44,120.44,17.83,96.35,23
CDM,RX-8227,PIPERACILLIN-TAZOBACTAM IN DEX 4-0.5 GM/100ML IV SOLN FROZEN [107150],132.07,132.07,19.55,105.66,23
CDM,RX-8228,PIPERACILLIN-TAZOBACTAM IN DEX 4-0.5 GM/100ML IV SOLN FROZEN [107150],132.07,132.07,19.55,105.66,23
CDM,RX-8229,PIPERACIL-TAZ 2.25 G/NS 50 ML MB PLUS [600692],85.03,85.03,12.58,68.02,23
CDM,RX-823,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],56.4,56.4,8.35,45.12,23
CDM,RX-8230,PIPERACIL-TAZ 3.375 G/D5W 50ML MB PLUS [600034],105.74,105.74,15.65,84.59,23
CDM,RX-8231,PIPERACIL-TAZ 3.375 G/NS 50ML MB PLUS [600364],105.74,105.74,15.65,84.59,23
CDM,RX-8232,PIPERACIL-TAZO 2.25 G/D5W 50ML MB PLUS [600033],85.1,85.1,12.59,68.08,23
CDM,RX-8233,PIPERACIL-TAZO 4.5 G/100 ML MB PLUS [600035],114.2,114.2,16.9,91.36,23
CDM,RX-8234,PIPERACIL-TAZO 4.5 G/50 ML D5W MB PLUS [600855],114.2,114.2,16.9,91.36,23
CDM,RX-8235,PIPERACIL-TAZO 4.5 G/NS 100ML MB PLUS [600365],114.2,114.2,16.9,91.36,23
CDM,RX-8236,PIPERACIL-TAZO 4.5 G/NS 70 ML IVPB [600990],114.2,114.2,16.9,91.36,23
CDM,RX-8237,PIRTOBRUTINIB 100 MG PO TABS [158841],1511.58,1511.58,223.71,1209.26,23
CDM,RX-8238,PIRTOBRUTINIB 50 MG PO TABS [158840],1007.72,1007.72,149.14,806.18,23
CDM,RX-8239,PLASMA-LYTE A IV BOLUS [600722],94.0,94.0,13.91,75.2,23
CDM,RX-824,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.53,57.53,8.51,46.02,23
CDM,RX-8240,PLASMA-LYTE A IV SOLN [6331],94.0,94.0,13.91,75.2,23
CDM,RX-8241,PLENAMINE 15 % IV SOLN [127096],595.66,595.66,88.16,476.53,23
CDM,RX-8242,PLENAMINE 15 % IV SOLN [127096],1626.88,1626.88,240.78,1301.5,23
CDM,RX-8243,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [153192],1080.34,1080.34,159.89,864.27,23
CDM,RX-8244,PNEUMOCOCCAL 21-VAL CONJ VACC 0.5 ML IM SOSY [164559],1132.1,1132.1,167.55,905.68,23
CDM,RX-8245,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037],529.68,529.68,78.39,423.74,23
CDM,RX-8246,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037],529.69,529.69,78.39,423.75,23
CDM,RX-8247,PODOFILOX 0.5 % EX SOLN [11038],386.98,386.98,57.27,309.58,23
CDM,RX-8248,PODOFILOX 0.5 % EX SOLN [11038],407.73,407.73,60.34,326.18,23
CDM,RX-8249,POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR [144008],56504.24,56504.24,8362.63,45203.39,23
CDM,RX-825,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.91,57.91,8.57,46.33,23
CDM,RX-8250,POLATUZUMAB VEDOTIN-PIIQ 30 MG IV SOLR [149615],12108.08,12108.08,1792.0,9686.46,23
CDM,RX-8251,POLIDOCANOL 1 % IV SOLN [111662],114.32,114.32,16.92,91.46,23
CDM,RX-8252,POLIOVIRUS VACCINE INACTIVATED IJ INJ [107156],1557.67,1557.67,230.54,1246.14,23
CDM,RX-8253,POLYMYXIN B 0.0001 MG/ML D5W DESENSITIZATION [600566],22.0,22.0,3.26,17.6,23
CDM,RX-8254,POLYMYXIN B 0.001 MG/ML D5W DESENSITIZATION [600565],22.0,22.0,3.26,17.6,23
CDM,RX-8255,POLYMYXIN B 0.01 MG/ML D5W DESENSITIZATION [600564],22.0,22.0,3.26,17.6,23
CDM,RX-8256,POLYMYXIN B 0.1 MG/ML D5W DESENSITIZATION [600563],22.0,22.0,3.26,17.6,23
CDM,RX-8257,POLYMYXIN B 1 MG/ML D5W DESENSITIZATION [600562],22.0,22.0,3.26,17.6,23
CDM,RX-8258,POLYMYXIN B 10 MG/ML D5W DESENSITIZATION [600561],22.0,22.0,3.26,17.6,23
CDM,RX-8259,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],50.76,50.76,7.51,40.61,23
CDM,RX-826,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.91,57.91,8.57,46.33,23
CDM,RX-8260,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],50.76,50.76,7.51,40.61,23
CDM,RX-8261,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],62.04,62.04,9.18,49.63,23
CDM,RX-8262,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],62.04,62.04,9.18,49.63,23
CDM,RX-8263,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],82.25,82.25,12.17,65.8,23
CDM,RX-8264,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],55.37,55.37,8.19,44.3,23
CDM,RX-8265,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],60.49,60.49,8.95,48.39,23
CDM,RX-8266,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],61.43,61.43,9.09,49.14,23
CDM,RX-8267,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],63.17,63.17,9.35,50.54,23
CDM,RX-8268,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],81.88,81.88,12.12,65.5,23
CDM,RX-8269,POLYVINYL ALCOHOL-POVIDONE PF 1.4-0.6 % OP SOLN [139283],6.0,6.0,0.89,4.8,23
CDM,RX-827,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],58.75,58.75,8.7,47.0,23
CDM,RX-8270,POLYVINYL ALCOHOL-POVIDONE PF 1.4-0.6 % OP SOLN [139283],6.0,6.0,0.89,4.8,23
CDM,RX-8271,POLY-VI-SOL PO SOLN [6374],46.3,46.3,6.85,37.04,23
CDM,RX-8272,POLY-VI-SOL/IRON 10-11 MG/ML PO SOLN [148740],46.3,46.3,6.85,37.04,23
CDM,RX-8273,POMALIDOMIDE 1 MG PO CAPS [118851],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8274,POMALIDOMIDE 1 MG PO CAPS [118851],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8275,POMALIDOMIDE 2 MG PO CAPS [118852],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8276,POMALIDOMIDE 2 MG PO CAPS [118852],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8277,POMALIDOMIDE 3 MG PO CAPS [118853],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8278,POMALIDOMIDE 3 MG PO CAPS [118853],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8279,POMALIDOMIDE 4 MG PO CAPS [118854],3465.53,3465.53,512.9,2772.42,23
CDM,RX-828,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],64.58,64.58,9.56,51.66,23
CDM,RX-8280,POMALIDOMIDE 4 MG PO CAPS [118854],3465.53,3465.53,512.9,2772.42,23
CDM,RX-8281,POSACONAZOLE 100 MG PO TBEC [122312],287.9,287.9,42.61,230.32,23
CDM,RX-8282,POSACONAZOLE 100 MG PO TBEC [122312],287.9,287.9,42.61,230.32,23
CDM,RX-8283,POSACONAZOLE 100 MG PO TBEC [122312],319.9,319.9,47.35,255.92,23
CDM,RX-8284,POSACONAZOLE 200MG/5 ML ORAL SYRINGE [600134],123.63,123.63,18.3,98.9,23
CDM,RX-8285,POSACONAZOLE 300 MG/16.7ML IV SOLN [123622],1852.33,1852.33,274.14,1481.86,23
CDM,RX-8286,POSACONAZOLE 40 MG/ML PO SUSP [77371],4370.48,4370.48,646.83,3496.38,23
CDM,RX-8287,POTASSIUM ACETATE 2 MEQ/ML IV SOLN [6420],22.0,22.0,3.26,17.6,23
CDM,RX-8288,POTASSIUM ACETATE 2 MEQ/ML IV SOLN [6420],30.37,30.37,4.49,24.3,23
CDM,RX-8289,POTASSIUM ALUM POWD [24061],6.0,6.0,0.89,4.8,23
CDM,RX-829,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],95.91,95.91,14.19,76.73,23
CDM,RX-8290,POTASSIUM ALUM POWD [24061],334.54,334.54,49.51,267.63,23
CDM,RX-8291,POTASSIUM ALUM POWD [24061],475.02,475.02,70.3,380.02,23
CDM,RX-8292,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
CDM,RX-8293,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
CDM,RX-8294,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
CDM,RX-8295,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN [11074],22.09,22.09,3.27,17.67,23
CDM,RX-8296,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN [11074],27.26,27.26,4.03,21.81,23
CDM,RX-8297,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],23.03,23.03,3.41,18.42,23
CDM,RX-8298,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],28.2,28.2,4.17,22.56,23
CDM,RX-8299,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],207.84,207.84,30.76,166.27,23
CDM,RX-830,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],95.91,95.91,14.19,76.73,23
CDM,RX-8300,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],207.84,207.84,30.76,166.27,23
CDM,RX-8301,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8302,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8303,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8304,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8305,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8306,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8307,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8308,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8309,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-831,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
CDM,RX-8310,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8311,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8312,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
CDM,RX-8313,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],28.2,28.2,4.17,22.56,23
CDM,RX-8314,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],28.2,28.2,4.17,22.56,23
CDM,RX-8315,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],42.3,42.3,6.26,33.84,23
CDM,RX-8316,POTASSIUM CITRATE ER 10 MEQ (1080 MG) PO TBCR [11083],12.97,12.97,1.92,10.38,23
CDM,RX-8317,POTASSIUM HYDROXIDE 10 % SOLN [23036],247.02,247.02,36.56,197.62,23
CDM,RX-8318,POTASSIUM IODIDE (EXPECTORANT) 1 GM/ML PO SOLN [139285],1662.2,1662.2,246.01,1329.76,23
CDM,RX-8319,POTASSIUM PHOSPHATE MONOBASIC 500 MG PO TABS [11087],6.0,6.0,0.89,4.8,23
CDM,RX-832,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
CDM,RX-8320,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],83.52,83.52,12.36,66.82,23
CDM,RX-8321,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],124.6,124.6,18.44,99.68,23
CDM,RX-8322,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],124.62,124.62,18.44,99.7,23
CDM,RX-8323,POVIDONE-IODINE 10 % EX SOLN [6458],24.51,24.51,3.63,19.61,23
CDM,RX-8324,POVIDONE-IODINE 5 % OP SOLN [19791],92.23,92.23,13.65,73.78,23
CDM,RX-8325,PRALIDOXIME CHLORIDE 1 G IV SOLR [6462],392.24,392.24,58.05,313.79,23
CDM,RX-8326,PRALIDOXIME CHLORIDE 1 G IV SOLR [6462],392.24,392.24,58.05,313.79,23
CDM,RX-8327,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],13.87,13.87,2.05,11.1,23
CDM,RX-8328,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],15.71,15.71,2.33,12.57,23
CDM,RX-8329,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],39.6,39.6,5.86,31.68,23
CDM,RX-833,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
CDM,RX-8330,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],13.82,13.82,2.05,11.06,23
CDM,RX-8331,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],13.87,13.87,2.05,11.1,23
CDM,RX-8332,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],15.71,15.71,2.33,12.57,23
CDM,RX-8333,PRAMIPEXOLE DIHYDROCHLORIDE 0.75 MG PO TABS [88567],13.87,13.87,2.05,11.1,23
CDM,RX-8334,PRAMIPEXOLE DIHYDROCHLORIDE 0.75 MG PO TABS [88567],39.6,39.6,5.86,31.68,23
CDM,RX-8335,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS [21288],13.87,13.87,2.05,11.1,23
CDM,RX-8336,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS [21288],15.71,15.71,2.33,12.57,23
CDM,RX-8337,PRAMIPEXOLE DIHYDROCHLORIDE 1.5 MG PO TABS [21289],13.87,13.87,2.05,11.1,23
CDM,RX-8338,PRAMIPEXOLE DIHYDROCHLORIDE 1.5 MG PO TABS [21289],15.71,15.71,2.33,12.57,23
CDM,RX-8339,PRAMOXINE-MENTHOL 1-0.5 % EX LOTN [163721],54.26,54.26,8.03,43.41,23
CDM,RX-834,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],326.76,326.76,48.36,261.41,23
CDM,RX-8340,PRASUGREL HCL 10 MG PO TABS [98373],77.53,77.53,11.47,62.02,23
CDM,RX-8341,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
CDM,RX-8342,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
CDM,RX-8343,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
CDM,RX-8344,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
CDM,RX-8345,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
CDM,RX-8346,PRASUGREL HCL 5 MG PO TABS [98372],77.58,77.58,11.48,62.06,23
CDM,RX-8347,PRAVASTATIN SODIUM 10 MG PO TABS [11110],13.6,13.6,2.01,10.88,23
CDM,RX-8348,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.04,15.04,2.23,12.03,23
CDM,RX-8349,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
CDM,RX-835,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],356.17,356.17,52.71,284.94,23
CDM,RX-8350,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
CDM,RX-8351,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
CDM,RX-8352,PRAVASTATIN SODIUM 20 MG PO TABS [11111],6.0,6.0,0.89,4.8,23
CDM,RX-8353,PRAVASTATIN SODIUM 20 MG PO TABS [11111],11.73,11.73,1.74,9.38,23
CDM,RX-8354,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.28,15.28,2.26,12.22,23
CDM,RX-8355,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.28,15.28,2.26,12.22,23
CDM,RX-8356,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
CDM,RX-8357,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
CDM,RX-8358,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
CDM,RX-8359,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
CDM,RX-836,AVELUMAB 200 MG/10ML IV SOLN [135513],6112.94,6112.94,904.72,4890.35,23
CDM,RX-8360,PRAVASTATIN SODIUM 40 MG PO TABS [11112],20.19,20.19,2.99,16.15,23
CDM,RX-8361,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
CDM,RX-8362,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
CDM,RX-8363,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
CDM,RX-8364,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
CDM,RX-8365,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
CDM,RX-8366,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-8367,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-8368,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-8369,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-837,AYR SALINE NASAL NA GEL [15372],15.71,15.71,2.33,12.57,23
CDM,RX-8370,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-8371,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
CDM,RX-8372,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.59,22.59,3.34,18.07,23
CDM,RX-8373,PRAZIQUANTEL 600 MG PO TABS [11113],348.85,348.85,51.63,279.08,23
CDM,RX-8374,PRAZIQUANTEL 600 MG PO TABS [11113],387.63,387.63,57.37,310.1,23
CDM,RX-8375,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
CDM,RX-8376,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
CDM,RX-8377,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
CDM,RX-8378,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
CDM,RX-8379,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
CDM,RX-838,AZACITIDINE 100 MG/4 ML SC SUSR [78420],2043.67,2043.67,302.46,1634.94,23
CDM,RX-8380,PRAZOSIN HCL 1 MG PO CAPS [6468],8.39,8.39,1.24,6.71,23
CDM,RX-8381,PRAZOSIN HCL 1 MG PO CAPS [6468],8.51,8.51,1.26,6.81,23
CDM,RX-8382,PRAZOSIN HCL 1 MG PO CAPS [6468],8.52,8.52,1.26,6.82,23
CDM,RX-8383,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
CDM,RX-8384,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
CDM,RX-8385,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
CDM,RX-8386,PRAZOSIN HCL 2 MG PO CAPS [6469],6.22,6.22,0.92,4.98,23
CDM,RX-8387,PRAZOSIN HCL 2 MG PO CAPS [6469],11.87,11.87,1.76,9.5,23
CDM,RX-8388,PRAZOSIN HCL 5 MG PO CAPS [6470],6.0,6.0,0.89,4.8,23
CDM,RX-8389,PRAZOSIN HCL 5 MG PO CAPS [6470],10.27,10.27,1.52,8.22,23
CDM,RX-839,AZATHIOPRINE 50 MG PO TABS [9183],6.0,6.0,0.89,4.8,23
CDM,RX-8390,PRAZOSIN HCL 5 MG PO CAPS [6470],10.79,10.79,1.6,8.63,23
CDM,RX-8391,PRAZOSIN HCL 5 MG PO CAPS [6470],20.25,20.25,3.0,16.2,23
CDM,RX-8392,PREDNISOLONE 15MG/5ML ORAL SYRINGE [600164],31.73,31.73,4.7,25.38,23
CDM,RX-8393,PREDNISOLONE 30MG/10ML ORAL SYRINGE [600163],194.85,194.85,28.84,155.88,23
CDM,RX-8394,PREDNISOLONE 9MG/3ML ORAL SYRINGE [600162],19.04,19.04,2.82,15.23,23
CDM,RX-8395,PREDNISOLONE ACETATE 1 % OP SUSP [6487],205.4,205.4,30.4,164.32,23
CDM,RX-8396,PREDNISOLONE ACETATE 1 % OP SUSP [6487],205.4,205.4,30.4,164.32,23
CDM,RX-8397,PREDNISOLONE ACETATE 1 % OP SUSP [6487],215.2,215.2,31.85,172.16,23
CDM,RX-8398,PREDNISOLONE ACETATE 1 % OP SUSP [6487],398.12,398.12,58.92,318.5,23
CDM,RX-8399,PREDNISOLONE ACETATE 1 % OP SUSP [6487],416.74,416.74,61.68,333.39,23
CDM,RX-840,AZATHIOPRINE 50 MG PO TABS [9183],9.92,9.92,1.47,7.94,23
CDM,RX-8400,PREDNISOLONE ACETATE 1 % OP SUSP [6487],725.65,725.65,107.4,580.52,23
CDM,RX-8401,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],133.8,133.8,19.8,107.04,23
CDM,RX-8402,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],240.41,240.41,35.58,192.33,23
CDM,RX-8403,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
CDM,RX-8404,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
CDM,RX-8405,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
CDM,RX-8406,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],289.49,289.49,42.84,231.59,23
CDM,RX-8407,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
CDM,RX-8408,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
CDM,RX-8409,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
CDM,RX-841,AZATHIOPRINE 50 MG PO TABS [9183],32.02,32.02,4.74,25.62,23
CDM,RX-8410,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
CDM,RX-8411,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8412,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8413,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8414,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8415,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8416,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8417,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8418,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8419,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-842,AZATHIOPRINE 50 MG/ML ORAL SYRINGE [600633],9.0,9.0,1.33,7.2,23
CDM,RX-8420,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
CDM,RX-8421,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8422,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8423,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8424,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8425,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8426,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8427,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8428,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
CDM,RX-8429,PREDNISONE 20 MG PO TABS [6496],7.06,7.06,1.04,5.65,23
CDM,RX-843,AZELASTINE HCL 0.1 % NA SOLN [19179],396.76,396.76,58.72,317.41,23
CDM,RX-8430,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8431,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8432,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8433,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8434,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8435,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8436,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8437,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
CDM,RX-8438,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
CDM,RX-8439,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
CDM,RX-844,AZELASTINE HCL 0.1 % NA SOLN [19179],548.77,548.77,81.22,439.02,23
CDM,RX-8440,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
CDM,RX-8441,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
CDM,RX-8442,PREGABALIN 100 MG PO CAPS [42165],6.0,6.0,0.89,4.8,23
CDM,RX-8443,PREGABALIN 100 MG PO CAPS [42165],6.0,6.0,0.89,4.8,23
CDM,RX-8444,PREGABALIN 100 MG PO CAPS [42165],7.6,7.6,1.12,6.08,23
CDM,RX-8445,PREGABALIN 100 MG PO CAPS [42165],7.6,7.6,1.12,6.08,23
CDM,RX-8446,PREGABALIN 100 MG PO CAPS [42165],27.51,27.51,4.07,22.01,23
CDM,RX-8447,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
CDM,RX-8448,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
CDM,RX-8449,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
CDM,RX-845,AZITHROMYCIN 100 MG/5ML PO SUSR [15796],137.96,137.96,20.42,110.37,23
CDM,RX-8450,PREGABALIN 100 MG PO CAPS [42165],62.78,62.78,9.29,50.22,23
CDM,RX-8451,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
CDM,RX-8452,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
CDM,RX-8453,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
CDM,RX-8454,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
CDM,RX-8455,PREGABALIN 150 MG PO CAPS [42166],7.6,7.6,1.12,6.08,23
CDM,RX-8456,PREGABALIN 150 MG PO CAPS [42166],27.51,27.51,4.07,22.01,23
CDM,RX-8457,PREGABALIN 150 MG PO CAPS [42166],37.41,37.41,5.54,29.93,23
CDM,RX-8458,PREGABALIN 150 MG PO CAPS [42166],39.61,39.61,5.86,31.69,23
CDM,RX-8459,PREGABALIN 150 MG PO CAPS [42166],39.61,39.61,5.86,31.69,23
CDM,RX-846,AZITHROMYCIN 100 MG/5ML PO SUSR [15796],151.01,151.01,22.35,120.81,23
CDM,RX-8460,PREGABALIN 150 MG PO CAPS [42166],57.08,57.08,8.45,45.66,23
CDM,RX-8461,PREGABALIN 150 MG PO CAPS [42166],62.78,62.78,9.29,50.22,23
CDM,RX-8462,PREGABALIN 200 MG PO CAPS [42167],6.0,6.0,0.89,4.8,23
CDM,RX-8463,PREGABALIN 200 MG PO CAPS [42167],27.51,27.51,4.07,22.01,23
CDM,RX-8464,PREGABALIN 200 MG PO CAPS [42167],39.61,39.61,5.86,31.69,23
CDM,RX-8465,PREGABALIN 200 MG PO CAPS [42167],39.61,39.61,5.86,31.69,23
CDM,RX-8466,PREGABALIN 200 MG PO CAPS [42167],57.08,57.08,8.45,45.66,23
CDM,RX-8467,PREGABALIN 225 MG PO CAPS [42168],27.51,27.51,4.07,22.01,23
CDM,RX-8468,PREGABALIN 225 MG PO CAPS [42168],39.61,39.61,5.86,31.69,23
CDM,RX-8469,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
CDM,RX-847,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
CDM,RX-8470,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
CDM,RX-8471,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
CDM,RX-8472,PREGABALIN 25 MG PO CAPS [42162],7.45,7.45,1.1,5.96,23
CDM,RX-8473,PREGABALIN 25 MG PO CAPS [42162],27.51,27.51,4.07,22.01,23
CDM,RX-8474,PREGABALIN 25 MG PO CAPS [42162],33.76,33.76,5.0,27.01,23
CDM,RX-8475,PREGABALIN 25 MG PO CAPS [42162],37.41,37.41,5.54,29.93,23
CDM,RX-8476,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
CDM,RX-8477,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
CDM,RX-8478,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
CDM,RX-8479,PREGABALIN 25 MG PO CAPS [42162],41.82,41.82,6.19,33.46,23
CDM,RX-848,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
CDM,RX-8480,PREGABALIN 25 MG PO CAPS [42162],57.08,57.08,8.45,45.66,23
CDM,RX-8481,PREGABALIN 300 MG PO CAPS [42169],6.0,6.0,0.89,4.8,23
CDM,RX-8482,PREGABALIN 300 MG PO CAPS [42169],27.51,27.51,4.07,22.01,23
CDM,RX-8483,PREGABALIN 300 MG PO CAPS [42169],39.61,39.61,5.86,31.69,23
CDM,RX-8484,PREGABALIN 300 MG PO CAPS [42169],57.08,57.08,8.45,45.66,23
CDM,RX-8485,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
CDM,RX-8486,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
CDM,RX-8487,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
CDM,RX-8488,PREGABALIN 50 MG PO CAPS [42163],7.6,7.6,1.12,6.08,23
CDM,RX-8489,PREGABALIN 50 MG PO CAPS [42163],27.51,27.51,4.07,22.01,23
CDM,RX-849,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
CDM,RX-8490,PREGABALIN 50 MG PO CAPS [42163],37.41,37.41,5.54,29.93,23
CDM,RX-8491,PREGABALIN 50 MG PO CAPS [42163],39.61,39.61,5.86,31.69,23
CDM,RX-8492,PREGABALIN 50 MG PO CAPS [42163],39.61,39.61,5.86,31.69,23
CDM,RX-8493,PREGABALIN 50 MG PO CAPS [42163],57.08,57.08,8.45,45.66,23
CDM,RX-8494,PREGABALIN 50 MG PO CAPS [42163],62.78,62.78,9.29,50.22,23
CDM,RX-8495,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
CDM,RX-8496,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
CDM,RX-8497,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
CDM,RX-8498,PREGABALIN 75 MG PO CAPS [42164],7.6,7.6,1.12,6.08,23
CDM,RX-8499,PREGABALIN 75 MG PO CAPS [42164],7.6,7.6,1.12,6.08,23
CDM,RX-850,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.08,151.08,22.36,120.86,23
CDM,RX-8500,PREGABALIN 75 MG PO CAPS [42164],27.51,27.51,4.07,22.01,23
CDM,RX-8501,PREGABALIN 75 MG PO CAPS [42164],34.16,34.16,5.06,27.33,23
CDM,RX-8502,PREGABALIN 75 MG PO CAPS [42164],39.61,39.61,5.86,31.69,23
CDM,RX-8503,PREGABALIN 75 MG PO CAPS [42164],39.61,39.61,5.86,31.69,23
CDM,RX-8504,PREGABALIN 75 MG PO CAPS [42164],57.08,57.08,8.45,45.66,23
CDM,RX-8505,PREGABALIN 75 MG PO CAPS [42164],62.78,62.78,9.29,50.22,23
CDM,RX-8506,PRENATAL 27-0.8 MG PO TABS [43010],6.0,6.0,0.89,4.8,23
CDM,RX-8507,PRENATAL 27-0.8 MG PO TABS [43010],6.0,6.0,0.89,4.8,23
CDM,RX-8508,PRENATAL PLUS IRON 29-1 MG PO TABS [118046],6.0,6.0,0.89,4.8,23
CDM,RX-8509,PRENATAL VITAMIN PLUS LOW IRON 27-1 MG PO TABS [130462],6.0,6.0,0.89,4.8,23
CDM,RX-851,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.08,151.08,22.36,120.86,23
CDM,RX-8510,PRENATAL VITAMINS 28-0.8 MG PO TABS [118810],6.0,6.0,0.89,4.8,23
CDM,RX-8511,PREZCOBIX:DARUNAVIR-COBICISTAT 800-150 MG PO TABS [126882],383.83,383.83,56.81,307.06,23
CDM,RX-8512,PRIMAQUINE (BASE) 15 MG (PRIMAQUINE PHOSPHATE 26.3 MG) PO TABS [152715],8.46,8.46,1.25,6.77,23
CDM,RX-8513,PRIMAQUINE (BASE) 15 MG (PRIMAQUINE PHOSPHATE 26.3 MG) PO TABS [152715],11.54,11.54,1.71,9.23,23
CDM,RX-8514,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
CDM,RX-8515,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
CDM,RX-8516,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
CDM,RX-8517,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
CDM,RX-8518,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
CDM,RX-8519,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
CDM,RX-852,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
CDM,RX-8520,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
CDM,RX-8521,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
CDM,RX-8522,PRISMASOL BGK 2/3.5 32-2-3.5 MEQ/L EC SOLN [153885],369.55,369.55,54.69,295.64,23
CDM,RX-8523,PRISMASOL BGK 4/2.5 32-4-2.5 MEQ/L EC SOLN [153883],369.55,369.55,54.69,295.64,23
CDM,RX-8524,PROBENECID 500 MG PO TABS [6561],6.0,6.0,0.89,4.8,23
CDM,RX-8525,PROBENECID 500 MG PO TABS [6561],8.46,8.46,1.25,6.77,23
CDM,RX-8526,PROBENECID 500 MG PO TABS [6561],17.54,17.54,2.6,14.03,23
CDM,RX-8527,PROCAINAMIDE HCL 100 MG/ML IJ SOLN [6562],2095.2,2095.2,310.09,1676.16,23
CDM,RX-8528,PROCHLORPERAZINE 25 MG RECTAL SUPP [11138],59.15,59.15,8.75,47.32,23
CDM,RX-8529,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],25.89,25.89,3.83,20.71,23
CDM,RX-853,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
CDM,RX-8530,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],25.89,25.89,3.83,20.71,23
CDM,RX-8531,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],26.09,26.09,3.86,20.87,23
CDM,RX-8532,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
CDM,RX-8533,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
CDM,RX-8534,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
CDM,RX-8535,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
CDM,RX-8536,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
CDM,RX-8537,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
CDM,RX-8538,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
CDM,RX-8539,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],31.59,31.59,4.68,25.27,23
CDM,RX-854,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
CDM,RX-8540,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],31.59,31.59,4.68,25.27,23
CDM,RX-8541,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],40.9,40.9,6.05,32.72,23
CDM,RX-8542,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
CDM,RX-8543,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
CDM,RX-8544,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
CDM,RX-8545,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],96.13,96.13,14.23,76.9,23
CDM,RX-8546,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],96.13,96.13,14.23,76.9,23
CDM,RX-8547,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
CDM,RX-8548,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
CDM,RX-8549,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
CDM,RX-855,AZITHROMYCIN 250 MG PO TABS [20943],8.8,8.8,1.3,7.04,23
CDM,RX-8550,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],8.34,8.34,1.23,6.67,23
CDM,RX-8551,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
CDM,RX-8552,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
CDM,RX-8553,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
CDM,RX-8554,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.16,7.16,1.06,5.73,23
CDM,RX-8555,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.57,7.57,1.12,6.06,23
CDM,RX-8556,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.58,7.58,1.12,6.06,23
CDM,RX-8557,PROGESTERONE 100 MG VA INST [82391],79.96,79.96,11.83,63.97,23
CDM,RX-8558,PROGESTERONE 100 MG VA INST [82391],80.0,80.0,11.84,64.0,23
CDM,RX-8559,PROGESTERONE 200 MG PO CAPS [125717],164.59,164.59,24.36,131.67,23
CDM,RX-856,AZITHROMYCIN 250 MG PO TABS [20943],8.8,8.8,1.3,7.04,23
CDM,RX-8560,PROGESTERONE 200 MG VA SUPP [42939],35.16,35.16,5.2,28.13,23
CDM,RX-8561,PROGESTERONE 50 MG/ML IM OIL [6597],167.79,167.79,24.83,134.23,23
CDM,RX-8562,PROGESTERONE 8 % VA GEL [21321],155.28,155.28,22.98,124.22,23
CDM,RX-8563,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],74.89,74.89,11.08,59.91,23
CDM,RX-8564,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
CDM,RX-8565,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
CDM,RX-8566,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
CDM,RX-8567,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
CDM,RX-8568,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
CDM,RX-8569,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
CDM,RX-857,AZITHROMYCIN 250 MG PO TABS [20943],12.19,12.19,1.8,9.75,23
CDM,RX-8570,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
CDM,RX-8571,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
CDM,RX-8572,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
CDM,RX-8573,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
CDM,RX-8574,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8575,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8576,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8577,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8578,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8579,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-858,AZITHROMYCIN 250 MG PO TABS [20943],19.82,19.82,2.93,15.86,23
CDM,RX-8580,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8581,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8582,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8583,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
CDM,RX-8584,PROMETHAZINE HCL 6.25 MG/5ML PO SOLN [97609],96.27,96.27,14.25,77.02,23
CDM,RX-8585,PROMETHAZINE HCL 6.25 MG/5ML PO SOLN [97609],206.86,206.86,30.62,165.49,23
CDM,RX-8586,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
CDM,RX-8587,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
CDM,RX-8588,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
CDM,RX-8589,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
CDM,RX-859,AZITHROMYCIN 250 MG PO TABS [20943],34.74,34.74,5.14,27.79,23
CDM,RX-8590,PROPAFENONE HCL 225 MG PO TABS [11147],10.95,10.95,1.62,8.76,23
CDM,RX-8591,PROPAFENONE HCL 225 MG PO TABS [11147],10.95,10.95,1.62,8.76,23
CDM,RX-8592,PROPAFENONE HCL 225 MG PO TABS [11147],10.96,10.96,1.62,8.77,23
CDM,RX-8593,PROPAFENONE HCL 225 MG PO TABS [11147],10.96,10.96,1.62,8.77,23
CDM,RX-8594,PROPAFENONE HCL ER 225 MG PO CP12 [37643],6.0,6.0,0.89,4.8,23
CDM,RX-8595,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
CDM,RX-8596,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
CDM,RX-8597,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
CDM,RX-8598,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
CDM,RX-8599,PROPAFENONE HCL ER 325 MG PO CP12 [37644],6.0,6.0,0.89,4.8,23
CDM,RX-860,AZITHROMYCIN 250 MG PO TABS [20943],36.55,36.55,5.41,29.24,23
CDM,RX-8600,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
CDM,RX-8601,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
CDM,RX-8602,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
CDM,RX-8603,PROPAFENONE HCL ER 425 MG PO CP12 [37645],46.95,46.95,6.95,37.56,23
CDM,RX-8604,PROPAFENONE HCL ER 425 MG PO CP12 [37645],47.0,47.0,6.96,37.6,23
CDM,RX-8605,PROPAFENONE HCL ER 425 MG PO CP12 [37645],47.0,47.0,6.96,37.6,23
CDM,RX-8606,PROPARACAINE HCL 0.5 % OP SOLN [6644],182.32,182.32,26.98,145.86,23
CDM,RX-8607,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.46,189.46,28.04,151.57,23
CDM,RX-8608,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.98,189.98,28.12,151.98,23
CDM,RX-8609,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.98,189.98,28.12,151.98,23
CDM,RX-861,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8610,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],33.84,33.84,5.01,27.07,23
CDM,RX-8611,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],60.87,60.87,9.01,48.7,23
CDM,RX-8612,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],67.68,67.68,10.02,54.14,23
CDM,RX-8613,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],78.96,78.96,11.69,63.17,23
CDM,RX-8614,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],78.96,78.96,11.69,63.17,23
CDM,RX-8615,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],82.49,82.49,12.21,65.99,23
CDM,RX-8616,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],90.24,90.24,13.36,72.19,23
CDM,RX-8617,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],92.12,92.12,13.63,73.7,23
CDM,RX-8618,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],103.92,103.92,15.38,83.14,23
CDM,RX-8619,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],103.92,103.92,15.38,83.14,23
CDM,RX-862,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8620,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
CDM,RX-8621,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
CDM,RX-8622,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
CDM,RX-8623,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],145.49,145.49,21.53,116.39,23
CDM,RX-8624,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],145.49,145.49,21.53,116.39,23
CDM,RX-8625,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],148.09,148.09,21.92,118.47,23
CDM,RX-8626,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],151.99,151.99,22.49,121.59,23
CDM,RX-8627,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
CDM,RX-8628,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
CDM,RX-8629,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
CDM,RX-863,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8630,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
CDM,RX-8631,PROPOFOL 200 MG/20ML IV EMUL [130905],31.59,31.59,4.68,25.27,23
CDM,RX-8632,PROPOFOL 200 MG/20ML IV EMUL [130905],31.59,31.59,4.68,25.27,23
CDM,RX-8633,PROPOFOL 200 MG/20ML IV EMUL [130905],32.15,32.15,4.76,25.72,23
CDM,RX-8634,PROPOFOL 200 MG/20ML IV EMUL [130905],32.15,32.15,4.76,25.72,23
CDM,RX-8635,PROPOFOL 200 MG/20ML IV EMUL [130905],32.9,32.9,4.87,26.32,23
CDM,RX-8636,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
CDM,RX-8637,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
CDM,RX-8638,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
CDM,RX-8639,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],45.12,45.12,6.68,36.1,23
CDM,RX-864,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8640,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],45.12,45.12,6.68,36.1,23
CDM,RX-8641,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],64.75,64.75,9.58,51.8,23
CDM,RX-8642,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8643,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8644,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8645,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8646,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8647,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8648,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8649,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-865,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8650,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8651,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8652,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
CDM,RX-8653,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],22.56,22.56,3.34,18.05,23
CDM,RX-8654,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],45.12,45.12,6.68,36.1,23
CDM,RX-8655,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],256.74,256.74,38.0,205.39,23
CDM,RX-8656,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-8657,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-8658,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-8659,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-866,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8660,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-8661,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
CDM,RX-8662,PROPRANOLOL HCL 60 MG PO TABS [6659],6.0,6.0,0.89,4.8,23
CDM,RX-8663,PROPRANOLOL HCL 60 MG PO TABS [6659],6.0,6.0,0.89,4.8,23
CDM,RX-8664,PROPRANOLOL HCL 60 MG PO TABS [6659],8.19,8.19,1.21,6.55,23
CDM,RX-8665,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
CDM,RX-8666,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
CDM,RX-8667,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
CDM,RX-8668,PROPRANOLOL HCL ER 120 MG PO CP24 [38226],14.02,14.02,2.07,11.22,23
CDM,RX-8669,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.26,18.26,2.7,14.61,23
CDM,RX-867,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8670,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
CDM,RX-8671,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
CDM,RX-8672,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
CDM,RX-8673,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.6,9.6,1.42,7.68,23
CDM,RX-8674,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.6,9.6,1.42,7.68,23
CDM,RX-8675,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.68,9.68,1.43,7.74,23
CDM,RX-8676,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.68,9.68,1.43,7.74,23
CDM,RX-8677,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],10.72,10.72,1.59,8.58,23
CDM,RX-8678,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.21,11.21,1.66,8.97,23
CDM,RX-8679,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.21,11.21,1.66,8.97,23
CDM,RX-868,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8680,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.32,11.32,1.68,9.06,23
CDM,RX-8681,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.32,11.32,1.68,9.06,23
CDM,RX-8682,PROPYLTHIOURACIL 400 MG RECTAL ENEMA [601075],116.4,116.4,17.23,93.12,23
CDM,RX-8683,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
CDM,RX-8684,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
CDM,RX-8685,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
CDM,RX-8686,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
CDM,RX-8687,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
CDM,RX-8688,PROPYLTHIOURACIL 50 MG PO TABS [6662],15.8,15.8,2.34,12.64,23
CDM,RX-8689,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
CDM,RX-869,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
CDM,RX-8690,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
CDM,RX-8691,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
CDM,RX-8692,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],87.31,87.31,12.92,69.85,23
CDM,RX-8693,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],87.31,87.31,12.92,69.85,23
CDM,RX-8694,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],171.36,171.36,25.36,137.09,23
CDM,RX-8695,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],247.02,247.02,36.56,197.62,23
CDM,RX-8696,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS/40 ML IV KIT [123623],7008.1,7008.1,1037.2,5606.48,23
CDM,RX-8697,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS/40 ML IV KIT [123623],9057.4,9057.4,1340.5,7245.92,23
CDM,RX-8698,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT [120319],3504.05,3504.05,518.6,2803.24,23
CDM,RX-8699,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT [120319],4528.7,4528.7,670.25,3622.96,23
CDM,RX-870,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
CDM,RX-8700,"PROTHROMBIN COMPLEX CONCENTRATE, 4-FACTOR (KCENTRA) IV 500 UNITS/20ML [600827]",10056.75,10056.75,1488.4,8045.4,23
CDM,RX-8701,PROTRIPTYLINE HCL 5 MG PO TABS [11164],15.52,15.52,2.3,12.42,23
CDM,RX-8702,PROTRIPTYLINE HCL 5 MG PO TABS [11164],26.95,26.95,3.99,21.56,23
CDM,RX-8703,PROTRIPTYLINE HCL 5 MG PO TABS [11164],29.38,29.38,4.35,23.5,23
CDM,RX-8704,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
CDM,RX-8705,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
CDM,RX-8706,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
CDM,RX-8707,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
CDM,RX-8708,PSEUDOEPHEDRINE-GUAIFENESIN ER 60-600 MG PO TB12 [27529],6.0,6.0,0.89,4.8,23
CDM,RX-8709,PSEUDOEPHEDRINE-GUAIFENESIN ER 60-600 MG PO TB12 [27529],6.0,6.0,0.89,4.8,23
CDM,RX-871,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
CDM,RX-8710,PSYLLIUM 100 % PO PACK [24190],6.0,6.0,0.89,4.8,23
CDM,RX-8711,PSYLLIUM 95 % PO PACK [24788],6.0,6.0,0.89,4.8,23
CDM,RX-8712,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
CDM,RX-8713,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
CDM,RX-8714,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
CDM,RX-8715,PUMP PORTABLE (2 ML/HR) 100ML [600441],216.48,216.48,32.04,173.18,23
CDM,RX-8716,PUMP PORTABLE (2 ML/HR) 100ML [600441],216.48,216.48,32.04,173.18,23
CDM,RX-8717,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
CDM,RX-8718,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
CDM,RX-8719,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
CDM,RX-872,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
CDM,RX-8720,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
CDM,RX-8721,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
CDM,RX-8722,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
CDM,RX-8723,PYRANTEL PAMOATE 144 (50 BASE) MG/ML PO SUSP [15255],36.38,36.38,5.38,29.1,23
CDM,RX-8724,PYRAZINAMIDE 100MG/ML SUSP ORAL SYRINGE [900093],9.0,9.0,1.33,7.2,23
CDM,RX-8725,PYRAZINAMIDE 100MG/ML SUSP ORAL SYRINGE [900093],130.42,130.42,19.3,104.34,23
CDM,RX-8726,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
CDM,RX-8727,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
CDM,RX-8728,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
CDM,RX-8729,PYRAZINAMIDE 500 MG PO TABS [6738],29.69,29.69,4.39,23.75,23
CDM,RX-873,AZITHROMYCIN 500 MG IV SOLR [21063],28.2,28.2,4.17,22.56,23
CDM,RX-8730,PYRAZINAMIDE 500 MG PO TABS [6738],30.53,30.53,4.52,24.42,23
CDM,RX-8731,PYRAZINAMIDE 500 MG PO TABS [6738],42.02,42.02,6.22,33.62,23
CDM,RX-8732,PYRIDOSTIGMINE BROMIDE 10 MG/2ML IV SOLN [126893],166.27,166.27,24.61,133.02,23
CDM,RX-8733,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS [11239],6.0,6.0,0.89,4.8,23
CDM,RX-8734,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS [11239],6.0,6.0,0.89,4.8,23
CDM,RX-8735,PYRIDOSTIGMINE BROMIDE 60 MG/5ML PO SOLN [143187],49.92,49.92,7.39,39.94,23
CDM,RX-8736,PYRIDOSTIGMINE BROMIDE 60 MG/5ML PO SOLN [143187],5332.46,5332.46,789.2,4265.97,23
CDM,RX-8737,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
CDM,RX-8738,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
CDM,RX-8739,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
CDM,RX-874,AZITHROMYCIN 500 MG IV SOLR [21063],28.2,28.2,4.17,22.56,23
CDM,RX-8740,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],213.1,213.1,31.54,170.48,23
CDM,RX-8741,PYRIDOXINE HCL 100 MG/ML IJ SOLN [6744],112.91,112.91,16.71,90.33,23
CDM,RX-8742,PYRIMETHAMINE 25 MG PO TABS [11246],2318.91,2318.91,343.2,1855.13,23
CDM,RX-8743,PYRIMETHAMINE 25 MG PO TABS [11246],2318.91,2318.91,343.2,1855.13,23
CDM,RX-8744,PYRIMETHAMINE 25 MG PO TABS [11246],2619.0,2619.0,387.61,2095.2,23
CDM,RX-8745,PYRIMETHAMINE 25 MG PO TABS [11246],2619.0,2619.0,387.61,2095.2,23
CDM,RX-8746,QUETIAPINE FUMARATE 100 MG PO TABS [21824],6.0,6.0,0.89,4.8,23
CDM,RX-8747,QUETIAPINE FUMARATE 100 MG PO TABS [21824],6.0,6.0,0.89,4.8,23
CDM,RX-8748,QUETIAPINE FUMARATE 100 MG PO TABS [21824],30.36,30.36,4.49,24.29,23
CDM,RX-8749,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.22,32.22,4.77,25.78,23
CDM,RX-875,AZITHROMYCIN 500 MG IV SOLR [21063],33.84,33.84,5.01,27.07,23
CDM,RX-8750,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.24,32.24,4.77,25.79,23
CDM,RX-8751,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.24,32.24,4.77,25.79,23
CDM,RX-8752,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.25,32.25,4.77,25.8,23
CDM,RX-8753,QUETIAPINE FUMARATE 200 MG PO TABS [21825],6.0,6.0,0.89,4.8,23
CDM,RX-8754,QUETIAPINE FUMARATE 200 MG PO TABS [21825],57.22,57.22,8.47,45.78,23
CDM,RX-8755,QUETIAPINE FUMARATE 200 MG PO TABS [21825],57.43,57.43,8.5,45.94,23
CDM,RX-8756,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.48,60.48,8.95,48.38,23
CDM,RX-8757,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.48,60.48,8.95,48.38,23
CDM,RX-8758,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.81,60.81,9.0,48.65,23
CDM,RX-8759,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.81,60.81,9.0,48.65,23
CDM,RX-876,AZITHROMYCIN 500 MG IV SOLR [21063],33.84,33.84,5.01,27.07,23
CDM,RX-8760,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.85,60.85,9.01,48.68,23
CDM,RX-8761,QUETIAPINE FUMARATE 25 MG PO TABS [21823],6.0,6.0,0.89,4.8,23
CDM,RX-8762,QUETIAPINE FUMARATE 25 MG PO TABS [21823],17.46,17.46,2.58,13.97,23
CDM,RX-8763,QUETIAPINE FUMARATE 25 MG PO TABS [21823],17.76,17.76,2.63,14.21,23
CDM,RX-8764,QUETIAPINE FUMARATE 25 MG PO TABS [21823],18.79,18.79,2.78,15.03,23
CDM,RX-8765,QUETIAPINE FUMARATE 25 MG PO TABS [21823],18.8,18.8,2.78,15.04,23
CDM,RX-8766,QUETIAPINE FUMARATE 25 MG PO TABS [21823],21.92,21.92,3.24,17.54,23
CDM,RX-8767,QUETIAPINE FUMARATE 300 MG PO TABS [29267],6.0,6.0,0.89,4.8,23
CDM,RX-8768,QUETIAPINE FUMARATE 300 MG PO TABS [29267],47.7,47.7,7.06,38.16,23
CDM,RX-8769,QUETIAPINE FUMARATE 300 MG PO TABS [29267],47.7,47.7,7.06,38.16,23
CDM,RX-877,AZITHROMYCIN 500 MG IV SOLR [21063],34.35,34.35,5.08,27.48,23
CDM,RX-8770,QUETIAPINE FUMARATE 400 MG PO TABS [70398],92.8,92.8,13.73,74.24,23
CDM,RX-8771,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.35,93.35,13.82,74.68,23
CDM,RX-8772,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.38,93.38,13.82,74.7,23
CDM,RX-8773,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.7,93.7,13.87,74.96,23
CDM,RX-8774,QUETIAPINE FUMARATE 50 MG PO TABS [70397],6.0,6.0,0.89,4.8,23
CDM,RX-8775,QUETIAPINE FUMARATE 50 MG PO TABS [70397],29.09,29.09,4.31,23.27,23
CDM,RX-8776,QUETIAPINE FUMARATE 50 MG PO TABS [70397],29.15,29.15,4.31,23.32,23
CDM,RX-8777,QUETIAPINE FUMARATE 50 MG PO TABS [70397],30.87,30.87,4.57,24.7,23
CDM,RX-8778,QUINIDINE SULFATE 200 MG PO TABS [6777],6.0,6.0,0.89,4.8,23
CDM,RX-8779,QUINIDINE SULFATE 200 MG PO TABS [6777],70.92,70.92,10.5,56.74,23
CDM,RX-878,AZITHROMYCIN 500 MG IV SOLR [21063],41.91,41.91,6.2,33.53,23
CDM,RX-8780,QUININE SULFATE 324 MG PO CAPS [6781],33.24,33.24,4.92,26.59,23
CDM,RX-8781,QUININE SULFATE 324 MG PO CAPS [6781],34.43,34.43,5.1,27.54,23
CDM,RX-8782,QUININE SULFATE 324 MG PO CAPS [6781],34.44,34.44,5.1,27.55,23
CDM,RX-8783,QUININE SULFATE 324 MG PO CAPS [6781],36.94,36.94,5.47,29.55,23
CDM,RX-8784,QUINUPRISTIN-DALFOPRISTIN 500 MG IV SOLR [26335],1627.31,1627.31,240.84,1301.85,23
CDM,RX-8785,QUINUPRISTIN-DALFOPRISTIN 500 MG IV SOLR [26335],1627.31,1627.31,240.84,1301.85,23
CDM,RX-8786,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN [139692],10329.89,10329.89,1528.82,8263.91,23
CDM,RX-8787,"RABIES VACCINE, PCEC IM SUSR [22120]",1491.91,1491.91,220.8,1193.53,23
CDM,RX-8788,"RABIES VACCINE, PCEC IM SUSR [22120]",1629.15,1629.15,241.11,1303.32,23
CDM,RX-8789,"RABIES VIRUS VACCINE, HDC IM SUSR [11257]",1514.86,1514.86,224.2,1211.89,23
CDM,RX-879,AZITHROMYCIN 500 MG IV SOLR [21063],51.7,51.7,7.65,41.36,23
CDM,RX-8790,"RABIES VIRUS VACCINE, HDC IM SUSR [11257]",1575.45,1575.45,233.17,1260.36,23
CDM,RX-8791,RACEPINEPHRINE HCL 2.25 % IN NEBU [113303],11.75,11.75,1.74,9.4,23
CDM,RX-8792,RACEPINEPHRINE HCL 2.25 % IN NEBU [113303],11.75,11.75,1.74,9.4,23
CDM,RX-8793,RALOXIFENE HCL 60 MG PO TABS [22143],33.51,33.51,4.96,26.81,23
CDM,RX-8794,RALOXIFENE HCL 60 MG PO TABS [22143],33.51,33.51,4.96,26.81,23
CDM,RX-8795,RALTEGRAVIR POTASSIUM 100 MG PO CHEW [116050],48.96,48.96,7.25,39.17,23
CDM,RX-8796,RALTEGRAVIR POTASSIUM 100 MG PO PACK [124599],48.96,48.96,7.25,39.17,23
CDM,RX-8797,RALTEGRAVIR POTASSIUM 25 MG PO CHEW [116049],12.24,12.24,1.81,9.79,23
CDM,RX-8798,RALTEGRAVIR POTASSIUM 400 MG PO TABS [88608],180.41,180.41,26.7,144.33,23
CDM,RX-8799,RAMELTEON 8 MG PO TABS [42064],73.14,73.14,10.82,58.51,23
CDM,RX-880,AZITHROMYCIN 500 MG IV SOLR [21063],81.31,81.31,12.03,65.05,23
CDM,RX-8800,RAMIPRIL 10 MG PO CAPS [11259],10.42,10.42,1.54,8.34,23
CDM,RX-8801,RAMUCIRUMAB 100 MG/10ML IV SOLN [123968],4467.05,4467.05,661.12,3573.64,23
CDM,RX-8802,RAMUCIRUMAB 500 MG/50ML IV SOLN [123969],22335.22,22335.22,3305.61,17868.18,23
CDM,RX-8803,RANOLAZINE ER 1000 MG PO TB12 [88007],49.57,49.57,7.34,39.66,23
CDM,RX-8804,RANOLAZINE ER 1000 MG PO TB12 [88007],49.57,49.57,7.34,39.66,23
CDM,RX-8805,RANOLAZINE ER 1000 MG PO TB12 [88007],63.45,63.45,9.39,50.76,23
CDM,RX-8806,RANOLAZINE ER 500 MG PO TB12 [70434],7.9,7.9,1.17,6.32,23
CDM,RX-8807,RANOLAZINE ER 500 MG PO TB12 [70434],7.9,7.9,1.17,6.32,23
CDM,RX-8808,RANOLAZINE ER 500 MG PO TB12 [70434],8.9,8.9,1.32,7.12,23
CDM,RX-8809,RANOLAZINE ER 500 MG PO TB12 [70434],30.19,30.19,4.47,24.15,23
CDM,RX-881,AZITHROMYCIN 500MG/250ML [600031],57.07,57.07,8.45,45.66,23
CDM,RX-8810,RANOLAZINE ER 500 MG PO TB12 [70434],30.22,30.22,4.47,24.18,23
CDM,RX-8811,RANOLAZINE ER 500 MG PO TB12 [70434],31.67,31.67,4.69,25.34,23
CDM,RX-8812,RANOLAZINE ER 500 MG PO TB12 [70434],38.65,38.65,5.72,30.92,23
CDM,RX-8813,RAPID ACTING INSULIN (U100 ONLY) FOR INSULIN PUMP FILL [408528534],12.5,12.5,1.85,10.0,23
CDM,RX-8814,RASAGILINE MESYLATE 0.5 MG PO TABS [76480],108.18,108.18,16.01,86.54,23
CDM,RX-8815,RASAGILINE MESYLATE 1 MG PO TABS [76481],108.25,108.25,16.02,86.6,23
CDM,RX-8816,RASBURICASE 1.5 MG IV SOLR [33591],3311.17,3311.17,490.05,2648.94,23
CDM,RX-8817,RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN [149944],72715.12,72715.12,10761.84,58172.1,23
CDM,RX-8818,RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN [149943],19831.41,19831.41,2935.05,15865.13,23
CDM,RX-8819,RBC NUCLEAR ISOTOPE [600798],1148.0,1148.0,169.9,918.4,23
CDM,RX-882,AZITHROMYCIN 500MG/250ML [600031],57.07,57.07,8.45,45.66,23
CDM,RX-8820,REGADENOSON 0.4 MG/5ML IV SOLN [91408],103.92,103.92,15.38,83.14,23
CDM,RX-8821,REGADENOSON 0.4 MG/5ML IV SOLN [91408],129.9,129.9,19.23,103.92,23
CDM,RX-8822,REGADENOSON 0.4 MG/5ML IV SOLN [91408],129.9,129.9,19.23,103.92,23
CDM,RX-8823,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
CDM,RX-8824,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
CDM,RX-8825,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
CDM,RX-8826,REGADENOSON 0.4 MG/5ML IV SOLN [91408],384.54,384.54,56.91,307.63,23
CDM,RX-8827,REGADENOSON 0.4 MG/5ML IV SOLN [91408],984.99,984.99,145.78,787.99,23
CDM,RX-8828,REGADENOSON 0.4 MG/5ML IV SOLN [91408],984.99,984.99,145.78,787.99,23
CDM,RX-8829,REGADENOSON 0.4 MG/5ML IV SOLN [91408],1014.54,1014.54,150.15,811.63,23
CDM,RX-883,AZITHROMYCIN 500MG/NS 250ML MB PLUS [601129],57.07,57.07,8.45,45.66,23
CDM,RX-8830,REGORAFENIB 40 MG PO TABS [117021],1117.24,1117.24,165.35,893.79,23
CDM,RX-8831,RELUGOLIX 120 MG PO TABS [150677],416.57,416.57,61.65,333.26,23
CDM,RX-8832,REMDESIVIR 100 MG IV SOLR [147869],1815.84,1815.84,268.74,1452.67,23
CDM,RX-8833,REMDESIVIR 100 MG IV SOLR [147869],2216.9,2216.9,328.1,1773.52,23
CDM,RX-8834,REMDESIVIR 100 MG/ NS 100 ML MB+ [600975],1528.2,1528.2,226.17,1222.56,23
CDM,RX-8835,REMIFENTANIL HCL 2 MG IV SOLR [18400],554.19,554.19,82.02,443.35,23
CDM,RX-8836,REMIFENTANIL HCL 2 MG IV SOLR [18400],581.88,581.88,86.12,465.5,23
CDM,RX-8837,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
CDM,RX-8838,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
CDM,RX-8839,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
CDM,RX-884,AZITHROMYCIN 600 MG PO TABS [17387],10.69,10.69,1.58,8.55,23
CDM,RX-8840,REMIMAZOLAM BESYLATE 20 MG IV SOLR [150511],204.54,204.54,30.27,163.63,23
CDM,RX-8841,REMIMAZOLAM BESYLATE 20 MG IV SOLR [150511],204.56,204.56,30.27,163.65,23
CDM,RX-8842,RENACIDIN IR SOLN [6839],35.68,35.68,5.28,28.54,23
CDM,RX-8843,RENA-VITE RX 1 MG PO TABS [26688],6.0,6.0,0.89,4.8,23
CDM,RX-8844,RESLIZUMAB 100 MG/10ML IV SOLN [131458],3382.11,3382.11,500.55,2705.69,23
CDM,RX-8845,RIBAVIRIN 200 MG PO CAPS [11286],44.78,44.78,6.63,35.82,23
CDM,RX-8846,RIBOCICLIB SUCC (200 MG DOSE) 200 MG PO TBPK [143130],1431.97,1431.97,211.93,1145.58,23
CDM,RX-8847,RIBOCICLIB SUCC (400 MG DOSE) 200 MG PO TBPK [143131],1431.97,1431.97,211.93,1145.58,23
CDM,RX-8848,RIBOCICLIB SUCC (600 MG DOSE) 200 MG PO TBPK [143132],1193.31,1193.31,176.61,954.65,23
CDM,RX-8849,RIFABUTIN 1200MG/60ML SUSPENSION [900094],172.73,172.73,25.56,138.18,23
CDM,RX-885,AZITHROMYCIN 600 MG PO TABS [17387],29.95,29.95,4.43,23.96,23
CDM,RX-8850,RIFABUTIN 150 MG PO CAPS [11290],54.55,54.55,8.07,43.64,23
CDM,RX-8851,RIFABUTIN 150 MG PO CAPS [11290],82.23,82.23,12.17,65.78,23
CDM,RX-8852,RIFABUTIN 150 MG PO CAPS [11290],82.23,82.23,12.17,65.78,23
CDM,RX-8853,RIFABUTIN 150 MG PO CAPS [11290],101.09,101.09,14.96,80.87,23
CDM,RX-8854,RIFAMPIN 10MG/ML ORAL SUSP [900095],18.62,18.62,2.76,14.9,23
CDM,RX-8855,RIFAMPIN 10MG/ML ORAL SUSP [900095],74.25,74.25,10.99,59.4,23
CDM,RX-8856,RIFAMPIN 150 MG PO CAPS [11292],15.24,15.24,2.26,12.19,23
CDM,RX-8857,RIFAMPIN 150 MG PO CAPS [11292],17.97,17.97,2.66,14.38,23
CDM,RX-8858,RIFAMPIN 300 MG PO CAPS [11293],6.24,6.24,0.92,4.99,23
CDM,RX-8859,RIFAMPIN 300 MG PO CAPS [11293],8.94,8.94,1.32,7.15,23
CDM,RX-886,AZITHROMYCIN 600 MG PO TABS [17387],87.81,87.81,13.0,70.25,23
CDM,RX-8860,RIFAMPIN 300 MG PO CAPS [11293],9.46,9.46,1.4,7.57,23
CDM,RX-8861,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
CDM,RX-8862,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
CDM,RX-8863,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
CDM,RX-8864,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
CDM,RX-8865,RIFAMPIN 300 MG PO CAPS [11293],27.5,27.5,4.07,22.0,23
CDM,RX-8866,RIFAMPIN 600 MG IV SOLR [11291],692.18,692.18,102.44,553.74,23
CDM,RX-8867,RIFAMPIN 600 MG IV SOLR [11291],702.81,702.81,104.02,562.25,23
CDM,RX-8868,RIFAMPIN 600 MG IV SOLR [11291],702.81,702.81,104.02,562.25,23
CDM,RX-8869,RIFAMPIN 600 MG IV SOLR [11291],726.22,726.22,107.48,580.98,23
CDM,RX-887,AZITHROMYCIN 600 MG PO TABS [17387],87.81,87.81,13.0,70.25,23
CDM,RX-8870,RIFAPENTINE 150 MG PO TABS [23365],28.01,28.01,4.15,22.41,23
CDM,RX-8871,RIFAPENTINE 150 MG PO TABS [23365],28.02,28.02,4.15,22.42,23
CDM,RX-8872,RIFAXIMIN 200 MG PO TABS [39063],63.32,63.32,9.37,50.66,23
CDM,RX-8873,RIFAXIMIN 550 MG PO TABS [102397],269.45,269.45,39.88,215.56,23
CDM,RX-8874,RIFAXIMIN 550 MG PO TABS [102397],269.45,269.45,39.88,215.56,23
CDM,RX-8875,RILPIVIRINE HCL 25 MG PO TABS [108405],230.81,230.81,34.16,184.65,23
CDM,RX-8876,RIMEGEPANT SULFATE 75 MG PO TBDP [147343],581.9,581.9,86.12,465.52,23
CDM,RX-8877,RIPRETINIB 50 MG PO TABS [148429],1686.64,1686.64,249.62,1349.31,23
CDM,RX-8878,RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN [156228],31491.52,31491.52,4660.74,25193.22,23
CDM,RX-8879,RISEDRONATE SODIUM 35 MG PO TABS [32895],385.66,385.66,57.08,308.53,23
CDM,RX-888,AZTREONAM 1 G IJ SOLR [9185],130.94,130.94,19.38,104.75,23
CDM,RX-8880,RISEDRONATE SODIUM 5 MG PO TABS [27112],41.63,41.63,6.16,33.3,23
CDM,RX-8881,RISPERIDONE 0.25 MG PO TABS [25519],16.84,16.84,2.49,13.47,23
CDM,RX-8882,RISPERIDONE 0.25 MG PO TABS [25519],18.3,18.3,2.71,14.64,23
CDM,RX-8883,RISPERIDONE 0.25 MG PO TABS [25519],18.33,18.33,2.71,14.66,23
CDM,RX-8884,RISPERIDONE 0.25 MG PO TABS [25519],18.34,18.34,2.71,14.67,23
CDM,RX-8885,RISPERIDONE 0.25 MG PO TABS [25519],18.34,18.34,2.71,14.67,23
CDM,RX-8886,RISPERIDONE 0.5 MG PO TABS [25520],6.0,6.0,0.89,4.8,23
CDM,RX-8887,RISPERIDONE 0.5 MG PO TABS [25520],18.49,18.49,2.74,14.79,23
CDM,RX-8888,RISPERIDONE 0.5 MG PO TABS [25520],20.08,20.08,2.97,16.06,23
CDM,RX-8889,RISPERIDONE 1 MG PO TABS [18313],6.0,6.0,0.89,4.8,23
CDM,RX-889,AZTREONAM 1 G IJ SOLR [9185],176.62,176.62,26.14,141.3,23
CDM,RX-8890,RISPERIDONE 1 MG PO TABS [18313],21.35,21.35,3.16,17.08,23
CDM,RX-8891,RISPERIDONE 1 MG PO TABS [18313],21.35,21.35,3.16,17.08,23
CDM,RX-8892,RISPERIDONE 1 MG PO TABS [18313],21.39,21.39,3.17,17.11,23
CDM,RX-8893,RISPERIDONE 1 MG PO TABS [18313],21.4,21.4,3.17,17.12,23
CDM,RX-8894,RISPERIDONE 1 MG PO TABS [18313],21.46,21.46,3.18,17.17,23
CDM,RX-8895,RISPERIDONE 1 MG PO TBDP [35687],27.0,27.0,4.0,21.6,23
CDM,RX-8896,RISPERIDONE 1 MG/ML PO SOLN [17377],574.44,574.44,85.02,459.55,23
CDM,RX-8897,RISPERIDONE 1 MG/ML PO SOLN [17377],632.12,632.12,93.55,505.7,23
CDM,RX-8898,RISPERIDONE 1 MG/ML PO SOLN [17377],632.12,632.12,93.55,505.7,23
CDM,RX-8899,RISPERIDONE 2 MG PO TABS [18311],6.0,6.0,0.89,4.8,23
CDM,RX-890,AZTREONAM 1 G IJ SOLR [9185],176.63,176.63,26.14,141.3,23
CDM,RX-8900,RISPERIDONE 2 MG PO TABS [18311],33.18,33.18,4.91,26.54,23
CDM,RX-8901,RISPERIDONE 2 MG PO TABS [18311],35.72,35.72,5.29,28.58,23
CDM,RX-8902,RISPERIDONE 2 MG PO TABS [18311],35.76,35.76,5.29,28.61,23
CDM,RX-8903,RISPERIDONE 2 MG PO TBDP [35688],43.9,43.9,6.5,35.12,23
CDM,RX-8904,RISPERIDONE 2 MG/2 ML ORAL SYRINGE [600237],61.86,61.86,9.16,49.49,23
CDM,RX-8905,RISPERIDONE 3 MG PO TABS [18312],6.0,6.0,0.89,4.8,23
CDM,RX-8906,RISPERIDONE 3 MG PO TABS [18312],39.03,39.03,5.78,31.22,23
CDM,RX-8907,RISPERIDONE 3 MG PO TABS [18312],41.9,41.9,6.2,33.52,23
CDM,RX-8908,RISPERIDONE 3 MG PO TABS [18312],41.9,41.9,6.2,33.52,23
CDM,RX-8909,RISPERIDONE 3 MG PO TABS [18312],42.0,42.0,6.22,33.6,23
CDM,RX-891,AZTREONAM 1 G IJ SOLR [9185],187.48,187.48,27.75,149.98,23
CDM,RX-8910,RISPERIDONE 3 MG PO TBDP [70257],55.38,55.38,8.2,44.3,23
CDM,RX-8911,RISPERIDONE 4 MG PO TABS [18310],50.9,50.9,7.53,40.72,23
CDM,RX-8912,RISPERIDONE 4 MG PO TABS [18310],56.28,56.28,8.33,45.02,23
CDM,RX-8913,RISPERIDONE MICROSPHERES ER 25 MG IM SRER [144946],2253.36,2253.36,333.5,1802.69,23
CDM,RX-8914,RISPERIDONE MICROSPHERES ER 25 MG IM SRER [144946],2253.36,2253.36,333.5,1802.69,23
CDM,RX-8915,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER [144947],2938.75,2938.75,434.94,2351.0,23
CDM,RX-8916,RISPERIDONE MICROSPHERES ER 50 MG IM SRER [144948],3918.47,3918.47,579.93,3134.78,23
CDM,RX-8917,RITONAVIR 100 MG PO PACK [139937],48.35,48.35,7.16,38.68,23
CDM,RX-8918,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
CDM,RX-8919,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
CDM,RX-892,AZTREONAM 2 G IJ SOLR [9186],240.17,240.17,35.55,192.14,23
CDM,RX-8920,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
CDM,RX-8921,RITONAVIR 100 MG PO TABS [101700],48.35,48.35,7.16,38.68,23
CDM,RX-8922,RITUXIMAB 100 MG/10ML IV SOLN [129084],2852.38,2852.38,422.15,2281.9,23
CDM,RX-8923,RITUXIMAB 500 MG/50ML IV SOLN [129085],14261.87,14261.87,2110.76,11409.5,23
CDM,RX-8924,RITUXIMAB-ABBS 100 MG/10ML IV SOLN [145743],2567.09,2567.09,379.93,2053.67,23
CDM,RX-8925,RITUXIMAB-ABBS 500 MG/50ML IV SOLN [145744],12835.45,12835.45,1899.65,10268.36,23
CDM,RX-8926,RITUXIMAB-ARRX 100 MG/10ML IV SOLN [150673],2503.07,2503.07,370.45,2002.46,23
CDM,RX-8927,RITUXIMAB-ARRX 500 MG/50ML IV SOLN [150674],10881.03,10881.03,1610.39,8704.82,23
CDM,RX-8928,RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN [137000],19966.5,19966.5,2955.04,15973.2,23
CDM,RX-8929,RITUXIMAB-HYALURONIDASE HUMAN 1600-26800 MG -UT/13.4ML SC SOLN [137001],22818.86,22818.86,3377.19,18255.09,23
CDM,RX-893,AZTREONAM 2 G IJ SOLR [9186],277.52,277.52,41.07,222.02,23
CDM,RX-8930,RITUXIMAB-PVVR 100 MG/10ML IV SOLN [146216],2503.07,2503.07,370.45,2002.46,23
CDM,RX-8931,RITUXIMAB-PVVR 500 MG/50ML IV SOLN [146217],10881.03,10881.03,1610.39,8704.82,23
CDM,RX-8932,RIVAROXABAN 10 MG PO TABS [109481],103.59,103.59,15.33,82.87,23
CDM,RX-8933,RIVAROXABAN 10 MG PO TABS [109481],103.59,103.59,15.33,82.87,23
CDM,RX-8934,RIVAROXABAN 10 MG PO TABS [109481],103.62,103.62,15.34,82.9,23
CDM,RX-8935,RIVAROXABAN 15 MG PO TABS [111367],103.59,103.59,15.33,82.87,23
CDM,RX-8936,RIVAROXABAN 15 MG PO TABS [111367],103.59,103.59,15.33,82.87,23
CDM,RX-8937,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
CDM,RX-8938,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
CDM,RX-8939,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
CDM,RX-894,AZTREONAM 2 G IJ SOLR [9186],312.53,312.53,46.25,250.02,23
CDM,RX-8940,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
CDM,RX-8941,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
CDM,RX-8942,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
CDM,RX-8943,RIVAROXABAN 20 MG PO TABS [111368],103.62,103.62,15.34,82.9,23
CDM,RX-8944,RIVAROXABAN STARTER PACK 15MG & 20MG [125803],103.59,103.59,15.33,82.87,23
CDM,RX-8945,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],78.09,78.09,11.56,62.47,23
CDM,RX-8946,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
CDM,RX-8947,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
CDM,RX-8948,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
CDM,RX-8949,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],118.78,118.78,17.58,95.02,23
CDM,RX-895,AZTREONAM 2 G IJ SOLR [9186],342.22,342.22,50.65,273.78,23
CDM,RX-8950,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],118.82,118.82,17.59,95.06,23
CDM,RX-8951,RIVASTIGMINE TARTRATE 1.5 MG PO CAPS [28278],18.95,18.95,2.8,15.16,23
CDM,RX-8952,RIVASTIGMINE TARTRATE 1.5 MG PO CAPS [28278],19.95,19.95,2.95,15.96,23
CDM,RX-8953,RIVASTIGMINE TARTRATE 3 MG PO CAPS [28279],18.95,18.95,2.8,15.16,23
CDM,RX-8954,RIVASTIGMINE TARTRATE 3 MG PO CAPS [28279],19.95,19.95,2.95,15.96,23
CDM,RX-8955,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],18.95,18.95,2.8,15.16,23
CDM,RX-8956,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],19.84,19.84,2.94,15.87,23
CDM,RX-8957,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],19.95,19.95,2.95,15.96,23
CDM,RX-8958,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],21.92,21.92,3.24,17.54,23
CDM,RX-8959,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],18.95,18.95,2.8,15.16,23
CDM,RX-896,BACITRACIN 500 UNIT/GM EX OINT [850],6.0,6.0,0.89,4.8,23
CDM,RX-8960,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],19.95,19.95,2.95,15.96,23
CDM,RX-8961,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],21.92,21.92,3.24,17.54,23
CDM,RX-8962,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],22.52,22.52,3.33,18.02,23
CDM,RX-8963,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],39.48,39.48,5.84,31.58,23
CDM,RX-8964,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],39.58,39.58,5.86,31.66,23
CDM,RX-8965,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
CDM,RX-8966,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
CDM,RX-8967,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
CDM,RX-8968,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
CDM,RX-8969,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],41.74,41.74,6.18,33.39,23
CDM,RX-897,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
CDM,RX-8970,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],41.74,41.74,6.18,33.39,23
CDM,RX-8971,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],42.3,42.3,6.26,33.84,23
CDM,RX-8972,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],44.09,44.09,6.53,35.27,23
CDM,RX-8973,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],44.09,44.09,6.53,35.27,23
CDM,RX-8974,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],50.76,50.76,7.51,40.61,23
CDM,RX-8975,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],57.96,57.96,8.58,46.37,23
CDM,RX-8976,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],57.96,57.96,8.58,46.37,23
CDM,RX-8977,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],62.04,62.04,9.18,49.63,23
CDM,RX-8978,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],67.68,67.68,10.02,54.14,23
CDM,RX-8979,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],87.04,87.04,12.88,69.63,23
CDM,RX-898,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
CDM,RX-8980,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],163.51,163.51,24.2,130.81,23
CDM,RX-8981,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],163.51,163.51,24.2,130.81,23
CDM,RX-8982,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
CDM,RX-8983,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
CDM,RX-8984,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
CDM,RX-8985,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
CDM,RX-8986,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
CDM,RX-8987,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],26.44,26.44,3.91,21.15,23
CDM,RX-8988,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],27.08,27.08,4.01,21.66,23
CDM,RX-8989,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],28.51,28.51,4.22,22.81,23
CDM,RX-899,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
CDM,RX-8990,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],28.98,28.98,4.29,23.18,23
CDM,RX-8991,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],38.22,38.22,5.66,30.58,23
CDM,RX-8992,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],49.35,49.35,7.3,39.48,23
CDM,RX-8993,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],92.43,92.43,13.68,73.94,23
CDM,RX-8994,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY [132861],42.3,42.3,6.26,33.84,23
CDM,RX-8995,ROMIPLOSTIM 125 MCG SC SOLR [145747],4179.16,4179.16,618.52,3343.33,23
CDM,RX-8996,ROMIPLOSTIM 250 MCG SC SOLR [93566],8358.16,8358.16,1237.01,6686.53,23
CDM,RX-8997,ROPINIROLE HCL 0.25 MG PO TABS [21688],6.0,6.0,0.89,4.8,23
CDM,RX-8998,ROPINIROLE HCL 0.25 MG PO TABS [21688],6.0,6.0,0.89,4.8,23
CDM,RX-8999,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.75,11.75,1.74,9.4,23
CDM,RX-900,BACITRACIN 500 UNIT/GM EX OINT [850],16.29,16.29,2.41,13.03,23
CDM,RX-9000,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.75,11.75,1.74,9.4,23
CDM,RX-9001,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.76,11.76,1.74,9.41,23
CDM,RX-9002,ROPINIROLE HCL 0.5 MG PO TABS [21800],11.75,11.75,1.74,9.4,23
CDM,RX-9003,ROPINIROLE HCL 0.5 MG PO TABS [21800],11.78,11.78,1.74,9.42,23
CDM,RX-9004,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
CDM,RX-9005,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
CDM,RX-9006,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
CDM,RX-9007,ROPINIROLE HCL 1 MG PO TABS [21689],11.75,11.75,1.74,9.4,23
CDM,RX-9008,ROPINIROLE HCL 1 MG PO TABS [21689],11.78,11.78,1.74,9.42,23
CDM,RX-9009,ROPINIROLE HCL 2 MG PO TABS [21690],6.0,6.0,0.89,4.8,23
CDM,RX-901,BACITRACIN 500 UNIT/GM EX OINT [850],24.75,24.75,3.66,19.8,23
CDM,RX-9010,ROPINIROLE HCL 2 MG PO TABS [21690],11.75,11.75,1.74,9.4,23
CDM,RX-9011,ROPINIROLE HCL 2 MG PO TABS [21690],11.75,11.75,1.74,9.4,23
CDM,RX-9012,ROPINIROLE HCL 2 MG PO TABS [21690],11.78,11.78,1.74,9.42,23
CDM,RX-9013,ROPINIROLE HCL 3 MG PO TABS [30699],11.75,11.75,1.74,9.4,23
CDM,RX-9014,ROPINIROLE HCL 3 MG PO TABS [30699],11.75,11.75,1.74,9.4,23
CDM,RX-9015,ROPINIROLE HCL 3 MG PO TABS [30699],12.22,12.22,1.81,9.78,23
CDM,RX-9016,ROPINIROLE HCL 4 MG PO TABS [26429],12.2,12.2,1.81,9.76,23
CDM,RX-9017,ROPINIROLE HCL 4 MG PO TABS [26429],12.22,12.22,1.81,9.78,23
CDM,RX-9018,ROPINIROLE HCL 4 MG PO TABS [26429],12.22,12.22,1.81,9.78,23
CDM,RX-9019,ROPINIROLE HCL 5 MG PO TABS [21691],6.0,6.0,0.89,4.8,23
CDM,RX-902,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
CDM,RX-9020,ROPINIROLE HCL 5 MG PO TABS [21691],12.22,12.22,1.81,9.78,23
CDM,RX-9021,ROPINIROLE HCL 5 MG PO TABS [21691],12.22,12.22,1.81,9.78,23
CDM,RX-9022,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],22.0,22.0,3.26,17.6,23
CDM,RX-9023,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],22.0,22.0,3.26,17.6,23
CDM,RX-9024,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],28.2,28.2,4.17,22.56,23
CDM,RX-9025,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],31.12,31.12,4.61,24.9,23
CDM,RX-9026,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],49.17,49.17,7.28,39.34,23
CDM,RX-9027,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.58,50.58,7.49,40.46,23
CDM,RX-9028,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.86,50.86,7.53,40.69,23
CDM,RX-9029,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.86,50.86,7.53,40.69,23
CDM,RX-903,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
CDM,RX-9030,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],62.23,62.23,9.21,49.78,23
CDM,RX-9031,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],62.33,62.33,9.22,49.86,23
CDM,RX-9032,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],76.14,76.14,11.27,60.91,23
CDM,RX-9033,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],161.08,161.08,23.84,128.86,23
CDM,RX-9034,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],186.19,186.19,27.56,148.95,23
CDM,RX-9035,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],342.32,342.32,50.66,273.86,23
CDM,RX-9036,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],342.32,342.32,50.66,273.86,23
CDM,RX-9037,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],361.0,361.0,53.43,288.8,23
CDM,RX-9038,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],379.67,379.67,56.19,303.74,23
CDM,RX-9039,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],35.25,35.25,5.22,28.2,23
CDM,RX-904,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
CDM,RX-9040,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],35.63,35.63,5.27,28.5,23
CDM,RX-9041,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],45.12,45.12,6.68,36.1,23
CDM,RX-9042,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],49.92,49.92,7.39,39.94,23
CDM,RX-9043,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],56.4,56.4,8.35,45.12,23
CDM,RX-9044,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],81.69,81.69,12.09,65.35,23
CDM,RX-9045,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],81.69,81.69,12.09,65.35,23
CDM,RX-9046,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],82.07,82.07,12.15,65.66,23
CDM,RX-9047,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],93.16,93.16,13.79,74.53,23
CDM,RX-9048,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],109.12,109.12,16.15,87.3,23
CDM,RX-9049,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],112.76,112.76,16.69,90.21,23
CDM,RX-905,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],33.64,33.64,4.98,26.91,23
CDM,RX-9050,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],117.3,117.3,17.36,93.84,23
CDM,RX-9051,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],163.68,163.68,24.22,130.94,23
CDM,RX-9052,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],98.21,98.21,14.54,78.57,23
CDM,RX-9053,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],98.21,98.21,14.54,78.57,23
CDM,RX-9054,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],103.92,103.92,15.38,83.14,23
CDM,RX-9055,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],111.98,111.98,16.57,89.58,23
CDM,RX-9056,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],140.3,140.3,20.76,112.24,23
CDM,RX-9057,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],6.46,6.46,0.96,5.17,23
CDM,RX-9058,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],6.46,6.46,0.96,5.17,23
CDM,RX-9059,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],40.89,40.89,6.05,32.71,23
CDM,RX-906,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT [856],124.06,124.06,18.36,99.25,23
CDM,RX-9060,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],41.99,41.99,6.21,33.59,23
CDM,RX-9061,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9062,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9063,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9064,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9065,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9066,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9067,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9068,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
CDM,RX-9069,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],6.96,6.96,1.03,5.57,23
CDM,RX-907,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
CDM,RX-9070,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],40.89,40.89,6.05,32.71,23
CDM,RX-9071,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9072,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9073,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9074,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9075,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9076,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
CDM,RX-9077,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],6.0,6.0,0.89,4.8,23
CDM,RX-9078,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],7.46,7.46,1.1,5.97,23
CDM,RX-9079,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.04,42.04,6.22,33.63,23
CDM,RX-908,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
CDM,RX-9080,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9081,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9082,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9083,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9084,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9085,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9086,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9087,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9088,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
CDM,RX-9089,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],40.42,40.42,5.98,32.34,23
CDM,RX-909,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
CDM,RX-9090,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
CDM,RX-9091,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
CDM,RX-9092,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
CDM,RX-9093,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
CDM,RX-9094,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
CDM,RX-9095,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],52.0,52.0,7.7,41.6,23
CDM,RX-9096,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [121712],397.02,397.02,58.76,317.62,23
CDM,RX-9097,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [121712],446.49,446.49,66.08,357.19,23
CDM,RX-9098,ROTIGOTINE 2 MG/24HR TD PT24 [82100],149.64,149.64,22.15,119.71,23
CDM,RX-9099,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [160554],1207.57,1207.57,178.72,966.06,23
CDM,RX-910,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
CDM,RX-9100,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [160554],1207.57,1207.57,178.72,966.06,23
CDM,RX-9101,RUCAPARIB CAMSYLATE 200 MG PO TABS [134557],654.85,654.85,96.92,523.88,23
CDM,RX-9102,RUCAPARIB CAMSYLATE 300 MG PO TABS [134558],654.85,654.85,96.92,523.88,23
CDM,RX-9103,RUFINAMIDE 400 MG PO TABS [95692],123.45,123.45,18.27,98.76,23
CDM,RX-9104,RUXOLITINIB PHOSPHATE 10 MG PO TABS [111437],1154.56,1154.56,170.87,923.65,23
CDM,RX-9105,RUXOLITINIB PHOSPHATE 15 MG PO TABS [111438],1154.56,1154.56,170.87,923.65,23
CDM,RX-9106,RUXOLITINIB PHOSPHATE 20 MG PO TABS [111439],1154.56,1154.56,170.87,923.65,23
CDM,RX-9107,RUXOLITINIB PHOSPHATE 25 MG PO TABS [111440],1154.56,1154.56,170.87,923.65,23
CDM,RX-9108,RUXOLITINIB PHOSPHATE 5 MG PO TABS [111436],1154.56,1154.56,170.87,923.65,23
CDM,RX-9109,SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR [147974],7630.21,7630.21,1129.27,6104.17,23
CDM,RX-911,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
CDM,RX-9110,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],64.03,64.03,9.48,51.22,23
CDM,RX-9111,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],66.29,66.29,9.81,53.03,23
CDM,RX-9112,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],66.29,66.29,9.81,53.03,23
CDM,RX-9113,SACUBITRIL-VALSARTAN 49-51 MG PO TABS [128546],66.29,66.29,9.81,53.03,23
CDM,RX-9114,SACUBITRIL-VALSARTAN 97-103 MG PO TABS [128547],66.29,66.29,9.81,53.03,23
CDM,RX-9115,SACUBITRIL-VALSARTAN 97-103 MG PO TABS [128547],66.29,66.29,9.81,53.03,23
CDM,RX-9116,SALICYLIC ACID 17 % EX SOLN [11323],28.52,28.52,4.22,22.82,23
CDM,RX-9117,SALICYLIC ACID 6 % EX GEL [11308],242.74,242.74,35.93,194.19,23
CDM,RX-9118,SALICYLIC ACID 6 % EX GEL [11308],1167.82,1167.82,172.84,934.26,23
CDM,RX-9119,SALINE NASAL SPRAY 0.65 % NA SOLN [7030],11.0,11.0,1.63,8.8,23
CDM,RX-912,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
CDM,RX-9120,SALINE NASAL SPRAY 0.65 % NA SOLN [7030],18.83,18.83,2.79,15.06,23
CDM,RX-9121,SALMETEROL XINAFOATE 50 MCG/DOSE INH [28246],1478.69,1478.69,218.85,1182.95,23
CDM,RX-9122,SALSALATE 500 MG PO TABS [7034],8.93,8.93,1.32,7.14,23
CDM,RX-9123,SALSALATE 500 MG PO TABS [7034],9.17,9.17,1.36,7.34,23
CDM,RX-9124,SALSALATE 750 MG PO TABS [7035],9.53,9.53,1.41,7.62,23
CDM,RX-9125,SALSALATE 750 MG PO TABS [7035],11.62,11.62,1.72,9.3,23
CDM,RX-9126,SALSALATE 750 MG PO TABS [7035],12.92,12.92,1.91,10.34,23
CDM,RX-9127,SALSALATE 750 MG PO TABS [7035],13.16,13.16,1.95,10.53,23
CDM,RX-9128,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],56.45,56.45,8.35,45.16,23
CDM,RX-9129,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],87.47,87.47,12.95,69.98,23
CDM,RX-913,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
CDM,RX-9130,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],87.47,87.47,12.95,69.98,23
CDM,RX-9131,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],90.53,90.53,13.4,72.42,23
CDM,RX-9132,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],92.67,92.67,13.72,74.14,23
CDM,RX-9133,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.48,99.48,14.72,79.58,23
CDM,RX-9134,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.48,99.48,14.72,79.58,23
CDM,RX-9135,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.59,99.59,14.74,79.67,23
CDM,RX-9136,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],105.13,105.13,15.56,84.1,23
CDM,RX-9137,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],110.66,110.66,16.38,88.53,23
CDM,RX-9138,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],110.66,110.66,16.38,88.53,23
CDM,RX-9139,SECRETIN ACETATE 16 MCG IV SOLR [35439],1484.1,1484.1,219.65,1187.28,23
CDM,RX-914,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
CDM,RX-9140,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ [144938],11584.22,11584.22,1714.46,9267.38,23
CDM,RX-9141,SECUKINUMAB 150 MG/ML SC SOAJ [126921],23168.43,23168.43,3428.93,18534.74,23
CDM,RX-9142,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
CDM,RX-9143,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
CDM,RX-9144,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
CDM,RX-9145,SELEGILINE HCL 5 MG PO TABS [11340],9.88,9.88,1.46,7.9,23
CDM,RX-9146,SELENIUM 200 MCG PO TABS [7139],6.0,6.0,0.89,4.8,23
CDM,RX-9147,SELENIUM 4 MCG/ML IV SOLN- TPN [600932],22.0,22.0,3.26,17.6,23
CDM,RX-9148,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.06,93.06,13.77,74.45,23
CDM,RX-9149,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.18,93.18,13.79,74.54,23
CDM,RX-915,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
CDM,RX-9150,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.18,93.18,13.79,74.54,23
CDM,RX-9151,SEMAGLUTIDE (1 MG/DOSE) 4 MG/3ML SC SOPN [151228],3028.67,3028.67,448.24,2422.94,23
CDM,RX-9152,SEMAGLUTIDE(0.25 OR 0.5MG/DOS) 2 MG/1.5ML SC SOPN [136453],3028.67,3028.67,448.24,2422.94,23
CDM,RX-9153,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9154,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9155,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9156,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9157,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9158,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-9159,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
CDM,RX-916,BACTERIOSTATIC WATER(BENZ ALC) IJ SOLN [14979],35.4,35.4,5.24,28.32,23
CDM,RX-9160,SENNOSIDES 8.8 MG/5ML PO SYRP [15168],11.0,11.0,1.63,8.8,23
CDM,RX-9161,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
CDM,RX-9162,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
CDM,RX-9163,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
CDM,RX-9164,SERTRALINE HCL 100 MG PO TABS [11350],13.11,13.11,1.94,10.49,23
CDM,RX-9165,SERTRALINE HCL 100 MG PO TABS [11350],13.2,13.2,1.95,10.56,23
CDM,RX-9166,SERTRALINE HCL 100 MG PO TABS [11350],13.39,13.39,1.98,10.71,23
CDM,RX-9167,SERTRALINE HCL 100 MG PO TABS [11350],13.39,13.39,1.98,10.71,23
CDM,RX-9168,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
CDM,RX-9169,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
CDM,RX-917,BARICITINIB 2 MG PO TABS [140323],417.33,417.33,61.76,333.86,23
CDM,RX-9170,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
CDM,RX-9171,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
CDM,RX-9172,SERTRALINE HCL 25 MG PO TABS [19882],12.85,12.85,1.9,10.28,23
CDM,RX-9173,SERTRALINE HCL 25 MG PO TABS [19882],13.06,13.06,1.93,10.45,23
CDM,RX-9174,SERTRALINE HCL 25 MG PO TABS [19882],13.39,13.39,1.98,10.71,23
CDM,RX-9175,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
CDM,RX-9176,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
CDM,RX-9177,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
CDM,RX-9178,SERTRALINE HCL 50 MG PO TABS [11351],13.32,13.32,1.97,10.66,23
CDM,RX-9179,SERTRALINE HCL 50 MG PO TABS [11351],13.37,13.37,1.98,10.7,23
CDM,RX-918,BARIUM SULFATE PO CAPS [21381],93.53,93.53,13.84,74.82,23
CDM,RX-9180,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
CDM,RX-9181,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
CDM,RX-9182,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
CDM,RX-9183,SERTRALINE HCL 50 MG PO TABS [11351],13.4,13.4,1.98,10.72,23
CDM,RX-9184,SEVELAMER CARBONATE 0.8 G PO PACK [99686],53.34,53.34,7.89,42.67,23
CDM,RX-9185,SEVELAMER CARBONATE 0.8 G PO PACK [99686],85.95,85.95,12.72,68.76,23
CDM,RX-9186,SEVELAMER CARBONATE 0.8 G PO PACK [99686],85.95,85.95,12.72,68.76,23
CDM,RX-9187,SEVELAMER CARBONATE 0.8 G PO PACK [99686],90.5,90.5,13.39,72.4,23
CDM,RX-9188,SEVELAMER CARBONATE 2.4 G PO PACK [99687],85.95,85.95,12.72,68.76,23
CDM,RX-9189,SEVELAMER CARBONATE 2.4 G PO PACK [99687],92.74,92.74,13.73,74.19,23
CDM,RX-919,BARIUM SULFATE PO CAPS [21381],451.95,451.95,66.89,361.56,23
CDM,RX-9190,SEVELAMER CARBONATE 2.4 G PO PACK [99687],92.75,92.75,13.73,74.2,23
CDM,RX-9191,SEVELAMER CARBONATE 800 MG PO TABS [89201],9.6,9.6,1.42,7.68,23
CDM,RX-9192,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.42,10.42,1.54,8.34,23
CDM,RX-9193,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.42,10.42,1.54,8.34,23
CDM,RX-9194,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.72,10.72,1.59,8.58,23
CDM,RX-9195,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.72,10.72,1.59,8.58,23
CDM,RX-9196,SEVELAMER CARBONATE 800 MG PO TABS [89201],21.55,21.55,3.19,17.24,23
CDM,RX-9197,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
CDM,RX-9198,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
CDM,RX-9199,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
CDM,RX-920,BCG LIVE 50 MG IS SUSR [21570],695.36,695.36,102.91,556.29,23
CDM,RX-9200,SEVOFLURANE IN SOLN [15119],739.64,739.64,109.47,591.71,23
CDM,RX-9201,SEVOFLURANE IN SOLN [15119],739.64,739.64,109.47,591.71,23
CDM,RX-9202,SILDENAFIL CITRATE 10 MG/12.5ML IV SOLN [101323],721.6,721.6,106.8,577.28,23
CDM,RX-9203,SILDENAFIL CITRATE 10 MG/ML PO SUSR [125440],24762.27,24762.27,3664.82,19809.82,23
CDM,RX-9204,SILDENAFIL CITRATE 20 MG PO TABS [41832],6.0,6.0,0.89,4.8,23
CDM,RX-9205,SILDENAFIL CITRATE 20 MG PO TABS [41832],6.56,6.56,0.97,5.25,23
CDM,RX-9206,SILDENAFIL CITRATE 20 MG PO TABS [41832],77.46,77.46,11.46,61.97,23
CDM,RX-9207,SILDENAFIL CITRATE 20 MG PO TABS [41832],77.46,77.46,11.46,61.97,23
CDM,RX-9208,SILDENAFIL CITRATE 20 MG PO TABS [41832],86.62,86.62,12.82,69.3,23
CDM,RX-9209,SILDENAFIL CITRATE 20 MG PO TABS [41832],86.62,86.62,12.82,69.3,23
CDM,RX-921,BECAPLERMIN 0.01 % EX GEL [22220],4128.05,4128.05,610.95,3302.44,23
CDM,RX-9210,SILDENAFIL CITRATE 20 MG PO TABS [41832],87.59,87.59,12.96,70.07,23
CDM,RX-9211,SILDENAFIL CITRATE 20 MG PO TABS [41832],95.47,95.47,14.13,76.38,23
CDM,RX-9212,SILTUXIMAB 100 MG IV SOLR [124002],4831.19,4831.19,715.02,3864.95,23
CDM,RX-9213,SILTUXIMAB 400 MG IV SOLR [124003],19324.78,19324.78,2860.07,15459.82,23
CDM,RX-9214,SILVER NITRATE 0.5 % EX SOLN [28001],354.77,354.77,52.51,283.82,23
CDM,RX-9215,SILVER NITRATE 0.5 % EX SOLN [28001],1492.54,1492.54,220.9,1194.03,23
CDM,RX-9216,SILVER NITRATE CRYS [7222],1303.8,1303.8,192.96,1043.04,23
CDM,RX-9217,SILVER NITRATE-POT NITRATE 75-25 % EX MISC [11359],6.0,6.0,0.89,4.8,23
CDM,RX-9218,SILVER NITRATE-POT NITRATE 75-25 % EX MISC [11359],6.0,6.0,0.89,4.8,23
CDM,RX-9219,SILVER SULFADIAZINE 1 % EX CREA [7224],70.03,70.03,10.36,56.02,23
CDM,RX-922,BECLOMETHASONE DIPROP HFA 40 MCG/ACT IN AERB [133767],861.97,861.97,127.57,689.58,23
CDM,RX-9220,SILVER SULFADIAZINE 1 % EX CREA [7224],70.03,70.03,10.36,56.02,23
CDM,RX-9221,SILVER SULFADIAZINE 1 % EX CREA [7224],72.85,72.85,10.78,58.28,23
CDM,RX-9222,SILVER SULFADIAZINE 1 % EX CREA [7224],81.31,81.31,12.03,65.05,23
CDM,RX-9223,SILVER SULFADIAZINE 1 % EX CREA [7224],89.85,89.85,13.3,71.88,23
CDM,RX-9224,SILVER SULFADIAZINE 1 % EX CREA [7224],89.85,89.85,13.3,71.88,23
CDM,RX-9225,SILVER SULFADIAZINE 1 % EX CREA [7224],142.07,142.07,21.03,113.66,23
CDM,RX-9226,SILVER SULFADIAZINE 1 % EX CREA [7224],230.29,230.29,34.08,184.23,23
CDM,RX-9227,SILVER SULFADIAZINE 1 % EX CREA [7224],247.41,247.41,36.62,197.93,23
CDM,RX-9228,SILVER SULFADIAZINE 1 % EX CREA [7224],252.08,252.08,37.31,201.66,23
CDM,RX-9229,SILVER SULFADIAZINE 1 % EX CREA [7224],323.65,323.65,47.9,258.92,23
CDM,RX-923,BECLOMETHASONE DIPROP HFA 80 MCG/ACT IN AERB [133768],1154.44,1154.44,170.86,923.55,23
CDM,RX-9230,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],12.27,12.27,1.82,9.82,23
CDM,RX-9231,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],12.41,12.41,1.84,9.93,23
CDM,RX-9232,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],17.91,17.91,2.65,14.33,23
CDM,RX-9233,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],20.73,20.73,3.07,16.58,23
CDM,RX-9234,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],20.73,20.73,3.07,16.58,23
CDM,RX-9235,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],42.73,42.73,6.32,34.18,23
CDM,RX-9236,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9237,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9238,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9239,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-924,BECLOMETHASONE DIPROPIONATE 80 MCG/ACT NA AERS [113597],1257.95,1257.95,186.18,1006.36,23
CDM,RX-9240,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9241,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9242,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
CDM,RX-9243,SIMPLE SYRUP PO SYRP [7242],84.48,84.48,12.5,67.58,23
CDM,RX-9244,SIMPLE SYRUP PO SYRP [7242],88.07,88.07,13.03,70.46,23
CDM,RX-9245,SIMPLE SYRUP PO SYRP [7242],98.31,98.31,14.55,78.65,23
CDM,RX-9246,SIMVASTATIN 10 MG PO TABS [11364],6.0,6.0,0.89,4.8,23
CDM,RX-9247,SIMVASTATIN 10 MG PO TABS [11364],13.02,13.02,1.93,10.42,23
CDM,RX-9248,SIMVASTATIN 10 MG PO TABS [11364],13.26,13.26,1.96,10.61,23
CDM,RX-9249,SIMVASTATIN 20 MG PO TABS [11365],6.0,6.0,0.89,4.8,23
CDM,RX-925,BEER [600053],6.0,6.0,0.89,4.8,23
CDM,RX-9250,SIMVASTATIN 20 MG PO TABS [11365],23.05,23.05,3.41,18.44,23
CDM,RX-9251,SIMVASTATIN 20 MG PO TABS [11365],23.06,23.06,3.41,18.45,23
CDM,RX-9252,SIMVASTATIN 20 MG PO TABS [11365],23.13,23.13,3.42,18.5,23
CDM,RX-9253,SIMVASTATIN 40 MG PO TABS [11366],6.0,6.0,0.89,4.8,23
CDM,RX-9254,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
CDM,RX-9255,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
CDM,RX-9256,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
CDM,RX-9257,SIMVASTATIN 5 MG PO TABS [11367],6.0,6.0,0.89,4.8,23
CDM,RX-9258,SIMVASTATIN 5 MG PO TABS [11367],6.0,6.0,0.89,4.8,23
CDM,RX-9259,SIMVASTATIN 5 MG PO TABS [11367],10.34,10.34,1.53,8.27,23
CDM,RX-926,BELANTAMAB MAFODOTIN-BLMF 100 MG IV SOLR [149240],26797.16,26797.16,3965.98,21437.73,23
CDM,RX-9260,SIMVASTATIN 5 MG PO TABS [11367],12.76,12.76,1.89,10.21,23
CDM,RX-9261,SIMVASTATIN 5 MG PO TABS [11367],13.22,13.22,1.96,10.58,23
CDM,RX-9262,SIMVASTATIN 80 MG PO TABS [23449],22.64,22.64,3.35,18.11,23
CDM,RX-9263,SIMVASTATIN 80 MG PO TABS [23449],23.05,23.05,3.41,18.44,23
CDM,RX-9264,SIMVASTATIN 80 MG PO TABS [23449],23.05,23.05,3.41,18.44,23
CDM,RX-9265,SIROLIMUS 1 MG PO TABS [28958],80.13,80.13,11.86,64.1,23
CDM,RX-9266,SIROLIMUS 1 MG PO TABS [28958],178.61,178.61,26.43,142.89,23
CDM,RX-9267,SIROLIMUS 1 MG/ML PO SOLN [26336],5963.47,5963.47,882.59,4770.78,23
CDM,RX-9268,SIROLIMUS 2 MG PO TABS [35262],146.75,146.75,21.72,117.4,23
CDM,RX-9269,SIROLIMUS 2 MG PO TABS [35262],320.91,320.91,47.49,256.73,23
CDM,RX-927,BELATACEPT 250 MG IV SOLR [108992],2944.57,2944.57,435.8,2355.66,23
CDM,RX-9270,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
CDM,RX-9271,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
CDM,RX-9272,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
CDM,RX-9273,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
CDM,RX-9274,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
CDM,RX-9275,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
CDM,RX-9276,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
CDM,RX-9277,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
CDM,RX-9278,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
CDM,RX-9279,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
CDM,RX-928,BELIMUMAB 120 MG IV SOLR [107378],2216.55,2216.55,328.05,1773.24,23
CDM,RX-9280,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
CDM,RX-9281,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
CDM,RX-9282,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
CDM,RX-9283,SM DOUBLE ANTIBIOTIC 500-10000 UNIT/GM EX OINT [135365],14.15,14.15,2.09,11.32,23
CDM,RX-9284,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],24.68,24.68,3.65,19.74,23
CDM,RX-9285,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],24.68,24.68,3.65,19.74,23
CDM,RX-9286,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],27.5,27.5,4.07,22.0,23
CDM,RX-9287,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],29.76,29.76,4.4,23.81,23
CDM,RX-9288,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],80.04,80.04,11.85,64.03,23
CDM,RX-9289,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],22.0,22.0,3.26,17.6,23
CDM,RX-929,BELIMUMAB 400 MG IV SOLR [107379],6423.27,6423.27,950.64,5138.62,23
CDM,RX-9290,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],33.37,33.37,4.94,26.7,23
CDM,RX-9291,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],33.37,33.37,4.94,26.7,23
CDM,RX-9292,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],49.82,49.82,7.37,39.86,23
CDM,RX-9293,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],63.08,63.08,9.34,50.46,23
CDM,RX-9294,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],68.39,68.39,10.12,54.71,23
CDM,RX-9295,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],68.39,68.39,10.12,54.71,23
CDM,RX-9296,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],70.22,70.22,10.39,56.18,23
CDM,RX-9297,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],94.4,94.4,13.97,75.52,23
CDM,RX-9298,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],94.4,94.4,13.97,75.52,23
CDM,RX-9299,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],129.47,129.47,19.16,103.58,23
CDM,RX-930,BELINOSTAT 500 MG IV SOLR [124779],7605.89,7605.89,1125.67,6084.71,23
CDM,RX-9300,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],129.47,129.47,19.16,103.58,23
CDM,RX-9301,SODIUM BICARBONATE 1% ET IRRIGATION SOLUTION [600544],23.03,23.03,3.41,18.42,23
CDM,RX-9302,SODIUM BICARBONATE 4.2 % IV SOLN [7306],24.87,24.87,3.68,19.9,23
CDM,RX-9303,SODIUM BICARBONATE 4.2 % IV SOLN [7306],24.87,24.87,3.68,19.9,23
CDM,RX-9304,SODIUM BICARBONATE 4.2 % IV SOLN [7306],41.74,41.74,6.18,33.39,23
CDM,RX-9305,SODIUM BICARBONATE 4.2 % IV SOLN [7306],43.67,43.67,6.46,34.94,23
CDM,RX-9306,SODIUM BICARBONATE 4.2 % IV SOLN [7306],43.69,43.69,6.47,34.95,23
CDM,RX-9307,SODIUM BICARBONATE 4.2 % IV SOLN [7306],122.26,122.26,18.09,97.81,23
CDM,RX-9308,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
CDM,RX-9309,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
CDM,RX-931,BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RECTAL SUPP [9219],119.16,119.16,17.64,95.33,23
CDM,RX-9310,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
CDM,RX-9311,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
CDM,RX-9312,SODIUM BICARBONATE 8.4 % IV SOLN [7309],49.35,49.35,7.3,39.48,23
CDM,RX-9313,SODIUM BICARBONATE 8.4 % IV SOLN [7309],49.35,49.35,7.3,39.48,23
CDM,RX-9314,SODIUM BICARBONATE 8.4 % IV SOLN [7309],51.7,51.7,7.65,41.36,23
CDM,RX-9315,SODIUM BICARBONATE 8.4 % IV SOLN [7309],55.46,55.46,8.21,44.37,23
CDM,RX-9316,SODIUM BICARBONATE 8.4 % IV SOLN [7309],59.22,59.22,8.76,47.38,23
CDM,RX-9317,SODIUM BICARBONATE 8.4 % IV SOLN [7309],59.22,59.22,8.76,47.38,23
CDM,RX-9318,SODIUM BICARBONATE 8.4 % IV SOLN [7309],102.41,102.41,15.16,81.93,23
CDM,RX-9319,SODIUM BICARBONATE 8.4 % IV SOLN [7309],109.55,109.55,16.21,87.64,23
CDM,RX-932,BENAZEPRIL HCL 20 MG PO TABS [9221],6.0,6.0,0.89,4.8,23
CDM,RX-9320,SODIUM BICARBONATE 8.4 % IV SOLN [7309],129.04,129.04,19.1,103.23,23
CDM,RX-9321,SODIUM BICARBONATE-DEXTROSE 150-5 MEQ/L-% IV SOLN [148482],164.54,164.54,24.35,131.63,23
CDM,RX-9322,SODIUM BICARBONATE-DEXTROSE 150-5 MEQ/L-% IV SOLN [148482],181.86,181.86,26.92,145.49,23
CDM,RX-9323,SODIUM CHLORIDE (HYPERTONIC) 5 % OP OINT [7331],61.53,61.53,9.11,49.22,23
CDM,RX-9324,SODIUM CHLORIDE (HYPERTONIC) 5 % OP OINT [7331],90.15,90.15,13.34,72.12,23
CDM,RX-9325,SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN [7332],24.75,24.75,3.66,19.8,23
CDM,RX-9326,SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN [7332],69.31,69.31,10.26,55.45,23
CDM,RX-9327,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-9328,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-9329,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-933,BENDAMUSTINE HCL 100 MG/4ML IV SOLN [130051],7510.46,7510.46,1111.55,6008.37,23
CDM,RX-9330,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-9331,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-9332,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
CDM,RX-9333,SODIUM CHLORIDE 0.45 % IV BOLUS [400292],25.85,25.85,3.83,20.68,23
CDM,RX-9334,SODIUM CHLORIDE 0.45 % IV BOLUS [400292],37.6,37.6,5.56,30.08,23
CDM,RX-9335,SODIUM CHLORIDE 0.45 % IV SOLN [7318],22.0,22.0,3.26,17.6,23
CDM,RX-9336,SODIUM CHLORIDE 0.45 % IV SOLN [7318],22.0,22.0,3.26,17.6,23
CDM,RX-9337,SODIUM CHLORIDE 0.45 % IV SOLN [7318],23.5,23.5,3.48,18.8,23
CDM,RX-9338,SODIUM CHLORIDE 0.45 % IV SOLN [7318],25.85,25.85,3.83,20.68,23
CDM,RX-9339,SODIUM CHLORIDE 0.45 % IV SOLN [7318],37.6,37.6,5.56,30.08,23
CDM,RX-934,BENDAMUSTINE HCL 100 MG/4ML IV SOLN [130051],7893.6,7893.6,1168.25,6314.88,23
CDM,RX-9340,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
CDM,RX-9341,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
CDM,RX-9342,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
CDM,RX-9343,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
CDM,RX-9344,SODIUM CHLORIDE 0.9 % IR SOLN [11403],22.0,22.0,3.26,17.6,23
CDM,RX-9345,SODIUM CHLORIDE 0.9 % IR SOLN [11403],22.0,22.0,3.26,17.6,23
CDM,RX-9346,SODIUM CHLORIDE 0.9 % IR SOLN [11403],25.85,25.85,3.83,20.68,23
CDM,RX-9347,SODIUM CHLORIDE 0.9 % IR SOLN [11403],27.03,27.03,4.0,21.62,23
CDM,RX-9348,SODIUM CHLORIDE 0.9 % IR SOLN [11403],28.2,28.2,4.17,22.56,23
CDM,RX-9349,SODIUM CHLORIDE 0.9 % IR SOLN [11403],29.38,29.38,4.35,23.5,23
CDM,RX-935,BENRALIZUMAB 30 MG/ML SC SOAJ [145547],17751.65,17751.65,2627.24,14201.32,23
CDM,RX-9350,SODIUM CHLORIDE 0.9 % IR SOLN [11403],47.0,47.0,6.96,37.6,23
CDM,RX-9351,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],22.0,22.0,3.26,17.6,23
CDM,RX-9352,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],23.5,23.5,3.48,18.8,23
CDM,RX-9353,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],28.2,28.2,4.17,22.56,23
CDM,RX-9354,SODIUM CHLORIDE 0.9 % IV SOLN [27838],10.34,10.34,1.53,8.27,23
CDM,RX-9355,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
CDM,RX-9356,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
CDM,RX-9357,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
CDM,RX-9358,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
CDM,RX-9359,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
CDM,RX-936,BENRALIZUMAB 30 MG/ML SC SOSY [138177],17751.65,17751.65,2627.24,14201.32,23
CDM,RX-9360,SODIUM CHLORIDE 0.9 % IV SOLN [27838],23.5,23.5,3.48,18.8,23
CDM,RX-9361,SODIUM CHLORIDE 0.9 % IV SOLN [27838],23.5,23.5,3.48,18.8,23
CDM,RX-9362,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
CDM,RX-9363,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
CDM,RX-9364,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
CDM,RX-9365,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
CDM,RX-9366,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
CDM,RX-9367,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
CDM,RX-9368,SODIUM CHLORIDE 0.9 % IV SOLN [27838],29.38,29.38,4.35,23.5,23
CDM,RX-9369,SODIUM CHLORIDE 0.9 % IV SOLN [27838],29.61,29.61,4.38,23.69,23
CDM,RX-937,BENZOCAINE 20 % MT AERO [134890],136.0,136.0,20.13,108.8,23
CDM,RX-9370,SODIUM CHLORIDE 0.9 % IV SOLN [27838],30.55,30.55,4.52,24.44,23
CDM,RX-9371,SODIUM CHLORIDE 0.9 % IV SOLN [27838],32.9,32.9,4.87,26.32,23
CDM,RX-9372,SODIUM CHLORIDE 0.9 % IV SOLN [27838],42.3,42.3,6.26,33.84,23
CDM,RX-9373,SODIUM CHLORIDE 0.9 % IV SOLN [27838],42.3,42.3,6.26,33.84,23
CDM,RX-9374,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
CDM,RX-9375,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
CDM,RX-9376,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
CDM,RX-9377,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
CDM,RX-9378,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
CDM,RX-9379,SODIUM CHLORIDE 2.5 MEQ/ML IJ SOLN [7320],37.79,37.79,5.59,30.23,23
CDM,RX-938,BENZOCAINE 20 % MT AERO [134890],183.88,183.88,27.21,147.1,23
CDM,RX-9380,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
CDM,RX-9381,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
CDM,RX-9382,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
CDM,RX-9383,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
CDM,RX-9384,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
CDM,RX-9385,SODIUM CHLORIDE 3 % IV SOLN [7321],22.0,22.0,3.26,17.6,23
CDM,RX-9386,SODIUM CHLORIDE 3 % IV SOLN [7321],22.0,22.0,3.26,17.6,23
CDM,RX-9387,SODIUM CHLORIDE 3 % IV SOLN [7321],23.5,23.5,3.48,18.8,23
CDM,RX-9388,SODIUM CHLORIDE 3 % IV SOLN [7321],23.5,23.5,3.48,18.8,23
CDM,RX-9389,SODIUM CHLORIDE 3 % IV SOLN [7321],25.85,25.85,3.83,20.68,23
CDM,RX-939,BENZOCAINE 20 % MT GEL [19691],42.3,42.3,6.26,33.84,23
CDM,RX-9390,SODIUM CHLORIDE 3 % IV SOLN [7321],32.9,32.9,4.87,26.32,23
CDM,RX-9391,SODIUM CHLORIDE 3 % IV SOLN [7321],35.25,35.25,5.22,28.2,23
CDM,RX-9392,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],25.85,25.85,3.83,20.68,23
CDM,RX-9393,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],32.9,32.9,4.87,26.32,23
CDM,RX-9394,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],35.25,35.25,5.22,28.2,23
CDM,RX-9395,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],22.0,22.0,3.26,17.6,23
CDM,RX-9396,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],22.28,22.28,3.3,17.82,23
CDM,RX-9397,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],43.15,43.15,6.39,34.52,23
CDM,RX-9398,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],43.15,43.15,6.39,34.52,23
CDM,RX-9399,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],66.27,66.27,9.81,53.02,23
CDM,RX-940,BENZOCAINE 20 % MT GEL [19691],42.3,42.3,6.26,33.84,23
CDM,RX-9400,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],86.95,86.95,12.87,69.56,23
CDM,RX-9401,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],86.95,86.95,12.87,69.56,23
CDM,RX-9402,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],165.41,165.41,24.48,132.33,23
CDM,RX-9403,SODIUM CHLORIDE 5 % IV SOLN [7323],30.55,30.55,4.52,24.44,23
CDM,RX-9404,SODIUM CHLORIDE 5 % IV SOLN [7323],54.05,54.05,8.0,43.24,23
CDM,RX-9405,SODIUM CHLORIDE 7 % IN NEBU [82134],6.0,6.0,0.89,4.8,23
CDM,RX-9406,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % IJ SOLN [14923],22.0,22.0,3.26,17.6,23
CDM,RX-9407,SODIUM CHLORIDE FLUSH 0.9 % IV SOLN [102578],22.0,22.0,3.26,17.6,23
CDM,RX-9408,SODIUM HYALURONATE (VISCOSUP) 25 MG/2.5ML I-ARTICULAR SOSY [125258],933.66,933.66,138.18,746.93,23
CDM,RX-9409,SODIUM HYALURONATE 5.5 MG/0.55ML IO SOSY [155218],735.68,735.68,108.88,588.54,23
CDM,RX-941,BENZOCAINE 20 % MT GEL [19691],155.26,155.26,22.98,124.21,23
CDM,RX-9410,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY [155220],965.73,965.73,142.93,772.58,23
CDM,RX-9411,SODIUM HYPOCHLORITE 0.062 % EX SOLN [132510],86.71,86.71,12.83,69.37,23
CDM,RX-9412,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],55.58,55.58,8.23,44.46,23
CDM,RX-9413,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],86.71,86.71,12.83,69.37,23
CDM,RX-9414,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],141.32,141.32,20.92,113.06,23
CDM,RX-9415,SODIUM HYPOCHLORITE 0.25 % EX SOLN [147300],55.58,55.58,8.23,44.46,23
CDM,RX-9416,SODIUM HYPOCHLORITE 0.25 % EX SOLN [147300],86.71,86.71,12.83,69.37,23
CDM,RX-9417,SODIUM HYPOCHLORITE 0.5 % EX SOLN [147301],55.58,55.58,8.23,44.46,23
CDM,RX-9418,SODIUM HYPOCHLORITE 0.5 % EX SOLN [147301],86.71,86.71,12.83,69.37,23
CDM,RX-9419,SODIUM NITRITE 30 MG/ML IV SOLN [24049],437.32,437.32,64.72,349.86,23
CDM,RX-942,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
CDM,RX-9420,SODIUM PHOSPHATE 0.05 MM/ML D5W (NICU) IV SYRINGE [600715],32.34,32.34,4.79,25.87,23
CDM,RX-9421,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],91.04,91.04,13.47,72.83,23
CDM,RX-9422,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],100.85,100.85,14.93,80.68,23
CDM,RX-9423,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],100.85,100.85,14.93,80.68,23
CDM,RX-9424,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],171.54,171.54,25.39,137.23,23
CDM,RX-9425,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],208.95,208.95,30.92,167.16,23
CDM,RX-9426,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.08,214.08,31.68,171.26,23
CDM,RX-9427,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.15,214.15,31.69,171.32,23
CDM,RX-9428,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.15,214.15,31.69,171.32,23
CDM,RX-9429,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML CO SUSP [27999],50.76,50.76,7.51,40.61,23
CDM,RX-943,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
CDM,RX-9430,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML CO SUSP [27999],134.32,134.32,19.88,107.46,23
CDM,RX-9431,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],31.38,31.38,4.64,25.1,23
CDM,RX-9432,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],35.25,35.25,5.22,28.2,23
CDM,RX-9433,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],74.31,74.31,11.0,59.45,23
CDM,RX-9434,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],656.71,656.71,97.19,525.37,23
CDM,RX-9435,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],658.96,658.96,97.53,527.17,23
CDM,RX-9436,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],660.09,660.09,97.69,528.07,23
CDM,RX-9437,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],359.44,359.44,53.2,287.55,23
CDM,RX-9438,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],364.7,364.7,53.98,291.76,23
CDM,RX-9439,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],364.7,364.7,53.98,291.76,23
CDM,RX-944,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
CDM,RX-9440,SODIUM THIOSULFATE 25 % IV SOLN [153866],437.32,437.32,64.72,349.86,23
CDM,RX-9441,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
CDM,RX-9442,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
CDM,RX-9443,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
CDM,RX-9444,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
CDM,RX-9445,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
CDM,RX-9446,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
CDM,RX-9447,SOMATROPIN (ZOMACTON) 5 MG SC SOLR [27314],1141.44,1141.44,168.93,913.15,23
CDM,RX-9448,SORAFENIB TOSYLATE 200 MG PO TABS [43675],480.93,480.93,71.18,384.74,23
CDM,RX-9449,SORBITOL 70 % SOLN [93927],19.04,19.04,2.82,15.23,23
CDM,RX-945,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
CDM,RX-9450,SORBITOL 70 % SOLN [93927],27.0,27.0,4.0,21.6,23
CDM,RX-9451,SORBITOL 70 % SOLN [93927],75.59,75.59,11.19,60.47,23
CDM,RX-9452,SOTALOL HCL 240 MG PO TABS [11420],23.9,23.9,3.54,19.12,23
CDM,RX-9453,SOTALOL HCL 240 MG PO TABS [11420],23.93,23.93,3.54,19.14,23
CDM,RX-9454,SOTALOL HCL 240 MG PO TABS [11420],26.12,26.12,3.87,20.9,23
CDM,RX-9455,SOTALOL HCL 80 MG PO TABS [11421],6.0,6.0,0.89,4.8,23
CDM,RX-9456,SOTALOL HCL 80 MG PO TABS [11421],10.91,10.91,1.61,8.73,23
CDM,RX-9457,SOTALOL HCL 80 MG PO TABS [11421],10.91,10.91,1.61,8.73,23
CDM,RX-9458,SOTALOL HCL 80 MG PO TABS [11421],11.04,11.04,1.63,8.83,23
CDM,RX-9459,SOTALOL HCL 80 MG PO TABS [11421],11.04,11.04,1.63,8.83,23
CDM,RX-946,BENZOIN COMPOUND EX TINC [987],23.58,23.58,3.49,18.86,23
CDM,RX-9460,SOTALOL HCL 80 MG PO TABS [11421],12.05,12.05,1.78,9.64,23
CDM,RX-9461,SOTORASIB 120 MG PO TABS [152590],409.98,409.98,60.68,327.98,23
CDM,RX-9462,SOTORASIB 320 MG PO TABS [159337],951.19,951.19,140.78,760.95,23
CDM,RX-9463,SPIRONOLACTONE 100 MG PO TABS [11425],6.0,6.0,0.89,4.8,23
CDM,RX-9464,SPIRONOLACTONE 100 MG PO TABS [11425],6.0,6.0,0.89,4.8,23
CDM,RX-9465,SPIRONOLACTONE 100 MG PO TABS [11425],6.66,6.66,0.99,5.33,23
CDM,RX-9466,SPIRONOLACTONE 100 MG PO TABS [11425],6.66,6.66,0.99,5.33,23
CDM,RX-9467,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
CDM,RX-9468,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
CDM,RX-9469,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
CDM,RX-947,BENZOIN COMPOUND EX TINC [987],50.2,50.2,7.43,40.16,23
CDM,RX-9470,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9471,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9472,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9473,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9474,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9475,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9476,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9477,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9478,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9479,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-948,BENZOIN COMPOUND EX TINC [987],58.79,58.79,8.7,47.03,23
CDM,RX-9480,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9481,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
CDM,RX-9482,SPIRONOLACTONE 25 MG/5ML PO SUSP [138011],1471.92,1471.92,217.84,1177.54,23
CDM,RX-9483,SPIRONOLACTONE 25 MG/5ML PO SUSP [138011],1616.28,1616.28,239.21,1293.02,23
CDM,RX-9484,SQUARIC ACID 2% TOP SOLN [600557],565.5,565.5,83.69,452.4,23
CDM,RX-9485,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
CDM,RX-9486,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
CDM,RX-9487,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
CDM,RX-9488,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
CDM,RX-9489,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
CDM,RX-949,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9490,STERILE WATER FOR INJECTION IJ SOLN [7484],27.26,27.26,4.03,21.81,23
CDM,RX-9491,STERILE WATER FOR INJECTION IJ SOLN [7484],28.2,28.2,4.17,22.56,23
CDM,RX-9492,STERILE WATER FOR INJECTION IJ SOLN [7484],28.2,28.2,4.17,22.56,23
CDM,RX-9493,STERILE WATER FOR INJECTION IJ SOLN [7484],29.38,29.38,4.35,23.5,23
CDM,RX-9494,STERILE WATER FOR INJECTION IJ SOLN [7484],29.38,29.38,4.35,23.5,23
CDM,RX-9495,STERILE WATER FOR INJECTION IJ SOLN [7484],39.72,39.72,5.88,31.78,23
CDM,RX-9496,STERILE WATER FOR INJECTION IJ SOLN [7484],46.06,46.06,6.82,36.85,23
CDM,RX-9497,STERILE WATER FOR INJECTION IJ SOLN [7484],47.71,47.71,7.06,38.17,23
CDM,RX-9498,STERILE WATER FOR INJECTION IV SOLN [28400],23.5,23.5,3.48,18.8,23
CDM,RX-9499,STERILE WATER FOR INJECTION IV SOLN [28400],28.2,28.2,4.17,22.56,23
CDM,RX-950,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9500,STERILE WATER FOR INJECTION IV SOLN [28400],28.2,28.2,4.17,22.56,23
CDM,RX-9501,STERILE WATER FOR INJECTION IV SOLN [28400],56.4,56.4,8.35,45.12,23
CDM,RX-9502,STERILE WATER FOR INJECTION IV SOLN [28400],75.2,75.2,11.13,60.16,23
CDM,RX-9503,STERILE WATER FOR IRRIGATION IR SOLN [7485],23.5,23.5,3.48,18.8,23
CDM,RX-9504,STERILE WATER FOR IRRIGATION IR SOLN [7485],23.5,23.5,3.48,18.8,23
CDM,RX-9505,STERILE WATER FOR IRRIGATION IR SOLN [7485],28.2,28.2,4.17,22.56,23
CDM,RX-9506,STOCK SOLUTION EPINEPHRINE 100 MCG/ML (NICU) DILUTION CNR DRIP COMPOUNDING ONLY [601407],1177.66,1177.66,174.29,942.13,23
CDM,RX-9507,STREPTOMYCIN 5 MG/ML NS (NICU) IV SYRINGE [600589],27.0,27.0,4.0,21.6,23
CDM,RX-9508,STREPTOMYCIN SULFATE 1 G IM SOLR [7508],364.69,364.69,53.97,291.75,23
CDM,RX-9509,STREPTOZOCIN 1 G IV SOLR [11436],1374.59,1374.59,203.44,1099.67,23
CDM,RX-951,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9510,STRIBILD:150-150-200-300 MG PO TABS [116012],666.95,666.95,98.71,533.56,23
CDM,RX-9511,STUDY AIDING RCT INSULIN ASPART PUMP FILL 200 UNITS [601464],12.5,12.5,1.85,10.0,23
CDM,RX-9512,STUDY AIDING RCT INSULIN ASPART PUMP FILL 200 UNITS [601464],12.5,12.5,1.85,10.0,23
CDM,RX-9513,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 12-3 MG SL FILM [117007],93.32,93.32,13.81,74.66,23
CDM,RX-9514,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 12-3 MG SL FILM [117007],93.33,93.33,13.81,74.66,23
CDM,RX-9515,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],24.21,24.21,3.58,19.37,23
CDM,RX-9516,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],24.21,24.21,3.58,19.37,23
CDM,RX-9517,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],28.25,28.25,4.18,22.6,23
CDM,RX-9518,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],28.26,28.26,4.18,22.61,23
CDM,RX-9519,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM [117006],50.65,50.65,7.5,40.52,23
CDM,RX-952,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9520,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM [117006],50.67,50.67,7.5,40.54,23
CDM,RX-9521,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],41.32,41.32,6.12,33.06,23
CDM,RX-9522,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],50.65,50.65,7.5,40.52,23
CDM,RX-9523,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],50.67,50.67,7.5,40.54,23
CDM,RX-9524,SUCCIMER 100 MG PO CAPS [11438],114.49,114.49,16.94,91.59,23
CDM,RX-9525,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],28.2,28.2,4.17,22.56,23
CDM,RX-9526,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],28.2,28.2,4.17,22.56,23
CDM,RX-9527,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],35.25,35.25,5.22,28.2,23
CDM,RX-9528,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],38.07,38.07,5.63,30.46,23
CDM,RX-9529,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],45.41,45.41,6.72,36.33,23
CDM,RX-953,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9530,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],99.68,99.68,14.75,79.74,23
CDM,RX-9531,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],99.68,99.68,14.75,79.74,23
CDM,RX-9532,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],100.68,100.68,14.9,80.54,23
CDM,RX-9533,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],103.84,103.84,15.37,83.07,23
CDM,RX-9534,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],103.84,103.84,15.37,83.07,23
CDM,RX-9535,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],98.21,98.21,14.54,78.57,23
CDM,RX-9536,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],102.63,102.63,15.19,82.1,23
CDM,RX-9537,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],129.9,129.9,19.23,103.92,23
CDM,RX-9538,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9539,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-954,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
CDM,RX-9540,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9541,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9542,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9543,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9544,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9545,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
CDM,RX-9546,SUCRALFATE 1 GM/10ML PO SUSP [11441],40.42,40.42,5.98,32.34,23
CDM,RX-9547,SUCRALFATE 1 GM/10ML PO SUSP [11441],46.25,46.25,6.84,37.0,23
CDM,RX-9548,SUCRALFATE 1 GM/10ML PO SUSP [11441],46.25,46.25,6.84,37.0,23
CDM,RX-9549,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
CDM,RX-955,BENZONATATE 100 MG PO CAPS [988],10.67,10.67,1.58,8.54,23
CDM,RX-9550,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
CDM,RX-9551,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
CDM,RX-9552,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.86,50.86,7.53,40.69,23
CDM,RX-9553,SUCRALFATE 1 GM/10ML PO SUSP [11441],56.22,56.22,8.32,44.98,23
CDM,RX-9554,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
CDM,RX-9555,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
CDM,RX-9556,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
CDM,RX-9557,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
CDM,RX-9558,SUCRALFATE 1 GM/10ML PO SUSP [11441],65.85,65.85,9.75,52.68,23
CDM,RX-9559,SUCRALFATE 1 GM/10ML PO SUSP [11441],1051.11,1051.11,155.56,840.89,23
CDM,RX-956,BENZONATATE 100 MG PO CAPS [988],10.67,10.67,1.58,8.54,23
CDM,RX-9560,SUGAMMADEX SODIUM 200 MG/2ML IV SOLN [130409],615.9,615.9,91.15,492.72,23
CDM,RX-9561,SUGAMMADEX SODIUM 500 MG/5ML IV SOLN [130411],981.45,981.45,145.25,785.16,23
CDM,RX-9562,SUGARCAINE MIXTURE 5ML-OR [600383],54.54,54.54,8.07,43.63,23
CDM,RX-9563,SULBACTAM SOD-DURLOBACTAM SOD 1-1 G IV SOLR [161441],752.5,752.5,111.37,602.0,23
CDM,RX-9564,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],216.48,216.48,32.04,173.18,23
CDM,RX-9565,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],237.31,237.31,35.12,189.85,23
CDM,RX-9566,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],631.74,631.74,93.5,505.39,23
CDM,RX-9567,SULFACETAMIDE SODIUM-SULFUR 10-5 % EX CREA [32354],447.16,447.16,66.18,357.73,23
CDM,RX-9568,SULFACETAMIDE SODIUM-SULFUR 10-5 % EX CREA [32354],502.58,502.58,74.38,402.06,23
CDM,RX-9569,SULFADIAZINE 500 MG PO TABS [7554],23.73,23.73,3.51,18.98,23
CDM,RX-957,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
CDM,RX-9570,SULFADIAZINE 500 MG PO TABS [7554],86.77,86.77,12.84,69.42,23
CDM,RX-9571,SULFAMETHOXAZOLE-TMP SUSP 10ML ORAL SYRINGE [601341],21.39,21.39,3.17,17.11,23
CDM,RX-9572,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 1 [600206],9.0,9.0,1.33,7.2,23
CDM,RX-9573,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 2 [600207],9.0,9.0,1.33,7.2,23
CDM,RX-9574,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 3 [600208],9.0,9.0,1.33,7.2,23
CDM,RX-9575,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 4 [600211],9.0,9.0,1.33,7.2,23
CDM,RX-9576,SULFAMETHOXAZOLE-TMP SUSP 20ML O/S DOSE # 6 [600210],11.28,11.28,1.67,9.02,23
CDM,RX-9577,SULFAMETHOXAZOLE-TMP SUSP 5ML O/S DOSE # 5 [600209],9.0,9.0,1.33,7.2,23
CDM,RX-9578,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],95.87,95.87,14.19,76.7,23
CDM,RX-9579,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],426.19,426.19,63.08,340.95,23
CDM,RX-958,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
CDM,RX-9580,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
CDM,RX-9581,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
CDM,RX-9582,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
CDM,RX-9583,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
CDM,RX-9584,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-9585,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-9586,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-9587,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-9588,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-9589,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
CDM,RX-959,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
CDM,RX-9590,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
CDM,RX-9591,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
CDM,RX-9592,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
CDM,RX-9593,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],71.49,71.49,10.58,57.19,23
CDM,RX-9594,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
CDM,RX-9595,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
CDM,RX-9596,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
CDM,RX-9597,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
CDM,RX-9598,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
CDM,RX-9599,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.59,6.59,0.98,5.27,23
CDM,RX-960,BENZOYL PEROXIDE 10 % EX GEL [989],32.56,32.56,4.82,26.05,23
CDM,RX-9600,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
CDM,RX-9601,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
CDM,RX-9602,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
CDM,RX-9603,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
CDM,RX-9604,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
CDM,RX-9605,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR [156091],642.87,642.87,95.14,514.3,23
CDM,RX-9606,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR [156091],642.87,642.87,95.14,514.3,23
CDM,RX-9607,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
CDM,RX-9608,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
CDM,RX-9609,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
CDM,RX-961,BENZOYL PEROXIDE 5 % EX GEL [991],26.77,26.77,3.96,21.42,23
CDM,RX-9610,SUMATRIPTAN 20 MG/ACT NA SOLN [20039],423.15,423.15,62.63,338.52,23
CDM,RX-9611,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
CDM,RX-9612,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
CDM,RX-9613,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
CDM,RX-9614,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
CDM,RX-9615,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
CDM,RX-9616,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
CDM,RX-9617,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
CDM,RX-9618,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
CDM,RX-9619,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
CDM,RX-962,BENZOYL PEROXIDE 5 % EX GEL [991],87.82,87.82,13.0,70.26,23
CDM,RX-9620,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.16,117.16,17.34,93.73,23
CDM,RX-9621,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.86,108.86,16.11,87.09,23
CDM,RX-9622,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.86,108.86,16.11,87.09,23
CDM,RX-9623,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.87,108.87,16.11,87.1,23
CDM,RX-9624,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.87,108.87,16.11,87.1,23
CDM,RX-9625,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],62.04,62.04,9.18,49.63,23
CDM,RX-9626,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],62.04,62.04,9.18,49.63,23
CDM,RX-9627,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],238.27,238.27,35.26,190.62,23
CDM,RX-9628,SUNITINIB MALATE 12.5 MG PO CAPS [70424],907.59,907.59,134.32,726.07,23
CDM,RX-9629,SUNITINIB MALATE 25 MG PO CAPS [70425],1610.42,1610.42,238.34,1288.34,23
CDM,RX-963,BENZOYL PEROXIDE-ERYTHROMYCIN 5-3 % EX GEL [9254],680.26,680.26,100.68,544.21,23
CDM,RX-9630,SUNITINIB MALATE 37.5 MG PO CAPS [124458],2415.63,2415.63,357.51,1932.5,23
CDM,RX-9631,SUNITINIB MALATE 50 MG PO CAPS [70426],2803.51,2803.51,414.92,2242.81,23
CDM,RX-9632,TACROLIMUS 0.1 % EX OINT [29443],854.31,854.31,126.44,683.45,23
CDM,RX-9633,TACROLIMUS 0.5 MG PO CAPS [24914],6.0,6.0,0.89,4.8,23
CDM,RX-9634,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-9635,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-9636,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-9637,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-9638,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-9639,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
CDM,RX-964,BENZOYL PEROXIDE-ERYTHROMYCIN 5-3 % EX GEL [9254],680.26,680.26,100.68,544.21,23
CDM,RX-9640,TACROLIMUS 1 MG PO CAPS [12933],7.71,7.71,1.14,6.17,23
CDM,RX-9641,TACROLIMUS 1 MG PO CAPS [12933],20.92,20.92,3.1,16.74,23
CDM,RX-9642,TACROLIMUS 1 MG PO CAPS [12933],20.94,20.94,3.1,16.75,23
CDM,RX-9643,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9644,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9645,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9646,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9647,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9648,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-9649,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
CDM,RX-965,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
CDM,RX-9650,TACROLIMUS 1 MG PO CAPS [12933],32.67,32.67,4.84,26.14,23
CDM,RX-9651,TACROLIMUS 1 MG PO CAPS [12933],41.74,41.74,6.18,33.39,23
CDM,RX-9652,TACROLIMUS 1 MG PO PACK [143099],43.78,43.78,6.48,35.02,23
CDM,RX-9653,TACROLIMUS 5 MG PO CAPS [12934],96.4,96.4,14.27,77.12,23
CDM,RX-9654,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
CDM,RX-9655,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
CDM,RX-9656,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
CDM,RX-9657,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
CDM,RX-9658,TACROLIMUS 5 MG/ML IV SOLN [12935],7742.67,7742.67,1145.92,6194.14,23
CDM,RX-9659,TADALAFIL 20 MG PO TABS [36986],262.82,262.82,38.9,210.26,23
CDM,RX-966,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
CDM,RX-9660,TAFASITAMAB-CXIX 200 MG/5 ML IV SOLN [149226],847570.24,847570.24,125440.4,678056.19,23
CDM,RX-9661,TAFENOQUINE SUCCINATE 150 MG PO TABS [142188],90.24,90.24,13.36,72.19,23
CDM,RX-9662,TALAZOPARIB TOSYLATE 0.25 MG PO CAPS [141582],828.4,828.4,122.6,662.72,23
CDM,RX-9663,TALAZOPARIB TOSYLATE 1 MG PO CAPS [141584],2204.74,2204.74,326.3,1763.79,23
CDM,RX-9664,TALC 2 G PL POWD [139649],617.53,617.53,91.39,494.02,23
CDM,RX-9665,TALC 2 G PL POWD [139649],617.53,617.53,91.39,494.02,23
CDM,RX-9666,TALC 3 G PL POWD [139651],690.77,690.77,102.23,552.62,23
CDM,RX-9667,TALC 3 G PL POWD [139651],690.77,690.77,102.23,552.62,23
CDM,RX-9668,TAMOXIFEN CITRATE 10 MG PO TABS [7711],6.0,6.0,0.89,4.8,23
CDM,RX-9669,TAMOXIFEN CITRATE 10 MG PO TABS [7711],8.91,8.91,1.32,7.13,23
CDM,RX-967,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
CDM,RX-9670,TAMOXIFEN CITRATE 10 MG PO TABS [7711],8.91,8.91,1.32,7.13,23
CDM,RX-9671,TAMOXIFEN CITRATE 20 MG PO TABS [11498],6.0,6.0,0.89,4.8,23
CDM,RX-9672,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
CDM,RX-9673,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
CDM,RX-9674,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
CDM,RX-9675,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
CDM,RX-9676,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.83,17.83,2.64,14.26,23
CDM,RX-9677,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
CDM,RX-9678,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
CDM,RX-9679,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
CDM,RX-968,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
CDM,RX-9680,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
CDM,RX-9681,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.79,19.79,2.93,15.83,23
CDM,RX-9682,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.8,19.8,2.93,15.84,23
CDM,RX-9683,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
CDM,RX-9684,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
CDM,RX-9685,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
CDM,RX-9686,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
CDM,RX-9687,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
CDM,RX-9688,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
CDM,RX-9689,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
CDM,RX-969,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
CDM,RX-9690,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
CDM,RX-9691,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],54.86,54.86,8.12,43.89,23
CDM,RX-9692,TECLISTAMAB-CQYV 153 MG/1.7ML SC SOLN [157923],30587.05,30587.05,4526.88,24469.64,23
CDM,RX-9693,TECLISTAMAB-CQYV 30 MG/3ML SC SOLN [157922],5997.45,5997.45,887.62,4797.96,23
CDM,RX-9694,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
CDM,RX-9695,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
CDM,RX-9696,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
CDM,RX-9697,TEMAZEPAM 15 MG PO CAPS [7753],162.23,162.23,24.01,129.78,23
CDM,RX-9698,TEMOZOLOMIDE 100 MG PO CAPS [25894],827.52,827.52,122.47,662.02,23
CDM,RX-9699,TEMOZOLOMIDE 140 MG PO CAPS [81461],1159.83,1159.83,171.65,927.86,23
CDM,RX-970,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9700,TEMOZOLOMIDE 180 MG PO CAPS [81462],1507.29,1507.29,223.08,1205.83,23
CDM,RX-9701,TEMOZOLOMIDE 20 MG PO CAPS [25893],223.92,223.92,33.14,179.14,23
CDM,RX-9702,TEMOZOLOMIDE 250 MG PO CAPS [25895],2094.04,2094.04,309.92,1675.23,23
CDM,RX-9703,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],3916.12,3916.12,579.59,3132.9,23
CDM,RX-9704,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],4834.71,4834.71,715.54,3867.77,23
CDM,RX-9705,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],6072.97,6072.97,898.8,4858.38,23
CDM,RX-9706,TENECTEPLASE 50 MG IV KIT [28530],22400.4,22400.4,3315.26,17920.32,23
CDM,RX-9707,TENECTEPLASE 50 MG IV KIT [28530],25190.48,25190.48,3728.19,20152.38,23
CDM,RX-9708,TENECTEPLASE 50 MG IV KIT [28530],25190.48,25190.48,3728.19,20152.38,23
CDM,RX-9709,TENIPOSIDE 10 MG/ML IV SOLN [11501],7577.71,7577.71,1121.5,6062.17,23
CDM,RX-971,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9710,TENOFOVIR ALAFENAMIDE FUMARATE 25 MG PO TABS [134129],237.55,237.55,35.16,190.04,23
CDM,RX-9711,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],26.2,26.2,3.88,20.96,23
CDM,RX-9712,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],166.25,166.25,24.6,133.0,23
CDM,RX-9713,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],175.5,175.5,25.97,140.4,23
CDM,RX-9714,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],195.05,195.05,28.87,156.04,23
CDM,RX-9715,TEPROTUMUMAB-TRBW 500 MG IV SOLR [146362],53163.81,53163.81,7868.24,42531.05,23
CDM,RX-9716,TERAZOSIN HCL 2 MG PO CAPS [14551],7.55,7.55,1.12,6.04,23
CDM,RX-9717,TERAZOSIN HCL 5 MG PO CAPS [14553],7.55,7.55,1.12,6.04,23
CDM,RX-9718,TERBINAFINE HCL 1 % EX CREA [27023],37.79,37.79,5.59,30.23,23
CDM,RX-9719,TERBINAFINE HCL 1 % EX CREA [27023],41.97,41.97,6.21,33.58,23
CDM,RX-972,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9720,TERBINAFINE HCL 1 % EX CREA [27023],56.55,56.55,8.37,45.24,23
CDM,RX-9721,TERBINAFINE HCL 250 MG PO TABS [12724],59.55,59.55,8.81,47.64,23
CDM,RX-9722,TERBINAFINE HCL 250 MG PO TABS [12724],60.09,60.09,8.89,48.07,23
CDM,RX-9723,TERBINAFINE HCL 250 MG PO TABS [12724],61.46,61.46,9.1,49.17,23
CDM,RX-9724,TERBINAFINE HCL 250 MG PO TABS [12724],62.89,62.89,9.31,50.31,23
CDM,RX-9725,TERBINAFINE HCL 250 MG PO TABS [12724],63.79,63.79,9.44,51.03,23
CDM,RX-9726,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.0,22.0,3.26,17.6,23
CDM,RX-9727,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.56,22.56,3.34,18.05,23
CDM,RX-9728,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.56,22.56,3.34,18.05,23
CDM,RX-9729,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],102.37,102.37,15.15,81.9,23
CDM,RX-973,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9730,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],102.37,102.37,15.15,81.9,23
CDM,RX-9731,TERBUTALINE SULFATE 1 MG/ML NEBU SOLN [600660],93.48,93.48,13.84,74.78,23
CDM,RX-9732,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
CDM,RX-9733,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
CDM,RX-9734,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
CDM,RX-9735,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],64.53,64.53,9.55,51.62,23
CDM,RX-9736,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
CDM,RX-9737,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
CDM,RX-9738,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
CDM,RX-9739,TERBUTALINE SULFATE 5 MG PO TABS [11509],78.81,78.81,11.66,63.05,23
CDM,RX-974,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9740,TERCONAZOLE 0.4 % VA CREA [11510],186.28,186.28,27.57,149.02,23
CDM,RX-9741,TERCONAZOLE 0.4 % VA CREA [11510],192.91,192.91,28.55,154.33,23
CDM,RX-9742,TERCONAZOLE 0.8 % VA CREA [11511],177.28,177.28,26.24,141.82,23
CDM,RX-9743,TERCONAZOLE 80 MG VA SUPP [11512],141.28,141.28,20.91,113.02,23
CDM,RX-9744,TERCONAZOLE 80 MG VA SUPP [11512],204.25,204.25,30.23,163.4,23
CDM,RX-9745,TESTOSTERONE 50 MG/5GM (1%) TD GEL [107068],110.92,110.92,16.42,88.74,23
CDM,RX-9746,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],44.47,44.47,6.58,35.58,23
CDM,RX-9747,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],93.53,93.53,13.84,74.82,23
CDM,RX-9748,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.03,100.03,14.8,80.02,23
CDM,RX-9749,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.2,100.2,14.83,80.16,23
CDM,RX-975,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9750,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.24,100.24,14.84,80.19,23
CDM,RX-9751,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.37,100.37,14.85,80.3,23
CDM,RX-9752,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],114.27,114.27,16.91,91.42,23
CDM,RX-9753,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],123.63,123.63,18.3,98.9,23
CDM,RX-9754,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],382.25,382.25,56.57,305.8,23
CDM,RX-9755,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN [7785],79.86,79.86,11.82,63.89,23
CDM,RX-9756,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN [7785],383.17,383.17,56.71,306.54,23
CDM,RX-9757,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY [153541],2266.89,2266.89,335.5,1813.51,23
CDM,RX-9758,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY [153538],225.8,225.8,33.42,180.64,23
CDM,RX-9759,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628],227.92,227.92,33.73,182.34,23
CDM,RX-976,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
CDM,RX-9760,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628],227.92,227.92,33.73,182.34,23
CDM,RX-9761,TETRABENAZINE 12.5 MG PO TABS [94563],73.78,73.78,10.92,59.02,23
CDM,RX-9762,TETRABENAZINE 12.5 MG PO TABS [94563],294.05,294.05,43.52,235.24,23
CDM,RX-9763,TETRABENAZINE 12.5 MG PO TABS [94563],306.25,306.25,45.32,245.0,23
CDM,RX-9764,TETRABENAZINE 12.5 MG PO TABS [94563],306.57,306.57,45.37,245.26,23
CDM,RX-9765,TETRACAINE HCL 0.5 % OP SOLN [7795],78.29,78.29,11.59,62.63,23
CDM,RX-9766,TETRACAINE HCL 0.5 % OP SOLN [7795],155.88,155.88,23.07,124.7,23
CDM,RX-9767,TETRACAINE HCL 0.5 % OP SOLN [7795],407.16,407.16,60.26,325.73,23
CDM,RX-9768,TETRACAINE HCL 1 % IJ SOLN [11517],354.11,354.11,52.41,283.29,23
CDM,RX-9769,TETRACAINE HCL 1 % IJ SOLN [11517],354.5,354.5,52.47,283.6,23
CDM,RX-977,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],210.06,210.06,31.09,168.05,23
CDM,RX-9770,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
CDM,RX-9771,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
CDM,RX-9772,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
CDM,RX-9773,THALIDOMIDE 100 MG PO CAPS [35263],1091.88,1091.88,161.6,873.5,23
CDM,RX-9774,THALIDOMIDE 200 MG PO CAPS [35264],1243.15,1243.15,183.99,994.52,23
CDM,RX-9775,THALIDOMIDE 50 MG PO CAPS [23599],672.67,672.67,99.56,538.14,23
CDM,RX-9776,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],16.64,16.64,2.46,13.31,23
CDM,RX-9777,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],58.87,58.87,8.71,47.1,23
CDM,RX-9778,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],58.87,58.87,8.71,47.1,23
CDM,RX-9779,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],420.84,420.84,62.28,336.67,23
CDM,RX-978,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],228.54,228.54,33.82,182.83,23
CDM,RX-9780,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],420.84,420.84,62.28,336.67,23
CDM,RX-9781,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
CDM,RX-9782,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
CDM,RX-9783,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
CDM,RX-9784,THERA M PLUS PO TABS [37053],6.0,6.0,0.89,4.8,23
CDM,RX-9785,THERA PO TABS [7825],6.0,6.0,0.89,4.8,23
CDM,RX-9786,THIAMINE HCL 100 MG/ML IJ SOLN [7876],28.77,28.77,4.26,23.02,23
CDM,RX-9787,THIAMINE HCL 100 MG/ML IJ SOLN [7876],28.77,28.77,4.26,23.02,23
CDM,RX-9788,THIAMINE HCL 100 MG/ML IJ SOLN [7876],34.97,34.97,5.18,27.98,23
CDM,RX-9789,THIAMINE HCL 100 MG/ML IJ SOLN [7876],37.08,37.08,5.49,29.66,23
CDM,RX-979,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],256.74,256.74,38.0,205.39,23
CDM,RX-9790,THIAMINE HCL 100 MG/ML IJ SOLN [7876],50.14,50.14,7.42,40.11,23
CDM,RX-9791,THIAMINE HCL 100 MG/ML IJ SOLN [7876],50.14,50.14,7.42,40.11,23
CDM,RX-9792,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
CDM,RX-9793,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
CDM,RX-9794,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
CDM,RX-9795,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
CDM,RX-9796,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
CDM,RX-9797,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9798,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9799,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-980,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
CDM,RX-9800,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9801,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9802,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9803,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
CDM,RX-9804,THIOGUANINE 40 MG PO TABS [7886],131.35,131.35,19.44,105.08,23
CDM,RX-9805,THIORIDAZINE HCL 10 MG PO TABS [7894],6.0,6.0,0.89,4.8,23
CDM,RX-9806,THIORIDAZINE HCL 10 MG PO TABS [7894],6.0,6.0,0.89,4.8,23
CDM,RX-9807,THIORIDAZINE HCL 100 MG PO TABS [7895],6.0,6.0,0.89,4.8,23
CDM,RX-9808,THIORIDAZINE HCL 100 MG PO TABS [7895],6.0,6.0,0.89,4.8,23
CDM,RX-9809,THIORIDAZINE HCL 25 MG PO TABS [7899],6.0,6.0,0.89,4.8,23
CDM,RX-981,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
CDM,RX-9810,THIORIDAZINE HCL 25 MG PO TABS [7899],6.0,6.0,0.89,4.8,23
CDM,RX-9811,THIORIDAZINE HCL 50 MG PO TABS [7900],6.0,6.0,0.89,4.8,23
CDM,RX-9812,THIORIDAZINE HCL 50 MG PO TABS [7900],6.0,6.0,0.89,4.8,23
CDM,RX-9813,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
CDM,RX-9814,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
CDM,RX-9815,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
CDM,RX-9816,THIOTHIXENE 10 MG PO CAPS [7903],15.78,15.78,2.34,12.62,23
CDM,RX-9817,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
CDM,RX-9818,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
CDM,RX-9819,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
CDM,RX-982,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
CDM,RX-9820,THIOTHIXENE 5 MG PO CAPS [7906],17.02,17.02,2.52,13.62,23
CDM,RX-9821,THIOTHIXENE 5 MG PO CAPS [7906],17.03,17.03,2.52,13.62,23
CDM,RX-9822,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR [91965],1353.99,1353.99,200.39,1083.19,23
CDM,RX-9823,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR [91965],1373.67,1373.67,203.3,1098.94,23
CDM,RX-9824,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR [89570],389.07,389.07,57.58,311.26,23
CDM,RX-9825,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR [89570],389.07,389.07,57.58,311.26,23
CDM,RX-9826,THYROID 120 MG PO TABS [7938],10.01,10.01,1.48,8.01,23
CDM,RX-9827,THYROID 15 MG PO TABS [7940],6.0,6.0,0.89,4.8,23
CDM,RX-9828,THYROID 15 MG PO TABS [7940],6.0,6.0,0.89,4.8,23
CDM,RX-9829,THYROID 60 MG PO TABS [7947],6.34,6.34,0.94,5.07,23
CDM,RX-983,BENZYLPENICILLOYL POLYLYSINE 0.25 ML ID SOLN [9260],699.04,699.04,103.46,559.23,23
CDM,RX-9830,THYROTROPIN ALFA 0.9 MG IM SOLR [153551],6139.18,6139.18,908.6,4911.34,23
CDM,RX-9831,TIAGABINE HCL 4 MG PO TABS [21827],67.18,67.18,9.94,53.74,23
CDM,RX-9832,TICAGRELOR 60 MG PO TABS [129167],41.51,41.51,6.14,33.21,23
CDM,RX-9833,TICAGRELOR 60 MG PO TABS [129167],43.69,43.69,6.47,34.95,23
CDM,RX-9834,TICAGRELOR 90 MG PO TABS [109484],28.4,28.4,4.2,22.72,23
CDM,RX-9835,TICAGRELOR 90 MG PO TABS [109484],43.69,43.69,6.47,34.95,23
CDM,RX-9836,TICAGRELOR 90 MG PO TABS [109484],43.69,43.69,6.47,34.95,23
CDM,RX-9837,TIGECYCLINE 50 MG IV SOLR [41652],588.12,588.12,87.04,470.5,23
CDM,RX-9838,TIGECYCLINE 50 MG IV SOLR [41652],590.01,590.01,87.32,472.01,23
CDM,RX-9839,TIGECYCLINE 50 MG IV SOLR [41652],590.01,590.01,87.32,472.01,23
CDM,RX-984,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],196.24,196.24,29.04,156.99,23
CDM,RX-9840,TIGECYCLINE 50 MG IV SOLR [41652],705.75,705.75,104.45,564.6,23
CDM,RX-9841,TIMOLOL MALEATE 0.5 % OP SOLN [11562],30.84,30.84,4.56,24.67,23
CDM,RX-9842,TIMOLOL MALEATE 0.5 % OP SOLN [11562],62.04,62.04,9.18,49.63,23
CDM,RX-9843,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
CDM,RX-9844,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
CDM,RX-9845,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
CDM,RX-9846,TINIDAZOLE 500 MG PO TABS [38907],47.71,47.71,7.06,38.17,23
CDM,RX-9847,TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG IN CAPS [38315],284.05,284.05,42.04,227.24,23
CDM,RX-9848,TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG IN CAPS [38315],1310.0,1310.0,193.88,1048.0,23
CDM,RX-9849,TIPRANAVIR 250 MG PO CAPS [41676],90.75,90.75,13.43,72.6,23
CDM,RX-985,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],239.18,239.18,35.4,191.34,23
CDM,RX-9850,TIROFIBAN HCL 3.75 MG/15ML IV CONC [134049],273.72,273.72,40.51,218.98,23
CDM,RX-9851,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],483.51,483.51,71.56,386.81,23
CDM,RX-9852,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],723.84,723.84,107.13,579.07,23
CDM,RX-9853,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],723.84,723.84,107.13,579.07,23
CDM,RX-9854,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],892.98,892.98,132.16,714.38,23
CDM,RX-9855,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],893.8,893.8,132.28,715.04,23
CDM,RX-9856,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],940.54,940.54,139.2,752.43,23
CDM,RX-9857,TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR [153812],21625.43,21625.43,3200.56,17300.34,23
CDM,RX-9858,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-9859,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-986,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],239.18,239.18,35.4,191.34,23
CDM,RX-9860,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-9861,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-9862,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-9863,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
CDM,RX-9864,TIZANIDINE HCL 2 MG PO TABS [14792],8.23,8.23,1.22,6.58,23
CDM,RX-9865,TIZANIDINE HCL 2 MG PO TABS [14792],8.23,8.23,1.22,6.58,23
CDM,RX-9866,TIZANIDINE HCL 4 MG PO TABS [14793],6.0,6.0,0.89,4.8,23
CDM,RX-9867,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
CDM,RX-9868,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
CDM,RX-9869,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
CDM,RX-987,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],194.34,194.34,28.76,155.47,23
CDM,RX-9870,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
CDM,RX-9871,TIZANIDINE HCL 4 MG PO TABS [14793],7.12,7.12,1.05,5.7,23
CDM,RX-9872,TIZANIDINE HCL 4 MG PO TABS [14793],8.29,8.29,1.23,6.63,23
CDM,RX-9873,TOBRAMYCIN 0.3 % OP OINT [19769],843.72,843.72,124.87,674.98,23
CDM,RX-9874,TOBRAMYCIN 0.3 % OP OINT [19769],1102.08,1102.08,163.11,881.66,23
CDM,RX-9875,TOBRAMYCIN 0.3 % OP SOLN [7995],29.38,29.38,4.35,23.5,23
CDM,RX-9876,TOBRAMYCIN 0.3 % OP SOLN [7995],66.27,66.27,9.81,53.02,23
CDM,RX-9877,TOBRAMYCIN 0.3 % OP SOLN [7995],68.44,68.44,10.13,54.75,23
CDM,RX-9878,TOBRAMYCIN 0.3 % OP SOLN [7995],147.22,147.22,21.79,117.78,23
CDM,RX-9879,TOBRAMYCIN 0.3 % OP SOLN [7995],461.75,461.75,68.34,369.4,23
CDM,RX-988,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],203.8,203.8,30.16,163.04,23
CDM,RX-9880,TOBRAMYCIN 40 MG/ML NEBU SOLN [600541],19.12,19.12,2.83,15.3,23
CDM,RX-9881,TOBRAMYCIN FORT 95MG/7ML OPHTH SOLN [600046],47.0,47.0,6.96,37.6,23
CDM,RX-9882,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],275.27,275.27,40.74,220.22,23
CDM,RX-9883,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],336.1,336.1,49.74,268.88,23
CDM,RX-9884,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],359.44,359.44,53.2,287.55,23
CDM,RX-9885,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],364.69,364.69,53.97,291.75,23
CDM,RX-9886,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],368.08,368.08,54.48,294.46,23
CDM,RX-9887,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],368.08,368.08,54.48,294.46,23
CDM,RX-9888,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],377.76,377.76,55.91,302.21,23
CDM,RX-9889,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],389.0,389.0,57.57,311.2,23
CDM,RX-989,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],207.84,207.84,30.76,166.27,23
CDM,RX-9890,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],717.5,717.5,106.19,574.0,23
CDM,RX-9891,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],717.5,717.5,106.19,574.0,23
CDM,RX-9892,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],111.46,111.46,16.5,89.17,23
CDM,RX-9893,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],113.15,113.15,16.75,90.52,23
CDM,RX-9894,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],113.15,113.15,16.75,90.52,23
CDM,RX-9895,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],114.32,114.32,16.92,91.46,23
CDM,RX-9896,TOBRAMYCIN SULFATE 10 MG/ML IJ SOLN [7993],72.14,72.14,10.68,57.71,23
CDM,RX-9897,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-9898,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-9899,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-990,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],209.14,209.14,30.95,167.31,23
CDM,RX-9900,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-9901,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-9902,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
CDM,RX-9903,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT [11566],1173.3,1173.3,173.65,938.64,23
CDM,RX-9904,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],282.26,282.26,41.77,225.81,23
CDM,RX-9905,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],388.11,388.11,57.44,310.49,23
CDM,RX-9906,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],413.35,413.35,61.18,330.68,23
CDM,RX-9907,TOCILIZUMAB 200 MG/10ML IV SOLN [107091],4031.53,4031.53,596.67,3225.22,23
CDM,RX-9908,TOCILIZUMAB 400 MG/20ML IV SOLN [107092],8063.06,8063.06,1193.33,6450.45,23
CDM,RX-9909,TOCILIZUMAB 80 MG/4ML IV SOLN [107090],1854.82,1854.82,274.51,1483.86,23
CDM,RX-991,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],256.9,256.9,38.02,205.52,23
CDM,RX-9910,TOFACITINIB CITRATE 5 MG PO TABS [117338],457.92,457.92,67.77,366.34,23
CDM,RX-9911,TOFACITINIB CITRATE ER 11 MG PO TB24 [130980],796.8,796.8,117.93,637.44,23
CDM,RX-9912,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
CDM,RX-9913,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
CDM,RX-9914,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
CDM,RX-9915,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],44.88,44.88,6.64,35.9,23
CDM,RX-9916,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],44.88,44.88,6.64,35.9,23
CDM,RX-9917,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],61.69,61.69,9.13,49.35,23
CDM,RX-9918,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],61.76,61.76,9.14,49.41,23
CDM,RX-9919,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
CDM,RX-992,BETAXOLOL HCL 0.25 % OP SUSP [19703],1283.37,1283.37,189.94,1026.7,23
CDM,RX-9920,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
CDM,RX-9921,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
CDM,RX-9922,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],44.88,44.88,6.64,35.9,23
CDM,RX-9923,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],61.69,61.69,9.13,49.35,23
CDM,RX-9924,TOLVAPTAN 15 MG PO TABS [97893],920.34,920.34,136.21,736.27,23
CDM,RX-9925,TOLVAPTAN 15 MG PO TABS [97893],1634.79,1634.79,241.95,1307.83,23
CDM,RX-9926,TOLVAPTAN 15 MG PO TABS [97893],1634.79,1634.79,241.95,1307.83,23
CDM,RX-9927,TOLVAPTAN 15 MG PO TABS [97893],1816.53,1816.53,268.85,1453.22,23
CDM,RX-9928,TOLVAPTAN 30 MG PO TABS [97894],1695.81,1695.81,250.98,1356.65,23
CDM,RX-9929,TOLVAPTAN 30 MG PO TABS [97894],1884.44,1884.44,278.9,1507.55,23
CDM,RX-993,BETAXOLOL HCL 0.25 % OP SUSP [19703],1596.58,1596.58,236.29,1277.26,23
CDM,RX-9930,TOPIRAMATE 100 MG PO TABS [18922],6.0,6.0,0.89,4.8,23
CDM,RX-9931,TOPIRAMATE 100 MG PO TABS [18922],29.14,29.14,4.31,23.31,23
CDM,RX-9932,TOPIRAMATE 100 MG PO TABS [18922],32.67,32.67,4.84,26.14,23
CDM,RX-9933,TOPIRAMATE 15 MG PO CPSP [27641],11.36,11.36,1.68,9.09,23
CDM,RX-9934,TOPIRAMATE 15 MG PO CPSP [27641],11.37,11.37,1.68,9.1,23
CDM,RX-9935,TOPIRAMATE 15 MG PO CPSP [27641],35.66,35.66,5.28,28.53,23
CDM,RX-9936,TOPIRAMATE 200 MG PO TABS [18921],6.0,6.0,0.89,4.8,23
CDM,RX-9937,TOPIRAMATE 200 MG PO TABS [18921],6.0,6.0,0.89,4.8,23
CDM,RX-9938,TOPIRAMATE 200 MG PO TABS [18921],37.89,37.89,5.61,30.31,23
CDM,RX-9939,TOPIRAMATE 200 MG PO TABS [18921],38.31,38.31,5.67,30.65,23
CDM,RX-994,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],10.07,10.07,1.49,8.06,23
CDM,RX-9940,TOPIRAMATE 200 MG PO TABS [18921],38.31,38.31,5.67,30.65,23
CDM,RX-9941,TOPIRAMATE 200 MG PO TABS [18921],38.32,38.32,5.67,30.66,23
CDM,RX-9942,TOPIRAMATE 25 MG PO CPSP [27642],13.73,13.73,2.03,10.98,23
CDM,RX-9943,TOPIRAMATE 25 MG PO CPSP [27642],13.75,13.75,2.03,11.0,23
CDM,RX-9944,TOPIRAMATE 25 MG PO CPSP [27642],43.11,43.11,6.38,34.49,23
CDM,RX-9945,TOPIRAMATE 25 MG PO TABS [18920],6.0,6.0,0.89,4.8,23
CDM,RX-9946,TOPIRAMATE 25 MG PO TABS [18920],9.87,9.87,1.46,7.9,23
CDM,RX-9947,TOPIRAMATE 25 MG PO TABS [18920],9.87,9.87,1.46,7.9,23
CDM,RX-9948,TOPIRAMATE 25 MG PO TABS [18920],10.42,10.42,1.54,8.34,23
CDM,RX-9949,TOPIRAMATE 25 MG PO TABS [18920],11.88,11.88,1.76,9.5,23
CDM,RX-995,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],10.07,10.07,1.49,8.06,23
CDM,RX-9950,TOPIRAMATE 25 MG PO TABS [18920],11.91,11.91,1.76,9.53,23
CDM,RX-9951,TOPIRAMATE 50 MG PO TABS [37616],6.0,6.0,0.89,4.8,23
CDM,RX-9952,TOPIRAMATE 50 MG PO TABS [37616],23.58,23.58,3.49,18.86,23
CDM,RX-9953,TOPIRAMATE 50 MG PO TABS [37616],23.7,23.7,3.51,18.96,23
CDM,RX-9954,TOPIRAMATE 50 MG PO TABS [37616],23.97,23.97,3.55,19.18,23
CDM,RX-9955,TOPOTECAN HCL 4 MG IV SOLR [17285],924.96,924.96,136.89,739.97,23
CDM,RX-9956,TOPOTECAN HCL 4 MG IV SOLR [17285],1175.06,1175.06,173.91,940.05,23
CDM,RX-9957,TOPOTECAN HCL 4 MG/4ML IV SOLN [106862],626.85,626.85,92.77,501.48,23
CDM,RX-9958,TOPOTECAN HCL 4 MG/4ML IV SOLN [106862],678.6,678.6,100.43,542.88,23
CDM,RX-9959,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
CDM,RX-996,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],12.55,12.55,1.86,10.04,23
CDM,RX-9960,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
CDM,RX-9961,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
CDM,RX-9962,TORSEMIDE 100 MG PO TABS [18294],13.61,13.61,2.01,10.89,23
CDM,RX-9963,TORSEMIDE 100 MG PO TABS [18294],13.61,13.61,2.01,10.89,23
CDM,RX-9964,TORSEMIDE 100 MG PO TABS [18294],14.29,14.29,2.11,11.43,23
CDM,RX-9965,TORSEMIDE 100 MG PO TABS [18294],14.29,14.29,2.11,11.43,23
CDM,RX-9966,TORSEMIDE 100 MG PO TABS [18294],14.3,14.3,2.12,11.44,23
CDM,RX-9967,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9968,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9969,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-997,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],12.55,12.55,1.86,10.04,23
CDM,RX-9970,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9971,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9972,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9973,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9974,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
CDM,RX-9975,TORSEMIDE 5 MG PO TABS [18295],6.0,6.0,0.89,4.8,23
CDM,RX-9976,TORSEMIDE 5 MG PO TABS [18295],6.0,6.0,0.89,4.8,23
CDM,RX-998,BETHANECHOL CHLORIDE 5 MG PO TABS [1045],6.0,6.0,0.89,4.8,23
CDM,RX-999,BEVACIZUMAB 100 MG/4ML IV SOLN [107094],2782.93,2782.93,411.87,2226.34,23
CPT,0001A,Adm sarscov2 30mcg/0.3ml 1st,,,42.0,42.04,4
CPT,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,1332.0,55
CPT,0002A,Adm sarscov2 30mcg/0.3ml 2nd,,,42.0,70.45,4
CPT,0002M,Liver dis 10 assays w/ash,,,503.4,931.29,50
CPT,0002U,Onc clrct 3 ur metab alg plp,,,25.0,46.25,55
CPT,0003M,Liver dis 10 assays w/nash,,,503.4,931.29,50
CPT,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,1757.5,55
CPT,0004M,Scoliosis dna alys,,,79.0,146.15,50
CPT,0005F,Osteoarthritis composite,,,0.03,0.03,1
CPT,0005U,Onco prst8 3 gene ur alg,,,760.0,1406.0,55
CPT,0006M,Onc hep gene risk classifier,,,150.0,277.5,50
CPT,0007M,Onc gastro 51 gene nomogram,,,375.0,693.75,50
CPT,0007U,Rx test prsmv ur w/def conf,,,114.43,211.7,55
CPT,0008U,Hpylori detcj abx rstnc dna,,,597.91,1106.13,55
CPT,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,197.95,55
CPT,0010U,Nfct ds strn typ whl gen seq,,,427.26,790.43,55
CPT,0011A,Adm sarscov2 100mcg/0.5ml1st,,,42.0,42.04,4
CPT,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,1406.0,55
CPT,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,211.7,55
CPT,0012A,Adm sarscov2 100mcg/0.5ml2nd,,,70.45,70.45,3
CPT,0012F,Cap bacterial assess,,,0.03,0.03,1
CPT,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,1406.0,55
CPT,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,1406.0,55
CPT,0014F,Comp preop assess cat surg,,,0.03,0.03,1
CPT,0015F,Melan follow-up complete,,,0.03,0.03,1
CPT,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,2414.93,55
CPT,0016M,Onc bladder mrna 219 gen alg,,,3489.63,6455.82,55
CPT,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,303.33,55
CPT,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,4643.89,55
CPT,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,169.57,55
CPT,0018M,Trnsplj rnl meas cd154+cll,,,640.73,1185.35,55
CPT,0018U,Onc thyr 10 microrna seq alg,,,3002.09,5553.87,55
CPT,0019M,Cv ds plasma alys prtn bmrk,,,712.4,1317.94,48
CPT,0019U,Onc rna tiss predict alg,,,3675.0,6798.75,55
CPT,0020M,Onc cns alys 30000 dna loci,,,,,0
CPT,0021A,Adm sarscov2 5x1010vp/.5ml 1,,,42.04,42.04,3
CPT,0021U,Onc prst8 detcj 8 autoantb,,,760.0,1406.0,55
CPT,0022A,Adm sarscov2 5x1010vp/.5ml 2,,,70.45,70.45,3
CPT,0022U,Tgsap nsm lung neo dna&rna23,,,1950.0,3607.5,55
CPT,0023U,Onc aml dna detcj/nondetcj,,,248.51,459.74,55
CPT,0024U,Glyca nuc mr spectrsc quan,,,34.19,63.25,55
CPT,0025U,Tenofovir liq chrom ur quan,,,85.77,211.7,55
CPT,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,6660.0,55
CPT,0027U,Jak2 gene trgt seq alys,,,121.91,225.53,55
CPT,0029U,Rx metab advrs trgt seq alys,,,742.27,1373.2,55
CPT,0030U,Rx metab warf trgt seq alys,,,134.13,248.14,55
CPT,0031U,Cyp1a2 gene,,,174.81,323.4,55
CPT,0032U,Comt gene,,,174.81,323.4,55
CPT,0033U,Htr2a htr2c genes,,,349.62,646.8,55
CPT,0034U,Tpmt nudt15 genes,,,466.17,862.41,55
CPT,0035U,Neuro csf prion prtn qual,,,540.99,1000.83,55
CPT,0036U,Xome tum & nml spec seq alys,,,4780.0,8843.0,55
CPT,0037U,Trgt gen seq dna 324 genes,,,2800.0,6475.0,58
CPT,0038U,Vitamin d srm microsamp quan,,,29.6,54.76,55
CPT,0039U,Dna antb 2strand hi avidity,,,13.74,25.42,55
CPT,0040U,Bcr/abl1 gene major bp quan,,,409.9,758.32,55
CPT,0041U,B brgdrferi antb 5 prtn igm,,,17.21,31.84,55
CPT,0042T,"Brain Perfusion W/Cont CT, Ect",6102.0,6102.0,903.1,4881.6,23
CPT,0042T,Ct perfusion w/contrast cbf,,,207.29,331.66,30
CPT,0042U,B brgdrferi antb 12 prtn igg,,,17.21,31.84,55
CPT,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,27.49,55
CPT,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,27.49,55
CPT,0045U,Onc brst dux carc is 12 gene,,,3873.0,7165.05,55
CPT,0046U,Flt3 gene itd variants quan,,,198.78,753.75,55
CPT,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,7165.05,55
CPT,0048U,Onc sld org neo dna 468 gene,,,2919.6,5401.26,55
CPT,0049U,Npm1 gene analysis quan,,,295.79,753.75,55
CPT,0050U,Trgt gen seq dna 194 genes,,,2916.6,5395.71,55
CPT,0051U,Rx mntr lc-ms/ms ur/bld 31,,,193.71,456.8,55
CPT,0052U,Lpoprtn bld w/5 maj classes,,,33.86,62.64,55
CPT,0054T,Bone srgry cmptr fluor image,,,146.44,2438.0,37
CPT,0054U,Rx mntr 14+ drugs & sbsts,,,148.96,367.67,55
CPT,0055T,Bone srgry cmptr ct/mri imag,,,146.44,2438.0,37
CPT,0055U,Card hrt trnspl 96 dna seq,,,3240.0,5994.0,55
CPT,0058U,Onc merkel cll carc srm quan,,,322.96,597.48,55
CPT,0059U,Onc merkel cll carc srm +/-,,,322.96,597.48,55
CPT,0060U,Twn zyg gen seq alys chrms2,,,759.05,1404.24,55
CPT,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,46.44,55
CPT,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,704.33,55
CPT,0063U,Neuro autism 32 amines alg,,,750.0,1387.5,55
CPT,0064U,Antb tp total&rpr ia qual,,,31.33,57.96,55
CPT,0065U,Syfls tst nontreponemal antb,,,18.09,33.47,55
CPT,0066U,Pamg-1 ia cervico-vag fluid,,,15.29,21.41,6
CPT,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,3509.45,55
CPT,0068U,Candida species pnl amp prb,,,142.63,263.87,55
CPT,0069U,Onc clrct microrna mir-31-3p,,,380.0,703.0,55
CPT,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,1251.28,55
CPT,0071T,Us leiomyomata ablate <200,,,3163.5,9641.0,24
CPT,0071U,Cyp2d6 full gene sequence,,,361.62,1110.0,55
CPT,0072T,Fcsd us abltj leiomyom>200,,,3163.5,9641.0,24
CPT,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,834.18,55
CPT,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,834.18,55
CPT,0074U,Cyp2d6 nonduplicated gene,,,450.91,834.18,55
CPT,0075T,"Intravascular Stent, Perc, Initial Vessel",26107.3,26107.3,3863.88,20885.84,23
CPT,0075T,Perq stent/chest vert art,,,498.77,24872.68,85
CPT,0075U,Cyp2d6 5 gene dup/mlt,,,450.91,834.18,55
CPT,0076T,S&i stent/chest vert art,,,249.38,24872.68,85
CPT,0076U,Cyp2d6 3 gene dup/mlt,,,450.91,834.18,55
CPT,0077U,Ig paraprotein qual bld/ur,,,43.43,80.35,55
CPT,0078U,Pain mgt opi use gnotyp pnl,,,450.91,631.27,11
CPT,0079U,Cmprtv dna alys mlt snps,,,,,0
CPT,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,6512.0,55
CPT,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,456.8,55
CPT,0083U,Onc rspse chemo cntrst tomog,,,167.35,309.6,55
CPT,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,1332.0,55
CPT,0086U,Nfct ds bact&fng org id 6+,,,200.0,370.0,55
CPT,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,5844.93,55
CPT,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,5844.93,55
CPT,0089U,Onc mlnma prame & linc00518,,,760.0,1406.0,55
CPT,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,3607.5,55
CPT,0091U,Onc clrct scr whl bld alg,,,,,0
CPT,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,4602.8,55
CPT,0093U,Rx mntr 65 com drugs urine,,,62.14,114.96,55
CPT,0094U,Genome rapid sequence alys,,,6065.76,14027.07,58
CPT,0095T,Rmvl artific disc addl crvcl,,,2438.0,24872.68,20
CPT,0095U,Ee 2 prtn bmrk elisa est,,,771.98,1428.16,55
CPT,0096U,Hpv hi risk types male urine,,,35.09,64.92,55
CPT,0098T,Rev artific disc addl,,,2438.0,24872.68,20
CPT,0099T,Implant corneal ring,,,5595.0,5595.0,1
CPT,0100T,Prosth retina receive&gen,,,1328.21,23455.0,42
CPT,0101T,Esw muscskel sys nos,,,238.67,9641.0,27
CPT,0101U,Hered colon ca do 15 genes,,,1403.76,3226.31,55
CPT,0102T,Esw phy anes lat hmrl epcndl,,,1023.21,9641.0,27
CPT,0102U,Hered brst ca rltd do 17 gen,,,1303.95,2412.31,55
CPT,0103U,Hered ova ca pnl 24 genes,,,1341.58,3226.31,55
CPT,0105U,Neph ckd mult eclia tum nec,,,950.0,1757.5,55
CPT,0106T,Touch quant sensory test,,,39.05,127.45,17
CPT,0106U,Gstr emptg 7 timed brth spec,,,874.49,1617.81,55
CPT,0107T,Vibrate quant sensory test,,,39.05,127.45,17
CPT,0107U,C diff tox ag detcj ia stool,,,16.0,29.6,55
CPT,0108T,Cool quant sensory test,,,59.1,127.45,17
CPT,0108U,Gi barrett esoph 9 prtn bmrk,,,3015.9,9157.5,55
CPT,0109T,Heat quant sensory test,,,39.05,127.45,17
CPT,0109U,Id aspergillus dna 4 species,,,142.63,263.87,55
CPT,0110T,Nos quant sensory test,,,127.45,237.27,17
CPT,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,50.15,55
CPT,0111U,Onc colon ca kras&nras alys,,,682.29,1262.24,55
CPT,0112U,Iadi 16s&18s rrna genes,,,356.13,658.84,55
CPT,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,1406.0,55
CPT,0114U,Gi barretts esoph vim&ccna1,,,1938.01,3585.32,55
CPT,0115U,Respir iadna 18 viral&2 bact,,,275.35,509.4,55
CPT,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,456.8,55
CPT,0117U,Pain mgmt 11 endogenous anal,,,840.65,1555.2,55
CPT,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,5093.51,55
CPT,0119U,Crd ceramides liq chrom plsm,,,83.76,154.96,55
CPT,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,4643.89,55
CPT,0121U,Sc dis vcam-1 whole blood,,,509.2,942.02,55
CPT,0122U,Sc dis p-selectin whl blood,,,526.23,973.53,55
CPT,0123T,Scleral fistulization,,,5595.0,5595.0,1
CPT,0123U,Mchnl fragility rbc prflg,,,357.63,661.62,55
CPT,0129U,Hered brst ca rltd do panel,,,1303.95,2412.31,55
CPT,0130U,Hered colon ca do mrna pnl,,,584.9,1082.07,55
CPT,0131U,Hered brst ca rltd do pnl 13,,,710.0,1313.5,55
CPT,0132U,Hered ova ca rltd do pnl 17,,,741.64,1372.03,55
CPT,0133U,Hered prst8 ca rltd do 11,,,690.29,1277.04,55
CPT,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,1384.52,55
CPT,0135U,Hered gyn ca mrna pnl 12 gen,,,700.56,1296.04,55
CPT,0136U,Atm mrna seq alys,,,407.43,753.75,55
CPT,0137U,Palb2 mrna seq alys,,,282.88,523.33,55
CPT,0138U,Brca1 brca2 mrna seq alys,,,468.33,866.41,55
CPT,0140U,Nfct ds fungi dna 15 trgt,,,156.75,289.99,55
CPT,0141U,Nfct ds bact&fng gram pos,,,156.75,289.99,55
CPT,0142U,Nfct ds bact&fng gram neg,,,156.75,289.99,55
CPT,0152U,Nfct ds dna untrgt ngnrj seq,,,2126.2,3933.47,55
CPT,0153U,Onc breast mrna 101 genes,,,3159.42,5844.93,55
CPT,0154U,Onc urthl ca rna fgfr3 gene,,,248.77,891.96,55
CPT,0155U,Onc brst ca dna pik3ca gene,,,274.83,508.44,55
CPT,0156U,Copy number sequence alys,,,1740.0,3219.0,55
CPT,0157U,Apc mrna seq alys,,,282.88,523.33,55
CPT,0158U,Mlh1 mrna seq alys,,,282.88,523.33,55
CPT,0159U,Msh2 mrna seq alys,,,282.88,523.33,55
CPT,0160U,Msh6 mrna seq alys,,,282.88,523.33,55
CPT,0161U,Pms2 mrna seq alys,,,282.88,523.33,55
CPT,0162U,Hered colon ca trgt mrna pnl,,,486.54,900.1,55
CPT,0163T,Tot disc arthrp ea addl lmbr,,,5595.0,5595.0,1
CPT,0163U,Onc clrct scr 3 prtn alg,,,390.75,719.78,37
CPT,0164T,Remove lumb artif disc addl,,,124.9,24872.68,55
CPT,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,207.24,55
CPT,0165T,Revise lumb artif disc addl,,,148.68,24872.68,55
CPT,0165U,Peanut allg asmt epi,,,463.76,857.96,55
CPT,0166U,Liver ds 10 biochem asy srm,,,503.4,931.29,55
CPT,0167U,Chornc gonadotropin hcg ia,,,7.52,9.02,5
CPT,0169U,Nudt15&tpmt gene com vrnt,,,466.17,862.41,55
CPT,0170U,Neuro asd rna next gen seq,,,1950.0,3607.5,55
CPT,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,2810.26,55
CPT,0172U,Onc sld tum alys brca1 brca2,,,2424.76,5605.5,58
CPT,0173U,Psyc gen alys panel 14 genes,,,466.17,862.41,55
CPT,0174T,Cad cxr with interp,,,19.64,74.01,31
CPT,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,2414.93,55
CPT,0175T,Cad cxr remote,,,19.64,41.61,31
CPT,0175U,Psyc gen alys panel 15 genes,,,1336.09,2471.77,55
CPT,0176U,Cdtb&vinculin igg antb ia,,,64.19,118.75,55
CPT,0177U,Onc brst ca dna pik3ca 11,,,274.83,508.44,55
CPT,0178U,Peanut allg asmt epi clin rx,,,459.86,850.74,55
CPT,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,3594.94,55
CPT,0180U,Abo gnotyp abo 7 exons,,,274.83,508.44,55
CPT,0181U,Co gnotyp aqp1 exon 1,,,185.2,342.62,55
CPT,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,557.5,55
CPT,0183U,Di gnotyp slc4a1 exon 19,,,185.2,342.62,55
CPT,0184T,Exc rectal tumor endoscopic,,,3133.0,10957.19,25
CPT,0184U,Do gnotyp art4 exon 2,,,185.2,342.62,55
CPT,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,342.62,55
CPT,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,342.62,55
CPT,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,508.44,55
CPT,0188U,Ge gnotyp gypc exons 1-4,,,274.83,508.44,55
CPT,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,508.44,55
CPT,0190T,Place intraoc radiation src,,,1750.0,5595.0,2
CPT,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,508.44,55
CPT,0191T,Insert ant segment drain int,,,4334.0,9641.0,4
CPT,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,508.44,55
CPT,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,508.44,55
CPT,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,523.33,55
CPT,0194U,Kel gnotyp kel exon 8,,,185.2,342.62,55
CPT,0195U,Klf1 targeted sequencing,,,375.25,694.21,55
CPT,0196U,Lu gnotyp bcam exon 3,,,185.2,342.62,55
CPT,0197U,Lw gnotyp icam4 exon 1,,,185.2,342.62,55
CPT,0198T,Ocular blood flow measure,,,128.25,1293.62,17
CPT,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,523.33,55
CPT,0199U,Sc gnotyp ermap exons 4 12,,,274.83,508.44,55
CPT,0200T,Perq sacral augmt unilat inj,,,3021.0,13149.29,27
CPT,0200U,Xk gnotyp xk exons 1-3,,,274.83,508.44,55
CPT,0201T,Perq Sacroplasty Bilateral Njx,14317.5,14317.5,2118.99,11454.0,23
CPT,0201T,Perq sacral augmt bilat inj,,,4320.0,13149.29,27
CPT,0201U,Yt gnotyp ache exon 2,,,185.2,342.62,55
CPT,0202T,Post vert arthrplst 1 lumbar,,,2585.28,24872.68,55
CPT,0202U,Nfct ds 22 trgt sars-cov-2,,,333.42,1154.48,58
CPT,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,1406.0,55
CPT,0204U,Onc thyr mrna xprsn alys 593,,,2919.6,3503.52,5
CPT,0205T,Inirs each vessel add-on,,,1750.0,5595.0,2
CPT,0205U,Oph amd alys 3 gene variants,,,47.0,86.95,55
CPT,0206U,Neuro alzheimer cell aggregj,,,2215.4,4098.49,55
CPT,0207T,Clear eyelid gland w/heat,,,128.25,4275.0,25
CPT,0207U,Neuro alzheimer quan imaging,,,511.2,941.66,37
CPT,0208T,Audiometry air only,,,39.05,84.87,17
CPT,0209T,Audiometry air & bone,,,39.05,118.75,17
CPT,0209U,Cytog const alys interrog,,,787.15,1456.23,55
CPT,0210T,Speech audiometry threshold,,,39.05,76.34,17
CPT,0210U,Syphilis tst antb ia quan,,,18.63,34.47,55
CPT,0211T,Speech audiom thresh & recog,,,39.05,108.42,17
CPT,0211U,Onc pan-tum dna&rna gnrj seq,,,4410.0,15641.75,50
CPT,0212T,Compre audiometry evaluation,,,109.36,287.98,17
CPT,0212U,Rare ds gen dna alys proband,,,5475.2,10129.12,55
CPT,0213T,Njx paravert w/us cer/thor,,,181.01,4275.0,57
CPT,0213U,Rare ds gen dna alys ea comp,,,2709.95,5013.41,55
CPT,0214T,Njx paravert w/us cer/thor,,,102.93,1750.0,37
CPT,0214U,Rare ds xom dna alys proband,,,5224.6,9665.51,55
CPT,0215T,Njx paravert w/us cer/thor,,,104.76,1750.0,37
CPT,0215U,Rare ds xom dna alys ea comp,,,2574.65,4763.1,55
CPT,0216T,Njx paravert w/us lumb/sac,,,152.87,4275.0,57
CPT,0216U,Neuro inh ataxia dna 12 com,,,1537.02,2843.49,55
CPT,0217T,Njx paravert w/us lumb/sac,,,87.86,2438.0,37
CPT,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,4066.95,55
CPT,0218T,Njx paravert w/us lumb/sac,,,89.7,2438.0,37
CPT,0218U,Neuro musc dys dmd seq alys,,,2279.0,4216.15,55
CPT,0219T,Plmt post facet implt cerv,,,4312.0,24872.68,25
CPT,0219U,Nfct agt hiv gnrj seq alys,,,725.0,1341.25,55
CPT,0220T,Plmt post facet implt thor,,,4312.0,24872.68,25
CPT,0220U,Onc brst ca ai assmt 12 feat,,,706.25,1306.56,55
CPT,0221T,Plmt post facet implt lumb,,,4312.0,13149.29,27
CPT,0221U,Abo gnotyp next gnrj seq abo,,,274.83,508.44,55
CPT,0222T,Plmt post facet implt addl,,,1178.0,2438.0,7
CPT,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,523.33,55
CPT,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,1154.48,55
CPT,0224U,Antibody sars-cov-2 titer(s),,,50.56,116.7,55
CPT,0225U,Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe,424.35,424.35,62.8,339.48,23
CPT,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,1154.48,55
CPT,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,117.12,55
CPT,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,114.96,55
CPT,0228T,Njx tfrml eprl w/us cer/thor,,,2150.0,5595.0,2
CPT,0228U,Onc prst8 ma molec prfl alg,,,173.03,320.11,55
CPT,0229T,Njx tfrml eprl w/us cer/thor,,,1750.0,5595.0,2
CPT,0229U,Bcat1&ikzf1 prmtr mthyln aly,,,230.4,710.4,55
CPT,0230T,Njx tfrml eprl w/us lumb/sac,,,2150.0,5595.0,2
CPT,0230U,Ar full sequence analysis,,,301.35,557.5,55
CPT,0231T,Njx tfrml eprl w/us lumb/sac,,,1750.0,5595.0,2
CPT,0231U,Cacna1a full gene analysis,,,846.27,1565.6,55
CPT,0232T,Njx Pltlt Plasma W/Img Harvest/Preparation,2041.25,2041.25,302.1,1633.0,23
CPT,0232T,Njx platelet plasma,,,50.0,4275.0,27
CPT,0232U,Cstb full gene analysis,,,274.83,508.44,55
CPT,0233U,Fxn gene analysis,,,274.83,508.44,55
CPT,0234T,Trluml perip athrc renal art,,,3133.0,20874.31,25
CPT,0234U,Mecp2 full gene analysis,,,527.87,976.56,55
CPT,0235T,Trluml perip athrc visceral,,,591.9,24872.68,55
CPT,0235U,Pten full gene analysis,,,600.0,1110.0,55
CPT,0236T,Trluml perip athrc abd aorta,,,3133.0,20874.31,25
CPT,0236U,Smn1&smn2 full gene analysis,,,602.7,1115.0,55
CPT,0237T,Trluml perip athrc brchiocph,,,3133.0,20874.31,25
CPT,0237U,Car ion chnlpthy gen seq pnl,,,584.9,1082.07,55
CPT,0238T,Trluml perip athrc iliac art,,,5978.0,33052.5,25
CPT,0238U,Onc lnch syn gen dna seq aly,,,584.9,1082.07,55
CPT,0239U,Trgt gen seq alys pnl 311+,,,2800.0,6475.0,58
CPT,0240U,Nfct ds vir resp rna 3 trgt,,,142.63,395.09,17
CPT,0241U,Nfct ds vir resp rna 4 trgt,,,142.63,395.09,17
CPT,0242U,Trgt gen seq alys pnl 55-74,,,4000.0,9250.0,58
CPT,0243U,Ob pe biochem assay pgf alg,,,64.41,119.16,58
CPT,0244U,Onc solid orgn dna 257 genes,,,3500.0,6475.0,55
CPT,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,2342.23,55
CPT,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,1332.0,55
CPT,0247U,Ob prtrm brth ibp4 shbg meas,,,64.41,1387.5,58
CPT,0248U,Onc sphrd cell cul 12 rx pnl,,,3033.86,5612.64,55
CPT,0249T,Ligation hemorrhoid w/us,,,3725.0,3725.0,1
CPT,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,4105.39,55
CPT,0250U,Onc sld org neo dna 505 gene,,,2919.6,5401.26,55
CPT,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,31.95,55
CPT,0252U,Ftl aneuploidy str alys dna,,,759.05,1404.24,55
CPT,0253T,Insert aqueous drain device,,,1316.83,9641.0,57
CPT,0253U,Rprdtve med rna gen prfl 238,,,3159.42,5844.93,55
CPT,0254U,Reprdtve med alys 24 chrmsm,,,759.05,1404.24,55
CPT,0255U,Andrology infertility assmt,,,31.6,58.46,55
CPT,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,295.91,55
CPT,0257U,Vlcad leuk nzm actv whl bld,,,712.47,1318.07,55
CPT,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,6798.75,55
CPT,0259U,Neph ckd nuc mrs meas gfr,,,52.71,97.51,55
CPT,0260U,Rare ds id opt genome mapg,,,1263.53,2337.53,55
CPT,0261U,Onc clrct ca img alys w/ai,,,2513.25,4950.0,55
CPT,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,5920.0,55
CPT,0263T,Im b1 mrw cel ther cmpl,,,172.68,8623.88,25
CPT,0263U,Neuro asd meas 16 c metblt,,,750.0,1387.5,55
CPT,0264T,Im b1 mrw cel ther xcl hrvst,,,451.93,8623.88,25
CPT,0264U,Rare ds id opt genome mapg,,,1263.53,2337.53,55
CPT,0265T,Im b1 mrw cel ther hrvst onl,,,14.3,8623.88,55
CPT,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,10130.23,55
CPT,0266T,Implt/rpl crtd sns dev total,,,1098.53,82831.34,25
CPT,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,5920.0,55
CPT,0267T,Implt/rpl crtd sns dev lead,,,596.99,6850.0,25
CPT,0267U,Rare do id opt gen mapg&seq,,,6739.33,12467.76,55
CPT,0268T,Implt/rpl crtd sns dev gen,,,878.09,56092.0,25
CPT,0268U,Hem ahus gen seq alys 15 gen,,,608.17,1125.11,55
CPT,0269T,Rev/remvl crtd sns dev total,,,1832.38,11787.82,25
CPT,0269U,Hem aut dm cgen trmbctpna 22,,,608.17,1125.11,55
CPT,0270T,Rev/remvl crtd sns dev lead,,,1506.33,6850.0,25
CPT,0270U,Hem cgen coagj do 20 genes,,,608.17,1125.11,55
CPT,0271T,Rev/remvl crtd sns dev gen,,,287.5,6850.0,25
CPT,0271U,Hem cgen neutropenia 24 gen,,,608.17,1125.11,55
CPT,0272T,Interrogate crtd sns dev,,,155.67,4275.0,20
CPT,0272U,Hem genetic bld do 60 genes,,,608.17,1125.11,55
CPT,0273T,Interrogate crtd sns w/pgrmg,,,155.67,4275.0,20
CPT,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,1125.11,55
CPT,0274T,Perq lamot/lam crv/thrc,,,2545.1,13149.29,27
CPT,0274U,Hem gen pltlt do 62 genes,,,608.17,1125.11,55
CPT,0275T,Perq lamot/lam lumbar,,,4189.4,13149.29,27
CPT,0275U,Hem heprn nduc trmbctpna srm,,,18.37,33.98,55
CPT,0276U,Hem inh thrombocytopenia 42,,,2448.56,4529.84,55
CPT,0277U,Hem gen pltlt funcj do 40,,,608.17,1125.11,55
CPT,0278T,Tempr,,,44.29,4275.0,25
CPT,0278U,Hem gen thrombosis 14 genes,,,608.17,1125.11,55
CPT,0279U,Hem vw factor&clgn iii bndg,,,11.53,21.33,55
CPT,0280U,Hem vw factor&clgn iv bndg,,,17.27,31.95,55
CPT,0281U,Hem vwd propeptide ag lvl,,,17.27,31.95,55
CPT,0282T,Periph field stimul trial,,,5595.0,5595.0,1
CPT,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,1332.0,55
CPT,0283T,Periph field stimul perm,,,5595.0,5595.0,1
CPT,0283U,Vw factor type 2b eval plsm,,,18.4,34.04,55
CPT,0284T,Periph field stimul revise,,,5595.0,5595.0,1
CPT,0284U,Vw factor type 2n eval plsm,,,17.27,31.95,55
CPT,0285U,Onc ds prog&rspse mntr radj,,,443.31,820.12,55
CPT,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,248.14,55
CPT,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,6660.0,55
CPT,0288T,Anoscopy w/rf delivery,,,5595.0,5595.0,1
CPT,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,7165.05,55
CPT,0289T,Laser inc for pkp/lkp donor,,,5595.0,5595.0,1
CPT,0289U,Neuro alzheimer mrna 24 gen,,,760.0,1406.0,55
CPT,0290T,Laser inc for pkp/lkp recip,,,1750.0,5595.0,2
CPT,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,1406.0,55
CPT,0291U,Psyc mood do mrna 144 genes,,,1755.0,3246.75,55
CPT,0292U,Psyc strs do mrna 72 genes,,,1755.0,3246.75,55
CPT,0293U,Psyc suicidal idea mrna 54,,,760.0,1406.0,55
CPT,0294U,Lngvty&mrtlty rsk mrna 18gen,,,760.0,1399.96,37
CPT,0295U,Onc brst dux carc 7 proteins,,,2276.4,10054.75,55
CPT,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,3607.5,55
CPT,0297U,Onc pan tum whl gen seq dna,,,2919.6,5401.26,55
CPT,0298U,Onc pan tum whl trns seq rna,,,2919.6,5401.26,55
CPT,0299T,Esw wound healing init wound,,,5595.0,5595.0,1
CPT,0299U,Onc pan tum whl gen opt mapg,,,1863.22,3446.96,55
CPT,0300T,Esw wound healing addl wound,,,5595.0,5595.0,1
CPT,0300U,Onc pan tum whl gen seq&opt,,,4183.13,7738.79,55
CPT,0301T,Mw therapy for breast tumor,,,5595.0,5595.0,1
CPT,0301U,Iadna bartonella ddpcr,,,262.72,486.03,55
CPT,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,668.53,55
CPT,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,4073.0,55
CPT,0304U,Hem rbc ads whl bld normoxic,,,2075.8,3840.23,55
CPT,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,1225.77,55
CPT,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,7175.13,55
CPT,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,1469.81,55
CPT,0308T,Insj ocular telescope prosth,,,812.25,30217.35,57
CPT,0308U,Crd cad alys 3 prtn 3 param,,,390.75,722.89,55
CPT,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,722.89,55
CPT,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,722.89,55
CPT,0311U,Nfct ds bct quan antmcrb sc,,,8.08,14.95,55
CPT,0312T,Laps impltj nstim vagus,,,5595.0,5595.0,1
CPT,0312U,Ai ds sle alys 8 igg autoant,,,840.65,1555.2,55
CPT,0313T,Laps rmvl nstim array vagus,,,3250.0,9641.0,4
CPT,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,6660.0,55
CPT,0314T,Laps rmvl vgl arry&pls gen,,,3250.0,9641.0,4
CPT,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,3607.5,55
CPT,0315T,Rmvl vagus nerve pls gen,,,3250.0,9641.0,4
CPT,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,15725.0,55
CPT,0316T,Replc vagus nerve pls gen,,,1750.0,9641.0,4
CPT,0316U,B brgdrferi lyme ds ospa evl,,,18.66,34.52,55
CPT,0317T,Elec alys vagus nrv pls gen,,,50.0,1750.0,3
CPT,0317U,Onc lung ca 4-prb fish assay,,,2030.0,3755.5,55
CPT,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,3275.39,55
CPT,0319U,Neph rna pretrnspl perph bld,,,2650.0,4902.5,55
CPT,0320U,Neph rna psttrnspl perph bld,,,2650.0,4902.5,55
CPT,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,1174.45,55
CPT,0322U,Neuro asd meas 14 acyl carn,,,750.0,1387.5,55
CPT,0323U,Iadna cns pthgn next gen seq,,,2126.2,3933.47,55
CPT,0326U,Trgt gen seq alys pnl 83+,,,4000.0,9250.0,58
CPT,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,1470.75,55
CPT,0328U,Drug assay 120+ rx&metablt,,,114.43,211.7,55
CPT,0329T,Mntr io press 24hrs/> uni/bi,,,2537.4,2537.4,1
CPT,0329U,Onc neo xome&trns seq alys,,,3437.98,6360.26,55
CPT,0330T,Tear film img uni/bi w/i&r,,,39.05,87.92,17
CPT,0330U,Iadna vag pthgn panel 27 org,,,416.78,771.04,55
CPT,0331T,Heart symp image plnr,,,562.45,2402.96,17
CPT,0331U,Onc hl neo opt gen mapping,,,1863.22,3446.96,55
CPT,0332T,Heart symp image plnr spect,,,629.07,2402.96,17
CPT,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,2112.81,55
CPT,0333T,Visual ep scr acuity auto,,,184.7,184.7,1
CPT,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,1225.29,55
CPT,0334U,Onc sld orgn tgsa dna 84/+,,,2800.0,6475.0,52
CPT,0335T,Insj sinus tarsi implant,,,3133.0,13149.29,27
CPT,0335U,Rare ds whl gen seq feta,,,5224.6,9665.51,55
CPT,0336U,Rare ds whl gen seq bld/slv,,,2574.65,4763.1,55
CPT,0337U,Onc plsm cell do&myeloma id,,,2435.0,4504.75,55
CPT,0338T,Trnscth renal symp denrv unl,,,640.18,11099.6,57
CPT,0338U,Onc sld tum crcg tum cl slct,,,2435.0,4504.75,55
CPT,0339T,Trnscth renal symp denrv bil,,,960.27,11099.6,57
CPT,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,1406.0,55
CPT,0340T,Ablate pulm tumors + extnsn,,,5595.0,5595.0,1
CPT,0340U,Onc pan ca alys mrd plasma,,,2919.6,7252.0,58
CPT,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,3515.37,55
CPT,0342T,Thxp apheresis w/hdl delip,,,1866.34,8623.88,25
CPT,0342U,Onc pncrtc ca mult ia eclia,,,897.0,1652.33,37
CPT,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,1406.0,55
CPT,0344U,Hep nafld semiq evl 28 lipid,,,792.17,1465.51,55
CPT,0345T,Transcath mtral vlve repair,,,2304.0,24872.68,25
CPT,0345U,Psyc genom alys pnl 15 gen,,,1068.87,2471.77,58
CPT,0346U,Beta amyl ab40&ab42 lc-ms/ms,,,93.26,171.8,9
CPT,0347T,Ins bone device for rsa,,,59.1,4275.0,25
CPT,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,2471.77,55
CPT,0348T,Rsa spine exam,,,105.81,528.15,24
CPT,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,1373.2,55
CPT,0349T,Rsa upper extr exam,,,105.81,528.15,24
CPT,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,1373.2,55
CPT,0350T,Rsa lower extr exam,,,87.6,432.01,24
CPT,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,2471.77,55
CPT,0351T,Intraop oct brst/node spec,,,2575.66,2575.66,1
CPT,0351U,Nfct ds bct/viral trail ip10,,,260.5,481.93,55
CPT,0352T,Oct brst/node i&r per spec,,,2167.74,4576.34,8
CPT,0352U,Nfct ds bv&vaginitis amp prb,,,142.63,262.73,9
CPT,0353T,Intraop oct breast cavity,,,901.08,901.08,1
CPT,0353U,Iadna chlmyd&gonorr amp prb,,,70.18,84.22,5
CPT,0354T,Oct breast surg cavity i&r,,,2167.74,4576.34,8
CPT,0354U,Hpv hi rsk qual mrna e6/e7,,,35.09,42.11,5
CPT,0355T,Gi tract capsule endoscopy,,,2500.0,2500.0,1
CPT,0355U,Apol1 risk variants,,,137.0,253.45,55
CPT,0356T,Insrt drug device for iop,,,50.0,1750.0,3
CPT,0356U,Onc orop/anal 17 dna ddpcr,,,1800.0,3330.0,52
CPT,0358T,Bia whole body,,,5.0,79.42,47
CPT,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,481.93,55
CPT,0359U,Onc prst8 ca alys all psa,,,760.0,1406.0,55
CPT,0360U,Onc lung elisa 7 autoant alg,,,782.93,1548.51,55
CPT,0361U,Neurflmnt lt chn dig ia quan,,,116.23,215.03,48
CPT,0362T,Bhv id suprt assmt ea 15 min,,,29.64,54.84,17
CPT,0362U,Onc pap thyr ca rna 82&10,,,3600.0,6660.0,55
CPT,0363U,Onc urthl mrna 5 gen alg,,,760.0,1406.0,55
CPT,0364U,Onc hl neo gen seq alys alg,,,2007.25,3713.41,48
CPT,0365U,Onc bldr 10 ur hrbr urthl ca,,,897.0,1659.45,54
CPT,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,1659.45,54
CPT,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,1669.03,54
CPT,0368U,Onc clrct ca mut&mthyltn mrk,,,416.78,666.85,34
CPT,0369U,Iadna gi pthgn 31 org&21 arg,,,416.78,666.85,16
CPT,0370U,Iadna surg wnd pthgn 34&21,,,416.78,666.85,16
CPT,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,771.04,54
CPT,0372U,Nfct ds gu pthgn arg detcj,,,416.78,771.04,54
CPT,0373T,Adapt bhv tx ea 15 min,,,29.64,54.84,16
CPT,0373U,Iadna rsp tr nfct 17 8 13&16,,,416.78,666.85,16
CPT,0374U,Iadna gu pthgn 21 org&21arg,,,416.78,666.85,16
CPT,0375T,Total disc arthrp ant appr,,,5595.0,5595.0,1
CPT,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,1659.45,54
CPT,0376T,Insert ant segment drain int,,,1750.0,5595.0,2
CPT,0376U,Onc prst8 ca img alys 128,,,706.25,1306.56,54
CPT,0377T,Anoscpy inj agent for incont,,,3725.0,5595.0,2
CPT,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,88.02,54
CPT,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,253.45,54
CPT,0379T,Vis field assmnt tech suppt,,,39.05,72.25,16
CPT,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,6083.74,48
CPT,0380U,Rx metb advrs trgt sq aly 20,,,416.78,666.85,8
CPT,0381U,Maple syrup ur ds mntr quan,,,44.12,81.62,48
CPT,0382U,Hyprphenylalninmia mntr quan,,,51.64,95.53,48
CPT,0383U,Tyrosinemia typ i mntr quan,,,52.05,96.29,48
CPT,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,1387.5,54
CPT,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,722.89,54
CPT,0387T,Leadless c pm ins/rpl ventr,,,1750.0,5595.0,2
CPT,0387U,Onc mlnma ambra1&amlo,,,948.5,1754.73,54
CPT,0388T,Leadless c pm remove ventr,,,3725.0,5595.0,2
CPT,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,6475.0,48
CPT,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,129.87,48
CPT,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,119.16,57
CPT,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,6660.0,54
CPT,0392U,Rx metab genrx ia 16 genes,,,1336.09,2471.77,54
CPT,0393U,Neu prksn msfl a-syncln prtn,,,540.99,1000.83,54
CPT,0394T,Hdr elctrnc skn surf brchytx,,,261.65,484.06,16
CPT,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,367.67,54
CPT,0395T,Hdr elctr ntrst/ntrcv brchtx,,,690.31,1277.07,16
CPT,0395U,Onc lng multiomics plsm alg,,,797.45,1475.28,48
CPT,0396T,Intraop kinetic balnce sensr,,,1750.0,5595.0,2
CPT,0396U,Ob preimpltj tst 300000 dna,,,,,0
CPT,0397T,Ercp w/optical endomicroscpy,,,1178.0,2836.0,9
CPT,0398T,Mrgfus strtctc les abltj,,,9710.0,18339.15,7
CPT,0398U,Gi baret esph dna mthyln aly,,,1755.0,3246.75,48
CPT,0399U,Neuro cere folate defncy srm,,,300.0,555.0,48
CPT,0400U,Ob xpnd car scr 145 genes,,,1456.88,2331.01,34
CPT,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,905.91,48
CPT,0402T,Colgn crs-link crn&pachymtry,,,1684.0,5612.5,27
CPT,0402T,Collagen Cross-Linking of Cornea,7382.0,7382.0,1092.54,5905.6,23
CPT,0402U,Nfct agt sti mult amp prb tq,,,142.63,263.87,54
CPT,0403U,Onc prst8 mrna 18 gen 1st ur,,,760.0,1406.0,54
CPT,0404T,Trnscrv uterin fibroid abltj,,,4334.0,5595.0,2
CPT,0404U,Onc brst semiq meas thym kn,,,322.96,597.48,54
CPT,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,3275.39,54
CPT,0406T,Sin ndsc plmt drg elut mplnt,,,1750.0,5595.0,2
CPT,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,1406.0,54
CPT,0407T,Sin ndsc plmt drg elut mplnt,,,1750.0,5595.0,2
CPT,0407U,Neph dbtc ckd mult eclia alg,,,950.0,1757.5,54
CPT,0408T,Insj/rplc cardiac modulj sys,,,10807.0,59014.98,25
CPT,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,26.14,48
CPT,0409T,Insj/rplc car modulj pls gn,,,5978.0,41316.17,25
CPT,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,5401.26,54
CPT,0410T,Insj/rplc car modulj atr elt,,,8234.27,15233.4,25
CPT,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,2146.0,54
CPT,0411T,Insj/rplc car modulj vnt elt,,,8234.27,15233.4,25
CPT,0411U,Psyc genom alys pnl 15 gen,,,1068.87,2471.77,57
CPT,0412T,Rmvl cardiac modulj pls gen,,,3133.0,9641.0,27
CPT,0412U,Beta amyloid ab42/40 imprcip,,,750.0,1387.5,48
CPT,0413T,Rmvl car modulj tranvns elt,,,3620.96,10807.0,27
CPT,0413U,Onc hl neo opt gen mapg dna,,,1263.53,2337.53,54
CPT,0414T,Rmvl & rpl car modulj pls gn,,,5978.0,41316.17,25
CPT,0414U,Onc lng aug alg aly whl sld8,,,706.25,1306.56,54
CPT,0415T,Repos car modulj tranvns elt,,,615.15,10807.0,27
CPT,0415U,Cv ds acs bld alg 5 yr score,,,390.75,722.89,54
CPT,0416T,Reloc skin pocket pls gen,,,1820.01,7940.0,27
CPT,0416U,Iadna gu pthgn 20bct&fng org,,,416.78,500.14,5
CPT,0417T,Prgrmg eval cardiac modulj,,,37.1,68.64,16
CPT,0417U,Rare ds alys 335 nuc genes,,,2842.53,5258.68,48
CPT,0418T,Interro eval cardiac modulj,,,37.1,68.64,16
CPT,0418U,Onc brst aug alg aly whl sl8,,,706.25,1306.56,54
CPT,0419T,Dstrj neurofibroma xtnsv,,,609.04,4275.0,27
CPT,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,2471.77,54
CPT,0420T,Dstrj neurofibroma xtnsv,,,609.04,4275.0,27
CPT,0420U,Onc urthl mrna xprsn 6 snp,,,,,0
CPT,0421T,Waterjet prostate abltj cmpl,,,730.86,17021.0,55
CPT,0421U,Onc clrct scr sgl amp 8 rna,,,407.1,814.19,37
CPT,0422T,Tactile breast img uni/bi,,,87.6,392.4,23
CPT,0422U,Onc pan solid tum alys dna,,,,,0
CPT,0423U,Psyc genomic alys pnl 26 gen,,,416.78,771.04,48
CPT,0424T,Insj/rplc nstim apnea compl,,,5410.0,5595.0,2
CPT,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,1406.0,48
CPT,0425T,Insj/rplc nstim apnea sen ld,,,4334.0,5595.0,2
CPT,0425U,Genom rpd seq alys ea cmprtr,,,,,0
CPT,0426T,Insj/rplc nstim apnea stm ld,,,1750.0,5595.0,2
CPT,0426U,Genome ultra-rapid seq alys,,,,,0
CPT,0427T,Insj/rplc nstim apnea pls gn,,,1750.0,5595.0,2
CPT,0427U,Monocyte dstrbj wdth whl bld,,,4.48,8.29,48
CPT,0428T,Rmvl nstim apnea pls gen,,,3725.0,5595.0,2
CPT,0428U,Onc brst ctdna alys 56/> gen,,,,,0
CPT,0429T,Rmvl nstim apnea sen ld,,,3725.0,5595.0,2
CPT,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,64.92,48
CPT,0430T,Rmvl nstim apnea stimj ld,,,3725.0,5595.0,2
CPT,0430U,Gi malabs aat calpro pncrtc,,,61.54,113.85,48
CPT,0431T,Rmvl/rplc nstim apnea pls gn,,,1750.0,5595.0,2
CPT,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,67.65,48
CPT,0432T,Repos nstim apnea stimj ld,,,3725.0,5595.0,2
CPT,0432U,Klhl11 antb sr/csf asy qual,,,36.57,67.65,48
CPT,0433T,Repos nstim apnea sensing ld,,,3725.0,5595.0,2
CPT,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,1406.0,48
CPT,0434U,Rx metab advrs vrnt alys 25,,,416.78,771.04,48
CPT,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,5612.64,48
CPT,0436U,Onc lng plsm alys 388 prtn,,,,,0
CPT,0437T,Impltj synth rnfcmt abdl wal,,,1178.0,2438.0,7
CPT,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,1406.0,48
CPT,0438T,Tprnl plmt biodegrdabl matrl,,,5595.0,5595.0,1
CPT,0438U,Rx metab advrs vrnt alys 33,,,416.78,771.04,48
CPT,0439T,Myocrd contrast prfuj echo,,,249.75,399.6,30
CPT,0439U,Crd chd dna alys 5 snp 3 dna,,,,,0
CPT,0440T,Abltj Perc Uxtr/Perph Nrv,7825.0,7825.0,1158.1,6260.0,23
CPT,0440T,Abltj perc uxtr/perph nrv,,,1942.93,8327.5,25
CPT,0440U,Crd chd dna alys 10 snp 6dna,,,,,0
CPT,0441T,Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve,7448.55,7448.55,1102.39,5958.84,23
CPT,0441T,Abltj perc lxtr/perph nrv,,,1942.93,8327.5,25
CPT,0441U,Nfct ds bct fngl/viral semiq,,,,,0
CPT,0442T,Abltj Perc Plex/Trncl Nrv,20106.0,20106.0,2975.69,16084.8,23
CPT,0442T,Abltj perc plex/trncl nrv,,,2891.0,11787.82,25
CPT,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,76.55,48
CPT,0443T,R-t spctrl alys prst8 tiss,,,125.84,1750.0,7
CPT,0443U,Neurflmnt lt chn ultrsens ia,,,,,0
CPT,0444T,1st plmt drug elut oc ins,,,1178.0,3133.0,7
CPT,0444U,Onc sld orgn neo tgsap 361,,,2919.6,5401.26,48
CPT,0445T,Sbsqt plmt drug elut oc ins,,,1178.0,3133.0,7
CPT,0445U,Abeta42 & ptau181 eclia csf,,,260.5,481.93,48
CPT,0446T,Insj impltbl glucose sensor,,,54.95,5983.13,57
CPT,0446U,Ai ds sle alys 10 cytokine,,,840.65,1555.2,48
CPT,0447T,Rmvl impltbl glucose sensor,,,50.0,4275.0,57
CPT,0447U,Ai ds sle alys 11 cytokine,,,840.65,1555.2,48
CPT,0448T,Remvl insj impltbl gluc sens,,,91.31,5983.13,57
CPT,0449T,Insj aqueous drain dev 1st,,,766.96,9497.36,55
CPT,0449U,Car scr sev inh cond 5 genes,,,1459.9,2919.81,37
CPT,0450T,Insj aqueous drain dev each,,,1178.0,2438.0,7
CPT,0450U,Onc mm lc-ms/ms monoc p-prtn,,,43.43,52.12,11
CPT,0451U,Onc mm lc-ms/ms pep ion quan,,,43.43,52.12,11
CPT,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,355.2,48
CPT,0453T,Insj/rplcmt mech-elec ntrfce,,,5595.0,5595.0,1
CPT,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,355.2,48
CPT,0454T,Insj/rplcmt subq electrode,,,5595.0,5595.0,1
CPT,0454U,Rare ds id opt genome mapg,,,1263.53,2337.53,48
CPT,0455U,Nfct agt sti mult amp prb ur,,,142.63,263.87,48
CPT,0457T,Remvl mech-elec skin ntrfce,,,5595.0,5595.0,1
CPT,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,367.67,48
CPT,0458T,Remvl subq electrode,,,5595.0,5595.0,1
CPT,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,481.93,48
CPT,0459U,Abeta42 & ttau eclia csf,,,260.5,481.93,48
CPT,0460T,Repos aortic ventr dev eltrd,,,5595.0,5595.0,1
CPT,0460U,Onc whl bld/bucc rtpcr 24gen,,,,,0
CPT,0461U,Onc rxgenom alys rtpcr 24gen,,,,,0
CPT,0462U,Melatonin lvl tst slp std7/9,,,17.27,31.95,48
CPT,0463U,Onc crvx mrna genxprsn 14bmk,,,,,0
CPT,0464T,Visual ep test for glaucoma,,,155.67,287.98,16
CPT,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,1095.05,48
CPT,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,3585.32,48
CPT,0466T,Insj ch wal respir eltrd/ra,,,5595.0,5595.0,1
CPT,0466U,Crd cad dna gwas 564856 snp,,,,,0
CPT,0467T,Revj/rplmnt ch respir eltrd,,,5595.0,5595.0,1
CPT,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,2810.26,48
CPT,0468T,Rmvl ch wal respir eltrd/ra,,,5595.0,5595.0,1
CPT,0468U,Hep nash mir34a5p a2m ykl40,,,251.7,465.65,48
CPT,0469U,Rare ds whl gen seq ftl samp,,,1197.94,2216.19,48
CPT,0470U,Onc orop detcj mrd 8 dna hpv,,,,,0
CPT,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,1406.0,48
CPT,0472T,Prgrmg io rta eltrd ra,,,298.4,552.04,16
CPT,0472U,Ca vi psp&sp1 antb sjogren,,,,,0
CPT,0473T,Reprgrmg io rta eltrd ra,,,91.33,168.96,16
CPT,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,8325.0,51
CPT,0474T,Insj aqueous drg dev io rsvr,,,3133.0,8327.5,9
CPT,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,2412.31,48
CPT,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,2412.31,48
CPT,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,771.04,48
CPT,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,771.04,48
CPT,0478U,Onc nsclc dna&rna dpcr 9gens,,,,,0
CPT,0479T,Fxjl abl lsr 1st 100 sq cm,,,609.04,4275.0,27
CPT,0479U,Tau phosphorylated ptau217,,,17.27,31.95,48
CPT,0480T,Fxjl abl lsr ea addl 100sqcm,,,1178.0,2438.0,6
CPT,0480U,Nfct ds csf metag ngs alys,,,2126.2,3933.47,48
CPT,0481T,Njx autol wbc concentrate,,,397.03,4275.0,27
CPT,0481U,Idh1 idh2&tert promoter ngs,,,674.24,1247.34,48
CPT,0482U,Ob pe biochem asy sflt1&plgf,,,128.82,238.32,48
CPT,0483T,Tmvi percutaneous approach,,,2304.0,24872.68,24
CPT,0483U,Nfct ds ng gyra s91f pt mut,,,,,0
CPT,0484T,Tmvi transthoracic exposure,,,2304.0,24872.68,24
CPT,0484U,Nfct ds mgen 23s rrna pt mut,,,,,0
CPT,0485T,Oct mid ear i&r unilateral,,,39.05,72.25,16
CPT,0485U,Onc sol tum cfdna&rna ngs gm,,,,,0
CPT,0486T,Oct mid ear i&r bilateral,,,39.05,72.25,16
CPT,0486U,Onc pan sol tum ngs cfctdna,,,,,0
CPT,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,5401.26,48
CPT,0488U,Ob fetal ag nipt cfdna alys,,,759.05,1214.48,34
CPT,0489T,Regn cell tx scldr hands,,,2304.0,6850.0,9
CPT,0489U,Ob sgnipt cfdna seq alys 1+,,,,,0
CPT,0490T,Regn cell tx scldr h mlt inj,,,2304.0,4275.0,9
CPT,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,4504.75,48
CPT,0491T,Abl lsr opn wnd 1st 20 sqcm,,,1092.0,5595.0,3
CPT,0491U,Onc sol tum ctc slct er prtn,,,2435.0,4504.75,48
CPT,0492T,Abl lsr opn wnd addl 20 sqcm,,,5595.0,5595.0,1
CPT,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,4504.75,48
CPT,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,5093.51,48
CPT,0494T,Prep & cannulj cdvr don lung,,,2304.0,24872.68,24
CPT,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,1404.24,48
CPT,0495T,Mntr cdvr don lng 1st 2 hrs,,,2304.0,24872.68,24
CPT,0495U,Onc prst8 alys crcg plsm prt,,,760.0,1406.0,48
CPT,0496T,Mntr cdvr don lng ea addl hr,,,2304.0,24872.68,24
CPT,0496U,Onc clrct cfdna 8/7 genes,,,,,0
CPT,0497U,Onc prst8 mrna rt-pcr 6genes,,,3873.0,7165.05,48
CPT,0498U,Onc clrct ngs mut detc 43gen,,,,,0
CPT,0499T,Cysto f/urtl strix/stenosis,,,1362.0,5595.0,3
CPT,0499U,Onc clrct&lng dna ngs 8genes,,,597.91,1106.13,48
CPT,0500T,Hpv 5+ hi risk hpv types,,,70.91,70.91,1
CPT,0500U,Autoinflam ds vexas synd dna,,,175.4,324.49,48
CPT,0501U,Onc clrc bld quan meas cfdna,,,,,0
CPT,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,64.92,48
CPT,0503U,Neuro alz ds bamyl&tau prtn,,,750.0,1387.5,48
CPT,0504U,Nfct ds uti id 17 path orgs,,,416.78,771.04,48
CPT,0505T,Ev fempop artl revsc,,,3923.0,20874.31,25
CPT,0505U,Nfct ds vag infctj id 32orgs,,,679.77,1257.57,48
CPT,0506T,Mac pgmt opt dns meas hfp,,,59.1,109.33,16
CPT,0506U,Gi barretts esophgl cell 89,,,1938.01,3585.32,48
CPT,0507T,Near ifr 2img mibmn glnd i&r,,,59.1,109.33,16
CPT,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,2146.0,48
CPT,0508U,Trnsplj med dd-cfdna 40 snps,,,,,0
CPT,0509T,Pattern erg w/i&r,,,20.08,573.18,76
CPT,0509U,Trnsplj med dd-cfdna<12 snps,,,,,0
CPT,0510T,Rmvl sinus tarsi implant,,,3133.0,6850.0,25
CPT,0510U,Onc pncrtc ca alg alys 16gen,,,,,0
CPT,0511T,Rmvl&rinsj sinus tarsi implt,,,3133.0,13149.29,25
CPT,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,5612.64,48
CPT,0512T,Esw integ wnd hlg 1st wnd,,,197.7,4275.0,26
CPT,0512U,Onc prst8 alys dgtz img msi,,,706.25,1306.56,48
CPT,0513T,Esw integ wnd hlg ea addl,,,1178.0,1473.0,5
CPT,0513U,Onc prst8 alg alys msi&hrd,,,706.25,1306.56,48
CPT,0514U,Gi ibd ia quan deter adl lvl,,,38.57,71.35,48
CPT,0515T,Insj wcs lv compl sys,,,3923.0,41316.17,25
CPT,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,71.35,48
CPT,0516T,Insj wcs lv eltrd only,,,3923.0,19263.28,25
CPT,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,771.04,48
CPT,0517T,Insj wcs lv both compnt pg,,,3923.0,19263.28,25
CPT,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,456.8,48
CPT,0518T,Rmvl pg wcs lv battery only,,,3620.96,6850.0,25
CPT,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,456.8,48
CPT,0519T,Rmv&rplcmt pg wcs lv both,,,3923.0,19263.28,25
CPT,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,456.8,48
CPT,0520T,Rmv&rplcmt pg wcs lv battery,,,3923.0,23455.0,25
CPT,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,456.8,48
CPT,0521T,Interrog dev eval wcs ip,,,24.37,45.09,16
CPT,0521U,Rf iga&igm ccp antb sr-a ia,,,,,0
CPT,0522T,Prgrmg dev eval wcs ip,,,37.1,68.64,16
CPT,0522U,Ca vi psp&sp1 antb cl semiql,,,,,0
CPT,0523T,Ntrapx c ffr w/3d funcjl map,,,1178.0,1473.0,5
CPT,0523U,Onc soltum dna ngs snv 22gen,,,,,0
CPT,0524T,Ev cath dir chem abltj w/img,,,3131.63,6850.0,25
CPT,0524U,Ob pe sflt-1/plgf ia srm/pls,,,,,0
CPT,0525T,Insj/rplcmt compl iims,,,6186.0,35103.83,25
CPT,0525U,Onc sphrd cell cul 11-rx pnl,,,,,0
CPT,0526T,Insj/rplcmt iims eltrd only,,,3923.0,15233.4,25
CPT,0526U,Nefro rnl trnspl quan cxcl10,,,,,0
CPT,0527T,Insj/rplcmt iims implt mntr,,,3923.0,15233.4,25
CPT,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,,,0
CPT,0528T,Prgrmg dev eval iims ip,,,37.1,68.64,16
CPT,0528U,Lrt iad 18bct/8vir&7arg rna,,,,,0
CPT,0529T,Interrog dev eval iims ip,,,37.1,68.64,16
CPT,0529U,Hem vte snp f2&f5 gen leiden,,,,,0
CPT,0530T,Removal complete iims,,,3133.0,6850.0,25
CPT,0530U,Onc pan-sol tum ctdna 77 gen,,,,,0
CPT,0531T,Removal iims electrode only,,,3133.0,6850.0,25
CPT,0531U,Nfct ds afb&inv fng 673orgs,,,,,0
CPT,0532T,Removal iims implt mntr only,,,3133.0,6850.0,25
CPT,0532U,Rare ds whlgen&mitochdrl dna,,,,,0
CPT,0533U,Rx metab advrs gnotyp 16gens,,,,,0
CPT,0534U,Onc prst8 mirna snp 32 vrnt,,,,,0
CPT,0535U,Pfas lc-ms/ms plsm/srm quan,,,,,0
CPT,0536U,Rbcag ftl rhd pcr alys exon4,,,,,0
CPT,0537T,Bld drv t lymphcyt car-t cll,,,3933.13,4275.0,3
CPT,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,2765.75,41
CPT,0538T,Bld drv t lymphcyt prep trns,,,3933.13,4275.0,3
CPT,0538U,Onc sol tum ngts ffpe 600gen,,,,,0
CPT,0539T,Receipt&prep car-t cll admn,,,3933.13,4275.0,3
CPT,0539U,Onc sol tumor cfctdna 152gen,,,,,0
CPT,0540T,Car-t cll admn autologous,,,248.89,4275.0,6
CPT,0540U,Trnsplj med quan dd-cfdna,,,,,0
CPT,0541T,Myocardial imaging mcg,,,527.93,976.66,17
CPT,0541U,Cv ds hdl rct cec lc-ms/ms 5,,,,,0
CPT,0542T,Myocardial imaging mcg i&r,,,42.44,42.44,1
CPT,0542U,Nefro renal trnspl ur nmr 84,,,,,0
CPT,0543T,Ta mv rpr w/artif chord tend,,,2304.0,24872.68,25
CPT,0543U,Onc sol tum ngs dna 517 gens,,,,,0
CPT,0544T,Tcat mv annulus rcnstj,,,2304.0,24872.68,25
CPT,0544U,Nefro trnsp mntr 48vrnt dpcr,,,,,0
CPT,0545T,Tcat tv annulus rcnstj,,,2304.0,24872.68,25
CPT,0545U,Achr antb id imfluor livecll,,,,,0
CPT,0546T,Rf spectrsc ntraop mrgn asmt,,,311.21,311.21,1
CPT,0546U,Ldns lrp4 antb imflr livecll,,,,,0
CPT,0547T,B1 matrl qual tst mcrind tib,,,587.09,6850.0,11
CPT,0547U,Neurflmnt lt chn cleia plsm,,,,,0
CPT,0548T,Tprnl balo cntnc dev bi,,,5555.0,9641.0,3
CPT,0548U,Gfap cleia plasma,,,,,0
CPT,0549T,Tprnl balo cntnc dev uni,,,5555.0,9641.0,3
CPT,0549U,Onc urthl dna mthyltd rt pcr,,,,,0
CPT,0550T,Tprnl balo cntnc dev rmvl ea,,,5555.0,9641.0,3
CPT,0550U,Onc prst8 elisa tot&free psa,,,,,0
CPT,0551T,Tprnl balo cntnc dev adjmt,,,50.0,5595.0,3
CPT,0551U,Tp ptau217 ult dgt prtn detj,,,,,0
CPT,0552T,Low-level laser therapy,,,1092.0,1871.0,2
CPT,0553T,Perq tcat iliac anast implt,,,2592.0,13887.5,7
CPT,0554T,B1 str & fx rsk analysis,,,113.69,240.02,8
CPT,0555T,B1 str&fx rsk transmis data,,,24.37,119.84,24
CPT,0556T,B1 str & fx rsk assessment,,,112.6,1116.25,24
CPT,0557T,B1 str & fx rsk i&r,,,84.98,187.39,8
CPT,0558T,Ct scan f/biomchn ct alys,,,87.6,609.4,22
CPT,0559T,Antmc mdl 3d print 1st cmpnt,,,39.67,270.04,24
CPT,0560T,Antmc mdl 3d print ea addl,,,74.79,74.79,1
CPT,0561T,Antmc guide 3d print 1st gd,,,59.1,270.04,24
CPT,0562T,Antmc guide 3d print ea addl,,,58.2,58.2,1
CPT,0563T,Evac meibomian glnd heat bi,,,50.0,4275.0,27
CPT,0564T,Onc chemo rx cytotox csc 14,,,59.36,89.83,4
CPT,0565T,Autol cell implt adps hrvg,,,50.0,4275.0,11
CPT,0566T,Autol cell implt adps njx,,,1092.0,4275.0,11
CPT,0567T,Perm flp tube occls w/implt,,,2592.0,8327.5,7
CPT,0568T,Intro mix saline&air f/ssg,,,1092.0,6850.0,9
CPT,0569T,Ttvr perq appr 1st prosth,,,2304.0,24872.68,25
CPT,0570T,Ttvr perq ea addl prosth,,,2304.0,24872.68,25
CPT,0571T,Insj/rplcmt icds ss eltrd,,,5978.0,59014.98,25
CPT,0572T,Insertion ss dfb electrode,,,3133.0,15233.4,25
CPT,0573T,Removal ss dfb electrode,,,3133.0,13887.5,25
CPT,0574T,Repos prev ss impl dfb eltrd,,,3133.0,13887.5,25
CPT,0575T,Prgrmg dev eval icds ss ip,,,37.1,68.64,16
CPT,0576T,Interrog dev eval icds ss ip,,,37.1,68.64,16
CPT,0577T,Ephys eval icds ss,,,1207.87,2234.56,16
CPT,0579T,Rem interrog dev icds tech,,,37.1,68.64,16
CPT,0580T,Rmvl ss impl dfb pg only,,,3133.0,13887.5,25
CPT,0581T,Abltj mal brst tum perq crtx,,,3213.0,7048.47,25
CPT,0582T,Trurl abltj mal prst8 tiss,,,2304.0,8327.5,9
CPT,0583T,Tmpst auto tube dlvr sys,,,1092.0,5612.5,27
CPT,0584T,Perq islet cell transplant,,,2304.0,24872.68,24
CPT,0585T,Laps islet cell transplant,,,2304.0,24872.68,24
CPT,0586T,Open islet cell transplant,,,2304.0,24872.68,24
CPT,0587T,Perq impltj/rplcmt isdns ptn,,,1092.0,12080.17,27
CPT,0588T,Revision/removal isdns ptn,,,50.0,6330.1,27
CPT,0589T,Elec alys smpl prgrmg iins,,,91.33,168.96,16
CPT,0590T,Elec alys cplx prgrmg iins,,,91.33,168.96,16
CPT,0594T,Osteot hum xtrnl lngth dev,,,3923.0,13149.29,25
CPT,0596T,Temp fml iu vlv-pmp 1st insj,,,664.1,4275.0,27
CPT,0597T,Temp fml iu valve-pmp rplcmt,,,664.1,4275.0,27
CPT,0598T,Ncntc r-t fluor wnd img 1st,,,209.79,1283.88,25
CPT,0599T,Ncntc r-t fluor wnd img ea,,,104.9,104.9,2
CPT,0600T,Ire Abltj 1+Tum Organ Perq,21903.0,21903.0,3241.64,17522.4,23
CPT,0600T,Ire abltj 1+tum organ perq,,,3923.0,19163.68,25
CPT,0601T,Ire abltj 1+tumors open,,,4312.0,19163.68,25
CPT,0602T,Transdermal gfr measurements,,,448.49,946.82,8
CPT,0603T,Transdermal gfr monitoring,,,1133.71,2393.38,8
CPT,0604T,Rem oct rta dev setup&educaj,,,49.86,576.41,8
CPT,0605T,Rem oct rta techl sprt min 8,,,85.57,1297.33,8
CPT,0606T,Rem oct rta phys/qhp ea 30d,,,64.62,136.42,8
CPT,0607T,Rem mntr pulm flu mntr setup,,,119.08,119.08,1
CPT,0608T,Rem mntr pulm flu mntr alys,,,1389.65,1389.65,1
CPT,0609T,Mrs disc pain acquisj data,,,240.5,1116.25,24
CPT,0610T,Mrs disc pain transmis data,,,455.17,455.17,1
CPT,0611T,Mrs disc pain alg alys data,,,161.02,1116.25,24
CPT,0612T,Mrs discogenic pain i&r,,,63.07,133.14,8
CPT,0613T,Perq tcat intratrl septl sht,,,2304.0,13887.5,9
CPT,0614T,Rmvl&rplcmt ss impl dfb pg,,,5018.0,41316.17,25
CPT,0615T,Auto alys binocular eye mvmt,,,128.25,243.76,17
CPT,0616T,Insertion of iris prosthesis,,,3335.0,23357.3,10
CPT,0617T,Insj iris prosth w/rmvl&insj,,,3335.0,23357.3,10
CPT,0618T,Insj iris prosth sec io lens,,,3335.0,23357.3,10
CPT,0619T,Cysto w/prst8 commissurotomy,,,3133.0,17021.0,27
CPT,0620T,Evasc Ven Artlz Tibl/Prnl Vn,53704.0,53704.0,7948.19,42963.2,23
CPT,0620T,Evasc ven artlz tibl/prnl vn,,,3923.0,64424.58,25
CPT,0621T,Trabeculostomy interno laser,,,2304.0,7404.78,25
CPT,0622T,Trabeculostomy int lsr w/scp,,,2304.0,5612.5,9
CPT,0623T,Auto quantification c plaque,,,442.2,442.2,1
CPT,0624T,Auto quan c plaq data prep,,,160.08,160.08,1
CPT,0625T,Auto quan c plaq cptr alys,,,85.15,1749.56,17
CPT,0626T,Auto quan c plaq i&r,,,199.83,199.83,1
CPT,0627T,Perq njx algc fluor lmbr 1st,,,2438.0,23683.65,25
CPT,0628T,Perq njx algc fluor lmbr ea,,,1178.0,2438.0,6
CPT,0629T,Perq njx algc ct lmbr 1st,,,2438.0,23683.65,25
CPT,0630T,Perq njx algc ct lmbr ea,,,1178.0,2438.0,6
CPT,0631T,Tc vis lit hyperspectral img,,,24.37,45.09,16
CPT,0632T,Perq tcat us abltj nrv p-art,,,7647.19,33052.5,25
CPT,0633T,Ct breast w/3d uni c-,,,105.81,785.72,25
CPT,0634T,Ct breast w/3d uni c+,,,177.12,866.54,25
CPT,0635T,Ct breast w/3d uni c-/c+,,,177.12,866.54,25
CPT,0636T,Ct breast w/3d bi c-,,,240.5,1116.25,25
CPT,0637T,Ct breast w/3d bi c+,,,355.33,1786.43,25
CPT,0638T,Ct breast w/3d bi c-/c+,,,355.33,1786.43,25
CPT,0639T,Wrls skn snr anisotropy meas,,,187.65,2438.0,8
CPT,0640T,Ncntc ifr spctrsc o/t pad 1,,,39.05,227.17,17
CPT,0643T,Tcat l ventr rstrj dev implt,,,2304.0,24872.68,25
CPT,0644T,Tcat rmvl/dblk icar mas perq,,,5672.78,11099.6,25
CPT,0645T,Tcat impltj c sins rdctj dev,,,6186.0,33052.5,25
CPT,0646T,Ttvi/rplcmt w/prstc vlv perq,,,2304.0,24872.68,25
CPT,0647T,Insj gtube perq mag gastrpxy,,,1887.43,5612.5,25
CPT,0648T,Quan MR Tis WO MRI 1orgn,2289.0,2289.0,338.77,1831.2,23
CPT,0648T,Quan mr tis wo mri 1orgn,,,945.71,4514.88,24
CPT,0649T,Quan MR Tiss W/MRI 1orgn,1315.6,1315.6,194.71,1052.48,23
CPT,0649T,Quan mr tiss w/mri 1orgn,,,945.71,2522.61,17
CPT,0650T,Prgrmg dev eval scrms remote,,,37.1,68.64,17
CPT,0651T,Mag ctrld capsule endoscopy,,,669.43,2880.0,22
CPT,0652T,Egd flx transnasal dx br/wa,,,1887.43,4275.0,25
CPT,0653T,Egd flx transnasal bx 1/mlt,,,1887.43,4275.0,25
CPT,0654T,Egd flx transnasal tube/cath,,,146.03,7002.91,53
CPT,0655T,Tprnl focal abltj mal prst8,,,2891.0,9357.3,25
CPT,0656T,Ant lmbr vrt bdy teth <7 seg,,,2304.0,24872.68,25
CPT,0657T,Ant lmbr vrt bdy teth 8+ seg,,,2304.0,24872.68,25
CPT,0658T,Elec impd spectrsc 1+skn les,,,59.1,270.04,24
CPT,0659T,Tcat intra-c nfs supersat o2,,,2304.0,24872.68,24
CPT,0660T,Implt ant sgm io nbio rx sys,,,2304.0,8327.5,25
CPT,0661T,Rmvl&rimpltj ant sgm implt,,,2304.0,8327.5,25
CPT,0662T,Scalp cool 1st meas&calbrj,,,1741.68,3222.11,16
CPT,0664T,Don hysterectomy open cdvr,,,2304.0,6850.0,9
CPT,0665T,Don hysterectomy open liv,,,2304.0,6850.0,9
CPT,0666T,Don hysterectomy laps liv,,,2304.0,6850.0,9
CPT,0667T,Don hysterectomy rcp uter,,,2304.0,6850.0,8
CPT,0668T,Bkbench prep don uter algrft,,,2304.0,6850.0,8
CPT,0669T,Bkbench rcnstj don uter ven,,,2304.0,6850.0,8
CPT,0670T,Bkbench rcnstj don uter artl,,,2304.0,6850.0,8
CPT,0671T,Insj ant sgm aq drg dev 1+,,,1593.11,9497.36,53
CPT,0672T,Ndovag cryg rf remdl tiss,,,2304.0,8327.5,9
CPT,0673T,Abltj b9 thyr ndul perq lasr,,,1612.07,5612.5,25
CPT,0674T,Laps insj nw/rpcmt prm isdss,,,2304.0,56092.0,24
CPT,0675T,Laps insj nw/rpcmt isdss 1ld,,,2304.0,22953.8,24
CPT,0676T,Laps insj nw/rpcmt isdss ea,,,2304.0,6850.0,9
CPT,0677T,Laps repos lead isdss 1st ld,,,2304.0,19163.68,24
CPT,0678T,Laps repos lead isdss ea add,,,2304.0,6850.0,9
CPT,0679T,Laps rmvl lead isdss,,,2304.0,19163.68,24
CPT,0680T,Insj/rplcmt pg only isdss,,,2304.0,39472.17,24
CPT,0681T,Rlcj pulse gen only isdss,,,2304.0,6850.0,24
CPT,0682T,Removal pulse gen only isdss,,,2304.0,6850.0,24
CPT,0683T,Prgrmg dev eval isdss ip,,,37.1,68.64,15
CPT,0685T,Interrog dev eval isdss ip,,,37.1,68.64,15
CPT,0686T,Histotripsy mal hepatcel tis,,,3923.0,59377.38,27
CPT,0689T,Quan us tis charac w/o dx us,,,87.6,392.4,23
CPT,0690T,Quan us tis charac w/dx us,,,172.79,172.79,1
CPT,0691T,Auto alys xst ct std vrt fx,,,19.06,40.23,8
CPT,0692T,Therapeutic ultrafiltration,,,584.43,3017.39,16
CPT,0693T,Compre ful bdy 3d mtn alys,,,348.73,1664.88,23
CPT,0694T,3d vol img&rcnstj brst/ax,,,86.15,86.15,1
CPT,0696T,Bdy surf mapg pm/cvdfb f/up,,,37.1,68.64,16
CPT,0697T,Quan mr tis wo mri mlt orgn,,,945.71,1749.56,21
CPT,0698T,Quan mr tiss w/mri mlt orgn,,,242.1,1749.56,17
CPT,0699T,Njx pst chmbr eye medication,,,2269.23,5612.5,24
CPT,0700T,Molec fluor img sus nev 1st,,,80.06,169.01,7
CPT,0701T,Molec fluor img sus nev ea,,,23.65,49.92,7
CPT,0707T,Njx b1 sub mtrl sbchdrl dfct,,,1076.99,6850.0,53
CPT,0708T,Id ca immntx prep & 1st njx,,,2304.0,2880.0,5
CPT,0709T,Id ca immntx each addl njx,,,2304.0,2880.0,5
CPT,0712T,N-nvs artl plaq alys quan,,,87.6,162.06,16
CPT,0714T,Tpla b9 prst8 hyprplsa<50ml,,,2891.0,9357.3,25
CPT,0716T,Car acous wavfrm rec cad rsk,,,59.1,1473.0,21
CPT,0717T,Adrc ther prtl rc tear,,,3133.0,6850.0,25
CPT,0718T,Adrc ther prtl rc tear njx,,,2438.0,6738.65,25
CPT,0719T,Pst vrt jt rplcmt lmbr 1 sgm,,,2304.0,6850.0,9
CPT,0720T,Prq elc nrv stim cn wo implt,,,1012.26,4275.0,24
CPT,0721T,Quan ct tiss charac w/o ct,,,647.22,3089.88,21
CPT,0722T,Quan ct tiss charac w/ct,,,647.22,1197.35,16
CPT,0723T,Qmrcp w/o dx mri sm anat ses,,,945.71,4514.88,21
CPT,0724T,Qmrcp w/dx mri same anatomy,,,945.71,1749.56,16
CPT,0725T,Vestibular dev impltj uni,,,2304.0,8327.5,9
CPT,0726T,Rmvl implt vstibular dev uni,,,2304.0,8327.5,9
CPT,0727T,Rmvl&rplcmt implt vstblr dev,,,2304.0,8327.5,9
CPT,0730T,Trabeculotomy lsr w/oct gdn,,,2304.0,5612.5,9
CPT,0731T,Augmnt ai-based fcl phnt a/r,,,59.1,109.33,16
CPT,0732T,Immntx admn electroporatn im,,,2304.0,2880.0,5
CPT,0733T,Rem r-t mtn nrehab ther sply,,,50.77,645.15,16
CPT,0735T,Prep tum cav iort prim crnot,,,1178.0,2438.0,6
CPT,0736T,Colonic lavage 35+l water,,,155.67,4275.0,25
CPT,0737T,Xenograft impltj artclr surf,,,2304.0,23683.65,25
CPT,0739T,Abltj mal prst8 mag fld ndct,,,2304.0,2891.0,6
CPT,0740T,Rem auton alg nsln cal setup,,,59.1,109.33,16
CPT,0741T,Rem auton alg nsln data coll,,,37.1,68.64,16
CPT,0743T,B1 str & fx rsk vrt fx assmt,,,240.5,543.87,18
CPT,0744T,Insj bioprostc vlv fem vn,,,5018.0,9950.14,25
CPT,0745T,Car ablt rad arr n-invas loc,,,648.84,2880.0,6
CPT,0746T,Car ablt rad arr cnv loc map,,,581.37,2880.0,6
CPT,0747T,Car ablt rad arrhyt dlvr rad,,,2304.0,2880.0,6
CPT,0748T,Njx stm cl prdct anl sft tis,,,2304.0,2880.0,6
CPT,0749T,B1 str&fx rsk assmt dxr-bmd,,,,,0
CPT,0750T,B1 str&fx rsk asmt dxrbmd1vw,,,,,0
CPT,0751T,Dgtz gls mcrscp sld level ii,,,,,0
CPT,0752T,Dgtz gls mcrscp sld lvl iii,,,,,0
CPT,0753T,Dgtz gls mcrscp sld level iv,,,,,0
CPT,0754T,Dgtz gls mcrscp sld level v,,,,,0
CPT,0755T,Dgtz gls mcrscp sld level vi,,,,,0
CPT,0756T,Dgtz gls mcrscp sld spc grpi,,,,,0
CPT,0757T,Dgtz gls mcrscp sl spc grpii,,,,,0
CPT,0758T,Dgtz gls mcrscp sl spc hchem,,,,,0
CPT,0759T,Dgtz gls mcrscp sl sp grpiii,,,,,0
CPT,0760T,Dgtz gls mcrscp sl imm 1st,,,,,0
CPT,0761T,Dgtz gls mcrscp sl imm ea 1,,,,,0
CPT,0762T,Dgtz gls mcrscp sl imm ea m,,,,,0
CPT,0763T,Dgtz gls mcrscp mphmtrc alys,,,,,0
CPT,0764T,Asstv alg ecg rsk asmt cncrt,,,128.25,237.27,15
CPT,0765T,Asstv alg ecg rsk asmt prev,,,128.25,237.27,15
CPT,0766T,Tc Mag Stimj Fcsd Lw Frq Emgnt Pls Pn 1st Nerve,369.0,369.0,54.61,295.2,23
CPT,0766T,Tc mag stimj pn 1st nerve,,,210.29,573.18,16
CPT,0767T,Add-on - Tc Mag Stimj Fcsd Lw Frq Emgnt Pls Pn Ea Add Nrv,184.0,184.0,27.23,147.2,23
CPT,0777T,R-t prs sensing edrl gdn sys,,,2438.0,2438.0,1
CPT,0778T,Smmg cncrnt appl imu snr,,,155.67,690.79,23
CPT,0779T,Gi myoelectrical actv study,,,527.93,976.66,16
CPT,0780T,Instlj fecal microbiota ssp,,,128.25,4275.0,25
CPT,0781T,Brnchsc rf dstrj pulm nrv bi,,,2304.0,11099.6,9
CPT,0782T,Brnchsc rf dstrj plm nrv uni,,,2304.0,11099.6,9
CPT,0783T,Tc auriculr neurostimulation,,,155.67,287.98,16
CPT,0784T,Ins/rplmt eltrd ra spi nstim,,,3133.0,22953.8,25
CPT,0785T,Revj/rmvl nea spi w/nstim,,,2438.0,6850.0,25
CPT,0786T,Insj/rplcmt prq ra sac nstim,,,3133.0,18339.15,10
CPT,0787T,Revj/rmvl nea sac w/nstim,,,2438.0,6850.0,25
CPT,0788T,Elec aly smp iins sp/sac nrv,,,91.33,168.96,16
CPT,0789T,Elec aly cpx iins sp/sac nrv,,,91.33,168.96,16
CPT,0790T,Revj rplcmt/rmvl vrt tethrg,,,2304.0,24872.68,24
CPT,0793T,Prq tcat thrm ablt nrv p-art,,,5978.0,33052.5,25
CPT,0794T,Pt spec alg rx-onc tx option,,,59.1,1473.0,21
CPT,0795T,Tcat ins 2chmbr ldls pm cmpl,,,5018.0,35103.83,25
CPT,0796T,Tcat ins 2chmbr ldls pm ra,,,3923.0,35103.83,25
CPT,0797T,Tcat ins 2chmbr ldls pm rv,,,3923.0,35103.83,25
CPT,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3131.63,6850.0,25
CPT,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3131.63,6850.0,25
CPT,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3131.63,6850.0,25
CPT,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,5978.0,35103.83,25
CPT,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,4312.0,35103.83,25
CPT,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,4312.0,35103.83,25
CPT,0804T,Prgrmg evl ldls pm 2chmbr ip,,,37.1,68.64,16
CPT,0805T,Tcat s&ivc prstc vl impl prq,,,2304.0,24872.68,25
CPT,0806T,Tcat s&ivc prstc vl impl opn,,,2304.0,24872.68,25
CPT,0807T,Pulm tiss vntj alys prev ct,,,309.83,690.79,23
CPT,0808T,Pulm tiss vntj alys w/ct,,,309.83,1330.29,23
CPT,0810T,Subrta njx rx agt w/vtrc,,,3933.13,7823.79,25
CPT,0811T,Rem mlt day uroflow setup,,,128.22,237.2,16
CPT,0812T,Rem mlt day uroflow dev sply,,,50.77,287.98,16
CPT,0813T,Egd vol adjmt bariatric balo,,,932.83,4275.0,25
CPT,0814T,Prq njx biod osteo matrl fem,,,2304.0,15725.0,9
CPT,0815T,Us rems b1 dns hips plvs/spi,,,,,0
CPT,0816T,Opn insj/rplcmt ins ptn subq,,,2891.0,39472.17,25
CPT,0817T,Opn insj/rplcmt ins ptn subf,,,2891.0,39472.17,25
CPT,0818T,Revj/rmvl ins ptn subq,,,2438.0,6850.0,25
CPT,0819T,Revj/rmvl ins ptn subf,,,2438.0,6850.0,25
CPT,0823T,Tcat ins 1chmbr ldls pm ra,,,5018.0,35103.83,25
CPT,0824T,Tcat rmv 1chmbr ldls pm ra,,,3131.63,6850.0,25
CPT,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,5018.0,35103.83,25
CPT,0826T,Prgrmg evl ldls pm 1chmbr ip,,,37.1,68.64,16
CPT,0827T,Dgtz gls mcrscp cytp smears,,,,,0
CPT,0828T,Dgtz gls mcrscp cytp smpl fl,,,,,0
CPT,0829T,Dgtz gls mcrscp cytp conctrj,,,,,0
CPT,0830T,Dgtz gls mcrscp cytp slctv,,,,,0
CPT,0831T,Dgtz gls mcrscp cytp c/v,,,,,0
CPT,0832T,Dgtz gls mcrscp cytp oth scr,,,,,0
CPT,0833T,Dgtz gls mcrscp cytp oth prp,,,,,0
CPT,0834T,Dgtz gls mcrscp cytp oth xtn,,,,,0
CPT,0835T,Dgtz gls mcrscp fna 1st ea,,,,,0
CPT,0836T,Dgtz gls mcrscp fna ea addl,,,,,0
CPT,0837T,Dgtz gls mcrscp fna i&r,,,,,0
CPT,0838T,Dgtz gls mcrscp cslt sld els,,,,,0
CPT,0839T,Dgtz gls mcrscp cslt mat prp,,,,,0
CPT,0840T,Dgtz gls mcrscp cslt compre,,,,,0
CPT,0841T,Dgtz gls mcrscp pth cslt 1st,,,,,0
CPT,0842T,Dgtz gls mcrscp pth cslt ea,,,,,0
CPT,0843T,Dgtz gls mcrscp cslt cyt 1st,,,,,0
CPT,0844T,Dgtz gls mcrscp cslt cyt ea,,,,,0
CPT,0845T,Dgtz gls mcrscp imfluor 1st,,,,,0
CPT,0846T,Dgtz gls mcrscp imfluor ea,,,,,0
CPT,0847T,Dgtz gls mcrscp xm arch tiss,,,,,0
CPT,0848T,Dgtz gls mcrscp ish 1st,,,,,0
CPT,0849T,Dgtz gls mcrscp ish ea adl 1,,,,,0
CPT,0850T,Dgtz gls mcrscp ish ea mult,,,,,0
CPT,0851T,Dgtz gls mcrscp mphmtrc 1st,,,,,0
CPT,0852T,Dgtz gls mcrscp mphmtrc ea 1,,,,,0
CPT,0853T,Dgtz gls mcrscp mphmtrc ea m,,,,,0
CPT,0854T,Dgtz gls mcrscp bld smr prph,,,,,0
CPT,0855T,Dgtz gls mcrscp b1 marow smr,,,,,0
CPT,0856T,Dgtz gls mcrscp electron mic,,,,,0
CPT,0857T,Opto-acoustic img breast uni,,,105.81,497.56,23
CPT,0860T,Ncntc ifr spctrsc scr pad,,,,,0
CPT,0861T,Rmvl pg wcs lv both compnt,,,3620.96,6850.0,25
CPT,0862T,Rlcj pg wcs lv battery only,,,1820.01,5612.5,25
CPT,0863T,Rlcj pg wcs lv trnsmtr only,,,1820.01,5612.5,25
CPT,0864T,Low ntsty eswt corpus cvrnsm,,,241.98,2438.0,17
CPT,0865T,Quan mri alys brn w/o dx mri,,,240.5,1108.98,21
CPT,0866T,Quan mri alys brn w/dx mri,,,240.5,1108.98,21
CPT,0867T,Tpla b9 prst8 hyprplsa>50ml,,,2891.0,9357.3,22
CPT,0868T,Hi-res gastric ep mapping,,,527.93,976.66,16
CPT,0869T,Njx b1 sub mtrl hw fixj aug,,,2891.0,5972.28,22
CPT,0870T,Imp subq prtl ascts pmp sys,,,2304.0,2891.0,6
CPT,0871T,Rplcmt subq prtl ascites pmp,,,2304.0,2891.0,6
CPT,0872T,Rplcmt ndwllg bldr&prtl cath,,,2304.0,2891.0,6
CPT,0873T,Revj subq prtl asct pmp sys,,,2304.0,2891.0,6
CPT,0874T,Rmvl pertl ascites pmp sys,,,2304.0,2880.0,6
CPT,0876T,Duplex scan hemo fstl lmtd,,,,,0
CPT,0877T,Augmnt alys ch ct ild w/o ct,,,647.22,1197.35,16
CPT,0878T,Augmnt alys ch ct ild w/ct,,,647.22,1197.35,16
CPT,0881T,Cryotherapy oral cavity,,,397.03,734.5,16
CPT,0882T,Intraop ther estim pn ue 1st,,,1178.0,2438.0,6
CPT,0883T,Intraop ther estim pn ue ea,,,1178.0,2438.0,6
CPT,0884T,Esphgsc flx 1st tndsc dilat,,,3133.0,10957.19,22
CPT,0885T,Colsc flx 1st tndsc dilat,,,3133.0,10957.19,22
CPT,0886T,Sgmdsc flx 1st tndsc dilat,,,2891.0,10957.19,22
CPT,0888T,Histotripsy mal renal tissue,,,3923.0,39376.13,20
CPT,0889T,Prsnlz trgt dvl arhfcmrigtbs,,,945.71,1749.56,16
CPT,0890T,Arhfcmrigtbs 1st tx day,,,3179.93,6903.46,16
CPT,0891T,Arhfcmrigtbs sbsq tx day,,,3179.93,6903.46,16
CPT,0892T,Arhfcmrigtbs sbsq per tx day,,,3179.93,6903.46,16
CPT,0893T,N-invas assmt bld oxygnation,,,59.1,109.33,16
CPT,0894T,Cannulation liver allograft,,,2304.0,24872.68,21
CPT,0895T,Connj lvr algrft prfu dev 1,,,11639.38,24872.68,16
CPT,0896T,Connj lvr algrft prfu dev ea,,,11639.38,24872.68,16
CPT,0897T,N-invas augmnt arrhyt alys,,,1012.26,1872.69,16
CPT,0898T,N-invas prst8 cancer est map,,,1012.26,1872.69,16
CPT,0901T,Plmt bone marrow smplg port,,,2304.0,2880.0,5
CPT,0902T,Qtc ntrvl augmnt alg aly ecg,,,128.25,237.27,15
CPT,0904T,Ecg alg 12 ld rdcd trcg only,,,59.1,109.33,15
CPT,0906T,Coms ther 1st appl<50 sq cm,,,197.7,365.75,15
CPT,0908T,Opn imp int nstm sys vgs nrv,,,2304.0,2880.0,5
CPT,0909T,Rplcmt int nstim sys vgs nrv,,,2304.0,2880.0,5
CPT,0910T,Rmvl int nstim sys vagus nrv,,,2304.0,2880.0,5
CPT,0913T,Prq tcat ther rx ntrac balo1,,,5672.78,10494.65,20
CPT,0914T,Prq tcat thr rx ntrc bal sep,,,1178.0,1473.0,5
CPT,0915T,Insj perm ccm-d sys pg&eltrd,,,18764.0,59014.98,20
CPT,0916T,Insj perm ccm-d sys pg only,,,18764.0,41316.17,20
CPT,0917T,Insj perm ccm-d sys 1 lead,,,8234.27,15233.4,20
CPT,0918T,Insj perm ccm-d sys dual ld,,,8234.27,15233.4,20
CPT,0919T,Rmvl perm ccm-d sys pg only,,,3620.96,6698.77,20
CPT,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3620.96,6698.77,20
CPT,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3620.96,6698.77,20
CPT,0922T,Rmvl perm ccm-d sys dual ld,,,3620.96,6698.77,20
CPT,0923T,Rmvl&rplcmt perm ccm-d pg,,,18764.0,41316.17,20
CPT,0924T,Rpos prv ccm-d trnsvns eltrd,,,615.15,2026.0,20
CPT,0925T,Rlcj skin pocket ccm-d pg,,,1820.01,3367.02,20
CPT,0926T,Prgrmg dev eval ccm-d ip,,,37.1,68.64,15
CPT,0927T,Interrog dev eval ccm-d ip,,,37.1,68.64,15
CPT,0929T,Rem interrog dev ccm-d tech,,,37.1,68.64,15
CPT,0930T,Ephys eval ccm-d ld 1st impl,,,1207.87,2880.0,20
CPT,0931T,Ephys eval ccm-d ld separate,,,1207.87,2880.0,20
CPT,0932T,N-invs det hrt fail aug echo,,,298.4,552.04,15
CPT,0933T,Tcat impl wrls l atr prs snr,,,3200.2,6860.0,20
CPT,0935T,Cysto w/rnl pel symp dnrvtj,,,2304.0,2880.0,5
CPT,0941T,Cysto flx ins&xpns urtl scaf,,,2304.0,2880.0,5
CPT,0942T,Cysto flx rmv&rplc urtl scaf,,,2304.0,2880.0,5
CPT,0943T,Cysto flx rmvl urtl scaffold,,,2304.0,2880.0,5
CPT,0944T,3d cntr simula trgt lvr les,,,240.5,543.87,18
CPT,0945T,Intraop assmt abnl tum tiss,,,2304.0,2880.0,5
CPT,0946T,Ortho impl mvmt alys pair ct,,,105.81,239.27,18
CPT,0947T,Mrgfus strtctc bl-br disrpj,,,,,0
CPT,0949T,Rem interrog dev ccm tech,,,37.1,68.64,14
CPT,0950T,Abltj b9 prst8 tissue hifu,,,9200.54,17021.0,14
CPT,0956T,Prt crn ch cr&tun elt s-sclp,,,22387.1,41416.14,14
CPT,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1592.35,2945.84,14
CPT,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3228.26,5972.28,14
CPT,0959T,Rmv/rplc magnet coil assem,,,1612.07,2982.33,14
CPT,0960T,Rpl s-sclp eltr ra rcvr&tlmt,,,22387.1,41416.14,14
CPT,0962T,Asstv alg alys acous&ecg rec,,,128.25,237.27,14
CPT,0963T,Anosc sbmcsl njx bulking agt,,,1173.14,2170.31,14
CPT,0964T,I&cust prep jaw xpnsj 1arch,,,3226.72,5969.44,14
CPT,0965T,I&cst prp jw xpn dl arch non,,,3226.72,5969.44,14
CPT,0966T,I&cst prp jw xpn dl arch fxd,,,3226.72,5969.44,14
CPT,0967T,Tranal ins tmp clrc anst dev,,,1173.14,2170.31,14
CPT,0970T,Ablt b9 brst tum perq lsr ea,,,3809.98,7048.47,14
CPT,0971T,Ablt mal brst tum pq lsr uni,,,3809.98,7048.47,14
CPT,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,397.52,735.41,14
CPT,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,397.52,735.41,14
CPT,0977T,Upr gi bld detcj snr capsule,,,932.83,1725.74,14
CPT,0981T,Tcat impl wrls ivc snr,,,17866.22,33052.5,14
CPT,0982T,Rem mntr impl ivc snr set-up,,,128.22,237.2,14
CPT,0983T,Rem mntr impl ivc snr phys,,,37.1,68.64,14
CPT,10004,Fna Bx W/O Img Gdn Ea Addl,1098.25,1098.25,162.54,878.6,23
CPT,10004,Fna bx w/o img gdn ea addl,,,38.39,2438.0,44
CPT,10005,Fna Bx W/ US Guide 1st Lesion,5362.0,5362.0,793.58,4289.6,23
CPT,10005,Fna bx w/us gdn 1st les,,,64.41,4275.0,64
CPT,10006,Fna Bx W/ US Guide Ea Addtl,1713.0,1713.0,253.52,1370.4,23
CPT,10006,Fna bx w/us gdn ea addl,,,43.86,2438.0,44
CPT,10007,Fna Bx W/ Fluoro Guide 1st Lesion,3933.13,3933.13,582.1,3146.5,23
CPT,10007,Fna bx w/fluor gdn 1st les,,,82.81,4275.0,64
CPT,10008,Fna Bx W/ Fluoro Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CPT,10008,Fna bx w/fluor gdn ea addl,,,50.78,2438.0,44
CPT,10009,Fna Bx W/ CT Guide 1st Lesion,4224.0,4224.0,625.15,3379.2,23
CPT,10009,Fna bx w/ct gdn 1st les,,,100.27,4275.0,64
CPT,10010,Fna Bx W/ CT Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CPT,10010,Fna bx w/ct gdn ea addl,,,70.39,2438.0,44
CPT,10011,Fna Bx W/ MR Guide 1st Lesion,2648.45,2648.45,391.97,2118.76,23
CPT,10011,Fna bx w/mr gdn 1st les,,,700.04,4275.0,27
CPT,10012,Fna Bx W/ MR Guide Ea Addtl,903.9,903.9,133.78,723.12,23
CPT,10012,Fna bx w/mr gdn ea addl,,,1178.0,2438.0,6
CPT,10021,Fna Bx W/O Img Gdn 1st Les,2041.25,2041.25,302.1,1633.0,23
CPT,10021,Fna bx w/o img gdn 1st les,,,50.0,4275.0,63
CPT,10022,Fna w/image,,,2150.0,5595.0,2
CPT,10030,Img gid flu coll drg sft tis,,,50.0,4275.0,64
CPT,10030,Perq Image-Guided Catheter Fluid Collection,3933.13,3933.13,582.1,3146.5,23
CPT,10035,Placement of Soft Tissue Localization Device; 1st,2811.75,2811.75,416.14,2249.4,23
CPT,10035,Plmt sft tiss loclzj dev 1st,,,75.57,4275.0,64
CPT,10036,Placement of Soft Tissue Localization Device; Each,2445.0,2445.0,361.86,1956.0,23
CPT,10036,Plmt sft tiss loclzj dev ea,,,38.08,2438.0,45
CPT,10040,Acne Surgery,2041.25,2041.25,302.1,1633.0,23
CPT,10040,Acne surgery,,,40.66,4275.0,63
CPT,10060,I&D Abscess Simple/Single,2796.8,2796.8,413.93,2237.44,23
CPT,10060,I&d abscess simple/single,,,50.0,4275.0,64
CPT,10061,I&D Abscess Complex/Multiple,3588.0,3588.0,531.02,2870.4,23
CPT,10061,I&d abscess comp/multiple,,,97.24,4275.0,64
CPT,10080,I&D Pilonidal Cyst Simple,3505.2,3505.2,518.77,2804.16,23
CPT,10080,I&d pilonidal cyst simple,,,50.0,4275.0,64
CPT,10081,I&D Pilonidal Cyst Complex,6475.0,6475.0,958.3,5180.0,23
CPT,10081,I&d pilonidal cyst comp,,,50.0,4275.0,64
CPT,10120,Inc&rmvl fb subq tiss smpl,,,50.0,4275.0,64
CPT,10120,Remove FB Subq Simple,3933.13,3933.13,582.1,3146.5,23
CPT,10121,Inc&rmvl fb subq tiss comp,,,120.7,5612.5,64
CPT,10121,Remove FB Subq Complex,12057.75,12057.75,1784.55,9646.2,23
CPT,10140,I&D Abscess Hematoma/Fluid,10551.25,10551.25,1561.58,8441.0,23
CPT,10140,I&d hmtma seroma/fluid collj,,,50.0,5612.5,64
CPT,10160,Pnxr aspir absc hmtma bulla,,,50.0,4275.0,64
CPT,10160,Punc Asp Abscess/Cyst/Hematoma,2226.4,2226.4,329.51,1781.12,23
CPT,10180,I&D Complex Post OP Wound Inf,9396.0,9396.0,1390.61,7516.8,23
CPT,10180,I&d complex po wound infctj,,,93.34,6850.0,64
CPT,11000,Dbrdmt ecz/infected skin<10%,,,26.03,4275.0,64
CPT,11000,Debride Skin,4330.0,4330.0,640.84,3464.0,23
CPT,11001,Dbrdmt ecz/infct skn ea addl,,,14.11,2438.0,45
CPT,11004,Dbrdmt skin xtrnl gent&per,,,488.5,24872.68,60
CPT,11005,Dbrdmt skin abdominal wall,,,665.92,24872.68,60
CPT,11006,Dbrdmt skin xtrnl gent per,,,614.5,24872.68,60
CPT,11008,Rmv prstc mtrl/mesh abd wall,,,250.17,24872.68,60
CPT,11010,Debride skin at fx site,,,199.38,4275.0,64
CPT,11011,Debride skin musc at fx site,,,291.85,4275.0,64
CPT,11012,Deb Skin Bone at Fx Site,7728.0,7728.0,1143.74,6182.4,23
CPT,11012,Deb skin bone at fx site,,,408.37,6850.0,64
CPT,11042,Dbrdmt subq tis 1st 20sqcm/<,,,50.39,4275.0,64
CPT,11042,Debride Skin & Subcutaneous,2497.8,2497.8,369.67,1998.24,23
CPT,11043,Dbrdmt musc&/fsca 1st 20/<,,,134.21,4275.0,64
CPT,11043,Debride Skin/Sq/Muscle,7864.85,7864.85,1164.0,6291.88,23
CPT,11044,Dbrdmt bone 1st 20 sq cm/<,,,182.12,5612.5,64
CPT,11044,Debride Bone,12742.0,12742.0,1885.82,10193.6,23
CPT,11045,Dbrdmt subq tiss each addl,,,15.1,2438.0,45
CPT,11045,Excl Debride- Subq > 20sq Cm,4372.3,4372.3,647.1,3497.84,23
CPT,11046,Dbrdmt musc&/fsca ea addl,,,32.0,2438.0,45
CPT,11046,Excl Debride- Muscle > 20sq Cm,4889.8,4889.8,723.69,3911.84,23
CPT,11047,Dbrdmt bone each addl,,,55.68,2438.0,45
CPT,11055,"Pare Wart/Callus/Hyperkaratotic Lesion, Single",2041.25,2041.25,302.1,1633.0,23
CPT,11055,Paring/cutg b9 hyprker les 1,,,13.17,4275.0,64
CPT,11056,"Pare Wart/Callus, 2-4 Lesions",2041.25,2041.25,302.1,1633.0,23
CPT,11056,Parng/cutg b9 hyprkr les 2-4,,,18.5,4275.0,64
CPT,11057,"Pare Wart/Callus, >4 Lesions",2041.25,2041.25,302.1,1633.0,23
CPT,11057,Parng/cutg b9 hyprkr les >4,,,22.25,4275.0,64
CPT,11100,Biopsy skin lesion,,,1750.0,5595.0,2
CPT,11101,Biopsy skin add-on,,,1750.0,5595.0,2
CPT,11102,Tangential (Shave) Bx Skin; 1st Lesion,1877.95,1877.95,277.94,1502.36,23
CPT,11102,Tangntl bx skin single les,,,34.98,4275.0,64
CPT,11103,Tangential (Shave) Bx Skin; Ea Addtl,1035.0,1035.0,153.18,828.0,23
CPT,11103,Tangntl bx skin ea sep/addl,,,20.25,2438.0,44
CPT,11104,Punch Bx Skin; 1st Lesion,1877.95,1877.95,277.94,1502.36,23
CPT,11104,Punch bx skin single lesion,,,43.87,4275.0,64
CPT,11105,Punch Bx Skin; Ea Addtl,652.05,652.05,96.5,521.64,23
CPT,11105,Punch bx skin ea sep/addl,,,23.93,2438.0,44
CPT,11106,Incal bx skn single les,,,53.4,4275.0,64
CPT,11106,Incisional (Wedge) Bx Skin; 1st Lesion,3340.75,3340.75,494.43,2672.6,23
CPT,11107,Incal bx skn ea sep/addl,,,28.53,2438.0,44
CPT,11107,Incisional (Wedge) Bx Skin; Ea Addtl,517.5,517.5,76.59,414.0,23
CPT,11200,Removal of Skin Tags (1-15),2041.25,2041.25,302.1,1633.0,23
CPT,11200,Rmvl skin tags up to&inc 15,,,34.16,4275.0,64
CPT,11201,Removal of Skin Tags;Ea Add 10,1775.0,1775.0,262.7,1420.0,23
CPT,11201,Rmvl skin tags ea addl 10,,,13.16,1750.0,44
CPT,11300,Shave Les Trunk Arm Leg <0.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,11300,Shave skin lesion 0.5 cm/<,,,25.11,4275.0,63
CPT,11301,Shave skin lesion 0.6-1.0 cm,,,31.04,4275.0,63
CPT,11302,Shave skin lesion 1.1-2.0 cm,,,31.04,4275.0,63
CPT,11303,Shave Trunk Arm Leg >2.0cm,2041.25,2041.25,302.1,1633.0,23
CPT,11303,Shave skin lesion >2.0 cm,,,50.0,4275.0,63
CPT,11305,Shave skin lesion 0.5 cm/<,,,31.04,4275.0,63
CPT,11306,Shave Scalp/Neck/Hnd/Ft 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CPT,11306,Shave skin lesion 0.6-1.0 cm,,,31.04,4275.0,63
CPT,11307,Shave skin lesion 1.1-2.0 cm,,,50.0,4275.0,63
CPT,11308,Shave Scalp/Neck/Hnd/Feet >2.0,2041.25,2041.25,302.1,1633.0,23
CPT,11308,Shave skin lesion >2.0 cm,,,50.0,4275.0,63
CPT,11310,Shave skin lesion 0.5 cm/<,,,35.48,4275.0,63
CPT,11311,Shave skin lesion 0.6-1.0 cm,,,49.91,4275.0,63
CPT,11312,Shave skin lesion 1.1-2.0 cm,,,50.0,4275.0,63
CPT,11313,Shave skin lesion >2.0 cm,,,50.0,4275.0,63
CPT,1140,Anesth amputation at pelvis,,,11639.38,24872.68,16
CPT,11400,Exc Benign Lesion T/a/L 0.5 Cm/<,3933.13,3933.13,582.1,3146.5,23
CPT,11400,Exc tr-ext b9+marg 0.5 cm<,,,46.46,4275.0,64
CPT,11401,Exc Benign Lesion T/a/L 0.6-1.0 Cm,5352.1,5352.1,792.11,4281.68,23
CPT,11401,Exc tr-ext b9+marg 0.6-1 cm,,,63.96,4275.0,64
CPT,11402,Exc Benign Lesion T/a/L 1.1-2.0 Cm,5352.1,5352.1,792.11,4281.68,23
CPT,11402,Exc tr-ext b9+marg 1.1-2 cm,,,76.51,4275.0,64
CPT,11403,Exc Benign Lesion T/a/L 2.1-3.0 Cm,7297.9,7297.9,1080.09,5838.32,23
CPT,11403,Exc tr-ext b9+marg 2.1-3cm,,,91.85,4275.0,64
CPT,11404,Exc Benign Lesion T/a/L 3.1-4.0 Cm,10505.0,10505.0,1554.74,8404.0,23
CPT,11404,Exc tr-ext b9+marg 3.1-4 cm,,,104.67,5612.5,64
CPT,11406,Exc tr-ext b9+marg >4.0 cm,,,141.14,5612.5,64
CPT,11406,"Exc, Benign,>4.0 Cm, T/a/L",7435.9,7435.9,1100.51,5948.72,23
CPT,11420,Exc Benign Scalp Genit Hand Ft,3854.8,3854.8,570.51,3083.84,23
CPT,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,52.07,5612.5,64
CPT,11421,Exc Benign Scalp Genit Hnd Ft,6934.5,6934.5,1026.31,5547.6,23
CPT,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,72.74,4275.0,64
CPT,11422,Exc Ben Scal Gent Hd Ft Neck,8214.45,8214.45,1215.74,6571.56,23
CPT,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,83.09,5612.5,64
CPT,11423,Exc Beng Scp Gent Hd Ft Nk,7935.75,7935.75,1174.49,6348.6,23
CPT,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,103.75,5612.5,64
CPT,11424,"Exc Beng Sc, Genit Hd Ft Neck",11157.3,11157.3,1651.28,8925.84,23
CPT,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,122.19,5612.5,64
CPT,11426,Exc h-f-nk-sp b9+marg >4 cm,,,173.1,6850.0,64
CPT,11426,"Exc,Benign,>4.0 Cm,Sclp/H/F",10870.0,10870.0,1608.76,8696.0,23
CPT,11440,Exc Benign Face Ear Nose Muc,2501.25,2501.25,370.18,2001.0,23
CPT,11440,Exc face-mm b9+marg 0.5 cm/<,,,59.04,4275.0,64
CPT,11441,Exc Benign Face Ear Nose Muc,6147.9,6147.9,909.89,4918.32,23
CPT,11441,Exc face-mm b9+marg 0.6-1 cm,,,78.76,4275.0,64
CPT,11442,Exc face-mm b9+marg 1.1-2 cm,,,91.62,4275.0,64
CPT,11442,"Exc, Beng Fc, ER,Nos,Muc 1.1-2",7465.8,7465.8,1104.94,5972.64,23
CPT,11443,Exc Benign Lesion F/E/E/N/L/M 2.1-3.0cm,9994.0,9994.0,1479.11,7995.2,23
CPT,11443,Exc face-mm b9+marg 2.1-3 cm,,,120.11,5612.5,64
CPT,11444,Exc Benign Lesion F/E/E/N/L/M 3.1-4.0cm,6648.0,6648.0,983.9,5318.4,23
CPT,11444,Exc face-mm b9+marg 3.1-4 cm,,,157.86,5612.5,64
CPT,11446,"Exc Benign,>4.0 Cm,F/E/Mem",15310.0,15310.0,2265.88,12248.0,23
CPT,11446,Exc face-mm b9+marg >4 cm,,,196.44,6850.0,64
CPT,11450,Exc skn hdrdnt ax smpl/ntrm,,,143.49,6850.0,100
CPT,11450,Removal Sweat Gland Lesion,9969.0,9969.0,1475.41,7975.2,23
CPT,11451,Exc skn hdrdnt ax complex,,,186.19,6850.0,100
CPT,11451,Excision Hidradenitis Axillary Complex Repair,10479.0,10479.0,1550.89,8383.2,23
CPT,11462,Exc skn hdrdnt ing smpl/ntrm,,,134.55,6850.0,100
CPT,11462,Excision Hidradenitis Inguinal Simple/Interm,7409.0,7409.0,1096.53,5927.2,23
CPT,11463,Exc skn hdrdnt ing complex,,,179.55,6850.0,100
CPT,11463,Excision Hidradenitis Inguinal Complex Repair,8549.0,8549.0,1265.25,6839.2,23
CPT,11470,Exc skn h/p/p/u smpl/ntrm,,,163.07,6850.0,64
CPT,11470,Excision H/P/P/U Simple/Intermediate Repair,11463.0,11463.0,1696.52,9170.4,23
CPT,11471,Exc skn h/p/p/u complex,,,198.79,6850.0,64
CPT,11471,Excision H/P/P/U Complex Repair,8549.0,8549.0,1265.25,6839.2,23
CPT,1150,Anesth pelvic tumor surgery,,,11639.38,24872.68,16
CPT,11600,Exc Tr-Emt Mlg+Marg 0.5<Cm,3933.13,3933.13,582.1,3146.5,23
CPT,11600,Exc tr-ext mal+marg 0.5 cm/<,,,71.93,4275.0,64
CPT,11601,Exc tr-ext mal+marg 0.6-1 cm,,,92.9,4275.0,64
CPT,11601,"Exc.Malig,Tr/a/L,0.6-1.0cm",3855.95,3855.95,570.68,3084.76,23
CPT,11602,Exc tr-ext mal+marg 1.1-2 cm,,,104.92,4275.0,64
CPT,11602,"Exc.Malig,Tr/a/L,1.1-2.0cm",4434.0,4434.0,656.23,3547.2,23
CPT,11603,Exc tr-ext mal+marg 2.1-3 cm,,,119.03,4275.0,64
CPT,11603,"Exc.Malig Tr/a/L,2.1-3.0cm",7539.4,7539.4,1115.83,6031.52,23
CPT,11604,Exc Malign Tr Arm Leg 3.1-4.0,6592.0,6592.0,975.62,5273.6,23
CPT,11604,Exc tr-ext mal+marg 3.1-4 cm,,,131.25,4275.0,64
CPT,11606,"Exc Malig>4.0 Cm,Trnk/a/L",6817.2,6817.2,1008.95,5453.76,23
CPT,11606,Exc tr-ext mal+marg >4 cm,,,180.6,5612.5,64
CPT,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,72.0,5612.5,64
CPT,11621,"Exc Malign Scap Gent Hd,Ft Nk",3933.13,3933.13,582.1,3146.5,23
CPT,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,99.59,4275.0,64
CPT,11622,Exc Malignant Lesion S/N/H/F/G 1.1-2.0 Cm,6934.5,6934.5,1026.31,5547.6,23
CPT,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,119.39,4275.0,64
CPT,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,50.0,5612.5,64
CPT,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,172.63,5612.5,64
CPT,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,213.46,6850.0,64
CPT,11640,Exc Malignant Lesion F/E/E/N/L 0.5 Cm/<,4185.0,4185.0,619.38,3348.0,23
CPT,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,83.34,4275.0,64
CPT,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,122.38,4275.0,64
CPT,11642,Exc Malignant Lesion F/E/E/N/L 1.1-2.0 Cm,6030.0,6030.0,892.44,4824.0,23
CPT,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,142.7,4275.0,64
CPT,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,174.99,5612.5,64
CPT,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,217.68,5612.5,64
CPT,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,282.57,6850.0,64
CPT,11719,Trim nail(s) any number,,,6.61,4275.0,63
CPT,11719,Trim of Nondystrophic Nail(S) Any,2041.25,2041.25,302.1,1633.0,23
CPT,11720,Debride nail 1-5,,,14.03,4275.0,64
CPT,11720,Debridement Nail(S) 1-5,2041.25,2041.25,302.1,1633.0,23
CPT,11721,Debride Nails 6/>,2041.25,2041.25,302.1,1633.0,23
CPT,11721,Debride nail 6 or more,,,23.12,4275.0,64
CPT,11730,Avulsion Nail Plate Partial/Complete Simple 1st,2041.25,2041.25,302.1,1633.0,23
CPT,11730,Removal of nail plate,,,48.51,4275.0,64
CPT,11732,Avulsion Nail Plate Partial/Complete Simple Ea Addl,2041.25,2041.25,302.1,1633.0,23
CPT,11732,Remove nail plate add-on,,,16.29,2438.0,45
CPT,11740,Drain blood from under nail,,,18.19,4275.0,64
CPT,11740,I&D Subungual Hematoma,2041.25,2041.25,302.1,1633.0,23
CPT,11750,Excision Nail Matrix Permanent Removal,7257.65,7257.65,1074.13,5806.12,23
CPT,11750,Removal of nail bed,,,79.77,4275.0,64
CPT,11752,Remove nail bed/finger tip,,,5595.0,5595.0,1
CPT,11755,Biopsy nail unit,,,58.92,4275.0,64
CPT,11755,Biopsy of Nail Unit,2501.25,2501.25,370.18,2001.0,23
CPT,11760,Repair of Nail Bed,2594.4,2594.4,383.97,2075.52,23
CPT,11760,Repair of nail bed,,,50.0,4275.0,64
CPT,11762,Reconstruction of nail bed,,,50.0,5612.5,64
CPT,11765,Excision of nail fold toe,,,34.2,4275.0,64
CPT,11765,Wedge Excision Skin Nail Fold,2041.25,2041.25,302.1,1633.0,23
CPT,11770,Remove pilonidal cyst simple,,,145.1,6850.0,64
CPT,11771,Remove pilonidal cyst exten,,,252.11,6850.0,64
CPT,11772,Remove pilonidal cyst compl,,,297.04,6850.0,64
CPT,11900,Inject skin lesions </w 7,,,22.56,4275.0,64
CPT,11900,Intralesional Inj Up to 7 Les,2041.25,2041.25,302.1,1633.0,23
CPT,11901,Inject skin lesions >7,,,35.12,4275.0,64
CPT,11901,Injection Intralesional >7 Lesions,2041.25,2041.25,302.1,1633.0,23
CPT,11920,Correct skin color 6.0 cm/<,,,50.0,4275.0,64
CPT,11921,Correct skn color 6.1-20.0cm,,,50.0,4275.0,64
CPT,11922,Correct skin color ea 20.0cm,,,27.32,2438.0,45
CPT,11950,Tx contour defects 1 cc/<,,,50.0,4275.0,57
CPT,11951,Tx contour defects 1.1-5.0cc,,,50.0,4275.0,57
CPT,11952,Saline Injection < 10.0cc,2501.25,2501.25,370.18,2001.0,23
CPT,11952,Tx contour defects 5.1-10cc,,,50.0,4275.0,57
CPT,11954,Tx contour defects >10.0 cc,,,50.0,4275.0,57
CPT,11960,Insert tissue expander(s),,,421.2,6850.0,63
CPT,11970,Rplcmt tiss xpndr perm implt,,,321.01,13149.29,99
CPT,11971,Rmvl tis xpndr wo insj implt,,,143.22,6850.0,100
CPT,11976,Remove contraceptive capsule,,,90.41,4275.0,64
CPT,11980,Implant hormone pellet(s),,,50.0,4275.0,64
CPT,11981,"Insert,Implant Contraceptive",5960.0,5960.0,882.08,4768.0,23
CPT,11981,Insertion drug dlvr implant,,,50.0,4275.0,64
CPT,11982,Remove Drug Implant Contraceptive,8837.4,8837.4,1307.94,7069.92,23
CPT,11982,Remove drug implant device,,,50.0,4275.0,64
CPT,11983,Remove With Reinsertion of Drug Implant,2041.25,2041.25,302.1,1633.0,23
CPT,11983,Remove/insert drug implant,,,50.0,4275.0,64
CPT,12001,Lac Repr Sclp Nck Hnd Ft <2.6c,2041.25,2041.25,302.1,1633.0,23
CPT,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,43.97,4275.0,64
CPT,12002,Lac Repr Sclp Nck Hnd Ft 2.6-7,2041.25,2041.25,302.1,1633.0,23
CPT,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,50.0,4275.0,63
CPT,12004,Rep Sc/Nk/Ax/Gen/Tk 7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,50.0,4275.0,64
CPT,12005,Rep Sc/Nk/Ax/Gen/ 12.6-20.0 Cm,2041.25,2041.25,302.1,1633.0,23
CPT,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,92.79,4275.0,64
CPT,12006,Rep Sc/Nk/Ax/Gen/ 20.1-30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CPT,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,114.9,4275.0,64
CPT,12007,Rep Sc/Nk/Ax/Gen/Tk > 30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CPT,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,142.42,4275.0,64
CPT,12011,Lac Rep.Fac/Ear/Lid/Nose<2.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,50.0,4275.0,63
CPT,12013,Lac Repr Fce Ear Eye Lp 2.6-5.,2041.25,2041.25,302.1,1633.0,23
CPT,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,50.0,4275.0,63
CPT,12014,Lac Repr Fce Ear Eye Lp 5.1-7.,2041.25,2041.25,302.1,1633.0,23
CPT,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,50.0,4275.0,64
CPT,12015,Lac Rep Fce Ear Eye Lp 7.6-12.,2041.25,2041.25,302.1,1633.0,23
CPT,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,50.0,4275.0,64
CPT,12016,Lac Rep Fce Ear Eye Lp12.6-20.,2041.25,2041.25,302.1,1633.0,23
CPT,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,125.46,4275.0,64
CPT,12017,Rp Si Fa Ear Nos Lip 20.1-30.0,2041.25,2041.25,302.1,1633.0,23
CPT,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,151.5,4275.0,64
CPT,12018,Rpr f/e/e/n/l/m >30.0 cm,,,27.46,4275.0,64
CPT,12018,Simple Repair F/E/E/N/L/M >30.0 Cm,2041.25,2041.25,302.1,1633.0,23
CPT,12020,Tx supfc wnd dehsn smpl clsr,,,120.77,4275.0,64
CPT,12020,Wound Dehiscence Simple Closur,3627.0,3627.0,357.86,3868.8,46
CPT,12021,Packing of Wound Dehisience,2168.9,2168.9,321.0,1735.12,23
CPT,12021,Tx supfc wnd dehsn w/packing,,,83.78,4275.0,64
CPT,12031,Int Rep Sclp Trnk Extrm <2.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,50.0,4275.0,64
CPT,12032,Int Rep Sclp Trk Ext 2.6-7.5cm,2891.1,2891.1,427.88,2312.88,23
CPT,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,50.0,4275.0,64
CPT,12034,Int Rep Sclp Trk Ext7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,12034,Intmd rpr s/tr/ext 7.6-12.5,,,137.45,4275.0,64
CPT,12035,Int Rep Sclp Trk Extrm12.6-20.,2567.95,2567.95,380.06,2054.36,23
CPT,12035,Intmd rpr s/a/t/ext 12.6-20,,,158.22,4275.0,64
CPT,12036,Int Rep S/Tr/Ext/20.1-30.0cm,3084.3,3084.3,456.48,2467.44,23
CPT,12036,Intmd rpr s/a/t/ext 20.1-30,,,205.3,4275.0,64
CPT,12037,Intmd Wnd Repair S/Tr/Ext,3510.95,3510.95,519.62,2808.76,23
CPT,12037,Intmd rpr s/tr/ext >30.0 cm,,,235.3,5612.5,64
CPT,12041,Int Repr N-Hf/Genit <2.6cm,2041.25,2041.25,302.1,1633.0,23
CPT,12041,Intmd rpr n-hf/genit 2.5cm/<,,,50.0,4275.0,64
CPT,12042,Int Repr Nck Hnd Ft 2.6-7.5 Cm,2041.25,2041.25,302.1,1633.0,23
CPT,12042,Intmd rpr n-hf/genit2.6-7.5,,,50.0,4275.0,64
CPT,12044,Int Repr Nck Hnd Ft 7.6-12.5cm,2041.25,2041.25,302.1,1633.0,23
CPT,12044,Intmd rpr n-hf/genit7.6-12.5,,,145.71,4275.0,64
CPT,12045,Int Rep Nck Hnd Ft 12.6-20.0cm,2643.85,2643.85,391.29,2115.08,23
CPT,12045,Intmd rpr n-hf/genit12.6-20,,,170.89,4275.0,64
CPT,12046,Intmd rpr n-hf/genit20.1-30,,,217.02,4275.0,64
CPT,12047,Intmd rpr n-hf/genit >30.0cm,,,49.52,5612.5,100
CPT,12051,Int Repr Fce Ear Eye Lp<2.5cm,3095.8,3095.8,458.18,2476.64,23
CPT,12051,Intmd rpr face/mm 2.5 cm/<,,,50.0,4275.0,64
CPT,12052,Int Repr F/E/L/Mm 2.6-5.0cm,2112.55,2112.55,312.66,1690.04,23
CPT,12052,Intmd rpr face/mm 2.6-5.0 cm,,,50.0,4275.0,64
CPT,12053,Int Wnd Repr Face/Mm 5.1-7.5cm,2482.85,2482.85,367.46,1986.28,23
CPT,12053,Intmd rpr face/mm 5.1-7.5 cm,,,50.0,4275.0,64
CPT,12054,Int Rep Fce Ear Lp 7.6-12.5 Cm,3302.8,3302.8,488.81,2642.24,23
CPT,12054,Intmd rpr face/mm 7.6-12.5cm,,,172.1,4275.0,64
CPT,12055,Intmd rpr face/mm 12.6-20 cm,,,217.36,4275.0,64
CPT,12055,Rep Int Fce Ear Lp 12.6-20.0cm,2041.25,2041.25,302.1,1633.0,23
CPT,12056,Intmd rpr face/mm 20.1-30.0,,,279.02,4275.0,64
CPT,12057,Intmd rpr face/mm >30.0 cm,,,61.73,4275.0,100
CPT,1212,Anesth hip disarticulation,,,11639.38,24872.68,16
CPT,1232,Anesth amputation of femur,,,11639.38,24872.68,16
CPT,1234,Anesth radical femur surg,,,11639.38,24872.68,16
CPT,1272,Anesth femoral artery surg,,,11639.38,24872.68,16
CPT,1274,Anesth femoral embolectomy,,,11639.38,24872.68,16
CPT,13100,Cmplx rpr trunk 1.1-2.5 cm,,,139.92,4275.0,64
CPT,13100,"Repr Complex,1.1 to 2.5 Cm",2869.25,2869.25,424.65,2295.4,23
CPT,13101,Cmplx rpr trunk 2.6-7.5 cm,,,177.29,4275.0,64
CPT,13101,Repr Complex Trk 2.6-7.5cm,3109.6,3109.6,460.22,2487.68,23
CPT,13102,Cmplx rpr trunk addl 5cm/<,,,59.29,2438.0,45
CPT,13120,Cmplx Rpr Sclp Arm Lgs 1.1-2.5,3933.13,3933.13,582.1,3146.5,23
CPT,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,149.74,4275.0,64
CPT,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,199.48,4275.0,64
CPT,13121,Repr Comp Scalp Arms Lgs 2.5-7,3933.13,3933.13,582.1,3146.5,23
CPT,13122,Cmplx Rpr Sclp Arm Lgs Ea Add,1775.0,1775.0,262.7,1420.0,23
CPT,13122,Cmplx rpr s/a/l addl 5 cm/>,,,68.7,2438.0,45
CPT,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,174.24,4275.0,64
CPT,13131,"Repr Complex Mouth Neck Hds,Ft",3933.13,3933.13,582.1,3146.5,23
CPT,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,235.98,4275.0,64
CPT,13132,"Repr Comp Mouth,Neck,Hds,Ft2.6",4924.3,4924.3,728.8,3939.44,23
CPT,13133,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,104.18,2438.0,45
CPT,13133,Repair Wound/Lesion Add-On,2672.0,2672.0,395.46,2137.6,23
CPT,13151,Cmplx Rpr Eye Nose Ear 1.1-2.5,4817.35,4817.35,712.97,3853.88,23
CPT,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,214.71,4275.0,64
CPT,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,261.35,4275.0,64
CPT,13152,"Repr Comp Eyel, Nose,Ears Lips",5406.0,5406.0,800.09,4324.8,23
CPT,13153,Cmplx Rpr Eye Nose Ear Add-On,1775.0,1775.0,262.7,1420.0,23
CPT,13153,Cmplx rpr e/n/e/l addl 5cm/<,,,113.56,3133.0,45
CPT,13160,Sec clsr surg wnd/dehsn xtn,,,366.52,5612.5,63
CPT,14000,Tis trnfr trunk 10 sq cm/<,,,260.14,5612.5,64
CPT,14001,Tis trnfr trunk 10.1-30sqcm,,,352.81,5612.5,64
CPT,14020,Tis trnfr s/a/l 10 sq cm/<,,,299.89,5612.5,64
CPT,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,415.44,5612.5,64
CPT,1404,Anesth amputation at knee,,,11639.38,24872.68,16
CPT,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,356.85,5612.5,64
CPT,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,475.61,5612.5,64
CPT,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,389.78,5612.5,64
CPT,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,537.56,5612.5,64
CPT,14300,Skin tissue rearrangement,,,716.15,716.15,1
CPT,14301,Tis trnfr any 30.1-60 sq cm,,,109.9,9641.0,100
CPT,14302,Tis trnfr addl 30 sq cm,,,24.03,2438.0,44
CPT,14350,Filleted finger/toe flap,,,372.17,5612.5,63
CPT,1442,Anesth knee artery surg,,,11639.38,24872.68,16
CPT,1444,Anesth knee artery repair,,,11639.38,24872.68,16
CPT,15000,Wound prep-1st 100 sq cm,,,203.58,203.58,1
CPT,15001,Wound prep-addl 100 sq cm,,,49.22,49.22,1
CPT,15002,Wound prep trk/arm/leg,,,215.95,5612.5,63
CPT,15003,Wound prep addl 100 cm,,,43.69,2438.0,44
CPT,15004,Wound prep f/n/hf/g,,,254.98,4275.0,63
CPT,15005,Wnd prep f/n/hf/g addl cm,,,88.02,2438.0,44
CPT,15011,Hrv skn cll ssp agrft 1st 25,,,1820.01,3367.02,20
CPT,15012,Hrv skn cll ssp agrft ea add,,,1178.0,1473.0,5
CPT,15013,Prepj skn cll ssp agrft 1st,,,5814.0,13345.82,20
CPT,15014,Prepj skn cll ssp agrft ea,,,1178.0,1473.0,5
CPT,15015,App skn cl ssp agrft t/a/l 1,,,1820.01,3367.02,20
CPT,15016,App skn cl ssp agrf t/a/l ea,,,1178.0,1473.0,5
CPT,15017,App skn cll ssp f/n/g/hf 1st,,,1820.01,3367.02,20
CPT,15018,App skn cll ssp f/n/g/hf ea,,,1178.0,1473.0,5
CPT,1502,Anesth lwr leg embolectomy,,,11639.38,24872.68,16
CPT,15040,Harvest cultured skin graft,,,124.35,5612.5,63
CPT,15050,Pinch graft up to 2 cm diam,,,179.07,4275.0,64
CPT,15100,Splt agrft t/a/l 1st 100sqcm,,,344.0,5612.5,64
CPT,15101,Splt agrft t/a/l ea addl 100,,,98.99,3133.0,45
CPT,15110,Epidrm agrft t/a/l 1st 100,,,489.46,5612.5,64
CPT,15111,Epidrm agrft t/a/l ea addl,,,100.36,2438.0,44
CPT,15115,Epdrm agrft f/s/n/h/f/g/m 1,,,458.57,5612.5,63
CPT,15116,Epdrm agrft f/s/n/h/f/g/m ea,,,135.81,2438.0,44
CPT,15120,Splt agrft f/s/n/h/f/g/m 1st,,,399.75,6850.0,64
CPT,15121,Splt agrft f/s/n/h/f/g/m ea,,,128.71,3133.0,45
CPT,15130,Drm agrft t/a/l 1st 100 sqcm,,,408.24,5612.5,63
CPT,15131,Drm agrft t/a/l ea addl,,,88.08,2438.0,44
CPT,15135,Drm agrft f/s/n/h/f/g/m 1st,,,490.8,6850.0,63
CPT,15136,Drm agrft f/s/n/h/f/g/m ea,,,81.99,2438.0,44
CPT,15150,Tis cltr skn agrft t/a/l 1st,,,405.89,5612.5,63
CPT,15151,Tis cltr skn agrft t/a/l add,,,107.49,2438.0,44
CPT,15152,Tis cltr skn agrft t/a/l ea,,,139.7,2438.0,44
CPT,15155,Tis cltr agrft f/s/n/h/f/g 1,,,405.3,6850.0,63
CPT,15156,Tis clt agrft f/s/n/h/f/g ad,,,147.72,2438.0,44
CPT,15157,Tis clt agrft f/s/n/h/f/g ea,,,161.58,2438.0,44
CPT,15200,Fth/gft fr trnk 20 sq cm/<,,,342.07,5612.5,64
CPT,15201,Fth/gft fr trnk each addl,,,74.72,2891.0,45
CPT,15220,Fth/gft fr s/a/l 20 sq cm/<,,,349.07,5612.5,64
CPT,15221,Fth/gft fr s/a/l each addl,,,67.44,2891.0,45
CPT,15240,Fth/gft f/c/c/m/n/ax/g/h/f20,,,387.78,5612.5,64
CPT,15241,Fth/gft f/c/c/m/n/a/g/h/f ea,,,104.29,3133.0,45
CPT,15260,Fth/gft fr n/e/e/l 20 sqcm/<,,,427.41,5612.5,64
CPT,15261,Fth/gft fr n/e/e/l each addl,,,131.58,2891.0,45
CPT,15271,Skin Sub Graft Trnk/Arm/Leg 25,3676.55,3676.55,544.13,2941.24,23
CPT,15271,Skin sub graft trnk/arm/leg,,,74.41,5612.5,64
CPT,15272,Skin Sub Graft T/a/L Addl 25,1775.0,1775.0,262.7,1420.0,23
CPT,15272,Skin sub graft t/a/l add-on,,,14.71,2438.0,45
CPT,15273,Skin sub grft t/arm/lg child,,,177.36,6850.0,64
CPT,15274,Skn sub grft t/a/l child add,,,37.52,2438.0,45
CPT,15275,Skin sub graft face/nk/hf/g,,,86.16,5612.5,64
CPT,15276,Skin sub graft f/n/hf/g addl,,,21.04,2438.0,45
CPT,15277,Skin Sub Grft F/N/Hf/G Child 100,4184.85,4184.85,619.36,3347.88,23
CPT,15277,Skn sub grft f/n/hf/g child,,,183.08,5612.5,64
CPT,15278,Skin Sub Grft F/N/Hf/G Ch Add 100,2041.25,2041.25,302.1,1633.0,23
CPT,15278,Skn sub grft f/n/hf/g ch add,,,46.46,2438.0,45
CPT,15570,Skin pedicle flap trunk,,,381.05,5612.5,64
CPT,15572,Skin pedicle flap arms/legs,,,373.35,6850.0,64
CPT,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,393.01,5612.5,64
CPT,15576,Pedicle e/n/e/l/ntroral,,,338.73,5612.5,64
CPT,15600,Delay flap trunk,,,132.49,6850.0,64
CPT,15610,Delay flap arms/legs,,,122.73,5612.5,64
CPT,15620,Delay flap f/c/c/n/ax/g/h/f,,,177.44,5612.5,64
CPT,15630,Delay flap eye/nos/ear/lip,,,184.71,5612.5,64
CPT,15650,Transfer skin pedicle flap,,,217.65,5898.0,64
CPT,15730,Mdfc flap w/prsrv vasc pedcl,,,634.06,9641.0,64
CPT,15731,Forehead flap w/vasc pedicle,,,589.88,6850.0,63
CPT,15732,Muscle-skin graft head/neck,,,5595.0,5595.0,1
CPT,15733,Musc myoq/fscq flp h&n pedcl,,,655.32,9641.0,63
CPT,15734,Muscle-skin graft trunk,,,178.16,6850.0,99
CPT,15736,Muscle-skin graft arm,,,711.26,5612.5,63
CPT,15738,Muscle-skin graft leg,,,161.67,6850.0,99
CPT,15740,Island pedicle flap graft,,,464.62,5612.5,64
CPT,15750,Neurovascular pedicle flap,,,116.12,6850.0,99
CPT,15756,Free myo/skin flap microvasc,,,330.58,24872.68,133
CPT,15757,Free skin flap microvasc,,,330.74,24872.68,133
CPT,15758,Free fascial flap microvasc,,,329.77,24872.68,133
CPT,15760,Composite skin graft,,,389.65,5612.5,64
CPT,15769,Grfg autol soft tiss dir exc,,,291.79,9641.0,63
CPT,15770,Derma-fat-fascia graft,,,77.12,6850.0,99
CPT,15771,Grfg autol fat lipo 50 cc/<,,,348.38,9641.0,64
CPT,15772,Grfg autol fat lipo ea addl,,,124.21,2438.0,44
CPT,15773,Grfg autol fat lipo 25 cc/<,,,343.61,9641.0,64
CPT,15774,Gfrg autol fat lipo ea addl,,,119.32,2438.0,44
CPT,15775,Hair trnspl 1-15 punch grfts,,,210.5,4275.0,58
CPT,15776,Hair trnspl >15 punch grafts,,,294.59,4275.0,58
CPT,15777,Acellular derm matrix implt,,,210.32,2438.0,44
CPT,15777,Implnt Bio Implnt for Soft Tissue Reinforcement,8897.0,8897.0,1316.76,7117.6,23
CPT,15778,Impl absrb msh/prsth dly cls,,,51.31,24872.68,61
CPT,15780,Dermabrasion total face,,,267.09,6850.0,61
CPT,15781,Dermabrasion segmental face,,,213.54,4275.0,63
CPT,15782,Dermabrasion other than face,,,161.8,5612.5,63
CPT,15783,Dermabrasion suprfl any site,,,207.43,4275.0,57
CPT,15786,Abrasion lesion single,,,50.0,4275.0,63
CPT,15787,Abrasion lesions add-on,,,16.01,1750.0,44
CPT,15788,Chem Peel Face Epidermal,2041.25,2041.25,302.1,1633.0,23
CPT,15788,Chemical peel facial epidrm,,,50.0,4275.0,57
CPT,15789,Chemical peel facial dermal,,,50.0,4275.0,57
CPT,15792,Chem peel nonfacial epidrm,,,50.0,4275.0,57
CPT,15792,Tca Peel,2041.25,2041.25,302.1,1633.0,23
CPT,15793,Chemical Peel (Tca) Nonfacial,2041.25,2041.25,302.1,1633.0,23
CPT,15793,Chemical peel nonfacial drm,,,50.0,4275.0,56
CPT,15819,Cervicoplasty,4300.0,4300.0,636.4,3440.0,23
CPT,15819,Plastic surgery neck,,,557.88,5612.5,19
CPT,15820,Bil Blepharoplasty Lower Eyelid,6450.0,6450.0,954.6,5160.0,23
CPT,15820,Blepharoplasty lower eyelid,,,283.63,5612.5,100
CPT,15821,Bil Blepharoplasty Lower Eyelid Herniated Fat Pad,6450.0,6450.0,954.6,5160.0,23
CPT,15821,Blepharp lwr eyelid fat pad,,,309.67,5612.5,100
CPT,15822,Bil Blepharoplasty Upper Eyelid,6450.0,6450.0,954.6,5160.0,23
CPT,15822,Blepharoplasty upper eyelid,,,254.62,5612.5,100
CPT,15823,Bil Blepharoplasty Upper Eyelid W/Excessive Skin,6450.0,6450.0,954.6,5160.0,23
CPT,15823,Blepharp upr eyelid xcsv skn,,,366.15,5898.0,100
CPT,15824,Rhytidectomy Forehead,4300.0,4300.0,636.4,3440.0,23
CPT,15824,Rhytidectomy forehead,,,1684.0,5612.5,27
CPT,15825,Rhytdct nck pltysml tghtg,,,1684.0,6850.0,27
CPT,15825,Rhytidectomy Neck W/Platysmal Tightening,8459.0,8459.0,1251.93,6767.2,23
CPT,15826,Rhytidectomy glblr frn lines,,,1684.0,6850.0,27
CPT,15828,Rhytidectomy Cheek Chin & Neck,8459.0,8459.0,1251.93,6767.2,23
CPT,15828,Rhytidectomy cheek chn & nck,,,1684.0,6850.0,27
CPT,15829,Rhytidectomy Smas Flap,8459.0,8459.0,1251.93,6767.2,23
CPT,15829,Rhytidectomy smas flap,,,2617.0,6850.0,27
CPT,15830,Exc excessive skin abdomen,,,142.35,12003.89,99
CPT,15830,Excision Skin Abd Infraumbilical Panniculectomy,15376.0,15376.0,2275.65,12300.8,23
CPT,15832,Bil Excision Excessive Skin & Subq Tissue Thigh,10500.0,10500.0,1554.0,8400.0,23
CPT,15832,Exc excessive skin thigh,,,105.83,6850.0,135
CPT,15832,Excision Excessive Skin & Subq Tissue Thigh,6700.0,6700.0,991.6,5360.0,23
CPT,15833,Exc excessive skin leg,,,421.98,6850.0,99
CPT,15834,Exc excessive skin hip,,,424.05,6850.0,99
CPT,15835,Exc excessive skin buttock,,,437.41,6850.0,63
CPT,15836,Bil Excision Excessive Skin & Subq Tissue Arm,10500.0,10500.0,1554.0,8400.0,23
CPT,15836,Exc excessive skin arm,,,365.42,6850.0,99
CPT,15836,Excision Excessive Skin & Subq Tissue Arm,6700.0,6700.0,991.6,5360.0,23
CPT,15837,Exc excsv skin forearm/hand,,,353.02,6850.0,62
CPT,15838,Exc excsv submental fat pad,,,304.75,6850.0,61
CPT,15839,Exc excessive skn other area,,,325.17,6850.0,64
CPT,15839,Excision Excessive Skin & Subq Tissue Other Area,6700.0,6700.0,991.6,5360.0,23
CPT,15840,Nerve palsy fascial graft,,,603.76,6850.0,63
CPT,15841,Nerve palsy muscle graft,,,212.37,6850.0,99
CPT,15842,Nerve palsy microsurg graft,,,353.57,5612.5,99
CPT,15845,Skin and muscle repair face,,,127.98,6850.0,99
CPT,15847,Exc skin abd add-on,,,80.65,3133.0,37
CPT,15847,Excision Excessive Skin & Subq Tissue Abdomen,12746.0,12746.0,1886.41,10196.8,23
CPT,15850,Remove sutures same surgeon,,,1092.0,5595.0,7
CPT,15851,Removal sutr/staple req anes,,,36.6,5612.5,64
CPT,15852,Dressing change not for burn,,,38.16,4275.0,64
CPT,15853,Removal sutr/stapl xreq anes,,,9.5,2438.0,43
CPT,15853,Suture or Staple Removal W/O Anes-Add on to Office Visit,115.0,115.0,17.02,92.0,23
CPT,15854,Removal sutr&stapl xreq anes,,,13.42,2438.0,43
CPT,15854,Suture and Staple Removal W/O Anes-Add on to Office Visit,270.25,270.25,40.0,216.2,23
CPT,15860,Test for blood flow in graft,,,50.0,4275.0,64
CPT,15876,Suction Assisted Lipectomy Head & Neck,8459.0,8459.0,1251.93,6767.2,23
CPT,15876,Suction lipectomy head&neck,,,1684.0,6850.0,27
CPT,15877,Suction Assisted Lipectomy Trunk,8459.0,8459.0,1251.93,6767.2,23
CPT,15877,Suction lipectomy trunk,,,1684.0,6850.0,27
CPT,15878,Suction Assisted Lipectomy Upper Extremity,4300.0,4300.0,636.4,3440.0,23
CPT,15878,Suction lipectomy upr extrem,,,1684.0,5612.5,27
CPT,15879,Suction Assisted Lipectomy Lower Extremity,8459.0,8459.0,1251.93,6767.2,23
CPT,15879,Suction lipectomy lwr extrem,,,1684.0,6850.0,27
CPT,15920,Exc coccygl pr ulc prim sutr,,,288.84,6850.0,63
CPT,15922,Exc coccygl pr ulc flap clsr,,,88.08,6850.0,99
CPT,15931,Exc sacral pr ulc prim sutr,,,322.7,5612.5,63
CPT,15933,Exc sac pr ulc prim str ostc,,,436.06,6850.0,63
CPT,15934,Exc sacral pr ulc skn flap,,,491.19,6850.0,63
CPT,15935,Exc sac pr ulc skn flp ostc,,,135.37,6850.0,99
CPT,15936,Exc sac pr ulc prep mus flap,,,523.54,5612.5,63
CPT,15937,Exc sac pr ulc prep mus ostc,,,620.8,5612.5,63
CPT,15940,Exc ischial pr ulc prim sutr,,,335.38,6850.0,63
CPT,15941,Exc isch pr ulc prm sut ostc,,,465.83,6850.0,63
CPT,15944,Exc isch pr ulc skn flp clsr,,,484.04,6850.0,63
CPT,15945,Exc isch pr ulc skn flp ostc,,,547.4,5612.5,63
CPT,15946,Exc isch pr ulc prep mus flp,,,881.05,5612.5,63
CPT,15950,Exc trchntr pr ulc prim sutr,,,277.89,5612.5,63
CPT,15951,Exc trchntr pr ulc ostc,,,442.09,6850.0,63
CPT,15952,Exc trchntr pr ulc flp clsr,,,100.06,5612.5,99
CPT,15953,Exc trchntr pr ulc flp ostc,,,513.81,6850.0,63
CPT,15956,Exc trchntr pr ulc prep flap,,,702.37,5612.5,63
CPT,15958,Exc trchntr pr ulc prep ostc,,,700.61,6850.0,63
CPT,15999,Unlisted px exc pressure ulc,,,700.04,2026.0,21
CPT,16000,"Inital Treatment, 1% Burn",2041.25,2041.25,302.1,1633.0,23
CPT,16000,Initial Tx First Degree Burn,2041.25,2041.25,302.1,1633.0,23
CPT,16000,Initial treatment of burn(s),,,36.87,4275.0,63
CPT,16020,Dress/debrid p-thick burn s,,,33.44,4275.0,64
CPT,16020,Part Thick Burn Dress/Debrd;Sm,2041.25,2041.25,302.1,1633.0,23
CPT,16025,Dress/debrid p-thick burn m,,,77.14,4275.0,64
CPT,16025,Part Thick Burn Dress/Debrd;MD (Tbsa 5%-10%),3933.13,3933.13,582.1,3146.5,23
CPT,16030,Dress/debrid p-thick burn l,,,92.88,4275.0,64
CPT,16030,Part Thick Burn Dress/Debrd;Lg (Tbsa >10%),2035.5,2035.5,301.25,1628.4,23
CPT,16035,Escharotomy First Incision,2041.25,2041.25,302.1,1633.0,23
CPT,16035,Incision of burn scab initi,,,191.48,4275.0,61
CPT,16036,Escharotomy Each Addl Incision,2903.75,2903.75,429.76,2323.0,23
CPT,16036,Escharotomy addl incision,,,81.24,24872.68,60
CPT,1634,Anesth shoulder joint amput,,,11639.38,24872.68,16
CPT,1636,Anesth forequarter amput,,,11639.38,24872.68,16
CPT,1652,Anesth shoulder vessel surg,,,11639.38,24872.68,16
CPT,1654,Anesth shoulder vessel surg,,,11639.38,24872.68,16
CPT,1656,Anesth arm-leg vessel surg,,,11639.38,24872.68,16
CPT,17000,"Dest, Premalignant Lesion 1st",2041.25,2041.25,302.1,1633.0,23
CPT,17000,Destruct premalg lesion,,,27.61,4275.0,64
CPT,17003,"Dest, Premalignant Lesion 2-14",1775.0,1775.0,262.7,1420.0,23
CPT,17003,Destruct premalg les 2-14,,,1.94,2438.0,45
CPT,17004,Destroy premal lesions 15/>,,,77.53,4275.0,64
CPT,17004,"Les Dest, Benign Premal > 15",2041.25,2041.25,302.1,1633.0,23
CPT,17106,Destruction of Skin Lesions,2041.25,2041.25,302.1,1633.0,23
CPT,17106,Destruction of skin lesions,,,173.01,4275.0,64
CPT,17107,Destruction of skin lesions,,,252.42,4275.0,64
CPT,17108,Destruction of skin lesions,,,369.65,5612.5,58
CPT,17110,"Dest Flat Warts Mollu,Milla",568.1,568.1,84.08,454.48,23
CPT,17110,Destruct b9 lesion 1-14,,,29.13,4275.0,64
CPT,17111,"Dest. Flat Warts, >15 Lesions",2041.25,2041.25,302.1,1633.0,23
CPT,17111,Destruct lesion 15 or more,,,41.37,4275.0,64
CPT,17250,Chem caut of granltj tissue,,,22.85,4275.0,64
CPT,17250,Chemical Cautery Tissue,2041.25,2041.25,302.1,1633.0,23
CPT,17260,Dstrj mal les t/a/l 0.5 cm/<,,,46.22,4275.0,64
CPT,17261,Dstrj mal les t/a/l .6-1.0cm,,,50.0,4275.0,63
CPT,17261,Les Dstr Malig Trnk Arm 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CPT,17262,Dstrj mal les t/a/l 1.1-2.0,,,50.0,4275.0,64
CPT,17262,Les Dstr Malig Trnk Arm 1.1-2.,2041.25,2041.25,302.1,1633.0,23
CPT,17263,Dstrj mal les t/a/l 2.1-3.0,,,50.0,4275.0,64
CPT,17263,Les Dstr Malig Trnk Arm 2.1-3.,2041.25,2041.25,302.1,1633.0,23
CPT,17264,Dstrj mal les t/a/l 3.1-4.0,,,50.0,4275.0,64
CPT,17266,Dstrj mal les t/a/l >4.0 cm,,,119.14,4275.0,64
CPT,17270,Dstr mal les s/n/h/f/g .5 /<,,,50.0,4275.0,64
CPT,17271,Dstr mal les s/n/h/f/g 0.6-1,,,50.0,4275.0,64
CPT,17271,Les Dstr Malig Sclp Nck 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CPT,17272,Dstr mal les s/n/h/f/g 1.1-2,,,50.0,4275.0,64
CPT,17272,Les Dstr Malig Sclp Nck 1.1-2.,2041.25,2041.25,302.1,1633.0,23
CPT,17273,Dstr mal les s/n/h/f/g 2.1-3,,,50.0,4275.0,64
CPT,17274,Dstr mal les s/n/h/f/g 3.1-4,,,131.74,4275.0,64
CPT,17274,Les Dstr Malig Sclp Nck 3.1-4.,2041.25,2041.25,302.1,1633.0,23
CPT,17276,Dstr mal les s/n/h/f/g >4.0,,,158.59,4275.0,64
CPT,17280,Dstr mal ls f/e/e/n/l/m .5/<,,,50.0,4275.0,64
CPT,17280,Lesion Dstr Malig Face Ear <.5,2041.25,2041.25,302.1,1633.0,23
CPT,17281,Dstr mal ls f/e/e/n/l/m .6-1,,,50.0,4275.0,64
CPT,17281,Les Dstr Malig Face Ear 0.6-1.,2041.25,2041.25,302.1,1633.0,23
CPT,17282,Dstr mal ls f/e/e/n/l/m1.1-2,,,50.0,4275.0,64
CPT,17283,Dstr mal ls f/e/e/n/l/m2.1-3,,,50.0,4275.0,64
CPT,17284,Dstr mal ls f/e/e/n/l/m3.1-4,,,156.2,4275.0,64
CPT,17286,Dstr mal ls f/e/e/n/l/m>4.0,,,50.0,4275.0,64
CPT,17306,3 stage mohs-up to 5 spec,,,126.38,126.38,1
CPT,17307,Mohs addl stage up to 5 spec,,,127.35,127.35,1
CPT,17310,Mohs any stage > 5 spec each,,,39.74,39.74,1
CPT,17311,Mohs 1 stage h/n/hf/g,,,345.16,4275.0,63
CPT,17312,Mohs addl stage,,,184.01,2438.0,44
CPT,17313,Mohs 1 stage t/a/l,,,310.05,4275.0,63
CPT,17314,Mohs addl stage t/a/l,,,169.59,2438.0,44
CPT,17315,Mohs surg addl block,,,48.15,2438.0,44
CPT,17340,Cryotherapy for acne,,,31.89,4275.0,63
CPT,17360,Chemical exfoliation acne,,,50.0,4275.0,63
CPT,17380,Electrolysis epilation ea 30,,,50.0,4275.0,26
CPT,1756,Anesth radical humerus surg,,,11639.38,24872.68,16
CPT,176,Anesth pharyngeal surgery,,,11639.38,24872.68,16
CPT,17999,Skin Tissue Procedure,1775.0,1775.0,262.7,1420.0,23
CPT,17999,Unlistd px skn muc memb subq,,,197.7,2438.0,22
CPT,19000,Punct Aspir Cyst Breast Bic,2501.25,2501.25,370.18,2001.0,23
CPT,19000,Puncture aspir cyst breast,,,35.61,4275.0,64
CPT,19001,Punct Aspir Ea Addt Cyst Bic,1775.0,1775.0,262.7,1420.0,23
CPT,19001,Puncture aspir cyst brst ea,,,18.15,2438.0,45
CPT,19020,Incision of Breast Lesion,6234.0,6234.0,922.63,4987.2,23
CPT,19020,Mastotomy expl drg absc dp,,,174.87,5612.5,100
CPT,19030,Njx px only mam ducto/glcto,,,64.85,2438.0,45
CPT,19081,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,6794.0,6794.0,1005.51,5435.2,23
CPT,19081,Bx breast 1st lesion strtctc,,,157.85,5612.5,64
CPT,19082,Breast Bx W/ Plce Local Dev and Imaging of Spec Ea Add'e,4986.0,4986.0,737.93,3988.8,23
CPT,19082,Bx breast add lesion strtctc,,,75.34,2438.0,45
CPT,19083,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,7720.0,7720.0,1142.56,6176.0,23
CPT,19083,Bx breast 1st lesion us imag,,,147.93,5612.5,64
CPT,19084,Breast Bx W/ Plce Local Dev and Imaging of Spec Ea Add'e,4304.66,4304.66,637.09,3443.73,23
CPT,19084,Bx breast add lesion us imag,,,74.36,2438.0,44
CPT,19085,Breast Bx W/ Plce Local Dev and Imaging of Spec 1st Lese,7718.0,7718.0,1142.26,6174.4,23
CPT,19085,Bx breast 1st lesion mr imag,,,172.73,5612.5,64
CPT,19086,Breast Bx W/Plce Local Dev & Imaging of Spec Add'l Lese,3859.0,3859.0,571.13,3087.2,23
CPT,19086,Bx breast add lesion mr imag,,,77.48,2438.0,45
CPT,19100,Breast Bx Needle W/0 Imaging,3160.2,3160.2,467.71,2528.16,23
CPT,19100,Bx breast percut w/o image,,,54.11,5612.5,64
CPT,19101,Biopsy of breast open,,,178.14,7048.47,100
CPT,19101,"Breast Biopsy, Open, Incisional",5774.15,5774.15,854.57,4619.32,23
CPT,19105,Cryosurg ablate fa each,,,311.76,9641.0,57
CPT,19110,Nipple exploration,,,217.96,7048.47,100
CPT,19112,Excise breast duct fistula,,,193.45,7048.47,100
CPT,19120,"Excision of Cyst,Fibro Adrenoma",12668.4,12668.4,1874.92,10134.72,23
CPT,19120,Removal of breast lesion,,,217.41,7048.47,100
CPT,19125,Excision Breast Lesion,5239.4,5239.4,775.43,4191.52,23
CPT,19125,Excision breast lesion,,,237.25,7048.47,100
CPT,19126,Excision addl breast lesion,,,143.13,3133.0,44
CPT,192,Anesth facial bone surgery,,,11639.38,24872.68,16
CPT,19260,Removal of chest wall lesion,,,2500.0,5595.0,2
CPT,19281,Perq device breast 1st imag,,,88.82,4275.0,64
CPT,19281,Plce Breast Local Dev Percut 1st Lesion Inc Mammo Guide,3222.3,3222.3,476.9,2577.84,23
CPT,19282,Perq device breast ea imag,,,42.54,2438.0,45
CPT,19282,Plce Breast Local Dev Percut Ea Add'l Lesion Inc Mammo Guide,1832.0,1832.0,271.14,1465.6,23
CPT,19283,Perq dev breast 1st strtctc,,,89.74,4275.0,64
CPT,19284,Perq dev breast add strtctc,,,42.85,2438.0,45
CPT,19285,Perq dev breast 1st us imag,,,76.1,4275.0,64
CPT,19285,Plce Breast Local Dev Percut 1st Lesion Inc Ultrsnd Guide,3933.13,3933.13,582.1,3146.5,23
CPT,19286,Perq dev breast add us imag,,,36.77,2438.0,45
CPT,19286,Plce Breast Local Dev Percut Ea Add'l Lesion Inc Ultrsnd Guide,1984.0,1984.0,293.63,1587.2,23
CPT,19287,Perq dev breast 1st mr guide,,,123.19,4275.0,64
CPT,19288,Perq dev breast add mr guide,,,55.0,2438.0,45
CPT,19294,Prepj tum cav iort prtl mast,,,145.0,2438.0,43
CPT,19296,Place po breast cath for rad,,,181.24,17613.51,64
CPT,19297,Place breast cath for rad,,,82.93,7268.0,44
CPT,19298,Place breast rad tube/caths,,,290.36,12003.89,64
CPT,19300,Bil Mastectomy Gynecomastia,13480.5,13480.5,1995.11,10784.4,23
CPT,19300,Mastectomy for gynecomastia,,,289.51,7048.47,99
CPT,19301,Partial mastectomy,,,216.56,7048.47,99
CPT,19302,P-mastectomy w/ln removal,,,103.23,12003.89,135
CPT,19303,Mast simple complete,,,104.19,12003.89,135
CPT,19304,Mast subq,,,3725.0,5595.0,2
CPT,19305,Mast radical,,,127.8,24872.68,132
CPT,19306,Mast rad urban type,,,132.94,24872.68,132
CPT,19307,Mast mod rad,,,133.67,12003.89,135
CPT,19316,Bil Mastopexy,23064.0,23064.0,3413.47,18451.2,23
CPT,19316,Mastopexy,,,109.26,12003.89,135
CPT,19318,Bil Breast Reduction,23064.0,23064.0,3413.47,18451.2,23
CPT,19318,Breast reduction,,,150.1,12003.89,135
CPT,19324,Enlarge breast,,,4334.0,5595.0,2
CPT,19325,Breast Augmentation With Implant,22226.0,22226.0,3289.45,17780.8,23
CPT,19325,Breast augmentation w/implt,,,332.38,17613.51,99
CPT,19328,Rmvl intact breast implant,,,231.8,7048.47,99
CPT,19330,Rmvl ruptured breast implant,,,288.27,7048.47,99
CPT,19340,Insj breast implt sm d mast,,,276.78,12003.89,99
CPT,19342,Insj/rplcmt brst implt sep d,,,488.98,17613.51,99
CPT,19350,Nipple/Areola Reconstruction,8987.0,8987.0,1330.08,7189.6,23
CPT,19350,Nipple/areola reconstruction,,,433.7,7048.47,100
CPT,19355,Correct inverted nipple(s),,,294.98,7048.47,100
CPT,19357,Tiss xpndr plmt brst rcnstj,,,165.53,32024.73,135
CPT,19361,Brst rcnstj latsms drsi flap,,,190.71,24872.68,132
CPT,19364,Brst rcnstj free flap,,,331.94,24872.68,133
CPT,19366,Breast reconstruction,,,3725.0,5595.0,2
CPT,19367,Brst rcnstj 1 pdcl tram flap,,,234.91,24872.68,132
CPT,19368,Brst rcnstj 1pdcl tram anast,,,278.89,24872.68,132
CPT,19369,Brst rcnstj 2 pdcl tram flap,,,264.51,24872.68,132
CPT,19370,Revj peri-implt capsule brst,,,335.67,7048.47,99
CPT,19371,Bil Peri-Implant Capsulectomy Breast Complete,13480.5,13480.5,1995.11,10784.4,23
CPT,19371,Peri-implt capslc brst compl,,,399.69,7048.47,99
CPT,19380,Revj reconstructed breast,,,395.77,12003.89,99
CPT,19396,Design custom breast implant,,,119.95,7048.47,56
CPT,19499,Breast Surgery Procedure Cbc,6601.0,6601.0,976.95,5280.8,23
CPT,19499,Unlisted procedure breast,,,2438.0,7048.47,22
CPT,1990,Support for organ donor,,,11639.38,24872.68,16
CPT,1996,Hosp manage cont drug admin,,,86.48,86.48,2
CPT,20005,I&d abscess subfascial,,,181.45,5595.0,3
CPT,20100,Expl pentrg wound neck,,,82.97,4275.0,135
CPT,20101,Expl pentrg wound chest,,,149.42,5612.5,61
CPT,20102,Expl pentrg wnd abd/flnk/bk,,,179.26,5612.5,61
CPT,20102,"Explore Wound, Abdomen",6027.0,6027.0,892.0,4821.6,23
CPT,20103,Expl pentrg wound extremity,,,231.34,4275.0,64
CPT,20103,"Explore Wound, Extremity",5253.0,5253.0,777.44,4202.4,23
CPT,20150,Excision epiphyseal bar,,,130.63,6860.0,132
CPT,20200,Muscle biopsy superficial,,,80.02,5612.5,64
CPT,20205,Deep muscle biopsy,,,129.9,6850.0,64
CPT,20206,Biopsy muscle perq needle,,,54.11,5612.5,64
CPT,20206,Bx Muscle Needle Percut Bct,5188.8,5188.8,767.94,4151.04,23
CPT,20220,Bone biopsy trocar/ndl supfc,,,84.36,5612.5,64
CPT,20220,Bx Bone Trocar/Ndle Supf Bct,5537.81,5537.81,819.6,4430.25,23
CPT,20225,Bone biopsy trocar/ndl deep,,,107.39,5612.5,64
CPT,20225,Bx Bone Trocar/Ndle Deep Bct,9172.0,9172.0,1357.46,7337.6,23
CPT,20240,Bone Bx Exc.,8231.7,8231.7,1218.29,6585.36,23
CPT,20240,Bone biopsy open superficial,,,136.93,6850.0,63
CPT,20245,Bone biopsy open deep,,,260.99,6850.0,63
CPT,20250,Biopsy vrt bdy open thoracic,,,255.78,6850.0,63
CPT,20251,Biopsy vrt bdy open lmbr/crv,,,58.48,13149.29,99
CPT,20500,Injection of sinus tract,,,50.0,5612.5,64
CPT,20500,"Sinogram, Therapeutic",2501.25,2501.25,370.18,2001.0,23
CPT,20501,Inject Sinus Tract Diagnostic,1775.0,1775.0,262.7,1420.0,23
CPT,20501,Inject sinus tract for x-ray,,,33.23,2438.0,45
CPT,20520,Removal of foreign body,,,114.32,5612.5,64
CPT,20520,Remove Foreign Body (Simple),4773.65,4773.65,706.5,3818.92,23
CPT,20525,Removal of foreign body,,,194.27,6850.0,64
CPT,20526,Bilateral Carpal Tunnel Inj,2041.25,2041.25,302.1,1633.0,23
CPT,20526,Carpal Tunnel Injection,2041.25,2041.25,302.1,1633.0,23
CPT,20526,Ther injection carp tunnel,,,83.88,4275.0,57
CPT,20527,Inj dupuytren cord w/enzyme,,,50.0,4275.0,57
CPT,20550,Inj tendon sheath/ligament,,,35.32,4275.0,64
CPT,20550,Inject Tendon Sheath Ligament,2270.1,2270.1,335.97,1816.08,23
CPT,20551,Inj Tendon Origin/Insertion,2041.25,2041.25,302.1,1633.0,23
CPT,20551,Inj tendon origin/insertion,,,34.29,4275.0,64
CPT,20552,Bilat Inject Trigger Point 1-2 Musc,2129.8,2129.8,315.21,1703.84,23
CPT,20552,Inj trigger point 1/2 muscl,,,30.39,4275.0,64
CPT,20552,Inject Trigger Point 1-2 Musc,2129.8,2129.8,315.21,1703.84,23
CPT,20553,Inject trigger points 3/>,,,34.29,4275.0,64
CPT,20553,Trigger Point Injections: Three or More Muscles,2196.5,2196.5,325.08,1757.2,23
CPT,20555,Place ndl musc/tis for rt,,,230.78,9641.0,64
CPT,20560,Ndl insj w/o njx 1 or 2 musc,,,14.63,4275.0,57
CPT,20561,Ndl insj w/o njx 3+ musc,,,22.1,4275.0,57
CPT,20600,Drain/Inject-Finger/Toe WO US Guidance,2041.25,2041.25,302.1,1633.0,23
CPT,20600,Drain/inj joint/bursa w/o us,,,30.38,4275.0,64
CPT,20604,Drain/Inject-Finger/Toe With US Guidance,2494.35,2494.35,369.16,1995.48,23
CPT,20604,Drain/inj joint/bursa w/us,,,39.83,4275.0,64
CPT,20605,Drain/Inject-Wrist Elbow Ankle WO US Guidance,2632.35,2632.35,389.59,2105.88,23
CPT,20605,Drain/inj joint/bursa w/o us,,,31.01,4275.0,64
CPT,20606,Drain/Inject-Wrist Elbow Ankle With US Guidance,2133.25,2133.25,315.72,1706.6,23
CPT,20606,Drain/inj joint/bursa w/us,,,45.55,4275.0,64
CPT,20610,Bilateral Drain/Inject-Shoulder Hip Knee WO US Guidance,5054.25,5054.25,748.03,4043.4,23
CPT,20610,Drain/Inject-Shoulder Hip Knee WO US Guidance,2703.65,2703.65,400.14,2162.92,23
CPT,20610,Drain/inj joint/bursa w/o us,,,35.37,4275.0,64
CPT,20611,Bilateral Drain/Inject-Shoulder Hip Knee With US Guidance,3617.9,3617.9,535.45,2894.32,23
CPT,20611,Drain/Inject-Shoulder Hip Knee With US Guidance,3617.9,3617.9,535.45,2894.32,23
CPT,20611,Drain/inj joint/bursa w/us,,,50.0,4275.0,64
CPT,20612,Aspirate/inj ganglion cyst,,,32.91,4275.0,64
CPT,20612,"Aspiration/Inj.,Gangion Cyst",2041.25,2041.25,302.1,1633.0,23
CPT,20615,Treatment of bone cyst,,,50.0,4275.0,64
CPT,20650,Insert and remove bone pin,,,121.93,6850.0,64
CPT,20660,Apply rem fixation device,,,139.59,5612.5,61
CPT,20661,Application halo cranial,,,234.84,24872.68,61
CPT,20662,Application halo pelvic,,,276.05,5612.5,63
CPT,20663,Application halo femoral,,,229.27,6850.0,99
CPT,20664,Appl halo cranial 6+pins,,,332.8,24872.68,61
CPT,20665,Rmvl tongs/halo anthr indiv,,,50.0,4275.0,64
CPT,20670,Arch Bar Removal,7188.0,7188.0,1063.82,5750.4,23
CPT,20670,Removal Implant; Superficial,7188.0,7188.0,1063.82,5750.4,23
CPT,20670,Removal implant superficial,,,115.12,5612.5,64
CPT,20680,Removal of Support Implant,18676.0,18676.0,2764.05,14940.8,23
CPT,20680,Removal of implant deep,,,164.35,6850.0,64
CPT,20690,Appl unipln uni ext fixj sys,,,147.22,13149.29,63
CPT,20692,Appl mltpln uni ext fixj sys,,,58.99,23683.65,99
CPT,20693,Adjmt/revj ext fixj sys anes,,,279.45,13149.29,63
CPT,20694,"Removal, Under Anesthesia, of External Fix System",7121.95,7121.95,1054.05,5697.56,23
CPT,20694,Rmvl ext fixj sys under anes,,,208.35,5612.5,64
CPT,20696,App mltpln uni xtrnl fix 1st,,,136.47,33850.11,99
CPT,20697,App mltpln uni xtrnl fix xch,,,163.88,7940.0,64
CPT,20700,Mnl prep&insj dp rx dlvr dev,,,74.46,2438.0,43
CPT,20701,Rmvl deep rx delivery device,,,55.54,2438.0,43
CPT,20702,Mnl prep&insj imed rx dev,,,123.9,2438.0,43
CPT,20703,Rmvl imed rx delivery device,,,88.81,2438.0,43
CPT,20704,Mnl prep&insj i-artic rx dev,,,129.09,2438.0,43
CPT,20705,Rmvl i-artic rx delivery dev,,,106.2,2438.0,43
CPT,20802,Replantation arm complete,,,384.77,24872.68,132
CPT,20805,Replant forearm complete,,,494.63,24872.68,132
CPT,20808,Replantation hand complete,,,609.64,24872.68,132
CPT,20816,Replantation digit complete,,,324.68,24872.68,96
CPT,20822,Replantation digit complete,,,280.77,5612.5,98
CPT,20824,Replantation thumb complete,,,325.35,24872.68,132
CPT,20827,Replantation thumb complete,,,288.39,24872.68,132
CPT,20838,Replantation foot complete,,,398.22,24872.68,132
CPT,20900,Removal of bone for graft,,,28.35,13149.29,64
CPT,20902,Removal of bone for graft,,,43.09,13149.29,63
CPT,20910,Remove cartilage for graft,,,207.2,4275.0,64
CPT,20912,Remove cartilage for graft,,,271.16,6850.0,63
CPT,20920,Removal of fascia for graft,,,226.98,5612.5,63
CPT,20922,Removal of fascia for graft,,,72.62,5612.5,100
CPT,20924,Removal of tendon for graft,,,66.76,13149.29,99
CPT,20926,Removal of tissue for graft,,,3725.0,5595.0,2
CPT,20930,Sp bone algrft morsel add-on,,,1178.0,2438.0,7
CPT,20931,Sp bone algrft struct add-on,,,110.11,2438.0,44
CPT,20932,Osteoart algrft w/surf & b1,,,101.05,2438.0,43
CPT,20933,Hemicrt intrclry algrft prtl,,,92.68,2438.0,43
CPT,20934,Intercalary algrft compl,,,101.0,2438.0,43
CPT,20936,Sp bone agrft local add-on,,,2438.0,5400.0,7
CPT,20937,Sp bone agrft morsel add-on,,,26.49,5400.0,44
CPT,20938,Sp bone agrft struct add-on,,,29.01,5400.0,44
CPT,20939,Bone marrow aspir bone grfg,,,69.28,2438.0,43
CPT,20950,Fluid pressure muscle,,,87.85,4275.0,63
CPT,20955,Fibula bone graft microvasc,,,381.25,24872.68,97
CPT,20956,Iliac bone graft microvasc,,,361.68,24872.68,97
CPT,20957,Mt bone graft microvasc,,,350.56,24872.68,97
CPT,20962,Other bone graft microvasc,,,356.62,24872.68,97
CPT,20969,Bone/skin graft microvasc,,,424.94,24872.68,97
CPT,20970,Bone/skin graft iliac crest,,,417.53,24872.68,97
CPT,20972,Bone/skin graft metatarsal,,,390.97,13149.29,99
CPT,20973,Bone/skin graft great toe,,,437.0,13149.29,135
CPT,20974,Electrical bone stimulation,,,50.0,4275.0,57
CPT,20975,Electrical bone stimulation,,,25.92,2891.0,44
CPT,20979,Us bone stimulation,,,24.37,4275.0,56
CPT,20982,Ablate bone tumor(s) perq,,,351.95,23683.65,62
CPT,20982,Ablation Bone Tumor Perc W/Img,18181.0,18181.0,2690.79,14544.8,23
CPT,20983,Ablate bone tumor(s) perq,,,344.11,13149.29,62
CPT,20983,Ablation Therapy Bone Tumor(S) Perq,11590.85,11590.85,1715.45,9272.68,23
CPT,20985,Cptr-asst dir ms px,,,106.34,2438.0,44
CPT,20999,Unlisted px muscskel general,,,238.67,2438.0,22
CPT,21010,Incision of jaw joint,,,502.71,5969.44,87
CPT,21011,Exc face les sc <2 cm,,,32.82,5612.5,100
CPT,21011,Excision Tumor Soft Tiss Face/Scalp Subq <2cm,3823.0,3823.0,565.8,3058.4,23
CPT,21012,Exc face les sbq 2 cm/>,,,35.0,5612.5,99
CPT,21012,Excision Tumor Soft Tiss Face/Scalp Subq 2 Cm/>,3823.0,3823.0,565.8,3058.4,23
CPT,21013,Exc face tum deep < 2 cm,,,50.92,5612.5,100
CPT,21014,Exc face tum deep 2 cm/>,,,54.04,6850.0,99
CPT,21015,Resect face/scalp tum < 2 cm,,,257.27,6850.0,63
CPT,21016,Resect face/scalp tum 2 cm/>,,,108.35,9641.0,99
CPT,21025,Excision of bone lower jaw,,,400.53,10888.81,64
CPT,21025,"Sequestrectomy, Mandible",12260.0,12260.0,1814.48,9808.0,23
CPT,21026,Excision of facial bone(s),,,203.83,10888.81,64
CPT,21029,Contour of face bone lesion,,,345.85,5969.44,64
CPT,21030,Excise max/zygoma b9 tumor,,,244.71,10888.81,98
CPT,21031,Excision of Torus Mandibularis,8809.0,8809.0,1303.73,7047.2,23
CPT,21031,Remove exostosis mandible,,,172.17,5969.44,86
CPT,21032,Excision of Maxillary Torus,7365.0,7365.0,1090.02,5892.0,23
CPT,21032,Remove exostosis maxilla,,,155.72,5969.44,62
CPT,21034,Excise max/zygoma mal tumor,,,130.11,10888.81,100
CPT,21040,Excise mandible lesion,,,112.77,5969.44,64
CPT,21044,Removal of jaw bone lesion,,,109.45,10888.81,99
CPT,21045,Extensive jaw surgery,,,150.29,24872.68,97
CPT,21046,Remove mandible cyst complex,,,538.34,10888.81,63
CPT,21047,Excise lwr jaw cyst w/repair,,,153.17,10888.81,99
CPT,21048,Remove maxilla cyst complex,,,553.93,10888.81,63
CPT,21049,Excis uppr jaw cyst w/repair,,,145.3,10888.81,99
CPT,21050,Removal of jaw joint,,,583.77,10888.81,87
CPT,21060,Remove jaw joint cartilage,,,122.83,10888.81,117
CPT,21070,Remove coronoid process,,,335.01,10888.81,99
CPT,21073,Mnpj of tmj w/anesth,,,50.0,5612.5,87
CPT,21076,Impres&prep surg obt prosth,,,562.89,5612.5,55
CPT,21077,Impres&prep orbital prosth,,,1188.11,10888.81,85
CPT,21079,Impres&prep intrm obt prosth,,,801.26,6860.0,55
CPT,21080,Impres&prep def obt prosth,,,901.04,6860.0,55
CPT,21081,Impres&prep mndbl res prosth,,,826.04,10888.81,55
CPT,21082,Impres&prep paltl aug prosth,,,765.65,6860.0,55
CPT,21083,Impres&prep paltl lft prosth,,,706.72,6860.0,55
CPT,21084,Impres&prep sp aid prosth,,,816.85,6860.0,55
CPT,21085,Impres&prep oral surg splint,,,231.05,4275.0,55
CPT,21086,Impres&prep auricular prosth,,,876.46,6860.0,85
CPT,21087,Impres&prep nasal prosth,,,876.46,10888.81,55
CPT,21088,Impres&prep facial prosth,,,3226.72,6860.0,24
CPT,21089,Unlisted maxlfcl prosth px,,,231.05,4275.0,24
CPT,211,Anesth cran surg hemotoma,,,11639.38,24872.68,16
CPT,21100,Maxillofacial fixation,,,158.9,10888.81,64
CPT,21110,Interdental Fixation,4708.1,4708.1,696.8,3766.48,23
CPT,21110,Interdental fixation,,,281.41,5612.5,58
CPT,21116,Injection jaw joint x-ray,,,43.71,2438.0,39
CPT,21120,Genioplasty Augmentation,13808.0,13808.0,2043.58,11046.4,23
CPT,21120,Genioplasty augmentation,,,307.78,10888.81,58
CPT,21121,Geniop sldg osteot 1,,,74.52,7940.0,100
CPT,21122,Geniop sldg osteot 2/>,,,80.1,10888.81,99
CPT,21123,Geniop sldg augmentation,,,103.29,7940.0,99
CPT,21125,Augmentation mndblr prostc,,,89.76,10888.81,100
CPT,21127,Augmentation mndblr b1 grf,,,104.0,10888.81,100
CPT,21137,Rdctj forehead cntrg only,,,91.13,5969.44,97
CPT,21138,Rdctj forehead cntrg&prostc,,,109.7,10888.81,97
CPT,21139,Rdctj forehead cntrg&setback,,,133.58,10888.81,96
CPT,21141,Lefort i-1 piece w/o graft,,,164.46,10888.81,97
CPT,21142,Lefort i-2 piece w/o graft,,,174.58,10888.81,97
CPT,21143,Lefort i-3/> piece w/o graft,,,172.8,10888.81,97
CPT,21145,Lefort i-1 piece w/ graft,,,172.96,24872.68,97
CPT,21146,Lefort i-2 piece w/ graft,,,179.46,24872.68,97
CPT,21147,Lefort i-3/> piece w/ graft,,,187.39,24872.68,97
CPT,21150,Lefort ii anterior intrusion,,,218.72,10888.81,97
CPT,21151,Lefort ii w/bone grafts,,,258.53,24872.68,97
CPT,21154,Lefort iii w/o lefort i,,,269.91,24872.68,97
CPT,21155,Lefort iii w/ lefort i,,,301.34,24872.68,97
CPT,21159,Lefort iii w/fhdw/o lefort i,,,377.31,24872.68,97
CPT,21160,Lefort iii w/fhd w/ lefort i,,,399.93,24872.68,97
CPT,21172,Reconstruct orbit/forehead,,,241.36,10888.81,97
CPT,21175,Reconstruct orbit/forehead,,,297.28,10888.81,97
CPT,21179,Reconstruct entire forehead,,,208.65,24872.68,97
CPT,21180,Reconstruct entire forehead,,,232.78,24872.68,97
CPT,21181,Contour cranial bone lesion,,,400.85,10888.81,63
CPT,21182,Reconstruct cranial bone,,,293.87,24872.68,97
CPT,21183,Reconstruct cranial bone,,,316.57,24872.68,97
CPT,21184,Reconstruct cranial bone,,,359.07,24872.68,97
CPT,21188,Reconstruction of midface,,,204.28,24872.68,97
CPT,21193,Reconst lwr jaw w/o graft,,,152.13,10888.81,97
CPT,21194,Reconst lwr jaw w/graft,,,175.97,10888.81,97
CPT,21195,Reconst lwr jaw w/o fixation,,,155.59,10888.81,97
CPT,21196,Reconst lwr jaw w/fixation,,,170.83,10888.81,97
CPT,21198,Reconstr lwr jaw segment,,,145.38,10888.81,97
CPT,21199,Reconstr lwr jaw w/advance,,,159.36,10888.81,94
CPT,21206,Reconstruct upper jaw bone,,,127.19,10888.81,99
CPT,21208,Augmentation of facial bones,,,503.79,10888.81,58
CPT,21209,Reduction of facial bones,,,94.78,10888.81,88
CPT,21210,Face bone graft,,,459.97,10888.81,64
CPT,21215,Lower jaw bone graft,,,540.33,10888.81,58
CPT,21230,Rib cartilage graft,,,472.1,10888.81,63
CPT,21235,Ear cartilage graft,,,350.14,10888.81,64
CPT,21240,Reconstruction of jaw joint,,,146.86,10888.81,135
CPT,21242,Reconstruction of jaw joint,,,158.6,10888.81,117
CPT,21243,Reconstruction of jaw joint,,,185.73,33850.11,135
CPT,21244,Reconstruction of lower jaw,,,121.68,10888.81,99
CPT,21245,Reconstruction of jaw,,,118.93,10888.81,100
CPT,21246,Reconstruction of jaw,,,133.08,10888.81,88
CPT,21247,Reconstruct lower jaw bone,,,229.64,24872.68,133
CPT,21248,Reconstruction of jaw,,,505.93,10888.81,64
CPT,21249,Reconstruction of jaw,,,753.75,10888.81,64
CPT,21255,Reconstruct lower jaw bone,,,166.97,10888.81,133
CPT,21256,Reconstruction of orbit,,,168.43,10888.81,132
CPT,21260,Revise eye sockets,,,157.35,10888.81,96
CPT,21261,Revise eye sockets,,,268.19,10888.81,96
CPT,21263,Revise eye sockets,,,270.72,10888.81,96
CPT,21267,Revise eye sockets,,,176.22,10888.81,135
CPT,21268,Revise eye sockets,,,221.73,24872.68,133
CPT,21270,Augmentation cheek bone,,,101.94,10888.81,136
CPT,21275,Revision orbitofacial bones,,,110.19,10888.81,99
CPT,21280,Medial canthopexy,,,282.65,6860.0,99
CPT,21282,Lateral canthopexy,,,178.65,5969.44,99
CPT,21295,Revision of jaw muscle/bone,,,135.57,5612.5,87
CPT,21296,Revision of jaw muscle/bone,,,276.93,5969.44,87
CPT,21299,Unlisted cranfcl&maxlfcl px,,,231.05,1473.0,21
CPT,21300,Treatment of skull fracture,,,43.06,80.25,7
CPT,21310,Closed tx nose fx w/o manj,,,33.63,5595.0,11
CPT,21315,Clsd Tx Nasal Fx W/O Stabl,6428.0,6428.0,951.34,5142.4,23
CPT,21315,Clsd tx nsl fx mnpj wo stblj,,,59.14,5612.5,64
CPT,21320,Clsd Tx Nasal Fx W/ Stabl,10787.0,10787.0,1596.48,8629.6,23
CPT,21320,Clsd tx nsl fx w/mnpj&stablj,,,93.36,5969.44,64
CPT,21325,Open tx nose fx uncomplicatd,,,172.31,5969.44,63
CPT,21330,Open tx nose fx w/skele fixj,,,249.35,10888.81,63
CPT,21335,Open tx nose & septal fx,,,385.95,7940.0,63
CPT,21336,Open tx septal fx w/wo stabj,,,236.09,6850.0,63
CPT,21337,Closed tx septal&nose fx,,,148.56,5969.44,64
CPT,21337,Treat Nasa Septal Fx,7856.8,7856.8,1162.81,6285.44,23
CPT,21338,Open nasoethmoid fx w/o fixj,,,271.58,10888.81,63
CPT,21339,Open nasoethmoid fx w/ fixj,,,78.95,10888.81,99
CPT,21340,Perq tx nasoethmoid fx,,,513.89,6860.0,57
CPT,21343,Open tx dprsd front sinus fx,,,119.28,24872.68,97
CPT,21344,Open tx compl front sinus fx,,,165.47,24872.68,133
CPT,21345,Closed tx nose/jaw fx,,,437.43,7940.0,58
CPT,21346,Opn tx nasomax fx w/fixj,,,680.94,10888.81,55
CPT,21347,Opn tx nasomax fx multple,,,119.87,10888.81,97
CPT,21348,Opn tx nasomax fx w/graft,,,146.96,24872.68,133
CPT,21355,Perq tx malar fracture,,,168.74,6860.0,100
CPT,21356,Opn tx dprsd zygomatic arch,,,213.05,10888.81,99
CPT,21360,Opn tx dprsd malar fracture,,,67.65,10888.81,135
CPT,21365,Opn tx complx malar fx,,,141.73,10888.81,135
CPT,21366,Opn tx complx malar w/grft,,,158.47,10888.81,169
CPT,21385,Opn tx orbit fx transantral,,,92.9,10888.81,135
CPT,21386,Opn tx orbit fx periorbital,,,93.07,10888.81,133
CPT,21387,Opn tx orbit fx combined,,,92.42,10888.81,133
CPT,21390,Opn tx orbit periorbtl implt,,,105.55,10888.81,135
CPT,21395,Opn tx orbit periorbt w/grft,,,118.61,10888.81,133
CPT,214,Anesth skull drainage,,,11639.38,24872.68,16
CPT,21400,Closed tx orbit w/o manipulj,,,89.17,4275.0,88
CPT,21401,Closed tx orbit w/manipulj,,,52.83,5612.5,118
CPT,21406,Opn tx orbit fx w/o implant,,,92.89,10888.81,117
CPT,21407,Opn tx orbit fx w/implant,,,84.3,10888.81,135
CPT,21408,Opn tx orbit fx w/bone grft,,,115.1,10888.81,170
CPT,21421,Clsd Tx Maxilla Leforte I+Wires,9532.0,9532.0,1410.74,7625.6,23
CPT,21421,Cltx palatal/max fx wire fix,,,353.15,5969.44,58
CPT,21422,Optx palatal/max fracture,,,87.26,10888.81,97
CPT,21423,Optx palatal/max fx comp,,,101.89,24872.68,133
CPT,21431,Cltx craniofacial separation,,,108.69,24872.68,85
CPT,21432,Optx cranfcl sep w/wiring,,,112.89,24872.68,85
CPT,21433,Optx cranfcl sep comp mlt,,,273.69,24872.68,85
CPT,21435,Optx crnfc sep comp int&/xtr,,,160.66,24872.68,97
CPT,21436,Optx crnfcl sep comp mlt int,,,233.6,24872.68,133
CPT,21440,Cltx mndblr/max alv ridge fx,,,152.59,5969.44,64
CPT,21440,Reduce Alveolar Ridge Fracture,5722.0,5722.0,846.86,4577.6,23
CPT,21445,Optx mndblr/max alv ridge fx,,,97.43,10888.81,88
CPT,21450,Clsd Tx Mandibular Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,21450,Cltx mndblr fx w/o mnpj,,,161.22,4275.0,64
CPT,21451,Closed Tx Mandibular Fracture W/Manipulation,5537.81,5537.81,819.6,4430.25,23
CPT,21451,Cltx mndblr fx w/mnpj,,,246.73,5612.5,64
CPT,21452,Perq tx mndblr fx xtrnl fixj,,,142.27,10888.81,64
CPT,21453,Cltx mndblr fx ntrdntl fixj,,,279.15,10888.81,64
CPT,21454,Optx mndblr fx xtrnl fixj,,,288.48,10888.81,63
CPT,21461,Optx mndblr fx wo ntrdntl,,,380.51,10888.81,64
CPT,21462,Optx mndblr fx w/ntrdntl,,,104.77,10888.81,100
CPT,21465,Optx mndblr cndylr fx,,,105.52,10888.81,135
CPT,21470,Optx complicated mndblr fx,,,152.47,10888.81,99
CPT,21480,Cltx tmprmand dislc 1st/sbsq,,,35.23,4275.0,58
CPT,21480,Reset Dislocated Jaw,2041.25,2041.25,302.1,1633.0,23
CPT,21485,Cltx tmprmand dislc comp,,,199.65,5612.5,88
CPT,21490,Optx tmprmand dislocation,,,125.51,6860.0,117
CPT,21493,TREAT HYOID BONE FRACTURE,,,74.92,74.92,1
CPT,21495,Treat hyoid bone fracture,,,5595.0,5595.0,1
CPT,21497,Indental Wiring,5285.4,5285.4,782.24,4228.32,23
CPT,21497,Interdental wirg oth/thn fx,,,253.21,5612.5,58
CPT,21499,Unlisted muscskel px head,,,231.05,1473.0,21
CPT,215,Anesth skull repair/fract,,,11639.38,24872.68,16
CPT,21501,I&d dp absc/hmtma sft ts nck,,,155.15,6850.0,64
CPT,21502,I&d dp abs/hmtm nck rib ostc,,,70.01,6850.0,99
CPT,21510,Inc deep opng b1 crtx thorax,,,264.76,24872.68,61
CPT,21550,Biopsy Neck,5322.2,5322.2,787.69,4257.76,23
CPT,21550,Biopsy of neck/chest,,,94.46,5612.5,64
CPT,21550,"Biopsy, Neck/Thorax",5062.3,5062.3,749.22,4049.84,23
CPT,21552,Exc neck les sc 3 cm/>,,,46.58,9641.0,99
CPT,21554,Exc neck tum deep 5 cm/>,,,76.5,9641.0,99
CPT,21555,Exc neck les sc < 3 cm,,,166.3,5612.5,64
CPT,21556,Exc neck tum deep < 5 cm,,,212.44,6850.0,63
CPT,21557,Resect neck thorax tumor<5cm,,,90.93,6850.0,97
CPT,21558,Resect neck tumor 5 cm/>,,,143.51,9641.0,99
CPT,21600,Partial removal of rib,,,72.19,13149.29,99
CPT,21601,Exc chest wall tumor w/ribs,,,166.81,6850.0,97
CPT,21602,Exc ch wal tum w/o lymphadec,,,223.72,24872.68,97
CPT,21603,Exc ch wal tum w/lymphadec,,,247.6,24872.68,97
CPT,21610,Partial removal of rib,,,123.13,6850.0,99
CPT,21615,Removal of rib,,,98.83,24872.68,133
CPT,21616,Removal of rib and nerves,,,112.79,24872.68,133
CPT,21620,Partial removal of sternum,,,79.03,24872.68,97
CPT,21627,Sternal debridement,,,87.27,24872.68,97
CPT,21630,Radical resection sternum,,,166.29,24872.68,97
CPT,21632,Extensive sternum surgery,,,270.33,11639.38,18
CPT,21685,Hyoid myotomy & suspension,,,127.37,10888.81,99
CPT,21700,Revision of neck muscle,,,56.21,13149.29,136
CPT,21705,Revision of neck muscle/rib,,,83.9,24872.68,133
CPT,21720,Revision of neck muscle,,,59.84,6850.0,100
CPT,21725,Revision of neck muscle,,,67.3,4275.0,99
CPT,21740,Reconstruction of sternum,,,157.03,24872.68,97
CPT,21742,Repair stern/nuss w/o scope,,,157.03,6860.0,39
CPT,21743,Repair sternum/nuss w/scope,,,157.03,6860.0,39
CPT,21750,Repair of sternum separation,,,106.74,24872.68,97
CPT,21805,Treatment of rib fracture,,,5595.0,5595.0,1
CPT,21811,Optx of rib fx w/fixj scope,,,84.16,13149.29,99
CPT,21812,Treatment of rib fracture,,,100.89,13149.29,99
CPT,21813,Treatment of rib fracture,,,137.32,9641.0,99
CPT,21820,Treat sternum fracture,,,71.1,4275.0,64
CPT,21825,Treat sternum fracture,,,88.08,24872.68,97
CPT,21899,Unlisted px neck/thorax,,,231.05,1473.0,21
CPT,21920,Biopsy soft tissue of back,,,86.72,5612.5,64
CPT,21925,Biopsy soft tissue of back,,,246.85,5612.5,64
CPT,21930,Exc back les sc < 3 cm,,,198.94,5612.5,64
CPT,21931,Exc back les sc 3 cm/>,,,48.73,9641.0,99
CPT,21932,Exc back tum deep < 5 cm,,,70.01,7940.0,99
CPT,21933,Exc back tum deep 5 cm/>,,,77.17,9641.0,99
CPT,21935,Resect back tum < 5 cm,,,629.07,6850.0,63
CPT,21936,Resect back tum 5 cm/>,,,149.32,9641.0,99
CPT,22010,I&d p-spine c/t/cerv-thor,,,476.14,24872.68,61
CPT,22015,I&d abscess p-spine l/s/ls,,,472.0,24872.68,61
CPT,22100,Remove part of neck vertebra,,,97.16,13149.29,99
CPT,22101,Remove part thorax vertebra,,,98.57,13149.29,99
CPT,22102,Remove part lumbar vertebra,,,89.14,13149.29,99
CPT,22103,Remove extra spine segment,,,21.0,9641.0,46
CPT,22110,Remove part of neck vertebra,,,126.1,24872.68,97
CPT,22112,Remove part thorax vertebra,,,124.58,24872.68,97
CPT,22114,Remove part lumbar vertebra,,,121.38,24872.68,97
CPT,22116,Remove extra spine segment,,,22.31,24872.68,61
CPT,22206,Incis spine 3 column thorac,,,393.4,24872.68,85
CPT,22207,Incis spine 3 column lumbar,,,382.55,24872.68,85
CPT,22208,Incis spine 3 column adl seg,,,93.92,24872.68,55
CPT,22210,Incis 1 vertebral seg cerv,,,215.74,24872.68,97
CPT,22212,Incis 1 vertebral seg thorac,,,190.91,24872.68,97
CPT,22214,Incis 1 vertebral seg lumbar,,,188.2,24872.68,97
CPT,22216,Incis addl spine segment,,,56.2,24872.68,61
CPT,22220,Osteot dsc ant 1 vrt sgm crv,,,205.65,24872.68,97
CPT,22222,Osteot dsc ant 1vrt sgm thrc,,,183.54,24872.68,97
CPT,22224,Osteot dsc ant 1vrt sgm lmbr,,,197.67,24872.68,97
CPT,22226,Osteot dsc ant 1vrt sgm ea,,,55.77,24872.68,61
CPT,22305,Treat spine process fracture,,,5595.0,5595.0,1
CPT,22310,Closed tx vert fx w/o manj,,,134.83,4275.0,64
CPT,22315,Closed tx vert fx w/manj,,,371.23,6850.0,63
CPT,22318,Treat odontoid fx w/o graft,,,199.94,24872.68,133
CPT,22319,Treat odontoid fx w/graft,,,225.92,24872.68,133
CPT,22325,Treat spine fracture,,,160.44,24872.68,97
CPT,22326,Treat neck spine fracture,,,195.22,24872.68,97
CPT,22327,Treat thorax spine fracture,,,189.7,24872.68,97
CPT,22328,Treat each add spine fx,,,44.66,24872.68,61
CPT,22505,Manipulation of spine,,,119.69,5612.5,64
CPT,22510,Perq cervicothoracic inject,,,337.78,9641.0,64
CPT,22511,Perq lumbosacral injection,,,318.07,9641.0,64
CPT,22512,Vertebroplasty addl inject,,,184.37,9641.0,47
CPT,22513,"Percut Kyphoplasty, Thor",30813.0,30813.0,4560.32,24650.4,23
CPT,22513,Perq vertebral augmentation,,,399.47,13149.29,62
CPT,22514,"Percut Kyphoplasty, Lumb",28773.0,28773.0,4258.4,23018.4,23
CPT,22514,Perq vertebral augmentation,,,373.25,13149.29,62
CPT,22515,"Percut Kyphoplasty, Add-On",16503.65,16503.65,2442.54,13202.92,23
CPT,22515,Perq vertebral augmentation,,,212.75,4243.89,44
CPT,22526,Idet single level,,,1803.92,9641.0,13
CPT,22527,Idet 1 or more levels,,,1477.58,9641.0,13
CPT,22532,Arthrd lat xtrcvtry tq thrc,,,223.17,24872.68,133
CPT,22533,Arthrd lat xtrcvtry tq lmbr,,,208.11,24872.68,133
CPT,22534,Arthrd lat xtrcvtry tq ea ad,,,52.42,24872.68,97
CPT,22548,Arthrd ant toral/xoral c1-c2,,,259.17,24872.68,133
CPT,22551,Arthrd ant ntrbdy cervical,,,232.69,23683.65,133
CPT,22552,Arthrd ant ntrbd cervical ea,,,54.23,6860.0,80
CPT,22554,Arthrd ant ntrbd min dsc crv,,,197.42,23683.65,133
CPT,22556,Arthrd ant ntrbd min dsc thc,,,234.82,24872.68,133
CPT,22558,Arthrd ant ntrbd min dsc lum,,,217.99,24872.68,133
CPT,22585,Arthrd ant ntrbd min dsc ea,,,51.32,7268.0,79
CPT,22586,Arthrd pre-sac ntrbdy l5-s1,,,207.89,24872.68,133
CPT,22590,Arthrd pst tq craniocervical,,,216.59,24872.68,133
CPT,22595,Arthrd pst tq atlas-axis,,,207.17,24872.68,133
CPT,22600,Arthrd pst tq 1ntrspc crv,,,173.45,24872.68,133
CPT,22610,Arthrd pst tq 1ntrspc thrc,,,170.93,24872.68,133
CPT,22612,Arthrd pst tq 1ntrspc lumbar,,,212.89,33850.11,133
CPT,22614,Arthrd pst tq 1ntrspc ea add,,,60.5,2438.0,80
CPT,22630,Arthrd pst tq 1ntrspc lum,,,209.51,33850.11,133
CPT,22632,Arthrd pst tq 1ntrspc lm ea,,,50.46,13887.5,82
CPT,22633,Arthrd cmbn 1ntrspc lumbar,,,252.46,33850.11,133
CPT,22634,Arthrd cmbn 1ntrspc ea addl,,,67.98,2438.0,79
CPT,22800,Arthrd pst dfrm<6 vrt sgm,,,190.32,24872.68,97
CPT,22802,Arthrd pst dfrm 7-12 vrt sgm,,,301.09,24872.68,97
CPT,22804,Arthrd pst dfrm 13+ vrt sgm,,,337.23,24872.68,97
CPT,22808,Arthrd ant dfrm 2-3 vrt sgm,,,246.13,24872.68,97
CPT,22810,Arthrd ant dfrm 4-7 vrt sgm,,,268.87,24872.68,97
CPT,22812,Arthrd ant dfrm 8+ vrt sgm,,,305.72,24872.68,97
CPT,22818,Kyphectomy 1-2 segments,,,308.52,24872.68,133
CPT,22819,Kyphectomy 3 or more,,,338.75,24872.68,133
CPT,22830,Exploration of spinal fusion,,,117.47,24872.68,97
CPT,22836,Ant thrc vrt body tethrg <7,,,887.34,24872.68,97
CPT,22837,Ant thrc vrt body tethrg 8+,,,977.39,24872.68,97
CPT,22838,Rev rplc/rmv thrc vrt tethrg,,,990.37,24872.68,97
CPT,22840,Insert spine fixation device,,,107.47,2438.0,43
CPT,22841,Insert spine fixation device,,,1178.0,24872.68,25
CPT,22842,Insert spine fixation device,,,106.64,2438.0,79
CPT,22843,Insert spine fixation device,,,117.23,24872.68,97
CPT,22844,Insert spine fixation device,,,145.84,24872.68,97
CPT,22845,Insert spine fixation device,,,104.75,7268.0,80
CPT,22846,Insert spine fixation device,,,114.1,24872.68,97
CPT,22847,Insert spine fixation device,,,122.88,24872.68,97
CPT,22848,Insert pelv fixation device,,,56.93,11639.38,83
CPT,22849,Reinsert spinal fixation,,,169.7,24872.68,97
CPT,22850,Remove spine fixation device,,,99.81,24872.68,97
CPT,22851,Apply spine prosth device,,,5595.0,5595.0,1
CPT,22852,Remove spine fixation device,,,97.87,24872.68,97
CPT,22853,Insj biomechanical device,,,37.25,2438.0,80
CPT,22854,Insj biomechanical device,,,48.22,2438.0,80
CPT,22855,Removal anterior instrmj,,,135.93,24872.68,97
CPT,22856,Tot disc arthrp 1ntrspc crv,,,208.25,33850.11,133
CPT,22857,Tot disc arthrp 1ntrspc lmbr,,,192.19,24872.68,133
CPT,22858,Tot disc arthrp 2nd lvl crv,,,69.71,2438.0,79
CPT,22859,Insj biomechanical device,,,48.22,2438.0,80
CPT,22860,Tot disc arthrp 2ntrspc lmbr,,,65.34,24872.68,85
CPT,22861,Rev rplcm arthrp 1ntrspc crv,,,253.16,24872.68,133
CPT,22862,Rev rplcm rthrp 1ntrspc lmbr,,,375.18,24872.68,115
CPT,22864,Rmvl tot arthrp 1ntrspc crv,,,233.43,24872.68,133
CPT,22865,Rmvl tot arthrp 1ntrspc lmbr,,,366.36,24872.68,115
CPT,22867,Insj stablj dev w/dcmprn,,,139.15,33850.11,97
CPT,22868,Insj stablj dev w/dcmprn,,,34.81,2438.0,80
CPT,22869,Insj stablj dev w/o dcmprn,,,67.69,23683.65,97
CPT,22870,Insj stablj dev w/o dcmprn,,,18.19,2438.0,80
CPT,22899,Unlisted procedure spine,,,238.67,2438.0,22
CPT,22900,Exc abdl tum deep < 5 cm,,,50.95,6850.0,99
CPT,22901,Exc abdl tum deep 5 cm/>,,,68.87,9641.0,99
CPT,22902,Exc abd les sc < 3 cm,,,43.78,7940.0,100
CPT,22903,Exc abd les sc 3 cm/>,,,45.6,9641.0,99
CPT,22904,Radical resect abd tumor<5cm,,,107.71,7940.0,99
CPT,22905,Rad resect abd tumor 5 cm/>,,,139.63,9641.0,99
CPT,22999,Unlisted px abdomen muscskel,,,238.67,2438.0,22
CPT,23000,Removal of calcium deposits,,,51.27,6850.0,136
CPT,23020,Release shoulder joint,,,92.41,6850.0,135
CPT,23030,Drain shoulder lesion,,,188.7,6850.0,64
CPT,23031,Drain shoulder bursa,,,146.51,5612.5,100
CPT,23035,Drain shoulder bone lesion,,,100.27,5612.5,135
CPT,23040,Exploratory shoulder surgery,,,103.03,6850.0,135
CPT,23044,Exploratory shoulder surgery,,,350.41,6850.0,99
CPT,23065,Biopsy shoulder tissues,,,101.26,5612.5,100
CPT,23066,Biopsy shoulder tissues,,,182.3,6850.0,100
CPT,23071,Exc shoulder les sc 3 cm/>,,,43.31,9641.0,135
CPT,23073,Exc shoulder tum deep 5 cm/>,,,71.77,9641.0,135
CPT,23075,Exc shoulder les sc < 3 cm,,,145.28,5612.5,100
CPT,23076,Exc shoulder tum deep < 5 cm,,,302.28,6850.0,99
CPT,23077,Resect shoulder tumor < 5 cm,,,140.16,6850.0,135
CPT,23078,Resect shoulder tumor 5 cm/>,,,145.28,9641.0,135
CPT,23100,Biopsy of shoulder joint,,,70.65,6850.0,135
CPT,23101,Shoulder joint surgery,,,288.4,7940.0,99
CPT,23105,Remove shoulder joint lining,,,93.36,13149.29,135
CPT,23106,Incision of collarbone joint,,,287.16,6850.0,99
CPT,23107,Explore treat shoulder joint,,,97.65,13149.29,135
CPT,23120,Claviculectomy partial,,,73.93,6850.0,135
CPT,23125,Claviculectomy total,,,99.1,6850.0,135
CPT,23130,Acromp/acromionectomy prtl,,,356.96,6860.0,99
CPT,23140,Removal of bone lesion,,,294.5,6850.0,99
CPT,23145,Removal of bone lesion,,,102.02,6850.0,135
CPT,23146,Removal of bone lesion,,,347.64,13149.29,99
CPT,23150,Removal of humerus lesion,,,86.46,6850.0,135
CPT,23155,Removal of humerus lesion,,,108.25,13149.29,135
CPT,23156,Removal of humerus lesion,,,90.97,13149.29,135
CPT,23170,Remove collar bone lesion,,,318.77,6850.0,99
CPT,23172,Remove shoulder blade lesion,,,73.14,6850.0,135
CPT,23174,Remove humerus lesion,,,101.04,13149.29,135
CPT,23180,Remove collar bone lesion,,,400.63,13149.29,99
CPT,23182,Remove shoulder blade lesion,,,101.58,13149.29,135
CPT,23184,Remove humerus lesion,,,110.44,13149.29,135
CPT,23190,Partial removal of scapula,,,75.19,6850.0,135
CPT,23195,Removal of head of humerus,,,103.28,13149.29,135
CPT,23200,Resect clavicle tumor,,,125.44,24872.68,133
CPT,23210,Resect scapula tumor,,,125.37,24872.68,133
CPT,23220,Resect prox humerus tumor,,,149.65,24872.68,133
CPT,23221,Partial removal of humerus,,,1117.05,1117.05,6
CPT,23222,Partial removal of humerus,,,1372.42,1372.42,6
CPT,23330,Remove shoulder foreign body,,,114.99,4275.0,100
CPT,23333,Removal Foreign Body Shoulder Deep Sub Fac/Intra Musc,4752.95,4752.95,703.44,3802.36,23
CPT,23333,Remove shoulder fb deep,,,272.29,5612.5,99
CPT,23334,Shoulder prosthesis removal,,,642.15,9641.0,99
CPT,23335,Shoulder prosthesis removal,,,765.51,24872.68,97
CPT,23350,Injection Shoulder Arthrograph,1775.0,1775.0,262.7,1420.0,23
CPT,23350,Injection for shoulder x-ray,,,45.82,2438.0,45
CPT,23395,Muscle transfer shoulder/arm,,,156.15,13149.29,99
CPT,23397,Muscle transfers,,,160.52,13149.29,99
CPT,23400,Fixation of shoulder blade,,,136.95,13149.29,135
CPT,23405,Incision of tendon & muscle,,,91.6,13149.29,99
CPT,23406,Incise tendon(s) & muscle(s),,,111.86,13149.29,99
CPT,23410,Repair rotator cuff acute,,,128.14,13149.29,135
CPT,23412,Repair rotator cuff chronic,,,136.21,13149.29,135
CPT,23415,Release of shoulder ligament,,,397.52,13149.29,99
CPT,23420,Repair of shoulder,,,146.23,13149.29,135
CPT,23430,Repair biceps tendon,,,101.25,13149.29,135
CPT,23440,Remove/transplant tendon,,,103.72,13149.29,135
CPT,23450,Repair shoulder capsule,,,138.63,13149.29,135
CPT,23455,Repair shoulder capsule,,,153.57,13149.29,135
CPT,23460,Repair shoulder capsule,,,156.22,13149.29,135
CPT,23462,Repair shoulder capsule,,,158.41,13149.29,135
CPT,23465,Repair shoulder capsule,,,160.02,13149.29,135
CPT,23466,Repair shoulder capsule,,,152.67,13149.29,135
CPT,23470,Reconstruct shoulder joint,,,176.35,23683.65,133
CPT,23472,Reconstruct shoulder joint,,,179.93,33850.11,133
CPT,23473,Revis reconst shoulder joint,,,222.77,23683.65,133
CPT,23474,Revis reconst shoulder joint,,,240.64,24872.68,133
CPT,23480,Revision of collar bone,,,456.7,13149.29,99
CPT,23485,Revision of collar bone,,,135.24,23683.65,135
CPT,23490,Reinforce clavicle,,,118.74,13149.29,135
CPT,23491,Reinforce shoulder bones,,,143.24,23683.65,135
CPT,23500,Clavicular Fx WO Manip,2041.25,2041.25,302.1,1633.0,23
CPT,23500,Cltx clavicular fx w/o mnpj,,,103.85,4275.0,100
CPT,23505,Cltx clavicular fx w/mnpj,,,171.38,5612.5,100
CPT,23515,Optx clavicular fx w/int fix,,,78.8,13149.29,135
CPT,23520,Cltx strnclav dislc w/o mnpj,,,103.36,5612.5,100
CPT,23525,Cltx strnclav dislc w/mnpj,,,157.94,4275.0,100
CPT,23530,Optx strnclav dislc aqt/chrn,,,75.44,13149.29,135
CPT,23532,Optx strclv dslc aq/chrn grf,,,81.66,13149.29,135
CPT,23540,Clsd Tx Acromioclavicular Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,23540,Cltx acromclav dislc wo mnpj,,,110.61,4275.0,100
CPT,23545,Cltx acromclav dislc w/mnpj,,,146.51,4275.0,100
CPT,23550,Optx acromclv dislc aqt/chrn,,,80.37,13149.29,135
CPT,23552,Optx acrclv dslc aq/chrn grf,,,86.26,13149.29,135
CPT,23570,Cltx scapular fx w/o mnpj,,,108.15,4275.0,100
CPT,23575,Cltx scap fx w/mnpj +-tractj,,,185.01,5612.5,100
CPT,23585,Optx scapular fx w/int fixj,,,92.67,13149.29,135
CPT,23600,Cltx prox humrl fx w/o mnpj,,,157.35,4275.0,100
CPT,23605,Clsd Txt Proximal Humerus W/Manipu,17499.55,17499.55,2589.93,13999.64,23
CPT,23605,Cltx prx hmrl fx mnpj+-tract,,,253.11,5612.5,100
CPT,23615,"Open treatment of broken upper arm bone, upper end",36769.0,36769.0,5441.81,29415.2,23
CPT,23615,Optx prox humrl fx w/int fix,,,103.16,23683.65,135
CPT,23616,Optx prx hmrl fx fix rpr rpl,,,196.2,33850.11,171
CPT,23620,Cltx gr hmrl tbrs fx wo mnpj,,,141.62,4275.0,100
CPT,23625,Cltx gr hmrl tbrs fx w/mnpj,,,208.97,5612.5,100
CPT,23625,Treat Humerus Fx,9431.0,9431.0,1395.79,7544.8,23
CPT,23630,Optx gr hmrl tbrs fx int fix,,,81.63,13149.29,135
CPT,23650,Clsd Tx Shoulder Dislc W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,23650,Cltx sho dslc w/mnpj wo anes,,,154.84,4275.0,100
CPT,23655,Clsd Tx Shoulder Disloc W Humeral,8397.0,8397.0,1242.76,6717.6,23
CPT,23655,Cltx sho dslc w/mnpj w/anes,,,184.17,5612.5,99
CPT,23660,Optx acute shoulder dislc,,,81.69,13149.29,135
CPT,23665,Cltx sho dslc fx gr hmrl tbr,,,217.83,5612.5,100
CPT,23665,Treat Dislocation /Fx,5537.81,5537.81,819.6,4430.25,23
CPT,23670,Optx sho dislc fx,,,86.96,13149.29,135
CPT,23675,Clsd Tx Shldr Disloc Prox Hum Fx,5138.2,5138.2,760.45,4110.56,23
CPT,23675,Cltx sho dislc neck fx mnpj,,,271.68,5612.5,100
CPT,23680,Optx sho dislc neck fx fixj,,,108.26,23683.65,135
CPT,23700,Clsd Tx Shoulder Disloc W Manip,2903.75,2903.75,429.76,2323.0,23
CPT,23700,Mnpj anes sho jt fixj aprats,,,135.64,5612.5,99
CPT,23800,Arthrodesis glenohumeral jt,,,154.24,13149.29,135
CPT,23802,Arthrd glenohumeral jt w/grf,,,156.45,23683.65,135
CPT,23900,Interthoracoscplr amputation,,,178.36,24872.68,96
CPT,23920,Disarticulation shoulder,,,148.86,24872.68,132
CPT,23921,Disarticulation sho sec clsr,,,245.68,5612.5,99
CPT,23929,Unlisted procedure shoulder,,,238.67,4275.0,25
CPT,23930,I&d upr a/e dp absc/hmtma,,,166.3,5612.5,100
CPT,23931,Drainage of Arm Bursa,6677.0,6677.0,988.2,5341.6,23
CPT,23931,I&d upr a/e bursa,,,115.29,5612.5,100
CPT,23935,Inc dp opn b1 crtx hum/elbw,,,314.09,6850.0,99
CPT,24000,Arthrt elbw expl drg/rmvl fb,,,271.65,6850.0,99
CPT,24006,Arthrt elbw capsl exc rls,,,90.76,6850.0,171
CPT,24065,Biopsy arm/elbow soft tissue,,,119.37,5612.5,100
CPT,24066,Biopsy arm/elbow soft tissue,,,235.15,6850.0,100
CPT,24071,Exc arm/elbow les sc 3 cm/>,,,42.06,9641.0,135
CPT,24073,Ex arm/elbow tum deep 5 cm/>,,,72.15,9641.0,135
CPT,24075,Exc arm/elbow les sc < 3 cm,,,190.01,5612.5,100
CPT,24076,Ex arm/elbow tum deep < 5 cm,,,260.87,6850.0,99
CPT,24077,Rad rescj tum tiss a/e <5cm,,,522.43,6850.0,99
CPT,24079,Rad rescj tum tiss a/e 5 cm+,,,133.98,9641.0,135
CPT,24100,Arthrt elbw synovial bx only,,,53.58,6850.0,135
CPT,24101,Arthrt elbw jt expl bx rmvl,,,67.8,6850.0,135
CPT,24102,Arthrt elbow w/synovectomy,,,86.53,6850.0,135
CPT,24105,Excision olecranon bursa,,,178.05,6850.0,99
CPT,24110,Exc/curtg b1 cst/b9 tum hum,,,357.93,6850.0,99
CPT,24115,Exc/crtg b1 cst/tum hum agrf,,,102.96,13149.29,135
CPT,24116,Exc/crtg b1 cst/tum hum algr,,,118.72,13149.29,135
CPT,24120,Exc/crtg b1 cst/b9 tum rds,,,293.75,6850.0,99
CPT,24125,Exc/crtg b1 cst/tum rds agrf,,,75.86,6850.0,135
CPT,24126,Exc/crtg b1 cst/tum rds algr,,,83.71,13149.29,135
CPT,24130,Excision radial head,,,294.26,6850.0,99
CPT,24134,Sequestrectomy shft/dstl hum,,,110.8,13149.29,135
CPT,24136,Sequestrectomy radial h/n,,,355.54,6850.0,99
CPT,24138,Sequestrectomy olecrn proces,,,79.7,13149.29,135
CPT,24140,Partial exc bone humerus,,,110.52,6850.0,135
CPT,24145,Prtl exc bone radial h/n,,,361.15,13149.29,99
CPT,24147,Prtl exc bone olecrn process,,,360.01,6850.0,99
CPT,24149,Radical resection of elbow,,,140.07,13149.29,133
CPT,24150,Rad rescj tum dstl/shft hum,,,144.96,13149.29,135
CPT,24151,Extensive humerus surgery,,,989.8,989.8,6
CPT,24152,Rad resection tum radial h/n,,,94.76,13149.29,135
CPT,24153,Extensive radius surgery,,,669.87,669.87,6
CPT,24155,Resection of elbow joint,,,116.63,6850.0,135
CPT,24160,Rmvl prosthhumrl&ulnar cmpnt,,,317.41,6850.0,99
CPT,24164,Removal prosth radial head,,,278.37,6850.0,99
CPT,24200,Remove FB Arm Superficial,6626.3,6626.3,980.69,5301.04,23
CPT,24200,Rmvl fb upper arm/elbw subq,,,107.07,5612.5,99
CPT,24201,Removal of Arm Foreign Body,9773.0,9773.0,1446.4,7818.4,23
CPT,24201,Rmvl fb upper arm/elbw deep,,,222.61,6850.0,100
CPT,24220,Injection px for elbow arthg,,,57.64,2438.0,45
CPT,24300,Mnpj elbow under anes,,,216.72,5612.5,99
CPT,24301,Musc/tdn transfer upr a/e 1,,,99.42,13149.29,99
CPT,24305,Tendon lngth upr a/e ea tdn,,,285.19,6850.0,63
CPT,24310,Tnot opn elbw to sho ea tdn,,,252.02,6850.0,63
CPT,24320,Tenoplasty elbow to sho 1,,,108.16,13149.29,99
CPT,24330,Flexor-plasty elbow,,,96.69,13149.29,135
CPT,24331,Flexor-plasty elbw w/advmnt,,,106.1,13149.29,135
CPT,24332,Tenolysis triceps,,,295.03,6850.0,99
CPT,24340,Tenodesis biceps tdn at elbw,,,79.84,13149.29,135
CPT,24341,Rpr tdn/musc upr a/e each,,,80.35,13149.29,135
CPT,24342,Repair of ruptured tendon,,,108.72,13149.29,135
CPT,24343,Repr elbow lat ligmnt w/tiss,,,90.24,6850.0,135
CPT,24344,Reconstruct elbow lat ligmnt,,,137.67,13149.29,135
CPT,24345,Repr elbw med ligmnt w/tissu,,,90.24,13149.29,135
CPT,24346,Reconstruct elbow med ligmnt,,,137.67,23683.65,135
CPT,24357,Repair elbow perc,,,217.13,9641.0,99
CPT,24358,Repair elbow w/deb open,,,254.49,9641.0,99
CPT,24359,Repair elbow deb/attch open,,,311.29,9641.0,99
CPT,24360,Reconstruct elbow joint,,,128.82,13149.29,135
CPT,24361,Reconstruct elbow joint,,,139.06,33850.11,133
CPT,24362,Reconstruct elbow joint,,,145.19,23683.65,136
CPT,24363,Replace elbow joint,,,190.46,33850.11,133
CPT,24365,Reconstruct head of radius,,,85.54,23683.65,135
CPT,24366,Reconstruct head of radius,,,97.4,23683.65,133
CPT,24370,Revise reconst elbow joint,,,210.62,23683.65,133
CPT,24371,Revise reconst elbow joint,,,242.62,33850.11,133
CPT,24400,Revision of humerus,,,113.47,13149.29,135
CPT,24410,Revision of humerus,,,151.09,23683.65,135
CPT,24420,Revision of humerus,,,144.93,13149.29,135
CPT,24430,Repair of humerus,,,138.52,23683.65,135
CPT,24435,Repair humerus with graft,,,144.46,23683.65,135
CPT,24470,Revision of elbow joint,,,88.65,6860.0,135
CPT,24495,Decompression of forearm,,,366.54,13149.29,99
CPT,24498,Reinforce humerus,,,123.2,23683.65,135
CPT,24500,Clsd Tx Humeral Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,24500,Treat humerus fracture,,,180.81,4275.0,100
CPT,24505,Clsd Tx Humeral Shaft Fx W/Manip,5246.3,5246.3,776.45,4197.04,23
CPT,24505,Treat humerus fracture,,,286.51,5612.5,100
CPT,24515,Treat humerus fracture,,,116.55,23683.65,135
CPT,24516,Treat humerus fracture,,,117.82,23683.65,171
CPT,24530,Treat humerus fracture,,,200.27,4275.0,100
CPT,24535,Treat Humerus Fx,3010.7,3010.7,445.58,2408.56,23
CPT,24535,Treat humerus fracture,,,332.03,5612.5,100
CPT,24538,Treat humerus fracture,,,419.84,13149.29,99
CPT,24545,Treat humerus fracture,,,108.29,23683.65,135
CPT,24546,Treat humerus fracture,,,145.49,23683.65,171
CPT,24560,Treat humerus fracture,,,164.1,4275.0,100
CPT,24565,Treat humerus fracture,,,272.93,5612.5,100
CPT,24566,Treat humerus fracture,,,348.18,5612.5,99
CPT,24575,Treat humerus fracture,,,99.69,23683.65,135
CPT,24576,Treat humerus fracture,,,163.16,4275.0,100
CPT,24577,Treat humerus fracture,,,288.44,5612.5,100
CPT,24579,Treat humerus fracture,,,110.19,23683.65,135
CPT,24582,Treat humerus fracture,,,381.82,13149.29,99
CPT,24586,Treat elbow fracture,,,150.35,23683.65,135
CPT,24587,Treat elbow fracture,,,146.24,23683.65,135
CPT,24600,Clsd Tx Elbow Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,24600,Treat elbow dislocation,,,214.3,4275.0,100
CPT,24605,Clsd Tx Elbow Dislocation,9689.0,9689.0,1433.97,7751.2,23
CPT,24605,Treat elbow dislocation,,,203.83,5612.5,99
CPT,24615,Treat elbow dislocation,,,95.76,13149.29,135
CPT,24620,Treat Elbow Fracture,5537.81,5537.81,819.6,4430.25,23
CPT,24620,Treat elbow fracture,,,275.83,5612.5,99
CPT,24635,Treat elbow fracture,,,109.11,13149.29,135
CPT,24640,Treat elbow dislocation,,,62.03,4275.0,99
CPT,24650,Radial Hd/Neck Fx WO Manip,2041.25,2041.25,302.1,1633.0,23
CPT,24650,Treat radius fracture,,,50.0,4275.0,100
CPT,24655,Clsd Txt Radial Hd/Neck Fx W/Out M,6450.0,6450.0,954.6,5160.0,23
CPT,24655,Treat radius fracture,,,235.37,5612.5,100
CPT,24665,Treat radius fracture,,,85.84,13149.29,135
CPT,24666,Treat radius fracture,,,103.69,23683.65,135
CPT,24670,Treat ulnar fracture,,,151.47,4275.0,100
CPT,24675,Closed Tratment of Proximal Ulna/W Manipulation,4833.45,4833.45,715.35,3866.76,23
CPT,24675,Treat ulnar fracture,,,250.59,5612.5,100
CPT,24685,Treat ulnar fracture,,,93.88,13149.29,135
CPT,24800,Fusion of elbow joint,,,112.63,13149.29,135
CPT,24802,Fusion/graft of elbow joint,,,135.15,23683.65,135
CPT,24900,Amputation of upper arm,,,98.29,24872.68,132
CPT,24920,Amputation of upper arm,,,97.4,24872.68,132
CPT,24925,Amputation follow-up surgery,,,75.79,6850.0,135
CPT,24930,Amputation follow-up surgery,,,106.25,24872.68,132
CPT,24931,Amputate upper arm & implant,,,121.53,24872.68,132
CPT,24935,Revision of amputation,,,654.98,13149.29,96
CPT,24940,Revision of upper arm,,,3923.0,24872.68,25
CPT,24999,Unlisted px humerus/elbow,,,238.67,2438.0,22
CPT,25000,Incision of tendon sheath,,,188.62,5612.5,99
CPT,25001,Incise flexor carpi radialis,,,181.53,6850.0,99
CPT,25020,Decompress forearm 1 space,,,294.01,5612.5,99
CPT,25023,Decompress forearm 1 space,,,531.15,6850.0,99
CPT,25024,Decompress forearm 2 spaces,,,454.11,6850.0,99
CPT,25025,Decompress forearm 2 spaces,,,732.6,5612.5,99
CPT,25028,Drainage of forearm lesion,,,243.12,6850.0,99
CPT,25031,Drainage of forearm bursa,,,196.1,5612.5,99
CPT,25035,Treat forearm bone lesion,,,393.17,13149.29,99
CPT,25040,Explore/treat wrist joint,,,323.19,6850.0,99
CPT,25065,Biopsy forearm soft tissues,,,93.78,5612.5,100
CPT,25066,Biopsy forearm soft tissues,,,188.49,6850.0,99
CPT,25071,Exc forearm les sc 3 cm/>,,,44.08,9641.0,135
CPT,25073,Exc forearm tum deep 3 cm/>,,,54.92,9641.0,135
CPT,25075,Exc forearm les sc < 3 cm,,,182.85,5612.5,99
CPT,25076,Exc forearm tum deep < 3 cm,,,274.54,5612.5,99
CPT,25077,Resect forearm/wrist tum<3cm,,,473.58,5612.5,99
CPT,25078,Resect forarm/wrist tum 3cm>,,,117.03,9641.0,135
CPT,25085,Incision of wrist capsule,,,64.53,6850.0,135
CPT,25100,Biopsy of wrist joint,,,208.1,6850.0,99
CPT,25101,Explore/treat wrist joint,,,243.52,6850.0,99
CPT,25105,Remove wrist joint lining,,,314.5,6850.0,99
CPT,25107,Remove wrist joint cartilage,,,73.18,6850.0,135
CPT,25109,Excise tendon forearm/wrist,,,373.59,6850.0,87
CPT,25110,Remove wrist tendon lesion,,,201.27,5612.5,99
CPT,25111,Remove wrist tendon lesion,,,176.25,5612.5,99
CPT,25112,Reremove wrist tendon lesion,,,218.23,5612.5,99
CPT,25115,Remove wrist/forearm lesion,,,443.5,5612.5,99
CPT,25116,Remove wrist/forearm lesion,,,399.73,6850.0,99
CPT,25118,Excise wrist tendon sheath,,,230.73,5612.5,99
CPT,25119,Partial removal of ulna,,,74.94,6850.0,135
CPT,25120,Removal of forearm lesion,,,349.75,6850.0,99
CPT,25125,Remove/graft forearm lesion,,,397.9,5612.5,99
CPT,25126,Remove/graft forearm lesion,,,89.69,6850.0,135
CPT,25130,Removal of wrist lesion,,,247.97,6850.0,99
CPT,25135,Remove & graft wrist lesion,,,72.22,13149.29,135
CPT,25136,Remove & graft wrist lesion,,,62.49,13149.29,135
CPT,25145,Remove forearm bone lesion,,,81.9,6850.0,135
CPT,25150,Partial removal of ulna,,,356.22,6850.0,99
CPT,25151,Partial removal of radius,,,88.54,6850.0,135
CPT,25170,Resect radius/ulnar tumor,,,124.47,13149.29,135
CPT,25210,Removal of wrist bone,,,277.26,6850.0,63
CPT,25215,Removal of wrist bones,,,93.78,6850.0,135
CPT,25230,Partial removal of radius,,,262.59,6850.0,99
CPT,25240,Partial removal of ulna,,,280.76,6850.0,99
CPT,25246,Injection Wrist Arthrography,1775.0,1775.0,262.7,1420.0,23
CPT,25246,Injection for wrist x-ray,,,62.03,2438.0,45
CPT,25248,Remove forearm foreign body,,,246.32,5612.5,99
CPT,25250,Removal of wrist prosthesis,,,70.64,5612.5,135
CPT,25251,Removal of wrist prosthesis,,,107.02,6850.0,135
CPT,25259,Manipulate wrist w/anesthes,,,293.28,5612.5,87
CPT,25260,Repair forearm tendon/muscle,,,385.92,6850.0,63
CPT,25263,Repair forearm tendon/muscle,,,95.85,13149.29,99
CPT,25265,Repair forearm tendon/muscle,,,114.55,6850.0,99
CPT,25270,Repair forearm tendon/muscle,,,318.13,6850.0,63
CPT,25272,Repair forearm tendon/muscle,,,349.58,6850.0,63
CPT,25274,Repair forearm tendon/muscle,,,438.69,6850.0,63
CPT,25275,Repair forearm tendon sheath,,,412.58,6850.0,99
CPT,25280,Revise wrist/forearm tendon,,,358.54,6850.0,63
CPT,25290,Incise wrist/forearm tendon,,,304.84,6850.0,63
CPT,25295,Release wrist/forearm tendon,,,326.76,6850.0,63
CPT,25300,Fusion of tendons at wrist,,,92.51,6850.0,135
CPT,25301,Fusion of tendons at wrist,,,86.68,6850.0,135
CPT,25310,Transplant forearm tendon,,,99.38,6850.0,99
CPT,25312,Transplant forearm tendon,,,111.12,6860.0,99
CPT,25315,Revise palsy hand tendon(s),,,115.14,13149.29,135
CPT,25316,Revise palsy hand tendon(s),,,138.01,13149.29,135
CPT,25320,Repair/revise wrist joint,,,109.16,13149.29,135
CPT,25332,Revise wrist joint,,,117.04,6860.0,135
CPT,25335,Centralization wrist on ulna,,,133.57,6860.0,135
CPT,25337,Reconstruct ulna/radioulnar,,,467.21,13149.29,99
CPT,25350,Revision of radius,,,104.8,13149.29,135
CPT,25355,Revision of radius,,,116.34,6860.0,135
CPT,25360,Revision of ulna,,,99.93,13149.29,135
CPT,25365,Revise radius & ulna,,,139.45,23683.65,135
CPT,25370,Revise radius or ulna,,,139.07,6860.0,135
CPT,25375,Revise radius & ulna,,,146.87,6860.0,135
CPT,25390,Shorten radius or ulna,,,119.63,13149.29,135
CPT,25391,Lengthen radius or ulna,,,154.72,23683.65,135
CPT,25392,Shorten radius & ulna,,,148.2,13149.29,135
CPT,25393,Lengthen radius & ulna,,,168.74,13149.29,135
CPT,25394,Repair carpal bone shorten,,,102.38,6860.0,135
CPT,25400,Repair radius or ulna,,,127.59,13149.29,135
CPT,25405,Repair/graft radius or ulna,,,159.11,13149.29,135
CPT,25415,Repair radius & ulna,,,154.06,13149.29,135
CPT,25420,Repair/graft radius & ulna,,,178.13,13149.29,135
CPT,25425,Repair/graft radius or ulna,,,153.86,13149.29,135
CPT,25426,Repair/graft radius & ulna,,,160.51,6860.0,135
CPT,25430,Vasc graft into carpal bone,,,507.78,6860.0,87
CPT,25431,Repair nonunion carpal bone,,,126.45,13149.29,117
CPT,25440,Repair nonu scphd carpl b1,,,106.65,13149.29,135
CPT,25441,Arthrp w/prostc dstl rds,,,131.27,23683.65,133
CPT,25442,Arthrp w/prostc dstl ulna,,,107.08,33850.11,133
CPT,25443,Arthrp prostc dstl scph crpl,,,111.12,13149.29,135
CPT,25444,Arthrp w/prostc lunate,,,118.11,23683.65,135
CPT,25445,Arthrp w/prostc trapezium,,,474.23,13149.29,99
CPT,25446,Arthrp w/prostc dst rds&crps,,,176.66,33850.11,133
CPT,25447,Arthrp ntrcrp/crp/mtcr ntrps,,,109.02,6860.0,135
CPT,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,119.82,5972.28,122
CPT,25449,Revj arthrp wrist joint,,,135.7,13149.29,135
CPT,25450,Epiphysl arrst dstl rds/ulna,,,398.77,6860.0,99
CPT,25455,Epiphysl arrst dstl rds&ulna,,,444.77,6860.0,99
CPT,25490,Prophylactic tx radius,,,109.53,13149.29,135
CPT,25491,Prophylactic tx ulna,,,115.45,23683.65,135
CPT,25492,Prophylactic tx radius&ulna,,,134.04,6860.0,135
CPT,25500,Cltx rdl shft fx w/o mnpj,,,50.0,4275.0,100
CPT,25505,Clsd Txt Radial Shaft Fx W/Manipul,5888.0,5888.0,871.42,4710.4,23
CPT,25505,Cltx rdl shft fx w/mnpj,,,264.82,5612.5,100
CPT,25515,Optx radial shaft fracture,,,93.94,13149.29,135
CPT,25520,Clsd Tx Radial Shaft Fx W/Dislocation,2855.45,2855.45,422.61,2284.36,23
CPT,25520,Cltx rdl shft fx&dislc,,,318.83,5612.5,100
CPT,25525,Optx rdl shft fx&cltx rad/ul,,,125.65,13149.29,171
CPT,25526,Optx rdl shft fx&dstl rad/ul,,,148.29,13149.29,171
CPT,25530,Clsd Tx Ulnar Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,25530,Cltx ulnar shft fx w/o mnpj,,,50.0,4275.0,100
CPT,25535,Clsd Tx Ulna Fx W/Manip,2458.7,2458.7,363.89,1966.96,23
CPT,25535,Cltx ulnar shft fx w/mnpj,,,238.67,4275.0,100
CPT,25545,Optx ulnar shft fx int fixj,,,92.01,13149.29,135
CPT,25560,Cltx rdl&uln shft fx wo mnpj,,,50.0,4275.0,100
CPT,25565,Clsd Tx Radius/Ulna Fx W/Manip,8128.2,8128.2,1202.97,6502.56,23
CPT,25565,Cltx rdl&uln shft fx w/mnpj,,,292.13,5612.5,100
CPT,25574,Optx rdl&uln shft fx rds/uln,,,79.43,13149.29,171
CPT,25575,Optx rdl&uln shft fx rds&uln,,,111.57,13149.29,135
CPT,25600,Clsd Tx Distal Rad/Ulna Shaft Fx (Colles or Smith) W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,25600,Cltx dst rdl fx/ephys sep wo,,,50.0,4275.0,100
CPT,25605,Cltx dst rdl fx/ephys sep w/,,,289.32,5612.5,100
CPT,25605,Treat Fracture Radius/Ulna,7417.5,7417.5,1097.79,5934.0,23
CPT,25606,Perq skel fixj dstl rdl fx,,,372.63,6850.0,99
CPT,25607,Optx dst rd xartc fx/epi sep,,,86.29,13149.29,135
CPT,25608,Optx dst rd xart fx/epi sep2,,,98.49,13149.29,135
CPT,25609,Optx dst rd xart fx/ep sep3+,,,125.48,13149.29,135
CPT,25622,Cltx carpl scphd fx w/o mnpj,,,50.0,4275.0,99
CPT,25624,Cltx carpl scphd fx w/mnpj,,,247.86,5612.5,100
CPT,25628,Optx carpl scphd fx int fixj,,,87.63,13149.29,135
CPT,25630,Cltx carpl fx w/o mnpj ea b1,,,50.0,4275.0,100
CPT,25630,Wrist-Capitate,2041.25,2041.25,302.1,1633.0,23
CPT,25635,Clsd Tx Carpal Fx W/Manip,5423.4,5423.4,802.66,4338.72,23
CPT,25635,Cltx carpl fx w/mnpj ea b1,,,238.91,5612.5,100
CPT,25645,Optx crpl fx oth/thn scph ea,,,78.06,7268.0,135
CPT,25650,Cltx ulnar styloid fracture,,,50.0,4275.0,99
CPT,25650,Treat Wrist Bone Fracture,2041.25,2041.25,302.1,1633.0,23
CPT,25651,Perq skel fix ulnar styld fx,,,342.59,6850.0,87
CPT,25652,Optx ulnar styloid fracture,,,434.34,13149.29,87
CPT,25660,Cltx rdcrpl/ntrcrpl dislc 1+,,,186.47,4275.0,99
CPT,25670,Optx rdcrpl/ntrcrpl dislc 1+,,,83.78,13149.29,135
CPT,25671,Perq skel fix rad/uln dislc,,,374.09,6850.0,99
CPT,25675,Clsd Tx Radioulnar (Wrist) Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,25675,Cltx dstl rad/uln dislc mnpj,,,228.98,4275.0,100
CPT,25676,Optx rad/uln dislc aqt/chrnc,,,84.94,13149.29,135
CPT,25680,Cltx trns-scphprlnr fx mnpj,,,232.07,4275.0,99
CPT,25685,Optx trns-scphprlnr fx dislc,,,101.66,13149.29,135
CPT,25690,Clsd Tx Lunate (Wrist) Dislocation,8034.0,8034.0,1189.03,6427.2,23
CPT,25690,Cltx lunate dislc w/mnpj,,,255.96,5612.5,99
CPT,25695,Optx lunate dislocation,,,86.77,13149.29,135
CPT,25800,Arthrd wrist complete wo grf,,,107.75,13149.29,135
CPT,25805,Arthrd wrist w/sliding graft,,,123.52,13149.29,135
CPT,25810,Arthrd wrst iliac/oth agrft,,,115.5,23683.65,135
CPT,25820,Arthrd wrist lmtd w/o b1 grf,,,84.54,13149.29,135
CPT,25825,Arthrd wrist with autograft,,,102.66,13149.29,135
CPT,25830,Arthrd dst rad/ul jt sgm rsc,,,113.65,13149.29,135
CPT,25900,Amputation of forearm,,,430.73,24872.68,96
CPT,25905,Amputation of forearm,,,103.19,24872.68,132
CPT,25907,Amputation follow-up surgery,,,91.74,6850.0,135
CPT,25909,Amputation follow-up surgery,,,97.32,13149.29,133
CPT,25915,Amputation of forearm,,,174.38,24872.68,132
CPT,25920,Amputate hand at wrist,,,380.56,24872.68,96
CPT,25922,Amputate hand at wrist,,,76.69,5612.5,135
CPT,25924,Amputation follow-up surgery,,,88.05,24872.68,132
CPT,25927,Amputation of hand,,,410.32,24872.68,97
CPT,25929,Amputation follow-up surgery,,,73.85,5612.5,135
CPT,25931,Amputation follow-up surgery,,,389.27,6850.0,96
CPT,25999,Unlisted px forearm/wrist,,,238.67,2438.0,22
CPT,26010,Drainage of finger abscess,,,50.0,4275.0,63
CPT,26010,I&D Abscess Finger Simple,2041.25,2041.25,302.1,1633.0,23
CPT,26011,Drainage of finger abscess,,,148.14,5612.5,64
CPT,26011,I&D Abscess Complicated Finger,7086.3,7086.3,1048.77,5669.04,23
CPT,26020,Drain hand tendon sheath,,,262.78,6850.0,63
CPT,26025,Drainage of palm bursa,,,276.6,6850.0,99
CPT,26030,Drainage of palm bursas,,,324.59,6850.0,99
CPT,26034,Treat hand bone lesion,,,326.58,5612.5,63
CPT,26035,Decompress fingers/hand,,,435.92,6850.0,63
CPT,26037,Decompress fingers/hand,,,361.15,6850.0,99
CPT,26040,Release palm contracture,,,216.97,5612.5,99
CPT,26045,Release palm contracture,,,307.65,6850.0,99
CPT,26055,Incise finger tendon sheath,,,170.36,5612.5,64
CPT,26055,Tendon Sheath Incision,3193.55,3193.55,472.65,2554.84,23
CPT,26060,Incision of finger tendon,,,147.26,5612.5,63
CPT,26070,Explore/treat hand joint,,,218.34,5612.5,99
CPT,26075,Explore/treat finger joint,,,236.93,6850.0,99
CPT,26080,"Arthrotomy W/Expl,Drain,Rmvl of Loose/FB Interphalangeal Jnt Ea",4442.45,4442.45,657.48,3553.96,23
CPT,26080,Explore/treat finger joint,,,247.88,5612.5,63
CPT,26100,Biopsy hand joint lining,,,197.26,6850.0,99
CPT,26105,Biopsy finger joint lining,,,240.02,6850.0,99
CPT,26110,Biopsy finger joint lining,,,221.23,5612.5,63
CPT,26111,Exc hand les sc 1.5 cm/>,,,42.78,9641.0,99
CPT,26113,Exc hand tum deep 1.5 cm/>,,,56.29,9641.0,99
CPT,26115,Exc hand les sc < 1.5 cm,,,183.4,5612.5,63
CPT,26116,Exc hand tum deep < 1.5 cm,,,292.64,5612.5,63
CPT,26117,Rad resect hand tumor < 3 cm,,,398.18,6850.0,63
CPT,26118,Rad resect hand tumor 3 cm/>,,,110.29,9641.0,99
CPT,26121,Release palm contracture,,,412.9,6850.0,99
CPT,26123,Release palm contracture,,,474.75,6850.0,99
CPT,26125,Release palm contracture,,,243.74,3923.0,44
CPT,26130,Remove wrist joint lining,,,319.69,6850.0,99
CPT,26135,Revise finger joint each,,,369.77,6850.0,63
CPT,26140,Revise finger joint each,,,335.69,5612.5,63
CPT,26145,Tendon excision palm/finger,,,345.95,5612.5,63
CPT,26160,Remove tendon sheath lesion,,,169.57,5612.5,64
CPT,26170,Removal of palm tendon each,,,224.62,5612.5,63
CPT,26180,Removal of finger tendon,,,251.09,5612.5,63
CPT,26185,Remove finger bone,,,58.63,5612.5,135
CPT,26200,Remove hand bone lesion,,,302.62,5612.5,63
CPT,26205,Remove/graft bone lesion,,,389.97,13149.29,63
CPT,26210,Removal of finger lesion,,,289.39,5612.5,63
CPT,26215,Remove/graft finger lesion,,,362.07,6850.0,63
CPT,26230,Partial removal of hand bone,,,316.32,7940.0,63
CPT,26235,Partial removal finger bone,,,305.58,5612.5,63
CPT,26236,Partial removal finger bone,,,278.64,5612.5,63
CPT,26250,Extensive hand surgery,,,403.2,6850.0,63
CPT,26255,Extensive hand surgery,,,848.18,848.18,6
CPT,26260,Resect prox finger tumor,,,87.02,6850.0,99
CPT,26261,Extensive finger surgery,,,681.32,681.32,6
CPT,26262,Resect distal finger tumor,,,73.26,5612.5,99
CPT,26320,Removal of implant from hand,,,244.4,5612.5,63
CPT,26340,Manipulate finger w/anesth,,,251.6,5612.5,87
CPT,26341,Manipulat palm cord post inj,,,62.27,4275.0,87
CPT,26350,Repair finger/hand tendon,,,378.06,6850.0,63
CPT,26352,Repair/graft hand tendon,,,103.56,13149.29,99
CPT,26356,Repair finger/hand tendon,,,457.56,6850.0,63
CPT,26357,Repair finger/hand tendon,,,107.04,6850.0,99
CPT,26358,Repair/graft hand tendon,,,112.42,13149.29,99
CPT,26370,Repair finger/hand tendon,,,422.07,6850.0,63
CPT,26372,Repair/graft hand tendon,,,108.55,13149.29,99
CPT,26373,Repair finger/hand tendon,,,103.84,6850.0,99
CPT,26390,Revise hand/finger tendon,,,106.26,13149.29,99
CPT,26392,Repair/graft hand tendon,,,131.75,13149.29,99
CPT,26410,Repair Hand Tendon,7523.0,7523.0,1113.4,6018.4,23
CPT,26410,Repair hand tendon,,,283.16,5612.5,63
CPT,26412,Repair/graft hand tendon,,,370.28,6850.0,63
CPT,26415,Excision hand/finger tendon,,,418.67,6850.0,63
CPT,26416,Graft hand or finger tendon,,,570.9,6850.0,63
CPT,26418,Repair Finger Tendon,6848.0,6848.0,1013.5,5478.4,23
CPT,26418,Repair finger tendon,,,278.37,5612.5,63
CPT,26420,Repair/graft finger tendon,,,116.52,6850.0,87
CPT,26426,Repair finger/hand tendon,,,351.23,6850.0,63
CPT,26428,Repair/graft finger tendon,,,400.56,6850.0,63
CPT,26432,Repair finger tendon,,,244.28,5612.5,64
CPT,26433,Repair finger tendon,,,274.14,6850.0,63
CPT,26434,Repair/graft finger tendon,,,75.3,6850.0,99
CPT,26437,Realignment of tendons,,,307.42,6850.0,63
CPT,26440,Release palm/finger tendon,,,317.33,5612.5,63
CPT,26442,Release palm & finger tendon,,,406.65,6850.0,63
CPT,26445,Release hand/finger tendon,,,294.24,6850.0,63
CPT,26449,Release forearm/hand tendon,,,394.49,6850.0,63
CPT,26450,Incision of palm tendon,,,186.85,6850.0,63
CPT,26455,Incision of finger tendon,,,180.23,5612.5,63
CPT,26460,Incise hand/finger tendon,,,171.31,5612.5,63
CPT,26471,Fusion of finger tendons,,,301.76,6850.0,63
CPT,26474,Fusion of finger tendons,,,69.69,5612.5,99
CPT,26476,Tendon lengthening,,,274.14,6850.0,63
CPT,26477,Tendon shortening,,,287.18,6850.0,63
CPT,26478,Lengthening of hand tendon,,,312.76,6850.0,63
CPT,26479,Shortening of hand tendon,,,74.99,6850.0,99
CPT,26480,Transplant hand tendon,,,400.94,6850.0,63
CPT,26483,Transplant/graft hand tendon,,,113.4,6850.0,99
CPT,26485,Transplant palm tendon,,,102.48,6850.0,99
CPT,26489,Transplant/graft palm tendon,,,412.43,6850.0,63
CPT,26490,Revise thumb tendon,,,429.66,6850.0,63
CPT,26492,Tendon transfer with graft,,,111.38,6850.0,99
CPT,26494,Hand tendon/muscle transfer,,,108.64,6850.0,99
CPT,26496,Revise thumb tendon,,,469.43,6850.0,63
CPT,26497,Finger tendon transfer,,,108.46,6850.0,99
CPT,26498,Finger tendon transfer,,,150.92,6850.0,99
CPT,26499,Revision of finger,,,107.27,6850.0,99
CPT,26500,Hand tendon reconstruction,,,309.09,13149.29,63
CPT,26502,Hand tendon reconstruction,,,82.04,6850.0,99
CPT,26508,Release thumb contracture,,,317.69,6850.0,99
CPT,26510,Thumb tendon transfer,,,297.8,6850.0,63
CPT,26516,Fusion of knuckle joint,,,346.64,6850.0,99
CPT,26517,Fusion of knuckle joints,,,102.13,6850.0,135
CPT,26518,Fusion of knuckle joints,,,100.55,13149.29,135
CPT,26520,Release knuckle contracture,,,334.82,6850.0,63
CPT,26525,Release finger contracture,,,326.85,5612.5,63
CPT,26530,Revise knuckle joint,,,87.68,13149.29,99
CPT,26531,Revise knuckle with implant,,,101.98,13149.29,99
CPT,26535,Revise finger joint,,,270.58,6860.0,63
CPT,26536,Revise/implant finger joint,,,382.0,13149.29,63
CPT,26540,Repair hand joint,,,359.81,6850.0,63
CPT,26541,Repair hand joint with graft,,,106.37,7940.0,99
CPT,26542,Repair hand joint with graft,,,354.65,6850.0,63
CPT,26545,Reconstruct finger joint,,,357.63,6850.0,63
CPT,26546,Repair nonunion hand,,,105.33,13149.29,135
CPT,26548,Reconstruct finger joint,,,401.21,6850.0,63
CPT,26550,Pollicization digit,,,213.01,6850.0,135
CPT,26551,Great toe-hand transfer,,,446.01,24872.68,133
CPT,26553,Single transfer toe-hand,,,442.22,24872.68,133
CPT,26554,Double transfer toe-hand,,,520.37,24872.68,133
CPT,26555,Positional change of finger,,,179.61,13149.29,99
CPT,26556,Toe joint transfer,,,458.09,24872.68,97
CPT,26560,Repair of web finger,,,66.2,5612.5,99
CPT,26561,Repair of web finger,,,122.3,6850.0,99
CPT,26562,Repair of web finger,,,116.78,6850.0,99
CPT,26565,Correct metacarpal flaw,,,83.89,6850.0,99
CPT,26567,Correct finger deformity,,,338.27,6850.0,63
CPT,26568,Lengthen metacarpal/finger,,,115.27,13149.29,99
CPT,26580,Repair cleft hand,,,181.59,6850.0,135
CPT,26587,Reconstruct extra finger,,,139.95,6850.0,99
CPT,26590,Repair finger deformity,,,184.22,5898.0,99
CPT,26591,Repair muscles of hand,,,214.14,6850.0,63
CPT,26593,Release muscles of hand,,,290.59,6850.0,63
CPT,26596,Excision constricting tissue,,,92.64,6850.0,99
CPT,26600,Clsd Tx Metacarpal Fx Single W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26600,Treat metacarpal fracture,,,50.0,4275.0,63
CPT,26605,Treat Metacarpal Fracture,2041.25,2041.25,302.1,1633.0,23
CPT,26605,Treat metacarpal fracture,,,177.31,4275.0,64
CPT,26607,Treat metacarpal fracture,,,246.12,6850.0,63
CPT,26608,Treat metacarpal fracture,,,245.66,6850.0,63
CPT,26615,Treat metacarpal fracture,,,257.4,7268.0,63
CPT,26641,"Closed Treatment of Carpometacarpal Dislocation,Thumb,W/Manipulation",2041.25,2041.25,302.1,1633.0,23
CPT,26641,Treat thumb dislocation,,,50.0,4275.0,99
CPT,26645,Treat Thumb Fracture,2748.5,2748.5,406.78,2198.8,23
CPT,26645,Treat thumb fracture,,,224.58,5612.5,100
CPT,26650,Treat thumb fracture,,,263.3,6850.0,99
CPT,26665,Treat thumb fracture,,,342.1,7268.0,99
CPT,26670,Treat Hand Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,26670,Treat hand dislocation,,,50.0,4275.0,62
CPT,26675,Treat hand dislocation,,,248.23,5612.5,64
CPT,26676,Pin hand dislocation,,,271.85,6850.0,63
CPT,26685,Treat hand dislocation,,,315.82,6850.0,63
CPT,26686,Treat hand dislocation,,,81.27,7268.0,99
CPT,26700,"Metacarpophlangeal Disloc,Sing",2041.25,2041.25,302.1,1633.0,23
CPT,26700,Treat knuckle dislocation,,,50.0,4275.0,63
CPT,26705,Clsd Tx Mcp (Knuckle) Dislocation,5138.2,5138.2,760.45,4110.56,23
CPT,26705,Treat knuckle dislocation,,,200.62,5612.5,64
CPT,26706,Pin knuckle dislocation,,,231.92,6850.0,63
CPT,26715,Treat knuckle dislocation,,,259.73,6850.0,63
CPT,26720,Clsd Tx Prox/Mid Finger Shft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26720,Treat finger fracture each,,,50.0,4275.0,64
CPT,26725,Clsd Tx Prox/Mid Finger Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26725,Treat finger fracture each,,,50.0,4275.0,64
CPT,26727,Treat finger fracture each,,,231.18,7940.0,63
CPT,26735,Open Tx of Phalangeal Shaft Fx,10389.0,10389.0,1537.57,8311.2,23
CPT,26735,Treat finger fracture each,,,262.88,6850.0,63
CPT,26740,Clsd Tx Artclr Fx Mtcrphlngl/Iphal Jt W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26740,Treat finger fracture each,,,50.0,4275.0,64
CPT,26742,Treat finger fracture each,,,205.74,5612.5,64
CPT,26746,"Treat Finger Fracture, Each",8530.0,8530.0,1262.44,6824.0,23
CPT,26746,Treat finger fracture each,,,270.95,6850.0,63
CPT,26750,Treat finger fracture each,,,50.0,4275.0,63
CPT,26755,Clsd Tx Finger Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26755,Treat finger fracture each,,,50.0,4275.0,63
CPT,26756,Pin finger fracture each,,,200.42,6850.0,63
CPT,26765,"Treat Finger Fracture, Each",9221.0,9221.0,1364.71,7376.8,23
CPT,26765,Treat finger fracture each,,,196.86,6850.0,63
CPT,26770,Clsd Tx Ipjt Disloc W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,26770,Treat finger dislocation,,,50.0,4275.0,63
CPT,26775,Clsd Tx Finger Dislocation,7544.0,7544.0,1116.51,6035.2,23
CPT,26775,Treat finger dislocation,,,180.21,4275.0,61
CPT,26776,Pin finger dislocation,,,214.45,6850.0,63
CPT,26785,Clsd Tx Finger Dislocation,16294.0,16294.0,2411.51,13035.2,23
CPT,26785,Treat finger dislocation,,,201.89,6850.0,63
CPT,26820,Thumb fusion with graft,,,98.07,13149.29,135
CPT,26841,Fusion of thumb,,,374.51,13149.29,99
CPT,26842,Thumb fusion with graft,,,103.46,13149.29,135
CPT,26843,Fusion of hand joint,,,91.84,13149.29,99
CPT,26844,Fusion/graft of hand joint,,,100.41,13149.29,99
CPT,26850,Fusion of knuckle,,,348.31,13149.29,63
CPT,26852,Fusion of knuckle with graft,,,95.11,13149.29,99
CPT,26860,Fusion of finger joint,,,275.59,6850.0,63
CPT,26861,Fusion of finger jnt add-on,,,99.93,2891.0,44
CPT,26862,Fusion/graft of finger joint,,,86.8,6850.0,99
CPT,26863,Fuse/graft added joint,,,35.58,3133.0,44
CPT,26910,Amputate metacarpal bone,,,369.28,6850.0,63
CPT,26951,Amputation of Finger Thumb,10874.4,10874.4,1609.41,8699.52,23
CPT,26951,Amputation of finger/thumb,,,254.66,6850.0,63
CPT,26952,Amputation of finger/thumb,,,320.97,6850.0,63
CPT,26989,Unlisted px hands/fingers,,,238.67,4275.0,25
CPT,26990,Drainage of pelvis lesion,,,356.63,6850.0,63
CPT,26991,Drainage of pelvis bursa,,,291.8,5612.5,64
CPT,26992,Drainage of bone lesion,,,565.57,24872.68,61
CPT,27000,Incision of hip tendon,,,225.78,5612.5,99
CPT,27001,Incision of hip tendon,,,62.89,6850.0,135
CPT,27003,Incision of hip tendon,,,79.99,13149.29,135
CPT,27005,Incision of hip tendon,,,85.27,24872.68,133
CPT,27006,Incision of hip tendons,,,90.07,6850.0,133
CPT,27025,Incision of hip/thigh fascia,,,441.64,24872.68,97
CPT,27027,Buttock fasciotomy,,,469.16,13149.29,99
CPT,27030,Drainage of hip joint,,,131.41,24872.68,133
CPT,27033,Exploration of hip joint,,,134.32,13149.29,135
CPT,27035,Denervation of hip joint,,,161.67,6850.0,135
CPT,27036,Excision of hip joint/muscle,,,134.66,24872.68,133
CPT,27040,Biopsy of soft tissues,,,148.41,5612.5,100
CPT,27041,Biopsy of soft tissues,,,343.93,5612.5,99
CPT,27043,Exc hip pelvis les sc 3 cm/>,,,209.81,9641.0,99
CPT,27045,Exc hip/pelv tum deep 5 cm/>,,,77.35,9641.0,135
CPT,27047,Exc hip/pelvis les sc < 3 cm,,,249.66,6850.0,100
CPT,27048,Exc hip/pelv tum deep < 5 cm,,,64.35,6850.0,135
CPT,27049,Resect hip/pelv tum < 5 cm,,,132.97,6850.0,135
CPT,27050,Biopsy of sacroiliac joint,,,222.37,5612.5,99
CPT,27052,Biopsy of hip joint,,,71.58,5612.5,135
CPT,27054,Removal of hip joint lining,,,96.75,24872.68,133
CPT,27057,Buttock fasciotomy w/dbrdmt,,,518.4,9641.0,99
CPT,27059,Resect hip/pelv tum 5 cm/>,,,189.45,9641.0,135
CPT,27060,Removal of ischial bursa,,,242.31,13149.29,99
CPT,27062,Remove femur lesion/bursa,,,246.32,6850.0,99
CPT,27065,Remove hip bone les super,,,66.92,13149.29,135
CPT,27066,Remove hip bone les deep,,,106.68,6850.0,135
CPT,27067,Remove/graft hip bone lesion,,,141.32,13149.29,135
CPT,27070,Part remove hip bone super,,,119.27,24872.68,133
CPT,27071,Part removal hip bone deep,,,127.49,24872.68,133
CPT,27075,Resect hip tumor,,,169.98,24872.68,97
CPT,27076,Resect hip tum incl acetabul,,,212.68,24872.68,97
CPT,27077,Resect hip tum w/innom bone,,,226.01,24872.68,97
CPT,27078,Rsect hip tum incl femur,,,133.18,24872.68,133
CPT,27079,Extensive hip surgery,,,836.55,836.55,6
CPT,27080,Removal of tail bone,,,65.03,6850.0,99
CPT,27086,Remove hip foreign body,,,112.74,5612.5,100
CPT,27087,Remove hip foreign body,,,76.86,6850.0,135
CPT,27090,Removal of hip prosthesis,,,112.27,24872.68,133
CPT,27091,Removal of hip prosthesis,,,217.22,24872.68,133
CPT,27093,Injection Hip Arthro W/O Anes,1775.0,1775.0,262.7,1420.0,23
CPT,27093,Injection for hip x-ray,,,64.36,2438.0,45
CPT,27095,Injection for hip x-ray,,,73.45,2438.0,45
CPT,27096,Bil Inject Si Joint Arthrgrphy&/Anes/Steroid W/Image,5460.2,5460.2,808.11,4368.16,23
CPT,27096,Bil Sacroiliac Jt Inj With Arthrography,5460.2,5460.2,808.11,4368.16,23
CPT,27096,Inject Si Joint Arthrgrphy&/Anes/Steroid W/Image,3639.75,3639.75,538.68,2911.8,23
CPT,27096,Inject sacroiliac joint,,,48.49,4275.0,50
CPT,27096,Sacroiliac Jt Inj With Arthrography,3639.75,3639.75,538.68,2911.8,23
CPT,27097,Revision of hip tendon,,,91.05,6850.0,135
CPT,27098,Transfer tendon to pelvis,,,91.45,6850.0,135
CPT,27100,Transfer of abdominal muscle,,,113.06,13149.29,135
CPT,27105,Transfer of spinal muscle,,,108.15,6860.0,135
CPT,27110,Transfer of iliopsoas muscle,,,134.47,13149.29,135
CPT,27111,Transfer of iliopsoas muscle,,,125.87,6860.0,135
CPT,27120,Reconstruction of hip socket,,,183.58,24872.68,133
CPT,27122,Reconstruction of hip socket,,,161.1,24872.68,133
CPT,27125,Partial hip replacement,,,157.16,24872.68,133
CPT,27130,Total hip arthroplasty,,,203.88,23683.65,133
CPT,27132,Total hip arthroplasty,,,243.79,24872.68,133
CPT,27134,Revise hip joint replacement,,,294.99,24872.68,133
CPT,27137,Revise hip joint replacement,,,222.9,24872.68,133
CPT,27138,Revise hip joint replacement,,,231.99,24872.68,133
CPT,27140,Transplant femur ridge,,,125.04,24872.68,133
CPT,27146,Incision of hip bone,,,163.68,24872.68,133
CPT,27147,Revision of hip bone,,,199.53,24872.68,133
CPT,27151,Incision of hip bones,,,197.71,24872.68,133
CPT,27156,Revision of hip bones,,,230.56,24872.68,133
CPT,27158,Revision of pelvis,,,181.46,24872.68,97
CPT,27161,Incision of neck of femur,,,165.1,24872.68,133
CPT,27165,Incision/fixation of femur,,,179.91,24872.68,133
CPT,27170,Repair/graft femur head/neck,,,166.44,24872.68,133
CPT,27175,Treat slipped epiphysis,,,285.44,24872.68,97
CPT,27176,Treat slipped epiphysis,,,117.2,24872.68,133
CPT,27177,Treat slipped epiphysis,,,143.75,24872.68,133
CPT,27178,Treat slipped epiphysis,,,116.76,24872.68,133
CPT,27179,Revise head/neck of femur,,,126.64,13149.29,132
CPT,27181,Treat slipped epiphysis,,,137.99,24872.68,133
CPT,27185,Revision of femur epiphysis,,,332.71,24872.68,97
CPT,27187,Reinforce hip bones,,,146.76,24872.68,133
CPT,27193,Treat pelvic ring fracture,,,309.68,5595.0,2
CPT,27194,Treat pelvic ring fracture,,,5595.0,5595.0,1
CPT,27197,Clsd tx pelvic ring fx,,,101.92,4275.0,63
CPT,27198,Clsd tx pelvic ring fx,,,161.13,4275.0,63
CPT,27200,Treat tail bone fracture,,,50.0,4275.0,64
CPT,27202,Treat tail bone fracture,,,84.77,7268.0,99
CPT,27215,Treat pelvic fracture(s),,,471.8,6850.0,16
CPT,27216,Treat pelvic ring fracture,,,533.18,6850.0,16
CPT,27217,Treat pelvic ring fracture,,,634.65,6850.0,16
CPT,27218,Treat pelvic ring fracture,,,773.61,6850.0,16
CPT,27220,Treat hip socket fracture,,,50.0,4275.0,99
CPT,27222,Treat hip socket fracture,,,478.94,24872.68,97
CPT,27226,Treat hip wall fracture,,,154.78,24872.68,169
CPT,27227,Treat hip fracture(s),,,224.89,24872.68,169
CPT,27228,Treat hip fracture(s),,,250.83,24872.68,169
CPT,27230,Clsd Tx Femoral Fx Prox End Nck W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27230,Treat thigh fracture,,,238.67,4275.0,100
CPT,27232,Treat thigh fracture,,,451.76,24872.68,97
CPT,27235,Treat thigh fracture,,,557.22,13149.29,97
CPT,27236,Treat thigh fracture,,,162.74,24872.68,133
CPT,27238,Treat thigh fracture,,,248.88,5612.5,99
CPT,27240,Treat thigh fracture,,,514.24,24872.68,97
CPT,27244,Treat thigh fracture,,,163.34,24872.68,133
CPT,27245,Treat thigh fracture,,,193.41,24872.68,169
CPT,27246,Treat thigh fracture,,,226.93,4275.0,100
CPT,27248,Treat thigh fracture,,,112.35,24872.68,133
CPT,27250,Clsd Tx Hip Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,27250,Treat hip dislocation,,,238.67,4275.0,63
CPT,27252,Treat hip dislocation,,,380.13,5612.5,99
CPT,27253,Treat hip dislocation,,,133.07,24872.68,133
CPT,27254,Treat hip dislocation,,,168.88,24872.68,133
CPT,27256,Clsd Tx Spont Hip Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,27256,Treat hip dislocation,,,50.0,4275.0,99
CPT,27257,Treat hip dislocation,,,260.38,5612.5,99
CPT,27258,Treat hip dislocation,,,155.13,24872.68,133
CPT,27259,Treat hip dislocation,,,206.19,24872.68,133
CPT,27265,Treat hip dislocation,,,218.03,4275.0,99
CPT,27266,Clsd Tx Post Hip Arthroplasty Disloc,6425.0,6425.0,950.9,5140.0,23
CPT,27266,Treat hip dislocation,,,302.58,5612.5,99
CPT,27267,Cltx thigh fx,,,47.07,6850.0,136
CPT,27268,Cltx thigh fx w/mnpj,,,57.8,24872.68,134
CPT,27269,Optx thigh fx,,,136.87,24872.68,133
CPT,27275,Manipulation of hip joint,,,126.12,5612.5,63
CPT,27278,Arthrd si jt prq wo tfxj dev,,,322.69,33850.11,98
CPT,27279,Arthrd si jt perq/min nvas,,,77.55,33850.11,133
CPT,27280,Arthr si jt opn b1grf instrm,,,134.98,24872.68,133
CPT,27282,Arthrodesis symphysis pubis,,,113.44,24872.68,97
CPT,27284,Arthrodesis hip joint,,,164.24,24872.68,133
CPT,27286,Arthrd hip jt sbtrchc osteot,,,172.09,24872.68,133
CPT,27290,Amputation of leg at hip,,,237.38,24872.68,96
CPT,27295,Amputation of leg at hip,,,182.36,24872.68,132
CPT,27299,Unlisted px pelvis/hip joint,,,238.67,2438.0,22
CPT,27301,Drain thigh/knee lesion,,,330.14,6850.0,99
CPT,27303,Drainage of bone lesion,,,94.07,24872.68,133
CPT,27305,Incise thigh tendon & fascia,,,63.62,6850.0,135
CPT,27306,Incision of thigh tendon,,,47.46,6850.0,135
CPT,27307,Incision of thigh tendons,,,248.64,6850.0,99
CPT,27310,Exploration of knee joint,,,100.51,6850.0,135
CPT,27323,Biopsy thigh soft tissues,,,131.92,5612.5,100
CPT,27324,Biopsy thigh soft tissues,,,213.92,6850.0,99
CPT,27325,Neurectomy hamstring,,,63.44,5612.5,135
CPT,27326,Neurectomy popliteal,,,60.29,5612.5,135
CPT,27327,Exc thigh/knee les sc < 3 cm,,,212.33,5612.5,100
CPT,27328,Exc thigh/knee tum deep <5cm,,,248.4,6850.0,99
CPT,27329,Resect thigh/knee tum < 5 cm,,,143.02,6850.0,135
CPT,27330,Biopsy knee joint lining,,,243.33,6850.0,99
CPT,27331,Explore/treat knee joint,,,67.08,6850.0,135
CPT,27332,Removal of knee cartilage,,,90.13,6850.0,135
CPT,27333,Removal of knee cartilage,,,80.46,6850.0,135
CPT,27334,Remove knee joint lining,,,96.35,6850.0,135
CPT,27335,Remove knee joint lining,,,109.97,13149.29,135
CPT,27337,Exc thigh/knee les sc 3 cm/>,,,43.43,9641.0,135
CPT,27339,Exc thigh/knee tum dep 5cm/>,,,78.16,9641.0,135
CPT,27340,Removal of kneecap bursa,,,200.16,6850.0,99
CPT,27345,Removal of knee cyst,,,64.81,6850.0,135
CPT,27347,Remove knee cyst,,,44.84,6850.0,135
CPT,27350,Removal of kneecap,,,90.14,13149.29,135
CPT,27355,Remove femur lesion,,,87.52,6850.0,135
CPT,27356,Remove femur lesion/graft,,,101.04,23683.65,135
CPT,27357,Remove femur lesion/graft,,,108.79,13149.29,135
CPT,27358,Remove femur lesion/fixation,,,43.04,4312.0,44
CPT,27360,Partial removal leg bone(s),,,121.56,6850.0,135
CPT,27364,Resect thigh/knee tum 5 cm/>,,,163.14,9641.0,135
CPT,27365,Resect femur/knee tumor,,,162.63,24872.68,133
CPT,27369,CT/MR Contrast Enhanced Arthrg Knee Inj Px Bilateral,997.05,997.05,147.56,797.64,23
CPT,27369,Njx Px Cntrst Kne Arthg Cntrst Enhncd CT/MRI Kne,997.05,997.05,147.56,797.64,23
CPT,27369,Njx cntrst kne arthg/ct/mri,,,35.91,2438.0,44
CPT,27370,Injection for knee x-ray,,,1750.0,5595.0,2
CPT,27372,Removal of foreign body,,,236.19,7940.0,100
CPT,27380,Repair of kneecap tendon,,,80.07,13149.29,135
CPT,27381,Repair/graft kneecap tendon,,,111.49,13149.29,135
CPT,27385,Repair of thigh muscle,,,86.38,13149.29,135
CPT,27386,Repair/graft of thigh muscle,,,115.66,13149.29,135
CPT,27390,Incision of thigh tendon,,,57.95,6850.0,135
CPT,27391,Incision of thigh tendons,,,319.39,6850.0,63
CPT,27392,Incision of thigh tendons,,,95.5,6850.0,99
CPT,27393,Lengthening of thigh tendon,,,69.66,13149.29,135
CPT,27394,Lengthening of thigh tendons,,,85.68,13149.29,99
CPT,27395,Lengthening of thigh tendons,,,125.18,6860.0,99
CPT,27396,Transplant of thigh tendon,,,85.08,13149.29,135
CPT,27397,Transplants of thigh tendons,,,113.21,13149.29,135
CPT,27400,Revise thigh muscles/tendons,,,95.32,13149.29,135
CPT,27403,Repair of knee cartilage,,,90.78,13149.29,135
CPT,27405,Repair of knee ligament,,,96.52,13149.29,135
CPT,27407,Repair of knee ligament,,,105.16,13149.29,135
CPT,27409,Repair of knee ligaments,,,138.92,13149.29,135
CPT,27412,Autochondrocyte implant knee,,,223.23,13149.29,133
CPT,27415,Osteochondral knee allograft,,,186.31,23683.65,133
CPT,27416,Osteochondral knee autograft,,,464.16,13149.29,99
CPT,27418,Repair degenerated kneecap,,,117.7,13149.29,135
CPT,27420,Revision of unstable kneecap,,,106.21,13149.29,135
CPT,27422,Revision of unstable kneecap,,,106.57,13149.29,135
CPT,27424,Revision/removal of kneecap,,,106.25,13149.29,135
CPT,27425,Lat retinacular release open,,,260.83,7940.0,99
CPT,27427,Reconstruction knee,,,102.19,13149.29,135
CPT,27428,Reconstruction knee,,,144.99,23683.65,135
CPT,27429,Reconstruction knee,,,145.59,23683.65,135
CPT,27430,Revision of thigh muscles,,,101.27,13149.29,135
CPT,27435,Incision of knee joint,,,93.55,6850.0,135
CPT,27437,Revise kneecap,,,405.13,13149.29,99
CPT,27438,Revise kneecap with implant,,,122.05,23683.65,135
CPT,27440,Revision of knee joint,,,112.49,23683.65,135
CPT,27441,Revision of knee joint,,,107.85,23683.65,135
CPT,27442,Revision of knee joint,,,127.98,23683.65,135
CPT,27443,Revision of knee joint,,,118.82,23683.65,135
CPT,27445,Revision of knee joint,,,185.37,24872.68,133
CPT,27446,Revision of knee joint,,,169.27,23683.65,133
CPT,27447,Total knee arthroplasty,,,203.62,23683.65,133
CPT,27448,Incision of thigh,,,121.46,24872.68,133
CPT,27450,Incision of thigh,,,150.26,24872.68,133
CPT,27454,Realignment of thigh bone,,,174.4,24872.68,133
CPT,27455,Realignment of knee,,,132.54,24872.68,133
CPT,27457,Realignment of knee,,,138.41,24872.68,133
CPT,27465,Shortening of thigh bone,,,143.46,24872.68,133
CPT,27466,Lengthening of thigh bone,,,164.96,24872.68,133
CPT,27468,Shorten/lengthen thighs,,,184.59,24872.68,133
CPT,27470,Repair of thigh,,,172.04,24872.68,133
CPT,27472,Repair/graft of thigh,,,190.85,24872.68,133
CPT,27475,Surgery to stop leg growth,,,386.44,13149.29,97
CPT,27477,Surgery to stop leg growth,,,463.82,13149.29,97
CPT,27479,Surgery to stop leg growth,,,128.52,13149.29,133
CPT,27485,Surgery to stop leg growth,,,393.56,13149.29,97
CPT,27486,Revise/replace knee joint,,,202.84,24872.68,133
CPT,27487,Revise/replace knee joint,,,262.1,24872.68,133
CPT,27488,Removal of knee prosthesis,,,164.71,24872.68,133
CPT,27495,Reinforce thigh,,,169.31,24872.68,133
CPT,27496,Decompression of thigh/knee,,,278.19,6850.0,99
CPT,27497,Decompression of thigh/knee,,,289.39,6850.0,135
CPT,27498,Decompression of thigh/knee,,,80.21,5612.5,171
CPT,27499,Decompression of thigh/knee,,,89.48,13149.29,168
CPT,27500,Clsd Tx Femoral Shaft Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27500,Treatment of thigh fracture,,,238.67,4275.0,100
CPT,27501,Treatment of thigh fracture,,,238.67,4275.0,100
CPT,27502,Treatment of thigh fracture,,,448.53,5612.5,99
CPT,27503,Treatment of thigh fracture,,,449.63,5612.5,99
CPT,27506,Treatment of thigh fracture,,,174.14,24872.68,133
CPT,27507,Treatment of thigh fracture,,,148.62,24872.68,169
CPT,27508,Clsd Tx Femur Distal End Medial/Lateral Condyle Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27508,Treatment of thigh fracture,,,238.67,4275.0,100
CPT,27509,Treatment of thigh fracture,,,319.88,13149.29,99
CPT,27510,Treatment of thigh fracture,,,372.06,5612.5,99
CPT,27511,Treatment of thigh fracture,,,146.84,24872.68,169
CPT,27513,Treatment of thigh fracture,,,178.83,24872.68,169
CPT,27514,Treatment of thigh fracture,,,153.53,24872.68,133
CPT,27516,Treat thigh fx growth plate,,,238.67,4275.0,100
CPT,27517,Treat thigh fx growth plate,,,405.08,5612.5,100
CPT,27519,Treat thigh fx growth plate,,,141.74,24872.68,133
CPT,27520,Treat kneecap fracture,,,178.76,4275.0,100
CPT,27524,Treat kneecap fracture,,,104.22,13149.29,135
CPT,27530,Treat knee fracture,,,205.53,4275.0,100
CPT,27532,Treat knee fracture,,,316.23,6850.0,100
CPT,27535,Treat knee fracture,,,123.18,24872.68,169
CPT,27536,Treat knee fracture,,,146.52,24872.68,133
CPT,27538,Treat knee fracture(s),,,238.67,4275.0,100
CPT,27540,Treat knee fracture,,,126.48,24872.68,133
CPT,27550,"Treat Knee Dislocation,W/O Anesthesia",2041.25,2041.25,302.1,1633.0,23
CPT,27550,Treat knee dislocation,,,238.67,4275.0,100
CPT,27552,Treat knee dislocation,,,304.7,5612.5,99
CPT,27556,Treat knee dislocation,,,139.25,24872.68,133
CPT,27557,Treat knee dislocation,,,165.7,24872.68,133
CPT,27558,Treat knee dislocation,,,174.92,24872.68,169
CPT,27560,Clsd Tx Kneecap Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,27560,Treat kneecap dislocation,,,190.11,4275.0,100
CPT,27562,Treat kneecap dislocation,,,238.67,4275.0,99
CPT,27566,Treat kneecap dislocation,,,119.81,13149.29,135
CPT,27570,Fixation of knee joint,,,105.58,5612.5,99
CPT,27580,Fusion of knee,,,188.1,24872.68,133
CPT,27590,Amputate leg at thigh,,,121.21,24872.68,132
CPT,27591,Amputate leg at thigh,,,135.41,24872.68,132
CPT,27592,Amputate leg at thigh,,,104.36,24872.68,132
CPT,27594,Amputation follow-up surgery,,,295.91,6850.0,99
CPT,27596,Amputation follow-up surgery,,,459.49,24872.68,96
CPT,27598,Amputate lower leg at knee,,,110.2,24872.68,132
CPT,27599,Unlisted px femur/knee,,,238.67,2438.0,22
CPT,27600,Decompression of lower leg,,,256.82,6850.0,99
CPT,27601,Decompression of lower leg,,,257.51,6850.0,99
CPT,27602,Decompression of lower leg,,,71.02,6850.0,135
CPT,27603,Drain lower leg lesion,,,266.42,6850.0,100
CPT,27604,Drain lower leg bursa,,,212.92,6850.0,100
CPT,27605,Incision of achilles tendon,,,144.91,5612.5,100
CPT,27605,"Tenotomy, Percutaneous, Achilles Tendon ; Local Anesthesia",3766.25,3766.25,557.4,3013.0,23
CPT,27606,Incision of achilles tendon,,,215.57,6850.0,100
CPT,27607,Treat lower leg bone lesion,,,398.23,6850.0,99
CPT,27610,Explore/treat ankle joint,,,384.01,6850.0,99
CPT,27612,Exploration of ankle joint,,,80.38,6850.0,135
CPT,27613,Biopsy lower leg soft tissue,,,119.56,5612.5,100
CPT,27614,Biopsy lower leg soft tissue,,,261.19,6850.0,100
CPT,27615,Resect leg/ankle tum < 5 cm,,,546.12,6850.0,99
CPT,27616,Resect leg/ankle tum 5 cm/>,,,574.5,9641.0,99
CPT,27618,Exc leg/ankle tum < 3 cm,,,211.24,5612.5,100
CPT,27619,Exc leg/ankle tum deep <5 cm,,,320.95,6850.0,100
CPT,27620,Explore/treat ankle joint,,,67.33,6850.0,135
CPT,27625,Remove ankle joint lining,,,90.91,6850.0,135
CPT,27626,Remove ankle joint lining,,,97.62,6850.0,135
CPT,27630,Removal of tendon lesion,,,247.85,6850.0,100
CPT,27632,Exc leg/ankle les sc 3 cm/>,,,42.93,9641.0,135
CPT,27634,Exc leg/ankle tum dep 5 cm/>,,,69.96,9641.0,135
CPT,27635,Remove lower leg bone lesion,,,386.21,6850.0,99
CPT,27637,Remove/graft leg bone lesion,,,105.53,13149.29,135
CPT,27638,Remove/graft leg bone lesion,,,112.08,13149.29,135
CPT,27640,Partial removal of tibia,,,554.78,6850.0,99
CPT,27641,Partial removal of fibula,,,451.15,6850.0,99
CPT,27645,Resect tibia tumor,,,149.15,24872.68,133
CPT,27646,Resect fibula tumor,,,138.99,24872.68,133
CPT,27647,Resect talus/calcaneus tum,,,119.5,6850.0,135
CPT,27648,Injection for ankle x-ray,,,45.19,2438.0,45
CPT,27650,Repair achilles tendon,,,99.58,13149.29,135
CPT,27652,Repair/graft achilles tendon,,,456.86,13149.29,99
CPT,27654,Repair of achilles tendon,,,107.45,13149.29,135
CPT,27656,Repair leg fascia defect,,,53.98,6850.0,136
CPT,27658,Repair of leg tendon each,,,59.29,6850.0,100
CPT,27659,Repair of leg tendon each,,,75.26,13149.29,100
CPT,27664,Repair of leg tendon each,,,246.27,13149.29,64
CPT,27665,Repair of leg tendon each,,,66.61,13149.29,100
CPT,27675,Repair lower leg tendons,,,75.17,6850.0,135
CPT,27676,Repair lower leg tendons,,,87.33,13149.29,135
CPT,27680,Release of lower leg tendon,,,258.51,6850.0,63
CPT,27681,Release of lower leg tendons,,,313.12,6850.0,99
CPT,27685,Revision of Lower Leg Tendon,6964.0,6964.0,1030.67,5571.2,23
CPT,27685,Revision of lower leg tendon,,,64.75,6850.0,136
CPT,27686,Revise lower leg tendons,,,348.88,6850.0,100
CPT,27687,Revision of calf tendon,,,67.51,6850.0,135
CPT,27690,Revise lower leg tendon,,,86.67,13149.29,135
CPT,27691,Revise lower leg tendon,,,101.8,13149.29,135
CPT,27692,Revise additional leg tendon,,,16.09,3133.0,44
CPT,27695,Repair of ankle ligament,,,325.77,13149.29,99
CPT,27696,Repair of ankle ligaments,,,374.46,13149.29,99
CPT,27698,Repair of ankle ligament,,,101.05,13149.29,135
CPT,27700,Revision of ankle joint,,,95.7,13149.29,135
CPT,27702,Reconstruct ankle joint,,,146.42,33850.11,133
CPT,27703,Reconstruction ankle joint,,,153.07,24872.68,133
CPT,27704,Removal of ankle implant,,,337.64,6850.0,99
CPT,27705,Osteotomy tibia,,,112.87,13149.29,135
CPT,27707,Osteotomy fibula,,,239.59,6850.0,99
CPT,27709,Osteotomy tibia & fibula,,,110.49,23683.65,135
CPT,27712,Osteot mlt relignmt imed rod,,,140.42,24872.68,133
CPT,27715,Ostpl tibfib lngth/shrt,,,147.16,24872.68,133
CPT,27720,Repair of tibia,,,131.48,13149.29,135
CPT,27722,Repair/graft of tibia,,,123.28,13149.29,135
CPT,27724,Repair/graft of tibia,,,160.69,24872.68,133
CPT,27725,Repair of lower leg,,,150.08,24872.68,133
CPT,27726,Repair fibula nonunion,,,658.07,13149.29,87
CPT,27727,Repair of lower leg,,,134.42,24872.68,133
CPT,27730,Repair of tibia epiphysis,,,370.59,6850.0,100
CPT,27732,Repair of fibula epiphysis,,,316.76,6850.0,100
CPT,27734,Repair lower leg epiphyses,,,378.53,6850.0,99
CPT,27740,Repair of leg epiphyses,,,113.71,6850.0,136
CPT,27742,Repair of leg epiphyses,,,119.91,6860.0,136
CPT,27745,Reinforce tibia,,,107.7,13149.29,135
CPT,27750,Treatment of tibia fracture,,,196.31,4275.0,100
CPT,27752,Clsd Tx Tibia Shaft Fx W/Manip,8733.1,8733.1,1292.5,6986.48,23
CPT,27752,Treatment of tibia fracture,,,304.09,5612.5,100
CPT,27756,Treatment of tibia fracture,,,81.27,13149.29,135
CPT,27758,Treatment of tibia fracture,,,127.81,23683.65,135
CPT,27759,Treatment of tibia fracture,,,144.61,23683.65,171
CPT,27760,Clsd Tx Medial Malleolus Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27760,Cltx medial ankle fx,,,178.74,4275.0,100
CPT,27762,Cltx med ankle fx w/mnpj,,,263.03,5612.5,100
CPT,27762,Treatment of Ankle Fracture,8733.1,8733.1,1292.5,6986.48,23
CPT,27766,Optx medial ankle fx,,,374.89,13149.29,99
CPT,27767,Cltx post ankle fx,,,125.24,4275.0,100
CPT,27768,Clsd Tx Post Ankle Fx W/Manip,5138.2,5138.2,760.45,4110.56,23
CPT,27768,Cltx post ankle fx w/mnpj,,,192.3,5612.5,100
CPT,27769,Optx post ankle fx,,,329.76,13149.29,99
CPT,27780,Clsd Tx Prox/Shaft Fibula Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27780,Treatment of fibula fracture,,,137.92,4275.0,100
CPT,27781,Treatment Fibula Fracture,7588.85,7588.85,1123.15,6071.08,23
CPT,27781,Treatment of fibula fracture,,,232.27,5612.5,100
CPT,27784,Open Tx Proximal Fibula/Shaft Fx,16355.0,16355.0,2420.54,13084.0,23
CPT,27784,Treatment of fibula fracture,,,317.5,13149.29,99
CPT,27786,Clsd Tx Distal Fibular Fx,2041.25,2041.25,302.1,1633.0,23
CPT,27786,Treatment of ankle fracture,,,173.04,4275.0,100
CPT,27788,Clsd Tx Distal Fibula Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,27788,Treatment of ankle fracture,,,232.45,4275.0,100
CPT,27792,Treatment of ankle fracture,,,348.92,13149.29,99
CPT,27808,Clsd Frac Bimall Ankle WO Mani,1607.7,1607.7,237.94,1286.16,23
CPT,27808,Treatment of ankle fracture,,,186.62,4275.0,100
CPT,27810,Clsd Tx Bimalleolar Ankle Fx W/Manip,4741.45,4741.45,701.73,3793.16,23
CPT,27810,Treatment of ankle fracture,,,281.01,5612.5,100
CPT,27814,Treatment of ankle fracture,,,111.28,13149.29,135
CPT,27816,Cltx Trimalleolar Ankle Fx W/O Manipulation,1037.3,1037.3,153.52,829.84,23
CPT,27816,Treatment of ankle fracture,,,191.67,4275.0,100
CPT,27818,Clsd Tx Trimalleolar Fx W/Manip,4778.25,4778.25,707.18,3822.6,23
CPT,27818,Treatment of ankle fracture,,,303.95,5612.5,100
CPT,27822,Treatment of ankle fracture,,,138.56,13149.29,135
CPT,27823,Treatment of ankle fracture,,,156.12,13149.29,135
CPT,27824,Treat lower leg fracture,,,195.87,4275.0,100
CPT,27825,Clsd Tx Tibial Fx W/Manip,7594.0,7594.0,1123.91,6075.2,23
CPT,27825,Treat lower leg fracture,,,331.7,5612.5,100
CPT,27826,Treat lower leg fracture,,,135.37,13149.29,171
CPT,27827,Treat lower leg fracture,,,177.99,23683.65,171
CPT,27828,Treat lower leg fracture,,,209.97,23683.65,171
CPT,27829,Treat lower leg joint,,,111.35,13149.29,171
CPT,27830,Treat lower leg dislocation,,,210.65,4275.0,100
CPT,27831,Treat lower leg dislocation,,,204.96,6850.0,99
CPT,27832,Treat lower leg dislocation,,,70.7,13149.29,135
CPT,27840,Clsd Tx Ankle Dislocation,5274.0,5274.0,780.55,4219.2,23
CPT,27840,Treat ankle dislocation,,,185.96,4275.0,99
CPT,27842,Treat ankle dislocation,,,224.44,5612.5,99
CPT,27846,Treat ankle dislocation,,,100.43,13149.29,135
CPT,27848,Treat ankle dislocation,,,126.84,13149.29,135
CPT,27860,Fixation of ankle joint,,,120.95,6850.0,99
CPT,27870,Fusion of ankle joint open,,,145.36,23683.65,135
CPT,27871,Fusion of tibiofibular joint,,,96.64,23683.65,135
CPT,27880,Amputation of lower leg,,,116.12,24872.68,132
CPT,27881,Amputation of lower leg,,,128.29,24872.68,132
CPT,27882,Amputation of lower leg,,,402.47,24872.68,96
CPT,27884,Amputation follow-up surgery,,,339.99,6850.0,99
CPT,27886,Amputation follow-up surgery,,,412.08,24872.68,96
CPT,27888,Amputation of foot at ankle,,,90.6,24872.68,132
CPT,27889,Ankle disarticulation,,,433.63,13149.29,99
CPT,27892,Decompression of leg,,,295.97,6850.0,99
CPT,27893,Decompression of leg,,,285.58,13149.29,99
CPT,27894,Decompression of leg,,,90.84,6850.0,135
CPT,27899,Unlisted px leg/ankle,,,238.67,2438.0,22
CPT,28001,Drainage of bursa of foot,,,93.75,5612.5,62
CPT,28002,Treatment of foot infection,,,137.06,5612.5,64
CPT,28003,Treatment of foot infection,,,251.44,6850.0,64
CPT,28005,Treat foot bone lesion,,,347.49,6850.0,63
CPT,28008,Incision of foot fascia,,,200.88,6850.0,100
CPT,28010,Incision of toe tendon,,,143.12,5612.5,62
CPT,28011,Incision of toe tendons,,,192.35,5612.5,64
CPT,28020,Exploration of foot joint,,,248.47,6850.0,64
CPT,28022,Exploration of foot joint,,,208.41,6850.0,64
CPT,28024,Exploration of toe joint,,,198.47,5612.5,64
CPT,28035,Decompression of tibia nerve,,,248.83,5612.5,100
CPT,28039,Exc foot/toe tum sc 1.5 cm/>,,,49.72,6850.0,136
CPT,28041,Exc foot/toe tum dep 1.5cm/>,,,201.11,6850.0,99
CPT,28043,Exc foot/toe tum sc < 1.5 cm,,,165.23,5612.5,100
CPT,28045,Exc foot/toe tum deep <1.5cm,,,225.82,6850.0,100
CPT,28046,Resect foot/toe tumor < 3 cm,,,401.51,6850.0,100
CPT,28047,Resect foot/toe tumor 3 cm/>,,,98.28,9641.0,135
CPT,28050,Biopsy of foot joint lining,,,190.9,6850.0,100
CPT,28052,Biopsy of foot joint lining,,,174.49,6850.0,100
CPT,28054,Biopsy of toe joint lining,,,160.6,6850.0,100
CPT,28055,Neurectomy foot,,,216.14,5612.5,99
CPT,28060,Partial removal foot fascia,,,244.72,6850.0,100
CPT,28062,Removal of foot fascia,,,279.39,6850.0,100
CPT,28070,Removal of foot joint lining,,,235.32,13149.29,64
CPT,28072,Removal of foot joint lining,,,220.3,6850.0,64
CPT,28080,Removal of foot lesion,,,194.64,5612.5,64
CPT,28086,Excise foot tendon sheath,,,55.3,6850.0,136
CPT,28088,Excise foot tendon sheath,,,202.67,6850.0,100
CPT,28090,Removal of foot lesion,,,204.64,5612.5,100
CPT,28092,Removal of toe lesions,,,182.39,5612.5,64
CPT,28100,Removal of ankle/heel lesion,,,65.56,6850.0,136
CPT,28102,Remove/graft foot lesion,,,80.15,13149.29,135
CPT,28103,Remove/graft foot lesion,,,61.24,13149.29,136
CPT,28104,Removal of foot lesion,,,56.3,6850.0,100
CPT,28106,Remove/graft foot lesion,,,67.39,13149.29,99
CPT,28107,Remove/graft foot lesion,,,55.01,13149.29,100
CPT,28108,Removal of toe lesions,,,198.39,5612.5,64
CPT,28110,Part removal of metatarsal,,,202.82,6850.0,100
CPT,28111,Part removal of metatarsal,,,217.94,6850.0,100
CPT,28112,Part removal of metatarsal,,,215.17,6850.0,100
CPT,28113,Part removal of metatarsal,,,238.4,6850.0,100
CPT,28114,Removal of metatarsal heads,,,102.03,6850.0,136
CPT,28116,Revision of foot,,,319.84,6850.0,100
CPT,28118,Removal of heel bone,,,65.12,6850.0,136
CPT,28119,Removal of heel spur,,,249.73,6850.0,100
CPT,28120,Part removal of ankle/heel,,,299.52,7940.0,100
CPT,28122,Partial removal of foot bone,,,69.78,6850.0,136
CPT,28124,Partial removal of toe,,,230.05,6850.0,100
CPT,28126,Partial removal of toe,,,171.17,6850.0,64
CPT,28130,Removal of ankle bone,,,83.27,13149.29,135
CPT,28140,Removal of metatarsal,,,289.66,6850.0,64
CPT,28150,Removal of toe,,,191.8,6850.0,64
CPT,28153,Partial removal of toe,,,180.38,6850.0,64
CPT,28160,Partial removal of toe,,,183.4,6850.0,64
CPT,28171,Resect tarsal tumor,,,90.34,6850.0,99
CPT,28173,Resect metatarsal tumor,,,368.92,6850.0,64
CPT,28175,Resect phalanx of toe tumor,,,282.44,5612.5,64
CPT,28190,Removal of Foot Foreign Body,2501.25,2501.25,370.18,2001.0,23
CPT,28190,Removal of foot foreign body,,,104.55,4275.0,100
CPT,28192,Removal of foot foreign body,,,203.11,5612.5,100
CPT,28193,Removal of foot foreign body,,,234.63,5612.5,100
CPT,28200,Repair of foot tendon,,,224.42,6850.0,64
CPT,28202,Repair/graft of foot tendon,,,68.44,13149.29,100
CPT,28208,Repair of foot tendon,,,200.92,6850.0,64
CPT,28210,Repair/graft of foot tendon,,,66.75,13149.29,100
CPT,28220,Release of foot tendon,,,208.86,5612.5,98
CPT,28222,Release of foot tendons,,,253.23,6850.0,100
CPT,28225,Release of foot tendon,,,175.14,6850.0,100
CPT,28226,Release of foot tendons,,,210.08,6850.0,99
CPT,28230,Incision of foot tendon(s),,,193.04,5612.5,98
CPT,28232,Incision of toe tendon,,,164.89,5612.5,62
CPT,28234,Incision of foot tendon,,,165.16,5612.5,64
CPT,28238,Revision of foot tendon,,,76.8,13149.29,136
CPT,28240,Release of big toe,,,190.74,6850.0,100
CPT,28250,Revision of foot fascia,,,61.3,6850.0,136
CPT,28260,Release of midfoot joint,,,73.31,6850.0,136
CPT,28261,Revision of foot tendon,,,441.01,5612.5,100
CPT,28262,Revision of foot and ankle,,,155.98,13149.29,136
CPT,28264,Release of midfoot joint,,,104.45,6860.0,135
CPT,28270,Release of foot contracture,,,212.17,6850.0,100
CPT,28272,Release of toe joint each,,,171.59,5612.5,98
CPT,28280,Fusion of toes,,,219.19,6850.0,100
CPT,28285,Repair of hammertoe,,,229.29,6850.0,100
CPT,28286,Repair of hammertoe,,,202.17,6850.0,100
CPT,28288,Partial removal of foot bone,,,228.44,6850.0,64
CPT,28289,Corrj halux rigdus w/o implt,,,52.17,6850.0,136
CPT,28290,Correction of bunion,,,5595.0,5595.0,1
CPT,28291,Corrj halux rigdus w/implt,,,75.48,13149.29,134
CPT,28292,Cor hlx vlgs rsc prx phlx bs,,,76.39,6850.0,136
CPT,28293,Correction of bunion,,,5595.0,5595.0,1
CPT,28294,Correction of bunion,,,5595.0,5595.0,1
CPT,28295,Cor hlx vlgs prx mtar osteot,,,95.1,6850.0,136
CPT,28296,Cor hlx vlgs dstl mtar osteo,,,81.73,6850.0,136
CPT,28297,Cor hlx vlgs jt arthrd,,,94.94,23683.65,136
CPT,28298,Cor hlx vlgs prx phlx osteot,,,80.45,13149.29,136
CPT,28299,Cor hlx vlgs double osteot,,,94.61,13149.29,133
CPT,28300,Incision of heel bone,,,99.73,13149.29,136
CPT,28302,Incision of ankle bone,,,106.69,13149.29,136
CPT,28304,Incision of midfoot bones,,,88.84,13149.29,136
CPT,28305,Incise/graft midfoot bones,,,106.84,13149.29,136
CPT,28306,Incision of metatarsal,,,60.73,13149.29,136
CPT,28307,Incision of metatarsal,,,303.76,13149.29,100
CPT,28308,Incision of metatarsal,,,59.21,6850.0,136
CPT,28309,Incision of metatarsals,,,480.13,13149.29,99
CPT,28310,Revision of big toe,,,249.94,13149.29,100
CPT,28312,Revision of toe,,,232.18,6850.0,64
CPT,28313,Repair deformity of toe,,,226.6,6850.0,64
CPT,28315,Removal of sesamoid bone,,,223.91,6850.0,100
CPT,28320,Repair of foot bones,,,95.5,23683.65,135
CPT,28322,Repair of metatarsals,,,76.32,13149.29,100
CPT,28340,Resect enlarged toe tissue,,,278.26,6850.0,64
CPT,28341,Resect enlarged toe,,,330.82,6850.0,64
CPT,28344,Repair extra toe(s),,,191.13,6850.0,100
CPT,28345,Repair webbed toe(s),,,247.53,5612.5,64
CPT,28360,Reconstruct cleft foot,,,137.09,13149.29,132
CPT,28400,Clsd Tx Calcaneal Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,28400,Treatment of heel fracture,,,158.42,4275.0,100
CPT,28405,Treat Heel Fx,5013.0,5013.0,741.92,4010.4,23
CPT,28405,Treatment of heel fracture,,,234.17,4275.0,100
CPT,28406,Treatment of heel fracture,,,304.85,13149.29,99
CPT,28415,Treat heel fracture,,,177.74,13149.29,135
CPT,28420,Treat/graft heel fracture,,,206.1,23683.65,135
CPT,28430,Clsd Tx Talus Fx W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,28430,Treatment of ankle fracture,,,50.0,4275.0,100
CPT,28435,Clsd Tx Talus Fx W/Manip,2903.75,2903.75,429.76,2323.0,23
CPT,28435,Treatment of ankle fracture,,,195.1,5612.5,100
CPT,28436,Treatment of ankle fracture,,,229.12,13149.29,99
CPT,28445,Treat ankle fracture,,,100.21,13149.29,135
CPT,28446,Osteochondral talus autogrft,,,132.06,13149.29,135
CPT,28450,Treat midfoot fracture each,,,50.0,4275.0,64
CPT,28455,Treat midfoot fracture each,,,50.0,5612.5,64
CPT,28456,Treat midfoot fracture,,,144.31,13149.29,63
CPT,28465,Treat midfoot fracture each,,,442.31,13149.29,63
CPT,28470,Clsd Tx Metatarsal Fx W/O Manip Ea Bone,2041.25,2041.25,302.1,1633.0,23
CPT,28470,Treat metatarsal fracture,,,50.0,4275.0,64
CPT,28475,Clsd Tx Metatarsal Fx W/Manip,2041.25,2041.25,302.1,1633.0,23
CPT,28475,Treat metatarsal fracture,,,50.0,4275.0,64
CPT,28476,Treat metatarsal fracture,,,180.49,6850.0,63
CPT,28485,Treat metatarsal fracture,,,385.85,13149.29,63
CPT,28490,Clsd Tx Great Toe Phlx/Phlg W/O Manip,2041.25,2041.25,302.1,1633.0,23
CPT,28490,Treat big toe fracture,,,50.0,4275.0,100
CPT,28495,Closed Fracture Treatment of Great Toe or Phalanx,2041.25,2041.25,302.1,1633.0,23
CPT,28495,Treat big toe fracture,,,50.0,4275.0,100
CPT,28496,Treat big toe fracture,,,152.75,6850.0,100
CPT,28505,Treat big toe fracture,,,321.93,6850.0,100
CPT,28510,Clsd Fx Toe W/O Manipulation,2041.25,2041.25,302.1,1633.0,23
CPT,28510,Treatment of toe fracture,,,50.0,4275.0,64
CPT,28515,Clsd Fracture Toe W Manip,2041.25,2041.25,302.1,1633.0,23
CPT,28515,Treatment of toe fracture,,,50.0,4275.0,64
CPT,28525,Treat toe fracture,,,276.46,6850.0,64
CPT,28530,Treat sesamoid bone fracture,,,50.0,4275.0,100
CPT,28531,Treat sesamoid bone fracture,,,112.28,13149.29,136
CPT,28540,Treat foot dislocation,,,50.0,4275.0,100
CPT,28545,Treat foot dislocation,,,112.68,6850.0,99
CPT,28546,Treat foot dislocation,,,160.73,5612.5,100
CPT,28555,Repair foot dislocation,,,74.97,13149.29,136
CPT,28570,Treat foot dislocation,,,50.0,4275.0,100
CPT,28575,Treat foot dislocation,,,152.23,6850.0,100
CPT,28576,Treat foot dislocation,,,188.7,13149.29,100
CPT,28585,Repair foot dislocation,,,92.48,13149.29,136
CPT,28600,Treat foot dislocation,,,50.0,4275.0,64
CPT,28605,Treat foot dislocation,,,157.12,4275.0,63
CPT,28606,Treat foot dislocation,,,276.61,6850.0,64
CPT,28615,Repair foot dislocation,,,117.97,13149.29,99
CPT,28630,Clsd Tx Metatarsal Joint Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,28630,Treat toe dislocation,,,50.0,4275.0,64
CPT,28635,Treat toe dislocation,,,104.06,5612.5,64
CPT,28636,Treat toe dislocation,,,139.46,6850.0,100
CPT,28645,Repair toe dislocation,,,221.57,6850.0,64
CPT,28660,Clsd Tx Ipjt (Toe) Dislocation,2041.25,2041.25,302.1,1633.0,23
CPT,28660,Treat toe dislocation,,,50.0,4275.0,64
CPT,28665,Clsd Tx Ipjt (Toe) Dislocation,4530.0,4530.0,670.44,3624.0,23
CPT,28665,Treat toe dislocation,,,99.8,4275.0,64
CPT,28666,Treat toe dislocation,,,106.29,6850.0,100
CPT,28675,Repair of toe dislocation,,,228.16,6850.0,64
CPT,28705,Arthrodesis pantalar,,,155.03,33850.11,135
CPT,28715,Arthrodesis triple,,,135.01,23683.65,135
CPT,28725,Arthrodesis subtalar,,,116.19,23683.65,135
CPT,28730,Fusion of foot bones,,,108.18,23683.65,135
CPT,28735,Fusion of foot bones,,,110.13,23683.65,135
CPT,28737,Revision of foot bones,,,100.03,23683.65,135
CPT,28740,Fusion of foot bones,,,82.38,13149.29,136
CPT,28750,Fusion of big toe joint,,,341.32,13149.29,100
CPT,28755,Fusion of big toe joint,,,230.43,13149.29,100
CPT,28760,Fusion of big toe joint,,,74.87,13149.29,136
CPT,28800,Amputation of midfoot,,,83.31,24872.68,133
CPT,28805,Amputation thru metatarsal,,,360.88,6850.0,97
CPT,28810,Amputation toe & metatarsal,,,267.76,6850.0,63
CPT,28820,Amputation of toe,,,173.93,6850.0,64
CPT,28820,Amputation of toe at joint between forefoot and toes,7632.0,7632.0,1129.54,6105.6,23
CPT,28825,"Amputation Toe, Interphalangeal Joint",8960.0,8960.0,1326.08,7168.0,23
CPT,28825,Partial amputation of toe,,,169.68,6850.0,64
CPT,28890,Hi enrgy eswt plantar fascia,,,151.7,5612.5,97
CPT,28899,"Unlisted Procedure, Foot or Toes",1775.0,1775.0,262.7,1420.0,23
CPT,28899,Unlisted px foot/toes,,,238.67,2438.0,22
CPT,29000,Application of body cast,,,130.8,4275.0,63
CPT,29010,Application of body cast,,,50.0,4275.0,63
CPT,29015,Application of body cast,,,50.0,4275.0,63
CPT,29035,Application of body cast,,,50.0,4275.0,63
CPT,29040,Application of body cast,,,50.0,4275.0,63
CPT,29044,Application of body cast,,,50.0,4275.0,63
CPT,29046,Application of body cast,,,50.0,4275.0,63
CPT,29049,Application of figure eight,,,38.09,4275.0,63
CPT,29055,Application of shoulder cast,,,50.0,4275.0,63
CPT,29058,Application of shoulder cast,,,50.0,4275.0,63
CPT,29065,Application of long arm cast,,,43.88,4275.0,63
CPT,29065,Apply Long Arm Cast,2145.9,2145.9,317.59,1716.72,23
CPT,29075,Application of forearm cast,,,37.58,4275.0,63
CPT,29075,Apply Short Arm Cast,2145.9,2145.9,317.59,1716.72,23
CPT,29085,Apply hand/wrist cast,,,40.35,4275.0,63
CPT,29086,Apply finger cast,,,50.0,4275.0,56
CPT,29105,Apply Long Arm Splint,2041.25,2041.25,302.1,1633.0,23
CPT,29105,Apply long arm splint,,,38.75,4275.0,63
CPT,29125,Apply Short Arm Splint Static,2041.25,2041.25,302.1,1633.0,23
CPT,29125,Apply forearm splint,,,26.25,4275.0,63
CPT,29126,Apply forearm splint,,,33.44,4275.0,63
CPT,29126,Applyfore Arm Splint,2041.25,2041.25,302.1,1633.0,23
CPT,29130,App'l Finger Splint,2041.25,2041.25,302.1,1633.0,23
CPT,29130,Application of finger splint,,,20.91,4275.0,63
CPT,29131,Application Finger Splint Dynamic,2041.25,2041.25,302.1,1633.0,23
CPT,29131,Application of finger splint,,,25.35,4275.0,63
CPT,29200,Apply Clavicle Strap,2041.25,2041.25,302.1,1633.0,23
CPT,29200,Strapping thorax,,,17.17,4275.0,63
CPT,29220,Strapping of low back,,,29.11,45.47,7
CPT,29240,Strapping of shoulder,,,25.76,4275.0,63
CPT,29260,"Splint Application, Wrist",2041.25,2041.25,302.1,1633.0,23
CPT,29260,Strapping of elbow or wrist,,,23.1,4275.0,63
CPT,29280,Strapping Hand or Finger,2041.25,2041.25,302.1,1633.0,23
CPT,29280,Strapping of hand or finger,,,21.55,4275.0,63
CPT,29305,Application of hip cast,,,50.0,4275.0,64
CPT,29325,Application of hip casts,,,50.0,4275.0,64
CPT,29345,Application of long leg cast,,,50.0,4275.0,64
CPT,29345,Apply Long Leg Cast,2041.25,2041.25,302.1,1633.0,23
CPT,29355,Application of long leg cast,,,50.0,4275.0,63
CPT,29358,Apply long leg cast brace,,,50.0,4275.0,63
CPT,29365,Application of long leg cast,,,50.0,4275.0,63
CPT,29365,Apply Cylinder Cast,2041.25,2041.25,302.1,1633.0,23
CPT,29405,Apply Short Leg Cast,2041.25,2041.25,302.1,1633.0,23
CPT,29405,Apply short leg cast,,,42.93,4275.0,63
CPT,29425,Apply Short Leg Cast Walking,2041.25,2041.25,302.1,1633.0,23
CPT,29425,Apply short leg cast,,,50.0,4275.0,63
CPT,29435,Apply short leg cast,,,50.0,4275.0,63
CPT,29440,Addition of walker to cast,,,25.63,4275.0,63
CPT,29445,Appl Rigid Total Contact Leg Cast,2225.25,2225.25,329.34,1780.2,23
CPT,29445,Apply rigid leg cast,,,50.0,4275.0,63
CPT,29450,Application of leg cast,,,44.74,4275.0,63
CPT,29505,Application long leg splint,,,37.03,4275.0,63
CPT,29505,Apply Long Leg Splint,2041.25,2041.25,302.1,1633.0,23
CPT,29515,Application lower leg splint,,,32.22,4275.0,63
CPT,29515,Apply Short Leg Splint,2041.25,2041.25,302.1,1633.0,23
CPT,29520,Strapping of hip,,,25.41,4275.0,63
CPT,29530,Apply Knee Immobilizer,2041.25,2041.25,302.1,1633.0,23
CPT,29530,Strapping of knee,,,26.31,4275.0,63
CPT,29540,Strapping of Ankle and/or Ft,2041.25,2041.25,302.1,1633.0,23
CPT,29540,Strapping of ankle and/or ft,,,22.24,4275.0,63
CPT,29550,"Splinting, Toes",2041.25,2041.25,302.1,1633.0,23
CPT,29550,Strapping of toes,,,16.13,4275.0,63
CPT,29580,Bilateral Application of Unna Boot,2041.25,2041.25,302.1,1633.0,23
CPT,29580,Strapping unna boot,,,25.98,4275.0,63
CPT,29580,Unna Boot,2041.25,2041.25,302.1,1633.0,23
CPT,29581,Apply Multilayer Compression Below Knee W/Ankle Foot,2041.25,2041.25,302.1,1633.0,23
CPT,29581,Apply multlay comprs lwr leg,,,21.36,4275.0,63
CPT,29581,Bilateral Multlay Comprs Lwr Leg Application,2041.25,2041.25,302.1,1633.0,23
CPT,29582,Apply multlay comprs upr leg,,,13.01,59.8,7
CPT,29583,Apply multlay comprs upr arm,,,9.54,37.02,7
CPT,29584,Appl multlay comprs arm/hand,,,13.01,4275.0,63
CPT,29584,Apply Multlay Comprs Arm/Hand-Lt,2041.25,2041.25,302.1,1633.0,23
CPT,29584,Apply Multlay Comprs Arm/Hand-Rt,2041.25,2041.25,302.1,1633.0,23
CPT,29700,Removal/revision of cast,,,25.95,4275.0,63
CPT,29705,Removal Full Arm/Leg Cast,2041.25,2041.25,302.1,1633.0,23
CPT,29705,Removal/revision of cast,,,34.07,4275.0,63
CPT,29710,Removal/revision of cast,,,50.0,4275.0,63
CPT,29720,Repair of body cast,,,30.95,4275.0,63
CPT,29730,Windowing of cast,,,32.79,4275.0,63
CPT,29740,Wedging of cast,,,48.41,4275.0,63
CPT,29750,Wedging of clubfoot cast,,,50.0,4275.0,63
CPT,29799,Unlisted px casting/strpg,,,50.0,1473.0,23
CPT,29800,Jaw arthroscopy/surgery,,,368.34,6850.0,87
CPT,29804,Jaw arthroscopy/surgery,,,93.82,6850.0,117
CPT,29805,Sho arthrs dx +- synovial bx,,,237.78,6850.0,99
CPT,29806,Sho arthrs srg capsulorraphy,,,665.6,13149.29,99
CPT,29807,Sho arthrs srg rpr slap les,,,647.78,13149.29,99
CPT,29819,Sho arthrs srg rmvl loose/fb,,,373.93,7268.0,99
CPT,29820,Sho arthrs srg prtl synvct,,,82.34,13149.29,135
CPT,29821,Sho arthrs srg compl synvct,,,87.41,7268.0,135
CPT,29822,Sho arthrs srg lmtd dbrdmt,,,85.92,6850.0,135
CPT,29823,Sho arthrs srg xtnsv dbrdmt,,,92.81,7268.0,135
CPT,29824,Sho arthrs srg dstl claviclc,,,93.97,7268.0,135
CPT,29825,Sho arthrs srg lss&rescj ads,,,86.91,7268.0,135
CPT,29826,Sho arthrs srg decompression,,,27.02,3856.0,82
CPT,29827,Sho arthrs srg rt8tr cuf rpr,,,146.58,13149.29,135
CPT,29828,Sho arthrs srg bicp tenodsis,,,101.9,13149.29,135
CPT,29830,Elbow arthroscopy,,,258.58,7268.0,99
CPT,29834,Elbow arthroscopy/surgery,,,66.49,6850.0,135
CPT,29835,Elbow arthroscopy/surgery,,,68.71,7268.0,135
CPT,29836,Elbow arthroscopy/surgery,,,77.85,13149.29,135
CPT,29837,Elbow arthroscopy/surgery,,,71.82,6850.0,135
CPT,29838,Elbow arthroscopy/surgery,,,340.89,6850.0,99
CPT,29840,Wrist arthroscopy,,,245.75,6850.0,99
CPT,29843,Wrist arthroscopy/surgery,,,66.52,6850.0,135
CPT,29844,Wrist arthroscopy/surgery,,,70.11,6850.0,135
CPT,29845,Wrist arthroscopy/surgery,,,79.75,6850.0,135
CPT,29846,Wrist arthroscopy/surgery,,,354.23,6850.0,99
CPT,29847,Wrist arthroscopy/surgery,,,84.64,13149.29,135
CPT,29848,Wrist endoscopy/surgery,,,250.44,9641.0,99
CPT,29850,Knee arthroscopy/surgery,,,333.8,5612.5,135
CPT,29851,Knee arthroscopy/surgery,,,130.05,6860.0,171
CPT,29855,Tibial arthroscopy/surgery,,,115.39,13149.29,171
CPT,29856,Tibial arthroscopy/surgery,,,140.84,23683.65,171
CPT,29860,Hip arthroscopy dx,,,75.22,13149.29,135
CPT,29861,Hip arthro w/fb removal,,,96.86,13149.29,135
CPT,29862,Hip arthr0 w/debridement,,,103.91,13149.29,135
CPT,29863,Hip arthr0 w/synovectomy,,,100.83,7268.0,135
CPT,29866,Autgrft implnt knee w/scope,,,630.38,13149.29,97
CPT,29867,Allgrft implnt knee w/scope,,,752.57,23683.65,97
CPT,29868,Meniscal trnspl knee w/scpe,,,1018.03,13149.29,97
CPT,29870,Knee arthroscopy dx,,,227.1,6850.0,99
CPT,29871,Knee arthroscopy/drainage,,,311.89,6850.0,99
CPT,29873,Knee arthroscopy/surgery,,,293.6,6850.0,99
CPT,29874,Knee arthroscopy/surgery,,,334.2,6850.0,99
CPT,29875,Knee arthroscopy/surgery,,,304.83,6850.0,99
CPT,29876,Knee arthroscopy/surgery,,,378.13,6850.0,99
CPT,29877,Knee arthroscopy/surgery,,,349.58,6850.0,99
CPT,29879,Knee arthroscopy/surgery,,,378.88,6850.0,99
CPT,29880,Knee arthroscopy/surgery,,,388.86,6850.0,99
CPT,29881,Knee arthroscopy/surgery,,,367.17,6850.0,99
CPT,29882,Knee arthroscopy/surgery,,,404.72,6850.0,99
CPT,29883,Knee arthroscopy/surgery,,,439.69,6850.0,99
CPT,29884,Knee arthroscopy/surgery,,,82.71,6850.0,135
CPT,29885,Knee arthroscopy/surgery,,,95.25,13149.29,135
CPT,29886,Knee arthroscopy/surgery,,,344.34,6850.0,99
CPT,29887,Knee arthroscopy/surgery,,,99.21,13149.29,135
CPT,29888,Knee arthroscopy/surgery,,,148.49,13149.29,135
CPT,29889,Knee arthroscopy/surgery,,,143.54,23683.65,135
CPT,29891,Ankle arthroscopy/surgery,,,91.2,7268.0,135
CPT,29892,Ankle arthroscopy/surgery,,,95.71,13149.29,135
CPT,29893,Scope plantar fasciotomy,,,233.25,9641.0,99
CPT,29894,Ankle arthroscopy/surgery,,,79.18,6850.0,135
CPT,29895,Ankle arthroscopy/surgery,,,73.14,6850.0,135
CPT,29896,ARTHROSCOPY ANKLE SYN. COMP,,,905.23,905.23,6
CPT,29897,Ankle arthroscopy/surgery,,,78.54,6850.0,135
CPT,29898,Ankle arthroscopy/surgery,,,89.16,6850.0,135
CPT,29899,Ankle arthroscopy/surgery,,,134.62,13149.29,132
CPT,29900,Mcp joint arthroscopy dx,,,289.52,6850.0,99
CPT,29901,Mcp joint arthroscopy surg,,,318.88,7268.0,99
CPT,29902,Mcp joint arthroscopy surg,,,342.07,5612.5,99
CPT,29904,Subtalar arthro w/fb rmvl,,,68.58,9641.0,135
CPT,29905,Subtalar arthro w/exc,,,73.97,13149.29,135
CPT,29906,Subtalar arthro w/deb,,,77.92,9641.0,135
CPT,29907,Subtalar arthro w/fusion,,,95.19,23683.65,135
CPT,29914,Hip arthro w/femoroplasty,,,138.8,13149.29,135
CPT,29915,Hip arthro acetabuloplasty,,,141.39,13149.29,135
CPT,29916,Hip arthro w/labral repair,,,141.39,13149.29,135
CPT,29999,Unlisted px arthroscopy,,,238.67,2438.0,22
CPT,30000,Drainage of nose lesion,,,50.0,4275.0,58
CPT,30020,Drainage of nose lesion,,,50.0,4275.0,64
CPT,30100,"Biopsy, Intranasal",2501.25,2501.25,370.18,2001.0,23
CPT,30100,Intranasal biopsy,,,46.12,5612.5,64
CPT,30110,Removal of nose polyp(s),,,79.7,5612.5,98
CPT,30115,Removal of nose polyp(s),,,195.75,5969.44,99
CPT,30117,Removal of intranasal lesion,,,163.81,5969.44,64
CPT,30118,Removal of intranasal lesion,,,445.46,5969.44,63
CPT,30120,Revision of nose,,,315.23,5969.44,57
CPT,30124,Removal of nose lesion,,,131.98,5612.5,64
CPT,30125,Removal of nose lesion,,,68.59,10888.81,99
CPT,30130,Excise inferior turbinate,,,149.79,5969.44,99
CPT,30140,Resect inferior turbinate,,,263.01,5969.44,63
CPT,30150,Rhinectomy partial,,,429.63,10888.81,63
CPT,30160,Rhinectomy total,,,100.34,10888.81,99
CPT,30200,Injection treatment of nose,,,36.66,4275.0,63
CPT,30210,Nasal sinus therapy,,,48.53,5612.5,63
CPT,30220,Insert nasal septal button,,,78.81,5612.5,64
CPT,30300,Remove nasal foreign body,,,45.04,4275.0,63
CPT,30310,Remove nasal foreign body,,,97.31,5969.44,63
CPT,30320,Remove nasal foreign body,,,228.48,5612.5,63
CPT,30400,Reconstruction of nose,,,479.94,10888.81,63
CPT,30400,Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti,13808.0,13808.0,2043.58,11046.4,23
CPT,30410,Reconstruction of nose,,,134.47,10888.81,99
CPT,30410,Rhinp Prim Complete Xtrnl Parts,13808.0,13808.0,2043.58,11046.4,23
CPT,30420,Reconstruction of nose,,,775.19,10888.81,63
CPT,30420,Rhinoplasty Primary W/Major Septal Repair,13808.0,13808.0,2043.58,11046.4,23
CPT,30430,Revision of nose,,,71.65,10888.81,99
CPT,30435,Revision of nose,,,115.0,10888.81,99
CPT,30450,Revision of nose,,,165.11,10888.81,99
CPT,30460,Revision of nose,,,98.09,10888.81,135
CPT,30462,Revision of nose,,,186.77,10888.81,135
CPT,30465,Repair nasal stenosis,,,602.23,10888.81,63
CPT,30468,Rpr nsl vlv collapse w/implt,,,166.12,10888.81,63
CPT,30469,Rpr nsl vlv collapse w/rmdlg,,,125.44,10888.81,62
CPT,30520,Repair of nasal septum,,,290.62,5969.44,63
CPT,30540,Rpr choanal atresia ntranasl,,,73.61,10888.81,99
CPT,30545,Rpr choanal atresia trsnpltn,,,112.4,10888.81,99
CPT,30560,Lysis intranasal synechia,,,66.1,4275.0,64
CPT,30580,Repair upper jaw fistula,,,308.07,10888.81,64
CPT,30600,Repair mouth/nose fistula,,,253.03,10888.81,63
CPT,30620,Intranasal reconstruction,,,307.16,10888.81,63
CPT,30630,Repair nasal septum defect,,,339.86,7940.0,63
CPT,30801,Ablate Inf Turbinate Superf,5537.81,5537.81,819.6,4430.25,23
CPT,30801,Ablate inf turbinate superf,,,63.17,5612.5,64
CPT,30801,Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc,3596.08,3596.08,532.22,2876.86,23
CPT,30802,Ablate inf turbinate submuc,,,100.86,5612.5,64
CPT,30901,Control Nasal Hemorr Ant Simpl,2041.25,2041.25,302.1,1633.0,23
CPT,30901,Control of nosebleed,,,50.0,4275.0,64
CPT,30903,Control Nasal Hemorr Ant Compl,2041.25,2041.25,302.1,1633.0,23
CPT,30903,Control of nosebleed,,,74.62,4275.0,64
CPT,30905,Control Nasal Hemorrhage With Nasal Packs and/or Cautery,2041.25,2041.25,302.1,1633.0,23
CPT,30905,Control of nosebleed,,,104.59,4275.0,64
CPT,30906,Repeat control of nosebleed,,,121.11,4275.0,64
CPT,30915,Ligation nasal sinus artery,,,324.0,6850.0,63
CPT,30920,Ligation upper jaw artery,,,469.5,6850.0,63
CPT,30930,Ther fx nasal inf turbinate,,,65.86,5969.44,63
CPT,30999,Unlisted procedure nose,,,231.05,2438.0,22
CPT,31000,Irrigation maxillary sinus,,,50.0,4275.0,100
CPT,31002,Irrigation sphenoid sinus,,,79.94,5612.5,100
CPT,31020,Exploration maxillary sinus,,,153.03,5969.44,100
CPT,31030,Exploration maxillary sinus,,,289.22,10888.81,100
CPT,31032,Explore sinus remove polyps,,,329.12,10888.81,99
CPT,31040,Exploration behind upper jaw,,,419.85,10888.81,96
CPT,31050,Exploration sphenoid sinus,,,266.33,10888.81,99
CPT,31051,Sphenoid sinus surgery,,,356.39,10888.81,99
CPT,31070,Exploration of frontal sinus,,,223.31,10888.81,99
CPT,31075,Exploration of frontal sinus,,,96.24,10888.81,135
CPT,31080,Removal of frontal sinus,,,107.86,10888.81,135
CPT,31081,Removal of frontal sinus,,,124.36,10888.81,135
CPT,31084,Removal of frontal sinus,,,138.75,10888.81,135
CPT,31085,Removal of frontal sinus,,,146.73,10888.81,135
CPT,31086,Removal of frontal sinus,,,123.8,10888.81,135
CPT,31087,Removal of frontal sinus,,,123.06,10888.81,135
CPT,31090,Exploration of sinuses,,,478.01,10888.81,99
CPT,31200,Removal of ethmoid sinus,,,252.39,10888.81,99
CPT,31201,Removal of ethmoid sinus,,,389.58,5898.0,99
CPT,31205,Removal of ethmoid sinus,,,97.54,5969.44,135
CPT,31225,Removal of upper jaw,,,192.87,24872.68,132
CPT,31230,Removal of upper jaw,,,218.58,24872.68,132
CPT,31231,Nasal Endoscopy Dx Uni/Bilat,2041.25,2041.25,302.1,1633.0,23
CPT,31231,Nasal endoscopy dx,,,50.0,4275.0,64
CPT,31233,"Nasal/Sinus Endoscopy, Dx",2501.25,2501.25,370.18,2001.0,23
CPT,31233,Nsl/sins ndsc dx max sinusc,,,117.25,4275.0,64
CPT,31235,Nsl/sins ndsc dx sphn sinusc,,,133.45,5612.5,64
CPT,31237,Bil Nasal/Sinus Endoscopy,11312.55,11312.55,1674.26,9050.04,23
CPT,31237,Nasal/Sinus Endoscopy,8142.0,8142.0,1205.02,6513.6,23
CPT,31237,Nsl/sins ndsc surg bx polypc,,,154.86,5612.5,64
CPT,31238,Nsl/sins ndsc srg nsl hemrrg,,,170.27,5612.5,64
CPT,31239,Nsl/sinus endoscopy surg dcr,,,444.51,6850.0,99
CPT,31240,Nsl/sns ndsc cnch bull rescj,,,234.57,5612.5,63
CPT,31241,Nsl/sns ndsc lig sphnptn art,,,590.1,5612.5,61
CPT,31242,Nsl/sinus ndsc rf abltj pnn,,,131.88,10888.81,62
CPT,31243,Nsl/sinus ndsc cryoabltj pnn,,,131.88,10888.81,62
CPT,31253,Nsl/sins ndsc total,,,661.13,12742.02,63
CPT,31254,Nsl/sins ndsc w/prtl ethmdct,,,356.67,12742.02,63
CPT,31255,Nsl/sins ndsc w/tot ethmdct,,,473.34,12742.02,63
CPT,31256,Exploration maxillary sinus,,,266.18,6850.0,63
CPT,31257,Nsl/sins ndsc tot w/sphendt,,,588.42,12742.02,63
CPT,31259,Nsl/sins ndsc sphn tiss rmvl,,,623.85,12742.02,63
CPT,31267,Endoscopy maxillary sinus,,,388.55,12742.02,63
CPT,31276,Nsl/sins ndsc frnt tiss rmvl,,,553.85,12742.02,63
CPT,31287,Nasal/sinus endoscopy surg,,,295.38,12742.02,63
CPT,31288,Nasal/sinus endoscopy surg,,,343.52,12742.02,63
CPT,31290,Nasal/sinus endoscopy surg,,,837.04,24872.68,97
CPT,31291,Nasal/sinus endoscopy surg,,,887.5,24872.68,97
CPT,31292,Nsl/sins ndsc med/inf dcmprn,,,707.0,12742.02,97
CPT,31293,Nsl/sins ndsc med&inf dcmprn,,,770.46,12742.02,97
CPT,31294,Nsl/sins ndsc surg on dcmprn,,,907.7,12742.02,97
CPT,31295,Nsl/sins ndsc surg max sins,,,24.76,12742.02,100
CPT,31296,Nsl/sins ndsc surg frnt sins,,,28.28,12742.02,100
CPT,31297,Nsl/sins ndsc surg sphn sins,,,144.97,12742.02,64
CPT,31298,Nsl/sins ndsc surg frnt&sphn,,,224.6,12742.02,64
CPT,31299,Unlisted px accessory sinus,,,231.05,1473.0,21
CPT,31300,Removal of larynx lesion,,,148.54,5969.44,99
CPT,31320,Diagnostic incision larynx,,,416.79,5595.0,7
CPT,31360,Removal of larynx,,,187.03,24872.68,96
CPT,31365,Removal of larynx,,,256.74,24872.68,96
CPT,31367,Partial removal of larynx,,,219.24,24872.68,96
CPT,31368,Partial removal of larynx,,,284.19,24872.68,96
CPT,31370,Partial removal of larynx,,,216.69,24872.68,96
CPT,31375,Partial removal of larynx,,,197.09,24872.68,96
CPT,31380,Partial removal of larynx,,,204.31,24872.68,96
CPT,31382,Partial removal of larynx,,,208.9,24872.68,96
CPT,31390,Removal of larynx & pharynx,,,288.18,24872.68,96
CPT,31395,Reconstruct larynx & pharynx,,,337.0,24872.68,96
CPT,31400,Revision of larynx,,,111.17,10888.81,99
CPT,31420,Epiglottidectomy,,,111.18,10888.81,99
CPT,31500,Endotracheal Intubation,3326.95,3326.95,492.39,2661.56,23
CPT,31500,Insert emergency airway,,,106.5,4275.0,63
CPT,31502,Change of windpipe airway,,,33.62,4275.0,64
CPT,31502,Et/Trach Change,2041.25,2041.25,302.1,1633.0,23
CPT,31505,Diagnostic laryngoscopy,,,28.18,4275.0,63
CPT,31505,"Laryngoscopy, Indirect, Dx",2041.25,2041.25,302.1,1633.0,23
CPT,31510,Laryngoscopy with biopsy,,,89.94,6850.0,64
CPT,31511,Remove foreign body larynx,,,102.46,4275.0,64
CPT,31512,Removal of larynx lesion,,,119.49,6850.0,64
CPT,31513,Injection into vocal cord,,,128.5,4275.0,63
CPT,31515,Laryngoscopy for Aspiration,2903.75,2903.75,429.76,2323.0,23
CPT,31515,Laryngoscopy for aspiration,,,91.71,4275.0,64
CPT,31520,Dx laryngoscopy newborn,,,50.0,4275.0,63
CPT,31525,"Dx Laryngoscopy, Except Nb",4037.65,4037.65,597.57,3230.12,23
CPT,31525,Dx laryngoscopy excl nb,,,129.92,5612.5,64
CPT,31526,Dx laryngoscopy w/oper scope,,,154.44,5612.5,63
CPT,31527,Laryngoscopy for treatment,,,187.57,6850.0,63
CPT,31528,Laryngoscopy and dilation,,,141.68,6850.0,63
CPT,31529,Laryngoscopy and dilation,,,155.5,6850.0,63
CPT,31530,Laryngoscopy W/FB Rem,7162.0,7162.0,1059.98,5729.6,23
CPT,31530,Laryngoscopy w/fb removal,,,194.74,5612.5,63
CPT,31531,Laryngoscopy w/fb & op scope,,,206.04,6850.0,63
CPT,31535,Laryngoscopy W/Biopsy,11222.85,11222.85,1660.98,8978.28,23
CPT,31535,Laryngoscopy w/biopsy,,,185.84,6850.0,63
CPT,31536,Laryngoscopy w/bx & op scope,,,205.35,6850.0,63
CPT,31540,Laryngoscopy w/exc of tumor,,,235.78,6850.0,63
CPT,31541,Larynscop w/tumr exc + scope,,,256.67,6850.0,63
CPT,31545,Remove vc lesion w/scope,,,502.08,6850.0,63
CPT,31546,Remove vc lesion scope/graft,,,765.03,12742.02,63
CPT,31551,Laryngoplasty laryngeal sten,,,942.02,10888.81,61
CPT,31552,Laryngoplasty laryngeal sten,,,952.39,10888.81,61
CPT,31553,Laryngoplasty laryngeal sten,,,1038.4,10888.81,61
CPT,31554,Laryngoplasty laryngeal sten,,,1093.4,10888.81,61
CPT,31560,Laryngoscop w/arytenoidectom,,,304.81,12742.02,63
CPT,31561,Larynscop remve cart + scop,,,332.2,12742.02,63
CPT,31570,Laryngoscope W/Vc Inj,8165.0,8165.0,1208.42,6532.0,23
CPT,31570,Laryngoscope w/vc inj,,,201.62,6850.0,64
CPT,31571,Laryngoscop w/vc inj + scope,,,243.34,6850.0,63
CPT,31571,Laryngoscopy W/Vc Inj+Scope,6592.5,6592.5,975.69,5274.0,23
CPT,31572,Largsc w/laser dstrj les,,,158.53,7940.0,64
CPT,31573,Largsc w/ther injection,,,130.84,7940.0,64
CPT,31573,Laryngoscopy Flexible Therapeutic Injection Uni,6932.2,6932.2,1025.97,5545.76,23
CPT,31574,Largsc w/njx augmentation,,,130.84,7940.0,64
CPT,31574,Laryngoscopy W/ Inj Augmentation Unilateral,3862.85,3862.85,571.7,3090.28,23
CPT,31575,Diagnostic laryngoscopy,,,50.0,4275.0,64
CPT,31575,"Laryngoscopy, Fiberoptic, Dx",3441.95,3441.95,509.41,2753.56,23
CPT,31576,Laryngoscopy with biopsy,,,117.79,5612.5,64
CPT,31576,"Laryngoscopy, Fiberoptic W/Bx",3007.25,3007.25,445.07,2405.8,23
CPT,31577,Largsc w/rmvl foreign bdy(s),,,131.25,4275.0,64
CPT,31578,Largsc w/removal lesion,,,146.56,6850.0,64
CPT,31579,Direct Laryngoscopy,2501.25,2501.25,370.18,2001.0,23
CPT,31579,Laryngoscopy telescopic,,,115.87,4275.0,64
CPT,31580,Laryngoplasty laryngeal web,,,661.33,10888.81,63
CPT,31582,Revision of larynx,,,5595.0,5595.0,1
CPT,31584,Laryngoplasty fx rdctj fixj,,,878.34,10888.81,61
CPT,31587,Laryngoplasty cricoid split,,,551.26,10888.81,61
CPT,31588,Revision of larynx,,,5595.0,5595.0,1
CPT,31590,Reinnervate larynx,,,79.39,10888.81,99
CPT,31591,Laryngoplasty medialization,,,690.17,10888.81,97
CPT,31592,Cricotracheal resection,,,1116.82,10888.81,61
CPT,31595,Larynx nerve surgery,,,4334.0,5595.0,2
CPT,31599,Unlisted procedure larynx,,,231.05,2438.0,22
CPT,31600,Planned tracheostomy,,,218.7,5969.44,63
CPT,31600,"Tracheostomy, Planned",9182.0,9182.0,1358.94,7345.6,23
CPT,31601,Planned tracheostomy<2 yrs,,,43.38,10888.81,60
CPT,31603,Emer tracheostomy ttrach,,,245.05,5612.5,63
CPT,31605,Emer tracheostomy cthyr mem,,,212.27,4275.0,63
CPT,31610,Tracheostomy fenest skin flp,,,432.2,10888.81,60
CPT,31611,Constj trachesophgl fstl,,,70.57,5969.44,99
CPT,31612,Perq trchl pnxr ttrach aspir,,,47.49,5969.44,64
CPT,31612,Trach Punc Percut Aspir,10209.0,10209.0,1510.93,8167.2,23
CPT,31613,Tracheostoma revj simple,,,245.64,5969.44,63
CPT,31614,Tracheostoma revj complex,,,401.71,10888.81,63
CPT,31615,Tracheobronchoscopy,3355.7,3355.7,496.64,2684.56,23
CPT,31615,Trcheobrnchsc est trachs inc,,,113.47,4275.0,64
CPT,31620,Endobronchial us add-on,,,5595.0,5595.0,1
CPT,31622,Bronchoscopy W or W/O Washing,5537.81,5537.81,819.6,4430.25,23
CPT,31622,Dx bronchoscope/wash,,,127.25,5612.5,64
CPT,31623,Bronchoscopy W/Brushing,5537.81,5537.81,819.6,4430.25,23
CPT,31623,Dx bronchoscope/brush,,,126.36,5612.5,64
CPT,31624,Bronchoscopy W/Bal,5537.81,5537.81,819.6,4430.25,23
CPT,31624,Dx bronchoscope/lavage,,,128.34,5612.5,64
CPT,31625,Bronch Dx /Endobronchial Bx Single/Multiple Lobe,5537.81,5537.81,819.6,4430.25,23
CPT,31625,Bronchoscopy w/biopsy(s),,,149.23,5612.5,64
CPT,31626,Bronchoscopy w/markers,,,141.06,12742.02,64
CPT,31626,Navigation Bronchoscopy W/Markers,15202.0,15202.0,2249.9,12161.6,23
CPT,31627,"Bronch With Computer-Assisted, Image-Guided Navigation",5000.2,5000.2,740.03,4000.16,23
CPT,31627,Navigational bronchoscopy,,,68.49,2438.0,45
CPT,31628,Bronchoscopy/lung bx each,,,167.66,6850.0,64
CPT,31628,Transbronch Bx W&W/O Fluo,9847.0,9847.0,1457.36,7877.6,23
CPT,31629,Bron W/Trans Needl Aspir,9847.0,9847.0,1457.36,7877.6,23
CPT,31629,Bronchoscopy/needle bx each,,,178.94,6850.0,63
CPT,31630,Bronchoscopy Dilate/Fx Repr,12044.0,12044.0,1782.51,9635.2,23
CPT,31630,Bronchoscopy dilate/fx repr,,,191.02,6850.0,63
CPT,31631,Bronchoscopy W/Placement Tracheal Stent,16138.0,16138.0,2388.42,12910.4,23
CPT,31631,Bronchoscopy dilate w/stent,,,217.69,12742.02,63
CPT,31632,Bronchoscopy/lung bx addl,,,46.23,2891.0,46
CPT,31632,Transbronchial Bx W/Addl Lobe,5439.5,5439.5,805.05,4351.6,23
CPT,31633,Bronchoscopy/needle bx addl,,,60.34,2891.0,46
CPT,31633,Tranbronchial Needle Aspiration Biospy Ea Addtl Lobe,6087.0,6087.0,900.88,4869.6,23
CPT,31634,Bronch w/balloon occlusion,,,28.95,12742.02,64
CPT,31634,Bronchoscopy Balloon Occlusion,16138.0,16138.0,2388.42,12910.4,23
CPT,31635,"Bronch Tx, FB Removal",7171.4,7171.4,1061.37,5737.12,23
CPT,31635,Bronchoscopy W/FB Removal,7171.4,7171.4,1061.37,5737.12,23
CPT,31635,Bronchoscopy w/fb removal,,,168.26,5612.5,63
CPT,31636,Bronchoscopy bronch stents,,,208.85,12742.02,63
CPT,31637,Bronchoscopy stent add-on,,,72.75,2438.0,46
CPT,31638,Bronchoscopy revise stent,,,232.48,12742.02,63
CPT,31640,Bronchoscopy W/ Tumor,9937.25,9937.25,1470.71,7949.8,23
CPT,31640,Bronchoscopy w/tumor excise,,,236.0,6850.0,63
CPT,31641,Bronchoscopy Treat Blockage,13850.6,13850.6,2049.89,11080.48,23
CPT,31641,Bronchoscopy treat blockage,,,241.9,6850.0,63
CPT,31643,Bronchoscopy Intracav Rad Addl,5537.81,5537.81,819.6,4430.25,23
CPT,31643,Diag bronchoscope/catheter,,,162.13,5612.5,63
CPT,31645,Brnchsc w/ther aspir 1st,,,141.11,5612.5,63
CPT,31645,"Bronchoscopy, Clear Airways",6874.7,6874.7,1017.46,5499.76,23
CPT,31646,Brnchsc w/ther aspir sbsq,,,136.86,4275.0,63
CPT,31646,"Bronchoscopy, Reclear Airway",2903.75,2903.75,429.76,2323.0,23
CPT,31647,Bronchial Valve Init Insert,8887.2,8887.2,1315.31,7109.76,23
CPT,31647,Bronchial valve init insert,,,191.37,12742.02,63
CPT,31648,Bronchial Valve Addl Insert,5173.85,5173.85,765.73,4139.08,23
CPT,31648,Bronchial valve remov init,,,188.27,7940.0,63
CPT,31649,Bronchial Valve Remov Init,2903.75,2903.75,429.76,2323.0,23
CPT,31649,Bronchial valve remov addl,,,62.99,5612.5,63
CPT,31651,Bronchial valve addl insert,,,66.73,7940.0,46
CPT,31652,Bronch ebus samplng 1/2 node,,,204.07,9641.0,64
CPT,31652,Bronchoscopy Rigid/Flex Ebus Sampling 1 or 2 Node,12428.0,12428.0,1839.34,9942.4,23
CPT,31653,Bronch ebus samplng 3/> node,,,225.22,9641.0,64
CPT,31653,Bronchoscopy Rigid/Flex Ebus Sampling 3/> Node,12428.0,12428.0,1839.34,9942.4,23
CPT,31654,Bronch ebus ivntj perph les,,,58.94,2836.0,47
CPT,31654,Bronchoscopy Rigid/Flex Ebus Interven Peri Lesion,8829.7,8829.7,1306.8,7063.76,23
CPT,31660,Bronch thermoplsty 1 lobe,,,180.0,12742.02,63
CPT,31661,Bronch thermoplsty 2/> lobes,,,190.83,12742.02,63
CPT,31700,Insertion of airway catheter,,,74.26,97.97,7
CPT,31708,Instill airway contrast dye,,,65.92,65.92,6
CPT,31710,Insertion of airway catheter,,,64.12,64.12,6
CPT,31717,Bronchial brush biopsy,,,91.85,4275.0,58
CPT,31720,Clearance of airways,,,51.89,4275.0,64
CPT,31720,Nasotreacheal Suction,2041.25,2041.25,302.1,1633.0,23
CPT,31725,Clearance of airways,,,75.94,24872.68,61
CPT,31730,Intro windpipe wire/tube,,,146.33,5612.5,64
CPT,31750,Tracheoplasty cervical,,,131.14,10888.81,99
CPT,31755,Trachplsty trchphryngl fstlj,,,165.98,10888.81,99
CPT,31760,Tracheoplasty intrathoracic,,,188.05,24872.68,96
CPT,31766,Carinal reconstruction,,,263.99,24872.68,96
CPT,31770,Repair/graft of bronchus,,,207.41,24872.68,96
CPT,31775,Reconstruct bronchus,,,218.44,24872.68,96
CPT,31780,Reconstruct windpipe,,,180.55,24872.68,96
CPT,31781,Reconstruct windpipe,,,221.17,24872.68,96
CPT,31785,Remove windpipe lesion,,,150.92,10888.81,99
CPT,31786,Remove windpipe lesion,,,213.25,24872.68,96
CPT,31800,Repair of windpipe injury,,,341.44,24872.68,61
CPT,31805,Repair of windpipe injury,,,128.59,24872.68,96
CPT,31820,Closure of windpipe lesion,,,248.33,5969.44,63
CPT,31825,Repair of windpipe defect,,,359.32,5969.44,63
CPT,31830,Revise windpipe scar,,,250.83,5969.44,63
CPT,31899,Unlisted px trachea bronchi,,,193.16,2438.0,22
CPT,32035,Thoracostomy w/rib resection,,,94.04,24872.68,132
CPT,32036,Thoracostomy w/flap drainage,,,103.94,24872.68,132
CPT,32096,Open wedge/bx lung infiltr,,,111.66,24872.68,96
CPT,32097,Open wedge/bx lung nodule,,,111.66,24872.68,96
CPT,32098,Open biopsy of lung pleura,,,104.94,24872.68,96
CPT,32100,Exploration of chest,,,127.59,24872.68,96
CPT,32110,Explore/repair chest,,,139.96,24872.68,96
CPT,32120,Re-exploration of chest,,,123.32,24872.68,96
CPT,32124,Explore chest free adhesions,,,130.9,24872.68,96
CPT,32140,Removal of lung lesion(s),,,147.04,24872.68,96
CPT,32141,Remove/treat lung lesions,,,144.95,24872.68,96
CPT,32150,Removal of lung lesion(s),,,140.18,24872.68,96
CPT,32151,Remove lung foreign body,,,140.76,24872.68,96
CPT,32160,Open chest heart massage,,,96.35,24872.68,96
CPT,32160,Thoracotomy W/Cardiac Massage,6226.1,6226.1,921.46,4980.88,23
CPT,32200,Drain open lung lesion,,,129.29,24872.68,96
CPT,32215,Treat chest lining,,,117.23,24872.68,132
CPT,32220,Release of lung,,,192.14,24872.68,132
CPT,32225,Partial release of lung,,,145.06,24872.68,132
CPT,32310,Removal of chest lining,,,139.68,24872.68,96
CPT,32320,Free/remove chest lining,,,204.34,24872.68,96
CPT,32400,Needle biopsy chest lining,,,80.55,5612.5,63
CPT,32400,Pleural Biopsy,5062.3,5062.3,749.22,4049.84,23
CPT,32405,Percut bx lung/mediastinum,,,135.59,5595.0,8
CPT,32408,Core Needle Bx Lung/Mediastinum Perq W/Img,7940.0,7940.0,1175.12,6352.0,23
CPT,32408,Core ndl bx lng/med perq,,,145.73,7940.0,63
CPT,32440,Remove lung pneumonectomy,,,210.08,24872.68,96
CPT,32442,Sleeve pneumonectomy,,,238.86,24872.68,96
CPT,32445,Removal of lung extrapleural,,,239.1,24872.68,96
CPT,32480,Partial removal of lung,,,185.52,24872.68,96
CPT,32482,Bilobectomy,,,195.99,24872.68,96
CPT,32484,Segmentectomy,,,202.45,24872.68,96
CPT,32486,Sleeve lobectomy,,,225.44,24872.68,96
CPT,32488,Completion pneumonectomy,,,239.18,24872.68,96
CPT,32491,Lung volume reduction,,,203.74,24872.68,132
CPT,32501,Repair bronchus add-on,,,37.69,24872.68,60
CPT,32503,Resect apical lung tumor,,,249.76,24872.68,96
CPT,32504,Resect apical lung tum/chest,,,285.41,24872.68,96
CPT,32505,Wedge resect of lung initial,,,128.83,24872.68,96
CPT,32506,Wedge resect of lung add-on,,,21.69,24872.68,60
CPT,32507,Wedge resect of lung diag,,,21.69,24872.68,60
CPT,32540,Removal of lung lesion,,,149.66,24872.68,96
CPT,32550,Insert Indwelling Cath,13841.4,13841.4,2048.53,11073.12,23
CPT,32550,Insert pleural cath,,,196.73,9641.0,63
CPT,32551,Chest Tube Insertion,6656.2,6656.2,985.12,5324.96,23
CPT,32551,Insertion of chest tube,,,195.87,5612.5,63
CPT,32552,Remove lung catheter,,,50.0,4275.0,63
CPT,32553,Ins mark thor for rt perq,,,27.14,5898.0,63
CPT,32554,Aspirate Pleura W/O Imaging,3933.13,3933.13,582.1,3146.5,23
CPT,32554,Aspirate pleura w/o imaging,,,76.16,4275.0,64
CPT,32555,Aspirate Pleura W/ Imaging,5136.0,5136.0,760.13,4108.8,23
CPT,32555,Aspirate pleura w/ imaging,,,95.17,4275.0,64
CPT,32556,Insert Cath Pleura W/O Image,5537.81,5537.81,819.6,4430.25,23
CPT,32556,Insert cath pleura w/o image,,,104.4,5612.5,64
CPT,32557,Insert Cath Pleura W/ Image,6181.0,6181.0,914.79,4944.8,23
CPT,32557,Insert cath pleura w/ image,,,140.16,5612.5,64
CPT,32560,Chemical Pleurodesis,3453.45,3453.45,511.11,2762.76,23
CPT,32560,Treat pleurodesis w/agent,,,73.36,4275.0,64
CPT,32561,"Fibrinolysis via Chest Tube/Catheter, Initial",3017.6,3017.6,446.6,2414.08,23
CPT,32561,Lyse chest fibrin init day,,,10.03,4275.0,64
CPT,32562,Lyse chest fibrin subq day,,,8.91,4275.0,64
CPT,32601,Thoracoscopy diagnostic,,,300.48,10739.17,61
CPT,32604,Thoracoscopy wbx sac,,,466.25,19163.68,61
CPT,32606,Thoracoscopy w/bx med space,,,450.31,10739.17,61
CPT,32607,Thoracoscopy w/bx infiltrate,,,267.17,19163.68,63
CPT,32608,Thoracoscopy w/bx nodule,,,328.06,19163.68,63
CPT,32609,Thoracoscopy w/bx pleura,,,226.9,10739.17,63
CPT,32650,Thoracoscopy w/pleurodesis,,,104.98,24872.68,132
CPT,32651,Thoracoscopy remove cortex,,,133.44,24872.68,132
CPT,32652,Thoracoscopy rem totl cortex,,,184.63,24872.68,132
CPT,32653,Thoracoscopy remov fb/fibrin,,,130.94,24872.68,96
CPT,32654,Thoracoscopy contrl bleeding,,,125.33,24872.68,132
CPT,32655,Thoracoscopy resect bullae,,,138.85,24872.68,132
CPT,32656,Thoracoscopy w/pleurectomy,,,126.27,24872.68,132
CPT,32658,Thoracoscopy w/sac fb remove,,,112.34,24872.68,96
CPT,32659,Thoracoscopy w/sac drainage,,,115.35,24872.68,96
CPT,32661,Thoracoscopy w/pericard exc,,,125.27,24872.68,96
CPT,32662,Thoracoscopy w/mediast exc,,,140.22,24872.68,96
CPT,32663,Thoracoscopy w/lobectomy,,,187.14,24872.68,96
CPT,32664,Thoracoscopy w/ th nrv exc,,,132.98,24872.68,133
CPT,32665,Thoracoscop w/esoph musc exc,,,155.53,24872.68,96
CPT,32666,Thoracoscopy w/wedge resect,,,120.5,24872.68,132
CPT,32667,Thoracoscopy w/w resect addl,,,21.69,24872.68,60
CPT,32668,Thoracoscopy w/w resect diag,,,21.82,24872.68,60
CPT,32669,Thoracoscopy remove segment,,,185.48,24872.68,96
CPT,32670,Thoracoscopy bilobectomy,,,221.3,24872.68,96
CPT,32671,Thoracoscopy pneumonectomy,,,245.6,24872.68,96
CPT,32672,Thoracoscopy for lvrs,,,210.13,24872.68,96
CPT,32673,Thoracoscopy w/thymus resect,,,165.76,24872.68,96
CPT,32674,Thoracoscopy lymph node exc,,,29.73,24872.68,60
CPT,32700,VISUALIZE CHEST CAVITY,,,350.61,350.61,6
CPT,32701,Thorax stereo rad targetw/tx,,,201.96,4275.0,34
CPT,32800,Repair lung hernia,,,133.34,24872.68,96
CPT,32810,Close chest after drainage,,,124.0,24872.68,96
CPT,32815,Close bronchial fistula,,,218.97,24872.68,96
CPT,32820,Reconstruct injured chest,,,211.38,24872.68,96
CPT,32850,Donor pneumonectomy,,,2304.0,24872.68,24
CPT,32851,Lung transplant single,,,353.71,24872.68,132
CPT,32852,Lung transplant with bypass,,,380.91,24872.68,132
CPT,32853,Lung transplant double,,,432.02,24872.68,132
CPT,32854,Lung transplant with bypass,,,460.72,24872.68,132
CPT,32855,Prepare donor lung single,,,34.82,24872.68,54
CPT,32856,Prepare donor lung double,,,52.23,24872.68,54
CPT,32900,Removal of rib(s),,,174.73,24872.68,96
CPT,32905,Revise & repair chest wall,,,189.63,24872.68,96
CPT,32906,Revise & repair chest wall,,,239.58,24872.68,96
CPT,32940,Revision of lung,,,177.47,24872.68,96
CPT,32960,Therapeutic pneumothorax,,,83.94,4275.0,63
CPT,32994,Ablate Pulm Tumor Perq Crybl,18773.75,18773.75,2778.52,15019.0,23
CPT,32994,Ablate pulm tumor perq crybl,,,67.29,19163.68,98
CPT,32997,Total lung lavage,,,415.83,24872.68,60
CPT,32998,Ablate pulm tumor perq rf,,,67.24,10739.17,99
CPT,32998,Percutaneous Rfa Lung Tumor(S),13360.0,13360.0,1977.28,10688.0,23
CPT,32999,Removal of Pleural Catheter,2175.0,2175.0,321.9,1740.0,23
CPT,32999,Unlisted px lungs & pleura,,,615.15,2026.0,21
CPT,33010,Drainage of heart sac,,,2150.0,5595.0,2
CPT,33011,Repeat drainage of heart sac,,,100.89,5595.0,3
CPT,33016,Pericardiocentesis W/Imaging,4813.9,4813.9,712.46,3851.12,23
CPT,33016,Pericardiocentesis w/imaging,,,209.05,7940.0,63
CPT,33017,Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly,699.2,699.2,103.48,559.36,23
CPT,33017,Prcrd drg 6yr+ w/o cgen car,,,216.68,24872.68,61
CPT,33018,Perq Prcrd Drg 0-5yr/Any Age W/Cgen Car Anomaly,699.2,699.2,103.48,559.36,23
CPT,33018,Prcrd drg 0-5yr or w/anomly,,,246.91,24872.68,61
CPT,33019,Perq prcrd drg insj cath ct,,,200.52,24872.68,61
CPT,33020,Incision of heart sac,,,129.61,24872.68,96
CPT,33025,Incision of heart sac,,,120.65,24872.68,96
CPT,33030,Partial removal of heart sac,,,204.53,24872.68,96
CPT,33031,Partial removal of heart sac,,,207.44,24872.68,96
CPT,33050,Resect heart sac lesion,,,139.92,24872.68,96
CPT,33120,Exc icar tum resc w/card byp,,,270.0,24872.68,96
CPT,33130,Rescj external cardiac tumor,,,198.05,24872.68,96
CPT,33140,Heart revascularize (tmr),,,179.27,24872.68,96
CPT,33141,Heart tmr w/other procedure,,,20.49,24872.68,60
CPT,33200,Insertion of heart pacemaker,,,837.53,837.53,6
CPT,33201,Insertion of heart pacemaker,,,753.93,753.93,6
CPT,33202,Insert epicard eltrd open,,,520.82,24872.68,60
CPT,33203,Insert epicard eltrd endo,,,665.36,24872.68,54
CPT,33206,Insert heart pm atrial,,,273.96,19263.28,97
CPT,33206,Insrt New/Repl Pcmkr/Ld-Atrial,30887.0,30887.0,4571.28,24709.6,23
CPT,33207,Insert heart pm ventricular,,,288.44,19263.28,97
CPT,33207,Insrt New/Repl Pcmkr/Ld-Vent,30407.0,30407.0,4500.24,24325.6,23
CPT,33208,Insrt New/Repl Pcmkr/Ld- a / V,35761.55,35761.55,5292.71,28609.24,23
CPT,33208,Insrt heart pm atrial & vent,,,311.45,19263.28,97
CPT,33210,Insert electrd/pm cath sngl,,,155.83,15233.4,61
CPT,33210,Temp Pacemaker Wire,21196.0,21196.0,3137.01,16956.8,23
CPT,33211,Insert card electrodes dual,,,161.73,15233.4,61
CPT,33212,Insert pulse gen sngl lead,,,265.1,15233.4,63
CPT,33212,Insrt Pcmkr W Exist Sngl Ld,22175.0,22175.0,3281.9,17740.0,23
CPT,33213,Insert pulse gen dual leads,,,275.8,19263.28,63
CPT,33213,Insrt Pcmkr W Exist Dual Lds,29429.0,29429.0,4355.49,23543.2,23
CPT,33214,Upgrade of pacemaker system,,,288.7,19263.28,97
CPT,33215,Reposition Icd Lead,8366.0,8366.0,1238.17,6692.8,23
CPT,33215,Reposition pacing-defib lead,,,221.3,6850.0,61
CPT,33216,Insert 1 electrode pm-defib,,,303.47,15233.4,61
CPT,33216,Insrt Sngl Icd Lead Transveno,22495.0,22495.0,3329.26,17996.0,23
CPT,33217,Insert 2 electrode pm-defib,,,301.88,15233.4,61
CPT,33217,Insrt Dual Icd Lead Transveno,22495.0,22495.0,3329.26,17996.0,23
CPT,33218,Repair lead pace-defib one,,,293.32,6850.0,61
CPT,33220,Repair lead pace-defib dual,,,296.19,6850.0,61
CPT,33221,Insert pulse gen mult leads,,,254.53,35103.83,61
CPT,33221,Insrt Pcmkr Gen Only Exist Multi,26240.0,26240.0,3883.52,20992.0,23
CPT,33222,Relocation Skin Pkt for Pacemaker,7456.0,7456.0,1103.49,5964.8,23
CPT,33222,Relocation pocket pacemaker,,,281.2,5612.5,63
CPT,33223,Relocate pocket for defib,,,333.93,5612.5,63
CPT,33223,Relocation Skin Pkt Cardiovert-Defib,6812.0,6812.0,912.86,5964.8,46
CPT,33224,Insert Lead to Prev Pcmkr / Icd,31511.0,31511.0,4663.63,25208.8,23
CPT,33224,Insert pacing lead & connect,,,423.23,19263.28,61
CPT,33225,L Ventr Pacing Lead Add +Pock,50601.0,50601.0,7488.95,40480.8,23
CPT,33225,L ventric pacing lead add-on,,,374.28,14658.0,44
CPT,33226,Reposition Lv Pcmkr Lead,7930.0,7930.0,1173.64,6344.0,23
CPT,33226,Reposition l ventric lead,,,407.66,6850.0,61
CPT,33227,Remove&replace pm gen singl,,,242.94,15233.4,61
CPT,33227,Remove/Repl Pcmkr W Sngl Ld,35655.0,35655.0,5276.94,28524.0,23
CPT,33228,Remv & Replc Pm Gen Dual Lead,36271.0,36271.0,5368.11,29016.8,23
CPT,33228,Remv&replc pm gen dual lead,,,253.31,19263.28,61
CPT,33229,Remove/Replac Pcmkr W Multi Ld,43902.0,43902.0,6497.5,35121.6,23
CPT,33229,Remv&replc pm gen mult leads,,,263.69,35103.83,61
CPT,33229,Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Leads,37913.0,37913.0,5611.12,30330.4,23
CPT,33230,Insrt pulse gen w/dual leads,,,273.82,41316.17,61
CPT,33231,Insrt Icd W Exist Multi Lds,46254.0,46254.0,6845.59,37003.2,23
CPT,33231,Insrt pulse gen w/mult leads,,,284.21,59014.98,61
CPT,33233,Removal of pm generator,,,190.78,15233.4,63
CPT,33233,Remove Pcmkr Only,22795.0,22795.0,3373.66,18236.0,23
CPT,33234,Removal of pacemaker system,,,357.58,6850.0,61
CPT,33234,Remove Pcmkr Electrode,9491.0,9491.0,1404.67,7592.8,23
CPT,33235,Removal Pacemaker Electrodes,7530.0,7530.0,1114.44,6024.0,23
CPT,33235,Removal pacemaker electrode,,,417.08,6850.0,61
CPT,33236,Remove electrode/thoracotomy,,,430.31,24872.68,96
CPT,33237,Remove electrode/thoracotomy,,,509.78,24872.68,96
CPT,33238,Remove electrode/thoracotomy,,,547.06,24872.68,96
CPT,33240,Insrt Icd Pulse Gen W Sngl Lead,27824.0,27824.0,4117.95,22259.2,23
CPT,33240,Insrt pulse gen w/singl lead,,,294.02,41316.17,61
CPT,33241,Remove Icd Generator Only,10052.15,10052.15,1487.72,8041.72,23
CPT,33241,Remove pulse generator,,,176.08,6850.0,61
CPT,33243,Remove eltrd/thoracotomy,,,187.88,24872.68,96
CPT,33244,Remove elctrd transvenously,,,661.66,6850.0,61
CPT,33244,Transvenous Removal Icd Lead,11934.7,11934.7,1766.34,9547.76,23
CPT,33245,Insert epic eltrd pace-defib,,,1002.57,1002.57,6
CPT,33246,Insert epic eltrd/generator,,,1350.05,1350.05,6
CPT,33249,Insj/rplcmt defib w/lead(s),,,742.43,59014.98,61
CPT,33249,Insrt/Repl Sgl/Dual Icd Ld/Gen,55929.0,55929.0,5978.31,57171.2,46
CPT,33250,Ablate heart dysrhythm focus,,,192.38,24872.68,96
CPT,33251,Ablate heart dysrhythm focus,,,236.54,24872.68,96
CPT,33254,Ablate atria lmtd,,,172.75,24872.68,96
CPT,33255,Ablate atria w/o bypass ext,,,207.74,24872.68,96
CPT,33256,Ablate atria w/bypass exten,,,247.93,24872.68,96
CPT,33257,Ablate atria lmtd add-on,,,69.68,24872.68,60
CPT,33258,Ablate atria x10sv add-on,,,78.65,24872.68,60
CPT,33259,Ablate atria w/bypass add-on,,,103.11,24872.68,60
CPT,33261,Ablate heart dysrhythm focus,,,227.6,24872.68,96
CPT,33262,Remove/Repl Icd W Sngl Ld,69695.75,69695.75,10314.97,55756.6,23
CPT,33262,Rmvl& replc pulse gen 1 lead,,,263.94,41316.17,61
CPT,33263,Remove/Repl Icd W Dual Lds,87076.0,87076.0,12887.25,69660.8,23
CPT,33263,Rmvl & rplcmt dfb gen 2 lead,,,274.32,41316.17,61
CPT,33264,Remove/Repl Icd W Multi Lds,113448.65,113448.65,16790.4,90758.92,23
CPT,33264,Rmvl & rplcmt dfb gen mlt ld,,,284.7,59014.98,61
CPT,33265,Ablate atria lmtd endo,,,212.5,24872.68,84
CPT,33266,Ablate atria x10sv endo,,,286.75,24872.68,84
CPT,33267,Excl laa open any method,,,138.08,24872.68,96
CPT,33268,Excl laa opn oth px any meth,,,17.22,24872.68,60
CPT,33269,Excl laa thrscp any method,,,109.25,24872.68,96
CPT,33270,Ins/rep subq defibrillator,,,431.44,59014.98,61
CPT,33270,Insert Subcutaneous Aicd,129402.0,129402.0,19151.5,103521.6,23
CPT,33271,Insj subq impltbl dfb elctrd,,,362.98,15233.4,61
CPT,33272,Rmvl of subq defibrillator,,,267.15,6850.0,61
CPT,33273,Repos prev impltbl subq dfb,,,293.71,9641.0,63
CPT,33274,Tcat insj/rpl perm ldls pm,,,271.51,35103.83,97
CPT,33274,Transcath Insj/Rpl Perm Leadless Pm Rv W/Img,53954.0,53954.0,7985.19,43163.2,23
CPT,33275,Tcat rmvl perm ldls pm w/img,,,391.16,9641.0,63
CPT,33276,Insertion Phrenic Nerve Stimulator System,111360.0,111360.0,16481.28,89088.0,23
CPT,33276,Insj phrnc nrv stim sys,,,402.35,82831.34,61
CPT,33277,Add-on Insj Phrenic Nrv Stimulator Transvns Sensing Ld,55680.0,55680.0,8240.64,44544.0,23
CPT,33277,Insj phrnc nrv stim transvns,,,251.02,2438.0,43
CPT,33278,Rmvl phrnc nrv stim sys,,,400.65,6850.0,61
CPT,33279,Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld,8031.0,8031.0,1188.59,6424.8,23
CPT,33279,Rmvl phrnc nrv stim transvns,,,241.97,6850.0,61
CPT,33280,Rmvl Phrenic Nrv Stimulator Pulse Generator Only,8031.0,8031.0,1188.59,6424.8,23
CPT,33280,Rmvl phrnc nrv stim pg only,,,144.17,6850.0,61
CPT,33281,Reposg phrnc nrv stim trnsvn,,,261.63,6850.0,61
CPT,33281,Repositioning Phrenic Nrv Stimulator Transvns Ld,8031.0,8031.0,1188.59,6424.8,23
CPT,33282,Implant pat-active ht record,,,4334.0,5595.0,2
CPT,33284,Remove pat-active ht record,,,2500.0,5595.0,2
CPT,33285,Insertion Subq Cardiac Rhythm Monitor W/Prgrmg,26035.0,26035.0,3853.18,20828.0,23
CPT,33285,Insj subq car rhythm mntr,,,79.91,15233.4,62
CPT,33286,Removal Subcutaneous Cardiac Rhythm Monitor,3933.13,3933.13,582.1,3146.5,23
CPT,33286,Rmvl subq car rhythm mntr,,,78.36,4275.0,64
CPT,33287,Rmv&rplcmt phrnc nrv stim pg,,,269.78,56092.0,61
CPT,33287,Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator,73292.0,73292.0,10847.22,58633.6,23
CPT,33288,Rmv&rplcmt phrnc nrv stim ld,,,356.02,22953.8,61
CPT,33288,Rmvl&Rplcmt Phrnc Nrv Stim Trnsvns Stimj/Snsg Ld,32152.0,32152.0,4758.5,25721.6,23
CPT,33289,Tcat impl wrls p-art prs snr,,,293.34,52327.34,61
CPT,33300,Repair of heart wound,,,180.16,24872.68,96
CPT,33305,Repair of heart wound,,,215.98,24872.68,96
CPT,33310,Exploratory heart surgery,,,180.22,24872.68,96
CPT,33315,Exploratory heart surgery,,,214.13,24872.68,96
CPT,33320,Repair major blood vessel(s),,,167.18,24872.68,96
CPT,33321,Repair major vessel,,,184.97,24872.68,96
CPT,33322,Repair major blood vessel(s),,,216.41,24872.68,96
CPT,33330,Insert major vessel graft,,,196.97,24872.68,96
CPT,33335,Insert major vessel graft,,,266.45,24872.68,96
CPT,33340,Perq clsr tcat l atr apndge,,,438.38,24872.68,61
CPT,33361,Replace aortic valve perq,,,707.95,24872.68,60
CPT,33362,Replace aortic valve open,,,774.55,24872.68,60
CPT,33363,Replace aortic valve open,,,801.97,24872.68,60
CPT,33364,Replace aortic valve open,,,817.56,24872.68,60
CPT,33365,Replace aortic valve open,,,853.54,24872.68,60
CPT,33366,Trcath replace aortic valve,,,941.51,24872.68,60
CPT,33367,Replace aortic valve w/byp,,,529.46,24872.68,60
CPT,33368,Replace aortic valve w/byp,,,641.65,24872.68,60
CPT,33369,Replace aortic valve w/byp,,,847.13,24872.68,60
CPT,33370,Tcat plmt&rmvl cepd perq,,,109.5,2438.0,43
CPT,33390,Valvuloplasty aortic valve,,,269.76,24872.68,96
CPT,33391,Valvuloplasty aortic valve,,,319.64,24872.68,96
CPT,33404,Prepare heart-aorta conduit,,,271.5,24872.68,96
CPT,33405,Replacement aortic valve opn,,,313.96,24872.68,96
CPT,33406,Replacement aortic valve opn,,,338.96,24872.68,96
CPT,33410,Replacement aortic valve opn,,,301.09,24872.68,96
CPT,33411,Replacement of aortic valve,,,341.13,24872.68,96
CPT,33412,Replacement of aortic valve,,,367.84,24872.68,96
CPT,33413,Replacement of aortic valve,,,375.61,24872.68,96
CPT,33414,Repair of aortic valve,,,332.64,24872.68,96
CPT,33415,Revision subvalvular tissue,,,293.67,24872.68,96
CPT,33416,Revise ventricle muscle,,,306.9,24872.68,96
CPT,33417,Repair of aortic valve,,,260.63,24872.68,96
CPT,33418,Repair tcat mitral valve,,,259.89,24872.68,96
CPT,33419,Repair tcat mitral valve,,,61.04,1750.0,43
CPT,33420,Revision of mitral valve,,,1078.57,24872.68,60
CPT,33422,Revision of mitral valve,,,258.58,24872.68,96
CPT,33425,Repair of mitral valve,,,287.23,24872.68,96
CPT,33426,Repair of mitral valve,,,321.05,24872.68,96
CPT,33427,Repair of mitral valve,,,346.15,24872.68,96
CPT,33430,Replacement of mitral valve,,,330.81,24872.68,96
CPT,33440,Rplcmt a-valve tlcj autol pv,,,484.57,24872.68,96
CPT,33460,Revision of tricuspid valve,,,253.65,24872.68,96
CPT,33463,Valvuloplasty tricuspid,,,274.3,24872.68,96
CPT,33464,Valvuloplasty tricuspid,,,291.55,24872.68,96
CPT,33465,Replace tricuspid valve,,,305.06,24872.68,96
CPT,33468,Revision of tricuspid valve,,,338.24,24872.68,96
CPT,33471,Vlvt pv clsd hrt via p-art,,,292.77,13887.5,11
CPT,33474,Revision of pulmonary valve,,,248.96,24872.68,96
CPT,33475,Replacement pulmonary valve,,,305.23,24872.68,96
CPT,33476,Revision of heart chamber,,,238.36,24872.68,96
CPT,33477,Implant tcat pulm vlv perq,,,1133.46,24872.68,61
CPT,33478,Revision of heart chamber,,,246.17,24872.68,96
CPT,33496,Repair prosth valve clot,,,258.59,24872.68,96
CPT,33500,Repair heart vessel fistula,,,242.49,24872.68,84
CPT,33501,Repair heart vessel fistula,,,173.82,24872.68,132
CPT,33502,Coronary artery correction,,,200.4,24872.68,96
CPT,33503,Coronary artery graft,,,1094.23,24872.68,60
CPT,33504,Coronary artery graft,,,229.65,24872.68,96
CPT,33505,Repair artery w/tunnel,,,277.33,24872.68,96
CPT,33506,Repair artery translocation,,,280.36,24872.68,96
CPT,33507,Repair art intramural,,,240.62,24872.68,96
CPT,33508,Endoscopic vein harvest,,,2.27,1750.0,43
CPT,33509,Ndsc hrv uxtr art 1 sgm cab,,,22.72,24872.68,60
CPT,33510,Cabg vein single,,,269.42,24872.68,96
CPT,33511,Cabg vein two,,,291.4,24872.68,96
CPT,33512,Cabg vein three,,,312.72,24872.68,96
CPT,33513,Cabg vein four,,,335.66,24872.68,96
CPT,33514,Cabg vein five,,,365.89,24872.68,96
CPT,33516,Cabg vein six or more,,,389.48,24872.68,96
CPT,33517,Cabg artery-vein single,,,25.04,24872.68,60
CPT,33518,Cabg artery-vein two,,,47.26,24872.68,60
CPT,33519,Cabg artery-vein three,,,69.34,24872.68,60
CPT,33521,Cabg artery-vein four,,,91.51,24872.68,60
CPT,33522,Cabg artery-vein five,,,113.18,24872.68,60
CPT,33523,Cabg art-vein six or more,,,127.35,24872.68,60
CPT,33530,Coronary artery bypass/reop,,,57.07,24872.68,60
CPT,33533,Cabg arterial single,,,276.43,24872.68,96
CPT,33534,Cabg arterial two,,,303.76,24872.68,96
CPT,33535,Cabg arterial three,,,331.79,24872.68,96
CPT,33536,Cabg arterial four or more,,,359.66,24872.68,96
CPT,33542,Removal of heart lesion,,,308.29,24872.68,96
CPT,33545,Repair of heart damage,,,371.62,24872.68,96
CPT,33548,Restore/remodel ventricle,,,317.22,24872.68,96
CPT,33572,Open coronary endarterectomy,,,35.5,24872.68,60
CPT,33600,Closure of valve,,,268.43,24872.68,96
CPT,33602,Closure of valve,,,260.73,24872.68,96
CPT,33606,Anastomosis/artery-aorta,,,277.59,24872.68,96
CPT,33608,Repair anomaly w/conduit,,,281.22,24872.68,96
CPT,33610,Repair by enlargement,,,277.37,24872.68,96
CPT,33611,Repair double ventricle,,,303.35,24872.68,96
CPT,33612,Repair double ventricle,,,311.43,24872.68,96
CPT,33615,Repair modified fontan,,,311.36,24872.68,96
CPT,33617,Repair single ventricle,,,337.0,24872.68,96
CPT,33619,Repair single ventricle,,,421.35,24872.68,96
CPT,33620,Apply r&l pulm art bands,,,231.62,24872.68,96
CPT,33621,Transthor cath for stent,,,124.51,24872.68,96
CPT,33622,Redo compl cardiac anomaly,,,488.15,24872.68,96
CPT,33641,Repair heart septum defect,,,226.77,24872.68,96
CPT,33645,Revision of heart veins,,,269.24,24872.68,96
CPT,33647,Repair heart septum defects,,,282.7,24872.68,96
CPT,33660,Repair of heart defects,,,273.37,24872.68,96
CPT,33665,Repair of heart defects,,,297.65,24872.68,96
CPT,33670,Repair of heart chambers,,,305.91,24872.68,96
CPT,33675,Close mult vsd,,,291.15,24872.68,96
CPT,33676,Close mult vsd w/resection,,,300.17,24872.68,96
CPT,33677,Cl mult vsd w/rem pul band,,,311.97,24872.68,96
CPT,33681,Closure 1 vsd w/wo patch,,,288.05,24872.68,96
CPT,33684,Clsr 1 vsd w/wo patch w/vlvt,,,293.74,24872.68,96
CPT,33688,Clsr 1vsd w/wo ptch rmvl bnd,,,292.31,24872.68,96
CPT,33690,Banding pulmonary artery,,,188.46,24872.68,96
CPT,33692,Comp rpr tof wo pulm atresia,,,303.66,24872.68,96
CPT,33694,Cmp rpr tof wo plm atrs ptch,,,303.35,24872.68,96
CPT,33697,Compl rpr tof w/pulm atresia,,,319.56,24872.68,96
CPT,33702,Repair of heart defects,,,241.84,24872.68,96
CPT,33710,Repair of heart defects,,,312.42,24872.68,96
CPT,33720,Repair of heart defect,,,242.0,24872.68,96
CPT,33724,Repair venous anomaly,,,207.09,24872.68,96
CPT,33726,Repair pul venous stenosis,,,272.57,24872.68,96
CPT,33730,Repair heart-vein defect(s),,,312.64,24872.68,96
CPT,33732,Repair heart-vein defect,,,257.56,24872.68,96
CPT,33735,Revision of heart chamber,,,203.19,24872.68,96
CPT,33736,Revision of heart chamber,,,220.35,24872.68,96
CPT,33737,Revision of heart chamber,,,287.15,15725.0,11
CPT,33741,Tas congenital car anomal,,,96.95,24872.68,60
CPT,33745,Tis cgen car anomal 1st shnt,,,136.56,24872.68,61
CPT,33746,Tis cgen car anomal ea addl,,,66.21,24872.68,55
CPT,33750,Shunt subclavian to pulm art,,,197.05,24872.68,96
CPT,33755,Shunt as-aort to pulm art,,,206.52,24872.68,96
CPT,33762,Shunt desc aorta to pulm art,,,200.23,24872.68,96
CPT,33764,Shunt central w/prostc graft,,,206.52,24872.68,96
CPT,33766,Shunt supr v/c p-art 1 lung,,,207.88,24872.68,96
CPT,33767,Shunt supr v/c p-art bth lng,,,221.76,24872.68,96
CPT,33768,Anast cavopulm sec sup v/c,,,59.47,24872.68,96
CPT,33770,Rpr tga w/o surg enlgmnt vsd,,,328.64,24872.68,96
CPT,33771,Rpr tga w/surg enlgmnt vsd,,,334.77,24872.68,96
CPT,33774,Rpr tga atrial baffle px,,,281.24,24872.68,96
CPT,33775,Rpr tga atr bfl rmvl plm bnd,,,289.36,24872.68,96
CPT,33776,Rpr tga atr bfl clsr vsd,,,306.04,24872.68,96
CPT,33777,Rpr tga bfl rpr sbpulm obstr,,,294.53,24872.68,96
CPT,33778,Rpr tga aortic pulm art rcns,,,365.74,24872.68,96
CPT,33779,Rpr tga rcnstj rmvl plm bnd,,,356.71,24872.68,96
CPT,33780,Rpr tga rcnstj clsr vsd,,,367.61,24872.68,96
CPT,33781,Rpr tga rcnstj rpr sbpl obst,,,349.89,24872.68,96
CPT,33782,Nikaidoh proc,,,346.34,24872.68,96
CPT,33783,Nikaidoh proc w/ostia implt,,,374.36,24872.68,96
CPT,33786,Repair arterial trunk,,,340.07,24872.68,96
CPT,33788,Revision of pulmonary artery,,,238.98,24872.68,96
CPT,33800,Aortic suspension,,,154.23,24872.68,132
CPT,33802,Division aberrant vessel,,,170.41,24872.68,96
CPT,33803,Div aberrant vsl w/reanast,,,179.68,24872.68,96
CPT,33813,Repair septal defect,,,274.42,13887.5,11
CPT,33814,Obltrj a-pulm sep def w/byp,,,238.51,24872.68,96
CPT,33820,Repair pda by ligation,,,151.59,24872.68,96
CPT,33822,Repair pda div<18 years,,,159.77,24872.68,96
CPT,33824,Repair pda div 18 yrs&older,,,185.14,24872.68,96
CPT,33840,Exc coa w/direct anastomosis,,,194.27,24872.68,96
CPT,33845,Excision coa w/graft,,,209.27,24872.68,96
CPT,33851,Exc coa rpr l subcl art/prst,,,199.5,24872.68,96
CPT,33852,Rpr hypopl a-arch wo byp,,,218.98,24872.68,96
CPT,33853,Rpr hypopl a-arch w/byp,,,286.17,24872.68,96
CPT,33858,As-aort grf f/aortic dsj,,,481.15,24872.68,96
CPT,33859,As-aort grf f/ds oth/thn dsj,,,345.4,24872.68,96
CPT,33863,Ascending aortic graft,,,363.88,24872.68,96
CPT,33864,Ascending aortic graft,,,371.18,24872.68,96
CPT,33866,Aortic hemiarch graft,,,889.78,1473.0,36
CPT,33871,Transvrs a-arch grf hypthrm,,,462.59,24872.68,96
CPT,33875,Thoracic aortic graft,,,328.82,24872.68,132
CPT,33877,Thoracoabdominal graft,,,430.83,24872.68,132
CPT,33880,Endovasc taa repr incl subcl,,,248.35,24872.68,132
CPT,33881,Endovasc taa repr w/o subcl,,,213.51,24872.68,132
CPT,33883,Insert endovasc prosth taa,,,158.05,24872.68,132
CPT,33884,Endovasc prosth taa add-on,,,58.41,24872.68,96
CPT,33886,Endovasc prosth delayed,,,136.62,24872.68,132
CPT,33889,Artery transpose/endovas taa,,,116.74,24872.68,132
CPT,33891,Car-car bp grft/endovas taa,,,148.85,24872.68,132
CPT,33894,Evasc st rpr thrc/aa acrs br,,,799.67,24872.68,60
CPT,33895,Evasc st rpr thrc/aa x crsg,,,636.24,24872.68,60
CPT,33897,Perq trluml angp nt/recr coa,,,473.62,24872.68,60
CPT,33900,Perq p-art revsc 1 nm nt uni,,,479.85,20874.31,61
CPT,33901,Perq p-art revsc 1 nm nt bi,,,630.64,20874.31,61
CPT,33902,Perq p-art revsc 1 abnor uni,,,609.35,33052.5,61
CPT,33903,Perq p-art revsc 1 abnor bi,,,718.09,20874.31,61
CPT,33904,Perq p-art revsc each addl,,,241.05,2438.0,43
CPT,33910,Remove lung artery emboli,,,226.85,24872.68,96
CPT,33915,Remove lung artery emboli,,,181.2,24872.68,96
CPT,33916,Surgery of great vessel,,,239.33,24872.68,96
CPT,33917,Repair pulmonary artery,,,228.16,24872.68,96
CPT,33920,Repair pulmonary atresia,,,281.85,24872.68,96
CPT,33922,Transect pulmonary artery,,,217.39,24872.68,96
CPT,33924,Remove pulmonary shunt,,,44.25,24872.68,60
CPT,33925,Rpr pul art unifocal w/o cpb,,,246.19,24872.68,96
CPT,33926,Repr pul art unifocal w/cpb,,,331.78,24872.68,96
CPT,33927,Impltj tot rplcmt hrt sys,,,364.17,24872.68,60
CPT,33928,Rmvl & rplcmt tot hrt sys,,,2304.0,24872.68,24
CPT,33929,Rmvl rplcmt hrt sys f/trnspl,,,2304.0,24872.68,24
CPT,33930,Removal of donor heart/lung,,,2304.0,24872.68,24
CPT,33933,Prepare donor heart/lung,,,34.82,24872.68,54
CPT,33935,Transplantation heart/lung,,,762.24,24872.68,114
CPT,33940,Removal of donor heart,,,2304.0,24872.68,24
CPT,33944,Prepare donor heart,,,34.82,24872.68,54
CPT,33945,Transplantation of heart,,,436.18,24872.68,132
CPT,33946,Ecmo/ecls initiation venous,,,270.41,24872.68,60
CPT,33947,Ecmo/Ecls Insj Prph Cannula,19365.0,19365.0,2866.02,15492.0,23
CPT,33947,Ecmo/ecls initiation artery,,,298.68,24872.68,60
CPT,33948,Ecmo/ecls daily mgmt-venous,,,213.66,24872.68,60
CPT,33949,Ecmo/ecls daily mgmt artery,,,207.94,24872.68,60
CPT,33951,Ecmo/ecls insj prph cannula,,,387.45,24872.68,60
CPT,33952,Ecmo/ecls insj prph cannula,,,376.64,24872.68,60
CPT,33953,Ecmo/ecls insj prph cannula,,,432.23,24872.68,60
CPT,33954,Ecmo/ecls insj prph cannula,,,420.77,24872.68,60
CPT,33955,Ecmo/ecls insj ctr cannula,,,780.66,24872.68,60
CPT,33956,Ecmo/ecls insj ctr cannula,,,738.07,24872.68,60
CPT,33957,Ecmo/ecls repos perph cnula,,,173.41,24872.68,60
CPT,33958,Ecmo/ecls repos perph cnula,,,167.63,24872.68,60
CPT,33959,Ecmo/ecls repos perph cnula,,,220.28,24872.68,60
CPT,33962,Ecmo/ecls repos perph cnula,,,206.59,24872.68,60
CPT,33963,Ecmo/ecls repos perph cnula,,,439.93,24872.68,60
CPT,33964,Ecmo/ecls repos perph cnula,,,435.0,24872.68,60
CPT,33965,Ecmo/ecls rmvl perph cannula,,,173.41,24872.68,60
CPT,33966,Ecmo/ecls rmvl prph cannula,,,208.09,24872.68,60
CPT,33967,Insert i-aort percut device,,,245.37,24872.68,61
CPT,33967,Perc Insertion Intraaortic Bal,6396.3,6396.3,946.65,5117.04,23
CPT,33968,Remove Intra-Aortic Balloon,6173.2,6173.2,913.63,4938.56,23
CPT,33968,Remove aortic assist device,,,32.95,24872.68,61
CPT,33969,Ecmo/ecls rmvl perph cannula,,,255.51,24872.68,60
CPT,33970,Aortic circulation assist,,,54.57,24872.68,60
CPT,33971,Aortic circulation assist,,,496.75,24872.68,60
CPT,33973,Insert balloon device,,,77.31,24872.68,60
CPT,33974,Remove intra-aortic balloon,,,681.95,24872.68,60
CPT,33975,Implant ventricular device,,,202.23,24872.68,60
CPT,33976,Implant ventricular device,,,243.57,24872.68,60
CPT,33977,Remove ventricular device,,,174.45,24872.68,60
CPT,33978,Remove ventricular device,,,200.22,24872.68,60
CPT,33979,Insert intracorporeal device,,,300.35,24872.68,60
CPT,33980,Remove intracorporeal device,,,275.54,24872.68,54
CPT,33981,Replace vad pump ext,,,116.61,24872.68,60
CPT,33982,Replace vad intra w/o bp,,,300.07,24872.68,54
CPT,33983,Replace vad intra w/bp,,,352.95,24872.68,54
CPT,33984,Ecmo/ecls rmvl prph cannula,,,250.5,24872.68,60
CPT,33985,Ecmo/ecls rmvl ctr cannula,,,481.18,24872.68,60
CPT,33986,Ecmo/ecls rmvl ctr cannula,,,456.78,24872.68,60
CPT,33987,Artery expos/graft artery,,,183.18,24872.68,60
CPT,33988,Insertion of left heart vent,,,681.16,24872.68,60
CPT,33989,Removal of left heart vent,,,433.1,24872.68,60
CPT,33990,Insert Left Heart Vad Arterial,20346.0,20346.0,3011.21,16276.8,23
CPT,33990,Insj perq vad l hrt arterial,,,55.63,24872.68,60
CPT,33991,Insj perq vad l hrt artl&ven,,,70.03,24872.68,60
CPT,33992,Removal Left Heart Vad,10046.4,10046.4,1486.87,8037.12,23
CPT,33992,Rmvl perq left heart vad,,,28.25,24872.68,60
CPT,33993,Reposg perq r/l hrt vad,,,24.81,24872.68,60
CPT,33995,Insj Perq Vad W/Rs&I R Heart Venous Access Only,20346.0,20346.0,3011.21,16276.8,23
CPT,33995,Insj perq vad r hrt venous,,,46.36,24872.68,60
CPT,33997,Removal Perq R Heart Vad Venous Cannula Sep Insj,8736.0,8736.0,1292.93,6988.8,23
CPT,33997,Rmvl perq right heart vad,,,20.61,24872.68,60
CPT,33999,Insertion of Impella Device - Rp,20058.0,20058.0,2968.58,16046.4,23
CPT,33999,Unlisted px cardiac surgery,,,615.15,2026.0,21
CPT,34001,Removal of artery clot,,,115.44,24872.68,132
CPT,34051,Removal of artery clot,,,129.31,24872.68,132
CPT,34101,Removal of artery clot,,,91.36,9950.14,135
CPT,34111,Removal of arm artery clot,,,76.52,9950.14,132
CPT,34151,Removal of artery clot,,,146.96,24872.68,132
CPT,34201,Removal of artery clot,,,88.79,9950.14,132
CPT,34203,Removal of leg artery clot,,,108.26,9950.14,132
CPT,34401,Removal of vein clot,,,108.71,24872.68,132
CPT,34421,Removal of vein clot,,,89.03,6850.0,132
CPT,34451,Removal of vein clot,,,127.52,24872.68,132
CPT,34471,Removal of vein clot,,,409.53,4275.0,96
CPT,34490,Removal of vein clot,,,396.59,6850.0,96
CPT,34501,Repair valve femoral vein,,,103.92,9950.14,132
CPT,34502,Reconstruct vena cava,,,233.2,24872.68,96
CPT,34510,Transposition of vein valve,,,126.59,9950.14,132
CPT,34520,Cross-over vein graft,,,122.93,9950.14,132
CPT,34530,Leg vein fusion,,,146.4,6850.0,132
CPT,34701,Evasc rpr a-ao ndgft,,,175.92,24872.68,133
CPT,34702,Evasc rpr a-ao ndgft rpt,,,262.77,24872.68,133
CPT,34703,Evasc rpr a-unilac ndgft,,,198.42,24872.68,133
CPT,34704,Evasc rpr a-unilac ndgft rpt,,,329.97,24872.68,133
CPT,34705,Evac rpr a-biiliac ndgft,,,218.43,24872.68,133
CPT,34706,Evasc rpr a-biiliac rpt,,,328.8,24872.68,133
CPT,34707,Evasc rpr ilio-iliac ndgft,,,164.07,24872.68,169
CPT,34708,Evasc rpr ilio-iliac rpt,,,264.06,24872.68,169
CPT,34709,Plmt xtn prosth evasc rpr,,,46.24,24872.68,97
CPT,34710,Dlyd plmt xtn prosth 1st vsl,,,114.49,24872.68,133
CPT,34711,Dlyd plmt xtn prosth ea addl,,,42.7,24872.68,97
CPT,34712,Tcat dlvr enhncd fixj dev,,,97.7,24872.68,133
CPT,34713,Perq access & clsr fem art,,,18.42,2438.0,115
CPT,34714,Opn fem art expos cndt crtj,,,38.64,2438.0,115
CPT,34715,Opn ax/subcla art expos,,,43.16,2438.0,115
CPT,34716,Opn ax/subcla art expos cndt,,,53.59,2438.0,115
CPT,34717,Evasc rpr a-iliac ndgft,,,63.19,24872.68,97
CPT,34718,Evasc rpr n/a a-iliac ndgft,,,176.18,24872.68,133
CPT,34808,Endovas iliac a device addon,,,31.24,24872.68,84
CPT,34812,Opn fem art expos,,,31.77,24872.68,132
CPT,34813,Femoral endovas graft add-on,,,36.21,24872.68,96
CPT,34820,Opn iliac art expos,,,52.1,24872.68,132
CPT,34830,Open aortic tube prosth repr,,,273.19,24872.68,132
CPT,34831,Open aortoiliac prosth repr,,,299.66,24872.68,132
CPT,34832,Open aortofemor prosth repr,,,293.78,24872.68,132
CPT,34833,Opn ilac art expos cndt crtj,,,60.72,24872.68,133
CPT,34834,Opn brach art expos,,,19.93,24872.68,133
CPT,34839,Plnning pt spec fenest graft,,,3933.13,4275.0,3
CPT,34841,Endovasc visc aorta 1 graft,,,178.74,24872.68,84
CPT,34842,Endovasc visc aorta 2 graft,,,194.74,24872.68,84
CPT,34843,Endovasc visc aorta 3 graft,,,210.74,24872.68,84
CPT,34844,Endovasc visc aorta 4 graft,,,226.74,24872.68,84
CPT,34845,Visc & infraren abd 1 prosth,,,178.74,24872.68,84
CPT,34846,Visc & infraren abd 2 prosth,,,194.74,24872.68,84
CPT,34847,Visc & infraren abd 3 prosth,,,210.74,24872.68,84
CPT,34848,Visc & infraren abd 4+ prost,,,226.74,24872.68,84
CPT,34900,Endovasc iliac repr w/graft,,,5595.0,5595.0,1
CPT,35001,Repair defect of artery,,,171.92,24872.68,132
CPT,35002,Repair artery rupture neck,,,176.41,24872.68,132
CPT,35005,Repair defect of artery,,,144.62,24872.68,132
CPT,35011,Repair defect of artery,,,115.19,9950.14,132
CPT,35013,Repair artery rupture arm,,,157.14,24872.68,132
CPT,35021,Repair defect of artery,,,186.81,24872.68,132
CPT,35022,Repair artery rupture chest,,,192.32,24872.68,132
CPT,35045,Repair defect of arm artery,,,113.85,9950.14,132
CPT,35081,Repair defect of artery,,,248.24,24872.68,96
CPT,35082,Repair artery rupture aorta,,,303.35,24872.68,96
CPT,35091,Repair defect of artery,,,275.62,24872.68,132
CPT,35092,Repair artery rupture aorta,,,327.53,24872.68,132
CPT,35102,Repair defect of artery,,,267.56,24872.68,132
CPT,35103,Repair artery rupture aorta,,,295.24,24872.68,132
CPT,35111,Repair defect of artery,,,159.86,24872.68,96
CPT,35112,Repair artery rupture spleen,,,153.98,24872.68,132
CPT,35121,Repair defect of artery,,,228.2,24872.68,132
CPT,35122,Repair artery rupture belly,,,271.38,24872.68,132
CPT,35131,Repair defect of artery,,,170.69,24872.68,132
CPT,35132,Repair artery rupture groin,,,198.87,24872.68,132
CPT,35141,Repair defect of artery,,,140.69,24872.68,132
CPT,35142,Repair artery rupture thigh,,,153.03,24872.68,132
CPT,35151,Repair defect of artery,,,158.83,24872.68,132
CPT,35152,Repair ruptd popliteal art,,,140.11,24872.68,132
CPT,35161,REPAIR DEFECT OF ARTERY,,,1082.06,1082.06,6
CPT,35162,REPAIR ARTERY RUPTURE,,,1166.54,1166.54,6
CPT,35180,Rpr cgen av fistula head&nck,,,113.71,4275.0,96
CPT,35182,Rpr cgen av fistula thrx&abd,,,153.38,24872.68,96
CPT,35184,Rpr cgen av fistula xtr,,,111.43,6850.0,96
CPT,35188,Rpr acq av fistula head&neck,,,119.4,9950.14,99
CPT,35189,Rpr acq av fistula thrx&abd,,,157.39,24872.68,96
CPT,35190,Repair acq av fistula xtr,,,116.21,9950.14,96
CPT,35201,Repair blood vessel dir neck,,,97.42,9950.14,133
CPT,35206,Repair Blood Vessel Lesion,12590.0,12590.0,1863.32,10072.0,23
CPT,35206,Repair blood vessel dir uxtr,,,95.54,6850.0,133
CPT,35207,Rpr bld vsl dir hand finger,,,562.6,6850.0,99
CPT,35211,Rpr blvsl dir ntrathrc w/byp,,,209.33,24872.68,132
CPT,35216,Rpr blvsl dir ntrthrc wo byp,,,170.6,24872.68,132
CPT,35221,Rpr bld vsl dir intra-abdl,,,141.82,24872.68,132
CPT,35226,Repair blood vessel dir lxtr,,,96.25,4275.0,133
CPT,35226,Repair of Blood Vessel Direct Lower Extremity,3642.05,3642.05,539.02,2913.64,23
CPT,35231,Repair blvsl vn grf neck,,,120.46,6850.0,133
CPT,35236,Repair blvsl vn grf uxtr,,,108.42,9950.14,133
CPT,35241,Rpr blvsl vn grf ntrthrc w/b,,,220.09,24872.68,132
CPT,35246,Rpr blvsl vn grf ntrthrc w/o,,,194.47,24872.68,132
CPT,35251,Rpr blvsl vn grf intra-abdl,,,143.6,24872.68,132
CPT,35256,Repair blvsl vn grf lxtr,,,116.35,9950.14,133
CPT,35261,Rpr blvsl grf oth/thn vn nck,,,115.33,6850.0,133
CPT,35266,Rpr blvsl grf oth/th vn uxtr,,,105.37,9950.14,133
CPT,35271,Rpr blvs gr ot/th vn ntrth w,,,207.06,24872.68,132
CPT,35276,Rpr blvs gr ot/t vn ntrth wo,,,175.92,24872.68,132
CPT,35281,Rpr blvsl gr ot/th vn ntr-ab,,,159.64,24872.68,132
CPT,35286,Rpr blvsl grf oth/th vn lxtr,,,118.48,9950.14,133
CPT,35301,Rechanneling of artery,,,169.61,24872.68,132
CPT,35302,Rechanneling of artery,,,145.92,24872.68,132
CPT,35303,Rechanneling of artery,,,160.27,24872.68,132
CPT,35304,Rechanneling of artery,,,166.72,24872.68,132
CPT,35305,Rechanneling of artery,,,160.27,24872.68,132
CPT,35306,Rechanneling of artery,,,59.81,24872.68,60
CPT,35311,Rechanneling of artery,,,228.33,24872.68,132
CPT,35321,Rechanneling of artery,,,117.89,9950.14,133
CPT,35331,Rechanneling of artery,,,196.49,24872.68,132
CPT,35341,Rechanneling of artery,,,213.06,24872.68,132
CPT,35351,Rechanneling of artery,,,177.45,24872.68,132
CPT,35355,Rechanneling of artery,,,152.67,24872.68,132
CPT,35361,Rechanneling of artery,,,212.28,24872.68,132
CPT,35363,Rechanneling of artery,,,229.22,24872.68,132
CPT,35371,Rechanneling of artery,,,115.03,24872.68,132
CPT,35372,Rechanneling of artery,,,123.85,24872.68,133
CPT,35390,Reoperation carotid add-on,,,24.63,24872.68,60
CPT,35400,Angioscopy,,,139.15,24872.68,60
CPT,35458,Repair arterial blockage,,,5595.0,5595.0,1
CPT,35460,Repair venous blockage,,,5595.0,5595.0,1
CPT,35471,Repair arterial blockage,,,5595.0,5595.0,1
CPT,35472,Repair arterial blockage,,,5595.0,5595.0,1
CPT,35475,Repair arterial blockage,,,5595.0,5595.0,1
CPT,35476,Repair venous blockage,,,5595.0,5595.0,1
CPT,35500,Harvest vein for bypass,,,49.1,1750.0,37
CPT,35501,Art byp grft ipsilat carotid,,,179.19,24872.68,132
CPT,35506,Art byp grft subclav-carotid,,,187.47,24872.68,132
CPT,35508,Art byp grft carotid-vertbrl,,,178.69,24872.68,132
CPT,35509,Art byp grft contral carotid,,,174.75,24872.68,132
CPT,35510,Art byp grft carotid-brchial,,,181.41,24872.68,132
CPT,35511,Art byp grft subclav-subclav,,,143.17,24872.68,132
CPT,35512,Art byp grft subclav-brchial,,,177.95,24872.68,132
CPT,35515,Art byp grft subclav-vertbrl,,,158.04,24872.68,132
CPT,35516,Art byp grft subclav-axilary,,,158.98,24872.68,132
CPT,35518,Art byp grft axillary-axilry,,,150.19,24872.68,132
CPT,35521,Art byp grft axill-femoral,,,159.26,24872.68,132
CPT,35522,Art byp grft axill-brachial,,,172.8,24872.68,132
CPT,35523,Art byp grft brchl-ulnr-rdl,,,151.89,24872.68,132
CPT,35525,Art byp grft brachial-brchl,,,164.96,24872.68,132
CPT,35526,Art byp grft aor/carot/innom,,,174.12,24872.68,132
CPT,35531,Art byp grft aorcel/aormesen,,,228.28,24872.68,132
CPT,35533,Art byp grft axill/fem/fem,,,196.23,24872.68,132
CPT,35535,Art byp grft hepatorenal,,,275.9,24872.68,132
CPT,35536,Art byp grft splenorenal,,,215.56,24872.68,132
CPT,35537,Art byp grft aortoiliac,,,281.6,24872.68,96
CPT,35538,Art byp grft aortobi-iliac,,,314.49,24872.68,96
CPT,35539,Art byp grft aortofemoral,,,295.57,24872.68,132
CPT,35540,Art byp grft aortbifemoral,,,1729.32,24872.68,96
CPT,35556,Art byp grft fem-popliteal,,,199.22,24872.68,132
CPT,35558,Art byp grft fem-femoral,,,139.46,24872.68,132
CPT,35560,Art byp grft aortorenal,,,216.8,24872.68,132
CPT,35563,Art byp grft ilioiliac,,,127.12,24872.68,132
CPT,35565,Art byp grft iliofemoral,,,150.01,24872.68,132
CPT,35566,Art byp fem-ant-post tib/prl,,,246.74,24872.68,132
CPT,35570,Art byp tibial-tib/peroneal,,,213.13,24872.68,132
CPT,35571,Art byp pop-tibl-prl-other,,,184.37,24872.68,132
CPT,35572,Harvest femoropopliteal vein,,,50.68,1750.0,43
CPT,35582,VEIN BYPASS GRAFT,,,1545.66,1545.66,6
CPT,35583,Vein byp grft fem-popliteal,,,210.54,24872.68,132
CPT,35585,Vein byp fem-tibial peroneal,,,258.18,24872.68,132
CPT,35587,Vein byp pop-tibl peroneal,,,194.35,24872.68,132
CPT,35600,Open hrv uxtr art 1 sgm cab,,,28.75,24872.68,60
CPT,35601,Art byp common ipsi carotid,,,170.91,24872.68,132
CPT,35606,Art byp carotid-subclavian,,,175.82,24872.68,132
CPT,35612,Art byp subclav-subclavian,,,154.23,24872.68,132
CPT,35616,Art byp subclav-axillary,,,153.82,24872.68,132
CPT,35621,Art byp axillary-femoral,,,144.62,24872.68,132
CPT,35623,Art byp axillary-pop-tibial,,,135.87,24872.68,132
CPT,35626,Art byp aorsubcl/carot/innom,,,219.4,24872.68,132
CPT,35631,Art byp aor-celiac-msn-renal,,,215.72,24872.68,132
CPT,35632,Art byp ilio-celiac,,,261.96,24872.68,132
CPT,35633,Art byp ilio-mesenteric,,,282.87,24872.68,132
CPT,35634,Art byp iliorenal,,,256.38,24872.68,132
CPT,35636,Art byp spenorenal,,,188.71,24872.68,132
CPT,35637,Art byp aortoiliac,,,224.36,24872.68,96
CPT,35638,Art byp aortobi-iliac,,,227.91,24872.68,96
CPT,35642,Art byp carotid-vertebral,,,147.87,24872.68,132
CPT,35645,Art byp subclav-vertebrl,,,147.16,24872.68,132
CPT,35646,Art byp aortobifemoral,,,240.44,24872.68,96
CPT,35647,Art byp aortofemoral,,,237.53,24872.68,114
CPT,35650,Art byp axillary-axillary,,,141.38,24872.68,132
CPT,35654,Art byp axill-fem-femoral,,,183.3,24872.68,96
CPT,35656,Art byp femoral-popliteal,,,165.75,24872.68,132
CPT,35661,Art byp femoral-femoral,,,131.0,24872.68,132
CPT,35663,Art byp ilioiliac,,,141.5,24872.68,132
CPT,35665,Art byp iliofemoral,,,152.41,24872.68,132
CPT,35666,Art byp fem-ant-post tib/prl,,,192.88,24872.68,132
CPT,35671,Art byp pop-tibl-prl-other,,,150.48,24872.68,132
CPT,35681,Composite byp grft pros&vein,,,12.26,24872.68,60
CPT,35682,Composite byp grft 2 veins,,,339.48,24872.68,60
CPT,35683,Composite byp grft 3/> segmt,,,395.79,24872.68,60
CPT,35685,Bypass graft patency/patch,,,30.62,1750.0,37
CPT,35686,Bypass graft/av fist patency,,,24.86,1750.0,37
CPT,35691,Art trnsposj vertbrl carotid,,,146.95,24872.68,132
CPT,35693,Art trnsposj subclavian,,,129.92,24872.68,132
CPT,35694,Art trnsposj subclav carotid,,,153.57,24872.68,132
CPT,35695,Art trnsposj carotid subclav,,,153.91,24872.68,132
CPT,35697,Reimplant artery each,,,22.63,24872.68,96
CPT,35700,Reoperation bypass graft,,,23.42,24872.68,60
CPT,35701,Expl n/flwd surg neck art,,,56.5,24872.68,132
CPT,35702,Expl n/flwd surg uxtr art,,,58.1,24872.68,133
CPT,35703,Expl n/flwd surg lxtr art,,,58.98,24872.68,133
CPT,35761,Exploration of artery/vein,,,3725.0,3725.0,1
CPT,35800,Explore neck vessels,,,64.73,24872.68,97
CPT,35820,Explore chest vessels,,,108.31,24872.68,96
CPT,35840,Explore abdominal vessels,,,88.08,24872.68,96
CPT,35860,Explore limb vessels,,,56.8,6850.0,97
CPT,35870,Repair vessel graft defect,,,180.32,24872.68,96
CPT,35875,Removal of clot in graft,,,480.47,9950.14,63
CPT,35876,Removal of clot in graft,,,140.41,9950.14,99
CPT,35879,Revise graft w/vein,,,132.48,9950.14,132
CPT,35881,Revise graft w/vein,,,145.18,9950.14,132
CPT,35883,Revj fem anast nonautog grf,,,184.73,9950.14,117
CPT,35884,Revj fem anast autog vn grf,,,192.11,9950.14,117
CPT,35901,Excision graft neck,,,74.44,24872.68,96
CPT,35903,Excision graft extremity,,,87.38,6850.0,96
CPT,35905,Excision graft thorax,,,153.12,24872.68,96
CPT,35907,Excision graft abdomen,,,152.0,24872.68,96
CPT,36000,Place needle in vein,,,8.47,1750.0,14
CPT,36002,Pseudoaneurysm Tx Injection (Thrombin),2282.75,2282.75,337.85,1826.2,23
CPT,36002,Pseudoaneurysm injection trt,,,150.63,4275.0,57
CPT,36005,Injection Contrast Venography,2888.8,2888.8,427.54,2311.04,23
CPT,36005,Injection ext venography,,,43.6,2438.0,45
CPT,36010,"Intro Cath, Sup/Inf Vena Cava",8722.75,8722.75,1290.97,6978.2,23
CPT,36010,Place catheter in vein,,,155.66,2438.0,44
CPT,36011,Place catheter in vein,,,225.32,2438.0,44
CPT,36011,Select Cath Venous 1st Order,3186.65,3186.65,471.62,2549.32,23
CPT,36012,Place catheter in vein,,,252.98,2438.0,44
CPT,36012,Select Cath Venous 2nd Order,16258.0,16258.0,2406.18,13006.4,23
CPT,36013,Place catheter in artery,,,121.05,2438.0,44
CPT,36014,Bilateral Select Cath Lt/Rt Pulm Artery,4083.0,4083.0,604.28,3266.4,23
CPT,36014,Place catheter in artery,,,219.36,2438.0,44
CPT,36014,Select Cath Lt/Rt Pulm Artery,2722.0,2722.0,402.86,2177.6,23
CPT,36015,Place catheter in artery,,,248.82,2438.0,44
CPT,36015,Select Cath Segmental Pulm Art,4234.0,4234.0,626.63,3387.2,23
CPT,36100,Establish access to artery,,,221.54,2438.0,44
CPT,36120,Establish access to artery,,,5595.0,5595.0,1
CPT,36140,Intro Needle Extremity Artery,3296.0,3296.0,487.81,2636.8,23
CPT,36140,Intro ndl icath upr/lxtr art,,,85.54,2438.0,44
CPT,36145,Artery to vein shunt,,,113.38,113.38,6
CPT,36147,Access av dial grft for eval,,,5595.0,5595.0,1
CPT,36148,Access av dial grft for proc,,,5595.0,5595.0,1
CPT,36160,Establish access to aorta,,,118.15,2891.0,44
CPT,36200,Intro Catheter Aorta,4801.0,4801.0,710.55,3840.8,23
CPT,36200,Place catheter in aorta,,,202.74,2891.0,44
CPT,36215,Place catheter in artery,,,205.6,2891.0,44
CPT,36215,Selct Art 1st Ord Thor/Brach,8252.4,8252.4,1221.36,6601.92,23
CPT,36216,Place catheter in artery,,,254.02,2891.0,44
CPT,36216,Selct Art 2nd Ord Thor/Brach,7279.5,7279.5,1077.37,5823.6,23
CPT,36217,Place catheter in artery,,,306.05,2891.0,44
CPT,36217,Selct Art 3rd Ord Thor/Brach,6971.0,6971.0,1031.71,5576.8,23
CPT,36218,Place catheter in artery,,,49.61,2891.0,44
CPT,36218,Selct Art Add'l 2nd/3rd Th/Br,1886.0,1886.0,279.13,1508.8,23
CPT,36221,Non Sel Cath Plac Aort W Angio Inc S/I,17553.0,17553.0,2597.84,14042.4,23
CPT,36221,Place cath thoracic aorta,,,183.65,6850.0,62
CPT,36222,Bilateral Sel Cath Plac Ext Carotid Angio W S&I,16752.0,16752.0,2479.3,13401.6,23
CPT,36222,Place cath carotid/inom art,,,248.62,6850.0,62
CPT,36222,Sel Cath Plac Ext Carotid Angio W S&I,15168.5,15168.5,2244.94,12134.8,23
CPT,36223,Bilateral Sel Cath Plac Common/Inom Intracranial Carotid,32264.4,32264.4,4775.13,25811.52,23
CPT,36223,Place cath carotid/inom art,,,268.76,9950.14,62
CPT,36223,Sel Cath Plac Common/Inom Intracranial Carotid,22966.65,22966.65,3399.06,18373.32,23
CPT,36224,IR Sel Cath Plac Internal Carotid Intracranial Carotid Bilateral,34457.45,34457.45,5099.7,27565.96,23
CPT,36224,Place cath carotd art,,,292.75,9950.14,62
CPT,36224,Sel Cath Plac Internal Intracranial Carotid Unilateral,23918.85,23918.85,3539.99,19135.08,23
CPT,36225,"Bil Sel Cath Plac Sub Clav,/Innom Uni W/Angio and S/I",21915.25,21915.25,3243.46,17532.2,23
CPT,36225,Place cath subclavian art,,,267.61,6850.0,62
CPT,36225,"Sel Cath Plac Sub Clav,/Innom Uni W/Angio and S/I",17063.7,17063.7,2525.43,13650.96,23
CPT,36226,"Bilateral Sel Cath Plac Sub Clav,/Vert W/Angio and S/I",90381.0,90381.0,13376.39,72304.8,23
CPT,36226,Place cath vertebral art,,,293.34,9950.14,62
CPT,36226,"Sel Cath Plac Sub Clav,/Vert W/Angio and S/I",60254.0,60254.0,8917.59,48203.2,23
CPT,36227,Bil Sel Cath Plac Ext Carotid Angio W S&I,30987.0,30987.0,4586.08,24789.6,23
CPT,36227,Place cath xtrnl carotid,,,92.71,2438.0,45
CPT,36227,Sel Cath Plac Ext Carotid Angio W S&I,23756.7,23756.7,3515.99,19005.36,23
CPT,36228,Place cath intracranial art,,,188.89,3006.58,45
CPT,36228,Sel Cath Plc Intracrn Brnch Ic/Vert Art W/Angio,54877.0,54877.0,8121.8,43901.6,23
CPT,36245,Ins cath abd/l-ext art 1st,,,341.19,2891.0,44
CPT,36245,Selct Art 1st Ord Abd/Pelv/Le,5736.2,5736.2,848.96,4588.96,23
CPT,36246,Ins cath abd/l-ext art 2nd,,,364.22,2891.0,44
CPT,36246,Selct Art 2nd Ord Abd/Pelv/Le,8822.8,8822.8,1305.77,7058.24,23
CPT,36247,Ins cath abd/l-ext art 3rd,,,428.51,3145.34,44
CPT,36247,Selct Art 3rd Ord Abd/Pelv/Le,8492.75,8492.75,1256.93,6794.2,23
CPT,36248,Ins cath abd/l-ext art addl,,,46.44,2891.0,44
CPT,36248,"Selct Art, Addt'l, Abd/Pelv/Le",4664.4,4664.4,690.33,3731.52,23
CPT,36251,Ins cath ren art 1st unilat,,,238.82,6850.0,62
CPT,36251,Sel Cath Plmt Renal 1st Ord Uni,17981.0,17981.0,2661.19,14384.8,23
CPT,36252,Ins cath ren art 1st bilat,,,311.03,6850.0,62
CPT,36252,Sel Cath Plmt Renal 1st Ord Bil,19601.75,19601.75,2901.06,15681.4,23
CPT,36253,Ins cath ren art 2nd+ unilat,,,332.25,9950.14,62
CPT,36253,Supslctv Cath 2nd+Ord Renal&Acc Artery/S&I,16105.75,16105.75,2383.65,12884.6,23
CPT,36254,Ins cath ren art 2nd+ bilat,,,358.43,6850.0,62
CPT,36254,Sprsel Cath Pl Rena 1st Ord Bil,12894.0,12894.0,1908.31,10315.2,23
CPT,36260,Insertion of infusion pump,,,449.32,9950.14,63
CPT,36261,Revision of infusion pump,,,44.2,6850.0,99
CPT,36262,Removal of infusion pump,,,177.62,6850.0,63
CPT,36299,Inject Vascular Unlstd Proc,9509.0,9509.0,1407.33,7607.2,23
CPT,36299,Unlisted px vascular njx,,,1178.0,1750.0,6
CPT,36400,Vnpnxr<3yrs phy/qhp fem/jug,,,7.81,42.58,38
CPT,36405,Vnpnxr<3yrs phy/qhp scalp vn,,,10.71,36.82,38
CPT,36406,Vnpnxr<3yrs phy/qhp other vn,,,8.15,27.44,38
CPT,36410,Mid Line Insertion,6447.0,6447.0,954.16,5157.6,23
CPT,36410,Vnpnxr 3yr/> phy/qhp dx/ther,,,8.47,28.03,38
CPT,36415,Coll venous bld venipuncture,,,3.6,16.82,54
CPT,36415,Venipuncture,47.0,47.0,6.96,37.6,23
CPT,36416,Collj capillary blood spec,,,3.47,3.47,5
CPT,36420,Venipuncture cutdown < 1 yr,,,46.14,4275.0,63
CPT,36425,Venipuncture cutdown 1 yr/>,,,29.95,4275.0,64
CPT,36430,Transfusion bld/bld compnt,,,26.15,4275.0,64
CPT,36430,"Transfusion, Blood",3136.05,3136.05,464.14,2508.84,23
CPT,36440,Bld push tfuj 2 yr/<,,,47.44,4275.0,63
CPT,36450,Bld exchange truj newborn,,,101.53,4275.0,64
CPT,36455,Bld exchange truj oth thn nb,,,122.42,4275.0,63
CPT,36456,Prtl exchange transfuse nb,,,93.39,4275.0,63
CPT,36460,Intrauterine transfusion ftl,,,53.64,4275.0,63
CPT,36465,Njx noncmpnd sclrsnt 1 vein,,,106.52,9641.0,64
CPT,36466,Njx Noncmpnd Sclerosant Multiple Incmptnt Veins,6675.75,6675.75,988.01,5340.6,23
CPT,36466,Njx noncmpnd sclrsnt mlt vn,,,135.43,9641.0,64
CPT,36468,"Injection(S), Spider Vein",2041.25,2041.25,302.1,1633.0,23
CPT,36468,Njx sclrsnt spider veins,,,50.0,4275.0,27
CPT,36470,Injection Therapy of Vein,2041.25,2041.25,302.1,1633.0,23
CPT,36470,Njx sclrsnt 1 incmptnt vein,,,50.0,4275.0,63
CPT,36471,"Injection of Sclerosing Solution; Multiple Veins, Same Leg",2711.7,2711.7,401.33,2169.36,23
CPT,36471,Njx sclrsnt mlt incmptnt vn,,,50.0,4275.0,63
CPT,36473,Endoven Abltj Incmptnt Vein Mchnchem 1st Vein,11487.0,11487.0,1700.08,9189.6,23
CPT,36473,Endovenous mchnchem 1st vein,,,50.0,6850.0,63
CPT,36474,Endoven Abltj Incmptnt Vein Mchn Sbsq Veins-Add On,3320.0,3320.0,491.36,2656.0,23
CPT,36474,Endovenous mchnchem add-on,,,130.25,2438.0,44
CPT,36475,"Endovenous Rf, 1st Vein",11653.0,11653.0,1724.64,9322.4,23
CPT,36475,Endovenous rf 1st vein,,,402.81,9641.0,63
CPT,36476,"Endovenous Rf, Vein Add On",6433.0,6433.0,952.08,5146.4,23
CPT,36476,Endovenous rf vein add-on,,,154.15,2438.0,45
CPT,36478,"Endovenous Laser, 1st Vein",11467.0,11467.0,1697.12,9173.6,23
CPT,36478,Endovenous laser 1st vein,,,315.92,9641.0,64
CPT,36479,Endovenous Laser Vein Add-On,6839.0,6839.0,1012.17,5471.2,23
CPT,36479,Endovenous laser vein addon,,,154.15,2438.0,45
CPT,36481,Insertion of catheter vein,,,310.68,2561.57,44
CPT,36481,Percut Portal Vein Cath,6395.0,6395.0,946.46,5116.0,23
CPT,36482,Endoven ther chem adhes 1st,,,157.9,9950.14,62
CPT,36483,Endoven ther chem adhes sbsq,,,78.77,2438.0,44
CPT,36488,INSERTION OF CATHETER-VEIN,,,69.04,69.04,6
CPT,36489,INSERTION OF CATHETER-VEIN,,,65.69,115.67,7
CPT,36490,INSERTION OF CATHETER-VEIN,,,88.91,88.91,6
CPT,36491,INSERTION OF CATHETER-VEIN,,,83.34,83.34,6
CPT,36493,REPOSITIONING OF CVC,,,56.16,56.16,6
CPT,36500,Insertion of catheter vein,,,128.2,2438.0,45
CPT,36500,Venous Cath Selct Org Bld Samp,1821.0,1821.0,269.51,1456.8,23
CPT,36510,Insertion of catheter vein,,,45.33,1750.0,44
CPT,36511,Apheresis wbc,,,79.34,5612.5,61
CPT,36511,Leukopheresis,7902.0,7902.0,1169.5,6321.6,23
CPT,36512,Apheresis rbc,,,79.34,5612.5,61
CPT,36512,Therapeutic Apheresis Red Blood Cells,11430.0,11430.0,1691.64,9144.0,23
CPT,36513,Apheresis platelets,,,79.34,4275.0,61
CPT,36513,Plateletpheresis,8063.0,8063.0,1193.32,6450.4,46
CPT,36514,Apheresis plasma,,,79.34,5612.5,61
CPT,36514,Plasmapheresis,9881.0,9881.0,1462.39,7904.8,23
CPT,36515,Apheresis adsorp/reinfuse,,,79.34,5595.0,7
CPT,36516,Apheresis immunoads slctv,,,79.34,8623.88,61
CPT,36522,Photopheresis,,,93.04,8623.88,62
CPT,36530,INSERTION OF INFUSION PUMP,,,351.91,351.91,6
CPT,36532,REMOVAL OF INFUSION PUMP,,,169.01,169.01,6
CPT,36533,INSERTION OF ACCESS PORT,,,320.59,320.59,6
CPT,36534,REVISION OF ACCESS PORT,,,168.44,168.44,6
CPT,36535,REMOVAL OF ACCESS PORT,,,152.54,152.54,6
CPT,36536,REMOVE CVA DEVICE OBSTRUCT,,,1225.43,1225.43,6
CPT,36537,REMOVE CVA LUMEN OBSTRUCT,,,278.23,278.23,6
CPT,36555,Ins Non-Tun Cvc <5 Spv,6197.0,6197.0,917.16,4957.6,23
CPT,36555,Insert non-tunnel cv cath,,,81.17,5793.52,64
CPT,36556,Central Line Placement,13815.0,13815.0,2044.62,11052.0,23
CPT,36556,Insert non-tunnel cv cath,,,81.4,5793.52,64
CPT,36557,Insert tunneled cv cath,,,254.39,9950.14,100
CPT,36558,Ins Tun Cvc W/O Port >5 Spv,12423.0,12423.0,1838.6,9938.4,23
CPT,36558,Insert tunneled cv cath,,,200.63,6850.0,100
CPT,36560,Insert tunneled cv cath,,,303.71,6850.0,100
CPT,36561,Ins Tun Cvc W/Port >5 Spv,23715.0,23715.0,3509.82,18972.0,23
CPT,36561,Insert tunneled cv cath,,,257.43,6850.0,100
CPT,36563,Insert tunneled cv cath,,,283.73,9950.14,64
CPT,36565,Insert Tunneled Cv Cath,14002.0,14002.0,2072.3,11201.6,23
CPT,36565,Insert tunneled cv cath,,,263.46,6850.0,100
CPT,36566,Insert Tunneled Cv Cath W/Port,9620.0,9620.0,1423.76,7696.0,23
CPT,36566,Insert tunneled cv cath,,,277.47,9950.14,100
CPT,36568,Insertion of Picc Catheter,7593.0,7593.0,1123.76,6074.4,23
CPT,36568,Insj picc <5 yr w/o imaging,,,87.1,4275.0,64
CPT,36569,Insert Picc WO Port/Pump >5,7414.05,7414.05,1097.28,5931.24,23
CPT,36569,Insj picc 5 yr+ w/o imaging,,,81.75,5612.5,64
CPT,36570,Insert picvad cath,,,263.31,6850.0,100
CPT,36571,Ins Perh Cvc W/ Port >5 Spv,20364.0,20364.0,3013.87,16291.2,23
CPT,36571,Insert picvad cath,,,244.38,6850.0,100
CPT,36572,Insj picc rs&i <5 yr,,,78.51,4275.0,64
CPT,36573,Ins Picc W/ Imaging 5 Yr+,7149.74,7149.74,1058.16,5719.79,23
CPT,36573,Insj picc rs&i 5 yr+,,,75.17,6919.0,64
CPT,36575,Repair Tun/N-Tun Cvc WO Pt Spv,3201.6,3201.6,473.84,2561.28,23
CPT,36575,Repair tunneled cv cath,,,32.29,4275.0,64
CPT,36576,Repair tunneled cv cath,,,142.45,5612.5,64
CPT,36578,Replace tunneled cv cath,,,156.93,6850.0,64
CPT,36580,Replace cvad cath,,,60.18,5612.5,64
CPT,36580,Replce Non-Tun Cvc WO Port Spv,6054.0,6054.0,895.99,4843.2,23
CPT,36581,Replace tunneled cv cath,,,141.54,6850.0,64
CPT,36581,Replce Tun Cvc W/O Port Spv,11393.05,11393.05,1686.17,9114.44,23
CPT,36582,Replace tunneled cv cath,,,222.98,6850.0,64
CPT,36582,Replce Tun Cvc W/ Port Spv,12249.18,12249.18,1812.88,9799.34,23
CPT,36583,Replace tunneled cv cath,,,260.7,9950.14,63
CPT,36584,Compl rplcmt picc rs&i,,,56.78,5612.5,63
CPT,36584,Replce Comp Picc W/O Port Spv,9481.0,9481.0,1403.19,7584.8,23
CPT,36585,Replace picvad cath,,,240.87,6850.0,63
CPT,36585,Replce Comp Picc W/Port Spv,9077.0,9077.0,1343.4,7261.6,23
CPT,36589,Removal Tun Cvc W/O Port Spv,4906.0,4906.0,726.09,3924.8,23
CPT,36589,Removal tunneled cv cath,,,106.07,4275.0,64
CPT,36590,Removal Tun Cvc W/Port Spv,6710.0,6710.0,993.08,5368.0,23
CPT,36590,Removal tunneled cv cath,,,147.81,4275.0,64
CPT,36591,Blood Draw Central Line,1775.0,1775.0,262.7,1420.0,23
CPT,36591,Draw blood off venous device,,,16.64,1473.0,59
CPT,36592,Collect blood from picc,,,20.59,1473.0,59
CPT,36593,Declot Vascular Access Device,2964.7,2964.7,438.78,2371.76,23
CPT,36593,Declot vascular device,,,27.68,4275.0,63
CPT,36595,Mech Removal Obstr Cvc Spv,10555.75,10555.75,1562.25,8444.6,23
CPT,36595,Mech remov tunneled cv cath,,,173.7,6850.0,63
CPT,36596,Mech remov tunneled cv cath,,,44.44,5612.5,63
CPT,36597,Reposit Cvc W/ Fluoro Guid Spv,4396.45,4396.45,650.67,3517.16,23
CPT,36597,Reposition venous catheter,,,54.97,5612.5,64
CPT,36598,"Inj W/Fluro, Eval Cv Device",2041.25,2041.25,302.1,1633.0,23
CPT,36598,Inj w/fluor eval cv device,,,50.81,4275.0,63
CPT,36600,Arterial Puncture,2041.25,2041.25,302.1,1633.0,23
CPT,36600,Withdrawal of arterial blood,,,14.31,5595.0,64
CPT,36620,Arterial Line Insert,3928.4,3928.4,581.4,3142.72,23
CPT,36620,Insertion catheter artery,,,42.04,2438.0,44
CPT,36625,Insertion catheter artery,,,94.19,1750.0,43
CPT,36640,Insertion catheter artery,,,113.43,6850.0,63
CPT,36660,Insertion Catheter Artery,731.4,731.4,108.25,585.12,23
CPT,36660,Insertion catheter artery,,,61.41,24872.68,60
CPT,36680,Insert needle bone cavity,,,50.0,4275.0,63
CPT,36680,Placement of a Needle for Intraosseous Infusion,2041.25,2041.25,302.1,1633.0,23
CPT,36800,Insertion of cannula,,,116.23,9950.14,63
CPT,36810,Insertion of cannula,,,185.76,6850.0,63
CPT,36815,Insertion of cannula,,,131.64,9950.14,63
CPT,36818,Av fuse uppr arm cephalic,,,102.16,9950.14,99
CPT,36819,Av fuse uppr arm basilic,,,111.24,9950.14,99
CPT,36820,Av fusion/forearm vein,,,113.16,9950.14,135
CPT,36821,Av Anastomosis Open/Direct Any Site,19504.0,19504.0,2886.59,15603.2,23
CPT,36821,Av fusion direct any site,,,82.39,6850.0,99
CPT,36823,Insertion of cannula(s),,,1168.89,24872.68,54
CPT,36825,Artery-vein autograft,,,99.24,9950.14,99
CPT,36830,Artery-vein nonautograft,,,103.49,9950.14,99
CPT,36831,Open thrombect av fistula,,,55.35,9950.14,99
CPT,36832,Av fistula revision open,,,92.41,9950.14,99
CPT,36833,Av fistula revision,,,88.7,9950.14,99
CPT,36834,Repair A-V aneurysm,,,542.53,542.53,6
CPT,36835,Insertion thomas shunt,,,324.42,6850.0,63
CPT,36836,Perq Av Fistula Creation Uxtr Single Access,31910.0,31910.0,4722.68,25528.0,23
CPT,36836,Prq av fstl crtj uxtr 1 acs,,,54.77,33052.5,62
CPT,36837,Prq av fstl crt uxtr sep acs,,,70.64,33052.5,62
CPT,36838,Dist revas ligation hemo,,,169.29,9950.14,133
CPT,36860,External cannula declotting,,,108.13,4275.0,64
CPT,36861,Cannula declotting,,,135.14,9950.14,63
CPT,36870,Percut thrombect av fistula,,,5595.0,5595.0,1
CPT,36901,Intro Cath Dialysis Circuit,5072.65,5072.65,750.75,4058.12,23
CPT,36901,Intro cath dialysis circuit,,,50.0,5612.5,64
CPT,36902,Intro Cath Dialysis Circuit; W Angio,28063.45,28063.45,4153.39,22450.76,23
CPT,36902,Intro cath dialysis circuit,,,190.85,11099.6,62
CPT,36903,Intro Cath Dialysis Circuit; W Trans Intra Stent,33726.05,33726.05,4991.46,26980.84,23
CPT,36903,Intro cath dialysis circuit,,,261.16,20874.31,62
CPT,36904,Thrmbc/Nfs Dialysis Circuit,17553.0,17553.0,2597.84,14042.4,23
CPT,36904,Thrmbc/nfs dialysis circuit,,,300.74,11099.6,62
CPT,36905,Thrmbc/Nfs Dialysis Circuit; W Angio,55310.4,55310.4,8185.94,44248.32,23
CPT,36905,Thrmbc/nfs dialysis circuit,,,377.44,20874.31,62
CPT,36906,Thrmbc/Nfs Dialysis Circuit; W Trans Intra Stent,42833.0,42833.0,6339.28,34266.4,23
CPT,36906,Thrmbc/nfs dialysis circuit,,,440.46,33052.5,62
CPT,36907,Balo Angiop Ctr Dialysis Seg,12647.7,12647.7,1871.86,10118.16,23
CPT,36907,Balo angiop ctr dialysis seg,,,141.0,2438.0,44
CPT,36908,Stent plmt ctr dialysis seg,,,164.68,2438.0,45
CPT,36908,Tcat Plmt IV Stent Ctr Dialysis Seg W/Img S&I,9784.0,9784.0,1448.03,7827.2,23
CPT,36909,Dialyis Circuit Vasc Emboli Occls Evasc Img S&I,9784.0,9784.0,1448.03,7827.2,23
CPT,36909,Dialysis circuit embolj,,,156.46,2747.09,45
CPT,37140,Revision of circulation,,,999.63,24872.68,60
CPT,37145,Revision of circulation,,,199.08,24872.68,96
CPT,37160,Revision of circulation,,,191.97,24872.68,96
CPT,37180,Revision of circulation,,,201.74,24872.68,96
CPT,37181,Splice spleen/kidney veins,,,219.3,24872.68,96
CPT,37182,Insert Hepatic Shunt (Tips),38202.0,38202.0,5653.9,30561.6,23
CPT,37182,Insert hepatic shunt (tips),,,777.24,24872.68,61
CPT,37183,Remove Hepatic Shunt (Tips),29807.0,29807.0,4411.44,23845.6,23
CPT,37183,Revision tips,,,356.35,11099.6,61
CPT,37184,Prim Art Mech Thrombectomy,20330.85,20330.85,3008.97,16264.68,23
CPT,37184,Prim art m-thrmbc 1st vsl,,,256.84,33052.5,100
CPT,37185,Prim Art M-Thrombect Add-On,4836.0,4836.0,715.73,3868.8,23
CPT,37185,Prim art m-thrmbc sbsq vsl,,,96.95,2891.0,45
CPT,37186,Sec art thrombectomy add-on,,,146.14,2438.0,45
CPT,37187,Venous Mech Thrombectomy,18732.35,18732.35,2772.39,14985.88,23
CPT,37187,Venous mech thrombectomy,,,234.34,20874.31,100
CPT,37188,Ven mechnl thrmbc repeat tx,,,168.46,9641.0,99
CPT,37188,Venous M-Thrombectomy Add-On,12389.0,12389.0,1833.57,9911.2,23
CPT,37191,Ins Endovas Vena Cava Filter,20972.55,20972.55,3103.94,16778.04,23
CPT,37191,Ins endovas vena cava filtr,,,203.97,9950.14,62
CPT,37192,Redo endovas vena cava filtr,,,315.4,6850.0,62
CPT,37192,Reposition Endov Vena Cava Fil,14382.0,14382.0,2128.54,11505.6,23
CPT,37193,Rem endovas vena cava filter,,,315.7,6850.0,62
CPT,37193,Replace Endovas Vena Cava Fil,14055.3,14055.3,2080.18,11244.24,23
CPT,37195,"Thrombolytic Therapy, Stroke",2428.8,2428.8,359.46,1943.04,23
CPT,37195,Thrombolytic therapy stroke,,,53.51,4275.0,62
CPT,37197,Remove intrvas foreign body,,,260.22,9641.0,64
CPT,37197,"Transcatheter Retrieval,Percutaneous of Intravas FB Inci",14852.0,14852.0,2198.1,11881.6,23
CPT,37200,Transcatheter Biopsy,13359.0,13359.0,1977.13,10687.2,23
CPT,37200,Transcatheter biopsy,,,198.25,9950.14,63
CPT,37202,Transcatheter therapy infuse,,,5595.0,5595.0,1
CPT,37211,Thrombolytic Art Therapy W/S/I Any Meth Init Day,9758.0,9758.0,1444.18,7806.4,23
CPT,37211,Thrombolytic art therapy,,,515.51,9950.14,63
CPT,37212,Thrombolytic Venous Therapy,17567.0,17567.0,2599.92,14053.6,23
CPT,37212,Thrombolytic Venous Therapy W S/I Any Meth Init Day,11711.0,11711.0,1733.23,9368.8,23
CPT,37212,Thrombolytic venous therapy,,,455.1,6850.0,63
CPT,37213,Throm Art/Ven Therapy W S/I Inc F/U Cath Subsq Day,13594.0,13594.0,2011.91,10875.2,23
CPT,37213,Thromblytic Art/Ven Therapy,17567.0,17567.0,2599.92,14053.6,23
CPT,37213,Thromblytic art/ven therapy,,,211.91,9641.0,63
CPT,37214,Cess Therapy Cath Removalw/ Vess Close,8884.9,8884.9,1314.97,7107.92,23
CPT,37214,Cessj Therapy Cath Removal,20202.05,20202.05,2989.9,16161.64,23
CPT,37214,Cessj therapy cath removal,,,118.05,9641.0,63
CPT,37215,"Transcath Stent, Cca W/Eps",21427.95,21427.95,3171.34,17142.36,23
CPT,37215,Transcath stent cca w/eps,,,799.62,24872.68,97
CPT,37216,"Transcath Stent, Cca W/O Eps",19533.9,19533.9,2891.02,15627.12,23
CPT,37216,Transcath stent cca w/o eps,,,770.39,12600.0,16
CPT,37217,Stent placemt retro carotid,,,824.64,24872.68,97
CPT,37218,Stent placemt ante carotid,,,607.89,24872.68,97
CPT,37220,Iliac Revasc,19302.75,19302.75,2856.81,15442.2,23
CPT,37220,Iliac revasc,,,365.91,11099.6,62
CPT,37221,Iliac Revasc W/Stent,35812.25,35812.25,5300.21,28649.8,23
CPT,37221,Iliac revasc w/stent,,,445.61,20874.31,62
CPT,37222,Iliac revasc add-on,,,166.14,7268.0,45
CPT,37223,Iliac Revasc W/Stent Add-On,14620.0,14620.0,2163.76,11696.0,23
CPT,37223,Iliac revasc w/stent add-on,,,188.72,7268.0,45
CPT,37224,Fem/Popl Revas W/Tla,24568.6,24568.6,3636.15,19654.88,23
CPT,37224,Fem/popl revas w/tla,,,403.06,11099.6,62
CPT,37225,Fem/Popl Revas W/Ather,32096.0,32096.0,4750.21,25676.8,23
CPT,37225,Fem/popl revas w/ather,,,542.74,33052.5,62
CPT,37226,Fem/Popl Revasc W/Stent,45356.0,45356.0,6712.69,36284.8,23
CPT,37226,Fem/popl revasc w/stent,,,449.63,20874.31,62
CPT,37227,Fem/Popl Revasc Stnt & Ather,73816.0,73816.0,10924.77,59052.8,23
CPT,37227,Fem/popl revasc stnt & ather,,,655.55,33052.5,62
CPT,37228,Tib/per Revasc W/Tla,30941.0,30941.0,4579.27,24752.8,23
CPT,37228,Tib/per revasc w/tla,,,492.41,20874.31,62
CPT,37229,Tib/per Revasc W/Ather,45356.0,45356.0,6712.69,36284.8,23
CPT,37229,Tib/per revasc w/ather,,,635.53,33052.5,62
CPT,37230,Tib/per Revasc W/Stent,34500.0,34500.0,5106.0,27600.0,23
CPT,37230,Tib/per revasc w/stent,,,613.9,33052.5,62
CPT,37231,Tib/per Revasc Stent & Ather,46326.0,46326.0,6856.25,37060.8,23
CPT,37231,Tib/per revasc stent & ather,,,667.24,33052.5,62
CPT,37232,Tib/per Revasc Add-On,13042.0,13042.0,1930.22,10433.6,23
CPT,37232,Tib/per revasc add-on,,,178.08,7268.0,45
CPT,37233,Tibper revasc w/ather add-on,,,292.56,10789.0,45
CPT,37234,Revsc Opn/Prq Tib/Pero Stent,14615.0,14615.0,2163.02,11692.0,23
CPT,37234,Revsc opn/prq tib/pero stent,,,244.02,7869.82,45
CPT,37235,Tib/per revasc stnt & ather,,,364.35,8720.09,45
CPT,37236,Open/Perq Place Stent 1st,39904.0,39904.0,5905.79,31923.2,23
CPT,37236,Open/perq place stent 1st,,,406.62,20874.31,62
CPT,37237,Open/perq place stent ea add,,,189.92,7268.0,45
CPT,37238,Open/Pero Place Stent Same,42865.0,42865.0,6344.02,34292.0,23
CPT,37238,Open/perq place stent same,,,284.89,20874.31,62
CPT,37239,Open/Peq Place Stent Ea Add,25332.0,25332.0,3749.14,20265.6,23
CPT,37239,Open/perq place stent ea add,,,132.55,7268.0,45
CPT,37241,Vasc Embolize/Occlude Venous,55896.0,55896.0,8272.61,44716.8,23
CPT,37241,Vasc embolize/occlude venous,,,392.11,20874.31,62
CPT,37242,Vasc Embolize/Occlude Artery,50096.3,50096.3,7414.25,40077.04,23
CPT,37242,Vasc embolize/occlude artery,,,437.81,33052.5,62
CPT,37243,Vasc Embolize/Occlude Organ,58731.0,58731.0,8692.19,46984.8,23
CPT,37243,Vasc embolize/occlude organ,,,521.97,20874.31,62
CPT,37244,Vasc Embolize/Occlude Bleed,49740.0,49740.0,7361.52,39792.0,23
CPT,37244,Vasc embolize/occlude bleed,,,608.88,20874.31,62
CPT,37246,Trluml Balo Angiop 1st Art,17015.0,17015.0,2518.22,13612.0,23
CPT,37246,Trluml balo angiop 1st art,,,313.24,11099.6,62
CPT,37247,Trluml Balo Angiop Addl Art,11610.0,11610.0,1718.28,9288.0,23
CPT,37247,Trluml balo angiop addl art,,,155.3,2438.0,45
CPT,37248,Trluml Balo Angiop 1st Vein,25755.0,25755.0,3811.74,20604.0,23
CPT,37248,Trluml balo angiop 1st vein,,,269.4,11099.6,62
CPT,37249,Trluml Balo Angiop Addl Vein,19354.0,19354.0,2864.39,15483.2,23
CPT,37249,Trluml balo angiop addl vein,,,132.11,2438.0,45
CPT,37250,Iv us first vessel add-on,,,5595.0,5595.0,1
CPT,37251,Iv us each add vessel add-on,,,5595.0,5595.0,1
CPT,37252,Intrvasc us noncoronary 1st,,,81.21,2438.0,45
CPT,37252,US Vascular Non-Coronary Init,7754.45,7754.45,1147.66,6203.56,23
CPT,37253,Intrvasc us noncoronary addl,,,64.95,2438.0,45
CPT,37253,US Vascular Non-Coron Add Ea,5171.0,5171.0,765.31,4136.8,23
CPT,37500,Endoscopy ligate perf veins,,,515.84,9950.14,99
CPT,37501,Unlisted vasc endoscopy px,,,615.15,4275.0,24
CPT,37565,Ligation int jugular vein,,,218.43,5793.52,96
CPT,37600,Ligation xtrnl carotid art,,,47.44,6850.0,96
CPT,37605,Ligation int/com carotid art,,,59.59,6850.0,96
CPT,37606,Lig int/com carotid art occl,,,64.3,6850.0,96
CPT,37607,Lig/banding angioacs av fstl,,,272.89,6850.0,63
CPT,37607,Ligation of Arteriovenous Fistula,7221.0,7221.0,1068.71,5776.8,23
CPT,37609,Ligation/bx temporal artery,,,151.57,5612.5,100
CPT,37609,Temporal Artery Biopsy,9841.0,9841.0,1456.47,7872.8,23
CPT,37615,Ligation major artery neck,,,56.7,5793.52,96
CPT,37616,Ligation major artery chest,,,136.27,24872.68,96
CPT,37617,Ligation major artery abd,,,129.0,24872.68,96
CPT,37618,Ligation major artery xtr,,,49.56,24872.68,96
CPT,37619,Ligation of inf vena cava,,,224.39,9950.14,97
CPT,37650,Ligation of femoral vein,,,258.22,6850.0,99
CPT,37660,Ligation common iliac vein,,,89.97,24872.68,132
CPT,37700,Ligation&div long saph vein,,,201.41,6850.0,99
CPT,37718,Lig div&strpg short saph vn,,,293.11,6850.0,99
CPT,37722,Lig div&strpg long saph vein,,,347.57,6850.0,99
CPT,37735,Lig&div&compl strpg saph vn,,,476.6,6850.0,99
CPT,37760,Lig prfratr vn radical 1 leg,,,472.19,6850.0,99
CPT,37761,Ligate leg veins open,,,60.89,5793.52,135
CPT,37765,Phleb Veins-Extrem-Up to 20,9907.0,9907.0,1466.24,7925.6,23
CPT,37765,Stab phleb veins xtr 10-20,,,209.37,6850.0,99
CPT,37766,Phleb Veins-Extrem-20+,10848.0,10848.0,1605.5,8678.4,23
CPT,37766,Phleb veins - extrem 20+,,,258.46,6850.0,99
CPT,37780,Revision of leg vein,,,180.12,5793.52,99
CPT,37785,Ligate/divide/excise vein,,,195.57,6850.0,100
CPT,37788,Revascularization penis,,,189.09,24872.68,96
CPT,37790,Penile venous occlusion,,,395.9,6850.0,63
CPT,37799,Bilateral Vascular Surgery Procedure,16620.0,16620.0,2459.76,13296.0,23
CPT,37799,Unlisted px vascular surgery,,,615.15,2891.0,22
CPT,37799,Vascular Surgery Procedure,12742.0,12742.0,1885.82,10193.6,23
CPT,38100,Removal of spleen total,,,111.12,24872.68,96
CPT,38101,Removal of spleen partial,,,111.91,24872.68,96
CPT,38102,Removal of spleen total,,,37.85,24872.68,60
CPT,38115,Repair of ruptured spleen,,,116.29,24872.68,96
CPT,38120,Laparoscopy splenectomy,,,129.85,19163.68,99
CPT,38129,Unlisted laps px spleen,,,3133.0,10739.17,25
CPT,38200,Injection for spleen x-ray,,,125.07,2438.0,44
CPT,38204,Bl donor search management,,,97.83,97.83,1
CPT,38205,Harvest allogeneic stem cell,,,68.55,8327.5,46
CPT,38206,Harvest auto stem cells,,,68.55,5612.5,60
CPT,38207,Cryopreserve stem cells,,,434.97,4275.0,26
CPT,38208,Thaw preserved stem cells,,,434.97,4275.0,26
CPT,38209,Wash harvest stem cells,,,434.97,4275.0,26
CPT,38210,T-cell depletion of harvest,,,434.97,4275.0,26
CPT,38211,Tumor cell deplete of harvst,,,434.97,4275.0,26
CPT,38212,Rbc depletion of harvest,,,434.97,4275.0,26
CPT,38213,Platelet deplete of harvest,,,434.97,4275.0,26
CPT,38214,Volume deplete of harvest,,,434.97,4275.0,26
CPT,38215,Harvest stem cell concentrte,,,434.97,4275.0,26
CPT,38220,Diagnostic Bone Marrow; Aspiration(S),5062.3,5062.3,749.22,4049.84,23
CPT,38220,Dx bone marrow aspirations,,,53.81,5612.5,64
CPT,38221,Diagnostic Bone Marrow; Biopsy(Ies),5779.56,5779.56,855.37,4623.65,23
CPT,38221,Dx bone marrow biopsies,,,100.95,5612.5,63
CPT,38222,Bone Marrow Biopsy(Ies) & Aspiration(S),7610.0,7610.0,1126.28,6088.0,23
CPT,38222,Dx bone marrow bx & aspir,,,68.38,5612.5,64
CPT,38225,Car-t hrv bld-drv t lymphcyt,,,94.56,2880.0,6
CPT,38226,Car-t prep t lymphcyt f/trns,,,38.11,2880.0,6
CPT,38227,Car-t receipt&prepj admn,,,38.43,2880.0,6
CPT,38228,Car-t admn autologous,,,144.57,1473.0,55
CPT,38230,Bone marrow harvest allogen,,,198.78,5612.5,61
CPT,38232,Bone marrow harvest autolog,,,156.89,9641.0,63
CPT,38240,Transplt allo hct/donor,,,122.43,108861.87,61
CPT,38241,Transplt autol hct/donor,,,122.13,5612.5,61
CPT,38242,Transplt allo lymphocytes,,,78.1,5612.5,60
CPT,38243,Transplj hematopoietic boost,,,50.0,5612.5,63
CPT,38300,Drainage lymph node lesion,,,92.52,5612.5,64
CPT,38305,Drainage lymph node lesion,,,225.65,5612.5,64
CPT,38308,Incision of lymph channels,,,48.72,7048.47,99
CPT,38380,Thoracic duct procedure,,,71.94,24872.68,96
CPT,38381,Thoracic duct procedure,,,124.17,24872.68,96
CPT,38382,Thoracic duct procedure,,,91.17,24872.68,96
CPT,38500,Biopsy/removal lymph nodes,,,133.56,7048.47,100
CPT,38505,Bx Lymph Node(S) Ndl Bct,5308.4,5308.4,785.64,4246.72,23
CPT,38505,Needle biopsy lymph nodes,,,63.83,5612.5,64
CPT,38510,Biopsy/removal lymph nodes,,,199.65,7048.47,99
CPT,38520,Biopsy/removal lymph nodes,,,225.02,7048.47,99
CPT,38525,Biopsy/removal lymph nodes,,,192.44,7048.47,99
CPT,38530,Biopsy/removal lymph nodes,,,59.07,7048.47,135
CPT,38531,Open bx/exc inguinofem nodes,,,282.75,7048.47,98
CPT,38542,Explore deep node(s) neck,,,58.09,10739.17,135
CPT,38550,Removal neck/armpit lesion,,,266.39,7048.47,63
CPT,38555,Removal neck/armpit lesion,,,128.03,12003.89,99
CPT,38562,Removal pelvic lymph nodes,,,91.26,24872.68,96
CPT,38564,Removal abdomen lymph nodes,,,94.94,24872.68,96
CPT,38570,Laparoscopy lymph node biop,,,79.39,10739.17,135
CPT,38571,Laparoscopy lymphadenectomy,,,103.02,19163.68,135
CPT,38572,Laparoscopy lymphadenectomy,,,119.87,19163.68,135
CPT,38573,Laps pelvic lymphadec,,,164.91,19163.68,133
CPT,38589,Unlisted laps px lymphtc sys,,,3133.0,10739.17,25
CPT,38700,Removal of lymph nodes neck,,,99.19,12003.89,135
CPT,38720,Removal of lymph nodes neck,,,152.43,13887.5,133
CPT,38724,Removal of lymph nodes neck,,,156.73,24872.68,133
CPT,38740,Remove armpit lymph nodes,,,61.64,10739.17,135
CPT,38745,Remove armpit lymph nodes,,,88.15,10739.17,135
CPT,38746,Remove thoracic lymph nodes,,,33.25,24872.68,60
CPT,38747,Remove abdominal lymph nodes,,,38.36,24872.68,60
CPT,38760,Remove groin lymph nodes,,,79.87,12003.89,135
CPT,38765,Remove groin lymph nodes,,,146.68,24872.68,132
CPT,38770,Remove pelvis lymph nodes,,,126.74,24872.68,132
CPT,38780,Remove abdomen lymph nodes,,,155.35,24872.68,96
CPT,38790,Inj Lymphangiography,2563.0,2563.0,379.32,2050.4,23
CPT,38790,Inject for lymphatic x-ray,,,74.92,2438.0,45
CPT,38792,Identify Sentinel Node,2041.25,2041.25,302.1,1633.0,23
CPT,38792,Ra tracer id of sentinl node,,,46.5,4275.0,57
CPT,38794,Access Thoracic Lymph Duct,1775.0,1775.0,262.7,1420.0,23
CPT,38794,Access thoracic lymph duct,,,155.23,1750.0,43
CPT,38794,Cannulation Thoracic Duct,3000.0,3000.0,444.0,2400.0,23
CPT,38900,Io map of sent lymph node,,,18.42,2438.0,80
CPT,38999,Unlistd px hemic/lymphtc sys,,,434.97,2438.0,22
CPT,39000,Exploration of chest,,,76.27,24872.68,96
CPT,39010,Exploration of chest,,,124.11,24872.68,96
CPT,39200,Resect mediastinal cyst,,,136.37,24872.68,96
CPT,39220,Resect mediastinal tumor,,,176.35,24872.68,96
CPT,39400,Mediastinoscopy incl biopsy,,,5595.0,5595.0,1
CPT,39401,Mediastinoscpy w/medstnl bx,,,272.4,10739.17,61
CPT,39402,Mediastinoscpy w/lmph nod bx,,,355.69,10739.17,61
CPT,39499,Unlisted px mediastinum,,,2304.0,24872.68,21
CPT,39501,Repair diaphragm laceration,,,123.79,24872.68,96
CPT,39503,Repair of diaphragm hernia,,,297.71,24872.68,96
CPT,39540,Repair of diaphragm hernia,,,129.66,24872.68,96
CPT,39541,Repair of diaphragm hernia,,,134.75,24872.68,96
CPT,39545,Revision of diaphragm,,,125.93,24872.68,96
CPT,39560,Resect diaphragm simple,,,110.68,24872.68,96
CPT,39561,Resect diaphragm complex,,,151.57,24872.68,96
CPT,39599,Unlisted px diaphragm,,,2304.0,24872.68,21
CPT,40490,Biopsy of Lip,2041.25,2041.25,302.1,1633.0,23
CPT,40490,Biopsy of lip,,,50.0,4275.0,63
CPT,40500,Partial excision of lip,,,296.81,5969.44,58
CPT,40510,Partial excision of lip,,,280.32,5969.44,58
CPT,40520,Partial excision of lip,,,271.53,5969.44,64
CPT,40525,Reconstruct lip with flap,,,414.54,5969.44,63
CPT,40527,Reconstruct lip with flap,,,494.2,10888.81,63
CPT,40530,Partial removal of lip,,,290.92,5969.44,64
CPT,40650,Lip Repair,2941.7,2941.7,435.37,2353.36,23
CPT,40650,Rpr lip fth vermilion only,,,214.03,4275.0,64
CPT,40652,Repair Lip,3760.5,3760.5,556.55,3008.4,23
CPT,40652,Rpr lip fth<half ver height,,,255.23,4275.0,64
CPT,40654,Repair Lip/Complex,5537.81,5537.81,819.6,4430.25,23
CPT,40654,Rpr lip fth>1half ver ht/cpx,,,307.27,5612.5,64
CPT,40700,Repair cleft lip/nasal,,,584.42,10888.81,63
CPT,40701,Repair cleft lip/nasal,,,166.38,10888.81,99
CPT,40702,Repair cleft lip/nasal,,,117.88,10888.81,97
CPT,40720,Repair cleft lip/nasal,,,640.82,7940.0,99
CPT,40761,Repair cleft lip/nasal,,,695.81,10888.81,63
CPT,40799,Lip Surgery Procedure,1775.0,1775.0,262.7,1420.0,23
CPT,40799,Unlisted procedure lips,,,231.05,1473.0,21
CPT,40800,Drainage of mouth lesion,,,50.0,4275.0,63
CPT,40800,I&D Abscess Intra-Oral Simple,2041.25,2041.25,302.1,1633.0,23
CPT,40801,Drainage of mouth lesion,,,119.14,4275.0,64
CPT,40801,I&D Abscess Intra-Oral Complex,3486.8,3486.8,516.05,2789.44,23
CPT,40804,Removal foreign body mouth,,,50.0,4275.0,63
CPT,40805,Removal foreign body mouth,,,140.28,4275.0,64
CPT,40806,Incision of lip fold,,,27.54,4275.0,63
CPT,40808,Biopsy Vestibule of Mouth,2041.25,2041.25,302.1,1633.0,23
CPT,40808,Biopsy of mouth lesion,,,50.0,4275.0,64
CPT,40810,Exc. Lesion Mucosa&Sub W/O Repair,7663.6,7663.6,1134.21,6130.88,23
CPT,40810,Excision of mouth lesion,,,84.8,5969.44,56
CPT,40812,Exc/Les/Mouth W/Simple Repair,9329.95,9329.95,1380.83,7463.96,23
CPT,40812,Excise/repair mouth lesion,,,115.72,5612.5,62
CPT,40814,Exc/Les/Mouth W/Complex Repair,5537.81,5537.81,819.6,4430.25,23
CPT,40814,Excise/repair mouth lesion,,,204.05,5969.44,58
CPT,40816,Excision of mouth lesion,,,213.1,5969.44,58
CPT,40818,Excise oral mucosa for graft,,,210.37,4275.0,57
CPT,40819,Excise lip or cheek fold,,,123.32,5612.5,64
CPT,40820,Treatment of mouth lesion,,,76.85,5969.44,58
CPT,40830,Repair Mouth Laceration,2041.25,2041.25,302.1,1633.0,23
CPT,40830,Repair mouth laceration,,,50.0,4275.0,63
CPT,40831,Repair Mouth Lacerations,3648.95,3648.95,540.04,2919.16,23
CPT,40831,Repair mouth laceration,,,121.94,4275.0,63
CPT,40840,Reconstruction of mouth,,,78.55,10888.81,99
CPT,40842,Reconstruction of mouth,,,395.75,10888.81,63
CPT,40843,Reconstruction of mouth,,,108.45,10888.81,99
CPT,40844,Reconstruction of mouth,,,140.75,10888.81,100
CPT,40845,Reconstruction of mouth,,,923.58,10888.81,63
CPT,40899,Unlisted px vestibule mouth,,,231.05,4312.0,22
CPT,41000,Drainage of Mouth Lesion,3933.13,3933.13,582.1,3146.5,23
CPT,41000,Drainage of mouth lesion,,,70.42,4275.0,64
CPT,41005,Drainage of mouth lesion,,,65.58,4275.0,64
CPT,41006,Drainage of mouth lesion,,,147.78,5612.5,64
CPT,41007,Drainage of mouth lesion,,,164.39,5612.5,64
CPT,41008,Drainage of mouth lesion,,,168.86,5969.44,58
CPT,41008,I&D Submandibular Abscess,9192.0,9192.0,1360.42,7353.6,23
CPT,41009,Drainage of mouth lesion,,,185.36,4275.0,63
CPT,41010,Incision of tongue fold,,,67.59,5612.5,63
CPT,41015,Drainage of mouth lesion,,,167.15,4275.0,63
CPT,41015,I&D Extraoral Sublingual,2041.25,2041.25,302.1,1633.0,23
CPT,41016,Drainage of mouth lesion,,,275.51,10888.81,57
CPT,41016,"I&D,Floor of Mouth-Submental",6417.0,6417.0,949.72,5133.6,23
CPT,41017,Drainage of mouth lesion,,,177.92,5969.44,63
CPT,41017,"I&D,Floor/Mouth-Submandibular",5417.65,5417.65,801.81,4334.12,23
CPT,41018,Drainage of mouth lesion,,,245.67,5612.5,63
CPT,41019,Place needles h&n for rt,,,340.98,10888.81,63
CPT,41100,Biopsy Anterior 2/3 of Tongue,3172.85,3172.85,469.58,2538.28,23
CPT,41100,Biopsy of tongue,,,82.99,4275.0,63
CPT,41105,Biopsy Posterior 1/3 Tongue,5629.0,5629.0,833.09,4503.2,23
CPT,41105,Biopsy of tongue,,,87.15,5969.44,57
CPT,41108,Biopsy of floor of mouth,,,64.48,5612.5,63
CPT,41108,"Biopsy, Floor of Mouth",4649.45,4649.45,688.12,3719.56,23
CPT,41110,Excision of tongue lesion,,,91.27,5969.44,63
CPT,41112,Excision of tongue lesion,,,147.95,5969.44,64
CPT,41113,Excision of tongue lesion,,,174.81,5969.44,64
CPT,41114,Excision of tongue lesion,,,394.82,5969.44,63
CPT,41115,Excision of tongue fold,,,101.34,5612.5,64
CPT,41116,Exc Lesion Floor of Mouth,7141.0,7141.0,1056.87,5712.8,23
CPT,41116,Excision of mouth lesion,,,140.42,5969.44,63
CPT,41120,Partial removal of tongue,,,93.04,10888.81,99
CPT,41130,Partial removal of tongue,,,107.32,24872.68,96
CPT,41135,Tongue and neck surgery,,,213.9,24872.68,96
CPT,41140,Removal of tongue,,,229.33,24872.68,96
CPT,41145,Tongue removal neck surgery,,,275.28,24872.68,96
CPT,41150,Tongue mouth jaw surgery,,,217.19,24872.68,96
CPT,41153,Tongue mouth neck surgery,,,239.61,24872.68,96
CPT,41155,Tongue jaw & neck surgery,,,280.6,24872.68,96
CPT,41250,Repair Tongue Laceration,2041.25,2041.25,302.1,1633.0,23
CPT,41250,Repair tongue laceration,,,96.27,4275.0,64
CPT,41251,Repair tongue laceration,,,140.2,4275.0,58
CPT,41252,Repair Tongue Laceration 2.6cm,3200.45,3200.45,473.67,2560.36,23
CPT,41252,Repair tongue laceration,,,149.47,4275.0,64
CPT,41500,Fixation of tongue,,,2500.0,5595.0,2
CPT,41510,Tongue to lip surgery,,,359.37,5969.44,57
CPT,41512,Tongue suspension,,,494.41,10888.81,57
CPT,41520,Reconstruction tongue fold,,,147.95,6860.0,63
CPT,41530,Tongue base vol reduction,,,368.81,7940.0,57
CPT,41599,Unlisted px tongue flr mouth,,,231.05,1473.0,21
CPT,41800,Drainage of Gum Lesion,2041.25,2041.25,302.1,1633.0,23
CPT,41800,Drainage of gum lesion,,,62.57,4275.0,64
CPT,41805,Removal foreign body gum,,,66.12,5612.5,63
CPT,41806,Removal foreign body jawbone,,,124.11,5612.5,64
CPT,41820,Exc. Gum Each Quad(Gingivectomy),3766.25,3766.25,557.4,3013.0,23
CPT,41820,Excision gum each quadrant,,,431.69,5969.44,33
CPT,41821,Excision of gum flap,,,1092.0,5612.5,27
CPT,41822,Excision of Fibrous Tuberosity,5537.81,5537.81,819.6,4430.25,23
CPT,41822,Excision of gum lesion,,,136.21,5612.5,62
CPT,41823,Excision of gum lesion,,,181.25,10888.81,62
CPT,41825,Exc. of Gum Lesion,5537.81,5537.81,819.6,4430.25,23
CPT,41825,Excision of gum lesion,,,82.72,5969.44,62
CPT,41826,Excision of gum lesion,,,121.1,5969.44,62
CPT,41827,Excision of gum lesion,,,187.08,10888.81,64
CPT,41828,Excision of gum lesion,,,174.58,5612.5,62
CPT,41830,Removal of Gum Tissue,6091.0,6091.0,901.47,4872.8,23
CPT,41830,Removal of gum tissue,,,177.15,5969.44,62
CPT,41850,Treatment of gum lesion,,,1473.82,5612.5,25
CPT,41870,Periodontal mucosal grafting,,,1473.82,5612.5,25
CPT,41872,Gingivoplasty each quadrant,,,144.97,6860.0,60
CPT,41874,Alveoloplasty each quadrant,,,165.28,5969.44,62
CPT,41874,"Alveoloplasty, Each Quadrant",7732.6,7732.6,1144.42,6186.08,23
CPT,41899,Alveoplasty W/Extractions,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Comp Bony W/Surg.Comp,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Completely Bony,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Partially Bony,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Rem Imp Tooth W Mucoper Fip,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Simple Tooth Extraction,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Soft Tissue,2141.3,2141.3,316.91,1713.04,23
CPT,41899,Unlisted px dentalvlr strux,,,231.05,2438.0,22
CPT,42000,Drainage mouth roof lesion,,,67.93,4275.0,64
CPT,42000,"I&D Abscess Plate, Uvula",2923.3,2923.3,432.65,2338.64,23
CPT,42100,"Biopsy Palate, Uvula",2501.25,2501.25,370.18,2001.0,23
CPT,42100,Biopsy roof of mouth,,,71.69,5612.5,64
CPT,42104,"Exc Palate, Uvula,W/O Closure",5537.81,5537.81,819.6,4430.25,23
CPT,42104,Excision lesion mouth roof,,,92.73,5969.44,64
CPT,42106,Excision lesion mouth roof,,,117.19,5969.44,64
CPT,42107,Excision lesion mouth roof,,,237.35,10888.81,64
CPT,42120,Remove palate/lesion,,,65.72,10888.81,99
CPT,42140,Excision of uvula,,,101.42,5969.44,64
CPT,42145,Repair palate pharynx/uvula,,,430.0,10888.81,63
CPT,42160,"Dest Lesion, Palate or Uvula",7229.0,7229.0,1069.89,5783.2,23
CPT,42160,Treatment mouth roof lesion,,,101.28,5969.44,64
CPT,42180,Repair lac palate<2 cm,,,127.36,4275.0,64
CPT,42182,Repair palate,,,185.68,10888.81,64
CPT,42200,Reconstruct cleft palate,,,108.15,10888.81,99
CPT,42205,Reconstruct cleft palate,,,98.86,6860.0,99
CPT,42210,Reconstruct cleft palate,,,134.31,10888.81,99
CPT,42215,Reconstruct cleft palate,,,87.78,10888.81,99
CPT,42220,Reconstruct cleft palate,,,67.07,10888.81,99
CPT,42225,Reconstruct cleft palate,,,91.97,10888.81,99
CPT,42226,Lengthening of palate,,,97.14,10888.81,99
CPT,42227,Lengthening of palate,,,87.16,10888.81,96
CPT,42235,Repair palate,,,72.14,10888.81,99
CPT,42260,Repair nose to lip fistula,,,80.36,10888.81,99
CPT,42280,Preparation palate mold,,,50.0,4275.0,64
CPT,42281,Insertion palate prosthesis,,,91.46,10888.81,64
CPT,42299,Unlisted px palate uvula,,,231.05,1473.0,21
CPT,42300,Drainage of salivary gland,,,94.25,5612.5,64
CPT,42300,I&D Parotid Abscess; Simple,9106.0,9106.0,1347.69,7284.8,23
CPT,42305,Drainage of salivary gland,,,259.01,5969.44,63
CPT,42310,Drainage of Salivary Gland,2041.25,2041.25,302.1,1633.0,23
CPT,42310,Drainage of salivary gland,,,83.03,4275.0,64
CPT,42320,Drainage of salivary gland,,,119.29,4275.0,64
CPT,42325,CREATE SALIVARY CYST DRAIN,,,145.42,145.42,1
CPT,42326,CREATE SALIVARY CYST DRAIN,,,223.55,223.55,1
CPT,42330,Removal of Salivary Stone,6425.0,6425.0,950.9,5140.0,23
CPT,42330,Removal of salivary stone,,,102.47,5969.44,62
CPT,42335,Removal of salivary stone,,,166.42,5969.44,64
CPT,42340,Removal of salivary stone,,,257.96,5969.44,88
CPT,42400,"Biopsy of Salivary Gland,Needl",4309.0,4309.0,637.73,3447.2,23
CPT,42400,Biopsy of salivary gland,,,39.55,4275.0,58
CPT,42405,Biopsy of Salivary Gland,9563.0,9563.0,1415.32,7650.4,23
CPT,42405,Biopsy of salivary gland,,,147.46,5612.5,64
CPT,42408,Excision of salivary cyst,,,218.3,5969.44,63
CPT,42409,Drainage of salivary cyst,,,30.55,5969.44,99
CPT,42410,Excise parotid gland/lesion,,,85.34,10888.81,135
CPT,42415,Excise parotid gland/lesion,,,156.07,10888.81,135
CPT,42420,Excise parotid gland/lesion,,,180.48,10888.81,135
CPT,42425,Excise parotid gland/lesion,,,125.66,10888.81,135
CPT,42426,Excise parotid gland/lesion,,,212.75,24872.68,132
CPT,42440,Excise submaxillary gland,,,65.86,10888.81,135
CPT,42450,Excise sublingual gland,,,228.88,10888.81,64
CPT,42500,Repair salivary duct,,,276.99,10888.81,57
CPT,42505,Repair salivary duct,,,366.61,10888.81,57
CPT,42507,Parotid duct diversion,,,77.69,10888.81,87
CPT,42509,Parotid duct diversion,,,649.92,10888.81,57
CPT,42510,Parotid duct diversion,,,95.65,6860.0,87
CPT,42550,Injection for salivary x-ray,,,53.58,2438.0,45
CPT,42600,Closure of salivary fistula,,,286.25,5969.44,58
CPT,42650,Dilation of salivary duct,,,35.71,5612.5,58
CPT,42660,Dilation of salivary duct,,,50.0,4275.0,58
CPT,42665,Ligation of salivary duct,,,167.83,7940.0,58
CPT,42699,Unlisted px salivry glnd/dux,,,231.05,2438.0,22
CPT,42700,Drainage of tonsil abscess,,,87.35,4275.0,64
CPT,42700,I&D Peritonsillar Abscess,2041.25,2041.25,302.1,1633.0,23
CPT,42720,Drainage of throat abscess,,,228.47,5969.44,64
CPT,42725,Drainage of throat abscess,,,90.56,10888.81,99
CPT,42800,Biopsy of throat,,,77.79,5612.5,62
CPT,42804,Biopsy of upper nose/throat,,,77.91,5969.44,64
CPT,42806,Biopsy of upper nose/throat,,,95.84,5969.44,64
CPT,42808,Excise pharynx lesion,,,132.18,5969.44,64
CPT,42809,Remove FB Pharynx,2041.25,2041.25,302.1,1633.0,23
CPT,42809,Remove pharynx foreign body,,,94.85,4275.0,64
CPT,42810,Excision of neck cyst,,,38.86,5969.44,136
CPT,42815,Excision of neck cyst,,,76.35,10888.81,135
CPT,42820,Remove tonsils and adenoids,,,195.02,10888.81,63
CPT,42821,Remove tonsils and adenoids,,,219.57,5969.44,63
CPT,42825,Removal of tonsils,,,172.54,10888.81,63
CPT,42826,Removal of tonsils,,,185.84,5969.44,63
CPT,42830,Removal of adenoids,,,124.22,5969.44,63
CPT,42831,Removal of adenoids,,,136.31,5969.44,63
CPT,42835,Removal of adenoids,,,120.83,5969.44,63
CPT,42836,Removal of adenoids,,,166.27,5969.44,63
CPT,42842,Extensive surgery of throat,,,422.63,10888.81,60
CPT,42844,Extensive surgery of throat,,,134.32,10888.81,96
CPT,42845,Extensive surgery of throat,,,224.09,24872.68,96
CPT,42860,Excision of tonsil tags,,,120.11,5969.44,63
CPT,42870,Excision of lingual tonsil,,,247.46,10888.81,63
CPT,42890,Limited pharyngectomy,,,119.79,10888.81,99
CPT,42892,Revision of pharyngeal walls,,,144.43,10888.81,99
CPT,42894,Revision of pharyngeal walls,,,208.75,24872.68,96
CPT,42900,Repair throat wound,,,245.51,5612.5,63
CPT,42950,Reconstruction of throat,,,85.42,10888.81,99
CPT,42953,Repair throat esophagus,,,86.12,24872.68,96
CPT,42955,Surgical opening of throat,,,64.05,5612.5,99
CPT,42960,Control throat bleeding,,,101.61,4275.0,63
CPT,42961,Control throat bleeding,,,46.79,24872.68,96
CPT,42962,Control throat bleeding,,,348.99,5969.44,63
CPT,42970,Control nose/throat bleeding,,,50.0,4275.0,63
CPT,42971,Control nose/throat bleeding,,,53.92,24872.68,96
CPT,42972,Control nose/throat bleeding,,,64.31,5969.44,99
CPT,42975,Dise eval slp do brth flx dx,,,93.67,5612.5,62
CPT,42999,Unlisted px phrnx adnd/tnsl,,,231.05,2438.0,22
CPT,43020,Incision of esophagus,,,79.63,5612.5,98
CPT,43030,Cricopharyngeal myotomy,,,81.64,10888.81,96
CPT,43045,Esophagotomy thrc rmvl fb,,,179.7,24872.68,96
CPT,43100,Excision of esophagus lesion,,,85.02,24872.68,96
CPT,43101,Excision of esophagus lesion,,,142.43,24872.68,96
CPT,43107,Removal of esophagus,,,265.52,24872.68,96
CPT,43108,Removal of esophagus,,,304.1,24872.68,96
CPT,43112,Esphg tot w/thrcm,,,282.17,24872.68,132
CPT,43113,Removal of esophagus,,,314.4,24872.68,132
CPT,43116,Partial removal of esophagus,,,286.84,24872.68,96
CPT,43117,Partial removal of esophagus,,,282.1,24872.68,132
CPT,43118,Partial removal of esophagus,,,297.73,24872.68,132
CPT,43121,Partial removal of esophagus,,,268.34,24872.68,132
CPT,43122,Partial removal of esophagus,,,261.15,24872.68,96
CPT,43123,Partial removal of esophagus,,,304.01,24872.68,96
CPT,43124,Removal of esophagus,,,256.28,24872.68,96
CPT,43130,Removal of esophagus pouch,,,116.78,10888.81,97
CPT,43135,Removal of esophagus pouch,,,152.24,24872.68,96
CPT,43180,Esophagoscopy rigid trnso,,,395.14,10888.81,63
CPT,43191,Esophagoscopy rigid trnso dx,,,110.52,5612.5,63
CPT,43192,Esophagoscp rig trnso inject,,,131.74,5898.0,63
CPT,43193,Esophagoscp rig trnso biopsy,,,156.9,5898.0,63
CPT,43194,Esophagoscp rig trnso rem fb,,,142.2,5898.0,63
CPT,43195,Esophagoscopy rigid balloon,,,157.2,7002.91,63
CPT,43196,Esophagoscp guide wire dilat,,,172.24,6850.0,63
CPT,43197,Esophagoscopy flex dx brush,,,70.05,4275.0,64
CPT,43198,Esophagosc flex trnsn biopsy,,,83.38,4275.0,64
CPT,43200,Esophagoscopy flexible brush,,,85.52,4275.0,64
CPT,43201,Esoph scope w/submucous inj,,,100.79,5612.5,64
CPT,43202,Esophagoscopy flex biopsy,,,99.78,5612.5,64
CPT,43204,Esoph scope w/sclerosis inj,,,131.06,5612.5,63
CPT,43205,Esophagus endoscopy/ligation,,,135.9,5612.5,63
CPT,43206,Esoph optical endomicroscopy,,,129.07,5898.0,57
CPT,43210,Egd esophagogastrc fndoplsty,,,374.65,19163.68,63
CPT,43211,Esophagoscop mucosal resect,,,213.96,5612.5,63
CPT,43212,Esophagoscop stent placement,,,168.6,10957.19,63
CPT,43213,Esophagoscopy retro balloon,,,237.82,5898.0,64
CPT,43214,Esophagosc dilate balloon 30,,,172.1,5898.0,63
CPT,43215,Esophagoscopy flex remove fb,,,137.98,5612.5,63
CPT,43216,Esophagoscopy lesion removal,,,129.76,5612.5,63
CPT,43217,Esophagoscopy snare les remv,,,154.9,5612.5,63
CPT,43220,Esophagoscopy balloon <30mm,,,115.22,5612.5,63
CPT,43226,Esoph endoscopy dilation,,,127.92,5612.5,63
CPT,43227,Esophagoscopy control bleed,,,159.51,5612.5,63
CPT,43229,Esophagoscopy lesion ablate,,,181.74,9641.0,64
CPT,43231,Esophagoscop ultrasound exam,,,93.11,5612.5,63
CPT,43232,Esophagoscopy w/us needle bx,,,118.41,5612.5,63
CPT,43233,Egd balloon dil esoph30 mm/>,,,204.21,5898.0,63
CPT,43235,Egd diagnostic brush wash,,,119.06,4275.0,64
CPT,43235,"Upper GI Endoscopy, Diagnosis",3677.7,3677.7,544.3,2942.16,23
CPT,43236,Uppr gi scope w/submuc inj,,,133.68,4275.0,64
CPT,43237,Endoscopic us exam esoph,,,188.43,5612.5,63
CPT,43238,Egd us fine needle bx/aspir,,,224.4,5612.5,63
CPT,43238,Upper GI Endoscopy W/US Fn Bx,4902.45,4902.45,725.56,3921.96,23
CPT,43239,Egd biopsy single/multiple,,,133.68,4275.0,64
CPT,43240,Egd w/transmural drain cyst,,,376.37,10957.19,63
CPT,43241,Egd tube/cath insertion,,,138.06,5612.5,63
CPT,43242,Egd us fine needle bx/aspir,,,252.72,5612.5,63
CPT,43242,Upper GI Endoscopy W/US Fn Bx,6186.0,6186.0,915.53,4948.8,23
CPT,43243,Egd injection varices,,,229.95,5612.5,63
CPT,43244,Egd varices ligation,,,235.75,5612.5,63
CPT,43245,Egd dilate stricture,,,140.14,5612.5,64
CPT,43246,Egd place gastrostomy tube,,,120.43,5612.5,63
CPT,43246,G-Tube Insertion,7962.6,7962.6,1178.46,6370.08,23
CPT,43247,Egd remove foreign body,,,170.66,4275.0,63
CPT,43247,Ugi Endo-Remove FB,4194.0,4194.0,620.71,3355.2,23
CPT,43248,Egd guide wire insertion,,,160.48,4275.0,63
CPT,43249,Esoph egd dilation <30 mm,,,148.43,5612.5,63
CPT,43250,Egd cautery tumor polyp,,,165.33,5612.5,63
CPT,43251,Egd remove lesion snare,,,189.21,5612.5,63
CPT,43252,Egd optical endomicroscopy,,,162.42,6850.0,57
CPT,43253,Egd us transmural injxn/mark,,,236.93,5898.0,63
CPT,43254,Egd endo mucosal resection,,,245.17,5612.5,63
CPT,43255,Egd control bleeding any,,,193.36,5612.5,63
CPT,43257,Egd w/thrml txmnt gerd,,,224.08,7002.91,63
CPT,43258,Operative upper GI endoscopy,,,262.88,262.88,6
CPT,43259,Egd us exam duodenum/jejunum,,,218.17,5612.5,63
CPT,43260,Ercp w/specimen collection,,,310.18,7002.91,63
CPT,43261,Endo cholangiopancreatograph,,,325.17,7002.91,63
CPT,43262,Endo cholangiopancreatograph,,,343.12,7002.91,63
CPT,43263,Ercp sphincter pressure meas,,,339.74,6850.0,63
CPT,43264,Ercp remove duct calculi,,,350.35,7002.91,63
CPT,43265,Ercp lithotripsy calculi,,,415.16,10957.19,63
CPT,43266,Egd endoscopic stent place,,,203.54,10957.19,63
CPT,43267,Endo cholangiopancreatograph,,,413.8,413.8,6
CPT,43268,Endo cholangiopancreatograph,,,425.98,425.98,6
CPT,43270,Egd lesion ablation,,,213.91,5898.0,64
CPT,43273,Endoscopic pancreatoscopy,,,106.52,9641.0,46
CPT,43274,Ercp duct stent placement,,,421.35,10957.19,63
CPT,43275,Ercp remove forgn body duct,,,347.45,9641.0,63
CPT,43276,Ercp stent exchange w/dilate,,,438.33,10957.19,63
CPT,43277,Ercp ea duct/ampulla dilate,,,349.58,9641.0,63
CPT,43278,Ercp lesion ablate w/dilate,,,397.43,9641.0,63
CPT,43279,Lap myotomy heller,,,159.1,24872.68,96
CPT,43280,Laparoscopy fundoplasty,,,150.05,19163.68,99
CPT,43281,Lap paraesophag hern repair,,,163.21,19163.68,97
CPT,43282,Lap paraesoph her rpr w/mesh,,,183.55,19163.68,97
CPT,43283,Lap esoph lengthening,,,22.04,24872.68,60
CPT,43284,Laps esophgl sphnctr agmntj,,,91.55,19163.68,97
CPT,43285,Rmvl esophgl sphnctr dev,,,92.62,10739.17,97
CPT,43286,Esphg tot w/laps moblj,,,447.66,24872.68,96
CPT,43287,Esphg dstl 2/3 w/laps moblj,,,511.54,24872.68,132
CPT,43288,Esphg thrsc moblj,,,533.42,24872.68,132
CPT,43289,Unlisted laps px esoph,,,3133.0,10739.17,25
CPT,43290,Egd flx trnsorl dplmnt balo,,,149.93,5612.5,62
CPT,43291,Egd flx trnsorl rmvl balo,,,131.88,4275.0,62
CPT,43300,Repair of esophagus,,,95.94,24872.68,96
CPT,43305,Repair esophagus and fistula,,,162.23,24872.68,96
CPT,43310,Repair of esophagus,,,231.96,24872.68,96
CPT,43312,Repair esophagus and fistula,,,247.56,24872.68,96
CPT,43313,Esophagoplasty congenital,,,402.76,24872.68,96
CPT,43314,Tracheo-esophagoplasty cong,,,442.49,24872.68,96
CPT,43320,Fuse esophagus & stomach,,,148.43,24872.68,96
CPT,43325,Revise esophagus & stomach,,,144.02,24872.68,96
CPT,43327,Esoph fundoplasty lap,,,111.02,24872.68,96
CPT,43328,Esoph fundoplasty thor,,,162.65,24872.68,96
CPT,43330,Esophagomyotomy abdominal,,,141.13,24872.68,96
CPT,43331,Esophagomyotomy thoracic,,,157.57,24872.68,96
CPT,43332,Transab esoph hiat hern rpr,,,158.95,24872.68,96
CPT,43333,Transab esoph hiat hern rpr,,,172.6,24872.68,96
CPT,43334,Transthor diaphrag hern rpr,,,174.41,24872.68,96
CPT,43335,Transthor diaphrag hern rpr,,,187.92,24872.68,96
CPT,43336,Thorabd diaphr hern repair,,,205.74,24872.68,96
CPT,43337,Thorabd diaphr hern repair,,,224.64,24872.68,96
CPT,43338,Esoph lengthening,,,17.79,24872.68,60
CPT,43340,Fuse esophagus & intestine,,,147.64,24872.68,96
CPT,43341,Fuse esophagus & intestine,,,154.58,24872.68,96
CPT,43351,Surgical opening esophagus,,,134.73,24872.68,96
CPT,43352,Surgical opening esophagus,,,117.59,24872.68,96
CPT,43360,Gastrointestinal repair,,,260.17,24872.68,96
CPT,43361,Gastrointestinal repair,,,296.6,24872.68,96
CPT,43400,Ligate esophagus veins,,,144.05,24872.68,96
CPT,43405,Ligate/staple esophagus,,,152.03,24872.68,96
CPT,43410,Repair esophagus wound,,,108.3,24872.68,96
CPT,43415,Repair esophagus wound,,,157.95,24872.68,96
CPT,43420,Repair esophagus opening,,,494.17,5969.44,61
CPT,43425,Repair esophagus opening,,,152.69,24872.68,96
CPT,43450,Dilate esophagus 1/mult pass,,,65.23,4275.0,64
CPT,43453,Dilate esophagus,,,84.43,5612.5,63
CPT,43460,Pressure treatment esophagus,,,178.97,24872.68,60
CPT,43496,Free jejunum flap microvasc,,,305.69,24872.68,84
CPT,43497,Transorl lwr esophgl myotomy,,,534.37,10957.19,61
CPT,43499,Unlisted procedure esophagus,,,932.83,2880.0,22
CPT,43500,Surgical opening of stomach,,,74.12,24872.68,96
CPT,43501,Surgical repair of stomach,,,126.04,24872.68,96
CPT,43502,Surgical repair of stomach,,,142.16,24872.68,96
CPT,43510,Surgical opening of stomach,,,92.43,4275.0,96
CPT,43520,Incision of pyloric muscle,,,68.36,24872.68,96
CPT,43605,Biopsy of stomach,,,78.29,24872.68,96
CPT,43610,Excision of stomach lesion,,,98.28,24872.68,96
CPT,43611,Excision of stomach lesion,,,114.26,24872.68,96
CPT,43620,Removal of stomach,,,192.98,24872.68,96
CPT,43621,Removal of stomach,,,196.02,24872.68,96
CPT,43622,Removal of stomach,,,205.16,24872.68,96
CPT,43631,Removal of stomach partial,,,164.79,24872.68,96
CPT,43632,Removal of stomach partial,,,164.59,24872.68,96
CPT,43633,Removal of stomach partial,,,167.38,24872.68,96
CPT,43634,Removal of stomach partial,,,204.17,24872.68,96
CPT,43635,Removal of stomach partial,,,16.24,24872.68,60
CPT,43640,Vagotomy & pylorus repair,,,127.72,24872.68,96
CPT,43641,Vagotomy & pylorus repair,,,129.94,24872.68,96
CPT,43644,Lap gastric bypass/roux-en-y,,,138.31,24872.68,108
CPT,43645,Lap gastr bypass incl smll i,,,238.61,24872.68,96
CPT,43647,Lap impl electrode antrum,,,64.3,22953.8,57
CPT,43648,Lap revise/remv eltrd antrum,,,64.3,19163.68,57
CPT,43651,Laparoscopy vagus nerve,,,81.6,10739.17,99
CPT,43652,Laparoscopy vagus nerve,,,97.61,10739.17,99
CPT,43653,Laparoscopy gastrostomy,,,70.56,10739.17,99
CPT,43659,Unlisted laps px stomach,,,3133.0,10739.17,25
CPT,43752,Nasal/orogastric w/tube plmt,,,38.88,4275.0,57
CPT,43752,Naso Gastric Tube Place,2080.35,2080.35,307.89,1664.28,23
CPT,43753,Gastric Intubation/Aspiration W/WO Lavage,2041.25,2041.25,302.1,1633.0,23
CPT,43753,Tx gastro intub w/asp,,,2.81,4275.0,63
CPT,43754,Dx gastr intub w/asp spec,,,6.06,4275.0,64
CPT,43755,Dx gastr intub w/asp specs,,,9.38,4275.0,64
CPT,43756,Dx duod intub w/asp spec,,,7.86,4275.0,64
CPT,43757,Dx duod intub w/asp specs,,,12.0,4275.0,64
CPT,43760,Change gastrostomy tube,,,1750.0,5595.0,2
CPT,43761,Reposition Gastrostomy Tube,5739.0,5739.0,849.37,4591.2,23
CPT,43761,Reposition gastrostomy tube,,,93.5,4275.0,63
CPT,43762,Perq Replacement Gtube Not Req Rev Gastro Tract,1930.85,1930.85,285.77,1544.68,23
CPT,43762,Rplc gtube no revj trc,,,33.53,4275.0,64
CPT,43763,Perq Replacement Gtube Requiring Rev Gastro Tract,1679.0,1679.0,248.49,1343.2,23
CPT,43763,Rplc gtube revj gstrst trc,,,73.98,4275.0,64
CPT,43770,Lap place gastr adj device,,,134.25,19163.68,97
CPT,43771,Lap revise gastr adj device,,,154.46,24872.68,97
CPT,43772,Lap rmvl gastr adj device,,,117.68,7002.91,97
CPT,43773,Lap replace gastr adj device,,,154.51,10739.17,97
CPT,43774,Lap rmvl gastr adj all parts,,,118.04,10789.0,97
CPT,43775,Lap sleeve gastrectomy,,,137.13,24872.68,96
CPT,43800,Pyloroplasty,,,90.51,24872.68,96
CPT,43810,Gastroduodenostomy,,,96.6,24872.68,96
CPT,43820,Gastrojejunostomy wo vagotmy,,,102.28,24872.68,96
CPT,43825,Gastrojejunostomy w/vagotomy,,,128.78,24872.68,96
CPT,43830,Gstrst open wo constj tube,,,67.71,5612.5,96
CPT,43831,Gastrostomy open neonatal,,,65.18,4275.0,96
CPT,43832,Gstrst open w/constj tube,,,103.19,24872.68,96
CPT,43840,Repair of stomach lesion,,,101.95,24872.68,96
CPT,43842,V-band gastroplasty,,,729.7,6850.0,15
CPT,43843,Gastroplasty w/o v-band,,,142.84,24872.68,132
CPT,43845,Gastroplasty duodenal switch,,,311.5,24872.68,84
CPT,43846,Gastric bypass for obesity,,,174.58,24872.68,96
CPT,43847,Gastric bypass incl small i,,,191.73,24872.68,96
CPT,43848,Revision gastroplasty,,,204.93,24872.68,96
CPT,43860,Revise stomach-bowel fusion,,,163.67,24872.68,96
CPT,43865,Revise stomach-bowel fusion,,,176.73,24872.68,96
CPT,43870,Repair stomach opening,,,67.43,7002.91,99
CPT,43880,Repair stomach-bowel fistula,,,153.97,24872.68,96
CPT,43881,Impl/redo electrd antrum,,,102.44,24872.68,54
CPT,43882,Revise/remove electrd antrum,,,102.44,24872.68,54
CPT,43886,Revise gastric port open,,,37.73,6850.0,99
CPT,43887,Remove gastric port open,,,36.79,5612.5,99
CPT,43888,Change gastric port open,,,52.13,6850.0,99
CPT,43999,Unlisted procedure stomach,,,932.83,2880.0,22
CPT,44005,Freeing of bowel adhesion,,,115.55,24872.68,97
CPT,44010,Incision of small bowel,,,92.37,24872.68,97
CPT,44015,Insert needle cath bowel,,,22.14,24872.68,60
CPT,44020,Explore small intestine,,,101.75,24872.68,97
CPT,44021,Decompress small bowel,,,101.32,24872.68,96
CPT,44025,Incision of large bowel,,,103.28,24872.68,97
CPT,44050,Reduce bowel obstruction,,,98.4,24872.68,97
CPT,44055,Correct malrotation of bowel,,,109.17,24872.68,97
CPT,44100,Biopsy of bowel,,,102.37,4275.0,63
CPT,44110,Excise intestine lesion(s),,,89.52,24872.68,96
CPT,44111,Excision of bowel lesion(s),,,110.01,24872.68,96
CPT,44120,Removal of small intestine,,,122.96,24872.68,96
CPT,44121,Removal of small intestine,,,35.04,24872.68,60
CPT,44125,Removal of small intestine,,,129.6,24872.68,96
CPT,44126,Enterectomy w/o taper cong,,,300.38,24872.68,96
CPT,44127,Enterectomy w/taper cong,,,345.37,24872.68,96
CPT,44128,Enterectomy cong add-on,,,36.95,24872.68,60
CPT,44130,Bowel to bowel fusion,,,107.04,24872.68,96
CPT,44132,Enterectomy cadaver donor,,,2304.0,24872.68,24
CPT,44133,Enterectomy live donor,,,2304.0,24872.68,24
CPT,44135,Intestine transplnt cadaver,,,2304.0,24872.68,24
CPT,44136,Intestine transplant live,,,2304.0,24872.68,24
CPT,44137,Remove intestinal allograft,,,2304.0,24872.68,24
CPT,44139,Mobilization of colon,,,17.6,24872.68,60
CPT,44140,Partial removal of colon,,,154.06,24872.68,96
CPT,44141,Partial removal of colon,,,169.9,24872.68,96
CPT,44143,Partial removal of colon,,,175.37,24872.68,96
CPT,44144,Partial removal of colon,,,164.63,24872.68,96
CPT,44145,Partial removal of colon,,,191.34,24872.68,96
CPT,44146,Partial removal of colon,,,210.03,24872.68,96
CPT,44147,Partial removal of colon,,,165.88,24872.68,96
CPT,44150,Removal of colon,,,189.77,24872.68,96
CPT,44151,Removal of colon/ileostomy,,,171.09,24872.68,96
CPT,44155,Removal of colon/ileostomy,,,216.02,24872.68,96
CPT,44156,Removal of colon/ileostomy,,,194.99,24872.68,96
CPT,44157,Colectomy w/ileoanal anast,,,258.63,24872.68,96
CPT,44158,Colectomy w/neo-rectum pouch,,,265.25,24872.68,96
CPT,44160,Removal of colon,,,141.22,24872.68,96
CPT,44180,Lap enterolysis,,,113.46,10739.17,99
CPT,44186,Lap jejunostomy,,,79.97,10739.17,99
CPT,44187,Lap ileo/jejuno-stomy,,,132.29,24872.68,97
CPT,44188,Lap colostomy,,,145.02,24872.68,97
CPT,44201,LAPAROSCOPY-JEJUNOSTOMY,,,460.4,460.4,6
CPT,44202,Lap enterectomy,,,182.88,24872.68,97
CPT,44203,Lap resect s/intestine addl,,,32.32,24872.68,60
CPT,44204,Laparo partial colectomy,,,207.1,24872.68,96
CPT,44205,Lap colectomy part w/ileum,,,183.42,24872.68,96
CPT,44206,Lap part colectomy w/stoma,,,203.92,24872.68,96
CPT,44207,L colectomy/coloproctostomy,,,223.06,24872.68,96
CPT,44208,L colectomy/coloproctostomy,,,241.43,24872.68,96
CPT,44210,Laparo total proctocolectomy,,,213.77,24872.68,96
CPT,44211,Lap colectomy w/proctectomy,,,265.51,24872.68,96
CPT,44212,Laparo total proctocolectomy,,,248.12,24872.68,96
CPT,44213,Lap mobil splenic fl add-on,,,25.91,24872.68,61
CPT,44227,Lap close enterostomy,,,203.91,24872.68,97
CPT,44238,Unlisted laps px intestine,,,5488.0,10739.17,24
CPT,44300,Open bowel to skin,,,79.62,24872.68,97
CPT,44310,Ileostomy/jejunostomy,,,108.6,24872.68,96
CPT,44312,Revision of ileostomy,,,262.11,6850.0,63
CPT,44314,Revision of ileostomy,,,101.96,24872.68,97
CPT,44316,Devise bowel pouch,,,140.5,24872.68,96
CPT,44320,Colostomy,,,117.55,24872.68,96
CPT,44322,Colostomy with biopsies,,,116.14,24872.68,96
CPT,44340,Revision of colostomy,,,232.12,6850.0,63
CPT,44345,Revision of colostomy,,,93.08,24872.68,97
CPT,44346,Revision of colostomy,,,105.28,24872.68,97
CPT,44360,Sb Endoscop Excluding Ileum Dx,5537.81,5537.81,819.6,4430.25,23
CPT,44360,Small bowel endoscopy,,,138.53,5612.5,63
CPT,44361,Sb Endo-Bx Single Multiple,4286.05,4286.05,634.34,3428.84,23
CPT,44361,Small bowel endoscopy/biopsy,,,153.24,5612.5,63
CPT,44363,Small bowel endoscopy,,,184.56,5612.5,63
CPT,44364,Small bowel endoscopy,,,196.96,5612.5,63
CPT,44365,Small bowel endoscopy,,,175.79,5612.5,63
CPT,44366,Sb Endo-Ctrl of Bleed Any Meth,4729.95,4729.95,700.03,3783.96,23
CPT,44366,Small bowel endoscopy,,,230.86,5612.5,63
CPT,44369,"Sb Endo-Ablat of Tum,Les Other",4387.25,4387.25,649.31,3509.8,23
CPT,44369,Small bowel endoscopy,,,236.4,5612.5,63
CPT,44370,Small bowel endoscopy/stent,,,224.27,10957.19,63
CPT,44372,Small bowel endoscopy,,,231.85,5612.5,63
CPT,44373,Small bowel endoscopy,,,186.14,5612.5,63
CPT,44376,Small bowel endoscopy,,,273.62,5612.5,63
CPT,44377,Small bowel endoscopy/biopsy,,,286.99,5612.5,63
CPT,44378,Small bowel endoscopy,,,369.54,5612.5,63
CPT,44379,S bowel endoscope w/stent,,,366.03,10957.19,63
CPT,44380,Small bowel endoscopy br/wa,,,56.38,4275.0,63
CPT,44381,Small bowel endoscopy br/wa,,,81.8,5612.5,57
CPT,44382,Small bowel endoscopy,,,72.02,4275.0,63
CPT,44384,Small bowel endoscopy,,,148.17,6850.0,57
CPT,44385,Endoscopy of bowel pouch,,,70.78,4275.0,64
CPT,44386,Endoscopy bowel pouch/biop,,,86.37,4275.0,64
CPT,44388,Colonoscopy thru stoma spx,,,153.24,4275.0,63
CPT,44389,Colonoscopy with biopsy,,,166.55,5612.5,64
CPT,44390,Colonoscopy for foreign body,,,195.84,5612.5,64
CPT,44391,Colonoscopy for bleeding,,,221.86,5612.5,64
CPT,44392,Colonoscopy & polypectomy,,,194.45,5612.5,64
CPT,44393,Colonoscopy lesion removal,,,280.45,280.45,1
CPT,44394,Colonoscopy w/snare,,,217.78,5612.5,64
CPT,44397,Colonoscopy w/stent,,,234.8,234.8,6
CPT,44401,Colonoscopy with ablation,,,233.17,5612.5,57
CPT,44402,Colonoscopy w/stent plcmt,,,251.43,10957.19,57
CPT,44403,Colonoscopy w/resection,,,292.2,5612.5,57
CPT,44404,Colonoscopy w/injection,,,166.55,5612.5,57
CPT,44405,Colonoscopy w/dilation,,,177.08,5612.5,57
CPT,44406,Colonoscopy w/ultrasound,,,221.49,5612.5,57
CPT,44407,Colonoscopy w/ndl aspir/bx,,,265.17,5612.5,57
CPT,44408,Colonoscopy w/decompression,,,223.43,4877.0,57
CPT,44500,Intro Long GI Tube,2603.6,2603.6,385.33,2082.88,23
CPT,44500,Intro gastrointestinal tube,,,18.59,4275.0,62
CPT,44602,Suture small intestine,,,93.05,24872.68,96
CPT,44603,Suture small intestine,,,118.8,24872.68,96
CPT,44604,Suture large intestine,,,117.07,24872.68,96
CPT,44605,Repair of bowel lesion,,,129.17,24872.68,96
CPT,44615,Intestinal stricturoplasty,,,113.33,24872.68,96
CPT,44620,Repair bowel opening,,,89.88,24872.68,96
CPT,44625,Repair bowel opening,,,116.24,24872.68,96
CPT,44626,Repair bowel opening,,,180.22,24872.68,96
CPT,44640,Repair bowel-skin fistula,,,118.03,24872.68,96
CPT,44650,Repair bowel fistula,,,122.63,24872.68,96
CPT,44660,Repair bowel-bladder fistula,,,119.85,24872.68,96
CPT,44661,Repair bowel-bladder fistula,,,151.48,24872.68,96
CPT,44680,Surgical revision intestine,,,119.82,24872.68,96
CPT,44700,Suspend bowel w/prosthesis,,,127.37,24872.68,96
CPT,44701,Intraop colon lavage add-on,,,22.16,1750.0,43
CPT,44705,Prepare fecal microbiota,,,110.14,4275.0,5
CPT,44715,Prepare donor intestine,,,2304.0,24872.68,24
CPT,44720,Prep donor intestine/venous,,,43.0,24872.68,54
CPT,44721,Prep donor intestine/artery,,,60.25,24872.68,54
CPT,44799,Unlisted px small intestine,,,932.83,2880.0,22
CPT,44800,Excision of bowel pouch,,,90.18,24872.68,96
CPT,44820,Excision of mesentery lesion,,,86.14,24872.68,96
CPT,44850,Repair of mesentery,,,80.73,24872.68,96
CPT,44899,Unlisted px meckels dvrtclm,,,2304.0,24872.68,21
CPT,44900,Drain appendix abscess open,,,73.45,24872.68,96
CPT,44901,Drain app abscess percut,,,222.17,222.17,6
CPT,44950,Appendectomy,,,73.4,11485.36,97
CPT,44955,Appendectomy add-on,,,13.1,1750.0,43
CPT,44960,Appendectomy,,,90.1,24872.68,96
CPT,44970,Laparoscopy appendectomy,,,72.01,10739.17,135
CPT,44979,Unlisted laps px appendix,,,3133.0,10739.17,25
CPT,45000,Drainage of pelvic abscess,,,190.19,5612.5,63
CPT,45005,Drainage of rectal abscess,,,113.79,5612.5,64
CPT,45020,Drainage of rectal abscess,,,210.66,5612.5,63
CPT,45100,Biopsy of Rectum,6464.15,6464.15,956.69,5171.32,23
CPT,45100,Biopsy of rectum,,,187.22,5612.5,64
CPT,45108,Anorectal myomectomy,,,242.76,5612.5,64
CPT,45110,Removal of rectum,,,205.59,24872.68,96
CPT,45111,Partial removal of rectum,,,145.01,24872.68,96
CPT,45112,Removal of rectum,,,217.2,24872.68,96
CPT,45113,Partial proctectomy,,,215.02,24872.68,96
CPT,45114,Partial removal of rectum,,,197.64,24872.68,96
CPT,45116,Partial removal of rectum,,,169.31,24872.68,96
CPT,45119,Remove rectum w/reservoir,,,218.03,24872.68,96
CPT,45120,Removal of rectum,,,208.57,24872.68,96
CPT,45121,Removal of rectum and colon,,,210.71,24872.68,96
CPT,45123,Partial proctectomy,,,128.65,24872.68,96
CPT,45126,Pelvic exenteration,,,278.37,24872.68,96
CPT,45130,Excision of rectal prolapse,,,118.79,24872.68,96
CPT,45135,Excision of rectal prolapse,,,154.82,24872.68,96
CPT,45136,Excise ileoanal reservior,,,210.41,24872.68,96
CPT,45150,Excision of rectal stricture,,,275.18,5612.5,64
CPT,45160,Excision of rectal lesion,,,108.25,5612.5,99
CPT,45170,Excision of rectal lesion,,,496.92,496.92,6
CPT,45171,Exc rect tum transanal part,,,61.85,5898.0,99
CPT,45172,Exc rect tum transanal full,,,84.86,9641.0,99
CPT,45190,Destruction rectal tumor,,,360.0,9641.0,63
CPT,45300,Proctosigmoidoscopy Dx,4878.3,4878.3,721.99,3902.64,23
CPT,45300,Proctosigmoidoscopy dx,,,32.56,4275.0,64
CPT,45303,Proctosigmoidoscopy dilate,,,37.26,5612.5,64
CPT,45305,Proctosigmoidoscopy W/Bx Single/Multiple,5285.4,5285.4,782.24,4228.32,23
CPT,45305,Proctosigmoidoscopy w/bx,,,47.89,5612.5,64
CPT,45307,Proctosigmoidoscopy fb,,,90.07,5612.5,64
CPT,45308,Proctosigmoidoscopy removal,,,70.12,5612.5,64
CPT,45309,Proctosigmoidoscopy removal,,,89.38,5612.5,64
CPT,45315,Proctosigmoidoscopy removal,,,105.55,5612.5,64
CPT,45317,Proctosigmoidoscopy bleed,,,108.48,5612.5,64
CPT,45320,Proctosigmoidoscopy ablate,,,104.9,5612.5,64
CPT,45321,Proctosigmoidoscopy volvul,,,103.25,5612.5,63
CPT,45327,Proctosigmoidoscopy w/stent,,,88.17,10957.19,63
CPT,45330,Diagnostic sigmoidoscopy,,,46.73,4275.0,64
CPT,45331,Sigmoidoscopy and biopsy,,,70.77,4275.0,64
CPT,45332,Sigmoidoscopy w/fb removal,,,102.09,5612.5,64
CPT,45333,Sigmoidoscopy & polypectomy,,,91.75,4275.0,64
CPT,45334,Sigmoidoscopy for bleeding,,,113.76,5612.5,63
CPT,45335,Sigmoidoscopy w/submuc inj,,,65.92,4275.0,64
CPT,45337,Sigmoidoscopy & decompress,,,110.67,5612.5,63
CPT,45338,Sigmoidoscopy w/tumr remove,,,116.8,5612.5,64
CPT,45339,Sigmoidoscopy w/ablate tumr,,,178.4,178.4,1
CPT,45340,Sig w/tndsc balloon dilation,,,75.62,5612.5,64
CPT,45341,Sigmoidoscopy w/ultrasound,,,119.94,5612.5,63
CPT,45341,Sigmoidscopy W/Ultrasound,5202.6,5202.6,769.98,4162.08,23
CPT,45342,Sigmoidoscopy w/us guide bx,,,164.48,5612.5,63
CPT,45346,Sigmoidoscopy w/ablation,,,154.94,5612.5,57
CPT,45347,Sigmoidoscopy w/plcmt stent,,,148.72,10957.19,57
CPT,45349,Sigmoidoscopy w/resection,,,191.1,5612.5,57
CPT,45350,Sgmdsc w/band ligation,,,97.84,5612.5,57
CPT,45378,Diagnostic colonoscopy,,,164.6,4275.0,64
CPT,45379,Colonoscopy w/fb removal,,,229.98,5612.5,64
CPT,45380,Colonoscopy and biopsy,,,194.54,5612.5,64
CPT,45381,Colonoscopy submucous njx,,,193.72,5612.5,64
CPT,45382,Colonoscopy w/control bleed,,,249.53,5612.5,64
CPT,45383,Lesion removal colonoscopy,,,330.67,330.67,1
CPT,45384,Colonoscopy w/lesion removal,,,221.39,5612.5,64
CPT,45385,Colonoscopy W/Lesion Removal,3659.3,3659.3,541.58,2927.44,23
CPT,45385,Colonoscopy w/lesion removal,,,245.01,5612.5,64
CPT,45386,Colonoscopy w/balloon dilat,,,205.33,5612.5,63
CPT,45388,Colonoscopy w/ablation,,,260.82,5612.5,57
CPT,45389,Colonoscopy w/stent plcmt,,,278.59,10957.19,57
CPT,45390,Colonoscopy w/resection,,,319.64,5612.5,57
CPT,45391,Colonoscopy w/endoscope us,,,245.47,5612.5,63
CPT,45391,"Colonoscopy, Endoscopic Ultrasound Examination",3501.75,3501.75,518.26,2801.4,23
CPT,45392,Colonoscopy w/endoscopic fnb,,,292.52,5612.5,63
CPT,45393,Colonoscopy w/decompression,,,242.29,5612.5,57
CPT,45395,Lap removal of rectum,,,241.21,24872.68,97
CPT,45397,Lap remove rectum w/pouch,,,261.87,24872.68,97
CPT,45398,Colonoscopy w/band ligation,,,227.86,5612.5,57
CPT,45399,Unlisted procedure colon,,,907.11,5898.0,24
CPT,45400,Laparoscopic proc,,,140.82,24872.68,97
CPT,45402,Lap proctopexy w/sig resect,,,190.62,24872.68,97
CPT,45499,Laparoscope proc rectum,,,3133.0,10739.17,22
CPT,45500,Repair of rectum,,,337.8,5612.5,63
CPT,45505,Repair of rectum,,,295.62,5612.5,63
CPT,45520,Treatment of rectal prolapse,,,27.24,4275.0,64
CPT,45540,Correct rectal prolapse,,,115.31,24872.68,96
CPT,45541,Correct rectal prolapse,,,101.55,5612.5,97
CPT,45550,Repair rectum/remove sigmoid,,,154.07,24872.68,96
CPT,45560,Repair of rectocele,,,70.59,5612.5,99
CPT,45562,Exploration/repair of rectum,,,104.48,24872.68,96
CPT,45563,Exploration/repair of rectum,,,161.26,24872.68,96
CPT,45800,Repair rect/bladder fistula,,,119.92,24872.68,96
CPT,45805,Repair fistula w/colostomy,,,145.48,24872.68,96
CPT,45820,Repair rectourethral fistula,,,121.67,24872.68,96
CPT,45825,Repair fistula w/colostomy,,,141.68,24872.68,96
CPT,45900,Reduction of rectal prolapse,,,68.1,4275.0,63
CPT,45905,Dilation of anal sphincter,,,78.33,5612.5,64
CPT,45910,Dilation of rectal narrowing,,,94.34,5612.5,64
CPT,45915,Remove rectal obstruction,,,100.78,5612.5,64
CPT,45990,Surg dx exam anorectal,,,91.18,5612.5,63
CPT,45999,Unlisted procedure rectum,,,907.11,2026.0,21
CPT,46020,Placement of seton,,,115.5,5612.5,64
CPT,46030,Removal anal seton oth mrk,,,66.56,5612.5,64
CPT,46040,I&D Abscess Perirectal,10182.1,10182.1,1506.95,8145.68,23
CPT,46040,Incision of rectal abscess,,,227.53,5612.5,64
CPT,46045,Incision of rectal abscess,,,180.36,5612.5,63
CPT,46050,I & D Perianal Abcess,7613.0,7613.0,1126.72,6090.4,23
CPT,46050,Incision of anal abscess,,,65.02,4275.0,64
CPT,46060,Incision of rectal abscess,,,279.04,5612.5,63
CPT,46070,Incision anal septum infant,,,128.08,5612.5,61
CPT,46080,Incision of anal sphincter,,,125.73,5612.5,64
CPT,46083,Incise External Hemorrhoid,2701.35,2701.35,399.8,2161.08,23
CPT,46083,Incise external hemorrhoid,,,74.77,4275.0,64
CPT,46200,Removal of anal fissure,,,187.41,5612.5,64
CPT,46210,Removal of anal crypt,,,137.08,184.19,7
CPT,46211,Removal of anal crypts,,,221.17,252.58,7
CPT,46220,Exc. Anal Ext. Tag/Papilla,5537.81,5537.81,819.6,4430.25,23
CPT,46220,Excise anal ext tag/papilla,,,67.31,5612.5,64
CPT,46221,Ligation of Hemorrhoid(S),2496.65,2496.65,369.5,1997.32,23
CPT,46221,Ligation of hemorrhoid(s),,,63.13,4275.0,64
CPT,46230,Removal of anal tags,,,120.82,5612.5,64
CPT,46250,Remove ext hem groups 2+,,,232.11,5612.5,64
CPT,46255,Remove int/ext hem 1 group,,,285.27,5612.5,64
CPT,46257,Remove in/ex hem grp & fiss,,,291.49,5612.5,63
CPT,46258,Remove in/ex hem grp w/fistu,,,312.17,5612.5,63
CPT,46260,Remove in/ex hem groups 2+,,,345.73,5612.5,63
CPT,46261,Remove in/ex hem grps & fiss,,,378.97,5612.5,63
CPT,46262,Remove in/ex hem grps w/fist,,,396.97,5612.5,63
CPT,46270,Remove anal fist subq,,,191.03,5612.5,64
CPT,46275,Remove anal fist inter,,,256.45,5612.5,64
CPT,46280,Remove anal fist complex,,,297.96,5612.5,63
CPT,46285,Remove anal fist 2 stage,,,193.79,5612.5,64
CPT,46288,Repair anal fistula,,,301.1,5612.5,63
CPT,46320,Removal of hemorrhoid clot,,,83.78,5612.5,64
CPT,46500,Injection into hemorrhoid(s),,,67.09,4275.0,61
CPT,46505,Chemodenervation anal musc,,,155.44,5612.5,99
CPT,46600,"Anoscopy, Diagnostic, Inc Spec Collect",2041.25,2041.25,302.1,1633.0,23
CPT,46600,Diagnostic anoscopy spx,,,21.58,4275.0,64
CPT,46601,Anoscopy Dx W/HRA,2041.25,2041.25,302.1,1633.0,23
CPT,46601,Diagnostic anoscopy,,,91.67,4275.0,57
CPT,46604,Anoscopy and dilation,,,55.3,5612.5,62
CPT,46606,Anoscopy and Biopsy,4535.6,4535.6,671.27,3628.48,23
CPT,46606,Anoscopy and biopsy,,,35.62,5612.5,62
CPT,46607,Anoscopy HRA W/Biopsy,2903.75,2903.75,429.76,2323.0,23
CPT,46607,Diagnostic anoscopy & biopsy,,,121.09,5612.5,57
CPT,46608,Anoscopy remove for body,,,77.51,4275.0,64
CPT,46610,Anoscopy remove lesion,,,67.15,5612.5,64
CPT,46611,Anoscopy,,,79.06,4275.0,64
CPT,46611,Hr Anoscopy W/ Bx,3448.85,3448.85,510.43,2759.08,23
CPT,46612,Anoscopy remove lesions,,,95.0,5612.5,64
CPT,46614,Anoscopy control bleeding,,,63.66,5612.5,62
CPT,46615,Anoscopy,,,88.75,5612.5,64
CPT,46615,Hr Ano W/Ablation of Tumor,6197.0,6197.0,917.16,4957.6,23
CPT,46700,Repair of anal stricture,,,338.59,5612.5,63
CPT,46705,Repair of anal stricture,,,60.03,24872.68,96
CPT,46706,Repr of anal fistula w/glue,,,96.57,5612.5,63
CPT,46707,Repair anorectal fist w/plug,,,240.09,9641.0,62
CPT,46710,Repr per/vag pouch sngl proc,,,127.16,24872.68,97
CPT,46712,Repr per/vag pouch dbl proc,,,266.03,24872.68,97
CPT,46715,Rep perf anoper fistu,,,62.09,24872.68,96
CPT,46716,Rep perf anoper/vestib fistu,,,99.85,24872.68,96
CPT,46730,Construction of absent anus,,,176.6,24872.68,96
CPT,46735,Construction of absent anus,,,209.04,24872.68,96
CPT,46740,Construction of absent anus,,,184.99,24872.68,96
CPT,46742,Repair of imperforated anus,,,255.21,24872.68,96
CPT,46744,Repair of cloacal anomaly,,,275.38,24872.68,96
CPT,46746,Repair of cloacal anomaly,,,311.15,24872.68,96
CPT,46748,Repair of cloacal anomaly,,,335.36,24872.68,96
CPT,46750,Repair of anal sphincter,,,72.65,5612.5,99
CPT,46751,Repair of anal sphincter,,,72.29,24872.68,96
CPT,46753,Reconstruction of anus,,,295.33,5612.5,63
CPT,46754,Removal of suture from anus,,,191.99,5612.5,57
CPT,46760,Repair of anal sphincter,,,96.51,5612.5,99
CPT,46761,Repair of anal sphincter,,,92.74,5612.5,99
CPT,46762,Implant artificial sphincter,,,3725.0,5595.0,2
CPT,46900,Destr Condyloma Anal - Chemic,2041.25,2041.25,302.1,1633.0,23
CPT,46900,Destruction anal lesion(s),,,79.96,4275.0,64
CPT,46910,Destruction Anal Lesion(S),6323.0,6323.0,935.8,5058.4,23
CPT,46910,Destruction anal lesion(s),,,90.29,5612.5,62
CPT,46916,Anal Cryo Surgery,2041.25,2041.25,302.1,1633.0,23
CPT,46916,Cryosurgery anal lesion(s),,,50.0,4275.0,64
CPT,46917,Laser surgery anal lesions,,,102.13,5612.5,64
CPT,46922,Excision of anal lesion(s),,,107.52,5612.5,64
CPT,46922,Simple Excision of Anal Lesion(S),8074.15,8074.15,1194.97,6459.32,23
CPT,46924,Destruction anal lesion(s),,,144.61,5612.5,64
CPT,46930,Destroy internal hemorrhoids,,,116.84,5898.0,64
CPT,46937,Cryotherapy of rectal lesion,,,156.3,192.2,7
CPT,46938,Cryotherapy of rectal lesion,,,250.15,289.88,7
CPT,46940,Treatment of anal fissure,,,97.38,5612.5,62
CPT,46942,Treatment of anal fissure,,,85.49,4275.0,64
CPT,46945,Int hrhc lig 1 hroid w/o img,,,110.75,5612.5,62
CPT,46946,Int hrhc lig 2+hroid w/o img,,,146.99,5612.5,64
CPT,46947,Hemorrhoidopexy by stapling,,,230.64,7940.0,63
CPT,46948,Int hrhc tranal dartlzj 2+,,,314.09,7940.0,63
CPT,46999,Anus Surgery Procedure,2175.0,2175.0,321.9,1740.0,23
CPT,46999,Unlisted procedure anus,,,907.11,2438.0,22
CPT,47000,"Liver Biopsy, Needle, Percut",6459.6,6459.6,956.02,5167.68,23
CPT,47000,Needle biopsy of liver perq,,,84.36,5612.5,64
CPT,47001,Bx Liver Addtl Proc Percut Bct,1775.0,1775.0,262.7,1420.0,23
CPT,47001,Ndl biopsy lvr tm oth maj px,,,100.43,2438.0,44
CPT,47010,Hepatot opn drg absc/cst 1/2,,,90.18,24872.68,96
CPT,47015,Exploratory Laparotomy,5479.75,5479.75,811.0,4383.8,23
CPT,47015,Lapt aspir&/njx hep prst cst,,,86.24,24872.68,96
CPT,47100,Wedge biopsy of liver,,,62.75,24872.68,96
CPT,47120,Partial removal of liver,,,189.74,24872.68,96
CPT,47122,Extensive removal of liver,,,286.4,24872.68,96
CPT,47125,Partial removal of liver,,,261.54,24872.68,96
CPT,47130,Partial removal of liver,,,283.06,24872.68,96
CPT,47133,Removal of donor liver,,,2304.0,24872.68,24
CPT,47134,PARTIAL REMOVAL-DONOR LIVER,,,1930.94,1930.94,6
CPT,47135,Transplantation of liver,,,703.61,24872.68,132
CPT,47140,Partial removal donor liver,,,424.22,24872.68,132
CPT,47141,Partial removal donor liver,,,512.62,24872.68,132
CPT,47142,Partial removal donor liver,,,564.54,24872.68,96
CPT,47143,Prep donor liver whole,,,59.94,24872.68,54
CPT,47144,Prep donor liver 3-segment,,,68.11,24872.68,84
CPT,47145,Prep donor liver lobe split,,,68.11,24872.68,54
CPT,47146,Prep donor liver/venous,,,51.42,24872.68,54
CPT,47147,Prep donor liver/arterial,,,60.14,24872.68,54
CPT,47300,Surgery for liver lesion,,,88.97,24872.68,96
CPT,47350,Repair liver wound,,,107.58,24872.68,96
CPT,47360,Repair liver wound,,,148.98,24872.68,96
CPT,47361,Repair liver wound,,,242.64,24872.68,96
CPT,47362,Repair liver wound,,,96.8,24872.68,96
CPT,47370,Laparo ablate liver tumor rf,,,199.4,19163.68,85
CPT,47371,Laparo ablate liver cryosurg,,,200.15,19163.68,85
CPT,47379,Unlisted laps px liver,,,4312.0,10739.17,25
CPT,47380,"Open Rfa, Liver Tumor(S) Using U/S Guidance",6592.5,6592.5,975.69,5274.0,23
CPT,47380,Open ablate liver tumor rf,,,152.73,24872.68,97
CPT,47381,Open ablate liver tumor cryo,,,150.97,24872.68,97
CPT,47382,"Ablation, Liver Tumor; Rf",11574.0,11574.0,1712.95,9259.2,23
CPT,47382,Percut ablate liver rf,,,455.59,10739.17,61
CPT,47383,Perq Abltj Lvr Cryoablation,15823.0,15823.0,2341.8,12658.4,23
CPT,47383,Perq abltj lvr cryoablation,,,349.5,19163.68,64
CPT,47399,"Percutaneous Cryoablation, Liver Tumor(S)",2175.0,2175.0,321.9,1740.0,23
CPT,47399,Unlisted procedure liver,,,700.04,2026.0,21
CPT,474,Anesth surgery of rib,,,11639.38,24872.68,16
CPT,47400,Incision of liver duct,,,163.5,24872.68,96
CPT,47420,Incision of bile duct,,,139.38,24872.68,96
CPT,47425,Incision of bile duct,,,145.55,24872.68,96
CPT,47460,Incise bile duct sphincter,,,145.04,24872.68,96
CPT,47480,Incision of gallbladder,,,86.35,24872.68,96
CPT,47490,Drain Cholecystostomy S&I Bct,10582.29,10582.29,1566.18,8465.83,23
CPT,47490,Incision of gallbladder,,,256.67,6850.0,60
CPT,47490,Perc. Cholecystostomy,10582.5,10582.5,1566.21,8466.0,23
CPT,47500,Injection for liver x-rays,,,5595.0,5595.0,1
CPT,47505,Injection for liver x-rays,,,5595.0,5595.0,1
CPT,47510,Insert catheter bile duct,,,5595.0,5595.0,1
CPT,47511,Insert bile duct drain,,,5595.0,5595.0,1
CPT,47525,Change bile duct catheter,,,5595.0,5595.0,1
CPT,47530,Revise/reinsert bile tube,,,5595.0,5595.0,1
CPT,47531,Injection for cholangiogram,,,67.76,6850.0,64
CPT,47531,Xr Cholangiogram Thru Cath,8238.25,8238.25,1219.26,6590.6,23
CPT,47532,Injection for cholangiogram,,,189.5,9641.0,64
CPT,47532,Xr Cholangiogram Transhepatic,5561.4,5561.4,823.09,4449.12,23
CPT,47533,Pl Bil DRN Cath Perc Ext Rad,11028.17,11028.17,1632.17,8822.54,23
CPT,47533,Plmt biliary drainage cath,,,251.5,9641.0,64
CPT,47534,Bilateral Pl Bil DRN Cath Perc Int/Ext R,10597.25,10597.25,1568.39,8477.8,23
CPT,47534,Pl Bil DRN Cath Perc Int/Ext R,13216.95,13216.95,1956.11,10573.56,23
CPT,47534,Plmt biliary drainage cath,,,352.38,9641.0,64
CPT,47535,Conv Ext Bil DRN Cath to Int/E,6591.8,6591.8,975.59,5273.44,23
CPT,47535,Conversion ext bil drg cath,,,187.27,9641.0,64
CPT,47536,Bil Exch Bil DRN Cath Perc Rad,9419.19,9419.19,1394.04,7535.35,23
CPT,47536,Exch Bil DRN Cath Perc Rad,9641.0,9641.0,1426.87,7712.8,23
CPT,47536,Exchange biliary drg cath,,,126.57,9641.0,64
CPT,47537,Bil Rmvl Bil DRN Cath Perc Fluor G,2501.25,2501.25,370.18,2001.0,23
CPT,47537,Removal biliary drg cath,,,87.29,4275.0,64
CPT,47537,Rmvl Bil DRN Cath Perc Fluor G,3201.6,3201.6,473.84,2561.28,23
CPT,47538,Perq plmt bile duct stent,,,224.13,10739.17,64
CPT,47538,Plmt Stent Bile Duct Perc Rad Exis Accs,18400.0,18400.0,2723.2,14720.0,23
CPT,47539,Perq plmt bile duct stent,,,390.37,10739.17,64
CPT,47539,Plmt Stent Bile Duct Perc Rad New Accs W/O Cath,10898.0,10898.0,1612.9,8718.4,23
CPT,47540,Perq plmt bile duct stent,,,417.2,10739.17,64
CPT,47541,Plmt access bil tree sm bwl,,,248.12,11485.36,64
CPT,47542,Dilate biliary duct/ampulla,,,116.69,2438.0,45
CPT,47542,Dilation Biliary Duct/Ampulla,5442.0,5442.0,805.42,4353.6,23
CPT,47543,Endolumin Bx Biliary Tree Perq,5895.0,5895.0,872.46,4716.0,23
CPT,47543,Endoluminal bx biliary tree,,,136.0,2438.0,45
CPT,47544,Extract Stone Duct Biliary,2246.0,2246.0,332.41,1796.8,23
CPT,47544,Removal duct glbldr calculi,,,149.18,2438.0,45
CPT,47550,Bile duct endoscopy add-on,,,23.76,6850.0,46
CPT,47552,Biliary endo perq dx w/speci,,,258.51,11485.36,63
CPT,47553,Biliary endoscopy thru skin,,,270.34,11485.36,63
CPT,47554,Biliary endoscopy thru skin,,,422.85,19163.68,63
CPT,47555,Biliary endoscopy thru skin,,,320.63,6850.0,63
CPT,47556,Biliary endoscopy thru skin,,,359.61,19163.68,63
CPT,47560,Laparoscopy w/cholangio,,,5595.0,5595.0,1
CPT,47561,Laparo w/cholangio/biopsy,,,5595.0,5595.0,1
CPT,47562,Laparoscopic cholecystectomy,,,95.53,10739.17,99
CPT,47563,Laparo cholecystectomy/graph,,,102.76,10739.17,99
CPT,47564,Laparo cholecystectomy/explr,,,122.0,19163.68,99
CPT,47564,Laparoscopic Cholecystectomy,31577.0,31577.0,4673.4,25261.6,23
CPT,47570,Laparo cholecystoenterostomy,,,109.76,24872.68,97
CPT,47579,Unlisted laps px biliary trc,,,3133.0,10739.17,25
CPT,47600,Cholecystectomy,,,99.11,24872.68,97
CPT,47605,Cholecystectomy w/cholang,,,106.74,24872.68,97
CPT,47610,Removal of gallbladder,,,132.77,24872.68,97
CPT,47612,Removal of gallbladder,,,145.85,24872.68,97
CPT,47620,Removal of gallbladder,,,147.83,24872.68,97
CPT,47630,Remove bile duct stone,,,5595.0,5595.0,1
CPT,47700,Exploration of bile ducts,,,123.29,24872.68,96
CPT,47701,Bile duct revision,,,1057.9,24872.68,60
CPT,47711,Excision of bile duct tumor,,,164.56,24872.68,96
CPT,47712,Excision of bile duct tumor,,,204.25,24872.68,96
CPT,47715,Excision of bile duct cyst,,,131.96,24872.68,96
CPT,47719,Fusion of bile duct cyst,,,850.72,850.72,6
CPT,47720,Fuse gallbladder & bowel,,,118.75,24872.68,96
CPT,47721,Fuse upper gi structures,,,142.58,24872.68,96
CPT,47740,Fuse gallbladder & bowel,,,135.68,24872.68,96
CPT,47741,Fuse gallbladder & bowel,,,162.85,24872.68,96
CPT,47760,Fuse bile ducts and bowel,,,178.82,24872.68,96
CPT,47765,Fuse liver ducts & bowel,,,185.54,24872.68,96
CPT,47780,Fuse bile ducts and bowel,,,186.58,24872.68,96
CPT,47785,Fuse bile ducts and bowel,,,213.28,24872.68,96
CPT,47800,Reconstruction of bile ducts,,,169.59,24872.68,96
CPT,47801,Placement bile duct support,,,103.44,24872.68,96
CPT,47802,Fuse liver duct & intestine,,,341.2,11639.38,11
CPT,47900,Suture bile duct injury,,,152.03,24872.68,96
CPT,47999,Unlisted px biliary tract,,,932.83,2880.0,21
CPT,48000,Drainage of abdomen,,,120.08,24872.68,96
CPT,48000,Pancreatitis Place Drain Bct,9060.0,9060.0,1340.88,7248.0,23
CPT,48001,Placement of drain pancreas,,,148.65,24872.68,96
CPT,48020,Removal of pancreatic stone,,,112.2,24872.68,96
CPT,48100,Biopsy of pancreas open,,,88.77,24872.68,96
CPT,48102,Needle biopsy pancreas,,,181.85,5612.5,64
CPT,48105,Resect/debride pancreas,,,330.14,24872.68,96
CPT,48120,Removal of pancreas lesion,,,123.6,24872.68,96
CPT,48140,Partial removal of pancreas,,,176.39,24872.68,96
CPT,48145,Partial removal of pancreas,,,189.59,24872.68,96
CPT,48146,Pancreatectomy,,,208.92,24872.68,96
CPT,48148,Removal of pancreatic duct,,,131.06,24872.68,96
CPT,48150,Partial removal of pancreas,,,353.57,24872.68,96
CPT,48152,Pancreatectomy,,,329.33,24872.68,96
CPT,48153,Pancreatectomy,,,353.32,24872.68,96
CPT,48154,Pancreatectomy,,,329.98,24872.68,96
CPT,48155,Removal of pancreas,,,212.11,24872.68,96
CPT,48160,Pancreas removal/transplant,,,2304.0,6850.0,8
CPT,48400,Injection intraop add-on,,,91.3,24872.68,60
CPT,48500,Surgery of pancreatic cyst,,,115.45,24872.68,96
CPT,48510,Drain pancreatic pseudocyst,,,107.13,24872.68,96
CPT,48520,Fuse pancreas cyst and bowel,,,125.96,24872.68,96
CPT,48540,Fuse pancreas cyst and bowel,,,154.08,24872.68,96
CPT,48545,Pancreatorrhaphy,,,133.27,24872.68,96
CPT,48547,Duodenal exclusion,,,185.67,24872.68,96
CPT,48548,Fuse pancreas and bowel,,,192.61,24872.68,96
CPT,48550,Donor pancreatectomy,,,6592.5,6850.0,3
CPT,48551,Prep donor pancreas,,,59.94,24872.68,49
CPT,48552,Prep donor pancreas/venous,,,36.98,24872.68,49
CPT,48554,Transpl allograft pancreas,,,419.26,24872.68,109
CPT,48556,Removal allograft pancreas,,,205.93,24872.68,109
CPT,48999,Unlisted procedure pancreas,,,700.04,2026.0,21
CPT,49000,Exploration of abdomen,,,98.4,24872.68,98
CPT,49002,Reopening of abdomen,,,89.49,24872.68,96
CPT,49010,Exploration behind abdomen,,,104.39,24872.68,97
CPT,49013,Prpertl pel pack hemrrg trma,,,387.91,24872.68,60
CPT,49014,Reexploration pelvic wound,,,320.76,24872.68,60
CPT,49020,Drainage abdom abscess open,,,124.57,24872.68,96
CPT,49040,Drain open abdom abscess,,,87.25,24872.68,96
CPT,49060,Drain open retroperi abscess,,,478.18,24872.68,60
CPT,49061,Drain percut retroper absc,,,246.2,246.2,6
CPT,49062,Drain to peritoneal cavity,,,101.91,24872.68,96
CPT,49082,Abd paracentesis,,,59.28,4275.0,64
CPT,49082,Abdom Paracentesis W/O Imag,2942.85,2942.85,435.54,2354.28,23
CPT,49083,Abd paracentesis w/imaging,,,91.32,4275.0,64
CPT,49083,Abdom Paracentesis W Imag,3933.13,3933.13,582.1,3146.5,23
CPT,49084,Peritoneal Lavage W Imag,3210.8,3210.8,475.2,2568.64,23
CPT,49084,Peritoneal lavage,,,83.42,4275.0,63
CPT,49180,Biopsy abdominal mass,,,79.58,5612.5,64
CPT,49180,Bx Retroperitone Mass Perc Bct,7974.0,7974.0,1180.15,6379.2,23
CPT,49185,Sclerotx Fluid Collection Perq,5722.4,5722.4,846.92,4577.92,23
CPT,49185,Sclerotx fluid collection,,,107.93,7940.0,64
CPT,49186,Opn exc/dstr ntra-abd 5 cm/<,,,175.05,24872.68,88
CPT,49187,Opn exc/dstr ntra-abd 5.1-10,,,224.08,24872.68,88
CPT,49188,Opn exc/dst ntra-abd 10.1-20,,,267.74,24872.68,88
CPT,49189,Opn exc/dst ntra-abd 20.1-30,,,311.52,24872.68,88
CPT,49190,Opn exc/dstr ntra-abd >30 cm,,,383.97,24872.68,88
CPT,49203,Exc abd tum 5 cm or less,,,266.88,11639.38,12
CPT,49204,Exc abd tum over 5 cm,,,340.06,11639.38,12
CPT,49205,Exc abd tum over 10 cm,,,390.18,11639.38,12
CPT,49215,Excise sacral spine tumor,,,172.38,24872.68,96
CPT,49250,Excision of umbilicus,,,359.51,6850.0,63
CPT,49255,Removal of omentum,,,90.98,24872.68,97
CPT,49320,Diag laparo separate proc,,,47.5,10739.17,99
CPT,49321,Laparoscopy biopsy,,,50.63,10739.17,135
CPT,49322,Laparoscopy aspiration,,,52.59,10739.17,135
CPT,49323,Laparo drain lymphocele,,,81.27,10739.17,135
CPT,49324,Lap insert tunnel ip cath,,,61.33,10739.17,117
CPT,49325,Lap revision perm ip cath,,,65.51,10739.17,117
CPT,49326,Lap w/omentopexy add-on,,,29.59,9641.0,40
CPT,49327,Lap ins device for rt,,,17.75,9641.0,46
CPT,49329,Unlstd laps px abd pertm&omn,,,2438.0,10739.17,25
CPT,49400,Air injection into abdomen,,,87.18,2438.0,44
CPT,49402,Remove foreign body adbomen,,,500.27,6850.0,63
CPT,49405,Image cath fluid colxn visc,,,186.46,9641.0,64
CPT,49405,"Img-Gde Fluid Collect Drain / Cath (Eg, Abcss, Hema, Seu",9641.0,9641.0,1426.87,7712.8,23
CPT,49406,Image cath fluid peri/retro,,,186.23,9641.0,64
CPT,49406,"Img-Gde Fluid Collect Drain / Cath (Eg, Abcss, Hema, Seu",8497.35,8497.35,1257.61,6797.88,23
CPT,49407,Image cath fluid trns/vgnl,,,198.24,5612.5,64
CPT,49411,Ins Mark Abd/Pel for Rt Perq,3129.15,3129.15,463.11,2503.32,23
CPT,49411,Ins mark abd/pel for rt perq,,,132.44,5612.5,64
CPT,49412,Ins device for rt guide open,,,69.31,24872.68,60
CPT,49418,Insert tun ip cath perc,,,193.17,9641.0,64
CPT,49418,Insertion of Tunneled Intraperitoneal Catheter,15151.25,15151.25,2242.38,12121.0,23
CPT,49419,Insert tun ip cath w/port,,,283.46,9950.14,63
CPT,49421,Ins tun ip cath for dial opn,,,222.65,6850.0,63
CPT,49422,Removal of Tunneled Intraperitoneal Catheter,9615.0,9615.0,1423.02,7692.0,23
CPT,49422,Remove tunneled ip cath,,,216.81,6850.0,63
CPT,49423,Change of Abscess Drain (Inc. Injection),7322.0,7322.0,1083.66,5857.6,23
CPT,49423,Exchange drainage catheter,,,67.58,5612.5,61
CPT,49424,Abscessogram (Tube Check),1775.0,1775.0,262.7,1420.0,23
CPT,49424,Assess cyst contrast inject,,,35.52,2438.0,44
CPT,49425,Insert Abdomen - Venous Drain,7187.0,7187.0,1063.68,5749.6,23
CPT,49425,Insert abdomen-venous drain,,,104.42,24872.68,97
CPT,49426,Revise abdomen-venous shunt,,,418.94,6850.0,63
CPT,49427,Injection abdominal shunt,,,38.33,2438.0,44
CPT,49428,Ligation of shunt,,,105.17,24872.68,60
CPT,49429,Removal of shunt,,,297.54,6850.0,61
CPT,49435,Insert subq exten to ip cath,,,18.69,2880.0,38
CPT,49436,Embedded ip cath exit-site,,,29.6,5612.5,87
CPT,49440,Gastrostomy Tube Place S&I Spv,17627.0,17627.0,2608.8,14101.6,23
CPT,49440,Place gastrostomy tube perc,,,156.78,5612.5,58
CPT,49441,J-Tube Placement Under Fluoro Guidance,5340.6,5340.6,790.41,4272.48,23
CPT,49441,Place duod/jej tube perc,,,187.31,5612.5,64
CPT,49442,Place cecostomy tube perc,,,159.59,5898.0,63
CPT,49446,Change g-tube to g-j perc,,,124.17,5612.5,64
CPT,49446,G Tube Check,10200.5,10200.5,1509.67,8160.4,23
CPT,49450,Replace G/C Tube Perc,3933.13,3933.13,582.1,3146.5,23
CPT,49450,Replace g/c tube perc,,,63.37,4275.0,63
CPT,49451,Replace Duod/Jej Tube Perc,2862.0,2862.0,423.58,2289.6,23
CPT,49451,"Replace Duod/Jej Tube Perc,Spv",6582.6,6582.6,974.22,5266.08,23
CPT,49451,Replace duod/jej tube perc,,,84.87,4275.0,63
CPT,49452,Replace G-J Tube Perc,7937.3,7937.3,1174.72,6349.84,23
CPT,49452,Replace g-j tube perc,,,130.5,4275.0,63
CPT,49460,Fix g/colon tube w/device,,,49.02,4275.0,63
CPT,49460,"Mechanical Removal Obstructive Material G-, J-, G-J, C O",2949.75,2949.75,436.56,2359.8,23
CPT,49465,"Contrast Injection for G-, J-, G-J, C Tube Radiological Evaluation",2041.25,2041.25,302.1,1633.0,23
CPT,49465,Fluoro exam of g/colon tube,,,23.45,4275.0,64
CPT,49491,Rpr hern preemie reduc,,,98.68,10739.17,133
CPT,49492,Rpr ing hern premie blocked,,,121.04,6850.0,133
CPT,49495,Rpr ing hernia baby reduc,,,55.3,6850.0,135
CPT,49496,Rpr ing hernia baby blocked,,,79.34,6850.0,135
CPT,49500,Rpr ing hernia init reduce,,,47.11,11485.36,135
CPT,49501,Rpr ing hernia init blocked,,,65.76,9641.0,135
CPT,49505,Prp i/hern init reduc >5 yr,,,58.21,6850.0,135
CPT,49507,Prp i/hern init block >5 yr,,,72.62,9641.0,135
CPT,49520,Rerepair ing hernia reduce,,,72.0,7940.0,135
CPT,49521,Rerepair ing hernia blocked,,,83.17,11485.36,135
CPT,49525,Repair ing hernia sliding,,,66.72,6850.0,135
CPT,49540,Repair lumbar hernia,,,76.28,10739.17,135
CPT,49550,Rpr rem hernia init reduce,,,63.53,6850.0,135
CPT,49553,Rpr fem hernia init blocked,,,68.18,9641.0,135
CPT,49555,Rerepair fem hernia reduce,,,70.96,6850.0,135
CPT,49557,Rerepair fem hernia blocked,,,81.6,9641.0,135
CPT,49560,Rpr ventral hern init reduc,,,2401.0,5595.0,4
CPT,49561,Rpr ventral hern init block,,,3725.0,9641.0,4
CPT,49565,Rerepair ventrl hern reduce,,,2401.0,5595.0,4
CPT,49566,Rerepair ventrl hern block,,,3725.0,9641.0,4
CPT,49568,Hernia repair w/mesh,,,1750.0,5595.0,2
CPT,49570,Rpr epigastric hern reduce,,,2401.0,5595.0,4
CPT,49572,Rpr epigastric hern blocked,,,3725.0,9641.0,4
CPT,49580,Rpr umbil hern reduc < 5 yr,,,2401.0,5595.0,4
CPT,49582,Rpr umbil hern block < 5 yr,,,3725.0,9641.0,4
CPT,49585,Rpr umbil hern reduc > 5 yr,,,2401.0,5595.0,4
CPT,49587,Rpr umbil hern block > 5 yr,,,3725.0,9641.0,4
CPT,49590,Repair spigelian hernia,,,1684.0,5595.0,4
CPT,49591,Rpr aa hrn 1st < 3 cm rdc,,,45.75,6850.0,61
CPT,49592,Rpr aa hrn 1st < 3 ncr/strn,,,63.65,10739.17,61
CPT,49593,Rpr aa hrn 1st 3-10 rdc,,,76.61,11485.36,61
CPT,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,99.81,10739.17,61
CPT,49595,Rpr aa hrn 1st > 10 rdc,,,103.04,11485.36,61
CPT,49596,Rpr aa hrn 1st > 10 ncr/strn,,,136.81,24872.68,61
CPT,49600,Repair umbilical lesion,,,85.28,6850.0,99
CPT,49605,Repair umbilical lesion,,,176.27,24872.68,97
CPT,49606,Repair umbilical lesion,,,147.73,24872.68,96
CPT,49610,Repair umbilical lesion,,,89.43,24872.68,96
CPT,49611,Repair umbilical lesion,,,88.26,24872.68,96
CPT,49613,Rpr aa hrn rcr < 3 rdc,,,56.38,6850.0,61
CPT,49614,Rpr aa hrn rcr < 3 ncr/strn,,,76.44,10739.17,61
CPT,49615,Rpr aa hrn rcr 3-10 rdc,,,85.54,11485.36,61
CPT,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,114.88,24872.68,61
CPT,49617,Rpr aa hrn rcr > 10 rdc,,,118.33,24872.68,61
CPT,49618,Rpr aa hrn rcr > 10 ncr/strn,,,165.8,24872.68,61
CPT,49621,Rpr parastomal hernia rdc,,,99.16,24872.68,61
CPT,49622,Rpr parastomal hrna ncr/strn,,,122.35,24872.68,61
CPT,49623,Rmvl ninfct mesh hernia rpr,,,26.37,2438.0,43
CPT,49650,Lap ing hernia repair init,,,55.32,10739.17,135
CPT,49651,Lap ing hernia repair recur,,,70.92,10739.17,135
CPT,49652,Lap vent/abd hernia repair,,,4334.0,9641.0,4
CPT,49653,Lap vent/abd hern proc comp,,,4334.0,9641.0,4
CPT,49654,Lap inc hernia repair,,,4334.0,9641.0,4
CPT,49655,Lap inc hern repair comp,,,4334.0,9641.0,4
CPT,49656,Lap inc hernia repair recur,,,4334.0,9641.0,4
CPT,49657,Lap inc hern recur comp,,,4334.0,9641.0,4
CPT,49659,Unlstd laps px hrnap hrnrphy,,,4312.0,10739.17,25
CPT,49900,Repair of abdominal wall,,,94.35,24872.68,96
CPT,49904,Omental flap extra-abdom,,,967.22,24872.68,60
CPT,49905,Omental flap intra-abdom,,,51.74,24872.68,96
CPT,49906,Free omental flap microvasc,,,1379.29,24872.68,54
CPT,49999,Unlisted px abd pertm&omn,,,932.83,2880.0,22
CPT,50010,Renal exploration,,,101.43,24872.68,132
CPT,50020,Drg perirnl/renal absc open,,,643.36,5612.5,61
CPT,50040,Nfros nfrot w/drg,,,641.6,24872.68,97
CPT,50045,Nephrotomy w/exploration,,,129.88,24872.68,132
CPT,50060,Nl removal calculus,,,159.28,24872.68,132
CPT,50065,Nl sec surg operj calculus,,,173.11,24872.68,132
CPT,50070,Nl comp cgen kdn abnormality,,,168.61,24872.68,132
CPT,50075,Nl rmvl lg staghorn calculus,,,210.13,24872.68,132
CPT,50080,Perq nl/pl lithotrp smpl<2cm,,,566.54,17021.0,97
CPT,50081,Perq nl/pl lithotrp cplx>2cm,,,175.5,17021.0,133
CPT,50100,Trnsxj/repos abrrnt rnl vsls,,,142.66,24872.68,132
CPT,50120,Pyelotomy w/exploration,,,134.86,24872.68,132
CPT,50125,Pyelotomy w/drg pyelostomy,,,140.3,24872.68,132
CPT,50130,Pyelotomy w/removal calculus,,,148.78,24872.68,132
CPT,50135,Pyelotomy complicated,,,246.59,11639.38,13
CPT,50200,Bx Renal Percut Trocar/Ndl Bct,9973.23,9973.23,1476.04,7978.58,23
CPT,50200,Renal biopsy perq,,,182.73,5612.5,63
CPT,50205,Renal bx surg exposure kdn,,,92.1,24872.68,132
CPT,50220,Remove kidney open,,,150.44,24872.68,132
CPT,50225,Removal kidney open complex,,,177.72,24872.68,132
CPT,50230,Removal kidney open radical,,,193.92,24872.68,168
CPT,50234,Removal of kidney & ureter,,,191.06,24872.68,132
CPT,50236,Removal of kidney & ureter,,,214.14,24872.68,132
CPT,50240,Nephrectomy partial,,,192.09,24872.68,132
CPT,50250,"Open Cryo, Renal Tumor(S) Includes US Guidance",6365.25,6365.25,942.06,5092.2,23
CPT,50250,Opn abltj 1/> rnl mas crysrg,,,154.38,24872.68,97
CPT,50280,Exc/unroofing cyst kidney,,,133.75,24872.68,132
CPT,50290,Excision perinephric cyst,,,123.3,24872.68,96
CPT,50300,Remove cadaver donor kidney,,,511.97,24872.68,30
CPT,50320,Remove kidney living donor,,,191.96,24872.68,132
CPT,50323,Prep cadaver renal allograft,,,34.93,24872.68,54
CPT,50325,Prep donor renal graft,,,34.93,24872.68,54
CPT,50327,Prep renal graft/venous,,,33.88,24872.68,54
CPT,50328,Prep renal graft/arterial,,,29.78,24872.68,54
CPT,50329,Prep renal graft/ureteral,,,28.3,24872.68,54
CPT,50340,Recipient nephrectomy,,,124.07,24872.68,132
CPT,50360,Rnl altrnsplj w/o rcp nfrct,,,282.78,24872.68,132
CPT,50365,Rnl altrnsplj w/rcp nfrct,,,336.18,24872.68,168
CPT,50370,Rmvl transplanted rnl algrft,,,129.0,24872.68,96
CPT,50380,Rnl autotrnsplj rimpltj kdn,,,171.99,24872.68,96
CPT,50382,Change ureter stent percut,,,361.32,5612.5,63
CPT,50384,"Remove Urter Stent, Percut",9762.0,9762.0,1444.78,7809.6,23
CPT,50384,Remove ureter stent percut,,,326.6,5612.5,63
CPT,50385,Change stent via transureth,,,312.9,5898.0,63
CPT,50386,"Removal, Transuretheral Approach Includes Imaging",3027.95,3027.95,448.14,2422.36,23
CPT,50386,Remove stent via transureth,,,236.99,5612.5,63
CPT,50387,Bilateral Change Ext/Int Ureter Stent,8934.9,8934.9,1322.37,7147.92,23
CPT,50387,Change Ext/Int Ureter Stent,8934.9,8934.9,1322.37,7147.92,23
CPT,50387,Change nephroureteral cath,,,119.43,5612.5,63
CPT,50389,Remove Renal Tube With Fluro,3406.3,3406.3,504.13,2725.04,23
CPT,50389,Remove renal tube w/fluoro,,,77.42,4275.0,63
CPT,50390,Aspir/Inject Renal Cyst/Pelvis,4429.0,4429.0,655.49,3543.2,23
CPT,50390,Drainage of kidney lesion,,,136.04,4275.0,63
CPT,50391,Instll rx agnt into rnal tub,,,89.42,4275.0,64
CPT,50392,Insert kidney drain,,,5595.0,5595.0,1
CPT,50393,Insert ureteral tube,,,5595.0,5595.0,1
CPT,50394,Injection for kidney x-ray,,,5595.0,5595.0,1
CPT,50395,Create passage to kidney,,,3250.0,5595.0,2
CPT,50396,Measure kidney pressure,,,129.12,4275.0,63
CPT,50398,Change kidney tube,,,62.99,5595.0,2
CPT,50400,Revision of kidney/ureter,,,164.68,24872.68,132
CPT,50405,Revision of kidney/ureter,,,206.08,24872.68,132
CPT,50430,Inj Antegrade Neph/Uret Comp,2861.2,2861.2,423.46,2288.96,23
CPT,50430,Njx px nfrosgrm &/urtrgrm,,,146.41,4275.0,64
CPT,50431,Bilateral Inj Antegrade Neph/Uret Comp,3904.25,3904.25,577.83,3123.4,23
CPT,50431,Inj Antegrade Neph/Uret Comp,3904.25,3904.25,577.83,3123.4,23
CPT,50431,Njx px nfrosgrm &/urtrgrm,,,58.13,4275.0,64
CPT,50432,Bilateral Plmt Nephrostomy Cath Prq New Access Rs&I,8231.0,8231.0,1218.19,6584.8,23
CPT,50432,Plmt Nephrostomy Cath Prq New Access Rs&I,8231.0,8231.0,1218.19,6584.8,23
CPT,50432,Plmt nephrostomy catheter,,,193.59,7940.0,64
CPT,50433,Bilateral Place Nephroureteral Cath Prq,7940.0,7940.0,1175.12,6352.0,23
CPT,50433,Place Nephroureteral Cath Prq,7940.0,7940.0,1175.12,6352.0,23
CPT,50433,Plmt nephroureteral catheter,,,238.63,7940.0,64
CPT,50434,Bil Convert Nephrostomy Cath,5430.3,5430.3,803.68,4344.24,23
CPT,50434,Convert Nephrostomy Cath,5430.3,5430.3,803.68,4344.24,23
CPT,50434,Convert nephrostomy catheter,,,182.99,5612.5,64
CPT,50435,Bilateral Chg Tube Nephro/Pyelo,7381.85,7381.85,1092.51,5905.48,23
CPT,50435,Chg Tube Nephro/Pyelo,7381.85,7381.85,1092.51,5905.48,23
CPT,50435,Exchange nephrostomy cath,,,88.97,5612.5,64
CPT,50436,Dilat xst trc ndurlgc px,,,200.87,9641.0,63
CPT,50436,Perq Dilation Xst Trc Endourologic Px W/Img,8267.35,8267.35,1223.57,6613.88,23
CPT,50437,Dilat xst trc new access rcs,,,335.12,6850.0,61
CPT,50500,Repair of kidney wound,,,168.11,24872.68,96
CPT,50520,Close kidney-skin fistula,,,146.42,24872.68,97
CPT,50525,Close nephrovisceral fistula,,,187.69,24872.68,96
CPT,50526,Close nephrovisceral fistula,,,186.62,24872.68,96
CPT,50540,Revision of horseshoe kidney,,,167.72,24872.68,96
CPT,50541,Laparo ablate renal cyst,,,118.15,19163.68,135
CPT,50542,Laparo ablate renal mass,,,150.57,19163.68,133
CPT,50543,Laparo partial nephrectomy,,,189.43,19163.68,133
CPT,50544,Laparoscopy pyeloplasty,,,162.76,19163.68,135
CPT,50545,Laparo radical nephrectomy,,,205.49,24872.68,132
CPT,50546,Laparoscopic nephrectomy,,,151.01,24872.68,133
CPT,50547,Laparo removal donor kidney,,,194.02,24872.68,133
CPT,50548,Laparo remove w/ureter,,,177.18,24872.68,133
CPT,50549,Unlisted laps px renal,,,3133.0,10739.17,25
CPT,50551,Kidney endoscopy,,,252.29,9357.3,64
CPT,50553,Kidney endoscopy,,,258.01,9357.3,64
CPT,50555,Kidney endoscopy & biopsy,,,330.26,17021.0,64
CPT,50557,Kidney endoscopy & treatment,,,334.9,17021.0,64
CPT,50559,RENAL ENDOSCOPY-RADIOTRACER,,,282.08,282.08,6
CPT,50561,Kidney endoscopy & treatment,,,378.49,9357.3,64
CPT,50562,Renal scope w/tumor resect,,,79.85,17021.0,99
CPT,50570,Kidney endoscopy,,,584.91,6850.0,63
CPT,50572,Kidney endoscopy,,,664.1,4275.0,63
CPT,50574,Kidney endoscopy & biopsy,,,815.34,6348.43,63
CPT,50575,Kidney endoscopy,,,1034.01,9357.3,60
CPT,50576,Kidney endoscopy & treatment,,,816.99,17021.0,61
CPT,50578,RENAL ENDOSCOPY-RADIOTRACER,,,506.86,506.86,6
CPT,50580,Kidney endoscopy & treatment,,,774.59,9357.3,61
CPT,50590,Fragmenting of kidney stone,,,466.63,9641.0,100
CPT,50592,"Ablation, Renal Tumor, Rf",20047.0,20047.0,2966.96,16037.6,23
CPT,50592,Perc rf ablate renal tumor,,,263.54,10739.17,100
CPT,50593,Perc cryo ablate renal tum,,,70.45,19163.68,136
CPT,50593,"Percutaneous Cryoablation, Renal Tumor(S)",25310.0,25310.0,3745.88,20248.0,23
CPT,50600,Exploration of ureter,,,131.42,24872.68,133
CPT,50605,Insert ureteral support,,,120.2,24872.68,133
CPT,50606,Endoluminal bx urtr rnl plvs,,,137.75,2438.0,45
CPT,50610,Removal of ureter stone,,,138.23,24872.68,133
CPT,50620,Removal of ureter stone,,,131.81,24872.68,133
CPT,50630,Removal of ureter stone,,,133.83,24872.68,133
CPT,50650,Removal of ureter,,,148.3,24872.68,133
CPT,50660,Removal of ureter,,,163.02,24872.68,97
CPT,50684,Injection for ureter x-ray,,,37.38,2438.0,45
CPT,50686,Measure ureter pressure,,,50.0,4275.0,63
CPT,50688,Change of Ureter Tube/Stent,3943.35,3943.35,583.62,3154.68,23
CPT,50688,Change of ureter tube/stent,,,53.94,5612.5,63
CPT,50690,Inject for Ureter X-Ray,1775.0,1775.0,262.7,1420.0,23
CPT,50690,Injection for ureter x-ray,,,49.15,2438.0,45
CPT,50693,Plmt Ureteral Stent Prq Neph/Ureterogram Pre-Exist,6450.35,6450.35,954.65,5160.28,23
CPT,50693,Plmt ureteral stent prq,,,191.47,9641.0,64
CPT,50694,Plmt Ureteral Stent Prq Neph/Ureterogram New Acces,6450.35,6450.35,954.65,5160.28,23
CPT,50694,Plmt ureteral stent prq,,,247.39,9641.0,64
CPT,50695,Plmt Ureteral Stent Prq Nep/Urt New Acces Sep Cath,6450.35,6450.35,954.65,5160.28,23
CPT,50695,Plmt ureteral stent prq,,,313.92,9641.0,64
CPT,50700,Revision of ureter,,,145.02,24872.68,114
CPT,50705,Ureteral embolization/occl,,,176.38,4092.67,45
CPT,50706,Ball Dilat Ureteral Stricture,3163.0,3163.0,468.12,2530.4,23
CPT,50706,Balloon dilate urtrl strix,,,164.14,2438.0,45
CPT,50715,Release of ureter,,,159.65,24872.68,132
CPT,50722,Release of ureter,,,138.35,24872.68,96
CPT,50725,Release/revise ureter,,,156.65,24872.68,96
CPT,50727,Revise ureter,,,73.25,6850.0,132
CPT,50728,Revise ureter,,,105.68,24872.68,132
CPT,50740,Fusion of ureter & kidney,,,158.39,24872.68,132
CPT,50750,Fusion of ureter & kidney,,,166.59,24872.68,132
CPT,50760,Ureteroureterostomy,,,158.77,24872.68,132
CPT,50770,Splicing of ureters,,,169.8,24872.68,96
CPT,50780,Reimplant ureter in bladder,,,159.04,24872.68,132
CPT,50782,Reimplant ureter in bladder,,,167.44,24872.68,168
CPT,50783,Reimplant ureter in bladder,,,173.14,24872.68,168
CPT,50785,Reimplant ureter in bladder,,,176.99,24872.68,132
CPT,50800,Implant ureter in bowel,,,140.5,24872.68,132
CPT,50810,Fusion of ureter & bowel,,,174.52,24872.68,96
CPT,50815,Urine shunt to intestine,,,188.16,24872.68,132
CPT,50820,Construct bowel bladder,,,197.86,24872.68,132
CPT,50825,Construct bowel bladder,,,256.65,24872.68,96
CPT,50830,Revise urine flow,,,261.8,24872.68,96
CPT,50840,Replace ureter by bowel,,,170.68,24872.68,132
CPT,50845,Appendico-vesicostomy,,,172.86,24872.68,96
CPT,50860,Transplant ureter to skin,,,132.97,24872.68,132
CPT,50900,Repair of ureter,,,119.28,24872.68,132
CPT,50920,Closure ureter/skin fistula,,,122.9,24872.68,96
CPT,50930,Closure ureter/bowel fistula,,,157.69,24872.68,96
CPT,50940,Release of ureter,,,126.65,24872.68,132
CPT,50945,Laparoscopy ureterolithotomy,,,124.92,10739.17,135
CPT,50947,Laparo new ureter/bladder,,,215.53,19163.68,135
CPT,50948,Laparo new ureter/bladder,,,199.27,19163.68,135
CPT,50949,Unlisted laps px ureter,,,4312.0,10739.17,25
CPT,50951,Endoscopy of ureter,,,252.67,6348.43,64
CPT,50953,Endoscopy of ureter,,,267.65,6850.0,64
CPT,50955,Ureter endoscopy & biopsy,,,300.51,9357.3,64
CPT,50957,Ureter endoscopy & treatment,,,303.01,9357.3,64
CPT,50959,URETER ENDOSCOPY & TRACER,,,225.63,225.63,6
CPT,50961,Ureter endoscopy & treatment,,,275.58,9357.3,64
CPT,50970,Ureter endoscopy,,,537.66,6348.43,63
CPT,50972,Ureter endoscopy & catheter,,,435.57,6850.0,63
CPT,50974,Ureter endoscopy & biopsy,,,685.7,9357.3,63
CPT,50976,Ureter endoscopy & treatment,,,676.35,9357.3,63
CPT,50978,URETER ENDOSCOPY & TRACER,,,270.96,270.96,6
CPT,50980,Ureter endoscopy & treatment,,,473.18,9357.3,63
CPT,51020,Cystotomy/cystostomy w/fulg,,,67.24,6348.43,99
CPT,51030,Incise & treat bladder,,,546.63,6850.0,13
CPT,51040,Incise & drain bladder,,,46.16,5612.5,99
CPT,51045,Incise bladder/drain ureter,,,62.77,5612.5,99
CPT,51050,Removal of bladder stone,,,68.29,9357.3,99
CPT,51060,Removal of ureter stone,,,88.08,6860.0,96
CPT,51065,Remove ureter calculus,,,418.07,6850.0,63
CPT,51080,Drainage of bladder abscess,,,58.4,6850.0,99
CPT,51100,Drain Bladder by Needle,2041.25,2041.25,302.1,1633.0,23
CPT,51100,Drain bladder by needle,,,29.55,4275.0,64
CPT,51101,Aspirate Bladder (Diagnostic) by Trocar/Catheter,2041.25,2041.25,302.1,1633.0,23
CPT,51101,Drain bladder by trocar/cath,,,39.06,5612.5,64
CPT,51102,Drain bl w/cath insertion,,,137.26,5612.5,64
CPT,51102,Drainage of Bladder,6341.0,6341.0,938.47,5072.8,23
CPT,51500,Removal of bladder cyst,,,88.55,10739.17,99
CPT,51520,Removal of bladder lesion,,,87.54,6348.43,99
CPT,51525,Removal of bladder lesion,,,122.3,24872.68,96
CPT,51530,Removal of bladder lesion,,,109.45,24872.68,96
CPT,51535,Repair of ureter lesion,,,106.56,6850.0,132
CPT,51550,Partial removal of bladder,,,133.81,24872.68,96
CPT,51555,Partial removal of bladder,,,172.86,24872.68,96
CPT,51565,Revise bladder & ureter(s),,,185.73,24872.68,96
CPT,51570,Removal of bladder,,,201.37,24872.68,96
CPT,51575,Removal of bladder & nodes,,,261.2,24872.68,96
CPT,51580,Remove bladder/revise tract,,,257.36,24872.68,96
CPT,51585,Removal of bladder & nodes,,,297.32,24872.68,96
CPT,51590,Remove bladder/revise tract,,,279.04,24872.68,96
CPT,51595,Remove bladder/revise tract,,,331.92,24872.68,96
CPT,51596,Remove bladder/create pouch,,,350.45,24872.68,96
CPT,51597,Removal of pelvic structures,,,333.21,24872.68,96
CPT,51600,Inject Cystography/Voiding,1775.0,1775.0,262.7,1420.0,23
CPT,51600,Injection for bladder x-ray,,,37.59,1750.0,44
CPT,51605,Preparation for bladder xray,,,29.49,1750.0,44
CPT,51610,Inject Cystography/Void Retro,1775.0,1775.0,262.7,1420.0,23
CPT,51610,Injection for bladder x-ray,,,44.15,1750.0,44
CPT,51700,Badder Irrig/Instill Simple,2041.25,2041.25,302.1,1633.0,23
CPT,51700,Irrigation of bladder,,,29.06,4275.0,64
CPT,51701,Insert Straight Cath,2041.25,2041.25,302.1,1633.0,23
CPT,51701,Insert Straight Cath in & Out,2041.25,2041.25,302.1,1633.0,23
CPT,51701,Insert bladder catheter,,,23.14,4275.0,64
CPT,51702,Cath Insert Indwelling,2041.25,2041.25,302.1,1633.0,46
CPT,51702,Insert temp bladder cath,,,24.12,4275.0,64
CPT,51703,Insert Complicated Cath,2318.4,2318.4,343.12,1854.72,23
CPT,51703,Insert bladder cath complex,,,69.12,4275.0,64
CPT,51703,"Urinary Cath, Indwelling",2041.25,2041.25,302.1,1633.0,23
CPT,51705,Change of bladder tube,,,51.23,4275.0,63
CPT,51705,Cystostomy Tube,2041.25,2041.25,302.1,1633.0,23
CPT,51710,Change Cysto Tube Complicated,4550.55,4550.55,673.48,3640.44,23
CPT,51710,Change of bladder tube,,,74.74,4275.0,64
CPT,51715,Endoscopic injection/implant,,,194.41,6850.0,63
CPT,51720,Instill Bladder Anticancer Age,2366.7,2366.7,350.27,1893.36,23
CPT,51720,Treatment of bladder lesion,,,42.84,4275.0,63
CPT,51721,Ins trurl ablt trnsdc thr us,,,178.41,2880.0,41
CPT,51725,"Cystometrogram, Simple",1871.0,1871.0,276.91,1496.8,23
CPT,51725,Simple cystometrogram,,,14.02,2438.0,96
CPT,51726,Complex cystometrogram,,,17.84,2438.0,96
CPT,51726,"Cystometrogram, Complex",2175.0,2175.0,321.9,1740.0,23
CPT,51727,Cystometrogram w/up,,,50.0,2438.0,96
CPT,51728,Cystometrogram w/vp,,,50.0,2438.0,96
CPT,51729,Cystometrogram W/Vp&Up,2394.0,2394.0,354.31,1915.2,23
CPT,51729,Cystometrogram w/vp&up,,,50.0,2438.0,96
CPT,51736,Urine flow measurement,,,5.42,1473.0,95
CPT,51741,Electro-uroflowmetry first,,,5.85,1473.0,95
CPT,51741,"Uroflowmetry, Complex",1775.0,1775.0,262.7,1420.0,23
CPT,51772,Urethra pressure profile,,,15.93,71.4,12
CPT,51784,Anal/urinary muscle study,,,14.35,1473.0,95
CPT,51784,"Emg Anal or Urethral Sphincter, Other Than Needle",1775.0,1775.0,262.7,1420.0,23
CPT,51785,Anal/urinary muscle study,,,14.35,2438.0,96
CPT,51792,Urinary reflex study,,,49.06,1473.0,95
CPT,51795,Urine voiding pressure study,,,32.15,68.95,12
CPT,51797,Intra-Abdominal Pressure Test,2041.25,2041.25,302.1,1633.0,23
CPT,51797,Intraabdominal pressure test,,,16.89,2438.0,80
CPT,51798,Residual Urine by Ultrasound,1775.0,1775.0,262.7,1420.0,23
CPT,51798,Us urine capacity measure,,,11.37,1473.0,59
CPT,51800,Revision of bladder/urethra,,,147.87,24872.68,97
CPT,51820,Revision of urinary tract,,,141.03,24872.68,97
CPT,51840,Attach bladder/urethra,,,98.19,24872.68,97
CPT,51841,Attach bladder/urethra,,,119.03,24872.68,97
CPT,51845,Repair bladder neck,,,91.71,9086.4,97
CPT,51860,Repair of bladder wound,,,104.19,17021.0,97
CPT,51865,Repair of bladder wound,,,131.45,24872.68,97
CPT,51880,Repair of bladder opening,,,67.48,6850.0,99
CPT,51900,Repair bladder/vagina lesion,,,120.17,24872.68,97
CPT,51920,Close bladder-uterus fistula,,,100.71,24872.68,97
CPT,51925,Hysterectomy/bladder repair,,,133.38,24872.68,96
CPT,51940,Correction of bladder defect,,,229.76,24872.68,96
CPT,51960,Revision of bladder & bowel,,,211.53,24872.68,96
CPT,51980,Construct bladder opening,,,98.16,24872.68,96
CPT,51990,Laparo urethral suspension,,,96.91,10739.17,99
CPT,51992,Laparo sling operation,,,105.48,10739.17,99
CPT,51999,Unlisted laps px bladder,,,3133.0,10739.17,22
CPT,52000,Cystourethroscopy,4153.0,4153.0,77.99,4275.0,87
CPT,52001,Cysto w/irrg&evac mlt clots,,,126.7,6850.0,63
CPT,52005,Cysto w/urtrl cathj,,,129.81,5612.5,63
CPT,52005,Cystourethro W Ureteral Cath,7768.25,7768.25,1149.7,6214.6,23
CPT,52007,Cysto urtrl cathj brush bx,,,242.85,6850.0,63
CPT,52010,Cystoscopy & duct catheter,,,161.22,4275.0,63
CPT,52204,Cystoscopy w/biopsy(s),,,131.88,5612.5,64
CPT,52214,Cystoscopy and treatment,,,169.86,6348.43,64
CPT,52224,Cystoscopy and treatment,,,170.83,6348.43,64
CPT,52224,Cystourethroscopy W/ Fulguration <.5cm Lesn,5886.0,5886.0,871.13,4708.8,23
CPT,52234,Cystoscopy and treatment,,,238.24,6850.0,64
CPT,52234,Cystourethroscopy With Fulguration Small Bladder Tumor(S),9902.0,9902.0,1465.5,7921.6,23
CPT,52235,Cystoscopy and treatment,,,279.02,6850.0,64
CPT,52240,Cystoscopy and treatment,,,378.59,9357.3,64
CPT,52250,Cystoscopy and radiotracer,,,221.99,6850.0,63
CPT,52260,Cystoscopy and treatment,,,186.7,5612.5,63
CPT,52265,Cystoscopy and treatment,,,124.56,5612.5,64
CPT,52270,Cystoscopy & revise urethra,,,176.9,5612.5,64
CPT,52275,Cystoscopy & revise urethra,,,239.41,5612.5,64
CPT,52276,Cystoscopy and treatment,,,256.18,5612.5,64
CPT,52277,Cystoscopy and treatment,,,312.68,6850.0,63
CPT,52281,Cystoscopy and treatment,,,127.27,5612.5,64
CPT,52281,Perc Dilate Ureter W Balloon,8277.7,8277.7,1225.1,6622.16,23
CPT,52282,Cystoscopy implant stent,,,324.55,9641.0,64
CPT,52283,Cystoscopy and treatment,,,169.25,5612.5,64
CPT,52284,Cysto W/Dilat Rx Balo Cath Urtl Strix/Sten Male,12213.0,12213.0,1807.52,9770.4,23
CPT,52284,Cysto rx balo cath urtl strx,,,135.68,9357.3,62
CPT,52285,Cystoscopy and treatment,,,163.92,4275.0,64
CPT,52287,Cystoscopy chemodenervation,,,142.82,5898.0,64
CPT,52290,Cystoscopy and treatment,,,216.46,5612.5,63
CPT,52300,Cystoscopy and treatment,,,263.78,6850.0,63
CPT,52301,Cystoscopy and treatment,,,272.35,6850.0,63
CPT,52305,Cystoscopy and treatment,,,264.42,9357.3,63
CPT,52310,Cysto W Stent Removal,9687.6,9687.6,1433.76,7750.08,23
CPT,52310,Cystoscopy and treatment,,,147.52,5612.5,64
CPT,52315,Cystoscopy and Treatment,11632.25,11632.25,1721.57,9305.8,23
CPT,52315,Cystoscopy and treatment,,,265.68,5612.5,64
CPT,52317,Remove bladder stone,,,335.65,6850.0,64
CPT,52318,Remove bladder stone,,,457.77,6850.0,63
CPT,52320,Cystoscopy and treatment,,,358.47,6850.0,63
CPT,52325,Cystoscopy stone removal,,,464.19,9357.3,63
CPT,52327,Cystoscopy inject material,,,375.8,9357.3,63
CPT,52330,Cystoscopy and treatment,,,253.49,6850.0,64
CPT,52332,Cysto W Ureter Stent Plcmnt,10091.0,10091.0,1493.47,8072.8,46
CPT,52332,Cystoscopy and treatment,,,162.48,6850.0,64
CPT,52334,Create passage to kidney,,,178.19,6850.0,63
CPT,52341,Cysto w/ureter stricture tx,,,412.16,6348.43,63
CPT,52342,Cysto w/up stricture tx,,,448.95,6850.0,63
CPT,52343,Cysto w/renal stricture tx,,,499.94,6348.43,63
CPT,52344,Cysto/uretero stricture tx,,,536.13,6850.0,63
CPT,52345,Cysto/uretero w/up stricture,,,571.83,6850.0,63
CPT,52346,Cystouretero w/renal strict,,,646.82,9357.3,63
CPT,52347,CYSTURETHRSCPY W/TU RES/INCI EJACULATORY DUCTS,,,268.49,268.49,6
CPT,52351,Cystouretero & or pyeloscope,,,293.49,6348.43,63
CPT,52352,Cystouretero w/stone remove,,,514.61,6850.0,63
CPT,52353,Cystouretero w/lithotripsy,,,567.89,9357.3,63
CPT,52354,Cystouretero w/biopsy,,,605.78,9357.3,63
CPT,52355,Cystouretero w/excise tumor,,,678.77,9357.3,63
CPT,52356,"Cysto, W/ Ureter and/or Pyelo; W/ Litho Inc Inst of Ind",12605.0,12605.0,1865.54,10084.0,23
CPT,52356,Cysto/uretero w/lithotripsy,,,538.04,9641.0,63
CPT,524,Anesth chest drainage,,,11639.38,24872.68,16
CPT,52400,Cystouretero w/congen repr,,,387.13,6850.0,63
CPT,52402,Cystourethro cut ejacul duct,,,241.36,6850.0,63
CPT,52441,Cystourethro w/implant,,,197.27,6850.0,48
CPT,52442,Cystourethro w/addl implant,,,49.35,6850.0,48
CPT,52450,Incision of prostate,,,357.71,6850.0,63
CPT,52500,Revision of bladder neck,,,403.77,6850.0,63
CPT,52510,Dilation prostatic urethra,,,432.86,432.86,6
CPT,52601,Prostatectomy (turp),,,591.78,9357.3,63
CPT,52630,Remove prostate regrowth,,,332.85,9357.3,63
CPT,52640,Relieve bladder contracture,,,265.85,6850.0,63
CPT,52647,Laser surgery of prostate,,,509.95,9641.0,64
CPT,52648,Laser surgery of prostate,,,564.51,9641.0,63
CPT,52649,Prostate laser enucleation,,,623.17,9641.0,63
CPT,52700,Drainage of prostate abscess,,,306.5,6850.0,63
CPT,53000,Incision of urethra,,,116.97,5612.5,64
CPT,53010,Incision of urethra,,,199.68,9357.3,63
CPT,53020,Incision of urethra,,,82.46,5612.5,64
CPT,53025,Incision of urethra,,,57.49,5612.5,62
CPT,53040,Drainage of urethra abscess,,,321.6,6348.43,64
CPT,53060,Drainage of urethra abscess,,,131.86,5612.5,62
CPT,53080,Drainage of urinary leakage,,,337.28,4275.0,63
CPT,53085,Drainage of urinary leakage,,,95.69,5612.5,96
CPT,53200,Biopsy of urethra,,,118.49,5612.5,64
CPT,53210,Removal of urethra,,,103.24,6850.0,99
CPT,53215,Removal of urethra,,,130.5,9357.3,99
CPT,53220,Treatment of urethra lesion,,,324.42,6850.0,63
CPT,53230,Removal of urethra lesion,,,86.99,9357.3,99
CPT,53235,Removal of urethra lesion,,,82.38,9357.3,99
CPT,53240,Surgery for urethra pouch,,,300.59,6348.43,63
CPT,53250,Removal of urethra gland,,,275.29,6850.0,63
CPT,53260,Treatment of urethra lesion,,,143.3,6348.43,64
CPT,53265,Treatment of urethra lesion,,,149.7,5612.5,64
CPT,53270,Removal of urethra gland,,,144.83,6348.43,64
CPT,53275,Repair of urethra defect,,,189.87,6348.43,63
CPT,53400,Revise urethra stage 1,,,106.21,9357.3,99
CPT,53405,Revise urethra stage 2,,,124.45,9357.3,99
CPT,53410,Reconstruction of urethra,,,131.46,9357.3,99
CPT,53415,Reconstruction of urethra,,,157.76,24872.68,96
CPT,53420,Reconstruct urethra stage 1,,,645.56,9357.3,63
CPT,53425,Reconstruct urethra stage 2,,,131.44,9357.3,99
CPT,53430,Reconstruction of urethra,,,127.41,9357.3,99
CPT,53431,Reconstruct urethra/bladder,,,161.17,9357.3,99
CPT,53440,Male sling procedure,,,118.12,23914.84,99
CPT,53442,Remove/revise male sling,,,73.11,9357.3,99
CPT,53444,Insert tandem cuff,,,115.88,37050.17,99
CPT,53445,Insert uro/ves nck sphincter,,,118.96,37050.17,99
CPT,53446,Remove uro sphincter,,,101.13,9357.3,99
CPT,53447,Remove/replace ur sphincter,,,113.38,37050.17,99
CPT,53448,Remov/replc ur sphinctr comp,,,193.61,24872.68,96
CPT,53449,Repair uro sphincter,,,89.74,17021.0,99
CPT,53450,Revision of urethra,,,264.83,6348.43,63
CPT,53451,Tprnl balo cntnc dev bi,,,3923.0,23914.84,25
CPT,53452,Tprnl balo cntnc dev uni,,,3133.0,17021.0,25
CPT,53453,Tprnl balo cntnc dev rmvl ea,,,2891.0,6850.0,25
CPT,53454,Tprnl balo cntnc dev adjmt,,,241.98,4275.0,25
CPT,53460,Revision of urethra,,,292.4,6348.43,63
CPT,53500,Urethrlys transvag w/ scope,,,99.44,6850.0,97
CPT,53502,Repair of urethra injury,,,349.89,6850.0,63
CPT,53505,Repair of urethra injury,,,67.05,9357.3,99
CPT,53510,Repair of urethra injury,,,88.92,9357.3,99
CPT,53515,Repair of urethra injury,,,112.89,9357.3,99
CPT,53520,Repair of urethra defect,,,392.41,9357.3,63
CPT,53600,Dilate Urethra Stricture Male Initial,2041.25,2041.25,302.1,1633.0,23
CPT,53600,Dilate urethra stricture,,,49.4,4275.0,64
CPT,53601,Dilate Stricture Male Subseq,2041.25,2041.25,302.1,1633.0,23
CPT,53601,Dilate urethra stricture,,,40.34,4275.0,64
CPT,53605,Dilate urethra stricture,,,57.33,6348.43,63
CPT,53620,Dilate urethra stricture,,,66.59,4275.0,62
CPT,53621,Dilate urethra stricture,,,55.34,4275.0,64
CPT,53660,Dilation of urethra,,,29.73,4275.0,64
CPT,53661,Dilation of urethra,,,29.72,4275.0,63
CPT,53665,Dilation of urethra,,,35.75,5612.5,63
CPT,53850,Prostatic microwave thermotx,,,292.08,6850.0,62
CPT,53852,Prostatic rf thermotx,,,312.4,6860.0,62
CPT,53854,Trurl dstrj prst8 tiss rf wv,,,312.4,9641.0,64
CPT,53855,Insert prost urethral stent,,,50.0,5612.5,64
CPT,53860,Transurethral rf treatment,,,182.49,7940.0,64
CPT,53865,Cysto insj dev ischmc rmdlg,,,135.43,17021.0,55
CPT,53866,Cathj rmvl dev ischmc rmdlg,,,67.8,1473.0,55
CPT,53899,Unlisted px urinary system,,,241.98,2438.0,22
CPT,540,Anesth chest surgery,,,11639.38,24872.68,16
CPT,54000,Slitting of prepuce,,,82.06,6348.43,64
CPT,54001,Dorsal Slit Exc Newborn,8016.0,8016.0,1186.37,6412.8,23
CPT,54001,Slitting of prepuce,,,111.29,5612.5,64
CPT,54015,Drain penis lesion,,,236.5,5612.5,64
CPT,54050,Destruction penis lesion(s),,,50.0,4275.0,63
CPT,54050,"Les, Dest, Chem Penis, Simple",2041.25,2041.25,302.1,1633.0,23
CPT,54055,Destruction penis lesion(s),,,65.42,5612.5,61
CPT,54056,Cryosurg Penis Lesion(S) Simpl,2041.25,2041.25,302.1,1633.0,23
CPT,54056,Cryosurgery penis lesion(s),,,50.0,4275.0,63
CPT,54057,Laser surg penis lesion(s),,,76.23,5612.5,64
CPT,54060,Excision of penis lesion(s),,,104.42,5612.5,64
CPT,54065,Destruction Penis Lesion(S),7192.0,7192.0,1064.42,5753.6,23
CPT,54065,Destruction penis lesion(s),,,130.88,5612.5,64
CPT,54100,Biopsy of Penis,5537.81,5537.81,819.6,4430.25,23
CPT,54100,Biopsy of penis,,,83.98,5612.5,64
CPT,54105,Biopsy of penis,,,163.42,6850.0,64
CPT,54110,Treatment of penis lesion,,,88.69,6860.0,99
CPT,54111,Treat penis lesion graft,,,118.39,9357.3,99
CPT,54112,Treat penis lesion graft,,,138.35,17021.0,99
CPT,54115,Treatment of penis lesion,,,67.44,6850.0,100
CPT,54120,Partial removal of penis,,,88.98,6850.0,99
CPT,54125,Removal of penis,,,125.0,24872.68,97
CPT,54130,Remove penis & nodes,,,175.19,24872.68,96
CPT,54135,Remove penis & nodes,,,222.38,24872.68,96
CPT,54150,Circumcision,5758.05,5758.05,852.19,4606.44,23
CPT,54150,Circumcision w/regionl block,,,93.76,5612.5,64
CPT,54160,Circumcision neonate,,,113.92,4275.0,64
CPT,54161,Circum 28 Days or Older,7355.4,7355.4,1088.6,5884.32,23
CPT,54161,Circum 28 days or older,,,140.14,5612.5,63
CPT,54162,Lysis penil circumic lesion,,,157.96,5612.5,63
CPT,54163,Repair of circumcision,,,160.04,5612.5,63
CPT,54164,Frenulotomy of penis,,,140.67,5612.5,63
CPT,542,Anesthesia removal pleura,,,11639.38,24872.68,16
CPT,54200,Injection px peyronie ds,,,43.79,4275.0,63
CPT,54205,Njx px peyronie ds exps plaq,,,72.49,9357.3,99
CPT,54220,Irrg crpra cavrnosa priapism,,,119.96,4275.0,64
CPT,54220,Treatment of Penis Lesion,2041.25,2041.25,302.1,1633.0,23
CPT,54230,Njx corpora cavernosograpy,,,63.04,2438.0,45
CPT,54231,Dynamic cavernosometry,,,103.62,4275.0,61
CPT,54235,Njx corpora cavernosa rx agt,,,49.42,4275.0,63
CPT,54235,Penile Injection,2966.425,2966.425,302.1,3113.28,46
CPT,54240,Penile plethysmography,,,18.14,4275.0,99
CPT,54250,Nctrnl pen tmscn&/rgdity tst,,,11.16,4275.0,99
CPT,54300,Revision of penis,,,95.0,6860.0,99
CPT,54304,Revision of penis,,,113.1,6860.0,99
CPT,54308,Reconstruction of urethra,,,100.69,9357.3,99
CPT,54312,Reconstruction of urethra,,,122.12,6850.0,99
CPT,54316,Reconstruction of urethra,,,150.58,17021.0,99
CPT,54318,Reconstruction of urethra,,,103.03,6850.0,99
CPT,54322,Reconstruction of urethra,,,111.41,6850.0,99
CPT,54324,Reconstruction of urethra,,,144.09,6860.0,99
CPT,54326,Reconstruction of urethra,,,138.57,6348.43,99
CPT,54328,Revise penis/urethra,,,137.39,6860.0,99
CPT,54332,Revise penis/urethra,,,151.79,6850.0,97
CPT,54336,Revise penis/urethra,,,185.75,6850.0,97
CPT,54340,Rpr hypspad comp simple,,,83.26,6850.0,99
CPT,54344,Rrp hypspad comp moblj&urtp,,,147.9,17021.0,99
CPT,54348,Rpr hypspad comp dsj & urtp,,,150.71,9357.3,99
CPT,54352,Revj prior hypspad repair,,,208.22,9357.3,99
CPT,54360,Penis plastic surgery,,,102.76,6860.0,99
CPT,54380,Repair penis,,,120.67,5612.5,99
CPT,54385,Repair penis,,,139.22,5612.5,99
CPT,54390,Repair penis and bladder,,,186.96,24872.68,96
CPT,54400,Insert semi-rigid prosthesis,,,418.85,23914.84,57
CPT,54401,Insert self-contd prosthesis,,,525.2,37050.17,57
CPT,54405,Insert multi-comp penis pros,,,126.81,37050.17,87
CPT,54406,Remove muti-comp penis pros,,,94.96,6850.0,99
CPT,54408,Repair multi-comp penis pros,,,124.32,9357.3,87
CPT,54410,Remove/replace penis prosth,,,118.32,37050.17,99
CPT,54411,Remov/replc penis pros comp,,,161.28,37050.17,85
CPT,54415,Remove self-contd penis pros,,,83.84,6850.0,87
CPT,54416,Remv/repl penis contain pros,,,112.79,37050.17,87
CPT,54417,Remv/replc penis pros compl,,,141.04,23914.84,85
CPT,54420,Revision of penis,,,102.94,6348.43,99
CPT,54430,Revision of penis,,,91.51,24872.68,96
CPT,54435,Revision of penis,,,288.33,6348.43,63
CPT,54437,Repair corporeal tear,,,94.71,7940.0,99
CPT,54438,Replantation of penis,,,294.07,15725.0,11
CPT,54440,Repair of penis,,,76.79,6850.0,99
CPT,54450,Paraphimosis Reduction,2041.25,2041.25,302.1,1633.0,23
CPT,54450,Preputial stretching,,,54.93,4275.0,64
CPT,54500,Biopsy of testis,,,57.95,6850.0,64
CPT,54505,Biopsy of testis,,,148.17,6850.0,99
CPT,54512,Excise lesion testis,,,408.64,6850.0,99
CPT,54520,Orchiectomy Simple,7139.0,7139.0,1056.57,5711.2,23
CPT,54520,Removal of testis,,,254.9,6348.43,99
CPT,54522,Orchiectomy partial,,,92.44,6348.43,135
CPT,54530,Removal of testis,,,78.22,6850.0,135
CPT,54535,Extensive testis surgery,,,105.4,6850.0,132
CPT,54550,Exploration for testis,,,67.23,6850.0,135
CPT,54560,Exploration for testis,,,96.23,5612.5,133
CPT,546,Anesth lung chest wall surg,,,11639.38,24872.68,16
CPT,54600,Reduce testis torsion,,,299.87,6348.43,99
CPT,54620,Suspension of testis,,,213.41,6850.0,99
CPT,54640,Orchiopexy ingun/scrot appr,,,340.34,6850.0,99
CPT,54650,Orchiopexy (fowler-stephens),,,98.49,6850.0,133
CPT,54660,Revision of testis,,,284.33,9357.3,87
CPT,54670,Repair testis injury,,,277.45,6348.43,99
CPT,54680,Relocation of testis(es),,,108.33,6348.43,135
CPT,54690,Laparoscopy orchiectomy,,,94.38,10739.17,135
CPT,54692,Laparoscopy orchiopexy,,,484.3,10739.17,99
CPT,54699,Unlisted laps px testis,,,3133.0,10739.17,22
CPT,54700,Drainage of scrotum,,,169.11,5612.5,100
CPT,54800,Biopsy of epididymis,,,124.52,5612.5,64
CPT,54830,Remove epididymis lesion,,,234.78,6348.43,99
CPT,54840,Remove epididymis lesion,,,247.25,5612.5,99
CPT,54860,Removal of epididymis,,,288.15,6348.43,63
CPT,54861,Removal of epididymis,,,398.34,6850.0,63
CPT,54865,Explore epididymis,,,222.23,6348.43,63
CPT,54900,Fusion of spermatic ducts,,,553.82,5612.5,63
CPT,54901,Fusion of spermatic ducts,,,765.99,6850.0,63
CPT,55000,Aspiration of Hydrocele,2610.5,2610.5,386.35,2088.4,23
CPT,55000,Drainage of hydrocele,,,50.0,4275.0,63
CPT,55040,Removal of hydrocele,,,251.41,6850.0,63
CPT,55041,Removal of hydroceles,,,363.02,6850.0,63
CPT,55060,Repair of hydrocele,,,246.13,6348.43,99
CPT,55100,Drainage of scrotum abscess,,,133.25,5612.5,64
CPT,55100,I&D Abscess Scrotum,8873.4,8873.4,1313.26,7098.72,23
CPT,55110,Explore scrotum,,,241.94,6850.0,63
CPT,55120,Removal of scrotum lesion,,,199.91,5612.5,63
CPT,55150,Removal of scrotum,,,64.28,6348.43,99
CPT,55175,Revision of scrotum,,,243.89,6860.0,63
CPT,55180,Revision of scrotum,,,455.1,9357.3,63
CPT,55200,Incision of sperm duct,,,176.98,6348.43,63
CPT,55250,Removal of Sperm Duct(S),7126.55,7126.55,1054.73,5701.24,23
CPT,55250,Removal of sperm duct(s),,,175.77,5612.5,64
CPT,55300,Prepare sperm duct x-ray,,,181.47,2891.0,44
CPT,55400,Repair of sperm duct,,,78.7,6850.0,117
CPT,55450,Ligation of sperm duct,,,219.3,5595.0,8
CPT,55500,Removal of hydrocele,,,254.67,6348.43,99
CPT,55520,Removal of sperm cord lesion,,,50.87,6348.43,135
CPT,55530,Revise spermatic cord veins,,,267.33,6850.0,99
CPT,55535,Revise spermatic cord veins,,,56.75,11485.36,135
CPT,55540,Revise hernia & sperm veins,,,326.44,6850.0,99
CPT,55550,Laparo ligate spermatic vein,,,55.52,10739.17,135
CPT,55559,Unlstd laps px sprmatic cord,,,3133.0,10739.17,25
CPT,55600,Vesiculotomy,,,277.86,5612.5,99
CPT,55605,Vesiculotomy complicated,,,348.21,24872.68,97
CPT,55650,Remove sperm duct pouch,,,97.44,24872.68,133
CPT,55680,Remove sperm pouch lesion,,,243.94,6850.0,99
CPT,55700,Biopsy Prostate Needle/Punch,7634.85,7634.85,1129.96,6107.88,23
CPT,55700,Biopsy of prostate,,,73.08,5612.5,64
CPT,55700,"Biopsy, Prostate",7634.85,7634.85,1129.96,6107.88,23
CPT,55705,Biopsy of prostate,,,208.14,6348.43,63
CPT,55706,Prostate saturation sampling,,,53.65,6348.43,99
CPT,55720,Drainage of prostate abscess,,,63.47,6348.43,99
CPT,55725,Drainage of prostate abscess,,,76.62,6850.0,99
CPT,55801,Removal of prostate,,,152.13,24872.68,96
CPT,55810,Extensive prostate surgery,,,195.72,24872.68,96
CPT,55812,Extensive prostate surgery,,,227.31,24872.68,96
CPT,55815,Extensive prostate surgery,,,266.33,24872.68,96
CPT,55821,Removal of prostate,,,131.36,24872.68,96
CPT,55831,Removal of prostate,,,134.72,24872.68,96
CPT,55840,Extensive prostate surgery,,,183.02,24872.68,96
CPT,55842,Extensive prostate surgery,,,182.57,24872.68,96
CPT,55845,Extensive prostate surgery,,,212.55,24872.68,97
CPT,55860,Surgical exposure prostate,,,578.26,9357.3,61
CPT,55862,Extensive prostate surgery,,,154.42,24872.68,96
CPT,55865,Extensive prostate surgery,,,208.44,24872.68,96
CPT,55866,Laps surg prst8ect rpbic rad,,,186.72,19163.68,97
CPT,55867,Laps surg prst8ect smpl stot,,,138.4,19163.68,97
CPT,55870,Electroejaculation,,,130.4,4275.0,64
CPT,55873,Cryoablate prostate,,,622.77,17021.0,63
CPT,55874,Tprnl Plmt Biodegradable Matrl Periprostatic,20959.9,20959.9,3102.07,16767.92,23
CPT,55874,Tprnl plmt biodegrdabl matrl,,,159.91,9641.0,63
CPT,55875,Transperi needle place pros,,,484.83,9641.0,63
CPT,55876,Place rt device/marker pros,,,99.89,5612.5,63
CPT,55876,Placement of Prostate Fiducial Markers,5364.75,5364.75,793.98,4291.8,23
CPT,55880,Abltj mal prst8 tiss hifu,,,657.14,17021.0,63
CPT,55881,Ablt trurl prst8 tis thrm us,,,401.65,13582.61,41
CPT,55882,Ablt trurl prst8 tis trnsdcr,,,494.39,23914.84,55
CPT,55899,Unlisted px male genital sys,,,241.98,2891.0,22
CPT,55920,Place Needles Pelvic for Rt,10933.85,10933.85,1618.21,8747.08,23
CPT,55920,Place needles pelvic for rt,,,323.1,9641.0,63
CPT,55970,Sex transformation m to f,,,4911.57,9086.4,19
CPT,55980,Sex transformation f to m,,,3431.59,6850.0,19
CPT,560,Anesth heart surg w/o pump,,,11639.38,24872.68,16
CPT,561,Anesth heart surg <1 yr,,,11639.38,24872.68,16
CPT,562,Anesth hrt surg w/pmp age 1+,,,11639.38,24872.68,16
CPT,56405,I & d of vulva/perineum,,,59.64,4275.0,99
CPT,56405,I&D Abscess Vulvar Perineal,2647.3,2647.3,391.8,2117.84,23
CPT,56420,Drainage of gland abscess,,,71.91,4275.0,64
CPT,56420,I & D Bartholin Abscess,2041.25,2041.25,302.1,1633.0,23
CPT,56440,Mrsplzatn brthlns glnd cst,,,143.82,5852.48,64
CPT,56441,Lysis of labial adhesions,,,105.27,5852.48,64
CPT,56442,Hymenotomy,,,38.08,5852.48,63
CPT,56501,"Cryosurgery, Vulvar",7174.85,7174.85,1061.88,5739.88,23
CPT,56501,Destroy vulva lesions sim,,,75.88,5612.5,62
CPT,56515,Destroy Lesion(S) Vulva Extens,5041.6,5041.6,746.16,4033.28,23
CPT,56515,Destroy vulva lesion/s compl,,,115.07,5612.5,64
CPT,56605,Biopsy of vulva/perineum,,,35.9,4275.0,64
CPT,56605,"Vulvar Biopsy, One Lesion",2501.25,2501.25,370.18,2001.0,23
CPT,56606,Biopsy of vulva/perineum,,,17.44,2438.0,44
CPT,56606,"Vulvar Bx, Each Addl Lesion",2041.25,2041.25,302.1,1633.0,23
CPT,56620,Vulvectomy Simple Partial,7371.0,7371.0,1090.91,5896.8,23
CPT,56620,Vulvectomy simple partial,,,69.49,5898.0,99
CPT,56625,Vulvectomy simple complete,,,84.2,7940.0,99
CPT,56630,Vulvectomy radical partial,,,121.57,24872.68,97
CPT,56631,Vlvctmy rad prtl uni lymphad,,,160.35,24872.68,132
CPT,56632,Vlvctmy rad prtl bi lymphad,,,187.24,24872.68,132
CPT,56633,Vulvectomy radical complete,,,154.51,24872.68,132
CPT,56634,Vlvctmy rad comp uni lymphad,,,176.06,24872.68,132
CPT,56637,Vlvctmy rad comp bi lymphad,,,206.7,24872.68,132
CPT,56640,Vlvctmy rad comp w/lymphadec,,,203.34,24872.68,132
CPT,567,Anesth cabg w/pump,,,11639.38,24872.68,16
CPT,56700,Prtl hymnctmy/revj hymnl rng,,,25.98,5852.48,100
CPT,56720,Incision of hymen,,,40.31,40.31,1
CPT,56740,Exc bartholins gland/cyst,,,183.63,5852.48,100
CPT,56800,Plastic repair introitus,,,35.49,5852.48,99
CPT,56805,Clitoroplasty intersex state,,,154.14,5852.48,96
CPT,56810,Perineoplasty rpr per nonob,,,36.11,5898.0,135
CPT,56820,Colposcopy vulva,,,50.0,4275.0,64
CPT,56820,"Colposcopy, Vulva",2041.25,2041.25,302.1,1633.0,23
CPT,56821,Colposcopy vulva w/biopsy,,,98.33,4275.0,64
CPT,56821,"Colposcopy, Vulva + Vulva Bx",2041.25,2041.25,302.1,1633.0,23
CPT,57000,Colpotomy w/exploration,,,135.66,5852.48,63
CPT,57010,Colpotomy drg pel abscess,,,226.65,5852.48,63
CPT,57020,Colpocentesis,5537.81,5537.81,819.6,4430.25,23
CPT,57020,Colpocentesis sep px,,,70.2,9086.4,64
CPT,57022,I&d vaginal hematoma ob/pp,,,126.11,5612.5,61
CPT,57023,I&d vaginal hematoma non-ob,,,126.11,6850.0,63
CPT,57061,Destroy Vaginal Lesion(S) Simp,6297.0,6297.0,931.96,5037.6,23
CPT,57061,Destruction vag lesions smpl,,,68.2,5852.48,62
CPT,57065,Destruction vag lesion xtnsv,,,144.16,5852.48,64
CPT,57100,Biopsy vaginal mucosa simple,,,43.81,4275.0,64
CPT,57100,Vaginal Biopsy Simple,5621.2,5621.2,831.94,4496.96,23
CPT,57105,Biopsy vaginal mucosa xtnsv,,,75.23,5852.48,64
CPT,57106,Vagnc prtl rmvl vag wall,,,46.59,5852.48,97
CPT,57107,Vagnc compl rmvl paravag tis,,,166.98,5852.48,97
CPT,57109,Vagnc bi total pel lymphadec,,,203.72,5852.48,97
CPT,57110,Vagnc compl rmvl vag wall,,,115.81,24872.68,97
CPT,57111,Vagnc compl rmvl paravag tis,,,204.3,24872.68,97
CPT,57112,Vaginectomy w/nodes compl,,,5595.0,5595.0,1
CPT,57120,Colpocleisis le fort type,,,70.11,9086.4,97
CPT,57130,Excision vaginal septum,,,25.27,5852.48,99
CPT,57135,Excision vaginal cyst/tumor,,,132.58,5852.48,64
CPT,57135,Remove Vagina Lesion,5537.81,5537.81,819.6,4430.25,23
CPT,57150,Treat vagina infection,,,23.46,4275.0,63
CPT,57150,Vaginal Irrigation,2041.25,2041.25,302.1,1633.0,23
CPT,57155,Insert uteri tandem/ovoids,,,174.52,9086.4,63
CPT,57155,Insertion of T&O,10568.5,10568.5,1564.14,8454.8,23
CPT,57156,Ins Vag Brachytx Device,2390.85,2390.85,353.85,1912.68,23
CPT,57156,Ins vag brachytx device,,,86.84,4275.0,64
CPT,57160,Insert pessary/other device,,,37.51,4275.0,63
CPT,57160,Pessary Insertion,2041.25,2041.25,302.1,1633.0,23
CPT,57170,Fitting of diaphragm/cap,,,38.77,4275.0,63
CPT,57180,Treat vaginal bleeding,,,76.34,4275.0,63
CPT,57200,Repair of vagina,,,35.83,5852.48,99
CPT,57210,Repair vagina/perineum,,,45.16,5852.48,99
CPT,57220,Revision of urethra,,,43.36,9086.4,99
CPT,57230,Repair of urethral lesion,,,50.58,5852.48,99
CPT,57240,Anterior colporrhaphy,,,61.43,9086.4,99
CPT,57250,Repair rectum & vagina,,,55.61,9086.4,99
CPT,57260,Cmbn ant pst colprhy,,,80.17,9086.4,99
CPT,57265,Cmbn ap colprhy w/ntrcl rpr,,,103.13,9086.4,99
CPT,57267,Insert mesh/pelvic flr addon,,,39.12,5978.0,44
CPT,57268,Repair of bowel bulge,,,66.07,9086.4,99
CPT,57270,Repair of bowel pouch,,,99.0,24872.68,96
CPT,57280,Suspension of vagina,,,122.24,24872.68,97
CPT,57282,Colpopexy extraperitoneal,,,84.07,13887.5,97
CPT,57283,Colpopexy intraperitoneal,,,93.72,13887.5,97
CPT,57284,Repair paravag defect open,,,108.6,9086.4,133
CPT,57285,Repair paravag defect vag,,,74.83,13887.5,136
CPT,57287,Revise/remove sling repair,,,107.78,5852.48,97
CPT,57288,Repair bladder defect,,,115.48,9086.4,99
CPT,57289,Repair bladder & vagina,,,100.46,13887.5,99
CPT,57291,Construction of vagina,,,71.14,9086.4,99
CPT,57292,Construct vagina with graft,,,105.51,9086.4,97
CPT,57295,Revise vag graft via vagina,,,64.86,5852.48,99
CPT,57296,Revise vag graft open abd,,,150.85,24872.68,84
CPT,57300,Repair rectum-vagina fistula,,,74.7,5852.48,99
CPT,57305,Repair rectum-vagina fistula,,,113.46,24872.68,97
CPT,57307,Fistula repair & colostomy,,,123.43,24872.68,96
CPT,57308,Fistula repair transperine,,,87.89,24872.68,96
CPT,57310,Repair urethrovaginal lesion,,,59.18,13887.5,99
CPT,57311,Repair urethrovaginal lesion,,,70.09,24872.68,97
CPT,57320,Repair bladder-vagina lesion,,,79.43,9086.4,99
CPT,57330,Repair bladder-vagina lesion,,,104.71,13887.5,96
CPT,57335,Repair vagina,,,141.48,9086.4,97
CPT,57400,Dilation of vagina,,,100.49,5852.48,63
CPT,57410,Pelvic examination,,,79.91,5852.48,64
CPT,57415,Remove Vaginal FB W/Anesthesia,8477.0,8477.0,1254.6,6781.6,23
CPT,57415,Remove vaginal foreign body,,,104.04,5852.48,64
CPT,57420,Colposcopy of Vagina,2041.25,2041.25,302.1,1633.0,23
CPT,57420,"Colposcopy, Vagina With Cervix",2041.25,2041.25,302.1,1633.0,23
CPT,57420,Exam of vagina w/scope,,,75.78,4275.0,64
CPT,57421,Colposcopy Bx of Vagina+Cervix,2978.5,2978.5,440.82,2382.8,23
CPT,57421,Exam/biopsy of vag w/scope,,,105.01,4275.0,64
CPT,57423,Repair paravag defect lap,,,104.0,19163.68,135
CPT,57425,Laparoscopy surg colpopexy,,,124.21,19163.68,97
CPT,57426,Revise prosth vag graft lap,,,90.74,13887.5,99
CPT,57452,Colposcopy Without Biopsy,2041.25,2041.25,302.1,1633.0,23
CPT,57452,Exam of cervix w/scope,,,44.76,4275.0,64
CPT,57454,Bx/curett of cervix w/scope,,,60.81,4275.0,64
CPT,57454,Colposcopy W/Bx & Ecc,2041.25,2041.25,302.1,1633.0,23
CPT,57455,Biopsy of cervix w/scope,,,95.46,4275.0,64
CPT,57455,Colposcopy + Cx Bx,2088.4,2088.4,309.08,1670.72,23
CPT,57456,Colposcopy + Ecc,2041.25,2041.25,302.1,1633.0,23
CPT,57456,Endocerv curettage w/scope,,,89.43,4275.0,64
CPT,57460,Bx of cervix w/scope leep,,,129.67,5852.48,62
CPT,57460,Colposcopy W/Leep Bx,6706.0,6706.0,992.49,5364.8,23
CPT,57461,Colposcopy W/Leep Cone,9772.7,9772.7,1446.36,7818.16,23
CPT,57461,Conz of cervix w/scope leep,,,165.37,5852.48,64
CPT,57465,Cam cervix uteri drg colp,,,37.13,1473.0,43
CPT,57500,Biopsy of cervix,,,43.5,4275.0,64
CPT,57500,Cervical Biopsy,3866.3,3866.3,572.21,3093.04,23
CPT,57505,Ecc Cervical Scrape,2501.25,2501.25,370.18,2001.0,23
CPT,57505,Endocervical curettage,,,61.83,4275.0,64
CPT,57510,Cauterization of cervix,,,88.88,5852.48,62
CPT,57511,Cryocautery of cervix,,,82.26,4275.0,64
CPT,57511,"Cryosurgery, Cervix",2041.25,2041.25,302.1,1633.0,23
CPT,57513,Laser surgery of cervix,,,109.66,5852.48,64
CPT,57520,Conization of cervix,,,190.08,5852.48,64
CPT,57522,Conization of cervix,,,169.28,5852.48,64
CPT,57522,Leep + Ecc + Cone,10383.35,10383.35,1536.74,8306.68,23
CPT,57530,Removal of cervix,,,44.2,9086.4,99
CPT,57531,Removal of cervix radical,,,232.46,24872.68,96
CPT,57540,Removal of residual cervix,,,99.77,24872.68,96
CPT,57545,Removal of remaining cervix with repair of pelvic floor through abdomen,9680.0,9680.0,1432.64,7744.0,23
CPT,57545,Remove cervix/repair pelvis,,,98.57,24872.68,96
CPT,57550,Removal of residual cervix,,,55.66,9086.4,99
CPT,57555,Remove cervix/repair vagina,,,88.66,9086.4,96
CPT,57556,Remove cervix repair bowel,,,82.25,9086.4,99
CPT,57558,D&c of cervical stump,,,80.32,5852.48,63
CPT,57700,Revision of cervix,,,147.33,5852.48,63
CPT,57720,Revision of Cervix,6223.0,6223.0,921.0,4978.4,23
CPT,57720,Revision of cervix,,,37.55,5852.48,99
CPT,57800,Dilation of cervical canal,,,34.76,5852.48,64
CPT,580,Anesth heart/lung transplnt,,,11639.38,24872.68,16
CPT,58100,Biopsy of uterus lining,,,34.16,4275.0,64
CPT,58100,Endometrial Biopsy,2041.25,2041.25,302.1,1633.0,23
CPT,58110,Bx done w/colposcopy add-on,,,39.65,2438.0,44
CPT,58110,Endometrial Bx in Conj W/Colp,2041.25,2041.25,302.1,1633.0,23
CPT,58120,Dilation & Curettage Dx&/Ther Nonobstetric,7782.0,7782.0,1151.74,6225.6,23
CPT,58120,Dilation and curettage,,,170.52,5852.48,64
CPT,58140,Myomectomy abdom method,,,119.44,24872.68,97
CPT,58145,Myomectomy Vag Method,5898.0,5898.0,872.9,4718.4,23
CPT,58145,Myomectomy vag method,,,77.49,5898.0,99
CPT,58146,Myomectomy abdom complex,,,150.3,24872.68,96
CPT,58150,Total hysterectomy,,,126.7,24872.68,97
CPT,58152,Total hysterectomy,,,132.43,24872.68,97
CPT,58180,Partial hysterectomy,,,127.65,24872.68,97
CPT,58200,Extensive hysterectomy,,,178.34,24872.68,97
CPT,58210,Extensive hysterectomy,,,237.51,24872.68,97
CPT,58240,Removal of pelvis contents,,,331.18,24872.68,96
CPT,58260,Vaginal hysterectomy,,,105.85,9641.0,99
CPT,58262,Vag hyst including t/o,,,117.19,9641.0,135
CPT,58263,Vag hyst w/t/o & vag repair,,,127.89,9641.0,135
CPT,58267,Vag hyst w/urinary repair,,,129.47,24872.68,96
CPT,58270,Vag hyst w/enterocele repair,,,116.5,9641.0,99
CPT,58275,Hysterectomy/revise vagina,,,128.08,24872.68,96
CPT,58280,Hysterectomy/revise vagina,,,129.3,24872.68,96
CPT,58285,Extensive hysterectomy,,,155.27,24872.68,96
CPT,58290,Vag hyst complex,,,150.39,13887.5,97
CPT,58291,Vag hyst incl t/o complex,,,165.36,9086.4,133
CPT,58292,Vag hyst t/o & repair compl,,,175.12,13887.5,133
CPT,58293,Vag hyst w/uro repair compl,,,3725.0,3725.0,1
CPT,58294,Vag hyst w/enterocele compl,,,161.31,9086.4,97
CPT,58300,Insert intrauterine device,,,50.0,4275.0,19
CPT,58300,Insertion Iud,2041.25,2041.25,302.1,1633.0,23
CPT,58301,Iud Removal,1952.5,1952.5,288.97,1562.0,23
CPT,58301,Remove intrauterine device,,,54.08,4275.0,64
CPT,58321,Artificial insemination,,,47.21,4275.0,57
CPT,58322,Artificial insemination,,,55.89,4275.0,57
CPT,58323,Sperm washing,,,11.8,4275.0,58
CPT,58340,Catheter for hysterography,,,43.63,2438.0,45
CPT,58340,Inject Hysterosalpingography,1775.0,1775.0,262.7,1420.0,23
CPT,58345,"Bil Reopen Fallopian Tube,Transcerv Cath",8690.55,8690.55,1286.2,6952.44,23
CPT,58345,Reopen fallopian tube,,,38.27,5852.48,169
CPT,58346,Insert heyman uteri capsule,,,364.21,9086.4,57
CPT,58350,Reopen fallopian tube,,,62.69,9086.4,88
CPT,58353,Endometr ablate thermal,,,140.76,9086.4,100
CPT,58356,Endometrial cryoablation,,,55.36,9086.4,134
CPT,58400,Suspension of uterus,,,59.42,24872.68,97
CPT,58410,Suspension of uterus,,,99.67,24872.68,96
CPT,58520,Repair of ruptured uterus,,,91.34,24872.68,97
CPT,58540,Revision of uterus,,,110.77,24872.68,97
CPT,58541,Lsh uterus 250 g or less,,,104.42,19163.68,135
CPT,58542,Lsh w/t/o ut 250 g or less,,,122.15,19163.68,135
CPT,58543,Lsh uterus above 250 g,,,132.65,19163.68,117
CPT,58544,Lsh w/t/o uterus above 250 g,,,142.72,19163.68,117
CPT,58545,Laparoscopic myomectomy,,,120.87,10739.17,135
CPT,58546,Laparo-myomectomy complex,,,152.36,19163.68,135
CPT,58548,Lap radical hyst,,,235.15,24872.68,132
CPT,58550,Laparo-asst vag hysterectomy,,,118.52,10739.17,135
CPT,58552,Laparo-vag hyst incl t/o,,,117.71,19163.68,135
CPT,58553,Laparo-vag hyst complex,,,151.44,19163.68,135
CPT,58554,Laparo-vag hyst w/t/o compl,,,149.81,19163.68,135
CPT,58555,Hysteroscopy dx sep proc,,,92.77,13168.2,64
CPT,58558,Hysteroscopy biopsy,,,140.88,13168.2,64
CPT,58558,"Hysteroscopy, Biopsy",13168.2,13168.2,1948.89,10534.56,23
CPT,58559,Hysteroscopy lysis,,,172.35,9086.4,63
CPT,58560,Hysteroscopy resect septum,,,48.99,9086.4,99
CPT,58561,Hysteroscopy remove myoma,,,217.25,9086.4,63
CPT,58562,Hysteroscopy remove fb,,,134.54,5852.48,63
CPT,58563,Hysteroscopy ablation,,,149.38,9641.0,64
CPT,58565,Hysteroscopy sterilization,,,278.86,9641.0,100
CPT,58570,Tlh uterus 250 g or less,,,103.38,19163.68,135
CPT,58571,Tlh w/t/o 250 g or less,,,113.12,19163.68,135
CPT,58572,Tlh uterus over 250 g,,,128.2,19163.68,135
CPT,58573,Tlh w/t/o uterus over 250 g,,,144.44,19163.68,135
CPT,58575,Laps tot hyst resj mal,,,263.03,24872.68,132
CPT,58578,Unlisted laps px uterus,,,3133.0,10739.17,25
CPT,58579,Unlisted hystsc px uterus,,,200.16,4275.0,25
CPT,58580,Transcervical Ablation Uterine Fibroid Rf,17836.0,17836.0,2639.73,14268.8,23
CPT,58580,Transcrv abltj utrn fibrd rf,,,318.17,13887.5,62
CPT,58600,Division of fallopian tube,,,38.62,5898.0,99
CPT,58605,Division of fallopian tube,,,36.36,24872.68,97
CPT,58611,Ligate Oviduct(S) Add-On,653.2,653.2,96.67,522.56,23
CPT,58611,Ligate oviduct(s) add-on,,,5.66,24872.68,61
CPT,58615,Occlude fallopian tube(s),,,36.56,5852.48,97
CPT,58660,Laparoscopy lysis,,,90.4,10739.17,135
CPT,58661,Laparoscopy remove adnexa,,,91.83,10739.17,171
CPT,58662,Laparoscopy excise lesions,,,91.96,10739.17,135
CPT,58670,Laparoscopy tubal cautery,,,199.35,10739.17,99
CPT,58671,Laparoscopy tubal block,,,205.31,10739.17,99
CPT,58672,Laparoscopy fimbrioplasty,,,99.33,10739.17,135
CPT,58673,Laparoscopy salpingostomy,,,105.71,19163.68,135
CPT,58674,Laps abltj uterine fibroids,,,113.07,19163.68,133
CPT,58679,Unlisted laps px ovidct ovry,,,3133.0,10739.17,25
CPT,58700,Removal of fallopian tube,,,62.23,24872.68,97
CPT,58720,Removal of ovary/tube(s),,,96.42,24872.68,97
CPT,58740,Adhesiolysis tube ovary,,,58.17,24872.68,97
CPT,58750,Repair oviduct,,,143.25,24872.68,115
CPT,58752,Revise ovarian tube(s),,,142.84,24872.68,115
CPT,58760,Fimbrioplasty,,,129.19,24872.68,115
CPT,58770,Create new tubal opening,,,107.26,5852.48,133
CPT,58800,Drainage of ovarian cyst(s),,,181.54,5852.48,64
CPT,58805,Drainage of ovarian cyst(s),,,58.29,5852.48,97
CPT,58820,Drain ovary abscess open,,,37.36,5852.48,135
CPT,58822,Drain ovary abscess percut,,,77.41,24872.68,133
CPT,58825,Transposition ovary(s),,,53.56,24872.68,97
CPT,58900,Biopsy of ovary(s),,,55.92,5852.48,99
CPT,58920,Partial removal of ovary(s),,,65.36,13887.5,97
CPT,58925,Removal of ovarian cyst(s),,,93.89,9086.4,97
CPT,58940,Removal of ovary(s),,,67.68,24872.68,97
CPT,58943,Removal of ovary(s),,,156.17,24872.68,96
CPT,58950,Resect ovarian malignancy,,,133.76,24872.68,96
CPT,58951,Resect ovarian malignancy,,,194.75,24872.68,96
CPT,58952,Resect ovarian malignancy,,,214.36,24872.68,96
CPT,58953,Tah rad dissect for debulk,,,281.59,24872.68,96
CPT,58954,Tah rad debulk/lymph remove,,,306.02,24872.68,96
CPT,58956,Bso omentectomy w/tah,,,184.07,24872.68,96
CPT,58957,Resect recurrent gyn mal,,,355.6,11639.38,11
CPT,58958,Resc recr ovr tbl pp utr mal,,,260.38,24872.68,84
CPT,58960,Exploration of abdomen,,,134.33,24872.68,97
CPT,58970,Retrieval of oocyte,,,183.13,4275.0,58
CPT,58974,Embryo transfer intrauterine,,,866.36,4275.0,27
CPT,58976,Transfer of embryo,,,33.2,4275.0,58
CPT,58999,Female Genital System Procedur,1775.0,1775.0,262.7,1420.0,23
CPT,58999,Unlisted px fml genital sys,,,200.16,2438.0,22
CPT,59000,Amniocentesis US,3118.8,3118.8,461.58,2495.04,23
CPT,59000,Amniocentesis diagnostic,,,68.15,4275.0,62
CPT,59001,Amniocentesis therapeutic,,,159.47,4275.0,61
CPT,59012,Fetal cord puncture prenatal,,,50.0,4275.0,62
CPT,59015,Chorion biopsy,,,50.0,4275.0,63
CPT,59020,Fetal Contraction Stress Test,1775.0,1775.0,262.7,1420.0,23
CPT,59020,Fetal contract stress test,,,19.34,1473.0,95
CPT,59025,Fetal Non Stress Test,2485.15,2485.15,367.8,1988.12,23
CPT,59025,Fetal non-stress test,,,8.58,1473.0,93
CPT,59030,Fetal Scalp Blood,1917.0,1917.0,283.72,1533.6,23
CPT,59030,Fetal scalp blood sampling,,,50.0,1473.0,59
CPT,59050,Fetal monitor w/report,,,49.36,1750.0,43
CPT,59051,Fetal monitor/interpret only,,,41.32,2880.0,42
CPT,59070,Amnio Infusion (Adb),2501.25,2501.25,370.18,2001.0,23
CPT,59070,Transabdom amnioinfus w/us,,,48.99,4275.0,63
CPT,59072,Umbilical cord occlud w/us,,,302.66,4275.0,63
CPT,59074,Fetal fluid drainage w/us,,,48.99,4275.0,63
CPT,59076,Fetal shunt placement w/us,,,65.76,4275.0,63
CPT,59100,Remove uterus lesion,,,92.87,9086.4,98
CPT,59120,Treat ectopic pregnancy,,,97.93,24872.68,97
CPT,59121,Treat ectopic pregnancy,,,92.31,24872.68,97
CPT,59130,Treat ectopic pregnancy,,,420.8,24872.68,60
CPT,59136,Treat ectopic pregnancy,,,106.15,24872.68,96
CPT,59140,Treat ectopic pregnancy,,,51.61,24872.68,96
CPT,59150,Treat ectopic pregnancy,,,59.59,10739.17,97
CPT,59151,Treat ectopic pregnancy,,,76.24,10739.17,97
CPT,59160,D & C Postpartum,5735.88,5735.88,848.91,4588.7,23
CPT,59160,D & c after delivery,,,149.31,5852.48,64
CPT,59200,Insert Cervical Dilator,2041.25,2041.25,302.1,1633.0,23
CPT,59200,Insert cervical dilator,,,36.02,4275.0,58
CPT,59300,Episiotomy or vaginal repair,,,103.83,5852.48,62
CPT,59300,Episitomy/Vaginal Repair,9202.0,9202.0,1361.9,7361.6,23
CPT,59320,Revision of cervix,,,134.83,5852.48,63
CPT,59325,Revision of cervix,,,217.11,24872.68,61
CPT,59350,Repair of uterus,,,41.05,24872.68,55
CPT,59400,Obstetrical care,,,1644.08,6850.0,41
CPT,59409,Obstetrical care,,,791.42,5852.48,61
CPT,59409,Vaginal Delivery Only Complica,10065.6,10065.6,1489.71,8052.48,23
CPT,59409,Vaginal Delivery Only Uncompl.,10065.6,10065.6,1489.71,8052.48,23
CPT,59410,Obstetrical care,,,901.0,6850.0,41
CPT,59412,Antepartum Manipulation,5014.0,5014.0,742.07,4011.2,23
CPT,59412,Antepartum manipulation,,,88.87,5852.48,63
CPT,59414,Deliver placenta,,,90.32,5852.48,60
CPT,59414,Delivery of Placenta,6861.0,6861.0,1015.43,5488.8,23
CPT,59425,Antepartum care only,,,429.63,890.7,38
CPT,59426,Antepartum care only,,,789.29,1631.3,38
CPT,59430,Care after delivery,,,92.91,2438.0,39
CPT,59510,Cesarean delivery,,,1640.22,6850.0,41
CPT,59514,Cesarean delivery only,,,143.87,24872.68,55
CPT,59515,Cesarean delivery,,,1200.0,6850.0,41
CPT,59525,Remove uterus after cesarean,,,64.53,24872.68,55
CPT,59610,Vbac delivery,,,1687.15,6850.0,41
CPT,59612,Vbac delivery only,,,820.04,5852.48,61
CPT,59614,Vbac care after delivery,,,901.0,6850.0,40
CPT,59618,Attempted vbac delivery,,,1868.88,6850.0,41
CPT,59620,Attempted vbac delivery only,,,148.94,24872.68,55
CPT,59622,Attempted vbac after care,,,1200.0,6850.0,40
CPT,59812,Treatment of miscarriage,,,143.48,5898.0,64
CPT,59812,Trtmt of Spontaneous Abortion,7739.0,7739.0,1145.37,6191.2,23
CPT,59820,Care of miscarriage,,,162.02,5898.0,64
CPT,59820,Trmt of Missed Abort.-1st Trim,9435.75,9435.75,1396.49,7548.6,23
CPT,59821,Treatment of miscarriage,,,164.63,5898.0,63
CPT,59830,Treat uterus infection,,,204.72,24872.68,61
CPT,59840,Ind/Abortion/Dilation&Curettag,5223.3,5223.3,773.05,4178.64,23
CPT,59840,Induced abortion d&c,,,176.14,5898.0,63
CPT,59841,Induced abortion dilat&evac,,,269.34,5898.0,63
CPT,59850,Induced abortion 1+ njx,,,184.46,24872.68,63
CPT,59851,Induced abortion 1+njx d&c,,,191.18,24872.68,63
CPT,59852,Induced abortion 1+njx hyst,,,264.32,24872.68,61
CPT,59855,Abortion by Vag. Sup. Insert,2465.6,2465.6,364.91,1972.48,23
CPT,59855,Induced abortion 1+vag supp,,,196.27,24872.68,60
CPT,59856,Induced ab 1+vag supp d&c,,,298.06,24872.68,55
CPT,59857,Induced ab 1+vag supp hyst,,,347.3,24872.68,55
CPT,59866,Abortion (mpr),,,37.89,4275.0,56
CPT,59870,Evacuate mole of uterus,,,38.29,5898.0,99
CPT,59871,Removal Ceralage Suture,5683.3,5683.3,841.13,4546.64,23
CPT,59871,Remove Cerclage Suture,5683.3,5683.3,841.13,4546.64,23
CPT,59871,Remove cerclage suture,,,114.15,5898.0,64
CPT,59897,Unlisted fetal invas px w/us,,,200.16,4275.0,25
CPT,59898,Unlstd laps px mat care&dlvr,,,3133.0,10739.17,25
CPT,59899,Unlisted px mat care&dlvr,,,200.16,2891.0,22
CPT,60000,Drain thyroid/tongue cyst,,,81.87,5612.5,64
CPT,60100,Biopsy of thyroid,,,45.79,4275.0,64
CPT,60100,Bx Thyroid Perc Needle Bct,2898.0,2898.0,428.9,2318.4,23
CPT,60100,Bx Thyroid US,4218.2,4218.2,624.29,3374.56,23
CPT,60200,Remove thyroid lesion,,,85.02,10739.17,99
CPT,60210,Partial thyroid excision,,,99.64,10739.17,97
CPT,60212,Partial thyroid excision,,,133.53,10739.17,97
CPT,60220,Partial removal of thyroid,,,97.3,10739.17,99
CPT,60225,Partial removal of thyroid,,,126.5,10739.17,99
CPT,60240,Removal of thyroid,,,140.21,10739.17,97
CPT,60252,Removal of thyroid,,,163.08,10888.81,97
CPT,60254,Extensive thyroid surgery,,,218.54,24872.68,97
CPT,60260,Repeat thyroid surgery,,,116.32,10888.81,133
CPT,60270,Removal of thyroid,,,167.84,24872.68,96
CPT,60271,Removal of thyroid,,,138.41,10888.81,97
CPT,60280,Remove thyroid duct lesion,,,63.66,10739.17,99
CPT,60281,Remove thyroid duct lesion,,,76.6,10739.17,99
CPT,60300,Aspir/Inj Thyroid Cyst,3010.7,3010.7,445.58,2408.56,23
CPT,60300,Aspir/inj thyroid cyst,,,36.23,4275.0,64
CPT,604,Anesth sitting procedure,,,11639.38,24872.68,16
CPT,60500,Explore parathyroid glands,,,140.71,10888.81,97
CPT,60502,Re-explore parathyroids,,,168.28,10888.81,99
CPT,60505,Explore parathyroid glands,,,186.18,24872.68,96
CPT,60512,Autotransplant parathyroid,,,35.35,3133.0,44
CPT,60520,Removal of thymus gland,,,160.6,10888.81,97
CPT,60521,Removal of thymus gland,,,176.93,24872.68,96
CPT,60522,Removal of thymus gland,,,207.72,24872.68,96
CPT,60540,Explore adrenal gland,,,145.34,24872.68,133
CPT,60545,Explore adrenal gland,,,171.9,24872.68,132
CPT,60600,Remove carotid body lesion,,,168.78,24872.68,96
CPT,60605,Remove carotid body lesion,,,185.71,24872.68,96
CPT,60650,Laparoscopy adrenalectomy,,,160.53,24872.68,133
CPT,60659,Unlisted laps px endoc sys,,,3133.0,10739.17,25
CPT,60660,Abltj 1/+thyr ndul 1lobe prq,,,262.71,3822.02,55
CPT,60661,Abltj 1/+thyr ndul addl prq,,,181.96,1473.0,41
CPT,60699,Unlisted px endocrine system,,,2438.0,10739.17,22
CPT,61000,Remove cranial cavity fluid,,,92.83,4275.0,64
CPT,61001,Remove cranial cavity fluid,,,78.49,4275.0,64
CPT,61020,Remove brain cavity fluid,,,98.27,4275.0,64
CPT,61026,Injection into brain canal,,,112.58,4275.0,64
CPT,61050,Remove brain canal fluid,,,78.5,4275.0,63
CPT,61055,Injection into brain canal,,,113.02,4275.0,63
CPT,61070,Brain canal shunt procedure,,,49.95,4275.0,64
CPT,61070,Puncture Shunt Tube/Reservoir Aspiration/Inj Px,5779.9,5779.9,855.43,4623.92,23
CPT,61105,Tdh sdrl/ventr pnxr,,,262.98,24872.68,60
CPT,61107,Tdh pnxr implt ventr cath,,,313.48,24872.68,60
CPT,61107,Twist Drill Hole Implt Ventricular Cath/Device,5284.25,5284.25,782.07,4227.4,23
CPT,61108,Tdh pnxr evac&/drg sdrl hmta,,,519.97,24872.68,60
CPT,61120,Burr hole for ventr puncture,,,396.49,24872.68,60
CPT,61140,Burr hole/treph bx brain/les,,,158.35,24872.68,96
CPT,61150,Bur hol/trph drg brn abs/cst,,,813.47,24872.68,60
CPT,61151,Burr hole/treph sbsq tapping,,,479.1,24872.68,60
CPT,61154,Burr hole w/evac&/drg hmtma,,,159.04,24872.68,132
CPT,61156,Burr hol aspir hmtm/cst icer,,,168.06,24872.68,96
CPT,61210,Burr hole implt ventr cath,,,367.65,24872.68,60
CPT,61215,Ins subq rsvr pmp/nfs sys,,,258.68,11787.82,63
CPT,61250,Burr hole/treph sttl expl,,,101.17,24872.68,132
CPT,61253,Burr hole treph ittl uni/bi,,,118.71,24872.68,96
CPT,61304,Crnec/crnot expl supratntorl,,,228.82,24872.68,96
CPT,61305,Crnec/crnot expl infratntorl,,,276.14,24872.68,96
CPT,61312,Crnec/crnot sttl xdrl/sdrl,,,249.45,24872.68,96
CPT,61313,Crnec/crnot sttl icere,,,251.74,24872.68,96
CPT,61314,Crnec/crnot ittl xdrl/sdrl,,,251.05,24872.68,96
CPT,61315,Crnec/crnot ittl ntracereblr,,,272.77,24872.68,96
CPT,61316,Inc&subq plmt crnl bone grf,,,74.85,24872.68,61
CPT,61320,Crnec/crnot drg icr abs sttl,,,241.2,24872.68,96
CPT,61321,Crnec/crnot drg icr abs ittl,,,263.1,24872.68,96
CPT,61322,Crnec/crnot dcmprv w/o lobec,,,244.32,24872.68,96
CPT,61323,Crnec/crnot dcmprv w/lobec,,,252.89,24872.68,96
CPT,61330,Dcmprn orbit only transcrnl,,,208.86,6860.0,132
CPT,61333,Expl orbit w/removal lesion,,,254.8,24872.68,132
CPT,61340,Subtemporal cranial dcmprn,,,180.51,24872.68,132
CPT,61343,Crnec sopl crv lam dcmprn,,,304.91,24872.68,96
CPT,61345,Oth cranial dcmprn pst fossa,,,257.23,24872.68,96
CPT,61450,Crnec stpl sctj cmprn/dcmprn,,,247.47,24872.68,96
CPT,61458,Crnec sopl xpl/dcmpr crl nrv,,,277.58,24872.68,96
CPT,61460,Crnec sopl sctj 1+crnl nrv,,,276.83,24872.68,132
CPT,61500,Crnec exc tum/bone les skull,,,186.96,24872.68,97
CPT,61501,Craniectomy f/osteomyelitis,,,154.61,24872.68,96
CPT,61510,Crnec treph exc brn tum sttl,,,285.77,24872.68,96
CPT,61512,Crnec treph exc mngioma sttl,,,339.69,24872.68,96
CPT,61514,Crnec treph exc brn abs sttl,,,258.05,24872.68,96
CPT,61516,Crnec treph exc cyst sttl,,,257.13,24872.68,96
CPT,61517,Implt brn intrcv chemotx agt,,,64.03,24872.68,60
CPT,61518,Removal of brain lesion,,,360.45,24872.68,96
CPT,61519,Remove brain lining lesion,,,392.98,24872.68,96
CPT,61520,Removal of brain lesion,,,495.16,24872.68,132
CPT,61521,Removal of brain lesion,,,417.82,24872.68,96
CPT,61522,Removal of brain abscess,,,274.91,24872.68,96
CPT,61524,Removal of brain lesion,,,283.43,24872.68,96
CPT,61526,Removal of brain lesion,,,1800.35,24872.68,96
CPT,61530,Removal of brain lesion,,,1596.96,24872.68,96
CPT,61531,Implant brain electrodes,,,153.37,24872.68,132
CPT,61533,Implant brain electrodes,,,195.17,24872.68,96
CPT,61534,Removal of brain lesion,,,174.35,24872.68,96
CPT,61535,Remove brain electrodes,,,109.18,24872.68,96
CPT,61536,Removal of brain lesion,,,325.66,24872.68,96
CPT,61537,Removal of brain tissue,,,235.56,24872.68,96
CPT,61538,Removal of brain tissue,,,281.49,24872.68,96
CPT,61539,Removal of brain tissue,,,302.92,24872.68,96
CPT,61540,Removal of brain tissue,,,284.39,24872.68,96
CPT,61541,Incision of brain tissue,,,269.11,24872.68,96
CPT,61543,Removal of brain tissue,,,262.81,24872.68,96
CPT,61544,Remove & treat brain lesion,,,259.49,24872.68,96
CPT,61545,Excision of brain tumor,,,395.29,24872.68,96
CPT,61546,Removal of pituitary gland,,,307.34,24872.68,96
CPT,61548,Removal of pituitary gland,,,224.41,24872.68,132
CPT,61550,Release of skull seams,,,130.68,24872.68,96
CPT,61552,Release of skull seams,,,167.1,24872.68,96
CPT,61555,RECONSTRUCTION SKULL,,,2703.14,2703.14,6
CPT,61556,Incise skull/sutures,,,200.58,24872.68,96
CPT,61557,Incise skull/sutures,,,205.77,24872.68,96
CPT,61558,Excision of skull/sutures,,,237.3,24872.68,96
CPT,61559,Excision of skull/sutures,,,307.33,24872.68,96
CPT,61563,Excision of skull tumor,,,247.92,24872.68,96
CPT,61564,Excision of skull tumor,,,295.91,24872.68,132
CPT,61566,Removal of brain tissue,,,281.94,24872.68,96
CPT,61567,Incision of brain tissue,,,322.55,24872.68,96
CPT,61570,Remove foreign body brain,,,224.87,24872.68,96
CPT,61571,Incise skull for brain wound,,,243.76,24872.68,96
CPT,61575,Skull base/brainstem surgery,,,341.72,24872.68,96
CPT,61576,Skull base/brainstem surgery,,,454.4,24872.68,96
CPT,61580,Craniofacial approach skull,,,1054.98,24872.68,132
CPT,61581,Craniofacial approach skull,,,1184.85,24872.68,132
CPT,61582,Craniofacial approach skull,,,291.31,24872.68,132
CPT,61583,Craniofacial approach skull,,,338.48,24872.68,132
CPT,61584,Orbitocranial approach/skull,,,322.27,24872.68,168
CPT,61585,Orbitocranial approach/skull,,,357.84,24872.68,168
CPT,61586,Resect nasopharynx skull,,,239.55,24872.68,132
CPT,61590,Infratemporal approach/skull,,,376.64,24872.68,168
CPT,61591,Infratemporal approach/skull,,,398.41,24872.68,168
CPT,61592,Orbitocranial approach/skull,,,369.63,24872.68,168
CPT,61595,Transtemporal approach/skull,,,1040.61,24872.68,132
CPT,61596,Transcochlear approach/skull,,,322.77,24872.68,168
CPT,61597,Transcondylar approach/skull,,,347.31,24872.68,168
CPT,61598,Transpetrosal approach/skull,,,307.05,24872.68,132
CPT,61600,Resect/excise cranial lesion,,,232.91,24872.68,132
CPT,61601,Resect/excise cranial lesion,,,259.55,24872.68,132
CPT,61605,Resect/excise cranial lesion,,,262.73,24872.68,132
CPT,61606,Resect/excise cranial lesion,,,362.04,24872.68,132
CPT,61607,Resect/excise cranial lesion,,,337.26,24872.68,132
CPT,61608,Resect/excise cranial lesion,,,393.72,24872.68,132
CPT,61611,Transect artery sinus,,,66.44,24872.68,96
CPT,61613,Remove aneurysm sinus,,,384.24,24872.68,168
CPT,61615,Resect/excise lesion skull,,,293.93,24872.68,132
CPT,61616,Resect/excise lesion skull,,,402.92,24872.68,132
CPT,61618,Repair dura,,,158.34,24872.68,132
CPT,61619,Repair dura,,,191.74,24872.68,132
CPT,61623,Endovasc Tempry Vesel Ocl Nir,12815.9,12815.9,1896.75,10252.72,23
CPT,61623,Endovasc tempory vessel occl,,,466.02,20874.31,61
CPT,61624,Emboliza Intracran/Sp Cord Spn,31499.65,31499.65,4661.95,25199.72,23
CPT,61624,Transcath occlusion cns,,,1021.62,24872.68,61
CPT,61626,Embolization Extracranial,27904.0,27904.0,4129.79,22323.2,23
CPT,61626,Transcath occlusion non-cns,,,835.44,20874.31,61
CPT,61630,Intracranial Angioplasty,17698.5,17698.5,2619.38,14158.8,23
CPT,61630,Intracranial angioplasty,,,217.06,24872.68,56
CPT,61635,Intracran Angioplasty W/Stent,17394.0,17394.0,2574.31,13915.2,23
CPT,61635,Intracran angioplsty w/stent,,,181.34,24872.68,62
CPT,61640,"Dilate Ic Vasospasm, Init",10772.05,10772.05,1594.26,8617.64,23
CPT,61640,Dilate ic vasospasm init,,,460.17,12600.0,11
CPT,61641,Dilat ic vspsm ea vsl sm ter,,,161.59,12600.0,11
CPT,61641,Dilate Ic Vasospasm Add-On,7563.55,7563.55,1119.41,6050.84,23
CPT,61642,Dilat ic vspsm ea diff ter,,,323.18,12600.0,11
CPT,61642,Dilate Ic Vasospasm Add-On,9848.6,9848.6,1457.59,7878.88,23
CPT,61645,Bil Perq Arterial Translum Thromec,56408.0,56408.0,8348.38,45126.4,23
CPT,61645,Perq Arterial Translum Thromec,37605.0,37605.0,5565.54,30084.0,23
CPT,61645,Perq art m-thrombect &/nfs,,,1020.09,24872.68,61
CPT,61650,Endovasc Intracran Adm Rx 1st,17660.55,17660.55,2613.76,14128.44,23
CPT,61650,Evasc prlng admn rx agnt 1st,,,454.09,24872.68,60
CPT,61651,Endovasc Intracran Adm Rx Add,14474.0,14474.0,2142.15,11579.2,23
CPT,61651,Evasc prlng admn rx agnt add,,,192.84,24872.68,60
CPT,61680,Intracranial vessel surgery,,,314.74,24872.68,96
CPT,61682,Intracranial vessel surgery,,,548.99,24872.68,96
CPT,61684,Intracranial vessel surgery,,,380.52,24872.68,96
CPT,61686,Intracranial vessel surgery,,,575.33,24872.68,96
CPT,61690,Intracranial vessel surgery,,,291.52,24872.68,96
CPT,61692,Intracranial vessel surgery,,,456.01,24872.68,96
CPT,61697,Brain aneurysm repr complx,,,511.72,24872.68,96
CPT,61698,Brain aneurysm repr complx,,,492.56,24872.68,96
CPT,61700,Brain aneurysm repr simple,,,459.3,24872.68,96
CPT,61702,Inner skull vessel surgery,,,457.62,24872.68,96
CPT,61703,Clamp neck artery,,,164.45,24872.68,96
CPT,61705,Revise circulation to head,,,346.83,24872.68,96
CPT,61708,Revise circulation to head,,,290.82,24872.68,96
CPT,61710,Revise circulation to head,,,1151.62,24872.68,60
CPT,61711,Fusion of skull arteries,,,359.12,24872.68,96
CPT,61715,Mrgfus strtctc ablt trgt icr,,,1022.59,22953.8,54
CPT,61720,Incise skull/brain surgery,,,844.9,11787.82,60
CPT,61735,Incise skull/brain surgery,,,899.59,24872.68,60
CPT,61736,Litt icr 1 traj 1 smpl les,,,753.66,24872.68,60
CPT,61737,Litt icr mlt trj mlt/cplx ls,,,1346.19,24872.68,60
CPT,61750,Incise skull/brain biopsy,,,822.81,24872.68,60
CPT,61751,Brain biopsy w/ct/mr guide,,,882.47,24872.68,60
CPT,61760,Implant brain electrodes,,,735.34,24872.68,96
CPT,61770,Incise skull for treatment,,,1011.95,11787.82,62
CPT,61781,Scan proc cranial intra,,,202.12,2438.0,44
CPT,61782,Scan proc cranial extra,,,166.35,2438.0,44
CPT,61783,Scan proc spinal,,,202.12,2438.0,44
CPT,61790,Treat trigeminal nerve,,,516.21,5612.5,99
CPT,61791,Treat trigeminal tract,,,872.34,5612.5,87
CPT,61796,Srs cranial lesion simple,,,97.89,7268.0,82
CPT,61797,Srs cran les simple addl,,,26.73,5612.5,46
CPT,61798,Srs cranial lesion complex,,,97.89,7268.0,82
CPT,61799,Srs cran les complex addl,,,36.95,2880.0,43
CPT,61800,Apply srs headframe add-on,,,18.92,4275.0,48
CPT,61850,Implant neuroelectrodes,,,160.64,24872.68,84
CPT,61860,Implant neuroelectrodes,,,253.71,24872.68,84
CPT,61862,IMPLANT NEUROSTIMUL-SUBCORT,,,1102.81,1102.81,6
CPT,61863,Implant neuroelectrode,,,168.86,24872.68,132
CPT,61864,Implant neuroelectrde addl,,,40.54,24872.68,60
CPT,61867,Implant neuroelectrode,,,256.16,24872.68,132
CPT,61868,Implant neuroelectrde addl,,,67.64,24872.68,60
CPT,61880,Revise/remove neuroelectrode,,,59.37,6850.0,132
CPT,61885,Insrt/redo neurostim 1 array,,,207.89,39472.17,99
CPT,61886,Implant neurostim arrays,,,367.23,56092.0,63
CPT,61888,Revise/remove neuroreceiver,,,231.26,22953.8,99
CPT,61889,Ins sk-mnt crnl nstm pg/rcvr,,,804.56,24872.68,96
CPT,61891,Rev/rplcmt sk-mnt crnl nstm,,,381.56,39472.17,97
CPT,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,525.5,6850.0,97
CPT,62000,Treat skull fracture,,,459.28,6860.0,60
CPT,62005,Treat skull fracture,,,146.09,24872.68,96
CPT,62010,Treatment of head injury,,,200.14,24872.68,96
CPT,62100,Repair brain fluid leakage,,,224.0,24872.68,96
CPT,62115,Reduction of skull defect,,,192.25,24872.68,96
CPT,62117,Reduction of skull defect,,,251.74,24872.68,96
CPT,62120,Repair skull cavity lesion,,,216.52,24872.68,96
CPT,62121,Incise skull repair,,,207.88,24872.68,96
CPT,62140,Crnop skull defect<5 cm diam,,,139.3,24872.68,96
CPT,62141,Crnop skull defect>5 cm diam,,,158.29,24872.68,96
CPT,62142,Rmvl b1 flp/prostc plate skl,,,115.43,24872.68,96
CPT,62143,Rpl b1 flp/prostc plate skl,,,124.84,24872.68,96
CPT,62145,Repair of skull & brain,,,178.27,24872.68,96
CPT,62146,Crnop w/autograft<5 cm diam,,,151.14,24872.68,96
CPT,62147,Crnop w/autograft>5 cm diam,,,178.47,24872.68,96
CPT,62148,Retr bone flap to fix skull,,,102.21,24872.68,60
CPT,62160,Neuroendoscopy add-on,,,147.36,2438.0,44
CPT,62161,Dissect brain w/scope,,,168.7,24872.68,96
CPT,62162,Remove colloid cyst w/scope,,,216.16,24872.68,96
CPT,62164,Remove brain tumor w/scope,,,233.92,24872.68,96
CPT,62165,Remove pituit tumor w/scope,,,871.7,24872.68,60
CPT,62180,Establish brain cavity shunt,,,197.39,24872.68,96
CPT,62190,Establish brain cavity shunt,,,560.95,24872.68,60
CPT,62192,Establish brain cavity shunt,,,130.88,24872.68,96
CPT,62194,Replace/irrigate catheter,,,188.06,5612.5,63
CPT,62200,Establish brain cavity shunt,,,185.35,24872.68,96
CPT,62201,Brain cavity shunt w/scope,,,649.29,24872.68,60
CPT,62220,Establish brain cavity shunt,,,138.72,24872.68,96
CPT,62223,Establish brain cavity shunt,,,136.88,24872.68,96
CPT,62225,Replace/irrigate catheter,,,264.68,11787.82,63
CPT,62230,Replace/revise brain shunt,,,106.66,11787.82,99
CPT,62252,CSF Shunt Reprogramming,2041.25,2041.25,302.1,1633.0,23
CPT,62252,Csf shunt reprogram,,,34.88,4275.0,98
CPT,62256,Remove brain cavity shunt,,,70.38,24872.68,97
CPT,62258,Replace brain cavity shunt,,,149.21,24872.68,96
CPT,62263,Epidural lysis mult sessions,,,254.4,4275.0,64
CPT,62264,Epidural lysis on single day,,,191.03,4275.0,64
CPT,62267,Interdiscal perq aspir dx,,,133.88,4275.0,64
CPT,62268,Drain spinal cord cyst,,,245.08,4275.0,63
CPT,62268,Spinal Cord Cyst Perc Aspi Bct,2642.7,2642.7,391.12,2114.16,23
CPT,62269,Bx Spinal Cord Perc Needle Bct,3903.1,3903.1,577.66,3122.48,23
CPT,62269,Needle biopsy spinal cord,,,229.82,5612.5,63
CPT,62270,Dx Lumbar Puncture W/O Imaging,3605.25,3605.25,533.58,2884.2,23
CPT,62270,Dx lmbr spi pnxr,,,57.62,4275.0,64
CPT,62272,Ther spi pnxr drg csf,,,73.97,4275.0,64
CPT,62272,Therapeutic Lumbar Puncture W/O Imaging,2849.7,2849.7,421.76,2279.76,23
CPT,62273,Inject epidural patch,,,106.09,4275.0,64
CPT,62273,Injection Epidural Blood Patch,3459.5,3459.5,372.81,3520.0,46
CPT,62280,Treat spinal cord lesion,,,110.09,4275.0,64
CPT,62281,Treat spinal cord lesion,,,111.63,4275.0,64
CPT,62282,Treat spinal canal lesion,,,110.8,4275.0,64
CPT,62284,Injection Myelo/CT Spinal,4716.0,4716.0,697.97,3772.8,23
CPT,62284,Injection for myelogram,,,80.48,2438.0,45
CPT,62287,Dcmprn px perq 1/mlt lumbar,,,356.42,9641.0,63
CPT,62290,Inject Diskography Ea Lev Lumb,2409.0,2409.0,356.53,1927.2,23
CPT,62290,Njx px discography lumbar,,,148.43,2438.0,45
CPT,62291,Inject Diskography Ea Lev Cerv,2496.0,2496.0,369.41,1996.8,23
CPT,62291,Njx px discography crv/thrc,,,138.36,2438.0,45
CPT,62292,Njx chemonucleolysis lmbr,,,363.37,5612.5,63
CPT,62294,Injection into spinal artery,,,445.08,4275.0,63
CPT,62302,Myelography lumbar injection,,,108.95,4877.0,64
CPT,62303,Myelography lumbar injection,,,110.47,4877.0,64
CPT,62303,Myelography via Lumbar Injection;Thoracic;Including S&I,2501.25,2501.25,370.18,2001.0,23
CPT,62304,Myelography lumbar injection,,,107.13,4877.0,64
CPT,62304,Myelography via Lumbar Injection;Lumbosacral;Including S&I,2983.1,2983.1,441.5,2386.48,23
CPT,62305,Myelography lumbar injection,,,112.26,4877.0,64
CPT,62305,Myelography via Lumbar Injection' 2or More Regions;Including S&I,5871.0,5871.0,868.91,4696.8,23
CPT,62310,Inject spine c/t,,,5595.0,5595.0,1
CPT,62311,Inject spine l/s (cd),,,5595.0,5595.0,1
CPT,62318,Inject spine w/cath c/t,,,5595.0,5595.0,1
CPT,62319,Inject spine w/cath l/s (cd),,,173.91,5595.0,7
CPT,62320,Njx Interlaminar Crv/Thrc,2831.3,2831.3,419.03,2265.04,23
CPT,62320,Njx interlaminar crv/thrc,,,89.44,4275.0,64
CPT,62321,Inj of Sub Spinal Canal Upper/Mid Back; W/Image,3451.15,3451.15,510.77,2760.92,23
CPT,62321,Njx interlaminar crv/thrc,,,96.44,4275.0,64
CPT,62322,Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn,2501.25,2501.25,370.18,2001.0,23
CPT,62322,Njx interlaminar lmbr/sac,,,76.29,4275.0,64
CPT,62323,Inj of Sub Spinal Canal Lower Back/Sacrum; W/Image,3743.25,3743.25,554.0,2994.6,23
CPT,62323,Njx interlaminar lmbr/sac,,,87.92,4275.0,64
CPT,62324,Njx interlaminar crv/thrc,,,81.55,4275.0,64
CPT,62325,Njx interlaminar crv/thrc,,,93.72,4275.0,64
CPT,62326,Njx interlaminar lmbr/sac,,,80.01,4275.0,64
CPT,62327,Njx interlaminar lmbr/sac,,,85.19,4275.0,64
CPT,62328,Dx Lumbar Puncture W/Fl or CT Guidance,3933.13,3933.13,582.1,3146.5,23
CPT,62328,Dx lmbr spi pnxr w/fluor/ct,,,79.05,4275.0,64
CPT,62329,Ther spi pnxr csf fluor/ct,,,99.48,4275.0,64
CPT,62329,Therapeutic Lumbar Puncture W/Fl or CT Guidance,2710.55,2710.55,401.16,2168.44,23
CPT,62350,Implant spinal canal cath,,,278.42,11787.82,63
CPT,62351,Implant spinal canal cath,,,89.11,13149.29,135
CPT,62355,Remove spinal canal catheter,,,224.1,5612.5,63
CPT,62360,Insert spine infusion device,,,111.54,32532.32,63
CPT,62361,Implant spine infusion pump,,,222.53,32532.32,63
CPT,62362,Implant spine infusion pump,,,294.31,32532.32,63
CPT,62365,Remove spine infusion device,,,238.04,11787.82,63
CPT,62367,Analyze spine infus pump,,,19.54,4275.0,69
CPT,62368,Analyze sp inf pump w/reprog,,,33.26,4275.0,63
CPT,62369,Anal sp inf pmp w/reprg&fill,,,29.8,4275.0,63
CPT,62370,Anl sp inf pmp w/mdreprg&fil,,,39.9,4275.0,64
CPT,62380,Ndsc dcmprn 1 ntrspc lumbar,,,4312.0,13149.29,25
CPT,63001,Remove spine lamina 1/2 crvl,,,169.16,13149.29,135
CPT,63003,Remove spine lamina 1/2 thrc,,,171.0,13149.29,135
CPT,63005,Remove spine lamina 1/2 lmbr,,,159.01,13149.29,135
CPT,63011,Remove spine lamina 1/2 scrl,,,131.4,13149.29,135
CPT,63012,Remove lamina/facets lumbar,,,160.5,13149.29,135
CPT,63015,Remove spine lamina >2 crvcl,,,206.62,13149.29,135
CPT,63016,Remove spine lamina >2 thrc,,,204.3,13149.29,135
CPT,63017,Remove spine lamina >2 lmbr,,,170.19,13149.29,135
CPT,63020,Neck spine disk surgery,,,159.42,13149.29,171
CPT,63030,Low back disk surgery,,,130.53,13149.29,171
CPT,63035,Spinal disk surgery add-on,,,32.01,9641.0,118
CPT,63040,Laminotomy single cervical,,,199.41,13149.29,171
CPT,63042,Laminotomy single lumbar,,,185.2,13149.29,171
CPT,63043,Laminotomy addl cervical,,,45.26,9641.0,99
CPT,63044,Laminotomy addl lumbar,,,45.25,9641.0,99
CPT,63045,Lam facetec & foramot crv,,,176.94,13149.29,135
CPT,63046,Lam facetec & foramot thrc,,,169.31,13149.29,135
CPT,63047,Lam facetec & foramot lumbar,,,156.11,13149.29,135
CPT,63048,Lam facetec &foramot ea addl,,,33.08,9641.0,82
CPT,63050,Cervical laminoplsty 2/> seg,,,195.62,24872.68,132
CPT,63051,C-laminoplasty w/graft/plate,,,222.72,24872.68,132
CPT,63052,Lam facetc/frmt arthrd lum 1,,,34.09,2438.0,79
CPT,63053,Lam factc/frmt arthrd lum ea,,,25.51,2438.0,79
CPT,63055,Decompress spinal cord thrc,,,231.79,13149.29,99
CPT,63056,Decompress spinal cord lmbr,,,211.38,13149.29,99
CPT,63057,Decompress spine cord add-on,,,47.93,2438.0,44
CPT,63064,Decompress spinal cord thrc,,,251.24,13149.29,98
CPT,63066,Decompress spine cord add-on,,,29.94,1750.0,43
CPT,63075,Neck spine disk surgery,,,196.29,13149.29,133
CPT,63076,Neck spine disk surgery,,,38.74,3923.0,80
CPT,63077,Spine disk surgery thorax,,,208.94,24872.68,132
CPT,63078,Spine disk surgery thorax,,,29.84,24872.68,96
CPT,63081,Remove vert body dcmprn crvl,,,251.75,24872.68,132
CPT,63082,Remove vertebral body add-on,,,42.27,24872.68,96
CPT,63085,Remove vert body dcmprn thrc,,,276.06,24872.68,132
CPT,63086,Remove vertebral body add-on,,,30.29,24872.68,96
CPT,63087,Remov vertbr dcmprn thrclmbr,,,334.57,24872.68,132
CPT,63088,Remove vertebral body add-on,,,41.05,24872.68,96
CPT,63090,Remove vert body dcmprn lmbr,,,284.73,24872.68,132
CPT,63091,Remove vertebral body add-on,,,27.62,24872.68,96
CPT,63101,Remove vert body dcmprn thrc,,,293.46,24872.68,96
CPT,63102,Remove vert body dcmprn lmbr,,,293.46,24872.68,96
CPT,63103,Remove vertebral body add-on,,,34.21,24872.68,60
CPT,63170,Incise spinal cord tract(s),,,204.04,24872.68,98
CPT,63172,Drainage of spinal cyst,,,191.0,24872.68,98
CPT,63173,Drainage of spinal cyst,,,210.9,24872.68,98
CPT,63182,Revise spinal cord ligaments,,,1220.17,1220.17,6
CPT,63185,Incise spine nrv half segmnt,,,153.91,24872.68,98
CPT,63190,Incise spine nrv >2 segmnts,,,184.07,24872.68,98
CPT,63191,Incise spine accessory nerve,,,164.65,24872.68,134
CPT,63194,Incise spine & cord cervical,,,1133.39,9641.0,8
CPT,63195,Incise spine & cord thoracic,,,1141.53,9641.0,8
CPT,63196,Incise spine&cord 2 trx crvl,,,1287.37,9641.0,8
CPT,63197,Lam w/cordotomy 1stg thrc,,,196.3,24872.68,98
CPT,63198,Incise spin&cord 2 stgs crvl,,,1389.49,9641.0,8
CPT,63199,Incise spin&cord 2 stgs thrc,,,1609.29,9641.0,8
CPT,632,Anesth removal of nerves,,,11639.38,24872.68,16
CPT,63200,Release spinal cord lumbar,,,178.9,24872.68,98
CPT,63250,Revise spinal cord vsls crvl,,,362.96,24872.68,98
CPT,63251,Revise spinal cord vsls thrc,,,364.78,24872.68,98
CPT,63252,Revise spine cord vsl thrlmb,,,378.01,24872.68,98
CPT,63265,Excise intraspinl lesion crv,,,178.9,13149.29,99
CPT,63266,Excise intrspinl lesion thrc,,,178.9,13149.29,99
CPT,63267,Excise intrspinl lesion lmbr,,,188.59,13149.29,99
CPT,63268,Excise intrspinl lesion scrl,,,167.27,13149.29,99
CPT,63270,Excise intrspinl lesion crvl,,,250.14,24872.68,98
CPT,63271,Excise intrspinl lesion thrc,,,273.92,24872.68,98
CPT,63272,Excise intrspinl lesion lmbr,,,251.62,24872.68,98
CPT,63273,Excise intrspinl lesion scrl,,,229.23,24872.68,98
CPT,63275,Bx/exc xdrl spine lesn crvl,,,247.35,24872.68,98
CPT,63276,Bx/exc xdrl spine lesn thrc,,,243.8,24872.68,98
CPT,63277,Bx/exc xdrl spine lesn lmbr,,,217.57,24872.68,98
CPT,63278,Bx/exc xdrl spine lesn scrl,,,214.48,24872.68,98
CPT,63280,Bx/exc idrl spine lesn crvl,,,288.51,24872.68,98
CPT,63281,Bx/exc idrl spine lesn thrc,,,284.75,24872.68,98
CPT,63282,Bx/exc idrl spine lesn lmbr,,,262.87,24872.68,98
CPT,63283,Bx/exc idrl spine lesn scrl,,,232.47,24872.68,98
CPT,63285,Bx/exc idrl imed lesn cervl,,,334.0,24872.68,98
CPT,63286,Bx/exc idrl imed lesn thrc,,,342.22,24872.68,98
CPT,63287,Bx/exc idrl imed lesn thrlmb,,,342.98,24872.68,98
CPT,63290,Bx/exc xdrl/idrl lsn any lvl,,,350.02,24872.68,98
CPT,63295,Repair laminectomy defect,,,44.06,24872.68,98
CPT,63300,Remove vert xdrl body crvcl,,,228.52,24872.68,96
CPT,63301,Remove vert xdrl body thrc,,,251.65,24872.68,96
CPT,63302,Remove vert xdrl body thrlmb,,,261.14,24872.68,96
CPT,63303,Remov vert xdrl bdy lmbr/sac,,,268.54,24872.68,96
CPT,63304,Remove vert idrl body crvcl,,,286.08,24872.68,96
CPT,63305,Remove vert idrl body thrc,,,293.39,24872.68,96
CPT,63306,Remov vert idrl bdy thrclmbr,,,295.85,24872.68,96
CPT,63307,Remov vert idrl bdy lmbr/sac,,,287.74,24872.68,96
CPT,63308,Remove vertebral body add-on,,,48.45,24872.68,60
CPT,63600,Remove spinal cord lesion,,,575.72,5612.5,63
CPT,63610,Stimulation of spinal cord,,,451.53,5612.5,63
CPT,63615,Remove lesion of spinal cord,,,2500.0,5595.0,2
CPT,63620,Srs spinal lesion,,,97.89,7268.0,82
CPT,63621,Srs spinal lesion addl,,,30.73,5612.5,46
CPT,63650,Implant Neuroelectrodes,13513.0,13513.0,1999.92,10810.4,23
CPT,63650,Implant neuroelectrodes,,,318.23,13887.5,63
CPT,63655,Implant neuroelectrodes,,,109.16,39472.17,99
CPT,63661,Remove spine eltrd perq aray,,,52.41,7940.0,100
CPT,63662,Remove spine eltrd plate,,,73.27,7940.0,99
CPT,63663,Revise spine eltrd perq aray,,,70.95,13887.5,100
CPT,63664,Revise spine eltrd plate,,,76.26,22953.8,99
CPT,63685,Ins/rplc spi npg/rcvr pocket,,,53.84,56092.0,99
CPT,63688,Rev/rmv imp sp npg/r dtch cn,,,238.43,6850.0,63
CPT,63700,Repair of spinal herniation,,,152.81,24872.68,96
CPT,63702,Repair of spinal herniation,,,172.41,24872.68,96
CPT,63704,Repair of spinal herniation,,,194.51,24872.68,96
CPT,63706,Repair of spinal herniation,,,213.8,24872.68,96
CPT,63707,Repair spinal fluid leakage,,,118.96,24872.68,96
CPT,63709,Repair spinal fluid leakage,,,149.8,24872.68,96
CPT,63710,Graft repair of spine defect,,,132.79,24872.68,96
CPT,63740,Install spinal shunt,,,121.26,24872.68,96
CPT,63741,Install spinal shunt,,,84.62,11787.82,97
CPT,63744,Revision of spinal shunt,,,84.33,11787.82,99
CPT,63746,Removal of spinal shunt,,,287.08,5612.5,63
CPT,64400,Njx aa&/strd trigeminal nrv,,,45.27,4275.0,64
CPT,64400,Trigeminal Nerve Block,2117.15,2117.15,313.34,1693.72,23
CPT,64402,N block inj facial,,,59.6,5595.0,3
CPT,64405,Bil Greater Occipital Nerve Inj,2501.25,2501.25,370.18,2001.0,23
CPT,64405,Inj Anes/Strd Greater Occipital Nerve,2501.25,2501.25,370.18,2001.0,23
CPT,64405,Njx aa&/strd gr ocpl nrv,,,54.95,4275.0,64
CPT,64408,Njx aa&/strd vagus nrv,,,66.66,4275.0,64
CPT,64410,N block inj phrenic,,,63.9,5595.0,3
CPT,64412,N block inj spinal accessor,,,5595.0,5595.0,1
CPT,64413,N block inj cervical plexus,,,58.74,5595.0,3
CPT,64415,Injection Aa&/Strd Brachial Plexus W/Img Gdn,3997.4,3997.4,591.62,3197.92,23
CPT,64415,Njx aa&/strd brch plxs img,,,58.36,4275.0,64
CPT,64416,Njx aa&/strd brch pl nfs img,,,112.55,4275.0,63
CPT,64417,Bil Injection Aa&/Strd Axillary Nerve W/Img Gdn,8466.0,8466.0,1252.97,6772.8,23
CPT,64417,Injection Aa&/Strd Axillary Nerve W/Img Gdn,5809.8,5809.8,859.85,4647.84,23
CPT,64417,Njx aa&/strd ax nerve img,,,63.84,4275.0,64
CPT,64418,Bilateral Inj Anes/Strd Suprascapular,6029.0,6029.0,892.29,4823.2,23
CPT,64418,Inj Anes/Strd Suprascapular,4619.55,4619.55,683.69,3695.64,23
CPT,64418,Njx aa&/strd sprscap nrv,,,55.64,4275.0,64
CPT,64420,Inj Anes/Strd Intercostal Nerve 1st Level,3933.13,3933.13,582.1,3146.5,23
CPT,64420,Njx aa&/strd ntrcost nrv 1,,,54.21,4275.0,64
CPT,64421,Inj Anes/Strd Intercostal Nerve Addl Level,5694.8,5694.8,842.83,4555.84,23
CPT,64421,Intercostal Nerve Block/Multi,3789.0,3789.0,560.77,3031.2,23
CPT,64421,Njx aa&/strd ntrcost nrv ea,,,35.64,4275.0,64
CPT,64425,Inj Anes/Strd Ilioinguinal/Iliohypogastric Nerve,3453.45,3453.45,511.11,2762.76,23
CPT,64425,Njx aa&/strd ii ih nerves,,,74.12,4275.0,64
CPT,64430,Inj Anes/Strd Pudendal Nerve,2501.25,2501.25,370.18,2001.0,23
CPT,64430,Njx aa&/strd pudendal nerve,,,67.06,4275.0,64
CPT,64435,Inj Anes/Strd Paracervical Nerve,2686.4,2686.4,397.59,2149.12,23
CPT,64435,Njx aa&/strd paracrv nrv,,,60.94,4275.0,64
CPT,64445,Injection Aa&/Strd Sciatic Nerve W/Img Gdn,3933.13,3933.13,582.1,3146.5,23
CPT,64445,Njx aa&/strd sciatic nrv img,,,58.37,4275.0,64
CPT,64446,Njx aa&/strd sc nrv nfs img,,,110.12,4275.0,62
CPT,64447,Bilateral Inj Aa&/Strd Femoral Nerve W/Img Gdn,7569.3,7569.3,1120.26,6055.44,23
CPT,64447,Injection Aa&/Strd Femoral Nerve W/Img Gdn,5046.2,5046.2,746.84,4036.96,23
CPT,64447,Njx aa&/strd femoral nrv img,,,92.93,4275.0,62
CPT,64448,Injection Aa&/Strd Fem Nrv Cont Nfs Cath Img Gdn,3933.13,3933.13,582.1,3146.5,23
CPT,64448,Njx aa&/strd fem nrv nfs img,,,105.2,4275.0,62
CPT,64449,Njx aa&/strd lmbr plex nfs,,,95.54,4275.0,63
CPT,64450,Adductor Canal,5983.0,5983.0,885.48,4786.4,23
CPT,64450,Bilateral Inj Aa&/Strd Other Peripheral Nerve/Branch,5983.0,5983.0,885.48,4786.4,23
CPT,64450,Inj Anes/Strd Other Peripheral Nerve,5983.0,5983.0,885.48,4786.4,23
CPT,64450,Njx aa&/strd other pn/branch,,,51.86,4275.0,64
CPT,64451,Injection Aa&/Strd Nerves Nrvtg Si Joint W/Img,4026.0,4026.0,595.85,3220.8,23
CPT,64451,Njx aa&/strd nrv nrvtg si jt,,,69.9,4275.0,64
CPT,64454,Bilateral Injection Aa&/Strd Genicular Nrv Branches W/Img,4148.0,4148.0,613.9,3318.4,23
CPT,64454,Injection Aa&/Strd Genicular Nrv Branches W/Img,4634.5,4634.5,685.91,3707.6,23
CPT,64454,Njx aa&/strd gnclr nrv brnch,,,72.03,4275.0,64
CPT,64455,N Block Inj Plantar Digit,2041.25,2041.25,302.1,1633.0,23
CPT,64455,Njx aa&/strd pltr com dg nrv,,,32.83,4275.0,64
CPT,64461,Pvb Thoracic Single Inj Site,4312.0,4312.0,638.18,3449.6,23
CPT,64461,Pvb thoracic single inj site,,,50.0,4275.0,64
CPT,64462,Pvb thoracic 2nd+ inj site,,,47.46,2438.0,45
CPT,64463,Pvb thoracic cont infusion,,,50.0,4275.0,64
CPT,64466,Thrc fascial pln blk uni njx,,,54.32,1473.0,41
CPT,64467,Thrc fascial pln blk uni nfs,,,62.54,1473.0,41
CPT,64468,Thrc fascial pln blk bi njx,,,60.35,1473.0,41
CPT,64469,Thrc fascial pln blk bi nfs,,,65.54,1473.0,41
CPT,64470,Inj paravertebral c/t,,,75.96,176.58,7
CPT,64472,Inj paravertebral c/t add-on,,,54.09,148.3,7
CPT,64473,Lwr xtr fscl pln blk uni njx,,,48.51,1473.0,41
CPT,64474,Lwr xtr fscl pln blk uni nfs,,,60.35,1473.0,41
CPT,64475,Inj paravertebral l/s,,,58.12,157.15,7
CPT,64476,Inj paravertebral l/s add-on,,,40.31,148.93,7
CPT,64479,Injection Cervical/Thoracic sngl LEVel,5265.0,5265.0,779.22,4212.0,23
CPT,64479,Njx aa&/strd tfrm epi c/t 1,,,90.63,4275.0,64
CPT,64480,Njx Txforamen Cerv/Thorax Each Addl Level,2285.0,2285.0,338.18,1828.0,23
CPT,64480,Njx aa&/strd tfrm epi c/t ea,,,62.78,2438.0,45
CPT,64483,Bil Inject Txforamen Epi L/S Sngl,5900.81,5900.81,873.32,4720.65,23
CPT,64483,Inject Anest Txforamen L/S Sng,4064.1,4064.1,601.49,3251.28,23
CPT,64483,Njx aa&/strd tfrm epi l/s 1,,,77.25,4275.0,64
CPT,64484,Njx aa&/strd tfrm epi l/s ea,,,54.35,2438.0,45
CPT,64484,Transfor Inj Lum/Sac Addt Spn,4690.0,4690.0,694.12,3752.0,23
CPT,64486,Tap Block Unil by Injection,6097.3,6097.3,902.4,4877.84,23
CPT,64486,Tap block unil by injection,,,54.67,2891.0,45
CPT,64487,Tap block uni by infusion,,,62.83,2891.0,45
CPT,64488,Tap Block Bi Injection,6097.3,6097.3,902.4,4877.84,23
CPT,64488,Tap block bi injection,,,58.74,2891.0,45
CPT,64489,Tap block bi by infusion,,,73.09,2891.0,44
CPT,64490,Bilat_Inj Paravert F Jnt C/T 1 Lev,6242.0,6242.0,923.82,4993.6,23
CPT,64490,Inj Paravert F Jnt C/T 1 Lev,7420.95,7420.95,1098.3,5936.76,23
CPT,64490,Inj paravert f jnt c/t 1 lev,,,16.45,4275.0,100
CPT,64491,Bilat_Inj Paravert F Jnt C/T 2 Lev,2907.0,2907.0,430.24,2325.6,23
CPT,64491,Inj Paravert F Jnt C/T 2 Lev,3592.6,3592.6,531.7,2874.08,23
CPT,64491,Inj paravert f jnt c/t 2 lev,,,8.61,2438.0,81
CPT,64492,Bilat_Inj Paravert F Jnt C/T 3 Lev,2160.0,2160.0,319.68,1728.0,23
CPT,64492,Inj Paravert F Jnt C/T 3 Lev,2398.9,2398.9,355.04,1919.12,23
CPT,64492,Inj paravert f jnt c/t 3 lev,,,8.73,2438.0,81
CPT,64493,Bilat_Inj Paravert F Jnt L/S 1 Lev,7798.15,7798.15,1154.13,6238.52,23
CPT,64493,Inj Paravert F Jnt L/S 1 Lev,7798.15,7798.15,1154.13,6238.52,23
CPT,64493,Inj paravert f jnt l/s 1 lev,,,14.22,4275.0,100
CPT,64494,Bilat_Inj Paravert F Jnt L/S 2 Lev,3592.6,3592.6,531.7,2874.08,23
CPT,64494,Inj Paravert F Jnt L/S 2 Lev,3592.6,3592.6,531.7,2874.08,23
CPT,64494,Inj paravert f jnt l/s 2 lev,,,7.73,2438.0,81
CPT,64495,Bilat_Inj Paravert F Jnt L/S 3 Lev,4630.0,4630.0,685.24,3704.0,23
CPT,64495,Inj Paravert F Jnt L/S 3 Lev,4630.0,4630.0,685.24,3704.0,23
CPT,64495,Inj paravert f jnt l/s 3 lev,,,7.85,2438.0,80
CPT,64505,N Block Spenopalatine Gangl,2041.25,2041.25,302.1,1633.0,23
CPT,64505,N block spenopalatine gangl,,,133.91,4275.0,63
CPT,64508,N block carotid sinus s/p,,,1750.0,5595.0,2
CPT,64510,Inject Stellate Ganglion,4274.0,4274.0,632.55,3419.2,23
CPT,64510,N block stellate ganglion,,,56.42,4275.0,64
CPT,64517,N block inj hypogas plxs,,,102.97,4275.0,64
CPT,64517,Nblock Inj Hypogas Plxs,4327.0,4327.0,640.4,3461.6,23
CPT,64520,Inject Anest Lumbar Thoracic,5439.5,5439.5,805.05,4351.6,23
CPT,64520,N block lumbar/thoracic,,,61.7,4275.0,64
CPT,64530,N block inj celiac pelus,,,78.13,4275.0,64
CPT,64530,Njx Anes Celiac Plexus W/WO Img Guidance,5015.0,5015.0,742.22,4012.0,23
CPT,64550,Appl surface neurostimulator,,,1750.0,1750.0,1
CPT,64553,Implant neuroelectrodes,,,103.27,22953.8,58
CPT,64555,Implant neuroelectrodes,,,87.03,13887.5,62
CPT,64561,Implant Neuroelectrodes Sacral Nerve,11309.1,11309.1,1673.75,9047.28,23
CPT,64561,Implant neuroelectrodes,,,237.38,13887.5,100
CPT,64565,Implant neuroelectrodes,,,74.4,5595.0,2
CPT,64566,Neuroeltrd stim post tibial,,,25.29,4275.0,64
CPT,64566,Percutaneous Tibial Nerve Stimulation,2041.25,2041.25,302.1,1633.0,23
CPT,64568,Opn impltj crnl nrv nea&pg,,,412.19,56092.0,97
CPT,64569,Revise/repl vagus n eltrd,,,402.07,22953.8,99
CPT,64570,Remove vagus n eltrd,,,352.75,11787.82,99
CPT,64575,Opn impltj nea perph nerve,,,198.68,22953.8,63
CPT,64580,Opn impltj nea neuromuscular,,,50.33,39472.17,87
CPT,64581,Opn impltj nea sacral nerve,,,489.64,13887.5,63
CPT,64582,Opn mpltj hpglsl nstm ary pg,,,548.1,56092.0,98
CPT,64583,Rev/rplct hpglsl nstm ary pg,,,501.43,22953.8,98
CPT,64584,Rmvl hpglsl nstim ary pg,,,422.58,11787.82,98
CPT,64585,Rev/rmv perph nstim eltrd ra,,,113.38,6850.0,64
CPT,64590,Ins/rpl prph sac/gstr npg/r,,,231.65,39472.17,57
CPT,64595,Rev/rmv prph sac/gstr npg/r,,,87.47,6850.0,63
CPT,64596,Ins/rplcmt prq eltrd ra pn 1,,,246.66,22953.8,32
CPT,64597,Ins/rplcm prq eltrd ra pn ea,,,246.66,2438.0,13
CPT,64598,Revj/rmvl nea pn w/int nstim,,,192.42,6850.0,32
CPT,64600,Injection treatment of nerve,,,155.58,4275.0,64
CPT,64605,Injection treatment of nerve,,,216.73,5612.5,100
CPT,64610,Injection treatment of nerve,,,362.32,5612.5,99
CPT,64611,Chemodenerv Parotid/Subm Salivary Glands Bilateral,2041.25,2041.25,302.1,1633.0,23
CPT,64611,Chemodenerv saliv glands,,,50.0,4275.0,64
CPT,64612,Chemodenerve Mus Inv Fac Nerve,3933.13,3933.13,582.1,3146.5,23
CPT,64612,Destroy nerve face muscle,,,93.97,4275.0,100
CPT,64615,Chemodenerv musc migraine,,,50.0,4275.0,64
CPT,64615,"Destroy Mucles Facial, Trigeminal, Cervical, Spinal",2863.5,2863.5,423.8,2290.8,23
CPT,64616,Chemodenerv Musc Neck Dyston,2501.25,2501.25,370.18,2001.0,23
CPT,64616,Chemodenerv musc neck dyston,,,50.0,4275.0,100
CPT,64617,Chemodener muscle larynx emg,,,50.0,4275.0,100
CPT,64617,"Chemodenervation of Muscle(S); Larynx, Unilateral, Percd",2501.25,2501.25,370.18,2001.0,23
CPT,64620,Destroy Intercostal Neurolytic,5247.0,5247.0,776.56,4197.6,23
CPT,64620,Injection treatment of nerve,,,121.03,4275.0,64
CPT,64624,Bilateral Destruction Neurolytic Agt Genicular Nerve W/Img,11400.0,11400.0,1687.2,9120.0,23
CPT,64624,Destruction Neurolytic Agt Genicular Nerve W/Img,11400.0,11400.0,1687.2,9120.0,23
CPT,64624,Dstrj nulyt agt gnclr nrv,,,114.75,5612.5,100
CPT,64625,Radiofrequency Abltj Nrv Nrvtg Si Jt W/Img Gdn,6721.75,6721.75,994.82,5377.4,23
CPT,64625,Rf abltj nrv nrvtg si jt,,,153.6,7940.0,100
CPT,64628,Trml dstrj ios bvn 1st 2 l/s,,,305.16,23683.65,62
CPT,64629,Trml dstrj ios bvn ea addl,,,178.35,2438.0,43
CPT,64630,Injection treatment of nerve,,,138.15,4275.0,64
CPT,64632,N block inj common digit,,,50.0,4275.0,100
CPT,64633,Destroy cerv/thor facet jnt,,,150.14,5612.5,100
CPT,64633,Dstr Cerv/Thor Paravet Sngl,3766.25,3766.25,557.4,3013.0,23
CPT,64634,Destroy c/th facet jnt addl,,,59.83,2438.0,45
CPT,64634,Dstr Cerv/Thor Paravet Ea Addl,2041.25,2041.25,302.1,1633.0,23
CPT,64635,Bilateral Destr Lumb/Sac Facet Jnt; Single,4889.8,4889.8,723.69,3911.84,23
CPT,64635,Destroy lumb/sac facet jnt,,,150.1,5898.0,100
CPT,64635,Unilateral Dstr Lumb/Sac Paravet; Sngl,9050.5,9050.5,1339.47,7240.4,23
CPT,64636,Destroy l/s facet jnt addl,,,52.03,2438.0,45
CPT,64636,Unilateral Dstr Lumb/Sac Paravet; Ea Addl,3060.15,3060.15,452.9,2448.12,23
CPT,64640,Destr Peripheral Nerve,8339.8,8339.8,1234.29,6671.84,23
CPT,64640,Injection treatment of nerve,,,94.26,4275.0,100
CPT,64640,Njx Anes/Strd Other Peripheral Nerve,8339.8,8339.8,1234.29,6671.84,23
CPT,64642,Chemodenerv 1 Extermity 1-4,3717.95,3717.95,550.26,2974.36,23
CPT,64642,Chemodenerv 1 extremity 1-4,,,50.0,4275.0,64
CPT,64643,Chemodenerv 1 Exterm 1-4 Ea,2902.0,2902.0,429.5,2321.6,23
CPT,64643,Chemodenerv 1 extrem 1-4 ea,,,62.02,2438.0,45
CPT,64644,Chemodenerv 1 Exterm --5/>Mus,3933.13,3933.13,582.1,3146.5,23
CPT,64644,Chemodenerv 1 extrem 5/> mus,,,50.0,4275.0,64
CPT,64645,Chemodenerv 1 Exterm --5/> Ea,2902.0,2902.0,429.5,2321.6,23
CPT,64645,Chemodenerv 1 extrem 5/> ea,,,71.08,2438.0,45
CPT,64646,Chemodenerv Trunk Musc 1-5,6238.0,6238.0,923.22,4990.4,23
CPT,64646,Chemodenerv trunk musc 1-5,,,50.0,4275.0,64
CPT,64647,Chemodenerv trunk musc 6/>,,,50.0,4275.0,58
CPT,64650,Chemodenerv Eccrine Glands,2041.25,2041.25,302.1,1633.0,23
CPT,64650,Chemodenerv eccrine glands,,,39.92,4275.0,63
CPT,64653,Chemodenerv eccrine glands,,,50.47,4275.0,63
CPT,64680,Destr Neurolyitc Celiac Plexus,6569.0,6569.0,972.21,5255.2,23
CPT,64680,Injection treatment of nerve,,,122.7,4275.0,64
CPT,64681,Injection treatment of nerve,,,173.18,4275.0,63
CPT,64702,Revise finger/toe nerve,,,208.47,5612.5,63
CPT,64704,Revise hand/foot nerve,,,46.03,5612.5,99
CPT,64704,Revision Hand/Foot Nerve,4965.7,4965.7,734.92,3972.56,23
CPT,64708,Revise arm/leg nerve,,,64.4,5612.5,99
CPT,64712,Revision of sciatic nerve,,,77.63,5612.5,135
CPT,64713,Revision of arm nerve(s),,,99.06,5612.5,135
CPT,64714,Revise low back nerve(s),,,81.61,5612.5,135
CPT,64716,Revision of cranial nerve,,,59.79,5612.5,99
CPT,64718,Revise ulnar nerve at elbow,,,303.41,5612.5,99
CPT,64719,Revise ulnar nerve at wrist,,,242.48,5612.5,99
CPT,64721,Carpal tunnel surgery,,,239.28,5612.5,100
CPT,64722,Relieve pressure on nerve(s),,,47.12,5612.5,99
CPT,64726,Release foot/toe nerve,,,149.58,5612.5,63
CPT,64727,Internal nerve revision,,,173.42,2438.0,44
CPT,64732,Incision of brow nerve,,,46.25,5612.5,135
CPT,64734,Incision of cheek nerve,,,234.51,5612.5,99
CPT,64736,Incision of chin nerve,,,44.37,5612.5,135
CPT,64738,Incision of jaw nerve,,,54.29,5612.5,135
CPT,64740,Incision of tongue nerve,,,52.8,5612.5,135
CPT,64742,Incision of facial nerve,,,59.16,5612.5,135
CPT,64744,Incise nerve back of head,,,264.59,5612.5,99
CPT,64746,Incise diaphragm nerve,,,56.43,5612.5,135
CPT,64755,Incision of stomach nerves,,,119.08,24872.68,96
CPT,64760,Incision of vagus nerve,,,66.09,24872.68,96
CPT,64763,Incise hip/thigh nerve,,,64.07,5612.5,134
CPT,64766,Incise hip/thigh nerve,,,81.31,8327.5,134
CPT,64771,Sever cranial nerve,,,72.3,5612.5,99
CPT,64772,Incision of spinal nerve,,,72.67,5612.5,99
CPT,64774,Remove skin nerve lesion,,,212.82,5612.5,63
CPT,64776,Remove digit nerve lesion,,,211.79,5612.5,63
CPT,64778,Digit nerve surgery add-on,,,176.47,2891.0,44
CPT,64782,Remove limb nerve lesion,,,261.7,5612.5,63
CPT,64783,Limb nerve surgery add-on,,,210.94,2891.0,44
CPT,64784,Remove nerve lesion,,,407.18,5612.5,63
CPT,64786,Remove sciatic nerve lesion,,,146.32,11787.82,135
CPT,64787,Implant nerve end,,,230.22,2891.0,44
CPT,64788,Remove skin nerve lesion,,,206.67,5612.5,63
CPT,64790,Removal of nerve lesion,,,478.71,5612.5,63
CPT,64792,Removal of nerve lesion,,,130.84,11787.82,99
CPT,64795,Biopsy of nerve,,,176.05,5612.5,63
CPT,64802,Sympathectomy cervical,,,81.21,5612.5,135
CPT,64804,Sympathectomy cervicothorac,,,137.24,5612.5,132
CPT,64809,Sympathectomy thoracolumbar,,,123.28,24872.68,132
CPT,64818,Sympathectomy lumbar,,,96.59,24872.68,132
CPT,64820,Sympathectomy digital artery,,,454.76,5612.5,60
CPT,64821,Sympathectomy radial artery,,,532.33,6850.0,87
CPT,64822,Sympathectomy ulnar artery,,,532.33,6850.0,87
CPT,64823,Sympathectomy supfc palmar,,,602.13,6850.0,87
CPT,64831,Repair of digit nerve,,,370.31,8327.5,99
CPT,64832,Repair nerve add-on,,,266.28,2438.0,44
CPT,64834,Repair of hand or foot nerve,,,392.32,11787.82,99
CPT,64835,Repair of hand or foot nerve,,,95.23,11787.82,135
CPT,64836,Repair of hand or foot nerve,,,97.78,11787.82,135
CPT,64837,Repair nerve add-on,,,54.75,2438.0,44
CPT,64840,Repair of leg nerve,,,121.03,11787.82,135
CPT,64856,Repair/transpose nerve,,,576.34,11787.82,63
CPT,64857,Repair arm/leg nerve,,,129.79,11787.82,99
CPT,64858,Repair sciatic nerve,,,149.73,8327.5,135
CPT,64859,Nerve surgery,,,38.63,2438.0,44
CPT,64861,Repair of arm nerves,,,174.25,8327.5,135
CPT,64862,Repair of low back nerves,,,205.24,11787.82,135
CPT,64864,Repair of facial nerve,,,110.8,11787.82,99
CPT,64865,Repair of facial nerve,,,143.04,11787.82,99
CPT,64866,Fusion of facial/other nerve,,,141.46,24872.68,96
CPT,64868,Fusion of facial/other nerve,,,132.85,24872.68,96
CPT,64872,Subsequent repair of nerve,,,17.73,2891.0,44
CPT,64874,Repair & revise nerve add-on,,,26.27,3133.0,44
CPT,64876,Repair nerve/shorten bone,,,28.81,3133.0,44
CPT,64885,Nerve graft head/neck <4 cm,,,157.96,11787.82,99
CPT,64886,Nerve graft head/neck >4 cm,,,187.08,11787.82,99
CPT,64890,Nrv grf 1strnd hnd/foot <4cm,,,142.09,11787.82,99
CPT,64891,Nrv grf 1strnd hnd/foot >4cm,,,142.02,11787.82,99
CPT,64892,Nrv grf 1strnd arm/leg <4cm,,,134.35,11787.82,99
CPT,64893,Nrv grf 1strnd arm/leg >4 cm,,,150.81,11787.82,99
CPT,64895,Nrv grf mltst hnd/foot <4 cm,,,171.32,11787.82,99
CPT,64896,Nrv grf mltst hnd/foot >4 cm,,,193.09,11787.82,99
CPT,64897,Nrv grf mltst arm/leg <4 cm,,,162.09,11787.82,99
CPT,64898,Nrv grf mltst arm/leg >4 cm,,,176.96,11787.82,99
CPT,64901,Nerve graft add-on,,,92.91,2891.0,44
CPT,64902,Nerve graft add-on,,,107.49,2891.0,44
CPT,64905,Nerve pedicle transfer,,,120.99,11787.82,99
CPT,64907,Nerve pedicle transfer,,,168.08,11787.82,99
CPT,64910,Nerve repair w/allograft,,,89.91,11787.82,99
CPT,64911,Neurorraphy w/vein autograft,,,162.42,11787.82,87
CPT,64912,Nrv rpr w/nrv algrft 1st,,,109.67,11787.82,97
CPT,64913,Nrv rpr w/nrv algrft ea addl,,,22.29,2438.0,43
CPT,64999,Quadratus Lumborum-Anes,3306.25,3306.25,489.32,2645.0,23
CPT,64999,Unlisted Neuro Px,3651.25,3651.25,540.38,2921.0,23
CPT,64999,"Unlisted Procedure, Nervous System",1930.0,1930.0,285.64,1544.0,23
CPT,64999,Unlisted px nervous system,,,293.71,2438.0,22
CPT,65091,Revise eye,,,341.5,6941.19,99
CPT,65093,Revise eye with implant,,,358.27,6941.19,99
CPT,65101,Removal of eye,,,365.32,6941.19,99
CPT,65103,Remove eye/insert implant,,,386.97,6941.19,99
CPT,65105,Remove eye/attach implant,,,97.23,6941.19,135
CPT,65110,Removal of eye,,,149.86,6941.19,135
CPT,65112,Remove eye/revise socket,,,158.75,7940.0,135
CPT,65114,Remove eye/revise socket,,,166.84,7940.0,135
CPT,65125,Revise ocular implant,,,156.64,5898.0,99
CPT,65130,Insert ocular implant,,,367.04,6941.19,99
CPT,65135,Insert ocular implant,,,340.67,6941.19,99
CPT,65140,Attach ocular implant,,,370.73,6941.19,99
CPT,65150,Revise ocular implant,,,328.19,6941.19,99
CPT,65155,Reinsert ocular implant,,,433.69,6941.19,99
CPT,65175,Removal of ocular implant,,,329.29,6941.19,99
CPT,65205,"FB Removal, Eye",2041.25,2041.25,302.1,1633.0,23
CPT,65205,Remove FB Eye Conj Superficial,2041.25,2041.25,302.1,1633.0,23
CPT,65205,Remove foreign body from eye,,,29.73,4275.0,63
CPT,65210,Remove Foreign Body From Eye,2041.25,2041.25,302.1,1633.0,23
CPT,65210,Remove foreign body from eye,,,36.34,4275.0,63
CPT,65220,Eye Exam W/O Slit Lamp,2041.25,2041.25,302.1,1633.0,23
CPT,65220,Remove foreign body from eye,,,31.6,4275.0,63
CPT,65222,Eye Exam Slit Lamp,2041.25,2041.25,302.1,1633.0,23
CPT,65222,Remove foreign body from eye,,,39.79,4275.0,63
CPT,65235,Remove foreign body from eye,,,314.48,5612.5,99
CPT,65260,Remove foreign body from eye,,,109.72,5612.5,135
CPT,65265,Remove foreign body from eye,,,126.64,5612.5,135
CPT,65270,Repair Laceration Conjunctiva,5063.45,5063.45,749.39,4050.76,23
CPT,65270,Repair of eye wound,,,108.28,5612.5,100
CPT,65272,Repair of eye wound,,,163.18,5612.5,100
CPT,65273,Repair of eye wound,,,188.62,24872.68,97
CPT,65275,Repair of eye wound,,,185.37,6941.19,100
CPT,65275,Rpr Lacer Cornea Non-Perfor,8972.0,8972.0,1327.86,7177.6,23
CPT,65280,Repair of eye wound,,,357.31,9497.36,99
CPT,65285,Repair of eye wound,,,591.3,9497.36,99
CPT,65286,Cornea Sclera Wound Tissue Glu,5537.81,5537.81,819.6,4430.25,23
CPT,65286,Repair of eye wound,,,271.05,5612.5,100
CPT,65290,Repair of eye socket wound,,,260.79,6941.19,99
CPT,65400,Excise Lesn Cornea Not Pterygm,5997.0,5997.0,887.56,4797.6,23
CPT,65400,Removal of eye lesion,,,303.21,5612.5,100
CPT,65410,Biopsy of cornea,,,87.02,5612.5,64
CPT,65420,Removal of eye lesion,,,225.53,5612.5,100
CPT,65426,Removal of eye lesion,,,268.75,5898.0,100
CPT,65430,Corneal smear,,,50.0,4275.0,63
CPT,65430,Scraping Cornea Diagnostic,2041.25,2041.25,302.1,1633.0,23
CPT,65435,Curette/Treat Cornea,2784.15,2784.15,412.05,2227.32,23
CPT,65435,Curette/treat cornea,,,43.64,5612.5,64
CPT,65436,Curette/treat cornea,,,50.0,5612.5,100
CPT,65450,Treatment of corneal lesion,,,50.0,4275.0,100
CPT,65600,Revision of cornea,,,158.51,5612.5,98
CPT,65710,Corneal transplant,,,129.09,9497.36,135
CPT,65730,Corneal transplant,,,150.95,8327.5,135
CPT,65750,Corneal transplant,,,158.57,9497.36,135
CPT,65755,Corneal transplant,,,157.72,8327.5,135
CPT,65756,Corneal trnspl endothelial,,,135.06,9641.0,135
CPT,65757,Prep corneal endo allograft,,,72.87,1750.0,37
CPT,65760,Keratomileusis,,,50.0,6850.0,12
CPT,65765,Keratophakia,,,50.0,6850.0,12
CPT,65767,Epikeratoplasty,,,50.0,6850.0,12
CPT,65770,Keratoprosthesis,,,167.55,26301.98,133
CPT,65771,Radial keratotomy,,,50.0,6850.0,12
CPT,65772,Correction of astigmatism,,,225.9,5612.5,100
CPT,65775,Correction of astigmatism,,,299.34,5612.5,99
CPT,65778,Cover Eye W/ Membrane,5461.35,5461.35,808.28,4369.08,23
CPT,65778,Cover eye w/membrane,,,63.27,5612.5,58
CPT,65779,Cover eye w/membrane suture,,,152.13,6941.19,58
CPT,65780,Ocular reconst transplant,,,399.88,6941.19,99
CPT,65781,Ocular reconst transplant,,,162.69,9497.36,135
CPT,65782,Ocular reconst transplant,,,613.93,6941.19,99
CPT,65785,Impltj ntrstrml crnl rng seg,,,300.31,8327.5,98
CPT,65800,Drainage of eye,,,114.15,5612.5,64
CPT,65800,Paracentesis Ant Chamb Eye Wdx,5537.81,5537.81,819.6,4430.25,46
CPT,65810,Drainage of eye,,,259.6,5612.5,99
CPT,65810,Paracentesis Ant Cham W/ Rmvl Vitreous W/WO Air Inj,10439.7,10439.7,1545.08,8351.76,23
CPT,65815,Drainage of eye,,,258.8,5612.5,100
CPT,65820,Goniotomy,,,408.81,8327.5,99
CPT,65850,Trabeculotomy ab externo,,,486.37,5612.5,99
CPT,65855,Trabeculoplasty by Laser,3369.5,3369.5,498.69,2695.6,23
CPT,65855,Trabeculoplasty laser surg,,,158.13,4275.0,100
CPT,65860,Severing ads ant sgm laser,,,167.9,4275.0,100
CPT,65865,"Argon Laser Gonioplasty, One Eye",4996.75,4996.75,739.52,3997.4,23
CPT,65865,Incise inner eye adhesions,,,271.66,5612.5,99
CPT,65870,Incise inner eye adhesions,,,287.13,5612.5,99
CPT,65875,Incise inner eye adhesions,,,299.96,5612.5,99
CPT,65880,Incise inner eye adhesions,,,321.8,8327.5,99
CPT,65900,Remove eye lesion,,,108.42,5898.0,135
CPT,65920,Remove implant of eye,,,377.44,7940.0,99
CPT,65930,Remove blood clot from eye,,,351.86,5898.0,99
CPT,66020,Injection treatment of eye,,,94.12,5612.5,100
CPT,66030,Injection treatment of eye,,,65.76,5612.5,100
CPT,66130,Remove eye lesion,,,316.22,7940.0,100
CPT,66150,Glaucoma surgery,,,401.07,8327.5,99
CPT,66155,Glaucoma surgery,,,399.73,8327.5,99
CPT,66160,Glaucoma surgery,,,473.13,5612.5,99
CPT,66170,Glaucoma surgery,,,125.07,5612.5,135
CPT,66172,Incision of eye,,,144.97,5612.5,135
CPT,66174,Trluml dil aq o/f can w/o st,,,96.19,8327.5,135
CPT,66175,Trluml dil aq o/f can w/st,,,111.47,9497.36,135
CPT,66179,Aqueous shunt eye w/o graft,,,147.69,9641.0,135
CPT,66180,Aqueous shunt eye w/graft,,,150.74,9497.36,135
CPT,66183,Insert ant drainage device,,,147.8,9641.0,135
CPT,66184,Revision of aqueous shunt,,,107.55,9641.0,135
CPT,66185,Revise aqueous shunt eye,,,88.36,8000.0,135
CPT,66220,Repair eye lesion,,,3250.0,5595.0,2
CPT,66225,Repair/graft eye lesion,,,505.31,9497.36,99
CPT,66250,Follow-up surgery of eye,,,302.81,5612.5,100
CPT,66500,Incision of iris,,,180.31,5612.5,99
CPT,66505,Incision of iris,,,180.05,5612.5,99
CPT,66600,Remove iris and lesion,,,414.72,8327.5,99
CPT,66605,Removal of iris,,,570.47,6860.0,99
CPT,66625,Removal of iris,,,273.11,5612.5,100
CPT,66630,Removal of iris,,,313.24,5612.5,99
CPT,66635,Removal of iris,,,299.26,5612.5,99
CPT,66680,Repair iris & ciliary body,,,264.6,5612.5,99
CPT,66682,Repair iris & ciliary body,,,315.22,5612.5,99
CPT,66683,Implantation iris prosthesis,,,525.76,30217.35,76
CPT,66700,Destruction ciliary body,,,254.93,5612.5,100
CPT,66710,Ciliary transsleral therapy,,,258.08,5612.5,100
CPT,66710,Destruction Ciliary Body,6866.65,6866.65,1016.26,5493.32,23
CPT,66710,Transscleral Cyclophotocoagula,6349.15,6349.15,939.67,5079.32,23
CPT,66711,Ecp ciliary body destruction,,,311.93,5612.5,99
CPT,66720,Destruction ciliary body,,,254.7,5612.5,100
CPT,66740,Destruction ciliary body,,,237.67,5612.5,99
CPT,66761,Iridotomy Laser Surgery,7642.0,7642.0,1131.02,6113.6,23
CPT,66761,Iridotomy Laser Surgery-Both Eyes,11463.0,11463.0,1696.52,9170.4,23
CPT,66761,Revision of iris,,,181.35,4275.0,100
CPT,66762,Iridoplasty Photocoagulation,2563.35,2563.35,379.38,2050.68,23
CPT,66762,Revision of iris,,,217.84,4275.0,100
CPT,66770,Removal of inner eye lesion,,,242.57,4275.0,100
CPT,66820,Incision secondary cataract,,,218.32,5612.5,99
CPT,66821,After cataract laser surgery,,,117.73,4275.0,100
CPT,66821,Yag Laser Capsulotomy,2501.25,2501.25,370.18,2001.0,23
CPT,66825,Reposition intraocular lens,,,378.24,5612.5,99
CPT,66830,Removal of lens lesion,,,326.44,5612.5,99
CPT,66840,Removal of lens material,,,354.88,5612.5,99
CPT,66850,Removal of lens material,,,404.32,7940.0,99
CPT,66852,Removal of lens material,,,440.99,8327.5,99
CPT,66920,Extraction of lens,,,394.18,5612.5,99
CPT,66930,Extraction of lens,,,455.19,8327.5,99
CPT,66940,Extraction of lens,,,411.4,5898.0,99
CPT,66982,Xcapsl ctrc rmvl cplx wo ecp,,,501.71,8847.0,99
CPT,66983,Cataract surg w/iol 1 stage,,,382.85,8847.0,39
CPT,66984,Xcapsl ctrc rmvl w/o ecp,,,366.26,8847.0,99
CPT,66985,Insert lens prosthesis,,,373.61,6919.0,99
CPT,66986,Exchange lens prosthesis,,,521.05,6919.0,99
CPT,66987,Xcapsl ctrc rmvl cplx w/ecp,,,557.19,9641.0,87
CPT,66988,Xcapsl ctrc rmvl w/ecp,,,452.45,9641.0,87
CPT,66989,Xcpsl ctrc rmvl cplx insj 1+,,,490.47,9497.36,97
CPT,66990,Ophthalmic endoscope add-on,,,72.13,2438.0,44
CPT,66991,Xcapsl ctrc rmvl insj 1+,,,391.48,9497.36,97
CPT,66999,Irrigation Eye,5108.3,5108.3,756.03,4086.64,23
CPT,66999,Unlisted px ant segment eye,,,2269.23,4198.08,22
CPT,67005,Partial removal of eye fluid,,,237.51,5612.5,99
CPT,67010,Partial removal of eye fluid,,,286.73,5612.5,99
CPT,67015,Release of eye fluid,,,320.12,5612.5,99
CPT,67025,Inject Vitreous Pars Pla/Limbl,8619.0,8619.0,1275.61,6895.2,23
CPT,67025,Replace eye fluid,,,407.66,5612.5,100
CPT,67027,Implant eye drug system,,,125.27,28281.67,136
CPT,67028,Injection Intravitreal Drug,2504.7,2504.7,370.7,2003.76,23
CPT,67028,Injection Intravitreal Drug-Both Eyes,3757.05,3757.05,556.04,3005.64,23
CPT,67028,Injection eye drug,,,133.52,4275.0,64
CPT,67030,Incise inner eye strands,,,243.91,5612.5,99
CPT,67031,Laser surgery eye strands,,,175.41,4275.0,100
CPT,67036,Removal of inner eye fluid,,,119.93,8327.5,135
CPT,67039,Laser treatment of retina,,,147.39,8327.5,135
CPT,67040,Laser treatment of retina,,,159.16,8327.5,135
CPT,67040,"Pan Retinal Photocoagulation, Both Eyes",15964.0,15964.0,2362.67,12771.2,23
CPT,67041,Vit for macular pucker,,,131.74,9641.0,135
CPT,67042,Vit for macular hole,,,150.6,9641.0,135
CPT,67043,Vit for membrane dissect,,,158.24,9641.0,135
CPT,67101,Repair detached retina crtx,,,219.49,5612.5,100
CPT,67101,Retinal Detach Rpr Cryo/Diath,7769.0,7769.0,1149.81,6215.2,23
CPT,67105,Repair detached retina pc,,,211.7,4312.0,100
CPT,67107,Repair detached retina,,,155.06,8327.5,135
CPT,67108,Repair detached retina,,,182.71,8327.5,135
CPT,67110,Repair Retinal Detachment Inj Px,7476.0,7476.0,1106.45,5980.8,23
CPT,67110,Repair detached retina,,,524.33,5612.5,97
CPT,67112,Rerepair detached retina,,,5595.0,5595.0,1
CPT,67113,Repair retinal detach cplx,,,158.79,9641.0,135
CPT,67115,Release encircling material,,,249.66,8327.5,99
CPT,67120,Remove eye implant material,,,373.7,5612.5,100
CPT,67121,Remove eye implant material,,,110.48,5612.5,135
CPT,67141,Proph rta dtchmnt crtx dthrm,,,166.5,4275.0,100
CPT,67145,Photocoagulation Retinal Tear,2501.25,2501.25,370.18,2001.0,23
CPT,67145,Proph rta dtchmnt pc,,,166.5,4275.0,100
CPT,67208,Destroy Lesion Retina Cryo/Dia,4906.0,4906.0,726.09,3924.8,23
CPT,67208,Treatment of retinal lesion,,,297.42,4312.0,100
CPT,67210,Destroy Lesion Retina Photocoa,2501.25,2501.25,370.18,2001.0,23
CPT,67210,Treatment of retinal lesion,,,335.83,4312.0,100
CPT,67218,Treatment of retinal lesion,,,611.52,6941.19,99
CPT,67220,Treatment of choroid lesion,,,336.02,4275.0,100
CPT,67221,Ocular photodynamic ther,,,200.46,4275.0,64
CPT,67225,Eye photodynamic ther add-on,,,26.34,2438.0,38
CPT,67227,Dstrj extensive retinopathy,,,196.26,6941.19,100
CPT,67228,Treatment x10sv retinopathy,,,233.72,4275.0,100
CPT,67228,Tx Extensive Retinopathy Photocoagulation,7387.0,7387.0,1093.28,5909.6,23
CPT,67229,Tr retinal les preterm inf,,,50.0,4275.0,99
CPT,67250,Reinforce eye wall,,,398.48,5612.5,99
CPT,67255,Reinforce/graft eye wall,,,100.19,7404.78,135
CPT,67299,Unlisted px posterior segmnt,,,2269.23,4198.08,21
CPT,67311,Revise eye muscle,,,308.39,5612.5,99
CPT,67312,Revise two eye muscles,,,388.13,6941.19,99
CPT,67314,Revise eye muscle,,,308.39,5612.5,99
CPT,67316,Revise two eye muscles,,,430.42,5612.5,99
CPT,67318,Revise eye muscle(s),,,332.49,5612.5,99
CPT,67320,Revise eye muscle(s) add-on,,,167.35,3923.0,44
CPT,67331,Eye surgery follow-up add-on,,,121.16,3923.0,44
CPT,67332,Rerevise eye muscles add-on,,,195.67,3923.0,44
CPT,67334,Revise eye muscle w/suture,,,119.56,3923.0,44
CPT,67335,Eye suture during surgery,,,179.71,3923.0,44
CPT,67340,Revise eye muscle add-on,,,44.82,3923.0,44
CPT,67343,Release eye tissue,,,315.13,7940.0,99
CPT,67345,Chemodenerv Extraocular Muscle,2041.25,2041.25,302.1,1633.0,23
CPT,67345,Destroy nerve of eye muscle,,,143.19,4275.0,100
CPT,67346,Biopsy eye muscle,,,216.86,6941.19,63
CPT,67399,Unlisted px extraocular musc,,,297.42,1473.0,21
CPT,67400,Explore/biopsy eye socket,,,482.76,6941.19,99
CPT,67405,Explore/drain eye socket,,,401.84,5612.5,99
CPT,67412,Explore/treat eye socket,,,491.04,5898.0,99
CPT,67413,Explore/treat eye socket,,,104.29,5898.0,135
CPT,67414,Explr/decompress eye socket,,,117.4,6941.19,133
CPT,67415,Aspiration orbital contents,,,148.76,5612.5,63
CPT,67420,Explore/treat eye socket,,,198.28,6941.19,135
CPT,67430,Explore/treat eye socket,,,138.13,6941.19,135
CPT,67440,Explore/drain eye socket,,,144.39,6941.19,135
CPT,67445,Explr/decompress eye socket,,,145.57,6941.19,135
CPT,67450,Explore/biopsy eye socket,,,149.36,6941.19,135
CPT,67500,Inject Medication Retrobulbar,2041.25,2041.25,302.1,1633.0,23
CPT,67500,Inject/treat eye socket,,,42.46,4275.0,63
CPT,67505,Inject/treat eye socket,,,37.96,4275.0,64
CPT,67515,Inject Medication Tenon's Caps,2302.3,2302.3,340.74,1841.84,23
CPT,67515,Inject/treat eye socket,,,29.85,4275.0,64
CPT,67516,Sprchoroidal spc njx rx agt,,,79.74,4275.0,61
CPT,67516,Suprachoroidal Space Njx Pharmacologic Agent,918.85,918.85,135.99,735.08,23
CPT,67550,Insert eye socket implant,,,475.43,6941.19,99
CPT,67560,Revise eye socket implant,,,469.83,6941.19,99
CPT,67570,Decompress optic nerve,,,131.5,6941.19,135
CPT,67599,Unlisted procedure orbit,,,297.42,1473.0,21
CPT,67700,Blepharotomy drg absc eyelid,,,58.28,4275.0,100
CPT,67700,Drainage of Eyelid Abscess,2310.35,2310.35,341.93,1848.28,23
CPT,67710,Severing tarsorrhaphy,,,50.29,5612.5,100
CPT,67715,Canthotomy,,,58.28,5612.5,99
CPT,67715,Incision Eyelid Fold,7159.0,7159.0,1059.53,5727.2,23
CPT,67715,Incision of Eye Lid Fold,7159.0,7159.0,1059.53,5727.2,23
CPT,67800,Excise Chalazion Single,2424.2,2424.2,358.78,1939.36,23
CPT,67800,Remove eyelid lesion,,,64.02,4275.0,64
CPT,67801,Excise Chalazion Multiple,2539.2,2539.2,375.8,2031.36,23
CPT,67801,Remove eyelid lesions,,,88.53,5612.5,64
CPT,67805,"Excise Chalazion,Mult,Diff Lid",2041.25,2041.25,302.1,1633.0,23
CPT,67805,Remove eyelid lesions,,,101.99,4275.0,64
CPT,67808,Remove eyelid lesion(s),,,154.65,5612.5,63
CPT,67810,Biopsy of Eyelid,2645.0,2645.0,391.46,2116.0,23
CPT,67810,Incal bx eyelid skn lid mrgn,,,66.83,4275.0,64
CPT,67820,Revise eyelashes,,,27.27,4275.0,63
CPT,67820,Revised Eye Lashes,2041.25,2041.25,302.1,1633.0,23
CPT,67825,Correct Trichiasis Electrosurg,2041.25,2041.25,302.1,1633.0,23
CPT,67825,Revise eyelashes,,,79.72,4275.0,99
CPT,67830,Revise eyelashes,,,106.68,5612.5,100
CPT,67835,Revise eyelashes,,,251.03,5612.5,99
CPT,67840,Excise Lesion Eyelid Smpl Clos,2957.8,2957.8,437.75,2366.24,23
CPT,67840,Remove eyelid lesion,,,93.5,5612.5,100
CPT,67850,Dstrj lesion lid margin <1cm,,,90.97,5612.5,100
CPT,67875,Closure of eyelid by suture,,,97.7,5612.5,64
CPT,67875,Temporary Tarsorraphy,8553.7,8553.7,1265.95,6842.96,23
CPT,67880,Construct Intemar Adhes Etc.,7543.0,7543.0,1116.36,6034.4,23
CPT,67880,Revision of eyelid,,,238.91,5612.5,100
CPT,67882,Revision of eyelid,,,319.07,5612.5,100
CPT,67900,Repair brow defect,,,287.12,5612.5,100
CPT,67901,Repair eyelid defect,,,324.45,5898.0,99
CPT,67902,Repair eyelid defect,,,326.7,6941.19,99
CPT,67903,Repair eyelid defect,,,324.58,5612.5,100
CPT,67904,Blepharoptosis,7510.65,7510.65,1111.58,6008.52,23
CPT,67904,Repair eyelid defect,,,362.92,5612.5,100
CPT,67906,Repair eyelid defect,,,318.18,6941.19,100
CPT,67908,Repair eyelid defect,,,276.93,5612.5,100
CPT,67909,Revise eyelid defect,,,290.37,5612.5,100
CPT,67911,Bil Correction of Lid Retraction,6479.0,6479.0,958.89,5183.2,23
CPT,67911,Revise eyelid defect,,,260.16,5612.5,99
CPT,67912,Correction eyelid w/implant,,,328.62,5612.5,99
CPT,67914,Repair Ectropion by Suture,5537.81,5537.81,819.6,4430.25,23
CPT,67914,Repair eyelid defect,,,223.37,5612.5,100
CPT,67915,Repair eyelid defect,,,134.71,5612.5,100
CPT,67916,Repair eyelid defect,,,291.66,5612.5,100
CPT,67917,Repair eyelid defect,,,308.67,5612.5,100
CPT,67921,Repair eyelid defect,,,211.91,5612.5,100
CPT,67922,Repair eyelid defect,,,135.84,5612.5,98
CPT,67923,Repair eyelid defect,,,291.63,5612.5,100
CPT,67924,Repair eyelid defect,,,304.26,5612.5,100
CPT,67930,Repair eyelid wound,,,173.67,5898.0,100
CPT,67930,Suture Wound Eyelid Partial Th,7718.0,7718.0,1142.26,6174.4,23
CPT,67935,Repair eyelid wound,,,296.11,5612.5,100
CPT,67935,Suture Wound Eyelid Full Thick,10632.0,10632.0,1573.54,8505.6,23
CPT,67938,Remove Foreign Body Eyelid,2041.25,2041.25,302.1,1633.0,23
CPT,67938,Remove eyelid foreign body,,,50.0,4275.0,100
CPT,67950,Canthoplasty,9333.0,9333.0,1381.28,7466.4,23
CPT,67950,Revision of eyelid,,,293.63,5612.5,100
CPT,67961,Revision of eyelid,,,287.01,5612.5,100
CPT,67966,Revision of eyelid,,,324.08,5612.5,100
CPT,67971,Reconstruction of eyelid,,,439.26,5612.5,99
CPT,67973,Reconstruction of eyelid,,,129.23,5612.5,135
CPT,67974,Reconstruction of eyelid,,,130.77,6941.19,135
CPT,67975,Reconstruction of eyelid,,,340.81,5612.5,99
CPT,67999,Unlisted procedure eyelids,,,297.42,1473.0,21
CPT,68020,Incise/drain eyelid lining,,,59.87,5612.5,98
CPT,68040,Treatment of eyelid lesions,,,37.94,4275.0,63
CPT,68100,Biopsy conjunctiva,,,63.41,5612.5,64
CPT,68100,Biopsy of Conjunctiva,3689.2,3689.2,546.0,2951.36,23
CPT,68110,Exc les conjunctiva <1 cm,,,89.61,5612.5,100
CPT,68110,Excise Lesion Conjunctiva <1 C,5406.15,5406.15,800.11,4324.92,23
CPT,68110,Incision Conjunctival Lesion,5406.15,5406.15,800.11,4324.92,23
CPT,68115,Exc les conjunctiva >1 cm,,,129.09,5612.5,100
CPT,68115,Excise Lesion Conjunctiva >1 C,5537.81,5537.81,819.6,4430.25,23
CPT,68130,Exc les conjunctiva adj scl,,,189.35,5612.5,99
CPT,68135,Destruction les conjunctiva,,,81.2,5612.5,100
CPT,68200,Injection Subconjunctiva,2041.25,2041.25,302.1,1633.0,23
CPT,68200,Treat eyelid by injection,,,24.52,4275.0,63
CPT,68320,Revise/graft eyelid lining,,,252.51,5612.5,99
CPT,68325,Revise/graft eyelid lining,,,337.45,6941.19,99
CPT,68326,Revise/graft eyelid lining,,,328.66,6941.19,99
CPT,68328,Revise/graft eyelid lining,,,372.29,5612.5,99
CPT,68330,Revise eyelid lining,,,245.49,5612.5,100
CPT,68335,Revise/graft eyelid lining,,,319.23,6941.19,99
CPT,68340,Separate eyelid adhesions,,,251.02,5612.5,100
CPT,68360,Revise eyelid lining,,,226.07,6941.19,100
CPT,68362,Revise eyelid lining,,,347.42,5612.5,99
CPT,68371,Harvest eye tissue alograft,,,253.13,5612.5,99
CPT,68399,Unlisted px conjunctiva,,,297.42,1473.0,21
CPT,68400,I&d lacrimal gland,,,93.84,5612.5,100
CPT,68420,I&d lacrimal sac,,,118.56,5898.0,100
CPT,68440,Snip inc lacrimal punctum,,,44.91,4275.0,100
CPT,68500,Removal of tear gland,,,441.9,6941.19,99
CPT,68505,Partial removal tear gland,,,461.68,6941.19,99
CPT,68510,Biopsy of tear gland,,,251.26,5612.5,64
CPT,68520,Removal of tear sac,,,345.02,6941.19,99
CPT,68525,Biopsy of tear sac,,,364.62,5612.5,63
CPT,68530,Clearance of tear duct,,,50.0,4275.0,100
CPT,68540,Remove tear gland lesion,,,438.56,5612.5,99
CPT,68550,Remove tear gland lesion,,,554.39,6941.19,99
CPT,68700,Repair tear ducts,,,251.22,5612.5,99
CPT,68705,Revise tear duct opening,,,92.84,4275.0,100
CPT,68720,Create tear sac drain,,,92.63,6941.19,135
CPT,68745,Create tear duct drain,,,80.7,6941.19,135
CPT,68750,Create tear duct drain,,,90.89,6941.19,135
CPT,68760,Close tear duct opening,,,50.0,4275.0,100
CPT,68761,Close Tear Duct Opening,2041.25,2041.25,302.1,1633.0,23
CPT,68761,Close tear duct opening,,,50.0,4275.0,100
CPT,68770,Close tear system fistula,,,353.3,5612.5,100
CPT,68801,Dilate Lacrimal Punctum,2041.25,2041.25,302.1,1633.0,23
CPT,68801,Dilate tear duct opening,,,41.71,4275.0,99
CPT,68810,Probe nasolacrimal duct,,,97.49,4275.0,100
CPT,68811,Probe nasolacrimal duct,,,105.17,5612.5,99
CPT,68815,Probe nasolacrimal duct,,,162.85,5612.5,100
CPT,68816,Probe nl duct w/balloon,,,121.19,5898.0,100
CPT,68840,Explore/irrigate tear ducts,,,50.0,4275.0,100
CPT,68841,Insj rx elut implt lac canal,,,47.15,4294.21,61
CPT,68850,Injection for tear sac x-ray,,,38.97,2438.0,45
CPT,68899,Unlisted px lacrimal system,,,297.42,1473.0,21
CPT,69000,Drain External Ear Lesion,2041.25,2041.25,302.1,1633.0,23
CPT,69000,Drg xtrnl ear absc/hem smpl,,,50.0,4275.0,100
CPT,69005,Drainage External Ear Abscess/Hematoma Cmplx,9524.0,9524.0,1409.55,7619.2,23
CPT,69005,Drg xtrnl ear absc/hem comp,,,100.26,5612.5,98
CPT,69020,Drg xtrnl aud canal abscess,,,50.0,4275.0,100
CPT,69090,Ear piercing,,,2304.0,2880.0,5
CPT,69100,Biopsy of External Ear,2364.4,2364.4,349.93,1891.52,23
CPT,69100,Biopsy of external ear,,,38.93,4275.0,63
CPT,69105,Biopsy External Ear Canal,5537.81,5537.81,819.6,4430.25,23
CPT,69105,Biopsy of external ear canal,,,48.78,5612.5,61
CPT,69110,Remove external ear partial,,,166.5,6850.0,100
CPT,69120,Removal of external ear,,,165.68,10888.81,63
CPT,69140,Remove ear canal lesion(s),,,409.09,10888.81,99
CPT,69145,Remove ear canal lesion(s),,,140.34,6850.0,100
CPT,69150,Extensive ear canal surgery,,,627.96,10888.81,63
CPT,69155,Extensive ear/neck surgery,,,192.19,24872.68,96
CPT,69200,Clear outer ear canal,,,40.2,4275.0,63
CPT,69200,Remove FB Ear W/O Anes,2041.25,2041.25,302.1,1633.0,23
CPT,69205,Clear outer ear canal,,,63.08,5612.5,99
CPT,69209,Remove Cerumen Impacted Irrig/Lavage Unilat,2041.25,2041.25,302.1,1633.0,23
CPT,69209,Remove Impacted Ear Wax Irrig/Lavage Bil,2041.25,2041.25,302.1,1633.0,23
CPT,69209,Remove impacted ear wax uni,,,16.41,4275.0,63
CPT,69210,Bil Removal Impacted Cerumen Instrument,2041.25,2041.25,302.1,1633.0,23
CPT,69210,Removal Impacted Cerumen Instrument Unilat,2041.25,2041.25,302.1,1633.0,23
CPT,69210,Remove impacted ear wax uni,,,26.28,4275.0,64
CPT,69220,Clean out mastoid cavity,,,39.18,4275.0,63
CPT,69220,"Debridement,Ear Wash Placement",2041.25,2041.25,302.1,1633.0,23
CPT,69222,Clean out mastoid cavity,,,70.86,4275.0,98
CPT,69300,Revise external ear,,,559.85,5969.44,63
CPT,69310,Rebuild outer ear canal,,,530.26,10888.81,99
CPT,69320,Rebuild outer ear canal,,,164.24,10888.81,135
CPT,69399,Unlisted px external ear,,,50.0,1473.0,23
CPT,69410,INSET MIDDLE EAR BAFFLE,,,18.58,38.12,7
CPT,69420,Incision of eardrum,,,62.36,4275.0,100
CPT,69420,"Myringotomy W Aspir, E Tube In",2041.25,2041.25,302.1,1633.0,23
CPT,69421,Incision of eardrum,,,89.05,5969.44,100
CPT,69424,Remove ventilating tube,,,44.92,5969.44,64
CPT,69433,Create eardrum opening,,,76.26,4275.0,100
CPT,69433,Tympanostomy Local Anes,2417.3,2417.3,357.76,1933.84,23
CPT,69436,Create eardrum opening,,,104.23,5612.5,99
CPT,69440,Exploration of middle ear,,,396.0,5969.44,99
CPT,69450,Eardrum revision,,,297.64,6860.0,99
CPT,69501,Mastoidectomy,,,469.65,10888.81,99
CPT,69502,Mastoidectomy,,,633.23,10888.81,99
CPT,69505,Remove mastoid structures,,,665.88,10888.81,99
CPT,69511,Extensive mastoid surgery,,,691.04,10888.81,99
CPT,69530,Extensive mastoid surgery,,,185.07,10888.81,135
CPT,69535,Remove part of temporal bone,,,1594.95,24872.68,96
CPT,69540,Excision aural polyp,,,71.79,5612.5,98
CPT,69550,Exc aurl glomus tum trnscanl,,,114.44,10888.81,135
CPT,69552,Exc aurl glomus tum trnsmstd,,,185.62,10888.81,135
CPT,69554,Exc aurl glomus tum extended,,,297.16,24872.68,132
CPT,69601,Revj mstdc rsltg compl mstdc,,,676.32,10888.81,99
CPT,69602,Rev mstdc rslt mod rad mstdc,,,693.79,10888.81,99
CPT,69603,Revj mstdc rsltg rad mstdc,,,715.68,10888.81,99
CPT,69604,Revj mstdc rsltg tympanplsty,,,714.93,10888.81,99
CPT,69605,Mastoid surgery revision,,,1092.1,5595.0,8
CPT,69610,Tympanic membrane repair,,,178.56,5612.5,98
CPT,69620,Myringoplasty,,,317.14,5969.44,100
CPT,69631,Repair eardrum structures,,,513.58,10888.81,99
CPT,69632,Rebuild eardrum structures,,,660.04,10888.81,99
CPT,69633,Rebuild eardrum structures,,,628.68,10888.81,99
CPT,69635,Repair eardrum structures,,,683.35,10888.81,99
CPT,69636,Rebuild eardrum structures,,,781.76,10888.81,99
CPT,69637,Rebuild eardrum structures,,,775.79,10888.81,99
CPT,69641,Revise middle ear & mastoid,,,653.22,10888.81,99
CPT,69642,Revise middle ear & mastoid,,,860.2,10888.81,99
CPT,69643,Revise middle ear & mastoid,,,786.49,10888.81,99
CPT,69644,Revise middle ear & mastoid,,,865.91,10888.81,99
CPT,69645,Revise middle ear & mastoid,,,837.53,10888.81,99
CPT,69646,Revise middle ear & mastoid,,,917.17,10888.81,99
CPT,69650,Stapes mobilization,,,497.54,7940.0,99
CPT,69660,Revise middle ear bone,,,606.81,10888.81,99
CPT,69661,Revise middle ear bone,,,799.28,10888.81,99
CPT,69662,Revise middle ear bone,,,784.38,10888.81,99
CPT,69666,Repair middle ear structures,,,502.29,5969.44,99
CPT,69667,Repair middle ear structures,,,502.53,5969.44,99
CPT,69670,Remove mastoid air cells,,,113.18,10888.81,135
CPT,69676,Remove middle ear nerve,,,468.57,5969.44,99
CPT,69700,Close mastoid fistula,,,396.88,5612.5,99
CPT,69705,Nps surg dilat eust tube uni,,,139.8,10888.81,64
CPT,69706,Nps surg dilat eust tube bi,,,195.48,10888.81,64
CPT,69710,Implant/replace hearing aid,,,1684.0,8327.5,12
CPT,69711,Remove/repair hearing aid,,,100.59,6860.0,135
CPT,69714,Impl oi implt skull perq esp,,,384.17,23683.65,97
CPT,69715,Temple bne implnt w/stimulat,,,5164.0,5595.0,2
CPT,69716,Impl oi implt sk tc esp<100,,,401.92,23683.65,98
CPT,69717,Rplcmt oi implt skl prq esp,,,435.02,13149.29,97
CPT,69718,Revise temple bone implant,,,5164.0,5595.0,2
CPT,69719,Rplcm oi implt sk tc esp<100,,,401.92,23683.65,97
CPT,69720,Release facial nerve,,,739.93,10888.81,99
CPT,69725,Release facial nerve,,,219.82,10888.81,133
CPT,69726,Rmv ntr oi implt skl prq esp,,,273.66,6850.0,97
CPT,69727,Rmv ntr oi imp sk tc esp<100,,,312.97,6850.0,97
CPT,69728,Rmv ntr oi imp sk tc>100,,,393.59,6850.0,97
CPT,69729,Impl oi implt sk tc esp>100,,,446.03,23683.65,97
CPT,69730,Rplc oi implt sk tc esp>100,,,456.44,23683.65,97
CPT,69740,Repair facial nerve,,,145.76,10888.81,135
CPT,69745,Repair facial nerve,,,165.53,10888.81,135
CPT,69799,Unlisted px middle ear,,,231.05,2438.0,22
CPT,69801,Incise inner ear,,,183.54,5898.0,63
CPT,69805,Explore inner ear,,,136.02,10888.81,135
CPT,69806,Explore inner ear,,,635.82,10888.81,99
CPT,69820,Establish inner ear window,,,627.31,5595.0,7
CPT,69840,Revise inner ear window,,,623.29,5595.0,7
CPT,69905,Remove inner ear,,,573.6,10888.81,99
CPT,69910,Remove inner ear & mastoid,,,695.26,10888.81,99
CPT,69915,Incise inner ear nerve,,,200.81,7940.0,135
CPT,69930,Implant cochlear device,,,848.02,58547.89,99
CPT,69949,Unlisted px inner ear,,,231.05,4275.0,25
CPT,69950,Incise inner ear nerve,,,230.56,24872.68,132
CPT,69955,Release facial nerve,,,249.87,10888.81,133
CPT,69960,Release inner ear canal,,,241.73,10888.81,132
CPT,69970,Remove inner ear lesion,,,263.72,10888.81,133
CPT,69979,Unlisted px temporal bone,,,231.05,4275.0,25
CPT,69990,Microsurgery add-on,,,29.76,2438.0,44
CPT,70010,Contrast x-ray of brain,,,52.68,1786.43,69
CPT,70011,CONTRAST X-RAY OF BRAIN,,,,,0
CPT,70015,Contrast x-ray of brain,,,46.28,3470.68,99
CPT,70016,CONTRAST X-RAY OF BRAIN,,,,,0
CPT,70030,X-ray eye for foreign body,,,7.84,392.4,135
CPT,70100,Mandible 1-3 View Rdg,467.0,467.0,69.12,373.6,23
CPT,70100,X-ray exam of jaw <4views,,,8.44,392.4,99
CPT,7010F,Pt info into recall system,,,0.03,0.03,1
CPT,70110,Mandible Compl 4+ View Rdg,664.0,664.0,98.27,531.2,23
CPT,70110,X-ray exam of jaw 4/> views,,,11.3,528.15,99
CPT,70120,X-ray exam of mastoids,,,8.44,528.15,135
CPT,70130,X-ray exam of mastoids,,,15.06,528.15,135
CPT,70134,X-ray exam of middle ear,,,15.06,2344.03,99
CPT,70140,X-ray exam of facial bones,,,8.79,392.4,99
CPT,70150,X-ray exam of facial bones,,,11.61,528.15,99
CPT,70160,Nasal Bones Compl 3+View Rdg,632.0,632.0,93.54,505.6,23
CPT,70160,X-ray exam of nasal bones,,,7.84,392.4,99
CPT,70170,X-ray exam of tear duct,,,13.5,1116.25,99
CPT,70171,X-RAY EXAM OF TEAR DUCT,,,,,0
CPT,70190,X-ray exam of eye sockets,,,9.73,392.4,135
CPT,70200,X-ray exam of eye sockets,,,12.56,528.15,99
CPT,7020F,Mammo assess cat in dbase,,,0.03,0.03,1
CPT,70210,X-ray exam of sinuses,,,7.84,392.4,99
CPT,70220,X-ray exam of sinuses,,,10.06,392.4,99
CPT,70240,X-ray exam pituitary saddle,,,8.77,392.4,99
CPT,70250,Skull 1-3view W/WO Stereo Rdg,741.0,741.0,109.67,592.8,23
CPT,70250,X-ray exam of skull,,,8.44,528.15,99
CPT,7025F,Pt infosys alarm 4 nxt mammo,,,0.03,0.03,1
CPT,70260,X-ray exam of skull,,,12.97,528.15,99
CPT,70300,X-ray exam of teeth,,,4.89,392.4,99
CPT,70310,X-ray exam of teeth,,,7.52,1116.25,99
CPT,70320,Full mouth x-ray of teeth,,,10.03,1116.25,99
CPT,70328,X-ray exam of jaw joint,,,8.44,392.4,99
CPT,70330,Tmj Bilat Open & Closed Rdg,857.0,857.0,126.84,685.6,23
CPT,70330,X-ray exam of jaw joints,,,10.97,392.4,99
CPT,70332,X-ray exam of jaw joint,,,24.48,1116.25,135
CPT,70333,X-RAY EXAM OF JAW JOINT,,,,,0
CPT,70336,MRI Tmj MRI,5209.5,5209.5,771.01,4167.6,23
CPT,70336,Magnetic image jaw joint,,,67.2,2163.0,85
CPT,70350,X-ray head for orthodontia,,,7.84,392.4,99
CPT,70355,Panoramic x-ray of jaws,,,8.75,392.4,99
CPT,70355,X-Ray Panorex,664.0,664.0,98.27,531.2,23
CPT,70360,Neck Soft Tissue Rdg,617.0,617.0,91.32,493.6,23
CPT,70360,X-ray exam of neck,,,7.84,392.4,99
CPT,70370,Throat x-ray & fluoroscopy,,,14.44,392.4,99
CPT,70371,Speech evaluation complex,,,40.52,1116.25,84
CPT,70373,Contrast x-ray of larynx,,,,,0
CPT,70374,CONTRAST X-RAY OF LARYNX,,,,,0
CPT,70380,X-ray exam of salivary gland,,,7.8,392.4,99
CPT,70390,X-ray exam of salivary duct,,,16.92,1116.25,99
CPT,70391,X-RAY EXAM OF SALIVARY DUCT,,,,,0
CPT,70450,Ct head/brain w/o dye,,,37.64,1475.0,97
CPT,70450,Head/Brain CT W/O Dye Ect,4026.0,4026.0,595.85,3220.8,23
CPT,70460,Ct head/brain w/dye,,,50.48,1475.0,97
CPT,70460,Head/Brain CT W/ Dye Ect,4594.0,4594.0,679.91,3675.2,23
CPT,70470,Ct head/brain w/o & w/dye,,,56.45,1475.0,97
CPT,70470,Head/Brain CT W&WO Dye Ect,6096.15,6096.15,902.23,4876.92,23
CPT,70480,Ct orbit/ear/fossa w/o dye,,,57.09,1475.0,97
CPT,70480,Orbit/Sella/Ear W/O Dye Ect,4489.6,4489.6,664.46,3591.68,23
CPT,70481,Ct orbit/ear/fossa w/dye,,,51.6,1475.0,97
CPT,70481,Orbit/Sella/Ear W/Dye Ect,5027.8,5027.8,744.11,4022.24,23
CPT,70482,Ct orbit/ear/fossa w/o&w/dye,,,57.78,1475.0,97
CPT,70482,Orb/Sella/Ear W&WO Dye Ect,4991.0,4991.0,738.67,3992.8,23
CPT,70486,Ct maxillofacial w/o dye,,,39.27,1475.0,97
CPT,70486,Maxillofac CT W/O Dye Ect,4725.0,4725.0,699.3,3780.0,23
CPT,70487,Ct maxillofacial w/dye,,,51.6,1475.0,97
CPT,70487,Maxillofac CT W/Dye Ect,6480.0,6480.0,959.04,5184.0,23
CPT,70488,Ct maxillofacial w/o & w/dye,,,57.78,1475.0,97
CPT,70488,Maxillofac CT W&WO Dye Ect,7547.0,7547.0,1116.96,6037.6,23
CPT,70490,Ct soft tissue neck w/o dye,,,57.09,1475.0,97
CPT,70490,Soft Tiss Neck CT W/O Dye Ect,4095.0,4095.0,606.06,3276.0,23
CPT,70491,Ct soft tissue neck w/dye,,,61.16,1475.0,97
CPT,70491,Soft Tiss Neck CT W/Dye Ect,5424.0,5424.0,802.75,4339.2,23
CPT,70492,Ct sft tsue nck w/o & w/dye,,,64.29,1475.0,97
CPT,70492,Soft Tiss Neck CT W&WO Dye Ect,6319.0,6319.0,935.21,5055.2,23
CPT,70496,Ct angiography head,,,79.84,1475.0,97
CPT,70496,Head Cta W & W/O Dye Ect,6849.0,6849.0,1013.65,5479.2,23
CPT,70498,Ct angiography neck,,,79.84,1475.0,97
CPT,70498,Neck Cta W & W/O Dye Ect,7876.35,7876.35,1165.7,6301.08,23
CPT,70540,MRI:Orbit/Face/Neckw/O Contr.,5569.45,5569.45,824.28,4455.56,23
CPT,70540,Mri orbit/face/neck w/o dye,,,61.34,2163.0,97
CPT,70541,MAGNETIC IMAGE-HEAD (MRA),,,,,0
CPT,70542,MRI Orbit/Face/Neck/W/Dye MRI,5708.0,5708.0,844.78,4566.4,23
CPT,70542,Mri orbit/face/neck w/dye,,,59.51,2163.0,97
CPT,70543,MRI Orb/Face/Neck W&WO Dye MRI,8010.0,8010.0,1185.48,6408.0,23
CPT,70543,Mri orbt/fac/nck w/o &w/dye,,,80.27,2163.0,97
CPT,70544,Mr angiography head w/o dye,,,54.51,1171.15,99
CPT,70544,Mra Head W/O Dye,4456.0,4456.0,659.49,3564.8,23
CPT,70545,Mr angiography head w/dye,,,54.51,1786.43,99
CPT,70545,Mra Head W/ Dye,5605.0,5605.0,829.54,4484.0,23
CPT,70546,Mr angiograph head w/o&w/dye,,,67.52,1786.43,99
CPT,70546,Mra Head W & W/O Dye,8010.0,8010.0,1185.48,6408.0,23
CPT,70547,Mr angiography neck w/o dye,,,54.83,1171.15,99
CPT,70547,Mra Neck W/O Dye,4449.0,4449.0,658.45,3559.2,23
CPT,70548,Mr angiography neck w/dye,,,62.0,1786.43,99
CPT,70548,Mra Neck W/ Dye,5180.0,5180.0,766.64,4144.0,23
CPT,70549,Mr angiograph neck w/o&w/dye,,,82.1,1786.43,99
CPT,70549,Mra Neck W&WO Dye,7165.5,7165.5,1060.49,5732.4,23
CPT,70551,MRI Brain W/O Dye,5561.0,5561.0,823.03,4448.8,23
CPT,70551,Mri brain stem w/o dye,,,66.17,2163.0,97
CPT,70552,MRI Brain W/Dye,5387.0,5387.0,797.28,4309.6,23
CPT,70552,Mri brain stem w/dye,,,79.67,2163.0,97
CPT,70553,MRI Brain W&WO Dye,7610.0,7610.0,1126.28,6088.0,23
CPT,70553,Mri brain stem w/o & w/dye,,,105.26,2163.0,97
CPT,70554,Fmri brain by tech,,,97.83,2163.0,115
CPT,70555,Fmri brain by phys/psych,,,114.64,2163.0,113
CPT,70557,Mri brain w/o dye,,,127.41,2344.03,91
CPT,70558,Mri brain w/dye,,,140.89,2163.0,91
CPT,70559,Mri brain w/o & w/dye,,,141.49,2163.0,91
CPT,71010,Chest x-ray 1 view frontal,,,,,0
CPT,71015,Chest x-ray stereo frontal,,,,,0
CPT,71020,Chest x-ray 2vw frontal&latl,,,,,0
CPT,71021,Chest x-ray frnt lat lordotc,,,,,0
CPT,71022,Chest x-ray frnt lat oblique,,,,,0
CPT,71023,Chest x-ray and fluoroscopy,,,,,0
CPT,71030,Chest x-ray 4/> views,,,,,0
CPT,71034,Chest x-ray&fluoro 4/> views,,,,,0
CPT,71035,Chest x-ray special views,,,,,0
CPT,71036,X-RAY GUIDANCE FOR BIOPSY,,,,,0
CPT,71037,X-RAY GUIDANCE FOR BIOPSY,,,,,0
CPT,71038,X-RAY GUIDANCE FOR,,,,,0
CPT,71040,Contrast x-ray of bronchi,,,,,0
CPT,71041,CONTRAST X-RAY OF BRONCHI,,,,,0
CPT,71045,Chest X-Ray,695.0,695.0,102.86,556.0,23
CPT,71045,X-Ray Exam Chest 1 View,695.0,695.0,102.86,556.0,23
CPT,71045,X-ray exam chest 1 view,,,7.93,392.4,99
CPT,71046,X-Ray Exam Chest 2 View,787.0,787.0,116.48,629.6,23
CPT,71046,X-ray exam chest 2 views,,,9.45,392.4,99
CPT,71047,Chest 2view W/Apical Lordo Rdg,752.0,752.0,111.3,601.6,23
CPT,71047,X-ray exam chest 3 views,,,12.19,392.4,99
CPT,71048,Chest X-Ray 4+View Rdg,857.0,857.0,126.84,685.6,23
CPT,71048,X-ray exam chest 4+ views,,,14.01,528.15,99
CPT,71060,Contrast x-ray of bronchi,,,,,0
CPT,71061,CONTRAST X-RAY OF BRONCHI,,,,,0
CPT,71090,X-ray & pacemaker insertion,,,,,0
CPT,71100,X-ray exam ribs uni 2 views,,,10.03,392.4,99
CPT,71101,X-ray exam unilat ribs/chest,,,12.24,528.15,99
CPT,71110,Ribs Bilat X-Ray 3view Rdg,888.0,888.0,131.42,710.4,23
CPT,71110,X-ray exam ribs bil 3 views,,,12.24,528.15,99
CPT,71111,Ribs Bilat X-Ray 4+View Rdg,1097.1,1097.1,162.37,877.68,23
CPT,71111,X-ray exam ribs/chest4/> vws,,,14.44,528.15,99
CPT,71120,Sternum X-Ray 2+View Rdg,828.0,828.0,122.54,662.4,23
CPT,71120,X-ray exam breastbone 2/>vws,,,9.09,392.4,99
CPT,71130,Sternoclavicu Jnts 3+View Rdg,1378.0,1378.0,203.94,1102.4,23
CPT,71130,X-ray strenoclavic jt 3/>vws,,,10.03,392.4,99
CPT,71250,Ct thorax dx c-,,,49.34,1475.0,97
CPT,71250,Thorax CT W/O Dye Bct,4341.0,4341.0,642.47,3472.8,23
CPT,71260,Ct thorax dx c+,,,53.21,1475.0,97
CPT,71260,Thorax CT W/Dye Bct,5044.0,5044.0,746.51,4035.2,23
CPT,71270,Ct thorax dx c-/c+,,,57.13,1475.0,97
CPT,71270,Thorax CT W&WO Dye Bct,5903.25,5903.25,873.68,4722.6,23
CPT,71271,Ct thorax lung cancer scr c-,,,44.73,1475.0,97
CPT,71271,Low Dose CT Thorax Lung Ca Scr,2394.0,2394.0,354.31,1915.2,23
CPT,71275,Ct angiography chest,,,63.2,1475.0,97
CPT,71275,Thorax Cta W&WO Dye Bct,6610.0,6610.0,978.28,5288.0,23
CPT,71550,MRI Chest W/O Dye,5462.5,5462.5,808.45,4370.0,23
CPT,71550,Mri chest w/o dye,,,66.87,2163.0,97
CPT,71551,MRI Chest W/Dye,4916.0,4916.0,727.57,3932.8,23
CPT,71551,Mri chest w/dye,,,66.08,3470.68,97
CPT,71552,MRI Chest W&WO Dye,6798.0,6798.0,1006.1,5438.4,23
CPT,71552,Mri chest w/o & w/dye,,,86.49,2163.0,97
CPT,71555,Mra Chest W&WO Dye,3497.0,3497.0,517.56,2797.6,23
CPT,71555,Mri angio chest w or w/o dye,,,79.33,2163.0,84
CPT,72010,X-ray exam of spine,,,,,0
CPT,72020,Thoracic Spine 1 View Rdg,642.85,642.85,95.14,514.28,23
CPT,72020,X-Ray Exam Spine 1 View,642.85,642.85,95.14,514.28,23
CPT,72020,X-ray exam of spine 1 view,,,6.9,392.4,99
CPT,72040,Rad Exam Spine 2 or 3 Views,873.0,873.0,129.2,698.4,23
CPT,72040,X-ray exam neck spine 2-3 vw,,,10.03,392.4,99
CPT,72050,Cervical Spine 4+View Rdg,1461.0,1461.0,216.23,1168.8,23
CPT,72050,X-ray exam neck spine 4/5vws,,,12.65,528.15,99
CPT,72052,Cervical Spine Complete W/ Flex/Ext Rdg,1317.0,1317.0,194.92,1053.6,23
CPT,72052,X-ray exam neck spine 6/>vws,,,13.98,528.15,99
CPT,72069,X-ray exam of trunk spine,,,,,0
CPT,72070,Thoracic Spine 2 View Rdg,927.0,927.0,137.2,741.6,23
CPT,72070,X-ray exam thorac spine 2vws,,,9.41,528.15,99
CPT,72072,X-ray exam thorac spine 3vws,,,10.03,528.15,99
CPT,72074,X-ray exam thorac spine4/>vw,,,10.03,528.15,99
CPT,72080,Thoracolumbar 2view Rdg,939.0,939.0,138.97,751.2,23
CPT,72080,X-ray exam thoracolmb 2/> vw,,,9.74,392.4,99
CPT,72081,X-ray exam entire spi 1 vw,,,11.49,392.4,99
CPT,72081,Xr T-L Spine Incl Skull 1 View,606.05,606.05,89.7,484.84,23
CPT,72082,X-ray exam entire spi 2/3 vw,,,13.92,528.15,99
CPT,72082,Xr T-L Spine 2 or 3 Views,833.0,833.0,123.28,666.4,23
CPT,72083,X-ray exam entire spi 4/5 vw,,,15.13,528.15,99
CPT,72084,X-ray exam entire spi 6/> vw,,,17.56,528.15,99
CPT,72090,X-ray exam of trunk spine,,,,,0
CPT,72100,Lumbosacral Spine 2-3view Rdg,1031.0,1031.0,152.59,824.8,23
CPT,72100,X-ray exam l-s spine 2/3 vws,,,10.03,528.15,99
CPT,72110,Lumbosacral Spine 4+View Rdg,1428.0,1428.0,211.34,1142.4,23
CPT,72110,X-ray exam l-2 spine 4/>vws,,,12.32,528.15,99
CPT,72114,Lumbosac Com + Bending 6 Views,1592.0,1592.0,235.62,1273.6,23
CPT,72114,X-ray exam l-s spine bending,,,14.3,528.15,99
CPT,72120,X-ray bend only l-s spine,,,10.03,528.15,99
CPT,72125,Cervical Spine CT W/O Dye Ect,7208.0,7208.0,1066.78,5766.4,23
CPT,72125,Ct neck spine w/o dye,,,45.42,1475.0,97
CPT,72126,Cervical Spine CT W/Dye Ect,9771.0,9771.0,1446.11,7816.8,23
CPT,72126,Ct neck spine w/dye,,,54.25,1786.43,97
CPT,72127,Cervical Spine CT W&WO Dye Ect,10974.0,10974.0,1624.15,8779.2,23
CPT,72127,Ct neck spine w/o & w/dye,,,56.45,1475.0,97
CPT,72128,Ct chest spine w/o dye,,,45.42,1475.0,97
CPT,72128,Thoracic Spine CT W/O Dye Ect,4444.0,4444.0,657.71,3555.2,23
CPT,72129,Ct chest spine w/dye,,,54.25,1475.0,97
CPT,72129,Thoracic Spine CT W/Dye Ect,5666.05,5666.05,838.58,4532.84,23
CPT,72130,Ct chest spine w/o & w/dye,,,56.45,1475.0,97
CPT,72130,Thoracic Spine CT W&WO Dye Ect,5730.0,5730.0,848.04,4584.0,23
CPT,72131,Ct lumbar spine w/o dye,,,45.42,1475.0,97
CPT,72131,Lumbar Spine CT W/O Dye Ect,4538.0,4538.0,671.62,3630.4,23
CPT,72132,Ct lumbar spine w/dye,,,54.25,1786.43,97
CPT,72132,Lumbar Spine CT W/Dye Ect,5525.75,5525.75,817.81,4420.6,23
CPT,72133,Ct lumbar spine w/o & w/dye,,,56.76,1475.0,97
CPT,72133,Lumbar Spine CT W&WO Dye Ect,5459.0,5459.0,807.93,4367.2,23
CPT,72141,MRI Cervical Spine W/O Dye,4773.0,4773.0,706.4,3818.4,23
CPT,72141,Mri neck spine w/o dye,,,67.84,2163.0,97
CPT,72142,MRI Cervical Spine W Contrast,5419.0,5419.0,802.01,4335.2,23
CPT,72142,Mri neck spine w/dye,,,82.51,2163.0,97
CPT,72146,MRI Thoracic Spine W/O Dye,4778.0,4778.0,707.14,3822.4,23
CPT,72146,Mri chest spine w/o dye,,,67.84,2163.0,97
CPT,72147,MRI Thoracic Spine W/Dye,6243.75,6243.75,924.08,4995.0,23
CPT,72147,Mri chest spine w/dye,,,81.46,2163.0,97
CPT,72148,MRI Lumbar Spine W/O Dye,4804.0,4804.0,710.99,3843.2,23
CPT,72148,Mri lumbar spine w/o dye,,,66.17,2163.0,97
CPT,72149,MRI Lumbar Spine W/ Dye,5581.0,5581.0,825.99,4464.8,23
CPT,72149,Mri lumbar spine w/dye,,,79.67,2163.0,97
CPT,72156,MRI Cervical Spine W&WO Dye,8124.0,8124.0,1202.35,6499.2,23
CPT,72156,Mri neck spine w/o & w/dye,,,105.58,2163.0,97
CPT,72157,MRI Thoracic Spine W&WO Dye,6830.0,6830.0,1010.84,5464.0,23
CPT,72157,Mri chest spine w/o & w/dye,,,105.58,2163.0,97
CPT,72158,MRI Lumbar Spine W&WO Dye,7167.0,7167.0,1060.72,5733.6,23
CPT,72158,Mri lumbar spine w/o & w/dye,,,105.39,2163.0,97
CPT,72159,Mr angio spine w/o&w/dye,,,72.04,2163.0,84
CPT,72159,Mra Spinal Canal W/WO Dye,5545.0,5545.0,820.66,4436.0,23
CPT,72170,Pelvis X-Ray 1-2 View Rdg,649.0,649.0,96.05,519.2,23
CPT,72170,X-ray exam of pelvis,,,7.84,528.15,99
CPT,72190,Pelvis X-Ray Compl 3+View Rdg,708.0,708.0,104.78,566.4,23
CPT,72190,X-ray exam of pelvis,,,9.73,528.15,99
CPT,72191,Ct angiograph pelv w/o&w/dye,,,63.2,1475.0,97
CPT,72191,Pelvis Cta W&WO Dye Bct,5003.0,5003.0,740.44,4002.4,23
CPT,72192,CT Pelvis W/O Dye,4157.0,4157.0,615.24,3325.6,23
CPT,72192,Ct pelvis w/o dye,,,48.3,1475.0,97
CPT,72193,Ct pelvis w/dye,,,51.75,1475.0,97
CPT,72193,Pelvis CT W/Dye Bct,5705.0,5705.0,844.34,4564.0,23
CPT,72194,Ct pelvis w/o & w/dye,,,54.25,1475.0,97
CPT,72194,Pelvis CT W&WO Dye Bct,6641.0,6641.0,982.87,5312.8,23
CPT,72195,MRI Pelvis W/O Dye,4901.0,4901.0,725.35,3920.8,23
CPT,72195,Mri pelvis w/o dye,,,55.86,2163.0,97
CPT,72196,MRI Pelvis W/ Dye,4852.0,4852.0,718.1,3881.6,23
CPT,72196,Mri pelvis w/dye,,,71.21,2163.0,97
CPT,72197,MRI Pelvis W&WO Dye,6779.25,6779.25,1003.33,5423.4,23
CPT,72197,Mri pelvis w/o & w/dye,,,87.17,2163.0,97
CPT,72198,Mr angio pelvis w/o & w/dye,,,74.03,2163.0,84
CPT,72198,Mra Pelvis W/WO Dye,4113.0,4113.0,608.72,3290.4,23
CPT,72200,X-ray exam si joints,,,7.84,528.15,99
CPT,72202,Sacroiliac Jnt 3+View Rdg,710.0,710.0,105.08,568.0,23
CPT,72202,X-ray exam si joints 3/> vws,,,8.79,528.15,99
CPT,72220,X-Ray Exam Sacrum Tailbone 2+ View,768.0,768.0,113.66,614.4,23
CPT,72220,X-ray exam sacrum tailbone,,,7.84,392.4,99
CPT,72240,Myelography Cervical S&I Rdg,2333.0,2333.0,345.28,1866.4,23
CPT,72240,Myelography neck spine,,,40.44,3470.68,99
CPT,72241,CONTRAST X-RAY OF NECK SPINE,,,,,0
CPT,72255,Myelography Thoracic S&I Rdg,1976.0,1976.0,292.45,1580.8,23
CPT,72255,Myelography thoracic spine,,,40.44,3470.68,99
CPT,72256,CONTRAST X-RAY THORAX SPINE,,,,,0
CPT,72265,Myelography Lumbar S&I Rdg,2058.0,2058.0,304.58,1646.4,23
CPT,72265,Myelography l-s spine,,,36.99,3470.68,99
CPT,72266,CONTRAST X-RAY LOWER SPINE,,,,,0
CPT,72270,Myelogphy 2/> spine regions,,,59.26,3470.68,99
CPT,72270,Myelography Complete S&I Rdg,1898.0,1898.0,280.9,1518.4,23
CPT,72271,CONTRAST X-RAY OF SPINE,,,,,0
CPT,72275,Epidurography,,,168.02,168.02,3
CPT,72285,Discography cerv/thor spine,,,49.52,8518.22,99
CPT,72286,X-RAY OF NECK SPINE DISK,,,,,0
CPT,72291,Perq verte/sacroplsty fluor,,,,,0
CPT,72292,Perq verte/sacroplsty ct,,,,,0
CPT,72295,X-ray of lower spine disk,,,37.63,8518.22,99
CPT,72296,X-RAY OF LOWER SPINE DISK,,,,,0
CPT,73000,Clavicle Complete Rt Rdg,848.7,848.7,125.61,678.96,23
CPT,73000,X-Ray Exam Collar Bone,848.7,848.7,125.61,678.96,23
CPT,73000,X-ray exam of collar bone,,,7.2,392.4,135
CPT,73010,Scapula Complete Rt Rdg,734.85,734.85,108.76,587.88,23
CPT,73010,X-Ray Exam Shoulder Blade,734.85,734.85,108.76,587.88,23
CPT,73010,X-ray exam of shoulder blade,,,7.84,528.15,135
CPT,73020,Shoulder 1 View Rdg,1134.0,1134.0,167.83,907.2,23
CPT,73020,X-ray exam of shoulder,,,6.9,392.4,135
CPT,73030,Shoulder Compl 2+Views Rt Rdg,1134.0,1134.0,167.83,907.2,23
CPT,73030,X-Ray Exam Shoulder 2+ View,1134.0,1134.0,167.83,907.2,23
CPT,73030,X-ray exam of shoulder,,,8.15,392.4,135
CPT,73040,Contrast x-ray of shoulder,,,24.16,1786.43,135
CPT,73040,X-Ray Shoulder W/Contrast,1595.0,1595.0,236.06,1276.0,23
CPT,73041,CONTRAST X-RAY OF SHOULDER,,,,,0
CPT,73050,Acromiclavicular Jnts Bi Drg,864.0,864.0,127.87,691.2,23
CPT,73050,X-ray exam of shoulders,,,8.77,392.4,99
CPT,73060,Humerus 2+View Rt Rdg,986.0,986.0,145.93,788.8,23
CPT,73060,X-Ray Exam Humerus 2+ View,986.0,986.0,145.93,788.8,23
CPT,73060,X-ray exam of humerus,,,7.48,392.4,99
CPT,73070,Elbow 2 View Rt Rdg,734.85,734.85,108.76,587.88,23
CPT,73070,X-Ray Exam Elbow 2+ View,734.85,734.85,108.76,587.88,23
CPT,73070,X-ray exam of elbow,,,6.9,392.4,135
CPT,73080,Elbow Compl 3+View Rt Rdg,803.85,803.85,118.97,643.08,23
CPT,73080,X-Ray Exam Elbow 3+ View,803.85,803.85,118.97,643.08,23
CPT,73080,X-ray exam of elbow,,,7.84,392.4,135
CPT,73085,Contrast x-ray of elbow,,,24.48,1786.43,135
CPT,73086,CONTRAST X-RAY OF ELBOW,,,,,0
CPT,73090,Forearm X-Ray 2 View Rt Rdg,792.35,792.35,117.27,633.88,23
CPT,73090,X-Ray Exam Forearm 2+ View,792.35,792.35,117.27,633.88,23
CPT,73090,X-ray exam of forearm,,,7.2,392.4,135
CPT,73092,X-Ray Upper Ext Infant 2+ View,667.0,667.0,98.72,533.6,23
CPT,73092,X-ray exam of arm infant,,,7.2,528.15,135
CPT,73100,Wrist 2 View Lt Rdg,580.0,580.0,85.84,464.0,23
CPT,73100,X-Ray Exam Wrist 2+ View,580.0,580.0,85.84,464.0,23
CPT,73100,X-ray exam of wrist,,,7.52,392.4,135
CPT,73110,Wrist 3+View Rt Rdg,723.35,723.35,107.06,578.68,23
CPT,73110,X-Ray Exam Wrist 3+ View,723.35,723.35,107.06,578.68,23
CPT,73110,X-ray exam of wrist,,,7.84,392.4,135
CPT,73115,Contrast x-ray of wrist,,,24.48,1786.43,135
CPT,73115,X-Ray Wrist W/Contrast,988.0,988.0,146.22,790.4,23
CPT,73116,CONTRAST X-RAY OF WRIST,,,,,0
CPT,73120,Hand 2 View Lt Rdg,637.0,637.0,94.28,509.6,23
CPT,73120,X-Ray Exam Hand 2+ View,637.0,637.0,94.28,509.6,23
CPT,73120,X-Ray Exam Hand 2+ View Bilat,1274.0,1274.0,188.55,1019.2,23
CPT,73120,X-ray exam of hand,,,7.52,528.15,135
CPT,73130,X-Ray Exam Hand 3+ View,797.76,797.76,118.07,638.21,23
CPT,73130,X-Ray Exam Hand 3+ View Bilat,1416.0,1416.0,209.57,1132.8,23
CPT,73130,X-ray exam of hand,,,7.84,392.4,135
CPT,73140,Finger(S) 2+View Lt Rdg,575.0,575.0,85.1,460.0,23
CPT,73140,X-Ray Exam Finger(S) 2+ View,575.0,575.0,85.1,460.0,23
CPT,73140,X-ray exam of finger(s),,,6.27,392.4,135
CPT,73200,CT Upper Ext W/O Dye,3520.0,3520.0,520.96,2816.0,23
CPT,73200,Ct upper extremity w/o dye,,,45.42,1475.0,133
CPT,73201,CT Upper Ext W/Dye,3722.0,3722.0,550.86,2977.6,23
CPT,73201,Ct upper extremity w/dye,,,51.75,1786.43,133
CPT,73202,CT Upper Ext W/O&W/Dye,3894.0,3894.0,576.31,3115.2,23
CPT,73202,Ct uppr extremity w/o&w/dye,,,54.25,1475.0,133
CPT,73206,CT Angio Upper Extm W/O&W/Dye,4683.95,4683.95,693.22,3747.16,23
CPT,73206,Ct angio upr extrm w/o&w/dye,,,63.2,1475.0,97
CPT,73218,MRI Upper Ext W/O Dye,5925.0,5925.0,876.9,4740.0,23
CPT,73218,Mri upper extremity w/o dye,,,50.0,2163.0,133
CPT,73219,Mri upper extremity w/dye,,,59.51,2163.0,133
CPT,73220,MRI Upper Ext W/O&W/Dye,8249.0,8249.0,1220.85,6599.2,23
CPT,73220,Mri uppr extremity w/o&w/dye,,,66.17,2163.0,133
CPT,73221,MRI Joint Upper Ext W/O Dye,5356.7,5356.7,792.79,4285.36,23
CPT,73221,Mri joint upr extrem w/o dye,,,61.98,2163.0,133
CPT,73222,MRI Joint Upper Ext W/Dye,6698.75,6698.75,991.42,5359.0,23
CPT,73222,Mri joint upr extrem w/dye,,,59.51,3470.68,133
CPT,73223,MRI Joint Upper Ext W/O&W/Dye,7234.65,7234.65,1070.73,5787.72,23
CPT,73223,Mri joint upr extr w/o&w/dye,,,80.27,2163.0,133
CPT,73225,Mr angio upr extr w/o&w/dye,,,70.09,2163.0,84
CPT,73500,X-ray exam of hip,,,,,0
CPT,73501,X-ray exam hip uni 1 view,,,8.18,392.4,99
CPT,73501,Xr Hip Unilat W/Pelvis 1 View,458.0,458.0,67.78,366.4,23
CPT,73502,X-ray exam hip uni 2-3 views,,,9.69,392.4,99
CPT,73502,Xr Hip Unilat W/Pelvis 2-3 Vw,518.0,518.0,76.66,414.4,23
CPT,73503,X-ray exam hip uni 4/> views,,,12.41,528.15,99
CPT,73503,Xr Hip Unilat W/Pelvis 4+ Vw,726.0,726.0,107.45,580.8,23
CPT,73510,X-ray exam of hip,,,,,0
CPT,73520,X-ray exam of hips,,,,,0
CPT,73521,X-ray exam hips bi 2 views,,,10.0,528.15,99
CPT,73521,Xr Hip Bilat W/Pelvis 2 Views,1036.0,1036.0,153.33,828.8,23
CPT,73522,X-ray exam hips bi 3-4 views,,,13.02,528.15,99
CPT,73522,Xr Hip Bilat W/Pelvis 3-4 View,1194.0,1194.0,176.71,955.2,23
CPT,73523,X-ray exam hips bi 5/> views,,,13.92,528.15,99
CPT,73523,Xr Hip Bilat W/Pelvis 5+ Views,1350.0,1350.0,199.8,1080.0,23
CPT,73525,Contrast x-ray of hip,,,24.16,1786.43,135
CPT,73525,X-Ray Hip W/Contrast,1275.0,1275.0,188.7,1020.0,23
CPT,73526,CONTRAST X-RAY OF HIP,,,,,0
CPT,73530,X-ray exam of hip,,,,,0
CPT,73540,X-ray exam of pelvis & hips,,,,,0
CPT,73542,X-ray exam sacroiliac joint,,,,,0
CPT,73550,X-ray exam of thigh,,,,,0
CPT,73551,X-ray exam of femur 1,,,7.27,392.4,135
CPT,73551,Xr Femur 1 View,477.0,477.0,70.6,381.6,23
CPT,73552,"Bilateral x-ray of femur, minimum 2 views",930.0,930.0,137.64,744.0,23
CPT,73552,X-ray exam of femur 2/>,,,8.18,392.4,135
CPT,73552,Xr Femur Min 2 Views,722.2,722.2,106.89,577.76,23
CPT,73560,X-Ray Exam Knee 1 or 2 Views,668.0,668.0,98.86,534.4,23
CPT,73560,X-ray exam of knee 1 or 2,,,7.8,392.4,135
CPT,73562,X-Ray Exam Knee 3 View,775.53,775.53,114.78,620.42,23
CPT,73562,X-ray exam of knee 3,,,8.47,392.4,135
CPT,73564,Knee 4+View Rt Rdg,889.81,889.81,131.69,711.85,23
CPT,73564,X-Ray Exam Knee 4+ View,889.81,889.81,131.69,711.85,23
CPT,73564,X-ray exam knee 4 or more,,,10.03,528.15,135
CPT,73565,X-ray exam of knees,,,7.84,392.4,99
CPT,73580,Contrast x-ray of knee joint,,,24.16,1786.43,135
CPT,73581,CONTRAST X-RAY OF KNEE JOINT,,,,,0
CPT,73590,X-Ray Exam Tibula and Fibula 2+ View,704.0,704.0,104.19,563.2,23
CPT,73590,X-Ray Exam Tibula and Fibula 2+ View Bilat,1408.0,1408.0,208.38,1126.4,23
CPT,73590,X-ray exam of lower leg,,,7.48,392.4,135
CPT,73592,Low Ext Infant 2+View Rt Rdg,592.0,592.0,87.62,473.6,23
CPT,73592,X-ray exam of leg infant,,,7.48,392.4,135
CPT,73600,Ankle 2 View Lt Rdg,784.0,784.0,116.03,627.2,23
CPT,73600,X-Ray Exam Ankle 2+ View,784.0,784.0,116.03,627.2,23
CPT,73600,X-ray exam of ankle,,,7.48,392.4,135
CPT,73610,X-Ray Exam Ankle 3+ View,848.0,848.0,125.5,678.4,23
CPT,73610,X-Ray Exam Ankle 3+ View Bilat,1058.0,1058.0,156.58,846.4,23
CPT,73610,X-ray exam of ankle,,,7.84,392.4,135
CPT,73615,Contrast x-ray of ankle,,,24.48,1786.43,135
CPT,73616,CONTRAST X-RAY OF ANKLE,,,,,0
CPT,73620,Foot 2 View Lt Rdg,641.0,641.0,94.87,512.8,23
CPT,73620,X-Ray Exam Foot 2+ View,641.0,641.0,94.87,512.8,23
CPT,73620,X-ray exam of foot,,,7.15,392.4,135
CPT,73630,X-Ray Exam Foot 3+ View,699.0,699.0,103.45,559.2,23
CPT,73630,X-Ray Exam Foot 3+ View Bilat,1398.0,1398.0,206.9,1118.4,23
CPT,73630,X-ray exam of foot,,,7.8,392.4,135
CPT,73650,Calcaneus 2+View Lt Rdg,616.0,616.0,91.17,492.8,23
CPT,73650,X-Ray Exam Calcaneus 2+ View,616.0,616.0,91.17,492.8,23
CPT,73650,X-Ray Exam Calcaneus 2+ View Bilat,1232.0,1232.0,182.34,985.6,23
CPT,73650,X-ray exam of heel,,,7.48,392.4,135
CPT,73660,X-Ray Exam Toe(S) 2+ View,481.85,481.85,71.31,385.48,23
CPT,73660,X-ray exam of toe(s),,,6.18,392.4,135
CPT,73700,CT Lower Ext W/O Dye,3290.0,3290.0,486.92,2632.0,23
CPT,73700,Ct lower extremity w/o dye,,,45.42,1475.0,133
CPT,73701,CT Lower Ext W/Dye,4148.0,4148.0,613.9,3318.4,23
CPT,73701,Ct lower extremity w/dye,,,51.75,1475.0,133
CPT,73702,CT Lower Ext W/O&W/Dye,4800.0,4800.0,710.4,3840.0,23
CPT,73702,Ct lwr extremity w/o&w/dye,,,54.25,1475.0,133
CPT,73706,CT Angio Lower Ext W/O&W/Dye,5233.0,5233.0,774.48,4186.4,23
CPT,73706,Ct angio lwr extr w/o&w/dye,,,63.2,1475.0,133
CPT,73718,MRI Lower Ext W/O Dye,5635.0,5635.0,833.98,4508.0,23
CPT,73718,Mri lower extremity w/o dye,,,50.0,2163.0,133
CPT,73719,MRI Lower Ext W/Dye,5972.0,5972.0,883.86,4777.6,23
CPT,73719,Mri lower extremity w/dye,,,59.51,2163.0,133
CPT,73720,MRI Lower Ext W/O&W/Dye,9499.0,9499.0,1405.85,7599.2,23
CPT,73720,Mri lwr extremity w/o&w/dye,,,66.17,2163.0,133
CPT,73721,MRI Joint Lower Ext W/O Dye,5034.7,5034.7,745.14,4027.76,23
CPT,73721,Mri jnt of lwr extre w/o dye,,,61.98,2163.0,133
CPT,73722,MRI Joint Lower Ext W/Dye,5950.0,5950.0,880.6,4760.0,23
CPT,73722,Mri joint of lwr extr w/dye,,,59.51,3470.68,133
CPT,73723,MRI Joint Lower Ext W/O&W/Dye,8313.0,8313.0,1230.32,6650.4,23
CPT,73723,MRI Joint Lower Ext W/O&W/Dye Bilat,13741.0,13741.0,2033.67,10992.8,23
CPT,73723,Mri joint lwr extr w/o&w/dye,,,80.27,2163.0,133
CPT,73725,Mr ang lwr ext w or w/o dye,,,78.35,2163.0,120
CPT,74000,X-ray exam of abdomen,,,,,0
CPT,74010,X-ray exam of abdomen,,,,,0
CPT,74018,"Kub-Kidney,Ureter,Bladder Rdg",638.0,638.0,94.42,510.4,23
CPT,74018,Radex abdomen 1 view,,,7.93,392.4,99
CPT,74019,Radex abdomen 2 views,,,10.06,528.15,99
CPT,74019,X-Ray Exam Abdomen 2 Views,920.0,920.0,136.16,736.0,23
CPT,74020,X-ray exam of abdomen,,,12.24,21.08,12
CPT,74021,Radex abdomen 3+ views,,,11.91,528.15,99
CPT,74022,Radex compl aqt abd series,,,14.44,528.15,99
CPT,74022,Xr 2 Vw Abd W/ Single View Chest,1265.0,1265.0,187.22,1012.0,23
CPT,74150,CT Abdomen W/O Dye,3828.0,3828.0,566.54,3062.4,23
CPT,74150,Ct abdomen w/o contrast,,,53.0,1475.0,97
CPT,74160,CT Abdomen W/Dye,5085.0,5085.0,752.58,4068.0,23
CPT,74160,Ct abdomen w/contrast,,,56.45,1475.0,97
CPT,74170,Abdomen CT W&WO Dye Bct,5831.0,5831.0,862.99,4664.8,23
CPT,74170,Ct abd wo cntrst flwd cntrst,,,62.41,1475.0,97
CPT,74174,Cta abd&plvs w/contrast,,,89.56,1786.43,97
CPT,74174,"Cta, Abdomen and Pelvis, W Dye",8074.0,8074.0,1194.95,6459.2,23
CPT,74175,Abdomen Cta W&WO Dye Bct,9285.0,9285.0,1374.18,7428.0,23
CPT,74175,Cta abdomen w/contrast,,,63.2,1475.0,97
CPT,74176,"CT, Abd and Pelvis W/O Contrast",7437.0,7437.0,1100.68,5949.6,23
CPT,74176,Ct abd & pelvis w/o contrast,,,71.7,1475.0,97
CPT,74177,"CT, Abd and Pelvis W/Contrast",10272.0,10272.0,1520.26,8217.6,23
CPT,74177,Ct abd & pelvis w/contrast,,,75.18,1786.43,97
CPT,74178,"CT, Abd and Pelvis W&W/O Contrast",11888.0,11888.0,1759.42,9510.4,23
CPT,74178,Ct abd&plv wo cntr flwd cntr,,,83.21,1786.43,97
CPT,74181,MRI Abdomen W/O Dye,5642.0,5642.0,835.02,4513.6,23
CPT,74181,Mri abdomen w/o contrast,,,66.55,2163.0,97
CPT,74182,MRI Abdomen W/ Dye,5491.0,5491.0,812.67,4392.8,23
CPT,74182,Mri abdomen w/contrast,,,66.08,2163.0,97
CPT,74183,MRI Abdomen W&WO Dye,6574.0,6574.0,972.95,5259.2,23
CPT,74183,Mri abd w/o cntr flwd cntr,,,87.17,2163.0,97
CPT,74185,Mra Abdomen WO Cont,4068.0,4068.0,602.06,3254.4,23
CPT,74185,Mra abd w or w/o cntrst,,,78.69,2163.0,84
CPT,74190,Peritoneogram rs&i,,,20.04,2344.03,99
CPT,74210,X-ray xm phrnx&/crv esoph c+,,,16.01,866.54,99
CPT,74220,X-Ray Exam Esophagus Sgl Contrast,941.0,941.0,139.27,752.8,23
CPT,74220,X-ray xm esophagus 1cntrst,,,20.7,866.54,99
CPT,74221,X-ray xm esophagus 2cntrst,,,30.23,866.54,99
CPT,74230,X-Ray Exam Swallow Function Sgl Contrast,1378.0,1378.0,203.94,1102.4,23
CPT,74230,X-ray xm swlng funcj c+,,,23.85,866.54,99
CPT,74235,Esophageal FB Removal S&I Spv,5322.0,5322.0,787.66,4257.6,23
CPT,74235,Remove esophagus obstruction,,,53.0,298.34,75
CPT,74240,Ugi W/O Kub Rdg,1480.0,1480.0,219.04,1184.0,23
CPT,74240,X-ray xm upr gi trc 1cntrst,,,31.05,866.54,99
CPT,74241,X-ray upper gi delay w/kub,,,,,0
CPT,74245,X-ray upper gi&small intest,,,,,0
CPT,74246,X-Ray Ugi W/ Air Con W/O Kub,1720.4,1720.4,254.62,1376.32,23
CPT,74246,X-ray xm upr gi trc 2cntrst,,,31.05,866.54,99
CPT,74247,Contrst x-ray uppr gi tract,,,,,0
CPT,74248,X-ray sm int f-thru std,,,30.23,121.55,77
CPT,74248,Xr Small Bowel Follow-Through Add On,1904.4,1904.4,281.85,1523.52,23
CPT,74249,Contrst x-ray uppr gi tract,,,,,0
CPT,74250,X-ray xm sm int 1cntrst std,,,21.01,866.54,99
CPT,74250,Xr Small Bowel Single Contrast,1290.0,1290.0,190.92,1032.0,23
CPT,74251,X-ray xm sm int 2cntrst std,,,29.12,866.54,99
CPT,74260,X-ray exam of small bowel,,,22.58,50.77,12
CPT,74261,Ct colonography dx,,,105.81,1475.0,85
CPT,74262,Ct colonography dx w/dye,,,81.14,1475.0,97
CPT,74263,Ct colonography screening,,,108.83,2947.33,80
CPT,74270,X-Ray Exam Barium Enema Sgl Contrast,1823.9,1823.9,269.94,1459.12,23
CPT,74270,X-ray xm colon 1cntrst std,,,31.05,866.54,99
CPT,74280,X-ray xm colon 2cntrst std,,,44.22,866.54,99
CPT,74280,Xr Colon Double Contrast,1860.0,1860.0,275.28,1488.0,23
CPT,74283,Ther nma rdctj intus/obstrcj,,,87.17,866.54,99
CPT,74290,Contrast x-ray gallbladder,,,14.44,866.54,99
CPT,74291,Contrast x-rays gallbladder,,,,,0
CPT,74300,X-Ray Bile Ducts/Pancreas,1122.0,1122.0,166.06,897.6,23
CPT,74300,X-ray bile ducts/pancreas,,,12.69,111.58,71
CPT,74301,X-rays at surgery add-on,,,9.73,55.79,69
CPT,74305,X-ray bile ducts/pancreas,,,,,0
CPT,74310,CHOLANGIOGRAPHY POSTOP IV,,,,,0
CPT,74315,CHOLANGIOGRAPHY POSTOP ORAL,,,,,0
CPT,74320,Contrast x-ray of bile ducts,,,,,0
CPT,74321,CONTRAST X-RAY OF BILE DUCTS,,,,,0
CPT,74327,X-ray bile stone removal,,,,,0
CPT,74328,Radiological;Biliary Ductal,1401.0,1401.0,207.35,1120.8,23
CPT,74328,X-ray bile duct endoscopy,,,22.06,1475.0,77
CPT,74329,Radiological;Pancreatic Ductal,1401.0,1401.0,207.35,1120.8,23
CPT,74329,X-ray for pancreas endoscopy,,,22.38,174.01,47
CPT,74330,Radiological;Biliary & Pancrea,1401.0,1401.0,207.35,1120.8,23
CPT,74330,X-ray bile/panc endoscopy,,,25.94,344.53,77
CPT,74340,X-Ray Guide for GI Tube,1377.0,1377.0,203.8,1101.6,23
CPT,74340,X-ray guide for gi tube,,,24.16,286.63,77
CPT,74350,X-ray guide-stomach tube,,,,,0
CPT,74351,X-RAY GUIDE-STOMACH TUBE,,,,,0
CPT,74355,X-ray guide intestinal tube,,,34.19,286.63,77
CPT,74356,X-RAY GUIDE-INTESTINAL TUBE,,,,,0
CPT,74360,X-Ray Guide GI Dilation,1305.0,1305.0,193.14,1044.0,23
CPT,74360,X-ray guide gi dilation,,,24.79,344.53,77
CPT,74361,X-RAY GUIDE-GI DILATION,,,,,0
CPT,74363,X-ray bile duct dilation,,,36.64,1475.0,69
CPT,74400,Urography iv +-kub tomog,,,21.97,866.54,99
CPT,74405,CONTRAST X-RAY URINARY,,,,,0
CPT,74410,Urography nfs drip&/bolus,,,21.97,866.54,99
CPT,74415,Urography nfs drip&/bls w/nf,,,21.97,866.54,99
CPT,74420,Urography rtrgr +-kub,,,16.3,1786.43,99
CPT,74425,Urography antegrade rs&i,,,16.01,1786.43,99
CPT,74425,X-Ray Urinary Tract Antegrade W/Contrast,1551.0,1551.0,229.55,1240.8,23
CPT,74426,CONTRAST X-RAY URINARY TRACT,,,,,0
CPT,74430,Contrast x-ray bladder,,,14.44,1786.43,99
CPT,74430,Cystography 3+ View,1146.0,1146.0,169.61,916.8,23
CPT,74431,CONTRAST X-RAY OF BLADDER,,,,,0
CPT,74440,X-ray male genital tract,,,17.17,1116.25,99
CPT,74441,XRAY EXAM MALE GENITAL TRACT,,,,,0
CPT,74445,X-ray exam of penis,,,38.64,528.15,99
CPT,74446,X-RAY EXAM OF PENIS,,,,,0
CPT,74450,X-Ray Urethra/Bladder Retrograde,1052.0,1052.0,155.7,841.6,23
CPT,74450,X-ray urethra/bladder,,,14.74,1116.25,99
CPT,74451,X-RAY EXAM URETHRA/BLADDER,,,,,0
CPT,74455,X-Ray Urethra/Bladder Voiding,1762.95,1762.95,260.92,1410.36,23
CPT,74455,X-ray urethra/bladder,,,14.74,1116.25,99
CPT,74456,X-RAY EXAM URETHRA/BLADDER,,,,,0
CPT,74470,X-ray exam of kidney lesion,,,24.16,2344.03,99
CPT,74471,X-RAY EXAM OF KIDNEY LESION,,,,,0
CPT,74475,X-ray control cath insert,,,,,0
CPT,74476,XRAY CONTROL CATHETER INSERT,,,,,0
CPT,74480,X-ray control cath insert,,,,,0
CPT,74481,XRAY CONTROL CATHETER INSERT,,,,,0
CPT,74485,Dilation urtr/urt rs&i,,,24.16,8686.09,99
CPT,74486,X-RAY GUIDE-GU DILATION,,,,,0
CPT,74710,X-ray measurement of pelvis,,,15.06,64.39,15
CPT,74712,Mri fetal sngl/1st gestation,,,129.89,2163.0,97
CPT,74713,Mri fetal ea addl gestation,,,77.21,2163.0,77
CPT,74720,ABDOMEN FETAL-SINGLE,,,,,0
CPT,74725,ABDOMEN FETAL-MULTIPLE,,,,,0
CPT,74740,Hysterosalpingography Rdg,1436.0,1436.0,212.53,1148.8,23
CPT,74740,X-ray female genital tract,,,17.24,1116.25,99
CPT,74741,X-RAY FEMALE GENITAL TRACT,,,,,0
CPT,74742,Transcervic Cath Fallopian Spv,1246.0,1246.0,184.41,996.8,23
CPT,74742,X-ray fallopian tube,,,26.66,423.86,75
CPT,74775,X-ray exam of perineum,,,28.24,1116.25,99
CPT,75500,CINEMA X-RAY HEART VESSELS,,,,,0
CPT,75501,CINEMA X-RAY HEART VESSELS,,,,,0
CPT,75505,X-RAY EXAM OF HEART VESSELS,,,,,0
CPT,75506,X-RAY EXAM OF HEART VESSELS,,,,,0
CPT,75507,X-RAY EXAM OF HEART VESSELS,,,,,0
CPT,75509,X-RAY EXAM OF HEART VESSELS,,,,,0
CPT,75519,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75520,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75523,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75524,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75527,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75528,HEART X-RAY/CATHETERIZATION,,,,,0
CPT,75552,Heart mri for morph w/o dye,,,2163.0,2163.0,1
CPT,75553,Heart mri for morph w/dye,,,2163.0,2163.0,1
CPT,75554,Cardiac MRI/function,,,2163.0,2163.0,1
CPT,75555,Cardiac MRI/limited study,,,2163.0,2163.0,1
CPT,75556,Cardiac MRI/flow mapping,,,2163.0,2163.0,1
CPT,75557,Cardiac mri for morph,,,91.31,2163.0,97
CPT,75557,MRI Card Morph W/O Cont,4510.3,4510.3,667.52,3608.24,23
CPT,75558,Cardiac mri flow/velocity,,,2163.0,2163.0,1
CPT,75559,Cardiac mri w/stress img,,,116.74,2344.03,97
CPT,75560,Cardiac mri flow/vel/stress,,,2163.0,2163.0,1
CPT,75561,Cardiac mri for morph w/dye,,,101.0,2163.0,97
CPT,75561,MRI Card Morph W&W/O,5065.0,5065.0,749.62,4052.0,23
CPT,75562,Card mri flow/vel w/dye,,,2163.0,2163.0,1
CPT,75563,Card mri w/stress img & dye,,,121.5,3470.68,97
CPT,75563,MRI Card Morph W&W/O W/Stress,5251.0,5251.0,777.15,4200.8,23
CPT,75564,Ht mri w/flo/vel/strs & dye,,,2163.0,2163.0,1
CPT,75565,Card mri veloc flow mapping,,,8.46,2163.0,77
CPT,75571,CT Hrt W/O Dye W/Ca Test,4693.0,4693.0,694.56,3754.4,23
CPT,75571,Ct hrt w/o dye w/ca test,,,18.65,1475.0,97
CPT,75572,CT Hrt W/3d Image,2374.75,2374.75,351.46,1899.8,23
CPT,75572,Ct hrt w/3d image,,,57.13,1475.0,97
CPT,75573,Ct hrt c+ strux cgen hrt ds,,,81.79,1475.0,97
CPT,75574,CT Angio Hrt W/3d Image,3955.0,3955.0,585.34,3164.0,23
CPT,75574,Ct angio hrt w/3d image,,,77.96,1475.0,97
CPT,75580,N-invas est c ffr sw aly cta,,,28.85,4731.86,94
CPT,75580,Vein X-Ray Eye Socket,2838.2,2838.2,420.05,2270.56,23
CPT,75600,Contrast exam thoracic aorta,,,22.55,13887.24,99
CPT,75601,CONTRAST X-RAY EXAM OF AORTA,,,,,0
CPT,75605,Contrast exam thoracic aorta,,,51.47,23133.69,99
CPT,75605,Thoracic Arch Angio Spn,18212.0,18212.0,2695.38,14569.6,23
CPT,75606,CONTRAST X-RAY EXAM OF AORTA,,,,,0
CPT,75625,Aortogram Abd Catheter Spv,6578.17,6578.17,973.57,5262.54,23
CPT,75625,Contrast exam abdominl aorta,,,51.12,13887.24,99
CPT,75626,CONTRAST X-RAY EXAM OF AORTA,,,294.58,294.58,6
CPT,75627,CONTRAST X-RAY EXAM OF AORTA,,,,,0
CPT,75628,CONTRAST X-RAY EXAM OF AORTA,,,,,0
CPT,75630,Aortography Bilat Lower,7787.0,7787.0,1152.48,6229.6,23
CPT,75630,X-ray aorta leg arteries,,,61.68,13887.24,99
CPT,75631,X-RAY AORTA-LEG ARTERIES,,,,,0
CPT,75635,CT Angio Abdominal Arteries,9707.0,9707.0,1436.64,7765.6,23
CPT,75635,Ct angio abdominal arteries,,,98.71,1475.0,97
CPT,75650,Artery x-rays head & neck,,,,,0
CPT,75651,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75652,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75653,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75654,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75655,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75656,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75657,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75658,Artery x-rays arm,,,59.94,428.28,12
CPT,75659,X-RAY EXAM OF ARM ARTERIES,,,,,0
CPT,75660,Artery x-rays head & neck,,,,,0
CPT,75661,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75662,Artery x-rays head & neck,,,,,0
CPT,75663,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75665,Artery x-rays head & neck,,,,,0
CPT,75667,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75669,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75671,Artery x-rays head & neck,,,,,0
CPT,75672,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75673,ARTERY X-RAYS-HEAD & NECK,,,,,0
CPT,75676,Artery x-rays neck,,,,,0
CPT,75677,ARTERY X-RAYS-NECK,,,,,0
CPT,75678,ARTERY X-RAYS-NECK,,,,,0
CPT,75680,Artery x-rays neck,,,,,0
CPT,75681,ARTERY X-RAYS-NECK,,,,,0
CPT,75682,ARTERY X-RAYS-NECK,,,,,0
CPT,75685,Artery x-rays spine,,,,,0
CPT,75686,VERTEBRAL PUNCTURE,,,,,0
CPT,75687,ARTERY X-RAYS-SPINE,,,,,0
CPT,75690,ARTERY X-RAYS-NECK SPINE,,,,,0
CPT,75692,ARTERY X-RAYS-NECK SPINE,,,,,0
CPT,75695,ARTERY X-RAYS-NECK SPINE,,,,,0
CPT,75697,ARTERY X-RAYS-NECK SPINE,,,,,0
CPT,75705,Angio Spinal Selective,15255.9,15255.9,2257.87,12204.72,23
CPT,75705,Artery x-rays spine,,,97.54,23133.69,99
CPT,75706,ARTERY X-RAYS-SPINE,,,,,0
CPT,75710,Angio Extremity Unilat Spv,9062.0,9062.0,1341.18,7249.6,23
CPT,75710,Artery x-rays arm/leg,,,51.43,13887.24,99
CPT,75711,ARTERY X-RAYS-ARM/LEG,,,,,0
CPT,75712,ARTERY X-RAYS-ARM/LEG,,,,,0
CPT,75716,Angio Ext Bilat,8986.1,8986.1,1329.94,7188.88,23
CPT,75716,Artery x-rays arms/legs,,,58.34,13887.24,99
CPT,75716,Inject: Illiac Angio,8615.0,8615.0,1275.02,6892.0,23
CPT,75717,ARTERY X-RAYS-ARMS/LEGS,,,196.37,196.37,6
CPT,75718,ARTERY X-RAYS-ARMS/LEGS,,,,,0
CPT,75722,Artery x-rays kidney,,,,,0
CPT,75723,ARTERY X-RAYS-KIDNEY,,,,,0
CPT,75724,Artery x-rays kidneys,,,,,0
CPT,75725,ARTERY X-RAYS-KIDNEYS,,,,,0
CPT,75726,Angio Visceral,12463.0,12463.0,1844.52,9970.4,23
CPT,75726,Artery x-rays abdomen,,,50.8,23133.69,99
CPT,75727,ARTERY X-RAYS-ABDOMEN,,,,,0
CPT,75728,ARTERY X-RAYS-ABDOMEN,,,,,0
CPT,75731,Angio Adrenal Unilat Spv,7866.0,7866.0,1164.17,6292.8,23
CPT,75731,Artery x-rays adrenal gland,,,50.8,13887.24,99
CPT,75732,ARTERY X-RAYS-ADRENAL GL&,,,,,0
CPT,75733,"Adrenal, Bilateral",6639.0,6639.0,982.57,5311.2,23
CPT,75733,Artery x-rays adrenals,,,58.35,13887.24,99
CPT,75734,ARTERY X-RAYS-ADRENAL GL&S,,,,,0
CPT,75736,Angio Pelvic Selective Spv,15255.9,15255.9,2257.87,12204.72,23
CPT,75736,Artery x-rays pelvis,,,49.79,23133.69,99
CPT,75737,ARTERY X-RAYS-PELVIS,,,,,0
CPT,75738,ARTERY X-RAYS-PELVIS,,,,,0
CPT,75741,Angio Pulmonary Unilat Spv,7883.25,7883.25,1166.72,6306.6,23
CPT,75741,Artery x-rays lung,,,57.55,13887.24,99
CPT,75742,ARTERY X-RAYS-LUNG,,,,,0
CPT,75743,Angio Pulmonary Bilateral Spv,9428.85,9428.85,1395.47,7543.08,23
CPT,75743,Artery x-rays lungs,,,69.1,13887.24,99
CPT,75744,ARTERY X-RAYS-LUNGS,,,,,0
CPT,75746,Angio Pulmonary Nonsele Spv,3496.0,3496.0,517.41,2796.8,23
CPT,75746,Artery x-rays lung,,,50.35,13887.24,99
CPT,75747,ARTERY X-RAYS-LUNG,,,,,0
CPT,75748,ARTERY X-RAYS-LUNG,,,,,0
CPT,75750,ARTERY X-RAYS-HEART,,,,,0
CPT,75751,ARTERY X-RAYS-HEART,,,,,0
CPT,75752,ARTERY X-RAYS-HEART,,,,,0
CPT,75753,ARTERY X-RAYS-HEART,,,,,0
CPT,75754,ARTERY X-RAYS-HEART,,,,,0
CPT,75755,ARTERY X-RAYS-HEART,,,,,0
CPT,75756,"Artery Xray, Chest",8740.0,8740.0,1293.52,6992.0,23
CPT,75756,Artery x-rays chest,,,53.07,13887.24,99
CPT,75757,ARTERY X-RAYS-CHEST,,,,,0
CPT,75762,CORONARY BYPASS X-RAY,,,,,0
CPT,75764,CORONARY BYPASS X-RAY,,,,,0
CPT,75766,CORONARY BYPASS X-RAY,,,,,0
CPT,75767,CORONARY BYPASS X-RAY,,,,,0
CPT,75774,Angio Selective Add'l Vess Spv,5529.2,5529.2,818.32,4423.36,23
CPT,75774,Artery x-ray each vessel,,,16.01,492.45,77
CPT,75775,ARTERY X-RAY-EACH VESSEL,,,,,0
CPT,75790,Visualize A-V shunt,,,,,0
CPT,75791,Av dialysis shunt imaging,,,,,0
CPT,75801,Lymph vessel x-ray arm/leg,,,36.69,2622.19,99
CPT,75802,LYMPH VESSEL X-RAY-ARM/LEG,,,,,0
CPT,75803,Lymph vessel x-ray arms/legs,,,52.05,6821.76,99
CPT,75804,LYMPH VESSEL X-RAY-ARMS/LEGS,,,,,0
CPT,75805,Lymph vessel x-ray trunk,,,36.39,13887.24,99
CPT,75806,LYMPH VESSEL X-RAY-TRUNK,,,,,0
CPT,75807,Lymph Vessel X-Ray Trunk,6336.5,6336.5,937.8,5069.2,23
CPT,75807,Lymph vessel x-ray trunk,,,50.4,13887.24,99
CPT,75808,LYMPH VESSEL X-RAY-TRUNK,,,,,0
CPT,75809,Nonvascular shunt x-ray,,,20.69,528.15,99
CPT,75809,X-Ray Nonvascular Shunt,783.0,783.0,115.88,626.4,23
CPT,75810,Vein x-ray spleen/liver,,,46.97,13887.24,99
CPT,75811,VEIN X-RAY-SPLEEN/LIVER,,,142.44,142.44,6
CPT,75820,Extremity Uni Venogram Spv,3231.36,3231.36,478.24,2585.09,23
CPT,75820,Vein x-ray arm/leg,,,31.37,6821.76,99
CPT,75821,VEIN X-RAY-ARM/LEG,,,,,0
CPT,75822,Extremity Bi Venogram Spv,4551.0,4551.0,673.55,3640.8,23
CPT,75822,Vein x-ray arms/legs,,,47.05,6821.76,99
CPT,75823,VEIN X-RAY-ARMS/LEGS,,,,,0
CPT,75825,Inferior Veno Cavagram Spv,9062.0,9062.0,1341.18,7249.6,23
CPT,75825,Vein x-ray trunk,,,50.8,13887.24,99
CPT,75826,VEIN X-RAY-TRUNK,,,,,0
CPT,75827,Superior Veno Cavagram Spv,4404.5,4404.5,651.87,3523.6,23
CPT,75827,Vein x-ray chest,,,50.8,6821.76,99
CPT,75828,VEIN X-RAY-CHEST,,,,,0
CPT,75831,Renal Venograph Uni Selec Spv,9062.0,9062.0,1341.18,7249.6,23
CPT,75831,Vein x-ray kidney,,,49.47,13887.24,99
CPT,75832,VEIN X-RAY-KIDNEY,,,,,0
CPT,75833,Vein x-ray kidneys,,,66.49,13887.24,99
CPT,75834,VEIN X-RAYS-KIDNEYS,,,,,0
CPT,75840,Adrenal Veno Unilat Sel Spv,6342.25,6342.25,938.65,5073.8,23
CPT,75840,Vein x-ray adrenal gland,,,50.8,13887.24,99
CPT,75841,VEIN X-RAY-ADRENAL GL&,,,,,0
CPT,75842,Vein x-ray adrenal glands,,,66.49,23133.69,99
CPT,75843,VEIN X-RAY-ADRENAL GL&S,,,,,0
CPT,75845,AZYGOS SELECTIVE,,,,,0
CPT,75846,AZYGOS COMPLETE,,,,,0
CPT,75860,Sinus/Jugular Venogram Spn,9641.6,9641.6,1426.96,7713.28,23
CPT,75860,Vein x-ray neck,,,51.12,13887.24,99
CPT,75861,VEIN X-RAY-NECK,,,,,0
CPT,75870,Vein x-ray skull,,,50.8,13887.24,99
CPT,75870,Venography Superior Sagittal Sinus Rs&I,8643.4,8643.4,1279.22,6914.72,23
CPT,75871,VEIN X-RAY-SKULL,,,,,0
CPT,75872,Epidural Venogram Spn,2783.0,2783.0,411.88,2226.4,23
CPT,75872,Vein x-ray skull epidural,,,50.8,2622.19,99
CPT,75873,VEIN X-RAY-SKULL,,,,,0
CPT,75880,Vein x-ray eye socket,,,31.37,2622.19,99
CPT,75881,VEIN X-RAY-EYE SOCKET,,,,,0
CPT,75885,Trans-Hep Port W/Hemodynam Spv,9062.0,9062.0,1341.18,7249.6,23
CPT,75885,Vein x-ray liver w/hemodynam,,,63.13,13887.24,99
CPT,75886,VEIN X-RAY-LIVER,,,,,0
CPT,75887,Trans-Hep Port W/O Hemodyn Spv,4603.45,4603.45,681.31,3682.76,23
CPT,75887,Vein x-ray liver w/o hemodyn,,,63.77,13887.24,99
CPT,75888,VEIN X-RAY-LIVER,,,,,0
CPT,75889,Hepatic Wedge Veno W/Eval Spv,7625.0,7625.0,1128.5,6100.0,23
CPT,75889,Vein x-ray liver w/hemodynam,,,49.75,13887.24,99
CPT,75890,VEIN X-RAY-LIVER,,,,,0
CPT,75891,Vein x-ray liver,,,50.03,13887.24,99
CPT,75892,VEIN X-RAY-LIVER,,,,,0
CPT,75893,Venous Sampling W/WO Angi Spv,8625.0,8625.0,1276.5,6900.0,23
CPT,75893,Venous sampling by catheter,,,24.16,23133.69,99
CPT,75894,"Transcath Embolization, S&I",12712.57,12712.57,1881.46,10170.06,23
CPT,75894,X-Ray Transcath Therapy Embolization,12712.0,12712.0,1881.38,10169.6,23
CPT,75894,X-rays transcath therapy,,,58.34,2635.61,77
CPT,75895,XRAYS-TRANSCATHETER THERAPY,,,,,0
CPT,75896,X-rays transcath therapy,,,,,0
CPT,75897,XRAYS-TRANSCATHETER THERAPY,,,,,0
CPT,75898,Angio W/Exist Cath Fu Stdy Spv,4025.0,4025.0,595.7,3220.0,23
CPT,75898,Follow-up angiography,,,36.08,13887.24,99
CPT,75900,Intravascular cath exchange,,,,,0
CPT,75901,Remove Cva Device Obstruct,878.0,878.0,129.94,702.4,23
CPT,75901,Remove cva device obstruct,,,21.46,509.51,65
CPT,75902,Remove cva lumen obstruct,,,17.58,192.8,65
CPT,75940,X-ray placement vein filter,,,,,0
CPT,75941,X-RAY PLACEMENT-VEIN FILTER,,,,,0
CPT,75945,Intravascular us,,,,,0
CPT,75946,Intravascular us add-on,,,,,0
CPT,75950,VASCULAR BLOCK-TEMPORARY,,,,,0
CPT,75951,VASCULAR BLOCK-TEMPORARY,,,,,0
CPT,75952,Endovasc repair abdom aorta,,,,,0
CPT,75953,Abdom aneurysm endovas rpr,,,,,0
CPT,75954,Iliac aneurysm endovas rpr,,,,,0
CPT,75955,VASCULAR BLOCK-PERMANENT,,,,,0
CPT,75956,Xray endovasc thor ao repr,,,322.21,24872.68,53
CPT,75957,Xray endovasc thor ao repr,,,276.07,24872.68,53
CPT,75958,Xray place prox ext thor ao,,,183.41,24872.68,53
CPT,75959,Xray place dist ext thor ao,,,160.23,24872.68,53
CPT,75960,Transcath iv stent rs&i,,,506.23,506.23,6
CPT,75961,Retrieval broken catheter,,,,,0
CPT,75962,Repair arterial blockage,,,,,0
CPT,75963,REPAIR ARTERIAL BLOCKAGE,,,,,0
CPT,75964,Repair artery blockage each,,,,,0
CPT,75965,REPAIR ARTERY BLOCKAGE-EACH,,,,,0
CPT,75966,Repair arterial blockage,,,,,0
CPT,75967,REPAIR ARTERIAL BLOCKAGE,,,,,0
CPT,75968,Repair artery blockage each,,,,,0
CPT,75969,REPAIR ARTERY BLOCKAGE-EACH,,,,,0
CPT,75970,"Transcatheter Biopsy, Radiological Supervision and Interpretation",5092.2,5092.2,753.65,4073.76,23
CPT,75970,Vascular biopsy,,,36.09,1259.39,65
CPT,75971,VASCULAR BIOPSY,,,,,0
CPT,75978,Repair venous blockage,,,29.48,29.48,6
CPT,75979,REPAIR VENOUS BLOCKAGE,,,,,0
CPT,75980,Contrast xray exam bile duct,,,,,0
CPT,75981,CONTRAST XRAY EXAM BILE DUCT,,,,,0
CPT,75982,Contrast xray exam bile duct,,,,,0
CPT,75983,CONTRAST XRAY EXAM BILE DUCT,,,,,0
CPT,75984,X-Ray Control Catheter Change,1602.0,1602.0,237.1,1281.6,23
CPT,75984,Xray control catheter change,,,32.31,191.56,77
CPT,75985,XRAY CONTROL CATHETER CHANGE,,,,,0
CPT,75989,Abscess Drainage Under X-Ray,2937.18,2937.18,434.7,2349.74,23
CPT,75989,Abscess drainage under x-ray,,,53.0,1475.0,77
CPT,75989,Radiological Guidance for Percutaneous Drainage,2937.26,2937.26,434.71,2349.81,23
CPT,75990,ABSCESS DRAINAGE UNDER X-RAY,,,327.06,327.06,6
CPT,75992,Atherectomy - x-ray exam,,,,,0
CPT,75993,Atherectomy - x-ray exam,,,,,0
CPT,75994,Atherectomy - x-ray exam,,,,,0
CPT,75995,Atherectomy - x-ray exam,,,,,0
CPT,75996,Atherectomy - x-ray exam,,,,,0
CPT,75998,Fluoroguide for vein device,,,,,0
CPT,76000,Fluoro Time Up to 1 Hr,1656.0,1656.0,245.09,1324.8,23
CPT,76000,Fluoroscopy <1 Hr Phys/Qhp,1312.15,1312.15,194.2,1049.72,23
CPT,76000,Fluoroscopy <1 hr phys/qhp,,,7.84,1116.25,99
CPT,76000,Prosthetic Valve Cine Fluoro,1656.0,1656.0,245.09,1324.8,23
CPT,76001,Fluoroscope exam extensive,,,,,0
CPT,76003,Needle localization by x-ray,,,,,0
CPT,76005,Fluoroguide for spine inject,,,,,0
CPT,76006,X-ray stress view,,,,,0
CPT,76010,X-ray nose to rectum,,,8.15,392.4,99
CPT,76012,Percut vertebroplasty fluor,,,,,0
CPT,76013,Percut vertebroplasty-ct,,,,,0
CPT,76014,Mr sfty implt&/fb asmt stf 1,,,9.04,2163.0,53
CPT,76015,Mr sfty mplt&/fb asmt stf ea,,,43.58,2163.0,36
CPT,76016,Mr safety deter phys/qhp,,,23.04,2163.0,87
CPT,76017,Mr sfty med physics xm cstmz,,,29.35,2163.0,87
CPT,76018,Mr safety implant elec prepj,,,28.77,436.0,86
CPT,76019,Mr safety implt pos&/immoblj,,,22.84,2163.0,87
CPT,76020,X-rays for bone age,,,,,0
CPT,76040,X-rays-bone evaluation,,,,,0
CPT,76061,X-rays-bone survey,,,,,0
CPT,76062,X-rays-bone survey,,,,,0
CPT,76065,X-rays-bone evaluation,,,,,0
CPT,76066,Joint survey-single view,,,,,0
CPT,76070,Ct bone density-axial,,,1475.0,1475.0,1
CPT,76071,Ct bone density-peripheral,,,1475.0,1475.0,1
CPT,76075,Dxa bone density- axial,,,,,0
CPT,76076,Dxa bone density/peripheral,,,,,0
CPT,76077,Dxa bone density/v-fracture,,,,,0
CPT,76078,Radiographic absorptiometry,,,,,0
CPT,76080,"Abscess, Fistula, Sinus Tract Study",1496.0,1496.0,221.41,1196.8,23
CPT,76080,X-Ray Exam Fistula,1110.33,1110.33,164.33,888.26,23
CPT,76080,X-ray exam of fistula,,,24.09,2344.03,99
CPT,76081,X-RAY EXAM OF FISTULA,,,,,0
CPT,76082,Computer mammogram add-on,,,,,0
CPT,76083,Computer mammogram add-on,,,,,0
CPT,76085,DIGITIZ FILM X-RAY-CMPT ANALY LES DETECT-SCR MAM,,,,,0
CPT,76086,X-ray of mammary duct,,,,,0
CPT,76087,X-RAY OF MAMMARY DUCT,,,,,0
CPT,76088,X-ray of mammary ducts,,,,,0
CPT,76089,X-RAY OF MAMMARY DUCTS,,,,,0
CPT,76090,Mammogram-one breast,,,,,0
CPT,76091,Mammogram-both breasts,,,,,0
CPT,76092,Mammogram-screening,,,,,0
CPT,76093,MAGNETIC IMAGE-BREAST,,,,,0
CPT,76094,MAGNETIC IMAGE-BOTH BREASTS,,,,,0
CPT,76095,Stereotactic breast biopsy,,,,,0
CPT,76096,X-ray of needle wire-breast,,,,,0
CPT,76097,X-RAY EXAM-BREAST NODULE,,,58.22,58.22,6
CPT,76098,X-Ray Exam Surgical Specimen,1579.0,1579.0,233.69,1263.2,23
CPT,76098,X-ray exam surgical specimen,,,14.63,2344.03,87
CPT,76100,X-ray exam of body section,,,26.04,528.15,99
CPT,76101,Complex body section x-ray,,,388.08,388.08,3
CPT,76102,Complex body section x-rays,,,546.45,546.45,3
CPT,76120,Cine/video x-rays,,,17.57,528.15,99
CPT,76125,Cine/video x-rays add-on,,,13.01,85.79,71
CPT,76140,X-ray consultation,,,175.84,175.84,1
CPT,76145,Med physic dos eval rad exps,,,527.93,2096.32,63
CPT,76150,X-ray exam - dry process,,,,,0
CPT,76350,Special x-ray contrast study,,,,,0
CPT,76355,Ct scan for localization,,,1475.0,1475.0,1
CPT,76360,Ct scan for needle biopsy,,,1475.0,1475.0,1
CPT,76361,CAT SCAN FOR NEEDLE BIOPSY,,,1475.0,1475.0,1
CPT,76362,Ct guide for tissue ablation,,,1475.0,1475.0,1
CPT,76365,CAT SCAN FOR CYST ASPIRATION,,,1475.0,1475.0,1
CPT,76366,CAT SCAN FOR CYST ASPIRATION,,,1475.0,1475.0,1
CPT,76370,Ct scan for therapy guide,,,1475.0,1475.0,1
CPT,76375,3D/HOLOGRAPH RECONSTR ADD-ON,,,7.2,120.1,12
CPT,76376,3d Render W/O Intrp Postproces,2200.0,2200.0,325.6,1760.0,23
CPT,76376,3d render w/intrp postproces,,,9.09,2163.0,77
CPT,76377,3d Render W/Intrp Postproces,3306.0,3306.0,489.29,2644.8,23
CPT,76377,3d render w/intrp postproces,,,36.37,2163.0,77
CPT,76380,Cat scan follow-up study,,,43.52,1475.0,97
CPT,76380,Follow Up Study CT Limited Bct,2036.0,2036.0,301.33,1628.8,23
CPT,76390,MRI Spectroscopy,4122.0,4122.0,610.06,3297.6,23
CPT,76390,Mr spectroscopy,,,71.31,2163.0,31
CPT,76391,Mr elastography,,,48.32,2163.0,97
CPT,76393,Mr guidance for needle place,,,,,0
CPT,76394,Mri for tissue ablation,,,2163.0,2163.0,1
CPT,76400,Magnetic image-bone marrow,,,,,0
CPT,76490,ULTRASOUND GUIDANCE&MONITORING TISSUE ABLATION,,,,,0
CPT,76496,Fluroscopy Procedure,710.0,710.0,105.08,568.0,23
CPT,76496,Unlisted fluoroscopic px,,,24.93,392.4,31
CPT,76497,Unlisted CT Procedure,1400.0,1400.0,207.2,1120.0,23
CPT,76497,Unlisted ct procedure,,,87.6,1475.0,25
CPT,76498,MRI Pelvis Tx Plan W/O Contrast,3374.0,3374.0,499.35,2699.2,23
CPT,76498,Unlisted mr procedure,,,87.6,2163.0,25
CPT,76499,Radiographic Procedure,1331.0,1331.0,196.99,1064.8,23
CPT,76499,Unlisted dx radiographic px,,,87.6,392.4,23
CPT,76506,Echo Exam Head,1410.0,1410.0,208.68,1128.0,23
CPT,76506,Echo exam of head,,,28.85,528.15,99
CPT,76510,Oph us dx b-scan&quan a-scan,,,28.42,547.01,135
CPT,76511,Oph us dx quan a-scan only,,,20.68,528.15,135
CPT,76512,Oph us dx b-scan,,,17.13,528.15,135
CPT,76512,"Ophth US, B W/Non-Quant A",615.0,615.0,91.02,492.0,23
CPT,76513,"B-Scan Ultrasound, Unilateral or Bilateral",538.0,538.0,79.62,430.4,23
CPT,76513,Echo Exam Eye Water Bath,547.0,547.0,80.96,437.6,23
CPT,76513,Oph us dx ant sgm us uni/bi,,,31.06,528.15,135
CPT,76514,"Echo Exam of Eye, Thickness",287.0,287.0,42.48,229.6,23
CPT,76514,Echo exam of eye thickness,,,2.31,119.84,99
CPT,76516,Echo Exam Eye,338.0,338.0,50.02,270.4,23
CPT,76516,Echo exam of eye,,,21.69,528.15,99
CPT,76519,Echo exam of eye,,,26.08,528.15,135
CPT,76519,Ultrasonography,409.0,409.0,60.53,327.2,23
CPT,76529,Echo exam of eye,,,27.65,392.4,135
CPT,76536,US Exam Head and Neck,1712.35,1712.35,253.43,1369.88,23
CPT,76536,Us exam of head and neck,,,25.1,528.15,99
CPT,76604,US Exam Chest,1011.0,1011.0,149.63,808.8,23
CPT,76604,"Ultrasound Exam, Chest",1011.0,1011.0,149.63,808.8,23
CPT,76604,Us exam chest,,,24.79,528.15,99
CPT,76641,Ultrasound Breast Complete,1112.0,1112.0,164.58,889.6,23
CPT,76641,Ultrasound breast complete,,,31.73,528.15,135
CPT,76642,Ultrasound Breast Limited,1055.0,1055.0,156.14,844.0,23
CPT,76642,Ultrasound breast limited,,,29.61,392.4,135
CPT,76645,Us exam breast(s),,,,,0
CPT,76700,"US Abd, Rt W/Image",2181.0,2181.0,322.79,1744.8,23
CPT,76700,Us exam abdom complete,,,36.07,528.15,99
CPT,76705,Echo Exam Abdomen,1382.0,1382.0,204.54,1105.6,23
CPT,76705,Echo exam of abdomen,,,26.37,528.15,99
CPT,76706,US Abdl Aorta Screen Aaa,790.05,790.05,116.93,632.04,23
CPT,76706,Us abdl aorta screen aaa,,,24.02,528.15,99
CPT,76770,"US Retroperit, Rt W/Image; Complete",1655.0,1655.0,244.94,1324.0,23
CPT,76770,Us exam abdo back wall comp,,,33.25,528.15,99
CPT,76775,"US Retroper, Rt W/Image Ltd",1417.95,1417.95,209.86,1134.36,23
CPT,76775,Us exam abdo back wall lim,,,26.05,528.15,99
CPT,76776,Us exam k transpl w/doppler,,,29.54,528.15,99
CPT,76778,Us exam kidney transplant,,,,,0
CPT,76800,Us exam spinal canal,,,48.53,528.15,99
CPT,76801,"OB US <14 Wks, Single Fetus",1444.0,1444.0,213.71,1155.2,23
CPT,76801,Ob us < 14 wks single fetus,,,37.2,528.15,99
CPT,76802,Ob us < 14 wks addl fetus,,,19.99,80.66,77
CPT,76802,US Preg Uterus Ea Addl Gest,700.35,700.35,103.65,560.28,23
CPT,76805,OB US >/= 14 Wks Sngl Fetus,1552.99,1552.99,229.84,1242.39,23
CPT,76805,Ob us > 14 wks sngl fetus,,,44.86,528.15,99
CPT,76810,OB US >= 14 Wks Addl Fetus,943.0,943.0,139.56,754.4,23
CPT,76810,Ob us > 14 wks addl fetus,,,39.06,142.76,77
CPT,76811,Ob us detailed sngl fetus,,,85.59,1116.25,99
CPT,76811,US Preg Uterus 1st Gest,1397.0,1397.0,206.76,1117.6,23
CPT,76812,OB US Detailed Addl Fetus,1262.0,1262.0,186.78,1009.6,23
CPT,76812,Ob us detailed addl fetus,,,44.19,283.91,77
CPT,76813,"OB US Nuchal Meas, 1 Gest",742.0,742.0,109.82,593.6,23
CPT,76813,Ob us nuchal meas 1 gest,,,45.06,528.15,99
CPT,76814,Ob us nuchal meas add-on,,,26.16,86.72,77
CPT,76815,"OB US, Limited, Fetus(S)",1412.0,1412.0,208.98,1129.6,23
CPT,76815,Ob us limited fetus(s),,,29.5,528.15,99
CPT,76816,Ob us follow-up per fetus,,,26.05,528.15,99
CPT,76816,US Preg Uterus F/U,1360.0,1360.0,201.28,1088.0,23
CPT,76817,Transvaginal U/S Pregnant,991.3,991.3,146.71,793.04,23
CPT,76817,Transvaginal us obstetric,,,33.31,528.15,99
CPT,76818,Biophysical Profile W/Nst,1407.0,1407.0,208.24,1125.6,23
CPT,76818,Fetal biophys profile w/nst,,,35.14,528.15,99
CPT,76819,Biophysical Profile W/O Nst,1555.95,1555.95,230.28,1244.76,23
CPT,76819,Fetal biophys profil w/o nst,,,29.56,528.15,99
CPT,76820,Fetal Dopp Velocimetry Umb Art,1455.9,1455.9,215.47,1164.72,23
CPT,76820,Umbilical artery echo,,,20.04,528.15,99
CPT,76821,Fetal Dopp Velocimetry Mid Cer,785.0,785.0,116.18,628.0,23
CPT,76821,Middle cerebral artery echo,,,32.08,528.15,99
CPT,76825,Echo exam of fetal heart,,,67.07,2344.03,99
CPT,76825,Fetal Echo (2d),1867.0,1867.0,276.32,1493.6,23
CPT,76826,Echo exam of fetal heart,,,24.25,1116.25,99
CPT,76827,Echo exam of fetal heart,,,26.59,528.15,99
CPT,76827,Fetal Doppler Echo,835.0,835.0,123.58,668.0,23
CPT,76828,Echo exam of fetal heart,,,21.33,528.15,99
CPT,76830,Transvaginal us non-ob,,,31.05,528.15,99
CPT,76830,US Transvaginal,1562.85,1562.85,231.3,1250.28,23
CPT,76831,Echo exam uterus,,,32.62,1116.25,99
CPT,76831,US Hysterosono W/WO Doppler,1336.0,1336.0,197.73,1068.8,23
CPT,76855,ECHO EXAM OF PELVIS,,,,,0
CPT,76856,US Pelvis(Non-OB)Comp W/Rt Img,1760.07,1760.07,260.49,1408.06,23
CPT,76856,Us exam pelvic complete,,,31.05,528.15,99
CPT,76857,US Pelvis Ltd/Fu Non-OB,1156.9,1156.9,171.22,925.52,23
CPT,76857,Us exam pelvic limited,,,17.24,528.15,99
CPT,76870,US Scrotum,1540.0,1540.0,227.92,1232.0,23
CPT,76870,Us exam scrotum,,,28.84,528.15,99
CPT,76872,"Ultrasound,Transrectal",1594.0,1594.0,235.91,1275.2,23
CPT,76872,Us transrectal,,,31.11,528.15,99
CPT,76873,Echograp trans r pros study,,,58.88,528.15,99
CPT,76880,Us exam - extremity,,,,,0
CPT,76881,"US Extremity, Non-Vasc Rt W/Im Com",1676.94,1676.94,248.19,1341.55,23
CPT,76881,Us compl joint r-t w/img,,,10.36,528.15,99
CPT,76882,"Ultrasound, Extremity, Nonvascular, Limited",1224.0,1224.0,181.15,979.2,23
CPT,76882,Us lmtd jt/fcl evl nvasc xtr,,,8.64,528.15,99
CPT,76883,Us nrv&acc strux 1xtr compre,,,14.55,507.68,90
CPT,76885,Us exam infant hips dynamic,,,32.93,392.4,99
CPT,76886,Us exam infant hips static,,,27.3,392.4,99
CPT,76925,ECHO EXAM OF BLOOD FLOW,,,,,0
CPT,76926,ECHO EXAM OF HEAD & TRUNK,,,,,0
CPT,76930,Echo guide cardiocentesis,,,31.09,52.03,12
CPT,76931,ECHO GUIDE FOR HEART SAC TAP,,,,,0
CPT,76932,Echo guide for heart biopsy,,,34.27,167.38,71
CPT,76932,"US Guidance Endomyocardial Biopsy, Imaging S & I",454.0,454.0,67.19,363.2,23
CPT,76933,ECHO GUIDE FOR HEART BIOPSY,,,,,0
CPT,76934,ECHO GUIDE FOR CHEST TAP,,,,,0
CPT,76935,ECHO GUIDE FOR CHEST TAP,,,,,0
CPT,76936,Echo guide for artery repair,,,90.74,1283.88,99
CPT,76937,US Guidance for Vascular Acess,1447.85,1447.85,214.28,1158.28,23
CPT,76937,Us guide vascular access,,,13.01,58.34,77
CPT,76938,ECHO EXAM FOR DRAINAGE,,,,,0
CPT,76939,ECHO EXAM FOR DRAINAGE,,,,,0
CPT,76940,US Guide Tissue Ablation,1443.0,1443.0,213.56,1154.4,23
CPT,76940,Us guide tissue ablation,,,59.59,184.95,77
CPT,76941,Echo guide for transfusion,,,56.03,147.76,71
CPT,76942,Echo guide for biopsy,,,28.1,375.04,77
CPT,76942,Needle Placement US Guide Bic,1462.0,1462.0,216.38,1169.6,23
CPT,76943,ECHO GUIDE FOR BIOPSY,,,,,0
CPT,76944,ULTRASOUND FOR DRAINAGE S&I,,,,,0
CPT,76945,Echo guide villus sampling,,,30.42,166.6,71
CPT,76946,Echo Guide Amniocentesis,1082.0,1082.0,160.14,865.6,23
CPT,76946,Echo guide for amniocentesis,,,14.88,64.66,77
CPT,76947,ECHO GUIDE FOR AMNIOCENTESIS,,,,,0
CPT,76948,Echo guide ova aspiration,,,17.24,113.35,77
CPT,76949,ECHO GUIDE-OVA ASPIRATION,,,,,0
CPT,76950,Echo guidance radiotherapy,,,,,0
CPT,76960,ECHO GUIDANCE RADIOTHERAPY,,,,,0
CPT,76965,Echo guidance radiotherapy,,,27.13,195.04,77
CPT,76970,Ultrasound exam follow-up,,,,,0
CPT,76975,Gi endoscopic ultrasound,,,36.39,1116.25,99
CPT,76977,Us bone density measure,,,2.63,528.15,93
CPT,76978,Us trgt dyn mbubb 1st les,,,70.37,866.54,99
CPT,76979,Us trgt dyn mbubb ea addl,,,37.02,415.58,77
CPT,76981,Use parenchyma,,,26.02,528.15,99
CPT,76982,Use 1st target lesion,,,27.27,528.15,87
CPT,76983,Use ea addl target lesion,,,22.38,89.94,65
CPT,76984,Dx intraop thoracic aorta us,,,25.83,24872.68,53
CPT,76986,Ultrasound guide intraoper,,,,,0
CPT,76987,Dx intraop epicar car us chd,,,78.59,24872.68,53
CPT,76988,Dx ntrop epcr us chd img acq,,,50.12,24872.68,53
CPT,76989,Dx intraop epcar us chd i&r,,,29.41,24872.68,53
CPT,76991,ULTRASOUND INTRALUMINAL,,,,,0
CPT,76998,US Guidance Intraoperative,1296.0,1296.0,191.81,1036.8,23
CPT,76998,Us guide intraop,,,42.38,286.63,71
CPT,76999,Echo examination procedure,,,87.6,392.4,23
CPT,77001,Fluoro Guide Cv Access Dev Spv,1217.85,1217.85,180.24,974.28,23
CPT,77001,Fluoroguide for vein device,,,15.13,211.68,77
CPT,77002,Fluoro Guidance for Needle Pla,717.0,717.0,106.12,573.6,23
CPT,77002,Fluoro Guide Needle Placement,1739.95,1739.95,257.51,1391.96,23
CPT,77002,Needle localization by xray,,,20.84,211.41,77
CPT,77003,Fluoroguide for Spine Inject,1073.0,1073.0,158.8,858.4,23
CPT,77003,Fluoroguide for spine inject,,,22.46,179.8,77
CPT,77011,Ct scan for localization,,,47.88,1475.0,77
CPT,77012,CT Guidance Needle Placement,4567.0,4567.0,675.92,3653.6,23
CPT,77012,Ct scan for needle biopsy,,,45.84,1475.0,77
CPT,77013,"CT, Visceral Tissue Ablation",3324.0,3324.0,491.95,2659.2,23
CPT,77013,Ct guide for tissue ablation,,,49.93,1475.0,77
CPT,77014,Cbct Infusion Radioactive Mat,2159.0,2159.0,319.53,1727.2,23
CPT,77014,Ct scan for therapy guide,,,33.98,1475.0,77
CPT,77021,MRI Guidance Needle Placement,2912.0,2912.0,430.98,2329.6,23
CPT,77021,Mri guidance ndl plmt rs&i,,,60.39,2163.0,77
CPT,77022,Mri gdn parnchyma tiss abltj,,,192.35,2163.0,65
CPT,77031,Stereotact guide for brst bx,,,1475.0,1475.0,1
CPT,77032,Guidance for needle breast,,,,,0
CPT,77046,Mri breast c- unilateral,,,63.01,2163.0,97
CPT,77047,MRI Breast Without Contrast Material Bilateral,4311.0,4311.0,638.03,3448.8,23
CPT,77047,Mri breast c- bilateral,,,69.74,2163.0,97
CPT,77048,Mri breast c-+ w/cad uni,,,91.15,2163.0,82
CPT,77049,"MRI Breast W/WO Contrast Incl Cad, Bilateral",5963.0,5963.0,882.52,4770.4,23
CPT,77049,Mri breast c-+ w/cad bi,,,99.72,2163.0,82
CPT,77051,Computer dx mammogram add-on,,,,,0
CPT,77052,Comp screen mammogram add-on,,,,,0
CPT,77053,X-ray of mammary duct,,,14.53,1116.25,99
CPT,77054,X-ray of mammary ducts,,,18.01,1116.25,99
CPT,77055,Mammogram one breast,,,,,0
CPT,77056,Mammogram both breasts,,,,,0
CPT,77057,Mammogram screening,,,,,0
CPT,77058,Mri one breast,,,2163.0,2163.0,1
CPT,77059,Mri both breasts,,,2163.0,2163.0,1
CPT,77061,Breast tomosynthesis uni,,,204.01,430.68,11
CPT,77061,Dx Digital Breast Tomosynthesis; Unilateral,179.4,179.4,26.55,143.52,23
CPT,77062,Breast tomosynthesis bi,,,234.47,549.01,11
CPT,77062,Dx Digital Breast Tomosynthesis; Bilateral,636.0,636.0,94.13,508.8,23
CPT,77063,Breast Tomosynthesis Bilat,240.35,240.35,35.57,192.28,23
CPT,77063,Breast tomosynthesis bi,,,21.88,115.05,99
CPT,77065,Dx Mammo Incl Cad Uni,892.4,892.4,132.08,713.92,23
CPT,77065,Dx mammo incl cad uni,,,35.41,430.68,99
CPT,77066,Dx Mammo Incl Cad Bi,1146.0,1146.0,169.61,916.8,23
CPT,77066,Dx mammo incl cad bi,,,43.64,549.01,99
CPT,77067,Scr Mammo Bi Incl Cad,748.65,748.65,110.8,598.92,23
CPT,77067,Scr mammo bi incl cad,,,32.94,453.67,99
CPT,77071,Manual Appl Stress Pfrmd Phys/Qhp Joint Films,433.0,433.0,64.08,346.4,23
CPT,77071,Mnl appl strs jt radiography,,,24.05,392.4,60
CPT,77072,Bone Age Studies X-Ray Rdg,510.0,510.0,75.48,408.0,23
CPT,77072,Bone age studies,,,7.21,528.15,99
CPT,77073,Bone Length Studies Rdg,629.0,629.0,93.09,503.2,23
CPT,77073,Bone length studies,,,10.75,528.15,99
CPT,77074,Bone Survey Osseous Limit Rdg,645.0,645.0,95.46,516.0,23
CPT,77074,Radex osseous survey lmtd,,,18.01,528.15,99
CPT,77075,Bone Survey Osseous Compl Rdg,2145.0,2145.0,317.46,1716.0,23
CPT,77075,Radex osseous survey compl,,,21.5,528.15,99
CPT,77076,Bone Survey Osseous Infant Rdg,490.0,490.0,72.52,392.0,23
CPT,77076,Radex osseous survey infant,,,27.54,528.15,99
CPT,77077,Joint survey single view,,,12.48,528.15,99
CPT,77078,Ct bone density axial,,,9.86,1475.0,97
CPT,77079,Ct bone density peripheral,,,1475.0,1475.0,1
CPT,77080,Bone Density Scan Axial,1116.02,1116.02,165.17,892.82,23
CPT,77080,Dxa bone density axial,,,8.81,528.15,99
CPT,77081,Bone Densisty Scan Periph Nuc,558.9,558.9,82.72,447.12,23
CPT,77081,Dxa bone density appendiculr,,,9.03,392.4,99
CPT,77082,Dxa bone density vert fx,,,,,0
CPT,77083,Radiographic absorptiometry,,,,,0
CPT,77084,Mri bone marrow blood supply,,,63.25,2163.0,97
CPT,77085,Dxa bone density axl vrt fx,,,13.02,528.15,99
CPT,77086,Vrt fracture assmt via dxa,,,7.56,392.4,99
CPT,77089,Tbs dxa cal w/i&r fx risk,,,14.12,197.27,45
CPT,77090,Tbs techl prep&transmis data,,,1.96,392.4,60
CPT,77091,Tbs techl calculation only,,,3.67,392.4,60
CPT,77092,Tbs i&r fx rsk qhp,,,8.5,49.31,45
CPT,77261,Ther radiology tx plng smpl,,,63.72,166.45,38
CPT,77262,Ther radiology tx plng intrm,,,96.66,252.87,38
CPT,77263,Ther radiology tx plng cplx,,,144.05,393.42,38
CPT,77280,Simulation-Simple,1882.0,1882.0,278.54,1505.6,23
CPT,77280,Ther rad simulaj field smpl,,,32.01,583.31,92
CPT,77285,Simulation-Intermediat,2790.0,2790.0,412.92,2232.0,23
CPT,77285,Ther rad simulaj field intrm,,,47.37,980.28,92
CPT,77290,Simulation-Complex,3913.45,3913.45,579.19,3130.76,23
CPT,77290,Ther rad simulaj field cplx,,,70.91,2163.0,92
CPT,77293,Resp Motion Mgmt Sim,1666.35,1666.35,246.62,1333.08,23
CPT,77293,Respirator motion mgmt simul,,,88.57,823.32,77
CPT,77295,3-d radiotherapy plan,,,207.42,2518.53,92
CPT,77295,3d Radiotherapy Plan W/ Vol Histo,13783.0,13783.0,2039.88,11026.4,23
CPT,77299,Unlisted px ther rad tx plng,,,132.1,244.39,16
CPT,77300,Central Axis Calculation,1255.8,1255.8,185.86,1004.64,23
CPT,77300,Radiation therapy dose plan,,,27.93,244.39,92
CPT,77301,IMRT,14432.0,14432.0,2135.94,11545.6,23
CPT,77301,Radiotherapy dose plan imrt,,,394.74,4395.44,92
CPT,77305,Teletx isodose plan simple,,,,,0
CPT,77306,Telether Plan Simple,2906.0,2906.0,430.09,2324.8,23
CPT,77306,Telethx isodose plan simple,,,61.11,673.82,92
CPT,77307,Telether Plan Complex,3242.0,3242.0,479.82,2593.6,23
CPT,77307,Telethx isodose plan cplx,,,114.3,673.82,92
CPT,77310,Teletx isodose plan intermed,,,,,0
CPT,77315,Teletx isodose plan complex,,,,,0
CPT,77316,Brachyther Plan Simple,2813.0,2813.0,416.32,2250.4,23
CPT,77316,Brachytx isodose plan simple,,,61.11,673.82,92
CPT,77317,Brachyther Plan Inter,2990.0,2990.0,442.52,2392.0,23
CPT,77317,Brachytx isodose intermed,,,80.46,673.82,92
CPT,77318,Brachyther Plan Complex,3152.0,3152.0,466.5,2521.6,23
CPT,77318,Brachytx isodose complex,,,127.35,673.82,92
CPT,77321,Special teletx port plan,,,43.3,673.82,92
CPT,77321,Telether Plan Special,1950.0,1950.0,288.6,1560.0,23
CPT,77326,Brachytx isodose calc simp,,,,,0
CPT,77327,Brachytx isodose calc interm,,,,,0
CPT,77328,Brachytx isodose plan compl,,,,,0
CPT,77331,Special radiation dosimetry,,,17.25,244.39,92
CPT,77331,Tld/Microdosimetry,942.0,942.0,139.42,753.6,23
CPT,77332,Radiation Treatment Aid(S) Simple,1128.0,1128.0,166.94,902.4,23
CPT,77332,Radiation treatment aid(s),,,16.49,244.39,92
CPT,77333,Radiation treatment aid(s),,,37.96,244.39,92
CPT,77334,Radiation Treatment Aid(S) Complex,2494.35,2494.35,369.16,1995.48,23
CPT,77334,Radiation treatment aid(s),,,56.16,673.82,92
CPT,77336,Continuing Physics/Wk,1599.0,1599.0,236.65,1279.2,23
CPT,77336,Radiation physics consult,,,88.66,244.39,56
CPT,77338,Design mlc device for imrt,,,150.93,673.82,92
CPT,77338,Imrt Treatment Device,9895.0,9895.0,1464.46,7916.0,23
CPT,77370,Radiation physics consult,,,118.5,302.87,56
CPT,77370,Spec Medical Physics Consult,1856.0,1856.0,274.69,1484.8,23
CPT,77371,Srs multisource,,,1009.5,14071.04,56
CPT,77372,Cranial Only X 1,36887.4,36887.4,5459.34,29509.92,23
CPT,77372,Srs linear based,,,766.13,14071.04,56
CPT,77373,Robt Lin-Radsurg Fract 1-5,14867.2,14867.2,2200.35,11893.76,23
CPT,77373,Strtctc bdy rad ther tx dlvr,,,947.67,3765.33,56
CPT,77380,Proton beam delivery,,,,,0
CPT,77381,Proton beam treatment,,,,,0
CPT,77385,Imrt Tx Delivery Simple,7368.0,7368.0,1090.46,5894.4,23
CPT,77385,Ntsty modul rad tx dlvr smpl,,,575.56,1064.79,17
CPT,77386,Imrt Tx Delivery Complex,7974.75,7974.75,1180.26,6379.8,23
CPT,77386,Ntsty modul rad tx dlvr cplx,,,575.56,1064.79,17
CPT,77387,Guidance for Radiation Tx Dlvr,3801.9,3801.9,562.68,3041.52,23
CPT,77387,Guidance for radj tx dlvr,,,95.28,210.6,4
CPT,77399,Unlisted px med radj physics,,,132.1,244.39,16
CPT,77401,Radiation tx delivery supfc,,,39.71,201.55,56
CPT,77402,"Rad Tx Del >= 1 Mev, Simple",1330.0,1330.0,196.84,1064.0,23
CPT,77402,Radiation tx delivery simple,,,60.65,339.51,26
CPT,77403,Radiation treatment delivery,,,,,0
CPT,77404,Radiation treatment delivery,,,,,0
CPT,77406,Radiation treatment delivery,,,,,0
CPT,77407,Radiation tx delivery intrm,,,71.21,531.75,26
CPT,77408,Radiation treatment delivery,,,,,0
CPT,77409,Radiation treatment delivery,,,,,0
CPT,77411,Radiation treatment delivery,,,,,0
CPT,77412,"Rad Tx Del >= 1 Mev, Complex",2222.95,2222.95,329.0,1778.36,23
CPT,77412,Radiation tx delivery complx,,,79.51,616.46,26
CPT,77413,Radiation treatment delivery,,,,,0
CPT,77414,Radiation treatment delivery,,,,,0
CPT,77416,Radiation treatment delivery,,,,,0
CPT,77417,Port Image(S),796.0,796.0,117.81,636.8,23
CPT,77417,Ther radiology port image(s),,,15.89,40.22,41
CPT,77418,Radiation tx delivery imrt,,,,,0
CPT,77419,WEEKLY RADIATION THERAPY,,,,,0
CPT,77420,WEEKLY RADIATION THERAPY,,,,,0
CPT,77421,Stereoscopic x-ray guidance,,,,,0
CPT,77422,Neutron beam tx simple,,,60.87,60.87,6
CPT,77423,Neutron beam tx complex,,,79.21,1064.79,23
CPT,77424,Io rad tx delivery by x-ray,,,816.51,14071.04,17
CPT,77425,Io rad tx deliver by elctrns,,,576.19,14071.04,17
CPT,77427,Radiation tx management x5,,,141.05,444.28,38
CPT,77430,WEEKLY RADIATION THERAPY,,,,,0
CPT,77431,Radiation therapy management,,,83.81,249.6,38
CPT,77432,Stereotactic radiation trmt,,,389.37,992.68,38
CPT,77435,Sbrt management,,,561.2,1497.6,38
CPT,77435,Stereotactic Body Radiation Management,3000.0,3000.0,444.0,2400.0,23
CPT,77465,KILOVOLTAGE TREATMENT MANAGE,,,,,0
CPT,77469,Io radiation tx management,,,316.38,743.11,32
CPT,77470,Special Treatment,6620.0,6620.0,979.76,5296.0,23
CPT,77470,Special radiation treatment,,,37.82,1064.79,92
CPT,77499,Unlisted px ther rad tx mgmt,,,,,0
CPT,77520,Proton trmt simple w/o comp,,,262.4,2073.93,53
CPT,77522,Proton trmt simple w/comp,,,347.04,2347.8,53
CPT,77523,Proton trmt intermediate,,,431.69,2415.55,53
CPT,77525,Proton treatment complex,,,516.33,2672.19,53
CPT,77600,Hyperthermia ext gen supfc,,,69.35,996.26,92
CPT,77605,Hyperthermia ext gen deep,,,95.7,2178.44,92
CPT,77610,Hyperthermia ntrstl prb 5/<,,,67.42,1525.36,86
CPT,77615,Hyperthermia ntrstl prb>5,,,94.44,2404.69,92
CPT,77620,Hyperthermia gen intrcv prb,,,81.89,1348.71,80
CPT,77750,Infuse radioactive materials,,,45.35,484.06,92
CPT,77761,Apply intrcav radiat simple,,,85.58,1064.79,92
CPT,77762,Apply intrcav radiat interm,,,122.64,1064.79,92
CPT,77763,Apply intrcav radiat compl,,,152.66,1277.07,92
CPT,77767,Hdr Rdncl Skn Surf Brachytx Les Up to 2 Cm,893.0,893.0,132.16,714.4,23
CPT,77767,Hdr rdncl skn surf brachytx,,,46.66,484.06,92
CPT,77768,Hdr Rdncl Skn Surf Brchytx Les >2cm or Mlt Les,1026.95,1026.95,151.99,821.56,23
CPT,77768,Hdr rdncl skn surf brachytx,,,61.81,704.76,92
CPT,77770,Hdr Brachytx 1 Channel,8030.0,8030.0,1188.44,6424.0,23
CPT,77770,Hdr rdncl ntrstl/icav brchtx,,,86.36,1277.07,92
CPT,77771,Hdr Brachytx 2-12 Channel,9960.15,9960.15,1474.1,7968.12,23
CPT,77771,Hdr rdncl ntrstl/icav brchtx,,,168.16,1277.07,92
CPT,77772,Hdr Brachytx Over 12 Chan,8886.0,8886.0,1315.13,7108.8,23
CPT,77772,Hdr rdncl ntrstl/icav brchtx,,,238.76,1594.37,92
CPT,77776,Apply interstit radiat simpl,,,,,0
CPT,77777,Apply interstit radiat inter,,,,,0
CPT,77778,Apply interstit radiat compl,,,174.7,1277.07,92
CPT,77781,High intensity brachytherapy,,,,,0
CPT,77782,High intensity brachytherapy,,,,,0
CPT,77783,High intensity brachytherapy,,,,,0
CPT,77784,High intensity brachytherapy,,,,,0
CPT,77785,Hdr brachytx 1 channel,,,,,0
CPT,77786,Hdr brachytx 2-12 channel,,,,,0
CPT,77787,Hdr brachytx over 12 chan,,,,,0
CPT,77789,Apply surf ldr radionuclide,,,15.65,201.55,92
CPT,77790,Radiation handling,,,14.6,86.8,47
CPT,77799,Unlisted px clin brachytx,,,108.95,201.55,16
CPT,78000,Thyroid single uptake,,,,,0
CPT,78001,Thyroid multiple uptakes,,,,,0
CPT,78003,Thyroid suppress/stimul,,,,,0
CPT,78006,Thyroid imaging with uptake,,,,,0
CPT,78007,Thyroid image mult uptakes,,,,,0
CPT,78010,Thyroid imaging,,,,,0
CPT,78011,Thyroid imaging with flow,,,,,0
CPT,78012,Thyroid uptake measurement,,,7.8,1828.7,99
CPT,78013,Thyroid Imaging,1315.0,1315.0,194.62,1052.0,23
CPT,78013,Thyroid imaging w/blood flow,,,15.04,1828.7,99
CPT,78014,Thyroid Imaging W/Multi Determ Inc Suprs/Dc,2141.0,2141.0,316.87,1712.8,23
CPT,78014,Thyroid imaging w/blood flow,,,20.21,1828.7,99
CPT,78015,Thyroid met imaging,,,30.43,1828.7,99
CPT,78016,Thyroid met imaging/studies,,,31.4,1828.7,99
CPT,78017,THYROID MET IMAGING-,,,,,0
CPT,78018,Thyroid Ca/Mets Image Whol Nuc,3049.8,3049.8,451.37,2439.84,23
CPT,78018,Thyroid met imaging body,,,37.3,2373.96,99
CPT,78020,Thyroid Carcinoma Metatases Up,884.0,884.0,130.83,707.2,23
CPT,78020,Thyroid met uptake,,,25.3,149.33,71
CPT,78070,Parathyroid Scan Nuc,2308.05,2308.05,341.59,1846.44,23
CPT,78070,Parathyroid planar imaging,,,34.14,1828.7,99
CPT,78071,Parathyrd planar w/wo subtrj,,,47.96,1828.7,99
CPT,78072,Parathyrd Planar W/Spect&CT,4422.0,4422.0,654.46,3537.6,23
CPT,78072,Parathyrd planar w/spect&ct,,,66.54,2373.96,93
CPT,78075,Adrenal Scan Cortx&/Medu Nuc,3673.0,3673.0,543.6,2938.4,23
CPT,78075,Adrenal cortex & medulla img,,,33.57,6339.45,99
CPT,78099,Unlisted endocrine px dx nuc,,,399.81,1828.7,23
CPT,78102,Bone marrow imaging ltd,,,24.0,1828.7,99
CPT,78103,Bone marrow imaging mult,,,28.49,1828.7,99
CPT,78104,Bone marrow imaging body,,,35.03,1828.7,99
CPT,78110,Plasma volume single,,,7.48,6339.45,99
CPT,78111,Plasma volume multiple,,,10.03,6339.45,99
CPT,78120,Red cell mass single,,,9.09,1828.7,99
CPT,78121,Red cell mass multiple,,,14.26,2373.96,99
CPT,78122,Whl bld volume determination,,,19.8,2373.96,99
CPT,78130,Red cell survival study,,,23.32,1828.7,99
CPT,78135,Red cell survival kinetics,,,,,0
CPT,78140,Red cell sequestration,,,23.32,1828.7,99
CPT,78160,PLASMA IRON TURNOVER,,,,,0
CPT,78162,IRON ABSORPTION EXAM,,,,,0
CPT,78170,RED CELL IRON UTILIZATION,,,,,0
CPT,78172,TOTAL BODY IRON ESTIMATION,,,,,0
CPT,78185,Spleen imaging,,,15.56,1828.7,99
CPT,78186,NUCLEAR SCAN OF SPLEEN,,,,,0
CPT,78190,Platelet survival kinetics,,,194.48,194.48,6
CPT,78191,Platelet survival study,,,23.32,1828.7,99
CPT,78192,NUCLEAR EXAM-WBC SCAN,,,,,0
CPT,78193,NUCLEAR EXAM-WBC SCAN,,,,,0
CPT,78195,Lymph system imaging,,,50.1,2373.96,99
CPT,78195,Lymphoscintigraphy Nuc,2444.0,2444.0,361.71,1955.2,23
CPT,78199,Unlstd hematop ret/endo lymp,,,399.81,1828.7,23
CPT,78201,Liver imaging static only,,,19.48,2373.96,99
CPT,78202,Liver imaging with vasc flow,,,22.91,2373.96,99
CPT,78205,Liver imaging (3d),,,32.0,201.19,12
CPT,78206,Liver image (3d) with flow,,,40.09,192.69,12
CPT,78215,Liver & Spleen Imaging Static,2042.0,2042.0,302.22,1633.6,23
CPT,78215,Lvr&spleen img static only,,,21.97,1828.7,99
CPT,78216,Lvr&spleen img w/vasc flow,,,25.41,1828.7,99
CPT,78220,Liver function study,,,,,0
CPT,78223,Hepatobiliary imaging,,,,,0
CPT,78225,NUCLEAR SCAN-LIVER/LUNG,,,,,0
CPT,78226,Hepatobiliary Imag W Glbldr,3296.5,3296.5,487.88,2637.2,23
CPT,78226,Hepatobiliary system imaging,,,29.77,1828.7,99
CPT,78227,Hepatobil syst image w/drug,,,35.85,2373.96,99
CPT,78230,Salivary gland imaging,,,20.45,1828.7,99
CPT,78231,Salivary glnd img serial img,,,20.09,1828.7,99
CPT,78232,Salivary gland function std,,,18.15,1828.7,99
CPT,78258,Esophageal motility,,,32.13,1828.7,99
CPT,78261,Gastric mucosa imaging,,,26.23,1828.7,99
CPT,78262,Gastroesophageal reflux std,,,30.43,1828.7,99
CPT,78264,Gastric Emptying Nuc,3115.0,3115.0,461.02,2492.0,23
CPT,78264,Gastric emptying imag study,,,35.13,1828.7,99
CPT,78265,Gastric emptying imag study,,,41.48,1828.7,99
CPT,78266,Gastric emptying imag study,,,46.02,2373.96,99
CPT,78267,Breath tst attain/anal c-14,,,9.88,52.54,60
CPT,78268,Breath test analysis c-14,,,17.01,448.45,60
CPT,78270,Vit b-12 absorption exam,,,,,0
CPT,78271,Vit b-12 absrp exam int fac,,,,,0
CPT,78272,Vit b-12 absorp combined,,,,,0
CPT,78276,NUCLEAR EXAM-GI BLOOD LOSS,,,,,0
CPT,78278,Acute GI Bleeding Imaging Nuc,2343.98,2343.98,346.91,1875.18,23
CPT,78278,Acute gi blood loss imaging,,,44.45,1828.7,99
CPT,78280,G.I. BLOOD LOSS EXAM,,,,,0
CPT,78282,Gi protein loss exam,,,14.59,1828.7,93
CPT,78290,Bowel Imaging Meckles Scan Nuc,1820.0,1820.0,269.36,1456.0,23
CPT,78290,Meckels divert exam,,,30.51,1828.7,99
CPT,78291,Leveen/shunt patency exam,,,39.22,1828.7,99
CPT,78299,Unlisted gi px dx nuc med,,,399.81,1828.7,23
CPT,78300,Bone Imaging Limited Nuc,1915.0,1915.0,283.42,1532.0,23
CPT,78300,Bone imaging limited area,,,27.61,1828.7,99
CPT,78305,Bone imaging multiple areas,,,37.01,1828.7,99
CPT,78306,Bone imaging whole body,,,38.27,1828.7,99
CPT,78306,NM Bone Imaging Whole Body,3347.65,3347.65,495.45,2678.12,23
CPT,78310,BONE BLOOD FLOW SCAN,,,,,0
CPT,78315,Bone imaging 3 phase,,,45.48,1828.7,99
CPT,78315,NM Bone Imaging 3 Phase Study,3234.95,3234.95,478.77,2587.96,23
CPT,78320,Bone imaging (3d),,,46.42,201.19,12
CPT,78350,Bone mineral single photon,,,10.03,100.27,24
CPT,78351,Bone mineral dual photon,,,14.3,75.85,18
CPT,78380,JOINT IMAGING,,,,,0
CPT,78381,JOINT IMAGING-MULTIPLE,,,,,0
CPT,78399,Unlisted muscskel px dx nuc,,,399.81,1828.7,23
CPT,78414,Non-imaging heart function,,,20.08,2373.96,93
CPT,78415,NUCLEAR SCAN OF HEART BLOOD,,,,,0
CPT,78425,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78428,Cardiac shunt imaging,,,34.71,1828.7,99
CPT,78429,Myocrd img pet 1 std w/ct,,,20.96,7179.91,84
CPT,78429,Pet/CT Cardiac Metabolic Eval,7226.0,7226.0,1069.45,5780.8,23
CPT,78430,Myocrd Img Pet Prfuj 1std Rest/Stress Cncrnt CT,7271.0,7271.0,1076.11,5816.8,23
CPT,78430,Myocrd img pet rst/strs w/ct,,,20.96,7179.91,84
CPT,78431,Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT,8129.0,8129.0,1203.09,6503.2,23
CPT,78431,Myocrd img pet rst&strs ct,,,83.92,10689.88,84
CPT,78432,Myocrd img pet 2rtracer,,,92.41,13064.88,84
CPT,78433,Myocrd img pet 2rtracer ct,,,98.55,13064.88,84
CPT,78434,Aqmbf Pet Rest and Pharmacologic Stress (Add-On),3197.0,3197.0,473.16,2557.6,23
CPT,78434,Aqmbf pet rest & rx stress,,,27.88,3116.25,32
CPT,78435,NUCLEAR SCAN OF HEART FLOW,,,,,0
CPT,78445,Vascular flow imaging,,,22.28,1828.7,99
CPT,78451,Cardiac Perfusion Single Nuc,7649.0,7649.0,1132.05,6119.2,23
CPT,78451,Ht muscle image spect sing,,,44.74,6339.45,99
CPT,78452,Cardiac Scan,9411.0,9411.0,1392.83,7528.8,23
CPT,78452,Ht muscle image spect mult,,,52.95,6339.45,99
CPT,78453,Ht muscle image planar sing,,,32.4,6339.45,99
CPT,78454,Ht musc image planar mult,,,43.04,6339.45,99
CPT,78455,VENOUS THROMBOSIS STUDY,,,,,0
CPT,78456,Acute venous thrombus image,,,44.73,6339.45,93
CPT,78457,Venous thrombosis imaging,,,34.5,2373.96,99
CPT,78458,Ven thrombosis images bilat,,,40.17,1828.7,99
CPT,78459,"Myocardial Imaging, Positron Emission Tomography (Pet), Metabolic Eval",7964.0,7964.0,1178.67,6371.2,23
CPT,78459,Myocrd img pet single study,,,70.35,6339.45,85
CPT,78460,Heart muscle blood - single,,,38.59,80.47,12
CPT,78461,Heart muscle blood - multiple,,,55.55,160.62,12
CPT,78462,MYOCARDIAL PERFUSION REST,,,,,0
CPT,78463,MYOCARDIAL PERFUSION REST+EX,,,,,0
CPT,78464,Heart image (3d) - single,,,48.95,240.48,12
CPT,78465,Heart image (3d) - multiple,,,66.22,401.12,12
CPT,78466,Heart infarct image,,,30.47,1828.7,99
CPT,78467,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78468,Heart infarct image (ef),,,35.77,2373.96,99
CPT,78469,Heart infarct image (3d),,,41.43,2373.96,99
CPT,78470,NUCLEAR STUDY-HEART OUTPUT,,,,,0
CPT,78471,NUCLEAR SCAN-HEART MUSCLE,,,236.91,236.91,6
CPT,78472,Cardiac Scan Gated Nuc,3654.25,3654.25,540.83,2923.4,23
CPT,78472,Gated heart planar single,,,43.8,1828.7,99
CPT,78473,Gated heart multiple,,,65.82,1828.7,99
CPT,78474,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78475,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78476,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78477,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78478,Heart wall motion add-on,,,28.26,53.31,12
CPT,78479,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78480,Heart function add-on,,,28.26,53.31,12
CPT,78481,Heart first pass single,,,43.44,2373.96,99
CPT,78483,Heart first pass multiple,,,65.46,2373.96,99
CPT,78484,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78485,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78486,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78487,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78489,NUCLEAR SCAN-HEART MUSCLE,,,,,0
CPT,78491,Myocrd img pet 1std rst/strs,,,69.05,7179.91,87
CPT,78492,Myocrd img pet mlt rst&strs,,,80.04,7179.91,87
CPT,78494,Heart image spect,,,53.17,1828.7,93
CPT,78496,Heart first pass add-on,,,18.42,225.75,71
CPT,78499,Unlisted cv px dx nuc med,,,399.81,1828.7,23
CPT,78579,Lung ventilation imaging,,,19.65,1828.7,99
CPT,78579,Pulmonary Ventilation Imaging,1629.0,1629.0,241.09,1303.2,23
CPT,78580,Lung perfusion imaging,,,33.25,1828.7,99
CPT,78580,Pulm (Lung) Perfusion Imag,2905.0,2905.0,429.94,2324.0,23
CPT,78581,NUCLEAR SCAN OF LUNG,,,,,0
CPT,78582,Lung ventilat&perfus imaging,,,42.49,2373.96,99
CPT,78582,Pulmon Vent Imag W Perfus,3854.0,3854.0,570.39,3083.2,23
CPT,78584,Lung V/Q image single breath,,,,,0
CPT,78585,Lung V/Q imaging,,,,,0
CPT,78586,Aerosol lung image single,,,,,0
CPT,78587,Aerosol lung image multiple,,,,,0
CPT,78588,Perfusion lung image,,,,,0
CPT,78591,Vent image 1 breath 1 proj,,,,,0
CPT,78593,Vent image 1 proj gas,,,,,0
CPT,78594,Vent image mult proj gas,,,,,0
CPT,78596,Lung differential function,,,,,0
CPT,78597,Lung perfusion differential,,,29.22,1828.7,99
CPT,78597,Quant Diff Pulm Perfusion,1629.0,1629.0,241.09,1303.2,23
CPT,78598,Lung perf&ventilat diferentl,,,33.26,2373.96,99
CPT,78599,Unlisted resp px dx nuc med,,,399.81,1828.7,23
CPT,78600,Brain image < 4 views,,,19.8,1828.7,99
CPT,78601,Brain image w/flow < 4 views,,,22.71,1828.7,99
CPT,78605,Brain image 4+ views,,,24.17,2373.96,99
CPT,78606,Brain Scan W/Vascular Flo Nuc,2805.0,2805.0,415.14,2244.0,23
CPT,78606,Brain image w/flow 4 + views,,,28.55,2373.96,99
CPT,78607,Brain imaging (3d),,,55.21,223.23,12
CPT,78608,"Brain Imaging, Positron Emission Tomo (Pet); Metabolic Eval",8658.0,8658.0,1281.38,6926.4,23
CPT,78608,Brain imaging (pet),,,66.15,7179.91,87
CPT,78609,Brain imaging (pet),,,68.64,3116.25,2
CPT,78610,Brain flow imaging only,,,13.29,2373.96,99
CPT,78615,Cerebral vascular flow image,,,,,0
CPT,78630,Cerebrospinal fluid scan,,,30.51,2373.96,99
CPT,78635,Csf ventriculography,,,27.92,2373.96,99
CPT,78645,Csf shunt evaluation,,,25.34,2373.96,99
CPT,78647,Cerebrospinal fluid scan,,,241.35,241.35,6
CPT,78650,Csf leakage imaging,,,23.32,6339.45,99
CPT,78652,CEREBROSPINAL FLUID SCAN(3D),,,,,0
CPT,78655,NUCLEAR EXAM OF EYE LESION,,,,,0
CPT,78660,Nuclear exam of tear flow,,,20.41,1828.7,99
CPT,78699,Unlisted nrvs sys px dx nuc,,,399.81,1828.7,23
CPT,78700,Kidney imaging morphol,,,20.07,1828.7,99
CPT,78701,Kidney imaging with flow,,,21.97,1828.7,99
CPT,78704,Imaging renogram,,,,,0
CPT,78707,K flow/funct image w/o drug,,,42.51,2373.96,99
CPT,78707,Kid.Img.Mor.W/Vas.Singlew/O Ph,3248.0,3248.0,480.7,2598.4,23
CPT,78708,K flow/funct image w/drug,,,52.02,2373.96,99
CPT,78708,Kid.Img.Mor.W/Vas.Singlew/Phar,3968.0,3968.0,587.26,3174.4,23
CPT,78709,K flow/funct image multiple,,,59.22,2373.96,99
CPT,78709,Kid.Img.Mor.W/Vas.Multi W&W/O,3408.0,3408.0,504.38,2726.4,23
CPT,78710,Kidney imaging (3d),,,29.79,201.19,12
CPT,78715,Renal vascular flow exam,,,,,0
CPT,78725,Kidney function study,,,16.2,1828.7,99
CPT,78726,KIDNEY FUNCTION W/,,,,,0
CPT,78727,KIDNEY TRANSPLANT,,,,,0
CPT,78730,Urinary bladder retention,,,7.11,166.62,77
CPT,78740,Ureteral reflux study,,,25.41,1828.7,99
CPT,78740,Voiding Cystogram Nuc,1695.0,1695.0,250.86,1356.0,23
CPT,78760,Testicular imaging,,,,,0
CPT,78761,Testicular imaging w/flow,,,32.0,1828.7,99
CPT,78799,Unlisted gu px dx nuc med,,,399.81,1828.7,23
CPT,78800,NM Rp Loclzj Tum Plnr 1 Area Single Day Imaging,1853.95,1853.95,274.38,1483.16,23
CPT,78800,Rp loclzj tum 1 area 1 d img,,,29.62,1828.7,99
CPT,78801,Rp loclzj tum 2+area 1+d img,,,32.45,1828.7,99
CPT,78802,Rp loclzj tum whbdy 1 d img,,,35.72,6339.45,99
CPT,78802,Tumor Single Day,2365.55,2365.55,350.1,1892.44,23
CPT,78803,NM Tumor Localalization Spect,3726.0,3726.0,551.45,2980.8,23
CPT,78803,Rp loclzj tum spect 1 area,,,48.0,6339.45,99
CPT,78804,Rp loclzj tum whbdy 2+d img,,,44.77,6339.45,87
CPT,78804,Tumor Imaging Whole Body Nuc,3750.0,3750.0,555.0,3000.0,23
CPT,78805,Abscess imaging ltd area,,,32.94,115.62,12
CPT,78806,Abscess imaging whole body,,,38.27,219.06,12
CPT,78807,Nuclear localization/abscess,,,48.62,223.23,12
CPT,78808,Iv inj ra drug dx study,,,38.8,1828.7,54
CPT,78810,TUMOR IMAGING (PET),,,,,0
CPT,78811,Pet Imaging Limited Area Chest/Head/Neck,4694.0,4694.0,694.71,3755.2,23
CPT,78811,Pet image ltd area,,,68.45,6339.45,87
CPT,78812,Pet Imaging Skull Base to Mid-Thigh,6311.0,6311.0,934.03,5048.8,23
CPT,78812,Pet image skull-thigh,,,85.99,7179.91,87
CPT,78813,Pet Imaging Whole Body,5321.0,5321.0,787.51,4256.8,23
CPT,78813,Pet image full body,,,87.61,7179.91,87
CPT,78814,Pet image w/ct lmtd,,,97.71,7179.91,87
CPT,78815,Pet image w/ct skull-thigh,,,109.43,7179.91,99
CPT,78815,Pet/CT Skull Base Mid-Thigh,10477.0,10477.0,1550.6,8381.6,23
CPT,78816,Pet image w/ct full body,,,109.99,7179.91,99
CPT,78816,Pet/CT Whole Body,10477.0,10477.0,1550.6,8381.6,23
CPT,78830,NM Rp Loclzj Tum Spect W/CT 1,3756.0,3756.0,555.89,3004.8,23
CPT,78830,Rp loclzj tum spect w/ct 1,,,62.28,6339.45,99
CPT,78831,Rp Loclzj Tum Spect 2 Area/Sep Acquisj Img,4893.0,4893.0,724.16,3914.4,23
CPT,78831,Rp loclzj tum spect 2 areas,,,76.02,6339.45,99
CPT,78832,Rp Loclzj Tum Spect CT 2area/Sep Acquisj Img,5321.0,5321.0,787.51,4256.8,23
CPT,78832,Rp loclzj tum spect w/ct 2,,,88.54,7179.91,99
CPT,78835,Rp quan meas single area,,,19.54,191.96,77
CPT,78890,Nuclear medicine data proc,,,,,0
CPT,78891,Nuclear med data proc,,,,,0
CPT,78990,PROVISION DX RADIOPHARM,,,187.25,187.25,6
CPT,78999,Unlisted misc px dx nuc med,,,399.81,1828.7,23
CPT,79000,INTIAL HYPERTHYROID THERAPY,,,80.62,89.1,12
CPT,79001,REPEAT HYPERTHYROID THERAPY,,,44.39,47.06,12
CPT,79005,Init Hyperthyroid Therapy Nuc,3401.7,3401.7,503.45,2721.36,23
CPT,79005,Nuclear rx oral admin,,,50.07,1227.5,99
CPT,79020,THYROID ABLATION,,,80.94,89.1,12
CPT,79030,THYROID ABLATION-CARCINOMA,,,89.1,94.1,12
CPT,79035,THYROID METASTATIC THERAPY,,,89.1,113.27,12
CPT,79100,HEMATOPOETIC NUCLEAR THERAPY,,,59.3,89.1,12
CPT,79101,NM Radiopharm Therapy IV Admin,933.0,933.0,138.08,746.4,23
CPT,79101,Nuclear rx iv admin,,,52.01,1227.5,99
CPT,792,Anes iper upr abd prtl hptc,,,11639.38,24872.68,16
CPT,79200,Nuclear rx intracav admin,,,51.08,1227.5,99
CPT,79300,Nuclr rx interstit colloid,,,60.87,1227.5,63
CPT,794,Anes iper upr abd pncrtect,,,11639.38,24872.68,16
CPT,79400,NONHEMATO NUCLEAR THERAPY,,,87.52,89.1,12
CPT,79403,Hematopoietic nuclear tx,,,79.18,1227.5,99
CPT,79420,INTRAVASCULAR NUCLEAR THERAPY,,,68.07,68.07,6
CPT,79440,Nuclear rx intra-articular,,,38.46,1227.5,99
CPT,79445,Nuclear Rx Intra-Arterial,1900.95,1900.95,281.34,1520.76,23
CPT,79445,Nuclear rx intra-arterial,,,95.23,1227.5,69
CPT,796,Anes iper upr abd lvr trnspl,,,11639.38,24872.68,16
CPT,79900,PROVISION THERAP RADIOPHARM,,,,,0
CPT,79999,Rp therapy unlisted px,,,223.0,1227.5,23
CPT,80047,Metabolic panel ionized ca,,,12.85,27.46,58
CPT,80048,Basic Metabolic Panel,420.9,420.9,62.29,336.72,23
CPT,80048,"Chem 8, Metabolic Panel",345.0,345.0,51.06,276.0,23
CPT,80048,Metabolic panel total ca,,,8.46,15.65,58
CPT,80050,Champva General Health Panel,665.0,665.0,98.42,532.0,23
CPT,80050,General health panel,,,56.74,83.38,6
CPT,80051,"Chem 4, Electrolyte Panel",298.0,298.0,44.1,238.4,23
CPT,80051,Electrolyte panel,,,7.01,12.97,58
CPT,80053,Comp Metabolic Panel,472.0,472.0,69.86,377.6,23
CPT,80053,"Comp, Metabolic Panel",573.85,573.85,84.93,459.08,23
CPT,80053,Comprehen metabolic panel,,,10.56,19.54,58
CPT,80055,Obstetric panel,,,28.08,88.45,58
CPT,80061,"Chem 3, Lipid Panel",293.25,293.25,43.4,234.6,23
CPT,80061,Lipid panel,,,13.39,24.77,58
CPT,80069,Renal Panel,362.25,362.25,53.61,289.8,23
CPT,80069,Renal function panel,,,8.68,16.06,58
CPT,80074,Acute hepatitis panel,,,47.63,88.12,58
CPT,80076,Hepatic Profile,373.0,373.0,55.2,298.4,23
CPT,80076,Hepatic function panel,,,8.17,15.11,58
CPT,80081,Obstetric panel inc hiv tstg,,,74.86,138.49,58
CPT,80101,"Drug Scrn,Non-Tox1",213.0,213.0,31.52,170.4,23
CPT,80143,Drug assay acetaminophen,,,14.91,46.26,58
CPT,80145,Drug assay adalimumab,,,30.86,71.35,58
CPT,80150,Amikacin-Random,430.0,430.0,63.64,344.0,23
CPT,80150,Assay of amikacin,,,15.08,27.9,58
CPT,80151,Drug Assay Amiodarone,81.0,81.0,11.99,64.8,23
CPT,80151,Drug assay amiodarone,,,14.91,46.26,58
CPT,80155,Caffeine (So),380.0,380.0,56.24,304.0,23
CPT,80155,Drug assay caffeine,,,15.44,71.35,58
CPT,80156,Assay carbamazepine total,,,14.57,26.95,58
CPT,80156,Carbamazpine-Random,376.05,376.05,55.66,300.84,23
CPT,80157,Assay carbamazepine free,,,12.5,24.51,58
CPT,80158,Cyclosporine,354.2,354.2,52.42,283.36,23
CPT,80158,Drug assay cyclosporine,,,7.5,33.39,58
CPT,80159,Clozapine (So),346.0,346.0,51.21,276.8,23
CPT,80159,Clozapine Drug Assay,150.0,150.0,22.2,120.0,23
CPT,80159,Drug assay clozapine,,,20.15,37.28,58
CPT,80161,Asy carbamazepin 10 11-epxid,,,14.91,46.26,58
CPT,80162,Assay of digoxin total,,,13.28,24.57,58
CPT,80162,"Digoxin, Total",345.0,345.0,51.06,276.0,23
CPT,80163,Assay of digoxin free,,,13.28,24.57,58
CPT,80164,Assay dipropylacetic acd tot,,,13.54,25.05,58
CPT,80164,"Valproic Acid, Total",319.0,319.0,47.21,255.2,23
CPT,80165,Dipropylacetic acid free,,,12.36,25.05,58
CPT,80167,Drug Assay Felbamate,92.0,92.0,13.62,73.6,23
CPT,80167,Drug assay felbamate,,,14.91,46.26,58
CPT,80168,Assay of ethosuximide,,,16.34,30.23,58
CPT,80169,Drug assay everolimus,,,13.73,25.4,58
CPT,80170,Assay of gentamicin,,,16.38,30.3,58
CPT,80170,Gentamicin-Random,463.0,463.0,68.52,370.4,23
CPT,80171,Drug screen quant gabapentin,,,14.47,40.09,58
CPT,80171,"Gabapentin, Whl Bld/Ser/Plasma",380.0,380.0,56.24,304.0,23
CPT,80173,Assay of haloperidol,,,15.78,29.19,58
CPT,80173,Haloperidol,98.0,98.0,14.5,78.4,23
CPT,80175,Drug screen quan lamotrigine,,,13.25,24.51,58
CPT,80175,Lamotrigine (So),431.0,431.0,63.79,344.8,23
CPT,80176,Assay of lidocaine,,,14.69,27.18,58
CPT,80176,Lidocaine-Random,239.0,239.0,35.37,191.2,23
CPT,80177,Drug scrn quan levetiracetam,,,13.25,24.51,58
CPT,80177,Levetiracetam (So),333.0,333.0,49.28,266.4,23
CPT,80178,Assay of lithium,,,6.61,12.23,58
CPT,80178,Lithium-Random,246.0,246.0,36.41,196.8,23
CPT,80179,Drug Assay Salicylate,232.0,232.0,34.34,185.6,23
CPT,80179,Drug assay salicylate,,,14.91,46.26,58
CPT,80180,Drug scrn quan mycophenolate,,,6.5,33.39,58
CPT,80181,Drug assay flecainide,,,14.91,46.26,58
CPT,80183,Drug scrn quant oxcarbazepin,,,13.25,24.51,58
CPT,80184,Assay of phenobarbital,,,14.41,28.31,58
CPT,80184,Phenobarb-Random,294.0,294.0,43.51,235.2,23
CPT,80185,Assay of phenytoin total,,,13.25,24.51,58
CPT,80185,Dilantin-Random,330.05,330.05,48.85,264.04,23
CPT,80186,Assay of phenytoin free,,,13.76,25.46,58
CPT,80186,Free Phenytoin,157.0,157.0,23.24,125.6,23
CPT,80186,Phenytoin Free (So),205.0,205.0,30.34,164.0,23
CPT,80187,Drug assay posaconazole,,,21.69,50.15,58
CPT,80188,Assay of primidone,,,16.59,30.69,58
CPT,80188,Primidone/Myso-Rand.,188.0,188.0,27.82,150.4,23
CPT,80189,Drug Assay Itraconzaole (So),41.0,41.0,6.07,32.8,23
CPT,80189,Drug assay itraconazole,,,21.69,67.27,58
CPT,80190,Assay of procainamide,,,21.07,111.0,58
CPT,80192,Assay of procainamide,,,16.75,30.99,58
CPT,80192,Procainamide-Random,287.0,287.0,42.48,229.6,23
CPT,80193,Drug assay leflunomide,,,30.86,95.71,58
CPT,80194,Assay of quinidine,,,14.6,27.01,58
CPT,80195,Assay of sirolimus,,,13.73,25.4,58
CPT,80197,Assay of tacrolimus,,,13.73,25.4,58
CPT,80197,Tacrolimus,554.3,554.3,82.04,443.44,23
CPT,80198,Assay of theophylline,,,14.14,26.16,58
CPT,80198,Theophylline-Random,260.0,260.0,38.48,208.0,23
CPT,80199,Drug screen quant tiagabine,,,6.55,50.15,58
CPT,80200,Assay of tobramycin,,,16.13,29.84,58
CPT,80200,Tobramycin-Random,457.0,457.0,67.64,365.6,23
CPT,80201,Assay of topiramate,,,11.92,22.05,58
CPT,80201,Topiramate/Topamaz,141.0,141.0,20.87,112.8,23
CPT,80202,Assay of vancomycin,,,13.54,25.05,58
CPT,80202,Vancomycin-Random,433.0,433.0,64.08,346.4,23
CPT,80203,Drug screen quant zonisamide,,,13.25,24.51,58
CPT,80203,Zonisamide (So),417.0,417.0,61.72,333.6,23
CPT,80204,Drug Assay Methotrexate,388.0,388.0,57.42,310.4,23
CPT,80204,Drug assay methotrexate,,,30.86,95.71,58
CPT,80210,Drug assay rufinamide,,,21.69,67.27,58
CPT,80220,Drug asy hydroxychloroquine,,,14.91,34.48,58
CPT,80230,Drug assay infliximab,,,30.86,71.35,58
CPT,80235,Drug assay lacosamide,,,21.69,50.15,58
CPT,80280,Drug assay vedolizumab,,,30.86,71.35,58
CPT,80285,Drug assay voriconazole,,,21.69,50.15,58
CPT,80285,Voriconazole (So),375.0,375.0,55.5,300.0,23
CPT,80299,Adalimumab Quant (So),247.0,247.0,36.56,197.6,23
CPT,80299,Apixaban Quantitative Assay,329.0,329.0,48.69,263.2,23
CPT,80299,Bupropion/Wellbutrin,247.0,247.0,36.56,197.6,23
CPT,80299,"Digitoxin, Serum",218.0,218.0,32.26,174.4,23
CPT,80299,Infliximab Drug Concentration,247.0,247.0,36.56,197.6,23
CPT,80299,Infliximab Ibd (So),329.0,329.0,48.69,263.2,23
CPT,80299,Infliximab Rd (So),329.0,329.0,48.69,263.2,23
CPT,80299,Olanzapine/Zyprexa,247.0,247.0,36.56,197.6,23
CPT,80299,Oxycarbazepine So,329.0,329.0,48.69,263.2,23
CPT,80299,Quantitative Assay Drug,236.0,236.0,33.3,197.6,138
CPT,80299,Quantitative assay drug,,,15.14,34.48,58
CPT,80299,Rivaroxaban Quantitative Assay,329.0,329.0,48.69,263.2,23
CPT,80305,Drug Test Presumptive Dir Opt Obs T-Cup,148.0,148.0,21.9,118.4,23
CPT,80305,Drug test prsmv dir opt obs,,,11.47,23.31,58
CPT,80306,Drug test prsmv instrmnt,,,15.29,31.71,58
CPT,80307,Acetaminophen,672.75,672.75,99.57,538.2,23
CPT,80307,"Drug Screen, Any Number Drug Classes",518.65,518.65,76.76,414.92,23
CPT,80307,Drug test prsmv chem anlyzr,,,61.16,114.96,58
CPT,80307,"Hypoglycemic Agent Screen, Serum (Mayo)",397.0,397.0,58.76,317.6,23
CPT,80307,Methaqualone - Urine,249.0,249.0,36.85,199.2,23
CPT,80320,Alcohol Screen Blood or Body Fluid,399.0,399.0,59.05,319.2,23
CPT,80320,Drug screen quantalcohols,,,0.03,13.59,4
CPT,80321,Alcohols biomarkers 1or 2,,,0.03,13.59,4
CPT,80322,Alcohols biomarkers 3/more,,,0.03,13.59,4
CPT,80323,Alkaloids nos,,,0.03,37.75,4
CPT,80323,Assay of Nicotine,562.0,562.0,83.18,449.6,23
CPT,80324,Amphetamine - Urine,378.0,378.0,55.94,302.4,23
CPT,80324,Drug screen amphetamines 1/2,,,0.03,19.55,4
CPT,80325,Amphetamines 3or 4,,,0.03,19.55,4
CPT,80326,Amphetamines 5 or more,,,0.03,19.55,4
CPT,80327,Anabolic steroid 1 or 2,,,0.03,32.46,4
CPT,80327,Dihydrotestosterone,250.0,250.0,37.0,200.0,23
CPT,80328,Anabolic steroid 3 or more,,,0.03,32.46,4
CPT,80329,Analgesics non-opioid 1 or 2,,,0.03,25.45,4
CPT,80330,Analgesics non-opioid 3-5,,,0.03,25.45,4
CPT,80331,Analgesics non-opioid 6/more,,,0.03,25.45,4
CPT,80332,Antidepressants class 1 or 2,,,0.03,0.03,1
CPT,80333,Antidepressants class 3-5,,,0.03,0.03,1
CPT,80334,Antidepressants class 6/more,,,0.03,0.03,1
CPT,80335,Amitriptyline-Random,280.0,280.0,41.44,224.0,23
CPT,80335,Antidepressant tricyclic 1/2,,,0.03,22.51,4
CPT,80335,Desipramine-Random,186.0,186.0,27.53,148.8,23
CPT,80335,Nortriptyline-Random,176.0,176.0,26.05,140.8,23
CPT,80336,Antidepressant tricyclic 3-5,,,0.03,22.51,4
CPT,80337,Tricyclic & cyclicals 6/more,,,0.03,22.51,4
CPT,80338,Antidepressant not specified,,,0.03,0.03,1
CPT,80339,Antiepileptics nos 1-3,,,0.03,17.41,4
CPT,80340,Antiepileptics nos 4-6,,,0.03,17.41,4
CPT,80341,Antiepileptics nos 7/more,,,0.03,17.41,4
CPT,80342,Antipsychotics nos 1-3,,,0.03,19.58,4
CPT,80343,Antipsychotics nos 4-6,,,0.03,19.58,4
CPT,80344,Antipsychotics nos 7/more,,,0.03,19.58,4
CPT,80345,"Barbiturate,UR-Eia",305.0,305.0,45.14,244.0,23
CPT,80345,Drug screening barbiturates,,,0.03,14.41,4
CPT,80345,Pentobarbital-Quant,263.0,263.0,38.92,210.4,23
CPT,80346,Benzodiazepines1-12,,,0.03,23.26,4
CPT,80346,"Benzodiazpne,UR-Eia",318.0,318.0,47.06,254.4,23
CPT,80347,Benzodiazepines 13 or more,,,0.03,23.26,4
CPT,80348,Drug screening buprenorphine,,,0.03,0.03,1
CPT,80349,Cannabinoids natural,,,0.03,0.03,1
CPT,80349,"Thc, UR-Eia",387.0,387.0,57.28,309.6,23
CPT,80350,Cannabinoids synthetic 1-3,,,0.03,0.03,1
CPT,80351,Cannabinoids synthetic 4-6,,,0.03,0.03,1
CPT,80352,Cannabinoid synthetic 7/more,,,0.03,0.03,1
CPT,80353,Cocain Metab.UR-Eia,313.0,313.0,46.32,250.4,23
CPT,80353,Drug screening cocaine,,,0.03,12.06,4
CPT,80354,Drug screening fentanyl,,,0.03,0.03,1
CPT,80354,Fentanyl - Urine,390.0,390.0,57.72,312.0,23
CPT,80355,Gabapentin non-blood,,,0.03,0.03,1
CPT,80356,Heroin metabolite,,,0.03,0.03,1
CPT,80357,Ketamine and norketamine,,,0.03,0.03,1
CPT,80358,Drug screening methadone,,,0.03,20.53,4
CPT,80358,Methadone - Urine,313.0,313.0,46.32,250.4,23
CPT,80359,Methylenedioxyamphetamines,,,0.03,0.03,1
CPT,80360,Methylphenidate,,,0.03,0.03,1
CPT,80361,Opiates 1 or more,,,0.03,25.97,4
CPT,80361,"Opiates,UR-Eia",495.0,495.0,73.26,396.0,23
CPT,80362,Opioids & opiate analogs 1/2,,,0.03,24.47,4
CPT,80363,Opioids & opiate analogs 3/4,,,0.03,24.47,4
CPT,80364,Opioid &opiate analog 5/more,,,0.03,24.47,4
CPT,80365,Drug screening oxycodone,,,0.03,0.03,1
CPT,80365,"Oxycodone and Metabolite Total, Urine (So)",210.0,210.0,31.08,168.0,23
CPT,80365,"Oxycodone and Metabolite, Quant Serum (So-Quest)",333.0,333.0,49.28,266.4,23
CPT,80366,Drug screening pregabalin,,,0.03,0.03,1
CPT,80367,Drug screening propoxyphene,,,0.03,0.03,1
CPT,80367,Propoxyphene - Urine,134.0,134.0,19.83,107.2,23
CPT,80368,Sedative hypnotics,,,0.03,0.03,1
CPT,80369,Skeletal muscle relaxant 1/2,,,0.03,22.17,4
CPT,80370,Skel musc relaxant 3 or more,,,0.03,22.17,4
CPT,80371,Stimulants synthetic,,,0.03,0.03,1
CPT,80372,Drug screening tapentadol,,,0.03,0.03,1
CPT,80373,Drug screening tramadol,,,0.03,0.03,1
CPT,80374,Stereoisomer analysis,,,0.03,0.03,1
CPT,80375,Drug/substance nos 1-3,,,0.03,18.25,4
CPT,80375,Thiopurine Metabolites Serum (So),332.0,332.0,49.14,265.6,23
CPT,80376,Drug/substance nos 4-6,,,0.03,0.03,1
CPT,80377,Drug/substance nos 7/more,,,0.03,0.03,1
CPT,80377,Hypoglycemic Mass Spec (So),428.0,428.0,63.34,342.4,23
CPT,80400,Acth stimulation panel,,,32.62,60.35,58
CPT,80402,Acth stimulation panel,,,86.96,160.88,58
CPT,80406,Acth stimulation panel,,,78.26,144.78,58
CPT,80408,Aldosterone suppression eval,,,125.5,232.18,58
CPT,80410,Calcitonin stimul panel,,,80.37,148.68,58
CPT,80412,Crh stimulation panel,,,414.45,1483.0,58
CPT,80414,Testosterone response panel,,,51.64,95.53,58
CPT,80415,Tot estradiol response panel,,,55.89,103.4,58
CPT,80416,Renin stimulation panel,,,165.94,387.24,58
CPT,80417,Renin stimulation panel,,,43.99,81.38,58
CPT,80418,Pituitary evaluation panel,,,579.48,1072.04,58
CPT,80420,Dexamethasone panel,,,90.58,299.48,58
CPT,80422,Glucagon tolerance panel,,,46.07,85.23,58
CPT,80424,Glucagon tolerance panel,,,50.5,93.43,58
CPT,80426,Gonadotropin hormone panel,,,148.41,274.56,58
CPT,80428,Growth hormone panel,,,66.7,123.4,58
CPT,80430,Growth hormone panel,,,86.4,239.26,58
CPT,80432,Insulin suppression panel,,,138.94,306.38,58
CPT,80434,Insulin tolerance panel,,,127.17,527.31,58
CPT,80435,Insulin tolerance panel,,,103.0,190.55,58
CPT,80436,Metyrapone panel,,,91.16,168.65,58
CPT,80438,Trh stimulation panel,,,50.41,93.26,58
CPT,80439,Trh stimulation panel,,,67.21,124.34,58
CPT,80503,Path clin consltj sf 5-20,,,20.62,98.35,55
CPT,80504,Path clin consltj mod 21-40,,,41.23,315.43,55
CPT,80505,Path clin consltj high 41-60,,,74.68,315.43,55
CPT,80506,Path clin consltj prolng svc,,,33.47,79.39,40
CPT,81000,"Ph, Urine-Dipstick",120.0,120.0,17.76,96.0,23
CPT,81000,Specific Gravity,120.0,120.0,17.76,96.0,23
CPT,81000,Urinalysis nonauto w/scope,,,3.99,7.44,58
CPT,81001,Urinalysis With Microscopy,213.0,213.0,31.52,170.4,23
CPT,81001,Urinalysis auto w/scope,,,3.17,5.86,58
CPT,81002,Urinalysis nonauto w/o scope,,,3.21,6.44,58
CPT,81003,Urinalysis,182.0,182.0,26.94,145.6,23
CPT,81003,Urinalysis auto w/o scope,,,2.25,4.16,58
CPT,81003,"Urinalysis, Top",182.0,182.0,26.94,145.6,23
CPT,81005,"Clinitest, Stool",171.0,171.0,25.31,136.8,23
CPT,81005,Urinalysis,,,2.17,4.01,58
CPT,81007,Urine screen for bacteria,,,3.23,55.46,58
CPT,81015,Microscopic exam of urine,,,3.05,5.64,58
CPT,81020,Urinalysis glass test,,,4.64,8.7,58
CPT,81025,"Preg Test,Urine",98.0,98.0,14.5,78.4,23
CPT,81025,Pregnancy Test-Urine,112.7,112.7,16.68,90.16,23
CPT,81025,Urine pregnancy test,,,7.96,15.93,58
CPT,81050,Urinalysis volume measure,,,3.64,6.73,58
CPT,81050,"Urine, Timed Collect",129.0,129.0,19.09,103.2,23
CPT,81099,Unlisted urinalysis px,,,,,0
CPT,81105,Hpa-1 genotyping,,,120.71,226.11,58
CPT,81106,Hpa-2 genotyping,,,120.71,226.11,58
CPT,81107,Hpa-3 genotyping,,,120.71,226.11,58
CPT,81108,Hpa-4 genotyping,,,120.71,226.11,58
CPT,81109,Hpa-5 genotyping,,,120.71,226.11,58
CPT,81110,Hpa-6 genotyping,,,120.71,226.11,58
CPT,81111,Hpa-9 genotyping,,,120.71,226.11,58
CPT,81112,Hpa-15 genotyping,,,120.71,226.11,58
CPT,81120,Idh1 common variants,,,154.6,357.51,58
CPT,81121,Idh2 common variants,,,236.63,547.21,58
CPT,81161,Dmd dup/delet analysis,,,160.0,516.15,58
CPT,81162,Brca1&2 Seq & Full Dup/Del (So),7287.0,7287.0,1078.48,5829.6,23
CPT,81162,Brca1&2 gen full seq dup/del,,,1824.88,3376.03,58
CPT,81163,Brca1&2 gene full seq alys,,,374.4,1123.2,58
CPT,81164,Brca1&2 gen ful dup/del alys,,,467.38,1080.83,58
CPT,81165,Brca1 gene full seq alys,,,226.3,678.91,58
CPT,81166,Brca1 gene full dup/del alys,,,241.08,557.5,58
CPT,81167,Brca2 gene full dup/del alys,,,226.3,523.33,58
CPT,81168,Ccnd1/igh translocation alys,,,165.85,514.44,58
CPT,81170,Abl Kinase Domain Mutation in Cml (So),1554.0,1554.0,229.99,1243.2,23
CPT,81170,Abl1 gene,,,263.61,555.0,58
CPT,81171,Aff2 gen aly detc abnl allel,,,109.6,253.45,58
CPT,81172,Aff2 gen alys charac alleles,,,219.86,508.44,58
CPT,81173,Ar gene full gene sequence,,,241.08,557.5,58
CPT,81174,Ar gene known famil variant,,,148.16,342.62,58
CPT,81175,Asxl1 full gene sequence,,,565.62,1251.53,58
CPT,81176,Asxl1 gene target seq alys,,,238.91,447.52,58
CPT,81177,Atn1 gene detc abnor alleles,,,109.6,253.45,58
CPT,81178,Atxn1 gene detc abnor allele,,,109.6,253.45,58
CPT,81179,Atxn2 gene detc abnor allele,,,109.6,253.45,58
CPT,81180,Atxn3 gene detc abnor allele,,,109.6,253.45,58
CPT,81181,Atxn7 gene detc abnor allele,,,109.6,253.45,58
CPT,81182,Atxn8os gen detc abnor allel,,,109.6,253.45,58
CPT,81183,Atxn10 gene detc abnor allel,,,109.6,253.45,58
CPT,81184,Cacna1a gen detc abnor allel,,,109.6,253.45,58
CPT,81185,Cacna1a gene full gene seq,,,677.02,1565.6,58
CPT,81186,Cacna1a gen known famil vrnt,,,148.16,342.62,58
CPT,81187,Cnbp gene detc abnor allele,,,109.6,253.45,58
CPT,81188,Cstb gene detc abnor allele,,,109.6,253.45,58
CPT,81189,Cstb gene full gene sequence,,,219.86,508.44,58
CPT,81190,Cstb gene known famil vrnt,,,148.16,342.62,58
CPT,81191,Ntrk1 translocation analysis,,,165.85,514.44,58
CPT,81192,Ntrk2 translocation analysis,,,165.85,514.44,58
CPT,81193,Ntrk3 translocation analysis,,,165.85,514.44,58
CPT,81194,Ntrk translocation analysis,,,414.62,1286.11,58
CPT,81195,Cytog genom-wid alys hem mal,,,1010.82,2337.53,51
CPT,81200,Aspa gene,,,47.25,98.4,58
CPT,81201,Apc gene full sequence,,,98.4,1443.0,58
CPT,81202,Apc gene known fam variants,,,98.4,518.0,58
CPT,81203,Apc gene dup/delet variants,,,98.4,370.0,58
CPT,81204,Ar gene charac alleles,,,109.6,253.45,58
CPT,81205,Bckdhb gene,,,94.99,175.73,58
CPT,81206,Bcr/abl1 gene major bp,,,98.4,303.33,58
CPT,81206,P210 Bcr-Abl1 (So),897.0,897.0,132.76,717.6,23
CPT,81207,Bcr/abl1 gene minor bp,,,98.4,267.95,58
CPT,81207,P190 Bcr-Abl1 (So),959.1,959.1,141.95,767.28,23
CPT,81208,Bcr/abl1 gene other bp,,,98.4,397.05,58
CPT,81209,Blm gene,,,39.31,98.4,58
CPT,81210,Braf Mutation Analysis (So),1312.0,1312.0,194.18,1049.6,23
CPT,81210,Braf gene,,,98.4,324.49,58
CPT,81210,Colorectal Can. Mut. Panel Bra So,1636.0,1636.0,242.13,1308.8,23
CPT,81210,"Melanoma, Braf V600 Mutation (So)",1482.0,1482.0,219.34,1185.6,23
CPT,81210,Thyroseq - Braf Analysis (So),1053.4,1053.4,155.9,842.72,23
CPT,81211,Brca1&2 seq & com dup/del,,,2320.0,2320.0,3
CPT,81212,Brca1&2 185&5385&6174 vrnt,,,164.0,814.0,58
CPT,81215,Brca1 gene known famil vrnt,,,40.0,694.21,58
CPT,81216,Brca2 gene full seq alys,,,185.12,960.0,58
CPT,81217,Brca2 gene known famil vrnt,,,40.0,694.21,58
CPT,81218,Aml Prognostic Cebpa (So),794.0,794.0,117.51,635.2,23
CPT,81218,Cebpa gene full sequence,,,241.9,447.52,58
CPT,81219,Calr Gene Analysis Common Variants in Exon 9 (So),570.4,570.4,84.42,456.32,23
CPT,81219,Calr gene com variants,,,121.63,225.02,58
CPT,81219,Jak2 R/X Calr (So),1308.0,1308.0,193.58,1046.4,23
CPT,81220,Cftr gene com variants,,,556.6,1029.71,58
CPT,81220,Cystic Fib 97 Mutation Rqd,1343.0,1343.0,198.76,1074.4,23
CPT,81221,Cftr gene known fam variants,,,97.22,179.86,58
CPT,81222,Cftr gene dup/delet variants,,,98.4,804.88,58
CPT,81223,Cftr gene full sequence,,,499.0,960.0,58
CPT,81224,Cftr gene intron poly t,,,168.75,312.19,58
CPT,81225,Cyp2c19 Genotype,886.0,886.0,131.13,708.8,23
CPT,81225,Cyp2c19 gene com variants,,,244.0,539.02,58
CPT,81226,Cyp2d6 gene com variants,,,40.0,834.18,58
CPT,81227,Cyp2c9 gene com variants,,,40.0,323.4,58
CPT,81228,Cytog alys chrml abnr cgh,,,900.0,1665.0,58
CPT,81229,Chromosomal Microarray Postnatal (So),4535.6,4535.6,671.27,3628.48,23
CPT,81229,"Chromosomal Microarray, POC, ClarisureΓ« Oligo-Snp (So)",4535.6,4535.6,671.27,3628.48,23
CPT,81229,"Chromosomal Microarray, Prenatal (Quest 90927)",5175.0,5175.0,765.9,4140.0,23
CPT,81229,Cytog alys chrml abnr snpcgh,,,1160.0,2320.0,58
CPT,81230,Cyp3a4 gene common variants,,,139.85,323.4,58
CPT,81231,Cyp3a5 gene common variants,,,139.85,323.4,58
CPT,81232,Dpyd gene common variants,,,139.85,323.4,58
CPT,81233,Btk gene common variants,,,140.32,324.49,58
CPT,81234,Dmpk gene detc abnor allele,,,109.6,253.45,58
CPT,81235,Egfr Mutation Analysis (So),2031.0,2031.0,300.59,1624.8,23
CPT,81235,Egfr gene com variants,,,98.4,600.47,58
CPT,81236,Ezh2 gene full gene sequence,,,226.3,523.33,58
CPT,81237,Ezh2 gene common variants,,,140.32,324.49,58
CPT,81238,F9 full gene sequence,,,480.0,1110.0,58
CPT,81239,Dmpk gene charac alleles,,,219.86,508.44,58
CPT,81240,F2 gene,,,40.0,121.53,58
CPT,81240,Factor II (Pt) Gene Mutation,614.0,614.0,90.87,491.2,23
CPT,81241,F5 gene,,,40.0,135.73,58
CPT,81241,Factor V Leiden Mutation,611.8,611.8,90.55,489.44,23
CPT,81242,Fancc gene,,,36.62,98.4,58
CPT,81243,Fmr1 gen aly detc abnl allel,,,57.04,350.01,58
CPT,81244,Fmr1 gen alys charac alleles,,,44.89,98.4,58
CPT,81245,Aml Prognostic Flt3 (So),572.0,572.0,84.66,457.6,23
CPT,81245,Flt3 gene,,,98.4,306.19,58
CPT,81246,Aml Prognostic Flt3 Anal (So),413.0,413.0,61.12,330.4,23
CPT,81246,Flt3 gene analysis,,,83.0,153.55,55
CPT,81247,G6pd gene alys cmn variant,,,139.85,323.4,58
CPT,81248,G6pd known familial variant,,,300.2,694.21,58
CPT,81249,G6pd full gene sequence,,,480.0,1110.0,58
CPT,81250,G6pc gene,,,58.49,108.21,58
CPT,81251,Gba gene,,,47.25,98.4,58
CPT,81252,Gjb2 gene full sequence,,,98.4,187.07,58
CPT,81253,Gjb2 gene known fam variants,,,61.52,113.81,58
CPT,81254,Gjb6 gene com variants,,,35.0,98.4,58
CPT,81255,Hexa gene,,,51.45,98.4,58
CPT,81256,Hered Hemochrom Dna Anal Rqd,740.0,740.0,109.52,592.0,23
CPT,81256,Hfe gene,,,40.0,120.92,58
CPT,81257,Hba1/hba2 gene,,,102.26,189.18,58
CPT,81258,Hba1/hba2 gene fam vrnt,,,300.2,694.21,58
CPT,81259,Hba1/hba2 full gene sequence,,,480.0,1110.0,58
CPT,81260,Ikbkap gene,,,39.31,112.0,58
CPT,81261,B-Cell Clonality Panel (IGK)(SO),1124.0,1124.0,166.35,899.2,23
CPT,81261,Igh gene rearrange amp meth,,,197.99,366.28,58
CPT,81262,Igh gene rearrang dir probe,,,68.55,126.82,58
CPT,81263,Cll-Igvh Mutation Status (So),2662.25,2662.25,394.01,2129.8,23
CPT,81263,Igh vari regional mutation,,,98.4,544.86,58
CPT,81264,"B-Cell Clonality Panel,Unlisted Proc(SO)",848.0,848.0,125.5,678.4,23
CPT,81264,Igk rearrangeabn clonal pop,,,98.4,319.55,58
CPT,81265,Str markers specimen anal,,,98.4,431.18,58
CPT,81266,Str markers spec anal addl,,,98.4,563.9,58
CPT,81267,Chimerism anal no cell selec,,,98.4,383.8,58
CPT,81268,Chimerism anal w/cell select,,,98.4,482.46,58
CPT,81269,Hba1/hba2 gene dup/del vrnts,,,161.92,374.44,58
CPT,81270,Jak2 Gene Analysis P.Val617phe Variant (So),570.4,570.4,84.42,456.32,23
CPT,81270,Jak2 V617f (So),920.0,920.0,136.16,736.0,23
CPT,81270,Jak2 V617f Mutation Quant (So),981.0,981.0,145.19,784.8,23
CPT,81270,Jak2 gene,,,72.0,169.57,58
CPT,81271,Htt gene detc abnor alleles,,,109.6,253.45,58
CPT,81272,Kit gene targeted seq analys,,,263.61,609.59,58
CPT,81273,Kit gene analys d816 variant,,,99.9,231.01,58
CPT,81274,Htt gene charac alleles,,,219.86,508.44,58
CPT,81275,Colorectal Can. Mut. Panel Kra So,1271.0,1271.0,188.11,1016.8,23
CPT,81275,KRAS Gene Mutation Detection (RQD),952.0,952.0,140.9,761.6,23
CPT,81275,"Kras Gene Analysis; Variants in Exon 2 (Eg, Codons 12 & 13)",695.0,695.0,102.86,556.0,23
CPT,81275,Kras gene variants exon 2,,,188.0,357.51,58
CPT,81275,Thyroseq - Kras Analysis (So),832.0,832.0,123.14,665.6,23
CPT,81276,"Kras Gene Analysis; Add'l Variant(S) (Eg, Codon 61, Codon 146)",695.0,695.0,102.86,556.0,23
CPT,81276,Kras gene addl variants,,,157.75,357.51,58
CPT,81277,Cytogenomic neo microra alys,,,928.0,2146.0,58
CPT,81278,Igh@/bcl2 translocation alys,,,165.85,514.44,58
CPT,81279,Jak2 R/X-Exon12 (So),846.0,846.0,125.21,676.8,23
CPT,81279,Jak2 Targeted Sequence Analysis (So),570.4,570.4,84.42,456.32,23
CPT,81279,Jak2 gene trgt sequence alys,,,148.16,459.57,58
CPT,81279,"Jak2-Exons-12,13 Seq (So)",1164.0,1164.0,172.27,931.2,23
CPT,81283,Ifnl3 gene,,,60.35,135.73,58
CPT,81284,Fxn gene detc abnor alleles,,,109.6,253.45,58
CPT,81285,Fxn gene charac alleles,,,219.86,508.44,58
CPT,81286,Fxn gene full gene sequence,,,219.86,508.44,58
CPT,81287,Mgmt Gene Analysis (So),887.0,887.0,131.28,709.6,23
CPT,81287,Mgmt gene prmtr mthyltn alys,,,124.64,230.58,55
CPT,81288,Mlh1 Methylation (So),984.0,984.0,145.63,787.2,23
CPT,81288,Mlh1 gene,,,192.32,355.79,55
CPT,81289,Fxn gene known famil variant,,,148.16,342.62,58
CPT,81290,Mcoln1 gene,,,39.31,98.4,58
CPT,81291,Mthfr Mutation Analysis (So),850.0,850.0,125.8,680.0,23
CPT,81291,Mthfr gene,,,40.0,120.88,58
CPT,81292,Mlh1 gene full seq,,,520.0,1249.49,58
CPT,81293,Mlh1 gene known variants,,,40.0,612.35,58
CPT,81294,Mlh1 gene dup/delete variant,,,202.4,374.44,58
CPT,81295,Msh2 gene full seq,,,381.7,706.15,58
CPT,81296,Msh2 gene known variants,,,98.4,624.8,58
CPT,81297,Msh2 gene dup/delete variant,,,213.3,394.61,58
CPT,81298,Msh6 gene full seq,,,641.85,1187.42,58
CPT,81299,Msh6 gene known variants,,,40.0,569.8,58
CPT,81300,Msh6 gene dup/delete variant,,,40.0,440.3,58
CPT,81301,Colonseq Panel - Part 1 - Quest So,1377.0,1377.0,203.8,1101.6,23
CPT,81301,Microsatelite Instability (Msi) (So),1565.0,1565.0,231.62,1252.0,23
CPT,81301,Microsatellite instability,,,188.0,644.84,58
CPT,81301,Solid Tumor Core Panel - 2 of 3 (So),2333.0,2333.0,345.28,1866.4,23
CPT,81302,Mecp2 gene full seq,,,98.4,976.56,58
CPT,81303,Mecp2 gene known variant,,,98.4,222.0,58
CPT,81304,Mecp2 gene dup/delet variant,,,98.4,277.5,58
CPT,81305,Myd88 Mutation Analysis (So),1234.0,1234.0,182.63,987.2,23
CPT,81305,Myd88 gene p.leu265pro vrnt,,,140.32,324.49,58
CPT,81306,Nudt15 gene common variants,,,233.09,539.02,58
CPT,81307,Palb2 gene full gene seq,,,226.3,1251.53,58
CPT,81308,Palb2 gene known famil vrnt,,,241.08,557.5,58
CPT,81309,Pik3ca Mutation Analysis (So),922.0,922.0,136.46,737.6,23
CPT,81309,Pik3ca gene trgt seq alys,,,219.86,508.44,58
CPT,81310,Aml Prognostic Npm1 (So),917.0,917.0,135.72,733.6,23
CPT,81310,Npm1 gene,,,40.0,456.06,58
CPT,81311,Nras Gene Analysis Variants Exon 2&3 (So),695.0,695.0,102.86,556.0,23
CPT,81311,Nras gene variants exon 2&3,,,236.63,547.21,58
CPT,81312,Pabpn1 gene detc abnor allel,,,109.6,253.45,58
CPT,81313,Pca3/klk3 antigen,,,255.05,471.84,55
CPT,81314,Pdgfra Mutation Analysis (Quest),1415.0,1415.0,209.42,1132.0,23
CPT,81314,Pdgfra gene,,,263.61,609.59,58
CPT,81315,Pml/Rara T(15;17) Quant (Pcr) (So),1157.0,1157.0,171.24,925.6,23
CPT,81315,Pml/raralpha com breakpoints,,,98.4,383.52,58
CPT,81316,Pml/raralpha 1 breakpoint,,,98.4,383.52,58
CPT,81317,Pms2 gene full seq analysis,,,676.5,1251.53,58
CPT,81318,Pms2 known familial variants,,,40.0,612.35,58
CPT,81319,Pms2 gene dup/delet variants,,,40.0,376.48,58
CPT,81320,Plcg2 gene common variants,,,233.09,539.02,58
CPT,81321,Pten gene full sequence,,,98.4,1110.0,58
CPT,81322,Pten gene known fam variant,,,46.6,98.4,58
CPT,81322,Thyroseq - Pten Analysis (So),182.0,182.0,26.94,145.6,23
CPT,81323,Pten gene dup/delet variant,,,69.9,555.0,58
CPT,81324,Pmp22 gene dup/delet,,,98.4,1402.97,58
CPT,81325,Pmp22 gene full sequence,,,98.4,1423.72,58
CPT,81326,Pmp22 gene known fam variant,,,46.6,98.4,58
CPT,81327,Sept9 gen prmtr mthyltn alys,,,66.94,355.2,58
CPT,81328,Slco1b1 gene com variants,,,139.85,323.4,58
CPT,81329,Smn1 gene dos/deletion alys,,,109.6,253.45,58
CPT,81329,Spinal Muscular Atrophy Screen (So),606.0,606.0,89.69,484.8,23
CPT,81330,Smpd1 gene common variants,,,47.0,98.4,58
CPT,81331,Snrpn/ube3a gene,,,40.0,94.48,58
CPT,81332,Serpina1 gene,,,40.0,80.75,58
CPT,81333,Tgfbi gene common variants,,,109.6,253.45,58
CPT,81334,Runx1 gene targeted seq alys,,,263.61,609.59,58
CPT,81335,Tpmt gene com variants,,,139.85,323.4,58
CPT,81336,Smn1 gene full gene sequence,,,241.08,557.5,58
CPT,81337,Smn1 gen nown famil seq vrnt,,,148.16,342.62,58
CPT,81338,Mpl Mutation Analysis (So),736.0,736.0,108.93,588.8,23
CPT,81338,Mpl gene common variants,,,120.26,373.04,58
CPT,81339,Mpl Gene Analysis Sequence Analysis Exon 10 (So),570.4,570.4,84.42,456.32,23
CPT,81339,Mpl gene seq alys exon 10,,,148.16,459.57,58
CPT,81340,T -Cell Antigen Receptor Beta (So) Clon,1229.35,1229.35,181.94,983.48,23
CPT,81340,"T Cell Receptor (Tcr) Beta Gene Rearrang, Pcr (So)",1035.0,1035.0,153.18,828.0,23
CPT,81340,Trb@ gene rearrange amplify,,,40.0,386.5,58
CPT,81341,Trb@ gene rearrange dirprobe,,,40.0,91.74,58
CPT,81342,"T - Cell Receptor Gamma Gene Rearrangement, Pcr (So)",1554.8,1554.8,230.11,1243.84,23
CPT,81342,T -Cell Antigen Receptor Gamma (So) Clon,1554.8,1554.8,230.11,1243.84,23
CPT,81342,Trg gene rearrangement anal,,,164.0,372.78,58
CPT,81343,Ppp2r2b gen detc abnor allel,,,109.6,253.45,58
CPT,81344,Tbp gene detc abnor alleles,,,109.6,253.45,58
CPT,81345,Tert gene targeted seq alys,,,148.16,342.62,58
CPT,81346,Tyms gene com variants,,,139.85,323.4,58
CPT,81347,Sf3b1 gene common variants,,,154.6,479.55,58
CPT,81348,Srsf2 gene common variants,,,140.32,435.26,58
CPT,81349,Cytog alys chrml abnr lw-ps,,,1160.0,2216.19,55
CPT,81350,Ugt1a1 gene common variants,,,98.4,432.9,58
CPT,81351,Tp53 gene full gene sequence,,,513.48,1592.75,58
CPT,81352,Tp53 Gene Trgt Sequence Alys (So),2198.0,2198.0,325.3,1758.4,23
CPT,81352,Tp53 gene trgt sequence alys,,,263.61,817.68,58
CPT,81353,Tp53 gene known famil vrnt,,,246.4,764.3,58
CPT,81355,Vkorc1 gene,,,72.0,163.17,58
CPT,81357,U2af1 gene common variants,,,154.6,479.55,58
CPT,81360,Zrsr2 gene common variants,,,154.6,479.55,58
CPT,81361,Hbb gene com variants,,,139.85,323.4,58
CPT,81362,Hbb gene known fam variant,,,300.2,694.21,58
CPT,81363,Hbb gene dup/del variants,,,161.92,374.44,58
CPT,81364,Hbb full gene sequence,,,259.66,600.47,58
CPT,81370,Hla i & ii typing lr,,,98.4,743.92,58
CPT,81371,Hla i & ii type verify lr,,,72.0,748.36,58
CPT,81372,Hla i typing complete lr,,,98.4,746.64,58
CPT,81373,Hla i typing 1 locus lr,,,98.4,235.75,58
CPT,81374,Hla i typing 1 antigen lr,,,74.33,137.51,58
CPT,81375,Hla ii typing ag equiv lr,,,98.4,408.37,58
CPT,81376,Hla ii typing 1 locus lr,,,40.0,226.11,58
CPT,81377,Hla ii type 1 ag equiv lr,,,40.0,175.27,58
CPT,81378,Hla i & ii typing hr,,,164.0,639.3,58
CPT,81379,Hla I Typing Comp (So),1339.0,1339.0,198.17,1071.2,23
CPT,81379,Hla i typing complete hr,,,164.0,620.45,58
CPT,81380,Hla -B High Resolution- Pcr (Quest),564.0,564.0,83.47,451.2,23
CPT,81380,Hla i typing 1 locus hr,,,164.0,327.91,58
CPT,81381,Hla B5701,768.0,768.0,113.66,614.4,23
CPT,81381,Hla i typing 1 allele hr,,,40.0,314.32,58
CPT,81381,Hla-B 58 01 Typing (So),799.0,799.0,118.25,639.2,23
CPT,81382,Hla II Typing 1 (So),1051.0,1051.0,155.55,840.8,23
CPT,81382,Hla ii typing 1 loc hr,,,123.68,228.81,58
CPT,81383,Hla ii typing 1 allele hr,,,109.13,201.89,58
CPT,81400,Mopath procedure level 1,,,63.96,118.33,58
CPT,81401,"Aml1/Eto T(8;21) Quantitative, Real-Time Pcr (So)",672.0,672.0,99.46,537.6,23
CPT,81401,Cbfb/Myh11 Inv(16) Quant Pcr (So),972.0,972.0,143.86,777.6,23
CPT,81401,"Cbfb/Myh11 Inv(16), Quantitative, Real-Time Pcr (So)",420.0,420.0,62.16,336.0,23
CPT,81401,Huntington's Dna (So),1143.0,1143.0,169.16,914.4,23
CPT,81401,Mopath procedure level 2,,,112.0,253.45,58
CPT,81401,Thryoseq - Mopath Level 2 (So),757.0,757.0,112.04,605.6,23
CPT,81402,Mopath procedure level 3,,,150.33,278.11,58
CPT,81403,Hras Gene Analysis (So),695.0,695.0,102.86,556.0,23
CPT,81403,Mopath procedure level 4,,,185.2,342.62,58
CPT,81403,Thryoseq - Mopath Level 4 (So),1110.9,1110.9,164.41,888.72,23
CPT,81403,Xhea Licensed RBC Panel (Arc),1269.6,1269.6,187.9,1015.68,23
CPT,81404,C-Kit Mutation Analysis (So),2200.0,2200.0,325.6,1760.0,23
CPT,81404,Mopath procedure level 5,,,244.0,508.44,58
CPT,81404,"Nras, Mutation Analysis (So)",1802.0,1802.0,266.7,1441.6,23
CPT,81404,Pancreatitis Press (So),2200.0,2200.0,325.6,1760.0,23
CPT,81404,Pancreatitis Spink-1 (So),2200.0,2200.0,325.6,1760.0,23
CPT,81404,Thryoseq - Mopath Level 5 (So),1646.8,1646.8,243.73,1317.44,23
CPT,81404,Ttr Dna Sequence Testing (So),3292.45,3292.45,487.28,2633.96,23
CPT,81405,Familial Hypocalciuric Hypercalcemia (Casr) Evaluation (So),5200.0,5200.0,769.6,4160.0,23
CPT,81405,Mopath procedure level 6,,,301.35,557.5,58
CPT,81405,Thryoseq - Mopath Level 6 (So),1570.0,1570.0,232.36,1256.0,23
CPT,81406,Cadasil,4160.0,4160.0,615.68,3328.0,23
CPT,81406,Mopath procedure level 7,,,282.88,523.33,58
CPT,81406,Notch3 (Cadasil) Sequencing Test (So),7125.0,7125.0,1054.5,5700.0,23
CPT,81407,Mopath procedure level 8,,,846.27,1565.6,58
CPT,81408,Mopath procedure level 9,,,2000.0,3700.0,58
CPT,81410,Aortic dysfunction/dilation,,,504.0,932.4,58
CPT,81411,Aortic dysfunction/dilation,,,1350.19,2497.85,55
CPT,81412,Ashkenazi jewish assoc dis,,,1958.85,4529.84,58
CPT,81413,Car ion chnnlpath inc 10 gns,,,584.9,1082.07,58
CPT,81414,Car ion chnnlpath inc 2 gns,,,584.9,1082.07,58
CPT,81415,Exome sequence analysis,,,3824.0,8843.0,58
CPT,81416,Exome sequence analysis,,,12000.0,22200.0,55
CPT,81417,Exome re-evaluation,,,256.0,592.0,58
CPT,81418,Rx metab gen seq alys pnl 6,,,917.08,1696.6,55
CPT,81419,Epilepsy gen seq alys panel,,,1958.85,6076.1,58
CPT,81420,Fetal chrmoml aneuploidy,,,641.86,1404.24,58
CPT,81420,Qnatal Advanced(So),2554.0,2554.0,377.99,2043.2,23
CPT,81422,Fetal chrmoml microdeltj,,,641.86,1404.24,58
CPT,81425,Genome sequence analysis,,,0.03,9307.72,58
CPT,81426,Genome sequence analysis,,,0.03,5013.41,58
CPT,81427,Genome re-evaluation,,,0.03,4324.65,58
CPT,81430,Hearing loss sequence analys,,,1625.0,3006.25,55
CPT,81431,Hearing loss dup/del analys,,,679.57,1257.2,55
CPT,81432,Hrdtry brst ca-rlatd do 5+,,,679.05,2412.31,58
CPT,81433,Hrdtry brst ca-rlatd dsordrs,,,438.93,808.54,13
CPT,81434,Hered rta do gen seq 15,,,597.91,1958.85,58
CPT,81435,Hered colon ca-rlatd do 5+,,,584.9,2412.31,58
CPT,81436,Hereditary colon ca dsordrs,,,584.9,1077.42,13
CPT,81437,Hered neuroend tum-rlt do 5+,,,438.93,2412.31,58
CPT,81438,Heredtry nurondcrn tum dsrdr,,,438.93,808.54,13
CPT,81439,Hrdtry cardmypy gene panel,,,584.9,1082.07,58
CPT,81440,Mitochondrial gene,,,3324.0,6149.4,55
CPT,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,4529.84,55
CPT,81442,Noonan spectrum disorders,,,2143.6,3965.66,55
CPT,81443,Genetic tstg severe inh cond,,,1958.85,4529.84,58
CPT,81445,Colonseq Panel - Part 2 - Quest So,1377.0,1377.0,203.8,1101.6,23
CPT,81445,So neo gsap 5-50dna/dna&rna,,,478.33,1106.13,58
CPT,81445,Solid Tumor Core Panel - 1 of 3 (So),3500.0,3500.0,518.0,2800.0,23
CPT,81448,Hrdtry perph neurphy panel,,,577.68,1082.07,58
CPT,81449,So neo gsap 5-50 rna alys,,,478.33,1106.13,58
CPT,81450,Hl neo gsap 5-50dna/dna&rna,,,607.62,1405.13,58
CPT,81450,Leukovantage Acute Myeloid Leukemia (So),4500.0,4500.0,666.0,3600.0,23
CPT,81450,Leukovantage Myelodysplastic Syndrome (So),4425.0,4425.0,654.9,3540.0,23
CPT,81450,Leukovantage Myeloid (So),4107.0,4107.0,607.84,3285.6,23
CPT,81450,"Leukovantage, Myloproliferative Neoplasm (So)",4269.0,4269.0,631.81,3415.2,23
CPT,81451,Hl neo gsap 5-50 rna alys,,,607.62,1405.13,58
CPT,81455,So/hl 51/>gsap dna/dna&rna,,,2335.68,5401.26,58
CPT,81456,So/hl 51/>gsap rna alys,,,2335.68,5401.26,58
CPT,81457,So neo gsap dna mcrstl ins,,,896.87,1659.21,48
CPT,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,1935.75,48
CPT,81459,So neo gsap dna/dna&rna,,,2391.64,5530.67,51
CPT,81460,Whole mitochondrial genome,,,1287.0,2380.95,55
CPT,81462,So gsap cll fr dna/dna&rna,,,1195.83,2212.29,48
CPT,81463,So gsap cl fr cpy nmbr&mcrst,,,1076.25,2488.82,51
CPT,81464,So gsap cll fr mcrstl ins,,,3288.51,6083.74,48
CPT,81465,Whole mitochondrial genome,,,936.0,1731.6,55
CPT,81470,X-linked intellectual dblt,,,914.0,1690.9,55
CPT,81471,X-linked intellectual dblt,,,0.03,1690.9,55
CPT,81479,Calr Mutation Analysis (So),1431.0,1431.0,211.79,1144.8,23
CPT,81479,Jak2 R/X-Csf3r (So),1308.0,1308.0,193.58,1046.4,23
CPT,81479,"Kit D816, Mutation Analysis (So)",1979.0,1979.0,292.89,1583.2,23
CPT,81479,Pancreatitis Ctrc (So),1359.0,1359.0,201.13,1087.2,23
CPT,81479,Rhce Variant by Snp (Arc),1491.0,1491.0,220.67,1192.8,23
CPT,81479,Rhd Variant by Snp (Arc),1725.0,1725.0,255.3,1380.0,23
CPT,81479,Solid Tumor Core Panel - 3 of 3 (So),2333.0,2333.0,345.28,1866.4,23
CPT,81479,Thryoseq - Unlisted Mopath (So),2.0,2.0,0.3,1.6,23
CPT,81479,Unlisted molecular pathology,,,890.08,890.08,3
CPT,81490,Autoimmune ra alys 12 bmrk,,,840.65,1555.2,55
CPT,81493,Cor artery disease mrna,,,1050.0,1942.5,55
CPT,81500,Onco (ovar) two proteins,,,208.4,481.93,58
CPT,81503,Onco (ovar) five proteins,,,717.6,1659.45,58
CPT,81504,Oncology tissue of origin,,,520.0,962.0,55
CPT,81506,Endo assay seven anal,,,64.82,127.5,58
CPT,81507,Fetal aneuploidy trisom risk,,,425.0,1470.75,58
CPT,81508,Ftl cgen abnor two proteins,,,43.44,100.46,58
CPT,81509,Ftl cgen abnor 3 proteins,,,1189.9,2751.63,58
CPT,81510,Ftl cgen abnor three anal,,,44.43,102.75,58
CPT,81511,Ftl cgen abnor four anal,,,122.8,283.98,58
CPT,81511,Integrated Maternal Serum Screen (So),1246.0,1246.0,184.41,996.8,23
CPT,81511,Mss Sequential Screen-2 (So),737.0,737.0,109.08,589.6,23
CPT,81512,Ftl cgen abnor five anal,,,55.62,128.61,58
CPT,81513,Nfct ds bv rna vag flu alg,,,114.1,353.94,58
CPT,81514,Nfct ds bv&vaginitis dna alg,,,210.39,652.61,58
CPT,81515,Nfct ds bv&vaginitis dna alg,,,210.39,486.53,51
CPT,81517,Enhanced Liver Fibrosis (Elf) Score (So),850.0,850.0,125.8,680.0,23
CPT,81517,Liver ds alys 3 bmrk srm alg,,,176.19,402.72,58
CPT,81518,Onc brst mrna 11 genes,,,3098.4,7165.05,58
CPT,81519,Oncology breast mrna,,,2735.54,7165.05,58
CPT,81520,Onc breast mrna 58 genes,,,2479.22,4643.89,58
CPT,81521,Onc breast mrna 70 genes,,,3098.4,7165.05,58
CPT,81522,Onc breast mrna 12 genes,,,3098.4,7165.05,58
CPT,81523,Onc brst mrna 70 cnt 31 gene,,,3098.4,7165.05,58
CPT,81525,Oncology colon mrna,,,3116.0,5764.6,55
CPT,81528,Oncology colorectal scr,,,407.1,941.41,58
CPT,81529,Onc cutan mlnma mrna 31 gene,,,5754.4,17849.43,58
CPT,81535,Oncology gynecologic,,,463.57,1072.0,58
CPT,81536,Oncology gynecologic,,,120.46,328.49,58
CPT,81538,Oncology lung,,,2871.0,5311.35,55
CPT,81539,Oncology prostate prob score,,,481.68,1406.0,58
CPT,81540,Oncology tum unknown origin,,,3750.0,6937.5,55
CPT,81541,Onc prostate mrna 46 genes,,,3098.4,7165.05,58
CPT,81542,Onc prostate mrna 22 cnt gen,,,3873.0,7165.05,55
CPT,81546,Onc thyr mrna 10 196 gen alg,,,2880.0,8933.4,58
CPT,81551,Onc prostate 3 genes,,,2030.0,3755.5,55
CPT,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,14385.6,55
CPT,81554,Pulm ds ipf mrna 190 gen alg,,,4400.0,13648.25,58
CPT,81558,Trnspl rej kdn mrna qpcr 139,,,2592.0,5994.0,51
CPT,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,1185.35,55
CPT,81595,Cardiology hrt trnspl mrna,,,2592.0,5994.0,58
CPT,81596,"Liver Fibrosis, Fibro Test-Actitest Panel (So)",492.0,492.0,72.82,393.6,23
CPT,81596,Nfct ds chrnc hcv 6 assays,,,57.75,133.55,58
CPT,81599,Unlisted maaa,,,,,0
CPT,82009,Ketone bodys qual,,,4.13,8.36,58
CPT,82010,B-Oh Butyric Acid,192.0,192.0,28.42,153.6,23
CPT,82010,Ketone bodys quan,,,8.17,15.11,58
CPT,82013,Acetylcholinesterase assay,,,12.29,22.74,58
CPT,82016,Acylcarnitines qual,,,16.49,30.51,58
CPT,82017,"Acylcarnitine,Plasma(So)",352.0,352.0,52.1,281.6,23
CPT,82017,Acylcarnitines quant,,,16.87,31.21,58
CPT,82017,"Carnitine, Ester",197.0,197.0,29.16,157.6,23
CPT,82024,"Acth, Plasma",461.0,461.0,68.23,368.8,23
CPT,82024,Assay of acth,,,38.62,71.45,58
CPT,82030,Assay of adp & amp,,,25.8,47.73,58
CPT,82040,Albumin (Bcg),129.95,129.95,19.23,103.96,23
CPT,82040,Assay of serum albumin,,,3.62,9.16,58
CPT,82042,"Albumin, CSF (So)",54.0,54.0,7.99,43.2,23
CPT,82042,"Albumin,Fluid",179.4,179.4,26.55,143.52,23
CPT,82042,Other source albumin quan ea,,,6.51,14.39,58
CPT,82043,"Microalbumin, UR",446.0,446.0,66.01,356.8,23
CPT,82043,Ur albumin quantitative,,,5.78,10.69,58
CPT,82044,Ur albumin semiquantitative,,,5.75,11.53,58
CPT,82045,Albumin ischemia modified,,,33.94,62.79,55
CPT,82075,Assay of breath ethanol,,,0.03,55.5,55
CPT,82077,Assay spec xcp ur&breath ia,,,13.82,42.86,58
CPT,82085,"Aldolase, Serum",222.0,222.0,32.86,177.6,23
CPT,82085,Assay of aldolase,,,9.71,17.96,58
CPT,82088,"Aldosterone, Serum",355.35,355.35,52.59,284.28,23
CPT,82088,"Aldosterone, UR-24hr",355.35,355.35,52.59,284.28,23
CPT,82088,Assay of aldosterone,,,40.75,75.39,58
CPT,82103,Alpha-1 Antitrypsin-Serum (So),71.3,71.3,10.55,57.04,23
CPT,82103,Alpha-1-Antitrypsin,299.0,299.0,44.25,239.2,23
CPT,82103,Alpha-1-antitrypsin total,,,13.44,24.86,58
CPT,82104,Alpha-1 at Phenotype,206.0,206.0,30.49,164.8,23
CPT,82104,Alpha-1-antitrypsin pheno,,,14.46,26.75,58
CPT,82105,Alpha-Fetoprotein,377.2,377.2,55.83,301.76,23
CPT,82105,Alpha-fetoprotein serum,,,16.77,31.02,58
CPT,82105,Maternal Serum Afp (So),163.3,163.3,24.17,130.64,23
CPT,82106,"Afp, Amniotic Fluid",238.0,238.0,35.22,190.4,23
CPT,82106,Alpha- Fetoprotein Af (So),62.0,62.0,9.18,49.6,23
CPT,82106,Alpha-fetoprotein amniotic,,,17.0,31.45,58
CPT,82107,Alpha-fetoprotein l3,,,64.41,119.16,58
CPT,82108,Aluminum,218.0,218.0,32.26,174.4,23
CPT,82108,"Aluminum, 24hr Urine So",208.0,208.0,30.78,166.4,23
CPT,82108,Assay of aluminum,,,21.2,47.14,58
CPT,82120,Amines vaginal fluid qual,,,3.04,11.08,58
CPT,82127,Amino acid single qual,,,14.18,26.23,58
CPT,82128,"Amino Acid-Scn,Urine",423.0,423.0,62.6,338.4,23
CPT,82128,Amino acids mult qual,,,13.87,25.66,58
CPT,82131,Amino acids single quant,,,21.21,42.51,58
CPT,82131,"Cystine, Urine-24hr",248.0,248.0,36.7,198.4,23
CPT,82131,Homocysteine,390.0,390.0,57.72,312.0,23
CPT,82135,Assay aminolevulinic acid,,,16.45,30.43,58
CPT,82136,Amino acids quant 2-5,,,19.61,36.28,58
CPT,82139,"Amino Acids-Qnt,Plas",490.0,490.0,72.52,392.0,23
CPT,82139,Amino acids quan 6 or more,,,16.87,31.21,58
CPT,82140,"Ammonia,Blood",375.0,375.0,55.5,300.0,23
CPT,82140,Assay of ammonia,,,12.44,26.95,58
CPT,82140,Stone Risk Profile - Ammonia (So),32.0,32.0,4.74,25.6,23
CPT,82143,Amniotic fluid scan,,,8.65,17.3,58
CPT,82150,"Amylase,Fluid",301.0,301.0,44.55,240.8,23
CPT,82150,"Amylase,Serum",301.0,301.0,44.55,240.8,23
CPT,82150,"Amylase,Urine",268.0,268.0,39.66,214.4,23
CPT,82150,Assay of amylase,,,6.48,11.99,58
CPT,82154,Androstanediol glucuronide,,,28.83,53.34,58
CPT,82157,Androstenedione,251.0,251.0,37.15,200.8,23
CPT,82157,Assay of androstenedione,,,29.28,54.17,58
CPT,82160,Assay of androsterone,,,25.55,47.27,58
CPT,82163,Assay of angiotensin ii,,,20.52,37.96,55
CPT,82164,Angio-1 Conv Enz-CSF,325.0,325.0,48.1,260.0,23
CPT,82164,Angio-1 Convert Enz.,325.0,325.0,48.1,260.0,23
CPT,82164,Angiotensin i enzyme test,,,14.6,27.01,58
CPT,82166,Assay anti-mullerian horm,,,30.9,71.45,58
CPT,82172,Apoliprotein (So),139.0,139.0,20.57,111.2,23
CPT,82172,Assay of apolipoprotein,,,19.49,39.02,58
CPT,82175,"Arsenic,Urine-24hr",255.0,255.0,37.74,204.0,23
CPT,82175,Assay of arsenic,,,18.97,35.09,58
CPT,82180,Assay of ascorbic acid,,,9.89,18.3,58
CPT,82180,"Vitamin C, Serum",214.2,214.2,31.7,171.36,23
CPT,82190,Atomic absorption,,,15.9,29.42,58
CPT,82232,Assay of beta-2 protein,,,16.18,29.93,58
CPT,82232,Beta-2 Microglobulin,347.3,347.3,51.4,277.84,23
CPT,82233,Beta-amyloid 1-40 (abeta 40),,,,,0
CPT,82234,Beta-amyloid 1-42 (abeta 42),,,,,0
CPT,82239,"Bile Acids, Serum",261.0,261.0,38.63,208.8,23
CPT,82239,Bile acids total,,,17.12,31.67,58
CPT,82240,Bile acids cholylglycine,,,26.58,49.17,58
CPT,82247,"Bili, Total-Fluid",160.0,160.0,23.68,128.0,23
CPT,82247,Bilirubin total,,,5.02,9.29,58
CPT,82247,"Bilirubin,Total",160.0,160.0,23.68,128.0,23
CPT,82248,"Bili, Direct - Fluid",133.0,133.0,19.68,106.4,23
CPT,82248,Bilirubin direct,,,5.02,9.29,58
CPT,82248,"Bilirubin,Direct",133.0,133.0,19.68,106.4,23
CPT,82252,Fecal bilirubin test,,,4.56,8.44,58
CPT,82261,Assay of biotinidase,,,16.87,31.21,58
CPT,82270,Fecal Occult Blood Test,86.0,86.0,12.73,68.8,23
CPT,82270,"Occult Blood, Stool",86.0,86.0,12.73,68.8,23
CPT,82270,Occult blood feces,,,4.04,8.1,58
CPT,82271,"Occult Blood, Gastric",83.0,83.0,12.28,66.4,23
CPT,82271,Occult blood other sources,,,4.04,9.84,58
CPT,82272,"Occult Blood Guaiac, Fecal",96.0,96.0,14.21,76.8,23
CPT,82272,Occult bld feces 1-3 tests,,,4.04,7.83,58
CPT,82274,Assay test for blood fecal,,,15.92,29.45,58
CPT,82274,"Fecal Occult Blood,Fit",191.0,191.0,28.27,152.8,23
CPT,82286,Assay of bradykinin,,,5.16,9.55,58
CPT,82300,Assay of cadmium,,,23.64,43.73,58
CPT,82306,"Vitamin D, Serum",304.0,304.0,44.99,243.2,23
CPT,82306,Vitamin d 25 hydroxy,,,29.6,54.76,58
CPT,82308,Assay of calcitonin,,,26.79,49.56,58
CPT,82308,"Calcitonin, Serum",421.87,421.87,62.44,337.5,23
CPT,82310,Assay of calcium,,,5.16,9.55,58
CPT,82310,Calcium,159.85,159.85,23.66,127.88,23
CPT,82310,"Calcium, Urine",159.85,159.85,23.66,127.88,23
CPT,82310,"Calcium,Synvl Fluid",139.0,139.0,20.57,111.2,23
CPT,82330,Assay of calcium,,,13.68,25.31,58
CPT,82330,"Calcium, Ionized",375.0,375.0,55.5,300.0,23
CPT,82330,"Calcium,Ionized,Wb",357.0,357.0,52.84,285.6,23
CPT,82331,Calcium infusion test,,,6.51,24.68,58
CPT,82340,Assay of calcium in urine,,,6.03,11.16,58
CPT,82340,Stone Risk Profile - Calcium Urine Quant (So),35.0,35.0,5.18,28.0,23
CPT,82355,Calculus analysis qual,,,11.58,21.42,58
CPT,82360,Calculus assay quant,,,12.87,23.81,58
CPT,82365,Calculus spectroscopy,,,12.9,23.87,58
CPT,82365,Stone Analysis,437.25,437.25,64.71,349.8,23
CPT,82370,X-ray assay calculus,,,12.52,23.16,58
CPT,82373,Assay c-d transfer measure,,,7.55,33.41,58
CPT,82374,Assay blood carbon dioxide,,,4.88,9.03,58
CPT,82374,Co2 Content,77.0,77.0,11.4,61.6,23
CPT,82375,Assay carboxyhb quant,,,3.62,22.79,58
CPT,82376,Assay carboxyhb qual,,,7.53,26.03,58
CPT,82378,CEA,454.25,454.25,67.23,363.4,23
CPT,82378,Carcinoembryonic antigen,,,18.96,35.08,58
CPT,82378,Cea Cyst Fluid (So),370.0,370.0,54.76,296.0,23
CPT,82379,Assay of carnitine,,,16.87,31.21,58
CPT,82379,"Carnitine(Total and Free),Quantitative,Each Specimen",335.0,335.0,49.58,268.0,23
CPT,82379,"Carnitine, Free",236.0,236.0,34.93,188.8,23
CPT,82379,"Carnitine, Total",236.0,236.0,34.93,188.8,23
CPT,82379,"Carnitine, Urine (Quest 30338)",418.0,418.0,61.86,334.4,23
CPT,82380,Assay of carotene,,,9.22,17.06,58
CPT,82380,"Carotene, Serum",258.0,258.0,38.18,206.4,23
CPT,82382,Assay urine catecholamines,,,21.62,50.51,58
CPT,82383,Assay blood catecholamines,,,29.08,53.8,58
CPT,82384,Assay three catecholamines,,,25.25,46.71,58
CPT,82384,"Catacholamines,Frac,UR So",138.0,138.0,20.42,110.4,23
CPT,82384,"Catecholam.,UR Frac",259.9,259.9,38.47,207.92,23
CPT,82384,"Catecholamines,Plasm",259.9,259.9,38.47,207.92,23
CPT,82387,Assay of cathepsin-d,,,18.06,33.41,58
CPT,82390,Assay of ceruloplasmin,,,10.74,19.87,58
CPT,82390,"Ceruloplasmin,Serum",236.0,236.0,34.93,188.8,23
CPT,82390,Ceruloplasmin-Serum (So),26.0,26.0,3.85,20.8,23
CPT,82397,Anti Adalimumab Ab (So),362.0,362.0,53.58,289.6,23
CPT,82397,Anti-Infliximab Ab,362.0,362.0,53.58,289.6,23
CPT,82397,"Anti-Mullerian Hormone (Amh), Female (So)",362.0,362.0,53.58,289.6,23
CPT,82397,Anti-Mullerian Hormone AssessrÖ(So),459.0,459.0,67.93,367.2,23
CPT,82397,Chemiluminescent assay,,,14.12,26.12,58
CPT,82397,Inhibin B(So),459.0,459.0,67.93,367.2,23
CPT,82415,Assay of chloramphenicol,,,12.67,23.44,58
CPT,82435,Assay of blood chloride,,,4.6,8.51,58
CPT,82435,Chloride,119.0,119.0,17.61,95.2,23
CPT,82436,Assay of urine chloride,,,5.75,10.64,58
CPT,82436,"Chloride, Urine",173.65,173.65,25.7,138.92,23
CPT,82438,Assay other fluid chlorides,,,5.0,9.25,58
CPT,82438,"Chloride,Fluid",105.0,105.0,15.54,84.0,23
CPT,82438,"Feces, Chloride (So)",96.0,96.0,14.21,76.8,23
CPT,82441,Test for chlorohydrocarbons,,,6.01,11.12,58
CPT,82465,Assay bld/serum cholesterol,,,4.35,8.05,58
CPT,82465,Cholesterol,134.0,134.0,19.83,107.2,23
CPT,82465,"Cholesterol,Fluid",134.0,134.0,19.83,107.2,23
CPT,82480,Assay Serum Cholinesterase,87.0,87.0,12.88,69.6,23
CPT,82480,Assay serum cholinesterase,,,7.87,14.56,58
CPT,82482,Assay rbc cholinesterase,,,9.67,18.15,58
CPT,82485,Assay chondroitin sulfate,,,20.65,38.2,58
CPT,82495,Assay of Chromium,97.0,97.0,14.36,77.6,23
CPT,82495,Assay of chromium,,,20.28,37.52,58
CPT,82495,"Chromium, Serum (So)",81.0,81.0,11.99,64.8,23
CPT,82507,Assay of citrate,,,27.8,51.43,58
CPT,82507,"Citric Acid, UR-24hr",194.0,194.0,28.71,155.2,23
CPT,82507,Stone Risk Profile - Citrate (So),32.0,32.0,4.74,25.6,23
CPT,82523,Collagen Crosslinks,149.0,149.0,22.05,119.2,23
CPT,82523,Collagen crosslinks,,,18.68,34.56,58
CPT,82525,Assay of Copper,92.0,92.0,13.62,73.6,23
CPT,82525,Assay of copper,,,12.41,22.96,58
CPT,82525,"Copper, Serum",251.85,251.85,37.27,201.48,23
CPT,82525,"Copper, Urine-24hr",251.85,251.85,37.27,201.48,23
CPT,82528,Assay of corticosterone,,,22.52,41.66,58
CPT,82530,Cortisol Free,254.0,254.0,37.59,203.2,23
CPT,82530,"Cortisol Free, UR-24h",302.0,302.0,44.7,241.6,23
CPT,82530,Cortisol free,,,16.71,30.91,58
CPT,82530,Cortisol;Free,254.0,254.0,37.59,203.2,23
CPT,82533,"Cortisol,Serum",650.0,650.0,96.2,520.0,23
CPT,82533,Total cortisol,,,16.3,30.16,58
CPT,82540,Assay of creatine,,,4.64,8.58,58
CPT,82542,"Bile Acids, Fractionated and Total (So)",364.0,364.0,53.87,291.2,23
CPT,82542,Col chromotography qual/quan,,,7.55,44.57,58
CPT,82542,"Thiopurine Methyl Transferase, Qt",791.0,791.0,117.07,632.8,23
CPT,82550,Assay of ck (cpk),,,6.35,12.04,58
CPT,82550,"Cpk,Total-Serum",231.0,231.0,34.19,184.8,23
CPT,82552,Assay of cpk in blood,,,13.39,24.77,58
CPT,82553,CKMB-Meia,355.0,355.0,52.54,284.0,23
CPT,82553,Creatine mb fraction,,,11.55,21.37,58
CPT,82554,Creatine isoforms,,,11.87,21.96,58
CPT,82565,Assay of creatinine,,,5.12,9.47,58
CPT,82565,Creatinine,149.0,149.0,22.05,119.2,23
CPT,82565,"POCT, Creatinine (Meter)",149.0,149.0,22.05,119.2,23
CPT,82570,Assay Creatinine Urine (So),48.0,48.0,7.1,38.4,23
CPT,82570,Assay of Urine Creatinine,102.0,102.0,15.1,81.6,23
CPT,82570,Assay of urine creatinine,,,5.18,9.58,58
CPT,82570,"Creatinine, Urine",173.65,173.65,25.7,138.92,23
CPT,82570,"Creatinine,Fluid",173.65,173.65,25.7,138.92,23
CPT,82570,Other Source,157.55,157.55,23.32,126.04,23
CPT,82570,Stone Risk Profile - Creatinine (So),32.0,32.0,4.74,25.6,23
CPT,82570,Urine Creatinine (So),119.0,119.0,17.61,95.2,23
CPT,82570,Urine Creatinine Qd (So),41.0,41.0,6.07,32.8,23
CPT,82575,Creatinine Clearance Test,24.0,24.0,3.55,19.2,23
CPT,82575,Creatinine clearance test,,,9.46,17.5,58
CPT,82585,Assay of cryofibrinogen,,,10.78,26.16,58
CPT,82595,Assay of cryoglobulin,,,6.47,11.97,58
CPT,82595,"Cryocrit,Serum",104.0,104.0,15.39,83.2,23
CPT,82595,"Cryoglobulin,Serum",119.6,119.6,17.7,95.68,23
CPT,82600,Assay of cyanide,,,19.4,35.89,58
CPT,82600,Cyanide,252.0,252.0,37.3,201.6,23
CPT,82607,"Vitamin B12,Serum",457.7,457.7,67.74,366.16,23
CPT,82607,Vitamin b-12,,,15.08,27.9,58
CPT,82608,B-12 binding capacity,,,14.32,26.49,58
CPT,82610,Cystatin C (So),334.65,334.65,49.53,267.72,23
CPT,82610,Cystatin c,,,17.1,34.26,58
CPT,82615,Test for urine cystines,,,9.55,17.67,58
CPT,82626,Dehydroepiandrosterone,,,25.27,46.75,58
CPT,82627,Dehydroepiandrosterone,,,22.23,41.13,58
CPT,82627,"Dhea-So4, Serum",434.0,434.0,64.23,347.2,23
CPT,82633,Desoxycorticosterone,,,30.98,57.31,58
CPT,82634,Deoxycortisol,,,29.28,54.17,58
CPT,82634,"Deoxycortisol,11-Bld",194.0,194.0,28.71,155.2,23
CPT,82638,Assay of Dibucaine Number,74.0,74.0,10.95,59.2,23
CPT,82638,Assay of dibucaine number,,,12.25,22.66,58
CPT,82642,Dihydrotestosterone,,,26.02,54.17,58
CPT,82652,"Vit D,1,25-Dihydroxy",533.0,533.0,78.88,426.4,23
CPT,82652,Vit d 1 25-dihydroxy,,,38.5,71.23,58
CPT,82653,El-1 fecal quantitative,,,18.38,42.49,58
CPT,82656,El-1 fecal qual/semiq,,,11.53,21.33,55
CPT,82656,Pancreatic Elastase-1 So,389.85,389.85,57.7,311.88,23
CPT,82657,Enzyme cell activity,,,7.55,41.01,58
CPT,82658,Enzyme cell activity ra,,,7.55,81.46,58
CPT,82664,"Amylase, Isoenzymes",311.0,311.0,46.03,248.8,23
CPT,82664,Electrophoretic test,,,43.2,113.78,58
CPT,82668,Assay of erythropoietin,,,18.79,34.76,58
CPT,82668,"Erythropoietin,Serum",345.0,345.0,51.06,276.0,23
CPT,82670,Assay of total estradiol,,,27.94,51.69,58
CPT,82670,Estradiol; Total,405.0,405.0,59.94,324.0,23
CPT,82671,Assay of estrogens,,,32.3,59.76,58
CPT,82672,Assay of estrogen,,,20.94,40.15,58
CPT,82677,Assay of estriol,,,24.18,44.73,58
CPT,82677,"Estriol(Free),Serum",209.0,209.0,30.93,167.2,23
CPT,82679,Assay of estrone,,,24.95,46.16,58
CPT,82679,"Estrone, Serum",294.0,294.0,43.51,235.2,23
CPT,82681,Assay dir meas fr estradiol,,,22.35,69.33,58
CPT,82693,Assay of ethylene glycol,,,14.9,27.57,58
CPT,82693,"Ethylene Glycol,Bld",48.53,48.53,7.18,38.82,23
CPT,82696,Assay of etiocholanolone,,,26.24,48.54,58
CPT,82705,Fats/lipids feces qual,,,5.1,9.44,58
CPT,82705,"Stool Fat, Qual",96.0,96.0,14.21,76.8,23
CPT,82710,Fats/lipids feces quant,,,16.8,31.08,58
CPT,82710,"Fecal Fat, Quant",268.0,268.0,39.66,214.4,23
CPT,82715,Assay of fecal fat,,,21.65,42.49,58
CPT,82725,Assay of blood fatty acids,,,16.74,34.72,58
CPT,82725,"Fatty Acids,Ess-Ser",227.0,227.0,33.6,181.6,23
CPT,82726,Long chain fatty acids,,,7.55,36.54,58
CPT,82726,Very Long Fatty Acids (So),389.0,389.0,57.57,311.2,23
CPT,82728,Assay of ferritin,,,13.63,25.22,58
CPT,82728,"Ferritin,Serum",313.95,313.95,46.46,251.16,23
CPT,82731,Assay of fetal fibronectin,,,64.41,119.16,58
CPT,82731,Fetal Fibronectin,1105.0,1105.0,163.54,884.0,23
CPT,82735,Assay of fluoride,,,18.54,34.3,58
CPT,82746,Assay of folic acid serum,,,14.7,27.2,58
CPT,82746,"Folate,Serum",395.0,395.0,58.46,316.0,23
CPT,82747,Assay of folic acid rbc,,,17.65,32.65,58
CPT,82747,"Folate, RBC",371.0,371.0,54.91,296.8,23
CPT,82757,Assay of semen fructose,,,17.34,32.08,58
CPT,82759,Assay of rbc galactokinase,,,21.48,39.74,58
CPT,82760,Assay of galactose,,,11.2,20.72,58
CPT,82775,Assay galactose transferase,,,21.07,38.98,58
CPT,82775,Galactose-1-Phos,224.0,224.0,33.15,179.2,23
CPT,82776,Galactose transferase test,,,10.54,21.72,58
CPT,82777,Galectin-3,,,14.24,81.86,58
CPT,82784,Assay iga/igd/igg/igm each,,,9.3,17.21,58
CPT,82784,"Immuno-Igg,CSF",172.0,172.0,25.46,137.6,23
CPT,82784,"Immunoglob-G,Serum",273.0,273.0,40.4,218.4,23
CPT,82784,"Immunoglob-Igd,Serum",288.65,288.65,42.72,230.92,23
CPT,82784,"Immunoglob-M,Serum",273.0,273.0,40.4,218.4,23
CPT,82784,"Immunoglob-a,Serum",273.0,273.0,40.4,218.4,23
CPT,82784,"Immunoglobulin,Igg-CSF (So)",30.0,30.0,4.44,24.0,23
CPT,82785,Assay of ige,,,16.46,30.45,58
CPT,82785,"Immunoglob-Ige,Serum",204.0,204.0,30.19,163.2,23
CPT,82787,Igg 1 2 3 or 4 Each,84.0,84.0,12.43,67.2,23
CPT,82787,Igg 1 2 3 or 4 each,,,8.02,14.84,58
CPT,82800,Blood ph,,,10.65,20.35,58
CPT,82800,"Ph, Art.",292.0,292.0,43.22,233.6,23
CPT,82800,"Ph, Ven.",292.0,292.0,43.22,233.6,23
CPT,82803,Abg Analysis,597.0,597.0,88.36,477.6,23
CPT,82803,Blood Gas-Arterial,597.0,597.0,88.36,477.6,23
CPT,82803,Blood Gas-Cord Art.,597.0,597.0,88.36,477.6,23
CPT,82803,Blood Gas-Cord Ven.,597.0,597.0,88.36,477.6,23
CPT,82803,Blood Gas-Venous,597.0,597.0,88.36,477.6,23
CPT,82803,Blood gases any combination,,,24.34,48.23,58
CPT,82803,Hemodynamics,597.0,597.0,88.36,477.6,23
CPT,82805,"Bld. Gas+Sat. Prof, Art",799.25,799.25,118.29,639.4,23
CPT,82805,"Bld. Gas+Sat. Prof, Ven",799.25,799.25,118.29,639.4,23
CPT,82805,Blood gases w/o2 saturation,,,35.69,145.72,58
CPT,82810,Blood gases o2 sat only,,,9.77,18.07,58
CPT,82810,"Saturation Prof, Art.",214.0,214.0,31.67,171.2,23
CPT,82810,"Saturation Prof, Ven.",214.0,214.0,31.67,171.2,23
CPT,82820,Hemoglobin-oxygen affinity,,,12.56,24.68,58
CPT,82930,Gastric analy w/ph ea spec,,,6.71,22.25,58
CPT,82938,Gastrin test,,,17.69,32.73,55
CPT,82941,Assay of gastrin,,,17.63,32.62,58
CPT,82941,"Gastrin,Serum",281.0,281.0,41.59,224.8,23
CPT,82943,Assay of glucagon,,,14.29,26.44,58
CPT,82945,Glucose other fluid,,,3.93,7.27,58
CPT,82945,"Glucose,CSF",366.0,366.0,54.17,292.8,23
CPT,82945,"Glucose,Fluid",366.0,366.0,54.17,292.8,23
CPT,82945,"Glucose,Urine(Quant)",241.0,241.0,35.67,192.8,23
CPT,82946,Glucagon tolerance test,,,17.77,32.87,58
CPT,82947,Assay glucose blood quant,,,3.93,7.27,58
CPT,82947,Glucose,381.0,381.0,56.39,304.8,23
CPT,82947,"Glucose,Fasting Bld",381.0,381.0,56.39,304.8,23
CPT,82947,Glucose-Wb,165.6,165.6,24.51,132.48,23
CPT,82947,"POCT, Glucose (Meter)",146.05,146.05,21.62,116.84,23
CPT,82948,Reagent strip/blood glucose,,,3.99,9.32,58
CPT,82950,Glucose test,,,4.75,8.79,58
CPT,82950,"Glucose,1hr (50gm)",341.0,341.0,50.47,272.8,23
CPT,82950,"Glucose,Bld-2hr Pp",133.0,133.0,19.68,106.4,23
CPT,82951,Glucose tolerance test (gtt),,,12.87,23.81,58
CPT,82951,"Gtt,Oral-3hr Gtt",290.0,290.0,42.92,232.0,23
CPT,82951,"Gtt,Prenatal(100gm)",290.0,290.0,42.92,232.0,23
CPT,82952,3rd Hour-Gtt Specimen,99.0,99.0,14.65,79.2,23
CPT,82952,Gtt-added samples,,,3.92,7.25,58
CPT,82955,Assay of g6pd enzyme,,,9.7,17.95,58
CPT,82955,"G6pd, RBC Quant",242.0,242.0,35.82,193.6,23
CPT,82960,Test for g6pd enzyme,,,6.05,11.19,58
CPT,82962,Blood Glucose Check,84.0,84.0,12.43,67.2,23
CPT,82962,Glucose blood test,,,2.94,6.07,58
CPT,82962,POCT Glucose Meter,92.0,92.0,13.62,73.6,23
CPT,82963,Assay of glucosidase,,,21.48,39.74,58
CPT,82963,Beta Glucosidase So,1282.0,1282.0,189.74,1025.6,23
CPT,82965,Assay of gdh enzyme,,,9.72,24.33,58
CPT,82977,Assay of ggt,,,6.35,13.32,58
CPT,82977,"Ggtp,Serum",184.0,184.0,27.23,147.2,23
CPT,82978,Assay of glutathione,,,15.45,28.58,58
CPT,82979,Assay rbc glutathione,,,8.66,17.46,58
CPT,82985,Assay of glycated protein,,,16.76,31.01,58
CPT,82985,Glycated Protein,263.35,263.35,38.98,210.68,23
CPT,83001,Assay of gonadotropin (fsh),,,18.58,34.37,58
CPT,83001,Follicle Stimulating Hormone (So),84.0,84.0,12.43,67.2,23
CPT,83001,"Fsh,Serum",480.0,480.0,71.04,384.0,23
CPT,83002,Assay of gonadotropin (lh),,,18.52,34.26,58
CPT,83002,"Lh,Serum",585.0,585.0,86.58,468.0,23
CPT,83002,Luteinizing Hormone (So),84.0,84.0,12.43,67.2,23
CPT,83003,Assay growth hormone (hgh),,,16.67,30.84,58
CPT,83003,Growth Hormone,160.0,160.0,23.68,128.0,23
CPT,83006,Growth stimulation gene 2,,,18.25,139.86,58
CPT,83009,H pylori (c-13) blood,,,67.36,124.62,55
CPT,83010,Assay of haptoglobin quant,,,4.69,23.27,58
CPT,83010,"Haptoglobin,Serum",391.0,391.0,57.87,312.8,23
CPT,83012,Assay of haptoglobins,,,21.62,49.75,58
CPT,83013,H pylori (c-13) breath,,,66.53,124.62,58
CPT,83014,H pylori drug admin,,,7.76,14.54,58
CPT,83015,Heavy metal qual any anal,,,20.94,38.74,58
CPT,83018,"Cobalt, Plasma (So)",352.0,352.0,52.1,281.6,23
CPT,83018,Heavy metal quant each nes,,,21.96,40.63,58
CPT,83018,Quantitative Screen Metals,210.0,210.0,31.08,168.0,23
CPT,83020,Hemoglobin electrophoresis,,,12.29,27.47,58
CPT,83020,Hgb Elect - Family,234.0,234.0,34.63,187.2,23
CPT,83020,Hgb Electrophoresis,234.0,234.0,34.63,187.2,23
CPT,83020,Newborn Screen,234.0,234.0,34.63,187.2,23
CPT,83021,Hemoglobin chromotography,,,7.55,33.41,58
CPT,83021,"Hgb Phenotyping, Complete",271.0,271.0,40.11,216.8,23
CPT,83021,"Hgb Phenotyping, Family Member",271.0,271.0,40.11,216.8,23
CPT,83026,Hemoglobin copper sulfate,,,2.97,7.42,58
CPT,83030,Hemoglobin f fetal chemical,,,10.4,19.87,58
CPT,83033,Hemoglobin ftl f assay qual,,,7.5,14.8,58
CPT,83036,Hemoglobin glycosylated a1c,,,9.71,17.96,58
CPT,83036,Hgb Glucose A1c,255.3,255.3,37.78,204.24,23
CPT,83037,Hb glycosylated a1c home dev,,,9.71,17.96,55
CPT,83045,Hgb methemoglobin qual,,,5.16,12.01,58
CPT,83050,Hgb methemoglobin quan,,,8.2,15.17,58
CPT,83051,Hemoglobin plasma,,,7.31,13.52,58
CPT,83060,Hgb sulfhemoglobin quan,,,8.8,16.28,58
CPT,83065,Hemoglobin thermolabile,,,8.66,16.65,58
CPT,83068,Hemoglobin unstable screen,,,9.47,17.52,58
CPT,83069,Hemoglobin urine,,,3.95,7.31,58
CPT,83070,Assay of hemosiderin qual,,,4.75,8.79,58
CPT,83070,"Hemosiderin, Urine",87.0,87.0,12.88,69.6,23
CPT,83080,Assay of b hexosaminidase ea,,,16.87,31.21,58
CPT,83088,Assay of histamine,,,29.53,54.63,58
CPT,83090,Assay of Homocystine,347.0,347.0,51.36,277.6,23
CPT,83090,Assay of homocysteine,,,17.92,33.15,58
CPT,83150,Assay of homovanillic acid,,,22.41,41.46,58
CPT,83150,Homovanillic Acid-24h,131.0,131.0,19.39,104.8,23
CPT,83491,Asy hydroxycorticosteroids17,,,17.9,33.12,58
CPT,83497,Assay of 5-Hiaa,221.0,221.0,32.71,176.8,23
CPT,83497,Assay of 5-hiaa,,,12.9,23.87,58
CPT,83497,"Serotonin,Urine-24",223.0,223.0,33.0,178.4,23
CPT,83498,Asy hydroxyprogesterone 17-d,,,27.17,50.26,58
CPT,83498,"Progesterone,17a-Oh",311.0,311.0,46.03,248.8,23
CPT,83500,Assay free hydroxyproline,,,22.65,41.9,58
CPT,83505,Assay total hydroxyproline,,,24.3,44.96,58
CPT,83516,Euromyelitis Optica(So),301.0,301.0,44.55,240.8,23
CPT,83516,Gliadin Ab Igg,301.0,301.0,44.55,240.8,23
CPT,83516,Immunoassay Nonantibody,272.0,272.0,36.7,230.4,69
CPT,83516,Immunoassay Nonantibody (So),195.0,195.0,28.86,156.0,23
CPT,83516,Immunoassay nonantibody,,,11.53,21.33,58
CPT,83516,MYOSITIS ASSESS AUTOAB (Q10185)Non AB,301.0,301.0,44.55,240.8,23
CPT,83516,Ribosomal P Antibody (So),213.0,213.0,31.52,170.4,23
CPT,83516,Rna Polymerase III Antibody,228.0,228.0,33.74,182.4,23
CPT,83516,T-Transglutamin Igg,248.0,248.0,36.7,198.4,23
CPT,83516,T-Transglutaminase Iga,248.0,248.0,36.7,198.4,23
CPT,83518,Immunoassay dipstick,,,9.64,17.83,58
CPT,83519,Ach Receptor (Muscle Binding Abs) Mayo,218.0,218.0,32.26,174.4,23
CPT,83519,Enceph Auto Eval CSF Ria (So),434.0,434.0,64.23,347.2,23
CPT,83519,Gad-65 Autoantibody,461.15,461.15,68.25,368.92,23
CPT,83519,Igf Binding Protein-3,461.15,461.15,68.25,368.92,23
CPT,83519,Paraneo Autoab Eval Ria(So),186.0,186.0,27.53,148.8,23
CPT,83519,Pth-Realated Protein So,499.1,499.1,73.87,399.28,23
CPT,83519,"Quantitative, by Radioimmunoassay(Eg:Ria)",597.0,597.0,88.36,477.6,46
CPT,83519,Ria Nonab (So),461.15,461.15,66.3,625.6,138
CPT,83519,Ria Nonantibody,416.0,416.0,54.32,477.6,92
CPT,83519,Ria nonantibody,,,16.99,34.04,58
CPT,83520,"Admark« Phospho-Tau/Total-Tau/a Beta42,Analysis and Interp,CSF (So)",3550.0,3550.0,525.4,2840.0,23
CPT,83520,Anti Gm1 Ab Titer,817.65,817.65,121.01,654.12,23
CPT,83520,Anti Gq1b Ab Titer,817.65,817.65,121.01,654.12,23
CPT,83520,Ganglioside Gd1b Ab (So),358.0,358.0,52.98,286.4,23
CPT,83520,Ganglioside Gq1b Antibody (Igg)(So),817.65,817.65,121.01,654.12,23
CPT,83520,Hmgcr Antibody (Igg) - Qd (So),646.0,646.0,95.61,516.8,23
CPT,83520,Immunoassay Quant Nos Nonab,337.5,337.5,46.92,286.4,69
CPT,83520,Immunoassay Quant Nos Nonab (So),195.0,195.0,28.86,156.0,23
CPT,83520,Immunoassay quant nos nonab,,,16.28,31.95,58
CPT,83520,Infliximab Ab Ibd (So),817.65,817.65,121.01,654.12,23
CPT,83520,Interleuk 2 Rec Cd25 (So),358.0,358.0,52.98,286.4,23
CPT,83520,Interleukin-6 (Il-6) (So),358.0,358.0,52.98,286.4,23
CPT,83520,Interleukin-6 Ruo,684.0,684.0,101.23,547.2,23
CPT,83520,Interlukin-6 (So),500.0,500.0,74.0,400.0,23
CPT,83520,Kappa Free Light Chain Ab,181.7,181.7,26.89,145.36,23
CPT,83520,Lambda Free Light Chain Ab,181.7,181.7,26.89,145.36,23
CPT,83520,Mitochondrial Ab,817.65,817.65,121.01,654.12,23
CPT,83520,Paraneo Autoab Quant Ria(So),186.0,186.0,27.53,148.8,23
CPT,83520,Phospholipase A2 Ab Quant (So),817.65,817.65,121.01,654.12,23
CPT,83520,Prothrombin Fragment (E),348.0,348.0,51.5,278.4,23
CPT,83520,Prothrombin Fragment 1.2 (So),676.0,676.0,100.05,540.8,23
CPT,83520,Thrombin-Antithrom Quant (So),421.0,421.0,62.31,336.8,23
CPT,83520,Thrombin-Antithrombin (Tat) Complex (So),556.0,556.0,82.29,444.8,23
CPT,83520,Tryptase (So),652.0,652.0,96.5,521.6,23
CPT,83520,Tsh Receptor Binding Ab Trab (So),817.65,817.65,121.01,654.12,23
CPT,83520,"Vasc Endothelial Gf,Elisa",817.65,817.65,121.01,654.12,23
CPT,83521,Ig light chains free each,,,13.82,31.95,58
CPT,83525,Assay of insulin,,,11.43,21.15,58
CPT,83525,"Insulin, Serum",324.0,324.0,47.95,259.2,23
CPT,83527,Assay of insulin,,,12.95,23.96,58
CPT,83528,Assay of intrinsic factor,,,19.82,36.67,58
CPT,83529,Asay of interleukin-6 (il-6),,,13.82,31.95,58
CPT,83540,Assay of iron,,,6.47,11.97,58
CPT,83540,"Iron-Total,Serum",229.0,229.0,33.89,183.2,23
CPT,83550,Iron binding test,,,8.74,16.17,58
CPT,83570,Assay of idh enzyme,,,8.85,16.37,58
CPT,83582,Assay of ketogenic steroids,,,15.47,28.62,58
CPT,83586,Assay 17- ketosteroids,,,12.8,23.68,58
CPT,83593,Fractionation ketosteroids,,,28.5,52.73,58
CPT,83593,"Steroids-17keto,24hr",367.0,367.0,54.32,293.6,23
CPT,83605,Assay of lactic acid,,,11.57,21.4,58
CPT,83605,"Lactic Acid, Blood",367.0,367.0,54.32,293.6,23
CPT,83605,"Lactic Acid, CSF",333.0,333.0,49.28,266.4,23
CPT,83605,"Lactic Acid, Fluid",333.0,333.0,49.28,266.4,23
CPT,83605,POCT Lactate Venous (Meter),367.0,367.0,54.32,293.6,23
CPT,83615,Lactate (ld) (ldh) enzyme,,,6.04,11.17,58
CPT,83615,"Ldh,CSF",153.0,153.0,22.64,122.4,23
CPT,83615,"Ldh,Fluid",175.95,175.95,26.04,140.76,23
CPT,83615,"Ldh,Total-Serum",175.95,175.95,26.04,140.76,23
CPT,83625,Assay of ldh enzymes,,,12.79,23.66,58
CPT,83630,Lactoferrin fecal (qual),,,13.45,36.45,58
CPT,83631,Lactoferrin fecal (quant),,,19.63,36.32,58
CPT,83632,Placental Lactogen,321.0,321.0,47.51,256.8,23
CPT,83632,Placental lactogen,,,20.22,37.41,58
CPT,83633,Test urine for lactose,,,6.92,20.81,58
CPT,83655,Assay of lead,,,10.0,22.4,58
CPT,83655,"Lead,Blood",230.0,230.0,34.04,184.0,23
CPT,83655,"Lead,Urine-24hr",195.0,195.0,28.86,156.0,23
CPT,83661,L/s ratio fetal lung,,,21.99,40.68,58
CPT,83662,Foam stability fetal lung,,,18.91,34.98,58
CPT,83663,Fluoro polarize fetal lung,,,11.9,34.98,58
CPT,83664,Lamellar bdy fetal lung,,,5.95,35.74,58
CPT,83670,Assay of lap enzyme,,,9.81,18.15,58
CPT,83690,Assay of Lipase,125.0,125.0,18.5,100.0,23
CPT,83690,Assay of lipase,,,6.89,12.75,58
CPT,83690,"Lipase, Serum",282.0,282.0,41.74,225.6,23
CPT,83695,Assay of Lipoprotein(A),186.0,186.0,27.53,148.8,23
CPT,83695,Assay of lipoprotein(a),,,14.32,26.49,58
CPT,83698,Assay lipoprotein pla2,,,42.69,85.67,58
CPT,83700,Lipopro bld electrophoretic,,,11.0,20.83,58
CPT,83701,Lipoprotein bld hr fraction,,,31.21,62.64,58
CPT,83704,Lipoprotein bld quan part,,,34.19,63.25,58
CPT,83718,Assay of lipoprotein,,,8.19,15.15,58
CPT,83718,"Chol,Hdl",190.0,190.0,28.12,152.0,23
CPT,83719,Assay of blood lipoprotein,,,12.75,23.59,58
CPT,83721,Assay of blood lipoprotein,,,10.5,19.43,58
CPT,83721,"Chol-Ldl, Direct",187.0,187.0,27.68,149.6,23
CPT,83722,Lipoprtn dir meas sd ldl chl,,,28.05,63.25,58
CPT,83727,Assay of lrh hormone,,,17.19,31.8,58
CPT,83735,Assay of magnesium,,,6.7,12.4,58
CPT,83735,Magnesium,216.2,216.2,32.0,172.96,23
CPT,83735,"Magnesium, Urine",160.0,160.0,23.68,128.0,23
CPT,83735,Stone Risk Profile - Magnesium (So),35.0,35.0,5.18,28.0,23
CPT,83775,Assay malate dehydrogenase,,,7.37,13.63,58
CPT,83785,Assay of Manganese,119.0,119.0,17.61,95.2,23
CPT,83785,Assay of manganese,,,26.65,49.3,58
CPT,83785,"Manganese, Serum (So)",120.0,120.0,17.76,96.0,23
CPT,83789,"Ethambutol, Serum (Nms)",315.0,315.0,46.62,252.0,23
CPT,83789,Levamisole,366.0,366.0,54.17,292.8,23
CPT,83789,Mass spectrometry qual/quan,,,7.55,44.6,58
CPT,83789,"Pyrazinamide, Serum (Nms)",460.0,460.0,68.08,368.0,23
CPT,83789,"Quantitative, Each Specimen",287.5,287.5,31.52,289.6,46
CPT,83825,Assay of mercury,,,16.26,30.08,58
CPT,83825,"Mercury, 24-Hour Urine (So)",55.0,55.0,8.14,44.0,23
CPT,83825,"Mercury, Blood (So)",73.0,73.0,10.8,58.4,23
CPT,83825,"Mercury,Urine-24hr",169.0,169.0,25.01,135.2,23
CPT,83835,Assay of metanephrines,,,16.94,31.34,58
CPT,83835,"Metaneph.Tot,UR",508.0,508.0,75.18,406.4,23
CPT,83835,"Metanephrines, Frac, Plasma",544.0,544.0,80.51,435.2,23
CPT,83835,"Metanephrines,Frac,UR(So)",244.0,244.0,36.11,195.2,23
CPT,83857,Assay of methemalbumin,,,10.74,20.78,58
CPT,83861,Microfluid analy tears,,,22.48,41.59,58
CPT,83864,Mucopolysaccharides,,,13.51,52.73,58
CPT,83872,Assay synovial fluid mucin,,,5.86,12.38,58
CPT,83873,Assay of csf protein,,,17.2,31.82,58
CPT,83874,Assay of myoglobin,,,12.92,23.9,58
CPT,83874,"Myoglobin-Qual,Urine",276.0,276.0,40.85,220.8,23
CPT,83876,Assay myeloperoxidase,,,15.13,94.09,58
CPT,83880,Assay of natriuretic peptide,,,39.26,72.63,58
CPT,83880,B-Type Natriurtic Peptide,533.0,533.0,78.88,426.4,23
CPT,83880,Cardio Iq Nt Probnp (So),464.0,464.0,68.67,371.2,23
CPT,83883,"Albumin,CSF-Immuno",264.0,264.0,39.07,211.2,23
CPT,83883,"Albumin-Immuno,Ser",264.0,264.0,39.07,211.2,23
CPT,83883,Alpha-2-Macroglobulin (So),182.0,182.0,26.94,145.6,23
CPT,83883,Assay nephelometry not spec,,,13.6,25.16,58
CPT,83883,Free Kappa,264.0,264.0,39.07,211.2,23
CPT,83883,Free Lambda,264.0,264.0,39.07,211.2,23
CPT,83884,Assay neurflmnt light chain,,,,,0
CPT,83885,Assay of nickel,,,24.51,45.34,58
CPT,83915,5'-Nucleotidase,190.0,190.0,28.12,152.0,23
CPT,83915,Assay of nucleotidase,,,11.15,20.63,58
CPT,83916,"Oligoclonal Bands,CSF(So)",193.2,193.2,28.59,154.56,23
CPT,83916,Oligoclonal bands,,,25.28,50.67,58
CPT,83918,Organic Acids (So),418.0,418.0,61.86,334.4,23
CPT,83918,Organic acids total quant,,,20.7,43.66,58
CPT,83919,Organic acids qual each,,,16.45,30.43,58
CPT,83921,Methylmalonic Acid,278.0,278.0,41.14,222.4,23
CPT,83921,Organic Acid,278.0,278.0,41.14,222.4,23
CPT,83921,Organic acid single quant,,,20.7,39.24,58
CPT,83930,Assay of blood osmolality,,,6.61,12.23,58
CPT,83930,Osmolality,265.0,265.0,39.22,212.0,23
CPT,83935,Assay of urine osmolality,,,6.82,12.62,58
CPT,83935,"Osmolality,Fluid",216.0,216.0,31.97,172.8,23
CPT,83935,"Osmolality,Urine",272.0,272.0,40.26,217.6,23
CPT,83937,Assay of osteocalcin,,,29.85,55.22,58
CPT,83945,Assay of oxalate,,,14.45,26.73,58
CPT,83945,"Oxalate, Urine-24hr",150.0,150.0,22.2,120.0,23
CPT,83945,Stone Risk Profile - Oxalate (So),32.0,32.0,4.74,25.6,23
CPT,83950,Oncoprotein her-2/neu,,,64.41,119.16,58
CPT,83951,Oncoprotein dcp,,,64.41,119.16,58
CPT,83970,Assay of parathormone,,,41.28,76.37,58
CPT,83970,Parathormone Intact,838.0,838.0,124.02,670.4,23
CPT,83986,Assay ph body fluid nos,,,3.58,6.62,58
CPT,83986,"Ph, Misc Fluids",129.95,129.95,19.23,103.96,23
CPT,83986,"Ph, Stool",123.0,123.0,18.2,98.4,23
CPT,83986,Stone Risk Profile - Ph Body Fluid (So),35.0,35.0,5.18,28.0,23
CPT,83987,Exhaled breath condensate,,,3.58,6.62,55
CPT,83992,Assay for phencyclidine,,,0.03,51.97,9
CPT,83992,"Phencyclidne,UR-Eia",245.0,245.0,36.26,196.0,23
CPT,83993,Assay for calprotectin fecal,,,19.63,36.32,58
CPT,83993,"Calprotectin, Stool (So)",496.0,496.0,73.41,396.8,23
CPT,84030,Assay of blood pku,,,5.5,10.18,58
CPT,84035,Assay of phenylketones,,,3.98,7.36,58
CPT,84060,Assay acid phosphatase,,,7.64,14.13,58
CPT,84066,Assay prostate phosphatase,,,9.66,17.87,58
CPT,84066,Prostatic Acid Phosphatase,216.0,216.0,31.97,172.8,23
CPT,84075,Alk Phosphatase,133.4,133.4,19.74,106.72,23
CPT,84075,Assay alkaline phosphatase,,,5.18,9.58,58
CPT,84078,Assay alkaline phosphatase,,,8.26,15.28,58
CPT,84080,Alk Phos Isoenzymes,269.0,269.0,39.81,215.2,23
CPT,84080,Assay alkaline phosphatases,,,14.78,27.34,58
CPT,84081,Assay phosphatidylglycerol,,,16.52,30.56,58
CPT,84085,Assay of rbc pg6d enzyme,,,8.48,17.46,58
CPT,84087,Assay phosphohexose enzymes,,,10.73,19.85,58
CPT,84100,Assay of phosphorus,,,4.74,8.77,58
CPT,84100,Phosphorus,150.0,150.0,22.2,120.0,23
CPT,84105,Assay of urine phosphorus,,,5.78,10.69,58
CPT,84105,"Phosphorus, Urine",164.0,164.0,24.27,131.2,23
CPT,84105,Stone Risk Profile - Phosphate Urine (So),35.0,35.0,5.18,28.0,23
CPT,84106,Test for porphobilinogen,,,5.39,10.77,58
CPT,84110,Assay of Porphobilinogen,162.0,162.0,23.98,129.6,23
CPT,84110,Assay of porphobilinogen,,,8.44,15.61,58
CPT,84112,Eval amniotic fluid protein,,,72.51,181.5,58
CPT,84119,Test urine for porphyrins,,,10.83,24.72,58
CPT,84120,Assay of Urine Porphyrins,83.0,83.0,12.28,66.4,23
CPT,84120,Assay of urine porphyrins,,,14.71,27.21,58
CPT,84120,"Porphyrins,UR-Quant",178.0,178.0,26.34,142.4,23
CPT,84126,Assay of feces porphyrins,,,32.03,72.35,58
CPT,84132,Assay of serum potassium,,,4.76,8.81,58
CPT,84132,Potassium,141.0,141.0,20.87,112.8,23
CPT,84132,"Potassium, Wb",141.0,141.0,20.87,112.8,23
CPT,84132,"Potassium,Plasma",141.0,141.0,20.87,112.8,23
CPT,84133,Assay of urine potassium,,,4.73,8.75,58
CPT,84133,"Potassium, Urine",151.0,151.0,22.35,120.8,23
CPT,84133,"Potassium,Fluid",150.99,150.99,22.35,120.79,23
CPT,84133,Stone Risk Profile - Potassium Urine (So),32.0,32.0,4.74,25.6,23
CPT,84134,Assay of prealbumin,,,14.59,26.99,58
CPT,84134,Prealbumin,282.0,282.0,41.74,225.6,23
CPT,84135,Assay of pregnanediol,,,21.27,39.35,55
CPT,84138,Assay of pregnanetriol,,,21.05,38.94,58
CPT,84140,Assay of pregnenolone,,,20.67,38.24,58
CPT,84143,Assay of 17-hydroxypregneno,,,22.81,42.2,58
CPT,84143,C17-Hydroxypregnenolone(Quest 8352),230.0,230.0,34.04,184.0,23
CPT,84144,Assay of progesterone,,,20.86,38.59,58
CPT,84144,"Progesterone, Serum",342.0,342.0,50.62,273.6,23
CPT,84145,Procalcitonin (pct),,,27.22,50.36,55
CPT,84145,Procalcitonin - Serum,516.35,516.35,76.42,413.08,23
CPT,84146,Assay of prolactin,,,19.38,35.85,58
CPT,84146,"Prolactin,Serum",437.0,437.0,64.68,349.6,23
CPT,84150,Assay of prostaglandin,,,31.39,77.27,58
CPT,84152,Assay of psa complexed,,,18.39,34.02,58
CPT,84152,"Psa, Total Screening",338.0,338.0,50.02,270.4,23
CPT,84153,Assay of psa total,,,18.39,34.02,58
CPT,84153,Prostatic Antigen,343.0,343.0,50.76,274.4,23
CPT,84154,Assay of psa free,,,18.39,34.02,58
CPT,84155,"Assay Protein, Serum (So)",32.0,32.0,4.74,25.6,23
CPT,84155,Assay of protein serum,,,3.67,6.79,58
CPT,84155,"Protein,Total",138.0,138.0,20.42,110.4,23
CPT,84156,Assay Protein Urine (So),54.0,54.0,7.99,43.2,23
CPT,84156,Assay of protein urine,,,3.67,6.79,58
CPT,84156,"Protein,UR (Quant)",192.05,192.05,28.42,153.64,23
CPT,84156,Urine Protein Qd (So,42.0,42.0,6.22,33.6,23
CPT,84157,Assay of protein other,,,4.0,7.4,58
CPT,84157,"Protein, CSF",240.35,240.35,35.57,192.28,23
CPT,84157,"Protein,Fluid",240.35,240.35,35.57,192.28,23
CPT,84157,"Protein,Total and Electrophoresis,CSF(So)",209.0,209.0,30.93,167.2,23
CPT,84160,Assay of protein any source,,,5.61,10.38,58
CPT,84163,Pappa serum,,,8.07,27.84,58
CPT,84163,Preg Assoc Plasma Protein,160.0,160.0,23.68,128.0,23
CPT,84165,"Protein Elect, Serum",357.0,357.0,52.84,285.6,23
CPT,84165,Protein Electrophoresis Serum (So),32.0,32.0,4.74,25.6,23
CPT,84165,Protein e-phoresis serum,,,10.74,27.47,58
CPT,84166,"Protein Elect, Urine",410.55,410.55,60.76,328.44,23
CPT,84166,"Protein Electrophoresis, Urine (So)",54.0,54.0,7.99,43.2,23
CPT,84166,Protein e-phoresis/urine/csf,,,17.17,32.99,58
CPT,84166,"Protein,Total and Electrophoresis,Qnt,CSF(So)",252.0,252.0,37.3,201.6,23
CPT,84181,Western blot test,,,17.03,31.51,58
CPT,84182,Myositis Specific 11 Ab Protein Western Blot (So),236.9,236.9,35.06,189.52,23
CPT,84182,Protein Western Blot Test (So),2022.2649999999999,2022.2649999999999,174.27,2293.6,46
CPT,84182,Protein western blot test,,,17.17,54.04,58
CPT,84202,Assay rbc protoporphyrin,,,14.35,26.55,58
CPT,84203,Test rbc protoporphyrin,,,9.74,18.02,58
CPT,84206,Assay of proinsulin,,,22.4,49.38,58
CPT,84206,Proinsulin So,488.0,488.0,72.22,390.4,23
CPT,84207,Assay of Vtamin B-6,452.0,452.0,66.9,361.6,23
CPT,84207,Assay of vitamin b-6,,,28.1,51.99,58
CPT,84207,"Vitamin B 6, Plasma (So)",204.7,204.7,30.3,163.76,23
CPT,84210,Assay of pyruvate,,,13.65,26.79,58
CPT,84210,"Pyruvic Acid, Blood",278.0,278.0,41.14,222.4,23
CPT,84220,Assay of pyruvate kinase,,,9.44,17.46,58
CPT,84228,Assay of quinine,,,11.63,21.52,58
CPT,84233,Assay of estrogen,,,80.99,162.58,58
CPT,84234,Assay of progesterone,,,64.88,120.03,58
CPT,84235,Assay of endocrine hormone,,,65.81,131.78,58
CPT,84238,Acetcholn Reptor Ad,302.0,302.0,44.7,241.6,23
CPT,84238,Assay nonendocrine receptor,,,36.57,67.65,58
CPT,84244,Assay of renin,,,21.99,40.68,58
CPT,84244,"Renin, Blood",370.3,370.3,54.8,296.24,23
CPT,84252,Assay of Vitamin B-12,349.0,349.0,51.65,279.2,23
CPT,84252,Assay of vitamin b-2,,,20.24,37.44,58
CPT,84255,Assay of Selenium,147.0,147.0,21.76,117.6,23
CPT,84255,Assay of selenium,,,25.53,47.23,58
CPT,84255,Selenium (So),202.4,202.4,29.96,161.92,23
CPT,84260,Assay of serotonin,,,30.98,57.31,58
CPT,84270,Assay of Sex Hormone Globul,63.0,63.0,9.32,50.4,23
CPT,84270,Assay of sex hormone globul,,,21.73,40.2,58
CPT,84275,Assay of sialic acid,,,13.44,24.86,58
CPT,84285,Assay of silica,,,25.21,46.64,58
CPT,84295,Assay of serum sodium,,,4.81,8.9,58
CPT,84295,Sodium,220.0,220.0,32.56,176.0,23
CPT,84295,"Sodium, Wb",136.0,136.0,20.13,108.8,23
CPT,84300,Assay of urine sodium,,,4.35,9.36,58
CPT,84300,"Sodium, Urine",158.0,158.0,23.38,126.4,23
CPT,84300,Stone Risk Profile - Sodium Urine (So),35.0,35.0,5.18,28.0,23
CPT,84302,Assay of sweat sodium,,,4.35,8.99,58
CPT,84302,"Feces, Sodium (So)",93.0,93.0,13.76,74.4,23
CPT,84302,"Sodium,Fluid",93.0,93.0,13.76,74.4,23
CPT,84305,Assay of somatomedin,,,21.26,39.33,58
CPT,84305,Igf-1(Somatomedin C),331.0,331.0,48.99,264.8,23
CPT,84307,Assay of somatostatin,,,18.28,33.82,58
CPT,84311,"Feces, Potassium (So)",234.0,234.0,34.63,187.2,23
CPT,84311,Spectrophotometry,234.0,234.0,8.1,187.2,127
CPT,84315,Body fluid specific gravity,,,3.15,6.07,58
CPT,84375,Chromatogram assay sugars,,,24.65,72.15,58
CPT,84376,Sugars single qual,,,5.5,10.18,58
CPT,84377,Sugars multiple qual,,,5.5,10.18,58
CPT,84378,Sugars single quant,,,11.53,21.33,58
CPT,84379,Sugars multiple quant,,,11.53,21.33,58
CPT,84392,Assay of urine sulfate,,,5.49,10.16,58
CPT,84392,Stone Risk Profile - Sulfate Urine (So),32.0,32.0,4.74,25.6,23
CPT,84393,Tau phosphorylated ea,,,,,0
CPT,84394,Total tau,,,,,0
CPT,844,Anesth pelvis surgery,,,11639.38,24872.68,16
CPT,84402,Assay of Testosterone,75.0,75.0,11.1,60.0,46
CPT,84402,Assay of free testosterone,,,25.47,47.12,58
CPT,84402,"Testosterone, Free (So)",138.0,138.0,20.42,110.4,23
CPT,84403,Assay of Total Testosterone,75.0,75.0,11.1,60.0,23
CPT,84403,Assay of total testosterone,,,25.81,47.75,58
CPT,84403,"Testosterone, Serum",422.0,422.0,62.46,337.6,23
CPT,84410,Testosterone bioavailable,,,51.28,94.87,55
CPT,84425,Assay of vitamin b-1,,,21.23,39.28,58
CPT,84425,Vitamin B1 Plasma (Thiamine) So,225.4,225.4,33.36,180.32,23
CPT,84430,Assay of thiocyanate,,,7.25,21.52,58
CPT,84431,Thromboxane urine,,,35.11,64.95,55
CPT,84432,Assay of Thyroglobulin,281.0,281.0,41.59,224.8,23
CPT,84432,Assay of thyroglobulin,,,16.06,29.71,58
CPT,84432,Thyroglobulin Panel,102.0,102.0,15.1,81.6,23
CPT,84432,"Thyroglobulin, Quant",356.0,356.0,52.69,284.8,23
CPT,84433,Asy thiopurin s-mthyltrnsfrs,,,17.74,41.01,58
CPT,84436,Assay of total thyroxine,,,6.87,12.71,58
CPT,84436,"Thyroxine,Total(T4)",370.3,370.3,54.8,296.24,23
CPT,84437,Assay of neonatal thyroxine,,,6.47,11.97,58
CPT,84439,Assay of free thyroxine,,,9.02,16.69,58
CPT,84439,Free Thyroxine,304.75,304.75,45.1,243.8,23
CPT,84442,Assay of thyroid activity,,,14.63,27.34,58
CPT,84442,Thyroxine Bind.Glob.,190.0,190.0,28.12,152.0,23
CPT,84443,Assay thyroid stim hormone,,,16.8,31.08,58
CPT,84443,"Tsh,Serum-Irma",257.6,257.6,38.12,206.08,23
CPT,84445,Assay of tsi globulin,,,10.65,94.09,58
CPT,84445,Thyroid Stimulating Immunoglobulin So,351.9,351.9,52.08,281.52,23
CPT,84446,Assay of vitamin e,,,14.18,26.23,58
CPT,84446,"Vitamin E, Serum",285.0,285.0,42.18,228.0,23
CPT,84449,Assay of transcortin,,,18.0,33.3,58
CPT,84450,"Sgot(Ast),Serum",109.25,109.25,16.17,87.4,23
CPT,84450,Transferase (ast) (sgot),,,5.18,9.58,58
CPT,84460,Alanine amino (alt) (sgpt),,,5.3,9.81,58
CPT,84460,Sgpt(Alt)-Rate,109.25,109.25,16.17,87.4,23
CPT,84466,Assay of transferrin,,,12.76,23.61,58
CPT,84466,"B-2 Transferrin, Fld",351.0,351.0,51.95,280.8,23
CPT,84466,Transferrin,351.0,351.0,51.95,280.8,23
CPT,84478,Assay of triglycerides,,,5.74,10.62,58
CPT,84478,Triglyceride,152.0,152.0,22.5,121.6,23
CPT,84478,"Triglyceride,Fluid",152.0,152.0,22.5,121.6,23
CPT,84479,Assay of thyroid (t3 or t4),,,6.47,11.97,58
CPT,84480,Assay triiodothyronine (t3),,,14.18,26.23,58
CPT,84480,T3-Triiodothyronine,347.3,347.3,51.4,277.84,23
CPT,84481,Free assay (ft-3),,,16.94,31.34,58
CPT,84481,"T3, Free",382.0,382.0,56.54,305.6,23
CPT,84482,T3 Reverse,181.0,181.0,26.79,144.8,23
CPT,84482,T3 reverse,,,15.76,29.16,58
CPT,84484,Assay of troponin quant,,,12.38,23.07,58
CPT,84484,POCT Troponin Venous (Meter),445.05,445.05,65.87,356.04,23
CPT,84484,Troponin-1,478.4,478.4,70.8,382.72,23
CPT,84484,Troponin-T,387.0,387.0,57.28,309.6,23
CPT,84485,Assay duodenal fluid trypsin,,,7.2,13.32,58
CPT,84488,Test feces for trypsin,,,7.3,13.51,58
CPT,84490,Assay of feces for trypsin,,,9.57,18.37,58
CPT,84490,"Trypsin,Fecal",152.0,152.0,22.5,121.6,23
CPT,84510,Assay of tyrosine,,,10.63,19.67,58
CPT,84512,Assay of troponin qual,,,9.28,18.67,58
CPT,84520,Assay of urea nitrogen,,,3.95,7.31,58
CPT,84520,Urea Nitrogen,111.0,111.0,16.43,88.8,23
CPT,84525,Urea nitrogen semi-quant,,,3.04,9.49,58
CPT,84540,Assay of urine/urea-n,,,5.56,10.29,58
CPT,84540,"Urea Nitrogen,Fluid",165.0,165.0,24.42,132.0,23
CPT,84540,"Urea Nitrogen,Urine",171.0,171.0,25.31,136.8,23
CPT,84545,Urea-n clearance test,,,7.2,13.32,58
CPT,84550,Assay of blood/uric acid,,,4.52,8.36,58
CPT,84550,Uric Acid,140.0,140.0,20.72,112.0,23
CPT,84560,Assay of urine/uric acid,,,5.08,9.4,58
CPT,84560,Stone Risk Profile - Uric Acid (So),32.0,32.0,4.74,25.6,23
CPT,84560,"Uric Acid, Urine",146.0,146.0,21.61,116.8,23
CPT,84560,"Uric Acid,Syn Fluid",146.0,146.0,21.61,116.8,23
CPT,84577,Assay of feces/urobilinogen,,,8.79,31.08,58
CPT,84578,Test urine urobilinogen,,,4.09,8.27,58
CPT,84580,Assay of urine urobilinogen,,,8.93,17.67,58
CPT,84583,Assay of urine urobilinogen,,,6.05,11.19,58
CPT,84585,Assay of urine vma,,,15.5,28.68,58
CPT,84585,"Vma, Urine-24hr",129.0,129.0,19.09,103.2,23
CPT,84586,Assay of vip,,,35.33,65.36,58
CPT,84586,Vasoac Intes Polypep,234.0,234.0,34.63,187.2,23
CPT,84588,Adh Result,311.0,311.0,46.03,248.8,23
CPT,84588,Assay of vasopressin,,,33.94,62.79,58
CPT,84590,Assay of vitamin a,,,11.61,21.48,58
CPT,84590,"Vitamin a, Serum",267.0,267.0,39.52,213.6,23
CPT,84591,Assay of Nos Vitamin,182.0,182.0,26.94,145.6,23
CPT,84591,Assay of nos vitamin,,,14.58,31.56,58
CPT,84597,Assay of Vitamin K,356.0,356.0,52.69,284.8,23
CPT,84597,Assay of vitamin k,,,13.72,25.38,58
CPT,846,Anesth hysterectomy,,,11639.38,24872.68,16
CPT,84600,Assay of volatiles,,,17.11,31.65,58
CPT,84600,"Volatile, Drug Screen",351.0,351.0,51.95,280.8,23
CPT,84620,"D-Xylose, Serum",131.0,131.0,19.39,104.8,23
CPT,84620,Xylose tolerance test,,,12.91,23.88,58
CPT,84630,Assay of zinc,,,11.39,21.07,58
CPT,84630,"Zinc, Serum",207.0,207.0,30.64,165.6,23
CPT,84681,Assay of c-peptide,,,19.98,38.5,58
CPT,84681,"C-Peptide, Random",370.0,370.0,54.76,296.0,23
CPT,84702,"*Hcg, Serum, Quant",474.0,474.0,70.15,379.2,23
CPT,84702,Chorionic Gonadotropin Test,290.55,290.55,35.96,270.48,46
CPT,84702,Chorionic gonadotropin test,,,8.07,27.84,58
CPT,84702,D-Hcg Free & Intact,474.0,474.0,70.15,379.2,23
CPT,84703,Chorionic gonadotropin assay,,,7.52,13.91,58
CPT,84703,Pregnancy Test,101.0,101.0,14.95,80.8,23
CPT,84704,Hcg free betachain test,,,8.08,28.29,58
CPT,848,Anesth pelvic organ surg,,,11639.38,24872.68,16
CPT,84830,Ovulation tests,,,12.62,23.5,58
CPT,84999,"MYD88, Mutation Analysis(SO)",186.0,186.0,27.53,148.8,23
CPT,84999,Nephrocheck Acute Kidney Injury,277.15,277.15,41.02,221.72,23
CPT,84999,Unlisted Chemistry Procedure (So) Clon,145.0,145.0,21.46,116.0,23
CPT,84999,Unlisted Chemistry Procedure (So)Gene,145.0,145.0,21.46,116.0,23
CPT,84999,Unlisted chemistry procedure,,,,,0
CPT,85002,Bleeding time test,,,4.82,8.92,58
CPT,85004,Automated diff wbc count,,,6.47,11.97,58
CPT,85007,Bl smear w/diff wbc count,,,3.8,7.03,58
CPT,85007,Misc. Smear,117.3,117.3,17.36,93.84,23
CPT,85008,Bl smear w/o diff wbc count,,,3.43,6.35,58
CPT,85008,RBC Morphology,132.0,132.0,19.54,105.6,23
CPT,85008,RBC Morphology Exam,132.0,132.0,19.54,105.6,23
CPT,85008,"RBC, Schistocyte Cnt",132.0,132.0,19.54,105.6,23
CPT,85009,Manual diff wbc count b-coat,,,4.67,9.38,58
CPT,85013,Spun microhematocrit,,,2.98,12.95,58
CPT,85014,Hematocrit,,,2.37,4.38,58
CPT,85018,Hemoglobin,,,2.37,4.38,58
CPT,85018,"Hemoglobin, Micro(Meter)",88.55,88.55,13.11,70.84,23
CPT,85018,Hgb & Hct,88.55,88.55,13.11,70.84,46
CPT,85025,"Cbc, Plat & Diff",282.9,282.9,41.87,226.32,23
CPT,85025,"Cbc, Plat & Diff, Idp",194.0,194.0,28.71,155.2,23
CPT,85025,Complete cbc w/auto diff wbc,,,7.77,14.37,58
CPT,85027,Cbc & Plat,209.3,209.3,30.98,167.44,23
CPT,85027,Complete cbc automated,,,6.47,11.97,58
CPT,85032,Manual cell count each,,,4.31,7.97,58
CPT,85041,Automated rbc count,,,3.02,5.59,58
CPT,85044,Manual reticulocyte count,,,4.31,7.97,58
CPT,85045,Automated reticulocyte count,,,3.99,7.38,58
CPT,85046,"Reticulocytes, Automated",154.0,154.0,22.79,123.2,23
CPT,85046,Reticyte/hgb concentrate,,,5.57,10.3,58
CPT,85048,Automated leukocyte count,,,2.54,4.7,58
CPT,85049,Automated platelet count,,,4.48,8.29,58
CPT,85049,Platelet Count (Wb),146.05,146.05,21.62,116.84,23
CPT,85055,Reticulated platelet assay,,,32.82,66.12,58
CPT,85060,Blood smear interpretation,,,22.75,45.37,40
CPT,85097,Bone Marrow Exam,1050.0,1050.0,155.4,840.0,23
CPT,85097,Bone marrow interpretation,,,44.95,1503.66,56
CPT,85130,Chromogenic substrate assay,,,11.89,22.0,58
CPT,85170,Blood clot retraction,,,4.55,30.16,58
CPT,85175,Blood clot lysis time,,,5.72,37.68,58
CPT,85210,Clot factor ii prothrom spec,,,12.98,24.01,58
CPT,85210,Factor II Assay,636.0,636.0,94.13,508.8,23
CPT,85220,Blooc clot factor v test,,,17.65,32.65,58
CPT,85220,Factor V Assay,653.2,653.2,96.67,522.56,23
CPT,85230,Clot factor vii proconvertin,,,17.9,33.12,58
CPT,85230,Factor VII Assay,584.0,584.0,86.43,467.2,23
CPT,85240,Clot factor viii ahg 1 stage,,,17.9,33.12,58
CPT,85240,Factor VIII Assay,671.6,671.6,99.4,537.28,23
CPT,85244,Clot factor viii reltd antgn,,,20.42,37.78,58
CPT,85245,Clot factor viii vw ristoctn,,,22.94,42.44,58
CPT,85245,Ristocetin Cofactor,688.0,688.0,101.82,550.4,23
CPT,85246,Clot factor viii vw antigen,,,22.94,42.44,58
CPT,85246,Von Willebrand Ag,499.0,499.0,73.85,399.2,23
CPT,85247,Blood Clot Factor VIII Test,397.0,397.0,58.76,317.6,23
CPT,85247,Clot factor viii multimetric,,,22.94,42.44,58
CPT,85250,Clot factor ix ptc/chrstmas,,,19.04,35.22,58
CPT,85250,Factor IX Assay,671.0,671.0,99.31,536.8,23
CPT,85260,Clot factor x stuart-power,,,17.9,33.12,58
CPT,85260,Factor X Assay,584.0,584.0,86.43,467.2,23
CPT,85270,Clot factor xi pta,,,17.9,33.12,58
CPT,85270,Factor XI Assay,584.0,584.0,86.43,467.2,23
CPT,85280,Clot factor xii hageman,,,19.35,35.8,58
CPT,85280,Factor XII Assay,621.0,621.0,91.91,496.8,23
CPT,85290,Clot factor xiii fibrin stab,,,16.34,30.23,58
CPT,85291,Clot factor xiii fibrin scrn,,,9.11,16.85,58
CPT,85291,Factor XIII Screen,370.0,370.0,54.76,296.0,23
CPT,85292,Clot factor fletcher fact,,,18.93,35.02,58
CPT,85293,Clot factor wght kininogen,,,18.93,35.02,58
CPT,85300,Antithrombin iii activity,,,11.85,21.92,58
CPT,85300,Factor at-III Assay,566.95,566.95,83.91,453.56,23
CPT,85300,Protein S Activity,566.95,566.95,83.91,453.56,23
CPT,85301,Antithrombin iii antigen,,,10.81,20.0,58
CPT,85301,At-III Antigen,494.0,494.0,73.11,395.2,23
CPT,85302,Clot inhibit prot c antigen,,,12.01,22.22,58
CPT,85303,Clot inhibit prot c activity,,,13.84,25.6,58
CPT,85303,Protein C Activity,715.3,715.3,105.86,572.24,23
CPT,85305,Clot inhibit prot s total,,,11.61,21.48,58
CPT,85306,Clot inhibit prot s free,,,15.32,28.34,58
CPT,85307,Act Prot-C Resist (Fv-Leiden),394.0,394.0,58.31,315.2,23
CPT,85307,Activated Protein C Resistance (So),432.4,432.4,64.0,345.92,23
CPT,85307,Assay activated protein c,,,15.32,28.34,58
CPT,85335,Adamts 13 Inhibitor (So),527.0,527.0,78.0,421.6,23
CPT,85335,Factor inhibitor test,,,12.87,23.81,58
CPT,85337,Thrombomodulin,,,13.1,31.95,58
CPT,85345,Coagulation time lee & white,,,4.35,8.68,58
CPT,85347,ACT,124.2,124.2,18.38,99.36,23
CPT,85347,"Coag Time, Activated-Teg",336.95,336.95,49.87,269.56,23
CPT,85347,Coagulation time activated,,,4.28,7.92,58
CPT,85348,Coagulation time otr method,,,4.35,8.31,58
CPT,85360,Euglobulin lysis,,,8.41,15.56,58
CPT,85362,Fibrin Monomer (So),320.0,320.0,47.36,256.0,23
CPT,85362,Fibrin degradation products,,,6.89,12.75,58
CPT,85366,Fibrinogen test,,,10.83,148.85,58
CPT,85370,Fibrinogen test,,,12.43,23.0,58
CPT,85378,Fibrin degrade semiquant,,,8.97,17.98,58
CPT,85379,D-Dimer,339.0,339.0,50.17,271.2,23
CPT,85379,Fibrin degradation quant,,,10.18,18.83,58
CPT,85380,Fibrin degradj d-dimer,,,10.18,18.83,58
CPT,85384,Fibrinogen Act - Teg,258.75,258.75,38.29,207.0,23
CPT,85384,Fibrinogen Quant.,343.85,343.85,50.89,275.08,23
CPT,85384,Fibrinogen activity,,,9.72,17.98,58
CPT,85385,Fibrinogen antigen,,,10.68,26.75,58
CPT,85390,Fibrinolysins Scrn -Teg,141.0,141.0,20.87,112.8,23
CPT,85390,Fibrinolysins screen i&r,,,6.5,54.94,58
CPT,85396,Clotting assay whole blood,,,18.5,36.48,40
CPT,85397,Clotting funct activity,,,26.81,57.09,58
CPT,85397,Von Willebran Protease Act Q,497.0,497.0,73.56,397.6,23
CPT,85400,Fibrinolytic plasmin,,,7.71,14.26,58
CPT,85410,Fibrinolytic antiplasmin,,,7.71,14.26,58
CPT,85415,Fibrinolytic plasminogen,,,17.19,31.8,58
CPT,85420,Fibrinolytic plasminogen,,,6.53,12.08,58
CPT,85420,Plasminogen Activ.,436.0,436.0,64.53,348.8,23
CPT,85421,Fibrinolytic plasminogen,,,10.18,18.83,58
CPT,85441,Heinz bodies direct,,,4.2,7.77,58
CPT,85445,Heinz bodies induced,,,6.82,12.62,58
CPT,85460,Hemoglobin fetal,,,3.04,14.3,58
CPT,85460,K-B Hgb Fetal Screen **,154.0,154.0,22.79,123.2,23
CPT,85461,Fetal Screen Rhig,172.0,172.0,25.46,137.6,23
CPT,85461,Hemoglobin fetal,,,8.33,17.32,58
CPT,85475,Hemolysin acid,,,6.55,16.41,58
CPT,85475,"Hemolysis, Sucrose",59.0,59.0,8.73,47.2,23
CPT,85520,Anti-Xa Ds,435.0,435.0,64.38,348.0,23
CPT,85520,Doac-Stop Anti-Xa,1173.0,1173.0,173.6,938.4,23
CPT,85520,Heparin Assay,376.65,376.65,29.45,443.44,46
CPT,85520,Heparin assay,,,13.09,24.22,58
CPT,85525,Heparin neutralization,,,11.84,21.9,58
CPT,85530,Heparin-protamine tolerance,,,13.09,24.22,58
CPT,85536,Iron Stores-Bm,186.0,186.0,27.53,148.8,23
CPT,85536,Iron stain peripheral blood,,,6.88,12.73,58
CPT,85540,Wbc Lap Stain,131.0,131.0,19.39,104.8,23
CPT,85540,Wbc alkaline phosphatase,,,7.6,15.91,58
CPT,85547,Rbc mechanical fragility,,,7.6,15.91,58
CPT,85549,Lysozyme,212.75,212.75,31.49,170.2,23
CPT,85549,Muramidase,,,18.75,34.69,58
CPT,85555,Rbc osmotic fragility,,,7.47,13.82,58
CPT,85557,"Osmotic Fragility,Erythrocytes",312.0,312.0,46.18,249.6,23
CPT,85557,Rbc osmotic fragility,,,13.36,24.72,58
CPT,85576,Bld Plat Agg - Teg,508.3,508.3,75.23,406.64,23
CPT,85576,Blood Platelet Aggregation,122.0,122.0,18.06,97.6,23
CPT,85576,Blood platelet aggregation,,,17.17,46.08,88
CPT,85576,Pfa-Collagen/Adp,712.0,712.0,105.38,569.6,23
CPT,85576,Pfa-Collagen/Epi,712.0,712.0,105.38,569.6,23
CPT,85576,Platelet Function P2y12,497.95,497.95,73.7,398.36,23
CPT,85576,"Plt Agg, Adp",410.0,410.0,60.68,328.0,23
CPT,85576,"Plt Agg, Aracdnc Acid",410.0,410.0,60.68,328.0,23
CPT,85576,"Plt Agg, Collagen",410.0,410.0,60.68,328.0,23
CPT,85576,"Plt Agg, Ristocetin",410.0,410.0,60.68,328.0,23
CPT,85576,"Plt Agg, Thrombin",410.0,410.0,60.68,328.0,23
CPT,85597,Phospholipid pltlt neutraliz,,,17.98,33.26,58
CPT,85597,Plat Neutralization,420.0,420.0,62.16,336.0,23
CPT,85598,Hexagnal phosph pltlt neutrl,,,17.98,33.26,58
CPT,85610,Prothrombin time,,,4.29,7.94,58
CPT,85610,Pt(Prothrombin Time),129.0,129.0,19.09,103.2,23
CPT,85610,"Pt,Coumadin Therapy",182.85,182.85,27.06,146.28,23
CPT,85611,Prothrombin test,,,3.94,7.29,58
CPT,85611,Pt+Normal Plasma,203.0,203.0,30.04,162.4,23
CPT,85611,"Pt, Hepzyme-Treated",198.0,198.0,29.3,158.4,23
CPT,85612,Viper venom prothrombin time,,,12.03,32.36,58
CPT,85613,Dilute Russell's Viper Venom,310.0,310.0,45.88,248.0,23
CPT,85613,Russell viper venom diluted,,,9.58,17.72,58
CPT,85635,Reptilase Test,187.0,187.0,27.68,149.6,23
CPT,85635,Reptilase test,,,9.85,18.22,58
CPT,85651,Rbc sed rate nonautomated,,,4.27,7.9,58
CPT,85651,Sed Rate Westergren,99.0,99.0,14.65,79.2,23
CPT,85652,Rbc sed rate automated,,,2.7,5.0,58
CPT,85652,"Sed Rate, Capillary Photometry",131.1,131.1,19.4,104.88,23
CPT,85660,Donor Hgb S (Arc),231.15,231.15,34.21,184.92,23
CPT,85660,Donor Hgb S-Arc,166.0,166.0,24.57,132.8,23
CPT,85660,Donor Hgb S-Gmh,166.0,166.0,24.57,132.8,23
CPT,85660,Rbc sickle cell test,,,5.51,10.19,58
CPT,85660,Sickledex,198.575,198.575,24.57,184.92,46
CPT,85670,Thrombin Time,145.0,145.0,21.46,116.0,23
CPT,85670,Thrombin time plasma,,,5.77,10.67,58
CPT,85675,Thrombin time titer,,,6.85,12.67,58
CPT,85705,Thromboplastin inhibition,,,9.63,17.82,58
CPT,85730,APTT,179.4,179.4,26.55,143.52,23
CPT,85730,"Appt, Hepzyme-Treated",153.0,153.0,22.64,122.4,23
CPT,85730,Aptt Heparin Therapy,153.0,153.0,22.64,122.4,23
CPT,85730,Ptt-Saline,153.0,153.0,22.64,122.4,23
CPT,85730,Silica Clotting Time,153.0,153.0,22.64,122.4,23
CPT,85730,Thromboplastin time partial,,,6.01,11.12,58
CPT,85732,Aptt + Apc,233.0,233.0,34.48,186.4,23
CPT,85732,Factor Def Scrn-Coag,233.0,233.0,34.48,186.4,23
CPT,85732,Factor Inhib Screen,196.0,196.0,29.01,156.8,23
CPT,85732,Thromboplastin time partial,,,6.47,11.97,58
CPT,85810,Blood viscosity examination,,,11.67,21.59,58
CPT,85810,Viscosity,120.0,120.0,17.76,96.0,23
CPT,85810,"Viscosity, Serum",243.0,243.0,35.96,194.4,23
CPT,85810,"Viscosity, Serum(So)",85.0,85.0,12.58,68.0,23
CPT,85999,"Eosinophil Smear, Urine",63.0,63.0,9.32,50.4,46
CPT,85999,"Esoinophil Smear, Urine",63.0,63.0,9.32,50.4,23
CPT,85999,Unlisted hematology&coagj px,,,,,0
CPT,86000,Agglutinins febrile antigen,,,6.98,12.91,58
CPT,86000,Proteus Ox-19 Ab,114.0,114.0,16.87,91.2,23
CPT,86000,Typhoid H Antibody,114.0,114.0,16.87,91.2,23
CPT,86000,Typhoid O Antibody,114.0,114.0,16.87,91.2,23
CPT,86001,Allergen Specific Igg,149.0,149.0,22.05,119.2,23
CPT,86001,Allergen Specific Igg Quant,140.0,140.0,20.72,112.0,23
CPT,86001,Allergen specific igg,,,6.57,14.47,58
CPT,86003,*Alternaria Alternata Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Clam Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Kentucky/June Bluegrass Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Mouse Epithelia Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Penicillium Notatum Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Scallop Ige,99.0,99.0,14.65,79.2,23
CPT,86003,*Walnut (Food) Ige,99.0,99.0,14.65,79.2,23
CPT,86003,Abpa Allergen Spec Ige (So),99.0,99.0,14.65,79.2,23
CPT,86003,Allegen - Mosquito Q,96.0,96.0,14.21,76.8,23
CPT,86003,Allergen Specific (Enviro) Ige (So),46.0,46.0,6.81,36.8,23
CPT,86003,Allergen Specific (Food) Ige (So),46.0,46.0,6.81,36.8,23
CPT,86003,Allergen Specific (Mold Group),99.0,99.0,14.65,79.2,23
CPT,86003,Allergen Specific Ige,96.0,96.0,4.74,79.2,276
CPT,86003,Allergen Specific Ige (So),40.0,40.0,5.92,32.0,23
CPT,86003,Allergen Specific Ige Red Snapper-Qd (So),32.22,32.22,4.77,25.78,23
CPT,86003,Allergen Specific Ige Tilapia (So),99.0,99.0,14.65,79.2,23
CPT,86003,Allergen Specific Ige Tilapia-Qd (So),40.0,40.0,5.92,32.0,23
CPT,86003,Allergen Specific Ige Trout (So),99.0,99.0,14.65,79.2,23
CPT,86003,Allergen Specific Ige Whitefish-Qd (So),40.0,40.0,5.92,32.0,23
CPT,86003,"Allergy Panel 19, Seafood Group-Qd (So)",40.0,40.0,5.92,32.0,23
CPT,86003,"Allergy Panel,Mold Group (Quest 7911)",99.0,99.0,14.65,79.2,23
CPT,86003,Allergy-Shellfish Panel-Qd (So),30.0,30.0,4.44,24.0,23
CPT,86003,Allg spec ige crude xtrc ea,,,5.22,9.66,58
CPT,86003,Alternaria Tenuis,99.0,99.0,14.65,79.2,23
CPT,86003,BEEF,99.0,99.0,14.65,79.2,23
CPT,86003,Bahia Grass,99.0,99.0,14.65,79.2,23
CPT,86003,Bermuda Grass,99.0,99.0,14.65,79.2,23
CPT,86003,Black Walnut,99.0,99.0,14.65,79.2,23
CPT,86003,CORN,99.0,99.0,14.65,79.2,23
CPT,86003,Candida Albicans,99.0,99.0,14.65,79.2,23
CPT,86003,Catfish Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,"Clado, Herbarium",99.0,99.0,14.65,79.2,23
CPT,86003,Clam (F207) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CPT,86003,Cocklebur,99.0,99.0,14.65,79.2,23
CPT,86003,Cockroach,99.0,99.0,14.65,79.2,23
CPT,86003,Codfish,99.0,99.0,14.65,79.2,23
CPT,86003,Codfish (F3) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Cottonwood,99.0,99.0,14.65,79.2,23
CPT,86003,Cow's Milk (F2) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Crab (F23) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Curvularia Lunato,99.0,99.0,14.65,79.2,23
CPT,86003,D.Farinae Mite,99.0,99.0,14.65,79.2,23
CPT,86003,D.Pteronyssinus,99.0,99.0,14.65,79.2,23
CPT,86003,Dog Dander (E5) Ige With Reflex to Component Panel,9.0,9.0,1.33,7.2,23
CPT,86003,Dog Hair,99.0,99.0,14.65,79.2,23
CPT,86003,ELM,99.0,99.0,14.65,79.2,23
CPT,86003,Egg White (F1) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CPT,86003,"Egg, Chicken",99.0,99.0,14.65,79.2,23
CPT,86003,English Plantain,99.0,99.0,14.65,79.2,23
CPT,86003,Epicoccum Purpurascn,99.0,99.0,14.65,79.2,23
CPT,86003,Eucalyptus,99.0,99.0,14.65,79.2,23
CPT,86003,Feather Mix,99.0,99.0,14.65,79.2,23
CPT,86003,Heluminthosporium I.,99.0,99.0,14.65,79.2,23
CPT,86003,Honey Bee,99.0,99.0,14.65,79.2,23
CPT,86003,Horse Hair,99.0,99.0,14.65,79.2,23
CPT,86003,Ige Allergen Nettle,99.0,99.0,14.65,79.2,23
CPT,86003,Ige Allergen Sesame Seed,99.0,99.0,14.65,79.2,23
CPT,86003,Ige Allergen Sheep Sorrel,99.0,99.0,14.65,79.2,23
CPT,86003,Johnson Grass,99.0,99.0,14.65,79.2,23
CPT,86003,Lamb's Quarters,99.0,99.0,14.65,79.2,23
CPT,86003,Lobster (F80) Ige-Qd (So),3.73,3.73,0.55,2.98,23
CPT,86003,Marsh Elder,99.0,99.0,14.65,79.2,23
CPT,86003,"Milk, Cow's",99.0,99.0,14.65,79.2,23
CPT,86003,Mk82 Latex-Rst,99.0,99.0,14.65,79.2,23
CPT,86003,OAT,99.0,99.0,14.65,79.2,23
CPT,86003,Paper Wasp,99.0,99.0,14.65,79.2,23
CPT,86003,Peanut,99.0,99.0,14.65,79.2,23
CPT,86003,Peanut (F13) Ige (So),30.0,30.0,4.44,24.0,23
CPT,86003,"Peanut, Total With Reflex to Peanut Component Panel (So)",15.0,15.0,2.22,12.0,23
CPT,86003,Pecan,99.0,99.0,14.65,79.2,23
CPT,86003,Pen. Brevicomp,99.0,99.0,14.65,79.2,23
CPT,86003,Perennial Ryegrass,99.0,99.0,14.65,79.2,23
CPT,86003,Pigweed,99.0,99.0,14.65,79.2,23
CPT,86003,RICE,5.6,5.6,0.83,4.48,23
CPT,86003,Red Cedar,99.0,99.0,14.65,79.2,23
CPT,86003,Red Maple,99.0,99.0,14.65,79.2,23
CPT,86003,Salmon (F41) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Short Ragweed,99.0,99.0,14.65,79.2,23
CPT,86003,Shrimp,99.0,99.0,14.65,79.2,23
CPT,86003,Shrimp (F240) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Soybean,99.0,99.0,14.65,79.2,23
CPT,86003,Soybean(F14)Ige-Qd (So),3.73,3.73,0.55,2.98,23
CPT,86003,Strawberry (F44) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,Sycamore,99.0,99.0,14.65,79.2,23
CPT,86003,TUNA,99.0,99.0,14.65,79.2,23
CPT,86003,Timothy,99.0,99.0,14.65,79.2,23
CPT,86003,Tree Nut Allergy Panel-Qd (So),91.0,91.0,13.47,72.8,23
CPT,86003,Tuna Ige-Qd (So),3.73,3.73,0.55,2.98,23
CPT,86003,Wheat,99.0,99.0,14.65,79.2,23
CPT,86003,Wheat (F4) Ige-Qd (So),7.0,7.0,1.04,5.6,23
CPT,86003,White Ash,99.0,99.0,14.65,79.2,23
CPT,86003,White Faced Hornet,99.0,99.0,14.65,79.2,23
CPT,86003,White Oak,99.0,99.0,14.65,79.2,23
CPT,86003,White Pine,99.0,99.0,14.65,79.2,23
CPT,86003,White Potato,99.0,99.0,14.65,79.2,23
CPT,86003,Yellow Dock,99.0,99.0,14.65,79.2,23
CPT,86003,Yellow Faced Hornet,99.0,99.0,14.65,79.2,23
CPT,86003,Yellow Jacket,99.0,99.0,14.65,79.2,23
CPT,86003,Yellow Onion,99.0,99.0,14.65,79.2,23
CPT,86005,Allg spec ige multiallg scr,,,6.92,14.74,58
CPT,86008,Allg spec ige recomb ea,,,17.71,33.17,58
CPT,86008,Cat Dander Component Panel,98.0,98.0,14.5,78.4,23
CPT,86008,Dog Dander Component Panel,93.15,93.15,13.79,74.52,23
CPT,86008,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 1 Ab Ige (So),60.0,60.0,8.88,48.0,23
CPT,86008,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 2 Ab Ige (So),60.0,60.0,8.88,48.0,23
CPT,86008,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 3 Ab Ige (So),60.0,60.0,8.88,48.0,23
CPT,86008,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 8 Ab Ige (So),60.0,60.0,8.88,48.0,23
CPT,86008,Peanut Panel - Arachis Hypogaea Recombinant (Rara H) 9 Ab Ige (So),60.0,60.0,8.88,48.0,23
CPT,86015,Actin antibody each,,,9.22,22.29,58
CPT,86021,Atypical P-Anca Titer,80.0,80.0,11.84,64.0,23
CPT,86021,Atypical P-Anca Titer (So),80.0,80.0,11.84,64.0,23
CPT,86021,C-Anca Titer,34.0,34.0,5.03,27.2,23
CPT,86021,C-Anca Titer (So),34.0,34.0,5.03,27.2,23
CPT,86021,Cytoplasmic Ab Scrn,610.65,610.65,90.38,488.52,23
CPT,86021,Myeloperoxidase Antibody,610.65,610.65,90.38,488.52,23
CPT,86021,Neutraphil Ab ID (So),244.0,244.0,36.11,195.2,23
CPT,86021,P-Anca Titer,34.0,34.0,5.03,27.2,23
CPT,86021,P-Anca Titer (So),34.0,34.0,5.03,27.2,23
CPT,86021,Perinuclear Ab Scrn,326.0,326.0,48.25,260.8,23
CPT,86021,Proteinase -3 Antibody (So),563.5,563.5,83.4,450.8,23
CPT,86021,Proteinase-3 Antibody,206.0,206.0,30.49,164.8,23
CPT,86021,Wbc Ab ID (Neutrophil) (So),236.0,236.0,34.93,188.8,23
CPT,86021,Wbc Antibody Identification,31.0,31.0,4.29,73.6,69
CPT,86021,Wbc antibody identification,,,15.05,27.84,58
CPT,86022,Nait Platelet Ab (So),361.0,361.0,53.43,288.8,23
CPT,86022,Platelet Ab Screen (Arc),493.0,493.0,72.96,394.4,23
CPT,86022,Platelet Agg-Heprin,593.0,593.0,87.76,474.4,23
CPT,86022,Platelet Antibodies,148.0,148.0,15.69,277.6,92
CPT,86022,Platelet Antibody Screen Indirect (So),362.0,362.0,53.58,289.6,23
CPT,86022,"Platelet Igg Ab,Indirect",301.0,301.0,44.55,240.8,23
CPT,86022,Platelet antibodies,,,18.37,33.98,58
CPT,86022,Plt Ab: Gp IV,420.0,420.0,62.16,336.0,23
CPT,86022,Plt Ab: Gp Ia/Iib,420.0,420.0,62.16,336.0,23
CPT,86022,Plt Ab: Gp Ib/IX,420.0,420.0,62.16,336.0,23
CPT,86022,Plt Ab: Gp Iib/Iiia,420.0,420.0,62.16,336.0,23
CPT,86022,Plt Ab: Hla Class 1,420.0,420.0,62.16,336.0,23
CPT,86022,Serotonin Release Assay (Sra) Lmwh,290.0,290.0,42.92,232.0,23
CPT,86022,Serotonin Release Assay (Sra) Unfractionated,545.0,545.0,80.66,436.0,23
CPT,86023,Immunoglobulin assay,,,12.46,23.05,58
CPT,86023,Platelet Glycoprot. Ab,501.0,501.0,74.15,400.8,23
CPT,86036,Anca screen each antibody,,,9.64,22.29,58
CPT,86037,Anca titer each antibody,,,9.64,22.29,58
CPT,86038,Ana Ifa W/Reflex (So),323.15,323.15,47.83,258.52,23
CPT,86038,Ana Ifa With Reflex (So),201.0,201.0,29.75,160.8,23
CPT,86038,Ana Screen,291.0,291.0,43.07,232.8,23
CPT,86038,Antinuclear Antibodies,48.0,48.0,3.55,57.6,46
CPT,86038,Antinuclear antibodies,,,12.09,22.37,58
CPT,86039,"Ana Screen Ifa, W/Titer and Pattern",142.0,142.0,21.02,113.6,23
CPT,86039,Antinuclear antibodies (ana),,,11.16,20.65,58
CPT,86041,Acetylcholn rcptr bndng antb,,,14.72,34.04,58
CPT,86042,Acetylcholn rcptr blckg antb,,,14.72,34.04,58
CPT,86043,Acetylcholn rcptr modlg antb,,,9.64,22.29,58
CPT,86051,Aquaporin-4 antb elisa,,,9.22,21.33,58
CPT,86052,Aquaporin-4 Antb Cba (So),545.75,545.75,55.14,2026.4,115
CPT,86052,Aquaporin-4 antb cba each,,,9.64,22.29,58
CPT,86053,Aqaprn-4 antb flo cytmtry ea,,,9.64,69.8,58
CPT,86060,Antistreptolysin o titer,,,7.3,13.51,58
CPT,86060,Strep Aso,132.0,132.0,19.54,105.6,23
CPT,86063,Antistreptolysin o screen,,,5.77,10.67,58
CPT,86077,Phys blood bank serv xmatch,,,24.37,92.82,58
CPT,86078,Phys blood bank serv reactj,,,45.0,315.43,55
CPT,86078,Transfusion Reaction,470.0,470.0,69.56,376.0,23
CPT,86079,Phys blood bank serv authrj,,,45.0,98.35,55
CPT,86140,C-Reactive Protein,235.0,235.0,34.78,188.0,23
CPT,86140,C-reactive protein,,,5.18,9.58,58
CPT,86141,C-Reactive Protein-Hs,268.0,268.0,39.66,214.4,23
CPT,86141,C-reactive protein hs,,,12.95,23.96,58
CPT,86141,"Crp-Hs,Micro",268.0,268.0,39.66,214.4,23
CPT,86146,Beta-2 Glycoprotein Antibodies,339.25,339.25,50.21,271.4,23
CPT,86146,Beta-2 glycoprotein antibody,,,25.45,47.08,58
CPT,86146,Glycoprotein Antibody,100.0,100.0,13.76,85.6,46
CPT,86147,Anti-Cardiolipin Igg,398.0,398.0,58.9,318.4,23
CPT,86147,Anti-Cardiolipin Igm,398.0,398.0,58.9,318.4,23
CPT,86147,Antiphospholipid Igg,398.0,398.0,58.9,318.4,23
CPT,86147,Antiphospholipid Igm,398.0,398.0,58.9,318.4,23
CPT,86147,Cardiolipin Antibody,153.575,153.575,7.84,203.32,46
CPT,86147,Cardiolipin antibody ea ig,,,25.45,47.08,58
CPT,86147,Cariolipin Antibody,53.0,53.0,7.84,42.4,23
CPT,86148,Anti-phospholipid antibody,,,16.07,29.73,58
CPT,86148,Phospholipid Antibody,83.0,83.0,12.28,66.4,23
CPT,86152,Cell enumeration & id,,,242.67,463.94,58
CPT,86153,Cell enumeration phys interp,,,31.76,63.99,32
CPT,86155,Chemotaxis assay,,,15.99,29.58,58
CPT,86156,Cold agglutinin screen,,,8.07,14.93,58
CPT,86157,Cold Agglutinin Titer,36.0,36.0,5.33,28.8,23
CPT,86157,Cold agglutinin titer,,,8.06,14.91,58
CPT,86160,C1 Esterase Inhibitor Protein (So),256.0,256.0,37.89,204.8,23
CPT,86160,Complement Antigen,224.0,224.0,29.6,184.0,138
CPT,86160,Complement antigen,,,12.0,22.2,58
CPT,86160,Complement-3c,387.55,387.55,57.36,310.04,23
CPT,86160,Complement-4,387.55,387.55,57.36,310.04,23
CPT,86160,"Complement-C3,Synvl",387.55,387.55,57.36,310.04,23
CPT,86160,"Complement-C4,Synvl",387.55,387.55,57.36,310.04,23
CPT,86161,"C1 Inhibitor , Functional (So)",267.0,267.0,39.52,213.6,23
CPT,86161,C3 Nephritic Factor (So),231.0,231.0,34.19,184.8,23
CPT,86161,Complement/function activity,,,12.0,22.2,58
CPT,86162,"Complement Tot,Ch50",290.0,290.0,42.92,232.0,23
CPT,86162,Complement total (ch50),,,20.32,37.59,58
CPT,86162,"Complemnt Tot,Ch100",199.0,199.0,29.45,159.2,23
CPT,86171,Complement fixation each,,,8.79,18.52,58
CPT,86171,Fungal Serology,157.0,157.0,23.24,125.6,23
CPT,86171,Misc. Serology,157.0,157.0,23.24,125.6,23
CPT,86171,Parasitic Serology,157.0,157.0,23.24,125.6,23
CPT,86171,Viral Serology,157.0,157.0,23.24,125.6,23
CPT,86200,CCP Antibody (So),195.0,195.0,28.86,156.0,23
CPT,86200,Ccp antibody,,,12.95,23.96,58
CPT,86200,Cyclic Citurullinate Antibody,387.0,387.0,57.28,309.6,23
CPT,86215,Deoxyribonuclease antibody,,,13.25,24.51,58
CPT,86215,Strep Antid-Nase B,190.0,190.0,28.12,152.0,23
CPT,86225,Dna antibody native,,,13.74,25.42,58
CPT,86225,"Ds-Dna Ab,Crithidia",291.0,291.0,43.07,232.8,23
CPT,86225,"Ds-Dna Ab,Eia",325.0,325.0,48.1,260.0,23
CPT,86226,Dna antibody single strand,,,12.11,22.4,58
CPT,86231,Ema each ig class,,,9.67,22.37,58
CPT,86235,Anticentromere Scrn,395.6,395.6,58.55,316.48,23
CPT,86235,Antihistone Ab,395.6,395.6,58.55,316.48,23
CPT,86235,"Extractable Nuclear Antigen,Antibody to, Any Method",130.0,130.0,19.24,104.0,23
CPT,86235,Interstitial Lung Disease Panel (So),1946.0,1946.0,288.01,1556.8,23
CPT,86235,"Jo-1 Ab Screen, Eia",395.6,395.6,58.55,316.48,23
CPT,86235,Myositis Assess Autoab (Q10185)Nuc Ag Ab,320.0,320.0,47.36,256.0,23
CPT,86235,Myositis Specific 11 Ab Nuclear Ag (So),219.65,219.65,32.51,175.72,23
CPT,86235,Nuclear Antigen Antibody,76.0,76.0,10.51,115.2,69
CPT,86235,Nuclear antigen antibody,,,17.93,33.17,58
CPT,86235,Rnp Ab Screen,373.75,373.75,55.32,299.0,23
CPT,86235,"Scl-70 Ab Screen, Eia",395.6,395.6,58.55,316.48,23
CPT,86235,Smith (Sm) Ab Screen,373.75,373.75,55.32,299.0,23
CPT,86235,Ssa (Ro) Ab Screen,373.75,373.75,55.32,299.0,23
CPT,86235,Ssb (La) Ab Screen,373.75,373.75,55.32,299.0,23
CPT,86255,Ampa -Receptor Antibody (So) Mayo,387.0,387.0,57.28,309.6,23
CPT,86255,Ampa Recept Fluor Ab Screen (So),387.0,387.0,57.28,309.6,23
CPT,86255,Copeptin (So),130.0,130.0,19.24,104.0,23
CPT,86255,"Ds-Dna an, Crithidia Titer",150.0,150.0,22.2,120.0,23
CPT,86255,Enceph Ab Screen CSF (So),360.0,360.0,53.28,288.0,23
CPT,86255,"Fluor Noninfec Agnt Ab Scr,Ea",51.0,51.0,7.55,40.8,23
CPT,86255,"Fluor Noninfect Agent Ab Scr, Ea Ab",85.0,85.0,12.58,68.0,23
CPT,86255,Fluorescent Ab Screen (So),2043.0,2043.0,220.96,2681.6,115
CPT,86255,Fluorescent Antibody Screen,72.0,72.0,4.0,309.6,253
CPT,86255,Fluorescent antibody screen,,,12.05,27.47,58
CPT,86255,Murine Typhus Igg,89.0,89.0,13.17,71.2,23
CPT,86255,"Nmda -Receptor Antibody, Serum (Mml)",387.0,387.0,57.28,309.6,23
CPT,86255,Nmda Recep Ab Serum,184.0,184.0,27.23,147.2,23
CPT,86255,"Nmda- Receptor Antibody , CSF(Mayo)",387.0,387.0,57.28,309.6,23
CPT,86255,Nmo/Aqp4-Igg Cba (Mayo),55.0,55.0,8.14,44.0,23
CPT,86255,"Nmo/Aqp4-Igg Cba, CSF (Mayo)",387.0,387.0,57.28,309.6,23
CPT,86255,Parietal Cell Ab,204.7,204.7,30.3,163.76,23
CPT,86255,Perinuclear Ab,50.0,50.0,7.4,40.0,23
CPT,86255,Phospholipase A2 Scrn (So),774.0,774.0,114.55,619.2,23
CPT,86255,Smooth Muscle Ab,204.7,204.7,30.3,163.76,23
CPT,86256,Adrenal Ab Screen,239.2,239.2,35.4,191.36,23
CPT,86256,Agna-1 (Mayo),86.0,86.0,12.73,68.8,23
CPT,86256,Amphiphysin (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Anna-1 (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Anna-2 (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Anna-3 (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Basement Mem Ab Scrn,239.2,239.2,35.4,191.36,23
CPT,86256,Crmp-5-Igg,56.0,56.0,8.29,44.8,23
CPT,86256,Fluorescent Antibody Titer,46.5,46.5,5.18,157.6,92
CPT,86256,Fluorescent antibody titer,,,12.05,27.47,58
CPT,86256,Mitochondrial Ab Titer,70.0,70.0,10.36,56.0,23
CPT,86256,Paraneo Autoab Titer Ria(So),120.0,120.0,17.76,96.0,23
CPT,86256,Parietal Antibody Titer,239.2,239.2,35.4,191.36,23
CPT,86256,Pca-1 (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Pca-2 (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Pca-Tr (Mayo),56.0,56.0,8.29,44.8,23
CPT,86256,Rmsf Antibody Igg,239.2,239.2,35.4,191.36,23
CPT,86256,Rmsf Antibody Igm,239.2,239.2,35.4,191.36,23
CPT,86256,Smooth Muscle Ab Titer,70.0,70.0,10.36,56.0,23
CPT,86258,Dgp antibody each ig class,,,9.22,22.29,58
CPT,86277,Growth hormone antibody,,,15.74,29.12,58
CPT,86280,Hemagglutination inhibition,,,8.19,15.15,58
CPT,86294,Immunoassay tumor qual,,,14.56,47.3,58
CPT,86300,Cancer Ag 27-29,230.0,230.0,34.04,184.0,23
CPT,86300,Cancer Antigen 15-3,230.0,230.0,34.04,184.0,23
CPT,86300,Immunoassay tumor ca 15-3,,,20.81,38.5,58
CPT,86301,Carbohydrate Ag 19-9,388.7,388.7,57.53,310.96,23
CPT,86301,Immunoassay Tumor Ca 19-9,137.0,137.0,20.28,109.6,23
CPT,86301,Immunoassay tumor ca 19-9,,,20.81,38.5,58
CPT,86304,Ca-125 Immunoassay Tumor Antigen,529.0,529.0,78.29,423.2,23
CPT,86304,Immunoassay tumor ca 125,,,20.81,38.5,58
CPT,86305,Human Epididymis Prot 4 (So),495.0,495.0,73.26,396.0,23
CPT,86305,Human epididymis protein 4,,,20.81,38.5,55
CPT,86308,Heterophile antibody screen,,,5.18,9.58,58
CPT,86308,Infect Mono Screen,204.7,204.7,30.3,163.76,23
CPT,86309,Heterophile antibody titer,,,6.47,11.97,58
CPT,86310,Heterophile antibody absrbj,,,7.37,13.63,58
CPT,86316,"Chromgranin a,Ecl",329.0,329.0,48.69,263.2,23
CPT,86316,"Chromogranin a, Rebaseline (So)",149.0,149.0,22.05,119.2,23
CPT,86316,Immunoassay Tumor Other,279.5,279.5,26.34,260.8,92
CPT,86316,Immunoassay tumor other,,,20.81,38.5,58
CPT,86316,"Immunoassay, Tumor Antigen, Quant",315.0,315.0,46.62,252.0,23
CPT,86317,Diphtheria Ab,248.0,248.0,36.7,198.4,23
CPT,86317,Dnp Antibody,225.0,225.0,33.3,180.0,23
CPT,86317,Immunoassay Infectious Agent,54.0,54.0,4.88,114.4,69
CPT,86317,"Immunoassay for Infectious Agent,Ab,Quant",31.0,31.0,4.59,24.8,23
CPT,86317,Immunoassay infectious agent,,,14.99,27.73,58
CPT,86317,Strep Pneumoniae Igg Ab Panel (So),354.2,354.2,52.42,283.36,23
CPT,86318,Ia infectious agent antibody,,,16.28,33.47,58
CPT,86320,Serum immunoelectrophoresis,,,17.17,55.35,58
CPT,86325,Other immunoelectrophoresis,,,17.17,42.79,58
CPT,86327,Immunoelectrophoresis assay,,,28.91,55.12,13
CPT,86328,Ia Infectious Ag Ab Sars-Cov2 Covid 19,349.0,349.0,51.65,279.2,23
CPT,86328,Ia nfct ab sarscov2 covid19,,,45.28,125.29,58
CPT,86329,Hypersens Pneumo Scr,425.0,425.0,62.9,340.0,23
CPT,86329,Immunodiffusion,122.0,122.0,18.06,97.6,23
CPT,86329,Immunodiffusion nes,,,14.05,25.99,58
CPT,86331,Immunodiffusion Ouchterlony,19.0,19.0,2.81,15.2,23
CPT,86331,Immunodiffusion ouchterlony,,,11.98,22.16,58
CPT,86331,Pigeon Serum,38.0,38.0,5.62,30.4,23
CPT,86331,S. Viridis,38.0,38.0,5.62,30.4,23
CPT,86331,T. Candidus,38.0,38.0,5.62,30.4,23
CPT,86331,T.Vulgaris,38.0,38.0,5.62,30.4,23
CPT,86332,Immune Complex Detection by C1q Binding (So),34.0,34.0,5.03,27.2,23
CPT,86332,Immune Complex Detection by C1q Binding(Q 36735),102.0,102.0,15.1,81.6,23
CPT,86332,Immune Complex(C1q),224.0,224.0,33.15,179.2,23
CPT,86332,Immune complex assay,,,24.37,45.08,58
CPT,86334,Immunofix e-phoresis serum,,,17.17,41.33,58
CPT,86334,"Immunofixation,Ser",518.65,518.65,76.76,414.92,23
CPT,86335,Immunfix e-phorsis/urine/csf,,,17.17,54.3,58
CPT,86335,"Immunofixation,Urine",531.3,531.3,78.63,425.04,23
CPT,86336,Inhibin A,128.0,128.0,18.94,102.4,23
CPT,86336,Inhibin a,,,15.59,28.84,58
CPT,86336,Inhibin a(So),155.0,155.0,22.94,124.0,23
CPT,86336,Inhibin-A,77.0,77.0,11.4,61.6,23
CPT,86337,"Gad65, Ia-2, and Insulin Autoantibody (So)",363.0,363.0,53.72,290.4,23
CPT,86337,Insulin Antibodies,326.0,326.0,48.25,260.8,23
CPT,86337,Insulin Auto Ab,259.0,259.0,38.33,207.2,23
CPT,86337,Insulin antibodies,,,21.41,39.61,58
CPT,86340,Intrinsic Factor Ab,270.0,270.0,39.96,216.0,23
CPT,86340,Intrinsic factor antibody,,,15.08,27.9,58
CPT,86341,Enceph Islet Cell Ab CSF (So),234.0,234.0,34.63,187.2,23
CPT,86341,Gad65 Abs (Mayo),66.0,66.0,9.77,52.8,23
CPT,86341,Gad65 Neurological Syndrome Antibody Test (So),913.0,913.0,135.12,730.4,23
CPT,86341,Ia-2 Ab (So),193.0,193.0,28.56,154.4,23
CPT,86341,Ia-2 Antibody (So),360.0,360.0,53.28,288.0,23
CPT,86341,Ia-2 Islet Cell Ab (So),193.0,193.0,28.56,154.4,23
CPT,86341,Islet Cell Ab (So),362.005,362.005,53.58,289.61,115
CPT,86341,Islet Cell Antibody,234.0,234.0,34.63,187.2,23
CPT,86341,Islet cell antibody,,,23.57,43.6,58
CPT,86341,Pancreatic Islet Ab,280.6,280.6,41.53,224.48,23
CPT,86341,Zinc Transporter 8 (Znt8) Antibody (So),168.0,168.0,24.86,134.4,23
CPT,86343,Histamine Release -Cu (So),295.0,295.0,43.66,236.0,23
CPT,86343,Leukocyte Histamine Release,128.0,128.0,7.1,188.0,115
CPT,86343,Leukocyte histamine release,,,12.46,23.05,58
CPT,86344,Leukocyte phagocytosis,,,10.04,19.22,58
CPT,86344,Phagocytic Charge,431.0,431.0,63.79,344.8,23
CPT,86352,Cell function assay w/stim,,,135.86,251.34,55
CPT,86353,Lymphocyte transformation,,,49.03,90.71,58
CPT,86355,B Cells Total Count,111.0,111.0,16.43,88.8,23
CPT,86355,B cells total count,,,29.62,69.8,58
CPT,86355,Cd19 B-Cells (Flow Cytometry) So,122.0,122.0,18.06,97.6,23
CPT,86355,"Cd19,Total B %",210.0,210.0,31.08,168.0,23
CPT,86355,Cells Total Count,74.0,74.0,10.95,59.2,23
CPT,86355,Lymph Sub 1 B Cells Tot (So),206.0,206.0,30.49,164.8,23
CPT,86355,Lymph Subset B Cell Tot (So),206.0,206.0,30.49,164.8,23
CPT,86356,Mononuclear cell antigen,,,26.78,49.54,58
CPT,86357,Natural Killer Cellls So,128.0,128.0,18.94,102.4,23
CPT,86357,Nk cells total count,,,29.62,69.8,58
CPT,86359,"Cd3, Total T%",380.99,380.99,56.39,304.79,23
CPT,86359,Cells Total Count,74.0,74.0,10.95,59.2,23
CPT,86359,T cells total count,,,29.62,69.8,58
CPT,86360,Focus Lymphocyte Subsets,573.85,573.85,84.93,459.08,23
CPT,86360,Lymph Subsets:Cd4&Cd8,573.85,573.85,84.93,459.08,23
CPT,86360,T cell absolute count/ratio,,,46.98,86.91,58
CPT,86361,T Cell; Absolute Cd4 Count,273.7,273.7,40.51,218.96,23
CPT,86361,T cell absolute count,,,26.78,49.54,58
CPT,86362,"Mog Ab, Cba - Serum (So)",1320.0,1320.0,195.36,1056.0,23
CPT,86362,Mog-igg1 antb cba each,,,9.64,22.29,58
CPT,86363,Mog-igg1 antb flo cytmtry ea,,,9.64,69.8,58
CPT,86364,Tiss trnsgltmnase ea ig clas,,,9.22,21.33,58
CPT,86366,Muscle-specific kinase antb,,,14.72,34.04,58
CPT,86367,Stem cells total count,,,29.62,143.89,58
CPT,86376,L-K Microsomal Ab,324.0,324.0,47.95,259.2,23
CPT,86376,Microsomal antibody each,,,14.55,26.92,58
CPT,86381,Mitochondrial antibody each,,,20.36,47.08,58
CPT,86382,Neutralization test viral,,,16.91,31.28,58
CPT,86384,Nitroblue tetrazolium dye,,,13.61,25.18,58
CPT,86386,Nuclear matrix protein 22,,,21.78,40.29,58
CPT,864,Anesth removal of bladder,,,11639.38,24872.68,16
CPT,86403,"Crypto.Ag,CSF-Qual",306.0,306.0,45.29,244.8,23
CPT,86403,Crypto.Antigen Scrn,306.0,306.0,45.29,244.8,23
CPT,86403,Particle agglut antbdy scrn,,,10.0,21.35,58
CPT,86403,Rapid Strep Test,306.0,306.0,45.29,244.8,23
CPT,86406,"Crypto.Ag,Bld-Quant",259.9,259.9,38.47,207.92,23
CPT,86406,"Crypto.Ag,CSF-Quant",259.9,259.9,38.47,207.92,23
CPT,86406,Particle agglut antbdy titr,,,10.64,19.68,58
CPT,86408,Neutrlzg antb sarscov2 scr,,,42.13,116.7,58
CPT,86409,Neutrlzg antb sarscov2 titer,,,37.2,291.76,58
CPT,86413,Sars-cov-2 antb quantitative,,,37.2,116.7,58
CPT,86430,Rheumatoid factor test qual,,,6.14,11.36,58
CPT,86431,Rheumatoid Factor Quantitative (So),195.0,195.0,28.86,156.0,23
CPT,86431,"Rheumatoid Factor, Bld",234.6,234.6,34.72,187.68,23
CPT,86431,"Rheumatoid Factor, Syn Fld",234.6,234.6,34.72,187.68,23
CPT,86431,Rheumatoid factor quant,,,5.67,10.49,58
CPT,86480,Quantiferon-TB Gold,543.95,543.95,80.5,435.16,23
CPT,86480,Tb test cell immun measure,,,61.98,114.66,58
CPT,86481,Tb ag response t-cell susp,,,69.78,185.0,58
CPT,86485,Candida Skin Test,393.0,393.0,58.16,314.4,23
CPT,86485,Skin test candida,,,15.84,45.09,25
CPT,86486,Skin test unlisted antign ea,,,4.99,45.09,55
CPT,86490,Coccidioidomycosis skin test,,,66.01,169.27,6
CPT,86510,Histoplasmosis skin test,,,7.46,72.25,55
CPT,86580,"Ppd, TB Skin",89.0,89.0,13.17,71.2,23
CPT,86580,Tb intradermal test,,,7.48,45.09,58
CPT,86581,Strptcs pneum antb serot ia,,,,,0
CPT,86590,Streptokinase antibody,,,12.66,23.42,58
CPT,86592,Rpr (Qual),153.0,153.0,22.64,122.4,23
CPT,86592,Syphilis test non-trep qual,,,4.27,7.9,58
CPT,86592,"Vdrl,CSF",153.0,153.0,22.64,122.4,23
CPT,86593,Rpr (Quant),173.0,173.0,25.6,138.4,23
CPT,86593,Syphilis test non-trep quant,,,4.4,8.14,55
CPT,86593,"Vdrl-CSF,Quant",173.0,173.0,25.6,138.4,23
CPT,86596,Voltage-Gtd Ca Chnl Ab (So),449.0,449.0,47.8,361.6,69
CPT,86596,Voltage-gtd ca chnl antb ea,,,12.05,33.9,58
CPT,866,Anesth removal of adrenal,,,11639.38,24872.68,16
CPT,86602,Antinomyces antibody,,,10.18,18.83,58
CPT,86603,Adenovirus Ab,192.0,192.0,28.42,153.6,23
CPT,86603,Adenovirus antibody,,,12.87,23.81,58
CPT,86606,Aspergillus Fumigatus,78.0,78.0,11.54,62.4,23
CPT,86606,Aspergillus antibody,,,15.05,27.84,58
CPT,86609,Bacterium Antibody,36.0,36.0,5.33,28.8,23
CPT,86609,Bacterium antibody,,,12.88,23.83,58
CPT,86611,B.Henselae Igg,126.0,126.0,18.65,100.8,23
CPT,86611,B.Henselae Igg Titer (So),126.0,126.0,18.65,100.8,23
CPT,86611,B.Henselae Igm,126.0,126.0,18.65,100.8,23
CPT,86611,B.Henselae Igm Titer (So),96.0,96.0,14.21,76.8,23
CPT,86611,B.Quintana Igg,126.0,126.0,18.65,100.8,23
CPT,86611,B.Quintana Igg Titer (So),96.0,96.0,14.21,76.8,23
CPT,86611,B.Quintana Igm,126.0,126.0,18.65,100.8,23
CPT,86611,Bartonella antibody,,,10.18,18.83,58
CPT,86612,Blastomyces Ab,152.0,152.0,22.5,121.6,23
CPT,86612,Blastomyces antibody,,,12.9,23.87,58
CPT,86615,Bordetella Antibody,114.0,114.0,16.87,91.2,23
CPT,86615,Bordetella antibody,,,13.19,24.4,58
CPT,86617,Lyme disease antibody,,,15.49,28.66,58
CPT,86618,Lyme Ab Total,410.55,410.55,60.76,328.44,23
CPT,86618,Lyme Disease Antibody,104.0,104.0,15.39,83.2,23
CPT,86618,Lyme disease antibody,,,17.03,31.51,58
CPT,86619,Borrelia antibody,,,13.38,24.75,58
CPT,86622,B. Abortus Igg,197.0,197.0,29.16,157.6,23
CPT,86622,B. Abortus Igm,197.0,197.0,29.16,157.6,23
CPT,86622,Brucella antibody,,,8.93,16.52,58
CPT,86625,Campylobacter antibody,,,13.12,24.27,58
CPT,86628,Candida,92.0,92.0,13.62,73.6,23
CPT,86628,Candida antibody,,,12.01,22.22,58
CPT,86631,Chlam Pnuemo Iga,203.0,203.0,30.04,162.4,23
CPT,86631,Chlam Pnuemo Igg,203.0,203.0,30.04,162.4,23
CPT,86631,Chlam Psittaci Icg,203.0,203.0,30.04,162.4,23
CPT,86631,Chlam Psittaci Iga,203.0,203.0,30.04,162.4,23
CPT,86631,Chlam Trach Iga,203.0,203.0,30.04,162.4,23
CPT,86631,Chlam Trach Igg,203.0,203.0,30.04,162.4,23
CPT,86631,Chlamydia Antibody,131.0,131.0,19.39,104.8,23
CPT,86631,Chlamydia antibody,,,11.82,21.87,58
CPT,86631,Lgv Antibody Screen,214.0,214.0,31.67,171.2,23
CPT,86632,Chlam Pnuemo Igm,247.25,247.25,36.59,197.8,23
CPT,86632,Chlam Trach Igm,247.25,247.25,36.59,197.8,23
CPT,86632,Chlamydia igm antibody,,,12.68,23.46,58
CPT,86635,Coccidiodes Ab,155.0,155.0,22.94,124.0,23
CPT,86635,Coccidioides,89.0,89.0,13.17,71.2,23
CPT,86635,Coccidioides Ab (So),132.0,132.0,19.54,105.6,23
CPT,86635,Coccidioides antibody,,,11.47,21.22,58
CPT,86638,"Q Fever Igg, Acute",250.0,250.0,37.0,200.0,23
CPT,86638,"Q Fever Igg, Conval.",250.0,250.0,37.0,200.0,23
CPT,86638,Q fever antibody,,,12.12,22.42,58
CPT,86641,Cryptococcus antibody,,,14.41,26.66,58
CPT,86644,Cmv Igg,298.0,298.0,44.1,238.4,23
CPT,86644,Cmv Igg Ab-Eia,298.0,298.0,44.1,238.4,23
CPT,86644,Cmv antibody,,,14.39,26.62,58
CPT,86644,"Cytomegalovirus Igg Avidity, Elisa (So)",215.0,215.0,31.82,172.0,23
CPT,86645,Cmv Igm,205.0,205.0,30.34,164.0,23
CPT,86645,Cmv antibody igm,,,16.85,31.17,58
CPT,86648,Diphtheria antibody,,,15.21,28.14,58
CPT,86651,"Antibody Encephalitis, California (La Crosse)",38.0,38.0,5.62,30.4,23
CPT,86651,Encephalitis californ antbdy,,,13.19,24.4,58
CPT,86652,"Antibody Encephalitis, Eastern Equine",38.0,38.0,5.62,30.4,23
CPT,86652,Encephaltis east eqne anbdy,,,13.19,24.4,58
CPT,86653,"Antibody Encephalitis, St. Louis",38.0,38.0,5.62,30.4,23
CPT,86653,Encephaltis st louis antbody,,,13.19,24.4,58
CPT,86654,"Antibody Encephalitis, Western Equine",38.0,38.0,5.62,30.4,23
CPT,86654,Encephaltis west eqne antbdy,,,13.19,24.4,58
CPT,86658,Coxsackie A10 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie A16 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie A2 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie A4 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B1 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B2 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B3 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B4 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B5 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Coxsackie B6 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Echovirus 11 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Echovirus 4 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Echovirus 9 Titer,168.0,168.0,24.86,134.4,23
CPT,86658,Echovirus Ab CSF (So),205.0,205.0,30.34,164.0,23
CPT,86658,Enterovirus antibody,,,13.03,24.11,58
CPT,86663,Epstein-barr antibody,,,13.12,24.27,58
CPT,86664,Ebv Nuclear Ab,234.6,234.6,34.72,187.68,23
CPT,86664,Epstein-barr nuclear antigen,,,15.29,28.29,58
CPT,86665,Ebv Capsid Igg Ab,263.35,263.35,38.98,210.68,23
CPT,86665,Ebv Capsid Igm Ab,263.35,263.35,38.98,210.68,23
CPT,86665,Epstein-barr capsid vca,,,18.14,33.56,58
CPT,86666,Ehrlichia Igg,280.0,280.0,41.44,224.0,23
CPT,86666,Ehrlichia Igm,280.0,280.0,41.44,224.0,23
CPT,86666,Ehrlichia antibody,,,10.18,18.83,58
CPT,86668,Francisella tularensis,,,13.08,26.2,58
CPT,86668,Tularemia Antibody,213.15,213.15,31.55,170.52,23
CPT,86671,Fungus Antibody,110.0,110.0,10.51,119.2,46
CPT,86671,Fungus nes antibody,,,12.25,22.66,58
CPT,86674,Giardia lamblia antibody,,,14.72,27.23,58
CPT,86677,H.Pylori Iga,207.0,207.0,30.64,165.6,23
CPT,86677,H.Pylori Igg Ab-Eia,330.0,330.0,48.84,264.0,23
CPT,86677,Helicobacter pylori antibody,,,16.85,31.17,58
CPT,86682,Cysticercus Igg,289.0,289.0,42.77,231.2,23
CPT,86682,Echinococcus Igg,289.0,289.0,42.77,231.2,23
CPT,86682,Filaria Ab,289.0,289.0,42.77,231.2,23
CPT,86682,Helminth Antibody,165.0,165.0,15.39,180.8,46
CPT,86682,Helminth antibody,,,13.01,24.07,58
CPT,86682,Schistosoma Igg,289.0,289.0,42.77,231.2,23
CPT,86682,Strongyloides Igg,191.0,191.0,28.27,152.8,23
CPT,86684,Hemophilus influenza antibdy,,,15.84,29.3,58
CPT,86687,Htlv-i antibody,,,9.09,16.82,55
CPT,86688,Htlv-ii antibody,,,14.0,25.9,55
CPT,86689,Hiv-2 Wb,320.0,320.0,47.36,256.0,23
CPT,86689,Htlv/hiv confirmj antibody,,,19.35,35.8,58
CPT,86692,Hepatitis Delta Ab,312.8,312.8,46.29,250.24,23
CPT,86692,Hepatitis delta agent antbdy,,,17.16,31.75,58
CPT,86694,Herpes simplex nes antbdy,,,14.39,26.62,58
CPT,86694,Hsv 1/2 Igm,185.0,185.0,27.38,148.0,23
CPT,86695,Herpes simplex type 1 test,,,13.19,24.4,58
CPT,86695,Hsv 1 Igg (So),129.95,129.95,19.23,103.96,23
CPT,86695,Hsv-I Igg,230.0,230.0,34.04,184.0,23
CPT,86696,Herpes simplex type 2 test,,,19.35,35.8,58
CPT,86696,Hsv - II Igg,213.9,213.9,31.66,171.12,23
CPT,86696,Hsv 2 Igg (So),190.9,190.9,28.25,152.72,23
CPT,86696,Hsv 2 Igg Inhibition (So),400.0,400.0,59.2,320.0,23
CPT,86698,Histoplasma Ab (S),137.0,137.0,20.28,109.6,23
CPT,86698,Histoplasma antibody,,,13.79,25.51,58
CPT,86701,Focus Hiv-1 Confirmation,283.0,283.0,41.88,226.4,23
CPT,86701,Hiv-1 Confirmation,323.0,323.0,47.8,258.4,23
CPT,86701,Hiv-1antibody,,,8.89,16.45,58
CPT,86702,Focus Hiv-2 Confirmation,329.0,329.0,48.69,263.2,23
CPT,86702,Hiv-2 Confirmation,329.0,329.0,48.69,263.2,23
CPT,86702,Hiv-2 antibody,,,13.52,25.01,58
CPT,86703,Focus Hiv 1/2 Ab Scrn,309.0,309.0,45.73,247.2,23
CPT,86703,Hiv-1/2,255.0,255.0,37.74,204.0,23
CPT,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,25.36,58
CPT,86703,Rapid Hiv-1/Hiv-2 (1 Result) Ab,230.0,230.0,34.04,184.0,23
CPT,86704,Hbv Core Ab,327.75,327.75,48.51,262.2,23
CPT,86704,Hep b core antibody total,,,12.05,22.29,58
CPT,86705,Hep b core antibody igm,,,11.77,21.77,58
CPT,86705,Hepatitis-B Core M,365.7,365.7,54.12,292.56,23
CPT,86706,Hbv Surface Ab,257.0,257.0,38.04,205.6,23
CPT,86706,Hep b surface antibody,,,10.74,19.87,58
CPT,86707,Hbv E Ab,192.0,192.0,28.42,153.6,23
CPT,86707,Hepatitis be antibody,,,11.57,21.4,58
CPT,86708,Hepatitis a antibody,,,12.39,22.92,58
CPT,86709,Hav Igm Ab,356.0,356.0,52.69,284.8,23
CPT,86709,Hepatitis a igm antibody,,,11.26,20.83,58
CPT,86710,Influenza B Ab,201.0,201.0,29.75,160.8,23
CPT,86710,Influenza a Ab,201.0,201.0,29.75,160.8,23
CPT,86710,Influenza virus antibody,,,13.55,25.07,58
CPT,86711,John cunningham antibody,,,12.8,31.25,58
CPT,86713,L. Pneumoph. Ab - Total,219.0,219.0,32.41,175.2,23
CPT,86713,"Legionella Pneumophila Ab (Igg), Ifa (So)",156.0,156.0,23.09,124.8,23
CPT,86713,Legionella antibody,,,15.3,28.31,58
CPT,86717,Leishmania Antibody,174.0,174.0,25.75,139.2,23
CPT,86717,Leishmania antibody,,,12.25,22.66,58
CPT,86720,Leptospira antibody,,,16.2,29.97,58
CPT,86723,Listeria monocytogenes,,,13.19,24.4,58
CPT,86727,Lymph Choriomeningitis Ab,29.0,29.0,4.29,23.2,23
CPT,86727,Lymph choriomeningitis ab,,,12.87,23.81,58
CPT,86732,Mucormycosis antibody,,,15.0,27.75,58
CPT,86735,Mumps Antibody,96.0,96.0,14.21,76.8,23
CPT,86735,Mumps Igm,130.0,130.0,19.24,104.0,23
CPT,86735,Mumps antibody,,,13.05,24.14,58
CPT,86738,Mycoplasma Igg,149.0,149.0,22.05,119.2,23
CPT,86738,Mycoplasma Igm,149.0,149.0,22.05,119.2,23
CPT,86738,Mycoplasma antibody,,,13.24,24.49,58
CPT,86741,Neisseria meningitidis,,,13.19,24.4,58
CPT,86744,Nocardia antibody,,,15.99,29.58,58
CPT,86747,Parvovirus Igg,219.0,219.0,32.41,175.2,23
CPT,86747,Parvovirus Igm,219.0,219.0,32.41,175.2,23
CPT,86747,Parvovirus antibody,,,15.03,27.81,58
CPT,86750,Malaria antibody,,,13.19,24.4,58
CPT,86753,Ent. Histolytica Ab,165.0,165.0,24.42,132.0,23
CPT,86753,Prorozoa Antibody Nos,59.0,59.0,8.73,47.2,23
CPT,86753,Protozoa Antibody Nos,81.0,81.0,11.99,64.8,23
CPT,86753,Protozoa antibody nos,,,12.39,22.92,58
CPT,86756,Respiratory virus antibody,,,15.89,29.4,58
CPT,86756,Rsv Ab,279.0,279.0,41.29,223.2,23
CPT,86757,Richettsia Antibody Igg,72.0,72.0,10.66,57.6,23
CPT,86757,Richettsia Antibody Igm,72.0,72.0,10.66,57.6,23
CPT,86757,Rickettsia antibody,,,19.35,35.8,58
CPT,86759,Rotavirus antibody,,,16.59,33.73,58
CPT,86762,Rubella Igg,217.0,217.0,32.12,173.6,23
CPT,86762,Rubella Igm,217.0,217.0,32.12,173.6,23
CPT,86762,Rubella Immune Scrn,230.0,230.0,34.04,184.0,23
CPT,86762,Rubella antibody,,,14.39,26.62,58
CPT,86765,Rubeola (Measles) Igg,224.25,224.25,33.19,179.4,23
CPT,86765,Rubeola (Measles) Igm,224.25,224.25,33.19,179.4,23
CPT,86765,Rubeola antibody,,,12.88,23.83,58
CPT,86768,Salmonella antibody,,,13.19,24.4,58
CPT,86769,Sars-Cov-2 Covid-19 Antibody,83.0,83.0,12.28,66.4,23
CPT,86769,Sars-cov-2 covid-19 antibody,,,42.13,116.7,58
CPT,86771,Shigella antibody,,,16.59,45.29,58
CPT,86774,Tetanus Antitoxoid (So),250.0,250.0,37.0,200.0,23
CPT,86774,Tetanus antibody,,,14.8,27.38,58
CPT,86777,"Toxo Ab-Igg,CSF",372.0,372.0,55.06,297.6,23
CPT,86777,Toxoplasma Igg,372.0,372.0,55.06,297.6,23
CPT,86777,Toxoplasma antibody,,,14.39,26.62,58
CPT,86778,"Toxo Ab-Igm,CSF",230.0,230.0,34.04,184.0,23
CPT,86778,Toxoplasma Igm,230.0,230.0,34.04,184.0,23
CPT,86778,Toxoplasma antibody igm,,,14.41,26.66,58
CPT,86780,Fta - Abs,247.25,247.25,36.59,197.8,23
CPT,86780,Treponema Pallidum,234.6,234.6,34.72,187.68,23
CPT,86780,Treponema pallidum,,,13.24,24.49,55
CPT,86780,"Treponemal Igg, CSF",234.6,234.6,34.72,187.68,23
CPT,86780,Treponemal-Igg-Eia,247.25,247.25,36.59,197.8,23
CPT,86784,Trichinella antibody,,,12.56,23.24,58
CPT,86787,Varicella Zoster,297.85,297.85,44.08,238.28,23
CPT,86787,Varicella Zoster Igm,297.85,297.85,44.08,238.28,23
CPT,86787,Varicella-Zoster Antibody,297.85,297.85,44.08,238.28,23
CPT,86787,Varicella-zoster antibody,,,12.88,23.83,58
CPT,86788,West Nile Ab CSF So,193.0,193.0,28.56,154.4,23
CPT,86788,West Nile Ab Serum So,186.0,186.0,27.53,148.8,23
CPT,86788,West nile virus ab igm,,,16.85,31.17,58
CPT,86789,West nile virus antibody,,,14.39,26.62,58
CPT,86790,Chikungunya Ab (So),197.0,197.0,29.16,157.6,23
CPT,86790,Chikungunya Ab Reflex to Titer (So),219.0,219.0,32.41,175.2,23
CPT,86790,Chikungunya Igg Titer(So),210.0,210.0,31.08,168.0,23
CPT,86790,"Hepatitis E Virus (Hev) Ab (Igg, Igm) (So)",336.0,336.0,49.73,268.8,23
CPT,86790,Hepatitis a Igg,328.0,328.0,48.54,262.4,23
CPT,86790,Htlv I/II Ab,299.0,299.0,44.25,239.2,23
CPT,86790,Virus Antibody Nos,283.0,283.0,39.52,239.2,46
CPT,86790,Virus antibody nos,,,12.88,23.83,58
CPT,86793,Yersinia antibody,,,13.19,24.4,58
CPT,86794,Zika virus igm antibody,,,16.64,31.17,58
CPT,868,Anesth kidney transplant,,,11639.38,24872.68,16
CPT,86800,"Thyroglob Ab, Quant",336.0,336.0,49.73,268.8,23
CPT,86800,"Thyroglobulin Panel, Antibody",104.0,104.0,15.39,83.2,23
CPT,86800,Thyroglobulin antibody,,,15.91,29.43,58
CPT,86803,Hcv Ab (2nd Gen),343.0,343.0,50.76,274.4,23
CPT,86803,Hepatitis c ab test,,,10.0,26.4,58
CPT,86804,Hep c ab test confirm,,,15.49,28.66,58
CPT,86805,Lymphocytotoxicity assay,,,65.75,350.59,58
CPT,86806,Lymphocytotoxicity assay,,,47.59,88.04,58
CPT,86807,Cytotoxic antibody screening,,,49.76,145.5,58
CPT,86808,Cytotoxic antibody screening,,,29.68,54.91,58
CPT,86812,Hla typing a b or c,,,25.81,47.75,58
CPT,86812,Hla-B27,582.0,582.0,86.14,465.6,23
CPT,86813,Hla typing a b or c,,,58.0,107.3,58
CPT,86816,Hla typing dr/dq,,,30.17,55.81,58
CPT,86817,Hla typing dr/dq,,,80.96,196.36,58
CPT,86821,Lymphocyte culture mixed,,,36.56,70.99,58
CPT,86825,Hla x-math non-cytotoxic,,,109.49,202.56,55
CPT,86826,Hla x-match noncytotoxc addl,,,36.53,67.58,55
CPT,86828,Hla I/II Ab Scr Plt Trans (Arc),853.0,853.0,126.24,682.4,23
CPT,86828,Hla class i&ii antibody qual,,,64.19,118.75,55
CPT,86829,Hla class i/ii antibody qual,,,64.19,118.75,55
CPT,86830,Hla Ab ID (Arc),560.0,560.0,82.88,448.0,23
CPT,86830,Hla class i phenotype qual,,,95.52,176.71,55
CPT,86831,Hla class ii phenotype qual,,,81.88,151.48,55
CPT,86832,Hla class i high defin qual,,,323.75,598.94,55
CPT,86833,Hla class ii high defin qual,,,325.8,602.73,55
CPT,86834,Hla class i semiquant panel,,,357.56,661.49,55
CPT,86835,Hla class ii semiquant panel,,,322.96,597.48,55
CPT,86849,Immunology procedure,,,68.04,68.04,3
CPT,86850,Antibody Screen,420.9,420.9,62.29,336.72,23
CPT,86850,Antibody Screen (Arc),420.9,420.9,62.29,336.72,23
CPT,86850,Rbc antibody screen,,,9.77,98.35,58
CPT,86860,RBC Elution,575.5,575.5,85.17,460.4,23
CPT,86860,RBC Elution (Arc),575.5,575.5,85.17,460.4,23
CPT,86860,Rbc antibody elution,,,6.12,315.43,25
CPT,86870,Antibody ID,874.0,874.0,129.35,699.2,23
CPT,86870,Antibody ID (Arc),874.0,874.0,129.35,699.2,23
CPT,86870,Rbc antibody identification,,,6.12,662.12,25
CPT,86880,Coombs test direct,,,5.39,109.33,58
CPT,86880,Direct Coombs,241.5,241.5,35.74,193.2,23
CPT,86880,Direct Coombs (Arc),241.5,241.5,35.74,193.2,23
CPT,86885,Abid Ea Selected Cell,252.0,252.0,37.3,201.6,23
CPT,86885,Abid Ea Selected Cell (Arc),427.8,427.8,63.31,342.24,23
CPT,86885,Coombs test indirect qual,,,5.72,315.43,58
CPT,86886,Antibody Titer,503.7,503.7,74.55,402.96,23
CPT,86886,Coombs test indirect titer,,,5.18,315.43,55
CPT,86890,Autologous blood process,,,170.5,315.43,22
CPT,86891,Autologous blood op salvage,,,266.86,1503.66,22
CPT,86900,"Blood Typing, Serologic, Abo",285.2,285.2,42.21,228.16,23
CPT,86900,"Blood Typing, Serologic, Abo (Arc)",285.2,285.2,42.21,228.16,23
CPT,86900,Blood typing serologic abo,,,2.99,237.27,58
CPT,86901,"Blood Typing, Serologic, Rh (D)",172.0,172.0,25.46,137.6,23
CPT,86901,"Blood Typing, Serologic, Rh (D) (Arc)",172.0,172.0,25.46,137.6,23
CPT,86901,Blood typing serologic rh(d),,,2.99,72.25,58
CPT,86902,Blood Type Ag Donor Ea,760.0,760.0,112.48,608.0,23
CPT,86902,Blood Type Ag Donor Ea (Arc),952.2,952.2,140.93,761.76,23
CPT,86902,Blood type antigen donor ea,,,4.3,662.12,55
CPT,86904,Blood typing patient serum,,,11.95,109.33,55
CPT,86905,Blood typing rbc antigens,,,3.83,662.12,55
CPT,86905,Patient Ag Typing,609.5,609.5,90.21,487.6,23
CPT,86905,Patient Ag Typing (Arc),609.5,609.5,90.21,487.6,23
CPT,86906,Bld typing serologic rh phnt,,,7.75,72.25,55
CPT,86906,Rh Phenotype (Arc),717.6,717.6,106.2,574.08,23
CPT,86910,Blood typing paternity test,,,23.45,48.75,9
CPT,86911,Blood typing antigen system,,,6.66,42.33,9
CPT,86920,Compatibility test spin,,,27.25,315.43,25
CPT,86920,Crossmatch Is Ea Unit,476.1,476.1,70.46,380.88,23
CPT,86921,Compatibility test incubate,,,22.12,315.43,25
CPT,86921,Crossmatch Incub Ea Unit,455.0,455.0,67.34,364.0,23
CPT,86921,Platelet Crossmatch (Arc),455.0,455.0,67.34,364.0,23
CPT,86922,Compatibility test antiglob,,,24.89,315.43,25
CPT,86922,Crossmatch Ahg,607.2,607.2,89.87,485.76,23
CPT,86922,Crossmatch Ahg (Arc),563.5,563.5,83.4,450.8,23
CPT,86923,Compatibility test electric,,,19.75,315.43,25
CPT,86923,Crossmatch - Mass Transfusion,314.0,314.0,46.47,251.2,23
CPT,86923,Crossmatch Electronic,532.45,532.45,78.8,425.96,23
CPT,86927,Ffp Thawing Ea Unit,658.0,658.0,97.38,526.4,23
CPT,86927,Plasma fresh frozen,,,37.84,315.43,22
CPT,86930,Frozen blood prep,,,170.5,340.09,22
CPT,86931,Frozen blood thaw,,,166.78,340.09,22
CPT,86932,Frozen blood freeze/thaw,,,39.05,189.22,22
CPT,86940,Hemolysins/agglutinins auto,,,8.77,16.22,58
CPT,86941,Hemolysins/agglutinins,,,12.11,22.4,58
CPT,86945,Blood product/irradiation,,,36.05,72.25,25
CPT,86950,Leukacyte transfusion,,,144.98,315.43,22
CPT,86960,Vol reduction of blood/prod,,,62.21,315.43,22
CPT,86965,Pooling blood platelets,,,62.21,315.43,22
CPT,86970,RBC Pretx Chem (Arc),337.0,337.0,49.88,269.6,23
CPT,86970,Rbc pretx incubatj w/chemicl,,,40.12,109.33,22
CPT,86971,RBC Pretx Enz (Arc),1030.4,1030.4,152.5,824.32,23
CPT,86971,Rbc pretx incubatj w/enzymes,,,44.26,340.09,22
CPT,86972,Rbc pretx incubatj w/density,,,77.62,315.43,22
CPT,86975,RBC Pretx Drug (Arc),380.0,380.0,56.24,304.0,23
CPT,86975,Rbc serum pretx incubj drugs,,,60.3,734.5,22
CPT,86976,Rbc serum pretx id dilution,,,24.37,66.7,22
CPT,86977,Rbc serum pretx incubj/inhib,,,66.7,315.43,22
CPT,86978,RBC Pretx Ab ID Diff Ea Absorp (Arc),446.0,446.0,66.01,356.8,23
CPT,86978,Rbc pretreatment serum,,,40.12,109.33,22
CPT,86985,Aliquot Blood Products Ea,530.0,530.0,78.44,424.0,23
CPT,86985,Split blood or products,,,48.75,315.43,22
CPT,86999,Unlisted transfusion med px,,,24.37,45.09,21
CPT,87003,Small animal inoculation,,,16.84,31.15,58
CPT,87015,Concentration,145.0,145.0,21.46,116.0,23
CPT,87015,Cyclospora & Isospora Concentration (So),116.0,116.0,17.17,92.8,23
CPT,87015,Specimen infect agnt concntj,,,6.68,12.36,58
CPT,87040,Blood Cult. Routine,611.8,611.8,90.55,489.44,23
CPT,87040,Blood culture for bacteria,,,10.32,19.09,58
CPT,87045,Feces culture aerobic bact,,,9.44,17.46,55
CPT,87045,Stool Culture,343.0,343.0,50.76,274.4,23
CPT,87046,"E.Coli O157, Culture(So)",190.0,190.0,28.12,152.0,23
CPT,87046,"Stool Cult, Aerobic-Campy",296.7,296.7,43.91,237.36,23
CPT,87046,Stool cultr aerobic bact ea,,,2.97,17.46,58
CPT,87046,"Stool, Cult, Aerobic-Yersinnia",296.7,296.7,43.91,237.36,23
CPT,87070,Bone Marrow Culture,480.7,480.7,71.14,384.56,23
CPT,87070,CSF Culture,480.7,480.7,71.14,384.56,23
CPT,87070,Culture othr specimn aerobic,,,8.62,15.95,58
CPT,87070,Exudate Culture,480.7,480.7,71.14,384.56,23
CPT,87070,Fluid/Tissue Cult.,480.7,480.7,71.14,384.56,23
CPT,87070,Genital Culture,480.7,480.7,71.14,384.56,23
CPT,87070,"Misc Cult,Referral",390.0,390.0,57.72,312.0,23
CPT,87070,Misc. Culture,480.7,480.7,71.14,384.56,23
CPT,87070,Sputum Culture,480.7,480.7,71.14,384.56,46
CPT,87071,Culture aerobic quant other,,,5.93,18.3,58
CPT,87073,Culture bacteria anaerobic,,,5.93,17.87,58
CPT,87075,Anaerobe Culture,542.8,542.8,80.33,434.24,23
CPT,87075,Cultr bacteria except blood,,,9.47,17.52,58
CPT,87076,Culture anaerobe ident each,,,8.08,14.95,58
CPT,87077,Culture I.D.-Aerobe Biochem,261.0,261.0,38.63,208.8,23
CPT,87077,Culture aerobic identify,,,8.08,14.95,58
CPT,87081,Culture Screen Only (So),36.0,36.0,5.33,28.8,23
CPT,87081,Culture screen only,,,6.63,12.27,58
CPT,87081,"Gc Cult,Anal",410.01,410.01,60.68,328.01,23
CPT,87081,"Gc Cult,Throat",410.01,410.01,60.68,328.01,23
CPT,87081,"Gc Cult,Urethral",410.01,410.01,60.68,328.01,23
CPT,87081,"Gc Cult,Vag/Cervix",410.01,410.01,60.68,328.01,23
CPT,87081,Gc Culture Eye,410.01,410.01,60.68,328.01,23
CPT,87081,"Pertussis,State Lab",410.01,410.01,60.68,328.01,23
CPT,87081,Throat Culture,410.0,410.0,60.68,328.0,23
CPT,87084,Culture of specimen by kit,,,10.83,50.08,58
CPT,87086,Urine Culture,480.0,480.0,71.04,384.0,23
CPT,87086,Urine culture/colony count,,,8.07,14.93,58
CPT,87088,Urine bacteria culture,,,8.09,14.97,58
CPT,87101,Fungus Cult. Derm.,326.6,326.6,48.34,261.28,23
CPT,87101,Skin fungi culture,,,7.71,14.26,58
CPT,87102,"Fungus Culture,Misc.",399.05,399.05,59.06,319.24,23
CPT,87102,Fungus isolation culture,,,8.41,15.56,58
CPT,87103,Blood fungus culture,,,11.34,37.85,58
CPT,87103,Fungus Cult. Blood,343.36,343.36,50.82,274.69,23
CPT,87106,Fungi identification yeast,,,10.32,19.09,58
CPT,87107,Fungi identification mold,,,10.32,19.09,58
CPT,87109,Mycoplasma,,,15.39,28.47,58
CPT,87110,"Chlam Cult,Referral",212.0,212.0,31.38,169.6,23
CPT,87110,Chlamydia culture,,,19.6,36.26,58
CPT,87116,"Afb Culture, Blood",465.75,465.75,68.93,372.6,23
CPT,87116,Afb Culture-Misc,465.75,465.75,68.93,372.6,23
CPT,87116,Mycobacteria culture,,,10.8,19.98,55
CPT,87118,Mycobacteric identification,,,14.61,27.03,55
CPT,87140,Culture type immunofluoresc,,,5.57,10.3,58
CPT,87140,"Viral ID, Respiratory(So)",349.0,349.0,51.65,279.2,23
CPT,87143,Culture typing glc/hplc,,,12.52,23.16,58
CPT,87147,Culture I.D.-Immunologic,122.0,122.0,18.06,97.6,23
CPT,87147,Culture type immunologic,,,5.18,9.58,58
CPT,87149,Culture I.D.-Probe Biochem,468.0,468.0,69.26,374.4,23
CPT,87149,Dna/rna direct probe,,,20.05,37.09,58
CPT,87150,Dna/rna amplified probe,,,35.09,64.92,55
CPT,87150,Eplex Blood Culture ID (Fungal-Pathogen) Ea Isolate,228.85,228.85,33.87,183.08,23
CPT,87150,Eplex Blood Culture ID (Gram-Neg) Ea Isolate,151.8,151.8,22.47,121.44,23
CPT,87150,Eplex Blood Culture ID (Gram-POS) Ea Isolate,135.7,135.7,20.08,108.56,23
CPT,87152,Culture type pulse field gel,,,6.58,14.32,58
CPT,87153,Dna/rna sequencing,,,115.36,213.42,55
CPT,87154,Cul typ id bld pthgn 6+ trgt,,,174.45,403.41,58
CPT,87158,Culture typing added method,,,6.58,14.32,58
CPT,87164,Dark field exam spec collj,,,10.74,29.02,58
CPT,87166,Dark field exam w/o collj,,,11.3,20.91,58
CPT,87168,Macroscopic exam arthropod,,,4.27,7.9,58
CPT,87169,Macroscopic exam parasite,,,4.31,7.97,58
CPT,87172,Pinworm Exam,134.0,134.0,19.83,107.2,23
CPT,87172,Pinworm exam,,,4.27,7.9,58
CPT,87176,"Homogenization, Tissue",120.0,120.0,17.76,96.0,23
CPT,87176,Tissue homogenization cultr,,,5.88,10.88,58
CPT,87177,Coccidia Smear,273.0,273.0,40.4,218.4,23
CPT,87177,"O&P,Ethylacetate",273.0,273.0,40.4,218.4,23
CPT,87177,"Ova & Parasites, Urn",273.0,273.0,40.4,218.4,23
CPT,87177,Ova and parasites smears,,,8.9,16.47,58
CPT,87177,Wet Prep,168.0,168.0,24.86,134.4,23
CPT,87181,Microbe Susceptible Diffuse (So),72.0,72.0,10.66,57.6,23
CPT,87181,Microbe susceptible diffuse,,,4.75,8.79,58
CPT,87184,Microbe susceptible disk,,,7.48,13.84,58
CPT,87185,Microbe susceptible enzyme,,,4.75,8.79,58
CPT,87186,Microbe susceptible mic,,,8.65,16.0,58
CPT,87186,Sens.Special Panel,307.05,307.05,45.44,245.64,23
CPT,87187,Microbe susceptible mlc,,,13.03,74.31,58
CPT,87188,Microbe suscept macrobroth,,,6.64,12.28,58
CPT,87190,Microbe Suscept Mycobacteri,106.0,106.0,15.69,84.8,23
CPT,87190,Microbe suscept mycobacteri,,,7.11,13.52,58
CPT,87197,Bactericidal level serum,,,15.02,27.79,58
CPT,87205,Gram Stain,190.0,190.0,28.12,152.0,23
CPT,87205,Smear Gram Stain (So),36.0,36.0,5.33,28.8,23
CPT,87205,Smear gram stain,,,2.95,7.9,58
CPT,87206,Afb Stain,234.6,234.6,34.72,187.68,23
CPT,87206,Koh Prep,234.6,234.6,34.72,187.68,23
CPT,87206,Pas/Koh Prep,234.6,234.6,34.72,187.68,46
CPT,87206,Smear fluorescent/acid stai,,,5.39,9.97,58
CPT,87207,Cyclospora & Isospora Stain (So),108.0,108.0,15.98,86.4,23
CPT,87207,Malaria/Parasite Smr,229.0,229.0,33.89,183.2,23
CPT,87207,Smear special stain,,,5.99,27.47,58
CPT,87209,Microsporidium,391.0,391.0,57.87,312.8,23
CPT,87209,"O&P,Pva/Trichrome",367.0,367.0,54.32,293.6,23
CPT,87209,Smear complex stain,,,17.98,33.26,58
CPT,87210,India Ink Prep,216.0,216.0,31.97,172.8,23
CPT,87210,"O & P Direct, Smear",198.95,198.95,29.44,159.16,23
CPT,87210,Smear wet mount saline/ink,,,5.36,10.77,58
CPT,87210,Vaginal Wet Prep,194.0,194.0,25.46,172.8,46
CPT,87220,Koh Level,198.0,198.0,29.3,158.4,23
CPT,87220,Skin Prep: 10% Koh,198.0,198.0,29.3,158.4,23
CPT,87220,Tissue exam for fungi,,,4.27,7.9,58
CPT,87230,Assay toxin or antitoxin,,,19.74,36.52,58
CPT,87250,Herpes Viral Culture,478.0,478.0,70.74,382.4,23
CPT,87250,Virus inoculate eggs/animal,,,19.56,36.19,58
CPT,87252,"Viral Cult,Referral",357.0,357.0,52.84,285.6,23
CPT,87252,Virus inoculation tissue,,,26.07,48.23,58
CPT,87253,Virus inoculate tissue addl,,,20.2,37.37,58
CPT,87254,"Cytomegalovirus, Rapid Culture (So)",65.0,65.0,9.62,52.0,23
CPT,87254,"Cytomegalovirus, Rapid Culture - Quest (So)",171.0,171.0,25.31,136.8,23
CPT,87254,"Viral Respiratory,Rapid Culture With Reflex(So)",250.0,250.0,37.0,200.0,23
CPT,87254,Virus inoculation shell via,,,6.15,36.19,58
CPT,87255,Genet virus isolate hsv,,,33.86,62.64,58
CPT,87260,Adenovirus ag if,,,14.43,26.7,58
CPT,87265,Pertussis ag if,,,11.98,22.16,58
CPT,87267,Enterovirus antibody dfa,,,13.42,24.83,58
CPT,87269,Giardia ag if,,,13.61,25.18,58
CPT,87270,Chlamydia trachomatis ag if,,,11.98,22.16,55
CPT,87271,Cytomegalovirus dfa,,,13.42,24.83,58
CPT,87272,Cryptosporidium ag if,,,11.98,22.16,58
CPT,87273,Herpes simplex 2 ag if,,,11.98,22.16,58
CPT,87274,Herpes simplex 1 ag if,,,11.98,22.16,58
CPT,87275,Influenza b ag if,,,12.25,22.66,58
CPT,87276,Influenza a ag if,,,15.08,29.73,58
CPT,87278,"L. Pneumo-1 Ag, Urine",271.0,271.0,40.11,216.8,23
CPT,87278,Legion pneumophilia ag if,,,15.08,28.86,58
CPT,87279,Parainfluenza ag if,,,15.08,30.4,58
CPT,87280,Respiratory syncytial ag if,,,13.42,24.83,58
CPT,87281,Pneumocystis carinii ag if,,,11.98,22.16,58
CPT,87283,Rubeola ag if,,,15.08,112.48,58
CPT,87285,Treponema pallidum ag if,,,12.18,22.53,55
CPT,87290,Varicella zoster ag if,,,13.42,24.83,58
CPT,87299,Antibody detection nos if,,,15.08,29.79,58
CPT,87300,Ag detection polyval if,,,7.54,22.16,58
CPT,87301,Adenovirus ag ia,,,11.98,22.16,58
CPT,87305,"Aspergillus Antigen, Eia, Serum(So)",315.0,315.0,46.62,252.0,23
CPT,87305,"Aspergillus Antigen,Eia(So)",310.0,310.0,45.88,248.0,23
CPT,87305,Aspergillus ag ia,,,11.98,22.16,58
CPT,87320,Chlmyd trach ag ia,,,15.0,27.75,58
CPT,87324,"C.Diff. Assay,Stool",274.0,274.0,40.55,219.2,23
CPT,87324,Clostridium ag ia,,,11.98,22.16,58
CPT,87327,Cryptococcus neoform ag ia,,,13.42,24.83,58
CPT,87328,Cryptosporidium Scrn.,195.0,195.0,28.86,156.0,23
CPT,87328,Cryptosporidium ag ia,,,13.82,25.57,58
CPT,87329,Eia Giardia Screen,195.0,195.0,28.86,156.0,23
CPT,87329,Giardia ag ia,,,11.98,22.16,58
CPT,87332,Cytomegalovirus ag ia,,,11.98,22.16,58
CPT,87335,E coli 0157 ag ia,,,12.66,23.42,55
CPT,87336,Entamoeb hist dispr ag ia,,,15.08,29.6,58
CPT,87337,Entamoeb hist group ag ia,,,11.98,22.16,58
CPT,87337,H.Pylori Ag -Stool,334.0,334.0,49.43,267.2,23
CPT,87338,Hpylori stool ag ia,,,14.38,26.6,58
CPT,87339,H pylori ag ia,,,15.08,29.6,58
CPT,87340,Hbv Surface Ag,255.0,255.0,37.74,204.0,23
CPT,87340,Hepatitis b surface ag ia,,,10.33,19.11,58
CPT,87341,Hep b surface ag neutrlzj ia,,,10.33,19.11,58
CPT,87350,Hbv E Ag,173.65,173.65,25.7,138.92,23
CPT,87350,Hepatitis be ag ia,,,11.53,21.33,58
CPT,87380,Hepatitis delta agent ag ia,,,18.36,33.97,58
CPT,87385,Histoplasma Ag,455.0,455.0,67.34,364.0,23
CPT,87385,Histoplasma capsul ag ia,,,13.25,24.51,58
CPT,87389,Hiv 1/2 Ag/Ab 4th Generation So,257.0,257.0,38.04,205.6,23
CPT,87389,Hiv-1 Ag With Hiv-1/2 Ab,327.0,327.0,48.4,261.6,23
CPT,87389,Hiv-1 ag w/hiv-1&-2 ab ag ia,,,24.08,44.55,58
CPT,87390,Hiv-1 ag ia,,,19.25,44.51,58
CPT,87391,Hiv-2 ag ia,,,19.25,40.52,58
CPT,87400,Influenza a/b each ag ia,,,14.13,26.14,58
CPT,87420,Resp syncytial virus ag ia,,,13.91,25.73,58
CPT,87425,"Rotavirus Ag, Stool",249.0,249.0,36.85,199.2,23
CPT,87425,Rotavirus ag ia,,,11.98,22.16,58
CPT,87426,Sarscov Coronavirus Ag Ia,268.0,268.0,39.66,214.4,23
CPT,87426,Sarscov coronavirus ag ia,,,35.33,125.29,58
CPT,87427,Shiga-like toxin ag ia,,,11.98,22.16,58
CPT,87428,Sarscov & inf vir a&b ag ia,,,67.08,203.57,58
CPT,87430,Strep a Ag-Throat,249.55,249.55,36.93,199.64,23
CPT,87430,Strep a ag ia,,,15.08,31.1,58
CPT,87449,Ag Detect Nos Eia Mult,307.0,307.0,45.44,245.6,23
CPT,87449,Fungitell « (1-3)-▀-D-Glucan Assay (So),450.0,450.0,66.6,360.0,23
CPT,87449,Nos each organism ag ia,,,11.98,22.16,58
CPT,87450,Ag detect nos ia single,,,12.05,12.05,3
CPT,87451,Polyvalent mult org ea ag ia,,,10.51,19.44,58
CPT,87467,Hepatitis b surface ag quan,,,12.04,46.84,52
CPT,87468,Anaplsma phgcytophlm amp prb,,,28.07,64.92,58
CPT,87469,Babesia microti amp prb,,,28.07,64.92,58
CPT,87471,Bartonella Dna Amp Probe,662.0,662.0,97.98,529.6,23
CPT,87471,Bartonella dna amp probe,,,24.67,64.92,58
CPT,87472,Bartonella dna quant,,,42.84,79.25,58
CPT,87475,Lyme dis dna dir probe,,,20.05,37.09,58
CPT,87476,Lyme dis dna amp probe,,,24.67,64.92,58
CPT,87478,Borrelia miyamotoi amp prb,,,28.07,64.92,58
CPT,87480,Candida dna dir probe,,,20.05,37.09,58
CPT,87481,Candida dna amp probe,,,24.67,64.92,58
CPT,87482,Candida dna quant,,,52.5,103.12,58
CPT,87483,Biofire« Filmarray« Meningitis/Encephalitis (Me) Panel,1465.0,1465.0,216.82,1172.0,23
CPT,87483,Cns dna amp probe type 12-25,,,193.5,771.04,58
CPT,87484,Ehrlicha chaffeensis amp prb,,,28.07,64.92,58
CPT,87485,Chlmyd pneum dna dir probe,,,20.05,37.09,58
CPT,87486,Chlamydophila/Chlamydia Pneumoniae,297.85,297.85,44.08,238.28,23
CPT,87486,Chlmyd pneum dna amp probe,,,24.67,64.92,58
CPT,87487,Chlmyd pneum dna quant,,,42.84,79.25,58
CPT,87490,Chlmyd trach dna dir probe,,,22.75,42.09,58
CPT,87491,Chlamydia Detection,374.0,374.0,55.35,299.2,23
CPT,87491,Chlmyd trach dna amp probe,,,24.67,64.92,58
CPT,87492,Chlmyd trach dna quant,,,43.96,98.92,58
CPT,87493,C diff amplified probe,,,37.27,68.95,55
CPT,87493,"Clostridium Difficile Toxin, Gene ,Pcr",487.0,487.0,72.08,389.6,23
CPT,87495,Cytomeg dna dir probe,,,24.8,55.56,58
CPT,87496,Cmv Dna-Pcr Fluids,905.0,905.0,133.94,724.0,23
CPT,87496,Cytomeg dna amp probe,,,24.67,64.92,58
CPT,87496,"Cytomegalovirus Dna, Qualitative Real-Time Pcr, Saliva (So)",210.0,210.0,31.08,168.0,23
CPT,87496,Detection Cytomegalovirus (Cmv) Amplified Probe Tq,318.0,318.0,47.06,254.4,23
CPT,87497,Cytomeg dna quant,,,42.84,79.25,58
CPT,87497,"Cytomegalovirus, Dna",1040.0,1040.0,153.92,832.0,23
CPT,87498,Detection Enterovirus (Ev) Amplified Probe Tq,137.0,137.0,20.28,109.6,23
CPT,87498,"Enterovirus Rna, Qual, Rt-Pcr So",342.0,342.0,50.62,273.6,23
CPT,87498,Enterovirus probe&revrs trns,,,24.67,64.92,58
CPT,87500,Vanomycin dna amp probe,,,24.67,64.92,58
CPT,87501,Influenza dna amp prob 1+,,,36.34,94.92,58
CPT,87502,Influenza Virus -a/B Amplified Probe,408.0,408.0,60.38,326.4,23
CPT,87502,Influenza dna amp probe,,,58.43,177.23,58
CPT,87503,Influenza dna amp prob addl,,,8.76,54.06,58
CPT,87505,Nfct agent detection gi,,,102.63,237.34,58
CPT,87506,Iadna-dna/rna probe tq 6-11,,,210.39,486.53,58
CPT,87507,Iadna-Dna/Rna GI Pthgn Multiplex Probe Tq 12-25,1742.0,1742.0,257.82,1393.6,23
CPT,87507,Iadna-dna/rna probe tq 12-25,,,333.42,771.04,58
CPT,87510,Gardner vag dna dir probe,,,20.05,37.09,58
CPT,87511,Gardner vag dna amp probe,,,24.67,64.92,58
CPT,87512,Gardner vag dna quant,,,41.76,77.26,58
CPT,87513,H pylri clrthmcn rst amp prb,,,28.07,64.92,51
CPT,87516,Hepatitis b dna amp probe,,,24.67,64.92,58
CPT,87517,"Hbv Dna-Pcr,Quant",533.0,533.0,78.88,426.4,23
CPT,87517,Hepatitis b dna quant,,,42.84,79.25,58
CPT,87520,Hepatitis c rna dir probe,,,24.8,57.76,58
CPT,87521,Hepatitis c probe&rvrs trnsc,,,24.67,64.92,58
CPT,87522,"Hcv Rna-Pcr, Quant",1023.0,1023.0,151.4,818.4,23
CPT,87522,Hepatitis c revrs trnscrpj,,,42.84,79.25,58
CPT,87523,Hepatitis d quantification,,,34.27,79.25,58
CPT,87525,Hepatitis g dna dir probe,,,29.8,55.13,55
CPT,87526,Hepatitis g dna amp probe,,,24.67,72.63,58
CPT,87527,Hepatitis g dna quant,,,41.76,77.26,58
CPT,87528,Hsv dna dir probe,,,20.05,37.09,58
CPT,87529,Detection Herpes Simplex Virus (Hsv-1 or Hsv-2) Amplified Probe Tq,324.3,324.3,48.0,259.44,23
CPT,87529,Hsv Dna-Pcr,901.0,901.0,133.35,720.8,23
CPT,87529,Hsv dna amp probe,,,24.67,64.92,58
CPT,87530,"Herpes Simplex Virus, Type 1 and 2 Dna, Quant Pcr (So)",813.0,813.0,120.32,650.4,23
CPT,87530,Hsv dna quant,,,42.84,79.25,55
CPT,87531,Hhv-6 dna dir probe,,,24.8,107.3,58
CPT,87532,Detection Herpes Virus-6 (Hhv-6) Amplified Probe Tq,452.0,452.0,66.9,361.6,23
CPT,87532,Hhv-6 dna amp probe,,,24.67,64.92,58
CPT,87533,Hhv-6 dna quant,,,41.76,77.26,58
CPT,87534,Hiv-1 dna dir probe,,,21.92,40.55,55
CPT,87535,Hiv-1 Dna-Pcr,750.0,750.0,111.0,600.0,23
CPT,87535,Hiv-1 probe&reverse trnscrpj,,,24.67,64.92,58
CPT,87535,"Hiv-1, Rna Qualitative Tma(So)",521.0,521.0,77.11,416.8,23
CPT,87536,"Hiv -1 Rna, Quant,Rt-Pcr (Quest)",618.7,618.7,91.57,494.96,23
CPT,87536,Hiv /Rna Pcr Quant,893.0,893.0,132.16,714.4,23
CPT,87536,Hiv-1 quant&revrse trnscrpj,,,56.5,157.44,58
CPT,87537,Hiv-2 dna dir probe,,,21.92,40.55,55
CPT,87538,Hiv-2 Dna Amp Probe,749.0,749.0,110.85,599.2,23
CPT,87538,Hiv-2 probe&revrse trnscripj,,,35.09,64.92,55
CPT,87539,Hiv-2 quant&revrse trnscripj,,,58.62,108.45,55
CPT,87540,Legion pneumo dna dir prob,,,20.05,37.09,58
CPT,87541,Legion pneumo dna amp prob,,,24.67,64.92,58
CPT,87542,Legion pneumo dna quant,,,41.76,77.26,58
CPT,87550,Mycobacteria dna dir probe,,,20.05,37.09,55
CPT,87551,Mycobacteria dna amp probe,,,24.67,89.24,58
CPT,87552,Mycobacteria dna quant,,,42.84,79.25,58
CPT,87555,M.tuberculo dna dir probe,,,24.8,49.73,58
CPT,87556,Direct M. TB Test,625.6,625.6,92.59,500.48,23
CPT,87556,M.tuberculo dna amp probe,,,41.68,77.11,55
CPT,87557,M.tuberculo dna quant,,,42.84,79.25,58
CPT,87560,M.avium-intra dna dir prob,,,24.8,50.49,58
CPT,87561,M.avium-intra dna amp prob,,,35.09,64.92,55
CPT,87562,M.avium-intra dna quant,,,42.84,79.25,58
CPT,87563,M. genitalium amp probe,,,28.07,64.92,58
CPT,87564,Mtb rifampin rst amp prb tq,,,61.42,142.02,51
CPT,87580,M.pneumon dna dir probe,,,20.05,37.09,58
CPT,87581,M.pneumon dna amp probe,,,24.67,64.92,58
CPT,87581,Mycoplasma Pneumoniae,274.0,274.0,40.55,219.2,23
CPT,87582,M.pneumon dna quant,,,52.5,559.85,58
CPT,87590,N.gonorrhoeae dna dir prob,,,26.88,49.73,55
CPT,87591,Gc Detection,374.0,374.0,55.35,299.2,23
CPT,87591,N.gonorrhoeae dna amp prob,,,21.42,64.92,58
CPT,87592,N.gonorrhoeae dna quant,,,42.84,79.25,58
CPT,87593,Orthopoxvirus amp prb each,,,43.2,142.13,52
CPT,87594,Pneumcysts jirovecii amp prb,,,28.07,64.92,51
CPT,87623,Hpv low-risk types,,,18.25,64.92,58
CPT,87624,Hpv hi-risk typ pooled rslt,,,18.25,64.92,58
CPT,87624,mRNA,271.0,271.0,40.11,216.8,23
CPT,87625,Hpv Genotyping,319.0,319.0,47.21,255.2,23
CPT,87625,Hpv types 16 & 18 only,,,18.25,75.02,58
CPT,87626,Hpv sep hi-rsk typ&pool rslt,,,56.16,129.87,51
CPT,87631,Resp virus 3-5 targets,,,74.18,263.87,58
CPT,87632,Resp virus 6-11 targets,,,108.39,403.41,58
CPT,87633,Resp virus 12-25 targets,,,193.9,1034.24,58
CPT,87633,Respiratory Virus Panel 12-25 Targets,2674.0,2674.0,395.75,2139.2,23
CPT,87634,Iadna Dna/Rna Rsv Amplified Probe Technique,260.0,260.0,38.48,208.0,23
CPT,87634,Rsv dna/rna amp probe,,,69.33,129.87,58
CPT,87635,Covid-19 Lab Test Non-Cdc,335.0,335.0,49.58,268.0,23
CPT,87635,Sars-cov-2 covid-19 amp prb,,,51.31,142.13,58
CPT,87636,Sarscov2 & inf a&b amp prb,,,142.63,395.09,58
CPT,87637,Iadna Sarscov2 & Inf a&B & Rsv Mult Amp Probe Tq,855.0,855.0,126.54,684.0,23
CPT,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,395.09,58
CPT,87640,Staph a dna amp probe,,,24.67,64.92,58
CPT,87641,Mr-staph dna amp probe,,,24.67,64.92,58
CPT,87650,Strep a dna dir probe,,,20.05,37.09,58
CPT,87651,Strep a dna amp probe,,,24.67,64.92,58
CPT,87652,Strep a dna quant,,,41.76,77.26,55
CPT,87653,Strep b dna amp probe,,,24.67,64.92,58
CPT,87660,Trichomonas vagin dir probe,,,20.05,37.09,58
CPT,87661,"Trichomonas Vaginalis Rna, Qual",307.0,307.0,45.44,245.6,23
CPT,87661,Trichomonas vaginalis amplif,,,21.42,64.92,58
CPT,87662,Zika virus dna/rna amp probe,,,50.68,94.92,58
CPT,87797,Detect agent nos dna dir,,,24.8,55.56,58
CPT,87798,Bordetella Parapertussis,301.3,301.3,44.59,241.04,23
CPT,87798,Bordetella Pertussis,301.3,301.3,44.59,241.04,23
CPT,87798,Bordetella Pertussis/Parapertussis Qual/Pcr(So),676.2,676.2,100.08,540.96,23
CPT,87798,Detect Agent Nos Dna Amp,627.6,627.6,85.69,540.96,69
CPT,87798,Detect agent nos dna amp,,,24.67,64.92,58
CPT,87798,Detection Human Parechovirus (Hpev) Amplified Probe Tq,131.0,131.0,19.39,104.8,23
CPT,87798,Detection Varicella Zoster (Vzv) Amplified Probe Tq,301.3,301.3,44.59,241.04,23
CPT,87798,"Ebv Dna-Pcr, Qual",726.8,726.8,107.57,581.44,23
CPT,87798,"Hpv 8 Dna,Qual(So)",676.2,676.2,100.08,540.96,23
CPT,87798,Jc Poly Qual Pcr (So),676.2,676.2,100.08,540.96,23
CPT,87798,"Jcv Dna-Pcr,CSF",828.0,828.0,122.54,662.4,23
CPT,87798,"Monkeypox Virus Dna, Qualitative Real-Time Pcr Part 1 (So-Quest)",432.4,432.4,64.0,345.92,23
CPT,87798,"Monkeypox Virus Dna, Qualitative Real-Time Pcr Part 2 (So-Quest)",432.4,432.4,64.0,345.92,23
CPT,87798,"Parvovirus B19 Pcr, Qual",537.05,537.05,79.48,429.64,23
CPT,87798,"Pneumocysttis Jirovecii, Qual Rt Pcr (So)",676.2,676.2,100.08,540.96,23
CPT,87798,"T.Pallidum Pcr Ql,CSF Q",676.2,676.2,100.08,540.96,23
CPT,87798,Thyroid Perox Ab; Tpo,964.0,964.0,142.67,771.2,23
CPT,87798,"Toxoplasma Gondii Dna,Qual,Pcr So",676.2,676.2,100.08,540.96,23
CPT,87798,"Vzv Dna-Pcr,CSF",632.0,632.0,93.54,505.6,23
CPT,87799,Detect Agent Nos Dna Quant,973.5,973.5,140.75,796.8,46
CPT,87799,Detect agent nos dna quant,,,42.84,79.25,55
CPT,87799,Eb Virus Dna Quant Pcr (So),1007.0,1007.0,149.04,805.6,23
CPT,87799,Jc Polyoma Quant Pcr (So),884.0,884.0,130.83,707.2,23
CPT,87799,Varicella-Zoster Virus Dna Quant Pcr (So),1007.0,1007.0,149.04,805.6,23
CPT,87800,Detect agnt mult dna direc,,,43.67,80.79,58
CPT,87801,Detect agnt mult dna ampli,,,49.34,129.87,58
CPT,87802,Strep b assay w/optic,,,12.73,23.55,58
CPT,87803,Clostridium toxin a w/optic,,,15.08,29.6,58
CPT,87804,Influenza assay w/optic,,,15.08,30.62,58
CPT,87804,Influenza-B Ag,412.85,412.85,61.1,330.28,23
CPT,87804,Influenza-a Ag,412.85,412.85,61.1,330.28,23
CPT,87806,Hiv ag w/hiv1&2 antb w/optic,,,18.25,60.62,58
CPT,87807,"Respiratory Syncytial Virus (Rsv), Immunoassay (So)",121.0,121.0,17.91,96.8,23
CPT,87807,Rsv Assay,219.0,219.0,32.41,175.2,23
CPT,87807,Rsv assay w/optic,,,13.1,24.24,58
CPT,87808,Trichomonas assay w/optic,,,15.08,28.29,58
CPT,87809,Adenovirus assay w/optic,,,15.09,40.26,58
CPT,87810,Chlmyd trach assay w/optic,,,15.08,65.29,58
CPT,87811,Sars-cov-2 covid19 w/optic,,,31.59,114.62,58
CPT,87850,N. gonorrhoeae assay w/optic,,,15.08,45.44,58
CPT,87880,Strep a assay w/optic,,,15.08,30.58,58
CPT,87899,Agent nos assay w/optic,,,15.08,29.73,58
CPT,87899,"Malaria Rapid Antigen Test,Evd",246.0,246.0,36.41,196.8,23
CPT,87900,Phenotype infect agent drug,,,130.35,241.15,58
CPT,87901,Hiv Genotyping,1830.0,1830.0,270.84,1464.0,23
CPT,87901,Nfct agt gntyp alys hiv1 rev,,,109.67,476.28,58
CPT,87902,Hcv Genotyping,1980.0,1980.0,293.04,1584.0,23
CPT,87902,Hcv Rna Ns5a Drug (So),1460.5,1460.5,216.15,1168.4,23
CPT,87902,Hepatitis C Viral Rna Ns3 Genotype(So),509.0,509.0,75.33,407.2,23
CPT,87902,"Hepatitis C Viral Rna, (So)",1076.0,1076.0,159.25,860.8,23
CPT,87902,Nfct agt gntyp alys hep c,,,109.67,476.28,58
CPT,87903,Phenotype dna hiv w/culture,,,425.3,904.02,58
CPT,87904,Phenotype dna hiv w/clt add,,,26.07,48.23,58
CPT,87905,Sialidase enzyme assay,,,12.22,22.61,58
CPT,87906,Hiv-1 Integrase Genotype(So),676.0,676.0,100.05,540.8,23
CPT,87906,Nfct agt gntyp alys hiv1,,,49.09,238.15,58
CPT,87910,Nfct agt gntyp alys cmv,,,95.9,476.28,58
CPT,87912,"Hepatitis B Virus Drug Resistance, Genotype (So)",900.0,900.0,133.2,720.0,23
CPT,87912,Nfct agt gntyp alys hep b,,,95.9,476.28,58
CPT,87913,Nfct agt gntyp alys sarscov2,,,0.03,476.28,58
CPT,87999,Unlisted microbiology px,,,,,0
CPT,88000,Autopsy (necropsy) gross,,,248.58,386.8,6
CPT,88005,Autopsy (necropsy) gross,,,290.16,451.59,6
CPT,88007,Autopsy (necropsy) gross,,,304.02,472.76,6
CPT,88012,Autopsy (necropsy) gross,,,248.58,386.8,6
CPT,88014,Autopsy (necropsy) gross,,,227.8,354.73,6
CPT,88016,Autopsy (necropsy) gross,,,317.88,494.56,6
CPT,88020,Autopsy (necropsy) complete,,,428.32,666.49,6
CPT,88025,Autopsy (necropsy) complete,,,414.46,644.66,6
CPT,88027,Autopsy (necropsy) complete,,,442.16,687.65,6
CPT,88028,Autopsy (necropsy) complete,,,248.58,386.8,6
CPT,88029,Autopsy (necropsy) complete,,,248.58,386.8,6
CPT,88036,Limited autopsy,,,124.3,193.73,6
CPT,88037,Limited autopsy,,,110.44,171.91,6
CPT,88040,Forensic autopsy (necropsy),,,690.76,1074.46,6
CPT,88045,Coroners autopsy (necropsy),,,69.29,107.75,6
CPT,88099,Unlisted necropsy (autopsy),,,,,0
CPT,88104,"Cytology, Urinary",353.0,353.0,52.24,282.4,23
CPT,88104,"Cytology,Breast",400.0,400.0,59.2,320.0,23
CPT,88104,"Cytology,Fluid",467.08,467.08,69.13,373.66,23
CPT,88104,"Cytology,Misc",353.0,353.0,52.24,282.4,23
CPT,88104,Cytopath fl nongyn smears,,,26.22,82.18,85
CPT,88106,Cytopath fl nongyn filter,,,17.82,87.17,85
CPT,88108,Cytopath concentrate tech,,,21.05,75.62,85
CPT,88112,Cytopath cell enhance tech,,,25.9,106.19,85
CPT,88112,Enriched Prep Surepath,545.0,545.0,80.66,436.0,23
CPT,88120,Cytp urne 3-5 probes ea spec,,,54.7,1056.37,85
CPT,88121,Cytp urine 3-5 probes cmptr,,,45.65,750.45,85
CPT,88125,Forensic cytopathology,,,12.97,98.35,82
CPT,88130,Sex chromatin identification,,,17.98,33.26,58
CPT,88140,Sex chromatin identification,,,7.99,14.78,58
CPT,88141,Cytopath c/v interpret,,,23.78,40.39,40
CPT,88142,"Cytology, Gyn Lbp",338.0,338.0,50.02,270.4,23
CPT,88142,Cytopath c/v thin layer,,,20.26,37.48,58
CPT,88143,Cytopatah C/V Thin Layer Redo,164.0,164.0,24.27,131.2,23
CPT,88143,Cytopath c/v thin layer redo,,,23.04,42.62,58
CPT,88147,Cytopath c/v automated,,,13.28,93.54,58
CPT,88148,Cytopath c/v auto rescreen,,,17.76,33.65,55
CPT,88150,Cytopath c/v manual,,,13.28,33.65,58
CPT,88152,Cytopath c/v auto redo,,,13.28,51.13,58
CPT,88153,Cytopath c/v redo,,,13.28,44.46,58
CPT,88155,Cytopath c/v index add-on,,,7.53,27.1,58
CPT,88160,Cytopath smear other source,,,24.28,90.43,85
CPT,88161,Cytopath smear other source,,,23.96,91.98,85
CPT,88161,"Fna-Misc,Cyto",308.0,308.0,45.58,246.4,23
CPT,88162,Cytopath smear other source,,,36.88,145.71,85
CPT,88164,Cytopath tbs c/v manual,,,13.28,33.65,58
CPT,88165,Cytopath tbs c/v redo,,,13.28,78.11,58
CPT,88166,Cytopath tbs c/v auto redo,,,13.28,33.65,58
CPT,88167,Cytopath tbs c/v select,,,13.28,33.65,58
CPT,88172,Cytopathology Eval of Fina,264.0,264.0,39.07,211.2,23
CPT,88172,Cytp dx eval fna 1st ea site,,,21.33,315.43,85
CPT,88172,Fine Needle Aspiration,444.0,444.0,65.71,355.2,23
CPT,88173,Cytopath Eval Fna Report,594.0,594.0,87.91,475.2,23
CPT,88173,Cytopath eval fna report,,,53.16,161.26,85
CPT,88174,Cytopath c/v auto in fluid,,,25.37,46.93,58
CPT,88175,Cytopath c/v auto fluid redo,,,26.61,49.23,58
CPT,88177,Cytp fna eval ea addl,,,8.38,32.64,70
CPT,88182,Cell marker study,,,35.59,191.7,85
CPT,88184,Flow Cytometry First Marker,801.0,801.0,118.55,640.8,23
CPT,88184,Flowcytometry/ tc 1 marker,,,46.1,662.12,55
CPT,88184,"Pd-L1 Monocyte Expression, Sle Flare, 1st Marker (So)",485.0,485.0,71.78,388.0,23
CPT,88184,"Pnh Flow Cytometry, 1st Mrk (So)",280.0,280.0,41.44,224.0,23
CPT,88185,Flow Cytometry Ea Addl Marker,131.1,131.1,19.4,104.88,23
CPT,88185,Flow Cytometry;16 or More Markers (So),215.05,215.05,31.83,172.04,23
CPT,88185,Flowcytometry/tc add-on,,,21.93,42.33,40
CPT,88185,"Pd-L1 Monocyte Expression, Sle Flare, Addl Marker (So)",203.0,203.0,30.04,162.4,23
CPT,88185,"Pnh Flow Cytometry, Ea Addl Mrk (So)",215.05,215.05,31.83,172.04,23
CPT,88187,Flowcytometry/read 2-8,,,34.38,67.2,40
CPT,88188,Flowcytometry/read 9-15,,,58.38,115.32,40
CPT,88189,Flowcytometry/read 16 & >,,,79.47,156.2,40
CPT,88199,Unlisted cytopathology px,,,53.16,98.35,21
CPT,882,Anesth major vein ligation,,,11639.38,24872.68,16
CPT,88230,"Tis Cult, Lymph Charge",1765.0,1765.0,261.22,1412.0,23
CPT,88230,Tissue culture lymphocyte,,,116.49,215.51,58
CPT,88233,Tissue culture skin/biopsy,,,140.73,260.35,58
CPT,88235,"Sc Anemia,Dna Probe,Fetus",387.0,387.0,57.28,309.6,23
CPT,88235,"Tis Cult, Amino Charg",1059.0,1059.0,156.73,847.2,23
CPT,88235,Tissue culture placenta,,,150.3,278.06,58
CPT,88237,Tissue Culture for Neoplastic Disorder (So),1047.65,1047.65,155.05,838.12,23
CPT,88237,Tissue culture bone marrow,,,111.02,265.94,58
CPT,88239,"Tis Cult, Other Charge",2232.0,2232.0,330.34,1785.6,23
CPT,88239,Tissue culture tumor,,,147.52,272.91,58
CPT,88240,Cell cryopreserve/storage,,,10.24,24.18,58
CPT,88241,Frozen cell preparation,,,10.24,22.37,58
CPT,88245,Chromosome analysis 20-25,,,173.17,320.36,58
CPT,88248,Ca - Fragile X Charge,2617.0,2617.0,387.32,2093.6,23
CPT,88248,Chromosome analysis 50-100,,,173.17,320.36,58
CPT,88249,Chromosome analysis 100,,,173.17,320.36,58
CPT,88261,Chromosome analysis 5,,,222.24,489.03,58
CPT,88262,Cell Cnt/Karyo Typ,2103.0,2103.0,311.24,1682.4,23
CPT,88262,Chromosome analysis 15-20,,,125.49,232.16,58
CPT,88263,Chromosome analysis 45,,,150.29,278.04,58
CPT,88264,Chromosome Analysis 20-25 Cells (So),1262.7,1262.7,186.88,1010.16,23
CPT,88264,Chromosome analysis 20-25,,,144.61,267.53,58
CPT,88267,Ca - 15 Cells Charge,2037.0,2037.0,301.48,1629.6,23
CPT,88267,Chromosome analys placenta,,,188.57,348.85,58
CPT,88269,Chromosome analys amniotic,,,173.66,321.27,58
CPT,88271,Cytogenetics dna probe,,,21.42,39.63,58
CPT,88271,"Fish Dna Probe, Each (So)",672.75,672.75,99.57,538.2,23
CPT,88271,"Fish, B-Cell Malig, IGH, 14q32,100-300 Cells(SO)",413.0,413.0,61.12,330.4,23
CPT,88271,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-1",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, High-Grade LymphPanel,DNA Probe(SO)-2",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, High-Grade LymphPanel,DNA Probe(SO)-3",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, High-Grade LymphPanel,DNA Probe(SO)-4",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, High-Grade LymphPanel,DNA Probe(SO)-5",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, High-Grade LymphPanel,DNA Probe(SO)-6",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish, Locus-Specific Probe (X1) (So)",565.8,565.8,83.74,452.64,23
CPT,88271,"Fish, Myeloma 17p-,Rea14q32 (So) Dna Probe (So)",4290.0,4290.0,634.92,3432.0,23
CPT,88271,"Fish, Myeloma Igh Panel(So) Dna Probe (So)",2405.8,2405.8,356.06,1924.64,23
CPT,88271,"Fish,Aml, Aml1/Eto,Translocation8,21,100-300 Cells",492.0,492.0,72.82,393.6,23
CPT,88271,"Fish,Dup 22q11.2, 100-300 Cells",413.0,413.0,61.12,330.4,23
CPT,88271,"Fish,Dup 22q11.2, Probe",413.0,413.0,61.12,330.4,23
CPT,88271,"Fish,Mll,11g23,Gene Rearrang,100-300 Cells",413.0,413.0,61.12,330.4,23
CPT,88271,Molecular Cytogen Dna Probe (So),413.0,413.0,61.12,330.4,23
CPT,88271,Molecular Cytogen; Dna Probe (So),489.4,489.4,61.12,452.64,46
CPT,88271,Molecular Cytogenetics: Dna Probe (Fish) (So) Fol,585.0,585.0,86.58,468.0,23
CPT,88271,Molecular Cytogenetics: Dna Probe (Fish) (So) Mn,413.0,413.0,61.12,330.4,23
CPT,88271,Molecular Cytogenetics: Dna Probe (Fish) (So) Ros1,585.0,585.0,86.58,468.0,23
CPT,88271,Molecular Cytogenetics; Dna Probe( Fish) (So),531.5,531.5,71.19,468.0,92
CPT,88271,Molecular Cytogenetics; Dna Probe( Fish) (So)Cml,492.0,492.0,72.82,393.6,23
CPT,88272,Cytogenetics 3-5,,,33.67,75.3,58
CPT,88273,Cytogenetics 10-30,,,34.81,64.4,58
CPT,88274,Cytogenetics 25-99,,,42.38,78.4,58
CPT,88274,Interphase in Situ Hybridization (25-99 Cells (So) Ros1,378.0,378.0,55.94,302.4,23
CPT,88274,Interphase in Situ Hybridization (25-99) Cells (So),537.0,537.0,79.48,429.6,23
CPT,88275,"CLL Prognostic Panel, Comp,First Marker(SO)",390.0,390.0,57.72,312.0,23
CPT,88275,Cytogenetics 100-300,,,50.5,94.7,58
CPT,88275,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-2",520.0,520.0,76.96,416.0,23
CPT,88275,"Fish, High-Grade LymphPanel,100-300 Cells(SO)-3",520.0,520.0,76.96,416.0,23
CPT,88275,"Fish, Myeloma 17p-,Rea14q32(So) Hybridization(So)",691.15,691.15,102.29,552.92,23
CPT,88275,"Fish, Myeloma Igh Panel(So) Hybridization(So)",1046.0,1046.0,154.81,836.8,23
CPT,88275,"Fish,Aml, Aml1/Eto,Translocation8,21,Probe",520.0,520.0,76.96,416.0,23
CPT,88275,"Fish,Mll,11g23,Gene Rearrang,Probe",397.0,397.0,58.76,317.6,23
CPT,88275,Interphase Insitu Hybird (So),369.0,369.0,54.61,295.2,23
CPT,88275,Interphase in Situ Hybird (So),520.0,520.0,76.96,416.0,23
CPT,88275,Interphase in Situ Hybridization (100-300) Cells (So),421.0,421.0,47.66,416.0,69
CPT,88275,Interphase in Situ Hybridization (100-300) Cells (So)Cml,520.0,520.0,76.96,416.0,23
CPT,88275,Interphase in Situ Hybridization (So),754.4,754.4,111.65,603.52,23
CPT,88275,Interphase in Situ Hybridization(100-300) Cells (So) Fol,322.0,322.0,47.66,257.6,23
CPT,88275,Interphase in Situ Hybridization(100-300) Cells (So) Mn,192.0,192.0,28.42,153.6,23
CPT,88275,Molec Cytg Interphase Ish Analyze 100-300 Cll (So),520.0,520.0,76.96,416.0,23
CPT,88275,Zap -70(So),322.0,322.0,47.66,257.6,23
CPT,88280,Addition Karyo Charge,380.0,380.0,56.24,304.0,23
CPT,88280,Chromosome karyotype study,,,31.56,61.92,58
CPT,88283,Chromosome banding study,,,68.6,126.91,55
CPT,88285,Chromosome count additional,,,23.89,49.78,58
CPT,88289,Chromosome study additional,,,34.43,63.7,58
CPT,88291,Cyto/molecular report,,,25.39,62.05,40
CPT,88299,Unlisted cytogenetic study,,,53.16,98.35,21
CPT,88300,Foreign Body,291.0,291.0,43.07,232.8,23
CPT,88300,Intrauterine Device,291.0,291.0,43.07,232.8,23
CPT,88300,Surgical path gross,,,4.24,45.09,85
CPT,88300,"Tissue, Gross Only",266.0,266.0,39.37,212.8,23
CPT,88300,Tooth,291.0,291.0,43.07,232.8,23
CPT,88302,"Amput,Digit-Traumat.",451.95,451.95,66.89,361.56,23
CPT,88302,"Appendix,Incidential",451.95,451.95,66.89,361.56,23
CPT,88302,Hernia Sac,451.95,451.95,66.89,361.56,23
CPT,88302,Hydrocele,451.95,451.95,66.89,361.56,23
CPT,88302,Sinus Contents,448.0,448.0,66.3,358.4,23
CPT,88302,Skin Plastic Repair,451.95,451.95,66.89,361.56,23
CPT,88302,Supernumerary Digit,448.0,448.0,66.3,358.4,23
CPT,88302,"Testis,Castration",451.95,451.95,66.89,361.56,23
CPT,88302,Thymus Incidential,448.0,448.0,66.3,358.4,23
CPT,88302,Tissue exam by pathologist,,,6.5,72.25,85
CPT,88302,Uvula Simple Excision,448.0,448.0,66.3,358.4,23
CPT,88302,Vaginal Mucosa,451.95,451.95,66.89,361.56,23
CPT,88302,"Vas Deferens, Steril.",451.95,451.95,66.89,361.56,23
CPT,88304,Adhesions Pelvic,603.75,603.75,89.35,483.0,23
CPT,88304,Aneurysm,603.75,603.75,89.35,483.0,23
CPT,88304,"Appendix, Non-Incidental",603.75,603.75,89.35,483.0,23
CPT,88304,"Artery/Vein, Plaque",603.75,603.75,89.35,483.0,23
CPT,88304,"Bone/Frag,Non-Pathologic",603.75,603.75,89.35,483.0,23
CPT,88304,Carpal Tunnel Tissue,603.75,603.75,89.35,483.0,23
CPT,88304,Cartilage Shavings,603.75,603.75,89.35,483.0,23
CPT,88304,Cholesteatoma,603.75,603.75,89.35,483.0,23
CPT,88304,Colon Donut,603.75,603.75,89.35,483.0,23
CPT,88304,Colostomy Stoma,603.75,603.75,89.35,483.0,23
CPT,88304,Cornea,603.75,603.75,89.35,483.0,23
CPT,88304,Cyst - Epidermoid,679.65,679.65,100.59,543.72,23
CPT,88304,"Cyst,Bartholin",603.75,603.75,89.35,483.0,23
CPT,88304,"Cyst,Ganglion",603.75,603.75,89.35,483.0,23
CPT,88304,"Cyst,Pilonidal",603.75,603.75,89.35,483.0,23
CPT,88304,"Cyst,Synovial",603.75,603.75,89.35,483.0,23
CPT,88304,Diverticulum - Bladder/Urethra,660.0,660.0,97.68,528.0,23
CPT,88304,Dupuytren's Contrac.,603.75,603.75,89.35,483.0,23
CPT,88304,Embolis/Thrombus,603.75,603.75,89.35,483.0,23
CPT,88304,"Femoral Head,N-Fract",603.75,603.75,89.35,483.0,23
CPT,88304,Fissure / Fistula,603.75,603.75,89.35,483.0,23
CPT,88304,"Foreskin,Non-Newborn",603.75,603.75,89.35,483.0,23
CPT,88304,Gall Blad./Bile Duct,603.75,603.75,89.35,483.0,23
CPT,88304,Hematoma,603.75,603.75,89.35,483.0,23
CPT,88304,Hemorrhoids,603.75,603.75,89.35,483.0,23
CPT,88304,Intervertebral Disc,603.75,603.75,89.35,483.0,23
CPT,88304,"Joint, Loose Body",603.75,603.75,89.35,483.0,23
CPT,88304,Ligament,745.0,745.0,110.26,596.0,23
CPT,88304,Nail Nail Bed or Scrapping for Fungus,660.0,660.0,97.68,528.0,23
CPT,88304,Nasal Polyp,603.75,603.75,89.35,483.0,23
CPT,88304,Nasal Septum,679.65,679.65,100.59,543.72,23
CPT,88304,Scar - Skin (Simple/Cicatrix),660.0,660.0,97.68,528.0,23
CPT,88304,Scar - Soft Tissue,679.65,679.65,100.59,543.72,23
CPT,88304,"Skin Biopsy,Punch",603.75,603.75,89.35,483.0,23
CPT,88304,"Skin Excision,Debrid",603.75,603.75,89.35,483.0,23
CPT,88304,"Soft Tissue,Debrid",603.75,603.75,89.35,483.0,23
CPT,88304,"Soft Tissue,Lipoma",603.75,603.75,89.35,483.0,23
CPT,88304,Spermatocele,603.75,603.75,89.35,483.0,23
CPT,88304,Stoma (Any Site),679.65,679.65,100.59,543.72,23
CPT,88304,Tissue exam by pathologist,,,10.71,98.35,85
CPT,88304,Tonsil/Adenoids,603.75,603.75,89.35,483.0,23
CPT,88304,Turbinates (Nasal Conchae),660.0,660.0,97.68,528.0,23
CPT,88304,Vas Deferens,603.75,603.75,89.35,483.0,23
CPT,88304,"Vein, Varicosity",603.75,603.75,89.35,483.0,23
CPT,88305,Ampulla of Vater,557.0,557.0,82.44,445.6,23
CPT,88305,"Amput,Digit-Nontraum",793.8,793.8,117.48,635.04,23
CPT,88305,"Amput,Extrm-Traumat.",793.8,793.8,117.48,635.04,23
CPT,88305,Arteriovenous Malformation (Avm),817.65,817.65,121.01,654.12,23
CPT,88305,Artery/Vein Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Bone Marrow Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Bone Marrow Particle Clot,817.65,817.65,121.01,654.12,23
CPT,88305,Breast Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Breast Biopsy Without Margin Exam,793.8,793.8,117.48,635.04,23
CPT,88305,Breast Excision of Discrete Lesion,817.65,817.65,121.01,654.12,23
CPT,88305,Breast Incisional Biopsy,817.65,817.65,121.01,654.12,23
CPT,88305,Breast Needle Core Tissue Biopsy,817.65,817.65,121.01,654.12,23
CPT,88305,"Breast,Reduction",793.8,793.8,117.48,635.04,23
CPT,88305,Bronchus Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Cell Block,793.8,793.8,117.48,635.04,23
CPT,88305,Cervical Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Colon ""Donut",817.65,817.65,121.01,654.12,23
CPT,88305,Colon Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Colorectal Polyp,793.8,793.8,117.48,635.04,23
CPT,88305,Cyst - Ovarian Non-Neoplastic,793.8,793.8,117.48,635.04,23
CPT,88305,Cyst Nos Nonneoplastic,793.8,793.8,117.48,635.04,23
CPT,88305,Duodenum Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Dura Mater,793.8,793.8,117.48,635.04,23
CPT,88305,Endocervical Scrape,793.8,793.8,117.48,635.04,23
CPT,88305,Endometrial Polyp,793.8,793.8,117.48,635.04,46
CPT,88305,Endometrial Scrape,793.8,793.8,117.48,635.04,23
CPT,88305,Epiglottis Biopsy/Simple Excision,793.8,793.8,117.48,635.04,23
CPT,88305,Esophageal Polyp,793.8,793.8,117.48,635.04,23
CPT,88305,Esophagus Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Fallop. Tube,Ectopic",793.8,793.8,117.48,635.04,23
CPT,88305,Fallopian Tube Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Fat Pad Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Femoral Head, Fract.",793.8,793.8,117.48,635.04,23
CPT,88305,Gastric Polyp,793.8,793.8,117.48,635.04,23
CPT,88305,Heart Valve,793.8,793.8,117.48,635.04,23
CPT,88305,Joint Resection,793.8,793.8,117.48,635.04,23
CPT,88305,Kidney Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Larynx, Biopsy",793.8,793.8,117.48,635.04,23
CPT,88305,Leep Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Lip, Wedge Biopsy",793.8,793.8,117.48,635.04,23
CPT,88305,Lymph Node Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Meninges Resection,793.8,793.8,117.48,635.04,23
CPT,88305,Mucosa Biopsy - Gingiva,793.8,793.8,117.48,635.04,23
CPT,88305,Mucosa Biopsy - Nasal,793.8,793.8,117.48,635.04,23
CPT,88305,Mucosa Biopsy - Nos,793.8,793.8,117.48,635.04,23
CPT,88305,Mucosa Biopsy - Oral,793.8,793.8,117.48,635.04,23
CPT,88305,Muscle Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Nasal Mucosa Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Nasopharynx,793.8,793.8,117.48,635.04,23
CPT,88305,Needle Core Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Nerve Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Omentum Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Oral Cyst,793.8,793.8,117.48,635.04,23
CPT,88305,Oral/Gingiva Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Ovary,793.8,793.8,117.48,635.04,23
CPT,88305,"Ovary,Wedge Biopsy",793.8,793.8,117.48,635.04,23
CPT,88305,"POC, Spontaneous",793.8,793.8,117.48,635.04,23
CPT,88305,Panniculus,793.8,793.8,117.48,635.04,23
CPT,88305,Parathyroid Gland,793.8,793.8,117.48,635.04,23
CPT,88305,Penis Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Pericardiium Biopsy or Tissue,793.8,793.8,117.48,635.04,23
CPT,88305,Pericardium Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Peritoneum Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Pituitary Tumor,793.8,793.8,117.48,635.04,23
CPT,88305,"Placenta, N-3rd Trim.",793.8,793.8,117.48,635.04,23
CPT,88305,Pleural Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Prostate Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Prostate Chips,793.8,793.8,117.48,635.04,23
CPT,88305,Salivary Gland Bx,793.8,793.8,117.48,635.04,23
CPT,88305,Scar - Keloid,793.8,793.8,117.48,635.04,23
CPT,88305,Scar - Skin (Tumor Excision/Re-Excision,793.8,793.8,117.48,635.04,23
CPT,88305,"Skin Biopsy,Shave",793.8,793.8,117.48,635.04,23
CPT,88305,"Skin Excision,Other",793.8,793.8,117.48,635.04,23
CPT,88305,Skin Wart (Eg Verruca Vulgaris),793.8,793.8,117.48,635.04,23
CPT,88305,Sm.Intestine Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Soft Tissue,Other",793.8,793.8,117.48,635.04,23
CPT,88305,Spinal Cord Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Spleen,793.8,793.8,117.48,635.04,23
CPT,88305,Stomach Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Stomach Polyp,793.8,793.8,117.48,635.04,46
CPT,88305,Surgical Margin Uncomplicated Exam,1163.8,1163.8,172.24,931.04,23
CPT,88305,Synovium,793.8,793.8,117.48,635.04,23
CPT,88305,Thyroglossal Duct,793.8,793.8,117.48,635.04,23
CPT,88305,Thyroid Biopsy,922.3,922.3,136.5,737.84,23
CPT,88305,Tissue Exam by Pathologist,793.8,793.8,117.48,635.04,23
CPT,88305,Tissue exam by pathologist,,,34.55,98.35,85
CPT,88305,Tongue Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Tonsil Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Trachea, Biopsy",793.8,793.8,117.48,635.04,23
CPT,88305,UR Bladder Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Ureter Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Urethra Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,"Uterus, Prolapse",793.8,793.8,117.48,635.04,23
CPT,88305,"Vagina, Biopsy",793.8,793.8,117.48,635.04,23
CPT,88305,Vein Biopsy/Segment,922.3,922.3,136.5,737.84,23
CPT,88305,Vocal Cord Biopsy,793.8,793.8,117.48,635.04,23
CPT,88305,Vulva / Labia Biopsy,793.8,793.8,117.48,635.04,23
CPT,88307,Adrenal Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Amput,Extrm-Non Traum",1016.6,1016.6,150.46,813.28,23
CPT,88307,Amputation-Extremity Non-Traumatic,557.0,557.0,82.44,445.6,23
CPT,88307,Arteriovenous Malformation (Avm) Complex,817.65,817.65,121.01,654.12,23
CPT,88307,Axillary Tail/Axilla - Lymph Nodes Resection,869.0,869.0,128.61,695.2,23
CPT,88307,Bone Biopsy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Bone Cyst,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Bone/Frag,Pathologic",1016.6,1016.6,150.46,813.28,23
CPT,88307,Brain Biopsy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Breast Quadrantectomy/Partial Mastectomy/Segmentectomy,817.65,817.65,121.01,654.12,23
CPT,88307,"Breast,Simple Mast.",1016.6,1016.6,150.46,813.28,23
CPT,88307,Cervical Cone,1016.6,1016.6,150.46,813.28,23
CPT,88307,Cervix Amputation Without Uterus,869.0,869.0,128.61,695.2,23
CPT,88307,"Colon, Seg Resection",1016.6,1016.6,150.46,813.28,23
CPT,88307,Cyst - Dermoid of Soft Tissue/Ovary (Eg Teratoma),869.0,869.0,128.61,695.2,23
CPT,88307,Cyst - Ovarian Neoplastic,1016.6,1016.6,150.46,813.28,23
CPT,88307,Cyst Nos Neoplastic,1016.6,1016.6,150.46,813.28,23
CPT,88307,Dura Mater - Tumor Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Eye, Enucleation",1016.6,1016.6,150.46,813.28,23
CPT,88307,Liver Biopsy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Liver Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Lung, Wedge Biopsy",1016.6,1016.6,150.46,813.28,23
CPT,88307,Lymph Node Resectn,1016.6,1016.6,150.46,813.28,23
CPT,88307,Lymph Node for Lymphoma Workup,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Mediastinum,Mass",1016.6,1016.6,150.46,813.28,23
CPT,88307,"Meninges,Tumor",1016.6,1016.6,150.46,813.28,23
CPT,88307,Myocardium Biopsy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Nephrectomy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Nerve Tumor,1016.6,1016.6,150.46,813.28,23
CPT,88307,Omentum Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Ovary,Tumor",1016.6,1016.6,150.46,813.28,23
CPT,88307,"Pancreas, Biopsy",1016.6,1016.6,150.46,813.28,23
CPT,88307,"Placenta, Third Trim.",1016.6,1016.6,150.46,813.28,23
CPT,88307,Pleura Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,Prostate Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,Sentinel Lymph Node(S),1016.6,1016.6,150.46,813.28,23
CPT,88307,Small Intes. Resectn,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Soft Tissue,Bx/Excis",1016.6,1016.6,150.46,813.28,23
CPT,88307,Spinal Cord Tumor Excision,1016.6,1016.6,150.46,813.28,23
CPT,88307,Stomach Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,Surgical Margin Complicated Exam,1016.6,1016.6,150.46,813.28,23
CPT,88307,Testis Biopsy,1016.6,1016.6,150.46,813.28,23
CPT,88307,Testis Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,Thymus Tumor,1016.6,1016.6,150.46,813.28,23
CPT,88307,Thyroid Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,Tissue exam by pathologist,,,76.71,662.12,85
CPT,88307,"Tumor,Dental",1016.6,1016.6,150.46,813.28,23
CPT,88307,Ureter Resection,1016.6,1016.6,150.46,813.28,23
CPT,88307,"Urinary Bladder, Tur",1016.6,1016.6,150.46,813.28,23
CPT,88307,Uterus,1016.6,1016.6,150.46,813.28,23
CPT,88307,Vocal Cord Resection,1016.6,1016.6,150.46,813.28,23
CPT,88309,Bone Resection,1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Breast,Mast.W/Nodes",1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Colon, Seg Resec,Tumor",1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Colon, Total Resectn",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Endoscopic Mucosal Resection (Emr),887.0,887.0,131.28,709.6,23
CPT,88309,Esophagus Resection,1140.0,1140.0,168.72,912.0,23
CPT,88309,"Fetus, W/Dissection",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Lung Resection,1341.0,1341.0,198.47,1072.8,23
CPT,88309,Omentum Resection - for Tumor,1341.0,1341.0,198.47,1072.8,23
CPT,88309,Pancreas,1341.0,1341.0,198.47,1072.8,23
CPT,88309,Penis Resection for Tumor,1341.0,1341.0,198.47,1072.8,23
CPT,88309,Peritoneum Resection - for Tumor,1341.0,1341.0,198.47,1072.8,23
CPT,88309,Pleura Resection - for Tumor,1118.0,1118.0,165.46,894.4,23
CPT,88309,"Prostate,Resectn Rad",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Small Intes. Tumor,1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Soft Tissue,Tumor",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Surg Path Fetus and Placenta,1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Testis Resect,Tumor",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Tissue exam by pathologist,,,135.24,1503.66,85
CPT,88309,"Tongue, Resectn,Tumor",1341.0,1341.0,198.47,1072.8,23
CPT,88309,UR Bladder Resection,1341.0,1341.0,198.47,1072.8,23
CPT,88309,"Uterus, Tumor",1341.0,1341.0,198.47,1072.8,23
CPT,88309,Vulva Resection,1341.0,1341.0,198.47,1072.8,23
CPT,88311,Decalcify Tissue,197.8,197.8,29.27,158.24,23
CPT,88311,Decalcify tissue,,,8.1,18.69,70
CPT,88312,Special stains group 1,,,24.93,158.39,85
CPT,88312,Stain Grp I - Acid Fast Bact,453.1,453.1,67.06,362.48,23
CPT,88312,Stain Grp I - Fite Stain,453.1,453.1,67.06,362.48,23
CPT,88312,Stain Grp I - Gr Meth Silver,453.1,453.1,67.06,362.48,23
CPT,88312,Stain Grp I - Gram Stain,453.1,453.1,67.06,362.48,23
CPT,88312,Stain Grp I - Reticul Stain,453.1,453.1,67.06,362.48,23
CPT,88313,Special Stains Group 2,219.0,219.0,32.41,175.2,23
CPT,88313,Special stains group 2,,,11.35,237.27,85
CPT,88313,Stain Grp II - Calcium Stain,487.0,487.0,72.08,389.6,23
CPT,88313,Stain Grp II - Collo Iron,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Congo Red,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Crystal Violet,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Diff Quck,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Elastic,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Fontana Masson,487.0,487.0,72.08,389.6,23
CPT,88313,Stain Grp II - Giemsa,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Iron,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Masson Tri,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Mucicarmine,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Pas,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Pas Alc Blue,497.95,497.95,73.7,398.36,23
CPT,88313,Stain Grp II - Pas W / WO Diad,497.95,497.95,73.7,398.36,23
CPT,88314,Histochemical stains add-on,,,18.79,146.84,70
CPT,88319,Enzyme histochemistry,,,25.25,1503.66,85
CPT,88321,Consltj&reprt sld prep elswr,,,39.05,155.54,55
CPT,88323,Consltj&reprt matrl prep sld,,,29.07,133.55,85
CPT,88325,Consltj compre rvw rec reprt,,,59.36,315.43,55
CPT,88329,Path consltj drg surg,,,33.45,109.33,55
CPT,88331,First Tissue Block W Fs (Single Spec),668.15,668.15,98.89,534.52,23
CPT,88331,Path consltj surg 1 blk 1spc,,,39.39,315.43,85
CPT,88332,Each Add Tissue Block W Frozen Section(S),456.55,456.55,67.57,365.24,23
CPT,88332,Path consltj surg ea add blk,,,24.23,46.08,70
CPT,88333,Intraoperative Cytologic Examination (Touch Prep) Initial Site,1184.0,1184.0,175.23,947.2,23
CPT,88333,Path consltj surg cyto xm 1,,,30.36,1503.66,85
CPT,88334,Intraoperative Cytologic Examination (Touch Prep) Add Site,280.0,280.0,41.44,224.0,23
CPT,88334,Path consltj surg cyto xm ea,,,18.7,56.43,70
CPT,88341,Ihc Stain - Additional,880.9,880.9,130.37,704.72,23
CPT,88341,Imhchem/imcytchm ea add antb,,,26.54,119.94,70
CPT,88341,Insulin,599.0,599.0,88.65,479.2,23
CPT,88341,Lynch Syn Pan Addl Slide (So),650.9,650.9,96.33,520.72,23
CPT,88342,*Stain: Cytokeratin 7,810.75,810.75,119.99,648.6,23
CPT,88342,*Stain: Gcdfp-15,810.75,810.75,119.99,648.6,23
CPT,88342,*Stain: Helicobacter Pylori,549.0,549.0,81.25,439.2,23
CPT,88342,*Stain: P10,810.75,810.75,119.99,648.6,23
CPT,88342,*Stain: P16,810.75,810.75,119.99,648.6,23
CPT,88342,*Stain: Tdt,810.75,810.75,119.99,648.6,23
CPT,88342,Ihc Stain - First,810.75,810.75,119.99,648.6,23
CPT,88342,Imhchem/imcytchm 1st antb,,,32.68,315.43,85
CPT,88342,Immunohistochemistry,413.0,413.0,61.12,330.4,23
CPT,88342,Insulin,810.75,810.75,119.99,648.6,23
CPT,88342,Lynch Syn Pan 1st Slide (So),810.75,810.75,119.99,648.6,23
CPT,88342,"Lynch Syndrome Tumor Panel, Ihc (So)",810.75,810.75,119.99,648.6,23
CPT,88344,Imhchem/imcytchm ea mlt antb,,,36.24,662.12,85
CPT,88346,Imfluor 1st 1antb stain px,,,33.65,340.09,85
CPT,88346,"Immunof, Ind Charge",842.95,842.95,124.76,674.36,23
CPT,88346,"Immunof,Dir Charge",902.75,902.75,133.61,722.2,23
CPT,88348,Electron microscopy dx,,,72.83,1503.66,85
CPT,88350,Imfluor ea addl 1antb stn px,,,27.19,149.41,70
CPT,88355,M/phmtrc alys skeletal musc,,,60.07,315.43,85
CPT,88356,Analysis nerve,,,53.16,208.89,85
CPT,88358,Analysis tumor,,,46.29,315.43,85
CPT,88360,*Stain: Her2neu,932.65,932.65,138.03,746.12,23
CPT,88360,*Stain: Ki-67 (Mib-1),932.65,932.65,138.03,746.12,23
CPT,88360,ER/PR Her2 W/Reflex to Her2 Fish (So),731.0,731.0,108.19,584.8,23
CPT,88360,ER/PR Paraffin (So),663.0,663.0,98.12,530.4,23
CPT,88360,ER/PR Quantitiative Ihc,1151.15,1151.15,170.37,920.92,23
CPT,88360,Estrogen Receptor,932.65,932.65,138.03,746.12,23
CPT,88360,Her2 Ihc W/Interpret (So),645.0,645.0,95.46,516.0,23
CPT,88360,"Pd-L1 Bladder (Atezolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CPT,88360,Pd-L1 Ihc W/Interp (S0),811.0,811.0,120.03,648.8,23
CPT,88360,"Pd-L1 Lung (Atezolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CPT,88360,"Pd-L1 Lung (Nivolumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CPT,88360,"Pd-L1 Lung (Pembrolizumab), Ihc (So)",855.0,855.0,126.54,684.0,23
CPT,88360,"Pd-L1 Non-Lung (Pembrolizumab), Ihc (So)",1085.6,1085.6,160.67,868.48,23
CPT,88360,Progesterone Recep.,932.65,932.65,138.03,746.12,23
CPT,88360,Tumor immunohistochem/manual,,,38.82,315.43,85
CPT,88361,Tumor immunohistochem/comput,,,40.45,662.12,85
CPT,88362,Nerve teasing preparations,,,104.27,1503.66,85
CPT,88363,Xm archive tissue molec anal,,,18.18,45.09,55
CPT,88364,Insitu hybridization (fish),,,31.71,201.35,70
CPT,88365,Insitu hybridization (fish),,,40.12,315.43,85
CPT,88365,Institu Hybridization (Fish),393.0,393.0,58.16,314.4,23
CPT,88365,Kappa/Lambda Ish,377.0,377.0,55.8,301.6,23
CPT,88366,Insitu hybridization (fish),,,57.93,424.53,82
CPT,88366,Kappa/Lambda Ish,377.0,377.0,55.8,301.6,23
CPT,88367,Insitu hybridization auto,,,31.07,662.12,85
CPT,88368,"Fish, Her-2/Neu (So)",1112.0,1112.0,164.58,889.6,23
CPT,88368,Insitu hybridization manual,,,39.79,662.12,85
CPT,88369,M/phmtrc alysishquant/semiq,,,32.04,157.75,70
CPT,88371,Protein western blot tissue,,,18.14,40.94,40
CPT,88372,Protein analysis w/probe,,,17.17,48.31,40
CPT,88373,M/phmtrc alys ishquant/semiq,,,23.6,86.59,67
CPT,88374,M/phmtrc alys ishquant/semiq,,,39.15,566.99,85
CPT,88375,Optical endomicroscpy interp,,,45.08,90.27,37
CPT,88377,M/phmtrc alys ishquant/semiq,,,60.48,661.86,85
CPT,88380,Microdissection laser,,,49.86,144.84,67
CPT,88381,Mgmt Microdissection Pcr (So),715.0,715.0,105.82,572.0,23
CPT,88381,Microdissection manual,,,22.02,330.77,70
CPT,88387,Macroscopic xm dsj&prep tiss,,,7.14,40.42,70
CPT,88388,Tiss ex molecul study add-on,,,15.16,31.21,10
CPT,88399,Unlisted surgical path px,,,53.16,98.35,21
CPT,88720,Bilirubin total transcut,,,5.02,9.29,55
CPT,88720,"Bilirubin,Total-Transcutaneous",56.0,56.0,8.29,44.8,23
CPT,88738,Hgb quant transcutaneous,,,5.02,9.29,58
CPT,88740,Transcutaneous carboxyhb,,,5.86,17.33,58
CPT,88741,Transcutaneous methb,,,5.86,17.33,58
CPT,88749,Unlisted in vivo lab service,,,,,0
CPT,89049,Chct for mal hyperthermia,,,59.87,450.29,55
CPT,89050,Body fluid cell count,,,4.72,8.73,58
CPT,89050,CSF Exam-Hematology,298.0,298.0,44.1,238.4,23
CPT,89050,Fluid Exam-Heme,298.0,298.0,44.1,238.4,23
CPT,89051,Body fluid cell count,,,2.21,10.36,58
CPT,89055,Leukocyte assessment fecal,,,2.95,7.9,58
CPT,89060,"Crystals,Fluid",222.0,222.0,32.86,177.6,23
CPT,89060,Exam synovial fluid crystals,,,7.33,27.47,58
CPT,89125,Specimen fat stain,,,5.43,10.88,58
CPT,89160,Exam feces for meat fibers,,,4.64,8.97,58
CPT,89190,Nasal Smear for Eos,169.0,169.0,25.01,135.2,23
CPT,89190,Nasal smear for eosinophils,,,5.79,10.71,58
CPT,89220,Sputum specimen collection,,,18.42,315.43,52
CPT,89230,Collect sweat for test,,,2.94,98.35,55
CPT,89240,Unlisted misc path test,,,53.16,98.35,21
CPT,89250,Cultr oocyte/embryo <4 days,,,170.5,1912.21,22
CPT,89251,Cultr oocyte/embryo <4 days,,,170.5,1989.16,22
CPT,89253,Embryo hatching,,,170.5,436.28,22
CPT,89254,Oocyte identification,,,170.5,797.9,22
CPT,89255,Prepare embryo for transfer,,,53.16,629.93,22
CPT,89257,Sperm identification,,,53.16,559.98,22
CPT,89258,Cryopreservation embryo(s),,,753.84,1503.66,22
CPT,89259,Cryopreservation sperm,,,170.5,545.63,22
CPT,89260,Sperm isolation simple,,,53.16,207.25,22
CPT,89261,Sperm isolation complex,,,53.16,201.6,22
CPT,89264,Identify sperm tissue,,,53.16,664.44,22
CPT,89268,Insemination of oocytes,,,170.5,818.67,22
CPT,89272,Extended culture of oocytes,,,753.84,1503.66,22
CPT,89280,Assist oocyte fertilization,,,753.84,1503.66,22
CPT,89281,Assist oocyte fertilization,,,170.5,1730.61,22
CPT,89290,Biopsy oocyte polar body <5,,,170.5,1741.0,22
CPT,89291,Biopsy oocyte polar body,,,170.5,2189.99,22
CPT,89300,Semen analysis w/huhner,,,9.84,18.2,58
CPT,89310,Semen analysis w/count,,,8.61,15.93,58
CPT,89320,Semen anal vol/count/mot,,,7.25,22.77,58
CPT,89321,Semen anal sperm detection,,,7.25,22.29,58
CPT,89322,Semen anal strict criteria,,,14.51,28.68,58
CPT,89325,Sperm antibody test,,,10.67,19.74,55
CPT,89329,Sperm evaluation test,,,19.59,36.24,58
CPT,89330,Evaluation cervical mucus,,,10.38,19.2,58
CPT,89331,Retrograde ejaculation anal,,,19.59,36.24,58
CPT,89335,Cryopreserve testicular tiss,,,53.16,294.45,22
CPT,89337,Cryopreservation oocyte(s),,,170.5,1146.34,22
CPT,89342,Storage/year embryo(s),,,170.5,432.51,22
CPT,89343,Storage/year sperm/semen,,,170.5,481.9,22
CPT,89344,Storage/year reprod tissue,,,170.5,315.43,22
CPT,89346,Storage/year oocyte(s),,,170.5,605.97,22
CPT,89352,Thawing cryopresrved embryo,,,23.43,315.43,22
CPT,89353,Thawing cryopresrved sperm,,,23.43,98.35,22
CPT,89354,Thaw cryoprsvrd reprod tiss,,,23.43,315.43,22
CPT,89356,Thawing cryopresrved oocyte,,,16.7,315.43,22
CPT,89398,Unlisted reprod med lab proc,,,53.16,98.35,21
CPT,90281,Human ig im,,,95.08,103.16,3
CPT,90283,Human ig iv,,,52.94,57.44,3
CPT,90284,Human ig sc,,,14.18,15.39,3
CPT,90291,Cmv ig iv,,,1756.85,1906.18,3
CPT,90371,Hep b ig im,,,134.19,248.25,57
CPT,90371,Immunization-Hep B Ig-Im,2487.0,2487.0,368.08,1989.6,23
CPT,90375,Rabies ig im/sc,,,279.76,517.72,57
CPT,90376,Rabies ig heat treated,,,347.32,642.54,24
CPT,90377,Rabies ig ht&sol human im/sc,,,222.25,413.36,57
CPT,90378,Rsv mab im 50mg,,,339.68,1975.42,27
CPT,90380,Rsv monoc antb seasn .5ml im,,,519.75,563.93,3
CPT,90381,Rsv monoc antb seasn 1 ml im,,,519.75,563.93,3
CPT,90384,Rh ig full-dose im,,,82.83,89.87,3
CPT,90385,Rh ig minidose im,,,29.84,32.38,3
CPT,90386,Rh ig iv,,,10.01,10.86,3
CPT,90389,Tetanus ig im,,,649.17,704.35,3
CPT,90396,Varicella-zoster ig im,,,2182.57,4369.37,24
CPT,904,Anesth perineal surgery,,,11639.38,24872.68,16
CPT,90460,Im admin 1st/only component,,,22.15,35.78,37
CPT,90461,Im admin each addl component,,,8.44,13.5,31
CPT,90471,Administration Flu Vaccine,155.25,155.25,22.98,124.2,23
CPT,90471,Administration Pneumo Vaccine,155.25,155.25,22.98,124.2,23
CPT,90471,Administration of Hepatitis B Vaccine,148.5,148.5,21.98,118.8,23
CPT,90471,Immunization Admin 1st,155.25,155.25,22.98,124.2,23
CPT,90471,Immunization admin,,,20.05,131.01,52
CPT,90472,Immunization Admin Ea Addl,124.0,124.0,18.35,99.2,23
CPT,90472,Immunization admin each add,,,12.99,22.8,37
CPT,90473,Immune admin oral/nasal,,,16.18,131.01,52
CPT,90474,Immune admin oral/nasal addl,,,11.67,18.69,37
CPT,90476,Adenovirus vaccine type 4,,,46.0,46.0,1
CPT,90480,Admn sarscov2 vacc 1 dose,,,41.31,76.42,18
CPT,90480,Covid Immmunization Administration,151.0,151.0,22.35,120.8,23
CPT,90581,Anthrax vaccine sc or im,,,99.0,107.42,3
CPT,90585,Bcg vaccine percut,,,10.0,184.32,7
CPT,90586,Bcg vaccine intravesical,,,10.0,260.76,38
CPT,90587,Dengue vacc quad 3 dose subq,,,66.0,71.61,3
CPT,90589,Chikungunya vaccine live im,,,8.07,298.38,9
CPT,90593,Chikungunya vacc recomb im,,,10.0,275.0,4
CPT,90611,Smallpox&monkeypox vac 0.5ml,,,0.01,292.95,28
CPT,90619,Menacwy-tt vaccine im,,,10.0,181.17,7
CPT,90620,Menb-4c vacc im,,,10.0,242.77,7
CPT,90620,Meningitis Vaccine,569.62,569.62,84.3,455.7,23
CPT,90621,Menb-fhbp vacc 2/3 dose im,,,10.0,207.32,7
CPT,90622,Vaccinia vrs vac 0.3 ml perq,,,0.01,10.0,27
CPT,90623,Menacwy-tt menb-fhbp vacc im,,,10.0,250.36,7
CPT,90624,Menb-4c&menacwy vacc im,,,10.0,250.75,4
CPT,90625,Cholera vaccine live oral,,,275.0,298.38,3
CPT,90626,Tic-brn enceph vac 0.25ml im,,,289.43,314.03,3
CPT,90627,Tic-brn enceph vac 0.5ml im,,,10.0,314.03,7
CPT,90630,Flu vacc iiv4 no preserv id,,,0.01,0.01,3
CPT,90632,Hep a Vaccine,72.0,72.0,10.66,57.6,23
CPT,90632,Hepa vaccine adult im,,,10.0,118.07,38
CPT,90633,Hepa Vaccine Ped/Adol 2 Dose Im,72.0,72.0,10.66,57.6,46
CPT,90633,Hepa vacc ped/adol 2 dose im,,,38.01,41.24,3
CPT,90636,Hep a/B Twinrx Vaccine,98.0,98.0,14.5,78.4,23
CPT,90636,Hep a/hep b vacc adult im,,,10.0,136.93,7
CPT,90644,Hib-mency vacc 6wk-18m0 im,,,0.01,0.01,3
CPT,90647,Hib prp-omp vacc 3 dose im,,,30.58,33.18,3
CPT,90647,Pedvaxhib Vaccine,38.0,38.0,5.62,30.4,23
CPT,90648,Acthib Vaccine,71.0,71.0,10.51,56.8,23
CPT,90648,Hib prp-t vaccine 4 dose im,,,12.05,13.07,3
CPT,90648,Hiberix Vaccine,87.19,87.19,12.9,69.75,23
CPT,90649,4vhpv vaccine 3 dose im,,,0.01,0.01,3
CPT,90650,2vhpv vaccine 3 dose im,,,0.01,0.01,3
CPT,90651,9vhpv vaccine 2/3 dose im,,,10.0,333.76,7
CPT,90651,Gardasil-9 Vaccine,493.0,493.0,72.96,394.4,23
CPT,90653,Iiv adjuvant vaccine im,,,10.0,157.06,43
CPT,90654,Flu vacc iiv3 no preserv id,,,0.01,0.01,3
CPT,90655,Iiv3 vacc no prsv 0.25 ml im,,,0.01,21.25,8
CPT,90656,Iiv3 vacc no prsv 0.5 ml im,,,10.0,37.14,43
CPT,90657,Iiv3 vaccine splt 0.25 ml im,,,10.93,18.03,39
CPT,90658,Iiv3 vaccine splt 0.5 ml im,,,10.0,36.07,43
CPT,90660,Laiv3 vaccine intranasal,,,10.0,47.64,43
CPT,90661,Cciiv3 vac abx fr 0.5 ml im,,,10.0,79.19,43
CPT,90662,Iiv no prsv increased ag im,,,10.0,157.06,43
CPT,90670,Pcv13 vaccine im,,,10.0,425.68,43
CPT,90670,Pneumonia Vaccine Prevnar,30.0,30.0,4.44,24.0,23
CPT,90671,Pcv15 vaccine im,,,10.0,430.9,43
CPT,90672,Laiv4 vaccine intranasal,,,24.5,50.14,8
CPT,90673,Riv3 vaccine no preserv im,,,10.0,157.06,43
CPT,90674,Cciiv4 vac no prsv 0.5 ml im,,,30.1,32.66,3
CPT,90675,Rabies vaccine im,,,10.0,580.31,58
CPT,90676,Rabies vaccine id,,,264.47,489.27,21
CPT,90677,Pcv20 vaccine im,,,10.0,516.29,43
CPT,90677,Pneumonia Prevnar 20 Vaccine,872.06,872.06,129.06,697.65,23
CPT,90678,Rsv vacc pref bivalent im,,,10.0,320.08,7
CPT,90679,Rsv vacc pref recomb adjt im,,,10.0,318.99,7
CPT,90680,Rotavirus 3 Dose Vaccine,108.0,108.0,15.98,86.4,23
CPT,90680,Rv5 vacc 3 dose live oral,,,98.82,107.22,3
CPT,90681,Rotavirus 2 Dose Vaccine,108.0,108.0,15.98,86.4,23
CPT,90681,Rv1 vacc 2 dose live oral,,,138.74,150.53,3
CPT,90682,Riv4 vacc recombinant dna im,,,64.51,69.99,3
CPT,90683,Rsv vacc mrna lipid nano im,,,10.0,314.65,7
CPT,90684,Pcv21 vaccine im,,,10.0,541.02,43
CPT,90685,Iiv4 vacc no prsv 0.25 ml im,,,19.11,20.73,3
CPT,90686,Flu (Iiv4) Prsv Free 0.5 Ml 2021-2022,25.0,25.0,3.7,20.0,23
CPT,90686,Flu (Iiv4) Prsv Free 0.5 Ml 2022-2023,25.0,25.0,3.7,20.0,23
CPT,90686,Flu Vaccine Afluria 2023-2024,25.0,25.0,3.7,20.0,23
CPT,90686,Flu Vaccine Fluzone (Iiv4) 6mos-3yrs 2023-2024,25.0,25.0,3.7,20.0,23
CPT,90686,Iiv4 vacc no prsv 0.5 ml im,,,19.73,21.41,3
CPT,90687,Iiv4 vaccine splt 0.25 ml im,,,9.22,10.0,3
CPT,90688,Iiv4 vaccine splt 0.5 ml im,,,18.44,20.01,3
CPT,90689,Vacc iiv4 no prsrv 0.25ml im,,,,,0
CPT,90690,Typhoid vaccine oral,,,106.67,115.74,3
CPT,90691,Typhoid vaccine im,,,139.59,151.46,3
CPT,90694,Flu Vaccine Adjuvanted Pf >= 65 Years (for Amb),161.0,161.0,23.83,128.8,23
CPT,90694,Flu Vaccine Fluad (Aiiv4) Pf >= 65 Years 2023-2024,161.0,161.0,23.83,128.8,23
CPT,90694,Vacc aiiv4 no prsrv 0.5ml im,,,67.98,73.76,3
CPT,90696,Dtap Ipv Vaccine,185.0,185.0,27.38,148.0,23
CPT,90696,Dtap-ipv vaccine 4-6 yrs im,,,61.08,66.27,3
CPT,90696,Immunization-Dtap-Ipv Vaccine 4-6 Yrs Im (2022),236.0,236.0,34.93,188.8,23
CPT,90697,Dtap- Ipv- Hib- Hepb Combined Vaccine Im,560.24,560.24,82.92,448.19,23
CPT,90697,Dtap-ipv-hib-hepb vaccine im,,,150.85,163.67,3
CPT,90698,Dtap-ipv/hib vaccine im,,,114.52,124.25,3
CPT,90698,Pentacel Vaccine,130.0,130.0,19.24,104.0,23
CPT,90700,Dtap Vaccine,38.0,38.0,5.62,30.4,23
CPT,90700,Dtap vaccine < 7 yrs im,,,28.8,31.25,3
CPT,90702,Dt vaccine under 7 yrs im,,,66.09,71.71,3
CPT,90707,Mmr Vaccine,83.0,83.0,12.28,66.4,23
CPT,90707,Mmr vaccine sc,,,10.0,100.35,7
CPT,90710,Mmrv Vaccine,19.0,19.0,2.81,15.2,23
CPT,90710,Mmrv vaccine sc,,,132.69,301.8,4
CPT,90713,Polio Vaccine,32.0,32.0,4.74,25.6,23
CPT,90713,Poliovirus ipv sc/im,,,10.0,46.26,7
CPT,90714,Td vacc no presv 7 yrs+ im,,,10.0,60.9,38
CPT,90714,Tenivac Vaccine,30.0,30.0,4.44,24.0,23
CPT,90715,Tdap Vaccine,54.0,54.0,7.99,43.2,23
CPT,90715,Tdap vaccine 7 yrs/> im,,,10.0,63.7,38
CPT,90716,Var vaccine live subq,,,10.0,198.56,7
CPT,90716,Varicella Vaccine,414.0,414.0,61.27,331.2,23
CPT,90717,Yellow fever vaccine subq,,,205.47,222.93,3
CPT,90723,Dtap Hepb Vaccine,108.0,108.0,15.98,86.4,23
CPT,90723,Dtap-hep b-ipv vaccine im,,,97.97,106.3,3
CPT,90732,Pneumonia Vaccine Pneumovax,30.0,30.0,4.44,24.0,23
CPT,90732,Ppsv23 vacc 2 yrs+ subq/im,,,10.0,220.23,43
CPT,90733,Mpsv4 vaccine subq,,,0.01,0.01,3
CPT,90734,Menacwyd/menacwycrm vacc im,,,10.0,170.72,7
CPT,90734,Menveo Vaccine,411.5,411.5,60.68,330.4,46
CPT,90736,Hzv vaccine live subq,,,0.01,0.01,3
CPT,90738,Inactivated je vacc im,,,287.6,312.05,3
CPT,90739,Hepb vacc 2/4 dose adult im,,,10.0,292.97,43
CPT,90740,Hepb vacc 3 dose immunsup im,,,10.0,271.29,43
CPT,90740,Immunization-Hep B 3-Dose Immunsup Im,638.0,638.0,94.42,510.4,23
CPT,90743,Hepb vacc 2 dose adolesc im,,,75.15,124.0,39
CPT,90744,Hep B Vaccine Ped/Adult 3 Dose,100.0,100.0,14.8,80.0,23
CPT,90744,Hepb vacc 3 dose ped/adol im,,,30.77,52.26,39
CPT,90744,Immunization-Hep B 3-Dose Ped/Adol Im,110.0,110.0,16.28,88.0,23
CPT,90746,Hep B Vaccine Adult 3 Dose,230.0,230.0,34.04,184.0,23
CPT,90746,Hepb vaccine 3 dose adult im,,,10.0,116.13,43
CPT,90746,Immunization-Hep B 3-Dose Adult Im,243.0,243.0,35.96,194.4,23
CPT,90747,Hep B Vaccine Immunosupressed,100.0,100.0,14.8,80.0,23
CPT,90747,Hepb vacc 4 dose immunsup im,,,10.0,232.24,43
CPT,90748,Hib-hepb vaccine im,,,0.01,0.01,3
CPT,90750,Hzv vacc recombinant im,,,10.0,215.51,7
CPT,90756,Cciiv4 vacc abx free im,,,28.52,30.94,3
CPT,90759,Hep b vac 3ag 10mcg 3 dos im,,,10.0,121.8,43
CPT,90785,Interactive Complexity,321.0,321.0,47.51,256.8,23
CPT,90785,Psytx complex interactive,,,12.33,22.82,31
CPT,90791,Psych Dx Eval (No Med Service),800.4,800.4,118.46,640.32,23
CPT,90791,Psych diagnostic evaluation,,,99.3,295.75,53
CPT,90792,Psych Dx Eval (With Med Service),576.0,576.0,85.25,460.8,23
CPT,90792,Psych diag eval w/med srvcs,,,102.45,301.52,53
CPT,908,Anesth removal of prostate,,,11639.38,24872.68,16
CPT,90832,Individual Psychotherapy 30 Mins,541.0,541.0,80.07,432.8,23
CPT,90832,Psytx w pt 30 minutes,,,41.53,295.75,53
CPT,90833,Psychotherapy W/Pat W/E&M Srvcs 30 Min (Add-On),382.0,382.0,56.54,305.6,23
CPT,90833,Psytx w pt w e/m 30 min,,,34.92,116.75,38
CPT,90834,Individual Psychotherapy 45 Min,541.0,541.0,80.07,432.8,23
CPT,90834,Psytx w pt 45 minutes,,,68.44,295.75,52
CPT,90836,Individual Counseling 45 Min Add On,571.0,571.0,84.51,456.8,23
CPT,90836,Psytx w pt w e/m 45 min,,,82.13,148.43,31
CPT,90837,Individual Psychotherapy 60 Min,658.0,658.0,97.38,526.4,23
CPT,90837,Psytx w pt 60 minutes,,,94.02,295.75,53
CPT,90838,"Psychotherapy, 60min W/Pat and or Fam W E/M(Add-On)",706.0,706.0,104.49,564.8,23
CPT,90838,Psytx w pt w e/m 60 min,,,109.82,197.38,31
CPT,90839,Psychotherapy for Crisis First 60 Minutes,682.0,682.0,100.94,545.6,23
CPT,90839,Psytx crisis initial 60 min,,,130.72,295.75,46
CPT,90840,Psychotherapy for Crisis; Addl 30 Min,264.0,264.0,39.07,211.2,23
CPT,90840,Psytx crisis ea addl 30 min,,,64.91,116.75,31
CPT,90845,Psychoanalysis,,,73.31,295.75,47
CPT,90846,Family Psychotherapy W/O Patient Present 50 Min,1054.0,1054.0,155.99,843.2,23
CPT,90846,Family psytx w/o pt 50 min,,,79.36,295.75,47
CPT,90847,Family psytx w/pt 50 min,,,92.79,295.75,53
CPT,90847,Psy Family Therapy W Pt,1054.0,1054.0,155.99,843.2,23
CPT,90849,Multiple family group psytx,,,26.99,295.75,47
CPT,90853,Group psychotherapy,,,24.33,170.27,53
CPT,90863,Pharmacologic mgmt w/psytx,,,24.36,24.36,1
CPT,90865,Narcosynthesis,,,114.24,295.75,47
CPT,90867,Tcranial magn stim tx plan,,,156.35,580.37,46
CPT,90868,Tcranial magn stim tx deli,,,36.57,573.18,46
CPT,90869,Tcran magn stim redetemine,,,130.29,718.09,46
CPT,90870,Electroconvulsive therapy,,,80.92,976.66,52
CPT,90875,Psychophysiological therapy,,,56.81,56.81,1
CPT,90876,Psychophysiological therapy,,,101.03,101.03,1
CPT,90880,Hypnotherapy,,,82.34,170.27,46
CPT,90885,Psy evaluation of records,,,45.46,45.46,1
CPT,90887,Consultation With Family,253.0,253.0,37.44,202.4,23
CPT,90887,Consultation with family,,,83.36,83.36,1
CPT,90899,Unlisted psyc svc/therapy,,,29.64,54.84,16
CPT,90901,Biofeedback train any meth,,,18.51,63.15,47
CPT,90911,Biofeedback peri/uro/rectal,,,54.86,54.86,1
CPT,90912,Bfb training 1st 15 min,,,38.46,124.26,53
CPT,90913,Bfb training ea addl 15 min,,,21.37,50.34,53
CPT,90935,Hemodialysis one evaluation,,,66.37,1287.95,48
CPT,90937,Hemodialysis repeated eval,,,95.45,217.63,33
CPT,90945,Dialysis one evaluation,,,78.71,783.79,51
CPT,90947,Dialysis repeated eval,,,113.16,258.0,33
CPT,90947,Intpatient Dialysis Crrt,3267.0,3267.0,483.52,2613.6,23
CPT,90951,Esrd serv 4 visits p mo <2yr,,,1125.1,1800.16,31
CPT,90952,Esrd serv 2-3 vsts p mo <2yr,,,604.49,967.18,30
CPT,90953,Esrd serv 1 visit p mo <2yrs,,,457.64,732.22,30
CPT,90954,Esrd serv 4 vsts p mo 2-11,,,969.1,1550.56,31
CPT,90955,Esrd srv 2-3 vsts p mo 2-11,,,506.12,809.79,31
CPT,90956,Esrd srv 1 visit p mo 2-11,,,338.34,541.34,31
CPT,90957,Esrd srv 4 vsts p mo 12-19,,,743.2,1189.12,31
CPT,90958,Esrd srv 2-3 vsts p mo 12-19,,,484.14,774.62,31
CPT,90959,Esrd serv 1 vst p mo 12-19,,,316.04,505.66,31
CPT,90960,Esrd srv 4 visits p mo 20+,,,344.28,550.85,31
CPT,90961,Esrd srv 2-3 vsts p mo 20+,,,285.77,457.23,31
CPT,90962,Esrd serv 1 visit p mo 20+,,,197.31,315.7,31
CPT,90963,Esrd home pt serv p mo <2yrs,,,585.25,936.4,31
CPT,90964,Esrd home pt serv p mo 2-11,,,501.68,802.69,31
CPT,90965,Esrd home pt serv p mo 12-19,,,483.17,773.07,31
CPT,90966,Esrd home pt serv p mo 20+,,,285.77,457.23,31
CPT,90967,Esrd svc pr day pt <2,,,16.89,27.02,31
CPT,90968,Esrd svc pr day pt 2-11,,,16.56,26.5,31
CPT,90969,Esrd svc pr day pt 12-19,,,16.24,25.98,31
CPT,90970,Esrd svc pr day pt 20+,,,9.41,15.06,31
CPT,90993,Dialysis training incompl,,,82.46,188.01,2
CPT,90997,Hemoperfusion,,,85.18,136.29,31
CPT,91010,Esophageal Motility Study W/ Interp & Report,3926.1,3926.1,581.06,3140.88,23
CPT,91010,Esophagus motility study,,,28.39,2438.0,94
CPT,91013,Esophgl motil w/stim/perfus,,,8.35,1750.0,79
CPT,91020,Gastric motility studies,,,26.47,2438.0,94
CPT,91022,Duodenal motility study,,,68.68,2438.0,88
CPT,91030,Acid perfusion of esophagus,,,7.95,1473.0,87
CPT,91034,Gastroesophageal reflux test,,,44.94,1473.0,93
CPT,91035,G-Esoph Reflx Tst W/Electrode,8798.65,8798.65,1302.2,7038.92,23
CPT,91035,G-esoph reflx tst w/electrod,,,72.56,1473.0,93
CPT,91037,"Esoph Gastroesoph Reflux Test Funct W/Rec, Anlys,Rpt",1775.0,1775.0,262.7,1420.0,23
CPT,91037,Esoph imped function test,,,44.94,1473.0,93
CPT,91038,"Esoph Gastro Reflux Test, Prolonged 1-24 Hrs.",2904.9,2904.9,429.93,2323.92,23
CPT,91038,Esoph imped funct test > 1hr,,,50.86,1473.0,93
CPT,91040,Esoph balloon distension tst,,,44.94,1473.0,93
CPT,91065,Breath hydrogen/methane test,,,9.09,1473.0,93
CPT,91100,Pass intestine bleeding tube,,,50.16,50.16,6
CPT,91110,GI Tract Capsule Endoscopy,6051.0,6051.0,895.55,4840.8,23
CPT,91110,Gi trc img intral esoph-ile,,,106.89,2880.0,93
CPT,91111,Esophageal Capsule Endoscopy,5522.0,5522.0,817.26,4417.6,23
CPT,91111,Gi trc img intral esophagus,,,43.11,2880.0,81
CPT,91112,Gi wireless capsule measure,,,95.21,2880.0,93
CPT,91113,Gi trc img intral colon i&r,,,100.68,1678.16,88
CPT,91117,Colon motility 6 hr study,,,127.77,1473.0,52
CPT,91120,Rectal Sensation Tone & Comply Balloon Distention,1775.0,1775.0,262.7,1420.0,23
CPT,91120,Rectal sensation test,,,45.25,1473.0,93
CPT,91122,Anorectal Manometry,2900.3,2900.3,429.24,2320.24,23
CPT,91122,Anorectal manometry,,,25.14,1473.0,93
CPT,91132,Electrogastrography,,,24.97,1473.0,81
CPT,91133,Electrogastrography w/test,,,31.75,1473.0,81
CPT,91200,Liver Elastography,655.5,655.5,97.01,524.4,23
CPT,91200,Liver elastography,,,10.06,677.3,95
CPT,91299,Unlisted dx gi procedure,,,155.67,1473.0,21
CPT,91304,Sarscov2 vac 5mcg/0.5ml im,,,161.54,307.07,41
CPT,91318,Sarscov2 vac 3mcg trs-suc im,,,65.55,108.16,15
CPT,91319,Sarscv2 vac 10mcg trs-suc im,,,87.78,151.68,41
CPT,91320,Pfizer Covid Vaccine 30mcg/0.3ml,268.0,268.0,39.66,214.4,23
CPT,91320,Sarscv2 vac 30mcg trs-suc im,,,155.9,269.39,41
CPT,91321,Moderna Covid Vaccine 25 Mcg/0.25 Ml,281.0,281.0,41.59,224.8,23
CPT,91321,Sarscov2 vac 25 mcg/.25ml im,,,147.06,242.65,41
CPT,91322,Sarscov2 vac 50 mcg/0.5ml im,,,161.65,266.72,41
CPT,91323,Sarscov2 vac 10 mcg/0.2ml im,,,201.91,323.06,26
CPT,92002,Intrm oph exam new patient,,,38.25,237.2,53
CPT,92002,"Ophalmol Exam, Inter, Np",550.0,550.0,81.4,440.0,23
CPT,92004,Compre oph exam new pt 1/>,,,69.86,237.2,53
CPT,92004,"Opthalmol Exam, Compre, Np",642.0,642.0,95.02,513.6,23
CPT,92012,Intrm oph exam est patient,,,30.45,237.2,53
CPT,92012,"Opthalmol Exam, Inter, Ep",500.0,500.0,74.0,400.0,23
CPT,92014,Compre oph exam est pt 1/>,,,48.29,237.2,53
CPT,92014,"Opthalmol Exam, Compre, Ep",525.0,525.0,77.7,420.0,23
CPT,92015,Determine refractive state,,,18.5,18.5,1
CPT,92018,Compl oph exam general anes,,,68.43,4294.21,57
CPT,92019,Lmtd oph exam general anes,,,56.1,4294.21,58
CPT,92020,Gonioscopy,,,17.28,237.27,53
CPT,92020,Gonioscopy Exam,318.0,318.0,47.06,254.4,23
CPT,92025,Cptrized corneal topography,,,16.81,109.33,76
CPT,92025,Topography,254.1,254.1,37.61,203.28,23
CPT,92060,Sensorimotor examination,,,18.88,109.33,88
CPT,92065,Orthop traing pfrmd phys/qhp,,,30.71,61.58,37
CPT,92066,Orthop traing supvj phys/qhp,,,25.84,109.33,46
CPT,92071,Contact lens fitting for tx,,,28.37,83.93,38
CPT,92072,Fitg c-lens keratoconus 1st,,,81.23,191.36,38
CPT,92081,Limited visual field xm,,,15.23,109.33,88
CPT,92081,Vision Screen,207.0,207.0,30.64,165.6,23
CPT,92082,Intermediate visual field xm,,,19.75,109.33,88
CPT,92082,Visual Field Exam Uni/Bil Intermed,191.0,191.0,28.27,152.8,23
CPT,92083,Extended visual field xm,,,21.12,237.27,88
CPT,92083,Visual Field Exam Uni/Bil Extended,463.0,463.0,68.52,370.4,23
CPT,92100,Serial tonometry,,,30.78,131.3,38
CPT,92132,Cmptr Ophthalmic Dx Img Ant Segmt W/I&R Uni/Bi,161.0,161.0,23.83,128.8,23
CPT,92132,Cptrzd oph dx img ant sgm,,,12.98,109.33,88
CPT,92133,Cmptr Ophth Img Optic Nerve,500.0,500.0,74.0,400.0,23
CPT,92133,Cptrzd oph dx img pst sgm on,,,12.98,109.33,88
CPT,92134,Cptr Ophth Dx Img Post Segmt,500.0,500.0,74.0,400.0,23
CPT,92134,Cptrz oph dx img pst sgm rta,,,12.98,109.33,88
CPT,92136,Iol Calculations (Ophthalmic Biometry),457.6,457.6,67.72,366.08,23
CPT,92136,Ophthalmic biometry,,,16.81,237.27,124
CPT,92137,Cptrz oph img pst sg rta oct,,,19.69,700.65,86
CPT,92140,Glaucoma provocative tests,,,22.58,22.58,1
CPT,92145,Corneal hysteresis deter,,,5.21,109.33,88
CPT,92201,Opscpy extnd rta draw uni/bi,,,19.84,109.33,53
CPT,92202,Ophthalmoscopy Ext Optic Nerve Drawing Uni or Bil,169.0,169.0,25.01,135.2,23
CPT,92202,Opscpy extnd on/mac draw,,,12.82,109.33,53
CPT,92225,Special eye exam initial,,,18.88,18.88,1
CPT,92226,Special eye exam subsequent,,,16.68,16.68,1
CPT,92227,Img rta detcj/mntr ds staff,,,9.8,109.33,52
CPT,92228,Img rta detc/mntr ds phy/qhp,,,10.67,72.25,88
CPT,92229,Img rta detc/mntr ds poc aly,,,43.58,109.33,46
CPT,92230,Eye Exam With Photos,712.0,712.0,105.38,569.6,23
CPT,92230,Fluorescein angioscopy i&r,,,28.92,976.66,53
CPT,92235,Flourescein Angioscopy W Photo,533.0,533.0,78.88,426.4,23
CPT,92235,Fluorescein angrph mltiframe,,,40.43,573.18,88
CPT,92240,Icg angiography i&r uni/bi,,,45.2,573.18,88
CPT,92242,Fluorescein&icg angiography,,,47.72,573.18,88
CPT,92250,Fundus photography w/i&r,,,15.84,237.27,88
CPT,92250,Ophthalmoscopy W/ Fundus Photo,326.0,326.0,48.25,260.8,23
CPT,92260,Ophthalmodynamometry,,,10.38,72.25,53
CPT,92265,Ndl oculoelectromyography 1+,,,25.27,109.33,88
CPT,92270,Electro-oculography w/i&r,,,17.9,237.27,88
CPT,92273,Full field erg w/i&r,,,32.33,573.18,88
CPT,92274,Multifocal erg w/i&r,,,28.68,287.98,88
CPT,92283,Color Vision Examination,167.0,167.0,24.72,133.6,23
CPT,92283,Extnd color vision xm,,,8.44,109.33,88
CPT,92284,Dx dark adaptation exam i&r,,,29.39,734.5,46
CPT,92285,External ocular photography,,,2.95,72.25,88
CPT,92285,Slit Lamp Photography,191.0,191.0,28.27,152.8,23
CPT,92286,Ant sgm img i&r speclr mic,,,17.13,237.27,88
CPT,92287,Ant sgm img ir flrscn angrph,,,22.66,237.27,83
CPT,92310,Contact lens fitting ou,,,95.83,95.83,1
CPT,92311,Contact lens fitg aphakia 1,,,48.52,734.5,47
CPT,92312,Contact lens fitg aphakia ou,,,58.62,237.27,47
CPT,92313,C-lens fitg corneosclrl lens,,,41.09,237.27,47
CPT,92314,C-lens fitg tech ou,,,83.12,83.12,1
CPT,92315,C-lens fitg tech aphakia 1,,,20.08,237.27,47
CPT,92316,C-lens fitg tech aphakia ou,,,30.1,237.27,47
CPT,92317,C-lens fitg tech corneosclrl,,,20.08,132.22,47
CPT,92325,Modification of contact lens,,,43.58,237.27,46
CPT,92326,Replacement of contact lens,,,37.13,109.33,46
CPT,92330,FITTING OF ARTIFICIAL EYE,,,48.96,48.96,1
CPT,92335,FITTING OF ARTIFICIAL EYE,,,34.49,34.49,1
CPT,92340,Fit spectacles monofocal,,,28.21,33.66,7
CPT,92341,Fit spectacles bifocal,,,33.89,38.55,7
CPT,92342,Fit spectacles multifocal,,,37.36,41.46,7
CPT,92352,Fit aphakia spectcl monofocl,,,59.1,109.33,16
CPT,92353,Fit aphakia spectcl multifoc,,,59.1,109.33,16
CPT,92354,Fitg spect low vis 1system,,,39.05,72.25,16
CPT,92355,Fitg spect lw vis cmpnd lens,,,39.05,72.25,16
CPT,92358,Aphakia prosth service temp,,,59.1,109.33,16
CPT,92370,Rpr&refitg spect xcp aphakia,,,23.43,29.46,7
CPT,92371,Rpr&refit spct prsth aphakia,,,59.1,109.33,16
CPT,92499,Unlisted oph svc/procedure,,,24.37,45.09,16
CPT,92502,Ear and throat examination,,,87.01,1473.0,57
CPT,92504,Ear Microscopy Examination,178.0,178.0,26.34,142.4,23
CPT,92504,Ear microscopy examination,,,9.09,44.46,38
CPT,92506,Speech/hearing evaluation,,,38.91,54.94,7
CPT,92507,Individual Speech Therapy,629.0,629.0,93.09,503.2,23
CPT,92507,Tx sp lang voice comm indiv,,,23.85,160.0,48
CPT,92508,Group Speech Ther Each 15min,188.0,188.0,27.82,150.4,23
CPT,92508,Tx sp lang voice comm group,,,12.57,160.0,54
CPT,92511,"Nasal Pharyngoscopy, Simple",606.0,606.0,89.69,484.8,23
CPT,92511,Nasopharyngoscopy,,,36.99,2438.0,54
CPT,92511,Nasopharyngoscopy W/Endoscope,606.0,606.0,89.69,484.8,23
CPT,92512,Nasal function studies,,,26.07,573.18,53
CPT,92516,Facial nerve function test,,,20.75,573.18,53
CPT,92517,Vemp test i&r cervical,,,40.52,287.98,52
CPT,92518,Vemp test i&r ocular,,,41.2,287.98,52
CPT,92519,Vemp tst i&r cervical&ocular,,,61.24,573.18,52
CPT,92520,Laryngeal function studies,,,36.45,237.27,53
CPT,92521,"Evaluation of Speech Fluency (Eg, Stuttering, Clutterin)",596.0,596.0,88.21,476.8,23
CPT,92521,Evaluation of speech fluency,,,97.14,268.27,53
CPT,92522,"Eval of Only Speech Snd Prod (Motor Speech, Artic, Etc)",1000.0,1000.0,148.0,800.0,23
CPT,92522,Evaluate speech production,,,78.86,224.26,53
CPT,92523,"Eval of Speech, Language & Cognition-Comm",1188.0,1188.0,175.82,950.4,23
CPT,92523,"Eval of Speech, Language & Cognition-Communication",1188.0,1188.0,175.82,950.4,23
CPT,92523,Speech sound lang comprehen,,,160.0,461.15,53
CPT,92524,Behavioral and Qualitative Analysis of Voice and Resonae,1072.0,1072.0,158.66,857.6,23
CPT,92524,Behavral qualit analys voice,,,82.12,219.52,53
CPT,92526,Oral function therapy,,,82.82,160.0,46
CPT,92526,Pediatric Feeding,792.0,792.0,117.22,633.6,23
CPT,92526,Treatmet of Swallow & Oral Fun,792.0,792.0,117.22,633.6,23
CPT,92537,"Caloric Vstblar Test W/Rec,Bilat",894.0,894.0,132.31,715.2,23
CPT,92537,Caloric vstblr test w/rec,,,7.29,287.98,88
CPT,92538,"Caloric Vstblar Test W/Rec,Bilat;Monothermal",975.0,975.0,144.3,780.0,23
CPT,92538,Caloric vstblr test w/rec,,,3.94,287.98,88
CPT,92540,Basic vestibular evaluation,,,11.16,287.98,88
CPT,92540,"Observation, testing, and recording of abnormal eye movement",844.7,844.7,125.02,675.76,23
CPT,92541,Spontaneous Nystagmus Test,491.0,491.0,72.67,392.8,23
CPT,92541,Spontaneous nystagmus test,,,4.23,237.27,82
CPT,92542,Positional Nystagmus Test,437.0,437.0,64.68,349.6,23
CPT,92542,Positional nystagmus test,,,3.91,237.27,88
CPT,92543,Caloric vestibular test,,,3.81,6.3,12
CPT,92544,Optokinetic nystagmus test,,,3.59,287.98,88
CPT,92545,Oscillating tracking test,,,3.59,573.18,88
CPT,92546,Sinusoidal rotational test,,,8.6,287.98,88
CPT,92547,Supplemental electrical test,,,10.0,19.74,37
CPT,92548,Cdp-sot 6 cond w/i&r,,,13.26,237.27,88
CPT,92549,Cdp-sot 6 cond w/i&r mct&adt,,,15.85,237.27,88
CPT,92550,Tympanometry & reflex thresh,,,13.81,287.98,52
CPT,92550,Tympanometry and Reflex Thresh,234.0,234.0,34.63,187.2,23
CPT,92551,Hearing Screening,225.0,225.0,33.3,180.0,23
CPT,92551,"Ipv Scr, 2 Ears, Pure Tone,Air",225.0,225.0,33.3,180.0,23
CPT,92551,Pure tone hearing test air,,,8.05,12.3,7
CPT,92552,Audiometry,215.0,215.0,31.82,172.0,23
CPT,92552,Audiometry - Air Only,220.0,220.0,32.56,176.0,23
CPT,92552,Pure tone audiometry air,,,15.62,237.27,52
CPT,92553,Audiometry - Air and Bone,438.0,438.0,64.82,350.4,23
CPT,92553,Audiometry air & bone,,,22.95,287.98,52
CPT,92555,Speech Audiometry Threshold,194.0,194.0,28.71,155.2,23
CPT,92555,Speech threshold audiometry,,,13.39,109.33,52
CPT,92556,Speech audiometry complete,,,17.1,109.33,52
CPT,92557,Audiometric Battery,802.5,802.5,118.77,642.0,23
CPT,92557,Comprehensive hearing test,,,30.78,287.98,52
CPT,92558,Evoked auditory test qual,,,9.09,9.09,1
CPT,92559,Group audiometric testing,,,6.4,6.4,6
CPT,92560,Bekesy audiometry screen,,,12.8,12.8,6
CPT,92561,Bekesy audiometry diagnosis,,,24.87,24.87,6
CPT,92562,Loudness balance test,,,14.35,573.18,52
CPT,92563,Tone decay hearing test,,,13.39,72.25,52
CPT,92564,Sisi hearing test,,,16.89,16.89,6
CPT,92565,"Stenger Test, Pure Tone",278.0,278.0,41.14,222.4,23
CPT,92565,Stenger test pure tone,,,10.82,109.33,53
CPT,92567,Tympanometry,259.0,259.0,10.38,207.2,75
CPT,92568,Acoustic refl threshold tst,,,13.39,72.25,52
CPT,92570,Acoustic Immittance Testing,344.0,344.0,50.91,275.2,23
CPT,92570,"Acoustic Reflex Testing, Both",344.0,344.0,50.91,275.2,23
CPT,92570,Acoustic immitance testing,,,21.05,287.98,53
CPT,92571,Filtered speech test,,,10.49,72.25,53
CPT,92572,Staggered spondaic word test,,,3.18,287.98,52
CPT,92575,Sensorineural acuity lvl tst,,,7.95,114.69,53
CPT,92576,Synthetic sentence id test,,,12.07,72.25,53
CPT,92577,"Stenger Test, Speech",743.0,743.0,109.96,594.4,23
CPT,92577,Stenger test speech,,,19.4,976.66,53
CPT,92579,Visual audiometry (vra),,,25.19,287.98,52
CPT,92582,Conditioning play audiometry,,,19.43,287.98,53
CPT,92583,Select picture audiometry,,,31.22,109.33,52
CPT,92584,Electrocochleography,,,86.39,287.98,52
CPT,92585,Auditor evoke potent compre,,,45.67,64.1,12
CPT,92586,Auditor evoke potent limit,,,73.32,73.32,6
CPT,92587,Evoke Otoacoustic Emission Ltd,632.0,632.0,93.54,505.6,23
CPT,92587,Evoked auditory test limited,,,3.59,573.18,88
CPT,92587,Hearing Screening (Oae),817.38,817.38,120.97,653.9,23
CPT,92588,Evoke Otoacoustic Dx/Compre,879.0,879.0,130.09,703.2,23
CPT,92588,Evoked auditory tst complete,,,4.88,573.18,88
CPT,92589,AUDITORY FUNCTION TEST(S),,,18.77,18.77,6
CPT,92590,Hearing Aid Eval 75 Min,108.0,108.0,15.98,86.4,23
CPT,92591,Hearing Aid Examination & Selection Binaural,476.0,476.0,70.45,380.8,23
CPT,92592,Air and Bone Conduction (One),78.0,78.0,11.54,62.4,23
CPT,92592,"Hearing Aid Check, Monaural",103.0,103.0,15.24,82.4,23
CPT,92593,"Hearing Aid Check, Binaural",288.0,288.0,42.62,230.4,23
CPT,92596,Ear protector evaluation,,,20.7,123.9,52
CPT,92597,Evaluation for Voice Prosthesi,1176.0,1176.0,174.05,940.8,23
CPT,92597,Oral speech device eval,,,71.24,131.79,46
CPT,92601,Cochlear implt f/up exam <7,,,117.15,287.98,52
CPT,92602,Reprogram cochlear implt <7,,,66.69,287.98,52
CPT,92603,Cochlear Implt Exam 7 > Yrs,436.0,436.0,64.53,348.8,23
CPT,92603,Cochlear implt f/up exam 7/>,,,78.91,287.98,52
CPT,92604,Reprogram Codhlear Implt 7 > Yrs,631.0,631.0,93.39,504.8,23
CPT,92604,Reprogram cochlear implt 7/>,,,53.85,287.98,52
CPT,92605,Ex for nonspeech device rx,,,88.4,88.4,1
CPT,92606,Non-speech device service,,,75.94,75.94,1
CPT,92607,Ex for speech device rx 1hr,,,120.96,223.78,46
CPT,92608,Ex for speech device rx addl,,,47.56,87.99,46
CPT,92609,Ther Ser/Speech-Generating Dev,431.0,431.0,63.79,344.8,23
CPT,92609,Use of speech device service,,,52.97,186.72,52
CPT,92610,Eval.of Swallow & Oral Func.,1288.0,1288.0,190.62,1030.4,23
CPT,92610,Evaluate swallowing function,,,37.65,160.0,52
CPT,92611,Motion Fluo Eval of Swallowing,1288.0,1288.0,190.62,1030.4,23
CPT,92611,Motion fluoroscopy/swallow,,,40.95,164.71,52
CPT,92612,Endoscopy swallow (fees) vid,,,58.3,309.1,53
CPT,92612,Flex Fib Endo Eval/Swallowing,2142.0,2142.0,317.02,1713.6,23
CPT,92613,Endoscopy swallow (fees) i&r,,,35.39,56.62,31
CPT,92614,Laryngoscopic sensory vid,,,63.26,233.31,46
CPT,92615,Laryngoscopic sensory i&r,,,31.51,50.42,31
CPT,92616,Fees w/laryngeal sense test,,,96.39,359.07,46
CPT,92617,Fees w/laryngeal sense i&r,,,38.95,62.83,31
CPT,92618,Ex for nonspeech dev rx add,,,30.87,30.87,1
CPT,92620,Auditory function 60 min,,,76.75,287.98,46
CPT,92621,Auditory function + 15 min,,,18.14,33.66,31
CPT,92622,Dx aly aud oi snd prcsr 1st,,,54.27,287.98,53
CPT,92623,Dx aly aud oi snd prcsr each,,,14.41,31.6,38
CPT,92625,Tinnitus assessment,,,58.65,287.98,46
CPT,92626,Eval aud funcj 1st hour,,,71.9,287.98,46
CPT,92627,Eval aud funcj ea addl 15,,,16.84,31.6,31
CPT,92640,Aud brainstem implt programg,,,90.32,287.98,46
CPT,92650,Aep Scr Auditory Potential W/Stimuli Auto Alys,590.27,590.27,87.36,472.22,23
CPT,92650,Aep scr auditory potential,,,25.59,63.66,8
CPT,92651,Aep Hearing Status Deter Broadband Stimuli I&R,329.0,329.0,48.69,263.2,23
CPT,92651,Aep hearing status deter i&r,,,72.7,573.18,52
CPT,92652,Aep Threshold Estimation Mlt Frequencies I&R,543.0,543.0,80.36,434.4,23
CPT,92652,Aep thrshld est mlt freq i&r,,,95.39,573.18,52
CPT,92653,Aep Neurodx Interpretation and Report,543.0,543.0,80.36,434.4,23
CPT,92653,Aep neurodiagnostic i&r,,,70.24,573.18,52
CPT,92700,Unlisted orl service/px,,,24.37,45.09,16
CPT,92920,Prq Cardiac Angioplast 1 Art,20811.55,20811.55,3080.11,16649.24,23
CPT,92920,Prq cardiac angioplast 1 art,,,459.45,11099.6,61
CPT,92921,Prq Cardiac Angio Addl Art,9614.0,9614.0,1422.87,7691.2,23
CPT,92921,Prq cardiac angio addl art,,,2438.0,7268.0,7
CPT,92924,Coronary Atherectomy,17120.0,17120.0,2533.76,13696.0,23
CPT,92924,Prq card angio/athrect 1 art,,,546.22,20874.31,61
CPT,92925,Prq card angio/athrect addl,,,2438.0,10789.0,7
CPT,92928,Prq Card Stent W/Angio 1 Vsl,32850.0,32850.0,4861.8,26280.0,23
CPT,92928,Prq card stent w/angio 1 vsl,,,566.46,20874.31,61
CPT,92929,Prq Card Stent W/Angio Addl,9152.0,9152.0,1354.5,7321.6,23
CPT,92929,Prq card stent w/angio addl,,,2438.0,7268.0,7
CPT,92933,Prq Trluml Coronary Angio/Athe,31368.0,31368.0,4642.46,25094.4,23
CPT,92933,Prq card stent/ath/angio,,,570.62,33052.5,61
CPT,92934,Prq card stent/ath/angio,,,2438.0,7268.0,7
CPT,92937,Prq Revasc Byp Graft 1 Vsl,21413.0,21413.0,3169.12,17130.4,23
CPT,92937,Prq revasc byp graft 1 vsl,,,509.71,20874.31,61
CPT,92938,Prq Revasc Byp Graft Addl,19107.0,19107.0,2827.84,15285.6,23
CPT,92938,Prq revasc byp graft addl,,,2438.0,7268.0,7
CPT,92941,Prq Card Revasc Mi 1 Vsl,37397.0,37397.0,5534.76,29917.6,23
CPT,92941,Prq card revasc mi 1 vsl,,,571.76,24872.68,60
CPT,92943,Prq Card Revasc Chronic 1vsl,34452.0,34452.0,5098.9,27561.6,23
CPT,92943,Prq card revasc chronic 1vsl,,,571.76,20874.31,61
CPT,92944,Prq Card Revasc Chronic Addl,30314.0,30314.0,4486.47,24251.2,23
CPT,92944,Prq card revasc chronic addl,,,2438.0,7268.0,7
CPT,92950,Cardiopulmonary Resuscitation,2336.0,2336.0,345.73,1868.8,23
CPT,92950,Heart/lung resuscitation cpr,,,177.2,1473.0,58
CPT,92953,Temp Transcut Pacing,2619.0,2619.0,387.61,2095.2,23
CPT,92953,Temporary external pacing,,,1.01,2026.0,57
CPT,92960,Cardioversion,4493.0,4493.0,664.96,3594.4,23
CPT,92960,Cardioversion electric ext,,,104.39,2026.0,58
CPT,92961,Cardioversion electric int,,,201.9,2026.0,57
CPT,92970,Cardioassist internal,,,182.11,24872.68,57
CPT,92971,Cardioassist external,,,88.04,24872.68,57
CPT,92972,Perq trluml coronry lithotrp,,,119.18,2438.0,38
CPT,92973,Perc Coronary Thrombectomy,8588.44,8588.44,1271.09,6870.75,23
CPT,92973,Prq coronary mech thrombect,,,167.15,1750.0,43
CPT,92974,Cath place cardio brachytx,,,154.98,1750.0,43
CPT,92975,Dissolve clot heart vessel,,,362.2,24872.68,60
CPT,92977,Dissolve clot heart vessel,,,54.81,4275.0,60
CPT,92978,Endoluminl ivus oct c 1st,,,88.65,1750.0,77
CPT,92978,Ivus Initial Vessel,9435.75,9435.75,1396.49,7548.6,23
CPT,92979,Endoluminl ivus oct c ea,,,70.75,1750.0,77
CPT,92979,Ivus - Addit Vessel,10140.7,10140.7,1500.82,8112.56,23
CPT,92986,Revision of aortic valve,,,963.22,11099.6,61
CPT,92987,Revision of mitral valve,,,997.74,20874.31,61
CPT,92990,Revision of pulmonary valve,,,756.34,20874.31,61
CPT,92992,Revision of heart chamber,,,2022.08,2022.08,6
CPT,92997,Pul art balloon repr percut,,,609.05,20874.31,58
CPT,92998,Pul art balloon repr percut,,,306.93,7268.0,43
CPT,93000,Electrocardiogram complete,,,13.97,37.62,38
CPT,93005,EKG,675.15,675.15,99.92,540.12,23
CPT,93005,Electrocardiogram tracing,,,6.17,109.33,53
CPT,93010,Electrocardiogram report,,,7.8,21.02,38
CPT,93015,Cardiovascular stress test,,,70.87,180.55,38
CPT,93016,Cardiovascular stress test,,,20.08,55.21,38
CPT,93017,Cardiac Stress Test,3585.0,3585.0,530.58,2868.0,46
CPT,93017,Cardiovascular stress test,,,37.17,573.18,53
CPT,93017,Stress Echo,3585.0,3585.0,530.58,2868.0,23
CPT,93018,Cardiovascular stress test,,,13.62,36.84,38
CPT,93024,Ergonovine provocation test,,,38.91,734.5,89
CPT,93025,Microvolt t-wave assess,,,35.31,287.98,83
CPT,93040,Rhythm ecg with report,,,13.0,32.33,38
CPT,93041,Rhythm ecg tracing,,,5.11,109.33,53
CPT,93042,Rhythm ecg report,,,6.51,17.51,38
CPT,93050,Art pressure waveform analys,,,7.26,45.09,89
CPT,93150,Therapy activation ipnss,,,35.03,168.96,54
CPT,93151,Interrog&Prgrmg Impl Phrenic Nrv Stimulator Sys,228.0,228.0,33.74,182.4,23
CPT,93151,Interrog&prgrmg ipnss,,,33.1,168.96,54
CPT,93152,Interrog&Prgrmg Ipnss During Polysomnography,705.0,705.0,104.34,564.0,23
CPT,93152,Interrog&prgrmg ipnss polysm,,,77.29,552.04,54
CPT,93153,Interrog w/o prgrmg ipnss,,,17.83,168.96,54
CPT,93153,Interrogation Without Programming Ipnss,228.0,228.0,33.74,182.4,23
CPT,932,Anesth amputation of penis,,,11639.38,24872.68,16
CPT,93224,Xtrnl ecg rec up to 48 hrs,,,68.21,202.6,38
CPT,93225,Ecg Monit/Reprt Up to 48 Hrs,1052.25,1052.25,155.73,841.8,23
CPT,93225,Xtrnl ecg rec<48 hrs rec,,,17.46,237.27,53
CPT,93226,Xtrnl ecg rec<48 hr scan a/r,,,33.26,109.33,53
CPT,93227,Xtrnl ecg rec<48 hr r&i,,,17.49,47.39,38
CPT,93228,Remote 30 day ecg rev/report,,,21.79,65.59,38
CPT,93229,Remote 30 day ecg tech supp,,,28.91,1803.1,53
CPT,93241,Xtrnl ecg rec>48hr<7d,,,259.18,414.69,32
CPT,93242,Ext ecg>48hr<7d recording,,,11.33,72.25,53
CPT,93242,External Ecg Rec>48hr<7d Recording,184.0,184.0,27.23,147.2,23
CPT,93243,Ext ecg>48hr<7d scan a/r,,,128.25,361.26,47
CPT,93243,External Ecg Rec>48hr<7d Scanning Alys W/Report,396.0,396.0,58.61,316.8,23
CPT,93244,Ext ecg>48hr<7d rev&interpj,,,20.9,62.24,38
CPT,93245,Ext ecg>7d<15d rec scan a/r,,,245.12,431.73,32
CPT,93246,Ext ecg>7d<15d recording,,,11.33,72.25,53
CPT,93246,External Ecg Rec>7d<15d Recording,278.3,278.3,41.19,222.64,23
CPT,93247,Ext ecg>7d<15d scan a/r,,,128.25,374.67,47
CPT,93247,External Ecg Rec>7d<15d Scanning Alys W/Report,666.0,666.0,98.57,532.8,23
CPT,93248,Ext ecg>7d<15d rev&interpj,,,21.61,68.39,38
CPT,93260,Prgrmg dev eval impltbl sys,,,19.15,85.07,89
CPT,93261,Interrogate subq defib,,,19.15,84.18,89
CPT,93261,S-Icd Interrog / Eval in Person,386.0,386.0,57.13,308.8,23
CPT,93264,Rem mntr wrls p-art prs snr,,,34.23,90.14,53
CPT,93268,Ecg record/review,,,150.82,507.13,38
CPT,93270,Cardiac Event Recording,659.0,659.0,97.53,527.2,23
CPT,93270,Remote 30 day ecg rev/report,,,7.78,68.64,53
CPT,93271,Ecg/monitoring and analysis,,,81.65,421.26,53
CPT,93272,Ecg/review interpret only,,,23.03,63.13,38
CPT,93278,Ecg/signal-averaged,,,12.0,109.33,89
CPT,93279,Prgrmg dev eval pm/ldls pm,,,16.81,88.58,89
CPT,93279,Single Lead Pacemaker Program / Eval in Person,347.3,347.3,51.4,277.84,23
CPT,93280,Dual Lead Pacemaker Program / Eval in Person,306.0,306.0,45.29,244.8,23
CPT,93280,Pm device progr eval dual,,,19.34,103.49,89
CPT,93281,Multi-Lead Pacemaker Program / Eval in Person,306.0,306.0,45.29,244.8,23
CPT,93281,Pm device progr eval multi,,,22.69,105.26,89
CPT,93282,Prgrmg eval implantable dfb,,,20.53,95.59,89
CPT,93282,Single Lead Icd Programming / Evaluation in Person,363.0,363.0,53.72,290.4,23
CPT,93283,Dual Lead Icd Program/ Eval in Person,377.0,377.0,55.8,301.6,23
CPT,93283,Prgrmg eval implantable dfb,,,23.31,104.37,89
CPT,93284,Multi-Lead Icd Program / Eval in Person,419.0,419.0,62.01,335.2,23
CPT,93284,Prgrmg eval implantable dfb,,,26.4,111.41,90
CPT,93285,Prgrmg dev eval scrms ip,,,15.88,85.95,89
CPT,93285,Sq-Cardiac Rhythm Monitor / Loop Recorder Program / Eval in Person,303.0,303.0,44.84,242.4,23
CPT,93286,Pacemaker Sngl/Dual/Multi Peri-Procedure Eval in Person,212.0,212.0,31.38,169.6,23
CPT,93286,Peri-px eval pm/ldls pm ip,,,13.94,77.17,62
CPT,93287,Icd Sngl/Dual/Multi Peri-Procedure Eval in Person,225.0,225.0,33.3,180.0,23
CPT,93287,Peri-px device eval & prgr,,,11.86,77.17,74
CPT,93288,Interrog evl pm/ldls pm ip,,,16.19,87.7,89
CPT,93288,Pacemaker Sngl/Dual/Multi Interrog / Eval in Person,224.0,224.0,33.15,179.2,23
CPT,93289,Interrog device eval heart,,,19.34,88.58,89
CPT,93289,Pacemaker Interrog / Eval in Person,335.0,335.0,49.58,268.0,23
CPT,93290,Interrog dev eval icpms ip,,,9.07,79.8,89
CPT,93291,Interrog / Eval Scrms or Loop Recorder in Clinic,238.0,238.0,35.22,190.4,23
CPT,93291,Interrog dev eval scrms ip,,,14.39,77.17,89
CPT,93292,Wcd device interrogate,,,11.23,72.77,89
CPT,93293,Pm phone r-strip device eval,,,13.29,92.07,89
CPT,93294,Rem interrog evl pm/ldls pm,,,28.28,77.03,38
CPT,93295,Dev interrog remote 1/2/mlt,,,34.75,95.4,38
CPT,93296,Pacemaker/Icd Interrog / Eval Remote Up to 90 Days,292.0,292.0,43.22,233.6,23
CPT,93296,Rem interrog evl pm/ids,,,19.39,68.64,54
CPT,93297,Rem interrog dev eval icpms,,,21.79,68.64,83
CPT,93298,Rem interrog dev eval scrms,,,23.68,118.3,83
CPT,93298,S-Icd/Loop Recorder Interrog / Eval Remote Up to 30 Days,204.0,204.0,30.19,163.2,23
CPT,93303,Echo transthoracic,,,58.34,1009.24,92
CPT,93304,Echo transthoracic,,,33.7,1009.24,92
CPT,93306,Tte w/doppler complete,,,61.19,1009.24,89
CPT,93306,"Tte, Complete",5169.25,5169.25,765.05,4135.4,23
CPT,93307,Tte w/o doppler complete,,,41.5,444.93,92
CPT,93308,Tte f-up or lmtd,,,23.68,444.93,92
CPT,93308,Tte. Limited,3497.15,3497.15,517.58,2797.72,23
CPT,93312,Echo transesophageal,,,101.14,1009.24,92
CPT,93312,Transesophageal Echo,4631.05,4631.05,685.4,3704.84,23
CPT,93313,Echo transesophageal,,,10.75,1009.24,54
CPT,93314,Echo transesophageal,,,59.7,535.38,77
CPT,93315,Echo transesophageal,,,116.49,1214.78,84
CPT,93316,Echo transesophageal,,,24.41,1009.24,57
CPT,93317,Echo transesophageal,,,69.73,496.64,66
CPT,93318,Echo transesophageal intraop,,,97.59,1214.78,92
CPT,93319,3d Echo Img Tee/Tte Cgen Car Anomal Add-On,2000.0,2000.0,296.0,1600.0,23
CPT,93319,3d echo img cgen car anomal,,,22.47,83.42,38
CPT,93320,Doppler echo complete,,,16.85,143.29,77
CPT,93320,Echo Doppler Complete,3497.15,3497.15,517.58,2797.72,23
CPT,93321,Doppler Echo Exam Heart (Add-On),989.0,989.0,146.37,791.2,23
CPT,93321,Doppler echo f-up/lmtd std,,,6.83,65.89,71
CPT,93325,Color Flow Mapping,3041.0,3041.0,450.07,2432.8,23
CPT,93325,Doppler echo color flow mapg,,,2.91,122.81,77
CPT,93350,Echo W/Stress Test,4651.75,4651.75,688.46,3721.4,23
CPT,93350,Stress tte only,,,45.1,1009.24,92
CPT,93350,Transthoracic Echo,3748.0,3748.0,554.7,2998.4,23
CPT,93351,Stress tte complete,,,78.43,1009.24,83
CPT,93352,Admin ecg contrast agent,,,32.88,85.9,38
CPT,93355,Echo transesophageal (tee),,,194.27,343.52,37
CPT,93356,Myocrd Strain Img Spckl Trck (Add-On),1000.0,1000.0,148.0,800.0,23
CPT,93356,Myocrd strain img spckl trck,,,10.38,56.42,38
CPT,934,Anesth penis nodes removal,,,11639.38,24872.68,16
CPT,93451,Right Heart Cath,16734.8,16734.8,2476.75,13387.84,23
CPT,93451,Right heart cath,,,124.46,10807.0,97
CPT,93452,Left hrt cath w/ventrclgrphy,,,218.08,10807.0,97
CPT,93452,Lhc W/V Gram,24190.0,24190.0,3580.12,19352.0,23
CPT,93453,R&l hrt cath w/ventriclgrphy,,,285.91,10807.0,97
CPT,93453,R/Lhc W/V Gram (S&I),18756.0,18756.0,2775.89,15004.8,23
CPT,93454,Coronary Angio W/O Lhc,17282.2,17282.2,2557.77,13825.76,23
CPT,93454,Coronary artery angio s&i,,,219.81,10807.0,97
CPT,93455,Coronary Angio W/O Lhc W/Graft Inj,19300.45,19300.45,2856.47,15440.36,23
CPT,93455,Coronary art/grft angio s&i,,,253.75,10807.0,97
CPT,93456,R hrt coronary artery angio,,,281.41,10807.0,97
CPT,93456,Rhc/Coronary Angio W/O Lhc,31123.6,31123.6,4606.29,24898.88,23
CPT,93457,R hrt art/grft angio,,,315.57,10807.0,97
CPT,93457,Rhc/Coronary Angio W/O Lhc W/Graft Inj,29342.0,29342.0,4342.62,23473.6,23
CPT,93458,L hrt artery/ventricle angio,,,268.23,10807.0,97
CPT,93458,Lt Heart Cath Including V Gram,25389.7,25389.7,3757.68,20311.76,23
CPT,93459,L hrt art/grft angio,,,301.9,10807.0,97
CPT,93459,Lhc W/ V Gram and Grafts,27033.05,27033.05,4000.89,21626.44,23
CPT,93460,R&Lhc W/V Gram,30859.1,30859.1,4567.15,24687.28,23
CPT,93460,R&l hrt art/ventricle angio,,,336.38,10807.0,97
CPT,93461,R&Lhc W/V Gram and Grafts,27594.0,27594.0,4083.91,22075.2,23
CPT,93461,R&l hrt art/ventricle angio,,,371.08,10807.0,97
CPT,93462,L hrt cath trnsptl puncture,,,170.92,12000.0,47
CPT,93462,Left Heart Cath by Transeptal Puncture,16178.0,16178.0,2394.34,12942.4,23
CPT,93463,Drug admin & hemodynmic meas,,,90.71,12000.0,46
CPT,93463,Med Admin & Hemodynamic Measurment (W/Nitric Oxide),2041.25,2041.25,302.1,1633.0,23
CPT,93464,Exercise w/hemodynamic meas,,,79.85,12000.0,82
CPT,93503,Insert/place heart catheter,,,84.12,10807.0,61
CPT,93503,Insertion Swan Ganz,4993.3,4993.3,739.01,3994.64,23
CPT,93505,Endomyocardial Biopsy,8869.95,8869.95,1312.75,7095.96,23
CPT,93505,Endomyocardial biopsy,,,67.93,10807.0,97
CPT,93530,Rt heart cath congenital,,,3725.0,12000.0,5
CPT,93531,R & l heart cath congenital,,,3725.0,12000.0,5
CPT,93532,R & l heart cath congenital,,,3725.0,12000.0,5
CPT,93533,R & l heart cath congenital,,,3725.0,12000.0,5
CPT,93556,Imaging - cardiac cath,,,373.34,373.34,6
CPT,93561,Cardiac output measurement,,,1750.0,1750.0,1
CPT,93562,Card output measure subsq,,,1750.0,1750.0,1
CPT,93563,Njx cgen car cth slctv c ang,,,47.4,12000.0,47
CPT,93564,Njx cgen car cath slctv opac,,,48.24,12000.0,47
CPT,93565,Inj. Pro During Cath/Lv/La/S&I,3053.25,3053.25,451.88,2442.6,23
CPT,93565,Njx car cth slctv lv/la ang,,,26.4,12000.0,47
CPT,93566,Njx car cth slctv rv/ra ang,,,24.9,12000.0,48
CPT,93567,Inj. Supravalvular Aortography,2041.25,2041.25,302.1,1633.0,23
CPT,93567,Njx car cth sprvlv aortgrphy,,,36.22,12000.0,48
CPT,93568,Inj. Proc During Cath Pulmonary Angiography,4222.8,4222.8,624.97,3378.24,23
CPT,93568,Njx car cth nslc p-art angrp,,,37.35,12000.0,48
CPT,93569,Njx cth slct p-art angrp uni,,,31.07,1473.0,42
CPT,93571,Heart flow reserve measure,,,69.24,1750.0,79
CPT,93571,Intravasc Cornary Flow Measure,6392.85,6392.85,946.14,5114.28,23
CPT,93572,Heart flow reserve measure,,,50.2,1750.0,71
CPT,93572,Intravasc Cor. Flow Addit Vess,5261.0,5261.0,778.63,4208.8,23
CPT,93573,Njx cath slct p-art angrp bi,,,51.79,1473.0,42
CPT,93574,Njx cath slct pulm vn angrph,,,57.1,1473.0,42
CPT,93575,Njx cath slct p angrph mapca,,,76.43,1473.0,42
CPT,93580,Perc Closure Atrial Septal Def,33591.5,33591.5,4971.54,26873.2,23
CPT,93580,Transcath closure of asd,,,839.05,33052.5,61
CPT,93581,Transcath closure of vsd,,,1122.9,33052.5,61
CPT,93582,Perq transcath closure pda,,,587.77,33052.5,61
CPT,93583,Perq transcath septal reduxn,,,654.16,24872.68,61
CPT,93584,Vngrph chd anom/persist svc,,,48.17,2438.0,38
CPT,93585,Vngrph chd azygs/hemiazygs,,,45.4,2438.0,38
CPT,93586,Vngrph chd coronary sinus,,,57.36,2438.0,38
CPT,93587,Vngrph chd vnvn cltrl at/abv,,,84.66,2438.0,38
CPT,93588,Vngrph chd vnvn cltrl below,,,85.49,2438.0,38
CPT,93590,Perq transcath cls mitral,,,163.22,33052.5,61
CPT,93591,Perq transcath cls aortic,,,524.48,33052.5,61
CPT,93592,Perq transcath closure each,,,58.8,10807.0,43
CPT,93593,R hrt cath chd nml nt cnj,,,156.86,10807.0,61
CPT,93593,Rhc Chd W/Img Cath Trgt Zone Nml Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CPT,93594,R hrt cath chd abnl nt cnj,,,247.12,10807.0,61
CPT,93594,Rhc Chd W/Img Cath Trgt Zone Abnl Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CPT,93595,L hrt cath chd nm/abn nt cnj,,,223.01,10807.0,61
CPT,93595,Lhc Chd W/Img Cath Trgt Zone Nml/Abnl Nt Cnj,10697.0,10697.0,1583.16,8557.6,23
CPT,93596,Lhc/Rhc Chd W/Img Cath Trgt Zone Nml Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CPT,93596,R&l hrt cath chd nml nt cnj,,,269.72,10807.0,61
CPT,93597,Lhc/Rhc Chd W/Img Cath Trgt Zone Abnl Nt Connj,10697.0,10697.0,1583.16,8557.6,23
CPT,93597,R&l hrt cath chd abnl nt cnj,,,359.89,10807.0,61
CPT,93598,Car Outp Meas During Heart Cath Eval Chd Add-On,3000.0,3000.0,444.0,2400.0,23
CPT,93598,Car outp meas drg cath chd,,,58.9,1473.0,42
CPT,936,Anesth penis nodes removal,,,11639.38,24872.68,16
CPT,93600,Bundle of his recording,,,67.02,13967.24,94
CPT,93602,Intra-atrial recording,,,38.31,13967.24,93
CPT,93603,Right Ventricular Recording,2880.0,2880.0,426.24,2304.0,23
CPT,93603,Right ventricular recording,,,57.78,2880.0,93
CPT,93609,Intra-vntr mapg tchycar site,,,92.89,5978.0,80
CPT,93610,Intra-Atrial Pacing,12000.0,12000.0,1776.0,9600.0,23
CPT,93610,Intra-atrial pacing,,,46.59,13967.24,93
CPT,93612,Intraventricular pacing,,,55.53,13967.24,93
CPT,93613,Electrophys Map 3d,13202.0,13202.0,1953.9,10561.6,23
CPT,93613,Intracardiac ephys 3d mapg,,,279.91,1750.0,43
CPT,93615,Esophageal recording,,,11.16,2880.0,93
CPT,93616,Esophageal recording w/pacg,,,11.16,2880.0,63
CPT,93618,Indctj arrhythmia elec pacg,,,135.65,5978.0,94
CPT,93619,Complete Eps W/Oinduction of Arrhythmia,16101.0,16101.0,2382.95,12880.8,23
CPT,93619,Comprehensive ep evaluation,,,263.67,13967.24,94
CPT,93620,Comp ep evl r at ven pac&rec,,,219.96,13967.24,92
CPT,93620,Complete Eps With Induction Arrhythmia,26450.0,26450.0,3914.6,21160.0,23
CPT,93621,Comp ep evl l pac&rec c sins,,,78.41,5978.0,44
CPT,93621,Left Atrial or Coronary Sinus Pacing & Recording,13424.0,13424.0,1986.75,10739.2,23
CPT,93622,Comp ep eval l ventr pac&rec,,,162.8,5978.0,44
CPT,93622,Left Ventricular Pacing & Recording,20377.5,20377.5,3015.87,16302.0,23
CPT,93623,Prgrmd stimj&pacg iv rx nfs,,,50.49,1750.0,79
CPT,93623,Program Stimulation and Pacing After Drug Infusion,9424.25,9424.25,1394.79,7539.4,23
CPT,93624,Ep f-up study pacg&rec,,,67.97,13967.24,93
CPT,93631,Ntraop epicar&endcar pac&map,,,216.56,1750.0,79
CPT,93640,Ep eval 1/2chmbr pacg cvdfb,,,155.48,5978.0,80
CPT,93641,Ep evl 1/2chmb pac cvdfb tst,,,233.22,5978.0,80
CPT,93641,Test Icd Gen Initial Implant,8403.0,8403.0,1243.64,6722.4,23
CPT,93642,Ep Eval Icd Gen & Programming,7753.0,7753.0,1147.44,6202.4,23
CPT,93642,Ep evl 1/2chmb trnsvns cvdfb,,,79.14,5978.0,94
CPT,93644,Ep eval subq impl dfb,,,48.09,1750.0,79
CPT,93650,Av Node Ablation,26536.25,26536.25,3927.36,21229.0,23
CPT,93650,Icar cath abltj av node func,,,560.64,13967.24,61
CPT,93653,"Comp Ep Eval Inc Arrhyth Ind Ventric Pac, His Rec, Cath Ablat",71012.0,71012.0,10509.78,56809.6,23
CPT,93653,Compre ep eval tx svt,,,694.97,45156.02,61
CPT,93654,"Comp Ep Eval Inc Arrhyth Ind Ventric Pac, His Rec, Cath Ablat W/Tx Ve",70698.0,70698.0,10463.3,56558.4,23
CPT,93654,Compre ep eval tx vt,,,927.5,45156.02,61
CPT,93655,Ablatae Arrhythmia - Add On,18117.0,18117.0,2681.32,14493.6,23
CPT,93655,Icar cath abltj dscrt arrhyt,,,295.43,2438.0,44
CPT,93656,"Comp Ep Eval Inc Trans Sept Cath, Insert Elect Cath, Induct Arrhyth,",71012.0,71012.0,10509.78,56809.6,23
CPT,93656,Compre ep eval abltj atr fib,,,911.75,45156.02,61
CPT,93657,Tx L/R Atrial Fib Addl,17325.0,17325.0,2564.1,13860.0,23
CPT,93657,Tx l/r atrial fib addl,,,295.75,2438.0,44
CPT,93660,Tilt Table Evaluation,2783.0,2783.0,411.88,2226.4,23
CPT,93660,Tilt table evaluation,,,57.18,1473.0,93
CPT,93662,Intracardiac Echocardiography,10686.0,10686.0,1581.53,8548.8,23
CPT,93662,Intracardiac ecg (ice),,,66.74,1750.0,73
CPT,93668,Peripheral vascular rehab,,,14.23,109.33,46
CPT,93701,Bioimpedance cv analysis,,,25.52,237.27,52
CPT,93702,Bis xtracell fluid analysis,,,97.31,287.98,52
CPT,93724,Elec alys antitchycar pm sys,,,44.87,552.04,88
CPT,93740,Temperature gradient studies,,,5.25,287.98,28
CPT,93745,Set-up cardiovert-defibrill,,,38.87,1473.0,77
CPT,93750,Interrogation vad in person,,,38.66,1473.0,58
CPT,93770,Determination venous press,,,0.94,10.13,13
CPT,93784,Ambl bp mntr w/software,,,44.67,71.47,31
CPT,93786,Ambl bp mntr w/sw rec only,,,21.97,237.27,46
CPT,93786,Ambulatory Bp Mntr W/Sw 24 Hr+ Recording Only,301.0,301.0,44.55,240.8,23
CPT,93788,Ambl bp mntr w/sw a/r,,,5.52,237.27,46
CPT,93788,Ambulatory Bp Mntr W/Sw 24 Hr+ Scanning Analysis & Report,301.0,301.0,44.55,240.8,23
CPT,93790,Ambl bp mntr w/sw i&r,,,17.17,27.47,31
CPT,93792,Pt/caregiver traing home inr,,,46.54,106.5,37
CPT,93793,Anticoag mgmt pt warfarin,,,10.36,17.63,37
CPT,93797,Phys/qhp op car rhab wo ecg,,,8.12,231.75,47
CPT,93798,Phys/qhp op car rhab w/ecg,,,13.01,231.75,47
CPT,93799,Unlisted cv svc/procedure,,,155.67,1473.0,21
CPT,93860,CAROTID ARTERY STUDY,,,62.4,62.4,6
CPT,93870,CAROTID ARTERY IMAGING,,,120.76,120.76,6
CPT,93880,Carotid Duplex,2806.0,2806.0,415.29,2244.8,23
CPT,93880,Extracranial bilat study,,,29.82,541.69,92
CPT,93880,US Duplex Ca,2806.0,2806.0,415.29,2244.8,23
CPT,93882,Extracranial uni/ltd study,,,20.08,356.8,92
CPT,93882,US Duplex Ca,2135.0,2135.0,315.98,1708.0,23
CPT,93886,Intracranial complete study,,,43.47,624.57,92
CPT,93886,Transcran Doppler Comp US,3664.0,3664.0,542.27,2931.2,23
CPT,93888,Intracranial limited study,,,29.17,425.9,92
CPT,93888,Transcran Doppler Ltd US,2371.0,2371.0,350.91,1896.8,23
CPT,93890,Tcd vasoreactivity study,,,68.99,579.01,9
CPT,93890,Tcd. Vasoreactivity Study,1989.0,1989.0,294.37,1591.2,23
CPT,93892,Tcd emboli detect w/o inj,,,54.89,571.93,92
CPT,93892,Tcd. Emboli Detct W/O Inj,967.0,967.0,143.12,773.6,23
CPT,93893,Tcd std icr art ven-art shnt,,,54.89,569.21,92
CPT,93893,Tcd. Emboli Detect W/Inj,967.0,967.0,143.12,773.6,23
CPT,93895,Carotid intima atheroma eval,,,253.9,253.9,1
CPT,93896,Vsrctv std tcd icr art compl,,,33.17,213.76,69
CPT,93897,Emboli detcj wo iv mbubb njx,,,30.17,290.7,69
CPT,93898,Ven-artl shunt det mbubb njx,,,35.39,297.34,69
CPT,93922,Ultrasound study of arm and leg arteries,346.15,346.15,51.23,276.92,23
CPT,93922,Upr/l xtremity art 2 levels,,,11.44,269.29,92
CPT,93923,Ext Arterial Pvr Study,1828.0,1828.0,270.54,1462.4,23
CPT,93923,Upr/lxtr art stdy 3+ lvls,,,20.57,406.72,92
CPT,93924,Lwr xtr vasc stdy bilat,,,22.84,506.06,92
CPT,93924,Vas Lab Pvr Lower Ext With Exercise,2049.3,2049.3,303.3,1639.44,23
CPT,93925,Lower extremity study,,,29.2,695.99,92
CPT,93925,US Low Ext Arteries Comp,2256.0,2256.0,333.89,1804.8,23
CPT,93926,Low Ext Arteries Ltd,1881.4,1881.4,278.45,1505.12,23
CPT,93926,Lower extremity study,,,19.77,441.03,92
CPT,93930,Upper Ext Arteries Comp,2163.15,2163.15,320.15,1730.52,23
CPT,93930,Upper extremity study,,,24.52,548.65,92
CPT,93931,Upper Ext Arteries Ltd,1881.4,1881.4,278.45,1505.12,23
CPT,93931,Upper extremity study,,,16.34,367.39,92
CPT,93970,Extremity study,,,31.24,544.52,92
CPT,93970,US Ext Veins Doppler Comp,2521.0,2521.0,373.11,2016.8,23
CPT,93971,Extremity study,,,20.17,360.55,92
CPT,93971,US Ext Veins Doppler Ltd,2118.0,2118.0,313.46,1694.4,23
CPT,93975,Abd/Retroper Doppler Comp US,3461.0,3461.0,512.23,2768.8,23
CPT,93975,Vascular study,,,52.7,711.04,92
CPT,93976,Abd/Retroper Doppler Ltd US,1882.0,1882.0,278.54,1505.6,23
CPT,93976,Vascular study,,,36.37,390.03,92
CPT,93978,Vascular Study Ult,2182.7,2182.7,323.04,1746.16,23
CPT,93978,Vascular study,,,32.0,510.54,92
CPT,93979,Vascular study,,,21.65,354.68,92
CPT,93980,Penile vascular study,,,56.16,295.01,92
CPT,93981,Penile vascular study,,,20.49,266.44,92
CPT,93982,Aneurysm pressure sens study,,,32.09,32.09,6
CPT,93985,Dup-scan hemo compl bi std,,,33.58,589.54,89
CPT,93985,Vessel Mapping for Hd Access Bilateral,2207.0,2207.0,326.64,1765.6,23
CPT,93986,Dup-scan hemo compl uni std,,,21.67,274.59,89
CPT,93986,Vessel Mapping for Hd Access Unilateral,838.0,838.0,124.02,670.4,23
CPT,93990,Doppler flow testing,,,13.22,450.12,92
CPT,93990,Duplex Scan of Hemodialysis Access,1292.0,1292.0,191.22,1033.6,23
CPT,93998,Unlistd noninvas vasc dx std,,,24.37,250.63,17
CPT,94002,Mech Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CPT,94002,Neo Mech Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CPT,94002,Spec Vent Initial,7389.0,7389.0,1093.57,5911.2,23
CPT,94002,Vent mgmt inpat init day,,,68.96,1216.87,52
CPT,94002,Ventilation Assist/Mgt Initial,7781.0,7781.0,1151.59,6224.8,23
CPT,94003,"Mech Vent, Ea Subseq Day",7087.0,7087.0,1048.88,5669.6,23
CPT,94003,Neo Mech Vent Subseq,7087.0,7087.0,1048.88,5669.6,23
CPT,94003,Neo Ventilation Subseq,7087.0,7087.0,1048.88,5669.6,23
CPT,94003,"Spec Vent, Ea Subseq Day",7086.98,7086.98,1048.87,5669.58,23
CPT,94003,Vent mgmt inpat subq day,,,50.61,1216.87,52
CPT,94004,Vent mgmt nf per day,,,36.8,72.86,37
CPT,94005,Home vent mgmt supervision,,,87.88,87.88,1
CPT,94010,Breathing capacity test,,,7.8,287.98,88
CPT,94010,Spiro Lung Vol/Pf,876.0,876.0,129.65,700.8,23
CPT,94010,Spirometry,532.0,532.0,78.74,425.6,23
CPT,94011,Spirometry up to 2 yrs old,,,64.6,287.98,52
CPT,94012,Spirmtry w/brnchdil inf-2 yr,,,99.43,573.18,52
CPT,94013,Meas lung vol thru 2 yrs,,,17.9,976.66,52
CPT,94014,Patient recorded spirometry,,,36.96,734.5,52
CPT,94015,Patient recorded spirometry,,,31.0,573.18,46
CPT,94016,Review patient spirometry,,,23.21,43.2,52
CPT,94060,Bronchospasm Eval Pre and Post,1633.0,1633.0,241.68,1306.4,23
CPT,94060,Evaluation of wheezing,,,9.74,573.18,88
CPT,94060,Spirometry Pre & Post,1633.0,1633.0,241.68,1306.4,23
CPT,94070,Bronchoprovocation,1723.85,1723.85,255.13,1379.08,23
CPT,94070,Evaluation of wheezing,,,26.27,573.18,88
CPT,94150,Vital capacity test,,,2.56,287.98,28
CPT,94200,Lung function test (mbc/mvv),,,2.63,109.33,88
CPT,94200,Max Volume Ventilation (Mvv),164.0,164.0,24.27,131.2,23
CPT,94250,Expired gas collection,,,4.79,6.29,12
CPT,94375,"Maxflw-Vol Curves, I+R",798.0,798.0,118.1,638.4,23
CPT,94375,Respiratory flow volume loop,,,13.62,573.18,88
CPT,94400,Co2 breathing response curve,,,12.05,23.31,12
CPT,94450,Hypoxia response curve,,,13.41,287.98,88
CPT,94452,Hast w/report,,,13.62,237.27,88
CPT,94453,Hast w/oxygen titrate,,,17.54,237.27,88
CPT,94453,High Altitude Simulation Testing(Hast) O2 Titration,500.0,500.0,74.0,400.0,23
CPT,94610,Surfactant Administration,631.0,631.0,93.39,504.8,23
CPT,94610,Surfactant admin thru tube,,,53.62,374.38,46
CPT,94617,Exercise tst brncspsm w/ecg,,,28.97,237.27,88
CPT,94618,Pulmonary stress testing,,,9.75,237.27,88
CPT,94618,Six Minute Walk(Pulm Stress Simple),727.95,727.95,107.74,582.36,23
CPT,94619,Exercise tst brncspsm wo ecg,,,20.41,109.33,82
CPT,94621,Cardiopulm exercise testing,,,48.82,573.18,88
CPT,94625,Phy/qhp op pulm rhb w/o mntr,,,17.3,120.03,52
CPT,94626,Phy/qhp op pulm rhb w/mntr,,,25.06,130.38,52
CPT,94640,Aerosal Rx Sub Admin (O2),757.85,757.85,112.16,606.28,23
CPT,94640,Aerosol Treatment Initial,757.85,757.85,112.16,606.28,23
CPT,94640,Aersol Treatment Subsequent,757.85,757.85,112.16,606.28,23
CPT,94640,Airway inhalation treatment,,,7.78,374.38,53
CPT,94640,Delivery Assist,757.85,757.85,112.16,606.28,23
CPT,94640,Incentive Spirometer Subsequen,757.85,757.85,112.16,606.28,23
CPT,94640,Initial Inhalation Tx Airway Obs,757.85,757.85,112.16,606.28,23
CPT,94640,"Mdi, Initial Rx",757.85,757.85,112.16,606.28,23
CPT,94640,"Mdi, Subsequent Rx",757.85,757.85,112.16,606.28,23
CPT,94640,Micro Neb Subsequent,757.85,757.85,112.16,606.28,23
CPT,94640,"Micro Neb, Setup",757.85,757.85,112.16,606.28,23
CPT,94640,"Neo Micro Neb, Setup",706.1,706.1,104.5,564.88,23
CPT,94640,Neo Micro Subsquent,757.85,757.85,112.16,606.28,23
CPT,94640,Sputum Induction Initial,757.85,757.85,112.16,606.28,23
CPT,94640,Sputum Induction Subseq,706.1,706.1,104.5,564.88,23
CPT,94642,Aerosol Inhal. of Pentamidine,700.0,700.0,103.6,560.0,23
CPT,94642,Aerosol inhalation treatment,,,8.01,374.38,52
CPT,94644,Cbt 1st hour,,,55.88,237.27,46
CPT,94644,"Micro Nebulizer, Cont; Initial",1673.25,1673.25,247.64,1338.6,23
CPT,94645,Cbt each addl hour,,,16.49,26.38,31
CPT,94645,Repeat Neb Treatment,725.65,725.65,107.4,580.52,23
CPT,94660,Neo Cpap,2727.0,2727.0,403.6,2181.6,23
CPT,94660,Pos airway pressure cpap,,,35.44,374.38,53
CPT,94660,Sleep Apnea/Bipap,2727.0,2727.0,403.6,2181.6,23
CPT,94662,Neg press ventilation cnp,,,33.18,1216.87,52
CPT,94664,Asthma Teaching-Nebulizer &Mdi,706.1,706.1,104.5,564.88,23
CPT,94664,Evaluate pt use of inhaler,,,12.1,374.38,53
CPT,94664,Patient Assessment/Education,706.1,706.1,104.5,564.88,23
CPT,94667,"Chest Pt, Inital Rx",787.0,787.0,116.48,629.6,23
CPT,94667,Chest wall manipulation,,,14.32,237.27,53
CPT,94667,Cpt/Vest,787.0,787.0,116.48,629.6,23
CPT,94667,Sipap Setup,787.0,787.0,116.48,629.6,23
CPT,94668,"Chest Pt, Subsequent Rx",698.0,698.0,103.3,558.4,23
CPT,94668,Chest wall manipulation,,,9.89,237.27,53
CPT,94668,Sipap Ea Shift,698.0,698.0,103.3,558.4,23
CPT,94668,Subsequent Chest Therapy,698.0,698.0,103.3,558.4,23
CPT,94669,Mechanical chest wall oscill,,,20.4,374.38,52
CPT,94680,Exhaled air analysis o2,,,12.04,287.98,88
CPT,94681,Et/Co2 Oxygen Uptake,1636.03,1636.03,242.13,1308.82,23
CPT,94681,Met Cart V02,1636.03,1636.03,242.13,1308.82,23
CPT,94681,Met Cart Vco2,1636.03,1636.03,242.13,1308.82,23
CPT,94681,O2 uptk exp gas alys w/co2,,,9.09,573.18,88
CPT,94690,O2 uptk exp gas alys rest,,,3.6,109.33,88
CPT,94690,"Oxygen Uptake, Expired Gas Analysis; Rest, Indirect",276.0,276.0,40.85,220.8,23
CPT,94726,Plethysmo Lung Vol / Air Resist,1250.0,1250.0,185.0,1000.0,23
CPT,94726,Pulm Func Test Plethysmogr,1250.0,1250.0,185.0,1000.0,23
CPT,94726,Pulm funct tst plethysmograp,,,10.41,573.18,88
CPT,94727,Pulm Func Test by Gas,630.0,630.0,93.24,504.0,23
CPT,94727,Pulm function test by gas,,,10.41,287.98,88
CPT,94728,Airwy resist by oscillometry,,,10.41,287.98,88
CPT,94729,C02/Membrane Diffuse Capac,1114.35,1114.35,164.92,891.48,23
CPT,94729,Co/membane diffuse capacity,,,6.93,73.34,73
CPT,94750,Pulmonary compliance study,,,12.92,19.79,12
CPT,94760,Measure blood oxygen level,,,3.59,9.08,37
CPT,94760,Neo Pulse Oximetry Single,440.0,440.0,65.12,352.0,23
CPT,94760,Pulse Oximetry,440.0,440.0,65.12,352.0,23
CPT,94761,Measure blood oxygen level,,,3.91,23.26,37
CPT,94762,Measure blood oxygen level,,,23.19,287.98,52
CPT,94762,Oximetry Continuous,728.28,728.28,107.79,582.62,23
CPT,94762,Pulse Ox-Overnight,728.27,728.27,107.78,582.62,23
CPT,94770,Exhaled carbon dioxide test,,,7.53,11.71,12
CPT,94772,Breath recording infant,,,17.31,976.66,28
CPT,94775,Ped home apnea rec hk-up,,,155.67,287.98,16
CPT,94776,Ped home apnea rec downld,,,155.67,287.98,16
CPT,94780,Cars/bd tst inft-12mo 60 min,,,22.1,82.83,46
CPT,94781,Cars/bd tst inft-12mo +30min,,,7.8,33.63,31
CPT,94799,Breathing Exercise,1531.8,1531.8,226.71,1225.44,23
CPT,94799,Mini Bal Lavage,1531.8,1531.8,226.71,1225.44,23
CPT,94799,Unlisted pulmonary svc/px,,,155.67,287.98,16
CPT,95004,"Allergy Testing, Extracts",105.0,105.0,15.54,84.0,23
CPT,95004,"Perc. Allergy Test, Immed. Rea",105.0,105.0,15.54,84.0,23
CPT,95004,Perq tests w/alrgnc xtrcs,,,3.5,1872.69,52
CPT,95012,Nitric oxide exp gas deter,,,17.11,72.25,52
CPT,95017,All tstg perq&iq w/venoms,,,3.17,45.09,53
CPT,95018,All tstg perq&iq drugs/biol,,,6.07,72.25,53
CPT,95024,Iq tests w/allergenic xtrcs,,,1.01,109.33,52
CPT,95027,Iq tsts seql&incrl airborne,,,4.56,45.09,46
CPT,95028,Intradermal Test #,163.0,163.0,24.12,130.4,23
CPT,95028,Iq tsts allergy delayed rxn,,,7.98,72.25,52
CPT,95044,Patch Tests - Each,1012.26,1012.26,149.81,809.81,23
CPT,95044,Patch/application tests,,,4.88,1872.69,52
CPT,95052,Photo patch tests,,,5.52,109.33,52
CPT,95056,Photo tests,,,4.46,237.27,53
CPT,95060,Oph mucous membrane tests,,,12.13,237.27,52
CPT,95065,Dir nsl mucous membrane test,,,5.42,72.25,53
CPT,95070,Inhlj brncl challenge tstg,,,34.31,976.66,52
CPT,95071,Bronchial allergy tests,,,96.08,96.08,6
CPT,95076,Ingest Challenge Ini 120 Min,1825.0,1825.0,270.1,1460.0,23
CPT,95076,Ingest challenge ini 120 min,,,61.02,976.66,53
CPT,95078,Provocative testing,,,8.92,8.92,6
CPT,95079,Ingest challenge addl 60 min,,,65.49,133.68,37
CPT,95115,Immunotherapy one injection,,,10.36,84.92,52
CPT,95117,"Allergy Injections, 2 or More",84.0,84.0,12.43,67.2,23
CPT,95117,Immunotherapy injections,,,11.97,84.92,52
CPT,95120,Immunotherapy one injection,,,4.7,4.7,6
CPT,95125,Immunotherapy 2/> injections,,,5.17,5.17,6
CPT,95130,Immntx 1 sting insect,,,6.04,6.04,6
CPT,95131,Immntx 2 sting insects,,,7.05,7.05,6
CPT,95132,Immntx 3 sting insects,,,28.22,28.22,6
CPT,95144,Antigen therapy services,,,3.27,84.92,53
CPT,95145,Antigen therapy services,,,3.27,84.92,53
CPT,95146,Antigen therapy services,,,3.27,99.66,53
CPT,95147,Antigen therapy services,,,3.27,131.01,53
CPT,95148,Antigen therapy services,,,3.27,142.5,53
CPT,95149,Antigen therapy services,,,3.27,189.44,53
CPT,95165,Antigen therapy services,,,3.27,84.92,53
CPT,95170,Antigen therapy services,,,3.27,84.92,53
CPT,95180,Rapid desensitization,,,79.82,734.5,53
CPT,95199,Unlisted all/immlg svc/px,,,24.37,45.09,16
CPT,95249,Cont gluc mntr pt prov eqp,,,47.48,109.33,52
CPT,95250,Cont Gluc Mntr Phys/Qhp Prov Eqp,593.0,593.0,87.76,474.4,23
CPT,95250,Cont gluc mntr phys/qhp eqp,,,52.24,237.2,52
CPT,95251,Cont gluc mntr analysis i&r,,,23.01,53.52,37
CPT,95700,Eeg Cont Rec W/Video by Tech Min 8 Channels,4241.0,4241.0,627.67,3392.8,23
CPT,95700,Eeg cont rec w/vid eeg tech,,,99.17,362.06,53
CPT,95705,Eeg w/o vid 2-12 hr unmntr,,,63.99,573.18,53
CPT,95706,Eeg W/O Video (Ceribell) 2-12 Hr Intermittent Mntr,3669.0,3669.0,543.01,2935.2,23
CPT,95706,Eeg wo vid 2-12hr intmt mntr,,,142.31,576.86,53
CPT,95707,Eeg w/o vid 2-12hr cont mntr,,,309.83,729.55,46
CPT,95708,Eeg W/O Vid by Tech Ea Incr 12-26hr Unmonitored,7938.45,7938.45,1174.89,6350.76,23
CPT,95708,Eeg wo vid ea 12-26hr unmntr,,,120.62,976.66,53
CPT,95709,Eeg W/O Video (Ceribell) Ea Incr 12-26 Hr Intmt Mntr,6998.0,6998.0,1035.7,5598.4,23
CPT,95709,Eeg w/o vid ea 12-26hr intmt,,,100.52,1092.88,47
CPT,95710,Eeg w/o vid ea 12-26hr cont,,,527.93,1367.1,46
CPT,95711,Veeg 2-12 hr unmonitored,,,105.81,573.18,52
CPT,95711,Veeg by Tech 2-12 Hours Unmonitored,1311.0,1311.0,194.03,1048.8,23
CPT,95712,Veeg 2-12 hr intmt mntr,,,221.14,728.1,53
CPT,95712,Veeg by Tech 2-12 Hr Intermittent Monitoring,5246.0,5246.0,776.41,4196.8,23
CPT,95713,Veeg 2-12 hr cont mntr,,,527.93,988.08,46
CPT,95714,Veeg by Tech Ea Incr 12-26 Hr Unmonitored,7938.45,7938.45,1174.89,6350.76,23
CPT,95714,Veeg ea 12-26 hr unmntr,,,160.83,976.66,53
CPT,95715,Veeg by Tech Ea Incr 12-26 Hr Intermittent Mntr,10349.0,10349.0,1531.65,8279.2,23
CPT,95715,Veeg ea 12-26hr intmt mntr,,,442.27,1299.47,53
CPT,95716,Veeg ea 12-26hr cont mntr,,,1012.26,1872.69,46
CPT,95717,Eeg phys/qhp 2-12 hr w/o vid,,,88.53,167.02,38
CPT,95718,Eeg phys/qhp 2-12 hr w/veeg,,,116.29,210.27,38
CPT,95719,Eeg phys/qhp ea incr w/o vid,,,137.36,251.31,38
CPT,95720,Eeg phy/qhp ea incr w/veeg,,,180.09,322.54,38
CPT,95721,Eeg phy/qhp>36<60 hr w/o vid,,,180.7,322.48,38
CPT,95722,Eeg phy/qhp>36<60 hr w/veeg,,,219.77,391.84,38
CPT,95723,Eeg phy/qhp>60<84 hr w/o vid,,,223.73,396.5,38
CPT,95724,Eeg phy/qhp>60<84 hr w/veeg,,,280.21,496.96,38
CPT,95725,Eeg phy/qhp>84 hr w/o vid,,,254.56,455.31,38
CPT,95726,Eeg phy/qhp>84 hr w/veeg,,,354.08,632.69,38
CPT,95782,Polysom <6 yrs 4/> paramtrs,,,108.46,2405.38,89
CPT,95783,Polysom <6 yrs cpap/bilvl,,,118.56,2540.49,89
CPT,95800,Slp Stdy Unattended W/Hrt Rate/O2 Sat/Resp/Slp Time,1002.0,1002.0,148.3,801.6,23
CPT,95800,Slp stdy unattended,,,36.02,376.59,89
CPT,95801,Slp Stdy Unatnd W/Min Hrt Rate/O2 Sat/Resp Analysis,966.0,966.0,142.97,772.8,23
CPT,95801,Slp stdy unatnd w/anal,,,38.91,145.25,77
CPT,95803,Actigraphy testing,,,39.84,138.35,76
CPT,95805,Multiple sleep latency test,,,54.47,2001.34,92
CPT,95806,Sleep study unatt&resp efft,,,41.82,287.98,78
CPT,95807,Sleep study attended,,,56.09,1012.44,89
CPT,95808,Polysom any age 1-3> param,,,78.14,1872.69,89
CPT,95810,Polysom 6/> yrs 4/> param,,,112.49,3502.34,92
CPT,95810,Polysomnography,7176.0,7176.0,1062.05,5740.8,23
CPT,95811,Polysom 6/>yrs cpap 4/> parm,,,117.42,1950.0,92
CPT,95811,Polysomnography W/Cpap,9804.9,9804.9,1451.13,7843.92,23
CPT,95812,Eeg 41-60 minutes,,,50.56,573.18,88
CPT,95812,Eeg Up to 1 Hour,2056.2,2056.2,304.32,1644.96,23
CPT,95813,Eeg Extended Monitoring 61-119 Minutes,3261.4,3261.4,482.69,2609.12,23
CPT,95813,Eeg extnd mntr 61-119 min,,,75.55,573.18,88
CPT,95816,Eeg awake and drowsy,,,46.7,573.18,88
CPT,95816,"Eeg, Awake and Drowsy",1707.0,1707.0,252.64,1365.6,23
CPT,95819,Eeg awake and asleep,,,47.86,612.82,88
CPT,95819,"Eeg, W/Awake & Asleep Record",2227.55,2227.55,329.68,1782.04,23
CPT,95822,Eeg coma or sleep only,,,51.51,573.18,88
CPT,95822,"Eeg, Sleep Only",2409.0,2409.0,356.53,1927.2,23
CPT,95824,Eeg cerebral death only,,,8.6,976.66,86
CPT,95827,Eeg all night recording,,,56.33,78.52,12
CPT,95829,Surgery electrocorticogram,,,71.09,2193.65,73
CPT,95830,Insert electrodes for eeg,,,80.06,1021.9,38
CPT,95836,Ecog impltd brn npgt <30 d,,,37.1,163.94,52
CPT,95851,Range of motion measurements,,,7.48,37.76,53
CPT,95852,Range of motion measurements,,,5.54,32.08,53
CPT,95857,Cholinesterase challenge,,,25.12,573.18,53
CPT,95860,Electromyogram - 1 Extermity,683.0,683.0,101.08,546.4,23
CPT,95860,Needle emg 1 extremity,,,13.08,237.27,88
CPT,95861,Needle emg 2 extremities,,,25.51,237.27,88
CPT,95863,Needle emg 3 extremities,,,32.24,287.98,88
CPT,95864,Needle emg 4 extremities,,,61.27,287.98,88
CPT,95865,Needle emg larynx,,,23.57,237.27,88
CPT,95866,Needle emg hemidiaphragm,,,7.56,287.98,124
CPT,95867,Emg Cranial Nerve Unilateral,617.0,617.0,91.32,493.6,23
CPT,95867,Ndl emg cranial nrv musc uni,,,19.79,573.18,88
CPT,95868,Ndl emg cranial nrv musc bi,,,23.93,573.18,88
CPT,95869,Emg Limited (Thoracic Psp),299.0,299.0,44.25,239.2,23
CPT,95869,Ndl emg thrc paraspinal musc,,,7.65,573.18,88
CPT,95870,Emg Limited Ext,486.0,486.0,71.93,388.8,23
CPT,95870,Ndl emg lmtd std musc 1 xtr,,,7.65,237.27,88
CPT,95872,Ndl emg single fiber eltrd,,,20.73,287.98,88
CPT,95872,Needle Emg W/1 Fiber Electrode Quan Meas Jitter,802.0,802.0,118.7,641.6,23
CPT,95873,Guide Nerv Destr Elec Stim,396.0,396.0,58.61,316.8,23
CPT,95873,Guide nerv destr elec stim,,,7.26,75.86,73
CPT,95874,Guide Nerv Destr Needle Emg,290.0,290.0,42.92,232.0,23
CPT,95874,Guide nerv destr needle emg,,,7.26,84.11,73
CPT,95875,Limb exercise test,,,15.26,287.98,88
CPT,95885,Musc tst done w/nerv tst lim,,,15.06,92.48,109
CPT,95885,Ncs/Emg <=4 Limb,564.0,564.0,83.47,451.2,23
CPT,95886,Musc test done w/n test comp,,,34.48,144.82,109
CPT,95886,Ncs/Emg 5+Limb,821.1,821.1,121.52,656.88,23
CPT,95887,Musc tst done w/n tst nonext,,,31.56,126.21,109
CPT,95887,Muscl Test W/N Test Non-Extr,191.0,191.0,28.27,152.8,23
CPT,95905,Motor &/ sens nrve cndj test,,,1.9,734.5,88
CPT,95907,Nvr Cndj Tst 1-2 Studies,706.0,706.0,104.49,564.8,23
CPT,95907,Nvr cndj tst 1-2 studies,,,35.52,287.98,88
CPT,95908,Nrv Cndj Tst 3-4 Studies,2619.0,2619.0,387.61,2095.2,23
CPT,95908,Nrv cndj tst 3-4 studies,,,44.22,573.18,88
CPT,95909,Nrv Cndj Tst 5-6 Studies,4517.2,4517.2,668.55,3613.76,23
CPT,95909,Nrv cndj tst 5-6 studies,,,53.25,573.18,88
CPT,95910,Nrv Cndj Test 7-8 Studies,5236.0,5236.0,774.93,4188.8,23
CPT,95910,Nrv cndj test 7-8 studies,,,67.77,573.18,88
CPT,95911,Nrv Cndj Test 9-10 Studies,7525.6,7525.6,1113.79,6020.48,23
CPT,95911,Nrv cndj test 9-10 studies,,,76.47,976.66,88
CPT,95912,Nrv cndj test 11-12 studies,,,85.22,976.66,88
CPT,95912,Nvr Cndj Tst 11-12 Studies,3570.0,3570.0,528.36,2856.0,23
CPT,95913,Nrv Cndj Tst 13- or More Studies,5327.0,5327.0,788.4,4261.6,23
CPT,95913,Nrv cndj test 13/> studies,,,97.48,976.66,88
CPT,95919,Quan puplmtry phy/qhp uni/bi,,,4.76,237.27,88
CPT,95921,Autonomic nrv parasym inervj,,,21.86,287.98,82
CPT,95922,Autonomic nrv adrenrg inervj,,,13.08,237.27,88
CPT,95923,Autonomic nrv syst funj test,,,40.78,237.27,88
CPT,95924,Ans parasymp & symp w/tilt,,,52.3,573.18,88
CPT,95925,Somatosensory testing,,,26.3,573.18,88
CPT,95926,Somatosensory testing,,,25.29,573.18,88
CPT,95927,Somatosensory testing,,,25.94,573.18,88
CPT,95928,C motor evoked uppr limbs,,,72.75,1872.69,88
CPT,95929,C motor evoked lwr limbs,,,72.75,976.66,88
CPT,95930,Visual ep test cns w/i&r,,,15.03,573.18,88
CPT,95933,Blink reflex test,,,27.12,109.33,88
CPT,95933,Orbicularis Oculi Reflex,258.0,258.0,38.18,206.4,23
CPT,95937,Neuromuscular junction test,,,11.81,287.98,88
CPT,95937,RNS,288.0,288.0,42.62,230.4,23
CPT,95938,Somatosensory testing,,,37.03,976.66,88
CPT,95938,Ssep 4 Ext,6944.0,6944.0,1027.71,5555.2,23
CPT,95939,C motor evoked upr&lwr limbs,,,97.49,1872.69,88
CPT,95939,Cmep Upper Limbs,1351.0,1351.0,199.95,1080.8,23
CPT,95940,Intraoperative Monitoring Neuro in or Ea 15 Min,4241.0,4241.0,627.67,3392.8,23
CPT,95940,Ionm in operatng room 15 min,,,27.2,49.9,37
CPT,95941,Ionm Remote/Nearby/>1 Patient in or per Hour,1280.0,1280.0,189.44,1024.0,23
CPT,95954,Eeg monitoring/giving drugs,,,50.18,976.66,88
CPT,95955,Eeg During (Carotid) Surgery,1044.0,1044.0,154.51,835.2,23
CPT,95955,Eeg during surgery,,,50.58,200.27,73
CPT,95957,Eeg digital analysis,,,58.71,295.94,73
CPT,95958,Eeg monitoring/function test,,,60.29,1872.69,88
CPT,95961,Electrode stimulation brain,,,44.39,1872.69,88
CPT,95962,Electrode stim brain add-on,,,44.39,265.49,73
CPT,95965,Meg spontaneous,,,158.21,1872.69,76
CPT,95966,Meg evoked single,,,108.94,1872.69,76
CPT,95967,Meg evoked each addl,,,54.47,264.82,59
CPT,95970,Alys npgt w/o prgrmg,,,17.9,237.27,53
CPT,95971,Alys smpl sp/pn npgt w/prgrm,,,32.84,168.96,53
CPT,95972,Alys cplx sp/pn npgt w/prgrm,,,38.43,168.96,47
CPT,95973,Analyze neurostim complex,,,38.79,38.79,1
CPT,95974,Cranial neurostim complex,,,131.25,131.25,6
CPT,95975,Cranial neurostim complex,,,73.28,74.88,7
CPT,95976,Alys smpl cn npgt prgrmg,,,34.93,68.64,53
CPT,95977,Alys cplx cn npgt prgrmg,,,46.57,168.96,53
CPT,95978,Analyze neurostim brain/1h,,,163.53,185.25,7
CPT,95979,Analyz neurostim brain addon,,,79.27,85.48,7
CPT,95980,Io anal gast n-stim init,,,29.74,70.48,37
CPT,95981,Io anal gast n-stim subsq,,,11.71,109.33,53
CPT,95982,Io ga n-stim subsq w/reprog,,,23.33,93.86,53
CPT,95983,Alys brn npgt prgrmg 15 min,,,44.16,168.96,53
CPT,95984,Alys brn npgt prgrmg addl 15,,,38.96,67.17,37
CPT,95990,Spin/brain pump refil & main,,,84.34,1473.0,51
CPT,95991,Spin/brain pump refil & main,,,38.15,1473.0,51
CPT,95992,Canalith Repositioning Proc,153.0,153.0,22.64,122.4,23
CPT,95992,Canalith repositioning proc,,,34.38,65.86,46
CPT,95999,Unlisted neurological dx px,,,155.67,287.98,16
CPT,96000,Motion analysis video/3d,,,80.41,976.66,52
CPT,96001,Motion test w/ft press meas,,,103.08,1872.69,52
CPT,96002,Dynamic surface emg,,,20.81,573.18,46
CPT,96003,Dynamic fine wire emg,,,22.51,422.58,3
CPT,96004,Phys review of motion tests,,,90.15,164.99,37
CPT,96020,Functional brain mapping,,,150.61,240.98,31
CPT,96041,Genetic counseling svc ea 30,,,50.16,50.16,1
CPT,96105,Assessment of aphasia,,,62.1,173.81,52
CPT,96110,Developmental screen w/score,,,11.33,11.77,7
CPT,96112,Devel tst phys/qhp 1st hr,,,110.42,287.98,53
CPT,96113,Devel tst phys/qhp ea addl,,,48.33,85.58,38
CPT,96116,Neurobehavioral Status Xm Phys/Qhp 1st Hour,705.0,705.0,104.34,564.0,23
CPT,96116,Nubhvl xm phys/qhp 1st hr,,,76.59,573.18,52
CPT,96121,Nubhvl xm phy/qhp ea addl hr,,,63.87,116.64,38
CPT,96125,Cognitive Testing,684.0,684.0,101.23,547.2,23
CPT,96125,Cognitive test by hc pro,,,99.71,184.46,46
CPT,96127,Behav Assmt W/Score & Docd/Stand Instrument,82.0,82.0,12.14,65.6,23
CPT,96127,Brief emotional/behav assmt,,,4.55,72.25,52
CPT,96130,Psychological Tst Eval Svc Phys/Qhp First Hour,587.0,587.0,86.88,469.6,23
CPT,96130,Psycl tst eval phys/qhp 1st,,,94.79,573.18,53
CPT,96131,Psycl tst eval phys/qhp ea,,,72.15,132.67,38
CPT,96132,Neuropsychol Tst Eval Phys/Qhp 1st Hour,1115.5,1115.5,165.09,892.4,23
CPT,96132,Nrpsyc tst eval phys/qhp 1st,,,92.94,976.66,53
CPT,96133,Neuropsychol Tst Eval Physl/Qph Ea Addl Hr,496.0,496.0,73.41,396.8,23
CPT,96133,Nrpsyc tst eval phys/qhp ea,,,71.24,149.7,38
CPT,96136,Psycl/Nrpsycl Tst Phy/Qhp Tst 1st 30 Min,166.0,166.0,24.57,132.8,23
CPT,96136,Psycl/nrpsyc tst phy/qhp 1st,,,21.42,237.27,53
CPT,96137,Psycl/Nrpsycl Tst Phy/Qhp Tst Addl 30 Min,64.0,64.0,9.47,51.2,23
CPT,96137,Psycl/nrpsyc tst phy/qhp ea,,,16.83,57.41,38
CPT,96138,Psycl/Nrpsycl Tst Tech 2+ Tst 1st 30 Min,124.0,124.0,18.35,99.2,23
CPT,96138,Psycl/nrpsyc tech 1st,,,32.88,734.5,52
CPT,96139,Psycl/Nrpsyc Tst Tech 2+ Tst Ea Addl 30 Min,60.0,60.0,8.88,48.0,23
CPT,96139,Psycl/nrpsyc tst tech ea,,,32.88,53.73,37
CPT,96146,Psycl/nrpsyc tst auto result,,,1.85,45.09,52
CPT,96156,Health Behavior Assessment/Re-Assessment,568.0,568.0,84.06,454.4,23
CPT,96156,Hlth bhv assmt/reassessment,,,76.65,170.27,53
CPT,96158,Health Behavior Ivntj Indiv F2f 1st 30 Min,284.0,284.0,42.03,227.2,23
CPT,96158,Hlth bhv ivntj indiv 1st 30,,,52.22,295.75,53
CPT,96159,Hlth bhv ivntj indiv ea addl,,,18.01,37.31,38
CPT,96160,Pt-Focused Hlth Risk Assmt Score Doc Stnd Instrm,71.0,71.0,10.51,56.8,23
CPT,96160,Pt-focused hlth risk assmt,,,2.9,54.84,46
CPT,96161,Caregiver health risk assmt,,,2.9,54.84,46
CPT,96164,Hlth bhv ivntj grp 1st 30,,,7.63,54.84,53
CPT,96165,Hlth bhv ivntj grp ea addl,,,3.36,7.76,38
CPT,96167,Hlth bhv ivntj fam 1st 30,,,29.64,115.6,53
CPT,96168,Hlth bhv ivntj fam ea addl,,,19.85,41.5,38
CPT,96170,Hlth bhv ivntj fam wo pt 1st,,,75.3,75.3,1
CPT,96171,Hlth bhv ivntj fam w/o pt ea,,,27.27,27.27,1
CPT,96202,Mlt fam grp bhv train 1st 60,,,17.92,38.33,53
CPT,96203,Mlt fam grp bhv train ea add,,,5.04,10.77,52
CPT,96360,Hydration iv infusion init,,,30.05,387.81,52
CPT,96360,IV Hydra Initial (31 Min to 1 Hr),1030.0,1030.0,152.44,824.0,23
CPT,96361,Hydrate iv infusion add-on,,,11.66,84.92,52
CPT,96361,IV Hydra Add'l (31 Min to 1 Hr),399.05,399.05,59.06,319.24,23
CPT,96365,"IV Infus Ther,Prophylax,Dx Initial (16 Min to 1 Hr)",1796.0,1796.0,265.81,1436.8,23
CPT,96365,Ther/proph/diag iv inf init,,,57.92,387.81,52
CPT,96366,"IV Infus Ther,Prophylax,Dx Add'l (31 Min to 1 Hr)",399.05,399.05,59.06,319.24,23
CPT,96366,Ther/proph/diag iv inf addon,,,18.64,84.92,52
CPT,96367,"IV Infus Ther,Prophylax,Dx Add'l New Med (31 Min to 1 Hr)",601.45,601.45,89.01,481.16,23
CPT,96367,Tx/proph/dg addl seq iv inf,,,26.51,131.01,52
CPT,96368,"IV Infus Ther,Prophylax,Dx Add'l Concur (31 Min to 1 Hr)",849.85,849.85,125.78,679.88,23
CPT,96368,Ther/diag concurrent inf,,,17.4,29.5,37
CPT,96369,Sc ther infusion up to 1 hr,,,128.11,387.81,52
CPT,96370,Sc ther infusion addl hr,,,13.37,84.92,52
CPT,96371,Sc ther infusion reset pump,,,55.51,131.01,52
CPT,96372,Im/Sq Injection,286.0,286.0,42.33,228.8,23
CPT,96372,Ther/proph/diag inj sc/im,,,13.93,131.01,52
CPT,96373,Inject-Intra-Arterial Only,1634.0,1634.0,241.83,1307.2,23
CPT,96373,Ther/proph/diag inj ia,,,15.35,387.81,52
CPT,96374,"IV Push-Ther,Prophylax,Dx 1st Med",724.5,724.5,107.23,579.6,23
CPT,96374,Ther/proph/diag inj iv push,,,33.96,387.81,52
CPT,96375,"IV Push-Ther,Prophylax,Dx Add'l Med",601.45,601.45,89.01,481.16,23
CPT,96375,Tx/pro/dx inj new drug addon,,,14.24,84.92,52
CPT,96376,"IV Push-Ther,Prophylax,Dx Ea Push Same Med",555.0,555.0,82.14,444.0,23
CPT,96377,Applicaton on-body injector,,,17.47,2438.0,47
CPT,96379,Unl ther/prop/diag inj/inf,,,45.9,84.92,16
CPT,96380,Admn rsv monoc antb im cnsl,,,18.87,35.71,37
CPT,96381,Admn rsv monoc antb im njx,,,16.14,30.54,37
CPT,96401,Chemo anti-neopl sq/im,,,57.81,231.77,53
CPT,96401,Inject Chemo-Im/Sq Non Hormona,631.35,631.35,93.44,505.08,23
CPT,96402,Chemo hormon antineopl sq/im,,,30.85,131.01,53
CPT,96402,Inject Chemo-Im/Sq Hormonal,659.0,659.0,97.53,527.2,23
CPT,96405,Chemo intralesional up to 7,,,24.17,131.01,54
CPT,96406,Chemo intralesional over 7,,,34.5,387.81,54
CPT,96409,Chemo iv push sngl drug,,,92.47,610.54,53
CPT,96409,IV Chemo Push-1st Med Initl1vs,948.0,948.0,140.3,758.4,23
CPT,96411,Chemo iv push addl drug,,,50.78,174.81,53
CPT,96411,IV Chemo Push-Ea Addtl Med,857.9,857.9,126.97,686.32,23
CPT,96411,IV Chemo Push1st Med Dur Infus,600.0,600.0,88.8,480.0,23
CPT,96413,"Chemo Tx Admn IV Nfs Tq Up 1 Hr, Sng or 1st Sbst/Drug",1473.15,1473.15,218.03,1178.52,23
CPT,96413,Chemo iv infusion 1 hr,,,119.28,610.54,53
CPT,96415,Chemo iv infusion addl hr,,,25.54,131.01,53
CPT,96415,IV Chemo Inf Med Ea Addtl Hr,438.15,438.15,64.85,350.52,23
CPT,96416,Chemo prolong infuse w/pump,,,117.3,610.54,53
CPT,96416,IV Chemo Inf Prolonged Gtr8hrs,1430.6,1430.6,211.73,1144.48,23
CPT,96417,Chemo iv infus each addl seq,,,58.84,202.35,53
CPT,96417,IV Chemo Inf Ea New Med 16-90,748.0,748.0,110.7,598.4,23
CPT,96420,Chemo ia push tecnique,,,42.76,610.54,53
CPT,96420,Chemotherapy Admin Intra-Arterial Push Tq,891.0,891.0,131.87,712.8,23
CPT,96422,Chemo ia infusion up to 1 hr,,,42.11,610.54,53
CPT,96423,Chemo ia infuse each addl hr,,,16.62,232.76,53
CPT,96425,Chemotherapy infusion method,,,48.85,610.54,53
CPT,96440,Chmotx admn plrl cav thrcnts,,,103.79,1106.59,54
CPT,96446,Chemotx admn pertl cav impl,,,18.0,610.54,54
CPT,96450,Chemotherapy into cns,,,74.64,610.54,54
CPT,96450,IV Chemo Into Cns W/Spinal Pun,1255.0,1255.0,185.74,1004.0,23
CPT,96521,Refill/maint portable pump,,,114.12,430.15,53
CPT,96522,Refill/maint pump/resvr syst,,,96.64,387.81,53
CPT,96523,Irrig drug delivery device,,,23.27,109.33,53
CPT,96523,Picc/Portacath Line Flush,491.0,491.0,72.67,392.8,23
CPT,96530,PUMP REFILLING-MAINTENANCE,,,36.41,36.41,6
CPT,96542,Chemotherapy injection,,,39.95,610.54,54
CPT,96547,Intraop hipec px 1st 60 min,,,17.18,1473.0,35
CPT,96548,Ntraop hipec px ea add 30min,,,17.18,1473.0,35
CPT,96549,Unlisted chemotherapy px,,,45.9,84.92,16
CPT,96567,Pdt dstr prmlg les skn,,,127.43,1473.0,51
CPT,96570,Photodynmc tx 30 min add-on,,,52.71,1750.0,44
CPT,96571,Photodynamic tx addl 15 min,,,24.09,1750.0,44
CPT,96573,Pdt dstr prmlg les phys/qhp,,,163.24,1473.0,57
CPT,96574,Dbrdmt prmlg les w/pdt,,,197.7,4275.0,61
CPT,96900,Actinotherapy uv light,,,13.73,72.25,52
CPT,96902,Mcrscp xm hair pluck/clipped,,,21.09,53.29,2
CPT,96904,Whole body photography,,,64.22,102.75,31
CPT,96910,Photchmtx tar&uvb/ptrltm&uvb,,,19.79,181.25,52
CPT,96910,"Photochemotherapy,Uvb",293.25,293.25,43.4,234.6,23
CPT,96912,Photochemotherapy puva,,,22.65,153.9,52
CPT,96912,"Photochemotherapy, Puva",182.0,182.0,26.94,145.6,23
CPT,96913,Photochemotx sev dermatoses,,,145.89,735.41,46
CPT,96920,Excimer lsr psriasis<250sqcm,,,49.27,4275.0,50
CPT,96921,Excimer lsr psriasis 250-500,,,56.05,4275.0,50
CPT,96922,Excimer lsr psriasis>500sqcm,,,89.93,4275.0,50
CPT,96931,Rcm celulr subcelulr img skn,,,161.49,258.38,31
CPT,96932,Rcm celulr subcelulr img skn,,,119.69,191.5,31
CPT,96933,Rcm celulr subcelulr img skn,,,41.81,66.9,31
CPT,96934,Rcm celulr subcelulr img skn,,,114.04,182.46,31
CPT,96935,Rcm celulr subcelulr img skn,,,73.53,117.65,31
CPT,96936,Rcm celulr subcelulr img skn,,,40.51,64.82,31
CPT,96999,Unlisted spec derm svc/px,,,197.7,365.75,16
CPT,97010,Hot or cold packs therapy,,,6.5,160.0,4
CPT,97012,Mechanical traction therapy,,,12.26,160.0,48
CPT,97014,Electric stimulation therapy,,,10.07,160.0,4
CPT,97014,Ot Electric Stim Ther Unsupervised Non-Wound,272.0,272.0,40.26,217.6,23
CPT,97014,Pt Electric Stim Ther Unsupervised Non-Wound,272.0,272.0,40.26,217.6,23
CPT,97016,Vasopneumatic device therapy,,,10.71,160.0,54
CPT,97018,Paraffin Bath,229.0,229.0,33.89,183.2,46
CPT,97018,Paraffin bath therapy,,,6.18,160.0,54
CPT,97022,Fluidiotherapy,328.0,328.0,48.54,262.4,23
CPT,97022,Fluidiotherapy-Gp,328.0,328.0,48.54,262.4,23
CPT,97022,Whirlpool,328.0,328.0,48.54,262.4,46
CPT,97022,Whirlpool therapy,,,15.54,160.0,47
CPT,97024,Diathermy eg microwave,,,6.01,160.0,48
CPT,97026,Infrared therapy,,,5.7,160.0,48
CPT,97028,Ultraviolet therapy,,,6.31,160.0,54
CPT,97032,Appl modality 1+estim ea 15,,,14.26,160.0,53
CPT,97032,Elec Stim Cons Atten Ea 15 Min,301.0,301.0,44.55,240.8,46
CPT,97033,App mdlty 1+iontphrsis ea 15,,,11.61,160.0,54
CPT,97034,App mdlty 1+cntrst bth ea 15,,,9.08,160.0,54
CPT,97035,App mdlty 1+ultrasound ea 15,,,9.41,160.0,48
CPT,97035,Ultrasound Ea 15 Min,224.0,224.0,33.15,179.2,23
CPT,97035,Ultrasound Heat Ea 15 Min,224.0,224.0,33.15,179.2,23
CPT,97036,App mdlty 1+hubbrd tnk ea 15,,,13.5,160.0,54
CPT,97037,Appl modality 1+lllt po pain,,,39.05,72.25,16
CPT,97039,Unlisted modality,,,11.34,23.79,2
CPT,97110,Exercise Each 15 Minutes,403.65,403.65,59.74,322.92,23
CPT,97110,Therapeutic Exercise Ea 15min,386.1,386.1,57.14,308.88,23
CPT,97110,Therapeutic exercises,,,20.07,160.0,48
CPT,97112,Neuro-Musc Re-ED Ea 15 Min,381.8,381.8,56.51,305.44,23
CPT,97112,Neuromuscular Re-ED Ea. 15 Min,381.8,381.8,56.51,305.44,23
CPT,97112,Neuromuscular reeducation,,,21.03,160.0,48
CPT,97113,Aquatic therapy/exercises,,,22.32,160.0,48
CPT,97116,Gait Training Ea 15 Min,342.0,342.0,50.62,273.6,23
CPT,97116,Gait training therapy,,,18.85,160.0,48
CPT,97124,Massage therapy,,,29.75,160.0,47
CPT,97129,Occ Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,379.0,379.0,56.09,303.2,23
CPT,97129,Speech Ther Ivntj Cog Funcj Cntct 1st 15 Minutes,379.0,379.0,56.09,303.2,23
CPT,97129,Ther ivntj 1st 15 min,,,20.46,160.0,54
CPT,97130,Occ Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,349.6,349.6,51.74,279.68,23
CPT,97130,Speech Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes,349.6,349.6,51.74,279.68,23
CPT,97130,Ther ivntj ea addl 15 min,,,19.84,160.0,54
CPT,97139,Scar Management Ea 15 Min,191.0,191.0,28.27,152.8,46
CPT,97139,Tilt Table - Each 15 Min,191.0,191.0,28.27,152.8,23
CPT,97139,Unlisted therapeutic px,,,32.49,32.49,1
CPT,97140,Joint Mobilization Ea 15 Min,500.0,500.0,74.0,400.0,46
CPT,97140,Manual Therapy Tqs 1/> Regions Each 15 Minutes,500.01,500.01,74.0,400.01,23
CPT,97140,Manual therapy 1/> regions,,,22.98,160.0,48
CPT,97150,Group Activity/Exercise,152.0,152.0,21.16,128.8,46
CPT,97150,Group therapeutic procedures,,,13.17,160.0,54
CPT,97151,Bhv id assmt by phys/qhp,,,20.35,170.27,23
CPT,97152,Bhv id suprt assmt by 1 tech,,,19.86,170.27,23
CPT,97153,Adaptive behavior tx by tech,,,4.35,170.27,23
CPT,97154,Grp adapt bhv tx by tech,,,19.14,54.84,23
CPT,97155,Adapt behavior tx phys/qhp,,,22.55,295.75,23
CPT,97156,Fam adapt bhv tx gdn phy/qhp,,,20.63,54.84,23
CPT,97157,Mult fam adapt bhv tx gdn,,,18.75,91.55,53
CPT,97158,Grp adapt bhv tx by phy/qhp,,,25.51,54.84,23
CPT,97161,Pt Eval Low Complex,726.0,726.0,107.45,580.8,23
CPT,97161,Pt eval low complex 20 min,,,69.34,182.99,48
CPT,97162,Pt Eval Mod Complex,743.0,743.0,109.96,594.4,23
CPT,97162,Pt eval mod complex 30 min,,,69.34,182.99,48
CPT,97163,Pt Eval High Complex,806.5,806.5,119.36,645.2,23
CPT,97163,Pt eval high complex 45 min,,,69.34,182.99,48
CPT,97164,Pt Re-Eval,528.0,528.0,78.14,422.4,23
CPT,97164,Pt re-eval est plan care,,,47.14,160.0,48
CPT,97165,Ot Eval Low Complex,726.0,726.0,107.45,580.8,23
CPT,97165,Ot eval low complex 30 min,,,67.21,186.13,48
CPT,97166,Ot Eval Mod Complex,743.0,743.0,109.96,594.4,23
CPT,97166,Ot eval mod complex 45 min,,,67.21,186.13,48
CPT,97167,Ot Eval High Complex,770.0,770.0,113.96,616.0,23
CPT,97167,Ot eval high complex 60 min,,,67.21,186.13,48
CPT,97168,Ot Re-Eval,528.0,528.0,78.14,422.4,23
CPT,97168,Ot re-eval est plan care,,,69.56,160.0,47
CPT,97169,Athletic trn eval low cmplx,,,96.89,96.89,1
CPT,97170,Athletic trn eval mod cmplx,,,96.89,96.89,1
CPT,97171,Athletic trn eval high cmplx,,,96.89,96.89,1
CPT,97172,Athletic trn re-eval plan cr,,,48.75,48.75,1
CPT,97530,Activ.to Increase Func.Ea 15mi,380.65,380.65,56.34,304.52,23
CPT,97530,Functional Activities Ea 15 Mi,380.65,380.65,56.34,304.52,23
CPT,97530,Therapeutic activities,,,34.59,160.0,47
CPT,97533,Sensory Integrat Tech Ea 15min,208.0,208.0,30.78,166.4,23
CPT,97533,Sensory integration,,,60.4,160.0,47
CPT,97535,Adl Training Each 15 Mins,248.0,248.0,36.7,198.4,23
CPT,97535,Self care mngment training,,,20.91,160.0,53
CPT,97537,Community/work reintegration,,,31.69,160.0,47
CPT,97542,W/C Management Training Ea 15m,290.0,290.0,42.92,232.0,23
CPT,97542,Wheelchair mngment training,,,13.94,160.0,53
CPT,97545,Work Hardening-Ot,207.0,207.0,30.64,165.6,23
CPT,97545,Work Hardening-Pt,207.0,207.0,30.64,165.6,23
CPT,97545,Work hardening,,,160.0,304.48,2
CPT,97546,Work Hardening Add-On,102.0,102.0,15.1,81.6,23
CPT,97546,Work Hardening Add-on-Ot,102.0,102.0,15.1,81.6,23
CPT,97546,Work hardening add-on,,,121.3,160.0,2
CPT,97550,Caregiver traing 1st 30 min,,,44.73,112.49,47
CPT,97551,Caregiver traing ea addl 15,,,20.2,60.3,48
CPT,97552,Group caregiver training,,,10.38,40.68,47
CPT,97597,Dbrdmt opn wnd 1st 20 cm/<,,,34.15,4275.0,61
CPT,97597,Debride First 20 Sq Cm,2187.3,2187.3,323.72,1749.84,23
CPT,97597,Debridement First 20 Sq Cm or Less,2187.3,2187.3,323.72,1749.84,23
CPT,97598,Dbrdmt opn wnd addl 20cm/<,,,23.48,2438.0,44
CPT,97598,Debridement Open Wound Ea Addl 20 Sq Cm,2041.25,2041.25,302.1,1633.0,23
CPT,97601,Wound care selective,,,37.9,37.9,6
CPT,97602,Rem/Debride Devitalized Tissue W/O Anes,453.1,453.1,67.06,362.48,23
CPT,97602,Wound(s) care non-selective,,,34.11,4275.0,25
CPT,97605,Neg Press Wd Tx - 50 Sq Cm or Less,724.5,724.5,107.23,579.6,23
CPT,97605,Neg prs wnd ther dme<50sqcm,,,23.64,365.75,52
CPT,97606,Neg Press Wd Tx-> Than 50 Sq Cm,1278.8,1278.8,189.26,1023.04,23
CPT,97606,Neg prs wnd ther dme>50 sqcm,,,25.58,735.41,52
CPT,97607,Neg Pressure Wound Therapy Non-Dme </= 50 Sq Cm,1223.6,1223.6,181.09,978.88,23
CPT,97607,Neg prs wnd thr ndme<50sqcm,,,20.57,735.41,46
CPT,97608,Neg Pressure Wound Therapy Non-Dme > 50 Cm,1275.0,1275.0,188.7,1020.0,23
CPT,97608,Neg prs wnd ther ndme>50sqcm,,,23.93,735.41,46
CPT,97610,Low frequency non-thermal us,,,17.17,633.76,46
CPT,97610,Pt Low Frequency Non Contrast/Thermal per Day,582.0,582.0,86.14,465.6,23
CPT,97750,Physical performance test,,,20.98,160.0,52
CPT,97755,Assistive technology assess,,,37.55,160.0,46
CPT,97760,Orthotic Fit/Train Init Ea 15,276.0,276.0,40.85,220.8,23
CPT,97760,Orthotic mgmt&traing 1st enc,,,45.89,160.0,46
CPT,97760,"Splint/Ort-Fab,Fit/Tra/Q 15min",276.0,276.0,40.85,220.8,23
CPT,97761,Prosth/Training Ea 15 Min,221.0,221.0,32.71,176.8,23
CPT,97761,Prosthetic Training Ea 15 Min,221.0,221.0,32.71,176.8,23
CPT,97761,Prosthetic traing 1st enc,,,40.4,160.0,46
CPT,97763,Orthc/prostc mgmt sbsq enc,,,41.69,160.0,53
CPT,97763,Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min,344.0,344.0,50.91,275.2,46
CPT,97802,Medical nutrition indiv in,,,30.23,56.91,46
CPT,97802,"Mnt - Individual, Initial per 15 Min",225.4,225.4,33.36,180.32,23
CPT,97803,Med nutrition indiv subseq,,,26.39,49.68,46
CPT,97803,"Mnt - Individual, Follow-Up per 15 Min",124.2,124.2,18.38,99.36,23
CPT,97804,Medical nutrition group,,,14.03,26.42,46
CPT,97804,"Mnt - Group, Initial or Follow-Up per 30 Min",97.75,97.75,14.47,78.2,23
CPT,97810,Acup 1/> wo estim 1st 15 min,,,24.37,71.57,46
CPT,97810,Acupunct W/O Stimul 15 Min,92.0,92.0,13.62,73.6,23
CPT,97811,Acup 1/> w/o estim ea add 15,,,23.07,41.04,31
CPT,97811,Acupunct W/O Stimul Addl 15m,47.0,47.0,6.96,37.6,23
CPT,97813,Acup 1/> w/estim 1st 15 min,,,24.37,82.43,46
CPT,97813,Acupunct W/Stimul 15 Min,119.0,119.0,17.61,95.2,23
CPT,97814,Acup 1/> w/estim ea addl 15,,,23.39,50.6,31
CPT,97814,Acupunct W/Stimul Addl 15m,79.0,79.0,11.69,63.2,23
CPT,98000,Synch audio-video new sf 15,,,49.97,49.97,1
CPT,98001,Synch audio-video new low 30,,,82.49,82.49,1
CPT,98002,Synch audio-video new mod 45,,,131.54,131.54,1
CPT,98003,Synch audio-video new hi 60,,,174.41,174.41,1
CPT,98004,Synch audio-video est sf 10,,,38.61,38.61,1
CPT,98005,Synch audio-video est low 20,,,67.5,67.5,1
CPT,98006,Synch audio-video est mod 30,,,99.74,99.74,1
CPT,98007,Synch audio-video est hi 40,,,132.19,132.19,1
CPT,98008,Synch audio-only new sf 15,,,47.34,47.34,1
CPT,98009,Synch audio-only new low 30,,,78.53,78.53,1
CPT,98010,Synch audio-only new mod 45,,,122.49,122.49,1
CPT,98011,Synch audio-only new high 60,,,159.1,159.1,1
CPT,98012,Synch audio-only est sf 10,,,35.38,35.38,1
CPT,98013,Synch audio-only est low 20,,,61.64,61.64,1
CPT,98014,Synch audio-only est mod 30,,,90.33,90.33,1
CPT,98015,Synch audio-only est high 40,,,131.22,131.22,1
CPT,98016,Brief comunicaj tech-bsd svc,,,12.36,25.47,36
CPT,98925,Osteopath manj 1-2 regions,,,21.35,48.78,47
CPT,98926,Osteopath manj 3-4 regions,,,25.17,70.56,47
CPT,98927,Osteopath manj 5-6 regions,,,25.17,91.82,47
CPT,98928,Osteopath manj 7-8 regions,,,25.17,111.54,47
CPT,98929,Osteopath manj 9-10 regions,,,25.17,131.25,47
CPT,98940,Chiropract manj 1-2 regions,,,21.37,46.56,46
CPT,98941,Chiropract manj 3-4 regions,,,25.17,61.58,46
CPT,98942,Chiropractic manj 5 regions,,,25.17,79.68,46
CPT,98943,Chiropract manj xtrspinl 1/>,,,25.0,25.0,1
CPT,98960,Edu&trn pt self-mgmt nqhp 1,,,30.4,30.4,1
CPT,98961,Edu&trn pt slf-mgmt nqhp 2-4,,,14.55,14.55,1
CPT,98962,Edu&trn pt slf-mgmt nqhp 5-8,,,10.68,10.68,1
CPT,98966,Ph1 assmt&mgmt nqhp 5-10,,,11.35,21.0,46
CPT,98967,Ph1 assmt&mgmt nqhp 11-20,,,22.06,40.81,46
CPT,98968,Ph1 assmt&mgmt nqhp 21-30,,,30.79,56.96,46
CPT,98970,Nqhp ol dig assmt&mgmt 5-10,,,11.35,21.0,46
CPT,98971,Nqhp ol dig assmt&mgmt 11-20,,,21.45,39.68,46
CPT,98972,Nqhp ol dig assmt&mgmt 21+,,,32.12,59.42,46
CPT,98975,Rem ther mntr 1st set-up&edu,,,15.84,237.2,52
CPT,98976,Rem ther mntr dev sply resp,,,37.1,68.69,52
CPT,98977,Rem ther mntr dv sply mscskl,,,37.1,68.69,52
CPT,98978,Rem ther mntr dev sply cbt,,,37.1,68.64,16
CPT,98980,Rem ther mntr 1st 20 min,,,29.58,80.35,51
CPT,98981,Rem ther mntr ea addl 20 min,,,28.93,62.8,51
CPT,99000,Specimen handling office-lab,,,6.92,6.92,5
CPT,99001,Specimen handling pt-lab,,,7.37,7.37,5
CPT,99050,Medical services after hrs,,,20.0,20.0,6
CPT,99051,Med serv eve/wkend/holiday,,,20.0,20.0,6
CPT,99078,Centering Preg Group Session,143.0,143.0,21.16,114.4,23
CPT,99091,Collj & interpj data ea 30 d,,,52.0,83.2,31
CPT,99151,Mod Sed Same Phys/Qhp Initial 15 Mins; <5 Yrs,534.24,534.24,79.07,427.39,23
CPT,99151,Mod sed same phys/qhp <5 yrs,,,20.38,92.64,38
CPT,99152,Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs,1327.12,1327.12,196.41,1061.7,23
CPT,99152,Mod sed same phys/qhp 5/>yrs,,,10.65,77.65,38
CPT,99153,Mod Sed Same Phys/Qhp Each Addl 15 Mins,661.44,661.44,97.89,529.15,23
CPT,99153,Mod sed same phys/qhp ea,,,9.43,18.7,37
CPT,99155,Mod Sed Other Phys/Qhp Initial 15 Mins; <5 Yrs,614.8,614.8,90.99,491.84,23
CPT,99155,Mod sed oth phys/qhp <5 yrs,,,79.99,128.66,37
CPT,99156,Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs,596.78,596.78,88.32,477.42,23
CPT,99156,Mod sed oth phys/qhp 5/>yrs,,,65.4,114.86,37
CPT,99157,Mod Sed Other Phys/Qhp Each Addl 15 Mins,225.78,225.78,33.42,180.62,23
CPT,99157,Mod sed other phys/qhp ea,,,49.58,89.31,37
CPT,99170,Anogenital exam child w imag,,,79.6,370.3,53
CPT,99173,Visual acuity screen,,,3.27,3.27,1
CPT,99174,Ocular instrumnt screen bil,,,6.17,6.17,1
CPT,99175,Induction of vomiting,,,29.07,47.86,37
CPT,99177,Ocular instrumnt screen bil,,,4.88,4.88,1
CPT,99183,Hyperbaric oxygen therapy,,,103.26,165.22,38
CPT,99184,Hypothermia ill neonate,,,199.92,24872.68,52
CPT,99185,Regional hypothermia,,,21.72,21.72,6
CPT,99186,Total body hypothermia,,,69.52,69.52,6
CPT,99188,App topical fluoride varnish,,,11.35,17.59,7
CPT,99190,Special pump services,,,94.31,24872.68,22
CPT,99191,Special pump services,,,57.68,24872.68,22
CPT,99192,Special pump services,,,42.98,24872.68,22
CPT,99195,Phlebotomy,532.0,532.0,15.33,425.6,75
CPT,99195,Therapeutic Phlebotomy,532.0,532.0,78.74,425.6,23
CPT,99201,Office/outpatient visit new,,,20.39,41.71,7
CPT,99202,Office o/p new sf 15 min,,,37.91,112.08,38
CPT,99202,Visit Level 2 - Np,551.0,551.0,81.55,440.8,23
CPT,99202,Visit Level Bccp 2 - Np,551.0,551.0,81.55,440.8,23
CPT,99203,Office o/p new low 30 min,,,56.34,175.22,38
CPT,99203,Visit Level 3 - Np,562.0,562.0,83.18,449.6,23
CPT,99203,Visit Level Bccp 3 - Np,562.0,562.0,83.18,449.6,23
CPT,99204,Office o/p new mod 45 min,,,83.59,262.61,38
CPT,99204,Visit Level 4 - Np,626.28,626.28,92.69,501.02,23
CPT,99204,Visit Level Bccp 4 - Np,626.28,626.28,92.69,501.02,23
CPT,99205,Isolation Evaluation - Np,739.0,739.0,109.37,591.2,23
CPT,99205,Office o/p new hi 60 min,,,108.92,347.01,38
CPT,99205,Visit Level 5-Np,739.0,739.0,109.37,591.2,23
CPT,99205,Visit Level Bccp 5-Np,739.0,739.0,109.37,591.2,23
CPT,99211,Off/op est may x req phy/qhp,,,8.44,36.21,38
CPT,99211,Visit Level 1 - Ep,540.6,540.6,80.01,432.48,23
CPT,99212,Office o/p est sf 10 min,,,19.75,88.16,38
CPT,99212,Visit Level 2-Ep,551.82,551.82,81.67,441.46,23
CPT,99212,Visit Level Bccp 2 - Ep,551.82,551.82,81.67,441.46,23
CPT,99213,Office o/p est low 20 min,,,59.05,142.78,38
CPT,99213,Visit Level 3-Ep,562.02,562.02,83.18,449.62,23
CPT,99213,Visit Level Bccp 3 - Ep,562.02,562.02,83.18,449.62,23
CPT,99214,Office o/p est mod 30 min,,,87.04,201.01,38
CPT,99214,Visit Level 4-Ep,573.24,573.24,84.84,458.59,23
CPT,99214,Visit Level Bccp 4-Ep,573.24,573.24,84.84,458.59,23
CPT,99215,Isolation Evaluation - Ep,623.22,623.22,92.24,498.58,23
CPT,99215,Office o/p est hi 40 min,,,73.91,282.05,38
CPT,99215,Visit Level 5-Ep,623.22,623.22,92.24,498.58,23
CPT,99215,Visit Level Bccp 5-Ep,623.22,623.22,92.24,498.58,23
CPT,99221,1st hosp ip/obs sf/low 40,,,60.29,128.34,37
CPT,99222,1st hosp ip/obs moderate 55,,,99.2,202.1,37
CPT,99223,1st hosp ip/obs high 75,,,132.67,269.22,37
CPT,99231,Sbsq hosp ip/obs sf/low 25,,,30.8,76.03,37
CPT,99232,Sbsq hosp ip/obs moderate 35,,,48.02,122.9,37
CPT,99233,Sbsq hosp ip/obs high 50,,,67.47,183.15,37
CPT,99234,Hosp ip/obs sm dt sf/low 45,,,94.4,151.04,37
CPT,99235,Hosp ip/obs same date mod 70,,,147.02,245.68,37
CPT,99236,Hosp ip/obs same date hi 85,,,180.51,321.26,37
CPT,99238,Hosp ip/obs dschrg mgmt 30/<,,,57.11,125.92,37
CPT,99239,Hosp ip/obs dschrg mgmt >30,,,79.92,177.89,37
CPT,99241,Office consultation,,,30.43,30.43,1
CPT,99242,Off/op consltj new/est sf 20,,,57.0,89.66,8
CPT,99243,Off/op cnsltj new/est low 30,,,75.19,122.6,8
CPT,99244,Off/op cnsltj new/est mod 40,,,139.12,182.06,8
CPT,99244,Office Consultation Level - 4,440.0,440.0,65.12,352.0,23
CPT,99245,Off/op consltj new/est hi 55,,,145.67,223.01,8
CPT,99252,Ip/obs consltj new/est sf 35,,,65.63,75.58,7
CPT,99253,Ip/obs cnsltj new/est low 45,,,87.91,115.25,7
CPT,99254,Ip/obs cnsltj new/est mod 60,,,123.04,166.35,7
CPT,99255,Ip/obs consltj new/est hi 80,,,167.9,201.18,7
CPT,99281,Completed Mse,861.35,861.35,127.48,689.08,23
CPT,99281,Emergency Department Visit May Not Req Phys/Qhp,861.35,861.35,127.48,689.08,23
CPT,99281,Emr dpt vst mayx req phy/qhp,,,11.12,4664.0,57
CPT,99282,Emergency Department Visit Straightforward Mdm,1498.0,1498.0,221.7,1198.4,23
CPT,99282,Emergency dept visit sf mdm,,,27.0,1181.0,58
CPT,99283,Emergency Department Visit Low Mdm,2779.0,2779.0,411.29,2223.2,23
CPT,99283,Emergency dept visit low mdm,,,54.8,2779.0,58
CPT,99284,Emergency Department Visit Moderate Mdm,4253.0,4253.0,629.44,3402.4,23
CPT,99284,Emergency dept visit mod mdm,,,84.21,4253.0,58
CPT,99285,Emergency Department Visit High Mdm,6238.0,6238.0,923.22,4990.4,23
CPT,99285,Emergency dept visit hi mdm,,,132.41,6238.0,58
CPT,99291,Critical Care 1st Hr,8998.0,8998.0,1331.7,7198.4,23
CPT,99291,Critical care first hour,,,159.62,6675.0,58
CPT,99291,Hypothermia (Critical Care) 1st 30-74 Min,8998.0,8998.0,1331.7,7198.4,23
CPT,99292,Critical Care Add'l 0.5 Hr,3912.3,3912.3,579.02,3129.84,23
CPT,99292,Critical care addl 30 min,,,78.68,6675.0,43
CPT,99292,Hypothermia (Critical Care) Addl 30 Min,3690.35,3690.35,546.17,2952.28,23
CPT,99301,NURSING FACILITY CARE,,,57.52,57.52,1
CPT,99302,NURSING FACILITY CARE,,,77.28,77.28,1
CPT,99303,NURSING FACILITY CARE,,,95.98,95.98,1
CPT,99304,1st nf care sf/low mdm 25,,,54.93,124.88,37
CPT,99305,1st nf care moderate mdm 35,,,72.87,206.32,37
CPT,99306,1st nf care high mdm 50,,,89.84,281.7,37
CPT,99307,Sbsq nf care sf mdm 10,,,28.45,61.78,37
CPT,99308,Sbsq nf care low mdm 20,,,47.12,115.3,37
CPT,99309,Sbsq nf care moderate mdm 30,,,66.37,167.33,37
CPT,99310,Sbsq nf care high mdm 45,,,83.12,238.62,37
CPT,99315,Nf dschrg mgmt 30 min/less,,,78.94,126.3,31
CPT,99316,Nf dschrg mgmt 30 min+,,,126.37,202.19,31
CPT,99341,Home/res vst new sf mdm 15,,,47.67,76.27,38
CPT,99342,Home/res vst new low mdm 30,,,69.03,121.47,38
CPT,99343,Home visit new patient,,,104.86,104.86,1
CPT,99344,Home/res vst new mod mdm 60,,,135.87,219.79,37
CPT,99345,Home/res vst new high mdm 75,,,147.25,311.38,37
CPT,99347,Home/res vst est sf mdm 20,,,39.65,70.06,37
CPT,99348,Home/res vst est low mdm 30,,,60.65,118.94,37
CPT,99349,Home/res vst est mod mdm 40,,,91.64,197.02,37
CPT,99350,Home/res vst est high mdm 60,,,132.35,285.92,37
CPT,99358,Prolong service w/o contact,,,86.79,86.79,1
CPT,99359,Prolong serv w/o contact add,,,36.68,36.68,1
CPT,99360,Physician standby services,,,56.16,56.16,1
CPT,99366,Team conf w/pat by hc prof,,,39.27,39.27,1
CPT,99367,Team conf w/o pat by phys,,,51.64,51.64,1
CPT,99368,Team conf w/o pat by hc pro,,,33.78,33.78,1
CPT,99374,Home health care supervision,,,66.15,66.15,1
CPT,99375,Home health care supervision,,,99.68,99.68,1
CPT,99377,Hospice care supervision,,,66.15,66.15,1
CPT,99378,Hospice care supervision,,,99.68,99.68,1
CPT,99379,Nursing fac care supervision,,,66.15,66.15,1
CPT,99380,Nursing fac care supervision,,,99.68,99.68,1
CPT,99381,Init pm e/m new pat infant,,,106.26,107.75,7
CPT,99382,Init pm e/m new pat 1-4 yrs,,,111.52,112.38,7
CPT,99383,Prev visit new age 5-11,,,115.72,117.35,7
CPT,99384,Prev visit new age 12-17,,,130.07,132.94,7
CPT,99385,Prev visit new age 18-39,,,126.51,129.03,7
CPT,99386,Prev visit new age 40-64,,,75.38,145.66,7
CPT,99387,Init pm e/m new pat 65+ yrs,,,75.38,158.3,7
CPT,99391,Per pm reeval est pat infant,,,95.24,99.99,7
CPT,99392,Prev visit est age 1-4,,,101.43,106.92,7
CPT,99393,Prev visit est age 5-11,,,101.43,106.58,7
CPT,99394,Prev visit est age 12-17,,,110.88,116.82,7
CPT,99395,Prev visit est age 18-39,,,114.2,115.86,7
CPT,99396,Prev visit est age 40-64,,,75.38,121.35,7
CPT,99397,Per pm reeval est pat 65+ yr,,,75.38,130.71,7
CPT,99401,Prev med cnsl indiv apprx 15,,,37.26,37.26,1
CPT,99402,Prev med cnsl indiv apprx 30,,,60.61,60.61,1
CPT,99403,Prev med cnsl indiv apprx 45,,,83.04,83.04,1
CPT,99404,Prev med cnsl indiv apprx 60,,,107.16,107.16,1
CPT,99406,Behav chng smoking 3-10 min,,,10.51,54.84,52
CPT,99407,Behav chng smoking > 10 min,,,20.71,54.84,52
CPT,99408,Alcohol/Substance Screen & Interven 15-30 Min,107.0,107.0,15.84,85.6,23
CPT,99408,Audit/dast 15-30 min,,,33.13,33.41,7
CPT,99409,Alcohol/Substance Screen & Intervention >30 Min,199.0,199.0,29.45,159.2,23
CPT,99409,Audit/dast over 30 min,,,63.63,65.51,7
CPT,99411,Preventive counseling group,,,19.08,19.08,1
CPT,99412,Childbirth Education Class,53.0,53.0,7.84,42.4,23
CPT,99412,Preventive counseling group,,,23.97,23.97,1
CPT,99415,Prolng clin staff svc 1st hr,,,7.59,32.06,37
CPT,99416,Prolng clin staff svc ea add,,,4.25,15.02,37
CPT,99417,Prolng op e/m each 15 min,,,29.9,29.9,1
CPT,99418,Prolng ip/obs e/m ea 15 min,,,11639.38,24872.68,16
CPT,99421,Ol dig e/m svc 5-10 min,,,11.29,23.39,38
CPT,99422,Ol dig e/m svc 11-20 min,,,23.2,45.76,38
CPT,99423,Ol dig e/m svc 21+ min,,,36.93,72.11,38
CPT,99424,Prin care mgmt phys 1st 30,,,68.22,130.03,37
CPT,99425,Prin care mgmt phys ea addl,,,49.23,94.48,37
CPT,99426,Prin care mgmt staff 1st 30,,,47.76,170.27,52
CPT,99427,Prin care mgmt staff ea addl,,,34.42,80.88,37
CPT,99437,Chrnc care mgmt phys ea addl,,,48.08,92.42,37
CPT,99439,Chrnc care mgmt staf ea addl,,,31.76,73.65,37
CPT,99439,Chronic Care Mgmt - Addl 20 Min. per Month,152.0,152.0,22.5,121.6,23
CPT,99441,Phone e/m phys/qhp 5-10 min,,,47.94,77.63,2
CPT,99442,Phone e/m phys/qhp 11-20 min,,,89.84,125.03,2
CPT,99443,Phone e/m phys/qhp 21-30 min,,,133.2,177.07,2
CPT,99446,Ntrprof ph1/ntrnet/ehr 5-10,,,17.25,27.6,31
CPT,99447,Ntrprof ph1/ntrnet/ehr 11-20,,,34.83,55.73,31
CPT,99448,Ntrprof ph1/ntrnet/ehr 21-30,,,51.72,82.75,31
CPT,99449,Ntrprof ph1/ntrnet/ehr 31/>,,,69.98,111.97,31
CPT,99451,Ntrprof ph1/ntrnet/ehr 5/>,,,31.83,53.01,37
CPT,99452,Ntrprof ph1/ntrnet/ehr rfrl,,,31.83,54.05,37
CPT,99453,Rem mntr physiol param setup,,,19.76,237.2,46
CPT,99454,Rem mntr physiol param dev,,,37.1,68.69,46
CPT,99457,Rem physiol mntr 1st 20 min,,,28.93,76.74,31
CPT,99458,Rem physiol mntr ea addl 20,,,27.78,61.78,38
CPT,99459,Pelvic examination,,,18.79,33.02,37
CPT,99460,Init nb em per day hosp,,,64.89,237.2,52
CPT,99461,Init nb em per day non-fac,,,58.51,142.11,37
CPT,99462,Sbsq nb em per day hosp,,,34.66,24872.68,52
CPT,99463,Same day nb discharge,,,83.17,237.2,52
CPT,99464,Attendance at delivery,,,69.58,111.33,37
CPT,99465,Nb resuscitation,,,136.26,1204.51,52
CPT,99465,Newborn Resuscitation,1530.0,1530.0,226.44,1224.0,23
CPT,99466,Ped crit care transport,,,222.45,355.92,31
CPT,99467,Ped crit care transport addl,,,111.53,178.45,31
CPT,99468,Neonate crit care initial,,,683.12,24872.68,52
CPT,99469,Neonate crit care subsq,,,341.09,24872.68,52
CPT,99471,Ped critical care initial,,,690.72,24872.68,52
CPT,99472,Ped critical care subsq,,,342.03,24872.68,52
CPT,99473,Self-meas bp pt educaj/train,,,9.45,45.09,52
CPT,99474,Self-meas bp 2 readg bid 30d,,,7.63,26.42,38
CPT,99475,Ped crit care age 2-5 init,,,454.31,24872.68,52
CPT,99476,Ped crit care age 2-5 subsq,,,270.25,24872.68,52
CPT,99477,Init day hosp neonate care,,,247.49,24872.68,52
CPT,99478,Ic lbw inf < 1500 gm subsq,,,118.51,24872.68,52
CPT,99479,Ic lbw inf 1500-2500 g subsq,,,113.54,24872.68,52
CPT,99480,Ic inf pbw 2501-5000 g subsq,,,111.53,24872.68,52
CPT,99483,Assmt & care pln pt cog imp,,,92.04,427.09,46
CPT,99484,Care mgmt svc bhvl hlth cond,,,27.81,85.1,53
CPT,99485,Suprv interfacilty transport,,,70.47,114.99,2
CPT,99486,Suprv interfac trnsport addl,,,61.05,61.05,1
CPT,99487,Complex Chronic Care Mgmt - 1st Hr per Month,318.0,318.0,47.06,254.4,23
CPT,99487,Cplx chrnc care 1st 60 min,,,87.48,295.75,46
CPT,99489,Complex Chronic Care Mgmt û Ea Addl 30 Min per Month,113.0,113.0,16.72,90.4,23
CPT,99489,Cplx chrnc care ea addl 30,,,47.44,113.06,31
CPT,99490,Chrnc care mgmt staff 1st 20,,,27.8,170.27,53
CPT,99490,Chronic Care Mgmt - 20 Min. per Month,350.0,350.0,51.8,280.0,23
CPT,99491,Chrnc care mgmt phys 1st 30,,,71.25,131.97,37
CPT,99492,1st psyc collab care mgmt,,,76.71,232.85,53
CPT,99493,Sbsq psyc collab care mgmt,,,69.38,214.65,53
CPT,99494,1st/sbsq psyc collab care,,,36.97,89.66,38
CPT,99495,Discharge Phone Call and F/U Appt Within 14 Days,500.0,500.0,74.0,400.0,23
CPT,99495,Transj care mgmt mod f2f 14d,,,128.22,322.53,46
CPT,99496,Discharge Phone Call and F/U Appt Within 7 Days,557.0,557.0,82.44,445.6,23
CPT,99496,Transj care mgmt high f2f 7d,,,128.22,437.2,46
CPT,99497,Advance Care Planning First 30 Mins,500.0,500.0,74.0,400.0,23
CPT,99497,Advncd care plan 30 min,,,72.81,170.27,46
CPT,99498,Advance Care Planning Ea Addl 30 Mins (Add-On),500.0,500.0,74.0,400.0,23
CPT,99498,Advncd care plan addl 30 min,,,68.93,110.8,31
CPT,A0425,Ground mileage,,,8.76,16.59,16
CPT,A0426,Als 1,,,272.44,516.11,16
CPT,A0427,Als1-emergency,,,272.44,516.11,16
CPT,A0428,Bls,,,272.44,516.11,16
CPT,A0429,Bls-emergency,,,272.44,516.11,16
CPT,A0430,Fixed wing air transport,,,3697.17,7003.92,16
CPT,A0431,Rotary wing air transport,,,4298.52,8143.11,16
CPT,A0432,Pi volunteer ambulance co,,,272.44,516.11,16
CPT,A0433,Als 2,,,272.44,516.11,16
CPT,A0434,Specialty care transport,,,272.44,516.11,16
CPT,A0435,Fixed wing air mileage,,,10.5,19.89,16
CPT,A0436,Rotary wing air mileage,,,27.99,53.02,16
CPT,A4215,Needle Biop 18ga 10cm Chiba Sterile Disposable,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 18ga 15cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 18ga 15cm Coaxial Automated Programmable Achieve,98.0,98.0,14.5,78.4,23
CPT,A4215,Needle Biop 18ga 20cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 19ga 6cm 2 1/3in Coaxial Introd Echotip,32.0,32.0,4.74,25.6,23
CPT,A4215,Needle Biop 20ga 10cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 20ga 15cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 20ga 20cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,A4215,Needle Biop 6cm 20ga 19ga 11cm 6cm Coaxial Introd Automated,281.0,281.0,41.59,224.8,23
CPT,A4215,Needle Biop Universal 17ga 10cm Coaxial Echotip Introd Temno,79.0,79.0,11.69,63.2,23
CPT,A4215,Needle Biop Universal 17ga 15cm Coaxial Echotip Introd,32.0,32.0,4.74,25.6,23
CPT,A4215,Needle Bx 13ga 7cm Trgd Coax U-T Wl Clr Cd D Stp Disp Mag,29.0,29.0,4.29,23.2,23
CPT,A4215,Needle Bx 18ga 9cm Achv Automate Prgm Ltwt Sprg Ld Act Echgn,212.0,212.0,31.38,169.6,23
CPT,A4215,Needle Bx 23ga 5.1cm Procytin,424.0,424.0,62.75,339.2,23
CPT,A4215,Needle Bx Unv Thnwl 20ga 19ga 20cm Clr 15cm Coax Intro Blnt,83.0,83.0,12.28,66.4,23
CPT,A4215,Needle Pricrdcts 5fr 15cm 1stp Fx Ll,46.0,46.0,6.81,36.8,23
CPT,A4217,Sterile water/saline  500 ml,,,2.5,2.5,3
CPT,A4238,Adju cgm supply allowance,,,261.95,261.95,3
CPT,A4239,Non-adju cgm supply allow,,,255.01,255.01,3
CPT,A4248,Chlorhexidine antisept,,,0.03,0.03,3
CPT,A4271,Home lancing/test cartridges,,,33.43,61.85,16
CPT,A4344,Catheter Urth 16fr 30ml Strl Lf Bard Lbrsl 2w Fl Bln Sil,224.0,224.0,33.15,179.2,23
CPT,A4364,Medical Adhesive,68.0,68.0,10.06,54.4,23
CPT,A4369,Skin barrier liquid per oz,,,1.94,1.94,3
CPT,A4371,Stomahesive Powder,56.0,56.0,8.29,44.8,23
CPT,A4405,Stomahesive Paste 2 Oz Tube,108.0,108.0,15.98,86.4,23
CPT,A4406,Pectin based ostomy paste,,,4.59,4.59,3
CPT,A4438,Adhesive clip ext ens contr,,,1.93,3.57,16
CPT,A4450,Non-waterproof tape,,,0.09,0.09,3
CPT,A4452,Waterproof tape,,,0.28,0.28,3
CPT,A4455,"Uni-Solve Wipes,Adhes. Remover",103.0,103.0,15.24,82.4,23
CPT,A4456,Adhesive remover  wipes,,,0.21,0.21,3
CPT,A4467,Posterior Elbow Splint,112.0,112.0,16.58,89.6,23
CPT,A4467,Posterior Elbow Splint-Prefab,105.0,105.0,15.54,84.0,23
CPT,A4550,Surgical Pack Clean Closure Custom,397.0,397.0,58.76,317.6,23
CPT,A4557,Lead wires  pair,,,16.88,16.88,3
CPT,A4563,Vag inser rectal control sys,,,1656.6,3064.71,16
CPT,A4595,Tens suppl 2 lead per month,,,23.04,23.04,3
CPT,A4606,Oxygen probe used w oximeter,,,14.0,14.0,3
CPT,A4625,Trach care kit for new trach,,,2.55,2.55,3
CPT,A4626,Tracheostomy cleaning brush,,,5.54,5.54,3
CPT,A4628,Oropharyngeal suction cath,,,3.14,3.14,3
CPT,A4629,Tracheostomy care kit,,,3.7,3.7,3
CPT,A4648,Implantable Tissue Marker,520.0,520.0,76.96,416.0,23
CPT,A4648,Visicoil Lung Gold Seeds 0.50mm X 0.50cm Length,338.0,338.0,50.02,270.4,23
CPT,A4649,Medihoney Dressing 1.5oz Tube,28.0,28.0,4.14,22.4,23
CPT,A4649,"Profore Multi-Layer Compression Band System, E/P, Latex, Tan",98.0,98.0,14.5,78.4,23
CPT,A4663,Dialysis blood pressure cuff,,,20.0,20.0,3
CPT,A4670,Automatic bp monitor  dial,,,35.0,35.0,3
CPT,A4802,Protamine sulfate per 50 mg,,,13.32,14.45,3
CPT,A5120,Skin barrier  wipe or swab,,,0.18,0.18,3
CPT,A5121,"Skin Barrier, Solid 6X6 or Equival",36.0,36.0,5.33,28.8,23
CPT,A5122,"Skin Barrier, Solid 8x8 or Equivalent",135.0,135.0,19.98,108.0,23
CPT,A5122,Solid skin barrier 8x8,,,10.28,10.28,3
CPT,A5500,Diab shoe for density insert,,,49.53,49.53,3
CPT,A5501,Diabetic custom molded shoe,,,148.56,148.56,3
CPT,A5503,Diabetic shoe w/roller/rockr,,,22.03,22.03,3
CPT,A5504,Diabetic shoe with wedge,,,22.03,22.03,3
CPT,A5505,Diab shoe w/metatarsal bar,,,22.03,22.03,3
CPT,A5506,Diabetic shoe w/off set heel,,,22.03,22.03,3
CPT,A5512,Multi den insert direct form,,,20.2,20.2,3
CPT,A5513,Multi den insert custom mold,,,30.15,30.15,3
CPT,A6010,Agent Hemostatic Microfibrillar Flour Latex Free Avitene,1537.0,1537.0,227.48,1229.6,23
CPT,A6021,Collagen dressing <16 sq in,,,16.82,16.82,3
CPT,A6196,Alginate Dressing <= 16 Sq In,44.0,44.0,6.51,35.2,23
CPT,A6196,Alginate dressing <16 sq in,,,5.88,5.88,3
CPT,A6197,Alginate drsg >16 <48 sq in,,,13.15,13.15,3
CPT,A6197,Dressing Hydrofiber Aquacel 0.75in X 18in Silver,30.0,30.0,4.44,24.0,23
CPT,A6197,Dressing Wound Square 6x6in 2 Layer Absorbent Nonwoven Soft,55.0,55.0,8.14,44.0,23
CPT,A6198,Dressing Brn 16x16in Strl Lf Actct Anbctrl Fst Act Brr Cntrl,156.0,156.0,23.09,124.8,23
CPT,A6198,Dressing Brn 16x16in Strl Lf Actct Flx 3 Anmc Brr Flxb Sft,151.0,151.0,22.35,120.8,23
CPT,A6198,Dressing Brn 48x4in Strl Lf Actct Flx 3 Anmc Brr 1 Lyr Knit,179.0,179.0,26.49,143.2,23
CPT,A6209,Allevyn Ag Foam,56.0,56.0,8.29,44.8,23
CPT,A6209,Kit Dressing Thk3.3cm Large Standard 26x15cm 2 Adhesive,123.0,123.0,18.2,98.4,23
CPT,A6210,Dressing 8x8in Anbctrl Latex Hydrofera Foam Blue,33.0,33.0,4.88,26.4,23
CPT,A6212,Dressing Foam 6x3.5in 7 Day Adhesive Antimicrobial Flexible,45.0,45.0,6.66,36.0,23
CPT,A6213,Dressing 6x6in Adh Hydrofera Foam Blue,336.0,336.0,49.73,268.8,23
CPT,A6216,Non-sterile gauze<16 sq in,,,0.04,0.04,3
CPT,A6234,Hydrocolloid Dsg 16 Sq in or Less,43.0,43.0,6.36,34.4,23
CPT,A6235,Hydrocolloid Dsg more than 16sq in,131.0,131.0,19.39,104.8,23
CPT,A6248,"Anasept Gel - Hydrogel Dressing, Wound Filler, Gel, per Fluid Ounce",75.0,75.0,11.1,60.0,23
CPT,A6250,Wound Paste,118.0,118.0,17.46,94.4,23
CPT,A6251,Absorpt drg <16 sq in w/o b,,,1.59,1.59,3
CPT,A6252,Absorpt drg >16 <48 w/o bdr,,,2.6,2.6,3
CPT,A6261,Dressing Gel Strl Lf Isrb Abs Tube Nadh Cdxmr Iod 10gm,35.0,35.0,5.18,28.0,23
CPT,A6402,Sterile gauze < 16 sq in,,,0.1,0.1,3
CPT,A6403,Sterile gauze>16 < 48 sq in,,,0.34,0.34,3
CPT,A6520,G com garmnt glove nghttime,,,123.13,227.79,16
CPT,A6521,G com garmnt glove nght cust,,,488.56,903.84,16
CPT,A6522,G com garment arm nighttime,,,299.18,553.48,16
CPT,A6523,G com garment arm nght custm,,,709.85,1313.22,16
CPT,A6524,G com garmnt lwr leg/ft nght,,,373.26,690.53,16
CPT,A6525,G com garm lwrleg/ft ngt cus,,,753.55,1394.07,16
CPT,A6526,G com garmt full leg/ft nght,,,674.84,1248.45,16
CPT,A6527,G garmt full leg/ft nght cus,,,1240.94,2295.74,16
CPT,A6528,G com garment bra nighttime,,,648.9,1200.47,16
CPT,A6529,G com garmt bra night custm,,,1025.36,1896.92,16
CPT,A6530,Compression stocking bk18-30,,,38.04,70.37,16
CPT,A6533,Gc stocking thighlngth 18-30,,,53.42,98.83,16
CPT,A6534,Gc stocking thighlngth 30-40,,,61.0,112.85,16
CPT,A6535,Gc stocking thighlngth 40+,,,70.23,129.93,16
CPT,A6536,Gc stocking full lngth 18-30,,,72.01,133.22,16
CPT,A6537,Gc stocking full lngth 30-40,,,85.37,157.93,16
CPT,A6538,Gc stocking full lngth 40+,,,99.95,184.91,16
CPT,A6539,Gc stocking waistlngth 18-30,,,95.29,176.29,16
CPT,A6540,Gc stocking waistlngth 30-40,,,113.61,210.18,16
CPT,A6541,Gc stocking waistlngth 40+,,,134.58,248.97,16
CPT,A6552,Grad com stocking bk 30-40,,,56.45,104.43,16
CPT,A6553,G com stcking bk 30-40 custm,,,220.43,407.8,16
CPT,A6554,Grad com stocking bk 40+,,,77.62,143.6,16
CPT,A6555,G com stcking bk 40+ custm,,,220.43,407.8,16
CPT,A6556,G com stcking thgh18-30 cust,,,302.09,558.87,16
CPT,A6557,G com stcking thgh30-40 cust,,,302.09,558.87,16
CPT,A6558,G com stcking thgh 40+ cust,,,311.75,576.74,16
CPT,A6562,G com stckng waist18-30 cust,,,988.68,1829.06,16
CPT,A6563,G com stckng waist30-40 cust,,,988.68,1829.06,16
CPT,A6564,G com stckng waist 40+ cust,,,1065.02,1970.29,16
CPT,A6565,Grad comp gauntlet custom,,,170.84,316.05,16
CPT,A6566,Grad com garment neck/head,,,248.05,458.89,16
CPT,A6567,G com garment neck/head cust,,,779.38,1441.85,16
CPT,A6568,G com garment torso/shldr,,,161.89,299.5,16
CPT,A6569,G com garmnt torso/shdr cust,,,921.85,1705.42,16
CPT,A6570,Grad com garment genital,,,110.3,204.06,16
CPT,A6571,G com garment genital custm,,,662.94,1226.44,16
CPT,A6572,Grad com garment toe caps,,,102.35,189.35,16
CPT,A6573,Grad com garmnt toe cap cust,,,242.87,449.31,16
CPT,A6574,Custom gradient sleev/glov,,,309.63,572.82,16
CPT,A6575,Gradient comp sleev/glov,,,100.34,185.63,16
CPT,A6576,Custom grad com sleeve med,,,190.03,351.56,16
CPT,A6577,Custom grad cm sleeve heavy,,,157.28,290.97,16
CPT,A6578,Gradient comp sleeve,,,77.46,143.3,16
CPT,A6579,Custom grad com glove med,,,305.02,564.29,16
CPT,A6580,Custom grad com glove heavy,,,302.78,560.14,16
CPT,A6581,Gradient comp glove,,,71.07,131.48,16
CPT,A6582,Gradient comp gauntlet,,,47.4,87.69,16
CPT,A6583,Grad com wrap w straps bk,,,155.92,288.45,16
CPT,A6585,Grad com wrap w straps ak,,,184.62,341.55,16
CPT,A6586,Grad com wrap w strap fu leg,,,543.9,1006.22,16
CPT,A6587,Grad com wrap w straps foot,,,71.25,131.81,16
CPT,A6588,Grad com wrap w strap arm,,,237.46,439.3,16
CPT,A6589,Grad com wrap w straps bra,,,93.74,173.42,16
CPT,A6594,G comp bandge liner lwr extr,,,34.13,63.14,16
CPT,A6595,G comp bandge liner upr extr,,,33.57,62.1,16
CPT,A6596,G comp bandge conform gauze,,,0.18,0.33,16
CPT,A6597,G comp bandage long stretch,,,1.51,2.79,16
CPT,A6598,G comp bandage med stretch,,,0.73,1.35,16
CPT,A6599,G comp bandage short stretch,,,1.66,3.07,16
CPT,A6600,G com bandge hgh dn foam sht,,,2.99,5.53,16
CPT,A6601,G com bandge hgh dn foam pad,,,3.36,6.22,16
CPT,A6602,G com bandge hgh dn foamroll,,,4.9,9.07,16
CPT,A6603,G com bandge low dn foamchnl,,,2.3,4.26,16
CPT,A6604,G com bandge low dn foam flt,,,1.34,2.48,16
CPT,A6605,G com bandage padded foam,,,1.53,2.83,16
CPT,A6606,G com bandage padded textile,,,4.55,8.42,16
CPT,A6607,G com bandage tub protct lyr,,,1.22,2.26,16
CPT,A6608,G com bandage tub protct pad,,,5.07,9.38,16
CPT,A6610,G com stcking bk 18-30 custm,,,220.43,407.8,16
CPT,A7507,Integrated filter & holder,,,2.73,2.73,3
CPT,A7508,Housing & integrated adhesiv,,,3.14,3.14,3
CPT,A8000,Soft protect helmet prefab,,,153.35,153.35,3
CPT,A8001,Hard protect helmet prefab,,,153.35,153.35,3
CPT,A8002,Soft protect helmet custom,,,800.0,800.0,3
CPT,A8003,Hard protect helmet custom,,,800.0,800.0,3
CPT,A9155,Artificial saliva,,,7.71,8.37,3
CPT,A9156,Oral mucoadhesive per 1 ml,,,2.42,2.63,3
CPT,A9180,Lice treatment  topical,,,0.89,0.97,3
CPT,A9500,"Tc-99m Sestambi/Cardiolite, Dx per Study",516.0,516.0,76.37,412.8,23
CPT,A9500,Tc99m sestamibi,,,95.0,203.28,36
CPT,A9502,"Tc-99m Tetrofosmin Myoview, Dx per Study",812.0,812.0,120.18,649.6,23
CPT,A9502,Tc99m tetrofosmin,,,85.27,185.17,39
CPT,A9503,"Tc-99m Mdp, Dx Up to 30 Mci",312.0,312.0,46.18,249.6,23
CPT,A9503,Tc99m medronate,,,13.0,67.16,5
CPT,A9505,"Ti-201 Thallous Chloride, Dx per Mci",131.0,131.0,19.39,104.8,23
CPT,A9505,Tl201 thallium,,,32.66,71.91,9
CPT,A9506,Tc-99m graphite crucible,,,310.0,607.91,24
CPT,A9507,In111 capromab,,,0.01,0.01,3
CPT,A9508,I131 iodobenguate  dx,,,0.01,0.01,3
CPT,A9509,Iodine i-123 sod iodide mil,,,0.01,0.01,3
CPT,A9510,Tc99m disofenin,,,0.01,0.01,3
CPT,A9512,"Tc-99m Pertechnetate, Dx per Mci",227.0,227.0,33.6,181.6,23
CPT,A9512,Tc99m pertechnetate,,,1.67,1.81,3
CPT,A9513,Lutetium lu 177 dotatat ther,,,293.45,586.43,27
CPT,A9515,Choline c-11,,,2062.94,5425.0,23
CPT,A9516,"I-123, Dx Capsule per 100 Uci (Max 999 Uci)",2008.0,2008.0,297.18,1606.4,23
CPT,A9516,Iodine i-123 sod iodide mic,,,95.84,103.99,3
CPT,A9517,I-131 Capsule Therapeutic per Mci,350.0,350.0,51.8,280.0,23
CPT,A9517,I131 iodide cap  rx,,,21.34,42.79,21
CPT,A9520,"Tc-99m Tilmanocept (Lymphoseek), Dx Up to 0.5 Mci",1571.0,1571.0,232.51,1256.8,23
CPT,A9520,Tc99 tilmanocept diag 0.5mci,,,661.57,717.8,3
CPT,A9521,99mtc Ceretec-Labld - Wbc,1888.0,1888.0,279.42,1510.4,23
CPT,A9521,Tc-99m Exametazime (Ceretec) Up to 25 Mci,4651.0,4651.0,688.35,3720.8,23
CPT,A9521,Tc99m exametazime,,,802.34,2788.48,53
CPT,A9526,Nitrogen n-13 ammonia,,,659.0,715.02,3
CPT,A9527,I-125 Sodium Iothalamate Therapeutic per Uci,207.0,207.0,30.64,165.6,23
CPT,A9527,Iodine i-125 sodium iodide,,,60.15,385.87,21
CPT,A9528,"I-131 Sodium Iodide Cap(S) Dx, per Mci",350.0,350.0,51.8,280.0,23
CPT,A9529,"I-131 Iodide Sol, Dx Each Addl Mci (Add on to 34300045)",26.0,26.0,3.85,20.8,23
CPT,A9530,I-131 Therapeutic per Mci,26.0,26.0,3.85,20.8,23
CPT,A9530,I131 iodide sol  rx,,,20.4,38.63,21
CPT,A9531,"I-131 Sodium Iodide Dx, per Uci (Up to 100 Uci)",236.0,236.0,34.93,188.8,23
CPT,A9537,"Tc-99m Mebrofenin, Dx Up to 15 Mci",335.0,335.0,49.58,268.0,23
CPT,A9537,Tc99m mebrofenin,,,46.48,100.9,39
CPT,A9538,Tc-99m Pyrophosphate Up to 25 Mci,1200.0,1200.0,177.6,960.0,23
CPT,A9538,Tc99m pyrophosphate,,,16.23,69.49,39
CPT,A9539,"Tc-99m Pentetate (Dtpa), Dx Up to 25 Mci",409.0,409.0,60.53,327.2,23
CPT,A9539,Tc99m pentetate,,,0.01,0.01,3
CPT,A9540,"Tc-99m Maauc, Dx Up to 10 Mci",425.0,425.0,62.9,340.0,23
CPT,A9540,Tc99m maa,,,30.0,32.55,3
CPT,A9541,"Tc-99m Sulfur Colloid, Dx Up to 20 Mci",523.0,523.0,77.4,418.4,23
CPT,A9541,Tc99m sulfur colloid,,,43.61,290.1,39
CPT,A9542,In111 ibritumomab  dx,,,0.01,1476.34,23
CPT,A9543,Y90 ibritumomab  rx,,,56824.55,105125.42,24
CPT,A9547,In-111 Oxyquinoline Dx per 0.5 Mci,7234.0,7234.0,1070.63,5787.2,23
CPT,A9547,In111 oxyquinoline,,,772.64,2283.9,23
CPT,A9548,"In-111 Pentetate, Dx per 0.5 Mci",7022.0,7022.0,1039.26,5617.6,23
CPT,A9548,In111 pentetate,,,715.29,1323.29,23
CPT,A9551,Tc-99m Dmsa Nuc,1886.0,1886.0,279.13,1508.8,23
CPT,A9552,"F-18 Fdg, Dx Up to 45 Mci",1722.0,1722.0,254.86,1377.6,23
CPT,A9552,F18 fdg,,,203.15,400.0,36
CPT,A9553,Cr51 chromate,,,0.01,0.01,3
CPT,A9554,"I-125 Iothalamate, Dx Up to 10 Uci",5000.0,5000.0,740.0,4000.0,23
CPT,A9554,I125 iothalamate  dx,,,37.5,40.69,3
CPT,A9555,Rb-82 Rubidium Dx Up to 60 Mci,300.0,300.0,44.4,240.0,23
CPT,A9555,Rb82 rubidium,,,408.63,408.63,2
CPT,A9556,Ga-67 Gallium Citra,169.0,169.0,25.01,135.2,23
CPT,A9556,Ga67 gallium,,,0.01,0.01,3
CPT,A9557,Tc-99m Bicisate Dx Up to 25 Mci,4038.0,4038.0,597.62,3230.4,23
CPT,A9557,Tc99m bicisate,,,683.8,3862.1,23
CPT,A9558,Xe-133 Xenon Dx per 10 Mci,327.0,327.0,48.4,261.6,23
CPT,A9558,Xe133 xenon 10mci,,,242.95,263.6,3
CPT,A9559,Co57 cyano,,,0.01,0.01,3
CPT,A9560,"Tc-99m Labeled RBC, Dx Up to 30 Mci",371.0,371.0,54.91,296.8,23
CPT,A9560,Tc99m labeled rbc,,,100.0,170.37,33
CPT,A9561,Tc-99m Oxidronate Dx Up to 30 Mci,113.0,113.0,16.72,90.4,23
CPT,A9561,Tc99m oxidronate,,,50.16,80.26,30
CPT,A9562,"Tc-99m Mertiatide, Dx Up to 15 Mci",784.0,784.0,116.03,627.2,23
CPT,A9562,Tc99m mertiatide,,,598.5,957.6,30
CPT,A9563,P32 na phosphate,,,179.12,331.37,23
CPT,A9567,Tc-99m Aerosol Dx Up to 75 Mci,367.0,367.0,54.32,293.6,23
CPT,A9568,Technetium tc99m arcitumomab,,,0.01,1497.59,23
CPT,A9569,Tc-99m Auto Wbc Dx per Study,5981.0,5981.0,885.19,4784.8,23
CPT,A9569,Technetium tc-99m auto wbc,,,1040.32,2788.48,53
CPT,A9570,In-111 Indium Auto Wbc Dx per Study,7590.0,7590.0,1123.32,6072.0,23
CPT,A9570,Indium in-111 auto wbc,,,1031.39,4567.81,23
CPT,A9571,In-111 Indium Auto Platelet Dx per Study,7263.0,7263.0,1074.92,5810.4,23
CPT,A9571,Indium in-111 auto platelet,,,4209.96,4567.81,3
CPT,A9572,"In-111 Pentetreotide, Dx Up to 6 Mci",12489.0,12489.0,1848.37,9991.2,23
CPT,A9572,Indium in-111 pentetreotide,,,1914.61,3542.03,20
CPT,A9573,Inj  gadopiclenol  1 ml,,,3.36,5.81,34
CPT,A9575,Inj gadoterate meglumi 0.1ml,,,0.11,0.18,34
CPT,A9576,Inj prohance multipack,,,1.42,2.26,34
CPT,A9577,Inj multihance,,,1.74,2.79,34
CPT,A9578,Inj multihance multipack,,,1.71,2.74,34
CPT,A9579,Gad-base mr contrast nos 1ml,,,1.48,2.36,34
CPT,A9580,"F-18 Sodium Fluoride, Dx Up to 30 Mci",312.0,312.0,46.18,249.6,23
CPT,A9581,Gadoxetate disodium inj,,,14.7,23.57,34
CPT,A9582,"I-123 Mibg, Dx Up to 15 Mci",10753.0,10753.0,1591.44,8602.4,23
CPT,A9582,Iodine i-123 iobenguane,,,2074.81,5278.69,23
CPT,A9583,Gadofosveset trisodium inj,,,0.01,0.01,3
CPT,A9584,"I-123 Ioflupane Dx, Up to 5 Mci",6000.0,6000.0,888.0,4800.0,23
CPT,A9584,Iodine i-123 ioflupane,,,1388.02,2677.78,23
CPT,A9585,Gadobutrol injection,,,0.27,0.44,34
CPT,A9586,Florbetapir f18,,,2194.62,5211.9,53
CPT,A9587,"Ga-68 Gallium Dotatate Dx, per 0.1 Mci",167.0,167.0,24.72,133.6,23
CPT,A9587,"Gallium Ga-68, Dotatate, Diagnostic",8000.0,8000.0,1184.0,6400.0,23
CPT,A9587,Gallium ga-68,,,51.09,94.52,23
CPT,A9588,"F-18 Fluciclovine, Dx per Mci",11015.0,11015.0,1630.22,8812.0,23
CPT,A9588,Fluciclovine f-18,,,268.42,536.42,23
CPT,A9589,Insti hexaminolevulinate hcl,,,1366.36,2281.99,34
CPT,A9590,Iodine i-131 iobenguane 1mci,,,320.39,347.62,4
CPT,A9591,Fluoroestradiol f 18,,,498.67,922.54,23
CPT,A9592,Copper cu 64 dotatate diag,,,595.1,1100.94,23
CPT,A9592,"Cu-64 Copper Dotatate, Dx per Mci",9250.0,9250.0,1369.0,7400.0,23
CPT,A9593,Gallium ga-68 psma-11 ucsf,,,534.91,989.58,23
CPT,A9594,Gallium ga-68 psma-11  ucla,,,372.17,826.35,23
CPT,A9595,Piflu f-18  dia 1 millicurie,,,332.44,629.63,24
CPT,A9595,"Piflufolastat F-18, Dx, 1 Mci (Pylarify)",1354.0,1354.0,200.39,1083.2,23
CPT,A9596,Gallium illuccix 1 millicure,,,511.55,1711.73,24
CPT,A9600,Sr-89 Strontium Chloride Therapeutic per Mci,3784.0,3784.0,560.03,3027.2,23
CPT,A9600,Sr89 strontium,,,3750.0,7670.73,24
CPT,A9601,Flortaucipir inj 1 millicuri,,,350.0,6863.5,24
CPT,A9602,Fluorodopa f-18 diag per mci,,,446.88,1616.6,24
CPT,A9603,Inj  pafolacianine  0.1 mg,,,132.81,144.1,3
CPT,A9604,Sm 153 lexidronam,,,4314.91,17666.92,24
CPT,A9604,Sm-153 Samarium Lexidronam Therapeutic Up to 150 Mci,48815.0,48815.0,7224.62,39052.0,23
CPT,A9606,Ra-223 Radium Dichloride Ther per Uci,391.0,391.0,57.87,312.8,23
CPT,A9606,Radium ra223 dichloride ther,,,164.1,318.61,27
CPT,A9607,Lutetium lu 177 vipivotide,,,237.83,473.3,27
CPT,A9608,Flotufolastat f18 diag 1 mci,,,614.78,1241.76,24
CPT,A9610,Xe129 xenon  diagnostic,,,1040.0,1128.4,3
CPT,A9611,Flurpiridaz f18  diag  1 mci,,,530.0,980.5,17
CPT,A9615,Inj  pegulicianine  1 mg,,,37.51,69.39,20
CPT,A9616,Gallium gozellix 1 millicuri,,,1171.3,2166.91,13
CPT,A9697,Inj  magtrace per study dose,,,1137.96,11948.91,20
CPT,A9800,Gallium locametz 1 millicuri,,,381.01,1441.18,24
CPT,B4087,Button 1.2cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 1.7cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 1.7cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 1.7cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CPT,B4087,Button 2.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 2.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CPT,B4087,Button 3.4cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 3.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 3.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CPT,B4087,Button 4.4cm 18fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 4.4cm 24fr Lp Repl Gstrm Evv,296.0,296.0,43.81,236.8,23
CPT,B4087,Button 4.4cm 24fr Lp Repl Gstrm Evv Enfit,310.0,310.0,45.88,248.0,23
CPT,B4087,Kit Pg 18fr Lp Pul 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Lp Pul 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Lp Pul 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Lp Push 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Lp Push 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Lp Push 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,115
CPT,B4087,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,115
CPT,B4087,Kit Pg 18fr Sil Lp Anrflx V Rtrvl Snr Push Evv,447.5,447.5,65.12,364.0,92
CPT,B4087,Kit Pg 20fr Pul Evv Enfit,227.0,227.0,33.6,181.6,23
CPT,B4087,Kit Pg 20fr Pul Evv Enfit Std,155.0,155.0,22.94,124.0,23
CPT,B4087,Kit Pg 20fr Push Evv Enfit,227.0,227.0,33.6,181.6,23
CPT,B4087,Kit Pg 20fr Push Evv Enfit Std,155.0,155.0,22.94,124.0,23
CPT,B4087,Kit Pg 20fr Sil Clmp Fenestrate Drp Push Evv Std,148.0,148.0,21.9,118.4,23
CPT,B4087,Kit Pg 24fr Lp Pul 1stp Btn 2.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 24fr Lp Pul 1stp Btn 3.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 24fr Lp Pul 1stp Btn 4.4cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 24fr Lp Push 1stp Btn 1.7cm,447.0,447.0,66.16,357.6,23
CPT,B4087,Kit Pg 24fr Pul Evv Enfit,227.0,227.0,33.6,181.6,23
CPT,B4087,Kit Pg 24fr Sil Clmp Fenestrate Drp Push Evv Std,148.0,148.0,21.9,118.4,23
CPT,B4087,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv,455.0,455.0,67.34,364.0,92
CPT,B4087,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Pul Evv 1stp,440.0,440.0,65.12,352.0,92
CPT,B4087,Kit Pg 24fr Sil Lp Anrflx V Rtrvl Snr Push Evv,447.5,447.5,65.12,364.0,138
CPT,B4087,Kit Pg 24fr Xlcn Sil Trocar Cannu Rnd Xtrn Blstr,219.0,219.0,32.41,175.2,23
CPT,B4087,Tube 12fr Std PR Repl Bln Blstr Gstrm Evv Right,78.0,78.0,11.54,62.4,23
CPT,B4087,Tube 12fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 14fr 3 Port Repl Str Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 14fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 16fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 16fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 18fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 18fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 20fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 20fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 22fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 22fr Std PR Repl Bln Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 24fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 24fr Repl Str Ang Blstr Gstrm Evv Enfit,71.0,71.0,10.51,56.8,23
CPT,B4087,Tube 28fr Repl Bln Std PR Blstr Gstrm Evv Str,68.0,68.0,10.06,54.4,23
CPT,B4087,Tube 28fr Std PR Repl Bln Blstr Gstrm Evv Right,78.0,78.0,11.54,62.4,23
CPT,B4087,Tube Jjnstm 12fr Evv Pgtl Tip Feed Thr the Pg Stf,341.0,341.0,50.47,272.8,23
CPT,B4087,Tube Jjnstm 68cm 12fr Evv Bntp Thr the Pg Suture,341.0,341.0,50.47,272.8,23
CPT,B4087,Tube Jjnstm 8.5fr Evv Pgtl Tip Feed Thr the Pg Stf,341.0,341.0,50.47,272.8,46
CPT,B4088,Button Gstrm 18fr 3cm 5ml Strl,260.0,260.0,38.48,208.0,23
CPT,B4088,Button Gstrm 18fr 5cm 5ml Strl,256.0,256.0,37.89,204.8,23
CPT,B4088,Button Gstrm 20fr 3cm 5ml Strl,256.0,256.0,37.89,204.8,23
CPT,B4088,Kit Gastrostomy Lp Taper 18fr,260.0,260.0,38.48,208.0,46
CPT,B4088,Kit Jjnstm 22fr 45cm 7-10ml St,854.0,854.0,126.39,683.2,69
CPT,C1062,Intravertebral fx aug impl,,,11661.3,12600.0,3
CPT,C1062,Spinejack Case Kit 4.2mm,9371.0,9371.0,1386.91,7496.8,23
CPT,C1062,Spinejack Case Kit 5.0mm,9371.0,9371.0,1386.91,7496.8,23
CPT,C1062,Spinejack Case Kit 5.8mm,9371.0,9371.0,1386.91,7496.8,23
CPT,C1600,Cath  bladed  vasc prep,,,,,0
CPT,C1601,Endo  single  pulmonary,,,,,0
CPT,C1602,Orth/matrx/bn fill drug-elut,,,,,0
CPT,C1603,Ret dev  laser  ivc filter,,,,,0
CPT,C1604,Grft  trnsmurl/trnsvens byps,,,,,0
CPT,C1605,Pmkr  dual  leadless,,,,,0
CPT,C1606,Adapter  us to endoscope,,,,,0
CPT,C1713,Amplatz Anchor System 10 X 30,117.0,117.0,17.32,93.6,23
CPT,C1713,Cement Bn Crtdg Cncrt Crng Sys,275.0,275.0,40.7,220.0,23
CPT,C1713,Cement Bn Kyphon 10% Ha Activos 10,840.0,840.0,124.32,672.0,23
CPT,C1713,Cement Bn Kyphon Xpede Mxr,345.0,345.0,51.06,276.0,23
CPT,C1713,Cement Bn Strl Kphx Hv-R Pwdr Mx Bd Dspns Plng 30% Baso4,358.0,358.0,52.98,286.4,23
CPT,C1713,Cement Bn Strl Lf Hv-R Kphx Mxr Grad Mrk Dspns Plng Ll Fit,578.0,578.0,85.54,462.4,23
CPT,C1713,Inframe Implant 2.0mm X 12mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 14mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 16mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 18mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 20mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 22mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 24mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 26mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 28mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 30mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 32mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 34mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 36mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 38mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 40mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 42mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 44mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 46mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Inframe Implant 2.0mm X 48mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Injector Bn Cmnt 3 Kphx Bln Kyphpl,345.0,345.0,51.06,276.0,23
CPT,C1713,Innate Implant 3.6mm X 25mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 30mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 35mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 40mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 45mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 50mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Innate Implant 3.6mm X 55mm,2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 35mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 40mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 45mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 50mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 55mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 65mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,"Innate Implant, 4.5mm X 75mm",2488.0,2488.0,368.22,1990.4,23
CPT,C1713,Kyphon Xpede Bone Cement and Mixer,625.0,625.0,92.5,500.0,23
CPT,C1713,Mixer Bn Cmnt C20gm Strl Kyphon Ll Fit Dspns Plng Stirr Pdl,220.0,220.0,32.56,176.0,23
CPT,C1713,System Bn Cmnt 3 Kyphon Gun Fil Dev,1363.0,1363.0,201.72,1090.4,23
CPT,C1713,System Bone Cement Kyphon 2 Delivery Gun Filler Device,1363.0,1363.0,201.72,1090.4,23
CPT,C1713,Xpede Cement and Mixer With Size 2 Multi-Tap,675.0,675.0,99.9,540.0,23
CPT,C1713,Xpede Cement and Mixer With Size 3 Multi-Tap,675.0,675.0,99.9,540.0,23
CPT,C1716,Brachytx  non-str  gold-198,,,270.91,1606.41,16
CPT,C1717,Brachytx  non-str hdr ir-192,,,342.39,633.42,16
CPT,C1717,"Brachytx, Non-Str,Hdr IR-192",700.0,700.0,103.6,560.0,23
CPT,C1719,Brachytx  ns  non-hdrir-192,,,348.42,1044.33,16
CPT,C1721,Defibrillator Cardiac .99cm 5.37x7.68cm 2 Chamber Extend,37500.0,37500.0,5550.0,30000.0,23
CPT,C1721,Defibrillator Cardiac Ilivia Neo 7 Dr T Conn,43750.0,43750.0,6475.0,35000.0,23
CPT,C1721,Defibrillator Crd .99cm 5.37x7.79cm 31.5cc Mmnt Heartlogic,29700.0,29700.0,4395.6,23760.0,23
CPT,C1721,Defibrillator Crd Thk12mm 51x69mm 31cc Gallant Impl 2 Chmbr,18750.0,18750.0,2775.0,15000.0,23
CPT,C1721,Dfbr Crd Evera MRI Surescan Df-1 Pin Plg Xt Dr,41500.0,41500.0,6142.0,33200.0,23
CPT,C1721,Evera MRI Xt Dr Icd (Dual Chamber Icd) Df4 Header,41500.0,41500.0,6142.0,33200.0,23
CPT,C1721,Maximo II Dr Dual Icd,55588.0,55588.0,8227.02,44470.4,23
CPT,C1721,Pacemaker Crd Strl Cblt Dr 2 Chmbr Df4 Inln Cnct Radopq,33750.0,33750.0,4995.0,27000.0,23
CPT,C1721,Resonate El Aicd Dual Chamber 5.37cm 7.68cm 0.99cm,28250.0,28250.0,4181.0,22600.0,23
CPT,C1722,Cobalt Vr MRI Surescan Single-Chamber Icd System W/Surescan Dr-Icd Device & Surescan Defibrillation Lead,28250.0,28250.0,4181.0,22600.0,23
CPT,C1722,Defibrillator Crd .99cm 5.37x7.36cm Dynagen,33750.0,33750.0,4995.0,27000.0,23
CPT,C1722,Defibrillator Crd Acticor 7 Vr-T Dx,43500.0,43500.0,6438.0,34800.0,23
CPT,C1722,Defibrillator Crd Thk12mm 51x63mm 30cc Gallant 1 Chmbr Df4,18750.0,18750.0,2775.0,15000.0,23
CPT,C1722,Dfbr Crd .99cm 5.37x7.36cm Resonate Heartlogic,23893.0,23893.0,3536.16,19114.4,23
CPT,C1722,Dfbr Crd Cblt Vr Df4 MR Conditional,28250.0,28250.0,4181.0,22600.0,23
CPT,C1722,Dfbr Crd Visia Af MRI Df4 Vr,36500.0,36500.0,5402.0,29200.0,23
CPT,C1722,Ellipse Next Gene Dr 36 Df4 Conn,45811.0,45811.0,6780.03,36648.8,23
CPT,C1722,Ellipse Next Gene Vr 36 System,51722.0,51722.0,7654.86,41377.6,23
CPT,C1722,Ellipse Vr 36,53200.0,53200.0,7873.6,42560.0,23
CPT,C1722,Fortify Assura Next Gene Vr 40,39900.0,39900.0,5905.2,31920.0,23
CPT,C1722,Fortify Assura Next Gene Vr 40 Df4 Conn System,51722.0,51722.0,7654.86,41377.6,23
CPT,C1722,Fortify Assura Next Gene Vr 40 System,51722.0,51722.0,7654.86,41377.6,23
CPT,C1722,Fortify Assura Vr 40,53200.0,53200.0,7873.6,42560.0,23
CPT,C1722,Fortify Assura Vr 40 Df4 Connector,53200.0,53200.0,7873.6,42560.0,23
CPT,C1722,Fortify Assura Vr 40 Df4 Connector Icd/Defib/Resync,53200.0,53200.0,7873.6,42560.0,23
CPT,C1722,Generator Pcmkr 83.1x69.1mm Eblm S-Icd 12.7mm 59.5,42500.0,42500.0,6290.0,34000.0,23
CPT,C1722,Generator Pulse Sq-Rx and Q-Trak Electrode,71926.0,71926.0,10645.05,57540.8,23
CPT,C1722,Visia Vr Icd (Single Chamber Icd) Df 1 Header,36500.0,36500.0,5402.0,29200.0,23
CPT,C1724,Cath Athrcm 135cm .58in Rtbl Rtl 1.25mm Ptfe Shth Precnct,1364.0,1364.0,201.87,1091.2,23
CPT,C1724,Cath Athrcm 135cm .58in Rtbl Rtl 1.5mm Ptfe Shth Precnct,1364.0,1364.0,201.87,1091.2,23
CPT,C1724,Cath Athrcm 135cm .58in Rtbl Rtl 1.75mm Precnct Exchgl Rot,1364.0,1364.0,201.87,1091.2,23
CPT,C1724,Cath Athrcm 135cm Rtbl Rtl+ 2.25mm Bur Precnct Exchgl Rot,3409.0,3409.0,504.53,2727.2,23
CPT,C1724,Catheter Athrcm 145cm Stlth 360 1.25mm Orbtl Cls,9488.0,9488.0,1404.22,7590.4,46
CPT,C1724,Catheter Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,69
CPT,C1724,System Athrcm Strl Lf Rotapro Precnct Exchgl Bur Cath Adv,5988.0,5988.0,886.22,4790.4,23
CPT,C1725,7fr-100cm Montef 10re Cat,54.0,54.0,7.99,43.2,23
CPT,C1725,"Balloon Coyote 2.5 X 220, 150cm, Otw",900.0,900.0,133.2,720.0,23
CPT,C1725,Balloon Nc Trek 2.5 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 2.5 X 20mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 2.5 X 25mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 2.75 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 2.75 X 20mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.0 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.0 X 15mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.0 X 20mm,685.0,685.0,101.38,548.0,23
CPT,C1725,Balloon Nc Trek 3.0 X 25mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.25 X 15mm,488.0,488.0,72.22,390.4,23
CPT,C1725,Balloon Nc Trek 3.5 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.5 X 15mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.5 X 20mm,685.0,685.0,101.38,548.0,23
CPT,C1725,Balloon Nc Trek 3.5 X 25mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.5 X 8mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 3.75 X 15mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 4.0 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 4.0 X 15mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 4.0 X 20mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 4.0 X 8mm,652.0,652.0,96.5,521.6,23
CPT,C1725,Balloon Nc Trek 5.0 X 12mm,652.0,652.0,96.5,521.6,23
CPT,C1725,"Balloon, Mini Trek Otw 1.50 X",652.0,652.0,96.5,521.6,23
CPT,C1725,"Balloon, Mini Trek Otw 2.00 X",652.0,652.0,96.5,521.6,46
CPT,C1725,Band Tr 24cm,123.0,123.0,18.2,98.4,23
CPT,C1725,Band Tr 29cm,123.0,123.0,18.2,98.4,23
CPT,C1725,Cat Bald .035in 6mm 75cm 60mm High Pres Lp,450.5,450.5,64.82,370.4,46
CPT,C1725,Cat Bald .035in 7mm 75cm 60mm High Pres Lp,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald .035in 8mm 75cm 60mm High Pre Lp,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald 5fr 9mm 75cm 60mm High Pres Lp Infl,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald 6mm 75cm 40mm High Pres Lp Infla Pt,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Lp 5.3fr 5mm 75cm 20mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Lp 5.3fr 6mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Lp 5.3fr 7mm 135cm 100mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Lp 5.8fr 10mm 135cm 20mm High Pre,438.0,438.0,64.82,350.4,23
CPT,C1725,Cat Bald Lp 5.8fr 12mm 75cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Lp 5.8fr 9mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cat Bald Ult Lp Tap 6fr 2.5mm 150cm 100mm Otw,686.0,686.0,101.53,548.8,23
CPT,C1725,Cat Guid Ebu3.75 Curve 7fr .081in 100cm Luch,163.0,163.0,24.12,130.4,23
CPT,C1725,Catbald Lp 5.3fr 7mm 135cm 60mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Cath Baldilat .014in 5fr 2.5mm 20mm Coron Rapex Ult Lp Guid,390.0,390.0,57.72,312.0,23
CPT,C1725,Cath Baldilat .014in 5fr 3.5mm 20mm Coron Rapex Ult Lp Guid,336.0,336.0,49.73,268.8,23
CPT,C1725,Cath Baldilat .021in 5fr 1.5mm 8mm Coron Otw Flxb Tung Mrkr,175.0,175.0,25.9,140.0,23
CPT,C1725,Cath Baldilat .021in 5fr 4mm 12mm Coron Rapex Lp Flxb Tung,353.0,353.0,52.24,282.4,23
CPT,C1725,Cath Baldilat .021in 5fr 4mm 8mm Coron Rapex Hypotube Slim,371.0,371.0,54.91,296.8,23
CPT,C1725,Cath Baldilat .035in 5fr 5mm 135cm 200mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CPT,C1725,Cath Baldilat .035in 5fr 8mm 75cm 40mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CPT,C1725,Cath Baldilat .035in 5fr 9mm 75cm 40mm Pta Lp Nc Mustang,525.0,525.0,77.7,420.0,23
CPT,C1725,Cath Baldilat 2.25mm 15mm Coron Rapex Flxb Dual Tung Mrkr,371.0,371.0,54.91,296.8,23
CPT,C1725,Cath Baldilat 3.25mm 20mm Coron Rapex Dual Tung Mrkr Flxb,371.0,371.0,54.91,296.8,23
CPT,C1725,Cath Baldilat 3.25mm 8mm Coron Rapex Dual Tung Mrkr Flxb,336.0,336.0,49.73,268.8,23
CPT,C1725,Cath Baldilat 4.5mm 15mm Coron Rapex Dual Tung Mrkr Flxb,336.0,336.0,49.73,268.8,23
CPT,C1725,Cath Baldilat 4.5mm 8mm Coron Rapex Flxb Dual Tung Mrkr Smth,353.0,353.0,52.24,282.4,23
CPT,C1725,Cath Baldilat 5mm 15mm Coron Rapex Flxb Dual Tung Mrkr Smth,371.0,371.0,54.91,296.8,23
CPT,C1725,Cath Baldilat Rnd 4.5mm 12mm 2 Mrkr Rapex Ml Lr Smth Flxb,362.0,362.0,53.58,289.6,23
CPT,C1725,Cath Baldilat Ult Lp 5fr 5mm 12mm Coron 2 Lum Rapex Flxb,345.0,345.0,51.06,276.0,23
CPT,C1725,Cath Ball Dilatation Viatrac 14 Plus Xcelon .014 in L,739.0,739.0,109.37,591.2,23
CPT,C1725,Catheter Angio .035in 5fr 90cm,275.0,275.0,40.7,220.0,23
CPT,C1725,Catheter Angio .035in Vanschie4 Crv 5fr 65cm Strl Bcntp Bfur,388.0,388.0,57.42,310.4,23
CPT,C1725,Catheter Angio .038in Ka2 Crv 5fr .046in 40cm Impr,150.0,150.0,22.2,120.0,23
CPT,C1725,Catheter Angio .038in Sim1 Crv 5fr 100cm Trnb Ad Bcntp Ang,313.0,313.0,46.32,250.4,23
CPT,C1725,Catheter Angio .038in Vtk Crv 5fr 125cm Trnb Ad Bcntp Nyl Ss,313.0,313.0,46.32,250.4,23
CPT,C1725,Catheter Angio 100cm 5fr Crds Infnt Jl3.5 Curve,97.0,97.0,14.36,77.6,23
CPT,C1725,Catheter Angio 100cm 5fr Crds Infnt Jr4 Curve,97.0,97.0,14.36,77.6,23
CPT,C1725,Catheter Angio 100cm 5fr Optitorque Radl Tig 4.5,88.0,88.0,13.02,70.4,23
CPT,C1725,Catheter Angio 125cm 6fr Crds St+ Jl4 Curve Coron,84.0,84.0,12.43,67.2,23
CPT,C1725,Catheter Angio 125cm 6fr Crds St+ Jr4 Curve Coron,84.0,84.0,12.43,67.2,23
CPT,C1725,Catheter Angio 3d Right Coron Curve Thnwl 6fr .057,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio AR 1 Mod Crv 6fr .057in 100cm Infnt Thrlmn,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Ang Sim2 Crv 5f,313.0,313.0,46.32,250.4,23
CPT,C1725,Catheter Angio Ap2 Crv 5fr 110,275.0,275.0,40.7,220.0,23
CPT,C1725,Catheter Angio Fl3.5 Crv 6fr 1,18.0,18.0,2.66,14.4,23
CPT,C1725,Catheter Angio Gpc Crv 6.7fr 1,275.0,275.0,40.7,220.0,23
CPT,C1725,Catheter Angio Ima Crv 5fr 100,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Ima Crv 6fr .057in 100cm Infnt Thrlmn Radopq,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Jl 5 Crv 6fr .0,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Jl Coron 4 Curve 6fr .079in .057in,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Jr 5 Crv 6fr .0,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Jr5 Crv 5fr 100,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Kmp Crv Ang 5fr,63.0,63.0,9.32,50.4,23
CPT,C1725,Catheter Angio Lcab Crv 5fr .047in 100cm Infnt Thrlmn Radopq,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Lcab Crv 6fr .079in .057in 100cm Lf Infnt,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Multipurpose1 Crd Crv 6fr 100cm St+ 2 Sh Brd,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Multpur A2 Curv,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Pgtl Fl4 Fr4 Cr,18.0,18.0,2.66,14.4,23
CPT,C1725,Catheter Angio Rdc 5fr 65cm Tr,313.0,313.0,46.32,250.4,23
CPT,C1725,Catheter Angio Sim2 Crv 5fr 12,613.0,613.0,90.72,490.4,23
CPT,C1725,Catheter Angio Sm Jl Coron 3.5,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Sos O2 Curve 5fr 80cm Vscr Radiopq,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Angio Std Al 1 Crv 5fr 100cm Infnt Thrlmn Brd Atrm,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Std Jl 4 Crv 6f,22.0,22.0,3.26,17.6,23
CPT,C1725,Catheter Angio Std Jr 4 Crv 6fr 100cm Infnt Thrlmn Vestan,19.0,19.0,2.81,15.2,23
CPT,C1725,Catheter Angio Vanschie 3 Crv,160.0,160.0,23.68,128.0,23
CPT,C1725,Catheter Angio Vanschie 5 Crv,160.0,160.0,23.68,128.0,23
CPT,C1725,Catheter Angio Vtk Curve 5fr 125cm Cerebrum Trnb,33.0,33.0,4.88,26.4,23
CPT,C1725,Catheter Angiographic .035in Pigtail 5fr .052in 90cm Ultra,305.0,305.0,45.14,244.0,23
CPT,C1725,Catheter Angiographic .038in V,313.0,313.0,46.32,250.4,23
CPT,C1725,Catheter Angiographic Angle 4fr.041in 65cm 15cm 2 Braid,123.0,123.0,18.2,98.4,23
CPT,C1725,Catheter Angiographic Angle 5fr .047in 65cm 25cm 1 Braid,123.0,123.0,18.2,98.4,23
CPT,C1725,Catheter Angiographic Angle Kmp Curve Taper 5fr 65cm Lp,325.0,325.0,48.1,260.0,23
CPT,C1725,Catheter Angiographic Chuang C Curve 5fr 80cm Torcon Nb,63.0,63.0,9.32,50.4,23
CPT,C1725,Catheter Angiographic Motarjeme Curve 5fr .046in 100cm Braid,310.0,310.0,45.88,248.0,23
CPT,C1725,Catheter Baldilat .035in 5mm 135cm 60mm High Pressure Lp,438.0,438.0,64.82,350.4,23
CPT,C1725,Catheter Baldilat .035in 5mm 75cm 40mm High Pressure Lp,500.0,500.0,74.0,400.0,23
CPT,C1725,Catheter Baldilat .035in 7fr 14mm 80cm 4cm Gold,688.0,688.0,101.82,550.4,23
CPT,C1725,Catheter Baldilat .035in 7mm 75cm 40mm High Pressure Lp,438.0,438.0,64.82,350.4,23
CPT,C1725,Catheter Baldilat .035in 8fr 16mm 80cm 4cm Gold,722.0,722.0,106.86,577.6,23
CPT,C1725,Catheter Baldilat .035in 8fr 18mm 80cm 4cm Gold,722.0,722.0,106.86,577.6,23
CPT,C1725,Catheter Baldilat 10mm 75cm 20mm Hi-Prs Nybax,438.0,438.0,64.82,350.4,23
CPT,C1725,Catheter Baldilat 12mm 75cm 40mm High Pressure Lp,500.0,500.0,74.0,400.0,23
CPT,C1725,Catheter Baldilat 12mm 75cm 40mm High Pressure Lp Mustang,430.0,430.0,63.64,344.0,23
CPT,C1725,Catheter Baldilat 2.25mm 10mm Rapex Legend Semicom,1033.0,1033.0,152.88,826.4,23
CPT,C1725,Catheter Baldilat 2.25mm 12mm Coron Rapex Ult Lp,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Baldilat 2.25mm 142cm 25mm Tpr Distal,270.0,270.0,39.96,216.0,23
CPT,C1725,Catheter Baldilat 2.25mm 20mm Coron Rapex Radiopq,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Baldilat 2.5mm 150cm 220mm Otw Inflat,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Baldilat 2.5mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2.5mm 30mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2mm 12mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2mm 142cm 40mm Radiopq Optileap,275.0,275.0,40.7,220.0,23
CPT,C1725,Catheter Baldilat 2mm 150cm 150mm Otw Inflat Port,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Baldilat 2mm 15mm Coron Rapex Radiopq,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2mm 20mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 2mm 8mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 3.5mm 25mm Coron Rapex Radiopq,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 3mm 140cm 15mm Rapex Ntnl Latex,1875.0,1875.0,277.5,1500.0,23
CPT,C1725,Catheter Baldilat 3mm 142cm 25mm Otw Push Coil,270.0,270.0,39.96,216.0,23
CPT,C1725,Catheter Baldilat 3mm 20mm Coron Rapex Ult Lp,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Baldilat 3mm 25mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1725,Catheter Baldilat 4.5mm 12mm Coron Rapex Radiopq,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Baldilat 4.5mm 8mm Coron Rapex Radiopq,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Baldilat 4mm 150cm 220mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Baldilat 4mm 75cm 20mm Hi-Prs Nybax,430.0,430.0,63.64,344.0,23
CPT,C1725,Catheter Baldilat 4mm 80cm 100mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 4mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 4mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 4mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 4mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CPT,C1725,Catheter Baldilat 4mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CPT,C1725,Catheter Baldilat 5mm 80cm 100mm Otw Drg Coat,3488.0,3488.0,516.22,2790.4,23
CPT,C1725,Catheter Baldilat 5mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 5mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 5mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 5mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CPT,C1725,Catheter Baldilat 5mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CPT,C1725,Catheter Baldilat 60mm 3.5mm 7mm Shockwave M5 Cx,8625.0,8625.0,1276.5,6900.0,23
CPT,C1725,Catheter Baldilat 6mm 135cm 80mm Peri Otw Tpr Tip,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Baldilat 6mm 20mm 135cm Otw Tpr Tip Lp,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Baldilat 6mm 80cm 100mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 6mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 6mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 6mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 6mm 90cm 150mm Otw Drg Coat,3988.0,3988.0,590.22,3190.4,23
CPT,C1725,Catheter Baldilat 6mm 90cm 200mm Otw Drg Coat,4988.0,4988.0,738.22,3990.4,23
CPT,C1725,Catheter Baldilat 7mm 135cm 120mm Hi-Prs Nybax,430.0,430.0,63.64,344.0,23
CPT,C1725,Catheter Baldilat 7mm 80cm 40mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 7mm 80cm 60mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat 7mm 80cm 80mm Otw Drg Coat,3238.0,3238.0,479.22,2590.4,23
CPT,C1725,Catheter Baldilat Lp 5.3fr 4mm 75cm 20mm High Pres,463.0,463.0,68.52,370.4,23
CPT,C1725,Catheter Baldilat Lp 5.3fr 4mm 75cm 60mm High Pressure,450.5,450.5,64.82,370.4,46
CPT,C1725,Catheter Baldilat Lp 5.3fr 6mm 135cm 40mm High Pressure,500.0,500.0,74.0,400.0,23
CPT,C1725,Catheter Baldilat Lp 5.3fr 8mm 75cm 20mm High Pressure,500.0,500.0,74.0,400.0,23
CPT,C1725,Catheter Baldilat Ultra Lp 5fr 1.5mm 12mm 2 Lumen,275.0,275.0,37.0,240.0,46
CPT,C1725,Catheter Baldilat Ultra Lp 5fr 1.5mm 15mm 2 Lumen,275.0,275.0,37.0,240.0,46
CPT,C1725,Catheter Baldilat Ultra Lp 5fr 1.5mm 20mm 2 Lumen,300.0,300.0,44.4,240.0,23
CPT,C1725,Catheter Baldilat Ultra Lp 5fr 1.5mm 8mm 2 Lumen R,300.0,300.0,44.4,240.0,23
CPT,C1725,Catheter Baldilat Ultra Lp Taper 6fr 4mm 150cm 220mm Coyote,857.0,857.0,126.84,685.6,23
CPT,C1725,Catheter Balloon Dilatation Mustang Nybax L135cm L80mm Od5.3fr,438.0,438.0,64.82,350.4,23
CPT,C1725,Catheter Balloon Dilit Coyote 2 X 220 150cm Otw,900.0,900.0,133.2,720.0,23
CPT,C1725,Catheter Balloon Dilit Coyote 3 X 100 150cm Otw,900.0,900.0,133.2,720.0,23
CPT,C1725,Catheter Blndil .064in 3.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 4.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 4mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 5.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 5mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 6.5mm 110cm Lf 60mm Lithoplasty Otw,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 6mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil .064in 7mm 110cm Lf 60mm Lithoplasty Otw Bln,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 1.50mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 1.50mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 1.50mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 1.50mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 1.50mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 1.5mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 1.5mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 1.5mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 1.5mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 1.5mm 6mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 1.5mm 6mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 10 Atm 6 Atm .014in 2.5-.052mm 135cm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 10 Atm 6 Atm .014in 3-.052mm 40mm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 10 Atm 6 Atm .014in 3.5-.052mm 135cm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 10 Atm 6 Atm .014in 4-.052mm 40mm Strl Lf,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 2.25mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.25mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.25mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.25mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.25mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.25mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 20mm Takeru Rx Smcpnt Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 30mm Trek Slim Sl Rx Ult Loprfl,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Blndil 2.25mm 6mm Nc Trek Rx Radopq Smth Rnd Tip,175.0,175.0,25.9,140.0,23
CPT,C1725,Catheter Blndil 2.25mm 8mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.25mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 25mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.50mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.5mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 20mm Takeru Rx Smcpnt Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 8mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.5mm 90cm 60mm Cyte Otw Ult Loprfl Nybax,418.0,418.0,61.86,334.4,23
CPT,C1725,Catheter Blndil 2.75mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.75mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.75mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.75mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.75mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.75mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2.75mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.75mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2.75mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 20mm 100cm Lf,1382.0,1382.0,204.54,1105.6,23
CPT,C1725,Catheter Blndil 21cm .022in 2.5mm 142cm Lf 15mm Spntr Lgnd,413.0,413.0,61.12,330.4,46
CPT,C1725,Catheter Blndil 2mm 12mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 12mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 12mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 2mm 15mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 15mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 15mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 20mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 20mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 21mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 8mm Rx Takeru Lo Entry Prfl Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 8mm Takeru Otw Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 2mm 8mm Takeru Rx Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.25mm 12mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.25mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 15mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.25mm 20mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.25mm 8mm Nc Trek Rx Radopq Smth Rnd Tip,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.25mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.5mm .027in 3.5mm 138cm Lf 21mm Nc Spntr Rx,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Blndil 3.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 3.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.5mm 150cm 60mm Cyte Mnrl Ult Loprfl Nybax,418.0,418.0,61.86,334.4,23
CPT,C1725,Catheter Blndil 3.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.5mm 25mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 6mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.5mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3.75mm 12mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.75mm 15mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.75mm 20mm Strl Lf 145cm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3.75mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 12mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 15mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 20mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 25mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 6mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 145cm Strl Lf 8mm Nc Trek Neo Rx,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 3mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 3mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 4.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 4.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4.5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 4mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4mm 12mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 4mm 142cm Lf 8mm Nc Euphora Rx Loprfl Radopq,425.0,425.0,62.9,340.0,23
CPT,C1725,Catheter Blndil 4mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4mm 15mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 4mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4mm 21mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 4mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 4mm 8mm Takeru Ptca,288.0,288.0,42.62,230.4,23
CPT,C1725,Catheter Blndil 5.5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 5.5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5.5mm 135cm 15,450.0,450.0,66.6,360.0,23
CPT,C1725,Catheter Blndil 5.5mm 135cm 30,450.0,450.0,66.6,360.0,23
CPT,C1725,Catheter Blndil 5.5mm 135cm 40,450.0,450.0,66.6,360.0,23
CPT,C1725,Catheter Blndil 5.5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5.5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 5mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 5mm 75cm 2cm Conq Radopq Rpd Infl Shthls,463.0,463.0,68.52,370.4,23
CPT,C1725,Catheter Blndil 5mm 8mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 6.5mm 110cm 60mm Shockwave M5 Peri Acpt 7fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 6mm 110cm 60mm Shockwave M5 Peri Acpt 6fr,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Catheter Blndil 6mm 12mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 6mm 135cm 15mm,450.0,450.0,66.6,360.0,23
CPT,C1725,Catheter Blndil 6mm 135cm 40mm,450.0,450.0,66.6,360.0,23
CPT,C1725,Catheter Blndil 6mm 15mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 6mm 20mm Strl Lf 145cm Nc Trek Neo Rx Flxb,213.0,213.0,31.52,170.4,23
CPT,C1725,Catheter Blndil 6mm 90cm 20mm PR Ctbln Otw Infl Port Tpr Tip,1750.0,1750.0,259.0,1400.0,23
CPT,C1725,Catheter Blndil 6mm 90cm 40mm,198.0,198.0,29.3,158.4,23
CPT,C1725,Catheter Blndil 7mm 75cm 2cm Conq Radopq Rpd Infl Shthls,663.0,663.0,98.12,530.4,23
CPT,C1725,Catheter Delivery System .038in Sims Curve 5fr .04,329.0,329.0,48.69,263.2,23
CPT,C1725,Catheter Glide Simmons 2,171.0,171.0,25.31,136.8,23
CPT,C1725,Catheter Guid 100cm 7fr Lnchr Ebu3.75 Curve Coron,163.0,163.0,24.12,130.4,23
CPT,C1725,Catheter IV Std 18ga 1.16in Gr,9.0,9.0,1.33,7.2,23
CPT,C1725,Catheter Intravenous Standard,9.0,9.0,1.33,7.2,23
CPT,C1725,Catheter Pa 110cm 7fr 10mm Arw 1 Lum Bln Wdg Prss,168.0,168.0,24.86,134.4,23
CPT,C1725,Catheter Vertebral 5fr,40.0,40.0,5.92,32.0,23
CPT,C1725,Catr Bald 14 Atm Lp Taer 7fr 5mm 150cm 150mm,754.0,754.0,111.59,603.2,23
CPT,C1725,Chocolate Ptca Balloon Catheter 2.0x10 Mm 5f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 2.0x15 Mm 5f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 2.0x20 Mm 5f,1875.0,1875.0,277.5,1500.0,23
CPT,C1725,Chocolate Ptca Balloon Catheter 2.5x10 Mm 5f,1331.5,1331.5,116.62,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 2.5x15 Mm 5f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 2.5x20 Mm 5f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 3.0x10 Mm 6f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 3.0x20 Mm 6f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 3.5x10 Mm 6f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 3.5x15 Mm 6f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Chocolate Ptca Balloon Catheter 3.5x20 Mm 6f,1312.5,1312.5,111.0,1500.0,46
CPT,C1725,Conquest Dialation Balloon 10m,717.0,717.0,106.12,573.6,46
CPT,C1725,Conquest Dialation Balloon 12m,717.0,717.0,106.12,573.6,23
CPT,C1725,Conquest Dialation Balloon 5mm,717.0,717.0,106.12,573.6,23
CPT,C1725,Conquest Dialation Balloon 6mm,590.0,590.0,68.52,573.6,46
CPT,C1725,Conquest Dialation Balloon 7mm,717.0,717.0,106.12,573.6,23
CPT,C1725,Conquest Dialation Balloon 8mm,717.0,717.0,106.12,573.6,46
CPT,C1725,Conquest Pta Balloon Dilatatio,753.0,753.0,111.44,602.4,23
CPT,C1725,Coyote MR 1.5mm X 40mm X 150cm,417.5,417.5,61.79,334.0,23
CPT,C1725,Coyote MR 2.5mm X 60mm X 150cm,1045.0,1045.0,154.66,836.0,23
CPT,C1725,Coyote MR 2mm X 60mm X 150cm,1045.0,1045.0,154.66,836.0,23
CPT,C1725,Coyote MR 3mm X 80mm X 150cm,1045.0,1045.0,154.66,836.0,23
CPT,C1725,Coyote Otw 1.5mm X 40mm X 90cm,417.5,417.5,61.79,334.0,23
CPT,C1725,Coyote Otw 2mm X 60mm X 90cm,418.0,418.0,61.86,334.4,23
CPT,C1725,Cxi Support Cath 2.6f .018in 135cm Ang2 Tip,546.0,546.0,80.81,436.8,23
CPT,C1725,Device Ston Rem 7mm 60mm 110mm Shockwave M5 Acpt 7fr Shth,6875.0,6875.0,1017.5,5500.0,23
CPT,C1725,Imager II 5f .038in X 65cm Bern,25.48,25.48,3.77,20.38,23
CPT,C1725,Infiniti Thrulumen Angiographic Catheter Al II 6f X 100cm X .057 X .038inch,19.0,19.0,2.81,15.2,23
CPT,C1725,Mini Trek Rx 1.20 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 1.20 X 15mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 1.20 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 1.50 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 2.00 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 2.00 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Mini Trek Rx 2.25 X 12mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Mini Trek Rx 2.25 X 20mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Mini Trek Rx 2.25 X 25mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Mini Trek Rx 2.25 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Mini Trek Rx 2.25 X 8mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,"Mustang 7fr 12.0mm X 60mm, 135cm",500.0,500.0,74.0,400.0,23
CPT,C1725,Mustang Balloon Catheter 10.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 3.0mm X 20mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 3.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 4.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 4.0mm X 80mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 5.0mm X 100mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 5.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 6.0mm X 100mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 6.0mm X 220mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 6.0mm X 80mm X 135cm,501.0,501.0,74.15,400.8,23
CPT,C1725,Mustang Balloon Catheter 7.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 8.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Mustang Balloon Catheter 9.0mm X 40mm X 135cm,548.0,548.0,81.1,438.4,23
CPT,C1725,Nc Trek Rx 2.00 X 15mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 2.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 3.00 X 8mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 3.25 X 06mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Nc Trek Rx 3.50 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 3.75 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 4.50 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Nc Trek Rx 5.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Otw Mini Trek II 1.20 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Otw Mini Trek II 1.20 X 8mm Bdc,551.0,551.0,81.55,440.8,23
CPT,C1725,Otw Mini Trek II 1.50 X 6mm Bdc,551.0,551.0,81.55,440.8,23
CPT,C1725,Sterling Otw 5mm X 100mm X 135cm,685.0,685.0,101.38,548.0,23
CPT,C1725,Sterling Otw 5mm X 20mm X 135cm,418.0,418.0,61.86,334.4,23
CPT,C1725,Sterling Otw 5mm X 20mm X 40cm,418.0,418.0,61.86,334.4,23
CPT,C1725,Sterling Otw 6mm X 100mm X 135cm,685.0,685.0,101.38,548.0,23
CPT,C1725,Sterling Otw 7mm X 20mm X 135cm,418.0,418.0,61.86,334.4,23
CPT,C1725,Trek Coronary Dilatation Catheter 2.50 Mm X 8 Mm / Rapid-Exchange,213.0,213.0,31.52,170.4,23
CPT,C1725,Trek Rx 2.50 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 2.75 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Trek Rx 2.75 X 15mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Trek Rx 2.75 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 2.75 X 25mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 2.75 X 6mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Trek Rx 3.00 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 3.25 X 12mm Bdc,175.0,175.0,25.9,140.0,23
CPT,C1725,Trek Rx 3.25 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 3.50 X 30mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Trek Rx 4.00 X 20mm Bdc,345.0,345.0,51.06,276.0,23
CPT,C1725,Viatrac 14 Plus Rx 5mm X 30mm X 135cm,625.0,625.0,92.5,500.0,23
CPT,C1725,Voyager Nc 2.5 X 15mm Balloon,634.0,634.0,93.83,507.2,23
CPT,C1726,2.3mm Interject Inj Needle23g,732.0,732.0,108.34,585.6,23
CPT,C1726,Balloon Dilatation Catheter 6mmx40mmx135cm,550.0,550.0,81.4,440.0,23
CPT,C1726,"Balloon, Hyperform 7mm X 7mm",4005.0,4005.0,592.74,3204.0,23
CPT,C1726,Catheter Baldilat 12 Atm 1.5mm 142cm 12mm Rapex,413.0,413.0,61.12,330.4,23
CPT,C1726,Catheter Baldilat 2mm 150cm 150mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CPT,C1726,Catheter Baldilat 2mm 150cm 220mm Otw Ult Lp Nybax,425.0,425.0,62.9,340.0,23
CPT,C1726,Catheter Baldilat Lp 5.3fr 4mm 75cm 40mm High Pressure,525.0,525.0,77.7,420.0,23
CPT,C1726,Catheter Blndil 11 Atm 8mm 180cm 4cm Hrcn Rx Loprfl Radopq,603.0,603.0,89.24,482.4,23
CPT,C1726,Catheter Blndil 21cm .022in 2mm 142cm Lf 12mm Spntr Lgnd,413.0,413.0,61.12,330.4,23
CPT,C1726,Cre Balloons,1523.0,1523.0,225.4,1218.4,23
CPT,C1726,Cre Wg 10-12 Dilation Balloon,324.0,324.0,47.95,259.2,23
CPT,C1726,Device Athrcm 165cm .018in Truepath .017in Peri,3920.0,3920.0,580.16,3136.0,23
CPT,C1726,Dilator Endoscopic Cre L3 Cm L75 Cm Od10-11-12 Mm Sterile Disp Jagwire,734.0,734.0,108.63,587.2,23
CPT,C1726,Extractor Rx 9-12 Mm,229.0,229.0,33.89,183.2,23
CPT,C1726,Olympus Endo Jaw(Cold Forceps),14.0,14.0,2.07,11.2,23
CPT,C1726,Rigiflex II Single Use Achalasia Balloon Dilator,1690.0,1690.0,250.12,1352.0,23
CPT,C1726,Roth Net,1278.0,1278.0,189.14,1022.4,23
CPT,C1729,10.2fr 22cm Nephroureterostom,350.0,350.0,51.8,280.0,23
CPT,C1729,10.2fr Biliary Drain Cath,289.0,289.0,42.77,231.2,23
CPT,C1729,10.2fr Mp Drain Catheter,296.0,296.0,43.81,236.8,23
CPT,C1729,10fr X 35cm Skater Nephrostomy,254.0,254.0,37.59,203.2,23
CPT,C1729,12.0fr Biliary Drain Cath,296.0,296.0,43.81,236.8,23
CPT,C1729,12.0fr Mp Drain Catheter,296.0,296.0,43.81,236.8,23
CPT,C1729,14.0fr Biliary Drain,296.0,296.0,43.81,236.8,23
CPT,C1729,8.5fr Mp Drain Catheter,311.0,311.0,46.03,248.8,23
CPT,C1729,8fr Flexima Biliary Catheter,271.0,271.0,40.11,216.8,23
CPT,C1729,9.5fr Biliary Drain Cath.,296.0,296.0,43.81,236.8,23
CPT,C1729,Catheter 10fr Flexima,291.0,291.0,43.07,232.8,23
CPT,C1729,Catheter DRN .038in 16fr 40cm,280.0,280.0,41.44,224.0,23
CPT,C1729,Catheter DRN 10fr 5cm 5cc Strl Ltx Word 2w Fl Bln Barth Gl,288.0,288.0,42.62,230.4,23
CPT,C1729,Catheter DRN 5fr 10cm 1stp 4 Sh Slip Fit Vlv Ll Smth Ins,250.0,250.0,37.0,200.0,23
CPT,C1729,Catheter DRN Pgtl Crv 10fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1175.0,1175.0,173.9,940.0,23
CPT,C1729,Catheter DRN Pgtl Crv 12fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1175.0,1175.0,173.9,940.0,23
CPT,C1729,Catheter DRN Pgtl Crv 14fr 25cm Sktr Chc Lck Lck Troc Sty Lg,1135.0,1135.0,167.98,908.0,23
CPT,C1729,Catheter DRN Pgtl Crv 8fr 25cm Sktr Chc Lck Lck Troc Sty Lg,227.0,227.0,33.6,181.6,23
CPT,C1729,Catheter Drain .038in 14fr 25cm 6 Sideport Mac-Loc Locking,250.0,250.0,37.0,200.0,23
CPT,C1729,Catheter Drain Lp Taper Spiral 5fr 19ga 10cm 4 Drain Hole,46.0,46.0,6.81,36.8,23
CPT,C1729,Catheter External Drain Large 1.9mm Latex Free Bactiseal Evd,1229.0,1229.0,181.89,983.2,23
CPT,C1729,Catheter Foley,34.0,34.0,5.03,27.2,23
CPT,C1729,Catheter Foley 16fr,18.5,18.5,2.66,15.2,138
CPT,C1729,Catheter Foley 5cc 18fr,19.0,19.0,2.81,15.2,23
CPT,C1729,Catheter Primafit Sage,27.0,27.0,4.0,21.6,23
CPT,C1729,Catheter Sct 71 125cm Lg Bore,6750.0,6750.0,999.0,5400.0,23
CPT,C1729,Catheter Sct 71 132cm Lg Bore,6750.0,6750.0,999.0,5400.0,23
CPT,C1729,Catheter Urethral 14fr Foley 2,26.0,26.0,3.85,20.8,23
CPT,C1729,Catheter Xtrn DRN 80cm Strl Edm Cls Tip Ba Imprg Sil Lmbr,566.0,566.0,83.77,452.8,23
CPT,C1729,Dawson-Mueller Mp Drain Cath 8.5f X 25cm,229.0,229.0,33.89,183.2,23
CPT,C1729,Drain Incision Small Stature 1 Chamber Suction Control,51.0,51.0,7.55,40.8,23
CPT,C1729,Drain Wnd Strl Cls Wnd DRN Irr Disp,750.0,750.0,111.0,600.0,23
CPT,C1729,Kit Cath Peritoneum Strt Pleurx 1000ml,2226.0,2226.0,329.45,1780.8,23
CPT,C1729,Kit Dcmprs .035in 14fr 6fr 175cm Strl 10 DRN Sdprt Cath Gw,420.0,420.0,62.16,336.0,23
CPT,C1729,Kit Pressure Monitr 38cm Transducer Catheter Tunneling,2146.0,2146.0,317.61,1716.8,23
CPT,C1729,Kit Thoracentesis 8fr 22ga 7.5in 1.5in 3 Way Stopcock,134.0,134.0,19.83,107.2,23
CPT,C1729,M-Drain Catheter L25 Cm Od10 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CPT,C1729,M-Drain Catheter L25 Cm Od12 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CPT,C1729,M-Drain Catheter L25 Cm Od14 Fr Lock 1 Step Large Oval Sidehole Stiffener,29.0,29.0,4.29,23.2,23
CPT,C1729,M-Drain Catheter L25 Cm Od16 Fr 1 Step Lock Sterile Latex Free Disp,29.0,29.0,4.29,23.2,23
CPT,C1729,M-Drain Catheter L25 Cm Od8 Fr Lock 1 Step Large Oval Sidehole,145.0,145.0,21.46,116.0,23
CPT,C1729,M-Drain Catheter L40 Cm Od10 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CPT,C1729,M-Drain Catheter L40 Cm Od12 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CPT,C1729,M-Drain Catheter L40 Cm Od14 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CPT,C1729,M-Drain Catheter L40 Cm Od8 Fr Biliary Large Oval Sidehole Radpq Pigtail Straight,36.0,36.0,5.33,28.8,23
CPT,C1729,Perivac Kit,1255.0,1255.0,185.74,1004.0,23
CPT,C1729,Pleurx Peritoneal Catheter Kit,2439.0,2439.0,360.97,1951.2,23
CPT,C1729,Red Rubber Catheter,54.0,54.0,7.99,43.2,23
CPT,C1729,Safe-T-Centesis Tray 6fr (Carefusion),481.0,481.0,71.19,384.8,23
CPT,C1729,Safe-T-Centesis Tray 8fr (Carefusion),443.0,443.0,65.56,354.4,23
CPT,C1729,Set Drain .038in 18fr L 40cm 32 Side Port Luer Lock Lock,280.0,280.0,41.44,224.0,23
CPT,C1729,Shunt Prtnvn Dnvr Asct 25-40ml/Min Ample Flowrate,5625.0,5625.0,832.5,4500.0,23
CPT,C1729,Stent Ureteral Pigtail Curve 10.2fr 24cm Radiopq Sideport,312.0,312.0,46.18,249.6,23
CPT,C1729,System DRN 35cm 700ml Blu Strl Lf Be2 Mntr Trndcr Atch Vntrc,742.0,742.0,109.82,593.6,23
CPT,C1729,Tray Catheterization 16fr 2 Co,73.0,73.0,10.8,58.4,23
CPT,C1729,Tray Catheterization 16fr 2 Conctr Temperature Sense,69.0,69.0,10.21,55.2,23
CPT,C1729,Tray Catheterization 16fr Foley Antireflux Evident Seal,37.0,37.0,5.48,29.6,23
CPT,C1729,Tray Drain 8fr 25ga 1in Needle Pro Needle Retractable Safety,171.0,171.0,25.31,136.8,23
CPT,C1729,Tray Surg 14fr 18ga 29cm 5cm 19 Sideport Catheter Echogenic,450.0,450.0,66.6,360.0,23
CPT,C1729,Tube Gastrostomy 24fr,59.0,59.0,8.73,47.2,23
CPT,C1730,Achieve Mapping Catheter Sm,2618.0,2618.0,387.46,2094.4,23
CPT,C1730,Cable Cath Blue 150cm Rspn Ep Bipol Trplr Qdpl,175.0,175.0,25.9,140.0,23
CPT,C1730,Cath Ep 2-5-2mm Spc 1mm 6fr 115cm 4mm Qdpl Med Swp Strbl,1490.0,1490.0,220.52,1192.0,23
CPT,C1730,Cath Ep 5-5-5mm Spc Csl Curve 6fr 65cm Mp Dcapl Fix Curve,965.0,965.0,142.82,772.0,23
CPT,C1730,Cath Ep 5mm Spc 1mm 5fr 115cm 2mm Hexpl Med Swp Strbl Lvwr,1608.0,1608.0,237.98,1286.4,23
CPT,C1730,"Cath, Ep, 5-5-5-5-5mm Spc Crnnd 2 Crv 5fr 115cm Strbl 8",130.0,130.0,19.24,104.0,23
CPT,C1730,Catheter Electrophysiology 3d,2375.0,2375.0,351.5,1900.0,23
CPT,C1730,Catheter Ep 100cm 5fr Xplr St 5mm Spc Crnnd Curve,988.0,988.0,146.22,790.4,23
CPT,C1730,Catheter Ep 10mm Spc Jsn Crv 5fr 120cm Rspn Qdpl,213.0,213.0,31.52,170.4,23
CPT,C1730,Catheter Ep 120cm 5fr Rspn 5mm Spc Crnnd Curve,213.0,213.0,31.52,170.4,23
CPT,C1730,Catheter Ep 120cm 5fr Rspn 5mm Spc Jsphsn Curve,213.0,213.0,31.52,170.4,23
CPT,C1730,Catheter Ep 2-10-2mm Spc Sup Lg Curl Crv 7fr 95cm 2mm Lvwr,365.0,365.0,54.02,292.0,23
CPT,C1730,Catheter Ep 5mm Spc Crnnd Crv 5fr 120cm Rspn Qdpl,98.0,98.0,14.5,78.4,23
CPT,C1730,"Ep 5f Quad 5mm 120cm Crd,G2",795.0,795.0,117.66,636.0,23
CPT,C1730,"Ep 5f Quad 5mm 120cm Jsn,G2",835.0,835.0,123.58,668.0,23
CPT,C1731,Catheter Ep 1-4-1mm Spc 7fr 99,3738.0,3738.0,553.22,2990.4,23
CPT,C1731,Catheter Ep 95cm 7fr Lvwr 2-10-2mm Spc Sup Lg Curl,1938.0,1938.0,286.82,1550.4,23
CPT,C1731,"Epl 7f Duo 2/10 2m 95 S-Lgcrl,G2",2932.0,2932.0,433.94,2345.6,23
CPT,C1733,Arctic Front Advance Cryoablation Catheter 28mm,12401.0,12401.0,1835.35,9920.8,23
CPT,C1733,Catheter Ablt 115cm 8fr 4mm 1-4-1mm Spc F-J Curve,4125.0,4125.0,610.5,3300.0,23
CPT,C1733,Catheter Cryoablation 2-5-2mm,3125.0,3125.0,462.5,2500.0,23
CPT,C1733,Catheter Cryoablation 3-5-2mm Space 55mm Medium 9fr 90cm 8mm,4750.0,4750.0,703.0,3800.0,23
CPT,C1733,Catheter Ep 110cm 7fr Safire Tx 2-5-2mm Spc 1mm,2125.0,2125.0,314.5,1700.0,23
CPT,C1733,Catheter Ep 115cm 7fr Safire Comfortgrip 2-5-2mm,1625.0,1625.0,240.5,1300.0,23
CPT,C1733,Safire Cath 7f 4mm Lgcrl (US),2138.0,2138.0,316.42,1710.4,23
CPT,C1733,Safire Cath 7f 5mm Lg Crl (US),2165.0,2165.0,320.42,1732.0,23
CPT,C1733,Safire Tx Catheter 8mm Large Curl,2444.0,2444.0,222.0,2710.4,46
CPT,C1735,Cath renal denerv radiofreq,,,,,0
CPT,C1736,Cath renal denerv ultrasnd,,,,,0
CPT,C1737,Si&pelvis fusn&fixn dev,,,,,0
CPT,C1738,Power endo us-guid bx dev,,,,,0
CPT,C1739,Tissue marker  detectable,,,,,0
CPT,C1740,Lt vent pacing syst  sequen,,,,,0
CPT,C1741,Anchor/screw bone absorb,,,,,0
CPT,C1742,Pressure sens syst  cont im,,,,,0
CPT,C1747,Endo  single  urinary tract,,,,,0
CPT,C1748,"Endoscope, Single-Use",7325.0,7325.0,1084.1,5860.0,23
CPT,C1750,23cm Sport Pack Perm Dialysis,921.0,921.0,136.31,736.8,23
CPT,C1750,Catheter Hmdial 14.5fr 19cm Mh Mxd Sportpack 2 Lum Kink Rst,225.0,225.0,33.3,180.0,23
CPT,C1750,Catheter Hmdial 20cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 22cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 24cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 24cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 24cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 28cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 28cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 28cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,46
CPT,C1750,Catheter Hmdial 32cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 32cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 32cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 36cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 36cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 40cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 40cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 48cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 48cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 55cm 14.5fr Evenmore Str Durathane,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 55cm 15.5fr Drflw Embosafe,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial 55cm 15.5fr Duramax Sfshth,362.5,362.5,53.65,290.0,23
CPT,C1750,Catheter Hmdial Clr 20cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 22cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 24cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 28cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 32cm 15.5fr Bioflo Duramax,718.0,718.0,106.26,574.4,23
CPT,C1750,Catheter Hmdial Clr 40cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 48cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Catheter Hmdial Clr 55cm 15.5fr Bioflo Duramax,717.5,717.5,106.19,574.0,23
CPT,C1750,Chron Carbothane Cath 14.5f X 19cm,1054.0,1054.0,155.99,843.2,23
CPT,C1750,Kit Cath 61cm Palindrome Prcs Smtr Tip 44cm Chrnc,1445.0,1445.0,213.86,1156.0,23
CPT,C1750,Kit Cath Adlt 20cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 20cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CPT,C1750,Kit Cath Adlt 20cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 22cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 22cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CPT,C1750,Kit Cath Adlt 22cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,46
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CPT,C1750,Kit Cath Adlt 24cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Durathane Drflw Embosafe,687.5,687.5,101.75,550.0,23
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,46
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CPT,C1750,Kit Cath Adlt 28cm 15.5fr Pu Bioflo Duramax Endexo,863.0,863.0,127.72,690.4,23
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Durathane Drflw Embosafe,656.25,656.25,92.5,550.0,46
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,46
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax,750.0,750.0,111.0,600.0,23
CPT,C1750,Kit Cath Adlt 32cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Durathane Drflw 2 Basic,625.0,625.0,92.5,500.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Durathane Drflw Embosafe,656.25,656.25,92.5,550.0,46
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax Basic,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 36cm 15.5fr Pu Bioflo Duramax Endexo,862.5,862.5,127.65,690.0,23
CPT,C1750,Kit Cath Adlt 40cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 40cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 40cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 40cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CPT,C1750,Kit Cath Adlt 48cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 48cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CPT,C1750,Kit Cath Adlt 48cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 48cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 48cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Durathane Drflw 2,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Durathane Drflw Embosafe,625.0,625.0,92.5,500.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Durathane Duramax,375.0,375.0,55.5,300.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax Basic,937.5,937.5,138.75,750.0,23
CPT,C1750,Kit Cath Adlt 55cm 15.5fr Pu Bioflo Duramax Endexo,937.5,937.5,138.75,750.0,23
CPT,C1750,Kit Cath Evenmore Repr Chrnc Dlys,230.0,230.0,34.04,184.0,23
CPT,C1750,Pack Cath 28/45cm 14.5fr Carbothane Mh Mxd 2 Lum Sh Hmdial,921.0,921.0,136.31,736.8,23
CPT,C1750,Pack Cath 33/50cm 14.5fr Carbothane Mh Mxd 2 Lum Sh Hmdial,248.0,248.0,36.7,198.4,23
CPT,C1750,Pack Catheter 19fr 36cm 19cm 2,2254.0,2254.0,333.59,1803.2,23
CPT,C1750,Set Cath Adlt 36cm 15.5fr Durathane Duramax Sfshth,587.5,587.5,86.95,470.0,23
CPT,C1750,Set Catheter 15.5fr 55cm 2 Lumen Titan Hd Long Term,475.0,475.0,70.3,380.0,23
CPT,C1750,Titan Hd Basic Set 15.5f X 28cm Straight W/Sideholes,2188.0,2188.0,323.82,1750.4,23
CPT,C1751,032 Catheter Reperfusion,3817.0,3817.0,564.92,3053.6,23
CPT,C1751,105-5092-150 Echelon 14 Micro,1751.0,1751.0,259.15,1400.8,23
CPT,C1751,5fr/65cm Mpa Catheter,312.0,312.0,46.18,249.6,23
CPT,C1751,5x1235x20cm Unifuse Kit,550.0,550.0,81.4,440.0,23
CPT,C1751,5x135x10cm Unifuse Kit,550.0,550.0,81.4,440.0,23
CPT,C1751,7fr Wedge Pressure Cath,153.0,153.0,22.64,122.4,23
CPT,C1751,7fr-100cm Swan-Ganz Td Cathete,189.0,189.0,27.97,151.2,23
CPT,C1751,9fr Single Lumen Hickman,241.0,241.0,35.67,192.8,23
CPT,C1751,Axs Catalyst 5 Distal Access Catheter,4875.0,4875.0,721.5,3900.0,23
CPT,C1751,Axs Catalyst 6 Distal Access Catheter,5288.0,5288.0,782.62,4230.4,23
CPT,C1751,Cath 5fr 1lum Try 3cg Shrlk Sty Maximal Brr Picc P,260.0,260.0,38.48,208.0,23
CPT,C1751,Cath 6fr 1lum Try 3cg Shrlk Maximal Brr Picc P,1010.0,1010.0,149.48,808.0,23
CPT,C1751,Cath Cen Ven 4fr 1 Lum Try 3cg Shrlk Sty Maximal Brr Pic,249.0,249.0,36.85,199.2,23
CPT,C1751,Cath Endovas Bashir Ster Lf Si,6988.0,6988.0,1034.22,5590.4,23
CPT,C1751,Cath Micro MC 2.8f 130cm,1890.0,1890.0,279.72,1512.0,23
CPT,C1751,Catheter - Dot Pg Pro 18g 8cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CPT,C1751,Catheter - Dot Pg Pro 18g10cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CPT,C1751,Catheter - Dot Pg Pro 20g 8cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CPT,C1751,Catheter - Dot Pg Pro 20g10cm Rt Full B&P,283.0,283.0,41.88,226.4,23
CPT,C1751,Catheter - Pg Pro 18g 10cm Rt Basic,168.0,168.0,24.86,134.4,23
CPT,C1751,Catheter - Pg Pro 18g 8cm Rt Basic,168.0,168.0,24.86,134.4,23
CPT,C1751,Catheter - Pg Pro 20g 10cm Rt Basic,168.0,168.0,24.86,134.4,23
CPT,C1751,Catheter - Pg Pro 20g 8cm Rt Basic,168.0,168.0,24.86,134.4,23
CPT,C1751,Catheter Angel,5625.0,5625.0,832.5,4500.0,23
CPT,C1751,Catheter Cen Ven .032in 9.3fr 38cm 75cm 3 Infus Lumen Extn,1955.0,1955.0,289.34,1564.0,23
CPT,C1751,Catheter Cen Ven 9fr 3mm 1.3mm .7mm 90cm 2 Lumen T,355.0,355.0,52.54,284.0,23
CPT,C1751,Catheter Cv 1.4fr Lf Radopq Dehp-Fr Sft Stab Wng Pu Peri,513.0,513.0,75.92,410.4,23
CPT,C1751,Catheter Cv 1.9fr Lf Ftprnt Picc 1 Lum Radopq Sft Stab Wng,485.0,485.0,71.78,388.0,23
CPT,C1751,Catheter IV 1.9fr Lf Ftprnt Plwy 2 Lum Radopq Dehp-Fr Picc,900.0,900.0,133.2,720.0,23
CPT,C1751,Catheter Infs 2 2/3fr 45cm Clarivein,1250.0,1250.0,185.0,1000.0,23
CPT,C1751,Catheter Infs 4 4/3fr 65cm Clarivein,1250.0,1250.0,185.0,1000.0,23
CPT,C1751,Catheter Infs Mic Strg .021in 150cm Phenom,2988.0,2988.0,442.22,2390.4,23
CPT,C1751,Catheter Pa Std 8fr 110cm Strl Ltx Sg Ccombo Vip Svo2 Td Co,670.0,670.0,99.16,536.0,23
CPT,C1751,Cragg-Mcnamara 5-40-20 Infusio,315.0,315.0,46.62,252.0,23
CPT,C1751,Cvp Kit Triple Lumen,569.0,569.0,84.21,455.2,23
CPT,C1751,Dual Picc Line,307.0,307.0,45.44,245.6,23
CPT,C1751,Injection Probe 7fr,431.0,431.0,63.79,344.8,23
CPT,C1751,Kit Arterial Line .018in 20ga 22ga 1.75in Catheter Radiopq,33.5,33.5,4.29,30.4,46
CPT,C1751,Kit Cath .014in 5ml/Sec 20ga 8cm 1.3in Powerglide Full Mdln,208.0,208.0,30.78,166.4,23
CPT,C1751,Kit Cath .032in 8.5fr 18ga 16cm Lf 2.5in Blu Flxtp Arwg+Ard,349.0,349.0,51.65,279.2,23
CPT,C1751,Kit Cath 1.4fr Lf Radopq Dehp-Fr Sft Stab Wng Pu Peri,1342.0,1342.0,198.62,1073.6,23
CPT,C1751,Kit Cath 1.9fr Lf 2 Lum Radopq Picc Cmplt Pu,1760.0,1760.0,260.48,1408.0,23
CPT,C1751,Kit Cath 4fr Lf P Picc 2 Lum Picc Ln,218.13,218.13,32.28,174.5,23
CPT,C1751,Kit Cath 5ml/Sec Full 20ga 10cm Powerglide Mdln Pwr Inj IV,205.0,205.0,30.34,164.0,23
CPT,C1751,Kit Catheter 8.5fr 16cm 3 Lumen Expand Chloraprep Safety,825.0,825.0,122.1,660.0,23
CPT,C1751,Kit Quad Lumen Cather,148.0,148.0,21.9,118.4,23
CPT,C1751,"Kit Triple Lumen Cvc, 7fr 20 Cm",360.0,360.0,53.28,288.0,23
CPT,C1751,Microcath.Prowler Select P 3,1055.0,1055.0,156.14,844.0,23
CPT,C1751,Microcatheter Infs .021in 160cm Strl Lf Phenom Disp,2988.0,2988.0,442.22,2390.4,23
CPT,C1751,Microcatheter Microvention,2390.0,2390.0,353.72,1912.0,23
CPT,C1751,Microcatheter Pre-Shaped 45 2-,2837.0,2837.0,419.88,2269.6,23
CPT,C1751,Single Picc Line,216.0,216.0,31.97,172.8,23
CPT,C1751,System Drg Dlv L106 Cm 12cm Ekosonic Cath US Thrmbs 106cm 12,7074.0,7074.0,1046.95,5659.2,23
CPT,C1751,System Drg Dlv L106 Cm 6cm Ekosonic Intlgnt Cath Microsonic,7074.0,7074.0,1046.95,5659.2,23
CPT,C1751,System Drg Dlv L135 Cm 12cm Ekosonic Mach 4 Intlgnt Cath,6738.0,6738.0,997.22,5390.4,23
CPT,C1751,System Drg Dlv L135 Cm 40cm Ekosonic Intlgnt Cath Microsonic,7074.0,7074.0,1046.95,5659.2,23
CPT,C1751,Tray Catheterization 16fr Urine Meter Foley Statlo,40.0,40.0,5.92,32.0,23
CPT,C1751,"Uhf Pigtail Sizing Cath 5 Fr,1",315.0,315.0,46.62,252.0,23
CPT,C1751,"Uhf Pigtail Sizing Cath 5fr,2",71.0,71.0,10.51,56.8,23
CPT,C1751,Venous Access,165.0,165.0,24.42,132.0,23
CPT,C1752,Catheter Hmdial 15cm Schn Xl Kink Rst Tip Clip Sh Rem Sty,119.0,119.0,17.61,95.2,23
CPT,C1752,Catheter Hmdial 20cm Schn Xl Kink Rst Tip Clip Sh Rem Sty,119.0,119.0,17.61,95.2,23
CPT,C1752,Catheter Hmdial 24cm Schn Xl Sil Kink Rst Tip Clip,217.5,217.5,32.19,174.0,23
CPT,C1752,Catheter Sct Kt 2 Lum Coil Xtd Lgth,200.0,200.0,29.6,160.0,23
CPT,C1752,Kit Cath 13fr 20cm Strl Pwr-Trialysis 3 Lum Shrt Term Dlys,596.0,596.0,88.21,476.8,23
CPT,C1752,Kit Cath Strg 13fr 30cm Strl Pwr-Trialysis 3 Lum Kink Rst,563.0,563.0,83.32,450.4,23
CPT,C1752,Mahurkar Elite Se Catheter Only 16cm,121.0,121.0,17.91,96.8,23
CPT,C1752,Mahurkar Elite Se Catheter Only 20cm,127.0,127.0,18.8,101.6,23
CPT,C1752,Mahurkar Elite Se Catheter Only 24cm,121.0,121.0,17.91,96.8,23
CPT,C1752,Set Cath 24cm Schn Xl Bsc Sil Acute Hmdial,238.0,238.0,35.22,190.4,23
CPT,C1752,Set Catheter .035in 24cm 70cm Sidehole Removable S,375.0,375.0,55.5,300.0,23
CPT,C1752,Temporary Dialysis Cath,315.0,315.0,46.62,252.0,23
CPT,C1753,Catheter Baldilat 2.5mm 150cm 80mm Otw Ult Lp,417.5,417.5,61.79,334.0,23
CPT,C1753,Catheter Baldilat 3.5mm 150cm 60mm Otw Ult Lp,425.0,425.0,62.9,340.0,23
CPT,C1753,Catheter US Kodama,900.0,900.0,44.4,1200.0,46
CPT,C1753,Catheter Ultrasound .035in 8.5fr 90cm 100cm Otw Radiopq,2500.0,2500.0,370.0,2000.0,46
CPT,C1753,Catheter Ultrasound 20mhz 3.4fr 135cm Scanner Transducer,1688.0,1688.0,249.82,1350.4,23
CPT,C1753,Catheter Ultrasound Eagle Eye Gold Od5 Fr Short Tip,1999.0,1999.0,295.85,1599.2,23
CPT,C1753,Eagle Eye Coronary Imaging Cat,2449.0,2449.0,362.45,1959.2,23
CPT,C1757,.014-145cm Export Catheter,1865.0,1865.0,276.02,1492.0,23
CPT,C1757,Ace68 Reperfusion Catheter Kit,6988.0,6988.0,1034.22,5590.4,23
CPT,C1757,Aspiration Guide Catheter 20f X 95cm,5738.0,5738.0,849.22,4590.4,23
CPT,C1757,Axs Vecta 046 125 Cm,4225.0,4225.0,625.3,3380.0,23
CPT,C1757,Axs Vecta 046 146 Cm,4225.0,4225.0,625.3,3380.0,23
CPT,C1757,Axs Vecta 046 160cm,4225.0,4225.0,625.3,3380.0,23
CPT,C1757,Cannula Prfsn 20d Angiovac Dil Fnl Tip Radopq Coil Reinf (3000),18750.0,18750.0,2775.0,15000.0,23
CPT,C1757,Cannula Prfsn 20d Angiovac Dil Fnl Tip Radopq Coil Reinf (3010),18750.0,18750.0,2775.0,15000.0,23
CPT,C1757,Cath Dx 135cm 4.2fr Fetch 2 .014in Hydphi Rapex Aspirat,63.0,63.0,9.32,50.4,23
CPT,C1757,Cath Thromb Axs Vecta 71 2-4 Mm L132 Cm L150 Cm Od.082-.085,6750.0,6750.0,999.0,5400.0,23
CPT,C1757,Catheter 6fr X 135 Cm 9mm Cleaner Sterile,1988.0,1988.0,294.22,1590.4,23
CPT,C1757,Catheter Asp 16fr 113cm Trieve,30000.0,30000.0,4440.0,24000.0,23
CPT,C1757,Catheter Dlv Sys .018in 1 Crv 5fr .04in 130cm 9cm Neuron Lum,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 1 6fr .04in 105cm 9cm Max,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 5fr .053in 105cm 12cm Neuron,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 5fr .053in 105cm 6cm Neuron,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 12cm Neuron - Pnd6f11512,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 12cm Neuron - Pnd6f11512m,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 6fr .053in 115cm 6cm Neuron,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in 6fr .07in 95cm 6cm Neuron Lum,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys .035in .038in Sim Crv Full Lgth 5fr .04in,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Dlv Sys .053in 4.3-6fr 134cm 130cm 4max Max Trk Tch,3725.0,3725.0,551.3,2980.0,23
CPT,C1757,Catheter Dlv Sys .062in 5-6fr 115cm 119cm 5max Tpr Inr Shft,3725.0,3725.0,551.3,2980.0,23
CPT,C1757,Catheter Dlv Sys Bernstein Crv 6fr 5.6fr .04in 105cm Lf 9cm,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Dlv Sys Brnstn Crv 5fr .07in 130cm Lf 105cm Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Brnstn Crv 6fr .07in 130cm Lf 105cm Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Brnstn Crv 6fr 5.6fr .04in 125cm Lf 9cm,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Dlv Sys Brnstn Crv Mp 5fr .07in 120cm Lf 95cm,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Brnstn Crv Strg 5fr .07in 120cm Lf 95cm,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Mic 3d 2.6-2.95fr .025in 160cm Px 400 Vlc,2590.0,2590.0,383.32,2072.0,23
CPT,C1757,Catheter Dlv Sys Mp Crv 6fr .07in 105cm 8cm Neuron Lum Flxb,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Dlv Sys Strg .07in 105cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Strg .07in 95cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Dlv Sys Strg .088in 90cm Lf Neuron Max Dil,1138.0,1138.0,168.42,910.4,23
CPT,C1757,Catheter Dlv Sys Strg Tpr 5-6fr .053in 105cm 12cm Neuron Lum,1588.0,1588.0,235.02,1270.4,23
CPT,C1757,Catheter Embl 80cm 7fr 14mm Fgrty Art Ss Sil Bln,130.0,130.0,19.24,104.0,23
CPT,C1757,Catheter Embolectomy 5.5fr 11mm 80cm,225.0,225.0,33.3,180.0,23
CPT,C1757,Catheter Flowtriever Sys 40 Micron Filtration 60cc Collect Syringe,30000.0,30000.0,4440.0,24000.0,23
CPT,C1757,Catheter Guid 6.7mm Flowtriever 1 Ins Aspirate,6875.0,6875.0,1017.5,5500.0,23
CPT,C1757,Catheter Prss Mntr Mp Crv .07in 105cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Prss Mntr Mp Crv .07in 95cm Lf Bnchmrk,2238.0,2238.0,331.22,1790.4,23
CPT,C1757,Catheter Reperfusion 4.7-3.8fr .035in 164cm 3max,3725.0,3725.0,551.3,2980.0,23
CPT,C1757,Catheter Reperfusion 4max,3225.0,3225.0,477.3,2580.0,23
CPT,C1757,Catheter Reperfusion 6-4.3fr .041in 143cm 4max,3725.0,3725.0,551.3,2980.0,23
CPT,C1757,Catheter Thrmb .044in 140cm Strl Lf Indg Sys Asp Kt Cor,4850.0,4850.0,717.8,3880.0,46
CPT,C1757,Catheter Thrmb .045in 144cm Strl Lf Zoom Reperfusion,6213.0,6213.0,919.52,4970.4,23
CPT,C1757,Catheter Thrmb .051in .035in 158cm Strl Lf Zoom Reperfusion,4213.0,4213.0,623.52,3370.4,23
CPT,C1757,Catheter Thrmb .055in 137cm Strl Lf Zoom Reperfusion,5283.0,5283.0,781.88,4226.4,23
CPT,C1757,Catheter Thrmb .083in 137cm Strl Lf Zoom Reperfusion,6213.0,6213.0,919.52,4970.4,23
CPT,C1757,Catheter Thrmb 1 Crv 6fr 5.6fr .04in 125cm Lf 9cm Neuron,313.0,313.0,46.32,250.4,23
CPT,C1757,Catheter Thrmb 132cm Lf Penumbra Sys 5max Ace Reperfusion,5725.0,5725.0,847.3,4580.0,23
CPT,C1757,Catheter Thrmb 135cm 4fr Unfs Flw-Thru Hub Infus,438.0,438.0,64.82,350.4,23
CPT,C1757,Catheter Thrmb 14mm Flowtriever Strl Latex Free,11625.0,11625.0,1720.5,9300.0,23
CPT,C1757,Catheter Thrmb 18mm Strl Lf Flowtriever,11625.0,11625.0,1720.5,9300.0,23
CPT,C1757,Catheter Thrmb 24fr Triever24,30000.0,30000.0,4440.0,24000.0,23
CPT,C1757,Catheter Thrmb 54cm Strl Lf Penumbra Sys Kt Reperfusion,4375.0,4375.0,647.5,3500.0,23
CPT,C1757,Catheter Thrmb 6fr .108in .088in 100cm Strl Lf Zoom Lg Dist,7488.0,7488.0,1108.22,5990.4,23
CPT,C1757,Catheter Thrmb 6fr .108in .088in 110cm Strl Lf Zoom Lg Dist,7488.0,7488.0,1108.22,5990.4,23
CPT,C1757,Catheter Thrmb 6fr .64in 132cm Lf Penumbra Sys 5max Ace,5975.0,5975.0,884.3,4780.0,23
CPT,C1757,Catheter Thrmb 6fr Indg Aspirat Latex Free,4725.0,4725.0,699.3,3780.0,23
CPT,C1757,Catheter Thrombectomy 5fr 135cm 40cm Occluding Ball Wire,425.0,425.0,62.9,340.0,23
CPT,C1757,Catheter Thrombectomy Solitaire 6mm 40mm,10563.0,10563.0,1563.32,8450.4,23
CPT,C1757,Coil Embl 132cm .064mm Penumbra Ruby Ace 5max,5484.0,5484.0,811.63,4387.2,23
CPT,C1757,Device Thrmb 200cm 6mm .021-.0,10638.0,10638.0,1574.42,8510.4,23
CPT,C1757,Device Thrmb 20mm 4mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CPT,C1757,Device Thrmb 30mm 6mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CPT,C1757,Device Thrmb 40mm 5mm Prst Close Ring Hlcl Slt 2,10563.0,10563.0,1563.32,8450.4,23
CPT,C1757,Flow Restoration Catheter (11-14mm) X 155cm,11238.0,11238.0,1663.22,8990.4,23
CPT,C1757,Flow Restoration Catheter (6-10mm) X 155cm,11238.0,11238.0,1663.22,8990.4,23
CPT,C1757,Fogarty 5.5-40cm,352.0,352.0,52.1,281.6,23
CPT,C1757,"Indigo Catheter 8, Xtorq Tip 115cm",7255.0,7255.0,1073.74,5804.0,23
CPT,C1757,Psc041 Catheter Thrmb 141cm 4.1fr .041in Reperfusion,3813.0,3813.0,564.32,3050.4,23
CPT,C1757,Retriever Endscp 200cm 4mm Trevo Nxt Provue Ntnl,13500.0,13500.0,1998.0,10800.0,23
CPT,C1757,Retriever Escp 3mm 20mm Trevo Xp Provue,13118.0,13118.0,1941.46,10494.4,23
CPT,C1757,Retriever Escp Trevo Xp Provue,13641.0,13641.0,2018.87,10912.8,23
CPT,C1757,Retriever Stent Trevo Xp 3 X 20,14776.0,14776.0,2186.85,11820.8,23
CPT,C1757,Retriever Trevo Nxt Provue 6 X,13500.0,13500.0,1998.0,10800.0,23
CPT,C1757,Retriever Trevo Nxt Provueá 4x41 Microcatheter,13500.0,13500.0,1998.0,10800.0,23
CPT,C1757,Set Thrombectomy 6fr 3mm 120cm 15mm Otw Contrast Injec Port,5013.0,5013.0,741.92,4010.4,23
CPT,C1757,Set Thrombectomy Long Taper 4fr 2mm 135cm Otw Rapex Catheter,4488.0,4488.0,664.22,3590.4,23
CPT,C1757,Solitaire Platinum Revascularization Device 4-40,10563.0,10563.0,1563.32,8450.4,23
CPT,C1757,System Asp 6f Slct 1005cm Strl Indg Sys Htorq + Lght Flsh,24425.0,24425.0,3614.9,19540.0,23
CPT,C1757,System Asp 6f Slct 105cm Strl Indg Sys Htorq + Lght Flsh Asp,24425.0,24425.0,3614.9,19540.0,23
CPT,C1757,System Thrmb Zelantedvt,7313.0,7313.0,1082.32,5850.4,23
CPT,C1757,Trevo Nxt Provue Retriever 3x32 Microcatheter,13116.0,13116.0,1941.17,10492.8,23
CPT,C1757,Trevo Xp 6mm X 25mm,13402.0,13402.0,1983.5,10721.6,23
CPT,C1757,Trevo Xp Provue Retriever 4.0 X 30mm,14072.0,14072.0,2082.66,11257.6,23
CPT,C1759,Viewflex Ice Plus Catheter,8102.0,8102.0,1199.1,6481.6,23
CPT,C1760,6ft Proglide Closur,863.0,863.0,127.72,690.4,23
CPT,C1760,Angio-Seal Vip Vascular Closure Device 6f,1680.0,1680.0,248.64,1344.0,23
CPT,C1760,Device Closure 6fr Suture Mediate Knot Pusher Latex Free,650.0,650.0,96.2,520.0,23
CPT,C1760,Device Closure 8fr .038in 70cm Hemostatic Bioabsorbable,5250.0,5250.0,777.0,4200.0,23
CPT,C1760,Device Clsr 14fr Manta Vasc,3125.0,3125.0,462.5,2500.0,23
CPT,C1760,Device Clsr 5fr Vascade Fem Art,525.0,525.0,77.7,420.0,23
CPT,C1760,Device Clsr 70cm 6fr Angsl Vip .035in Vasc Clgn,1600.0,1600.0,236.8,1280.0,23
CPT,C1760,Plug Cardio 14mm .087in 10mm 1,2080.0,2080.0,307.84,1664.0,23
CPT,C1760,Plug Ocl Mic 7mm Strl Lf Mvp Mech Vasc Disp V03,3738.0,3738.0,553.22,2990.4,23
CPT,C1760,Vascade Vascular Closure Device 5fr,550.0,550.0,81.4,440.0,23
CPT,C1760,Vascade Vascular Closure Device 6/7fr,550.0,550.0,81.4,440.0,23
CPT,C1761,Catheter Blndil 10 Atm 6 Atm .052in Od 3.052mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CPT,C1761,Catheter Blndil 10 Atm 6 Atm .052in Od Sec 2.5mm Guideware,6875.0,6875.0,1017.5,5500.0,23
CPT,C1761,Catheter Blndil 10 Atm 6 Atm .054in Od 3.5mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CPT,C1761,Catheter Blndil 10 Atm 6 Atm .054in Od 4mm Guideware Dia,6875.0,6875.0,1017.5,5500.0,23
CPT,C1761,Catheter US 2.5mm .044in 138cm Strl Lf 12mm Shockwave C2,11750.0,11750.0,1739.0,9400.0,23
CPT,C1761,Catheter US 3.5mm .045in 138cm Strl Lf 12mm Shockwave C2,11750.0,11750.0,1739.0,9400.0,23
CPT,C1761,Catheter US 3mm .045in 138cm Strl Lf 12mm Shockwave C2 Cnct,11750.0,11750.0,1739.0,9400.0,23
CPT,C1761,Catheter US 4mm .047in 138cm Strl Lf 12mm Shockwave C2 Cnct,11750.0,11750.0,1739.0,9400.0,23
CPT,C1764,"Implantable Cardiac Monitor, Confirm Ic",11676.0,11676.0,1728.05,9340.8,23
CPT,C1764,Implantable Loop Recorder,11613.0,11613.0,1718.72,9290.4,23
CPT,C1764,Monitor Crd Lux-Dx Ins Strl Latex Free Disp,11250.0,11250.0,1665.0,9000.0,23
CPT,C1764,Recorder Crd Lux-Dx-II+ Mbl Cln Ast Vw Rltm S Ecg Apl Prgm,10750.0,10750.0,1591.0,8600.0,23
CPT,C1764,System Crd Monitr Lux-Dx Cln Ast Kit Mbl Dev,498.0,498.0,73.7,398.4,23
CPT,C1764,System Crd Monitr Rvl Impltable Ins Loop,13900.0,13900.0,2057.2,11120.0,23
CPT,C1764,System Crd Monitr Rvl Linq Mycarelink Ins Loop,11613.0,11613.0,1718.72,9290.4,23
CPT,C1766,Flexcath Advance 12 Steerable Sheath - 12 Fr,3307.0,3307.0,489.44,2645.6,23
CPT,C1766,Introd Shth 8.5fr 71cm 50mm Strbl Erg Hndl Atrm Tip Intgr,2642.0,2642.0,391.02,2113.6,23
CPT,C1766,Introd Shth 8.5fr 91cm 71cm Dual Reach Bidir Erg Hndl Atrm,2642.0,2642.0,391.02,2113.6,23
CPT,C1766,Introducer Shth .032in Lg Curl,2000.0,2000.0,296.0,1600.0,23
CPT,C1766,Introducer Shth Sm Curl 71cm A,2235.0,2235.0,330.78,1788.0,23
CPT,C1766,System Dlv 45d 7fr 80cm Amplzr Torqvue Lfric Radopq Tip,1840.0,1840.0,272.32,1472.0,23
CPT,C1766,System Dlv 90d 4fr .055in .046in 80cm 195cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CPT,C1766,System Dlv 90d 4fr 1.4in 1.17in 60cm 160cm Amplzr Torqvue Ss,1840.0,1840.0,272.32,1472.0,23
CPT,C1766,System Dlv 90d 5fr .068in .059in 60cm 160cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CPT,C1766,System Dlv 90d 5fr .068in .059in 80cm 195cm Amplzr Torqvue,1840.0,1840.0,272.32,1472.0,23
CPT,C1767,Generator Esurg Demipulse Ncp,57141.0,57141.0,8456.87,45712.8,23
CPT,C1767,Generator Nrstm Strl Lf Barostim Neo Pls Modl 2102,78750.0,78750.0,11655.0,63000.0,23
CPT,C1767,System Nrstm Barostim Neo Ipg 1 Modl 1036 Csl Cmbn Kt Csl Ld,87500.0,87500.0,12950.0,70000.0,23
CPT,C1768,Set Introd 40cm 4fr Mpnch Psh+ .018in Ntnl Trnstls Stf Cannu,105.0,105.0,15.54,84.0,23
CPT,C1769,.014 - 300cm All-Star Wire,307.0,307.0,45.44,245.6,23
CPT,C1769,.014 - 300cm Asahi Miraclebros,691.0,691.0,102.27,552.8,23
CPT,C1769,.025 X 150cm Emerald Guidewire,21.0,21.0,3.11,16.8,23
CPT,C1769,.025 X 260cm 7cm Emerald Guidewire,21.0,21.0,3.11,16.8,23
CPT,C1769,.035 X 150cm 3cm Emerald Guidewire,22.0,22.0,3.26,17.6,23
CPT,C1769,.035 X 260cm 3cm Emerald Guidewire,22.0,22.0,3.26,17.6,23
CPT,C1769,.035-150cm 3mm J Guidewire,68.0,68.0,10.06,54.4,23
CPT,C1769,.035-150cm Rosen Guidewire,30.0,30.0,4.44,24.0,23
CPT,C1769,.038-145 Amplatz Extra Stiff,76.0,76.0,11.25,60.8,23
CPT,C1769,035in 150cm 7cm Standard Tip Fix,20.0,20.0,2.96,16.0,23
CPT,C1769,10mmx10cmx110cm 0.025 Guidewir,18251.0,18251.0,2701.15,14600.8,23
CPT,C1769,10mmx5cmx110cm 0.025 Guidewire,15219.0,15219.0,2252.41,12175.2,23
CPT,C1769,13mmx5cmx110cm 0.025 Guidewire,15219.0,15219.0,2252.41,12175.2,23
CPT,C1769,190cm J Tip Bmw Guidewire,348.0,348.0,51.5,278.4,23
CPT,C1769,Abbott Vascular,207.0,207.0,30.64,165.6,23
CPT,C1769,Amplatz Guidewire 260cm,129.0,129.0,19.09,103.2,23
CPT,C1769,"Amplatz Sup Guidewire,035/75gw",331.0,331.0,48.99,264.8,46
CPT,C1769,Amplatz Super Stiff Guidewire,507.0,507.0,75.04,405.6,23
CPT,C1769,Asahi Prowater Ptca Guide Wire 180cm,207.0,207.0,30.64,165.6,23
CPT,C1769,Cath Baldilat Rnd 2mm 12mm 2 Mrkr Rapex Ml Lr Smth Flxb,345.0,345.0,51.06,276.0,23
CPT,C1769,Catheter Gd Strg 6fr 115cm Strl Lf Sofia Disp Strk,4990.0,4990.0,738.52,3992.0,23
CPT,C1769,Catheter Guid Extra Backup 4.5 Left Curve 6fr .071,120.0,120.0,17.76,96.0,23
CPT,C1769,Choice Pt Guidewire,605.0,605.0,89.54,484.0,23
CPT,C1769,Choice Pt X-Support Guidewire,605.0,605.0,89.54,484.0,23
CPT,C1769,Contol Wire 200cm .018 V-18,189.0,189.0,27.97,151.2,23
CPT,C1769,Device Torque Glidecath .010-.,15.0,15.0,2.22,12.0,23
CPT,C1769,Disposable Tip Deflecting Wire,567.0,567.0,83.92,453.6,23
CPT,C1769,Doc Guide Wire Extension,324.0,324.0,47.95,259.2,23
CPT,C1769,Dreamwire .035 260 Str Stnd,230.0,230.0,34.04,184.0,23
CPT,C1769,Embrotrap II Revascularization Device (5x33),9500.0,9500.0,1406.0,7600.0,23
CPT,C1769,G12565 Introducer Tracheostomy Percutaneous Ciaglia Blm,1124.0,1124.0,166.35,899.2,23
CPT,C1769,Gdwire Vasc 25d L150 Cm Rnd Curve L200 Cm L170,1337.0,1337.0,197.88,1069.6,23
CPT,C1769,"Gdwire Vasc Slip Coat Stnlss Stl Polymer 25 D, L",1337.0,1337.0,197.88,1069.6,23
CPT,C1769,Gdwire Vasc Slip-Coat; Stnlss Stl; Polymer 25 D;,919.0,919.0,136.01,735.2,23
CPT,C1769,Gdwre Vasc Tper .038in 145cm 6cm Str Tip Am,67.0,67.0,9.92,53.6,23
CPT,C1769,"Glide Wire,.035 Straight",112.0,112.0,16.58,89.6,23
CPT,C1769,Glidewire .035 260 Str,230.0,230.0,34.04,184.0,23
CPT,C1769,Glidewire Advantage Peripheral Distal 25cm X 0.018in X 300cm,550.0,550.0,81.4,440.0,23
CPT,C1769,Gui Vas St Str .035in 260cm Flexible Tip,100.0,100.0,14.8,80.0,46
CPT,C1769,Guide Wire,338.0,338.0,50.02,270.4,23
CPT,C1769,Guidewire,120.44,120.44,9.62,166.0,69
CPT,C1769,Guidewire .016 Fathom,893.0,893.0,132.16,714.4,23
CPT,C1769,Guidewire .018x180cm Segway Gt,417.0,417.0,61.72,333.6,23
CPT,C1769,Guidewire .035-150cm Angled Stiff,167.0,167.0,24.72,133.6,23
CPT,C1769,Guidewire .035-260cm Bentson E,88.0,88.0,13.02,70.4,23
CPT,C1769,Guidewire .035-260cm Rosen,68.0,68.0,10.06,54.4,23
CPT,C1769,Guidewire .035/150cm,1424.0,1424.0,210.75,1139.2,23
CPT,C1769,Guidewire .035/260m Exchange,149.0,149.0,22.05,119.2,23
CPT,C1769,Guidewire .35x150cm Bentson,76.0,76.0,11.25,60.8,23
CPT,C1769,Guidewire 3mm J Fixed Core .03,46.0,46.0,6.81,36.8,23
CPT,C1769,Guidewire Amplatz Super,425.0,425.0,62.9,340.0,23
CPT,C1769,Guidewire Asahi Grand Slam .014x300cm 14940,234.0,234.0,34.63,187.2,23
CPT,C1769,Guidewire Cope Mandril,116.0,116.0,17.17,92.8,23
CPT,C1769,Guidewire Endscp .025fr 260cm Jgwr Rev Tung Rnd,424.0,424.0,62.75,339.2,46
CPT,C1769,Guidewire Endscp .025fr 500cm Rev Jgwr Tung Str,424.0,424.0,62.75,339.2,23
CPT,C1769,Guidewire Endscp .025in 450cm Rnd Tip Jgwr Rev Ang,424.0,424.0,62.75,339.2,23
CPT,C1769,Guidewire Endscp 3.9fr .025in 20mm Rev Hprfr Jgwr,1002.0,1002.0,148.3,801.6,23
CPT,C1769,Guidewire Endscp 3.9fr .025in 20mm Strp Hydphi Tpr,1002.0,1002.0,148.3,801.6,23
CPT,C1769,Guidewire Endscp 3.9fr 20mm Jgwr Rev Tung Str 5mm,1002.0,1002.0,148.3,801.6,23
CPT,C1769,"Guidewire Hi-Torque Comm Es .014"" 300cm",988.0,988.0,146.22,790.4,46
CPT,C1769,Guidewire Hydrophilic Coat 0 1,555.0,555.0,82.14,444.0,23
CPT,C1769,Guidewire Hydrophilic Coat 0 2,496.0,496.0,73.41,396.8,23
CPT,C1769,Guidewire Hydrophilic Coat S 2,39.0,39.0,5.77,31.2,23
CPT,C1769,Guidewire Hydrophilic Coated T,585.0,585.0,86.58,468.0,23
CPT,C1769,Guidewire Silverspeed .016,735.0,735.0,108.78,588.0,23
CPT,C1769,Guidewire Soft Pre-Shaped 200c,1838.0,1838.0,272.02,1470.4,23
CPT,C1769,Guidewire Srg 45d .018in 180cm 3cm Gldwr Gl Ang Flx Tp Hdrph,301.0,301.0,44.55,240.8,23
CPT,C1769,Guidewire Srg Strg Tip 185cm Omniwire Prss Gw,1688.0,1688.0,249.82,1350.4,23
CPT,C1769,Guidewire Standard Pre-Shap 1,2151.0,2151.0,318.35,1720.8,23
CPT,C1769,Guidewire Standard Pre-Shap 2,1387.0,1387.0,205.28,1109.6,23
CPT,C1769,Guidewire Transend Ex .014st,1036.0,1036.0,153.33,828.8,23
CPT,C1769,Guidewire Uro Strg .035in 180cm 7cm Amp Spst,101.48,101.48,15.02,81.18,23
CPT,C1769,Guidewire Uro Strg .035in 260cm 7cm Amp Spst,106.14,106.14,15.71,84.91,23
CPT,C1769,Guidewire Vasc .014in 130cm St,200.0,200.0,29.6,160.0,23
CPT,C1769,Guidewire Vasc .014in 180cm Strl Lf Cnfnz Pro 12 Disp,333.0,333.0,49.28,266.4,46
CPT,C1769,Guidewire Vasc .014in 180cm Strl Lf Fielder Fc Disp,199.0,199.0,29.3,160.0,46
CPT,C1769,Guidewire Vasc .014in 180cm Strl Lf Mrclbrs 6 Disp,333.0,333.0,49.28,266.4,46
CPT,C1769,Guidewire Vasc .014in 180cm Strl Lf P-H2o Disp,199.0,199.0,29.3,160.0,46
CPT,C1769,Guidewire Vasc .014in 190cm St,208.0,208.0,30.78,166.4,23
CPT,C1769,Guidewire Vasc .014in 190cm Strl Lf Asahi Sion Disp,333.0,333.0,49.28,266.4,23
CPT,C1769,Guidewire Vasc .014in 215cm Strl Lf Synchro2 Hdrph Disp,1484.0,1484.0,219.63,1187.2,23
CPT,C1769,Guidewire Vasc .014in 215cm Strl Lf Synchro2 Pshp Hdrph Disp,1484.0,1484.0,219.63,1187.2,23
CPT,C1769,Guidewire Vasc .014in 300cm 3cm Strg Med Sprt Htorq Whspr Ms,207.0,207.0,30.64,165.6,23
CPT,C1769,Guidewire Vasc .014in 300cm Fi,60.0,60.0,8.88,48.0,23
CPT,C1769,Guidewire Vasc .014in 300cm St,1841.0,1841.0,272.47,1472.8,23
CPT,C1769,Guidewire Vasc .014in 300cm Strl Lf Grand Slam Disp,288.0,288.0,42.62,230.4,23
CPT,C1769,Guidewire Vasc .014in 300cm Strl Lf Mrclbrs 3 Disp,333.0,333.0,49.28,266.4,23
CPT,C1769,Guidewire Vasc .014in 300cm Strl Lf Mrclbrs 6 Disp,333.0,333.0,49.28,266.4,23
CPT,C1769,Guidewire Vasc .014in 300cm Strl Lf P-H2o Disp,200.0,200.0,29.6,160.0,23
CPT,C1769,Guidewire Vasc .018in 5fr 40cm Strl 10cm Mpnch Sh Trnls Co G47713,134.0,134.0,19.83,107.2,23
CPT,C1769,Guidewire Vasc 1.5mm Rds J Crv Rsn .035in 150cm Strl 4cm,274.0,274.0,40.55,219.2,23
CPT,C1769,Guidewire Vasc 145cm .035in Flpy Tip Xstif Str Tpr,65.0,65.0,9.62,52.0,23
CPT,C1769,Guidewire Vasc 145cm .035in Flxb Flpy Tip Fltwr,331.0,331.0,48.99,264.8,23
CPT,C1769,Guidewire Vasc 150cm .035in Radiopq Std Shft Flxb,402.0,402.0,59.5,321.6,23
CPT,C1769,Guidewire Vasc 15cm Strg 2 Crv Tpr .035in 180cm 7cm Lndrqs,753.0,753.0,111.44,602.4,23
CPT,C1769,Guidewire Vasc 15d Ang .018in 80cm 5cm Ntrx Radopq,145.0,145.0,21.46,116.0,23
CPT,C1769,Guidewire Vasc 175cm .014in Radiopq Prox Conctr,1500.0,1500.0,222.0,1200.0,23
CPT,C1769,Guidewire Vasc 175cm Rnd Prfl Agile Tip Smtr Rot,1575.0,1575.0,233.1,1260.0,23
CPT,C1769,Guidewire Vasc 180cm .014in Atrm X Flpy Tip,200.0,200.0,29.6,160.0,23
CPT,C1769,Guidewire Vasc 180cm .014in Hbrd Radiopq Str Tip,394.0,394.0,58.31,315.2,23
CPT,C1769,Guidewire Vasc 180cm .014in Str 3cm Sion Asahi Ss,375.0,375.0,55.5,300.0,46
CPT,C1769,Guidewire Vasc 180cm .016in Str Tip Strbl,744.0,744.0,110.11,595.2,23
CPT,C1769,Guidewire Vasc 180cm .035in Flx Tp Ang 25cm 5cm,400.0,400.0,59.2,320.0,23
CPT,C1769,Guidewire Vasc 180cm Asahi Ptca Sion Blue,375.0,375.0,55.5,300.0,23
CPT,C1769,Guidewire Vasc 185cm .014in Flxb Intmd Tip Mdrt,159.0,159.0,23.53,127.2,23
CPT,C1769,Guidewire Vasc 185cm Strl Lf Verrata + Prss Disp,1688.0,1688.0,249.82,1350.4,46
CPT,C1769,Guidewire Vasc 190cm .014in Core to Tip Radiopq,188.0,188.0,27.82,150.4,23
CPT,C1769,Guidewire Vasc 190cm .014in Jointless Sprg Coil,188.0,188.0,27.82,150.4,23
CPT,C1769,Guidewire Vasc 190cm .014in Strbl Radiopq Kink Rst,113.0,113.0,5.62,150.4,46
CPT,C1769,Guidewire Vasc 200cm .012-.014in Hbrd Radiopq Str,1035.0,1035.0,153.18,828.0,23
CPT,C1769,Guidewire Vasc 200cm .014in Str 3cm Traxcess Ntnl,844.0,844.0,124.91,675.2,23
CPT,C1769,Guidewire Vasc 220cm .008-.012in Distal Tip,1495.0,1495.0,221.26,1196.0,23
CPT,C1769,Guidewire Vasc 220cm .008-.012in Hbrd Radiopq Str,1426.0,1426.0,211.05,1140.8,23
CPT,C1769,Guidewire Vasc 260cm .018in Flpy Tip Radiopq Lng,203.0,203.0,30.04,162.4,23
CPT,C1769,Guidewire Vasc 260cm .018in Flpy Tip Radiopq Shrt,203.0,203.0,30.04,162.4,23
CPT,C1769,Guidewire Vasc 260cm .035in Flpy Tip Fltwr Coil 3,104.0,104.0,15.39,83.2,23
CPT,C1769,Guidewire Vasc 260cm .035in Flpy Tip Xstif Str Tpr,68.0,68.0,10.06,54.4,23
CPT,C1769,Guidewire Vasc 260cm .035in Flxb Sprg Coil Tip Std,1045.0,1045.0,154.66,836.0,23
CPT,C1769,Guidewire Vasc 260cm .035in Radiopq Flxb Core To,623.0,623.0,92.2,498.4,23
CPT,C1769,Guidewire Vasc 300cm .014in Core to Tip Radiopq,188.0,188.0,27.82,150.4,23
CPT,C1769,Guidewire Vasc 300cm .014in Jointless Sprg Coil,188.0,188.0,27.82,150.4,23
CPT,C1769,Guidewire Vasc 300cm .014in Radiopq Core to Tip,188.0,188.0,27.82,150.4,23
CPT,C1769,Guidewire Vasc 300cm Asahi Mrc,238.0,238.0,35.22,190.4,23
CPT,C1769,Guidewire Vasc 325cm .012in Viperwire Adv Coron,488.0,488.0,72.22,390.4,23
CPT,C1769,Guidewire Vasc 360 Orbtl,488.0,488.0,72.22,390.4,23
CPT,C1769,Guidewire Vasc 3mm Rds J Crv .,116.5,116.5,3.85,165.6,46
CPT,C1769,Guidewire Vasc 60cm .018in Flpy Sftp Ang Tpr 7cm,98.0,98.0,14.5,78.4,23
CPT,C1769,Guidewire Vasc 70cm .035in Evenmore 5cm J Fix Core,27.5,27.5,4.07,22.0,46
CPT,C1769,Guidewire Vasc 80cm .014in Intmd Tip Radiopq Kink,608.0,608.0,89.98,486.4,23
CPT,C1769,Guidewire Vasc 80cm .035in Jkt Core to Tip Atrm,80.0,80.0,11.84,64.0,23
CPT,C1769,Guidewire Vasc 90d 60d 2cm .018in 180cm 25cm Gldwr Gt Tip,393.0,393.0,58.16,314.4,23
CPT,C1769,Guidewire Vasc Ang .025in 150cm 3cm Gldwr Hdrph,101.13,101.13,14.97,80.9,23
CPT,C1769,Guidewire Vasc Ang .025in 260cm 3cm Gldwr Hdrph,144.0,144.0,21.31,115.2,23
CPT,C1769,Guidewire Vasc Ang .035in 150cm 3cm Laureate Fxcr,75.0,75.0,11.1,60.0,23
CPT,C1769,Guidewire Vasc Ang .035in 150cm Hiwire Radopq Flx Tp Stf,423.0,423.0,62.6,338.4,23
CPT,C1769,Guidewire Vasc Ang Shrt Tpr .018in 60cm 7cm Cp Mdrl Dist Tip,106.0,106.0,15.69,84.8,23
CPT,C1769,Guidewire Vasc Crv .035in 80cm,73.0,73.0,10.8,58.4,23
CPT,C1769,Guidewire Vasc J Crv .035in 300cm Strl Lf 6mm Amplzr Flx Tp,133.0,133.0,19.68,106.4,46
CPT,C1769,Guidewire Vasc Mod J Crv .035in 260cm Strl Lf 1.5mm Amplzr,133.0,133.0,19.68,106.4,23
CPT,C1769,Guidewire Vasc Mod J Crv .035in 260cm Strl Lf 7.5mm Amplzr,133.0,133.0,19.68,106.4,23
CPT,C1769,Guidewire Vasc Rg3,575.0,575.0,85.1,460.0,23
CPT,C1769,Guidewire Vasc Std Ang .035in 260cm 3cm Gldwr Gld Tch Flxb,555.0,555.0,82.14,444.0,23
CPT,C1769,Guidewire Vasc Std Strg .035in 150cm 1cm Gldwr Jkt Cor To,72.5,72.5,10.73,58.0,23
CPT,C1769,Guidewire Vasc Strg .014in 185,159.0,159.0,23.53,127.2,23
CPT,C1769,Guidewire Vasc Strg .035in 180cm 3cm Gldwr Shp Tip Hdrph,107.0,107.0,15.84,85.6,23
CPT,C1769,Guidewire Vasc Strg .035in 260cm 6cm Hiwire Bntsn Atrm X,57.0,57.0,8.44,45.6,23
CPT,C1769,Guidewire Vasc Strg .038in 145cm Strl 5cm Amptz Flxb Ult Stf,69.0,69.0,10.21,55.2,23
CPT,C1769,Guidewire Vasc Strg Tpr .014in,196.5,196.5,8.88,266.4,46
CPT,C1769,Guidewire Vasc Strg Tpr .014in 190cm Strl Lf 16cm a Fldr,333.0,333.0,49.28,266.4,23
CPT,C1769,Guidewire Vasc Strg Tpr .014in 300cm Aprch Smth Nvg Hdrph Ss,499.0,499.0,73.85,399.2,23
CPT,C1769,Guidewire Vasc Traxcess 3x200 Ex,878.0,878.0,129.94,702.4,23
CPT,C1769,Guidewire Vascular,584.0,584.0,86.43,467.2,23
CPT,C1769,Guidewire Vascular .014in 300cm 11cm Radiopq Str T,450.0,450.0,66.6,360.0,23
CPT,C1769,Guidewire Vascular .014in 300cm 20cm Exchange Radiopq Distal,896.0,896.0,132.61,716.8,23
CPT,C1769,Guidewire Vascular 15d .018in 180cm 5cm Intermedia,216.0,216.0,31.97,172.8,23
CPT,C1769,Guidewire Vascular 6cm J .035in 145cm 3mm Flexible Tip,76.0,76.0,11.25,60.8,23
CPT,C1769,Guidewire Vascular Angle Standard .035in 180cm 3cm,108.0,108.0,15.98,86.4,23
CPT,C1769,Guidewire Vascular Angled .035in 260cm 25cm Glidew,450.0,450.0,66.6,360.0,23
CPT,C1769,Guidewire Vascular Asahi Gladius Mongo L190 Cm Od.014 in Sterile,1663.0,1663.0,246.12,1330.4,23
CPT,C1769,Guidewire Vascular Short .025in 260cm 3cm Radiopq Platinum,202.0,202.0,29.9,161.6,23
CPT,C1769,Guidewire Vascular Short Large J Flat Spring Coil .035in 180,104.0,104.0,15.39,83.2,23
CPT,C1769,Guidewire Vascular Str .014in,759.0,759.0,112.33,607.2,23
CPT,C1769,Guidewire Vascular Str .018in 180cm 25cm Shapeable Shaft,398.0,398.0,58.9,318.4,23
CPT,C1769,Guidewire Vascular Str .035in 150cm Bentson Smooth,33.0,33.0,4.88,26.4,23
CPT,C1769,Guidewire Vascular Str Short Taper .014in 300cm 8cm Robust,343.0,343.0,50.76,274.4,23
CPT,C1769,Guidewire Vascular Taper .014in 300cm 18gm Tip Load Approach,417.0,417.0,61.72,333.6,23
CPT,C1769,Guidewire Vascular Taper .014in 300cm 25gm Tip Load Approach,417.0,417.0,61.72,333.6,23
CPT,C1769,Guidewire Vascular Taper .018in 300cm 8cm Radiopq Str Tip,197.0,197.0,29.16,157.6,23
CPT,C1769,Guidewire X-Pedion-10 Re 2,778.0,778.0,115.14,622.4,23
CPT,C1769,"Guidewire, Synchro2",1251.0,1251.0,185.15,1000.8,23
CPT,C1769,Guidwire Glide .038 150 Angle,154.0,154.0,22.79,123.2,23
CPT,C1769,Gwire Vasc .012in 200cm 55cm Sft Pshp Acces Lgth Synchro2,1283.0,1283.0,189.88,1026.4,23
CPT,C1769,Gwire Vasc .012in 300cm 55cm Sft Pshp Acces Lgth Synchro2,1593.0,1593.0,235.76,1274.4,23
CPT,C1769,Gwire Vasc .014in 180cm 3cm Str Shp Tip Runthrough Ns Coron,247.0,247.0,36.56,197.6,23
CPT,C1769,Gwire Vasc .035in 145cm 20cm Str Flexibile Tip Flpy Bntsn Lg,51.0,51.0,7.55,40.8,23
CPT,C1769,Gwire Vasc .035in 15mm 260cm 4cm 2 Cvd Exch Xstif Lndrqs Ss,620.0,620.0,91.76,496.0,23
CPT,C1769,Gwire Vasc 1.5mm Rsn Curve .035in 180cm 1.5mm Cvd Cath Exch,45.0,45.0,6.66,36.0,23
CPT,C1769,Gwire Vasc 180cm .014in Radiopq Mrkr Str 3cm a Fldr Fc,207.0,207.0,30.64,165.6,23
CPT,C1769,Gwire Vasc 180cm .035in Jkt Core to Tip Atrm 1.5mm Rad Std J,117.0,117.0,17.32,93.6,23
CPT,C1769,Gwire Vasc 185cm .014in Prss Clip Conctr Radiopq Tip Trq Dev,1772.0,1772.0,262.26,1417.6,23
CPT,C1769,Gwire Vasc 190cm .014in Core to Tip Str 16cm a Fldr Xt,414.0,414.0,61.27,331.2,23
CPT,C1769,Gwire Vasc 190cm .014in Radiopq Mrkr Core to Tip Str 3cm,207.0,207.0,30.64,165.6,23
CPT,C1769,Gwire Vasc 190cm .014in Str 3cm Htorq Whspr Ms Ss Hydphi,217.0,217.0,32.12,173.6,23
CPT,C1769,Gwire Vasc 260cm .035in Jkt Core to Tip Atrm 1.5mm Rad Std J,131.0,131.0,19.39,104.8,23
CPT,C1769,Gwire Vasc 300cm .014in Core to Tip Str 16cm a Fldr Xt,414.0,414.0,61.27,331.2,23
CPT,C1769,Gwire Vasc 300cm .014in Radiopq Mrkr Core to Tip Str 3cm,207.0,207.0,30.64,165.6,23
CPT,C1769,Gwire Vasc 300cm .014in Shp Tip Str 3cm Runthrough Ns Ptfe,235.0,235.0,34.78,188.0,23
CPT,C1769,Gwire Vasc 300cm .014in Strbl Core to Tip Radiopq Str 3cm,207.0,207.0,30.64,165.6,23
CPT,C1769,Gwire Vasc 325cm .009in Flpy Wrclp Trq Flxb Lng Tpr 2.2cm,457.0,457.0,67.64,365.6,23
CPT,C1769,Gwire Vasc 325cm .009in Flpy Wrclp Trq Flxb Lng Tpr 2.8cm,457.0,457.0,67.64,365.6,23
CPT,C1769,Gwire Vasc Rsn Curve J Curve Lng .035in 260cm 1.5mm Exch,82.0,82.0,12.14,65.6,23
CPT,C1769,"Gwire Vsc 190cm .014"" Mkr Tp Str 3cm Htrq Bl Mwt U",207.0,207.0,30.64,165.6,23
CPT,C1769,Hi Torque 150 Gide Wire 0.014 Straight Tip 3.0 X 190cm,207.0,207.0,30.64,165.6,23
CPT,C1769,Hi-Torque Iron Man Guide Wire,217.0,217.0,32.12,173.6,23
CPT,C1769,Hi-Torque Pilot 50 Guide Wire,302.0,302.0,44.7,241.6,23
CPT,C1769,Introd Shth 6fr .083in 13cm Rbst Vlv Splt Sdprt,88.0,88.0,13.02,70.4,23
CPT,C1769,Jagtomes Rx Cannulating Sphinc,1255.0,1255.0,185.74,1004.0,23
CPT,C1769,Jagwire/025/Straight 450cm,533.0,533.0,78.88,426.4,23
CPT,C1769,Kit Procedure .035in 21ga 65cm,1000.0,1000.0,148.0,800.0,23
CPT,C1769,Kit Procedure .035in 21ga 90cm,1000.0,1000.0,148.0,800.0,23
CPT,C1769,Lewis Micropunture Set,130.0,130.0,19.24,104.0,23
CPT,C1769,Mirage Re .008,1288.0,1288.0,190.62,1030.4,23
CPT,C1769,Needle Biop 22ga 10cm Chiba Sterile Disposable Aspirat,27.0,27.0,4.0,21.6,23
CPT,C1769,Pericardio Set and Tray,474.0,474.0,70.15,379.2,23
CPT,C1769,Pinnacle Guidewire 6fr Straigh,278.0,278.0,41.14,222.4,23
CPT,C1769,Set Cat 15.5fr 24cm 3 Lumen Bas Gwire Dil Scal,278.0,278.0,41.14,222.4,23
CPT,C1769,Set Cath 20cm 15.5fr 3 Lum Basic Gwire Dilat Scpl,288.0,288.0,42.62,230.4,23
CPT,C1769,Set Cath Unv 5mm 9cm Mlkr ER Crico,1186.75,1186.75,175.64,949.4,23
CPT,C1769,Set Gstrm Lg 20-24fr 22-26fr Strl Entuit Srt Coons Dil Plwy,213.0,213.0,31.52,170.4,23
CPT,C1769,Sphntm 20mm 5mm 3.9fr .025in Jgwr Jagtome Atme Rev,1002.0,1002.0,148.3,801.6,23
CPT,C1769,Sphntm 5mm 450cm 3.9fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,46
CPT,C1769,Sphntm 5mm 450cm 4.4fr Truetome Jgwr Cann Preld,950.0,950.0,140.6,760.0,46
CPT,C1769,Transcend Steerable,546.0,546.0,80.81,436.8,46
CPT,C1769,Tray Trch 8.5fr Shly Blu Rhino Flxb Adlt Perc,1631.0,1631.0,241.39,1304.8,23
CPT,C1769,V-14 Control Wire .014in X 300cm 8cm Angled Tip,318.5,318.5,47.14,254.8,23
CPT,C1769,Vascular Guidewire,159.0,159.0,23.53,127.2,23
CPT,C1773,12-20mmx120cm Std Snare,1119.0,1119.0,165.61,895.2,23
CPT,C1773,15mm Amplatz Snare,916.0,916.0,135.57,732.8,23
CPT,C1773,25mm Amplatz Snare,916.0,916.0,135.57,732.8,23
CPT,C1773,9-15mmx120cm Std Snare,1119.0,1119.0,165.61,895.2,23
CPT,C1773,Catheter Dlv Sys 180d 5fr 60cm Amplzr Torqvue Shth Dil Reinf,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Dlv Sys 45d 6fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Dlv Sys 45d 7fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Dlv Sys 45d 8fr 60cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Dlv Sys 45d 8fr 80cm Amplzr Torqvue Lfric Radopq,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Dlv Sys 45d 9fr 80cm Amplzr Torqvue Radopq Tip,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Catheter Es 180d 6fr 80cm Amplzr Torqvue Shth Reinf Radopq,1840.0,1840.0,272.32,1472.0,23
CPT,C1773,Filter Retrieval Set,886.0,886.0,131.13,708.8,23
CPT,C1773,Kit Snr Agn 90d 200cm 2.3-3fr 7mm Mcth Loop Coil,1625.0,1625.0,240.5,1300.0,23
CPT,C1773,Retriever Escp Cloversnare 4 Loop Vasc,1485.0,1485.0,219.78,1188.0,23
CPT,C1773,Separator Thrmb Indg 6 Latex Free,2700.0,2700.0,399.6,2160.0,23
CPT,C1773,Snare Endscp .98in 47in 1 Loop Gold Plated Tungsten,900.0,900.0,133.2,720.0,23
CPT,C1776,2mm Mini Snare,1870.0,1870.0,276.76,1496.0,23
CPT,C1776,Avaflex Vertebral Balloon System 11g X 15mm Afb1115,5000.0,5000.0,740.0,4000.0,23
CPT,C1776,Avaflex Vertebral Balloon System 11g X 20mm Afb1120,3000.0,3000.0,444.0,2400.0,23
CPT,C1777,ENDOTAK RELIANCE AF (Active Fixation) LEADS,11231.0,11231.0,1662.19,8984.8,23
CPT,C1777,ENDOTAK RELIANCE G AF (Active Fixation) LEADS,13300.0,13300.0,1968.4,10640.0,23
CPT,C1777,Lead Dfbr 58cm 8fr Optisure Ecrdm Optim 1 Coil Df4 Conctr,10761.0,10761.0,1592.63,8608.8,23
CPT,C1777,Lead Dfbr 59cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CPT,C1777,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CPT,C1777,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd 1 Coil,6500.0,6500.0,962.0,5200.0,23
CPT,C1777,Lead Dfbr 65cm 8fr Optisure Ecrdm 1 Coil Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CPT,C1777,Lead Dfbr 70cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CPT,C1777,Lead Pacing 11mm Space 6.8fr 58cm 1 Coil True Bipol Active,5250.0,5250.0,777.0,4200.0,23
CPT,C1777,Lead Pacing 11mm Spacing 6.8fr 65cm True Bipol Active Fix,5250.0,5250.0,777.0,4200.0,23
CPT,C1777,Lead Pacing Endotak Reliance S Steroid Silicone L59cm Endocardial Df4-Llho,6500.0,6500.0,962.0,5200.0,23
CPT,C1777,Lead Pacing Sprint Quattro Secure L58 Cm 1 Coil Defib,7875.0,7875.0,1165.5,6300.0,23
CPT,C1777,Lead Pacing Sprint Quattro Secure Steroid Eluting Silicone Helix L65,7875.0,7875.0,1165.5,6300.0,23
CPT,C1777,Lead Pcng 62cm Rv Trplr Scr in Xtd-Retrac Hlx,6100.0,6100.0,902.8,4880.0,23
CPT,C1777,"Reliance Df4 Lead, Aicd, Endo Single Coil",13964.0,13964.0,2066.67,11171.2,23
CPT,C1777,"Reliance Gore Df4 Lead,Aicd, Endo Single Coil",13964.0,13964.0,2066.67,11171.2,23
CPT,C1778,Kit Nrstm Shrt Strl Lf Barostim Neo Ld Crtd Sin Modl 1036,17500.0,17500.0,2590.0,14000.0,23
CPT,C1779,Capsurenovusfix Lead,8340.0,8340.0,1234.32,6672.0,23
CPT,C1781,Mesh Implt,650.0,650.0,96.2,520.0,23
CPT,C1781,Occluder Septal 25mm,18552.0,18552.0,2745.7,14841.6,23
CPT,C1783,Stent Opth 50um 230um 80um 360um Strl Istent Inj 2 Preld 1,3688.0,3688.0,545.82,2950.4,23
CPT,C1785,Accent Dr Pacemaker Generator,17142.0,17142.0,2537.02,13713.6,23
CPT,C1785,Pacemaker Assurity MRI 6mm X 50mm X 47mm 10.44 Cc 2 Chmbr Is-1 Con,12225.0,12225.0,1809.3,9780.0,23
CPT,C1785,Pacemaker Crd Azure Wirelessly,13750.0,13750.0,2035.0,11000.0,23
CPT,C1785,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 1 Chmbr Is-1 Conctr,17774.0,17774.0,2630.55,14219.2,23
CPT,C1785,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 2 Chmbr Is-1 Conctr,19566.0,19566.0,2895.77,15652.8,23
CPT,C1785,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Dr 2 Chmbr Is-1 Conctr,18765.0,18765.0,2777.22,15012.0,23
CPT,C1785,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Dr Rf Chmbr Is-1 Conctr,19946.0,19946.0,2952.01,15956.8,23
CPT,C1785,Pcmkr Crd Thk6mm Sm Endurity Dr Rf Chmbr Is-1 Conctr Atcpt,17322.0,17322.0,2563.66,13857.6,23
CPT,C1785,Pm Cardiac Acld Lat Nxt Dr-El 4.45 X 5.88 X 0.75,7625.0,7625.0,1128.5,6100.0,23
CPT,C1786,Edora Promri Sr-T-Sing Chmbr Pacemaker-Rate-Ad,13375.0,13375.0,1979.5,10700.0,23
CPT,C1786,Generator Pacemaker Assurity MRI Thk6 Mm W50 Mm X H47 Mm,4000.0,4000.0,592.0,3200.0,23
CPT,C1786,Pacemaker Crd Azure,12000.0,12000.0,1776.0,9600.0,23
CPT,C1786,Pacemaker Single Chamber Adapta Sr,10344.0,10344.0,1530.91,8275.2,23
CPT,C1786,Pcmkr Crd Thk6mm Sm 41x50 X6 Endurity Sr 1 Chmbr Is-1 Conctr,12335.0,12335.0,1825.58,9868.0,23
CPT,C1786,Pcmkr Crd Thk6mm Sm 50x47mm Assurity 1 Chmbr Is-1 Conctr,16141.0,16141.0,2388.87,12912.8,23
CPT,C1786,Pcmkr Crd Thk6mm Sm 50x47mm Assurity Sr 1 Chmbr Is-1 Conctr,14960.0,14960.0,2214.08,11968.0,23
CPT,C1786,System Dlv 3.2v 120mah 6.7mm 25.9mm Micra Surescan Hbrd,26875.0,26875.0,3977.5,21500.0,23
CPT,C1788,Catheter Central Venous Pro-Fuse Triniflex Od8 Fr Attachable,500.0,500.0,74.0,400.0,23
CPT,C1788,Dignity Port 6.6f,500.0,500.0,74.0,400.0,23
CPT,C1788,Port Implinfn 11.4fr 12fr Vtx Peelpro 2 Dtch Cath,1455.0,1455.0,215.34,1164.0,23
CPT,C1788,Set Hmdial 33ml Lf Aqdx Bld Crct Uf-500,2250.0,2250.0,333.0,1800.0,23
CPT,C1788,Tray Infus Port Lp 1 Lum Introd Ndl Tnl Tl Cath 6,1613.0,1613.0,238.72,1290.4,23
CPT,C1789,V-18 Control Wire .018in X 110cm 8cm Straight Tip,211.0,211.0,31.23,168.8,23
CPT,C1817,Occluder Cv 10mm 4mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv 10mm Strl Lf Amplzr Ductal Disp,10763.0,10763.0,1592.92,8610.4,23
CPT,C1817,Occluder Cv 11mm 5mm 4mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv 11mm 5mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv 12mm 6mm 4.25mm Amplzr Torqvue Lp 2 Artc Disc 6,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv 12mm 6mm 6.25mm Amplzr Torqvue Lp 2 Artc Disc 6,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv 12mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv Sys,19933.0,19933.0,2950.08,15946.4,23
CPT,C1817,Occluder Cv 14mm 22mm 7mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,19933.0,19933.0,2950.08,15946.4,23
CPT,C1817,Occluder Cv 35mm Strl Lf Amplzr,24988.0,24988.0,3698.22,19990.4,23
CPT,C1817,Occluder Cv 45d 5mm 13-17mm 3mm Strl Lf Amplzr 2 Disc Slf,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 10mm 18-22mm 3mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 12mm 22-26mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 15mm 25-29mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 18mm 28-32mm 4mm Amplzr 2 Disc Slf Xpd,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 18mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 25mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 30mm 40-44mm 4mm Strl Lf Amplzr 2 Disc,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 30mm Amplzr 2 Disc Slf Xpd Ntnl Plstr,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 45d Crv 7mm 15-19mm 3mm Strl Lf Amplzr 2 Disk,16558.0,16558.0,2450.58,13246.4,23
CPT,C1817,Occluder Cv 8mm Strl Lf Amplzr Ductal Disp,10763.0,10763.0,1592.92,8610.4,23
CPT,C1817,Occluder Cv 9mm 3mm 6mm Amplzr Torqvue Lp 2 Artc Disc 6 Pln,12863.0,12863.0,1903.72,10290.4,23
CPT,C1817,Occluder Cv Cone 6-4mm 10mm 7mm Strl Lf Amplzr Slf Xpd Scr,10763.0,10763.0,1592.92,8610.4,23
CPT,C1817,Occluder Cv Crv 18mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CPT,C1817,Occluder Cv Crv 6mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CPT,C1817,Occluder Cv Crv 8mm 7mm Strl Lf Amplzr 2 Disc Slf Xpd Dlv,19933.0,19933.0,2950.08,15946.4,23
CPT,C1817,Plug Cardio 13.5mm 8mm 4fr Amplzr .038in Lp Ntnl,2375.0,2375.0,351.5,1900.0,23
CPT,C1817,Plug Cv .038in Loprfl 6mm 4fr 11mm Strl Lf 125cm Amplzr 2,2375.0,2375.0,351.5,1900.0,23
CPT,C1817,Plug Cv 155cm 7mm 12.5mm Strl Lf 125cm Amplzr Ty IV Dlv Sys,2375.0,2375.0,351.5,1900.0,23
CPT,C1817,Sheath Dlv 45d 12fr .189in .157in 100cm Strl Lf Amplzr,2170.0,2170.0,321.16,1736.0,23
CPT,C1817,Sheath Dlv 45d 14fr .215in .184in 100cm Strl Lf Amplzr,2170.0,2170.0,321.16,1736.0,23
CPT,C1817,Sheath Dlv 45d 9fr .15in .118in 100cm Strl Lf Amplzr Torqvue,2170.0,2170.0,321.16,1736.0,23
CPT,C1826,Gen  neuro  clo loop  rechg,,,,,0
CPT,C1827,Gen  neuro  imp led  ex cntr,,,,,0
CPT,C1832,Auto cell process sys,,,66.14,66.14,6
CPT,C1833,Cardiac monitor sys,,,,,0
CPT,C1874,9frx16x90-75cm Wall,5303.0,5303.0,784.84,4242.4,23
CPT,C1874,Axios Stent and Electrocautery 15x10,11625.0,11625.0,1720.5,9300.0,23
CPT,C1874,Cath.Viabahn 8mm X 15cm 1,5107.0,5107.0,755.84,4085.6,23
CPT,C1874,Cath.Viabahn 8mm X 15cm 2,5107.0,5107.0,755.84,4085.6,23
CPT,C1874,Catheter Baldilat 1.5mm 8mm Coron Rapex Ult Lp,250.0,250.0,37.0,200.0,23
CPT,C1874,Coil Complex Helica,1287.0,1287.0,190.48,1029.6,23
CPT,C1874,Percut(Mmxcm)10x10,13684.0,13684.0,2025.23,10947.2,23
CPT,C1874,Stent Bil 10mm 8.5fr 40mm Flly Covered Trnshep Wallflex,7978.0,7978.0,1180.74,6382.4,23
CPT,C1874,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 2.50,660.0,660.0,97.68,528.0,23
CPT,C1874,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 2.75,660.0,660.0,97.68,528.0,23
CPT,C1874,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 3.00,660.0,660.0,97.68,528.0,23
CPT,C1874,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 3.50,660.0,660.0,97.68,528.0,23
CPT,C1874,Stent Cor Xience Skypoint Everolimus Elut Cor Stnt Sys 4.00,660.0,660.0,97.68,528.0,23
CPT,C1874,Stent Coron 23mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CPT,C1874,Stent Coron 23mm 3.25mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CPT,C1874,Stent Coron 28mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CPT,C1874,Stent Coron 33mm 2.25mm Everolimus Xience Srr,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,Stent Coron 33mm 2.5mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CPT,C1874,Stent Coron 38mm 2.25mm Everolimus Xience Srr,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,Stent Coron 38mm 2.5mm .034-.029in 5fr Everolimus,3996.0,3996.0,591.41,3196.8,23
CPT,C1874,Stent Coron 8mm 2.25mm .034-.029in 5fr Everolimus,3806.0,3806.0,563.29,3044.8,23
CPT,C1874,Stent Endoprosthesis Viabahn Heparin Nitinol Eptfe L25 Cm L120 Cm Od6 Mm,15988.0,15988.0,2366.22,12790.4,23
CPT,C1874,Stent Endoprsth 59mm 7mm 11mm 7fr Gore Vbhn 135cm,8138.0,8138.0,1204.42,6510.4,23
CPT,C1874,Stent Endoprsth 5mm 10cm 120cm Flexible Self Expand Radiopq,9875.0,9875.0,1461.5,7900.0,23
CPT,C1874,Stent Endoprsth 6mm 7fr 5cm 120cm .035in Hep Bioactive C,7061.0,7061.0,1045.03,5648.8,23
CPT,C1874,Stent Eprsth .035in 8mm 11mm 7fr 59mm 80cm Gore Vbhn Bln,8935.0,8935.0,1322.38,7148.0,23
CPT,C1874,Stent Eprsth .035in 9mm 13mm 8,6725.0,6725.0,995.3,5380.0,23
CPT,C1874,Stent Eprsth 11mm 5cm 120cm Go,8940.0,8940.0,1323.12,7152.0,23
CPT,C1874,Stent Eprsth 3.5mm 23mm 19mm L,17219.0,17219.0,2548.41,13775.2,23
CPT,C1874,Stent Eprsth 6mm 10cm Strl 120cm Vbhn Flxb Slf Xpd Radopq,9808.0,9808.0,1451.58,7846.4,23
CPT,C1874,Stent Eprsth 6mm 5cm Strl 120c,8940.0,8940.0,1323.12,7152.0,23
CPT,C1874,Stent Eprsth 8-10mm 4cm 2cm Gore Vtr Acpt .035- in Gw 10fr,13240.0,13240.0,1959.52,10592.0,23
CPT,C1874,Stent Eprsth 8mm 10cm Strl 120cm Vbhn Flxb Slf Xpd Radopq,9808.0,9808.0,1451.58,7846.4,23
CPT,C1874,Stent Eprsth 8mm 7fr 10cm 120cm Vbhn Dlv Sys Hep Sprfc Fem,7488.0,7488.0,1108.22,5990.4,23
CPT,C1874,Stent Esph 18mm 22fr 100cm Rem Covered Radiopq,5250.0,5250.0,777.0,4200.0,23
CPT,C1874,Stent Vasc 100mm 6mm Gore Tigris Cbas Ntnl Flplmr,3738.0,3738.0,553.22,2990.4,23
CPT,C1874,Stent Vasc 5mm 100mm Zl Ptx Drg Elute Acpt .035in Gw,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,Stent Vasc 5mm 120mm Zl Ptx Drg Elute Acpt .035in Gw,4988.0,4988.0,738.22,3990.4,23
CPT,C1874,Stent Vasc 5mm 140mm Zl Ptx Drg Elute Acpt .035in Gw,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,Stent Vasc 5mm 40mm Zl Ptx Drg Elute Acpt .035in Gw,2938.0,2938.0,434.82,2350.4,23
CPT,C1874,Stent Vasc 5mm 60mm Zl Ptx Drg Elute Acpt .035in Gw,3738.0,3738.0,553.22,2990.4,23
CPT,C1874,Stent Vasc 5mm 80mm Zl Ptx Drg Elute Acpt .035in Gw,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,Stent Vasc 60mm 6mm Gore Tigris Cbas Ntnl Flplmr,3738.0,3738.0,553.22,2990.4,23
CPT,C1874,Stent Vasc 6mm 140mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,Stent Vasc 7mm 140mm 125cm Zl Ptx Otw Drg Elute Peri Acpt,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,Stent Vasc 8mm 100mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,Stent Vasc 8mm 40mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,2938.0,2938.0,434.82,2350.4,23
CPT,C1874,Stent Vasc 8mm 60mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,3738.0,3738.0,553.22,2990.4,23
CPT,C1874,Stent Vasc 8mm 80mm 125cm Zl Ptx Otw Drg Elute Dlv Sys Peri,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,Stent Vascular 4.5mm 28mm W/O Distal Tip Enterprise Nitinol,13910.0,13910.0,2058.68,11128.0,23
CPT,C1874,Stent Vascular 4.5mm 37mm W/O Distal Tip Enterprise Nitinol,13910.0,13910.0,2058.68,11128.0,23
CPT,C1874,Stent Vascular 6mm 120mm 125cm Drug Elute Otw Delivery,4988.0,4988.0,738.22,3990.4,23
CPT,C1874,Stent Vascular 6mm 80mm 125cm Drug Elute Otw Delivery System,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,Stent Vascular Zilver Ptx 125cm 80mm 100mm Od6 Fr,4488.0,4488.0,664.22,3590.4,23
CPT,C1874,"Stent, Biliary, Pal",9320.0,9320.0,1379.36,7456.0,23
CPT,C1874,System Cor Stnt 2.25mm 23mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CPT,C1874,System Cor Stnt 2.25mm 28mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CPT,C1874,System Cor Stnt 2.5mm 24mm Cbr Pzf Rx Dlv Sys Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CPT,C1874,System Cor Stnt 2.5mm 8mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CPT,C1874,System Cor Stnt 2.8mm 16mm Gft,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,System Cor Stnt 2.8mm 26mm Gft,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,System Cor Stnt 2mm 12mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CPT,C1874,System Cor Stnt 2mm 18mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CPT,C1874,System Cor Stnt 2mm 26mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CPT,C1874,System Cor Stnt 2mm 8mm 140cm Rslt Onyx Rx Dlv Sys Radopq 1,3425.0,3425.0,506.9,2740.0,23
CPT,C1874,System Cor Stnt 3.5mm 15mm 140,3238.0,3238.0,479.22,2590.4,23
CPT,C1874,System Cor Stnt 3.5mm 16mm Gft,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,System Cor Stnt 3.5mm 26mm Gft,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,System Cor Stnt 3.5mm 38mm 140,3238.0,3238.0,479.22,2590.4,23
CPT,C1874,System Cor Stnt 3mm 15mm 140cm,3238.0,3238.0,479.22,2590.4,23
CPT,C1874,System Cor Stnt 3mm 18mm Cbr Pzf Rx Dlv Sys Polyzene-F Cocr,2125.0,2125.0,314.5,1700.0,23
CPT,C1874,System Cor Stnt 4mm 16mm Gftms,5988.0,5988.0,886.22,4790.4,23
CPT,C1874,System Cor Stnt 4mm 18mm Xience Srr Rx Everolimus,1750.0,1750.0,259.0,1400.0,23
CPT,C1874,System Coron Stent 12mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 12mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 12mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 12mm 4mm Xience Alpine,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,System Coron Stent 12mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 12mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 15mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 2.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 15mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 2.75mm Xience Srr,2375.0,2375.0,259.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,System Coron Stent 15mm 3.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 15mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 3mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 15mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 4.5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 15mm 4mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 15mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 15mm 5mm Pk Papyrus Thk90um,7500.0,7500.0,1110.0,6000.0,23
CPT,C1874,System Coron Stent 16mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 16mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 16mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 16mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 18mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 3.25mm Xience Srr,2375.0,2375.0,259.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 18mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,System Coron Stent 20mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 20mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 20mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 20mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 23mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 23mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 23mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 23mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 23mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 23mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 24mm 2.75mm Cbr Pzf Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CPT,C1874,System Coron Stent 24mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 24mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 24mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 24mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 28mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 28mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 28mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 28mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 28mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 30mm 2.75mm Cbr Pzf Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CPT,C1874,System Coron Stent 32mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 32mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 32mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 32mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 33mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 33mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 33mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 33mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 33mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 33mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 2.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 3.5mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 38mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 8mm 2.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 8mm 2.75mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,System Coron Stent 8mm 3.25mm Xience Srr,3000.0,3000.0,444.0,2400.0,23
CPT,C1874,System Coron Stent 8mm 3.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 8mm 3.5mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 8mm 3mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 8mm 4.5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 8mm 4mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,System Coron Stent 8mm 4mm Xience Srr Everolimus,3000.0,3000.0,444.0,2400.0,46
CPT,C1874,System Coron Stent 8mm 5mm Sng Megatron Lv Prox,2500.0,2500.0,370.0,2000.0,23
CPT,C1874,Vbh071502 Catheter Viabahn 8mm,5107.0,5107.0,755.84,4085.6,23
CPT,C1874,"Viabahn Endoprosthesis , 8x5",8765.0,8765.0,1297.22,7012.0,23
CPT,C1874,Viator Stent 10 X 6,11885.0,11885.0,1758.98,9508.0,23
CPT,C1874,Viator Stent 10 X 8,11885.0,11885.0,1758.98,9508.0,23
CPT,C1874,Wall Stent 8fr/ 12x,3605.0,3605.0,533.54,2884.0,23
CPT,C1874,Wallflex 10f 1-Use Colonic Stent 22mm X 9cm X 2.3m,6160.0,6160.0,911.68,4928.0,23
CPT,C1874,Wallflex 10f 1-Use Colonic Stnt 22mm X 6cm X 2.3m,6160.0,6160.0,911.68,4928.0,23
CPT,C1874,Wallflex Bil Covered 10x40,9476.0,9476.0,1402.45,7580.8,23
CPT,C1874,Wallflex Bil Covered 10x60,9476.0,9476.0,1402.45,7580.8,23
CPT,C1874,Wallflex Bil Pc Covered 10x40,9142.0,9142.0,1353.02,7313.6,23
CPT,C1874,Wallflex Bil Pc Covered 10x60,9142.0,9142.0,1353.02,7313.6,23
CPT,C1874,Wallflex Biliary Stent,6738.0,6738.0,997.22,5390.4,23
CPT,C1874,Wallflex Esoph Full Cov 18/15,8507.0,8507.0,1259.04,6805.6,23
CPT,C1874,Wallflex Esoph Part Cov 18/12,8507.0,8507.0,1259.04,6805.6,23
CPT,C1874,Xience Xpedition Des 3.50 Mm X 23 Mm,6208.0,6208.0,918.78,4966.4,23
CPT,C1874,Xience Xpedition Des 4.00 Mm X 15 Mm,6208.0,6208.0,918.78,4966.4,23
CPT,C1875,8 X 40 Fluency Sten,7858.0,7858.0,1162.98,6286.4,23
CPT,C1876,Enterprise 22mm Stent No-Tip,16138.0,16138.0,2388.42,12910.4,23
CPT,C1876,Innova 8mm X 40mm X 130cm,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,Innova 8mm X 80mm X 130cm,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,Neuroform Atlas 3.0x15mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Neuroform Atlas 3.0x21mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Neuroform Atlas 3.0x24mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Neuroform Atlas 4.0x21mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Neuroform Atlas 4.0x24mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Neuroform Atlas 4.5x21mm,17038.0,17038.0,2521.62,13630.4,23
CPT,C1876,Stent 4.5mm 30mm 5.0mm Neuroform Atlas,18125.0,18125.0,2682.5,14500.0,23
CPT,C1876,Stent Bil 10mm 40mm Uncvr Wallflex,5395.0,5395.0,798.46,4316.0,23
CPT,C1876,Stent Bil 10mm 60mm Uncvr Wallflex,5395.0,5395.0,798.46,4316.0,23
CPT,C1876,Stent Corotid Straight Rx Acculink 6x40,6590.0,6590.0,975.32,5272.0,23
CPT,C1876,Stent Corotid Tapped Rx Acculink 6-8x40,6590.0,6590.0,975.32,5272.0,23
CPT,C1876,Stent Duodenal Wallflex .035 in L9 Cm L230 Cm Od22-27 Mm,7537.0,7537.0,1115.48,6029.6,23
CPT,C1876,Stent Endo 100cm 14mm 40mm 75cm Unconstrain Flex,2625.0,2625.0,388.5,2100.0,23
CPT,C1876,Stent Endoprsth Vns 20mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 20mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 20mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 20mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 40mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,46
CPT,C1876,Stent Endoprsth Vns 40mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 40mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 40mm 18mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 40mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 42mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 55mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 60mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,46
CPT,C1876,Stent Endoprsth Vns 60mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 60mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 60mm 18mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 68mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 80mm 20mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 90mm 12mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,46
CPT,C1876,Stent Endoprsth Vns 90mm 14mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 90mm 16mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 90mm 18mm Wlstnt Cath 75cm,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoprsth Vns 94mm 10mm Elgiloy Wlstnt,2200.0,2200.0,325.6,1760.0,23
CPT,C1876,Stent Endoth 12mm 8fr 40mm 100cm Flex Recons,2438.0,2438.0,360.82,1950.4,23
CPT,C1876,Stent Eprsth 14mm 90mm 100mm Vici Vns Stnt Cath Ntnl Acpt,5250.0,5250.0,777.0,4200.0,23
CPT,C1876,Stent Intrcran 12mm 4mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CPT,C1876,Stent Trchbr 10mm 16fr 20mm Uncover Xpd Prox Rels,7168.0,7168.0,1060.86,5734.4,23
CPT,C1876,Stent Vasc 10-8mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CPT,C1876,Stent Vasc 10mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 10mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 10mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CPT,C1876,Stent Vasc 10mm 40mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 10mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 10mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 10mm Spc 3-1 4mm 31,10563.0,10563.0,1563.32,8450.4,23
CPT,C1876,Stent Vasc 10mm Spc 3-1 4mm 50mm 40mm Solitaire Parametric,10563.0,10563.0,1563.32,8450.4,23
CPT,C1876,Stent Vasc 12mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 12mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 12mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CPT,C1876,Stent Vasc 12mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 12mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 14mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 14mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 14mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CPT,C1876,Stent Vasc 14mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 14mm 80mm Slf Xpd Rot Thbwhl Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 16mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 16mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 16mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 16mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 18mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 18mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 18mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,46
CPT,C1876,Stent Vasc 18mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 18mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 20mm 100mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 20mm 120mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 20mm 150mm Slf Xpd 3 Ax Shft Hmst Vlv,4563.0,4563.0,675.32,3650.4,23
CPT,C1876,Stent Vasc 20mm 60mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 20mm 80mm Slf Xpd 3 Ax Shft Hmst Vlv,4063.0,4063.0,601.32,3250.4,23
CPT,C1876,Stent Vasc 5mm 6fr 80mm 120cm Peri Supera,5375.0,5375.0,795.5,4300.0,23
CPT,C1876,Stent Vasc 6mm 100mm 120cm Eve,3375.0,3375.0,499.5,2700.0,23
CPT,C1876,Stent Vasc 6mm 6fr 60mm 120cm Peri Supera,2062.5,2062.5,305.25,1650.0,23
CPT,C1876,Stent Vasc 7mm 20mm 75cm Slf Xpd Ilc Art Ep Ntnl,1463.0,1463.0,216.52,1170.4,23
CPT,C1876,Stent Vasc 8-6mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CPT,C1876,Stent Vasc 9-7mm 40mm Tpr Slf Expandable Erg Hndl Flxb Crtd,6739.0,6739.0,997.37,5391.2,23
CPT,C1876,Stent Vasc Blue 40mm 6mm Innova Sprfc Fem Art Slf,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,Stent Vasc Epic Nitinol L60mm L120cm Od9mm Iliac,1463.0,1463.0,216.52,1170.4,23
CPT,C1876,Stent Vascular .035in 8mm 6fr 30mm 80cm Self Expanding,2284.0,2284.0,338.03,1827.2,23
CPT,C1876,Stent Vascular Str Lp 10mm 8fr 40mm 132cm Self Expandable,4125.0,4125.0,610.5,3300.0,23
CPT,C1876,Stent Vascular Taper 8-6mm 30mm Self Expandable ER,6113.0,6113.0,904.72,4890.4,23
CPT,C1876,System Cor Stnt 2.25mm 12mm Intgr Microtrac Rx 1 Strn Intgr,1750.0,1750.0,259.0,1400.0,23
CPT,C1876,System Cor Stnt 3.5mm 18mm Cbr Pzf Rx Dlv Sys Polyzene-F,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,System Cor Stnt 3mm 9mm Intgr Microtrac Rx 1 Strn Intgr Tip,1750.0,1750.0,259.0,1400.0,23
CPT,C1876,System Cor Stnt 4mm 12mm Intgr Microtrac Rx 1 Strn Intgr Tip,1750.0,1750.0,259.0,1400.0,23
CPT,C1876,System Coron Stent 13mm 5mm Mtlnk Ul Xcelon Mcgld,1188.0,1188.0,175.82,950.4,23
CPT,C1876,System Coronary Stent Cobra L18mm Id4mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,System Coronary Stent Cobra L30 Mm Id4 Mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,System Coronary Stent Cobra L30mm Id3.5mm Rapid Exchange,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,System Coronary Stent Cobra Pzf Polyzene-F L15mm,2125.0,2125.0,314.5,1700.0,23
CPT,C1876,Tent Vasc Strg 10mm 30mm Xact Slf Xpd Cls Cell Fl,4938.0,4938.0,730.82,3950.4,23
CPT,C1876,Wallflex Bil Uncovered 10x100,6005.0,6005.0,888.74,4804.0,23
CPT,C1876,Wallflex Bil Uncovered 10x40,6005.0,6005.0,888.74,4804.0,23
CPT,C1876,Wallflex Bil Uncovered 10x60,6005.0,6005.0,888.74,4804.0,23
CPT,C1876,Wallflex Ent Duo 27/22x12 230cm,8756.0,8756.0,1295.89,7004.8,23
CPT,C1876,Zilver Stent 6x40,4170.0,4170.0,617.16,3336.0,23
CPT,C1876,Zilver Stent 7x40,4170.0,4170.0,617.16,3336.0,23
CPT,C1877,Catheter Tr Renegade Hi Flo 13,1257.0,1257.0,186.04,1005.6,23
CPT,C1877,Headway Duo Microtheter,2307.0,2307.0,341.44,1845.6,23
CPT,C1877,Stent Intrcran 20mm 4mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CPT,C1877,Stent Trchbr 25mm 16fr 5cm Introd Slf Xpd Gnt Rsch,5249.0,5249.0,776.85,4199.2,23
CPT,C1877,"Stent, Non-Coat/Cov W/O Del",12969.0,12969.0,1919.41,10375.2,23
CPT,C1877,Transhepatic Biliary Stent Spv,6456.0,6456.0,955.49,5164.8,23
CPT,C1878,Stent Intrcran 20mm 5mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CPT,C1879,Stent Intrcran 30mm 5mm Srps Evol Flw Dvrtr Strl,34155.0,34155.0,5054.94,27324.0,23
CPT,C1880,Coil Embl 30cm 8mm Helipaq 18 Mciol Hlcl Loop Dtch,1000.0,1000.0,148.0,800.0,23
CPT,C1880,Filter Birds Nest Vena Cava Ju,3442.0,3442.0,509.42,2753.6,23
CPT,C1880,Filter Embl 65cm 30mm 7fr 49mm Strl 71cm,2313.0,2313.0,342.32,1850.4,23
CPT,C1880,Filter Embl Navalign Dlv Uniset Strl Disp Pltn Celect,3032.0,3032.0,448.74,2425.6,23
CPT,C1880,Filter Embl Vc Femoral Navalign Dlv Set Strl Disp Pltn Celect,3032.0,3032.0,448.74,2425.6,23
CPT,C1880,Filter Ivc Sentry,3125.0,3125.0,462.5,2500.0,23
CPT,C1880,Greenfield Filter-J,3156.0,3156.0,467.09,2524.8,23
CPT,C1880,"Kit Aln Removal and/or Repositioning, 2in1 Rs",1063.0,1063.0,157.32,850.4,23
CPT,C1880,Option Elite Vena Cava Filter System,2941.0,2941.0,435.27,2352.8,23
CPT,C1880,Stent Intrcran 40mm 5mm Srps Evol Flw Dvrtr Strl,37145.0,37145.0,5497.46,29716.0,23
CPT,C1882,Catheter Angio .035in Vert Curve 5fr .046in 125cm,35.0,35.0,5.18,28.0,23
CPT,C1882,Claria MRI Quad Crt-D Device,52375.0,52375.0,7751.5,41900.0,23
CPT,C1882,Cobalt Hf Quad Crt-D MRI Surescan,44750.0,44750.0,6623.0,35800.0,23
CPT,C1882,Defibrillator Cardiac,45500.0,45500.0,6734.0,36400.0,23
CPT,C1882,Defibrillator Cardiac Intica Neo 7,49500.0,49500.0,7326.0,39600.0,23
CPT,C1882,Defibrillator Crd .99cm 5.37x8.08cm 32cc Mmnt Heartlogic,33420.0,33420.0,4946.16,26736.0,23
CPT,C1882,Defibrillator Crd .99cm 5.37x8.18cm 32.5cc Resonate,35493.0,35493.0,5252.96,28394.4,23
CPT,C1882,Defibrillator Crd Acticor 7 Hf-T Qp,49500.0,49500.0,7326.0,39600.0,23
CPT,C1882,Defibrillator Crd Thk12mm 51x74mm 34cc Gallant Hf Df4 Is-4,24250.0,24250.0,3589.0,19400.0,23
CPT,C1882,Dfbr Crd 13mm 51x73mm Claria MRI Crt-D Surescan,52375.0,52375.0,7751.5,41900.0,23
CPT,C1882,Dfbr Crd 13mm 51x74mm Claria MRI Crt-D Surescan,52375.0,52375.0,7751.5,41900.0,23
CPT,C1882,Dfbr Crd Crome Df1 MR Conditional,43250.0,43250.0,6401.0,34600.0,23
CPT,C1882,Inventra 7 Vr-T Dx,49688.0,49688.0,7353.82,39750.4,23
CPT,C1882,Maximo II Crt-D,77107.0,77107.0,11411.84,61685.6,23
CPT,C1882,Quadra Assura Crt-D 40 Df4 Connector Icd/Defib/Resync,85120.0,85120.0,12597.76,68096.0,23
CPT,C1882,Quadra Assura Mp Crt-D,42750.0,42750.0,6327.0,34200.0,23
CPT,C1882,Unify Assura Crt-D 40,85120.0,85120.0,12597.76,68096.0,23
CPT,C1884,Axs Infinity Ls .088 Long Guide Sheath 90cm,1463.0,1463.0,216.52,1170.4,23
CPT,C1884,Device Distal Protection Spide,4170.0,4170.0,617.16,3336.0,23
CPT,C1884,Device Embl 55d 4.5mm 14mm Strl Lf Pipeline Flx 48 Strn Brd,32603.0,32603.0,4825.24,26082.4,23
CPT,C1884,Device Protection Spider Fx 5.,4170.0,4170.0,617.16,3336.0,23
CPT,C1884,Embosphere Pre-Filled Syringe 300-500 Microns/2ml,625.0,625.0,92.5,500.0,23
CPT,C1884,Filter Wire Ex-300cm,5361.0,5361.0,793.43,4288.8,23
CPT,C1884,Microsphere Embogold 500-700,2575.0,2575.0,381.1,2060.0,23
CPT,C1884,Microsphere Embogold 700-900,515.0,515.0,76.22,412.0,23
CPT,C1884,Roadrunners Conners.035x260cm,160.0,160.0,23.68,128.0,23
CPT,C1884,System Embl Prtc 104.5cm .035in Prox Crbrl Cath,4000.0,4000.0,592.0,3200.0,23
CPT,C1884,System Embl Prtc 320cm Crtd Lwr Xtrmt Cptr Wire,4170.0,4170.0,617.16,3336.0,23
CPT,C1884,System Embolic Protection 3.2-4.2fr 6mm 320cm 190c,3488.0,3488.0,516.22,2790.4,23
CPT,C1885,Catheter Angio Jacky Radl Curve 5fr 3.5mm 100cm 2,438.0,438.0,64.82,350.4,23
CPT,C1887,5fr Jr4 Diagnostic Catheter 125cm,193.0,193.0,28.56,154.4,23
CPT,C1887,5fr-100cm at Catheter,37.0,37.0,5.48,29.6,23
CPT,C1887,5fr.100cmhinck Headhunter,167.0,167.0,24.72,133.6,23
CPT,C1887,6fr AR 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Al .75 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Al 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Al 1 St Guiding Cath,199.0,199.0,29.45,159.2,23
CPT,C1887,6fr Al 2 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Ebu 3.0 Guiding Catheter,189.0,189.0,27.97,151.2,23
CPT,C1887,6fr Ebu 3.5 Guiding Catheter,169.0,169.0,25.01,135.2,23
CPT,C1887,6fr Ebu 4.0 Guiding Catheter,169.0,169.0,25.01,135.2,23
CPT,C1887,6fr Ima Guide Catheter,124.0,124.0,18.35,99.2,23
CPT,C1887,6fr Jl3.5 Guiding Cath,180.0,180.0,26.64,144.0,23
CPT,C1887,6fr Jl4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Jr 3.5 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Jr 4 Guiding Cath,189.0,189.0,27.97,151.2,23
CPT,C1887,6fr Jr 4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,6fr Jr 5 Guide Catheter,124.0,124.0,18.35,99.2,23
CPT,C1887,6fr Lcb Guide Catheter,124.0,124.0,18.35,99.2,23
CPT,C1887,6fr Mac3030 Guide Catheter,124.0,124.0,18.35,99.2,23
CPT,C1887,6fr Mpa-1 Guiding Cath,189.0,189.0,27.97,151.2,23
CPT,C1887,6fr Mradial Guide Catheter,130.0,130.0,19.24,104.0,23
CPT,C1887,6fr Xb 3 Guiding Cath,199.0,199.0,29.45,159.2,23
CPT,C1887,6fr Xb 3.5 Guiding Cath,199.0,199.0,29.45,159.2,23
CPT,C1887,6ft Jr 4 St Guiding Cath,199.0,199.0,29.45,159.2,23
CPT,C1887,7fr AR 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Al .75 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Al 1 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Al 1.0 Guide Catheter,124.0,124.0,18.35,99.2,23
CPT,C1887,7fr Ebu 3.0 Guiding Catheter,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Ebu 3.5 Guiding Catheter,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Ebu 4.0 Guiding Catheter,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Im Guiding Cath,180.0,180.0,26.64,144.0,23
CPT,C1887,7fr Jl4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Jl5 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Jr 4 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Jr 4 Sh Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Jr 5 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,7fr Lcb Guiding Cath,199.0,199.0,29.45,159.2,23
CPT,C1887,7fr Mpa-1 Guiding Cath,161.0,161.0,23.83,128.8,23
CPT,C1887,Acuity Cutaway Lead Delivery System - Percutaneous Catheters,5010.0,5010.0,741.48,4008.0,23
CPT,C1887,Axs Catalyst 5 Distal Access Catheter 0.058in X 11,3878.0,3878.0,573.94,3102.4,23
CPT,C1887,Cath Cxi Stainless Steel Polymer L135 Cm Od4 Fr,490.0,490.0,72.52,392.0,23
CPT,C1887,Cath Ep .014in 2.6-1.8fr .021-.018in 150cm 70cm Coron Mic,1621.0,1621.0,239.91,1296.8,23
CPT,C1887,Cath Guid .014in 3-1.9fr 150cm 3 Radiopq Mrkr Low Cx Prfl,2257.0,2257.0,334.04,1805.6,23
CPT,C1887,Cath Guid .035in 5mm Spc 3.1fr 150cm Lp Tpr Tip Sprt Radiopq,2257.0,2257.0,334.04,1805.6,23
CPT,C1887,Cath Infus Mic 1.9fr 1.25mm .5mm 1.5cm Dlv Drblty Dtch Tip,5498.0,5498.0,813.7,4398.4,23
CPT,C1887,Cath Infus Mic 1.9fr 1.25mm .5mm 3cm Dlv Drblty Dtch Tip,5498.0,5498.0,813.7,4398.4,23
CPT,C1887,"Cath, Sofia 6fr 125cm",5302.0,5302.0,784.7,4241.6,23
CPT,C1887,"Cath, Sofia 6fr 131cm",5302.0,5302.0,784.7,4241.6,23
CPT,C1887,Cath.Lumen Delivery Neuron 1,1719.0,1719.0,254.41,1375.2,23
CPT,C1887,Catheter Angio Al 1 Crv 6fr 100cm Infnt Lt Cor,97.0,97.0,14.36,77.6,23
CPT,C1887,Catheter Angio Ang 4fr .041in 120cm Gldcath Gld Tch 2 Brd Ss,121.0,121.0,17.91,96.8,23
CPT,C1887,Catheter Angio Jacky Radl 3.5 Crv 5fr 110cm Optitorque 2 Sd,88.0,88.0,13.02,70.4,23
CPT,C1887,Catheter Angio Jacky Radl 3.5 Curve 5fr 110cm,88.0,88.0,13.02,70.4,23
CPT,C1887,Catheter Angio Jl 4 Crv 5fr .047in 100cm Infnt Thrlmn Radopq,97.0,97.0,14.36,77.6,46
CPT,C1887,Catheter Angio Radialtiger Curve 6fr 4mm 110cm,263.0,263.0,13.02,350.4,46
CPT,C1887,Catheter Angio Sim 3 Crv 5fr,123.0,123.0,18.2,98.4,23
CPT,C1887,Catheter Angiographic .035in Omni Flush 0 Curve 5fr 65cm,35.0,35.0,5.18,28.0,23
CPT,C1887,Catheter Angiographic .038in 21ml/Sec Radial Tiger Curve Str,88.0,88.0,13.02,70.4,23
CPT,C1887,Catheter Angiographic .046in Uac Curve 5fr .046in 90cm,150.0,150.0,22.2,120.0,46
CPT,C1887,Catheter Angiographic Angle 4fr .041in 100cm 15cm 2 Braid,121.0,121.0,17.91,96.8,23
CPT,C1887,Catheter Angiographic Cobra 2 Curve 4fr .041in 65c,613.0,613.0,90.72,490.4,23
CPT,C1887,Catheter Angiographic Judkins Right 4 Curve 5fr 10,111.0,111.0,16.43,88.8,23
CPT,C1887,Catheter Axs Catalyst 7 .068 ID X132cm,5288.0,5288.0,782.62,4230.4,23
CPT,C1887,Catheter Blnocc 900- Psi 2.2-2.9fr 6- Mm .02in 130,2488.0,2488.0,368.22,1990.4,23
CPT,C1887,Catheter Delivery System 0-.02in Micro Str 2.6-2.95fr .025in,2325.0,2325.0,344.1,1860.0,23
CPT,C1887,Catheter Dlv Sys .062in 5max Max Trk Tch 125cm 129,4175.0,4175.0,617.9,3340.0,23
CPT,C1887,Catheter Dlv Sys 150cm .025in Lntrn 90d Mic Hflo,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Dlv Sys 45d Mic .025in 135cm Lntrn Hflo,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Dlv Sys 45d Mic .025in 150cm Lntrn Hflo,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Dlv Sys Mic .025in 135cm Lntrn Hflo Strg Tip,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Dlv Sys Mic .025in 150cm Lntrn Hflo Strg Tip,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Dx 100cm 5fr .047in Dxterity Noto Curve,188.0,188.0,27.82,150.4,23
CPT,C1887,Catheter Envoy 5fr Mipd 9,1048.0,1048.0,155.1,838.4,23
CPT,C1887,Catheter Envoy Straight 9,1048.0,1048.0,155.1,838.4,23
CPT,C1887,Catheter Gd .035in Mpb 9fr 7.2fr 45cm Atn Cmnd Sur,588.0,588.0,87.02,470.4,23
CPT,C1887,Catheter Gd .5in 150cm Strl Lf,2625.0,2625.0,388.5,2100.0,23
CPT,C1887,Catheter Gd 130d Lng 7.1fr 5.7fr 65cm Atn Slct II Surevalve,403.0,403.0,59.64,322.4,23
CPT,C1887,Catheter Gd 3drc Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd 3dright Crv 6fr 10,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd 3dright Crv 7fr 10,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd 6fr 150cm Guidezil,968.0,968.0,143.26,774.4,23
CPT,C1887,Catheter Gd 7fr 150cm Guidezil,968.0,968.0,143.26,774.4,23
CPT,C1887,Catheter Gd 90d Lng 7.1fr 5.7fr 65cm Atn Slct II Surevalve,403.0,403.0,59.64,322.4,23
CPT,C1887,Catheter Gd Al.75 Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Al1 Crv 7fr 90cm S,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Ar2 Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Ebu3 Crv 6fr 100cm Strl Shr Nx Bal Sftp Dist Slv,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Ebu3 Crv 7fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Ebu3.5 Crv 6fr 90c,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Ebu4 Crv 7fr 90cm,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Eh Crv 9fr 50cm St,530.0,530.0,78.44,424.0,23
CPT,C1887,Catheter Gd Il3.5 Crv 6fr 100cm Heartrail III Radopq Lg Inr,175.0,175.0,25.9,140.0,23
CPT,C1887,Catheter Gd Ima Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Mp1 Crv 6fr 100cm Strl Lf Lnchr Lg Lum Radopq,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Mpc Crv 6fr 100cm Env Lg Inr Lum Radopq Brd Sft,928.0,928.0,137.34,742.4,23
CPT,C1887,Catheter Gd Rcb Crv 6fr 100cm,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Std Jl3 Crv 6fr 100cm Strl Shr Nx Bal Sftp Dist,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Std Jl3 Crv 7fr 100cm Strl Shr Nx Bal Sftp Dist,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Std Jr3.5 Crv 6fr,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Std Jr4 Crv 7fr 100cm Strl Lf Lnchr Lg Lum,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Gd Strg 2.3fr 135cm Cxi Mrkr Band Kink Rst Radopq,488.0,488.0,72.22,390.4,23
CPT,C1887,Catheter Gd Strg 5fr .068in .055in 115cm 17cm Sofia Dist Acc,3040.0,3040.0,449.92,2432.0,23
CPT,C1887,Catheter Gd Strg 5fr .068in .055in 125cm 17cm Sofia Dist Acc,3230.0,3230.0,478.04,2584.0,23
CPT,C1887,Catheter Guid .018in 150cm Sup,508.0,508.0,75.18,406.4,23
CPT,C1887,Catheter Guid .035in 4.8-3.7fr 90cm Low Crossing P,418.0,418.0,61.86,334.4,46
CPT,C1887,Catheter Guid .035in 4fr 150cm 3 Radiopq Marker Support,508.0,508.0,75.18,406.4,23
CPT,C1887,Catheter Guid 100cm 5fr Lnchr Ebu5 Curve Coron Nyl,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Guid 100cm 6fr Lnchr Ebu3 Curve Coron Nyl,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Art4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Fr3 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Fr3.5 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Fr4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Ml4.5 Curve Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Q-Curve 4.5 Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Radl Curve Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Mach1 Rc4 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Rwy Fcr3.5 Curve Fem Ptfe,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Rwy Vl5 Curve Fem Ptfe Lg,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 6fr Shr Nx Bal Std Jl4 Curve,118.0,118.0,17.46,94.4,23
CPT,C1887,Catheter Guid 100cm 6fr Shr Nx Bal Std Jr4 Curve,163.0,163.0,24.12,130.4,23
CPT,C1887,Catheter Guid 100cm 8fr Mach1 Fl3 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 100cm 8fr Mach1 Jr4.5 Curve Fem Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid 150cm 1.8-2.6fr Finecross Mg Coron,1063.0,1063.0,157.32,850.4,23
CPT,C1887,Catheter Guid 3drc Curve 8fr 90cm Coron Lnchr,163.0,163.0,24.12,130.4,23
CPT,C1887,Catheter Guid 7fr Hflo Sftp Dx Crd,606.0,606.0,89.69,484.8,23
CPT,C1887,Catheter Guid 90cm 6fr Lnchr Ima Curve Peri Nyl Lg,120.0,120.0,17.76,96.0,23
CPT,C1887,Catheter Guid 90cm 6fr Mach1 Mann Im Curve Peri,103.0,103.0,15.24,82.4,23
CPT,C1887,Catheter Guid Al1 Curve 8fr 90cm Coron Sh Lnchr,163.0,163.0,24.12,130.4,23
CPT,C1887,Catheter Guid Blue Ylw 100cm 6fr Crds Vsbr 3drc,93.0,93.0,13.76,74.4,23
CPT,C1887,Catheter Guid Ebu3.75 Curve 8fr .09in 90cm Left,163.0,163.0,24.12,130.4,23
CPT,C1887,Catheter Guid Mpc Curve 5fr .056in 90cm Braid Radiopq Soft,893.0,893.0,132.16,714.4,23
CPT,C1887,Catheter Guid Sim2 Curve 6fr 100cm Env,901.0,901.0,133.35,720.8,23
CPT,C1887,Catheter Guid Sim2 Curve 6fr 90cm Env,901.0,901.0,133.35,720.8,23
CPT,C1887,Catheter Guid Xb3.5 Curve 8fr 90cm Coron Sh Lnchr,163.0,163.0,24.12,130.4,23
CPT,C1887,Catheter Guideliner 5571,1227.0,1227.0,181.6,981.6,23
CPT,C1887,Catheter Guiding Launcher Nylon Ebu3.5 Curve L90cm Od7 Fr,125.0,125.0,18.5,100.0,23
CPT,C1887,Catheter Infs Mic .45in Phenom,2000.0,2000.0,296.0,1600.0,23
CPT,C1887,Catheter Infs Mic 2.1-1.7fr 5fr .017in 155cm .34ml 150cm,1588.0,1588.0,235.02,1270.4,23
CPT,C1887,Catheter Infs Mic 2.4-3fr .021in 155cm Direxion Torqueable,1288.0,1288.0,190.62,1030.4,23
CPT,C1887,Catheter Infs Mic 2.8-3fr .027in 155cm Direxion Hfl,1287.5,1287.5,190.55,1030.0,23
CPT,C1887,Catheter Infus 90d .014in Micro Str 1.9-2.4fr .017in 155cm,1688.0,1688.0,249.82,1350.4,23
CPT,C1887,Catheter Infus Mic .027in Phenom,2000.0,2000.0,296.0,1600.0,23
CPT,C1887,Catheter Infusion Asahi Sasuke L145 Cm Od3.3 Fr Sterile,1088.0,1088.0,161.02,870.4,23
CPT,C1887,Catheter Interventional 6fr .07in .056in 145cm 20c,1183.0,1183.0,175.08,946.4,23
CPT,C1887,Catheter Intvn .021in 750 Psi 2.4fr 150cm 90cm Progreat Mcth,775.0,775.0,114.7,620.0,23
CPT,C1887,Catheter Intvn .021in Mic 2.4-2.9fr .022in 130cm Progreat,800.0,800.0,114.7,660.0,69
CPT,C1887,Catheter Intvn 5.1fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Intvn 5.7fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Intvn 5fr .056in .046in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,46
CPT,C1887,Catheter Intvn 6.5fr 150cm 13cm Trapliner Rx Gd Xtn Radopq,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Catheter Intvn 6fr 5.1fr .056in 150cm 25cm Rapex,1183.0,1183.0,175.08,946.4,23
CPT,C1887,Catheter Intvn 7fr .078in .062in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CPT,C1887,Catheter Intvn 8fr .088in .071in 150cm 25cm Rapex,1023.0,1023.0,151.4,818.4,23
CPT,C1887,Catheter Intvn Mic 2.8fr .027in 150cm 90cm Progreat Hmst Vlv,775.0,775.0,114.7,620.0,23
CPT,C1887,Catheter Renegade Stc-18 130/2,1664.0,1664.0,246.27,1331.2,23
CPT,C1887,Catheter Reperfusion,6176.0,6176.0,914.05,4940.8,23
CPT,C1887,Catheter Sprt .018in 3.4-2.2fr 150cm Crosscath,363.0,363.0,53.72,290.4,23
CPT,C1887,Catheter Sprt 2.3fr 150cm Cxi Ang Tip Brd Kink Rst Radopq Ss,488.0,488.0,72.22,390.4,23
CPT,C1887,Catheter Thrmb 125cm 6fr Neuron Sim Curve Slct,313.0,313.0,46.32,250.4,23
CPT,C1887,Catheter Vasc 135cm 2.6-2.9fr 1.6fr Turnpike Ml Lr,1313.0,1313.0,194.32,1050.4,23
CPT,C1887,"Catheter, Envoy 6f Guiding",884.0,884.0,130.83,707.2,23
CPT,C1887,Cg510 Glide Catheter Simmon1,1253.0,1253.0,185.44,1002.4,23
CPT,C1887,Coil Detachment Handle,739.0,739.0,109.37,591.2,23
CPT,C1887,Coil Embl 50cm 25mm .0145in Axium 1 Hand OP Dtch,1575.0,1575.0,233.1,1260.0,23
CPT,C1887,Coil Embl 6cm 3mm .0115in Axium 1 Hand OP Dtch,1668.0,1668.0,246.86,1334.4,23
CPT,C1887,Cxi Support Cath 2.6f .018in 90cm Angled Tip,1363.0,1363.0,201.72,1090.4,23
CPT,C1887,Cxi Support Cath 4f .035in 90cm Straight Tip,493.0,493.0,72.96,394.4,23
CPT,C1887,Cxi Support Catheter Str/ 4.0fr-.035-135cm,488.0,488.0,72.22,390.4,23
CPT,C1887,Defibrillator Crd 40j Unify Asr Rf Telem Df1 Is-1 Cnct,24250.0,24250.0,3589.0,19400.0,23
CPT,C1887,Exceisior Xt-27 Microcatheter 150 Cm/80cm Straight,2807.0,2807.0,415.44,2245.6,23
CPT,C1887,Exceisior Xt-27 Microcatheter 150cm/18cm Straight,2807.0,2807.0,415.44,2245.6,23
CPT,C1887,Fa-55150-1030 Catheter Marksman,3259.0,3259.0,482.33,2607.2,23
CPT,C1887,Flowgate Balloon Guide Catheter 8f X 95cm,2746.0,2746.0,406.41,2196.8,23
CPT,C1887,Glidecath C2 Hydeophilic,175.0,175.0,25.9,140.0,23
CPT,C1887,Glidecath: 100cm Straight,838.0,838.0,124.02,670.4,23
CPT,C1887,Guidecath 5fr-100cm,175.0,175.0,25.9,140.0,23
CPT,C1887,La6ebu375 Catheter Guidingebu 3.75,464.0,464.0,68.67,371.2,23
CPT,C1887,Marksman Catheter,2000.0,2000.0,296.0,1600.0,23
CPT,C1887,Mcth Infus 135cm 3-2.8fr Rngd Peri Vortec Plus Hdr,1861.2,1861.2,275.46,1488.96,23
CPT,C1887,Mcth Infus 80cm 3-2.8fr .027in Rngd Hfl Hydphi Kit,900.0,900.0,133.2,720.0,23
CPT,C1887,Microcatheter Crbrvasc 6fr .108in .088in 105cm Strl Lf 90cm,2988.0,2988.0,442.22,2390.4,23
CPT,C1887,Microcatheter Crbrvasc 6fr .108in .088in 95cm Strl Lf 90cm,2988.0,2988.0,442.22,2390.4,23
CPT,C1887,Microcatheter Crbrvasc Thnwl 2fr .019in 130cm 70cm Progreat,1625.0,1625.0,240.5,1300.0,23
CPT,C1887,Microcatheter Headway 21,2288.0,2288.0,338.62,1830.4,23
CPT,C1887,Microcatheter Headway Duo 17,2563.0,2563.0,379.32,2050.4,23
CPT,C1887,Microcatheter Infs .035in Swan 2.4fr .021in 130cm Direxion,1288.0,1288.0,190.62,1030.4,23
CPT,C1887,Microcatheter Trevo Track 21,1748.0,1748.0,258.7,1398.4,23
CPT,C1887,Navien Intracranial Catheter 5fx 115cm,1176.0,1176.0,174.05,940.8,23
CPT,C1887,Navien Intracranial Catheter 5fx 125cm,1235.0,1235.0,182.78,988.0,23
CPT,C1887,Navien Intracranial Catheter 6fx 1,680.0,680.0,100.64,544.0,23
CPT,C1887,Navien Intracranial Catheter 6fx 115cm,714.0,714.0,105.67,571.2,23
CPT,C1887,Orion 21 Microcatheter,2172.0,2172.0,321.46,1737.6,23
CPT,C1887,Red 62 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CPT,C1887,Red 62 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CPT,C1887,Red 68 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CPT,C1887,Red 68 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CPT,C1887,Red 72 Reperfusion Catheter,5975.0,5975.0,884.3,4780.0,23
CPT,C1887,Red 72 Reperfusion Catheter and Penumbra Aspiration Tubing,6875.0,6875.0,1017.5,5500.0,23
CPT,C1887,Set Interventional .038in 10fr 40cm 62.5cm Catheter Cannu,1131.0,1131.0,167.39,904.8,23
CPT,C1887,Sheath Guid 65cm 6fr Pn Dstn .038in Str Hydphi,224.0,224.0,33.15,179.2,23
CPT,C1887,Sheath Guid 65cm 8fr Pn Dstn .038in Str Hydphi,224.0,224.0,33.15,179.2,46
CPT,C1887,Six Fr Asahi Fubuki Guide Catheter Dilator Kit 80cm/Straight,300.0,300.0,44.4,240.0,23
CPT,C1887,Trevo Microcatheter,1147.0,1147.0,169.76,917.6,23
CPT,C1887,"Turnpike Catheter, Smooth Shaft, 135cm",1377.0,1377.0,203.8,1101.6,23
CPT,C1887,"Turnpike Catheter, Smooth Shaft, 155cm",1561.0,1561.0,231.03,1248.8,23
CPT,C1887,Walrus .087 Balloon Guide Catheter 90cm,4375.0,4375.0,647.5,3500.0,23
CPT,C1887,Walrus .087 Balloon Guide Catheter 95cm,4375.0,4375.0,647.5,3500.0,23
CPT,C1889,Basket Spec Rtrvl 286cmx15mm Strl Lf Spgl Disp,1269.0,1269.0,187.81,1015.2,23
CPT,C1889,Biliary Electrohydraulic Lithotripter Probe 1.9fr 375cm,1072.5,1072.5,158.73,858.0,23
CPT,C1889,Rev 278-C1889- Implant/Inserted Device Noc,7413.0,7413.0,1097.12,5930.4,23
CPT,C1889,Snare Endscp Mini Standard Oval 2.4mm 195cmx20mm Polypectomy,465.0,465.0,68.82,372.0,23
CPT,C1889,Snare Escp 286cmx9mm Strl Lf Spgl Disp,1269.0,1269.0,187.81,1015.2,23
CPT,C1889,Stent Intrcran 9mm 4.5mm Wingspan Hydphi Slf Xpd,15980.0,15980.0,2365.04,12784.0,23
CPT,C1892,7fr Tear-Away Introducer,462.0,462.0,68.38,369.6,23
CPT,C1892,Custom Left Heart Kit W/Transd,69.0,69.0,10.21,55.2,23
CPT,C1892,French Large Peel Away Introducer 22,51.0,51.0,7.55,40.8,23
CPT,C1892,Introd Shth 9fr .118in 13cm Rbst Vlv Splt Sdprt,191.0,191.0,28.27,152.8,23
CPT,C1892,Introducer Shth 12fr 30cm Sh Plwy Trnstls Acpt .038in Gw,165.0,165.0,24.42,132.0,23
CPT,C1892,Introducer Shth 13fr 30cm Strl 5cm Plwy Mp Perc Disp,163.0,163.0,24.12,130.4,23
CPT,C1892,Meditech Accustick II Introduc,209.0,209.0,30.93,167.2,23
CPT,C1892,Prelude Snap Introducer Sheath 7fr .092in 13cm,193.0,193.0,28.56,154.4,23
CPT,C1892,Sheath Long Neuronmax 90/4 Straight 6f 088,1086.0,1086.0,160.73,868.8,23
CPT,C1893,6fr - 10cm Pinnacle Introducer,40.0,40.0,5.92,32.0,23
CPT,C1893,6frx45cm Renal Guiding Sheath,260.0,260.0,38.48,208.0,23
CPT,C1893,"Agilis Nxt 8.5f Steer Sm Crl,G2",2914.0,2914.0,431.27,2331.2,23
CPT,C1893,"Hemo Intro 8.5f 60cm Csta Gw,G2",508.0,508.0,75.18,406.4,23
CPT,C1894,10fr 25cm Pinnacle Sheath Intr,67.0,67.0,9.92,53.6,23
CPT,C1894,10fr Pinnacle Introducer,76.0,76.0,11.25,60.8,23
CPT,C1894,10fr-30cm Tear Away Introducer,579.0,579.0,85.69,463.2,23
CPT,C1894,11fr-70cm Introducer Set,233.0,233.0,34.48,186.4,23
CPT,C1894,5fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CPT,C1894,6fr Balkan Introducer Set,60.0,60.0,8.88,48.0,23
CPT,C1894,6fr Dial Ease Introducer Sheat,43.0,43.0,6.36,34.4,23
CPT,C1894,7fr 10cm Pinnacle Introducer,71.0,71.0,10.51,56.8,23
CPT,C1894,7fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CPT,C1894,8fr 10cm Pinnacle Introducer,72.0,72.0,10.66,57.6,23
CPT,C1894,8fr 25cm Pinnacle Introducer S,59.0,59.0,8.73,47.2,23
CPT,C1894,Axs Infinity Ls .088 Long Guide Sheath 80cm,1463.0,1463.0,216.52,1170.4,23
CPT,C1894,C-Lock Hemo 6f 12cm 038gw-G2,56.0,56.0,8.29,44.8,23
CPT,C1894,C-Lock Hemo 8f 12cm 038gw-G2,59.0,59.0,8.73,47.2,23
CPT,C1894,"Cerebase Long Guide Sheath 0.090"" X 8f X 80cm",1125.0,1125.0,166.5,900.0,23
CPT,C1894,"Cerebase Long Guide Sheath 0.090"" X 8f X 90cm",1125.0,1125.0,166.5,900.0,23
CPT,C1894,"Cerebase Long Guide Sheath 0.090"" X 8f X 95cm",1125.0,1125.0,166.5,900.0,23
CPT,C1894,Cl - 07665 Sheath Set Super Arrow Flex 65cm,290.0,290.0,42.92,232.0,23
CPT,C1894,Flexor Ansel Guiding Sheath W/Check-Flo 7f 2.5mm X 45cm Str,113.0,113.0,16.72,90.4,23
CPT,C1894,Flexor Ansel Guiding Sheath/ Str,248.0,248.0,36.7,198.4,23
CPT,C1894,Flexor Ceckflo Introducer,76.0,76.0,11.25,60.8,23
CPT,C1894,Glidesheath Slender Ss (.021) 5fr 10cm,138.0,138.0,20.42,110.4,23
CPT,C1894,Glidesheath Slender Ss (.021) 7fr 10cm,138.0,138.0,20.42,110.4,23
CPT,C1894,Int Sheath .035in 7fr .1in 70cm Anl0 Curve Str Tip,163.0,163.0,24.12,130.4,23
CPT,C1894,Introd Cath 15fr Embosafe Vlv Splt Lp Hndl Strl,117.5,117.5,17.39,94.0,23
CPT,C1894,Introd Cath 16fr Embosafe Vlv Splt Lp Hndl Strl,117.5,117.5,17.39,94.0,23
CPT,C1894,Introd Cath 80cm 10fr 3.4mm Chk-Flo Flxr Lg Vlv,265.0,265.0,39.22,212.0,23
CPT,C1894,Introd Shth 6fr 50cm 12cm 2 Distal Gwire Hmsts Vlv,28.0,28.0,4.14,22.4,23
CPT,C1894,Introd Shth 8fr .105in 13cm Rbst Vlv Splt Sdprt,193.0,193.0,28.56,154.4,23
CPT,C1894,Introd Shth 8fr 50cm 12cm 2 Distal Gwire Hmsts Vlv,28.0,28.0,4.14,22.4,23
CPT,C1894,Introd Shth Ped 6fr 21ga 40cm 7cm Grn Hub Dilat,102.0,102.0,15.1,81.6,23
CPT,C1894,Introducer Cath .038in 14fr 45cm Ckfl Prfrmr Radopq,388.0,388.0,57.42,310.4,23
CPT,C1894,Introducer Cath 16fr 5.3mm 45cm Prfrmr CK-Flw Acpt .038in Gw,318.0,318.0,47.06,254.4,23
CPT,C1894,Introducer Cath Lg 18fr 5.9mm,318.0,318.0,47.06,254.4,23
CPT,C1894,Introducer Cath Xl 20fr 40cm Strl 56cm Ckfl Dil Radopq Disp,981.0,981.0,145.19,784.8,23
CPT,C1894,Introducer Catheter .038in 8fr 90cm Tuohy Borst Sidearm,378.0,378.0,55.94,302.4,23
CPT,C1894,Introducer Sheath .021in Str Thin Wall 6fr 20ga 10cm 45cm,138.0,138.0,20.42,110.4,23
CPT,C1894,Introducer Sheath .035in 6fr 10cm 2.5cm Mini Gwire Dilat,22.0,22.0,3.26,17.6,23
CPT,C1894,Introducer Sheath .035in 7fr .,200.0,200.0,29.6,160.0,23
CPT,C1894,Introducer Sheath .035in 7fr .1in 70cm Anl1 Curve,163.0,163.0,24.12,130.4,23
CPT,C1894,Introducer Sheath .035in Anl1 Curve 11.4fr 10fr 45cm High,200.0,200.0,29.6,160.0,23
CPT,C1894,Introducer Sheath .038in Stand,45.0,45.0,6.66,36.0,23
CPT,C1894,Introducer Sheath 088 80 Cm,1100.0,1100.0,162.8,880.0,23
CPT,C1894,Introducer Sheath 088 90 Cm,1100.0,1100.0,162.8,880.0,23
CPT,C1894,Introducer Sheath 6fr 25cm 2.5cm Dilat Kink Resistant,43.0,43.0,6.36,34.4,23
CPT,C1894,Introducer Sheath 7fr .1in 80cm Tuohy Borst Sidearm Radiopq,250.0,250.0,37.0,200.0,23
CPT,C1894,Introducer Sheath 9fr 25cm 2.5cm Dilat Kink Resistant,429.0,429.0,63.49,343.2,23
CPT,C1894,Introducer Sheath Short 7fr 21ga 4cm Orange Hub Tubing,48.0,48.0,7.1,38.4,23
CPT,C1894,Introducer Shth .021in 29cm 7f,188.0,188.0,27.82,150.4,23
CPT,C1894,Introducer Shth .035in 11fr 10cm 2.5cm Pncl Gw Dil Kink Rst,22.0,22.0,3.26,17.6,23
CPT,C1894,Introducer Shth .035in 8fr .11,200.0,200.0,29.6,160.0,23
CPT,C1894,Introducer Shth .038in 8fr 80cm Strl Flxr Shtl Sl 1 Dil T-B,188.0,188.0,27.82,150.4,23
CPT,C1894,Introducer Shth .038in 9fr .12,163.0,163.0,24.12,130.4,23
CPT,C1894,Introducer Shth 1.4fr Strl Lf Plwy Disp,468.0,468.0,69.26,374.4,23
CPT,C1894,Introducer Shth 1.9fr Plwy Loprfl,443.0,443.0,65.56,354.4,23
CPT,C1894,Introducer Shth 23fr 55.7cm 69.9cm Micra Stpck Radopq Dil,1500.0,1500.0,222.0,1200.0,23
CPT,C1894,Introducer Shth 7fr 2.5cm 10cm Dilat Radiopq Mrkr,56.0,56.0,8.29,44.8,23
CPT,C1894,Introducer Shth 7fr 2.5cm 25cm Dilat Radiopq Mrkr,65.0,65.0,9.62,52.0,23
CPT,C1894,Introducer Shth 7fr 40cm Strl,188.0,188.0,27.82,150.4,23
CPT,C1894,Introducer Shth 8fr 2.5cm 10cm Gwire Dilat Radiopq,56.0,56.0,8.29,44.8,23
CPT,C1894,Introducer Shth 8fr 2.5cm 25cm Dilat Radiopq Mrkr,71.0,71.0,10.51,56.8,23
CPT,C1894,Introducer Shth 8fr 2.9mm 80cm,188.0,188.0,27.82,150.4,23
CPT,C1894,Introducer Shth 9fr .035in 45c,750.0,750.0,111.0,600.0,23
CPT,C1894,Introducer Shth Lng 5fr 30cm Gry Lf Traw Hi Kink Rst Ulsmth,102.0,102.0,15.1,81.6,23
CPT,C1894,Introducer Shth Lng 6fr 30cm Lf Traw Unq Lck Hi Kink Rst,102.0,102.0,15.1,81.6,23
CPT,C1894,Introducer Shth Ped 5fr 21ga 40cm 7cm Gry Hub,103.0,103.0,15.24,82.4,23
CPT,C1894,Introducer Shth Ped 6fr 21ga 40cm 7cm Grn Hub,108.0,108.0,15.98,86.4,23
CPT,C1894,Introducer Shth Shrt 6fr 4cm Grn Strl Prelude Nwr,47.5,47.5,7.03,38.0,23
CPT,C1894,Kit Intro .018in Mic 5fr 21ga 3fr 45cm Strl 15cm,250.0,250.0,37.0,200.0,23
CPT,C1894,Kit Intro .021in 6fr 22ga 10cm 45cm Glidesheath Slndr Shth,234.0,234.0,34.63,187.2,23
CPT,C1894,Kit Intro .021in 80cm 6fr 21ga 25cm Strl 1.5in Glidesheath,120.0,120.0,17.76,96.0,23
CPT,C1894,Kit Introd 10cm 6fr 21ga Glidesheath Slndr .021in,138.0,138.0,20.42,110.4,23
CPT,C1894,Kit Mctrdcr .018in .038in Rsn Crv 6fr 20cm 80cm Mnstck Echtp,838.0,838.0,124.02,670.4,23
CPT,C1894,Kit Mctrdcr .018in 6fr 21ga 20cm Mnstck Echtp Troc Gw Tung,838.0,838.0,124.02,670.4,23
CPT,C1894,Kit Mctrdcr 6fr 21ga 20cm Mnstck Echtp Chba Gw Ntnl Tung,838.0,838.0,124.02,670.4,23
CPT,C1894,"Kit Triple Lumen Cvc, Agb+ 7 French, Pressure Rated, 20cm",366.0,366.0,54.17,292.8,23
CPT,C1894,Micro Microintruducer 7cm 5.0fr Flecura Guidewire,39.0,39.0,5.77,31.2,23
CPT,C1894,Neuron Max 088 6f Sheath,1138.0,1138.0,168.42,910.4,23
CPT,C1894,Obturator Sheath 5fr 10cm 5mm Flexible,10.0,10.0,1.48,8.0,23
CPT,C1894,Pinnacle Introducer 5fr 10cm,80.0,80.0,11.84,64.0,23
CPT,C1894,Prelude Sheath,43.0,43.0,6.36,34.4,23
CPT,C1894,Set Acc 6fr 22ga 4fr 15cm Strl 22cm Neff Chba Tip Ndl Shth,231.0,231.0,34.19,184.8,23
CPT,C1894,Set Acces 10cm 5fr 21ga Mpnch Slht .018in Ss,100.0,100.0,14.8,80.0,23
CPT,C1894,Set Catheter .035in 15cm 70cm Sidehole Removable Stylet Tip,375.0,375.0,55.5,300.0,23
CPT,C1894,Set Intro .018in 5fr 21ga 10cm Strl 7cm Mpnch Psh+ Trnstls,88.0,88.0,13.02,70.4,23
CPT,C1894,Set Intro 5fr Mcstk Ntnl Wre Radopq Tip Coax Stf,38.0,38.0,5.62,30.4,23
CPT,C1894,Set Intro 5fr Mcstk Radopq Coax Stf Wre Ntnl,38.0,38.0,5.62,30.4,23
CPT,C1894,Set Introd .018in 5fr 21ga 40c,173.0,173.0,25.6,138.4,23
CPT,C1894,Set Introd 16fr 20-35mm 70cm G,713.0,713.0,105.52,570.4,23
CPT,C1894,Set Introd 6fr 8fr 13.75in 3 W,249.0,249.0,36.85,199.2,23
CPT,C1894,Sheath Check-Flo Flexor .035 in L55 Cm Od6 Fr Curv Strat,163.0,163.0,24.12,130.4,23
CPT,C1894,Sheath Gd .018/.038in Anl3 Crv,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Gd 8fr 2.9mm 40cm Strl Flxr Chfl Blkn Disp Acpt .038,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Gd Lima Crv 6fr 45cm 5cm Pn Dstn Xcut Vlv Radopq Ss,205.0,205.0,30.34,164.0,23
CPT,C1894,Sheath Guid .018/.038in Anl0 Curve 8fr .113in 45cm Radiopq,203.0,203.0,30.04,162.4,23
CPT,C1894,Sheath Guid 45cm 5fr .074in Chk-Flo Flxr .018/.038in Anl0,202.5,202.5,29.97,162.0,23
CPT,C1894,Sheath Guid 45cm 6fr .087in Chk-Flo Flxr .018/.038in Anl0,125.0,125.0,18.5,100.0,23
CPT,C1894,Sheath Guid 45cm 6fr 2.2mm Flxr Chk-Flo Multpur,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Guid 45cm 7fr .1in Flxr Chk-Flo Anl0 Curve,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Guid 45cm 7fr 2.5mm Flxr Chk-Flo Anl3 Curve,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Guid 70cm 7fr 2.5mm Flxr Introd / Flxr Guid,225.0,225.0,33.3,180.0,23
CPT,C1894,Sheath Guid 80cm 6fr 2.2mm Flxr Sh Aq Radiopq Stf,378.0,378.0,55.94,302.4,23
CPT,C1894,Sheath Guid 90cm 2.5fr Chk-Flo Flxr Raabe,188.0,188.0,27.82,150.4,23
CPT,C1894,Sheath Guid 90cm 6fr 2.2mm Flxr Chk-Flo Anl1 Curve,378.0,378.0,55.94,302.4,23
CPT,C1894,Sheath Intro 8.2mm 22fr 33cm Gore Dryseal Flx Hdrph,1585.0,1585.0,234.58,1268.0,23
CPT,C1894,Sheath Intro 8.8mm 24fr 33cm Gore Dryseal Flx Hdrph,1585.0,1585.0,234.58,1268.0,23
CPT,C1894,Sheath Intro Lng .091in 90cm S,1363.0,1363.0,201.72,1090.4,23
CPT,C1894,Sheath Intro Lng 7fr 30cm Traw Fnl Ulsmth Dil Tpr Ptfe,102.0,102.0,15.1,81.6,23
CPT,C1894,Sheath Intro Lng Mp Crv 6fr 8fr .088in 80cm 4cm Neuron Mxss,1138.0,1138.0,168.42,910.4,23
CPT,C1894,Sheath Introd 10cm 5fr Pncl Peri Ss Hydphi Ptfe,120.5,120.5,3.26,175.2,46
CPT,C1894,Sheath Introd 10cm 6fr Pncl Peri Snpon Dilat Lock,219.0,219.0,32.41,175.2,23
CPT,C1894,Sheath Introd 10cm 8fr Pncl Peri Ss Hydphi Ptfe,219.0,219.0,32.41,175.2,23
CPT,C1894,Sheath Introd 10cm 9fr Pncl Peri Ss Hydphi Ptfe,272.0,272.0,40.26,217.6,23
CPT,C1894,Sheath Introd 16fr 6.2mm 5.3mm 28cm Dryseal Dilat,668.0,668.0,98.86,534.4,23
CPT,C1894,Sheath Introd 28cm 9.8mm 26fr Gore Dryseal Hydphi,863.0,863.0,127.72,690.4,23
CPT,C1894,Sheath Introducer Gore Dryseal Flex Hydro L33 Cm Od9.5 Mm Id26 Fr,1585.0,1585.0,234.58,1268.0,23
CPT,C1894,Sheath Shuttle 6f 90cm,483.0,483.0,71.48,386.4,23
CPT,C1894,Sheath Shuttle 6fr 80cm.,595.0,595.0,88.06,476.0,23
CPT,C1894,Sheath Shuttle 7f 90cm,413.0,413.0,61.12,330.4,23
CPT,C1894,Shth Gu .018/.038in Anl1 Cve 6fr .087in 45cm Rad,113.0,113.0,16.72,90.4,23
CPT,C1894,Sth Gui .018-.038in Anl2 Crve 6fr .087in 90cm Radi,250.0,250.0,37.0,200.0,23
CPT,C1894,Tear-Away Intro Sheath 8f 30cm,477.0,477.0,70.6,381.6,23
CPT,C1894,Tray Cath Lf a Neos 2 Tier Dsgn Fn Tip Fcp Ins Deph Fr Mgln,127.0,127.0,18.8,101.6,23
CPT,C1894,Vascular Vein Kit,353.0,353.0,52.24,282.4,23
CPT,C1895,Lead 6947m55 Df4 Active Dc Sprint 55 Cm,11822.0,11822.0,1749.66,9457.6,23
CPT,C1895,Lead 6947m62 Df4 Active Dc Sprint 62 Cm,11822.0,11822.0,1749.66,9457.6,23
CPT,C1895,"Lead Defibrillator Reliance 4-Front, Dual Coil 59cm",6500.0,6500.0,962.0,5200.0,23
CPT,C1895,Lead Dfbr 58cm 8fr Optisure Ecrdm 2 Coil Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CPT,C1895,Lead Dfbr 59cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd 2 Coil,6500.0,6500.0,962.0,5200.0,23
CPT,C1895,Lead Dfbr 64cm 7.3fr Rlnc 4-Frn Rv Mp35n Irox Strd,6500.0,6500.0,962.0,5200.0,23
CPT,C1895,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df1 Df4 Conctr True,10761.0,10761.0,1592.63,8608.8,23
CPT,C1895,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df4 220 Dual Shock,10761.0,10761.0,1592.63,8608.8,23
CPT,C1895,Lead Dfbr 65cm 8fr Optisure Ecrdm 2 Coil Df4 230 Dual Shock,10761.0,10761.0,1592.63,8608.8,23
CPT,C1895,Lead Dfbr 65cm Strl Lf 15cm Plexa Promri Df4 Crd Disp S Dx,10000.0,10000.0,1480.0,8000.0,23
CPT,C1895,Lead Dfbr 65cm Strl Lf 17cm Plexa Promri Df4 Crd Disp S Dx,10000.0,10000.0,1480.0,8000.0,23
CPT,C1895,Lead Pcng 11mm Spc 6.8fr 58cm Durata 1 Coil True Bp Actfx,5250.0,5250.0,777.0,4200.0,23
CPT,C1895,Setrox S 45 Lead,1793.0,1793.0,265.36,1434.4,23
CPT,C1895,Sprint 6947 Rv Lead,16139.0,16139.0,2388.57,12911.2,23
CPT,C1896,Electrode Dfbr 45cm Trplr Eblm S-Icd 11.5fr Sbq,10000.0,10000.0,1480.0,8000.0,23
CPT,C1898,Bradycardia Lead,1920.0,1920.0,284.16,1536.0,23
CPT,C1898,Capsure Vdd2 Lead 5038s-52,828.0,828.0,122.54,662.4,23
CPT,C1898,Isoflex Optim,1330.0,1330.0,196.84,1064.0,23
CPT,C1898,Lead 407665 Capsurefix Novus,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Lead 5076-35 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Lead 5076-65 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Lead 5076-85 Lead-Bipolar Sil Screw-In,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Lead 5076110 Capsurefix Novus Pacing,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Lead Pacing 10mm Space Small Str 6.2fr 2mm 52cm 20,1013.0,1013.0,149.92,810.4,23
CPT,C1898,Lead Pacing 10mm Space Small Str 6.2fr 2mm 58cm 20,1013.0,1013.0,149.92,810.4,23
CPT,C1898,Lead Pacing Capsure Sense Steroid Eluting L52 Cm Atrium Right Vent,1013.0,1013.0,149.92,810.4,23
CPT,C1898,Lead Pacing Steroid Eluting L78-88 Cm Heart Left Otw Bipolar,3563.0,3563.0,527.32,2850.4,23
CPT,C1898,Lead Pacing Tendril Sts Optim Steroid L52 Cm Od6 Fr Endocard Is-1 Bipolar Con,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pacing Tendril Sts Steroid Silicone Helix L58 Od6 Fr Endocard,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Packing Tendril Sts Steroid Silicone Helix L46cm Od6fr,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pcng 10mm Spc Sm Strg 6.2fr 2mm 45cm Strl Cp Nv Bp Scr,1250.0,1250.0,185.0,1000.0,23
CPT,C1898,Lead Pcng 45cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CPT,C1898,Lead Pcng 52cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CPT,C1898,Lead Pcng 53cm Solia S Ecrdl Strd Elute Bipol Act,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pcng 59cm Lng Tpr Atr Vntrc Xtd Rtrct Fix,850.0,850.0,125.8,680.0,23
CPT,C1898,Lead Pcng 6.6fr 53cm Unplr Fx Scr Is-1 Sil Myocardium,993.0,993.0,146.96,794.4,23
CPT,C1898,Lead Pcng 60cm Promri Solia S Strd Elut,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pcng 69cm Selectsecure Bp Fx Scr in Atr Vntrc Cath Dlv,1013.0,1013.0,149.92,810.4,23
CPT,C1898,Lead Pcng J Crv 45cm Ingevity MRI Psv Fx Prefrm Atr,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pcng Strg 52cm Ingevity MRI Act Bp Flx Tp Sty Av,1125.0,1125.0,166.5,900.0,23
CPT,C1898,Lead Pcng Strg 7fr 58cm Isflx Abrsn Rst Is-1 Bp Cnct Tine Fx,680.0,680.0,100.64,544.0,23
CPT,C1898,Tendril St Pkg Lead,1920.0,1920.0,284.16,1536.0,23
CPT,C1898,Tendril Sts 2088tc/46,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Tendril Sts 2088tc/46 Lead/Electrode/Access,1478.0,1478.0,218.74,1182.4,23
CPT,C1898,Tendril Sts 2088tc/52 Lead/Electrode/Access,1478.0,1478.0,218.74,1182.4,23
CPT,C1900,Corox Bipolar Lead,5739.0,5739.0,849.37,4591.2,23
CPT,C1900,Lead Attain Performa Usa Crt,5840.0,5840.0,864.32,4672.0,23
CPT,C1900,Lead Icd Sentus Promri Otw Qdpl Lt Vntrc L 85/49,6750.0,6750.0,999.0,5400.0,23
CPT,C1900,Lead Pacing X4 86 Cm Conctr Acuity Left Ventricle Spiral S,6750.0,6750.0,999.0,5400.0,23
CPT,C1900,Lead Pcng 47mm Spc Trd S 4.7fr 86cm Ns Lf Qrtt 4 Eltrd Is-4,3400.0,3400.0,503.2,2720.0,23
CPT,C1900,Lead Pcng 88cm 5.3fr 5.1fr .014-.018in Offst S Lv,5840.0,5840.0,864.32,4672.0,23
CPT,C1900,Lead Pcng Lv Atn Starfix,4125.0,4125.0,610.5,3300.0,23
CPT,C1900,Left Heart Pacing Lead - Quadripolar - Attain Performa S MRI Surescan,4125.0,4125.0,610.5,3300.0,23
CPT,C1900,Lv Quickflex Lead,5739.0,5739.0,849.37,4591.2,23
CPT,C1900,"Q-1458 Quartet Lead, Aicd, Endo Single Coil",8566.0,8566.0,1267.77,6852.8,23
CPT,C1900,"Quartet, Wide Spacing 86cm",5375.0,5375.0,795.5,4300.0,23
CPT,C2596,Probe  robotic  water-jet,,,7647.19,8327.5,3
CPT,C2616,Brachytx  non-str yttrium-90,,,17177.01,32347.44,16
CPT,C2616,"Yttrium-90,per Source",48863.0,48863.0,7231.72,39090.4,23
CPT,C2617,Gore Viabil Endoprosthesis 10mm X 4cm X 40cm,3216.0,3216.0,475.97,2572.8,23
CPT,C2617,Gore Viabil Endoprosthesis 10mm X 8cm X 40cm,3216.0,3216.0,475.97,2572.8,23
CPT,C2617,Stent Ureteral Large Regular Pigtail Curve 2.66mm 24cm,266.0,266.0,39.37,212.8,23
CPT,C2617,Zimmon Pancreatic Stent 7fr 12cm,178.0,178.0,26.34,142.4,23
CPT,C2618,Probe Ablt 15ga 15cm Neuwave Mcwv PR Xt,5923.0,5923.0,876.6,4738.4,23
CPT,C2621,Defibrillator Crd Edora 8 Qdpl Hf-T,18500.0,18500.0,2738.0,14800.0,23
CPT,C2621,Pacemaker Crd Thk6mm 59x56mm 15cc Qd Alr Mp Rf Is4-Llll Is-1,16625.0,16625.0,2460.5,13300.0,23
CPT,C2621,Percepta Bipolar Crtp,29835.0,29835.0,4415.58,23868.0,23
CPT,C2621,Percepta Quad Crtp MRI Surescan,16500.0,16500.0,2442.0,13200.0,23
CPT,C2621,Quadra Assura Mp Crt-D Df4 Connector,42750.0,42750.0,6327.0,34200.0,23
CPT,C2623,Catheter Baldilat 5mm 130cm 60mm Pcltxl Latex Free,3500.0,3500.0,518.0,2800.0,23
CPT,C2623,Catheter Blndil 5mm 40cm 100mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CPT,C2623,Catheter Blndil 6mm 75cm 100mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CPT,C2623,Catheter Blndil 7mm 40cm 60mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CPT,C2623,Catheter Blndil 7mm 75cm 60mm Lutonix Drg Coat Acpt .035in,3500.0,3500.0,518.0,2800.0,23
CPT,C2623,Catheter Blndil 8mm 75cm 60mm Lutonix Drg Coat Acpt .035in,3875.0,3875.0,518.0,3400.0,46
CPT,C2625,8.5fr-22cm Nephrour,361.0,361.0,53.43,288.8,23
CPT,C2625,8.5fr-24cm Nephrour,350.0,350.0,51.8,280.0,23
CPT,C2625,8.5fr-26cm Nephro-U,361.0,361.0,53.43,288.8,23
CPT,C2625,8.5fr-28cm Nephrour,350.0,350.0,51.8,280.0,23
CPT,C2625,Flexima Ureteral Stent 8f X 28cm 27-404,266.0,266.0,39.37,212.8,23
CPT,C2625,Rx Stent/11.5 X 5,64.0,64.0,9.47,51.2,23
CPT,C2625,Stent Biliary Duodenal Bend 10fr 5cm Preload Rapex Delivery,325.0,325.0,48.1,260.0,23
CPT,C2625,Stent Uret 10.2fr 26cm Pgtl Curve Radiopq Sdprt,312.0,312.0,46.18,249.6,23
CPT,C2625,Stent Uret 10.2fr 28cm Pgtl Curve Lp Radiopq Sdprt,312.0,312.0,46.18,249.6,23
CPT,C2625,Stent Ureteral Flexima Large Regular Pigtail Curve L22 Cm Od2.66 Mm,266.0,266.0,39.37,212.8,23
CPT,C2628,Cath.Balloon Guide Concent 1,2691.0,2691.0,398.27,2152.8,23
CPT,C2628,Catheter Balloon Guide 9f 80cm,2364.0,2364.0,349.87,1891.2,23
CPT,C2628,Catheter Blnocc Mn 165cm Trmo,8488.0,8488.0,1256.22,6790.4,23
CPT,C2628,Catheter Blnocc Thk.9mm 3cm 3mm 1.1in 6- Mm 2fr,5238.0,5238.0,775.22,4190.4,23
CPT,C2628,Catheter Ocl 46mm 140cm Coda B,1043.0,1043.0,154.36,834.4,23
CPT,C2628,ER-Reboa Catheter,4988.0,4988.0,738.22,3990.4,23
CPT,C2628,Occlusion Balloon Xc Catheter 4mm X 11mm,3647.0,3647.0,539.76,2917.6,23
CPT,C2628,Transform Compliant 3mm X 10mm,4222.0,4222.0,624.86,3377.6,23
CPT,C2628,Transform Compliant 3mm X 15mm,4021.0,4021.0,595.11,3216.8,23
CPT,C2628,Transform Compliant 4mm X 10mm,4021.0,4021.0,595.11,3216.8,23
CPT,C2628,Transform Compliant 4mm X 15mm,4222.0,4222.0,624.86,3377.6,23
CPT,C2628,Transform Super Compliant 3mm X 5mm,4222.0,4222.0,624.86,3377.6,23
CPT,C2628,Transform Super Compliant 4mm X 7mm,4021.0,4021.0,595.11,3216.8,23
CPT,C2628,Transform Super Compliant 7mm X 7mm,4021.0,4021.0,595.11,3216.8,23
CPT,C2629,5fr Tear-Away Introducer,81.0,81.0,11.99,64.8,23
CPT,C2629,6fr Tear-Away Introducer,856.0,856.0,126.69,684.8,23
CPT,C2629,9fr Tear-Away Introducer,81.0,81.0,11.99,64.8,23
CPT,C2629,Mic G-18 Introducer Kit,585.0,585.0,86.58,468.0,23
CPT,C2629,Micropuncture Set,102.0,102.0,15.1,81.6,46
CPT,C2629,Pinnacle Rdc Sheath 6fr,2374.0,2374.0,351.35,1899.2,23
CPT,C2630,Catheter Ablation Tacticath 2-2-2 Mm Space Damato Type,6750.0,6750.0,999.0,5400.0,23
CPT,C2630,Catheter Ablt 115cm 8fr 4mm D Curve Flexability 4,5249.0,5249.0,776.85,4199.2,23
CPT,C2630,Catheter Ablt 2-2-2mm Spc F-J,6750.0,6750.0,999.0,5400.0,23
CPT,C2634,Brachytx  non-str  ha  i-125,,,150.81,301.25,16
CPT,C2635,Brachytx  non-str  ha  p-103,,,59.13,128.35,16
CPT,C2636,Brachy linear  non-str p-103,,,52.91,97.88,16
CPT,C2638,Brachytx  stranded  i-125,,,37.04,68.52,16
CPT,C2639,Brachytx  non-stranded i-125,,,34.95,64.95,16
CPT,C2640,Brachytx  stranded  p-103,,,69.69,128.93,16
CPT,C2641,Brachytx  non-stranded p-103,,,73.86,147.57,16
CPT,C2642,Brachytx  stranded  c-131,,,97.51,199.54,16
CPT,C2643,Brachytx  non-stranded c-131,,,80.33,178.64,16
CPT,C2645,Brachytx planar  p-103,,,4.69,8.68,16
CPT,C2698,Brachytx  stranded  nos,,,37.04,68.52,16
CPT,C2699,Brachytx  non-stranded  nos,,,34.95,64.95,16
CPT,C5271,Low cost skin substitute app,,,609.04,4275.0,27
CPT,C5272,Low cost skin substitute app,,,1178.0,2438.0,7
CPT,C5273,Low cost skin substitute app,,,1820.01,9641.0,27
CPT,C5274,Low cost skin substitute app,,,1178.0,2438.0,7
CPT,C5275,Low cost skin substitute app,,,609.04,4275.0,27
CPT,C5276,Low cost skin substitute app,,,1178.0,2438.0,7
CPT,C5277,Low cost skin substitute app,,,609.04,4275.0,27
CPT,C5278,Low cost skin substitute app,,,1178.0,2438.0,7
CPT,C7500,Deb bone 20 cm2 w/drug dev,,,2304.0,5612.5,9
CPT,C7501,Perc bx breast lesions stero,,,2304.0,5612.5,9
CPT,C7502,Perc bx breast lesions mr,,,2304.0,5612.5,9
CPT,C7503,Open exc cerv node(s) w/ id,,,2304.0,5612.5,9
CPT,C7504,Perq cvt&ls inj vert bodies,,,2304.0,6850.0,9
CPT,C7505,Perq ls&cvt inj vert bodies,,,2304.0,6850.0,9
CPT,C7506,Fusion of finger joints,,,2304.0,12600.0,9
CPT,C7507,Perq thor&lumb vert aug,,,2304.0,12600.0,9
CPT,C7508,Perq lumb&thor vert aug,,,2304.0,12600.0,9
CPT,C7509,Dx bronch w/ navigation,,,2304.0,5612.5,9
CPT,C7510,Bronch/lavag w/ navigation,,,2304.0,5612.5,9
CPT,C7511,Bronch/bpsy(s) w/ navigation,,,2304.0,5612.5,9
CPT,C7512,Bronch/bpsy(s) w/ ebus,,,2304.0,6850.0,9
CPT,C7513,Cath/angio dialcir w/aplasty,,,2304.0,11099.6,9
CPT,C7514,Cath/angio dial cir w/stents,,,2304.0,11099.6,9
CPT,C7515,Cath/angio dial cir w/embol,,,2304.0,13887.5,9
CPT,C7516,Cor angio w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7517,Cor angio w/ilic/fem angio,,,2304.0,6850.0,9
CPT,C7518,Cor/gft angio w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7519,Cor/gft angio w/ flow resrv,,,2304.0,6850.0,9
CPT,C7520,Cor/gft angio w/ilic/fem ang,,,2304.0,6850.0,9
CPT,C7521,R hrt angio w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7522,R hrt angio w/flow resrv,,,2304.0,6850.0,9
CPT,C7523,L hrt angio w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7524,L hrt angio w/flow resrv,,,2304.0,6850.0,9
CPT,C7525,L hrt gft ang w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7526,L hrt gft ang w/flow resrv,,,2304.0,6850.0,9
CPT,C7527,R&l hrt angio w/ ivus or oct,,,2304.0,6850.0,9
CPT,C7528,R&l hrt angio w/flow resrv,,,2304.0,6850.0,9
CPT,C7529,R&l hrt gft ang w/flow resrv,,,2304.0,6850.0,9
CPT,C7530,Cath/aplasty dial cir w/stnt,,,2304.0,13887.5,9
CPT,C7531,Angio fem/pop w/ us,,,2304.0,13887.5,9
CPT,C7532,Angio w/ us non-coronary,,,2304.0,11099.6,9
CPT,C7533,Ptca w/ plcmt brachytx dev,,,2304.0,11099.6,8
CPT,C7534,Fem/pop revasc w/arthr & us,,,2304.0,15725.0,9
CPT,C7535,Fem/pop revasc w/stent & us,,,2304.0,15725.0,9
CPT,C7537,Insrt atril pm w/l vent lead,,,2304.0,13887.5,9
CPT,C7538,Insrt vent pm w/l vent lead,,,2304.0,6850.0,9
CPT,C7539,Insrt a & v pm w/l vent lead,,,2304.0,15725.0,9
CPT,C7540,Rmv&rplc pm dul w/l vnt lead,,,2304.0,13887.5,9
CPT,C7541,Ercp w/ pancreatoscopy,,,2304.0,6850.0,9
CPT,C7542,Ercp w/bx & pancreatoscopy,,,2304.0,6850.0,9
CPT,C7543,Ercp w/otomy  pancreatoscopy,,,2304.0,6850.0,9
CPT,C7544,Ercp rmv calc pancreatoscopy,,,2304.0,8327.5,9
CPT,C7545,Exch bil cath w/ rmv calculi,,,2304.0,6850.0,9
CPT,C7546,Rep nph/urt cath w/dil stric,,,2304.0,5612.5,9
CPT,C7547,Cnvrt neph cath w/ dil stric,,,2304.0,5612.5,9
CPT,C7548,Exch neph cath w/ dil stric,,,2304.0,5612.5,9
CPT,C7549,Chge urtr stent w/ dil stric,,,2304.0,5612.5,9
CPT,C7550,Cysto w/ bx(s) w/ blue light,,,2304.0,5612.5,9
CPT,C7551,Exc neuroma w/ implnt nv end,,,2304.0,5612.5,9
CPT,C7552,R hrt art/grft ang hrt flow,,,2304.0,6850.0,9
CPT,C7553,R&i hrt art/vent ang drg ad,,,2304.0,6850.0,9
CPT,C7554,Cystureth blu li cyst fl img,,,2304.0,4275.0,9
CPT,C7555,Rmvl thyrd w/autotran parath,,,2304.0,9625.0,9
CPT,C7556,Bronch lavage w/ebus,,,2891.0,6850.0,4
CPT,C7557,Cor angio/vent w/ffr,,,2304.0,6850.0,9
CPT,C7558,Cor angio/vent w/drug admin,,,2592.0,6850.0,7
CPT,C7560,Ercp remove forgn body&endo,,,2304.0,8327.5,9
CPT,C7562,R&l hrt angio w/ffr & 3d map,,,2304.0,2880.0,5
CPT,C7563,Trluml ballo angiop all art,,,2304.0,2880.0,5
CPT,C7564,Vein mech throm w/intrvas us,,,2304.0,2880.0,5
CPT,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,2304.0,2880.0,5
CPT,C7900,Hopd mntl hlt  15-29 min,,,29.64,54.84,16
CPT,C7901,Hopd mntl hlt  30-60 min,,,92.04,170.27,16
CPT,C7903,Hopd mntl hlt  grp,,,29.64,54.84,16
CPT,C8000,Suprt dev  a-v fistula  imp,,,,,0
CPT,C8001,3d anat seg imaging preop,,,87.6,287.98,18
CPT,C8002,Prep skin cell susp  automtd,,,7213.96,13345.82,15
CPT,C8003,Imp extar knee shck absrb,,,8631.0,33850.11,20
CPT,C8004,Sim ang w/prs cath rad emb,,,11283.41,20874.31,14
CPT,C8005,Pef bronch ablt 3d nav ebus,,,17412.3,32212.76,14
CPT,C8006,Inst pleu-perit shnt w pump,,,6208.3,11485.36,13
CPT,C8900,Mra Abdomen W Dye,4319.0,4319.0,639.21,3455.2,23
CPT,C8900,Mra w/cont  abd,,,355.33,1786.43,23
CPT,C8901,Mra Abdomen W/O Dye,2500.0,2500.0,370.0,2000.0,23
CPT,C8901,Mra w/o cont  abd,,,240.5,1116.25,23
CPT,C8902,"Mra W/O Fol W/Cont, Abd, Cbc",5046.2,5046.2,746.84,4036.96,23
CPT,C8902,Mra w/o fol w/cont  abd,,,355.33,1786.43,23
CPT,C8903,"MRI W/Cont, Brst, Uni, MRI",1389.0,1389.0,205.57,1111.2,23
CPT,C8903,Mri w/cont  breast   uni,,,177.12,866.54,23
CPT,C8905,"MRI W/Ofol W/Con,Brst,Uni,MRI",2015.95,2015.95,298.36,1612.76,23
CPT,C8905,Mri w/o fol w/cont  brst  un,,,355.33,1786.43,23
CPT,C8906,"MRI W/Con, Brst, Bi,MRI",1597.35,1597.35,236.41,1277.88,23
CPT,C8906,Mri w/cont  breast   bi,,,355.33,1786.43,23
CPT,C8908,Mri w/o fol w/cont  breast,,,355.33,1786.43,23
CPT,C8909,Mra Chest W Dye,4022.0,4022.0,595.26,3217.6,23
CPT,C8909,Mra w/cont  chest,,,355.33,1786.43,23
CPT,C8910,Mra Chest W/O Dye,2977.0,2977.0,440.6,2381.6,23
CPT,C8910,Mra w/o cont  chest,,,240.5,1116.25,23
CPT,C8911,Mra w/o fol w/cont  chest,,,355.33,1786.43,23
CPT,C8912,Mra w/cont  lwr ext,,,355.33,1786.43,23
CPT,C8913,Mra w/o cont  lwr ext,,,240.5,1116.25,23
CPT,C8914,Mra Low Ext W&WO Dye Bi MRI,6665.4,6665.4,986.48,5332.32,23
CPT,C8914,Mra Low Ext W&WO Dye Lt,3332.7,3332.7,493.24,2666.16,23
CPT,C8914,Mra Low Ext W/WO Dye Rt,3332.7,3332.7,493.24,2666.16,23
CPT,C8914,Mra w/o fol w/cont  lwr ext,,,355.33,1786.43,23
CPT,C8918,Mra w/cont  pelvis,,,355.33,1786.43,23
CPT,C8919,Mra w/o cont  pelvis,,,240.5,1116.25,23
CPT,C8920,Mra w/o fol w/cont  pelvis,,,355.33,1786.43,23
CPT,C8921,Tte w or w/o fol w/cont  com,,,786.07,1454.24,16
CPT,C8922,Tte w or w/o fol w/cont  f/u,,,786.07,1454.24,16
CPT,C8923,2d tte w or w/o fol w/con co,,,786.07,1454.24,16
CPT,C8924,2d tte w or w/o fol w/con fu,,,355.33,657.36,16
CPT,C8924,Tte 2d W or W/O Fol W/Contrast; Follow-Up or Ltd,2668.0,2668.0,394.86,2134.4,23
CPT,C8925,2d tee w or w/o fol w/con in,,,786.07,1454.24,16
CPT,C8926,Tee w or w/o fol w/cont cong,,,786.07,1454.24,16
CPT,C8927,Tee w or w/o fol w/cont  mon,,,786.07,1454.24,16
CPT,C8928,Tte w or w/o fol w/con stres,,,786.07,1454.24,16
CPT,C8929,Tte 2d W or W/O Fol W/Contrast; Doppler,5422.25,5422.25,802.49,4337.8,23
CPT,C8929,Tte w or wo fol wcon doppler,,,786.07,1454.24,16
CPT,C8930,Tte w or w/o contr  cont ecg,,,786.07,1454.24,16
CPT,C8931,Mra  w/dye  spinal canal,,,355.33,1786.43,23
CPT,C8932,Mra  w/o dye  spinal canal,,,240.5,1116.25,23
CPT,C8932,"Mra, W/O Dye, Spinal Canal",4243.0,4243.0,627.96,3394.4,23
CPT,C8933,Mra  w/o&w/dye  spinal canal,,,355.33,1786.43,23
CPT,C8933,"Mra, W/O&W/Dye, Spinal Canal",4145.75,4145.75,613.57,3316.6,23
CPT,C8934,Mra  w/dye  upper extremity,,,355.33,1786.43,23
CPT,C8934,"Mra, W/Dye, Upper Extremity",2742.0,2742.0,405.82,2193.6,23
CPT,C8935,Mra  w/o dye  upper extr,,,240.5,1116.25,23
CPT,C8935,"Mra, W/Odye, Upper Extremity",2164.0,2164.0,320.27,1731.2,23
CPT,C8936,Mra  w/o&w/dye  upper extr,,,355.33,1786.43,23
CPT,C8936,"Mra, W/O&W/Dye, Upper Extremity",3991.65,3991.65,590.76,3193.32,23
CPT,C8957,Prolonged iv inf  req pump,,,330.02,610.54,16
CPT,C9046,Cocaine hcl nasal (goprelto),,,1.53,1.66,3
CPT,C9047,Injection  caplacizumab-yhdp,,,749.27,812.96,4
CPT,C9067,Gallium ga-68 dotatoc,,,4.05,8.22,23
CPT,C9088,Instill  bupivac and meloxic,,,0.74,1.27,8
CPT,C9089,Bupivacaine implant  1 mg,,,0.83,2.77,18
CPT,C9101,Inj  oliceridine 0.1 mg,,,1.23,2.18,14
CPT,C9143,Cocaine hcl nasal (numbrino),,,2.24,2.43,3
CPT,C9144,Inj  bupivacaine (posimir),,,0.48,0.94,24
CPT,C9145,Inj  aponvie  1 mg,,,1.81,3.53,27
CPT,C9159,Inj- balfaxar- per i.u,,,5.36,5.36,1
CPT,C9160,Inj daxibotulinumtoxina-lanm,,,7.34,7.34,1
CPT,C9161,Inj- aflibercept hd- 1 mg,,,557.65,557.65,1
CPT,C9162,Inj- avacincaptad peg 0.1 mg,,,178.45,178.45,1
CPT,C9163,Inj talquetamab-tgvs 0.25 mg,,,110.04,110.04,1
CPT,C9164,Cantharidin top- applicator,,,1164.16,1164.16,1
CPT,C9165,Inj- elranatamab-bcmm- 1 mg,,,291.84,291.84,1
CPT,C9169,Inj- nogapendekin pmln 1 mcg,,,89.5,97.11,4
CPT,C9170,Inj- tarlatamab-dlle- 1 mg,,,1500.0,1627.5,4
CPT,C9171,Inj- pegulicianine- 1 mg,,,35.38,38.39,4
CPT,C9172,Inj- beqvez- per tx dose,,,0.01,3605000.0,4
CPT,C9173,Inj  nypozi  1 mcg,,,0.54,0.89,3
CPT,C9174,Datopotamab deruxtecan  1 mg,,,52.9,52.9,1
CPT,C9175,Inj  treosulfan  50 mg,,,32.99,32.99,1
CPT,C9248,Inj  clevidipine butyrate,,,2.8,4.62,10
CPT,C9250,Artiss fibrin sealant,,,134.5,262.5,21
CPT,C9250,Kit Tiss Clsr 10ml Artiss Frzn Slnt,1814.0,1814.0,268.47,1451.2,23
CPT,C9250,Kit Tiss Clsr 2ml Artiss Frzn Slnt,475.0,475.0,70.3,380.0,23
CPT,C9250,Kit Tiss Clsr 4ml Artiss Frzn Slnt,811.0,811.0,120.03,648.8,23
CPT,C9250,Kit Tiss Clsr Frzn Slnt Artiss 4ml,836.0,836.0,123.73,668.8,23
CPT,C9254,Injection  lacosamide,,,0.2,0.22,3
CPT,C9257,Bevacizumab injection,,,1.82,3.39,24
CPT,C9285,Patch  lidocaine/tetracaine,,,16.95,18.39,3
CPT,C9290,Inj bupivacaine liposome,,,1.41,1.53,3
CPT,C9293,Injection  glucarpidase,,,399.73,433.71,3
CPT,C9301,Obecabtagene car pos t,,,459112.5,459112.5,3
CPT,C9302,Inj zanidatamab  2 mg,,,41.45,41.45,3
CPT,C9303,Inj zolbetuximab  1 mg,,,27.19,27.19,3
CPT,C9304,Inj marstacimab  0.5 mg,,,87.1,87.1,3
CPT,C9305,Inj  nipocalimab-aahu  3 mg,,,31.2,59.46,16
CPT,C9306,Telisotuzumab vedotin-tllv,,,143.99,266.38,13
CPT,C9358,Matrix Tiss 10cmx10cmx1mm Surgimend Flat Sq Bvn,3750.0,3750.0,555.0,3000.0,23
CPT,C9358,Matrix Tiss 12cmx4cmx1mm Surgimend Flat Rect Bvn,1800.0,1800.0,266.4,1440.0,23
CPT,C9358,Matrix Tiss 12cmx6cmx1mm Surgimend Flat Rect Bvn,2700.0,2700.0,399.6,2160.0,23
CPT,C9358,Matrix Tiss 12cmx6cmx4mm Surgimend Flat Rect Bvn,3420.0,3420.0,506.16,2736.0,23
CPT,C9358,Matrix Tiss 12cmx8cmx.6mm Surgimend Thn Flat Ovl,4320.0,4320.0,639.36,3456.0,23
CPT,C9358,Matrix Tiss 12cmx8cmx.6mm Surgimend Thn Flat Rect,3600.0,3600.0,532.8,2880.0,23
CPT,C9358,Matrix Tiss 15cmx10cmx.6mm Surgimend Thn Flat Ovl,6750.0,6750.0,999.0,5400.0,23
CPT,C9358,Matrix Tiss 15cmx10cmx.6mm Surgimend Thn Flat Rect,5625.0,5625.0,832.5,4500.0,23
CPT,C9358,Matrix Tiss 15cmx10cmx1mm Surgimend Flat Rect Bvn,5625.0,5625.0,832.5,4500.0,23
CPT,C9358,Matrix Tiss 15cmx10cmx1mm Surgimend Flat Semioval,5940.0,5940.0,759.24,5400.0,46
CPT,C9358,Matrix Tiss 15cmx15cmx1mm Surgimend Flat Semioval,10125.0,10125.0,1498.5,8100.0,23
CPT,C9358,Matrix Tiss 16cmx4cmx1mm Surgimend Flat Rect Bvn,2400.0,2400.0,355.2,1920.0,23
CPT,C9358,Matrix Tiss 16cmx6cmx1mm Surgimend Flat Rect Bvn,3600.0,3600.0,532.8,2880.0,23
CPT,C9358,Matrix Tiss 16cmx6cmx1mm Surgimend Flat Semioval,4320.0,4320.0,639.36,3456.0,23
CPT,C9358,Matrix Tiss 16cmx8cmx.6mm Surgimend Thn Flat,5760.0,5760.0,852.48,4608.0,23
CPT,C9358,Matrix Tiss 16cmx8cmx1mm Surgimend Flat Rect Bvn,4800.0,4800.0,710.4,3840.0,23
CPT,C9358,Matrix Tiss 17cmx7cmx1mm Surgimend Flat Rect Bvn,5355.0,5355.0,792.54,4284.0,23
CPT,C9358,Matrix Tiss 17cmx7cmx1mm Surgimend Flat Semioval,5355.0,5355.0,792.54,4284.0,23
CPT,C9358,Matrix Tiss 20cmx10cmx.6mm Surgimend Flat Rect Bvn,9000.0,9000.0,1332.0,7200.0,23
CPT,C9358,Matrix Tiss 20cmx10cmx1mm Surgimend Flat Bvn Derm,17250.0,17250.0,2553.0,13800.0,23
CPT,C9358,Matrix Tiss 20cmx10cmx1mm Surgimend Flat Rect Bvn,7500.0,7500.0,1110.0,6000.0,23
CPT,C9358,Matrix Tiss 20cmx16cmx1mm Surgimend Flat Rect Bvn,12000.0,12000.0,1776.0,9600.0,23
CPT,C9358,Matrix Tiss 20cmx20cmx3mm Surgimend Flat Sq Bvn,18000.0,18000.0,2664.0,14400.0,23
CPT,C9358,Matrix Tiss 20cmx8cmx1mm Surgimend Flat Rect Bvn,7200.0,7200.0,1065.6,5760.0,23
CPT,C9358,Matrix Tiss 25cmx.3cmx1mm Surgimend Flat Rect Bvn,282.5,282.5,41.81,226.0,23
CPT,C9358,Matrix Tiss 25cmx.6cmx1mm Surgimend Flat Rect Bvn,562.5,562.5,83.25,450.0,23
CPT,C9358,Matrix Tiss 25cmx10cmx3mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CPT,C9358,Matrix Tiss 25cmx10cmx4mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,46
CPT,C9358,Matrix Tiss 25cmx13cmx1mm Surgimend Flat Rect Bvn,12187.5,12187.5,1803.75,9750.0,23
CPT,C9358,Matrix Tiss 25cmx13cmx3mm Surgimend Flat Rect Bvn,14625.0,14625.0,2164.5,11700.0,23
CPT,C9358,Matrix Tiss 25cmx13cmx4mm Surgimend Flat Rect Bvn,15437.5,15437.5,2284.75,12350.0,23
CPT,C9358,Matrix Tiss 25cmx1cmx1mm Surgimend Flat Rect Bvn,937.5,937.5,138.75,750.0,23
CPT,C9358,Matrix Tiss 25cmx20cmx2mm Surgimend Flat Rect Bvn,18750.0,18750.0,2775.0,15000.0,23
CPT,C9358,Matrix Tiss 30cmx20cmx1mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CPT,C9358,Matrix Tiss 30cmx20cmx2mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CPT,C9358,Matrix Tiss 30cmx20cmx3mm Surgimend Flat Rect Bvn,27000.0,27000.0,3996.0,21600.0,23
CPT,C9358,Matrix Tiss 3cmx3cmx.6mm Surgimend Thn Flat Sq Bvn,337.5,337.5,49.95,270.0,23
CPT,C9358,Matrix Tiss 3cmx3cmx1mm Surgimend Flat Sq Bvn Derm,337.5,337.5,49.95,270.0,23
CPT,C9358,Matrix Tiss 40cmx25cmx1mm Surgimend Flat Rect Bvn,37500.0,37500.0,5550.0,30000.0,23
CPT,C9358,Matrix Tiss 40cmx25cmx4mm Surgimend Flat Rect Bvn,47500.0,47500.0,7030.0,38000.0,23
CPT,C9358,Matrix Tiss 6cmx5cmx1mm Surgimend Flat Rect Bvn,1125.0,1125.0,166.5,900.0,23
CPT,C9358,Matrix Tiss 6cmx5cmx2mm Surgimend Flat Rect Bvn,1125.0,1125.0,166.5,900.0,23
CPT,C9358,Matrix Tiss 7cmx4cmx.6mm Surgimend Thn Flat Rect,1050.0,1050.0,155.4,840.0,23
CPT,C9358,Matrix Tiss 7cmx4cmx1mm Surgimend Flat Rect Bvn,1050.0,1050.0,155.4,840.0,23
CPT,C9358,Mesh Surg Surgimend 6x5cm Strl Aclr Drml Tiss Mtrx,1125.0,1125.0,166.5,900.0,23
CPT,C9360,Matrix Tiss 12cmx6cmx3mm Surgimend Flat Rect Bvn,3240.0,3240.0,479.52,2592.0,23
CPT,C9360,Matrix Tiss 15cmx10cmx2mm Surgimend Flat Bvn Derm,5625.0,5625.0,832.5,4500.0,23
CPT,C9360,Matrix Tiss 15cmx10cmx3mm Surgimend Flat Rect Bvn,6750.0,6750.0,999.0,5400.0,23
CPT,C9360,Matrix Tiss 15cmx10cmx4mm Surgimend Flat Rect Bvn,7125.0,7125.0,1054.5,5700.0,23
CPT,C9360,Matrix Tiss 20cmx16cmx2mm Surgimend Flat Bvn Derm,12000.0,12000.0,1776.0,9600.0,23
CPT,C9360,Matrix Tiss 20cmx16cmx2mm Surgimend Flat Rect Bvn,12000.0,12000.0,1776.0,9600.0,23
CPT,C9360,Matrix Tiss 20cmx16cmx3mm Surgimend Flat Rect Bvn,14400.0,14400.0,2131.2,11520.0,23
CPT,C9360,Matrix Tiss 20cmx20cmx2mm Surgimend Flat Sq Bvn,15000.0,15000.0,2220.0,12000.0,23
CPT,C9360,Matrix Tiss 25cmx10cmx3mm Surgimend Flat Ellipse,9800.0,9800.0,1450.4,7840.0,23
CPT,C9360,Matrix Tiss 25cmx13cmx2mm Surgimend Flat Bvn Derm,12187.5,12187.5,1803.75,9750.0,23
CPT,C9360,Matrix Tiss 25cmx13cmx2mm Surgimend Flat Rect Bvn,12187.5,12187.5,1803.75,9750.0,23
CPT,C9360,Matrix Tiss 25cmx20cmx3mm Surgimend Flat Rect Bvn,22500.0,22500.0,3330.0,18000.0,23
CPT,C9360,Matrix Tiss 30cmx20cmx4mm Surgimend Flat Rect Bvn,28500.0,28500.0,4218.0,22800.0,23
CPT,C9360,Matrix Tiss 40cmx25cmx2mm Surgimend Flat Rect Bvn,37500.0,37500.0,5550.0,30000.0,23
CPT,C9360,Matrix Tiss 40cmx25cmx3mm Surgimend Flat Rect Bvn,45000.0,45000.0,6660.0,36000.0,23
CPT,C9360,Matrix Tiss 6cmx5cmx3mm Surgimend Flat Rect Bvn,1350.0,1350.0,199.8,1080.0,23
CPT,C9360,Matrix Tiss 6cmx5cmx4mm Surgimend Flat Rect Bvn,1425.0,1425.0,210.9,1140.0,23
CPT,C9360,Mesh Surg Surgimend 20x20mm Prfr Aclr Clgn Mtrx,15000.0,15000.0,2220.0,12000.0,23
CPT,C9360,Mesh Surg Surgimend 30x20cm Macroporous Aclr Clgn,22500.0,22500.0,3330.0,18000.0,23
CPT,C9360,Mesh Surg Surgimend 40x25cm Thk2mm,37500.0,37500.0,5550.0,30000.0,23
CPT,C9360,Mesh Surg Surgimend Mp 25cmx20cmx2mm,18750.0,18750.0,2775.0,15000.0,23
CPT,C9399,Unclassified drugs or biolog,,,,,0
CPT,C9460,Injection  cangrelor,,,18.82,36.96,24
CPT,C9462,Injection  delafloxacin,,,0.47,0.51,3
CPT,C9482,Sotalol hydrochloride iv,,,21.97,46.34,24
CPT,C9488,Conivaptan hcl,,,44.57,48.36,4
CPT,C9507,Covid-19 convalescent plasma,,,425.62,787.4,16
CPT,C9600,Perc Drug-Eluting Cor Stent; Single Vessel,53417.0,53417.0,7905.72,42733.6,23
CPT,C9600,Perc drug-el cor stent sing,,,6186.0,20874.31,25
CPT,C9601,Perc Drug-Eluting Cor Stent; Ea Addl Branch,39039.0,39039.0,5777.77,31231.2,23
CPT,C9601,Perc drug-el cor stent bran,,,1178.0,2438.0,7
CPT,C9602,Perc Drug-Eluting Cor Stent & Atherect; Singl Vess,39039.0,39039.0,5777.77,31231.2,23
CPT,C9602,Perc d-e cor stent ather s,,,6186.0,33052.5,25
CPT,C9603,Perc Drug-Eluting Cor Stent & Atherect; Ea Addl Br,26268.0,26268.0,3887.66,21014.4,23
CPT,C9603,Perc d-e cor stent ather br,,,1178.0,1750.0,6
CPT,C9604,Perc Drug-Eluting Cor Revasc of or Thro Cabg;Sing,39039.0,39039.0,5777.77,31231.2,23
CPT,C9604,Perc d-e cor revasc t cabg s,,,6186.0,20874.31,25
CPT,C9605,Perc Drug-Eluting Cor Revasc of or Thr Cabg; Ea Ad,27638.0,27638.0,4090.42,22110.4,23
CPT,C9605,Perc d-e cor revasc t cabg b,,,1178.0,1750.0,6
CPT,C9606,Perc Drug-Eluting Cor W/ Ami;Single Ves,59386.0,59386.0,8789.13,47508.8,23
CPT,C9606,Perc d-e cor revasc w ami s,,,2304.0,24872.68,24
CPT,C9607,Perc Drug-Eluting Cor Revasc Cto;Single Vess,44289.95,44289.95,6554.91,35431.96,23
CPT,C9607,Perc d-e cor revasc chro sin,,,6186.0,33052.5,25
CPT,C9608,Perc Drug-Eluting Cor Revasc Cto; Ea Addl Vessel,39830.0,39830.0,5894.84,31864.0,23
CPT,C9608,Perc d-e cor revasc chro add,,,1178.0,1750.0,6
CPT,C9610,Cath coronary drug-delivery,,,,,0
CPT,C9725,Place endorectal app,,,907.11,2026.0,21
CPT,C9726,Rxt breast appl place/remov,,,1178.0,1750.0,6
CPT,C9727,Insert palate implants,,,1473.82,2880.0,21
CPT,C9728,Place device/marker  non pro,,,1361.37,5612.5,19
CPT,C9733,Non-ophthalmic fva,,,355.33,1786.43,23
CPT,C9734,U/s trtmt  not leiomyomata,,,3614.0,23683.65,24
CPT,C9738,Blue light cysto imag agent,,,1178.0,2438.0,6
CPT,C9739,Cystoscopy prostatic imp 1-3,,,3213.0,9641.0,27
CPT,C9740,Cysto impl 4 or more,,,4312.0,17021.0,25
CPT,C9741,Impl pressure sensor w/angio,,,3725.0,5595.0,2
CPT,C9745,Nasal endo eustachian tube,,,5595.0,5595.0,1
CPT,C9746,Trans imp balloon cont,,,5595.0,5595.0,1
CPT,C9747,Ablation  hifu  prostate,,,5595.0,5595.0,1
CPT,C9748,Prostatic rf water vapor tx,,,5595.0,5595.0,1
CPT,C9749,Repair nasal stenosis w/imp,,,5595.0,5595.0,1
CPT,C9750,Ins/rem-replace compl iims,,,5595.0,5595.0,1
CPT,C9751,Microwave bronch  3d  ebus,,,3731.6,13887.5,25
CPT,C9752,Intraosseous des lumb/sacrum,,,5595.0,5595.0,1
CPT,C9753,Intraosseous destruct add'l,,,5595.0,5595.0,1
CPT,C9754,Perc av fistula- direct,,,5595.0,5595.0,1
CPT,C9755,Rf magnetic-guide av fistula,,,5595.0,5595.0,1
CPT,C9756,Fluorescence lymph map w/icg,,,1178.0,2438.0,6
CPT,C9757,Spine device implant surgery,,,4312.0,23683.65,27
CPT,C9758,Blind interatrial shunt ide,,,10807.0,32212.76,25
CPT,C9759,Transcath intraop microinf,,,1178.0,1473.0,5
CPT,C9760,Non-blind interatrial shunt,,,10807.0,50619.52,25
CPT,C9761,Cysto  litho  vacuum kidney,,,3213.0,17021.0,27
CPT,C9762,Cardiac mri seg dys strain,,,545.54,2344.03,21
CPT,C9763,Cardiac mri seg dys stress,,,545.54,2344.03,21
CPT,C9764,Revasc intravasc lithotripsy,,,3923.0,20874.31,25
CPT,C9765,Revasc intra lithotrip-stent,,,3923.0,33052.5,25
CPT,C9766,Revasc intra lithotrip-ather,,,4312.0,33052.5,25
CPT,C9767,Revasc lithotrip-stent-ather,,,4312.0,33052.5,25
CPT,C9768,Endo us-guide hep porto grad,,,2438.0,2438.0,1
CPT,C9769,Cysto w/temp pros implant,,,3133.0,12402.4,10
CPT,C9770,Vitrec/mech pars- subret inj,,,5555.0,9641.0,3
CPT,C9771,Nsl/sins cryo post nasal tis,,,5555.0,9641.0,3
CPT,C9772,Revasc lithotrip tibi/perone,,,3923.0,20874.31,25
CPT,C9773,Revasc lithotr-stent tib/per,,,3923.0,33052.5,25
CPT,C9774,Revasc lithotr-ather tib/per,,,3923.0,33052.5,25
CPT,C9775,Revasc lith-sten-ath tib/per,,,3923.0,33052.5,25
CPT,C9777,Esophag muc integ w/eso egd,,,2438.0,7002.91,22
CPT,C9778,Colpopexy  min/inv  ex-perit,,,3213.0,9086.4,25
CPT,C9779,Esd endoscopy or colonoscopy,,,3133.0,7002.91,25
CPT,C9780,Insert cv cath inf & sup app,,,3133.0,15186.51,25
CPT,C9781,Arthro/shoul surg  w/spacer,,,4312.0,23683.65,25
CPT,C9782,Blind myocar trpl bon marrow,,,12815.9,32212.76,24
CPT,C9783,Blind cor sinus reducer impl,,,5978.0,20874.31,25
CPT,C9784,Endo sleeve gastro w/tube,,,3133.0,19163.68,25
CPT,C9785,Endo outlet restrict w/tube,,,3133.0,19163.68,25
CPT,C9786,Echo cad for hf preserved ef,,,402.12,402.12,1
CPT,C9789,Instill pharm renal pelvis,,,2239.16,5612.5,25
CPT,C9790,Kidney histotripsy w/image,,,3923.0,59377.38,5
CPT,C9791,Mri hyperpolarized xenon129,,,1244.19,5939.88,21
CPT,C9792,Blind/nonblind trans atrial,,,5978.0,17947.5,25
CPT,C9793,Pre 3d mdl w/ccta and/or mri,,,1012.26,1872.69,16
CPT,C9794,Complex simulation w/pet-ct,,,2756.04,2756.04,1
CPT,C9795,Sbrt w/positron emission del,,,5299.42,5299.42,1
CPT,C9796,Rpr intst excl anrect fist,,,2728.57,5612.5,25
CPT,C9797,Vasc emb/occ w/prs cath,,,3133.0,33052.5,25
CPT,C9803,Hopd covid-19 spec collect,,,64.98,64.98,1
CPT,C9804,Pump elastomc non-opioid dev,,,,,0
CPT,C9806,Pump perist non-opioid dev,,,,,0
CPT,C9807,Nerve stim non-opioid dev,,,,,0
CPT,C9808,Cryo probe non-opioid dev,,,,,0
CPT,C9809,Cryo needle non-opioid dev,,,,,0
CPT,C9898,Inpnt stay radiolabeled item,,,0.01,0.01,3
CPT,C9901,Endo defect closure gi tract,,,3133.0,19163.68,22
CPT,D0120,Periodic oral evaluation,,,128.22,237.2,16
CPT,D0140,Limit oral eval problm focus,,,128.22,237.2,16
CPT,D0150,Comprehensve oral evaluation,,,128.22,237.2,16
CPT,D0160,Extensv oral eval prob focus,,,128.22,237.2,16
CPT,D0170,Re-eval est pt problem focus,,,128.22,237.2,16
CPT,D0171,Re-eval post-op visit,,,128.22,237.2,16
CPT,D0180,Comp periodontal evaluation,,,128.22,237.2,16
CPT,D0191,Assessment of a patient,,,128.22,237.2,16
CPT,D0210,Intraor comprehensive series,,,240.5,444.93,16
CPT,D0220,Intraoral periapical first,,,87.6,162.06,16
CPT,D0240,Intraoral occlusal film,,,87.6,162.06,16
CPT,D0250,Extraoral 2d project image,,,87.6,162.06,16
CPT,D0251,Extraoral posterior image,,,87.6,162.06,16
CPT,D0270,Dental bitewing single image,,,87.6,162.06,16
CPT,D0272,Dental bitewings two images,,,87.6,162.06,16
CPT,D0273,Bitewings - three images,,,240.5,444.93,16
CPT,D0274,Bitewings four images,,,240.5,444.93,16
CPT,D0277,Vert bitewings 7 to 8 images,,,240.5,444.93,16
CPT,D0310,Dental saliography,,,240.5,444.93,16
CPT,D0320,Dental tmj arthrogram incl i,,,240.5,444.93,16
CPT,D0321,Other tmj images by report,,,87.6,162.06,16
CPT,D0322,Dental tomographic survey,,,105.81,195.74,16
CPT,D0330,Panoramic image,,,240.5,444.93,16
CPT,D0340,2d cephalometric image,,,87.6,162.06,16
CPT,D0350,Oral/facial photo images,,,87.6,162.06,16
CPT,D0364,Cone beam ct capt & interp,,,105.81,195.74,16
CPT,D0365,Cone beam ct interprete man,,,105.81,195.74,16
CPT,D0366,Cone beam ct interprete max,,,105.81,195.74,16
CPT,D0367,Cone beam ct interp both jaw,,,105.81,195.74,16
CPT,D0368,Cone beam ct interprete tmj,,,105.81,195.74,16
CPT,D0369,Max mri capture & interprete,,,105.81,195.74,16
CPT,D0370,Max ultrasound capt & interp,,,105.81,195.74,16
CPT,D0371,Sialoendoscopy capt & interp,,,87.6,162.06,16
CPT,D0380,Cone beam ct capture limited,,,105.81,195.74,16
CPT,D0381,Cone beam ct capt mandible,,,105.81,195.74,16
CPT,D0382,Cone beam ct capt maxilla,,,105.81,195.74,16
CPT,D0383,Cone beam ct both jaws,,,105.81,195.74,16
CPT,D0384,Cone beam ct capture tmj,,,105.81,195.74,16
CPT,D0385,Max mri image capture,,,105.81,195.74,16
CPT,D0386,Max ultrasound image capture,,,105.81,195.74,16
CPT,D0393,Trtmnt simulation 3d image,,,87.6,162.06,16
CPT,D0394,Digital sub 2 or more images,,,87.6,162.06,16
CPT,D0395,Fusion 2 or more 3d images,,,87.6,162.06,16
CPT,D0416,Viral culture,,,92.91,92.91,1
CPT,D0431,Diag tst detect mucos abnorm,,,58.06,58.06,1
CPT,D0460,Pulp vitality test,,,1185.36,3060.36,16
CPT,D0475,Decalcification procedure,,,127.75,127.75,1
CPT,D0476,Spec stains for microorganis,,,184.15,184.15,1
CPT,D0477,Spec stains not for microorg,,,199.91,199.91,1
CPT,D0478,Immunohistochemical stains,,,118.64,118.64,1
CPT,D0479,Tissue in-situ hybridization,,,180.02,180.02,1
CPT,D0481,Electron microscopy,,,256.34,256.34,1
CPT,D0482,Direct immunofluorescence,,,97.89,97.89,1
CPT,D0483,Indirect immunofluorescence,,,109.5,109.5,1
CPT,D0600,Non-ionizing diag proc,,,1185.36,3060.36,16
CPT,D0701,Pano radio image,,,87.6,162.06,16
CPT,D0702,2d cephal radio image,,,87.6,162.06,16
CPT,D0703,2d oral/facial photo image,,,87.6,162.06,16
CPT,D0705,Extra oral post radio image,,,87.6,162.06,16
CPT,D0706,Intraoral occlus radio image,,,87.6,162.06,16
CPT,D0707,Intraoral periap radio image,,,87.6,162.06,16
CPT,D0708,Intraoral bite radio image,,,87.6,162.06,16
CPT,D0709,Intraoral comp image capture,,,87.6,162.06,16
CPT,D1110,Dental prophylaxis adult,,,128.22,237.2,16
CPT,D1510,Space maintainer fxd unilat,,,1185.36,3060.36,16
CPT,D1516,Fixed bilat space maint  max,,,1185.36,3060.36,16
CPT,D1517,Fixed bilat space maint  man,,,1185.36,3060.36,16
CPT,D1520,Remove unilat space maintain,,,1185.36,3060.36,16
CPT,D1526,Remove bilat space main  max,,,1185.36,3060.36,16
CPT,D1527,Remove bilat space main  man,,,1185.36,3060.36,16
CPT,D1551,Recement space maint - max,,,1185.36,3060.36,16
CPT,D1552,Recement space maint - man,,,1185.36,3060.36,16
CPT,D1553,Recement unilat space maint,,,1185.36,3060.36,16
CPT,D1575,Dist space maint  fixed unil,,,1185.36,3060.36,16
CPT,D2140,Amalgam one surface permanen,,,1185.36,3060.36,16
CPT,D2150,Amalgam two surfaces permane,,,1185.36,3060.36,16
CPT,D2160,Amalgam three surfaces perma,,,1185.36,3060.36,16
CPT,D2161,Amalgam 4 or > surfaces perm,,,1185.36,3060.36,16
CPT,D2330,Resin one surface-anterior,,,1185.36,3060.36,16
CPT,D2331,Resin two surfaces-anterior,,,1185.36,3060.36,16
CPT,D2332,Resin three surfaces-anterio,,,1185.36,3060.36,16
CPT,D2335,Resin 4/> surf or w incis an,,,1185.36,3060.36,16
CPT,D2390,Ant resin-based cmpst crown,,,1185.36,3060.36,16
CPT,D2391,Post 1 srfc resinbased cmpst,,,1185.36,3060.36,16
CPT,D2392,Post 2 srfc resinbased cmpst,,,1185.36,3060.36,16
CPT,D2393,Post 3 srfc resinbased cmpst,,,1185.36,3060.36,16
CPT,D2394,Post >4srfc resinbase cmpst,,,1185.36,3060.36,16
CPT,D2410,Dental gold foil one surface,,,1185.36,3060.36,16
CPT,D2420,Dental gold foil two surface,,,1185.36,3060.36,16
CPT,D2430,Dental gold foil three surfa,,,1185.36,3060.36,16
CPT,D2510,Dental inlay metalic 1 surf,,,1185.36,3060.36,16
CPT,D2520,Dental inlay metallic 2 surf,,,1185.36,3060.36,16
CPT,D2530,Dental inlay metl 3/more sur,,,1185.36,3060.36,16
CPT,D2542,Dental onlay metallic 2 surf,,,1185.36,3060.36,16
CPT,D2543,Dental onlay metallic 3 surf,,,1185.36,3060.36,16
CPT,D2544,Dental onlay metl 4/more sur,,,1185.36,3060.36,16
CPT,D2610,Inlay porcelain/ceramic 1 su,,,1185.36,3060.36,16
CPT,D2620,Inlay porcelain/ceramic 2 su,,,1185.36,3060.36,16
CPT,D2630,Dental onlay porc 3/more sur,,,1185.36,3060.36,16
CPT,D2642,Dental onlay porcelin 2 surf,,,1185.36,3060.36,16
CPT,D2643,Dental onlay porcelin 3 surf,,,1185.36,3060.36,16
CPT,D2644,Dental onlay porc 4/more sur,,,1185.36,3060.36,16
CPT,D2650,Inlay composite/resin one su,,,1185.36,3060.36,16
CPT,D2651,Inlay composite/resin two su,,,1185.36,3060.36,16
CPT,D2652,Dental inlay resin 3/mre sur,,,1185.36,3060.36,16
CPT,D2662,Dental onlay resin 2 surface,,,1185.36,3060.36,16
CPT,D2663,Dental onlay resin 3 surface,,,1185.36,3060.36,16
CPT,D2664,Dental onlay resin 4/mre sur,,,1185.36,3060.36,16
CPT,D2710,Crown resin-based indirect,,,1185.36,3060.36,16
CPT,D2712,Crown 3/4 resin-based compos,,,1185.36,3060.36,16
CPT,D2720,Crown resin w/ high noble me,,,1185.36,3060.36,16
CPT,D2721,Crown resin w/ base metal,,,1185.36,3060.36,16
CPT,D2722,Crown resin w/ noble metal,,,1185.36,3060.36,16
CPT,D2740,Crown porcelain/ceramic,,,1185.36,3060.36,16
CPT,D2750,Crown porcelain w/ h noble m,,,1185.36,3060.36,16
CPT,D2751,Crown porcelain fused base m,,,1185.36,3060.36,16
CPT,D2752,Crown porcelain w/ noble met,,,1185.36,3060.36,16
CPT,D2753,Crown porc fused to titanium,,,1185.36,3060.36,16
CPT,D2780,Crown 3/4 cast hi noble met,,,1185.36,3060.36,16
CPT,D2781,Crown 3/4 cast base metal,,,1185.36,3060.36,16
CPT,D2782,Crown 3/4 cast noble metal,,,1185.36,3060.36,16
CPT,D2783,Crown 3/4 porcelain/ceramic,,,1185.36,3060.36,16
CPT,D2790,Crown full cast high noble m,,,1185.36,3060.36,16
CPT,D2791,Crown full cast base metal,,,1185.36,3060.36,16
CPT,D2792,Crown full cast noble metal,,,1185.36,3060.36,16
CPT,D2794,Crown-titanium,,,1185.36,3060.36,16
CPT,D2799,Interim crown,,,1185.36,3060.36,16
CPT,D2910,Recement inlay onlay or part,,,1185.36,3060.36,16
CPT,D2915,Recement cast or prefab post,,,1185.36,3060.36,16
CPT,D2920,Re-cement or re-bond crown,,,1185.36,3060.36,16
CPT,D2921,Reattach tooth fragment,,,1185.36,3060.36,16
CPT,D2928,Prefab porc/cer crown perm,,,1185.36,3060.36,16
CPT,D2929,Prefab porc/ceram crown pri,,,1185.36,3060.36,16
CPT,D2930,Prefab stnlss steel crwn pri,,,1185.36,3060.36,16
CPT,D2931,Prefab stnlss steel crown pe,,,1185.36,3060.36,16
CPT,D2932,Prefabricated resin crown,,,1185.36,3060.36,16
CPT,D2933,Prefab stainless steel crown,,,1185.36,3060.36,16
CPT,D2934,Prefab steel crown primary,,,1185.36,3060.36,16
CPT,D2940,Place direct restoration,,,1185.36,3060.36,16
CPT,D2941,Int therapeutic restoration,,,1185.36,1185.36,1
CPT,D2949,Restorative foundation,,,1185.36,3060.36,16
CPT,D2950,Core build-up incl any pins,,,1185.36,3060.36,16
CPT,D2951,Tooth pin retention,,,1185.36,3060.36,16
CPT,D2952,Post and core cast + crown,,,1185.36,3060.36,16
CPT,D2954,Prefab post/core + crown,,,1185.36,3060.36,16
CPT,D2956,Indirect rest remov,,,2304.0,2880.0,5
CPT,D2957,Each addtnl prefab post,,,1185.36,3060.36,16
CPT,D2960,Labial veneer resin direct,,,1185.36,3060.36,16
CPT,D2961,Labial veneer resin indirect,,,1185.36,3060.36,16
CPT,D2962,Labial veneer porc indirect,,,1185.36,3060.36,16
CPT,D2971,Add proc construct new crown,,,1185.36,3060.36,16
CPT,D2975,Coping,,,1185.36,3060.36,16
CPT,D2980,Crown repair,,,1185.36,3060.36,16
CPT,D2981,Inlay repair,,,1185.36,3060.36,16
CPT,D2982,Onlay repair,,,1185.36,3060.36,16
CPT,D2983,Veneer repair,,,1185.36,3060.36,16
CPT,D2989,Excavate tooth non-restorabl,,,2304.0,2880.0,5
CPT,D2990,Resin infiltration of lesion,,,1185.36,3060.36,16
CPT,D2999,Dental unspec restorative pr,,,1185.36,3060.36,16
CPT,D3110,Pulp cap direct,,,1185.36,3060.36,16
CPT,D3120,Pulp cap indirect,,,1185.36,3060.36,16
CPT,D3220,Therapeutic pulpotomy,,,1185.36,3060.36,16
CPT,D3221,Gross pulpal debridement,,,1185.36,3060.36,16
CPT,D3222,Part pulp for apexogenesis,,,1185.36,3060.36,16
CPT,D3230,Pulpal therapy anterior prim,,,1185.36,3060.36,16
CPT,D3240,Pulpal therapy posterior pri,,,1185.36,3060.36,16
CPT,D3310,End thxpy  anterior tooth,,,1185.36,3060.36,16
CPT,D3320,End thxpy  premolar tooth,,,1185.36,3060.36,16
CPT,D3330,End thxpy  molar tooth,,,1185.36,3060.36,16
CPT,D3331,Non-surg tx root canal obs,,,1185.36,3060.36,16
CPT,D3332,Incomplete endodontic tx,,,1185.36,3060.36,16
CPT,D3333,Internal root repair,,,1185.36,3060.36,16
CPT,D3346,Retreat root canal anterior,,,1185.36,3060.36,16
CPT,D3347,Retreat root canal premolar,,,1185.36,3060.36,16
CPT,D3348,Retreat root canal molar,,,1185.36,3060.36,16
CPT,D3351,Apexification/recalc initial,,,1185.36,3060.36,16
CPT,D3352,Apexification/recalc interim,,,1185.36,3060.36,16
CPT,D3353,Apexification/recalc final,,,1185.36,3060.36,16
CPT,D3355,Pulpal regeneration initial,,,1185.36,3060.36,16
CPT,D3356,Pulpal regeneration interim,,,1185.36,3060.36,16
CPT,D3357,Pulpal regeneration complete,,,1185.36,3060.36,16
CPT,D3410,Apicoectomy - anterior,,,1185.36,3060.36,16
CPT,D3421,Root surgery premolar,,,1185.36,3060.36,16
CPT,D3425,Root surgery molar,,,1185.36,3060.36,16
CPT,D3428,Bone graft peri per tooth,,,1185.36,3060.36,16
CPT,D3430,Retrograde filling,,,1185.36,3060.36,16
CPT,D3431,Biological materials,,,1185.36,3060.36,16
CPT,D3432,Guided tissue regeneration,,,1185.36,3060.36,16
CPT,D3450,Root amputation,,,1185.36,3060.36,16
CPT,D3460,Endodontic endosseous implan,,,1185.36,3060.36,16
CPT,D3470,Intentional replantation,,,1185.36,3060.36,16
CPT,D3471,Surg rep root res anterior,,,1185.36,3060.36,21
CPT,D3472,Surg rep root res premolar,,,1185.36,3060.36,21
CPT,D3473,Surg rep root res molar,,,1185.36,3060.36,21
CPT,D3501,Surg exp root surf anterior,,,1185.36,3060.36,21
CPT,D3502,Surg exp root surf premolar,,,1185.36,3060.36,21
CPT,D3503,Surg exp root surf molar,,,1185.36,3060.36,21
CPT,D3910,Isolation- tooth w rubb dam,,,1185.36,3060.36,16
CPT,D3911,Intraorifice barrier,,,1185.36,3060.36,16
CPT,D3920,Tooth splitting,,,1185.36,3060.36,16
CPT,D3921,Decor or submerg erupt tooth,,,1185.36,3060.36,21
CPT,D3950,Canal prep/fitting of dowel,,,1185.36,3060.36,16
CPT,D3999,Endodontic procedure,,,1185.36,3060.36,16
CPT,D4210,Gingivectomy/plasty 4 or mor,,,3226.72,5969.44,16
CPT,D4211,Gingivectomy/plasty 1 to 3,,,3226.72,5969.44,16
CPT,D4212,Gingivectomy/plasty rest,,,3226.72,5969.44,16
CPT,D4230,Ana crown exp 4 or> per quad,,,3226.72,5969.44,16
CPT,D4231,Ana crown exp 1-3 per quad,,,1473.82,2726.56,16
CPT,D4240,Gingival flap proc w/ planin,,,3226.72,5969.44,16
CPT,D4241,Gngvl flap w rootplan 1-3 th,,,1473.82,2726.56,16
CPT,D4245,Apically positioned flap,,,1473.82,2726.56,16
CPT,D4249,Crown lengthen hard tissue,,,1185.36,3060.36,16
CPT,D4260,Osseous surgery 4 or more,,,5885.84,10888.81,16
CPT,D4261,Osseous surg 1 to 3 teeth,,,3226.72,5969.44,16
CPT,D4263,Bone replce graft first site,,,1185.36,3060.36,16
CPT,D4265,Bio mtrls to aid soft/os reg,,,1185.36,3060.36,16
CPT,D4266,Guided tiss regen resorble,,,1473.82,2726.56,16
CPT,D4267,Guided tiss regen nonresorb,,,1473.82,2726.56,16
CPT,D4268,Surgical revision procedure,,,1185.36,3060.36,16
CPT,D4270,Pedicle soft tissue graft pr,,,1473.82,2726.56,16
CPT,D4273,Auto tissue graft 1st tooth,,,1473.82,2726.56,16
CPT,D4274,Mesial/distal wedge proc,,,1185.36,3060.36,16
CPT,D4275,Non-auto graft 1st tooth,,,1473.82,2726.56,16
CPT,D4276,Con tissue w pedicle graft,,,1473.82,2726.56,16
CPT,D4277,Soft tissue graft firsttooth,,,1473.82,2726.56,16
CPT,D4286,Remove non-resorb barrier,,,2304.0,2880.0,5
CPT,D4322,Splint intra-coronal,,,1185.36,3060.36,16
CPT,D4323,Splint extra-coronal,,,1185.36,3060.36,16
CPT,D4341,Periodontal scaling & root,,,1185.36,3060.36,16
CPT,D4342,Periodontal scaling 1-3teeth,,,1185.36,3060.36,16
CPT,D4346,Scaling gingiv inflammation,,,1185.36,3060.36,16
CPT,D4355,Full mouth debridement,,,1185.36,3060.36,16
CPT,D4381,Localized delivery antimicro,,,1185.36,3060.36,16
CPT,D4910,Periodontal maint procedures,,,1185.36,3060.36,16
CPT,D4920,Unscheduled dressing change,,,1185.36,3060.36,16
CPT,D4921,Gingival irrigation per quad,,,128.22,237.2,16
CPT,D4999,Unspecified periodontal proc,,,231.05,427.45,16
CPT,D5911,Facial moulage sectional,,,1185.36,3060.36,16
CPT,D5912,Facial moulage complete,,,1185.36,3060.36,16
CPT,D5983,Radiation applicator,,,1185.36,3060.36,16
CPT,D5984,Radiation shield,,,1185.36,3060.36,16
CPT,D5985,Radiation cone locator,,,1185.36,3060.36,16
CPT,D5987,Commissure splint,,,1185.36,3060.36,16
CPT,D5988,Surgical splint,,,1185.36,3060.36,16
CPT,D5995,Peri medicament w/seal  max,,,2304.0,2880.0,5
CPT,D5996,Peri medicament w/seal  mand,,,2304.0,2880.0,5
CPT,D6089,Access/retorq implant screw,,,2304.0,2880.0,5
CPT,D6105,Remove implant body,,,2304.0,2880.0,5
CPT,D6106,Tissue regen resorbable,,,2304.0,2880.0,5
CPT,D6107,Tissue regen non-resorbable,,,2304.0,2880.0,5
CPT,D6191,Semi precision abutment,,,2304.0,2880.0,5
CPT,D6192,Semi precision attachment,,,2304.0,2880.0,5
CPT,D6193,Replace implnt screw,,,2304.0,2880.0,5
CPT,D6197,Replace material prosthesis,,,2304.0,2880.0,5
CPT,D6198,Remove interim implant,,,2304.0,2880.0,5
CPT,D6920,Dental connector bar,,,1185.36,3060.36,16
CPT,D7111,Extraction coronal remnants,,,1185.36,3060.36,16
CPT,D7140,Extraction erupted tooth/exr,,,1185.36,3060.36,16
CPT,D7210,Rem imp tooth w mucoper flp,,,1473.82,2726.56,16
CPT,D7220,Impact tooth remov soft tiss,,,1185.36,3060.36,16
CPT,D7230,Impact tooth remov part bony,,,1185.36,3060.36,16
CPT,D7240,Impact tooth remov comp bony,,,1185.36,3060.36,16
CPT,D7241,Impact tooth rem bony w/comp,,,1185.36,3060.36,16
CPT,D7250,Tooth root removal,,,1185.36,3060.36,16
CPT,D7251,Coronectomy,,,1473.82,2726.56,16
CPT,D7252,Part extract for implant,,,2304.0,2880.0,5
CPT,D7259,Nerve dissection,,,2304.0,2880.0,5
CPT,D7260,Oral antral fistula closure,,,1185.36,3060.36,16
CPT,D7261,Primary closure sinus perf,,,1185.36,3060.36,16
CPT,D7270,Tooth reimplantation,,,1185.36,3060.36,16
CPT,D7272,Tooth transplantation,,,1185.36,3060.36,16
CPT,D7280,Exposure of unerupted tooth,,,1185.36,3060.36,16
CPT,D7284,Exc biopsy of saliv glands,,,2304.0,2880.0,5
CPT,D7291,Transseptal fiberotomy,,,1185.36,3060.36,16
CPT,D7298,Remove screw retained plate,,,2304.0,2880.0,5
CPT,D7299,Rem anchorage device w/flap,,,2304.0,2880.0,5
CPT,D7300,Rem anchorage dev w/o flap,,,2304.0,2880.0,5
CPT,D7310,Alveoplasty w/ extraction,,,1473.82,2726.56,16
CPT,D7311,Alveoloplasty w/extract 1-3,,,1473.82,2726.56,16
CPT,D7320,Alveoplasty w/o extraction,,,1473.82,2726.56,15
CPT,D7321,Alveoloplasty not w/extracts,,,1473.82,2726.56,15
CPT,D7340,Vestibuloplasty ridge extens,,,5885.84,10888.81,16
CPT,D7350,Vestibuloplasty exten graft,,,5885.84,10888.81,16
CPT,D7410,Rad exc lesion up to 1.25 cm,,,1473.82,2726.56,16
CPT,D7411,Excision benign lesion>1.25c,,,1473.82,2726.56,16
CPT,D7412,Excision benign lesion compl,,,1473.82,2726.56,16
CPT,D7413,Excision malig lesion<1.25c,,,1473.82,2726.56,16
CPT,D7414,Excision malig lesion>1.25cm,,,1473.82,2726.56,16
CPT,D7415,Excision malig les complicat,,,1473.82,2726.56,16
CPT,D7440,Malig tumor exc to 1.25 cm,,,3226.72,5969.44,16
CPT,D7441,Malig tumor > 1.25 cm,,,3226.72,5969.44,16
CPT,D7450,Rem odontogen cyst to 1.25cm,,,3226.72,5969.44,16
CPT,D7451,Rem odontogen cyst > 1.25 cm,,,3226.72,5969.44,16
CPT,D7460,Rem nonodonto cyst to 1.25cm,,,1185.36,3060.36,16
CPT,D7461,Rem nonodonto cyst > 1.25 cm,,,1185.36,3060.36,16
CPT,D7471,Rem exostosis any site,,,3226.72,5969.44,15
CPT,D7472,Removal of torus palatinus,,,1185.36,3060.36,16
CPT,D7473,Remove torus mandibularis,,,1185.36,3060.36,16
CPT,D7485,Surg reduct osseoustuberosit,,,5885.84,10888.81,16
CPT,D7509,Marsupialization odon cyst,,,2304.0,2880.0,5
CPT,D7510,I&d absc intraoral soft tiss,,,700.04,1295.08,16
CPT,D7511,Incision/drain abscess intra,,,700.04,1295.08,16
CPT,D7520,I&d abscess extraoral,,,700.04,1295.08,16
CPT,D7521,Incision/drain abscess extra,,,700.04,1295.08,16
CPT,D7530,Removal fb skin/areolar tiss,,,1185.36,3060.36,16
CPT,D7540,Removal of fb reaction,,,1185.36,3060.36,16
CPT,D7550,Removal of sloughed off bone,,,1185.36,3060.36,16
CPT,D7670,Closd rductn splint alveolus,,,3226.72,5969.44,16
CPT,D7671,Alveolus open reduction,,,5885.84,10888.81,16
CPT,D7770,Open reduc compd alveolus fx,,,5885.84,10888.81,16
CPT,D7771,Alveolus clsd reduc stblz te,,,3226.72,5969.44,16
CPT,D7874,Tmj arthroscopy disc reposit,,,3228.26,5972.28,16
CPT,D7922,Place intra-socket bio dress,,,1185.36,3060.36,16
CPT,D7939,Indexing for osteotomy,,,2304.0,2880.0,5
CPT,D7940,Reshaping bone orthognathic,,,1185.36,3060.36,16
CPT,D7950,Mandible graft,,,5885.84,10888.81,16
CPT,D7956,Tiss regen edent resorb,,,2304.0,2880.0,5
CPT,D7957,Tiss regen edent nonresorb,,,2304.0,2880.0,5
CPT,D7961,Buccal/labial frenectomy,,,2304.0,2880.0,5
CPT,D7962,Lingual frenectomy,,,2304.0,2880.0,5
CPT,D7993,Surg place craniofacial impl,,,2304.0,2880.0,5
CPT,D7994,Surg place zygomatic impl,,,2304.0,2880.0,5
CPT,D9243,Iv sedation ea addl 15m,,,113.28,113.28,6
CPT,D9930,Treatment of complications,,,1185.36,3060.36,16
CPT,D9944,Occ guard  hard  full arch,,,1185.36,3060.36,16
CPT,D9945,Occ guard  soft  full arch,,,1185.36,3060.36,16
CPT,D9946,Occ guard  hard  part arch,,,1185.36,3060.36,16
CPT,D9949,Repair sleep apnea appliance,,,2304.0,2880.0,5
CPT,D9950,Occlusion analysis,,,1185.36,3060.36,16
CPT,D9951,Limited occlusal adjustment,,,1185.36,3060.36,16
CPT,D9952,Complete occlusal adjustment,,,1185.36,3060.36,16
CPT,E0202,Phototherapy light w/ photom,,,42.58,42.58,3
CPT,E0441,Stationary o2 contents  gas,,,61.96,61.96,3
CPT,E0442,Stationary o2 contents  liq,,,61.96,61.96,3
CPT,E0570,Nebulizer with compression,,,9.05,9.05,3
CPT,E1700,Jaw motion rehab system,,,37.64,37.64,3
CPT,E1800,Adjust elbow ext & flex dev,,,113.66,113.66,3
CPT,E1801,Sps/pass elbow device,,,136.6,136.6,3
CPT,E1802,Adjst forearm pro/sup device,,,356.73,356.73,3
CPT,E1805,Adjust wrist ext & flex dev,,,117.23,117.23,3
CPT,E1806,Sps wrist device,,,117.23,117.23,3
CPT,E1810,Adjust knee ext & flex dev,,,115.6,115.6,3
CPT,E1811,Sps/pass knee device,,,142.02,142.02,3
CPT,E1812,Knee ext/flex w act res ctrl,,,93.86,93.86,3
CPT,E1815,Adjust ankle ext & flex dev,,,117.23,117.23,3
CPT,E1816,Sps/pass ankle device,,,114.23,114.23,3
CPT,E1818,Sps/pass forearm device,,,147.23,147.23,3
CPT,E1820,Soft interface material,,,8.9,8.9,3
CPT,E1821,Replacement interface spsd,,,11.45,11.45,3
CPT,E1825,Adjust finger ext & flex dev,,,117.23,117.23,3
CPT,E1830,Adjust toe ext & flex device,,,117.23,117.23,3
CPT,E1831,Static str toe dev ext/flex,,,72.11,72.11,3
CPT,E1840,Adj shoulder ext/flex device,,,397.48,397.48,3
CPT,E1841,Sps/pass shoulder device,,,494.46,494.46,3
CPT,G0008,Admin influenza virus vac,,,45.9,84.92,16
CPT,G0009,Admin pneumococcal vaccine,,,45.9,84.92,16
CPT,G0010,Admin hepatitis b vaccine,,,45.9,84.92,16
CPT,G0011,Hiv prep counsel  md 15-30m,,,24.08,42.66,31
CPT,G0012,Injection of hiv prep drug,,,13.93,131.01,46
CPT,G0013,Hiv prep counsel  clin staff,,,8.44,120.0,46
CPT,G0017,Crisis psychotherapy 60m,,,181.69,333.54,31
CPT,G0018,Crisis psychotherapy add 30m,,,90.58,164.02,31
CPT,G0019,Comm hlth intg svs sdoh 60mn,,,47.76,170.27,46
CPT,G0019,"Community Health Integration Svcs for Sdoh, 60 Min per Calendar Month",210.0,210.0,31.08,168.0,23
CPT,G0022,Comm hlth intg svs add 30 m,,,33.45,77.78,31
CPT,G0022,"Community Health Integration Services, Each Additional 30 Minutes per Calendar Month",34.0,34.0,5.03,27.2,23
CPT,G0023,Pin service 60m per month,,,47.76,170.27,46
CPT,G0023,Principle Illness Navigation Svcs 60 Min per Calendar Month,210.0,210.0,31.08,168.0,23
CPT,G0024,Pin srv add 30 min pr m,,,33.45,77.78,31
CPT,G0024,"Principle Illness Navigation Svcs, Each Additional 30 Min per Calendar Month",34.0,34.0,5.03,27.2,23
CPT,G0027,Semen analysis,,,6.5,12.03,55
CPT,G0068,Adm iv infusion drug in home,,,186.9,186.9,1
CPT,G0069,Adm sq infusion drug in home,,,252.56,252.56,1
CPT,G0070,Adm of chemo drug in home,,,314.18,314.18,1
CPT,G0071,Comm svcs by rhc/fqhc 5 min,,,13.93,13.93,1
CPT,G0076,Care manag h vst new pt 20 m,,,48.0,76.8,31
CPT,G0077,Care manag h vst new pt 30 m,,,71.72,114.75,31
CPT,G0078,Care manag h vst new pt 45 m,,,117.17,187.47,31
CPT,G0079,Care manag h vst new pt 60 m,,,153.87,246.19,31
CPT,G0080,Care manag h vst new pt 75 m,,,201.4,322.24,31
CPT,G0081,Care man h v ext pt 20 mi,,,47.03,75.25,31
CPT,G0082,Care man h v ext pt 30 m,,,76.28,122.05,31
CPT,G0083,Care man h v ext pt 45 m,,,119.58,191.33,31
CPT,G0084,Care man h v ext pt 60 m,,,168.35,269.36,31
CPT,G0085,Care man h v ext pt 75 m,,,201.4,322.24,31
CPT,G0086,Care man home care plan 30 m,,,72.14,115.42,31
CPT,G0087,Care man home care plan 60 m,,,101.06,161.7,31
CPT,G0088,Adm iv drug 1st home visit,,,227.33,227.33,1
CPT,G0089,Adm subq drug 1st home visit,,,307.14,307.14,1
CPT,G0090,Adm iv chemo 1st home visit,,,382.1,382.1,1
CPT,G0101,Ca screen pelvic/breast exam,,,26.42,170.27,46
CPT,G0101,Pelvic/Breast Exam,282.0,282.0,41.74,225.6,23
CPT,G0102,Prostate ca screening  dre,,,8.44,36.21,31
CPT,G0103,Psa screening,,,19.31,35.72,58
CPT,G0104,Ca screen flexi sigmoidscope,,,55.41,4275.0,61
CPT,G0105,Colorectal scrn  hi risk ind,,,164.23,4275.0,63
CPT,G0106,Colon ca screenbarium enema,,,47.36,866.54,21
CPT,G0108,Diab manage trn  per indiv,,,53.15,98.33,46
CPT,G0108,"Dsmt - Individual, Initial or Follow-Up per 30 Min",253.0,253.0,37.44,202.4,23
CPT,G0109,Diab manage trn ind/group,,,15.22,28.16,46
CPT,G0109,"Dsmt - Group, Initial or Follow-Up per 30 Min",144.9,144.9,21.45,115.92,23
CPT,G0117,Glaucoma scrn hgh risk direc,,,24.37,97.73,46
CPT,G0118,Glaucoma scrn hgh risk direc,,,39.05,72.25,46
CPT,G0120,Colon ca scrn barium enema,,,47.36,1786.43,21
CPT,G0121,Colon ca scrn not hi rsk ind,,,164.6,4275.0,57
CPT,G0122,Colon ca scrn barium enema,,,669.62,1413.65,4
CPT,G0123,Screen cerv/vag thin layer,,,20.26,37.48,58
CPT,G0124,Screen c/v thin layer by md,,,24.25,53.43,37
CPT,G0127,Trim nail(s),,,7.15,1473.0,53
CPT,G0127,Trim of Dystrophic Nail(S),1775.0,1775.0,262.7,1420.0,23
CPT,G0128,Corf skilled nursing service,,,9.39,15.02,31
CPT,G0129,Php/iop ot service,,,110.68,406.49,16
CPT,G0130,Single energy x-ray study,,,10.71,528.15,86
CPT,G0136,Adm of soc dtr assess 5-15 m,,,8.77,54.84,46
CPT,G0136,"Administration of a Standardized, Evidence-Based Social Determinants of Health Risk Assessment Tool, 5-15 Minutes",74.8,74.8,11.07,59.84,23
CPT,G0137,Inten outpt svs min 9 pr 7 d,,,807.01,807.01,1
CPT,G0138,Iv cipaglucosidase alfa-atga,,,171.76,1197.35,44
CPT,G0140,Nav srv peer sup 60 min pr m,,,47.76,170.27,46
CPT,G0140,Principal Illness Navigation - Peer Support 60 Min per Calendar Month,210.0,210.0,31.08,168.0,23
CPT,G0141,Scr c/v cyto autosys and md,,,24.25,53.43,37
CPT,G0143,Scr c/v cyto thinlayer rescr,,,25.48,50.04,58
CPT,G0144,Scr c/v cyto thinlayer rescr,,,26.87,81.34,58
CPT,G0145,Scr c/v cyto thinlayer rescr,,,26.49,49.01,58
CPT,G0146,Nav srv peer sup add 30 pr m,,,33.45,77.78,31
CPT,G0146,"Principal Illness Navigation - Peer Support, Each Additional 30 Min per Calendar Month",34.0,34.0,5.03,27.2,23
CPT,G0147,Scr c/v cyto  automated sys,,,13.28,33.65,58
CPT,G0148,Scr c/v cyto  autosys  rescr,,,13.28,59.09,58
CPT,G0166,Extrnl counterpulse  per tx,,,96.92,1871.0,48
CPT,G0168,Wound closure by adhesive,,,14.11,1750.0,37
CPT,G0175,Opps service sched team conf,,,423.67,783.79,16
CPT,G0176,Opps/php/iop  activity thrpy,,,110.68,406.49,16
CPT,G0179,Md recertification hha pt,,,41.13,65.81,31
CPT,G0180,Md certification hha patient,,,52.16,83.46,31
CPT,G0181,Home health care supervision,,,102.63,164.21,31
CPT,G0182,Hospice care supervision,,,101.29,162.06,31
CPT,G0183,Software meas of cardiac vol,,,87.6,162.06,14
CPT,G0186,Dstry eye lesn fdr vssl tech,,,545.84,2438.0,54
CPT,G0202,Scr mammo bi incl cad,,,,,0
CPT,G0204,Dx mammo incl cad bi,,,,,0
CPT,G0206,Dx mammo incl cad uni,,,,,0
CPT,G0219,Pet img wholbod melano nonco,,,,,0
CPT,G0235,Pet not otherwise specified,,,399.81,1828.7,23
CPT,G0237,Therapeutic procd strg endur,,,11.33,45.09,46
CPT,G0238,Oth resp proc  indiv,,,10.04,45.09,46
CPT,G0239,Oth resp proc  group,,,12.94,72.25,46
CPT,G0245,Initial foot exam pt lops,,,37.99,237.2,46
CPT,G0246,Followup eval of foot pt lop,,,19.16,237.2,46
CPT,G0247,Routine footcare pt w lops,,,20.77,365.75,48
CPT,G0248,Demonstrate use home inr mon,,,96.6,237.2,46
CPT,G0249,Provide inr test mater/equip,,,60.67,237.2,46
CPT,G0250,Md inr test revie inter mgmt,,,8.44,13.5,31
CPT,G0252,Pet imaging initial dx,,,68.64,68.64,1
CPT,G0257,Emergency Dialysis,3757.05,3757.05,556.04,3005.64,23
CPT,G0257,Unsched dialysis esrd pt hos,,,696.19,1287.95,16
CPT,G0259,Inject for sacroiliac joint,,,1178.0,2438.0,7
CPT,G0260,Inj for sacroiliac jt anesth,,,689.03,4275.0,27
CPT,G0268,Removal of impacted wax md,,,32.0,1750.0,37
CPT,G0269,Closure Device Placement,2653.0,2653.0,392.64,2122.4,23
CPT,G0269,Occlusive device in vein art,,,1178.0,1750.0,6
CPT,G0270,Mnt - Individual (Beyond Initial 3hrs or Beyond 2hrs in Subq Yrs) - per 15 Min,100.0,100.0,14.8,80.0,23
CPT,G0270,Mnt subs tx for change dx,,,26.39,49.68,46
CPT,G0271,Group mnt 2 or more 30 mins,,,14.03,26.42,46
CPT,G0271,Mnt - Group (Beyond Initial 3hrs or Beyond 2hrs in Sebq Yrs) - per 30 Min,63.0,63.0,9.32,50.4,23
CPT,G0276,Pild/placebo control clin tr,,,57.06,13149.29,51
CPT,G0277,Hbot  full body chamber  30m,,,40.11,271.68,52
CPT,G0278,Iliac art angio cardiac cath,,,12.81,20.5,31
CPT,G0278,Iliac/Fem Angio W/Cardiac Cath,5431.45,5431.45,803.85,4345.16,23
CPT,G0279,Tomosynthesis  mammo,,,15.16,115.05,98
CPT,G0281,Elec stim unattend for press,,,11.35,21.0,46
CPT,G0283,Elec stim other than wound,,,12.31,22.77,46
CPT,G0288,Recon  cta for surg plan,,,45.45,72.72,31
CPT,G0289,Arthro  loose body + chondro,,,83.29,1750.0,37
CPT,G0293,Non-cov surg proc clin trial,,,39.05,72.25,16
CPT,G0294,Non-cov proc  clinical trial,,,39.05,72.25,16
CPT,G0296,Visit to determ ldct elig,,,24.23,170.27,52
CPT,G0297,Ldct for lung ca screen,,,43.65,172.98,12
CPT,G0302,Pre-op service lvrs complete,,,527.93,976.66,16
CPT,G0303,Pre-op service lvrs 10-15dos,,,309.83,573.18,16
CPT,G0304,Pre-op service lvrs 1-9 dos,,,527.93,976.66,16
CPT,G0305,Post op service lvrs min 6,,,527.93,976.66,16
CPT,G0306,Cbc/diffwbc w/o platelet,,,7.77,14.37,58
CPT,G0307,Cbc without platelet,,,6.47,432.2,58
CPT,G0308,ESRD related svc 4+mo < 2yrs,,,5595.0,5595.0,1
CPT,G0309,ESRD related svc 2-3mo <2yrs,,,5595.0,5595.0,1
CPT,G0316,Prolong inpt eval add15 m,,,29.58,49.39,31
CPT,G0317,Prolong nursin fac eval 15m,,,29.25,48.86,31
CPT,G0318,Prolong home eval add 15m,,,28.93,48.35,31
CPT,G0323,Care manage beh svs 20mins,,,29.64,86.06,46
CPT,G0327,Colon ca scrn bld-bsd biomrk,,,,,0
CPT,G0328,Fecal blood scrn immunoassay,,,16.28,434.97,58
CPT,G0329,Electromagntic tx for ulcers,,,10.37,19.18,46
CPT,G0330,Facility svs dental rehab,,,2304.0,5969.44,21
CPT,G0337,Hospice evaluation preelecti,,,66.91,66.91,1
CPT,G0339,Robot lin-radsurg com  first,,,3088.94,6860.0,36
CPT,G0340,Robt lin-radsurg fractx 2-5,,,2414.62,5400.0,36
CPT,G0341,Percutaneous islet celltrans,,,301.94,24872.68,49
CPT,G0342,Laparoscopy islet cell trans,,,120.04,24872.68,79
CPT,G0343,Laparotomy islet cell transp,,,196.06,24872.68,79
CPT,G0364,Bone marrow aspirate &biopsy,,,5595.0,5595.0,1
CPT,G0372,Md service required for pmd,,,8.44,13.5,31
CPT,G0378,Obs. Rm. Ecc,182.85,182.85,27.06,146.28,23
CPT,G0378,Observation Room,182.85,182.85,27.06,146.28,23
CPT,G0378,Observation Room Carveout,182.85,182.85,27.06,146.28,23
CPT,G0379,Direct refer hospital observ,,,610.01,1128.52,16
CPT,G0380,Lev 1 hosp type b ed visit,,,83.64,764.0,16
CPT,G0381,Lev 2 hosp type b ed visit,,,110.1,992.0,16
CPT,G0382,Lev 3 hosp type b ed visit,,,185.65,1274.0,16
CPT,G0383,Lev 4 hosp type b ed visit,,,284.11,2164.0,16
CPT,G0384,Lev 5 hosp type b ed visit,,,401.86,2932.0,16
CPT,G0390,Trauma respons w/hosp criti,,,1316.5,2435.53,16
CPT,G0396,Alcohol/subs interv 15-30mn,,,29.64,54.84,46
CPT,G0397,Alcohol/subs interv >30 min,,,60.08,295.75,46
CPT,G0398,Home sleep test/type 2 porta,,,40.87,414.73,77
CPT,G0399,Home Sleep Study,1490.5,1490.5,220.59,1192.4,23
CPT,G0399,Home sleep test/type 3 porta,,,40.87,302.88,77
CPT,G0400,Home sleep test/type 4 porta,,,40.33,573.18,77
CPT,G0402,Initial preventive exam,,,126.38,257.94,46
CPT,G0402,New Medicare Phys Exam,404.91,404.91,59.93,323.93,23
CPT,G0403,Ekg for initial prevent exam,,,13.97,22.35,31
CPT,G0404,Ekg tracing for initial prev,,,6.17,45.09,46
CPT,G0405,Ekg interpret & report preve,,,7.8,12.48,31
CPT,G0406,Inpt/tele follow up 15,,,31.61,63.62,37
CPT,G0407,Inpt/tele follow up 25,,,56.84,112.54,37
CPT,G0408,Inpt/tele follow up 35,,,81.4,162.45,37
CPT,G0409,Corf related serv 15 mins ea,,,23.26,37.22,31
CPT,G0410,Grp psych php/iop 45-50,,,110.68,406.49,16
CPT,G0411,Interactive grp psyc php/iop,,,110.68,406.49,16
CPT,G0412,Open tx iliac spine uni/bil,,,115.59,24872.68,115
CPT,G0413,Pelvic ring fracture uni/bil,,,169.43,13149.29,117
CPT,G0414,Pelvic ring fx treat int fix,,,160.04,24872.68,115
CPT,G0415,Open tx post pelvic fxcture,,,218.26,24872.68,115
CPT,G0416,Prostate biopsy  any mthd,,,166.97,662.12,82
CPT,G0420,Ed svc ckd ind per session,,,105.24,194.69,46
CPT,G0421,Ed svc ckd grp per session,,,25.33,46.86,46
CPT,G0422,Intens cardiac rehab w/exerc,,,125.27,231.75,46
CPT,G0423,Intens cardiac rehab no exer,,,125.27,231.75,46
CPT,G0425,Inpt/ed teleconsult30,,,84.47,143.34,37
CPT,G0426,Inpt/ed teleconsult50,,,115.17,202.62,37
CPT,G0427,Inpt/ed teleconsult70,,,169.21,287.84,37
CPT,G0428,Collagen meniscus implant,,,2304.0,2880.0,5
CPT,G0429,Dermal filler injection(s),,,66.46,3367.02,46
CPT,G0432,Eia hiv-1/hiv-2 screen,,,19.57,36.2,55
CPT,G0433,Elisa hiv-1/hiv-2 screen,,,18.29,33.84,55
CPT,G0435,Oral hiv-1/hiv-2 screen,,,11.98,22.16,55
CPT,G0438,"Annual Wellness Visit, Initial Visit",660.0,660.0,97.68,528.0,23
CPT,G0438,Ppps  initial visit,,,160.89,297.65,46
CPT,G0439,"Annual Wellness Visit, Subseq Visit",500.0,500.0,74.0,400.0,23
CPT,G0439,Ppps  subseq visit,,,126.83,234.64,46
CPT,G0442,Annual alcohol screen 15 min,,,8.77,54.84,46
CPT,G0443,Brief alcohol misuse counsel,,,29.25,170.27,46
CPT,G0444,"Annual Depression Screening, 5 to 15 Minutes",78.0,78.0,11.54,62.4,23
CPT,G0444,Depression screen annual,,,8.77,54.84,46
CPT,G0445,High inten beh couns std 30m,,,28.93,170.27,46
CPT,G0446,Intens behave ther cardio dx,,,29.25,54.84,46
CPT,G0447,Behavior Counsel Obesity 15m,111.0,111.0,16.43,88.8,23
CPT,G0447,Behavior counsel obesity 15m,,,29.25,170.27,46
CPT,G0448,Place perm pacing cardiovert,,,2304.0,13887.5,9
CPT,G0451,Devlopment test interpt&rep,,,11.33,170.27,46
CPT,G0452,Molecular pathology interpr,,,3.27,70.38,67
CPT,G0453,Cont intraop neuro monitor,,,30.54,1750.0,37
CPT,G0454,Md document visit by npp,,,8.44,13.5,31
CPT,G0455,Fecal microbiota prep instil,,,68.53,2438.0,47
CPT,G0459,Telehealth inpt pharm mgmt,,,37.28,67.57,34
CPT,G0460,Autolog prp not diab ulcer,,,1820.01,3367.02,16
CPT,G0463,Hospital outpt clinic visit,,,128.22,237.2,16
CPT,G0465,Autolog prp diab wound ulcer,,,87.8,3367.02,44
CPT,G0471,Ven blood coll snf/hha,,,10.83,20.52,49
CPT,G0472,Hep c screen high risk/other,,,46.35,85.75,55
CPT,G0473,Group behave couns 2-10,,,11.03,54.84,46
CPT,G0475,Hiv combination assay,,,24.08,44.55,58
CPT,G0476,Hpv combo assay ca screen,,,21.54,64.92,58
CPT,G0480,Drug test def 1-7 classes,,,94.12,211.7,58
CPT,G0481,Drug test def 8-14 classes,,,128.79,289.69,58
CPT,G0482,Drug test def 15-21 classes,,,163.47,367.67,58
CPT,G0483,Drug test def 22+ classes,,,203.1,456.8,64
CPT,G0498,Chemo extend iv infus w/pump,,,211.37,610.54,46
CPT,G0499,Hepb screen high risk indiv,,,28.27,52.3,55
CPT,G0500,Mod sedat endo service >5yrs,,,5.62,87.94,31
CPT,G0506,Comp asses care plan ccm svc,,,41.9,97.49,31
CPT,G0508,Crit care telehea consult 60,,,200.53,320.85,31
CPT,G0509,Crit care telehea consult 50,,,183.53,293.65,31
CPT,G0511,Ccm/bhi by rhc/fqhc 20min mo,,,54.89,54.89,1
CPT,G0512,Cocm by rhc/fqhc 60 min mo,,,139.78,139.78,1
CPT,G0513,Prolong prev svcs  first 30m,,,56.85,97.66,31
CPT,G0514,Prolong prev svcs  addl 30m,,,56.85,97.66,31
CPT,G0516,Insert drug del implant  >4,,,93.56,4275.0,57
CPT,G0517,Remove drug implant,,,106.53,4275.0,57
CPT,G0518,Remove w insert drug implant,,,174.41,4275.0,57
CPT,G0532,Take home supp nasal spray,,,78.35,78.35,1
CPT,G0533,Buprenorphone inj weekly,,,639.81,639.81,1
CPT,G0534,Coordinated care/or referral,,,41.82,41.82,1
CPT,G0535,Pt navigat svs direct/ref,,,41.82,41.82,1
CPT,G0536,Peer recover support svs,,,41.82,41.82,1
CPT,G0537,Risk ascvd tst once pr 12 mo,,,8.77,54.84,43
CPT,G0538,Ascvd rsk mng clin stf pr mo,,,8.77,170.27,43
CPT,G0539,Initial care training 30 m,,,44.73,83.44,43
CPT,G0540,Train for caregiver add 15,,,23.96,44.33,43
CPT,G0541,No pt prsnt train initial 30,,,44.73,83.44,43
CPT,G0542,No pt prsnt train add 15,,,23.96,44.33,43
CPT,G0543,Group train w/o patient,,,10.38,35.18,43
CPT,G0544,Post d/c phone follow up,,,48.08,170.27,43
CPT,G0545,Inherent visit to inpt,,,43.23,69.17,29
CPT,G0546,Phone/internet ehr assess,,,17.25,27.6,29
CPT,G0547,Phone/internet svs 11-20 m,,,34.83,55.73,29
CPT,G0548,Phone/inter svs 21-30 m,,,52.77,84.43,29
CPT,G0549,Phone/inter for treat>31m,,,70.67,113.07,29
CPT,G0550,Phone/inter for dx/treat >5m,,,32.49,51.98,29
CPT,G0551,Phn/intr svs fr dx treat 30m,,,34.1,54.56,29
CPT,G0552,Supply of digital device,,,128.22,237.2,15
CPT,G0553,Monthly tx for dmht 20mins,,,29.58,237.2,43
CPT,G0554,Add 20 m of monthly tx,,,28.61,63.84,29
CPT,G0555,Replacment pt electronic sys,,,1012.26,1872.69,15
CPT,G0556,Adv prim care mgmt lvl 1,,,12.04,54.84,43
CPT,G0557,Adv prim care mgmt lvl 2,,,29.64,78.3,43
CPT,G0558,Adv prim care mgmt lvl 3,,,80.33,171.87,43
CPT,G0559,Unrelat prac follow up visit,,,8.85,14.16,29
CPT,G0560,Safety plan interven,,,41.19,76.2,43
CPT,G0561,Temp tube delivery  unil,,,1178.0,1473.0,5
CPT,G0562,Complex simulation w/pet-ct,,,1940.67,3590.24,15
CPT,G0563,Sbrt w/positron emission del,,,3731.6,6903.46,15
CPT,G0564,365 d implant glucose sensor,,,3234.12,5400.0,6
CPT,G0565,Rem/ins glu snsr 365 dif sit,,,3234.12,5400.0,6
CPT,G0566,3d bn img algor drvd fr mri,,,155.67,287.98,14
CPT,G0567,Screening Hep C detect,,,,,0
CPT,G0659,Drug test def simple all cl,,,61.16,114.96,58
CPT,G1028,Take home supply 8mg per 0.1,,,127.91,127.91,1
CPT,G2000,Blinded conv. tx mdd clin tr,,,527.93,976.66,16
CPT,G2001,Post d/c h vst new pt 20 m,,,48.0,76.8,31
CPT,G2002,Post-d/c h vst new pt 30 m,,,71.72,114.75,31
CPT,G2003,Post-d/c h vst new pt 45 m,,,117.17,187.47,31
CPT,G2004,Post-d/c h vst new pt 60 m,,,153.87,246.19,31
CPT,G2005,Post-d/c h vst new pt 75 m,,,201.4,322.24,31
CPT,G2006,Post-d/c h vst ext pt 20 m,,,47.03,75.25,31
CPT,G2007,Post-d/c h vst ext pt 30 m,,,76.28,122.05,31
CPT,G2008,Post-d/c h vst ext pt 45 m,,,119.58,191.33,31
CPT,G2009,Post-d/c h vst ext pt 60 m,,,168.35,269.36,31
CPT,G2010,Remot image submit by pt,,,8.77,19.18,31
CPT,G2011,Alcohol/sub misuse assess,,,16.28,45.09,46
CPT,G2012,Brief check in by md/qhp,,,17.53,19.35,2
CPT,G2013,Post-d/c h vst ext pt 75 m,,,201.4,322.24,31
CPT,G2014,Post-d/c care plan overs 30m,,,72.14,115.42,31
CPT,G2015,Post-d/c care plan overs 60m,,,101.06,161.7,31
CPT,G2023,Specimen collect covid-19,,,52.38,52.38,3
CPT,G2024,Spec coll snf/lab covid-19,,,56.85,56.85,3
CPT,G2025,Dis site tele svcs rhc/fqhc,,,94.73,94.73,1
CPT,G2067,Med assist tx meth wk,,,269.57,269.57,1
CPT,G2068,Med assist tx bupre oral,,,296.55,296.55,1
CPT,G2069,Med assist tx inject,,,2032.24,2032.24,1
CPT,G2073,Med tx naltrexone,,,1710.59,1710.59,1
CPT,G2074,Med assist tx no drug,,,215.18,215.18,1
CPT,G2076,Intake act w/med exam,,,229.11,229.11,1
CPT,G2077,Periodic assessment,,,148.37,148.37,1
CPT,G2078,Take-home meth,,,42.13,42.13,1
CPT,G2079,Take-hom buprenorphine,,,69.11,69.11,1
CPT,G2080,Add 30 mins counsel,,,36.11,36.11,1
CPT,G2082,Visit esketamine 56m or less,,,33.9,2117.7,46
CPT,G2083,Visit esketamine  > 56m,,,33.9,2669.91,46
CPT,G2086,Off base opioid tx 70min,,,159.86,730.27,46
CPT,G2087,Off base opioid tx  60 m,,,159.86,660.75,46
CPT,G2088,Off base opioid tx  add30,,,36.05,88.64,31
CPT,G2170,Avf by tissue w thermal e,,,5595.0,5595.0,1
CPT,G2171,Avf use magnetic/art/ven,,,5595.0,5595.0,1
CPT,G2211,Complex e/m visit add on,,,15.6,24.96,31
CPT,G2212,Prolong outpt/office vis,,,29.9,49.9,31
CPT,G2213,Initiat med assist tx in er,,,55.91,96.16,31
CPT,G2214,Init/sub psych care m 1st 30,,,37.01,170.27,46
CPT,G2215,Home supply nasal naloxone,,,40.31,40.31,1
CPT,G2250,Remot img sub by pt  non e/m,,,8.77,19.18,46
CPT,G2251,Brief chkin  5-10  non-e/m,,,12.36,22.87,46
CPT,G2252,Brief chkin by md/qhp  11-20,,,24.36,45.07,46
CPT,G3002,Chronic pain mgmt 30 mins,,,72.61,129.07,31
CPT,G3003,Chronic pain mgmt addl 15m,,,25.05,47.31,31
CPT,G6001,Echo guidance radiotherapy,,,18.54,225.04,76
CPT,G6002,Stereoscopic x-ray guidance,,,17.24,136.4,76
CPT,G6003,Radiation treatment delivery,,,146.45,234.32,31
CPT,G6004,Radiation treatment delivery,,,118.72,189.95,31
CPT,G6005,Radiation treatment delivery,,,118.72,189.95,31
CPT,G6006,Radiation treatment delivery,,,118.08,188.93,31
CPT,G6007,Radiation treatment delivery,,,210.63,337.01,31
CPT,G6008,Radiation treatment delivery,,,163.59,261.74,31
CPT,G6009,Radiation treatment delivery,,,164.88,263.81,31
CPT,G6010,Radiation treatment delivery,,,162.3,259.68,31
CPT,G6011,Radiation treatment delivery,,,215.51,344.82,31
CPT,G6012,Radiation treatment delivery,,,193.73,345.33,37
CPT,G6013,Radiation treatment delivery,,,216.8,346.88,37
CPT,G6014,Radiation treatment delivery,,,215.51,344.82,37
CPT,G6015,Radiation tx delivery imrt,,,336.57,538.51,37
CPT,G6016,Delivery comp imrt,,,335.11,536.18,37
CPT,G6017,Intrafraction track motion,,,108.64,173.82,30
CPT,G9037,Intrpro req fr rec phys/qhcp,,,40.21,64.34,29
CPT,G9038,Co-management services,,,50.31,80.5,29
CPT,G9143,Warfarin respon genetic test,,,120.72,222.38,37
CPT,G9157,Transesoph doppl cardiac mon,,,90.59,144.94,31
CPT,G9187,Bpci home visit,,,46.26,74.02,31
CPT,G9481,Remote e/m new pt 10mins,,,17.35,27.76,31
CPT,G9482,Remote e/m new pt 20mins,,,32.64,52.22,31
CPT,G9483,Remote e/m new pt 30mins,,,51.77,82.83,31
CPT,G9484,Remote e/m new pt 45mins,,,87.36,139.78,31
CPT,G9485,Remote e/m new pt 60mins,,,114.94,183.9,31
CPT,G9486,Remote e/m est. pt 10mins,,,17.35,27.76,31
CPT,G9487,Remote e/m est. pt 15mins,,,35.02,56.03,31
CPT,G9488,Remote e/m est. pt 25mins,,,53.99,86.38,31
CPT,G9489,Remote e/m est. pt 40mins,,,75.91,121.46,31
CPT,G9490,Cmmi mod home visit,,,46.26,74.02,31
CPT,G9685,Acute nursing facility care,,,180.27,288.43,31
CPT,G9868,Cmmi asyntelehealth <10min,,,25.88,41.41,31
CPT,G9869,Cmmi asyntelehealth 10-20min,,,34.61,55.38,31
CPT,G9870,Cmmi asyntelehealth >20min,,,43.34,69.34,31
CPT,G9880,Em 5 percent wl,,,145.0,145.0,1
CPT,G9881,Em 9 percent wl,,,25.0,25.0,1
CPT,G9886,In-person attendance g code,,,25.0,25.0,1
CPT,G9887,Distance learning attendance,,,25.0,25.0,1
CPT,G9888,5% wl maintnd from bsline wt,,,8.0,8.0,1
CPT,G9890,Em bridge payment,,,25.0,25.0,1
CPT,G9978,Remote e/m new pt 10mins,,,27.03,76.78,31
CPT,G9979,Remote e/m new pt 20mins,,,45.54,112.08,31
CPT,G9980,Remote e/m new pt 30 mins,,,74.02,165.9,31
CPT,G9981,Remote e/m new pt 45mins,,,124.45,253.81,31
CPT,G9982,Remote e/m new pt 60mins,,,166.22,329.94,31
CPT,G9983,Remote e/m est. pt 10mins,,,27.03,76.78,31
CPT,G9984,Remote e/m est. pt  15mins,,,53.41,125.7,31
CPT,G9985,Remote e/m est. pt 25mins,,,80.76,179.26,31
CPT,G9986,Remote e/m est. pt 40mins,,,117.19,246.34,31
CPT,G9987,Bpci advanced in home visit,,,46.26,74.02,31
CPT,H0003,Alcohol and/or drug screenin,,,0.03,0.03,1
CPT,H0025,Peer Support Whole Health & Wellness,51.0,51.0,7.55,40.8,23
CPT,H0031,Mh Assessment by a Non-Physician,249.0,249.0,36.85,199.2,23
CPT,H0049,Alcohol/drug screening,,,0.03,0.03,1
CPT,H2010,Medication Administ Comp,86.0,86.0,12.73,68.8,23
CPT,H2011,Crisis Intervention,137.0,137.0,20.28,109.6,23
CPT,H2014,Group Skills Train/Devl 15 Min,30.0,30.0,4.44,24.0,23
CPT,H2017,Psychosocial Rehabilitation,42.0,42.0,6.22,33.6,23
CPT,J0121,Inj.  omadacycline  1 mg,,,3.8,7.44,54
CPT,J0122,Inj.  eravacycline  1 mg,,,1.21,2.08,35
CPT,J0129,Abatacept injection,,,43.44,81.6,57
CPT,J0130,Abciximab injection,,,0.01,0.01,3
CPT,J0131,Inj  acetaminophen (nos),,,0.04,0.09,34
CPT,J0132,Acetylcysteine injection,,,0.39,0.78,34
CPT,J0133,Acyclovir injection,,,0.03,0.06,37
CPT,J0134,Inj acetaminophen -fresenius,,,0.04,0.09,35
CPT,J0135,Adalimumab injection,,,1834.49,3026.91,2
CPT,J0136,Inj  acetaminophen (b braun),,,0.05,0.08,35
CPT,J0137,Inj  acetaminophen (hikma),,,0.05,0.08,38
CPT,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.04,0.36,47
CPT,J0139,Inj  adalimumab  1 mg,,,91.73,169.7,20
CPT,J0153,Adenosine inj 1mg,,,0.32,0.89,37
CPT,J0163,Epinephrine in nacl (endo),,,0.97,1.56,24
CPT,J0165,Inj epinephrine nos 0.1 mg,,,0.48,0.77,24
CPT,J0166,Inj epinephrine (bpi),,,1.06,1.69,24
CPT,J0167,Inj epinephrine (hospira),,,1.42,2.28,27
CPT,J0168,Epinephrine (intl med sys),,,2.54,4.07,27
CPT,J0169,Inj epinephrine (adrenalin),,,1.36,2.17,27
CPT,J0171,Adrenalin epinephrine inject,,,0.76,1.15,10
CPT,J0172,Inj  aducanumab-avwa  2 mg,,,5.98,11.06,57
CPT,J0173,Inj  epinephrine (belcher),,,2.01,2.8,11
CPT,J0174,Inj  lecanemab-irmb  1 mg,,,1.32,2.44,57
CPT,J0175,Inj  donanemab-azbt  2 mg,,,4.09,7.64,57
CPT,J0177,Inj  aflibercept hd  1 mg,,,311.38,576.05,57
CPT,J0178,Aflibercept injection,,,771.56,1427.39,57
CPT,J0179,Inj  brolucizumab-dbll  1 mg,,,332.57,640.3,57
CPT,J0180,Agalsidase beta injection,,,223.52,425.78,57
CPT,J0184,Inj  amisulpride  1 mg,,,9.0,17.78,24
CPT,J0185,Inj.  aprepitant  1 mg,,,1.64,3.03,57
CPT,J0202,Injection  alemtuzumab,,,2337.69,4495.3,57
CPT,J0205,Alglucerase injection,,,0.01,0.01,3
CPT,J0206,Inj allopurinol sodium 1 mg,,,4.4,8.73,54
CPT,J0207,Amifostine,,,1071.41,1162.48,3
CPT,J0208,Inj  pedmark  100 mg,,,91.34,175.95,27
CPT,J0210,Methyldopate hcl injection,,,0.01,0.01,3
CPT,J0211,Inj  nithiodote  3mg / 125mg,,,2.17,4.13,21
CPT,J0215,Alefacept,,,0.01,0.01,3
CPT,J0217,Inj velmanase alfa-tycv 1 mg,,,440.81,860.68,57
CPT,J0218,Inj olipudase alfa-rpcp 1mg,,,381.58,728.27,57
CPT,J0219,Inj aval alfa-nqpt 4mg,,,77.75,149.68,57
CPT,J0220,Alglucosidase alfa injection,,,0.01,148.86,4
CPT,J0221,Lumizyme injection,,,201.64,382.19,57
CPT,J0222,Inj.  patisiran  0.1 mg,,,98.83,184.94,57
CPT,J0223,Inj givosiran 0.5 mg,,,112.14,217.12,57
CPT,J0224,Inj. lumasiran  0.5 mg,,,317.88,608.74,54
CPT,J0225,Inj  vutrisiran  1 mg,,,4917.75,9256.73,57
CPT,J0248,Inj  remdesivir  1 mg,,,6.35,12.45,57
CPT,J0256,Alpha 1 proteinase inhibitor,,,4.94,10.1,57
CPT,J0257,Glassia injection,,,5.51,10.43,57
CPT,J0270,Alprostadil for injection,,,10.27,11.14,3
CPT,J0278,Amikacin sulfate injection,,,0.54,1.08,37
CPT,J0280,Aminophyllin 250 mg inj,,,5.17,16.55,37
CPT,J0281,Inj aminocaproic acid 1 gram,,,1.71,2.74,24
CPT,J0282,Amiodarone hcl,,,0.39,0.68,32
CPT,J0283,Inj  amiodarone (nexterone),,,2.52,4.17,34
CPT,J0285,Amphotericin b,,,43.41,69.46,37
CPT,J0287,Amphotericin b lipid complex,,,10.3,19.06,51
CPT,J0288,Ampho b cholesteryl sulfate,,,0.01,0.01,3
CPT,J0289,Amphotericin b liposome inj,,,21.48,39.74,54
CPT,J0290,Ampicillin 500 mg inj,,,0.54,1.09,37
CPT,J0291,Inj.  plazomicin  5 mg,,,3.5,6.48,57
CPT,J0295,Ampicillin sulbactam 1.5 gm,,,1.39,2.81,37
CPT,J0300,Amobarbital 125 mg inj,,,114.24,198.84,4
CPT,J0330,Succinycholine chloride inj,,,0.8,0.87,3
CPT,J0348,Anidulafungin injection,,,0.46,0.83,37
CPT,J0349,Inj  rezafungin  1 mg,,,10.12,19.67,57
CPT,J0360,Hydralazine hcl injection,,,4.04,8.96,37
CPT,J0364,Apomorphine hydrochloride,,,34.72,37.67,3
CPT,J0365,Aprotonin  10 000 kiu,,,0.01,0.01,3
CPT,J0391,Inj  artesunate  1mg,,,45.27,95.89,27
CPT,J0400,Aripiprazole injection,,,0.01,0.01,3
CPT,J0401,Inj  abilify maintena  1 mg,,,7.07,13.47,57
CPT,J0402,Inj  abilify asimtufii  1 mg,,,5.92,11.16,57
CPT,J0456,Azithromycin,,,2.04,3.26,34
CPT,J0457,Injection  aztreonam  100 mg,,,1.97,4.05,35
CPT,J0458,Aztreonam/avibactam 10 mg,,,1.68,3.11,13
CPT,J0461,Atropine sulfate injection,,,0.1,0.16,37
CPT,J0462,Atropine sulf  nte  0.01 mg,,,0.14,0.22,24
CPT,J0470,Dimecaprol injection,,,56.42,61.22,4
CPT,J0475,Baclofen 10 mg injection,,,173.84,335.26,57
CPT,J0476,Baclofen intrathecal trial,,,40.73,79.92,34
CPT,J0480,Basiliximab,,,4588.77,8670.67,54
CPT,J0485,Belatacept injection,,,3.81,7.2,57
CPT,J0490,Belimumab injection,,,54.15,103.73,57
CPT,J0491,Inj anifrolumab-fnia 1mg,,,17.29,33.45,57
CPT,J0500,Dicyclomine injection,,,11.36,22.15,37
CPT,J0515,Inj benztropine mesylate,,,15.33,24.52,37
CPT,J0517,Inj.  benralizumab  1 mg,,,164.59,304.49,57
CPT,J0517,Rx Fasenra 30mg/Ml Solution,447.0,447.0,66.16,357.6,23
CPT,J0558,Peng benzathine/procaine inj,,,17.37,36.11,57
CPT,J0561,Penicillin G Benz L,158.0,158.0,23.38,126.4,23
CPT,J0561,Penicillin G Benz La 1.2 Mu,159.0,159.0,23.53,127.2,23
CPT,J0561,Penicillin g benzathine inj,,,24.37,55.52,57
CPT,J0565,Inj  bezlotoxumab  10 mg,,,39.83,73.69,57
CPT,J0567,Inj.  cerliponase alfa 1 mg,,,110.86,222.67,19
CPT,J0570,Buprenorphine implant 74.2mg,,,1237.5,2164.39,5
CPT,J0571,Buprenorphine oral 1mg,,,0.68,0.74,3
CPT,J0576,Inj buprenorph (brixadi) 1mg,,,21.19,21.19,1
CPT,J0577,Inj  brixadi  7 days or less,,,420.64,778.18,57
CPT,J0578,Inj brixadi  more than 7 day,,,1682.55,3112.72,57
CPT,J0582,Bivalirudin (endo) 1 mg,,,0.14,0.22,24
CPT,J0583,Bivalirudin,,,0.16,0.27,34
CPT,J0584,Injection  burosumab-twza 1m,,,469.58,895.66,57
CPT,J0585,Injection onabotulinumtoxina,,,6.41,12.03,57
CPT,J0586,Abobotulinumtoxina,,,8.53,16.19,57
CPT,J0587,Inj  rimabotulinumtoxinb,,,12.99,24.59,57
CPT,J0588,Incobotulinumtoxin a,,,5.31,10.3,57
CPT,J0589,Inj daxibotulinumtoxina-lanm,,,3.12,5.83,51
CPT,J0591,Inj deoxycholic acid  1 mg,,,15.0,16.28,3
CPT,J0592,Buprenorphine hydrochloride,,,4.03,6.67,34
CPT,J0593,Inj.  lanadelumab-flyo  1 mg,,,85.28,161.47,40
CPT,J0594,Busulfan injection,,,0.88,2.41,54
CPT,J0595,Butorphanol tartrate 1 mg,,,4.06,10.29,37
CPT,J0596,Injection  ruconest,,,34.67,68.02,54
CPT,J0597,C-1 esterase  berinert,,,68.36,140.34,54
CPT,J0598,C-1 esterase  cinryze,,,64.07,121.42,57
CPT,J0599,Inj.  haegarda 10 units,,,11.64,21.7,16
CPT,J0600,Edetate calcium disodium inj,,,6084.1,11855.5,52
CPT,J0604,Cinacalcet  esrd on dialysis,,,0.02,0.02,3
CPT,J0606,Inj  etelcalcetide  0.1 mg,,,2.57,4.26,7
CPT,J0612,Inj  calcium gluconate  nos,,,0.04,0.06,38
CPT,J0613,Calcium glucon (wg critical),,,0.09,0.14,38
CPT,J0614,Inj  treosulfan  50 mg,,,32.33,59.81,37
CPT,J0616,Inj metoprolol tartrate 1 mg,,,0.12,0.2,24
CPT,J0620,Calcium glycer & lact/10 ml,,,0.01,0.01,3
CPT,J0630,Calcitonin salmon injection,,,484.97,1884.98,33
CPT,J0636,Inj calcitriol per 0.1 mcg,,,0.99,1.07,3
CPT,J0637,Caspofungin acetate,,,3.54,8.82,34
CPT,J0638,Canakinumab injection,,,127.81,261.96,54
CPT,J0640,Leucovorin calcium injection,,,3.22,5.67,37
CPT,J0641,Inj levoleucovorin nos 0.5mg,,,0.04,0.29,38
CPT,J0642,Injection  khapzory  0.5 mg,,,1.35,2.27,38
CPT,J0650,Inj  levothyroxine nos 10mcg,,,5.39,11.46,32
CPT,J0651,Inj  levothyroxine  freskabi,,,3.75,12.64,52
CPT,J0652,Inj  levothyroxine  hikma,,,5.14,9.51,52
CPT,J0665,Inj  bupivacaine  nos  0.5mg,,,0.01,0.02,38
CPT,J0666,Inj  bupivacaine liposome,,,1.45,2.72,43
CPT,J0668,Instill  bupivac and meloxic,,,0.76,1.5,16
CPT,J0670,Inj mepivacaine hcl/10 ml,,,3.49,6.33,37
CPT,J0675,Inj  carboprost  0.1 mg,,,51.05,94.44,13
CPT,J0681,Inj ceftobipole medocarl 3mg,,,1.09,2.02,13
CPT,J0687,Inj cefazolin (wg crit care),,,0.95,1.83,54
CPT,J0688,Inj cefazolin sodium  hikma,,,0.93,1.72,56
CPT,J0689,Inj cefazolin sodium  baxter,,,1.23,2.08,38
CPT,J0690,Cefazolin sodium injection,,,0.8,1.28,37
CPT,J0691,Inj lefamulin 1 mg,,,0.68,0.74,4
CPT,J0692,Cefepime hcl for injection,,,1.22,1.96,34
CPT,J0694,Cefoxitin sodium injection,,,4.45,7.65,37
CPT,J0695,Inj ceftolozane tazobactam,,,8.15,16.78,57
CPT,J0696,Ceftriaxone per 250 Mg,35.0,35.0,5.18,28.0,23
CPT,J0696,Ceftriaxone sodium injection,,,0.43,0.69,37
CPT,J0697,Sterile cefuroxime injection,,,1.85,2.96,37
CPT,J0698,Cefotaxime sodium injection,,,9.8,10.63,6
CPT,J0699,Inj  cefiderocol  10 mg,,,2.28,4.48,57
CPT,J0701,Inj. cefepime hcl (baxter),,,5.74,9.67,35
CPT,J0702,Betamethasone acet&sod phosp,,,6.96,11.13,37
CPT,J0703,Inj  cefepime hcl (b braun),,,4.92,7.93,35
CPT,J0706,Caffeine citrate injection,,,1.46,1.58,3
CPT,J0712,Ceftaroline fosamil inj,,,3.94,7.83,54
CPT,J0713,Inj ceftazidime per 500 mg,,,1.57,2.51,37
CPT,J0714,Ceftazidime and avibactam,,,100.58,193.75,54
CPT,J0715,Ceftizoxime sodium / 500 mg,,,0.01,0.01,3
CPT,J0716,Centruroides immune f(ab),,,4799.1,9013.09,24
CPT,J0717,Certolizumab pegol inj 1mg,,,3.9,7.23,54
CPT,J0720,Chloramphenicol sodium injec,,,48.65,52.79,6
CPT,J0725,Chorionic gonadotropin/1000u,,,18.44,29.5,37
CPT,J0735,Clonidine hydrochloride,,,16.74,29.07,34
CPT,J0736,Inj  clindamycin phosp 300mg,,,1.83,3.43,38
CPT,J0737,Inj  clindamycin (baxter),,,2.21,3.92,38
CPT,J0738,Hiv prep  inj  lenacapavir,,,16.13,29.84,37
CPT,J0739,Hiv prep  inj  cabotegravir,,,6.55,12.99,55
CPT,J0740,Cidofovir injection,,,301.1,1010.64,54
CPT,J0741,Inj  cabote rilpivir 2mg 3mg,,,22.9,43.75,57
CPT,J0741,Rx Cabotegravir/Rilpivirine 400&600mg/2ml Im,51.08,51.08,7.56,40.86,23
CPT,J0741,Rx Cabotegravir/Rilpivirine 600&900mg/2ml Im,51.08,51.08,7.56,40.86,23
CPT,J0742,Inj imip 4 cilas 4 releb 2mg,,,2.5,4.83,54
CPT,J0743,Cilastatin sodium injection,,,6.96,16.39,37
CPT,J0744,Ciprofloxacin iv,,,0.83,4.64,34
CPT,J0745,Inj codeine phosphate /30 mg,,,0.01,0.01,3
CPT,J0750,Hiv prep  ftc/tdf 200/300mg,,,1.0,4.87,52
CPT,J0751,Hiv prep  ftc/taf 200/25mg,,,71.29,131.94,52
CPT,J0752,Hiv prep  oral lenacapavir,,,449.03,830.71,37
CPT,J0759,Inj  clevidepine  1 mg,,,2.85,5.27,13
CPT,J0770,Colistimethate sodium inj,,,12.16,20.9,37
CPT,J0775,Collagenase  clost hist inj,,,70.89,140.43,57
CPT,J0780,Prochlorperazine injection,,,1.81,5.11,37
CPT,J0791,Inj crizanlizumab-tmca 5mg,,,128.54,239.54,57
CPT,J0795,Corticorelin ovine triflutal,,,0.01,0.01,3
CPT,J0799,Hiv prep  fda approved  noc,,,,,0
CPT,J0801,Inj. acthar gel to 40 units,,,3750.08,6615.4,35
CPT,J0802,Inj. (ani)  up to 40 units,,,3416.97,5655.36,35
CPT,J0834,Inj.  cosyntropin  0.25 mg,,,25.09,40.59,37
CPT,J0840,Crotalidae poly immune fab,,,1762.35,3383.13,54
CPT,J0841,Inj crotalidae im f(ab)2 eq,,,1027.17,1933.53,54
CPT,J0850,Cytomegalovirus imm iv /vial,,,1808.65,3346.0,54
CPT,J0870,Injection  imetelstat  1 mg,,,55.47,105.51,47
CPT,J0872,Daptomycin (xellia) unrefrig,,,0.04,0.08,54
CPT,J0873,Inj daptomycin (xellia),,,0.04,0.07,56
CPT,J0874,Inj  daptomycin (baxter),,,0.06,0.1,37
CPT,J0875,Injection  dalbavancin,,,15.6,28.88,57
CPT,J0877,Inj  daptomycin (hospira),,,0.04,0.09,38
CPT,J0878,Daptomycin injection,,,0.03,0.04,37
CPT,J0879,Difelikefalin  esrd on dialy,,,0.06,0.25,26
CPT,J0881,Darbepoetin Alfa 1,16.0,16.0,2.37,12.8,23
CPT,J0881,Darbepoetin alfa  non-esrd,,,2.93,5.42,57
CPT,J0882,Darbepoetin alfa  esrd use,,,2.93,5.42,57
CPT,J0883,Argatroban nonesrd use 1mg,,,0.78,3.8,48
CPT,J0884,Argatroban esrd dialysis 1mg,,,0.8,3.8,33
CPT,J0885,Epoetin alfa  non-esrd,,,6.46,15.8,57
CPT,J0887,Epoetin beta esrd use,,,1.21,2.34,38
CPT,J0888,Epoetin beta non esrd,,,1.16,2.72,57
CPT,J0889,Daprodustat oral 1mg esrd,,,3.91,4.24,3
CPT,J0890,Peginesatide injection,,,0.01,0.01,3
CPT,J0891,Argatroban nonesrd (accord),,,1.82,4.3,24
CPT,J0892,Argatroban dialysis (accord),,,3.96,4.3,4
CPT,J0893,Inj  decitabine (sun pharma),,,0.78,2.17,31
CPT,J0894,Decitabine injection,,,1.22,2.45,37
CPT,J0895,Deferoxamine mesylate inj,,,6.78,14.41,37
CPT,J0896,Inj luspatercept-aamt 0.25mg,,,40.62,77.66,57
CPT,J0897,Denosumab injection,,,26.96,54.35,57
CPT,J0898,Argatroban nonesrd (auromed),,,1.42,4.23,48
CPT,J0899,Argatroban dialysis  auromed,,,1.49,4.23,28
CPT,J0901,Vadadustat oral 1mg for esrd,,,0.14,0.23,24
CPT,J0911,Inst tauro 1.35mg/hep 100u,,,6.41,14.29,24
CPT,J1000,Depo-estradiol cypionate inj,,,38.65,78.84,37
CPT,J1010,Inj  methylpred acetate 1 mg,,,0.12,0.22,56
CPT,J1050,Depo Provera Inject 1mg,50.0,50.0,7.4,40.0,23
CPT,J1050,Medroxyprogesterone acetate,,,0.01,0.54,6
CPT,J1071,Inj testosterone cypionate,,,0.03,0.04,37
CPT,J1072,Inj  testosterone  azmiro,,,1.33,2.46,44
CPT,J1094,Inj dexamethasone acetate,,,0.01,0.01,3
CPT,J1095,Injection  dexamethasone 9%,,,1.15,1.25,6
CPT,J1096,Dexametha opth insert 0.1 mg,,,102.94,190.44,49
CPT,J1097,Phenylep ketorolac opth soln,,,96.84,179.28,18
CPT,J1100,Dexamethasone sodium phos,,,0.09,0.15,37
CPT,J1100,"Dexamethasone,4mg/Ml 5ml",16.0,16.0,2.37,12.8,23
CPT,J1105,Dexmedetomidine film  1 mcg,,,0.65,1.31,21
CPT,J1110,Inj dihydroergotamine mesylt,,,41.04,96.01,37
CPT,J1120,Acetazolamid sodium injectio,,,19.84,33.0,37
CPT,J1130,Inj diclofenac sodium 0.5mg,,,0.01,0.01,3
CPT,J1160,Digoxin injection,,,8.82,21.92,37
CPT,J1162,Digoxin immune fab (ovine),,,4888.1,9561.23,54
CPT,J1163,Inj  diltiazem hcl  0.5 mg,,,0.03,0.05,24
CPT,J1165,Phenytoin sodium injection,,,0.44,0.73,37
CPT,J1171,Inj  hydromorphone  0.1 mg,,,0.09,0.15,39
CPT,J1190,Dexrazoxane hcl injection,,,33.69,133.58,57
CPT,J1200,Diphenhydramine hcl injectio,,,0.73,1.21,37
CPT,J1201,Inj. cetirizine hcl 0.5mg,,,14.87,30.56,54
CPT,J1202,Miglustat oral 65 mg,,,33.0,35.81,3
CPT,J1203,Inj  cipaglucosidase  5 mg,,,88.06,168.74,57
CPT,J1205,Chlorothiazide sodium inj,,,39.45,63.48,34
CPT,J1212,Dimethyl sulfoxide 50% 50 ml,,,715.39,1385.37,54
CPT,J1230,Methadone injection,,,19.33,30.92,34
CPT,J1240,Dimenhydrinate injection,,,6.14,11.58,34
CPT,J1245,Dipyridamole injection,,,3.82,13.46,37
CPT,J1250,Inj dobutamine hcl/250 mg,,,7.08,11.33,37
CPT,J1260,Dolasetron mesylate,,,0.01,0.01,3
CPT,J1265,Dopamine injection,,,0.72,1.33,34
CPT,J1267,Doripenem injection,,,0.01,0.01,3
CPT,J1270,Injection  doxercalciferol,,,0.35,0.56,37
CPT,J1271,Inj doxycycline hyclate 1 mg,,,0.11,0.18,24
CPT,J1290,Ecallantide injection,,,563.1,1072.94,57
CPT,J1299,Inj  eculizumab  2 mg,,,44.82,82.92,44
CPT,J1300,Eculizumab injection,,,224.16,369.86,13
CPT,J1301,Injection  edaravone  1 mg,,,19.78,38.83,57
CPT,J1302,Inj  sutimlimab-jome  10 mg,,,18.13,34.89,57
CPT,J1303,Inj.  ravulizumab-cwvz 10 mg,,,220.59,416.45,57
CPT,J1304,Inj tofersen intrathec 1 mg,,,153.66,294.89,54
CPT,J1305,Inj  evinacumab-dgnb  5mg,,,186.31,358.46,57
CPT,J1306,Injection  inclisiran  1 mg,,,12.19,22.79,57
CPT,J1307,Inj  crovalimab-akkz  10 mg,,,520.29,1020.29,23
CPT,J1308,Inj  famotidine  0.25 mg,,,0.01,0.25,27
CPT,J1322,Elosulfase alfa  injection,,,293.92,571.06,57
CPT,J1323,Inj  elranatamab-bcmm  1 mg,,,177.65,340.53,57
CPT,J1324,Enfuvirtide injection,,,0.66,0.72,3
CPT,J1325,Epoprostenol injection,,,15.86,25.92,34
CPT,J1326,Inj  zolbetuximab-clzb  2 mg,,,33.71,62.36,41
CPT,J1327,Eptifibatide injection,,,4.15,11.53,4
CPT,J1330,Ergonovine maleate injection,,,0.01,0.01,3
CPT,J1335,Ertapenem injection,,,9.78,15.78,37
CPT,J1364,Erythro lactobionate /500 mg,,,62.14,103.39,38
CPT,J1380,Estradiol valerate 10 mg inj,,,7.25,11.6,34
CPT,J1410,Inj estrogen conjugate 25 mg,,,382.79,725.31,57
CPT,J1411,Inj  hemgenix  per tx dose,,,0.01,6817743.34,27
CPT,J1412,Inj roctavian ml 2x10^13vc g,,,0.01,23224.36,27
CPT,J1413,Inj delandistrogene mox rokl,,,0.01,6135455.79,27
CPT,J1414,Inj  beqvez  per tx dose,,,3710000.0,6121500.0,7
CPT,J1426,Injection  casimersen  10 mg,,,160.0,307.21,20
CPT,J1427,Inj. viltolarsen,,,56.4,61.19,7
CPT,J1428,Inj  eteplirsen  10 mg,,,160.0,309.6,19
CPT,J1429,Inj golodirsen 10 mg,,,160.0,173.6,7
CPT,J1430,Ethanolamine oleate 100 mg,,,491.65,941.58,54
CPT,J1434,Inj  focinvez  1mg,,,2.84,5.25,51
CPT,J1437,Inj. fe derisomaltose 10 mg,,,19.9,40.74,57
CPT,J1438,Etanercept injection,,,790.78,1999.63,24
CPT,J1439,Inj ferric carboxymaltos 1mg,,,1.1,2.05,57
CPT,J1440,Fecal microbiota jslm 1 ml,,,63.3,118.1,57
CPT,J1442,Inj filgrastim excl biosimil,,,0.98,1.85,57
CPT,J1443,Inj ferric pyrophosphate cit,,,0.03,0.03,3
CPT,J1444,Fe pyro cit pow 0.1 mg iron,,,0.03,0.03,3
CPT,J1445,Inj triferic avnu 0.1mg iron,,,0.18,0.2,3
CPT,J1447,Inj tbo filgrastim 1 microg,,,0.28,0.66,57
CPT,J1448,Injection  trilaciclib  1mg,,,5.36,10.1,57
CPT,J1449,Inj eflapegrastim-xnst 0.1mg,,,20.87,38.61,57
CPT,J1450,Fluconazole,,,2.26,3.64,37
CPT,J1451,Fomepizole  15 mg,,,6.16,13.49,24
CPT,J1453,Fosaprepitant injection,,,0.1,0.18,37
CPT,J1454,Inj fosnetupitant  palonoset,,,575.5,1085.87,57
CPT,J1455,Foscarnet sodium injection,,,16.08,71.02,52
CPT,J1456,Inj  fosaprepitant (teva),,,0.44,2.86,57
CPT,J1457,Gallium nitrate injection,,,0.01,0.01,3
CPT,J1458,Galsulfase injection,,,484.75,814.01,38
CPT,J1459,Inj ivig privigen 500 mg,,,48.58,93.87,57
CPT,J1460,Gamma globulin 1 cc inj,,,49.03,90.71,54
CPT,J1551,Inj cutaquig 100 mg,,,14.23,22.77,35
CPT,J1552,Inj  alyglo  500 mg,,,130.24,242.37,51
CPT,J1554,Inj. asceniv,,,491.4,918.97,57
CPT,J1555,Inj cuvitru  100 mg,,,16.61,31.15,54
CPT,J1556,Inj  imm glob bivigam  500mg,,,75.17,123.82,35
CPT,J1557,Gammaplex injection,,,56.77,117.81,54
CPT,J1558,Inj. xembify  100 mg,,,14.26,27.47,54
CPT,J1559,Hizentra injection,,,13.23,26.53,54
CPT,J1560,Gamma globulin > 10 cc inj,,,170.48,815.36,54
CPT,J1561,Gamunex-c/gammaked,,,48.81,90.58,57
CPT,J1562,Vivaglobin  inj,,,0.01,0.01,3
CPT,J1566,Immune globulin  powder,,,78.8,145.78,57
CPT,J1568,Octagam injection,,,47.53,87.93,57
CPT,J1569,Gammagard liquid injection,,,45.31,83.82,57
CPT,J1570,Ganciclovir sodium injection,,,28.74,63.27,37
CPT,J1571,Hepagam b im injection,,,65.94,123.28,54
CPT,J1572,Flebogamma injection,,,44.54,103.16,27
CPT,J1573,Hepagam b intravenous  inj,,,65.94,123.28,52
CPT,J1574,Inj  ganciclovir (exela),,,50.0,54.25,6
CPT,J1575,Hyqvia 100mg immuneglobulin,,,17.5,33.58,54
CPT,J1576,Inj  panzyga  500 mg,,,67.46,135.05,57
CPT,J1580,Garamycin gentamicin inj,,,2.21,3.82,37
CPT,J1595,Injection glatiramer acetate,,,57.5,309.52,24
CPT,J1596,Inj  glycopyrrolate  0.1 mg,,,0.45,0.96,56
CPT,J1597,Inj glycopyrrolate  glyrx-pf,,,1.6,1.74,3
CPT,J1598,Inj glycopyrrolate fres kabi,,,1.34,3.33,53
CPT,J1599,Ivig non-lyophilized  nos,,,149.0,161.67,3
CPT,J1600,Gold sodium thiomaleate inj,,,0.01,0.01,3
CPT,J1602,Golimumab for iv use 1mg,,,10.54,20.42,57
CPT,J1610,Glucagon hydrochloride/1 mg,,,182.45,337.53,57
CPT,J1611,Inj glucagon hcl  fresenius,,,108.93,275.63,57
CPT,J1612,Inj glucagon (gvoke) 0.01 mg,,,3.45,6.38,13
CPT,J1626,Granisetron hcl injection,,,0.19,0.39,37
CPT,J1627,Inj  granisetron  xr  0.1 mg,,,4.29,9.09,57
CPT,J1628,Inj.  guselkumab  1 mg,,,73.52,150.52,55
CPT,J1630,Haloperidol injection,,,0.8,1.43,37
CPT,J1631,Haloperidol decanoate inj,,,4.4,9.46,37
CPT,J1632,Inj.  brexanolone  1 mg,,,72.0,80.83,4
CPT,J1640,Hemin  1 mg,,,32.2,63.23,57
CPT,J1642,Inj heparin sodium per 10 u,,,0.02,0.03,37
CPT,J1643,Inj heparin  pfizer  1000u,,,3.01,5.21,38
CPT,J1644,Inj heparin sodium per 1000u,,,0.2,0.33,37
CPT,J1645,Dalteparin sodium,,,13.86,26.47,34
CPT,J1650,Inj enoxaparin sodium,,,0.56,0.94,34
CPT,J1652,Fondaparinux sodium,,,0.67,1.29,34
CPT,J1655,Tinzaparin sodium injection,,,0.01,0.01,3
CPT,J1670,Tetanus immune globulin inj,,,572.07,1097.05,57
CPT,J1720,Hydrocortisone sodium succ i,,,19.4,34.1,37
CPT,J1726,Makena  10 mg,,,13.82,22.8,10
CPT,J1729,Inj hydroxyprogst capoat nos,,,13.64,18.18,4
CPT,J1738,Inj. meloxicam 1 mg,,,3.13,3.4,6
CPT,J1740,Ibandronate sodium injection,,,25.36,45.78,34
CPT,J1741,Ibuprofen injection,,,2.96,4.96,32
CPT,J1742,Ibutilide fumarate injection,,,172.31,323.66,24
CPT,J1743,Idursulfase injection,,,537.93,1033.15,57
CPT,J1744,Icatibant injection,,,93.19,241.22,24
CPT,J1745,Infliximab not biosimil 10mg,,,30.53,57.52,57
CPT,J1746,Inj.  ibalizumab-uiyk  10 mg,,,77.06,146.63,57
CPT,J1747,Inj  spesolimab-sbzo  1 mg,,,61.43,121.6,57
CPT,J1748,Inj  zymfentra  10 mg,,,257.55,279.44,8
CPT,J1749,Inj  iloprost  0.1 mcg,,,5.71,9.14,24
CPT,J1750,Inj iron dextran,,,17.4,33.5,57
CPT,J1756,Iron sucrose injection,,,0.23,0.37,37
CPT,J1786,Imuglucerase injection,,,43.19,79.9,57
CPT,J1790,Droperidol injection,,,7.63,12.21,30
CPT,J1800,Propranolol injection,,,9.74,10.57,6
CPT,J1805,Inj  esmolol hcl  10mg,,,0.19,0.35,35
CPT,J1806,Inj esmolol hcl wg crit care,,,0.36,0.7,35
CPT,J1807,Inj  ethacrynate sod  1 mg,,,20.97,38.79,13
CPT,J1808,Inj  folic acid  0.1 mg,,,0.06,0.1,24
CPT,J1809,Inj  fosdenopterin  0.1mg,,,16.97,31.39,40
CPT,J1811,Fiasp for insulin pump use,,,7.41,15.28,54
CPT,J1812,Inj. insulin (fiasp),,,1.45,1.57,3
CPT,J1813,Lyumjev for insulin pump use,,,15.12,24.2,35
CPT,J1814,Inj. insulin (lyumjev),,,1.37,1.49,3
CPT,J1815,Insulin injection,,,0.22,0.24,6
CPT,J1817,Insulin for insulin pump use,,,2.38,5.1,34
CPT,J1823,Inj. inebilizumab-cdon  1 mg,,,484.4,916.77,57
CPT,J1826,Interferon beta-1a inj,,,1910.69,4075.81,24
CPT,J1830,Interferon beta-1b / .25 mg,,,696.63,755.84,3
CPT,J1833,Injection  isavuconazonium,,,0.98,1.87,24
CPT,J1834,Inj  isoniazid  1 mg,,,0.32,0.59,13
CPT,J1835,Itraconazole injection,,,0.01,0.01,3
CPT,J1836,Inj  metronidazole  10 mg,,,0.03,0.04,38
CPT,J1885,Ketorolac tromethamine inj,,,0.3,0.95,51
CPT,J1920,Inj  labetalol hcl  5mg,,,0.27,0.55,35
CPT,J1921,Inj labetalol hcl hikma  5mg,,,1.38,2.28,35
CPT,J1930,Lanreotide injection,,,34.05,74.22,57
CPT,J1931,Laronidase injection,,,38.62,73.76,54
CPT,J1932,Inj  lanreotide  (cipla) 1mg,,,25.67,55.2,57
CPT,J1938,Inj  furosemide  1 mg,,,0.02,0.03,27
CPT,J1939,Inj  bumetanide  0.5 mg,,,0.37,0.96,56
CPT,J1940,Furosemide injection,,,0.39,0.55,10
CPT,J1941,Inj  furoscix  20 mg,,,224.51,243.59,3
CPT,J1943,Inj.  aristada initio  1 mg,,,3.13,6.01,57
CPT,J1944,Aripiprazole lauroxil 1 mg,,,3.23,6.2,57
CPT,J1945,Lepirudin,,,0.01,0.01,3
CPT,J1950,Leuprolide acetate /3.75 mg,,,1617.65,3201.09,57
CPT,J1951,Inj fensolvi 0.25 mg,,,136.48,260.83,57
CPT,J1952,Leuprolide inj  camcevi  1mg,,,53.98,146.0,57
CPT,J1953,Levetiracetam injection,,,0.04,0.08,34
CPT,J1954,Inj leu acet lutr dpt 7.5 mg,,,231.78,1307.34,57
CPT,J1955,Inj levocarnitine per 1 gm,,,23.61,38.67,37
CPT,J1956,Levofloxacin injection,,,1.15,4.06,34
CPT,J1960,Levorphanol tartrate inj,,,0.01,0.01,3
CPT,J1961,Inj  lenacapavir  1 mg,,,21.98,40.98,57
CPT,J1980,Hyoscyamine sulfate inj,,,54.0,58.59,6
CPT,J1990,Chlordiazepoxide injection,,,0.01,0.01,3
CPT,J2002,Inj  lidocaine in d5w  1 mg,,,0.02,0.02,5
CPT,J2004,Inj  lidocaine w epinephrine,,,0.01,0.01,3
CPT,J2010,Lincomycin injection,,,4.5,13.05,37
CPT,J2020,Linezolid injection,,,2.98,5.71,37
CPT,J2021,Inj  linezolid (hospira),,,6.34,20.59,38
CPT,J2060,Lorazepam injection,,,1.35,2.2,34
CPT,J2062,Loxapine for inhalation 1 mg,,,15.0,29.42,16
CPT,J2150,Mannitol injection,,,2.54,6.07,13
CPT,J2151,Inj  mannitol  250 mg,,,0.06,0.1,24
CPT,J2170,Mecasermin injection,,,147.05,159.55,3
CPT,J2175,Meperidine hydrochl /100 mg,,,6.52,25.11,37
CPT,J2182,Injection  mepolizumab  1mg,,,30.44,57.85,57
CPT,J2182,Rx Eap Nucala Charge,80.0,80.0,11.84,64.0,23
CPT,J2183,Inj meropenem (wg crit care),,,1.62,3.0,56
CPT,J2184,Inj  meropenem (b. braun),,,2.07,3.31,37
CPT,J2185,Meropenem,,,0.35,0.67,37
CPT,J2186,Inj.  meropenem  vaborbactam,,,2.09,4.03,24
CPT,J2210,Methylergonovin maleate inj,,,20.72,33.15,37
CPT,J2212,Methylnaltrexone injection,,,0.94,1.45,4
CPT,J2246,Inj  micafungin (baxter),,,0.49,0.98,30
CPT,J2247,Inj  micafungin (par pharm),,,0.31,0.59,38
CPT,J2248,Micafungin sodium injection,,,0.26,0.41,37
CPT,J2249,Inj  remimazolam  1 mg,,,2.07,2.25,3
CPT,J2250,Inj midazolam hydrochloride,,,0.13,0.25,37
CPT,J2251,Inj midazolam in 0.9% nacl,,,0.17,0.33,34
CPT,J2252,Inj midazolam in 0.8% nacl,,,0.07,0.08,3
CPT,J2260,Inj milrinone lactate / 5 mg,,,1.31,2.33,37
CPT,J2265,Minocycline hydrochloride,,,2.51,4.94,24
CPT,J2267,Inj  mirikizumab-mrkz  1 mg,,,39.54,79.64,57
CPT,J2270,Morphine sulfate injection,,,2.18,6.75,37
CPT,J2272,Inj  morphine (fresenius),,,4.06,14.0,37
CPT,J2274,Inj morphine pf epid ithc,,,10.46,19.29,37
CPT,J2277,Inj  motixafortide  0.25 mg,,,25.22,46.66,57
CPT,J2278,Ziconotide injection,,,9.65,18.76,57
CPT,J2280,Inj  moxifloxacin 100 mg,,,8.65,14.42,34
CPT,J2281,Inj moxifloxacin (fres kabi),,,6.17,11.86,35
CPT,J2290,Inj  nafcillin sodium  20 mg,,,0.05,0.09,27
CPT,J2291,Inj  nafcillin (baxter) 20mg,,,0.15,0.24,24
CPT,J2300,Inj nalbuphine hydrochloride,,,3.43,5.93,37
CPT,J2305,Inj  nitroglycerin  5 mg,,,1.41,2.38,35
CPT,J2310,Inj naloxone hydrochloride,,,8.7,12.18,10
CPT,J2311,Inj  naloxone hcl (zimhi),,,1.5,2.09,11
CPT,J2312,Inj naloxone hcl nos  0.01mg,,,0.08,0.12,27
CPT,J2313,Inj  naloxone (zimhi) 0.01mg,,,0.02,0.02,24
CPT,J2315,Naltrexone  depot form,,,4.12,7.84,57
CPT,J2320,Nandrolone decanoate 50 mg,,,0.01,0.01,3
CPT,J2323,Natalizumab injection,,,23.88,44.4,57
CPT,J2325,Nesiritide injection,,,0.01,0.01,3
CPT,J2326,Inj  nusinersen  0.1mg,,,1183.65,2368.46,22
CPT,J2327,Inj risankizumab-rzaa 1 mg,,,14.63,27.64,57
CPT,J2329,Inj ublituximab-xiiy  1 mg,,,69.03,130.89,57
CPT,J2350,Injection  ocrelizumab  1 mg,,,58.77,109.91,57
CPT,J2351,Inj ocrelizumab 1mg hya-ocsq,,,47.23,87.38,44
CPT,J2353,Octreotide injection  depot,,,203.58,376.62,57
CPT,J2354,Octreotide inj  non-depot,,,0.61,1.2,37
CPT,J2355,Oprelvekin injection,,,0.01,0.01,3
CPT,J2356,Inj tezepelumab-ekko  1mg,,,18.01,33.32,57
CPT,J2357,Omalizumab injection,,,37.76,82.51,57
CPT,J2358,Olanzapine long-acting inj,,,2.92,5.4,54
CPT,J2359,Inj. olanzapine  0.5mg,,,0.75,1.4,38
CPT,J2360,Orphenadrine injection,,,8.79,17.9,37
CPT,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.01,3
CPT,J2372,Inj  biorphen  20 micrograms,,,0.17,0.27,38
CPT,J2373,Inj  immphentiv  20 mcg,,,0.14,0.26,56
CPT,J2401,Chloroprocaine hcl injection,,,0.03,0.06,35
CPT,J2402,Chloroprocaine (clorotekal),,,0.31,0.34,3
CPT,J2403,Chloroprocaine opht gel  1mg,,,0.58,1.07,54
CPT,J2404,Inj  nicardipine 0.1 mg,,,0.07,0.76,37
CPT,J2405,Ondansetron hcl injection,,,0.09,0.15,37
CPT,J2406,Injection  oritavancin 10 mg,,,42.48,78.59,57
CPT,J2407,Injection  oritavancin,,,28.46,53.06,57
CPT,J2410,Oxymorphone hcl injection,,,0.01,0.01,3
CPT,J2425,Palifermin injection,,,32.11,65.77,55
CPT,J2426,Inj  invega sustenna  1 mg,,,14.73,27.95,57
CPT,J2427,Inj  invega hafyera/trinza,,,12.62,24.05,57
CPT,J2428,Inj  erzofri  1 mg,,,16.76,31.01,44
CPT,J2430,Pamidronate disodium /30 mg,,,9.64,17.6,37
CPT,J2440,Papaverin hcl injection,,,37.5,40.69,3
CPT,J2468,Inj  palonosetron (posfrea),,,58.24,107.74,44
CPT,J2469,Palonosetron hcl,,,0.36,0.85,37
CPT,J2470,Inj pantoprazole sodium 40mg,,,1.89,4.94,6
CPT,J2471,Inj pantoprazole(hikma) 40mg,,,6.5,7.05,6
CPT,J2472,Inj  pantoprazole sodium chl,,,8.82,8.82,3
CPT,J2501,Paricalcitol,,,0.76,1.52,37
CPT,J2502,Inj  pasireotide long acting,,,479.84,1059.98,48
CPT,J2503,Pegaptanib sodium injection,,,0.01,0.01,3
CPT,J2504,Pegademase bovine  25 iu,,,0.01,0.01,3
CPT,J2506,Inj pegfilgrast ex bio 0.5mg,,,19.98,165.28,57
CPT,J2507,Pegloticase injection,,,3482.15,6772.54,57
CPT,J2508,Pegunigalsidase alfa-iwxj,,,223.55,422.1,57
CPT,J2510,Penicillin g procaine inj,,,40.94,87.3,24
CPT,J2513,Pentastarch 10% solution,,,0.01,0.01,3
CPT,J2515,Pentobarbital sodium inj,,,52.82,57.32,6
CPT,J2540,Penicillin g potassium inj,,,0.75,1.41,37
CPT,J2543,Piperacillin/tazobactam,,,1.07,1.71,37
CPT,J2545,Pentamidine non-comp unit,,,69.73,119.31,34
CPT,J2547,Injection  peramivir,,,1.58,3.11,24
CPT,J2550,Promethazine hcl injection,,,2.95,4.72,37
CPT,J2560,Phenobarbital sodium inj,,,30.17,48.27,37
CPT,J2561,Inj  sezaby  1 mg,,,0.65,2.2,26
CPT,J2562,Plerixafor injection,,,25.33,125.44,57
CPT,J2590,Oxytocin injection,,,1.4,1.52,3
CPT,J2597,Inj desmopressin acetate,,,3.52,8.17,54
CPT,J2598,Inj  vasopressin  1 unit,,,0.93,2.27,35
CPT,J2599,Inj vasopressin (am reg) 1 u,,,0.61,1.86,34
CPT,J2601,Inj  vasopressin (baxter),,,2.01,5.99,52
CPT,J2675,Inj progesterone per 50 mg,,,0.7,1.12,37
CPT,J2679,Inj fluphenazine hcl 1.25 mg,,,7.34,13.58,56
CPT,J2680,Fluphenazine decanoate 25 mg,,,6.71,14.24,37
CPT,J2690,Procainamide hcl injection,,,183.03,761.74,57
CPT,J2700,Oxacillin sodium injeciton,,,0.76,1.26,37
CPT,J2704,Inj  propofol  10 mg,,,0.08,0.14,34
CPT,J2710,Neostigmine methylslfte inj,,,0.75,0.87,6
CPT,J2720,Inj protamine sulfate/10 mg,,,1.08,2.79,37
CPT,J2724,Protein c concentrate,,,1.58,27.82,54
CPT,J2730,Pralidoxime chloride inj,,,86.7,94.07,3
CPT,J2760,Phentolaine mesylate inj,,,367.12,799.24,54
CPT,J2765,Metoclopramide hcl injection,,,0.99,1.74,37
CPT,J2770,Quinupristin/dalfopristin,,,4.26,505.62,24
CPT,J2777,Inj  faricimab-svoa  0.1mg,,,33.88,62.68,57
CPT,J2778,Ranibizumab injection,,,86.38,204.57,57
CPT,J2779,Inj  susvimo 0.1 mg,,,78.93,146.02,57
CPT,J2781,Inj  pegcetacoplan  1mg,,,139.18,257.48,57
CPT,J2782,Inj avacincaptad pegol 0.1mg,,,105.12,194.47,57
CPT,J2783,Rasburicase,,,369.97,698.41,57
CPT,J2785,Regadenoson injection,,,2.88,4.83,37
CPT,J2786,Injection  reslizumab  1mg,,,10.31,20.26,57
CPT,J2787,Riboflavin 5phos opth<3ml,,,2075.0,2251.38,3
CPT,J2788,Rho d immune globulin 50 mcg,,,24.04,40.95,37
CPT,J2790,Rh Immune Globulin- 300 Mcg,131.0,131.0,19.39,104.8,23
CPT,J2790,Rho d immune globulin inj,,,80.14,132.12,37
CPT,J2791,"Njx, Rho(D) Immune Globulin (Human), (Rhophylac)",534.0,534.0,79.03,427.2,23
CPT,J2791,Rhophylac injection,,,4.8,7.77,37
CPT,J2792,Rho(d) immune globulin h  sd,,,25.46,54.22,57
CPT,J2793,Rilonacept injection,,,25.69,27.87,3
CPT,J2794,Inj risperdal consta  0.5 mg,,,10.98,20.31,57
CPT,J2795,Ropivacaine hcl injection,,,0.05,0.1,34
CPT,J2796,Romiplostim injection,,,101.05,158.45,7
CPT,J2797,Inj.  rolapitant  0.5 mg,,,0.01,0.01,3
CPT,J2798,Inj.  perseris  0.5 mg,,,12.14,22.46,57
CPT,J2799,Inj  uzedy  1 mg,,,24.72,46.32,57
CPT,J2800,Methocarbamol injection,,,4.63,10.12,37
CPT,J2801,Inj  rykindo  0.5 mg,,,12.29,24.11,24
CPT,J2802,Inj  romiplostim 1 microgram,,,10.54,20.37,51
CPT,J2804,Inj  rifampin  1 mg,,,0.14,0.23,24
CPT,J2805,Sincalide injection,,,114.39,197.38,34
CPT,J2806,Inj sincalide maia 5 mcg,,,27.33,29.65,3
CPT,J2810,Inj theophylline per 40 mg,,,0.01,0.01,3
CPT,J2820,Sargramostim injection,,,50.37,99.03,57
CPT,J2840,Inj sebelipase alfa 1 mg,,,510.5,998.83,27
CPT,J2850,Inj secretin synthetic human,,,39.38,74.96,24
CPT,J2860,Injection  siltuximab,,,155.97,306.79,54
CPT,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.05,0.07,24
CPT,J2910,Aurothioglucose injeciton,,,0.01,0.01,3
CPT,J2916,Na ferric gluconate complex,,,1.99,3.24,37
CPT,J2919,Inj  methylpred sod succ 5mg,,,0.21,0.45,56
CPT,J2941,Somatropin injection,,,48.92,164.71,27
CPT,J2993,Reteplase injection,,,2777.14,5373.47,24
CPT,J2997,Alteplase recombinant,,,91.47,174.73,54
CPT,J2998,Inj plasminogen tvmh 1mg,,,32.52,60.62,27
CPT,J3000,Streptomycin injection,,,28.26,58.7,37
CPT,J3010,Fentanyl citrate injection,,,0.85,1.76,37
CPT,J3030,Sumatriptan succinate / 6 mg,,,37.0,68.08,6
CPT,J3031,Inj.  fremanezumab-vfrm 1 mg,,,1.85,3.54,4
CPT,J3032,Inj. eptinezumab-jjmr 1 mg,,,18.69,36.94,57
CPT,J3055,Inj talquetamab-tgvs 0.25 mg,,,67.65,134.35,57
CPT,J3060,Inj  taliglucerase alfa 10 u,,,41.11,76.05,54
CPT,J3070,Pentazocine injection,,,0.01,0.01,3
CPT,J3090,Inj tedizolid phosphate,,,1.81,3.63,54
CPT,J3095,Telavancin injection,,,6.38,13.15,54
CPT,J3101,Tenecteplase injection,,,157.72,318.61,54
CPT,J3105,Terbutaline sulfate inj,,,2.14,11.83,37
CPT,J3110,Teriparatide injection,,,50.33,54.61,3
CPT,J3111,Inj. romosozumab-aqqg 1 mg,,,11.17,22.33,57
CPT,J3121,Inj testostero enanthate 1mg,,,0.05,0.08,37
CPT,J3145,Testosterone undecanoate 1mg,,,1.92,3.83,54
CPT,J3230,Chlorpromazine hcl injection,,,25.27,40.43,37
CPT,J3240,Thyrotropin injection,,,2067.91,3915.19,57
CPT,J3241,Inj. teprotumumab-trbw 10 mg,,,343.89,664.5,57
CPT,J3243,Tigecycline injection,,,0.39,0.73,34
CPT,J3244,Inj. tigecycline (accord),,,2.5,2.71,4
CPT,J3245,Inj.  tildrakizumab  1 mg,,,127.45,235.78,57
CPT,J3246,Tirofiban hcl,,,3.48,5.56,35
CPT,J3247,Inj secukinumab intrav 1mg,,,17.54,33.0,57
CPT,J3250,Trimethobenzamide hcl inj,,,50.95,92.01,37
CPT,J3260,Tobramycin sulfate injection,,,1.97,3.8,37
CPT,J3262,Tocilizumab injection,,,5.71,10.56,57
CPT,J3263,Inj  toripalimab-tpzi  1 mg,,,38.87,72.91,57
CPT,J3265,Injection torsemide 10 mg/ml,,,0.01,0.01,3
CPT,J3285,Treprostinil injection,,,54.71,101.21,54
CPT,J3299,Inj xipere 1 mg,,,47.97,88.74,57
CPT,J3300,Triamcinolone a inj prs-free,,,23.6,45.33,44
CPT,J3301,Triamcinolone acet inj nos,,,0.84,1.35,37
CPT,J3303,Triamcinolone hexacetonl inj,,,8.13,8.82,3
CPT,J3304,Inj triamcinolone ace xr 1mg,,,17.75,33.86,57
CPT,J3305,Inj trimetrexate glucoronate,,,0.01,0.01,3
CPT,J3315,Triptorelin pamoate,,,466.73,878.45,57
CPT,J3316,Inj.  triptorelin xr 3.75 mg,,,3409.43,7061.97,51
CPT,J3355,Urofollitropin  75 iu,,,0.01,0.01,3
CPT,J3357,Ustekinumab sub cu inj  1 mg,,,149.4,283.42,33
CPT,J3358,Ustekinumab  iv inject  1 mg,,,12.76,24.03,57
CPT,J3360,Diazepam injection,,,5.83,11.76,37
CPT,J3364,Urokinase 5000 iu injection,,,0.01,0.01,3
CPT,J3365,Urokinase 250 000 iu inj,,,0.01,0.01,3
CPT,J3370,Vancomycin 1gm Vial,24.0,24.0,3.55,19.2,23
CPT,J3370,Vancomycin hcl injection,,,1.86,3.01,10
CPT,J3371,Inj  vancomycin hcl (mylan),,,5.67,7.91,11
CPT,J3372,Inj  vancomycin hcl (xellia),,,6.38,8.95,11
CPT,J3373,Inj  vancomycin hcl  10 mg,,,0.03,0.3,27
CPT,J3374,Inj  vancomycin (mylan) 10mg,,,0.11,0.18,27
CPT,J3375,Inj vancomycin (xellia) 10mg,,,0.14,0.22,27
CPT,J3380,Inj vedolizumab iv 1 mg,,,21.31,39.42,57
CPT,J3385,Velaglucerase alfa,,,370.2,705.52,57
CPT,J3391,Inj  atidarsagene autotemcel,,,4250000.0,8334250.0,17
CPT,J3392,Inj  exagamglogene autotem,,,2200000.0,4314200.0,23
CPT,J3393,Inj  betibeglogene autotemce,,,0.01,5449619.0,27
CPT,J3394,Inj  lovotibeglogene autotem,,,0.01,6009624.58,27
CPT,J3396,Verteporfin injection,,,11.5,21.35,57
CPT,J3397,Inj.  vestronidase alfa-vjbk,,,263.7,517.87,16
CPT,J3398,Inj luxturna 1 billion vec g,,,0.01,5554.77,22
CPT,J3399,Inj onase abepar-xioi treat,,,0.01,4541954.63,22
CPT,J3401,Vyjuvek 5x10^9pfu/ml  0.1 ml,,,996.96,1897.06,57
CPT,J3402,Inj. remestemcel-l-rknd/ td,,,205640.0,380434.0,40
CPT,J3403,Revakinagene  per implant,,,257500.0,476375.0,13
CPT,J3410,Hydroxyzine hcl injection,,,12.31,24.48,37
CPT,J3411,Thiamine hcl 100 mg,,,1.76,2.91,34
CPT,J3415,Pyridoxine hcl 100 mg,,,6.05,24.61,34
CPT,J3420,Vitamin B-12 1000mg,32.0,32.0,4.74,25.6,23
CPT,J3420,Vitamin b12 injection,,,1.01,1.61,37
CPT,J3424,Inj hydroxocobalamin iv 25mg,,,4.99,9.6,24
CPT,J3425,Hydroxocobalamin im 10mcg,,,0.01,0.02,56
CPT,J3430,Vitamin k phytonadione inj,,,2.21,4.36,37
CPT,J3465,Injection  voriconazole,,,0.77,1.24,34
CPT,J3470,Hyaluronidase injection,,,30.07,60.54,32
CPT,J3471,Ovine  up to 999 usp units,,,0.5,0.8,27
CPT,J3472,Ovine  1000 usp units,,,0.01,0.01,3
CPT,J3473,Hyaluronidase recombinant,,,0.36,0.58,34
CPT,J3475,Inj magnesium sulfate,,,0.47,0.77,37
CPT,J3480,Inj potassium chloride,,,0.1,0.18,37
CPT,J3485,Zidovudine,,,1.51,2.42,34
CPT,J3486,Ziprasidone mesylate,,,6.83,10.92,37
CPT,J3489,Zoledronic acid 1mg,,,5.06,9.03,37
CPT,J3520,Edetate disodium per 150 mg,,,0.01,0.01,3
CPT,J3590,Rx Dupixent 200mg Solution,4200.0,4200.0,621.6,3360.0,23
CPT,J3590,Rx Dupixent 300mg Solution,4200.0,4200.0,621.6,3360.0,23
CPT,J7030,Normal saline solution infus,,,1.95,3.58,37
CPT,J7040,Normal saline solution infus,,,1.25,2.02,37
CPT,J7042,5% dextrose/normal saline,,,1.14,2.26,37
CPT,J7050,Normal saline solution infus,,,0.63,1.04,37
CPT,J7060,5% dextrose/water,,,1.8,2.89,37
CPT,J7070,D5w infusion,,,3.11,5.1,37
CPT,J7100,Dextran 40 infusion,,,39.04,42.36,3
CPT,J7110,Dextran 75 infusion,,,0.01,0.01,3
CPT,J7120,Ringers lactate infusion,,,2.41,3.85,37
CPT,J7121,5% dextrose in lac ringers,,,7.98,8.66,3
CPT,J7131,Hypertonic saline sol,,,0.15,0.16,3
CPT,J7165,Inj  human-lans  per i.u,,,1.32,3.42,24
CPT,J7168,Prothrombin complex kcentra,,,2.14,3.96,24
CPT,J7169,Inj andexxa  10 mg,,,125.0,243.05,24
CPT,J7170,Inj.  emicizumab-kxwh 0.5 mg,,,52.02,103.79,54
CPT,J7171,Inj  adzynma  10 iu,,,34.57,65.84,57
CPT,J7172,Inj marstacim-hncq  0.5 mg,,,51.1,94.54,38
CPT,J7173,Inj. concizumab-mtci  0.5 mg,,,86.41,159.86,37
CPT,J7174,Injection fitusiran 0.04 mg,,,133.25,246.51,13
CPT,J7175,Inj  factor x  (human)  1iu,,,9.11,18.09,54
CPT,J7177,Inj.  fibryga  1 mg,,,1.11,2.28,57
CPT,J7178,Inj human fibrinogen con nos,,,1.45,2.81,57
CPT,J7179,Vonvendi inj 1 iu vwf:rco,,,1.85,3.42,54
CPT,J7180,Factor xiii anti-hem factor,,,10.16,19.91,54
CPT,J7181,Factor xiii recomb a-subunit,,,17.17,33.6,54
CPT,J7182,Factor viii recomb novoeight,,,1.38,2.85,54
CPT,J7183,Wilate injection,,,1.28,2.39,54
CPT,J7185,Xyntha inj,,,1.48,3.09,54
CPT,J7186,Antihemophilic viii/vwf comp,,,1.2,2.31,54
CPT,J7187,Humate-p  inj,,,1.4,2.76,54
CPT,J7188,Factor viii recomb obizur,,,3.22,5.98,54
CPT,J7189,Factor viia recomb novoseven,,,2.52,4.92,54
CPT,J7189,Novoseven F7 2.0,10222.0,10222.0,1512.86,8177.6,23
CPT,J7190,Factor viii,,,1.09,2.02,54
CPT,J7192,Factor viii recombinant nos,,,1.54,2.98,54
CPT,J7193,Factor ix non-recombinant,,,1.34,2.59,54
CPT,J7194,Factor ix complex,,,1.65,3.15,54
CPT,J7195,Factor ix recombinant nos,,,1.84,3.42,54
CPT,J7196,Antithrombin recombinant,,,140.5,152.44,3
CPT,J7197,Anti-Thrombin III,6.0,6.0,0.89,4.8,23
CPT,J7197,Antithrombin iii injection,,,3.85,7.59,54
CPT,J7198,Anti-inhibitor,,,2.34,4.46,54
CPT,J7200,Factor ix recombinan rixubis,,,1.65,2.7,35
CPT,J7201,Factor ix alprolix recomb,,,3.58,6.64,54
CPT,J7202,Factor ix idelvion inj,,,5.05,9.84,54
CPT,J7203,Factor ix recomb gly rebinyn,,,4.39,8.25,54
CPT,J7204,Inj recombin esperoct per iu,,,2.17,4.11,54
CPT,J7205,Factor viii fc fusion recomb,,,2.34,4.5,54
CPT,J7207,Factor viii pegylated recomb,,,2.1,3.89,54
CPT,J7208,Inj. jivi 1 iu,,,2.44,4.9,54
CPT,J7209,Factor viii nuwiq recomb 1iu,,,1.12,2.07,54
CPT,J7210,Inj  afstyla  1 i.u.,,,1.46,2.9,54
CPT,J7211,Inj  kovaltry  1 i.u.,,,1.48,2.9,54
CPT,J7212,Factor viia recomb sevenfact,,,2.3,3.79,35
CPT,J7213,Inj  ixinity  1 i.u.,,,1.81,3.63,54
CPT,J7214,Altuviiio per factor viii iu,,,4.64,8.62,54
CPT,J7294,Seg acet and eth estr yearly,,,2420.54,2626.29,3
CPT,J7295,Eth estr and eton monthly,,,122.72,133.15,3
CPT,J7296,Kyleena  19.5 mg,,,1156.79,1255.12,6
CPT,J7297,Liletta  52 mg,,,887.36,962.79,6
CPT,J7298,Mirena  52 mg,,,1156.79,1255.12,6
CPT,J7300,Intraut copper contraceptive,,,1085.0,1177.23,6
CPT,J7301,Skyla  13.5 mg,,,963.22,1045.09,6
CPT,J7307,Etonogestrel implant system,,,1156.28,1254.56,6
CPT,J7308,Aminolevulinic acid hcl top,,,392.09,725.37,54
CPT,J7309,Methyl aminolevulinate  top,,,0.01,0.01,3
CPT,J7310,Ganciclovir long act implant,,,0.01,0.01,3
CPT,J7311,Inj.  retisert  0.01 mg,,,333.23,629.57,54
CPT,J7312,Dexamethasone intra implant,,,204.61,378.53,57
CPT,J7313,Inj.  iluvien  0.01 mg,,,493.68,921.56,57
CPT,J7314,Inj.  yutiq  0.01 mg,,,525.89,980.3,57
CPT,J7315,Ophthalmic mitomycin,,,430.0,466.55,3
CPT,J7316,Inj  ocriplasmin  0.125 mg,,,0.01,0.01,3
CPT,J7318,Inj  durolane 1 mg,,,6.7,12.52,54
CPT,J7320,Genvisc 850  inj  1mg,,,5.77,10.67,54
CPT,J7321,Hyalgan supartz visco-3 dose,,,71.52,114.44,37
CPT,J7322,Hymovis injection 1 mg,,,17.42,32.6,54
CPT,J7323,Euflexxa inj per dose,,,112.45,212.37,54
CPT,J7324,Orthovisc inj per dose,,,92.14,211.9,54
CPT,J7325,Synvisc or synvisc-one,,,7.95,15.26,54
CPT,J7326,Gel-one,,,526.38,979.13,54
CPT,J7327,Monovisc inj per dose,,,555.01,1177.69,54
CPT,J7328,Gelsyn-3 injection 0.1 mg,,,0.56,1.11,35
CPT,J7329,Inj  trivisc 1 mg,,,4.69,10.07,54
CPT,J7330,Cultured chondrocytes implnt,,,60665.0,65821.53,3
CPT,J7331,Synojoynt  inj.  1 mg,,,3.63,13.36,35
CPT,J7332,Inj.  triluron  1 mg,,,10.09,19.0,54
CPT,J7336,Capsaicin 8% patch,,,3.33,6.33,54
CPT,J7340,Carbidopa levodopa ent 100ml,,,235.06,450.68,54
CPT,J7342,Ciprofloxacin otic susp 6 mg,,,28.32,30.73,4
CPT,J7345,Aminolevulinic acid  10% gel,,,1.72,3.31,54
CPT,J7351,Inj bimatoprost itc imp1mcg,,,209.86,395.6,57
CPT,J7352,Afamelanotide implant  1 mg,,,2423.63,5445.33,24
CPT,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,56.99,107.87,24
CPT,J7354,Cantharidin top  applicator,,,654.76,1211.31,57
CPT,J7355,Inj travoprost intra impl,,,186.0,362.08,51
CPT,J7356,Inj foscarb/foslevodopa 5 mg,,,0.71,1.13,24
CPT,J7402,Mometasone sinus sinuva,,,11.35,21.0,57
CPT,J7500,Azathioprine oral 50mg,,,0.06,2.25,34
CPT,J7501,Azathioprine parenteral,,,228.97,470.03,24
CPT,J7502,Cyclosporine oral 100 mg,,,2.04,3.33,34
CPT,J7503,Tacrol envarsus ex rel oral,,,1.77,2.93,34
CPT,J7504,Lymphocyte immune globulin,,,3968.45,9499.92,54
CPT,J7505,Monoclonal antibodies,,,0.01,0.01,3
CPT,J7507,Tacrolimus imme rel oral 1mg,,,0.17,0.35,34
CPT,J7508,Tacrol astagraf ex rel oral,,,0.57,0.94,34
CPT,J7509,Methylprednisolone oral,,,0.11,0.34,34
CPT,J7510,Prednisolone oral per 5 mg,,,0.23,0.6,34
CPT,J7511,Antithymocyte globuln rabbit,,,950.26,1848.83,54
CPT,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.01,34
CPT,J7513,Daclizumab  parenteral,,,0.01,0.01,3
CPT,J7515,Cyclosporine oral 25 mg,,,0.8,1.28,34
CPT,J7516,Inj  cyclosporine 250mg,,,68.41,116.13,32
CPT,J7517,Mycophenolate mofetil oral,,,0.15,0.25,34
CPT,J7518,Mycophenolic acid,,,0.34,0.62,34
CPT,J7519,Inj. mycophenolate mofetil,,,0.36,0.73,35
CPT,J7520,Sirolimus  oral,,,0.87,1.86,34
CPT,J7521,Tacrolim granules oral susp,,,1.31,2.1,24
CPT,J7525,Tacrolimus injection,,,254.67,486.83,54
CPT,J7527,Oral everolimus,,,1.37,3.08,34
CPT,J7601,Ensifentrine inh 3 mg,,,52.12,83.39,24
CPT,J7605,Arformoterol non-comp unit,,,0.68,1.13,34
CPT,J7606,Formoterol fumarate  inh,,,1.89,4.36,34
CPT,J7608,Acetylcysteine non-comp unit,,,7.77,13.85,34
CPT,J7609,Albuterol comp unit,,,0.75,0.81,3
CPT,J7611,Albuterol non-comp con,,,0.16,0.27,34
CPT,J7612,Levalbuterol non-comp con,,,0.23,0.44,34
CPT,J7613,Albuterol non-comp unit,,,0.07,0.12,34
CPT,J7614,Levalbuterol non-comp unit,,,0.08,0.15,34
CPT,J7620,Albuterol ipratrop non-comp,,,0.19,0.31,34
CPT,J7626,Budesonide non-comp unit,,,1.23,2.16,34
CPT,J7627,Budesonide comp unit,,,0.3,0.33,3
CPT,J7631,Cromolyn sodium noncomp unit,,,0.21,0.7,34
CPT,J7633,Budesonide non-comp con,,,0.01,0.01,3
CPT,J7639,Dornase alfa non-comp unit,,,53.48,88.26,34
CPT,J7644,Ipratropium bromide non-comp,,,0.36,0.62,34
CPT,J7665,Mannitol for inhaler,,,6.58,7.14,3
CPT,J7669,Metaproterenol non-comp unit,,,0.01,0.01,3
CPT,J7674,Methacholine chloride  neb,,,1.55,2.81,34
CPT,J7677,Revefenacin inh non-com 1mcg,,,0.19,0.3,34
CPT,J7682,Tobramycin non-comp unit,,,15.95,25.95,34
CPT,J7686,Treprostinil  non-comp unit,,,760.15,1273.75,34
CPT,J8501,Oral aprepitant,,,2.73,4.56,34
CPT,J8510,Oral busulfan,,,84.21,155.79,23
CPT,J8515,Cabergoline  oral 0.25mg,,,2.92,3.17,3
CPT,J8522,Capecitabine  oral  50 mg,,,0.04,0.12,53
CPT,J8530,Cyclophosphamide oral 25 mg,,,0.84,1.76,34
CPT,J8540,Oral dexamethasone,,,0.02,0.06,34
CPT,J8541,Oral  hemady  0.25 mg,,,0.34,0.37,3
CPT,J8560,Etoposide oral 50 mg,,,76.52,123.94,35
CPT,J8562,Oral fludarabine phosphate,,,0.01,0.01,3
CPT,J8565,Gefitinib oral,,,140.21,152.13,3
CPT,J8600,Melphalan oral 2 mg,,,9.16,9.94,3
CPT,J8610,Methotrexate oral 2.5 mg,,,0.18,0.32,34
CPT,J8611,Oral methotrexate (jylamvo),,,18.26,34.17,48
CPT,J8612,Oral methotrexate (xatmep),,,19.12,41.96,48
CPT,J8650,Nabilone oral,,,0.01,0.01,3
CPT,J8655,Oral netupitant  palonosetro,,,399.87,782.35,54
CPT,J8670,Rolapitant  oral  1mg,,,1.58,3.44,54
CPT,J8700,Temozolomide,,,0.27,0.73,34
CPT,J8705,Topotecan oral,,,124.83,199.73,35
CPT,J9000,Doxorubicin hcl injection,,,3.02,4.83,37
CPT,J9011,Datopotamab deruxtecan  1 mg,,,51.56,95.39,40
CPT,J9015,Aldesleukin injection,,,3943.0,9807.33,24
CPT,J9017,Arsenic trioxide injection,,,4.68,15.08,57
CPT,J9019,Erwinaze injection,,,403.08,437.34,3
CPT,J9020,Asparaginase  nos,,,0.01,0.01,3
CPT,J9021,Inj  aspara  rylaze  0.1 mg,,,52.79,102.62,57
CPT,J9022,Inj  atezolizumab 10 mg,,,86.24,168.98,57
CPT,J9023,Injection  avelumab  10 mg,,,95.18,185.17,57
CPT,J9024,Inj atezolizumb 5mg hya-tqjs,,,31.58,58.42,44
CPT,J9025,Azacitidine injection,,,0.29,0.91,37
CPT,J9026,Inj  tarlatamab-dlle  1 mg,,,1564.64,2894.58,47
CPT,J9027,Clofarabine injection,,,4.19,26.42,57
CPT,J9028,Inj  nogapendekin pmln  1mcg,,,94.66,175.12,51
CPT,J9029,Instill adstiladrin  tx dose,,,63342.28,117183.22,57
CPT,J9030,Bcg live intravesical 1mg,,,2.99,5.22,37
CPT,J9032,Injection  belinostat  10mg,,,50.09,97.07,57
CPT,J9033,Inj  bendamustine hcl  1mg,,,1.8,7.57,57
CPT,J9034,Inj.  bendeka 1 mg,,,12.95,24.96,57
CPT,J9035,Bevacizumab injection,,,72.7,135.42,57
CPT,J9036,Inj. belrapzo/bendamustine,,,11.99,28.26,55
CPT,J9037,Inj belantamab mafodot blmf,,,41.73,68.85,7
CPT,J9038,Inj axatilimab-csfr 0.1 mg,,,55.65,102.95,41
CPT,J9039,Injection  blinatumomab,,,152.18,303.86,57
CPT,J9040,Bleomycin sulfate injection,,,20.91,34.44,37
CPT,J9041,Injection  bortezomib  0.1mg,,,1.57,4.47,38
CPT,J9042,Brentuximab vedotin inj,,,239.86,478.48,57
CPT,J9043,Cabazitaxel injection,,,216.46,420.47,57
CPT,J9045,Carboplatin injection,,,2.47,4.73,37
CPT,J9046,Inj  bortezomib  dr. reddys,,,4.91,49.69,24
CPT,J9047,Injection  carfilzomib  1 mg,,,49.58,102.95,57
CPT,J9048,Inj  bortezomib freseniuskab,,,5.04,49.69,24
CPT,J9049,Inj  bortezomib  hospira,,,1.44,2.35,38
CPT,J9050,Carmustine injection,,,182.32,461.55,57
CPT,J9051,Inj  bortezomib (maia),,,3.43,3.72,3
CPT,J9052,Inj  carmustine (accord),,,0.05,480.45,27
CPT,J9054,Inj bortezomib boruzu 0.1 mg,,,26.15,48.38,41
CPT,J9055,Cetuximab injection,,,75.48,144.98,57
CPT,J9056,Inj  vivimusta  1 mg,,,27.84,55.22,57
CPT,J9057,Inj.  copanlisib  1 mg,,,87.56,147.11,10
CPT,J9058,Inj apotex/bendamustine 1 mg,,,15.22,34.29,7
CPT,J9059,Inj bendamustine baxter 1mg,,,15.22,34.29,6
CPT,J9060,Cisplatin 10 mg injection,,,2.29,3.67,37
CPT,J9061,Inj  amivantamab-vmjw,,,20.67,41.7,57
CPT,J9063,Inj  elahere  1 mg,,,66.76,128.56,57
CPT,J9065,Inj cladribine per 1 mg,,,10.22,19.87,57
CPT,J9070,Cyclophosphamide 100 mg inj,,,33.25,33.25,1
CPT,J9071,Inj cyclophosphamd auromedic,,,0.63,1.62,54
CPT,J9072,Inj cyclophos avyxa 5mg,,,3.65,16.85,47
CPT,J9073,Inj cyclophos dr reddys 5 mg,,,0.78,3.61,57
CPT,J9074,Inj  cyclophosphamd  sandoz,,,3.94,7.29,55
CPT,J9075,Inj  cyclophosphamide  nos,,,0.48,1.45,57
CPT,J9076,Inj  cyclophos (baxter) 5mg,,,5.01,9.27,37
CPT,J9098,Cytarabine liposome inj,,,0.01,0.01,3
CPT,J9100,Cytarabine hcl 100 mg inj,,,0.77,1.33,37
CPT,J9118,Inj. calaspargase pegol-mknl,,,76.53,151.85,50
CPT,J9119,Inj.  cemiplimab-rwlc  1 mg,,,28.21,54.19,57
CPT,J9120,Dactinomycin injection,,,282.13,607.43,57
CPT,J9130,Dacarbazine 100 mg inj,,,3.45,5.96,37
CPT,J9144,Daratumumab  hyaluronidase,,,51.39,102.8,57
CPT,J9145,Injection  daratumumab 10 mg,,,65.12,132.03,57
CPT,J9150,Daunorubicin injection,,,20.75,43.56,57
CPT,J9151,Daunorubicin citrate inj,,,0.01,0.01,3
CPT,J9153,Inj daunorubicin  cytarabine,,,242.5,473.77,57
CPT,J9155,Degarelix injection,,,4.18,8.23,57
CPT,J9171,Docetaxel injection,,,0.63,1.11,37
CPT,J9172,Docetaxel (docivyx)  1 mg,,,49.5,93.94,55
CPT,J9173,Inj.  durvalumab  10 mg,,,81.82,157.47,57
CPT,J9174,Inj  docetaxel (beizray) 1mg,,,52.47,97.07,14
CPT,J9175,Elliotts b solution per ml,,,10.2,11.07,3
CPT,J9176,Injection  elotuzumab  1mg,,,7.58,14.6,57
CPT,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.65,67.97,57
CPT,J9178,Inj  epirubicin hcl  2 mg,,,1.62,3.38,37
CPT,J9179,Eribulin mesylate injection,,,89.34,219.98,57
CPT,J9181,Etoposide injection,,,0.94,1.92,37
CPT,J9185,Fludarabine phosphate inj,,,68.2,277.7,57
CPT,J9190,Fluorouracil injection,,,1.99,3.35,37
CPT,J9196,Inj gemcitabine hcl (accord),,,5.29,11.89,35
CPT,J9198,Inj. infugem  100 mg,,,38.0,41.23,4
CPT,J9200,Floxuridine injection,,,3858.03,7636.84,57
CPT,J9201,In gemcitabine hcl nos 200mg,,,2.79,5.0,37
CPT,J9202,Goserelin acetate implant,,,674.77,1357.29,54
CPT,J9203,Gemtuzumab ozogamicin 0.1 mg,,,229.67,437.75,57
CPT,J9204,Inj mogamulizumab-kpkc  1 mg,,,238.85,459.73,57
CPT,J9205,Inj irinotecan liposome 1 mg,,,64.22,122.1,57
CPT,J9206,Irinotecan injection,,,1.75,3.49,37
CPT,J9207,Ixabepilone injection,,,134.06,257.54,57
CPT,J9208,Ifosfamide injection,,,24.92,40.33,37
CPT,J9209,Mesna injection,,,1.58,2.97,37
CPT,J9210,Inj.  emapalumab-lzsg  1 mg,,,376.57,711.97,52
CPT,J9211,Idarubicin hcl injection,,,36.67,65.16,34
CPT,J9212,Interferon alfacon-1 inj,,,0.01,0.01,3
CPT,J9213,Interferon alfa-2a inj,,,0.01,0.01,3
CPT,J9214,Interferon alfa-2b inj,,,28.66,33.34,4
CPT,J9215,Interferon alfa-n3 inj,,,30.0,32.55,3
CPT,J9216,Interferon gamma 1-b inj,,,8142.11,8834.19,3
CPT,J9217,Leuprolide acetate suspnsion,,,163.19,326.43,57
CPT,J9218,Leuprolide acetate injeciton,,,8.91,12.84,11
CPT,J9219,Leuprolide acetate implant,,,0.01,0.01,3
CPT,J9220,Indigotindisulfonate sod 1mg,,,9.96,18.43,14
CPT,J9223,Inj. lurbinectedin  0.1 mg,,,203.6,383.19,57
CPT,J9225,Vantas implant,,,1567.97,5288.14,4
CPT,J9226,Supprelin la implant,,,45020.65,83288.2,57
CPT,J9227,Inj. isatuximab-irfc 10 mg,,,78.05,151.52,57
CPT,J9228,Ipilimumab injection,,,176.88,339.44,57
CPT,J9229,Inj inotuzumab ozogam 0.1 mg,,,2618.85,4991.39,57
CPT,J9230,Mechlorethamine hcl inj,,,0.01,0.01,3
CPT,J9245,Inj melpha hydroch nos 50 mg,,,95.9,259.22,57
CPT,J9246,Inj.  evomela  1 mg,,,17.35,34.23,54
CPT,J9247,Inj- melphalan flufenami 1mg,,,0.01,0.01,3
CPT,J9248,Inj melphalan (hepzato) 1 mg,,,730.0,1470.75,52
CPT,J9249,Inj  melphalan (apotex) 1 mg,,,61.11,119.84,17
CPT,J9259,Paclitaxel (american regent),,,14.79,25.49,5
CPT,J9260,Inj methotrexate sodium 50mg,,,2.72,4.51,37
CPT,J9261,Nelarabine injection,,,66.55,147.74,57
CPT,J9262,Inj  omacetaxine mep  0.01mg,,,3.8,12.36,10
CPT,J9263,Oxaliplatin,,,0.06,0.13,37
CPT,J9264,Paclitaxel protein bound,,,10.54,22.34,57
CPT,J9266,Pegaspargase injection,,,27070.53,52584.51,57
CPT,J9267,Paclitaxel injection,,,0.1,0.22,37
CPT,J9268,Pentostatin injection,,,2541.77,4825.1,57
CPT,J9269,Inj. tagraxofusp-erzs 10 mcg,,,338.89,660.32,57
CPT,J9271,Inj pembrolizumab,,,57.6,111.54,57
CPT,J9272,Inj  dostarlimab-gxly  10 mg,,,236.4,450.86,57
CPT,J9273,Inj tisotu vedotin-tftv  1mg,,,181.6,349.21,57
CPT,J9274,Inj  tebentafusp-tebn  1 mcg,,,214.76,401.62,57
CPT,J9276,Inj zanidatamab-hrii  2 mg,,,25.05,46.34,41
CPT,J9280,Mitomycin injection,,,20.35,76.48,57
CPT,J9281,Mitomycin instillation,,,307.34,589.28,57
CPT,J9285,Inj  olaratumab  10 mg,,,0.01,0.01,3
CPT,J9286,Inj glofitamab gxbm  2.5 mg,,,2701.04,5120.58,57
CPT,J9289,Inj nivolumab 2 mg hyaluron,,,27.36,50.62,41
CPT,J9292,Inj  pemetrexed dipotassium,,,82.34,152.33,44
CPT,J9293,Mitoxantrone hydrochl / 5 mg,,,23.88,100.35,57
CPT,J9294,Inj pemetrexed  hospira 10mg,,,0.62,6.57,54
CPT,J9295,Injection  necitumumab  1 mg,,,5.73,10.6,57
CPT,J9296,Inj pemetrexed (accord) 10mg,,,9.66,18.02,48
CPT,J9297,Inj pemetrexed (sandoz) 10mg,,,1.28,2.81,35
CPT,J9298,Inj nivol relatlimab 3mg/1mg,,,190.46,365.99,57
CPT,J9299,Injection  nivolumab,,,31.75,60.98,57
CPT,J9301,Obinutuzumab inj,,,74.59,146.15,57
CPT,J9302,Ofatumumab injection,,,60.34,115.13,27
CPT,J9303,Panitumumab injection,,,159.33,320.11,57
CPT,J9304,Inj. pemetrexed  10 mg,,,46.32,86.96,57
CPT,J9305,Inj. pemetrexed nos 10mg,,,3.92,8.7,57
CPT,J9306,Injection  pertuzumab  1 mg,,,16.12,31.49,57
CPT,J9307,Pralatrexate injection,,,373.77,726.37,57
CPT,J9308,Injection  ramucirumab,,,71.07,137.57,57
CPT,J9309,Inj  polatuzumab vedotin 1mg,,,129.78,252.84,57
CPT,J9311,Inj rituximab  hyaluronidase,,,36.58,67.88,57
CPT,J9312,Inj.  rituximab  10 mg,,,75.22,139.16,57
CPT,J9313,Inj.  lumoxiti  0.01 mg,,,22.07,43.27,24
CPT,J9314,Inj pemetrexed (teva) 10mg,,,3.98,28.75,54
CPT,J9316,Pertuzu  trastuzu  10 mg,,,62.1,114.89,57
CPT,J9317,Sacituzumab govitecan-hziy,,,34.67,67.12,57
CPT,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,52.76,48
CPT,J9319,Inj romidepsin lyophil 0.1mg,,,29.86,56.94,57
CPT,J9320,Streptozocin injection,,,349.23,378.91,4
CPT,J9321,Inj epcoritamab-bysp 0.16 mg,,,54.17,103.3,57
CPT,J9322,Inj pemetrexed (bluepoint),,,9.61,19.61,16
CPT,J9323,Inj pemetrexed ditromethamin,,,0.13,17.41,48
CPT,J9324,Inj  pemrydi rtu  10 mg,,,75.81,140.25,55
CPT,J9325,Inj talimogene laherparepvec,,,70.36,136.79,57
CPT,J9328,Temozolomide injection,,,10.39,19.22,57
CPT,J9329,Inj  tislelizumab-jsgr,,,57.45,928.6,47
CPT,J9330,Temsirolimus injection,,,26.71,50.03,57
CPT,J9331,Inj sirolimus prot part 1 mg,,,84.57,194.09,57
CPT,J9332,Inj efgartigimod 2mg,,,32.15,59.48,57
CPT,J9333,Inj ronzanolixizum-noli 1 mg,,,22.8,42.86,57
CPT,J9334,Inj efgart-alfa 2mg hya-qvfc,,,33.1,62.7,57
CPT,J9340,Thiotepa injection,,,209.02,404.33,16
CPT,J9341,Inj thiotepa (tepylute) 1 mg,,,37.14,37.14,3
CPT,J9342,Inj thiotepa nos 1 mg,,,10.54,19.5,41
CPT,J9345,Inj  retifanlimab-dlwr  1 mg,,,29.2,56.54,57
CPT,J9347,Inj  tremelimumab-actl  1 mg,,,135.45,260.67,57
CPT,J9348,Inj. naxitamab-gqgk  1 mg,,,642.15,1269.1,57
CPT,J9349,Inj.  tafasitamab-cxix,,,13.71,26.47,57
CPT,J9350,Inj mosunetuzumab-axgb  1 mg,,,635.47,1211.07,57
CPT,J9351,Topotecan injection,,,1.62,4.07,37
CPT,J9352,Injection trabectedin 0.1mg,,,362.75,723.48,57
CPT,J9353,Inj. margetuximab-cmkb  5 mg,,,48.21,97.11,57
CPT,J9354,Inj  ado-trastuzumab emt 1mg,,,40.45,78.0,57
CPT,J9355,Inj trastuzumab excl biosimi,,,75.03,138.81,57
CPT,J9356,Inj. herceptin hylecta  10mg,,,61.44,113.66,57
CPT,J9357,Valrubicin injection,,,1323.35,2448.2,57
CPT,J9358,Inj fam-trastu deru-nxki 1mg,,,27.81,55.46,57
CPT,J9359,Inj lon tesirin-lpyl 0.075mg,,,206.38,401.27,57
CPT,J9360,Vinblastine sulfate inj,,,4.43,8.48,37
CPT,J9370,Vincristine sulfate 1 mg inj,,,8.21,13.16,37
CPT,J9371,Inj vincristine sul lip 1mg,,,5644.29,5644.29,1
CPT,J9376,Inj pozelimab-bbfg  1 mg,,,86.54,169.7,16
CPT,J9380,Inj teclistamab cqyv 0.5 mg,,,31.98,62.12,57
CPT,J9381,Inj teplizumab mzwv 5 mcg,,,36.9,69.67,57
CPT,J9382,Inj zenocutuzumab-zbco 1 mg,,,32.91,60.88,41
CPT,J9390,Vinorelbine tartrate inj,,,6.5,12.29,37
CPT,J9393,Inj  fulvestrant (teva),,,20.0,85.49,24
CPT,J9394,Inj  fulvestrant (fresenius),,,3.49,73.93,57
CPT,J9395,Injection  fulvestrant,,,6.66,12.45,57
CPT,J9400,Inj  ziv-aflibercept  1mg,,,6.5,14.58,57
CPT,J9600,Porfimer sodium injection,,,23323.0,44822.58,24
CPT,K0672,Removable soft interface le,,,102.71,190.01,16
CPT,L0112,Cranial cervical orthosis,,,945.27,3136.64,19
CPT,L0113,Cranial cervical torticollis,,,345.47,639.12,16
CPT,L0120,Cerv flex n/adj foam pre ots,,,18.9,62.7,19
CPT,L0130,Flex thermoplastic collar mo,,,136.63,453.38,19
CPT,L0140,Cervical semi-rigid adjustab,,,47.14,156.44,19
CPT,L0150,Cerv semi-rig adj molded chn,,,78.62,260.89,19
CPT,L0150,Cervical Collar,202.0,202.0,29.9,161.6,23
CPT,L0160,Cerv sr wire occ/man pre ots,,,111.94,371.46,19
CPT,L0170,Cervical collar molded to pt,,,473.7,1571.87,19
CPT,L0170,Neck Ext. Splint,94.0,94.0,13.91,75.2,23
CPT,L0172,Aspen Collar,524.0,524.0,77.55,419.2,23
CPT,L0172,Cerv col sr foam 2pc pre ots,,,96.05,318.7,19
CPT,L0174,Cerv sr 2pc thor ext pre ots,,,172.54,572.54,19
CPT,L0174,Miami Collar,938.0,938.0,138.82,750.4,23
CPT,L0180,Cer post col occ/man sup adj,,,234.66,778.63,19
CPT,L0190,Cerv collar supp adj cerv ba,,,353.24,1172.14,19
CPT,L0200,Cerv col supp adj bar & thor,,,324.35,1076.29,19
CPT,L0200,Cervical Thoracic Orthosis(Cto,1679.0,1679.0,248.49,1343.2,23
CPT,L0220,Thor rib belt custom fabrica,,,76.93,255.26,19
CPT,L0430,Dewall posture protector,,,939.43,939.43,3
CPT,L0450,Tlso flex trunk/thor pre ots,,,126.99,261.39,19
CPT,L0452,Tlso flex custom fab thoraci,,,918.49,918.49,3
CPT,L0454,Tlso trnk sj-t9 pre cst,,,234.23,777.26,19
CPT,L0455,Tlso flex trnk sj-t9 pre ots,,,262.28,485.22,19
CPT,L0456,Tlso flex trnk sj-ss pre cst,,,671.72,2228.92,19
CPT,L0457,Tlso flex trnk sj-ss pre ots,,,752.15,1391.48,19
CPT,L0458,Tlso 2mod symphis-xipho pre,,,602.33,1998.68,19
CPT,L0460,Tlso 2 shl symphys-stern cst,,,677.97,2249.69,19
CPT,L0462,Tlso 3mod sacro-scap pre,,,843.28,2798.22,19
CPT,L0464,Tlso 4mod sacro-scap pre,,,1003.91,3331.17,19
CPT,L0466,Tlso r fram soft ant pre cst,,,258.14,856.57,19
CPT,L0467,Tlso r fram soft pre ots,,,289.91,544.2,19
CPT,L0468,Tlso rig fram pelvic pre cst,,,323.65,1074.02,19
CPT,L0469,Tlso rig fram pelvic pre ots,,,363.47,693.4,19
CPT,L0470,Tlso rigid frame pre subclav,,,460.79,1528.97,19
CPT,L0472,Jewett Brace,1496.0,1496.0,221.41,1196.8,23
CPT,L0472,Tlso rigid frame hyperex pre,,,289.23,959.74,19
CPT,L0480,Tlso rigid plastic custom fa,,,894.38,2967.75,19
CPT,L0482,Tlso rigid lined custom fab,,,1025.28,3402.17,19
CPT,L0484,Tlso rigid plastic cust fab,,,1195.46,3966.84,19
CPT,L0486,Custom to Fit Tlso,6431.0,6431.0,951.79,5144.8,23
CPT,L0486,Tlso rigidlined cust fab two,,,1184.24,3929.62,19
CPT,L0488,Tlso rigid lined pre one pie,,,677.97,2249.69,19
CPT,L0490,Tlso rigid plastic pre one,,,191.05,633.92,19
CPT,L0491,Tlso 2 piece rigid shell,,,518.68,1721.07,19
CPT,L0492,Tlso 3 piece rigid shell,,,336.15,1115.42,19
CPT,L0621,Sio flex pelvic/sacr pre ots,,,60.22,137.81,19
CPT,L0622,Sio flex pelvisacral custom,,,163.3,541.87,19
CPT,L0623,Sio rig pnl pelv/sac pre ots,,,133.52,247.01,16
CPT,L0625,Lo flex l1-below l5 pre ots,,,37.22,77.09,19
CPT,L0625,Support Orthopedic Universal Binder Velcro Closure Yellow,538.0,538.0,79.62,430.4,23
CPT,L0626,Lo sag rig pnl stays pre cst,,,52.65,174.7,19
CPT,L0627,Lo sag ri an/pos pnl pre cst,,,277.62,921.24,19
CPT,L0627,Lumbo-Sacral Support,39.0,39.0,5.77,31.2,23
CPT,L0628,Lso flex no ri stays pre ots,,,56.65,117.38,19
CPT,L0630,Lso r post pnl sj-t9 pre cst,,,109.37,362.88,19
CPT,L0631,Lso sag r an/pos pnl pre cst,,,693.32,2300.66,19
CPT,L0633,Lso sc r pos/lat pnl pre cst,,,193.66,642.65,19
CPT,L0635,Lso sagit rigid panel prefab,,,718.18,2383.06,19
CPT,L0636,Lso sagittal rigid panel cus,,,1059.7,3516.39,19
CPT,L0637,Lso sc r ant/pos pnl pre cst,,,919.44,3050.87,19
CPT,L0638,Lso Brace,3917.0,3917.0,579.72,3133.6,23
CPT,L0638,Lso sag-coronal panel custom,,,890.76,2955.78,19
CPT,L0639,Lso s/c shell/panel prefab,,,919.44,3050.87,19
CPT,L0640,Lso s/c shell/panel custom,,,706.72,2345.08,19
CPT,L0641,Lo rig pos pnl l1-l5 pre ots,,,58.96,109.08,16
CPT,L0642,Lo sag ri an/pos pnl pre ots,,,310.94,575.24,16
CPT,L0643,Lso sag ctr rigi pos pre ots,,,122.5,226.63,19
CPT,L0648,Lso sag r an/pos pnl pre ots,,,776.53,1436.58,19
CPT,L0649,Lso sc r pos/lat pnl pre ots,,,216.91,401.28,19
CPT,L0650,Lso sc r ant/pos pnl pre ots,,,898.49,1662.21,19
CPT,L0651,Lso sag-co shell pnl pre ots,,,898.49,1662.21,19
CPT,L0700,Ctlso Brace,6393.0,6393.0,946.16,5114.4,23
CPT,L0700,Ctlso a-p-l control molded,,,1454.1,4825.08,19
CPT,L0710,Ctlso a-p-l control w/ inter,,,1587.26,5266.88,19
CPT,L0720,Ctlso a-p-l control custom,,,2221.51,4109.79,14
CPT,L0810,Halo cervical into jckt vest,,,1686.22,5595.33,19
CPT,L0820,Halo cervical into body jack,,,1364.08,4526.36,19
CPT,L0830,Halo cerv into milwaukee typ,,,1969.58,6535.57,19
CPT,L0859,Mri compatible system,,,765.17,2539.03,19
CPT,L0861,Halo repl liner/interface,,,145.58,483.04,19
CPT,L0970,Tlso corset front,,,71.78,238.21,19
CPT,L0972,Lso corset front,,,73.38,243.5,19
CPT,L0974,Tlso full corset,,,149.94,497.52,19
CPT,L0976,Lso full corset,,,133.9,444.35,19
CPT,L0978,Axillary crutch extension,,,120.9,401.19,19
CPT,L0980,Peroneal straps pair pre ots,,,10.97,36.39,19
CPT,L0982,Stocking sup grips 4 pre ots,,,11.95,39.66,19
CPT,L0984,Protect body sock ea pre ots,,,38.14,126.54,19
CPT,L1000,Ctlso milwauke initial model,,,1275.19,4231.38,19
CPT,L1005,Tension based scoliosis orth,,,2161.65,7172.93,19
CPT,L1006,Scoliosis orth sag/ cor,,,1283.42,2374.33,15
CPT,L1010,Ctlso axilla sling,,,51.35,170.4,19
CPT,L1020,Kyphosis pad,,,70.16,232.82,19
CPT,L1025,Kyphosis pad floating,,,79.74,264.62,19
CPT,L1030,Lumbar bolster pad,,,53.28,176.77,19
CPT,L1040,Lumbar or lumbar rib pad,,,64.13,212.79,19
CPT,L1050,Sternal pad,,,55.53,184.2,19
CPT,L1060,Thoracic pad,,,62.63,207.79,19
CPT,L1070,Trapezius sling,,,64.02,212.47,19
CPT,L1080,Outrigger,,,44.37,147.22,19
CPT,L1085,Outrigger bil w/ vert extens,,,123.26,408.98,19
CPT,L1090,Lumbar sling,,,57.58,191.03,19
CPT,L1100,Ring flange plastic/leather,,,101.64,337.24,19
CPT,L1110,Ring flange plas/leather mol,,,172.14,571.21,19
CPT,L1120,Covers for upright each,,,27.42,90.98,19
CPT,L1200,Furnsh initial orthosis only,,,1091.56,3622.06,19
CPT,L1210,Lateral thoracic extension,,,164.35,545.34,19
CPT,L1220,Anterior thoracic extension,,,139.15,461.74,19
CPT,L1230,Milwaukee type superstructur,,,357.05,1184.76,19
CPT,L1240,Lumbar derotation pad,,,61.45,203.89,19
CPT,L1250,Anterior asis pad,,,60.5,200.76,19
CPT,L1260,Anterior thoracic derotation,,,62.17,206.35,19
CPT,L1270,Abdominal pad,,,62.09,206.11,19
CPT,L1280,Rib gusset (elastic) each,,,55.35,183.71,19
CPT,L1290,Lateral trochanteric pad,,,62.76,208.27,19
CPT,L1300,Body jacket mold to patient,,,1049.2,3481.5,19
CPT,L1310,Post-operative body jacket,,,1079.62,3582.45,19
CPT,L1600,Ho flex frejka w/cov pre cst,,,80.9,268.56,19
CPT,L1610,Ho frejka cov only pre cst,,,27.58,91.5,19
CPT,L1620,Ho flex pavlik harns pre cst,,,90.81,301.31,19
CPT,L1630,Abduct control hip semi-flex,,,108.35,359.57,19
CPT,L1640,Pelv band/spread bar thigh c,,,289.82,961.7,19
CPT,L1650,Ho abduction hip adjustable,,,153.69,510.01,19
CPT,L1652,Ho bi thighcuffs w sprdr bar,,,240.75,798.9,19
CPT,L1653,Ho abduction static ots,,,431.84,798.9,15
CPT,L1660,Ho abduction static plastic,,,107.49,356.68,19
CPT,L1680,Pelvic & hip control thigh c,,,883.73,2932.44,19
CPT,L1681,Ho bilateral hip abduction,,,2244.12,4151.62,16
CPT,L1685,Post-op hip abduct custom fa,,,932.48,3094.2,19
CPT,L1686,Ho post-op hip abduction,,,625.58,2075.81,19
CPT,L1690,Combination bilateral ho,,,1306.02,4333.7,19
CPT,L1700,Leg perthes orth toronto typ,,,1086.52,3605.35,19
CPT,L1710,Legg perthes orth newington,,,1277.14,4237.87,19
CPT,L1720,Legg perthes orthosis trilat,,,943.42,3130.51,19
CPT,L1730,Legg perthes orth scottish r,,,711.8,2361.88,19
CPT,L1755,Legg perthes patten bottom t,,,1036.02,3437.8,19
CPT,L1810,Ko elastic with joints,,,81.77,271.32,19
CPT,L1812,Ko elastic w/joints pre ots,,,83.45,154.38,19
CPT,L1820,Ko elas w/ condyle pads & jo,,,81.44,270.23,19
CPT,L1821,Ko elas w/ condyle pads otf,,,146.07,270.23,15
CPT,L1830,Immobilizer Orth Xl W 36- in 20in 1 Pnl Fngr Pckt Crcmf,37.45,37.45,5.54,29.96,23
CPT,L1830,Immobilizer Orthopedic Univers,45.0,45.0,6.66,36.0,23
CPT,L1830,Knee Immobilizer,371.0,371.0,54.91,296.8,23
CPT,L1830,Ko immob canvas long pre ots,,,68.13,139.12,19
CPT,L1831,Knee orth pos locking joint,,,198.77,659.54,19
CPT,L1832,Ko adj jnt pos r sup pre cst,,,509.15,1689.49,19
CPT,L1833,Ko adj jnt pos r sup pre ots,,,541.68,1002.11,19
CPT,L1834,Knee Extension Splint(S/P Bka),215.0,215.0,31.82,172.0,23
CPT,L1834,Ko w/0 joint rigid molded to,,,599.0,1987.68,19
CPT,L1836,Ko rigid w/o joints pre ots,,,90.11,196.71,19
CPT,L1840,Ko derot ant cruciate custom,,,629.66,2089.39,19
CPT,L1843,Ko single upright pre cst,,,605.99,2010.8,19
CPT,L1844,Ko w/adj jt rot cntrl molded,,,1050.04,3484.29,19
CPT,L1845,Ko double upright pre cst,,,632.6,2099.1,19
CPT,L1846,Ko w adj flex/ext rotat mold,,,792.86,2663.39,19
CPT,L1847,Ko dbl upright w/air pre cst,,,388.46,1289.04,19
CPT,L1848,Ko dbl upright w/air pre ots,,,463.27,1289.04,19
CPT,L1850,Ko swedish type pre ots,,,180.79,453.05,19
CPT,L1851,Ko single upright prefab ots,,,605.99,1322.71,19
CPT,L1852,Ko double upright prefab ots,,,632.6,1261.85,19
CPT,L1860,Ko supracondylar socket mold,,,701.22,2326.86,19
CPT,L1900,Afo sprng wir drsflx calf bd,,,189.97,630.39,19
CPT,L1902,Afo ankle gauntlet pre ots,,,51.59,171.2,19
CPT,L1904,Afo molded ankle gauntlet,,,295.37,980.06,19
CPT,L1906,Afo multilig ank sup pre ots,,,86.31,286.42,19
CPT,L1907,Afo supramalleolar custom,,,380.03,1261.03,19
CPT,L1910,Afo sing bar clasp attach sh,,,167.97,557.35,19
CPT,L1920,Afo sing upright w/ adjust s,,,219.58,728.62,19
CPT,L1930,Afo plastic,,,148.58,493.04,19
CPT,L1932,Afo rig ant tib tcf/ custom,,,602.67,1999.85,19
CPT,L1933,Afo rig ant tib tcf/ ots,,,1081.0,1999.85,14
CPT,L1940,Afo molded to patient plasti,,,335.78,1114.22,19
CPT,L1940,Ankle Foot Orthosis,345.0,345.0,51.06,276.0,23
CPT,L1945,Afo molded plas rig ant tib,,,616.64,2046.16,19
CPT,L1950,Afo spiral molded to pt plas,,,467.84,1552.41,19
CPT,L1951,Afo spiral prefab custom,,,567.2,1882.12,19
CPT,L1952,Afo spiral prefab ots,,,1017.36,1882.12,14
CPT,L1960,Afo pos solid ank plastic mo,,,348.15,1155.25,19
CPT,L1960,Foot Drop Splint-Custom,237.0,237.0,35.08,189.6,23
CPT,L1970,Afo plastic molded w/ankle j,,,514.93,1708.72,19
CPT,L1971,Afo w/ankle joint  prefab,,,316.57,1050.45,19
CPT,L1980,Afo sing solid stirrup calf,,,230.52,764.9,19
CPT,L1990,Afo doub solid stirrup calf,,,296.18,982.79,19
CPT,L2000,Kafo sing fre stirr thi/calf,,,637.07,2113.98,19
CPT,L2005,Kafo sng/dbl mechanical act,,,2767.52,9183.33,19
CPT,L2006,Kaf sng/dbl swg/stn mcpr cus,,,38606.32,71421.69,16
CPT,L2010,Kafo sng solid stirrup w/o j,,,580.75,1927.09,19
CPT,L2020,Kafo dbl solid stirrup band/,,,733.4,2433.6,19
CPT,L2030,Kafo dbl solid stirrup w/o j,,,636.29,2111.37,19
CPT,L2034,Kafo pla sin up w/wo k/a cus,,,1386.76,4601.65,19
CPT,L2035,Kafo plastic pediatric size,,,117.0,388.24,19
CPT,L2036,Kafo plas doub free knee mol,,,1165.33,3866.85,19
CPT,L2037,Kafo plas sing free knee mol,,,1073.92,3563.54,19
CPT,L2038,Kafo w/o joint multi-axis an,,,898.02,2979.83,19
CPT,L2040,Hkafo torsion bil rot straps,,,114.7,380.62,19
CPT,L2050,Hkafo torsion cable hip pelv,,,305.48,1013.63,19
CPT,L2060,Hkafo torsion ball bearing j,,,392.06,1300.96,19
CPT,L2070,Hkafo torsion unilat rot str,,,112.62,373.72,19
CPT,L2080,Hkafo unilat torsion cable,,,240.18,797.04,19
CPT,L2090,Hkafo unilat torsion ball br,,,296.06,982.37,19
CPT,L2106,Afo tib fx cast plaster mold,,,427.06,1417.08,19
CPT,L2108,Afo tib fx cast molded to pt,,,671.1,2226.86,19
CPT,L2112,Afo tibial fracture soft,,,318.65,1057.37,19
CPT,L2114,Afo tib fx semi-rigid,,,364.57,1209.73,19
CPT,L2116,Afo tibial fracture rigid,,,480.34,1593.83,19
CPT,L2126,Kafo fem fx cast thermoplas,,,854.62,2835.9,19
CPT,L2128,Kafo fem fx cast molded to p,,,1077.02,3573.83,19
CPT,L2132,Kafo femoral fx cast soft,,,506.67,1681.28,19
CPT,L2134,Kafo fem fx cast semi-rigid,,,607.48,2015.78,19
CPT,L2136,Kafo femoral fx cast rigid,,,742.79,2464.77,19
CPT,L2180,Plas shoe insert w ank joint,,,73.55,244.09,19
CPT,L2182,Drop lock knee,,,57.57,191.03,19
CPT,L2184,Limited motion knee joint,,,103.74,344.25,19
CPT,L2186,Adj motion knee jnt lerman t,,,114.95,381.45,19
CPT,L2188,Quadrilateral brim,,,250.82,832.26,19
CPT,L2190,Waist belt,,,65.14,216.15,19
CPT,L2192,Pelvic band & belt thigh fla,,,223.95,743.13,19
CPT,L2200,Limited ankle motion ea jnt,,,29.86,99.09,19
CPT,L2210,Dorsiflexion assist each joi,,,48.46,160.77,19
CPT,L2220,Dorsi & plantar flex ass/res,,,55.64,184.61,19
CPT,L2230,Split flat caliper stirr & p,,,48.19,159.91,19
CPT,L2232,Rocker bottom  contact afo,,,65.25,216.52,19
CPT,L2240,Round caliper and plate atta,,,52.53,174.33,19
CPT,L2250,Foot plate molded stirrup at,,,223.18,740.57,19
CPT,L2260,Reinforced solid stirrup,,,125.91,417.8,19
CPT,L2265,Long tongue stirrup,,,73.97,245.46,19
CPT,L2270,Varus/valgus strap padded/li,,,33.73,111.93,19
CPT,L2275,Plastic mod low ext pad/line,,,82.07,272.36,19
CPT,L2280,Molded inner boot,,,304.91,1011.75,19
CPT,L2300,Abduction bar jointed adjust,,,172.11,571.13,19
CPT,L2310,Abduction bar-straight,,,77.27,256.41,19
CPT,L2320,Non-molded lacer,,,129.23,428.83,19
CPT,L2330,Lacer molded to patient mode,,,246.63,818.38,19
CPT,L2335,Anterior swing band,,,145.09,481.43,19
CPT,L2340,Pre-tibial shell molded to p,,,342.37,1136.05,19
CPT,L2350,Prosthetic type socket molde,,,559.66,1857.12,19
CPT,L2360,Extended steel shank,,,32.5,107.84,19
CPT,L2370,Patten bottom,,,161.24,535.02,19
CPT,L2375,Torsion ank & half solid sti,,,70.97,235.49,19
CPT,L2380,Torsion straight knee joint,,,77.33,256.6,19
CPT,L2385,Straight knee joint heavy du,,,84.13,279.17,19
CPT,L2387,Add le poly knee custom kafo,,,114.18,378.84,19
CPT,L2390,Offset knee joint each,,,68.75,228.14,19
CPT,L2395,Offset knee joint heavy duty,,,104.98,348.32,19
CPT,L2397,Suspension sleeve lower ext,,,73.62,244.27,19
CPT,L2405,Knee joint drop lock ea jnt,,,58.89,195.42,19
CPT,L2415,Knee joint cam lock each joi,,,82.04,272.25,19
CPT,L2425,Knee disc/dial lock/adj flex,,,96.8,321.25,19
CPT,L2430,Knee jnt ratchet lock ea jnt,,,96.8,321.25,19
CPT,L2492,Knee lift loop drop lock rin,,,64.05,212.53,19
CPT,L2500,Thi/glut/ischia wgt bearing,,,198.15,657.51,19
CPT,L2510,Th/wght bear quad-lat brim m,,,530.53,1760.4,19
CPT,L2520,Th/wght bear quad-lat brim c,,,289.35,960.15,19
CPT,L2525,Th/wght bear nar m-l brim mo,,,992.71,3294.04,19
CPT,L2526,Th/wght bear nar m-l brim cu,,,535.07,1775.52,19
CPT,L2530,Thigh/wght bear lacer non-mo,,,147.58,489.7,19
CPT,L2540,Thigh/wght bear lacer molded,,,265.55,881.16,19
CPT,L2550,Thigh/wght bear high roll cu,,,180.39,598.6,19
CPT,L2570,Hip clevis type 2 posit jnt,,,715.47,1323.62,16
CPT,L2580,Pelvic control pelvic sling,,,378.13,1254.73,19
CPT,L2600,Hip clevis/thrust bearing fr,,,128.99,428.05,19
CPT,L2610,Hip clevis/thrust bearing lo,,,152.54,506.16,19
CPT,L2620,Pelvic control hip heavy dut,,,167.94,557.26,19
CPT,L2622,Hip joint adjustable flexion,,,192.62,639.14,19
CPT,L2624,Hip adj flex ext abduct cont,,,216.85,868.89,19
CPT,L2627,Plastic mold recipro hip & c,,,1078.81,3579.79,19
CPT,L2628,Metal frame recipro hip & ca,,,1267.26,4205.09,19
CPT,L2630,Pelvic control band & belt u,,,155.53,516.09,19
CPT,L2640,Pelvic control band & belt b,,,211.08,700.39,19
CPT,L2650,Pelv & thor control gluteal,,,75.38,250.12,19
CPT,L2660,Thoracic control thoracic ba,,,117.06,388.44,19
CPT,L2670,Thorac cont paraspinal uprig,,,107.14,355.51,19
CPT,L2680,Thorac cont lat support upri,,,98.29,326.14,19
CPT,L2750,Plating chrome/nickel pr bar,,,52.5,174.2,19
CPT,L2755,Carbon graphite lamination,,,88.26,292.89,19
CPT,L2760,Extension per extension per,,,38.16,126.63,19
CPT,L2768,Ortho sidebar disconnect,,,88.02,292.0,19
CPT,L2780,Non-corrosive finish,,,45.14,149.79,19
CPT,L2785,Drop lock retainer each,,,26.54,88.06,19
CPT,L2795,Knee control full kneecap,,,53.37,177.1,19
CPT,L2800,Knee cap medial or lateral p,,,66.99,222.31,19
CPT,L2810,Knee control condylar pad,,,49.06,162.78,19
CPT,L2820,Soft interface below knee se,,,54.54,180.99,19
CPT,L2830,Soft interface above knee se,,,61.34,203.52,19
CPT,L2840,Tibial length sock fx or equ,,,34.22,113.61,19
CPT,L2850,Femoral lgth sock fx or equa,,,38.89,129.04,19
CPT,L3000,Ft insert ucb berkeley shell,,,212.16,704.02,19
CPT,L3001,Foot insert remov molded spe,,,160.23,296.43,16
CPT,L3002,Foot insert plastazote or eq,,,195.64,361.93,16
CPT,L3003,Foot insert silicone gel eac,,,211.07,390.48,16
CPT,L3010,Foot longitudinal arch suppo,,,117.67,390.48,19
CPT,L3020,Foot longitud/metatarsal sup,,,134.0,444.63,19
CPT,L3030,Foot arch support remov prem,,,51.54,171.05,19
CPT,L3031,Foot lamin/prepreg composite,,,148.35,274.45,19
CPT,L3040,Ft arch suprt premold longit,,,31.78,105.47,19
CPT,L3050,Foot arch supp premold metat,,,57.01,105.47,16
CPT,L3060,Foot arch supp longitud/meta,,,89.35,165.3,16
CPT,L3070,Arch suprt att to sho longit,,,38.51,71.24,16
CPT,L3080,Arch supp att to shoe metata,,,38.51,71.24,16
CPT,L3090,Arch supp att to shoe long/m,,,49.32,91.24,16
CPT,L3100,Hallus-valgus nt dyn pre ots,,,52.36,96.87,16
CPT,L3140,Abduction rotation bar shoe,,,60.13,199.56,19
CPT,L3150,Abduct rotation bar w/o shoe,,,98.61,182.43,16
CPT,L3170,Foot plas heel stabi pre ots,,,61.64,114.03,16
CPT,L3201,Oxford w supinat/pronat inf,,,58.5,58.5,3
CPT,L3202,Oxford w/ supinat/pronator c,,,58.5,58.5,3
CPT,L3203,Oxford w/ supinator/pronator,,,58.5,58.5,3
CPT,L3204,Hightop w/ supp/pronator inf,,,29.0,29.0,3
CPT,L3206,Hightop w/ supp/pronator chi,,,29.0,29.0,3
CPT,L3207,Hightop w/ supp/pronator jun,,,29.0,29.0,3
CPT,L3215,Orthopedic ftwear ladies oxf,,,86.41,86.41,3
CPT,L3219,Orthopedic mens shoes oxford,,,90.0,90.0,3
CPT,L3224,Womans shoe oxford brace,,,36.94,122.56,19
CPT,L3225,Mans shoe oxford brace,,,42.49,140.99,19
CPT,L3250,Custom mold shoe remov prost,,,226.91,226.91,3
CPT,L3300,Sho lift taper to metatarsal,,,63.15,116.83,16
CPT,L3310,Shoe lift elev heel/sole neo,,,54.97,182.43,19
CPT,L3330,Lifts elevation metal extens,,,685.57,1268.3,16
CPT,L3332,Shoe lifts tapered to one-ha,,,49.82,165.3,19
CPT,L3334,Heel Lift,127.0,127.0,18.8,101.6,23
CPT,L3334,Shoe lifts elevation heel /i,,,25.77,85.49,19
CPT,L3340,Shoe wedge sach,,,103.26,191.03,16
CPT,L3350,Shoe heel wedge,,,27.71,51.26,16
CPT,L3360,Shoe sole wedge outside sole,,,43.14,79.81,16
CPT,L3370,Shoe sole wedge between sole,,,60.1,111.19,16
CPT,L3380,Shoe clubfoot wedge,,,60.1,111.19,16
CPT,L3390,Shoe outflare wedge,,,60.1,111.19,16
CPT,L3400,Shoe metatarsal bar wedge ro,,,27.5,91.24,19
CPT,L3410,Shoe metatarsal bar between,,,62.71,208.11,19
CPT,L3420,Full sole/heel wedge btween,,,66.23,122.53,16
CPT,L3430,Sho heel count plast reinfor,,,194.12,359.12,16
CPT,L3440,Heel leather reinforced,,,92.46,171.05,16
CPT,L3450,Shoe heel sach cushion type,,,127.84,236.5,16
CPT,L3455,Shoe heel new leather standa,,,49.32,91.24,16
CPT,L3460,Shoe heel new rubber standar,,,41.58,76.92,16
CPT,L3465,Shoe heel thomas with wedge,,,70.86,131.09,16
CPT,L3470,Shoe heel thomas extend to b,,,75.48,139.64,16
CPT,L3480,Shoe heel pad & depress for,,,75.48,139.64,16
CPT,L3500,Ortho shoe add leather insol,,,35.47,65.62,16
CPT,L3510,Orthopedic shoe add rub insl,,,35.47,65.62,16
CPT,L3520,O shoe add felt w leath insl,,,38.51,71.24,16
CPT,L3530,Ortho shoe add half sole,,,38.51,71.24,16
CPT,L3540,Ortho shoe add full sole,,,61.64,114.03,16
CPT,L3550,O shoe add standard toe tap,,,10.8,19.98,16
CPT,L3560,O shoe add horseshoe toe tap,,,27.71,51.26,16
CPT,L3570,O shoe add instep extension,,,103.26,191.03,16
CPT,L3580,O shoe add instep velcro clo,,,43.8,145.35,19
CPT,L3590,O shoe convert to sof counte,,,64.72,119.73,16
CPT,L3595,Ortho shoe add march bar,,,50.83,94.04,16
CPT,L3600,Trans shoe calip plate exist,,,51.54,171.05,19
CPT,L3610,Trans shoe caliper plate new,,,67.86,225.13,19
CPT,L3620,Trans shoe solid stirrup exi,,,51.54,171.05,19
CPT,L3630,Trans shoe solid stirrup new,,,67.86,225.13,19
CPT,L3640,Shoe dennis browne splint bo,,,52.36,96.87,16
CPT,L3650,So 8 abd restraint pre ots,,,36.79,122.08,19
CPT,L3660,So 8 ab rstr can/web pre ots,,,63.18,209.62,19
CPT,L3670,Shoulder Abduction,388.0,388.0,57.42,310.4,23
CPT,L3670,So acro/clav can web pre ots,,,88.06,292.15,19
CPT,L3671,So cap design w/o jnts cf,,,553.83,1837.73,19
CPT,L3674,So airplane w/wo joint cf,,,1303.17,2410.86,16
CPT,L3675,So vest canvas/web pre ots,,,107.87,357.92,19
CPT,L3702,Custom Elbow,97.0,97.0,14.36,77.6,23
CPT,L3702,Eo w/o joints cf,,,177.48,588.95,19
CPT,L3710,Eo elas w/metal jnts pre ots,,,89.11,295.74,19
CPT,L3710,Hinged Elbow Brace,431.0,431.0,63.79,344.8,23
CPT,L3720,Forearm/arm cuffs free motio,,,444.6,1475.28,19
CPT,L3730,Forearm/arm cuffs ext/flex a,,,585.27,1942.04,19
CPT,L3740,Cuffs adj lock w/ active con,,,657.74,2182.56,19
CPT,L3760,Eo adj jt prefab custom fit,,,307.38,1019.94,19
CPT,L3760,Hinged Elbow Brace,1285.0,1285.0,190.18,1028.0,23
CPT,L3761,Eo  adj lock joint prefab ot,,,307.38,1019.94,19
CPT,L3762,Eo rigid w/o joints pre ots,,,66.1,219.34,19
CPT,L3763,Ewho rigid w/o jnts cf,,,788.14,1619.31,19
CPT,L3763,Forearm Sarmiento,195.0,195.0,28.86,156.0,23
CPT,L3764,Ewho w/joint(s) cf,,,499.82,1614.9,19
CPT,L3765,Ewhfo rigid w/o jnts cf,,,788.14,2615.22,19
CPT,L3766,Ewhfo w/joint(s) cf,,,834.58,2769.36,19
CPT,L3806,Dorsal Block Splint W/Kleine,47.0,47.0,6.96,37.6,23
CPT,L3806,Whfo w/joint(s) custom fab,,,500.78,926.44,16
CPT,L3807,Ball Splint/Finger Abd Splint,161.0,161.0,23.83,128.8,23
CPT,L3807,Prefab Burn Splint,349.0,349.0,51.65,279.2,23
CPT,L3807,Resting Hand Splint-Prefab,328.0,328.0,48.54,262.4,23
CPT,L3807,Splint (Prefab) Wrist Hand Finger W/O Joint,251.0,251.0,37.15,200.8,23
CPT,L3807,Whfo w/o joints pre cst,,,153.69,510.01,19
CPT,L3808,Custom Resting Hand,198.0,198.0,29.3,158.4,23
CPT,L3808,Dorsal Block Splint,34.0,34.0,5.03,27.2,23
CPT,L3808,Extensor Tendon Splint,132.0,132.0,19.54,105.6,23
CPT,L3808,Gauntlet With Thumb Spica,91.0,91.0,13.47,72.8,23
CPT,L3808,Resting Hand/Volar Wrist Custom,209.0,209.0,30.93,167.2,23
CPT,L3808,Safe Position Splint,107.0,107.0,15.84,85.6,23
CPT,L3808,Splint (Custom-Fab) Wrist Hand Finger W/O Joint,125.0,125.0,18.5,100.0,23
CPT,L3808,Thumb Spica,72.0,72.0,10.66,57.6,23
CPT,L3808,Ulnar/Radial Gutter,69.0,69.0,10.21,55.2,23
CPT,L3808,Whfo  rigid w/o joints,,,210.85,681.23,19
CPT,L3808,Whfo Wr Gaunlet/Thumb Spica,185.0,185.0,27.38,148.0,23
CPT,L3809,Whfo w/o joints pre ots,,,172.62,510.01,19
CPT,L3900,Hinge extension/flex wrist/f,,,960.19,3186.16,19
CPT,L3901,Hinge ext/flex wrist finger,,,1076.63,3572.54,19
CPT,L3904,Whfo electric custom fitted,,,2191.73,7272.7,19
CPT,L3905,Dynamic Wrist Splint,107.0,107.0,15.84,85.6,23
CPT,L3905,Forearm Based Outrigger,160.0,160.0,23.68,128.0,23
CPT,L3905,Splint (Custom-Fab) Wrist Hand Finger Incl Joint,134.0,134.0,19.83,107.2,23
CPT,L3905,Who w/nontorsion jnt(s) cf,,,609.54,2022.68,19
CPT,L3906,Who w/o joints cf,,,259.3,860.4,19
CPT,L3906,Wrist Cockup Splint,202.0,202.0,29.9,161.6,23
CPT,L3908,Canv/Leath/Ezy-on Wrist Splint,99.0,99.0,14.65,79.2,23
CPT,L3908,Who cock-up nonmolde pre ots,,,36.82,122.19,19
CPT,L3909,Prefab wrist orthosis,,,172.62,172.62,3
CPT,L3912,Hfo flexion glove pre ots,,,59.08,196.01,19
CPT,L3913,Hfo w/o joints cf,,,166.47,552.43,19
CPT,L3913,Simple Hand Based Spl,55.0,55.0,8.14,44.0,23
CPT,L3915,Who nontorsion jnts pre cst,,,335.56,1084.21,19
CPT,L3916,Who nontorsion jnts pre ots,,,366.94,1084.21,19
CPT,L3917,Metacarp fx orthosis pre cst,,,64.93,215.45,19
CPT,L3918,Metacarp fx orthosis pre ots,,,72.92,215.45,19
CPT,L3919,Ho w/o joints cf,,,166.47,552.43,19
CPT,L3921,Hand Based Outrigger,118.0,118.0,17.46,94.4,23
CPT,L3921,Hfo w/joint(s) cf,,,197.42,655.09,19
CPT,L3923,Hfo without joints pre cst,,,23.92,177.42,19
CPT,L3923,Spasticity Splint,164.0,164.0,24.27,131.2,23
CPT,L3924,Hfo without joints pre ots,,,60.05,177.42,19
CPT,L3925,Fo pip dip jnt/sprng pre ots,,,33.35,107.73,19
CPT,L3925,Spring Wire Assist Splint Prefab,195.0,195.0,28.86,156.0,23
CPT,L3927,Fo pip dip no jt spr pre ots,,,38.57,71.35,16
CPT,L3929,Hfo nontorsion jnts pre cst,,,53.14,171.7,19
CPT,L3930,Hfo nontorsion jnts pre ots,,,58.11,171.7,19
CPT,L3931,Whfo nontorsion joint prefab,,,128.55,415.36,19
CPT,L3933,Fo w/o joints cf,,,131.15,435.16,19
CPT,L3935,Any Finger Splint,198.0,198.0,29.3,158.4,23
CPT,L3935,Fo nontorsion joint cf,,,135.8,450.66,19
CPT,L3960,Sewho airplan desig abdu pos,,,506.65,1681.17,19
CPT,L3960,Splint (Prefabricated) Shoulder Elbow Wrist Hand (Airplane) Abduction,406.0,406.0,60.09,324.8,23
CPT,L3961,Sewho cap design w/o jnts cf,,,1032.7,3426.72,19
CPT,L3962,Sewho erbs palsey design abd,,,527.54,1750.47,19
CPT,L3967,Airplane Splint,406.0,406.0,60.09,324.8,23
CPT,L3967,Sewho airplane w/o jnts cf,,,1219.26,4045.8,19
CPT,L3971,Sewho cap design w/jnt(s) cf,,,1157.34,3840.32,19
CPT,L3973,Sewho airplane w/jnt(s) cf,,,1219.26,4045.8,19
CPT,L3975,Sewhfo cap design w/o jnt cf,,,1032.7,3426.72,19
CPT,L3976,Sewhfo airplane w/o jnts cf,,,1032.7,3426.72,19
CPT,L3977,Sewhfo cap desgn w/jnt(s) cf,,,1157.34,3840.32,19
CPT,L3978,Sewhfo airplane w/jnt(s) cf,,,1219.26,4045.8,19
CPT,L3980,Humeral Fx Brace,179.0,179.0,26.49,143.2,23
CPT,L3980,Up ext fx orthos humeral nos,,,190.01,630.5,19
CPT,L3981,Ue fx orth shoul cap forearm,,,1109.71,2052.96,16
CPT,L3982,Resting Hand Splint-Custom,214.0,214.0,31.67,171.2,23
CPT,L3982,Upper ext fx orthosis rad/ul,,,234.76,778.96,19
CPT,L3984,Upper ext fx orthosis wrist,,,250.58,831.48,19
CPT,L3995,Sock fracture or equal each,,,21.03,69.75,19
CPT,L3999,Upper limb orthosis nos,,,500.0,500.0,3
CPT,L4000,Repl girdle milwaukee orth,,,819.38,2718.91,19
CPT,L4010,Replace trilateral socket br,,,461.1,1530.02,19
CPT,L4020,Replace quadlat socket brim,,,575.95,1911.14,19
CPT,L4030,Replace socket brim cust fit,,,568.8,1052.28,16
CPT,L4040,Replace molded thigh lacer,,,256.39,850.76,19
CPT,L4045,Replace non-molded thigh lac,,,206.03,683.67,19
CPT,L4050,Replace molded calf lacer,,,259.31,860.44,19
CPT,L4055,Replace non-molded calf lace,,,167.91,557.16,19
CPT,L4060,Replace high roll cuff,,,199.61,662.36,19
CPT,L4070,Replace prox & dist upright,,,190.45,631.9,19
CPT,L4080,Repl met band kafo-afo prox,,,67.14,222.78,19
CPT,L4090,Repl met band kafo-afo calf/,,,59.42,197.19,19
CPT,L4100,Repl leath cuff kafo prox th,,,67.02,222.43,19
CPT,L4110,Repl leath cuff kafo-afo cal,,,53.26,176.75,19
CPT,L4130,Replace pretibial shell,,,366.59,1216.43,19
CPT,L4205,Ortho dvc repair per 15 min,,,14.07,53.95,17
CPT,L4210,Orth dev repair/repl minor p,,,55.0,55.0,3
CPT,L4350,Ankle control ortho pre ots,,,66.05,219.15,19
CPT,L4360,Pneumat walking boot pre cst,,,184.78,613.15,19
CPT,L4361,Pneuma/vac walk boot pre ots,,,207.52,613.15,19
CPT,L4370,Pneum full leg splnt pre ots,,,118.58,393.46,19
CPT,L4386,Non-pneum walk boot pre cst,,,107.09,355.29,19
CPT,L4387,Non-pneum walk boot pre ots,,,120.26,355.29,19
CPT,L4392,Replace afo soft interface,,,15.9,52.78,19
CPT,L4394,Replace foot drop spint,,,11.63,38.52,19
CPT,L4396,Foot Drop Splint Prefab,278.0,278.0,41.14,222.4,23
CPT,L4396,Static or dynami afo pre cst,,,113.35,376.18,19
CPT,L4397,Static or dynami afo pre ots,,,127.31,376.18,19
CPT,L4398,Foam Foot Drop Stop-Prefab,47.0,47.0,6.96,37.6,23
CPT,L4398,Foot drop splint pre ots,,,52.16,173.12,19
CPT,L4631,Afo  walk boot type  cus fab,,,1357.2,3344.39,19
CPT,L5000,Sho insert w arch toe filler,,,354.14,1175.12,19
CPT,L5010,Mold socket ank hgt w/ toe f,,,855.3,2838.18,19
CPT,L5020,Tibial tubercle hgt w/ toe f,,,1452.53,4819.79,19
CPT,L5050,Ank symes mold sckt sach ft,,,1606.76,5331.57,19
CPT,L5060,Symes met fr leath socket ar,,,1848.23,6132.9,19
CPT,L5100,Molded socket shin sach foot,,,1610.3,5343.34,19
CPT,L5105,Plast socket jts/thgh lacer,,,2324.64,7713.72,19
CPT,L5150,Mold sckt ext knee shin sach,,,2349.89,7797.53,19
CPT,L5160,Mold socket bent knee shin s,,,2555.93,8481.21,19
CPT,L5200,Kne sing axis fric shin sach,,,2447.66,8121.96,19
CPT,L5210,No knee/ankle joints w/ ft b,,,1623.78,5388.09,19
CPT,L5220,No knee joint with artic ali,,,1845.71,6124.55,19
CPT,L5230,Fem focal defic constant fri,,,2545.61,8446.95,19
CPT,L5250,Hip canad sing axi cons fric,,,3471.98,11520.89,19
CPT,L5270,Tilt table locking hip sing,,,3456.58,11469.8,19
CPT,L5280,Hemipelvect canad sing axis,,,3430.1,11381.96,19
CPT,L5301,Bk mold socket sach ft endo,,,1840.67,6107.81,19
CPT,L5312,Knee disart  sach ft  endo,,,4725.9,8742.92,16
CPT,L5321,Ak open end sach,,,2668.1,8853.42,19
CPT,L5331,Hip disart canadian sach ft,,,3399.7,11281.06,19
CPT,L5341,Hemipelvectomy canadian sach,,,3539.1,11743.65,19
CPT,L5400,Postop dress & 1 cast chg bk,,,911.29,3023.88,19
CPT,L5410,Postop dsg bk ea add cast ch,,,279.58,927.74,19
CPT,L5420,Postop dsg & 1 cast chg ak/d,,,1116.76,3705.66,19
CPT,L5430,Postop dsg ak ea add cast ch,,,336.73,1117.36,19
CPT,L5450,Postop app non-wgt bear dsg,,,273.94,909.02,19
CPT,L5460,Postop app non-wgt bear dsg,,,364.97,1211.12,19
CPT,L5500,Init bk ptb plaster direct,,,859.42,2851.78,19
CPT,L5505,Init ak ischal plstr direct,,,1188.61,3944.13,19
CPT,L5510,Prep bk ptb plaster molded,,,974.22,3232.69,19
CPT,L5520,Perp bk ptb thermopls direct,,,962.29,3193.12,19
CPT,L5530,Prep bk ptb thermopls molded,,,1155.8,3835.24,19
CPT,L5535,Prep bk ptb open end socket,,,1134.77,3765.45,19
CPT,L5540,Prep bk ptb laminated socket,,,1211.16,4018.92,19
CPT,L5560,Prep ak ischial plast molded,,,1300.58,4315.62,19
CPT,L5570,Prep ak ischial direct form,,,1352.14,4486.73,19
CPT,L5580,Prep ak ischial thermo mold,,,1578.52,5237.94,19
CPT,L5585,Prep ak ischial open end,,,1942.63,6446.12,19
CPT,L5590,Prep ak ischial laminated,,,1608.62,5337.81,19
CPT,L5595,Hip disartic sach thermopls,,,2841.86,9429.97,19
CPT,L5600,Hip disart sach laminat mold,,,3054.86,10136.78,19
CPT,L5610,Above knee hydracadence,,,1385.42,4597.18,19
CPT,L5611,Ak 4 bar link w/fric swing,,,1078.14,3577.53,19
CPT,L5613,Ak 4 bar ling w/hydraul swig,,,1685.62,5593.36,19
CPT,L5614,4-bar link above knee w/swng,,,1141.9,3789.11,19
CPT,L5615,Ak 4 bar link hydl swg/stanc,,,6707.8,12409.43,16
CPT,L5616,Ak univ multiplex sys frict,,,910.9,3022.6,19
CPT,L5617,Ak/bk self-aligning unit ea,,,378.62,1256.35,19
CPT,L5618,Test socket symes,,,200.3,664.65,19
CPT,L5620,Test socket below knee,,,186.04,617.31,19
CPT,L5622,Test socket knee disarticula,,,242.58,804.97,19
CPT,L5624,Test socket above knee,,,243.28,807.27,19
CPT,L5626,Test socket hip disarticulat,,,319.05,1058.68,19
CPT,L5628,Test socket hemipelvectomy,,,341.14,1132.0,19
CPT,L5629,Below knee acrylic socket,,,212.66,705.65,19
CPT,L5630,Syme typ expandabl wall sckt,,,300.31,996.52,19
CPT,L5631,Ak/knee disartic acrylic soc,,,294.02,975.62,19
CPT,L5632,Symes type ptb brim design s,,,164.1,544.49,19
CPT,L5634,Symes type poster opening so,,,203.55,675.44,19
CPT,L5636,Symes type medial opening so,,,170.5,565.77,19
CPT,L5637,Below knee total contact,,,193.31,641.47,19
CPT,L5638,Below knee leather socket,,,336.74,1117.4,19
CPT,L5639,Below knee wood socket,,,750.25,2489.51,19
CPT,L5640,Knee disarticulat leather so,,,427.89,1419.82,19
CPT,L5642,Above knee leather socket,,,414.59,1375.72,19
CPT,L5643,Hip flex inner socket ext fr,,,1041.51,3455.99,19
CPT,L5644,Above knee wood socket,,,395.23,1311.48,19
CPT,L5645,Bk flex inner socket ext fra,,,533.92,1771.67,19
CPT,L5646,Below knee cushion socket,,,366.64,1216.6,19
CPT,L5647,Below knee suction socket,,,532.29,1766.29,19
CPT,L5648,Above knee cushion socket,,,440.56,1461.89,19
CPT,L5649,Isch containmt/narrow m-l so,,,1596.39,5297.25,19
CPT,L5650,Tot contact ak/knee disart s,,,326.67,1083.99,19
CPT,L5651,Ak flex inner socket ext fra,,,803.61,2666.57,19
CPT,L5652,Suction susp ak/knee disart,,,291.74,968.07,19
CPT,L5653,Knee disart expand wall sock,,,389.45,1292.3,19
CPT,L5654,Socket insert symes,,,221.92,736.39,19
CPT,L5655,Socket insert below knee,,,188.06,624.06,19
CPT,L5656,Socket insert knee articulat,,,252.3,837.16,19
CPT,L5658,Socket insert above knee,,,243.3,807.34,19
CPT,L5661,Multi-durometer symes,,,407.22,1351.26,19
CPT,L5665,Multi-durometer below knee,,,342.62,1136.92,19
CPT,L5666,Below knee cuff suspension,,,46.84,155.42,19
CPT,L5668,Bk molded distal cushion,,,75.55,250.71,19
CPT,L5670,Bk molded supracondylar susp,,,181.11,602.53,19
CPT,L5671,Bk/ak locking mechanism,,,384.78,1276.83,19
CPT,L5672,Bk removable medial brim sus,,,199.54,662.12,19
CPT,L5673,Socket insert w lock mech,,,475.81,1578.86,19
CPT,L5676,Bk knee joints single axis p,,,242.49,804.64,19
CPT,L5677,Bk knee joints polycentric p,,,329.94,1094.79,19
CPT,L5678,Bk joint covers pair,,,26.57,88.17,19
CPT,L5679,Socket insert w/o lock mech,,,396.5,1315.66,19
CPT,L5680,Bk thigh lacer non-molded,,,221.78,735.95,19
CPT,L5681,Intl custm cong/latyp insert,,,890.13,2953.67,19
CPT,L5682,Bk thigh lacer glut/ischia m,,,418.49,1388.65,19
CPT,L5683,Initial custom socket insert,,,890.13,2953.67,19
CPT,L5684,Bk fork strap,,,32.21,106.87,19
CPT,L5685,Below knee sus/seal sleeve,,,86.67,287.6,19
CPT,L5686,Bk back check,,,34.18,113.44,19
CPT,L5688,Bk waist belt webbing,,,40.87,135.64,19
CPT,L5690,Bk waist belt padded and lin,,,65.48,217.28,19
CPT,L5692,Ak pelvic control belt light,,,88.91,295.04,19
CPT,L5694,Ak pelvic control belt pad/l,,,121.39,402.82,19
CPT,L5695,Ak sleeve susp neoprene/equa,,,112.07,371.83,19
CPT,L5696,Ak/knee disartic pelvic join,,,123.81,410.83,19
CPT,L5697,Ak/knee disartic pelvic band,,,53.72,178.25,19
CPT,L5698,Ak/knee disartic silesian ba,,,87.58,291.47,19
CPT,L5699,Shoulder harness,,,158.24,525.09,19
CPT,L5700,Replace socket below knee,,,1917.27,6362.0,19
CPT,L5701,Replace socket above knee,,,2302.5,7640.3,19
CPT,L5702,Replace socket hip,,,2913.02,9666.07,19
CPT,L5703,Symes ankle w/o (sach) foot,,,1507.51,5002.31,19
CPT,L5704,Custom shape cover bk,,,358.67,1190.2,19
CPT,L5705,Custom shape cover ak,,,640.89,2126.69,19
CPT,L5706,Custom shape cvr knee disart,,,628.25,2084.67,19
CPT,L5707,Custom shape cvr hip disart,,,828.25,2748.3,19
CPT,L5710,Kne-shin exo sng axi mnl loc,,,250.26,830.43,19
CPT,L5711,Knee-shin exo mnl lock ultra,,,349.76,1160.56,19
CPT,L5712,Knee-shin exo frict swg & st,,,293.07,972.43,19
CPT,L5714,Knee-shin exo variable frict,,,301.03,998.83,19
CPT,L5716,Knee-shin exo mech stance ph,,,487.71,1618.34,19
CPT,L5718,Knee-shin exo frct swg & sta,,,609.58,2022.77,19
CPT,L5722,Knee-shin pneum swg frct exo,,,644.01,2136.97,19
CPT,L5724,Knee-shin exo fluid swing ph,,,1010.04,3351.57,19
CPT,L5726,Knee-shin ext jnts fld swg e,,,1164.06,3862.62,19
CPT,L5728,Knee-shin fluid swg & stance,,,1592.26,5283.54,19
CPT,L5780,Knee-shin pneum/hydra pneum,,,766.13,2542.21,19
CPT,L5781,Lower limb pros vacuum pump,,,2707.58,8984.43,19
CPT,L5782,Hd low limb pros vacuum pump,,,2854.41,9471.65,19
CPT,L5783,Add low ext mec limb vol sys,,,3088.3,5713.36,16
CPT,L5785,Exoskeletal bk ultralt mater,,,430.66,1429.03,19
CPT,L5790,Exoskeletal ak ultra-light m,,,481.14,1596.55,19
CPT,L5795,Exoskel hip ultra-light mate,,,957.97,3178.76,19
CPT,L5810,Endoskel knee-shin mnl lock,,,325.79,1081.05,19
CPT,L5811,Endo knee-shin mnl lck ultra,,,488.03,1619.42,19
CPT,L5812,Endo knee-shin frct swg & st,,,378.27,1255.23,19
CPT,L5814,Endo knee-shin hydral swg ph,,,2513.17,8339.32,19
CPT,L5816,Endo knee-shin polyc mch sta,,,572.5,1899.77,19
CPT,L5818,Endo knee-shin frct swg & st,,,642.62,2132.35,19
CPT,L5822,Endo knee-shin pneum swg frc,,,1139.51,3781.2,19
CPT,L5824,Endo knee-shin fluid swing p,,,1026.2,3405.18,19
CPT,L5826,Miniature knee joint,,,2113.25,7012.26,19
CPT,L5827,Endo knee shin single axis,,,6870.11,12709.7,14
CPT,L5828,Endo knee-shin fluid swg/sta,,,1889.67,6270.41,19
CPT,L5830,Endo knee-shin pneum/swg pha,,,1269.76,4213.38,19
CPT,L5840,Multi-axial knee/shin system,,,2347.78,7790.54,19
CPT,L5841,Addition endoskletl knee-shi,,,2814.2,5206.27,16
CPT,L5845,Knee-shin sys stance flexion,,,1212.9,4024.75,19
CPT,L5848,Knee-shin sys hydraul stance,,,727.65,2414.55,19
CPT,L5850,Endo ak/hip knee extens assi,,,85.6,284.05,19
CPT,L5855,Mech hip extension assist,,,230.02,763.27,19
CPT,L5856,Elec knee-shin swing/stance,,,16244.68,53903.86,19
CPT,L5857,Elec knee-shin swing only,,,5764.2,19127.06,19
CPT,L5858,Stance phase only,,,12576.54,41732.1,19
CPT,L5859,Knee-shin pro flex/ext cont,,,17610.77,32579.92,16
CPT,L5910,Endo below knee alignable sy,,,242.35,804.2,19
CPT,L5920,Endo ak/hip alignable system,,,355.05,1178.15,19
CPT,L5925,Above knee manual lock,,,299.79,994.78,19
CPT,L5926,Endoskel posit rotat unit,,,683.74,1264.92,16
CPT,L5930,High activity knee frame,,,2277.68,7557.92,19
CPT,L5940,Endo bk ultra-light material,,,335.66,1113.79,19
CPT,L5950,Endo ak ultra-light material,,,524.83,1741.5,19
CPT,L5960,Endo hip ultra-light materia,,,645.1,2140.6,19
CPT,L5961,Endo poly hip  pneu/hyd/rot,,,5517.45,10207.28,16
CPT,L5962,Below knee flex cover system,,,761.49,1408.76,16
CPT,L5964,Above knee flex cover system,,,1124.06,2079.51,16
CPT,L5966,Hip flexible cover system,,,798.55,2649.79,19
CPT,L5968,Multiaxial ankle w dorsiflex,,,2459.07,8159.8,19
CPT,L5970,Foot external keel sach foot,,,135.9,450.96,19
CPT,L5971,Sach foot  replacement,,,135.9,450.96,19
CPT,L5972,Flexible keel foot,,,253.85,842.36,19
CPT,L5973,Ank-foot sys dors-plant flex,,,20882.29,38632.24,16
CPT,L5974,Foot single axis ankle/foot,,,155.94,517.43,19
CPT,L5975,Combo ankle/foot prosthesis,,,313.72,1041.05,19
CPT,L5976,Energy storing foot,,,374.74,1243.51,19
CPT,L5978,Ft prosth multiaxial ankl/ft,,,195.28,647.98,19
CPT,L5979,Multi-axial ankle/ft prosth,,,1526.86,5066.52,19
CPT,L5980,Flex foot system,,,2481.06,8232.78,19
CPT,L5981,Flex-walk sys low ext prosth,,,2004.35,6650.97,19
CPT,L5982,Exoskeletal axial rotation u,,,386.85,1283.66,19
CPT,L5984,Endoskeletal axial rotation,,,381.21,1264.92,19
CPT,L5985,Lwr ext dynamic prosth pylon,,,191.08,634.05,19
CPT,L5986,Multi-axial rotation unit,,,424.04,1407.07,19
CPT,L5987,Shank ft w vert load pylon,,,4867.99,16153.16,19
CPT,L5988,Vertical shock reducing pylo,,,1351.83,4485.7,19
CPT,L5990,User adjustable heel height,,,2202.0,4073.7,16
CPT,L5991,Low pros ext osseo connector,,,11524.55,21320.42,16
CPT,L6000,Part hand thumb rem,,,889.11,2950.29,19
CPT,L6010,Part hand little/ring,,,989.43,3283.2,19
CPT,L6020,Part hand no fingers,,,922.49,3061.05,19
CPT,L6026,Part hand myo exclu term dev,,,3813.13,11099.85,19
CPT,L6050,Wrst mld sck flx hng tri pad,,,1271.15,4218.0,19
CPT,L6055,Wrst mold sock w/exp interfa,,,1771.66,5878.82,19
CPT,L6100,Elb mold sock flex hinge pad,,,1287.87,4273.48,19
CPT,L6110,Elbow mold sock suspension t,,,1366.01,4532.76,19
CPT,L6120,Elbow mold doub splt soc ste,,,1591.89,5282.29,19
CPT,L6130,Elbow stump activated lock h,,,1732.27,5748.1,19
CPT,L6200,Elbow mold outsid lock hinge,,,1825.53,6057.57,19
CPT,L6205,Elbow molded w/ expand inter,,,2436.8,8085.91,19
CPT,L6250,Elbow inter loc elbow forarm,,,1912.74,6346.92,19
CPT,L6300,Shlder disart int lock elbow,,,2493.05,8272.55,19
CPT,L6310,Shoulder passive restor comp,,,2152.63,7143.0,19
CPT,L6320,Shoulder passive restor cap,,,1175.94,3902.04,19
CPT,L6350,Thoracic intern lock elbow,,,2621.06,8697.33,19
CPT,L6360,Thoracic passive restor comp,,,2357.23,7821.86,19
CPT,L6370,Thoracic passive restor cap,,,1410.5,4680.37,19
CPT,L6380,Postop dsg cast chg wrst/elb,,,817.34,2712.16,19
CPT,L6382,Postop dsg cast chg elb dis/,,,1229.67,4080.32,19
CPT,L6384,Postop dsg cast chg shlder/t,,,1701.1,5644.7,19
CPT,L6386,Postop ea cast chg & realign,,,268.73,891.7,19
CPT,L6388,Postop applicat rigid dsg on,,,294.18,976.15,19
CPT,L6400,Below elbow prosth tiss shap,,,1552.72,5152.32,19
CPT,L6450,Elb disart prosth tiss shap,,,2074.4,6883.41,19
CPT,L6500,Above elbow prosth tiss shap,,,2270.25,7201.4,19
CPT,L6550,Shldr disar prosth tiss shap,,,2608.68,8656.21,19
CPT,L6570,Scap thorac prosth tiss shap,,,2928.84,9718.62,19
CPT,L6580,Wrist/elbow bowden cable mol,,,1118.17,3710.38,19
CPT,L6582,Wrist/elbow bowden cbl dir f,,,1012.76,3360.6,19
CPT,L6584,Elbow fair lead cable molded,,,1588.26,5270.3,19
CPT,L6586,Elbow fair lead cable dir fo,,,1486.36,4932.14,19
CPT,L6588,Shdr fair lead cable molded,,,1953.05,6480.72,19
CPT,L6590,Shdr fair lead cable direct,,,1855.1,6155.65,19
CPT,L6600,Polycentric hinge pair,,,125.52,416.51,19
CPT,L6605,Single pivot hinge pair,,,120.9,411.26,19
CPT,L6610,Flexible metal hinge pair,,,116.09,394.92,19
CPT,L6611,Additional switch  ext power,,,278.61,924.46,19
CPT,L6615,Disconnect locking wrist uni,,,128.25,425.52,19
CPT,L6616,Disconnect insert locking wr,,,47.52,157.68,19
CPT,L6620,Flexion/extension wrist unit,,,205.18,680.86,19
CPT,L6621,Flex/ext wrist w/wo friction,,,1547.79,5135.95,19
CPT,L6623,Spring-ass rot wrst w/ latch,,,558.25,1899.12,19
CPT,L6624,Flex/ext/rotation wrist unit,,,2548.5,8456.48,19
CPT,L6625,Rotation wrst w/ cable lock,,,406.66,1349.32,19
CPT,L6628,Quick disconn hook adapter o,,,320.56,1063.71,19
CPT,L6629,Lamination collar w/ couplin,,,97.9,324.86,19
CPT,L6630,Stainless steel any wrist,,,144.22,478.56,19
CPT,L6632,Latex suspension sleeve each,,,50.09,166.2,19
CPT,L6635,Lift assist for elbow,,,117.86,391.09,19
CPT,L6637,Nudge control elbow lock,,,251.4,834.17,19
CPT,L6638,Elec lock on manual pw elbow,,,1692.24,5615.25,19
CPT,L6639,Heavy duty elbow feature,,,1032.08,1032.08,3
CPT,L6640,Shoulder abduction joint pai,,,223.33,741.07,19
CPT,L6641,Excursion amplifier pulley t,,,107.35,356.22,19
CPT,L6642,Excursion amplifier lever ty,,,145.5,482.83,19
CPT,L6645,Shoulder flexion-abduction j,,,268.58,891.22,19
CPT,L6646,Multipo locking shoulder jnt,,,2134.3,7082.13,19
CPT,L6647,Shoulder lock actuator,,,351.36,1165.93,19
CPT,L6648,Ext pwrd shlder lock/unlock,,,2201.22,7304.17,19
CPT,L6650,Shoulder universal joint,,,278.86,925.3,19
CPT,L6655,Standard control cable extra,,,54.81,181.84,19
CPT,L6660,Heavy duty control cable,,,61.42,203.81,19
CPT,L6665,Teflon or equal cable lining,,,30.82,102.25,19
CPT,L6670,Hook to hand cable adapter,,,34.07,113.07,19
CPT,L6672,Harness chest/shlder saddle,,,135.22,448.7,19
CPT,L6675,Harness figure of 8 sing con,,,80.36,266.66,19
CPT,L6676,Harness figure of 8 dual con,,,92.9,308.25,19
CPT,L6677,Ue triple control harness,,,200.76,666.19,19
CPT,L6680,Test sock wrist disart/bel e,,,155.26,515.15,19
CPT,L6682,Test sock elbw disart/above,,,171.65,569.58,19
CPT,L6684,Test socket shldr disart/tho,,,233.25,773.98,19
CPT,L6686,Suction socket,,,526.73,1747.82,19
CPT,L6687,Frame typ socket bel elbow/w,,,385.98,1280.77,19
CPT,L6688,Frame typ sock above elb/dis,,,383.66,1273.04,19
CPT,L6689,Frame typ socket shoulder di,,,459.66,1525.27,19
CPT,L6690,Frame typ sock interscap-tho,,,500.9,1662.11,19
CPT,L6691,Removable insert each,,,231.85,769.29,19
CPT,L6692,Silicon gel insert w/wo lock,,,374.22,1241.74,19
CPT,L6693,Lockingelbow forearm cntrbal,,,1921.13,6374.75,19
CPT,L6694,Elbow socket ins use w/lock,,,475.81,1578.86,19
CPT,L6695,Elbow socket ins use w/o lck,,,396.5,1315.66,19
CPT,L6696,Cus elbo skt in for con/atyp,,,890.13,2953.67,19
CPT,L6697,Cus elbo skt in not con/atyp,,,890.13,2953.67,19
CPT,L6698,Add up-ex prosthes lock mech,,,384.78,1276.83,19
CPT,L6700,Ue add ext power myoel,,,28931.56,53523.39,14
CPT,L6703,Term dev  passive hand mitt,,,243.27,807.23,19
CPT,L6704,Term dev  sport/rec/work att,,,391.89,1300.37,19
CPT,L6706,Term dev mech hook vol open,,,233.49,774.76,19
CPT,L6707,Term dev mech hook vol close,,,860.58,2855.66,19
CPT,L6708,Term dev mech hand vol open,,,562.59,1866.82,19
CPT,L6709,Term dev mech hand vol close,,,810.71,2690.16,19
CPT,L6711,Ped term dev  hook  vol open,,,816.01,1509.62,16
CPT,L6712,Ped term dev  hook  vol clos,,,1502.47,2779.57,16
CPT,L6713,Ped term dev  hand  vol open,,,1896.21,3507.99,16
CPT,L6714,Ped term dev  hand  vol clos,,,1606.15,2971.38,16
CPT,L6715,Term device  multi art digit,,,3832.0,7089.2,16
CPT,L6721,Hook/hand  hvy dty  vol open,,,2854.73,5281.25,16
CPT,L6722,Hook/hand  hvy dty  vol clos,,,2460.97,4552.79,16
CPT,L6805,Term dev modifier wrist unit,,,227.67,755.47,19
CPT,L6810,Term dev precision pinch dev,,,129.05,428.18,19
CPT,L6880,Elec hand ind art digits,,,28999.68,53649.41,16
CPT,L6881,Term dev auto grasp feature,,,2766.49,9179.87,19
CPT,L6882,Microprocessor control uplmb,,,2098.53,6963.49,19
CPT,L6883,Replc sockt below e/w disa,,,1061.88,3523.58,19
CPT,L6884,Replc sockt above elbow disa,,,1576.05,5229.77,19
CPT,L6885,Replc sockt shldr dis/interc,,,2357.23,7821.86,19
CPT,L6890,Prefab glove for term device,,,113.82,377.68,19
CPT,L6895,Custom glove for term device,,,418.7,1389.35,19
CPT,L6900,Hand restorat thumb/1 finger,,,1194.86,3964.85,19
CPT,L6905,Hand restoration multiple fi,,,1188.06,3942.31,19
CPT,L6910,Hand restoration no fingers,,,1015.92,3371.07,19
CPT,L6915,Hand restoration replacmnt g,,,512.21,1699.65,19
CPT,L6920,Wrist disarticul switch ctrl,,,4465.81,14818.67,19
CPT,L6925,Wrist disart myoelectronic c,,,6011.74,19948.49,19
CPT,L6930,Below elbow switch control,,,4493.5,14910.56,19
CPT,L6935,Below elbow myoelectronic ct,,,6105.04,20258.06,19
CPT,L6940,Elbow disarticulation switch,,,5871.05,19481.61,19
CPT,L6945,Elbow disart myoelectronic c,,,7173.73,23804.19,19
CPT,L6950,Above elbow switch control,,,6673.7,22143.59,19
CPT,L6955,Above elbow myoelectronic ct,,,7992.16,26519.95,19
CPT,L6960,Shldr disartic switch contro,,,9053.12,30040.5,19
CPT,L6965,Shldr disartic myoelectronic,,,9655.48,32039.3,19
CPT,L6970,Interscapular-thor switch ct,,,10061.18,33385.47,19
CPT,L6975,Interscap-thor myoelectronic,,,11003.69,36512.93,19
CPT,L7007,Adult electric hand,,,2302.63,7640.7,19
CPT,L7008,Pediatric electric hand,,,3624.1,12025.67,19
CPT,L7009,Adult electric hook,,,2349.42,7795.94,19
CPT,L7040,Prehensile actuator,,,1886.49,6259.83,19
CPT,L7045,Pediatric electric hook,,,1081.59,3588.98,19
CPT,L7170,Electronic elbow hosmer swit,,,4980.02,16524.98,19
CPT,L7180,Electronic elbow sequential,,,21859.6,72535.58,19
CPT,L7181,Electronic elbo simultaneous,,,27113.9,89970.66,19
CPT,L7185,Electron elbow adolescent sw,,,4917.85,16318.67,19
CPT,L7186,Electron elbow child switch,,,5919.11,19641.1,19
CPT,L7190,Elbow adolescent myoelectron,,,5165.42,17140.18,19
CPT,L7191,Elbow child myoelectronic ct,,,6185.12,20523.79,19
CPT,L7259,Electronic wrist rotator any,,,2437.82,7096.36,19
CPT,L7360,Six volt bat otto bock/eq ea,,,159.67,529.84,19
CPT,L7362,Battery chrgr six volt otto,,,167.66,556.33,19
CPT,L7364,Twelve volt battery utah/equ,,,266.65,884.8,19
CPT,L7366,Battery chrgr 12 volt utah/e,,,359.18,1191.86,19
CPT,L7367,Replacemnt lithium ionbatter,,,263.45,874.16,19
CPT,L7368,Lithium ion battery charger,,,341.52,1133.27,19
CPT,L7400,Add ue prost be/wd  ultlite,,,207.41,688.24,19
CPT,L7401,Add ue prost a/e ultlite mat,,,232.18,770.49,19
CPT,L7402,Add ue prost s/d ultlite mat,,,250.73,831.96,19
CPT,L7403,Add ue prost b/e acrylic,,,249.22,826.95,19
CPT,L7404,Add ue prost a/e acrylic,,,376.1,1247.97,19
CPT,L7405,Add ue prost s/d acrylic,,,491.89,1632.24,19
CPT,L7406,Add to upp extr user adj mec,,,3088.3,5713.36,14
CPT,L7510,Prosthetic device repair rep,,,55.39,55.39,3
CPT,L7520,Repair prosthesis per 15 min,,,18.26,73.26,17
CPT,L7700,Pros soc insert gasket/seal,,,135.46,250.6,16
CPT,L8000,Mastectomy bra,,,29.44,97.66,19
CPT,L8001,Breast prosthesis bra & form,,,84.87,281.64,19
CPT,L8002,Brst prsth bra & bilat form,,,111.65,370.5,19
CPT,L8010,Mastectomy sleeve,,,40.82,40.82,3
CPT,L8015,Ext breastprosthesis garment,,,40.56,134.57,19
CPT,L8020,Mastectomy form,,,152.56,506.23,19
CPT,L8030,Breast prosthes w/o adhesive,,,220.67,732.23,19
CPT,L8031,Breast prosthesis w adhesive,,,395.8,732.23,16
CPT,L8032,Reusable nipple prosthesis,,,47.54,87.95,16
CPT,L8035,Custom breast prosthesis,,,2479.16,8226.45,19
CPT,L8040,Nasal prosthesis,,,2933.85,5427.62,16
CPT,L8041,Midfacial prosthesis,,,3536.22,6542.01,16
CPT,L8042,Orbital prosthesis,,,3973.24,7350.49,16
CPT,L8043,Upper facial prosthesis,,,4450.05,8232.59,16
CPT,L8044,Hemi-facial prosthesis,,,4926.81,9114.6,16
CPT,L8045,Auricular prosthesis,,,3085.31,5707.82,16
CPT,L8046,Partial facial prosthesis,,,3178.61,5880.43,16
CPT,L8047,Nasal septal prosthesis,,,1629.01,3013.67,16
CPT,L8300,Truss single w/ standard pad,,,65.17,216.27,19
CPT,L8310,Truss double w/ standard pad,,,100.21,332.52,19
CPT,L8320,Truss addition to std pad wa,,,43.78,145.23,19
CPT,L8330,Truss add to std pad scrotal,,,43.39,143.97,19
CPT,L8400,Sheath below knee,,,12.68,42.09,19
CPT,L8410,Sheath above knee,,,14.42,47.88,19
CPT,L8415,Sheath upper limb,,,14.34,47.6,19
CPT,L8417,Pros sheath/sock w gel cushn,,,50.88,168.85,19
CPT,L8420,Prosthetic sock multi ply bk,,,16.17,55.63,19
CPT,L8430,Prosthetic sock multi ply ak,,,18.44,61.22,19
CPT,L8435,Pros sock multi ply upper lm,,,16.55,54.91,19
CPT,L8440,Shrinker below knee,,,35.09,116.4,19
CPT,L8460,Shrinker above knee,,,48.82,162.02,19
CPT,L8465,Shrinker upper limb,,,43.52,144.41,19
CPT,L8470,Pros sock single ply bk,,,4.46,14.82,19
CPT,L8480,Pros sock single ply ak,,,6.16,20.44,19
CPT,L8485,Pros sock single ply upper l,,,7.44,24.7,19
CPT,L8500,Artificial larynx,,,792.11,1465.4,16
CPT,L8501,Tracheostomy speaking valve,,,175.9,325.42,16
CPT,L8507,Trach-esoph voice pros pt in,,,50.84,94.05,16
CPT,L8509,Trach-esoph voice pros md in,,,132.57,245.25,16
CPT,L8510,Voice amplifier,,,306.73,567.45,16
CPT,L8511,Indwelling trach insert,,,88.28,163.32,16
CPT,L8512,Gel cap for trach voice pros,,,2.65,4.9,16
CPT,L8513,Trach pros cleaning device,,,6.34,11.73,16
CPT,L8514,Repl trach puncture dilator,,,114.45,211.73,16
CPT,L8515,Gel cap app device for trach,,,76.61,141.73,16
CPT,L8605,Inj bulking agent anal canal,,,1467.44,1592.17,3
CPT,L8615,Coch implant headset replace,,,305.2,1012.73,19
CPT,L8616,Coch implant microphone repl,,,71.09,235.89,19
CPT,L8617,Coch implant trans coil repl,,,62.09,206.11,19
CPT,L8618,Coch implant tran cable repl,,,17.73,58.87,19
CPT,L8619,Coch imp ext proc/contr rplc,,,5495.42,18235.14,19
CPT,L8621,Repl zinc air battery,,,0.42,1.39,19
CPT,L8622,Repl alkaline battery,,,0.22,0.72,19
CPT,L8623,Lith ion batt cid non-earlvl,,,43.78,145.23,19
CPT,L8624,Lith ion batt cid  ear level,,,109.1,362.06,19
CPT,L8625,Charger coch impl/aoi battry,,,147.73,424.08,19
CPT,L8627,Cid ext speech process repl,,,8355.32,15457.34,16
CPT,L8628,Cid ext controller repl,,,1501.54,2777.85,16
CPT,L8629,Cid transmit coil and cable,,,169.78,402.04,19
CPT,L8681,Pt prgrm for implt neurostim,,,1370.91,2536.18,16
CPT,L8683,Radiofq trsmtr for implt neu,,,6369.31,11783.22,16
CPT,L8684,Radiof trsmtr implt scrl neu,,,836.41,1547.36,16
CPT,L8689,External recharg sys intern,,,2093.64,3873.23,16
CPT,L8690,Aud osseo dev  int/ext comp,,,3511.63,3511.63,3
CPT,L8691,Aoi snd proc repl excl actua,,,1347.03,3867.02,19
CPT,L8692,Non-osseointegrated snd proc,,,3511.63,3511.63,3
CPT,L8693,Aud osseo dev  abutment,,,1105.38,3404.85,19
CPT,L8694,Aoi transducer/actuator repl,,,738.69,2120.62,19
CPT,L8695,External recharg sys extern,,,20.21,37.39,16
CPT,L8696,Ext antenna phren nerve stim,,,263.1,486.74,16
CPT,L8699,Onyx 34 Kit Avm US,6651.0,6651.0,984.35,5320.8,23
CPT,L8701,Ewh s/d uprt micro sensor,,,34284.44,63426.21,16
CPT,L8702,Ewhf s/d uprt micro sensor,,,67452.66,124787.42,16
CPT,M0201,Pne flu hepb cov home admin,,,36.67,67.84,18
CPT,M0220,"Injection, Tixagevimab and Cilgavimab W/ Post Admin Monitoring",543.0,543.0,80.36,434.4,23
CPT,M0220,Tixagev and cilgav inj,,,149.74,212.65,2
CPT,M0221,Tixagev and cilgav inj hm,,,249.24,353.95,2
CPT,M0222,Bebtelovimab injection,,,348.73,495.25,2
CPT,M0223,Bebtelovimab injection home,,,547.73,777.85,2
CPT,M0224,Pemivibart infusion,,,448.23,829.22,16
CPT,M0235,Intrav inf  mon anti  fir do,,,448.23,829.22,13
CPT,M0236,Intrav inf  mon anti  sec do,,,448.23,829.22,13
CPT,M0237,Intrav inf  toci  first dose,,,448.23,829.22,13
CPT,M0238,Intrav inf  toci  second dos,,,448.23,829.22,13
CPT,M0239,Bamlanivimab Infusion,993.0,993.0,146.96,794.4,23
CPT,M0240,Casiri and imdev repeat,,,360.0,636.55,8
CPT,M0241,Casiri and imdev repeat hm,,,600.0,1060.45,8
CPT,M0243,Casirivi and imdevi inj,,,448.23,636.55,2
CPT,M0244,Casirivi and imdevi inj hm,,,600.0,1060.45,8
CPT,M0245,Bamlan and etesev infusion,,,448.23,768.27,5
CPT,M0246,Bamlan and etesev infus home,,,600.0,1060.45,8
CPT,M0247,Sotrovimab infusion,,,360.0,636.55,8
CPT,M0248,Sotrovimab inf  home admin,,,600.0,1060.45,8
CPT,M0249,Adm tocilizu covid-19 1st,,,360.0,829.22,22
CPT,M0250,Adm tocilizu covid-19 2nd,,,360.0,829.22,22
CPT,P2028,Cephalin floculation test,,,4.95,9.16,55
CPT,P2029,Congo red blood test,,,4.95,9.16,55
CPT,P2031,Hair analysis,,,4.95,9.11,37
CPT,P2033,Blood thymol turbidity,,,4.95,9.16,55
CPT,P2038,Blood mucoprotein,,,4.95,9.16,58
CPT,P3000,Screen pap by tech w md supv,,,13.28,33.65,58
CPT,P3001,Screening pap smear by phys,,,24.25,40.39,37
CPT,P7001,Culture bacterial urine,,,23.39,34.65,6
CPT,P9010,Whole Blood Unit,2412.7,2412.7,357.08,1930.16,23
CPT,P9010,Whole blood for transfusion,,,203.1,416.47,16
CPT,P9011,Blood split unit,,,141.8,262.33,16
CPT,P9011,Platelet Pheresis Lr Irr Aliquot,675.05,675.05,99.91,540.04,23
CPT,P9011,"Platelet Pheresis, Lr Aliquot",675.05,675.05,99.91,540.04,23
CPT,P9011,RBC Leukored Aliquot,675.05,675.05,99.91,540.04,23
CPT,P9011,RBC Leukored Irr Aliquot,675.05,675.05,99.91,540.04,23
CPT,P9011,Thawed Ffp Aliquot,675.05,675.05,99.91,540.04,23
CPT,P9012,Cryoprecipitate each unit,,,59.87,117.6,16
CPT,P9012,Pooled Cryo,904.0,904.0,133.79,723.2,23
CPT,P9012,Single Cryo,904.0,904.0,133.79,723.2,23
CPT,P9016,RBC Leukored Unit,1792.85,1792.85,265.34,1434.28,23
CPT,P9016,Rbc leukocytes reduced,,,180.82,336.7,16
CPT,P9017,Fresh Frozen Plasma Unit,723.35,723.35,107.06,578.68,23
CPT,P9017,Plasma 1 donor frz w/in 8 hr,,,79.96,155.94,16
CPT,P9019,Platelets  each unit,,,65.04,140.53,16
CPT,P9020,Plaelet rich plasma unit,,,548.8,1031.04,16
CPT,P9021,Red blood cells unit,,,136.51,266.99,16
CPT,P9022,Washed red blood cells unit,,,396.87,734.21,16
CPT,P9023,Frozen plasma  pooled  sd,,,0.85,115.27,19
CPT,P9025,Plasma cryo redu path each,,,135.15,309.66,16
CPT,P9026,Cryo fib comp path redu each,2275.0,2275.0,79.33,1820.0,39
CPT,P9027,Rbc o2 co2 reduced,,,252.48,901.14,16
CPT,P9031,Platelets leukocytes reduced,,,125.77,232.67,16
CPT,P9032,Platelets  irradiated,,,133.36,251.19,16
CPT,P9033,Platelets leukoreduced irrad,,,205.39,379.97,16
CPT,P9034,Platelets  pheresis,,,321.86,734.69,16
CPT,P9035,Platelet Pheresis Leukored Unit,5484.35,5484.35,811.68,4387.48,23
CPT,P9035,Platelet pheres leukoreduced,,,472.33,901.14,16
CPT,P9036,Platelet pheresis irradiated,,,559.94,1087.15,16
CPT,P9037,Plate pheres leukoredu irrad,,,672.48,1249.97,16
CPT,P9037,Platelet Pheresis Leukored Irr Unit,5621.0,5621.0,831.91,4496.8,23
CPT,P9038,Rbc irradiated,,,149.22,276.06,16
CPT,P9039,Rbc deglycerolized,,,311.11,1209.42,16
CPT,P9040,RBC Leukored Irr Unit,2277.0,2277.0,337.0,1821.6,23
CPT,P9040,Rbc leukoreduced irradiated,,,252.48,473.23,16
CPT,P9041,Albumin (human) 5%  50ml,,,10.62,16.98,35
CPT,P9043,Plasma protein fract 5% 50ml,,,7.95,24.43,19
CPT,P9044,Cryoprecipitatereducedplasma,,,69.15,272.51,16
CPT,P9044,Ffp-Cryo Poor Plasma,581.9,581.9,86.12,465.52,23
CPT,P9045,Albumin (human)  5%  250 ml,,,53.08,98.2,54
CPT,P9046,Albumin (human)  25%  20 ml,,,21.23,39.28,57
CPT,P9047,Albumin (human)  25%  50ml,,,53.08,84.92,38
CPT,P9048,Plasmaprotein fract 5% 250ml,,,52.89,136.38,19
CPT,P9051,Blood  l/r  cmv-neg,,,167.25,318.57,16
CPT,P9052,Platelets  hla-m  l/r  unit,,,720.67,1438.36,16
CPT,P9053,Plt  pher  l/r cmv-neg  irr,,,459.23,849.58,16
CPT,P9054,Blood  l/r  froz/degly/wash,,,215.21,448.51,16
CPT,P9055,Plt  aph/pher  l/r  cmv-neg,,,227.25,420.41,16
CPT,P9056,Blood  l/r  irradiated,,,84.17,155.71,16
CPT,P9057,Rbc  frz/deg/wsh  l/r  irrad,,,485.37,897.93,16
CPT,P9058,Rbc  l/r  cmv-neg  irrad,,,222.86,412.29,16
CPT,P9059,Ffp-Frozen 24 Hour,731.4,731.4,108.25,585.12,23
CPT,P9059,Plasma  frz between 8-24hour,,,71.09,131.52,16
CPT,P9060,Fr frz plasma donor retested,,,48.93,90.52,16
CPT,P9070,Pathogen reduced plasma pool,,,31.24,103.8,16
CPT,P9071,Pathogen reduced plasma sing,,,231.58,541.18,16
CPT,P9073,Platelets pheresis path redu,,,551.28,1086.47,16
CPT,P9073,"Platelets, Pheresis, Pathogen Reduced, Ea Unit",3076.25,3076.25,455.28,2461.0,23
CPT,P9099,Blood component/product noc,,,31.24,90.52,16
CPT,P9100,Pathogen test for platelets,,,42.6,109.33,21
CPT,P9604,One-way allow prorated trip,,,11.3,11.3,1
CPT,P9612,Catheterize for urine spec,,,3.6,2438.0,55
CPT,P9615,Urine specimen collect mult,,,3.6,2438.0,37
CPT,Q0035,Cardiokymography,,,8.16,72.25,76
CPT,Q0083,Chemo by other than infusion,,,231.77,231.77,1
CPT,Q0084,Chemotherapy by infusion,,,279.44,279.44,1
CPT,Q0085,Chemo by both infusion and o,,,417.38,417.38,1
CPT,Q0091,Obtaining screen pap smear,,,17.54,69.33,51
CPT,Q0091,Pap Smear,97.0,97.0,14.36,77.6,23
CPT,Q0092,Set up port xray equipment,,,25.84,41.34,31
CPT,Q0111,Wet mounts/ w preparations,,,17.76,33.65,55
CPT,Q0112,Potassium hydroxide preps,,,5.83,10.79,55
CPT,Q0113,Pinworm examinations,,,4.27,7.9,55
CPT,Q0114,Fern test,,,9.74,18.02,55
CPT,Q0115,Post-coital mucous exam,,,25.0,46.25,55
CPT,Q0138,Ferumoxytol  non-esrd,,,0.32,0.63,57
CPT,Q0139,Ferumoxytol  esrd use,,,0.32,0.63,54
CPT,Q0144,Azithromycin dihydrate  oral,,,24.27,26.33,3
CPT,Q0161,Chlorpromazine hcl 5mg oral,,,0.35,0.38,3
CPT,Q0162,Ondansetron oral,,,0.01,0.02,34
CPT,Q0163,Diphenhydramine hcl 50mg,,,0.02,0.02,3
CPT,Q0164,Prochlorperazine maleate 5mg,,,0.35,0.38,3
CPT,Q0166,Granisetron hcl 1 mg oral,,,3.0,3.26,3
CPT,Q0167,Dronabinol 2.5mg oral,,,1.35,3.37,34
CPT,Q0169,Promethazine hcl 12.5mg oral,,,0.08,0.09,3
CPT,Q0175,Perphenazine 4mg oral,,,0.47,0.51,3
CPT,Q0177,Hydroxyzine pamoate 25mg,,,0.1,0.11,3
CPT,Q0180,Dolasetron mesylate oral,,,60.32,65.45,3
CPT,Q0220,Tixagev and cilgav- 300mg,,,0.01,0.02,5
CPT,Q0221,Tixagev and cilgav- 600mg,,,0.01,0.02,5
CPT,Q0222,Bebtelovimab 175 mg,,,2394.0,2597.49,4
CPT,Q0224,Inj  pemivibart  4500 mg,,,6583.5,11582.4,39
CPT,Q0235,Inj  monoclon antibody  1 mg,,,,,0
CPT,Q0237,Inj  tocilizumab-anoh  hospi,,,,,0
CPT,Q0240,Casirivi and imdevi 600 mg,,,0.01,0.02,5
CPT,Q0243,Casirivimab and imdevimab,,,0.01,0.02,5
CPT,Q0244,Casirivi and imdevi 1200 mg,,,0.01,0.02,5
CPT,Q0245,Bamlanivimab and etesevima,,,0.01,0.02,8
CPT,Q0247,Sotrovimab,,,2394.0,4158.0,11
CPT,Q0249,Tocilizumab for covid-19,,,6.57,12.49,45
CPT,Q0477,Pwr module pt cable lvad rpl,,,941.71,1742.16,16
CPT,Q0478,Power adapter  combo vad,,,223.04,412.62,16
CPT,Q0479,Power module combo vad  rep,,,14544.16,26906.7,16
CPT,Q0480,Driver pneumatic vad  rep,,,99999.92,202235.12,16
CPT,Q0481,Microprcsr cu elec vad  rep,,,17636.94,32628.34,16
CPT,Q0482,Microprcsr cu combo vad  rep,,,5524.23,10219.83,16
CPT,Q0483,Monitor elec vad  rep,,,22757.25,42100.91,16
CPT,Q0484,Monitor elec or comb vad rep,,,4419.4,8175.89,16
CPT,Q0485,Monitor cable elec vad  rep,,,426.68,789.36,16
CPT,Q0486,Mon cable elec/pneum vad rep,,,355.11,656.95,16
CPT,Q0487,Leads any type vad  rep only,,,414.31,766.47,16
CPT,Q0489,Pwr pck base combo vad  rep,,,19729.3,36499.21,16
CPT,Q0490,Emr pwr source elec vad  rep,,,853.4,1578.79,16
CPT,Q0491,Emr pwr source combo vad rep,,,1341.6,2481.96,16
CPT,Q0492,Emr pwr cbl elec vad  rep,,,108.12,200.02,16
CPT,Q0493,Emr pwr cbl combo vad  rep,,,307.7,569.25,16
CPT,Q0494,Emr hd pmp elec/combo  rep,,,260.39,481.72,16
CPT,Q0495,Charger elec/combo vad  rep,,,5069.98,9379.46,16
CPT,Q0496,Battery elec/combo vad  rep,,,1819.71,3366.46,16
CPT,Q0497,Bat clps elec/comb vad  rep,,,568.18,1051.13,16
CPT,Q0498,Holster elec/combo vad  rep,,,623.43,1153.35,16
CPT,Q0499,Belt/vest elec/combo vad rep,,,202.57,374.75,16
CPT,Q0500,Filters elec/combo vad  rep,,,37.06,68.56,16
CPT,Q0501,Shwr cov elec/combo vad  rep,,,619.85,1146.72,16
CPT,Q0502,Mobility cart pneum vad  rep,,,789.15,1459.93,16
CPT,Q0503,Battery pneum vad replacemnt,,,1578.32,2919.89,16
CPT,Q0504,Pwr adpt pneum vad  rep veh,,,832.82,1540.72,16
CPT,Q0506,Lith-ion batt elec/pneum vad,,,1036.71,1917.91,16
CPT,Q0515,Sermorelin acetate injection,,,0.01,0.01,3
CPT,Q2004,Bladder calculi irrig sol,,,98.72,146.92,4
CPT,Q2009,Fosphenytoin inj pe,,,3.2,3.88,4
CPT,Q2017,Teniposide  50 mg,,,2495.95,2708.11,3
CPT,Q2026,Radiesse injection,,,298.73,616.83,21
CPT,Q2028,Inj  sculptra  0.5mg,,,0.01,1.85,24
CPT,Q2034,Agriflu vaccine,,,,,0
CPT,Q2035,Afluria vacc  3 yrs & >  im,,,0.01,40.89,8
CPT,Q2036,Flulaval vacc  3 yrs & >  im,,,0.01,15.78,9
CPT,Q2037,Fluvirin vacc  3 yrs & >  im,,,0.01,19.75,14
CPT,Q2038,Fluzone vacc  3 yrs & >  im,,,0.01,81.87,14
CPT,Q2039,Influenza virus vaccine  nos,,,,,0
CPT,Q2041,Axicabtagene ciloleucel car+,,,0.01,986475.81,57
CPT,Q2042,Tisagenlecleucel car-pos t,,,0.01,1094693.47,57
CPT,Q2043,Sipuleucel-t auto cd54+,,,55015.23,102253.79,57
CPT,Q2049,Imported lipodox inj,,,0.01,978.39,24
CPT,Q2050,Doxorubicin inj 10mg,,,108.47,248.18,57
CPT,Q2053,Brexucabtagene car pos t,,,0.01,905213.53,57
CPT,Q2054,Lisocabtagene mara car pos t,,,0.01,1040695.65,57
CPT,Q2055,Idecabtagene vicleucel car,,,0.01,1031038.17,57
CPT,Q2056,Ciltacabtagene car-pos t,,,0.01,1046857.56,57
CPT,Q2057,Afamitresgene autoleucel,,,770620.0,1425647.0,44
CPT,Q2058,Obecbtge autol up to 400 mil,,,262500.0,514762.5,17
CPT,Q3014,Telehealth Facility Fee,122.0,122.0,18.06,97.6,23
CPT,Q3014,Telehealth facility fee,,,20.52,31.01,7
CPT,Q3027,Inj beta interferon im 1 mcg,,,55.62,108.97,30
CPT,Q3028,Inj beta interferon sq 1 mcg,,,40.02,43.42,3
CPT,Q3031,Collagen skin test,,,,,0
CPT,Q4074,Iloprost non-comp unit dose,,,148.24,254.27,34
CPT,Q4081,Epoetin alfa  100 units esrd,,,0.65,1.37,37
CPT,Q4100,Matrix Tiss Biodfactor 2xl Amnio Algrf Morselize,21875.0,21875.0,3237.5,17500.0,23
CPT,Q4100,Matrix Tiss Biodfactor Lg Amnio Algrf Morselize,7200.0,7200.0,1065.6,5760.0,23
CPT,Q4100,Matrix Tiss Biodfactor Med Amnio Algrf Morselize,3700.0,3700.0,547.6,2960.0,23
CPT,Q4100,Matrix Tiss Biodfactor Sm Amnio Algrf Morselize,2337.5,2337.5,345.95,1870.0,23
CPT,Q4100,Matrix Tiss Biodfactor Xl Amnio Algrf Morselize,14250.0,14250.0,2109.0,11400.0,23
CPT,Q4100,Matrix Tiss Biodrestore 2xl Amnio Algrf Morselize,10375.0,10375.0,1535.5,8300.0,23
CPT,Q4100,Matrix Tiss Biodrestore Lg Amnio Algrf Morselize,4375.0,4375.0,647.5,3500.0,23
CPT,Q4100,Matrix Tiss Biodrestore Med Amnio Algrf Morselize,2750.0,2750.0,407.0,2200.0,23
CPT,Q4100,Matrix Tiss Biodrestore Sm Amnio Algrf Morselize,1500.0,1500.0,222.0,1200.0,23
CPT,Q4100,Matrix Tiss Biodrestore Xl Amnio Algrf Morselize,7500.0,7500.0,1110.0,6000.0,23
CPT,Q4101,Apligraf,,,30.23,48.37,37
CPT,Q4102,Oasis wound matrix,,,10.99,19.01,37
CPT,Q4103,Oasis burn matrix,,,10.68,19.99,37
CPT,Q4104,Dressing Bio 2x2in Strl Lf Intgr Bl Mx Mesh Bvn,6325.0,6325.0,936.1,5060.0,23
CPT,Q4104,Integra bmwd,,,32.36,81.6,37
CPT,Q4105,Integra drt or omnigraft,,,21.59,48.37,37
CPT,Q4106,Dermagraft,,,33.07,33.07,6
CPT,Q4107,Graftjacket,,,93.32,93.32,6
CPT,Q4108,Integra matrix,,,35.63,65.44,37
CPT,Q4110,Primatrix,,,37.59,104.65,37
CPT,Q4111,Gammagraft,,,6.92,12.6,37
CPT,Q4114,Integra flowable wound matri,,,1494.41,2391.06,31
CPT,Q4115,Alloskin,,,12.86,20.58,31
CPT,Q4118,Matristem micromatrix,,,2.54,4.07,31
CPT,Q4121,Theraskin,,,38.47,84.4,37
CPT,Q4123,Alloskin,,,71.55,114.48,24
CPT,Q4124,Oasis tri-layer wound matrix,,,2.49,12.78,40
CPT,Q4126,Memoderm/derma/tranz/integup,,,59.54,122.07,31
CPT,Q4127,Talymed,,,68.49,110.29,31
CPT,Q4128,Flexhd/allopatchhd/sq cm,,,29.91,47.86,31
CPT,Q4132,Grafix core  grafixpl core,,,106.7,210.83,38
CPT,Q4133,Grafix stravix prime pl sqcm,,,131.49,221.98,38
CPT,Q4137,Amnioexcel biodexcel 1sq cm,,,101.72,162.75,31
CPT,Q4138,Biodfence dryflex  1cm,,,93.57,156.97,29
CPT,Q4138,Graft Sft Tis 2x1.5cm Bioddryflex Plcnt Membr,2870.0,2870.0,424.76,2296.0,23
CPT,Q4138,Graft Sft Tis 3x2cm Bioddryflex Plcnt Membr Algrf,3150.0,3150.0,466.2,2520.0,23
CPT,Q4138,Graft Sft Tis 4x4cm Bioddryflex Plcnt Membr Algrf,6482.5,6482.5,959.41,5186.0,23
CPT,Q4138,Graft Sft Tis 6x2cm Bioddryflex Plcnt Membr Algrf,5132.5,5132.5,759.61,4106.0,23
CPT,Q4138,Graft Sft Tis 8x4cm Bioddryflex Plcnt Membr Algrf,11250.0,11250.0,1665.0,9000.0,23
CPT,Q4140,Biodfence 1cm,,,161.62,258.6,29
CPT,Q4140,Graft Sft Tis 2x1.5cm Biodfence G3 Plcnt Membr,2375.0,2375.0,351.5,1900.0,23
CPT,Q4140,Graft Sft Tis 2x2cm Biodfence G3 Plcnt Membr Algrf,3000.0,3000.0,444.0,2400.0,23
CPT,Q4140,Graft Sft Tis 3x2cm Biodfence G3 Plcnt Membr Algrf,3250.0,3250.0,481.0,2600.0,23
CPT,Q4140,Graft Sft Tis 4x2cm Biodfence G3 Plcnt Membr Algrf,5000.0,5000.0,740.0,4000.0,23
CPT,Q4140,Graft Sft Tis 4x2cm Biodfence Sntr Plcnt Tiss,5250.0,5250.0,777.0,4200.0,23
CPT,Q4140,Graft Sft Tis 4x3cm Biodfence Sntr Plcnt Tiss,6500.0,6500.0,962.0,5200.0,23
CPT,Q4140,Graft Sft Tis 4x4cm Biodfence G3 Plcnt Membr Algrf,6750.0,6750.0,999.0,5400.0,23
CPT,Q4140,Graft Sft Tis 4x4cm Biodfence Sntr Plcnt Membr,6750.0,6750.0,999.0,5400.0,23
CPT,Q4140,Graft Sft Tis 6x2cm Biodfence G3 Plcnt Membr Algrf,5500.0,5500.0,814.0,4400.0,23
CPT,Q4140,Graft Sft Tis 6x2cm Biodfence Sntr Plcnt Tiss,5500.0,5500.0,814.0,4400.0,23
CPT,Q4140,Graft Sft Tis 6x3cm Biodfence G3 Plcnt Membr Algrf,7125.0,7125.0,1054.5,5700.0,23
CPT,Q4140,Graft Sft Tis 6x3cm Biodfence Sntr Plcnt Membr,7125.0,7125.0,1054.5,5700.0,23
CPT,Q4140,Graft Sft Tis 8x2cm Biodfence Sntr Plcnt Tiss,6000.0,6000.0,888.0,4800.0,23
CPT,Q4140,Graft Sft Tis 8x4cm Biodfence G3 Plcnt Membr Algrf,12000.0,12000.0,1776.0,9600.0,23
CPT,Q4140,Graft Sft Tis 8x4cm Biodfence Sntr Plcnt Membr,12000.0,12000.0,1776.0,9600.0,23
CPT,Q4141,Alloskin ac  1 cm,,,37.98,171.15,29
CPT,Q4143,Repriza  1cm,,,33.92,54.27,26
CPT,Q4145,Epifix  inj  1mg,,,19.48,31.16,24
CPT,Q4147,Architect ecm px fx 1 sq cm,,,205.38,205.38,2
CPT,Q4148,Neox neox rt or clarix cord,,,123.8,198.08,31
CPT,Q4150,Allowrap ds or dry 1 sq cm,,,78.17,125.07,31
CPT,Q4151,Amnioband  guardian 1 sq cm,,,134.89,215.82,31
CPT,Q4152,Dermapure 1 square cm,,,50.72,81.14,31
CPT,Q4153,Dermavest  plurivest sq cm,,,137.93,244.35,31
CPT,Q4154,Biovance 1 square cm,,,131.9,211.04,31
CPT,Q4155,Neoxflo or clarixflo 1 mg,,,26.62,42.6,31
CPT,Q4156,Neox 100 or clarix 100,,,64.05,105.41,31
CPT,Q4158,Kerecis omega3  per sq cm,,,67.27,113.64,38
CPT,Q4159,Affinity1 square cm,,,204.96,367.3,31
CPT,Q4160,Nushield 1 square cm,,,93.93,4455.0,31
CPT,Q4161,Bio-connekt per square cm,,,1590.54,2588.91,26
CPT,Q4163,Woundex  bioskin  per sq cm,,,182.18,291.49,31
CPT,Q4164,Helicoll  per square cm,,,1640.93,2625.49,26
CPT,Q4166,Cytal  per square centimeter,,,19.97,31.95,31
CPT,Q4169,Artacent wound  per sq cm,,,2068.47,3309.56,24
CPT,Q4170,Cygnus  per sq cm,,,39.31,184.04,26
CPT,Q4171,Interfyl  1 mg,,,10.09,16.56,31
CPT,Q4173,Palingen or palingen xplus,,,349.02,558.42,26
CPT,Q4175,Miroderm,,,69.04,146.46,31
CPT,Q4178,Floweramniopatch  per sq cm,,,87.18,143.05,31
CPT,Q4180,Revita  per sq cm,,,355.7,1049.8,26
CPT,Q4184,Cellesta or duo per sq cm,,,80.04,870.93,31
CPT,Q4186,Epifix 1 sq cm,,,151.17,241.86,37
CPT,Q4187,Epicord 1 sq cm,,,242.73,392.48,31
CPT,Q4188,Amnioarmor 1 sq cm,,,346.64,1008.08,31
CPT,Q4190,Artacent ac 1 sq cm,,,112.32,331.69,31
CPT,Q4191,Restorigin 1 sq cm,,,655.3,1761.8,31
CPT,Q4193,Coll-e-derm 1 sq cm,,,1393.12,2883.38,26
CPT,Q4194,Novachor 1 sq cm,,,663.63,1201.02,31
CPT,Q4195,Puraply 1 sq cm,,,97.94,156.7,29
CPT,Q4196,Puraply am 1 sq cm,,,101.03,161.65,31
CPT,Q4197,Puraply xt 1 sq cm,,,70.7,133.11,31
CPT,Q4199,Cygnus matrix  per sq cm,,,111.15,478.34,31
CPT,Q4201,Matrion 1 sq cm,,,76.09,134.32,31
CPT,Q4203,Derma-gide  1 sq cm,,,300.18,1684.62,29
CPT,Q4204,Xwrap 1 sq cm,,,3692.14,5907.43,26
CPT,Q4205,Membrane graft or wrap sq cm,,,1159.61,1979.65,31
CPT,Q4217,Woundfix biowound plus xplus,,,318.0,519.72,31
CPT,Q4221,Amniowrap2 per sq cm,,,1961.0,3137.6,26
CPT,Q4222,Progenamatrix  per sq cm,,,116.96,232.78,31
CPT,Q4225,Amnio or derma tl  per sq cm,,,1427.45,2283.92,31
CPT,Q4227,Amniocore per sq cm,,,1172.56,1876.09,26
CPT,Q4229,Cogenex amnio memb per sq cm,,,461.36,1306.3,31
CPT,Q4231,Corplex p- per cc,,,1013.11,1063.77,5
CPT,Q4232,Corplex  per sq cm,,,109.44,351.32,31
CPT,Q4234,Xcellerate  per sq cm,,,255.14,886.3,31
CPT,Q4235,Amniorepair or altiply sq cm,,,87.98,190.22,31
CPT,Q4236,Carepatch per sq cm,,,449.41,719.05,31
CPT,Q4238,Derm-maxx  per sq cm,,,1296.2,2323.6,31
CPT,Q4239,Amnio-maxx or lite per sq cm,,,1902.62,3438.16,26
CPT,Q4248,Dermacyte amn mem allo sq cm,,,555.2,1545.19,26
CPT,Q4249,Amniply  per sq cm,,,1969.89,3151.82,24
CPT,Q4250,Amnioamp-mp per sq cm,,,2979.56,4767.29,24
CPT,Q4252,Vendaje  per square centimet,,,53.0,119.99,31
CPT,Q4253,Zenith amniotic membrane psc,,,75.79,202.2,31
CPT,Q4256,Mlg complet  per sq cm,,,735.05,1347.75,31
CPT,Q4257,Relese  per sq cm,,,487.72,1464.14,31
CPT,Q4258,Enverse  per sq cm,,,73.42,143.59,31
CPT,Q4259,Celera per sq cm,,,713.5,1799.63,31
CPT,Q4262,Dual layer impax  per sq cm,,,99.03,438.07,31
CPT,Q4263,Surgraft tl  per sq cm,,,741.82,2905.25,26
CPT,Q4264,Cocoon membrane  per sq cm,,,372.89,596.62,24
CPT,Q4265,Neostim tl per sq cm,,,1386.45,2949.93,31
CPT,Q4266,Neostim per sq cm,,,540.3,2151.94,31
CPT,Q4267,Neostim dl per sq cm,,,323.21,530.68,31
CPT,Q4268,Surgraft ft per sq cm,,,452.71,1282.16,26
CPT,Q4269,Surgraft xt per sq cm,,,1804.96,2887.93,24
CPT,Q4270,Complete sl per sq cm,,,3319.85,5311.76,24
CPT,Q4271,Complete ft per sq cm,,,1141.34,2219.94,31
CPT,Q4274,Esano ac  per sq cm,,,1881.5,3010.4,24
CPT,Q4275,Esano aca  per sq cm,,,2707.3,4331.68,24
CPT,Q4276,Orion  per sq cm,,,271.78,1234.09,31
CPT,Q4278,Epieffect  per sq cm,,,210.55,436.32,31
CPT,Q4279,Vendaje ac  per sq cm,,,2122.72,3396.35,31
CPT,Q4280,Xcell amnio matrix per sq cm,,,2060.4,4435.97,31
CPT,Q4281,Barrera slor dl per sq cm,,,411.16,1157.32,31
CPT,Q4282,Cygnus dual per sq cm,,,336.61,905.35,31
CPT,Q4283,Biovance tri or 3l  sq cm,,,455.74,1115.97,31
CPT,Q4289,Revoshield+ amnio  per sq cm,,,1523.05,2436.87,29
CPT,Q4290,Membrane wrap hydr per sq cm,,,1867.01,2987.22,26
CPT,Q4293,Acesso dl  per sq cm,,,1584.7,2535.52,26
CPT,Q4294,Amnio quad-core  per sq cm,,,3179.12,5382.09,26
CPT,Q4295,Amnio tri-core  per sq cm,,,2883.38,4648.72,26
CPT,Q4296,Rebound matrix  per sq cm,,,838.47,3179.12,26
CPT,Q4297,Emerge matrix  per sq cm,,,1302.3,3179.12,31
CPT,Q4298,Amnicore pro  per sq cm,,,2172.41,4214.64,29
CPT,Q4299,Amnicore pro+  per sq cm,,,3161.24,5057.98,26
CPT,Q4300,Acesso tl  per sq cm,,,2114.7,3396.38,31
CPT,Q4301,Activate matrix  per sq cm,,,1798.11,3326.97,31
CPT,Q4302,Complete aca  per sq cm,,,1239.9,2802.06,31
CPT,Q4303,Complete aa  per sq cm,,,3368.39,5389.42,31
CPT,Q4304,Grafix plus  per sq cm,,,447.46,1624.77,31
CPT,Q4309,Via matrix  per sq cm,,,880.03,1408.04,24
CPT,Q4310,Procenta  per 100 mg,,,1391.61,3401.37,31
CPT,Q4312,Acesso ac  per sq cm,,,2411.76,3858.82,24
CPT,Q4313,Dermabind fm  per sq cm,,,3312.52,5300.02,24
CPT,Q4314,Reeva  per sq cm,,,2332.0,3731.2,24
CPT,Q4316,Amchoplast  per sq cm,,,4227.97,6764.75,24
CPT,Q4317,Vitograft  per sq cm,,,4770.0,7632.0,24
CPT,Q4319,Sanograft  per sq cm,,,2809.0,4494.4,24
CPT,Q4320,Pellograft  per sq cm,,,103.03,164.84,24
CPT,Q4321,Renograft  per sq cm,,,3816.0,6105.6,24
CPT,Q4322,Caregraft  per sq cm,,,1825.62,2920.99,24
CPT,Q4323,Alloply  per sq cm,,,1563.15,2501.03,24
CPT,Q4325,Acapatch  per sq cm,,,1707.81,2732.49,24
CPT,Q4326,Woundplus  per sq cm,,,1062.72,1700.35,24
CPT,Q4328,Most  per sq cm,,,3440.63,5505.0,24
CPT,Q4331,Axolotl graft  per sq cm,,,1589.72,2543.54,24
CPT,Q4332,Axolotl dualgraft  per sq cm,,,1681.33,2690.13,26
CPT,Q4339,Artacent vericlen  per sq cm,,,2055.34,3288.54,24
CPT,Q4340,Simpligraft  per sq cm,,,1377.89,2204.63,24
CPT,Q4341,Simplimax  per sq cm,,,3524.11,5638.58,24
CPT,Q4342,Theramend  per sq cm,,,2271.19,3633.91,24
CPT,Q4343,Dermacyte ac matrx per sq cm,,,2952.1,4723.36,24
CPT,Q4344,Tri membrane wrap  per sq cm,,,3574.39,5719.02,24
CPT,Q4345,Matrix hd allogrft per sq cm,,,2650.0,4240.0,24
CPT,Q4346,Shelter dm matrix per sq cm,,,3663.79,5862.06,24
CPT,Q4347,Rampart dl matrix per sq cm,,,3099.43,4959.09,24
CPT,Q4348,Sentry sl matrix per sq cm,,,2034.88,3255.8,24
CPT,Q4350,Palisade dm matrix per sq cm,,,3608.09,5772.95,24
CPT,Q4353,Xceed tl matrix per sq cm,,,4148.84,6638.14,24
CPT,Q4355,Abio xpl abio xpl hy p sq cm,,,2835.72,4537.15,24
CPT,Q4357,Xwrap plus  per sq cm,,,4770.0,7632.0,24
CPT,Q4358,Xwrap dual  per sq cm,,,5893.34,9429.35,24
CPT,Q4359,Choriply  per sq cm,,,2779.32,4446.91,24
CPT,Q4361,Epixpress  per sq cm,,,2120.0,3392.0,24
CPT,Q4367,Amniocore sl  per sq cm,,,752.39,1203.83,24
CPT,Q5099,Inj ustekinumab-stba  1 mg,,,2.53,23.38,41
CPT,Q5100,Inj ustekinumab-kfce  1 mg,,,3.33,46.21,41
CPT,Q5101,Injection  zarxio,,,0.36,0.85,57
CPT,Q5103,Injection  inflectra,,,11.55,36.98,57
CPT,Q5104,Injection  renflexis,,,26.26,49.95,57
CPT,Q5105,Inj retacrit esrd on dialysi,,,0.75,1.46,57
CPT,Q5106,Inj retacrit non-esrd use,,,7.47,14.52,57
CPT,Q5107,Inj mvasi 10 mg,,,26.59,51.54,57
CPT,Q5108,Injection  fulphila,,,99.13,206.75,57
CPT,Q5110,Nivestym,,,0.27,0.56,57
CPT,Q5111,Injection  udenyca 0.5 mg,,,106.33,269.94,57
CPT,Q5112,Inj ontruzant 10 mg,,,19.0,47.66,57
CPT,Q5113,Inj herzuma 10 mg,,,60.44,128.33,57
CPT,Q5114,Inj ogivri 10 mg,,,40.29,85.54,57
CPT,Q5115,Inj truxima 10 mg,,,29.38,57.35,57
CPT,Q5116,Inj.  trazimera  10 mg,,,18.97,51.78,57
CPT,Q5117,Inj.  kanjinti  10 mg,,,24.33,87.97,57
CPT,Q5118,Inj.  zirabev  10 mg,,,23.0,47.67,57
CPT,Q5119,Inj ruxience  10 mg,,,22.44,51.52,57
CPT,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,24.71,354.94,55
CPT,Q5121,Inj. avsola  10 mg,,,19.83,37.76,57
CPT,Q5122,Inj  nyvepria,,,96.55,242.65,57
CPT,Q5123,Inj. riabni  10 mg,,,26.51,60.69,57
CPT,Q5124,Inj. byooviz  0.1 mg,,,61.8,279.18,57
CPT,Q5125,Inj  releuko 1 mcg,,,0.38,0.74,57
CPT,Q5126,Inj alymsys 10 mg,,,37.82,96.08,57
CPT,Q5127,Inj  stimufend  0.5 mg,,,184.91,492.21,57
CPT,Q5128,Inj  cimerli  0.1 mg,,,86.16,280.41,57
CPT,Q5129,Inj  vegzelma  10 mg,,,39.96,85.8,57
CPT,Q5130,Inj  fylnetra  0.5 mg,,,137.97,302.81,57
CPT,Q5131,Inj idacio 20 mg,,,292.57,487.71,4
CPT,Q5133,Inj  tofidence  1 mg,,,5.37,10.25,55
CPT,Q5135,Inj  tyenne  1 mg,,,4.11,8.18,55
CPT,Q5136,Inj. denosumab-bbdz  1 mg,,,27.54,50.95,14
CPT,Q5138,Inj  wezlana  iv  1 mg,,,11.65,21.55,37
CPT,Q5140,Inj adalimumab-fkjp  1 mg,,,13.18,143.78,20
CPT,Q5141,Inj adalimumab-aaty  1 mg,,,13.75,71.89,20
CPT,Q5142,Inj adalimumab-ryvk  1 mg,,,10.47,19.37,20
CPT,Q5143,Inj adalimumab-adbm  1 mg,,,10.43,19.3,20
CPT,Q5144,Inj  idacio  1 mg,,,7.69,24.78,20
CPT,Q5145,Inj  abrilada  1 mg,,,19.47,211.32,20
CPT,Q5146,Inj  hercessi  10 mg,,,40.03,74.06,40
CPT,Q5147,Inj  aflibercept-ayyh  1 mg,,,859.36,1589.82,44
CPT,Q5148,Inj  nyposi 1 mcg,,,0.55,1.02,17
CPT,Q5151,Inj  eculizumab-aagh  2 mg,,,31.35,58.0,14
CPT,Q5152,Inj  eculizumab-aeeb  2 mg?,,,40.31,74.57,14
CPT,Q5157,Inj  denosumab-bmwo  1 mg,,,28.13,52.04,13
CPT,Q5158,Inj  denosumab-bnht  1 mg,,,28.72,53.13,13
CPT,Q9950,Inj sulf hexa lipid microsph,,,18.59,29.75,34
CPT,Q9953,Inj fe-based mr contrast 1ml,,,0.01,0.01,3
CPT,Q9954,Oral mr contrast  100 ml,,,0.01,0.01,3
CPT,Q9956,Inj octafluoropropane mic ml,,,40.65,65.04,34
CPT,Q9957,Inj perflutren lip micros ml,,,40.65,65.04,34
CPT,Q9958,Hocm <149 mg/ml iodine  1ml,,,0.07,0.12,40
CPT,Q9960,Hocm 200-249mg/ml iodine 1ml,,,0.01,0.15,9
CPT,Q9961,Hocm 250-299mg/ml iodine 1ml,,,0.16,0.39,38
CPT,Q9962,Hocm 300-349mg/ml iodine 1ml,,,0.01,46.4,9
CPT,Q9963,Hocm 350-399mg/ml iodine 1ml,,,0.17,0.35,40
CPT,Q9964,Hocm> 400mg/ml iodine  1ml,,,0.01,0.01,3
CPT,Q9965,Locm 100-199mg/ml iodine 1ml,,,0.89,2.17,40
CPT,Q9966,Locm 200-299mg/ml iodine 1ml,,,0.38,0.72,40
CPT,Q9967,Locm 300-399mg/ml iodine 1ml,,,0.12,0.24,40
CPT,Q9968,Visualization adjunct,,,8.25,16.15,21
CPT,Q9969,Non-heu tc-99m add-on/dose,,,9.9,18.5,21
CPT,Q9982,Flutemetamol f18 diagnostic,,,874.4,3472.0,23
CPT,Q9983,Florbetaben f18 diagnostic,,,1273.76,3689.0,23
CPT,Q9991,Buprenorph xr 100 mg or less,,,1931.81,3730.38,57
CPT,Q9992,Buprenorphine xr over 100 mg,,,1931.81,3730.38,57
CPT,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,9.29,17.19,40
CPT,Q9998,Inj ustekinumab-aekn  1 mg,,,40.35,74.65,41
CPT,Q9999,Inj ustekinumab-aauz 1 mg,,,33.09,61.22,40
CPT,R0070,Transport portable x-ray,,,218.82,350.11,30
CPT,S0012,Butorphanol tartrate  nasal,,,56.4,61.19,3
CPT,S0013,Esketamine  nasal spray,,,13.79,14.96,6
CPT,S0014,Tacrine hydrochloride  10 mg,,,0.01,0.01,3
CPT,S0017,"Injection, aminocaproic acid",,,6.38,6.92,3
CPT,S0023,Injection  cimetidine hydroc,,,0.01,0.01,3
CPT,S0028,"Injection, famotidine, 20 mg",,,0.65,0.71,3
CPT,S0032,"Injection, nafcillin sodium",,,12.5,13.56,3
CPT,S0039,"Injection, sulfamethoxazole",,,12.54,13.61,3
CPT,S0040,Injection  ticarcillin disod,,,0.01,0.01,3
CPT,S0074,Injection  cefotetan disodiu,,,11.98,13.0,3
CPT,S0078,Injection  fosphenytoin sodi,,,36.91,40.05,3
CPT,S0080,Injection  pentamidine iseth,,,97.7,106.0,3
CPT,S0081,Injection  piperacillin sodi,,,0.01,0.01,3
CPT,S0088,Imatinib 100 mg,,,2.97,3.22,3
CPT,S0090,Sildenafil citrate  25 mg,,,0.27,0.29,3
CPT,S0091,Granisetron 1mg,,,3.0,3.26,3
CPT,S0092,Hydromorphone 250 mg,,,83.4,90.49,3
CPT,S0093,Morphine 500 mg,,,8.01,8.69,3
CPT,S0104,Zidovudine  oral  100 mg,,,1.51,1.64,3
CPT,S0106,Bupropion hcl sr 60 tablets,,,15.39,16.7,3
CPT,S0108,Mercaptopurine 50 mg,,,2.85,3.09,3
CPT,S0109,Methadone oral 5mg,,,0.31,0.34,3
CPT,S0117,Tretinoin topical 5 g,,,3.75,4.07,3
CPT,S0119,Ondansetron 4 mg,,,0.45,0.49,3
CPT,S0122,Inj menotropins 75 iu,,,242.75,263.38,3
CPT,S0126,Inj follitropin alfa 75 iu,,,241.51,262.04,3
CPT,S0128,Inj follitropin beta 75 iu,,,217.5,235.99,3
CPT,S0132,Inj ganirelix acetat 250 mcg,,,184.0,199.64,3
CPT,S0136,Clozapine  25 mg,,,0.65,0.71,3
CPT,S0137,Didanosine  25 mg,,,0.01,0.01,3
CPT,S0138,Finasteride  5 mg,,,0.16,0.17,3
CPT,S0139,Minoxidil  10 mg,,,0.46,0.5,3
CPT,S0140,Saquinavir  200 mg,,,0.01,0.01,3
CPT,S0145,Peg interferon alfa-2a/180,,,1113.42,1208.06,3
CPT,S0148,Peg interferon alfa-2b/10,,,0.01,0.01,3
CPT,S0155,Epoprostenol dilutant,,,14.5,15.73,3
CPT,S0156,Exemestane  25 mg,,,2.33,2.53,3
CPT,S0157,Becaplermin gel 1%  0.5 gm,,,45.32,49.17,3
CPT,S0160,Dextroamphetamine,,,0.69,0.75,3
CPT,S0169,Calcitrol,,,0.27,0.29,3
CPT,S0170,Anastrozole 1 mg,,,0.48,0.52,3
CPT,S0172,Chlorambucil 2 mg,,,264.15,286.6,3
CPT,S0174,Dolasetron 50 mg,,,29.56,32.07,3
CPT,S0176,Hydroxyurea 500 mg,,,0.56,0.61,3
CPT,S0178,Lomustine 10 mg,,,112.49,122.05,3
CPT,S0179,Megestrol 20 mg,,,0.28,0.3,3
CPT,S0182,Procarbazine  oral,,,129.27,140.26,3
CPT,S0183,Prochlorperazine 5 mg,,,0.35,0.38,3
CPT,S0187,Tamoxifen 10 mg,,,0.19,0.21,3
CPT,S0189,Testosterone pellet 75 mg,,,105.13,114.07,3
CPT,S0190,Mifepristone  oral  200 mg,,,43.0,90.0,9
CPT,S0191,Misoprostol  oral  200 mcg,,,0.71,1.05,9
CPT,S0194,Vitamin suppl 100 caps,,,9.85,10.69,3
CPT,S1040,Cranial remolding orthosis,,,2100.0,2100.0,3
CPT,S1091,Stent non-coronary propel,,,1650.0,1790.25,3
CPT,S2083,Adjustment gastric band,,,2438.0,2438.0,1
CPT,S2095,Transcath emboliz microspher,,,3133.0,3133.0,1
CPT,S2225,Myringotomy laser-assist,,,3133.0,3133.0,1
CPT,S2342,Nasal endoscop po debrid,,,1362.0,2836.0,2
CPT,S3620,Newborn metabolic screening,,,10.61,10.61,1
CPT,S3630,Eosinophil blood count,,,10.78,10.78,1
CPT,S3645,Hiv-1 antibody testing of or,,,51.22,51.22,1
CPT,S3650,Saliva test  hormone level,,,546.47,546.47,1
CPT,S3652,Saliva test  hormone level,,,197.36,197.36,1
CPT,S3655,Antisperm antibodies test,,,434.31,434.31,1
CPT,S3845,Gene test alpha-thalassemia,,,1.11,1.11,1
CPT,S3854,Gene profile panel breast,,,5866.89,5866.89,1
CPT,S3861,Genetic test brugada,,,6294.55,6294.55,1
CPT,S3865,Comp genet test hyp cardiomy,,,12002.27,12002.27,1
CPT,S3866,Spec gene test hyp cardiomy,,,1952.57,1952.57,1
CPT,S3870,Cgh test developmental delay,,,989.28,989.28,1
CPT,S4991,Nicotine patch nonlegend,,,1.78,1.93,3
CPT,S4993,Contraceptive pills for bc,,,0.79,0.86,3
CPT,S5010,5% dextrose and 0.45% saline,,,7.9,8.57,3
CPT,S5012,5% dextrose with potassium,,,4.75,5.15,3
CPT,S5550,Insulin rapid 5 u,,,0.23,0.25,3
CPT,S5551,Insulin most rapid 5 u,,,0.43,0.47,3
CPT,S5552,Insulin intermed 5 u,,,0.23,0.25,3
CPT,S5553,Insulin long acting 5 u,,,0.57,0.62,3
CPT,S5566,Insulin cartridge 300 u,,,26.87,29.15,3
CPT,S5570,Insulin dispos pen 1.5 ml,,,100.0,108.5,3
CPT,S5571,Insulin dispos pen 3 ml,,,31.82,34.52,3
CPT,S9443,Lactation class,,,19.0,19.0,6
CPT,S9445,Pt education noc individ,,,38.05,38.05,6
CPT,T1001,Nursing Assessment,99.0,99.0,14.65,79.2,23
CPT,T1002,Rn Services 15mins,99.0,99.0,14.65,79.2,23
CPT,T1003,Lpn Services 15mins,75.0,75.0,11.1,60.0,23
CPT,T1016,Case Management,53.55,53.55,7.93,42.84,23
CPT,T2038,Community Transitional Planning,70.0,70.0,10.36,56.0,23
CPT,T2101,Breast Milk Proc/Store/Dist,13.0,13.0,7.8,10.4,4
CPT,T4521,Adult size brief/diaper sm,,,0.6,0.6,3
CPT,T4522,Adult size brief/diaper med,,,0.6,0.6,3
CPT,T4523,Adult size brief/diaper lg,,,0.8,0.8,3
CPT,T4524,Adult size brief/diaper xl,,,0.9,0.9,3
CPT,T4525,Adult size pull-on sm,,,0.6,0.6,3
CPT,T4526,Adult size pull-on med,,,0.6,0.6,3
CPT,T4527,Adult size pull-on lg,,,0.8,0.8,3
CPT,T4528,Adult size pull-on xl,,,0.9,0.9,3
CPT,T4529,Ped size brief/diaper sm/med,,,0.6,0.6,3
CPT,T4530,Ped size brief/diaper lg,,,0.6,0.6,3
CPT,T4531,Ped size pull-on sm/med,,,0.8,0.8,3
CPT,T4532,Ped size pull-on lg,,,0.9,0.9,3
CPT,T4533,Youth size brief/diaper,,,0.34,0.34,3
CPT,T4534,Youth size pull-on,,,0.6,0.6,3
CPT,T4535,Disposable liner/shield/pad,,,0.5,0.5,3
CPT,T4541,Large disposable underpad,,,0.5,0.5,3
CPT,T4544,Adlt disp und/pull on abv xl,,,0.94,0.94,3
CPT,U0001,2019-ncov diagnostic p,,,35.92,99.5,55
CPT,U0002,Covid-19 lab test non-cdc,,,51.31,142.13,55
CPT,U0003,Cov-19 amp prb hgh thruput,,,186.11,186.11,3
CPT,U0004,Cov-19 test non-cdc hgh thru,,,186.11,186.11,3
CPT,U0005,Infec agen detec ampli probe,,,62.04,62.04,3
CPT,V2020,Vision svcs frames purchases,,,96.74,178.97,16
CPT,V2100,Lens spher single plano 4.00,,,47.02,86.99,16
CPT,V2101,Single visn sphere 4.12-7.00,,,49.54,91.65,16
CPT,V2102,Singl visn sphere 7.12-20.00,,,70.27,130.0,16
CPT,V2103,Spherocylindr 4.00d/12-2.00d,,,40.82,75.52,16
CPT,V2104,Spherocylindr 4.00d/2.12-4d,,,45.21,83.64,16
CPT,V2105,Spherocylinder 4.00d/4.25-6d,,,55.36,102.42,16
CPT,V2106,Spherocylinder 4.00d/>6.00d,,,56.18,103.93,16
CPT,V2107,Spherocylinder 4.25d/12-2d,,,59.04,109.22,16
CPT,V2108,Spherocylinder 4.25d/2.12-4d,,,57.26,105.93,16
CPT,V2109,Spherocylinder 4.25d/4.25-6d,,,65.82,121.77,16
CPT,V2110,Spherocylinder 4.25d/over 6d,,,76.82,142.12,16
CPT,V2111,Spherocylindr 7.25d/.25-2.25,,,67.72,125.28,16
CPT,V2112,Spherocylindr 7.25d/2.25-4d,,,66.83,123.64,16
CPT,V2113,Spherocylindr 7.25d/4.25-6d,,,92.3,170.76,16
CPT,V2114,Spherocylinder over 12.00d,,,81.66,151.07,16
CPT,V2115,Lens lenticular bifocal,,,88.78,164.24,16
CPT,V2118,Lens aniseikonic single,,,88.02,162.84,16
CPT,V2121,Lenticular lens  single,,,90.87,168.11,16
CPT,V2200,Lens spher bifoc plano 4.00d,,,61.54,113.85,16
CPT,V2201,Lens sphere bifocal 4.12-7.0,,,67.06,124.06,16
CPT,V2202,Lens sphere bifocal 7.12-20.,,,78.92,146.0,16
CPT,V2203,Lens sphcyl bifocal 4.00d/.1,,,62.08,114.85,16
CPT,V2204,Lens sphcy bifocal 4.00d/2.1,,,67.32,124.54,16
CPT,V2205,Lens sphcy bifocal 4.00d/4.2,,,73.86,136.64,16
CPT,V2206,Lens sphcy bifocal 4.00d/ove,,,89.93,166.37,16
CPT,V2207,Lens sphcy bifocal 4.25-7d/.,,,75.06,138.86,16
CPT,V2208,Lens sphcy bifocal 4.25-7/2.,,,75.98,140.56,16
CPT,V2209,Lens sphcy bifocal 4.25-7/4.,,,83.57,154.6,16
CPT,V2210,Lens sphcy bifocal 4.25-7/ov,,,107.52,198.91,16
CPT,V2211,Lens sphcy bifo 7.25-12/.25-,,,91.68,169.61,16
CPT,V2212,Lens sphcyl bifo 7.25-12/2.2,,,99.77,184.57,16
CPT,V2213,Lens sphcyl bifo 7.25-12/4.2,,,102.31,189.27,16
CPT,V2214,Lens sphcyl bifocal over 12.,,,109.65,202.85,16
CPT,V2215,Lens lenticular bifocal,,,118.67,219.54,16
CPT,V2218,Lens aniseikonic bifocal,,,121.41,224.61,16
CPT,V2219,Lens bifocal seg width over,,,53.44,98.86,16
CPT,V2220,Lens bifocal add over 3.25d,,,43.34,80.18,16
CPT,V2221,Lenticular lens  bifocal,,,115.79,214.21,16
CPT,V2300,Lens sphere trifocal 4.00d,,,79.91,147.83,16
CPT,V2301,Lens sphere trifocal 4.12-7.,,,92.67,171.44,16
CPT,V2302,Lens sphere trifocal 7.12-20,,,101.51,187.79,16
CPT,V2303,Lens sphcy trifocal 4.0/.12-,,,84.11,155.6,16
CPT,V2304,Lens sphcy trifocal 4.0/2.25,,,88.02,162.84,16
CPT,V2305,Lens sphcy trifocal 4.0/4.25,,,107.94,199.69,16
CPT,V2306,Lens sphcyl trifocal 4.00/>6,,,100.65,186.2,16
CPT,V2307,Lens sphcy trifocal 4.25-7/.,,,99.79,184.61,16
CPT,V2308,Lens sphc trifocal 4.25-7/2.,,,106.49,197.01,16
CPT,V2309,Lens sphc trifocal 4.25-7/4.,,,124.57,230.45,16
CPT,V2310,Lens sphc trifocal 4.25-7/>6,,,137.03,253.51,16
CPT,V2311,Lens sphc trifo 7.25-12/.25-,,,130.51,241.44,16
CPT,V2312,Lens sphc trifo 7.25-12/2.25,,,115.04,212.82,16
CPT,V2313,Lens sphc trifo 7.25-12/4.25,,,157.02,290.49,16
CPT,V2314,Lens sphcyl trifocal over 12,,,172.0,318.2,16
CPT,V2315,Lens lenticular trifocal,,,190.95,353.26,16
CPT,V2318,Lens aniseikonic trifocal,,,176.06,325.71,16
CPT,V2319,Lens trifocal seg width > 28,,,59.61,110.28,16
CPT,V2320,Lens trifocal add over 3.25d,,,62.88,116.33,16
CPT,V2321,Lenticular lens  trifocal,,,188.21,348.19,16
CPT,V2410,Lens variab asphericity sing,,,107.62,199.1,16
CPT,V2430,Lens variable asphericity bi,,,140.1,259.19,16
CPT,V2500,Contact lens pmma spherical,,,97.55,180.47,16
CPT,V2501,Cntct lens pmma-toric/prism,,,148.6,274.91,16
CPT,V2502,Contact lens pmma bifocal,,,183.06,338.66,16
CPT,V2503,Cntct lens pmma color vision,,,175.16,324.05,16
CPT,V2510,Cntct gas permeable sphericl,,,133.17,246.36,16
CPT,V2511,Cntct toric prism ballast,,,191.34,353.98,16
CPT,V2512,Cntct lens gas permbl bifocl,,,226.1,418.29,16
CPT,V2513,Contact lens extended wear,,,189.82,351.17,16
CPT,V2520,Contact lens hydrophilic,,,125.17,231.56,16
CPT,V2521,Cntct lens hydrophilic toric,,,217.92,403.15,16
CPT,V2522,Cntct lens hydrophil bifocl,,,212.08,392.35,16
CPT,V2523,Cntct lens hydrophil extend,,,180.74,334.37,16
CPT,V2524,Cntct lens hydrophil photoch,,,151.43,280.15,16
CPT,V2530,Contact lens gas impermeable,,,267.69,495.23,16
CPT,V2531,Contact lens gas permeable,,,657.17,1215.76,16
CPT,V2623,Plastic eye prosth custom,,,600.66,1993.15,19
CPT,V2624,Polishing artifical eye,,,40.74,135.18,19
CPT,V2625,Enlargemnt of eye prosthesis,,,263.86,875.59,19
CPT,V2626,Reduction of eye prosthesis,,,167.4,555.5,19
CPT,V2627,Scleral cover shell,,,958.42,3180.26,19
CPT,V2628,Fabrication & fitting,,,219.13,727.12,19
CPT,V2700,Balance lens,,,52.58,97.27,16
CPT,V2710,Glass/plastic slab off prism,,,76.96,142.38,16
CPT,V2715,Prism lens/es,,,13.95,25.81,16
CPT,V2718,Fresnell prism press-on lens,,,34.27,63.4,16
CPT,V2730,Special base curve,,,25.31,46.82,16
CPT,V2744,Tint photochromatic lens/es,,,26.26,48.58,16
CPT,V2745,Tint  any color/solid/grad,,,14.88,27.53,16
CPT,V2750,Anti-reflective coating,,,30.55,56.52,16
CPT,V2755,Uv lens/es,,,22.08,40.85,16
CPT,V2770,Occluder lens/es,,,24.81,45.9,16
CPT,V2780,Oversize lens/es,,,20.05,37.09,16
CPT,V2782,Lens  1.54-1.65 p/1.60-1.79g,,,78.12,144.52,16
CPT,V2783,Lens  > 1.66 p/>1.80 g,,,88.09,162.97,16
CPT,V2784,Lens polycarb or equal,,,57.28,105.97,16
CPT,V2785,Corneal tissue processing,,,,,0
CPT,V2790,Prokera,2140.0,2140.0,316.72,1712.0,23
CPT,V5014,Hearing aid repair/modifying,,,45.0,45.0,3
CPT,V5040,Body-worn hearing aid bone,,,832.5,832.5,3
CPT,V5050,Hearing aid monaural in ear,,,832.5,832.5,3
CPT,V5060,Behind ear hearing aid,,,832.5,832.5,3
CPT,V5171,Hearing aid monaural ite,,,832.5,832.5,3
CPT,V5172,Hearing aid monaural itc,,,832.5,832.5,3
CPT,V5181,Hearing aid monaural bte,,,832.5,832.5,3
CPT,V5211,Hearing aid binaural ite/ite,,,2158.0,2158.0,3
CPT,V5212,Hearing aid binaural ite/itc,,,2158.0,2158.0,3
CPT,V5213,Hearing aid binaural ite/bte,,,2158.0,2158.0,3
CPT,V5214,Hearing aid binaural itc/itc,,,2158.0,2158.0,3
CPT,V5215,Hearing aid binaural itc/bte,,,2158.0,2158.0,3
CPT,V5221,Hearing aid binaural bte/bte,,,2158.0,2158.0,3
CPT,V5244,Hearing aid  prog  mon  cic,,,1325.5,1325.5,3
CPT,V5245,Hearing aid  prog  mon  itc,,,1325.5,1325.5,3
CPT,V5246,Hearing aid  prog  mon  ite,,,1325.5,1325.5,3
CPT,V5247,Hearing aid  prog  mon  bte,,,1325.5,1325.5,3
CPT,V5254,Hearing id  digit  mon  cic,,,1325.5,1325.5,3
CPT,V5255,Hearing aid  digit  mon  itc,,,1325.5,1325.5,3
CPT,V5256,Hearing aid  digit  mon  ite,,,1325.5,1325.5,3
CPT,V5257,Hearing aid  digit  mon  bte,,,1325.5,1325.5,3
CPT,V5258,Hearing aid  digit  bin  cic,,,2651.0,2651.0,3
CPT,V5259,Hearing aid  digit  bin  itc,,,2651.0,2651.0,3
CPT,V5260,Hearing aid  digit  bin  ite,,,2651.0,2651.0,3
CPT,V5261,Hearing aid  digit  bin  bte,,,2651.0,2651.0,3
CPT,V5264,Ear mold/insert,,,45.0,45.0,3
CPT,V5266,Battery for hearing device,,,5.4,5.4,3
CPT,V5267,Hearing aid sup/access/dev,,,41.4,41.4,3
LOCAL,Other,All Other,,,,,0
MS-DRG,MS-001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,3500.0,619702.6,26
MS-DRG,MS-002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,3500.0,242433.4,26
MS-DRG,MS-003,ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITH MAJOR O.R. PROCEDURES,,,3500.0,318378.0,18
MS-DRG,MS-004,TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES,,,3500.0,207771.0,18
MS-DRG,MS-005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,3500.0,234286.8,26
MS-DRG,MS-006,LIVER TRANSPLANT WITHOUT MCC,,,3500.0,106682.4,26
MS-DRG,MS-007,LUNG TRANSPLANT,,,3500.0,287513.6,26
MS-DRG,MS-008,SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT,,,3500.0,119704.2,26
MS-DRG,MS-010,PANCREAS TRANSPLANT,,,3500.0,175406.0,26
MS-DRG,MS-011,TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W MCC,,,3500.0,118709.8,27
MS-DRG,MS-012,TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W CC,,,3500.0,90281.4,27
MS-DRG,MS-013,TRACHEOSTOMY FOR FACEMOUTH & NECK DIAGNOSES W/O CC/MCC,,,3500.0,58300.0,27
MS-DRG,MS-014,ALLOGENEIC BONE MARROW TRANSPLANT,,,3500.0,288239.6,26
MS-DRG,MS-016,AUTOLOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,3500.0,132789.8,26
MS-DRG,MS-017,AUTOLOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,3500.0,132789.8,26
MS-DRG,MS-018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY,,,3500.0,829681.6,26
MS-DRG,MS-019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,3500.0,174400.6,26
MS-DRG,MS-020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,3500.0,177344.2,27
MS-DRG,MS-021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,3500.0,121600.6,27
MS-DRG,MS-022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,3500.0,77668.8,27
MS-DRG,MS-023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,3500.0,125512.2,26
MS-DRG,MS-024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,3500.0,83637.4,26
MS-DRG,MS-025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,3500.0,98390.6,28
MS-DRG,MS-026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,3500.0,67289.2,28
MS-DRG,MS-027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,3500.0,54291.6,27
MS-DRG,MS-028,SPINAL PROCEDURES WITH MCC,,,3500.0,133749.0,27
MS-DRG,MS-029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,3500.0,73847.4,27
MS-DRG,MS-030,SPINAL PROCEDURES WITHOUT CC/MCC,,,3500.0,48958.8,27
MS-DRG,MS-031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,3500.0,92193.2,27
MS-DRG,MS-032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,3500.0,46983.2,27
MS-DRG,MS-033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,3500.0,35101.0,27
MS-DRG,MS-034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,3500.0,85551.4,27
MS-DRG,MS-035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,3500.0,50045.6,27
MS-DRG,MS-036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,3500.0,40328.2,27
MS-DRG,MS-037,EXTRACRANIAL PROCEDURES WITH MCC,,,3500.0,73059.8,27
MS-DRG,MS-038,EXTRACRANIAL PROCEDURES WITH CC,,,3500.0,35448.6,27
MS-DRG,MS-039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,3500.0,25040.4,27
MS-DRG,MS-040,PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC,,,3500.0,82986.2,27
MS-DRG,MS-041,PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR,,,3500.0,49680.4,27
MS-DRG,MS-042,PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC,,,3500.0,38667.2,27
MS-DRG,MS-052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,3500.0,44275.0,28
MS-DRG,MS-053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,3500.0,20270.8,28
MS-DRG,MS-054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,3500.0,32980.2,27
MS-DRG,MS-055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,3500.0,24002.0,27
MS-DRG,MS-056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,3500.0,55090.2,27
MS-DRG,MS-057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,3500.0,29356.8,27
MS-DRG,MS-058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,3500.0,40609.8,27
MS-DRG,MS-059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,3500.0,26919.2,27
MS-DRG,MS-060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,3500.0,19632.8,27
MS-DRG,MS-061,ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC,,,4291.0,59474.8,26
MS-DRG,MS-062,ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC,,,4291.0,39179.8,26
MS-DRG,MS-063,ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC,,,4291.0,30905.6,26
MS-DRG,MS-064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,3500.0,43762.4,27
MS-DRG,MS-065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,3500.0,22371.8,27
MS-DRG,MS-066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,3500.0,15142.6,27
MS-DRG,MS-067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,3500.0,32007.8,27
MS-DRG,MS-068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,3500.0,19393.0,27
MS-DRG,MS-069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,3500.0,17602.2,27
MS-DRG,MS-070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,3500.0,38253.6,27
MS-DRG,MS-071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,3500.0,23185.8,27
MS-DRG,MS-072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,3500.0,16504.4,27
MS-DRG,MS-073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,3500.0,34003.2,27
MS-DRG,MS-074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,3500.0,22932.8,27
MS-DRG,MS-075,VIRAL MENINGITIS WITH CC/MCC,,,3500.0,37892.8,27
MS-DRG,MS-076,VIRAL MENINGITIS WITHOUT CC/MCC,,,3500.0,20171.8,27
MS-DRG,MS-077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,3500.0,34018.6,12
MS-DRG,MS-078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,3500.0,21953.8,12
MS-DRG,MS-079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,3500.0,14667.4,12
MS-DRG,MS-080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,3500.0,43731.6,27
MS-DRG,MS-081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,3500.0,19905.6,27
MS-DRG,MS-082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,3500.0,51044.4,28
MS-DRG,MS-083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,3500.0,30588.8,28
MS-DRG,MS-084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,3500.0,21034.2,28
MS-DRG,MS-085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,3500.0,49852.0,28
MS-DRG,MS-086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,3500.0,28855.2,28
MS-DRG,MS-087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,3500.0,19448.0,28
MS-DRG,MS-088,CONCUSSION WITH MCC,,,3500.0,31035.4,28
MS-DRG,MS-089,CONCUSSION WITH CC,,,3500.0,23586.2,28
MS-DRG,MS-090,CONCUSSION WITHOUT CC/MCC,,,3500.0,18860.6,28
MS-DRG,MS-091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,3500.0,40103.8,27
MS-DRG,MS-092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,3500.0,23291.4,27
MS-DRG,MS-093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,3500.0,17364.6,27
MS-DRG,MS-094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,3500.0,80271.4,27
MS-DRG,MS-095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,3500.0,52738.4,27
MS-DRG,MS-096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,3500.0,52738.4,27
MS-DRG,MS-097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,3500.0,78861.2,27
MS-DRG,MS-098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,3500.0,47724.6,27
MS-DRG,MS-099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,3500.0,30652.6,27
MS-DRG,MS-100,SEIZURES WITH MCC,,,3500.0,43676.6,27
MS-DRG,MS-101,SEIZURES WITHOUT MCC,,,3500.0,20277.4,27
MS-DRG,MS-102,HEADACHES WITH MCC,,,3500.0,25509.0,27
MS-DRG,MS-103,HEADACHES WITHOUT MCC,,,3500.0,18704.4,27
MS-DRG,MS-113,ORBITAL PROCEDURES WITH CC/MCC,,,3500.0,49645.2,27
MS-DRG,MS-114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,3500.0,26006.2,27
MS-DRG,MS-115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,3500.0,33682.0,27
MS-DRG,MS-116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,3500.0,36709.2,27
MS-DRG,MS-117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,3500.0,23729.2,27
MS-DRG,MS-121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,3500.0,25590.4,27
MS-DRG,MS-122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,3500.0,14922.6,27
MS-DRG,MS-123,NEUROLOGICAL EYE DISORDERS,,,3500.0,17670.4,27
MS-DRG,MS-124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,3500.0,28685.8,27
MS-DRG,MS-125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,3500.0,18165.4,27
MS-DRG,MS-135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,3500.0,53044.2,27
MS-DRG,MS-136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,3500.0,21520.4,27
MS-DRG,MS-137,MOUTH PROCEDURES WITH CC/MCC,,,3500.0,30769.2,27
MS-DRG,MS-138,MOUTH PROCEDURES WITHOUT CC/MCC,,,3500.0,17897.0,27
MS-DRG,MS-139,SALIVARY GLAND PROCEDURES,,,3500.0,30206.0,27
MS-DRG,MS-140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,3500.0,93042.4,27
MS-DRG,MS-141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,3500.0,47267.0,27
MS-DRG,MS-142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,3500.0,34592.8,27
MS-DRG,MS-143,OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC,,,3500.0,72641.8,27
MS-DRG,MS-144,OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC,,,3500.0,38647.4,27
MS-DRG,MS-145,OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,26065.6,27
MS-DRG,MS-146,EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC,,,3500.0,50470.2,27
MS-DRG,MS-147,EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC,,,3500.0,27385.6,27
MS-DRG,MS-148,EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC,,,3500.0,17615.4,27
MS-DRG,MS-149,DYSEQUILIBRIUM,,,3500.0,16445.0,27
MS-DRG,MS-150,EPISTAXIS WITH MCC,,,3500.0,30408.4,27
MS-DRG,MS-151,EPISTAXIS WITHOUT MCC,,,3500.0,16676.0,27
MS-DRG,MS-152,OTITIS MEDIA AND URI WITH MCC,,,3500.0,24965.6,27
MS-DRG,MS-153,OTITIS MEDIA AND URI WITHOUT MCC,,,3500.0,15657.4,27
MS-DRG,MS-154,OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC,,,3500.0,35778.6,27
MS-DRG,MS-155,OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC,,,3500.0,20539.2,27
MS-DRG,MS-156,OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC,,,3500.0,14792.8,27
MS-DRG,MS-157,DENTAL AND ORAL DISEASES WITH MCC,,,3500.0,36025.0,27
MS-DRG,MS-158,DENTAL AND ORAL DISEASES WITH CC,,,3500.0,20693.2,27
MS-DRG,MS-159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,3500.0,14511.2,27
MS-DRG,MS-163,MAJOR CHEST PROCEDURES WITH MCC,,,3500.0,101402.4,27
MS-DRG,MS-164,MAJOR CHEST PROCEDURES WITH CC,,,3500.0,55374.0,27
MS-DRG,MS-165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,3500.0,41008.0,27
MS-DRG,MS-166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,3500.0,84706.6,27
MS-DRG,MS-167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,3500.0,40198.4,27
MS-DRG,MS-168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,29785.8,27
MS-DRG,MS-173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,3500.0,67509.2,27
MS-DRG,MS-175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,3500.0,31000.2,27
MS-DRG,MS-176,PULMONARY EMBOLISM WITHOUT MCC,,,3500.0,17919.0,27
MS-DRG,MS-177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,3500.0,35563.0,27
MS-DRG,MS-178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,3500.0,21826.2,27
MS-DRG,MS-179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,3500.0,16933.4,27
MS-DRG,MS-180,RESPIRATORY NEOPLASMS WITH MCC,,,3500.0,38451.6,27
MS-DRG,MS-181,RESPIRATORY NEOPLASMS WITH CC,,,3500.0,24426.6,27
MS-DRG,MS-182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,3500.0,18425.0,27
MS-DRG,MS-183,MAJOR CHEST TRAUMA WITH MCC,,,3500.0,34920.6,28
MS-DRG,MS-184,MAJOR CHEST TRAUMA WITH CC,,,3500.0,23498.2,28
MS-DRG,MS-185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,3500.0,17109.4,28
MS-DRG,MS-186,PLEURAL EFFUSION WITH MCC,,,3500.0,34760.0,27
MS-DRG,MS-187,PLEURAL EFFUSION WITH CC,,,3500.0,22088.0,27
MS-DRG,MS-188,PLEURAL EFFUSION WITHOUT CC/MCC,,,3500.0,16152.4,27
MS-DRG,MS-189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,3500.0,27222.8,27
MS-DRG,MS-190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,3500.0,24706.0,27
MS-DRG,MS-191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,3500.0,18900.2,27
MS-DRG,MS-192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,3500.0,14238.4,27
MS-DRG,MS-193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,3500.0,28989.4,27
MS-DRG,MS-194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,3500.0,18040.0,27
MS-DRG,MS-195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,3500.0,13699.4,27
MS-DRG,MS-196,INTERSTITIAL LUNG DISEASE WITH MCC,,,3500.0,41450.2,27
MS-DRG,MS-197,INTERSTITIAL LUNG DISEASE WITH CC,,,3500.0,21780.0,27
MS-DRG,MS-198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,3500.0,15408.8,27
MS-DRG,MS-199,PNEUMOTHORAX WITH MCC,,,3500.0,38836.6,27
MS-DRG,MS-200,PNEUMOTHORAX WITH CC,,,3500.0,24365.0,27
MS-DRG,MS-201,PNEUMOTHORAX WITHOUT CC/MCC,,,3500.0,14896.2,27
MS-DRG,MS-202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,3500.0,21267.4,27
MS-DRG,MS-203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,3500.0,15325.2,27
MS-DRG,MS-204,RESPIRATORY SIGNS AND SYMPTOMS,,,3500.0,17842.0,27
MS-DRG,MS-205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,3500.0,41531.6,27
MS-DRG,MS-206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,3500.0,19927.6,27
MS-DRG,MS-207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,3500.0,142278.4,27
MS-DRG,MS-208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,3500.0,59043.6,27
MS-DRG,MS-209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17,,,4900.0,169782.0,18
MS-DRG,MS-211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17,,,800.0,900.0,3
MS-DRG,MS-212,CONCOMITANT AORTIC AND MITRAL VALVE?PROCEDURES,,,800.0,239665.8,27
MS-DRG,MS-213,SPLENIC PROCEDURES AGE 0-17,,,800.0,85603.5,21
MS-DRG,MS-214,RED BLOOD CELL DISORDERS AGE 0-17,,,800.0,900.0,3
MS-DRG,MS-215,OTHER HEART ASSIST SYSTEM IMPLANT,,,800.0,233085.6,27
MS-DRG,MS-216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,800.0,212324.2,27
MS-DRG,MS-217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,800.0,142073.8,27
MS-DRG,MS-218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,800.0,130884.6,27
MS-DRG,MS-219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,800.0,170225.0,27
MS-DRG,MS-220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,3500.0,116527.4,27
MS-DRG,MS-221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,3500.0,101037.2,27
MS-DRG,MS-228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,3500.0,109632.6,27
MS-DRG,MS-229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,3500.0,78281.0,27
MS-DRG,MS-231,CORONARY BYPASS WITH PTCA WITH MCC,,,3500.0,186425.8,27
MS-DRG,MS-232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,3500.0,134391.4,27
MS-DRG,MS-233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC,,,3500.0,171960.8,27
MS-DRG,MS-234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC,,,3500.0,117044.4,27
MS-DRG,MS-235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,3500.0,129452.4,27
MS-DRG,MS-236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,3500.0,90466.2,27
MS-DRG,MS-239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,3500.0,110811.8,27
MS-DRG,MS-240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,4291.0,64068.4,26
MS-DRG,MS-241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,3500.0,33217.8,27
MS-DRG,MS-242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,3500.0,74624.0,27
MS-DRG,MS-243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,3500.0,49561.6,27
MS-DRG,MS-244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,3500.0,39703.4,27
MS-DRG,MS-245,AICD GENERATOR PROCEDURES,,,3500.0,107509.6,27
MS-DRG,MS-246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,,,4900.0,33700.0,3
MS-DRG,MS-247,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC,,,4900.0,25500.0,3
MS-DRG,MS-248,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,,,4900.0,30000.0,3
MS-DRG,MS-249,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC,,,4900.0,28500.0,3
MS-DRG,MS-250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,4291.0,50877.2,27
MS-DRG,MS-251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,4291.0,34377.2,27
MS-DRG,MS-252,OTHER VASCULAR PROCEDURES WITH MCC,,,3500.0,75468.8,27
MS-DRG,MS-253,OTHER VASCULAR PROCEDURES WITH CC,,,3500.0,56166.0,27
MS-DRG,MS-254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,3500.0,38486.8,27
MS-DRG,MS-255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,3500.0,57563.0,27
MS-DRG,MS-256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,3500.0,37261.4,27
MS-DRG,MS-257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,3500.0,19621.8,27
MS-DRG,MS-258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,3500.0,61721.0,27
MS-DRG,MS-259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,3500.0,38669.4,27
MS-DRG,MS-260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,3500.0,74936.4,27
MS-DRG,MS-261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,3500.0,41747.2,27
MS-DRG,MS-262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,3500.0,33391.6,27
MS-DRG,MS-263,VEIN LIGATION AND STRIPPING,,,3500.0,59006.2,27
MS-DRG,MS-264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,3500.0,76892.2,27
MS-DRG,MS-265,AICD LEAD PROCEDURES,,,3500.0,78478.4,27
MS-DRG,MS-266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC,,,3500.0,131797.6,27
MS-DRG,MS-267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC,,,3500.0,103503.4,27
MS-DRG,MS-268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,3500.0,146687.2,27
MS-DRG,MS-269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,3500.0,91535.4,27
MS-DRG,MS-270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,3500.0,112926.0,27
MS-DRG,MS-271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,3500.0,75776.8,27
MS-DRG,MS-272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,3500.0,55048.4,27
MS-DRG,MS-273,PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC,,,3500.0,86026.6,27
MS-DRG,MS-274,PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC,,,3500.0,68662.0,27
MS-DRG,MS-275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,3500.0,155474.0,27
MS-DRG,MS-276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,3500.0,136276.8,27
MS-DRG,MS-277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,3500.0,102341.8,27
MS-DRG,MS-278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,3500.0,110072.6,27
MS-DRG,MS-279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,3500.0,70496.8,27
MS-DRG,MS-280,ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC,,,3500.0,36110.8,27
MS-DRG,MS-281,ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC,,,3500.0,23591.0,27
MS-DRG,MS-282,ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC,,,3500.0,16646.0,27
MS-DRG,MS-283,ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC,,,3500.0,43018.8,27
MS-DRG,MS-284,ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC,,,3500.0,23591.0,27
MS-DRG,MS-285,ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC,,,3500.0,23591.0,27
MS-DRG,MS-286,CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC,,,3500.0,48692.6,27
MS-DRG,MS-287,CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC,,,3500.0,23973.4,27
MS-DRG,MS-288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,3500.0,60093.0,27
MS-DRG,MS-289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,3500.0,34687.4,27
MS-DRG,MS-290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,3500.0,21538.0,27
MS-DRG,MS-291,HEART FAILURE AND SHOCK WITH MCC,,,3500.0,28705.6,28
MS-DRG,MS-292,HEART FAILURE AND SHOCK WITH CC,,,3500.0,18946.4,28
MS-DRG,MS-293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,3500.0,16646.0,27
MS-DRG,MS-294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,3500.0,27016.0,12
MS-DRG,MS-295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,3500.0,17375.6,12
MS-DRG,MS-296,CARDIAC ARREST- UNEXPLAINED WITH MCC,,,3500.0,36044.8,27
MS-DRG,MS-297,CARDIAC ARREST- UNEXPLAINED WITH CC,,,3500.0,15496.8,27
MS-DRG,MS-298,CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC,,,3030.07,9717.4,27
MS-DRG,MS-299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,3500.0,35587.2,27
MS-DRG,MS-300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,3500.0,23553.2,27
MS-DRG,MS-301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,3500.0,15694.8,27
MS-DRG,MS-302,ATHEROSCLEROSIS WITH MCC,,,3500.0,25592.6,27
MS-DRG,MS-303,ATHEROSCLEROSIS WITHOUT MCC,,,3500.0,14792.8,27
MS-DRG,MS-304,HYPERTENSION WITH MCC,,,3500.0,25845.6,27
MS-DRG,MS-305,HYPERTENSION WITHOUT MCC,,,3500.0,16515.4,27
MS-DRG,MS-306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,3500.0,32942.8,27
MS-DRG,MS-307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,3500.0,20380.8,27
MS-DRG,MS-308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,3500.0,26529.8,27
MS-DRG,MS-309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,3500.0,16264.6,27
MS-DRG,MS-310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,3500.0,12309.0,27
MS-DRG,MS-311,ANGINA PECTORIS,,,3500.0,15362.6,27
MS-DRG,MS-312,SYNCOPE AND COLLAPSE,,,3500.0,19168.6,27
MS-DRG,MS-313,CHEST PAIN,,,3500.0,15694.8,27
MS-DRG,MS-314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,3500.0,47377.0,27
MS-DRG,MS-315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,3500.0,21170.6,27
MS-DRG,MS-316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,3500.0,15019.4,27
MS-DRG,MS-317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,4291.0,136100.8,26
MS-DRG,MS-318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,4900.0,36333.0,18
MS-DRG,MS-319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,3500.0,96641.6,27
MS-DRG,MS-320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,3500.0,50925.6,27
MS-DRG,MS-321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,3500.0,62629.6,27
MS-DRG,MS-322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,3500.0,39802.4,27
MS-DRG,MS-323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,3500.0,93706.8,27
MS-DRG,MS-324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,3500.0,70292.2,27
MS-DRG,MS-325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,3500.0,62966.2,27
MS-DRG,MS-326,STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC,,,3500.0,111738.0,27
MS-DRG,MS-327,STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC,,,3500.0,53418.2,27
MS-DRG,MS-328,STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC,,,3500.0,35057.0,27
MS-DRG,MS-329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,3500.0,101021.8,27
MS-DRG,MS-330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,3500.0,52001.4,27
MS-DRG,MS-331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,3500.0,36322.0,27
MS-DRG,MS-332,RECTAL RESECTION WITH MCC,,,3500.0,76311.4,27
MS-DRG,MS-333,RECTAL RESECTION WITH CC,,,3500.0,46756.6,27
MS-DRG,MS-334,RECTAL RESECTION WITHOUT CC/MCC,,,3500.0,36489.2,27
MS-DRG,MS-335,PERITONEAL ADHESIOLYSIS WITH MCC,,,3500.0,79714.8,27
MS-DRG,MS-336,PERITONEAL ADHESIOLYSIS WITH CC,,,3500.0,46470.6,27
MS-DRG,MS-337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,3500.0,33772.2,27
MS-DRG,MS-344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,3500.0,59279.0,27
MS-DRG,MS-345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,3500.0,32751.4,27
MS-DRG,MS-346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,3500.0,27396.6,27
MS-DRG,MS-347,ANAL AND STOMAL PROCEDURES WITH MCC,,,3500.0,52069.6,27
MS-DRG,MS-348,ANAL AND STOMAL PROCEDURES WITH CC,,,3500.0,27695.8,27
MS-DRG,MS-349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,3500.0,19379.8,27
MS-DRG,MS-350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,3500.0,53211.4,27
MS-DRG,MS-351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,3500.0,33099.0,27
MS-DRG,MS-352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,3500.0,24257.2,27
MS-DRG,MS-353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,3500.0,64526.0,27
MS-DRG,MS-354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,3500.0,37424.2,27
MS-DRG,MS-355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,3500.0,29330.4,27
MS-DRG,MS-356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,3500.0,93845.4,27
MS-DRG,MS-357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,3500.0,49544.0,27
MS-DRG,MS-358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,29812.2,27
MS-DRG,MS-359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,4900.0,51579.0,18
MS-DRG,MS-360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,4900.0,36214.5,18
MS-DRG,MS-368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,3500.0,36740.0,27
MS-DRG,MS-369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,3500.0,22387.2,27
MS-DRG,MS-370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,3500.0,15356.0,27
MS-DRG,MS-371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,3500.0,38456.0,27
MS-DRG,MS-372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,3500.0,22644.6,27
MS-DRG,MS-373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,3500.0,15958.8,27
MS-DRG,MS-374,DIGESTIVE MALIGNANCY WITH MCC,,,3500.0,46450.8,27
MS-DRG,MS-375,DIGESTIVE MALIGNANCY WITH CC,,,3500.0,27031.4,27
MS-DRG,MS-376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,3500.0,19426.0,27
MS-DRG,MS-377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,3500.0,40000.4,27
MS-DRG,MS-378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,3500.0,21689.8,27
MS-DRG,MS-379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,3500.0,14007.4,27
MS-DRG,MS-380,COMPLICATED PEPTIC ULCER WITH MCC,,,3500.0,42334.6,27
MS-DRG,MS-381,COMPLICATED PEPTIC ULCER WITH CC,,,3500.0,23960.2,27
MS-DRG,MS-382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,3500.0,16484.6,27
MS-DRG,MS-383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,3500.0,27812.4,27
MS-DRG,MS-384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,3500.0,19131.2,27
MS-DRG,MS-385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,3500.0,35745.6,27
MS-DRG,MS-386,INFLAMMATORY BOWEL DISEASE WITH CC,,,3500.0,21835.0,27
MS-DRG,MS-387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,3500.0,14746.6,27
MS-DRG,MS-388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,3500.0,32337.8,27
MS-DRG,MS-389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,3500.0,17635.2,27
MS-DRG,MS-390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,3500.0,12038.4,27
MS-DRG,MS-391,ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC,,,3500.0,28259.0,27
MS-DRG,MS-392,ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC,,,3500.0,17166.6,27
MS-DRG,MS-393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,3500.0,36432.0,27
MS-DRG,MS-394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,3500.0,20708.6,27
MS-DRG,MS-395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,3500.0,14000.8,27
MS-DRG,MS-397,APPENDIX PROCEDURES WITH MCC,,,3500.0,54511.6,27
MS-DRG,MS-398,APPENDIX PROCEDURES WITH CC,,,3500.0,33290.4,27
MS-DRG,MS-399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,3500.0,24723.6,27
MS-DRG,MS-402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,4291.0,86068.4,26
MS-DRG,MS-405,PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC,,,3500.0,119431.4,27
MS-DRG,MS-406,PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC,,,3500.0,61784.8,27
MS-DRG,MS-407,PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC,,,3500.0,46987.6,27
MS-DRG,MS-408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,3500.0,77028.6,27
MS-DRG,MS-409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,3500.0,46123.0,27
MS-DRG,MS-410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,3500.0,34124.2,27
MS-DRG,MS-411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,3500.0,60200.8,27
MS-DRG,MS-412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,3500.0,46895.2,27
MS-DRG,MS-413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,3500.0,36575.0,27
MS-DRG,MS-414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,3500.0,77083.6,27
MS-DRG,MS-415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,3500.0,43518.2,27
MS-DRG,MS-416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,3500.0,30144.4,27
MS-DRG,MS-417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,3500.0,52283.0,27
MS-DRG,MS-418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,3500.0,36484.8,27
MS-DRG,MS-419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,3500.0,28987.2,27
MS-DRG,MS-420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,3500.0,77649.0,27
MS-DRG,MS-421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,3500.0,36027.2,27
MS-DRG,MS-422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,3500.0,32326.8,27
MS-DRG,MS-423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,3500.0,89482.8,27
MS-DRG,MS-424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,3500.0,50232.6,27
MS-DRG,MS-425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,34007.6,27
MS-DRG,MS-426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,4291.0,230458.8,26
MS-DRG,MS-427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,4291.0,156259.4,26
MS-DRG,MS-428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,4291.0,121090.2,26
MS-DRG,MS-429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,4291.0,183493.2,26
MS-DRG,MS-430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,4291.0,120351.0,26
MS-DRG,MS-432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,3500.0,43100.2,27
MS-DRG,MS-433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,3500.0,23535.6,27
MS-DRG,MS-434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,3500.0,15323.0,27
MS-DRG,MS-435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,3500.0,40141.2,27
MS-DRG,MS-436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,3500.0,24809.4,27
MS-DRG,MS-437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,3500.0,17274.4,27
MS-DRG,MS-438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,3500.0,36601.4,27
MS-DRG,MS-439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,3500.0,18924.4,27
MS-DRG,MS-440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,3500.0,13532.2,27
MS-DRG,MS-441,DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC,,,3500.0,41588.8,27
MS-DRG,MS-442,DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC,,,3500.0,21256.4,27
MS-DRG,MS-443,DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,3500.0,15459.4,27
MS-DRG,MS-444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,3500.0,37056.8,27
MS-DRG,MS-445,DISORDERS OF THE BILIARY TRACT WITH CC,,,3500.0,23859.0,27
MS-DRG,MS-446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,3500.0,17540.6,27
MS-DRG,MS-447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,4291.0,147503.4,26
MS-DRG,MS-448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,4291.0,89837.0,26
MS-DRG,MS-450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,4291.0,113302.2,26
MS-DRG,MS-451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,4291.0,67892.0,26
MS-DRG,MS-453,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,,,3500.0,79094.46,2
MS-DRG,MS-454,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,,,3500.0,54592.44,2
MS-DRG,MS-455,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,,,3500.0,41108.34,2
MS-DRG,MS-456,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC,,,3500.0,186322.4,27
MS-DRG,MS-457,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC,,,3500.0,126266.8,27
MS-DRG,MS-458,SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC,,,3500.0,94996.0,27
MS-DRG,MS-459,SPINAL FUSION EXCEPT CERVICAL WITH MCC,,,3500.0,59198.12,2
MS-DRG,MS-460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,3500.0,32649.43,2
MS-DRG,MS-461,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC,,,3500.0,135007.4,27
MS-DRG,MS-462,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC,,,3500.0,63003.6,27
MS-DRG,MS-463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,3500.0,118822.0,27
MS-DRG,MS-464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,3500.0,64869.2,27
MS-DRG,MS-465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,3500.0,38194.2,27
MS-DRG,MS-466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,3500.0,112081.2,27
MS-DRG,MS-467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,3500.0,75354.4,27
MS-DRG,MS-468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,3500.0,57712.6,27
MS-DRG,MS-469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,3500.0,71911.4,27
MS-DRG,MS-470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,3500.0,41481.0,27
MS-DRG,MS-471,CERVICAL SPINAL FUSION WITH MCC,,,3500.0,106860.6,28
MS-DRG,MS-472,CERVICAL SPINAL FUSION WITH CC,,,3500.0,63738.4,28
MS-DRG,MS-473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,3500.0,52082.8,28
MS-DRG,MS-474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,3500.0,98663.4,27
MS-DRG,MS-475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,3500.0,47460.6,27
MS-DRG,MS-476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,3500.0,25588.2,27
MS-DRG,MS-477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,3500.0,75658.0,27
MS-DRG,MS-478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,3500.0,51449.2,27
MS-DRG,MS-479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,3500.0,39067.6,27
MS-DRG,MS-480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,3500.0,64702.0,27
MS-DRG,MS-481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,3500.0,45647.8,27
MS-DRG,MS-482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,3500.0,34900.8,27
MS-DRG,MS-483,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,,,3500.0,56060.4,28
MS-DRG,MS-485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,3500.0,70824.6,27
MS-DRG,MS-486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,3500.0,46659.8,27
MS-DRG,MS-487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,3500.0,34764.4,27
MS-DRG,MS-488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,3500.0,43238.8,27
MS-DRG,MS-489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,3500.0,27244.8,27
MS-DRG,MS-492,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC,,,3500.0,78126.4,27
MS-DRG,MS-493,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC,,,3500.0,52822.0,27
MS-DRG,MS-494,LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC,,,3500.0,41478.8,27
MS-DRG,MS-495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,3500.0,77453.2,27
MS-DRG,MS-496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,3500.0,43406.0,27
MS-DRG,MS-497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,3500.0,29537.2,27
MS-DRG,MS-498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,3500.0,55547.8,27
MS-DRG,MS-499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,3500.0,30222.0,27
MS-DRG,MS-500,SOFT TISSUE PROCEDURES WITH MCC,,,3500.0,69711.4,27
MS-DRG,MS-501,SOFT TISSUE PROCEDURES WITH CC,,,3500.0,39263.4,27
MS-DRG,MS-502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,3500.0,30738.4,27
MS-DRG,MS-503,FOOT PROCEDURES WITH MCC,,,3500.0,58225.2,27
MS-DRG,MS-504,FOOT PROCEDURES WITH CC,,,3500.0,38610.0,27
MS-DRG,MS-505,FOOT PROCEDURES WITHOUT CC/MCC,,,3500.0,38610.0,27
MS-DRG,MS-506,MAJOR THUMB OR JOINT PROCEDURES,,,3500.0,32980.2,27
MS-DRG,MS-507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,3500.0,42640.4,27
MS-DRG,MS-508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,3500.0,28393.2,27
MS-DRG,MS-509,ARTHROSCOPY,,,3500.0,38647.4,12
MS-DRG,MS-510,SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W MCC,,,3500.0,62878.2,27
MS-DRG,MS-511,SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W CC,,,3500.0,43146.4,27
MS-DRG,MS-512,SHOULDERELBOW OR FOREARM PROCEXC MAJOR JOINT PROC W/O CC/MCC,,,3500.0,35371.6,27
MS-DRG,MS-513,HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC,,,3500.0,33123.2,27
MS-DRG,MS-514,HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC,,,3500.0,22431.2,27
MS-DRG,MS-515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,3500.0,68032.8,27
MS-DRG,MS-516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,3500.0,44257.4,27
MS-DRG,MS-517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,32839.4,27
MS-DRG,MS-518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,3500.0,78848.0,27
MS-DRG,MS-519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,3500.0,43381.8,27
MS-DRG,MS-520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,3500.0,31530.4,27
MS-DRG,MS-521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,3500.0,64123.4,27
MS-DRG,MS-522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,3500.0,46378.2,27
MS-DRG,MS-533,FRACTURES OF FEMUR WITH MCC,,,3500.0,33547.8,28
MS-DRG,MS-534,FRACTURES OF FEMUR WITHOUT MCC,,,3500.0,17908.0,28
MS-DRG,MS-535,FRACTURES OF HIP AND PELVIS WITH MCC,,,3500.0,29257.8,28
MS-DRG,MS-536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,3500.0,17839.8,28
MS-DRG,MS-537,SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC,,,3500.0,20218.0,27
MS-DRG,MS-538,SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC,,,3500.0,14773.0,27
MS-DRG,MS-539,OSTEOMYELITIS WITH MCC,,,3500.0,44492.8,27
MS-DRG,MS-540,OSTEOMYELITIS WITH CC,,,3500.0,28470.2,27
MS-DRG,MS-541,OSTEOMYELITIS WITHOUT CC/MCC,,,3500.0,19247.8,27
MS-DRG,MS-542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,3500.0,41032.2,27
MS-DRG,MS-543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,3500.0,23339.8,27
MS-DRG,MS-544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,3500.0,16625.4,27
MS-DRG,MS-545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,3500.0,55591.8,27
MS-DRG,MS-546,CONNECTIVE TISSUE DISORDERS WITH CC,,,3500.0,25469.4,27
MS-DRG,MS-547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,3500.0,16416.4,27
MS-DRG,MS-548,SEPTIC ARTHRITIS WITH MCC,,,3500.0,44321.2,27
MS-DRG,MS-549,SEPTIC ARTHRITIS WITH CC,,,3500.0,26512.2,27
MS-DRG,MS-550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,3500.0,18966.2,27
MS-DRG,MS-551,MEDICAL BACK PROBLEMS WITH MCC,,,3500.0,37540.8,27
MS-DRG,MS-552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,3500.0,21203.6,27
MS-DRG,MS-553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,3500.0,28732.0,27
MS-DRG,MS-554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,3500.0,18361.2,27
MS-DRG,MS-555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,3500.0,29625.2,27
MS-DRG,MS-556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,3500.0,17963.0,27
MS-DRG,MS-557,TENDONITIS- MYOSITIS AND BURSITIS WITH MCC,,,3500.0,34093.4,27
MS-DRG,MS-558,TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC,,,3500.0,19003.6,27
MS-DRG,MS-559,AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,3500.0,40838.6,27
MS-DRG,MS-560,AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,3500.0,25051.4,27
MS-DRG,MS-561,AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,3500.0,17987.2,27
MS-DRG,MS-562,FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W MCC,,,3500.0,32197.0,27
MS-DRG,MS-563,FX- SPRN- STRN & DISL EXCEPT FEMUR- HIP- PELVIS & THIGH W/O MCC,,,3500.0,19663.6,27
MS-DRG,MS-564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,3500.0,34522.4,27
MS-DRG,MS-565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,3500.0,22433.4,27
MS-DRG,MS-566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,3500.0,16458.2,27
MS-DRG,MS-570,SKIN DEBRIDEMENT WITH MCC,,,3500.0,66224.4,27
MS-DRG,MS-571,SKIN DEBRIDEMENT WITH CC,,,3500.0,36834.6,27
MS-DRG,MS-572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,3500.0,25132.8,27
MS-DRG,MS-573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,72.88,98271.0,20
MS-DRG,MS-574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,72.88,52071.0,20
MS-DRG,MS-575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,72.88,26955.0,20
MS-DRG,MS-576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,72.88,73518.0,20
MS-DRG,MS-577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,72.88,39760.5,20
MS-DRG,MS-578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,72.88,24096.0,20
MS-DRG,MS-579,OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC,,,3500.0,71706.8,27
MS-DRG,MS-580,OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC,,,72.88,25920.0,20
MS-DRG,MS-581,OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC,,,72.88,21646.5,20
MS-DRG,MS-582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,3500.0,38526.4,27
MS-DRG,MS-583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,3500.0,36139.4,27
MS-DRG,MS-584,BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC,,,3500.0,45042.8,27
MS-DRG,MS-585,BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC,,,3500.0,43672.2,27
MS-DRG,MS-592,SKIN ULCERS WITH MCC,,,72.88,29029.5,20
MS-DRG,MS-593,SKIN ULCERS WITH CC,,,72.88,17794.5,20
MS-DRG,MS-594,SKIN ULCERS WITHOUT CC/MCC,,,72.88,13002.0,20
MS-DRG,MS-595,MAJOR SKIN DISORDERS WITH MCC,,,72.88,31810.5,20
MS-DRG,MS-596,MAJOR SKIN DISORDERS WITHOUT MCC,,,72.88,16237.5,20
MS-DRG,MS-597,MALIGNANT BREAST DISORDERS WITH MCC,,,3500.0,38647.4,27
MS-DRG,MS-598,MALIGNANT BREAST DISORDERS WITH CC,,,3500.0,23735.8,27
MS-DRG,MS-599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,3500.0,18807.8,27
MS-DRG,MS-600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,3500.0,21045.2,27
MS-DRG,MS-601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,3500.0,13189.0,27
MS-DRG,MS-602,CELLULITIS WITH MCC,,,3500.0,32322.4,27
MS-DRG,MS-603,CELLULITIS WITHOUT MCC,,,3500.0,19377.6,27
MS-DRG,MS-604,TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC,,,3500.0,32685.4,28
MS-DRG,MS-605,TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC,,,3500.0,20321.4,28
MS-DRG,MS-606,MINOR SKIN DISORDERS WITH MCC,,,3500.0,35426.6,27
MS-DRG,MS-607,MINOR SKIN DISORDERS WITHOUT MCC,,,3500.0,19012.4,27
MS-DRG,MS-614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,3500.0,50138.0,27
MS-DRG,MS-615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,3500.0,31526.0,27
MS-DRG,MS-616,AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC,,,3500.0,85030.0,27
MS-DRG,MS-617,AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC,,,3500.0,42495.2,27
MS-DRG,MS-618,AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC,,,3500.0,27392.2,27
MS-DRG,MS-619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,4291.0,59983.0,27
MS-DRG,MS-620,O.R. PROCEDURES FOR OBESITY WITH CC,,,4291.0,35134.0,27
MS-DRG,MS-621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,4291.0,32159.6,27
MS-DRG,MS-622,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC,,,3500.0,82324.0,27
MS-DRG,MS-623,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC,,,3500.0,42081.6,27
MS-DRG,MS-624,SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC,,,3500.0,22068.2,27
MS-DRG,MS-625,THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC,,,3500.0,63076.2,27
MS-DRG,MS-626,THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC,,,3500.0,33204.6,27
MS-DRG,MS-627,THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC,,,3500.0,27871.8,27
MS-DRG,MS-628,OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC,,,3500.0,86805.4,27
MS-DRG,MS-629,OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC,,,3500.0,49480.2,27
MS-DRG,MS-630,OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,30828.6,27
MS-DRG,MS-637,DIABETES WITH MCC,,,3500.0,32038.6,27
MS-DRG,MS-638,DIABETES WITH CC,,,3500.0,20178.4,27
MS-DRG,MS-639,DIABETES WITHOUT CC/MCC,,,3500.0,13785.2,27
MS-DRG,MS-640,MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC,,,3500.0,29216.0,27
MS-DRG,MS-641,MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC,,,3500.0,17190.8,27
MS-DRG,MS-642,INBORN AND OTHER DISORDERS OF METABOLISM,,,3500.0,27304.2,27
MS-DRG,MS-643,ENDOCRINE DISORDERS WITH MCC,,,3500.0,36460.6,27
MS-DRG,MS-644,ENDOCRINE DISORDERS WITH CC,,,3500.0,22734.8,27
MS-DRG,MS-645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,3500.0,17131.4,27
MS-DRG,MS-650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,3500.0,101360.6,26
MS-DRG,MS-651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,3500.0,76395.0,26
MS-DRG,MS-652,KIDNEY TRANSPLANT,,,3500.0,67570.8,26
MS-DRG,MS-653,MAJOR BLADDER PROCEDURES WITH MCC,,,3500.0,122641.2,27
MS-DRG,MS-654,MAJOR BLADDER PROCEDURES WITH CC,,,3500.0,62086.2,27
MS-DRG,MS-655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,3500.0,45700.6,27
MS-DRG,MS-656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,3500.0,71676.0,27
MS-DRG,MS-657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,3500.0,40218.2,27
MS-DRG,MS-658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,3500.0,33088.0,27
MS-DRG,MS-659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,3500.0,56854.6,27
MS-DRG,MS-660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,3500.0,29480.0,27
MS-DRG,MS-661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,3500.0,22585.2,27
MS-DRG,MS-662,MINOR BLADDER PROCEDURES WITH MCC,,,3500.0,68631.2,27
MS-DRG,MS-663,MINOR BLADDER PROCEDURES WITH CC,,,3500.0,33602.8,27
MS-DRG,MS-664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,3500.0,23755.6,27
MS-DRG,MS-665,PROSTATECTOMY WITH MCC,,,3500.0,75539.2,27
MS-DRG,MS-666,PROSTATECTOMY WITH CC,,,3500.0,36240.6,27
MS-DRG,MS-667,PROSTATECTOMY WITHOUT CC/MCC,,,3500.0,22611.6,27
MS-DRG,MS-668,TRANSURETHRAL PROCEDURES WITH MCC,,,3500.0,64158.6,27
MS-DRG,MS-669,TRANSURETHRAL PROCEDURES WITH CC,,,3500.0,34045.0,27
MS-DRG,MS-670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,3500.0,21025.4,27
MS-DRG,MS-671,URETHRAL PROCEDURES WITH CC/MCC,,,3500.0,37921.4,27
MS-DRG,MS-672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,3500.0,24076.8,27
MS-DRG,MS-673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,3500.0,92171.2,27
MS-DRG,MS-674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,3500.0,50784.8,27
MS-DRG,MS-675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,3500.0,34436.6,27
MS-DRG,MS-682,RENAL FAILURE WITH MCC,,,3500.0,33041.8,27
MS-DRG,MS-683,RENAL FAILURE WITH CC,,,3500.0,19555.8,27
MS-DRG,MS-684,RENAL FAILURE WITHOUT CC/MCC,,,3500.0,13362.8,27
MS-DRG,MS-686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,3500.0,41485.4,27
MS-DRG,MS-687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,3500.0,23159.4,27
MS-DRG,MS-688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,3500.0,15932.4,27
MS-DRG,MS-689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,3500.0,25746.6,27
MS-DRG,MS-690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,3500.0,17657.2,27
MS-DRG,MS-693,URINARY STONES WITH MCC,,,3500.0,32348.8,27
MS-DRG,MS-694,URINARY STONES WITHOUT MCC,,,3500.0,17190.8,27
MS-DRG,MS-695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,3500.0,24811.6,27
MS-DRG,MS-696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,3500.0,15219.6,27
MS-DRG,MS-697,URETHRAL STRICTURE,,,3500.0,22039.6,27
MS-DRG,MS-698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,3500.0,36979.8,27
MS-DRG,MS-699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,3500.0,22437.8,27
MS-DRG,MS-700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,3500.0,15272.4,27
MS-DRG,MS-707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,3500.0,42693.2,27
MS-DRG,MS-708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,3500.0,32615.0,27
MS-DRG,MS-709,PENIS PROCEDURES WITH CC/MCC,,,3500.0,49436.2,27
MS-DRG,MS-710,PENIS PROCEDURES WITHOUT CC/MCC,,,3500.0,33030.8,27
MS-DRG,MS-711,TESTES PROCEDURES WITH CC/MCC,,,3500.0,42033.2,27
MS-DRG,MS-712,TESTES PROCEDURES WITHOUT CC/MCC,,,3500.0,23531.2,27
MS-DRG,MS-713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,3500.0,31812.0,27
MS-DRG,MS-714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,3500.0,20673.4,27
MS-DRG,MS-715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,3500.0,49682.6,27
MS-DRG,MS-716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,3500.0,31224.6,27
MS-DRG,MS-717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,3500.0,40821.0,27
MS-DRG,MS-718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,3500.0,27101.8,27
MS-DRG,MS-722,MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC,,,3500.0,38035.8,27
MS-DRG,MS-723,MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC,,,3500.0,24703.8,27
MS-DRG,MS-724,MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC,,,3500.0,16029.2,27
MS-DRG,MS-725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,3500.0,27777.2,27
MS-DRG,MS-726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,3500.0,16376.8,27
MS-DRG,MS-727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,3500.0,32326.8,27
MS-DRG,MS-728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,3500.0,17976.2,27
MS-DRG,MS-729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,3500.0,24219.8,27
MS-DRG,MS-730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,3500.0,13351.8,27
MS-DRG,MS-734,PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC,,,3500.0,46261.6,27
MS-DRG,MS-735,PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC,,,3500.0,26705.8,27
MS-DRG,MS-736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,3500.0,86627.2,27
MS-DRG,MS-737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,3500.0,43964.8,27
MS-DRG,MS-738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,3500.0,33371.8,27
MS-DRG,MS-739,UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC,,,3500.0,87579.8,27
MS-DRG,MS-740,UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC,,,3500.0,40002.6,27
MS-DRG,MS-741,UTERINEADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC,,,3500.0,30219.2,27
MS-DRG,MS-742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,3500.0,40187.4,27
MS-DRG,MS-743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,3500.0,26371.4,27
MS-DRG,MS-744,D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC,,,3500.0,42988.0,27
MS-DRG,MS-745,D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC,,,3500.0,22545.6,27
MS-DRG,MS-746,VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC,,,3500.0,36841.2,27
MS-DRG,MS-747,VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC,,,3500.0,21014.4,27
MS-DRG,MS-748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,3500.0,29970.6,27
MS-DRG,MS-749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,3500.0,56949.2,27
MS-DRG,MS-750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,28369.0,27
MS-DRG,MS-754,MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC,,,3500.0,39804.6,27
MS-DRG,MS-755,MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC,,,3500.0,24422.2,27
MS-DRG,MS-756,MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC,,,3500.0,21010.0,27
MS-DRG,MS-757,INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC,,,3500.0,31136.6,27
MS-DRG,MS-758,INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC,,,3500.0,22424.6,27
MS-DRG,MS-759,INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC,,,3500.0,14080.0,27
MS-DRG,MS-760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,4291.0,21683.2,27
MS-DRG,MS-761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,3500.0,13945.8,27
MS-DRG,MS-768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,2152.0,16074.0,27
MS-DRG,MS-769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,3500.0,30569.0,27
MS-DRG,MS-770,ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY,,,3500.0,23672.0,27
MS-DRG,MS-776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,3500.0,15697.0,27
MS-DRG,MS-779,ABORTION WITHOUT D&C,,,3500.0,20565.6,27
MS-DRG,MS-780,FALSE LABOR,,,1374.0,1374.0,1
MS-DRG,MS-781,OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS,,,1374.0,1374.0,1
MS-DRG,MS-782,OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS,,,1374.0,1374.0,1
MS-DRG,MS-783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,5424.0,36826.5,27
MS-DRG,MS-784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,5424.0,23826.0,27
MS-DRG,MS-785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,5424.0,14367.0,27
MS-DRG,MS-786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,5424.0,24742.5,27
MS-DRG,MS-787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,5424.0,16752.0,27
MS-DRG,MS-788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,5424.0,14382.0,27
MS-DRG,MS-789,NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY,,,1461.06,39657.2,26
MS-DRG,MS-790,EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE,,,1461.06,130785.6,26
MS-DRG,MS-791,PREMATURITY WITH MAJOR PROBLEMS,,,1461.06,89317.8,26
MS-DRG,MS-792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,1461.06,53893.4,26
MS-DRG,MS-793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,1461.06,91751.0,26
MS-DRG,MS-794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,1461.06,32476.4,26
MS-DRG,MS-795,NORMAL NEWBORN,,,506.0,5265.41,27
MS-DRG,MS-796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,2152.0,17505.0,27
MS-DRG,MS-797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,2152.0,15006.0,27
MS-DRG,MS-798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,2152.0,14356.5,27
MS-DRG,MS-799,SPLENIC PROCEDURES WITH MCC,,,3500.0,104605.6,27
MS-DRG,MS-800,SPLENIC PROCEDURES WITH CC,,,3500.0,64103.6,27
MS-DRG,MS-801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,3500.0,36117.4,27
MS-DRG,MS-802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,3500.0,78865.6,27
MS-DRG,MS-803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,3500.0,39160.0,27
MS-DRG,MS-804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,3500.0,24323.2,27
MS-DRG,MS-805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,2152.0,16188.0,27
MS-DRG,MS-806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,2152.0,11310.0,27
MS-DRG,MS-807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,2152.0,10113.0,27
MS-DRG,MS-808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,3500.0,50386.6,27
MS-DRG,MS-809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,3500.0,27247.0,27
MS-DRG,MS-810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,3500.0,20939.6,27
MS-DRG,MS-811,RED BLOOD CELL DISORDERS WITH MCC,,,3500.0,30951.8,27
MS-DRG,MS-812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,3500.0,20303.8,27
MS-DRG,MS-813,COAGULATION DISORDERS,,,3500.0,34056.0,27
MS-DRG,MS-814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,3500.0,45991.0,27
MS-DRG,MS-815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,3500.0,22354.2,27
MS-DRG,MS-816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,3500.0,14506.8,27
MS-DRG,MS-817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,3500.0,55772.2,27
MS-DRG,MS-818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,3500.0,28336.0,27
MS-DRG,MS-819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,17963.0,27
MS-DRG,MS-820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,3500.0,128090.6,27
MS-DRG,MS-821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,3500.0,49112.8,27
MS-DRG,MS-822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,25161.4,27
MS-DRG,MS-823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,3500.0,102949.0,27
MS-DRG,MS-824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,3500.0,48386.8,27
MS-DRG,MS-825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,3500.0,27077.6,27
MS-DRG,MS-826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,3500.0,105061.0,27
MS-DRG,MS-827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,3500.0,51917.8,27
MS-DRG,MS-828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,35263.8,27
MS-DRG,MS-829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,3500.0,67843.6,27
MS-DRG,MS-830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,3500.0,32175.0,27
MS-DRG,MS-831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,3500.0,25322.0,27
MS-DRG,MS-832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,3500.0,16442.8,27
MS-DRG,MS-833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,3481.48,11435.6,27
MS-DRG,MS-834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC,,,3500.0,121600.6,27
MS-DRG,MS-835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC,,,3500.0,46989.8,27
MS-DRG,MS-836,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,27955.4,27
MS-DRG,MS-837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,3500.0,110158.4,27
MS-DRG,MS-838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,3500.0,44620.4,27
MS-DRG,MS-839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,3500.0,30148.8,27
MS-DRG,MS-840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,3500.0,70158.0,27
MS-DRG,MS-841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,3500.0,34496.0,27
MS-DRG,MS-842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,3500.0,23141.8,27
MS-DRG,MS-843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,3500.0,41652.6,27
MS-DRG,MS-844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,3500.0,26294.4,27
MS-DRG,MS-845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,3500.0,18409.6,27
MS-DRG,MS-846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,3500.0,56183.6,27
MS-DRG,MS-847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,3500.0,27955.4,27
MS-DRG,MS-848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,3500.0,18015.8,27
MS-DRG,MS-849,RADIOTHERAPY,,,3500.0,58764.2,27
MS-DRG,MS-850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,4291.0,202661.8,26
MS-DRG,MS-853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,3500.0,110028.6,27
MS-DRG,MS-854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,3500.0,43958.2,27
MS-DRG,MS-855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,35763.2,27
MS-DRG,MS-856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,3500.0,99255.2,27
MS-DRG,MS-857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,3500.0,47935.8,27
MS-DRG,MS-858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,3500.0,28344.8,27
MS-DRG,MS-862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,3500.0,40451.4,27
MS-DRG,MS-863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,3500.0,21997.8,27
MS-DRG,MS-864,FEVER AND INFLAMMATORY CONDITIONS,,,3500.0,19756.0,27
MS-DRG,MS-865,VIRAL ILLNESS WITH MCC,,,3500.0,32469.8,27
MS-DRG,MS-866,VIRAL ILLNESS WITHOUT MCC,,,3500.0,19465.6,27
MS-DRG,MS-867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,3500.0,47174.6,27
MS-DRG,MS-868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,3500.0,23102.2,27
MS-DRG,MS-869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,3500.0,15831.2,27
MS-DRG,MS-870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,3500.0,153043.0,27
MS-DRG,MS-871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,3500.0,43166.2,27
MS-DRG,MS-872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,3500.0,22682.0,27
MS-DRG,MS-876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,3500.0,86451.2,27
MS-DRG,MS-880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,3500.0,21089.2,26
MS-DRG,MS-881,DEPRESSIVE NEUROSES,,,3500.0,20110.2,26
MS-DRG,MS-882,NEUROSES EXCEPT DEPRESSIVE,,,3500.0,21164.0,26
MS-DRG,MS-883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,3500.0,40785.8,26
MS-DRG,MS-884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,3500.0,36744.4,26
MS-DRG,MS-885,PSYCHOSES,,,3500.0,31011.2,26
MS-DRG,MS-886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,3500.0,39523.0,26
MS-DRG,MS-887,OTHER MENTAL DISORDER DIAGNOSES,,,3500.0,26166.8,26
MS-DRG,MS-894,ALCOHOL/DRUG ABUSE OR DEPENDENCE- LEFT AMA,,,3500.0,13730.2,26
MS-DRG,MS-895,ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY,,,3500.0,31853.8,26
MS-DRG,MS-896,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,,,3500.0,39177.6,26
MS-DRG,MS-897,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,,,3500.0,19408.4,26
MS-DRG,MS-901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,72.88,62949.0,20
MS-DRG,MS-902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,72.88,28717.5,20
MS-DRG,MS-903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,72.88,17544.0,20
MS-DRG,MS-904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,72.88,84944.2,22
MS-DRG,MS-905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,72.88,22251.0,20
MS-DRG,MS-906,HAND PROCEDURES FOR INJURIES,,,3500.0,48015.0,28
MS-DRG,MS-907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,3500.0,87641.4,28
MS-DRG,MS-908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,3500.0,44376.2,28
MS-DRG,MS-909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,3500.0,27902.6,28
MS-DRG,MS-913,TRAUMATIC INJURY WITH MCC,,,3500.0,35602.6,27
MS-DRG,MS-914,TRAUMATIC INJURY WITHOUT MCC,,,3500.0,20160.8,27
MS-DRG,MS-915,ALLERGIC REACTIONS WITH MCC,,,3500.0,38233.8,27
MS-DRG,MS-916,ALLERGIC REACTIONS WITHOUT MCC,,,3500.0,14610.2,27
MS-DRG,MS-917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,3500.0,36073.4,27
MS-DRG,MS-918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,3500.0,19461.2,27
MS-DRG,MS-919,COMPLICATIONS OF TREATMENT WITH MCC,,,3500.0,40119.2,27
MS-DRG,MS-920,COMPLICATIONS OF TREATMENT WITH CC,,,3500.0,22349.8,27
MS-DRG,MS-921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,3500.0,15129.4,27
MS-DRG,MS-922,OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC,,,3500.0,37166.8,27
MS-DRG,MS-923,OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC,,,3500.0,22437.8,27
MS-DRG,MS-927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,72.88,287356.38,18
MS-DRG,MS-928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,72.88,96537.37,18
MS-DRG,MS-929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,72.88,43348.75,18
MS-DRG,MS-933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,72.88,52412.04,18
MS-DRG,MS-934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,72.88,29752.47,18
MS-DRG,MS-935,NON-EXTENSIVE BURNS,,,72.88,30900.0,19
MS-DRG,MS-939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,3500.0,69828.0,27
MS-DRG,MS-940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,3500.0,46450.8,27
MS-DRG,MS-941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,3500.0,42994.6,27
MS-DRG,MS-945,REHABILITATION WITH CC/MCC,,,3500.0,33583.0,26
MS-DRG,MS-946,REHABILITATION WITHOUT CC/MCC,,,3500.0,24563.0,26
MS-DRG,MS-947,SIGNS AND SYMPTOMS WITH MCC,,,3500.0,28296.4,27
MS-DRG,MS-948,SIGNS AND SYMPTOMS WITHOUT MCC,,,3500.0,17479.0,27
MS-DRG,MS-949,AFTERCARE WITH CC/MCC,,,3500.0,23738.0,27
MS-DRG,MS-950,AFTERCARE WITHOUT CC/MCC,,,3500.0,12894.2,27
MS-DRG,MS-951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,3500.0,12474.0,27
MS-DRG,MS-955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,3500.0,150222.6,27
MS-DRG,MS-956,LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,3500.0,84092.8,27
MS-DRG,MS-957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,3500.0,164212.4,28
MS-DRG,MS-958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,3500.0,90415.6,28
MS-DRG,MS-959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,3500.0,58165.8,28
MS-DRG,MS-963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,3500.0,59767.4,28
MS-DRG,MS-964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,3500.0,33002.2,28
MS-DRG,MS-965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,3500.0,20077.2,28
MS-DRG,MS-969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,3500.0,139134.6,27
MS-DRG,MS-970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,3500.0,58372.6,27
MS-DRG,MS-974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,3500.0,65696.4,27
MS-DRG,MS-975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,3500.0,31270.8,27
MS-DRG,MS-976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,3500.0,22066.0,27
MS-DRG,MS-977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,3500.0,31721.8,27
MS-DRG,MS-981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,3500.0,104585.8,27
MS-DRG,MS-982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,3500.0,53862.6,27
MS-DRG,MS-983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,3500.0,36700.4,27
MS-DRG,MS-987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,3500.0,77059.4,27
MS-DRG,MS-988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,3500.0,37752.0,27
MS-DRG,MS-989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,3500.0,25421.0,27
MS-DRG,MS-998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,3500.0,4900.0,4
MS-DRG,MS-999,UNGROUPABLE,,,3500.0,4900.0,4
NDC,00002-1036-13,DOMPERIDONE 10 MG TABLET [600570],6.0,6.0,0.89,4.8,23
NDC,0002-3229-30,ATOMOXETINE HCL 40 MG PO CAPS [34447],80.77,80.77,11.95,64.62,23
NDC,0002-3235-60,DULOXETINE HCL 20 MG PO CPEP [39275],47.04,47.04,6.96,37.63,23
NDC,0002-3239-30,ATOMOXETINE HCL 60 MG PO CAPS [34448],80.77,80.77,11.95,64.62,23
NDC,0002-4182-30,BARICITINIB 2 MG PO TABS [140323],417.33,417.33,61.76,333.86,23
NDC,0002-4453-01,OLANZAPINE 5 MG PO TBDP [28159],86.95,86.95,12.87,69.56,23
NDC,0002-4453-85,OLANZAPINE 5 MG PO TBDP [28159],86.93,86.93,12.87,69.54,23
NDC,0002-4454-01,OLANZAPINE 10 MG PO TBDP [28160],128.39,128.39,19.0,102.71,23
NDC,0002-4454-85,OLANZAPINE 10 MG PO TBDP [28160],128.4,128.4,19.0,102.72,23
NDC,0002-4456-01,OLANZAPINE 20 MG PO TBDP [28162],226.13,226.13,33.47,180.9,23
NDC,0002-4456-85,OLANZAPINE 20 MG PO TBDP [28162],226.12,226.12,33.47,180.9,23
NDC,0002-4464-30,TADALAFIL 20 MG PO TABS [36986],262.82,262.82,38.9,210.26,23
NDC,0002-4483-54,ABEMACICLIB 50 MG PO TABS [138034],1147.78,1147.78,169.87,918.22,23
NDC,0002-4815-54,ABEMACICLIB 100 MG PO TABS [138035],1147.78,1147.78,169.87,918.22,23
NDC,0002-5337-54,ABEMACICLIB 150 MG PO TABS [138036],1147.78,1147.78,169.87,918.22,23
NDC,0002-6216-54,ABEMACICLIB 200 MG PO TABS [138037],1147.78,1147.78,169.87,918.22,23
NDC,0002-6902-30,PIRTOBRUTINIB 50 MG PO TABS [158840],1007.72,1007.72,149.14,806.18,23
NDC,0002-7026-60,PIRTOBRUTINIB 100 MG PO TABS [158841],1511.58,1511.58,223.71,1209.26,23
NDC,0002-7510-01,INSULIN LISPRO 100 UNIT/ML SC SOLN [17405],15.0,15.0,2.22,12.0,23
NDC,0002-7511-01,HUMALOG MIX 75-25 VIAL [70693],386.39,386.39,57.19,309.11,23
NDC,0002-7597-01,OLANZAPINE 10 MG IM SOLR [38263],234.61,234.61,34.72,187.69,23
NDC,0002-7623-01,PEMETREXED DISODIUM 500 MG IV SOLR [37894],12274.55,12274.55,1816.63,9819.64,23
NDC,0002-7640-01,PEMETREXED DISODIUM 100 MG IV SOLR [89350],2823.64,2823.64,417.9,2258.91,23
NDC,0002-7669-01,RAMUCIRUMAB 100 MG/10ML IV SOLN [123968],4467.05,4467.05,661.12,3573.64,23
NDC,0002-7678-01,RAMUCIRUMAB 500 MG/50ML IV SOLN [123969],22335.22,22335.22,3305.61,17868.18,23
NDC,0002-8215-01,INSULIN NOVOLIN REGULAR 100 UNIT/ML IJ SOLN [10289],10.0,10.0,1.48,8.0,23
NDC,0002-8315-01,INSULIN NOVOLIN NPH 100 UNIT/ML SC SUSP [10284],10.0,10.0,1.48,8.0,23
NDC,0002-8824-01,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOPN [131443],15.0,15.0,2.22,12.0,23
NDC,0002-8824-27,INSULIN REGULAR HUMAN (CONC) 500 UNIT/ML SC SOPN [131443],15.0,15.0,2.22,12.0,23
NDC,0003-0371-13,BELATACEPT 250 MG IV SOLR [108992],2944.57,2944.57,435.8,2355.66,23
NDC,0003-0524-11,DASATINIB 70 MG PO TABS [76719],1328.24,1328.24,196.58,1062.59,23
NDC,0003-0527-11,DASATINIB 20 MG PO TABS [76717],664.12,664.12,98.29,531.3,23
NDC,0003-0528-11,DASATINIB 50 MG PO TABS [76718],1328.24,1328.24,196.58,1062.59,23
NDC,0003-0852-22,DASATINIB 100 MG PO TABS [92897],2123.88,2123.88,314.33,1699.1,23
NDC,0003-0893-21,APIXABAN 2.5 MG PO TABS [118319],57.0,57.0,8.44,45.6,23
NDC,0003-0893-31,APIXABAN 2.5 MG PO TABS [118319],57.0,57.0,8.44,45.6,23
NDC,0003-0894-21,APIXABAN 5 MG PO TABS [118352],57.0,57.0,8.44,45.6,23
NDC,0003-0894-31,APIXABAN 5 MG PO TABS [118352],57.0,57.0,8.44,45.6,23
NDC,0003-1614-12,ENTECAVIR 0.05 MG/ML PO SOLN [41149],2916.84,2916.84,431.69,2333.47,23
NDC,0003-2291-11,ELOTUZUMAB 300 MG IV SOLR [129989],6908.9,6908.9,1022.52,5527.12,23
NDC,0003-2327-11,IPILIMUMAB 50 MG/10ML IV SOLN [107491],26951.18,26951.18,3988.77,21560.94,23
NDC,0003-2328-22,IPILIMUMAB 200 MG/40ML IV SOLN [107492],107804.52,107804.52,15955.07,86243.62,23
NDC,0003-2570-16,AZTREONAM 2 G IJ SOLR [9186],277.52,277.52,41.07,222.02,23
NDC,0003-3622-12,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],225.54,225.54,33.38,180.43,23
NDC,0003-3624-12,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],126.72,126.72,18.75,101.38,23
NDC,0003-3631-12,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],126.72,126.72,18.75,101.38,23
NDC,0003-3641-11,EVOTAZ:ATAZANAVIR-COBICISTAT 300-150 MG PO TABS [126934],249.82,249.82,36.97,199.86,23
NDC,0003-3734-13,NIVOLUMAB 240 MG/24ML IV SOLN [138555],23642.37,23642.37,3499.07,18913.9,23
NDC,0003-3756-14,NIVOLUMAB 120 MG/12ML IV SOLN [153706],11821.16,11821.16,1749.53,9456.93,23
NDC,0003-3764-74,APIXABAN STARTER PACK 5 MG PO TBPK [149445],57.0,57.0,8.44,45.6,23
NDC,0003-3772-11,NIVOLUMAB 40 MG/4ML IV SOLN [126373],3940.41,3940.41,583.18,3152.33,23
NDC,0003-3774-12,NIVOLUMAB 100 MG/10ML IV SOLN [126374],9850.94,9850.94,1457.94,7880.75,23
NDC,0003-4522-11,ELOTUZUMAB 400 MG IV SOLR [129990],9211.79,9211.79,1363.34,7369.43,23
NDC,0003-6335-17,HYDROXYUREA 200 MG PO CAPS [23009],6.0,6.0,0.89,4.8,23
NDC,0003-6336-17,HYDROXYUREA 300 MG PO CAPS [23010],6.0,6.0,0.89,4.8,23
NDC,0003-6337-17,HYDROXYUREA 400 MG PO CAPS [23011],6.0,6.0,0.89,4.8,23
NDC,0003-7125-11,NIVOLUMAB-RELATLIMAB-RMBW 240-80 MG/20ML IV SOLN [155386],45903.06,45903.06,6793.65,36722.45,23
NDC,0004-0260-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],93.49,93.49,13.84,74.79,23
NDC,0004-0261-29,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],4192.52,4192.52,620.49,3354.02,23
NDC,0004-0298-09,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],488.5,488.5,72.3,390.8,23
NDC,0004-0350-09,PEGINTERFERON ALFA-2A 180 MCG/ML SC SOLN [34034],3101.25,3101.25,458.98,2481.0,23
NDC,0004-0357-30,PEGINTERFERON ALFA-2A 180 MCG/0.5ML SC SOSY [153536],3101.25,3101.25,458.98,2481.0,23
NDC,0004-0380-01,ENFUVIRTIDE 90 MG SC SOLR [113624],278.96,278.96,41.29,223.17,23
NDC,0004-0381-40,ENFUVIRTIDE 90 MG SC SOLR [113624],278.96,278.96,41.29,223.17,23
NDC,0004-0801-85,OSELTAMIVIR PHOSPHATE 45 MG PO CAPS [88705],78.59,78.59,11.63,62.87,23
NDC,0004-0802-85,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],78.59,78.59,11.63,62.87,23
NDC,0004-0822-05,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],687.2,687.2,101.71,549.76,23
NDC,0004-1100-20,CAPECITABINE 150 MG PO TABS [22993],76.47,76.47,11.32,61.18,23
NDC,0004-1101-50,CAPECITABINE 500 MG PO TABS [22994],210.93,210.93,31.22,168.74,23
NDC,0005-0100-05,MENINGOCOCCAL B VAC (RECOMB) IM SUSY [126056],815.52,815.52,120.7,652.42,23
NDC,0005-2000-10,PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [153192],1080.34,1080.34,159.89,864.27,23
NDC,0006-0032-20,IVERMECTIN 3 MG PO TABS [25820],26.25,26.25,3.88,21.0,23
NDC,0006-0078-82,JANUMET XR 50-500 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112683],31.02,31.02,4.59,24.82,23
NDC,0006-0080-82,JANUMET XR 50-1000 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112684],31.02,31.02,4.59,24.82,23
NDC,0006-0081-31,JANUMET XR 100-1000 MG (SITAGLIPTIN-METFORMIN ER) PO TB24 [112685],62.04,62.04,9.18,49.63,23
NDC,0006-0112-01,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
NDC,0006-0112-28,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
NDC,0006-0112-31,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
NDC,0006-0112-54,SITAGLIPTIN PHOSPHATE 50 MG PO TABS [77616],62.04,62.04,9.18,49.63,23
NDC,0006-0221-01,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
NDC,0006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
NDC,0006-0221-31,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
NDC,0006-0221-54,SITAGLIPTIN PHOSPHATE 25 MG PO TABS [77615],62.04,62.04,9.18,49.63,23
NDC,0006-0227-61,RALTEGRAVIR POTASSIUM 400 MG PO TABS [88608],180.41,180.41,26.7,144.33,23
NDC,0006-0277-01,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
NDC,0006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
NDC,0006-0277-31,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
NDC,0006-0277-54,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
NDC,0006-0277-82,SITAGLIPTIN PHOSPHATE 100 MG PO TABS [77617],62.04,62.04,9.18,49.63,23
NDC,0006-0461-01,APREPITANT 80 MG PO CAPS [35488],425.99,425.99,63.05,340.79,23
NDC,0006-0462-01,APREPITANT 125 MG PO CAPS [35489],656.62,656.62,97.18,525.3,23
NDC,0006-0473-61,RALTEGRAVIR POTASSIUM 25 MG PO CHEW [116049],12.24,12.24,1.81,9.79,23
NDC,0006-0477-61,RALTEGRAVIR POTASSIUM 100 MG PO CHEW [116050],48.96,48.96,7.25,39.17,23
NDC,0006-0575-61,JANUMET 50-500 MG (SITAGLIPTIN-METFORMIN) PO TABS [81541],31.02,31.02,4.59,24.82,23
NDC,0006-0577-61,JANUMET 50-1000 MG (SITAGLIPTIN-METFORMIN) PO TABS [81540],31.02,31.02,4.59,24.82,23
NDC,0006-0717-31,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],23.13,23.13,3.42,18.5,23
NDC,0006-0717-54,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],23.13,23.13,3.42,18.5,23
NDC,0006-0747-31,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],31.59,31.59,4.68,25.27,23
NDC,0006-0952-31,LOSARTAN POTASSIUM 50 MG PO TABS [14824],20.93,20.93,3.1,16.74,23
NDC,0006-0960-31,LOSARTAN POTASSIUM 100 MG PO TABS [22588],28.54,28.54,4.22,22.83,23
NDC,0006-3026-02,PEMBROLIZUMAB 100 MG/4ML IV SOLN [126697],17905.47,17905.47,2650.01,14324.38,23
NDC,0006-3061-00,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1317.12,1317.12,194.93,1053.7,23
NDC,0006-3069-01,DORAVIRINE 100 MG PO TABS [141306],286.29,286.29,42.37,229.03,23
NDC,0006-3074-02,ELBASVIR-GRAZOPREVIR 50-100 MG PO TABS [130661],1023.36,1023.36,151.46,818.69,23
NDC,0006-3516-59,IMIPENEM-CILASTATIN 500 MG IV SOLR [9603],169.66,169.66,25.11,135.73,23
NDC,0006-3519-36,DORZOLAMIDE HCL 2 % OP SOLN [14471],353.84,353.84,52.37,283.07,23
NDC,0006-3603-61,RALTEGRAVIR POTASSIUM 100 MG PO PACK [124599],48.96,48.96,7.25,39.17,23
NDC,0006-3822-10,CASPOFUNGIN ACETATE 50 MG IV SOLR [29567],1329.22,1329.22,196.72,1063.38,23
NDC,0006-3823-10,CASPOFUNGIN ACETATE 70 MG IV SOLR [29568],1381.08,1381.08,204.4,1104.86,23
NDC,0006-3843-71,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],582.06,582.06,86.14,465.65,23
NDC,0006-3843-71,ERTAPENEM SODIUM 1 G IJ SOLR [31922],582.06,582.06,86.14,465.65,23
NDC,0006-4047-02,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [121712],397.02,397.02,58.76,317.62,23
NDC,0006-4047-41,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN [121712],446.49,446.49,66.08,357.19,23
NDC,0006-4093-01,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSY [156081],144.36,144.36,21.37,115.49,23
NDC,0006-4093-02,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
NDC,0006-4094-01,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
NDC,0006-4094-02,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
NDC,0006-4119-01,HPV 9-VALENT RECOMB VACCINE IM SUSP [126317],1210.27,1210.27,179.12,968.22,23
NDC,0006-4119-03,HPV 9-VALENT RECOMB VACCINE IM SUSP [126317],1210.27,1210.27,179.12,968.22,23
NDC,0006-4171-00,MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR [141262],1092.88,1092.88,161.75,874.3,23
NDC,0006-4305-01,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
NDC,0006-4305-02,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
NDC,0006-4347-02,PNEUMOCOCCAL 21-VAL CONJ VACC 0.5 ML IM SOSY [164559],1132.1,1132.1,167.55,905.68,23
NDC,0006-4681-00,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR [144934]",429.0,429.0,63.49,343.2,23
NDC,0006-4681-01,"MEASLES, MUMPS & RUBELLA VAC IJ SOLR [144934]",429.0,429.0,63.49,343.2,23
NDC,0006-4837-01,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037],529.69,529.69,78.39,423.75,23
NDC,0006-4837-03,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY [11037],529.68,529.68,78.39,423.74,23
NDC,0006-4897-00,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP [125244],158.24,158.24,23.42,126.59,23
NDC,0006-4981-00,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
NDC,0006-4981-01,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP [107142],144.36,144.36,21.37,115.49,23
NDC,0006-4992-00,HEPATITIS B VAC RECOMBINANT 40 MCG/ML IJ SUSP [10185],734.72,734.72,108.74,587.78,23
NDC,0006-4995-41,HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP [27324],320.63,320.63,47.45,256.5,23
NDC,0006-5423-12,SUGAMMADEX SODIUM 200 MG/2ML IV SOLN [130409],615.9,615.9,91.15,492.72,23
NDC,0006-5424-02,ANTIVENIN LATRODECTUS MACTANS IJ KIT [24188],143.98,143.98,21.31,115.18,23
NDC,0006-5425-15,SUGAMMADEX SODIUM 500 MG/5ML IV SOLN [130411],981.45,981.45,145.25,785.16,23
NDC,0008-0423-03,ANTIVENIN MICRURUS FULVIUS IV SOLR [121713],25514.5,25514.5,3776.15,20411.6,23
NDC,0008-0844-01,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],81.27,81.27,12.03,65.02,23
NDC,0008-0844-02,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],81.27,81.27,12.03,65.02,23
NDC,0008-0923-51,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.67,28.67,4.24,22.94,23
NDC,0008-0923-55,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.63,28.63,4.24,22.9,23
NDC,0008-0923-60,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.63,28.63,4.24,22.9,23
NDC,0008-1030-06,SIROLIMUS 1 MG/ML PO SOLN [26336],5963.47,5963.47,882.59,4770.78,23
NDC,0008-1041-10,SIROLIMUS 1 MG PO TABS [28958],178.61,178.61,26.43,142.89,23
NDC,0008-1042-05,SIROLIMUS 2 MG PO TABS [35262],320.91,320.91,47.49,256.73,23
NDC,0008-1179-01,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],6072.97,6072.97,898.8,4858.38,23
NDC,0008-1211-30,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],82.34,82.34,12.19,65.87,23
NDC,0008-4117-01,ETHIONAMIDE 250 MG PO TABS [9988],31.62,31.62,4.68,25.3,23
NDC,0008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR [137728],30496.62,30496.62,4513.5,24397.3,23
NDC,0009-0003-02,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],221.19,221.19,32.74,176.95,23
NDC,0009-0011-03,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],125.06,125.06,18.51,100.05,23
NDC,0009-0012-01,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
NDC,0009-0020-01,METHYLPREDNISOLONE 2 MG PO TABS [10573],9.26,9.26,1.37,7.41,23
NDC,0009-0022-01,METHYLPREDNISOLONE 8 MG PO TABS [10576],10.08,10.08,1.49,8.06,23
NDC,0009-0031-01,HYDROCORTISONE 10 MG PO TABS [3733],9.58,9.58,1.42,7.66,23
NDC,0009-0039-28,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],36.49,36.49,5.4,29.19,23
NDC,0009-0039-32,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],30.29,30.29,4.48,24.23,23
NDC,0009-0039-33,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],30.27,30.27,4.48,24.22,23
NDC,0009-0044-01,HYDROCORTISONE 20 MG PO TABS [3734],18.16,18.16,2.69,14.53,23
NDC,0009-0047-22,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],58.76,58.76,8.7,47.01,23
NDC,0009-0047-26,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],48.19,48.19,7.13,38.55,23
NDC,0009-0047-27,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],48.18,48.18,7.13,38.54,23
NDC,0009-0056-02,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.0,6.0,0.89,4.8,23
NDC,0009-0073-01,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.22,16.22,2.4,12.98,23
NDC,0009-0086-01,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],44.47,44.47,6.58,35.58,23
NDC,0009-0215-01,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],624.96,624.96,92.49,499.97,23
NDC,0009-0215-05,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],624.97,624.97,92.5,499.98,23
NDC,0009-0417-01,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],123.63,123.63,18.3,98.9,23
NDC,0009-0436-01,ARGININE HCL (DIAGNOSTIC) 10 % IV SOLN [9123],196.06,196.06,29.02,156.85,23
NDC,0009-0698-01,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],205.32,205.32,30.39,164.26,23
NDC,0009-0758-01,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],126.18,126.18,18.67,100.94,23
NDC,0009-0760-04,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],168.87,168.87,24.99,135.1,23
NDC,0009-0775-26,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN [82301],22.0,22.0,3.26,17.6,23
NDC,0009-0825-01,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],99.51,99.51,14.73,79.61,23
NDC,0009-0827-03,DINOPROSTONE 20 MG VA SUPP [9875],6737.53,6737.53,997.15,5390.02,23
NDC,0009-0856-05,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],633.36,633.36,93.74,506.69,23
NDC,0009-0856-08,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],633.36,633.36,93.74,506.69,23
NDC,0009-0902-18,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],24.06,24.06,3.56,19.25,23
NDC,0009-3073-01,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],64.07,64.07,9.48,51.26,23
NDC,0009-3073-03,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],64.12,64.12,9.49,51.3,23
NDC,0009-3073-22,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],22.52,22.52,3.33,18.02,23
NDC,0009-3169-06,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],666.54,666.54,98.65,533.23,23
NDC,0009-3448-01,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],341.24,341.24,50.5,272.99,23
NDC,0009-3794-01,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],1954.94,1954.94,289.33,1563.95,23
NDC,0009-3794-22,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],424.73,424.73,62.86,339.78,23
NDC,0009-4992-01,LINEZOLID 600 MG/300ML IV SOLN [130884],224.07,224.07,33.16,179.26,23
NDC,0009-4992-02,LINEZOLID 600 MG/300ML IV SOLN [130884],224.07,224.07,33.16,179.26,23
NDC,0009-5091-01,EPIRUBICIN HCL 50 MG/25ML IV SOLN [88008],224.46,224.46,33.22,179.57,23
NDC,0009-5136-01,LINEZOLID 100 MG/5ML PO SUSR [28225],966.29,966.29,143.01,773.03,23
NDC,0009-5140-04,LINEZOLID 600 MG/300ML IV SOLN [130884],171.47,171.47,25.38,137.18,23
NDC,0009-7224-01,"LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN [10475]",15366.14,15366.14,2274.19,12292.91,23
NDC,0009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV SOLN [10475]",15366.14,15366.14,2274.19,12292.91,23
NDC,0009-7529-03,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],214.43,214.43,31.74,171.54,23
NDC,0009-7663-04,EXEMESTANE 25 MG PO TABS [26551],199.39,199.39,29.51,159.51,23
NDC,0013-0132-02,ESTRAMUSTINE PHOSPHATE SODIUM 140 MG PO CAPS [9971],87.08,87.08,12.89,69.66,23
NDC,0013-1042-01,ESTRADIOL 7.5 MCG/24HR VA RING [160600],1962.54,1962.54,290.46,1570.03,23
NDC,0013-2150-36,ESTRADIOL 7.5 MCG/24HR VA RING [160600],1849.89,1849.89,273.78,1479.91,23
NDC,0013-2576-91,IDARUBICIN HCL 5 MG/5ML IV SOLN [88241],251.61,251.61,37.24,201.29,23
NDC,0013-2586-91,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],487.62,487.62,72.17,390.1,23
NDC,0013-2596-91,IDARUBICIN HCL 20 MG/20ML IV SOLN [88243],814.56,814.56,120.55,651.65,23
NDC,0013-5301-17,RIFABUTIN 150 MG PO CAPS [11290],101.09,101.09,14.96,80.87,23
NDC,0013-8303-04,LATANOPROST 0.005 % OP SOLN [18621],1061.08,1061.08,157.04,848.86,23
NDC,0019-0953-05,IOTHALAMATE MEGLUMINE 60 % IJ SOLN [10333],86.48,86.48,12.8,69.18,23
NDC,0023-0506-01,POLYVINYL ALCOHOL-POVIDONE PF 1.4-0.6 % OP SOLN [139283],6.0,6.0,0.89,4.8,23
NDC,0023-0506-50,POLYVINYL ALCOHOL-POVIDONE PF 1.4-0.6 % OP SOLN [139283],6.0,6.0,0.89,4.8,23
NDC,0023-1145-01,ONABOTULINUMTOXINA 100 UNITS IJ SOLR [102429],2255.84,2255.84,333.86,1804.67,23
NDC,0023-3205-03,BIMATOPROST 0.01 % OP SOLN [104804],1038.94,1038.94,153.76,831.15,23
NDC,0023-3348-07,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL [99452],4168.43,4168.43,616.93,3334.74,23
NDC,0023-4554-30,CARBOXYMETHYLCELLULOSE SOD PF 1 % OP GEL [137687],6.0,6.0,0.89,4.8,23
NDC,0023-6082-01,IRON DEXTRAN 50 MG/ML IJ SOLN [3990],175.72,175.72,26.01,140.58,23
NDC,0023-6082-10,IRON DEXTRAN 50 MG/ML IJ SOLN [3990],193.73,193.73,28.67,154.98,23
NDC,0023-9163-30,CYCLOSPORINE 0.05 % OP EMUL [35209],60.69,60.69,8.98,48.55,23
NDC,0023-9163-60,CYCLOSPORINE 0.05 % OP EMUL [35209],60.7,60.7,8.98,48.56,23
NDC,0023-9211-05,COMBIGAN: BRIMONIDINE-TIMOLOL 0.2-0.5 % OP SOLN [87834],803.47,803.47,118.91,642.78,23
NDC,0023-9277-05,KETOROLAC TROMETHAMINE 0.4 % OP SOLN [36631],1114.48,1114.48,164.94,891.58,23
NDC,0024-0654-01,ISATUXIMAB-IRFC 100 MG/5ML IV SOLN [147355],2559.18,2559.18,378.76,2047.34,23
NDC,0024-0656-01,ISATUXIMAB-IRFC 500 MG/25ML IV SOLN [147356],12795.86,12795.86,1893.79,10236.69,23
NDC,0024-1596-01,PRIMAQUINE (BASE) 15 MG (PRIMAQUINE PHOSPHATE 26.3 MG) PO TABS [152715],11.54,11.54,1.71,9.23,23
NDC,0024-2792-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
NDC,0024-4142-60,DRONEDARONE HCL 400 MG PO TABS [98329],76.14,76.14,11.27,60.91,23
NDC,0024-5150-10,RASBURICASE 1.5 MG IV SOLR [33591],3311.17,3311.17,490.05,2648.94,23
NDC,0024-5824-11,CABAZITAXEL 60 MG/6ML IV SOLN [104015],38911.35,38911.35,5758.88,31129.08,23
NDC,0024-5914-01,DUPILUMAB 300 MG/2ML SC SOSY [135611],6061.93,6061.93,897.17,4849.54,23
NDC,0024-5918-01,DUPILUMAB 200 MG/1.14ML SC SOSY [144953],10634.95,10634.95,1573.97,8507.96,23
NDC,0025-1451-34,MISOPROSTOL 100 MCG PO TABS [10628],23.65,23.65,3.5,18.92,23
NDC,0025-1461-60,MISOPROSTOL 200 MCG PO TABS [10629],33.16,33.16,4.91,26.53,23
NDC,0025-1520-34,CELECOXIB 100 MG PO CAPS [24500],56.46,56.46,8.36,45.17,23
NDC,0025-2732-31,DISOPYRAMIDE PHOSPHATE ER 100 MG PO CP12 [2537],24.36,24.36,3.61,19.49,23
NDC,0026-3783-35,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 500 UNITS IV KIT [32960],2866.35,2866.35,424.22,2293.08,23
NDC,0026-3785-55,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 1000 UNITS IV KIT [32961],4984.1,4984.1,737.65,3987.28,23
NDC,0026-3786-65,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 2000 UNITS IV KIT [33863],9968.2,9968.2,1475.29,7974.56,23
NDC,0026-3822-25,ANTIHEMOPHIL FACTOR (RAHF-PFM) 500 UNITS IV SOLR [76366],22.0,22.0,3.26,17.6,23
NDC,0026-3824-25,ANTIHEMOPHIL FACTOR (RAHF-PFM) 1000 UNITS IV SOLR [76367],22.0,22.0,3.26,17.6,23
NDC,0026-3826-50,ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR [78225],22.0,22.0,3.26,17.6,23
NDC,0026-4783-01,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 500 UNITS IV KIT [32960],2866.35,2866.35,424.22,2293.08,23
NDC,0026-4785-01,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 1000 UNITS IV KIT [32961],4984.1,4984.1,737.65,3987.28,23
NDC,0026-4786-01,ANTIHEMOPHILIC FACTOR VIII RECOMB (KOGENATE FS) 2000 UNITS IV KIT [33863],9968.2,9968.2,1475.29,7974.56,23
NDC,0032-0047-70,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP [98035],24.21,24.21,3.58,19.37,23
NDC,0032-1206-01,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP [98034],12.11,12.11,1.79,9.69,23
NDC,0032-1206-07,PANCRELIPASE (LIP-PROT-AMYL) 6000-19000 UNITS PO CPEP [98034],11.17,11.17,1.65,8.94,23
NDC,0032-1212-01,PANCRELIPASE (LIP-PROT-AMYL) 12000-38000 UNITS PO CPEP [98035],24.21,24.21,3.58,19.37,23
NDC,0032-1224-01,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],47.97,47.97,7.1,38.38,23
NDC,0032-1224-07,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],45.69,45.69,6.76,36.55,23
NDC,0032-2636-01,PANCRELIPASE (LIP-PROT-AMYL) 24000-76000 UNITS PO CPEP [98036],47.97,47.97,7.1,38.38,23
NDC,0037-0431-01,FELBAMATE 600 MG PO TABS [10025],91.91,91.91,13.6,73.53,23
NDC,0037-0442-67,FELBAMATE 600 MG/5ML PO SUSP [10023],5484.64,5484.64,811.73,4387.71,23
NDC,0037-6822-10,HYDROCORT-PRAMOXINE (PERIANAL) 1-1 % EX FOAM [28849],765.1,765.1,113.23,612.08,23
NDC,0037-6830-15,HYDROCORTISONE ACETATE 10 % EX FOAM [19732],1608.2,1608.2,238.01,1286.56,23
NDC,00378-6990-31,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
NDC,0046-0749-05,ESTROGENS CONJUGATED 25 MG IJ SOLR [9972],1483.42,1483.42,219.55,1186.74,23
NDC,0046-0872-21,ESTROGENS CONJUGATED 0.625 MG/GM VA CREA [9977],1609.29,1609.29,238.17,1287.43,23
NDC,0046-1100-81,ESTROGENS CONJUGATED 0.3 MG PO TABS [9973],39.89,39.89,5.9,31.91,23
NDC,0046-1101-81,ESTROGENS CONJUGATED 0.45 MG PO TABS [36198],39.89,39.89,5.9,31.91,23
NDC,0046-1102-81,ESTROGENS CONJUGATED 0.625 MG PO TABS [9974],39.89,39.89,5.9,31.91,23
NDC,0046-1104-81,ESTROGENS CONJUGATED 1.25 MG PO TABS [2938],39.89,39.89,5.9,31.91,23
NDC,0046-1105-11,CONJ ESTROG-MEDROXYPROGEST ACE 0.3-1.5 MG PO TABS [37459],974.61,974.61,144.24,779.69,23
NDC,0046-1106-11,CONJ ESTROG-MEDROXYPROGEST ACE 0.45-1.5 MG PO TABS [35957],49.88,49.88,7.38,39.9,23
NDC,0046-1107-11,CONJ ESTROG-MEDROXYPROGEST ACE 0.625-2.5 MG PO TABS [14196],49.88,49.88,7.38,39.9,23
NDC,0046-2575-12,CONJ ESTROG-MEDROXYPROGEST ACE PO TABS [16032],49.88,49.88,7.38,39.9,23
NDC,0049-0013-83,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],43.5,43.5,6.44,34.8,23
NDC,0049-0014-83,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],82.13,82.13,12.16,65.7,23
NDC,0049-0116-28,ANIDULAFUNGIN 100 MG IV SOLR [88093],751.35,751.35,111.2,601.08,23
NDC,0049-0520-83,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR [6086],71.75,71.75,10.62,57.4,23
NDC,0049-0530-22,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],137.74,137.74,20.39,110.19,23
NDC,0049-0530-28,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],237.53,237.53,35.15,190.02,23
NDC,0049-2330-45,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],377.03,377.03,55.8,301.62,23
NDC,0049-2330-79,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],113.7,113.7,16.83,90.96,23
NDC,0049-2340-45,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],377.03,377.03,55.8,301.62,23
NDC,0049-2340-79,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],377.02,377.02,55.8,301.62,23
NDC,0049-3450-19,FLUCONAZOLE 40 MG/ML PO SUSR [14233],146.1,146.1,21.62,116.88,23
NDC,0049-3500-79,FLUCONAZOLE 150 MG PO TABS [13577],284.18,284.18,42.06,227.34,23
NDC,0051-8450-30,TESTOSTERONE 50 MG/5GM (1%) TD GEL [107068],110.92,110.92,16.42,88.74,23
NDC,0052-0108-30,MIRTAZAPINE 30 MG PO TBDP [29532],24.71,24.71,3.66,19.77,23
NDC,0052-0273-01,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.76,735.76,108.89,588.61,23
NDC,0052-0273-03,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.75,735.75,108.89,588.6,23
NDC,0052-0602-02,BCG LIVE 50 MG IS SUSR [21570],695.36,695.36,102.91,556.29,23
NDC,0052-4330-01,ETONOGESTREL 68 MG SC IMPL [77012],3129.03,3129.03,463.1,2503.22,23
NDC,0054-0007-13,CALCITRIOL 0.25 MCG PO CAPS [9350],6.02,6.02,0.89,4.82,23
NDC,0054-0007-25,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
NDC,0054-0010-20,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
NDC,0054-0010-21,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
NDC,0054-0010-25,FLECAINIDE ACETATE 50 MG PO TABS [10043],9.5,9.5,1.41,7.6,23
NDC,0054-0011-21,FLECAINIDE ACETATE 100 MG PO TABS [10041],16.83,16.83,2.49,13.46,23
NDC,0054-0011-25,FLECAINIDE ACETATE 100 MG PO TABS [10041],16.83,16.83,2.49,13.46,23
NDC,0054-0012-21,FLECAINIDE ACETATE 150 MG PO TABS [10042],20.42,20.42,3.02,16.34,23
NDC,0054-0012-25,FLECAINIDE ACETATE 150 MG PO TABS [10042],20.42,20.42,3.02,16.34,23
NDC,0054-0017-20,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0054-0017-25,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0054-0017-29,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0054-0018-20,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,0054-0019-20,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
NDC,0054-0019-25,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
NDC,0054-0020-25,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
NDC,0054-0021-25,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
NDC,0054-0025-11,MEFLOQUINE HCL 250 MG PO TABS [10520],63.68,63.68,9.42,50.94,23
NDC,0054-0057-46,DIGOXIN 0.05 MG/ML PO SOLN [43556],633.36,633.36,93.74,506.69,23
NDC,0054-0077-25,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,0054-0077-29,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,0054-0080-13,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
NDC,0054-0166-25,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.3,37.3,5.52,29.84,23
NDC,0054-0176-13,BUPRENORPHINE HCL 2 MG SL SUBL [34711],19.46,19.46,2.88,15.57,23
NDC,0054-0188-13,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
NDC,0054-0189-13,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
NDC,0054-0199-59,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],895.44,895.44,132.53,716.35,23
NDC,0054-0210-25,PROTRIPTYLINE HCL 5 MG PO TABS [11164],26.95,26.95,3.99,21.56,23
NDC,0054-0235-24,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
NDC,0054-0235-25,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
NDC,0054-0236-24,MORPHINE SULFATE 30 MG PO TABS [5179],7.26,7.26,1.07,5.81,23
NDC,0054-0236-25,MORPHINE SULFATE 30 MG PO TABS [5179],6.0,6.0,0.89,4.8,23
NDC,0054-0237-63,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],184.03,184.03,27.24,147.22,23
NDC,0054-0244-24,CODEINE SULFATE 30 MG PO TABS [1802],6.0,6.0,0.89,4.8,23
NDC,0054-0264-24,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
NDC,0054-0319-50,LINEZOLID 100 MG/5ML PO SUSR [28225],2784.0,2784.0,412.03,2227.2,23
NDC,0054-0327-56,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],1473.05,1473.05,218.01,1178.44,23
NDC,0054-0328-56,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1718.77,1718.77,254.38,1375.02,23
NDC,0054-0383-25,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],80.76,80.76,11.95,64.61,23
NDC,0054-0390-63,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],537.23,537.23,79.51,429.78,23
NDC,0054-0407-13,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
NDC,0054-0427-25,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
NDC,0054-0428-25,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
NDC,0054-0508-23,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
NDC,0054-0603-13,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24 [127581],56.17,56.17,8.31,44.94,23
NDC,0054-0709-20,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0054-0710-20,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0054-2527-25,LITHIUM CARBONATE 300 MG PO CAPS [4529],6.0,6.0,0.89,4.8,23
NDC,0054-3117-63,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],58.75,58.75,8.7,47.0,23
NDC,0054-3120-41,CALCITRIOL 1 MCG/ML PO SOLN [16218],674.82,674.82,99.87,539.86,23
NDC,0054-3176-44,DEXAMETHASONE 1 MG/ML PO CONC [17946],139.26,139.26,20.61,111.41,23
NDC,0054-3177-63,DEXAMETHASONE 0.5 MG/5ML PO SOLN [2320],103.92,103.92,15.38,83.14,23
NDC,0054-3188-63,DIAZEPAM 5 MG/5ML PO SOLN [113363],303.42,303.42,44.91,242.74,23
NDC,0054-3270-99,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],363.05,363.05,53.73,290.44,23
NDC,0054-3294-46,FUROSEMIDE 10 MG/ML PO SOLN [3292],42.87,42.87,6.34,34.3,23
NDC,0054-3294-50,FUROSEMIDE 10 MG/ML PO SOLN [3292],82.91,82.91,12.27,66.33,23
NDC,0054-3500-49,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
NDC,0054-3505-47,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
NDC,0054-3532-44,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
NDC,0054-3553-44,METHADONE HCL 10 MG/ML PO CONC [15996],109.77,109.77,16.25,87.82,23
NDC,0054-3555-63,METHADONE HCL 5 MG/5ML PO SOLN [4952],173.2,173.2,25.63,138.56,23
NDC,0054-3566-99,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],834.08,834.08,123.44,667.26,23
NDC,0054-3727-63,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],256.74,256.74,38.0,205.39,23
NDC,0054-4146-22,CLOTRIMAZOLE 10 MG MT TROC [9644],15.12,15.12,2.24,12.1,23
NDC,0054-4179-25,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
NDC,0054-4184-25,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
NDC,0054-4301-25,FUROSEMIDE 80 MG PO TABS [3296],6.17,6.17,0.91,4.94,23
NDC,0054-4538-25,METHADONE HCL 40 MG PO TBSO [41938],6.0,6.0,0.89,4.8,23
NDC,0054-4550-25,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,0054-4570-25,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0054-4581-11,MERCAPTOPURINE 50 MG PO TABS [10531],38.47,38.47,5.69,30.78,23
NDC,0054-4581-27,MERCAPTOPURINE 50 MG PO TABS [10531],33.75,33.75,5.0,27.0,23
NDC,0054-4741-25,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
NDC,0054-8175-25,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
NDC,0054-8179-25,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
NDC,0054-8297-25,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,0054-8299-25,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
NDC,0054-8301-25,FUROSEMIDE 80 MG PO TABS [3296],7.4,7.4,1.1,5.92,23
NDC,0054-8496-19,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],13.16,13.16,1.95,10.53,23
NDC,0054-8527-25,LITHIUM CARBONATE 300 MG PO CAPS [4529],6.0,6.0,0.89,4.8,23
NDC,0054-8550-25,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,0054-8553-24,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0054-8554-24,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0054-8724-25,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,0054-8739-25,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
NDC,0056-0470-30,EFAVIRENZ 50 MG PO CAPS [23898],15.38,15.38,2.28,12.3,23
NDC,0056-0474-92,EFAVIRENZ 200 MG PO CAPS [23900],61.46,61.46,9.1,49.17,23
NDC,0056-0510-30,EFAVIRENZ 600 MG PO TABS [32298],169.85,169.85,25.14,135.88,23
NDC,00574-06915,GLUCOSE 40 % PO GEL [81823],18.57,18.57,2.75,14.86,23
NDC,00574-06930,GLUCOSE 40 % PO GEL [81823],18.51,18.51,2.74,14.81,23
NDC,00574-07030,GLUCOSE 40 % PO GEL [81823],18.51,18.51,2.74,14.81,23
NDC,0065-0023-15,CARBACHOL 0.01 % IO SOLN [19704],216.93,216.93,32.11,173.54,23
NDC,0065-0085-15,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],44.21,44.21,6.54,35.37,23
NDC,0065-0092-65,FLUORESCEIN SODIUM 10 % IV SOLN [135586],268.14,268.14,39.68,214.51,23
NDC,0065-0096-05,FLUOROMETHOLONE ACETATE 0.1 % OP SUSP [10063],406.98,406.98,60.23,325.58,23
NDC,0065-0246-10,BETAXOLOL HCL 0.25 % OP SUSP [19703],1283.37,1283.37,189.94,1026.7,23
NDC,0065-0275-10,BRINZOLAMIDE 1 % OP SUSP [22953],1350.97,1350.97,199.94,1080.78,23
NDC,0065-0303-55,ATROPINE SULFATE 1 % OP SOLN [736],268.73,268.73,39.77,214.98,23
NDC,0065-0356-10,OPTI-FREE REPLENISH SOLN [76618],45.12,45.12,6.68,36.1,23
NDC,0065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN [9701],192.34,192.34,28.47,153.87,23
NDC,0065-0359-05,CYCLOPENTOLATE-PHENYLEPHRINE 0.2-1 % OP SOLN [9701],303.62,303.62,44.94,242.9,23
NDC,0065-0395-15,CYCLOPENTOLATE HCL 0.5 % OP SOLN [9699],458.0,458.0,67.78,366.4,23
NDC,0065-0396-02,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],184.12,184.12,27.25,147.3,23
NDC,0065-0396-05,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],297.36,297.36,44.01,237.89,23
NDC,0065-0397-02,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],216.44,216.44,32.03,173.15,23
NDC,0065-0411-30,POVIDONE-IODINE 5 % OP SOLN [19791],92.23,92.23,13.65,73.78,23
NDC,0065-0416-63,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
NDC,0065-0426-36,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN [132344],37.3,37.3,5.52,29.84,23
NDC,0065-0426-37,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN [132344],33.49,33.49,4.96,26.79,23
NDC,0065-0474-01,HYPROMELLOSE 0.3 % OP GEL [91018],55.23,55.23,8.17,44.18,23
NDC,0065-0643-05,TOBRAMYCIN 0.3 % OP SOLN [7995],461.75,461.75,68.34,369.4,23
NDC,0065-0644-35,TOBRAMYCIN 0.3 % OP OINT [19769],843.72,843.72,124.87,674.98,23
NDC,0065-0645-15,NATAMYCIN 5 % OP SUSP [10692],1653.95,1653.95,244.78,1323.16,23
NDC,0065-0647-25,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],388.11,388.11,57.44,310.49,23
NDC,0065-0660-10,APRACLONIDINE HCL 1 % OP SOLN [9120],2323.79,2323.79,343.92,1859.03,23
NDC,0065-0741-14,TETRACAINE HCL 0.5 % OP SOLN [7795],78.29,78.29,11.59,62.63,23
NDC,0065-0795-15,BSS IO SOLN [37579],71.35,71.35,10.56,57.08,23
NDC,0065-0817-02,ATROPINE SULFATE 1 % OP SOLN [736],194.62,194.62,28.8,155.7,23
NDC,0065-4013-03,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],685.33,685.33,101.43,548.26,23
NDC,0065-4147-27,(SIMBRINZA) BRINZOLAMIDE-BRIMONIDINE 1-0.2 % OP SUSP [119650],831.31,831.31,123.03,665.05,23
NDC,0065-8063-01,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
NDC,0065-8064-01,HYPROMELLOSE 0.3 % OP GEL [91018],40.33,40.33,5.97,32.26,23
NDC,0065-9305-01,DEXTRAN 70-HYPROMELLOSE (PF) 0.1-0.3 % OP SOLN [139276],6.0,6.0,0.89,4.8,23
NDC,0067-4345-09,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],56.45,56.45,8.35,45.16,23
NDC,0067-5125-09,NICOTINE 14 MG/24HR TD PT24 [27862],11.84,11.84,1.75,9.47,23
NDC,0067-5126-09,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
NDC,0067-8100-12,TERBINAFINE HCL 1 % EX CREA [27023],41.97,41.97,6.21,33.58,23
NDC,0067-8152-03,DICLOFENAC SODIUM 1 % EX GEL [150015],108.25,108.25,16.02,86.6,23
NDC,0068-0597-01,RIFAMPIN 600 MG IV SOLR [11291],702.81,702.81,104.02,562.25,23
NDC,0068-0599-01,RIFAMPIN 600 MG IV SOLR [11291],702.81,702.81,104.02,562.25,23
NDC,0069-0058-01,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,0069-0059-03,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],23.71,23.71,3.51,18.97,23
NDC,0069-0135-01,BOSUTINIB 100 MG PO TABS [116397],677.95,677.95,100.34,542.36,23
NDC,0069-0136-01,BOSUTINIB 500 MG PO TABS [116398],2405.88,2405.88,356.07,1924.7,23
NDC,0069-0137-01,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
NDC,0069-0137-03,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
NDC,0069-0187-21,PALBOCICLIB 75 MG PO CAPS [126960],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0188-21,PALBOCICLIB 100 MG PO CAPS [126961],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0189-21,PALBOCICLIB 125 MG PO CAPS [126962],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0193-01,BOSUTINIB 400 MG PO TABS [136063],2405.88,2405.88,356.07,1924.7,23
NDC,0069-0209-10,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
NDC,0069-0227-01,LORLATINIB 25 MG PO TABS [141712],934.13,934.13,138.25,747.3,23
NDC,0069-0231-01,LORLATINIB 100 MG PO TABS [141713],2486.25,2486.25,367.96,1989.0,23
NDC,0069-0238-01,RITUXIMAB-PVVR 100 MG/10ML IV SOLN [146216],2503.07,2503.07,370.45,2002.46,23
NDC,0069-0248-10,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
NDC,0069-0249-01,RITUXIMAB-PVVR 500 MG/50ML IV SOLN [146217],10881.03,10881.03,1610.39,8704.82,23
NDC,0069-0284-03,PALBOCICLIB 75 MG PO TABS [147303],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0284-07,PALBOCICLIB 75 MG PO TABS [147303],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0291-01,FILGRASTIM-AAFI 300 MCG/0.5ML IJ SOSY [141269],861.99,861.99,127.57,689.59,23
NDC,0069-0291-10,FILGRASTIM-AAFI 300 MCG/0.5ML IJ SOSY [141269],861.99,861.99,127.57,689.59,23
NDC,0069-0292-01,FILGRASTIM-AAFI 480 MCG/0.8ML IJ SOSY [141270],1379.18,1379.18,204.12,1103.34,23
NDC,0069-0292-10,FILGRASTIM-AAFI 480 MCG/0.8ML IJ SOSY [141270],1379.18,1379.18,204.12,1103.34,23
NDC,0069-0296-30,TALAZOPARIB TOSYLATE 0.25 MG PO CAPS [141582],828.4,828.4,122.6,662.72,23
NDC,0069-0315-01,BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN [146213],2142.0,2142.0,317.02,1713.6,23
NDC,0069-0342-01,BEVACIZUMAB-BVZR 400 MG/16ML IV SOLN [146214],7449.13,7449.13,1102.47,5959.3,23
NDC,0069-0343-02,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],127.63,127.63,18.89,102.1,23
NDC,0069-0344-01,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [160554],1207.57,1207.57,178.72,966.06,23
NDC,0069-0344-05,RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR [160554],1207.57,1207.57,178.72,966.06,23
NDC,0069-0345-06,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],6.0,6.0,0.89,4.8,23
NDC,0069-0486-03,PALBOCICLIB 100 MG PO TABS [147304],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0486-07,PALBOCICLIB 100 MG PO TABS [147304],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0501-30,TOFACITINIB CITRATE ER 11 MG PO TB24 [130980],796.8,796.8,117.93,637.44,23
NDC,0069-0550-38,SUNITINIB MALATE 12.5 MG PO CAPS [70424],907.59,907.59,134.32,726.07,23
NDC,0069-0688-03,PALBOCICLIB 125 MG PO TABS [147305],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0688-07,PALBOCICLIB 125 MG PO TABS [147305],2737.4,2737.4,405.14,2189.92,23
NDC,0069-0770-38,SUNITINIB MALATE 25 MG PO CAPS [70425],1610.42,1610.42,238.34,1288.34,23
NDC,0069-0809-01,INFLIXIMAB-DYYB 100 MG IV SOLR [133781],2872.92,2872.92,425.19,2298.34,23
NDC,0069-0830-38,SUNITINIB MALATE 37.5 MG PO CAPS [124458],2415.63,2415.63,357.51,1932.5,23
NDC,0069-0980-38,SUNITINIB MALATE 50 MG PO CAPS [70426],2803.51,2803.51,414.92,2242.81,23
NDC,0069-1001-01,TOFACITINIB CITRATE 5 MG PO TABS [117338],457.92,457.92,67.77,366.34,23
NDC,0069-1085-30,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],6.0,6.0,0.89,4.8,23
NDC,0069-1101-04,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],11.0,11.0,1.63,8.8,23
NDC,0069-1101-20,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],11.0,11.0,1.63,8.8,23
NDC,0069-1195-30,TALAZOPARIB TOSYLATE 1 MG PO CAPS [141584],2204.74,2204.74,326.3,1763.79,23
NDC,0069-1305-01,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN [140052],114.63,114.63,16.97,91.7,23
NDC,0069-1305-10,EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN [140052],114.63,114.63,16.97,91.7,23
NDC,0069-1307-01,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN [140054],205.96,205.96,30.48,164.77,23
NDC,0069-1307-10,EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN [140054],205.96,205.96,30.48,164.77,23
NDC,0069-1308-01,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN [140055],499.0,499.0,73.85,399.2,23
NDC,0069-1308-10,EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN [140055],499.0,499.0,73.85,399.2,23
NDC,0069-2432-01,COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY [161643],618.66,618.66,91.56,494.93,23
NDC,0069-2432-10,COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY [161643],618.66,618.66,91.56,494.93,23
NDC,0069-3032-20,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],127.63,127.63,18.89,102.1,23
NDC,0069-3034-20,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],304.98,304.98,45.14,243.98,23
NDC,0069-3060-75,AZITHROMYCIN 250 MG PO TABS [20943],12.19,12.19,1.8,9.75,23
NDC,0069-3110-19,AZITHROMYCIN 100 MG/5ML PO SUSR [15796],137.96,137.96,20.42,110.37,23
NDC,0069-3150-83,AZITHROMYCIN 500 MG IV SOLR [21063],34.35,34.35,5.08,27.48,23
NDC,0069-5045-06,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
NDC,0069-5045-30,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
NDC,0069-5317-02,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],628.84,628.84,93.07,503.07,23
NDC,0069-5317-20,NIRMATRELVIR&RITONAVIR 150/100 10 X 150 MG & 10 X 100MG PO TBPK [156441],4542.27,4542.27,672.26,3633.82,23
NDC,0069-5321-03,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],628.84,628.84,93.07,503.07,23
NDC,0069-5321-30,NIRMATRELVIR&RITONAVIR 300/100 20 X 150 MG & 10 X 100MG PO TBPK [154659],232.8,232.8,34.45,186.24,23
NDC,0069-5471-01,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],22.0,22.0,3.26,17.6,23
NDC,0069-5471-02,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],22.0,22.0,3.26,17.6,23
NDC,0069-5474-02,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],87.9,87.9,13.01,70.32,23
NDC,0069-5800-43,DOFETILIDE 125 MCG PO CAPS [26965],62.51,62.51,9.25,50.01,23
NDC,0069-5800-60,DOFETILIDE 125 MCG PO CAPS [26965],63.13,63.13,9.34,50.5,23
NDC,0069-5810-60,DOFETILIDE 250 MCG PO CAPS [26966],63.13,63.13,9.34,50.5,23
NDC,0069-5820-43,DOFETILIDE 500 MCG PO CAPS [26967],62.51,62.51,9.25,50.01,23
NDC,0069-5820-60,DOFETILIDE 500 MCG PO CAPS [26967],63.13,63.13,9.34,50.5,23
NDC,0069-6001-21,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],548.73,548.73,81.21,438.98,23
NDC,0069-6001-25,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],210.09,210.09,31.09,168.07,23
NDC,0069-8140-20,CRIZOTINIB 250 MG PO CAPS [110350],1559.52,1559.52,230.81,1247.62,23
NDC,0069-8141-20,CRIZOTINIB 200 MG PO CAPS [110349],1559.52,1559.52,230.81,1247.62,23
NDC,0071-0007-40,PHENYTOIN 50 MG PO CHEW [11018],12.62,12.62,1.87,10.1,23
NDC,0071-0237-24,ETHOSUXIMIDE 250 MG PO CAPS [9989],7.49,7.49,1.11,5.99,23
NDC,0071-0369-40,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],10.79,10.79,1.6,8.63,23
NDC,0071-0417-24,NITROGLYCERIN 0.3 MG SL SUBL [5603],345.83,345.83,51.18,276.66,23
NDC,0071-0418-13,NITROGLYCERIN 0.4 MG SL SUBL [5604],9.12,9.12,1.35,7.3,23
NDC,0071-0419-24,NITROGLYCERIN 0.6 MG SL SUBL [5605],345.83,345.83,51.18,276.66,23
NDC,0071-1012-68,PREGABALIN 25 MG PO CAPS [42162],57.08,57.08,8.45,45.66,23
NDC,0071-1013-41,PREGABALIN 50 MG PO CAPS [42163],62.78,62.78,9.29,50.22,23
NDC,0071-1013-68,PREGABALIN 50 MG PO CAPS [42163],57.08,57.08,8.45,45.66,23
NDC,0071-1014-41,PREGABALIN 75 MG PO CAPS [42164],62.78,62.78,9.29,50.22,23
NDC,0071-1014-68,PREGABALIN 75 MG PO CAPS [42164],57.08,57.08,8.45,45.66,23
NDC,0071-1015-41,PREGABALIN 100 MG PO CAPS [42165],62.78,62.78,9.29,50.22,23
NDC,0071-1016-41,PREGABALIN 150 MG PO CAPS [42166],62.78,62.78,9.29,50.22,23
NDC,0071-1016-68,PREGABALIN 150 MG PO CAPS [42166],57.08,57.08,8.45,45.66,23
NDC,0071-1017-68,PREGABALIN 200 MG PO CAPS [42167],57.08,57.08,8.45,45.66,23
NDC,0071-1018-68,PREGABALIN 300 MG PO CAPS [42169],57.08,57.08,8.45,45.66,23
NDC,0071-3740-66,PHENYTOIN SODIUM EXTENDED 30 MG PO CAPS [11019],8.43,8.43,1.25,6.74,23
NDC,0074-0522-60,KALETRA:LOPINAVIR-RITONAVIR 100-25 MG PO TABS [88806],24.07,24.07,3.56,19.26,23
NDC,0074-3333-30,RITONAVIR 100 MG PO TABS [101700],48.35,48.35,7.16,38.68,23
NDC,0074-3346-03,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT [21045],19548.45,19548.45,2893.17,15638.76,23
NDC,0074-3399-30,RITONAVIR 100 MG PO PACK [139937],48.35,48.35,7.16,38.68,23
NDC,0074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT [109063],39097.59,39097.59,5786.44,31278.07,23
NDC,0074-3641-03,LEUPROLIDE ACETATE 3.75 MG IM KIT [13691],5468.17,5468.17,809.29,4374.54,23
NDC,0074-3641-04,LEUPROLIDE ACETATE 3.75 MG IM KIT [13691],4240.08,4240.08,627.53,3392.06,23
NDC,0074-3642-03,LEUPROLIDE ACETATE 7.5 MG IM KIT [10392],6516.2,6516.2,964.4,5212.96,23
NDC,0074-3663-03,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT [21044],16404.63,16404.63,2427.89,13123.7,23
NDC,0074-3683-03,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT [21108],26064.67,26064.67,3857.57,20851.74,23
NDC,0074-3956-46,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],1788.37,1788.37,264.68,1430.7,23
NDC,0074-4339-02,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.54,10508.54,1555.26,8406.83,23
NDC,0074-4339-06,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.58,10508.58,1555.27,8406.86,23
NDC,0074-4339-07,ADALIMUMAB 40 MG/0.8ML SC AJKT [126894],10508.56,10508.56,1555.27,8406.85,23
NDC,0074-4380-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],142.94,142.94,21.16,114.35,23
NDC,0074-4456-04,SEVOFLURANE IN SOLN [15119],739.64,739.64,109.47,591.71,23
NDC,0074-4456-51,SEVOFLURANE IN SOLN [15119],739.64,739.64,109.47,591.71,23
NDC,0074-4637-01,PARICALCITOL 2 MCG/ML IV SOLN [31688],34.18,34.18,5.06,27.34,23
NDC,0074-5015-01,RISANKIZUMAB-RZAA 600 MG/10ML IV SOLN [156228],31491.52,31491.52,4660.74,25193.22,23
NDC,0074-6212-13,DIVALPROEX SODIUM 125 MG PO TBEC [2551],10.02,10.02,1.48,8.02,23
NDC,0074-6214-13,DIVALPROEX SODIUM 250 MG PO TBEC [2552],22.78,22.78,3.37,18.22,23
NDC,0074-6624-90,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],9.34,9.34,1.38,7.47,23
NDC,0074-6799-22,KALETRA:LOPINAVIR-RITONAVIR 200-50 MG PO TABS [43391],48.14,48.14,7.12,38.51,23
NDC,0074-7126-13,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],34.71,34.71,5.14,27.77,23
NDC,0074-7269-50,CYCLOSPORINE MODIFIED (GENGRAF) 100 MG/ML PO SOLN [28844],1633.77,1633.77,241.8,1307.02,23
NDC,0075-0624-30,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],41.98,41.98,6.21,33.58,23
NDC,0078-0109-01,CYCLOSPORINE 50 MG/ML IV SOLN [9705],325.73,325.73,48.21,260.58,23
NDC,0078-0181-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],142.28,142.28,21.06,113.82,23
NDC,0078-0240-15,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],25.31,25.31,3.75,20.25,23
NDC,0078-0240-61,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],25.62,25.62,3.79,20.5,23
NDC,0078-0241-15,CYCLOSPORINE 100 MG PO CAPS [9706],93.03,93.03,13.77,74.42,23
NDC,0078-0241-61,CYCLOSPORINE 100 MG PO CAPS [9706],93.1,93.1,13.78,74.48,23
NDC,0078-0249-15,LETROZOLE 2.5 MG PO TABS [21509],141.09,141.09,20.88,112.87,23
NDC,0078-0357-52,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],1710.36,1710.36,253.13,1368.29,23
NDC,0078-0385-66,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],42.07,42.07,6.23,33.66,23
NDC,0078-0401-34,IMATINIB MESYLATE 100 MG PO TABS [32979],423.62,423.62,62.7,338.9,23
NDC,0078-0429-47,HYPROMELLOSE 0.3 % OP GEL [91018],36.66,36.66,5.43,29.33,23
NDC,0078-0467-61,DEFEROXAMINE MESYLATE 500 MG IJ SOLR [9723],180.48,180.48,26.71,144.38,23
NDC,0078-0469-15,DEFERASIROX 250 MG PO TBSO [43416],465.48,465.48,68.89,372.38,23
NDC,0078-0470-15,DEFERASIROX 500 MG PO TBSO [43417],809.94,809.94,119.87,647.95,23
NDC,0078-0491-15,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],87.71,87.71,12.98,70.17,23
NDC,0078-0501-15,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],118.82,118.82,17.59,95.06,23
NDC,0078-0501-61,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],118.78,118.78,17.58,95.02,23
NDC,0078-0508-83,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],782.28,782.28,115.78,625.82,23
NDC,0078-0510-05,CARBAMAZEPINE ER 100 MG PO TB12 [27634],9.33,9.33,1.38,7.46,23
NDC,0078-0511-05,CARBAMAZEPINE ER 200 MG PO TB12 [27635],18.61,18.61,2.75,14.89,23
NDC,0078-0512-05,CARBAMAZEPINE ER 400 MG PO TB12 [27636],37.18,37.18,5.5,29.74,23
NDC,0078-0526-51,NILOTINIB HCL 200 MG PO CAPS [88720],760.66,760.66,112.58,608.53,23
NDC,0078-0560-15,AMLOD/VALSA/HCTZ 5-160-25 MG TAB [97745],60.91,60.91,9.01,48.73,23
NDC,0078-0562-15,AMLOD/VALSA/HCTZ 10-160-25 MG TABS [97747],69.09,69.09,10.23,55.27,23
NDC,0078-0563-15,AMLOD/VALSA/HCTZ 10-320-25 MG TABS [97748],87.71,87.71,12.98,70.17,23
NDC,0078-0566-51,EVEROLIMUS 5 MG PO TABS [97389],2386.44,2386.44,353.19,1909.15,23
NDC,0078-0567-51,EVEROLIMUS 10 MG PO TABS [97390],2386.44,2386.44,353.19,1909.15,23
NDC,0078-0568-45,ARTEMETHER-LUMEFANTRINE 20-120 MG PO TABS [96948],31.67,31.67,4.69,25.34,23
NDC,0078-0592-51,NILOTINIB HCL 150 MG PO CAPS [103756],760.66,760.66,112.58,608.53,23
NDC,0078-0594-51,EVEROLIMUS 2.5 MG PO TABS [104100],2281.53,2281.53,337.67,1825.22,23
NDC,0078-0620-51,EVEROLIMUS 7.5 MG PO TABS [112975],2386.44,2386.44,353.19,1909.15,23
NDC,0078-0639-41,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ [144938],11584.22,11584.22,1714.46,9267.38,23
NDC,0078-0639-68,SECUKINUMAB 150 MG/ML SC SOAJ [126921],23168.43,23168.43,3428.93,18534.74,23
NDC,0078-0659-20,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],66.29,66.29,9.81,53.03,23
NDC,0078-0659-67,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],66.29,66.29,9.81,53.03,23
NDC,0078-0669-13,OFATUMUMAB 100 MG/5ML IV CONC [100258],2106.98,2106.98,311.83,1685.58,23
NDC,0078-0669-61,OFATUMUMAB 100 MG/5ML IV CONC [100258],2106.9,2106.9,311.82,1685.52,23
NDC,0078-0681-66,DABRAFENIB MESYLATE 75 MG PO CAPS [120606],593.13,593.13,87.78,474.5,23
NDC,0078-0690-61,OFATUMUMAB 1000 MG/50ML IV CONC [116047],18318.34,18318.34,2711.11,14654.67,23
NDC,0078-0694-84,CERITINIB 150 MG PO TABS [143717],742.36,742.36,109.87,593.89,23
NDC,0078-0696-20,SACUBITRIL-VALSARTAN 97-103 MG PO TABS [128547],66.29,66.29,9.81,53.03,23
NDC,0078-0696-67,SACUBITRIL-VALSARTAN 97-103 MG PO TABS [128547],66.29,66.29,9.81,53.03,23
NDC,0078-0698-51,MIDOSTAURIN 25 MG PO CAPS [136518],857.72,857.72,126.94,686.18,23
NDC,0078-0698-99,MIDOSTAURIN 25 MG PO CAPS [136518],857.72,857.72,126.94,686.18,23
NDC,0078-0701-84,ALPELISIB (200 MG DAILY DOSE) 200 MG PO TBPK [143872],2580.9,2580.9,381.97,2064.72,23
NDC,0078-0708-02,ALPELISIB (300 MG DAILY DOSE) 2 X 150 MG PO TBPK [143874],1484.27,1484.27,219.67,1187.42,23
NDC,0078-0715-02,ALPELISIB (250 MG DAILY DOSE) 200 & 50 MG PO TBPK [143873],1484.27,1484.27,219.67,1187.42,23
NDC,0078-0722-10,BRINZOLAMIDE 1 % OP SUSP [22953],1446.88,1446.88,214.14,1157.5,23
NDC,0078-0729-10,BETAXOLOL HCL 0.25 % OP SUSP [19703],1596.58,1596.58,236.29,1277.26,23
NDC,0078-0777-20,SACUBITRIL-VALSARTAN 49-51 MG PO TABS [128546],66.29,66.29,9.81,53.03,23
NDC,0078-0799-75,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],980.44,980.44,145.11,784.35,23
NDC,0078-0813-01,TOBRAMYCIN 0.3 % OP OINT [19769],1102.08,1102.08,163.11,881.66,23
NDC,0078-0818-81,OCTREOTIDE ACETATE 20 MG IM KIT [24435],14015.09,14015.09,2074.23,11212.07,23
NDC,0078-0825-81,OCTREOTIDE ACETATE 30 MG IM KIT [24436],20986.53,20986.53,3106.01,16789.22,23
NDC,0078-0860-01,RIBOCICLIB SUCC (200 MG DOSE) 200 MG PO TBPK [143130],1431.97,1431.97,211.93,1145.58,23
NDC,0078-0867-42,RIBOCICLIB SUCC (400 MG DOSE) 200 MG PO TBPK [143131],1431.97,1431.97,211.93,1145.58,23
NDC,0078-0874-63,RIBOCICLIB SUCC (600 MG DOSE) 200 MG PO TBPK [143132],1193.31,1193.31,176.61,954.65,23
NDC,0078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP OINT [11566],1173.3,1173.3,173.65,938.64,23
NDC,0078-0883-61,CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN [145824],7447.14,7447.14,1102.18,5957.71,23
NDC,0078-0939-26,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],790.88,790.88,117.05,632.7,23
NDC,0078-0951-66,NILOTINIB HCL 50 MG PO CAPS [139459],760.66,760.66,112.58,608.53,23
NDC,0078-0953-40,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],413.35,413.35,61.18,330.68,23
NDC,0078-0972-61,ELTROMBOPAG OLAMINE 12.5 MG PO PACK [142346],1026.83,1026.83,151.97,821.46,23
NDC,0078-1000-60,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY [154569],10473.42,10473.42,1550.07,8378.74,23
NDC,0078-1098-20,ASCIMINIB HCL 40 MG PO TABS [154292],1467.16,1467.16,217.14,1173.73,23
NDC,0085-1288-01,MOMETASONE FUROATE 50 MCG/ACT NA SUSP [21905],989.63,989.63,146.47,791.7,23
NDC,0085-1328-01,POSACONAZOLE 40 MG/ML PO SUSP [77371],4370.48,4370.48,646.83,3496.38,23
NDC,0085-1341-06,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],345.24,345.24,51.1,276.19,23
NDC,0085-1341-07,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],753.95,753.95,111.58,603.16,23
NDC,0085-1461-02,MOMETASONE FUROATE 110 MCG/ACT IN AEPB [91877],698.22,698.22,103.34,558.58,23
NDC,0085-4320-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],194.34,194.34,28.76,155.47,23
NDC,0085-4324-02,POSACONAZOLE 100 MG PO TBEC [122312],319.9,319.9,47.35,255.92,23
NDC,0085-4331-01,POSACONAZOLE 300 MG/16.7ML IV SOLN [123622],1852.33,1852.33,274.14,1481.86,23
NDC,00869-4206-10,MINERAL OIL PO OIL [5086],13.54,13.54,2.0,10.83,23
NDC,0087-0402-03,POLY-VI-SOL PO SOLN [6374],46.3,46.3,6.85,37.04,23
NDC,0087-0405-01,POLY-VI-SOL/IRON 10-11 MG/ML PO SOLN [148740],46.3,46.3,6.85,37.04,23
NDC,0087-0740-02,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],50.29,50.29,7.44,40.23,23
NDC,0087-0866-44,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],46.3,46.3,6.85,37.04,23
NDC,0088-2102-01,RIFAPENTINE 150 MG PO TABS [23365],28.02,28.02,4.15,22.42,23
NDC,0088-2102-24,RIFAPENTINE 150 MG PO TABS [23365],28.01,28.01,4.15,22.41,23
NDC,0088-2160-30,LEFLUNOMIDE 10 MG PO TABS [23872],232.55,232.55,34.42,186.04,23
NDC,0088-2220-33,INSULIN GLARGINE (LANTUS) 100 UNIT/ML SC SOLN [28282],12.5,12.5,1.85,10.0,23
NDC,0088-2500-33,INSULIN GLULISINE 100 UNIT/ML IJ SOLN [87889],385.41,385.41,57.04,308.33,23
NDC,0093-0051-01,CARVEDILOL 3.125 MG PO TABS [18551],10.05,10.05,1.49,8.04,23
NDC,0093-0053-01,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,0093-0054-01,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,0093-0150-01,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
NDC,0093-0262-15,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
NDC,0093-0262-30,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
NDC,0093-0264-15,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
NDC,0093-0311-01,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.42,6.42,0.95,5.14,23
NDC,0093-0311-05,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.27,6.27,0.93,5.02,23
NDC,0093-0314-01,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
NDC,0093-0318-01,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
NDC,0093-0319-01,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
NDC,0093-0320-01,DILTIAZEM HCL 90 MG PO TABS [2477],10.07,10.07,1.49,8.06,23
NDC,0093-0321-01,DILTIAZEM HCL 120 MG PO TABS [2474],13.56,13.56,2.01,10.85,23
NDC,0093-0711-01,FLURBIPROFEN 100 MG PO TABS [10078],9.71,9.71,1.44,7.77,23
NDC,0093-0771-98,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
NDC,0093-0787-01,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
NDC,0093-0810-01,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
NDC,0093-0811-01,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
NDC,0093-0813-01,NORTRIPTYLINE HCL 75 MG PO CAPS [5677],19.83,19.83,2.93,15.86,23
NDC,0093-0832-01,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,0093-1003-01,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
NDC,0093-1010-42,MUPIROCIN 2 % EX OINT [10674],332.57,332.57,49.22,266.06,23
NDC,0093-1024-06,NEFAZODONE HCL 100 MG PO TABS [13444],22.56,22.56,3.34,18.05,23
NDC,0093-1061-01,SOTALOL HCL 80 MG PO TABS [11421],11.04,11.04,1.63,8.83,23
NDC,0093-1063-01,SOTALOL HCL 240 MG PO TABS [11420],23.93,23.93,3.54,19.14,23
NDC,0093-1136-56,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
NDC,0093-1172-10,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
NDC,0093-1177-01,NEOMYCIN SULFATE 500 MG PO TABS [5472],6.99,6.99,1.03,5.59,23
NDC,0093-2026-23,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
NDC,0093-2064-06,CILOSTAZOL 100 MG PO TABS [24474],8.58,8.58,1.27,6.86,23
NDC,0093-2065-06,CILOSTAZOL 50 MG PO TABS [24473],9.06,9.06,1.34,7.25,23
NDC,0093-2178-01,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],13.56,13.56,2.01,10.85,23
NDC,0093-2179-01,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],10.33,10.33,1.53,8.26,23
NDC,0093-2203-01,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,0093-2203-05,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,0093-2210-01,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,0093-2210-05,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,0093-2210-98,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,0093-2268-01,AMOXICILLIN 250 MG PO CHEW [452],6.0,6.0,0.89,4.8,23
NDC,0093-2274-34,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
NDC,0093-2275-34,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,0093-3002-56,QUININE SULFATE 324 MG PO CAPS [6781],33.24,33.24,4.92,26.59,23
NDC,0093-3099-56,RISEDRONATE SODIUM 5 MG PO TABS [27112],41.63,41.63,6.16,33.3,23
NDC,0093-3123-01,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],7.06,7.06,1.04,5.65,23
NDC,0093-3147-05,CEPHALEXIN 500 MG PO CAPS [9500],6.34,6.34,0.94,5.07,23
NDC,0093-3160-06,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
NDC,0093-3174-31,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],287.94,287.94,42.62,230.35,23
NDC,0093-3212-01,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,0093-3422-01,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,0093-3425-01,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
NDC,0093-3426-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,0093-3427-01,LORAZEPAM 2 MG PO TABS [4574],6.03,6.03,0.89,4.82,23
NDC,0093-4067-01,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
NDC,0093-4068-01,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
NDC,0093-4069-01,PRAZOSIN HCL 5 MG PO CAPS [6470],10.79,10.79,1.6,8.63,23
NDC,0093-4125-73,PENICILLIN V POTASSIUM 125 MG/5ML PO SOLR [6090],47.0,47.0,6.96,37.6,23
NDC,0093-4125-74,PENICILLIN V POTASSIUM 125 MG/5ML PO SOLR [6090],68.62,68.62,10.16,54.9,23
NDC,0093-4127-73,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR [6091],52.64,52.64,7.79,42.11,23
NDC,0093-4127-74,PENICILLIN V POTASSIUM 250 MG/5ML PO SOLR [6091],76.14,76.14,11.27,60.91,23
NDC,0093-4136-73,CEFDINIR 125 MG/5ML PO SUSR [22290],314.32,314.32,46.52,251.46,23
NDC,0093-4155-79,AMOXICILLIN 250 MG/5ML PO SUSR [454],25.2,25.2,3.73,20.16,23
NDC,0093-4155-80,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
NDC,0093-4175-73,CEPHALEXIN 125 MG/5ML PO SUSR [9501],103.06,103.06,15.25,82.45,23
NDC,0093-4177-73,CEPHALEXIN 250 MG/5ML PO SUSR [9502],124.71,124.71,18.46,99.77,23
NDC,0093-4177-74,CEPHALEXIN 250 MG/5ML PO SUSR [9502],199.17,199.17,29.48,159.34,23
NDC,0093-4359-93,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
NDC,0093-4405-93,CLOZAPINE 200 MG PO TABS [70324],30.62,30.62,4.53,24.5,23
NDC,0093-5234-56,ATRIPLA:EFAVIRENZ-EMTRICITAB-TENOFOV 600-200-300MGTAB [76835],429.03,429.03,63.5,343.22,23
NDC,0093-5245-65,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
NDC,0093-5248-65,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
NDC,0093-5352-86,ACAMPROSATE CALCIUM 333 MG PO TBEC [39720],8.26,8.26,1.22,6.61,23
NDC,0093-5417-84,CLOZAPINE 25 MG PO TBDP [38479],14.1,14.1,2.09,11.28,23
NDC,0093-5419-01,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
NDC,0093-5419-19,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
NDC,0093-5419-84,CLOZAPINE 100 MG PO TBDP [38480],38.43,38.43,5.69,30.74,23
NDC,0093-5420-88,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
NDC,0093-5517-98,SILDENAFIL CITRATE 20 MG PO TABS [41832],95.47,95.47,14.13,76.38,23
NDC,0093-5527-06,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],120.39,120.39,17.82,96.31,23
NDC,0093-5528-56,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],214.26,214.26,31.71,171.41,23
NDC,0093-5740-65,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
NDC,0093-5742-19,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,0093-5742-65,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,0093-6450-56,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
NDC,0093-6451-98,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
NDC,0093-6815-73,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.25,44.25,6.55,35.4,23
NDC,0093-6816-19,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,0093-6816-45,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,0093-6816-55,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,0093-6816-73,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,0093-7113-06,NEFAZODONE HCL 150 MG PO TABS [13445],22.99,22.99,3.4,18.39,23
NDC,0093-7163-56,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
NDC,0093-7163-98,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
NDC,0093-7164-05,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
NDC,0093-7164-56,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
NDC,0093-7201-98,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
NDC,0093-7270-98,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,0093-7290-01,RALOXIFENE HCL 60 MG PO TABS [22143],33.51,33.51,4.96,26.81,23
NDC,0093-7290-56,RALOXIFENE HCL 60 MG PO TABS [22143],33.51,33.51,4.96,26.81,23
NDC,0093-7295-01,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
NDC,0093-7296-01,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
NDC,0093-7334-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
NDC,0093-7334-05,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
NDC,0093-7335-06,TOPIRAMATE 15 MG PO CPSP [27641],11.37,11.37,1.68,9.1,23
NDC,0093-7336-06,TOPIRAMATE 25 MG PO CPSP [27642],13.75,13.75,2.03,11.0,23
NDC,0093-7351-56,LANSOPRAZOLE 30 MG PO CPDR [27692],26.64,26.64,3.94,21.31,23
NDC,0093-7355-56,FINASTERIDE 5 MG PO TABS [10037],14.72,14.72,2.18,11.78,23
NDC,0093-7355-98,FINASTERIDE 5 MG PO TABS [10037],14.72,14.72,2.18,11.78,23
NDC,0093-7367-98,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,0093-7368-98,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,0093-7442-56,FLUVASTATIN SODIUM 20 MG PO CAPS [12411],23.49,23.49,3.48,18.79,23
NDC,0093-7443-01,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.49,23.49,3.48,18.79,23
NDC,0093-7443-56,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.49,23.49,3.48,18.79,23
NDC,0093-7536-56,ANASTROZOLE 1 MG PO TABS [16205],63.44,63.44,9.39,50.75,23
NDC,0093-7620-56,LETROZOLE 2.5 MG PO TABS [21509],85.24,85.24,12.62,68.19,23
NDC,0093-7772-93,CLOZAPINE 100 MG PO TABS [9647],16.12,16.12,2.39,12.9,23
NDC,0093-8162-01,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.24,32.24,4.77,25.79,23
NDC,0093-8165-01,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.7,93.7,13.87,74.96,23
NDC,0093-8180-64,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],652.82,652.82,96.62,522.26,23
NDC,0093-8310-18,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],239.08,239.08,35.38,191.26,23
NDC,0093-8343-01,GLYBURIDE 2.5 MG PO TABS [10126],6.0,6.0,0.89,4.8,23
NDC,0093-8344-01,GLYBURIDE 5 MG PO TABS [3489],6.0,6.0,0.89,4.8,23
NDC,0093-8675-78,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],166.28,166.28,24.61,133.02,23
NDC,0093-8739-01,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
NDC,0093-8740-01,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
NDC,0093-9018-19,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
NDC,0093-9018-65,CYCLOSPORINE MODIFIED (GENGRAF) 25 MG PO CAPS [28842],6.47,6.47,0.96,5.18,23
NDC,0093-9020-19,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,0093-9020-65,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,0093-9224-89,MESALAMINE ER 0.375 G PO CP24 [95687],22.79,22.79,3.37,18.23,23
NDC,0093-9433-01,GLYBURIDE 2.5 MG PO TABS [10126],6.0,6.0,0.89,4.8,23
NDC,0093-9614-13,SILVER NITRATE 0.5 % EX SOLN [28001],354.77,354.77,52.51,283.82,23
NDC,0093-9702-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,0096-0707-35,ALUMINUM CHLORIDE 20 % EX SOLN [9028],47.87,47.87,7.08,38.3,23
NDC,0096-0707-37,ALUMINUM CHLORIDE 20 % EX SOLN [9028],44.07,44.07,6.52,35.26,23
NDC,0096-0707-60,ALUMINUM CHLORIDE 20 % EX SOLN [9028],65.43,65.43,9.68,52.34,23
NDC,0115-1365-30,SEVELAMER CARBONATE 0.8 G PO PACK [99686],90.5,90.5,13.39,72.4,23
NDC,0115-1404-08,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
NDC,0115-1468-53,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],37.79,37.79,5.59,30.23,23
NDC,0115-1468-60,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],37.79,37.79,5.59,30.23,23
NDC,0115-1474-46,METRONIDAZOLE 0.75 % EX GEL [19741],644.17,644.17,95.34,515.34,23
NDC,0115-1643-01,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.03,10.03,1.48,8.02,23
NDC,0115-1659-01,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0115-1661-01,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,0115-1694-49,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],810.18,810.18,119.91,648.14,23
NDC,0115-1700-01,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
NDC,0115-1724-01,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],22.5,22.5,3.33,18.0,23
NDC,0115-1750-08,ACITRETIN 10 MG PO CAPS [13980],135.11,135.11,20.0,108.09,23
NDC,0115-1757-01,CYPROHEPTADINE HCL 4 MG PO TABS [2033],7.56,7.56,1.12,6.05,23
NDC,0115-1800-01,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,0115-2611-01,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
NDC,0115-2622-01,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
NDC,0115-3511-01,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS [11239],6.0,6.0,0.89,4.8,23
NDC,0115-4411-01,DANTROLENE SODIUM 25 MG PO CAPS [9718],6.0,6.0,0.89,4.8,23
NDC,0115-4422-01,DANTROLENE SODIUM 50 MG PO CAPS [9719],8.13,8.13,1.2,6.5,23
NDC,0115-4433-01,DANTROLENE SODIUM 100 MG PO CAPS [9717],10.19,10.19,1.51,8.15,23
NDC,0115-5511-10,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
NDC,0115-5522-10,FENOFIBRATE 160 MG PO TABS [28252],11.17,11.17,1.65,8.94,23
NDC,0115-5922-01,PILOCARPINE HCL 5 MG PO TABS [12803],7.6,7.6,1.12,6.08,23
NDC,0115-7033-01,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
NDC,0115-9932-78,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.26,30.26,4.48,24.21,23
NDC,0116-2001-16,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],55.58,55.58,8.23,44.46,23
NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,0121-0489-00,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511],24.49,24.49,3.62,19.59,23
NDC,0121-0489-05,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX [2511],24.49,24.49,3.62,19.59,23
NDC,0121-0504-16,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],88.93,88.93,13.16,71.14,23
NDC,0121-0530-05,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.13,19.13,2.83,15.3,23
NDC,0121-0544-10,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
NDC,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],211.0,211.0,31.23,168.8,23
NDC,0121-0581-05,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],19.7,19.7,2.92,15.76,23
NDC,0121-0595-00,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],27.5,27.5,4.07,22.0,23
NDC,0121-0595-16,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],80.04,80.04,11.85,64.03,23
NDC,0121-0646-10,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],23.22,23.22,3.44,18.58,23
NDC,0121-0646-16,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],283.36,283.36,41.94,226.69,23
NDC,0121-0654-02,FLUPHENAZINE HCL 2.5 MG/5ML PO ELIX [10072],166.28,166.28,24.61,133.02,23
NDC,0121-0670-16,ETHOSUXIMIDE 250 MG/5ML PO SOLN [38489],769.52,769.52,113.89,615.62,23
NDC,0121-0721-04,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],442.9,442.9,65.55,354.32,23
NDC,0121-0747-00,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
NDC,0121-0747-40,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
NDC,0121-0747-50,SUCRALFATE 1 GM/10ML PO SUSP [11441],56.22,56.22,8.32,44.98,23
NDC,0121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
NDC,0121-0766-16,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],57.81,57.81,8.56,46.25,23
NDC,0121-0770-01,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
NDC,0121-0775-04,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],63.78,63.78,9.44,51.02,23
NDC,0121-0775-16,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],206.86,206.86,30.62,165.49,23
NDC,0121-0799-16,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1009.99,1009.99,149.48,807.99,23
NDC,0121-0820-16,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],420.84,420.84,62.28,336.67,23
NDC,0121-0826-01,OXYCODONE HCL 100 MG/5ML PO CONC [10812],717.54,717.54,106.2,574.03,23
NDC,0121-0854-16,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],426.19,426.19,63.08,340.95,23
NDC,0121-0868-02,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
NDC,0121-0873-16,LACTULOSE 10 GM/15ML SOLN [38245],149.52,149.52,22.13,119.62,23
NDC,0121-0893-00,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
NDC,0121-0893-15,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
NDC,0121-0893-40,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
NDC,0121-0904-05,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
NDC,0121-0904-94,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
NDC,0121-0914-00,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,0121-0914-05,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,0121-0918-05,IBUPROFEN 100 MG/5ML PO SUSP [10246],8.84,8.84,1.31,7.07,23
NDC,0121-0918-40,IBUPROFEN 100 MG/5ML PO SUSP [10246],8.84,8.84,1.31,7.07,23
NDC,0121-0927-16,PROMETHAZINE HCL 6.25 MG/5ML PO SOLN [97609],206.86,206.86,30.62,165.49,23
NDC,0121-0942-05,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],17.39,17.39,2.57,13.91,23
NDC,0121-0942-50,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],17.39,17.39,2.57,13.91,23
NDC,0121-0972-51,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
NDC,0121-0974-00,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
NDC,0121-0974-10,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.76,50.76,7.51,40.61,23
NDC,0121-0974-40,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
NDC,0121-1012-95,LACOSAMIDE 10 MG/ML PO SOLN [103580],145.82,145.82,21.58,116.66,23
NDC,0121-1045-16,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
NDC,0121-1154-00,LACTULOSE 10 GM/15ML SOLN [38245],10.72,10.72,1.59,8.58,23
NDC,0121-1154-30,LACTULOSE 10 GM/15ML SOLN [38245],11.57,11.57,1.71,9.26,23
NDC,0121-1154-40,LACTULOSE 10 GM/15ML SOLN [38245],11.57,11.57,1.71,9.26,23
NDC,0121-1190-00,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],29.76,29.76,4.4,23.81,23
NDC,0121-1276-00,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
NDC,0121-1276-10,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
NDC,0121-1576-10,METOCLOPRAMIDE HCL 10 MG/10ML PO SOLN [77710],22.85,22.85,3.38,18.28,23
NDC,0121-1680-16,KCL 20 MEQ/15ML (10%) PO SOLN [76913],1259.77,1259.77,186.45,1007.82,23
NDC,0121-1744-00,GUAIFENESIN 100 MG/5ML PO LIQD [76829],8.98,8.98,1.33,7.18,23
NDC,0121-1744-05,GUAIFENESIN 100 MG/5ML PO LIQD [76829],8.98,8.98,1.33,7.18,23
NDC,0121-1761-30,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],17.77,17.77,2.63,14.22,23
NDC,0121-1775-00,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
NDC,0121-1775-05,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],20.21,20.21,2.99,16.17,23
NDC,0121-1775-40,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],20.21,20.21,2.99,16.17,23
NDC,0121-1971-00,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.45,11.45,1.69,9.16,23
NDC,0121-1971-21,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.45,11.45,1.69,9.16,23
NDC,0121-2024-10,LACOSAMIDE 10 MG/ML PO SOLN [103580],262.0,262.0,38.78,209.6,23
NDC,0121-2024-95,LACOSAMIDE 10 MG/ML PO SOLN [103580],262.0,262.0,38.78,209.6,23
NDC,0121-2036-30,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
NDC,0121-2316-15,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],26.3,26.3,3.89,21.04,23
NDC,0121-2316-50,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],26.3,26.3,3.89,21.04,23
NDC,0121-2520-30,KCL 20 MEQ/15ML (10%) PO SOLN [76913],109.9,109.9,16.27,87.92,23
NDC,0121-2520-40,KCL 20 MEQ/15ML (10%) PO SOLN [76913],101.33,101.33,15.0,81.06,23
NDC,0121-3036-95,LACOSAMIDE 10 MG/ML PO SOLN [103580],380.87,380.87,56.37,304.7,23
NDC,0121-4721-05,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],32.15,32.15,4.76,25.72,23
NDC,0121-4766-05,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],14.46,14.46,2.14,11.57,23
NDC,0121-4820-15,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],58.87,58.87,8.71,47.1,23
NDC,0121-4820-40,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],58.87,58.87,8.71,47.1,23
NDC,0121-4827-40,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],34.95,34.95,5.17,27.96,23
NDC,0121-4827-50,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],37.6,37.6,5.56,30.08,23
NDC,0121-4950-15,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],36.17,36.17,5.35,28.94,23
NDC,0121-4950-40,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],36.17,36.17,5.35,28.94,23
NDC,0131-1810-67,LACOSAMIDE 200 MG/20ML IV SOLN [96972],448.26,448.26,66.34,358.61,23
NDC,0131-2477-35,LACOSAMIDE 50 MG PO TABS [96968],68.09,68.09,10.08,54.47,23
NDC,0131-2477-60,LACOSAMIDE 50 MG PO TABS [96968],74.91,74.91,11.09,59.93,23
NDC,0131-2478-60,LACOSAMIDE 100 MG PO TABS [96969],107.89,107.89,15.97,86.31,23
NDC,0131-2479-35,LACOSAMIDE 150 MG PO TABS [96970],103.86,103.86,15.37,83.09,23
NDC,0131-2479-60,LACOSAMIDE 150 MG PO TABS [96970],114.26,114.26,16.91,91.41,23
NDC,0131-2480-35,LACOSAMIDE 200 MG PO TABS [96971],103.89,103.89,15.38,83.11,23
NDC,0131-2480-60,LACOSAMIDE 200 MG PO TABS [96971],114.3,114.3,16.92,91.44,23
NDC,0132-0079-12,GLYCERIN (ADULT) 2 G RECTAL SUPP [40994],6.0,6.0,0.89,4.8,23
NDC,0132-0079-24,GLYCERIN (ADULT) 2 G RECTAL SUPP [40994],6.0,6.0,0.89,4.8,23
NDC,0132-0081-12,GLYCERIN (LAXATIVE) 1 G RECTAL SUPP [101313],6.0,6.0,0.89,4.8,23
NDC,0132-0201-40,FLEET ENEMA RECTAL ENEM [154328],9.38,9.38,1.39,7.5,23
NDC,0132-0202-20,FLEET PEDIATRIC 3.5-9.5 GM/66ML RECTAL ENEM [3128],11.17,11.17,1.65,8.94,23
NDC,0143-1171-01,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
NDC,0143-1172-01,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
NDC,0143-1173-01,CAPTOPRIL 50 MG PO TABS [9403],13.63,13.63,2.02,10.9,23
NDC,0143-1174-01,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
NDC,0143-1240-01,DIGOXIN 0.125 MG PO TABS [2444],10.81,10.81,1.6,8.65,23
NDC,0143-1769-01,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
NDC,0143-1771-01,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,0143-3126-01,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0143-9006-01,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],171.47,171.47,25.38,137.18,23
NDC,0143-9022-02,FULVESTRANT 250 MG/5ML IM SOSY [107125],350.1,350.1,51.81,280.08,23
NDC,0143-9087-01,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
NDC,0143-9093-01,DOXORUBICIN HCL 50 MG IV SOLR [2619],1035.3,1035.3,153.22,828.24,23
NDC,0143-9098-01,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],181.86,181.86,26.92,145.49,23
NDC,0143-9144-03,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1016.15,1016.15,150.39,812.92,23
NDC,0143-9156-01,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0143-9156-10,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0143-9172-01,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,0143-9172-10,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,0143-9173-10,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
NDC,0143-9180-01,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,0143-9180-25,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,0143-9204-01,DOCETAXEL 20 MG/ML IV CONC [105295],303.42,303.42,44.91,242.74,23
NDC,0143-9210-01,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
NDC,0143-9210-10,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
NDC,0143-9233-05,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],210.06,210.06,31.09,168.05,23
NDC,0143-9241-01,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],480.0,480.0,71.04,384.0,23
NDC,0143-9245-10,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
NDC,0143-9246-05,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],85.56,85.56,12.66,68.45,23
NDC,0143-9249-20,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,0143-9250-10,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],28.98,28.98,4.29,23.18,23
NDC,0143-9251-01,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],57.96,57.96,8.58,46.37,23
NDC,0143-9251-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],57.96,57.96,8.58,46.37,23
NDC,0143-9252-01,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.0,22.0,3.26,17.6,23
NDC,0143-9252-25,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.0,22.0,3.26,17.6,23
NDC,0143-9261-01,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],47.94,47.94,7.1,38.35,23
NDC,0143-9261-10,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],47.94,47.94,7.1,38.35,23
NDC,0143-9262-25,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,0143-9263-10,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],49.17,49.17,7.28,39.34,23
NDC,0143-9270-01,FLOXURIDINE 0.5 G IJ SOLR [3177],538.36,538.36,79.68,430.69,23
NDC,0143-9273-10,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],676.34,676.34,100.1,541.07,23
NDC,0143-9279-01,MITOMYCIN 20 MG IV SOLR [10630],2206.95,2206.95,326.63,1765.56,23
NDC,0143-9284-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],36.66,36.66,5.43,29.33,23
NDC,0143-9285-01,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
NDC,0143-9295-01,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],191.52,191.52,28.34,153.22,23
NDC,0143-9297-01,DANTROLENE SODIUM 20 MG IV SOLR [9716],331.01,331.01,48.99,264.81,23
NDC,0143-9298-01,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],49.97,49.97,7.4,39.98,23
NDC,0143-9298-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],49.97,49.97,7.4,39.98,23
NDC,0143-9299-10,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],319.3,319.3,47.26,255.44,23
NDC,0143-9300-01,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
NDC,0143-9300-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
NDC,0143-9307-01,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],280.08,280.08,41.45,224.06,23
NDC,0143-9310-10,ETOMIDATE 2 MG/ML IV SOLN [20472],22.0,22.0,3.26,17.6,23
NDC,0143-9318-01,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],81.31,81.31,12.03,65.05,23
NDC,0143-9318-10,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],81.31,81.31,12.03,65.05,23
NDC,0143-9330-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0143-9331-01,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0143-9331-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0143-9332-10,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
NDC,0143-9333-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0143-9334-01,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0143-9334-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0143-9373-10,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],22.56,22.56,3.34,18.05,23
NDC,0143-9375-10,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.0,22.0,3.26,17.6,23
NDC,0143-9376-01,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
NDC,0143-9378-01,DAPTOMYCIN 500 MG IV SOLR [36989],181.86,181.86,26.92,145.49,23
NDC,0143-9379-01,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
NDC,0143-9379-10,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
NDC,0143-9380-01,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
NDC,0143-9380-10,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
NDC,0143-9381-10,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],109.43,109.43,16.2,87.54,23
NDC,0143-9384-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],303.42,303.42,44.91,242.74,23
NDC,0143-9385-01,DECITABINE 50 MG IV SOLR [76364],452.4,452.4,66.96,361.92,23
NDC,0143-9392-10,REMIFENTANIL HCL 2 MG IV SOLR [18400],554.19,554.19,82.02,443.35,23
NDC,0143-9431-01,MEROPENEM 1 G IV SOLR [17380],33.84,33.84,5.01,27.07,23
NDC,0143-9431-10,MEROPENEM 1 G IV SOLR [17380],33.84,33.84,5.01,27.07,23
NDC,0143-9501-25,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
NDC,0143-9503-01,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],205.2,205.2,30.37,164.16,23
NDC,0143-9506-10,ETOMIDATE 2 MG/ML IV SOLN [20472],35.07,35.07,5.19,28.06,23
NDC,0143-9507-01,ETOMIDATE 2 MG/ML IV SOLN [20472],37.89,37.89,5.61,30.31,23
NDC,0143-9507-10,ETOMIDATE 2 MG/ML IV SOLN [20472],37.89,37.89,5.61,30.31,23
NDC,0143-9508-10,KETAMINE HCL 50 MG/ML IJ SOLN [4238],36.1,36.1,5.34,28.88,23
NDC,0143-9509-10,KETAMINE HCL 100 MG/ML IJ SOLN [4237],71.87,71.87,10.64,57.5,23
NDC,0143-9510-01,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
NDC,0143-9511-01,ETOPOSIDE 500 MG/25ML IV SOLN [121722],197.45,197.45,29.22,157.96,23
NDC,0143-9514-01,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],54.6,54.6,8.08,43.68,23
NDC,0143-9514-25,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],54.6,54.6,8.08,43.68,23
NDC,0143-9515-25,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],27.3,27.3,4.04,21.84,23
NDC,0143-9519-01,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
NDC,0143-9529-01,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],547.41,547.41,81.02,437.93,23
NDC,0143-9530-01,IFOSFAMIDE 3 GM/60ML IV SOLN [87926],486.56,486.56,72.01,389.25,23
NDC,0143-9532-25,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],73.32,73.32,10.85,58.66,23
NDC,0143-9546-01,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
NDC,0143-9552-01,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
NDC,0143-9555-01,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],56.4,56.4,8.35,45.12,23
NDC,0143-9559-01,ARGATROBAN 50 MG/50ML IV SOLN [110617],779.33,779.33,115.34,623.46,23
NDC,0143-9564-01,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1710.94,1710.94,253.22,1368.75,23
NDC,0143-9564-10,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1710.95,1710.95,253.22,1368.76,23
NDC,0143-9567-25,CEFUROXIME SODIUM 1.5 G IM SOLR [601005],25.38,25.38,3.76,20.3,23
NDC,0143-9568-25,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
NDC,0143-9570-01,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
NDC,0143-9570-10,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN [24932],165.24,165.24,24.46,132.19,23
NDC,0143-9574-25,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,0143-9587-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,0143-9593-01,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],104.66,104.66,15.49,83.73,23
NDC,0143-9593-10,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],104.66,104.66,15.49,83.73,23
NDC,0143-9594-01,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,0143-9594-25,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,0143-9595-01,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0143-9595-25,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0143-9621-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],39.03,39.03,5.78,31.22,23
NDC,0143-9621-25,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],39.03,39.03,5.78,31.22,23
NDC,0143-9622-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],39.48,39.48,5.84,31.58,23
NDC,0143-9623-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],78.96,78.96,11.69,63.17,23
NDC,0143-9659-01,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],93.53,93.53,13.84,74.82,23
NDC,0143-9660-10,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,0143-9673-25,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.56,22.56,3.34,18.05,23
NDC,0143-9674-01,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],747.84,747.84,110.68,598.27,23
NDC,0143-9682-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,0143-9682-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,0143-9684-10,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],36.66,36.66,5.43,29.33,23
NDC,0143-9689-01,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],132.59,132.59,19.62,106.07,23
NDC,0143-9689-10,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],132.59,132.59,19.62,106.07,23
NDC,0143-9701-01,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],291.75,291.75,43.18,233.4,23
NDC,0143-9710-01,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],35.25,35.25,5.22,28.2,23
NDC,0143-9710-10,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],35.25,35.25,5.22,28.2,23
NDC,0143-9719-01,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
NDC,0143-9719-10,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
NDC,0143-9720-24,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],35.25,35.25,5.22,28.2,23
NDC,0143-9721-01,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],34.31,34.31,5.08,27.45,23
NDC,0143-9721-24,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],34.31,34.31,5.08,27.45,23
NDC,0143-9722-01,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],33.84,33.84,5.01,27.07,23
NDC,0143-9722-24,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],33.84,33.84,5.01,27.07,23
NDC,0143-9724-01,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],196.06,196.06,29.02,156.85,23
NDC,0143-9746-01,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.56,22.56,3.34,18.05,23
NDC,0143-9746-10,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],22.56,22.56,3.34,18.05,23
NDC,0143-9750-01,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN [7785],383.17,383.17,56.71,306.54,23
NDC,0143-9753-01,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],23.02,23.02,3.41,18.42,23
NDC,0143-9753-25,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],23.02,23.02,3.41,18.42,23
NDC,0143-9754-25,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],36.44,36.44,5.39,29.15,23
NDC,0143-9784-10,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],38.19,38.19,5.65,30.55,23
NDC,0143-9786-01,ENALAPRILAT 1.25 MG/ML IV SOLN [9929],53.49,53.49,7.92,42.79,23
NDC,0143-9786-10,ENALAPRILAT 1.25 MG/ML IV SOLN [9929],53.48,53.48,7.92,42.78,23
NDC,0143-9850-01,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],120.12,120.12,17.78,96.1,23
NDC,0143-9851-01,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],195.56,195.56,28.94,156.45,23
NDC,0143-9852-01,LEVOCARNITINE 200 MG/ML IV SOLN [20954],185.35,185.35,27.43,148.28,23
NDC,0143-9852-10,LEVOCARNITINE 200 MG/ML IV SOLN [20954],185.35,185.35,27.43,148.28,23
NDC,0143-9856-25,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
NDC,0143-9857-01,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0143-9857-25,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0143-9858-25,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
NDC,0143-9872-01,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],45.12,45.12,6.68,36.1,23
NDC,0143-9872-10,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],45.12,45.12,6.68,36.1,23
NDC,0143-9873-01,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,0143-9873-25,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,0143-9875-01,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,0143-9875-10,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,0143-9875-25,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,0143-9877-25,CEFOXITIN SODIUM 2 G IV SOLR [9463],102.89,102.89,15.23,82.31,23
NDC,0143-9889-15,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
NDC,0143-9890-01,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],44.28,44.28,6.55,35.42,23
NDC,0143-9923-90,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
NDC,0143-9924-90,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,0143-9927-01,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.6,21.6,3.2,17.28,23
NDC,0143-9928-01,CIPROFLOXACIN HCL 500 MG PO TABS [25119],25.23,25.23,3.73,20.18,23
NDC,0143-9929-50,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.54,26.54,3.93,21.23,23
NDC,0143-9977-22,CEFUROXIME SODIUM 1.5 G IM SOLR [601005],32.98,32.98,4.88,26.38,23
NDC,0143-9977-22,CEFUROXIME SODIUM 1.5 G IV SOLR [27299],32.98,32.98,4.88,26.38,23
NDC,0143-9979-22,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
NDC,0143-9979-22,CEFUROXIME SODIUM 750 MG IM SOLR [601004],22.0,22.0,3.26,17.6,23
NDC,0143-9981-50,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],93.3,93.3,13.81,74.64,23
NDC,0143-9982-75,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],195.77,195.77,28.97,156.62,23
NDC,0143-9983-03,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.33,62.33,9.22,49.86,23
NDC,0143-9983-91,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.33,62.33,9.22,49.86,23
NDC,0145-0091-25,ACITRETIN 25 MG PO CAPS [13979],252.79,252.79,37.41,202.23,23
NDC,01490-03978,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,01490-32642,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,0168-0007-15,NYSTATIN 100000 UNIT/GM EX OINT [5750],78.96,78.96,11.69,63.17,23
NDC,0168-0007-30,NYSTATIN 100000 UNIT/GM EX OINT [5750],109.12,109.12,16.15,87.3,23
NDC,0168-0015-31,HYDROCORTISONE 1 % EX CREA [3726],33.85,33.85,5.01,27.08,23
NDC,0168-0020-16,HYDROCORTISONE 1 % EX OINT [3731],321.14,321.14,47.53,256.91,23
NDC,0168-0054-15,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
NDC,0168-0054-30,NYSTATIN 100000 UNIT/GM EX CREA [5749],113.67,113.67,16.82,90.94,23
NDC,0168-0056-15,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],239.18,239.18,35.4,191.34,23
NDC,0168-0059-60,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],173.55,173.55,25.69,138.84,23
NDC,0168-0060-15,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],146.21,146.21,21.64,116.97,23
NDC,0168-0064-15,FLUOCINOLONE ACETONIDE 0.025 % EX OINT [3185],146.21,146.21,21.64,116.97,23
NDC,0168-0080-31,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
NDC,0168-0099-15,KETOCONAZOLE 2 % EX CREA [10368],133.8,133.8,19.8,107.04,23
NDC,0168-0134-60,FLUOCINONIDE 0.05 % EX SOLN [3190],207.84,207.84,30.76,166.27,23
NDC,0168-0135-60,FLUOCINONIDE 0.05 % EX GEL [3188],781.3,781.3,115.63,625.04,23
NDC,0168-0146-30,HYDROCORTISONE 2.5 % EX OINT [3732],51.7,51.7,7.65,41.36,23
NDC,0168-0162-15,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
NDC,0168-0162-46,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],1361.91,1361.91,201.56,1089.53,23
NDC,0168-0163-15,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
NDC,0168-0201-30,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],96.13,96.13,14.23,76.9,23
NDC,0168-0203-60,CLINDAMYCIN PHOSPHATE 1 % EX LOTN [19711],543.79,543.79,80.48,435.03,23
NDC,0168-0275-45,METRONIDAZOLE 0.75 % EX GEL [19741],618.38,618.38,91.52,494.7,23
NDC,0168-0277-40,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],491.31,491.31,72.71,393.05,23
NDC,0168-0323-46,METRONIDAZOLE 0.75 % EX CREA [19805],333.13,333.13,49.3,266.5,23
NDC,0168-0346-46,TERCONAZOLE 0.4 % VA CREA [11510],186.28,186.28,27.57,149.02,23
NDC,0168-0357-55,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],46.61,46.61,6.9,37.29,23
NDC,0168-0357-56,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX KIT [11934],214.69,214.69,31.77,171.75,23
NDC,0169-1833-11,INSULIN NOVOLIN REGULAR 100 UNIT/ML IJ SOLN [10289],10.0,10.0,1.48,8.0,23
NDC,0169-1834-11,INSULIN NOVOLIN NPH 100 UNIT/ML SC SUSP [10284],10.0,10.0,1.48,8.0,23
NDC,0169-2662-11,INSULIN DEGLUDEC 100 UNIT/ML SC SOLN [142324],12.5,12.5,1.85,10.0,23
NDC,0169-3685-12,INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP [33666],12.5,12.5,1.85,10.0,23
NDC,0169-3687-12,INSULIN DETEMIR (LEVEMIR) 100 UNIT/ML SC SOLN [70261],15.0,15.0,2.22,12.0,23
NDC,0169-4060-12,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1069.63,1069.63,158.31,855.7,23
NDC,0169-4060-13,(VICTOZA) LIRAGLUTIDE 18 MG/3ML SC SOPN [123462],1069.63,1069.63,158.31,855.7,23
NDC,0169-4130-13,SEMAGLUTIDE (1 MG/DOSE) 4 MG/3ML SC SOPN [151228],3028.67,3028.67,448.24,2422.94,23
NDC,0169-4132-12,SEMAGLUTIDE(0.25 OR 0.5MG/DOS) 2 MG/1.5ML SC SOPN [136453],3028.67,3028.67,448.24,2422.94,23
NDC,0169-7202-01,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR [92854],13611.4,13611.4,2014.49,10889.12,23
NDC,0169-7501-11,INSULIN ASPART (NOVOLOG) 100 UNIT/ML SC SOLN [28534],12.5,12.5,1.85,10.0,23
NDC,0169-7501-11,STUDY AIDING RCT INSULIN ASPART PUMP FILL 200 UNITS [601464],12.5,12.5,1.85,10.0,23
NDC,0169-7810-01,ANTIHEMOPHIL FACT BD TRUNCATED 1000 UNITS IV SOLR [147322],22.0,22.0,3.26,17.6,23
NDC,0169-7820-01,ANTIHEMOPHIL FACT BD TRUNCATED 2000 UNITS IV SOLR [147324],13105.4,13105.4,1939.6,10484.32,23
NDC,0169-7821-11,ANTIHEMOPHIL FACT BD TRUNCATED 2000 UNITS IV SOLR [147324],22.0,22.0,3.26,17.6,23
NDC,0169-7850-01,ANTIHEMOPHIL FACT BD TRUNCATED 500 UNITS IV SOLR [147321],22.0,22.0,3.26,17.6,23
NDC,0172-2083-60,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,0172-2089-60,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
NDC,0172-3926-60,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
NDC,0172-5240-60,ANAGRELIDE HCL 1 MG PO CAPS [20447],104.22,104.22,15.42,83.38,23
NDC,0172-5241-60,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],52.48,52.48,7.77,41.98,23
NDC,0172-5411-46,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
NDC,0172-5412-11,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,0172-5412-79,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,0172-5413-46,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
NDC,0172-5728-60,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
NDC,0172-6406-49,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],31.96,31.96,4.73,25.57,23
NDC,0172-7313-20,CYCLOSPORINE MODIFIED (GENGRAF) 100 MG/ML PO SOLN [28844],982.53,982.53,145.41,786.02,23
NDC,0173-0135-55,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],44.41,44.41,6.57,35.53,23
NDC,0173-0164-06,ACETAMINOPHEN 325 MG RECTAL SUPP [104],6.0,6.0,0.89,4.8,23
NDC,0173-0521-00,SALMETEROL XINAFOATE 50 MCG/DOSE INH [28246],1478.69,1478.69,218.85,1182.95,23
NDC,0173-0523-00,SUMATRIPTAN 20 MG/ACT NA SOLN [20039],423.15,423.15,62.63,338.52,23
NDC,0173-0526-00,LAMOTRIGINE 5 MG PO CHEW [102040],53.69,53.69,7.95,42.95,23
NDC,0173-0547-00,ATOVAQUONE 750 MG/5ML PO SUSP [14953],172.27,172.27,25.5,137.82,23
NDC,0173-0644-60,LAMOTRIGINE 200 MG PO TABS [13983],71.21,71.21,10.54,56.97,23
NDC,0173-0675-02,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],38.73,38.73,5.73,30.98,23
NDC,0173-0682-20,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],266.15,266.15,39.39,212.92,23
NDC,0173-0682-24,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],118.06,118.06,17.47,94.45,23
NDC,0173-0695-04,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB [155854],212.45,212.45,31.44,169.96,23
NDC,0173-0696-04,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],212.45,212.45,31.44,169.96,23
NDC,0173-0697-00,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1044.03,1044.03,154.52,835.22,23
NDC,0173-0697-04,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],346.32,346.32,51.26,277.06,23
NDC,0173-0716-20,FLUTICASONE-SALMETEROL 115-21 MCG/ACT IN AERO [77174],1255.27,1255.27,185.78,1004.22,23
NDC,0173-0718-20,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO [40697],805.09,805.09,119.15,644.07,23
NDC,0173-0719-20,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO [40698],1077.8,1077.8,159.51,862.24,23
NDC,0173-0720-20,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO [40699],1485.26,1485.26,219.82,1188.21,23
NDC,0173-0772-02,LAMOTRIGINE 25 MG PO TBDP [97830],75.53,75.53,11.18,60.42,23
NDC,0173-0881-01,MEPOLIZUMAB 100 MG SC SOLR [129832],10723.71,10723.71,1587.11,8578.97,23
NDC,0173-0889-39,TAFENOQUINE SUCCINATE 150 MG PO TABS [142188],90.24,90.24,13.36,72.19,23
NDC,0173-0892-01,MEPOLIZUMAB 100 MG/ML SC SOAJ [144001],11535.26,11535.26,1707.22,9228.21,23
NDC,0173-0896-01,BELANTAMAB MAFODOTIN-BLMF 100 MG IV SOLR [149240],26797.16,26797.16,3965.98,21437.73,23
NDC,0173-0898-03,DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN [152028],35807.75,35807.75,5299.55,28646.2,23
NDC,0173-0909-13,NIRAPARIB TOSYLATE 100 MG PO TABS [160494],2197.22,2197.22,325.19,1757.78,23
NDC,0173-0912-13,NIRAPARIB TOSYLATE 200 MG PO TABS [160495],2197.22,2197.22,325.19,1757.78,23
NDC,0173-0915-13,NIRAPARIB TOSYLATE 300 MG PO TABS [160496],2197.22,2197.22,325.19,1757.78,23
NDC,0185-0010-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,0185-0034-51,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,0185-0055-01,METOLAZONE 5 MG PO TABS [10588],11.08,11.08,1.64,8.86,23
NDC,0185-0117-05,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,0185-0118-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,0185-0118-05,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,0185-0122-01,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],6.0,6.0,0.89,4.8,23
NDC,0185-0128-01,BUMETANIDE 0.5 MG PO TABS [9309],6.0,6.0,0.89,4.8,23
NDC,0185-0129-01,BUMETANIDE 1 MG PO TABS [9310],6.0,6.0,0.89,4.8,23
NDC,0185-0205-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,0185-0415-05,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.11,9.11,1.35,7.29,23
NDC,0185-0415-60,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.11,9.11,1.35,7.29,23
NDC,0185-0615-01,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,0185-0615-05,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,0185-0676-01,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,0185-0757-01,SULFADIAZINE 500 MG PO TABS [7554],23.73,23.73,3.51,18.98,23
NDC,0185-0771-01,BISOPROLOL FUMARATE 5 MG PO TABS [18288],6.0,6.0,0.89,4.8,23
NDC,0185-4346-01,QUINIDINE SULFATE 200 MG PO TABS [6777],6.0,6.0,0.89,4.8,23
NDC,0185-4400-51,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
NDC,0185-5050-01,METOLAZONE 2.5 MG PO TABS [10587],9.75,9.75,1.44,7.8,23
NDC,0185-5368-30,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
NDC,0185-5369-30,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
NDC,0185-5600-01,METOLAZONE 10 MG PO TABS [10586],13.26,13.26,1.96,10.61,23
NDC,0186-0370-20,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO [81454],922.15,922.15,136.48,737.72,23
NDC,0186-0370-28,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO [81454],720.23,720.23,106.59,576.18,23
NDC,0186-0372-20,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO [81453],806.76,806.76,119.4,645.41,23
NDC,0186-0372-28,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO [81453],626.14,626.14,92.67,500.91,23
NDC,0186-0776-60,TICAGRELOR 60 MG PO TABS [129167],43.69,43.69,6.47,34.95,23
NDC,0186-0777-39,TICAGRELOR 90 MG PO TABS [109484],43.69,43.69,6.47,34.95,23
NDC,0186-0777-60,TICAGRELOR 90 MG PO TABS [109484],43.69,43.69,6.47,34.95,23
NDC,0186-0916-12,BUDESONIDE 180 MCG/ACT IN AEPB [96977],1041.47,1041.47,154.14,833.18,23
NDC,0186-0917-06,BUDESONIDE 90 MCG/ACT IN AEPB [96976],777.76,777.76,115.11,622.21,23
NDC,0186-1989-04,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],57.85,57.85,8.56,46.28,23
NDC,0186-4020-01,ESOMEPRAZOLE 20 MG PO PACK [78615],54.01,54.01,7.99,43.21,23
NDC,0186-4040-01,ESOMEPRAZOLE 40 MG PO PACK [78616],54.01,54.01,7.99,43.21,23
NDC,0187-0245-03,DIHYDROERGOTAMINE MESYLATE 4 MG/ML NA SOLN [18031],1668.72,1668.72,246.97,1334.98,23
NDC,0187-0658-20,DIAZEPAM 10 MG RECTAL GEL [87867],1380.56,1380.56,204.32,1104.45,23
NDC,0187-0659-20,DIAZEPAM 20 MG RECTAL GEL [87869],1380.56,1380.56,204.32,1104.45,23
NDC,0187-0730-90,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],341.55,341.55,50.55,273.24,23
NDC,0187-0993-95,ACYCLOVIR 5 % EX OINT [8968],678.6,678.6,100.43,542.88,23
NDC,0187-1704-05,PHYTONADIONE 5 MG PO TABS [11024],274.3,274.3,40.6,219.44,23
NDC,0187-3012-20,PYRIDOSTIGMINE BROMIDE 60 MG/5ML PO SOLN [143187],5332.46,5332.46,789.2,4265.97,23
NDC,0187-3013-30,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],213.1,213.1,31.54,170.48,23
NDC,0187-3204-47,FLUOROURACIL 5 % EX CREA [10065],280.08,280.08,41.45,224.06,23
NDC,0187-3555-10,FLUCYTOSINE 500 MG PO CAPS [10052],672.7,672.7,99.56,538.16,23
NDC,0187-4330-01,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],4470.37,4470.37,661.61,3576.3,23
NDC,0187-4330-05,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],5434.79,5434.79,804.35,4347.83,23
NDC,0187-5100-01,PIMECROLIMUS 1 % EX CREA [32052],1177.07,1177.07,174.21,941.66,23
NDC,0187-5526-75,BEXAROTENE 75 MG PO CAPS [27027],979.07,979.07,144.9,783.26,23
NDC,0206-8861-02,PIPERACILLIN-TAZOBACTAM IN DEX 3-0.375 GM/50ML IV SOLN [34524],120.44,120.44,17.83,96.35,23
NDC,0206-8862-01,PIPERACILLIN-TAZOBACTAM IN DEX 4-0.5 GM/100ML IV SOLN FROZEN [107150],132.07,132.07,19.55,105.66,23
NDC,0206-8862-02,PIPERACILLIN-TAZOBACTAM IN DEX 4-0.5 GM/100ML IV SOLN FROZEN [107150],132.07,132.07,19.55,105.66,23
NDC,0223-1760-01,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
NDC,0223-1760-02,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
NDC,0224-1801-84,PSYLLIUM 100 % PO PACK [24190],6.0,6.0,0.89,4.8,23
NDC,0225-0295-15,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
NDC,0225-0525-47,AYR SALINE NASAL NA GEL [15372],15.71,15.71,2.33,12.57,23
NDC,0225-0800-47,PHENYLEPHRINE HCL 0.25 % NA SOLN [6243],19.53,19.53,2.89,15.62,23
NDC,0225-0805-47,PHENYLEPHRINE HCL 0.5 % NA SOLN [6244],19.53,19.53,2.89,15.62,23
NDC,0228-2027-10,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
NDC,0228-2029-10,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
NDC,0228-2076-10,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
NDC,0228-2127-10,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,0228-2348-10,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
NDC,0228-2497-10,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
NDC,0228-2530-10,NIFEDIPINE 20 MG PO CAPS [5559],10.83,10.83,1.6,8.66,23
NDC,0228-2538-10,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
NDC,0228-2539-10,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,0228-2539-50,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,0228-2550-11,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
NDC,0228-2551-06,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,0228-2551-11,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,0228-2637-11,GABAPENTIN 800 MG PO TABS [25856],14.25,14.25,2.11,11.4,23
NDC,0228-2778-11,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.68,9.68,1.43,7.74,23
NDC,0228-2779-11,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.32,11.32,1.68,9.06,23
NDC,0228-2780-11,PROPRANOLOL HCL ER 120 MG PO CP24 [38226],14.02,14.02,2.07,11.22,23
NDC,0228-2781-11,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
NDC,0228-2892-03,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,0228-2996-11,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
NDC,0228-2996-50,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
NDC,0228-3003-11,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,0228-3004-11,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,0228-3090-11,MORPHINE SULFATE ER BEADS 30 MG PO CP24 [32709],26.94,26.94,3.99,21.55,23
NDC,02359-46015,BIOGAIA PROTECTIS BABY/VIT D PO LIQD [137222],111.46,111.46,16.5,89.17,23
NDC,0245-0036-42,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.01,24.01,3.55,19.21,23
NDC,0245-0036-60,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.04,24.04,3.56,19.23,23
NDC,0245-0036-89,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],24.02,24.02,3.55,19.22,23
NDC,0245-0071-11,POTASSIUM CITRATE ER 10 MEQ (1080 MG) PO TBCR [11083],12.97,12.97,1.92,10.38,23
NDC,0245-0147-01,AMIODARONE HCL 200 MG PO TABS [9066],37.34,37.34,5.53,29.87,23
NDC,0245-0147-89,AMIODARONE HCL 200 MG PO TABS [9066],37.34,37.34,5.53,29.87,23
NDC,0245-0211-11,MIDODRINE HCL 2.5 MG PO TABS [10609],7.96,7.96,1.18,6.37,23
NDC,0245-0212-01,MIDODRINE HCL 5 MG PO TABS [10610],21.1,21.1,3.12,16.88,23
NDC,0245-0212-11,MIDODRINE HCL 5 MG PO TABS [10610],19.54,19.54,2.89,15.63,23
NDC,0245-0213-11,MIDODRINE HCL 10 MG PO TABS [33083],45.69,45.69,6.76,36.55,23
NDC,0245-0271-11,OXANDROLONE 2.5 MG PO TABS [10803],31.45,31.45,4.65,25.16,23
NDC,0245-0272-06,OXANDROLONE 10 MG PO TABS [33826],103.12,103.12,15.26,82.5,23
NDC,0245-0860-70,METRONIDAZOLE 0.75 % VA GEL [10592],614.63,614.63,90.97,491.7,23
NDC,0245-5317-01,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
NDC,0245-5317-89,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
NDC,0245-5319-01,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0245-5319-10,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0245-5319-11,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0245-5319-89,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0254-2008-01,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
NDC,0254-3012-55,ALVIMOPAN 12 MG PO CAPS [91870],710.77,710.77,105.19,568.62,23
NDC,0254-3028-02,LUBIPROSTONE 8 MCG PO CAPS [91534],31.4,31.4,4.65,25.12,23
NDC,0254-3029-02,LUBIPROSTONE 24 MCG PO CAPS [70472],31.4,31.4,4.65,25.12,23
NDC,0259-1610-01,INCOBOTULINUMTOXINA 100 UNITS IM SOLR [104407],1784.42,1784.42,264.09,1427.54,23
NDC,0264-1509-90,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],70.97,70.97,10.5,56.78,23
NDC,0264-1510-31,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0264-1510-31,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0264-1940-20,KCL 2 MEQ/ML IV SOLN [6429],107.17,107.17,15.86,85.74,23
NDC,0264-1944-20,KCL 2 MEQ/ML IV SOLN [6429],122.33,122.33,18.1,97.86,23
NDC,0264-1965-10,HETASTARCH-NACL 6-0.9 % IV SOLN [25174],136.4,136.4,20.19,109.12,23
NDC,0264-2101-00,STERILE WATER FOR IRRIGATION IR SOLN [7485],23.5,23.5,3.48,18.8,23
NDC,0264-2201-10,SODIUM CHLORIDE 0.9 % IR SOLN [11403],22.0,22.0,3.26,17.6,23
NDC,0264-3105-11,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR [141430],83.25,83.25,12.32,66.6,23
NDC,0264-3145-11,CEFTAZIDIME AND DEXTROSE 2-5 GM-%(50ML) IV SOLR [141425],122.53,122.53,18.13,98.02,23
NDC,0264-3200-55,PLENAMINE 15 % IV SOLN [127096],1626.88,1626.88,240.78,1301.5,23
NDC,0264-4206-54,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],22.0,22.0,3.26,17.6,23
NDC,0264-4460-30,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],139.65,139.65,20.67,111.72,23
NDC,0264-4850-01,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],103.92,103.92,15.38,83.14,23
NDC,0264-5802-00,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
NDC,0264-7385-50,STERILE WATER FOR INJECTION IV SOLN [28400],75.2,75.2,11.13,60.16,23
NDC,0264-7387-50,DEXTROSE 70 % IV SOLN [2367],84.6,84.6,12.52,67.68,23
NDC,0264-7510-00,DEXTROSE 5 % IV SOLN [2364],23.5,23.5,3.48,18.8,23
NDC,0264-7510-10,DEXTROSE 5 % IV SOLN [2364],23.5,23.5,3.48,18.8,23
NDC,0264-7510-10,DEXTROSE 5% FLUID - DIALYSIS [601063],23.5,23.5,3.48,18.8,23
NDC,0264-7510-20,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0264-7510-20,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0264-7520-10,DEXTROSE 10 % IV SOLN [2357],25.85,25.85,3.83,20.68,23
NDC,0264-7520-20,DEXTROSE 10 % IV SOLN [2357],24.68,24.68,3.65,19.74,23
NDC,0264-7578-10,MANNITOL 20 % IV SOLN [4749],235.35,235.35,34.83,188.28,23
NDC,0264-7612-00,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],22.0,22.0,3.26,17.6,23
NDC,0264-7616-00,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],28.2,28.2,4.17,22.56,23
NDC,0264-7623-20,DEXTROSE-SODIUM CHLORIDE 10-0.2 % IV SOLN [15865],22.33,22.33,3.3,17.86,23
NDC,0264-7634-00,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],56.4,56.4,8.35,45.12,23
NDC,0264-7635-00,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],28.2,28.2,4.17,22.56,23
NDC,0264-7638-00,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],56.4,56.4,8.35,45.12,23
NDC,0264-7652-00,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],32.9,32.9,4.87,26.32,23
NDC,0264-7750-00,LACTATED RINGERS IV BOLUS ML [400296],22.0,22.0,3.26,17.6,23
NDC,0264-7750-00,LACTATED RINGERS IV BOLUS ML/KG [600858],22.0,22.0,3.26,17.6,23
NDC,0264-7750-00,LACTATED RINGERS IV SOLN [4318],22.0,22.0,3.26,17.6,23
NDC,0264-7750-20,LACTATED RINGERS IV BOLUS ML [400296],24.68,24.68,3.65,19.74,23
NDC,0264-7750-20,LACTATED RINGERS IV BOLUS ML/KG [600858],24.68,24.68,3.65,19.74,23
NDC,0264-7750-20,LACTATED RINGERS IV SOLN [4318],24.68,24.68,3.65,19.74,23
NDC,0264-7751-00,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],22.0,22.0,3.26,17.6,23
NDC,0264-7751-10,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS [400297],28.2,28.2,4.17,22.56,23
NDC,0264-7751-10,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],28.2,28.2,4.17,22.56,23
NDC,0264-7800-00,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
NDC,0264-7800-10,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],22.0,22.0,3.26,17.6,23
NDC,0264-7800-20,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
NDC,0264-7802-00,SODIUM CHLORIDE 0.45 % IV SOLN [7318],23.5,23.5,3.48,18.8,23
NDC,0264-7802-10,SODIUM CHLORIDE 0.45 % IV SOLN [7318],22.0,22.0,3.26,17.6,23
NDC,0264-7805-10,SODIUM CHLORIDE 3 % IV SOLN [7321],32.9,32.9,4.87,26.32,23
NDC,0264-7805-10,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],32.9,32.9,4.87,26.32,23
NDC,0264-7806-10,SODIUM CHLORIDE 5 % IV SOLN [7323],30.55,30.55,4.52,24.44,23
NDC,0264-7850-00,STERILE WATER FOR INJECTION IV SOLN [28400],28.2,28.2,4.17,22.56,23
NDC,0264-7850-10,STERILE WATER FOR INJECTION IV SOLN [28400],23.5,23.5,3.48,18.8,23
NDC,0264-7865-00,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],32.9,32.9,4.87,26.32,23
NDC,0264-9341-55,FREAMINE III 10 % IV SOLN [3264],184.03,184.03,27.24,147.22,23
NDC,0264-9594-20,LIDOCAINE IN D5W 4-5 MG/ML-% IV SOLN [14868],44.65,44.65,6.61,35.72,23
NDC,0264-9872-10,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],25.85,25.85,3.83,20.68,23
NDC,0268-0247-05,HISTAMINE PHOSPHATE 2.75 MG/ML IJ SOLN [116996],1558.66,1558.66,230.68,1246.93,23
NDC,0270-0149-57,DIATRIZOATE MEGLUMINE 30 % UR SOLN [27735],257.91,257.91,38.17,206.33,23
NDC,0270-0445-40,DIATRIZOATE MEGLUMINE & SODIUM 66-10 % (37% IODINE) SOLN [9828],325.36,325.36,48.15,260.29,23
NDC,0270-1111-01,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],271.53,271.53,40.19,217.22,23
NDC,0270-1111-02,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],385.05,385.05,56.99,308.04,23
NDC,0270-1111-03,GADOTERIDOL 279.3 MG/ML IV SOLN [10100],475.48,475.48,70.37,380.38,23
NDC,0270-1316-37,IOPAMIDOL 76 % IV SOLN [10328],328.52,328.52,48.62,262.82,23
NDC,0270-1410-30,DIATRIZOATE MEGLUMINE 18 % UR SOLN [9823],167.58,167.58,24.8,134.06,23
NDC,0270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],271.53,271.53,40.19,217.22,23
NDC,0270-5164-14,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],385.05,385.05,56.99,308.04,23
NDC,0270-5164-15,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN [41137],475.48,475.48,70.37,380.38,23
NDC,0270-7099-16,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR [156091],642.87,642.87,95.14,514.3,23
NDC,0270-7099-73,SULFUR HEXAFLUORIDE MICROSPH 60.7-25 MG IJ SUSR [156091],642.87,642.87,95.14,514.3,23
NDC,0281-0326-08,NITROGLYCERIN 2 % TD OINT [5606],14.24,14.24,2.11,11.39,23
NDC,0281-0326-30,NITROGLYCERIN 2 % TD OINT [5606],202.65,202.65,29.99,162.12,23
NDC,0283-0293-31,BENZOCAINE 20 % MT GEL [19691],42.3,42.3,6.26,33.84,23
NDC,0283-0679-02,BENZOCAINE 20 % MT AERO [134890],136.0,136.0,20.13,108.8,23
NDC,0283-0679-60,BENZOCAINE 20 % MT AERO [134890],183.88,183.88,27.21,147.1,23
NDC,0283-0871-31,BENZOCAINE 20 % MT GEL [19691],42.3,42.3,6.26,33.84,23
NDC,0299-3836-45,METRONIDAZOLE 0.75 % EX CREA [19805],2183.86,2183.86,323.21,1747.09,23
NDC,0299-3921-08,CETAPHIL GENTLE CLEANSER EX LIQD [131430],30.08,30.08,4.45,24.06,23
NDC,0310-0275-10,QUETIAPINE FUMARATE 25 MG PO TABS [21823],21.92,21.92,3.24,17.54,23
NDC,0310-0512-60,ACALABRUTINIB 100 MG PO CAPS [138135],978.79,978.79,144.86,783.03,23
NDC,0310-0668-12,OLAPARIB 100 MG PO TABS [137495],654.48,654.48,96.86,523.58,23
NDC,0310-0668-60,OLAPARIB 100 MG PO TABS [137495],654.48,654.48,96.86,523.58,23
NDC,0310-0720-10,FULVESTRANT 250 MG/5ML IM SOSY [107125],2943.48,2943.48,435.64,2354.78,23
NDC,0310-0755-90,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],52.0,52.0,7.7,41.6,23
NDC,0310-1105-01,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
NDC,0310-1105-30,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
NDC,0310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 G PO PACK [140776],149.22,149.22,22.08,119.38,23
NDC,0310-1110-01,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
NDC,0310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
NDC,0310-1110-39,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK [140777],149.22,149.22,22.08,119.38,23
NDC,0310-1349-30,OSIMERTINIB MESYLATE 40 MG PO TABS [129873],2052.23,2052.23,303.73,1641.78,23
NDC,0310-1350-30,OSIMERTINIB MESYLATE 80 MG PO TABS [129874],2052.23,2052.23,303.73,1641.78,23
NDC,0310-1730-30,BENRALIZUMAB 30 MG/ML SC SOSY [138177],17751.65,17751.65,2627.24,14201.32,23
NDC,0310-1830-30,BENRALIZUMAB 30 MG/ML SC SOAJ [145547],17751.65,17751.65,2627.24,14201.32,23
NDC,0310-3040-00,ANIFROLUMAB-FNIA 300 MG/2ML IV SOLN [153222],16193.9,16193.9,2396.7,12955.12,23
NDC,0310-4500-12,DURVALUMAB 120 MG/2.4ML IV SOLN [136524],3067.91,3067.91,454.05,2454.33,23
NDC,0310-4600-12,BEVESPI:GLYCOPYRROLATE-FORMOTEROL 9-4.8 MCG/ACT IN AERO [132336],1552.9,1552.9,229.83,1242.32,23
NDC,0310-4611-50,DURVALUMAB 500 MG/10ML IV SOLN [136525],12782.93,12782.93,1891.87,10226.34,23
NDC,0310-6205-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS [122959],103.88,103.88,15.37,83.1,23
NDC,0310-6210-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
NDC,0310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
NDC,0310-6210-90,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],103.88,103.88,15.37,83.1,23
NDC,0310-7720-10,FULVESTRANT 250 MG/5ML IM SOSY [107125],688.8,688.8,101.94,551.04,23
NDC,0310-9500-01,CAPIVASERTIB 160 MG PO TABS [601360],1452.0,1452.0,214.9,1161.6,23
NDC,0310-9501-01,CAPIVASERTIB 200 MG PO TABS [601361],1452.0,1452.0,214.9,1161.6,23
NDC,0316-0193-30,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
NDC,0316-0225-15,MICONAZOLE NITRATE 2 % EX POWD [10599],26.48,26.48,3.92,21.18,23
NDC,0316-0225-30,MICONAZOLE NITRATE 2 % EX POWD [10599],38.76,38.76,5.74,31.01,23
NDC,0316-0229-75,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],43.83,43.83,6.49,35.06,23
NDC,0316-0234-75,PRAMOXINE-MENTHOL 1-0.5 % EX LOTN [163721],54.26,54.26,8.03,43.41,23
NDC,0327-0012-30,RENACIDIN IR SOLN [6839],35.68,35.68,5.28,28.54,23
NDC,0338-0004-04,STERILE WATER FOR IRRIGATION IR SOLN [7485],23.5,23.5,3.48,18.8,23
NDC,0338-0008-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],155.88,155.88,23.07,124.7,23
NDC,0338-0013-04,STERILE WATER FOR INJECTION IV SOLN [28400],56.4,56.4,8.35,45.12,23
NDC,0338-0017-02,DEXTROSE 5 % IV BOLUS [400293],24.68,24.68,3.65,19.74,23
NDC,0338-0017-02,DEXTROSE 5 % IV SOLN [2364],24.68,24.68,3.65,19.74,23
NDC,0338-0017-02,DEXTROSE 5% FLUID - DIALYSIS [601063],24.68,24.68,3.65,19.74,23
NDC,0338-0017-03,DEXTROSE 5 % IV BOLUS [400293],25.85,25.85,3.83,20.68,23
NDC,0338-0017-03,DEXTROSE 5 % IV SOLN [2364],25.85,25.85,3.83,20.68,23
NDC,0338-0017-03,DEXTROSE 5% FLUID - DIALYSIS [601063],25.85,25.85,3.83,20.68,23
NDC,0338-0017-04,DEXTROSE 5 % IV BOLUS [400293],32.9,32.9,4.87,26.32,23
NDC,0338-0017-04,DEXTROSE 5 % IV SOLN [2364],32.9,32.9,4.87,26.32,23
NDC,0338-0017-04,DEXTROSE 5% FLUID - DIALYSIS [601063],32.9,32.9,4.87,26.32,23
NDC,0338-0017-11,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-11,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0017-18,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-18,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0017-31,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-31,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0017-38,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-38,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0017-41,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-41,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0017-48,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0338-0017-48,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,0338-0023-02,DEXTROSE 10 % IV SOLN [2357],35.25,35.25,5.22,28.2,23
NDC,0338-0023-03,DEXTROSE 10 % IV SOLN [2357],32.9,32.9,4.87,26.32,23
NDC,0338-0023-03,DEXTROSE 10% (NICU) IV BOLUS SYRINGE [600457],32.9,32.9,4.87,26.32,23
NDC,0338-0023-04,DEXTROSE 10 % IV SOLN [2357],42.3,42.3,6.26,33.84,23
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % IV BOLUS [400292],25.85,25.85,3.83,20.68,23
NDC,0338-0043-03,SODIUM CHLORIDE 0.45 % IV SOLN [7318],25.85,25.85,3.83,20.68,23
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % IV BOLUS [400292],37.6,37.6,5.56,30.08,23
NDC,0338-0043-04,SODIUM CHLORIDE 0.45 % IV SOLN [7318],37.6,37.6,5.56,30.08,23
NDC,0338-0048-02,SODIUM CHLORIDE 0.9 % IR SOLN [11403],27.03,27.03,4.0,21.62,23
NDC,0338-0048-03,SODIUM CHLORIDE 0.9 % IR SOLN [11403],25.85,25.85,3.83,20.68,23
NDC,0338-0048-04,SODIUM CHLORIDE 0.9 % IR SOLN [11403],28.2,28.2,4.17,22.56,23
NDC,0338-0049-02,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],23.5,23.5,3.48,18.8,23
NDC,0338-0049-03,SODIUM CHLORIDE 0.9 % IV SOLN [27838],23.5,23.5,3.48,18.8,23
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % IV BOLUS [400291],28.2,28.2,4.17,22.56,23
NDC,0338-0049-04,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
NDC,0338-0054-03,SODIUM CHLORIDE 3 % IV SOLN [7321],35.25,35.25,5.22,28.2,23
NDC,0338-0054-03,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],35.25,35.25,5.22,28.2,23
NDC,0338-0056-03,SODIUM CHLORIDE 5 % IV SOLN [7323],54.05,54.05,8.0,43.24,23
NDC,0338-0063-01,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],1260.15,1260.15,186.5,1008.12,23
NDC,0338-0069-10,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,0338-0070-10,DEXTROSE 5 % IV SOLN [2364],37.6,37.6,5.56,30.08,23
NDC,0338-0072-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,0338-0077-03,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],28.2,28.2,4.17,22.56,23
NDC,0338-0077-04,DEXTROSE-SODIUM CHLORIDE 5-0.2 % IV SOLN [15863],32.9,32.9,4.87,26.32,23
NDC,0338-0085-03,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],25.85,25.85,3.83,20.68,23
NDC,0338-0085-03,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],25.85,25.85,3.83,20.68,23
NDC,0338-0085-04,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS [400295],32.9,32.9,4.87,26.32,23
NDC,0338-0085-04,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],32.9,32.9,4.87,26.32,23
NDC,0338-0089-03,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],25.85,25.85,3.83,20.68,23
NDC,0338-0089-03,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],25.85,25.85,3.83,20.68,23
NDC,0338-0089-04,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS [400294],32.9,32.9,4.87,26.32,23
NDC,0338-0089-04,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],32.9,32.9,4.87,26.32,23
NDC,0338-0108-20,NOREPINEPHRINE-DEXTROSE 8-5 MG/250ML-% IV SOLN [133062],173.2,173.2,25.63,138.56,23
NDC,0338-0117-03,LACTATED RINGERS IV BOLUS ML [400296],25.85,25.85,3.83,20.68,23
NDC,0338-0117-03,LACTATED RINGERS IV BOLUS ML/KG [600858],25.85,25.85,3.83,20.68,23
NDC,0338-0117-03,LACTATED RINGERS IV SOLN [4318],25.85,25.85,3.83,20.68,23
NDC,0338-0117-04,LACTATED RINGERS IV BOLUS ML [400296],28.2,28.2,4.17,22.56,23
NDC,0338-0117-04,LACTATED RINGERS IV BOLUS ML/KG [600858],28.2,28.2,4.17,22.56,23
NDC,0338-0117-04,LACTATED RINGERS IV SOLN [4318],28.2,28.2,4.17,22.56,23
NDC,0338-0125-03,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],32.9,32.9,4.87,26.32,23
NDC,0338-0125-04,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS [400297],32.9,32.9,4.87,26.32,23
NDC,0338-0125-04,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN [9788],32.9,32.9,4.87,26.32,23
NDC,0338-0221-04,PLASMA-LYTE A IV BOLUS [600722],94.0,94.0,13.91,75.2,23
NDC,0338-0221-04,PLASMA-LYTE A IV SOLN [6331],94.0,94.0,13.91,75.2,23
NDC,0338-0322-01,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR [89570],389.07,389.07,57.58,311.26,23
NDC,0338-0326-01,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR [91965],1353.99,1353.99,200.39,1083.19,23
NDC,0338-0330-01,THROMBIN (RECOMBINANT) 20000 UNITS EX SOLR [91965],1373.67,1373.67,203.3,1098.94,23
NDC,0338-0357-02,MANNITOL 20 % IV SOLN [4749],254.8,254.8,37.71,203.84,23
NDC,0338-0357-03,MANNITOL 20 % IV SOLN [4749],293.7,293.7,43.47,234.96,23
NDC,0338-0424-18,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],28.2,28.2,4.17,22.56,23
NDC,0338-0502-06,PLENAMINE 15 % IV SOLN [127096],595.66,595.66,88.16,476.53,23
NDC,0338-0503-48,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN [15906],22.56,22.56,3.34,18.05,23
NDC,0338-0505-48,GENTAMICIN IN SALINE 1-0.9 MG/ML-% IV SOLN [15908],23.97,23.97,3.55,19.18,23
NDC,0338-0509-41,GENTAMICIN IN SALINE 1.6-0.9 MG/ML-% IV SOLN [15911],23.03,23.03,3.41,18.42,23
NDC,0338-0519-09,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],219.79,219.79,32.53,175.83,23
NDC,0338-0519-13,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],216.5,216.5,32.04,173.2,23
NDC,0338-0519-58,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],163.25,163.25,24.16,130.6,23
NDC,0338-0520-13,FAT EMULSION PLANT BASED (SOY) 30 % IV EMUL [153540],289.81,289.81,42.89,231.85,23
NDC,0338-0551-11,DEXTROSE 5 % IV SOLN [2364],37.6,37.6,5.56,30.08,23
NDC,0338-0551-11,DEXTROSE 5% FLUID - DIALYSIS [601063],37.6,37.6,5.56,30.08,23
NDC,0338-0551-18,DEXTROSE 5 % IV SOLN [2364],40.89,40.89,6.05,32.71,23
NDC,0338-0551-18,DEXTROSE 5% FLUID - DIALYSIS [601063],40.89,40.89,6.05,32.71,23
NDC,0338-0656-04,ACETIC ACID 0.25 % IR SOLN [8963],51.7,51.7,7.65,41.36,23
NDC,0338-0663-04,KCL IN DEXTROSE-NACL 20-5-0.2 MEQ/L-%-% IV SOLN [102458],51.7,51.7,7.65,41.36,23
NDC,0338-0669-04,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],56.4,56.4,8.35,45.12,23
NDC,0338-0671-04,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],32.9,32.9,4.87,26.32,23
NDC,0338-0675-04,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],56.4,56.4,8.35,45.12,23
NDC,0338-0691-04,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],61.1,61.1,9.04,48.88,23
NDC,0338-0695-04,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],65.8,65.8,9.74,52.64,23
NDC,0338-0704-34,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],42.3,42.3,6.26,33.84,23
NDC,0338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],23.03,23.03,3.41,18.42,23
NDC,0338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN [11074],22.09,22.09,3.27,17.67,23
NDC,0338-0719-06,DEXTROSE 70 % IV SOLN [2367],103.92,103.92,15.38,83.14,23
NDC,0338-0720-01,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],155.88,155.88,23.07,124.7,23
NDC,0338-0803-04,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],61.1,61.1,9.04,48.88,23
NDC,0338-0807-04,KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN [102453],56.4,56.4,8.35,45.12,23
NDC,0338-1007-03,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN [14845],119.08,119.08,17.62,95.26,23
NDC,0338-1049-02,NITROGLYCERIN IN D5W 200-5 MCG/ML-% IV SOLN [15859],116.91,116.91,17.3,93.53,23
NDC,0338-1055-48,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,0338-1075-02,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],207.84,207.84,30.76,166.27,23
NDC,0338-1305-01,MESNA 100 MG/ML IV SOLN [10537],129.9,129.9,19.23,103.92,23
NDC,0338-1715-40,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
NDC,0338-3503-41,CEFAZOLIN 1G IN 50ML DEXTROSE (ISO-OSMOTIC) PREMIXED SOLUTION [139272],29.61,29.61,4.38,23.69,23
NDC,0338-3508-41,CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN [129842],52.17,52.17,7.72,41.74,23
NDC,0338-3612-24,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],60.16,60.16,8.9,48.13,23
NDC,0338-3814-24,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],73.56,73.56,10.89,58.85,23
NDC,0338-4114-24,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],39.01,39.01,5.77,31.21,23
NDC,0338-6010-48,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],174.94,174.94,25.89,139.95,23
NDC,0338-6045-37,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],108.25,108.25,16.02,86.6,23
NDC,0338-6046-48,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],97.0,97.0,14.36,77.6,23
NDC,0338-9147-30,DEXTROSE 5 % IV SOLN [2364],40.42,40.42,5.98,32.34,23
NDC,0338-9543-03,SODIUM CHLORIDE 0.9 % IV SOLN [27838],32.9,32.9,4.87,26.32,23
NDC,0338-9549-24,CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN [136501],60.16,60.16,8.9,48.13,23
NDC,0338-9791-01,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
NDC,0338-9791-40,SODIUM CHLORIDE 0.9 % IV SOLN [27838],24.68,24.68,3.65,19.74,23
NDC,0338-9799-01,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN [15882],32.9,32.9,4.87,26.32,23
NDC,0362-1095-60,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
NDC,0378-0014-01,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,0378-0018-01,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,0378-0028-01,NADOLOL 20 MG PO TABS [5330],15.96,15.96,2.36,12.77,23
NDC,0378-0052-01,PINDOLOL 5 MG PO TABS [6297],6.21,6.21,0.92,4.97,23
NDC,0378-0078-01,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
NDC,0378-0085-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,0378-0088-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,0378-0127-01,PINDOLOL 10 MG PO TABS [6296],8.46,8.46,1.25,6.77,23
NDC,0378-0182-01,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0378-0182-10,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0378-0184-01,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,0378-0185-01,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
NDC,0378-0187-01,PROPRANOLOL HCL 60 MG PO TABS [6659],6.0,6.0,0.89,4.8,23
NDC,0378-0208-01,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,0378-0213-01,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,0378-0214-01,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
NDC,0378-0216-01,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
NDC,0378-0222-01,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,0378-0327-01,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
NDC,0378-0334-01,HALOPERIDOL 10 MG PO TABS [3580],8.86,8.86,1.31,7.09,23
NDC,0378-0335-01,HALOPERIDOL 20 MG PO TABS [3582],17.01,17.01,2.52,13.61,23
NDC,0378-0351-01,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
NDC,0378-0373-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],6.0,6.0,0.89,4.8,23
NDC,0378-0415-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,0378-0473-05,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,0378-0541-01,CIMETIDINE 800 MG PO TABS [9607],23.58,23.58,3.49,18.86,23
NDC,0378-0572-01,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
NDC,0378-0616-01,THIORIDAZINE HCL 50 MG PO TABS [7900],6.0,6.0,0.89,4.8,23
NDC,0378-0618-01,THIORIDAZINE HCL 100 MG PO TABS [7895],6.0,6.0,0.89,4.8,23
NDC,0378-0642-01,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,0378-0825-01,CLOZAPINE 25 MG PO TABS [9648],6.2,6.2,0.92,4.96,23
NDC,0378-0860-01,CLOZAPINE 100 MG PO TABS [9647],16.07,16.07,2.38,12.86,23
NDC,0378-0871-16,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
NDC,0378-0871-99,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
NDC,0378-0872-16,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
NDC,0378-0872-99,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
NDC,0378-0873-99,CLONIDINE 0.3 MG/24HR TD PTWK [141261],300.94,300.94,44.54,240.75,23
NDC,0378-1001-01,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
NDC,0378-1030-93,EPLERENONE 25 MG PO TABS [36983],19.59,19.59,2.9,15.67,23
NDC,0378-1031-93,EPLERENONE 50 MG PO TABS [36984],19.59,19.59,2.9,15.67,23
NDC,0378-1049-01,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
NDC,0378-1101-01,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
NDC,0378-1133-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,0378-1134-01,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.65,10.65,1.58,8.52,23
NDC,0378-1150-01,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,0378-1450-01,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
NDC,0378-1454-01,ESTRADIOL 1 MG PO TABS [9967],6.0,6.0,0.89,4.8,23
NDC,0378-1458-01,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
NDC,0378-1610-01,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0378-1610-05,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0378-1721-93,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.67,25.67,3.8,20.54,23
NDC,0378-1722-93,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.13,29.13,4.31,23.3,23
NDC,0378-1724-93,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],36.97,36.97,5.47,29.58,23
NDC,0378-1800-77,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,0378-1803-77,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,0378-1805-77,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,0378-1807-77,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,0378-1809-77,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,0378-1811-77,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,0378-1813-77,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
NDC,0378-1815-77,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,0378-1817-77,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
NDC,0378-1819-77,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
NDC,0378-1823-77,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
NDC,0378-1902-01,MIDODRINE HCL 5 MG PO TABS [10610],11.37,11.37,1.68,9.1,23
NDC,0378-1903-01,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
NDC,0378-2046-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,0378-2146-01,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,0378-2223-01,NISOLDIPINE ER 30 MG PO TB24 [27494],84.33,84.33,12.48,67.46,23
NDC,0378-2224-01,NISOLDIPINE ER 40 MG PO TB24 [27495],84.33,84.33,12.48,67.46,23
NDC,0378-2302-01,PRAZOSIN HCL 2 MG PO CAPS [6469],6.22,6.22,0.92,4.98,23
NDC,0378-2350-93,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
NDC,0378-3005-01,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
NDC,0378-3007-01,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
NDC,0378-3012-01,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
NDC,0378-3022-01,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
NDC,0378-3025-01,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
NDC,0378-3125-01,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
NDC,0378-3266-94,ETOPOSIDE 50 MG PO CAPS [10001],378.66,378.66,56.04,302.93,23
NDC,0378-3340-16,NORELGESTROMIN-ETH ESTRADIOL 150-35 MCG/24HR TD PTWK [32248],198.01,198.01,29.31,158.41,23
NDC,0378-3547-52,MERCAPTOPURINE 50 MG PO TABS [10531],19.23,19.23,2.85,15.38,23
NDC,0378-3632-01,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
NDC,0378-3634-01,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
NDC,0378-3635-01,CETIRIZINE HCL 5 MG PO TABS [15349],11.73,11.73,1.74,9.38,23
NDC,0378-3637-01,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
NDC,0378-3952-77,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.11,27.11,4.01,21.69,23
NDC,0378-3953-77,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],27.11,27.11,4.01,21.69,23
NDC,0378-3980-93,PALIPERIDONE ER 6 MG PO TB24 [78065],132.34,132.34,19.59,105.87,23
NDC,0378-4105-91,ABACAVIR SULFATE 300 MG PO TABS [24438],47.21,47.21,6.99,37.77,23
NDC,0378-4160-01,ATOVAQUONE-PROGUANIL HCL 62.5-25 MG PO TABS [28686],11.94,11.94,1.77,9.55,23
NDC,0378-4162-01,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],32.27,32.27,4.78,25.82,23
NDC,0378-4201-78,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],21.48,21.48,3.18,17.18,23
NDC,0378-4287-85,ELETRIPTAN HYDROBROMIDE 20 MG PO TABS [34683],238.82,238.82,35.35,191.06,23
NDC,0378-4288-08,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],238.82,238.82,35.35,191.06,23
NDC,0378-4598-77,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],13.15,13.15,1.95,10.52,23
NDC,0378-4640-16,ESTRADIOL 0.1 MG/24HR TD PTTW [27461],53.37,53.37,7.9,42.7,23
NDC,0378-4640-26,ESTRADIOL 0.1 MG/24HR TD PTTW [27461],53.37,53.37,7.9,42.7,23
NDC,0378-4642-26,ESTRADIOL 0.05 MG/24HR TD PTTW [27459],53.28,53.28,7.89,42.62,23
NDC,0378-5010-01,THIOTHIXENE 10 MG PO CAPS [7903],15.78,15.78,2.34,12.62,23
NDC,0378-5105-01,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
NDC,0378-5186-93,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
NDC,0378-5271-01,ESZOPICLONE 2 MG PO TABS [40321],54.82,54.82,8.11,43.86,23
NDC,0378-5352-01,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
NDC,0378-5375-01,DOXEPIN HCL 75 MG PO CAPS [2613],8.51,8.51,1.26,6.81,23
NDC,0378-5430-35,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
NDC,0378-5504-01,ROPINIROLE HCL 4 MG PO TABS [26429],12.2,12.2,1.81,9.76,23
NDC,0378-5525-01,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.76,11.76,1.74,9.41,23
NDC,0378-5615-78,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,0378-5617-78,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
NDC,0378-5630-59,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.16,117.16,17.34,93.73,23
NDC,0378-5631-59,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.87,108.87,16.11,87.1,23
NDC,0378-6172-01,METOLAZONE 2.5 MG PO TABS [10587],12.12,12.12,1.79,9.7,23
NDC,0378-6173-01,METOLAZONE 5 MG PO TABS [10588],13.77,13.77,2.04,11.02,23
NDC,0378-6174-01,METOLAZONE 10 MG PO TABS [10586],16.49,16.49,2.44,13.19,23
NDC,0378-6470-99,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],87.47,87.47,12.95,69.98,23
NDC,0378-6985-01,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
NDC,0378-6997-89,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
NDC,0378-7096-01,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
NDC,0378-7096-93,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
NDC,0378-7272-53,"MICRONOR, JOLIVETTE, NORETHINDRONE 0.35 MG TAB PO [19743]",11.0,11.0,1.63,8.8,23
NDC,0378-7272-85,"MICRONOR, JOLIVETTE, NORETHINDRONE 0.35 MG TAB PO [19743]",11.0,11.0,1.63,8.8,23
NDC,0378-7283-53,NORETHIN ACE-ETH ESTRAD-FE 1-20 MG-MCG PO TABS [10735],11.0,11.0,1.63,8.8,23
NDC,0378-7970-93,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.93,8.93,1.32,7.14,23
NDC,0378-8020-93,FLUVASTATIN SODIUM 20 MG PO CAPS [12411],23.53,23.53,3.48,18.82,23
NDC,0378-8021-93,FLUVASTATIN SODIUM 40 MG PO CAPS [12412],23.53,23.53,3.48,18.82,23
NDC,0378-8030-93,LANSOPRAZOLE 30 MG PO CPDR [27692],27.73,27.73,4.1,22.18,23
NDC,0378-8270-31,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
NDC,0378-8270-55,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],7.37,7.37,1.09,5.9,23
NDC,0378-8270-93,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
NDC,0378-8700-06,ACYCLOVIR 5 % EX OINT [8968],1308.09,1308.09,193.6,1046.47,23
NDC,0378-8712-73,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1402.51,1402.51,207.57,1122.01,23
NDC,0378-8765-16,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],24.21,24.21,3.58,19.37,23
NDC,0378-8765-93,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],24.21,24.21,3.58,19.37,23
NDC,0378-9055-16,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
NDC,0378-9055-93,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
NDC,0378-9070-93,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
NDC,0378-9102-16,NITROGLYCERIN 0.1 MG/HR TD PT24 [27471],7.43,7.43,1.1,5.94,23
NDC,0378-9102-93,NITROGLYCERIN 0.1 MG/HR TD PT24 [27471],8.74,8.74,1.29,6.99,23
NDC,0378-9104-93,NITROGLYCERIN 0.2 MG/HR TD PT24 [27472],8.94,8.94,1.32,7.15,23
NDC,0378-9112-16,NITROGLYCERIN 0.4 MG/HR TD PT24 [27474],8.69,8.69,1.29,6.95,23
NDC,0378-9112-93,NITROGLYCERIN 0.4 MG/HR TD PT24 [27474],10.22,10.22,1.51,8.18,23
NDC,0378-9116-16,NITROGLYCERIN 0.6 MG/HR TD PT24 [27475],11.27,11.27,1.67,9.02,23
NDC,0378-9116-93,NITROGLYCERIN 0.6 MG/HR TD PT24 [27475],11.27,11.27,1.67,9.02,23
NDC,0378-9119-98,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
NDC,0378-9121-98,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],67.78,67.78,10.03,54.22,23
NDC,0378-9123-98,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],174.11,174.11,25.77,139.29,23
NDC,0378-9124-98,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],207.58,207.58,30.72,166.06,23
NDC,0378-9671-31,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.82,10.82,1.6,8.66,23
NDC,0378-9671-93,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.82,10.82,1.6,8.66,23
NDC,0378-9691-52,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.53,31.53,4.67,25.22,23
NDC,0378-9691-62,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.53,31.53,4.67,25.22,23
NDC,0378-9692-62,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],31.53,31.53,4.67,25.22,23
NDC,0386-0004-04,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],165.26,165.26,24.46,132.21,23
NDC,0386-0008-02,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],156.72,156.72,23.19,125.38,23
NDC,0386-0008-03,PENTAFLUOROPROP-TETRAFLUOROETH EX AERO [39802],150.69,150.69,22.3,120.55,23
NDC,0394-0859-32,HYDROCORTISONE 1 % EX LOTN [3728],40.73,40.73,6.03,32.58,23
NDC,0395-0049-12,ALUM AMMONIUM (BULK) POWD [345],89.49,89.49,13.24,71.59,23
NDC,0395-0049-96,ALUM AMMONIUM (BULK) POWD [345],39.16,39.16,5.8,31.33,23
NDC,0395-0243-92,BENZOIN COMPOUND EX TINC [987],50.2,50.2,7.43,40.16,23
NDC,0395-0247-92,BENZOIN COMPOUND EX TINC [987],58.79,58.79,8.7,47.03,23
NDC,0395-1003-92,GENTIAN VIOLET 1 % EX SOLN [3430],39.1,39.1,5.79,31.28,23
NDC,0395-1949-88,CLOVE OIL OIL [1770],32.77,32.77,4.85,26.22,23
NDC,0395-2015-91,PEPPERMINT OIL OIL [6116],116.4,116.4,17.23,93.12,23
NDC,0395-2243-91,PEPPERMINT SPIRIT (BULK) SPRT [28205],47.38,47.38,7.01,37.9,23
NDC,0395-2661-16,SIMPLE SYRUP PO SYRP [7242],84.48,84.48,12.5,67.58,23
NDC,0395-2775-16,IODINE STRONG 5 % SOLN [3961],327.52,327.52,48.47,262.02,23
NDC,0406-0123-23,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,0406-0123-62,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,0406-0136-01,METHYLPHENIDATE HCL ER (OSM) 36 MG PO TBCR [28751],30.93,30.93,4.58,24.74,23
NDC,0406-0154-01,METHYLPHENIDATE HCL ER (OSM) 54 MG PO TBCR [29388],33.65,33.65,4.98,26.92,23
NDC,0406-0484-62,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
NDC,0406-0512-01,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.44,6.44,0.95,5.15,23
NDC,0406-0512-05,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.0,6.0,0.89,4.8,23
NDC,0406-0512-23,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],8.93,8.93,1.32,7.14,23
NDC,0406-0512-62,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],8.95,8.95,1.32,7.16,23
NDC,0406-0523-23,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],23.22,23.22,3.44,18.58,23
NDC,0406-0523-62,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],23.2,23.2,3.43,18.56,23
NDC,0406-0552-01,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,0406-0552-23,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,0406-0552-62,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,0406-1142-01,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,0406-1144-01,METHYLPHENIDATE HCL 10 MG PO TABS [4986],6.0,6.0,0.89,4.8,23
NDC,0406-1170-03,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],25.93,25.93,3.84,20.74,23
NDC,0406-1236-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,0406-3243-01,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
NDC,0406-3244-01,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
NDC,0406-5755-01,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0406-5755-23,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0406-5755-62,METHADONE HCL 5 MG PO TABS [4954],6.0,6.0,0.89,4.8,23
NDC,0406-5771-01,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0406-5771-23,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0406-5771-62,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0406-8003-12,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],333.77,333.77,49.4,267.02,23
NDC,0406-8315-01,MORPHINE SULFATE CR 15 MG PO TB12 [119129],7.88,7.88,1.17,6.3,23
NDC,0406-8315-23,MORPHINE SULFATE CR 15 MG PO TB12 [119129],9.59,9.59,1.42,7.67,23
NDC,0406-8315-62,MORPHINE SULFATE CR 15 MG PO TB12 [119129],9.6,9.6,1.42,7.68,23
NDC,0406-8330-23,MORPHINE SULFATE CR 30 MG PO TB12 [119091],17.3,17.3,2.56,13.84,23
NDC,0406-8330-62,MORPHINE SULFATE CR 30 MG PO TB12 [119091],17.32,17.32,2.56,13.86,23
NDC,0406-8390-01,MORPHINE SULFATE CR 100 MG PO TB12 [119131],43.24,43.24,6.4,34.59,23
NDC,0406-8390-23,MORPHINE SULFATE CR 100 MG PO TB12 [119131],42.73,42.73,6.32,34.18,23
NDC,0406-8390-62,MORPHINE SULFATE CR 100 MG PO TB12 [119131],42.71,42.71,6.32,34.17,23
NDC,0406-8510-23,OXYCODONE HCL 10 MG PO TABS [87795],6.84,6.84,1.01,5.47,23
NDC,0406-8510-62,OXYCODONE HCL 10 MG PO TABS [87795],7.46,7.46,1.1,5.97,23
NDC,0406-8515-23,OXYCODONE HCL 15 MG PO TABS [28899],12.13,12.13,1.8,9.7,23
NDC,0406-8515-62,OXYCODONE HCL 15 MG PO TABS [28899],12.14,12.14,1.8,9.71,23
NDC,0406-8530-01,OXYCODONE HCL 30 MG PO TABS [28900],16.87,16.87,2.5,13.5,23
NDC,0406-8530-62,OXYCODONE HCL 30 MG PO TABS [28900],22.99,22.99,3.4,18.39,23
NDC,0406-8557-30,OXYCODONE HCL 100 MG/5ML PO CONC [10812],1091.95,1091.95,161.61,873.56,23
NDC,0406-8807-01,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
NDC,0406-8958-01,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
NDC,0406-9100-76,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],207.58,207.58,30.72,166.06,23
NDC,0406-9150-76,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],114.14,114.14,16.89,91.31,23
NDC,0406-9175-76,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],174.11,174.11,25.77,139.29,23
NDC,0406-9908-03,CLOMIPRAMINE HCL 75 MG PO CAPS [9636],190.34,190.34,28.17,152.27,23
NDC,0406-9916-01,TEMAZEPAM 15 MG PO CAPS [7753],162.23,162.23,24.01,129.78,23
NDC,0406-9961-01,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
NDC,0407-1412-30,IOHEXOL 240 MG/ML IJ SOLN [10321],203.51,203.51,30.12,162.81,23
NDC,0407-1412-33,IOHEXOL 240 MG/ML IJ SOLN [10321],353.22,353.22,52.28,282.58,23
NDC,0407-1413-10,IOHEXOL 300 MG/ML IJ SOLN [10322],208.88,208.88,30.91,167.1,23
NDC,0407-1413-58,IOHEXOL 300 MG/ML 30 ML PO SOLUTION [600706],216.29,216.29,32.01,173.03,23
NDC,0407-1413-59,IOHEXOL 300 MG/ML 30 ML PO SOLUTION [600706],216.29,216.29,32.01,173.03,23
NDC,0407-1413-61,IOHEXOL 300 MG/ML IJ SOLN [10322],216.29,216.29,32.01,173.03,23
NDC,0407-1413-63,IOHEXOL 300 MG/ML IJ SOLN [10322],410.56,410.56,60.76,328.45,23
NDC,0407-1413-65,IOHEXOL 300 MG/ML IJ SOLN [10322],598.87,598.87,88.63,479.1,23
NDC,0407-1413-86,IOHEXOL 300 MG/ML IJ SOLN [10322],237.88,237.88,35.21,190.3,23
NDC,0407-1413-87,IOHEXOL 300 MG/ML IJ SOLN [10322],451.65,451.65,66.84,361.32,23
NDC,0407-1413-88,IOHEXOL 300 MG/ML IJ SOLN [10322],658.81,658.81,97.5,527.05,23
NDC,0407-1414-72,IOHEXOL 350 MG/ML IV SOLN 500ML [601143],1498.65,1498.65,221.8,1198.92,23
NDC,0407-1414-84,IOHEXOL 350 MG/ML IV SOLN [10323],502.17,502.17,74.32,401.74,23
NDC,0407-1414-86,IOHEXOL 350 MG/ML IV SOLN [10323],693.31,693.31,102.61,554.65,23
NDC,0407-1414-89,IOHEXOL 350 MG/ML IV SOLN [10323],235.54,235.54,34.86,188.43,23
NDC,0407-1414-91,IOHEXOL 350 MG/ML IV SOLN [10323],456.55,456.55,67.57,365.24,23
NDC,0407-1414-93,IOHEXOL 350 MG/ML IV SOLN [10323],629.97,629.97,93.24,503.98,23
NDC,0407-1414-94,IOHEXOL 350 MG/ML IV SOLN [10323],675.03,675.03,99.9,540.02,23
NDC,0407-1414-98,IOHEXOL 350 MG/ML IV SOLN [10323],1762.01,1762.01,260.78,1409.61,23
NDC,0407-2707-03,PERFLUTREN PROTEIN A MICROSPH IV SUSP [82177],635.17,635.17,94.01,508.14,23
NDC,0407-2707-18,PERFLUTREN PROTEIN A MICROSPH IV SUSP [82177],635.17,635.17,94.01,508.14,23
NDC,0409-0007-10,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
NDC,0409-0024-10,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
NDC,0409-0040-05,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
NDC,0409-0040-10,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
NDC,0409-0064-10,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],477.74,477.74,70.71,382.19,23
NDC,0409-0122-01,DAPTOMYCIN 500 MG IV SOLR [36989],368.78,368.78,54.58,295.02,23
NDC,0409-0125-25,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.38,22.38,3.31,17.9,23
NDC,0409-0152-01,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,0409-0152-24,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,0409-0181-01,GEMCITABINE 2G INTRAVESICAL SYRINGE [900333],211.47,211.47,31.3,169.18,23
NDC,0409-0181-01,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],211.47,211.47,31.3,169.18,23
NDC,0409-0181-25,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],73.43,73.43,10.87,58.74,23
NDC,0409-0201-10,DOCETAXEL 80 MG/8ML IV SOLN [107443],992.11,992.11,146.83,793.69,23
NDC,0409-0212-01,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],40.57,40.57,6.0,32.46,23
NDC,0409-0302-01,TOPOTECAN HCL 4 MG/4ML IV SOLN [106862],626.85,626.85,92.77,501.48,23
NDC,0409-0528-23,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],33.37,33.37,4.94,26.7,23
NDC,0409-0801-01,PENTOSTATIN 10 MG IV SOLR [10910],8960.1,8960.1,1326.09,7168.08,23
NDC,0409-0805-01,CEFAZOLIN 1 G VIAL FOR OPHTHALMIC PROCEDURES [600554],52.0,52.0,7.7,41.6,23
NDC,0409-0829-01,AZTREONAM 1 G IJ SOLR [9185],176.62,176.62,26.14,141.3,23
NDC,0409-0829-11,AZTREONAM 1 G IJ SOLR [9185],176.63,176.63,26.14,141.3,23
NDC,0409-0830-01,AZTREONAM 2 G IJ SOLR [9186],312.53,312.53,46.25,250.02,23
NDC,0409-1005-01,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],35.25,35.25,5.22,28.2,23
NDC,0409-1005-20,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],35.25,35.25,5.22,28.2,23
NDC,0409-1007-01,PARICALCITOL 2 MCG/ML IV SOLN [31688],24.05,24.05,3.56,19.24,23
NDC,0409-1007-11,PARICALCITOL 2 MCG/ML IV SOLN [31688],24.02,24.02,3.55,19.22,23
NDC,0409-1038-50,MEPIVACAINE HCL 1 % IJ SOLN [4914],39.48,39.48,5.84,31.58,23
NDC,0409-1045-01,PEMETREXED DISODIUM 100 MG/4ML IV SOLN [156174],497.64,497.64,73.65,398.11,23
NDC,0409-1113-01,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1793.53,1793.53,265.44,1434.82,23
NDC,0409-1134-03,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],87.8,87.8,12.99,70.24,23
NDC,0409-1134-05,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],171.69,171.69,25.41,137.35,23
NDC,0409-1140-01,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1069.38,1069.38,158.27,855.5,23
NDC,0409-1141-02,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],86.95,86.95,12.87,69.56,23
NDC,0409-1141-12,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],86.95,86.95,12.87,69.56,23
NDC,0409-1159-02,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0409-1159-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0409-1159-18,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0409-1159-19,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,0409-1162-01,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0409-1162-02,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0409-1162-09,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0409-1162-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0409-1162-18,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,0409-1165-01,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
NDC,0409-1165-02,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],27.08,27.08,4.01,21.66,23
NDC,0409-1165-18,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
NDC,0409-1171-02,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
NDC,0409-1176-03,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],34.08,34.08,5.04,27.26,23
NDC,0409-1176-30,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],34.07,34.07,5.04,27.26,23
NDC,0409-1179-03,MEPERIDINE HCL 75 MG/ML IJ SOLN [4905],36.1,36.1,5.34,28.88,23
NDC,0409-1179-30,MEPERIDINE HCL 75 MG/ML IJ SOLN [4905],36.08,36.08,5.34,28.86,23
NDC,0409-1207-03,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,0409-1207-25,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,0409-1209-01,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],30.6,30.6,4.53,24.48,23
NDC,0409-1209-10,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],30.55,30.55,4.52,24.44,23
NDC,0409-1209-65,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],26.21,26.21,3.88,20.97,23
NDC,0409-1215-01,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],89.29,89.29,13.21,71.43,23
NDC,0409-1215-21,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],89.29,89.29,13.21,71.43,23
NDC,0409-1219-01,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
NDC,0409-1219-41,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
NDC,0409-1273-03,DIAZEPAM 5 MG/ML IJ SOLN [2401],174.89,174.89,25.88,139.91,23
NDC,0409-1273-32,DIAZEPAM 5 MG/ML IJ SOLN [2401],174.91,174.91,25.89,139.93,23
NDC,0409-1283-03,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
NDC,0409-1283-04,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0409-1283-05,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0409-1283-17,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],33.47,33.47,4.95,26.78,23
NDC,0409-1283-31,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
NDC,0409-1283-37,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],33.46,33.46,4.95,26.77,23
NDC,0409-1312-03,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0409-1312-30,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0409-1323-05,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY [143140],41.01,41.01,6.07,32.81,23
NDC,0409-1391-22,MEROPENEM 1 G IV SOLR [17380],107.59,107.59,15.92,86.07,23
NDC,0409-1412-04,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0409-1412-10,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0409-1434-01,DEXMEDETOMIDINE HCL IN NACL 1000 MCG/250ML IV SOLN [149499],849.76,849.76,125.76,679.81,23
NDC,0409-1463-01,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],25.15,25.15,3.72,20.12,23
NDC,0409-1463-49,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
NDC,0409-1463-69,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
NDC,0409-1463-71,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],25.15,25.15,3.72,20.12,23
NDC,0409-1464-01,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],203.82,203.82,30.17,163.06,23
NDC,0409-1464-61,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],203.86,203.86,30.17,163.09,23
NDC,0409-1465-01,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],43.24,43.24,6.4,34.59,23
NDC,0409-1467-01,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],271.99,271.99,40.25,217.59,23
NDC,0409-1541-01,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],30.74,30.74,4.55,24.59,23
NDC,0409-1541-10,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],30.74,30.74,4.55,24.59,23
NDC,0409-1559-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],24.91,24.91,3.69,19.93,23
NDC,0409-1559-30,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],28.77,28.77,4.26,23.02,23
NDC,0409-1560-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],29.29,29.29,4.33,23.43,23
NDC,0409-1560-29,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],30.32,30.32,4.49,24.26,23
NDC,0409-1582-10,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],29.47,29.47,4.36,23.58,23
NDC,0409-1623-01,BUTORPHANOL TARTRATE 1 MG/ML IJ SOLN [9333],63.97,63.97,9.47,51.18,23
NDC,0409-1630-10,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.91,57.91,8.57,46.33,23
NDC,0409-1630-15,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.91,57.91,8.57,46.33,23
NDC,0409-1631-10,CALCIUM CHLORIDE 10 % IV SOLN [1306],71.16,71.16,10.53,56.93,23
NDC,0409-1746-10,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],37.93,37.93,5.61,30.34,23
NDC,0409-1746-30,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],65.43,65.43,9.68,52.34,23
NDC,0409-1746-70,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],37.89,37.89,5.61,30.31,23
NDC,0409-1746-71,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],65.43,65.43,9.68,52.34,23
NDC,0409-1749-10,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],38.45,38.45,5.69,30.76,23
NDC,0409-1749-29,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],55.28,55.28,8.18,44.22,23
NDC,0409-1761-02,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],25.56,25.56,3.78,20.45,23
NDC,0409-1761-10,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],37.06,37.06,5.48,29.65,23
NDC,0409-1775-10,DEXTROSE 250 MG/ML IV SOLN [2361],106.96,106.96,15.83,85.57,23
NDC,0409-1778-15,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,0409-1886-02,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,0409-1886-22,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,0409-1890-01,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],22.0,22.0,3.26,17.6,23
NDC,0409-1890-03,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],22.0,22.0,3.26,17.6,23
NDC,0409-1890-23,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN [119120],29.26,29.26,4.33,23.41,23
NDC,0409-1891-01,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0409-1891-03,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0409-1891-23,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],29.48,29.48,4.36,23.58,23
NDC,0409-1893-01,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
NDC,0409-1932-02,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],517.32,517.32,76.56,413.86,23
NDC,0409-1966-07,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % IJ SOLN [14923],22.0,22.0,3.26,17.6,23
NDC,0409-1985-30,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0409-2011-25,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,0409-2012-03,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],69.42,69.42,10.27,55.54,23
NDC,0409-2012-32,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],69.41,69.41,10.27,55.53,23
NDC,0409-2022-01,MORPHINE SULFATE 50 MG/ML IV SOLN [27393],253.83,253.83,37.57,203.06,23
NDC,0409-2051-05,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.89,46.89,6.94,37.51,23
NDC,0409-2051-15,KETAMINE HCL 100 MG/ML IJ SOLN [4237],46.86,46.86,6.94,37.49,23
NDC,0409-2053-10,KETAMINE HCL 50 MG/ML IJ SOLN [4238],22.0,22.0,3.26,17.6,23
NDC,0409-2267-20,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.38,22.38,3.31,17.9,23
NDC,0409-2267-54,LABETALOL HCL 5 MG/ML IV SOLN [10372],58.47,58.47,8.65,46.78,23
NDC,0409-2300-24,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
NDC,0409-2305-04,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN [144943],22.0,22.0,3.26,17.6,23
NDC,0409-2305-05,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN [144943],22.0,22.0,3.26,17.6,23
NDC,0409-2308-01,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN [144941],22.0,22.0,3.26,17.6,23
NDC,0409-2308-49,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
NDC,0409-2308-69,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN [144941],22.0,22.0,3.26,17.6,23
NDC,0409-2337-25,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],211.61,211.61,31.32,169.29,23
NDC,0409-2339-24,LABETALOL HCL 5 MG/ML IV SOLN [10372],51.23,51.23,7.58,40.98,23
NDC,0409-2339-34,LABETALOL HCL 5 MG/ML IV SOLN [10372],51.23,51.23,7.58,40.98,23
NDC,0409-2344-01,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],43.62,43.62,6.46,34.9,23
NDC,0409-2344-02,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],39.11,39.11,5.79,31.29,23
NDC,0409-2344-88,DOBUTAMINE HCL 250 MG/20ML IV SOLN [77318],28.67,28.67,4.24,22.94,23
NDC,0409-2347-31,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],203.51,203.51,30.12,162.81,23
NDC,0409-2347-32,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN [18315],203.51,203.51,30.12,162.81,23
NDC,0409-2596-05,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],42.4,42.4,6.28,33.92,23
NDC,0409-2596-15,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],42.4,42.4,6.28,33.92,23
NDC,0409-2720-03,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
NDC,0409-2720-31,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,0409-2720-32,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],43.86,43.86,6.49,35.09,23
NDC,0409-2723-30,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,0409-2757-01,DAPTOMYCIN 500 MG IV SOLR [36989],372.47,372.47,55.13,297.98,23
NDC,0409-2776-23,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],90.24,90.24,13.36,72.19,23
NDC,0409-2987-03,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IV SOLR [27283],52.1,52.1,7.71,41.68,23
NDC,0409-3150-05,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],61.1,61.1,9.04,48.88,23
NDC,0409-3150-20,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],61.1,61.1,9.04,48.88,23
NDC,0409-3164-01,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
NDC,0409-3164-12,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
NDC,0409-3177-01,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN [10426],22.0,22.0,3.26,17.6,23
NDC,0409-3178-01,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
NDC,0409-3178-02,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],64.02,64.02,9.47,51.22,23
NDC,0409-3178-16,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.0,22.0,3.26,17.6,23
NDC,0409-3178-17,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],64.02,64.02,9.47,51.22,23
NDC,0409-3181-01,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],96.26,96.26,14.25,77.01,23
NDC,0409-3181-11,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],96.26,96.26,14.25,77.01,23
NDC,0409-3182-01,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
NDC,0409-3183-01,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],28.49,28.49,4.22,22.79,23
NDC,0409-3189-10,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
NDC,0409-3299-05,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],68.39,68.39,10.12,54.71,23
NDC,0409-3299-06,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],49.82,49.82,7.37,39.86,23
NDC,0409-3299-15,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],68.39,68.39,10.12,54.71,23
NDC,0409-3299-25,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],33.37,33.37,4.94,26.7,23
NDC,0409-3299-45,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],33.37,33.37,4.94,26.7,23
NDC,0409-3300-01,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
NDC,0409-3300-24,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
NDC,0409-3308-03,ACETYLCYSTEINE 20 % IN SOLN [123],132.37,132.37,19.59,105.9,23
NDC,0409-3365-01,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0409-3365-10,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],23.9,23.9,3.54,19.12,23
NDC,0409-3365-11,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0409-3375-04,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],116.79,116.79,17.28,93.43,23
NDC,0409-3375-14,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],116.83,116.83,17.29,93.46,23
NDC,0409-3383-02,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],39.32,39.32,5.82,31.46,23
NDC,0409-3385-13,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],58.98,58.98,8.73,47.18,23
NDC,0409-3390-04,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],78.63,78.63,11.64,62.9,23
NDC,0409-3414-01,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0409-3414-11,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0409-3414-18,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0409-3414-21,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0409-3435-01,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
NDC,0409-3435-24,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
NDC,0409-3578-01,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,0409-3613-01,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],22.0,22.0,3.26,17.6,23
NDC,0409-3793-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,0409-3795-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],36.83,36.83,5.45,29.46,23
NDC,0409-3796-01,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,0409-3815-12,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],109.03,109.03,16.14,87.22,23
NDC,0409-3977-03,BACTERIOSTATIC WATER(BENZ ALC) IJ SOLN [14979],35.4,35.4,5.24,28.32,23
NDC,0409-4031-01,MANNITOL 25 % IV SOLN [4750],34.31,34.31,5.08,27.45,23
NDC,0409-4091-01,MANGANESE CHLORIDE 0.1 MG/ML IV SOLN [4744],193.73,193.73,28.67,154.98,23
NDC,0409-4092-01,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],164.76,164.76,24.38,131.81,23
NDC,0409-4093-01,CHROMIC CHLORIDE 40 MCG/10ML IV SOLN [126887],103.06,103.06,15.25,82.45,23
NDC,0409-4121-50,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
NDC,0409-4208-10,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],28.63,28.63,4.24,22.9,23
NDC,0409-4264-01,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0409-4264-11,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0409-4275-01,LIDOCAINE HCL 0.5 % IJ SOLN [4451],26.79,26.79,3.96,21.43,23
NDC,0409-4276-01,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,0409-4276-16,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,0409-4277-01,LIDOCAINE HCL 2 % IJ SOLN [4454],22.38,22.38,3.31,17.9,23
NDC,0409-4277-16,LIDOCAINE HCL 2 % IJ SOLN [4454],22.38,22.38,3.31,17.9,23
NDC,0409-4278-01,LIDOCAINE HCL (PF) 0.5 % IJ SOLN [105032],24.44,24.44,3.62,19.55,23
NDC,0409-4279-02,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0409-4279-16,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0409-4282-02,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],40.8,40.8,6.04,32.64,23
NDC,0409-4346-16,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],41.08,41.08,6.08,32.86,23
NDC,0409-4346-73,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],41.08,41.08,6.08,32.86,23
NDC,0409-4444-01,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],56.4,56.4,8.35,45.12,23
NDC,0409-4444-24,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],56.4,56.4,8.35,45.12,23
NDC,0409-4688-12,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],40.42,40.42,5.98,32.34,23
NDC,0409-4688-16,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],40.42,40.42,5.98,32.34,23
NDC,0409-4688-18,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],42.3,42.3,6.26,33.84,23
NDC,0409-4699-24,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
NDC,0409-4699-30,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
NDC,0409-4699-33,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],60.87,60.87,9.01,48.7,23
NDC,0409-4699-50,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
NDC,0409-4699-54,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],112.15,112.15,16.6,89.72,23
NDC,0409-4713-02,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0409-4713-25,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0409-4713-42,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,0409-4755-03,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,0409-4777-02,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
NDC,0409-4777-23,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
NDC,0409-4883-11,LINEZOLID 600 MG/300ML IV SOLN [130884],325.6,325.6,48.19,260.48,23
NDC,0409-4887-10,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
NDC,0409-4887-20,STERILE WATER FOR INJECTION IJ SOLN [7484],27.26,27.26,4.03,21.81,23
NDC,0409-4887-25,STERILE WATER FOR INJECTION IJ SOLN [7484],46.06,46.06,6.82,36.85,23
NDC,0409-4887-50,STERILE WATER FOR INJECTION IJ SOLN [7484],39.72,39.72,5.88,31.78,23
NDC,0409-4888-01,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,0409-4888-10,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,0409-4888-12,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,0409-4888-50,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,0409-4902-64,DEXTROSE 50 % IV SOLN [2365],95.26,95.26,14.1,76.21,23
NDC,0409-4903-34,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY [143139],42.8,42.8,6.33,34.24,23
NDC,0409-4911-11,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],95.91,95.91,14.19,76.73,23
NDC,0409-4911-34,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],95.91,95.91,14.19,76.73,23
NDC,0409-4928-34,CALCIUM CHLORIDE 10 % IV SOLN [1306],88.86,88.86,13.15,71.09,23
NDC,0409-4933-01,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],57.58,57.58,8.52,46.06,23
NDC,0409-5082-16,CEFTAZIDIME 1 G IJ SOLR [9474],24.05,24.05,3.56,19.24,23
NDC,0409-5084-11,CEFTAZIDIME 2 G IV SOLR [27291],53.88,53.88,7.97,43.1,23
NDC,0409-5093-11,CEFTAZIDIME 2 G IV SOLR [27291],68.22,68.22,10.1,54.58,23
NDC,0409-5555-01,SODIUM BICARBONATE 4.2 % IV SOLN [7306],24.87,24.87,3.68,19.9,23
NDC,0409-5555-02,SODIUM BICARBONATE 4.2 % IV SOLN [7306],43.69,43.69,6.47,34.95,23
NDC,0409-5555-11,SODIUM BICARBONATE 4.2 % IV SOLN [7306],24.87,24.87,3.68,19.9,23
NDC,0409-5555-12,SODIUM BICARBONATE 4.2 % IV SOLN [7306],43.67,43.67,6.46,34.94,23
NDC,0409-5738-10,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],22.0,22.0,3.26,17.6,23
NDC,0409-5820-01,DOPAMINE HCL 40 MG/ML IV SOLN [2595],22.59,22.59,3.34,18.07,23
NDC,0409-5921-01,AMINOPHYLLINE 25 MG/ML IV SOLN [407],103.88,103.88,15.37,83.1,23
NDC,0409-5921-16,AMINOPHYLLINE 25 MG/ML IV SOLN [407],103.88,103.88,15.37,83.1,23
NDC,0409-5922-01,AMINOPHYLLINE 25 MG/ML IV SOLN [407],72.57,72.57,10.74,58.06,23
NDC,0409-5922-16,AMINOPHYLLINE 25 MG/ML IV SOLN [407],72.57,72.57,10.74,58.06,23
NDC,0409-6010-25,PROPOFOL 200 MG/20ML IV EMUL [130905],24.35,24.35,3.6,19.48,23
NDC,0409-6102-02,FUROSEMIDE 10 MG/ML IJ SOLN [3291],23.59,23.59,3.49,18.87,23
NDC,0409-6102-04,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-10,FUROSEMIDE 10 MG/ML IJ SOLN [3291],32.9,32.9,4.87,26.32,23
NDC,0409-6102-10,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],32.9,32.9,4.87,26.32,23
NDC,0409-6102-18,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-26,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-27,FUROSEMIDE 10 MG/ML IJ SOLN [3291],28.25,28.25,4.18,22.6,23
NDC,0409-6102-27,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],28.25,28.25,4.18,22.6,23
NDC,0409-6102-35,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-36,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,0409-6102-37,FUROSEMIDE 10 MG/ML IJ SOLN [3291],28.2,28.2,4.17,22.56,23
NDC,0409-6102-37,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],28.2,28.2,4.17,22.56,23
NDC,0409-6476-44,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],382.44,382.44,56.6,305.95,23
NDC,0409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],496.48,496.48,73.48,397.18,23
NDC,0409-6482-11,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],496.48,496.48,73.48,397.18,23
NDC,0409-6562-01,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],114.27,114.27,16.91,91.42,23
NDC,0409-6625-14,SODIUM BICARBONATE 8.4 % IV SOLN [7309],55.46,55.46,8.21,44.37,23
NDC,0409-6625-35,SODIUM BICARBONATE 8.4 % IV SOLN [7309],51.7,51.7,7.65,41.36,23
NDC,0409-6629-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],100.68,100.68,14.9,80.54,23
NDC,0409-6635-01,KCL 2 MEQ/ML IV SOLN [6429],27.99,27.99,4.14,22.39,23
NDC,0409-6637-14,SODIUM BICARBONATE 8.4 % IV SOLN [7309],109.55,109.55,16.21,87.64,23
NDC,0409-6648-02,DEXTROSE 50 % IV SOLN [2365],29.38,29.38,4.35,23.5,23
NDC,0409-6648-16,DEXTROSE 50 % IV SOLN [2365],29.38,29.38,4.35,23.5,23
NDC,0409-6651-06,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
NDC,0409-6660-75,SODIUM CHLORIDE 2.5 MEQ/ML IJ SOLN [7320],37.79,37.79,5.59,30.23,23
NDC,0409-6695-11,ETOMIDATE 2 MG/ML IV SOLN [20472],31.82,31.82,4.71,25.46,23
NDC,0409-6729-09,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],47.0,47.0,6.96,37.6,23
NDC,0409-6729-23,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
NDC,0409-6729-41,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],45.12,45.12,6.68,36.1,23
NDC,0409-6730-13,MAGNESIUM SULFATE 4 GM/50ML IV SOLN [129091],57.3,57.3,8.48,45.84,23
NDC,0409-6778-02,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0409-6778-11,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0409-7037-01,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
NDC,0409-7037-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
NDC,0409-7248-03,HETASTARCH-NACL 6-0.9 % IV SOLN [25174],198.39,198.39,29.36,158.71,23
NDC,0409-7295-01,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],83.41,83.41,12.34,66.73,23
NDC,0409-7295-11,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],83.41,83.41,12.34,66.73,23
NDC,0409-7299-25,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],22.0,22.0,3.26,17.6,23
NDC,0409-7299-73,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],63.08,63.08,9.34,50.46,23
NDC,0409-7332-01,CEFTRIAXONE CUSTOM 1 G VIAL FOR DESENSITIZATION [600701],22.0,22.0,3.26,17.6,23
NDC,0409-7332-01,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0409-7332-11,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0409-7332-20,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0409-7332-21,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,0409-7334-10,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],89.98,89.98,13.32,71.98,23
NDC,0409-7335-03,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
NDC,0409-7335-13,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
NDC,0409-7335-20,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
NDC,0409-7335-21,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],22.0,22.0,3.26,17.6,23
NDC,0409-7337-01,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],22.0,22.0,3.26,17.6,23
NDC,0409-7337-11,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],22.0,22.0,3.26,17.6,23
NDC,0409-7338-01,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
NDC,0409-7338-11,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
NDC,0409-7338-20,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],22.0,22.0,3.26,17.6,23
NDC,0409-7391-72,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],208.95,208.95,30.92,167.16,23
NDC,0409-7418-03,DEXTRAN 40 IN D5W 10 % IV SOLN [9759],311.2,311.2,46.06,248.96,23
NDC,0409-7419-03,DEXTRAN 40 IN SALINE 10-0.9 % IV SOLN [23876],324.82,324.82,48.07,259.86,23
NDC,0409-7517-16,DEXTROSE 50 % IV SOLN [2365],102.41,102.41,15.16,81.93,23
NDC,0409-7620-03,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],30.55,30.55,4.52,24.44,23
NDC,0409-7651-03,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],49.35,49.35,7.3,39.48,23
NDC,0409-7651-03,HEPARIN IN NS 50-0.45 UNIT/ML-% IJ SOLN - SUBTHERAPEUTIC [600015848],49.35,49.35,7.3,39.48,23
NDC,0409-7809-24,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN [14845],108.25,108.25,16.02,86.6,23
NDC,0409-7811-24,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,0409-7811-37,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,0409-8126-10,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
NDC,0409-8183-01,POTASSIUM ACETATE 2 MEQ/ML IV SOLN [6420],30.37,30.37,4.49,24.3,23
NDC,0409-8183-25,POTASSIUM ACETATE 2 MEQ/ML IV SOLN [6420],22.0,22.0,3.26,17.6,23
NDC,0409-8300-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],1767.85,1767.85,261.64,1414.28,23
NDC,0409-9042-01,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],36.19,36.19,5.36,28.95,23
NDC,0409-9042-17,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],28.2,28.2,4.17,22.56,23
NDC,0409-9045-01,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
NDC,0409-9045-17,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.42,22.42,3.32,17.94,23
NDC,0409-9093-37,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9093-45,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9094-12,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9094-18,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9094-22,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9094-25,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0409-9094-31,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],59.13,59.13,8.75,47.3,23
NDC,0409-9094-41,FENTANYL 2500 MCG/50 ML PREMIX [600898],177.81,177.81,26.32,142.25,23
NDC,0409-9094-61,FENTANYL 2500 MCG/50 ML PREMIX [600898],177.81,177.81,26.32,142.25,23
NDC,0409-9104-20,DOPAMINE HCL 40 MG/ML IV SOLN [2595],32.86,32.86,4.86,26.29,23
NDC,0409-9300-20,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],22.0,22.0,3.26,17.6,23
NDC,0409-9300-21,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],22.0,22.0,3.26,17.6,23
NDC,0409-9558-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
NDC,0409-9558-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
NDC,0409-9558-31,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],40.38,40.38,5.98,32.3,23
NDC,0409-9558-49,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
NDC,0409-9558-50,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],22.52,22.52,3.33,18.02,23
NDC,0409-9558-69,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
NDC,0409-9558-70,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],39.58,39.58,5.86,31.66,23
NDC,0409-9566-10,CEFEPIME HCL 1 G IJ SOLR [16369],34.35,34.35,5.08,27.48,23
NDC,0409-9735-10,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],56.69,56.69,8.39,45.35,23
NDC,0430-0472-03,RISEDRONATE SODIUM 35 MG PO TABS [32895],385.66,385.66,57.08,308.53,23
NDC,0430-3754-14,ESTRADIOL 0.1 MG/GM VA CREA [9969],1357.06,1357.06,200.84,1085.65,23
NDC,0456-0400-01,CEFTAROLINE FOSAMIL 400 MG IV SOLR [106033],919.13,919.13,136.03,735.3,23
NDC,0456-0400-10,CEFTAROLINE FOSAMIL 400 MG IV SOLR [106033],1013.37,1013.37,149.98,810.7,23
NDC,0456-0457-01,THYROID 15 MG PO TABS [7940],6.0,6.0,0.89,4.8,23
NDC,0456-0459-01,THYROID 60 MG PO TABS [7947],6.34,6.34,0.94,5.07,23
NDC,0456-0600-01,CEFTAROLINE FOSAMIL 600 MG IV SOLR [106034],919.13,919.13,136.03,735.3,23
NDC,0456-0600-10,CEFTAROLINE FOSAMIL 600 MG IV SOLR [106034],1013.37,1013.37,149.98,810.7,23
NDC,0456-1201-30,LINACLOTIDE 145 MCG PO CAPS [117011],98.38,98.38,14.56,78.7,23
NDC,0456-1405-30,NEBIVOLOL HCL 5 MG PO TABS [89284],34.38,34.38,5.09,27.5,23
NDC,0456-1410-30,NEBIVOLOL HCL 10 MG PO TABS [89286],34.38,34.38,5.09,27.5,23
NDC,0456-1420-90,NEBIVOLOL HCL 20 MG PO TABS [97266],36.09,36.09,5.34,28.87,23
NDC,0456-2020-01,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],90.49,90.49,13.39,72.39,23
NDC,0456-2405-60,ASENAPINE MALEATE 5 MG SL SUBL [99746],109.19,109.19,16.16,87.35,23
NDC,0456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR [127500],1634.88,1634.88,241.96,1307.9,23
NDC,0456-3205-11,MEMANTINE HCL 5 MG PO TABS [37170],41.79,41.79,6.18,33.43,23
NDC,0456-3205-60,MEMANTINE HCL 5 MG PO TABS [37170],41.81,41.81,6.19,33.45,23
NDC,0456-3205-63,MEMANTINE HCL 5 MG PO TABS [37170],41.81,41.81,6.19,33.45,23
NDC,0456-3210-63,MEMANTINE HCL 10 MG PO TABS [36966],41.81,41.81,6.19,33.45,23
NDC,0456-3407-33,MEMANTINE HCL ER 7 MG PO CP24 [119102],87.38,87.38,12.93,69.9,23
NDC,0456-3428-33,MEMANTINE HCL ER 28 MG PO CP24 [119105],87.38,87.38,12.93,69.9,23
NDC,0456-4300-01,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],412.9,412.9,61.11,330.32,23
NDC,0469-0125-99,ENZALUTAMIDE 40 MG PO CAPS [116385],561.95,561.95,83.17,449.56,23
NDC,0469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG IV SOLR [127504],1552.3,1552.3,229.74,1241.84,23
NDC,0469-0420-99,ISAVUCONAZONIUM SULFATE 372 MG IV SOLR [127504],1435.31,1435.31,212.43,1148.25,23
NDC,0469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS [127503],523.65,523.65,77.5,418.92,23
NDC,0469-0520-14,ISAVUCONAZONIUM SULFATE 186 MG PO CAPS [127503],456.78,456.78,67.6,365.42,23
NDC,0469-0617-73,TACROLIMUS 1 MG PO CAPS [12933],41.74,41.74,6.18,33.39,23
NDC,0469-0625-99,ENZALUTAMIDE 40 MG PO TABS [151581],561.95,561.95,83.17,449.56,23
NDC,0469-0725-60,ENZALUTAMIDE 80 MG PO TABS [151582],977.82,977.82,144.72,782.26,23
NDC,0469-1330-50,TACROLIMUS 1 MG PO PACK [143099],43.78,43.78,6.48,35.02,23
NDC,0469-2601-90,MIRABEGRON ER 25 MG PO TB24 [116079],86.54,86.54,12.81,69.23,23
NDC,0469-2602-30,MIRABEGRON ER 50 MG PO TB24 [116080],86.54,86.54,12.81,69.23,23
NDC,0469-2602-90,MIRABEGRON ER 50 MG PO TB24 [116080],86.54,86.54,12.81,69.23,23
NDC,0469-3016-01,TACROLIMUS 5 MG/ML IV SOLN [12935],7742.67,7742.67,1145.92,6194.14,23
NDC,0469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1252.87,1252.87,185.42,1002.3,23
NDC,0469-3211-10,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],736.04,736.04,108.93,588.83,23
NDC,0469-3250-10,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],423.0,423.0,62.6,338.4,23
NDC,0469-6501-89,REGADENOSON 0.4 MG/5ML IV SOLN [91408],1014.54,1014.54,150.15,811.63,23
NDC,0472-0082-16,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
NDC,0472-0166-30,NYSTATIN 100000 UNIT/GM EX OINT [5750],113.67,113.67,16.82,90.94,23
NDC,0472-0235-16,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1009.99,1009.99,149.48,807.99,23
NDC,0472-0242-60,PERMETHRIN 5 % EX CREA [10917],466.66,466.66,69.07,373.33,23
NDC,0472-0337-30,HYDROCORTISONE 2.5 % EX CREA [3727],51.75,51.75,7.66,41.4,23
NDC,0472-0345-56,HYDROCORTISONE 1 % EX OINT [3731],16.32,16.32,2.42,13.06,23
NDC,0472-0381-15,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],196.24,196.24,29.04,156.99,23
NDC,0472-0400-15,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
NDC,0472-0400-30,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],841.13,841.13,124.49,672.9,23
NDC,0472-0400-60,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
NDC,0472-0402-25,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
NDC,0472-0735-56,MICONAZOLE NITRATE 2 % EX CREA [5039],15.53,15.53,2.3,12.42,23
NDC,0472-0825-16,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],133.13,133.13,19.7,106.5,23
NDC,0480-2688-06,TICAGRELOR 60 MG PO TABS [129167],41.51,41.51,6.14,33.21,23
NDC,0480-3310-01,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
NDC,0480-7736-06,DARUNAVIR 600 MG PO TABS [92851],172.39,172.39,25.51,137.91,23
NDC,0486-1111-01,POTASSIUM PHOSPHATE MONOBASIC 500 MG PO TABS [11087],6.0,6.0,0.89,4.8,23
NDC,0487-0201-01,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.38,10.38,1.54,8.3,23
NDC,0487-0201-60,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],9.89,9.89,1.46,7.91,23
NDC,0487-2784-01,RACEPINEPHRINE HCL 2.25 % IN NEBU [113303],11.75,11.75,1.74,9.4,23
NDC,0487-5901-99,RACEPINEPHRINE HCL 2.25 % IN NEBU [113303],11.75,11.75,1.74,9.4,23
NDC,0487-9003-30,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
NDC,0487-9003-60,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
NDC,0487-9301-03,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
NDC,0487-9301-33,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
NDC,0487-9501-01,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,0487-9501-03,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,0487-9501-25,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,0487-9601-01,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
NDC,0487-9601-30,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],27.97,27.97,4.14,22.38,23
NDC,0487-9701-01,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.49,52.49,7.77,41.99,23
NDC,0487-9701-30,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],29.46,29.46,4.36,23.57,23
NDC,0487-9801-01,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.0,6.0,0.89,4.8,23
NDC,0487-9801-25,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.21,6.21,0.92,4.97,23
NDC,0496-0882-05,LIDOCAINE 4 % EX CREA [23461],39.48,39.48,5.84,31.58,23
NDC,0496-0882-06,LIDOCAINE 4 % EX CREA [23461],39.48,39.48,5.84,31.58,23
NDC,0517-0031-25,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],41.08,41.08,6.08,32.86,23
NDC,0517-0375-01,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN [10265],741.61,741.61,109.76,593.29,23
NDC,0517-0375-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML IJ SOLN [10265],741.63,741.63,109.76,593.3,23
NDC,0517-0420-01,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],629.14,629.14,93.11,503.31,23
NDC,0517-0650-01,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN [121091],4657.08,4657.08,689.25,3725.66,23
NDC,0517-0710-01,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],5257.17,5257.17,778.06,4205.74,23
NDC,0517-0720-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],256.9,256.9,38.02,205.52,23
NDC,0517-0735-01,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],159.74,159.74,23.64,127.79,23
NDC,0517-0735-10,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],159.74,159.74,23.64,127.79,23
NDC,0517-0740-01,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],162.54,162.54,24.06,130.03,23
NDC,0517-0740-20,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],162.54,162.54,24.06,130.03,23
NDC,0517-0791-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],209.14,209.14,30.95,167.31,23
NDC,0517-0901-25,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],84.6,84.6,12.52,67.68,23
NDC,0517-0955-01,OLANZAPINE 10 MG IM SOLR [38263],205.2,205.2,30.37,164.16,23
NDC,0517-1004-25,ATROPINE SULFATE 0.4 MG/ML IV SOLN [731],63.34,63.34,9.37,50.67,23
NDC,0517-1010-25,ATROPINE SULFATE (PF) 1 MG/ML IJ SOLN [734],70.84,70.84,10.48,56.67,23
NDC,0517-1820-01,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],754.0,754.0,111.59,603.2,23
NDC,0517-2310-01,IRON SUCROSE 20 MG/ML IV SOLN [29132],570.48,570.48,84.43,456.38,23
NDC,0517-2310-05,IRON SUCROSE 20 MG/ML IV SOLN [29132],570.48,570.48,84.43,456.38,23
NDC,0517-2340-01,IRON SUCROSE 20 MG/ML IV SOLN [29132],233.4,233.4,34.54,186.72,23
NDC,0517-2340-10,IRON SUCROSE 20 MG/ML IV SOLN [29132],294.36,294.36,43.57,235.49,23
NDC,0517-2340-25,IRON SUCROSE 20 MG/ML IV SOLN [29132],294.36,294.36,43.57,235.49,23
NDC,0517-2502-10,CAFFEINE-SODIUM BENZOATE 125-125 MG/ML IJ SOLN [1262],189.71,189.71,28.08,151.77,23
NDC,0517-2710-25,CALCIUM CHLORIDE 10 % IV SOLN [1306],100.42,100.42,14.86,80.34,23
NDC,0517-3020-25,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
NDC,0517-3030-01,EPINEPHRINE 1 MG/ML IJ SOLN [121301],787.2,787.2,116.51,629.76,23
NDC,0517-4002-25,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],215.17,215.17,31.85,172.14,23
NDC,0517-4601-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],76.38,76.38,11.3,61.1,23
NDC,0517-4810-25,NITROGLYCERIN 5 MG/ML IV SOLN [5599],87.71,87.71,12.98,70.17,23
NDC,0517-5601-25,HYDROXYZINE HCL 50 MG/ML IM SOLN [3770],167.63,167.63,24.81,134.1,23
NDC,0517-5602-25,HYDROXYZINE HCL 50 MG/ML IM SOLN [3770],207.4,207.4,30.7,165.92,23
NDC,0517-6710-01,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
NDC,0517-6710-10,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
NDC,0517-7315-25,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.08,214.08,31.68,171.26,23
NDC,0517-7604-01,ACETYLCYSTEINE 20 % IN SOLN [123],81.47,81.47,12.06,65.18,23
NDC,0517-7604-25,ACETYLCYSTEINE 20 % IN SOLN [123],81.45,81.45,12.05,65.16,23
NDC,0517-9120-25,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],55.46,55.46,8.21,44.37,23
NDC,0517-9191-25,AMINOCAPROIC ACID 250 MG/ML IV SOLN [403],50.76,50.76,7.51,40.61,23
NDC,0517-9702-01,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],59.98,59.98,8.88,47.98,23
NDC,0517-9702-25,DROPERIDOL 2.5 MG/ML IJ SOLN [2654],59.96,59.96,8.87,47.97,23
NDC,0527-0586-01,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0527-0586-10,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0527-1050-01,ACETAZOLAMIDE 250 MG PO TABS [113],15.49,15.49,2.29,12.39,23
NDC,0527-1282-01,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
NDC,0527-1311-01,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
NDC,0527-1313-01,PILOCARPINE HCL 5 MG PO TABS [12803],8.53,8.53,1.26,6.82,23
NDC,0527-1315-01,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
NDC,0527-1315-06,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
NDC,0527-1318-01,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
NDC,0527-1325-01,DIGOXIN 0.25 MG PO TABS [2445],10.81,10.81,1.6,8.65,23
NDC,0527-1367-01,PROBENECID 500 MG PO TABS [6561],17.54,17.54,2.6,14.03,23
NDC,0527-1369-01,DANAZOL 200 MG PO CAPS [2120],42.63,42.63,6.31,34.1,23
NDC,0527-1369-06,DANAZOL 200 MG PO CAPS [2120],48.35,48.35,7.16,38.68,23
NDC,0527-1395-01,LOXAPINE SUCCINATE 10 MG PO CAPS [4599],6.0,6.0,0.89,4.8,23
NDC,0527-1500-37,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
NDC,0527-1681-01,CLOBAZAM 10 MG PO TABS [111272],86.04,86.04,12.73,68.83,23
NDC,0527-1788-01,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
NDC,0527-1789-01,FLUPHENAZINE HCL 2.5 MG PO TABS [3220],31.96,31.96,4.73,25.57,23
NDC,0527-1790-01,FLUPHENAZINE HCL 5 MG PO TABS [3221],43.24,43.24,6.4,34.59,23
NDC,0527-1791-01,FLUPHENAZINE HCL 10 MG PO TABS [3219],54.52,54.52,8.07,43.62,23
NDC,0527-1932-06,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
NDC,0527-1947-48,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],1519.72,1519.72,224.92,1215.78,23
NDC,0527-2133-35,POSACONAZOLE 100 MG PO TBEC [122312],287.9,287.9,42.61,230.32,23
NDC,0527-2215-37,METOLAZONE 2.5 MG PO TABS [10587],11.52,11.52,1.7,9.22,23
NDC,0527-2216-37,METOLAZONE 5 MG PO TABS [10588],13.09,13.09,1.94,10.47,23
NDC,0527-2217-37,METOLAZONE 10 MG PO TABS [10586],15.67,15.67,2.32,12.54,23
NDC,0527-2961-37,CHLORPROMAZINE HCL 10 MG PO TABS [1653],20.21,20.21,2.99,16.17,23
NDC,0527-2965-37,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
NDC,0527-3282-46,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,0527-3284-46,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,0527-3285-46,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,0527-3287-46,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
NDC,0527-3288-46,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,0527-4116-37,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.68,9.68,1.43,7.74,23
NDC,0527-4117-37,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.32,11.32,1.68,9.06,23
NDC,0527-4119-37,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
NDC,0527-5125-70,LACTULOSE 10 GM/15ML SOLN [38245],157.71,157.71,23.34,126.17,23
NDC,0527-5180-70,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
NDC,0527-6004-80,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
NDC,0536-0091-85,ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP [353],37.8,37.8,5.59,30.24,23
NDC,0536-1008-36,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,0536-1055-56,BENZOYL PEROXIDE 5 % EX GEL [991],26.77,26.77,3.96,21.42,23
NDC,0536-1056-56,BENZOYL PEROXIDE 10 % EX GEL [989],32.56,32.56,4.82,26.05,23
NDC,0536-1106-88,NICOTINE 7 MG/24HR TD PT24 [27860],10.07,10.07,1.49,8.06,23
NDC,0536-1186-12,PHENYLEPHRINE-COCOA BUTTER 0.25-88.44 % RECTAL SUPP [124555],6.0,6.0,0.89,4.8,23
NDC,0536-1211-95,DIBUCAINE 1 % EX OINT [2412],27.64,27.64,4.09,22.11,23
NDC,0536-1224-97,EYE WASH OP SOLN [3000],17.2,17.2,2.55,13.76,23
NDC,0536-1228-58,PHENOL 1.4 % MT LIQD [36976],15.81,15.81,2.34,12.65,23
NDC,0536-1252-40,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],59.79,59.79,8.85,47.83,23
NDC,0536-1254-94,SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN [7332],24.75,24.75,3.66,19.8,23
NDC,0536-1268-12,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],30.26,30.26,4.48,24.21,23
NDC,0536-1272-22,CLOTRIMAZOLE 1 % EX CREA [1767],11.32,11.32,1.68,9.06,23
NDC,0536-1277-80,HYDROCORTISONE 1 % EX CREA [3726],11.0,11.0,1.63,8.8,23
NDC,0536-1286-36,BISMUTH SUBSALICYLATE 262 MG/15ML PO SUSP [1090],22.0,22.0,3.26,17.6,23
NDC,0536-1293-83,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
NDC,0536-1294-97,DICLOFENAC SODIUM 1 % EX GEL [150015],71.91,71.91,10.64,57.53,23
NDC,0536-1299-01,MECLIZINE HCL 25 MG PO CHEW [4822],6.0,6.0,0.89,4.8,23
NDC,0536-1303-75,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],12.27,12.27,1.82,9.82,23
NDC,0536-1304-85,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],60.03,60.03,8.88,48.02,23
NDC,0536-1314-85,GUAIFENESIN 100 MG/5ML PO LIQD [76829],24.46,24.46,3.62,19.57,23
NDC,0536-1317-83,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
NDC,0536-1327-10,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,0536-1344-80,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],19.27,19.27,2.85,15.42,23
NDC,0536-1375-75,MICONAZOLE NITRATE 2 % EX CREA [5039],24.82,24.82,3.67,19.86,23
NDC,0536-1439-01,COPPER GLUCONATE 2 MG PO TABS [113295],6.0,6.0,0.89,4.8,23
NDC,0536-2030-07,COENZYME Q10 200 MG PO CAPS [41804],6.0,6.0,0.89,4.8,23
NDC,0536-2470-85,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],20.01,20.01,2.96,16.01,23
NDC,0536-2525-25,CAPSAICIN 0.025 % EX CREA [1350],46.82,46.82,6.93,37.46,23
NDC,0536-4078-10,NIACIN 500 MG PO TABS [5542],6.0,6.0,0.89,4.8,23
NDC,0536-4085-01,PRENATAL VITAMINS 28-0.8 MG PO TABS [118810],6.0,6.0,0.89,4.8,23
NDC,0536-5894-53,NICOTINE 7 MG/24HR TD PT24 [27860],11.24,11.24,1.66,8.99,23
NDC,0536-5895-88,NICOTINE 14 MG/24HR TD PT24 [27862],10.07,10.07,1.49,8.06,23
NDC,0536-5896-71,NICOTINE 21 MG/24HR TD PT24 [27863],10.07,10.07,1.49,8.06,23
NDC,0536-5896-88,NICOTINE 21 MG/24HR TD PT24 [27863],10.07,10.07,1.49,8.06,23
NDC,0536-7415-51,ENEMA 7-19 GM/133ML RECTAL ENEM [2805],8.13,8.13,1.2,6.5,23
NDC,0548-5400-00,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],129.9,129.9,19.23,103.92,23
NDC,0548-5601-00,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],25.38,25.38,3.76,20.3,23
NDC,0548-5602-00,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],33.84,33.84,5.01,27.07,23
NDC,0548-5603-00,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],50.76,50.76,7.51,40.61,23
NDC,0548-5604-00,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],67.68,67.68,10.02,54.14,23
NDC,0548-5606-00,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],93.53,93.53,13.84,74.82,23
NDC,0548-5607-00,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],116.91,116.91,17.3,93.53,23
NDC,0548-5631-00,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],25.38,25.38,3.76,20.3,23
NDC,0548-5900-00,COSYNTROPIN 0.25 MG IJ SOLR [9686],482.17,482.17,71.36,385.74,23
NDC,0548-9090-10,HYALURONIDASE BOVINE 150 UNIT/ML IJ SOLN [91037],260.48,260.48,38.55,208.38,23
NDC,0548-9501-00,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],728.16,728.16,107.77,582.53,23
NDC,0548-9502-00,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],787.2,787.2,116.51,629.76,23
NDC,0555-0033-02,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
NDC,0555-0066-02,ISONIAZID 100 MG PO TABS [4026],6.0,6.0,0.89,4.8,23
NDC,0555-0071-01,ISONIAZID 300 MG PO TABS [4027],6.0,6.0,0.89,4.8,23
NDC,0555-0071-02,ISONIAZID 300 MG PO TABS [4027],6.0,6.0,0.89,4.8,23
NDC,0555-0158-02,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
NDC,0555-0159-02,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,0555-0159-04,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,0555-0211-10,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
NDC,0555-0484-01,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],11.1,11.1,1.64,8.88,23
NDC,0555-0484-02,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],11.06,11.06,1.64,8.85,23
NDC,0555-0572-02,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,0555-0607-02,MEGESTROL ACETATE 40 MG PO TABS [4871],8.03,8.03,1.19,6.42,23
NDC,0555-0633-02,DANAZOL 50 MG PO CAPS [9715],17.05,17.05,2.52,13.64,23
NDC,0555-0635-02,DANAZOL 200 MG PO CAPS [2120],42.63,42.63,6.31,34.1,23
NDC,0555-0635-09,DANAZOL 200 MG PO CAPS [2120],48.35,48.35,7.16,38.68,23
NDC,0555-0779-02,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],6.0,6.0,0.89,4.8,23
NDC,0555-0872-02,MEDROXYPROGESTERONE ACETATE 2.5 MG PO TABS [4855],6.0,6.0,0.89,4.8,23
NDC,0555-0873-02,MEDROXYPROGESTERONE ACETATE 5 MG PO TABS [4856],6.0,6.0,0.89,4.8,23
NDC,0555-0882-02,HYDROXYUREA 500 MG PO CAPS [10236],6.93,6.93,1.03,5.54,23
NDC,0555-0886-02,ESTRADIOL 1 MG PO TABS [9967],6.0,6.0,0.89,4.8,23
NDC,0555-0887-02,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
NDC,0555-0887-04,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
NDC,0555-0952-02,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
NDC,0555-0972-02,AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS [9081],8.06,8.06,1.19,6.45,23
NDC,0555-0997-02,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
NDC,0555-1054-86,ISOTRETINOIN 10 MG PO CAPS [10359],88.78,88.78,13.14,71.02,23
NDC,0555-1055-86,ISOTRETINOIN 20 MG PO CAPS [10360],105.28,105.28,15.58,84.22,23
NDC,0555-9045-58,"FALMINA,ORSYTHIA,LEVONORG-ETHINYL ESTRAD 0.1/0.02MG TAB [20638]",152.28,152.28,22.54,121.82,23
NDC,0573-2660-12,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,0573-2660-24,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,0574-0067-16,ISOPROPYL ALCOHOL 70 % SOLN [4030],13.34,13.34,1.97,10.67,23
NDC,0574-0106-01,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],17.65,17.65,2.61,14.12,23
NDC,0574-0106-03,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],19.45,19.45,2.88,15.56,23
NDC,0574-0107-70,CLOTRIMAZOLE 10 MG MT TROC [9644],7.56,7.56,1.12,6.05,23
NDC,0574-0107-77,CLOTRIMAZOLE 10 MG MT TROC [9644],6.72,6.72,0.99,5.38,23
NDC,0574-0129-01,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],126.87,126.87,18.78,101.5,23
NDC,0574-0150-04,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],316.27,316.27,46.81,253.02,23
NDC,0574-0292-01,AMILORIDE HCL 5 MG PO TABS [391],6.0,6.0,0.89,4.8,23
NDC,0574-0302-16,ORA-SWEET SF PO SYRP [5853],96.27,96.27,14.25,77.02,23
NDC,0574-0303-16,ORA-PLUS PO LIQD [5851],96.27,96.27,14.25,77.02,23
NDC,0574-0304-16,ORA-SWEET PO SYRP [5852],96.27,96.27,14.25,77.02,23
NDC,0574-0420-25,HYDROCORTISONE MICRONIZED POWD [10217],350.1,350.1,51.81,280.08,23
NDC,0574-0521-08,CHARCOAL ACTIVATED PO LIQD [27099],102.89,102.89,15.23,82.31,23
NDC,0574-0521-76,CHARCOAL ACTIVATED PO LIQD [27099],102.89,102.89,15.23,82.31,23
NDC,0574-0611-05,PODOFILOX 0.5 % EX SOLN [11038],407.73,407.73,60.34,326.18,23
NDC,0574-0791-01,METHAZOLAMIDE 50 MG PO TABS [4962],25.95,25.95,3.84,20.76,23
NDC,0574-0805-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],739.97,739.97,109.52,591.98,23
NDC,0574-0820-10,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],382.25,382.25,56.57,305.8,23
NDC,0574-0850-05,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],594.23,594.23,87.95,475.38,23
NDC,0574-0850-10,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],564.52,564.52,83.55,451.62,23
NDC,0574-0866-10,CYCLOSPORINE 50 MG/ML IV SOLN [9705],203.19,203.19,30.07,162.55,23
NDC,0574-0870-05,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],544.05,544.05,80.52,435.24,23
NDC,0574-1133-04,SPIRONOLACTONE 25 MG/5ML PO SUSP [138011],1471.92,1471.92,217.84,1177.54,23
NDC,0574-2008-15,NYSTATIN 100000 UNIT/GM EX POWD [39136],118.93,118.93,17.6,95.14,23
NDC,0574-2008-30,NYSTATIN 100000 UNIT/GM EX POWD [39136],209.36,209.36,30.99,167.49,23
NDC,0574-4024-11,ERYTHROMYCIN 5 MG/GM OP OINT [2888],40.88,40.88,6.05,32.7,23
NDC,0574-4024-35,ERYTHROMYCIN 5 MG/GM OP OINT [2888],84.41,84.41,12.49,67.53,23
NDC,0574-4024-39,ERYTHROMYCIN 5 MG/GM OP OINT [2888],84.44,84.44,12.5,67.55,23
NDC,0574-4024-50,ERYTHROMYCIN 5 MG/GM OP OINT [2888],40.88,40.88,6.05,32.7,23
NDC,0574-7034-12,ASPIRIN 300 MG RECTAL SUPP [693],6.86,6.86,1.02,5.49,23
NDC,0574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2-30 MG RECTAL SUPP [9219],119.16,119.16,17.64,95.33,23
NDC,0574-7050-12,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,0574-7050-50,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,0574-7090-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],67.8,67.8,10.03,54.24,23
NDC,0574-7112-12,MORPHINE SULFATE 10 MG RECTAL SUPP [5180],29.38,29.38,4.35,23.5,23
NDC,0574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPP [11138],59.15,59.15,8.75,47.32,23
NDC,0574-9850-10,BUDESONIDE 3 MG PO CPEP [31576],119.59,119.59,17.7,95.67,23
NDC,0574-9855-10,BUDESONIDE 3 MG PO CPEP [31576],6.0,6.0,0.89,4.8,23
NDC,0575-6200-30,DIAZOXIDE 50 MG/ML PO SUSP [19713],1699.21,1699.21,251.48,1359.37,23
NDC,0591-0241-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,0591-0371-01,LOXAPINE SUCCINATE 25 MG PO CAPS [4600],9.05,9.05,1.34,7.24,23
NDC,0591-0372-01,LOXAPINE SUCCINATE 50 MG PO CAPS [4602],12.09,12.09,1.79,9.67,23
NDC,0591-0444-01,GUANFACINE HCL 1 MG PO TABS [10149],6.0,6.0,0.89,4.8,23
NDC,0591-0461-01,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
NDC,0591-0582-01,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
NDC,0591-0583-01,PROPAFENONE HCL 225 MG PO TABS [11147],10.95,10.95,1.62,8.76,23
NDC,0591-0605-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,0591-0607-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,0591-0794-01,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,0591-0795-01,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
NDC,0591-0796-01,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
NDC,0591-0796-05,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
NDC,0591-0845-10,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
NDC,0591-0861-01,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
NDC,0591-0900-30,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
NDC,0591-2127-79,BRINZOLAMIDE 1 % OP SUSP [22953],1283.44,1283.44,189.95,1026.75,23
NDC,0591-2136-57,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],148.09,148.09,21.92,118.47,23
NDC,0591-2136-80,PROPOFOL 200 MG/20ML IV EMUL [130905],32.15,32.15,4.76,25.72,23
NDC,0591-2136-95,PROPOFOL 200 MG/20ML IV EMUL [130905],32.15,32.15,4.76,25.72,23
NDC,0591-2258-23,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],105.13,105.13,15.56,84.1,23
NDC,0591-2312-15,ALVIMOPAN 12 MG PO CAPS [91870],679.94,679.94,100.63,543.95,23
NDC,0591-2312-45,ALVIMOPAN 12 MG PO CAPS [91870],744.3,744.3,110.16,595.44,23
NDC,0591-2464-01,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
NDC,0591-2472-60,TAMOXIFEN CITRATE 10 MG PO TABS [7711],8.91,8.91,1.32,7.13,23
NDC,0591-2473-19,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
NDC,0591-2520-01,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
NDC,0591-2520-05,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
NDC,0591-2562-01,COLCHICINE 0.6 MG PO TABS [1821],38.53,38.53,5.7,30.82,23
NDC,0591-2679-11,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
NDC,0591-2679-30,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
NDC,0591-2712-02,ALBENDAZOLE 200 MG PO TABS [8979],907.4,907.4,134.3,725.92,23
NDC,0591-3128-79,PROGESTERONE 50 MG/ML IM OIL [6597],167.79,167.79,24.83,134.23,23
NDC,0591-3204-13,PODOFILOX 0.5 % EX SOLN [11038],386.98,386.98,57.27,309.58,23
NDC,0591-3354-01,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
NDC,0591-3369-01,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
NDC,0591-3508-04,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.43,143.43,21.23,114.74,23
NDC,0591-3509-54,CLONIDINE 0.2 MG/24HR TD PTWK [141260],216.93,216.93,32.11,173.54,23
NDC,0591-3525-30,LIDOCAINE 5 % EX PTCH [28203],44.0,44.0,6.51,35.2,23
NDC,0591-3540-60,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.93,7.93,1.17,6.34,23
NDC,0591-3541-60,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.1,9.1,1.35,7.28,23
NDC,0591-3695-30,PALIPERIDONE ER 9 MG PO TB24 [78066],198.73,198.73,29.41,158.98,23
NDC,0591-3713-19,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
NDC,0591-3875-44,MEMANTINE HCL 10 MG PO TABS [36966],28.69,28.69,4.25,22.95,23
NDC,0591-5321-01,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
NDC,0591-5347-01,PROBENECID 500 MG PO TABS [6561],6.0,6.0,0.89,4.8,23
NDC,0591-5544-01,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,0591-5554-01,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0591-5556-01,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,0591-5642-01,MINOXIDIL 2.5 MG PO TABS [5115],6.0,6.0,0.89,4.8,23
NDC,0591-5660-01,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
NDC,0591-5660-05,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
NDC,0591-5694-01,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,0591-5694-60,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,0591-5695-50,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
NDC,0591-5714-01,AMOXAPINE 50 MG PO TABS [449],6.07,6.07,0.9,4.86,23
NDC,0597-0003-02,TIPRANAVIR 250 MG PO CAPS [41676],90.75,90.75,13.43,72.6,23
NDC,0597-0047-24,NEVIRAPINE 50 MG/5ML PO SUSP [24119],772.25,772.25,114.29,617.8,23
NDC,0597-0053-45,GLUCAGON HCL RDNA (DIAGNOSTIC) 1 MG IJ SOLR [41581],675.42,675.42,99.96,540.34,23
NDC,0597-0058-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],54.86,54.86,8.12,43.89,23
NDC,0597-0075-41,TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG IN CAPS [38315],1310.0,1310.0,193.88,1048.0,23
NDC,0597-0075-75,TIOTROPIUM BROMIDE MONOHYDRATE 18 MCG IN CAPS [38315],284.05,284.05,42.04,227.24,23
NDC,0597-0087-17,IPRATROPIUM BROMIDE HFA 17 MCG/ACT IN AERS [41142],1207.72,1207.72,178.74,966.18,23
NDC,0597-0101-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.75 MG PO TABS [88567],39.6,39.6,5.86,31.68,23
NDC,0597-0123-30,NEVIRAPINE ER 400 MG PO TB24 [107815],145.55,145.55,21.54,116.44,23
NDC,0597-0183-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],39.6,39.6,5.86,31.68,23
NDC,0597-0192-61,OLODATEROL HCL 2.5 MCG/ACT IN AERS [125003],1054.72,1054.72,156.1,843.78,23
NDC,0597-0197-05,IDARUCIZUMAB 2.5 GM/50ML IV SOLN [129598],7745.47,7745.47,1146.33,6196.38,23
NDC,0597-0260-10,GLUCAGON HCL RDNA (DIAGNOSTIC) 1 MG IJ SOLR [41581],675.42,675.42,99.96,540.34,23
NDC,0597-0355-09,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],18.65,18.65,2.76,14.92,23
NDC,0597-0355-56,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],18.65,18.65,2.76,14.92,23
NDC,0597-0360-82,DABIGATRAN ETEXILATE MESYLATE 150 MG PO CAPS [105342],18.65,18.65,2.76,14.92,23
NDC,0603-1508-58,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
NDC,0603-1880-10,LIDOCAINE 5 % EX PTCH [28203],48.32,48.32,7.15,38.66,23
NDC,0603-1880-16,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
NDC,0603-2338-21,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
NDC,0603-2437-21,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
NDC,0603-2438-21,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,0603-2439-21,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
NDC,0603-2544-21,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
NDC,0603-3582-21,FELODIPINE ER 5 MG PO TB24 [27490],7.11,7.11,1.05,5.69,23
NDC,0603-4593-21,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.72,6.72,0.99,5.38,23
NDC,0603-4975-21,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0603-5061-21,PERPHENAZINE 4 MG PO TABS [6158],7.49,7.49,1.11,5.99,23
NDC,0603-5062-21,PERPHENAZINE 8 MG PO TABS [6159],9.09,9.09,1.35,7.27,23
NDC,0603-5168-21,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,0603-5337-21,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,0603-5338-21,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0603-5338-28,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0603-5338-32,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0603-5449-21,PROPAFENONE HCL 225 MG PO TABS [11147],10.96,10.96,1.62,8.77,23
NDC,0603-5482-21,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0603-5482-32,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0603-5484-21,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,0603-5485-21,PROPRANOLOL HCL 60 MG PO TABS [6659],6.0,6.0,0.89,4.8,23
NDC,0603-5486-21,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
NDC,0641-0376-21,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,0641-0376-25,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,0641-0400-12,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,0641-0476-21,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],136.92,136.92,20.26,109.54,23
NDC,0641-0476-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],136.94,136.94,20.27,109.55,23
NDC,0641-0477-21,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],319.3,319.3,47.26,255.44,23
NDC,0641-0477-25,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],319.29,319.29,47.25,255.43,23
NDC,0641-0493-25,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
NDC,0641-0928-21,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-0928-25,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-0948-31,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-0948-35,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-0955-21,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-0955-25,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-1397-31,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.13,150.13,22.22,120.1,23
NDC,0641-1397-35,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.11,150.11,22.22,120.09,23
NDC,0641-1398-35,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN [129102],172.0,172.0,25.46,137.6,23
NDC,0641-1410-31,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
NDC,0641-1410-35,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
NDC,0641-1495-31,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-1495-35,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-2450-55,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],53.73,53.73,7.95,42.98,23
NDC,0641-2555-41,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
NDC,0641-2555-45,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
NDC,0641-2569-41,DIPYRIDAMOLE 5 MG/ML IV SOLN [9891],102.89,102.89,15.23,82.31,23
NDC,0641-2569-44,DIPYRIDAMOLE 5 MG/ML IV SOLN [9891],102.89,102.89,15.23,82.31,23
NDC,0641-6001-01,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0641-6006-01,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
NDC,0641-6006-10,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
NDC,0641-6007-10,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0641-6008-01,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0641-6008-10,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0641-6014-01,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],35.16,35.16,5.2,28.13,23
NDC,0641-6014-10,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],35.16,35.16,5.2,28.13,23
NDC,0641-6015-10,DILTIAZEM HCL 125 MG/25ML IV SOLN [97253],51.35,51.35,7.6,41.08,23
NDC,0641-6018-06,DOXAPRAM HCL 20 MG/ML IV SOLN [2607],248.42,248.42,36.77,198.74,23
NDC,0641-6019-01,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],150.47,150.47,22.27,120.38,23
NDC,0641-6019-10,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],150.47,150.47,22.27,120.38,23
NDC,0641-6020-10,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],150.47,150.47,22.27,120.38,23
NDC,0641-6022-01,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,0641-6022-25,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,0641-6027-01,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0641-6027-25,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0641-6028-01,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0641-6028-25,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0641-6029-01,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],62.04,62.04,9.18,49.63,23
NDC,0641-6029-25,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],62.04,62.04,9.18,49.63,23
NDC,0641-6030-01,FENTANYL 2500 MCG/50 ML PREMIX [600898],144.9,144.9,21.45,115.92,23
NDC,0641-6041-25,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,0641-6042-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,0641-6042-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,0641-6043-25,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,0641-6044-01,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0641-6044-25,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0641-6046-10,LORAZEPAM 2 MG/ML IJ SOLN [10467],65.99,65.99,9.77,52.79,23
NDC,0641-6048-25,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,0641-6050-10,LORAZEPAM 2 MG/ML IJ SOLN [10467],60.07,60.07,8.89,48.06,23
NDC,0641-6052-25,MEPERIDINE HCL 25 MG/ML IJ SOLN [4903],22.0,22.0,3.26,17.6,23
NDC,0641-6053-25,MEPERIDINE HCL 50 MG/ML IJ SOLN [4904],22.0,22.0,3.26,17.6,23
NDC,0641-6057-01,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,0641-6057-25,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,0641-6060-01,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],38.92,38.92,5.76,31.14,23
NDC,0641-6060-10,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],38.92,38.92,5.76,31.14,23
NDC,0641-6061-25,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
NDC,0641-6078-01,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,0641-6078-25,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,0641-6080-25,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,0641-6084-25,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,0641-6116-10,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],23.69,23.69,3.51,18.95,23
NDC,0641-6117-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],42.98,42.98,6.36,34.38,23
NDC,0641-6125-01,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0641-6125-25,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0641-6127-01,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
NDC,0641-6127-25,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
NDC,0641-6132-25,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],33.84,33.84,5.01,27.07,23
NDC,0641-6135-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],40.9,40.9,6.05,32.72,23
NDC,0641-6136-25,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],83.48,83.48,12.36,66.78,23
NDC,0641-6137-01,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
NDC,0641-6137-10,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
NDC,0641-6138-25,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
NDC,0641-6139-25,PHENYTOIN SODIUM 50 MG/ML IJ SOLN [6256],22.0,22.0,3.26,17.6,23
NDC,0641-6142-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.56,22.56,3.34,18.05,23
NDC,0641-6145-25,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,0641-6146-01,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,0641-6146-10,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,0641-6146-25,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,0641-6147-01,STERILE WATER FOR INJECTION IJ SOLN [7484],29.38,29.38,4.35,23.5,23
NDC,0641-6147-10,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
NDC,0641-6147-25,STERILE WATER FOR INJECTION IJ SOLN [7484],29.38,29.38,4.35,23.5,23
NDC,0641-6149-01,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],50.76,50.76,7.51,40.61,23
NDC,0641-6149-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],50.76,50.76,7.51,40.61,23
NDC,0641-6151-01,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0641-6151-25,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],22.0,22.0,3.26,17.6,23
NDC,0641-6161-10,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,0641-6167-10,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],45.12,45.12,6.68,36.1,23
NDC,0641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
NDC,0641-6175-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,0641-6175-10,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,0641-6176-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,0641-6176-10,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,0641-6184-01,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
NDC,0641-6184-25,DIGOXIN 0.25 MG/ML IJ SOLN [2442],31.02,31.02,4.59,24.82,23
NDC,0641-6188-01,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],103.92,103.92,15.38,83.14,23
NDC,0641-6188-10,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],103.92,103.92,15.38,83.14,23
NDC,0641-6190-10,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
NDC,0641-6192-01,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0641-6192-10,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN [116365],22.0,22.0,3.26,17.6,23
NDC,0641-6194-01,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
NDC,0641-6194-10,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
NDC,0641-6206-01,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0641-6206-10,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,0641-6228-01,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
NDC,0641-6228-25,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
NDC,0641-6231-01,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],84.6,84.6,12.52,67.68,23
NDC,0641-6238-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],129.96,129.96,19.23,103.97,23
NDC,0641-6244-01,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
NDC,0641-6244-10,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
NDC,0641-6247-01,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [143702],22.0,22.0,3.26,17.6,23
NDC,0641-6247-25,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,0641-6251-10,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],182.38,182.38,26.99,145.9,23
NDC,0641-6253-01,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
NDC,0641-6261-01,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],70.22,70.22,10.39,56.18,23
NDC,0641-6282-01,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,0641-6282-25,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,0641-9218-10,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.38,22.38,3.31,17.9,23
NDC,0703-0031-01,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.07,49.07,7.26,39.26,23
NDC,0703-0031-04,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.07,49.07,7.26,39.26,23
NDC,0703-1501-02,ALPROSTADIL 500 MCG/ML IJ SOLN [9001],490.14,490.14,72.54,392.11,23
NDC,0703-2033-03,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN [119122],78.96,78.96,11.69,63.17,23
NDC,0703-2056-03,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
NDC,0703-3154-01,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],267.01,267.01,39.52,213.61,23
NDC,0703-3155-01,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],480.0,480.0,71.04,384.0,23
NDC,0703-3218-01,PACLITAXEL 300 MG/50ML IV CONC [31097],452.4,452.4,66.96,361.92,23
NDC,0703-3301-04,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
NDC,0703-3311-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,0703-3311-04,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,0703-3321-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,0703-3321-04,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,0703-3429-11,IFOSFAMIDE 3 GM/60ML IV SOLN [87926],486.56,486.56,72.01,389.25,23
NDC,0703-3671-01,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],58.38,58.38,8.64,46.7,23
NDC,0703-3678-01,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],172.86,172.86,25.58,138.29,23
NDC,0703-3985-01,OXALIPLATIN 50 MG/10ML IV SOLN [99602],233.4,233.4,34.54,186.72,23
NDC,0703-3986-01,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
NDC,0703-4154-11,IDARUBICIN HCL 5 MG/5ML IV SOLN [88241],384.41,384.41,56.89,307.53,23
NDC,0703-4155-11,IDARUBICIN HCL 10 MG/10ML IV SOLN [88242],745.11,745.11,110.28,596.09,23
NDC,0703-4156-11,IDARUBICIN HCL 20 MG/20ML IV SOLN [88243],1296.52,1296.52,191.88,1037.22,23
NDC,0703-4239-01,CARBOPLATIN 600 MG/60ML IV SOLN [40055],308.56,308.56,45.67,246.85,23
NDC,0703-4248-01,CARBOPLATIN 450 MG/45ML IV SOLN [39267],303.37,303.37,44.9,242.7,23
NDC,0703-4248-91,CARBOPLATIN 450 MG/45ML IV SOLN [39267],303.37,303.37,44.9,242.7,23
NDC,0703-4502-01,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0703-4502-04,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0703-4502-93,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,0703-4636-01,STREPTOZOCIN 1 G IV SOLR [11436],1374.59,1374.59,203.44,1099.67,23
NDC,0703-4685-01,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],669.12,669.12,99.03,535.3,23
NDC,0703-5054-01,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2078.44,2078.44,307.61,1662.75,23
NDC,0703-5075-01,DACARBAZINE 200 MG IV SOLR [2091],92.55,92.55,13.7,74.04,23
NDC,0703-5145-01,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],98.47,98.47,14.57,78.78,23
NDC,0703-5233-13,DAUNORUBICIN HCL 20 MG/4ML IV SOLN [140089],606.87,606.87,89.82,485.5,23
NDC,0703-5653-01,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
NDC,0703-5657-01,ETOPOSIDE 1 GM/50ML IV SOLN [121723],354.77,354.77,52.51,283.82,23
NDC,0703-5747-11,CISPLATIN 50 MG/50ML IV SOLN [88376],104.79,104.79,15.51,83.83,23
NDC,0703-5748-11,CISPLATIN 100 MG/100ML IV SOLN [88377],209.58,209.58,31.02,167.66,23
NDC,0703-7131-03,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],204.0,204.0,30.19,163.2,23
NDC,0703-8530-23,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],33.68,33.68,4.98,26.94,23
NDC,0703-8540-23,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.79,44.79,6.63,35.83,23
NDC,0703-8777-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],577.49,577.49,85.47,461.99,23
NDC,0703-9032-01,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],69.12,69.12,10.23,55.3,23
NDC,0703-9032-03,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],69.12,69.12,10.23,55.3,23
NDC,0703-9040-03,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],127.36,127.36,18.85,101.89,23
NDC,0703-9258-09,GLYCINE DILUENT IV SOLN [16639],66.27,66.27,9.81,53.02,23
NDC,0703-9514-03,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
NDC,0703-9514-91,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
NDC,0703-9514-93,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],70.74,70.74,10.47,56.59,23
NDC,0713-0102-06,GLYCERIN (LAXATIVE) 1.2 G RECTAL SUPP [76974],6.0,6.0,0.89,4.8,23
NDC,0713-0224-15,FLUOCINOLONE ACETONIDE 0.025 % EX OINT [3185],146.92,146.92,21.74,117.54,23
NDC,0713-0280-31,BACITRACIN 500 UNIT/GM EX OINT [850],16.29,16.29,2.41,13.03,23
NDC,0713-0503-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],98.07,98.07,14.51,78.46,23
NDC,0713-0503-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.16,93.16,13.79,74.53,23
NDC,0713-0526-12,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
NDC,0713-0536-06,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
NDC,0713-0536-12,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
NDC,0713-0552-73,TERCONAZOLE 80 MG VA SUPP [11512],204.25,204.25,30.23,163.4,23
NDC,0713-0572-93,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.59,11.59,1.72,9.27,23
NDC,0713-0592-04,KETOCONAZOLE 2 % EX SHAM [14132],102.37,102.37,15.15,81.9,23
NDC,0713-0632-31,FLUTICASONE PROPIONATE 0.005 % EX OINT [10083],296.66,296.66,43.91,237.33,23
NDC,0713-0633-37,METRONIDAZOLE 0.75 % EX CREA [19805],1600.08,1600.08,236.81,1280.06,23
NDC,0713-0637-37,METRONIDAZOLE 0.75 % EX GEL [19741],1048.56,1048.56,155.19,838.85,23
NDC,0713-0678-15,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
NDC,0713-0682-31,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
NDC,0713-0683-15,GENTAMICIN SULFATE 0.1 % EX CREA [3423],213.82,213.82,31.65,171.06,23
NDC,0713-0709-15,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],194.21,194.21,28.74,155.37,23
NDC,0713-0885-30,CLOMIPHENE CITRATE 50 MG PO TABS [1753],53.09,53.09,7.86,42.47,23
NDC,0713-0936-81,COLESEVELAM HCL 625 MG PO TABS [28372],18.6,18.6,2.75,14.88,23
NDC,0761-0910-10,COENZYME Q10 200 MG PO CAPS [41804],6.0,6.0,0.89,4.8,23
NDC,07610-22640,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,0781-1046-13,PERPHENAZINE 2 MG PO TABS [6157],9.24,9.24,1.37,7.39,23
NDC,0781-1047-01,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
NDC,0781-1047-13,PERPHENAZINE 4 MG PO TABS [6158],12.63,12.63,1.87,10.1,23
NDC,0781-1048-13,PERPHENAZINE 8 MG PO TABS [6159],15.33,15.33,2.27,12.26,23
NDC,0781-1061-01,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
NDC,0781-1071-01,METHAZOLAMIDE 50 MG PO TABS [4962],36.02,36.02,5.33,28.82,23
NDC,0781-1077-01,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
NDC,0781-1079-01,ALPRAZOLAM 1 MG PO TABS [326],6.0,6.0,0.89,4.8,23
NDC,0781-1506-01,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
NDC,0781-1507-01,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
NDC,0781-1556-01,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,0781-1635-01,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
NDC,0781-1695-01,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
NDC,0781-1762-01,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
NDC,0781-1764-01,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
NDC,0781-1766-01,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
NDC,0781-1831-20,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
NDC,0781-1852-20,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,0781-1943-82,AMOXICILLIN-POT CLAVULANATE ER 1000-62.5 MG PO TB12 [33862],39.63,39.63,5.87,31.7,23
NDC,0781-1962-60,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
NDC,0781-2020-01,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
NDC,0781-2020-05,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
NDC,0781-2027-01,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
NDC,0781-2037-01,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
NDC,0781-2076-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
NDC,0781-2102-01,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,0781-2103-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,0781-2104-01,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
NDC,0781-2145-01,AMPICILLIN 500 MG PO CAPS [466],6.0,6.0,0.89,4.8,23
NDC,0781-2147-31,LANSOPRAZOLE 15 MG PO CPDR [27691],26.64,26.64,3.94,21.31,23
NDC,0781-2234-31,OMEPRAZOLE 40 MG PO CPDR [27695],34.76,34.76,5.14,27.81,23
NDC,0781-2248-01,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],6.0,6.0,0.89,4.8,23
NDC,0781-2321-06,APREPITANT 40 MG PO CAPS [76843],414.48,414.48,61.34,331.58,23
NDC,0781-2321-51,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
NDC,0781-2322-68,APREPITANT 80 MG PO CAPS [35488],668.34,668.34,98.91,534.67,23
NDC,0781-2323-68,APREPITANT 125 MG PO CAPS [35489],1044.31,1044.31,154.56,835.45,23
NDC,0781-2613-05,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
NDC,0781-2694-75,TEMOZOLOMIDE 140 MG PO CAPS [81461],1159.83,1159.83,171.65,927.86,23
NDC,0781-3000-95,MEROPENEM 500 MG IV SOLR [17379],85.61,85.61,12.67,68.49,23
NDC,0781-3040-95,PYRIDOSTIGMINE BROMIDE 10 MG/2ML IV SOLN [126893],166.27,166.27,24.61,133.02,23
NDC,0781-3056-70,ISONIAZID 100 MG/ML IJ SOLN [4024],1154.76,1154.76,170.9,923.81,23
NDC,0781-3059-72,DIGOXIN 0.25 MG/ML IJ SOLN [2442],35.14,35.14,5.2,28.11,23
NDC,0781-3059-95,DIGOXIN 0.25 MG/ML IJ SOLN [2442],35.14,35.14,5.2,28.11,23
NDC,0781-3079-12,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
NDC,0781-3098-95,MEROPENEM 1 G IV SOLR [17380],157.73,157.73,23.34,126.18,23
NDC,0781-3110-95,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],57.85,57.85,8.56,46.28,23
NDC,0781-3113-95,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],86.79,86.79,12.84,69.43,23
NDC,0781-3114-91,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
NDC,0781-3114-95,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
NDC,0781-3124-85,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.62,68.62,10.16,54.9,23
NDC,0781-3124-95,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.62,68.62,10.16,54.9,23
NDC,0781-3126-46,NAFCILLIN SODIUM 10 G IV SOLR [139273],523.17,523.17,77.43,418.54,23
NDC,0781-3126-95,NAFCILLIN SODIUM 10 G IV SOLR [139273],523.18,523.18,77.43,418.54,23
NDC,0781-3133-63,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],105.46,105.46,15.61,84.37,23
NDC,0781-3152-95,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],136.96,136.96,20.27,109.57,23
NDC,0781-3153-95,CISATRACURIUM BESYLATE (PF) 200 MG/20ML IV SOLN [130887],1120.32,1120.32,165.81,896.26,23
NDC,0781-3156-06,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],192.26,192.26,28.45,153.81,23
NDC,0781-3156-95,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],192.26,192.26,28.45,153.81,23
NDC,0781-3158-94,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
NDC,0781-3158-95,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
NDC,0781-3159-72,OLANZAPINE 10 MG IM SOLR [38263],179.7,179.7,26.6,143.76,23
NDC,0781-3207-95,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],116.41,116.41,17.23,93.13,23
NDC,0781-3208-85,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],199.18,199.18,29.48,159.34,23
NDC,0781-3208-95,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],199.18,199.18,29.48,159.34,23
NDC,0781-3209-90,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.59,355.59,52.63,284.47,23
NDC,0781-3209-95,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.59,355.59,52.63,284.47,23
NDC,0781-3210-46,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],1470.86,1470.86,217.69,1176.69,23
NDC,0781-3220-70,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],163.51,163.51,24.2,130.81,23
NDC,0781-3220-92,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],163.51,163.51,24.2,130.81,23
NDC,0781-3220-95,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],92.43,92.43,13.68,73.94,23
NDC,0781-3224-64,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],140.61,140.61,20.81,112.49,23
NDC,0781-3232-94,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.79,28.79,4.26,23.03,23
NDC,0781-3232-95,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],28.79,28.79,4.26,23.03,23
NDC,0781-3233-94,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1351.46,1351.46,200.02,1081.17,23
NDC,0781-3238-01,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],39.36,39.36,5.83,31.49,23
NDC,0781-3238-63,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],39.36,39.36,5.83,31.49,23
NDC,0781-3244-94,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],2398.02,2398.02,354.91,1918.42,23
NDC,0781-3246-64,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],52.47,52.47,7.77,41.98,23
NDC,0781-3255-94,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4169.77,4169.77,617.13,3335.82,23
NDC,0781-3269-71,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
NDC,0781-3269-95,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
NDC,0781-3289-09,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
NDC,0781-3290-09,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
NDC,0781-3315-70,OXALIPLATIN 50 MG/10ML IV SOLN [99602],695.99,695.99,103.01,556.79,23
NDC,0781-3317-80,OXALIPLATIN 100 MG/20ML IV SOLN [99604],1391.97,1391.97,206.01,1113.58,23
NDC,0781-3356-66,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],211.18,211.18,31.25,168.94,23
NDC,0781-3400-78,AMPICILLIN SODIUM 125 MG IJ SOLR [471],24.54,24.54,3.63,19.63,23
NDC,0781-3400-95,AMPICILLIN SODIUM 125 MG IJ SOLR [471],24.54,24.54,3.63,19.63,23
NDC,0781-3404-85,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
NDC,0781-3404-95,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.59,40.59,6.01,32.47,23
NDC,0781-3407-78,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,0781-3407-95,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,0781-3408-95,AMPICILLIN SODIUM 2 G IJ SOLR [472],78.74,78.74,11.65,62.99,23
NDC,0781-3411-70,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],103.84,103.84,15.37,83.07,23
NDC,0781-3411-95,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],103.84,103.84,15.37,83.07,23
NDC,0781-3422-71,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,0781-3422-92,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,0781-3428-68,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],252.95,252.95,37.44,202.36,23
NDC,0781-3433-95,LINEZOLID 600 MG/300ML IV SOLN [130884],303.42,303.42,44.91,242.74,23
NDC,0781-3440-71,COSYNTROPIN 0.25 MG IJ SOLR [9686],374.38,374.38,55.41,299.5,23
NDC,0781-3440-95,COSYNTROPIN 0.25 MG IJ SOLR [9686],374.38,374.38,55.41,299.5,23
NDC,0781-3443-95,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],127.2,127.2,18.83,101.76,23
NDC,0781-3450-95,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],45.76,45.76,6.77,36.61,23
NDC,0781-3451-96,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],35.25,35.25,5.22,28.2,23
NDC,0781-3452-95,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],233.4,233.4,34.54,186.72,23
NDC,0781-3454-95,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],268.9,268.9,39.8,215.12,23
NDC,0781-3481-70,TIGECYCLINE 50 MG IV SOLR [41652],590.01,590.01,87.32,472.01,23
NDC,0781-3481-92,TIGECYCLINE 50 MG IV SOLR [41652],590.01,590.01,87.32,472.01,23
NDC,0781-3540-10,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,0781-3540-25,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,0781-3543-10,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.91,39.91,5.91,31.93,23
NDC,0781-3543-25,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.91,39.91,5.91,31.93,23
NDC,0781-3612-68,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],379.55,379.55,56.17,303.64,23
NDC,0781-3655-69,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],459.82,459.82,68.05,367.86,23
NDC,0781-3755-75,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],98.56,98.56,14.59,78.85,23
NDC,0781-3755-95,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],98.56,98.56,14.59,78.85,23
NDC,0781-3825-71,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,0781-3825-96,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,0781-5022-01,METHYLPREDNISOLONE 4 MG PO TABS [4993],6.72,6.72,0.99,5.38,23
NDC,0781-5022-07,METHYLPREDNISOLONE 4 MG PO TBPK [4991],130.03,130.03,19.24,104.02,23
NDC,0781-5180-92,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,0781-5181-92,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,0781-5182-92,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,0781-5183-92,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,0781-5184-92,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,0781-5185-92,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,0781-5186-92,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
NDC,0781-5187-92,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,0781-5188-92,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
NDC,0781-5189-92,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
NDC,0781-5191-92,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
NDC,0781-5222-01,CARVEDILOL 6.25 MG PO TABS [15747],10.05,10.05,1.49,8.04,23
NDC,0781-5223-01,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
NDC,0781-5224-01,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
NDC,0781-5325-01,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],29.38,29.38,4.35,23.5,23
NDC,0781-5325-31,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],29.46,29.46,4.36,23.57,23
NDC,0781-5405-01,ERGOTAMINE-CAFFEINE 1-100 MG PO TABS [9949],72.56,72.56,10.74,58.05,23
NDC,0781-5439-20,CEFPODOXIME PROXETIL 200 MG PO TABS [9469],39.75,39.75,5.88,31.8,23
NDC,0781-5554-31,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
NDC,0781-5690-92,EZETIMIBE 10 MG PO TABS [34153],12.3,12.3,1.82,9.84,23
NDC,0781-5720-01,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0781-5720-10,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0781-5748-01,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,0781-5776-69,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,0781-5913-01,CHLORPROMAZINE HCL 10 MG PO TABS [1653],20.21,20.21,2.99,16.17,23
NDC,0781-5914-01,CHLORPROMAZINE HCL 25 MG PO TABS [1656],28.88,28.88,4.27,23.1,23
NDC,0781-5915-01,CHLORPROMAZINE HCL 50 MG PO TABS [1657],41.14,41.14,6.09,32.91,23
NDC,0781-5917-01,CHLORPROMAZINE HCL 200 MG PO TABS [1655],83.96,83.96,12.43,67.17,23
NDC,0781-5987-01,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
NDC,0781-5988-01,CARBAMAZEPINE ER 400 MG PO TB12 [27636],19.53,19.53,2.89,15.62,23
NDC,0781-5994-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
NDC,0781-6014-70,BRINZOLAMIDE 1 % OP SUSP [22953],1200.52,1200.52,177.68,960.42,23
NDC,0781-6023-46,CLARITHROMYCIN 250 MG/5ML PO SUSR [12886],715.7,715.7,105.92,572.56,23
NDC,0781-6023-52,CLARITHROMYCIN 250 MG/5ML PO SUSR [12886],443.92,443.92,65.7,355.14,23
NDC,0781-6041-55,AMOXICILLIN 250 MG/5ML PO SUSR [454],33.14,33.14,4.9,26.51,23
NDC,0781-6041-58,AMOXICILLIN 250 MG/5ML PO SUSR [454],24.82,24.82,3.67,19.86,23
NDC,0781-6077-46,CEFDINIR 125 MG/5ML PO SUSR [22290],314.32,314.32,46.52,251.46,23
NDC,0781-6078-46,CEFDINIR 250 MG/5ML PO SUSR [39522],593.78,593.78,87.88,475.02,23
NDC,0781-6102-52,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],86.72,86.72,12.83,69.38,23
NDC,0781-6136-94,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],243.13,243.13,35.98,194.5,23
NDC,0781-6153-94,PENICILLIN G SODIUM 5000000 UNITS IJ SOLR [6087],224.07,224.07,33.16,179.26,23
NDC,0781-6153-95,PENICILLIN G SODIUM 5000000 UNITS IJ SOLR [6087],224.06,224.06,33.16,179.25,23
NDC,0781-6186-67,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
NDC,0781-6270-43,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],933.98,933.98,138.23,747.18,23
NDC,0781-7054-49,BENZOYL PEROXIDE-ERYTHROMYCIN 5-3 % EX GEL [9254],680.26,680.26,100.68,544.21,23
NDC,0781-7077-87,METRONIDAZOLE 0.75 % VA GEL [10592],576.1,576.1,85.26,460.88,23
NDC,0781-7135-93,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],657.23,657.23,97.27,525.78,23
NDC,0781-7157-86,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.37,8.37,1.24,6.7,23
NDC,0781-7516-87,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,0781-8016-01,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
NDC,0781-8047-01,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
NDC,0781-8048-01,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
NDC,0781-8052-01,CAPTOPRIL 12.5 MG PO TABS [9401],6.0,6.0,0.89,4.8,23
NDC,0781-8061-01,CAPTOPRIL 25 MG PO TABS [9402],6.38,6.38,0.94,5.1,23
NDC,0781-8075-01,CAPTOPRIL 50 MG PO TABS [9403],11.07,11.07,1.64,8.86,23
NDC,0781-8080-01,CAPTOPRIL 100 MG PO TABS [9400],14.54,14.54,2.15,11.63,23
NDC,0781-8940-70,CYSTEINE HCL 50 MG/ML IV SOLN [2034],121.16,121.16,17.93,96.93,23
NDC,0781-9158-95,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
NDC,0781-9214-95,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],101.26,101.26,14.99,81.01,23
NDC,0781-9221-09,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
NDC,0781-9221-91,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],69.8,69.8,10.33,55.84,23
NDC,0781-9222-09,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
NDC,0781-9222-91,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],85.07,85.07,12.59,68.06,23
NDC,0781-9315-70,OXALIPLATIN 50 MG/10ML IV SOLN [99602],695.99,695.99,103.01,556.79,23
NDC,0781-9404-95,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.59,40.59,6.01,32.47,23
NDC,0781-9407-78,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,0781-9407-95,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,0781-9408-95,AMPICILLIN SODIUM 2 G IJ SOLR [472],78.74,78.74,11.65,62.99,23
NDC,0799-0001-02,MENTHOL-ZINC OXIDE 0.44-20.6 % EX OINT [125794],21.7,21.7,3.21,17.36,23
NDC,0799-0001-03,MENTHOL-ZINC OXIDE 0.44-20.6 % EX OINT [125794],21.7,21.7,3.21,17.36,23
NDC,0802-3920-16,SIMPLE SYRUP PO SYRP [7242],98.31,98.31,14.55,78.65,23
NDC,0832-0038-00,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0832-0038-01,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0832-0038-50,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0832-0038-89,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0832-0273-11,MORPHINE SULFATE 15 MG PO TABS [5178],6.0,6.0,0.89,4.8,23
NDC,0832-0300-00,CHLORPROMAZINE HCL 10 MG PO TABS [1653],19.75,19.75,2.92,15.8,23
NDC,0832-0301-00,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
NDC,0832-0302-00,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
NDC,0832-0302-89,CHLORPROMAZINE HCL 50 MG PO TABS [1657],70.69,70.69,10.46,56.55,23
NDC,0832-0303-00,CHLORPROMAZINE HCL 100 MG PO TABS [1654],69.97,69.97,10.36,55.98,23
NDC,0832-0304-00,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
NDC,0832-0465-15,NYSTATIN 100000 UNIT/GM EX POWD [39136],162.19,162.19,24.0,129.75,23
NDC,0832-0512-01,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],12.55,12.55,1.86,10.04,23
NDC,0832-0512-89,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],12.55,12.55,1.86,10.04,23
NDC,0832-0595-30,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
NDC,0832-1015-00,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
NDC,0832-1054-11,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
NDC,0832-1520-01,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
NDC,0832-1520-11,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
NDC,0832-6017-00,CHLORPROMAZINE HCL 10 MG PO TABS [1653],19.75,19.75,2.92,15.8,23
NDC,0832-6019-00,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
NDC,0832-6020-00,CHLORPROMAZINE HCL 100 MG PO TABS [1654],69.97,69.97,10.36,55.98,23
NDC,0832-6021-00,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
NDC,0832-7122-11,DIVALPROEX SODIUM 125 MG PO TBEC [2551],6.0,6.0,0.89,4.8,23
NDC,0832-7123-01,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
NDC,0832-7123-15,DIVALPROEX SODIUM 250 MG PO TBEC [2552],10.18,10.18,1.51,8.14,23
NDC,0832-7123-89,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
NDC,0832-7124-01,DIVALPROEX SODIUM 500 MG PO TBEC [2553],6.69,6.69,0.99,5.35,23
NDC,0832-7124-11,DIVALPROEX SODIUM 500 MG PO TBEC [2553],18.77,18.77,2.78,15.02,23
NDC,0869-0166-38,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
NDC,0869-0831-43,MINERAL OIL PO OIL [5086],15.57,15.57,2.3,12.46,23
NDC,0904-0012-59,CHLORPHENIRAMINE MALEATE 4 MG PO TABS [1645],6.0,6.0,0.89,4.8,23
NDC,0904-0202-61,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
NDC,0904-0539-61,THERA PO TABS [7825],6.0,6.0,0.89,4.8,23
NDC,0904-1315-46,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,0904-1453-61,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,0904-1883-61,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
NDC,0904-1883-72,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
NDC,0904-2056-61,DIPHENHYDRAMINE HCL 50 MG PO CAPS [2510],6.0,6.0,0.89,4.8,23
NDC,0904-2533-21,CALAMINE 8-8 % EX LOTN [78879],11.0,11.0,1.63,8.8,23
NDC,0904-2725-61,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
NDC,0904-2821-61,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,0904-3571-61,MEGESTROL ACETATE 40 MG PO TABS [4871],6.43,6.43,0.95,5.14,23
NDC,0904-3854-61,CARBAMAZEPINE 100 MG PO CHEW [1355],6.0,6.0,0.89,4.8,23
NDC,0904-3865-75,SALINE NASAL SPRAY 0.65 % NA SOLN [7030],11.0,11.0,1.63,8.8,23
NDC,0904-4040-73,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,0904-5053-59,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
NDC,0904-5068-60,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,0904-5224-52,LACTASE 3000 UNITS PO TABS [22469],6.0,6.0,0.89,4.8,23
NDC,0904-5282-61,RIFAMPIN 300 MG PO CAPS [11293],6.24,6.24,0.92,4.99,23
NDC,0904-5306-60,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,0904-5306-61,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,0904-5307-60,DIPHENHYDRAMINE HCL 50 MG PO CAPS [2510],6.0,6.0,0.89,4.8,23
NDC,0904-5313-46,PRENATAL 27-0.8 MG PO TABS [43010],6.0,6.0,0.89,4.8,23
NDC,0904-5313-60,PRENATAL 27-0.8 MG PO TABS [43010],6.0,6.0,0.89,4.8,23
NDC,0904-5351-24,CHLORPHENIRAMINE-PSEUDOEPH 4-60 MG PO TABS [9578],6.0,6.0,0.89,4.8,23
NDC,0904-5351-96,CHLORPHENIRAMINE-PSEUDOEPH 4-60 MG PO TABS [9578],6.0,6.0,0.89,4.8,23
NDC,0904-5448-61,PENTOXIFYLLINE ER 400 MG PO TBCR [21300],6.0,6.0,0.89,4.8,23
NDC,0904-5460-52,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
NDC,0904-5460-72,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
NDC,0904-5460-92,OYSTER SHELL CALCIUM W/D 500-5 MG-MCG PO TABS [153912],6.0,6.0,0.89,4.8,23
NDC,0904-5492-61,THERA M PLUS PO TABS [37053],6.0,6.0,0.89,4.8,23
NDC,0904-5522-61,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
NDC,0904-5524-61,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.0,6.0,0.89,4.8,23
NDC,0904-5676-61,PAROXETINE HCL 10 MG PO TABS [16632],13.23,13.23,1.96,10.58,23
NDC,0904-5677-61,PAROXETINE HCL 20 MG PO TABS [10855],13.81,13.81,2.04,11.05,23
NDC,0904-5784-61,FLUOXETINE HCL 10 MG PO CAPS [10069],11.37,11.37,1.68,9.1,23
NDC,0904-5785-61,FLUOXETINE HCL 20 MG PO CAPS [10070],11.68,11.68,1.73,9.34,23
NDC,0904-5789-61,ACYCLOVIR 200 MG PO CAPS [8969],7.19,7.19,1.06,5.75,23
NDC,0904-5790-61,ACYCLOVIR 400 MG PO TABS [8971],10.19,10.19,1.51,8.15,23
NDC,0904-5853-40,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,0904-5853-60,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,0904-5853-61,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,0904-5854-61,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,0904-5855-61,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,0904-5891-61,PRAVASTATIN SODIUM 10 MG PO TABS [11110],13.6,13.6,2.01,10.88,23
NDC,0904-5892-61,PRAVASTATIN SODIUM 20 MG PO TABS [11111],11.73,11.73,1.74,9.38,23
NDC,0904-5893-61,PRAVASTATIN SODIUM 40 MG PO TABS [11112],20.19,20.19,2.99,16.15,23
NDC,0904-5922-61,DIGOXIN 0.25 MG PO TABS [2445],7.92,7.92,1.17,6.34,23
NDC,0904-5959-61,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
NDC,0904-5984-26,AMMONIUM LACTATE 12 % EX LOTN [10380],165.39,165.39,24.48,132.31,23
NDC,0904-5984-63,AMMONIUM LACTATE 12 % EX LOTN [10380],183.48,183.48,27.16,146.78,23
NDC,0904-6007-61,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
NDC,0904-6008-60,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,0904-6008-61,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,0904-6009-61,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
NDC,0904-6051-61,LEVETIRACETAM 250 MG PO TABS [26816],12.17,12.17,1.8,9.74,23
NDC,0904-6052-61,LEVETIRACETAM 500 MG PO TABS [26817],14.87,14.87,2.2,11.9,23
NDC,0904-6053-61,LEVETIRACETAM 750 MG PO TABS [26818],20.14,20.14,2.98,16.11,23
NDC,0904-6084-61,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.41,11.41,1.69,9.13,23
NDC,0904-6085-61,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.66,12.66,1.87,10.13,23
NDC,0904-6172-61,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
NDC,0904-6187-61,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,0904-6195-46,ANASTROZOLE 1 MG PO TABS [16205],56.39,56.39,8.35,45.11,23
NDC,0904-6238-61,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,0904-6255-49,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
NDC,0904-6283-61,OLANZAPINE 2.5 MG PO TABS [21057],52.63,52.63,7.79,42.1,23
NDC,0904-6286-06,OLANZAPINE 15 MG PO TABS [26952],129.36,129.36,19.15,103.49,23
NDC,0904-6287-06,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
NDC,0904-6290-61,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
NDC,0904-6291-06,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
NDC,0904-6291-61,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
NDC,0904-6292-06,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,0904-6292-61,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,0904-6293-04,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.13,9.13,1.35,7.3,23
NDC,0904-6294-61,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],20.51,20.51,3.04,16.41,23
NDC,0904-6300-61,CARVEDILOL 3.125 MG PO TABS [18551],9.88,9.88,1.46,7.9,23
NDC,0904-6301-61,CARVEDILOL 6.25 MG PO TABS [15747],6.0,6.0,0.89,4.8,23
NDC,0904-6302-61,CARVEDILOL 12.5 MG PO TABS [15749],9.88,9.88,1.46,7.9,23
NDC,0904-6303-61,CARVEDILOL 25 MG PO TABS [15748],9.88,9.88,1.46,7.9,23
NDC,0904-6305-21,PHENOL 1.4 % MT LIQD [36976],13.32,13.32,1.97,10.66,23
NDC,0904-6322-06,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,0904-6322-61,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,0904-6323-61,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,0904-6324-61,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.77,8.77,1.3,7.02,23
NDC,0904-6351-61,LEVOFLOXACIN 250 MG PO TABS [18918],69.22,69.22,10.24,55.38,23
NDC,0904-6352-61,LEVOFLOXACIN 500 MG PO TABS [18919],79.06,79.06,11.7,63.25,23
NDC,0904-6353-61,LEVOFLOXACIN 750 MG PO TABS [28964],106.58,106.58,15.77,85.26,23
NDC,0904-6357-61,RISPERIDONE 0.25 MG PO TABS [25519],16.84,16.84,2.49,13.47,23
NDC,0904-6358-61,RISPERIDONE 0.5 MG PO TABS [25520],18.49,18.49,2.74,14.79,23
NDC,0904-6359-61,RISPERIDONE 1 MG PO TABS [18313],21.46,21.46,3.18,17.17,23
NDC,0904-6360-61,RISPERIDONE 2 MG PO TABS [18311],33.18,33.18,4.91,26.54,23
NDC,0904-6361-61,RISPERIDONE 3 MG PO TABS [18312],39.03,39.03,5.78,31.22,23
NDC,0904-6362-61,RISPERIDONE 4 MG PO TABS [18310],50.9,50.9,7.53,40.72,23
NDC,0904-6364-61,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],11.62,11.62,1.72,9.3,23
NDC,0904-6369-61,AMLODIPINE BESYLATE 2.5 MG PO TABS [9070],7.49,7.49,1.11,5.99,23
NDC,0904-6370-61,AMLODIPINE BESYLATE 5 MG PO TABS [9071],7.73,7.73,1.14,6.18,23
NDC,0904-6371-61,AMLODIPINE BESYLATE 10 MG PO TABS [9069],10.6,10.6,1.57,8.48,23
NDC,0904-6374-61,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
NDC,0904-6376-61,OLANZAPINE 10 MG PO TABS [17937],62.12,62.12,9.19,49.7,23
NDC,0904-6377-61,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
NDC,0904-6378-61,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
NDC,0904-6401-61,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.79,19.79,2.93,15.83,23
NDC,0904-6407-61,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,0904-6418-61,TIZANIDINE HCL 4 MG PO TABS [14793],8.29,8.29,1.23,6.63,23
NDC,0904-6426-61,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],20.6,20.6,3.05,16.48,23
NDC,0904-6427-61,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.49,21.49,3.18,17.19,23
NDC,0904-6440-61,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,0904-6441-61,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,0904-6442-61,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,0904-6443-61,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
NDC,0904-6449-61,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.81,7.81,1.16,6.25,23
NDC,0904-6450-61,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],9.53,9.53,1.41,7.62,23
NDC,0904-6461-61,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
NDC,0904-6467-07,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
NDC,0904-6474-61,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.21,19.21,2.84,15.37,23
NDC,0904-6475-61,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
NDC,0904-6477-61,DONEPEZIL HCL 5 MG PO TABS [18786],6.0,6.0,0.89,4.8,23
NDC,0904-6478-61,DONEPEZIL HCL 10 MG PO TABS [18787],6.0,6.0,0.89,4.8,23
NDC,0904-6488-38,ARTIFICIAL TEARS 83-15 % OP OINT [120301],30.42,30.42,4.5,24.34,23
NDC,0904-6488-38,LUBRIFRESH P.M. OP OINT [21064],30.42,30.42,4.5,24.34,23
NDC,0904-6501-06,FLUCONAZOLE 200 MG PO TABS [10045],8.2,8.2,1.21,6.56,23
NDC,0904-6501-61,FLUCONAZOLE 200 MG PO TABS [10045],76.83,76.83,11.37,61.46,23
NDC,0904-6502-61,CELECOXIB 100 MG PO CAPS [24500],20.53,20.53,3.04,16.42,23
NDC,0904-6506-61,MEMANTINE HCL 10 MG PO TABS [36966],6.0,6.0,0.89,4.8,23
NDC,0904-6517-61,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,0904-6519-61,MIRTAZAPINE 15 MG PO TABS [17466],13.44,13.44,1.99,10.75,23
NDC,0904-6522-61,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,0904-6530-61,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,0904-6550-61,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,0904-6551-61,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
NDC,0904-6552-61,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
NDC,0904-6553-04,LINEZOLID 600 MG PO TABS [28224],689.91,689.91,102.11,551.93,23
NDC,0904-6557-61,MORPHINE SULFATE CR 15 MG PO TB12 [119129],6.46,6.46,0.96,5.17,23
NDC,0904-6558-61,MORPHINE SULFATE CR 30 MG PO TB12 [119091],7.06,7.06,1.04,5.65,23
NDC,0904-6564-60,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,0904-6564-61,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,0904-6572-61,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,0904-6575-61,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
NDC,0904-6585-61,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
NDC,0904-6599-61,PERPHENAZINE 2 MG PO TABS [6157],6.0,6.0,0.89,4.8,23
NDC,0904-6617-61,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,0904-6619-61,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,0904-6620-61,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
NDC,0904-6623-61,TACROLIMUS 0.5 MG PO CAPS [24914],6.0,6.0,0.89,4.8,23
NDC,0904-6637-61,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
NDC,0904-6638-61,QUETIAPINE FUMARATE 25 MG PO TABS [21823],6.0,6.0,0.89,4.8,23
NDC,0904-6639-61,QUETIAPINE FUMARATE 50 MG PO TABS [70397],6.0,6.0,0.89,4.8,23
NDC,0904-6640-61,QUETIAPINE FUMARATE 100 MG PO TABS [21824],6.0,6.0,0.89,4.8,23
NDC,0904-6641-61,QUETIAPINE FUMARATE 200 MG PO TABS [21825],6.0,6.0,0.89,4.8,23
NDC,0904-6642-61,QUETIAPINE FUMARATE 300 MG PO TABS [29267],6.0,6.0,0.89,4.8,23
NDC,0904-6656-40,ARIPIPRAZOLE 5 MG PO TABS [36438],6.0,6.0,0.89,4.8,23
NDC,0904-6665-61,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,0904-6666-61,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
NDC,0904-6667-61,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
NDC,0904-6671-04,SILDENAFIL CITRATE 20 MG PO TABS [41832],6.56,6.56,0.97,5.25,23
NDC,0904-6671-06,SILDENAFIL CITRATE 20 MG PO TABS [41832],6.0,6.0,0.89,4.8,23
NDC,0904-6689-61,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
NDC,0904-6691-61,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
NDC,0904-6703-10,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],53.24,53.24,7.88,42.59,23
NDC,0904-6708-06,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
NDC,0904-6717-60,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
NDC,0904-6717-61,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
NDC,0904-6718-39,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,0904-6720-59,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,0904-6730-61,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,0904-6730-80,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,0904-6733-61,HALOPERIDOL 10 MG PO TABS [3580],6.51,6.51,0.96,5.21,23
NDC,0904-6747-80,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
NDC,0904-6748-60,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,0904-6748-80,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,0904-6751-80,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,0904-6761-30,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],12.69,12.69,1.88,10.15,23
NDC,0904-6773-61,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,0904-6782-61,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
NDC,0904-6787-44,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
NDC,0904-6794-30,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,0904-6794-80,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,0904-6797-61,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
NDC,0904-6798-61,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
NDC,0904-6799-61,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
NDC,0904-6800-61,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
NDC,0904-6808-06,MONTELUKAST SODIUM 10 MG PO TABS [22509],6.0,6.0,0.89,4.8,23
NDC,0904-6808-61,MONTELUKAST SODIUM 10 MG PO TABS [22509],6.0,6.0,0.89,4.8,23
NDC,0904-6817-06,MIDODRINE HCL 2.5 MG PO TABS [10609],6.0,6.0,0.89,4.8,23
NDC,0904-6818-06,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
NDC,0904-6819-07,MIDODRINE HCL 10 MG PO TABS [33083],6.06,6.06,0.9,4.85,23
NDC,0904-6823-61,GABAPENTIN 600 MG PO TABS [25855],6.0,6.0,0.89,4.8,23
NDC,0904-6828-05,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],32.53,32.53,4.81,26.02,23
NDC,0904-6828-94,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],24.75,24.75,3.66,19.8,23
NDC,0904-6830-06,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
NDC,0904-6836-20,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],20.87,20.87,3.09,16.7,23
NDC,0904-6852-61,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,0904-6860-61,DIVALPROEX SODIUM 250 MG PO TBEC [2552],6.0,6.0,0.89,4.8,23
NDC,0904-6861-61,DIVALPROEX SODIUM 500 MG PO TBEC [2553],6.0,6.0,0.89,4.8,23
NDC,0904-6870-45,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,0904-6923-61,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,0904-6924-61,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
NDC,0904-6926-61,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
NDC,0904-6927-61,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,0904-6928-61,TOPIRAMATE 25 MG PO TABS [18920],6.0,6.0,0.89,4.8,23
NDC,0904-6931-76,PEG 3350 17 G PO PACK [100055],7.85,7.85,1.16,6.28,23
NDC,0904-6931-81,PEG 3350 17 G PO PACK [100055],7.28,7.28,1.08,5.82,23
NDC,0904-6931-86,PEG 3350 17 G PO PACK [100055],7.85,7.85,1.16,6.28,23
NDC,0904-6939-61,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
NDC,0904-6950-61,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,0904-6951-61,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,0904-6952-61,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,0904-6953-61,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,0904-6955-61,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
NDC,0904-6966-61,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,0904-6981-60,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,0904-6985-20,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],13.32,13.32,1.97,10.66,23
NDC,0904-6986-40,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,0904-6988-61,DICYCLOMINE HCL 20 MG PO TABS [2420],6.0,6.0,0.89,4.8,23
NDC,0904-6990-61,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
NDC,0904-6991-04,PREGABALIN 25 MG PO CAPS [42162],7.45,7.45,1.1,5.96,23
NDC,0904-6992-61,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
NDC,0904-6993-61,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
NDC,0904-6998-80,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,0904-7000-61,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
NDC,0904-7001-61,PREGABALIN 100 MG PO CAPS [42165],6.0,6.0,0.89,4.8,23
NDC,0904-7002-61,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
NDC,0904-7007-61,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
NDC,0904-7023-67,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
NDC,0904-7035-80,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.17,9.17,1.36,7.34,23
NDC,0904-7035-88,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.73,9.73,1.44,7.78,23
NDC,0904-7036-04,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],10.07,10.07,1.49,8.06,23
NDC,0904-7041-61,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,0904-7042-06,AMANTADINE HCL 100 MG PO CAPS [364],7.92,7.92,1.17,6.34,23
NDC,0904-7043-04,DULOXETINE HCL 20 MG PO CPEP [39275],8.22,8.22,1.22,6.58,23
NDC,0904-7045-61,DULOXETINE HCL 60 MG PO CPEP [39277],8.1,8.1,1.2,6.48,23
NDC,0904-7046-06,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],7.13,7.13,1.06,5.7,23
NDC,0904-7049-61,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
NDC,0904-7053-61,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
NDC,0904-7057-61,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,0904-7061-88,KCL 20 MEQ/15ML (10%) PO SOLN [76913],45.41,45.41,6.72,36.33,23
NDC,0904-7078-61,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],6.0,6.0,0.89,4.8,23
NDC,0904-7083-61,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
NDC,0904-7084-04,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],7.43,7.43,1.1,5.94,23
NDC,0904-7095-61,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],6.76,6.76,1.0,5.41,23
NDC,0904-7097-61,TACROLIMUS 1 MG PO CAPS [12933],7.71,7.71,1.14,6.17,23
NDC,0904-7105-61,CAPTOPRIL 12.5 MG PO TABS [9401],7.97,7.97,1.18,6.38,23
NDC,0904-7106-61,CAPTOPRIL 25 MG PO TABS [9402],8.45,8.45,1.25,6.76,23
NDC,0904-7109-61,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,0904-7110-61,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,0904-7111-61,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,0904-7115-61,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,0904-7124-61,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
NDC,0904-7125-61,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
NDC,0904-7127-61,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,0904-7140-04,GUANFACINE HCL 1 MG PO TABS [10149],9.07,9.07,1.34,7.26,23
NDC,0904-7141-10,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,0904-7142-12,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,0904-7156-61,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,0904-7162-61,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
NDC,0904-7164-61,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
NDC,0904-7177-61,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,0904-7178-61,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
NDC,0904-7183-61,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,0904-7184-61,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
NDC,0904-7185-61,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
NDC,0904-7193-06,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
NDC,0904-7193-61,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
NDC,0904-7200-61,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
NDC,0904-7205-46,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,0904-7206-60,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,0904-7208-06,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
NDC,0904-7214-61,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
NDC,0904-7217-61,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 [29270],6.0,6.0,0.89,4.8,23
NDC,0904-7224-61,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,0904-7227-61,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,0904-7236-61,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
NDC,0904-7237-60,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,0904-7237-61,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,0904-7239-61,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
NDC,0904-7243-61,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
NDC,0904-7245-68,LACOSAMIDE 100 MG PO TABS [96969],11.57,11.57,1.71,9.26,23
NDC,0904-7246-68,LACOSAMIDE 150 MG PO TABS [96970],13.88,13.88,2.05,11.1,23
NDC,0904-7247-68,LACOSAMIDE 200 MG PO TABS [96971],13.88,13.88,2.05,11.1,23
NDC,0904-7252-61,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,0904-7257-61,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,0904-7263-61,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
NDC,0904-7269-18,SUCRALFATE 1 GM/10ML PO SUSP [11441],40.42,40.42,5.98,32.34,23
NDC,0904-7280-60,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,0904-7280-80,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,0904-7283-06,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,0904-7293-61,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,0904-7305-61,CARVEDILOL 3.125 MG PO TABS [18551],6.0,6.0,0.89,4.8,23
NDC,0904-7306-61,CARVEDILOL 6.25 MG PO TABS [15747],6.0,6.0,0.89,4.8,23
NDC,0904-7307-61,CARVEDILOL 12.5 MG PO TABS [15749],6.0,6.0,0.89,4.8,23
NDC,0904-7308-61,CARVEDILOL 25 MG PO TABS [15748],6.0,6.0,0.89,4.8,23
NDC,0904-7325-62,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],19.6,19.6,2.9,15.68,23
NDC,0904-7325-73,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],19.6,19.6,2.9,15.68,23
NDC,0904-7327-62,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,0904-7327-73,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,0904-7337-06,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,0904-7337-35,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,0904-7337-61,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,0904-7345-61,FLUOXETINE HCL 10 MG PO CAPS [10069],6.0,6.0,0.89,4.8,23
NDC,0904-7346-61,FLUOXETINE HCL 20 MG PO CAPS [10070],6.0,6.0,0.89,4.8,23
NDC,0904-7350-06,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
NDC,0904-7355-04,LURASIDONE HCL 20 MG PO TABS [112380],6.0,6.0,0.89,4.8,23
NDC,0904-7361-61,RISPERIDONE 0.5 MG PO TABS [25520],6.0,6.0,0.89,4.8,23
NDC,0904-7362-61,RISPERIDONE 1 MG PO TABS [18313],6.0,6.0,0.89,4.8,23
NDC,0904-7363-61,RISPERIDONE 2 MG PO TABS [18311],6.0,6.0,0.89,4.8,23
NDC,0904-7364-61,RISPERIDONE 3 MG PO TABS [18312],6.0,6.0,0.89,4.8,23
NDC,0904-7376-61,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,0904-7381-06,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.16,7.16,1.06,5.73,23
NDC,0904-7383-61,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
NDC,0904-7411-61,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
NDC,0904-7422-46,LURASIDONE HCL 40 MG PO TABS [106031],6.0,6.0,0.89,4.8,23
NDC,0904-7427-30,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],12.69,12.69,1.88,10.15,23
NDC,0904-7449-61,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,0904-7451-61,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,0904-7452-61,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,0904-7472-61,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,0904-7505-04,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],7.43,7.43,1.1,5.94,23
NDC,0904-7507-61,ACYCLOVIR 400 MG PO TABS [8971],6.0,6.0,0.89,4.8,23
NDC,0904-7509-30,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,0904-7511-61,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,0904-7590-60,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
NDC,0904-7590-80,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
NDC,0904-7591-60,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
NDC,0904-7591-61,FERROUS SULFATE 325 (65 FE) MG PO TABS [3074],6.0,6.0,0.89,4.8,23
NDC,0904-7728-61,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,0904-7912-51,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
NDC,0904-7912-59,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
NDC,0904-7914-59,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
NDC,0904-7914-61,IBUPROFEN 200 MG PO TABS [3841],6.0,6.0,0.89,4.8,23
NDC,0942-0641-04,ACD FORMULA A 0.73-2.45-2.2 GM/100ML VI SOLN [16825],56.4,56.4,8.35,45.12,23
NDC,0944-0495-05,ALBUMIN HUMAN 5 % IV SOLN [8982],270.36,270.36,40.01,216.29,23
NDC,0944-2700-05,GAMMAGARD 10 GM/100ML IJ SOLN [110369],5301.11,5301.11,784.56,4240.89,23
NDC,0944-2700-06,GAMMAGARD 20 GM/200ML IJ SOLN [110370],10602.22,10602.22,1569.13,8481.78,23
NDC,0944-2884-01,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN [104955],2298.9,2298.9,340.24,1839.12,23
NDC,0944-2884-02,ALPHA1-PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN [104955],2298.9,2298.9,340.24,1839.12,23
NDC,0944-5001-01,OBIZUR:ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR [126034],4111.25,4111.25,608.46,3289.0,23
NDC,0944-5011-01,OBIZUR:ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR [126034],4111.25,4111.25,608.46,3289.0,23
NDC,0955-1003-01,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],36.19,36.19,5.36,28.95,23
NDC,0955-1003-10,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],36.19,36.19,5.36,28.95,23
NDC,0955-1004-01,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],48.17,48.17,7.13,38.54,23
NDC,0955-1004-10,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],48.17,48.17,7.13,38.54,23
NDC,0955-1006-01,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],72.33,72.33,10.7,57.86,23
NDC,0955-1006-10,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],72.33,72.33,10.7,57.86,23
NDC,0955-1008-01,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],88.82,88.82,13.15,71.06,23
NDC,0955-1008-10,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],88.82,88.82,13.15,71.06,23
NDC,0955-1010-01,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],111.04,111.04,16.43,88.83,23
NDC,0955-1010-10,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],111.04,111.04,16.43,88.83,23
NDC,0955-1012-01,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],133.23,133.23,19.72,106.58,23
NDC,0955-1012-10,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],133.23,133.23,19.72,106.58,23
NDC,0955-1015-01,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],166.54,166.54,24.65,133.23,23
NDC,0955-1015-10,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],166.54,166.54,24.65,133.23,23
NDC,0955-1021-04,DOCETAXEL 80 MG/4ML IV CONC [107151],1519.02,1519.02,224.81,1215.22,23
NDC,0955-1050-27,SEVELAMER CARBONATE 800 MG PO TABS [89201],9.6,9.6,1.42,7.68,23
NDC,0955-1052-90,SEVELAMER CARBONATE 0.8 G PO PACK [99686],53.34,53.34,7.89,42.67,23
NDC,0955-1722-50,DOXERCALCIFEROL 2.5 MCG PO CAPS [25354],78.4,78.4,11.6,62.72,23
NDC,0955-1727-20,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
NDC,0990-6138-22,SODIUM CHLORIDE 0.9 % IR SOLN [11403],29.38,29.38,4.35,23.5,23
NDC,0990-7074-26,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN [11074],27.26,27.26,4.03,21.81,23
NDC,0990-7075-26,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],28.2,28.2,4.17,22.56,23
NDC,0990-7107-09,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN [102452],42.3,42.3,6.26,33.84,23
NDC,0990-7109-09,KCL IN DEXTROSE-NACL 40-5-0.9 MEQ/L-%-% IV SOLN [102453],47.0,47.0,6.96,37.6,23
NDC,0990-7115-09,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],37.6,37.6,5.56,30.08,23
NDC,0990-7116-09,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],47.0,47.0,6.96,37.6,23
NDC,0990-7120-07,DEXTROSE 70 % IV SOLN [2367],112.58,112.58,16.66,90.06,23
NDC,0990-7139-09,STERILE WATER FOR IRRIGATION IR SOLN [7485],28.2,28.2,4.17,22.56,23
NDC,0990-7715-03,MANNITOL 20 % IV SOLN [4749],99.59,99.59,14.74,79.67,23
NDC,0990-7730-37,SODIUM CHLORIDE 0.45 % IV SOLN [7318],22.0,22.0,3.26,17.6,23
NDC,0990-7902-09,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN [102459],37.6,37.6,5.56,30.08,23
NDC,0990-7904-09,KCL IN DEXTROSE-NACL 40-5-0.45 MEQ/L-%-% IV SOLN [102464],37.6,37.6,5.56,30.08,23
NDC,0990-7922-03,DEXTROSE 5 % IV SOLN [2364],30.55,30.55,4.52,24.44,23
NDC,0990-7922-09,DEXTROSE 5 % IV SOLN [2364],28.2,28.2,4.17,22.56,23
NDC,0990-7922-25,DEXTROSE 5 % IV SOLN [2364],29.38,29.38,4.35,23.5,23
NDC,0990-7923-37,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,0990-7926-09,DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN [15861],28.2,28.2,4.17,22.56,23
NDC,0990-7930-02,DEXTROSE 10 % IV SOLN [2357],29.38,29.38,4.35,23.5,23
NDC,0990-7930-03,DEXTROSE 10 % IV SOLN [2357],32.9,32.9,4.87,26.32,23
NDC,0990-7930-09,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
NDC,0990-7935-19,DEXTROSE 20 % IV SOLN [2359],79.9,79.9,11.83,63.92,23
NDC,0990-7936-19,DEXTROSE 50 % IV SOLN [2365],91.65,91.65,13.56,73.32,23
NDC,0990-7953-03,LACTATED RINGERS IV SOLN [4318],32.9,32.9,4.87,26.32,23
NDC,0990-7953-09,LACTATED RINGERS IV SOLN [4318],32.9,32.9,4.87,26.32,23
NDC,0990-7972-05,SODIUM CHLORIDE 0.9 % IR SOLN [11403],47.0,47.0,6.96,37.6,23
NDC,0990-7983-02,SODIUM CHLORIDE 0.9 % IV SOLN [27838],29.38,29.38,4.35,23.5,23
NDC,0990-7983-03,SODIUM CHLORIDE 0.9 % IV SOLN [27838],30.55,30.55,4.52,24.44,23
NDC,0990-7983-09,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
NDC,0990-7983-55,SODIUM CHLORIDE 0.9 % IV SOLN [27838],42.3,42.3,6.26,33.84,23
NDC,0990-7983-61,SODIUM CHLORIDE 0.9 % IV SOLN [27838],29.61,29.61,4.38,23.69,23
NDC,0990-7990-09,STERILE WATER FOR INJECTION IV SOLN [28400],28.2,28.2,4.17,22.56,23
NDC,0990-7993-09,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],47.0,47.0,6.96,37.6,23
NDC,0998-0203-15,PILOCARPINE HCL 1 % OP SOLN [6279],420.96,420.96,62.3,336.77,23
NDC,0998-0204-15,PILOCARPINE HCL 2 % OP SOLN [6280],430.52,430.52,63.72,344.42,23
NDC,0998-0206-15,PILOCARPINE HCL 4 % OP SOLN [6282],451.1,451.1,66.76,360.88,23
NDC,10006-70028,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
NDC,10019-055-61,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],586.24,586.24,86.76,468.99,23
NDC,10019-075-87,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],1759.68,1759.68,260.43,1407.74,23
NDC,10019-115-01,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],110.85,110.85,16.41,88.68,23
NDC,10019-120-01,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],68.58,68.58,10.15,54.86,23
NDC,10019-360-40,ISOFLURANE IN SOLN [4008],124.71,124.71,18.46,99.77,23
NDC,10019-553-03,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],110.66,110.66,16.38,88.53,23
NDC,10019-553-04,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],110.66,110.66,16.38,88.53,23
NDC,10019-672-10,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],678.6,678.6,100.43,542.88,23
NDC,10019-925-01,IFOSFAMIDE 1 G IV SOLR [10248],190.91,190.91,28.25,152.73,23
NDC,10019-925-82,IFOSFAMIDE 1 G IV SOLR [10248],190.91,190.91,28.25,152.73,23
NDC,10019-938-01,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],728.16,728.16,107.77,582.53,23
NDC,10019-939-01,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],1456.32,1456.32,215.54,1165.06,23
NDC,10019-953-01,MESNA 100 MG/ML IV SOLN [10537],129.9,129.9,19.23,103.92,23
NDC,10019-955-01,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1441.56,1441.56,213.35,1153.25,23
NDC,10019-956-01,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],1639.44,1639.44,242.64,1311.55,23
NDC,10019-957-01,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4447.74,4447.74,658.27,3558.19,23
NDC,10019-957-11,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4447.74,4447.74,658.27,3558.19,23
NDC,10019-991-01,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],294.52,294.52,43.59,235.62,23
NDC,10119-00252,EYE WASH OP SOLN [3000],13.32,13.32,1.97,10.66,23
NDC,10122-313-10,NICARDIPINE HCL IN NACL 20-0.86 MG/200ML-% IV SOLN [94219],459.94,459.94,68.07,367.95,23
NDC,10122-325-10,NICARDIPINE HCL IN NACL 40-0.83 MG/200ML-% IV SOLN [94576],800.32,800.32,118.45,640.26,23
NDC,10122-620-01,CANGRELOR TETRASODIUM 50 MG IV SOLR NO NF [601128482],3039.65,3039.65,449.87,2431.72,23
NDC,10122-620-01,CANGRELOR TETRASODIUM 50 MG IV SOLR [128482],3039.65,3039.65,449.87,2431.72,23
NDC,10122-620-10,CANGRELOR TETRASODIUM 50 MG IV SOLR [128482],3039.64,3039.64,449.87,2431.71,23
NDC,10135-133-01,CHLORPHENIRAMINE MALEATE 4 MG PO TABS [1645],6.0,6.0,0.89,4.8,23
NDC,10135-146-17,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],656.71,656.71,97.19,525.37,23
NDC,10135-314-01,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,10135-493-01,SALSALATE 750 MG PO TABS [7035],9.53,9.53,1.41,7.62,23
NDC,10135-526-05,AMLODIPINE BESYLATE 10 MG PO TABS [9069],6.0,6.0,0.89,4.8,23
NDC,10135-541-01,PROBENECID 500 MG PO TABS [6561],8.46,8.46,1.25,6.77,23
NDC,10135-579-01,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],64.53,64.53,9.55,51.62,23
NDC,10135-580-01,TERBUTALINE SULFATE 5 MG PO TABS [11509],78.81,78.81,11.66,63.05,23
NDC,10135-607-01,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,10135-620-01,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],7.48,7.48,1.11,5.98,23
NDC,10135-641-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,10135-642-01,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,10135-661-01,SOTALOL HCL 80 MG PO TABS [11421],6.0,6.0,0.89,4.8,23
NDC,10135-666-01,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
NDC,10135-673-01,ROPINIROLE HCL 0.25 MG PO TABS [21688],6.0,6.0,0.89,4.8,23
NDC,10135-675-01,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
NDC,10135-676-01,ROPINIROLE HCL 2 MG PO TABS [21690],6.0,6.0,0.89,4.8,23
NDC,10135-679-01,ROPINIROLE HCL 5 MG PO TABS [21691],6.0,6.0,0.89,4.8,23
NDC,10135-711-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,10135-712-05,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,10135-713-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,10135-722-05,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,10135-724-99,HYDROQUINONE 4 % EX CREA [10230],282.11,282.11,41.75,225.69,23
NDC,10135-728-01,FLUPHENAZINE HCL 10 MG PO TABS [3219],28.14,28.14,4.16,22.51,23
NDC,10135-729-62,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,10135-735-01,PYRAZINAMIDE 500 MG PO TABS [6738],42.02,42.02,6.22,33.62,23
NDC,10135-738-01,RIFABUTIN 150 MG PO CAPS [11290],54.55,54.55,8.07,43.64,23
NDC,10135-746-60,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
NDC,10135-747-01,DIGOXIN 0.125 MG PO TABS [2444],6.0,6.0,0.89,4.8,23
NDC,10135-749-01,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
NDC,10135-751-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],17.63,17.63,2.61,14.1,23
NDC,10135-776-01,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,10135-777-10,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,10135-778-01,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,10135-778-05,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,10135-779-01,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
NDC,10135-787-05,EZETIMIBE 10 MG PO TABS [34153],6.0,6.0,0.89,4.8,23
NDC,10147-0892-3,GALANTAMINE HYDROBROMIDE ER 16 MG PO CP24 [41139],28.69,28.69,4.25,22.95,23
NDC,10147-0922-5,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],230.37,230.37,34.09,184.3,23
NDC,10147-0952-3,PALIPERIDONE ER 3 MG PO TB24 [78064],62.11,62.11,9.19,49.69,23
NDC,10147-1700-7,ITRACONAZOLE 100 MG PO CAPS [10364],43.73,43.73,6.47,34.98,23
NDC,10337-162-15,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],724.13,724.13,107.17,579.3,23
NDC,10337-163-30,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1039.31,1039.31,153.82,831.45,23
NDC,10356-101-10,HYDROPHOR EX OINT [20140],33.04,33.04,4.89,26.43,23
NDC,10370-101-03,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
NDC,10370-102-03,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
NDC,10370-349-11,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
NDC,10370-831-11,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],9.65,9.65,1.43,7.72,23
NDC,10631-407-01,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA [28824],339.67,339.67,50.27,271.74,23
NDC,10702-003-01,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
NDC,10702-018-01,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,10702-036-45,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],658.96,658.96,97.53,527.17,23
NDC,10702-056-01,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
NDC,10702-100-01,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,10702-101-01,METHYLPHENIDATE HCL 10 MG PO TABS [4986],6.0,6.0,0.89,4.8,23
NDC,10702-169-01,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
NDC,10702-253-01,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
NDC,10858-08107,BARIUM SULFATE PO CAPS [21381],451.95,451.95,66.89,361.56,23
NDC,10858-08110,BARIUM SULFATE PO CAPS [21381],93.53,93.53,13.84,74.82,23
NDC,10939-441-44,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,10939-95573,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,10956-618-01,PYRANTEL PAMOATE 144 (50 BASE) MG/ML PO SUSP [15255],36.38,36.38,5.38,29.1,23
NDC,11017-25220,SALICYLIC ACID 17 % EX SOLN [11323],28.52,28.52,4.22,22.82,23
NDC,11086-030-10,SALICYLIC ACID 6 % EX GEL [11308],242.74,242.74,35.93,194.19,23
NDC,11534-166-15,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],74.31,74.31,11.0,59.45,23
NDC,11534-188-01,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
NDC,11704-370-01,HYDROXOCOBALAMIN 5 G IV SOLR [110577],2868.04,2868.04,424.47,2294.43,23
NDC,11788-008-05,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,11788-009-05,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,11980-011-05,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],631.74,631.74,93.5,505.39,23
NDC,11980-180-05,PREDNISOLONE ACETATE 1 % OP SUSP [6487],725.65,725.65,107.4,580.52,23
NDC,11994-011-04,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP [31270],1459.28,1459.28,215.97,1167.42,23
NDC,12496-1202-1,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],28.25,28.25,4.18,22.6,23
NDC,12496-1202-3,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM [104858],28.26,28.26,4.18,22.61,23
NDC,12496-1204-1,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM [117006],50.67,50.67,7.5,40.54,23
NDC,12496-1204-3,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 4-1 MG SL FILM [117006],50.65,50.65,7.5,40.52,23
NDC,12496-1208-1,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],50.67,50.67,7.5,40.54,23
NDC,12496-1208-3,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],50.65,50.65,7.5,40.52,23
NDC,12496-1212-1,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 12-3 MG SL FILM [117007],93.32,93.32,13.81,74.66,23
NDC,12496-1212-3,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 12-3 MG SL FILM [117007],93.33,93.33,13.81,74.66,23
NDC,12547-493-78,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],35.75,35.75,5.29,28.6,23
NDC,12870-0001-1,SILVER NITRATE-POT NITRATE 75-25 % EX MISC [11359],6.0,6.0,0.89,4.8,23
NDC,12870-0001-2,SILVER NITRATE-POT NITRATE 75-25 % EX MISC [11359],6.0,6.0,0.89,4.8,23
NDC,13107-001-30,MIRTAZAPINE 7.5 MG PO TABS [38421],12.38,12.38,1.83,9.9,23
NDC,13107-014-01,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
NDC,13107-019-01,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,13107-032-34,MIRTAZAPINE 45 MG PO TABS [24945],13.32,13.32,1.97,10.66,23
NDC,13107-035-01,DEXTROAMPHETAMINE SULFATE 5 MG PO TABS [2354],13.63,13.63,2.02,10.9,23
NDC,13107-044-01,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.44,6.44,0.95,5.15,23
NDC,13107-046-01,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],16.69,16.69,2.47,13.35,23
NDC,13107-068-01,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
NDC,13107-084-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,13107-154-30,PAROXETINE HCL 10 MG PO TABS [16632],12.31,12.31,1.82,9.85,23
NDC,13107-155-30,PAROXETINE HCL 20 MG PO TABS [10855],12.43,12.43,1.84,9.94,23
NDC,13107-156-30,PAROXETINE HCL 30 MG PO TABS [10856],13.23,13.23,1.96,10.58,23
NDC,13310-153-07,QUININE SULFATE 324 MG PO CAPS [6781],36.94,36.94,5.47,29.55,23
NDC,13517-107-16,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
NDC,13517-113-01,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,13517-626-01,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
NDC,13533-318-05,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML IJ SOLN [139692],10329.89,10329.89,1528.82,8263.91,23
NDC,13533-634-02,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY [153541],2266.89,2266.89,335.5,1813.51,23
NDC,13533-636-01,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN [153546],656.5,656.5,97.16,525.2,23
NDC,13533-636-03,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY [153543],400.15,400.15,59.22,320.12,23
NDC,13533-636-05,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN [153546],2794.42,2794.42,413.57,2235.54,23
NDC,13533-800-20,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IJ SOLN [106115],2549.16,2549.16,377.28,2039.33,23
NDC,13533-800-24,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML IJ SOLN [106117],8865.12,8865.12,1312.04,7092.1,23
NDC,13533-800-25,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML IJ SOLN [106117],8865.12,8865.12,1312.04,7092.1,23
NDC,13533-800-71,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML IJ SOLN [106116],4432.56,4432.56,656.02,3546.05,23
NDC,13668-009-01,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],12.13,12.13,1.8,9.7,23
NDC,13668-010-01,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.65,12.65,1.87,10.12,23
NDC,13668-011-01,CITALOPRAM HYDROBROMIDE 40 MG PO TABS [23490],13.07,13.07,1.93,10.46,23
NDC,13668-038-60,RISPERIDONE 2 MG PO TABS [18311],35.76,35.76,5.29,28.61,23
NDC,13668-047-01,LAMOTRIGINE 100 MG PO TABS [13982],22.33,22.33,3.3,17.86,23
NDC,13668-086-30,OLANZAPINE 5 MG PO TBDP [28159],65.8,65.8,9.74,52.64,23
NDC,13668-088-30,OLANZAPINE 10 MG PO TBDP [28160],89.49,89.49,13.24,71.59,23
NDC,13668-089-30,OLANZAPINE 15 MG PO TBDP [28161],131.35,131.35,19.44,105.08,23
NDC,13668-090-30,OLANZAPINE 20 MG PO TBDP [28162],173.2,173.2,25.63,138.56,23
NDC,13668-092-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],13.82,13.82,2.05,11.06,23
NDC,13668-094-90,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS [21288],13.87,13.87,2.05,11.1,23
NDC,13668-104-01,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],15.76,15.76,2.33,12.61,23
NDC,13668-105-01,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],20.1,20.1,2.97,16.08,23
NDC,13668-106-01,ISOSORBIDE MONONITRATE ER 120 MG PO TB24 [27278],41.37,41.37,6.12,33.1,23
NDC,13668-109-60,DULOXETINE HCL 20 MG PO CPEP [39275],29.24,29.24,4.33,23.39,23
NDC,13668-115-90,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.48,14.48,2.14,11.58,23
NDC,13668-117-30,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,13668-117-90,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,13668-184-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.75 MG PO TABS [88567],13.87,13.87,2.05,11.1,23
NDC,13668-189-30,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],44.88,44.88,6.64,35.9,23
NDC,13668-216-30,ARIPIPRAZOLE 2 MG PO TABS [70306],139.05,139.05,20.58,111.24,23
NDC,13668-217-30,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
NDC,13668-217-90,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
NDC,13668-218-05,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
NDC,13668-218-30,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
NDC,13668-219-90,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
NDC,13668-220-30,ARIPIPRAZOLE 20 MG PO TABS [34371],196.63,196.63,29.1,157.3,23
NDC,13668-453-01,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],52.48,52.48,7.77,41.98,23
NDC,13668-482-01,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,13668-484-50,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
NDC,13668-515-01,ACYCLOVIR 5 % EX OINT [8968],1308.09,1308.09,193.6,1046.47,23
NDC,13668-549-87,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
NDC,13668-549-94,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
NDC,13668-550-88,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
NDC,13668-550-94,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
NDC,13668-591-80,APREPITANT 40 MG PO CAPS [76843],414.48,414.48,61.34,331.58,23
NDC,13668-591-82,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
NDC,13845-1202-2,CYCLOSERINE 250 MG PO CAPS [9704],325.21,325.21,48.13,260.17,23
NDC,13925-107-01,METHENAMINE MANDELATE 1 G PO TABS [4966],11.14,11.14,1.65,8.91,23
NDC,13925-505-30,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
NDC,13925-515-01,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],680.49,680.49,100.71,544.39,23
NDC,13925-515-10,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],680.49,680.49,100.71,544.39,23
NDC,14789-011-01,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1571.4,1571.4,232.57,1257.12,23
NDC,14789-011-07,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1571.4,1571.4,232.57,1257.12,23
NDC,14789-015-05,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],2095.2,2095.2,310.09,1676.16,23
NDC,14789-015-07,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],2095.2,2095.2,310.09,1676.16,23
NDC,14789-102-05,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],723.84,723.84,107.13,579.07,23
NDC,14789-102-10,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],723.84,723.84,107.13,579.07,23
NDC,14789-108-10,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],207.84,207.84,30.76,166.27,23
NDC,14789-108-16,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN [11076],207.84,207.84,30.76,166.27,23
NDC,14789-116-05,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR [2903],787.2,787.2,116.51,629.76,23
NDC,14789-121-05,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],194.85,194.85,28.84,155.88,23
NDC,14789-127-05,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],90.93,90.93,13.46,72.74,23
NDC,14789-127-07,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],90.93,90.93,13.46,72.74,23
NDC,14789-128-05,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],205.4,205.4,30.4,164.32,23
NDC,14789-128-07,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],205.4,205.4,30.4,164.32,23
NDC,14789-220-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
NDC,14789-901-10,PROCAINAMIDE HCL 100 MG/ML IJ SOLN [6562],2095.2,2095.2,310.09,1676.16,23
NDC,15054-0043-1,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ [129616],9044.25,9044.25,1338.55,7235.4,23
NDC,15054-1120-3,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],27779.4,27779.4,4111.35,22223.52,23
NDC,15054-1120-4,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],29030.24,29030.24,4296.48,23224.19,23
NDC,15082-0211-10,FENTANYL 200MCG + 0.1% BUPIVACAINE/100ML NS EPIDURAL [600403],90.67,90.67,13.42,72.54,23
NDC,15082-0747-99,HEPARIN 4000 UNITS/1000 ML NS IR [600453],147.22,147.22,21.79,117.78,23
NDC,15082-0863-67,NITROGLYCERIN 200 MCG/ML D5W 5 ML IV SYRINGE ANGIO [600811],56.4,56.4,8.35,45.12,23
NDC,15082-0903-05,MAGNESIUM SULFATE 4 G IN 50ML D5W PREMIX [600398],52.0,52.0,7.7,41.6,23
NDC,15082-248-70,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],54.52,54.52,8.07,43.62,23
NDC,15082-828-68,GLYCOPYRROLATE 0.6 MG/3 ML IV SYRINGE [600773],401.06,401.06,59.36,320.85,23
NDC,15082-902-05,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
NDC,16477-201-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.16,93.16,13.79,74.53,23
NDC,16477-738-01,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
NDC,16571-112-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.5,20.5,3.03,16.4,23
NDC,16571-201-10,DICLOFENAC SODIUM 75 MG PO TBEC [15341],8.34,8.34,1.23,6.67,23
NDC,16571-401-10,CETIRIZINE HCL 5 MG PO TABS [15349],11.73,11.73,1.74,9.38,23
NDC,16571-402-10,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
NDC,16571-413-05,CIPROFLOXACIN HCL 750 MG PO TABS [25120],25.61,25.61,3.79,20.49,23
NDC,16571-659-06,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
NDC,16571-664-01,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,16571-664-50,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,16571-668-01,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,16571-673-01,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
NDC,16571-675-16,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],375.36,375.36,55.55,300.29,23
NDC,16571-681-01,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
NDC,16571-683-09,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],52.84,52.84,7.82,42.27,23
NDC,16571-684-09,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
NDC,16571-723-48,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],1742.37,1742.37,257.87,1393.9,23
NDC,16571-723-60,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],338.13,338.13,50.04,270.5,23
NDC,16571-735-21,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],276.06,276.06,40.86,220.85,23
NDC,16571-778-09,DONEPEZIL HCL 5 MG PO TABS [18786],40.66,40.66,6.02,32.53,23
NDC,16571-820-51,TEMOZOLOMIDE 180 MG PO CAPS [81462],1507.29,1507.29,223.08,1205.83,23
NDC,16571-834-01,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
NDC,16571-885-09,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,16714-001-01,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],622.81,622.81,92.18,498.25,23
NDC,16714-006-10,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],32.9,32.9,4.87,26.32,23
NDC,16714-009-01,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
NDC,16714-014-01,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,16714-015-01,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1818.58,1818.58,269.15,1454.86,23
NDC,16714-016-10,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.18,44.18,6.54,35.34,23
NDC,16714-018-30,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],43.99,43.99,6.51,35.19,23
NDC,16714-026-01,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],66.75,66.75,9.88,53.4,23
NDC,16714-026-10,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],66.75,66.75,9.88,53.4,23
NDC,16714-035-01,LEVETIRACETAM 500 MG PO TABS [26817],16.37,16.37,2.42,13.1,23
NDC,16714-036-01,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.77,89.77,13.29,71.82,23
NDC,16714-036-10,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.77,89.77,13.29,71.82,23
NDC,16714-041-10,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,16714-041-12,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,16714-046-01,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],101.33,101.33,15.0,81.06,23
NDC,16714-046-10,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],101.33,101.33,15.0,81.06,23
NDC,16714-052-10,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],23.27,23.27,3.44,18.62,23
NDC,16714-052-11,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],23.27,23.27,3.44,18.62,23
NDC,16714-056-01,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],124.28,124.28,18.39,99.42,23
NDC,16714-056-10,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],124.28,124.28,18.39,99.42,23
NDC,16714-066-01,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],152.85,152.85,22.62,122.28,23
NDC,16714-066-10,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],152.85,152.85,22.62,122.28,23
NDC,16714-070-02,FULVESTRANT 250 MG/5ML IM SOSY [107125],2903.95,2903.95,429.78,2323.16,23
NDC,16714-071-04,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
NDC,16714-079-01,CINACALCET HCL 60 MG PO TABS [38101],238.68,238.68,35.32,190.94,23
NDC,16714-081-10,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
NDC,16714-082-10,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,16714-088-01,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.17,49.17,7.28,39.34,23
NDC,16714-088-25,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],49.96,49.96,7.39,39.97,23
NDC,16714-099-01,TACROLIMUS 1 MG PO CAPS [12933],20.92,20.92,3.1,16.74,23
NDC,16714-100-01,TACROLIMUS 5 MG PO CAPS [12934],96.4,96.4,14.27,77.12,23
NDC,16714-101-05,GEMFIBROZIL 600 MG PO TABS [3378],10.65,10.65,1.58,8.52,23
NDC,16714-110-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.67,19.67,2.91,15.74,23
NDC,16714-115-02,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],78.09,78.09,11.56,62.47,23
NDC,16714-137-01,PACLITAXEL 300 MG/50ML IV CONC [31097],413.57,413.57,61.21,330.86,23
NDC,16714-142-01,ARIPIPRAZOLE 5 MG PO TABS [36438],137.81,137.81,20.4,110.25,23
NDC,16714-143-01,ARIPIPRAZOLE 10 MG PO TABS [34369],138.01,138.01,20.43,110.41,23
NDC,16714-144-01,ARIPIPRAZOLE 15 MG PO TABS [34370],138.19,138.19,20.45,110.55,23
NDC,16714-159-01,ONDANSETRON HCL 4 MG PO TABS [10778],105.06,105.06,15.55,84.05,23
NDC,16714-160-01,ONDANSETRON HCL 8 MG PO TABS [10779],167.7,167.7,24.82,134.16,23
NDC,16714-166-01,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.75,6.75,1.0,5.4,23
NDC,16714-168-01,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],11.97,11.97,1.77,9.58,23
NDC,16714-178-01,FLUOROURACIL 5 % EX CREA [10065],1104.58,1104.58,163.48,883.66,23
NDC,16714-181-01,PAROXETINE HCL 10 MG PO TABS [16632],12.46,12.46,1.84,9.97,23
NDC,16714-194-01,LAMOTRIGINE 25 MG PO TABS [13981],20.26,20.26,3.0,16.21,23
NDC,16714-196-01,LAMOTRIGINE 150 MG PO TABS [14266],25.23,25.23,3.73,20.18,23
NDC,16714-197-01,LAMOTRIGINE 200 MG PO TABS [13983],27.53,27.53,4.07,22.02,23
NDC,16714-200-10,ONDANSETRON 4 MG PO TBDP [27697],97.72,97.72,14.46,78.18,23
NDC,16714-200-30,ONDANSETRON 4 MG PO TBDP [27697],97.72,97.72,14.46,78.18,23
NDC,16714-224-01,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,16714-224-02,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,16714-225-01,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,16714-225-02,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,16714-226-01,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,16714-226-02,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,16714-234-01,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
NDC,16714-235-01,PENICILLIN V POTASSIUM 500 MG PO TABS [6093],6.03,6.03,0.89,4.82,23
NDC,16714-244-01,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
NDC,16714-248-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],785.6,785.6,116.27,628.48,23
NDC,16714-292-01,AMOXICILLIN-POT CLAVULANATE 200-28.5 MG/5ML PO SUSR [33229],87.89,87.89,13.01,70.31,23
NDC,16714-293-02,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],203.62,203.62,30.14,162.9,23
NDC,16714-294-01,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],215.31,215.31,31.87,172.25,23
NDC,16714-294-02,AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR [31177],313.64,313.64,46.42,250.91,23
NDC,16714-298-02,AMOXICILLIN 250 MG PO CAPS [450],6.0,6.0,0.89,4.8,23
NDC,16714-299-03,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
NDC,16714-299-04,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
NDC,16714-330-02,GABAPENTIN 600 MG PO TABS [25855],11.87,11.87,1.76,9.5,23
NDC,16714-332-01,GABAPENTIN 800 MG PO TABS [25856],14.3,14.3,2.12,11.44,23
NDC,16714-332-02,GABAPENTIN 800 MG PO TABS [25856],14.27,14.27,2.11,11.42,23
NDC,16714-355-01,LEVETIRACETAM 500 MG PO TABS [26817],16.37,16.37,2.42,13.1,23
NDC,16714-355-02,LEVETIRACETAM 500 MG PO TABS [26817],16.41,16.41,2.43,13.13,23
NDC,16714-356-01,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
NDC,16714-357-01,LEVETIRACETAM 1000 MG PO TABS [70773],32.82,32.82,4.86,26.26,23
NDC,16714-358-01,LEVETIRACETAM 100 MG/ML PO SOLN [36590],944.83,944.83,139.83,755.86,23
NDC,16714-359-04,"FALMINA,ORSYTHIA,LEVONORG-ETHINYL ESTRAD 0.1/0.02MG TAB [20638]",152.28,152.28,22.54,121.82,23
NDC,16714-360-01,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
NDC,16714-360-04,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
NDC,16714-363-04,"ORTHO TRI-CYCLEN,TRINESSA,0.18/0.215/0.25 MG-35 MCG PO TABS [101584]",170.23,170.23,25.19,136.18,23
NDC,16714-365-04,NORGESTREL-ETHINYL ESTRADIOL 0.3-30 MG-MCG PO TABS [10752],132.16,132.16,19.56,105.73,23
NDC,16714-378-01,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.48,60.48,8.95,48.38,23
NDC,16714-380-01,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.38,93.38,13.82,74.7,23
NDC,16714-388-01,CEFADROXIL 500 MG PO CAPS [9436],17.49,17.49,2.59,13.99,23
NDC,16714-388-02,CEFADROXIL 500 MG PO CAPS [9436],16.92,16.92,2.5,13.54,23
NDC,16714-390-01,CEFADROXIL 500 MG/5ML PO SUSR [9439],245.66,245.66,36.36,196.53,23
NDC,16714-391-01,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
NDC,16714-394-01,CEFPODOXIME PROXETIL 100 MG PO TABS [9468],31.67,31.67,4.69,25.34,23
NDC,16714-400-01,CEFUROXIME AXETIL 250 MG PO TABS [9495],23.81,23.81,3.52,19.05,23
NDC,16714-439-01,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],16.62,16.62,2.46,13.3,23
NDC,16714-443-01,ENALAPRIL MALEATE 5 MG PO TABS [9927],7.13,7.13,1.06,5.7,23
NDC,16714-446-01,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
NDC,16714-447-01,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
NDC,16714-449-01,AMITRIPTYLINE HCL 75 MG PO TABS [437],8.53,8.53,1.26,6.82,23
NDC,16714-454-01,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.22,32.22,4.77,25.78,23
NDC,16714-455-01,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.48,60.48,8.95,48.38,23
NDC,16714-457-01,QUETIAPINE FUMARATE 400 MG PO TABS [70398],93.35,93.35,13.82,74.68,23
NDC,16714-478-01,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,16714-478-02,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.08,23.08,3.42,18.46,23
NDC,16714-483-01,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.57,241.57,35.75,193.26,23
NDC,16714-484-01,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
NDC,16714-485-01,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,16714-485-02,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,16714-494-01,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
NDC,16714-501-01,TERBINAFINE HCL 250 MG PO TABS [12724],59.55,59.55,8.81,47.64,23
NDC,16714-502-01,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
NDC,16714-532-11,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.86,108.86,16.11,87.09,23
NDC,16714-536-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,16714-550-01,LACOSAMIDE 150 MG PO TABS [96970],89.44,89.44,13.24,71.55,23
NDC,16714-552-01,LACOSAMIDE 200 MG PO TABS [96971],89.46,89.46,13.24,71.57,23
NDC,16714-557-01,METRONIDAZOLE 0.75 % VA GEL [10592],585.34,585.34,86.63,468.27,23
NDC,16714-560-01,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
NDC,16714-570-01,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,16714-576-01,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,16714-576-02,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,16714-577-01,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,16714-590-01,DIGOXIN 0.125 MG PO TABS [2444],9.9,9.9,1.47,7.92,23
NDC,16714-591-01,DIGOXIN 0.25 MG PO TABS [2445],9.77,9.77,1.45,7.82,23
NDC,16714-611-01,SERTRALINE HCL 25 MG PO TABS [19882],13.39,13.39,1.98,10.71,23
NDC,16714-611-04,SERTRALINE HCL 25 MG PO TABS [19882],13.06,13.06,1.93,10.45,23
NDC,16714-612-04,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
NDC,16714-613-04,SERTRALINE HCL 100 MG PO TABS [11350],13.2,13.2,1.95,10.56,23
NDC,16714-613-06,SERTRALINE HCL 100 MG PO TABS [11350],13.11,13.11,1.94,10.49,23
NDC,16714-628-01,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],915.25,915.25,135.46,732.2,23
NDC,16714-631-01,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.76,13.76,2.04,11.01,23
NDC,16714-631-02,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.74,13.74,2.03,10.99,23
NDC,16714-632-01,ALENDRONATE SODIUM 35 MG PO TABS [29072],89.33,89.33,13.22,71.46,23
NDC,16714-633-01,ALENDRONATE SODIUM 70 MG PO TABS [29048],88.39,88.39,13.08,70.71,23
NDC,16714-644-01,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],121.11,121.11,17.92,96.89,23
NDC,16714-644-10,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],121.11,121.11,17.92,96.89,23
NDC,16714-651-02,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.31,21.31,3.15,17.05,23
NDC,16714-652-02,CIPROFLOXACIN HCL 500 MG PO TABS [25119],26.01,26.01,3.85,20.81,23
NDC,16714-653-01,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.05,26.05,3.86,20.84,23
NDC,16714-661-01,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,16714-661-02,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,16714-662-01,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,16714-662-02,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
NDC,16714-663-01,GABAPENTIN 400 MG PO CAPS [18307],7.51,7.51,1.11,6.01,23
NDC,16714-663-02,GABAPENTIN 400 MG PO CAPS [18307],7.33,7.33,1.08,5.86,23
NDC,16714-681-01,SIMVASTATIN 5 MG PO TABS [11367],12.76,12.76,1.89,10.21,23
NDC,16714-681-02,SIMVASTATIN 5 MG PO TABS [11367],10.34,10.34,1.53,8.27,23
NDC,16714-682-02,SIMVASTATIN 10 MG PO TABS [11364],13.02,13.02,1.93,10.42,23
NDC,16714-683-01,SIMVASTATIN 20 MG PO TABS [11365],23.06,23.06,3.41,18.45,23
NDC,16714-685-01,SIMVASTATIN 80 MG PO TABS [23449],23.05,23.05,3.41,18.44,23
NDC,16714-685-02,SIMVASTATIN 80 MG PO TABS [23449],22.64,22.64,3.35,18.11,23
NDC,16714-691-01,FLUCONAZOLE 100 MG PO TABS [10044],41.22,41.22,6.1,32.98,23
NDC,16714-691-02,FLUCONAZOLE 100 MG PO TABS [10044],30.74,30.74,4.55,24.59,23
NDC,16714-692-10,FLUCONAZOLE 150 MG PO TABS [13577],63.88,63.88,9.45,51.1,23
NDC,16714-692-11,FLUCONAZOLE 150 MG PO TABS [13577],63.89,63.89,9.46,51.11,23
NDC,16714-693-01,FLUCONAZOLE 200 MG PO TABS [10045],67.47,67.47,9.99,53.98,23
NDC,16714-693-02,FLUCONAZOLE 200 MG PO TABS [10045],56.52,56.52,8.36,45.22,23
NDC,16714-695-01,FLUCONAZOLE 10 MG/ML PO SUSR [14232],152.46,152.46,22.56,121.97,23
NDC,16714-696-01,FLUCONAZOLE 40 MG/ML PO SUSR [14233],488.22,488.22,72.26,390.58,23
NDC,16714-700-01,LAMOTRIGINE 25 MG PO TABS [13981],20.26,20.26,3.0,16.21,23
NDC,16714-701-01,LAMOTRIGINE 100 MG PO TABS [13982],23.27,23.27,3.44,18.62,23
NDC,16714-702-01,LAMOTRIGINE 150 MG PO TABS [14266],25.23,25.23,3.73,20.18,23
NDC,16714-703-01,LAMOTRIGINE 200 MG PO TABS [13983],27.53,27.53,4.07,22.02,23
NDC,16714-713-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.8,19.8,2.93,15.84,23
NDC,16714-715-02,OMEPRAZOLE 20 MG PO CPDR [27694],20.43,20.43,3.02,16.34,23
NDC,16714-720-02,FLUOXETINE HCL 10 MG PO CAPS [10069],12.22,12.22,1.81,9.78,23
NDC,16714-721-02,FLUOXETINE HCL 20 MG PO CAPS [10070],12.54,12.54,1.86,10.03,23
NDC,16714-729-01,DESONIDE 0.05 % EX CREA [2291],312.35,312.35,46.23,249.88,23
NDC,16714-732-01,CELECOXIB 100 MG PO CAPS [24500],21.64,21.64,3.2,17.31,23
NDC,16714-733-01,CELECOXIB 200 MG PO CAPS [24501],35.43,35.43,5.24,28.34,23
NDC,16714-736-01,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.57,41.57,6.15,33.26,23
NDC,16714-747-01,OMEPRAZOLE 20 MG PO CPDR [27694],20.43,20.43,3.02,16.34,23
NDC,16714-747-02,OMEPRAZOLE 20 MG PO CPDR [27694],20.2,20.2,2.99,16.16,23
NDC,16714-769-01,NYSTATIN 100000 UNIT/GM EX POWD [39136],106.13,106.13,15.71,84.9,23
NDC,16714-783-01,ARIPIPRAZOLE 2 MG PO TABS [70306],137.4,137.4,20.34,109.92,23
NDC,16714-784-01,ARIPIPRAZOLE 5 MG PO TABS [36438],137.81,137.81,20.4,110.25,23
NDC,16714-785-01,ARIPIPRAZOLE 10 MG PO TABS [34369],138.01,138.01,20.43,110.41,23
NDC,16714-787-01,ARIPIPRAZOLE 20 MG PO TABS [34371],195.41,195.41,28.92,156.33,23
NDC,16714-795-02,TERBINAFINE HCL 250 MG PO TABS [12724],62.89,62.89,9.31,50.31,23
NDC,16714-796-01,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
NDC,16714-797-01,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.86,108.86,16.11,87.09,23
NDC,16714-799-04,CETIRIZINE HCL 10 MG PO TABS [9506],7.2,7.2,1.07,5.76,23
NDC,16714-800-01,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,16714-809-01,LEVONORGESTREL 1.5 MG PO TABS [99438],145.8,145.8,21.58,116.64,23
NDC,16714-813-02,EZETIMIBE 10 MG PO TABS [34153],47.64,47.64,7.05,38.11,23
NDC,16714-814-01,SEVELAMER CARBONATE 800 MG PO TABS [89201],21.55,21.55,3.19,17.24,23
NDC,16714-816-01,BICALUTAMIDE 50 MG PO TABS [15746],85.79,85.79,12.7,68.63,23
NDC,16714-816-02,BICALUTAMIDE 50 MG PO TABS [15746],86.3,86.3,12.77,69.04,23
NDC,16714-817-01,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.33,66.33,9.82,53.06,23
NDC,16714-819-01,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.58,72.58,10.74,58.06,23
NDC,16714-821-01,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,16714-829-01,BUDESONIDE 3 MG PO CPEP [31576],89.77,89.77,13.29,71.82,23
NDC,16714-832-01,BUMETANIDE 1 MG PO TABS [9310],10.04,10.04,1.49,8.03,23
NDC,16714-844-01,AMIODARONE HCL 200 MG PO TABS [9066],15.67,15.67,2.32,12.54,23
NDC,16714-852-01,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,16714-857-01,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],2402.47,2402.47,355.57,1921.98,23
NDC,16714-858-01,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],4192.57,4192.57,620.5,3354.06,23
NDC,16714-859-01,CYCLOPHOSPHAMIDE 500 MG IJ SOLR [38271],1357.76,1357.76,200.95,1086.21,23
NDC,16714-860-01,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],117.52,117.52,17.39,94.02,23
NDC,16714-861-01,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],117.21,117.21,17.35,93.77,23
NDC,16714-866-01,PALIPERIDONE ER 1.5 MG PO TB24 [100004],132.19,132.19,19.56,105.75,23
NDC,16714-877-01,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.84,26.84,3.97,21.47,23
NDC,16714-878-01,LIDOCAINE 5 % EX OINT [41831],891.94,891.94,132.01,713.55,23
NDC,16714-885-01,ACYCLOVIR 5 % EX OINT [8968],1187.05,1187.05,175.68,949.64,23
NDC,16714-886-01,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],203.73,203.73,30.15,162.98,23
NDC,16714-889-10,ERTAPENEM SODIUM 1 G IJ SOLR [31922],549.63,549.63,81.35,439.7,23
NDC,16714-894-01,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
NDC,16714-896-01,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
NDC,16714-897-01,PERMETHRIN 5 % EX CREA [10917],456.93,456.93,67.63,365.54,23
NDC,16714-900-01,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3567.68,3567.68,528.02,2854.14,23
NDC,16714-908-01,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],373.83,373.83,55.33,299.06,23
NDC,16714-930-01,GEMCITABINE HCL 1 G IV SOLR [17122],232.86,232.86,34.46,186.29,23
NDC,16714-973-01,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
NDC,16714-980-01,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.57,41.57,6.15,33.26,23
NDC,16714-980-02,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.68,41.68,6.17,33.34,23
NDC,16714-988-01,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],40.42,40.42,5.98,32.34,23
NDC,16714-989-01,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],40.89,40.89,6.05,32.71,23
NDC,16714-990-01,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],40.89,40.89,6.05,32.71,23
NDC,16729-009-15,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
NDC,16729-010-15,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
NDC,16729-011-15,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,16729-019-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],36.89,36.89,5.46,29.51,23
NDC,16729-020-15,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.94,32.94,4.88,26.35,23
NDC,16729-023-10,BICALUTAMIDE 50 MG PO TABS [15746],86.27,86.27,12.77,69.02,23
NDC,16729-034-10,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
NDC,16729-034-15,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
NDC,16729-035-10,ANASTROZOLE 1 MG PO TABS [16205],62.53,62.53,9.25,50.02,23
NDC,16729-041-01,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,16729-042-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,16729-043-01,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
NDC,16729-047-15,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],13.56,13.56,2.01,10.85,23
NDC,16729-067-12,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
NDC,16729-078-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,16729-090-01,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,16729-094-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.44,18.44,2.73,14.75,23
NDC,16729-108-11,MITOMYCIN 20 MG IV SOLR [10630],2059.76,2059.76,304.84,1647.81,23
NDC,16729-114-08,ETOPOSIDE 500 MG/25ML IV SOLN [121722],221.15,221.15,32.73,176.92,23
NDC,16729-114-31,ETOPOSIDE 100 MG/5ML IV SOLN [123430],57.0,57.0,8.44,45.6,23
NDC,16729-115-05,MITOMYCIN 5 MG IV SOLR [10632],893.67,893.67,132.26,714.94,23
NDC,16729-116-38,MITOMYCIN 40 MG IV SOLR [10631],3581.57,3581.57,530.07,2865.26,23
NDC,16729-119-15,MONTELUKAST SODIUM 10 MG PO TABS [22509],26.6,26.6,3.94,21.28,23
NDC,16729-136-00,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,16729-137-00,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,16729-145-01,QUETIAPINE FUMARATE 25 MG PO TABS [21823],18.79,18.79,2.78,15.03,23
NDC,16729-146-17,QUETIAPINE FUMARATE 50 MG PO TABS [70397],30.87,30.87,4.57,24.7,23
NDC,16729-147-01,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.24,32.24,4.77,25.79,23
NDC,16729-151-31,TOPOTECAN HCL 4 MG IV SOLR [17285],1175.06,1175.06,173.91,940.05,23
NDC,16729-156-15,SIMVASTATIN 5 MG PO TABS [11367],13.22,13.22,1.96,10.58,23
NDC,16729-171-01,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
NDC,16729-183-01,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,16729-183-17,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,16729-184-01,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
NDC,16729-189-29,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.95,42.95,6.36,34.36,23
NDC,16729-203-01,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
NDC,16729-211-01,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.35,6.35,0.94,5.08,23
NDC,16729-213-01,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.66,6.66,0.99,5.33,23
NDC,16729-216-15,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
NDC,16729-217-15,SERTRALINE HCL 100 MG PO TABS [11350],13.39,13.39,1.98,10.71,23
NDC,16729-223-61,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],4834.71,4834.71,715.54,3867.77,23
NDC,16729-224-05,DECITABINE 50 MG IV SOLR [76364],4934.87,4934.87,730.36,3947.9,23
NDC,16729-227-01,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
NDC,16729-229-03,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],457.12,457.12,67.65,365.7,23
NDC,16729-239-30,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
NDC,16729-239-93,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
NDC,16729-261-29,MYCOPHENOLATE SODIUM 180 MG PO TBEC [38062],21.48,21.48,3.18,17.18,23
NDC,16729-267-64,DOCETAXEL 80 MG/4ML IV CONC [107151],3695.32,3695.32,546.91,2956.26,23
NDC,16729-273-10,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
NDC,16729-275-67,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
NDC,16729-276-38,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
NDC,16729-277-30,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [115824],57.0,57.0,8.44,45.6,23
NDC,16729-277-35,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],178.23,178.23,26.38,142.58,23
NDC,16729-286-15,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,16729-288-38,CISPLATIN 100 MG/100ML IV SOLN [88377],187.49,187.49,27.75,149.99,23
NDC,16729-293-15,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
NDC,16729-294-10,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
NDC,16729-294-15,EPLERENONE 50 MG PO TABS [36984],20.4,20.4,3.02,16.32,23
NDC,16729-295-12,CARBOPLATIN 600 MG/60ML IV SOLN [40055],334.7,334.7,49.54,267.76,23
NDC,16729-298-05,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],44.47,44.47,6.58,35.58,23
NDC,16729-310-08,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
NDC,16729-310-63,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
NDC,16729-331-01,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
NDC,16729-347-10,LURASIDONE HCL 40 MG PO TABS [106031],198.52,198.52,29.38,158.82,23
NDC,16729-349-10,LURASIDONE HCL 80 MG PO TABS [106032],198.52,198.52,29.38,158.82,23
NDC,16729-391-30,GEMCITABINE HCL 200 MG/2ML IV SOLN [138583],205.4,205.4,30.4,164.32,23
NDC,16729-415-01,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.99,6.99,1.03,5.59,23
NDC,16729-432-30,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
NDC,16729-432-93,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],99.2,99.2,14.68,79.36,23
NDC,16729-433-15,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
NDC,16729-434-05,DAPTOMYCIN 350 MG IV SOLR [140312],1090.28,1090.28,161.36,872.22,23
NDC,16729-440-10,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
NDC,16729-442-10,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
NDC,16729-443-10,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],24.54,24.54,3.63,19.63,23
NDC,16729-443-15,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],24.54,24.54,3.63,19.63,23
NDC,16729-444-10,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],29.6,29.6,4.38,23.68,23
NDC,16729-448-17,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,16729-449-15,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,16729-451-15,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,16729-452-15,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,16729-455-15,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,16729-457-15,LEVOTHYROXINE SODIUM 200 MCG PO TABS [4426],6.0,6.0,0.89,4.8,23
NDC,16729-477-31,REGADENOSON 0.4 MG/5ML IV SOLN [91408],984.99,984.99,145.78,787.99,23
NDC,16729-484-45,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],58.75,58.75,8.7,47.0,23
NDC,16729-502-43,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,16729-512-43,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],326.76,326.76,48.36,261.41,23
NDC,16729-533-08,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],40.06,40.06,5.93,32.05,23
NDC,16729-533-63,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],40.06,40.06,5.93,32.05,23
NDC,16729-549-10,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],26.75,26.75,3.96,21.4,23
NDC,16729-550-10,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],47.84,47.84,7.08,38.27,23
NDC,16864-024-01,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
NDC,17238-900-11,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,17238-900-30,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,17238-900-99,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,17478-042-10,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
NDC,17478-045-32,TETRACAINE HCL 1 % IJ SOLN [11517],354.5,354.5,52.47,283.6,23
NDC,17478-064-12,HYPROMELLOSE (GONIOSCOPIC) 2.5 % OP SOLN [77164],104.77,104.77,15.51,83.82,23
NDC,17478-070-31,ERYTHROMYCIN 5 MG/GM OP OINT [2888],48.02,48.02,7.11,38.42,23
NDC,17478-070-35,ERYTHROMYCIN 5 MG/GM OP OINT [2888],87.67,87.67,12.98,70.14,23
NDC,17478-080-50,CAPREOMYCIN SULFATE 1 G IJ SOLR [9394],848.02,848.02,125.51,678.42,23
NDC,17478-081-30,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],35.25,35.25,5.22,28.2,23
NDC,17478-096-15,CYCLOPENTOLATE HCL 0.5 % OP SOLN [9699],299.17,299.17,44.28,239.34,23
NDC,17478-097-02,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],127.78,127.78,18.91,102.22,23
NDC,17478-097-10,CYCLOPENTOLATE HCL 2 % OP SOLN [9700],211.31,211.31,31.27,169.05,23
NDC,17478-100-02,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],69.42,69.42,10.27,55.54,23
NDC,17478-100-12,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],151.34,151.34,22.4,121.07,23
NDC,17478-105-05,OLOPATADINE HCL 0.1 % OP SOLN [19452],883.41,883.41,130.74,706.73,23
NDC,17478-201-02,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
NDC,17478-201-15,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],424.13,424.13,62.77,339.3,23
NDC,17478-209-10,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],402.9,402.9,59.63,322.32,23
NDC,17478-215-02,ATROPINE SULFATE 1 % OP SOLN [736],207.24,207.24,30.67,165.79,23
NDC,17478-215-05,ATROPINE SULFATE 1 % OP SOLN [736],227.1,227.1,33.61,181.68,23
NDC,17478-224-12,PILOCARPINE HCL 2 % OP SOLN [6280],377.24,377.24,55.83,301.79,23
NDC,17478-226-12,PILOCARPINE HCL 4 % OP SOLN [6282],383.07,383.07,56.69,306.46,23
NDC,17478-253-10,FLUORESCEIN SODIUM 10 % IV SOLN [135586],336.1,336.1,49.74,268.88,23
NDC,17478-263-12,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.98,189.98,28.12,151.98,23
NDC,17478-283-10,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],90.15,90.15,13.34,72.12,23
NDC,17478-288-10,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
NDC,17478-290-10,TOBRAMYCIN 0.3 % OP SOLN [7995],68.44,68.44,10.13,54.75,23
NDC,17478-291-11,CROMOLYN SODIUM 4 % OP SOLN [9691],161.3,161.3,23.87,129.04,23
NDC,17478-380-20,METHADONE HCL 10 MG/ML IJ SOLN [10546],1377.93,1377.93,203.93,1102.34,23
NDC,17478-403-03,FLUORESCEIN SODIUM 0.6 MG OP STRP [27662],6.0,6.0,0.89,4.8,23
NDC,17478-404-01,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,17478-419-40,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],470.31,470.31,69.61,376.25,23
NDC,17478-420-40,LABETALOL HCL 5 MG/ML IV SOLN [10372],243.21,243.21,36.0,194.57,23
NDC,17478-422-40,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],439.64,439.64,65.07,351.71,23
NDC,17478-526-03,DIMERCAPROL 100 MG/ML IM SOLN [9872],725.84,725.84,107.42,580.67,23
NDC,17478-540-50,HYDROMORPHONE HCL PF 500 MG/50ML IJ SOLN [93106],480.68,480.68,71.14,384.54,23
NDC,17478-542-02,ADENOSINE 6 MG/2ML IV SOLN [38703],34.96,34.96,5.17,27.97,23
NDC,17478-542-25,ADENOSINE 6 MG/2ML IV SOLN [38703],31.73,31.73,4.7,25.38,23
NDC,17478-622-35,SODIUM CHLORIDE (HYPERTONIC) 5 % OP OINT [7331],61.53,61.53,9.11,49.22,23
NDC,17478-623-12,SODIUM CHLORIDE (HYPERTONIC) 5 % OP SOLN [7332],69.31,69.31,10.26,55.45,23
NDC,17478-625-12,LATANOPROST 0.005 % OP SOLN [18621],91.37,91.37,13.52,73.1,23
NDC,17478-660-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],770.77,770.77,114.07,616.62,23
NDC,17478-701-02,INDOCYANINE GREEN 25 MG IV SOLR [10266],515.43,515.43,76.28,412.34,23
NDC,17478-703-11,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],60.49,60.49,8.95,48.39,23
NDC,17478-711-10,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL [143152],39.48,39.48,5.84,31.58,23
NDC,17478-711-31,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX GEL [143152],39.48,39.48,5.84,31.58,23
NDC,17478-715-10,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],141.38,141.38,20.92,113.1,23
NDC,17478-717-10,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],57.3,57.3,8.48,45.84,23
NDC,17478-762-06,DRONABINOL 5 MG PO CAPS [9905],57.63,57.63,8.53,46.1,23
NDC,17478-768-30,AMINOCAPROIC ACID 500 MG PO TABS [9063],95.21,95.21,14.09,76.17,23
NDC,17478-931-01,CALCITRIOL 1 MCG/ML IV SOLN [9348],44.07,44.07,6.52,35.26,23
NDC,17478-937-10,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
NDC,17478-953-02,ADENOSINE 6 MG/2ML IV SOLN [38703],34.96,34.96,5.17,27.97,23
NDC,20555-00301,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
NDC,20555-01900,FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS [110156],6.0,6.0,0.89,4.8,23
NDC,20555-03300,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
NDC,20555-03600,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,20555-03601,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,21922-002-01,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],317.43,317.43,46.98,253.94,23
NDC,21922-002-21,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],176.67,176.67,26.15,141.34,23
NDC,21922-004-04,DESONIDE 0.05 % EX OINT [9751],312.35,312.35,46.23,249.88,23
NDC,21922-009-09,DICLOFENAC SODIUM 1 % EX GEL [150015],227.18,227.18,33.62,181.74,23
NDC,21922-016-07,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
NDC,21922-017-04,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],562.62,562.62,83.27,450.1,23
NDC,21922-021-07,PERMETHRIN 5 % EX CREA [10917],444.94,444.94,65.85,355.95,23
NDC,21922-025-04,KETOCONAZOLE 2 % EX CREA [10368],495.1,495.1,73.27,396.08,23
NDC,21922-039-23,METRONIDAZOLE 0.75 % VA GEL [10592],576.1,576.1,85.26,460.88,23
NDC,23155-001-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,23155-001-10,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,23155-003-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,23155-038-01,PAROMOMYCIN SULFATE 250 MG PO CAPS [10854],26.65,26.65,3.94,21.32,23
NDC,23155-043-03,LEFLUNOMIDE 10 MG PO TABS [23872],77.2,77.2,11.43,61.76,23
NDC,23155-044-03,LEFLUNOMIDE 20 MG PO TABS [23873],77.2,77.2,11.43,61.76,23
NDC,23155-070-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,23155-071-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,23155-103-05,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
NDC,23155-104-05,METFORMIN HCL 1000 MG PO TABS [24398],6.0,6.0,0.89,4.8,23
NDC,23155-118-01,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
NDC,23155-191-01,BUPROPION HCL 75 MG PO TABS [9322],6.0,6.0,0.89,4.8,23
NDC,23155-192-01,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
NDC,23155-194-01,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
NDC,23155-195-01,NIFEDIPINE 20 MG PO CAPS [5559],6.0,6.0,0.89,4.8,23
NDC,23155-216-31,CIDOFOVIR 75 MG/ML IV SOLN [17378],2584.08,2584.08,382.44,2067.26,23
NDC,23155-227-01,ACYCLOVIR 400 MG PO TABS [8971],8.87,8.87,1.31,7.1,23
NDC,23155-240-31,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,23155-240-41,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN [5002],22.0,22.0,3.26,17.6,23
NDC,23155-290-41,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],42.3,42.3,6.26,33.84,23
NDC,23155-290-42,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],80.66,80.66,11.94,64.53,23
NDC,23155-294-31,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],31.59,31.59,4.68,25.27,23
NDC,23155-294-41,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
NDC,23155-294-42,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],31.59,31.59,4.68,25.27,23
NDC,23155-313-31,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],206.29,206.29,30.53,165.03,23
NDC,23155-345-33,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],92.12,92.12,13.63,73.7,23
NDC,23155-473-32,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,23155-473-42,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,23155-473-44,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.52,22.52,3.33,18.02,23
NDC,23155-473-44,FUROSEMIDE 100 MG/10 ML INJ- OUTPATIENT IV DIURETIC CLINIC ONLY [601072],22.52,22.52,3.33,18.02,23
NDC,23155-497-31,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
NDC,23155-497-42,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
NDC,23155-500-01,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
NDC,23155-501-01,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,23155-512-00,NIMODIPINE 30 MG PO CAPS [10722],86.53,86.53,12.81,69.22,23
NDC,23155-512-11,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
NDC,23155-512-30,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
NDC,23155-532-01,ETHOSUXIMIDE 250 MG PO CAPS [9989],13.09,13.09,1.94,10.47,23
NDC,23155-547-31,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,23155-547-41,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,23155-547-42,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,23155-594-31,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.7,1002.7,148.4,802.16,23
NDC,23155-600-31,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,23155-600-41,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,23155-601-32,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],51.89,51.89,7.68,41.51,23
NDC,23155-601-42,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],51.89,51.89,7.68,41.51,23
NDC,23155-606-01,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
NDC,23155-620-41,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,23155-660-43,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],565.5,565.5,83.69,452.4,23
NDC,23155-661-31,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],633.36,633.36,93.74,506.69,23
NDC,23155-661-42,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],633.36,633.36,93.74,506.69,23
NDC,23155-662-01,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
NDC,23155-662-03,CALCITRIOL 0.25 MCG PO CAPS [9350],6.02,6.02,0.89,4.82,23
NDC,23155-687-31,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
NDC,23155-687-41,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
NDC,23155-723-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,23155-724-01,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,23155-725-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,23155-748-41,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],442.0,442.0,65.42,353.6,23
NDC,23155-767-01,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
NDC,23155-772-01,ENALAPRIL MALEATE 10 MG PO TABS [9924],9.14,9.14,1.35,7.31,23
NDC,23155-785-41,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],31.11,31.11,4.6,24.89,23
NDC,23155-787-01,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],6.0,6.0,0.89,4.8,23
NDC,23155-799-01,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
NDC,23155-800-01,PERPHENAZINE 4 MG PO TABS [6158],11.24,11.24,1.66,8.99,23
NDC,23155-801-01,PERPHENAZINE 8 MG PO TABS [6159],13.63,13.63,2.02,10.9,23
NDC,23155-832-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,23155-833-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,23155-834-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,23155-835-01,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
NDC,23155-863-01,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],23.44,23.44,3.47,18.75,23
NDC,23594-250-01,CEFACLOR 250 MG/5ML PO SUSR [9434],2014.89,2014.89,298.2,1611.91,23
NDC,24200-0066-10,CALCIUM GLUCONATE 3 GM IN SODIUM CHLORIDE 250 ML [600608],70.5,70.5,10.43,56.4,23
NDC,24201-002-01,LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN [157997],349.79,349.79,51.77,279.83,23
NDC,24201-010-20,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3674.32,3674.32,543.8,2939.46,23
NDC,24201-010-50,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],6852.26,6852.26,1014.13,5481.81,23
NDC,24201-100-01,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],61.1,61.1,9.04,48.88,23
NDC,24201-100-24,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],61.1,61.1,9.04,48.88,23
NDC,24201-110-01,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],46.53,46.53,6.89,37.22,23
NDC,24201-110-24,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],46.53,46.53,6.89,37.22,23
NDC,24201-201-05,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],359.44,359.44,53.2,287.55,23
NDC,24201-400-02,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],2793.6,2793.6,413.45,2234.88,23
NDC,24208-002-02,HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN [40449],546.62,546.62,80.9,437.3,23
NDC,24208-290-05,TOBRAMYCIN 0.3 % OP SOLN [7995],66.27,66.27,9.81,53.02,23
NDC,24208-315-10,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],63.17,63.17,9.35,50.54,23
NDC,24208-342-05,DESMOPRESSIN ACE SPRAY REFRIG 0.01 % NA SOLN [27770],807.74,807.74,119.55,646.19,23
NDC,24208-344-25,FLUNISOLIDE 25 MCG/ACT (0.025%) NA SOLN [32375],279.89,279.89,41.42,223.91,23
NDC,24208-385-55,SODIUM CHLORIDE (HYPERTONIC) 5 % OP OINT [7331],90.15,90.15,13.34,72.12,23
NDC,24208-411-05,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],85.22,85.22,12.61,68.18,23
NDC,24208-457-05,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],82.25,82.25,12.17,65.8,23
NDC,24208-463-25,LATANOPROST 0.005 % OP SOLN [18621],105.57,105.57,15.62,84.46,23
NDC,24208-485-10,DORZOLAMIDE HCL 2 % OP SOLN [14471],198.71,198.71,29.41,158.97,23
NDC,24208-486-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],262.54,262.54,38.86,210.03,23
NDC,24208-503-07,LOTEPREDNOL ETABONATE 0.5 % OP GEL [117945],1019.69,1019.69,150.91,815.75,23
NDC,24208-504-02,LATANOPROSTENE BUNOD 0.024 % OP SOLN [138150],1020.08,1020.08,150.97,816.06,23
NDC,24208-505-05,LEVOBUNOLOL HCL 0.5 % OP SOLN [10394],104.7,104.7,15.5,83.76,23
NDC,24208-539-20,ACETYLCHOLINE CHLORIDE 20 MG IO SOLR [76641],590.69,590.69,87.42,472.55,23
NDC,24208-555-55,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT [856],124.06,124.06,18.36,99.25,23
NDC,24208-580-60,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],185.55,185.55,27.46,148.44,23
NDC,24208-601-10,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],48.7,48.7,7.21,38.96,23
NDC,24208-635-62,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP [28810],379.57,379.57,56.18,303.66,23
NDC,24208-670-04,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],237.31,237.31,35.12,189.85,23
NDC,24208-720-02,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN [2335],251.61,251.61,37.24,201.29,23
NDC,24208-730-06,PROPARACAINE HCL 0.5 % OP SOLN [6644],182.32,182.32,26.98,145.86,23
NDC,24208-735-01,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],76.76,76.76,11.36,61.41,23
NDC,24208-735-06,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],165.69,165.69,24.52,132.55,23
NDC,24208-790-62,NEOMYCIN-POLYMYXIN-GRAMICIDIN 1.75-10000-.025 OP SOLN [5474],238.31,238.31,35.27,190.65,23
NDC,24208-910-19,ERYTHROMYCIN 5 MG/GM OP OINT [2888],58.36,58.36,8.64,46.69,23
NDC,24208-910-55,ERYTHROMYCIN 5 MG/GM OP OINT [2888],89.31,89.31,13.22,71.45,23
NDC,24338-010-09,ISOSORB DINITRATE-HYDRALAZINE 20-37.5 MG PO TABS [41893],25.84,25.84,3.82,20.67,23
NDC,24338-124-03,ERYTHROMYCIN 333 MG PO TBEC [144426],60.62,60.62,8.97,48.5,23
NDC,24338-132-13,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1480.92,1480.92,219.18,1184.74,23
NDC,24338-134-02,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1480.92,1480.92,219.18,1184.74,23
NDC,24338-230-05,NIMODIPINE 6 MG/ML PO SOLN [147917],249.32,249.32,36.9,199.46,23
NDC,24338-230-12,NIMODIPINE 6 MG/ML PO SOLN [147917],249.33,249.33,36.9,199.46,23
NDC,24338-230-15,NIMODIPINE 6 MG/ML PO SOLN [147917],249.32,249.32,36.9,199.46,23
NDC,24338-230-30,NIMODIPINE 6 MG/ML PO SOLN [147917],249.33,249.33,36.9,199.46,23
NDC,24338-260-08,NIMODIPINE 6 MG/ML PO SOLN [147917],7889.67,7889.67,1167.67,6311.74,23
NDC,24357-300-30,POTASSIUM ALUM POWD [24061],334.54,334.54,49.51,267.63,23
NDC,24357-701-05,LIDOCAINE 4 % EX CREA [23461],19.74,19.74,2.92,15.79,23
NDC,24357-701-06,LIDOCAINE 4 % EX CREA [23461],19.74,19.74,2.92,15.79,23
NDC,24510-115-10,OXYCODONE ER 13.5 MG PO C12A [131610],55.03,55.03,8.14,44.02,23
NDC,24571-103-06,PRISMASOL BGK 2/3.5 32-2-3.5 MEQ/L EC SOLN [153885],369.55,369.55,54.69,295.64,23
NDC,24571-105-06,PRISMASOL BGK 4/2.5 32-4-2.5 MEQ/L EC SOLN [153883],369.55,369.55,54.69,295.64,23
NDC,24571-116-06,PHOXILLUM BK4/2.5 32-4-2.5-1 MEQ-MMOL/L EC SOLN [153889],414.7,414.7,61.38,331.76,23
NDC,24658-500-90,SIMVASTATIN 5 MG PO TABS [11367],6.0,6.0,0.89,4.8,23
NDC,24658-760-16,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],660.09,660.09,97.69,528.07,23
NDC,24689-139-01,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,24689-785-01,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
NDC,24979-029-06,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],9.99,9.99,1.48,7.99,23
NDC,25010-215-15,ETHACRYNIC ACID 25 MG PO TABS [9980],127.01,127.01,18.8,101.61,23
NDC,25010-305-15,METYROSINE 250 MG PO CAPS [10594],1598.24,1598.24,236.54,1278.59,23
NDC,25021-052-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,25021-053-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
NDC,25021-100-10,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
NDC,25021-101-10,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,25021-102-99,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],28.55,28.55,4.23,22.84,23
NDC,25021-106-10,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,25021-107-20,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],24.82,24.82,3.67,19.86,23
NDC,25021-108-99,CEFTRIAXONE SODIUM 10 G IV SOLR [9491],145.49,145.49,21.53,116.39,23
NDC,25021-109-10,CEFOXITIN SODIUM 1 G IV SOLR [9461],33.84,33.84,5.01,27.07,23
NDC,25021-110-20,CEFOXITIN SODIUM 2 G IV SOLR [9463],56.4,56.4,8.35,45.12,23
NDC,25021-114-87,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
NDC,25021-115-06,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],30.8,30.8,4.56,24.64,23
NDC,25021-118-10,CEFUROXIME SODIUM 750 MG IJ SOLR [1465],22.0,22.0,3.26,17.6,23
NDC,25021-118-10,CEFUROXIME SODIUM 750 MG IM SOLR [601004],22.0,22.0,3.26,17.6,23
NDC,25021-121-20,CEFEPIME HCL 1 G IJ SOLR [16369],33.84,33.84,5.01,27.07,23
NDC,25021-127-20,CEFTAZIDIME 1 G IJ SOLR [9474],29.33,29.33,4.34,23.46,23
NDC,25021-131-82,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,25021-132-81,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],23.74,23.74,3.51,18.99,23
NDC,25021-132-82,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],32.9,32.9,4.87,26.32,23
NDC,25021-132-83,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],62.04,62.04,9.18,49.63,23
NDC,25021-136-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],22.56,22.56,3.34,18.05,23
NDC,25021-137-20,AMPICILLIN SODIUM 2 G IJ SOLR [472],42.3,42.3,6.26,33.84,23
NDC,25021-139-10,NAFCILLIN SODIUM 1 G IJ SOLR [5333],53.58,53.58,7.93,42.86,23
NDC,25021-140-10,NAFCILLIN SODIUM 2 G IJ SOLR [5335],46.31,46.31,6.85,37.05,23
NDC,25021-142-20,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],31.02,31.02,4.59,24.82,23
NDC,25021-143-30,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],50.76,50.76,7.51,40.61,23
NDC,25021-146-10,OXACILLIN SODIUM 1 G IJ SOLR [5924],46.76,46.76,6.92,37.41,23
NDC,25021-169-87,LINEZOLID 600 MG/300ML IV SOLN [130884],78.96,78.96,11.69,63.17,23
NDC,25021-173-02,AMIKACIN SULFATE 500 MG/2ML IJ SOLN [107158],43.71,43.71,6.47,34.97,23
NDC,25021-173-04,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],80.66,80.66,11.94,64.53,23
NDC,25021-174-15,DAPTOMYCIN 500 MG IV SOLR [36989],124.71,124.71,18.46,99.77,23
NDC,25021-179-15,DAPTOMYCIN 350 MG IV SOLR [140312],303.42,303.42,44.91,242.74,23
NDC,25021-179-16,DAPTOMYCIN 350 MG IV SOLR [140312],303.42,303.42,44.91,242.74,23
NDC,25021-180-66,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
NDC,25021-184-66,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],22.56,22.56,3.34,18.05,23
NDC,25021-184-67,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],24.44,24.44,3.62,19.55,23
NDC,25021-184-82,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],50.76,50.76,7.51,40.61,23
NDC,25021-184-87,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],78.96,78.96,11.69,63.17,23
NDC,25021-189-84,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1650.7,1650.7,244.3,1320.56,23
NDC,25021-190-10,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],423.0,423.0,62.6,338.4,23
NDC,25021-191-10,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],736.04,736.04,108.93,588.83,23
NDC,25021-192-82,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
NDC,25021-192-87,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],39.48,39.48,5.84,31.58,23
NDC,25021-201-10,MESNA 100 MG/ML IV SOLN [10537],103.92,103.92,15.38,83.14,23
NDC,25021-201-11,MESNA 100 MG/ML IV SOLN [10537],103.92,103.92,15.38,83.14,23
NDC,25021-205-51,CARBOPLATIN 600 MG/60ML IV SOLN [40055],452.4,452.4,66.96,361.92,23
NDC,25021-207-51,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],601.7,601.7,89.05,481.36,23
NDC,25021-215-99,FLUOROURACIL 5 GM/100ML IV SOLN [98249],256.74,256.74,38.0,205.39,23
NDC,25021-231-20,DECITABINE 50 MG IV SOLR [76364],452.4,452.4,66.96,361.92,23
NDC,25021-233-10,OXALIPLATIN 50 MG/10ML IV SOLN [99602],129.9,129.9,19.23,103.92,23
NDC,25021-233-20,OXALIPLATIN 100 MG/20ML IV SOLN [99604],233.4,233.4,34.54,186.72,23
NDC,25021-235-50,GEMCITABINE HCL 1 G IV SOLR [17122],231.77,231.77,34.3,185.42,23
NDC,25021-242-02,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN [41294],856.08,856.08,126.7,684.86,23
NDC,25021-245-04,DOCETAXEL 80 MG/4ML IV CONC [107151],384.54,384.54,56.91,307.63,23
NDC,25021-251-50,MITOMYCIN 20 MG IV SOLR [10630],2206.89,2206.89,326.62,1765.51,23
NDC,25021-301-67,ADENOSINE 6 MG/2ML IV SOLN [38703],90.24,90.24,13.36,72.19,23
NDC,25021-305-20,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],280.08,280.08,41.45,224.06,23
NDC,25021-305-66,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],164.63,164.63,24.37,131.7,23
NDC,25021-308-84,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],746.46,746.46,110.48,597.17,23
NDC,25021-309-82,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],678.6,678.6,100.43,542.88,23
NDC,25021-313-82,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],53.58,53.58,7.93,42.86,23
NDC,25021-314-10,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],28.2,28.2,4.17,22.56,23
NDC,25021-315-01,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,25021-315-99,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],28.2,28.2,4.17,22.56,23
NDC,25021-316-04,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],45.12,45.12,6.68,36.1,23
NDC,25021-319-10,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
NDC,25021-321-04,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,25021-400-10,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,25021-400-30,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],38.36,38.36,5.68,30.69,23
NDC,25021-402-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,25021-403-04,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],42.87,42.87,6.34,34.3,23
NDC,25021-410-70,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],22.0,22.0,3.26,17.6,23
NDC,25021-410-76,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
NDC,25021-410-77,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],30.29,30.29,4.48,24.23,23
NDC,25021-410-78,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],44.39,44.39,6.57,35.51,23
NDC,25021-411-70,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],67.68,67.68,10.02,54.14,23
NDC,25021-411-71,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],75.02,75.02,11.1,60.02,23
NDC,25021-417-84,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],892.98,892.98,132.16,714.38,23
NDC,25021-451-01,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],25.38,25.38,3.76,20.3,23
NDC,25021-452-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,25021-453-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,25021-460-01,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],164.72,164.72,24.38,131.78,23
NDC,25021-461-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1263.46,1263.46,186.99,1010.77,23
NDC,25021-462-74,FULVESTRANT 250 MG/5ML IM SOSY [107125],678.6,678.6,100.43,542.88,23
NDC,25021-463-01,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN [91278],22.0,22.0,3.26,17.6,23
NDC,25021-464-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],36.66,36.66,5.43,29.33,23
NDC,25021-465-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],181.86,181.86,26.92,145.49,23
NDC,25021-468-10,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],415.35,415.35,61.47,332.28,23
NDC,25021-471-74,FULVESTRANT 250 MG/5ML IM SOSY [107125],395.85,395.85,58.59,316.68,23
NDC,25021-481-01,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,25021-500-02,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
NDC,25021-502-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,25021-601-03,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],103.92,103.92,15.38,83.14,23
NDC,25021-608-20,PROPOFOL 200 MG/20ML IV EMUL [130905],32.9,32.9,4.87,26.32,23
NDC,25021-608-50,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],82.49,82.49,12.21,65.99,23
NDC,25021-608-51,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],151.99,151.99,22.49,121.59,23
NDC,25021-612-82,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
NDC,25021-655-02,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,25021-662-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],22.0,22.0,3.26,17.6,23
NDC,25021-662-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],42.3,42.3,6.26,33.84,23
NDC,25021-670-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],51.42,51.42,7.61,41.14,23
NDC,25021-671-67,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],161.08,161.08,23.84,128.86,23
NDC,25021-671-87,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],361.0,361.0,53.43,288.8,23
NDC,25021-673-76,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],33.56,33.56,4.97,26.85,23
NDC,25021-676-20,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3673.56,3673.56,543.69,2938.85,23
NDC,25021-682-20,KETAMINE HCL 10 MG/ML IJ SOLN [4236],126.01,126.01,18.65,100.81,23
NDC,25021-684-05,KETAMINE HCL 100 MG/ML IJ SOLN [4237],85.17,85.17,12.61,68.14,23
NDC,25021-687-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],50.76,50.76,7.51,40.61,23
NDC,25021-700-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,25021-701-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],28.15,28.15,4.17,22.52,23
NDC,25021-701-02,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,25021-751-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
NDC,25021-780-05,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,25021-790-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
NDC,25021-790-03,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
NDC,25021-791-20,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.45,305.45,45.21,244.36,23
NDC,25021-796-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,25021-806-01,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
NDC,25021-812-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],452.4,452.4,66.96,361.92,23
NDC,25021-813-10,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],49.64,49.64,7.35,39.71,23
NDC,25021-816-30,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],326.76,326.76,48.36,261.41,23
NDC,25021-829-02,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],2990.46,2990.46,442.59,2392.37,23
NDC,25021-833-01,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],207.84,207.84,30.76,166.27,23
NDC,25021-838-05,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],465.98,465.98,68.97,372.78,23
NDC,25208-001-04,TIROFIBAN HCL 3.75 MG/15ML IV CONC [134049],273.72,273.72,40.51,218.98,23
NDC,25208-002-02,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],940.54,940.54,139.2,752.43,23
NDC,25208-902-02,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],483.51,483.51,71.56,386.81,23
NDC,25682-001-01,ECULIZUMAB 300 MG/30ML IV SOLN [81696],19803.83,19803.83,2930.97,15843.06,23
NDC,25682-025-01,RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN [149943],19831.41,19831.41,2935.05,15865.13,23
NDC,25682-028-01,RAVULIZUMAB-CWVZ 1100 MG/11ML IV SOLN [149944],72715.12,72715.12,10761.84,58172.1,23
NDC,27241-002-06,RISPERIDONE 0.25 MG PO TABS [25519],18.34,18.34,2.71,14.67,23
NDC,27241-005-06,RISPERIDONE 3 MG PO TABS [18312],42.0,42.0,6.22,33.6,23
NDC,27241-016-03,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
NDC,27241-049-10,ENTACAPONE 200 MG PO TABS [26547],21.34,21.34,3.16,17.07,23
NDC,27241-053-03,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
NDC,27241-054-03,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
NDC,27241-097-06,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
NDC,27241-098-09,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
NDC,27241-098-10,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
NDC,27241-099-03,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,27241-099-90,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,27241-125-02,RANOLAZINE ER 500 MG PO TB12 [70434],31.67,31.67,4.69,25.34,23
NDC,27241-160-01,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
NDC,27241-161-01,CAPTOPRIL 25 MG PO TABS [9402],6.0,6.0,0.89,4.8,23
NDC,27241-163-01,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
NDC,27241-191-30,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],61.76,61.76,9.14,49.41,23
NDC,27437-050-56,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],290.42,290.42,42.98,232.34,23
NDC,27808-002-01,RISPERIDONE 1 MG/ML PO SOLN [17377],632.12,632.12,93.55,505.7,23
NDC,27808-033-01,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],420.84,420.84,62.28,336.67,23
NDC,27808-082-01,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],109.12,109.12,16.15,87.3,23
NDC,27808-155-01,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
NDC,27808-156-01,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,27808-157-01,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,27808-158-01,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,27808-206-01,FEBUXOSTAT 40 MG PO TABS [97133],58.17,58.17,8.61,46.54,23
NDC,29033-003-01,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,29033-029-01,PINDOLOL 10 MG PO TABS [6296],8.46,8.46,1.25,6.77,23
NDC,29033-030-01,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
NDC,29300-113-16,LAMOTRIGINE 150 MG PO TABS [14266],24.9,24.9,3.69,19.92,23
NDC,29300-115-16,TOPIRAMATE 25 MG PO TABS [18920],11.91,11.91,1.76,9.53,23
NDC,29300-116-16,TOPIRAMATE 50 MG PO TABS [37616],23.58,23.58,3.49,18.86,23
NDC,29300-125-10,MELOXICAM 15 MG PO TABS [20580],22.78,22.78,3.37,18.22,23
NDC,29300-126-01,BISOPROLOL FUMARATE 5 MG PO TABS [18288],6.6,6.6,0.98,5.28,23
NDC,29300-127-13,BISOPROLOL FUMARATE 10 MG PO TABS [18287],6.6,6.6,0.98,5.28,23
NDC,29300-128-10,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,29300-135-01,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,29300-136-01,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,29300-136-10,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,29300-137-01,CLONIDINE HCL 0.3 MG PO TABS [1757],6.0,6.0,0.89,4.8,23
NDC,29300-139-01,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
NDC,29300-172-16,MEMANTINE HCL 10 MG PO TABS [36966],28.65,28.65,4.24,22.92,23
NDC,29300-227-01,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,29300-227-05,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,29300-227-46,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,29300-411-01,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
NDC,29300-413-01,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
NDC,29300-468-01,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,29300-468-10,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,30698-911-15,CALCITRIOL 1 MCG/ML PO SOLN [16218],844.87,844.87,125.04,675.9,23
NDC,30768-00348,MILK THISTLE XTRA PO CAPS [97005],6.0,6.0,0.89,4.8,23
NDC,31382-557-05,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],22.0,22.0,3.26,17.6,23
NDC,31604-02741,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,31722-014-90,DROXIDOPA 100 MG PO CAPS [124960],159.25,159.25,23.57,127.4,23
NDC,31722-017-01,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
NDC,31722-040-31,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],74.89,74.89,11.08,59.91,23
NDC,31722-049-30,EPLERENONE 25 MG PO TABS [36983],20.4,20.4,3.02,16.32,23
NDC,31722-128-60,GEMFIBROZIL 600 MG PO TABS [3378],11.43,11.43,1.69,9.14,23
NDC,31722-142-01,CAPTOPRIL 25 MG PO TABS [9402],7.85,7.85,1.16,6.28,23
NDC,31722-144-01,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
NDC,31722-167-01,GABAPENTIN 800 MG PO TABS [25856],14.25,14.25,2.11,11.4,23
NDC,31722-308-01,OLANZAPINE 10 MG IM SOLR [38263],184.16,184.16,27.26,147.33,23
NDC,31722-504-30,EFAVIRENZ 600 MG PO TABS [32298],161.35,161.35,23.88,129.08,23
NDC,31722-505-60,NEVIRAPINE 200 MG PO TABS [17403],50.98,50.98,7.55,40.78,23
NDC,31722-506-60,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],72.98,72.98,10.8,58.38,23
NDC,31722-519-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,31722-522-01,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
NDC,31722-529-01,TORSEMIDE 5 MG PO TABS [18295],6.0,6.0,0.89,4.8,23
NDC,31722-531-01,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,31722-532-01,TORSEMIDE 100 MG PO TABS [18294],14.29,14.29,2.11,11.43,23
NDC,31722-538-12,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
NDC,31722-539-60,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
NDC,31722-542-01,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
NDC,31722-556-12,KALETRA:LOPINAVIR-RITONAVIR 200-50 MG PO TABS [43391],43.32,43.32,6.41,34.66,23
NDC,31722-557-60,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
NDC,31722-562-24,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],591.74,591.74,87.58,473.39,23
NDC,31722-572-30,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
NDC,31722-573-30,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
NDC,31722-579-60,MARAVIROC 150 MG PO TABS [87998],127.27,127.27,18.84,101.82,23
NDC,31722-580-60,MARAVIROC 300 MG PO TABS [87999],127.27,127.27,18.84,101.82,23
NDC,31722-591-05,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.92,8.92,1.32,7.14,23
NDC,31722-597-30,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
NDC,31722-599-12,RUFINAMIDE 400 MG PO TABS [95692],123.45,123.45,18.27,98.76,23
NDC,31722-607-30,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],61.69,61.69,9.13,49.35,23
NDC,31722-608-30,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],61.69,61.69,9.13,49.35,23
NDC,31722-610-90,PREGABALIN 25 MG PO CAPS [42162],41.82,41.82,6.19,33.46,23
NDC,31722-621-60,DABIGATRAN ETEXILATE MESYLATE 75 MG PO CAPS [105514],17.72,17.72,2.62,14.18,23
NDC,31722-629-21,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3989.54,3989.54,590.45,3191.63,23
NDC,31722-630-31,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,31722-664-10,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
NDC,31722-664-30,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
NDC,31722-664-90,ESOMEPRAZOLE 20 MG PO CPDR [29745],40.06,40.06,5.93,32.05,23
NDC,31722-665-10,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],40.06,40.06,5.93,32.05,23
NDC,31722-681-47,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
NDC,31722-700-10,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.86,7.86,1.16,6.29,23
NDC,31722-700-90,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.86,7.86,1.16,6.29,23
NDC,31722-701-10,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
NDC,31722-701-30,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
NDC,31722-701-90,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
NDC,31722-702-30,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
NDC,31722-702-90,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.4,14.4,2.13,11.52,23
NDC,31722-749-20,LINEZOLID 600 MG PO TABS [28224],692.44,692.44,102.48,553.95,23
NDC,31722-754-30,LAMIVUDINE 300 MG PO TABS [33937],67.32,67.32,9.96,53.86,23
NDC,31722-777-01,ACYCLOVIR 400 MG PO TABS [8971],10.19,10.19,1.51,8.15,23
NDC,31722-777-05,ACYCLOVIR 400 MG PO TABS [8971],8.43,8.43,1.25,6.74,23
NDC,31722-778-01,ACYCLOVIR 800 MG PO TABS [8972],19.82,19.82,2.93,15.86,23
NDC,31722-812-60,LACOSAMIDE 50 MG PO TABS [96968],54.03,54.03,8.0,43.22,23
NDC,31722-820-30,ARIPIPRAZOLE 5 MG PO TABS [36438],139.04,139.04,20.58,111.23,23
NDC,31722-821-11,TETRABENAZINE 12.5 MG PO TABS [94563],306.57,306.57,45.37,245.26,23
NDC,31722-828-30,ARIPIPRAZOLE 15 MG PO TABS [34370],139.04,139.04,20.58,111.23,23
NDC,31722-829-30,ARIPIPRAZOLE 20 MG PO TABS [34371],196.61,196.61,29.1,157.29,23
NDC,31722-833-30,ENTECAVIR 0.5 MG PO TABS [41147],192.4,192.4,28.48,153.92,23
NDC,31722-869-03,TOLVAPTAN 30 MG PO TABS [97894],1695.81,1695.81,250.98,1356.65,23
NDC,31722-878-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.65,18.65,2.76,14.92,23
NDC,31722-937-47,SIMPLE SYRUP PO SYRP [7242],88.07,88.07,13.03,70.46,23
NDC,3215-1202-05,NICOTINE 14 MG/24HR TD PT24 [27862],9.67,9.67,1.43,7.74,23
NDC,33342-004-09,NEVIRAPINE 200 MG PO TABS [17403],50.78,50.78,7.52,40.62,23
NDC,33342-054-07,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.93,32.93,4.87,26.34,23
NDC,33342-054-10,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.93,32.93,4.87,26.34,23
NDC,33342-070-07,OLANZAPINE 10 MG PO TABS [17937],87.07,87.07,12.89,69.66,23
NDC,33342-072-07,OLANZAPINE 20 MG PO TABS [28158],160.43,160.43,23.74,128.34,23
NDC,33342-083-07,OLANZAPINE 5 MG PO TBDP [28159],65.8,65.8,9.74,52.64,23
NDC,33342-084-07,OLANZAPINE 10 MG PO TBDP [28160],89.49,89.49,13.24,71.59,23
NDC,33342-085-07,OLANZAPINE 15 MG PO TBDP [28161],131.35,131.35,19.44,105.08,23
NDC,33342-102-07,MONTELUKAST SODIUM 10 MG PO TABS [22509],22.46,22.46,3.32,17.97,23
NDC,33342-123-07,ARIPIPRAZOLE 5 MG PO TABS [36438],138.56,138.56,20.51,110.85,23
NDC,33342-157-11,CELECOXIB 200 MG PO CAPS [24501],35.58,35.58,5.27,28.46,23
NDC,33342-215-58,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.42,10.42,1.54,8.34,23
NDC,33342-238-07,NEVIRAPINE ER 400 MG PO TB24 [107815],93.22,93.22,13.8,74.58,23
NDC,33342-256-66,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,33342-258-66,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,33342-260-11,ENTACAPONE 200 MG PO TABS [26547],18.57,18.57,2.75,14.86,23
NDC,33342-447-11,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
NDC,33342-481-15,NYSTATIN 100000 UNIT/GM EX OINT [5750],82.28,82.28,12.18,65.82,23
NDC,35573-402-30,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.13,201.13,29.77,160.9,23
NDC,35573-428-80,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,35573-433-02,KETOCONAZOLE 200 MG PO TABS [10369],17.82,17.82,2.64,14.26,23
NDC,35573-445-25,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.24,30.24,4.48,24.19,23
NDC,35573-473-02,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
NDC,36000-008-24,CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN [107157],22.0,22.0,3.26,17.6,23
NDC,36000-009-24,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
NDC,36000-012-25,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,36000-033-10,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,36000-046-24,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN [107147],22.56,22.56,3.34,18.05,23
NDC,36000-047-24,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN [107148],28.2,28.2,4.17,22.56,23
NDC,36000-048-24,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN [107149],36.66,36.66,5.43,29.33,23
NDC,36000-148-10,FLUMAZENIL 0.5 MG/5ML IV SOLN [39744],39.95,39.95,5.91,31.96,23
NDC,36000-162-01,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],22.0,22.0,3.26,17.6,23
NDC,36000-162-10,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],46.93,46.93,6.95,37.54,23
NDC,36000-242-01,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],111.46,111.46,16.5,89.17,23
NDC,36000-244-01,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,36000-244-25,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,36000-282-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,36000-283-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,36000-284-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,36000-298-24,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN [91238],22.0,22.0,3.26,17.6,23
NDC,36000-308-01,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],28.2,28.2,4.17,22.56,23
NDC,36000-308-10,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],28.2,28.2,4.17,22.56,23
NDC,36000-310-02,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],326.76,326.76,48.36,261.41,23
NDC,36000-320-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],23.81,23.81,3.52,19.05,23
NDC,36000-320-10,LABETALOL HCL 5 MG/ML IV SOLN [10372],23.81,23.81,3.52,19.05,23
NDC,36000-322-02,LABETALOL HCL 5 MG/ML IV SOLN [10372],22.0,22.0,3.26,17.6,23
NDC,36000-352-40,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],34.78,34.78,5.15,27.82,23
NDC,36000-354-40,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],60.63,60.63,8.97,48.5,23
NDC,36000-356-40,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],44.65,44.65,6.61,35.72,23
NDC,36000-364-01,REGADENOSON 0.4 MG/5ML IV SOLN [91408],129.9,129.9,19.23,103.92,23
NDC,37864-90599,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,38485-80857,PSYLLIUM 95 % PO PACK [24788],6.0,6.0,0.89,4.8,23
NDC,38779-0743-8,ORA-PLUS PO LIQD [5851],204.81,204.81,30.31,163.85,23
NDC,39328-024-05,LIDOCAINE 4 % EX CREA [23461],46.06,46.06,6.82,36.85,23
NDC,39328-048-16,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],395.88,395.88,58.59,316.7,23
NDC,39328-057-50,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],41.13,41.13,6.09,32.9,23
NDC,39328-062-50,SODIUM HYPOCHLORITE 0.5 % EX SOLN [147301],86.71,86.71,12.83,69.37,23
NDC,39328-063-25,SODIUM HYPOCHLORITE 0.25 % EX SOLN [147300],86.71,86.71,12.83,69.37,23
NDC,39328-064-12,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],86.71,86.71,12.83,69.37,23
NDC,39328-065-06,SODIUM HYPOCHLORITE 0.062 % EX SOLN [132510],86.71,86.71,12.83,69.37,23
NDC,39328-067-12,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],141.32,141.32,20.92,113.06,23
NDC,39328-357-60,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],388.15,388.15,57.45,310.52,23
NDC,39328-530-16,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],276.0,276.0,40.85,220.8,23
NDC,39328-557-50,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],50.53,50.53,7.48,40.42,23
NDC,39822-0151-1,LIOTHYRONINE SODIUM 10 MCG/ML IV SOLN [10442],1538.67,1538.67,227.72,1230.94,23
NDC,39822-0190-1,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],170.52,170.52,25.24,136.42,23
NDC,39822-0310-5,NEOMYCIN SULFATE 500 MG PO TABS [5472],7.98,7.98,1.18,6.38,23
NDC,39822-0412-1,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],389.0,389.0,57.57,311.2,23
NDC,39822-0412-6,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],364.69,364.69,53.97,291.75,23
NDC,39822-0615-1,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],151.55,151.55,22.43,121.24,23
NDC,39822-0706-2,STREPTOMYCIN SULFATE 1 G IM SOLR [7508],364.69,364.69,53.97,291.75,23
NDC,39822-1055-5,AMPHOTERICIN B 50 MG IV SOLR [464],233.4,233.4,34.54,186.72,23
NDC,39822-1100-1,FOLIC ACID 5 MG/ML IJ SOLN [3232],189.44,189.44,28.04,151.55,23
NDC,39822-1201-2,NEOMYCIN-POLYMYXIN B GU 40-200000 IR SOLN [70678],64.19,64.19,9.5,51.35,23
NDC,39822-1201-5,NEOMYCIN-POLYMYXIN B GU 40-200000 IR SOLN [70678],66.39,66.39,9.83,53.11,23
NDC,39822-2000-1,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],135.32,135.32,20.03,108.26,23
NDC,39822-4000-1,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,39822-4200-2,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],26.44,26.44,3.91,21.15,23
NDC,39822-4200-5,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],44.09,44.09,6.53,35.27,23
NDC,39822-4200-6,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],44.09,44.09,6.53,35.27,23
NDC,39822-5525-3,PROMETHAZINE HCL 25 MG/ML IJ SOLN [6618],22.0,22.0,3.26,17.6,23
NDC,39822-6200-1,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],108.25,108.25,16.02,86.6,23
NDC,39822-6200-2,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],108.25,108.25,16.02,86.6,23
NDC,39822-6250-1,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],754.0,754.0,111.59,603.2,23
NDC,41167-05820,LIDOCAINE 4 % EX CREAM- LARGE TUBE [123899],46.39,46.39,6.87,37.11,23
NDC,41167-05877,LIDOCAINE 4 % EX CREAM- LARGE TUBE [123899],49.62,49.62,7.34,39.7,23
NDC,42023-105-01,METHOHEXITAL SODIUM 0.5 G IJ SOLR [70545],504.58,504.58,74.68,403.66,23
NDC,42023-107-01,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.49,145.49,21.53,116.39,23
NDC,42023-110-01,ESTRADIOL VALERATE 10 MG/ML IM OIL [2930],600.49,600.49,88.87,480.39,23
NDC,42023-111-01,ESTRADIOL VALERATE 20 MG/ML IM OIL [2931],736.3,736.3,108.97,589.04,23
NDC,42023-113-10,KETAMINE HCL 10 MG/ML IJ SOLN [4236],102.8,102.8,15.21,82.24,23
NDC,42023-114-10,KETAMINE HCL 50 MG/ML IJ SOLN [4238],39.58,39.58,5.86,31.66,23
NDC,42023-115-10,KETAMINE HCL 100 MG/ML IJ SOLN [4237],75.23,75.23,11.13,60.18,23
NDC,42023-116-02,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],78.96,78.96,11.69,63.17,23
NDC,42023-116-25,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,42023-116-93,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],78.96,78.96,11.69,63.17,23
NDC,42023-123-06,DANTROLENE SODIUM 20 MG IV SOLR [9716],401.01,401.01,59.35,320.81,23
NDC,42023-125-01,DANTROLENE SODIUM 50 MG PO CAPS [9719],9.42,9.42,1.39,7.54,23
NDC,42023-129-01,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],364.11,364.11,53.89,291.29,23
NDC,42023-131-01,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.45,145.45,21.53,116.36,23
NDC,42023-146-25,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.57,30.57,4.52,24.46,23
NDC,42023-159-01,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],84.38,84.38,12.49,67.5,23
NDC,42023-159-25,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],84.38,84.38,12.49,67.5,23
NDC,42023-168-01,EPINEPHRINE 30 MG/30ML IJ SOLN [138138],986.27,986.27,145.97,789.02,23
NDC,42023-172-04,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR [23968],338.43,338.43,50.09,270.74,23
NDC,42023-173-25,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],336.1,336.1,49.74,268.88,23
NDC,42023-179-01,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],76.82,76.82,11.37,61.46,23
NDC,42023-179-05,BUPRENORPHINE HCL 0.3 MG/ML IJ SOLN [9320],76.82,76.82,11.37,61.46,23
NDC,42023-182-01,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1780.92,1780.92,263.58,1424.74,23
NDC,42023-201-01,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],477.66,477.66,70.69,382.13,23
NDC,42023-205-01,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],2793.6,2793.6,413.45,2234.88,23
NDC,42023-213-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,42023-214-01,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.32,114.32,16.92,91.46,23
NDC,42023-214-10,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.32,114.32,16.92,91.46,23
NDC,42023-216-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],150.9,150.9,22.33,120.72,23
NDC,42023-221-10,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],529.63,529.63,78.39,423.7,23
NDC,42023-221-10,ERTAPENEM SODIUM 1 G IJ SOLR [31922],529.63,529.63,78.39,423.7,23
NDC,42023-230-10,MICAFUNGIN SODIUM 100 MG IV SOLR [77685],676.8,676.8,100.17,541.44,23
NDC,42192-134-40,SALICYLIC ACID 6 % EX GEL [11308],1167.82,1167.82,172.84,934.26,23
NDC,42192-139-01,SULFACETAMIDE SODIUM-SULFUR 10-5 % EX CREA [32354],447.16,447.16,66.18,357.73,23
NDC,42192-151-01,HYDROQUINONE 4 % EX CREA [10230],402.94,402.94,59.64,322.35,23
NDC,42192-327-01,THYROID 15 MG PO TABS [7940],6.0,6.0,0.89,4.8,23
NDC,42192-338-01,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
NDC,42192-339-01,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
NDC,42192-340-01,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
NDC,42192-608-16,GABAPENTIN 250 MG/5ML PO SOLN [29169],1282.62,1282.62,189.83,1026.1,23
NDC,42192-801-01,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
NDC,42291-076-60,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
NDC,42291-082-30,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,42291-086-30,ACITRETIN 10 MG PO CAPS [13980],135.11,135.11,20.0,108.09,23
NDC,42291-088-30,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
NDC,42291-091-50,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,42291-094-30,AZELASTINE HCL 0.1 % NA SOLN [19179],548.77,548.77,81.22,439.02,23
NDC,42291-281-10,FAMOTIDINE 20 MG PO TABS [10011],7.32,7.32,1.08,5.86,23
NDC,42291-303-90,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
NDC,42291-411-60,DOFETILIDE 125 MCG PO CAPS [26965],40.21,40.21,5.95,32.17,23
NDC,42291-412-60,DOFETILIDE 250 MCG PO CAPS [26966],40.21,40.21,5.95,32.17,23
NDC,42291-419-90,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],9.34,9.34,1.38,7.47,23
NDC,42291-454-30,EPLERENONE 25 MG PO TABS [36983],16.32,16.32,2.42,13.06,23
NDC,42291-461-30,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
NDC,42291-465-01,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
NDC,42291-468-10,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,42291-476-60,LUBIPROSTONE 24 MCG PO CAPS [70472],31.7,31.7,4.69,25.36,23
NDC,42291-495-11,LIDOCAINE 5 % EX PTCH [28203],63.23,63.23,9.36,50.58,23
NDC,42291-495-30,LIDOCAINE 5 % EX PTCH [28203],63.23,63.23,9.36,50.58,23
NDC,42291-507-01,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,42291-522-01,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.6,9.6,1.42,7.68,23
NDC,42291-523-01,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.21,11.21,1.66,8.97,23
NDC,42291-523-10,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],10.72,10.72,1.59,8.58,23
NDC,42291-560-90,MIDODRINE HCL 2.5 MG PO TABS [10609],10.28,10.28,1.52,8.22,23
NDC,42291-561-90,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
NDC,42291-562-90,MIDODRINE HCL 10 MG PO TABS [33083],20.46,20.46,3.03,16.37,23
NDC,42291-622-90,MONTELUKAST SODIUM 4 MG PO CHEW [27234],26.59,26.59,3.94,21.27,23
NDC,42291-632-30,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.1,20.1,2.97,16.08,23
NDC,42291-657-12,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
NDC,42291-664-10,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,42291-772-01,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,42291-774-60,RANOLAZINE ER 1000 MG PO TB12 [88007],49.57,49.57,7.34,39.66,23
NDC,42291-800-30,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],26.2,26.2,3.88,20.96,23
NDC,42291-808-15,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,42291-809-15,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
NDC,42292-038-01,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,42292-038-20,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,42367-521-25,BENDAMUSTINE HCL 100 MG/4ML IV SOLN [130051],7893.6,7893.6,1168.25,6314.88,23
NDC,42385-922-30,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],194.86,194.86,28.84,155.89,23
NDC,42385-933-60,KALETRA:LOPINAVIR-RITONAVIR 100-25 MG PO TABS [88806],21.66,21.66,3.21,17.33,23
NDC,42385-943-05,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.65,26.65,3.94,21.32,23
NDC,42385-978-01,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
NDC,42388-011-14,CABOZANTINIB(140MG DAILY DOSE) 3 X 20 MG & 80 MG PO KIT [148506],681.05,681.05,100.8,544.84,23
NDC,42388-012-14,CABOZANTINIB(100MG DAILY DOSE) 80 & 20 MG PO KIT [148508],1362.1,1362.1,201.59,1089.68,23
NDC,42388-013-14,CABOZANTINIB S-MALATE 3 X 20 MG PO KIT [118196],908.07,908.07,134.39,726.46,23
NDC,42388-023-26,CABOZANTINIB S-MALATE 60 MG PO TABS [131596],2661.69,2661.69,393.93,2129.35,23
NDC,42388-024-26,CABOZANTINIB S-MALATE 20 MG PO TABS [131594],2661.69,2661.69,393.93,2129.35,23
NDC,42388-025-26,CABOZANTINIB S-MALATE 40 MG PO TABS [131595],2661.69,2661.69,393.93,2129.35,23
NDC,42494-339-01,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
NDC,42494-339-03,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
NDC,42494-340-01,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
NDC,42494-415-01,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.36,113.36,16.78,90.69,23
NDC,42494-415-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
NDC,42494-416-01,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],264.33,264.33,39.12,211.46,23
NDC,42494-416-25,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],264.35,264.35,39.12,211.48,23
NDC,42494-419-05,METHYLENE BLUE (ANTIDOTE) 1 % IV SOLN [156115],820.0,820.0,121.36,656.0,23
NDC,42494-441-01,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
NDC,42494-441-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],113.38,113.38,16.78,90.7,23
NDC,42543-140-50,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
NDC,42543-142-01,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
NDC,42543-493-01,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
NDC,42571-137-25,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],399.62,399.62,59.14,319.7,23
NDC,42571-141-26,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
NDC,42571-147-26,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
NDC,42571-162-42,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,42571-221-30,RASAGILINE MESYLATE 1 MG PO TABS [76481],108.25,108.25,16.02,86.6,23
NDC,42571-244-69,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],88.34,88.34,13.07,70.67,23
NDC,42571-251-01,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
NDC,42571-343-30,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
NDC,42571-350-09,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],31.34,31.34,4.64,25.07,23
NDC,42571-357-07,KCL 20 MEQ/15ML (10%) PO SOLN [76913],1259.77,1259.77,186.45,1007.82,23
NDC,42571-382-71,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
NDC,42571-382-73,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
NDC,42571-384-25,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
NDC,42702-102-10,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],280.08,280.08,41.45,224.06,23
NDC,42702-102-15,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],407.16,407.16,60.26,325.73,23
NDC,42747-761-01,MOGAMULIZUMAB-KPKC 20 MG/5ML IV SOLN [140890],14234.65,14234.65,2106.73,11387.72,23
NDC,42794-009-08,FLUCYTOSINE 250 MG PO CAPS [10051],162.38,162.38,24.03,129.9,23
NDC,42794-010-08,FLUCYTOSINE 500 MG PO CAPS [10052],275.55,275.55,40.78,220.44,23
NDC,42794-013-08,GRISEOFULVIN ULTRAMICROSIZE 125 MG PO TABS [3534],21.48,21.48,3.18,17.18,23
NDC,42794-018-02,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
NDC,42794-083-08,ACITRETIN 25 MG PO CAPS [13979],166.53,166.53,24.65,133.22,23
NDC,42799-119-01,BUMETANIDE 0.5 MG PO TABS [9309],11.3,11.3,1.67,9.04,23
NDC,42799-120-01,BUMETANIDE 1 MG PO TABS [9310],12.55,12.55,1.86,10.04,23
NDC,42799-208-01,TINIDAZOLE 500 MG PO TABS [38907],47.71,47.71,7.06,38.17,23
NDC,42799-217-01,OPIUM 10 MG/ML (1%) PO TINC [99404],2156.77,2156.77,319.2,1725.42,23
NDC,42799-806-01,IVERMECTIN 3 MG PO TABS [25820],23.36,23.36,3.46,18.69,23
NDC,42799-815-01,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
NDC,42799-952-30,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
NDC,42806-011-01,SULINDAC 200 MG PO TABS [7579],6.0,6.0,0.89,4.8,23
NDC,42806-089-01,ESTRADIOL 2 MG PO TABS [9968],6.0,6.0,0.89,4.8,23
NDC,42806-096-30,PROTRIPTYLINE HCL 5 MG PO TABS [11164],29.38,29.38,4.35,23.5,23
NDC,42806-102-01,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.44,7.44,1.1,5.95,23
NDC,42806-144-48,DEMECLOCYCLINE HCL 300 MG PO TABS [9727],147.81,147.81,21.88,118.25,23
NDC,42806-149-32,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
NDC,42806-151-34,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.08,151.08,22.36,120.86,23
NDC,42806-186-15,NYSTATIN 100000 UNIT/GM EX POWD [39136],121.27,121.27,17.95,97.02,23
NDC,42806-270-95,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],15.75,15.75,2.33,12.6,23
NDC,42806-274-01,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
NDC,42806-339-01,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
NDC,42806-400-01,METHYLPREDNISOLONE 4 MG PO TABS [4993],7.76,7.76,1.15,6.21,23
NDC,42806-424-60,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],6.0,6.0,0.89,4.8,23
NDC,42806-501-09,NICARDIPINE HCL 20 MG PO CAPS [10712],72.83,72.83,10.78,58.26,23
NDC,42806-513-30,QUINIDINE SULFATE 200 MG PO TABS [6777],70.92,70.92,10.5,56.74,23
NDC,42806-552-12,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
NDC,42806-555-01,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,42806-633-01,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
NDC,42806-658-30,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
NDC,42806-714-01,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
NDC,42806-714-05,BENZONATATE 100 MG PO CAPS [988],10.67,10.67,1.58,8.54,23
NDC,42806-757-60,SULFADIAZINE 500 MG PO TABS [7554],86.77,86.77,12.84,69.42,23
NDC,42806-799-60,RIFAMPIN 300 MG PO CAPS [11293],27.5,27.5,4.07,22.0,23
NDC,42806-818-01,FLECAINIDE ACETATE 100 MG PO TABS [10041],18.88,18.88,2.79,15.1,23
NDC,42806-819-01,FLECAINIDE ACETATE 150 MG PO TABS [10042],25.97,25.97,3.84,20.78,23
NDC,42852-301-67,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],35.25,35.25,5.22,28.2,23
NDC,42852-703-99,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],231.5,231.5,34.26,185.2,23
NDC,42852-862-25,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],213.95,213.95,31.66,171.16,23
NDC,42852-902-05,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
NDC,42858-001-10,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,42858-002-01,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
NDC,42858-002-10,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
NDC,42858-003-01,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
NDC,42858-004-01,OXYCODONE HCL 20 MG PO TABS [87822],6.0,6.0,0.89,4.8,23
NDC,42858-005-01,OXYCODONE HCL 30 MG PO TABS [28900],6.0,6.0,0.89,4.8,23
NDC,42858-104-01,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],6.0,6.0,0.89,4.8,23
NDC,42858-118-30,LIDOCAINE 5 % EX PTCH [28203],12.22,12.22,1.81,9.78,23
NDC,42858-301-25,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
NDC,42858-302-25,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
NDC,42858-454-45,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
NDC,42858-501-03,BUPRENORPHINE HCL 2 MG SL SUBL [34711],6.0,6.0,0.89,4.8,23
NDC,42858-502-03,BUPRENORPHINE HCL 8 MG SL SUBL [34712],6.0,6.0,0.89,4.8,23
NDC,42858-515-01,MORPHINE SULFATE CR 15 MG PO TB12 [119129],25.88,25.88,3.83,20.7,23
NDC,42858-660-45,FENOFIBRATE 160 MG PO TABS [28252],6.0,6.0,0.89,4.8,23
NDC,42858-801-01,MORPHINE SULFATE CR 15 MG PO TB12 [119129],6.0,6.0,0.89,4.8,23
NDC,42858-802-01,MORPHINE SULFATE CR 30 MG PO TB12 [119091],6.0,6.0,0.89,4.8,23
NDC,42858-868-06,DRONABINOL 5 MG PO CAPS [9905],17.51,17.51,2.59,14.01,23
NDC,42937-701-10,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],6.0,6.0,0.89,4.8,23
NDC,42937-705-18,PRENATAL PLUS IRON 29-1 MG PO TABS [118046],6.0,6.0,0.89,4.8,23
NDC,43066-001-01,DOCETAXEL 20 MG/2ML IV SOLN [107446],205.4,205.4,30.4,164.32,23
NDC,43066-015-10,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],28.2,28.2,4.17,22.56,23
NDC,43066-023-10,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],45.12,45.12,6.68,36.1,23
NDC,43066-089-10,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1416.96,1416.96,209.71,1133.57,23
NDC,43066-090-01,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
NDC,43066-090-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],29.9,29.9,4.43,23.92,23
NDC,43066-150-10,AMIODARONE HCL IN DEXTROSE 150-4.21 MG/100ML-% IV SOLN [108619],180.13,180.13,26.66,144.1,23
NDC,43066-154-10,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],186.19,186.19,27.56,148.95,23
NDC,43066-360-20,AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN [108620],215.51,215.51,31.9,172.41,23
NDC,43066-557-12,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],373.44,373.44,55.27,298.75,23
NDC,43066-993-24,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN [9626],60.16,60.16,8.9,48.13,23
NDC,43066-995-24,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN [9627],73.56,73.56,10.89,58.85,23
NDC,43066-997-01,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],28.2,28.2,4.17,22.56,23
NDC,43066-997-10,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],28.2,28.2,4.17,22.56,23
NDC,43068-112-02,ILOPERIDONE 12 MG PO TABS [99450],282.45,282.45,41.8,225.96,23
NDC,43199-011-01,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
NDC,43199-014-01,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
NDC,43386-090-19,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR [10839],138.56,138.56,20.51,110.85,23
NDC,43386-096-60,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
NDC,43386-160-06,MISOPROSTOL 100 MCG PO TABS [10628],6.0,6.0,0.89,4.8,23
NDC,43386-161-01,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
NDC,43386-161-06,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
NDC,43386-405-03,NITAZOXANIDE 500 MG PO TABS [39254],578.63,578.63,85.64,462.9,23
NDC,43386-700-83,NA SULFATE-K SULFATE-MG SULF 17.5-3.13-1.6 GM/177ML PO SOLN [104829],229.29,229.29,33.93,183.43,23
NDC,43386-770-01,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
NDC,43386-771-01,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
NDC,43528-003-01,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [140796],704.62,704.62,104.28,563.7,23
NDC,43528-003-05,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [140796],704.62,704.62,104.28,563.7,23
NDC,43547-268-10,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.75,11.75,1.74,9.4,23
NDC,43547-269-10,ROPINIROLE HCL 0.5 MG PO TABS [21800],11.75,11.75,1.74,9.4,23
NDC,43547-270-10,ROPINIROLE HCL 1 MG PO TABS [21689],11.75,11.75,1.74,9.4,23
NDC,43547-271-10,ROPINIROLE HCL 2 MG PO TABS [21690],11.75,11.75,1.74,9.4,23
NDC,43547-272-10,ROPINIROLE HCL 3 MG PO TABS [30699],11.75,11.75,1.74,9.4,23
NDC,43547-273-10,ROPINIROLE HCL 4 MG PO TABS [26429],12.22,12.22,1.81,9.78,23
NDC,43547-274-10,ROPINIROLE HCL 5 MG PO TABS [21691],12.22,12.22,1.81,9.78,23
NDC,43547-275-03,DONEPEZIL HCL 5 MG PO TABS [18786],40.68,40.68,6.02,32.54,23
NDC,43547-275-09,DONEPEZIL HCL 5 MG PO TABS [18786],40.68,40.68,6.02,32.54,23
NDC,43547-280-10,ESCITALOPRAM OXALATE 5 MG PO TABS [37635],19.51,19.51,2.89,15.61,23
NDC,43547-281-10,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],20.36,20.36,3.01,16.29,23
NDC,43547-282-10,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.25,21.25,3.14,17.0,23
NDC,43547-288-10,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],9.12,9.12,1.35,7.3,23
NDC,43547-306-03,ARIPIPRAZOLE 20 MG PO TABS [34371],194.85,194.85,28.84,155.88,23
NDC,43547-339-06,RISPERIDONE 0.25 MG PO TABS [25519],18.33,18.33,2.71,14.66,23
NDC,43547-341-06,RISPERIDONE 1 MG PO TABS [18313],21.39,21.39,3.17,17.11,23
NDC,43547-342-06,RISPERIDONE 2 MG PO TABS [18311],35.72,35.72,5.29,28.58,23
NDC,43547-352-10,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
NDC,43547-353-10,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
NDC,43547-354-10,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
NDC,43547-363-10,CAPTOPRIL 12.5 MG PO TABS [9401],7.33,7.33,1.08,5.86,23
NDC,43547-365-10,CAPTOPRIL 50 MG PO TABS [9403],13.63,13.63,2.02,10.9,23
NDC,43547-366-10,CAPTOPRIL 100 MG PO TABS [9400],17.89,17.89,2.65,14.31,23
NDC,43547-381-03,DULOXETINE HCL 60 MG PO CPEP [39277],36.86,36.86,5.46,29.49,23
NDC,43547-397-10,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,43547-398-10,HYDROCHLOROTHIAZIDE 50 MG PO TABS [3721],6.0,6.0,0.89,4.8,23
NDC,43547-401-11,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,43547-403-10,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
NDC,43547-405-10,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,43547-406-10,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,43547-407-10,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,43547-421-10,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
NDC,43547-423-09,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,43547-424-09,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,43547-486-10,METHYLPHENIDATE HCL 5 MG PO TABS [4988],6.0,6.0,0.89,4.8,23
NDC,43547-543-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,43547-543-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,43547-688-10,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
NDC,43598-051-11,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],8079.86,8079.86,1195.82,6463.89,23
NDC,43598-053-11,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1833.3,1833.3,271.33,1466.64,23
NDC,43598-087-11,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
NDC,43598-087-58,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
NDC,43598-106-10,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
NDC,43598-106-11,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.88,127.88,18.93,102.3,23
NDC,43598-127-25,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],27.08,27.08,4.01,21.66,23
NDC,43598-127-45,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],27.08,27.08,4.01,21.66,23
NDC,43598-128-11,METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR [10581],114.32,114.32,16.92,91.46,23
NDC,43598-129-01,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],42.87,42.87,6.34,34.3,23
NDC,43598-129-25,METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR [10578],42.87,42.87,6.34,34.3,23
NDC,43598-130-74,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],168.87,168.87,24.99,135.1,23
NDC,43598-140-11,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
NDC,43598-140-25,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
NDC,43598-164-30,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
NDC,43598-165-30,OLANZAPINE 7.5 MG PO TABS [17938],75.6,75.6,11.19,60.48,23
NDC,43598-166-30,OLANZAPINE 10 MG PO TABS [17937],93.61,93.61,13.85,74.89,23
NDC,43598-167-01,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,43598-170-01,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,43598-210-40,SILVER SULFADIAZINE 1 % EX CREA [7224],247.41,247.41,36.62,197.93,23
NDC,43598-210-50,SILVER SULFADIAZINE 1 % EX CREA [7224],70.03,70.03,10.36,56.02,23
NDC,43598-210-55,SILVER SULFADIAZINE 1 % EX CREA [7224],70.03,70.03,10.36,56.02,23
NDC,43598-221-14,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,43598-259-40,DOCETAXEL 80 MG/4ML IV CONC [107151],1180.8,1180.8,174.76,944.64,23
NDC,43598-262-02,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
NDC,43598-265-20,PROPOFOL 200 MG/20ML IV EMUL [130905],31.59,31.59,4.68,25.27,23
NDC,43598-265-25,PROPOFOL 200 MG/20ML IV EMUL [130905],31.59,31.59,4.68,25.27,23
NDC,43598-267-04,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
NDC,43598-283-35,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],1571.4,1571.4,232.57,1257.12,23
NDC,43598-295-66,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
NDC,43598-295-79,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
NDC,43598-326-75,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],882.38,882.38,130.59,705.9,23
NDC,43598-353-30,LURASIDONE HCL 60 MG PO TABS [121854],198.68,198.68,29.4,158.94,23
NDC,43598-370-74,PEMETREXED (GENERIC) DISODIUM 1000 MG IV SOLR [155891],4815.1,4815.1,712.63,3852.08,23
NDC,43598-386-62,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],719.32,719.32,106.46,575.46,23
NDC,43598-394-67,TETRABENAZINE 12.5 MG PO TABS [94563],294.05,294.05,43.52,235.24,23
NDC,43598-409-25,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],30.26,30.26,4.48,24.21,23
NDC,43598-410-25,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],30.26,30.26,4.48,24.21,23
NDC,43598-426-60,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],984.0,984.0,145.63,787.2,23
NDC,43598-436-11,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,43598-436-35,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,43598-446-70,NICOTINE 7 MG/24HR TD PT24 [27860],11.84,11.84,1.75,9.47,23
NDC,43598-446-71,NICOTINE 7 MG/24HR TD PT24 [27860],11.84,11.84,1.75,9.47,23
NDC,43598-446-74,NICOTINE 7 MG/24HR TD PT24 [27860],10.03,10.03,1.48,8.02,23
NDC,43598-447-70,NICOTINE 14 MG/24HR TD PT24 [27862],11.84,11.84,1.75,9.47,23
NDC,43598-447-71,NICOTINE 14 MG/24HR TD PT24 [27862],10.03,10.03,1.48,8.02,23
NDC,43598-447-74,NICOTINE 14 MG/24HR TD PT24 [27862],10.03,10.03,1.48,8.02,23
NDC,43598-448-70,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
NDC,43598-448-71,NICOTINE 21 MG/24HR TD PT24 [27863],11.84,11.84,1.75,9.47,23
NDC,43598-448-74,NICOTINE 21 MG/24HR TD PT24 [27863],10.03,10.03,1.48,8.02,23
NDC,43598-452-02,ALBENDAZOLE 200 MG PO TABS [8979],431.5,431.5,63.86,345.2,23
NDC,43598-509-30,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
NDC,43598-510-10,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],41.14,41.14,6.09,32.91,23
NDC,43598-548-21,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],78.96,78.96,11.69,63.17,23
NDC,43598-548-50,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],78.96,78.96,11.69,63.17,23
NDC,43598-549-10,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],145.49,145.49,21.53,116.39,23
NDC,43598-549-52,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],145.49,145.49,21.53,116.39,23
NDC,43598-552-30,LAMOTRIGINE 100 MG PO TBDP [96941],48.02,48.02,7.11,38.42,23
NDC,43598-555-30,ARIPIPRAZOLE 5 MG PO TABS [36438],139.03,139.03,20.58,111.22,23
NDC,43598-556-30,ARIPIPRAZOLE 10 MG PO TABS [34369],139.03,139.03,20.58,111.22,23
NDC,43598-557-30,ARIPIPRAZOLE 15 MG PO TABS [34370],139.03,139.03,20.58,111.22,23
NDC,43598-616-11,REGADENOSON 0.4 MG/5ML IV SOLN [91408],384.54,384.54,56.91,307.63,23
NDC,43598-636-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
NDC,43598-636-52,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
NDC,43598-637-10,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
NDC,43598-637-52,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
NDC,43598-666-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],45.41,45.41,6.72,36.33,23
NDC,43598-698-11,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
NDC,43598-698-58,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
NDC,43598-719-01,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,43598-721-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
NDC,43598-725-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
NDC,43598-751-01,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.94,7.94,1.18,6.35,23
NDC,43598-751-60,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.94,7.94,1.18,6.35,23
NDC,43598-757-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
NDC,43598-757-52,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],155.88,155.88,23.07,124.7,23
NDC,43598-759-10,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
NDC,43598-759-52,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],207.84,207.84,30.76,166.27,23
NDC,43598-901-58,ERTAPENEM SODIUM 1 G IJ SOLR [31922],452.4,452.4,66.96,361.92,23
NDC,43598-917-58,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],1255.55,1255.55,185.82,1004.44,23
NDC,43598-931-11,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],197.45,197.45,29.22,157.96,23
NDC,43598-948-11,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],383.64,383.64,56.78,306.91,23
NDC,43598-967-30,ARIPIPRAZOLE 10 MG PO TABS [34369],139.03,139.03,20.58,111.22,23
NDC,43598-977-10,DICLOFENAC SODIUM 1 % EX GEL [150015],67.68,67.68,10.02,54.14,23
NDC,43825-102-01,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],220.96,220.96,32.7,176.77,23
NDC,43975-266-03,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
NDC,43975-322-03,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],37.77,37.77,5.59,30.22,23
NDC,43975-323-03,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],37.77,37.77,5.59,30.22,23
NDC,43975-349-03,PALIPERIDONE ER 1.5 MG PO TB24 [100004],68.95,68.95,10.2,55.16,23
NDC,43975-350-03,PALIPERIDONE ER 3 MG PO TB24 [78064],68.95,68.95,10.2,55.16,23
NDC,43975-351-03,PALIPERIDONE ER 6 MG PO TB24 [78065],68.95,68.95,10.2,55.16,23
NDC,43975-352-03,PALIPERIDONE ER 9 MG PO TB24 [78066],95.29,95.29,14.1,76.23,23
NDC,44087-3535-1,AVELUMAB 200 MG/10ML IV SOLN [135513],6112.94,6112.94,904.72,4890.35,23
NDC,44206-251-10,ALBUMIN HUMAN 25 % IV SOLN [8981],708.48,708.48,104.86,566.78,23
NDC,44206-251-91,ALBUMIN HUMAN 25 % IV SOLN [8981],708.48,708.48,104.86,566.78,23
NDC,44206-310-25,ALBUMIN HUMAN 5 % IV SOLN [8982],407.16,407.16,60.26,325.73,23
NDC,44206-310-50,ALBUMIN HUMAN 5 % IV SOLN [8982],708.48,708.48,104.86,566.78,23
NDC,44567-101-10,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,44567-102-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],33.84,33.84,5.01,27.07,23
NDC,44567-103-10,AMPICILLIN SODIUM 2 G IJ SOLR [472],62.04,62.04,9.18,49.63,23
NDC,44567-210-10,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],44.84,44.84,6.64,35.87,23
NDC,44567-211-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],89.96,89.96,13.31,71.97,23
NDC,44567-221-10,NAFCILLIN SODIUM 1 G IJ SOLR [5333],62.04,62.04,9.18,49.63,23
NDC,44567-222-10,NAFCILLIN SODIUM 2 G IJ SOLR [5335],114.32,114.32,16.92,91.46,23
NDC,44567-235-25,CEFTAZIDIME 1 G IJ SOLR [9474],25.38,25.38,3.76,20.3,23
NDC,44567-236-10,CEFTAZIDIME 2 G IV SOLR [27291],56.4,56.4,8.35,45.12,23
NDC,44567-240-10,CEFEPIME HCL 1 G IJ SOLR [16369],32.15,32.15,4.76,25.72,23
NDC,44567-241-10,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],55.28,55.28,8.18,44.22,23
NDC,44567-245-25,CEFOXITIN SODIUM 1 G IV SOLR [9461],56.12,56.12,8.31,44.9,23
NDC,44567-245-85,CEFOXITIN SODIUM 1 G IV SOLR [9461],22.0,22.0,3.26,17.6,23
NDC,44567-246-25,CEFOXITIN SODIUM 2 G IV SOLR [9463],103.67,103.67,15.34,82.94,23
NDC,44567-246-85,CEFOXITIN SODIUM 2 G IV SOLR [9463],33.84,33.84,5.01,27.07,23
NDC,44567-311-10,PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR [6086],24.6,24.6,3.64,19.68,23
NDC,44567-312-01,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],233.37,233.37,34.54,186.7,23
NDC,44567-401-10,MEROPENEM 1 G IV SOLR [17380],155.88,155.88,23.07,124.7,23
NDC,44567-421-24,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],22.0,22.0,3.26,17.6,23
NDC,44567-450-01,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],420.36,420.36,62.21,336.29,23
NDC,44567-450-10,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],420.36,420.36,62.21,336.29,23
NDC,44567-451-10,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],383.95,383.95,56.82,307.16,23
NDC,44567-502-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],62.51,62.51,9.25,50.01,23
NDC,44567-503-10,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],85.54,85.54,12.66,68.43,23
NDC,44567-506-01,PACLITAXEL 300 MG/50ML IV CONC [31097],447.88,447.88,66.29,358.3,23
NDC,44567-507-01,TENIPOSIDE 10 MG/ML IV SOLN [11501],7577.71,7577.71,1121.5,6062.17,23
NDC,44567-511-01,CISPLATIN 200 MG/200ML IV SOLN [88378],497.64,497.64,73.65,398.11,23
NDC,44567-610-01,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
NDC,44567-610-10,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],129.32,129.32,19.14,103.46,23
NDC,44567-611-01,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
NDC,44567-611-10,MIDAZOLAM 100 MG/100ML IV SOLN [149629],170.88,170.88,25.29,136.7,23
NDC,44567-620-01,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,44567-620-24,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,44567-621-01,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
NDC,44567-621-02,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],105.22,105.22,15.57,84.18,23
NDC,44567-621-24,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
NDC,44567-621-84,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],105.22,105.22,15.57,84.18,23
NDC,44567-641-01,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],228.54,228.54,33.82,182.83,23
NDC,44567-641-10,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],228.54,228.54,33.82,182.83,23
NDC,44567-701-25,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,44567-702-25,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],33.84,33.84,5.01,27.07,23
NDC,44567-707-25,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,44567-708-10,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],62.04,62.04,9.18,49.63,23
NDC,44567-801-10,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],22.0,22.0,3.26,17.6,23
NDC,44567-803-10,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],38.36,38.36,5.68,30.69,23
NDC,44567-820-10,ERTAPENEM SODIUM 1 G IJ SOLR [31922],627.94,627.94,92.94,502.35,23
NDC,44677-10202,LANSINOH LANOLIN EX CREA [146009],12.47,12.47,1.85,9.98,23
NDC,45802-004-03,HYDROCORTISONE 2.5 % EX CREA [3727],50.8,50.8,7.52,40.64,23
NDC,45802-014-02,HYDROCORTISONE 2.5 % EX OINT [3732],23.32,23.32,3.45,18.66,23
NDC,45802-038-46,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
NDC,45802-040-64,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.06,93.06,13.77,74.45,23
NDC,45802-046-11,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
NDC,45802-046-35,GENTAMICIN SULFATE 0.1 % EX OINT [3424],213.82,213.82,31.65,171.06,23
NDC,45802-048-11,NYSTATIN 100000 UNIT/GM EX OINT [5750],113.67,113.67,16.82,90.94,23
NDC,45802-048-35,NYSTATIN 100000 UNIT/GM EX OINT [5750],82.28,82.28,12.18,65.82,23
NDC,45802-050-03,DIBUCAINE (PERIANAL) 1 % EX OINT [27667],28.17,28.17,4.17,22.54,23
NDC,45802-056-11,GENTAMICIN SULFATE 0.1 % EX CREA [3423],384.18,384.18,56.86,307.34,23
NDC,45802-056-35,GENTAMICIN SULFATE 0.1 % EX CREA [3423],213.82,213.82,31.65,171.06,23
NDC,45802-059-11,NYSTATIN 100000 UNIT/GM EX CREA [5749],113.67,113.67,16.82,90.94,23
NDC,45802-059-35,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.28,82.28,12.18,65.82,23
NDC,45802-060-03,BACITRACIN 500 UNIT/GM EX OINT [850],24.75,24.75,3.66,19.8,23
NDC,45802-060-06,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
NDC,45802-060-70,BACITRACIN 500 UNIT/GM EX OINT [850],6.0,6.0,0.89,4.8,23
NDC,45802-098-28,MESALAMINE 4 G RECTAL ENEM [10535],100.03,100.03,14.8,80.02,23
NDC,45802-098-51,MESALAMINE 4 G RECTAL ENEM [10535],105.22,105.22,15.57,84.18,23
NDC,45802-112-22,MUPIROCIN 2 % EX OINT [10674],52.84,52.84,7.82,42.27,23
NDC,45802-119-42,MOMETASONE FUROATE 0.1 % EX OINT [10648],193.1,193.1,28.58,154.48,23
NDC,45802-122-46,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,45802-122-65,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,45802-138-35,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],136.85,136.85,20.25,109.48,23
NDC,45802-140-26,IBUPROFEN 100 MG/5ML PO SUSP [10246],22.74,22.74,3.37,18.19,23
NDC,45802-147-62,CETIRIZINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [31239],6.0,6.0,0.89,4.8,23
NDC,45802-201-26,ACETAMINOPHEN CHILDRENS 160 MG/5ML PO SUSP [141782],14.42,14.42,2.13,11.54,23
NDC,45802-216-96,BENZOYL PEROXIDE 5 % EX GEL [991],87.82,87.82,13.0,70.26,23
NDC,45802-221-11,FLUTICASONE PROPIONATE 0.005 % EX OINT [10083],148.48,148.48,21.98,118.78,23
NDC,45802-222-11,FLUTICASONE PROPIONATE 0.05 % EX CREA [10082],148.48,148.48,21.98,118.78,23
NDC,45802-257-42,MOMETASONE FUROATE 0.1 % EX CREA [10646],205.86,205.86,30.47,164.69,23
NDC,45802-269-37,PERMETHRIN 5 % EX CREA [10917],447.88,447.88,66.29,358.3,23
NDC,45802-276-03,HYDROCORTISONE 1 % EX OINT [3731],18.82,18.82,2.79,15.06,23
NDC,45802-357-58,SALINE NASAL SPRAY 0.65 % NA SOLN [7030],18.83,18.83,2.79,15.06,23
NDC,45802-410-59,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],18.76,18.76,2.78,15.01,23
NDC,45802-419-54,AMMONIUM LACTATE 12 % EX LOTN [10380],143.22,143.22,21.2,114.58,23
NDC,45802-422-37,DESONIDE 0.05 % EX CREA [2291],336.1,336.1,49.74,268.88,23
NDC,45802-432-62,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
NDC,45802-434-11,CLOTRIMAZOLE 1 % EX CREA [1767],40.33,40.33,5.97,32.26,23
NDC,45802-438-03,HYDROCORTISONE 1 % EX CREA [3726],18.82,18.82,2.79,15.06,23
NDC,45802-465-64,KETOCONAZOLE 2 % EX SHAM [14132],130.94,130.94,19.38,104.75,23
NDC,45802-466-35,ECONAZOLE NITRATE 1 % EX CREA [9915],130.1,130.1,19.25,104.08,23
NDC,45802-52555,AMMONIUM LACTATE 12 % EX LOTN [10380],85.36,85.36,12.63,68.29,23
NDC,45802-562-01,CLINDAMYCIN PHOSPHATE 1 % EX SOLN [1742],125.36,125.36,18.55,100.29,23
NDC,45802-580-46,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.59,99.59,14.74,79.67,23
NDC,45802-580-84,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],90.53,90.53,13.4,72.42,23
NDC,45802-650-87,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,45802-717-08,TERCONAZOLE 80 MG VA SUPP [11512],141.28,141.28,20.91,113.02,23
NDC,45802-730-00,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
NDC,45802-730-30,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
NDC,45802-730-32,ACETAMINOPHEN 650 MG RECTAL SUPP [105],6.0,6.0,0.89,4.8,23
NDC,45802-732-00,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
NDC,45802-732-30,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
NDC,45802-732-33,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
NDC,45802-758-30,PROMETHAZINE HCL 12.5 MG RECTAL SUPP [11143],83.22,83.22,12.32,66.58,23
NDC,45802-759-30,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
NDC,45802-897-26,IBUPROFEN 100 MG/5ML PO SUSP [10246],42.15,42.15,6.24,33.72,23
NDC,45802-919-39,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
NDC,45802-953-01,DICLOFENAC SODIUM 1 % EX GEL [150015],69.09,69.09,10.23,55.27,23
NDC,45852-248-70,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],54.52,54.52,8.07,43.62,23
NDC,45963-343-02,DESIPRAMINE HCL 50 MG PO TABS [2287],12.59,12.59,1.86,10.07,23
NDC,45963-439-63,LACTULOSE 10 GM/15ML SOLN [38245],88.26,88.26,13.06,70.61,23
NDC,45963-456-30,DEFERASIROX 500 MG PO TBSO [43417],725.93,725.93,107.44,580.74,23
NDC,45963-557-50,GABAPENTIN 400 MG PO CAPS [18307],7.5,7.5,1.11,6.0,23
NDC,45963-609-55,FLUDARABINE PHOSPHATE 50 MG IV SOLR [10053],427.52,427.52,63.27,342.02,23
NDC,45963-676-11,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,45963-709-11,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,45963-733-60,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],633.36,633.36,93.74,506.69,23
NDC,45963-765-52,DOCETAXEL 80 MG/4ML IV CONC [107151],2793.6,2793.6,413.45,2234.88,23
NDC,46017-01216,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,46017-01816,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,46017-01840,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,46287-006-60,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML CO SUSP [27999],134.32,134.32,19.88,107.46,23
NDC,46287-009-01,ISONIAZID 50 MG/5ML PO SYRP [4025],1542.14,1542.14,228.24,1233.71,23
NDC,46287-500-01,SORBITOL 70 % SOLN [93927],75.59,75.59,11.19,60.47,23
NDC,46287-500-30,SORBITOL 70 % SOLN [93927],19.04,19.04,2.82,15.23,23
NDC,46783-221-52,POLIDOCANOL 1 % IV SOLN [111662],114.32,114.32,16.92,91.46,23
NDC,47335-049-40,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],2941.89,2941.89,435.4,2353.51,23
NDC,47335-220-90,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],400.68,400.68,59.3,320.54,23
NDC,47335-321-86,MEMANTINE HCL 5 MG PO TABS [37170],28.65,28.65,4.24,22.92,23
NDC,47335-330-40,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],470.31,470.31,69.61,376.25,23
NDC,47335-361-41,DECITABINE 50 MG IV SOLR [76364],4669.88,4669.88,691.14,3735.9,23
NDC,47335-379-83,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
NDC,47335-380-83,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
NDC,47335-383-83,DULOXETINE HCL 60 MG PO CPEP [39277],36.86,36.86,5.46,29.49,23
NDC,47335-485-83,BICALUTAMIDE 50 MG PO TABS [15746],87.11,87.11,12.89,69.69,23
NDC,47335-613-81,NIACIN ER (ANTIHYPERLIPIDEMIC) 1000 MG PO TBCR [27183],35.18,35.18,5.21,28.14,23
NDC,47335-614-81,NIACIN ER (ANTIHYPERLIPIDEMIC) 750 MG PO TBCR [27182],28.38,28.38,4.2,22.7,23
NDC,47335-673-81,DILTIAZEM HCL ER BEADS 360 MG PO CP24 [29277],11.03,11.03,1.63,8.82,23
NDC,47335-703-48,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
NDC,47335-703-49,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
NDC,47335-703-52,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.27,6.27,0.93,5.02,23
NDC,47335-712-86,TOPIRAMATE 200 MG PO TABS [18921],38.31,38.31,5.67,30.65,23
NDC,47335-766-83,PALIPERIDONE ER 6 MG PO TB24 [78065],132.34,132.34,19.59,105.87,23
NDC,47335-788-91,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],807.7,807.7,119.54,646.16,23
NDC,47335-892-74,TEMOZOLOMIDE 100 MG PO CAPS [25894],827.52,827.52,122.47,662.02,23
NDC,47335-894-83,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.68,32.68,4.84,26.14,23
NDC,47335-905-88,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.81,60.81,9.0,48.65,23
NDC,47335-956-88,ALFUZOSIN HCL ER 10 MG PO TB24 [36982],19.81,19.81,2.93,15.85,23
NDC,47335-992-02,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],36.66,36.66,5.43,29.33,23
NDC,47335-993-01,METRONIDAZOLE 500 MG/100ML IV SOLN [5018],22.0,22.0,3.26,17.6,23
NDC,47781-014-01,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],7.52,7.52,1.11,6.02,23
NDC,47781-108-30,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
NDC,47781-200-50,MELPHALAN 2 MG PO TABS [10523],57.4,57.4,8.5,45.92,23
NDC,47781-303-01,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],17.93,17.93,2.65,14.34,23
NDC,47781-307-01,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
NDC,47781-317-30,NEVIRAPINE ER 400 MG PO TB24 [107815],101.96,101.96,15.09,81.57,23
NDC,47781-333-31,DAPSONE 25 MG PO TABS [2132],11.6,11.6,1.72,9.28,23
NDC,47781-334-31,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
NDC,47781-335-30,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
NDC,47781-357-03,SUBOXONE:BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM [104859],41.32,41.32,6.12,33.06,23
NDC,47781-384-26,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],617.76,617.76,91.43,494.21,23
NDC,47781-423-11,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
NDC,47781-423-47,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
NDC,47781-424-11,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
NDC,47781-424-47,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
NDC,47781-426-11,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
NDC,47781-426-47,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
NDC,47781-427-11,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
NDC,47781-427-47,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
NDC,47781-428-11,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
NDC,47781-428-47,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
NDC,47781-468-13,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,47781-470-13,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,47781-570-89,LIDOCAINE-TRANSPARENT DRESSING 4 % EX KIT [30183],129.9,129.9,19.23,103.92,23
NDC,47781-578-07,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1570.47,1570.47,232.43,1256.38,23
NDC,47781-583-68,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,47781-584-68,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,47781-585-68,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,47781-586-29,LABETALOL HCL 5 MG/ML IV SOLN [10372],64.68,64.68,9.57,51.74,23
NDC,47781-586-56,LABETALOL HCL 5 MG/ML IV SOLN [10372],119.17,119.17,17.64,95.34,23
NDC,47781-588-46,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,47781-588-68,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,47781-589-91,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
NDC,47781-595-07,PACLITAXEL 300 MG/50ML IV CONC [31097],256.74,256.74,38.0,205.39,23
NDC,47781-643-90,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,47781-649-90,LEVOTHYROXINE SODIUM 88 MCG PO TABS [10403],6.0,6.0,0.89,4.8,23
NDC,47781-654-90,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,47781-665-90,LEVOTHYROXINE SODIUM 175 MCG PO TABS [10406],6.0,6.0,0.89,4.8,23
NDC,47781-914-01,DEXAMETHASONE 4 MG PO TABS [2327],6.0,6.0,0.89,4.8,23
NDC,48102-057-11,ERYTHROMYCIN 5 MG/GM OP OINT [2888],55.28,55.28,8.18,44.22,23
NDC,48433-202-30,MINERAL OIL PO OIL [5086],9.31,9.31,1.38,7.45,23
NDC,48433-230-15,IODINE STRONG 5 % SOLN [3961],167.56,167.56,24.8,134.05,23
NDC,48582-51201,BIOTENE ORALBALANCE DRY MOUTH MT GEL [97660],46.2,46.2,6.84,36.96,23
NDC,48783-0112-08,FERRIC SUBSULFATE PASTE [3059],70.5,70.5,10.43,56.4,23
NDC,49035-780-08,PSEUDOEPHEDRINE HCL 30 MG PO TABS [6714],6.0,6.0,0.89,4.8,23
NDC,49100-40008,CULTURELLE KIDS PO PACK [114621],6.0,6.0,0.89,4.8,23
NDC,49281-225-10,DIPHTHERIA-TETANUS TOXOIDS DT 25-5 LFU/0.5ML IM SUSP [116158],307.35,307.35,45.49,245.88,23
NDC,49281-250-51,"RABIES VIRUS VACCINE, HDC IM SUSR [11257]",1514.86,1514.86,224.2,1211.89,23
NDC,49281-252-51,"RABIES VIRUS VACCINE, HDC IM SUSR [11257]",1575.45,1575.45,233.17,1260.36,23
NDC,49281-400-10,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628],227.92,227.92,33.73,182.34,23
NDC,49281-400-58,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP [41628],227.92,227.92,33.73,182.34,23
NDC,49281-510-05,DTAP-IPV-HIB VACCINE IM SUSR [92074],477.52,477.52,70.67,382.02,23
NDC,49281-511-05,DTAP-IPV-HIB VACCINE IM SUSR [92074],540.34,540.34,79.97,432.27,23
NDC,49281-545-03,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931],74.91,74.91,11.09,59.93,23
NDC,49281-547-58,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [11931],74.91,74.91,11.09,59.93,23
NDC,49281-574-15,NIRSEVIMAB-ALIP 100 MG/ML IM SOSY [161424],1942.02,1942.02,287.42,1553.62,23
NDC,49281-575-00,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY [161423],1942.02,1942.02,287.42,1553.62,23
NDC,49281-575-15,NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY [161423],1942.02,1942.02,287.42,1553.62,23
NDC,49281-589-05,MENING ACY&W-135 DIPHTH CONJ IM SOLN [153529],672.38,672.38,99.51,537.9,23
NDC,49281-724-10,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY [164759],341.88,341.88,50.6,273.5,23
NDC,49281-860-10,POLIOVIRUS VACCINE INACTIVATED IJ INJ [107156],1557.67,1557.67,230.54,1246.14,23
NDC,49348-019-39,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
NDC,49348-028-27,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
NDC,49348-030-38,ISOPROPYL ALCOHOL 70 % SOLN [4030],11.12,11.12,1.65,8.9,23
NDC,49348-032-10,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,49348-042-14,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,49348-045-34,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],11.0,11.0,1.63,8.8,23
NDC,49348-045-37,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],17.83,17.83,2.64,14.26,23
NDC,49348-093-34,ACETAMINOPHEN 160 MG/5ML PO SUSP [8943],9.99,9.99,1.48,7.99,23
NDC,49348-107-17,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],32.48,32.48,4.81,25.98,23
NDC,49348-138-30,BENZOIN COMPOUND EX TINC [987],23.58,23.58,3.49,18.86,23
NDC,49348-144-46,NICOTINE 21 MG/24HR TD PT24 [27863],13.4,13.4,1.98,10.72,23
NDC,49348-147-07,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,49348-153-39,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
NDC,49348-188-10,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,49348-274-72,SM DOUBLE ANTIBIOTIC 500-10000 UNIT/GM EX OINT [135365],14.15,14.15,2.09,11.32,23
NDC,49348-280-10,DOCUSATE CALCIUM 240 MG PO CAPS [2565],6.0,6.0,0.89,4.8,23
NDC,49348-504-49,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
NDC,49348-622-37,POVIDONE-IODINE 10 % EX SOLN [6458],24.51,24.51,3.63,19.61,23
NDC,49348-636-34,LORATADINE 5 MG/5ML PO SOLN [106208],32.15,32.15,4.76,25.72,23
NDC,49348-689-72,MICONAZOLE NITRATE 2 % EX CREA [5039],12.41,12.41,1.84,9.93,23
NDC,49348-696-49,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],6.96,6.96,1.03,5.57,23
NDC,49348-740-27,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],20.73,20.73,3.07,16.58,23
NDC,49348-953-44,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,49348-973-10,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,49348-991-36,PHENOL 1.4 % MT LIQD [36976],11.0,11.0,1.63,8.8,23
NDC,49401-101-01,BELIMUMAB 120 MG IV SOLR [107378],2216.55,2216.55,328.05,1773.24,23
NDC,49401-102-01,BELIMUMAB 400 MG IV SOLR [107379],6423.27,6423.27,950.64,5138.62,23
NDC,49411-050-30,AMINOCAPROIC ACID 500 MG PO TABS [9063],105.79,105.79,15.66,84.63,23
NDC,49411-051-30,AMINOCAPROIC ACID 1000 MG PO TABS [39594],211.58,211.58,31.31,169.26,23
NDC,49411-052-08,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],8485.73,8485.73,1255.89,6788.58,23
NDC,49413-4723-24,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
NDC,49413-5607-24,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
NDC,49413-5669-24,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
NDC,49413-5683-24,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
NDC,49431-6143-24,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
NDC,49452-0370-1,POTASSIUM ALUM POWD [24061],475.02,475.02,70.3,380.02,23
NDC,49452-5220-2,PHENOL EX LIQD [6227],1520.28,1520.28,225.0,1216.22,23
NDC,49471-001-05,BENZYLPENICILLOYL POLYLYSINE 0.25 ML ID SOLN [9260],699.04,699.04,103.46,559.23,23
NDC,49483-003-01,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,49483-080-10,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,49483-340-01,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,49483-602-01,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,49483-603-50,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,49483-604-50,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,49483-606-50,GABAPENTIN 300 MG PO CAPS [18308],6.3,6.3,0.93,5.04,23
NDC,49502-102-02,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],706.88,706.88,104.62,565.5,23
NDC,49502-500-02,EPINEPHRINE 0.3 MG/0.3ML IJ SOAJ [123476],1197.75,1197.75,177.27,958.2,23
NDC,49502-501-02,EPINEPHRINE 0.15 MG/0.3ML IJ SOAJ [123475],1197.75,1197.75,177.27,958.2,23
NDC,49702-205-48,LAMIVUDINE 10 MG/ML PO SOLN [15881],501.26,501.26,74.19,401.01,23
NDC,49702-222-48,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],664.13,664.13,98.29,531.3,23
NDC,49702-223-18,MARAVIROC 150 MG PO TABS [87998],149.83,149.83,22.17,119.86,23
NDC,49702-224-18,MARAVIROC 300 MG PO TABS [87999],149.83,149.83,22.17,119.86,23
NDC,49702-228-13,DOLUTEGRAVIR SODIUM 50 MG PO TABS [121434],361.8,361.8,53.55,289.44,23
NDC,49702-238-03,CABOTEGRAVIR ER 600 MG/3ML IM SUER [154652],12220.57,12220.57,1808.64,9776.46,23
NDC,49702-240-15,CABENUVA ER 600 & 900 MG/3ML IM [150960],20612.2,20612.2,3050.61,16489.76,23
NDC,49702-246-13,DOVATO:DOLUTEGRAVIR-LAMIVUDINE 50-300 MG PO TABS [143520],466.84,466.84,69.09,373.47,23
NDC,49702-250-18,FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12 [148727],699.74,699.74,103.56,559.79,23
NDC,49702-253-15,CABENUVA ER 400 & 600 MG/2ML IM [150959],13741.45,13741.45,2033.73,10993.16,23
NDC,49702-264-23,CABOTEGRAVIR ER 600 MG/3ML IM SUER [154652],12220.57,12220.57,1808.64,9776.46,23
NDC,49702-266-63,CABENUVA ER 600 & 900 MG/3ML IM [150960],20612.2,20612.2,3050.61,16489.76,23
NDC,49771-002-01,MITOMYCIN 0.2 MG OP KIT [115145],1501.56,1501.56,222.23,1201.25,23
NDC,49771-002-03,MITOMYCIN 0.2 MG OP KIT [115145],1501.56,1501.56,222.23,1201.25,23
NDC,49884-007-02,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
NDC,49884-038-01,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
NDC,49884-042-33,GLYCOPYRROLATE 1 MG/5ML PO SOLN [106192],1569.14,1569.14,232.23,1255.31,23
NDC,49884-054-01,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
NDC,49884-055-01,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
NDC,49884-056-01,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
NDC,49884-065-01,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
NDC,49884-113-02,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
NDC,49884-117-01,AMILORIDE HCL 5 MG PO TABS [391],6.07,6.07,0.9,4.86,23
NDC,49884-122-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,49884-122-05,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,49884-123-01,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,49884-124-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,49884-124-05,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,49884-210-02,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
NDC,49884-211-02,PROPAFENONE HCL ER 425 MG PO CP12 [37645],47.0,47.0,6.96,37.6,23
NDC,49884-221-01,DOXEPIN HCL 100 MG PO CAPS [2609],9.27,9.27,1.37,7.42,23
NDC,49884-222-01,DOXEPIN HCL 150 MG PO CAPS [2610],15.65,15.65,2.32,12.52,23
NDC,49884-231-83,PRAZIQUANTEL 600 MG PO TABS [11113],348.85,348.85,51.63,279.08,23
NDC,49884-256-01,MINOXIDIL 2.5 MG PO TABS [5115],6.0,6.0,0.89,4.8,23
NDC,49884-290-01,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
NDC,49884-301-01,OXANDROLONE 2.5 MG PO TABS [10803],26.0,26.0,3.85,20.8,23
NDC,49884-302-02,OXANDROLONE 10 MG PO TABS [33826],88.13,88.13,13.04,70.5,23
NDC,49884-315-91,RISPERIDONE 1 MG PO TBDP [35687],27.0,27.0,4.0,21.6,23
NDC,49884-320-55,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
NDC,49884-321-55,OLANZAPINE 10 MG PO TBDP [28160],90.81,90.81,13.44,72.65,23
NDC,49884-322-52,OLANZAPINE 15 MG PO TBDP [28161],133.93,133.93,19.82,107.14,23
NDC,49884-401-91,RISPERIDONE 2 MG PO TBDP [35688],43.9,43.9,6.5,35.12,23
NDC,49884-402-91,RISPERIDONE 3 MG PO TBDP [70257],55.38,55.38,8.2,44.3,23
NDC,49884-466-65,CHOLESTYRAMINE LIGHT 4 G PO PACK [37482],15.75,15.75,2.33,12.6,23
NDC,49884-640-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,49884-641-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,49884-701-55,CLOMIPHENE CITRATE 50 MG PO TABS [1753],32.53,32.53,4.81,26.02,23
NDC,49884-724-01,HYDROXYUREA 500 MG PO CAPS [10236],6.01,6.01,0.89,4.81,23
NDC,49884-727-03,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.14,11.14,1.65,8.91,23
NDC,49884-768-52,TOLVAPTAN 15 MG PO TABS [97893],1634.79,1634.79,241.95,1307.83,23
NDC,49884-768-54,TOLVAPTAN 15 MG PO TABS [97893],1634.79,1634.79,241.95,1307.83,23
NDC,49884-874-01,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
NDC,49884-907-38,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
NDC,49884-984-01,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
NDC,49884-985-01,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
NDC,49938-102-30,DAPSONE 25 MG PO TABS [2132],12.87,12.87,1.9,10.3,23
NDC,49938-107-04,AMINOSALICYLIC ACID 4 G PO PACK [27661],37.6,37.6,5.56,30.08,23
NDC,50111-327-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,50111-328-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,50111-333-01,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,50111-333-02,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,50111-334-01,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,50111-334-02,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,50111-397-01,HYDRALAZINE HCL 100 MG PO TABS [3699],6.0,6.0,0.89,4.8,23
NDC,50111-398-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,50111-456-01,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,50111-787-10,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,50111-787-51,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,50111-789-10,AZITHROMYCIN 600 MG PO TABS [17387],87.81,87.81,13.0,70.25,23
NDC,50111-915-01,TORSEMIDE 5 MG PO TABS [18295],6.0,6.0,0.89,4.8,23
NDC,50111-916-01,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
NDC,50111-917-01,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,50111-918-01,TORSEMIDE 100 MG PO TABS [18294],14.3,14.3,2.12,11.44,23
NDC,50190-142-63,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
NDC,50228-105-01,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
NDC,50228-109-01,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
NDC,50228-117-10,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,50228-119-05,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,50228-177-01,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
NDC,50228-177-05,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
NDC,50228-178-01,GABAPENTIN 800 MG PO TABS [25856],14.34,14.34,2.12,11.47,23
NDC,50228-180-05,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,50228-180-10,GABAPENTIN 300 MG PO CAPS [18308],6.27,6.27,0.93,5.02,23
NDC,50228-183-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,50228-184-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,50228-192-60,LACOSAMIDE 50 MG PO TABS [96968],50.54,50.54,7.48,40.43,23
NDC,50228-193-60,LACOSAMIDE 100 MG PO TABS [96969],79.01,79.01,11.69,63.21,23
NDC,50228-194-60,LACOSAMIDE 150 MG PO TABS [96970],83.68,83.68,12.38,66.94,23
NDC,50228-195-60,LACOSAMIDE 200 MG PO TABS [96971],83.7,83.7,12.39,66.96,23
NDC,50228-350-90,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
NDC,50228-351-90,PREGABALIN 50 MG PO CAPS [42163],39.61,39.61,5.86,31.69,23
NDC,50228-352-90,PREGABALIN 75 MG PO CAPS [42164],39.61,39.61,5.86,31.69,23
NDC,50228-353-90,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
NDC,50228-354-90,PREGABALIN 150 MG PO CAPS [42166],39.61,39.61,5.86,31.69,23
NDC,50228-355-90,PREGABALIN 200 MG PO CAPS [42167],39.61,39.61,5.86,31.69,23
NDC,50228-356-90,PREGABALIN 225 MG PO CAPS [42168],39.61,39.61,5.86,31.69,23
NDC,50228-357-90,PREGABALIN 300 MG PO CAPS [42169],39.61,39.61,5.86,31.69,23
NDC,50228-423-60,RANOLAZINE ER 500 MG PO TB12 [70434],30.19,30.19,4.47,24.15,23
NDC,50228-424-60,RANOLAZINE ER 1000 MG PO TB12 [88007],49.57,49.57,7.34,39.66,23
NDC,50228-453-90,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.11,27.11,4.01,21.69,23
NDC,50228-458-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,50228-459-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,50228-460-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,50228-461-01,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.49,8.49,1.26,6.79,23
NDC,50228-472-12,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
NDC,50228-473-60,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
NDC,50228-481-01,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
NDC,50228-482-01,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
NDC,50228-483-01,DILTIAZEM HCL 90 MG PO TABS [2477],10.07,10.07,1.49,8.06,23
NDC,50228-484-01,DILTIAZEM HCL 120 MG PO TABS [2474],13.56,13.56,2.01,10.85,23
NDC,50242-041-64,ALTEPLASE 2 MG IJ SOLR [31310],728.82,728.82,107.87,583.06,23
NDC,50242-044-06,ALTEPLASE 50 MG IV SOLR [9003],13358.96,13358.96,1977.13,10687.17,23
NDC,50242-044-13,ALTEPLASE 50 MG IV SOLR [9003],13358.96,13358.96,1977.13,10687.17,23
NDC,50242-051-21,RITUXIMAB 100 MG/10ML IV SOLN [129084],2852.38,2852.38,422.15,2281.9,23
NDC,50242-053-06,RITUXIMAB 500 MG/50ML IV SOLN [129085],14261.87,14261.87,2110.76,11409.5,23
NDC,50242-060-01,BEVACIZUMAB 100 MG/4ML IV SOLN [107094],2782.93,2782.93,411.87,2226.34,23
NDC,50242-061-01,BEVACIZUMAB 400 MG/16ML IV SOLN [107095],9678.04,9678.04,1432.35,7742.43,23
NDC,50242-062-01,ERLOTINIB HCL 25 MG PO TABS [40089],410.24,410.24,60.72,328.19,23
NDC,50242-063-01,ERLOTINIB HCL 100 MG PO TABS [40090],980.33,980.33,145.09,784.26,23
NDC,50242-064-01,ERLOTINIB HCL 150 MG PO TABS [40091],1108.83,1108.83,164.11,887.06,23
NDC,50242-070-01,OBINUTUZUMAB 1000 MG/40ML IV SOLN [122192],26148.26,26148.26,3869.94,20918.61,23
NDC,50242-085-25,ALTEPLASE 100 MG IV SOLR [9002],26717.89,26717.89,3954.25,21374.31,23
NDC,50242-085-27,ALTEPLASE 100 MG IV SOLR [9002],26717.89,26717.89,3954.25,21374.31,23
NDC,50242-087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR [118951],19380.01,19380.01,2868.24,15504.01,23
NDC,50242-100-39,DORNASE ALFA 2.5 MG/2.5ML IN SOLN [12211],605.17,605.17,89.57,484.14,23
NDC,50242-100-40,DORNASE ALFA 2.5 MG/2.5ML IN SOLN [12211],605.2,605.2,89.57,484.16,23
NDC,50242-103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG IV SOLR [149615],12108.08,12108.08,1792.0,9686.46,23
NDC,50242-105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR [144008],56504.24,56504.24,8362.63,45203.39,23
NDC,50242-108-01,RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN [137000],19966.5,19966.5,2955.04,15973.2,23
NDC,50242-109-01,RITUXIMAB-HYALURONIDASE HUMAN 1600-26800 MG -UT/13.4ML SC SOLN [137001],22818.86,22818.86,3377.19,18255.09,23
NDC,50242-120-47,TENECTEPLASE 50 MG IV KIT [28530],25190.48,25190.48,3728.19,20152.38,23
NDC,50242-130-01,ALECTINIB HCL 150 MG PO CAPS [130073],378.61,378.61,56.03,302.89,23
NDC,50242-135-01,TOCILIZUMAB 80 MG/4ML IV SOLN [107090],1854.82,1854.82,274.51,1483.86,23
NDC,50242-136-01,TOCILIZUMAB 200 MG/10ML IV SOLN [107091],4031.53,4031.53,596.67,3225.22,23
NDC,50242-137-01,TOCILIZUMAB 400 MG/20ML IV SOLN [107092],8063.06,8063.06,1193.33,6450.45,23
NDC,50242-145-01,PERTUZUMAB 420 MG/14ML IV SOLN [115244],20707.03,20707.03,3064.64,16565.62,23
NDC,50242-150-01,OCRELIZUMAB 300 MG/10ML IV SOLN [135612],62665.95,62665.95,9274.56,50132.76,23
NDC,50242-176-01,TENECTEPLASE 50 MG IV KIT [28530],25190.48,25190.48,3728.19,20152.38,23
NDC,50242-214-01,OMALIZUMAB 75 MG/0.5ML SC SOSY [141227],4299.34,4299.34,636.3,3439.47,23
NDC,50242-215-01,OMALIZUMAB 150 MG/ML SC SOSY [141226],4299.34,4299.34,636.3,3439.47,23
NDC,50242-227-01,OMALIZUMAB 300 MG/2  ML SC SOSY [163424],8598.69,8598.69,1272.61,6878.95,23
NDC,50242-245-01,PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML LOAD SC SOLN [148697],42250.61,42250.61,6253.09,33800.49,23
NDC,50242-260-01,PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML MAINTENANCE SC SOLN [148696],28165.94,28165.94,4168.56,22532.75,23
NDC,50242-717-01,COBIMETINIB FUMARATE 20 MG PO TABS [129853],585.56,585.56,86.66,468.45,23
NDC,50242-917-01,ATEZOLIZUMAB 1200 MG/20ML IV SOLN [131700],34160.52,34160.52,5055.76,27328.42,23
NDC,50242-918-01,ATEZOLIZUMAB 840 MG/14ML IV SOLN [143206],23912.37,23912.37,3539.03,19129.9,23
NDC,50242-921-01,EMICIZUMAB-KXWH 60 MG/0.4ML SC SOLN [138195],22023.93,22023.93,3259.54,17619.14,23
NDC,50242-922-01,EMICIZUMAB-KXWH 105 MG/0.7ML SC SOLN [138196],38541.92,38541.92,5704.2,30833.54,23
NDC,50242-933-01,ATEZOLIZUMAB-HYALURONIDAS-TQJS 1875-30000 MG-UT/15ML SC SOLN [165424],34160.51,34160.51,5055.76,27328.41,23
NDC,50268-061-11,ACYCLOVIR 400 MG PO TABS [8971],17.61,17.61,2.61,14.09,23
NDC,50268-061-15,ACYCLOVIR 400 MG PO TABS [8971],17.61,17.61,2.61,14.09,23
NDC,50268-064-11,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,50268-064-15,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,50268-069-15,AMANTADINE HCL 100 MG PO CAPS [364],16.38,16.38,2.42,13.1,23
NDC,50268-074-15,AZITHROMYCIN 250 MG PO TABS [20943],6.97,6.97,1.03,5.58,23
NDC,50268-088-11,ARIPIPRAZOLE 5 MG PO TABS [36438],129.59,129.59,19.18,103.67,23
NDC,50268-088-15,ARIPIPRAZOLE 5 MG PO TABS [36438],129.59,129.59,19.18,103.67,23
NDC,50268-089-15,ARIPIPRAZOLE 10 MG PO TABS [34369],129.59,129.59,19.18,103.67,23
NDC,50268-093-11,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
NDC,50268-093-15,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],6.0,6.0,0.89,4.8,23
NDC,50268-094-15,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
NDC,50268-095-15,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,50268-096-11,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],8.95,8.95,1.32,7.16,23
NDC,50268-096-12,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],8.95,8.95,1.32,7.16,23
NDC,50268-098-15,AZITHROMYCIN 250 MG PO TABS [20943],34.74,34.74,5.14,27.79,23
NDC,50268-106-15,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
NDC,50268-131-11,BUMETANIDE 1 MG PO TABS [9310],7.05,7.05,1.04,5.64,23
NDC,50268-131-15,BUMETANIDE 1 MG PO TABS [9310],7.05,7.05,1.04,5.64,23
NDC,50268-143-15,BUPROPION HCL 100 MG PO TABS [9321],9.97,9.97,1.48,7.98,23
NDC,50268-144-11,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],22.33,22.33,3.3,17.86,23
NDC,50268-144-15,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],22.33,22.33,3.3,17.86,23
NDC,50268-151-11,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
NDC,50268-151-15,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
NDC,50268-152-11,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,50268-152-15,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,50268-163-15,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.18,35.18,5.21,28.14,23
NDC,50268-173-11,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,50268-173-15,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,50268-174-11,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,50268-174-15,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,50268-176-11,CILOSTAZOL 50 MG PO TABS [24473],10.5,10.5,1.55,8.4,23
NDC,50268-176-15,CILOSTAZOL 50 MG PO TABS [24473],10.5,10.5,1.55,8.4,23
NDC,50268-177-15,CILOSTAZOL 100 MG PO TABS [24474],10.58,10.58,1.57,8.46,23
NDC,50268-184-11,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
NDC,50268-184-12,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],90.55,90.55,13.4,72.44,23
NDC,50268-189-11,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,50268-189-15,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,50268-190-15,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
NDC,50268-191-11,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,50268-191-15,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,50268-195-60,CAPSAICIN 0.025 % EX CREA [1350],46.82,46.82,6.93,37.46,23
NDC,50268-225-15,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.0,6.0,0.89,4.8,23
NDC,50268-260-13,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],7.75,7.75,1.15,6.2,23
NDC,50268-281-11,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
NDC,50268-281-15,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
NDC,50268-314-11,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,50268-314-15,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,50268-321-11,FLECAINIDE ACETATE 100 MG PO TABS [10041],28.09,28.09,4.16,22.47,23
NDC,50268-321-15,FLECAINIDE ACETATE 100 MG PO TABS [10041],28.09,28.09,4.16,22.47,23
NDC,50268-330-11,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],7.52,7.52,1.11,6.02,23
NDC,50268-330-15,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],7.52,7.52,1.11,6.02,23
NDC,50268-337-15,FLUCONAZOLE 100 MG PO TABS [10044],44.8,44.8,6.63,35.84,23
NDC,50268-351-15,GABAPENTIN 600 MG PO TABS [25855],11.2,11.2,1.66,8.96,23
NDC,50268-359-15,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
NDC,50268-362-15,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
NDC,50268-399-11,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,50268-399-50,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,50268-411-11,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],85.31,85.31,12.63,68.25,23
NDC,50268-411-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],93.1,93.1,13.78,74.48,23
NDC,50268-430-11,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
NDC,50268-430-15,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
NDC,50268-448-15,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,50268-450-12,ITRACONAZOLE 100 MG PO CAPS [10364],26.59,26.59,3.94,21.27,23
NDC,50268-451-15,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.73,7.73,1.14,6.18,23
NDC,50268-476-11,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
NDC,50268-476-15,LETROZOLE 2.5 MG PO TABS [21509],84.85,84.85,12.56,67.88,23
NDC,50268-504-11,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
NDC,50268-504-15,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
NDC,50268-505-11,LOSARTAN POTASSIUM 50 MG PO TABS [14824],6.0,6.0,0.89,4.8,23
NDC,50268-505-15,LOSARTAN POTASSIUM 50 MG PO TABS [14824],6.0,6.0,0.89,4.8,23
NDC,50268-506-11,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
NDC,50268-506-15,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
NDC,50268-523-11,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,50268-523-15,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,50268-524-11,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,50268-524-15,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,50268-525-11,MELOXICAM 7.5 MG PO TABS [20566],14.57,14.57,2.16,11.66,23
NDC,50268-525-15,MELOXICAM 7.5 MG PO TABS [20566],14.57,14.57,2.16,11.66,23
NDC,50268-526-15,MELOXICAM 15 MG PO TABS [20580],21.92,21.92,3.24,17.54,23
NDC,50268-534-15,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,50268-535-11,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,50268-535-15,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,50268-541-11,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,50268-541-15,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,50268-542-15,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.87,7.87,1.16,6.3,23
NDC,50268-543-15,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],13.02,13.02,1.93,10.42,23
NDC,50268-574-15,MONTELUKAST SODIUM 5 MG PO CHEW [22510],19.3,19.3,2.86,15.44,23
NDC,50268-575-15,MONTELUKAST SODIUM 10 MG PO TABS [22509],23.42,23.42,3.47,18.74,23
NDC,50268-576-13,MOXIFLOXACIN HCL 400 MG PO TABS [26854],115.69,115.69,17.12,92.55,23
NDC,50268-585-15,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],18.73,18.73,2.77,14.98,23
NDC,50268-594-11,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
NDC,50268-594-15,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
NDC,50268-597-15,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.17,6.17,0.91,4.94,23
NDC,50268-598-15,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.6,10.6,1.57,8.48,23
NDC,50268-603-15,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
NDC,50268-604-15,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
NDC,50268-615-11,OLANZAPINE 5 MG PO TBDP [28159],65.68,65.68,9.72,52.54,23
NDC,50268-615-13,OLANZAPINE 5 MG PO TBDP [28159],65.68,65.68,9.72,52.54,23
NDC,50268-616-13,OLANZAPINE 10 MG PO TBDP [28160],66.26,66.26,9.81,53.01,23
NDC,50268-621-11,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
NDC,50268-621-15,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
NDC,50268-623-11,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],20.77,20.77,3.07,16.62,23
NDC,50268-623-15,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],20.77,20.77,3.07,16.62,23
NDC,50268-630-15,QUETIAPINE FUMARATE 25 MG PO TABS [21823],17.46,17.46,2.58,13.97,23
NDC,50268-631-15,QUETIAPINE FUMARATE 50 MG PO TABS [70397],29.09,29.09,4.31,23.27,23
NDC,50268-632-15,QUETIAPINE FUMARATE 100 MG PO TABS [21824],30.36,30.36,4.49,24.29,23
NDC,50268-633-15,QUETIAPINE FUMARATE 200 MG PO TABS [21825],57.22,57.22,8.47,45.78,23
NDC,50268-634-11,QUETIAPINE FUMARATE 300 MG PO TABS [29267],47.7,47.7,7.06,38.16,23
NDC,50268-634-15,QUETIAPINE FUMARATE 300 MG PO TABS [29267],47.7,47.7,7.06,38.16,23
NDC,50268-636-15,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],18.73,18.73,2.77,14.98,23
NDC,50268-640-15,PAROXETINE HCL 10 MG PO TABS [16632],6.0,6.0,0.89,4.8,23
NDC,50268-642-11,PAROXETINE HCL 30 MG PO TABS [10856],12.78,12.78,1.89,10.22,23
NDC,50268-642-15,PAROXETINE HCL 30 MG PO TABS [10856],12.78,12.78,1.89,10.22,23
NDC,50268-644-11,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.43,6.43,0.95,5.14,23
NDC,50268-644-15,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.43,6.43,0.95,5.14,23
NDC,50268-649-05,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,50268-649-11,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,50268-649-12,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,50268-649-30,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,50268-668-12,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.59,22.59,3.34,18.07,23
NDC,50268-680-11,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
NDC,50268-680-15,OXCARBAZEPINE 300 MG PO TABS [21061],6.0,6.0,0.89,4.8,23
NDC,50268-684-11,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.57,7.57,1.12,6.06,23
NDC,50268-684-15,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],7.58,7.58,1.12,6.06,23
NDC,50268-685-15,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],8.34,8.34,1.23,6.67,23
NDC,50268-686-15,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
NDC,50268-687-15,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
NDC,50268-709-11,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],6.46,6.46,0.96,5.17,23
NDC,50268-709-15,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],6.46,6.46,0.96,5.17,23
NDC,50268-710-15,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],6.96,6.96,1.03,5.57,23
NDC,50268-711-15,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],7.46,7.46,1.1,5.97,23
NDC,50268-717-11,SILDENAFIL CITRATE 20 MG PO TABS [41832],77.46,77.46,11.46,61.97,23
NDC,50268-717-15,SILDENAFIL CITRATE 20 MG PO TABS [41832],77.46,77.46,11.46,61.97,23
NDC,50268-722-15,RANOLAZINE ER 500 MG PO TB12 [70434],8.9,8.9,1.32,7.12,23
NDC,50268-724-15,SOTALOL HCL 80 MG PO TABS [11421],10.91,10.91,1.61,8.73,23
NDC,50268-728-11,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,50268-728-15,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,50268-730-11,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
NDC,50268-730-15,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
NDC,50268-732-11,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
NDC,50268-732-12,SUCRALFATE 1 GM/10ML PO SUSP [11441],57.25,57.25,8.47,45.8,23
NDC,50268-740-11,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
NDC,50268-740-15,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
NDC,50268-741-15,ROPINIROLE HCL 0.25 MG PO TABS [21688],6.0,6.0,0.89,4.8,23
NDC,50268-755-11,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
NDC,50268-755-15,TORSEMIDE 10 MG PO TABS [18292],6.0,6.0,0.89,4.8,23
NDC,50268-756-15,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,50268-757-11,TORSEMIDE 100 MG PO TABS [18294],13.61,13.61,2.01,10.89,23
NDC,50268-757-15,TORSEMIDE 100 MG PO TABS [18294],13.61,13.61,2.01,10.89,23
NDC,50268-759-15,TIZANIDINE HCL 2 MG PO TABS [14792],8.23,8.23,1.22,6.58,23
NDC,50268-851-11,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,50268-851-15,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,50383-079-16,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],84.48,84.48,12.5,67.58,23
NDC,50383-087-07,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
NDC,50383-171-04,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.29,200.29,29.64,160.23,23
NDC,50383-232-10,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
NDC,50383-241-16,LEVETIRACETAM 100 MG/ML PO SOLN [36590],279.68,279.68,41.39,223.74,23
NDC,50383-261-61,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
NDC,50383-266-25,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
NDC,50383-267-15,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
NDC,50383-268-15,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
NDC,50383-349-11,DOCUSATE SODIUM 150 MG/15ML PO LIQD [2569],6.0,6.0,0.89,4.8,23
NDC,50383-363-15,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
NDC,50383-363-17,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
NDC,50383-565-10,NEOMYCIN SULFATE 500 MG PO TABS [5472],6.42,6.42,0.95,5.14,23
NDC,50383-587-16,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
NDC,50383-587-66,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
NDC,50383-627-50,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],42.07,42.07,6.23,33.66,23
NDC,50383-700-16,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],328.01,328.01,48.55,262.41,23
NDC,50383-705-30,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
NDC,50383-771-16,DOCUSATE SODIUM 150 MG/15ML PO LIQD [2569],31.13,31.13,4.61,24.9,23
NDC,50383-771-16,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],31.13,31.13,4.61,24.9,23
NDC,50383-775-04,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
NDC,50383-775-17,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],6.0,6.0,0.89,4.8,23
NDC,50383-779-16,LACTULOSE 10 GM/15ML SOLN [38245],157.71,157.71,23.34,126.17,23
NDC,50383-779-31,LACTULOSE 10 GM/15ML SOLN [38245],13.96,13.96,2.07,11.17,23
NDC,50383-779-33,LACTULOSE 10 GM/15ML SOLN [38245],13.96,13.96,2.07,11.17,23
NDC,50383-801-16,PROMETHAZINE HCL 6.25 MG/5ML PO SOLN [97609],96.27,96.27,14.25,77.02,23
NDC,50383-807-16,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],283.36,283.36,41.94,226.69,23
NDC,50383-810-16,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
NDC,50383-823-16,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
NDC,50383-824-16,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
NDC,50383-859-24,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],612.55,612.55,90.66,490.04,23
NDC,50383-889-15,ACETIC ACID 2 % OT SOLN [17801],173.23,173.23,25.64,138.58,23
NDC,50383-901-10,HYDROCORTISONE-ACETIC ACID 1-2 % OT SOLN [24385],660.6,660.6,97.77,528.48,23
NDC,50383-924-93,BUPRENORPHINE HCL 2 MG SL SUBL [34711],21.31,21.31,3.15,17.05,23
NDC,50383-930-93,BUPRENORPHINE HCL 8 MG SL SUBL [34712],39.88,39.88,5.9,31.9,23
NDC,50419-171-03,REGORAFENIB 40 MG PO TABS [117021],1117.24,1117.24,165.35,893.79,23
NDC,50419-320-05,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN [93574],642.22,642.22,95.05,513.78,23
NDC,50419-390-01,LAROTRECTINIB SULFATE 25 MG PO CAPS [141816],886.55,886.55,131.21,709.24,23
NDC,50419-391-01,LAROTRECTINIB SULFATE 100 MG PO CAPS [141817],2359.69,2359.69,349.23,1887.75,23
NDC,50419-395-01,DAROLUTAMIDE 300 MG PO TABS [144456],537.37,537.37,79.53,429.9,23
NDC,50419-402-03,DROSPIRENONE-ETHINYL ESTRADIOL 3-0.03 MG PO TABS [30433],582.7,582.7,86.24,466.16,23
NDC,50419-405-03,DROSPIRENONE-ETHINYL ESTRADIOL 3-0.02 MG PO TABS [70784],674.48,674.48,99.82,539.58,23
NDC,50419-423-01,LEVONORGESTREL 20 MCG/DAY IU IUD [29280],3687.63,3687.63,545.77,2950.1,23
NDC,50419-424-01,LEVONORGESTREL 19.5 MG IU IUD [133838],3687.63,3687.63,545.77,2950.1,23
NDC,50419-488-58,SORAFENIB TOSYLATE 200 MG PO TABS [43675],480.93,480.93,71.18,384.74,23
NDC,50419-747-01,PRAZIQUANTEL 600 MG PO TABS [11113],387.63,387.63,57.37,310.1,23
NDC,50419-773-01,CIPROFLOXACIN 500 MG/5ML (10%) PO SUSR [22988],689.16,689.16,102.0,551.33,23
NDC,50458-306-01,RISPERIDONE MICROSPHERES ER 25 MG IM SRER [144946],2253.36,2253.36,333.5,1802.69,23
NDC,50458-306-11,RISPERIDONE MICROSPHERES ER 25 MG IM SRER [144946],2253.36,2253.36,333.5,1802.69,23
NDC,50458-307-01,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER [144947],2938.75,2938.75,434.94,2351.0,23
NDC,50458-308-01,RISPERIDONE MICROSPHERES ER 50 MG IM SRER [144948],3918.47,3918.47,579.93,3134.78,23
NDC,50458-550-01,PALIPERIDONE ER 3 MG PO TB24 [78064],70.55,70.55,10.44,56.44,23
NDC,50458-554-01,PALIPERIDONE ER 1.5 MG PO TB24 [100004],69.16,69.16,10.24,55.33,23
NDC,50458-560-01,PALIPERIDONE PALMITATE ER 39 MG/0.25ML IM SUSY [143121],2077.08,2077.08,307.41,1661.66,23
NDC,50458-561-01,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY [143122],3611.88,3611.88,534.56,2889.5,23
NDC,50458-577-01,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
NDC,50458-577-10,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
NDC,50458-577-60,RIVAROXABAN 2.5 MG PO TABS [141224],56.22,56.22,8.32,44.98,23
NDC,50458-578-10,RIVAROXABAN 15 MG PO TABS [111367],103.59,103.59,15.33,82.87,23
NDC,50458-578-30,RIVAROXABAN 15 MG PO TABS [111367],103.59,103.59,15.33,82.87,23
NDC,50458-579-01,RIVAROXABAN 20 MG PO TABS [111368],103.62,103.62,15.34,82.9,23
NDC,50458-579-10,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
NDC,50458-579-30,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
NDC,50458-579-90,RIVAROXABAN 20 MG PO TABS [111368],103.59,103.59,15.33,82.87,23
NDC,50458-580-01,RIVAROXABAN 10 MG PO TABS [109481],103.62,103.62,15.34,82.9,23
NDC,50458-580-10,RIVAROXABAN 10 MG PO TABS [109481],103.59,103.59,15.33,82.87,23
NDC,50458-580-30,RIVAROXABAN 10 MG PO TABS [109481],103.59,103.59,15.33,82.87,23
NDC,50458-584-51,RIVAROXABAN STARTER PACK 15MG & 20MG [125803],103.59,103.59,15.33,82.87,23
NDC,50458-645-65,TOPIRAMATE 25 MG PO CPSP [27642],43.11,43.11,6.38,34.49,23
NDC,50458-647-65,TOPIRAMATE 15 MG PO CPSP [27641],35.66,35.66,5.28,28.53,23
NDC,50474-001-48,LEVETIRACETAM 100 MG/ML PO SOLN [36590],2802.65,2802.65,414.79,2242.12,23
NDC,50474-002-63,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],318.48,318.48,47.14,254.78,23
NDC,50474-470-66,BRIVARACETAM 25 MG PO TABS [131448],127.56,127.56,18.88,102.05,23
NDC,50474-570-09,BRIVARACETAM 50 MG PO TABS [131449],127.57,127.57,18.88,102.06,23
NDC,50474-596-40,LEVETIRACETAM 750 MG PO TABS [26818],77.33,77.33,11.44,61.86,23
NDC,50474-670-66,BRIVARACETAM 75 MG PO TABS [131450],127.56,127.56,18.88,102.05,23
NDC,50474-770-09,BRIVARACETAM 100 MG PO TABS [131451],127.57,127.57,18.88,102.06,23
NDC,50474-802-03,ROTIGOTINE 2 MG/24HR TD PT24 [82100],149.64,149.64,22.15,119.71,23
NDC,50484-010-30,COLLAGENASE 250 UNIT/GM EX OINT [9682],1249.59,1249.59,184.94,999.67,23
NDC,50484-810-15,BECAPLERMIN 0.01 % EX GEL [22220],4128.05,4128.05,610.95,3302.44,23
NDC,50580-412-01,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,50580-457-11,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,50580-458-11,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,50580-728-24,CETIRIZINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [31239],6.0,6.0,0.89,4.8,23
NDC,50632-010-01,"RABIES VACCINE, PCEC IM SUSR [22120]",1629.15,1629.15,241.11,1303.32,23
NDC,50633-110-11,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR [29313],9709.13,9709.13,1436.95,7767.3,23
NDC,50633-110-12,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR [29313],9709.13,9709.13,1436.95,7767.3,23
NDC,50633-120-11,DIGOXIN IMMUNE FAB 40 MG IV SOLR [31432],15101.07,15101.07,2234.96,12080.86,23
NDC,50633-310-11,HYDROXOCOBALAMIN 5 G IV SOLR [110577],3029.93,3029.93,448.43,2423.94,23
NDC,50742-113-01,DESIPRAMINE HCL 25 MG PO TABS [2286],9.43,9.43,1.4,7.54,23
NDC,50742-114-01,DESIPRAMINE HCL 50 MG PO TABS [2287],17.75,17.75,2.63,14.2,23
NDC,50742-118-08,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
NDC,50742-176-01,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],20.1,20.1,2.97,16.08,23
NDC,50742-190-01,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,50742-233-01,ACETAZOLAMIDE ER 500 MG PO CP12 [8962],20.19,20.19,2.99,16.15,23
NDC,50742-238-30,QUININE SULFATE 324 MG PO CAPS [6781],34.43,34.43,5.1,27.54,23
NDC,50742-239-01,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
NDC,50742-240-01,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
NDC,50742-249-30,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],7.12,7.12,1.05,5.7,23
NDC,50742-251-90,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
NDC,50742-260-01,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.23,6.23,0.92,4.98,23
NDC,50742-260-03,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.16,6.16,0.91,4.93,23
NDC,50742-261-01,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.78,10.78,1.6,8.62,23
NDC,50742-261-03,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.66,10.66,1.58,8.53,23
NDC,50742-267-50,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
NDC,50742-283-13,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],38.98,38.98,5.77,31.18,23
NDC,50742-350-01,METOLAZONE 5 MG PO TABS [10588],13.78,13.78,2.04,11.02,23
NDC,50742-351-01,METOLAZONE 10 MG PO TABS [10586],16.5,16.5,2.44,13.2,23
NDC,50742-352-01,LEVONORGESTREL 1.5 MG PO TABS [99438],158.27,158.27,23.42,126.62,23
NDC,50742-362-60,IVABRADINE HCL 5 MG PO TABS [127687],51.66,51.66,7.65,41.33,23
NDC,50742-438-10,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],2073.38,2073.38,306.86,1658.7,23
NDC,50742-484-01,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],1180.8,1180.8,174.76,944.64,23
NDC,50742-505-01,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.48,99.48,14.72,79.58,23
NDC,50742-505-24,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],99.48,99.48,14.72,79.58,23
NDC,50742-515-30,NITROGLYCERIN 0.3 MG/HR TD PT24 [27473],247.37,247.37,36.61,197.9,23
NDC,50742-520-05,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
NDC,50742-615-01,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.02,6.02,0.89,4.82,23
NDC,50742-616-01,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.02,6.02,0.89,4.82,23
NDC,50742-617-01,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],9.62,9.62,1.42,7.7,23
NDC,50742-618-01,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],14.41,14.41,2.13,11.53,23
NDC,50742-622-01,NIFEDIPINE 90 MG PO TB24 [37662],14.26,14.26,2.11,11.41,23
NDC,50742-623-60,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
NDC,50742-656-01,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
NDC,50881-005-60,RUXOLITINIB PHOSPHATE 5 MG PO TABS [111436],1154.56,1154.56,170.87,923.65,23
NDC,50881-010-60,RUXOLITINIB PHOSPHATE 10 MG PO TABS [111437],1154.56,1154.56,170.87,923.65,23
NDC,50881-015-60,RUXOLITINIB PHOSPHATE 15 MG PO TABS [111438],1154.56,1154.56,170.87,923.65,23
NDC,50881-020-60,RUXOLITINIB PHOSPHATE 20 MG PO TABS [111439],1154.56,1154.56,170.87,923.65,23
NDC,50881-025-60,RUXOLITINIB PHOSPHATE 25 MG PO TABS [111440],1154.56,1154.56,170.87,923.65,23
NDC,51004-1095-06,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
NDC,51079-015-01,NEOMYCIN SULFATE 500 MG PO TABS [5472],9.31,9.31,1.38,7.45,23
NDC,51079-015-20,NEOMYCIN SULFATE 500 MG PO TABS [5472],9.29,9.29,1.37,7.43,23
NDC,51079-023-20,METOLAZONE 2.5 MG PO TABS [10587],15.44,15.44,2.29,12.35,23
NDC,51079-024-20,METOLAZONE 5 MG PO TABS [10588],17.55,17.55,2.6,14.04,23
NDC,51079-072-20,FUROSEMIDE 20 MG PO TABS [3294],6.0,6.0,0.89,4.8,23
NDC,51079-073-01,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
NDC,51079-073-20,FUROSEMIDE 40 MG PO TABS [3295],6.0,6.0,0.89,4.8,23
NDC,51079-074-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,51079-074-20,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,51079-075-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,51079-075-20,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,51079-076-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,51079-076-20,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,51079-078-20,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,51079-083-01,ISONIAZID 300 MG PO TABS [4027],6.07,6.07,0.9,4.86,23
NDC,51079-083-20,ISONIAZID 300 MG PO TABS [4027],6.06,6.06,0.9,4.85,23
NDC,51079-086-20,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
NDC,51079-087-01,MIRTAZAPINE 30 MG PO TABS [17465],13.15,13.15,1.95,10.52,23
NDC,51079-087-20,MIRTAZAPINE 30 MG PO TABS [17465],13.15,13.15,1.95,10.52,23
NDC,51079-088-01,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
NDC,51079-088-20,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
NDC,51079-103-01,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,51079-103-20,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,51079-121-01,LANSOPRAZOLE 30 MG PO CPDR [27692],26.62,26.62,3.94,21.3,23
NDC,51079-141-01,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,51079-141-20,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,51079-142-01,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
NDC,51079-142-20,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
NDC,51079-146-20,BENAZEPRIL HCL 20 MG PO TABS [9221],6.0,6.0,0.89,4.8,23
NDC,51079-169-20,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,51079-170-20,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,51079-180-20,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
NDC,51079-205-01,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,51079-205-20,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,51079-206-01,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,51079-206-20,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,51079-209-20,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
NDC,51079-210-01,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,51079-210-20,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,51079-211-01,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.04,9.04,1.34,7.23,23
NDC,51079-211-03,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],9.04,9.04,1.34,7.23,23
NDC,51079-246-20,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,51079-255-01,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,51079-255-20,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,51079-285-01,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
NDC,51079-285-20,DIAZEPAM 5 MG PO TABS [2405],6.0,6.0,0.89,4.8,23
NDC,51079-374-01,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
NDC,51079-374-20,CHLORDIAZEPOXIDE HCL 5 MG PO CAPS [1624],6.0,6.0,0.89,4.8,23
NDC,51079-375-01,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
NDC,51079-375-20,CHLORDIAZEPOXIDE HCL 10 MG PO CAPS [1622],6.0,6.0,0.89,4.8,23
NDC,51079-379-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
NDC,51079-379-20,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
NDC,51079-431-20,HALOPERIDOL 10 MG PO TABS [3580],9.44,9.44,1.4,7.55,23
NDC,51079-436-01,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
NDC,51079-436-20,DOXEPIN HCL 10 MG PO CAPS [2608],6.0,6.0,0.89,4.8,23
NDC,51079-437-01,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
NDC,51079-437-20,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
NDC,51079-438-01,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
NDC,51079-438-20,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
NDC,51079-440-01,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,51079-440-20,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,51079-441-20,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,51079-442-01,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,51079-442-20,LEVOTHYROXINE SODIUM 100 MCG PO TABS [4423],6.0,6.0,0.89,4.8,23
NDC,51079-443-20,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
NDC,51079-444-20,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,51079-453-20,MIDODRINE HCL 5 MG PO TABS [10610],12.74,12.74,1.89,10.19,23
NDC,51079-458-01,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
NDC,51079-458-20,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.36,15.36,2.27,12.29,23
NDC,51079-527-01,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
NDC,51079-527-20,FUROSEMIDE 80 MG PO TABS [3296],6.0,6.0,0.89,4.8,23
NDC,51079-550-68,ACYCLOVIR 5 % EX OINT [8968],529.22,529.22,78.32,423.38,23
NDC,51079-565-01,THIORIDAZINE HCL 10 MG PO TABS [7894],6.0,6.0,0.89,4.8,23
NDC,51079-565-20,THIORIDAZINE HCL 10 MG PO TABS [7894],6.0,6.0,0.89,4.8,23
NDC,51079-566-01,THIORIDAZINE HCL 25 MG PO TABS [7899],6.0,6.0,0.89,4.8,23
NDC,51079-566-20,THIORIDAZINE HCL 25 MG PO TABS [7899],6.0,6.0,0.89,4.8,23
NDC,51079-567-01,THIORIDAZINE HCL 50 MG PO TABS [7900],6.0,6.0,0.89,4.8,23
NDC,51079-580-20,THIORIDAZINE HCL 100 MG PO TABS [7895],6.0,6.0,0.89,4.8,23
NDC,51079-581-01,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],15.28,15.28,2.26,12.22,23
NDC,51079-581-06,LEUCOVORIN CALCIUM 5 MG PO TABS [4398],15.28,15.28,2.26,12.22,23
NDC,51079-582-01,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],64.34,64.34,9.52,51.47,23
NDC,51079-582-05,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],64.34,64.34,9.52,51.47,23
NDC,51079-588-01,THIOTHIXENE 5 MG PO CAPS [7906],17.02,17.02,2.52,13.62,23
NDC,51079-588-20,THIOTHIXENE 5 MG PO CAPS [7906],17.03,17.03,2.52,13.62,23
NDC,51079-597-01,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
NDC,51079-597-20,CETIRIZINE HCL 10 MG PO TABS [9506],11.73,11.73,1.74,9.38,23
NDC,51079-623-81,MAFENIDE ACETATE 85 MG/GM EX CREA [10478],282.55,282.55,41.82,226.04,23
NDC,51079-630-01,PRAZOSIN HCL 1 MG PO CAPS [6468],8.51,8.51,1.26,6.81,23
NDC,51079-630-20,PRAZOSIN HCL 1 MG PO CAPS [6468],8.52,8.52,1.26,6.82,23
NDC,51079-631-20,PRAZOSIN HCL 2 MG PO CAPS [6469],11.87,11.87,1.76,9.5,23
NDC,51079-632-20,PRAZOSIN HCL 5 MG PO CAPS [6470],20.25,20.25,3.0,16.2,23
NDC,51079-651-01,DOXEPIN HCL 100 MG PO CAPS [2609],9.4,9.4,1.39,7.52,23
NDC,51079-651-20,DOXEPIN HCL 100 MG PO CAPS [2609],9.39,9.39,1.39,7.51,23
NDC,51079-670-01,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,51079-670-05,METHOTREXATE SODIUM 2.5 MG PO TABS [4973],57.0,57.0,8.44,45.6,23
NDC,51079-684-01,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
NDC,51079-684-20,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
NDC,51079-685-01,ATENOLOL 100 MG PO TABS [716],7.01,7.01,1.04,5.61,23
NDC,51079-685-20,ATENOLOL 100 MG PO TABS [716],7.02,7.02,1.04,5.62,23
NDC,51079-690-01,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,51079-690-20,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,51079-721-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
NDC,51079-721-20,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
NDC,51079-733-01,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
NDC,51079-733-20,HALOPERIDOL 0.5 MG PO TABS [3578],6.0,6.0,0.89,4.8,23
NDC,51079-734-01,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
NDC,51079-734-20,HALOPERIDOL 1 MG PO TABS [3579],6.0,6.0,0.89,4.8,23
NDC,51079-735-01,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
NDC,51079-735-20,HALOPERIDOL 2 MG PO TABS [3581],6.0,6.0,0.89,4.8,23
NDC,51079-736-20,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
NDC,51079-753-01,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,51079-753-20,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,51079-759-01,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
NDC,51079-759-20,ATENOLOL 25 MG PO TABS [717],6.0,6.0,0.89,4.8,23
NDC,51079-771-01,CARVEDILOL 3.125 MG PO TABS [18551],10.03,10.03,1.48,8.02,23
NDC,51079-771-20,CARVEDILOL 3.125 MG PO TABS [18551],10.03,10.03,1.48,8.02,23
NDC,51079-793-01,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
NDC,51079-793-20,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
NDC,51079-795-01,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
NDC,51079-795-20,NAPROXEN 500 MG PO TABS [5393],6.29,6.29,0.93,5.03,23
NDC,51079-801-01,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,51079-801-20,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,51079-810-20,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
NDC,51079-811-01,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
NDC,51079-811-20,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
NDC,51079-812-20,NADOLOL 20 MG PO TABS [5330],29.1,29.1,4.31,23.28,23
NDC,51079-813-01,NADOLOL 40 MG PO TABS [5331],33.99,33.99,5.03,27.19,23
NDC,51079-813-20,NADOLOL 40 MG PO TABS [5331],33.97,33.97,5.03,27.18,23
NDC,51079-817-01,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,51079-817-20,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,51079-818-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,51079-818-20,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,51079-821-01,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,51079-821-20,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,51079-863-20,CAPTOPRIL 12.5 MG PO TABS [9401],8.07,8.07,1.19,6.46,23
NDC,51079-864-01,CAPTOPRIL 25 MG PO TABS [9402],8.75,8.75,1.3,7.0,23
NDC,51079-864-20,CAPTOPRIL 25 MG PO TABS [9402],8.76,8.76,1.3,7.01,23
NDC,51079-888-20,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,51079-905-20,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,51079-921-20,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
NDC,51079-922-20,CLOZAPINE 100 MG PO TABS [9647],16.12,16.12,2.39,12.9,23
NDC,51079-923-01,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.18,8.18,1.21,6.54,23
NDC,51079-923-20,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.19,8.19,1.21,6.55,23
NDC,51079-930-01,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
NDC,51079-930-20,CARVEDILOL 6.25 MG PO TABS [15747],10.03,10.03,1.48,8.02,23
NDC,51079-931-01,CARVEDILOL 12.5 MG PO TABS [15749],10.03,10.03,1.48,8.02,23
NDC,51079-931-20,CARVEDILOL 12.5 MG PO TABS [15749],10.03,10.03,1.48,8.02,23
NDC,51079-932-01,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
NDC,51079-932-20,CARVEDILOL 25 MG PO TABS [15748],10.03,10.03,1.48,8.02,23
NDC,51079-960-20,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
NDC,51079-978-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,51079-978-20,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,51079-985-01,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,51079-985-20,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,51079-986-01,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,51079-986-20,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,51144-003-01,TISOTUMAB VEDOTIN-TFTV 40 MG IV SOLR [153812],21625.43,21625.43,3200.56,17300.34,23
NDC,51144-020-01,ENFORTUMAB VEDOTIN-EJFV 20 MG IV SOLR [146059],8528.13,8528.13,1262.16,6822.5,23
NDC,51144-030-01,ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR [146060],12792.19,12792.19,1893.24,10233.75,23
NDC,51144-050-01,BRENTUXIMAB VEDOTIN 50 MG IV SOLR [110307],37039.2,37039.2,5481.8,29631.36,23
NDC,51224-012-20,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1465.95,1465.95,216.96,1172.76,23
NDC,51224-022-30,AZITHROMYCIN 250 MG PO TABS [20943],36.55,36.55,5.41,29.24,23
NDC,51224-162-12,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
NDC,51224-206-30,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],16.18,16.18,2.39,12.94,23
NDC,51285-063-90,ESTRADIOL-NORGESTIMATE 1/1-0.09 MG (15/15) PO TABS [26950],36.34,36.34,5.38,29.07,23
NDC,51285-204-01,PARAGARD INTRAUTERINE COPPER IU IUD [6040],2685.35,2685.35,397.43,2148.28,23
NDC,51285-424-10,NORETHINDRONE ACETATE 5 MG PO TABS [10747],34.22,34.22,5.06,27.38,23
NDC,51293-611-01,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
NDC,51293-801-01,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
NDC,51293-803-01,SALSALATE 500 MG PO TABS [7034],8.93,8.93,1.32,7.14,23
NDC,51293-804-01,SALSALATE 750 MG PO TABS [7035],12.92,12.92,1.91,10.34,23
NDC,51293-810-01,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
NDC,51293-820-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,51293-821-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,51293-846-01,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,51407-156-30,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],6.0,6.0,0.89,4.8,23
NDC,51407-439-60,TAMOXIFEN CITRATE 10 MG PO TABS [7711],6.0,6.0,0.89,4.8,23
NDC,51407-440-30,TAMOXIFEN CITRATE 20 MG PO TABS [11498],6.0,6.0,0.89,4.8,23
NDC,51407-499-05,OLOPATADINE HCL 0.1 % OP SOLN [19452],62.04,62.04,9.18,49.63,23
NDC,51525-0115-1,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],6.0,6.0,0.89,4.8,23
NDC,51525-0431-1,FELBAMATE 600 MG PO TABS [10025],27.84,27.84,4.12,22.27,23
NDC,51552-051-06,ACETIC ACID 3 % SOLN [15091],260.63,260.63,38.57,208.5,23
NDC,51552-055-06,ACETIC ACID 5 % SOLN [14702],272.3,272.3,40.3,217.84,23
NDC,51552-071-05,POTASSIUM HYDROXIDE 10 % SOLN [23036],247.02,247.02,36.56,197.62,23
NDC,51645-827-99,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
NDC,51672-1253-1,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
NDC,51672-1253-2,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
NDC,51672-1258-1,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
NDC,51672-1259-1,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
NDC,51672-1259-2,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],851.95,851.95,126.09,681.56,23
NDC,51672-1260-3,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
NDC,51672-1264-1,FLUOCINONIDE 0.05 % EX OINT [3189],275.24,275.24,40.74,220.19,23
NDC,51672-1272-1,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX OINT [5755],87.99,87.99,13.02,70.39,23
NDC,51672-1279-1,FLUOCINONIDE 0.05 % EX GEL [3188],231.71,231.71,34.29,185.37,23
NDC,51672-1279-2,FLUOCINONIDE 0.05 % EX GEL [3188],449.01,449.01,66.45,359.21,23
NDC,51672-1279-3,FLUOCINONIDE 0.05 % EX GEL [3188],781.3,781.3,115.63,625.04,23
NDC,51672-1280-3,DESONIDE 0.05 % EX CREA [2291],1053.28,1053.28,155.89,842.62,23
NDC,51672-1289-1,NYSTATIN 100000 UNIT/GM EX CREA [5749],82.49,82.49,12.21,65.99,23
NDC,51672-1289-2,NYSTATIN 100000 UNIT/GM EX CREA [5749],114.06,114.06,16.88,91.25,23
NDC,51672-1293-2,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],109.12,109.12,16.15,87.3,23
NDC,51672-1298-1,KETOCONAZOLE 2 % EX CREA [10368],495.1,495.1,73.27,396.08,23
NDC,51672-1298-2,KETOCONAZOLE 2 % EX CREA [10368],683.69,683.69,101.19,546.95,23
NDC,51672-1302-0,TERCONAZOLE 0.8 % VA CREA [11511],177.28,177.28,26.24,141.82,23
NDC,51672-1303-1,ECONAZOLE NITRATE 1 % EX CREA [9915],409.99,409.99,60.68,327.99,23
NDC,51672-1304-6,TERCONAZOLE 0.4 % VA CREA [11510],192.91,192.91,28.55,154.33,23
NDC,51672-1312-0,MUPIROCIN 2 % EX OINT [10674],108.22,108.22,16.02,86.58,23
NDC,51672-1318-1,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],123.86,123.86,18.33,99.09,23
NDC,51672-1365-4,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],706.88,706.88,104.62,565.5,23
NDC,51672-1386-1,FLUOCINONIDE 0.05 % EX CREA [3187],197.26,197.26,29.19,157.81,23
NDC,51672-1386-2,FLUOCINONIDE 0.05 % EX CREA [3187],354.42,354.42,52.45,283.54,23
NDC,51672-2001-2,MICONAZOLE NITRATE 2 % EX CREA [5039],33.84,33.84,5.01,27.07,23
NDC,51672-2010-2,HYDROCORTISONE-ALOE 0.5 % EX CREA [3747],25.9,25.9,3.83,20.72,23
NDC,51672-2069-2,HYDROCORTISONE 1 % EX CREA [3726],25.9,25.9,3.83,20.72,23
NDC,51672-2073-8,LORATADINE 5 MG/5ML PO SOLN [106208],46.25,46.25,6.84,37.0,23
NDC,51672-2075-2,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],33.64,33.64,4.98,26.91,23
NDC,51672-2080-1,TERBINAFINE HCL 1 % EX CREA [27023],37.79,37.79,5.59,30.23,23
NDC,51672-2080-2,TERBINAFINE HCL 1 % EX CREA [27023],56.55,56.55,8.37,45.24,23
NDC,51672-2114-0,ACETAMINOPHEN 80 MG RECTAL SUPP [8946],6.0,6.0,0.89,4.8,23
NDC,51672-2114-2,ACETAMINOPHEN 80 MG RECTAL SUPP [8946],6.0,6.0,0.89,4.8,23
NDC,51672-2116-2,ACETAMINOPHEN 325 MG RECTAL SUPP [104],6.0,6.0,0.89,4.8,23
NDC,51672-2130-8,IBUPROFEN 100 MG/5ML PO SUSP [10246],17.49,17.49,2.59,13.99,23
NDC,51672-3003-2,HYDROCORTISONE 2.5 % EX CREA [3727],45.44,45.44,6.73,36.35,23
NDC,51672-3020-2,LIDOCAINE 5 % EX OINT [41831],749.71,749.71,110.96,599.77,23
NDC,51672-4002-1,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
NDC,51672-4004-1,NORTRIPTYLINE HCL 75 MG PO CAPS [5677],19.83,19.83,2.93,15.86,23
NDC,51672-4011-5,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],6.0,6.0,0.89,4.8,23
NDC,51672-4011-6,CLOMIPRAMINE HCL 25 MG PO CAPS [9635],6.0,6.0,0.89,4.8,23
NDC,51672-4012-6,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],6.0,6.0,0.89,4.8,23
NDC,51672-4013-5,CLOMIPRAMINE HCL 75 MG PO CAPS [9636],6.0,6.0,0.89,4.8,23
NDC,51672-4023-1,ACETAZOLAMIDE 250 MG PO TABS [113],6.0,6.0,0.89,4.8,23
NDC,51672-4025-4,AMIODARONE HCL 200 MG PO TABS [9066],15.53,15.53,2.3,12.42,23
NDC,51672-4026-1,KETOCONAZOLE 200 MG PO TABS [10369],14.86,14.86,2.2,11.89,23
NDC,51672-4026-6,KETOCONAZOLE 200 MG PO TABS [10369],14.86,14.86,2.2,11.89,23
NDC,51672-4038-1,ENALAPRIL MALEATE 5 MG PO TABS [9927],8.7,8.7,1.29,6.96,23
NDC,51672-4111-1,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,51672-4111-3,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,51672-4116-6,METRONIDAZOLE 0.75 % EX GEL [19741],1047.52,1047.52,155.03,838.02,23
NDC,51672-4117-4,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
NDC,51672-4117-9,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
NDC,51672-4123-1,CARBAMAZEPINE ER 100 MG PO TB12 [27634],6.0,6.0,0.89,4.8,23
NDC,51672-4124-1,CARBAMAZEPINE ER 200 MG PO TB12 [27635],9.78,9.78,1.45,7.82,23
NDC,51672-4125-1,CARBAMAZEPINE ER 400 MG PO TB12 [27636],19.53,19.53,2.89,15.62,23
NDC,51672-4132-4,LAMOTRIGINE 150 MG PO TABS [14266],26.49,26.49,3.92,21.19,23
NDC,51672-4133-4,LAMOTRIGINE 200 MG PO TABS [13983],28.84,28.84,4.27,23.07,23
NDC,51672-4145-6,IMIQUIMOD 5 % EX CREA [20718],17.63,17.63,2.61,14.1,23
NDC,51672-4145-8,IMIQUIMOD 5 % EX CREA [20718],17.68,17.68,2.62,14.14,23
NDC,51672-4146-1,PHENYTOIN 50 MG PO CHEW [11018],6.0,6.0,0.89,4.8,23
NDC,51672-4154-3,CALCIPOTRIENE 0.005 % EX OINT [12244],1187.1,1187.1,175.69,949.68,23
NDC,51672-5278-3,CALCIPOTRIENE 0.005 % EX OINT [12244],1256.18,1256.18,185.91,1004.94,23
NDC,51672-5297-0,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
NDC,51672-5297-1,PROMETHAZINE HCL 25 MG RECTAL SUPP [11144],83.22,83.22,12.32,66.58,23
NDC,51754-0103-1,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
NDC,51754-0103-3,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
NDC,51754-0103-4,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],136.14,136.14,20.15,108.91,23
NDC,51754-0500-1,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],67.68,67.68,10.02,54.14,23
NDC,51754-0502-1,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],124.71,124.71,18.46,99.77,23
NDC,51754-1000-4,MAGNESIUM SULFATE 50 % IJ SOLN [4720],30.46,30.46,4.51,24.37,23
NDC,51754-1006-1,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN [135444],256.74,256.74,38.0,205.39,23
NDC,51754-2131-4,MIDAZOLAM-SODIUM CHLORIDE (PF) 100-0.8 MG/100ML-% IV SOLN [160632],54.48,54.48,8.06,43.58,23
NDC,51754-4200-4,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
NDC,51754-5001-4,SODIUM BICARBONATE 8.4 % IV SOLN [7309],49.35,49.35,7.3,39.48,23
NDC,51754-5001-5,SODIUM BICARBONATE 8.4 % IV SOLN [7309],49.35,49.35,7.3,39.48,23
NDC,51754-5012-4,SODIUM BICARBONATE 4.2 % IV SOLN [7306],41.74,41.74,6.18,33.39,23
NDC,51754-5060-1,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],207.84,207.84,30.76,166.27,23
NDC,51754-6015-1,GLYCOPYRROLATE PF 1 MG/5ML IJ SOSY [150980],90.24,90.24,13.36,72.19,23
NDC,51754-6015-3,GLYCOPYRROLATE PF 1 MG/5ML IJ SOSY [150980],90.24,90.24,13.36,72.19,23
NDC,51754-9130-1,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],82.68,82.68,12.24,66.14,23
NDC,51754-9130-5,MIDAZOLAM HCL-SODIUM CHLORIDE 50-0.8 MG/50ML-% IV SOLN [147993],82.68,82.68,12.24,66.14,23
NDC,51754-9131-1,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.8 MG/100ML-% IV SOLN [147994],129.32,129.32,19.14,103.46,23
NDC,51754-9131-5,MIDAZOLAM HCL-SODIUM CHLORIDE 100-0.8 MG/100ML-% IV SOLN [147994],129.32,129.32,19.14,103.46,23
NDC,51754-9150-1,FENTANYL 2500 MCG/50 ML PREMIX [600898],129.32,129.32,19.14,103.46,23
NDC,51754-9150-5,FENTANYL 2500 MCG/50 ML PREMIX [600898],129.32,129.32,19.14,103.46,23
NDC,51754-9160-1,FENTANYL 5000 MCG/100 ML PREMIX [600900],199.9,199.9,29.59,159.92,23
NDC,51801-011-17,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
NDC,51801-011-30,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
NDC,51801-012-30,POTASSIUM BICARB-CITRIC ACID 20 MEQ PO TBEF [87912],6.0,6.0,0.89,4.8,23
NDC,51862-005-60,DOFETILIDE 500 MCG PO CAPS [26967],40.21,40.21,5.95,32.17,23
NDC,51862-125-60,DOFETILIDE 125 MCG PO CAPS [26965],40.21,40.21,5.95,32.17,23
NDC,51862-320-01,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],8.89,8.89,1.32,7.11,23
NDC,51862-446-01,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.83,17.83,2.64,14.26,23
NDC,51862-446-30,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
NDC,51862-453-04,CLONIDINE 0.1 MG/24HR TD PTWK [141259],143.58,143.58,21.25,114.86,23
NDC,51862-454-04,CLONIDINE 0.2 MG/24HR TD PTWK [141260],217.18,217.18,32.14,173.74,23
NDC,51862-455-01,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
NDC,51862-455-04,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
NDC,51862-460-01,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,51862-460-47,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,51862-642-60,TAMOXIFEN CITRATE 10 MG PO TABS [7711],8.91,8.91,1.32,7.13,23
NDC,51862-858-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,51927-1647-0,HYDROCHLORIC ACID 37 % LIQD [10203],22.0,22.0,3.26,17.6,23
NDC,51927-1692-0,POTASSIUM ALUM POWD [24061],6.0,6.0,0.89,4.8,23
NDC,51991-002-98,METHADONE HCL 10 MG/ML IJ SOLN [10546],1492.83,1492.83,220.94,1194.26,23
NDC,51991-144-17,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],102.68,102.68,15.2,82.14,23
NDC,51991-144-99,METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN [10571],102.67,102.67,15.2,82.14,23
NDC,51991-293-01,OXCARBAZEPINE 300 MG PO TABS [21061],12.34,12.34,1.83,9.87,23
NDC,51991-311-33,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],53.9,53.9,7.98,43.12,23
NDC,51991-348-06,LACOSAMIDE 50 MG PO TABS [96968],54.0,54.0,7.99,43.2,23
NDC,51991-349-06,LACOSAMIDE 100 MG PO TABS [96969],84.43,84.43,12.5,67.54,23
NDC,51991-351-06,LACOSAMIDE 200 MG PO TABS [96971],89.44,89.44,13.24,71.55,23
NDC,51991-526-01,TERBINAFINE HCL 250 MG PO TABS [12724],61.46,61.46,9.1,49.17,23
NDC,51991-651-16,LEVETIRACETAM 100 MG/ML PO SOLN [36590],1131.0,1131.0,167.39,904.8,23
NDC,51991-746-90,DULOXETINE HCL 20 MG PO CPEP [39275],31.58,31.58,4.67,25.26,23
NDC,51991-759-33,LETROZOLE 2.5 MG PO TABS [21509],85.15,85.15,12.6,68.12,23
NDC,51991-796-06,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],21.92,21.92,3.24,17.54,23
NDC,51991-820-01,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.36,18.36,2.72,14.69,23
NDC,51991-838-01,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,51991-877-33,EPLERENONE 25 MG PO TABS [36983],19.59,19.59,2.9,15.67,23
NDC,51991-897-30,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
NDC,51991-897-99,RIVASTIGMINE 4.6 MG/24HR TD PT24 [82504],79.42,79.42,11.75,63.54,23
NDC,51991-900-01,CLOBAZAM 10 MG PO TABS [111272],86.04,86.04,12.73,68.83,23
NDC,51991-943-33,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.89,117.89,17.45,94.31,23
NDC,52015-080-01,FIDAXOMICIN 200 MG PO TABS [108708],1024.35,1024.35,151.6,819.48,23
NDC,52268-100-01,PEG 3350-KCL-NABCB-NACL-NASULF 236 G PO SOLR [10839],121.24,121.24,17.94,96.99,23
NDC,52427-431-90,ATENOLOL 100 MG PO TABS [716],75.33,75.33,11.15,60.26,23
NDC,52427-441-90,LISINOPRIL 20 MG PO TABS [4526],74.97,74.97,11.1,59.98,23
NDC,52536-006-09,ISOSORB DINITRATE-HYDRALAZINE 20-37.5 MG PO TABS [41893],15.67,15.67,2.32,12.54,23
NDC,52536-134-13,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1280.84,1280.84,189.56,1024.67,23
NDC,52536-162-01,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
NDC,52536-183-03,ERYTHROMYCIN 333 MG PO TBEC [144426],49.65,49.65,7.35,39.72,23
NDC,52536-625-01,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.2,100.2,14.83,80.16,23
NDC,52544-256-54,PROGESTERONE 8 % VA GEL [21321],155.28,155.28,22.98,124.22,23
NDC,52565-008-14,LIDOCAINE 5 % EX OINT [41831],1038.64,1038.64,153.72,830.91,23
NDC,52565-009-50,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
NDC,52565-012-59,FLUOCINOLONE ACETONIDE 0.01 % EX SOLN [3186],706.88,706.88,104.62,565.5,23
NDC,52565-020-15,FLUOCINOLONE ACETONIDE 0.025 % EX CREA [3184],151.99,151.99,22.49,121.59,23
NDC,52565-022-15,ECONAZOLE NITRATE 1 % EX CREA [9915],409.99,409.99,60.68,327.99,23
NDC,52565-039-15,CLOBETASOL PROPIONATE 0.05 % EX OINT [9631],586.03,586.03,86.73,468.82,23
NDC,52565-051-15,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],483.45,483.45,71.55,386.76,23
NDC,52565-051-60,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
NDC,52565-090-30,GENTAMICIN SULFATE 0.1 % EX OINT [3424],384.18,384.18,56.86,307.34,23
NDC,52565-122-07,LIDOCAINE 4 % EX CREA [23461],25.38,25.38,3.76,20.3,23
NDC,52609-0001-5,MELPHALAN 2 MG PO TABS [10523],63.85,63.85,9.45,51.08,23
NDC,52652-1950-1,LEVOTHYROXINE SODIUM 100 MCG/5ML PO SOLN [150958],653.35,653.35,96.7,522.68,23
NDC,52652-1950-2,LEVOTHYROXINE SODIUM 100 MCG/5ML PO SOLN [150958],653.35,653.35,96.7,522.68,23
NDC,52817-181-10,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,52817-210-10,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,52817-260-10,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,52817-295-90,SILDENAFIL CITRATE 20 MG PO TABS [41832],86.62,86.62,12.82,69.3,23
NDC,52817-324-10,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
NDC,52817-325-10,MIDODRINE HCL 10 MG PO TABS [33083],41.08,41.08,6.08,32.86,23
NDC,52817-330-10,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
NDC,52817-330-50,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
NDC,52817-332-00,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,52817-332-10,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,52817-332-50,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,52817-360-10,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,52817-362-10,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
NDC,52817-610-04,CLONIDINE 0.1 MG/24HR TD PTWK [141259],304.51,304.51,45.07,243.61,23
NDC,52817-611-04,CLONIDINE 0.2 MG/24HR TD PTWK [141260],496.9,496.9,73.54,397.52,23
NDC,52817-800-30,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
NDC,52817-815-08,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],8061.51,8061.51,1193.1,6449.21,23
NDC,52817-816-15,ACETIC ACID 2 % OT SOLN [17801],207.84,207.84,30.76,166.27,23
NDC,52817-824-15,BETAMETHASONE DIPROPIONATE 0.05 % EX OINT [1029],239.18,239.18,35.4,191.34,23
NDC,52817-830-04,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.8,200.8,29.72,160.64,23
NDC,53191-362-01,CHOLECALCIFEROL-D3 50000 UNITS PO CAPS [88945],6.0,6.0,0.89,4.8,23
NDC,53436-084-04,PATIROMER SORBITEX CALCIUM 8.4 G PO PACK [129781],221.45,221.45,32.77,177.16,23
NDC,53436-084-30,PATIROMER SORBITEX CALCIUM 8.4 G PO PACK [129781],184.48,184.48,27.3,147.58,23
NDC,53462-003-15,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN NOSE TO TOES FLOOR STOCK KIT [601209],6.0,6.0,0.89,4.8,23
NDC,53462-375-60,CORINZ MOISTURIZER/PLAQUE PREVENTER MOUTH SWAB [601215],6.0,6.0,0.89,4.8,23
NDC,53489-156-01,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,53489-177-01,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
NDC,53489-329-01,SPIRONOLACTONE 100 MG PO TABS [11425],6.66,6.66,0.99,5.33,23
NDC,53489-368-01,FELODIPINE ER 2.5 MG PO TB24 [27489],7.11,7.11,1.05,5.69,23
NDC,53489-369-01,FELODIPINE ER 5 MG PO TB24 [27490],7.11,7.11,1.05,5.69,23
NDC,53489-370-01,FELODIPINE ER 10 MG PO TB24 [27491],12.77,12.77,1.89,10.22,23
NDC,53489-551-01,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
NDC,53489-552-01,PROPAFENONE HCL 225 MG PO TABS [11147],10.95,10.95,1.62,8.76,23
NDC,53489-700-07,QUININE SULFATE 324 MG PO CAPS [6781],34.44,34.44,5.1,27.55,23
NDC,535RFP4000I,NXSTAGE RFP 400 DIALYSIS SOLUTION [600422],102.84,102.84,15.22,82.27,23
NDC,535RFP4010J,NXSTAGE RFP 401 DIALYSIS SOLUTION [600421],102.84,102.84,15.22,82.27,23
NDC,53746-109-01,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,53746-173-60,MEMANTINE HCL 5 MG PO TABS [37170],28.66,28.66,4.24,22.93,23
NDC,53746-271-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,53746-272-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.59,6.59,0.98,5.27,23
NDC,53746-361-01,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,53746-361-10,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,53746-515-01,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
NDC,53746-544-01,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
NDC,53746-571-01,BETHANECHOL CHLORIDE 5 MG PO TABS [1045],6.0,6.0,0.89,4.8,23
NDC,53746-573-01,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],10.07,10.07,1.49,8.06,23
NDC,53746-641-01,FLECAINIDE ACETATE 50 MG PO TABS [10043],12.03,12.03,1.78,9.62,23
NDC,53746-643-01,FLECAINIDE ACETATE 150 MG PO TABS [10042],25.97,25.97,3.84,20.78,23
NDC,53746-831-53,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
NDC,54092-063-01,ANAGRELIDE HCL 0.5 MG PO CAPS [20446],46.64,46.64,6.9,37.31,23
NDC,54092-172-12,CARBAMAZEPINE ER 200 MG PO CP12 [27632],10.0,10.0,1.48,8.0,23
NDC,54092-173-12,CARBAMAZEPINE ER 300 MG PO CP12 [27633],10.0,10.0,1.48,8.0,23
NDC,54092-189-81,MESALAMINE ER 250 MG PO CPCR [10533],17.13,17.13,2.54,13.7,23
NDC,54092-252-45,LANTHANUM CARBONATE 500 MG PO CHEW [39975],67.72,67.72,10.02,54.18,23
NDC,54092-252-90,LANTHANUM CARBONATE 500 MG PO CHEW [39975],67.72,67.72,10.02,54.18,23
NDC,54092-254-10,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],67.72,67.72,10.02,54.18,23
NDC,54092-254-90,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],67.72,67.72,10.02,54.18,23
NDC,54092-702-02,ICATIBANT ACETATE 30 MG/3ML SC SOSY [159283],33843.79,33843.79,5008.88,27075.03,23
NDC,54288-103-01,EPINEPHRINE PF 1 MG/ML IJ SOLN [137697],82.25,82.25,12.17,65.8,23
NDC,54288-103-10,EPINEPHRINE PF 1 MG/ML IJ SOLN [137697],82.25,82.25,12.17,65.8,23
NDC,54288-105-02,ABLYSINOL IA SOLN [142912],2908.55,2908.55,430.47,2326.84,23
NDC,54288-105-15,ABLYSINOL IA SOLN [142912],2908.55,2908.55,430.47,2326.84,23
NDC,54288-119-01,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],75.94,75.94,11.24,60.75,23
NDC,54288-119-25,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML IJ SOLN [137829],75.94,75.94,11.24,60.75,23
NDC,54288-120-01,EPINEPHRINE 1 MG/ML IJ SOLN [121301],407.16,407.16,60.26,325.73,23
NDC,54288-125-30,KCL 20 MEQ PO PACK [6434],50.14,50.14,7.42,40.11,23
NDC,54288-127-10,TETRACAINE HCL 1 % IJ SOLN [11517],354.11,354.11,52.41,283.29,23
NDC,54288-135-01,TACROLIMUS 1 MG PO CAPS [12933],32.67,32.67,4.84,26.14,23
NDC,54288-136-01,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],108.25,108.25,16.02,86.6,23
NDC,54288-136-10,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],108.25,108.25,16.02,86.6,23
NDC,54288-136-25,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN [6224],93.53,93.53,13.84,74.82,23
NDC,54288-137-01,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],256.74,256.74,38.0,205.39,23
NDC,54288-137-10,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],256.74,256.74,38.0,205.39,23
NDC,54288-137-25,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN [6221],187.06,187.06,27.68,149.65,23
NDC,54288-142-10,PAPAVERINE HCL 30 MG/ML IJ SOLN [6030],168.87,168.87,24.99,135.1,23
NDC,54288-147-01,METHYLENE BLUE (ANTIDOTE) 1 % IV SOLN [156115],820.0,820.0,121.36,656.0,23
NDC,54288-152-01,EPINEPHRINE 1 MG/ML IJ SOLN [121301],903.61,903.61,133.73,722.89,23
NDC,54482-145-08,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],213.58,213.58,31.61,170.86,23
NDC,54482-147-01,LEVOCARNITINE 200 MG/ML IV SOLN [20954],202.0,202.0,29.9,161.6,23
NDC,54629-050-24,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
NDC,54629-057-01,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,54629-071-01,NIACIN 100 MG PO TABS [5539],6.0,6.0,0.89,4.8,23
NDC,54629-128-00,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,54629-163-00,SELENIUM 200 MCG PO TABS [7139],6.0,6.0,0.89,4.8,23
NDC,54629-645-01,FERROUS GLUCONATE 324 (37.5 FE) MG PO TABS [110156],6.0,6.0,0.89,4.8,23
NDC,54643-5647-0,INFUVITE PEDIATRIC IV SOLN [133350],968.1,968.1,143.28,774.48,23
NDC,54643-5649-1,INFUVITE ADULT IV SOLN [118189],86.77,86.77,12.84,69.42,23
NDC,54838-006-50,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],108.25,108.25,16.02,86.6,23
NDC,54838-011-50,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],27.03,27.03,4.0,21.62,23
NDC,54838-135-70,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],34.54,34.54,5.11,27.63,23
NDC,54838-502-80,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],864.16,864.16,127.9,691.33,23
NDC,54838-510-80,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],202.4,202.4,29.96,161.92,23
NDC,54838-511-80,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],397.66,397.66,58.85,318.13,23
NDC,54838-512-40,DOXEPIN HCL 10 MG/ML PO CONC [2614],276.82,276.82,40.97,221.46,23
NDC,54838-523-40,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
NDC,54838-566-70,LAMIVUDINE 10 MG/ML PO SOLN [15881],451.5,451.5,66.82,361.2,23
NDC,54879-001-01,ETHAMBUTOL HCL 100 MG PO TABS [9982],6.0,6.0,0.89,4.8,23
NDC,54879-002-01,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
NDC,55111-112-30,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.76,117.76,17.43,94.21,23
NDC,55111-122-90,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],25.82,25.82,3.82,20.66,23
NDC,55111-123-90,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],25.82,25.82,3.82,20.66,23
NDC,55111-124-90,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],25.82,25.82,3.82,20.66,23
NDC,55111-126-01,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
NDC,55111-127-01,CIPROFLOXACIN HCL 500 MG PO TABS [25119],24.41,24.41,3.61,19.53,23
NDC,55111-128-50,CIPROFLOXACIN HCL 750 MG PO TABS [25120],25.6,25.6,3.79,20.48,23
NDC,55111-137-81,ISOTRETINOIN 40 MG PO CAPS [10361],107.51,107.51,15.91,86.01,23
NDC,55111-144-01,FLUCONAZOLE 100 MG PO TABS [10044],39.09,39.09,5.79,31.27,23
NDC,55111-144-30,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
NDC,55111-145-12,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,55111-153-30,ONDANSETRON HCL 4 MG PO TABS [10778],107.29,107.29,15.88,85.83,23
NDC,55111-154-30,ONDANSETRON HCL 8 MG PO TABS [10779],178.66,178.66,26.44,142.93,23
NDC,55111-167-30,OLANZAPINE 15 MG PO TABS [26952],129.36,129.36,19.15,103.49,23
NDC,55111-168-30,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
NDC,55111-179-15,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,55111-180-15,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
NDC,55111-196-30,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.72,32.72,4.84,26.18,23
NDC,55111-196-90,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.72,32.72,4.84,26.18,23
NDC,55111-231-05,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
NDC,55111-252-01,CARVEDILOL 3.125 MG PO TABS [18551],10.04,10.04,1.49,8.03,23
NDC,55111-262-81,OLANZAPINE 5 MG PO TBDP [28159],9.76,9.76,1.44,7.81,23
NDC,55111-263-81,OLANZAPINE 10 MG PO TBDP [28160],14.34,14.34,2.12,11.47,23
NDC,55111-265-81,OLANZAPINE 20 MG PO TBDP [28162],27.94,27.94,4.14,22.35,23
NDC,55111-281-30,LEVOFLOXACIN 750 MG PO TABS [28964],108.6,108.6,16.07,86.88,23
NDC,55111-291-09,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
NDC,55111-320-01,GLIMEPIRIDE 1 MG PO TABS [16355],6.0,6.0,0.89,4.8,23
NDC,55111-321-01,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
NDC,55111-322-01,GLIMEPIRIDE 4 MG PO TABS [16357],6.0,6.0,0.89,4.8,23
NDC,55111-328-90,NATEGLINIDE 60 MG PO TABS [29437],7.82,7.82,1.16,6.26,23
NDC,55111-329-90,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
NDC,55111-333-90,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.23,19.23,2.85,15.38,23
NDC,55111-338-01,AMLODIPINE-BENAZEPRIL HCL 2.5-10 MG PO CAPS [14820],12.48,12.48,1.85,9.98,23
NDC,55111-339-01,AMLODIPINE-BENAZEPRIL HCL 5-10 MG PO CAPS [14821],12.73,12.73,1.88,10.18,23
NDC,55111-340-01,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
NDC,55111-341-01,AMLODIPINE-BENAZEPRIL HCL 10-20 MG PO CAPS [33111],15.61,15.61,2.31,12.49,23
NDC,55111-343-30,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.34,12.34,1.83,9.87,23
NDC,55111-352-60,RIVASTIGMINE TARTRATE 1.5 MG PO CAPS [28278],19.95,19.95,2.95,15.96,23
NDC,55111-353-60,RIVASTIGMINE TARTRATE 3 MG PO CAPS [28279],19.95,19.95,2.95,15.96,23
NDC,55111-354-60,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],19.95,19.95,2.95,15.96,23
NDC,55111-355-60,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],19.95,19.95,2.95,15.96,23
NDC,55111-466-01,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,55111-467-01,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,55111-467-05,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,55111-468-01,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.45,7.45,1.1,5.96,23
NDC,55111-469-01,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],11.85,11.85,1.75,9.48,23
NDC,55111-469-05,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],11.85,11.85,1.75,9.48,23
NDC,55111-497-04,CAPECITABINE 500 MG PO TABS [22994],169.2,169.2,25.04,135.36,23
NDC,55111-526-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,55111-527-01,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
NDC,55111-532-01,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.0,6.0,0.89,4.8,23
NDC,55111-534-05,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,55111-556-10,DECITABINE 50 MG IV SOLR [76364],2095.2,2095.2,310.09,1676.16,23
NDC,55111-586-01,AMLODIPINE-BENAZEPRIL HCL 10-40 MG PO CAPS [76438],22.76,22.76,3.37,18.21,23
NDC,55111-587-01,AMLODIPINE-BENAZEPRIL 5-40 MG PO CAPSULE [76437],18.84,18.84,2.79,15.07,23
NDC,55111-597-60,MEMANTINE HCL 10 MG PO TABS [36966],28.66,28.66,4.24,22.93,23
NDC,55111-652-37,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],452.4,452.4,66.96,361.92,23
NDC,55111-653-01,SIROLIMUS 1 MG PO TABS [28958],80.13,80.13,11.86,64.1,23
NDC,55111-671-06,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],120.57,120.57,17.84,96.46,23
NDC,55111-671-31,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],120.57,120.57,17.84,96.46,23
NDC,55111-678-02,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],224.46,224.46,33.22,179.57,23
NDC,55111-678-10,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
NDC,55111-679-10,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],484.86,484.86,71.76,387.89,23
NDC,55111-679-11,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN [107058],484.86,484.86,71.76,387.89,23
NDC,55111-680-02,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],511.97,511.97,75.77,409.58,23
NDC,55111-680-10,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],484.86,484.86,71.76,387.89,23
NDC,55111-681-02,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],511.97,511.97,75.77,409.58,23
NDC,55111-681-10,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],484.87,484.87,71.76,387.9,23
NDC,55111-681-11,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],484.87,484.87,71.76,387.9,23
NDC,55111-684-05,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,55111-684-09,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,55111-694-07,PALONOSETRON HCL 0.25 MG/5ML IV SOLN [36591],93.53,93.53,13.84,74.82,23
NDC,55111-789-27,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
NDC,55135-132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR [147974],7630.21,7630.21,1129.27,6104.17,23
NDC,55150-112-10,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,55150-113-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],38.57,38.57,5.71,30.86,23
NDC,55150-114-20,AMPICILLIN SODIUM 2 G IJ SOLR [472],74.81,74.81,11.07,59.85,23
NDC,55150-116-20,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],36.36,36.36,5.38,29.09,23
NDC,55150-117-20,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],68.62,68.62,10.16,54.9,23
NDC,55150-119-30,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR [18304],22.0,22.0,3.26,17.6,23
NDC,55150-120-30,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR [18303],31.02,31.02,4.59,24.82,23
NDC,55150-121-50,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],36.66,36.66,5.43,29.33,23
NDC,55150-122-15,NAFCILLIN SODIUM 1 G IJ SOLR [5333],68.15,68.15,10.09,54.52,23
NDC,55150-123-15,NAFCILLIN SODIUM 2 G IJ SOLR [5335],70.5,70.5,10.43,56.4,23
NDC,55150-123-16,NAFCILLIN SODIUM 2 G IJ SOLR [5335],70.5,70.5,10.43,56.4,23
NDC,55150-125-02,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,55150-127-15,OXACILLIN SODIUM 1 G IJ SOLR [5924],68.15,68.15,10.09,54.52,23
NDC,55150-154-10,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],75.2,75.2,11.13,60.16,23
NDC,55150-154-11,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],75.2,75.2,11.13,60.16,23
NDC,55150-155-21,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],129.9,129.9,19.23,103.92,23
NDC,55150-158-72,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,55150-161-02,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,55150-162-05,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,55150-165-05,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,55150-166-13,SILDENAFIL CITRATE 10 MG/12.5ML IV SOLN [101323],721.6,721.6,106.8,577.28,23
NDC,55150-167-10,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,55150-168-30,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,55150-169-10,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,55150-170-30,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,55150-171-10,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.0,22.0,3.26,17.6,23
NDC,55150-172-30,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],29.76,29.76,4.4,23.81,23
NDC,55150-173-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],62.04,62.04,9.18,49.63,23
NDC,55150-173-05,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],62.04,62.04,9.18,49.63,23
NDC,55150-174-10,AZITHROMYCIN 500 MG IV SOLR [21063],51.7,51.7,7.65,41.36,23
NDC,55150-177-05,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,55150-183-10,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],110.33,110.33,16.33,88.26,23
NDC,55150-183-11,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],99.29,99.29,14.69,79.43,23
NDC,55150-187-03,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],173.2,173.2,25.63,138.56,23
NDC,55150-193-01,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],703.56,703.56,104.13,562.85,23
NDC,55150-194-10,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.36,41.36,6.12,33.09,23
NDC,55150-195-20,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],76.14,76.14,11.27,60.91,23
NDC,55150-197-20,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],109.12,109.12,16.15,87.3,23
NDC,55150-198-30,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],163.68,163.68,24.22,130.94,23
NDC,55150-199-20,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],140.3,140.3,20.76,112.24,23
NDC,55150-202-00,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
NDC,55150-202-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
NDC,55150-207-20,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
NDC,55150-208-30,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
NDC,55150-209-02,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],40.61,40.61,6.01,32.49,23
NDC,55150-212-01,PARICALCITOL 2 MCG/ML IV SOLN [31688],27.5,27.5,4.07,22.0,23
NDC,55150-221-10,ETOMIDATE 2 MG/ML IV SOLN [20472],45.12,45.12,6.68,36.1,23
NDC,55150-222-20,ETOMIDATE 2 MG/ML IV SOLN [20472],52.17,52.17,7.72,41.74,23
NDC,55150-223-10,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],56.4,56.4,8.35,45.12,23
NDC,55150-225-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],49.35,49.35,7.3,39.48,23
NDC,55150-226-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],87.04,87.04,12.88,69.63,23
NDC,55150-228-10,TIGECYCLINE 50 MG IV SOLR [41652],588.12,588.12,87.04,470.5,23
NDC,55150-232-00,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],338.43,338.43,50.09,270.74,23
NDC,55150-232-10,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],338.43,338.43,50.09,270.74,23
NDC,55150-233-10,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN [107060],339.02,339.02,50.17,271.22,23
NDC,55150-234-10,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],82.25,82.25,12.17,65.8,23
NDC,55150-237-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,55150-238-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,55150-240-05,ISOSULFAN BLUE 1 % SC SOLN [10358],3099.25,3099.25,458.69,2479.4,23
NDC,55150-242-51,LINEZOLID 600 MG/300ML IV SOLN [130884],415.08,415.08,61.43,332.06,23
NDC,55150-246-47,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],144.19,144.19,21.34,115.35,23
NDC,55150-247-47,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],210.06,210.06,31.09,168.05,23
NDC,55150-248-47,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],280.08,280.08,41.45,224.06,23
NDC,55150-251-10,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,55150-252-20,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,55150-254-10,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
NDC,55150-255-20,LIDOCAINE HCL 2 % IJ SOLN [4454],23.69,23.69,3.51,18.95,23
NDC,55150-259-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],248.58,248.58,36.79,198.86,23
NDC,55150-267-05,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],678.6,678.6,100.43,542.88,23
NDC,55150-273-01,THIAMINE HCL 100 MG/ML IJ SOLN [7876],37.08,37.08,5.49,29.66,23
NDC,55150-282-20,ERTAPENEM SODIUM 1 G IJ SOLR FOR DESENSITIZATION [601050],280.08,280.08,41.45,224.06,23
NDC,55150-282-20,ERTAPENEM SODIUM 1 G IJ SOLR [31922],280.08,280.08,41.45,224.06,23
NDC,55150-287-01,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
NDC,55150-287-10,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN [135585],85.54,85.54,12.66,68.43,23
NDC,55150-297-01,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],245.07,245.07,36.27,196.06,23
NDC,55150-297-10,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],245.07,245.07,36.27,196.06,23
NDC,55150-300-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,55150-304-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],24.82,24.82,3.67,19.86,23
NDC,55150-307-01,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],82.25,82.25,12.17,65.8,23
NDC,55150-307-24,ACETAMINOPHEN 10 MG/ML IV SOLN [106374],82.25,82.25,12.17,65.8,23
NDC,55150-308-01,OLANZAPINE 10 MG IM SOLR [38263],184.16,184.16,27.26,147.33,23
NDC,55150-318-01,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.12,150.12,22.22,120.1,23
NDC,55150-318-25,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],150.12,150.12,22.22,120.1,23
NDC,55150-322-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,55150-327-10,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],70.27,70.27,10.4,56.22,23
NDC,55150-328-01,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],563.62,563.62,83.42,450.9,23
NDC,55150-328-10,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],563.62,563.62,83.42,450.9,23
NDC,55150-335-01,CARBOPLATIN 450 MG/45ML IV SOLN [39267],199.56,199.56,29.53,159.65,23
NDC,55150-337-01,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],196.06,196.06,29.02,156.85,23
NDC,55150-360-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],50.76,50.76,7.51,40.61,23
NDC,55150-364-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,55150-364-25,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,55150-365-01,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.7,1002.7,148.4,802.16,23
NDC,55150-373-25,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],67.68,67.68,10.02,54.14,23
NDC,55150-381-01,PEMETREXED DISODIUM 100 MG IV SOLR [89350],678.6,678.6,100.43,542.88,23
NDC,55150-386-01,CARBOPLATIN 600 MG/60ML IV SOLN [40055],234.34,234.34,34.68,187.47,23
NDC,55150-400-25,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],60.92,60.92,9.02,48.74,23
NDC,55150-402-01,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,55150-402-25,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,55150-420-10,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN [29805],632.42,632.42,93.6,505.94,23
NDC,55150-430-01,TIROFIBAN HCL IN NACL 12.5-0.9 MG/250ML-% IV SOLN [132822],893.8,893.8,132.28,715.04,23
NDC,55150-435-01,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
NDC,55150-437-01,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
NDC,55150-438-01,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
NDC,55150-438-10,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
NDC,55150-439-01,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
NDC,55150-443-01,REGADENOSON 0.4 MG/5ML IV SOLN [91408],129.9,129.9,19.23,103.92,23
NDC,55150-459-10,CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN [9413],669.56,669.56,99.09,535.65,23
NDC,55154-4359-5,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,55292-201-11,SUCCIMER 100 MG PO CAPS [11438],114.49,114.49,16.94,91.59,23
NDC,55292-702-55,HEMIN 350 MG IV SOLR [136986],33215.34,33215.34,4915.87,26572.27,23
NDC,55292-811-55,DACTINOMYCIN 0.5 MG IV SOLR [28912],8223.14,8223.14,1217.02,6578.51,23
NDC,55511-678-11,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
NDC,55513-021-01,DARBEPOETIN ALFA 40 MCG/0.4ML IJ SOSY [129109],1218.59,1218.59,180.35,974.87,23
NDC,55513-021-04,DARBEPOETIN ALFA 40 MCG/0.4ML IJ SOSY [129109],1218.59,1218.59,180.35,974.87,23
NDC,55513-023-01,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY [129111],1621.69,1621.69,240.01,1297.35,23
NDC,55513-023-04,DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY [129111],1621.69,1621.69,240.01,1297.35,23
NDC,55513-025-01,DARBEPOETIN ALFA 100 MCG/0.5ML IJ SOSY [129113],2702.81,2702.81,400.02,2162.25,23
NDC,55513-025-04,DARBEPOETIN ALFA 100 MCG/0.5ML IJ SOSY [129113],2702.81,2702.81,400.02,2162.25,23
NDC,55513-027-04,DARBEPOETIN ALFA 150 MCG/0.3ML IJ SOSY [129115],3524.8,3524.8,521.67,2819.84,23
NDC,55513-028-01,DARBEPOETIN ALFA 200 MCG/0.4ML IJ SOSY [129116],4699.73,4699.73,695.56,3759.78,23
NDC,55513-032-01,DARBEPOETIN ALFA 500 MCG/ML IJ SOSY [129118],11749.32,11749.32,1738.9,9399.46,23
NDC,55513-057-04,DARBEPOETIN ALFA 25 MCG/0.42ML IJ SOSY [129107],761.62,761.62,112.72,609.3,23
NDC,55513-073-30,CINACALCET HCL 30 MG PO TABS [38100],139.73,139.73,20.68,111.78,23
NDC,55513-074-30,CINACALCET HCL 60 MG PO TABS [38101],251.05,251.05,37.16,200.84,23
NDC,55513-075-30,CINACALCET HCL 90 MG PO TABS [38102],376.57,376.57,55.73,301.26,23
NDC,55513-111-01,DARBEPOETIN ALFA 300 MCG/0.6ML IJ SOSY [129117],7049.6,7049.6,1043.34,5639.68,23
NDC,55513-126-01,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],172.3,172.3,25.5,137.84,23
NDC,55513-126-10,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],172.3,172.3,25.5,137.84,23
NDC,55513-144-10,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],750.08,750.08,111.01,600.06,23
NDC,55513-148-01,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],309.57,309.57,45.82,247.66,23
NDC,55513-148-10,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],309.59,309.59,45.82,247.67,23
NDC,55513-190-01,PEGFILGRASTIM 6 MG/0.6ML SC SOSY [129092],19485.03,19485.03,2883.78,15588.02,23
NDC,55513-206-01,BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN [144263],2436.49,2436.49,360.6,1949.19,23
NDC,55513-207-01,BEVACIZUMAB-AWWB 400 MG/16ML IV SOLN [144264],8473.16,8473.16,1254.03,6778.53,23
NDC,55513-221-01,ROMIPLOSTIM 250 MCG SC SOLR [93566],8358.16,8358.16,1237.01,6686.53,23
NDC,55513-223-01,ROMIPLOSTIM 125 MCG SC SOLR [145747],4179.16,4179.16,618.52,3343.33,23
NDC,55513-224-01,RITUXIMAB-ARRX 100 MG/10ML IV SOLN [150673],2503.07,2503.07,370.45,2002.46,23
NDC,55513-326-01,RITUXIMAB-ARRX 500 MG/50ML IV SOLN [150674],10881.03,10881.03,1610.39,8704.82,23
NDC,55513-488-24,SOTORASIB 120 MG PO TABS [152590],409.98,409.98,60.68,327.98,23
NDC,55513-504-50,SOTORASIB 320 MG PO TABS [159337],951.19,951.19,140.78,760.95,23
NDC,55513-670-01,INFLIXIMAB-AXXQ 100 MG IV SOLR [148314],1746.0,1746.0,258.41,1396.8,23
NDC,55513-710-01,DENOSUMAB 60 MG/ML SC SOSY [143143],5693.82,5693.82,842.69,4555.06,23
NDC,55513-710-21,DENOSUMAB 60 MG/ML SC SOSY [143143],5693.82,5693.82,842.69,4555.06,23
NDC,55513-730-01,DENOSUMAB 120 MG/1.7ML SC SOLN [105768],10473.42,10473.42,1550.07,8378.74,23
NDC,55513-800-60,IVABRADINE HCL 5 MG PO TABS [127687],58.84,58.84,8.71,47.07,23
NDC,55513-954-01,PANITUMUMAB 100 MG/5ML IV SOLN [107084],5500.17,5500.17,814.03,4400.14,23
NDC,55513-956-01,PANITUMUMAB 400 MG/20ML IV SOLN [107086],22000.68,22000.68,3256.1,17600.54,23
NDC,55566-1501-1,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR [1676],1277.63,1277.63,189.09,1022.1,23
NDC,55566-1801-1,SOMATROPIN (ZOMACTON) 5 MG SC SOLR [27314],1141.44,1141.44,168.93,913.15,23
NDC,55566-2300-0,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2868.71,2868.71,424.57,2294.97,23
NDC,55566-6500-1,PROGESTERONE 100 MG VA INST [82391],80.0,80.0,11.84,64.0,23
NDC,55566-6500-3,PROGESTERONE 100 MG VA INST [82391],79.96,79.96,11.83,63.97,23
NDC,55566-8303-1,DEGARELIX ACETATE 80 MG SC SOLR [96986],1705.67,1705.67,252.44,1364.54,23
NDC,55566-8403-1,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR [147298],2661.23,2661.23,393.86,2128.98,23
NDC,56151-1610-11,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
NDC,56151-1610-51,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
NDC,56151-1611-11,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
NDC,56151-1611-51,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
NDC,56151-1625-1,GLUCOSE 15 GM/32ML PO GEL [136642],6.0,6.0,0.89,4.8,23
NDC,56184-12041,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],42.73,42.73,6.32,34.18,23
NDC,57074-00177,ALUM SULFATE-CA ACETATE EX PACK [9020],6.0,6.0,0.89,4.8,23
NDC,57237-004-30,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
NDC,57237-005-11,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,57237-008-30,MIRTAZAPINE 15 MG PO TABS [17466],12.69,12.69,1.88,10.15,23
NDC,57237-014-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
NDC,57237-017-60,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
NDC,57237-018-30,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
NDC,57237-018-90,DULOXETINE HCL 30 MG PO CPEP [39276],36.91,36.91,5.46,29.53,23
NDC,57237-019-30,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,57237-019-90,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,57237-019-99,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,57237-029-01,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
NDC,57237-040-01,PENICILLIN V POTASSIUM 250 MG PO TABS [6092],6.0,6.0,0.89,4.8,23
NDC,57237-045-60,CLARITHROMYCIN 500 MG PO TABS [9617],21.25,21.25,3.14,17.0,23
NDC,57237-058-20,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
NDC,57237-062-30,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,57237-062-90,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,57237-075-30,ONDANSETRON HCL 4 MG PO TABS [10778],107.29,107.29,15.88,85.83,23
NDC,57237-077-10,ONDANSETRON 4 MG PO TBDP [27697],96.49,96.49,14.28,77.19,23
NDC,57237-077-30,ONDANSETRON 4 MG PO TBDP [27697],96.53,96.53,14.29,77.22,23
NDC,57237-099-60,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
NDC,57237-144-01,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
NDC,57237-169-90,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,57237-169-99,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,57237-170-90,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,57237-170-99,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,57237-171-05,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,57237-171-30,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,57237-171-90,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,57237-180-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],13.87,13.87,2.05,11.1,23
NDC,57237-181-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],13.87,13.87,2.05,11.1,23
NDC,57237-185-90,PRAMIPEXOLE DIHYDROCHLORIDE 1.5 MG PO TABS [21289],13.87,13.87,2.05,11.1,23
NDC,57237-212-30,MONTELUKAST SODIUM 4 MG PO CHEW [27234],23.64,23.64,3.5,18.91,23
NDC,57237-213-30,MONTELUKAST SODIUM 5 MG PO CHEW [22510],23.64,23.64,3.5,18.91,23
NDC,57237-232-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,57237-233-05,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
NDC,57237-274-24,LAMIVUDINE 10 MG/ML PO SOLN [15881],451.5,451.5,66.82,361.2,23
NDC,57237-319-03,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],24.68,24.68,3.65,19.74,23
NDC,57237-319-31,SOD CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN [11394],24.68,24.68,3.65,19.74,23
NDC,57664-126-88,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,57664-187-88,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
NDC,57664-211-88,CLOZAPINE 200 MG PO TABS [70324],29.72,29.72,4.4,23.78,23
NDC,57664-223-88,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,57664-435-51,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
NDC,57664-474-53,METFORMIN HCL 1000 MG PO TABS [24398],6.77,6.77,1.0,5.42,23
NDC,57664-474-58,METFORMIN HCL 1000 MG PO TABS [24398],6.77,6.77,1.0,5.42,23
NDC,57664-477-52,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,57664-499-83,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
NDC,57664-502-89,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,57664-506-52,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,57664-508-88,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],12.01,12.01,1.78,9.61,23
NDC,57664-596-50,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],299.72,299.72,44.36,239.78,23
NDC,57664-648-88,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,57664-649-88,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,57664-655-88,PINDOLOL 5 MG PO TABS [6297],6.0,6.0,0.89,4.8,23
NDC,57664-656-88,PINDOLOL 10 MG PO TABS [6296],7.05,7.05,1.04,5.64,23
NDC,57664-689-88,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
NDC,57665-101-41,AMPHOTERICIN B LIPID 5 MG/ML IV SUSP [22981],475.02,475.02,70.3,380.02,23
NDC,57782-397-26,CROMOLYN SODIUM 5.2 MG/ACT NA AERS [24325],60.62,60.62,8.97,48.5,23
NDC,57894-030-01,INFLIXIMAB 100 MG IV SOLR [23796],3545.5,3545.5,524.73,2836.4,23
NDC,57894-150-12,ABIRATERONE ACETATE 250 MG PO TABS [108272],451.22,451.22,66.78,360.98,23
NDC,57894-160-01,INFLIXIMAB 100 MG IV SOLR [23796],1658.7,1658.7,245.49,1326.96,23
NDC,57894-195-06,ABIRATERONE ACETATE 500 MG PO TABS [136472],785.15,785.15,116.2,628.12,23
NDC,57894-350-01,GOLIMUMAB 50 MG/4ML IV SOLN [121069],6069.56,6069.56,898.29,4855.65,23
NDC,57894-449-01,TECLISTAMAB-CQYV 30 MG/3ML SC SOLN [157922],5997.45,5997.45,887.62,4797.96,23
NDC,57894-450-01,TECLISTAMAB-CQYV 153 MG/1.7ML SC SOLN [157923],30587.05,30587.05,4526.88,24469.64,23
NDC,57894-501-01,AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN [152540],11557.09,11557.09,1710.45,9245.67,23
NDC,57894-502-05,DARATUMUMAB 100 MG/5ML IV SOLN [129889],2708.52,2708.52,400.86,2166.82,23
NDC,57894-502-20,DARATUMUMAB 400 MG/20ML IV SOLN [129890],8929.79,8929.79,1321.61,7143.83,23
NDC,57894-503-01,DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN [148342],32096.18,32096.18,4750.23,25676.94,23
NDC,57894-505-05,DARATUMUMAB 100 MG/5ML IV SOLN [129889],2708.52,2708.52,400.86,2166.82,23
NDC,57894-505-20,DARATUMUMAB 400 MG/20ML IV SOLN [129890],9419.14,9419.14,1394.03,7535.31,23
NDC,57896-102-01,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,57896-102-10,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,57896-111-09,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
NDC,57896-111-14,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
NDC,57896-131-01,DIBUCAINE 1 % EX OINT [2412],30.93,30.93,4.58,24.74,23
NDC,57896-145-09,BACITRACIN 500 UNIT/GM EX OINT [850],11.0,11.0,1.63,8.8,23
NDC,57896-145-14,BACITRACIN ZINC 500 UNIT/GM EX OINT [13818],6.0,6.0,0.89,4.8,23
NDC,57896-201-01,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,57896-204-01,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,57896-378-01,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,57896-441-20,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,57896-443-01,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,57896-443-05,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,57896-444-05,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,57896-454-01,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,57896-490-01,PEG 3350 17 G PO PACK [100055],6.0,6.0,0.89,4.8,23
NDC,57896-490-03,PEG 3350 17 G PO PACK [100055],6.0,6.0,0.89,4.8,23
NDC,57896-629-12,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.36,18.36,2.72,14.69,23
NDC,57896-693-16,GUAIFENESIN 100 MG/5ML PO LIQD [76829],22.24,22.24,3.29,17.79,23
NDC,57896-791-01,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,57896-851-01,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,57896-864-06,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,57896-901-01,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
NDC,57896-901-10,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
NDC,57896-911-36,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,57896-921-01,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
NDC,57896-921-10,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
NDC,57962-070-28,IBRUTINIB 70 MG PO CAPS [139004],2111.74,2111.74,312.54,1689.39,23
NDC,57962-140-09,IBRUTINIB 140 MG PO CAPS [122260],793.42,793.42,117.43,634.74,23
NDC,57962-140-12,IBRUTINIB 140 MG PO CAPS [122260],793.42,793.42,117.43,634.74,23
NDC,57970-100-01,DALBAVANCIN HCL 500 MG IV SOLR [124486],5401.45,5401.45,799.41,4321.16,23
NDC,58160-810-43,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451],151.81,151.81,22.47,121.45,23
NDC,58160-810-52,DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [19451],151.81,151.81,22.47,121.45,23
NDC,58160-811-52,DTAP-HEPATITIS B RECOMB-IPV IM SUSY [34550],465.95,465.95,68.96,372.76,23
NDC,58160-812-52,DTAP-IPV VACCINE 0.5 ML IM SUSY [153537],290.92,290.92,43.06,232.74,23
NDC,58160-815-52,HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY [143142],597.99,597.99,88.5,478.39,23
NDC,58160-818-11,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR [99744],73.55,73.55,10.89,58.84,23
NDC,58160-825-52,HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP [91033],202.66,202.66,29.99,162.13,23
NDC,58160-826-52,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP [91034],389.19,389.19,57.6,311.35,23
NDC,58160-827-03,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN [158040],753.8,753.8,111.56,603.04,23
NDC,58160-827-30,MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN [158040],753.8,753.8,111.56,603.04,23
NDC,58160-842-52,TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY [153538],225.8,225.8,33.42,180.64,23
NDC,58160-964-12,"RABIES VACCINE, PCEC IM SUSR [22120]",1491.91,1491.91,220.8,1193.53,23
NDC,58160-976-02,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY [126594],932.84,932.84,138.06,746.27,23
NDC,58160-976-20,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY [126594],932.84,932.84,138.06,746.27,23
NDC,58181-3041-5,LOMUSTINE 40 MG PO CAPS [10461],1696.93,1696.93,251.15,1357.54,23
NDC,58181-3042-5,LOMUSTINE 100 MG PO CAPS [10460],4072.67,4072.67,602.76,3258.14,23
NDC,58284-216-01,BUPRENORPHINE ER 16 MG/0.32ML SC SOSY [160399],1491.09,1491.09,220.68,1192.87,23
NDC,58284-224-01,BUPRENORPHINE ER 24 MG/0.48ML SC SOSY [160400],1491.09,1491.09,220.68,1192.87,23
NDC,58284-228-01,BUPRENORPHINE ER 128 MG/0.36ML SC SOSY [160397],5185.49,5185.49,767.45,4148.39,23
NDC,58284-232-01,BUPRENORPHINE ER 32 MG/0.64ML SC SOSY [160401],1491.09,1491.09,220.68,1192.87,23
NDC,58284-264-01,BUPRENORPHINE ER 64 MG/0.18ML SC SOSY [160395],5185.49,5185.49,767.45,4148.39,23
NDC,58284-296-01,BUPRENORPHINE ER 96 MG/0.27ML SC SOSY [160396],5185.49,5185.49,767.45,4148.39,23
NDC,58394-633-03,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT [132826],1344.8,1344.8,199.03,1075.84,23
NDC,58394-634-03,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT [132827],2386.2,2386.2,353.16,1908.96,23
NDC,58394-635-03,COAGULATION FACTOR IX (RECOMB BENEFIX) 1000 UNITS IV KIT [132828],4149.2,4149.2,614.08,3319.36,23
NDC,58394-636-03,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT [132829],22.0,22.0,3.26,17.6,23
NDC,58406-010-01,ETANERCEPT 25 MG/0.5ML SC SOSY [107154],3095.81,3095.81,458.18,2476.65,23
NDC,58406-010-04,ETANERCEPT 25 MG/0.5ML SC SOSY [107154],3095.81,3095.81,458.18,2476.65,23
NDC,58468-0030-2,THYROTROPIN ALFA 0.9 MG IM SOLR [153551],6139.18,6139.18,908.6,4911.34,23
NDC,58468-0080-1,ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR [24585],3398.71,3398.71,503.01,2718.97,23
NDC,58468-0131-1,SEVELAMER CARBONATE 2.4 G PO PACK [99687],92.75,92.75,13.73,74.2,23
NDC,58468-0131-2,SEVELAMER CARBONATE 2.4 G PO PACK [99687],92.74,92.74,13.73,74.19,23
NDC,58468-0225-1,CAPLACIZUMAB-YHDP 11 MG IJ KIT [142802],26023.64,26023.64,3851.5,20818.91,23
NDC,58526-005-57,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.35,19.35,2.86,15.48,23
NDC,58526-00559,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],19.35,19.35,2.86,15.48,23
NDC,58602-006-40,OLOPATADINE HCL 0.1 % OP SOLN [19452],42.87,42.87,6.34,34.3,23
NDC,58602-022-24,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],15.53,15.53,2.3,12.42,23
NDC,58602-604-07,DICLOFENAC SODIUM 1 % EX GEL [150015],56.4,56.4,8.35,45.12,23
NDC,58602-702-04,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,58602-702-83,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,58657-427-16,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],406.58,406.58,60.17,325.26,23
NDC,58657-468-01,SULFACETAMIDE SODIUM-SULFUR 10-5 % EX CREA [32354],502.58,502.58,74.38,402.06,23
NDC,58657-623-01,GABAPENTIN 600 MG PO TABS [25855],11.85,11.85,1.75,9.48,23
NDC,58657-675-01,CIPROFLOXACIN HCL 250 MG PO TABS [25118],20.85,20.85,3.09,16.68,23
NDC,58657-705-01,HALOPERIDOL 20 MG PO TABS [3582],12.96,12.96,1.92,10.37,23
NDC,58914-170-14,SUCRALFATE 1 GM/10ML PO SUSP [11441],1051.11,1051.11,155.56,840.89,23
NDC,58914-601-20,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],14.3,14.3,2.12,11.44,23
NDC,58980-415-01,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,58980-415-50,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,59011-410-10,OXYCODONE HCL ER 10 MG PO T12A [121730],31.96,31.96,4.73,25.57,23
NDC,59011-410-20,OXYCODONE HCL ER 10 MG PO T12A [121730],32.81,32.81,4.86,26.25,23
NDC,59011-420-10,OXYCODONE HCL ER 20 MG PO T12A [121733],59.6,59.6,8.82,47.68,23
NDC,59011-420-20,OXYCODONE HCL ER 20 MG PO T12A [121733],61.12,61.12,9.05,48.9,23
NDC,59011-440-10,OXYCODONE HCL ER 40 MG PO T12A [121735],94.03,94.03,13.92,75.22,23
NDC,59011-440-20,OXYCODONE HCL ER 40 MG PO T12A [121735],96.4,96.4,14.27,77.12,23
NDC,59011-480-10,OXYCODONE HCL ER 80 MG PO T12A [121737],164.07,164.07,24.28,131.26,23
NDC,59011-480-20,OXYCODONE HCL ER 80 MG PO T12A [121737],168.28,168.28,24.91,134.62,23
NDC,59016-420-17,MAGNESIUM LACTATE 84 MG (7MEQ) PO TBCR [4715],6.0,6.0,0.89,4.8,23
NDC,59137-231-01,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR [142181],9703.06,9703.06,1436.05,7762.45,23
NDC,59137-271-01,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],22.0,22.0,3.26,17.6,23
NDC,59137-283-05,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],22.0,22.0,3.26,17.6,23
NDC,59148-020-50,TOLVAPTAN 15 MG PO TABS [97893],1816.53,1816.53,268.85,1453.22,23
NDC,59148-021-50,TOLVAPTAN 30 MG PO TABS [97894],1884.44,1884.44,278.9,1507.55,23
NDC,59148-045-80,ARIPIPRAZOLE ER 300 MG IM PRSY [137688],6613.42,6613.42,978.79,5290.74,23
NDC,59148-102-80,ARIPIPRAZOLE ER 720 MG/2.4ML IM PRSY [159920],13226.79,13226.79,1957.56,10581.43,23
NDC,59148-114-80,ARIPIPRAZOLE ER 960 MG/3.2ML IM PRSY [159921],17635.72,17635.72,2610.09,14108.58,23
NDC,59212-001-01,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],129.9,129.9,19.23,103.92,23
NDC,59310-302-40,BECLOMETHASONE DIPROP HFA 40 MCG/ACT IN AERB [133767],861.97,861.97,127.57,689.58,23
NDC,59310-304-80,BECLOMETHASONE DIPROP HFA 80 MCG/ACT IN AERB [133768],1154.44,1154.44,170.86,923.55,23
NDC,59310-410-12,BECLOMETHASONE DIPROPIONATE 80 MCG/ACT NA AERS [113597],1257.95,1257.95,186.18,1006.36,23
NDC,59310-579-22,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],342.16,342.16,50.64,273.73,23
NDC,59310-610-31,RESLIZUMAB 100 MG/10ML IV SOLN [131458],3382.11,3382.11,500.55,2705.69,23
NDC,59365-5128-1,PARAGARD INTRAUTERINE COPPER IU IUD [6040],3458.01,3458.01,511.79,2766.41,23
NDC,59417-102-10,LISDEXAMFETAMINE DIMESYLATE 20 MG PO CAPS [89783],72.91,72.91,10.79,58.33,23
NDC,59417-103-10,LISDEXAMFETAMINE DIMESYLATE 30 MG PO CAPS [81474],72.91,72.91,10.79,58.33,23
NDC,59528-0331-2,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS [22456],6.0,6.0,0.89,4.8,23
NDC,59572-102-01,AZACITIDINE 100 MG/4 ML SC SUSR [78420],2043.67,2043.67,302.46,1634.94,23
NDC,59572-205-14,THALIDOMIDE 50 MG PO CAPS [23599],672.67,672.67,99.56,538.14,23
NDC,59572-210-15,THALIDOMIDE 100 MG PO CAPS [35263],1091.88,1091.88,161.6,873.5,23
NDC,59572-220-16,THALIDOMIDE 200 MG PO CAPS [35264],1243.15,1243.15,183.99,994.52,23
NDC,59572-402-00,LENALIDOMIDE 2.5 MG PO CAPS [113288],2706.75,2706.75,400.6,2165.4,23
NDC,59572-402-28,LENALIDOMIDE 2.5 MG PO CAPS [113288],2706.75,2706.75,400.6,2165.4,23
NDC,59572-405-00,LENALIDOMIDE 5 MG PO CAPS [43718],2706.75,2706.75,400.6,2165.4,23
NDC,59572-405-28,LENALIDOMIDE 5 MG PO CAPS [43718],2706.75,2706.75,400.6,2165.4,23
NDC,59572-410-00,LENALIDOMIDE 10 MG PO CAPS [43719],2706.75,2706.75,400.6,2165.4,23
NDC,59572-410-28,LENALIDOMIDE 10 MG PO CAPS [43719],2706.75,2706.75,400.6,2165.4,23
NDC,59572-415-21,LENALIDOMIDE 15 MG PO CAPS [76783],2706.75,2706.75,400.6,2165.4,23
NDC,59572-420-00,LENALIDOMIDE 20 MG PO CAPS [120646],2706.75,2706.75,400.6,2165.4,23
NDC,59572-420-21,LENALIDOMIDE 20 MG PO CAPS [120646],2706.75,2706.75,400.6,2165.4,23
NDC,59572-425-00,LENALIDOMIDE 25 MG PO CAPS [76784],2706.75,2706.75,400.6,2165.4,23
NDC,59572-425-21,LENALIDOMIDE 25 MG PO CAPS [76784],2706.75,2706.75,400.6,2165.4,23
NDC,59572-501-00,POMALIDOMIDE 1 MG PO CAPS [118851],3465.53,3465.53,512.9,2772.42,23
NDC,59572-501-21,POMALIDOMIDE 1 MG PO CAPS [118851],3465.53,3465.53,512.9,2772.42,23
NDC,59572-502-00,POMALIDOMIDE 2 MG PO CAPS [118852],3465.53,3465.53,512.9,2772.42,23
NDC,59572-502-21,POMALIDOMIDE 2 MG PO CAPS [118852],3465.53,3465.53,512.9,2772.42,23
NDC,59572-503-00,POMALIDOMIDE 3 MG PO CAPS [118853],3465.53,3465.53,512.9,2772.42,23
NDC,59572-503-21,POMALIDOMIDE 3 MG PO CAPS [118853],3465.53,3465.53,512.9,2772.42,23
NDC,59572-504-00,POMALIDOMIDE 4 MG PO CAPS [118854],3465.53,3465.53,512.9,2772.42,23
NDC,59572-504-21,POMALIDOMIDE 4 MG PO CAPS [118854],3465.53,3465.53,512.9,2772.42,23
NDC,59572-711-01,LUSPATERCEPT-AAMT 25 MG SC SOLR [145779],306066.12,306066.12,45297.79,244852.9,23
NDC,59572-775-01,LUSPATERCEPT-AAMT 75 MG SC SOLR [145780],2754581.78,2754581.78,407678.1,2203665.42,23
NDC,59584-138-01,CANDIDA ALBICANS SKN TST ANTGN ID SOLN [17524],1267.4,1267.4,187.58,1013.92,23
NDC,59630-266-01,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR [146561],916.47,916.47,135.64,733.18,23
NDC,59630-266-10,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR [146561],916.46,916.46,135.64,733.17,23
NDC,59651-002-90,OMEPRAZOLE 20 MG PO CPDR [27694],6.0,6.0,0.89,4.8,23
NDC,59651-018-90,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],19.92,19.92,2.95,15.94,23
NDC,59651-052-05,EZETIMIBE 10 MG PO TABS [34153],48.33,48.33,7.15,38.66,23
NDC,59651-052-90,EZETIMIBE 10 MG PO TABS [34153],48.33,48.33,7.15,38.66,23
NDC,59651-085-60,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
NDC,59651-246-01,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
NDC,59651-248-01,MIDODRINE HCL 10 MG PO TABS [33083],41.08,41.08,6.08,32.86,23
NDC,59651-256-01,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
NDC,59651-257-01,PROPAFENONE HCL 225 MG PO TABS [11147],10.96,10.96,1.62,8.77,23
NDC,59651-268-30,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
NDC,59651-269-05,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
NDC,59651-276-60,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
NDC,59651-300-30,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
NDC,59651-331-01,FLUCYTOSINE 250 MG PO CAPS [10051],319.25,319.25,47.25,255.4,23
NDC,59651-332-01,FLUCYTOSINE 500 MG PO CAPS [10052],598.7,598.7,88.61,478.96,23
NDC,59651-349-30,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
NDC,59651-360-05,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,59651-362-05,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,59651-394-01,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
NDC,59651-420-11,SILDENAFIL CITRATE 10 MG/ML PO SUSR [125440],24762.27,24762.27,3664.82,19809.82,23
NDC,59651-457-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,59651-488-01,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,59651-489-01,PREDNISONE 50 MG PO TABS [6498],6.0,6.0,0.89,4.8,23
NDC,59651-516-30,EXEMESTANE 25 MG PO TABS [26551],87.61,87.61,12.97,70.09,23
NDC,59651-565-01,DICLOXACILLIN SODIUM 250 MG PO CAPS [2414],6.48,6.48,0.96,5.18,23
NDC,59651-590-01,PYRIMETHAMINE 25 MG PO TABS [11246],2318.91,2318.91,343.2,1855.13,23
NDC,59651-691-01,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,59651-691-05,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,59651-722-01,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,59651-723-01,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,59651-873-50,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.44,26.44,3.91,21.15,23
NDC,59651-875-01,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
NDC,59676-278-01,RILPIVIRINE HCL 25 MG PO TABS [108405],230.81,230.81,34.16,184.65,23
NDC,59676-302-01,EPOETIN ALFA (EPOGEN) 2000 UNIT/ML IJ SOLN [9939],249.56,249.56,36.93,199.65,23
NDC,59676-304-01,EPOETIN ALFA (EPOGEN) 4000 UNIT/ML IJ SOLN [9941],483.62,483.62,71.58,386.9,23
NDC,59676-310-00,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.9,1051.9,155.68,841.52,23
NDC,59676-310-01,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.9,1051.9,155.68,841.52,23
NDC,59676-310-02,EPOETIN ALFA 10000 UNIT/ML IJ SOLN [9938],1051.86,1051.86,155.68,841.49,23
NDC,59676-320-04,EPOETIN ALFA 20000 UNIT/ML IJ SOLN [14643],1866.48,1866.48,276.24,1493.18,23
NDC,59676-340-01,EPOETIN ALFA 40000 UNIT/ML IJ SOLN [24513],3245.49,3245.49,480.33,2596.39,23
NDC,59676-562-01,DARUNAVIR 600 MG PO TABS [92851],186.9,186.9,27.66,149.52,23
NDC,59676-563-01,DARUNAVIR 75 MG PO TABS [97053],25.36,25.36,3.75,20.29,23
NDC,59676-565-01,DARUNAVIR 100 MG/ML PO SUSP [119111],3639.66,3639.66,538.67,2911.73,23
NDC,59676-566-30,DARUNAVIR 800 MG PO TABS [117385],335.81,335.81,49.7,268.65,23
NDC,59676-570-01,ETRAVIRINE 100 MG PO TABS [89432],70.41,70.41,10.42,56.33,23
NDC,59676-571-01,ETRAVIRINE 200 MG PO TABS [106632],129.72,129.72,19.2,103.78,23
NDC,59676-575-30,PREZCOBIX:DARUNAVIR-COBICISTAT 800-150 MG PO TABS [126882],383.83,383.83,56.81,307.06,23
NDC,59676-600-12,APALUTAMIDE 60 MG PO TABS [138939],576.83,576.83,85.37,461.46,23
NDC,59676-800-30,DARUN-COBIC-EMTRICIT-TENOFAF 800-150-200-10 MG PO TABS [140319],711.31,711.31,105.27,569.05,23
NDC,59676-820-01,HYALURONAN 88 MG/4ML I-ARTICULAR SOSY [123951],100188.0,100188.0,14827.82,80150.4,23
NDC,59746-001-06,METHYLPREDNISOLONE 4 MG PO TABS [4993],7.76,7.76,1.15,6.21,23
NDC,59746-002-04,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
NDC,59746-003-14,METHYLPREDNISOLONE 16 MG PO TABS [4992],14.6,14.6,2.16,11.68,23
NDC,59746-113-06,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
NDC,59746-115-06,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
NDC,59746-171-06,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
NDC,59746-172-06,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,59746-173-06,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,59746-175-06,PREDNISONE 20 MG PO TABS [6496],7.06,7.06,1.04,5.65,23
NDC,59746-211-06,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],8.13,8.13,1.2,6.5,23
NDC,59746-216-01,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,59746-218-01,SPIRONOLACTONE 100 MG PO TABS [11425],6.7,6.7,0.99,5.36,23
NDC,59746-307-32,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
NDC,59746-309-32,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
NDC,59746-329-30,DONEPEZIL HCL 5 MG PO TABS [18786],40.67,40.67,6.02,32.54,23
NDC,59746-339-90,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,59746-384-06,TERAZOSIN HCL 2 MG PO CAPS [14551],7.55,7.55,1.12,6.04,23
NDC,59746-385-06,TERAZOSIN HCL 5 MG PO CAPS [14553],7.55,7.55,1.12,6.04,23
NDC,59762-0016-1,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
NDC,59762-0047-1,TOLTERODINE TARTRATE ER 2 MG PO CP24 [29434],44.88,44.88,6.64,35.9,23
NDC,59762-0048-1,TOLTERODINE TARTRATE ER 4 MG PO CP24 [29435],44.88,44.88,6.64,35.9,23
NDC,59762-0049-1,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
NDC,59762-0050-1,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.65,16.65,2.46,13.32,23
NDC,59762-0056-1,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],6.0,6.0,0.89,4.8,23
NDC,59762-0073-1,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
NDC,59762-0074-1,HYDROCORTISONE 10 MG PO TABS [3733],6.0,6.0,0.89,4.8,23
NDC,59762-0075-1,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
NDC,59762-0119-1,PHENELZINE SULFATE 15 MG PO TABS [10933],6.0,6.0,0.89,4.8,23
NDC,59762-0131-4,SILVER SULFADIAZINE 1 % EX CREA [7224],252.08,252.08,37.31,201.66,23
NDC,59762-0157-1,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],25.85,25.85,3.83,20.68,23
NDC,59762-0333-2,LATANOPROST 0.005 % OP SOLN [18621],370.61,370.61,54.85,296.49,23
NDC,59762-0401-1,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,59762-0450-1,COLESTIPOL HCL 1 G PO TABS [13884],6.0,6.0,0.89,4.8,23
NDC,59762-0489-1,NITROGLYCERIN 0.6 MG SL SUBL [5605],203.95,203.95,30.18,163.16,23
NDC,59762-0531-2,PHENYTOIN 125 MG/5ML PO SUSP [6255],160.09,160.09,23.69,128.07,23
NDC,59762-0540-1,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.0,6.0,0.89,4.8,23
NDC,59762-0541-1,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
NDC,59762-0542-1,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
NDC,59762-0811-1,NADOLOL 40 MG PO TABS [5331],18.65,18.65,2.76,14.92,23
NDC,59762-1005-1,CABERGOLINE 0.5 MG PO TABS [19226],158.74,158.74,23.49,126.99,23
NDC,59762-1061-1,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,59762-1206-1,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
NDC,59762-1207-1,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],6.0,6.0,0.89,4.8,23
NDC,59762-1211-3,DESVENLAFAXINE SUCCINATE ER 50 MG PO TB24 [91073],53.93,53.93,7.98,43.14,23
NDC,59762-1307-2,LINEZOLID 600 MG PO TABS [28224],692.45,692.45,102.48,553.96,23
NDC,59762-1308-1,LINEZOLID 100 MG/5ML PO SUSR [28225],2386.35,2386.35,353.18,1909.08,23
NDC,59762-1350-1,RIFABUTIN 150 MG PO CAPS [11290],82.23,82.23,12.17,65.78,23
NDC,59762-1720-1,EPLERENONE 50 MG PO TABS [36984],19.59,19.59,2.9,15.67,23
NDC,59762-2198-1,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,59762-2198-3,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,59762-2198-7,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,59762-2322-8,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],239.08,239.08,35.38,191.26,23
NDC,59762-3110-1,AZITHROMYCIN 100 MG/5ML PO SUSR [15796],151.01,151.01,22.35,120.81,23
NDC,59762-3120-1,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.01,151.01,22.35,120.81,23
NDC,59762-3140-1,AZITHROMYCIN 200 MG/5ML PO SUSR [15797],151.08,151.08,22.36,120.86,23
NDC,59762-3304-1,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,59762-3304-3,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,59762-3719-1,ALPRAZOLAM 0.25 MG PO TABS [324],6.0,6.0,0.89,4.8,23
NDC,59762-3720-1,ALPRAZOLAM 0.5 MG PO TABS [325],6.0,6.0,0.89,4.8,23
NDC,59762-3721-1,ALPRAZOLAM 1 MG PO TABS [326],6.0,6.0,0.89,4.8,23
NDC,59762-3744-1,CLINDAMYCIN PHOSPHATE 1 % EX LOTN [19711],453.08,453.08,67.06,362.46,23
NDC,59762-4921-1,NITROGLYCERIN 0.3 MG SL SUBL [5603],203.95,203.95,30.18,163.16,23
NDC,59762-5000-5,SULFASALAZINE 500 MG PO TABS [7562],6.0,6.0,0.89,4.8,23
NDC,59762-5007-1,MISOPROSTOL 100 MCG PO TABS [10628],6.0,6.0,0.89,4.8,23
NDC,59762-5008-1,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
NDC,59762-5008-2,MISOPROSTOL 200 MCG PO TABS [10629],6.0,6.0,0.89,4.8,23
NDC,59762-5009-1,CLINDAMYCIN PHOSPHATE 2 % VA CREA [9624],409.43,409.43,60.6,327.54,23
NDC,59762-5017-1,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,59762-5017-11,FLUCONAZOLE 150 MG PO TABS [13577],65.49,65.49,9.69,52.39,23
NDC,59762-5029-1,FLUCONAZOLE 10 MG/ML PO SUSR [14232],149.58,149.58,22.14,119.66,23
NDC,59762-5030-1,FLUCONAZOLE 40 MG/ML PO SUSR [14233],473.31,473.31,70.05,378.65,23
NDC,59762-5050-1,GABAPENTIN 250 MG/5ML PO SOLN [29169],561.7,561.7,83.13,449.36,23
NDC,59762-5320-1,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
NDC,60219-1076-1,AZATHIOPRINE 50 MG PO TABS [9183],32.02,32.02,4.74,25.62,23
NDC,60219-1523-1,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
NDC,60219-1673-1,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
NDC,60219-1675-1,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
NDC,60219-1721-7,ETRAVIRINE 100 MG PO TABS [89432],63.03,63.03,9.33,50.42,23
NDC,60219-1748-2,ATROPINE SULFATE 1 % OP SOLN [736],207.24,207.24,30.67,165.79,23
NDC,60219-1749-3,ATROPINE SULFATE 1 % OP SOLN [736],227.1,227.1,33.61,181.68,23
NDC,60219-5511-9,FENOFIBRATE 54 MG PO TABS [31336],6.0,6.0,0.89,4.8,23
NDC,60258-00116,CYTRA-2 500-334 MG/5ML PO SOLN [16208],186.38,186.38,27.58,149.1,23
NDC,60258-00216,K & NA CIT-CIT AC 550-500-334 MG/5ML PO SYRP [11058],276.0,276.0,40.85,220.8,23
NDC,60258-006-01,K & NA PHOSPHATES 280-160-250 MG PO PACK [70284],6.0,6.0,0.89,4.8,23
NDC,60258-161-01,RENA-VITE RX 1 MG PO TABS [26688],6.0,6.0,0.89,4.8,23
NDC,60258-171-01,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
NDC,60258-172-01,MAGNESIUM GLUCONATE 500 MG PO TABS [121727],6.0,6.0,0.89,4.8,23
NDC,60267-311-10,SODIUM NITRITE 30 MG/ML IV SOLN [24049],437.32,437.32,64.72,349.86,23
NDC,60267-705-50,SODIUM THIOSULFATE 25 % IV SOLN [153866],437.32,437.32,64.72,349.86,23
NDC,60267-812-00,NITHIODOTE 300MG/10ML&12.5 GM/50ML IV KIT [141438],747.84,747.84,110.68,598.27,23
NDC,60429-177-01,BICALUTAMIDE 50 MG PO TABS [15746],57.0,57.0,8.44,45.6,23
NDC,60432-092-16,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],202.4,202.4,29.96,161.92,23
NDC,60432-093-16,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],274.16,274.16,40.58,219.33,23
NDC,60432-126-08,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
NDC,60432-126-16,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],939.92,939.92,139.11,751.94,23
NDC,60432-129-16,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],290.59,290.59,43.01,232.47,23
NDC,60432-133-25,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
NDC,60432-150-04,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],93.73,93.73,13.87,74.98,23
NDC,60432-150-16,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],285.2,285.2,42.21,228.16,23
NDC,60432-212-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],289.49,289.49,42.84,231.59,23
NDC,60432-264-15,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],331.68,331.68,49.09,265.34,23
NDC,60432-465-51,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
NDC,60432-528-04,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.18,93.18,13.79,74.54,23
NDC,60432-528-05,SELENIUM SULFIDE 2.5 % EX LOTN [37630],93.18,93.18,13.79,74.54,23
NDC,60432-537-16,NYSTATIN 100000 UNIT/ML MT SUSP [5751],436.89,436.89,64.66,349.51,23
NDC,60432-537-60,NYSTATIN 100000 UNIT/ML MT SUSP [5751],79.53,79.53,11.77,63.62,23
NDC,60432-613-60,FUROSEMIDE 10 MG/ML PO SOLN [3292],48.79,48.79,7.22,39.03,23
NDC,60432-651-04,DOXEPIN HCL 10 MG/ML PO CONC [2614],194.67,194.67,28.81,155.74,23
NDC,60432-671-60,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
NDC,60432-834-60,LINDANE 1 % EX SHAM [4498],515.97,515.97,76.36,412.78,23
NDC,60505-0055-1,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
NDC,60505-0080-0,SOTALOL HCL 80 MG PO TABS [11421],12.05,12.05,1.78,9.64,23
NDC,60505-0082-0,SOTALOL HCL 240 MG PO TABS [11420],26.12,26.12,3.87,20.9,23
NDC,60505-0101-2,PAROXETINE HCL 40 MG PO TABS [16633],13.98,13.98,2.07,11.18,23
NDC,60505-0133-0,CYCLOSPORINE (SANDIMMUNE) 25 MG PO CAPS [9707],20.8,20.8,3.08,16.64,23
NDC,60505-0134-0,CYCLOSPORINE 100 MG PO CAPS [9706],83.0,83.0,12.28,66.4,23
NDC,60505-0157-1,BUPROPION HCL 100 MG PO TABS [9321],6.0,6.0,0.89,4.8,23
NDC,60505-0165-1,FLUVOXAMINE MALEATE 50 MG PO TABS [10085],12.1,12.1,1.79,9.68,23
NDC,60505-0166-1,FLUVOXAMINE MALEATE 100 MG PO TABS [10084],12.42,12.42,1.84,9.94,23
NDC,60505-0168-9,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
NDC,60505-0170-9,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
NDC,60505-0247-1,MIRTAZAPINE 15 MG PO TABS [17466],12.77,12.77,1.89,10.22,23
NDC,60505-0249-1,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
NDC,60505-0251-3,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,60505-0252-3,TIZANIDINE HCL 4 MG PO TABS [14793],6.89,6.89,1.02,5.51,23
NDC,60505-0257-1,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
NDC,60505-0402-5,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],1548.85,1548.85,229.23,1239.08,23
NDC,60505-0582-4,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
NDC,60505-0823-6,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN [15738],446.9,446.9,66.14,357.52,23
NDC,60505-0829-1,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],331.68,331.68,49.09,265.34,23
NDC,60505-0833-5,AZELASTINE HCL 0.1 % NA SOLN [19179],396.76,396.76,58.72,317.41,23
NDC,60505-1003-1,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],402.9,402.9,59.63,322.32,23
NDC,60505-1003-2,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],701.04,701.04,103.75,560.83,23
NDC,60505-1321-1,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
NDC,60505-1323-9,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,60505-2503-1,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
NDC,60505-2526-3,MODAFINIL 100 MG PO TABS [24702],114.22,114.22,16.9,91.38,23
NDC,60505-2578-9,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],19.03,19.03,2.82,15.22,23
NDC,60505-2579-9,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],27.14,27.14,4.02,21.71,23
NDC,60505-2580-9,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.14,27.14,4.02,21.71,23
NDC,60505-2966-7,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.95,42.95,6.36,34.36,23
NDC,60505-2995-6,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
NDC,60505-3110-0,OLANZAPINE 2.5 MG PO TABS [21057],52.63,52.63,7.79,42.1,23
NDC,60505-3111-0,OLANZAPINE 5 MG PO TABS [17936],62.12,62.12,9.19,49.7,23
NDC,60505-3112-0,OLANZAPINE 7.5 MG PO TABS [17938],75.6,75.6,11.19,60.48,23
NDC,60505-3113-0,OLANZAPINE 10 MG PO TABS [17937],93.61,93.61,13.85,74.89,23
NDC,60505-3140-0,OLANZAPINE 20 MG PO TABS [28158],172.47,172.47,25.53,137.98,23
NDC,60505-3170-7,OMEGA-3-ACID ETHYL ESTERS 1 G PO CAPS [41822],9.72,9.72,1.44,7.78,23
NDC,60505-3251-6,LAMIVUDINE 150 MG PO TABS [15880],33.66,33.66,4.98,26.93,23
NDC,60505-3252-3,LAMIVUDINE 300 MG PO TABS [33937],67.32,67.32,9.96,53.86,23
NDC,60505-3275-0,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
NDC,60505-3275-3,OLANZAPINE 5 MG PO TBDP [28159],67.09,67.09,9.93,53.67,23
NDC,60505-3276-0,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
NDC,60505-3276-3,OLANZAPINE 10 MG PO TBDP [28160],90.82,90.82,13.44,72.66,23
NDC,60505-3277-3,OLANZAPINE 15 MG PO TBDP [28161],133.94,133.94,19.82,107.15,23
NDC,60505-3278-0,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
NDC,60505-3278-3,OLANZAPINE 20 MG PO TBDP [28162],177.05,177.05,26.2,141.64,23
NDC,60505-3438-3,SELEGILINE HCL 5 MG PO TABS [11340],9.88,9.88,1.46,7.9,23
NDC,60505-4502-9,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
NDC,60505-4503-9,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,60505-4504-9,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,60505-4632-3,CYCLOSPORINE MODIFIED 100 MG PO CAPS [28843],25.84,25.84,3.82,20.67,23
NDC,60505-4642-3,PRASUGREL HCL 5 MG PO TABS [98372],77.58,77.58,11.48,62.06,23
NDC,60505-4643-3,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
NDC,60505-5306-1,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
NDC,60505-5306-8,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
NDC,60505-5307-1,ACYCLOVIR 800 MG PO TABS [8972],19.82,19.82,2.93,15.86,23
NDC,60505-6105-1,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1185.4,1185.4,175.44,948.32,23
NDC,60505-6116-0,REGADENOSON 0.4 MG/5ML IV SOLN [91408],984.99,984.99,145.78,787.99,23
NDC,60505-6128-1,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],156.19,156.19,23.12,124.95,23
NDC,60505-6130-5,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,60505-6132-6,OXALIPLATIN 50 MG/10ML IV SOLN [99602],233.4,233.4,34.54,186.72,23
NDC,60505-6132-7,OXALIPLATIN 100 MG/20ML IV SOLN [99604],452.4,452.4,66.96,361.92,23
NDC,60505-6142-5,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,60505-6144-4,CEFEPIME HCL 1 G IJ SOLR [16369],88.05,88.05,13.03,70.44,23
NDC,60505-6145-4,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.75,174.75,25.86,139.8,23
NDC,60505-6146-4,CEFEPIME HCL 1 G IJ SOLR [16369],88.05,88.05,13.03,70.44,23
NDC,60505-6147-0,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.76,174.76,25.86,139.81,23
NDC,60505-6147-4,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],174.75,174.75,25.86,139.8,23
NDC,60505-6148-0,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],198.97,198.97,29.45,159.18,23
NDC,60505-6148-4,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],198.96,198.96,29.45,159.17,23
NDC,60505-6149-4,CEFTRIAXONE SODIUM 2 G IJ SOLR [9488],355.19,355.19,52.57,284.15,23
NDC,60505-6151-1,CEFTRIAXONE SODIUM 250 MG IJ SOLR [9489],69.64,69.64,10.31,55.71,23
NDC,60505-6152-1,CEFTRIAXONE SODIUM 500 MG IJ SOLR [9490],116.28,116.28,17.21,93.02,23
NDC,60505-6226-0,ATROPINE SULFATE 1 % OP SOLN [736],196.89,196.89,29.14,157.51,23
NDC,60505-6226-1,ATROPINE SULFATE 1 % OP SOLN [736],215.74,215.74,31.93,172.59,23
NDC,60505-6231-0,CEFAZOLIN SODIUM 2 G IJ SOLR [155174],34.36,34.36,5.09,27.49,23
NDC,60505-6231-5,CEFAZOLIN SODIUM 2 G IJ SOLR [155174],34.37,34.37,5.09,27.5,23
NDC,60505-6237-6,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],214.08,214.08,31.68,171.26,23
NDC,60505-7006-2,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
NDC,60505-7007-2,FENTANYL 50 MCG/HR TD PATCH 72 HR [27906],168.36,168.36,24.92,134.69,23
NDC,60505-7008-2,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
NDC,60505-7009-2,FENTANYL 100 MCG/HR TD PATCH 72 HR [27908],306.19,306.19,45.32,244.95,23
NDC,60505-7063-0,NICOTINE 21 MG/24HR TD PT24 [27863],12.09,12.09,1.79,9.67,23
NDC,60505-7080-0,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.9,87.9,13.01,70.32,23
NDC,60505-7080-2,FENTANYL 12 MCG/HR TD PATCH 72 HR [41382],87.91,87.91,13.01,70.33,23
NDC,60505-7081-2,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],92.09,92.09,13.63,73.67,23
NDC,60505-7083-2,FENTANYL 75 MCG/HR TD PATCH 72 HR [27907],230.71,230.71,34.15,184.57,23
NDC,60687-104-21,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],34.38,34.38,5.09,27.5,23
NDC,60687-105-21,MEDROXYPROGESTERONE ACETATE 10 MG PO TABS [4854],7.88,7.88,1.17,6.3,23
NDC,60687-112-21,ANASTROZOLE 1 MG PO TABS [16205],9.74,9.74,1.44,7.79,23
NDC,60687-113-01,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,60687-122-01,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,60687-122-11,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,60687-124-01,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,60687-124-11,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,60687-129-01,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,60687-134-01,PREDNISONE 10 MG PO TABS [6494],6.0,6.0,0.89,4.8,23
NDC,60687-143-01,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
NDC,60687-143-11,METFORMIN HCL 850 MG PO TABS [14719],6.0,6.0,0.89,4.8,23
NDC,60687-145-01,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,60687-145-11,PREDNISONE 20 MG PO TABS [6496],6.0,6.0,0.89,4.8,23
NDC,60687-152-01,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
NDC,60687-152-11,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
NDC,60687-155-01,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
NDC,60687-156-25,PHENYTOIN 50 MG PO CHEW [11018],8.46,8.46,1.25,6.77,23
NDC,60687-156-95,PHENYTOIN 50 MG PO CHEW [11018],8.46,8.46,1.25,6.77,23
NDC,60687-162-01,METFORMIN HCL 1000 MG PO TABS [24398],7.17,7.17,1.06,5.74,23
NDC,60687-163-01,CEPHALEXIN 500 MG PO CAPS [9500],6.36,6.36,0.94,5.09,23
NDC,60687-163-11,CEPHALEXIN 500 MG PO CAPS [9500],6.36,6.36,0.94,5.09,23
NDC,60687-169-01,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.04,15.04,2.23,12.03,23
NDC,60687-173-11,MEMANTINE HCL 5 MG PO TABS [37170],6.0,6.0,0.89,4.8,23
NDC,60687-173-57,MEMANTINE HCL 5 MG PO TABS [37170],6.0,6.0,0.89,4.8,23
NDC,60687-178-01,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.28,15.28,2.26,12.22,23
NDC,60687-178-11,PRAVASTATIN SODIUM 20 MG PO TABS [11111],15.28,15.28,2.26,12.22,23
NDC,60687-195-01,DILTIAZEM HCL ER COATED BEADS 120 MG PO CP24 [29270],6.0,6.0,0.89,4.8,23
NDC,60687-206-01,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],6.0,6.0,0.89,4.8,23
NDC,60687-206-11,DILTIAZEM HCL ER COATED BEADS 180 MG PO CP24 [29272],6.0,6.0,0.89,4.8,23
NDC,60687-210-01,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
NDC,60687-210-11,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
NDC,60687-217-01,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
NDC,60687-217-11,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
NDC,60687-224-01,GEMFIBROZIL 600 MG PO TABS [3378],10.89,10.89,1.61,8.71,23
NDC,60687-224-11,GEMFIBROZIL 600 MG PO TABS [3378],10.89,10.89,1.61,8.71,23
NDC,60687-227-94,LEUCOVORIN CALCIUM 25 MG PO TABS [4397],60.39,60.39,8.94,48.31,23
NDC,60687-228-01,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.6,12.6,1.86,10.08,23
NDC,60687-228-11,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.6,12.6,1.86,10.08,23
NDC,60687-229-01,LOPERAMIDE HCL 2 MG PO CAPS [4560],6.0,6.0,0.89,4.8,23
NDC,60687-231-01,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
NDC,60687-231-11,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
NDC,60687-242-01,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
NDC,60687-242-11,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
NDC,60687-244-67,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],31.35,31.35,4.64,25.08,23
NDC,60687-244-77,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],33.12,33.12,4.9,26.5,23
NDC,60687-253-01,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
NDC,60687-281-01,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
NDC,60687-281-11,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
NDC,60687-282-01,AZITHROMYCIN 250 MG PO TABS [20943],19.82,19.82,2.93,15.86,23
NDC,60687-282-65,AZITHROMYCIN 250 MG PO TABS [20943],8.8,8.8,1.3,7.04,23
NDC,60687-292-01,DONEPEZIL HCL 5 MG PO TABS [18786],6.0,6.0,0.89,4.8,23
NDC,60687-293-01,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
NDC,60687-293-11,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.0,6.0,0.89,4.8,23
NDC,60687-302-25,NADOLOL 20 MG PO TABS [5330],17.24,17.24,2.55,13.79,23
NDC,60687-302-95,NADOLOL 20 MG PO TABS [5330],17.24,17.24,2.55,13.79,23
NDC,60687-303-01,DONEPEZIL HCL 10 MG PO TABS [18787],6.0,6.0,0.89,4.8,23
NDC,60687-309-11,LINEZOLID 600 MG PO TABS [28224],476.28,476.28,70.49,381.02,23
NDC,60687-309-21,LINEZOLID 600 MG PO TABS [28224],476.28,476.28,70.49,381.02,23
NDC,60687-314-25,AZITHROMYCIN 600 MG PO TABS [17387],29.95,29.95,4.43,23.96,23
NDC,60687-315-21,CAPTOPRIL 25 MG PO TABS [9402],8.68,8.68,1.28,6.94,23
NDC,60687-325-01,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
NDC,60687-325-11,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
NDC,60687-327-01,QUETIAPINE FUMARATE 25 MG PO TABS [21823],17.76,17.76,2.63,14.21,23
NDC,60687-333-01,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
NDC,60687-336-65,MINOCYCLINE HCL 100 MG PO CAPS [5110],6.21,6.21,0.92,4.97,23
NDC,60687-338-01,QUETIAPINE FUMARATE 50 MG PO TABS [70397],29.15,29.15,4.31,23.32,23
NDC,60687-345-01,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
NDC,60687-356-01,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
NDC,60687-356-11,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
NDC,60687-357-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,60687-357-11,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,60687-360-01,QUETIAPINE FUMARATE 200 MG PO TABS [21825],57.43,57.43,8.5,45.94,23
NDC,60687-368-01,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,60687-368-11,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,60687-369-01,DICYCLOMINE HCL 10 MG PO CAPS [2418],6.0,6.0,0.89,4.8,23
NDC,60687-370-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,60687-370-11,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,60687-386-11,DRONABINOL 5 MG PO CAPS [9905],80.76,80.76,11.95,64.61,23
NDC,60687-386-94,DRONABINOL 5 MG PO CAPS [9905],80.76,80.76,11.95,64.61,23
NDC,60687-390-65,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,60687-394-83,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],6.0,6.0,0.89,4.8,23
NDC,60687-398-01,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
NDC,60687-402-65,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,60687-405-83,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],6.0,6.0,0.89,4.8,23
NDC,60687-409-25,MIDODRINE HCL 10 MG PO TABS [33083],7.95,7.95,1.18,6.36,23
NDC,60687-409-95,MIDODRINE HCL 10 MG PO TABS [33083],7.95,7.95,1.18,6.36,23
NDC,60687-410-11,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],256.74,256.74,38.0,205.39,23
NDC,60687-413-65,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],6.0,6.0,0.89,4.8,23
NDC,60687-416-21,SILDENAFIL CITRATE 20 MG PO TABS [41832],87.59,87.59,12.96,70.07,23
NDC,60687-417-44,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],23.13,23.13,3.42,18.5,23
NDC,60687-417-71,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],23.13,23.13,3.42,18.5,23
NDC,60687-423-11,CLOBAZAM 10 MG PO TABS [111272],14.67,14.67,2.17,11.74,23
NDC,60687-423-21,CLOBAZAM 10 MG PO TABS [111272],14.67,14.67,2.17,11.74,23
NDC,60687-426-01,CLOZAPINE 200 MG PO TABS [70324],30.74,30.74,4.55,24.59,23
NDC,60687-428-01,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
NDC,60687-428-65,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
NDC,60687-429-76,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.28,11.28,1.67,9.02,23
NDC,60687-433-01,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
NDC,60687-433-11,AMITRIPTYLINE HCL 25 MG PO TABS [435],6.0,6.0,0.89,4.8,23
NDC,60687-436-01,CELECOXIB 100 MG PO CAPS [24500],21.71,21.71,3.21,17.37,23
NDC,60687-437-01,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
NDC,60687-438-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],7.35,7.35,1.09,5.88,23
NDC,60687-438-11,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],7.35,7.35,1.09,5.88,23
NDC,60687-439-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,60687-444-01,AMITRIPTYLINE HCL 50 MG PO TABS [436],6.0,6.0,0.89,4.8,23
NDC,60687-446-01,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,60687-450-01,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,60687-450-11,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,60687-451-21,EPLERENONE 25 MG PO TABS [36983],23.5,23.5,3.48,18.8,23
NDC,60687-453-01,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,60687-453-11,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,60687-457-01,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,60687-457-11,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,60687-461-01,LABETALOL HCL 300 MG PO TABS [10375],6.0,6.0,0.89,4.8,23
NDC,60687-464-01,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,60687-465-01,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,60687-465-11,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,60687-468-01,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,60687-468-11,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,60687-479-01,CARBAMAZEPINE 100 MG PO CHEW [1355],6.0,6.0,0.89,4.8,23
NDC,60687-480-21,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.4,6.4,0.95,5.12,23
NDC,60687-481-11,BUPRENORPHINE HCL 2 MG SL SUBL [34711],11.52,11.52,1.7,9.22,23
NDC,60687-481-21,BUPRENORPHINE HCL 2 MG SL SUBL [34711],11.52,11.52,1.7,9.22,23
NDC,60687-484-01,PREGABALIN 50 MG PO CAPS [42163],7.6,7.6,1.12,6.08,23
NDC,60687-487-01,SPIRONOLACTONE 100 MG PO TABS [11425],6.0,6.0,0.89,4.8,23
NDC,60687-487-11,SPIRONOLACTONE 100 MG PO TABS [11425],6.0,6.0,0.89,4.8,23
NDC,60687-488-01,AMLODIPINE BESYLATE 5 MG PO TABS [9071],6.0,6.0,0.89,4.8,23
NDC,60687-491-01,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
NDC,60687-491-11,NAPROXEN 500 MG PO TABS [5393],6.3,6.3,0.93,5.04,23
NDC,60687-492-11,BUPRENORPHINE HCL 8 MG SL SUBL [34712],19.74,19.74,2.92,15.79,23
NDC,60687-492-21,BUPRENORPHINE HCL 8 MG SL SUBL [34712],19.74,19.74,2.92,15.79,23
NDC,60687-495-01,PREGABALIN 75 MG PO CAPS [42164],7.6,7.6,1.12,6.08,23
NDC,60687-495-11,PREGABALIN 75 MG PO CAPS [42164],7.6,7.6,1.12,6.08,23
NDC,60687-503-01,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
NDC,60687-506-01,PREGABALIN 100 MG PO CAPS [42165],7.6,7.6,1.12,6.08,23
NDC,60687-506-11,PREGABALIN 100 MG PO CAPS [42165],7.6,7.6,1.12,6.08,23
NDC,60687-507-01,GABAPENTIN 600 MG PO TABS [25855],11.39,11.39,1.69,9.11,23
NDC,60687-508-01,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,60687-508-11,LEVOTHYROXINE SODIUM 112 MCG PO TABS [10404],6.0,6.0,0.89,4.8,23
NDC,60687-517-01,PREGABALIN 150 MG PO CAPS [42166],7.6,7.6,1.12,6.08,23
NDC,60687-519-01,LEVOTHYROXINE SODIUM 125 MCG PO TABS [4424],6.0,6.0,0.89,4.8,23
NDC,60687-524-79,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.64,52.64,7.79,42.11,23
NDC,60687-524-83,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.64,52.64,7.79,42.11,23
NDC,60687-526-11,METRONIDAZOLE 250 MG PO TABS [5015],6.0,6.0,0.89,4.8,23
NDC,60687-530-01,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,60687-530-11,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,60687-538-21,FEBUXOSTAT 40 MG PO TABS [97133],14.1,14.1,2.09,11.28,23
NDC,60687-544-01,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,60687-544-11,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,60687-549-11,RANOLAZINE ER 500 MG PO TB12 [70434],7.9,7.9,1.17,6.32,23
NDC,60687-549-21,RANOLAZINE ER 500 MG PO TB12 [70434],7.9,7.9,1.17,6.32,23
NDC,60687-550-01,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,60687-550-11,METRONIDAZOLE 500 MG PO TABS [5016],6.0,6.0,0.89,4.8,23
NDC,60687-553-01,ISONIAZID 300 MG PO TABS [4027],6.21,6.21,0.92,4.97,23
NDC,60687-555-01,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,60687-558-01,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,60687-559-01,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,60687-575-21,RIFAMPIN 150 MG PO CAPS [11292],17.97,17.97,2.66,14.38,23
NDC,60687-576-03,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],30.08,30.08,4.45,24.06,23
NDC,60687-576-10,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],30.08,30.08,4.45,24.06,23
NDC,60687-579-01,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
NDC,60687-579-11,HYDROMORPHONE HCL 2 MG PO TABS [3760],6.0,6.0,0.89,4.8,23
NDC,60687-580-01,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,60687-580-11,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,60687-587-01,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,60687-587-11,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,60687-588-01,ROPINIROLE HCL 1 MG PO TABS [21689],6.0,6.0,0.89,4.8,23
NDC,60687-590-01,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
NDC,60687-590-11,HYDROMORPHONE HCL 4 MG PO TABS [3761],6.0,6.0,0.89,4.8,23
NDC,60687-591-01,GABAPENTIN 300 MG PO CAPS [18308],6.48,6.48,0.96,5.18,23
NDC,60687-591-11,GABAPENTIN 300 MG PO CAPS [18308],6.48,6.48,0.96,5.18,23
NDC,60687-593-01,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],6.0,6.0,0.89,4.8,23
NDC,60687-602-01,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
NDC,60687-609-01,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,60687-614-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
NDC,60687-614-11,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
NDC,60687-631-01,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,60687-631-11,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,60687-638-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,60687-638-11,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,60687-649-01,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
NDC,60687-649-11,LORAZEPAM 2 MG PO TABS [4574],6.0,6.0,0.89,4.8,23
NDC,60687-655-21,FENOFIBRATE 54 MG PO TABS [31336],6.13,6.13,0.91,4.9,23
NDC,60687-657-01,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
NDC,60687-658-01,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,60687-658-11,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,60687-659-01,FLUOXETINE HCL 40 MG PO CAPS [21086],17.05,17.05,2.52,13.64,23
NDC,60687-659-11,FLUOXETINE HCL 40 MG PO CAPS [21086],17.05,17.05,2.52,13.64,23
NDC,60687-668-01,LEVETIRACETAM 1000 MG PO TABS [70773],7.9,7.9,1.17,6.32,23
NDC,60687-669-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,60687-670-01,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,60687-670-11,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,60687-671-40,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],25.17,25.17,3.73,20.14,23
NDC,60687-671-67,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],25.17,25.17,3.73,20.14,23
NDC,60687-675-01,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,60687-675-11,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,60687-678-01,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
NDC,60687-680-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,60687-681-01,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,60687-681-11,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,60687-690-01,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
NDC,60687-690-11,GLIPIZIDE 5 MG PO TABS [10117],6.0,6.0,0.89,4.8,23
NDC,60687-699-21,CEFDINIR 300 MG PO CAPS [22289],19.04,19.04,2.82,15.23,23
NDC,60687-701-01,GLIPIZIDE 10 MG PO TABS [10116],6.0,6.0,0.89,4.8,23
NDC,60687-707-01,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,60687-707-65,HYDROXYZINE PAMOATE 50 MG PO CAPS [3778],6.0,6.0,0.89,4.8,23
NDC,60687-711-01,OXCARBAZEPINE 150 MG PO TABS [27049],7.1,7.1,1.05,5.68,23
NDC,60687-716-21,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.02,6.02,0.89,4.82,23
NDC,60687-717-01,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
NDC,60687-722-01,OXCARBAZEPINE 300 MG PO TABS [21061],12.95,12.95,1.92,10.36,23
NDC,60687-725-01,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],17.86,17.86,2.64,14.29,23
NDC,60687-725-11,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],17.86,17.86,2.64,14.29,23
NDC,60687-732-21,DESMOPRESSIN ACETATE 0.2 MG PO TABS [16053],17.69,17.69,2.62,14.15,23
NDC,60687-734-01,DULOXETINE HCL 30 MG PO CPEP [39276],36.19,36.19,5.36,28.95,23
NDC,60687-736-09,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,60687-736-65,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,60687-742-65,AZITHROMYCIN 250 MG PO TABS [20943],8.8,8.8,1.3,7.04,23
NDC,60687-743-17,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,60687-743-40,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,60687-797-56,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],23.41,23.41,3.46,18.73,23
NDC,60687-807-01,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,60687-807-11,CHLORDIAZEPOXIDE HCL 25 MG PO CAPS [1623],6.0,6.0,0.89,4.8,23
NDC,60687-822-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,60687-833-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,60687-836-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,60687-836-11,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,60687-845-40,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],26.77,26.77,3.96,21.42,23
NDC,60687-845-77,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],26.77,26.77,3.96,21.42,23
NDC,60687-860-01,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
NDC,60687-885-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],6.0,6.0,0.89,4.8,23
NDC,60687-885-11,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],6.0,6.0,0.89,4.8,23
NDC,60758-119-05,PREDNISOLONE ACETATE 1 % OP SUSP [6487],205.4,205.4,30.4,164.32,23
NDC,60758-119-10,PREDNISOLONE ACETATE 1 % OP SUSP [6487],398.12,398.12,58.92,318.5,23
NDC,60758-188-05,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],90.15,90.15,13.34,72.12,23
NDC,60758-773-05,KETOROLAC TROMETHAMINE 0.4 % OP SOLN [36631],283.62,283.62,41.98,226.9,23
NDC,60758-801-05,TIMOLOL MALEATE 0.5 % OP SOLN [11562],30.84,30.84,4.56,24.67,23
NDC,60758-908-10,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],61.43,61.43,9.09,49.14,23
NDC,60793-115-01,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
NDC,60793-116-01,LIOTHYRONINE SODIUM 25 MCG PO TABS [4504],6.0,6.0,0.89,4.8,23
NDC,60793-701-10,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY [107078],1452.53,1452.53,214.97,1162.02,23
NDC,60793-702-04,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY [159286],2640.71,2640.71,390.83,2112.57,23
NDC,60977-141-01,PRALIDOXIME CHLORIDE 1 G IV SOLR [6462],392.24,392.24,58.05,313.79,23
NDC,60977-141-27,PRALIDOXIME CHLORIDE 1 G IV SOLR [6462],392.24,392.24,58.05,313.79,23
NDC,61010-8100-1,BENZOCAINE 20 % MT GEL [19691],155.26,155.26,22.98,124.21,23
NDC,61269-343-56,HYDROCORTISONE 1 % EX CREA [3726],11.0,11.0,1.63,8.8,23
NDC,61269-385-12,BIS SUBCIT-METRONID-TETRACYC 140-125-125 MG PO CAPS [81479],12.34,12.34,1.83,9.87,23
NDC,61269-402-60,HYDROXYUREA 200 MG PO CAPS [23009],6.0,6.0,0.89,4.8,23
NDC,61269-403-60,HYDROXYUREA 300 MG PO CAPS [23010],6.0,6.0,0.89,4.8,23
NDC,61269-404-60,HYDROXYUREA 400 MG PO CAPS [23011],6.0,6.0,0.89,4.8,23
NDC,61269-460-90,ORLISTAT 120 MG PO CAPS [23901],27.16,27.16,4.02,21.73,23
NDC,61314-014-05,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],284.09,284.09,42.05,227.27,23
NDC,61314-014-25,DICLOFENAC SODIUM 0.1 % OP SOLN [19714],193.86,193.86,28.69,155.09,23
NDC,61314-016-01,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.98,189.98,28.12,151.98,23
NDC,61314-019-10,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.66,259.66,38.43,207.73,23
NDC,61314-030-02,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],462.21,462.21,68.41,369.77,23
NDC,61314-126-05,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],397.74,397.74,58.87,318.19,23
NDC,61314-126-10,KETOROLAC TROMETHAMINE 0.5 % OP SOLN [19733],688.8,688.8,101.94,551.04,23
NDC,61314-143-05,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],141.38,141.38,20.92,113.1,23
NDC,61314-203-15,PILOCARPINE HCL 1 % OP SOLN [6279],383.42,383.42,56.75,306.74,23
NDC,61314-204-15,PILOCARPINE HCL 2 % OP SOLN [6280],380.08,380.08,56.25,304.06,23
NDC,61314-206-15,PILOCARPINE HCL 4 % OP SOLN [6282],398.46,398.46,58.97,318.77,23
NDC,61314-227-05,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
NDC,61314-237-10,CROMOLYN SODIUM 4 % OP SOLN [9691],161.08,161.08,23.84,128.86,23
NDC,61314-318-05,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY [129082],1079.9,1079.9,159.83,863.92,23
NDC,61314-318-10,FILGRASTIM-SNDZ 300 MCG/0.5ML IJ SOSY [129082],1079.9,1079.9,159.83,863.92,23
NDC,61314-326-01,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY [129083],1532.93,1532.93,226.87,1226.34,23
NDC,61314-326-10,FILGRASTIM-SNDZ 480 MCG/0.8ML IJ SOSY [129083],1532.92,1532.92,226.87,1226.34,23
NDC,61314-396-01,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],78.96,78.96,11.69,63.17,23
NDC,61314-396-03,CYCLOPENTOLATE HCL 1 % OP SOLN [2025],175.37,175.37,25.95,140.3,23
NDC,61314-547-01,LATANOPROST 0.005 % OP SOLN [18621],369.55,369.55,54.69,295.64,23
NDC,61314-628-10,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],81.88,81.88,12.12,65.5,23
NDC,61314-633-05,GENTAMICIN SULFATE 0.3 % OP SOLN [3428],93.97,93.97,13.91,75.18,23
NDC,61314-637-05,PREDNISOLONE ACETATE 1 % OP SUSP [6487],215.2,215.2,31.85,172.16,23
NDC,61314-637-10,PREDNISOLONE ACETATE 1 % OP SUSP [6487],416.74,416.74,61.68,333.39,23
NDC,61314-643-05,TOBRAMYCIN 0.3 % OP SOLN [7995],147.22,147.22,21.79,117.78,23
NDC,61314-645-11,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP [28810],395.4,395.4,58.52,316.32,23
NDC,61314-646-10,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN [34814],395.4,395.4,58.52,316.32,23
NDC,61314-647-25,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP [11567],282.26,282.26,41.77,225.81,23
NDC,61314-656-05,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],204.86,204.86,30.32,163.89,23
NDC,61314-656-25,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],108.38,108.38,16.04,86.7,23
NDC,61314-665-05,APRACLONIDINE HCL 0.5 % OP SOLN [9119],337.54,337.54,49.96,270.03,23
NDC,61314-701-01,SULFACETAMIDE SODIUM 10 % OP SOLN [7359],216.48,216.48,32.04,173.18,23
NDC,61314-866-01,PEGFILGRASTIM-BMEZ 6 MG/0.6ML SC SOSY [145763],11917.92,11917.92,1763.85,9534.34,23
NDC,61364-181-03,PERAMIVIR 200 MG/20ML IV SOLN [126226],1246.4,1246.4,184.47,997.12,23
NDC,61442-102-01,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
NDC,61442-112-05,ACYCLOVIR 400 MG PO TABS [8971],8.42,8.42,1.25,6.74,23
NDC,61442-114-05,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
NDC,61442-121-01,FAMOTIDINE 20 MG PO TABS [10011],9.76,9.76,1.44,7.81,23
NDC,61442-171-30,CEFACLOR 250 MG PO CAPS [9430],12.16,12.16,1.8,9.73,23
NDC,61442-172-30,CEFACLOR 500 MG PO CAPS [9431],23.8,23.8,3.52,19.04,23
NDC,61570-072-01,ESTERIFIED ESTROGENS 0.3 MG PO TABS [9963],10.67,10.67,1.58,8.54,23
NDC,61570-073-01,ESTERIFIED ESTROGENS 0.625 MG PO TABS [9964],15.16,15.16,2.24,12.13,23
NDC,61570-074-01,ESTERIFIED ESTROGENS 1.25 MG PO TABS [9965],21.15,21.15,3.13,16.92,23
NDC,61570-131-40,SILVER SULFADIAZINE 1 % EX CREA [7224],230.29,230.29,34.08,184.23,23
NDC,61570-131-50,SILVER SULFADIAZINE 1 % EX CREA [7224],81.31,81.31,12.03,65.05,23
NDC,61570-131-55,SILVER SULFADIAZINE 1 % EX CREA [7224],72.85,72.85,10.78,58.28,23
NDC,61570-260-01,QUINUPRISTIN-DALFOPRISTIN 500 MG IV SOLR [26335],1627.31,1627.31,240.84,1301.85,23
NDC,61570-260-10,QUINUPRISTIN-DALFOPRISTIN 500 MG IV SOLR [26335],1627.31,1627.31,240.84,1301.85,23
NDC,61703-303-46,CYTARABINE (PF) 20 MG/ML IJ SOLN [96982],147.22,147.22,21.79,117.78,23
NDC,61703-305-38,CYTARABINE (PF) 20 MG/ML IJ SOLN [96982],57.0,57.0,8.44,45.6,23
NDC,61703-319-22,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],105.57,105.57,15.62,84.46,23
NDC,61703-323-22,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],423.53,423.53,62.68,338.82,23
NDC,61703-324-18,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN [32589],81.46,81.46,12.06,65.17,23
NDC,61703-332-18,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],235.54,235.54,34.86,188.43,23
NDC,61703-339-50,CARBOPLATIN 450 MG/45ML IV SOLN [39267],220.04,220.04,32.57,176.03,23
NDC,61703-339-56,CARBOPLATIN 600 MG/60ML IV SOLN [40055],276.12,276.12,40.87,220.9,23
NDC,61703-342-50,PACLITAXEL 300 MG/50ML IV CONC [31097],332.79,332.79,49.25,266.23,23
NDC,61703-343-18,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],679.19,679.19,100.52,543.35,23
NDC,61703-363-18,OXALIPLATIN 50 MG/10ML IV SOLN [99602],224.07,224.07,33.16,179.26,23
NDC,61703-363-22,OXALIPLATIN 100 MG/20ML IV SOLN [99604],434.31,434.31,64.28,347.45,23
NDC,61703-408-41,METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN [115826],190.87,190.87,28.25,152.7,23
NDC,61748-012-01,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
NDC,61748-012-11,PYRAZINAMIDE 500 MG PO TABS [6738],30.53,30.53,4.52,24.42,23
NDC,61748-018-01,RIFAMPIN 300 MG PO CAPS [11293],9.46,9.46,1.4,7.57,23
NDC,61748-025-01,ETHOSUXIMIDE 250 MG PO CAPS [9989],10.49,10.49,1.55,8.39,23
NDC,61755-005-02,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN [111479],5757.02,5757.02,852.04,4605.62,23
NDC,61755-008-01,CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN [141478],33168.18,33168.18,4908.89,26534.54,23
NDC,61874-130-30,CARIPRAZINE HCL 3 MG PO CAPS [130651],236.34,236.34,34.98,189.07,23
NDC,61938-456-03,CALFACTANT IN NACL 35-0.9 MG/ML-% INTRATRACHEA SUSP [135334],1843.63,1843.63,272.86,1474.9,23
NDC,61958-0401-1,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],195.05,195.05,28.87,156.04,23
NDC,61958-0501-1,ADEFOVIR DIPIVOXIL 10 MG PO TABS [33816],253.68,253.68,37.54,202.94,23
NDC,61958-0601-1,EMTRICITABINE 200 MG PO CAPS [36252],92.93,92.93,13.75,74.34,23
NDC,61958-1003-1,RANOLAZINE ER 500 MG PO TB12 [70434],38.65,38.65,5.72,30.92,23
NDC,61958-1004-1,RANOLAZINE ER 1000 MG PO TB12 [88007],63.45,63.45,9.39,50.76,23
NDC,61958-1101-1,COMPLERA:EMTRICITAB-RILPIVIR-TENOFOVIR200-25-300MGTAB [110232],578.62,578.62,85.64,462.9,23
NDC,61958-1201-1,STRIBILD:150-150-200-300 MG PO TABS [116012],666.95,666.95,98.71,533.56,23
NDC,61958-1901-1,GENVOYA:150-150-200-10 MG PO TABLET [129834],635.79,635.79,94.1,508.63,23
NDC,61958-2002-1,DESCOVY:EMTRICITABINE-TENOFOVIR AF 200-25 MG TAB [131499],342.68,342.68,50.72,274.14,23
NDC,61958-2101-1,ODEFSEY:EMTRICIT-RILPIV-TENOFOV AF 200-25-25 MG TAB [131019],578.62,578.62,85.64,462.9,23
NDC,61958-2301-1,TENOFOVIR ALAFENAMIDE FUMARATE 25 MG PO TABS [134129],237.55,237.55,35.16,190.04,23
NDC,61958-2501-1,BIKTARVY:BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 PO TAB [138899],635.79,635.79,94.1,508.63,23
NDC,61958-2501-3,BIKTARVY:BICTEGRAVIR-EMTRICITABINE-TENOFOVIR ALAFENAMIDE 50-200-25 PO TAB [138899],635.79,635.79,94.1,508.63,23
NDC,61958-2901-1,REMDESIVIR 100 MG IV SOLR [147869],1815.84,1815.84,268.74,1452.67,23
NDC,61958-2901-2,REMDESIVIR 100 MG IV SOLR [147869],2216.9,2216.9,328.1,1773.52,23
NDC,61958-3001-3,LENACAPAVIR SODIUM 300 MG PO TABS [166793],2837.25,2837.25,419.91,2269.8,23
NDC,61958-3002-1,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN [158494],29601.0,29601.0,4380.95,23680.8,23
NDC,61990-0411-1,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],751.49,751.49,111.22,601.19,23
NDC,62011-0354-1,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,62037-600-90,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
NDC,62064-122-02,IBALIZUMAB-UIYK 200 MG/1.33ML IV SOLN [139365],4628.39,4628.39,685.0,3702.71,23
NDC,62135-502-47,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],1746.69,1746.69,258.51,1397.35,23
NDC,62135-520-47,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],1746.69,1746.69,258.51,1397.35,23
NDC,62135-750-47,HYDROXYZINE HCL 10 MG/5ML PO SYRP [3771],1746.69,1746.69,258.51,1397.35,23
NDC,62135-813-46,NYSTATIN 100000 UNIT/ML MT SUSP [5751],565.5,565.5,83.69,452.4,23
NDC,62175-119-37,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],6.0,6.0,0.89,4.8,23
NDC,62175-128-37,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],6.0,6.0,0.89,4.8,23
NDC,62175-129-37,ISOSORBIDE MONONITRATE ER 120 MG PO TB24 [27278],6.0,6.0,0.89,4.8,23
NDC,62175-260-55,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.16,6.16,0.91,4.93,23
NDC,62175-261-37,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.88,10.88,1.61,8.7,23
NDC,62175-310-37,METHYLPHENIDATE HCL ER 18 MG PO TB24 [129103],29.25,29.25,4.33,23.4,23
NDC,62175-320-46,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],24.52,24.52,3.63,19.62,23
NDC,62175-452-32,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
NDC,62175-458-32,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
NDC,62175-617-46,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],19.07,19.07,2.82,15.26,23
NDC,62175-820-32,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
NDC,62175-840-32,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
NDC,62175-890-46,ATORVASTATIN CALCIUM 10 MG PO TABS [19176],19.01,19.01,2.81,15.21,23
NDC,62295-3323-7,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],129.9,129.9,19.23,103.92,23
NDC,62295-3324-5,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],129.9,129.9,19.23,103.92,23
NDC,62327-222-02,TALC 2 G PL POWD [139649],617.53,617.53,91.39,494.02,23
NDC,62327-222-42,TALC 2 G PL POWD [139649],617.53,617.53,91.39,494.02,23
NDC,62327-333-03,TALC 3 G PL POWD [139651],690.77,690.77,102.23,552.62,23
NDC,62327-333-43,TALC 3 G PL POWD [139651],690.77,690.77,102.23,552.62,23
NDC,62332-001-31,FAMOTIDINE 20 MG PO TABS [10011],8.14,8.14,1.2,6.51,23
NDC,62332-023-31,FLUOXETINE HCL 20 MG PO CAPS [10070],11.83,11.83,1.75,9.46,23
NDC,62332-025-31,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
NDC,62332-030-31,ROPINIROLE HCL 0.25 MG PO TABS [21688],11.75,11.75,1.74,9.4,23
NDC,62332-033-31,ROPINIROLE HCL 2 MG PO TABS [21690],11.75,11.75,1.74,9.4,23
NDC,62332-034-31,ROPINIROLE HCL 3 MG PO TABS [30699],11.75,11.75,1.74,9.4,23
NDC,62332-040-60,LAMOTRIGINE 200 MG PO TABS [13983],26.57,26.57,3.93,21.26,23
NDC,62332-048-90,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,62332-049-90,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,62332-054-31,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,62332-054-91,CLONIDINE HCL 0.1 MG PO TABS [1755],6.0,6.0,0.89,4.8,23
NDC,62332-055-31,CLONIDINE HCL 0.2 MG PO TABS [1756],6.0,6.0,0.89,4.8,23
NDC,62332-061-30,LEFLUNOMIDE 10 MG PO TABS [23872],77.11,77.11,11.41,61.69,23
NDC,62332-062-30,LEFLUNOMIDE 20 MG PO TABS [23873],77.11,77.11,11.41,61.69,23
NDC,62332-100-30,ARIPIPRAZOLE 15 MG PO TABS [34370],138.56,138.56,20.51,110.85,23
NDC,62332-112-31,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,62332-118-31,BUPROPION HCL 75 MG PO TABS [9322],6.0,6.0,0.89,4.8,23
NDC,62332-119-90,PREGABALIN 25 MG PO CAPS [42162],27.51,27.51,4.07,22.01,23
NDC,62332-120-90,PREGABALIN 50 MG PO CAPS [42163],27.51,27.51,4.07,22.01,23
NDC,62332-121-90,PREGABALIN 75 MG PO CAPS [42164],27.51,27.51,4.07,22.01,23
NDC,62332-122-90,PREGABALIN 100 MG PO CAPS [42165],27.51,27.51,4.07,22.01,23
NDC,62332-123-90,PREGABALIN 150 MG PO CAPS [42166],27.51,27.51,4.07,22.01,23
NDC,62332-124-90,PREGABALIN 200 MG PO CAPS [42167],27.51,27.51,4.07,22.01,23
NDC,62332-125-90,PREGABALIN 225 MG PO CAPS [42168],27.51,27.51,4.07,22.01,23
NDC,62332-126-90,PREGABALIN 300 MG PO CAPS [42169],27.51,27.51,4.07,22.01,23
NDC,62332-204-30,ITRACONAZOLE 100 MG PO CAPS [10364],40.82,40.82,6.04,32.66,23
NDC,62332-205-90,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.7,25.7,3.8,20.56,23
NDC,62332-206-90,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.15,29.15,4.31,23.32,23
NDC,62332-207-90,AMLODIPINE-VALSARTAN 5 MG-320 MG TABS [82364],32.59,32.59,4.82,26.07,23
NDC,62332-208-90,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],37.01,37.01,5.48,29.61,23
NDC,62332-246-31,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
NDC,62332-250-50,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],10.03,10.03,1.48,8.02,23
NDC,62332-486-25,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
NDC,62332-497-30,LURASIDONE HCL 80 MG PO TABS [106032],163.82,163.82,24.25,131.06,23
NDC,62332-505-03,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.8,630.8,93.36,504.64,23
NDC,62332-582-04,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],43.15,43.15,6.39,34.52,23
NDC,62332-599-25,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,62332-600-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,62332-619-31,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],77.53,77.53,11.47,62.02,23
NDC,62332-724-35,MESALAMINE ER 0.375 G PO CP24 [95687],21.57,21.57,3.19,17.26,23
NDC,62332-736-31,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
NDC,62332-737-31,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
NDC,62332-739-31,CHLORPROMAZINE HCL 200 MG PO TABS [1655],98.91,98.91,14.64,79.13,23
NDC,62332-779-31,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
NDC,62484-0015-4,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],2653.86,2653.86,392.77,2123.09,23
NDC,62484-0015-5,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],2653.86,2653.86,392.77,2123.09,23
NDC,62559-138-07,HYDROCORTISONE 100 MG/60ML RECTAL ENEM [10210],111.46,111.46,16.5,89.17,23
NDC,62559-153-04,OPIUM 10 MG/ML (1%) PO TINC [99404],2153.34,2153.34,318.69,1722.67,23
NDC,62559-159-01,FLUVOXAMINE MALEATE 50 MG PO TABS [10085],12.08,12.08,1.79,9.66,23
NDC,62559-230-01,PROPAFENONE HCL 150 MG PO TABS [11146],7.69,7.69,1.14,6.15,23
NDC,62559-241-01,METHAZOLAMIDE 50 MG PO TABS [4962],48.02,48.02,7.11,38.42,23
NDC,62559-380-01,FLECAINIDE ACETATE 50 MG PO TABS [10043],8.19,8.19,1.21,6.55,23
NDC,62559-420-07,MESALAMINE 4 G RECTAL ENEM [10535],105.74,105.74,15.65,84.59,23
NDC,62559-430-01,HYDROCORTISONE (PERIANAL) 1 % EX CREA [147467],233.44,233.44,34.55,186.75,23
NDC,62559-490-01,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,62559-530-01,PROPRANOLOL HCL ER 60 MG PO CP24 [38224],9.6,9.6,1.42,7.68,23
NDC,62559-531-01,PROPRANOLOL HCL ER 80 MG PO CP24 [38225],11.21,11.21,1.66,8.97,23
NDC,62559-533-01,PROPRANOLOL HCL ER 160 MG PO CP24 [38227],18.26,18.26,2.7,14.61,23
NDC,62559-630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
NDC,62559-721-01,TERBUTALINE SULFATE 2.5 MG PO TABS [11508],25.58,25.58,3.79,20.46,23
NDC,62559-722-01,TERBUTALINE SULFATE 5 MG PO TABS [11509],31.24,31.24,4.62,24.99,23
NDC,62559-731-01,FELBAMATE 600 MG PO TABS [10025],28.13,28.13,4.16,22.5,23
NDC,62559-820-01,MEXILETINE HCL 150 MG PO CAPS [10595],11.92,11.92,1.76,9.54,23
NDC,62559-821-01,MEXILETINE HCL 200 MG PO CAPS [10596],14.23,14.23,2.11,11.38,23
NDC,62559-991-30,FLUCONAZOLE 100 MG PO TABS [10044],41.15,41.15,6.09,32.92,23
NDC,62559-992-12,FLUCONAZOLE 150 MG PO TABS [13577],65.69,65.69,9.72,52.55,23
NDC,62559-993-30,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
NDC,62584-159-01,DEMECLOCYCLINE HCL 150 MG PO TABS [9726],49.98,49.98,7.4,39.98,23
NDC,62584-265-01,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,62584-265-11,METOPROLOL TARTRATE 25 MG PO TABS [37637],6.0,6.0,0.89,4.8,23
NDC,62584-266-01,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,62584-266-11,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,62584-267-01,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
NDC,62584-267-11,METOPROLOL TARTRATE 100 MG PO TABS [5008],6.0,6.0,0.89,4.8,23
NDC,62584-713-01,ALLOPURINOL 300 MG PO TABS [311],6.0,6.0,0.89,4.8,23
NDC,62584-733-01,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,62584-733-11,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,62584-734-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,62584-734-11,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,62584-897-01,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,62584-897-11,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,62584-988-01,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,62584-988-11,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,62756-015-40,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.24,100.24,14.84,80.19,23
NDC,62756-060-40,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],218.66,218.66,32.36,174.93,23
NDC,62756-071-60,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
NDC,62756-071-64,PANTOPRAZOLE SODIUM 40 MG PO PACK [89791],79.85,79.85,11.82,63.88,23
NDC,62756-131-01,ONDANSETRON HCL 8 MG PO TABS [10779],170.31,170.31,25.21,136.25,23
NDC,62756-142-02,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
NDC,62756-147-86,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],19.84,19.84,2.94,15.87,23
NDC,62756-183-88,OXCARBAZEPINE 150 MG PO TABS [27049],6.8,6.8,1.01,5.44,23
NDC,62756-184-13,OXCARBAZEPINE 300 MG PO TABS [21061],12.41,12.41,1.84,9.93,23
NDC,62756-184-88,OXCARBAZEPINE 300 MG PO TABS [21061],12.41,12.41,1.84,9.93,23
NDC,62756-185-88,OXCARBAZEPINE 600 MG PO TABS [21157],22.81,22.81,3.38,18.25,23
NDC,62756-233-01,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR [21900],1002.67,1002.67,148.4,802.14,23
NDC,62756-427-90,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],919.16,919.16,136.04,735.33,23
NDC,62756-457-88,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],8.49,8.49,1.26,6.79,23
NDC,62756-459-83,BUPRENORPHINE HCL 2 MG SL SUBL [34711],21.15,21.15,3.13,16.92,23
NDC,62756-461-88,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,62756-512-44,AZITHROMYCIN 500 MG IV SOLR [21063],33.84,33.84,5.01,27.07,23
NDC,62756-518-88,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,62756-522-69,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
NDC,62756-529-40,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],2075.53,2075.53,307.18,1660.42,23
NDC,62756-589-88,LIOTHYRONINE SODIUM 5 MCG PO TABS [10443],6.0,6.0,0.89,4.8,23
NDC,62756-711-86,TOPIRAMATE 100 MG PO TABS [18922],32.67,32.67,4.84,26.14,23
NDC,62756-712-86,TOPIRAMATE 200 MG PO TABS [18921],38.31,38.31,5.67,30.65,23
NDC,62756-720-60,LEVONORGESTREL 1.5 MG PO TABS [99438],108.25,108.25,16.02,86.6,23
NDC,62756-796-88,DIVALPROEX SODIUM 125 MG PO TBEC [2551],6.0,6.0,0.89,4.8,23
NDC,62756-797-13,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.2,8.2,1.21,6.56,23
NDC,62756-797-88,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.2,8.2,1.21,6.56,23
NDC,62756-798-13,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.11,15.11,2.24,12.09,23
NDC,62756-798-88,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.11,15.11,2.24,12.09,23
NDC,62756-969-83,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
NDC,62756-970-83,BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL SUBL [34714],48.98,48.98,7.25,39.18,23
NDC,62856-212-01,LECANEMAB-IRMB 200 MG/2ML IV SOLN [158774],1018.02,1018.02,150.67,814.42,23
NDC,62856-215-01,LECANEMAB-IRMB 500 MG/5ML IV SOLN [158775],2257.96,2257.96,334.18,1806.37,23
NDC,62856-278-30,PERAMPANEL 8 MG PO TABS [121708],212.52,212.52,31.45,170.02,23
NDC,62856-389-01,ERIBULIN MESYLATE 1 MG/2ML IV SOLN [105737],4280.76,4280.76,633.55,3424.61,23
NDC,62856-704-05,LENVATINIB (4 MG DAILY DOSE) 4 MG PO CPPK [140943],2908.03,2908.03,430.39,2326.42,23
NDC,62856-704-30,LENVATINIB (4 MG DAILY DOSE) 4 MG PO CPPK [140943],2908.03,2908.03,430.39,2326.42,23
NDC,62856-708-05,LENVATINIB (8 MG DAILY DOSE) 2 X 4 MG PO CPPK [131713],1638.89,1638.89,242.56,1311.11,23
NDC,62856-708-30,LENVATINIB (8 MG DAILY DOSE) 2 X 4 MG PO CPPK [131713],1638.89,1638.89,242.56,1311.11,23
NDC,62856-710-05,LENVATINIB (10 MG DAILY DOSE) 10 MG PO CPPK [127013],2908.03,2908.03,430.39,2326.42,23
NDC,62856-710-30,LENVATINIB (10 MG DAILY DOSE) 10 MG PO CPPK [127013],2908.03,2908.03,430.39,2326.42,23
NDC,62856-712-05,LENVATINIB (12 MG DAILY DOSE) 3 X 4 MG PO CPPK [140942],1092.6,1092.6,161.7,874.08,23
NDC,62856-712-30,LENVATINIB (12 MG DAILY DOSE) 3 X 4 MG PO CPPK [140942],1092.6,1092.6,161.7,874.08,23
NDC,62856-714-05,LENVATINIB (14 MG DAILY DOSE) 10 & 4 MG PO CPPK [127009],1638.89,1638.89,242.56,1311.11,23
NDC,62856-714-30,LENVATINIB (14 MG DAILY DOSE) 10 & 4 MG PO CPPK [127009],1638.89,1638.89,242.56,1311.11,23
NDC,62856-718-05,LENVATINIB (18 MG DAILY DOSE) 10 MG & 2 X 4 MG PO CPPK [131714],1092.6,1092.6,161.7,874.08,23
NDC,62856-718-30,LENVATINIB (18 MG DAILY DOSE) 10 MG & 2 X 4 MG PO CPPK [131714],1092.6,1092.6,161.7,874.08,23
NDC,62856-720-05,LENVATINIB (20 MG DAILY DOSE) 2 X 10 MG PO CPPK [127008],1638.89,1638.89,242.56,1311.11,23
NDC,62856-720-30,LENVATINIB (20 MG DAILY DOSE) 2 X 10 MG PO CPPK [127008],1638.89,1638.89,242.56,1311.11,23
NDC,62856-724-05,LENVATINIB (24 MG DAILY DOSE) 2 X 10 MG & 4 MG PO CPPK [127014],1092.6,1092.6,161.7,874.08,23
NDC,62856-724-30,LENVATINIB (24 MG DAILY DOSE) 2 X 10 MG & 4 MG PO CPPK [127014],1092.6,1092.6,161.7,874.08,23
NDC,62935-223-05,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT [33669],4113.99,4113.99,608.87,3291.19,23
NDC,62935-453-45,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT [40801],8227.97,8227.97,1217.74,6582.38,23
NDC,62935-753-75,LEUPROLIDE ACETATE 7.5 MG SC KIT [32893],1577.31,1577.31,233.44,1261.85,23
NDC,62935-756-80,LEUPROLIDE ACETATE 7.5 MG SC KIT [32893],1577.31,1577.31,233.44,1261.85,23
NDC,62991-2015-1,CAFFEINE ANHYDROUS POWD [17500],379.28,379.28,56.13,303.42,23
NDC,62991-2502-1,PHENOL LIQD [41124],1082.4,1082.4,160.2,865.92,23
NDC,62991-2927-3,SILVER NITRATE CRYS [7222],1303.8,1303.8,192.96,1043.04,23
NDC,63020-049-01,BORTEZOMIB 3.5 MG IJ SOLR [121955],4866.71,4866.71,720.27,3893.37,23
NDC,63020-210-21,FRUQUINTINIB 1 MG CAPSULE [601355],1180.8,1180.8,174.76,944.64,23
NDC,63020-225-21,FRUQUINTINIB 5 MG CAPSULE [601356],3734.28,3734.28,552.67,2987.42,23
NDC,63037-139-25,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],25.85,25.85,3.83,20.68,23
NDC,63037-156-25,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],67.68,67.68,10.02,54.14,23
NDC,63044-150-05,PRENATAL VITAMIN PLUS LOW IRON 27-1 MG PO TABS [130462],6.0,6.0,0.89,4.8,23
NDC,63304-099-11,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
NDC,63304-099-19,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
NDC,63304-158-30,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
NDC,63304-241-59,CALCITRIOL 1 MCG/ML PO SOLN [16218],674.82,674.82,99.87,539.86,23
NDC,63304-451-01,MORPHINE SULFATE CR 30 MG PO TB12 [119091],14.91,14.91,2.21,11.93,23
NDC,63304-459-30,ONDANSETRON HCL 8 MG PO TABS [10779],178.71,178.71,26.45,142.97,23
NDC,63304-504-01,ACYCLOVIR 400 MG PO TABS [8971],10.2,10.2,1.51,8.16,23
NDC,63304-616-50,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.13,11.13,1.65,8.9,23
NDC,63304-694-01,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,63304-721-90,DILTIAZEM HCL ER COATED BEADS 300 MG PO CP24 [29276],12.5,12.5,1.85,10.0,23
NDC,63304-773-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,63304-828-90,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],27.14,27.14,4.02,21.71,23
NDC,63304-962-01,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],17.65,17.65,2.61,14.12,23
NDC,63304-962-30,BROMOCRIPTINE MESYLATE 2.5 MG PO TABS [9297],19.45,19.45,2.88,15.56,23
NDC,63323-010-01,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],26.18,26.18,3.87,20.94,23
NDC,63323-010-02,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],26.17,26.17,3.87,20.94,23
NDC,63323-010-03,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,63323-010-20,GENTAMICIN SULFATE 40 MG/ML IJ SOLN [3426],22.0,22.0,3.26,17.6,23
NDC,63323-011-15,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR [25518],227.1,227.1,33.61,181.68,23
NDC,63323-012-03,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,63323-012-07,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,63323-012-10,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],57.72,57.72,8.54,46.18,23
NDC,63323-012-11,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,63323-012-12,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,63323-012-17,OXYTOCIN 10 UNIT/ML IJ SOLN [5944],22.0,22.0,3.26,17.6,23
NDC,63323-013-01,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
NDC,63323-013-02,THIAMINE HCL 100 MG/ML IJ SOLN [7876],56.12,56.12,8.31,44.9,23
NDC,63323-013-09,THIAMINE HCL 100 MG/ML IJ SOLN [7876],28.77,28.77,4.26,23.02,23
NDC,63323-013-21,THIAMINE HCL 100 MG/ML IJ SOLN [7876],28.77,28.77,4.26,23.02,23
NDC,63323-024-25,MANNITOL 25 % IV SOLN [4750],34.08,34.08,5.04,27.26,23
NDC,63323-044-00,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],38.98,38.98,5.77,31.18,23
NDC,63323-044-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],38.98,38.98,5.77,31.18,23
NDC,63323-047-10,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],90.37,90.37,13.37,72.3,23
NDC,63323-064-03,MAGNESIUM SULFATE 50 % IJ SOLN [4720],22.0,22.0,3.26,17.6,23
NDC,63323-064-11,MAGNESIUM SULFATE 50 % IJ SOLN [4720],22.0,22.0,3.26,17.6,23
NDC,63323-083-05,SODIUM BICARBONATE 4.2 % IV SOLN [7306],122.26,122.26,18.09,97.81,23
NDC,63323-086-05,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],83.52,83.52,12.36,66.82,23
NDC,63323-088-61,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],66.27,66.27,9.81,53.02,23
NDC,63323-088-63,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],165.41,165.41,24.48,132.33,23
NDC,63323-089-50,SODIUM BICARBONATE 8.4 % IV SOLN [7309],129.04,129.04,19.1,103.23,23
NDC,63323-093-01,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],43.15,43.15,6.39,34.52,23
NDC,63323-093-30,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],43.15,43.15,6.39,34.52,23
NDC,63323-103-51,CISPLATIN 50 MG/50ML IV SOLN [88376],106.96,106.96,15.83,85.57,23
NDC,63323-103-64,CISPLATIN 200 MG/200ML IV SOLN [88378],384.34,384.34,56.88,307.47,23
NDC,63323-103-65,CISPLATIN 100 MG/100ML IV SOLN [88377],213.91,213.91,31.66,171.13,23
NDC,63323-104-01,ETOPOSIDE 100 MG/5ML IV SOLN [123430],70.18,70.18,10.39,56.14,23
NDC,63323-104-05,ETOPOSIDE 100 MG/5ML IV SOLN [123430],70.18,70.18,10.39,56.14,23
NDC,63323-104-50,ETOPOSIDE 1 GM/50ML IV SOLN [121723],562.68,562.68,83.28,450.14,23
NDC,63323-106-00,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],51.23,51.23,7.58,40.98,23
NDC,63323-106-01,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],51.23,51.23,7.58,40.98,23
NDC,63323-106-10,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],51.7,51.7,7.65,41.36,23
NDC,63323-113-10,PENTAMIDINE ISETHIONATE 300 MG IJ SOLR [27430],656.88,656.88,97.22,525.5,23
NDC,63323-117-61,FLUOROURACIL 5 GM/100ML IV SOLN [98249],152.42,152.42,22.56,121.94,23
NDC,63323-117-69,FLUOROURACIL 5 GM/100ML IV SOLN [98249],95.7,95.7,14.16,76.56,23
NDC,63323-120-20,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],108.6,108.6,16.07,86.88,23
NDC,63323-125-53,GEMCITABINE HCL 1 G IV SOLR [17122],228.74,228.74,33.85,182.99,23
NDC,63323-128-00,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
NDC,63323-128-20,DACARBAZINE 200 MG IV SOLR [2091],67.68,67.68,10.02,54.14,23
NDC,63323-130-11,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],136.82,136.82,20.25,109.46,23
NDC,63323-130-13,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],90.03,90.03,13.32,72.02,23
NDC,63323-132-10,MITOXANTRONE HCL 20 MG/10ML IV CONC [93748],1604.55,1604.55,237.47,1283.64,23
NDC,63323-134-10,PEMETREXED DISODIUM 100 MG IV SOLR [89350],565.5,565.5,83.69,452.4,23
NDC,63323-136-10,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],179.27,179.27,26.53,143.42,23
NDC,63323-137-20,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],356.1,356.1,52.7,284.88,23
NDC,63323-140-10,CLADRIBINE 10 MG/10ML IV SOLN [130886],1519.02,1519.02,224.81,1215.22,23
NDC,63323-142-10,IFOSFAMIDE 1 G IV SOLR [10248],270.98,270.98,40.11,216.78,23
NDC,63323-161-00,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,63323-161-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,63323-161-12,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,63323-161-21,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,63323-162-00,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],32.15,32.15,4.76,25.72,23
NDC,63323-162-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],32.15,32.15,4.76,25.72,23
NDC,63323-162-02,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],46.25,46.25,6.84,37.0,23
NDC,63323-162-03,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],46.25,46.25,6.84,37.0,23
NDC,63323-162-12,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,63323-162-14,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,63323-162-23,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,63323-165-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,63323-165-02,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,63323-165-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],38.97,38.97,5.77,31.18,23
NDC,63323-170-05,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],91.04,91.04,13.47,72.83,23
NDC,63323-170-15,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],171.54,171.54,25.39,137.23,23
NDC,63323-172-60,CARBOPLATIN 600 MG/60ML IV SOLN [40055],488.6,488.6,72.31,390.88,23
NDC,63323-173-01,GENTAMICIN SULFATE 10 MG/ML (NICU) IM INJ [3425],34.78,34.78,5.15,27.82,23
NDC,63323-173-02,GENTAMICIN SULFATE 10 MG/ML (NICU) IM INJ [3425],34.8,34.8,5.15,27.84,23
NDC,63323-178-76,STERILE WATER FOR INJECTION IJ SOLN [7484],28.2,28.2,4.17,22.56,23
NDC,63323-180-01,PYRIDOXINE HCL 100 MG/ML IJ SOLN [6744],112.91,112.91,16.71,90.33,23
NDC,63323-184-10,FOLIC ACID 5 MG/ML IJ SOLN [3232],298.37,298.37,44.16,238.7,23
NDC,63323-185-10,STERILE WATER FOR INJECTION IJ SOLN [7484],28.2,28.2,4.17,22.56,23
NDC,63323-185-50,STERILE WATER FOR INJECTION IJ SOLN [7484],47.71,47.71,7.06,38.17,23
NDC,63323-186-01,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,63323-186-10,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [144962],22.0,22.0,3.26,17.6,23
NDC,63323-192-02,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN [41294],1070.14,1070.14,158.38,856.11,23
NDC,63323-193-52,IRINOTECAN HCL 40 MG/2ML IV SOLN [91055],90.24,90.24,13.36,72.19,23
NDC,63323-193-55,IRINOTECAN HCL 100 MG/5ML IV SOLN [91054],176.67,176.67,26.15,141.34,23
NDC,63323-201-03,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,63323-201-10,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,63323-202-02,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
NDC,63323-208-05,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN [143138],22.0,22.0,3.26,17.6,23
NDC,63323-229-01,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],87.31,87.31,12.92,69.85,23
NDC,63323-229-05,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],87.31,87.31,12.92,69.85,23
NDC,63323-229-15,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
NDC,63323-229-30,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],247.02,247.02,36.56,197.62,23
NDC,63323-229-35,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],171.36,171.36,25.36,137.09,23
NDC,63323-229-41,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
NDC,63323-229-94,PROTAMINE SULFATE 10 MG/ML IV SOLN [6677],62.89,62.89,9.31,50.31,23
NDC,63323-236-10,CEFAZOLIN SODIUM 500 MG IJ SOLR [1448],22.0,22.0,3.26,17.6,23
NDC,63323-237-10,CEFAZOLIN SODIUM 1 G IJ SOLR [1445],22.0,22.0,3.26,17.6,23
NDC,63323-238-61,CEFAZOLIN SODIUM 10 G IJ SOLR [1446],70.73,70.73,10.47,56.58,23
NDC,63323-254-02,MINERAL OIL LIGHT OIL [27386],102.42,102.42,15.16,81.94,23
NDC,63323-254-10,MINERAL OIL LIGHT OIL [27386],118.39,118.39,17.52,94.71,23
NDC,63323-255-01,METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR [10580],34.3,34.3,5.08,27.44,23
NDC,63323-260-37,MEPIVACAINE HCL (PF) 1 % IJ SOLN [104825],62.89,62.89,9.31,50.31,23
NDC,63323-262-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],24.44,24.44,3.62,19.55,23
NDC,63323-262-06,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],23.47,23.47,3.47,18.78,23
NDC,63323-262-09,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,63323-262-26,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,63323-265-30,METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR [10577],177.79,177.79,26.31,142.23,23
NDC,63323-269-29,PROPOFOL 200 MG/20ML IV EMUL [130905],33.84,33.84,5.01,27.07,23
NDC,63323-269-57,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],33.84,33.84,5.01,27.07,23
NDC,63323-269-67,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],67.68,67.68,10.02,54.14,23
NDC,63323-272-05,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],701.07,701.07,103.76,560.86,23
NDC,63323-273-01,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN [97343],238.27,238.27,35.26,190.62,23
NDC,63323-280-01,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,63323-280-02,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,63323-280-03,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,63323-280-04,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,63323-280-10,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,63323-281-10,FLUPHENAZINE HCL 2.5 MG/ML IJ SOLN [3216],755.98,755.98,111.89,604.78,23
NDC,63323-282-04,CLINDAMYCIN PHOSPHATE 600 MG/4ML IJ SOLN [82301],22.0,22.0,3.26,17.6,23
NDC,63323-282-60,CLINDAMYCIN PHOSPHATE 9 GM/60ML IJ SOLN [107160],121.85,121.85,18.03,97.48,23
NDC,63323-285-07,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],62.33,62.33,9.22,49.86,23
NDC,63323-285-13,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],31.12,31.12,4.61,24.9,23
NDC,63323-285-23,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],62.23,62.23,9.21,49.78,23
NDC,63323-285-64,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],379.67,379.67,56.19,303.74,23
NDC,63323-286-01,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],81.69,81.69,12.09,65.35,23
NDC,63323-286-20,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],81.69,81.69,12.09,65.35,23
NDC,63323-286-23,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],93.16,93.16,13.79,74.53,23
NDC,63323-286-31,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],112.76,112.76,16.69,90.21,23
NDC,63323-286-35,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],117.3,117.3,17.36,93.84,23
NDC,63323-287-01,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],98.21,98.21,14.54,78.57,23
NDC,63323-287-20,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],98.21,98.21,14.54,78.57,23
NDC,63323-287-21,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],111.98,111.98,16.57,89.58,23
NDC,63323-294-27,MEPIVACAINE HCL (PF) 2 % IJ SOLN [104826],69.75,69.75,10.32,55.8,23
NDC,63323-303-51,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],377.76,377.76,55.91,302.21,23
NDC,63323-303-55,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],275.27,275.27,40.74,220.22,23
NDC,63323-304-74,PIPERACILLIN SOD-TAZOBACTAM SO 40.5 (36-4.5) G IV SOLR [12587],663.98,663.98,98.27,531.18,23
NDC,63323-304-78,PIPERACILLIN SOD-TAZOBACTAM SO 40.5 (36-4.5) G IV SOLR [12587],303.42,303.42,44.91,242.74,23
NDC,63323-305-02,TOBRAMYCIN SULFATE 10 MG/ML IJ SOLN [7993],72.14,72.14,10.68,57.71,23
NDC,63323-306-02,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,63323-306-30,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],114.32,114.32,16.92,91.46,23
NDC,63323-315-01,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],440.05,440.05,65.13,352.04,23
NDC,63323-315-10,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],440.05,440.05,65.13,352.04,23
NDC,63323-322-93,IMIPENEM-CILASTATIN 500 MG IV SOLR [9603],63.25,63.25,9.36,50.6,23
NDC,63323-325-03,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],97.69,97.69,14.46,78.15,23
NDC,63323-325-10,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],97.69,97.69,14.46,78.15,23
NDC,63323-325-20,ACYCLOVIR SODIUM 50 MG/ML IV SOLN [23128],181.86,181.86,26.92,145.49,23
NDC,63323-326-20,CEFEPIME HCL 1 G IJ SOLR [16369],35.82,35.82,5.3,28.66,23
NDC,63323-327-10,NAFCILLIN SODIUM 1 G IJ SOLR [5333],83.98,83.98,12.43,67.18,23
NDC,63323-328-20,NAFCILLIN SODIUM 2 G IJ SOLR [5335],150.12,150.12,22.22,120.1,23
NDC,63323-341-25,CEFOXITIN SODIUM 1 G IV SOLR [9461],39.43,39.43,5.84,31.54,23
NDC,63323-342-25,CEFOXITIN SODIUM 2 G IV SOLR [9463],78.74,78.74,11.65,62.99,23
NDC,63323-346-10,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,63323-351-20,RIFAMPIN 600 MG IV SOLR [11291],692.18,692.18,102.44,553.74,23
NDC,63323-360-01,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,63323-360-19,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,63323-367-01,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],62.04,62.04,9.18,49.63,23
NDC,63323-367-11,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],62.04,62.04,9.18,49.63,23
NDC,63323-371-10,DAPTOMYCIN 500 MG IV SOLR [36989],1555.63,1555.63,230.23,1244.5,23
NDC,63323-371-19,DAPTOMYCIN 500 MG IV SOLR [36989],129.9,129.9,19.23,103.92,23
NDC,63323-374-20,ONDANSETRON HCL 40 MG/20ML IJ SOLN [94097],105.22,105.22,15.57,84.18,23
NDC,63323-376-00,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],56.07,56.07,8.3,44.86,23
NDC,63323-376-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],56.07,56.07,8.3,44.86,23
NDC,63323-377-00,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],231.97,231.97,34.33,185.58,23
NDC,63323-377-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],231.96,231.96,34.33,185.57,23
NDC,63323-393-06,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.45,145.45,21.53,116.36,23
NDC,63323-398-10,AZITHROMYCIN 500 MG IV SOLR [21063],41.91,41.91,6.2,33.53,23
NDC,63323-398-12,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
NDC,63323-400-05,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],44.51,44.51,6.59,35.61,23
NDC,63323-401-20,AZTREONAM 1 G IJ SOLR [9185],187.48,187.48,27.75,149.98,23
NDC,63323-401-26,AZTREONAM 1 G IJ SOLR [9185],130.94,130.94,19.38,104.75,23
NDC,63323-402-20,AZTREONAM 2 G IJ SOLR [9186],342.22,342.22,50.65,273.78,23
NDC,63323-402-30,AZTREONAM 2 G IJ SOLR [9186],240.17,240.17,35.55,192.14,23
NDC,63323-403-10,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],133.28,133.28,19.73,106.62,23
NDC,63323-406-03,CAFFEINE CITRATE 20 MG/ML PO SOLN [77411],206.24,206.24,30.52,164.99,23
NDC,63323-407-03,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],161.77,161.77,23.94,129.42,23
NDC,63323-412-18,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
NDC,63323-412-25,MIDAZOLAM HCL 5 MG/ML IJ SOLN [10608],22.0,22.0,3.26,17.6,23
NDC,63323-415-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],145.49,145.49,21.53,116.39,23
NDC,63323-417-01,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
NDC,63323-417-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],95.61,95.61,14.15,76.49,23
NDC,63323-421-02,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],205.77,205.77,30.45,164.62,23
NDC,63323-426-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],38.22,38.22,5.66,30.58,23
NDC,63323-451-00,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN [116374],22.0,22.0,3.26,17.6,23
NDC,63323-451-01,MORPHINE SULFATE (PF) 10 MG/ML IJ SOLN [139936],22.0,22.0,3.26,17.6,23
NDC,63323-462-01,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],73.47,73.47,10.87,58.78,23
NDC,63323-462-17,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],44.23,44.23,6.55,35.38,23
NDC,63323-462-31,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],46.53,46.53,6.89,37.22,23
NDC,63323-462-37,BUPIVACAINE-EPINEPHRINE (PF) 0.5-1:200000 % IJ SOLN [104823],73.47,73.47,10.87,58.78,23
NDC,63323-464-01,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],40.33,40.33,5.97,32.26,23
NDC,63323-464-17,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],40.33,40.33,5.97,32.26,23
NDC,63323-464-31,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],38.92,38.92,5.76,31.14,23
NDC,63323-464-37,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],46.25,46.25,6.84,37.0,23
NDC,63323-466-17,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],32.2,32.2,4.77,25.76,23
NDC,63323-466-37,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],44.56,44.56,6.59,35.65,23
NDC,63323-468-01,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],43.15,43.15,6.39,34.52,23
NDC,63323-468-02,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],68.25,68.25,10.1,54.6,23
NDC,63323-468-17,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],43.15,43.15,6.39,34.52,23
NDC,63323-468-37,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN [104822],68.25,68.25,10.1,54.6,23
NDC,63323-471-01,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],240.33,240.33,35.57,192.26,23
NDC,63323-472-17,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],33.56,33.56,4.97,26.85,23
NDC,63323-472-37,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],46.25,46.25,6.84,37.0,23
NDC,63323-474-00,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],33.79,33.79,5.0,27.03,23
NDC,63323-474-01,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],33.79,33.79,5.0,27.03,23
NDC,63323-475-37,CHLOROPROCAINE HCL 1 % IJ SOLN [9523],93.79,93.79,13.88,75.03,23
NDC,63323-478-27,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN [132818],116.31,116.31,17.21,93.05,23
NDC,63323-481-57,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN [10426],51.47,51.47,7.62,41.18,23
NDC,63323-482-03,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],31.59,31.59,4.68,25.27,23
NDC,63323-482-17,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],22.33,22.33,3.3,17.86,23
NDC,63323-482-27,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN [10427],31.59,31.59,4.68,25.27,23
NDC,63323-483-27,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],32.06,32.06,4.74,25.65,23
NDC,63323-484-57,LIDOCAINE HCL 0.5 % IJ SOLN [4451],31.26,31.26,4.63,25.01,23
NDC,63323-485-01,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,63323-485-27,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,63323-486-17,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
NDC,63323-486-27,LIDOCAINE HCL 2 % IJ SOLN [4454],22.0,22.0,3.26,17.6,23
NDC,63323-488-37,LIDOCAINE-EPINEPHRINE 1.5 %-1:200000 IJ SOLN MPF [10429],92.62,92.62,13.71,74.1,23
NDC,63323-489-02,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],122.11,122.11,18.07,97.69,23
NDC,63323-489-17,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],66.04,66.04,9.77,52.83,23
NDC,63323-489-21,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],72.29,72.29,10.7,57.83,23
NDC,63323-489-27,LIDOCAINE-EPINEPHRINE 2 %-1:200000 IJ SOLN MPF [10431],122.11,122.11,18.07,97.69,23
NDC,63323-491-57,LIDOCAINE HCL (PF) 0.5 % IJ SOLN [105032],81.78,81.78,12.1,65.42,23
NDC,63323-492-04,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,63323-492-09,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.19,22.19,3.28,17.75,23
NDC,63323-492-27,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,63323-492-57,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.17,22.17,3.28,17.74,23
NDC,63323-495-04,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,63323-495-07,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,63323-495-09,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,63323-495-27,LIDOCAINE HCL (PF) 2 % IJ SOLN [102416],22.0,22.0,3.26,17.6,23
NDC,63323-506-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],42.3,42.3,6.26,33.84,23
NDC,63323-507-01,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
NDC,63323-507-19,MEROPENEM 500 MG IV SOLR [17379],56.4,56.4,8.35,45.12,23
NDC,63323-507-20,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
NDC,63323-507-21,MEROPENEM 500 MG IV SOLR [17379],22.0,22.0,3.26,17.6,23
NDC,63323-508-01,MEROPENEM 1 G IV SOLR [17380],33.28,33.28,4.93,26.62,23
NDC,63323-508-30,MEROPENEM 1 G IV SOLR [17380],33.28,33.28,4.93,26.62,23
NDC,63323-518-01,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],39.95,39.95,5.91,31.96,23
NDC,63323-518-77,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],39.95,39.95,5.91,31.96,23
NDC,63323-519-77,HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN [143153],30.55,30.55,4.52,24.44,23
NDC,63323-522-01,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],68.15,68.15,10.09,54.52,23
NDC,63323-522-77,HEPARIN (PORCINE) 50 UNIT/ML 500 ML IV SOLN [140422],68.15,68.15,10.09,54.52,23
NDC,63323-526-03,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1271.33,1271.33,188.16,1017.06,23
NDC,63323-530-21,SODIUM CHLORIDE 3 % IV SOLN [7321],23.5,23.5,3.48,18.8,23
NDC,63323-530-75,SODIUM CHLORIDE 3 % IV SOLN [7321],23.5,23.5,3.48,18.8,23
NDC,63323-531-90,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],89.68,89.68,13.27,71.74,23
NDC,63323-535-87,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],44.79,44.79,6.63,35.83,23
NDC,63323-537-84,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],154.9,154.9,22.93,123.92,23
NDC,63323-540-11,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],42.73,42.73,6.32,34.18,23
NDC,63323-540-13,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,63323-540-15,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.99,40.99,6.07,32.79,23
NDC,63323-540-31,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.19,40.19,5.95,32.15,23
NDC,63323-540-36,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],40.19,40.19,5.95,32.15,23
NDC,63323-540-67,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,63323-559-93,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],22.0,22.0,3.26,17.6,23
NDC,63323-564-21,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
NDC,63323-564-97,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
NDC,63323-568-83,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY [104174],33.68,33.68,4.98,26.94,23
NDC,63323-580-20,ATROPINE SULFATE 8 MG/20ML IJ SOLN [134969],356.17,356.17,52.71,284.94,23
NDC,63323-593-03,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
NDC,63323-594-03,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
NDC,63323-596-03,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
NDC,63323-596-06,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
NDC,63323-596-08,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
NDC,63323-596-11,GLUCAGON HCL 1 MG IJ SOLR [128092],994.57,994.57,147.2,795.66,23
NDC,63323-596-13,GLUCAGON HCL 1 MG IJ SOLR [128092],994.55,994.55,147.19,795.64,23
NDC,63323-596-16,GLUCAGON HCL 1 MG IJ SOLR [128092],678.6,678.6,100.43,542.88,23
NDC,63323-597-10,DEFEROXAMINE MESYLATE 500 MG IJ SOLR [9723],83.24,83.24,12.32,66.59,23
NDC,63323-599-30,DEFEROXAMINE MESYLATE 2 G IJ SOLR [9722],214.08,214.08,31.68,171.26,23
NDC,63323-604-00,PROPRANOLOL HCL 1 MG/ML IV SOLN [29335],64.75,64.75,9.58,51.8,23
NDC,63323-605-84,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],103.3,103.3,15.29,82.64,23
NDC,63323-607-88,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],67.29,67.29,9.96,53.83,23
NDC,63323-609-90,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY [104179],123.93,123.93,18.34,99.14,23
NDC,63323-614-00,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],80.75,80.75,11.95,64.6,23
NDC,63323-614-01,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],80.77,80.77,11.95,64.62,23
NDC,63323-614-21,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],73.78,73.78,10.92,59.02,23
NDC,63323-614-55,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],22.0,22.0,3.26,17.6,23
NDC,63323-616-01,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,63323-616-02,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],30.84,30.84,4.56,24.67,23
NDC,63323-616-03,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,63323-616-09,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],30.84,30.84,4.56,24.67,23
NDC,63323-617-10,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],45.78,45.78,6.78,36.62,23
NDC,63323-624-74,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,63323-624-75,DEXTROSE 5 % IV SOLN [2364],22.0,22.0,3.26,17.6,23
NDC,63323-624-75,DEXTROSE 5% FLUID - DIALYSIS [601063],22.0,22.0,3.26,17.6,23
NDC,63323-637-10,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],2074.25,2074.25,306.99,1659.4,23
NDC,63323-642-20,MAGNESIUM SULFATE 50 % IJ SOLN [4720],51.05,51.05,7.56,40.84,23
NDC,63323-642-50,MAGNESIUM SULFATE 50 % IJ SOLN [4720],121.03,121.03,17.91,96.82,23
NDC,63323-648-10,LEVOTHYROXINE SODIUM 500 MCG IV SOLR [111525],1843.46,1843.46,272.83,1474.77,23
NDC,63323-649-07,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],544.51,544.51,80.59,435.61,23
NDC,63323-649-16,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],399.4,399.4,59.11,319.52,23
NDC,63323-651-21,ADENOSINE 6 MG/2ML IV SOLN [38703],89.68,89.68,13.27,71.74,23
NDC,63323-651-89,ADENOSINE 6 MG/2ML IV SOLN [38703],89.68,89.68,13.27,71.74,23
NDC,63323-652-10,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],93.32,93.32,13.81,74.66,23
NDC,63323-658-20,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1171.75,1171.75,173.42,937.4,23
NDC,63323-658-27,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],227.3,227.3,33.64,181.84,23
NDC,63323-659-03,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1847.07,1847.07,273.37,1477.66,23
NDC,63323-659-09,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1558.66,1558.66,230.68,1246.93,23
NDC,63323-660-05,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,63323-664-00,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,63323-664-01,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,63323-665-00,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],102.37,102.37,15.15,81.9,23
NDC,63323-665-01,TERBUTALINE SULFATE 1 MG/ML IJ SOLN [11507],102.37,102.37,15.15,81.9,23
NDC,63323-683-01,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],28.2,28.2,4.17,22.56,23
NDC,63323-683-10,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN [36046],28.2,28.2,4.17,22.56,23
NDC,63323-686-10,KCL IN NACL 20-0.9 MEQ/L-% IV SOLN [102430],28.2,28.2,4.17,22.56,23
NDC,63323-688-01,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],32.9,32.9,4.87,26.32,23
NDC,63323-688-10,KCL IN NACL 40-0.9 MEQ/L-% IV SOLN [102431],32.9,32.9,4.87,26.32,23
NDC,63323-690-30,ACETYLCYSTEINE 20 % IN SOLN [123],154.07,154.07,22.8,123.26,23
NDC,63323-694-04,ACETYLCYSTEINE 20 % IN SOLN [123],90.08,90.08,13.33,72.06,23
NDC,63323-696-25,EPINEPHRINE 1 MG/ML IJ SOLN [121301],70.39,70.39,10.42,56.31,23
NDC,63323-713-03,LINEZOLID 600 MG/300ML IV SOLN [130884],207.84,207.84,30.76,166.27,23
NDC,63323-713-13,LINEZOLID 600 MG/300ML IV SOLN [130884],212.4,212.4,31.44,169.92,23
NDC,63323-724-05,REMIFENTANIL HCL 2 MG IV SOLR [18400],581.88,581.88,86.12,465.5,23
NDC,63323-733-10,MESNA 100 MG/ML IV SOLN [10537],309.49,309.49,45.8,247.59,23
NDC,63323-733-11,MESNA 100 MG/ML IV SOLN [10537],309.49,309.49,45.8,247.59,23
NDC,63323-739-11,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,63323-739-12,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,63323-751-01,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,63323-751-05,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],114.58,114.58,16.96,91.66,23
NDC,63323-751-13,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,63323-762-10,TOPOTECAN HCL 4 MG IV SOLR [17285],924.96,924.96,136.89,739.97,23
NDC,63323-763-50,PACLITAXEL 300 MG/50ML IV CONC [31097],584.92,584.92,86.57,467.94,23
NDC,63323-806-01,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-02,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-05,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-11,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-12,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-13,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],22.0,22.0,3.26,17.6,23
NDC,63323-806-14,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],47.94,47.94,7.1,38.35,23
NDC,63323-806-20,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],47.94,47.94,7.1,38.35,23
NDC,63323-806-50,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN [4083037],129.9,129.9,19.23,103.92,23
NDC,63323-815-04,AMIKACIN SULFATE 1 GM/4ML IJ SOLN [107159],121.07,121.07,17.92,96.86,23
NDC,63323-820-00,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],125.57,125.57,18.58,100.46,23
NDC,63323-820-10,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],322.87,322.87,47.78,258.3,23
NDC,63323-820-50,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],194.85,194.85,28.84,155.88,23
NDC,63323-820-74,FAT EMUL FISH OIL/PLANT BASED 20 % IV EMUL [132810],148.31,148.31,21.95,118.65,23
NDC,63323-824-25,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
NDC,63323-824-75,DEXTROSE 10 % IV SOLN [2357],28.2,28.2,4.17,22.56,23
NDC,63323-850-74,MOXIFLOXACIN HCL 400 MG/250ML IV SOLN [128685],214.93,214.93,31.81,171.94,23
NDC,63323-853-03,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],24.35,24.35,3.6,19.48,23
NDC,63323-853-25,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],24.37,24.37,3.61,19.5,23
NDC,63323-871-15,DAPTOMYCIN 500 MG IV SOLR [36989],1555.63,1555.63,230.23,1244.5,23
NDC,63323-881-01,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.15,214.15,31.69,171.32,23
NDC,63323-881-16,SODIUM PHOSPHATES 45 MMOLE/15ML IV SOLN [134898],214.15,214.15,31.69,171.32,23
NDC,63323-884-01,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],100.85,100.85,14.93,80.68,23
NDC,63323-884-06,SODIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [134897],100.85,100.85,14.93,80.68,23
NDC,63323-960-10,TIGECYCLINE 50 MG IV SOLR [41652],705.75,705.75,104.45,564.6,23
NDC,63323-963-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],497.64,497.64,73.65,398.11,23
NDC,63323-965-03,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
NDC,63323-965-10,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
NDC,63323-965-20,KCL 2 MEQ/ML IV SOLN [6429],22.0,22.0,3.26,17.6,23
NDC,63323-970-02,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],256.74,256.74,38.0,205.39,23
NDC,63361-243-15,DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY [150593],705.55,705.55,104.42,564.44,23
NDC,63361-243-88,DTAP-IPV-HIB-HEPATITIS B RECMB IM SUSY [150593],705.15,705.15,104.36,564.12,23
NDC,63402-302-30,LURASIDONE HCL 20 MG PO TABS [112380],220.75,220.75,32.67,176.6,23
NDC,63402-304-30,LURASIDONE HCL 40 MG PO TABS [106031],220.75,220.75,32.67,176.6,23
NDC,63402-306-30,LURASIDONE HCL 60 MG PO TABS [121854],220.75,220.75,32.67,176.6,23
NDC,63402-308-10,LURASIDONE HCL 80 MG PO TABS [106032],209.5,209.5,31.01,167.6,23
NDC,63402-308-30,LURASIDONE HCL 80 MG PO TABS [106032],220.75,220.75,32.67,176.6,23
NDC,63402-510-01,LEVALBUTEROL TARTRATE 45 MCG/ACT IN AERO [43472],334.47,334.47,49.5,267.58,23
NDC,63459-103-10,RITUXIMAB-ABBS 100 MG/10ML IV SOLN [145743],2567.09,2567.09,379.93,2053.67,23
NDC,63459-104-50,RITUXIMAB-ABBS 500 MG/50ML IV SOLN [145744],12835.45,12835.45,1899.65,10268.36,23
NDC,63459-348-04,BENDAMUSTINE HCL 100 MG/4ML IV SOLN [130051],7510.46,7510.46,1111.55,6008.37,23
NDC,63459-404-30,TIAGABINE HCL 4 MG PO TABS [21827],67.18,67.18,9.94,53.74,23
NDC,63459-601-06,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN [136839],7749.58,7749.58,1146.94,6199.66,23
NDC,63629-1028-1,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
NDC,63629-1030-1,HYOSCYAMINE SULFATE 0.125 MG PO TBDP [29822],6.0,6.0,0.89,4.8,23
NDC,63629-1046-1,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],16.18,16.18,2.39,12.94,23
NDC,63629-1061-1,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,63629-1092-1,SPIRONOLACTONE 100 MG PO TABS [11425],6.66,6.66,0.99,5.33,23
NDC,63629-1221-1,ALBENDAZOLE 200 MG PO TABS [8979],858.69,858.69,127.09,686.95,23
NDC,63629-1913-1,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
NDC,63629-2010-1,DICLOFENAC SODIUM 50 MG PO TBEC [15340],6.0,6.0,0.89,4.8,23
NDC,63629-2095-1,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
NDC,63629-2214-1,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,63629-2326-1,HALOPERIDOL 10 MG PO TABS [3580],6.74,6.74,1.0,5.39,23
NDC,63629-2370-1,TIZANIDINE HCL 2 MG PO TABS [14792],6.0,6.0,0.89,4.8,23
NDC,63629-2464-1,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],7.95,7.95,1.18,6.36,23
NDC,63629-2488-1,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
NDC,63629-8713-1,ESTRADIOL 0.1 MG/GM VA CREA [9969],1114.09,1114.09,164.89,891.27,23
NDC,63629-8741-1,CALCITRIOL 0.25 MCG PO CAPS [9350],6.0,6.0,0.89,4.8,23
NDC,63629-8748-1,DULOXETINE HCL 60 MG PO CPEP [39277],36.91,36.91,5.46,29.53,23
NDC,63629-8766-1,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
NDC,63629-8906-1,PRAVASTATIN SODIUM 20 MG PO TABS [11111],6.0,6.0,0.89,4.8,23
NDC,63629-9165-1,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,63629-9482-1,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],21.22,21.22,3.14,16.98,23
NDC,63646-010-04,KETOCONAZOLE 2 % EX SHAM [14132],102.37,102.37,15.15,81.9,23
NDC,63736-00885,DYCLONINE HCL 2 MG MT LOZG [78044],6.0,6.0,0.89,4.8,23
NDC,63736-024-03,PERMETHRIN 1 % EX LIQD [10918],47.42,47.42,7.02,37.94,23
NDC,63736-12002,PERMETHRIN 1 % EX LIQD [10918],73.21,73.21,10.84,58.57,23
NDC,63736-12003,PERMETHRIN 1 % EX LIQD [10918],59.07,59.07,8.74,47.26,23
NDC,63739-016-10,DILTIAZEM HCL ER COATED BEADS 240 MG PO CP24 [29274],6.0,6.0,0.89,4.8,23
NDC,63739-029-10,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,63739-051-10,AMIODARONE HCL 200 MG PO TABS [9066],6.0,6.0,0.89,4.8,23
NDC,63739-052-57,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.52,9.52,1.41,7.62,23
NDC,63739-052-69,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.59,9.59,1.42,7.67,23
NDC,63739-052-74,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.0,6.0,0.89,4.8,23
NDC,63739-067-02,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,63739-087-02,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,63739-098-10,MIRTAZAPINE 15 MG PO TABS [17466],6.0,6.0,0.89,4.8,23
NDC,63739-145-10,MIDODRINE HCL 5 MG PO TABS [10610],6.0,6.0,0.89,4.8,23
NDC,63739-157-10,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],16.38,16.38,2.42,13.1,23
NDC,63739-157-70,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],16.38,16.38,2.42,13.1,23
NDC,63739-159-10,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],10.72,10.72,1.59,8.58,23
NDC,63739-159-77,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],10.72,10.72,1.59,8.58,23
NDC,63739-170-13,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,63739-170-24,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,63739-170-27,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,63739-178-30,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],74.94,74.94,11.09,59.95,23
NDC,63739-193-51,SUCRALFATE 1 GM/10ML PO SUSP [11441],46.25,46.25,6.84,37.0,23
NDC,63739-193-72,SUCRALFATE 1 GM/10ML PO SUSP [11441],46.25,46.25,6.84,37.0,23
NDC,63739-196-01,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,63739-196-10,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,63739-198-61,PEG 3350 17 G PO PACK [100055],7.05,7.05,1.04,5.64,23
NDC,63739-212-02,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,63739-236-10,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
NDC,63739-327-10,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,63739-328-10,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,63739-333-10,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
NDC,63739-367-10,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
NDC,63739-403-10,NAPROXEN 500 MG PO TABS [5393],6.0,6.0,0.89,4.8,23
NDC,63739-410-10,ALLOPURINOL 100 MG PO TABS [310],6.0,6.0,0.89,4.8,23
NDC,63739-411-10,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
NDC,63739-415-10,RIFAMPIN 300 MG PO CAPS [11293],8.94,8.94,1.32,7.15,23
NDC,63739-434-02,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,63739-479-10,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
NDC,63739-483-10,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
NDC,63739-486-10,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,63739-544-10,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,63739-559-10,CIPROFLOXACIN HCL 500 MG PO TABS [25119],6.0,6.0,0.89,4.8,23
NDC,63739-560-10,GABAPENTIN 600 MG PO TABS [25855],6.0,6.0,0.89,4.8,23
NDC,63739-564-10,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,63739-567-10,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],6.0,6.0,0.89,4.8,23
NDC,63739-569-10,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,63739-570-10,SIMVASTATIN 5 MG PO TABS [11367],6.0,6.0,0.89,4.8,23
NDC,63739-571-10,SIMVASTATIN 10 MG PO TABS [11364],6.0,6.0,0.89,4.8,23
NDC,63739-572-10,SIMVASTATIN 20 MG PO TABS [11365],6.0,6.0,0.89,4.8,23
NDC,63739-573-10,SIMVASTATIN 40 MG PO TABS [11366],6.0,6.0,0.89,4.8,23
NDC,63739-591-10,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,63739-645-10,FAMOTIDINE 20 MG PO TABS [10011],6.0,6.0,0.89,4.8,23
NDC,63739-665-10,QUETIAPINE FUMARATE 100 MG PO TABS [21824],6.0,6.0,0.89,4.8,23
NDC,63739-673-10,LOSARTAN POTASSIUM 25 MG PO TABS [14823],6.0,6.0,0.89,4.8,23
NDC,63739-698-10,LOSARTAN POTASSIUM 100 MG PO TABS [22588],6.0,6.0,0.89,4.8,23
NDC,63739-700-10,CIPROFLOXACIN HCL 250 MG PO TABS [25118],6.0,6.0,0.89,4.8,23
NDC,63739-777-10,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.45,20.45,3.03,16.36,23
NDC,63739-787-10,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
NDC,63739-797-33,NIMODIPINE 30 MG PO CAPS [10722],16.21,16.21,2.4,12.97,23
NDC,63739-902-10,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,63739-903-10,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
NDC,63739-904-10,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
NDC,63739-931-28,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],22.0,22.0,3.26,17.6,23
NDC,63739-943-10,SUCRALFATE 1 G PO TABS [11442],6.0,6.0,0.89,4.8,23
NDC,63739-953-25,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,63739-963-10,PAROXETINE HCL 20 MG PO TABS [10855],6.0,6.0,0.89,4.8,23
NDC,63739-972-10,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
NDC,63739-973-10,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,63739-976-10,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
NDC,63739-984-10,GABAPENTIN 400 MG PO CAPS [18307],6.0,6.0,0.89,4.8,23
NDC,63739-991-10,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,63739-995-10,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.0,6.0,0.89,4.8,23
NDC,63739-997-64,LIDOCAINE HCL 4 % EX SOLN [4450],171.47,171.47,25.38,137.18,23
NDC,63824-008-15,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,63824-008-50,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,63824-057-18,PSEUDOEPHEDRINE-GUAIFENESIN ER 60-600 MG PO TB12 [27529],6.0,6.0,0.89,4.8,23
NDC,63824-057-36,PSEUDOEPHEDRINE-GUAIFENESIN ER 60-600 MG PO TB12 [27529],6.0,6.0,0.89,4.8,23
NDC,63824-713-16,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
NDC,63824-715-16,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
NDC,63833-386-02,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT [120319],4528.7,4528.7,670.25,3622.96,23
NDC,63833-387-02,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS/40 ML IV KIT [123623],9057.4,9057.4,1340.5,7245.92,23
NDC,63833-396-01,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT [120319],3504.05,3504.05,518.6,2803.24,23
NDC,63833-397-01,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS/40 ML IV KIT [123623],7008.1,7008.1,1037.2,5606.48,23
NDC,63833-616-02,ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR [70405],22.0,22.0,3.26,17.6,23
NDC,63833-825-02,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT [100265],12968.61,12968.61,1919.35,10374.89,23
NDC,64193-324-01,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS IV SOLR [143148],6831.0,6831.0,1010.99,5464.8,23
NDC,64193-325-01,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR [143149],17077.5,17077.5,2527.47,13662.0,23
NDC,64193-424-02,ANTIINHIBITOR COAGULANT CMPLX 1000 UNITS IV SOLR [143148],6831.0,6831.0,1010.99,5464.8,23
NDC,64193-425-02,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR [143149],17077.5,17077.5,2527.47,13662.0,23
NDC,64193-426-02,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR [143147],3415.5,3415.5,505.49,2732.4,23
NDC,64253-020-91,STERILE WATER FOR INJECTION IJ SOLN [7484],22.0,22.0,3.26,17.6,23
NDC,64253-333-35,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN [15235],22.0,22.0,3.26,17.6,23
NDC,64253-400-30,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],56.4,56.4,8.35,45.12,23
NDC,64253-400-91,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],56.4,56.4,8.35,45.12,23
NDC,64253-444-25,HEPARIN NA (PORK) LOCK FLSH PF 1 UNIT/ML IV SOLN [159294],27.0,27.0,4.0,21.6,23
NDC,64253-900-91,CALCIUM CHLORIDE 10 % IV SOLN [1306],56.4,56.4,8.35,45.12,23
NDC,64281-100-00,METHACHOLINE CHLORIDE 100 MG IN SOLR [27032],411.69,411.69,60.93,329.35,23
NDC,64281-100-06,METHACHOLINE CHLORIDE 100 MG IN SOLR [27032],411.69,411.69,60.93,329.35,23
NDC,64380-159-03,MEGESTROL ACETATE 40 MG PO TABS [4871],6.0,6.0,0.89,4.8,23
NDC,64380-160-01,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],542.88,542.88,80.35,434.3,23
NDC,64380-166-01,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],356.96,356.96,52.83,285.57,23
NDC,64380-175-01,OLANZAPINE 20 MG PO TBDP [28162],177.04,177.04,26.2,141.63,23
NDC,64380-175-02,OLANZAPINE 20 MG PO TBDP [28162],177.04,177.04,26.2,141.63,23
NDC,64380-184-01,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
NDC,64380-185-01,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
NDC,64380-198-01,AMLOD/VALSA/HCTZ 5-160-25 MG TAB [97745],44.99,44.99,6.66,35.99,23
NDC,64380-200-01,AMLOD/VALSA/HCTZ 10-160-25 MG TABS [97747],51.04,51.04,7.55,40.83,23
NDC,64380-201-01,AMLOD/VALSA/HCTZ 10-320-25 MG TABS [97748],64.79,64.79,9.59,51.83,23
NDC,64380-212-01,METHIMAZOLE 5 MG PO TABS [10553],6.0,6.0,0.89,4.8,23
NDC,64380-213-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,64380-707-03,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],72.98,72.98,10.8,58.38,23
NDC,64380-710-03,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
NDC,64380-711-04,LAMIVUDINE 300 MG PO TABS [33937],67.24,67.24,9.95,53.79,23
NDC,64380-712-06,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
NDC,64380-714-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],175.5,175.5,25.97,140.4,23
NDC,64380-717-03,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
NDC,64380-720-06,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,64380-722-06,TACROLIMUS 5 MG PO CAPS [12934],96.56,96.56,14.29,77.25,23
NDC,64380-725-06,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.26,37.26,5.51,29.81,23
NDC,64380-726-06,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.63,18.63,2.76,14.9,23
NDC,64380-734-08,HYDRALAZINE HCL 25 MG PO TABS [3700],6.0,6.0,0.89,4.8,23
NDC,64380-741-06,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,64380-741-08,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,64380-742-06,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,64380-743-18,BUSPIRONE HCL 15 MG PO TABS [17464],9.65,9.65,1.43,7.72,23
NDC,64380-782-06,PREDNISONE 1 MG PO TABS [6493],6.0,6.0,0.89,4.8,23
NDC,64380-783-06,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,64380-787-06,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
NDC,64380-797-01,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,64380-799-01,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,64380-808-07,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,64380-834-06,ACETAZOLAMIDE 250 MG PO TABS [113],13.01,13.01,1.93,10.41,23
NDC,64380-883-04,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
NDC,64380-884-04,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
NDC,64380-885-04,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
NDC,64380-906-03,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
NDC,64380-970-25,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
NDC,64380-971-06,HYDROCORTISONE 10 MG PO TABS [3733],8.08,8.08,1.2,6.46,23
NDC,64597-301-60,DEXTROMETHORPHAN-QUINIDINE 20-10 MG PO CAPS [106035],136.3,136.3,20.17,109.04,23
NDC,64679-465-50,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
NDC,64679-465-51,LIDOCAINE HCL 4 % EX SOLN [4450],207.84,207.84,30.76,166.27,23
NDC,64679-781-02,ENTACAPONE 200 MG PO TABS [26547],18.59,18.59,2.75,14.87,23
NDC,64679-848-02,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],6.0,6.0,0.89,4.8,23
NDC,64679-921-01,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.66,20.66,3.06,16.53,23
NDC,64679-921-02,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
NDC,64679-924-02,ENALAPRIL MALEATE 5 MG PO TABS [9927],8.7,8.7,1.29,6.96,23
NDC,64764-080-60,LUBIPROSTONE 8 MCG PO CAPS [91534],34.89,34.89,5.16,27.91,23
NDC,64764-119-01,COLCHICINE 0.6 MG PO TABS [1821],40.56,40.56,6.0,32.45,23
NDC,64764-151-04,PIOGLITAZONE HCL 15 MG PO TABS [25528],73.06,73.06,10.81,58.45,23
NDC,64764-240-60,LUBIPROSTONE 24 MCG PO CAPS [70472],34.89,34.89,5.16,27.91,23
NDC,64764-677-30,FEBUXOSTAT 80 MG PO TABS [97134],62.05,62.05,9.18,49.64,23
NDC,64764-805-30,RAMELTEON 8 MG PO TABS [42064],73.14,73.14,10.82,58.51,23
NDC,64764-918-30,FEBUXOSTAT 40 MG PO TABS [97133],62.05,62.05,9.18,49.64,23
NDC,64842-0120-6,FUTIBATINIB (20 MG DAILY DOSE) 4 MG PO TBPK [157736],711.44,711.44,105.29,569.15,23
NDC,64842-0727-9,DECITABINE-CEDAZURIDINE 35-100 MG PO TABS [149207],5267.38,5267.38,779.57,4213.9,23
NDC,64850-500-01,AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS [21284],8.06,8.06,1.19,6.45,23
NDC,64950-362-04,COCAINE HCL 40 MG/ML NA SOLN [139948],964.32,964.32,142.72,771.46,23
NDC,64950-378-96,SILVER NITRATE 0.5 % EX SOLN [28001],1492.54,1492.54,220.9,1194.03,23
NDC,64980-133-01,DIPYRIDAMOLE 25 MG PO TABS [2528],6.68,6.68,0.99,5.34,23
NDC,64980-158-01,PROTRIPTYLINE HCL 5 MG PO TABS [11164],15.52,15.52,2.3,12.42,23
NDC,64980-177-50,CHLOROQUINE PHOSPHATE 250 MG PO TABS [1637],43.22,43.22,6.4,34.58,23
NDC,64980-220-03,PYRIDOSTIGMINE BROMIDE ER 180 MG PO TBCR [11240],107.42,107.42,15.9,85.94,23
NDC,64980-261-01,METHIMAZOLE 10 MG PO TABS [10552],6.0,6.0,0.89,4.8,23
NDC,64980-272-01,GLYCOPYRROLATE 1 MG PO TABS [10130],6.18,6.18,0.91,4.94,23
NDC,64980-280-01,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
NDC,64980-282-96,MESALAMINE 1000 MG RECTAL SUPP [40369],165.39,165.39,24.48,132.31,23
NDC,64980-294-10,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
NDC,64980-301-30,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA [28824],339.72,339.72,50.28,271.78,23
NDC,64980-304-01,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,64980-328-01,BENZOYL PEROXIDE-ERYTHROMYCIN 5-3 % EX GEL [9254],680.26,680.26,100.68,544.21,23
NDC,64980-339-01,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
NDC,64980-339-12,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
NDC,64980-339-90,MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS [89740],6.0,6.0,0.89,4.8,23
NDC,64980-340-01,ALENDRONATE SODIUM 10 MG PO TABS [15661],13.74,13.74,2.03,10.99,23
NDC,64980-405-24,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],591.74,591.74,87.58,473.39,23
NDC,64980-406-03,EFAVIRENZ 50 MG PO CAPS [23898],13.84,13.84,2.05,11.07,23
NDC,64980-407-09,EFAVIRENZ 200 MG PO CAPS [23900],55.31,55.31,8.19,44.25,23
NDC,64980-410-09,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
NDC,64980-439-01,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
NDC,64980-503-12,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.29,200.29,29.64,160.23,23
NDC,64980-504-48,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP [2032],250.24,250.24,37.04,200.19,23
NDC,64980-511-10,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
NDC,64980-514-05,TIMOLOL MALEATE 0.5 % OP SOLN [11562],79.9,79.9,11.83,63.92,23
NDC,64980-526-03,NITAZOXANIDE 500 MG PO TABS [39254],578.63,578.63,85.64,462.9,23
NDC,64980-526-21,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
NDC,64980-526-60,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
NDC,64980-528-10,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
NDC,64980-595-01,DOXEPIN HCL 25 MG PO CAPS [2611],6.0,6.0,0.89,4.8,23
NDC,64980-598-01,DOXEPIN HCL 100 MG PO CAPS [2609],9.27,9.27,1.37,7.42,23
NDC,65145-108-10,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],35.63,35.63,5.27,28.5,23
NDC,65162-002-03,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
NDC,65162-033-10,ACETAMINOPHEN-CODEINE 300-30 MG PO TABS [14087],6.0,6.0,0.89,4.8,23
NDC,65162-058-27,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
NDC,65162-082-03,LURASIDONE HCL 60 MG PO TABS [121854],209.72,209.72,31.04,167.78,23
NDC,65162-087-74,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],1204.42,1204.42,178.25,963.54,23
NDC,65162-188-10,NAPROXEN 250 MG PO TABS [5391],6.0,6.0,0.89,4.8,23
NDC,65162-281-03,PALIPERIDONE ER 3 MG PO TB24 [78064],132.49,132.49,19.61,105.99,23
NDC,65162-282-03,PALIPERIDONE ER 6 MG PO TB24 [78065],132.49,132.49,19.61,105.99,23
NDC,65162-283-03,PALIPERIDONE ER 9 MG PO TB24 [78066],198.73,198.73,29.41,158.98,23
NDC,65162-321-09,NIACIN ER (ANTIHYPERLIPIDEMIC) 500 MG PO TBCR [27181],24.52,24.52,3.63,19.62,23
NDC,65162-323-09,NIACIN ER (ANTIHYPERLIPIDEMIC) 1000 MG PO TBCR [27183],43.36,43.36,6.42,34.69,23
NDC,65162-351-09,SILDENAFIL CITRATE 20 MG PO TABS [41832],86.62,86.62,12.82,69.3,23
NDC,65162-361-10,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,65162-361-11,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,65162-416-03,BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL SUBL [34713],27.39,27.39,4.05,21.91,23
NDC,65162-464-10,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,65162-465-10,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,65162-475-05,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
NDC,65162-478-10,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],27.89,27.89,4.13,22.31,23
NDC,65162-512-10,SALSALATE 500 MG PO TABS [7034],9.17,9.17,1.36,7.34,23
NDC,65162-513-10,SALSALATE 750 MG PO TABS [7035],13.16,13.16,1.95,10.53,23
NDC,65162-554-10,DEMECLOCYCLINE HCL 150 MG PO TABS [9726],44.19,44.19,6.54,35.35,23
NDC,65162-555-48,DEMECLOCYCLINE HCL 300 MG PO TABS [9727],80.22,80.22,11.87,64.18,23
NDC,65162-573-10,BETHANECHOL CHLORIDE 25 MG PO TABS [1044],10.07,10.07,1.49,8.06,23
NDC,65162-596-06,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
NDC,65162-630-03,ITRACONAZOLE 100 MG PO CAPS [10364],104.2,104.2,15.42,83.36,23
NDC,65162-649-78,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],895.44,895.44,132.53,716.35,23
NDC,65162-673-84,RISPERIDONE 1 MG/ML PO SOLN [17377],574.44,574.44,85.02,459.55,23
NDC,65162-681-10,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],12.69,12.69,1.88,10.15,23
NDC,65162-687-84,LORAZEPAM 2 MG/ML PO CONC [4571],207.97,207.97,30.78,166.38,23
NDC,65162-710-09,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
NDC,65162-755-10,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
NDC,65162-757-50,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,65162-777-02,LINEZOLID 600 MG PO TABS [28224],691.68,691.68,102.37,553.34,23
NDC,65162-791-04,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
NDC,65162-791-08,LIDOCAINE 5 % EX PTCH [28203],48.3,48.3,7.15,38.64,23
NDC,65162-802-51,TEMOZOLOMIDE 20 MG PO CAPS [25893],223.92,223.92,33.14,179.14,23
NDC,65162-806-51,TEMOZOLOMIDE 250 MG PO CAPS [25895],2094.04,2094.04,309.92,1675.23,23
NDC,65162-833-66,DICLOFENAC SODIUM 1 % EX GEL [150015],213.18,213.18,31.55,170.54,23
NDC,65162-879-03,LURASIDONE HCL 20 MG PO TABS [112380],209.72,209.72,31.04,167.78,23
NDC,65162-880-03,LURASIDONE HCL 40 MG PO TABS [106031],209.72,209.72,31.04,167.78,23
NDC,65162-881-03,LURASIDONE HCL 80 MG PO TABS [106032],209.72,209.72,31.04,167.78,23
NDC,65162-896-09,ARIPIPRAZOLE 2 MG PO TABS [70306],138.89,138.89,20.56,111.11,23
NDC,65162-898-03,ARIPIPRAZOLE 10 MG PO TABS [34369],138.89,138.89,20.56,111.11,23
NDC,65162-902-03,ARIPIPRAZOLE 30 MG PO TABS [34372],196.41,196.41,29.07,157.13,23
NDC,65162-993-08,ESTRADIOL 0.05 MG/24HR TD PTTW [27459],84.62,84.62,12.52,67.7,23
NDC,65219-052-09,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],124.62,124.62,18.44,99.7,23
NDC,65219-052-29,POTASSIUM PHOSPHATES 15 MMOLE/5ML IV SOLN [126888],124.6,124.6,18.44,99.68,23
NDC,65219-054-29,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],223.89,223.89,33.14,179.11,23
NDC,65219-142-02,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],51.7,51.7,7.65,41.36,23
NDC,65219-142-10,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN [102456],51.7,51.7,7.65,41.36,23
NDC,65219-162-01,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,65219-162-10,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,65219-164-01,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN [144334],205.25,205.25,30.38,164.2,23
NDC,65219-186-01,KETAMINE HCL 100 MG/ML IJ SOLN [4237],57.86,57.86,8.56,46.29,23
NDC,65219-257-01,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],43.94,43.94,6.5,35.15,23
NDC,65219-259-05,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],59.68,59.68,8.83,47.74,23
NDC,65219-259-45,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],59.68,59.68,8.83,47.74,23
NDC,65219-293-00,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],84.6,84.6,12.52,67.68,23
NDC,65219-293-01,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],84.6,84.6,12.52,67.68,23
NDC,65219-381-10,IODIXANOL 270 MG/ML IV SOLN [17594],381.22,381.22,56.42,304.98,23
NDC,65219-433-15,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],27.53,27.53,4.07,22.02,23
NDC,65219-447-20,ETOMIDATE 2 MG/ML IV SOLN [20472],35.82,35.82,5.3,28.66,23
NDC,65219-533-25,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],225.62,225.62,33.39,180.5,23
NDC,65219-535-50,FAT EMULSION PLANT BASED (SOY) 20 % IV EMUL [153514],200.34,200.34,29.65,160.27,23
NDC,65219-570-01,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,65219-570-04,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,65219-572-10,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],23.97,23.97,3.55,19.18,23
NDC,65293-006-41,THROMBIN (RECOMBINANT) 5000 UNITS EX SOLR [89570],389.07,389.07,57.58,311.26,23
NDC,65597-406-01,FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR [146089],8909.91,8909.91,1318.67,7127.93,23
NDC,65597-701-18,COLESEVELAM HCL 625 MG PO TABS [28372],20.99,20.99,3.11,16.79,23
NDC,65628-063-01,PROGESTERONE 200 MG VA SUPP [42939],35.16,35.16,5.2,28.13,23
NDC,65649-103-02,MESALAMINE ER 0.375 G PO CP24 [95687],23.99,23.99,3.55,19.19,23
NDC,65649-150-90,METHYLNALTREXONE BROMIDE 150 MG PO TABS [132871],145.72,145.72,21.57,116.58,23
NDC,65649-301-03,RIFAXIMIN 200 MG PO TABS [39063],63.32,63.32,9.37,50.66,23
NDC,65649-303-02,RIFAXIMIN 550 MG PO TABS [102397],269.45,269.45,39.88,215.56,23
NDC,65649-303-03,RIFAXIMIN 550 MG PO TABS [102397],269.45,269.45,39.88,215.56,23
NDC,65649-311-12,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],321.76,321.76,47.62,257.41,23
NDC,65649-411-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],307.75,307.75,45.55,246.2,23
NDC,65649-411-24,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],307.76,307.76,45.55,246.21,23
NDC,65649-501-30,HYDROCORTISONE (PERIANAL) 1 % EX CREA [147467],2139.33,2139.33,316.62,1711.46,23
NDC,65649-551-02,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN [91651],668.86,668.86,98.99,535.09,23
NDC,65649-551-07,METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN [91651],668.86,668.86,98.99,535.09,23
NDC,65649-552-04,METHYLNALTREXONE BROMIDE 8 MG/0.4ML SC SOLN [112618],668.84,668.84,98.99,535.07,23
NDC,65702-407-10,ACCU-CHEK AVIVA PLUS VI STRP [111020],364.5,364.5,53.95,291.6,23
NDC,65862-006-01,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],11.91,11.91,1.76,9.53,23
NDC,65862-008-05,METFORMIN HCL 500 MG PO TABS [10544],6.0,6.0,0.89,4.8,23
NDC,65862-012-01,SERTRALINE HCL 50 MG PO TABS [11351],13.39,13.39,1.98,10.71,23
NDC,65862-013-01,SERTRALINE HCL 100 MG PO TABS [11350],13.39,13.39,1.98,10.71,23
NDC,65862-015-01,AMOXICILLIN 875 MG PO TABS [23458],6.0,6.0,0.89,4.8,23
NDC,65862-017-05,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
NDC,65862-019-05,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,65862-021-06,MIRTAZAPINE 15 MG PO TBDP [29531],11.07,11.07,1.64,8.86,23
NDC,65862-022-06,MIRTAZAPINE 30 MG PO TBDP [29532],11.41,11.41,1.69,9.13,23
NDC,65862-025-60,LAMIVUDINE 150 MG PO TABS [15880],33.62,33.62,4.98,26.9,23
NDC,65862-036-60,COMBIVIR: LAMIVUDINE-ZIDOVUDINE 150-300 MG PO TABS [21810],68.77,68.77,10.18,55.02,23
NDC,65862-049-30,EFAVIRENZ 600 MG PO TABS [32298],161.35,161.35,23.88,129.08,23
NDC,65862-052-90,SIMVASTATIN 20 MG PO TABS [11365],23.05,23.05,3.41,18.44,23
NDC,65862-054-30,SIMVASTATIN 80 MG PO TABS [23449],23.05,23.05,3.41,18.44,23
NDC,65862-057-24,NEVIRAPINE 50 MG/5ML PO SUSP [24119],713.89,713.89,105.66,571.11,23
NDC,65862-063-01,METOPROLOL TARTRATE 50 MG PO TABS [5009],6.0,6.0,0.89,4.8,23
NDC,65862-073-60,ABACAVIR SULFATE 300 MG PO TABS [24438],47.22,47.22,6.99,37.78,23
NDC,65862-076-01,CIPROFLOXACIN HCL 250 MG PO TABS [25118],21.54,21.54,3.19,17.23,23
NDC,65862-077-01,CIPROFLOXACIN HCL 500 MG PO TABS [25119],26.26,26.26,3.89,21.01,23
NDC,65862-078-50,CIPROFLOXACIN HCL 750 MG PO TABS [25120],26.44,26.44,3.91,21.15,23
NDC,65862-079-30,TERBINAFINE HCL 250 MG PO TABS [12724],60.09,60.09,8.89,48.07,23
NDC,65862-096-20,CEFPODOXIME PROXETIL 200 MG PO TABS [9469],39.75,39.75,5.88,31.8,23
NDC,65862-128-01,TORSEMIDE 100 MG PO TABS [18294],14.29,14.29,2.11,11.43,23
NDC,65862-142-01,CARVEDILOL 3.125 MG PO TABS [18551],9.17,9.17,1.36,7.34,23
NDC,65862-146-36,SUMATRIPTAN SUCCINATE 25 MG PO TABS [15327],117.14,117.14,17.34,93.71,23
NDC,65862-148-36,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.86,108.86,16.11,87.09,23
NDC,65862-149-90,FINASTERIDE 5 MG PO TABS [10037],14.7,14.7,2.18,11.76,23
NDC,65862-185-01,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
NDC,65862-187-30,ONDANSETRON HCL 4 MG PO TABS [10778],104.79,104.79,15.51,83.83,23
NDC,65862-188-30,ONDANSETRON HCL 8 MG PO TABS [10779],174.5,174.5,25.83,139.6,23
NDC,65862-192-01,FLUOXETINE HCL 10 MG PO CAPS [10069],12.22,12.22,1.81,9.78,23
NDC,65862-192-99,FLUOXETINE HCL 10 MG PO CAPS [10069],11.97,11.97,1.77,9.58,23
NDC,65862-194-01,FLUOXETINE HCL 40 MG PO CAPS [21086],23.92,23.92,3.54,19.14,23
NDC,65862-198-05,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,65862-199-01,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,65862-202-30,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
NDC,65862-202-90,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
NDC,65862-202-99,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
NDC,65862-203-30,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
NDC,65862-203-99,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
NDC,65862-209-01,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,65862-211-50,MINOCYCLINE HCL 100 MG PO CAPS [5110],15.97,15.97,2.36,12.78,23
NDC,65862-218-01,CEFDINIR 125 MG/5ML PO SUSR [22290],313.93,313.93,46.46,251.14,23
NDC,65862-219-01,CEFDINIR 250 MG/5ML PO SUSR [39522],593.4,593.4,87.82,474.72,23
NDC,65862-225-60,CLARITHROMYCIN 250 MG PO TABS [9616],28.28,28.28,4.19,22.62,23
NDC,65862-226-60,CLARITHROMYCIN 500 MG PO TABS [9617],28.28,28.28,4.19,22.62,23
NDC,65862-227-01,LAMOTRIGINE 25 MG PO TABS [13981],19.56,19.56,2.89,15.65,23
NDC,65862-229-60,LAMOTRIGINE 150 MG PO TABS [14266],24.48,24.48,3.62,19.58,23
NDC,65862-230-60,LAMOTRIGINE 200 MG PO TABS [13983],26.65,26.65,3.94,21.32,23
NDC,65862-246-08,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,65862-290-84,RIBAVIRIN 200 MG PO CAPS [11286],44.78,44.78,6.63,35.82,23
NDC,65862-293-90,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
NDC,65862-294-90,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,65862-294-99,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,65862-295-90,ROSUVASTATIN CALCIUM 20 MG PO TABS [35135],42.05,42.05,6.22,33.64,23
NDC,65862-296-90,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,65862-296-99,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,65862-301-30,EMTRICITABINE 200 MG PO CAPS [36252],90.78,90.78,13.44,72.62,23
NDC,65862-306-12,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
NDC,65862-315-60,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
NDC,65862-357-30,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.68,32.68,4.84,26.14,23
NDC,65862-361-01,LAMOTRIGINE 5 MG PO CHEW [102040],14.35,14.35,2.12,11.48,23
NDC,65862-373-01,ESCITALOPRAM OXALATE 5 MG PO TABS [37635],21.2,21.2,3.14,16.96,23
NDC,65862-374-01,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],22.17,22.17,3.28,17.74,23
NDC,65862-375-01,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],23.13,23.13,3.42,18.5,23
NDC,65862-390-10,ONDANSETRON 4 MG PO TBDP [27697],96.53,96.53,14.29,77.22,23
NDC,65862-391-10,ONDANSETRON 8 MG PO TBDP [27698],160.79,160.79,23.8,128.63,23
NDC,65862-419-01,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,65862-419-05,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG PO TABS [7557],6.0,6.0,0.89,4.8,23
NDC,65862-420-05,SULFAMETHOXAZOLE-TRIMETHOPRIM 800-160 MG PO TABS [11599],6.0,6.0,0.89,4.8,23
NDC,65862-421-30,TENOFOVIR DISOPROXIL FUMARATE 300 MG PO TABS [31684],166.25,166.25,24.6,133.0,23
NDC,65862-468-30,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,65862-468-90,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,65862-469-90,LOSARTAN-HCTZ 100-12.5 MG PO TABS [43230],16.02,16.02,2.37,12.82,23
NDC,65862-470-30,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,65862-470-90,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,65862-496-47,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],705.91,705.91,104.47,564.73,23
NDC,65862-497-30,ATRIPLA:EFAVIRENZ-EMTRICITAB-TENOFOV 600-200-300MGTAB [76835],429.03,429.03,63.5,343.22,23
NDC,65862-502-20,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.79,17.79,2.63,14.23,23
NDC,65862-503-01,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.27,23.27,3.44,18.62,23
NDC,65862-503-20,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.84,23.84,3.53,19.07,23
NDC,65862-512-90,PIOGLITAZONE HCL 15 MG PO TABS [25528],32.94,32.94,4.88,26.35,23
NDC,65862-523-05,GABAPENTIN 600 MG PO TABS [25855],11.88,11.88,1.76,9.5,23
NDC,65862-534-75,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],202.65,202.65,29.99,162.12,23
NDC,65862-536-50,LEVOFLOXACIN 250 MG PO TABS [18918],79.02,79.02,11.69,63.22,23
NDC,65862-537-50,LEVOFLOXACIN 500 MG PO TABS [18919],90.56,90.56,13.4,72.45,23
NDC,65862-553-30,LAMIVUDINE 300 MG PO TABS [33937],67.24,67.24,9.95,53.79,23
NDC,65862-559-90,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],24.76,24.76,3.66,19.81,23
NDC,65862-568-90,MONTELUKAST SODIUM 5 MG PO CHEW [22510],26.56,26.56,3.93,21.25,23
NDC,65862-574-90,MONTELUKAST SODIUM 10 MG PO TABS [22509],26.56,26.56,3.93,21.25,23
NDC,65862-582-01,AMLODIPINE-BENAZEPRIL HCL 2.5-10 MG PO CAPS [14820],12.48,12.48,1.85,9.98,23
NDC,65862-585-01,AMLODIPINE-BENAZEPRIL 5-40 MG PO CAPSULE [76437],19.05,19.05,2.82,15.24,23
NDC,65862-586-01,AMLODIPINE-BENAZEPRIL HCL 10-20 MG PO CAPS [33111],15.61,15.61,2.31,12.49,23
NDC,65862-587-01,AMLODIPINE-BENAZEPRIL HCL 10-40 MG PO CAPS [76438],23.02,23.02,3.41,18.42,23
NDC,65862-594-01,DIVALPROEX SODIUM ER 250 MG PO TB24 [34418],11.54,11.54,1.71,9.23,23
NDC,65862-595-01,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,65862-595-05,DIVALPROEX SODIUM ER 500 MG PO TB24 [81426],19.16,19.16,2.84,15.33,23
NDC,65862-596-01,CLINDAMYCIN PALMITATE HCL 75 MG/5ML PO SOLR [37642],241.18,241.18,35.69,192.94,23
NDC,65862-598-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
NDC,65862-598-05,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.83,19.83,2.93,15.86,23
NDC,65862-601-30,MODAFINIL 100 MG PO TABS [24702],114.33,114.33,16.92,91.46,23
NDC,65862-603-30,MOXIFLOXACIN HCL 400 MG PO TABS [26854],117.89,117.89,17.45,94.31,23
NDC,65862-641-63,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,65862-641-69,AZITHROMYCIN 250 MG PO TABS [20943],36.59,36.59,5.42,29.27,23
NDC,65862-650-60,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],21.92,21.92,3.24,17.54,23
NDC,65862-661-30,ARIPIPRAZOLE 2 MG PO TABS [70306],139.05,139.05,20.58,111.24,23
NDC,65862-662-30,ARIPIPRAZOLE 5 MG PO TABS [36438],139.05,139.05,20.58,111.24,23
NDC,65862-663-30,ARIPIPRAZOLE 10 MG PO TABS [34369],139.05,139.05,20.58,111.24,23
NDC,65862-664-30,ARIPIPRAZOLE 15 MG PO TABS [34370],139.05,139.05,20.58,111.24,23
NDC,65862-665-30,ARIPIPRAZOLE 20 MG PO TABS [34371],196.63,196.63,29.1,157.3,23
NDC,65862-666-30,ARIPIPRAZOLE 30 MG PO TABS [34372],196.63,196.63,29.1,157.3,23
NDC,65862-687-30,RITONAVIR 100 MG PO TABS [101700],43.52,43.52,6.44,34.82,23
NDC,65862-707-80,AMOXICILLIN 250 MG/5ML PO SUSR [454],25.2,25.2,3.73,20.16,23
NDC,65862-711-60,ATAZANAVIR SULFATE 150 MG PO CAPS [36149],120.39,120.39,17.82,96.31,23
NDC,65862-712-60,ATAZANAVIR SULFATE 200 MG PO CAPS [36150],120.39,120.39,17.82,96.31,23
NDC,65862-713-30,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],214.26,214.26,31.71,171.41,23
NDC,65862-732-60,AMIODARONE HCL 200 MG PO TABS [9066],15.9,15.9,2.35,12.72,23
NDC,65862-737-30,AMLODIPINE-VALSARTAN 5 MG-160 MG TABS [82363],25.7,25.7,3.8,20.56,23
NDC,65862-738-30,AMLODIPINE-VALSARTAN 5 MG-320 MG TABS [82364],32.6,32.6,4.82,26.08,23
NDC,65862-739-30,AMLODIPINE-VALSARTAN 10-160 MG TABLET [82365],29.16,29.16,4.32,23.33,23
NDC,65862-740-30,AMLODIPINE-VALSARTAN 10 MG-320 MG TABS [82366],37.01,37.01,5.48,29.61,23
NDC,65862-751-50,CEFIXIME 100 MG/5ML PO SUSR [9446],730.46,730.46,108.11,584.37,23
NDC,65862-757-05,OLOPATADINE HCL 0.1 % OP SOLN [19452],841.32,841.32,124.52,673.06,23
NDC,65862-778-85,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],553.03,553.03,81.85,442.42,23
NDC,65862-783-30,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
NDC,65862-784-30,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
NDC,65862-784-90,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.41,42.41,6.28,33.93,23
NDC,65862-830-30,PRASUGREL HCL 10 MG PO TABS [98373],77.58,77.58,11.48,62.06,23
NDC,65862-831-30,CINACALCET HCL 30 MG PO TABS [38100],132.74,132.74,19.65,106.19,23
NDC,65862-833-30,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
NDC,65862-840-03,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],630.91,630.91,93.37,504.73,23
NDC,65862-841-30,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
NDC,65862-844-01,CLOZAPINE 25 MG PO TABS [9648],6.22,6.22,0.92,4.98,23
NDC,65862-859-01,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
NDC,65862-908-01,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
NDC,65862-909-01,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
NDC,65862-921-27,SEVELAMER CARBONATE 800 MG PO TABS [89201],28.65,28.65,4.24,22.92,23
NDC,65862-930-08,SEVELAMER CARBONATE 0.8 G PO PACK [99686],85.95,85.95,12.72,68.76,23
NDC,65862-930-90,SEVELAMER CARBONATE 0.8 G PO PACK [99686],85.95,85.95,12.72,68.76,23
NDC,65862-931-90,SEVELAMER CARBONATE 2.4 G PO PACK [99687],85.95,85.95,12.72,68.76,23
NDC,65862-946-01,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
NDC,65862-947-15,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
NDC,65862-947-60,DORZOLAMIDE HCL-TIMOLOL MAL PF 2-0.5 % OP SOLN [144767],13.28,13.28,1.97,10.62,23
NDC,66019-311-10,INFLUENZA VIRUS VAC LIVE TRIVALENT NA SUSP [601410],131.59,131.59,19.48,105.27,23
NDC,66215-102-06,BOSENTAN 125 MG PO TABS [31876],879.95,879.95,130.23,703.96,23
NDC,66215-302-00,ILOPROST 10 MCG/ML IN SOLN [40413],678.3,678.3,100.39,542.64,23
NDC,66215-302-30,ILOPROST 10 MCG/ML IN SOLN [40413],678.25,678.25,100.38,542.6,23
NDC,66215-303-00,ILOPROST 20 MCG/ML IN SOLN [99765],678.3,678.3,100.39,542.64,23
NDC,66215-303-30,ILOPROST 20 MCG/ML IN SOLN [99765],678.25,678.25,100.38,542.6,23
NDC,66215-402-01,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],257.95,257.95,38.18,206.36,23
NDC,66220-160-10,CONIVAPTAN HCL IN DEXTROSE 20-5 MG/100ML-% IV SOLN [96988],2818.93,2818.93,417.2,2255.14,23
NDC,66220-207-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],134.71,134.71,19.94,107.77,23
NDC,66259-701-25,INDOCYANINE GREEN 25 MG IV SOLR [10266],399.59,399.59,59.14,319.67,23
NDC,66288-1100-1,CEFAZOLIN SODIUM 100 G IJ SOLR [31086],542.88,542.88,80.35,434.3,23
NDC,66288-1300-1,CEFAZOLIN SODIUM 300 G IJ SOLR [31087],1377.6,1377.6,203.88,1102.08,23
NDC,66490-650-20,DIAZEPAM 2.5 MG RECTAL GEL [87865],1163.81,1163.81,172.24,931.05,23
NDC,66530-249-40,FLUOROURACIL 5 % EX CREA [10065],844.28,844.28,124.95,675.42,23
NDC,66553-001-01,ASPIRIN 325 MG PO TABS [681],6.0,6.0,0.89,4.8,23
NDC,66553-002-01,ASPIRIN 81 MG PO CHEW [680],6.0,6.0,0.89,4.8,23
NDC,66553-008-01,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
NDC,66582-414-31,EZETIMIBE 10 MG PO TABS [34153],64.86,64.86,9.6,51.89,23
NDC,66621-0790-2,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR [141229],4007.52,4007.52,593.11,3206.02,23
NDC,66658-234-01,ANAKINRA 100 MG/0.67ML SC SOSY [31784],829.25,829.25,122.73,663.4,23
NDC,66658-234-07,ANAKINRA 100 MG/0.67ML SC SOSY [31784],829.26,829.26,122.73,663.41,23
NDC,66685-1001-0,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],23.75,23.75,3.51,19.0,23
NDC,66685-1002-2,AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS [33227],17.26,17.26,2.55,13.81,23
NDC,66685-1012-1,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR [33230],202.65,202.65,29.99,162.12,23
NDC,66689-008-02,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
NDC,66689-023-01,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
NDC,66689-023-50,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
NDC,66689-025-30,OXYCODONE HCL 100 MG/5ML PO CONC [10812],471.29,471.29,69.75,377.03,23
NDC,66689-047-50,KCL 20 MEQ/15ML (10%) PO SOLN [76913],87.42,87.42,12.94,69.94,23
NDC,66689-053-99,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],12.41,12.41,1.84,9.93,23
NDC,66689-056-01,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],13.36,13.36,1.98,10.69,23
NDC,66689-056-99,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],13.36,13.36,1.98,10.69,23
NDC,66689-060-01,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.62,18.62,2.76,14.9,23
NDC,66689-060-99,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],18.62,18.62,2.76,14.9,23
NDC,66689-106-99,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.3,10.3,1.52,8.24,23
NDC,66689-201-08,CHARCOAL ACTIVATED PO LIQD [27099],175.63,175.63,25.99,140.5,23
NDC,66689-202-04,CHARCOAL ACTIVATED PO LIQD [27099],128.35,128.35,19.0,102.68,23
NDC,66689-202-08,CHARCOAL ACTIVATED PO LIQD [27099],175.63,175.63,25.99,140.5,23
NDC,66689-307-08,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],3667.09,3667.09,542.73,2933.67,23
NDC,66689-327-02,DIGOXIN 0.05 MG/ML PO SOLN [43556],560.75,560.75,82.99,448.6,23
NDC,66689-333-16,CYPROHEPTADINE HCL 2 MG/5ML PO SYRP [2032],250.24,250.24,37.04,200.19,23
NDC,66689-346-99,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,66689-401-01,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],40.54,40.54,6.0,32.43,23
NDC,66689-401-50,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],40.54,40.54,6.0,32.43,23
NDC,66689-403-16,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],537.23,537.23,79.51,429.78,23
NDC,66689-711-16,METHADONE HCL 5 MG/5ML PO SOLN [4952],593.78,593.78,87.88,475.02,23
NDC,66689-775-08,PHENYTOIN 125 MG/5ML PO SUSP [6255],350.34,350.34,51.85,280.27,23
NDC,66689-790-50,SUCRALFATE 1 GM/10ML PO SUSP [11441],65.85,65.85,9.75,52.68,23
NDC,66689-820-10,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,66733-948-23,CETUXIMAB 100 MG/50ML IV SOLN [37989],2835.95,2835.95,419.72,2268.76,23
NDC,66733-958-23,CETUXIMAB 200 MG/100ML IV SOLN [107101],4931.23,4931.23,729.82,3944.98,23
NDC,66758-050-02,DOCETAXEL 80 MG/8ML IV SOLN [107443],3840.97,3840.97,568.46,3072.78,23
NDC,66758-170-13,KCL CRYS ER 10 MEQ PO TBCR [35942],6.0,6.0,0.89,4.8,23
NDC,66758-190-13,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,66758-208-58,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],92.67,92.67,13.72,74.14,23
NDC,66794-017-10,ISOFLURANE IN SOLN [4008],103.92,103.92,15.38,83.14,23
NDC,66794-017-25,ISOFLURANE IN SOLN [4008],207.84,207.84,30.76,166.27,23
NDC,66794-019-10,ISOFLURANE IN SOLN [4008],103.92,103.92,15.38,83.14,23
NDC,66794-202-42,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,66794-206-41,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],24.26,24.26,3.59,19.41,23
NDC,66794-207-41,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],35.25,35.25,5.22,28.2,23
NDC,66794-213-02,CEFTRIAXONE SODIUM 1 G IJ SOLR [9487],22.0,22.0,3.26,17.6,23
NDC,66794-219-43,LINEZOLID 600 MG/300ML IV SOLN [130884],98.73,98.73,14.61,78.98,23
NDC,66794-228-41,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],27.08,27.08,4.01,21.66,23
NDC,66794-229-02,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],41.74,41.74,6.18,33.39,23
NDC,66794-229-41,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],41.74,41.74,6.18,33.39,23
NDC,66794-230-42,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],29.61,29.61,4.38,23.69,23
NDC,66794-232-02,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],38.07,38.07,5.63,30.46,23
NDC,66794-233-02,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
NDC,66794-233-42,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
NDC,66794-235-02,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],164.98,164.98,24.42,131.98,23
NDC,66794-235-41,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],164.98,164.98,24.42,131.98,23
NDC,66993-022-27,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],31.49,31.49,4.66,25.19,23
NDC,66993-057-02,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],19.22,19.22,2.84,15.38,23
NDC,66993-066-02,PHENOXYBENZAMINE HCL 10 MG PO CAPS [10945],488.01,488.01,72.23,390.41,23
NDC,66993-078-96,FLUTICASONE PROPIONATE HFA 44 MCG/ACT IN AERO [40697],764.83,764.83,113.19,611.86,23
NDC,66993-079-96,FLUTICASONE PROPIONATE HFA 110 MCG/ACT IN AERO [40698],1023.92,1023.92,151.54,819.14,23
NDC,66993-080-96,FLUTICASONE PROPIONATE HFA 220 MCG/ACT IN AERO [40699],1590.42,1590.42,235.38,1272.34,23
NDC,66993-116-60,PROPAFENONE HCL ER 425 MG PO CP12 [37645],46.95,46.95,6.95,37.56,23
NDC,66993-456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG PO TABS [122959],95.81,95.81,14.18,76.65,23
NDC,66993-457-30,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS [122960],95.81,95.81,14.18,76.65,23
NDC,66993-489-83,DACTINOMYCIN 0.5 MG IV SOLR [28912],4611.16,4611.16,682.45,3688.93,23
NDC,66993-490-36,IBUPROFEN LYSINE 10 MG/ML IV SOLN [76780],1593.19,1593.19,235.79,1274.55,23
NDC,66993-584-97,FLUTICASONE-SALMETEROL 100-50 MCG/ACT IN AEPB [155854],1173.13,1173.13,173.62,938.5,23
NDC,66993-585-97,FLUTICASONE-SALMETEROL 250-50 MCG/ACT IN AEPB [102037],1457.51,1457.51,215.71,1166.01,23
NDC,66993-586-97,FLUTICASONE-SALMETEROL 500-50 MCG/ACT IN AEPB [102038],1700.61,1700.61,251.69,1360.49,23
NDC,66993-681-30,OLANZAPINE 5 MG PO TABS [17936],62.05,62.05,9.18,49.64,23
NDC,66993-960-45,METRONIDAZOLE 0.75 % EX CREA [19805],1048.56,1048.56,155.19,838.85,23
NDC,66993-962-45,METRONIDAZOLE 0.75 % EX GEL [19741],1048.26,1048.26,155.14,838.61,23
NDC,67066-006-01,SECRETIN ACETATE 16 MCG IV SOLR [35439],1484.1,1484.1,219.65,1187.28,23
NDC,67108-3565-9,MESNA 400 MG PO TABS [20077],366.87,366.87,54.3,293.5,23
NDC,67253-651-10,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
NDC,67253-651-11,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
NDC,67386-314-01,CLOBAZAM 10 MG PO TABS [111272],162.67,162.67,24.08,130.14,23
NDC,67386-315-01,CLOBAZAM 20 MG PO TABS [111273],292.28,292.28,43.26,233.82,23
NDC,67457-001-00,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
NDC,67457-001-10,KETAMINE HCL 50 MG/ML IJ SOLN [4238],41.27,41.27,6.11,33.02,23
NDC,67457-118-50,ASCORBIC ACID 500 MG/ML IJ SOLN [654],409.43,409.43,60.6,327.54,23
NDC,67457-153-03,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,67457-153-09,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],43.66,43.66,6.46,34.93,23
NDC,67457-153-99,AMIODARONE HCL 450 MG/9ML IV SOLN [97692],43.66,43.66,6.46,34.93,23
NDC,67457-163-00,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],364.7,364.7,53.98,291.76,23
NDC,67457-163-02,SODIUM TETRADECYL SULFATE 3 % IV SOLN [41793],364.7,364.7,53.98,291.76,23
NDC,67457-181-20,KETAMINE HCL 10 MG/ML IJ SOLN [4236],104.44,104.44,15.46,83.55,23
NDC,67457-182-00,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.13,41.13,6.09,32.9,23
NDC,67457-182-10,ESMOLOL HCL 100 MG/10ML IV SOLN [82085],41.13,41.13,6.09,32.9,23
NDC,67457-187-50,ALLOPURINOL SODIUM 500 MG IV SOLR [25408],12104.71,12104.71,1791.5,9683.77,23
NDC,67457-196-00,THIAMINE HCL 100 MG/ML IJ SOLN [7876],50.14,50.14,7.42,40.11,23
NDC,67457-196-02,THIAMINE HCL 100 MG/ML IJ SOLN [7876],50.14,50.14,7.42,40.11,23
NDC,67457-198-05,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
NDC,67457-198-99,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
NDC,67457-207-25,DEXRAZOXANE HCL 250 MG IV SOLR [143119],1079.49,1079.49,159.76,863.59,23
NDC,67457-208-50,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1915.4,1915.4,283.48,1532.32,23
NDC,67457-210-05,CIDOFOVIR 75 MG/ML IV SOLN [17378],3001.75,3001.75,444.26,2401.4,23
NDC,67457-211-02,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],3117.37,3117.37,461.37,2493.9,23
NDC,67457-212-02,ARGATROBAN 250 MG/2.5ML IV SOLN [28947],1780.92,1780.92,263.58,1424.74,23
NDC,67457-217-20,METHADONE HCL 10 MG/ML IJ SOLN [10546],1640.6,1640.6,242.81,1312.48,23
NDC,67457-218-10,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN [19333],205.4,205.4,30.4,164.32,23
NDC,67457-220-05,ISOSULFAN BLUE 1 % SC SOLN [10358],3686.28,3686.28,545.57,2949.02,23
NDC,67457-227-02,COSYNTROPIN 0.25 MG IJ SOLR [9686],398.9,398.9,59.04,319.12,23
NDC,67457-228-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOLN [95811],28.51,28.51,4.22,22.81,23
NDC,67457-228-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],39.48,39.48,5.84,31.58,23
NDC,67457-239-00,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY [153516],22.56,22.56,3.34,18.05,23
NDC,67457-239-01,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY [153516],22.56,22.56,3.34,18.05,23
NDC,67457-245-00,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY [153517],44.56,44.56,6.59,35.65,23
NDC,67457-245-01,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY [153517],44.56,44.56,6.59,35.65,23
NDC,67457-246-00,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY [153518],206.29,206.29,30.53,165.03,23
NDC,67457-246-01,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY [153518],206.29,206.29,30.53,165.03,23
NDC,67457-255-10,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN [112303],78.96,78.96,11.69,63.17,23
NDC,67457-256-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],2877.3,2877.3,425.84,2301.84,23
NDC,67457-263-30,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1171.75,1171.75,173.42,937.4,23
NDC,67457-265-00,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
NDC,67457-265-10,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],111.72,111.72,16.53,89.38,23
NDC,67457-266-00,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],148.09,148.09,21.92,118.47,23
NDC,67457-266-10,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],148.09,148.09,21.92,118.47,23
NDC,67457-291-01,HYDRALAZINE HCL 20 MG/ML IJ SOLN [3697],481.54,481.54,71.27,385.23,23
NDC,67457-292-00,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],102.73,102.73,15.2,82.18,23
NDC,67457-292-02,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],102.73,102.73,15.2,82.18,23
NDC,67457-299-10,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
NDC,67457-311-05,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
NDC,67457-316-25,DECITABINE 50 MG IV SOLR [76364],2884.2,2884.2,426.86,2307.36,23
NDC,67457-348-10,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],38.26,38.26,5.66,30.61,23
NDC,67457-349-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],72.24,72.24,10.69,57.79,23
NDC,67457-351-01,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
NDC,67457-351-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],40.61,40.61,6.01,32.49,23
NDC,67457-352-10,AMPICILLIN SODIUM 2 G IJ SOLR [472],74.83,74.83,11.07,59.86,23
NDC,67457-366-10,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN [101445],1223.05,1223.05,181.01,978.44,23
NDC,67457-379-25,PARICALCITOL 2 MCG/ML IV SOLN [31688],23.69,23.69,3.51,18.95,23
NDC,67457-384-99,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],44.14,44.14,6.53,35.31,23
NDC,67457-385-10,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],23.36,23.36,3.46,18.69,23
NDC,67457-385-99,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],23.36,23.36,3.46,18.69,23
NDC,67457-418-00,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,67457-418-05,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,67457-419-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,67457-422-00,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,67457-422-54,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN [123472],22.0,22.0,3.26,17.6,23
NDC,67457-423-00,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,67457-423-12,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN [2332],22.0,22.0,3.26,17.6,23
NDC,67457-426-00,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
NDC,67457-426-12,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.0,22.0,3.26,17.6,23
NDC,67457-428-00,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],113.15,113.15,16.75,90.52,23
NDC,67457-428-30,TOBRAMYCIN SULFATE 1.2 GM/30ML IJ SOLN [97790],113.15,113.15,16.75,90.52,23
NDC,67457-430-10,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN [32589],140.3,140.3,20.76,112.24,23
NDC,67457-433-00,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,67457-433-22,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,67457-437-00,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],85.56,85.56,12.66,68.45,23
NDC,67457-437-10,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],85.56,85.56,12.66,68.45,23
NDC,67457-442-20,OXALIPLATIN 100 MG/20ML IV SOLN [99604],787.2,787.2,116.51,629.76,23
NDC,67457-445-60,RIFAMPIN 600 MG IV SOLR [11291],726.22,726.22,107.48,580.98,23
NDC,67457-469-10,OXALIPLATIN 50 MG/10ML IV SOLN [99602],452.4,452.4,66.96,361.92,23
NDC,67457-473-00,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,67457-473-22,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN [39918],22.0,22.0,3.26,17.6,23
NDC,67457-513-05,DACTINOMYCIN 0.5 MG IV SOLR [28912],4611.15,4611.15,682.45,3688.92,23
NDC,67457-517-00,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
NDC,67457-517-01,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
NDC,67457-523-00,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],119.3,119.3,17.66,95.44,23
NDC,67457-523-45,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR [18302],119.3,119.3,17.66,95.44,23
NDC,67457-528-10,LEUCOVORIN CALCIUM 100 MG IJ SOLR [4392],103.92,103.92,15.38,83.14,23
NDC,67457-530-35,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
NDC,67457-532-08,DOCETAXEL 80 MG/8ML IV SOLN [107443],1082.4,1082.4,160.2,865.92,23
NDC,67457-533-16,DOCETAXEL 160 MG/16ML IV SOLN [107444],1920.6,1920.6,284.25,1536.48,23
NDC,67457-582-00,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN [32215],212.6,212.6,31.46,170.08,23
NDC,67457-584-00,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN [107059],484.86,484.86,71.76,387.89,23
NDC,67457-588-10,EPOPROSTENOL SODIUM 1.5 MG IV SOLR [15898],218.66,218.66,32.36,174.93,23
NDC,67457-603-05,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],49.32,49.32,7.3,39.46,23
NDC,67457-603-99,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],49.3,49.3,7.3,39.44,23
NDC,67457-617-30,GEMCITABINE HCL 1 GM/26.3ML IV SOLN [111320],208.52,208.52,30.86,166.82,23
NDC,67457-640-00,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],96.13,96.13,14.23,76.9,23
NDC,67457-640-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],96.13,96.13,14.23,76.9,23
NDC,67457-662-05,TOPOTECAN HCL 4 MG/4ML IV SOLN [106862],678.6,678.6,100.43,542.88,23
NDC,67457-675-02,CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN [9347],6072.0,6072.0,898.66,4857.6,23
NDC,67457-790-05,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],59.22,59.22,8.76,47.38,23
NDC,67457-799-20,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],342.32,342.32,50.66,273.86,23
NDC,67457-799-99,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],342.32,342.32,50.66,273.86,23
NDC,67457-816-06,CLINDAMYCIN PHOSPHATE 900 MG/6ML IJ SOLN [82302],22.0,22.0,3.26,17.6,23
NDC,67457-833-06,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY [140359],6337.65,6337.65,937.97,5070.12,23
NDC,67457-852-00,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],94.5,94.5,13.99,75.6,23
NDC,67457-852-04,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],94.5,94.5,13.99,75.6,23
NDC,67457-853-50,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [114],207.84,207.84,30.76,166.27,23
NDC,67457-855-02,ADENOSINE 6 MG/2ML IV SOLN [38703],35.25,35.25,5.22,28.2,23
NDC,67457-857-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN [15330],771.46,771.46,114.18,617.17,23
NDC,67457-860-50,AZITHROMYCIN 500 MG IV SOLR [21063],33.84,33.84,5.01,27.07,23
NDC,67457-887-99,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],178.7,178.7,26.45,142.96,23
NDC,67457-889-10,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
NDC,67457-987-10,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],537.19,537.19,79.5,429.75,23
NDC,67457-994-05,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
NDC,67546-111-12,NITAZOXANIDE 500 MG PO TABS [39254],609.09,609.09,90.15,487.27,23
NDC,67546-212-21,NITAZOXANIDE 100 MG/5ML PO SUSR [34708],1822.83,1822.83,269.78,1458.26,23
NDC,67618-107-60,MAGNESIUM CHLORIDE DELAY RELEASE 71.5 MG PO TAB [104022],6.0,6.0,0.89,4.8,23
NDC,67618-200-08,CHLORHEXIDINE GLUCONATE 4 % EX SOLN [28188],47.9,47.9,7.09,38.32,23
NDC,67684-1901-2,ETHIODIZED OIL 480 MG/ML IJ OIL [153523],3716.07,3716.07,549.98,2972.86,23
NDC,67767-0120-08,FENTANYL 25 MCG/HR TD PATCH 72 HR [27905],78.27,78.27,11.58,62.62,23
NDC,67768-3063-06,CALCIUM GLUCONATE (ANTIDOTE) 2.5 % EX GEL [87801],140.3,140.3,20.76,112.24,23
NDC,67850-024-10,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,67877-116-01,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,67877-124-05,SILVER SULFADIAZINE 1 % EX CREA [7224],89.85,89.85,13.3,71.88,23
NDC,67877-124-40,SILVER SULFADIAZINE 1 % EX CREA [7224],323.65,323.65,47.9,258.92,23
NDC,67877-124-50,SILVER SULFADIAZINE 1 % EX CREA [7224],89.85,89.85,13.3,71.88,23
NDC,67877-124-85,SILVER SULFADIAZINE 1 % EX CREA [7224],142.07,142.07,21.03,113.66,23
NDC,67877-146-01,TEMAZEPAM 15 MG PO CAPS [7753],6.0,6.0,0.89,4.8,23
NDC,67877-159-01,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
NDC,67877-198-90,AMLODIPINE BESYLATE 5 MG PO TABS [9071],8.41,8.41,1.24,6.73,23
NDC,67877-199-05,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.21,11.21,1.66,8.97,23
NDC,67877-215-20,CEFUROXIME AXETIL 250 MG PO TABS [9495],26.63,26.63,3.94,21.3,23
NDC,67877-215-60,CEFUROXIME AXETIL 250 MG PO TABS [9495],26.72,26.72,3.95,21.38,23
NDC,67877-220-01,CEPHALEXIN 250 MG PO CAPS [9499],6.0,6.0,0.89,4.8,23
NDC,67877-222-01,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,67877-222-05,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,67877-223-01,GABAPENTIN 300 MG PO CAPS [18308],6.3,6.3,0.93,5.04,23
NDC,67877-223-05,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,67877-223-10,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,67877-224-01,GABAPENTIN 400 MG PO CAPS [18307],7.54,7.54,1.12,6.03,23
NDC,67877-225-01,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.38,37.38,5.53,29.9,23
NDC,67877-225-05,MYCOPHENOLATE MOFETIL 500 MG PO TABS [21374],37.38,37.38,5.53,29.9,23
NDC,67877-230-22,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR [25005],3667.09,3667.09,542.73,2933.67,23
NDC,67877-242-01,QUETIAPINE FUMARATE 25 MG PO TABS [21823],18.8,18.8,2.78,15.04,23
NDC,67877-246-01,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.85,60.85,9.01,48.68,23
NDC,67877-248-01,QUETIAPINE FUMARATE 400 MG PO TABS [70398],92.8,92.8,13.73,74.24,23
NDC,67877-250-01,QUETIAPINE FUMARATE 100 MG PO TABS [21824],32.25,32.25,4.77,25.8,23
NDC,67877-259-30,RASAGILINE MESYLATE 0.5 MG PO TABS [76480],108.18,108.18,16.01,86.54,23
NDC,67877-264-90,DULOXETINE HCL 30 MG PO CPEP [39276],36.6,36.6,5.42,29.28,23
NDC,67877-265-90,DULOXETINE HCL 60 MG PO CPEP [39277],36.6,36.6,5.42,29.28,23
NDC,67877-266-01,MYCOPHENOLATE MOFETIL 250 MG PO CAPS [15113],18.78,18.78,2.78,15.02,23
NDC,67877-286-60,(RILUTEK) RILUZOLE 50 MG PO TABS [16124],159.96,159.96,23.67,127.97,23
NDC,67877-288-90,FINASTERIDE 5 MG PO TABS [10037],14.86,14.86,2.2,11.89,23
NDC,67877-319-01,IBUPROFEN 400 MG PO TABS [3843],6.0,6.0,0.89,4.8,23
NDC,67877-320-05,IBUPROFEN 600 MG PO TABS [3844],6.0,6.0,0.89,4.8,23
NDC,67877-321-05,IBUPROFEN 800 MG PO TABS [3845],6.0,6.0,0.89,4.8,23
NDC,67877-414-01,METFORMIN HCL ER 750 MG PO TB24 [35771],6.0,6.0,0.89,4.8,23
NDC,67877-419-20,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
NDC,67877-419-33,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
NDC,67877-419-84,LINEZOLID 600 MG PO TABS [28224],692.41,692.41,102.48,553.93,23
NDC,67877-427-12,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],42.94,42.94,6.36,34.35,23
NDC,67877-428-05,GABAPENTIN 600 MG PO TABS [25855],11.92,11.92,1.76,9.54,23
NDC,67877-430-03,ARIPIPRAZOLE 2 MG PO TABS [70306],138.59,138.59,20.51,110.87,23
NDC,67877-431-03,ARIPIPRAZOLE 5 MG PO TABS [36438],138.59,138.59,20.51,110.87,23
NDC,67877-432-03,ARIPIPRAZOLE 10 MG PO TABS [34369],138.59,138.59,20.51,110.87,23
NDC,67877-432-05,ARIPIPRAZOLE 10 MG PO TABS [34369],138.59,138.59,20.51,110.87,23
NDC,67877-433-03,ARIPIPRAZOLE 15 MG PO TABS [34370],138.59,138.59,20.51,110.87,23
NDC,67877-434-03,ARIPIPRAZOLE 20 MG PO TABS [34371],194.91,194.91,28.85,155.93,23
NDC,67877-435-03,ARIPIPRAZOLE 30 MG PO TABS [34372],194.91,194.91,28.85,155.93,23
NDC,67877-454-30,ITRACONAZOLE 100 MG PO CAPS [10364],104.55,104.55,15.47,83.64,23
NDC,67877-462-90,PREGABALIN 25 MG PO CAPS [42162],37.41,37.41,5.54,29.93,23
NDC,67877-463-90,PREGABALIN 50 MG PO CAPS [42163],37.41,37.41,5.54,29.93,23
NDC,67877-466-90,PREGABALIN 150 MG PO CAPS [42166],37.41,37.41,5.54,29.93,23
NDC,67877-503-30,CINACALCET HCL 30 MG PO TABS [38100],132.72,132.72,19.64,106.18,23
NDC,67877-505-30,CINACALCET HCL 90 MG PO TABS [38102],357.69,357.69,52.94,286.15,23
NDC,67877-506-51,COLESEVELAM HCL 625 MG PO TABS [28372],18.56,18.56,2.75,14.85,23
NDC,67877-525-60,RANOLAZINE ER 500 MG PO TB12 [70434],30.22,30.22,4.47,24.18,23
NDC,67877-543-60,CEFDINIR 300 MG PO CAPS [22289],24.0,24.0,3.55,19.2,23
NDC,67877-563-01,METFORMIN HCL 1000 MG PO TABS [24398],6.87,6.87,1.02,5.5,23
NDC,67877-573-01,BENZONATATE 100 MG PO CAPS [988],11.77,11.77,1.74,9.42,23
NDC,67877-573-05,BENZONATATE 100 MG PO CAPS [988],10.67,10.67,1.58,8.54,23
NDC,67877-589-01,COLCHICINE 0.6 MG PO TABS [1821],31.66,31.66,4.69,25.33,23
NDC,67877-590-01,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,67877-592-01,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
NDC,67877-605-30,PRASUGREL HCL 10 MG PO TABS [98373],77.53,77.53,11.47,62.02,23
NDC,67877-638-30,LURASIDONE HCL 20 MG PO TABS [112380],198.52,198.52,29.38,158.82,23
NDC,67877-717-12,MESALAMINE ER 0.375 G PO CP24 [95687],21.56,21.56,3.19,17.25,23
NDC,67877-733-60,LACOSAMIDE 50 MG PO TABS [96968],53.43,53.43,7.91,42.74,23
NDC,67877-734-60,LACOSAMIDE 100 MG PO TABS [96969],83.52,83.52,12.36,66.82,23
NDC,67877-735-60,LACOSAMIDE 150 MG PO TABS [96970],88.46,88.46,13.09,70.77,23
NDC,67877-748-01,SIROLIMUS 2 MG PO TABS [35262],146.75,146.75,21.72,117.4,23
NDC,67877-754-60,DRONABINOL 5 MG PO CAPS [9905],63.67,63.67,9.42,50.94,23
NDC,67877-842-01,FAMOTIDINE 20 MG PO TABS [10011],11.39,11.39,1.69,9.11,23
NDC,67919-011-01,DAPTOMYCIN 500 MG IV SOLR [36989],1555.66,1555.66,230.24,1244.53,23
NDC,67919-020-10,ALVIMOPAN 12 MG PO CAPS [91870],715.73,715.73,105.93,572.58,23
NDC,67919-030-01,CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR [126371],686.29,686.29,101.57,549.03,23
NDC,68012-003-16,METFORMIN HCL ER (MOD) 1000 MG PO TB24 [91028],503.66,503.66,74.54,402.93,23
NDC,68047-252-01,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
NDC,68047-253-01,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
NDC,68047-255-01,HYOSCYAMINE SULFATE ER 0.375 MG PO TB12 [17010],6.0,6.0,0.89,4.8,23
NDC,68065-1134-72,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
NDC,68065-1135-60,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
NDC,68065-1135-61,PUMP PORTABLE (2 ML/HR) 100ML [600441],216.48,216.48,32.04,173.18,23
NDC,68065-1135-66,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
NDC,68065-1135-68,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
NDC,68065-1316-14,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
NDC,68084-040-01,MISOPROSTOL 100 MCG PO TABS [10628],11.66,11.66,1.73,9.33,23
NDC,68084-040-11,MISOPROSTOL 100 MCG PO TABS [10628],11.66,11.66,1.73,9.33,23
NDC,68084-041-01,MISOPROSTOL 200 MCG PO TABS [10629],12.82,12.82,1.9,10.26,23
NDC,68084-045-01,PAROXETINE HCL 20 MG PO TABS [10855],13.11,13.11,1.94,10.49,23
NDC,68084-045-11,PAROXETINE HCL 20 MG PO TABS [10855],13.11,13.11,1.94,10.49,23
NDC,68084-047-01,PAROXETINE HCL 40 MG PO TABS [16633],14.26,14.26,2.11,11.41,23
NDC,68084-070-01,CIPROFLOXACIN HCL 500 MG PO TABS [25119],14.94,14.94,2.21,11.95,23
NDC,68084-070-11,CIPROFLOXACIN HCL 500 MG PO TABS [25119],14.94,14.94,2.21,11.95,23
NDC,68084-071-01,CIPROFLOXACIN HCL 750 MG PO TABS [25120],36.01,36.01,5.33,28.81,23
NDC,68084-082-01,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,68084-083-01,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.35,6.35,0.94,5.08,23
NDC,68084-093-01,CARBIDOPA-LEVODOPA 25-100 MG PO TABS [9407],6.0,6.0,0.89,4.8,23
NDC,68084-094-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,68084-098-01,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],6.0,6.0,0.89,4.8,23
NDC,68084-099-01,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],6.0,6.0,0.89,4.8,23
NDC,68084-107-01,ACYCLOVIR 200 MG PO CAPS [8969],6.16,6.16,0.91,4.93,23
NDC,68084-109-01,ACYCLOVIR 800 MG PO TABS [8972],21.39,21.39,3.17,17.11,23
NDC,68084-111-01,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
NDC,68084-111-11,GLIPIZIDE ER 5 MG PO TB24 [37649],6.0,6.0,0.89,4.8,23
NDC,68084-112-01,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
NDC,68084-112-11,GLIPIZIDE ER 10 MG PO TB24 [37650],6.0,6.0,0.89,4.8,23
NDC,68084-119-01,MIRTAZAPINE 15 MG PO TABS [17466],6.0,6.0,0.89,4.8,23
NDC,68084-120-01,MIRTAZAPINE 30 MG PO TABS [17465],6.06,6.06,0.9,4.85,23
NDC,68084-120-11,MIRTAZAPINE 30 MG PO TABS [17465],6.07,6.07,0.9,4.86,23
NDC,68084-121-01,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
NDC,68084-121-11,MIRTAZAPINE 45 MG PO TABS [24945],13.4,13.4,1.98,10.72,23
NDC,68084-149-01,METHYLPREDNISOLONE 4 MG PO TABS [4993],10.12,10.12,1.5,8.1,23
NDC,68084-149-11,METHYLPREDNISOLONE 4 MG PO TABS [4993],10.12,10.12,1.5,8.1,23
NDC,68084-155-01,PROMETHAZINE HCL 25 MG PO TABS [6622],6.0,6.0,0.89,4.8,23
NDC,68084-184-01,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
NDC,68084-199-01,LISINOPRIL 40 MG PO TABS [10450],6.0,6.0,0.89,4.8,23
NDC,68084-202-01,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
NDC,68084-202-11,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
NDC,68084-203-01,PRIMIDONE 250 MG PO TABS [6544],6.0,6.0,0.89,4.8,23
NDC,68084-204-01,MINOXIDIL 2.5 MG PO TABS [5115],7.97,7.97,1.18,6.38,23
NDC,68084-204-11,MINOXIDIL 2.5 MG PO TABS [5115],7.97,7.97,1.18,6.38,23
NDC,68084-205-01,MINOXIDIL 10 MG PO TABS [5114],9.95,9.95,1.47,7.96,23
NDC,68084-205-11,MINOXIDIL 10 MG PO TABS [5114],9.97,9.97,1.48,7.98,23
NDC,68084-214-01,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,68084-220-01,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
NDC,68084-220-11,ONDANSETRON HCL 4 MG PO TABS [10778],6.0,6.0,0.89,4.8,23
NDC,68084-221-01,ONDANSETRON HCL 8 MG PO TABS [10779],6.0,6.0,0.89,4.8,23
NDC,68084-229-01,AZATHIOPRINE 50 MG PO TABS [9183],6.0,6.0,0.89,4.8,23
NDC,68084-248-01,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,68084-248-11,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,68084-253-01,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
NDC,68084-253-11,HYDROXYZINE HCL 10 MG PO TABS [3772],6.0,6.0,0.89,4.8,23
NDC,68084-254-01,HYDROXYZINE HCL 25 MG PO TABS [3774],6.0,6.0,0.89,4.8,23
NDC,68084-269-01,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.64,20.64,3.05,16.51,23
NDC,68084-269-11,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.64,20.64,3.05,16.51,23
NDC,68084-270-01,RISPERIDONE 0.25 MG PO TABS [25519],18.3,18.3,2.71,14.64,23
NDC,68084-271-01,RISPERIDONE 0.5 MG PO TABS [25520],20.08,20.08,2.97,16.06,23
NDC,68084-272-01,RISPERIDONE 1 MG PO TABS [18313],21.35,21.35,3.16,17.08,23
NDC,68084-272-11,RISPERIDONE 1 MG PO TABS [18313],21.35,21.35,3.16,17.08,23
NDC,68084-274-01,RISPERIDONE 3 MG PO TABS [18312],41.9,41.9,6.2,33.52,23
NDC,68084-274-11,RISPERIDONE 3 MG PO TABS [18312],41.9,41.9,6.2,33.52,23
NDC,68084-277-01,RISPERIDONE 4 MG PO TABS [18310],56.28,56.28,8.33,45.02,23
NDC,68084-280-01,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.64,7.64,1.13,6.11,23
NDC,68084-280-11,ETHAMBUTOL HCL 400 MG PO TABS [9983],7.64,7.64,1.13,6.11,23
NDC,68084-281-01,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,68084-281-11,CARBIDOPA-LEVODOPA ER 25-100 MG PO TBCR [124207],6.0,6.0,0.89,4.8,23
NDC,68084-282-01,CARBIDOPA-LEVODOPA ER 50-200 MG PO TBCR [26371],7.44,7.44,1.1,5.95,23
NDC,68084-284-01,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
NDC,68084-284-11,HYDROXYUREA 500 MG PO CAPS [10236],6.0,6.0,0.89,4.8,23
NDC,68084-288-01,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
NDC,68084-288-11,FLUDROCORTISONE ACETATE 0.1 MG PO TABS [10054],6.0,6.0,0.89,4.8,23
NDC,68084-291-11,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.27,20.27,3.0,16.22,23
NDC,68084-291-21,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],20.27,20.27,3.0,16.22,23
NDC,68084-295-21,GLIPIZIDE ER 2.5 MG PO TB24 [37648],6.4,6.4,0.95,5.12,23
NDC,68084-299-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
NDC,68084-300-21,DANTROLENE SODIUM 25 MG PO CAPS [9718],9.11,9.11,1.35,7.29,23
NDC,68084-313-01,DIVALPROEX SODIUM 125 MG PO CSDR [27631],6.67,6.67,0.99,5.34,23
NDC,68084-318-01,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
NDC,68084-318-11,LAMOTRIGINE 25 MG PO TABS [13981],6.0,6.0,0.89,4.8,23
NDC,68084-319-01,LAMOTRIGINE 100 MG PO TABS [13982],6.0,6.0,0.89,4.8,23
NDC,68084-319-11,LAMOTRIGINE 100 MG PO TABS [13982],6.0,6.0,0.89,4.8,23
NDC,68084-326-01,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
NDC,68084-326-11,GLIMEPIRIDE 2 MG PO TABS [16356],6.0,6.0,0.89,4.8,23
NDC,68084-333-01,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,68084-333-11,DICLOFENAC SODIUM 75 MG PO TBEC [15341],6.0,6.0,0.89,4.8,23
NDC,68084-342-01,TOPIRAMATE 25 MG PO TABS [18920],9.87,9.87,1.46,7.9,23
NDC,68084-342-11,TOPIRAMATE 25 MG PO TABS [18920],9.87,9.87,1.46,7.9,23
NDC,68084-343-01,TOPIRAMATE 50 MG PO TABS [37616],6.0,6.0,0.89,4.8,23
NDC,68084-344-01,TOPIRAMATE 100 MG PO TABS [18922],29.14,29.14,4.31,23.31,23
NDC,68084-345-11,TOPIRAMATE 200 MG PO TABS [18921],6.0,6.0,0.89,4.8,23
NDC,68084-345-21,TOPIRAMATE 200 MG PO TABS [18921],6.0,6.0,0.89,4.8,23
NDC,68084-346-01,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.89,7.89,1.17,6.31,23
NDC,68084-347-01,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.58,10.58,1.57,8.46,23
NDC,68084-348-01,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.46,14.46,2.14,11.57,23
NDC,68084-354-01,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,68084-354-11,OXYCODONE HCL 5 MG PO TABS [10814],6.0,6.0,0.89,4.8,23
NDC,68084-355-01,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.51,6.51,0.96,5.21,23
NDC,68084-355-11,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.54,6.54,0.97,5.23,23
NDC,68084-360-09,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,68084-376-01,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],6.0,6.0,0.89,4.8,23
NDC,68084-381-01,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
NDC,68084-388-01,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,68084-389-01,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
NDC,68084-396-65,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],9.17,9.17,1.36,7.34,23
NDC,68084-400-01,OXYBUTYNIN CHLORIDE 5 MG PO TABS [5938],6.0,6.0,0.89,4.8,23
NDC,68084-444-01,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
NDC,68084-444-11,CARBAMAZEPINE 200 MG PO TABS [1357],6.0,6.0,0.89,4.8,23
NDC,68084-446-01,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],16.59,16.59,2.46,13.27,23
NDC,68084-447-01,HYDRALAZINE HCL 10 MG PO TABS [3698],6.0,6.0,0.89,4.8,23
NDC,68084-449-01,TACROLIMUS 0.5 MG PO CAPS [24914],10.49,10.49,1.55,8.39,23
NDC,68084-450-01,TACROLIMUS 1 MG PO CAPS [12933],20.97,20.97,3.1,16.78,23
NDC,68084-491-01,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,68084-491-11,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,68084-512-01,SIMVASTATIN 20 MG PO TABS [11365],23.13,23.13,3.42,18.5,23
NDC,68084-525-01,OLANZAPINE 2.5 MG PO TABS [21057],52.51,52.51,7.77,42.01,23
NDC,68084-528-01,OLANZAPINE 15 MG PO TABS [26952],131.93,131.93,19.53,105.54,23
NDC,68084-536-01,CLOPIDOGREL BISULFATE 75 MG PO TABS [22142],32.03,32.03,4.74,25.62,23
NDC,68084-539-01,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,68084-539-11,TORSEMIDE 20 MG PO TABS [18293],6.0,6.0,0.89,4.8,23
NDC,68084-591-01,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.89,7.89,1.17,6.31,23
NDC,68084-591-11,ISOSORBIDE MONONITRATE ER 30 MG PO TB24 [24521],7.89,7.89,1.17,6.31,23
NDC,68084-592-01,ISOSORBIDE MONONITRATE CR 60 MG PO TB24 [24268],9.67,9.67,1.43,7.74,23
NDC,68084-597-01,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],8.41,8.41,1.24,6.73,23
NDC,68084-605-01,FLUOXETINE HCL 20 MG PO CAPS [10070],11.83,11.83,1.75,9.46,23
NDC,68084-606-11,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
NDC,68084-606-21,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],14.2,14.2,2.1,11.36,23
NDC,68084-607-01,PERPHENAZINE 8 MG PO TABS [6159],11.88,11.88,1.76,9.5,23
NDC,68084-618-01,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],21.62,21.62,3.2,17.3,23
NDC,68084-640-01,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
NDC,68084-640-11,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
NDC,68084-645-01,TIZANIDINE HCL 4 MG PO TABS [14793],7.12,7.12,1.05,5.7,23
NDC,68084-654-01,SOTALOL HCL 80 MG PO TABS [11421],10.91,10.91,1.61,8.73,23
NDC,68084-675-21,DULOXETINE HCL 20 MG PO CPEP [39275],38.38,38.38,5.68,30.7,23
NDC,68084-676-01,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,68084-676-11,METOCLOPRAMIDE HCL 10 MG PO TABS [5005],6.0,6.0,0.89,4.8,23
NDC,68084-697-01,BUPROPION HCL ER (SR) 100 MG PO TB12 [18385],7.83,7.83,1.16,6.26,23
NDC,68084-708-25,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
NDC,68084-708-95,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],6.0,6.0,0.89,4.8,23
NDC,68084-710-01,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],16.78,16.78,2.48,13.42,23
NDC,68084-723-01,OLANZAPINE 5 MG PO TABS [17936],51.19,51.19,7.58,40.95,23
NDC,68084-735-01,FLUCONAZOLE 200 MG PO TABS [10045],190.52,190.52,28.2,152.42,23
NDC,68084-737-01,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.66,11.66,1.73,9.33,23
NDC,68084-737-11,CITALOPRAM HYDROBROMIDE 10 MG PO TABS [30264],11.66,11.66,1.73,9.33,23
NDC,68084-738-01,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,68084-738-11,METHADONE HCL 10 MG PO TABS [4953],6.0,6.0,0.89,4.8,23
NDC,68084-740-01,OLANZAPINE 10 MG PO TABS [17937],87.98,87.98,13.02,70.38,23
NDC,68084-744-01,CITALOPRAM HYDROBROMIDE 20 MG PO TABS [21062],11.99,11.99,1.77,9.59,23
NDC,68084-752-25,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],115.33,115.33,17.07,92.26,23
NDC,68084-752-95,CLOPIDOGREL BISULFATE 300 MG PO TABS [89346],115.33,115.33,17.07,92.26,23
NDC,68084-753-25,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
NDC,68084-753-65,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],6.0,6.0,0.89,4.8,23
NDC,68084-775-25,TIZANIDINE HCL 2 MG PO TABS [14792],8.23,8.23,1.22,6.58,23
NDC,68084-776-01,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
NDC,68084-776-11,DIVALPROEX SODIUM 250 MG PO TBEC [2552],8.29,8.29,1.23,6.63,23
NDC,68084-782-61,DIVALPROEX SODIUM 500 MG PO TBEC [2553],15.19,15.19,2.25,12.15,23
NDC,68084-805-11,METHYLPHENIDATE HCL 5 MG PO TABS [4988],11.57,11.57,1.71,9.26,23
NDC,68084-805-21,METHYLPHENIDATE HCL 5 MG PO TABS [4988],11.58,11.58,1.71,9.26,23
NDC,68084-813-09,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],6.0,6.0,0.89,4.8,23
NDC,68084-836-25,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
NDC,68084-836-95,DOXAZOSIN MESYLATE 1 MG PO TABS [9894],6.0,6.0,0.89,4.8,23
NDC,68084-845-01,OXCARBAZEPINE 150 MG PO TABS [27049],7.1,7.1,1.05,5.68,23
NDC,68084-851-01,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.0,6.0,0.89,4.8,23
NDC,68084-851-25,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.0,6.0,0.89,4.8,23
NDC,68084-853-01,OXCARBAZEPINE 300 MG PO TABS [21061],12.95,12.95,1.92,10.36,23
NDC,68084-854-01,CARVEDILOL 6.25 MG PO TABS [15747],9.17,9.17,1.36,7.34,23
NDC,68084-855-01,BACLOFEN 10 MG PO TABS [860],6.0,6.0,0.89,4.8,23
NDC,68084-859-01,LEVETIRACETAM 250 MG PO TABS [26816],6.0,6.0,0.89,4.8,23
NDC,68084-867-01,OXCARBAZEPINE 600 MG PO TABS [21157],23.8,23.8,3.52,19.04,23
NDC,68084-867-11,OXCARBAZEPINE 600 MG PO TABS [21157],23.8,23.8,3.52,19.04,23
NDC,68084-870-01,LEVETIRACETAM 500 MG PO TABS [26817],6.0,6.0,0.89,4.8,23
NDC,68084-875-01,MONTELUKAST SODIUM 10 MG PO TABS [22509],25.88,25.88,3.83,20.7,23
NDC,68084-882-01,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
NDC,68084-882-11,LEVETIRACETAM 750 MG PO TABS [26818],6.0,6.0,0.89,4.8,23
NDC,68084-893-01,LEVETIRACETAM 1000 MG PO TABS [70773],7.9,7.9,1.17,6.32,23
NDC,68084-895-09,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,68084-895-11,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],6.0,6.0,0.89,4.8,23
NDC,68084-918-25,MYCOPHENOLATE SODIUM 360 MG PO TBEC [38063],47.0,47.0,6.96,37.6,23
NDC,68084-964-25,PROPYLTHIOURACIL 50 MG PO TABS [6662],15.8,15.8,2.34,12.64,23
NDC,68084-968-01,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
NDC,68084-968-11,OXYCODONE HCL 10 MG PO TABS [87795],6.0,6.0,0.89,4.8,23
NDC,68084-975-01,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
NDC,68084-975-11,OXYCODONE HCL 15 MG PO TABS [28899],8.79,8.79,1.3,7.03,23
NDC,68084-996-01,PRAZOSIN HCL 1 MG PO CAPS [6468],8.39,8.39,1.24,6.71,23
NDC,68094-001-59,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
NDC,68094-001-62,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],7.67,7.67,1.14,6.14,23
NDC,68094-005-59,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
NDC,68094-005-61,OXYCODONE HCL 15 MG PO TABS [28899],6.0,6.0,0.89,4.8,23
NDC,68094-034-59,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.72,10.72,1.59,8.58,23
NDC,68094-034-64,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.72,10.72,1.59,8.58,23
NDC,68094-043-61,SUCRALFATE 1 GM/10ML PO SUSP [11441],50.86,50.86,7.53,40.69,23
NDC,68094-050-59,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],15.8,15.8,2.34,12.64,23
NDC,68094-050-61,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],15.8,15.8,2.34,12.64,23
NDC,68094-101-20,PHENTOLAMINE MESYLATE 5 MG IJ SOLR [10947],1465.95,1465.95,216.96,1172.76,23
NDC,68094-123-59,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,68094-123-62,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],40.99,40.99,6.07,32.79,23
NDC,68094-494-59,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,68094-494-61,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,68094-600-61,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,68094-600-62,IBUPROFEN 100 MG/5ML PO SUSP [10246],6.0,6.0,0.89,4.8,23
NDC,68094-690-30,AZITHROMYCIN 600 MG PO TABS [17387],10.69,10.69,1.58,8.55,23
NDC,68094-762-59,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],29.76,29.76,4.4,23.81,23
NDC,68094-762-62,MIDAZOLAM HCL 2 MG/ML PO SYRP [24176],29.74,29.74,4.4,23.79,23
NDC,68094-808-50,METHAZOLAMIDE 50 MG PO TABS [4962],16.87,16.87,2.5,13.5,23
NDC,68094-853-62,DEPADE: NALTREXONE HCL 50 MG PO TABS [10685],12.86,12.86,1.9,10.29,23
NDC,68176-00013,DEKAS ESSENTIAL PO LIQD [133290],219.4,219.4,32.47,175.52,23
NDC,68180-112-16,LEVETIRACETAM 250 MG PO TABS [26816],13.52,13.52,2.0,10.82,23
NDC,68180-113-02,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,68180-113-09,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,68180-113-16,LEVETIRACETAM 500 MG PO TABS [26817],16.52,16.52,2.44,13.22,23
NDC,68180-114-16,LEVETIRACETAM 750 MG PO TABS [26818],22.38,22.38,3.31,17.9,23
NDC,68180-115-07,LEVETIRACETAM 1000 MG PO TABS [70773],33.07,33.07,4.89,26.46,23
NDC,68180-122-02,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,68180-136-01,ESCITALOPRAM OXALATE 20 MG PO TABS [33513],23.13,23.13,3.42,18.5,23
NDC,68180-150-01,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
NDC,68180-152-06,MIRABEGRON ER 50 MG PO TB24 [116080],77.89,77.89,11.53,62.31,23
NDC,68180-180-01,CEFADROXIL 500 MG PO CAPS [9436],16.92,16.92,2.5,13.54,23
NDC,68180-202-03,CEFIXIME 100 MG/5ML PO SUSR [9446],892.82,892.82,132.14,714.26,23
NDC,68180-215-09,LOSARTAN-HCTZ 50-12.5 MG PO TABS [14958],11.76,11.76,1.74,9.41,23
NDC,68180-217-09,LOSARTAN-HCTZ 100-25 MG PO TABS [24384],16.02,16.02,2.37,12.82,23
NDC,68180-232-09,FENOFIBRATE 160 MG PO TABS [28252],11.17,11.17,1.65,8.94,23
NDC,68180-240-01,LEVOFLOXACIN 250 MG PO TABS [18918],79.11,79.11,11.71,63.29,23
NDC,68180-280-01,ETHAMBUTOL HCL 100 MG PO TABS [9982],6.0,6.0,0.89,4.8,23
NDC,68180-281-01,ETHAMBUTOL HCL 400 MG PO TABS [9983],8.4,8.4,1.24,6.72,23
NDC,68180-288-06,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.36,201.36,29.8,161.09,23
NDC,68180-294-07,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
NDC,68180-302-20,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
NDC,68180-302-60,CEFUROXIME AXETIL 250 MG PO TABS [9495],20.68,20.68,3.06,16.54,23
NDC,68180-319-06,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
NDC,68180-320-06,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
NDC,68180-320-09,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],22.41,22.41,3.32,17.93,23
NDC,68180-345-07,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
NDC,68180-346-06,DARUNAVIR 800 MG PO TABS [117385],293.43,293.43,43.43,234.74,23
NDC,68180-352-02,SERTRALINE HCL 50 MG PO TABS [11351],13.4,13.4,1.98,10.72,23
NDC,68180-376-09,LOSARTAN POTASSIUM 25 MG PO TABS [14823],7.92,7.92,1.17,6.34,23
NDC,68180-377-09,LOSARTAN POTASSIUM 50 MG PO TABS [14824],10.64,10.64,1.57,8.51,23
NDC,68180-378-09,LOSARTAN POTASSIUM 100 MG PO TABS [22588],14.49,14.49,2.14,11.59,23
NDC,68180-396-01,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
NDC,68180-423-11,CEFIXIME 400 MG PO CAPS [119958],107.86,107.86,15.96,86.29,23
NDC,68180-429-01,BIMATOPROST 0.03 % OP SOLN [29904],507.56,507.56,75.12,406.05,23
NDC,68180-440-01,CEPHALEXIN 125 MG/5ML PO SUSR [9501],103.06,103.06,15.25,82.45,23
NDC,68180-441-01,CEPHALEXIN 250 MG/5ML PO SUSR [9502],124.71,124.71,18.46,99.77,23
NDC,68180-441-02,CEPHALEXIN 250 MG/5ML PO SUSR [9502],199.17,199.17,29.48,159.34,23
NDC,68180-448-01,QUETIAPINE FUMARATE 200 MG PO TABS [21825],60.81,60.81,9.0,48.65,23
NDC,68180-459-01,AMLODIPINE-BENAZEPRIL HCL 5-20 MG PO CAPS [14822],13.44,13.44,1.99,10.75,23
NDC,68180-464-09,SIMVASTATIN 40 MG PO TABS [11366],23.13,23.13,3.42,18.5,23
NDC,68180-478-01,SIMVASTATIN 10 MG PO TABS [11364],13.26,13.26,1.96,10.61,23
NDC,68180-513-01,LISINOPRIL 5 MG PO TABS [10451],6.0,6.0,0.89,4.8,23
NDC,68180-518-01,LISINOPRIL-HCTZ 10-12.5 MG TABLET [24711],6.0,6.0,0.89,4.8,23
NDC,68180-518-02,LISINOPRIL-HCTZ 10-12.5 MG TABLET [24711],6.0,6.0,0.89,4.8,23
NDC,68180-519-01,LISINOPRIL-HCTZ 20-12.5 MG TABLET [10452],6.0,6.0,0.89,4.8,23
NDC,68180-520-01,LISINOPRIL-HCTZ 20-25 MG TABLET [10453],6.0,6.0,0.89,4.8,23
NDC,68180-524-06,PALIPERIDONE ER 3 MG PO TB24 [78064],68.95,68.95,10.2,55.16,23
NDC,68180-591-01,RAMIPRIL 10 MG PO CAPS [11259],10.42,10.42,1.54,8.34,23
NDC,68180-652-08,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],11.14,11.14,1.65,8.91,23
NDC,68180-657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR [9902],98.73,98.73,14.61,78.98,23
NDC,68180-658-06,RIFAMPIN 150 MG PO CAPS [11292],15.24,15.24,2.26,12.19,23
NDC,68180-659-06,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
NDC,68180-659-07,RIFAMPIN 300 MG PO CAPS [11293],21.59,21.59,3.2,17.27,23
NDC,68180-675-11,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,68180-678-01,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR [109651],617.3,617.3,91.36,493.84,23
NDC,68180-690-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
NDC,68180-711-60,CEFDINIR 300 MG PO CAPS [22289],24.04,24.04,3.56,19.23,23
NDC,68180-756-01,AMLODIPINE-BENAZEPRIL HCL 5-10 MG PO CAPS [14821],12.73,12.73,1.88,10.18,23
NDC,68180-821-10,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],60.95,60.95,9.02,48.76,23
NDC,68180-821-47,LANTHANUM CARBONATE 1000 MG PO CHEW [43548],60.95,60.95,9.02,48.76,23
NDC,68180-837-73,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],553.03,553.03,81.85,442.42,23
NDC,68180-840-71,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
NDC,68180-840-73,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
NDC,68180-852-11,LEVONORGESTREL 1.5 MG PO TABS [99438],158.31,158.31,23.43,126.65,23
NDC,68180-965-01,LEVOTHYROXINE SODIUM 25 MCG PO TABS [4420],6.0,6.0,0.89,4.8,23
NDC,68180-966-01,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,68180-966-03,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],6.0,6.0,0.89,4.8,23
NDC,68180-972-09,LEVOTHYROXINE SODIUM 137 MCG PO TABS [10405],6.0,6.0,0.89,4.8,23
NDC,68180-973-01,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],6.0,6.0,0.89,4.8,23
NDC,68180-979-01,LISINOPRIL 40 MG PO TABS [10450],7.32,7.32,1.08,5.86,23
NDC,68180-980-01,LISINOPRIL 10 MG PO TABS [10449],6.0,6.0,0.89,4.8,23
NDC,68180-981-01,LISINOPRIL 20 MG PO TABS [4526],6.0,6.0,0.89,4.8,23
NDC,68308-020-03,OXYCODONE HCL 100 MG/5ML PO CONC [10812],1116.06,1116.06,165.18,892.85,23
NDC,68308-152-15,NYSTATIN 100000 UNIT/GM EX POWD [39136],95.03,95.03,14.06,76.02,23
NDC,68308-480-47,OXYCODONE-ACETAMINOPHEN 10-325 MG PO TABS [31864],15.86,15.86,2.35,12.69,23
NDC,68382-001-16,PAROXETINE HCL 40 MG PO TABS [16633],13.52,13.52,2.0,10.82,23
NDC,68382-003-01,AZATHIOPRINE 50 MG PO TABS [9183],9.92,9.92,1.47,7.94,23
NDC,68382-004-14,TOPIRAMATE 15 MG PO CPSP [27641],11.36,11.36,1.68,9.09,23
NDC,68382-005-14,TOPIRAMATE 25 MG PO CPSP [27642],13.73,13.73,2.03,10.98,23
NDC,68382-010-14,LAMOTRIGINE 200 MG PO TABS [13983],29.13,29.13,4.31,23.3,23
NDC,68382-023-01,ATENOLOL 50 MG PO TABS [718],6.0,6.0,0.89,4.8,23
NDC,68382-024-01,ATENOLOL 100 MG PO TABS [716],6.0,6.0,0.89,4.8,23
NDC,68382-050-01,MELOXICAM 7.5 MG PO TABS [20566],14.9,14.9,2.21,11.92,23
NDC,68382-051-01,MELOXICAM 15 MG PO TABS [20580],22.78,22.78,3.37,18.22,23
NDC,68382-079-01,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
NDC,68382-080-01,HALOPERIDOL 10 MG PO TABS [3580],6.75,6.75,1.0,5.4,23
NDC,68382-081-01,HALOPERIDOL 20 MG PO TABS [3582],12.96,12.96,1.92,10.37,23
NDC,68382-092-01,CARVEDILOL 3.125 MG PO TABS [18551],10.05,10.05,1.49,8.04,23
NDC,68382-094-01,CARVEDILOL 12.5 MG PO TABS [15749],10.05,10.05,1.49,8.04,23
NDC,68382-095-01,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
NDC,68382-095-05,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
NDC,68382-098-06,PAROXETINE HCL 20 MG PO TABS [10855],12.85,12.85,1.9,10.28,23
NDC,68382-110-06,BROMOCRIPTINE MESYLATE 5 MG PO CAPS [9296],43.76,43.76,6.48,35.01,23
NDC,68382-112-14,RISPERIDONE 0.25 MG PO TABS [25519],18.34,18.34,2.71,14.67,23
NDC,68382-114-14,RISPERIDONE 1 MG PO TABS [18313],21.4,21.4,3.17,17.12,23
NDC,68382-121-16,AMLODIPINE BESYLATE 2.5 MG PO TABS [9070],8.15,8.15,1.21,6.52,23
NDC,68382-123-16,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.17,11.17,1.65,8.94,23
NDC,68382-132-01,TAMSULOSIN HCL 0.4 MG PO CAPS [102053],19.81,19.81,2.93,15.85,23
NDC,68382-139-14,TOPIRAMATE 50 MG PO TABS [37616],23.97,23.97,3.55,19.18,23
NDC,68382-141-14,TOPIRAMATE 200 MG PO TABS [18921],38.32,38.32,5.67,30.66,23
NDC,68382-181-01,BUSPIRONE HCL 10 MG PO TABS [9323],6.33,6.33,0.94,5.06,23
NDC,68382-182-01,BUSPIRONE HCL 15 MG PO TABS [17464],9.49,9.49,1.4,7.59,23
NDC,68382-209-06,ANASTROZOLE 1 MG PO TABS [16205],63.36,63.36,9.38,50.69,23
NDC,68382-227-14,AMIODARONE HCL 200 MG PO TABS [9066],15.62,15.62,2.31,12.5,23
NDC,68382-247-01,BENZONATATE 100 MG PO CAPS [988],6.0,6.0,0.89,4.8,23
NDC,68382-316-01,MINOCYCLINE HCL 50 MG PO CAPS [5111],7.99,7.99,1.18,6.39,23
NDC,68382-370-01,NYSTATIN 100000 UNIT/GM EX POWD [39136],121.27,121.27,17.95,97.02,23
NDC,68382-370-02,NYSTATIN 100000 UNIT/GM EX POWD [39136],194.54,194.54,28.79,155.63,23
NDC,68382-384-01,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],807.7,807.7,119.54,646.16,23
NDC,68382-470-01,INDOMETHACIN SODIUM 1 MG IV SOLR [10267],1606.32,1606.32,237.74,1285.06,23
NDC,68382-549-06,MEMANTINE HCL ER 28 MG PO CP24 [119105],71.82,71.82,10.63,57.46,23
NDC,68382-559-01,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
NDC,68382-584-01,LIOTHYRONINE SODIUM 50 MCG PO TABS [4505],7.48,7.48,1.11,5.98,23
NDC,68382-591-01,PERPHENAZINE 2 MG PO TABS [6157],8.21,8.21,1.22,6.57,23
NDC,68382-722-16,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
NDC,68382-738-01,MIDODRINE HCL 5 MG PO TABS [10610],11.43,11.43,1.69,9.14,23
NDC,68382-739-01,MIDODRINE HCL 10 MG PO TABS [33083],22.73,22.73,3.36,18.18,23
NDC,68382-760-01,METFORMIN HCL 1000 MG PO TABS [24398],6.82,6.82,1.01,5.46,23
NDC,68382-773-06,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
NDC,68382-773-16,EZETIMIBE 10 MG PO TABS [34153],53.1,53.1,7.86,42.48,23
NDC,68382-784-01,DOXAZOSIN MESYLATE 2 MG PO TABS [9895],6.35,6.35,0.94,5.08,23
NDC,68382-785-01,DOXAZOSIN MESYLATE 4 MG PO TABS [9896],6.66,6.66,0.99,5.33,23
NDC,68382-786-01,DOXAZOSIN MESYLATE 8 MG PO TABS [9897],6.99,6.99,1.03,5.59,23
NDC,68382-791-01,ACYCLOVIR 400 MG PO TABS [8971],8.86,8.86,1.31,7.09,23
NDC,68382-798-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,68382-799-01,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,68382-827-01,TAMOXIFEN CITRATE 20 MG PO TABS [11498],17.81,17.81,2.64,14.25,23
NDC,68382-848-94,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
NDC,68382-849-93,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
NDC,68382-849-94,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
NDC,68382-860-10,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN [9259],228.54,228.54,33.82,182.83,23
NDC,68382-910-01,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
NDC,68382-910-10,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
NDC,68382-917-11,METHYLPREDNISOLONE 8 MG PO TABS [10576],9.45,9.45,1.4,7.56,23
NDC,68382-918-18,METHYLPREDNISOLONE 16 MG PO TABS [4992],16.65,16.65,2.46,13.32,23
NDC,68382-920-06,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
NDC,68382-923-86,ELETRIPTAN HYDROBROMIDE 40 MG PO TABS [34684],237.75,237.75,35.19,190.2,23
NDC,68382-970-01,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,68462-102-30,FLUCONAZOLE 100 MG PO TABS [10044],41.38,41.38,6.12,33.1,23
NDC,68462-104-30,FLUCONAZOLE 200 MG PO TABS [10045],67.71,67.71,10.02,54.17,23
NDC,68462-105-30,ONDANSETRON HCL 4 MG PO TABS [10778],106.1,106.1,15.7,84.88,23
NDC,68462-106-30,ONDANSETRON HCL 8 MG PO TABS [10779],154.48,154.48,22.86,123.58,23
NDC,68462-108-60,TOPIRAMATE 25 MG PO TABS [18920],10.42,10.42,1.54,8.34,23
NDC,68462-126-01,GABAPENTIN 600 MG PO TABS [25855],11.89,11.89,1.76,9.51,23
NDC,68462-137-01,OXCARBAZEPINE 150 MG PO TABS [27049],6.72,6.72,0.99,5.38,23
NDC,68462-139-01,OXCARBAZEPINE 600 MG PO TABS [21157],22.56,22.56,3.34,18.05,23
NDC,68462-143-01,CLINDAMYCIN HCL 150 MG PO CAPS [1740],6.0,6.0,0.89,4.8,23
NDC,68462-157-13,ONDANSETRON 4 MG PO TBDP [27697],100.08,100.08,14.81,80.06,23
NDC,68462-158-13,ONDANSETRON 8 MG PO TBDP [27698],166.71,166.71,24.67,133.37,23
NDC,68462-163-01,CARVEDILOL 6.25 MG PO TABS [15747],9.88,9.88,1.46,7.9,23
NDC,68462-180-22,MUPIROCIN 2 % EX OINT [10674],185.1,185.1,27.39,148.08,23
NDC,68462-190-01,NAPROXEN 500 MG PO TABS [5393],6.09,6.09,0.9,4.87,23
NDC,68462-195-90,PRAVASTATIN SODIUM 10 MG PO TABS [11110],15.12,15.12,2.24,12.1,23
NDC,68462-197-90,PRAVASTATIN SODIUM 40 MG PO TABS [11112],22.54,22.54,3.34,18.03,23
NDC,68462-198-90,PRAVASTATIN SODIUM 80 MG PO TABS [32128],22.54,22.54,3.34,18.03,23
NDC,68462-223-01,LITHIUM CARBONATE ER 300 MG PO TBCR [10454],6.0,6.0,0.89,4.8,23
NDC,68462-224-01,LITHIUM CARBONATE ER 450 MG PO TBCR [10455],6.0,6.0,0.89,4.8,23
NDC,68462-226-90,EZETIMIBE 10 MG PO TABS [34153],53.04,53.04,7.85,42.43,23
NDC,68462-228-01,LAMOTRIGINE 5 MG PO CHEW [102040],14.35,14.35,2.12,11.48,23
NDC,68462-254-01,ROPINIROLE HCL 0.5 MG PO TABS [21800],11.78,11.78,1.74,9.42,23
NDC,68462-255-01,ROPINIROLE HCL 1 MG PO TABS [21689],11.78,11.78,1.74,9.42,23
NDC,68462-256-01,ROPINIROLE HCL 2 MG PO TABS [21690],11.78,11.78,1.74,9.42,23
NDC,68462-257-01,ROPINIROLE HCL 3 MG PO TABS [30699],12.22,12.22,1.81,9.78,23
NDC,68462-258-01,ROPINIROLE HCL 4 MG PO TABS [26429],12.22,12.22,1.81,9.78,23
NDC,68462-259-01,ROPINIROLE HCL 5 MG PO TABS [21691],12.22,12.22,1.81,9.78,23
NDC,68462-261-90,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
NDC,68462-262-90,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],42.05,42.05,6.22,33.64,23
NDC,68462-264-30,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,68462-275-01,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],34.6,34.6,5.12,27.68,23
NDC,68462-297-17,CICLOPIROX OLAMINE 0.77 % EX CREA [9598],212.98,212.98,31.52,170.38,23
NDC,68462-304-50,NORETHINDRONE ACETATE 5 MG PO TABS [10747],12.46,12.46,1.84,9.97,23
NDC,68462-317-32,FULVESTRANT 250 MG/5ML IM SOSY [107125],2759.54,2759.54,408.41,2207.63,23
NDC,68462-330-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.125 MG PO TABS [21287],15.71,15.71,2.33,12.57,23
NDC,68462-331-90,PRAMIPEXOLE DIHYDROCHLORIDE 0.25 MG PO TABS [21290],15.71,15.71,2.33,12.57,23
NDC,68462-333-90,PRAMIPEXOLE DIHYDROCHLORIDE 1 MG PO TABS [21288],15.71,15.71,2.33,12.57,23
NDC,68462-334-90,PRAMIPEXOLE DIHYDROCHLORIDE 1.5 MG PO TABS [21289],15.71,15.71,2.33,12.57,23
NDC,68462-338-01,FLUPHENAZINE HCL 10 MG PO TABS [3219],54.52,54.52,8.07,43.62,23
NDC,68462-358-01,NABUMETONE 500 MG PO TABS [10676],6.47,6.47,0.96,5.18,23
NDC,68462-381-60,(RILUTEK) RILUZOLE 50 MG PO TABS [16124],141.58,141.58,20.95,113.26,23
NDC,68462-390-30,ESOMEPRAZOLE 20 MG PO CPDR [29745],42.42,42.42,6.28,33.94,23
NDC,68462-391-30,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],42.42,42.42,6.28,33.94,23
NDC,68462-402-01,ATOVAQUONE-PROGUANIL HCL 62.5-25 MG PO TABS [28686],12.62,12.62,1.87,10.1,23
NDC,68462-404-01,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],33.6,33.6,4.97,26.88,23
NDC,68462-404-67,ATOVAQUONE-PROGUANIL HCL 250-100 MG PO TABS [23814],33.6,33.6,4.97,26.88,23
NDC,68462-405-60,ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 [27644],39.27,39.27,5.81,31.42,23
NDC,68462-406-01,INDOMETHACIN 25 MG PO CAPS [3897],6.0,6.0,0.89,4.8,23
NDC,68462-408-60,PROPAFENONE HCL ER 225 MG PO CP12 [37643],37.1,37.1,5.49,29.68,23
NDC,68462-409-60,PROPAFENONE HCL ER 325 MG PO CP12 [37644],47.0,47.0,6.96,37.6,23
NDC,68462-410-60,PROPAFENONE HCL ER 425 MG PO CP12 [37645],47.0,47.0,6.96,37.6,23
NDC,68462-418-20,LIDOCAINE 5 % EX OINT [41831],1038.64,1038.64,153.72,830.91,23
NDC,68462-469-40,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,68462-469-54,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,68462-470-40,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,68462-470-54,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,68462-532-28,CLOBETASOL PROPIONATE 0.05 % EX SOLN [9632],388.88,388.88,57.55,311.1,23
NDC,68462-534-35,TACROLIMUS 0.1 % EX OINT [29443],854.31,854.31,126.44,683.45,23
NDC,68462-536-70,IMIQUIMOD 5 % EX CREA [20718],157.27,157.27,23.28,125.82,23
NDC,68462-583-40,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
NDC,68462-583-85,APREPITANT 40 MG PO CAPS [76843],414.46,414.46,61.34,331.57,23
NDC,68462-584-76,APREPITANT 80 MG PO CAPS [35488],668.34,668.34,98.91,534.67,23
NDC,68462-585-76,APREPITANT 125 MG PO CAPS [35489],1044.31,1044.31,154.56,835.45,23
NDC,68462-609-35,PIMECROLIMUS 1 % EX CREA [32052],1054.85,1054.85,156.12,843.88,23
NDC,68462-621-54,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],83.48,83.48,12.36,66.78,23
NDC,68462-622-10,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
NDC,68462-622-64,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],221.73,221.73,32.82,177.38,23
NDC,68462-638-01,NITROGLYCERIN 0.3 MG SL SUBL [5603],203.95,203.95,30.18,163.16,23
NDC,68462-639-45,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,68462-640-01,NITROGLYCERIN 0.6 MG SL SUBL [5605],203.95,203.95,30.18,163.16,23
NDC,68462-678-60,LACOSAMIDE 50 MG PO TABS [96968],50.54,50.54,7.48,40.43,23
NDC,68462-679-60,LACOSAMIDE 100 MG PO TABS [96969],79.01,79.01,11.69,63.21,23
NDC,68462-680-60,LACOSAMIDE 150 MG PO TABS [96970],83.68,83.68,12.38,66.94,23
NDC,68462-681-60,LACOSAMIDE 200 MG PO TABS [96971],83.7,83.7,12.39,66.96,23
NDC,68462-686-01,TACROLIMUS 1 MG PO CAPS [12933],20.94,20.94,3.1,16.75,23
NDC,68462-719-29,NORGESTIM-ETH ESTRAD TRIPHASIC 0.18/0.215/0.25 MG-25 MCG PO TABS [101583],607.08,607.08,89.85,485.66,23
NDC,68462-890-01,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
NDC,68462-896-01,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],38.19,38.19,5.65,30.55,23
NDC,68462-896-10,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN [91279],38.19,38.19,5.65,30.55,23
NDC,68462-897-01,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],189.44,189.44,28.04,151.55,23
NDC,68462-897-10,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN [91281],189.44,189.44,28.04,151.55,23
NDC,68462-946-12,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],258.96,258.96,38.33,207.17,23
NDC,68462-946-30,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],258.96,258.96,38.33,207.17,23
NDC,68516-5214-2,ALBUMIN HUMAN 5 % IV SOLN [8982],420.36,420.36,62.21,336.29,23
NDC,68516-5214-4,ALBUMIN HUMAN 5 % IV SOLN [8982],420.36,420.36,62.21,336.29,23
NDC,68516-5216-0,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
NDC,68516-5216-2,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
NDC,68516-5216-8,ALBUMIN HUMAN 25 % IV SOLN [8981],421.11,421.11,62.32,336.89,23
NDC,68546-317-30,GLATIRAMER ACETATE 20 MG/ML SC SOSY [126886],933.36,933.36,138.14,746.69,23
NDC,68547-111-10,SULBACTAM SOD-DURLOBACTAM SOD 1-1 G IV SOLR [161441],752.5,752.5,111.37,602.0,23
NDC,68547-501-02,ANGIOTENSIN II ACETATE 2.5 MG/ML IV SOLN [138537],5358.54,5358.54,793.06,4286.83,23
NDC,68611-190-02,FLUOCINOLONE ACETONIDE 0.19 MG INTRAVITREAL IMPL [126242],27533.99,27533.99,4075.03,22027.19,23
NDC,68682-006-10,DILTIAZEM HCL 30 MG PO TABS [2475],6.0,6.0,0.89,4.8,23
NDC,68682-007-10,DILTIAZEM HCL 60 MG PO TABS [2476],7.37,7.37,1.09,5.9,23
NDC,68682-011-10,ETHACRYNIC ACID 25 MG PO TABS [9980],12.69,12.69,1.88,10.15,23
NDC,68682-012-50,ETHACRYNATE SODIUM 50 MG IV SOLR [9979],11533.77,11533.77,1707.0,9227.02,23
NDC,68682-018-90,METFORMIN HCL ER (MOD) 1000 MG PO TB24 [91028],78.34,78.34,11.59,62.67,23
NDC,68682-109-10,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],10.45,10.45,1.55,8.36,23
NDC,68682-110-01,PIMECROLIMUS 1 % EX CREA [32052],998.27,998.27,147.74,798.62,23
NDC,68682-113-20,MESALAMINE ER 0.375 G PO CP24 [95687],7.05,7.05,1.04,5.64,23
NDC,68682-170-30,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
NDC,68682-302-10,PYRIDOSTIGMINE BROMIDE 60 MG PO TABS [11239],6.0,6.0,0.89,4.8,23
NDC,68682-371-90,DILTIAZEM HCL ER BEADS 360 MG PO CP24 [29277],7.94,7.94,1.18,6.35,23
NDC,68682-421-12,TETRABENAZINE 12.5 MG PO TABS [94563],73.78,73.78,10.92,59.02,23
NDC,68682-455-70,METRONIDAZOLE 0.75 % VA GEL [10592],602.75,602.75,89.21,482.2,23
NDC,68682-652-20,DIAZEPAM 10 MG RECTAL GEL [87867],1194.12,1194.12,176.73,955.3,23
NDC,68682-732-05,FLUORESCEIN SODIUM/BENOXINATE 0.3-0.4 % OP SOLN [151853],166.28,166.28,24.61,133.02,23
NDC,68682-813-05,TIMOLOL MALEATE 0.5 % OP SOLN [11562],62.04,62.04,9.18,49.63,23
NDC,68682-920-05,TETRACAINE HCL 0.5 % OP SOLN [7795],155.88,155.88,23.07,124.7,23
NDC,68682-920-64,TETRACAINE HCL 0.5 % OP SOLN [7795],407.16,407.16,60.26,325.73,23
NDC,68727-712-01,LURBINECTEDIN 4 MG IV SOLR [148628],24621.96,24621.96,3644.05,19697.57,23
NDC,68784-102-12,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,68817-134-50,NAB-PACLITAXEL 100 MG IV SUSR [40475],4797.06,4797.06,709.96,3837.65,23
NDC,68850-012-01,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
NDC,68850-012-02,ETHAMBUTOL HCL 400 MG PO TABS [9983],6.0,6.0,0.89,4.8,23
NDC,68968-5555-3,METHYLPHENIDATE 30 MG/9HR TD PTCH [76396],33.95,33.95,5.02,27.16,23
NDC,68982-643-01,ALBUMIN HUMAN 25 % IV SOLN [8981],268.03,268.03,39.67,214.42,23
NDC,68982-643-02,ALBUMIN HUMAN 25 % IV SOLN [8981],519.51,519.51,76.89,415.61,23
NDC,69076-146-01,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
NDC,69097-004-67,HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR [123464],88.55,88.55,13.11,70.84,23
NDC,69097-122-03,TOPIRAMATE 25 MG PO TABS [18920],11.88,11.88,1.76,9.5,23
NDC,69097-123-03,TOPIRAMATE 50 MG PO TABS [37616],23.7,23.7,3.51,18.96,23
NDC,69097-125-03,TOPIRAMATE 200 MG PO TABS [18921],37.89,37.89,5.61,30.31,23
NDC,69097-128-05,AMLODIPINE BESYLATE 10 MG PO TABS [9069],11.16,11.16,1.65,8.93,23
NDC,69097-142-60,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS [17837],287.95,287.95,42.62,230.36,23
NDC,69097-228-43,DOXYCYCLINE MONOHYDRATE 25 MG/5ML PO SUSR [9902],114.84,114.84,17.0,91.87,23
NDC,69097-237-72,ALBENDAZOLE 200 MG PO TABS [8979],750.81,750.81,111.12,600.65,23
NDC,69097-297-03,DULOXETINE HCL 20 MG PO CPEP [39275],32.9,32.9,4.87,26.32,23
NDC,69097-301-02,EFAVIRENZ 600 MG PO TABS [32298],154.9,154.9,22.93,123.92,23
NDC,69097-316-02,EXEMESTANE 25 MG PO TABS [26551],61.25,61.25,9.06,49.0,23
NDC,69097-318-32,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
NDC,69097-318-53,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.6,44.6,6.6,35.68,23
NDC,69097-318-86,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.22,44.22,6.54,35.38,23
NDC,69097-318-87,BUDESONIDE 0.25 MG/2ML IN SUSP [28774],44.22,44.22,6.54,35.38,23
NDC,69097-319-53,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.49,52.49,7.77,41.99,23
NDC,69097-319-86,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,69097-319-87,BUDESONIDE 0.5 MG/2ML IN SUSP [28775],52.08,52.08,7.71,41.66,23
NDC,69097-362-02,EPZICOM:ABACAVIR-LAMIVUDINE 600-300 MG PO TABS [39301],201.36,201.36,29.8,161.09,23
NDC,69097-408-07,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],7.94,7.94,1.18,6.35,23
NDC,69097-411-02,CINACALCET HCL 60 MG PO TABS [38101],238.5,238.5,35.3,190.8,23
NDC,69097-412-02,CINACALCET HCL 90 MG PO TABS [38102],357.74,357.74,52.95,286.19,23
NDC,69097-426-02,ENTECAVIR 0.5 MG PO TABS [41147],192.41,192.41,28.48,153.93,23
NDC,69097-446-02,ATAZANAVIR SULFATE 300 MG PO CAPS [77648],194.86,194.86,28.84,155.89,23
NDC,69097-514-03,ABACAVIR SULFATE 300 MG PO TABS [24438],45.33,45.33,6.71,36.26,23
NDC,69097-517-07,CYCLOPHOSPHAMIDE 50 MG PO CAPS [124607],83.43,83.43,12.35,66.74,23
NDC,69097-524-44,DICLOFENAC SODIUM 1 % EX GEL [150015],204.62,204.62,30.28,163.7,23
NDC,69097-528-34,ESOMEPRAZOLE 20 MG PO PACK [78615],45.86,45.86,6.79,36.69,23
NDC,69097-529-34,ESOMEPRAZOLE 40 MG PO PACK [78616],45.86,45.86,6.79,36.69,23
NDC,69097-579-67,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],378.51,378.51,56.02,302.81,23
NDC,69097-642-02,EMTRICITABINE 200 MG PO CAPS [36252],90.78,90.78,13.44,72.62,23
NDC,69097-664-34,ICATIBANT ACETATE 30 MG/3ML SC SOSY [159283],32151.6,32151.6,4758.44,25721.28,23
NDC,69097-677-05,PREGABALIN 25 MG PO CAPS [42162],33.76,33.76,5.0,27.01,23
NDC,69097-679-05,PREGABALIN 75 MG PO CAPS [42164],34.16,34.16,5.06,27.33,23
NDC,69097-802-32,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.03,100.03,14.8,80.02,23
NDC,69097-813-07,GABAPENTIN 100 MG PO CAPS [18309],6.0,6.0,0.89,4.8,23
NDC,69097-834-02,SERTRALINE HCL 50 MG PO TABS [11351],13.37,13.37,1.98,10.7,23
NDC,69097-845-07,CYCLOBENZAPRINE HCL 5 MG PO TABS [35184],7.72,7.72,1.14,6.18,23
NDC,69097-846-07,CYCLOBENZAPRINE HCL 10 MG PO TABS [2017],6.0,6.0,0.89,4.8,23
NDC,69097-867-07,NADOLOL 20 MG PO TABS [5330],15.94,15.94,2.36,12.75,23
NDC,69097-868-07,NADOLOL 40 MG PO TABS [5331],18.64,18.64,2.76,14.91,23
NDC,69097-870-67,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],26998.12,26998.12,3995.72,21598.5,23
NDC,69097-875-02,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],22.44,22.44,3.32,17.95,23
NDC,69097-967-93,SEVELAMER CARBONATE 800 MG PO TABS [89201],10.42,10.42,1.54,8.34,23
NDC,69097-999-02,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
NDC,69194-975-01,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
NDC,69194-975-10,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
NDC,69238-1051-3,PHYTONADIONE 5 MG PO TABS [11024],260.58,260.58,38.57,208.46,23
NDC,69238-1055-1,DESIPRAMINE HCL 25 MG PO TABS [2286],9.43,9.43,1.4,7.54,23
NDC,69238-1056-1,CHLORPROMAZINE HCL 25 MG PO TABS [1656],35.92,35.92,5.32,28.74,23
NDC,69238-1058-1,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
NDC,69238-1109-3,CLOMIPRAMINE HCL 50 MG PO CAPS [1754],52.84,52.84,7.82,42.27,23
NDC,69238-1123-9,NADOLOL 20 MG PO TABS [5330],21.91,21.91,3.24,17.53,23
NDC,69238-1124-9,NADOLOL 40 MG PO TABS [5331],25.63,25.63,3.79,20.5,23
NDC,69238-1126-1,ETHACRYNIC ACID 25 MG PO TABS [9980],104.76,104.76,15.5,83.81,23
NDC,69238-1154-3,EZETIMIBE 10 MG PO TABS [34153],53.04,53.04,7.85,42.43,23
NDC,69238-1171-9,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
NDC,69238-1305-1,CLOBAZAM 10 MG PO TABS [111272],90.36,90.36,13.37,72.29,23
NDC,69238-1306-1,CLOBAZAM 20 MG PO TABS [111273],180.72,180.72,26.75,144.58,23
NDC,69238-1313-9,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
NDC,69238-1345-1,ALBUTEROL SULFATE 4 MG PO TABS [254],27.62,27.62,4.09,22.1,23
NDC,69238-1490-1,BUMETANIDE 1 MG PO TABS [9310],12.68,12.68,1.88,10.14,23
NDC,69238-1503-1,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
NDC,69238-1523-1,TETRACYCLINE HCL 500 MG PO CAPS [7797],74.03,74.03,10.96,59.22,23
NDC,69238-1532-6,CLOBETASOL PROPIONATE 0.05 % EX CREA [9630],1505.33,1505.33,222.79,1204.26,23
NDC,69238-1544-1,HYDROXYCHLOROQUINE SULFATE 200 MG PO TABS [10235],20.5,20.5,3.03,16.4,23
NDC,69238-1605-2,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],261.53,261.53,38.71,209.22,23
NDC,69238-1605-8,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],261.38,261.38,38.68,209.1,23
NDC,69238-1678-1,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
NDC,69238-1745-8,PILOCARPINE HCL 1 % OP SOLN [6279],383.42,383.42,56.75,306.74,23
NDC,69238-1832-1,LEVOTHYROXINE SODIUM 75 MCG PO TABS [4422],6.0,6.0,0.89,4.8,23
NDC,69238-2027-8,SPIRONOLACTONE 25 MG/5ML PO SUSP [138011],1616.28,1616.28,239.21,1293.02,23
NDC,69238-2077-1,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,69238-2077-7,PROPRANOLOL HCL 10 MG PO TABS [6656],6.0,6.0,0.89,4.8,23
NDC,69238-2079-1,PROPRANOLOL HCL 40 MG PO TABS [6658],6.0,6.0,0.89,4.8,23
NDC,69238-2080-1,PROPRANOLOL HCL 60 MG PO TABS [6659],8.19,8.19,1.21,6.55,23
NDC,69238-2081-1,PROPRANOLOL HCL 80 MG PO TABS [6660],6.0,6.0,0.89,4.8,23
NDC,69238-2122-9,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],287.65,287.65,42.57,230.12,23
NDC,69292-562-01,METOLAZONE 2.5 MG PO TABS [10587],12.12,12.12,1.79,9.7,23
NDC,69315-127-10,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,69315-135-01,IMIPRAMINE HCL 50 MG PO TABS [3862],6.2,6.2,0.92,4.96,23
NDC,69315-136-01,BENZTROPINE MESYLATE 0.5 MG PO TABS [998],6.0,6.0,0.89,4.8,23
NDC,69315-137-01,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,69315-138-01,BENZTROPINE MESYLATE 2 MG PO TABS [1000],6.0,6.0,0.89,4.8,23
NDC,69315-209-06,MAGNESIUM CHLORIDE DELAY RELEASE 71.5 MG PO TAB [104022],6.0,6.0,0.89,4.8,23
NDC,69315-211-01,NIFEDIPINE 10 MG PO CAPS [5558],6.0,6.0,0.89,4.8,23
NDC,69315-212-01,NIFEDIPINE 20 MG PO CAPS [5559],10.83,10.83,1.6,8.66,23
NDC,69315-304-10,DORZOLAMIDE HCL 2 % OP SOLN [14471],176.63,176.63,26.14,141.3,23
NDC,69315-305-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],459.94,459.94,68.07,367.95,23
NDC,69315-306-15,NYSTATIN 100000 UNIT/GM EX POWD [39136],100.81,100.81,14.92,80.65,23
NDC,69315-306-30,NYSTATIN 100000 UNIT/GM EX POWD [39136],201.61,201.61,29.84,161.29,23
NDC,69315-306-60,NYSTATIN 100000 UNIT/GM EX POWD [39136],323.5,323.5,47.88,258.8,23
NDC,69315-308-02,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],59.22,59.22,8.76,47.38,23
NDC,69315-308-05,CIPROFLOXACIN HCL 0.3 % OP SOLN [9610],78.96,78.96,11.69,63.17,23
NDC,69315-504-47,NYSTATIN 100000 UNIT/ML MT SUSP [5751],165.9,165.9,24.55,132.72,23
NDC,69315-504-60,NYSTATIN 100000 UNIT/ML MT SUSP [5751],67.68,67.68,10.02,54.14,23
NDC,69315-701-50,ETHACRYNATE SODIUM 50 MG IV SOLR [9979],11536.8,11536.8,1707.45,9229.44,23
NDC,69315-904-01,LORAZEPAM 0.5 MG PO TABS [4572],6.0,6.0,0.89,4.8,23
NDC,69315-905-01,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,69315-905-10,LORAZEPAM 1 MG PO TABS [4573],6.0,6.0,0.89,4.8,23
NDC,69339-136-02,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.91,127.91,18.93,102.33,23
NDC,69339-136-03,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.91,127.91,18.93,102.33,23
NDC,69339-136-32,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.9,127.9,18.93,102.32,23
NDC,69339-136-34,DIAZEPAM 5 MG/ML IJ SOLN [2401],127.9,127.9,18.93,102.32,23
NDC,69339-138-15,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
NDC,69339-138-17,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.72,10.72,1.59,8.58,23
NDC,69339-138-19,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],10.02,10.02,1.48,8.02,23
NDC,69339-150-19,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP [15816],13.02,13.02,1.93,10.42,23
NDC,69339-153-17,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],12.69,12.69,1.88,10.15,23
NDC,69339-162-17,LUBIPROSTONE 8 MCG PO CAPS [91534],74.03,74.03,10.96,59.22,23
NDC,69344-101-01,INDOMETHACIN 25 MG/5ML PO SUSP [3900],7189.33,7189.33,1064.02,5751.46,23
NDC,69344-102-33,INDOMETHACIN 50 MG RECTAL SUPP [3901],1424.46,1424.46,210.82,1139.57,23
NDC,69367-220-01,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
NDC,69367-243-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPP [3738],67.8,67.8,10.03,54.24,23
NDC,69367-301-01,CELECOXIB 100 MG PO CAPS [24500],21.73,21.73,3.22,17.38,23
NDC,69367-302-01,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
NDC,69367-388-01,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
NDC,69367-616-01,SALSALATE 750 MG PO TABS [7035],11.62,11.62,1.72,9.3,23
NDC,69374-308-05,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],27.0,27.0,4.0,21.6,23
NDC,69374-314-10,MIDAZOLAM 100 MG/100ML IV SOLN [149629],129.32,129.32,19.14,103.46,23
NDC,69374-316-25,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],96.35,96.35,14.26,77.08,23
NDC,69374-544-10,EPINEPHRINE 0.1 MG/10ML IV SOSY [148640],25.38,25.38,3.76,20.3,23
NDC,69374-919-10,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],102.63,102.63,15.19,82.1,23
NDC,69374-924-05,ROCURONIUM BROMIDE 50 MG/5ML IV SOSY [132861],42.3,42.3,6.26,33.84,23
NDC,69374-925-10,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],28.2,28.2,4.17,22.56,23
NDC,69374-953-50,DEXTROSE 50 % IV SOLN [2365],84.6,84.6,12.52,67.68,23
NDC,69374-957-10,PHENYLEPHRINE HCL 1 MG/10ML IV SOSY [140845],28.2,28.2,4.17,22.56,23
NDC,69374-982-55,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],28.2,28.2,4.17,22.56,23
NDC,69413-330-10,PYRIMETHAMINE 25 MG PO TABS [11246],2619.0,2619.0,387.61,2095.2,23
NDC,69413-330-30,PYRIMETHAMINE 25 MG PO TABS [11246],2619.0,2619.0,387.61,2095.2,23
NDC,69452-131-17,DOFETILIDE 125 MCG PO CAPS [26965],45.8,45.8,6.78,36.64,23
NDC,69452-161-13,DEFERASIROX 500 MG PO TBSO [43417],649.52,649.52,96.13,519.62,23
NDC,69452-173-13,AZITHROMYCIN 600 MG PO TABS [17387],87.81,87.81,13.0,70.25,23
NDC,69452-209-07,NIMODIPINE 30 MG PO CAPS [10722],90.39,90.39,13.38,72.31,23
NDC,69452-209-13,NIMODIPINE 30 MG PO CAPS [10722],90.4,90.4,13.38,72.32,23
NDC,69452-252-87,ATOVAQUONE 750 MG/5ML PO SUSP [14953],3486.93,3486.93,516.07,2789.54,23
NDC,69452-267-20,THEOPHYLLINE ER 300 MG PO TB12 [12098],20.2,20.2,2.99,16.16,23
NDC,69452-275-20,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
NDC,69452-345-72,SUMATRIPTAN SUCCINATE 50 MG PO TABS [15328],108.87,108.87,16.11,87.1,23
NDC,69452-346-60,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
NDC,69452-346-72,SUMATRIPTAN SUCCINATE 100 MG PO TABS [13369],108.87,108.87,16.11,87.1,23
NDC,69452-351-20,TERBINAFINE HCL 250 MG PO TABS [12724],63.79,63.79,9.44,51.03,23
NDC,69452-389-98,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],13.92,13.92,2.06,11.14,23
NDC,69488-010-61,LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407],147864.54,147864.54,21883.95,118291.63,23
NDC,69536-146-19,LEVONORGESTREL 1.5 MG PO TABS [99438],168.87,168.87,24.99,135.1,23
NDC,69543-120-10,ACARBOSE 25 MG PO TABS [22148],6.0,6.0,0.89,4.8,23
NDC,69543-234-60,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],377.76,377.76,55.91,302.21,23
NDC,69543-291-10,ALBUTEROL SULFATE 4 MG PO TABS [254],27.61,27.61,4.09,22.09,23
NDC,69543-383-30,OLANZAPINE 10 MG PO TABS [17937],87.07,87.07,12.89,69.66,23
NDC,69543-388-10,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
NDC,69584-091-10,BUSPIRONE HCL 5 MG PO TABS [9324],6.0,6.0,0.89,4.8,23
NDC,69584-111-10,CARISOPRODOL 350 MG PO TABS [1395],6.0,6.0,0.89,4.8,23
NDC,69584-425-10,IMIPRAMINE HCL 10 MG PO TABS [3860],6.0,6.0,0.89,4.8,23
NDC,69584-426-10,IMIPRAMINE HCL 25 MG PO TABS [3861],6.0,6.0,0.89,4.8,23
NDC,69584-427-10,IMIPRAMINE HCL 50 MG PO TABS [3862],6.0,6.0,0.89,4.8,23
NDC,69584-841-10,SOTALOL HCL 80 MG PO TABS [11421],11.04,11.04,1.63,8.83,23
NDC,69584-844-10,SOTALOL HCL 240 MG PO TABS [11420],23.9,23.9,3.54,19.12,23
NDC,69584-852-10,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,69618-010-01,ACETAMINOPHEN 325 MG PO TABS [101],6.0,6.0,0.89,4.8,23
NDC,69618-011-01,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,69618-015-01,ASPIRIN 325 MG PO TBEC [13654],6.0,6.0,0.89,4.8,23
NDC,69618-024-01,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,69618-029-03,BISMUTH SUBSALICYLATE 262 MG PO CHEW [9284],6.0,6.0,0.89,4.8,23
NDC,69618-033-01,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,69618-044-01,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,69618-044-10,DOCUSATE SODIUM 100 MG PO CAPS [2566],6.0,6.0,0.89,4.8,23
NDC,69618-058-01,BISACODYL 5 MG PO TBEC [1079],6.0,6.0,0.89,4.8,23
NDC,69618-059-51,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],17.91,17.91,2.65,14.33,23
NDC,69660-201-91,RUCAPARIB CAMSYLATE 200 MG PO TABS [134557],654.85,654.85,96.92,523.88,23
NDC,69660-203-91,RUCAPARIB CAMSYLATE 300 MG PO TABS [134558],654.85,654.85,96.92,523.88,23
NDC,69680-112-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],25.38,25.38,3.76,20.3,23
NDC,69680-112-10,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],25.38,25.38,3.76,20.3,23
NDC,69680-115-30,AMINOCAPROIC ACID 500 MG PO TABS [9063],33.66,33.66,4.98,26.93,23
NDC,69680-130-60,PROPAFENONE HCL ER 225 MG PO CP12 [37643],6.0,6.0,0.89,4.8,23
NDC,69680-131-60,PROPAFENONE HCL ER 325 MG PO CP12 [37644],6.0,6.0,0.89,4.8,23
NDC,69784-002-06,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],33.84,33.84,5.01,27.07,23
NDC,69784-230-10,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],94.4,94.4,13.97,75.52,23
NDC,69784-230-20,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],94.4,94.4,13.97,75.52,23
NDC,69784-231-10,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],129.47,129.47,19.16,103.58,23
NDC,69784-231-20,SODIUM ACETATE 2 MEQ/ML IV SOLN [7301],129.47,129.47,19.16,103.58,23
NDC,69866-2005-3,ANACAULASE-BCDB 8.8 % EX GEL [158792],9563.37,9563.37,1415.38,7650.7,23
NDC,69918-101-01,DESMOPRESSIN ACETATE 0.1 MG PO TABS [16052],24.85,24.85,3.68,19.88,23
NDC,69918-501-05,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN [21135],775.4,775.4,114.76,620.32,23
NDC,69918-560-30,MESALAMINE 1000 MG RECTAL SUPP [40369],181.09,181.09,26.8,144.87,23
NDC,69918-901-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1554.72,1554.72,230.1,1243.78,23
NDC,69918-901-11,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1265.07,1265.07,187.23,1012.06,23
NDC,69968-0063-1,NAPHAZOLINE-PHENIRAMINE 0.025-0.3 % OP SOLN [5384],70.5,70.5,10.43,56.4,23
NDC,70004-085-44,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],121.24,121.24,17.94,96.99,23
NDC,70010-065-05,METFORMIN HCL 1000 MG PO TABS [24398],6.78,6.78,1.0,5.42,23
NDC,70010-109-05,GABAPENTIN 300 MG PO CAPS [18308],6.0,6.0,0.89,4.8,23
NDC,70010-149-01,BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS [8958],7.94,7.94,1.18,6.35,23
NDC,70010-161-10,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,70010-162-01,LORATADINE 10 MG PO TABS [10466],6.0,6.0,0.89,4.8,23
NDC,70010-163-09,CETIRIZINE HCL 10 MG PO TABS [9506],6.0,6.0,0.89,4.8,23
NDC,70010-491-01,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
NDC,70010-491-05,METFORMIN HCL ER 500 MG PO TB24 [28995],6.0,6.0,0.89,4.8,23
NDC,70010-786-12,METHYLERGONOVINE MALEATE 0.2 MG PO TABS [10572],276.06,276.06,40.86,220.85,23
NDC,70069-005-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,70069-005-10,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,70069-007-01,OLOPATADINE HCL 0.1 % OP SOLN [19452],135.32,135.32,20.03,108.26,23
NDC,70069-011-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,70069-017-01,OLOPATADINE HCL 0.1 % OP SOLN [19452],44.37,44.37,6.57,35.5,23
NDC,70069-021-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],29.57,29.57,4.38,23.66,23
NDC,70069-021-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],29.56,29.56,4.37,23.65,23
NDC,70069-051-01,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],108.25,108.25,16.02,86.6,23
NDC,70069-062-01,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.86,50.86,7.53,40.69,23
NDC,70069-062-10,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.86,50.86,7.53,40.69,23
NDC,70069-062-25,ROPIVACAINE HCL 2 MG/ML IJ SOLN [18192],50.58,50.58,7.49,40.46,23
NDC,70069-063-25,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],82.07,82.07,12.15,65.66,23
NDC,70069-064-01,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],49.92,49.92,7.39,39.94,23
NDC,70069-071-10,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],58.75,58.75,8.7,47.0,23
NDC,70069-072-10,NALOXONE HCL 4 MG/10ML IJ SOLN [132824],389.0,389.0,57.57,311.2,23
NDC,70069-101-01,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],89.33,89.33,13.22,71.46,23
NDC,70069-101-05,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],89.33,89.33,13.22,71.46,23
NDC,70069-101-25,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],35.02,35.02,5.18,28.02,23
NDC,70069-131-01,TOBRAMYCIN 0.3 % OP SOLN [7995],29.38,29.38,4.35,23.5,23
NDC,70069-161-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],119.51,119.51,17.69,95.61,23
NDC,70069-181-01,PILOCARPINE HCL 1 % OP SOLN [6279],360.72,360.72,53.39,288.58,23
NDC,70069-191-01,PILOCARPINE HCL 2 % OP SOLN [6280],368.95,368.95,54.6,295.16,23
NDC,70069-201-01,PILOCARPINE HCL 4 % OP SOLN [6282],386.81,386.81,57.25,309.45,23
NDC,70069-231-01,BRIMONIDINE TARTRATE 0.2 % OP SOLN [17881],58.75,58.75,8.7,47.0,23
NDC,70069-261-01,NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN [18908],108.25,108.25,16.02,86.6,23
NDC,70069-301-25,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],35.25,35.25,5.22,28.2,23
NDC,70069-311-01,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN [11596],55.37,55.37,8.19,44.3,23
NDC,70069-362-10,SULFAMETHOXAZOLE-TRIMETHOPRIM 400-80 MG/5ML IV SOLN [7556],71.49,71.49,10.58,57.19,23
NDC,70069-371-01,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
NDC,70069-371-25,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],30.69,30.69,4.54,24.55,23
NDC,70069-383-01,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
NDC,70069-383-05,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
NDC,70069-383-10,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],210.01,210.01,31.08,168.01,23
NDC,70069-421-01,LATANOPROST 0.005 % OP SOLN [18621],369.55,369.55,54.69,295.64,23
NDC,70069-471-01,LACOSAMIDE 200 MG/20ML IV SOLN [96972],437.32,437.32,64.72,349.86,23
NDC,70069-471-10,LACOSAMIDE 200 MG/20ML IV SOLN [96972],437.32,437.32,64.72,349.86,23
NDC,70069-506-25,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],140.73,140.73,20.83,112.58,23
NDC,70069-601-01,PROPARACAINE HCL 0.5 % OP SOLN [6644],189.46,189.46,28.04,151.57,23
NDC,70069-617-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,70069-617-25,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,70069-662-10,NALBUPHINE HCL 20 MG/ML IJ SOLN [5340],384.39,384.39,56.89,307.51,23
NDC,70069-671-10,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],36.35,36.35,5.38,29.08,23
NDC,70069-773-01,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
NDC,70069-773-10,CALCIUM CHLORIDE 10 % IV SOLN [1306],105.05,105.05,15.55,84.04,23
NDC,70069-801-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,70069-802-10,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],93.42,93.42,13.83,74.74,23
NDC,70069-807-10,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],32.34,32.34,4.79,25.87,23
NDC,70069-814-10,ESOMEPRAZOLE 20 MG PO CPDR [29745],6.0,6.0,0.89,4.8,23
NDC,70069-815-10,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],6.0,6.0,0.89,4.8,23
NDC,70069-815-90,ESOMEPRAZOLE MAGNESIUM 40 MG PO CPDR [29746],6.0,6.0,0.89,4.8,23
NDC,70069-819-10,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],86.86,86.86,12.86,69.49,23
NDC,70092-1310-46,METHOHEXITAL SODIUM 100 MG/10ML IV SOSY [129214],290.82,290.82,43.04,232.66,23
NDC,70095-024-03,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],39.95,39.95,5.91,31.96,23
NDC,70095-026-01,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],245.07,245.07,36.27,196.06,23
NDC,70095-026-02,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN [151588],245.07,245.07,36.27,196.06,23
NDC,70100-424-02,INDOCYANINE GREEN 25 MG IV SOLR [10266],835.38,835.38,123.64,668.3,23
NDC,70114-101-01,PEGFILGRASTIM-CBQV 6 MG/0.6ML SC SOSY [142198],12675.3,12675.3,1875.94,10140.24,23
NDC,70121-1239-1,CYCLOPHOSPHAMIDE 1 G IJ SOLR [38270],928.9,928.9,137.48,743.12,23
NDC,70121-1240-1,CYCLOPHOSPHAMIDE 2 G IJ SOLR [38280],1456.32,1456.32,215.54,1165.06,23
NDC,70121-1381-5,FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN [88011],84.6,84.6,12.52,67.68,23
NDC,70121-1390-7,FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN [88010],224.07,224.07,33.16,179.26,23
NDC,70121-1394-5,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],39.75,39.75,5.88,31.8,23
NDC,70121-1453-1,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
NDC,70121-1453-7,MEROPENEM 1 G IV SOLR [17380],62.04,62.04,9.18,49.63,23
NDC,70121-1454-1,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
NDC,70121-1454-7,MEROPENEM 500 MG IV SOLR [17379],33.84,33.84,5.01,27.07,23
NDC,70121-1573-1,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],54.38,54.38,8.05,43.5,23
NDC,70121-1573-5,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP [4995],54.35,54.35,8.04,43.48,23
NDC,70121-1576-7,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],93.64,93.64,13.86,74.91,23
NDC,70121-1577-1,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,70121-1577-5,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,70121-1581-1,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],99.68,99.68,14.75,79.74,23
NDC,70121-1581-5,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],99.68,99.68,14.75,79.74,23
NDC,70121-1604-1,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],785.24,785.24,116.22,628.19,23
NDC,70121-1604-7,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],785.24,785.24,116.22,628.19,23
NDC,70121-1605-1,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1388.04,1388.04,205.43,1110.43,23
NDC,70121-1605-7,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],1388.04,1388.04,205.43,1110.43,23
NDC,70121-1706-2,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],57.53,57.53,8.51,46.02,23
NDC,70121-1712-1,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],138.56,138.56,20.51,110.85,23
NDC,70121-1712-3,DEXMEDETOMIDINE HCL IN NACL 400 MCG/100ML IV SOLN [119604],138.56,138.56,20.51,110.85,23
NDC,70121-1717-1,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],542.88,542.88,80.35,434.3,23
NDC,70121-1717-7,ESMOLOL HCL-SODIUM CHLORIDE 2000 MG/100ML IV SOLN [35639],542.88,542.88,80.35,434.3,23
NDC,70121-1720-3,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
NDC,70121-1720-9,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],35.25,35.25,5.22,28.2,23
NDC,70127-100-60,CANNABIDIOL 100 MG/ML PO SOLN [141265],3115.09,3115.09,461.03,2492.07,23
NDC,70156-104-01,HYOSCYAMINE SULFATE 0.125 MG PO TABS [3783],6.0,6.0,0.89,4.8,23
NDC,70156-105-01,HYOSCYAMINE SULFATE 0.125 MG SL SUBL [17023],6.0,6.0,0.89,4.8,23
NDC,70255-010-02,BINIMETINIB 15 MG PO TABS [140467],404.05,404.05,59.8,323.24,23
NDC,70255-025-01,ENCORAFENIB 75 MG PO CAPS [140469],411.81,411.81,60.95,329.45,23
NDC,70255-025-02,ENCORAFENIB 75 MG PO CAPS [140469],411.81,411.81,60.95,329.45,23
NDC,70255-025-03,ENCORAFENIB 75 MG PO CAPS [140469],617.72,617.72,91.42,494.18,23
NDC,70255-025-04,ENCORAFENIB 75 MG PO CAPS [140469],617.72,617.72,91.42,494.18,23
NDC,70324-077-01,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],291.75,291.75,43.18,233.4,23
NDC,70324-326-01,SODIUM BICARBONATE-DEXTROSE 150-5 MEQ/L-% IV SOLN [148482],164.54,164.54,24.35,131.63,23
NDC,70324-326-03,SODIUM BICARBONATE-DEXTROSE 150-5 MEQ/L-% IV SOLN [148482],181.86,181.86,26.92,145.49,23
NDC,70324-577-01,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],155.88,155.88,23.07,124.7,23
NDC,70324-676-01,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],155.88,155.88,23.07,124.7,23
NDC,70377-006-12,ROSUVASTATIN CALCIUM 5 MG PO TABS [36612],42.05,42.05,6.22,33.64,23
NDC,70377-007-12,ROSUVASTATIN CALCIUM 10 MG PO TABS [35134],41.99,41.99,6.21,33.59,23
NDC,70377-009-11,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.04,42.04,6.22,33.63,23
NDC,70377-081-11,DORZOLAMIDE HCL 2 % OP SOLN [14471],259.86,259.86,38.46,207.89,23
NDC,70436-007-04,CINACALCET HCL 30 MG PO TABS [38100],133.91,133.91,19.82,107.13,23
NDC,70436-008-04,CINACALCET HCL 60 MG PO TABS [38101],240.59,240.59,35.61,192.47,23
NDC,70436-010-04,BUPROPION HCL ER (XL) 150 MG PO TB24 [36775],20.26,20.26,3.0,16.21,23
NDC,70436-011-04,BUPROPION HCL ER (XL) 300 MG PO TB24 [36776],28.1,28.1,4.16,22.48,23
NDC,70436-019-82,AZITHROMYCIN 500 MG IV SOLR [21063],81.31,81.31,12.03,65.05,23
NDC,70436-032-82,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],130.77,130.77,19.35,104.62,23
NDC,70436-059-01,BUPROPION HCL ER (SR) 150 MG PO TB12 [18386],9.09,9.09,1.35,7.27,23
NDC,70436-089-55,GANCICLOVIR SODIUM 500 MG IV SOLR [10101],205.4,205.4,30.4,164.32,23
NDC,70436-101-09,TETRABENAZINE 12.5 MG PO TABS [94563],306.25,306.25,45.32,245.0,23
NDC,70436-110-56,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],336.1,336.1,49.74,268.88,23
NDC,70436-183-01,METOPROLOL SUCCINATE ER 50 MG PO TB24 [30070],6.0,6.0,0.89,4.8,23
NDC,70436-202-02,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,70436-207-80,NITROPRUSSIDE SODIUM-NACL 50-0.9 MG/100ML-% IV SOLN [135444],205.4,205.4,30.4,164.32,23
NDC,70436-232-52,AMIODARONE HCL 150 MG/3ML IV SOLN [93084],22.0,22.0,3.26,17.6,23
NDC,70437-240-26,NERATINIB MALEATE 40 MG PO TABS [137213],358.48,358.48,53.06,286.78,23
NDC,70461-024-03,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [132331],341.87,341.87,50.6,273.5,23
NDC,70461-024-04,INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [132331],341.87,341.87,50.6,273.5,23
NDC,70461-654-03,INFLUENZA VAC TISS-CULT SUBUNT 0.5 ML IM SUSY [126912],167.96,167.96,24.86,134.37,23
NDC,70461-654-04,INFLUENZA VAC TISS-CULT SUBUNT 0.5 ML IM SUSY [126912],167.96,167.96,24.86,134.37,23
NDC,70504-0270-1,COAGULATION FACTOR IX (RECOMB IXINITY) 500 UNITS IV SOLR [19813],2669.15,2669.15,395.03,2135.32,23
NDC,70504-0271-1,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],5338.3,5338.3,790.07,4270.64,23
NDC,70504-0282-5,COAGULATION FACTOR IX (RECOMB IXINITY) 500 UNITS IV SOLR [19813],2669.15,2669.15,395.03,2135.32,23
NDC,70504-0283-5,COAGULATION FACTOR IX (RECOMB IXINITY) 1000 UNITS IV SOLR [19814],5338.3,5338.3,790.07,4270.64,23
NDC,70518-2413-0,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,70518-2613-0,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU [250],6.0,6.0,0.89,4.8,23
NDC,70594-023-01,COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR [139292],145.49,145.49,21.53,116.39,23
NDC,70594-034-01,DAPTOMYCIN 500 MG IV SOLR [36989],280.08,280.08,41.45,224.06,23
NDC,70594-089-02,CEFEPIME HCL 1 G IJ SOLR [16369],32.43,32.43,4.8,25.94,23
NDC,70594-111-01,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],280.08,280.08,41.45,224.06,23
NDC,70594-111-02,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],280.08,280.08,41.45,224.06,23
NDC,70594-114-02,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],36.99,36.99,5.47,29.59,23
NDC,70594-117-02,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],29.57,29.57,4.38,23.66,23
NDC,70594-118-01,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],40.89,40.89,6.05,32.71,23
NDC,70594-120-01,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],30.79,30.79,4.56,24.63,23
NDC,70594-120-02,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],30.79,30.79,4.56,24.63,23
NDC,70655-002-06,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],33.84,33.84,5.01,27.07,23
NDC,70655-002-10,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN [10049],25.38,25.38,3.76,20.3,23
NDC,70655-088-06,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],39.48,39.48,5.84,31.58,23
NDC,70655-088-10,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN [10050],31.02,31.02,4.59,24.82,23
NDC,70677-0021-1,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,70677-0030-1,NICOTINE 7 MG/24HR TD PT24 [27860],8.03,8.03,1.19,6.42,23
NDC,70677-0031-1,NICOTINE 14 MG/24HR TD PT24 [27862],8.03,8.03,1.19,6.42,23
NDC,70677-0032-1,NICOTINE 21 MG/24HR TD PT24 [27863],8.03,8.03,1.19,6.42,23
NDC,70677-0036-1,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,70677-0041-1,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,70677-0049-1,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,70677-0051-1,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
NDC,70677-0053-1,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
NDC,70677-0054-1,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],19.18,19.18,2.84,15.34,23
NDC,70677-0055-1,GUAIFENESIN ER 600 MG PO TB12 [37651],6.0,6.0,0.89,4.8,23
NDC,70677-0058-1,SENNOSIDES 8.6 MG PO TABS [11349],6.0,6.0,0.89,4.8,23
NDC,70677-0115-1,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],20.03,20.03,2.96,16.02,23
NDC,70677-0118-1,ACETAMINOPHEN 160 MG/5ML PO SUSP [8943],16.64,16.64,2.46,13.31,23
NDC,70677-0144-1,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],11.1,11.1,1.64,8.88,23
NDC,70677-0144-2,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],16.64,16.64,2.46,13.31,23
NDC,70677-1000-1,MICONAZOLE NITRATE 2 % EX CREA [5039],12.41,12.41,1.84,9.93,23
NDC,70677-1012-1,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],12.76,12.76,1.89,10.21,23
NDC,70677-1012-2,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
NDC,70677-1037-1,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
NDC,70677-1040-1,OXYMETAZOLINE HCL 0.05 % NA SOLN [5943],11.0,11.0,1.63,8.8,23
NDC,70677-1063-1,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],25.03,25.03,3.7,20.02,23
NDC,70677-1066-1,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],25.03,25.03,3.7,20.02,23
NDC,70677-1078-1,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],20.73,20.73,3.07,16.58,23
NDC,70677-1107-1,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN [42219],19.18,19.18,2.84,15.34,23
NDC,70677-1110-1,MINERAL OIL PO OIL [5086],31.13,31.13,4.61,24.9,23
NDC,70677-1111-1,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
NDC,70677-1112-1,MAGNESIUM CITRATE 58 MG/ML PO SOLN [4711],11.13,11.13,1.65,8.9,23
NDC,70677-1125-1,DICLOFENAC SODIUM 1 % EX GEL [150015],63.92,63.92,9.46,51.14,23
NDC,70677-1126-1,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,70677-1138-5,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,70677-1270-1,ACETAMINOPHEN 120 MG RECTAL SUPP [103],6.0,6.0,0.89,4.8,23
NDC,70700-173-22,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],717.5,717.5,106.19,574.0,23
NDC,70700-173-86,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],717.5,717.5,106.19,574.0,23
NDC,70700-189-22,FLUOROURACIL 5 GM/100ML IV SOLN [98249],267.64,267.64,39.61,214.11,23
NDC,70700-249-23,EPHEDRINE SULFATE (PRESSORS) 50 MG/ML IV SOLN [131923],229.95,229.95,34.03,183.96,23
NDC,70700-268-94,FOSFOMYCIN TROMETHAMINE 3 G PO PACK [14825],378.51,378.51,56.02,302.81,23
NDC,70700-269-30,DEFERASIROX 90 MG PO TABS [127577],197.26,197.26,29.19,157.81,23
NDC,70700-270-30,DEFERASIROX 180 MG PO TABS [127578],354.43,354.43,52.46,283.54,23
NDC,70700-271-30,DEFERASIROX 360 MG PO TABS [127579],686.96,686.96,101.67,549.57,23
NDC,70700-289-22,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN [7784],100.37,100.37,14.85,80.3,23
NDC,70700-315-22,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP [19736],380.24,380.24,56.28,304.19,23
NDC,70710-1010-2,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,70710-1021-8,ALBENDAZOLE 200 MG PO TABS [8979],750.88,750.88,111.13,600.7,23
NDC,70710-1131-1,CHLORPROMAZINE HCL 50 MG PO TABS [1657],48.77,48.77,7.22,39.02,23
NDC,70710-1140-1,FLUCONAZOLE 200 MG PO TABS [10045],63.97,63.97,9.47,51.18,23
NDC,70710-1140-3,FLUCONAZOLE 200 MG PO TABS [10045],67.33,67.33,9.96,53.86,23
NDC,70710-1160-3,MIRABEGRON ER 50 MG PO TB24 [116080],77.89,77.89,11.53,62.31,23
NDC,70710-1162-1,MECLIZINE HCL 25 MG PO TABS [12025],6.0,6.0,0.89,4.8,23
NDC,70710-1359-1,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
NDC,70710-1359-6,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
NDC,70710-1478-1,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN [91363],4554.0,4554.0,673.99,3643.2,23
NDC,70710-1530-1,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP [27431],2368.63,2368.63,350.56,1894.9,23
NDC,70710-1688-8,FULVESTRANT 250 MG/5ML IM SOSY [107125],2649.14,2649.14,392.07,2119.31,23
NDC,70710-1710-1,KETOROLAC TROMETHAMINE 10 MG PO TABS [10371],10.14,10.14,1.5,8.11,23
NDC,70710-1724-6,MICAFUNGIN SODIUM 50 MG IV SOLR [41144],202.65,202.65,29.99,162.12,23
NDC,70710-1846-4,SCOPOLAMINE 1 MG/3DAYS TD PT72 (1 MG BASE) [127054],87.47,87.47,12.95,69.98,23
NDC,70710-1849-1,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
NDC,70710-1849-7,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN [1649],129.7,129.7,19.2,103.76,23
NDC,70710-1852-7,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
NDC,70710-1886-1,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
NDC,70710-1886-6,LACOSAMIDE 200 MG/20ML IV SOLN [96972],305.84,305.84,45.26,244.67,23
NDC,70710-1958-6,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
NDC,70710-1958-7,INDOMETHACIN 50 MG RECTAL SUPP [3901],1353.24,1353.24,200.28,1082.59,23
NDC,70720-950-36,GOSERELIN ACETATE 3.6 MG SC IMPL [10137],3192.06,3192.06,472.42,2553.65,23
NDC,70720-951-30,GOSERELIN ACETATE 10.8 MG SC IMPL [16254],8865.18,8865.18,1312.05,7092.14,23
NDC,70748-129-06,LEFLUNOMIDE 10 MG PO TABS [23872],77.2,77.2,11.43,61.76,23
NDC,70748-214-16,MESALAMINE ER 0.375 G PO CP24 [95687],21.57,21.57,3.19,17.26,23
NDC,70748-258-07,POSACONAZOLE 100 MG PO TBEC [122312],287.9,287.9,42.61,230.32,23
NDC,70748-332-02,PREDNISOLONE ACETATE 1 % OP SUSP [6487],205.4,205.4,30.4,164.32,23
NDC,70752-102-12,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],235.52,235.52,34.86,188.42,23
NDC,70752-113-03,LIDOCAINE 5 % EX OINT [41831],1038.75,1038.75,153.73,831.0,23
NDC,70752-171-10,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
NDC,70756-004-11,HALOPERIDOL 5 MG PO TABS [3583],6.0,6.0,0.89,4.8,23
NDC,70756-014-02,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,70756-014-05,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,70756-049-11,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
NDC,70756-201-11,AMITRIPTYLINE HCL 10 MG PO TABS [432],6.0,6.0,0.89,4.8,23
NDC,70756-250-51,ATORVASTATIN CALCIUM 80 MG PO TABS [28645],26.65,26.65,3.94,21.32,23
NDC,70756-404-11,NITROFURANTOIN MONOHYD MACRO 100 MG PO CAPS [10724],19.2,19.2,2.84,15.36,23
NDC,70756-411-11,NITROFURANTOIN MACROCRYSTAL 50 MG PO CAPS [5595],10.68,10.68,1.58,8.54,23
NDC,70756-426-11,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
NDC,70756-616-10,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],155.88,155.88,23.07,124.7,23
NDC,70756-621-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,70756-629-25,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
NDC,70756-645-25,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,70756-645-86,LIDOCAINE HCL 1 % IJ SOLN [4452],22.0,22.0,3.26,17.6,23
NDC,70756-649-35,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],424.13,424.13,62.77,339.3,23
NDC,70842-120-06,MEROPENEM-VABORBACTAM 2 (1-1) G IV SOLR [137726],875.76,875.76,129.61,700.61,23
NDC,70842-160-01,MINOCYCLINE HCL 100 MG IV SOLR [10612],1017.46,1017.46,150.58,813.97,23
NDC,70842-160-10,MINOCYCLINE HCL 100 MG IV SOLR [10612],1017.46,1017.46,150.58,813.97,23
NDC,70860-100-10,AZITHROMYCIN 500 MG IV SOLR [21063],28.2,28.2,4.17,22.56,23
NDC,70860-100-41,AZITHROMYCIN 500 MG IV SOLR [21063],28.2,28.2,4.17,22.56,23
NDC,70860-103-10,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],50.76,50.76,7.51,40.61,23
NDC,70860-103-41,POLYMYXIN B SULFATE 500000 UNITS IJ SOLR [6393],50.76,50.76,7.51,40.61,23
NDC,70860-116-26,NAFCILLIN SODIUM 1 G IJ SOLR [5333],64.86,64.86,9.6,51.89,23
NDC,70860-116-41,NAFCILLIN SODIUM 1 G IJ SOLR [5333],64.86,64.86,9.6,51.89,23
NDC,70860-117-26,NAFCILLIN SODIUM 2 G IJ SOLR [5335],112.76,112.76,16.69,90.21,23
NDC,70860-117-41,NAFCILLIN SODIUM 2 G IJ SOLR [5335],112.76,112.76,16.69,90.21,23
NDC,70860-119-99,NAFCILLIN SODIUM 10 G IV SOLR [139273],452.4,452.4,66.96,361.92,23
NDC,70860-125-66,AZITHROMYCIN 500 MG IV SOLR [21063],22.0,22.0,3.26,17.6,23
NDC,70860-127-51,PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR [6085],256.74,256.74,38.0,205.39,23
NDC,70860-200-50,PACLITAXEL 300 MG/50ML IV CONC [31097],280.08,280.08,41.45,224.06,23
NDC,70860-208-51,DOXORUBICIN HCL 2 MG/ML IV SOLN [2616],542.88,542.88,80.35,434.3,23
NDC,70860-211-41,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
NDC,70860-211-74,FULVESTRANT 250 MG/5ML IM SOSY [107125],452.4,452.4,66.96,361.92,23
NDC,70860-217-10,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN [29071],660.51,660.51,97.76,528.41,23
NDC,70860-218-03,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN [149222],1441.56,1441.56,213.35,1153.25,23
NDC,70860-218-05,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
NDC,70860-300-05,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,70860-300-41,METOPROLOL TARTRATE 5 MG/5ML IV SOLN [92079],22.0,22.0,3.26,17.6,23
NDC,70860-301-10,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
NDC,70860-301-42,DILTIAZEM HCL 50 MG/10ML IV SOLN [97254],22.0,22.0,3.26,17.6,23
NDC,70860-302-04,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,70860-306-42,ISOPROTERENOL HCL 0.2 MG/ML IJ SOLN [4034],527.8,527.8,78.11,422.24,23
NDC,70860-402-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],655.98,655.98,97.09,524.78,23
NDC,70860-451-10,LEVOTHYROXINE SODIUM 100 MCG IV SOLR [111526],415.35,415.35,61.47,332.28,23
NDC,70860-454-01,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],245.07,245.07,36.27,196.06,23
NDC,70860-454-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1833.3,1833.3,271.33,1466.64,23
NDC,70860-454-41,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],245.07,245.07,36.27,196.06,23
NDC,70860-501-42,MAGNESIUM SULFATE 4 GM/100ML IV SOLN [129088],30.55,30.55,4.52,24.44,23
NDC,70860-600-02,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,70860-600-41,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,70860-601-10,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
NDC,70860-601-42,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],22.0,22.0,3.26,17.6,23
NDC,70860-603-82,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN [112304],261.41,261.41,38.69,209.13,23
NDC,70860-604-41,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN [112305],368.78,368.78,54.58,295.02,23
NDC,70860-605-03,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
NDC,70860-605-41,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],22.0,22.0,3.26,17.6,23
NDC,70860-651-10,ROCURONIUM BROMIDE 100 MG/10ML IV SOLN [95812],62.04,62.04,9.18,49.63,23
NDC,70860-700-02,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,70860-700-41,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,70860-701-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,70860-701-03,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,70860-701-41,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,70860-751-02,FAMOTIDINE (PF) 20 MG/2ML IV SOLN [123468],22.0,22.0,3.26,17.6,23
NDC,70860-776-02,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,70860-776-41,ONDANSETRON HCL 4 MG/2ML IJ SOLN [94096],22.0,22.0,3.26,17.6,23
NDC,70860-778-02,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],26.09,26.09,3.86,20.87,23
NDC,70860-781-01,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,70860-781-41,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,70954-014-10,THIOTHIXENE 1 MG PO CAPS [7902],6.0,6.0,0.89,4.8,23
NDC,70954-016-10,THIOTHIXENE 5 MG PO CAPS [7906],11.2,11.2,1.66,8.96,23
NDC,70954-019-10,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
NDC,70954-019-50,PRAZOSIN HCL 1 MG PO CAPS [6468],6.0,6.0,0.89,4.8,23
NDC,70954-021-10,PRAZOSIN HCL 5 MG PO CAPS [6470],10.27,10.27,1.52,8.22,23
NDC,70954-036-20,CLOTRIMAZOLE 1 % EX SOLN [1768],290.7,290.7,43.02,232.56,23
NDC,70954-041-10,RIFABUTIN 150 MG PO CAPS [11290],82.23,82.23,12.17,65.78,23
NDC,70954-058-10,PREDNISONE 5 MG PO TABS [6497],6.0,6.0,0.89,4.8,23
NDC,70954-085-10,CHLORZOXAZONE 500 MG PO TABS [1664],6.0,6.0,0.89,4.8,23
NDC,70954-135-20,DAPSONE 25 MG PO TABS [2132],10.35,10.35,1.53,8.28,23
NDC,70954-136-10,DAPSONE 100 MG PO TABS [2131],14.21,14.21,2.1,11.37,23
NDC,70954-136-20,DAPSONE 100 MG PO TABS [2131],12.69,12.69,1.88,10.15,23
NDC,70954-139-10,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],200.8,200.8,29.72,160.64,23
NDC,70954-188-10,ACYCLOVIR 200 MG/5ML PO SUSP [8970],1459.91,1459.91,216.07,1167.93,23
NDC,70954-240-10,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],344.85,344.85,51.04,275.88,23
NDC,70954-273-10,FLUPHENAZINE HCL 1 MG PO TABS [3218],20.65,20.65,3.06,16.52,23
NDC,70954-275-10,FLUPHENAZINE HCL 5 MG PO TABS [3221],43.24,43.24,6.4,34.59,23
NDC,70954-316-10,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
NDC,70954-319-10,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],1293.96,1293.96,191.51,1035.17,23
NDC,70954-444-10,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
NDC,70954-444-20,MISOPROSTOL 200 MCG PO TABS [10629],6.73,6.73,1.0,5.38,23
NDC,70954-455-10,BISOPROLOL FUMARATE 5 MG PO TABS [18288],10.59,10.59,1.57,8.47,23
NDC,70954-484-10,PYRAZINAMIDE 500 MG PO TABS [6738],29.69,29.69,4.39,23.75,23
NDC,70954-484-30,PYRAZINAMIDE 500 MG PO TABS [6738],28.93,28.93,4.28,23.14,23
NDC,70954-504-10,SELEGILINE HCL 5 MG PO CAPS [17280],10.82,10.82,1.6,8.66,23
NDC,70954-518-10,LIDOCAINE HCL 4 % EX SOLN [4450],251.49,251.49,37.22,201.19,23
NDC,70954-600-10,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],444.71,444.71,65.82,355.77,23
NDC,70954-637-10,INDOMETHACIN 25 MG/5ML PO SUSP [3900],6463.2,6463.2,956.55,5170.56,23
NDC,70954-934-10,NITAZOXANIDE 500 MG PO TABS [39254],622.83,622.83,92.18,498.26,23
NDC,71093-121-05,GABAPENTIN 300 MG PO CAPS [18308],6.26,6.26,0.93,5.01,23
NDC,71093-122-05,GABAPENTIN 400 MG PO CAPS [18307],6.26,6.26,0.93,5.01,23
NDC,71093-144-13,LEVETIRACETAM 100 MG/ML PO SOLN [36590],194.57,194.57,28.8,155.66,23
NDC,71179-018-16,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,71179-018-40,CAFFEINE 200 MG PO TABS [1259],6.0,6.0,0.89,4.8,23
NDC,71205-863-30,EPLERENONE 25 MG PO TABS [36983],6.0,6.0,0.89,4.8,23
NDC,71205-869-30,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
NDC,71205-871-30,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
NDC,71205-893-30,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,71205-893-90,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,71205-909-55,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,71205-909-60,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,71205-909-90,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG PO TABS [2516],6.0,6.0,0.89,4.8,23
NDC,71205-963-00,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
NDC,71205-963-30,NIFEDIPINE ER OSMOTIC RELEASE 30 MG PO TB24 [28643],6.0,6.0,0.89,4.8,23
NDC,71205-964-00,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],6.0,6.0,0.89,4.8,23
NDC,71205-964-60,NIFEDIPINE ER OSMOTIC RELEASE 60 MG PO TB24 [27659],6.0,6.0,0.89,4.8,23
NDC,71205-998-10,PHENAZOPYRIDINE HCL 100 MG PO TABS [6193],6.0,6.0,0.89,4.8,23
NDC,71247-126-01,LABETALOL HCL 100 MG PO TABS [10373],6.0,6.0,0.89,4.8,23
NDC,71266-2001-2,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY [131469],98.21,98.21,14.54,78.57,23
NDC,71266-2003-2,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY [129213],80.7,80.7,11.94,64.56,23
NDC,71266-5100-1,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
NDC,71266-5102-1,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
NDC,71266-5103-1,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],108.25,108.25,16.02,86.6,23
NDC,71266-9025-5,EPHEDRINE SULFATE-NACL 50-0.9 MG/5ML-% IV SOSY [131475],78.35,78.35,11.6,62.68,23
NDC,71266-9080-2,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],37.42,37.42,5.54,29.94,23
NDC,71266-9225-1,FENTANYL 2 MCG/ML + 0.0625% BUPIVACAINE/250ML NS EPIDURAL [601340],191.45,191.45,28.33,153.16,23
NDC,71285-6043-1,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],90.2,90.2,13.35,72.16,23
NDC,71285-6044-1,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],51.7,51.7,7.65,41.36,23
NDC,71285-7022-1,HEPARIN 4000 UNITS/1000 ML NS IR [600453],47.0,47.0,6.96,37.6,23
NDC,71286-3022-1,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],30.18,30.18,4.47,24.14,23
NDC,71286-6009-1,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY [131510],27.0,27.0,4.0,21.6,23
NDC,71288-009-21,CEFEPIME HCL 2 G IJ SOLR (WRAPPER) [40816371],54.71,54.71,8.1,43.77,23
NDC,71288-016-15,DAPTOMYCIN 500 MG IV SOLR [36989],155.88,155.88,23.07,124.7,23
NDC,71288-016-95,DAPTOMYCIN 500 MG IV SOLR [36989],96.61,96.61,14.3,77.29,23
NDC,71288-031-21,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],28.94,28.94,4.28,23.15,23
NDC,71288-106-10,BLEOMYCIN SULFATE 15 UNITS IJ SOLR [9289],159.44,159.44,23.6,127.55,23
NDC,71288-107-20,BLEOMYCIN SULFATE 30 UNITS IJ SOLR [17012],311.32,311.32,46.08,249.06,23
NDC,71288-109-20,CYTARABINE (PF) 100 MG/ML IJ SOLN [20156],95.52,95.52,14.14,76.42,23
NDC,71288-114-50,GEMCITABINE HCL 1 G IV SOLR [17122],214.42,214.42,31.73,171.54,23
NDC,71288-118-10,BORTEZOMIB 3.5 MG (GENERIC) IV SOLR [138155],196.06,196.06,29.02,156.85,23
NDC,71288-160-10,LEUCOVORIN CALCIUM 50 MG IJ SOLR [4394],56.4,56.4,8.35,45.12,23
NDC,71288-163-30,LEUCOVORIN CALCIUM 350 MG IJ SOLR [4393],135.1,135.1,19.99,108.08,23
NDC,71288-166-10,PEMETREXED (GENERIC) DISODIUM 100 MG IV SOLR [601145],155.88,155.88,23.07,124.7,23
NDC,71288-167-50,PEMETREXED (GENERIC) DISODIUM 500 MG IV SOLR [601146],678.6,678.6,100.43,542.88,23
NDC,71288-200-11,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],23.69,23.69,3.51,18.95,23
NDC,71288-201-85,REGADENOSON 0.4 MG/5ML IV SOLN [91408],103.92,103.92,15.38,83.14,23
NDC,71288-203-02,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,71288-203-03,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,71288-203-04,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,71288-203-10,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,71288-203-11,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,71288-303-01,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,71288-303-02,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN [2007],22.0,22.0,3.26,17.6,23
NDC,71288-402-30,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.48,39.48,5.84,31.58,23
NDC,71288-402-31,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN [10176],39.48,39.48,5.84,31.58,23
NDC,71288-403-01,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,71288-403-02,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN [10181],22.0,22.0,3.26,17.6,23
NDC,71288-404-05,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN [10177],48.96,48.96,7.25,39.17,23
NDC,71288-414-03,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN [3497],22.0,22.0,3.26,17.6,23
NDC,71288-418-10,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],284.75,284.75,42.14,227.8,23
NDC,71288-427-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],326.76,326.76,48.36,261.41,23
NDC,71288-427-11,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],326.76,326.76,48.36,261.41,23
NDC,71288-433-82,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
NDC,71288-433-83,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY [104175],22.0,22.0,3.26,17.6,23
NDC,71288-434-84,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY [104176],30.27,30.27,4.48,24.22,23
NDC,71288-435-86,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],41.74,41.74,6.18,33.39,23
NDC,71288-435-87,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY [104177],41.74,41.74,6.18,33.39,23
NDC,71288-436-88,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [104178],52.57,52.57,7.78,42.06,23
NDC,71288-438-93,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY [31921],78.74,78.74,11.65,62.99,23
NDC,71288-439-05,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],45.12,45.12,6.68,36.1,23
NDC,71288-503-02,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN [10162],155.88,155.88,23.07,124.7,23
NDC,71288-505-02,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.46,30.46,4.51,24.37,23
NDC,71288-505-03,DEXMEDETOMIDINE HCL 200 MCG/2ML IV SOLN [121934],30.46,30.46,4.51,24.37,23
NDC,71288-600-11,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],22.0,22.0,3.26,17.6,23
NDC,71288-712-06,CISATRACURIUM BESYLATE (PF) 10 MG/5ML IV SOLN [119122],39.48,39.48,5.84,31.58,23
NDC,71288-714-10,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],56.4,56.4,8.35,45.12,23
NDC,71288-714-11,CISATRACURIUM BESYLATE 20 MG/10ML IV SOLN [119123],56.4,56.4,8.35,45.12,23
NDC,71288-716-10,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],50.76,50.76,7.51,40.61,23
NDC,71288-716-11,METHOCARBAMOL 1000 MG/10ML IJ SOLN [126897],50.76,50.76,7.51,40.61,23
NDC,71288-719-10,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],28.2,28.2,4.17,22.56,23
NDC,71288-719-11,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN [7536],28.2,28.2,4.17,22.56,23
NDC,71288-721-11,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],22.0,22.0,3.26,17.6,23
NDC,71288-725-32,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [104828],22.0,22.0,3.26,17.6,23
NDC,71288-727-11,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],22.56,22.56,3.34,18.05,23
NDC,71288-734-21,ROPIVACAINE HCL 5 MG/ML IJ SOLN [18195],56.4,56.4,8.35,45.12,23
NDC,71288-736-21,ROPIVACAINE HCL 7.5 MG/ML IJ SOLN [18193],103.92,103.92,15.38,83.14,23
NDC,71288-807-02,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,71288-808-75,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.4,56.4,8.35,45.12,23
NDC,71321-803-20,CALCIUM ACETATE (PHOS BINDER) 667 MG PO TABS [22456],6.0,6.0,0.89,4.8,23
NDC,71334-100-01,IVOSIDENIB 250 MG PO TABS [140572],1750.82,1750.82,259.12,1400.66,23
NDC,71347-210-50,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN [10430],22.0,22.0,3.26,17.6,23
NDC,71351-022-10,BUPIVACAINE IN DEXTROSE 0.75-8.25 % IT SOLN [9316],29.37,29.37,4.35,23.5,23
NDC,71390-011-00,REMIMAZOLAM BESYLATE 20 MG IV SOLR [150511],204.54,204.54,30.27,163.63,23
NDC,71390-011-11,REMIMAZOLAM BESYLATE 20 MG IV SOLR [150511],204.56,204.56,30.27,163.65,23
NDC,71399-0023-8,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
NDC,71399-0041-1,SIMETHICONE 40 MG/0.6ML PO SUSP [7228],12.41,12.41,1.84,9.93,23
NDC,71399-0125-8,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD [12556],21.08,21.08,3.12,16.86,23
NDC,71399-0140-8,AMMONIUM LACTATE 12 % EX LOTN [10380],22.21,22.21,3.29,17.77,23
NDC,71399-0500-3,CLOTRIMAZOLE 1 % EX SOLN [1768],83.34,83.34,12.33,66.67,23
NDC,71399-1026-2,ACETAMINOPHEN 500 MG PO TABS [102],6.0,6.0,0.89,4.8,23
NDC,71399-1027-2,DIPHENHYDRAMINE HCL 25 MG PO CAPS [2509],6.0,6.0,0.89,4.8,23
NDC,71399-2829-1,DIBUCAINE (PERIANAL) 1 % EX OINT [27667],18.43,18.43,2.73,14.74,23
NDC,71399-7401-5,CHOLECALCIFEROL 400 UNIT/ML PO LIQD [145230],16.92,16.92,2.5,13.54,23
NDC,71399-7480-5,FERROUS SULFATE 75 (15 FE) MG/ML PO SOLN [95693],18.57,18.57,2.75,14.86,23
NDC,71399-8460-5,BISACODYL 10 MG RECTAL SUPP [1080],6.0,6.0,0.89,4.8,23
NDC,71469-231-01,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR [142181],8467.41,8467.41,1253.18,6773.93,23
NDC,71558-590-28,AMIKACIN SULFATE LIPOSOME 590 MG/8.4ML IN SUSP [141480],2004.66,2004.66,296.69,1603.73,23
NDC,71656-030-60,ERYTHROMYCIN 2 % EX SOLN [2887],216.42,216.42,32.03,173.14,23
NDC,71715-001-02,OMADACYCLINE TOSYLATE 100 MG IV SOLR [142195],1619.07,1619.07,239.62,1295.26,23
NDC,71715-002-21,OMADACYCLINE TOSYLATE 150 MG PO TABS [142196],1035.79,1035.79,153.3,828.63,23
NDC,71715-002-27,OMADACYCLINE TOSYLATE 150 MG PO TABS [142196],1035.8,1035.8,153.3,828.64,23
NDC,71740-112-30,POTASSIUM IODIDE (EXPECTORANT) 1 GM/ML PO SOLN [139285],1662.2,1662.2,246.01,1329.76,23
NDC,71776-100-05,FLUOROMETHOLONE ACETATE 0.1 % OP SUSP [10063],565.58,565.58,83.71,452.46,23
NDC,71839-104-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1184.08,1184.08,175.24,947.26,23
NDC,71839-108-01,DAPTOMYCIN 350 MG IV SOLR [140312],1090.28,1090.28,161.36,872.22,23
NDC,71921-226-10,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN [22982],462.21,462.21,68.41,369.77,23
NDC,71930-023-30,OXYCODONE HCL 100 MG/5ML PO CONC [10812],633.36,633.36,93.74,506.69,23
NDC,72078-002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],90.73,90.73,13.43,72.58,23
NDC,72078-035-02,REMIFENTANIL HCL 2 MG IV SOLR [18400],609.46,609.46,90.2,487.57,23
NDC,72078-081-06,MEROPENEM 2 G IV SOLR [162316],162.41,162.41,24.04,129.93,23
NDC,72140-03147,AQUAPHOR EX OINT [612],97.74,97.74,14.47,78.19,23
NDC,72140-45231,AQUAPHOR EX OINT [612],40.42,40.42,5.98,32.34,23
NDC,72162-1676-5,LABETALOL HCL 200 MG PO TABS [10374],6.0,6.0,0.89,4.8,23
NDC,72162-2037-3,RISPERIDONE 1 MG/ML PO SOLN [17377],632.12,632.12,93.55,505.7,23
NDC,72162-2072-1,PROPYLTHIOURACIL 50 MG PO TABS [6662],6.0,6.0,0.89,4.8,23
NDC,72187-0101-3,ELACESTRANT HYDROCHLORIDE 86 MG PO TABS [158863],1083.9,1083.9,160.42,867.12,23
NDC,72187-0102-3,ELACESTRANT HYDROCHLORIDE 345 MG PO TABS [158864],2884.88,2884.88,426.96,2307.9,23
NDC,72196-0202-1,CARDIOPLEGIA DEL NIDO FORMULA PF SOLN [145785],319.45,319.45,47.28,255.56,23
NDC,72196-6043-1,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],90.2,90.2,13.35,72.16,23
NDC,72196-7022-1,HEPARIN 4000 UNITS/1000 ML NS IR [600453],47.0,47.0,6.96,37.6,23
NDC,72205-005-99,ROSUVASTATIN CALCIUM 40 MG PO TABS [35136],42.05,42.05,6.22,33.64,23
NDC,72205-007-92,CAPECITABINE 500 MG PO TABS [22994],169.39,169.39,25.07,135.51,23
NDC,72205-011-90,PREGABALIN 25 MG PO CAPS [42162],39.61,39.61,5.86,31.69,23
NDC,72205-012-90,PREGABALIN 50 MG PO CAPS [42163],39.61,39.61,5.86,31.69,23
NDC,72205-013-90,PREGABALIN 75 MG PO CAPS [42164],39.61,39.61,5.86,31.69,23
NDC,72205-014-90,PREGABALIN 100 MG PO CAPS [42165],39.61,39.61,5.86,31.69,23
NDC,72205-015-90,PREGABALIN 150 MG PO CAPS [42166],39.61,39.61,5.86,31.69,23
NDC,72205-016-90,PREGABALIN 200 MG PO CAPS [42167],39.61,39.61,5.86,31.69,23
NDC,72205-023-90,ATORVASTATIN CALCIUM 20 MG PO TABS [19178],25.82,25.82,3.82,20.66,23
NDC,72205-031-01,DECITABINE 50 MG IV SOLR [76364],4936.03,4936.03,730.53,3948.82,23
NDC,72205-039-60,DOFETILIDE 125 MCG PO CAPS [26965],45.8,45.8,6.78,36.64,23
NDC,72205-040-60,DOFETILIDE 250 MCG PO CAPS [26966],45.8,45.8,6.78,36.64,23
NDC,72205-042-11,OSELTAMIVIR PHOSPHATE 30 MG PO CAPS [88704],66.65,66.65,9.86,53.32,23
NDC,72205-043-11,OSELTAMIVIR PHOSPHATE 45 MG PO CAPS [88705],66.65,66.65,9.86,53.32,23
NDC,72205-044-11,OSELTAMIVIR PHOSPHATE 75 MG PO CAPS [26546],72.65,72.65,10.75,58.12,23
NDC,72205-051-08,ALBENDAZOLE 200 MG PO TABS [8979],750.81,750.81,111.12,600.65,23
NDC,72205-054-01,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR [105747],1053.7,1053.7,155.95,842.96,23
NDC,72205-090-91,DOXEPIN HCL 50 MG PO CAPS [2612],6.0,6.0,0.89,4.8,23
NDC,72205-100-01,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN [3215],364.11,364.11,53.89,291.29,23
NDC,72205-101-01,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,72205-101-07,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,72205-102-01,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,72205-102-07,BUMETANIDE 0.25 MG/ML IJ SOLN [9308],22.0,22.0,3.26,17.6,23
NDC,72205-104-91,CHLORPROMAZINE HCL 25 MG PO TABS [1656],52.17,52.17,7.72,41.74,23
NDC,72205-184-60,DARUNAVIR 600 MG PO TABS [92851],163.31,163.31,24.17,130.65,23
NDC,72205-210-30,LURASIDONE HCL 80 MG PO TABS [106032],196.47,196.47,29.08,157.18,23
NDC,72205-220-01,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
NDC,72205-220-07,LACOSAMIDE 200 MG/20ML IV SOLN [96972],207.84,207.84,30.76,166.27,23
NDC,72205-280-60,SACUBITRIL-VALSARTAN 24-26 MG PO TABS [128545],64.03,64.03,9.48,51.22,23
NDC,72205-368-91,TICAGRELOR 90 MG PO TABS [109484],28.4,28.4,4.2,22.72,23
NDC,72241-003-05,NATEGLINIDE 120 MG PO TABS [29438],6.0,6.0,0.89,4.8,23
NDC,72241-011-03,RIVASTIGMINE TARTRATE 1.5 MG PO CAPS [28278],18.95,18.95,2.8,15.16,23
NDC,72241-012-03,RIVASTIGMINE TARTRATE 3 MG PO CAPS [28279],18.95,18.95,2.8,15.16,23
NDC,72241-013-03,RIVASTIGMINE TARTRATE 4.5 MG PO CAPS [28280],18.95,18.95,2.8,15.16,23
NDC,72241-014-03,RIVASTIGMINE TARTRATE 6 MG PO CAPS [28281],18.95,18.95,2.8,15.16,23
NDC,72241-023-05,CELECOXIB 100 MG PO CAPS [24500],21.7,21.7,3.21,17.36,23
NDC,72241-024-05,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
NDC,72241-024-10,CELECOXIB 200 MG PO CAPS [24501],35.64,35.64,5.27,28.51,23
NDC,72266-102-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],45.12,45.12,6.68,36.1,23
NDC,72266-103-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],33.84,33.84,5.01,27.07,23
NDC,72266-103-41,LABETALOL HCL 5 MG/ML IV SOLN [10372],33.84,33.84,5.01,27.07,23
NDC,72266-118-01,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,72266-118-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,72266-119-25,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,72266-146-10,ETOMIDATE 2 MG/ML IV SOLN [20472],25.06,25.06,3.71,20.05,23
NDC,72266-158-01,MOXIFLOXACIN HCL 0.5 % OP SOLN [35699],65.43,65.43,9.68,52.34,23
NDC,72266-162-01,OXALIPLATIN 100 MG/20ML IV SOLN [99604],129.9,129.9,19.23,103.92,23
NDC,72266-163-06,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],359.44,359.44,53.2,287.55,23
NDC,72266-197-01,DORZOLAMIDE HCL 2 % OP SOLN [14471],84.6,84.6,12.52,67.68,23
NDC,72266-204-01,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],25.89,25.89,3.83,20.71,23
NDC,72266-204-10,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN [143112],25.89,25.89,3.83,20.71,23
NDC,72266-234-01,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,72266-234-25,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,72266-237-01,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],82.76,82.76,12.25,66.21,23
NDC,72266-237-05,DOXYCYCLINE HYCLATE 100 MG IV SOLR [2622],82.76,82.76,12.25,66.21,23
NDC,72485-101-25,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508],22.0,22.0,3.26,17.6,23
NDC,72485-104-01,CAFFEINE CITRATE 60 MG/3ML IV SOLN [77412],56.4,56.4,8.35,45.12,23
NDC,72485-106-10,LEVETIRACETAM 500 MG/5ML IV SOLN [77195],22.0,22.0,3.26,17.6,23
NDC,72485-116-10,NICARDIPINE HCL 2.5 MG/ML IV SOLN [12370],121.24,121.24,17.94,96.99,23
NDC,72485-118-01,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
NDC,72485-118-25,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN [116053],22.0,22.0,3.26,17.6,23
NDC,72485-205-12,CAPECITABINE 500 MG PO TABS [22994],169.39,169.39,25.07,135.51,23
NDC,72485-406-10,NAFCILLIN SODIUM 2 G IJ SOLR [5335],57.99,57.99,8.58,46.39,23
NDC,72485-412-01,MEROPENEM 1 G IV SOLR [17380],32.43,32.43,4.8,25.94,23
NDC,72485-412-10,MEROPENEM 1 G IV SOLR [17380],32.43,32.43,4.8,25.94,23
NDC,72485-416-10,AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR [9083],22.0,22.0,3.26,17.6,23
NDC,72485-417-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],29.9,29.9,4.43,23.92,23
NDC,72485-421-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],27.3,27.3,4.04,21.84,23
NDC,72485-422-10,AMPICILLIN SODIUM 2 G IJ SOLR [472],40.11,40.11,5.94,32.09,23
NDC,72485-501-10,MILRINONE LACTATE 10 MG/10ML IV SOLN [121718],22.28,22.28,3.3,17.82,23
NDC,72485-504-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,72485-505-01,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.12,56.12,8.31,44.9,23
NDC,72485-505-10,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],56.12,56.12,8.31,44.9,23
NDC,72485-507-25,THIAMINE HCL 100 MG/ML IJ SOLN [7876],34.97,34.97,5.18,27.98,23
NDC,72485-617-10,KETOTIFEN FUMARATE 0.035 % OP SOLN [161366],63.41,63.41,9.38,50.73,23
NDC,72485-625-13,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP [36576],579.95,579.95,85.83,463.96,23
NDC,72485-670-31,ERYTHROMYCIN 5 MG/GM OP OINT [2888],86.76,86.76,12.84,69.41,23
NDC,72516-030-01,METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858],6.0,6.0,0.89,4.8,23
NDC,72516-032-01,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
NDC,72516-032-50,METOPROLOL SUCCINATE ER 100 MG PO TB24 [30071],8.91,8.91,1.32,7.13,23
NDC,72578-002-01,ACYCLOVIR 200 MG PO CAPS [8969],6.0,6.0,0.89,4.8,23
NDC,72578-005-06,MODAFINIL 100 MG PO TABS [24702],95.52,95.52,14.14,76.42,23
NDC,72578-005-16,MODAFINIL 100 MG PO TABS [24702],95.29,95.29,14.1,76.23,23
NDC,72578-057-16,FELBAMATE 600 MG PO TABS [10025],18.0,18.0,2.66,14.4,23
NDC,72578-129-08,METRONIDAZOLE 0.75 % EX CREA [19805],546.62,546.62,80.9,437.3,23
NDC,72603-128-10,PANTOPRAZOLE SODIUM 40 MG IV SOLR [26226],32.95,32.95,4.88,26.36,23
NDC,72603-129-01,ICOSAPENT ETHYL 1 G PO CAPS [117943],14.78,14.78,2.19,11.82,23
NDC,72603-133-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,72603-152-01,DAPTOMYCIN 500 MG IV SOLR [36989],1625.61,1625.61,240.59,1300.49,23
NDC,72603-158-01,OLANZAPINE 15 MG PO TABS [26952],127.65,127.65,18.89,102.12,23
NDC,72603-160-01,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],368.08,368.08,54.48,294.46,23
NDC,72603-160-06,TOBRAMYCIN SULFATE 1.2 G IJ SOLR [11565],368.08,368.08,54.48,294.46,23
NDC,72603-168-01,PROCHLORPERAZINE MALEATE 5 MG PO TABS [6583],6.0,6.0,0.89,4.8,23
NDC,72603-169-01,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],6.0,6.0,0.89,4.8,23
NDC,72603-171-01,FAMOTIDINE 40 MG/5ML PO SUSR [10010],667.11,667.11,98.73,533.69,23
NDC,72603-172-25,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,72603-180-01,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],76.3,76.3,11.29,61.04,23
NDC,72603-180-10,NOREPINEPHRINE BITARTRATE 1 MG/ML IV SOLN [127226],76.3,76.3,11.29,61.04,23
NDC,72603-206-02,GEMFIBROZIL 600 MG PO TABS [3378],10.79,10.79,1.6,8.63,23
NDC,72603-212-01,DEXAMETHASONE 0.5 MG PO TABS [2322],6.0,6.0,0.89,4.8,23
NDC,72603-221-10,AMPICILLIN SODIUM 500 MG IJ SOLR [474],22.0,22.0,3.26,17.6,23
NDC,72603-251-25,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,72603-262-01,PYRIMETHAMINE 25 MG PO TABS [11246],2318.91,2318.91,343.2,1855.13,23
NDC,72603-307-01,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,72603-308-01,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,72603-335-10,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR [9084],47.47,47.47,7.03,37.98,23
NDC,72603-338-01,POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943],6.0,6.0,0.89,4.8,23
NDC,72603-351-25,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN [1985],164.76,164.76,24.38,131.81,23
NDC,72603-363-10,AMPICILLIN SODIUM 1 G IJ SOLR [469],35.06,35.06,5.19,28.05,23
NDC,72603-453-10,NAFCILLIN SODIUM 2 G IJ SOLR [5335],82.05,82.05,12.14,65.64,23
NDC,72603-520-01,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],175.93,175.93,26.04,140.74,23
NDC,72603-590-25,NALOXONE HCL 0.4 MG/ML IJ SOLN [5373],32.98,32.98,4.88,26.38,23
NDC,72603-800-01,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN [121715],27.78,27.78,4.11,22.22,23
NDC,72603-800-25,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN [104827],27.78,27.78,4.11,22.22,23
NDC,72611-716-01,DEXRAZOXANE HCL 500 MG IV SOLR [143120],1570.47,1570.47,232.43,1256.38,23
NDC,72611-719-25,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN [22472],22.0,22.0,3.26,17.6,23
NDC,72611-722-25,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN [22473],22.0,22.0,3.26,17.6,23
NDC,72611-725-25,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN [97716],22.0,22.0,3.26,17.6,23
NDC,72611-734-01,LABETALOL HCL 5 MG/ML IV SOLN [10372],64.68,64.68,9.57,51.74,23
NDC,72611-741-01,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,72611-741-25,MIDAZOLAM HCL 2 MG/2ML IJ SOLN [40872],22.0,22.0,3.26,17.6,23
NDC,72611-749-01,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
NDC,72611-749-10,MIDAZOLAM HCL 50 MG/10ML IJ SOLN [93523],33.28,33.28,4.93,26.62,23
NDC,72611-785-02,TEMSIROLIMUS 25 MG/ML IV SOLN [82228],3916.12,3916.12,579.59,3132.9,23
NDC,72611-860-01,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],192.26,192.26,28.45,153.81,23
NDC,72611-860-04,ACETYLCYSTEINE 200 MG/ML IV SOLN [38303],192.26,192.26,28.45,153.81,23
NDC,72618-3000-2,RIMEGEPANT SULFATE 75 MG PO TBDP [147343],581.9,581.9,86.12,465.52,23
NDC,72626-2701-1,(EPCLUSA) SOFOSBUVIR-VELPATASVIR 400-100 MG PO TABS [132135],1124.58,1124.58,166.44,899.66,23
NDC,72694-954-01,PEGASPARGASE 750 UNIT/ML IJ SOLN [117290],81410.8,81410.8,12048.8,65128.64,23
NDC,72769-181-03,PERAMIVIR 200 MG/20ML IV SOLN [126226],1246.4,1246.4,184.47,997.12,23
NDC,72789-062-01,HYDROCORTISONE 20 MG PO TABS [3734],6.0,6.0,0.89,4.8,23
NDC,72789-095-50,HYDROCORTISONE 5 MG PO TABS [10209],6.0,6.0,0.89,4.8,23
NDC,72789-102-01,CYPROHEPTADINE HCL 4 MG PO TABS [2033],6.0,6.0,0.89,4.8,23
NDC,72789-131-90,ACARBOSE 25 MG PO TABS [22148],6.0,6.0,0.89,4.8,23
NDC,72789-251-82,CEPHALEXIN 500 MG PO CAPS [9500],6.0,6.0,0.89,4.8,23
NDC,72789-290-30,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,72789-290-90,SPIRONOLACTONE 25 MG PO TABS [7437],6.0,6.0,0.89,4.8,23
NDC,72789-308-37,DOXYCYCLINE MONOHYDRATE 100 MG PO CAPS [9900],6.0,6.0,0.89,4.8,23
NDC,72789-325-77,TIZANIDINE HCL 4 MG PO TABS [14793],6.0,6.0,0.89,4.8,23
NDC,72789-358-30,CHLORTHALIDONE 25 MG PO TABS [1661],6.0,6.0,0.89,4.8,23
NDC,72865-181-30,ARIPIPRAZOLE 5 MG PO TABS [36438],6.0,6.0,0.89,4.8,23
NDC,72865-182-30,ARIPIPRAZOLE 10 MG PO TABS [34369],6.0,6.0,0.89,4.8,23
NDC,72865-233-01,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,72888-033-01,AMANTADINE HCL 100 MG PO CAPS [364],9.49,9.49,1.4,7.59,23
NDC,72888-033-05,AMANTADINE HCL 100 MG PO CAPS [364],9.11,9.11,1.35,7.29,23
NDC,72888-034-01,CARVEDILOL 3.125 MG PO TABS [18551],7.94,7.94,1.18,6.35,23
NDC,72888-034-05,CARVEDILOL 3.125 MG PO TABS [18551],7.94,7.94,1.18,6.35,23
NDC,72888-035-01,CARVEDILOL 6.25 MG PO TABS [15747],8.64,8.64,1.28,6.91,23
NDC,72888-037-01,CARVEDILOL 25 MG PO TABS [15748],10.05,10.05,1.49,8.04,23
NDC,72888-045-01,PRIMIDONE 50 MG PO TABS [11129],6.0,6.0,0.89,4.8,23
NDC,72888-052-01,METOLAZONE 2.5 MG PO TABS [10587],9.75,9.75,1.44,7.8,23
NDC,72888-054-01,METOLAZONE 10 MG PO TABS [10586],13.26,13.26,1.96,10.61,23
NDC,72888-063-01,BUSPIRONE HCL 7.5 MG PO TABS [29967],7.43,7.43,1.1,5.94,23
NDC,72888-065-01,BUSPIRONE HCL 15 MG PO TABS [17464],9.5,9.5,1.41,7.6,23
NDC,72888-081-01,ISOSORBIDE DINITRATE 5 MG PO TABS [4068],6.0,6.0,0.89,4.8,23
NDC,72888-082-01,ISOSORBIDE DINITRATE 10 MG PO TABS [4064],6.0,6.0,0.89,4.8,23
NDC,72888-083-01,ISOSORBIDE DINITRATE 20 MG PO TABS [4065],6.0,6.0,0.89,4.8,23
NDC,72888-106-01,CARBIDOPA-LEVODOPA 10-100 MG PO TABS [9406],6.0,6.0,0.89,4.8,23
NDC,72888-108-01,CARBIDOPA-LEVODOPA 25-250 MG PO TABS [9408],6.0,6.0,0.89,4.8,23
NDC,72888-112-01,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
NDC,72888-113-01,MIDODRINE HCL 5 MG PO TABS [10610],17.56,17.56,2.6,14.05,23
NDC,72888-125-26,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],62.04,62.04,9.18,49.63,23
NDC,72888-139-33,NITROGLYCERIN 0.4 MG SL SUBL [5604],6.0,6.0,0.89,4.8,23
NDC,72888-141-35,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP [70536],363.05,363.05,53.73,290.44,23
NDC,72888-152-01,CLONAZEPAM 0.5 MG PO TABS [9637],6.0,6.0,0.89,4.8,23
NDC,72888-153-01,CLONAZEPAM 1 MG PO TABS [9638],6.0,6.0,0.89,4.8,23
NDC,72888-175-30,DESVENLAFAXINE SUCCINATE ER 25 MG PO TB24 [127581],53.93,53.93,7.98,43.14,23
NDC,72888-182-30,BUPRENORPHINE HCL 2 MG SL SUBL [34711],19.46,19.46,2.88,15.57,23
NDC,72893-002-01,BELINOSTAT 500 MG IV SOLR [124779],7605.89,7605.89,1125.67,6084.71,23
NDC,72903-853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 100 MG/20ML IV SOLN [158049],20591.22,20591.22,3047.5,16472.98,23
NDC,72974-120-01,RELUGOLIX 120 MG PO TABS [150677],416.57,416.57,61.65,333.26,23
NDC,72989-373-30,PROGESTERONE 200 MG PO CAPS [125717],164.59,164.59,24.36,131.67,23
NDC,73043-005-01,CYCLOSPORINE 0.05 % OP EMUL [35209],57.66,57.66,8.53,46.13,23
NDC,73043-005-03,CYCLOSPORINE 0.05 % OP EMUL [35209],18.01,18.01,2.67,14.41,23
NDC,73043-023-91,FUROSEMIDE 10 MG/ML IJ SOLN [3291],22.0,22.0,3.26,17.6,23
NDC,73070-100-11,INSULIN ASPART (NOVOLOG) 100 UNIT/ML SC SOLN [28534],12.5,12.5,1.85,10.0,23
NDC,73070-100-11,STUDY AIDING RCT INSULIN ASPART PUMP FILL 200 UNITS [601464],12.5,12.5,1.85,10.0,23
NDC,73070-200-11,INSULIN ASPART PROT & ASPART (70-30) 100 UNIT/ML SC SUSP [33666],12.5,12.5,1.85,10.0,23
NDC,73090-420-01,SILTUXIMAB 100 MG IV SOLR [124002],4831.19,4831.19,715.02,3864.95,23
NDC,73090-421-01,SILTUXIMAB 400 MG IV SOLR [124003],19324.78,19324.78,2860.07,15459.82,23
NDC,73207-101-30,RIPRETINIB 50 MG PO TABS [148429],1686.64,1686.64,249.62,1349.31,23
NDC,73293-0001-2,LIDOCAINE HCL (PF) 1 % IJ SOLN [102415],22.0,22.0,3.26,17.6,23
NDC,73320-002-02,BACLOFEN 10 MG PO TABS [860],11.62,11.62,1.72,9.3,23
NDC,73462-06285,CAMPHOR-MENTHOL 0.5-0.5 % EX LOTN [23063],38.61,38.61,5.71,30.89,23
NDC,73535-208-01,TAFASITAMAB-CXIX 200 MG/5 ML IV SOLN [149226],847570.24,847570.24,125440.4,678056.19,23
NDC,73657-020-01,MELPHALAN FLUFENAMIDE HCL 20 MG IV SOLR [151632],28842.0,28842.0,4268.62,23073.6,23
NDC,74312-02610,ACIDOPHILUS PROBIOTIC 0.5 MG PO TABS [140827],6.0,6.0,0.89,4.8,23
NDC,74527-022-02,MARGETUXIMAB-CMKB 250 MG/10ML IV SOLN [151592],7880.88,7880.88,1166.37,6304.7,23
NDC,75826-139-10,PHENOBARBITAL 32.4 MG PO TABS [6217],6.0,6.0,0.89,4.8,23
NDC,75826-142-10,PHENOBARBITAL 97.2 MG PO TABS [6220],6.0,6.0,0.89,4.8,23
NDC,75834-010-60,ERGOCALCIFEROL 8000 UNIT/ML PO SOLN [145128],153.03,153.03,22.65,122.42,23
NDC,75834-110-01,CHLORTHALIDONE 50 MG PO TABS [1662],7.0,7.0,1.04,5.6,23
NDC,75834-171-01,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,75834-171-19,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.5,56.5,8.36,45.2,23
NDC,75834-206-01,NATEGLINIDE 120 MG PO TABS [29438],8.12,8.12,1.2,6.5,23
NDC,75834-221-01,CARBAMAZEPINE 200 MG PO TABS [1357],7.52,7.52,1.11,6.02,23
NDC,75834-257-01,ATORVASTATIN CALCIUM 40 MG PO TABS [19177],27.14,27.14,4.02,21.71,23
NDC,75834-293-01,METOPROLOL SUCCINATE ER 200 MG PO TB24 [30072],6.0,6.0,0.89,4.8,23
NDC,75834-295-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5ML PO SUSR [2899],1329.72,1329.72,196.8,1063.78,23
NDC,75834-314-01,THYROID 120 MG PO TABS [7938],10.01,10.01,1.48,8.01,23
NDC,75907-025-11,CLONIDINE 0.3 MG/24HR TD PTWK [141261],301.28,301.28,44.59,241.02,23
NDC,75907-060-44,NYSTATIN 100000 UNIT/GM EX POWD [39136],95.03,95.03,14.06,76.02,23
NDC,75907-069-01,NORTRIPTYLINE HCL 10 MG PO CAPS [5674],6.0,6.0,0.89,4.8,23
NDC,75907-070-01,NORTRIPTYLINE HCL 25 MG PO CAPS [5675],6.9,6.9,1.02,5.52,23
NDC,75907-190-07,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN [149223],2557.89,2557.89,378.57,2046.31,23
NDC,75987-130-15,TEPROTUMUMAB-TRBW 500 MG IV SOLR [146362],53163.81,53163.81,7868.24,42531.05,23
NDC,76014-003-10,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],95.39,95.39,14.12,76.31,23
NDC,76014-003-33,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN [120650],95.39,95.39,14.12,76.31,23
NDC,76045-004-01,MORPHINE SULFATE 2 MG/ML IJ SOLN [5170],22.0,22.0,3.26,17.6,23
NDC,76045-004-11,MORPHINE SULFATE 2 MG/ML IJ SOLN [5170],22.0,22.0,3.26,17.6,23
NDC,76045-009-01,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],23.41,23.41,3.46,18.73,23
NDC,76045-009-05,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],22.0,22.0,3.26,17.6,23
NDC,76045-009-06,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],23.41,23.41,3.46,18.73,23
NDC,76045-009-10,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
NDC,76045-009-11,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],23.41,23.41,3.46,18.73,23
NDC,76045-009-96,HYDROMORPHONE 0.5MG/0.5ML INJ [601030],23.41,23.41,3.46,18.73,23
NDC,76045-010-11,HYDROMORPHONE HCL 2 MG/ML IJ SOLN [3758],23.41,23.41,3.46,18.73,23
NDC,76045-737-01,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.56,22.56,3.34,18.05,23
NDC,76045-737-10,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN [3584],22.56,22.56,3.34,18.05,23
NDC,76075-101-01,CARFILZOMIB 60 MG IV SOLR [115839],10738.92,10738.92,1589.36,8591.14,23
NDC,76075-102-01,CARFILZOMIB 30 MG IV SOLR [132039],5369.47,5369.47,794.68,4295.58,23
NDC,76075-103-01,CARFILZOMIB 10 MG IV SOLR [140767],2058.66,2058.66,304.68,1646.93,23
NDC,76125-790-25,ALBUMIN HUMAN 5 % IV SOLN [8982],223.68,223.68,33.1,178.94,23
NDC,76125-790-26,ALBUMIN HUMAN 5 % IV SOLN [8982],223.68,223.68,33.1,178.94,23
NDC,76125-792-10,ALBUMIN HUMAN 25 % IV SOLN [8981],434.31,434.31,64.28,347.45,23
NDC,76125-792-25,ALBUMIN HUMAN 25 % IV SOLN [8981],224.07,224.07,33.16,179.26,23
NDC,76154-475-15,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],212.01,212.01,31.38,169.61,23
NDC,76154-814-15,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],389.26,389.26,57.61,311.41,23
NDC,76204-022-60,SODIUM CHLORIDE 3 % IN NEBU [7327],6.0,6.0,0.89,4.8,23
NDC,76204-028-60,CROMOLYN SODIUM 20 MG/2ML IN NEBU [9690],23.5,23.5,3.48,18.8,23
NDC,76204-100-01,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.69,8.69,1.29,6.95,23
NDC,76204-100-25,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.28,8.28,1.23,6.62,23
NDC,76204-100-60,IPRATROPIUM BROMIDE 0.02 % IN SOLN [12580],8.28,8.28,1.23,6.62,23
NDC,76204-300-03,SODIUM CHLORIDE 0.9 % IN NEBU [7325],6.0,6.0,0.89,4.8,23
NDC,76204-600-01,IPRATROPIUM-ALBUTEROL BASE 0.5-2.5 (3) MG/3ML IN SOLN [93931],10.79,10.79,1.6,8.63,23
NDC,76204-800-01,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],9.41,9.41,1.39,7.53,23
NDC,76204-800-11,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU [24915],9.41,9.41,1.39,7.53,23
NDC,76204-900-01,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],9.41,9.41,1.39,7.53,23
NDC,76204-900-11,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU [24916],9.41,9.41,1.39,7.53,23
NDC,76282-212-18,SERTRALINE HCL 25 MG PO TABS [19882],6.0,6.0,0.89,4.8,23
NDC,76282-212-60,SERTRALINE HCL 25 MG PO TABS [19882],12.85,12.85,1.9,10.28,23
NDC,76282-213-60,SERTRALINE HCL 50 MG PO TABS [11351],13.32,13.32,1.97,10.66,23
NDC,76282-213-90,SERTRALINE HCL 50 MG PO TABS [11351],6.0,6.0,0.89,4.8,23
NDC,76282-214-18,SERTRALINE HCL 100 MG PO TABS [11350],6.0,6.0,0.89,4.8,23
NDC,76282-250-90,ESCITALOPRAM OXALATE 10 MG PO TABS [33512],6.0,6.0,0.89,4.8,23
NDC,76282-280-60,TOPIRAMATE 100 MG PO TABS [18922],6.0,6.0,0.89,4.8,23
NDC,76282-311-01,HYDRALAZINE HCL 50 MG PO TABS [3701],6.0,6.0,0.89,4.8,23
NDC,76282-347-01,NADOLOL 20 MG PO TABS [5330],6.0,6.0,0.89,4.8,23
NDC,76282-348-01,NADOLOL 40 MG PO TABS [5331],6.0,6.0,0.89,4.8,23
NDC,76282-412-90,FINASTERIDE 5 MG PO TABS [10037],6.0,6.0,0.89,4.8,23
NDC,76282-568-90,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
NDC,76282-569-90,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
NDC,76282-570-90,PREGABALIN 75 MG PO CAPS [42164],6.0,6.0,0.89,4.8,23
NDC,76282-571-90,PREGABALIN 100 MG PO CAPS [42165],6.0,6.0,0.89,4.8,23
NDC,76282-572-90,PREGABALIN 150 MG PO CAPS [42166],6.0,6.0,0.89,4.8,23
NDC,76282-573-90,PREGABALIN 200 MG PO CAPS [42167],6.0,6.0,0.89,4.8,23
NDC,76282-575-90,PREGABALIN 300 MG PO CAPS [42169],6.0,6.0,0.89,4.8,23
NDC,76282-663-39,DICLOFENAC SODIUM 1 % EX GEL [150015],19.74,19.74,2.92,15.79,23
NDC,76282-720-67,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN [87861],9556.98,9556.98,1414.43,7645.58,23
NDC,76282-722-01,PRAZOSIN HCL 2 MG PO CAPS [6469],6.0,6.0,0.89,4.8,23
NDC,76282-723-01,PRAZOSIN HCL 5 MG PO CAPS [6470],6.0,6.0,0.89,4.8,23
NDC,76282-740-30,PHYTONADIONE 5 MG PO TABS [11024],40.37,40.37,5.97,32.3,23
NDC,76297-001-41,SODIUM CHLORIDE 0.9 % IV SOLN [27838],42.3,42.3,6.26,33.84,23
NDC,76310-024-01,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1348.9,1348.9,199.64,1079.12,23
NDC,76310-024-11,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1348.9,1348.9,199.64,1079.12,23
NDC,76310-024-15,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
NDC,76310-024-25,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
NDC,76310-024-41,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
NDC,76310-024-45,FOSCARNET SODIUM 6000 MG/250ML IV SOLN [130897],1675.44,1675.44,247.97,1340.35,23
NDC,76329-3011-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],33.84,33.84,5.01,27.07,23
NDC,76329-3012-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],35.65,35.65,5.28,28.52,23
NDC,76329-3013-5,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY [145154],39.72,39.72,5.88,31.78,23
NDC,76329-3301-1,DEXTROSE 50 % IV SOLN [2365],74.73,74.73,11.06,59.78,23
NDC,76329-3302-1,DEXTROSE 50 % IV SOLN [2365],105.22,105.22,15.57,84.18,23
NDC,76329-3304-1,CALCIUM CHLORIDE 10 % IV SOLN [1306],59.22,59.22,8.76,47.38,23
NDC,76329-3316-1,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],55.56,55.56,8.22,44.45,23
NDC,76329-3318-1,EPINEPHRINE 1 MG/10ML IJ SOSY [140769],77.51,77.51,11.47,62.01,23
NDC,76329-3321-0,REGADENOSON 0.4 MG/5ML IV SOLN [91408],155.88,155.88,23.07,124.7,23
NDC,76329-3339-1,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],50.76,50.76,7.51,40.61,23
NDC,76329-3340-1,ATROPINE SULFATE 1 MG/10ML IJ SOSY [134923],64.58,64.58,9.56,51.66,23
NDC,76329-3352-1,SODIUM BICARBONATE 8.4 % IV SOLN [7309],102.41,102.41,15.16,81.93,23
NDC,76329-3390-1,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY [143140],50.53,50.53,7.48,40.42,23
NDC,76329-8261-0,LORAZEPAM 2 MG/ML IJ SOLN [10467],56.4,56.4,8.35,45.12,23
NDC,76329-8261-1,LORAZEPAM 2 MG/ML IJ SOLN [10467],56.4,56.4,8.35,45.12,23
NDC,76329-9060-0,EPINEPHRINE 30 MG/30ML IJ SOLN [138138],885.6,885.6,131.07,708.48,23
NDC,76336-455-18,METYRAPONE 250 MG PO CAPS [21867],273.36,273.36,40.46,218.69,23
NDC,76385-102-01,PRIMAQUINE (BASE) 15 MG (PRIMAQUINE PHOSPHATE 26.3 MG) PO TABS [152715],8.46,8.46,1.25,6.77,23
NDC,76385-104-01,BENZTROPINE MESYLATE 1 MG PO TABS [999],6.0,6.0,0.89,4.8,23
NDC,76385-123-50,METHOCARBAMOL 500 MG PO TABS [4971],6.0,6.0,0.89,4.8,23
NDC,76385-133-01,NADOLOL 20 MG PO TABS [5330],15.94,15.94,2.36,12.75,23
NDC,76385-134-01,NADOLOL 40 MG PO TABS [5331],18.62,18.62,2.76,14.9,23
NDC,76385-138-01,METOLAZONE 10 MG PO TABS [10586],14.81,14.81,2.19,11.85,23
NDC,76388-635-25,CHLORAMBUCIL 2 MG PO TABS [9513],137.79,137.79,20.39,110.23,23
NDC,76388-713-25,BUSULFAN 2 MG PO TABS [9325],121.71,121.71,18.01,97.37,23
NDC,76388-880-25,THIOGUANINE 40 MG PO TABS [7886],131.35,131.35,19.44,105.08,23
NDC,76478-501-20,PENTOBARBITAL SODIUM 50 MG/ML IJ SOLN [6097],3827.29,3827.29,566.44,3061.83,23
NDC,76478-711-40,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR [9526],1811.39,1811.39,268.09,1449.11,23
NDC,77333-031-20,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,77333-031-25,ASPIRIN 81 MG PO TBEC [688],6.0,6.0,0.89,4.8,23
NDC,77333-516-10,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,77333-812-10,SIMETHICONE 80 MG PO CHEW [7227],6.0,6.0,0.89,4.8,23
NDC,77333-831-10,SODIUM BICARBONATE 650 MG PO TABS [7313],6.0,6.0,0.89,4.8,23
NDC,77333-844-10,SODIUM CHLORIDE 1000 MG PO TABS [7328],6.0,6.0,0.89,4.8,23
NDC,77333-934-10,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,77333-934-25,THIAMINE MONONITRATE 100 MG PO TABS [11538],6.0,6.0,0.89,4.8,23
NDC,77771-115-01,FLUOXETINE HCL 40 MG PO CAPS [21086],23.97,23.97,3.55,19.18,23
NDC,78112-01103,PHENOL 1.4 % MT LIQD [36976],37.44,37.44,5.54,29.95,23
NDC,78206-112-01,MOMETASONE FUROATE 100 MCG/ACT IN AERO [126310],454.08,454.08,67.2,363.26,23
NDC,78206-113-01,MOMETASONE FUROATE 200 MCG/ACT IN AERO [126311],533.63,533.63,78.98,426.9,23
NDC,78206-114-02,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],533.38,533.38,78.94,426.7,23
NDC,78206-114-04,MOMETASONE FUROATE 220 MCG/ACT IN AEPB [41828],454.52,454.52,67.27,363.62,23
NDC,78206-115-01,MOMETASONE FUROATE 110 MCG/ACT IN AEPB [91877],420.93,420.93,62.3,336.74,23
NDC,78206-118-01,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP [9266],203.8,203.8,30.16,163.04,23
NDC,78206-145-01,ETONOGESTREL 68 MG SC IMPL [77012],3687.63,3687.63,545.77,2950.1,23
NDC,78206-146-03,ETONOGESTREL-ETHINYL ESTRADIOL 0.12-0.015 MG/24HR VA RING [31530],735.75,735.75,108.89,588.6,23
NDC,78206-162-01,INFLIXIMAB-ABDA 100 MG IV SOLR [137149],2630.85,2630.85,389.37,2104.68,23
NDC,78670-003-67,DANTROLENE SODIUM 20 MG IV SOLR [9716],326.76,326.76,48.36,261.41,23
NDC,79854-512-80,FOLIC ACID 1 MG PO TABS [3233],6.0,6.0,0.89,4.8,23
NDC,80070-100-24,LORATADINE-PSEUDOEPHEDRINE ER 5-120 MG PO TB12 [27520],6.0,6.0,0.89,4.8,23
NDC,80425-325-01,LIDOCAINE 5 % EX PTCH [28203],86.45,86.45,12.79,69.16,23
NDC,8065-183055,SODIUM HYALURONATE 5.5 MG/0.55ML IO SOSY [155218],735.68,735.68,108.88,588.54,23
NDC,8065-183085,SODIUM HYALURONATE 8.5 MG/0.85ML IO SOSY [155220],965.73,965.73,142.93,772.58,23
NDC,8065-183150,NA HYALUR & NA CHOND-NA HYALUR 0.55-0.5 ML IO KIT [28917],1084.8,1084.8,160.55,867.84,23
NDC,8065-183905,NA CHONDROIT SULF-NA HYALURON 20-15 MG/0.5ML IO SOSY [153560],780.38,780.38,115.5,624.3,23
NDC,8065-199907,NA HYALUR & NA CHOND-NA HYALUR 0.85-0.5 ML IO KIT [152574],1241.78,1241.78,183.78,993.42,23
NDC,80681-05700,NIACIN 100 MG PO TABS [5539],6.0,6.0,0.89,4.8,23
NDC,80681-05800,OYSTER CALCIUM 500 (1250 CA CARB) MG PO TABS [5955],6.0,6.0,0.89,4.8,23
NDC,80681-08500,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,80681-08600,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,80681-10000,GLUCOSE 4 G PO CHEW [16050],6.0,6.0,0.89,4.8,23
NDC,80681-10400,CO-ENZYME Q-10 30 MG PO CAPS [14952],6.0,6.0,0.89,4.8,23
NDC,80681-14000,CALCIUM CITRATE 950 (200 CA) MG PO TABS [1308],6.0,6.0,0.89,4.8,23
NDC,80681-14800,MELATONIN 3 MG PO TABS [16830],6.0,6.0,0.89,4.8,23
NDC,80681-16800,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
NDC,80681-16900,CHOLECALCIFEROL-D3 1000 UNITS PO TABS [76997],6.0,6.0,0.89,4.8,23
NDC,80681-17400,CHOLECALCIFEROL-D3 50000 UNITS PO CAPS [88945],6.0,6.0,0.89,4.8,23
NDC,80777-291-80,COVID-19 MODERNA MRNA VACCINE IM 6 MONTHS TO 11 YEARS [601343],583.6,583.6,86.37,466.88,23
NDC,80830-1672-1,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.4,56.4,8.35,45.12,23
NDC,80830-1672-2,CALCIUM GLUCONATE 10 % IV SOLN [1312],56.4,56.4,8.35,45.12,23
NDC,80830-1691-1,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],210.06,210.06,31.09,168.05,23
NDC,80830-1691-2,KPHOS DIBASIC 3 MMOLE/ML IV SOLN [126889],210.06,210.06,31.09,168.05,23
NDC,80830-2362-1,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,80830-2362-2,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN [142406],102.63,102.63,15.19,82.1,23
NDC,80830-2365-1,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],90.24,90.24,13.36,72.19,23
NDC,81005-124-01,METOLAZONE 2.5 MG PO TABS [10587],6.0,6.0,0.89,4.8,23
NDC,81033-002-30,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],14.13,14.13,2.09,11.3,23
NDC,81033-002-53,ACETAMINOPHEN 650 MG/20.3ML PO SOLN [135137],11.26,11.26,1.67,9.01,23
NDC,81033-011-05,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],15.23,15.23,2.25,12.18,23
NDC,81033-011-50,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN [3071],15.23,15.23,2.25,12.18,23
NDC,81033-025-51,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA [10434],46.25,46.25,6.84,37.0,23
NDC,81033-102-05,GUAIFENESIN 100 MG/5ML PO LIQD [76829],9.87,9.87,1.46,7.9,23
NDC,81033-102-51,GUAIFENESIN 100 MG/5ML PO LIQD [76829],9.87,9.87,1.46,7.9,23
NDC,81033-220-15,KCL 20 MEQ/15ML (10%) PO SOLN [76913],19.74,19.74,2.92,15.79,23
NDC,81033-412-15,KCL 20 MEQ/15ML (10%) PO SOLN [76913],19.74,19.74,2.92,15.79,23
NDC,81033-512-15,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.21,6.21,0.92,4.97,23
NDC,81033-512-50,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],6.21,6.21,0.92,4.97,23
NDC,81284-211-25,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],22.0,22.0,3.26,17.6,23
NDC,81284-212-10,PHENYLEPHRINE HCL 50 MG/5 ML IV SOLN [125724],50.76,50.76,7.51,40.61,23
NDC,81284-411-05,DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN [9859],364.11,364.11,53.89,291.29,23
NDC,81284-831-05,PHYSOSTIGMINE SALICYLATE 0.4 MG/ML IJ SOLN [601350],471.25,471.25,69.74,377.0,23
NDC,81298-7620-1,SODIUM BICARBONATE 8.4 % IV SOLN [7309],59.22,59.22,8.76,47.38,23
NDC,81298-7620-3,SODIUM BICARBONATE 8.4 % IV SOLN [7309],59.22,59.22,8.76,47.38,23
NDC,81298-8660-3,FLUORESCEIN SODIUM 10 % IV SOLN [135586],336.1,336.1,49.74,268.88,23
NDC,81298-9655-1,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],197.02,197.02,29.16,157.62,23
NDC,81298-9655-3,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],197.02,197.02,29.16,157.62,23
NDC,81421-02101,BISACODYL 10 MG RECTAL SUPP [1080],9.1,9.1,1.35,7.28,23
NDC,81483-0006-0,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],29.52,29.52,4.37,23.62,23
NDC,81483-0007-0,KETAMINE HCL 100 MG/ML IJ SOLN [4237],43.01,43.01,6.37,34.41,23
NDC,81665-108-30,ISONIAZID 300 MG PO TABS [4027],22.0,22.0,3.26,17.6,23
NDC,81964-205-05,AMOXICILLIN 500 MG PO CAPS [451],6.0,6.0,0.89,4.8,23
NDC,81964-221-14,AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS [33228],24.22,24.22,3.58,19.38,23
NDC,8212-427181,ILEX SKIN PROTECTANT 58.3 % EX PSTE [32703],29.33,29.33,4.34,23.46,23
NDC,82260-102-10,PHENYLEPHRINE HCL 2.5 % OP SOLN [6246],280.08,280.08,41.45,224.06,23
NDC,82260-734-05,FLUORESCEIN SODIUM/BENOXINATE 0.3-0.4 % OP SOLN [151853],166.28,166.28,24.61,133.02,23
NDC,82293-003-10,MIDODRINE HCL 2.5 MG PO TABS [10609],7.15,7.15,1.06,5.72,23
NDC,82347-0505-4,LIDOCAINE 5 % EX PTCH [28203],16.08,16.08,2.38,12.86,23
NDC,82347-0505-5,LIDOCAINE 5 % EX PTCH [28203],16.08,16.08,2.38,12.86,23
NDC,82448-050-18,NIROGACESTAT HYDROBROMIDE 50 MG PO TABS [162518],684.87,684.87,101.36,547.9,23
NDC,82619-122-01,PREGABALIN 25 MG PO CAPS [42162],6.0,6.0,0.89,4.8,23
NDC,82619-123-01,PREGABALIN 50 MG PO CAPS [42163],6.0,6.0,0.89,4.8,23
NDC,82685-201-01,DIGOXIN 0.125 MG PO TABS [2444],10.81,10.81,1.6,8.65,23
NDC,8271-036100,LANCETS ULTRA THIN MISC [98127],12.69,12.69,1.88,10.15,23
NDC,8290-236712,LACTINEX PO PACK [4323],6.0,6.0,0.89,4.8,23
NDC,8290-306424,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN [15235],22.0,22.0,3.26,17.6,23
NDC,8290-306544,NORMAL SALINE FLUSH 0.9 % IV SOLN [116540],22.0,22.0,3.26,17.6,23
NDC,8290-306545,SODIUM CHLORIDE FLUSH 0.9 % IV SOLN [102578],22.0,22.0,3.26,17.6,23
NDC,8290-306546,NORMAL SALINE FLUSH 0.9 % IV SOLN [116540],22.0,22.0,3.26,17.6,23
NDC,8317-540050,GLUCOCARD SHINE TEST VI STRP [126110],84.6,84.6,12.52,67.68,23
NDC,8317-541100,GLUCOCARD SHINE W/DEVICE KIT [126108],6.0,6.0,0.89,4.8,23
NDC,83257-005-41,PEGFILGRASTIM-JMDB 6 MG/0.6ML SC SOSY [140359],6337.65,6337.65,937.97,5070.12,23
NDC,83490-307-60,SODIUM CHLORIDE 7 % IN NEBU [82134],6.0,6.0,0.89,4.8,23
NDC,83634-306-05,ABLYSINOL IA SOLN [142912],1605.15,1605.15,237.56,1284.12,23
NDC,83634-400-10,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],407.16,407.16,60.26,325.73,23
NDC,83634-400-41,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR [139286],407.16,407.16,60.26,325.73,23
NDC,83634-451-01,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],205.25,205.25,30.38,164.2,23
NDC,83634-451-10,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],1554.72,1554.72,230.1,1243.78,23
NDC,83634-451-41,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN [9748],205.25,205.25,30.38,164.2,23
NDC,83851-100-01,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,83851-100-30,FLUORESCEIN SODIUM 1 MG OP STRP [27663],6.0,6.0,0.89,4.8,23
NDC,84009-3104-71,CLOVE OIL OIL [1770],11.0,11.0,1.63,8.8,23
NDC,85412-0034-62,EVACUATED BAG 1000 ML [600690],28.2,28.2,4.17,22.56,23
NDC,89130-4444-1,SODIUM HYALURONATE (VISCOSUP) 25 MG/2.5ML I-ARTICULAR SOSY [125258],933.66,933.66,138.18,746.93,23
NDC,89141-456-02,GELCLAIR MT GEL [32810],211.35,211.35,31.28,169.08,23
NDC,89141-456-03,GELCLAIR MT GEL [32810],174.33,174.33,25.8,139.46,23
NDC,99073-70822,FREESTYLE LITE TEST VI STRP [81725],338.82,338.82,50.15,271.06,23
NDC,9999-6008-46,SODIUM PHOSPHATE 0.05 MM/ML D5W (NICU) IV SYRINGE [600715],32.34,32.34,4.79,25.87,23
NDC,9999-6009-85,PIPERACIL-TAZO 4.5 G/50 ML D5W MB PLUS [600855],114.2,114.2,16.9,91.36,23
NDC,9999-6010-13,AMPICILLIN-SULB 3 G/D5W 100ML MB PLUS [600885],157.46,157.46,23.3,125.97,23
NDC,9999-6010-18,PIPERACIL-TAZO 4.5 G/NS 70 ML IVPB [600990],114.2,114.2,16.9,91.36,23
NDC,9999-6010-19,PEDIATRIC OPHTHALMIC DILATING DROPS-EYE CLINIC USE ONLY (CYCLOPENTOLATE/PHENYLEPHRINE/TETRACAINE/TROPICAMIDE) [600991],216.5,216.5,32.04,173.2,23
NDC,9999-6010-21,"MAFENIDE 5% (PLUS NYSTATIN 500,000 UNITS) TOP SOL-50GM/1000ML SW [900288]",207.65,207.65,30.73,166.12,23
NDC,9999-6010-44,KETAMINE (KETALAR) 50 MG/5 ML IV INJECTION [601010],35.25,35.25,5.22,28.2,23
NDC,9999-6010-45,ERTAPENEM 1 G/NS 100ML MB PLUS- DO NOT USE [601011],284.97,284.97,42.18,227.98,23
NDC,9999-6010-82,GABAPENTIN 250 MG/5ML PO SOLN [29169],89.4,89.4,13.23,71.52,23
NDC,9999-6010-83,DOXYCYCLINE 100MG/ NS 100ML MB PLUS [600021],121.32,121.32,17.96,97.06,23
NDC,9999-6010-84,ESMOLOL DRIP (NICU) 10 MG/ML [601034],201.43,201.43,29.81,161.14,23
NDC,9999-6010-85,AMPICILLIN 1 G/100ML NS MB PLUS [600007],76.48,76.48,11.32,61.18,23
NDC,9999-6010-90,ESMOLOL DRIP (NICU) 10 MG/ML [601034],390.43,390.43,57.78,312.34,23
NDC,9999-6010-97,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],23.97,23.97,3.55,19.18,23
NDC,9999-6011-00,CEFEPIME 1 G/100 ML NS MB PLUS [600880],58.9,58.9,8.72,47.12,23
NDC,9999-6011-01,CEFEPIME 2 G/100 ML NS MB PLUS [600881],71.4,71.4,10.57,57.12,23
NDC,9999-6011-03,NOREPINEPHRINE-SODIUM CHLORIDE 8-0.9 MG/250ML-% IV SOLN [133797],213.95,213.95,31.66,171.16,23
NDC,9999-6011-17,NAFCILLIN 2 G/NS 100ML MB PLUS [601060],117.37,117.37,17.37,93.9,23
NDC,9999-6011-18,NAFCILLIN 1 G/NS 100ML MB PLUS [601061],117.37,117.37,17.37,93.9,23
NDC,9999-6011-22,OXACILLIN 1 G/D5W 100 ML MB PLUS [600042],113.95,113.95,16.86,91.16,23
NDC,9999-6011-23,CEFUROXIME 0.75 G/D5W 100 ML MB PLUS [600018],109.23,109.23,16.17,87.38,23
NDC,9999-6011-25,CEFOXITIN 1 G/NS 100 ML MB PLUS-OR ONLY [600367],131.83,131.83,19.51,105.46,23
NDC,9999-6011-27,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
NDC,9999-6011-28,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
NDC,9999-6011-30,OXYTOCIN 20 UNITS IN 1000ML NS PREMIX  [601021],231.5,231.5,34.26,185.2,23
NDC,9999-6011-31,CEFTRIAXONE 1 G/D5W 100 ML MB PLUS [600014],54.87,54.87,8.12,43.9,23
NDC,9999-6011-32,CEFTRIAXONE 2 G/D5W 100 ML MB PLUS [600043],176.08,176.08,26.06,140.86,23
NDC,9999-6011-33,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],102.19,102.19,15.12,81.75,23
NDC,9999-6011-34,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],27.73,27.73,4.1,22.18,23
NDC,9999-6011-35,NITROFURANTOIN 10MG/ML ORAL SUSPENSION   [600894],64.02,64.02,9.47,51.22,23
NDC,9999-6011-36,FENTANYL CITRATE PF PCA 50 MCG/ML IV SOLN 50 ML [600897],92.45,92.45,13.68,73.96,23
NDC,9999-6011-36,FENTANYL DRIP SYRINGE [600895],92.45,92.45,13.68,73.96,23
NDC,9999-6011-38,FENTANYL 2500 MCG/50 ML PREMIX [600898],107.45,107.45,15.9,85.96,23
NDC,9999-6011-41,FENTANYL 5000 MCG/100 ML PREMIX [600900],199.9,199.9,29.59,159.92,23
NDC,9999-6011-51,MORPHINE SULFATE PCA 5 MG/ML IV SOLN [40877006],340.38,340.38,50.38,272.3,23
NDC,9999-6011-58,TOLVAPTAN 15 MG PO TABS [97893],920.34,920.34,136.21,736.27,23
NDC,9999-6011-64,SODIUM CHLORIDE 0.9 % IR SOLN [11403],22.0,22.0,3.26,17.6,23
NDC,9999-6011-73,METHOTREXATE PF OPHTHALMIC INJECTION 0.4 MG/0.1 ML [600931],57.0,57.0,8.44,45.6,23
NDC,9999-6011-74,SELENIUM 4 MCG/ML IV SOLN- TPN [600932],22.0,22.0,3.26,17.6,23
NDC,9999-6011-83,NALBUPHINE (NUBAIN) 10 MG/0.5 ML IV SYRINGE [116010],27.0,27.0,4.0,21.6,23
NDC,9999-6012-04,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],8.21,8.21,1.22,6.57,23
NDC,9999-6012-08,DOXYCYCLINE 100MG/D5W 100ML MB PLUS [601073],121.32,121.32,17.96,97.06,23
NDC,9999-6012-11,AMPICILLIN 2 G/100ML D5W MB PLUS [600886],87.99,87.99,13.02,70.39,23
NDC,9999-6012-12,AMPICILLIN 1 G/50 ML NS MB PLUS [601074],76.48,76.48,11.32,61.18,23
NDC,9999-6012-21,FLUOXETINE HCL 20 MG/5ML PO SOLN [38488],23.03,23.03,3.41,18.42,23
NDC,9999-6012-25,LEVETIRACETAM 100 MG/ML PO SOLN [36590],15.09,15.09,2.23,12.07,23
NDC,9999-6012-28,MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN [15852],49.0,49.0,7.25,39.2,23
NDC,9999-6012-29,REMDESIVIR 100 MG/ NS 100 ML MB+ [600975],1528.2,1528.2,226.17,1222.56,23
NDC,9999-6012-37,DEXMEDETOMIDINE 1000 MCG/ 250 ML NS PREMIXED [600983],794.33,794.33,117.56,635.46,23
NDC,9999-6012-44,INDOMETHACIN 25 MG/5ML PO SUSP [3900],214.92,214.92,31.81,171.94,23
NDC,9999-6012-45,PROPYLTHIOURACIL 400 MG RECTAL ENEMA [601075],116.4,116.4,17.23,93.12,23
NDC,9999-6012-46,ANIDULAFUNGIN 100 MG/ D5W 100 ML MB PLUS [601076],723.48,723.48,107.08,578.78,23
NDC,9999-6012-48,BIOGAIA PROTECTIS BABY/VIT D PO LIQD [137222],9.0,9.0,1.33,7.2,23
NDC,9999-6012-53,KCL 40 MEQ/ 500 ML NS PREMIXED [601084],52.0,52.0,7.7,41.6,23
NDC,9999-6012-56,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],22.0,22.0,3.26,17.6,23
NDC,9999-6012-59,DEXMEDETOMIDINE 1000 MCG/ 250 ML NS PREMIXED [600983],794.33,794.33,117.56,635.46,23
NDC,9999-6012-61,CIDOFOVIR INTRALESIONAL 15 MG/ML INJ [600892],669.56,669.56,99.09,535.65,23
NDC,9999-6012-68,KCL 40 MEQ/ 500 ML NS PREMIXED [601084],52.0,52.0,7.7,41.6,23
NDC,9999-6012-71,INSULIN DRIP- DKA 100 UNITS/100 ML NS PREMIXED [601087],52.0,52.0,7.7,41.6,23
NDC,9999-6012-78,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER PREMIX [601093],52.0,52.0,7.7,41.6,23
NDC,9999-6012-80,ADULT MAGIC MOUTHWASH(MLX:BEN:NYS:LIDO) [600003],6.0,6.0,0.89,4.8,23
NDC,9999-6012-87,ESMOLOL DRIP (NICU) 20 MG/ML DOUBLE CONCENTRATED [601099],1190.05,1190.05,176.13,952.04,23
NDC,9999-6012-88,ESMOLOL DRIP (NICU) 20 MG/ML DOUBLE CONCENTRATED [601099],683.92,683.92,101.22,547.14,23
NDC,9999-6012-89,PYRAZINAMIDE 100MG/ML SUSP ORAL SYRINGE [900093],9.0,9.0,1.33,7.2,23
NDC,9999-6012-95,CEFAZOLIN 2 G/D5W 100 ML IVPB [600789],52.0,52.0,7.7,41.6,23
NDC,9999-6012-96,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 9ML/HR SYRINGE INITIATION [600846],211.62,211.62,31.32,169.3,23
NDC,9999-6013-05,KETAMINE INFUSION 10 MG/ML- MAXIMUM CONCENTRATION [900940],327.54,327.54,48.48,262.03,23
NDC,9999-6013-06,LIDOCAINE 2% (NEBULIZED USE ONLY) [601113],6.0,6.0,0.89,4.8,23
NDC,9999-6013-11,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER PREMIX CTS [601118],52.0,52.0,7.7,41.6,23
NDC,9999-6013-13,ARGATROBAN 50 MG/50ML IV SOLN [110617],3005.64,3005.64,444.83,2404.51,23
NDC,9999-6013-22,AZITHROMYCIN 500MG/NS 250ML MB PLUS [601129],57.07,57.07,8.45,45.66,23
NDC,9999-6013-24,PAL FLUID 50 ML [600997],73.75,73.75,10.92,59.0,23
NDC,9999-6013-27,DEXAMETHASONE 0.5 MG/5ML PO SOLN [2320],11.0,11.0,1.63,8.8,23
NDC,9999-6013-32,SODIUM HYPOCHLORITE 0.125 % EX SOLN [147299],55.58,55.58,8.23,44.46,23
NDC,9999-6013-33,SODIUM HYPOCHLORITE 0.25 % EX SOLN [147300],55.58,55.58,8.23,44.46,23
NDC,9999-6013-34,SODIUM HYPOCHLORITE 0.5 % EX SOLN [147301],55.58,55.58,8.23,44.46,23
NDC,9999-6013-42,LORAZEPAM 2 MG/ML IJ SOLN [10467],22.0,22.0,3.26,17.6,23
NDC,9999-6013-43,AMOXICILLIN 500 MG/10 ML ORAL SYRINGE [601147],9.0,9.0,1.33,7.2,23
NDC,9999-6013-44,GLUCOSE GEL 1.5 GRAM/3 ML (NICU) ORAL SYRINGE [601148],9.0,9.0,1.33,7.2,23
NDC,9999-6013-48,DEXTROSE 10% WITH HEPARIN 1 UNIT/ML PREMIX (NICU) 500 ML (AKA UVC) [601155],195.57,195.57,28.94,156.46,23
NDC,9999-6013-49,IOHEXOL 350 MG/ML 25 ML ORAL SOLUTION [601156],130.77,130.77,19.35,104.62,23
NDC,9999-6013-52,PROPOFOL 10 MG/ML IV EMUL 50 OR 100 ML [40811150],103.92,103.92,15.38,83.14,23
NDC,9999-6013-59,GENTAMICIN 10MG-HEPARIN 2000 UNITS/2 ML FLUSH (FOR HEMODIALYSIS CATHETER) 2 ML [601165],52.0,52.0,7.7,41.6,23
NDC,9999-6013-61,GENVOYA 3-TABLET PACK:150-150-200-10 MG PO TABLET [601168],1410.59,1410.59,208.77,1128.47,23
NDC,9999-6013-62,PARACERVICAL BLOCK LIDOCAINE/VASOPRESSIN [900445],424.61,424.61,62.84,339.69,23
NDC,9999-6013-67,CEFAZOLIN 2G/10ML FOR OR USE [601171],52.0,52.0,7.7,41.6,23
NDC,9999-6014-73,NOREPINEPHRINE-SODIUM CHLORIDE 16-0.9 MG/500ML-% IV SOLN [601178],6633.66,6633.66,981.78,5306.93,23
NDC,9999-6014-75,MULTIPLE VITAMIN (NICU) ORAL SYRINGE [600220],9.0,9.0,1.33,7.2,23
NDC,9999-6014-94,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN [37848],25.03,25.03,3.7,20.02,23
NDC,9999-6015-04,INSULIN 3 UNIT/ML (NICU) DILUTION - DRIP COMPOUNDING ONLY [601207],10.0,10.0,1.48,8.0,23
NDC,9999-6015-11,MAGNESIUM SULFATE 40 GM/1000ML IV SOLN [129090],138.56,138.56,20.51,110.85,23
NDC,9999-6015-17,DEL NIDO CARDIOPLEGIA SOLUTION - COMPOUNDED [601219],235.35,235.35,34.83,188.28,23
NDC,9999-6015-18,ALTEPLASE BOLUS FROM BAG [601220],2671.79,2671.79,395.42,2137.43,23
NDC,9999-6015-36,TENECTEPLASE 50 MG IV KIT [28530],22400.4,22400.4,3315.26,17920.32,23
NDC,9999-6015-37,SODIUM CHLORIDE 3 % IV SOLN [7321],22.0,22.0,3.26,17.6,23
NDC,9999-6015-38,PHENYLEPHRINE 25MG/250ML NS FOR OR HEART PACK USE ONLY [601335],73.75,73.75,10.92,59.0,23
NDC,9999-6015-44,INSULIN DRIP 100 UNITS/100 ML NS-GLUCOMMANDER DKA [900303],52.0,52.0,7.7,41.6,23
NDC,9999-6015-45,INSULIN REGULAR 1 UNIT/ML INFUSION [400170],52.0,52.0,7.7,41.6,23
NDC,9999-6015-46,FENTANYL 2 MCG/ML + 0.0625% BUPIVACAINE/250ML NS EPIDURAL [601340],153.56,153.56,22.73,122.85,23
NDC,9999-6015-47,EPINEPHRINE HCL-NACL 8-0.9 MG/250ML-% IV SOLN [139956],217.84,217.84,32.24,174.27,23
NDC,9999-6015-49,SULFAMETHOXAZOLE-TMP SUSP 10ML ORAL SYRINGE [601341],21.39,21.39,3.17,17.11,23
NDC,9999-6015-50,HYDROXYUREA ORAL SOLN 100 MG/ML [600816],10.67,10.67,1.58,8.54,23
NDC,9999-6015-53,DEXTROSE 20 % IV SOLN [2359],63.45,63.45,9.39,50.76,23
NDC,9999-6015-58,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 4.5ML/HR SYRINGE WEAN 1 [900541],170.17,170.17,25.19,136.14,23
NDC,9999-6015-59,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 2.3ML/HR SYRINGE WEAN 2 [900542],170.17,170.17,25.19,136.14,23
NDC,9999-6015-60,EPOPROSTENOL INHALATION 1000000 NG/NS 50ML 1.2ML/HR SYRINGE WEAN 3 [900543],170.17,170.17,25.19,136.14,23
NDC,9999-6015-69,METHYLPREDNISOLONE ACETATE 20 MG/0.5 ML IN LIDOCAINE 1% 0.5ML INJ [601363],32.26,32.26,4.77,25.81,23
NDC,9999-6015-73,FENTANYL 10 MCG/ML NS (NICU) IV SYRINGE [601365],27.0,27.0,4.0,21.6,23
NDC,9999-6015-76,PHENOBARBITAL 10 MG/ML NS (NICU) INJECTION [601368],106.63,106.63,15.78,85.3,23
NDC,9999-6015-78,PHENOBARBITAL 100 MG/10 ML (10MG/ML) NS (NICU) INJECTION [601369],319.3,319.3,47.26,255.44,23
NDC,9999-6015-79,METHYLPREDNISOLONE ACETATE 40 MG/ML IN LIDOCAINE 1% 2ML INJ [601370],64.95,64.95,9.61,51.96,23
NDC,9999-6015-86,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],27.0,27.0,4.0,21.6,23
NDC,9999-6015-93,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],84.6,84.6,12.52,67.68,23
NDC,9999-6016-07,ACETIC ACID 5 % SOLN [14702],39.48,39.48,5.84,31.58,23
NDC,9999-6016-08,AMOXICILLIN-CLAVULANATE 40 MG/ML (NICU) ORAL SYRINGE [601393],9.0,9.0,1.33,7.2,23
NDC,9999-6016-11,BUPIVACAINE HCL (PF) 0.125 % IJ SOLN IN NS PF [601394],42.73,42.73,6.32,34.18,23
NDC,9999-6016-13,ADULT MAGIC MOUTHWASH(MLX:BEN:LIDO) SUSPENSION [600893],6.0,6.0,0.89,4.8,23
NDC,9999-6016-22,ALTEPLASE 2 MG IJ SOLR [31310],694.12,694.12,102.73,555.3,23
NDC,9999-6016-28,STOCK SOLUTION EPINEPHRINE 100 MCG/ML (NICU) DILUTION CNR DRIP COMPOUNDING ONLY [601407],1177.66,1177.66,174.29,942.13,23
NDC,9999-6016-59,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY [131510],172.12,172.12,25.47,137.7,23
NDC,9999-6016-73,SODIUM CHLORIDE 4 MEQ/ML IV SOLN [7322],22.28,22.28,3.3,17.82,23
NDC,9999-6016-84,ENOXAPARIN 40MG IN 500ML BSS PLUS-OR [601462],156539.96,156539.96,23167.91,125231.97,23
NDC,9999-6016-85,SODIUM CHLORIDE 3 % IV SOLN [7321],22.0,22.0,3.26,17.6,23
NDC,9999-6016-86,AZITHROMYCIN 500MG/250ML [600031],57.07,57.07,8.45,45.66,23
NDC,9999-6016-89,THEOPHYLLINE 80 MG/15ML PO ELIX [7820],16.64,16.64,2.46,13.31,23
NDC,9999-6016-90,CIDOFOVIR INTRALESIONAL 15 MG/ML INJ [600892],669.56,669.56,99.09,535.65,23
NDC,9999-6017-07,HYDROXYUREA ORAL SOLUTION 100MG/ML [601476],133.41,133.41,19.74,106.73,23
NDC,9999-6017-11,NITROPRUSSIDE 100 MCG/ML INTRACATH/ANGIO [601483],27.0,27.0,4.0,21.6,23
NDC,9999-6017-12,ACETIC ACID 3 % SOLN [15091],88.07,88.07,13.03,70.46,23
NDC,9999-6017-14,MORPHINE SULFATE 10 MG/5ML PO SOLN [5176],6.0,6.0,0.89,4.8,23
NDC,9999-6017-16,MEROPENEM 2 G/NS 100 ML MB PLUS [601489],192.1,192.1,28.43,153.68,23
NDC,9999-6017-26,RAPID ACTING INSULIN (U100 ONLY) FOR INSULIN PUMP FILL [408528534],12.5,12.5,1.85,10.0,23
NDC,99999-6000-08,AMPICILLIN 2 G/ NS 100ML MB PLUS [600008],87.99,87.99,13.02,70.39,23
NDC,99999-6000-13,IMIPENEM-CILAST 500MG/NS 100ML MB PLUS [600013],226.0,226.0,33.45,180.8,23
NDC,99999-6000-15,AMPICILLIN-SULB 1.5 G/NS 50ML MB PLUS [600015],121.09,121.09,17.92,96.87,23
NDC,99999-6000-16,AMPICILLIN-SULB 3 G/NS 100ML MB PLUS [600016],157.59,157.59,23.32,126.07,23
NDC,99999-6000-18,CEFUROXIME 0.75 G/D5W 100 ML MB PLUS [600018],109.23,109.23,16.17,87.38,23
NDC,99999-6000-19,CEFUROXIME 1.5 G/D5W 100ML MB PLUS [600019],140.32,140.32,20.77,112.26,23
NDC,99999-6000-20,CEFAZOLIN 1GM/D5W 50ML MB PLUS [600020],52.0,52.0,7.7,41.6,23
NDC,99999-6000-21,DOXYCYCLINE 100MG/ NS 100ML MB PLUS [600021],121.32,121.32,17.96,97.06,23
NDC,99999-6000-30,PAL FLUID 100ML [600030],76.92,76.92,11.38,61.54,23
NDC,99999-6000-31,AZITHROMYCIN 500MG/250ML [600031],57.07,57.07,8.45,45.66,23
NDC,99999-6000-33,PIPERACIL-TAZO 2.25 G/D5W 50ML MB PLUS [600033],85.1,85.1,12.59,68.08,23
NDC,99999-6000-34,PIPERACIL-TAZ 3.375 G/D5W 50ML MB PLUS [600034],105.74,105.74,15.65,84.59,23
NDC,99999-6000-35,PIPERACIL-TAZO 4.5 G/100 ML MB PLUS [600035],114.2,114.2,16.9,91.36,23
NDC,99999-6000-36,FENTANYL 2000MCG/NS 100ML PREMIX [600036],268.41,268.41,39.72,214.73,23
NDC,99999-6000-37,MIDAZOLAM 50MG/NS 50ML PREMIX [600037],127.35,127.35,18.85,101.88,23
NDC,99999-6000-38,ERTAPENEM 1 G/NS 50ML MB PLUS [600038],284.97,284.97,42.18,227.98,23
NDC,99999-6000-40,MEROPENEM 1 G/NS 100 ML MB PLUS [600040],206.52,206.52,30.56,165.22,23
NDC,99999-6000-41,OXACILLIN 2 G/D5W 100ML MB PLUS [600041],145.9,145.9,21.59,116.72,23
NDC,99999-6000-52,LEECH [600052],94.0,94.0,13.91,75.2,23
NDC,99999-6000-53,BEER [600053],6.0,6.0,0.89,4.8,23
NDC,99999-6000-54,L.E.T. TOPICAL GEL 3ML [600054],23.5,23.5,3.48,18.8,23
NDC,99999-6000-61,METHADONE 5MG/5ML ORAL SYRINGE [600061],9.0,9.0,1.33,7.2,23
NDC,99999-6000-66,OXANDROLONE 10MG/10ML ORAL SYRINGE [600066],722.83,722.83,106.98,578.26,23
NDC,99999-6002-40,HYDROMORPHONE 15000MCG/30ML NS PED [600240],27.0,27.0,4.0,21.6,23
NDC,99999-6002-41,HYDROMORPHONE 30000MCG/30ML NS PED [600241],46.63,46.63,6.9,37.3,23
NDC,99999-6002-50,DOBUTAMINE DRIP (NICU) IV SYRINGE [600250],56.4,56.4,8.35,45.12,23
NDC,99999-6003-17,EPINEPHRINE DRIP (NICU) [600317],43.71,43.71,6.47,34.97,23
NDC,99999-6003-56,ON-Q PUMP 270 ML 2 ML/HR SINGLE LUMEN [600356],607.39,607.39,89.89,485.91,23
NDC,99999-6003-57,ON-Q PUMP 400 ML 4 ML/HR DUAL LUMEN [600357],902.0,902.0,133.5,721.6,23
NDC,99999-6003-58,ON-Q PUMP 400 ML 5 ML/HR SINGLE LUMEN [600358],861.0,861.0,127.43,688.8,23
NDC,99999-6003-59,ON-Q C-BLOC PUMP 400ML [600359],984.0,984.0,145.63,787.2,23
NDC,99999-6003-62,CEFAZOLIN 1GM/NS 50ML MB PLUS-OR ONLY [600362],52.0,52.0,7.7,41.6,23
NDC,99999-6003-64,PIPERACIL-TAZ 3.375 G/NS 50ML MB PLUS [600364],105.74,105.74,15.65,84.59,23
NDC,99999-6003-65,PIPERACIL-TAZO 4.5 G/NS 100ML MB PLUS [600365],114.2,114.2,16.9,91.36,23
NDC,99999-6003-68,PENICILLIN G 2 MU/NS 50ML-OR ONLY [600368],223.33,223.33,33.05,178.66,23
NDC,99999-6003-80,GENTAMICIN 0.5ML (80MG/ML) WITH 0.5ML OF DEXAMETHASONE-OR [600380],52.0,52.0,7.7,41.6,23
NDC,99999-6003-81,"EPINEPHRINE 0.3ML (1:1000,1MG/ML) IN 500ML BSS PLUS-OR [600381]",110.91,110.91,16.41,88.73,23
NDC,99999-6003-82,LIDOCAINE 2% 3ML/.75% MARCAINE 3ML/200MG WYDASE 1ML [600382],259.41,259.41,38.39,207.53,23
NDC,99999-6003-83,SUGARCAINE MIXTURE 5ML-OR [600383],54.54,54.54,8.07,43.63,23
NDC,99999-6003-84,LIDOCAINE/BUPIVACAINE/HYALURONIDASE - OR EYE BLOCK [600384],261.55,261.55,38.71,209.24,23
NDC,99999-6003-85,LIDOCAINE/EPI/NS-OR TUMESCENT MIXTURE [600385],68.54,68.54,10.14,54.83,23
NDC,99999-6003-86,LIDOCAINE 1% 14 ML/PAPAVERINE (30 MG/ML) 2 ML-OR [600386],58.81,58.81,8.7,47.05,23
NDC,99999-6003-89,IOHEXOL 300 MG/ML 50 ML MIXED WITH 50ML STERILE WATER-OR GU [600389],273.69,273.69,40.51,218.95,23
NDC,99999-6003-93,INDIGO CARMINE 5 ML/100 ML 0.9% SODIUM CHLORIDE -OR [600393],104.3,104.3,15.44,83.44,23
NDC,99999-6003-94,INDIGO CARMINE 5 ML/200 ML 0.9% SODIUM CHLORIDE -OR [600394],104.3,104.3,15.44,83.44,23
NDC,99999-6003-95,INDIGO CARMINE 5 ML/250 ML 0.9% SODIUM CHLORIDE -OR [600395],104.3,104.3,15.44,83.44,23
NDC,99999-6003-96,INDIGO CARMINE 5 ML/300 ML 0.9% SODIUM CHLORIDE -OR [600396],104.3,104.3,15.44,83.44,23
NDC,99999-6004-24,NXSTAGE RFP 401 DIALYSIS SOLUTION [600421],102.84,102.84,15.22,82.27,23
NDC,99999-6004-25,NXSTAGE RFP 400 DIALYSIS SOLUTION [600422],102.84,102.84,15.22,82.27,23
NDC,99999-6004-27,CLINDAMYCIN 50MG/ML OPHTH SOLN 5 ML [600423],54.52,54.52,8.07,43.62,23
NDC,99999-6004-28,CHLORHEXIDINE GLUCONATE 0.12 % MT SOLN [9516],9.0,9.0,1.33,7.2,23
NDC,99999-6004-32,ESMOLOL DRIP (NICU) 5 MG/ML IV SYRINGE [600427],143.35,143.35,21.22,114.68,23
NDC,99999-6004-35,OXYCODONE HCL 5 MG/5ML PO SOLN [10813],9.0,9.0,1.33,7.2,23
NDC,99999-6004-39,CHOCOLATE SYRUP [600435],11.0,11.0,1.63,8.8,23
NDC,99999-6004-41,PUMP PORTABLE (2 ML/HR) 100ML [600441],216.48,216.48,32.04,173.18,23
NDC,99999-6004-42,PUMP PORTABLE (0.5 ML/HR) 100ML [600442],216.48,216.48,32.04,173.18,23
NDC,99999-6004-43,PUMP PORTABLE (2 ML/HR) 270ML [600443],216.48,216.48,32.04,173.18,23
NDC,99999-6004-44,PUMP PORTABLE (5 ML/HR) 270ML [600444],216.48,216.48,32.04,173.18,23
NDC,99999-6004-59,ALBUTEROL SULFATE 2 MG/5ML PO SYRP [252],88.34,88.34,13.07,70.67,23
NDC,99999-6004-60,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],13.54,13.54,2.0,10.83,23
NDC,99999-6004-61,CARBAMAZEPINE 100 MG/5ML PO SUSP [1356],120.03,120.03,17.76,96.02,23
NDC,99999-6004-66,FUROSEMIDE 10 MG/ML PO SOLN [3292],48.79,48.79,7.22,39.03,23
NDC,99999-6004-68,ISONIAZID 50 MG/5ML PO SYRP [4025],77.84,77.84,11.52,62.27,23
NDC,99999-6004-70,PHENYTOIN 125 MG/5ML PO SUSP [6255],170.95,170.95,25.3,136.76,23
NDC,99999-6004-71,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],45.12,45.12,6.68,36.1,23
NDC,99999-6004-74,ACYCLOVIR 200 MG/5ML PO SUSP [8970],203.76,203.76,30.16,163.01,23
NDC,99999-6004-75,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],109.64,109.64,16.23,87.71,23
NDC,99999-6004-76,FELBAMATE 600 MG/5ML PO SUSP [10023],351.51,351.51,52.02,281.21,23
NDC,99999-6004-78,OXYBUTYNIN CHLORIDE 5 MG/5ML PO SOLN [10810],59.22,59.22,8.76,47.38,23
NDC,99999-6004-82,FLUCONAZOLE 10 MG/ML PO SUSR [14232],11.0,11.0,1.63,8.8,23
NDC,99999-6004-86,LAMIVUDINE 10 MG/ML PO SOLN [15881],237.61,237.61,35.17,190.09,23
NDC,99999-6004-88,PAROXETINE HCL 10 MG/5ML PO SUSP [22959],295.02,295.02,43.66,236.02,23
NDC,99999-6004-92,KALETRA:LOPINAVIR-RITONAVIR 400-100 MG/5ML PO SOLN [28929],595.14,595.14,88.08,476.11,23
NDC,99999-6004-94,LEVETIRACETAM 100 MG/ML PO SOLN [36590],166.8,166.8,24.69,133.44,23
NDC,99999-6004-97,CAFFEINE CITRATE 20 MG/ML PO SOLN [77411],1588.87,1588.87,235.15,1271.1,23
NDC,99999-6005-00,ABACAVIR SULFATE 20 MG/ML PO SOLN [24439],342.64,342.64,50.71,274.11,23
NDC,99999-6005-07,ETHOSUXIMIDE 250 MG/5ML PO SOLN [38489],117.95,117.95,17.46,94.36,23
NDC,99999-6005-14,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],240.41,240.41,35.58,192.33,23
NDC,99999-6005-16,SORBITOL 70 % SOLN [93927],27.0,27.0,4.0,21.6,23
NDC,99999-6005-22,HEPARIN 4000 UNITS/1000 ML NS IR [600453],84.6,84.6,12.52,67.68,23
NDC,99999-6005-49,METHADONE HCL 10 MG/ML IJ SOLN [10546],36.6,36.6,5.42,29.28,23
NDC,99999-6005-50,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],35.25,35.25,5.22,28.2,23
NDC,99999-6005-51,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN [116340],9.0,9.0,1.33,7.2,23
NDC,99999-6005-55,MEGESTROL ACETATE 40 MG/ML PO SUSP [10521],155.88,155.88,23.07,124.7,23
NDC,99999-6005-57,OXYCODONE HCL 100 MG/5ML PO CONC [10812],9.72,9.72,1.44,7.78,23
NDC,99999-6005-63,FOLIC ACID 5 MG/ML IJ SOLN [3232],22.0,22.0,3.26,17.6,23
NDC,99999-6005-64,DEXTROSE 5% FLUSH 2 ML IV SYRINGE (NICU) [600456],27.0,27.0,4.0,21.6,23
NDC,99999-6005-65,AMPHOTERICIN 1MG/ML (NICU) COMPOUNDING [600499],106.09,106.09,15.7,84.87,23
NDC,99999-6005-66,OR ONLY-CEFAZOLIN 1G/NS 1000ML IRRIGATION SOLN [600501],73.59,73.59,10.89,58.87,23
NDC,99999-6005-67,OR ONLY-CEFAZOLIN 1GM/NS 1500ML IRRIG [600502],99.44,99.44,14.72,79.55,23
NDC,99999-6005-71,BEVACIZUMAB 5 MG/0.2 ML OPHTH SYRINGE [600506],148.85,148.85,22.03,119.08,23
NDC,99999-6005-73,NALBUPHINE HCL 10 MG/ML IJ SOLN [5339],22.0,22.0,3.26,17.6,23
NDC,99999-6005-75,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN [7785],79.86,79.86,11.82,63.89,23
NDC,99999-6005-78,NICARDIPINE INTRATHECAL/INTRAVENTRICULAR SYRINGE [600495],27.0,27.0,4.0,21.6,23
NDC,99999-6005-80,HYDROXYPROGESTERONE-17 250 MG/ML IM INJ [600511],2409.48,2409.48,356.6,1927.58,23
NDC,99999-6005-85,PYRIDOSTIGMINE BROMIDE 60 MG/5ML PO SOLN [143187],49.92,49.92,7.39,39.94,23
NDC,99999-6005-86,OPIUM TINCTURE 6MG/0.6ML ORAL SYRINGE [900147],12.96,12.96,1.92,10.37,23
NDC,99999-6005-87,OR NEOMYCIN-POLYMYXIN B (NEOSPORIN GU) 3 ML/3000 ML NS IR [600438],267.7,267.7,39.62,214.16,23
NDC,99999-6005-92,ACETYLCYSTEINE 20 % IN SOLN [123],6.1,6.1,0.9,4.88,23
NDC,99999-6005-93,FERROUS SULFATE (FE=15MG/1ML) NICU ORAL SYRINGE [600518],9.0,9.0,1.33,7.2,23
NDC,99999-6005-97,"OR BACITRACIN 50,000 UNITS IN 1500 ML NS IR-NEURO [600521]",128.61,128.61,19.03,102.89,23
NDC,99999-6005-98,OR NEOMYCIN-POLYMYXIN B 2 ML/1500 ML NS IR [600522],252.38,252.38,37.35,201.9,23
NDC,99999-6005-99,"OR CEFAZOLIN 1G+BACITRACIN 50,000UNITS+GENT80/1500 ML [600523]",143.0,143.0,21.16,114.4,23
NDC,99999-6006-06,CIDOFOVIR 1% CREAM 37.5G [600524],2596.03,2596.03,384.21,2076.82,23
NDC,99999-6006-08,OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN [134827],60.07,60.07,8.89,48.06,23
NDC,99999-6006-11,HEPARIN 1500 UNITS IN NS 500 ML IR USE ONLY [900131],84.6,84.6,12.52,67.68,23
NDC,99999-6006-16,OR CHLORHEXIDINE 0.12% 473 ML WITH 500 ML NSIR [600531],91.23,91.23,13.5,72.98,23
NDC,99999-6006-17,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN [29464],27.0,27.0,4.0,21.6,23
NDC,99999-6006-19,CEFTRIAXONE +LIDOCAINE 1% IM INJ [600534],54.05,54.05,8.0,43.24,23
NDC,99999-6006-21,ORA-PLUS PO LIQD [5851],23.69,23.69,3.51,18.95,23
NDC,99999-6006-24,AMIKACIN 250 MG/ML NEBU SOLN [600539],20.87,20.87,3.09,16.7,23
NDC,99999-6006-26,TOBRAMYCIN 40 MG/ML NEBU SOLN [600541],19.12,19.12,2.83,15.3,23
NDC,99999-6006-28,AMINOCAPROIC ACID 0.25 GM/ML PO SOLN [128559],380.02,380.02,56.24,304.02,23
NDC,99999-6006-29,SODIUM CHLORIDE 3 % IV SOLN [7321],25.85,25.85,3.83,20.68,23
NDC,99999-6006-29,SODIUM CHLORIDE 3% IV SOLUTION - DIALYSIS [601064],25.85,25.85,3.83,20.68,23
NDC,99999-6006-30,DAPTOMYCIN 500MG/NS 50ML MB PLUS [600543],1055.42,1055.42,156.2,844.34,23
NDC,99999-6006-32,SODIUM BICARBONATE 1% ET IRRIGATION SOLUTION [600544],23.03,23.03,3.41,18.42,23
NDC,99999-6006-36,PHENYLEPHRINE 10 MG/20 ML NS INJ SYRINGE - UROLOGY [600546],135.53,135.53,20.06,108.42,23
NDC,99999-6006-44,MAGNESIUM SULFATE 4 G IN 50ML D5W PREMIX [600398],22.0,22.0,3.26,17.6,23
NDC,99999-6006-55,SQUARIC ACID 2% TOP SOLN [600557],565.5,565.5,83.69,452.4,23
NDC,99999-6006-59,POLYMYXIN B 10 MG/ML D5W DESENSITIZATION [600561],22.0,22.0,3.26,17.6,23
NDC,99999-6006-60,LEUCOVORIN 50 MG/50 ML NS IVPB MB PLUS [600560],52.0,52.0,7.7,41.6,23
NDC,99999-6006-61,POLYMYXIN B 1 MG/ML D5W DESENSITIZATION [600562],22.0,22.0,3.26,17.6,23
NDC,99999-6006-62,POLYMYXIN B 0.1 MG/ML D5W DESENSITIZATION [600563],22.0,22.0,3.26,17.6,23
NDC,99999-6006-63,POLYMYXIN B 0.01 MG/ML D5W DESENSITIZATION [600564],22.0,22.0,3.26,17.6,23
NDC,99999-6006-64,POLYMYXIN B 0.001 MG/ML D5W DESENSITIZATION [600565],22.0,22.0,3.26,17.6,23
NDC,99999-6006-65,POLYMYXIN B 0.0001 MG/ML D5W DESENSITIZATION [600566],22.0,22.0,3.26,17.6,23
NDC,99999-6006-70,DOCUSATE SODIUM 50 MG/5ML PO LIQD [36962],11.0,11.0,1.63,8.8,23
NDC,99999-6006-74,PENICILLIN G 100 UNITS/ML ID INJ [110050],22.0,22.0,3.26,17.6,23
NDC,99999-6006-75,PENICILLIN G 1000 UNITS/ML ID INJ [110052],22.0,22.0,3.26,17.6,23
NDC,99999-6006-76,CYCLOPHOSPHAMIDE 100 MG/10 ML ORAL SYRINGE [600575],129.9,129.9,19.23,103.92,23
NDC,99999-6006-78,OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS [5940],6.0,6.0,0.89,4.8,23
NDC,99999-6006-84,PHENOBARBITAL 20 MG/5ML PO ELIX [6212],6.0,6.0,0.89,4.8,23
NDC,99999-6006-88,ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP [9009],6.0,6.0,0.89,4.8,23
NDC,99999-6006-90,ADULT MAGIC MOUTHWASH(MLX:BEN:NYS:LIDO) [600003],27.73,27.73,4.1,22.18,23
NDC,99999-6006-91,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],11.0,11.0,1.63,8.8,23
NDC,99999-6006-93,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN [79088],6.0,6.0,0.89,4.8,23
NDC,99999-6006-98,IODINE STRONG 5 % SOLN [3961],16.22,16.22,2.4,12.98,23
NDC,99999-6007-00,STREPTOMYCIN 5 MG/ML NS (NICU) IV SYRINGE [600589],27.0,27.0,4.0,21.6,23
NDC,99999-6007-04,LIDOCAINE VISCOUS HCL 2 % MT SOLN [27898],10.02,10.02,1.48,8.02,23
NDC,99999-6007-06,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],10.65,10.65,1.58,8.52,23
NDC,99999-6007-11,ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN [14468],6.0,6.0,0.89,4.8,23
NDC,99999-6007-12,GUAIFENESIN 100 MG/5ML PO LIQD [76829],6.0,6.0,0.89,4.8,23
NDC,99999-6007-15,DILTIAZEM 2% OINTMENT [600603],24.07,24.07,3.56,19.26,23
NDC,99999-6007-22,FENTANYL 200MCG + 0.1% BUPIVACAINE/100ML NS EPIDURAL [600403],52.0,52.0,7.7,41.6,23
NDC,99999-6007-23,MORPHINE SULFATE PCA 5 MG/ML IV SOLN [40877006],861.0,861.0,127.43,688.8,23
NDC,99999-6007-33,SODIUM POLYSTYRENE SULFONATE PO POWD [7356],31.38,31.38,4.64,25.1,23
NDC,99999-6007-47,BOSENTAN 6.25 MG/ML (NICU) ORAL SYRINGE [600626],59.37,59.37,8.79,47.5,23
NDC,99999-6007-48,DEXTROSE 50 % IV SOLN [2365],22.0,22.0,3.26,17.6,23
NDC,99999-6007-49,CEFTAZIDIME 50MG/ML FORTIFIED OPHTH SOLN 10 ML [600627],47.0,47.0,6.96,37.6,23
NDC,99999-6007-52,AZATHIOPRINE 50 MG/ML ORAL SYRINGE [600633],9.0,9.0,1.33,7.2,23
NDC,99999-6007-56,CYCLOSPORINE 2% OPHTH SOLN [600638],141.47,141.47,20.94,113.18,23
NDC,99999-6007-58,PEDIATRACE ELEMENTS [600640],22.0,22.0,3.26,17.6,23
NDC,99999-6007-59,METRONIDAZOLE 0.005 MG/ML NS IV DESENSITIZATION [600641],27.0,27.0,4.0,21.6,23
NDC,99999-6007-60,METRONIDAZOLE 0.05 MG/ML NS IV DESENSITIZATION [600642],27.0,27.0,4.0,21.6,23
NDC,99999-6007-61,METRONIDAZOLE 0.5 MG/ML NS IV DESENSITIZATION [600643],27.0,27.0,4.0,21.6,23
NDC,99999-6007-62,METRONIDAZOLE 5 MG/ML NS IV DESENSITIZATION [600644],27.0,27.0,4.0,21.6,23
NDC,99999-6007-65,HEPARIN SODIUM NEBU 5000 UNITS/1 ML SOLN [600647],22.0,22.0,3.26,17.6,23
NDC,99999-6007-75,DARUNAVIR 100 MG/ML PO SUSP [119111],763.27,763.27,112.96,610.62,23
NDC,99999-6007-81,TERBUTALINE SULFATE 1 MG/ML NEBU SOLN [600660],93.48,93.48,13.84,74.78,23
NDC,99999-6007-83,MINERAL OIL PO OIL [5086],6.0,6.0,0.89,4.8,23
NDC,99999-6007-84,LORAZEPAM 2 MG/ML PO CONC [4571],9.0,9.0,1.33,7.2,23
NDC,99999-6007-85,CLINDAMYCIN 1 MG/0.1 ML NS 0.5 ML INTRAVITREAL SYRINGE [600661],27.0,27.0,4.0,21.6,23
NDC,99999-6007-93,OXCARBAZEPINE 300 MG/5ML PO SUSP [30479],24.84,24.84,3.68,19.87,23
NDC,99999-6007-94,CHOLECALCIFEROL 400 UNIT/ML (NICU) ORAL SYRINGE [600672],9.0,9.0,1.33,7.2,23
NDC,99999-6007-95,AMPHOTERICIN B ORAL SOLUTION 1MG/ML [600673],687.65,687.65,101.77,550.12,23
NDC,99999-6007-97,MORPHINE SULF 0.4 MG/1 ML ORAL SYRINGE (NICU) [600676],9.0,9.0,1.33,7.2,23
NDC,99999-6008-05,ILOPROST 5 MCG/0.25 ML NEB SYRINGE [600683],100.03,100.03,14.8,80.02,23
NDC,99999-6008-10,HYOSCYAMINE SULFATE 0.125 MG/5ML PO ELIX [3781],64.3,64.3,9.52,51.44,23
NDC,99999-6008-11,DIGOXIN 2 MG (0.25 MG/ML)/8 ML SYRINGE INTRA-AMNIOTIC [600689],33.36,33.36,4.94,26.69,23
NDC,99999-6008-15,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
NDC,99999-6008-16,SODIUM CHLORIDE 0.9 % IV SOLN [27838],22.0,22.0,3.26,17.6,23
NDC,99999-6008-17,SODIUM CHLORIDE 0.9 % IV SOLN [27838],10.34,10.34,1.53,8.27,23
NDC,99999-6008-21,PIPERACIL-TAZ 2.25 G/NS 50 ML MB PLUS [600692],85.03,85.03,12.58,68.02,23
NDC,99999-6008-27,LIDOCAINE HCL 0.1 % IJ SOLN-ALLERGY CLINIC [600698],22.0,22.0,3.26,17.6,23
NDC,99999-6008-28,LIDOCAINE HCL 0.01 % IJ SOLN-ALLERGY CLINIC [600699],22.0,22.0,3.26,17.6,23
NDC,99999-6008-29,ATOVAQUONE 750 MG/5ML PO SUSP [14953],158.05,158.05,23.39,126.44,23
NDC,99999-6008-30,ONDANSETRON 0.8 MG/ML ORAL SYRINGE (NICU) [600700],22.55,22.55,3.34,18.04,23
NDC,99999-6008-42,METHOHEXITAL 1MG/ML SW IV SYRINGE-NEURO [600710],252.54,252.54,37.38,202.03,23
NDC,99999-6008-45,KPHOS 0.05 MM/ML D5W (NICU) IV SYRINGE [600714],32.34,32.34,4.79,25.87,23
NDC,99999-6008-51,MAGNESIUM SULFATE 2 G IN 50ML D5W PREMIX [600397],52.0,52.0,7.7,41.6,23
NDC,99999-6008-53,GENTAMICIN 0.1% TOPICAL SOLUTION FOR CEA GRAFTS IN NS [600724],202.28,202.28,29.94,161.82,23
NDC,99999-6008-56,DEXTROSE 25% SOLN [600726],23.03,23.03,3.41,18.42,23
NDC,99999-6008-57,AMPHOTERICIN B 0.15% OPHTHALMIC SOLN [600727],64.3,64.3,9.52,51.44,23
NDC,99999-6008-62,CHLOROTHIAZIDE 250 MG/5ML PO SUSP [9525],37.65,37.65,5.57,30.12,23
NDC,99999-6008-64,ASCORBIC ACID OPHTH SOLN 100 MG/ML [600732],33.8,33.8,5.0,27.04,23
NDC,99999-6008-66,METRONIDAZOLE 0.0005MG/ML ORAL SYRINGE DESENSITIZATIO [600735],9.0,9.0,1.33,7.2,23
NDC,99999-6008-67,METRONIDAZOLE 0.005MG/ML ORAL SYRINGE DESENSITIZATION [600736],9.0,9.0,1.33,7.2,23
NDC,99999-6008-68,METRONIDAZOLE 0.05MG/ML ORAL SYRINGE DESENSITIZATION [600737],9.0,9.0,1.33,7.2,23
NDC,99999-6008-69,METRONIDAZOLE 0.5MG/ML ORAL SYRINGE DESENSITIZATION [600738],9.0,9.0,1.33,7.2,23
NDC,99999-6008-70,METRONIDAZOLE 5MG/ML ORAL SYRINGE DESENSITIZATION [600739],9.0,9.0,1.33,7.2,23
NDC,99999-6008-74,MERCAPTOPURINE 25 MG PO TAB [600743],9.62,9.62,1.42,7.7,23
NDC,99999-6008-78,CEFTAROLINE FOSAMIL 400MG/NS 250 ML MB PLUS [600686],586.59,586.59,86.82,469.27,23
NDC,99999-6008-79,CEFTAROLINE FOSAMIL 600MG/NS 250 ML MB PLUS [600745],586.59,586.59,86.82,469.27,23
NDC,99999-6008-86,AMANTADINE HCL 50 MG/5ML PO SOLN [153524],9.0,9.0,1.33,7.2,23
NDC,99999-6008-94,GENTIAN VIOLET 0.00165% SOLUTION  [600756],162.38,162.38,24.03,129.9,23
NDC,99999-6008-99,SODIUM CHLORIDE 0.9 % IV SOLN [27838],28.2,28.2,4.17,22.56,23
NDC,99999-6009-00,NALOXONE ORAL SYRINGE 0.4 MG/ML [600765],369.55,369.55,54.69,295.64,23
NDC,99999-6009-02,GLYCOPYRROLATE 0.2 MG/ML NEBU SOLN [600767],6.0,6.0,0.89,4.8,23
NDC,99999-6009-03,PHENYLEPHRINE BOLUS FROM IV BAG FOR CARDIAC NARRATOR [900575],35.25,35.25,5.22,28.2,23
NDC,99999-6009-04,GENTAMICIN 80 MG/500 ML NS FOR IRRIGATION [600768],52.0,52.0,7.7,41.6,23
NDC,99999-6009-06,SENNOSIDES 8.8 MG/5ML PO SYRP [15168],11.0,11.0,1.63,8.8,23
NDC,99999-6009-09,PEDIATRIC MAGIC MOUTH WASH [600772],667.29,667.29,98.76,533.83,23
NDC,99999-6009-13,CALCIUM GLUCONATE (ANTIDOTE) 2.5 % EX GEL [87801],140.3,140.3,20.76,112.24,23
NDC,99999-6009-17,DEXTROSE 5 % FLUSH [600779],22.0,22.0,3.26,17.6,23
NDC,99999-6009-23,EVACUATED BAG 1000 ML [600690],22.0,22.0,3.26,17.6,23
NDC,99999-6009-26,SODIUM CHLORIDE 0.9 % IV SOLN [27838],23.5,23.5,3.48,18.8,23
NDC,99999-6009-29,CEFAZOLIN SODIUM-DEXTROSE 2-4 GM/100ML-% IV SOLN [129842],22.0,22.0,3.26,17.6,23
NDC,99999-6009-32,ENTECAVIR 0.05 MG/ML PO SOLN [41149],558.38,558.38,82.64,446.7,23
NDC,99999-6009-41,RBC NUCLEAR ISOTOPE [600798],1148.0,1148.0,169.9,918.4,23
NDC,99999-6009-42,METRONIDAZOLE 20MG/ML PEDIATRIC ORAL SUSPENSION [600799],391.14,391.14,57.89,312.91,23
NDC,99999-6009-44,MISOPROSTOL 25 MCG PO TABLET [600801],15.62,15.62,2.31,12.5,23
NDC,99999-6009-52,NITROGLYCERIN 200 MCG/ML D5W 5 ML IV SYRINGE ANGIO [600811],27.0,27.0,4.0,21.6,23
NDC,99999-6009-55,ARGATROBAN 100 MCG/1000 ML NS [600814],1279.2,1279.2,189.32,1023.36,23
NDC,99999-6009-61,ITRACONAZOLE 10 MG/ML ORAL SOLUTION [19928],204.9,204.9,30.33,163.92,23
NDC,99999-6009-64,LEVOFLOXACIN 7.5 MG/1.5 ML D5W PO SOLN [600821],9.0,9.0,1.33,7.2,23
NDC,99999-6009-65,LEVOFLOXACIN 75 MG/15 ML D5W PO SOLN [600822],15.8,15.8,2.34,12.64,23
NDC,99999-6009-68,CANTHARIDIN 0.7% TOPICAL LIQUID [600824],752.12,752.12,111.31,601.7,23
NDC,99999-6009-70,"PROTHROMBIN COMPLEX CONCENTRATE, 4-FACTOR (KCENTRA) IV 500 UNITS/20ML [600827]",10056.75,10056.75,1488.4,8045.4,23
NDC,99999-6009-80,EPINEPHRINE 16000 MCG/500 ML NS - ANE [900576],188.36,188.36,27.88,150.69,23
NDC,99999-6009-88,GENTAMICIN 160MG+POLYMIXIN B 200MG+NEOMYCIN 1000MG/2L  IRRIGATION SOLN [600859],754.0,754.0,111.59,603.2,23
NDC,99999-6009-93,ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP [353],13.54,13.54,2.0,10.83,23
NDC,99999-6009-94,NORGESTIMATE-ETH ESTRADIOL 0.25-35 MG-MCG PO TABS [10749],6.0,6.0,0.89,4.8,23
NDC,99999-6009-95,AMIKACIN 4 MG/ML OPHTH SOLN 10 ML [600865],20.87,20.87,3.09,16.7,23
NDC,99999-6009-97,BENZOCAINE-MENTHOL 15-3.6 MG MT LOZG [94141],6.0,6.0,0.89,4.8,23
NDC,99999-6010-06,"ON-Q PAIN PUMP SINGLE LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600878]",902.0,902.0,133.5,721.6,23
NDC,99999-6010-07,"ON-Q PAIN PUMP DUAL LUMEN SELECT-A-FLOW, 400 ML, 2-14 ML/HR [600879]",1087.65,1087.65,160.97,870.12,23
NDC,99999-6010-28,DEXTROSE 10% WITH HEPARIN 1 UNIT/ML PREMIX (NICU) 250 ML (AKA UVC) [600995],90.29,90.29,13.36,72.23,23
NDC,99999-6010-37,DEXTROSE 5 % FLUSH [600779],2909.5,2909.5,430.61,2327.6,23
NDC,99999-6010-41,LAMIVUDINE 10 MG/ML PO SOLN [15881],70.36,70.36,10.41,56.29,23
NDC,99999-6010-51,DILTIAZEM HCL 25 MG/5ML IV SOLN [97252],3516.7,3516.7,520.47,2813.36,23
NDC,99999-6010-53,MORPHINE 0.1% TOPICAL GEL 15G [601016],67.17,67.17,9.94,53.74,23
NDC,99999-6010-54,ENOXAPARIN SODIUM 10 MG/0.1ML SC SOLN [601018],22.0,22.0,3.26,17.6,23
NDC,99999-6010-55,ENOXAPARIN SODIUM 20 MG/0.2ML SC SOLN [601019],22.0,22.0,3.26,17.6,23
NDC,99999-6010-59,RIFAMPIN 10MG/ML ORAL SUSP [900095],18.62,18.62,2.76,14.9,23
NDC,99999-6010-63,KETAMINE 10MG/1 ML IV SYRINGE [601024],27.0,27.0,4.0,21.6,23
NDC,99999-6010-64,NITROGLYCERIN 0.2 % OINT [601025],195.05,195.05,28.87,156.04,23
NDC,99999-6010-65,PHENYTOIN 125 MG/5ML PO SUSP [6255],92.78,92.78,13.73,74.22,23
NDC,99999-6010-66,CALCIUM CARBONATE ANTACID 1250 MG/5ML PO SUSP [137683],6.77,6.77,1.0,5.42,23
NDC,99999-6010-68,PROPRANOLOL HCL 20 MG/5ML PO SOLN [6654],22.56,22.56,3.34,18.05,23
NDC,99999-6010-70,HYDROMORPHONE HCL 1 MG/ML IJ SOLN [3757],22.0,22.0,3.26,17.6,23
NDC,99999-6010-71,LEVOCARNITINE 1 GM/10ML PO SOLN [41623],55.28,55.28,8.18,44.22,23
NDC,99999-6010-75,SODIUM POLYSTYRENE SULFONATE 15 GM/60ML CO SUSP [27999],50.76,50.76,7.51,40.61,23
NDC,99999-6010-77,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN [29302],133.8,133.8,19.8,107.04,23
NDC,99999-9000-83,AMLODIPINE 1MG/ML ORAL SUSP [900083],40.53,40.53,6.0,32.42,23
NDC,99999-9000-92,OMEPRAZOLE 2MG/ML ORAL SUSP 50ML [900092],62.93,62.93,9.31,50.34,23
NDC,99999-9000-93,PYRAZINAMIDE 100MG/ML SUSP ORAL SYRINGE [900093],130.42,130.42,19.3,104.34,23
NDC,99999-9000-94,RIFABUTIN 1200MG/60ML SUSPENSION [900094],172.73,172.73,25.56,138.18,23
NDC,99999-9000-95,RIFAMPIN 10MG/ML ORAL SUSP [900095],74.25,74.25,10.99,59.4,23
NDC,99999600046,TOBRAMYCIN FORT 95MG/7ML OPHTH SOLN [600046],47.0,47.0,6.96,37.6,23
NDC,99999600048,CEFAZOLIN FORT OPHTH 50 MG/ML 10ML [600048],58.75,58.75,8.7,47.0,23
NDC,99999600051,GENTAMICIN FORT 95MG/7ML OPHTH SOL [600051],47.0,47.0,6.96,37.6,23
NDC,99999600055,MIDAZOLAM 2MG/1 ML ORAL SYRINGE [600055],9.0,9.0,1.33,7.2,23
NDC,99999600056,MIDAZOLAM 5MG/2.5ML ORAL SYRINGE [600056],14.1,14.1,2.09,11.28,23
NDC,99999600058,METHADONE 1MG/1ML ORAL SYRINGE (NICU) [600058],9.0,9.0,1.33,7.2,23
NDC,99999600060,METHADONE 0.5MG/0.5ML ORAL SYRINGE- NOT USED [600060],9.0,9.0,1.33,7.2,23
NDC,99999600062,OXYCODONE LIQ 120MG/6ML ORAL SYRINGE [600062],32.36,32.36,4.79,25.89,23
NDC,99999600063,DIAZEPAM ELIXIR 1MG/ML ORAL SYRINGE [600063],9.0,9.0,1.33,7.2,23
NDC,99999600065,OXANDROLONE 1MG/1ML ORAL SYRINGE [600065],9.02,9.02,1.33,7.22,23
NDC,99999600067,MORPHINE SULFATE 20MG/ML O/S 5ML [600067],12.93,12.93,1.91,10.34,23
NDC,99999600068,MORPHINE SULFATE 20MG/ML O/S 3ML [600068],9.0,9.0,1.33,7.2,23
NDC,99999600069,MORPHINE SULFATE 20MG/ML O/S 2ML [600069],9.0,9.0,1.33,7.2,23
NDC,99999600107,FUROSEMIDE 10MG/ML ORAL SYRINGE (NICU) [600107],9.0,9.0,1.33,7.2,23
NDC,99999600112,ALUM-MG HYDRX-SIMETH 15ML ORAL SYRINGE [600112],21.15,21.15,3.13,16.92,23
NDC,99999600134,POSACONAZOLE 200MG/5 ML ORAL SYRINGE [600134],123.63,123.63,18.3,98.9,23
NDC,99999600138,PENICILLIN VK 50MG/ML (NICU/PEDS) ORAL SYRINGE [600138],9.0,9.0,1.33,7.2,23
NDC,99999600159,MULTIPLE VIT W/IRON ORAL SYRINGE (NICU) [600159],9.0,9.0,1.33,7.2,23
NDC,99999600162,PREDNISOLONE 9MG/3ML ORAL SYRINGE [600162],19.04,19.04,2.82,15.23,23
NDC,99999600163,PREDNISOLONE 30MG/10ML ORAL SYRINGE [600163],194.85,194.85,28.84,155.88,23
NDC,99999600164,PREDNISOLONE 15MG/5ML ORAL SYRINGE [600164],31.73,31.73,4.7,25.38,23
NDC,99999600166,CHLORHEXIDINE MTHWASH 0.12% 1ML ORAL SYRINGE [600166],9.0,9.0,1.33,7.2,23
NDC,99999600175,NYSTATIN 100000U/ML ORAL SYRINGE (NICU) [600175],9.0,9.0,1.33,7.2,23
NDC,99999600199,FLUPHENAZINE 2.5MG/5ML ORAL SYRINGE [600199],43.62,43.62,6.46,34.9,23
NDC,99999600206,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 1 [600206],9.0,9.0,1.33,7.2,23
NDC,99999600207,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 2 [600207],9.0,9.0,1.33,7.2,23
NDC,99999600208,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 3 [600208],9.0,9.0,1.33,7.2,23
NDC,99999600209,SULFAMETHOXAZOLE-TMP SUSP 5ML O/S DOSE # 5 [600209],9.0,9.0,1.33,7.2,23
NDC,99999600210,SULFAMETHOXAZOLE-TMP SUSP 20ML O/S DOSE # 6 [600210],11.28,11.28,1.67,9.02,23
NDC,99999600211,SULFAMETHOXAZOLE-TMP SUSP 1ML O/S DOSE # 4 [600211],9.0,9.0,1.33,7.2,23
NDC,99999600220,MULTIPLE VITAMIN (NICU) ORAL SYRINGE [600220],9.0,9.0,1.33,7.2,23
NDC,99999600237,RISPERIDONE 2 MG/2 ML ORAL SYRINGE [600237],61.86,61.86,9.16,49.49,23
NDC,99999600247,KETAMINE 50MG/1 ML IV SYRINGE [600247],27.0,27.0,4.0,21.6,23
NDC,99999600253,AMPHOTERICIN B 5MCG/0.1ML OPHTH SYRINGE [600253],27.0,27.0,4.0,21.6,23
NDC,99999600255,GANCICLOVIR 2MG/0.1 ML OPHTH SYRINGE [600255],378.39,378.39,56.0,302.71,23
NDC,99999600263,NICARDIPINE 1MG/10ML NS [600263],180.57,180.57,26.72,144.46,23
NDC,99999600273,AMIKACIN 400MCG/0.1ML OPHTH SYRINGE [600273],27.0,27.0,4.0,21.6,23
NDC,99999600297,NACL 0.45% FLUSH 2ML IV SYRINGE (NICU) [600297],27.0,27.0,4.0,21.6,23
NDC,99999600306,CEFTAZIDIME 2.25MG/0.1ML OPHTH SYRINGE [600306],27.0,27.0,4.0,21.6,23
NDC,99999600333,ALTEPLASE 1MG/1 ML SW IV SYRINGE(NICU) [600333],640.19,640.19,94.75,512.15,23
NDC,99999600340,EPHEDRINE 50MG/10ML NS IV SYRINGE [600340],71.26,71.26,10.55,57.01,23
NDC,99999600360,FOSCARNET SODIUM 2.4MG/0.1ML OPHTH SYRINGE [600360],928.24,928.24,137.38,742.59,23
NDC,99999600556,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP [22560],95.87,95.87,14.19,76.7,23
NDC,99999600653,"PENICILLIN G 10,000 UNITS/ML ID INJ [600556]",22.0,22.0,3.26,17.6,23
RC,100,All Inclusive Rate - All-inclusive Room and Board Plus Ancillary,,,640.0,3500.0,3
RC,1000,Behavioral Health Accommodations - General Classification,,,1461.09,1820.72,3
RC,101,All Inclusive Rate - All-inclusive Room and Board,,,640.0,3500.0,3
RC,110,Room & Board - Private (One Bed) - General Classification,,,3500.0,3500.0,2
RC,111,Room & Board - Private (One Bed) - Medical/Surgical/Gyn,,,3500.0,3500.0,2
RC,112,Room & Board - Private (One Bed) - Obstetrics (OB),,,3500.0,3500.0,2
RC,113,Room & Board - Private (One Bed) - Pediatric,,,3500.0,3500.0,2
RC,114,Room & Board - Private (One Bed) - Psychiatric,,,640.0,1937.0,5
RC,115,Room & Board - Private (One Bed) - Hospice,,,960.0,1200.0,5
RC,116,Room & Board - Private (One Bed) - Detoxification,,,640.0,1937.0,6
RC,117,Room & Board - Private (One Bed) - Oncology,,,3500.0,3500.0,2
RC,118,Room & Board - Private (One Bed) - Rehabilitation,,,657.0,3071.0,11
RC,119,Room & Board - Private (One Bed) - Other,,,794.0,3500.0,3
RC,120,Room & Board - Semi-private (Two Beds) - General Classification,,,3500.0,3500.0,2
RC,121,Room & Board - Semi-private (Two Beds) - Medical/Surgical/Gyn,,,3500.0,3500.0,2
RC,122,Room & Board - Semi-private (Two Beds) - Obstetrics (OB),,,3500.0,3500.0,2
RC,123,Room & Board - Semi-private (Two Beds) - Pediatric,,,3500.0,3500.0,2
RC,124,Room & Board - Semi-private (Two Beds) - Psychiatric,,,640.0,1937.0,5
RC,125,Room & Board - Semi-private (Two Beds) - Hospice,,,960.0,1200.0,5
RC,126,Room & Board - Semi-private (Two Beds) - Detoxification,,,640.0,1937.0,6
RC,127,Room & Board - Semi-private (Two Beds) - Oncology,,,3500.0,3500.0,2
RC,128,Room & Board - Semi-private (Two Beds) - Rehabilitation,,,657.0,3071.0,11
RC,129,Room & Board - Semi-private (Two Beds) - Other,,,794.0,3500.0,3
RC,130,Room & Board - Semi-private - Three and Four Beds - General Classification,,,3500.0,3500.0,2
RC,131,Room & Board - Semi-private - Three and Four Beds - Medical/Surgical/Gyn,,,3500.0,3500.0,2
RC,132,Room & Board - Semi-private - Three and Four Beds - Obstetrics (OB),,,3500.0,3500.0,2
RC,133,Room & Board - Semi-private - Three and Four Beds - Pediatric,,,3500.0,3500.0,2
RC,134,Room & Board - Semi-private - Three and Four Beds - Psychiatric,,,640.0,1937.0,5
RC,135,Room & Board - Semi-private - Three and Four Beds - Hospice,,,960.0,1200.0,5
RC,136,Room & Board - Semi-private - Three and Four Beds - Detoxification,,,640.0,1937.0,6
RC,137,Room & Board - Semi-private - Three and Four Beds - Oncology,,,3500.0,3500.0,2
RC,138,Room & Board - Semi-private - Three and Four Beds - Rehabilitation,,,657.0,3071.0,11
RC,139,Room & Board - Semi-private - Three and Four Beds - Other,,,794.0,3500.0,3
RC,140,Room & Board - Deluxe Private - General Classification,,,3500.0,3500.0,2
RC,141,Room & Board - Deluxe Private - Medical/Surgical/Gyn,,,3500.0,3500.0,2
RC,142,Room & Board - Deluxe Private - Obstetrics (OB),,,3500.0,3500.0,2
RC,143,Room & Board - Deluxe Private - Pediatric,,,3500.0,3500.0,2
RC,144,Room & Board - Deluxe Private - Psychiatric,,,640.0,1937.0,5
RC,145,Room & Board - Deluxe Private - Hospice,,,960.0,1200.0,5
RC,146,Room & Board - Deluxe Private - Detoxification,,,640.0,1937.0,6
RC,147,Room & Board - Deluxe Private - Oncology,,,3500.0,3500.0,2
RC,148,Room & Board - Deluxe Private - Rehabilitation,,,960.0,3071.0,10
RC,149,Room & Board - Deluxe Private - Other,,,794.0,3500.0,3
RC,150,Room & Board - Ward - General Classification,,,3500.0,3500.0,2
RC,151,Room & Board - Ward - Medical/Surgical/Gyn,,,3500.0,3500.0,2
RC,152,Room & Board - Ward - Obstetrics (OB),,,3500.0,3500.0,2
RC,153,Room & Board - Ward - Pediatric,,,3500.0,3500.0,2
RC,154,Room & Board - Ward - Psychiatric,,,640.0,1937.0,5
RC,155,Room & Board - Ward - Hospice,,,960.0,1200.0,5
RC,156,Room & Board - Ward - Detoxification,,,640.0,1937.0,6
RC,157,Room & Board - Ward - Oncology,,,3500.0,3500.0,2
RC,158,Room & Board - Ward - Rehabilitation,,,657.0,3071.0,11
RC,159,Room & Board - Ward - Other,,,794.0,3500.0,3
RC,160,Room & Board - Other - General Classification,,,3500.0,3500.0,2
RC,164,Room & Board - Other - Sterile Environment,,,3500.0,3500.0,2
RC,169,Room & Board - Other - Other,,,3500.0,3500.0,2
RC,170,Surgical ICU,,,795.0,1040.0,2
RC,171,Pediactric ICU,,,1040.0,1040.0,1
RC,172,Subacute Care Level I,,,2000.0,2000.0,1
RC,173,Subacute Care Level II,,,3600.0,3600.0,1
RC,174,Subacute Care Level III,,,5200.0,5200.0,1
RC,179,Subacute Care Level IV,,,1040.0,1040.0,1
RC,190,Subacute Care - General Classification,,,856.0,3500.0,4
RC,191,Subacute Care - Subacute Care - Level I,,,880.0,3500.0,3
RC,192,Subacute Care - Subacute Care - Level II,,,880.0,3500.0,3
RC,193,Subacute Care - Subacute Care - Level III,,,880.0,3500.0,3
RC,194,Subacute Care - Subacute Care - Level IV,,,880.0,3500.0,3
RC,199,Subacute Care - Other Subacute Care,,,880.0,3500.0,3
RC,200,Intensive Care Unit - General Classification,,,3500.0,3500.0,2
RC,201,Intensive Care Unit - Surgical,,,3500.0,3500.0,2
RC,202,Intensive Care Unit - Medical,,,3500.0,3500.0,2
RC,203,Intensive Care Unit - Pediatric,,,3500.0,3500.0,2
RC,204,Intensive Care Unit - Psychiatric,,,1461.09,1937.0,4
RC,206,Intensive Care Unit - Intermediate ICU,,,3500.0,3500.0,2
RC,207,Intensive Care Unit - Burn Care,,,3500.0,3500.0,2
RC,208,Intensive Care Unit - Trauma,,,3500.0,3500.0,2
RC,209,Intensive Care Unit - Other Intensive Care,,,3500.0,3500.0,2
RC,210,Coronary Care Unit - General Classification,,,3500.0,3500.0,2
RC,2101,Alternative Therapy Services - Acupuncture,,,,,0
RC,2103,Alternative Therapy Services - Massage,,,,,0
RC,211,Coronary Care Unit - Myocardial Infarction,,,3500.0,3500.0,2
RC,212,Coronary Care Unit - Pulmonary Care,,,3500.0,3500.0,2
RC,214,Coronary Care Unit - Intermediate CCU,,,3500.0,3500.0,2
RC,219,Coronary Care Unit - Other Coronary CCU,,,3500.0,3500.0,2
RC,230,Incremental Nursing Charge - General Classification,,,,,0
RC,231,Incremental Nursing Charge - Nursery,,,,,0
RC,232,Incremental Nursing Charge - OB,,,,,0
RC,233,Incremental Nursing Charge - ICU,,,,,0
RC,234,Incremental Nursing Charge - CCU,,,,,0
RC,235,Incremental Nursing Charge - Hospice,,,,,0
RC,239,Incremental Nursing Charge - Other,,,,,0
RC,240,All Inclusive Ancillary - General Classification,,,,,0
RC,241,All Inclusive Ancillary - Basic,,,,,0
RC,242,All Inclusive Ancillary - Comprehensive,,,,,0
RC,243,All Inclusive Ancillary - Specialty,,,,,0
RC,249,All Inclusive Ancillary - Other All Inclusive Ancillary,,,,,0
RC,250,Pharmacy (Also See 063x  An Extension of 025x) - General Classification,,,,,0
RC,251,Pharmacy (Also See 063x  An Extension of 025x) - Generic Drugs,,,,,0
RC,252,Pharmacy (Also See 063x  An Extension of 025x) - Non-generic Drugs,,,,,0
RC,254,Pharmacy (Also See 063x  An Extension of 025x) - Drugs Incident to Other Diagnostic Services,,,,,0
RC,255,Pharmacy (Also See 063x  An Extension of 025x) - Drugs Incident to Radiology,,,,,0
RC,257,Pharmacy (Also See 063x  An Extension of 025x) - Non-prescription,,,,,0
RC,258,Pharmacy (Also See 063x  An Extension of 025x) - IV Solutions,,,,,0
RC,259,Pharmacy (Also See 063x  An Extension of 025x) - Other Pharmacy,,,,,0
RC,260,IV Therapy - General Classification,,,158.0,198.0,5
RC,261,IV Therapy - Infusion Pump,,,,,0
RC,262,IV Therapy - IV Therapy/pharmacy Svcs,,,,,0
RC,263,IV Therapy - IV Therapy/Drug/Supply/ Delivery,,,,,0
RC,264,IV Therapy - IV Therapy/Supplies,,,,,0
RC,269,IV Therapy - Other IV Therapy,,,158.0,198.0,5
RC,270,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027) - General Classification,,,,,0
RC,271,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Non Sterile Supply,,,,,0
RC,272,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Sterile Supply,,,,,0
RC,274,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Prosthetic/Orthotic Devices,,,,,0
RC,275,Medical/Surgical Supplies and Devices (Also See 062 X  An Extension of 027x) - Pacemaker,,,,,0
RC,276,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Intraocular Lens,,,,,0
RC,278,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Other Implant,,,,,0
RC,279,Medical/Surgical Supplies and Devices (Also See 062x  An Extension of 027x) - Other Supplies/Devices,,,,,0
RC,280,Oncology - General Classification,,,210.0,263.0,5
RC,289,Oncology - Other Oncology,,,210.0,263.0,5
RC,300,Laboratory - General Classification,,,,,0
RC,301,Laboratory - Chemistry,,,,,0
RC,302,Laboratory - Immunology,,,,,0
RC,303,Laboratory - Renal Patient (Home),,,,,0
RC,304,Laboratory - Non-Routine Dialysis,,,,,0
RC,305,Laboratory - Hematology,,,,,0
RC,306,Laboratory - Bacteriology & Microbiology,,,,,0
RC,307,Laboratory - Urology,,,,,0
RC,309,Laboratory - Other Laboratory,,,,,0
RC,310,Laboratory Pathology - General Classification,,,,,0
RC,311,Laboratory Pathology - Cytology,,,,,0
RC,312,Laboratory Pathology - Histology,,,,,0
RC,314,Laboratory Pathology - Biopsy,,,,,0
RC,319,Laboratory Pathology - Other Laboratory Pathology,,,,,0
RC,320,Radiology - Diagnostic - General Classification,,,,,0
RC,321,Radiology - Diagnostic - Angiocardiography,,,,,0
RC,322,Radiology - Diagnostic - Arthrography,,,,,0
RC,323,Radiology - Diagnostic - Arteriography,,,,,0
RC,324,Radiology - Diagnostic - Chest X-ray,,,,,0
RC,329,Radiology - Diagnostic - Other Radiology - Diagnostic,,,,,0
RC,330,Radiology - Therapeutic and/or Chemotherapy Administration - General Classification,,,1055.0,1319.0,5
RC,331,Radiology - Therapeutic and/or Chemotherapy Administration - Chemotherapy Admin - Injected,,,453.0,566.0,4
RC,332,Radiology - Therapeutic and/or Chemotherapy Administration - Chemotherapy Administration - Oral,,,453.0,566.0,4
RC,333,Radiology - Therapeutic and/or Chemotherapy Administration - Radiation Therapy,,,1055.0,31431.0,15
RC,335,Radiology - Therapeutic and/or Chemotherapy Administration - Chemotherapy Admin - IV,,,453.0,566.0,5
RC,339,Radiology - Therapeutic and/or Chemotherapy Administration - Other Radiology - Therapeutic,,,1055.0,1319.0,5
RC,340,Nuclear Medicine - General Classification,,,,,0
RC,341,Nuclear Medicine - Diagnostic,,,,,0
RC,342,Nuclear Medicine - Therapeutic,,,,,0
RC,343,Nuclear Medicine - Diagnostic Radiopharmaceuticals,,,,,0
RC,344,Nuclear Medicine - Therapeutic Radiopharmaceuticals,,,,,0
RC,349,Nuclear Medicine - Other Nuclear Medicine,,,,,0
RC,350,CT Scan - General Classification,,,817.15,1158.0,5
RC,351,CT Scan - Head Scan,,,817.15,1158.0,5
RC,352,CT Scan - Body Scan,,,817.15,1158.0,5
RC,359,CT Scan - CT - Other,,,540.0,1158.0,6
RC,370,Anesthesia - General Classification,,,,,0
RC,371,Anesthesia - Anesthesia Incident to Radiology,,,,,0
RC,372,Anesthesia - Anesthesia Incident to Other DX Services,,,,,0
RC,374,Anesthesia - Acupuncture,,,,,0
RC,379,Anesthesia - Other Anesthesia,,,,,0
RC,380,Blood and Blood Components - General Classification,,,1000.0,1250.0,4
RC,381,Blood and Blood Components - Packed Red Cells,,,1000.0,1250.0,4
RC,382,Blood and Blood Components - Whole Blood,,,1000.0,1250.0,4
RC,383,Blood and Blood Components - Plasma,,,1000.0,1250.0,4
RC,384,Blood and Blood Components - Platelets,,,1000.0,1250.0,4
RC,385,Blood and Blood Components - Leucocytes,,,1000.0,1250.0,4
RC,386,Blood and Blood Components - Other Blood Components,,,1000.0,1250.0,4
RC,387,Blood and Blood Components - Other Derivatives (Cryoprecipitate),,,1000.0,1250.0,4
RC,389,Blood and Blood Components - Other Blood and Blood Components,,,1000.0,1250.0,4
RC,390,Administration  Processing  and Storage for Blood and Blood Components - General Classification,,,1000.0,1250.0,5
RC,391,Administration  Processing  and Storage for Blood and Blood Components - Administration (E.G. Transfusions),,,1000.0,1250.0,5
RC,392,Administration  Processing  and Storage for Blood and Blood Components - Processing and Storage,,,1000.0,1250.0,5
RC,399,Administration  Processing  and Storage for Blood and Blood Components - Other Blood Handling,,,1000.0,1250.0,5
RC,400,Other Imaging Services - General Classification,,,,,0
RC,401,Other Imaging Services - Diagnostic Mammography,,,,,0
RC,402,Other Imaging Services - Ultrasound,,,163.0,163.0,1
RC,403,Other Imaging Services - Screening Mammography,,,,,0
RC,404,Other Imaging Services - Positron Emission Tomography,,,2400.0,3731.0,3
RC,409,Other Imaging Services - Other Imaging Services,,,,,0
RC,410,Respiratory Services - General Classification,,,102.0,127.0,5
RC,412,Respiratory Services - Inhalation Services,,,102.0,127.0,5
RC,413,Respiratory Services - Hyperbaric Oxygen Therapy,,,676.0,845.0,5
RC,419,Respiratory Services - Other Respiratory Services,,,102.0,127.0,5
RC,420,Physical Therapy - General Classification,,,400.0,500.0,8
RC,421,Physical Therapy - Visit,,,400.0,500.0,8
RC,422,Physical Therapy - Hourly,,,400.0,500.0,8
RC,423,Physical Therapy - Group,,,400.0,500.0,8
RC,424,Physical Therapy - Evaluation or Re-Evaluation,,,400.0,500.0,8
RC,429,Physical Therapy - Other Physical Therapy,,,400.0,500.0,8
RC,430,Occupational Therapy - General Classification,,,400.0,500.0,8
RC,431,Occupational Therapy - Visit,,,400.0,500.0,8
RC,432,Occupational Therapy - Hourly,,,400.0,500.0,8
RC,433,Occupational Therapy - Group,,,400.0,500.0,8
RC,434,Occupational Therapy - Evaluation or Reevaluation,,,400.0,500.0,8
RC,439,Occupational Therapy - Other Occupational Therapy,,,400.0,500.0,8
RC,440,Speech-language Pathology - General Classification,,,400.0,500.0,8
RC,441,Speech-language Pathology - Visit,,,400.0,500.0,8
RC,442,Speech-language Pathology - Hourly,,,400.0,500.0,8
RC,443,Speech-language Pathology - Group,,,400.0,500.0,8
RC,444,Speech-language Pathology - Evaluation or Reevaluation,,,400.0,500.0,8
RC,449,Speech-language Pathology - Other Speech Therapy,,,400.0,500.0,8
RC,450,Emergency Room - General Classification,,,444.74,7500.0,33
RC,451,Emergency Room - Emtala Emergency Medical Screening Services,,,444.74,7500.0,33
RC,452,Emergency Room - Er Beyond Emtala Screening,,,444.74,7500.0,33
RC,456,Emergency Room - Urgent Care,,,120.0,461.84,8
RC,459,Emergency Room - Other Emergency Room,,,444.74,7500.0,33
RC,460,Pulmonary Function - General Classification,,,641.0,801.0,5
RC,469,Pulmonary Function - Other Pulmonary Function,,,641.0,801.0,5
RC,470,Audiology - General Classification,,,196.0,245.0,5
RC,471,Audiology - Diagnostic,,,196.0,245.0,5
RC,472,Audiology - Treatment,,,196.0,245.0,5
RC,479,Audiology - Other Audiology,,,196.0,245.0,5
RC,480,Cardiology - General Classification,,,760.0,950.0,5
RC,481,Cardiology - Cardiac Cath Lab,,,,,0
RC,482,Cardiology - Stress Test,,,376.0,470.0,5
RC,483,Cardiology - Echocardiology,,,1058.0,1322.0,5
RC,489,Cardiology - Other Cardiology,,,760.0,950.0,5
RC,500,Outpatient Services - General Classification,,,,,0
RC,509,Outpatient Services - Other Outpatient Service,,,,,0
RC,510,Clinic - General Classification,,,97.0,500.0,9
RC,511,Clinic - Chronic Pain Center,,,266.85,500.0,8
RC,512,Clinic - Dental Clinic,,,97.0,420.28,4
RC,513,Clinic - Psychiatric Clinic,,,311.31,420.28,3
RC,514,Clinic - Ob-gyn Clinic,,,97.0,500.0,9
RC,515,Clinic - Pediatric Clinic,,,311.31,500.0,8
RC,516,Clinic - Urgent Care Clinic,,,97.0,500.0,9
RC,517,Clinic - Family Practice Clinic,,,97.0,500.0,9
RC,519,Clinic - Other Clinic,,,97.0,500.0,9
RC,520,Freestanding Clinic - General Classification,,,311.31,500.0,8
RC,521,Freestanding Clinic - Clinic Visit by Member to RHC/FQHC,,,311.31,420.28,3
RC,522,Freestanding Clinic - Home Visit by RHC/FQHC Practitioner,,,311.31,420.28,3
RC,523,Freestanding Clinic - Family Practice Clinic,,,311.31,500.0,8
RC,524,Freestanding Clinic - Visit by RHC/FQHC Practitioner to a Member in a SNF or Skilled Swing Bed in a Covered Part A Stay,,,311.31,420.28,3
RC,525,Freestanding Clinic - Visit by RHC/FQHC Practitioner to a Member in a SNF (Not in a Covered Part A Stay) or Nf or Icf Mr or Other Residential Facility,,,311.31,420.28,3
RC,526,Freestanding Clinic - Urgent Care Clinic,,,311.31,500.0,8
RC,527,Freestanding Clinic - Visiting Nurse Service(S) to a Member's Home When in a Home Health Shortage Area,,,311.31,420.28,3
RC,528,Freestanding Clinic - Visit by RHC/FQHC Practitioner to Other Non-RHC/FQHC Site (E.G. Scene of Accident),,,311.31,420.28,3
RC,529,Freestanding Clinic - Other Freestanding Clinic,,,311.31,500.0,8
RC,530,Osteopathic Services - General Classification,,,,,0
RC,531,Osteopathic Services - Osteopathic Therapy,,,,,0
RC,539,Osteopathic Services - Other Osteopathic Services,,,,,0
RC,541,Ambulance - Supplies,,,,,0
RC,544,Ambulance - Oxygen,,,,,0
RC,550,Skilled Nursing - General Classification,,,657.04,974.04,3
RC,551,Skilled Nursing - Visit Charge,,,657.04,974.04,3
RC,552,Skilled Nursing - Hourly Charge,,,657.04,974.04,3
RC,559,Skilled Nursing - Other Skilled Nursing,,,657.04,974.04,3
RC,610,Magnetic Resonance Technology (MRT) - General Classification,,,800.0,1758.0,6
RC,611,Magnetic Resonance Technology (MRT) - MRI - Brain/Brainstem,,,800.0,1758.0,6
RC,612,Magnetic Resonance Technology (MRT) - MRI - Spinal Cord/Spine,,,800.0,1758.0,6
RC,614,Magnetic Resonance Technology (MRT) - MRI - Other,,,800.0,1758.0,6
RC,615,Magnetic Resonance Technology (MRT) - Mra - Head and Neck,,,800.0,1758.0,6
RC,616,Magnetic Resonance Technology (MRT) - Mra - Lower Extremities,,,800.0,1758.0,3
RC,618,Magnetic Resonance Technology (MRT) - Mra - Other,,,800.0,1758.0,3
RC,619,Magnetic Resonance Technology (MRT) - Other MRT,,,800.0,1758.0,3
RC,621,Medical/Surgical Supplies and Devices - Extension of 027x - Supplies Incident to Radiology,,,,,0
RC,622,Medical/Surgical Supplies and Devices - Extension of 027x - Supplies Incident to Other DX Services,,,,,0
RC,623,Medical/Surgical Supplies and Devices - Extension of 027x - Surgical Dressings,,,,,0
RC,631,Pharmacy - Extension of 025x - Single Source Drug,,,,,0
RC,632,Pharmacy - Extension of 025x - Multiple Source Drug,,,,,0
RC,633,Pharmacy - Extension of 025x - Restrictive Prescription,,,,,0
RC,634,Pharmacy - Extension of 025x - Erythropoietin (EPO) <10 000 Units,,,,,0
RC,635,Pharmacy - Extension of 025x - Erythropoietin (EPO) >=10 000 Units,,,,,0
RC,636,Pharmacy - Extension of 025x - Drugs Requiring Detailed Coding,,,,,0
RC,637,Pharmacy - Extension of 025x - Self-Administrable Drugs,,,,,0
RC,655,Hospice Service - Inpatient Respite Care,,,960.0,1200.0,5
RC,656,Hospice Service - General Inpatient Care Non-Respite,,,960.0,1200.0,5
RC,681,Trauma Response - Level I Trauma,,,3804.0,13855.5,21
RC,682,Trauma Response - Level II Trauma,,,3804.0,13855.5,16
RC,683,Trauma Response - Level III Trauma,,,3804.0,13855.5,16
RC,684,Trauma Response - Level IV Trauma,,,3804.0,13855.5,16
RC,689,Trauma Response - Other Trauma Response,,,3804.0,13855.5,16
RC,690,Pre-hospice/palliative Care Services - General Classification (Effective 1/1/14),,,,,0
RC,691,Pre-hospice/palliative Care Services - Visit Charge (Effective 1/1/14),,,,,0
RC,692,Pre-hospice/palliative Care Services - Hourly Charge (Effective 1/1/14),,,,,0
RC,693,Pre-hospice/palliative Care Services - Evaluation (Effective 1/1/14),,,,,0
RC,694,Pre-hospice/palliative Care Services - Consultation and Education (Effective 1/1/14),,,,,0
RC,695,Pre-hospice/palliative Care Services - Inpatient Care (Effective 1/1/14),,,,,0
RC,696,Pre-hospice/palliative Care Services - Physician Services (Effective 1/1/14),,,,,0
RC,699,Pre-hospice/palliative Care Services - Other Pre-hospice/palliative Care Services (Effective 1/1/14),,,,,0
RC,700,Cast Room - General Classification,,,,,0
RC,710,Recovery Room - General Classification,,,,,0
RC,720,Labor Room/Delivery - General Classification,,,562.0,703.0,5
RC,721,Labor Room/Delivery - Labor,,,562.0,703.0,5
RC,722,Labor Room/Delivery - Delivery Room,,,562.0,703.0,5
RC,723,Labor Room/Delivery - Circumcision,,,,,0
RC,724,Labor Room/Delivery - Birthing Center,,,562.0,703.0,5
RC,729,Labor Room/Delivery - Other Labor Room/Delivery,,,562.0,703.0,5
RC,730,EKG/ecg (Electrocardiogram) - General Classification,,,254.0,318.0,5
RC,731,EKG/ecg (Electrocardiogram) - Holter Monitor,,,591.0,665.0,3
RC,732,EKG/ecg (Electrocardiogram) - Telemetry,,,591.0,665.0,3
RC,739,EKG/ecg (Electrocardiogram) - Other EKG/ecg,,,254.0,318.0,5
RC,740,EEG (Electroencephalogram) - General Classification,,,195.0,3600.0,10
RC,760,Specialty Services - General Classification,,,3425.0,3425.0,1
RC,761,Specialty Services - Treatment Room,,,3425.0,3425.0,1
RC,762,Specialty Services - Observation Hours,,,3247.0,4255.0,7
RC,769,Specialty Services - Other Specialty Services,,,3425.0,3425.0,1
RC,770,Preventive Care Services - General Classification,,,,,0
RC,771,Preventive Care Services - Vaccine Administration,,,32.0,40.0,5
RC,780,Telemedicine - General Classification,,,,,0
RC,800,Inpatient Renal Dialysis - General Classification,,,,,0
RC,801,Inpatient Renal Dialysis - Inpatient Hemodialysis,,,,,0
RC,802,Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPPD),,,,,0
RC,803,Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPPD),,,,,0
RC,804,Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD),,,,,0
RC,809,Inpatient Renal Dialysis - Other Inpatient Dialysis,,,,,0
RC,810,Acquisition of Body Components - General Classification,,,,,0
RC,811,Acquisition of Body Components - Living Donor,,,,,0
RC,812,Acquisition of Body Components - Cadaver Donor,,,,,0
RC,813,Acquisition of Body Components - Unknown Donor,,,,,0
RC,814,Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges,,,,,0
RC,815,Acquisition of Body Components - Stem Cell Acquisition - Allogeneic (Effective 1/1/17),,,,,0
RC,819,Acquisition of Body Components - Other Donor,,,,,0
RC,820,Hemodialysis - Outpatient or Home - General Classification,,,174.0,217.0,5
RC,821,Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate,,,174.0,307.91,8
RC,822,Hemodialysis - Outpatient or Home - Home Supplies,,,174.0,217.0,5
RC,823,Hemodialysis - Outpatient or Home - Home Equipment,,,174.0,217.0,5
RC,824,Hemodialysis - Outpatient or Home - Maintenance - 100%,,,174.0,217.0,5
RC,825,Hemodialysis - Outpatient or Home - Support Services,,,174.0,217.0,5
RC,829,Hemodialysis - Outpatient or Home - Other Op Hemodialysis,,,174.0,217.0,5
RC,830,Peritoneal Dialysis - Outpatient or Home - General Classification,,,174.0,217.0,5
RC,831,Peritoneal Dialysis - Outpatient or Home - Peritoneal/Composite or Other Rate,,,174.0,217.0,5
RC,832,Peritoneal Dialysis - Outpatient or Home - Home Supplies,,,174.0,217.0,5
RC,833,Peritoneal Dialysis - Outpatient or Home - Home Equipment,,,174.0,217.0,5
RC,834,Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%,,,174.0,217.0,5
RC,835,Peritoneal Dialysis - Outpatient or Home - Support Services,,,174.0,217.0,5
RC,839,Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis,,,174.0,217.0,5
RC,840,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - General Classification,,,174.0,217.0,5
RC,841,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - CAPPD/Composite or Other Rate,,,174.0,307.91,8
RC,842,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - Home Supplies,,,174.0,217.0,5
RC,843,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - Home Equipment,,,174.0,217.0,5
RC,844,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - Maintenance - 100%,,,174.0,217.0,5
RC,845,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - Support Services,,,174.0,217.0,5
RC,849,Continuous Ambulatory Peritoneal Dialysis (CAPPD) - Outpatient or Home - Other Outpatient CAPPD,,,174.0,217.0,5
RC,850,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification,,,174.0,217.0,5
RC,851,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD/Composite or Other Rate,,,174.0,307.91,8
RC,852,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies,,,174.0,217.0,5
RC,853,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment,,,174.0,217.0,5
RC,854,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%,,,174.0,217.0,5
RC,855,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services,,,174.0,217.0,5
RC,859,Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD,,,174.0,217.0,5
RC,860,Magnetoencephalography (Meg) - General Classification,,,540.0,675.0,5
RC,861,Magnetoencephalography (MEG) - MEG,,,540.0,675.0,5
RC,880,Miscellaneous Dialysis - General Classification,,,,,0
RC,881,Miscellaneous Dialysis - Ultrafiltration,,,,,0
RC,889,Miscellaneous Dialysis - Other Miscellaneous Dialysis,,,,,0
RC,891,Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy (Effective 4/1/19),,,0.52,0.52,1
RC,900,Behavioral Health Treatment/Services (Also See 091x  An Extension of 090x) - General Classification,,,106.0,132.0,5
RC,901,Behavioral Health Treatment/Services (Also See 091x  An Extension of 090x) - Electroshock Treatment,,,135.0,135.0,2
RC,905,Behavioral Health Treatment/Services (Also See 091x  An Extension of 090x) - Intensive Outpatient Services - Psychiatric,,,170.0,300.21,4
RC,906,Behavioral Health Treatment/Services (Also See 091x  An Extension of 090x) - Intensive Outpatient Services - Chemical Dependency,,,170.0,300.21,4
RC,912,Behavioral Health Treatment/Services - Extension of 090x - Partial Hospitalization - Less Intensive,,,270.0,508.03,4
RC,913,Behavioral Health Treatment/Services - Extension of 090x - Partial Hospitalization - Intensive,,,270.0,508.03,4
RC,917,Behavioral Health Treatment/Services - Extension of 090x - Bio Feedback,,,106.0,132.0,5
RC,918,Behavioral Health Treatment/Services - Extension of 090x - Testing,,,106.0,132.0,5
RC,920,Other Diagnostic Services - General Classification,,,185.0,3600.0,10
RC,921,Other Diagnostic Services - Peripheral Vascular Lab,,,745.0,931.0,5
RC,922,Other Diagnostic Services - Electromyogram,,,349.0,436.0,5
RC,924,Other Diagnostic Services - Allergy Test,,,279.0,349.0,5
RC,929,Other Diagnostic Services - Other Diagnostic Service,,,185.0,3600.0,10
RC,940,Other Therapeutic Services (Also See 095x  An Extension of 094x) - General Classification,,,164.0,205.0,5
RC,942,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Education/training,,,209.0,261.0,5
RC,943,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Cardiac Rehabilitation,,,349.0,436.0,5
RC,946,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Complex Medical Equipment - Routine,,,,,0
RC,947,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Complex Medical Equipment - Ancillary,,,,,0
RC,948,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Pulmonary Rehabilitation,,,310.0,344.0,4
RC,949,Other Therapeutic Services (Also See 095x  An Extension of 094x) - Other Therapeutic Service,,,164.0,205.0,5
RC,951,Other Therapeutic Services (Extension of 094x) - Athletic Training,,,,,0
RC,952,Other Therapeutic Services (Extension of 094x) - Kinesiotherapy,,,,,0